"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 Date00100,CPT,Anes-Proc Salivary Glands Incl Bx,,,3,,Anesth,,,,,5,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100100102,CPT,Anes-Proc Plastic Repair Cleft Lip,,,3,,Anesth,,,,,6,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100100103,CPT,Anes-Reconstructive Proc Eyelid,,,3,,Anesth,,,,,5,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100100104,CPT,Anes-Electroculvulsive Therapy,,,3,,Anesth,,,,,4,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100100120,CPT,Anes-Ext Mid&Innr Ear W/Bx; Nos,,,3,,Anesth,,,,,5,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100100124,CPT,Anes-Ext Mid&Innr Ear W/Bx; Otscpy,,,3,,Anesth,,,,,4,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100100126,CPT,Anes-Ext Mid&Innr Ear W/Bx; Tympnot,,,3,,Anesth,,,,,4,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100100140,CPT,Anesthesia Procedures On Eye; Nos,,,3,,Anesth,,,,,5,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100100142,CPT,Anesthesia Proc Eye; Lens Surgery,,,3,,Anesth,,,,,4,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100100144,CPT,Anes-Proc Eye; Corneal Transplant,,,3,,Anesth,,,,,6,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100100145,CPT,Anes-Proc Eye; Vitreoretinal Surg,,,3,,Anesth,,,,,6,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100100147,CPT,Anesthesia Proc Eye; Iridectomy,,,3,,Anesth,,,,,4,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100100148,CPT,Anesthesia Proc Eye; Ophthalmoscopy,,,3,,Anesth,,,,,4,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100100160,CPT,Anes-Proc Nose&Access Sinuses; Nos,,,3,,Anesth,,,,,5,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100100162,CPT,Anes-Nse&Acss Sinuses; Radl Surg,,,3,,Anesth,,,,,7,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100100164,CPT,Anes-Nse&Acss Sinuses; Bx Sft Tiss,,,3,,Anesth,,,,,4,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100100170,CPT,Anes-Intraoral Including Bx; Nos,,,3,,Anesth,,,,,5,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100100172,CPT,Anes-Intraorl W/Bx; Repr Clt Palate,,,3,,Anesth,,,,,6,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100100174,CPT,Anes-Intraoral W/Bx; Exc Tumor,,,3,,Anesth,,,,,6,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100100176,CPT,Anes-Intraorl Incl Bx; Radl Surgery,,,3,,Anesth,,,,,7,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100100190,CPT,Anes-Proc Facial Bones/Skull; Nos,,,3,,Anesth,,,,,5,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100100192,CPT,Anes-Proc Fce Bns/Skull; Radl Surg,,,3,,Anesth,,,,,7,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100100210,CPT,Anes-Intracran; Nos,,,3,,Anesth,,,,,11,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100100212,CPT,Anes-Intracran; Subdural Taps,,,3,,Anesth,,,,,5,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100100214,CPT,Anes-Cran; Burr Holes-Ventricgrph,,,3,,Anesth,,,,,9,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100100215,CPT,Anes-Intracran;Elev Skl Fx-Xtradurl,,,3,,Anesth,,,,,9,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100100216,CPT,Anes-Intracran; Vascular Procedures,,,3,,Anesth,,,,,15,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100100218,CPT,Anes-Intracran; Proc Sitting Pstn,,,3,,Anesth,,,,,13,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100100220,CPT,Anes-Intracran;Cerebrosp Fl Shnting,,,3,,Anesth,,,,,10,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100100222,CPT,Anes-Intracran;Elec-Coag Cran Nerv,,,3,,Anesth,,,,,6,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100100300,CPT,Anes-Integ-Musc&Nerv-Head-Trunk;Nos,,,3,,Anesth,,,,,5,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100100320,CPT,Anes-Esoph Thyrd Trachea;Nos 1 Yr/>,,,3,,Anesth,,,,,6,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100100322,CPT,Anes-Esoph Thyroid Trach;Bx Thyroid,,,3,,Anesth,,,,,3,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100100326,CPT,Anes-Larynx&Trach Chld < 1 Yr Age,,,3,,Anesth,,,,,7,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100100350,CPT,Anes-Proc Major Vessels Neck; Nos,,,3,,Anesth,,,,,10,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100100352,CPT,Anes-Proc Maj Ves Neck; Simple Lig,,,3,,Anesth,,,,,5,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100100400,CPT,Anes-Integ Extrem Trnk Perin; Nos,,,3,,Anesth,,,,,3,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100100402,CPT,Anes-Integ Extrem Trnk; Brst Recon,,,3,,Anesth,,,,,5,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100100404,CPT,Anes-Integ Trunk; Radl Breast Proc,,,3,,Anesth,,,,,5,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100100406,CPT,Anes-Integ;Radl Brst W/Node Dissect,,,3,,Anesth,,,,,13,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100100410,CPT,Anes-Integ Extrm Trnk;Convrt Arryth,,,3,,Anesth,,,,,4,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100100450,CPT,Anes-Proc Clavicle&Scapula; Nos,,,3,,Anesth,,,,,5,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100100452,CPT,Anes-Proc Clav&Scapula; Radl Surg,,,3,,Anesth,,,,,6,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100100454,CPT,Anes-Proc Clav&Scapula; Bx Clav,,,3,,Anesth,,,,,3,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100100470,CPT,Anes-Partial Rib Resection; Nos,,,3,,Anesth,,,,,6,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100100472,CPT,Anes-Part Rib Res; Thoracoplasty,,,3,,Anesth,,,,,10,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100100474,CPT,Anes-Part Rib Resection; Radl Proc,,,3,,Anesth,,,,,13,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100100500,CPT,Anes-On Esophagus,,,3,,Anesth,,,,,15,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100100520,CPT,Anes-Closed Chest; Nos,,,3,,Anesth,,,,,6,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100100522,CPT,Anes-Closed Chest; Needle Bx Pleura,,,3,,Anesth,,,,,4,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100100524,CPT,Anes-Closed Chest; Pneumocentesis,,,3,,Anesth,,,,,4,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100100528,CPT,Anes-Clo Chst;Mediastnscp No 1 Lung,,,3,,Anesth,,,,,8,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100100529,CPT,Anes-Clos Chst; Mediastnscpy 1 Lung,,,3,,Anesth,,,,,11,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100100530,CPT,Anes-Perm Trns Pacemkr Insertion,,,3,,Anesth,,,,,4,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100100532,CPT,Anes-Access Cntrl Venous Circ,,,3,,Anesth,,,,,4,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100100534,CPT,Anes-Trns Insrt/Repl Pacing Defib,,,3,,Anesth,,,,,7,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100100537,CPT,Anes-Card Eps Incl Radiofreq Ablat,,,3,,Anesth,,,,,7,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100100539,CPT,Anes-Tracheobronchial Reconstruct,,,3,,Anesth,,,,,18,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100100540,CPT,Anes-Thoracot; Nos,,,3,,Anesth,,,,,12,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100100541,CPT,Anes-Thoracot; Util 1 Lung Vent,,,3,,Anesth,,,,,15,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100100542,CPT,Anes-Thoracot; Decortication,,,3,,Anesth,,,,,15,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100100546,CPT,Anes-Thoracot Lungs;Thoracoplasty,,,3,,Anesth,,,,,15,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100100548,CPT,Anes-Thoracot Lungs;Intrathor Trach,,,3,,Anesth,,,,,17,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100100550,CPT,Anesthesia For Sternal Debridement,,,3,,Anesth,,,,,10,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100100560,CPT,Anes-Hrt Pericard Sac; W/O Oxygntr,,,3,,Anesth,,,,,15,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100100561,CPT,"Anesth, heart surg < age 1",,,3,,Anesth,,,,,25,$1.00 ,$0.00 ,3,0,0,1,1,1,2008100100562,CPT,Anes-Hrt Pericard Sac; W/Oxygntr,,,3,,Anesth,,,,,20,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100100563,CPT,Anes-Hrt Pericard Sac;Oxygntr&Arrst,,,3,,Anesth,,,,,25,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100100566,CPT,Anes-Direct Cabg W/O Pump Oxygenatr,,,3,,Anesth,,,,,25,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100100580,CPT,Anes-Hrt Tplnt/Hrt/Lung Tplnt,,,3,,Anesth,,,,,20,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100100600,CPT,Anesthesia Proc C-Spine&Cord; Nos,,,3,,Anesth,,,,,10,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100100604,CPT,Anes-Cerv Spine&Cord; Pt Sit Pstn,,,3,,Anesth,,,,,13,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100100620,CPT,Anesthesia Proc T-Spine&Cord; Nos,,,3,,Anesth,,,,,10,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100100622,CPT,Anes-Thoracic;Thoracolum Sympathect,,,3,,Anesth,,,,,13,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100100625,CPT,Anes spine tranthor w/o vent,,,3,,Anesth,,,,,13,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100100626,CPT,"Anes, spine transthor w/vent",,,3,,Anesth,,,,,15,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100100630,CPT,Anesthesia Proc Lumbar Region; Nos,,,3,,Anesth,,,,,8,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100100632,CPT,Anes-Proc Lumb Rgn; Lumb Sympathect,,,3,,Anesth,,,,,7,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100100634,CPT,Anes-Lumb Rgn; Chemonucleolysis,,,3,,Anesth,,,,,10,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100100635,CPT,Anes-Lumb Rgn; Dx/Tx Lumb Punct,,,3,,Anesth,,,,,4,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100100640,CPT,Anes-Manip Spn/Clos Proc Spn,,,3,,Anesth,,,,,3,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100100670,CPT,Anes-Exten Spine & Spinal Cord,,,3,,Anesth,,,,,13,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100100700,CPT,Anes-Proc Upper Ant Abd Wall; Nos,,,3,,Anesth,,,,,4,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100100702,CPT,Anes-Up Ant Abd Wall; Perq Livr Bx,,,3,,Anesth,,,,,4,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100100730,CPT,Anes-Proc Upper Posterior Abd Wall,,,3,,Anesth,,,,,5,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100100740,CPT,Anes-Ugi Endoscopy-Intro Prox Duod,,,3,,Anesth,,,,,5,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100100750,CPT,Anes-Hernia Repairs Upper Abd; Nos,,,3,,Anesth,,,,,4,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100100752,CPT,Anes-Hernia Repr Up Abd; &/Dehis,,,3,,Anesth,,,,,6,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100100754,CPT,Anes-Hern Repr Up Abd; Omphalocele,,,3,,Anesth,,,,,7,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100100756,CPT,Anes-Hernia Repr Up Abd;Transabd,,,3,,Anesth,,,,,7,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100100770,CPT,Anes-On Major Abd Blood Vessels,,,3,,Anesth,,,,,15,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100100790,CPT,Anes-Intraper Up Abd W/Lap;Nos,,,3,,Anesth,,,,,7,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100100792,CPT,Anes-Intraper Up Abd W/Lap;Hepatec,,,3,,Anesth,,,,,13,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100100794,CPT,Anes-Intraper Up W/Lap;Pancreatect,,,3,,Anesth,,,,,8,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100100796,CPT,Anes-Intraper Up W/Lap;Liver Tplnt,,,3,,Anesth,,,,,30,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100100797,CPT,Anes-Intraper W/Lap; Gastr Restirct,,,3,,Anesth,,,,,8,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100100800,CPT,Anes-Proc Lower Ant Abd Wall; Nos,,,3,,Anesth,,,,,4,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100100802,CPT,Anes-Lw Ant Abd Wall; Panniculect,,,3,,Anesth,,,,,5,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100100810,CPT,Anes-Low Intest Endo-Dist To Duod,,,3,,Anesth,,,,,5,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100100820,CPT,Anes-Proc Lower Posterior Abd Wall,,,3,,Anesth,,,,,5,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100100830,CPT,Anes-Hernia Repairs Lower Abd; Nos,,,3,,Anesth,,,,,4,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100100832,CPT,Anes-Hern Rep ; Ventral&Inci Hern S,,,3,,Anesth,,,,,6,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100100834,CPT,Anes-Hern Repr Nos Under 1 Yr Age,,,3,,Anesth,,,,,5,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100100836,CPT,Anes-Hern Nos<37Wk Brth &<50Wk Surg,,,3,,Anesth,,,,,6,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100100840,CPT,Anes-Intraper W/Laparscpy; Nos,,,3,,Anesth,,,,,6,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100100842,CPT,Anes-Intraper W/Laparscpy; Amnio,,,3,,Anesth,,,,,4,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100100844,CPT,Anes-Intraper;Abd-Perinl Resection,,,3,,Anesth,,,,,7,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100100846,CPT,Anes-Intraper Low W/Lap;Radl Hyst,,,3,,Anesth,,,,,8,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100100848,CPT,Anes-Intraper W/Lap;Pelv Exentratn,,,3,,Anesth,,,,,8,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100100851,CPT,Anes-Intraper W/Lap; Tubal Lig,,,3,,Anesth,,,,,6,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100100860,CPT,Anes-Xtraper W/Urin Tract; Nos,,,3,,Anesth,,,,,6,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100100862,CPT,Anes-Xtraper;Up 1/3 Ureter/Nephrect,,,3,,Anesth,,,,,7,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100100864,CPT,Anes-Xtraper Low Abd;Tot Cystect,,,3,,Anesth,,,,,8,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100100865,CPT,Anes-Xtraper Low;Radl Prostatect,,,3,,Anesth,,,,,7,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100100866,CPT,Anes-Xtraper Low Abd;Adrenalectomy,,,3,,Anesth,,,,,10,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100100868,CPT,Anes-Xtraper Low Abd;Renal Trsplnt,,,3,,Anesth,,,,,10,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100100870,CPT,Anes-Xtraper Low Abd;Cystolithtomy,,,3,,Anesth,,,,,5,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100100872,CPT,Anes-Lith Etracorp;W/Water Bath,,,3,,Anesth,,,,,7,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100100873,CPT,Anes-Lith Xtracorp;W/O Water Bath,,,3,,Anesth,,,,,5,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100100880,CPT,Anes-Proc Major Lower Abd Ves; Nos,,,3,,Anesth,,,,,15,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100100882,CPT,Anes-Maj Ves; Inf Vena Cava Lig,,,3,,Anesth,,,,,10,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100100902,CPT,Anesthesia For; Anorectal Procedure,,,3,,Anesth,,,,,5,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100100904,CPT,Anes-For; Radical Perineal Proc,,,3,,Anesth,,,,,7,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100100906,CPT,Anesthesia For; Vulvectomy,,,3,,Anesth,,,,,4,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100100908,CPT,Anes-For; Perineal Prostatectomy,,,3,,Anesth,,,,,6,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100100910,CPT,Anes-Transurethral; Nos,,,3,,Anesth,,,,,3,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100100912,CPT,Anes-Trnsureth;Resect Bladder Tumor,,,3,,Anesth,,,,,5,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100100914,CPT,Anes-Transurethral ; Turp,,,3,,Anesth,,,,,5,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100100916,CPT,Anes-Trnsureth;Post Resection Bleed,,,3,,Anesth,,,,,5,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100100918,CPT,Anes-Trnsureth;W/Manip&/Remv Calcu,,,3,,Anesth,,,,,5,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100100920,CPT,Anesthesia Proc Male Genitalia; Nos,,,3,,Anesth,,,,,3,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100100921,CPT,Anes-Male Gnt; Vasect Unilat/Bilat,,,3,,Anesth,,,,,3,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100100922,CPT,Anes-Proc Male Gnt; Seminl Vesicles,,,3,,Anesth,,,,,6,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100100924,CPT,Anes-Male;Undescend Testis Uni/Bil,,,3,,Anesth,,,,,4,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100100926,CPT,Anes-Male Gnt; Radl Orchect Ing,,,3,,Anesth,,,,,4,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100100928,CPT,Anes-Male Gnt; Radl Orchect Abd,,,3,,Anesth,,,,,6,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100100930,CPT,Anes-Male Genit;Orchiopexy Uni/Bil,,,3,,Anesth,,,,,4,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100100932,CPT,Anes-Proc Male Gnt; Cmpl Amp Penis,,,3,,Anesth,,,,,4,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100100934,CPT,Anes-Male;Radl Amp Penis-Ing Lymph,,,3,,Anesth,,,,,6,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100100936,CPT,Anes Male;Radl Amp Penis-Ing&Iliac,,,3,,Anesth,,,,,8,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100100938,CPT,Anes-Male Genit;Insrt Penile Prosth,,,3,,Anesth,,,,,4,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100100940,CPT,Anes-Vag; Not Otherwise Specified,,,3,,Anesth,,,,,3,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100100942,CPT,Anes-Vag; Colpot Vaginect&Opn Ureth,,,3,,Anesth,,,,,4,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100100944,CPT,Anes-Vag; Vaginal Hysterectomy,,,3,,Anesth,,,,,6,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100100948,CPT,Anes-Vag; Cervical Cerclage,,,3,,Anesth,,,,,4,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100100950,CPT,Anes-Vag ; Culdoscopy,,,3,,Anesth,,,,,5,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100100952,CPT,Anes-Vag;Hysteroscopy&/Salpingraphy,,,3,,Anesth,,,,,4,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100101112,CPT,Anes-Bn Marrow Asp&/Bx Iliac Crest,,,3,,Anesth,,,,,5,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100101120,CPT,Anesthesia Procedures Bony Pelvis,,,3,,Anesth,,,,,6,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100101130,CPT,Anes-Body Cast Application/Rev,,,3,,Anesth,,,,,3,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100101140,CPT,Anesthesia Interpelviabd Amputation,,,3,,Anesth,,,,,15,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100101150,CPT,Anes-Radl Tumor Pelv No Hndqtr Amp,,,3,,Anesth,,,,,10,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100101160,CPT,Anes-Clos Proc Invlv Pubis/Si Jnt,,,3,,Anesth,,,,,4,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100101170,CPT,Anes-Open Proc Invlv Pubis/Si Jnt,,,3,,Anesth,,,,,8,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100101173,CPT,Anes-Opn Rep Fx Pelv/Column Acetab,,,3,,Anesth,,,,,12,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100101180,CPT,Anes-Obtur Neurectomy; Extrapelvic,,,3,,Anesth,,,,,3,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100101190,CPT,Anes-Obtur Neurectomy; Intrapelvic,,,3,,Anesth,,,,,4,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100101200,CPT,Anes-All Clos Proc Invlv Hip Joint,,,3,,Anesth,,,,,4,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100101202,CPT,Anes-Arthroscopic Proc Hip Joint,,,3,,Anesth,,,,,4,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100101210,CPT,Anes-Open Proc Invlv Hip Joint; Nos,,,3,,Anesth,,,,,6,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100101212,CPT,Anes-Open Proc Invlv Hip;Disartic,,,3,,Anesth,,,,,10,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100101214,CPT,Anes-Opn Hip Jnt; Tot Hip Arthplsty,,,3,,Anesth,,,,,8,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100101215,CPT,Anes-Open Invlv Hip;Total Hip Rev,,,3,,Anesth,,,,,10,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100101220,CPT,Anes-All Clos Proc Invlv Up 2/3 Fem,,,3,,Anesth,,,,,4,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100101230,CPT,Anes-Open Invlv Upper 2/3 Femur;Nos,,,3,,Anesth,,,,,6,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100101232,CPT,Anes-Open Invlv Upper 2/3 Femur;Amp,,,3,,Anesth,,,,,5,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100101234,CPT,Anes-Open Upper 2/3 Femur;Radl Res,,,3,,Anesth,,,,,8,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100101250,CPT,Anes-All Nerv Musc Tend Fasc Up Leg,,,3,,Anesth,,,,,4,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100101260,CPT,Anes-Invlv Vns Upper Leg Incl Expl,,,3,,Anesth,,,,,3,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100101270,CPT,Anes-Invlv Artery Up Leg W/Gft;Nos,,,3,,Anesth,,,,,8,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100101272,CPT,Anes-Invlv Art Up Leg W/Gft;Fem Lig,,,3,,Anesth,,,,,4,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100101274,CPT,Anes-Invlv Art Up Leg W/Gft;Fem Emb,,,3,,Anesth,,,,,6,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100101320,CPT,Anes-Nerv Musc Fasc Burs Knee&/Pop,,,3,,Anesth,,,,,4,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100101340,CPT,Anes-All Clos Proc Lower 1/3 Femur,,,3,,Anesth,,,,,4,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100101360,CPT,Anes-All Open Proc Lower 1/3 Femur,,,3,,Anesth,,,,,5,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100101380,CPT,Anes-All Closed Proc Knee Joint,,,3,,Anesth,,,,,3,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100101382,CPT,Anes-Dx Arthroscopic Proc Knee Jnt,,,3,,Anesth,,,,,3,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100101390,CPT,Anes-All Clos Up Ends Tib Fib&/Pat,,,3,,Anesth,,,,,3,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100101392,CPT,Anes-All Open Up Ends Tib Fib&/Pat,,,3,,Anesth,,,,,4,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100101400,CPT,Anes-Open/Scope Proc Knee Jnt; Nos,,,3,,Anesth,,,,,4,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100101402,CPT,Anes-Open/Scope Knee Jnt; Tot Plsty,,,3,,Anesth,,,,,7,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100101404,CPT,Anes-Open/Scope Knee Jnt; Disartic,,,3,,Anesth,,,,,5,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100101420,CPT,Anes-All Cast Applic/Repr W/Knee,,,3,,Anesth,,,,,3,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100101430,CPT,Anes-Proc Veins Knee&Pop Area; Nos,,,3,,Anesth,,,,,3,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100101432,CPT,Anes-Vns Knee&Pop Area; Av Fist,,,3,,Anesth,,,,,6,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100101440,CPT,Anes-Proc Art Knee&Pop Area; Nos,,,3,,Anesth,,,,,8,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100101442,CPT,Anes-Art Knee;Pop Thrombendartect,,,3,,Anesth,,,,,8,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100101444,CPT,Anes-Art Knee;Pop Exc Occl/Aneur,,,3,,Anesth,,,,,8,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100101462,CPT,Anes-All Clos Proc Low Leg Ank&Foot,,,3,,Anesth,,,,,3,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100101464,CPT,Anes-Arthroscopic Proc Ank &Or Foot,,,3,,Anesth,,,,,3,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100101470,CPT,Anes-Nerv Musc Fasc Leg Ank&Ft;Nos,,,3,,Anesth,,,,,3,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100101472,CPT,Anes-Nerv Musc Leg&Ft;Repr Achilles,,,3,,Anesth,,,,,5,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100101474,CPT,Anes-Nrv Musc Leg&Ft;Gastroc Recess,,,3,,Anesth,,,,,5,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100101480,CPT,Anes-Open Bones Low Leg Ank&Ft;Nos,,,3,,Anesth,,,,,3,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100101482,CPT,Anes-Open Bones Lw Leg;Radl Res/Amp,,,3,,Anesth,,,,,4,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100101484,CPT,Anes-Open Bns Lw Leg;Osteot Tib Fib,,,3,,Anesth,,,,,4,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100101486,CPT,Anes-Open Bones Lw Leg;Tot Ank Repl,,,3,,Anesth,,,,,7,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100101490,CPT,Anes-Lw Leg Cast Applic Removl/Repr,,,3,,Anesth,,,,,3,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100101500,CPT,Anes-Art Lw Leg W/Byps Gft; Nos,,,3,,Anesth,,,,,8,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100101502,CPT,Anes-Art Low Leg W/Gft;Embolectomy,,,3,,Anesth,,,,,6,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100101520,CPT,Anes-Proc Veins Lower Leg; Nos,,,3,,Anesth,,,,,3,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100101522,CPT,Anes-Veins Lw Leg;Thrombect Direct,,,3,,Anesth,,,,,5,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100101610,CPT,Anes-Nerv Musc Tend Fasc Burs Shldr,,,3,,Anesth,,,,,5,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100101620,CPT,Anes-All Clos Hum Sc Ac&Shldr Jnt,,,3,,Anesth,,,,,4,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100101622,CPT,Anes-Dx Arthroscopic Proc Shldr Jnt,,,3,,Anesth,,,,,4,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100101630,CPT,Anes-Open/Scope Hum Sc Ac&Shldr;Nos,,,3,,Anesth,,,,,5,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100101632,CPT,Anes-Opn/Scope Hum Sc&Shldr;Rad Res,,,3,,Anesth,,,,,6,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100101634,CPT,Anes-Opn/Scope Hum Sc&Shldr;Disartc,,,3,,Anesth,,,,,9,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100101636,CPT,Anes-Opn/Scope Hum Sc Ac&Shldr; Amp,,,3,,Anesth,,,,,15,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100101650,CPT,Anes-Proc Art Shoulder&Axilla; Nos,,,3,,Anesth,,,,,6,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100101652,CPT,Anes-Art Shldr&Ax; Ax-Brach Aneur,,,3,,Anesth,,,,,10,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100101654,CPT,Anes-Proc Art Shldr&Ax; Byps Graft,,,3,,Anesth,,,,,8,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100101656,CPT,Anes-Art Shldr&Ax; Ax-Fem Byps Gft,,,3,,Anesth,,,,,10,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100101670,CPT,Anes-On Veins Of Shoulder&Axilla,,,3,,Anesth,,,,,4,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100101680,CPT,Anes-Shldr Cast Applc/Remv/Repr;Nos,,,3,,Anesth,,,,,3,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100101682,CPT,Anes-Shldr Cast Applic/Remv;Spica,,,3,,Anesth,,,,,4,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100101710,CPT,Anes-Nrv Musc Burs Up Arm&Elb;Nos,,,3,,Anesth,,,,,3,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100101712,CPT,Anes-Nrv Musc Burs Up Arm&Elb;Tenot,,,3,,Anesth,,,,,5,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100101714,CPT,Anes-Nrv Musc Up Arm&Elb;Tenoplasty,,,3,,Anesth,,,,,5,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100101716,CPT,Anes-Nrv Musc Up Arm&Elb;Tenodesis,,,3,,Anesth,,,,,5,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100101730,CPT,Anes-All Closed Proc Humerus&Elbow,,,3,,Anesth,,,,,3,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100101732,CPT,Anes-Dx Arthroscopic Proc Elb Joint,,,3,,Anesth,,,,,3,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100101740,CPT,Anes-Open/Surg Scope Proc Elb; Nos,,,3,,Anesth,,,,,4,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100101742,CPT,Anes-Open/Scope Proc Elb;Osteot Hum,,,3,,Anesth,,,,,5,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100101744,CPT,Anes-Open/Scope Elb;Rep Non/Mal Hum,,,3,,Anesth,,,,,5,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100101756,CPT,Anes-Open/Scope Proc Elb; Radl Proc,,,3,,Anesth,,,,,6,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100101758,CPT,Anes-Opn/Scope Elb;Exc Cyst/Tum Hum,,,3,,Anesth,,,,,5,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100101760,CPT,Anes-Open/Scope Elb; Tot Elb Repl,,,3,,Anesth,,,,,7,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100101770,CPT,Anes-Proc Art Upper Arm&Elbow; Nos,,,3,,Anesth,,,,,6,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100101772,CPT,Anes-Proc Art Upper Arm&Elb; Embo,,,3,,Anesth,,,,,6,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100101780,CPT,Anes-Proc Veins Upper Arm&Elb; Nos,,,3,,Anesth,,,,,3,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100101782,CPT,Anes-Proc Vns Up Arm&Elb; Phleborr,,,3,,Anesth,,,,,4,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100101810,CPT,Anes-All Nerv Musc Forarm Wrst&Hnd,,,3,,Anesth,,,,,3,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100101820,CPT,Anes-Clos Radius Ulna Wrst/Hnd Bone,,,3,,Anesth,,,,,3,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100101829,CPT,Anes-Dx Arthroscopic Proc Wrist,,,3,,Anesth,,,,,3,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100101830,CPT,Anes-Opn/Scope/Endo Wrst/Hnd; Nos,,,3,,Anesth,,,,,3,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100101832,CPT,Anes-Open/Scope/Endo Wrst/Hnd; Tot,,,3,,Anesth,,,,,6,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100101840,CPT,Anes-Proc Art Forarm Wrst&Hand; Nos,,,3,,Anesth,,,,,6,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100101842,CPT,Anes-Proc Art Forarm Wrst&Hnd; Embo,,,3,,Anesth,,,,,6,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100101844,CPT,Anes-Vasc Shnt/Shnt Rev Any Type,,,3,,Anesth,,,,,6,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100101850,CPT,Anes-Proc Vns Forarm Wrst&Hand; Nos,,,3,,Anesth,,,,,3,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100101852,CPT,Anes-Vns Forarm Wrst&Hnd; Phleborr,,,3,,Anesth,,,,,4,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100101860,CPT,Anes-Forarm/Hand Cast Applic/Remv,,,3,,Anesth,,,,,3,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100101916,CPT,Anes-Diagnostic Artrgrph/Venography,,,3,,Anesth,,,,,5,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100101920,CPT,Anes-Card Cath Cor Angio&Ventrcgrph,,,3,,Anesth,,,,,7,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100101922,CPT,Anes-Non-Invasive Imaging/Rad Tx,,,3,,Anesth,,,,,7,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100101924,CPT,Anes-Tx Intrvn Rad Art Sys; Nos,,,3,,Anesth,,,,,5,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100101925,CPT,Anes-Tx Intrvn Rad Art; Carotid/Cor,,,3,,Anesth,,,,,7,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100101926,CPT,Anes-Tx Rad Art;Intrcran -Card/Aort,,,3,,Anesth,,,,,8,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100101930,CPT,Anes-Tx Intrvn Rad Venus/Lymph; Nos,,,3,,Anesth,,,,,5,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100101931,CPT,Anes-Tx Rad Venus; Intrahep/Portal,,,3,,Anesth,,,,,7,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100101932,CPT,Anes-Tx Rad Venus; Intrathr/Jugular,,,3,,Anesth,,,,,6,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100101933,CPT,Anes-Tx Rad Venus/Lymph; Intracran,,,3,,Anesth,,,,,7,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100101951,CPT,Anes-2&3 Deg Brn Exc/Debrid; < 4%,,,3,,Anesth,,,,,3,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100101952,CPT,Anes-2&3 Deg Brn Exc/Debrid; 4-9%,,,3,,Anesth,,,,,5,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100101953,CPT,Anes-2-3 Deg Exc/Debrid;Ea Add 9%,,,3,,Anesth,,,,,1,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100101958,CPT,Anes-External Cephalic Version Proc,,,3,,Anesth,,,,,5,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100101960,CPT,Anesthesia Vaginal Delivery Only,,,3,,Anesth,,,,,5,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100101961,CPT,Anesthesia Cesarean Delivery Only,,,3,,Anesth,,,,,7,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100101962,CPT,Anes-Urgent Hyst Follow Deliv,,,3,,Anesth,,,,,8,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100101963,CPT,Anes-C/S Hyst W/O Labr Analg/Anes,,,3,,Anesth,,,,,8,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100101965,CPT,"Anesth, inc/missed ab proc",,,3,,Anesth,,,,,4,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100101966,CPT,"Anesth, induced ab procedure",,,3,,Anesth,,,,,4,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100101967,CPT,Neurax Labr Anlg/Anes-Plan Vag Del,,,3,,Anesth,,,,,5,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100101968,CPT,Anes-Cd Flw Neurax Labr Analg/Anes,,,3,,Anesth,,,,,2,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100101969,CPT,Anes-C/S Hyst Flw Neurax Labr Analg,,,3,,Anesth,,,,,5,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100101990,CPT,Physiolog Supp-Harv Org-Brain Dead,,,3,,Anesth,,,,,7,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100101991,CPT,Anes-Dx/Tx Nrv Blks&Inj; Not Prone,,,3,,Anesth,,,,,3,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100101992,CPT,Anes-Dx/Tx Nrv Blks&Inj; Prone Pstn,,,3,,Anesth,,,,,5,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100101996,CPT,Daily Hos Epidurl/Subarach Cont Rx,,,3,,Anesth,,,,,3,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100101999,CPT,Unlisted Anesthsia Procedure,,,3,,Anesth,,,,,5,$1.00 ,$0.00 ,3,0,1,1,1,1,2008100110021,CPT,Fna w/o image,,,21,,RBRVS,1.27,0.37,2.18,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100110022,CPT,Fna w/image,,,21,,RBRVS,1.27,0.41,2.15,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100110040,CPT,Acne surgery,,,21,,RBRVS,1.19,0.98,1.33,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100110060,CPT,Drainage of skin abscess,,,21,,RBRVS,1.19,1.08,1.51,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100110061,CPT,Drainage of skin abscess,,,21,,RBRVS,2.42,1.51,2.07,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100110080,CPT,Drainage of pilonidal cyst,,,21,,RBRVS,1.19,1.1,2.68,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100110081,CPT,Drainage of pilonidal cyst,,,21,,RBRVS,2.47,1.45,3.49,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100110120,CPT,Remove foreign body,,,21,,RBRVS,1.23,0.94,1.95,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100110121,CPT,Remove foreign body,,,21,,RBRVS,2.71,1.65,3.51,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100110140,CPT,Drainage of hematoma/fluid,,,21,,RBRVS,1.55,1.29,2.26,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100110160,CPT,Puncture drainage of lesion,,,21,,RBRVS,1.22,1.08,1.85,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100110180,CPT,"Complex drainage, wound",,,21,,RBRVS,2.27,1.8,3.25,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100111000,CPT,Debride infected skin,,,21,,RBRVS,0.6,0.16,0.72,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100111001,CPT,Debride infected skin add-on,,,21,,RBRVS,0.3,0.08,0.23,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100111004,CPT,Debride genitalia & perineum,,,21,,RBRVS,10.8,3.21,3.21,,,$0.00 ,$0.00 ,1,0,0,1,1,1,2008100111005,CPT,Debride abdom wall,,,21,,RBRVS,14.24,3.78,3.78,,,$0.00 ,$0.00 ,1,0,0,1,1,1,2008100111006,CPT,Debride genit/per/abdom wall,,,21,,RBRVS,13.1,3.96,3.96,,,$0.00 ,$0.00 ,1,0,0,1,1,1,2008100111008,CPT,Remove mesh from abd wall,,,21,,RBRVS,5,1.29,1.29,,,$0.00 ,$0.00 ,1,0,0,1,1,1,2008100111010,CPT,"Debride skin, fx",,,21,,RBRVS,4.19,2.34,6.81,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100111011,CPT,"Debride skin/muscle, fx",,,21,,RBRVS,4.94,2.01,7.04,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100111012,CPT,"Debride skin/muscle/bone, fx",,,21,,RBRVS,6.87,3.11,9.01,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100111040,CPT,"Debride skin, partial",,,21,,RBRVS,0.5,0.16,0.68,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100111041,CPT,"Debride skin, full",,,21,,RBRVS,0.6,0.19,0.72,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100111042,CPT,Debride skin/tissue,,,21,,RBRVS,0.8,0.24,0.95,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100111043,CPT,Debride tissue/muscle,,,21,,RBRVS,3.04,2.6,3.51,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100111044,CPT,Debride tissue/muscle/bone,,,21,,RBRVS,4.11,3.58,4.84,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100111055,CPT,Trim skin lesion,,,21,,RBRVS,0.43,0.11,0.81,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100111056,CPT,"Trim skin lesions, 2 to 4",,,21,,RBRVS,0.61,0.16,0.88,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100111057,CPT,"Trim skin lesions, over 4",,,21,,RBRVS,0.79,0.2,0.99,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100111100,CPT,Biopsy of skin lesion,,,21,,RBRVS,0.81,0.38,1.88,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100111101,CPT,"Biopsy, skin add-on",,,21,,RBRVS,0.41,0.2,0.41,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100111200,CPT,Removal of skin tags,,,21,,RBRVS,0.79,0.9,1.23,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100111201,CPT,Remove skin tags add-on,,,21,,RBRVS,0.29,0.11,0.16,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100111300,CPT,Shave skin lesion,,,21,,RBRVS,0.51,0.21,1.19,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100111301,CPT,Shave skin lesion,,,21,,RBRVS,0.85,0.38,1.51,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100111302,CPT,Shave skin lesion,,,21,,RBRVS,1.05,0.48,1.76,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100111303,CPT,Shave skin lesion,,,21,,RBRVS,1.24,0.55,2.03,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100111305,CPT,Shave skin lesion,,,21,,RBRVS,0.67,0.2,1.07,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100111306,CPT,Shave skin lesion,,,21,,RBRVS,0.99,0.38,1.43,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100111307,CPT,Shave skin lesion,,,21,,RBRVS,1.14,0.47,1.7,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100111308,CPT,Shave skin lesion,,,21,,RBRVS,1.41,0.49,1.71,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100111310,CPT,Shave skin lesion,,,21,,RBRVS,0.73,0.31,1.38,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100111311,CPT,Shave skin lesion,,,21,,RBRVS,1.05,0.48,1.64,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100111312,CPT,Shave skin lesion,,,21,,RBRVS,1.2,0.56,1.92,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100111313,CPT,Shave skin lesion,,,21,,RBRVS,1.62,0.73,2.19,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100111400,CPT,Exc tr-ext b9+marg 0.5 < cm,,,21,,RBRVS,0.87,0.93,1.88,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100111401,CPT,Exc tr-ext b9+marg 0.6-1 cm,,,21,,RBRVS,1.25,1.15,2.19,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100111402,CPT,Exc tr-ext b9+marg 1.1-2 cm,,,21,,RBRVS,1.42,1.21,2.4,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100111403,CPT,Exc tr-ext b9+marg 2.1-3 cm,,,21,,RBRVS,1.81,1.57,2.56,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100111404,CPT,Exc tr-ext b9+marg 3.1-4 cm,,,21,,RBRVS,2.08,1.63,2.86,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100111406,CPT,Exc tr-ext b9+marg > 4.0 cm,,,21,,RBRVS,3.47,2.1,3.54,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100111420,CPT,Exc h-f-nk-sp b9+marg 0.5 <,,,21,,RBRVS,1,0.93,1.83,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100111421,CPT,Exc h-f-nk-sp b9+marg 0.6-1,,,21,,RBRVS,1.44,1.16,2.22,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100111422,CPT,Exc h-f-nk-sp b9+marg 1.1-2,,,21,,RBRVS,1.65,1.53,2.44,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100111423,CPT,Exc h-f-nk-sp b9+marg 2.1-3,,,21,,RBRVS,2.03,1.66,2.67,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100111424,CPT,Exc h-f-nk-sp b9+marg 3.1-4,,,21,,RBRVS,2.45,1.77,2.97,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100111426,CPT,Exc h-f-nk-sp b9+marg > 4 cm,,,21,,RBRVS,4.04,2.31,3.59,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100111440,CPT,Exc face-mm b9+marg 0.5 < cm,,,21,,RBRVS,1.02,1.31,2,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100111441,CPT,Exc face-mm b9+marg 0.6-1 cm,,,21,,RBRVS,1.5,1.55,2.38,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100111442,CPT,Exc face-mm b9+marg 1.1-2 cm,,,21,,RBRVS,1.74,1.66,2.65,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100111443,CPT,Exc face-mm b9+marg 2.1-3 cm,,,21,,RBRVS,2.31,1.84,2.89,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100111444,CPT,Exc face-mm b9+marg 3.1-4 cm,,,21,,RBRVS,3.16,2.1,3.32,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100111446,CPT,Exc face-mm b9+marg > 4 cm,,,21,,RBRVS,4.75,2.68,4.1,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100111450,CPT,"Removal, sweat gland lesion",,,21,,RBRVS,3.14,2.41,5.13,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100111451,CPT,"Removal, sweat gland lesion",,,21,,RBRVS,4.35,2.91,6.38,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100111462,CPT,"Removal, sweat gland lesion",,,21,,RBRVS,2.92,2.47,5.33,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100111463,CPT,"Removal, sweat gland lesion",,,21,,RBRVS,4.35,2.94,6.53,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100111470,CPT,"Removal, sweat gland lesion",,,21,,RBRVS,3.66,2.63,5.47,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100111471,CPT,"Removal, sweat gland lesion",,,21,,RBRVS,4.81,3.01,6.51,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100111600,CPT,Exc tr-ext mlg+marg 0.5 < cm,,,21,,RBRVS,1.58,1.14,2.74,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100111601,CPT,Exc tr-ext mlg+marg 0.6-1 cm,,,21,,RBRVS,2.02,1.51,3.44,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100111602,CPT,Exc tr-ext mlg+marg 1.1-2 cm,,,21,,RBRVS,2.22,1.69,3.85,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100111603,CPT,Exc tr-ext mlg+marg 2.1-3 cm,,,21,,RBRVS,2.77,1.87,4.05,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100111604,CPT,Exc tr-ext mlg+marg 3.1-4 cm,,,21,,RBRVS,3.12,1.93,4.34,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100111606,CPT,Exc tr-ext mlg+marg > 4 cm,,,21,,RBRVS,4.97,2.46,5.5,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100111620,CPT,Exc h-f-nk-sp mlg+marg 0.5 <,,,21,,RBRVS,1.59,1.19,2.85,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100111621,CPT,Exc h-f-nk-sp mlg+marg 0.6-1,,,21,,RBRVS,2.03,1.54,3.51,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100111622,CPT,Exc h-f-nk-sp mlg+marg 1.1-2,,,21,,RBRVS,2.36,1.75,3.9,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100111623,CPT,Exc h-f-nk-sp mlg+marg 2.1-3,,,21,,RBRVS,3.06,1.95,4.12,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100111624,CPT,Exc h-f-nk-sp mlg+marg 3.1-4,,,21,,RBRVS,3.57,2.08,4.43,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100111626,CPT,Exc h-f-nk-sp mlg+mar > 4 cm,,,21,,RBRVS,4.56,2.33,4.96,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100111640,CPT,Exc face-mm malig+marg 0.5 <,,,21,,RBRVS,1.62,1.29,3.06,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100111641,CPT,Exc face-mm malig+marg 0.6-1,,,21,,RBRVS,2.12,1.61,3.64,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100111642,CPT,Exc face-mm malig+marg 1.1-2,,,21,,RBRVS,2.57,1.84,4.04,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100111643,CPT,Exc face-mm malig+marg 2.1-3,,,21,,RBRVS,3.37,2.11,4.28,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100111644,CPT,Exc face-mm malig+marg 3.1-4,,,21,,RBRVS,4.29,2.47,5.07,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100111646,CPT,Exc face-mm mlg+marg > 4 cm,,,21,,RBRVS,6.21,3.14,5.91,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100111719,CPT,Trim nail(s),,,21,,RBRVS,0.17,0.04,0.38,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100111720,CPT,"Debride nail, 1-5",,,21,,RBRVS,0.32,0.08,0.47,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100111721,CPT,"Debride nail, 6 or more",,,21,,RBRVS,0.54,0.14,0.55,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100111730,CPT,Removal of nail plate,,,21,,RBRVS,1.1,0.28,1.33,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100111732,CPT,"Remove nail plate, add-on",,,21,,RBRVS,0.57,0.15,0.55,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100111740,CPT,Drain blood from under nail,,,21,,RBRVS,0.37,0.43,0.8,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100111750,CPT,Removal of nail bed,,,21,,RBRVS,2.4,1.88,2.96,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100111752,CPT,Remove nail bed/finger tip,,,21,,RBRVS,3.48,2.78,4.06,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100111755,CPT,"Biopsy, nail unit",,,21,,RBRVS,1.31,0.76,2.03,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100111760,CPT,Repair of nail bed,,,21,,RBRVS,1.6,1.43,3.4,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100111762,CPT,Reconstruction of nail bed,,,21,,RBRVS,2.91,1.68,3.7,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100111765,CPT,"Excision of nail fold, toe",,,21,,RBRVS,0.71,1.01,2.67,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100111770,CPT,Removal of pilonidal lesion,,,21,,RBRVS,2.63,1.52,3.46,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100111771,CPT,Removal of pilonidal lesion,,,21,,RBRVS,5.98,3.69,6.64,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100111772,CPT,Removal of pilonidal lesion,,,21,,RBRVS,7.23,5.56,8.04,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100111900,CPT,Injection into skin lesions,,,21,,RBRVS,0.52,0.25,0.92,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100111901,CPT,Added skin lesions injection,,,21,,RBRVS,0.8,0.39,1.01,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100111920,CPT,Correct skin color defects,,,21,,RBRVS,1.61,1.09,2.35,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100111921,CPT,Correct skin color defects,,,21,,RBRVS,1.93,1.26,2.66,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100111922,CPT,Correct skin color defects,,,21,,RBRVS,0.49,0.22,0.92,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100111950,CPT,Therapy for contour defects,,,21,,RBRVS,0.84,0.36,0.88,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100111951,CPT,Therapy for contour defects,,,21,,RBRVS,1.19,0.36,0.9,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100111952,CPT,Therapy for contour defects,,,21,,RBRVS,1.69,0.77,1.63,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100111954,CPT,Therapy for contour defects,,,21,,RBRVS,1.85,0.77,1.79,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100111960,CPT,Insert tissue expander(s),,,21,,RBRVS,11.01,10.58,10.58,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100111970,CPT,Replace tissue expander,,,21,,RBRVS,7.86,6.17,6.17,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100111971,CPT,Remove tissue expander(s),,,21,,RBRVS,3.21,4.02,7.4,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100111975,CPT,Insert contraceptive cap,,,21,,RBRVS,1.48,0.34,1.54,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100111976,CPT,Removal of contraceptive cap,,,21,,RBRVS,1.78,0.48,1.73,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100111977,CPT,Removal/reinsert contra cap,,,21,,RBRVS,3.3,0.76,1.98,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100111980,CPT,Implant hormone pellet(s),,,21,,RBRVS,1.48,0.49,1.07,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100111981,CPT,Insert drug implant device,,,21,,RBRVS,1.48,0.58,1.9,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100111982,CPT,Remove drug implant device,,,21,,RBRVS,1.78,0.7,2.02,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100111983,CPT,Remove/insert drug implant,,,21,,RBRVS,3.3,1.32,2.64,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100112001,CPT,Repair superficial wound(s),,,21,,RBRVS,1.72,0.73,1.73,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100112002,CPT,Repair superficial wound(s),,,21,,RBRVS,1.88,0.84,1.8,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100112004,CPT,Repair superficial wound(s),,,21,,RBRVS,2.26,0.92,2.08,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100112005,CPT,Repair superficial wound(s),,,21,,RBRVS,2.88,1.06,2.52,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100112006,CPT,Repair superficial wound(s),,,21,,RBRVS,3.68,1.3,3.06,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100112007,CPT,Repair superficial wound(s),,,21,,RBRVS,4.13,1.46,3.36,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100112011,CPT,Repair superficial wound(s),,,21,,RBRVS,1.78,0.76,1.91,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100112013,CPT,Repair superficial wound(s),,,21,,RBRVS,2.01,0.89,2.07,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100112014,CPT,Repair superficial wound(s),,,21,,RBRVS,2.48,0.98,2.29,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100112015,CPT,Repair superficial wound(s),,,21,,RBRVS,3.21,1.12,2.79,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100112016,CPT,Repair superficial wound(s),,,21,,RBRVS,3.94,1.28,3.17,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100112017,CPT,Repair superficial wound(s),,,21,,RBRVS,4.72,1.52,1.52,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100112018,CPT,Repair superficial wound(s),,,21,,RBRVS,5.54,1.92,1.92,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100112020,CPT,Closure of split wound,,,21,,RBRVS,2.64,1.75,3.69,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100112021,CPT,Closure of split wound,,,21,,RBRVS,1.86,1.33,1.85,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100112031,CPT,Layer closure of wound(s),,,21,,RBRVS,2.17,1.77,3.9,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100112032,CPT,Layer closure of wound(s),,,21,,RBRVS,2.49,2.28,5.22,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100112034,CPT,Layer closure of wound(s),,,21,,RBRVS,2.94,2,4.61,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100112035,CPT,Layer closure of wound(s),,,21,,RBRVS,3.44,2.11,5.3,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100112036,CPT,Layer closure of wound(s),,,21,,RBRVS,4.06,2.23,5.41,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100112037,CPT,Layer closure of wound(s),,,21,,RBRVS,4.68,2.63,5.99,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100112041,CPT,Layer closure of wound(s),,,21,,RBRVS,2.39,1.78,3.87,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100112042,CPT,Layer closure of wound(s),,,21,,RBRVS,2.76,2.13,4.5,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100112044,CPT,Layer closure of wound(s),,,21,,RBRVS,3.16,1.95,5.41,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100112045,CPT,Layer closure of wound(s),,,21,,RBRVS,3.65,2.06,5.03,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100112046,CPT,Layer closure of wound(s),,,21,,RBRVS,4.26,2.29,5.66,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100112047,CPT,Layer closure of wound(s),,,21,,RBRVS,4.66,2.66,6.5,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100112051,CPT,Layer closure of wound(s),,,21,,RBRVS,2.49,1.92,4.11,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100112052,CPT,Layer closure of wound(s),,,21,,RBRVS,2.81,2.56,4.87,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100112053,CPT,Layer closure of wound(s),,,21,,RBRVS,3.14,2.13,5.39,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100112054,CPT,Layer closure of wound(s),,,21,,RBRVS,3.47,2.06,5.43,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100112055,CPT,Layer closure of wound(s),,,21,,RBRVS,4.44,2.09,6.01,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100112056,CPT,Layer closure of wound(s),,,21,,RBRVS,5.25,2.58,6.57,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100112057,CPT,Layer closure of wound(s),,,21,,RBRVS,5.97,2.93,7.76,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100113100,CPT,Repair of wound or lesion,,,21,,RBRVS,3.14,2.47,4.42,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100113101,CPT,Repair of wound or lesion,,,21,,RBRVS,3.93,2.97,5.95,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100113102,CPT,Repair wound/lesion add-on,,,21,,RBRVS,1.24,0.53,1.35,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100113120,CPT,Repair of wound or lesion,,,21,,RBRVS,3.32,2.58,4.58,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100113121,CPT,Repair of wound or lesion,,,21,,RBRVS,4.36,3.64,6.72,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100113122,CPT,Repair wound/lesion add-on,,,21,,RBRVS,1.44,0.58,1.37,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100113131,CPT,Repair of wound or lesion,,,21,,RBRVS,3.8,2.88,5.01,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100113132,CPT,Repair of wound or lesion,,,21,,RBRVS,6.48,4.96,7.89,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100113133,CPT,Repair wound/lesion add-on,,,21,,RBRVS,2.19,0.98,1.88,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100113150,CPT,Repair of wound or lesion,,,21,,RBRVS,3.82,2.72,4.72,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100113151,CPT,Repair of wound or lesion,,,21,,RBRVS,4.46,3.22,5.52,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100113152,CPT,Repair of wound or lesion,,,21,,RBRVS,6.34,3.92,7.54,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100113153,CPT,Repair wound/lesion add-on,,,21,,RBRVS,2.38,1.03,2.05,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100113160,CPT,Late closure of wound,,,21,,RBRVS,11.84,7.02,7.02,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100114000,CPT,Skin tissue rearrangement,,,21,,RBRVS,6.83,6.04,8.95,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100114001,CPT,Skin tissue rearrangement,,,21,,RBRVS,9.6,7.49,11.02,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100114020,CPT,Skin tissue rearrangement,,,21,,RBRVS,7.66,6.89,10.04,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100114021,CPT,Skin tissue rearrangement,,,21,,RBRVS,11.18,8.66,12.47,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100114040,CPT,Skin tissue rearrangement,,,21,,RBRVS,8.44,6.99,10.2,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100114041,CPT,Skin tissue rearrangement,,,21,,RBRVS,12.67,9.35,13.58,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100114060,CPT,Skin tissue rearrangement,,,21,,RBRVS,9.07,7.18,9.69,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100114061,CPT,Skin tissue rearrangement,,,21,,RBRVS,13.67,10.18,14.84,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100114300,CPT,Skin tissue rearrangement,,,21,,RBRVS,13.26,9.45,13.53,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100114350,CPT,Skin tissue rearrangement,,,21,,RBRVS,10.82,6.9,6.9,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100115002,CPT,"Wnd prep, ch/inf, trk/arm/lg",,,21,,RBRVS,3.65,1.69,4.22,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100115003,CPT,"Wnd prep, ch/inf addl 100 cm",,,21,,RBRVS,0.8,0.26,0.9,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100115004,CPT,"Wnd prep ch/inf, f/n/hf/g",,,21,,RBRVS,4.58,2.02,4.88,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100115005,CPT,"Wnd prep, f/n/hf/g, addl cm",,,21,,RBRVS,1.6,0.53,1.24,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100115040,CPT,Harvest cultured skin graft,,,21,,RBRVS,2,1.05,3.94,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100115050,CPT,Skin pinch graft,,,21,,RBRVS,5.37,5.01,7.63,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100115100,CPT,Skin split graft,,,21,,RBRVS,9.74,6.68,9.77,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100115101,CPT,Skin split graft add-on,,,21,,RBRVS,1.72,0.85,2.47,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100115110,CPT,Epidrm autogrft trnk/arm/leg,,,21,,RBRVS,10.88,6.36,8.75,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100115111,CPT,Epidrm autogrft t/a/l add-on,,,21,,RBRVS,1.85,0.62,0.87,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100115115,CPT,Epidrm a-grft face/nck/hf/g,,,21,,RBRVS,11.19,6.74,9.23,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100115116,CPT,Epidrm a-grft f/n/hf/g addl,,,21,,RBRVS,2.5,0.86,1.19,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100115120,CPT,Skin split graft,,,21,,RBRVS,10.96,7.45,11.35,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100115121,CPT,Skin split graft add-on,,,21,,RBRVS,2.67,1.29,3.44,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100115130,CPT,"Derm autograft, trnk/arm/leg",,,21,,RBRVS,7.41,5.58,7.96,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100115131,CPT,Derm autograft t/a/l add-on,,,21,,RBRVS,1.5,0.48,0.66,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100115135,CPT,Derm autograft face/nck/hf/g,,,21,,RBRVS,10.91,7.05,9.49,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100115136,CPT,"Derm autograft, f/n/hf/g add",,,21,,RBRVS,1.5,0.51,0.66,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100115150,CPT,Cult epiderm grft t/arm/leg,,,21,,RBRVS,9.3,5.76,7.05,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100115151,CPT,Cult epiderm grft t/a/l addl,,,21,,RBRVS,2,0.67,0.88,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100115152,CPT,Cult epiderm graft t/a/l +%,,,21,,RBRVS,2.5,0.84,1.05,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100115155,CPT,"Cult epiderm graft, f/n/hf/g",,,21,,RBRVS,10.05,6.31,7.66,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100115156,CPT,Cult epidrm grft f/n/hfg add,,,21,,RBRVS,2.75,0.94,1.15,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100115157,CPT,Cult epiderm grft f/n/hfg +%,,,21,,RBRVS,3,1.03,1.34,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100115170,CPT,Cell graft trunk/arms/legs,,,21,,RBRVS,5.99,2.6,4.01,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100115171,CPT,Cell graft t/arm/leg add-on,,,21,,RBRVS,1.55,0.46,0.6,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100115175,CPT,"Acellular graft, f/n/hf/g",,,21,,RBRVS,7.99,3.15,4.47,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100115176,CPT,"Acell graft, f/n/hf/g add-on",,,21,,RBRVS,2.45,0.79,1.04,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100115200,CPT,Skin full graft,,,21,,RBRVS,8.97,6.35,9.91,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100115201,CPT,Skin full graft add-on,,,21,,RBRVS,1.32,0.47,2.02,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100115220,CPT,Skin full graft,,,21,,RBRVS,7.95,6.7,10.47,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100115221,CPT,Skin full graft add-on,,,21,,RBRVS,1.19,0.5,2,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100115240,CPT,Skin full graft,,,21,,RBRVS,10.15,8.9,12.04,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100115241,CPT,Skin full graft add-on,,,21,,RBRVS,1.86,0.81,2.54,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100115260,CPT,Skin full graft,,,21,,RBRVS,11.39,9.34,13.02,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100115261,CPT,Skin full graft add-on,,,21,,RBRVS,2.23,1.16,2.98,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100115300,CPT,"Apply skinallogrft, t/arm/lg",,,21,,RBRVS,4.65,2.15,3.44,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100115301,CPT,Apply sknallogrft t/a/l addl,,,21,,RBRVS,1,0.32,0.46,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100115320,CPT,Apply skin allogrft f/n/hf/g,,,21,,RBRVS,5.36,2.36,3.78,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100115321,CPT,Aply sknallogrft f/n/hfg add,,,21,,RBRVS,1.5,0.51,0.69,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100115330,CPT,Aply acell alogrft t/arm/leg,,,21,,RBRVS,3.99,2.14,3.5,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100115331,CPT,Aply acell grft t/a/l add-on,,,21,,RBRVS,1,0.36,0.49,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100115335,CPT,"Apply acell graft, f/n/hf/g",,,21,,RBRVS,4.5,2.01,3.32,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100115336,CPT,Aply acell grft f/n/hf/g add,,,21,,RBRVS,1.43,0.51,0.74,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100115340,CPT,Apply cult skin substitute,,,21,,RBRVS,3.76,2.64,3.69,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100115341,CPT,Apply cult skin sub add-on,,,21,,RBRVS,0.5,0.13,0.64,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100115360,CPT,"Apply cult derm sub, t/a/l",,,21,,RBRVS,3.93,3.54,4.85,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100115361,CPT,Aply cult derm sub t/a/l add,,,21,,RBRVS,1.15,0.32,0.5,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100115365,CPT,Apply cult derm sub f/n/hf/g,,,21,,RBRVS,4.21,3.1,4.22,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100115366,CPT,Apply cult derm f/hf/g add,,,21,,RBRVS,1.45,0.47,0.67,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100115400,CPT,Skin heterograft,,,21,,RBRVS,4.38,3.76,5,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100115401,CPT,Skin heterograft add-on,,,21,,RBRVS,1,0.33,1.01,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100115420,CPT,"Apply skin xgraft, f/n/hf/g",,,21,,RBRVS,4.89,4.18,5.43,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100115421,CPT,Apply skn xgrft f/n/hf/g add,,,21,,RBRVS,1.5,0.48,1.16,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100115430,CPT,Apply acellular xenograft,,,21,,RBRVS,5.93,6.06,6.61,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100115431,CPT,Apply acellular xgraft add,,,28,,NW,,,,,,$379.34 ,$0.00 ,1,0,1,1,1,1,2008100115570,CPT,Form skin pedicle flap,,,21,,RBRVS,10,6.27,10.09,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100115572,CPT,Form skin pedicle flap,,,21,,RBRVS,9.94,6.66,9.79,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100115574,CPT,Form skin pedicle flap,,,21,,RBRVS,10.52,7.04,10.55,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100115576,CPT,Form skin pedicle flap,,,21,,RBRVS,9.24,6.52,9.67,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100115600,CPT,Skin graft,,,21,,RBRVS,1.95,2.75,5.32,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100115610,CPT,Skin graft,,,21,,RBRVS,2.46,3.05,5.57,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100115620,CPT,Skin graft,,,21,,RBRVS,3.62,3.9,6.47,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100115630,CPT,Skin graft,,,21,,RBRVS,3.95,4.32,7.08,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100115650,CPT,Transfer skin pedicle flap,,,21,,RBRVS,4.64,4.39,7.28,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100115731,CPT,Forehead flap w/vasc pedicle,,,21,,RBRVS,14.12,9.34,11.9,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100115732,CPT,"Muscle-skin graft, head/neck",,,21,,RBRVS,19.7,11.1,14.66,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100115734,CPT,"Muscle-skin graft, trunk",,,21,,RBRVS,19.62,11.85,15.7,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100115736,CPT,"Muscle-skin graft, arm",,,21,,RBRVS,16.92,9.6,13.4,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100115738,CPT,"Muscle-skin graft, leg",,,21,,RBRVS,18.92,10.2,13.78,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100115740,CPT,Island pedicle flap graft,,,21,,RBRVS,11.57,9.43,13.58,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100115750,CPT,Neurovascular pedicle graft,,,21,,RBRVS,12.73,8.86,8.86,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100115756,CPT,Free myo/skin flap microvasc,,,21,,RBRVS,36.74,18.57,18.57,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100115757,CPT,"Free skin flap, microvasc",,,21,,RBRVS,36.95,17.87,17.87,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100115758,CPT,"Free fascial flap, microvasc",,,21,,RBRVS,36.7,17.58,17.58,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100115760,CPT,Composite skin graft,,,21,,RBRVS,9.68,7.06,10.42,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100115770,CPT,Derma-fat-fascia graft,,,21,,RBRVS,8.73,6.64,6.64,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100115775,CPT,Hair transplant punch grafts,,,21,,RBRVS,3.95,1.23,2.88,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100115776,CPT,Hair transplant punch grafts,,,21,,RBRVS,5.53,2.14,4.85,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100115780,CPT,Abrasion treatment of skin,,,21,,RBRVS,8.5,6.53,11.24,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100115781,CPT,Abrasion treatment of skin,,,21,,RBRVS,4.91,5.64,8.68,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100115782,CPT,Abrasion treatment of skin,,,21,,RBRVS,4.36,4.97,8.72,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100115783,CPT,Abrasion treatment of skin,,,21,,RBRVS,4.33,4.97,7.92,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100115786,CPT,"Abrasion, lesion, single",,,21,,RBRVS,2.05,1.25,3.9,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100115787,CPT,"Abrasion, lesions, add-on",,,21,,RBRVS,0.33,0.08,0.83,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100115788,CPT,"Chemical peel, face, epiderm",,,21,,RBRVS,2.09,4.13,9.47,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100115789,CPT,"Chemical peel, face, dermal",,,21,,RBRVS,4.91,5.83,9.43,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100115792,CPT,"Chemical peel, nonfacial",,,21,,RBRVS,1.86,4.58,8.98,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100115793,CPT,"Chemical peel, nonfacial",,,21,,RBRVS,3.82,4.9,8.1,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100115819,CPT,"Plastic surgery, neck",,,21,,RBRVS,10.45,6.68,6.68,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100115820,CPT,Revision of lower eyelid,,,21,,RBRVS,6.09,5.2,6.39,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100115821,CPT,Revision of lower eyelid,,,21,,RBRVS,6.66,5.28,6.57,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100115822,CPT,Revision of upper eyelid,,,21,,RBRVS,4.51,4.09,5.23,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100115823,CPT,Revision of upper eyelid,,,21,,RBRVS,8.12,6.11,7.39,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100115824,CPT,Removal of forehead wrinkles,,,21,,TotalUnits,,,,17.87,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100115825,CPT,Removal of neck wrinkles,,,21,,TotalUnits,,,,20.42,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100115826,CPT,Removal of brow wrinkles,,,21,,TotalUnits,,,,17.87,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100115828,CPT,Removal of face wrinkles,,,21,,TotalUnits,,,,47.23,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100115829,CPT,Removal of skin wrinkles,,,21,,TotalUnits,,,,52.34,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100115830,CPT,Exc skin abd,,,21,,RBRVS,16.9,9.82,9.82,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100115832,CPT,Excise excessive skin tissue,,,21,,RBRVS,12.65,8.28,8.28,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100115833,CPT,Excise excessive skin tissue,,,21,,RBRVS,11.7,7.5,7.5,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100115834,CPT,Excise excessive skin tissue,,,21,,RBRVS,11.97,8.16,8.16,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100115835,CPT,Excise excessive skin tissue,,,21,,RBRVS,12.79,7.86,7.86,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100115836,CPT,Excise excessive skin tissue,,,21,,RBRVS,10.41,6.83,6.83,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100115837,CPT,Excise excessive skin tissue,,,21,,RBRVS,9.37,5.79,8.68,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100115838,CPT,Excise excessive skin tissue,,,21,,RBRVS,8.07,5.45,5.45,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100115839,CPT,Excise excessive skin tissue,,,21,,RBRVS,10.32,6.47,9.76,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100115840,CPT,Graft for face nerve palsy,,,21,,RBRVS,14.76,8.93,8.93,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100115841,CPT,Graft for face nerve palsy,,,21,,RBRVS,25.69,13.54,13.54,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100115842,CPT,Flap for face nerve palsy,,,21,,RBRVS,40.68,20.89,20.89,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100115845,CPT,"Skin and muscle repair, face",,,21,,RBRVS,14.04,8.36,8.36,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100115850,CPT,Removal of sutures,,,21,,RBRVS,0.78,0.18,1.2,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100115851,CPT,Removal of sutures,,,21,,RBRVS,0.86,0.24,1.33,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100115852,CPT,"Dressing change,not for burn",,,21,,RBRVS,0.86,0.25,0.25,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100115860,CPT,Test for blood flow in graft,,,21,,RBRVS,1.95,0.64,0.64,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100115876,CPT,Suction assisted lipectomy,,,21,,TotalUnits,,,,11.19,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100115877,CPT,Suction assisted lipectomy,,,21,,TotalUnits,,,,15.7,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100115878,CPT,Suction assisted lipectomy,,,21,,TotalUnits,,,,14.19,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100115879,CPT,Suction assisted lipectomy,,,21,,TotalUnits,,,,13.98,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100115920,CPT,Removal of tail bone ulcer,,,21,,RBRVS,8.15,5.35,5.35,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100115922,CPT,Removal of tail bone ulcer,,,21,,RBRVS,10.23,7.17,7.17,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100115931,CPT,Remove sacrum pressure sore,,,21,,RBRVS,9.96,5.56,5.56,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100115933,CPT,Remove sacrum pressure sore,,,21,,RBRVS,11.6,7.31,7.31,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100115934,CPT,Remove sacrum pressure sore,,,21,,RBRVS,13.54,7.73,7.73,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100115935,CPT,Remove sacrum pressure sore,,,21,,RBRVS,15.58,9.18,9.18,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100115936,CPT,Remove sacrum pressure sore,,,21,,RBRVS,13.04,7.42,7.42,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100115937,CPT,Remove sacrum pressure sore,,,21,,RBRVS,15,8.94,8.94,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100115940,CPT,Remove hip pressure sore,,,21,,RBRVS,10.11,5.81,5.81,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100115941,CPT,Remove hip pressure sore,,,21,,RBRVS,12.24,8.43,8.43,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100115944,CPT,Remove hip pressure sore,,,21,,RBRVS,12.27,8.14,8.14,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100115945,CPT,Remove hip pressure sore,,,21,,RBRVS,13.57,8.81,8.81,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100115946,CPT,Remove hip pressure sore,,,21,,RBRVS,23.8,13.71,13.71,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100115950,CPT,Remove thigh pressure sore,,,21,,RBRVS,7.91,5.4,5.4,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100115951,CPT,Remove thigh pressure sore,,,21,,RBRVS,11.41,7.34,7.34,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100115952,CPT,Remove thigh pressure sore,,,21,,RBRVS,12.14,7.46,7.46,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100115953,CPT,Remove thigh pressure sore,,,21,,RBRVS,13.39,8.23,8.23,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100115956,CPT,Remove thigh pressure sore,,,21,,RBRVS,16.59,9.55,9.55,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100115958,CPT,Remove thigh pressure sore,,,21,,RBRVS,16.55,10.43,10.43,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100115999,CPT,Removal of pressure sore,,,21,,TotalUnits,,,,20.99,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100116000,CPT,Initial treatment of burn(s),,,21,,RBRVS,0.89,0.23,0.72,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100116020,CPT,Treatment of burn(s),,,21,,RBRVS,0.8,0.56,1.11,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100116025,CPT,Treatment of burn(s),,,21,,RBRVS,1.85,0.86,1.57,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100116030,CPT,Treatment of burn(s),,,21,,RBRVS,2.08,1.02,2.08,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100116035,CPT,"Incision of burn scab, initi",,,21,,RBRVS,3.74,1.22,1.22,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100116036,CPT,"Incise burn scab, addl incis",,,21,,RBRVS,1.5,0.46,0.46,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100117000,CPT,Destroy benign/premlg lesion,,,21,,RBRVS,0.62,0.74,1.41,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100117003,CPT,"Destroy lesions, 2-14",,,21,,RBRVS,0.07,0.03,0.1,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100117004,CPT,"Destroy lesions, 15 or more",,,21,,RBRVS,1.82,1.38,2.44,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100117106,CPT,Destruction of skin lesions,,,21,,RBRVS,4.62,3.28,4.69,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100117107,CPT,Destruction of skin lesions,,,21,,RBRVS,9.19,4.95,6.98,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100117108,CPT,Destruction of skin lesions,,,21,,RBRVS,13.22,6.39,8.87,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100117110,CPT,"Destruct lesion, 1-14",,,21,,RBRVS,0.67,0.88,1.79,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100117111,CPT,"Destruct lesion, 15 or more",,,21,,RBRVS,0.94,1.11,2.25,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100117250,CPT,"Chemical cautery, tissue",,,21,,RBRVS,0.5,0.38,1.32,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100117260,CPT,Destruction of skin lesions,,,21,,RBRVS,0.93,0.71,1.41,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100117261,CPT,Destruction of skin lesions,,,21,,RBRVS,1.19,1.07,2.49,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100117262,CPT,Destruction of skin lesions,,,21,,RBRVS,1.6,1.27,2.84,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100117263,CPT,Destruction of skin lesions,,,21,,RBRVS,1.81,1.37,3.07,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100117264,CPT,Destruction of skin lesions,,,21,,RBRVS,1.96,1.44,3.27,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100117266,CPT,Destruction of skin lesions,,,21,,RBRVS,2.36,1.59,3.5,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100117270,CPT,Destruction of skin lesions,,,21,,RBRVS,1.34,1.1,2.44,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100117271,CPT,Destruction of skin lesions,,,21,,RBRVS,1.51,1.22,2.66,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100117272,CPT,Destruction of skin lesions,,,21,,RBRVS,1.79,1.37,2.97,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100117273,CPT,Destruction of skin lesions,,,21,,RBRVS,2.07,1.49,3.21,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100117274,CPT,Destruction of skin lesions,,,21,,RBRVS,2.61,1.74,3.61,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100117276,CPT,Destruction of skin lesions,,,21,,RBRVS,3.22,1.97,3.89,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100117280,CPT,Destruction of skin lesions,,,21,,RBRVS,1.19,1.03,2.36,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100117281,CPT,Destruction of skin lesions,,,21,,RBRVS,1.74,1.33,2.74,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100117282,CPT,Destruction of skin lesions,,,21,,RBRVS,2.06,1.49,3.14,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100117283,CPT,Destruction of skin lesions,,,21,,RBRVS,2.66,1.77,3.56,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100117284,CPT,Destruction of skin lesions,,,21,,RBRVS,3.23,2.03,3.97,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100117286,CPT,Destruction of skin lesions,,,21,,RBRVS,4.45,2.49,4.45,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100117311,CPT,"Mohs, 1 stage, h/n/hf/g",,,21,,RBRVS,6.2,3.05,10.71,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100117312,CPT,Mohs addl stage,,,21,,RBRVS,3.3,1.62,6.89,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100117313,CPT,"Mohs, 1 stage, t/a/l",,,21,,RBRVS,5.56,2.74,9.88,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100117314,CPT,"Mohs, addl stage, t/a/l",,,21,,RBRVS,3.06,1.5,6.37,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100117315,CPT,"Mohs surg, addl block",,,21,,RBRVS,0.87,0.43,1.14,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100117340,CPT,Cryotherapy of skin,,,21,,RBRVS,0.76,0.38,0.35,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100117360,CPT,Skin peel therapy,,,21,,RBRVS,1.44,1.01,1.86,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100117380,CPT,Hair removal by electrolysis,,,21,,TotalUnits,,,,0.76,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100117999,CPT,Skin tissue procedure,,,21,,TotalUnits,,,,1.74,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100119000,CPT,Drainage of breast lesion,,,21,,RBRVS,0.84,0.26,1.91,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100119001,CPT,Drain breast lesion add-on,,,21,,RBRVS,0.42,0.14,0.26,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100119020,CPT,Incision of breast lesion,,,21,,RBRVS,3.74,3.04,6.63,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100119030,CPT,Injection for breast x-ray,,,21,,RBRVS,1.53,0.54,2.67,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100119100,CPT,Bx breast percut w/o image,,,21,,RBRVS,1.27,0.33,2.08,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100119101,CPT,"Biopsy of breast, open",,,21,,RBRVS,3.2,1.78,4.37,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100119102,CPT,Bx breast percut w/image,,,21,,RBRVS,2,0.68,3.47,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100119103,CPT,Bx breast percut w/device,,,21,,RBRVS,3.69,1.19,10.1,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100119105,CPT,"Cryosurg ablate fa, each",,,21,,RBRVS,3.69,1,46.51,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100119110,CPT,Nipple exploration,,,21,,RBRVS,4.35,3.1,6.07,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100119112,CPT,Excise breast duct fistula,,,21,,RBRVS,3.72,3.13,6.23,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100119120,CPT,Removal of breast lesion,,,21,,RBRVS,5.84,3.37,5.09,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100119125,CPT,"Excision, breast lesion",,,21,,RBRVS,6.59,3.65,5.56,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100119126,CPT,"Excision, addl breast lesion",,,21,,RBRVS,2.93,0.75,0.75,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100119260,CPT,Removal of chest wall lesion,,,21,,RBRVS,17.6,10.15,10.15,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100119271,CPT,Revision of chest wall,,,21,,RBRVS,21.86,15.83,15.83,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100119272,CPT,Extensive chest wall surgery,,,21,,RBRVS,24.82,16.97,16.97,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100119290,CPT,"Place needle wire, breast",,,21,,RBRVS,1.27,0.45,2.89,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100119291,CPT,"Place needle wire, breast",,,21,,RBRVS,0.63,0.22,1.14,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100119295,CPT,"Place breast clip, percut",,,21,,RBRVS,0,2.28,2.28,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100119296,CPT,Place po breast cath for rad,,,21,,RBRVS,3.63,1.19,86.03,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100119297,CPT,Place breast cath for rad,,,21,,RBRVS,1.72,0.44,0.44,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100119298,CPT,Place breast rad tube/caths,,,21,,RBRVS,6,2.11,22.02,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100119300,CPT,Removal of breast tissue,,,21,,RBRVS,5.2,3.86,8.06,,,$0.00 ,$0.00 ,1,0,1,1,1,0,2008100119301,CPT,Partical mastectomy,,,21,,RBRVS,10,4.63,4.63,,,$0.00 ,$0.00 ,1,0,1,1,1,0,2008100119302,CPT,P-mastectomy w/ln removal,,,21,,RBRVS,13.88,6.14,6.14,,,$0.00 ,$0.00 ,1,0,1,1,1,0,2008100119303,CPT,"Mast, simple, complete",,,21,,RBRVS,15.67,7,7,,,$0.00 ,$0.00 ,1,0,1,1,1,0,2008100119304,CPT,"Mast, subq",,,21,,RBRVS,7.81,4.94,4.94,,,$0.00 ,$0.00 ,1,0,1,1,1,0,2008100119305,CPT,"Mast, radical",,,21,,RBRVS,17.23,8.12,8.12,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100119306,CPT,"Mast, rad, urban type",,,21,,RBRVS,17.85,8.72,8.72,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100119307,CPT,"Mast, mod rad",,,21,,RBRVS,17.95,8.77,8.77,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100119316,CPT,Suspension of breast,,,21,,RBRVS,10.98,6.95,6.95,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100119318,CPT,Reduction of large breast,,,21,,RBRVS,15.91,9.91,9.91,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100119324,CPT,Enlarge breast,,,21,,RBRVS,6.65,4.47,4.47,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100119325,CPT,Enlarge breast with implant,,,21,,RBRVS,8.52,6.41,6.41,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100119328,CPT,Removal of breast implant,,,21,,RBRVS,6.35,4.99,4.99,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100119330,CPT,Removal of implant material,,,21,,RBRVS,8.39,5.95,5.95,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100119340,CPT,Immediate breast prosthesis,,,21,,RBRVS,6.32,2.81,2.81,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100119342,CPT,Delayed breast prosthesis,,,21,,RBRVS,12.4,8.93,8.93,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100119350,CPT,Breast reconstruction,,,21,,RBRVS,8.99,6.59,9.89,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100119355,CPT,Correct inverted nipple(s),,,21,,RBRVS,8.37,4.68,7.41,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100119357,CPT,Breast reconstruction,,,21,,RBRVS,20.57,15.39,15.39,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100119361,CPT,Breast reconstruction,,,21,,RBRVS,23.17,16.8,16.8,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100119364,CPT,Breast reconstruction,,,21,,RBRVS,42.4,22.17,22.17,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100119366,CPT,Breast reconstruction,,,21,,RBRVS,21.7,9.91,9.91,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100119367,CPT,Breast reconstruction,,,21,,RBRVS,26.59,15.19,15.19,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100119368,CPT,Breast reconstruction,,,21,,RBRVS,33.61,18.04,18.04,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100119369,CPT,Breast reconstruction,,,21,,RBRVS,31.02,16.33,16.33,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100119370,CPT,Surgery of breast capsule,,,21,,RBRVS,8.99,6.79,6.79,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100119371,CPT,Removal of breast capsule,,,21,,RBRVS,10.42,7.69,7.69,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100119380,CPT,Revise breast reconstruction,,,21,,RBRVS,10.21,7.61,7.61,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100119396,CPT,Design custom breast implant,,,21,,RBRVS,2.17,1.28,4.53,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100119499,CPT,Breast surgery procedure,,,21,,TotalUnits,,,,8.77,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100120000,CPT,Incision of abscess,,,21,,RBRVS,2.14,1.53,2.78,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100120005,CPT,Incision of deep abscess,,,21,,RBRVS,3.55,2.01,3.67,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100120100,CPT,"Explore wound, neck",,,21,,RBRVS,10.33,3.58,3.58,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100120101,CPT,"Explore wound, chest",,,21,,RBRVS,3.22,1.53,6.6,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100120102,CPT,"Explore wound, abdomen",,,21,,RBRVS,3.95,1.84,6.95,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100120103,CPT,"Explore wound, extremity",,,21,,RBRVS,5.31,2.79,7.81,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100120150,CPT,Excise epiphyseal bar,,,21,,RBRVS,14.6,7.65,7.65,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100120200,CPT,Muscle biopsy,,,21,,RBRVS,1.46,0.69,3.09,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100120205,CPT,Deep muscle biopsy,,,21,,RBRVS,2.35,1.1,3.83,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100120206,CPT,"Needle biopsy, muscle",,,21,,RBRVS,0.99,0.57,5.22,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100120220,CPT,"Bone biopsy, trocar/needle",,,21,,RBRVS,1.27,0.68,2.71,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100120225,CPT,"Bone biopsy, trocar/needle",,,21,,RBRVS,1.87,1.02,12,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100120240,CPT,"Bone biopsy, excisional",,,21,,RBRVS,3.25,2.02,2.02,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100120245,CPT,"Bone biopsy, excisional",,,21,,RBRVS,8.77,5.75,5.75,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100120250,CPT,Open bone biopsy,,,21,,RBRVS,5.16,3.63,3.63,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100120251,CPT,Open bone biopsy,,,21,,RBRVS,5.69,3.85,3.85,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100120500,CPT,Injection of sinus tract,,,21,,RBRVS,1.25,0.88,1.34,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100120501,CPT,Inject sinus tract for x-ray,,,21,,RBRVS,0.76,0.27,2.37,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100120520,CPT,Removal of foreign body,,,21,,RBRVS,1.87,1.45,2.61,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100120525,CPT,Removal of foreign body,,,21,,RBRVS,3.51,2.21,7.11,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100120526,CPT,"Ther injection, carp tunnel",,,21,,RBRVS,0.94,0.41,0.81,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100120550,CPT,Inj tendon sheath/ligament,,,21,,RBRVS,0.75,0.28,0.63,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100120551,CPT,Inject tendon origin/insert,,,21,,RBRVS,0.75,0.29,0.64,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100120552,CPT,"Inject trigger point, 1 or 2",,,21,,RBRVS,0.66,0.24,0.58,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100120553,CPT,"Inject trigger points, =/> 3",,,21,,RBRVS,0.75,0.26,0.64,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100120555,CPT,Place ndl musc/tis for rt,,,21,,RBRVS,6,2.18,2.18,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100120600,CPT,"Drain/inject, joint/bursa",,,21,,RBRVS,0.66,0.31,0.66,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100120605,CPT,"Drain/inject, joint/bursa",,,21,,RBRVS,0.68,0.32,0.74,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100120610,CPT,"Drain/inject, joint/bursa",,,21,,RBRVS,0.79,0.4,1.07,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100120612,CPT,Aspirate/inj ganglion cyst,,,21,,RBRVS,0.7,0.32,0.7,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100120615,CPT,Treatment of bone cyst,,,21,,RBRVS,2.3,1.42,2.71,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100120650,CPT,Insert and remove bone pin,,,21,,RBRVS,2.25,1.45,2.46,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100120660,CPT,"Apply, rem fixation device",,,21,,RBRVS,4,1.5,1.5,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100120661,CPT,Application of head brace,,,21,,RBRVS,5.14,6.05,6.05,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100120662,CPT,Application of pelvis brace,,,21,,RBRVS,6.26,4.81,4.81,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100120663,CPT,Application of thigh brace,,,21,,RBRVS,5.62,4.86,4.86,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100120664,CPT,Halo brace application,,,21,,RBRVS,9.86,7.81,7.81,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100120665,CPT,Removal of fixation device,,,21,,RBRVS,1.33,0.98,1.37,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100120670,CPT,Removal of support implant,,,21,,RBRVS,1.76,1.67,6.63,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100120680,CPT,Removal of support implant,,,21,,RBRVS,5.9,4.07,8.14,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100120690,CPT,Apply bone fixation device,,,21,,RBRVS,8.65,4.91,4.91,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100120692,CPT,Apply bone fixation device,,,21,,RBRVS,16,9.81,9.81,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100120693,CPT,Adjust bone fixation device,,,21,,RBRVS,5.97,4.49,4.49,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100120694,CPT,Remove bone fixation device,,,21,,RBRVS,4.2,3.53,5.31,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100120802,CPT,"Replantation, arm, complete",,,21,,RBRVS,42.3,13.23,13.23,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100120805,CPT,"Replant forearm, complete",,,21,,RBRVS,51.14,17.99,17.99,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100120808,CPT,"Replantation hand, complete",,,21,,RBRVS,62.77,30.34,30.34,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100120816,CPT,"Replantation digit, complete",,,21,,RBRVS,31.74,16.37,16.37,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100120822,CPT,"Replantation digit, complete",,,21,,RBRVS,26.42,15.07,15.07,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100120824,CPT,"Replantation thumb, complete",,,21,,RBRVS,31.74,16.21,16.21,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100120827,CPT,"Replantation thumb, complete",,,21,,RBRVS,27.24,14.75,14.75,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100120838,CPT,"Replantation foot, complete",,,21,,RBRVS,42.56,14.03,14.03,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100120900,CPT,Removal of bone for graft,,,21,,RBRVS,5.77,4.9,9.23,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100120902,CPT,Removal of bone for graft,,,21,,RBRVS,7.98,5.98,5.98,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100120910,CPT,Remove cartilage for graft,,,21,,RBRVS,5.41,4.57,4.57,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100120912,CPT,Remove cartilage for graft,,,21,,RBRVS,6.42,4.95,4.95,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100120920,CPT,Removal of fascia for graft,,,21,,RBRVS,5.42,4.34,4.34,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100120922,CPT,Removal of fascia for graft,,,21,,RBRVS,6.84,5,7.56,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100120924,CPT,Removal of tendon for graft,,,21,,RBRVS,6.59,4.97,4.97,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100120926,CPT,Removal of tissue for graft,,,21,,RBRVS,5.7,4.5,4.5,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100120930,CPT,Spinal bone allograft,,,21,,TotalUnits,,,,3.65,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100120931,CPT,Spinal bone allograft,,,21,,RBRVS,1.81,0.68,0.68,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100120936,CPT,Spinal bone autograft,,,21,,TotalUnits,,,,5.55,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100120937,CPT,Spinal bone autograft,,,21,,RBRVS,2.79,1.08,1.08,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100120938,CPT,Spinal bone autograft,,,21,,RBRVS,3.02,1.15,1.15,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100120950,CPT,"Fluid pressure, muscle",,,21,,RBRVS,1.26,0.88,4.23,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100120955,CPT,"Fibula bone graft, microvasc",,,21,,RBRVS,40.02,18.55,18.55,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100120956,CPT,"Iliac bone graft, microvasc",,,21,,RBRVS,40.93,20.34,20.34,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100120957,CPT,"Mt bone graft, microvasc",,,21,,RBRVS,42.33,15.89,15.89,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100120962,CPT,"Other bone graft, microvasc",,,21,,RBRVS,39.21,21.32,21.32,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100120969,CPT,"Bone/skin graft, microvasc",,,21,,RBRVS,45.11,21.12,21.12,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100120970,CPT,"Bone/skin graft, iliac crest",,,21,,RBRVS,44.26,20.92,20.92,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100120972,CPT,"Bone/skin graft, metatarsal",,,21,,RBRVS,44.19,14.93,14.93,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100120973,CPT,"Bone/skin graft, great toe",,,21,,RBRVS,46.95,14.16,14.16,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100120974,CPT,Electrical bone stimulation,,,21,,RBRVS,0.62,0.48,0.98,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100120975,CPT,Electrical bone stimulation,,,21,,RBRVS,2.6,1.46,1.46,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100120979,CPT,Us bone stimulation,,,21,,RBRVS,0.62,0.2,0.61,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100120982,CPT,"Ablate, bone tumor(s) perq",,,21,,RBRVS,7.27,2.69,80.09,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100120985,CPT,Cptr-asst dir ms px,,,21,,RBRVS,2.5,0.99,0.99,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100120999,CPT,Musculoskeletal surgery,,,21,,TotalUnits,,,,1.41,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100121010,CPT,Incision of jaw joint,,,21,,RBRVS,10.9,6.29,6.29,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100121015,CPT,Resection of facial tumor,,,21,,RBRVS,5.59,4.31,4.31,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100121025,CPT,"Excision of bone, lower jaw",,,21,,RBRVS,11.07,8.75,12.55,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100121026,CPT,Excision of facial bone(s),,,21,,RBRVS,5.54,5.94,8.83,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100121029,CPT,Contour of face bone lesion,,,21,,RBRVS,8.26,6.52,9.56,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100121030,CPT,Excise max/zygoma b9 tumor,,,21,,RBRVS,4.8,4.69,7.19,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100121031,CPT,"Remove exostosis, mandible",,,21,,RBRVS,3.26,3.47,5.92,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100121032,CPT,"Remove exostosis, maxilla",,,21,,RBRVS,3.28,3.37,6.04,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100121034,CPT,Excise max/zygoma mlg tumor,,,21,,RBRVS,17.17,10.12,13.94,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100121040,CPT,Excise mandible lesion,,,21,,RBRVS,4.8,4.64,7.2,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100121044,CPT,Removal of jaw bone lesion,,,21,,RBRVS,12.61,8.11,8.11,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100121045,CPT,Extensive jaw surgery,,,21,,RBRVS,18.13,10.79,10.79,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100121046,CPT,Remove mandible cyst complex,,,21,,RBRVS,13.97,11.5,11.5,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100121047,CPT,Excise lwr jaw cyst w/repair,,,21,,RBRVS,19.83,10.22,10.22,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100121048,CPT,Remove maxilla cyst complex,,,21,,RBRVS,14.47,11.39,11.39,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100121049,CPT,Excis uppr jaw cyst w/repair,,,21,,RBRVS,19.08,10.29,10.29,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100121050,CPT,Removal of jaw joint,,,21,,RBRVS,11.54,8.21,8.21,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100121060,CPT,Remove jaw joint cartilage,,,21,,RBRVS,10.91,7.2,7.2,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100121070,CPT,Remove coronoid process,,,21,,RBRVS,8.5,6.27,6.27,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100121073,CPT,Mnpj of tmj w/anesth,,,21,,RBRVS,3.33,2.31,5.5,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100121076,CPT,Prepare face/oral prosthesis,,,21,,RBRVS,13.4,4.69,8.02,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100121077,CPT,Prepare face/oral prosthesis,,,21,,RBRVS,33.7,11.83,18.44,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100121079,CPT,Prepare face/oral prosthesis,,,21,,RBRVS,22.31,8.1,13.97,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100121080,CPT,Prepare face/oral prosthesis,,,21,,RBRVS,25.06,9.02,16.16,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100121081,CPT,Prepare face/oral prosthesis,,,21,,RBRVS,22.85,8.41,15.02,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100121082,CPT,Prepare face/oral prosthesis,,,21,,RBRVS,20.84,8.27,14.91,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100121083,CPT,Prepare face/oral prosthesis,,,21,,RBRVS,19.27,7.78,14.91,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100121084,CPT,Prepare face/oral prosthesis,,,21,,RBRVS,22.48,8.95,16.85,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100121085,CPT,Prepare face/oral prosthesis,,,21,,RBRVS,8.99,3.52,6.93,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100121086,CPT,Prepare face/oral prosthesis,,,21,,RBRVS,24.88,8.45,12.91,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100121087,CPT,Prepare face/oral prosthesis,,,21,,RBRVS,24.88,8.55,13.05,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100121088,CPT,Prepare face/oral prosthesis,,,21,,TotalUnits,,,,10.85,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100121089,CPT,Prepare face/oral prosthesis,,,21,,TotalUnits,,,,16.97,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100121100,CPT,Maxillofacial fixation,,,21,,RBRVS,4.56,5.53,14.87,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100121110,CPT,Interdental fixation,,,21,,RBRVS,5.8,9.74,13.06,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100121116,CPT,"Injection, jaw joint x-ray",,,21,,RBRVS,0.81,0.23,2.52,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100121120,CPT,Reconstruction of chin,,,21,,RBRVS,4.99,6.65,9.65,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100121121,CPT,Reconstruction of chin,,,21,,RBRVS,7.7,7.59,10.65,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100121122,CPT,Reconstruction of chin,,,21,,RBRVS,8.59,8.46,8.46,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100121123,CPT,Reconstruction of chin,,,21,,RBRVS,11.22,7.03,7.03,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100121125,CPT,"Augmentation, lower jaw bone",,,21,,RBRVS,10.68,6.43,64.01,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100121127,CPT,"Augmentation, lower jaw bone",,,21,,RBRVS,12.24,7.5,85.03,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100121137,CPT,Reduction of forehead,,,21,,RBRVS,10.12,7.44,7.44,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100121138,CPT,Reduction of forehead,,,21,,RBRVS,12.73,7.79,7.79,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100121139,CPT,Reduction of forehead,,,21,,RBRVS,14.9,6.99,6.99,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100121141,CPT,"Reconstruct midface, lefort",,,21,,RBRVS,19.27,11.87,11.87,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100121142,CPT,"Reconstruct midface, lefort",,,21,,RBRVS,19.98,10.08,10.08,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100121143,CPT,"Reconstruct midface, lefort",,,21,,RBRVS,20.75,11.81,11.81,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100121145,CPT,"Reconstruct midface, lefort",,,21,,RBRVS,23.64,12.98,12.98,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100121146,CPT,"Reconstruct midface, lefort",,,21,,RBRVS,24.54,9.18,9.18,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100121147,CPT,"Reconstruct midface, lefort",,,21,,RBRVS,26.14,14.31,14.31,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100121150,CPT,"Reconstruct midface, lefort",,,21,,RBRVS,25.78,16.93,16.93,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100121151,CPT,"Reconstruct midface, lefort",,,21,,RBRVS,28.84,11.61,11.61,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100121154,CPT,"Reconstruct midface, lefort",,,21,,RBRVS,31.05,17.89,17.89,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100121155,CPT,"Reconstruct midface, lefort",,,21,,RBRVS,34.98,18.17,18.17,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100121159,CPT,"Reconstruct midface, lefort",,,21,,RBRVS,42.9,15.13,15.13,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100121160,CPT,"Reconstruct midface, lefort",,,21,,RBRVS,46.95,23.24,23.24,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100121172,CPT,Reconstruct orbit/forehead,,,21,,RBRVS,28.07,13.75,13.75,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100121175,CPT,Reconstruct orbit/forehead,,,21,,RBRVS,33.43,13.53,13.53,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100121179,CPT,Reconstruct entire forehead,,,21,,RBRVS,22.53,11.22,11.22,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100121180,CPT,Reconstruct entire forehead,,,21,,RBRVS,25.46,13,13,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100121181,CPT,Contour cranial bone lesion,,,21,,RBRVS,10.18,6.83,6.83,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100121182,CPT,Reconstruct cranial bone,,,21,,RBRVS,32.45,15.27,15.27,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100121183,CPT,Reconstruct cranial bone,,,21,,RBRVS,35.57,19.23,19.23,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100121184,CPT,Reconstruct cranial bone,,,21,,RBRVS,38.49,15.63,15.63,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100121188,CPT,Reconstruction of midface,,,21,,RBRVS,22.97,15.65,15.65,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100121193,CPT,Reconst lwr jaw w/o graft,,,21,,RBRVS,18.65,9.82,9.82,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100121194,CPT,Reconst lwr jaw w/graft,,,21,,RBRVS,21.54,12.13,12.13,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100121195,CPT,Reconst lwr jaw w/o fixation,,,21,,RBRVS,18.88,13.08,13.08,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100121196,CPT,Reconst lwr jaw w/fixation,,,21,,RBRVS,20.55,13.95,13.95,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100121198,CPT,Reconstr lwr jaw segment,,,21,,RBRVS,15.48,11.89,11.89,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100121199,CPT,Reconstr lwr jaw w/advance,,,21,,RBRVS,16.62,7.57,7.57,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100121206,CPT,Reconstruct upper jaw bone,,,21,,RBRVS,15.36,10.89,10.89,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100121208,CPT,Augmentation of facial bones,,,21,,RBRVS,11.15,8.01,33.18,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100121209,CPT,Reduction of facial bones,,,21,,RBRVS,7.58,7.4,12.2,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100121210,CPT,Face bone graft,,,21,,RBRVS,11.4,7.64,43.5,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100121215,CPT,Lower jaw bone graft,,,21,,RBRVS,11.94,7.97,86.14,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100121230,CPT,Rib cartilage graft,,,21,,RBRVS,11.06,7.02,7.02,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100121235,CPT,Ear cartilage graft,,,21,,RBRVS,7.31,6.19,10.12,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100121240,CPT,Reconstruction of jaw joint,,,21,,RBRVS,15.77,9.44,9.44,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100121242,CPT,Reconstruction of jaw joint,,,21,,RBRVS,14.32,9.02,9.02,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100121243,CPT,Reconstruction of jaw joint,,,21,,RBRVS,24.03,14.16,14.16,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100121244,CPT,Reconstruction of lower jaw,,,21,,RBRVS,13.35,11.53,11.53,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100121245,CPT,Reconstruction of jaw,,,21,,RBRVS,12.88,8.62,14.22,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100121246,CPT,Reconstruction of jaw,,,21,,RBRVS,12.78,7.43,7.43,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100121247,CPT,Reconstruct lower jaw bone,,,21,,RBRVS,24.05,12.7,12.7,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100121248,CPT,Reconstruction of jaw,,,21,,RBRVS,12.54,7.52,12.61,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100121249,CPT,Reconstruction of jaw,,,21,,RBRVS,18.57,9.62,15.74,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100121255,CPT,Reconstruct lower jaw bone,,,21,,RBRVS,18.14,14.05,14.05,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100121256,CPT,Reconstruction of orbit,,,21,,RBRVS,17.42,9.59,9.59,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100121260,CPT,Revise eye sockets,,,21,,RBRVS,17.74,12.96,12.96,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100121261,CPT,Revise eye sockets,,,21,,RBRVS,33.78,14.75,14.75,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100121263,CPT,Revise eye sockets,,,21,,RBRVS,30.72,14.05,14.05,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100121267,CPT,Revise eye sockets,,,21,,RBRVS,20.45,16.05,16.05,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100121268,CPT,Revise eye sockets,,,21,,RBRVS,26.78,13.14,13.14,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100121270,CPT,"Augmentation, cheek bone",,,21,,RBRVS,10.52,5.9,11.16,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100121275,CPT,"Revision, orbitofacial bones",,,21,,RBRVS,11.65,7.16,7.16,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100121280,CPT,Revision of eyelid,,,21,,RBRVS,6.92,5.66,5.66,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100121282,CPT,Revision of eyelid,,,21,,RBRVS,4.11,4.16,4.16,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100121295,CPT,Revision of jaw muscle/bone,,,21,,RBRVS,1.82,2.23,2.23,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100121296,CPT,Revision of jaw muscle/bone,,,21,,RBRVS,4.67,5.43,5.43,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100121299,CPT,Cranio/maxillofacial surgery,,,21,,TotalUnits,,,,20.01,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100121310,CPT,Treatment of nose fracture,,,21,,RBRVS,0.58,0.11,2,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100121315,CPT,Treatment of nose fracture,,,21,,RBRVS,1.78,1.78,4.72,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100121320,CPT,Treatment of nose fracture,,,21,,RBRVS,1.86,1.36,4.3,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100121325,CPT,Treatment of nose fracture,,,21,,RBRVS,4.07,6.98,6.98,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100121330,CPT,Treatment of nose fracture,,,21,,RBRVS,5.68,7.63,7.63,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100121335,CPT,Treatment of nose fracture,,,21,,RBRVS,8.91,8.48,8.48,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100121336,CPT,Treat nasal septal fracture,,,21,,RBRVS,6.56,8.67,8.67,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100121337,CPT,Treat nasal septal fracture,,,21,,RBRVS,3.26,3.56,6.15,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100121338,CPT,Treat nasoethmoid fracture,,,21,,RBRVS,6.76,9.93,9.93,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100121339,CPT,Treat nasoethmoid fracture,,,21,,RBRVS,8.39,9.84,9.84,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100121340,CPT,Treatment of nose fracture,,,21,,RBRVS,11.33,7.25,7.25,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100121343,CPT,Treatment of sinus fracture,,,21,,RBRVS,14.11,12.8,12.8,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100121344,CPT,Treatment of sinus fracture,,,21,,RBRVS,21.36,13.06,13.06,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100121345,CPT,Treat nose/jaw fracture,,,21,,RBRVS,8.87,6.56,10.5,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100121346,CPT,Treat nose/jaw fracture,,,21,,RBRVS,11.29,10.83,10.83,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100121347,CPT,Treat nose/jaw fracture,,,21,,RBRVS,13.37,11.74,11.74,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100121348,CPT,Treat nose/jaw fracture,,,21,,RBRVS,17.36,11,11,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100121355,CPT,Treat cheek bone fracture,,,21,,RBRVS,4.32,3.25,5.91,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100121356,CPT,Treat cheek bone fracture,,,21,,RBRVS,4.7,4.06,6.98,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100121360,CPT,Treat cheek bone fracture,,,21,,RBRVS,7.03,5.4,5.4,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100121365,CPT,Treat cheek bone fracture,,,21,,RBRVS,16.52,9.1,9.1,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100121366,CPT,Treat cheek bone fracture,,,21,,RBRVS,18.44,10.51,10.51,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100121385,CPT,Treat eye socket fracture,,,21,,RBRVS,9.46,7.14,7.14,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100121386,CPT,Treat eye socket fracture,,,21,,RBRVS,9.46,6.01,6.01,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100121387,CPT,Treat eye socket fracture,,,21,,RBRVS,10,7.45,7.45,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100121390,CPT,Treat eye socket fracture,,,21,,RBRVS,11.07,7.01,7.01,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100121395,CPT,Treat eye socket fracture,,,21,,RBRVS,14.62,8.34,8.34,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100121400,CPT,Treat eye socket fracture,,,21,,RBRVS,1.44,1.96,2.71,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100121401,CPT,Treat eye socket fracture,,,21,,RBRVS,3.57,3.05,7.04,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100121406,CPT,Treat eye socket fracture,,,21,,RBRVS,7.31,5.29,5.29,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100121407,CPT,Treat eye socket fracture,,,21,,RBRVS,8.91,5.92,5.92,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100121408,CPT,Treat eye socket fracture,,,21,,RBRVS,12.67,7.45,7.45,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100121421,CPT,Treat mouth roof fracture,,,21,,RBRVS,5.8,9.22,12.47,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100121422,CPT,Treat mouth roof fracture,,,21,,RBRVS,8.62,7.05,7.05,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100121423,CPT,Treat mouth roof fracture,,,21,,RBRVS,10.71,7.4,7.4,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100121431,CPT,Treat craniofacial fracture,,,21,,RBRVS,7.74,10.85,10.85,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100121432,CPT,Treat craniofacial fracture,,,21,,RBRVS,8.76,6.81,6.81,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100121433,CPT,Treat craniofacial fracture,,,21,,RBRVS,26.13,12.14,12.14,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100121435,CPT,Treat craniofacial fracture,,,21,,RBRVS,20.02,11.08,11.08,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100121436,CPT,Treat craniofacial fracture,,,21,,RBRVS,30.01,13.15,13.15,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100121440,CPT,Treat dental ridge fracture,,,21,,RBRVS,3.28,7.46,10.07,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100121445,CPT,Treat dental ridge fracture,,,21,,RBRVS,6.04,8.47,12.29,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100121450,CPT,Treat lower jaw fracture,,,21,,RBRVS,3.55,7.72,10.51,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100121451,CPT,Treat lower jaw fracture,,,21,,RBRVS,5.46,9.68,12.99,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100121452,CPT,Treat lower jaw fracture,,,21,,RBRVS,2.29,6.06,12.04,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100121453,CPT,Treat lower jaw fracture,,,21,,RBRVS,6.4,11.66,14.81,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100121454,CPT,Treat lower jaw fracture,,,21,,RBRVS,7.17,5.72,5.72,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100121461,CPT,Treat lower jaw fracture,,,21,,RBRVS,9.07,12.82,41.73,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100121462,CPT,Treat lower jaw fracture,,,21,,RBRVS,10.77,13.41,43.02,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100121465,CPT,Treat lower jaw fracture,,,21,,RBRVS,12.88,8.12,8.12,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100121470,CPT,Treat lower jaw fracture,,,21,,RBRVS,17.24,10.18,10.18,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100121480,CPT,Reset dislocated jaw,,,21,,RBRVS,0.61,0.18,1.52,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100121485,CPT,Reset dislocated jaw,,,21,,RBRVS,4.58,9.11,12.1,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100121490,CPT,Repair dislocated jaw,,,21,,RBRVS,12.71,8.13,8.13,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100121495,CPT,Treat hyoid bone fracture,,,21,,RBRVS,6.55,10.48,10.48,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100121497,CPT,Interdental wiring,,,21,,RBRVS,4.45,9.35,12.23,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100121499,CPT,Head surgery procedure,,,21,,TotalUnits,,,,7.51,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100121501,CPT,Drain neck/chest lesion,,,21,,RBRVS,3.87,3.52,6.56,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100121502,CPT,Drain chest lesion,,,21,,RBRVS,7.43,4.56,4.56,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100121510,CPT,Drainage of bone lesion,,,21,,RBRVS,6.06,4.81,4.81,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100121550,CPT,Biopsy of neck/chest,,,21,,RBRVS,2.08,1.79,4.36,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100121555,CPT,"Remove lesion, neck/chest",,,21,,RBRVS,4.4,3.43,5.79,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100121556,CPT,"Remove lesion, neck/chest",,,21,,RBRVS,5.63,4.14,4.14,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100121557,CPT,"Remove tumor, neck/chest",,,21,,RBRVS,8.91,4.51,4.51,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100121600,CPT,Partial removal of rib,,,21,,RBRVS,7.14,5.97,5.97,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100121610,CPT,Partial removal of rib,,,21,,RBRVS,15.76,8.9,8.9,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100121615,CPT,Removal of rib,,,21,,RBRVS,10.31,5.17,5.17,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100121616,CPT,Removal of rib and nerves,,,21,,RBRVS,12.54,6.52,6.52,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100121620,CPT,Partial removal of sternum,,,21,,RBRVS,7.16,4.76,4.76,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100121627,CPT,Sternal debridement,,,21,,RBRVS,7.18,5.55,5.55,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100121630,CPT,Extensive sternum surgery,,,21,,RBRVS,19.01,10.36,10.36,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100121632,CPT,Extensive sternum surgery,,,21,,RBRVS,19.51,9.43,9.43,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100121685,CPT,Hyoid myotomy & suspension,,,21,,RBRVS,14.89,8.77,8.77,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100121700,CPT,Revision of neck muscle,,,21,,RBRVS,6.23,4.4,4.4,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100121705,CPT,Revision of neck muscle/rib,,,21,,RBRVS,9.83,4.36,4.36,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100121720,CPT,Revision of neck muscle,,,21,,RBRVS,5.72,4.11,4.11,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100121725,CPT,Revision of neck muscle,,,21,,RBRVS,7.1,5.15,5.15,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100121740,CPT,Reconstruction of sternum,,,21,,RBRVS,17.47,8.21,8.21,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100121742,CPT,Repair stern/nuss w/o scope,,,21,,TotalUnits,,,,25.36,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100121743,CPT,Repair sternum/nuss w/scope,,,21,,TotalUnits,,,,33.37,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100121750,CPT,Repair of sternum separation,,,21,,RBRVS,11.35,5.32,5.32,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100121800,CPT,Treatment of rib fracture,,,21,,RBRVS,0.98,1.43,1.36,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100121805,CPT,Treatment of rib fracture,,,21,,RBRVS,2.8,3.27,3.27,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100121810,CPT,Treatment of rib fracture(s),,,21,,RBRVS,6.92,5.38,5.38,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100121820,CPT,Treat sternum fracture,,,21,,RBRVS,1.31,1.89,1.83,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100121825,CPT,Treat sternum fracture,,,21,,RBRVS,7.65,5.38,5.38,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100121899,CPT,Neck/chest surgery procedure,,,21,,TotalUnits,,,,7.88,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100121920,CPT,Biopsy soft tissue of back,,,21,,RBRVS,2.08,1.88,4.44,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100121925,CPT,Biopsy soft tissue of back,,,21,,RBRVS,4.54,3.36,5.35,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100121930,CPT,"Remove lesion, back or flank",,,21,,RBRVS,5.06,3.78,6.05,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100121935,CPT,"Remove tumor, back",,,21,,RBRVS,18.38,8.45,8.45,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100122010,CPT,"I&d, p-spine, c/t/cerv-thor",,,21,,RBRVS,12.57,8.36,8.36,,,$0.00 ,$0.00 ,1,0,0,1,1,1,2008100122015,CPT,"I&d, p-spine, l/s/ls",,,21,,RBRVS,12.46,8.34,8.34,,,$0.00 ,$0.00 ,1,0,0,1,1,1,2008100122100,CPT,Remove part of neck vertebra,,,21,,RBRVS,10.8,8.2,8.2,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100122101,CPT,"Remove part, thorax vertebra",,,21,,RBRVS,10.88,8.12,8.12,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100122102,CPT,"Remove part, lumbar vertebra",,,21,,RBRVS,10.88,7.93,7.93,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100122103,CPT,Remove extra spine segment,,,21,,RBRVS,2.34,0.9,0.9,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100122110,CPT,Remove part of neck vertebra,,,21,,RBRVS,13.8,9.12,9.12,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100122112,CPT,"Remove part, thorax vertebra",,,21,,RBRVS,13.87,9.03,9.03,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100122114,CPT,"Remove part, lumbar vertebra",,,21,,RBRVS,13.87,9.01,9.01,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100122116,CPT,Remove extra spine segment,,,21,,RBRVS,2.32,0.89,0.89,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100122206,CPT,"Cut spine 3 col, thor",,,21,,RBRVS,37,17.73,17.73,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100122207,CPT,"Cut spine 3 col, lumb",,,21,,RBRVS,36.5,17.61,17.61,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100122208,CPT,"Cut spine 3 col, addl seg",,,21,,RBRVS,9.66,3.73,3.73,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100122210,CPT,Revision of neck spine,,,21,,RBRVS,25.13,14.56,14.56,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100122212,CPT,Revision of thorax spine,,,21,,RBRVS,20.74,12.45,12.45,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100122214,CPT,Revision of lumbar spine,,,21,,RBRVS,20.77,12.54,12.54,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100122216,CPT,"Revise, extra spine segment",,,21,,RBRVS,6.03,2.32,2.32,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100122220,CPT,Revision of neck spine,,,21,,RBRVS,22.69,13.36,13.36,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100122222,CPT,Revision of thorax spine,,,21,,RBRVS,22.84,10.47,10.47,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100122224,CPT,Revision of lumbar spine,,,21,,RBRVS,22.84,12.9,12.9,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100122226,CPT,"Revise, extra spine segment",,,21,,RBRVS,6.03,2.28,2.28,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100122305,CPT,Treat spine process fracture,,,21,,RBRVS,2.08,1.8,2.15,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100122310,CPT,Treat spine fracture,,,21,,RBRVS,3.69,2.5,2.99,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100122315,CPT,Treat spine fracture,,,21,,RBRVS,9.91,7.44,9.89,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100122318,CPT,Treat odontoid fx w/o graft,,,21,,RBRVS,22.54,13.27,13.27,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100122319,CPT,Treat odontoid fx w/graft,,,21,,RBRVS,25.15,13.46,13.46,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100122325,CPT,Treat spine fracture,,,21,,RBRVS,19.62,12.15,12.15,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100122326,CPT,Treat neck spine fracture,,,21,,RBRVS,20.64,12.03,12.03,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100122327,CPT,Treat thorax spine fracture,,,21,,RBRVS,20.52,12.34,12.34,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100122328,CPT,Treat each add spine fx,,,21,,RBRVS,4.6,1.76,1.76,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100122505,CPT,Manipulation of spine,,,21,,RBRVS,1.87,1.1,1.1,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100122520,CPT,Percut vertebroplasty thor,,,21,,RBRVS,9.17,4.58,43.83,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100122521,CPT,Percut vertebroplasty lumb,,,21,,RBRVS,8.6,4.36,45.01,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100122522,CPT,Percut vertebroplasty addl,,,21,,RBRVS,4.3,1.51,1.51,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100122523,CPT,"Percut kyphoplasty, thor",,,21,,RBRVS,9.21,4.67,4.67,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100122524,CPT,"Percut kyphoplasty, lumbar",,,21,,RBRVS,8.81,4.53,4.53,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100122525,CPT,"Percut kyphoplasty, add-on",,,21,,RBRVS,4.47,1.69,1.69,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100122526,CPT,"Idet, single level",,,21,,RBRVS,6.07,2.05,46.73,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100122527,CPT,"Idet, 1 or more levels",,,21,,RBRVS,3.03,0.7,40.4,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100122532,CPT,Lat thorax spine fusion,,,21,,RBRVS,25.81,13.79,13.79,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100122533,CPT,Lat lumbar spine fusion,,,21,,RBRVS,24.61,13.58,13.58,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100122534,CPT,"Lat thor/lumb, add’l seg",,,21,,RBRVS,5.99,2.28,2.28,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100122548,CPT,Neck spine fusion,,,21,,RBRVS,26.86,14.94,14.94,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100122554,CPT,Neck spine fusion,,,21,,RBRVS,17.54,10.65,10.65,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100122556,CPT,Thorax spine fusion,,,21,,RBRVS,24.5,12.96,12.96,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100122558,CPT,Lumbar spine fusion,,,21,,RBRVS,23.33,11.44,11.44,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100122585,CPT,Additional spinal fusion,,,21,,RBRVS,5.52,2.06,2.06,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100122590,CPT,Spine & skull spinal fusion,,,21,,RBRVS,21.56,13.08,13.08,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100122595,CPT,Neck spinal fusion,,,21,,RBRVS,20.44,12.65,12.65,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100122600,CPT,Neck spine fusion,,,21,,RBRVS,17.2,11.2,11.2,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100122610,CPT,Thorax spine fusion,,,21,,RBRVS,17.08,10.82,10.82,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100122612,CPT,Lumbar spine fusion,,,21,,RBRVS,23.38,12.5,12.5,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100122614,CPT,"Spine fusion, extra segment",,,21,,RBRVS,6.43,2.46,2.46,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100122630,CPT,Lumbar spine fusion,,,21,,RBRVS,21.89,12.54,12.54,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100122632,CPT,"Spine fusion, extra segment",,,21,,RBRVS,5.22,1.99,1.99,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100122800,CPT,Fusion of spine,,,21,,RBRVS,19.3,11.16,11.16,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100122802,CPT,Fusion of spine,,,21,,RBRVS,31.91,16,16,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100122804,CPT,Fusion of spine,,,21,,RBRVS,37.3,18.13,18.13,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100122808,CPT,Fusion of spine,,,21,,RBRVS,27.31,14.06,14.06,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100122810,CPT,Fusion of spine,,,21,,RBRVS,31.3,14.92,14.92,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100122812,CPT,Fusion of spine,,,21,,RBRVS,34,17.39,17.39,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100122818,CPT,"Kyphectomy, 1-2 segments",,,21,,RBRVS,34.18,16.63,16.63,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100122819,CPT,"Kyphectomy, 3 or more",,,21,,RBRVS,39.18,18.88,18.88,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100122830,CPT,Exploration of spinal fusion,,,21,,RBRVS,11.13,7.06,7.06,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100122840,CPT,Insert spine fixation device,,,21,,RBRVS,12.52,4.78,4.78,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100122841,CPT,Insert spine fixation device,,,21,,TotalUnits,,,,9.26,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100122842,CPT,Insert spine fixation device,,,21,,RBRVS,12.56,4.8,4.8,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100122843,CPT,Insert spine fixation device,,,21,,RBRVS,13.44,5.16,5.16,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100122844,CPT,Insert spine fixation device,,,21,,RBRVS,16.42,6.41,6.41,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100122845,CPT,Insert spine fixation device,,,21,,RBRVS,11.94,4.49,4.49,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100122846,CPT,Insert spine fixation device,,,21,,RBRVS,12.4,4.66,4.66,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100122847,CPT,Insert spine fixation device,,,21,,RBRVS,13.78,5.2,5.2,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100122848,CPT,Insert pelv fixation device,,,21,,RBRVS,5.99,2.34,2.34,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100122849,CPT,Reinsert spinal fixation,,,21,,RBRVS,19.08,10.17,10.17,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100122850,CPT,Remove spine fixation device,,,21,,RBRVS,9.74,6.41,6.41,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100122851,CPT,Apply spine prosth device,,,21,,RBRVS,6.7,2.54,2.54,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100122852,CPT,Remove spine fixation device,,,21,,RBRVS,9.29,6.18,6.18,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100122855,CPT,Remove spine fixation device,,,21,,RBRVS,15.77,9.18,9.18,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100122857,CPT,Lumbar artif diskectomy,,,21,,RBRVS,26.93,14.82,14.82,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100122862,CPT,Revise lumbar artif disc,,,21,,RBRVS,32.43,10.08,10.08,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100122865,CPT,Remove lumb artif disc,,,21,,RBRVS,31.55,9.87,9.87,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100122899,CPT,Spine surgery procedure,,,21,,TotalUnits,,,,19.09,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100122900,CPT,Remove abdominal wall lesion,,,21,,RBRVS,6.14,3.54,3.54,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100122999,CPT,Abdomen surgery procedure,,,21,,TotalUnits,,,,9.07,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100123000,CPT,Removal of calcium deposits,,,21,,RBRVS,4.4,3.74,7.89,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100123020,CPT,Release shoulder joint,,,21,,RBRVS,9.24,6.49,6.49,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100123030,CPT,Drain shoulder lesion,,,21,,RBRVS,3.44,2.4,6.29,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100123031,CPT,Drain shoulder bursa,,,21,,RBRVS,2.76,2.22,6.52,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100123035,CPT,Drain shoulder bone lesion,,,21,,RBRVS,9.04,6.46,6.46,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100123040,CPT,Exploratory shoulder surgery,,,21,,RBRVS,9.63,6.75,6.75,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100123044,CPT,Exploratory shoulder surgery,,,21,,RBRVS,7.48,5.52,5.52,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100123065,CPT,Biopsy shoulder tissues,,,21,,RBRVS,2.28,1.74,2.96,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100123066,CPT,Biopsy shoulder tissues,,,21,,RBRVS,4.21,3.61,7.76,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100123075,CPT,Removal of shoulder lesion,,,21,,RBRVS,2.41,1.72,3.7,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100123076,CPT,Removal of shoulder lesion,,,21,,RBRVS,7.77,5.32,5.32,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100123077,CPT,Remove tumor of shoulder,,,21,,RBRVS,18.08,9.61,9.61,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100123100,CPT,Biopsy of shoulder joint,,,21,,RBRVS,6.09,5,5,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100123101,CPT,Shoulder joint surgery,,,21,,RBRVS,5.63,4.54,4.54,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100123105,CPT,Remove shoulder joint lining,,,21,,RBRVS,8.36,6.1,6.1,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100123106,CPT,Incision of collarbone joint,,,21,,RBRVS,6.02,4.79,4.79,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100123107,CPT,Explore treat shoulder joint,,,21,,RBRVS,8.75,6.26,6.26,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100123120,CPT,"Partial removal, collar bone",,,21,,RBRVS,7.23,5.47,5.47,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100123125,CPT,Removal of collar bone,,,21,,RBRVS,9.52,6.39,6.39,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100123130,CPT,"Remove shoulder bone, part",,,21,,RBRVS,7.63,6.08,6.08,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100123140,CPT,Removal of bone lesion,,,21,,RBRVS,7.01,4.9,4.9,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100123145,CPT,Removal of bone lesion,,,21,,RBRVS,9.28,6.49,6.49,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100123146,CPT,Removal of bone lesion,,,21,,RBRVS,7.96,5.92,5.92,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100123150,CPT,Removal of humerus lesion,,,21,,RBRVS,8.79,6.26,6.26,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100123155,CPT,Removal of humerus lesion,,,21,,RBRVS,10.72,7.26,7.26,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100123156,CPT,Removal of humerus lesion,,,21,,RBRVS,8.99,6.29,6.29,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100123170,CPT,Remove collar bone lesion,,,21,,RBRVS,7.1,5,5,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100123172,CPT,Remove shoulder blade lesion,,,21,,RBRVS,7.2,5.52,5.52,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100123174,CPT,Remove humerus lesion,,,21,,RBRVS,9.9,7.18,7.18,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100123180,CPT,Remove collar bone lesion,,,21,,RBRVS,8.85,6.42,6.42,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100123182,CPT,Remove shoulder blade lesion,,,21,,RBRVS,8.47,6.43,6.43,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100123184,CPT,Remove humerus lesion,,,21,,RBRVS,9.76,6.93,6.93,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100123190,CPT,Partial removal of scapula,,,21,,RBRVS,7.36,5.31,5.31,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100123195,CPT,Removal of head of humerus,,,21,,RBRVS,10.24,6.92,6.92,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100123200,CPT,Removal of collar bone,,,21,,RBRVS,12.69,7.12,7.12,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100123210,CPT,Removal of shoulder blade,,,21,,RBRVS,13.16,7.81,7.81,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100123220,CPT,Partial removal of humerus,,,21,,RBRVS,15.36,9.15,9.15,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100123221,CPT,Partial removal of humerus,,,21,,RBRVS,18.41,10.62,10.62,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100123222,CPT,Partial removal of humerus,,,21,,RBRVS,25.44,13.35,13.35,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100123330,CPT,Remove shoulder foreign body,,,21,,RBRVS,1.87,1.51,3.36,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100123331,CPT,Remove shoulder foreign body,,,21,,RBRVS,7.51,5.84,5.84,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100123332,CPT,Remove shoulder foreign body,,,21,,RBRVS,12.23,7.97,7.97,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100123350,CPT,Injection for shoulder x-ray,,,21,,RBRVS,1,0.35,2.73,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100123395,CPT,"Muscle transfer,shoulder/arm",,,21,,RBRVS,18.29,11.21,11.21,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100123397,CPT,Muscle transfers,,,21,,RBRVS,16.62,9.56,9.56,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100123400,CPT,Fixation of shoulder blade,,,21,,RBRVS,13.73,8.55,8.55,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100123405,CPT,Incision of tendon & muscle,,,21,,RBRVS,8.43,5.92,5.92,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100123406,CPT,Incise tendon(s) & muscle(s),,,21,,RBRVS,10.9,6.91,6.91,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100123410,CPT,"Repair rotator cuff, acute",,,21,,RBRVS,12.63,7.78,7.78,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100123412,CPT,"Repair rotator cuff, chronic",,,21,,RBRVS,13.55,8.16,8.16,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100123415,CPT,Release of shoulder ligament,,,21,,RBRVS,10.09,6.59,6.59,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100123420,CPT,Repair of shoulder,,,21,,RBRVS,14.75,9.71,9.71,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100123430,CPT,Repair biceps tendon,,,21,,RBRVS,10.05,6.78,6.78,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100123440,CPT,Remove/transplant tendon,,,21,,RBRVS,10.53,6.78,6.78,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100123450,CPT,Repair shoulder capsule,,,21,,RBRVS,13.58,8.18,8.18,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100123455,CPT,Repair shoulder capsule,,,21,,RBRVS,14.55,8.56,8.56,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100123460,CPT,Repair shoulder capsule,,,21,,RBRVS,15.68,9.37,9.37,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100123462,CPT,Repair shoulder capsule,,,21,,RBRVS,15.6,9.09,9.09,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100123465,CPT,Repair shoulder capsule,,,21,,RBRVS,16.16,9.5,9.5,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100123466,CPT,Repair shoulder capsule,,,21,,RBRVS,15.55,10,10,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100123470,CPT,Reconstruct shoulder joint,,,21,,RBRVS,17.75,10.13,10.13,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100123472,CPT,Reconstruct shoulder joint,,,21,,RBRVS,22.47,12.15,12.15,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100123480,CPT,Revision of collar bone,,,21,,RBRVS,11.42,7.3,7.3,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100123485,CPT,Revision of collar bone,,,21,,RBRVS,13.79,8.21,8.21,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100123490,CPT,Reinforce clavicle,,,21,,RBRVS,12.04,6.75,6.75,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100123491,CPT,Reinforce shoulder bones,,,21,,RBRVS,14.4,8.72,8.72,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100123500,CPT,Treat clavicle fracture,,,21,,RBRVS,2.13,2.71,2.64,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100123505,CPT,Treat clavicle fracture,,,21,,RBRVS,3.74,3.62,4.01,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100123515,CPT,Treat clavicle fracture,,,21,,RBRVS,9.53,7.01,7.01,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100123520,CPT,Treat clavicle dislocation,,,21,,RBRVS,2.21,2.84,2.77,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100123525,CPT,Treat clavicle dislocation,,,21,,RBRVS,3.67,3.64,4.17,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100123530,CPT,Treat clavicle dislocation,,,21,,RBRVS,7.37,5.31,5.31,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100123532,CPT,Treat clavicle dislocation,,,21,,RBRVS,8.08,6.02,6.02,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100123540,CPT,Treat clavicle dislocation,,,21,,RBRVS,2.28,2.74,2.67,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100123545,CPT,Treat clavicle dislocation,,,21,,RBRVS,3.32,3.26,3.74,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100123550,CPT,Treat clavicle dislocation,,,21,,RBRVS,7.48,5.54,5.54,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100123552,CPT,Treat clavicle dislocation,,,21,,RBRVS,8.7,6.26,6.26,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100123570,CPT,Treat shoulder blade fx,,,21,,RBRVS,2.28,2.92,2.78,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100123575,CPT,Treat shoulder blade fx,,,21,,RBRVS,4.12,4.08,4.59,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100123585,CPT,Treat scapula fracture,,,21,,RBRVS,14.07,8.51,8.51,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100123600,CPT,Treat humerus fracture,,,21,,RBRVS,3,3.65,4.07,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100123605,CPT,Treat humerus fracture,,,21,,RBRVS,4.94,4.6,5.38,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100123615,CPT,Treat humerus fracture,,,21,,RBRVS,12.12,8.06,8.06,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100123616,CPT,Treat humerus fracture,,,21,,RBRVS,18.19,10.46,10.46,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100123620,CPT,Treat humerus fracture,,,21,,RBRVS,2.46,3.15,3.41,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100123625,CPT,Treat humerus fracture,,,21,,RBRVS,3.99,3.92,4.45,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100123630,CPT,Treat humerus fracture,,,21,,RBRVS,10.39,7.37,7.37,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100123650,CPT,Treat shoulder dislocation,,,21,,RBRVS,3.44,2.83,3.29,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100123655,CPT,Treat shoulder dislocation,,,21,,RBRVS,4.64,4.15,4.15,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100123660,CPT,Treat shoulder dislocation,,,21,,RBRVS,7.55,5.69,5.69,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100123665,CPT,Treat dislocation/fracture,,,21,,RBRVS,4.54,4.27,4.85,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100123670,CPT,Treat dislocation/fracture,,,21,,RBRVS,12.12,7.93,7.93,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100123675,CPT,Treat dislocation/fracture,,,21,,RBRVS,6.13,5.13,6.13,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100123680,CPT,Treat dislocation/fracture,,,21,,RBRVS,12.99,8.24,8.24,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100123700,CPT,Fixation of shoulder,,,21,,RBRVS,2.54,1.9,1.9,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100123800,CPT,Fusion of shoulder joint,,,21,,RBRVS,14.59,8.87,8.87,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100123802,CPT,Fusion of shoulder joint,,,21,,RBRVS,18.17,11.22,11.22,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100123900,CPT,Amputation of arm & girdle,,,21,,RBRVS,20.57,10.43,10.43,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100123920,CPT,Amputation at shoulder joint,,,21,,RBRVS,16.03,9.22,9.22,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100123921,CPT,Amputation follow-up surgery,,,21,,RBRVS,5.61,4.85,4.85,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100123929,CPT,Shoulder surgery procedure,,,21,,TotalUnits,,,,13.58,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100123930,CPT,Drainage of arm lesion,,,21,,RBRVS,2.96,1.98,4.98,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100123931,CPT,Drainage of arm bursa,,,21,,RBRVS,1.81,1.75,4.36,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100123935,CPT,Drain arm/elbow bone lesion,,,21,,RBRVS,6.27,5.1,5.1,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100124000,CPT,Exploratory elbow surgery,,,21,,RBRVS,5.99,4.75,4.75,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100124006,CPT,Release elbow joint,,,21,,RBRVS,9.62,6.6,6.6,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100124065,CPT,Biopsy arm/elbow soft tissue,,,21,,RBRVS,2.1,1.92,4.15,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100124066,CPT,Biopsy arm/elbow soft tissue,,,21,,RBRVS,5.26,3.92,8.27,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100124075,CPT,Remove arm/elbow lesion,,,21,,RBRVS,3.96,3.27,7.19,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100124076,CPT,Remove arm/elbow lesion,,,21,,RBRVS,6.36,4.59,4.59,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100124077,CPT,Remove tumor of arm/elbow,,,21,,RBRVS,11.95,6.86,6.86,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100124100,CPT,Biopsy elbow joint lining,,,21,,RBRVS,4.98,4.09,4.09,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100124101,CPT,Explore/treat elbow joint,,,21,,RBRVS,6.19,5.05,5.05,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100124102,CPT,Remove elbow joint lining,,,21,,RBRVS,8.15,5.81,5.81,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100124105,CPT,Removal of elbow bursa,,,21,,RBRVS,3.67,4.03,4.03,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100124110,CPT,Remove humerus lesion,,,21,,RBRVS,7.46,5.65,5.65,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100124115,CPT,Remove/graft bone lesion,,,21,,RBRVS,10,4.32,4.32,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100124116,CPT,Remove/graft bone lesion,,,21,,RBRVS,12.11,7.68,7.68,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100124120,CPT,Remove elbow lesion,,,21,,RBRVS,6.71,5.18,5.18,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100124125,CPT,Remove/graft bone lesion,,,21,,RBRVS,8.02,5.99,5.99,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100124126,CPT,Remove/graft bone lesion,,,21,,RBRVS,8.5,6.01,6.01,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100124130,CPT,Removal of head of radius,,,21,,RBRVS,6.31,5.13,5.13,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100124134,CPT,Removal of arm bone lesion,,,21,,RBRVS,10.1,6.91,6.91,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100124136,CPT,Remove radius bone lesion,,,21,,RBRVS,8.29,5.77,5.77,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100124138,CPT,Remove elbow bone lesion,,,21,,RBRVS,8.33,6.49,6.49,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100124140,CPT,Partial removal of arm bone,,,21,,RBRVS,9.43,6.58,6.58,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100124145,CPT,Partial removal of radius,,,21,,RBRVS,7.7,5.64,5.64,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100124147,CPT,Partial removal of elbow,,,21,,RBRVS,7.69,6.28,6.28,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100124149,CPT,Radical resection of elbow,,,21,,RBRVS,15.92,10.77,10.77,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100124150,CPT,Extensive humerus surgery,,,21,,RBRVS,13.7,8.5,8.5,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100124151,CPT,Extensive humerus surgery,,,21,,RBRVS,16.08,9.7,9.7,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100124152,CPT,Extensive radius surgery,,,21,,RBRVS,10.24,6.17,6.17,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100124153,CPT,Extensive radius surgery,,,21,,RBRVS,11.73,4.87,4.87,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100124155,CPT,Removal of elbow joint,,,21,,RBRVS,11.97,7.42,7.42,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100124160,CPT,Remove elbow joint implant,,,21,,RBRVS,7.89,5.83,5.83,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100124164,CPT,Remove radius head implant,,,21,,RBRVS,6.34,4.9,4.9,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100124200,CPT,Removal of arm foreign body,,,21,,RBRVS,1.78,1.36,2.74,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100124201,CPT,Removal of arm foreign body,,,21,,RBRVS,4.61,3.66,7.8,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100124220,CPT,Injection for elbow x-ray,,,21,,RBRVS,1.31,0.46,2.66,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100124300,CPT,Manipulate elbow w/anesth,,,21,,RBRVS,3.86,5.16,5.16,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100124301,CPT,Muscle/tendon transfer,,,21,,RBRVS,10.26,6.83,6.83,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100124305,CPT,Arm tendon lengthening,,,21,,RBRVS,7.51,5.66,5.66,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100124310,CPT,Revision of arm tendon,,,21,,RBRVS,6.03,4.73,4.73,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100124320,CPT,Repair of arm tendon,,,21,,RBRVS,10.74,7.03,7.03,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100124330,CPT,Revision of arm muscles,,,21,,RBRVS,9.67,6.64,6.64,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100124331,CPT,Revision of arm muscles,,,21,,RBRVS,10.83,6.95,6.95,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100124332,CPT,"Tenolysis, triceps",,,21,,RBRVS,7.77,5.92,5.92,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100124340,CPT,Repair of biceps tendon,,,21,,RBRVS,7.96,5.96,5.96,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100124341,CPT,Repair arm tendon/muscle,,,21,,RBRVS,9.24,7.53,7.53,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100124342,CPT,Repair of ruptured tendon,,,21,,RBRVS,10.74,7.07,7.07,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100124343,CPT,Repr elbow lat ligmnt w/tiss,,,21,,RBRVS,8.99,6.99,6.99,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100124344,CPT,Reconstruct elbow lat ligmnt,,,21,,RBRVS,14.97,9.96,9.96,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100124345,CPT,Repr elbw med ligmnt w/tissu,,,21,,RBRVS,8.99,6.94,6.94,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100124346,CPT,Reconstruct elbow med ligmnt,,,21,,RBRVS,14.97,10.04,10.04,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100124357,CPT,"Repair elbow, perc",,,21,,RBRVS,5.32,4.72,4.72,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100124358,CPT,"Repair elbow w/deb, open",,,21,,RBRVS,6.54,5.28,5.28,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100124359,CPT,Repair elbow deb/attch open,,,21,,RBRVS,8.86,6.2,6.2,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100124360,CPT,Reconstruct elbow joint,,,21,,RBRVS,12.53,7.84,7.84,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100124361,CPT,Reconstruct elbow joint,,,21,,RBRVS,14.27,8.76,8.76,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100124362,CPT,Reconstruct elbow joint,,,21,,RBRVS,15.18,5.74,5.74,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100124363,CPT,Replace elbow joint,,,21,,RBRVS,22.47,12.18,12.18,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100124365,CPT,Reconstruct head of radius,,,21,,RBRVS,8.51,5.97,5.97,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100124366,CPT,Reconstruct head of radius,,,21,,RBRVS,9.25,6.31,6.31,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100124400,CPT,Revision of humerus,,,21,,RBRVS,11.19,7.5,7.5,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100124410,CPT,Revision of humerus,,,21,,RBRVS,14.96,9.25,9.25,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100124420,CPT,Revision of humerus,,,21,,RBRVS,13.58,8.51,8.51,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100124430,CPT,Repair of humerus,,,21,,RBRVS,15.07,9.23,9.23,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100124435,CPT,Repair humerus with graft,,,21,,RBRVS,14.74,9.82,9.82,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100124470,CPT,Revision of elbow joint,,,21,,RBRVS,8.81,5.66,5.66,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100124495,CPT,Decompression of forearm,,,21,,RBRVS,8.3,6.41,6.41,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100124498,CPT,Reinforce humerus,,,21,,RBRVS,12.16,7.67,7.67,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100124500,CPT,Treat humerus fracture,,,21,,RBRVS,3.29,3.81,4.45,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100124505,CPT,Treat humerus fracture,,,21,,RBRVS,5.25,4.88,5.84,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100124515,CPT,Treat humerus fracture,,,21,,RBRVS,11.97,8.04,8.04,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100124516,CPT,Treat humerus fracture,,,21,,RBRVS,12.07,7.65,7.65,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100124530,CPT,Treat humerus fracture,,,21,,RBRVS,3.57,4,4.73,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100124535,CPT,Treat humerus fracture,,,21,,RBRVS,6.96,5.86,6.82,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100124538,CPT,Treat humerus fracture,,,21,,RBRVS,9.63,7.19,7.19,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100124545,CPT,Treat humerus fracture,,,21,,RBRVS,12.99,8.28,8.28,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100124546,CPT,Treat humerus fracture,,,21,,RBRVS,14.73,9.11,9.11,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100124560,CPT,Treat humerus fracture,,,21,,RBRVS,2.87,3.43,4.11,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100124565,CPT,Treat humerus fracture,,,21,,RBRVS,5.64,5.05,5.94,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100124566,CPT,Treat humerus fracture,,,21,,RBRVS,8.86,6.8,6.8,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100124575,CPT,Treat humerus fracture,,,21,,RBRVS,9.53,6.97,6.97,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100124576,CPT,Treat humerus fracture,,,21,,RBRVS,2.94,3.71,4.41,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100124577,CPT,Treat humerus fracture,,,21,,RBRVS,5.87,5.08,6.04,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100124579,CPT,Treat humerus fracture,,,21,,RBRVS,11.26,7.74,7.74,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100124582,CPT,Treat humerus fracture,,,21,,RBRVS,9.89,8.18,8.18,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100124586,CPT,Treat elbow fracture,,,21,,RBRVS,15.64,9.33,9.33,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100124587,CPT,Treat elbow fracture,,,21,,RBRVS,15.65,9.32,9.32,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100124600,CPT,Treat elbow dislocation,,,21,,RBRVS,4.28,3.28,3.86,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100124605,CPT,Treat elbow dislocation,,,21,,RBRVS,5.5,4.91,4.91,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100124615,CPT,Treat elbow dislocation,,,21,,RBRVS,9.72,6.56,6.56,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100124620,CPT,Treat elbow fracture,,,21,,RBRVS,7.07,5.49,5.49,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100124635,CPT,Treat elbow fracture,,,21,,RBRVS,8.64,6.55,6.55,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100124640,CPT,Treat elbow dislocation,,,21,,RBRVS,1.22,0.83,1.53,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100124650,CPT,Treat radius fracture,,,21,,RBRVS,2.22,2.99,3.43,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100124655,CPT,Treat radius fracture,,,21,,RBRVS,4.48,4.4,5.18,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100124665,CPT,Treat radius fracture,,,21,,RBRVS,8.22,6.51,6.51,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100124666,CPT,Treat radius fracture,,,21,,RBRVS,9.74,6.96,6.96,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100124670,CPT,Treat ulnar fracture,,,21,,RBRVS,2.6,3.15,3.73,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100124675,CPT,Treat ulnar fracture,,,21,,RBRVS,4.79,4.57,5.38,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100124685,CPT,Treat ulnar fracture,,,21,,RBRVS,8.21,6.52,6.52,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100124800,CPT,Fusion of elbow joint,,,21,,RBRVS,11.27,6.89,6.89,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100124802,CPT,Fusion/graft of elbow joint,,,21,,RBRVS,14.18,8.03,8.03,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100124900,CPT,Amputation of upper arm,,,21,,RBRVS,10.04,6.42,6.42,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100124920,CPT,Amputation of upper arm,,,21,,RBRVS,10.02,6.04,6.04,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100124925,CPT,Amputation follow-up surgery,,,21,,RBRVS,7.19,4.95,4.95,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100124930,CPT,Amputation follow-up surgery,,,21,,RBRVS,10.72,6.2,6.2,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100124931,CPT,Amputate upper arm & implant,,,21,,RBRVS,13.32,5.08,5.08,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100124935,CPT,Revision of amputation,,,21,,RBRVS,16.3,10.47,10.47,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100124940,CPT,Revision of upper arm,,,21,,TotalUnits,,,,23.19,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100124999,CPT,Upper arm/elbow surgery,,,21,,TotalUnits,,,,8.53,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100125000,CPT,Incision of tendon sheath,,,21,,RBRVS,3.44,3.98,3.98,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100125001,CPT,Incise flexor carpi radialis,,,21,,RBRVS,3.68,3.95,3.95,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100125020,CPT,Decompress forearm 1 space,,,21,,RBRVS,5.97,6.95,6.95,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100125023,CPT,Decompress forearm 1 space,,,21,,RBRVS,13.69,11.33,11.33,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100125024,CPT,Decompress forearm 2 spaces,,,21,,RBRVS,10.62,7.08,7.08,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100125025,CPT,Decompress forarm 2 spaces,,,21,,RBRVS,17.77,9.7,9.7,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100125028,CPT,Drainage of forearm lesion,,,21,,RBRVS,5.3,6.2,6.2,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100125031,CPT,Drainage of forearm bursa,,,21,,RBRVS,4.18,3.49,3.49,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100125035,CPT,Treat forearm bone lesion,,,21,,RBRVS,7.54,5.63,5.63,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100125040,CPT,Explore/treat wrist joint,,,21,,RBRVS,7.41,5.4,5.4,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100125065,CPT,Biopsy forearm soft tissues,,,21,,RBRVS,2.01,1.98,4.33,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100125066,CPT,Biopsy forearm soft tissues,,,21,,RBRVS,4.18,3.84,3.84,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100125075,CPT,Removel forearm lesion subcu,,,21,,RBRVS,3.78,3.31,3.31,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100125076,CPT,Removel forearm lesion deep,,,21,,RBRVS,4.97,4.11,4.11,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100125077,CPT,"Remove tumor, forearm/wrist",,,21,,RBRVS,9.9,6.18,6.18,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100125085,CPT,Incision of wrist capsule,,,21,,RBRVS,5.55,4.62,4.62,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100125100,CPT,Biopsy of wrist joint,,,21,,RBRVS,3.94,3.77,3.77,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100125101,CPT,Explore/treat wrist joint,,,21,,RBRVS,4.74,4.35,4.35,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100125105,CPT,Remove wrist joint lining,,,21,,RBRVS,5.91,4.98,4.98,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100125107,CPT,Remove wrist joint cartilage,,,21,,RBRVS,7.5,6.24,6.24,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100125109,CPT,Excise tendon forearm/wrist,,,21,,RBRVS,6.81,5.24,5.24,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100125110,CPT,Remove wrist tendon lesion,,,21,,RBRVS,3.96,3.62,3.62,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100125111,CPT,Remove wrist tendon lesion,,,21,,RBRVS,3.44,3.62,3.62,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100125112,CPT,Reremove wrist tendon lesion,,,21,,RBRVS,4.58,4.08,4.08,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100125115,CPT,Remove wrist/forearm lesion,,,21,,RBRVS,9.89,7.34,7.34,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100125116,CPT,Remove wrist/forearm lesion,,,21,,RBRVS,7.38,6.19,6.19,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100125118,CPT,Excise wrist tendon sheath,,,21,,RBRVS,4.42,4.15,4.15,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100125119,CPT,Partial removal of ulna,,,21,,RBRVS,6.1,5.07,5.07,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100125120,CPT,Removal of forearm lesion,,,21,,RBRVS,6.16,5.1,5.1,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100125125,CPT,Remove/graft forearm lesion,,,21,,RBRVS,7.55,5.68,5.68,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100125126,CPT,Remove/graft forearm lesion,,,21,,RBRVS,7.62,5.86,5.86,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100125130,CPT,Removal of wrist lesion,,,21,,RBRVS,5.32,4.73,4.73,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100125135,CPT,Remove & graft wrist lesion,,,21,,RBRVS,6.96,5.62,5.62,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100125136,CPT,Remove & graft wrist lesion,,,21,,RBRVS,6.03,5.1,5.1,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100125145,CPT,Remove forearm bone lesion,,,21,,RBRVS,6.43,5.21,5.21,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100125150,CPT,Partial removal of ulna,,,21,,RBRVS,7.27,5.53,5.53,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100125151,CPT,Partial removal of radius,,,21,,RBRVS,7.57,5.65,5.65,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100125170,CPT,Extensive forearm surgery,,,21,,RBRVS,11.34,7.37,7.37,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100125210,CPT,Removal of wrist bone,,,21,,RBRVS,6.01,5.05,5.05,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100125215,CPT,Removal of wrist bones,,,21,,RBRVS,8.02,6.03,6.03,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100125230,CPT,Partial removal of radius,,,21,,RBRVS,5.28,4.5,4.5,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100125240,CPT,Partial removal of ulna,,,21,,RBRVS,5.22,4.47,4.47,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100125246,CPT,Injection for wrist x-ray,,,21,,RBRVS,1.45,0.53,2.73,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100125248,CPT,Remove forearm foreign body,,,21,,RBRVS,5.2,4.05,4.05,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100125250,CPT,Removal of wrist prosthesis,,,21,,RBRVS,6.66,5.27,5.27,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100125251,CPT,Removal of wrist prosthesis,,,21,,RBRVS,9.7,6.75,6.75,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100125259,CPT,Manipulate wrist w/anesthes,,,21,,RBRVS,3.86,5.16,5.16,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100125260,CPT,Repair forearm tendon/muscle,,,21,,RBRVS,7.89,6.38,6.38,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100125263,CPT,Repair forearm tendon/muscle,,,21,,RBRVS,7.9,6.1,6.1,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100125265,CPT,Repair forearm tendon/muscle,,,21,,RBRVS,9.96,7.11,7.11,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100125270,CPT,Repair forearm tendon/muscle,,,21,,RBRVS,6.06,4.97,4.97,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100125272,CPT,Repair forearm tendon/muscle,,,21,,RBRVS,7.1,5.49,5.49,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100125274,CPT,Repair forearm tendon/muscle,,,21,,RBRVS,8.82,6.37,6.37,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100125275,CPT,Repair forearm tendon sheath,,,21,,RBRVS,8.82,6.48,6.48,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100125280,CPT,Revise wrist/forearm tendon,,,21,,RBRVS,7.28,5.56,5.56,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100125290,CPT,Incise wrist/forearm tendon,,,21,,RBRVS,5.34,4.5,4.5,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100125295,CPT,Release wrist/forearm tendon,,,21,,RBRVS,6.61,5.29,5.29,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100125300,CPT,Fusion of tendons at wrist,,,21,,RBRVS,8.88,6.66,6.66,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100125301,CPT,Fusion of tendons at wrist,,,21,,RBRVS,8.47,6.19,6.19,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100125310,CPT,Transplant forearm tendon,,,21,,RBRVS,8.26,5.94,5.94,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100125312,CPT,Transplant forearm tendon,,,21,,RBRVS,9.7,6.71,6.71,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100125315,CPT,Revise palsy hand tendon(s),,,21,,RBRVS,10.56,7.11,7.11,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100125316,CPT,Revise palsy hand tendon(s),,,21,,RBRVS,12.76,7.82,7.82,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100125320,CPT,Repair/revise wrist joint,,,21,,RBRVS,12.38,9.87,9.87,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100125332,CPT,Revise wrist joint,,,21,,RBRVS,11.6,7.61,7.61,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100125335,CPT,Realignment of hand,,,21,,RBRVS,13.25,8.31,8.31,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100125337,CPT,Reconstruct ulna/radioulnar,,,21,,RBRVS,11.44,8.63,8.63,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100125350,CPT,Revision of radius,,,21,,RBRVS,8.97,6.35,6.35,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100125355,CPT,Revision of radius,,,21,,RBRVS,10.41,6.75,6.75,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100125360,CPT,Revision of ulna,,,21,,RBRVS,8.62,6.24,6.24,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100125365,CPT,Revise radius & ulna,,,21,,RBRVS,12.77,8.18,8.18,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100125370,CPT,Revise radius or ulna,,,21,,RBRVS,13.93,9.01,9.01,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100125375,CPT,Revise radius & ulna,,,21,,RBRVS,13.41,8.37,8.37,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100125390,CPT,Shorten radius or ulna,,,21,,RBRVS,10.58,7.07,7.07,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100125391,CPT,Lengthen radius or ulna,,,21,,RBRVS,14.14,8.67,8.67,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100125392,CPT,Shorten radius & ulna,,,21,,RBRVS,14.44,8.91,8.91,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100125393,CPT,Lengthen radius & ulna,,,21,,RBRVS,16.42,9.57,9.57,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100125394,CPT,"Repair carpal bone, shorten",,,21,,RBRVS,10.71,6.95,6.95,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100125400,CPT,Repair radius or ulna,,,21,,RBRVS,11.16,7.27,7.27,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100125405,CPT,Repair/graft radius or ulna,,,21,,RBRVS,14.87,8.93,8.93,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100125415,CPT,Repair radius & ulna,,,21,,RBRVS,13.66,8.8,8.8,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100125420,CPT,Repair/graft radius & ulna,,,21,,RBRVS,16.89,9.93,9.93,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100125425,CPT,Repair/graft radius or ulna,,,21,,RBRVS,13.58,8.49,8.49,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100125426,CPT,Repair/graft radius & ulna,,,21,,RBRVS,16.31,9.2,9.2,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100125430,CPT,Vasc graft into carpal bone,,,21,,RBRVS,9.57,7.04,7.04,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100125431,CPT,Repair nonunion carpal bone,,,21,,RBRVS,10.75,7.16,7.16,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100125440,CPT,Repair/graft wrist bone,,,21,,RBRVS,10.56,6.9,6.9,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100125441,CPT,Reconstruct wrist joint,,,21,,RBRVS,13.15,8.11,8.11,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100125442,CPT,Reconstruct wrist joint,,,21,,RBRVS,10.98,7.51,7.51,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100125443,CPT,Reconstruct wrist joint,,,21,,RBRVS,10.52,7.22,7.22,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100125444,CPT,Reconstruct wrist joint,,,21,,RBRVS,11.28,7.44,7.44,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100125445,CPT,Reconstruct wrist joint,,,21,,RBRVS,9.76,6.7,6.7,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100125446,CPT,Wrist replacement,,,21,,RBRVS,17.16,9.99,9.99,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100125447,CPT,Repair wrist joint(s),,,21,,RBRVS,10.95,7.87,7.87,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100125449,CPT,Remove wrist joint implant,,,21,,RBRVS,14.8,8.96,8.96,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100125450,CPT,Revision of wrist joint,,,21,,RBRVS,7.94,3.84,3.84,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100125455,CPT,Revision of wrist joint,,,21,,RBRVS,9.57,6.85,6.85,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100125490,CPT,Reinforce radius,,,21,,RBRVS,9.61,6.58,6.58,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100125491,CPT,Reinforce ulna,,,21,,RBRVS,10.03,6.79,6.79,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100125492,CPT,Reinforce radius and ulna,,,21,,RBRVS,12.52,8.34,8.34,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100125500,CPT,Treat fracture of radius,,,21,,RBRVS,2.51,2.86,3.31,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100125505,CPT,Treat fracture of radius,,,21,,RBRVS,5.3,4.98,5.83,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100125515,CPT,Treat fracture of radius,,,21,,RBRVS,8.64,6.47,6.47,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100125520,CPT,Treat fracture of radius,,,21,,RBRVS,6.35,5.14,5.7,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100125525,CPT,Treat fracture of radius,,,21,,RBRVS,10.37,7.42,7.42,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100125526,CPT,Treat fracture of radius,,,21,,RBRVS,12.96,8.69,8.69,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100125530,CPT,Treat fracture of ulna,,,21,,RBRVS,2.15,2.98,3.48,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100125535,CPT,Treat fracture of ulna,,,21,,RBRVS,5.22,4.84,5.57,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100125545,CPT,Treat fracture of ulna,,,21,,RBRVS,7.78,6.23,6.23,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100125560,CPT,Treat fracture radius & ulna,,,21,,RBRVS,2.5,2.85,3.37,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100125565,CPT,Treat fracture radius & ulna,,,21,,RBRVS,5.71,4.93,5.91,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100125574,CPT,Treat fracture radius & ulna,,,21,,RBRVS,8.64,6.55,6.55,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100125575,CPT,Treat fracture radius/ulna,,,21,,RBRVS,12.1,8.37,8.37,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100125600,CPT,Treat fracture radius/ulna,,,21,,RBRVS,2.69,3.17,3.68,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100125605,CPT,Treat fracture radius/ulna,,,21,,RBRVS,7.02,6.14,6.87,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100125606,CPT,Treat fx distal radial,,,21,,RBRVS,8.1,6.7,6.7,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100125607,CPT,Treat fx rad extra-articul,,,21,,RBRVS,9.35,7.2,7.2,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100125608,CPT,Treat fx rad intra-articul,,,21,,RBRVS,10.86,7.8,7.8,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100125609,CPT,Treat fx radial 3+ frag,,,21,,RBRVS,14.12,9.66,9.66,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100125622,CPT,Treat wrist bone fracture,,,21,,RBRVS,2.68,3.36,3.91,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100125624,CPT,Treat wrist bone fracture,,,21,,RBRVS,4.62,4.78,5.64,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100125628,CPT,Treat wrist bone fracture,,,21,,RBRVS,9.51,6.85,6.85,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100125630,CPT,Treat wrist bone fracture,,,21,,RBRVS,2.94,3.25,3.76,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100125635,CPT,Treat wrist bone fracture,,,21,,RBRVS,4.47,4.34,5.12,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100125645,CPT,Treat wrist bone fracture,,,21,,RBRVS,7.31,5.56,5.56,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100125650,CPT,Treat wrist bone fracture,,,21,,RBRVS,3.12,3.45,3.85,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100125651,CPT,Pin ulnar styloid fracture,,,21,,RBRVS,5.68,5.15,5.15,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100125652,CPT,Treat fracture ulnar styloid,,,21,,RBRVS,7.92,6.16,6.16,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100125660,CPT,Treat wrist dislocation,,,21,,RBRVS,4.84,4.33,4.33,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100125670,CPT,Treat wrist dislocation,,,21,,RBRVS,7.98,5.82,5.82,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100125671,CPT,Pin radioulnar dislocation,,,21,,RBRVS,6.32,5.54,5.54,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100125675,CPT,Treat wrist dislocation,,,21,,RBRVS,4.75,4,4.72,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100125676,CPT,Treat wrist dislocation,,,21,,RBRVS,8.17,6.14,6.14,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100125680,CPT,Treat wrist fracture,,,21,,RBRVS,6.08,4.39,4.39,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100125685,CPT,Treat wrist fracture,,,21,,RBRVS,9.97,6.63,6.63,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100125690,CPT,Treat wrist dislocation,,,21,,RBRVS,5.58,4.85,4.85,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100125695,CPT,Treat wrist dislocation,,,21,,RBRVS,8.4,6.01,6.01,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100125800,CPT,Fusion of wrist joint,,,21,,RBRVS,9.95,6.8,6.8,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100125805,CPT,Fusion/graft of wrist joint,,,21,,RBRVS,11.59,7.68,7.68,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100125810,CPT,Fusion/graft of wrist joint,,,21,,RBRVS,11.75,8.04,8.04,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100125820,CPT,Fusion of hand bones,,,21,,RBRVS,7.52,6.41,6.41,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100125825,CPT,Fuse hand bones with graft,,,21,,RBRVS,9.54,7.66,7.66,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100125830,CPT,"Fusion, radioulnar jnt/ulna",,,21,,RBRVS,10.69,10.59,10.59,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100125900,CPT,Amputation of forearm,,,21,,RBRVS,9.46,6.74,6.74,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100125905,CPT,Amputation of forearm,,,21,,RBRVS,9.48,6.07,6.07,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100125907,CPT,Amputation follow-up surgery,,,21,,RBRVS,7.98,5.77,5.77,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100125909,CPT,Amputation follow-up surgery,,,21,,RBRVS,9.2,6.33,6.33,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100125915,CPT,Amputation of forearm,,,21,,RBRVS,17.38,5.98,5.98,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100125920,CPT,Amputate hand at wrist,,,21,,RBRVS,8.92,6.59,6.59,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100125922,CPT,Amputate hand at wrist,,,21,,RBRVS,7.54,6.28,6.28,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100125924,CPT,Amputation follow-up surgery,,,21,,RBRVS,8.7,6.13,6.13,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100125927,CPT,Amputation of hand,,,21,,RBRVS,8.98,8.66,8.66,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100125929,CPT,Amputation follow-up surgery,,,21,,RBRVS,7.71,5.67,5.67,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100125931,CPT,Amputation follow-up surgery,,,21,,RBRVS,7.93,8.33,8.33,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100125999,CPT,Forearm or wrist surgery,,,21,,TotalUnits,,,,8.21,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100126010,CPT,Drainage of finger abscess,,,21,,RBRVS,1.56,1.52,4.06,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100126011,CPT,Drainage of finger abscess,,,21,,RBRVS,2.21,1.96,6.25,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100126020,CPT,Drain hand tendon sheath,,,21,,RBRVS,4.97,4.74,4.74,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100126025,CPT,Drainage of palm bursa,,,21,,RBRVS,4.99,4.46,4.46,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100126030,CPT,Drainage of palm bursa(s),,,21,,RBRVS,6.16,5,5,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100126034,CPT,Treat hand bone lesion,,,21,,RBRVS,6.49,5.58,5.58,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100126035,CPT,Decompress fingers/hand,,,21,,RBRVS,11.14,8.13,8.13,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100126037,CPT,Decompress fingers/hand,,,21,,RBRVS,7.48,5.5,5.5,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100126040,CPT,Release palm contracture,,,21,,RBRVS,3.38,3.6,3.6,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100126045,CPT,Release palm contracture,,,21,,RBRVS,5.62,4.89,4.89,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100126055,CPT,Incise finger tendon sheath,,,21,,RBRVS,3,3.83,9.05,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100126060,CPT,Incision of finger tendon,,,21,,RBRVS,2.85,3.06,3.06,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100126070,CPT,Explore/treat hand joint,,,21,,RBRVS,3.73,3.06,3.06,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100126075,CPT,Explore/treat finger joint,,,21,,RBRVS,3.83,3.37,3.37,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100126080,CPT,Explore/treat finger joint,,,21,,RBRVS,4.36,4.32,4.32,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100126100,CPT,Biopsy hand joint lining,,,21,,RBRVS,3.71,3.67,3.67,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100126105,CPT,Biopsy finger joint lining,,,21,,RBRVS,3.75,3.68,3.68,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100126110,CPT,Biopsy finger joint lining,,,21,,RBRVS,3.57,3.61,3.61,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100126115,CPT,Removel hand lesion subcut,,,21,,RBRVS,3.92,4.23,9.84,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100126116,CPT,"Removel hand lesion, deep",,,21,,RBRVS,5.61,5.31,5.31,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100126117,CPT,"Remove tumor, hand/finger",,,21,,RBRVS,8.62,6.19,6.19,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100126121,CPT,Release palm contracture,,,21,,RBRVS,7.61,5.93,5.93,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100126123,CPT,Release palm contracture,,,21,,RBRVS,10.63,8.22,8.22,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100126125,CPT,Release palm contracture,,,21,,RBRVS,4.6,1.87,1.87,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100126130,CPT,Remove wrist joint lining,,,21,,RBRVS,5.48,4.89,4.89,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100126135,CPT,"Revise finger joint, each",,,21,,RBRVS,7.02,5.47,5.47,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100126140,CPT,"Revise finger joint, each",,,21,,RBRVS,6.23,5.17,5.17,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100126145,CPT,"Tendon excision, palm/finger",,,21,,RBRVS,6.38,5.19,5.19,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100126160,CPT,Remove tendon sheath lesion,,,21,,RBRVS,3.46,3.94,9.04,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100126170,CPT,"Removal of palm tendon, each",,,21,,RBRVS,4.82,4.37,4.37,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100126180,CPT,Removal of finger tendon,,,21,,RBRVS,5.24,4.71,4.71,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100126185,CPT,Remove finger bone,,,21,,RBRVS,6.32,5.73,5.73,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100126200,CPT,Remove hand bone lesion,,,21,,RBRVS,5.56,4.56,4.56,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100126205,CPT,Remove/graft bone lesion,,,21,,RBRVS,7.82,5.85,5.85,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100126210,CPT,Removal of finger lesion,,,21,,RBRVS,5.21,4.74,4.74,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100126215,CPT,Remove/graft finger lesion,,,21,,RBRVS,7.16,5.54,5.54,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100126230,CPT,Partial removal of hand bone,,,21,,RBRVS,6.38,4.95,4.95,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100126235,CPT,"Partial removal, finger bone",,,21,,RBRVS,6.24,4.95,4.95,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100126236,CPT,"Partial removal, finger bone",,,21,,RBRVS,5.37,4.58,4.58,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100126250,CPT,Extensive hand surgery,,,21,,RBRVS,7.61,5.72,5.72,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100126255,CPT,Extensive hand surgery,,,21,,RBRVS,12.8,8.29,8.29,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100126260,CPT,Extensive finger surgery,,,21,,RBRVS,7.09,5.47,5.47,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100126261,CPT,Extensive finger surgery,,,21,,RBRVS,9.28,6.73,6.73,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100126262,CPT,Partial removal of finger,,,21,,RBRVS,5.72,4.75,4.75,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100126320,CPT,Removal of implant from hand,,,21,,RBRVS,4.02,3.79,3.79,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100126340,CPT,Manipulate finger w/anesth,,,21,,RBRVS,2.62,4.61,4.61,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100126350,CPT,Repair finger/hand tendon,,,21,,RBRVS,6.07,9.54,9.54,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100126352,CPT,Repair/graft hand tendon,,,21,,RBRVS,7.75,10.07,10.07,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100126356,CPT,Repair finger/hand tendon,,,21,,RBRVS,10.22,13.72,13.72,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100126357,CPT,Repair finger/hand tendon,,,21,,RBRVS,8.65,10.36,10.36,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100126358,CPT,Repair/graft hand tendon,,,21,,RBRVS,9.22,10.96,10.96,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100126370,CPT,Repair finger/hand tendon,,,21,,RBRVS,7.17,9.51,9.51,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100126372,CPT,Repair/graft hand tendon,,,21,,RBRVS,8.89,10.54,10.54,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100126373,CPT,Repair finger/hand tendon,,,21,,RBRVS,8.29,10.17,10.17,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100126390,CPT,Revise hand/finger tendon,,,21,,RBRVS,9.31,9.21,9.21,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100126392,CPT,Repair/graft hand tendon,,,21,,RBRVS,10.38,11.17,11.17,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100126410,CPT,Repair hand tendon,,,21,,RBRVS,4.68,7.64,7.64,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100126412,CPT,Repair/graft hand tendon,,,21,,RBRVS,6.37,8.63,8.63,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100126415,CPT,"Excision, hand/finger tendon",,,21,,RBRVS,8.4,7.47,7.47,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100126416,CPT,Graft hand or finger tendon,,,21,,RBRVS,9.44,9.05,9.05,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100126418,CPT,Repair finger tendon,,,21,,RBRVS,4.33,8.15,8.15,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100126420,CPT,Repair/graft finger tendon,,,21,,RBRVS,6.83,8.81,8.81,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100126426,CPT,Repair finger/hand tendon,,,21,,RBRVS,6.21,5.12,5.12,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100126428,CPT,Repair/graft finger tendon,,,21,,RBRVS,7.28,9.26,9.26,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100126432,CPT,Repair finger tendon,,,21,,RBRVS,4.07,6.79,6.79,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100126433,CPT,Repair finger tendon,,,21,,RBRVS,4.61,7.02,7.02,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100126434,CPT,Repair/graft finger tendon,,,21,,RBRVS,6.15,7.94,7.94,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100126437,CPT,Realignment of tendons,,,21,,RBRVS,5.88,7.82,7.82,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100126440,CPT,Release palm/finger tendon,,,21,,RBRVS,5.07,8.49,8.49,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100126442,CPT,Release palm & finger tendon,,,21,,RBRVS,9.5,11.83,11.83,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100126445,CPT,Release hand/finger tendon,,,21,,RBRVS,4.36,8.24,8.24,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100126449,CPT,Release forearm/hand tendon,,,21,,RBRVS,8.34,7.28,7.28,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100126450,CPT,Incision of palm tendon,,,21,,RBRVS,3.71,5.19,5.19,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100126455,CPT,Incision of finger tendon,,,21,,RBRVS,3.68,5.15,5.15,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100126460,CPT,Incise hand/finger tendon,,,21,,RBRVS,3.5,5.12,5.12,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100126471,CPT,Fusion of finger tendons,,,21,,RBRVS,5.79,7.8,7.8,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100126474,CPT,Fusion of finger tendons,,,21,,RBRVS,5.38,7.61,7.61,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100126476,CPT,Tendon lengthening,,,21,,RBRVS,5.24,7.36,7.36,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100126477,CPT,Tendon shortening,,,21,,RBRVS,5.21,7.58,7.58,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100126478,CPT,Lengthening of hand tendon,,,21,,RBRVS,5.86,7.79,7.79,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100126479,CPT,Shortening of hand tendon,,,21,,RBRVS,5.8,7.74,7.74,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100126480,CPT,Transplant hand tendon,,,21,,RBRVS,6.76,9.67,9.67,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100126483,CPT,Transplant/graft hand tendon,,,21,,RBRVS,8.36,10.23,10.23,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100126485,CPT,Transplant palm tendon,,,21,,RBRVS,7.77,10.09,10.09,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100126489,CPT,Transplant/graft palm tendon,,,21,,RBRVS,9.74,10.83,10.83,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100126490,CPT,Revise thumb tendon,,,21,,RBRVS,8.48,8.88,8.88,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100126492,CPT,Tendon transfer with graft,,,21,,RBRVS,9.7,9.83,9.83,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100126494,CPT,Hand tendon/muscle transfer,,,21,,RBRVS,8.54,9.24,9.24,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100126496,CPT,Revise thumb tendon,,,21,,RBRVS,9.66,9.58,9.58,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100126497,CPT,Finger tendon transfer,,,21,,RBRVS,9.64,9.54,9.54,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100126498,CPT,Finger tendon transfer,,,21,,RBRVS,14.07,11.66,11.66,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100126499,CPT,Revision of finger,,,21,,RBRVS,9.05,8.86,8.86,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100126500,CPT,Hand tendon reconstruction,,,21,,RBRVS,6.02,7.75,7.75,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100126502,CPT,Hand tendon reconstruction,,,21,,RBRVS,7.2,8.33,8.33,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100126508,CPT,Release thumb contracture,,,21,,RBRVS,6.07,7.8,7.8,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100126510,CPT,Thumb tendon transfer,,,21,,RBRVS,5.49,7.64,7.64,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100126516,CPT,Fusion of knuckle joint,,,21,,RBRVS,7.21,8.31,8.31,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100126517,CPT,Fusion of knuckle joints,,,21,,RBRVS,8.96,9,9,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100126518,CPT,Fusion of knuckle joints,,,21,,RBRVS,9.15,8.97,8.97,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100126520,CPT,Release knuckle contracture,,,21,,RBRVS,5.36,8.87,8.87,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100126525,CPT,Release finger contracture,,,21,,RBRVS,5.39,8.89,8.89,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100126530,CPT,Revise knuckle joint,,,21,,RBRVS,6.76,5.41,5.41,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100126531,CPT,Revise knuckle with implant,,,21,,RBRVS,7.99,6.17,6.17,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100126535,CPT,Revise finger joint,,,21,,RBRVS,5.3,4.09,4.09,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100126536,CPT,Revise/implant finger joint,,,21,,RBRVS,6.44,9.25,9.25,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100126540,CPT,Repair hand joint,,,21,,RBRVS,6.49,8.06,8.06,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100126541,CPT,Repair hand joint with graft,,,21,,RBRVS,8.69,9.12,9.12,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100126542,CPT,Repair hand joint with graft,,,21,,RBRVS,6.84,8.2,8.2,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100126545,CPT,Reconstruct finger joint,,,21,,RBRVS,6.99,8.46,8.46,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100126546,CPT,Repair nonunion hand,,,21,,RBRVS,10.53,11.43,11.43,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100126548,CPT,Reconstruct finger joint,,,21,,RBRVS,8.1,8.81,8.81,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100126550,CPT,Construct thumb replacement,,,21,,RBRVS,21.54,14.55,14.55,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100126551,CPT,Great toe-hand transfer,,,21,,RBRVS,48.23,17.17,17.17,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100126553,CPT,"Single transfer, toe-hand",,,21,,RBRVS,47.92,27.38,27.38,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100126554,CPT,"Double transfer, toe-hand",,,21,,RBRVS,56.73,35.82,35.82,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100126555,CPT,Positional change of finger,,,21,,RBRVS,16.94,14.01,14.01,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100126556,CPT,Toe joint transfer,,,21,,RBRVS,49.43,18.05,18.05,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100126560,CPT,Repair of web finger,,,21,,RBRVS,5.43,6.65,6.65,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100126561,CPT,Repair of web finger,,,21,,RBRVS,10.98,9.51,9.51,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100126562,CPT,Repair of web finger,,,21,,RBRVS,16.4,8.77,8.77,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100126565,CPT,Correct metacarpal flaw,,,21,,RBRVS,6.8,8.16,8.16,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100126567,CPT,Correct finger deformity,,,21,,RBRVS,6.88,8.12,8.12,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100126568,CPT,Lengthen metacarpal/finger,,,21,,RBRVS,9.15,10.7,10.7,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100126580,CPT,Repair hand deformity,,,21,,RBRVS,19.5,9.74,9.74,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100126587,CPT,Reconstruct extra finger,,,21,,RBRVS,14.36,8.02,8.02,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100126590,CPT,Repair finger deformity,,,21,,RBRVS,18.51,12.43,12.43,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100126591,CPT,Repair muscles of hand,,,21,,RBRVS,3.3,6.22,6.22,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100126593,CPT,Release muscles of hand,,,21,,RBRVS,5.38,7.8,7.8,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100126596,CPT,Excision constricting tissue,,,21,,RBRVS,9.02,7.49,7.49,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100126600,CPT,Treat metacarpal fracture,,,21,,RBRVS,2.48,3.49,3.84,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100126605,CPT,Treat metacarpal fracture,,,21,,RBRVS,2.92,3.51,4.09,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100126607,CPT,Treat metacarpal fracture,,,21,,RBRVS,5.4,4.89,4.89,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100126608,CPT,Treat metacarpal fracture,,,21,,RBRVS,5.43,5.23,5.23,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100126615,CPT,Treat metacarpal fracture,,,21,,RBRVS,6.91,6.02,6.02,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100126641,CPT,Treat thumb dislocation,,,21,,RBRVS,4.01,3.4,4.04,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100126645,CPT,Treat thumb fracture,,,21,,RBRVS,4.47,3.92,4.61,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100126650,CPT,Treat thumb fracture,,,21,,RBRVS,5.19,4.89,4.89,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100126665,CPT,Treat thumb fracture,,,21,,RBRVS,7.78,6.32,6.32,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100126670,CPT,Treat hand dislocation,,,21,,RBRVS,3.74,3.03,3.62,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100126675,CPT,Treat hand dislocation,,,21,,RBRVS,4.71,4.52,5.26,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100126676,CPT,Pin hand dislocation,,,21,,RBRVS,5.6,5.57,5.57,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100126685,CPT,Treat hand dislocation,,,21,,RBRVS,6.91,5.97,5.97,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100126686,CPT,Treat hand dislocation,,,21,,RBRVS,8.06,6.08,6.08,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100126700,CPT,Treat knuckle dislocation,,,21,,RBRVS,3.74,2.93,3.3,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100126705,CPT,Treat knuckle dislocation,,,21,,RBRVS,4.26,4.04,4.75,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100126706,CPT,Pin knuckle dislocation,,,21,,RBRVS,5.19,4.7,4.7,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100126715,CPT,Treat knuckle dislocation,,,21,,RBRVS,6.87,6,6,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100126720,CPT,"Treat finger fracture, each",,,21,,RBRVS,1.7,2.3,2.58,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100126725,CPT,"Treat finger fracture, each",,,21,,RBRVS,3.39,3.41,4.09,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100126727,CPT,"Treat finger fracture, each",,,21,,RBRVS,5.3,5.18,5.18,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100126735,CPT,"Treat finger fracture, each",,,21,,RBRVS,7.26,6.13,6.13,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100126740,CPT,"Treat finger fracture, each",,,21,,RBRVS,1.99,2.72,3.01,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100126742,CPT,"Treat finger fracture, each",,,21,,RBRVS,3.9,3.57,4.27,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100126746,CPT,"Treat finger fracture, each",,,21,,RBRVS,9.59,7.2,7.2,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100126750,CPT,"Treat finger fracture, each",,,21,,RBRVS,1.74,2.26,2.25,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100126755,CPT,"Treat finger fracture, each",,,21,,RBRVS,3.15,2.94,3.75,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100126756,CPT,"Pin finger fracture, each",,,21,,RBRVS,4.46,4.86,4.86,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100126765,CPT,"Treat finger fracture, each",,,21,,RBRVS,5.7,5.47,5.47,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100126770,CPT,Treat finger dislocation,,,21,,RBRVS,3.07,2.55,2.92,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100126775,CPT,Treat finger dislocation,,,21,,RBRVS,3.78,3.88,4.62,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100126776,CPT,Pin finger dislocation,,,21,,RBRVS,4.87,4.99,4.99,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100126785,CPT,Treat finger dislocation,,,21,,RBRVS,6.44,5.78,5.78,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100126820,CPT,Thumb fusion with graft,,,21,,RBRVS,8.33,8.97,8.97,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100126841,CPT,Fusion of thumb,,,21,,RBRVS,7.21,8.77,8.77,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100126842,CPT,Thumb fusion with graft,,,21,,RBRVS,8.37,9.02,9.02,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100126843,CPT,Fusion of hand joint,,,21,,RBRVS,7.67,8.57,8.57,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100126844,CPT,Fusion/graft of hand joint,,,21,,RBRVS,8.86,9.16,9.16,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100126850,CPT,Fusion of knuckle,,,21,,RBRVS,7.03,8.27,8.27,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100126852,CPT,Fusion of knuckle with graft,,,21,,RBRVS,8.59,9.14,9.14,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100126860,CPT,Fusion of finger joint,,,21,,RBRVS,4.76,7.54,7.54,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100126861,CPT,"Fusion of finger jnt, add-on",,,21,,RBRVS,1.74,0.7,0.7,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100126862,CPT,Fusion/graft of finger joint,,,21,,RBRVS,7.44,8.67,8.67,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100126863,CPT,Fuse/graft added joint,,,21,,RBRVS,3.89,1.58,1.58,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100126910,CPT,Amputate metacarpal bone,,,21,,RBRVS,7.67,8.28,8.28,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100126951,CPT,Amputation of finger/thumb,,,21,,RBRVS,5.85,8.4,8.4,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100126952,CPT,Amputation of finger/thumb,,,21,,RBRVS,6.37,7.91,7.91,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100126989,CPT,Hand/finger surgery,,,21,,TotalUnits,,,,7.89,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100126990,CPT,Drainage of pelvis lesion,,,21,,RBRVS,7.84,6.21,6.21,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100126991,CPT,Drainage of pelvis bursa,,,21,,RBRVS,6.97,4.88,8.62,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100126992,CPT,Drainage of bone lesion,,,21,,RBRVS,13.37,8.42,8.42,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127000,CPT,Incision of hip tendon,,,21,,RBRVS,5.66,4.51,4.51,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127001,CPT,Incision of hip tendon,,,21,,RBRVS,7.05,5.23,5.23,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127003,CPT,Incision of hip tendon,,,21,,RBRVS,7.7,5.73,5.73,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127005,CPT,Incision of hip tendon,,,21,,RBRVS,9.96,6.49,6.49,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127006,CPT,Incision of hip tendons,,,21,,RBRVS,9.99,6.76,6.76,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127025,CPT,Incision of hip/thigh fascia,,,21,,RBRVS,12.66,8.21,8.21,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127030,CPT,Drainage of hip joint,,,21,,RBRVS,13.54,8.04,8.04,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127033,CPT,Exploration of hip joint,,,21,,RBRVS,13.99,8.4,8.4,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127035,CPT,Denervation of hip joint,,,21,,RBRVS,17.23,8.53,8.53,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127036,CPT,Excision of hip joint/muscle,,,21,,RBRVS,14.18,8.92,8.92,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127040,CPT,Biopsy of soft tissues,,,21,,RBRVS,2.89,1.87,5.19,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127041,CPT,Biopsy of soft tissues,,,21,,RBRVS,10.07,5.74,5.74,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127047,CPT,Remove hip/pelvis lesion,,,21,,RBRVS,7.51,4.5,7.03,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127048,CPT,Remove hip/pelvis lesion,,,21,,RBRVS,6.44,4.61,4.61,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127049,CPT,"Remove tumor, hip/pelvis",,,21,,RBRVS,15.2,8.17,8.17,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127050,CPT,Biopsy of sacroiliac joint,,,21,,RBRVS,4.65,3.01,3.01,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127052,CPT,Biopsy of hip joint,,,21,,RBRVS,7.27,5.65,5.65,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127054,CPT,Removal of hip joint lining,,,21,,RBRVS,9.09,6.49,6.49,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127060,CPT,Removal of ischial bursa,,,21,,RBRVS,5.78,4.37,4.37,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127062,CPT,Remove femur lesion/bursa,,,21,,RBRVS,5.66,4.6,4.6,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127065,CPT,Removal of hip bone lesion,,,21,,RBRVS,6.44,4.99,4.99,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127066,CPT,Removal of hip bone lesion,,,21,,RBRVS,11.06,7.44,7.44,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127067,CPT,Remove/graft hip bone lesion,,,21,,RBRVS,14.57,8.85,8.85,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127070,CPT,Partial removal of hip bone,,,21,,RBRVS,11.44,8.03,8.03,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127071,CPT,Partial removal of hip bone,,,21,,RBRVS,12.25,8.48,8.48,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127075,CPT,Extensive hip surgery,,,21,,RBRVS,36.77,16.15,16.15,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127076,CPT,Extensive hip surgery,,,21,,RBRVS,24.25,12.83,12.83,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127077,CPT,Extensive hip surgery,,,21,,RBRVS,42.54,19.95,19.95,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127078,CPT,Extensive hip surgery,,,21,,RBRVS,14.54,8.82,8.82,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127079,CPT,Extensive hip surgery,,,21,,RBRVS,14.91,8.01,8.01,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127080,CPT,Removal of tail bone,,,21,,RBRVS,6.8,4.59,4.59,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127086,CPT,Remove hip foreign body,,,21,,RBRVS,1.89,1.48,3.66,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127087,CPT,Remove hip foreign body,,,21,,RBRVS,8.72,5.66,5.66,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127090,CPT,Removal of hip prosthesis,,,21,,RBRVS,11.57,7.41,7.41,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127091,CPT,Removal of hip prosthesis,,,21,,RBRVS,24.15,12.91,12.91,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127093,CPT,Injection for hip x-ray,,,21,,RBRVS,1.3,0.47,3.15,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127095,CPT,Injection for hip x-ray,,,21,,RBRVS,1.5,0.51,3.71,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127096,CPT,Inject sacroiliac joint,,,21,,RBRVS,1.4,0.33,2.52,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127097,CPT,Revision of hip tendon,,,21,,RBRVS,9.16,6.34,6.34,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127098,CPT,Transfer tendon to pelvis,,,21,,RBRVS,9.2,4.91,4.91,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127100,CPT,Transfer of abdominal muscle,,,21,,RBRVS,11.21,7.4,7.4,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127105,CPT,Transfer of spinal muscle,,,21,,RBRVS,11.9,7.36,7.36,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127110,CPT,Transfer of iliopsoas muscle,,,21,,RBRVS,13.63,8.28,8.28,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127111,CPT,Transfer of iliopsoas muscle,,,21,,RBRVS,12.46,8.07,8.07,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127120,CPT,Reconstruction of hip socket,,,21,,RBRVS,19.1,10.82,10.82,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127122,CPT,Reconstruction of hip socket,,,21,,RBRVS,15.95,9.44,9.44,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127125,CPT,Partial hip replacement,,,21,,RBRVS,16.46,9.6,9.6,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127130,CPT,Total hip arthroplasty,,,21,,RBRVS,21.61,11.77,11.77,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127132,CPT,Total hip arthroplasty,,,21,,RBRVS,25.49,13.43,13.43,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127134,CPT,Revise hip joint replacement,,,21,,RBRVS,30.13,14.69,14.69,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127137,CPT,Revise hip joint replacement,,,21,,RBRVS,22.55,11.73,11.73,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127138,CPT,Revise hip joint replacement,,,21,,RBRVS,23.55,12.12,12.12,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127140,CPT,Transplant femur ridge,,,21,,RBRVS,12.66,7.88,7.88,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127146,CPT,Incision of hip bone,,,21,,RBRVS,18.72,10.69,10.69,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127147,CPT,Revision of hip bone,,,21,,RBRVS,21.87,12.02,12.02,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127151,CPT,Incision of hip bones,,,21,,RBRVS,23.92,12.89,12.89,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127156,CPT,Revision of hip bones,,,21,,RBRVS,26.03,13.72,13.72,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127158,CPT,Revision of pelvis,,,21,,RBRVS,20.89,11.52,11.52,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127161,CPT,Incision of neck of femur,,,21,,RBRVS,17.74,10.36,10.36,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127165,CPT,Incision/fixation of femur,,,21,,RBRVS,20.06,11.58,11.58,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127170,CPT,Repair/graft femur head/neck,,,21,,RBRVS,17.46,9.76,9.76,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127175,CPT,Treat slipped epiphysis,,,21,,RBRVS,9.29,5.17,5.17,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127176,CPT,Treat slipped epiphysis,,,21,,RBRVS,12.78,8.18,8.18,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127177,CPT,Treat slipped epiphysis,,,21,,RBRVS,15.94,9.64,9.64,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127178,CPT,Treat slipped epiphysis,,,21,,RBRVS,12.78,7.98,7.98,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127179,CPT,Revise head/neck of femur,,,21,,RBRVS,13.83,8.57,8.57,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127181,CPT,Treat slipped epiphysis,,,21,,RBRVS,15.98,9.74,9.74,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127185,CPT,Revision of femur epiphysis,,,21,,RBRVS,9.67,6.65,6.65,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127187,CPT,Reinforce hip bones,,,21,,RBRVS,14.09,8.69,8.69,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127193,CPT,Treat pelvic ring fracture,,,21,,RBRVS,5.98,4.76,4.63,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127194,CPT,Treat pelvic ring fracture,,,21,,RBRVS,10.08,6.61,6.61,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127200,CPT,Treat tail bone fracture,,,21,,RBRVS,1.87,2.22,2.08,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127202,CPT,Treat tail bone fracture,,,21,,RBRVS,7.25,4.91,4.91,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127215,CPT,Treat pelvic fracture(s),,,21,,RBRVS,10.45,6.55,6.55,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127216,CPT,Treat pelvic ring fracture,,,21,,RBRVS,15.73,9.14,9.14,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127217,CPT,Treat pelvic ring fracture,,,21,,RBRVS,14.65,8.63,8.63,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127218,CPT,Treat pelvic ring fracture,,,21,,RBRVS,20.93,11.33,11.33,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127220,CPT,Treat hip socket fracture,,,21,,RBRVS,6.72,5.15,5.25,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127222,CPT,Treat hip socket fracture,,,21,,RBRVS,13.97,8.52,8.52,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127226,CPT,Treat hip wall fracture,,,21,,RBRVS,15.45,8.93,8.93,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127227,CPT,Treat hip fracture(s),,,21,,RBRVS,25.21,13.38,13.38,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127228,CPT,Treat hip fracture(s),,,21,,RBRVS,29.13,14.85,14.85,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127230,CPT,Treat thigh fracture,,,21,,RBRVS,5.69,4.87,4.93,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127232,CPT,Treat thigh fracture,,,21,,RBRVS,11.66,6.1,6.1,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127235,CPT,Treat thigh fracture,,,21,,RBRVS,12.88,7.98,7.98,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127236,CPT,Treat thigh fracture,,,21,,RBRVS,17.43,10.14,10.14,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127238,CPT,Treat thigh fracture,,,21,,RBRVS,5.64,4.65,4.65,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127240,CPT,Treat thigh fracture,,,21,,RBRVS,13.66,8.21,8.21,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127244,CPT,Treat thigh fracture,,,21,,RBRVS,17.08,9.62,9.62,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127245,CPT,Treat thigh fracture,,,21,,RBRVS,21.09,11.34,11.34,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127246,CPT,Treat thigh fracture,,,21,,RBRVS,4.75,3.95,3.91,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127248,CPT,Treat thigh fracture,,,21,,RBRVS,10.64,6.38,6.38,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127250,CPT,Treat hip dislocation,,,21,,RBRVS,7.21,4.3,4.3,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127252,CPT,Treat hip dislocation,,,21,,RBRVS,10.92,6.49,6.49,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127253,CPT,Treat hip dislocation,,,21,,RBRVS,13.46,8.17,8.17,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127254,CPT,Treat hip dislocation,,,21,,RBRVS,18.8,10.54,10.54,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127256,CPT,Treat hip dislocation,,,21,,RBRVS,4.25,1.41,2.52,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127257,CPT,Treat hip dislocation,,,21,,RBRVS,5.35,2.54,2.54,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127258,CPT,Treat hip dislocation,,,21,,RBRVS,16.04,9.48,9.48,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127259,CPT,Treat hip dislocation,,,21,,RBRVS,23.03,12.78,12.78,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127265,CPT,Treat hip dislocation,,,21,,RBRVS,5.12,3.95,3.95,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127266,CPT,Treat hip dislocation,,,21,,RBRVS,7.67,5.51,5.51,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127267,CPT,Cltx thigh fx,,,21,,RBRVS,5.38,4.4,4.4,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127268,CPT,Cltx thigh fx w/mnpj,,,21,,RBRVS,7,5.02,5.02,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127269,CPT,Optx thigh fx,,,21,,RBRVS,18.75,9.89,9.89,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127275,CPT,Manipulation of hip joint,,,21,,RBRVS,2.29,1.85,1.85,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127280,CPT,Fusion of sacroiliac joint,,,21,,RBRVS,14.49,8.88,8.88,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127282,CPT,Fusion of pubic bones,,,21,,RBRVS,11.71,7.78,7.78,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127284,CPT,Fusion of hip joint,,,21,,RBRVS,24.91,12.01,12.01,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127286,CPT,Fusion of hip joint,,,21,,RBRVS,24.97,12.61,12.61,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127290,CPT,Amputation of leg at hip,,,21,,RBRVS,24.38,12.11,12.11,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127295,CPT,Amputation of leg at hip,,,21,,RBRVS,19.54,9.59,9.59,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127299,CPT,Pelvis/hip joint surgery,,,21,,TotalUnits,,,,33.3,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127301,CPT,Drain thigh/knee lesion,,,21,,RBRVS,6.67,4.65,8.2,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127303,CPT,Drainage of bone lesion,,,21,,RBRVS,8.52,5.99,5.99,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127305,CPT,Incise thigh tendon & fascia,,,21,,RBRVS,6.09,4.68,4.68,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127306,CPT,Incision of thigh tendon,,,21,,RBRVS,4.66,4.08,4.08,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127307,CPT,Incision of thigh tendons,,,21,,RBRVS,5.97,4.74,4.74,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127310,CPT,Exploration of knee joint,,,21,,RBRVS,9.88,6.78,6.78,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127323,CPT,"Biopsy, thigh soft tissues",,,21,,RBRVS,2.3,1.93,4.2,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127324,CPT,"Biopsy, thigh soft tissues",,,21,,RBRVS,4.95,3.82,3.82,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127325,CPT,"Neurectomy, hamstring",,,21,,RBRVS,7.09,4.99,4.99,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127326,CPT,"Neurectomy, popliteal",,,21,,RBRVS,6.36,5.12,5.12,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127327,CPT,Removal of thigh lesion,,,21,,RBRVS,4.52,3.58,6.04,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127328,CPT,Removal of thigh lesion,,,21,,RBRVS,5.62,4.07,4.07,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127329,CPT,"Remove tumor, thigh/knee",,,21,,RBRVS,15.68,8.47,8.47,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127330,CPT,"Biopsy, knee joint lining",,,21,,RBRVS,5.02,4.26,4.26,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127331,CPT,Explore/treat knee joint,,,21,,RBRVS,5.93,4.8,4.8,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127332,CPT,Removal of knee cartilage,,,21,,RBRVS,8.34,6.12,6.12,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127333,CPT,Removal of knee cartilage,,,21,,RBRVS,7.43,5.69,5.69,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127334,CPT,Remove knee joint lining,,,21,,RBRVS,9.07,6.43,6.43,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127335,CPT,Remove knee joint lining,,,21,,RBRVS,10.43,7.02,7.02,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127340,CPT,Removal of kneecap bursa,,,21,,RBRVS,4.23,4.04,4.04,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127345,CPT,Removal of knee cyst,,,21,,RBRVS,5.98,4.89,4.89,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127347,CPT,Remove knee cyst,,,21,,RBRVS,6.58,5.26,5.26,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127350,CPT,Removal of kneecap,,,21,,RBRVS,8.54,6.25,6.25,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127355,CPT,Remove femur lesion,,,21,,RBRVS,7.89,5.81,5.81,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127356,CPT,Remove femur lesion/graft,,,21,,RBRVS,9.97,6.84,6.84,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127357,CPT,Remove femur lesion/graft,,,21,,RBRVS,11.02,7.48,7.48,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127358,CPT,Remove femur lesion/fixation,,,21,,RBRVS,4.73,1.81,1.81,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127360,CPT,"Partial removal, leg bone(s)",,,21,,RBRVS,11.34,8.05,8.05,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127365,CPT,Extensive leg surgery,,,21,,RBRVS,17.93,10.42,10.42,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127370,CPT,Injection for knee x-ray,,,21,,RBRVS,0.96,0.36,3,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127372,CPT,Removal of foreign body,,,21,,RBRVS,5.12,4.04,8.31,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127380,CPT,Repair of kneecap tendon,,,21,,RBRVS,7.34,6.06,6.06,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127381,CPT,Repair/graft kneecap tendon,,,21,,RBRVS,10.64,7.56,7.56,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127385,CPT,Repair of thigh muscle,,,21,,RBRVS,8,6.31,6.31,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127386,CPT,Repair/graft of thigh muscle,,,21,,RBRVS,10.99,7.93,7.93,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127390,CPT,Incision of thigh tendon,,,21,,RBRVS,5.44,4.47,4.47,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127391,CPT,Incision of thigh tendons,,,21,,RBRVS,7.38,5.55,5.55,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127392,CPT,Incision of thigh tendons,,,21,,RBRVS,9.51,6.67,6.67,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127393,CPT,Lengthening of thigh tendon,,,21,,RBRVS,6.5,4.96,4.96,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127394,CPT,Lengthening of thigh tendons,,,21,,RBRVS,8.68,6.15,6.15,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127395,CPT,Lengthening of thigh tendons,,,21,,RBRVS,12.1,7.93,7.93,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127396,CPT,Transplant of thigh tendon,,,21,,RBRVS,8.04,5.83,5.83,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127397,CPT,Transplants of thigh tendons,,,21,,RBRVS,12.46,8.35,8.35,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127400,CPT,Revise thigh muscles/tendons,,,21,,RBRVS,9.21,6.51,6.51,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127403,CPT,Repair of knee cartilage,,,21,,RBRVS,8.51,6.03,6.03,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127405,CPT,Repair of knee ligament,,,21,,RBRVS,8.96,6.39,6.39,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127407,CPT,Repair of knee ligament,,,21,,RBRVS,10.71,6.83,6.83,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127409,CPT,Repair of knee ligaments,,,21,,RBRVS,13.57,8.26,8.26,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127412,CPT,Autochondrocyte implant knee,,,21,,RBRVS,24.53,13.66,13.66,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127415,CPT,Osteochondral knee allograft,,,21,,RBRVS,19.79,11.79,11.79,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127416,CPT,Osteochondral knee autograft,,,21,,RBRVS,14,8.39,8.39,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127418,CPT,Repair degenerated kneecap,,,21,,RBRVS,11.46,7.57,7.57,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127420,CPT,Revision of unstable kneecap,,,21,,RBRVS,10.14,6.91,6.91,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127422,CPT,Revision of unstable kneecap,,,21,,RBRVS,10.09,6.88,6.88,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127424,CPT,Revision/removal of kneecap,,,21,,RBRVS,10.12,6.9,6.9,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127425,CPT,Lat retinacular release open,,,21,,RBRVS,5.28,4.7,4.7,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127427,CPT,"Reconstruction, knee",,,21,,RBRVS,9.67,6.7,6.7,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127428,CPT,"Reconstruction, knee",,,21,,RBRVS,15.33,10.05,10.05,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127429,CPT,"Reconstruction, knee",,,21,,RBRVS,17.24,11.26,11.26,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127430,CPT,Revision of thigh muscles,,,21,,RBRVS,10.04,6.84,6.84,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127435,CPT,Incision of knee joint,,,21,,RBRVS,10.68,7.59,7.59,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127437,CPT,Revise kneecap,,,21,,RBRVS,8.82,6.19,6.19,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127438,CPT,Revise kneecap with implant,,,21,,RBRVS,11.77,7.5,7.5,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127440,CPT,Revision of knee joint,,,21,,RBRVS,10.97,7,7,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127441,CPT,Revision of knee joint,,,21,,RBRVS,11.42,7.36,7.36,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127442,CPT,Revision of knee joint,,,21,,RBRVS,12.25,7.64,7.64,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127443,CPT,Revision of knee joint,,,21,,RBRVS,11.29,7.35,7.35,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127445,CPT,Revision of knee joint,,,21,,RBRVS,18.52,10.42,10.42,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127446,CPT,Revision of knee joint,,,21,,RBRVS,16.26,9.29,9.29,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127447,CPT,Total knee arthroplasty,,,21,,RBRVS,23.04,12.58,12.58,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127448,CPT,Incision of thigh,,,21,,RBRVS,11.48,7.32,7.32,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127450,CPT,Incision of thigh,,,21,,RBRVS,14.47,8.84,8.84,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127454,CPT,Realignment of thigh bone,,,21,,RBRVS,18.97,10.73,10.73,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127455,CPT,Realignment of knee,,,21,,RBRVS,13.24,8.31,8.31,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127457,CPT,Realignment of knee,,,21,,RBRVS,13.92,8.23,8.23,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127465,CPT,Shortening of thigh bone,,,21,,RBRVS,18.44,10.29,10.29,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127466,CPT,Lengthening of thigh bone,,,21,,RBRVS,17.13,10.06,10.06,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127468,CPT,Shorten/lengthen thighs,,,21,,RBRVS,19.82,11.17,11.17,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127470,CPT,Repair of thigh,,,21,,RBRVS,16.97,10.16,10.16,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127472,CPT,Repair/graft of thigh,,,21,,RBRVS,18.57,10.64,10.64,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127475,CPT,Surgery to stop leg growth,,,21,,RBRVS,8.82,6.2,6.2,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127477,CPT,Surgery to stop leg growth,,,21,,RBRVS,10.03,6.6,6.6,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127479,CPT,Surgery to stop leg growth,,,21,,RBRVS,13.04,8.85,8.85,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127485,CPT,Surgery to stop leg growth,,,21,,RBRVS,9.02,6.22,6.22,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127486,CPT,Revise/replace knee joint,,,21,,RBRVS,20.92,11.63,11.63,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127487,CPT,Revise/replace knee joint,,,21,,RBRVS,26.91,13.98,13.98,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127488,CPT,Removal of knee prosthesis,,,21,,RBRVS,17.4,10.25,10.25,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127495,CPT,Reinforce thigh,,,21,,RBRVS,16.4,9.6,9.6,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127496,CPT,Decompression of thigh/knee,,,21,,RBRVS,6.66,4.98,4.98,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127497,CPT,Decompression of thigh/knee,,,21,,RBRVS,7.7,4.99,4.99,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127498,CPT,Decompression of thigh/knee,,,21,,RBRVS,8.54,5.19,5.19,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127499,CPT,Decompression of thigh/knee,,,21,,RBRVS,9.31,5.98,5.98,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127500,CPT,Treatment of thigh fracture,,,21,,RBRVS,6.21,4.58,5.36,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127501,CPT,Treatment of thigh fracture,,,21,,RBRVS,6.34,4.92,5.01,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127502,CPT,Treatment of thigh fracture,,,21,,RBRVS,11.24,6.86,6.86,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127503,CPT,Treatment of thigh fracture,,,21,,RBRVS,11.13,7.22,7.22,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127506,CPT,Treatment of thigh fracture,,,21,,RBRVS,19.42,11.37,11.37,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127507,CPT,Treatment of thigh fracture,,,21,,RBRVS,14.39,8.13,8.13,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127508,CPT,Treatment of thigh fracture,,,21,,RBRVS,6.08,5.05,5.69,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127509,CPT,Treatment of thigh fracture,,,21,,RBRVS,8.02,6.54,6.54,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127510,CPT,Treatment of thigh fracture,,,21,,RBRVS,9.68,6.27,6.27,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127511,CPT,Treatment of thigh fracture,,,21,,RBRVS,14.97,8.11,8.11,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127513,CPT,Treatment of thigh fracture,,,21,,RBRVS,19.11,9.75,9.75,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127514,CPT,Treatment of thigh fracture,,,21,,RBRVS,14.46,7.89,7.89,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127516,CPT,Treat thigh fx growth plate,,,21,,RBRVS,5.45,5.07,5.72,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127517,CPT,Treat thigh fx growth plate,,,21,,RBRVS,8.98,6.42,6.42,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127519,CPT,Treat thigh fx growth plate,,,21,,RBRVS,13.11,7.39,7.39,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127520,CPT,Treat kneecap fracture,,,21,,RBRVS,2.93,3.53,4.1,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127524,CPT,Treat kneecap fracture,,,21,,RBRVS,10.25,6.94,6.94,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127530,CPT,Treat knee fracture,,,21,,RBRVS,3.97,4.26,4.82,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127532,CPT,Treat knee fracture,,,21,,RBRVS,7.43,5.63,6.4,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127535,CPT,Treat knee fracture,,,21,,RBRVS,13.27,7.45,7.45,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127536,CPT,Treat knee fracture,,,21,,RBRVS,17.19,10.2,10.2,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127538,CPT,Treat knee fracture(s),,,21,,RBRVS,4.95,4.89,5.51,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127540,CPT,Treat knee fracture,,,21,,RBRVS,11.16,7.39,7.39,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127550,CPT,Treat knee dislocation,,,21,,RBRVS,5.84,4.51,5.21,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127552,CPT,Treat knee dislocation,,,21,,RBRVS,8.04,6.09,6.09,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127556,CPT,Treat knee dislocation,,,21,,RBRVS,12.86,7.26,7.26,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127557,CPT,Treat knee dislocation,,,21,,RBRVS,15.76,8.45,8.45,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127558,CPT,Treat knee dislocation,,,21,,RBRVS,18.25,9.29,9.29,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127560,CPT,Treat kneecap dislocation,,,21,,RBRVS,3.88,3.72,4.25,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127562,CPT,Treat kneecap dislocation,,,21,,RBRVS,5.86,4.61,4.61,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127566,CPT,Treat kneecap dislocation,,,21,,RBRVS,12.59,7.89,7.89,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127570,CPT,Fixation of knee joint,,,21,,RBRVS,1.76,1.62,1.62,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127580,CPT,Fusion of knee,,,21,,RBRVS,20.9,12.19,12.19,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127590,CPT,Amputate leg at thigh,,,21,,RBRVS,13.35,6.02,6.02,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127591,CPT,Amputate leg at thigh,,,21,,RBRVS,13.82,7.35,7.35,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127592,CPT,Amputate leg at thigh,,,21,,RBRVS,10.86,5.45,5.45,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127594,CPT,Amputation follow-up surgery,,,21,,RBRVS,7.17,4.73,4.73,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127596,CPT,Amputation follow-up surgery,,,21,,RBRVS,11.15,5.98,5.98,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127598,CPT,Amputate lower leg at knee,,,21,,RBRVS,11.08,6.2,6.2,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127599,CPT,Leg surgery procedure,,,21,,TotalUnits,,,,19.68,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127600,CPT,Decompression of lower leg,,,21,,RBRVS,5.94,3.8,3.8,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127601,CPT,Decompression of lower leg,,,21,,RBRVS,5.94,4.18,4.18,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127602,CPT,Decompression of lower leg,,,21,,RBRVS,7.71,4.29,4.29,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127603,CPT,Drain lower leg lesion,,,21,,RBRVS,5.12,3.9,7.05,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127604,CPT,Drain lower leg bursa,,,21,,RBRVS,4.51,3.43,6.49,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127605,CPT,Incision of achilles tendon,,,21,,RBRVS,2.89,1.74,5.16,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127606,CPT,Incision of achilles tendon,,,21,,RBRVS,4.15,2.63,2.63,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127607,CPT,Treat lower leg bone lesion,,,21,,RBRVS,8.51,5.7,5.7,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127610,CPT,Explore/treat ankle joint,,,21,,RBRVS,9.01,6.11,6.11,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127612,CPT,Exploration of ankle joint,,,21,,RBRVS,8.01,5.18,5.18,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127613,CPT,Biopsy lower leg soft tissue,,,21,,RBRVS,2.19,1.78,3.91,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127614,CPT,Biopsy lower leg soft tissue,,,21,,RBRVS,5.71,3.94,7.76,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127615,CPT,"Remove tumor, lower leg",,,21,,RBRVS,12.93,7.28,7.28,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127618,CPT,Remove lower leg lesion,,,21,,RBRVS,5.14,3.8,6.44,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127619,CPT,Remove lower leg lesion,,,21,,RBRVS,8.47,5.28,10,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127620,CPT,Explore/treat ankle joint,,,21,,RBRVS,6.04,4.57,4.57,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127625,CPT,Remove ankle joint lining,,,21,,RBRVS,8.37,5.5,5.5,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127626,CPT,Remove ankle joint lining,,,21,,RBRVS,8.98,5.78,5.78,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127630,CPT,Removal of tendon lesion,,,21,,RBRVS,4.85,3.81,7.99,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127635,CPT,Remove lower leg bone lesion,,,21,,RBRVS,7.91,5.63,5.63,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127637,CPT,Remove/graft leg bone lesion,,,21,,RBRVS,10.17,6.91,6.91,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127638,CPT,Remove/graft leg bone lesion,,,21,,RBRVS,10.87,7.05,7.05,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127640,CPT,Partial removal of tibia,,,21,,RBRVS,12.1,7.47,7.47,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127641,CPT,Partial removal of fibula,,,21,,RBRVS,9.73,6.09,6.09,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127645,CPT,Extensive lower leg surgery,,,21,,RBRVS,14.78,8.74,8.74,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127646,CPT,Extensive lower leg surgery,,,21,,RBRVS,13.21,7.64,7.64,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127647,CPT,Extensive ankle/heel surgery,,,21,,RBRVS,12.85,6.54,6.54,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127648,CPT,Injection for ankle x-ray,,,21,,RBRVS,0.96,0.34,2.88,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127650,CPT,Repair achilles tendon,,,21,,RBRVS,9.94,6.16,6.16,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127652,CPT,Repair/graft achilles tendon,,,21,,RBRVS,10.64,6.44,6.44,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127654,CPT,Repair of achilles tendon,,,21,,RBRVS,10.32,5.99,5.99,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127656,CPT,Repair leg fascia defect,,,21,,RBRVS,4.62,3.58,7.96,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127658,CPT,"Repair of leg tendon, each",,,21,,RBRVS,5.03,3.89,3.89,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127659,CPT,"Repair of leg tendon, each",,,21,,RBRVS,6.99,4.68,4.68,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127664,CPT,"Repair of leg tendon, each",,,21,,RBRVS,4.64,3.88,3.88,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127665,CPT,"Repair of leg tendon, each",,,21,,RBRVS,5.46,4.33,4.33,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127675,CPT,Repair lower leg tendons,,,21,,RBRVS,7.24,4.67,4.67,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127676,CPT,Repair lower leg tendons,,,21,,RBRVS,8.61,5.73,5.73,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127680,CPT,Release of lower leg tendon,,,21,,RBRVS,5.79,4.16,4.16,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127681,CPT,Release of lower leg tendons,,,21,,RBRVS,6.94,5.09,5.09,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127685,CPT,Revision of lower leg tendon,,,21,,RBRVS,6.57,4.57,8.78,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127686,CPT,Revise lower leg tendons,,,21,,RBRVS,7.64,5.29,5.29,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127687,CPT,Revision of calf tendon,,,21,,RBRVS,6.3,4.47,4.47,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127690,CPT,Revise lower leg tendon,,,21,,RBRVS,8.96,5.37,5.37,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127691,CPT,Revise lower leg tendon,,,21,,RBRVS,10.28,6.66,6.66,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127692,CPT,Revise additional leg tendon,,,21,,RBRVS,1.87,0.71,0.71,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127695,CPT,Repair of ankle ligament,,,21,,RBRVS,6.58,4.88,4.88,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127696,CPT,Repair of ankle ligaments,,,21,,RBRVS,8.46,5.26,5.26,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127698,CPT,Repair of ankle ligament,,,21,,RBRVS,9.49,5.87,5.87,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127700,CPT,Revision of ankle joint,,,21,,RBRVS,9.54,5.21,5.21,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127702,CPT,Reconstruct ankle joint,,,21,,RBRVS,14.28,8.65,8.65,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127703,CPT,"Reconstruction, ankle joint",,,21,,RBRVS,16.79,9.78,9.78,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127704,CPT,Removal of ankle implant,,,21,,RBRVS,7.69,5.62,5.62,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127705,CPT,Incision of tibia,,,21,,RBRVS,10.74,6.96,6.96,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127707,CPT,Incision of fibula,,,21,,RBRVS,4.67,4.49,4.49,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127709,CPT,Incision of tibia & fibula,,,21,,RBRVS,17.32,9.96,9.96,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127712,CPT,Realignment of lower leg,,,21,,RBRVS,15.67,9.45,9.45,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127715,CPT,Revision of lower leg,,,21,,RBRVS,15.36,9.04,9.04,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127720,CPT,Repair of tibia,,,21,,RBRVS,12.22,7.93,7.93,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127722,CPT,Repair/graft of tibia,,,21,,RBRVS,12.31,7.89,7.89,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127724,CPT,Repair/graft of tibia,,,21,,RBRVS,19.18,10.29,10.29,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127725,CPT,Repair of lower leg,,,21,,RBRVS,17.15,10.59,10.59,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127726,CPT,Repair fibula nonunion,,,21,,RBRVS,14.2,7.68,7.68,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127727,CPT,Repair of lower leg,,,21,,RBRVS,14.69,9.07,9.07,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127730,CPT,Repair of tibia epiphysis,,,21,,RBRVS,7.59,5.31,5.31,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127732,CPT,Repair of fibula epiphysis,,,21,,RBRVS,5.37,4.17,4.17,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127734,CPT,Repair lower leg epiphyses,,,21,,RBRVS,8.72,6.17,6.17,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127740,CPT,Repair of leg epiphyses,,,21,,RBRVS,9.49,6.61,6.61,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127742,CPT,Repair of leg epiphyses,,,21,,RBRVS,10.49,4.6,4.6,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127745,CPT,Reinforce tibia,,,21,,RBRVS,10.37,7,7,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127750,CPT,Treatment of tibia fracture,,,21,,RBRVS,3.26,3.74,4.32,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127752,CPT,Treatment of tibia fracture,,,21,,RBRVS,6.15,5.11,5.95,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127756,CPT,Treatment of tibia fracture,,,21,,RBRVS,7.33,5.76,5.76,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127758,CPT,Treatment of tibia fracture,,,21,,RBRVS,12.4,8.03,8.03,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127759,CPT,Treatment of tibia fracture,,,21,,RBRVS,14.31,8.67,8.67,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127760,CPT,Treatment of ankle fracture,,,21,,RBRVS,3.09,3.68,4.28,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127762,CPT,Treatment of ankle fracture,,,21,,RBRVS,5.33,4.65,5.48,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127766,CPT,Treatment of ankle fracture,,,21,,RBRVS,7.73,6.13,6.13,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127767,CPT,Cltx post ankle fx,,,21,,RBRVS,2.5,3.65,3.62,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127768,CPT,Cltx post ankle fx w/mnpj,,,21,,RBRVS,5,4.3,4.3,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127769,CPT,Optx post ankle fx,,,21,,RBRVS,10,6.08,6.08,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127780,CPT,Treatment of fibula fracture,,,21,,RBRVS,2.72,3.31,3.87,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127781,CPT,Treatment of fibula fracture,,,21,,RBRVS,4.47,4.26,4.88,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127784,CPT,Treatment of fibula fracture,,,21,,RBRVS,9.51,6.85,6.85,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127786,CPT,Treatment of ankle fracture,,,21,,RBRVS,2.91,3.43,4.05,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127788,CPT,Treatment of ankle fracture,,,21,,RBRVS,4.52,4.23,4.97,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127792,CPT,Treatment of ankle fracture,,,21,,RBRVS,9.55,6.81,6.81,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127808,CPT,Treatment of ankle fracture,,,21,,RBRVS,2.91,3.71,4.4,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127810,CPT,Treatment of ankle fracture,,,21,,RBRVS,5.2,4.55,5.41,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127814,CPT,Treatment of ankle fracture,,,21,,RBRVS,10.46,7.24,7.24,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127816,CPT,Treatment of ankle fracture,,,21,,RBRVS,2.96,3.33,3.99,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127818,CPT,Treatment of ankle fracture,,,21,,RBRVS,5.57,4.44,5.41,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127822,CPT,Treatment of ankle fracture,,,21,,RBRVS,11.03,8.21,8.21,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127823,CPT,Treatment of ankle fracture,,,21,,RBRVS,12.98,8.94,8.94,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127824,CPT,Treat lower leg fracture,,,21,,RBRVS,3.2,3.47,3.65,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127825,CPT,Treat lower leg fracture,,,21,,RBRVS,6.6,4.76,5.78,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127826,CPT,Treat lower leg fracture,,,21,,RBRVS,10.92,8.21,8.21,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127827,CPT,Treat lower leg fracture,,,21,,RBRVS,14.56,10.19,10.19,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127828,CPT,Treat lower leg fracture,,,21,,RBRVS,18.2,11.58,11.58,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127829,CPT,Treat lower leg joint,,,21,,RBRVS,8.64,6.97,6.97,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127830,CPT,Treat lower leg dislocation,,,21,,RBRVS,3.85,3.56,4.09,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127831,CPT,Treat lower leg dislocation,,,21,,RBRVS,4.62,4.06,4.06,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127832,CPT,Treat lower leg dislocation,,,21,,RBRVS,10.01,6.83,6.83,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127840,CPT,Treat ankle dislocation,,,21,,RBRVS,4.65,3.65,3.65,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127842,CPT,Treat ankle dislocation,,,21,,RBRVS,6.34,4.85,4.85,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127846,CPT,Treat ankle dislocation,,,21,,RBRVS,10.16,6.77,6.77,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127848,CPT,Treat ankle dislocation,,,21,,RBRVS,11.56,7.32,7.32,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127860,CPT,Fixation of ankle joint,,,21,,RBRVS,2.36,1.69,1.69,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127870,CPT,"Fusion of ankle joint, open",,,21,,RBRVS,15.21,9.08,9.08,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127871,CPT,Fusion of tibiofibular joint,,,21,,RBRVS,9.42,6.54,6.54,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127880,CPT,Amputation of lower leg,,,21,,RBRVS,15.24,6.65,6.65,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127881,CPT,Amputation of lower leg,,,21,,RBRVS,13.32,7.38,7.38,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127882,CPT,Amputation of lower leg,,,21,,RBRVS,9.67,4.91,4.91,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127884,CPT,Amputation follow-up surgery,,,21,,RBRVS,8.64,5.11,5.11,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127886,CPT,Amputation follow-up surgery,,,21,,RBRVS,9.88,5.65,5.65,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127888,CPT,Amputation of foot at ankle,,,21,,RBRVS,10.23,6.01,6.01,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127889,CPT,Amputation of foot at ankle,,,21,,RBRVS,10.72,5.44,5.44,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127892,CPT,Decompression of leg,,,21,,RBRVS,7.82,5.1,5.1,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127893,CPT,Decompression of leg,,,21,,RBRVS,7.78,5.13,5.13,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127894,CPT,Decompression of leg,,,21,,RBRVS,12.42,7.34,7.34,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100127899,CPT,Leg/ankle surgery procedure,,,21,,TotalUnits,,,,11.65,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100128001,CPT,Drainage of bursa of foot,,,21,,RBRVS,2.75,1.61,4,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100128002,CPT,Treatment of foot infection,,,21,,RBRVS,5.78,3.57,6.68,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100128003,CPT,Treatment of foot infection,,,21,,RBRVS,8.95,4.56,7.78,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100128005,CPT,Treat foot bone lesion,,,21,,RBRVS,9.3,5.53,5.53,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100128008,CPT,Incision of foot fascia,,,21,,RBRVS,4.5,3,6.17,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100128010,CPT,Incision of toe tendon,,,21,,RBRVS,2.89,2.35,2.86,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100128011,CPT,Incision of toe tendons,,,21,,RBRVS,4.19,3.03,3.8,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100128020,CPT,Exploration of foot joint,,,21,,RBRVS,5.06,3.58,7.37,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100128022,CPT,Exploration of foot joint,,,21,,RBRVS,4.72,3.33,6.93,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100128024,CPT,Exploration of toe joint,,,21,,RBRVS,4.43,3.12,6.56,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100128035,CPT,Decompression of tibia nerve,,,21,,RBRVS,5.14,3.55,7.28,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100128043,CPT,Excision of foot lesion,,,21,,RBRVS,3.58,2.73,4.78,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100128045,CPT,Excision of foot lesion,,,21,,RBRVS,4.77,3.24,7.03,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100128046,CPT,"Resection of tumor, foot",,,21,,RBRVS,10.55,5.76,10.37,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100128050,CPT,Biopsy of foot joint lining,,,21,,RBRVS,4.3,3.3,6.95,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100128052,CPT,Biopsy of foot joint lining,,,21,,RBRVS,3.98,2.87,6.3,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100128054,CPT,Biopsy of toe joint lining,,,21,,RBRVS,3.49,2.8,6.25,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100128055,CPT,"Neurectomy, foot",,,21,,RBRVS,6.2,3.44,3.44,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100128060,CPT,"Partial removal, foot fascia",,,21,,RBRVS,5.29,3.54,7.08,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100128062,CPT,Removal of foot fascia,,,21,,RBRVS,6.58,3.82,7.83,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100128070,CPT,Removal of foot joint lining,,,21,,RBRVS,5.15,3.54,7.37,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100128072,CPT,Removal of foot joint lining,,,21,,RBRVS,4.63,3.6,7.57,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100128080,CPT,Removal of foot lesion,,,21,,RBRVS,4.65,4.19,7.67,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100128086,CPT,Excise foot tendon sheath,,,21,,RBRVS,4.83,3.81,7.87,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100128088,CPT,Excise foot tendon sheath,,,21,,RBRVS,3.9,3.19,7,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100128090,CPT,Removal of foot lesion,,,21,,RBRVS,4.46,3.18,6.77,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100128092,CPT,Removal of toe lesions,,,21,,RBRVS,3.69,2.99,6.47,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100128100,CPT,Removal of ankle/heel lesion,,,21,,RBRVS,5.72,4,8.1,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100128102,CPT,Remove/graft foot lesion,,,21,,RBRVS,7.8,4.84,4.84,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100128103,CPT,Remove/graft foot lesion,,,21,,RBRVS,6.56,4.03,4.03,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100128104,CPT,Removal of foot lesion,,,21,,RBRVS,5.17,3.47,7.23,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100128106,CPT,Remove/graft foot lesion,,,21,,RBRVS,7.23,4.23,4.23,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100128107,CPT,Remove/graft foot lesion,,,21,,RBRVS,5.62,3.66,7.7,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100128108,CPT,Removal of toe lesions,,,21,,RBRVS,4.21,2.99,6.35,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100128110,CPT,Part removal of metatarsal,,,21,,RBRVS,4.13,3.06,6.93,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100128111,CPT,Part removal of metatarsal,,,21,,RBRVS,5.06,3.2,7.1,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100128112,CPT,Part removal of metatarsal,,,21,,RBRVS,4.54,3.24,7.19,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100128113,CPT,Part removal of metatarsal,,,21,,RBRVS,5.88,4.61,8.37,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100128114,CPT,Removal of metatarsal heads,,,21,,RBRVS,11.61,8.3,13.4,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100128116,CPT,Revision of foot,,,21,,RBRVS,8.94,5.34,9.45,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100128118,CPT,Removal of heel bone,,,21,,RBRVS,6.02,4.02,7.93,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100128119,CPT,Removal of heel spur,,,21,,RBRVS,5.45,3.58,7.22,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100128120,CPT,Part removal of ankle/heel,,,21,,RBRVS,5.64,3.97,8.09,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100128122,CPT,Partial removal of foot bone,,,21,,RBRVS,7.56,4.78,8.47,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100128124,CPT,Partial removal of toe,,,21,,RBRVS,4.88,3.46,6.78,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100128126,CPT,Partial removal of toe,,,21,,RBRVS,3.56,2.66,5.96,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100128130,CPT,Removal of ankle bone,,,21,,RBRVS,9.3,6.16,6.16,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100128140,CPT,Removal of metatarsal,,,21,,RBRVS,7.03,4.12,7.82,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100128150,CPT,Removal of toe,,,21,,RBRVS,4.14,2.98,6.36,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100128153,CPT,Partial removal of toe,,,21,,RBRVS,3.71,2.89,6.21,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100128160,CPT,Partial removal of toe,,,21,,RBRVS,3.79,2.93,6.31,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100128171,CPT,Extensive foot surgery,,,21,,RBRVS,9.85,5.26,5.26,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100128173,CPT,Extensive foot surgery,,,21,,RBRVS,9.05,4.61,8.74,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100128175,CPT,Extensive foot surgery,,,21,,RBRVS,6.17,3.63,7.14,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100128190,CPT,Removal of foot foreign body,,,21,,RBRVS,1.98,1.34,4.01,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100128192,CPT,Removal of foot foreign body,,,21,,RBRVS,4.69,3.19,6.72,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100128193,CPT,Removal of foot foreign body,,,21,,RBRVS,5.79,3.63,7.34,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100128200,CPT,Repair of foot tendon,,,21,,RBRVS,4.65,3.23,6.88,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100128202,CPT,Repair/graft of foot tendon,,,21,,RBRVS,6.96,3.94,7.77,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100128208,CPT,Repair of foot tendon,,,21,,RBRVS,4.42,3.19,6.7,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100128210,CPT,Repair/graft of foot tendon,,,21,,RBRVS,6.41,3.93,7.63,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100128220,CPT,Release of foot tendon,,,21,,RBRVS,4.58,3.08,6.42,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100128222,CPT,Release of foot tendons,,,21,,RBRVS,5.67,3.35,6.93,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100128225,CPT,Release of foot tendon,,,21,,RBRVS,3.7,2.72,6.02,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100128226,CPT,Release of foot tendons,,,21,,RBRVS,4.58,3.25,6.89,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100128230,CPT,Incision of foot tendon(s),,,21,,RBRVS,4.28,2.88,6.27,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100128232,CPT,Incision of toe tendon,,,21,,RBRVS,3.43,2.68,5.94,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100128234,CPT,Incision of foot tendon,,,21,,RBRVS,3.43,3.06,6.3,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100128238,CPT,Revision of foot tendon,,,21,,RBRVS,7.85,4.37,8.39,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100128240,CPT,Release of big toe,,,21,,RBRVS,4.4,2.95,6.36,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100128250,CPT,Revision of foot fascia,,,21,,RBRVS,5.97,3.82,7.56,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100128260,CPT,Release of midfoot joint,,,21,,RBRVS,8.08,4.61,8.45,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100128261,CPT,Revision of foot tendon,,,21,,RBRVS,12.91,6.33,10.68,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100128262,CPT,Revision of foot and ankle,,,21,,RBRVS,17.01,9.74,15.54,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100128264,CPT,Release of midfoot joint,,,21,,RBRVS,10.53,5.95,10.32,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100128270,CPT,Release of foot contracture,,,21,,RBRVS,4.82,3.44,6.92,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100128272,CPT,"Release of toe joint, each",,,21,,RBRVS,3.84,2.65,5.84,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100128280,CPT,Fusion of toes,,,21,,RBRVS,5.24,3.54,7.29,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100128285,CPT,Repair of hammertoe,,,21,,RBRVS,4.65,3.35,6.71,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100128286,CPT,Repair of hammertoe,,,21,,RBRVS,4.61,3.06,6.53,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100128288,CPT,Partial removal of foot bone,,,21,,RBRVS,5.81,4.69,8.6,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100128289,CPT,Repair hallux rigidus,,,21,,RBRVS,8.11,5.34,9.43,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100128290,CPT,Correction of bunion,,,21,,RBRVS,5.72,3.96,8.19,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100128292,CPT,Correction of bunion,,,21,,RBRVS,8.72,6.16,10.35,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100128293,CPT,Correction of bunion,,,21,,RBRVS,11.1,6.92,14.48,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100128294,CPT,Correction of bunion,,,21,,RBRVS,8.63,4.77,9.46,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100128296,CPT,Correction of bunion,,,21,,RBRVS,9.31,4.79,9.58,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100128297,CPT,Correction of bunion,,,21,,RBRVS,9.31,5.33,10.47,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100128298,CPT,Correction of bunion,,,21,,RBRVS,8.01,4.59,9.3,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100128299,CPT,Correction of bunion,,,21,,RBRVS,11.39,5.73,10.55,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100128300,CPT,Incision of heel bone,,,21,,RBRVS,9.61,6.04,6.04,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100128302,CPT,Incision of ankle bone,,,21,,RBRVS,9.62,6.21,6.21,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100128304,CPT,Incision of midfoot bones,,,21,,RBRVS,9.29,5.08,9.56,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100128305,CPT,Incise/graft midfoot bones,,,21,,RBRVS,10.63,5.79,5.79,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100128306,CPT,Incision of metatarsal,,,21,,RBRVS,5.91,3.89,8.42,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100128307,CPT,Incision of metatarsal,,,21,,RBRVS,6.39,4.33,9.28,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100128308,CPT,Incision of metatarsal,,,21,,RBRVS,5.36,3.83,7.92,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100128309,CPT,Incision of metatarsals,,,21,,RBRVS,13.96,7.69,7.69,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100128310,CPT,Revision of big toe,,,21,,RBRVS,5.48,3.42,7.55,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100128312,CPT,Revision of toe,,,21,,RBRVS,4.6,3.23,7.38,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100128313,CPT,Repair deformity of toe,,,21,,RBRVS,5.06,3.61,7.27,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100128315,CPT,Removal of sesamoid bone,,,21,,RBRVS,4.91,3.22,6.68,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100128320,CPT,Repair of foot bones,,,21,,RBRVS,9.25,5.69,5.69,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100128322,CPT,Repair of metatarsals,,,21,,RBRVS,8.41,5.32,9.75,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100128340,CPT,Resect enlarged toe tissue,,,21,,RBRVS,7.04,4.08,8.1,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100128341,CPT,Resect enlarged toe,,,21,,RBRVS,8.6,4.42,8.6,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100128344,CPT,Repair extra toe(s),,,21,,RBRVS,4.31,2.93,6.42,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100128345,CPT,Repair webbed toe(s),,,21,,RBRVS,5.98,3.79,7.62,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100128360,CPT,Reconstruct cleft foot,,,21,,RBRVS,14.67,6.35,6.35,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100128400,CPT,Treatment of heel fracture,,,21,,RBRVS,2.22,2.92,3.37,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100128405,CPT,Treatment of heel fracture,,,21,,RBRVS,4.63,3.68,4.43,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100128406,CPT,Treatment of heel fracture,,,21,,RBRVS,6.44,5.56,5.56,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100128415,CPT,Treat heel fracture,,,21,,RBRVS,15.96,10.25,10.25,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100128420,CPT,Treat/graft heel fracture,,,21,,RBRVS,17.29,10.28,10.28,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100128430,CPT,Treatment of ankle fracture,,,21,,RBRVS,2.14,2.57,3.12,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100128435,CPT,Treatment of ankle fracture,,,21,,RBRVS,3.45,3.26,3.99,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100128436,CPT,Treatment of ankle fracture,,,21,,RBRVS,4.78,4.75,4.75,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100128445,CPT,Treat ankle fracture,,,21,,RBRVS,15.53,9.49,9.49,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100128446,CPT,Osteochondral talus autogrft,,,21,,RBRVS,17.5,10.36,10.36,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100128450,CPT,"Treat midfoot fracture, each",,,21,,RBRVS,1.95,2.42,2.92,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100128455,CPT,"Treat midfoot fracture, each",,,21,,RBRVS,3.15,3.1,3.74,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100128456,CPT,Treat midfoot fracture,,,21,,RBRVS,2.75,3.73,3.73,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100128465,CPT,"Treat midfoot fracture, each",,,21,,RBRVS,8.64,6.07,6.07,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100128470,CPT,Treat metatarsal fracture,,,21,,RBRVS,1.99,2.36,2.8,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100128475,CPT,Treat metatarsal fracture,,,21,,RBRVS,2.97,2.52,3.13,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100128476,CPT,Treat metatarsal fracture,,,21,,RBRVS,3.46,4.33,4.33,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100128485,CPT,Treat metatarsal fracture,,,21,,RBRVS,7.28,5.56,5.56,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100128490,CPT,Treat big toe fracture,,,21,,RBRVS,1.12,1.67,2.09,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100128495,CPT,Treat big toe fracture,,,21,,RBRVS,1.62,1.87,2.46,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100128496,CPT,Treat big toe fracture,,,21,,RBRVS,2.39,2.99,7.42,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100128505,CPT,Treat big toe fracture,,,21,,RBRVS,7.28,4.82,8.46,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100128510,CPT,Treatment of toe fracture,,,21,,RBRVS,1.12,1.61,1.69,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100128515,CPT,Treatment of toe fracture,,,21,,RBRVS,1.5,1.82,2.22,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100128525,CPT,Treat toe fracture,,,21,,RBRVS,5.46,4.32,8.12,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100128530,CPT,Treat sesamoid bone fracture,,,21,,RBRVS,1.08,1.34,1.62,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100128531,CPT,Treat sesamoid bone fracture,,,21,,RBRVS,2.51,2.43,6.55,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100128540,CPT,Treat foot dislocation,,,21,,RBRVS,2.1,2.31,2.75,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100128545,CPT,Treat foot dislocation,,,21,,RBRVS,2.51,2.81,3.43,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100128546,CPT,Treat foot dislocation,,,21,,RBRVS,3.28,3.64,8.06,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100128555,CPT,Repair foot dislocation,,,21,,RBRVS,9.49,6.29,10.81,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100128570,CPT,Treat foot dislocation,,,21,,RBRVS,1.7,1.91,2.49,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100128575,CPT,Treat foot dislocation,,,21,,RBRVS,3.38,3.72,4.42,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100128576,CPT,Treat foot dislocation,,,21,,RBRVS,4.48,4.06,4.06,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100128585,CPT,Repair foot dislocation,,,21,,RBRVS,10.92,6.97,11.57,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100128600,CPT,Treat foot dislocation,,,21,,RBRVS,1.94,2.37,3.03,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100128605,CPT,Treat foot dislocation,,,21,,RBRVS,2.78,3.27,3.89,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100128606,CPT,Treat foot dislocation,,,21,,RBRVS,4.97,4.12,4.12,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100128615,CPT,Repair foot dislocation,,,21,,RBRVS,10.46,8.14,8.14,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100128630,CPT,Treat toe dislocation,,,21,,RBRVS,1.72,0.91,1.85,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100128635,CPT,Treat toe dislocation,,,21,,RBRVS,1.93,1.33,2.27,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100128636,CPT,Treat toe dislocation,,,21,,RBRVS,2.77,2.05,4.39,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100128645,CPT,Repair toe dislocation,,,21,,RBRVS,7.28,4.62,8.34,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100128660,CPT,Treat toe dislocation,,,21,,RBRVS,1.25,0.78,1.3,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100128665,CPT,Treat toe dislocation,,,21,,RBRVS,1.94,1.33,1.82,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100128666,CPT,Treat toe dislocation,,,21,,RBRVS,2.66,1.83,1.83,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100128675,CPT,Repair of toe dislocation,,,21,,RBRVS,5.46,4.45,8.24,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100128705,CPT,Fusion of foot bones,,,21,,RBRVS,20.12,10.66,10.66,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100128715,CPT,Fusion of foot bones,,,21,,RBRVS,14.4,8.49,8.49,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100128725,CPT,Fusion of foot bones,,,21,,RBRVS,11.97,6.82,6.82,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100128730,CPT,Fusion of foot bones,,,21,,RBRVS,12.21,7.76,7.76,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100128735,CPT,Fusion of foot bones,,,21,,RBRVS,12.03,6.97,6.97,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100128737,CPT,Revision of foot bones,,,21,,RBRVS,10.83,6.07,6.07,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100128740,CPT,Fusion of foot bones,,,21,,RBRVS,9.09,5.99,10.87,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100128750,CPT,Fusion of big toe joint,,,21,,RBRVS,8.37,5.88,10.77,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100128755,CPT,Fusion of big toe joint,,,21,,RBRVS,4.79,3.35,7.26,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100128760,CPT,Fusion of big toe joint,,,21,,RBRVS,8.94,5.27,9.87,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100128800,CPT,Amputation of midfoot,,,21,,RBRVS,8.65,5.01,5.01,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100128805,CPT,Amputation thru metatarsal,,,21,,RBRVS,12.55,5.9,5.9,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100128810,CPT,Amputation toe & metatarsal,,,21,,RBRVS,6.52,4.06,4.06,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100128820,CPT,Amputation of toe,,,21,,RBRVS,4.89,3.55,7.65,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100128825,CPT,Partial amputation of toe,,,21,,RBRVS,3.71,3.13,7.13,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100128890,CPT,"High energy eswt, plantar f",,,21,,RBRVS,3.36,2.2,4.57,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100128899,CPT,Foot/toes surgery procedure,,,21,,TotalUnits,,,,9.04,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100129000,CPT,Application of body cast,,,21,,RBRVS,2.25,1.64,4.01,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100129010,CPT,Application of body cast,,,21,,RBRVS,2.06,1.62,4.38,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100129015,CPT,Application of body cast,,,21,,RBRVS,2.41,1.56,3.61,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100129020,CPT,Application of body cast,,,21,,RBRVS,2.11,1.41,3.81,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100129025,CPT,Application of body cast,,,21,,RBRVS,2.4,1.76,4.04,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100129035,CPT,Application of body cast,,,21,,RBRVS,1.77,1.48,3.7,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100129040,CPT,Application of body cast,,,21,,RBRVS,2.22,1.34,3.28,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100129044,CPT,Application of body cast,,,21,,RBRVS,2.12,1.47,3.58,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100129046,CPT,Application of body cast,,,21,,RBRVS,2.41,1.91,4.49,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100129049,CPT,Application of figure eight,,,21,,RBRVS,0.89,0.59,1.12,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100129055,CPT,Application of shoulder cast,,,21,,RBRVS,1.78,1.23,2.82,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100129058,CPT,Application of shoulder cast,,,21,,RBRVS,1.31,0.67,1.26,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100129065,CPT,Application of long arm cast,,,21,,RBRVS,0.87,0.7,1.28,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100129075,CPT,Application of forearm cast,,,21,,RBRVS,0.77,0.66,1.24,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100129085,CPT,Apply hand/wrist cast,,,21,,RBRVS,0.87,0.68,1.26,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100129086,CPT,Apply finger cast,,,21,,RBRVS,0.62,0.55,1.08,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100129105,CPT,Apply long arm splint,,,21,,RBRVS,0.87,0.53,1.09,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100129125,CPT,Apply forearm splint,,,21,,RBRVS,0.59,0.42,0.97,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100129126,CPT,Apply forearm splint,,,21,,RBRVS,0.77,0.48,1.01,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100129130,CPT,Application of finger splint,,,21,,RBRVS,0.5,0.18,0.43,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100129131,CPT,Application of finger splint,,,21,,RBRVS,0.55,0.24,0.59,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100129200,CPT,Strapping of chest,,,21,,RBRVS,0.65,0.35,0.61,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100129220,CPT,Strapping of low back,,,21,,RBRVS,0.64,0.38,0.65,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100129240,CPT,Strapping of shoulder,,,21,,RBRVS,0.71,0.4,0.68,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100129260,CPT,Strapping of elbow or wrist,,,21,,RBRVS,0.55,0.37,0.67,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100129280,CPT,Strapping of hand or finger,,,21,,RBRVS,0.51,0.37,0.67,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100129305,CPT,Application of hip cast,,,21,,RBRVS,2.03,1.56,3.29,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100129325,CPT,Application of hip casts,,,21,,RBRVS,2.32,1.58,3.33,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100129345,CPT,Application of long leg cast,,,21,,RBRVS,1.4,0.94,1.66,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100129355,CPT,Application of long leg cast,,,21,,RBRVS,1.53,0.94,1.62,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100129358,CPT,Apply long leg cast brace,,,21,,RBRVS,1.43,0.91,2.01,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100129365,CPT,Application of long leg cast,,,21,,RBRVS,1.18,0.86,1.58,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100129405,CPT,Apply short leg cast,,,21,,RBRVS,0.86,0.65,1.2,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100129425,CPT,Apply short leg cast,,,21,,RBRVS,1.01,0.66,1.22,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100129435,CPT,Apply short leg cast,,,21,,RBRVS,1.18,0.81,1.53,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100129440,CPT,Addition of walker to cast,,,21,,RBRVS,0.57,0.26,0.64,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100129445,CPT,Apply rigid leg cast,,,21,,RBRVS,1.78,0.89,1.56,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100129450,CPT,Application of leg cast,,,21,,RBRVS,2.08,0.9,1.59,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100129505,CPT,"Application, long leg splint",,,21,,RBRVS,0.69,0.45,1.07,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100129515,CPT,Application lower leg splint,,,21,,RBRVS,0.73,0.46,0.96,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100129520,CPT,Strapping of hip,,,21,,RBRVS,0.54,0.37,0.66,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100129530,CPT,Strapping of knee,,,21,,RBRVS,0.57,0.37,0.66,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100129540,CPT,Strapping of ankle and/or ft,,,21,,RBRVS,0.51,0.31,0.55,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100129550,CPT,Strapping of toes,,,21,,RBRVS,0.47,0.3,0.56,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100129580,CPT,Application of paste boot,,,21,,RBRVS,0.55,0.33,0.71,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100129590,CPT,Application of foot splint,,,21,,RBRVS,0.76,0.26,0.59,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100129700,CPT,Removal/revision of cast,,,21,,RBRVS,0.57,0.25,0.95,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100129705,CPT,Removal/revision of cast,,,21,,RBRVS,0.76,0.36,0.76,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100129710,CPT,Removal/revision of cast,,,21,,RBRVS,1.34,0.55,1.32,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100129715,CPT,Removal/revision of cast,,,21,,RBRVS,0.94,0.43,1.2,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100129720,CPT,Repair of body cast,,,21,,RBRVS,0.68,0.35,1.17,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100129730,CPT,Windowing of cast,,,21,,RBRVS,0.75,0.34,0.74,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100129740,CPT,Wedging of cast,,,21,,RBRVS,1.12,0.47,1.03,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100129750,CPT,Wedging of clubfoot cast,,,21,,RBRVS,1.26,0.52,1.07,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100129799,CPT,Casting/strapping procedure,,,21,,TotalUnits,,,,1.43,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100129800,CPT,Jaw arthroscopy/surgery,,,21,,RBRVS,6.73,4.63,4.63,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100129804,CPT,Jaw arthroscopy/surgery,,,21,,RBRVS,8.71,5.7,5.7,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100129805,CPT,"Shoulder arthroscopy, dx",,,21,,RBRVS,5.94,4.71,4.71,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100129806,CPT,Shoulder arthroscopy/surgery,,,21,,RBRVS,14.95,9.36,9.36,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100129807,CPT,Shoulder arthroscopy/surgery,,,21,,RBRVS,14.48,9.2,9.2,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100129819,CPT,Shoulder arthroscopy/surgery,,,21,,RBRVS,7.68,5.63,5.63,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100129820,CPT,Shoulder arthroscopy/surgery,,,21,,RBRVS,7.12,5.18,5.18,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100129821,CPT,Shoulder arthroscopy/surgery,,,21,,RBRVS,7.78,5.66,5.66,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100129822,CPT,Shoulder arthroscopy/surgery,,,21,,RBRVS,7.49,5.58,5.58,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100129823,CPT,Shoulder arthroscopy/surgery,,,21,,RBRVS,8.24,6.05,6.05,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100129824,CPT,Shoulder arthroscopy/surgery,,,21,,RBRVS,8.82,6.54,6.54,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100129825,CPT,Shoulder arthroscopy/surgery,,,21,,RBRVS,7.68,5.64,5.64,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100129826,CPT,Shoulder arthroscopy/surgery,,,21,,RBRVS,9.05,6.18,6.18,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100129827,CPT,Arthroscop rotator cuff repr,,,21,,RBRVS,15.44,9.32,9.32,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100129828,CPT,Arthroscopy biceps tenodesis,,,21,,RBRVS,13,8.18,8.18,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100129830,CPT,Elbow arthroscopy,,,21,,RBRVS,5.8,4.49,4.49,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100129834,CPT,Elbow arthroscopy/surgery,,,21,,RBRVS,6.33,4.86,4.86,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100129835,CPT,Elbow arthroscopy/surgery,,,21,,RBRVS,6.53,4.97,4.97,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100129836,CPT,Elbow arthroscopy/surgery,,,21,,RBRVS,7.61,5.54,5.54,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100129837,CPT,Elbow arthroscopy/surgery,,,21,,RBRVS,6.92,5.07,5.07,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100129838,CPT,Elbow arthroscopy/surgery,,,21,,RBRVS,7.77,5.66,5.66,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100129840,CPT,Wrist arthroscopy,,,21,,RBRVS,5.59,4.63,4.63,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100129843,CPT,Wrist arthroscopy/surgery,,,21,,RBRVS,6.06,4.81,4.81,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100129844,CPT,Wrist arthroscopy/surgery,,,21,,RBRVS,6.42,4.88,4.88,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100129845,CPT,Wrist arthroscopy/surgery,,,21,,RBRVS,7.58,5.6,5.6,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100129846,CPT,Wrist arthroscopy/surgery,,,21,,RBRVS,6.8,5.11,5.11,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100129847,CPT,Wrist arthroscopy/surgery,,,21,,RBRVS,7.13,5.28,5.28,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100129848,CPT,Wrist endoscopy/surgery,,,21,,RBRVS,6.24,5.28,5.28,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100129850,CPT,Knee arthroscopy/surgery,,,21,,RBRVS,8.18,4.72,4.72,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100129851,CPT,Knee arthroscopy/surgery,,,21,,RBRVS,13.08,8.22,8.22,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100129855,CPT,Tibial arthroscopy/surgery,,,21,,RBRVS,10.6,7.28,7.28,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100129856,CPT,Tibial arthroscopy/surgery,,,21,,RBRVS,14.12,8.7,8.7,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100129860,CPT,"Hip arthroscopy, dx",,,21,,RBRVS,8.85,6.25,6.25,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100129861,CPT,Hip arthroscopy/surgery,,,21,,RBRVS,9.95,6.4,6.4,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100129862,CPT,Hip arthroscopy/surgery,,,21,,RBRVS,10.97,7.57,7.57,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100129863,CPT,Hip arthroscopy/surgery,,,21,,RBRVS,10.97,7.49,7.49,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100129866,CPT,"Autgrft implnt, knee w/scope",,,21,,RBRVS,14.48,9.47,9.47,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100129867,CPT,"Allgrft implnt, knee w/scope",,,21,,RBRVS,18.18,11.04,11.04,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100129868,CPT,"Meniscal trnspl, knee w/scpe",,,21,,RBRVS,24.89,13.8,13.8,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100129870,CPT,"Knee arthroscopy, dx",,,21,,RBRVS,5.11,4.18,4.18,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100129871,CPT,Knee arthroscopy/drainage,,,21,,RBRVS,6.6,5.06,5.06,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100129873,CPT,Knee arthroscopy/surgery,,,21,,RBRVS,6.09,5.6,5.6,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100129874,CPT,Knee arthroscopy/surgery,,,21,,RBRVS,7.1,5.09,5.09,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100129875,CPT,Knee arthroscopy/surgery,,,21,,RBRVS,6.36,4.89,4.89,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100129876,CPT,Knee arthroscopy/surgery,,,21,,RBRVS,8.72,6.19,6.19,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100129877,CPT,Knee arthroscopy/surgery,,,21,,RBRVS,8.15,5.98,5.98,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100129879,CPT,Knee arthroscopy/surgery,,,21,,RBRVS,8.84,6.23,6.23,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100129880,CPT,Knee arthroscopy/surgery,,,21,,RBRVS,9.3,6.43,6.43,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100129881,CPT,Knee arthroscopy/surgery,,,21,,RBRVS,8.56,6.14,6.14,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100129882,CPT,Knee arthroscopy/surgery,,,21,,RBRVS,9.45,6.46,6.46,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100129883,CPT,Knee arthroscopy/surgery,,,21,,RBRVS,11.61,7.59,7.59,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100129884,CPT,Knee arthroscopy/surgery,,,21,,RBRVS,8.13,5.96,5.96,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100129885,CPT,Knee arthroscopy/surgery,,,21,,RBRVS,10.03,7.03,7.03,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100129886,CPT,Knee arthroscopy/surgery,,,21,,RBRVS,8.34,6.04,6.04,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100129887,CPT,Knee arthroscopy/surgery,,,21,,RBRVS,9.98,6.97,6.97,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100129888,CPT,Knee arthroscopy/surgery,,,21,,RBRVS,14.14,8.27,8.27,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100129889,CPT,Knee arthroscopy/surgery,,,21,,RBRVS,17.15,10.62,10.62,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100129891,CPT,Ankle arthroscopy/surgery,,,21,,RBRVS,9.47,6.65,6.65,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100129892,CPT,Ankle arthroscopy/surgery,,,21,,RBRVS,10.07,6.39,6.39,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100129893,CPT,"Scope, plantar fasciotomy",,,21,,RBRVS,6.08,4.67,8.84,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100129894,CPT,Ankle arthroscopy/surgery,,,21,,RBRVS,7.26,4.72,4.72,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100129895,CPT,Ankle arthroscopy/surgery,,,21,,RBRVS,7.04,4.52,4.52,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100129897,CPT,Ankle arthroscopy/surgery,,,21,,RBRVS,7.23,4.82,4.82,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100129898,CPT,Ankle arthroscopy/surgery,,,21,,RBRVS,8.38,5.24,5.24,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100129899,CPT,Ankle arthroscopy/surgery,,,21,,RBRVS,15.21,9.21,9.21,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100129900,CPT,"Mcp joint arthroscopy, dx",,,21,,RBRVS,5.74,4.67,4.67,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100129901,CPT,"Mcp joint arthroscopy, surg",,,21,,RBRVS,6.45,5.1,5.1,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100129902,CPT,"Mcp joint arthroscopy, surg",,,21,,RBRVS,7.02,4.71,4.71,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100129904,CPT,Subtalar arthro w/fb rmvl,,,21,,RBRVS,8.5,5.89,5.89,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100129905,CPT,Subtalar arthro w/exc,,,21,,RBRVS,9,6.52,6.52,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100129906,CPT,Subtalar arthro w/deb,,,21,,RBRVS,9.47,6.88,6.88,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100129907,CPT,Subtalar arthro w/fusion,,,21,,RBRVS,12,7.87,7.87,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100129999,CPT,Arthroscopy of joint,,,21,,TotalUnits,,,,14.57,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100130000,CPT,Drainage of nose lesion,,,21,,RBRVS,1.45,1.34,4.02,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100130020,CPT,Drainage of nose lesion,,,21,,RBRVS,1.45,1.39,4.17,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100130100,CPT,Intranasal biopsy,,,21,,RBRVS,0.94,0.75,2.58,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100130110,CPT,Removal of nose polyp(s),,,21,,RBRVS,1.65,1.45,3.9,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100130115,CPT,Removal of nose polyp(s),,,21,,RBRVS,4.38,5.99,5.99,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100130117,CPT,Removal of intranasal lesion,,,21,,RBRVS,3.2,4.92,18.17,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100130118,CPT,Removal of intranasal lesion,,,21,,RBRVS,9.81,8.56,8.56,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100130120,CPT,Revision of nose,,,21,,RBRVS,5.31,5.09,7.08,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100130124,CPT,Removal of nose lesion,,,21,,RBRVS,3.14,3.68,3.68,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100130125,CPT,Removal of nose lesion,,,21,,RBRVS,7.21,7.41,7.41,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100130130,CPT,Removal of turbinate bones,,,21,,RBRVS,3.41,5.64,5.64,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100130140,CPT,Removal of turbinate bones,,,21,,RBRVS,3.48,7.11,7.11,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100130150,CPT,Partial removal of nose,,,21,,RBRVS,9.44,9.04,9.04,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100130160,CPT,Removal of nose,,,21,,RBRVS,9.88,8.88,8.88,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100130200,CPT,Injection treatment of nose,,,21,,RBRVS,0.78,0.67,2.02,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100130210,CPT,Nasal sinus therapy,,,21,,RBRVS,1.1,1.27,2.51,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100130220,CPT,Insert nasal septal button,,,21,,RBRVS,1.56,1.43,5.82,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100130300,CPT,Remove nasal foreign body,,,21,,RBRVS,1.06,1.87,4.3,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100130310,CPT,Remove nasal foreign body,,,21,,RBRVS,1.98,2.91,2.91,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100130320,CPT,Remove nasal foreign body,,,21,,RBRVS,4.56,6.36,6.36,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100130400,CPT,Reconstruction of nose,,,21,,RBRVS,10.58,13.92,13.92,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100130410,CPT,Reconstruction of nose,,,21,,RBRVS,13.72,15.34,15.34,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100130420,CPT,Reconstruction of nose,,,21,,RBRVS,16.62,15.84,15.84,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100130430,CPT,Revision of nose,,,21,,RBRVS,7.96,13.25,13.25,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100130435,CPT,Revision of nose,,,21,,RBRVS,12.45,15.43,15.43,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100130450,CPT,Revision of nose,,,21,,RBRVS,19.38,16.9,16.9,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100130460,CPT,Revision of nose,,,21,,RBRVS,10.24,7.49,7.49,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100130462,CPT,Revision of nose,,,21,,RBRVS,20.12,14.66,14.66,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100130465,CPT,Repair nasal stenosis,,,21,,RBRVS,12.2,11.08,11.08,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100130520,CPT,Repair of nasal septum,,,21,,RBRVS,6.85,8.05,8.05,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100130540,CPT,Repair nasal defect,,,21,,RBRVS,7.81,8.55,8.55,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100130545,CPT,Repair nasal defect,,,21,,RBRVS,11.5,11.09,11.09,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100130560,CPT,Release of nasal adhesions,,,21,,RBRVS,1.28,2.03,5.28,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100130580,CPT,Repair upper jaw fistula,,,21,,RBRVS,6.76,4.69,8.14,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100130600,CPT,Repair mouth/nose fistula,,,21,,RBRVS,6.07,4.18,7.68,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100130620,CPT,Intranasal reconstruction,,,21,,RBRVS,6.04,8.67,8.67,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100130630,CPT,Repair nasal septum defect,,,21,,RBRVS,7.18,7.73,7.73,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100130801,CPT,"Cauterization, inner nose",,,21,,RBRVS,1.11,2.12,4.3,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100130802,CPT,"Cauterization, inner nose",,,21,,RBRVS,2.05,2.51,4.98,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100130901,CPT,Control of nosebleed,,,21,,RBRVS,1.21,0.31,1.27,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100130903,CPT,Control of nosebleed,,,21,,RBRVS,1.54,0.43,3.28,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100130905,CPT,Control of nosebleed,,,21,,RBRVS,1.97,0.51,3.94,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100130906,CPT,Repeat control of nosebleed,,,21,,RBRVS,2.45,0.76,4.29,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100130915,CPT,"Ligation, nasal sinus artery",,,21,,RBRVS,7.36,6.46,6.46,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100130920,CPT,"Ligation, upper jaw artery",,,21,,RBRVS,11.03,8.97,8.97,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100130930,CPT,"Therapy, fracture of nose",,,21,,RBRVS,1.28,1.64,1.64,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100130999,CPT,Nasal surgery procedure,,,21,,TotalUnits,,,,6.88,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100131000,CPT,"Irrigation, maxillary sinus",,,21,,RBRVS,1.17,1.34,3.22,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100131002,CPT,"Irrigation, sphenoid sinus",,,21,,RBRVS,1.93,2.69,2.69,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100131020,CPT,"Exploration, maxillary sinus",,,21,,RBRVS,2.99,5.55,8.61,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100131030,CPT,"Exploration, maxillary sinus",,,21,,RBRVS,5.95,6.45,10.41,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100131032,CPT,"Explore sinus, remove polyps",,,21,,RBRVS,6.61,7,7,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100131040,CPT,Exploration behind upper jaw,,,21,,RBRVS,9.66,7.38,7.38,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100131050,CPT,"Exploration, sphenoid sinus",,,21,,RBRVS,5.31,6.51,6.51,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100131051,CPT,Sphenoid sinus surgery,,,21,,RBRVS,7.16,8.37,8.37,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100131070,CPT,Exploration of frontal sinus,,,21,,RBRVS,4.32,6.19,6.19,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100131075,CPT,Exploration of frontal sinus,,,21,,RBRVS,9.4,9.33,9.33,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100131080,CPT,Removal of frontal sinus,,,21,,RBRVS,12.54,10.63,10.63,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100131081,CPT,Removal of frontal sinus,,,21,,RBRVS,13.99,15.38,15.38,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100131084,CPT,Removal of frontal sinus,,,21,,RBRVS,14.75,12.88,12.88,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100131085,CPT,Removal of frontal sinus,,,21,,RBRVS,15.44,14.44,14.44,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100131086,CPT,Removal of frontal sinus,,,21,,RBRVS,14.16,12.79,12.79,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100131087,CPT,Removal of frontal sinus,,,21,,RBRVS,14.39,11.65,11.65,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100131090,CPT,Exploration of sinuses,,,21,,RBRVS,10.88,13.41,13.41,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100131200,CPT,Removal of ethmoid sinus,,,21,,RBRVS,5.03,7.44,7.44,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100131201,CPT,Removal of ethmoid sinus,,,21,,RBRVS,8.49,9,9,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100131205,CPT,Removal of ethmoid sinus,,,21,,RBRVS,10.47,9.52,9.52,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100131225,CPT,Removal of upper jaw,,,21,,RBRVS,26.44,17.9,17.9,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100131230,CPT,Removal of upper jaw,,,21,,RBRVS,30.56,19.5,19.5,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100131231,CPT,"Nasal endoscopy, dx",,,21,,RBRVS,1.1,0.77,3.6,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100131233,CPT,"Nasal/sinus endoscopy, dx",,,21,,RBRVS,2.18,1.12,4.27,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100131235,CPT,"Nasal/sinus endoscopy, dx",,,21,,RBRVS,2.64,1.26,4.65,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100131237,CPT,"Nasal/sinus endoscopy, surg",,,21,,RBRVS,2.98,1.39,4.9,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100131238,CPT,"Nasal/sinus endoscopy, surg",,,21,,RBRVS,3.26,1.48,4.83,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100131239,CPT,"Nasal/sinus endoscopy, surg",,,21,,RBRVS,9.23,6.43,6.43,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100131240,CPT,"Nasal/sinus endoscopy, surg",,,21,,RBRVS,2.61,1.27,1.27,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100131254,CPT,Revision of ethmoid sinus,,,21,,RBRVS,4.64,1.94,1.94,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100131255,CPT,Removal of ethmoid sinus,,,21,,RBRVS,6.95,2.69,2.69,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100131256,CPT,Exploration maxillary sinus,,,21,,RBRVS,3.29,1.49,1.49,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100131267,CPT,"Endoscopy, maxillary sinus",,,21,,RBRVS,5.45,2.2,2.2,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100131276,CPT,"Sinus endoscopy, surgical",,,21,,RBRVS,8.84,3.31,3.31,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100131287,CPT,"Nasal/sinus endoscopy, surg",,,21,,RBRVS,3.91,1.69,1.69,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100131288,CPT,"Nasal/sinus endoscopy, surg",,,21,,RBRVS,4.57,1.91,1.91,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100131290,CPT,"Nasal/sinus endoscopy, surg",,,21,,RBRVS,18.5,9.05,9.05,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100131291,CPT,"Nasal/sinus endoscopy, surg",,,21,,RBRVS,19.45,9.54,9.54,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100131292,CPT,"Nasal/sinus endoscopy, surg",,,21,,RBRVS,15.79,8.06,8.06,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100131293,CPT,"Nasal/sinus endoscopy, surg",,,21,,RBRVS,17.36,8.69,8.69,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100131294,CPT,"Nasal/sinus endoscopy, surg",,,21,,RBRVS,20.2,9.67,9.67,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100131299,CPT,Sinus surgery procedure,,,21,,TotalUnits,,,,5.43,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100131300,CPT,Removal of larynx lesion,,,21,,RBRVS,15.71,14.59,14.59,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100131320,CPT,"Diagnostic incision, larynx",,,21,,RBRVS,5.62,10.15,10.15,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100131360,CPT,Removal of larynx,,,21,,RBRVS,29.57,20.08,20.08,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100131365,CPT,Removal of larynx,,,21,,RBRVS,38.47,23,23,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100131367,CPT,Partial removal of larynx,,,21,,RBRVS,30.23,22.52,22.52,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100131368,CPT,Partial removal of larynx,,,21,,RBRVS,33.85,24.61,24.61,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100131370,CPT,Partial removal of larynx,,,21,,RBRVS,27.23,22.16,22.16,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100131375,CPT,Partial removal of larynx,,,21,,RBRVS,25.73,21.16,21.16,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100131380,CPT,Partial removal of larynx,,,21,,RBRVS,25.23,20.81,20.81,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100131382,CPT,Partial removal of larynx,,,21,,RBRVS,28.23,22.71,22.71,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100131390,CPT,Removal of larynx & pharynx,,,21,,RBRVS,42.17,25.99,25.99,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100131395,CPT,Reconstruct larynx & pharynx,,,21,,RBRVS,43.46,28.53,28.53,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100131400,CPT,Revision of larynx,,,21,,RBRVS,11.48,12.5,12.5,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100131420,CPT,Removal of epiglottis,,,21,,RBRVS,11.32,8.59,8.59,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100131500,CPT,Insert emergency airway,,,21,,RBRVS,2.33,0.42,0.42,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100131502,CPT,Change of windpipe airway,,,21,,RBRVS,0.65,0.21,0.21,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100131505,CPT,Diagnostic laryngoscopy,,,21,,RBRVS,0.61,0.59,1.43,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100131510,CPT,Laryngoscopy with biopsy,,,21,,RBRVS,1.92,1,3.23,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100131511,CPT,"Remove foreign body, larynx",,,21,,RBRVS,2.16,1.03,2.94,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100131512,CPT,Removal of larynx lesion,,,21,,RBRVS,2.07,1.06,2.97,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100131513,CPT,Injection into vocal cord,,,21,,RBRVS,2.1,1.09,1.09,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100131515,CPT,Laryngoscopy for aspiration,,,21,,RBRVS,1.8,0.88,3.2,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100131520,CPT,Diagnostic laryngoscopy,,,21,,RBRVS,2.56,1.21,1.21,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100131525,CPT,Diagnostic laryngoscopy,,,21,,RBRVS,2.63,1.23,3.45,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100131526,CPT,Diagnostic laryngoscopy,,,21,,RBRVS,2.57,1.25,1.25,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100131527,CPT,Laryngoscopy for treatment,,,21,,RBRVS,3.27,1.4,1.4,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100131528,CPT,Laryngoscopy and dilation,,,21,,RBRVS,2.37,1.09,1.09,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100131529,CPT,Laryngoscopy and dilation,,,21,,RBRVS,2.68,1.25,1.25,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100131530,CPT,Operative laryngoscopy,,,21,,RBRVS,3.38,1.45,1.45,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100131531,CPT,Operative laryngoscopy,,,21,,RBRVS,3.58,1.59,1.59,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100131535,CPT,Operative laryngoscopy,,,21,,RBRVS,3.16,1.44,1.44,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100131536,CPT,Operative laryngoscopy,,,21,,RBRVS,3.55,1.57,1.57,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100131540,CPT,Operative laryngoscopy,,,21,,RBRVS,4.12,1.76,1.76,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100131541,CPT,Operative laryngoscopy,,,21,,RBRVS,4.52,1.89,1.89,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100131545,CPT,Remove vc lesion w/scope,,,21,,RBRVS,6.3,2.52,2.52,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100131546,CPT,Remove vc lesion scope/graft,,,21,,RBRVS,9.73,3.43,3.43,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100131560,CPT,Operative laryngoscopy,,,21,,RBRVS,5.45,2.16,2.16,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100131561,CPT,Operative laryngoscopy,,,21,,RBRVS,5.99,2.32,2.32,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100131570,CPT,Laryngoscopy with injection,,,21,,RBRVS,3.86,1.65,4.26,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100131571,CPT,Laryngoscopy with injection,,,21,,RBRVS,4.26,1.81,1.81,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100131575,CPT,Diagnostic laryngoscopy,,,21,,RBRVS,1.1,0.76,1.7,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100131576,CPT,Laryngoscopy with biopsy,,,21,,RBRVS,1.97,1.04,3.52,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100131577,CPT,"Remove foreign body, larynx",,,21,,RBRVS,2.47,1.17,3.38,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100131578,CPT,Removal of larynx lesion,,,21,,RBRVS,2.84,1.34,4,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100131579,CPT,Diagnostic laryngoscopy,,,21,,RBRVS,2.26,1.15,2.87,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100131580,CPT,Revision of larynx,,,21,,RBRVS,14.46,13.83,13.83,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100131582,CPT,Revision of larynx,,,21,,RBRVS,22.87,22.57,22.57,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100131584,CPT,Treat larynx fracture,,,21,,RBRVS,20.35,15.28,15.28,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100131587,CPT,Revision of larynx,,,21,,RBRVS,15.12,8.64,8.64,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100131588,CPT,Revision of larynx,,,21,,RBRVS,14.62,12.52,12.52,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100131590,CPT,Reinnervate larynx,,,21,,RBRVS,7.63,12.8,12.8,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100131595,CPT,Larynx nerve surgery,,,21,,RBRVS,8.75,9.65,9.65,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100131599,CPT,Larynx surgery procedure,,,21,,TotalUnits,,,,2.88,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100131600,CPT,Incision of windpipe,,,21,,RBRVS,7.17,2.28,2.28,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100131601,CPT,Incision of windpipe,,,21,,RBRVS,4.44,1.74,1.74,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100131603,CPT,Incision of windpipe,,,21,,RBRVS,4.14,1.19,1.19,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100131605,CPT,Incision of windpipe,,,21,,RBRVS,3.57,0.82,0.82,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100131610,CPT,Incision of windpipe,,,21,,RBRVS,9.29,7.73,7.73,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100131611,CPT,Surgery/speech prosthesis,,,21,,RBRVS,5.92,7.08,7.08,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100131612,CPT,Puncture/clear windpipe,,,21,,RBRVS,0.91,0.26,1.09,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100131613,CPT,Repair windpipe opening,,,21,,RBRVS,4.63,6.14,6.14,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100131614,CPT,Repair windpipe opening,,,21,,RBRVS,8.47,9.59,9.59,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100131615,CPT,Visualization of windpipe,,,21,,RBRVS,2.09,1.05,2.38,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100131620,CPT,Endobronchial us add-on,,,21,,RBRVS,1.4,0.33,6.02,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100131622,CPT,Dx bronchoscope/wash,,,21,,RBRVS,2.78,0.9,5.24,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100131623,CPT,Dx bronchoscope/brush,,,21,,RBRVS,2.88,0.89,5.98,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100131624,CPT,Dx bronchoscope/lavage,,,21,,RBRVS,2.88,0.89,5.34,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100131625,CPT,Bronchoscopy w/biopsy(s),,,21,,RBRVS,3.36,1.01,5.48,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100131628,CPT,"Bronchoscopy/lung bx, each",,,21,,RBRVS,3.8,1.1,6.96,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100131629,CPT,"Bronchoscopy/needle bx, each",,,21,,RBRVS,4.09,1.17,12.01,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100131630,CPT,Bronchoscopy dilate/fx repr,,,21,,RBRVS,3.81,1.27,1.27,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100131631,CPT,"Bronchoscopy, dilate w/stent",,,21,,RBRVS,4.36,1.42,1.42,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100131632,CPT,"Bronchoscopy/lung bx, add’l",,,21,,RBRVS,1.03,0.24,0.86,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100131633,CPT,Bronchoscopy/needle bx add’l,,,21,,RBRVS,1.32,0.31,0.99,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100131635,CPT,Bronchoscopy w/fb removal,,,21,,RBRVS,3.67,1.13,5.2,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100131636,CPT,"Bronchoscopy, bronch stents",,,21,,RBRVS,4.3,1.34,1.34,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100131637,CPT,"Bronchoscopy, stent add-on",,,21,,RBRVS,1.58,0.41,0.41,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100131638,CPT,"Bronchoscopy, revise stent",,,21,,RBRVS,4.88,1.54,1.54,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100131640,CPT,Bronchoscopy w/tumor excise,,,21,,RBRVS,4.93,1.53,1.53,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100131641,CPT,"Bronchoscopy, treat blockage",,,21,,RBRVS,5.02,1.49,1.49,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100131643,CPT,Diag bronchoscope/catheter,,,21,,RBRVS,3.49,1.04,1.04,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100131645,CPT,"Bronchoscopy, clear airways",,,21,,RBRVS,3.16,0.96,4.72,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100131646,CPT,"Bronchoscopy, reclear airway",,,21,,RBRVS,2.72,0.85,4.42,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100131656,CPT,"Bronchoscopy, inj for x-ray",,,21,,RBRVS,2.17,0.68,5.69,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100131715,CPT,Injection for bronchus x-ray,,,21,,RBRVS,1.11,0.25,0.25,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100131717,CPT,Bronchial brush biopsy,,,21,,RBRVS,2.12,0.72,5.84,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100131720,CPT,Clearance of airways,,,21,,RBRVS,1.06,0.27,0.27,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100131725,CPT,Clearance of airways,,,21,,RBRVS,1.96,0.41,0.41,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100131730,CPT,"Intro, windpipe wire/tube",,,21,,RBRVS,2.85,0.74,25.74,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100131750,CPT,Repair of windpipe,,,21,,RBRVS,15.19,17.46,17.46,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100131755,CPT,Repair of windpipe,,,21,,RBRVS,17.19,24,24,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100131760,CPT,Repair of windpipe,,,21,,RBRVS,23.36,9.78,9.78,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100131766,CPT,Reconstruction of windpipe,,,21,,RBRVS,31.58,11.7,11.7,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100131770,CPT,Repair/graft of bronchus,,,21,,RBRVS,23.48,8.54,8.54,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100131775,CPT,Reconstruct bronchus,,,21,,RBRVS,24.51,9.52,9.52,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100131780,CPT,Reconstruct windpipe,,,21,,RBRVS,19.7,8.8,8.8,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100131781,CPT,Reconstruct windpipe,,,21,,RBRVS,24.77,9.67,9.67,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100131785,CPT,Remove windpipe lesion,,,21,,RBRVS,18.29,7.68,7.68,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100131786,CPT,Remove windpipe lesion,,,21,,RBRVS,25.34,9.62,9.62,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100131800,CPT,Repair of windpipe injury,,,21,,RBRVS,8.1,8.68,8.68,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100131805,CPT,Repair of windpipe injury,,,21,,RBRVS,13.34,6.22,6.22,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100131820,CPT,Closure of windpipe lesion,,,21,,RBRVS,4.58,3.26,5.86,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100131825,CPT,Repair of windpipe defect,,,21,,RBRVS,6.98,4.48,7.45,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100131830,CPT,Revise windpipe scar,,,21,,RBRVS,4.54,3.56,5.93,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100131899,CPT,Airways surgical procedure,,,21,,TotalUnits,,,,4.39,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100132035,CPT,Exploration of chest,,,21,,RBRVS,11.2,6.09,6.09,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100132036,CPT,Exploration of chest,,,21,,RBRVS,12.21,6.3,6.3,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100132095,CPT,Biopsy through chest wall,,,21,,RBRVS,10.06,5.1,5.1,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100132100,CPT,Exploration/biopsy of chest,,,21,,RBRVS,16.08,7.01,7.01,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100132110,CPT,Explore/repair chest,,,21,,RBRVS,25.15,9.88,9.88,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100132120,CPT,Re-exploration of chest,,,21,,RBRVS,14.27,6.78,6.78,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100132124,CPT,Explore chest free adhesions,,,21,,RBRVS,15.33,6.96,6.96,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100132140,CPT,Removal of lung lesion(s),,,21,,RBRVS,16.54,7.4,7.4,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100132141,CPT,Remove/treat lung lesions,,,21,,RBRVS,27.1,10.19,10.19,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100132150,CPT,Removal of lung lesion(s),,,21,,RBRVS,16.7,7.51,7.51,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100132151,CPT,Remove lung foreign body,,,21,,RBRVS,16.82,7.92,7.92,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100132160,CPT,Open chest heart massage,,,21,,RBRVS,13.02,5.84,5.84,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100132200,CPT,"Drain, open, lung lesion",,,21,,RBRVS,18.48,8.77,8.77,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100132201,CPT,"Drain, percut, lung lesion",,,21,,RBRVS,3.99,1.43,19.87,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100132215,CPT,Treat chest lining,,,21,,RBRVS,12.93,6.24,6.24,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100132220,CPT,Release of lung,,,21,,RBRVS,26.41,11.91,11.91,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100132225,CPT,Partial release of lung,,,21,,RBRVS,16.63,7.46,7.46,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100132310,CPT,Removal of chest lining,,,21,,RBRVS,15.16,6.93,6.93,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100132320,CPT,Free/remove chest lining,,,21,,RBRVS,27.04,11.46,11.46,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100132400,CPT,Needle biopsy chest lining,,,21,,RBRVS,1.76,0.57,2.15,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100132402,CPT,Open biopsy chest lining,,,21,,RBRVS,8.89,4.69,4.69,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100132405,CPT,"Biopsy, lung or mediastinum",,,21,,RBRVS,1.93,0.69,0.69,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100132420,CPT,Puncture/clear lung,,,21,,RBRVS,2.18,0.71,0.71,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100132421,CPT,Thoracentesis for aspiration,,,21,,RBRVS,1.54,0.47,2.41,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100132422,CPT,Thoracentesis w/tube insert,,,21,,RBRVS,2.19,1.03,2.88,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100132440,CPT,Removal of lung,,,21,,RBRVS,27.17,10.92,10.92,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100132442,CPT,Sleeve pneumonectomy,,,21,,RBRVS,56.37,18.74,18.74,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100132445,CPT,Removal of lung,,,21,,RBRVS,63.6,22.8,22.8,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100132480,CPT,Partial removal of lung,,,21,,RBRVS,25.71,10.19,10.19,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100132482,CPT,Bilobectomy,,,21,,RBRVS,27.28,11.1,11.1,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100132484,CPT,Segmentectomy,,,21,,RBRVS,25.3,9.57,9.57,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100132486,CPT,Sleeve lobectomy,,,21,,RBRVS,42.8,14.62,14.62,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100132488,CPT,Completion pneumonectomy,,,21,,RBRVS,42.83,15.58,15.58,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100132491,CPT,Lung volume reduction,,,21,,RBRVS,25.09,10.43,10.43,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100132500,CPT,Partial removal of lung,,,21,,RBRVS,24.48,10.27,10.27,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100132501,CPT,Repair bronchus add-on,,,21,,RBRVS,4.68,1.34,1.34,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100132503,CPT,Resect apical lung tumor,,,21,,RBRVS,31.61,12.09,12.09,,,$0.00 ,$0.00 ,1,0,0,1,1,1,2008100132504,CPT,Resect apical lung tum/chest,,,21,,RBRVS,36.41,13.48,13.48,,,$0.00 ,$0.00 ,1,0,0,1,1,1,2008100132540,CPT,Removal of lung lesion,,,21,,RBRVS,30.22,11.49,11.49,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100132550,CPT,Insert pleural cath,,,21,,RBRVS,4.17,1.51,14.97,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100132551,CPT,Insertion of chest tube,,,21,,RBRVS,3.29,0.97,0.97,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100132560,CPT,Treat lung lining chemically,,,21,,RBRVS,2.19,0.58,5.06,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100132601,CPT,"Thoracoscopy, diagnostic",,,21,,RBRVS,5.45,2.07,2.07,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100132602,CPT,"Thoracoscopy, diagnostic",,,21,,RBRVS,5.95,2.22,2.22,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100132603,CPT,"Thoracoscopy, diagnostic",,,21,,RBRVS,7.8,2.74,2.74,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100132604,CPT,"Thoracoscopy, diagnostic",,,21,,RBRVS,8.77,3.05,3.05,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100132605,CPT,"Thoracoscopy, diagnostic",,,21,,RBRVS,6.92,2.58,2.58,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100132606,CPT,"Thoracoscopy, diagnostic",,,21,,RBRVS,8.39,2.97,2.97,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100132650,CPT,"Thoracoscopy, surgical",,,21,,RBRVS,10.77,5.24,5.24,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100132651,CPT,"Thoracoscopy, surgical",,,21,,RBRVS,18.7,7.7,7.7,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100132652,CPT,"Thoracoscopy, surgical",,,21,,RBRVS,29,11.14,11.14,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100132653,CPT,"Thoracoscopy, surgical",,,21,,RBRVS,18.09,7.46,7.46,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100132654,CPT,"Thoracoscopy, surgical",,,21,,RBRVS,20.44,7.96,7.96,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100132655,CPT,"Thoracoscopy, surgical",,,21,,RBRVS,16.09,6.88,6.88,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100132656,CPT,"Thoracoscopy, surgical",,,21,,RBRVS,13.18,5.96,5.96,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100132657,CPT,"Thoracoscopy, surgical",,,21,,RBRVS,12.85,5.97,5.97,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100132658,CPT,"Thoracoscopy, surgical",,,21,,RBRVS,11.65,5.5,5.5,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100132659,CPT,"Thoracoscopy, surgical",,,21,,RBRVS,11.86,5.8,5.8,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100132660,CPT,"Thoracoscopy, surgical",,,21,,RBRVS,17.69,7.59,7.59,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100132661,CPT,"Thoracoscopy, surgical",,,21,,RBRVS,13.27,6.05,6.05,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100132662,CPT,"Thoracoscopy, surgical",,,21,,RBRVS,14.91,6.64,6.64,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100132663,CPT,"Thoracoscopy, surgical",,,21,,RBRVS,24.56,9.4,9.4,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100132664,CPT,"Thoracoscopy, surgical",,,21,,RBRVS,14.22,5.62,5.62,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100132665,CPT,"Thoracoscopy, surgical",,,21,,RBRVS,21.45,8.57,8.57,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100132800,CPT,Repair lung hernia,,,21,,RBRVS,15.59,6.93,6.93,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100132810,CPT,Close chest after drainage,,,21,,RBRVS,14.83,6.98,6.98,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100132815,CPT,Close bronchial fistula,,,21,,RBRVS,49.79,18.6,18.6,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100132820,CPT,Reconstruct injured chest,,,21,,RBRVS,22.33,10.57,10.57,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100132851,CPT,"Lung transplant, single",,,21,,RBRVS,40.94,20.19,20.19,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100132852,CPT,Lung transplant with bypass,,,21,,RBRVS,44.65,22.58,22.58,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100132853,CPT,"Lung transplant, double",,,21,,RBRVS,50.11,22.8,22.8,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100132854,CPT,Lung transplant with bypass,,,21,,RBRVS,53.88,25.79,25.79,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100132900,CPT,Removal of rib(s),,,21,,RBRVS,23.69,9.57,9.57,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100132905,CPT,Revise & repair chest wall,,,21,,RBRVS,23.17,9.53,9.53,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100132906,CPT,Revise & repair chest wall,,,21,,RBRVS,29.18,11.04,11.04,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100132940,CPT,Revision of lung,,,21,,RBRVS,21.22,8.49,8.49,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100132960,CPT,Therapeutic pneumothorax,,,21,,RBRVS,1.84,0.68,1.61,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100132997,CPT,Total lung lavage,,,21,,RBRVS,7.31,1.84,1.84,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100132998,CPT,"Perq rf ablate tx, pul tumor",,,21,,RBRVS,5.68,1.99,70.26,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100132999,CPT,Chest surgery procedure,,,21,,TotalUnits,,,,5.42,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133010,CPT,Drainage of heart sac,,,21,,RBRVS,2.24,1.04,1.04,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133011,CPT,Repeat drainage of heart sac,,,21,,RBRVS,2.24,1.13,1.13,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133015,CPT,Incision of heart sac,,,21,,RBRVS,8.44,5.16,5.16,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133020,CPT,Incision of heart sac,,,21,,RBRVS,14.87,6.37,6.37,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133025,CPT,Incision of heart sac,,,21,,RBRVS,13.65,5.85,5.85,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133030,CPT,Partial removal of heart sac,,,21,,RBRVS,22.27,9.12,9.12,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133031,CPT,Partial removal of heart sac,,,21,,RBRVS,25.3,9.58,9.58,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133050,CPT,Removal of heart sac lesion,,,21,,RBRVS,16.85,7.37,7.37,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133120,CPT,Removal of heart lesion,,,21,,RBRVS,27.33,10.57,10.57,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133130,CPT,Removal of heart lesion,,,21,,RBRVS,24.05,9.37,9.37,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133140,CPT,Heart revascularize (tmr),,,21,,RBRVS,28.26,10.31,10.31,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133141,CPT,Heart tmr w/other procedure,,,21,,RBRVS,2.54,0.78,0.78,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133202,CPT,"Insert epicard eltrd, open",,,21,,RBRVS,13.15,6.08,6.08,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133203,CPT,"Insert epicard eltrd, endo",,,21,,RBRVS,13.92,6.13,6.13,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133206,CPT,Insertion of heart pacemaker,,,21,,RBRVS,7.31,5.13,5.13,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133207,CPT,Insertion of heart pacemaker,,,21,,RBRVS,8,5.23,5.23,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133208,CPT,Insertion of heart pacemaker,,,21,,RBRVS,8.72,5.66,5.66,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133210,CPT,Insertion of heart electrode,,,21,,RBRVS,3.3,1.66,1.66,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133211,CPT,Insertion of heart electrode,,,21,,RBRVS,3.39,1.59,1.59,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133212,CPT,Insertion of pulse generator,,,21,,RBRVS,5.51,3.71,3.71,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133213,CPT,Insertion of pulse generator,,,21,,RBRVS,6.36,4.21,4.21,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133214,CPT,Upgrade of pacemaker system,,,21,,RBRVS,7.78,5.36,5.36,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133215,CPT,Reposition pacing-defib lead,,,21,,RBRVS,4.89,3.49,3.49,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133216,CPT,"Insert lead pace-defib, one",,,21,,RBRVS,5.81,4.54,4.54,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133217,CPT,"Insert lead pace-defib, dual",,,21,,RBRVS,5.78,4.43,4.43,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133218,CPT,"Repair lead pace-defib, one",,,21,,RBRVS,5.97,4.82,4.82,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133220,CPT,"Repair lead pace-defib, dual",,,21,,RBRVS,6.05,4.78,4.78,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133222,CPT,"Revise pocket, pacemaker",,,21,,RBRVS,5.01,4.3,4.3,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133223,CPT,"Revise pocket, pacing-defib",,,21,,RBRVS,6.49,4.88,4.88,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133224,CPT,Insert pacing lead & connect,,,21,,RBRVS,9.04,4.91,4.91,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133225,CPT,L ventric pacing lead add-on,,,21,,RBRVS,8.33,4.35,4.35,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133226,CPT,Reposition l ventric lead,,,21,,RBRVS,8.68,4.74,4.74,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133233,CPT,Removal of pacemaker system,,,21,,RBRVS,3.33,3.27,3.27,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133234,CPT,Removal of pacemaker system,,,21,,RBRVS,7.85,5.49,5.49,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133235,CPT,Removal pacemaker electrode,,,21,,RBRVS,9.93,7.24,7.24,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133236,CPT,Remove electrode/thoracotomy,,,21,,RBRVS,12.64,6.38,6.38,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133237,CPT,Remove electrode/thoracotomy,,,21,,RBRVS,13.75,8.02,8.02,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133238,CPT,Remove electrode/thoracotomy,,,21,,RBRVS,15.28,8.05,8.05,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133240,CPT,Insert pulse generator,,,21,,RBRVS,7.61,5.25,5.25,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133241,CPT,Remove pulse generator,,,21,,RBRVS,3.26,3,3,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133243,CPT,Remove eltrd/thoracotomy,,,21,,RBRVS,23.42,10.94,10.94,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133244,CPT,"Remove eltrd, transven",,,21,,RBRVS,13.84,9.44,9.44,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133249,CPT,Eltrd/insert pace-defib,,,21,,RBRVS,15.02,10.16,10.16,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133250,CPT,Ablate heart dysrhythm focus,,,21,,RBRVS,25.78,10.89,10.89,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133251,CPT,Ablate heart dysrhythm focus,,,21,,RBRVS,28.8,10.97,10.97,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133254,CPT,"Ablate atria, lmtd",,,21,,RBRVS,23.58,9.77,9.77,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133255,CPT,"Ablate atria w/o bypass, ext",,,21,,RBRVS,28.91,11.37,11.37,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133256,CPT,"Ablate atria w/bypass, exten",,,21,,RBRVS,34.77,13.12,13.12,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133257,CPT,"Ablate atria, lmtd, add-on",,,21,,RBRVS,9.63,5.47,5.47,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133258,CPT,"Ablate atria, x10sv, add-on",,,21,,RBRVS,11,5.99,5.99,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133259,CPT,Ablate atria w/bypass add-on,,,21,,RBRVS,14.14,7.8,7.8,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133261,CPT,Ablate heart dysrhythm focus,,,21,,RBRVS,28.8,11.69,11.69,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133265,CPT,"Ablate atria w/bypass, endo",,,21,,RBRVS,23.58,9.77,9.77,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133266,CPT,Ablate atria w/o bypass endo,,,21,,RBRVS,32.91,12.57,12.57,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133282,CPT,Implant pat-active ht record,,,21,,RBRVS,4.7,4.24,4.24,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133284,CPT,Remove pat-active ht record,,,21,,RBRVS,3.04,3.38,3.38,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133300,CPT,Repair of heart wound,,,21,,RBRVS,44.89,15.06,15.06,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133305,CPT,Repair of heart wound,,,21,,RBRVS,76.85,25.14,25.14,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133310,CPT,Exploratory heart surgery,,,21,,RBRVS,20.22,8.36,8.36,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133315,CPT,Exploratory heart surgery,,,21,,RBRVS,26.05,10.36,10.36,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133320,CPT,Repair major blood vessel(s),,,21,,RBRVS,18.46,8.01,8.01,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133321,CPT,Repair major vessel,,,21,,RBRVS,20.71,8.38,8.38,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133322,CPT,Repair major blood vessel(s),,,21,,RBRVS,24.3,9.55,9.55,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133330,CPT,Insert major vessel graft,,,21,,RBRVS,25.17,9.5,9.5,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133332,CPT,Insert major vessel graft,,,21,,RBRVS,24.46,9.46,9.46,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133335,CPT,Insert major vessel graft,,,21,,RBRVS,33.79,12.49,12.49,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133400,CPT,Repair of aortic valve,,,21,,RBRVS,41.37,14.58,14.58,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133401,CPT,"Valvuloplasty, open",,,21,,RBRVS,24.41,10.28,10.28,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133403,CPT,"Valvuloplasty, w/cp bypass",,,21,,RBRVS,25.39,12.53,12.53,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133404,CPT,Prepare heart-aorta conduit,,,21,,RBRVS,31.25,12.02,12.02,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133405,CPT,Replacement of aortic valve,,,21,,RBRVS,41.19,15.12,15.12,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133406,CPT,Replacement of aortic valve,,,21,,RBRVS,52.55,18.39,18.39,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133410,CPT,Replacement of aortic valve,,,21,,RBRVS,46.28,16.53,16.53,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133411,CPT,Replacement of aortic valve,,,21,,RBRVS,61.94,21.11,21.11,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133412,CPT,Replacement of aortic valve,,,21,,RBRVS,43.77,16.22,16.22,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133413,CPT,Replacement of aortic valve,,,21,,RBRVS,59.74,23.55,23.55,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133414,CPT,Repair of aortic valve,,,21,,RBRVS,39.29,14.29,14.29,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133415,CPT,"Revision, subvalvular tissue",,,21,,RBRVS,37.19,13.15,13.15,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133416,CPT,Revise ventricle muscle,,,21,,RBRVS,36.43,13.24,13.24,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133417,CPT,Repair of aortic valve,,,21,,RBRVS,29.17,11.71,11.71,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133420,CPT,Revision of mitral valve,,,21,,RBRVS,25.67,9.5,9.5,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133422,CPT,Revision of mitral valve,,,21,,RBRVS,29.61,11.36,11.36,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133425,CPT,Repair of mitral valve,,,21,,RBRVS,49.83,17.61,17.61,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133426,CPT,Repair of mitral valve,,,21,,RBRVS,43.15,15.76,15.76,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133427,CPT,Repair of mitral valve,,,21,,RBRVS,44.7,15.7,15.7,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133430,CPT,Replacement of mitral valve,,,21,,RBRVS,50.75,18.57,18.57,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133460,CPT,Revision of tricuspid valve,,,21,,RBRVS,44.62,14.72,14.72,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133463,CPT,"Valvuloplasty, tricuspid",,,21,,RBRVS,56.95,19.73,19.73,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133464,CPT,"Valvuloplasty, tricuspid",,,21,,RBRVS,44.49,15.85,15.85,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133465,CPT,Replace tricuspid valve,,,21,,RBRVS,50.59,17.65,17.65,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133468,CPT,Revision of tricuspid valve,,,21,,RBRVS,32.82,15.25,15.25,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133470,CPT,Revision of pulmonary valve,,,21,,RBRVS,21.32,7.93,7.93,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133471,CPT,"Valvotomy, pulmonary valve",,,21,,RBRVS,22.83,11.6,11.6,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133472,CPT,Revision of pulmonary valve,,,21,,RBRVS,22.9,8.79,8.79,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133474,CPT,Revision of pulmonary valve,,,21,,RBRVS,39.27,12.95,12.95,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133475,CPT,"Replacement, pulmonary valve",,,21,,RBRVS,42.27,15.07,15.07,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133476,CPT,Revision of heart chamber,,,21,,RBRVS,26.41,10.37,10.37,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133478,CPT,Revision of heart chamber,,,21,,RBRVS,27.38,11.02,11.02,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133496,CPT,"Repair, prosth valve clot",,,21,,RBRVS,29.71,11.1,11.1,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133500,CPT,Repair heart vessel fistula,,,21,,RBRVS,27.82,11.04,11.04,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133501,CPT,Repair heart vessel fistula,,,21,,RBRVS,19.43,8,8,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133502,CPT,Coronary artery correction,,,21,,RBRVS,21.69,9.34,9.34,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133503,CPT,Coronary artery graft,,,21,,RBRVS,22.29,12.33,12.33,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133504,CPT,Coronary artery graft,,,21,,RBRVS,25.3,10.59,10.59,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133505,CPT,Repair artery w/tunnel,,,21,,RBRVS,38.35,15.14,15.14,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133506,CPT,"Repair artery, translocation",,,21,,RBRVS,37.8,12.71,12.71,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133507,CPT,"Repair art, intramural",,,21,,RBRVS,31.35,11.1,11.1,,,$0.00 ,$0.00 ,1,0,0,1,1,1,2008100133508,CPT,Endoscopic vein harvest,,,21,,RBRVS,0.31,0.09,0.09,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133510,CPT,"CABG, vein, single",,,21,,RBRVS,34.87,12.92,12.92,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133511,CPT,"CABG, vein, two",,,21,,RBRVS,38.34,14.16,14.16,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133512,CPT,"CABG, vein, three",,,21,,RBRVS,43.87,15.95,15.95,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133513,CPT,"CABG, vein, four",,,21,,RBRVS,45.26,16.38,16.38,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133514,CPT,"CABG, vein, five",,,21,,RBRVS,47.97,17.36,17.36,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133516,CPT,"Cabg, vein, six or more",,,21,,RBRVS,49.65,17.97,17.97,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133517,CPT,"CABG, artery-vein, single",,,21,,RBRVS,3.61,1.08,1.08,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133518,CPT,"CABG, artery-vein, two",,,21,,RBRVS,7.93,2.37,2.37,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133519,CPT,"CABG, artery-vein, three",,,21,,RBRVS,10.49,3.14,3.14,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133521,CPT,"CABG, artery-vein, four",,,21,,RBRVS,12.59,3.78,3.78,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133522,CPT,"CABG, artery-vein, five",,,21,,RBRVS,14.14,4.24,4.24,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133523,CPT,"Cabg, art-vein, six or more",,,21,,RBRVS,16.08,4.78,4.78,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133530,CPT,"Coronary artery, bypass/reop",,,21,,RBRVS,10.13,2.95,2.95,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133533,CPT,"CABG, arterial, single",,,21,,RBRVS,33.64,12.57,12.57,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133534,CPT,"CABG, arterial, two",,,21,,RBRVS,39.77,14.75,14.75,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133535,CPT,"CABG, arterial, three",,,21,,RBRVS,44.64,16.31,16.31,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133536,CPT,"Cabg, arterial, four or more",,,21,,RBRVS,48.32,17.34,17.34,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133542,CPT,Removal of heart lesion,,,21,,RBRVS,48.08,16.9,16.9,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133545,CPT,Repair of heart damage,,,21,,RBRVS,56.93,20.16,20.16,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133548,CPT,"Restore/remodel, ventricle",,,21,,RBRVS,53.96,19.35,19.35,,,$0.00 ,$0.00 ,1,0,0,1,1,1,2008100133572,CPT,Open coronary endarterectomy,,,21,,RBRVS,4.44,1.31,1.31,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133600,CPT,Closure of valve,,,21,,RBRVS,30.15,12.15,12.15,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133602,CPT,Closure of valve,,,21,,RBRVS,29.18,11.17,11.17,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133606,CPT,Anastomosis/artery-aorta,,,21,,RBRVS,31.37,11.92,11.92,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133608,CPT,Repair anomaly w/conduit,,,21,,RBRVS,31.72,12.86,12.86,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133610,CPT,Repair by enlargement,,,21,,RBRVS,31.24,13.56,13.56,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133611,CPT,Repair double ventricle,,,21,,RBRVS,35.49,12.37,12.37,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133612,CPT,Repair double ventricle,,,21,,RBRVS,36.49,14.32,14.32,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133615,CPT,"Repair, modified fontan",,,21,,RBRVS,35.76,13.8,13.8,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133617,CPT,Repair single ventricle,,,21,,RBRVS,38.96,13.96,13.96,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133619,CPT,Repair single ventricle,,,21,,RBRVS,48.6,17.99,17.99,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133641,CPT,Repair heart septum defect,,,21,,RBRVS,29.5,10.89,10.89,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133645,CPT,Revision of heart veins,,,21,,RBRVS,27.98,10.68,10.68,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133647,CPT,Repair heart septum defects,,,21,,RBRVS,29.37,12.72,12.72,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133660,CPT,Repair of heart defects,,,21,,RBRVS,31.75,11.83,11.83,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133665,CPT,Repair of heart defects,,,21,,RBRVS,34.77,12.17,12.17,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133670,CPT,Repair of heart chambers,,,21,,RBRVS,36.58,15.64,15.64,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133675,CPT,Close mult vsd,,,21,,RBRVS,35.87,15.76,15.76,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133676,CPT,Close mult vsd w/resection,,,21,,RBRVS,36.87,16.06,16.06,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133677,CPT,Cl mult vsd w/rem pul band,,,21,,RBRVS,38.37,16.63,16.63,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133681,CPT,Repair heart septum defect,,,21,,RBRVS,32.16,12.89,12.89,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133684,CPT,Repair heart septum defect,,,21,,RBRVS,34.29,13.29,13.29,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133688,CPT,Repair heart septum defect,,,21,,RBRVS,34.67,11.63,11.63,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133690,CPT,Reinforce pulmonary artery,,,21,,RBRVS,20.2,8.64,8.64,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133692,CPT,Repair of heart defects,,,21,,RBRVS,31.38,19.59,19.59,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133694,CPT,Repair of heart defects,,,21,,RBRVS,35.49,10.05,10.05,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133697,CPT,Repair of heart defects,,,21,,RBRVS,37.49,16.95,16.95,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133702,CPT,Repair of heart defects,,,21,,RBRVS,27.11,10.53,10.53,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133710,CPT,Repair of heart defects,,,21,,RBRVS,30.28,11.26,11.26,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133720,CPT,Repair of heart defect,,,21,,RBRVS,27.13,10.69,10.69,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133722,CPT,Repair of heart defect,,,21,,RBRVS,29.05,10.61,10.61,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133724,CPT,Repair venous anomaly,,,21,,RBRVS,27.55,10.38,10.38,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133726,CPT,Repair pul venous stenosis,,,21,,RBRVS,37.04,13.23,13.23,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133730,CPT,Repair heart-vein defect(s),,,21,,RBRVS,36.01,12.87,12.87,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133732,CPT,Repair heart-vein defect,,,21,,RBRVS,28.8,12.66,12.66,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133735,CPT,Revision of heart chamber,,,21,,RBRVS,22.04,11.04,11.04,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133736,CPT,Revision of heart chamber,,,21,,RBRVS,24.16,12.07,12.07,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133737,CPT,Revision of heart chamber,,,21,,RBRVS,22.34,9.13,9.13,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133750,CPT,Major vessel shunt,,,21,,RBRVS,22.06,9.43,9.43,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133755,CPT,Major vessel shunt,,,21,,RBRVS,22.44,7.8,7.8,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133762,CPT,Major vessel shunt,,,21,,RBRVS,22.44,8.69,8.69,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133764,CPT,Major vessel shunt & graft,,,21,,RBRVS,22.44,8.95,8.95,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133766,CPT,Major vessel shunt,,,21,,RBRVS,23.41,8.48,8.48,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133767,CPT,Major vessel shunt,,,21,,RBRVS,25.14,8.51,8.51,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133768,CPT,Cavopulmonary Shunting,,,21,,RBRVS,8,1.84,1.84,,,$0.00 ,$0.00 ,1,0,0,1,1,1,2008100133770,CPT,Repair great vessels defect,,,21,,RBRVS,39.02,11.92,11.92,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133771,CPT,Repair great vessels defect,,,21,,RBRVS,40.58,13.09,13.09,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133774,CPT,Repair great vessels defect,,,21,,RBRVS,31.54,12.21,12.21,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133775,CPT,Repair great vessels defect,,,21,,RBRVS,32.83,10.11,10.11,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133776,CPT,Repair great vessels defect,,,21,,RBRVS,34.53,10.25,10.25,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133777,CPT,Repair great vessels defect,,,21,,RBRVS,33.95,9.93,9.93,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133778,CPT,Repair great vessels defect,,,21,,RBRVS,42.62,14.93,14.93,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133779,CPT,Repair great vessels defect,,,21,,RBRVS,43.15,12.46,12.46,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133780,CPT,Repair great vessels defect,,,21,,RBRVS,43.85,13.15,13.15,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133781,CPT,Repair great vessels defect,,,21,,RBRVS,43.16,11.13,11.13,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133786,CPT,Repair arterial trunk,,,21,,RBRVS,41.74,14.1,14.1,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133788,CPT,Revision of pulmonary artery,,,21,,RBRVS,27.26,8.25,8.25,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133800,CPT,Aortic suspension,,,21,,RBRVS,17.23,6.82,6.82,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133802,CPT,Repair vessel defect,,,21,,RBRVS,18.24,7.95,7.95,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133803,CPT,Repair vessel defect,,,21,,RBRVS,20.18,6.39,6.39,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133813,CPT,Repair septal defect,,,21,,RBRVS,21.23,8.82,8.82,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133814,CPT,Repair septal defect,,,21,,RBRVS,26.41,10.41,10.41,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133820,CPT,Revise major vessel,,,21,,RBRVS,16.61,6.96,6.96,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133822,CPT,Revise major vessel,,,21,,RBRVS,17.63,5.94,5.94,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133824,CPT,Revise major vessel,,,21,,RBRVS,20.1,8.46,8.46,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133840,CPT,Remove aorta constriction,,,21,,RBRVS,21.21,9.34,9.34,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133845,CPT,Remove aorta constriction,,,21,,RBRVS,22.77,9.39,9.39,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133851,CPT,Remove aorta constriction,,,21,,RBRVS,21.85,8.88,8.88,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133852,CPT,Repair septal defect,,,21,,RBRVS,24.28,14.77,14.77,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133853,CPT,Repair septal defect,,,21,,RBRVS,32.35,12.26,12.26,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133860,CPT,Ascending aortic graft,,,21,,RBRVS,59.33,20.22,20.22,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133861,CPT,Ascending aortic graft,,,21,,RBRVS,43.94,15.71,15.71,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133863,CPT,Ascending aortic graft,,,21,,RBRVS,58.71,19.61,19.61,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133864,CPT,Ascending aortic graft,,,21,,RBRVS,60,20.11,20.11,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133870,CPT,Transverse aortic arch graft,,,21,,RBRVS,45.93,16.29,16.29,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133875,CPT,Thoracic aortic graft,,,21,,RBRVS,35.68,12.92,12.92,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133877,CPT,Thoracoabdominal graft,,,21,,RBRVS,68.85,21.03,21.03,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133880,CPT,Endovasc taa repr incl subcl,,,21,,RBRVS,34.48,10.93,10.93,,,$0.00 ,$0.00 ,1,0,0,1,1,1,2008100133881,CPT,Endovasc taa repr w/o subcl,,,21,,RBRVS,29.48,9.67,9.67,,,$0.00 ,$0.00 ,1,0,0,1,1,1,2008100133883,CPT,"Insert endovasc prosth, taa",,,21,,RBRVS,20.99,7.24,7.24,,,$0.00 ,$0.00 ,1,0,0,1,1,1,2008100133884,CPT,"Endovasc prosth, taa, add-on",,,21,,RBRVS,8.2,2.08,2.08,,,$0.00 ,$0.00 ,1,0,0,1,1,1,2008100133886,CPT,"Endovasc prosth, delayed",,,21,,RBRVS,17.99,6.34,6.34,,,$0.00 ,$0.00 ,1,0,0,1,1,1,2008100133889,CPT,Artery transpose/endovas taa,,,21,,RBRVS,15.92,3.98,3.98,,,$0.00 ,$0.00 ,1,0,0,1,1,1,2008100133891,CPT,Car-car bp grft/endovas taa,,,21,,RBRVS,20,5.82,5.82,,,$0.00 ,$0.00 ,1,0,0,1,1,1,2008100133910,CPT,Remove lung artery emboli,,,21,,RBRVS,29.59,11.35,11.35,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133915,CPT,Remove lung artery emboli,,,21,,RBRVS,24.83,9.12,9.12,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133916,CPT,Surgery of great vessel,,,21,,RBRVS,28.3,10.83,10.83,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133917,CPT,Repair pulmonary artery,,,21,,RBRVS,25.14,10.04,10.04,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133920,CPT,Repair pulmonary atresia,,,21,,RBRVS,32.58,9.47,9.47,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133922,CPT,Transect pulmonary artery,,,21,,RBRVS,24.09,10.25,10.25,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133924,CPT,Remove pulmonary shunt,,,21,,RBRVS,5.49,1.59,1.59,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133925,CPT,Rpr pul art unifocal w/o cpb,,,21,,RBRVS,31.25,16.44,16.44,,,$0.00 ,$0.00 ,1,0,0,1,1,1,2008100133926,CPT,"Repr pul art, unifocal w/cpb",,,21,,RBRVS,44.68,14.81,14.81,,,$0.00 ,$0.00 ,1,0,0,1,1,1,2008100133935,CPT,"Transplantation, heart/lung",,,21,,RBRVS,61.68,22.96,22.96,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133940,CPT,Removal of donor heart,,,21,,TotalUnits,,,,46.15,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133945,CPT,Transplantation of heart,,,21,,RBRVS,89.08,30.4,30.4,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133960,CPT,External circulation assist,,,21,,RBRVS,19.33,5.26,5.26,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133961,CPT,External circulation assist,,,21,,RBRVS,10.91,2.99,2.99,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133967,CPT,Insert ia percut device,,,21,,RBRVS,4.84,2.41,2.41,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133968,CPT,Remove aortic assist device,,,21,,RBRVS,0.64,0.26,0.26,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133970,CPT,Aortic circulation assist,,,21,,RBRVS,6.74,2.54,2.54,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133971,CPT,Aortic circulation assist,,,21,,RBRVS,11.91,6.01,6.01,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133973,CPT,Insert balloon device,,,21,,RBRVS,9.75,3.94,3.94,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133974,CPT,Remove intra-aortic balloon,,,21,,RBRVS,14.93,7.74,7.74,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133975,CPT,Implant ventricular device,,,21,,RBRVS,20.97,6.3,6.3,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133976,CPT,Implant ventricular device,,,21,,RBRVS,22.97,7.67,7.67,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133977,CPT,Remove ventricular device,,,21,,RBRVS,20.07,9.42,9.42,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133978,CPT,Remove ventricular device,,,21,,RBRVS,22.51,10.43,10.43,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133979,CPT,Insert intracorporeal device,,,21,,RBRVS,45.93,13.29,13.29,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133980,CPT,Remove intracorporeal device,,,21,,RBRVS,64.86,23.09,23.09,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100133999,CPT,Cardiac surgery procedure,,,21,,TotalUnits,,,,40.06,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100134001,CPT,Removal of artery clot,,,21,,RBRVS,17.78,6.37,6.37,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100134051,CPT,Removal of artery clot,,,21,,RBRVS,16.91,7.44,7.44,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100134101,CPT,Removal of artery clot,,,21,,RBRVS,10.85,4.3,4.3,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100134111,CPT,Removal of arm artery clot,,,21,,RBRVS,10.85,4.28,4.28,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100134151,CPT,Removal of artery clot,,,21,,RBRVS,26.41,8.66,8.66,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100134201,CPT,Removal of artery clot,,,21,,RBRVS,19.38,6.55,6.55,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100134203,CPT,Removal of leg artery clot,,,21,,RBRVS,17.73,6.38,6.38,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100134401,CPT,Removal of vein clot,,,21,,RBRVS,26.41,9.27,9.27,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100134421,CPT,Removal of vein clot,,,21,,RBRVS,13.29,5.2,5.2,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100134451,CPT,Removal of vein clot,,,21,,RBRVS,28.41,9.39,9.39,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100134471,CPT,Removal of vein clot,,,21,,RBRVS,21,7.87,7.87,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100134490,CPT,Removal of vein clot,,,21,,RBRVS,10.83,4.35,4.35,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100134501,CPT,"Repair valve, femoral vein",,,21,,RBRVS,16.74,6.43,6.43,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100134502,CPT,Reconstruct vena cava,,,21,,RBRVS,27.86,10.49,10.49,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100134510,CPT,Transposition of vein valve,,,21,,RBRVS,19.8,7.53,7.53,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100134520,CPT,Cross-over vein graft,,,21,,RBRVS,19.05,7.02,7.02,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100134530,CPT,Leg vein fusion,,,21,,RBRVS,17.77,6.77,6.77,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100134800,CPT,Endovasc abdo repair w/tube,,,21,,RBRVS,21.46,7.25,7.25,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100134802,CPT,Endovasc abdo repr w/device,,,21,,RBRVS,23.71,8.18,8.18,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100134803,CPT,Endovas aaa repr w/3-p part,,,21,,RBRVS,24.74,8.02,8.02,,,$0.00 ,$0.00 ,1,0,0,1,1,1,2008100134804,CPT,Endovasc abdo repr w/device,,,21,,RBRVS,23.71,8.07,8.07,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100134805,CPT,Endovasc abdo repair w/pros,,,21,,RBRVS,22.59,7.27,7.27,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100134806,CPT,Aneurysm press sensor add-on,,,21,,RBRVS,2.06,0.51,0.51,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100134808,CPT,Endovasc abdo occlud device,,,21,,RBRVS,4.12,1.05,1.05,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100134812,CPT,"Xpose for endoprosth, femorl",,,21,,RBRVS,6.74,1.67,1.67,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100134813,CPT,Femoral endovas graft add-on,,,21,,RBRVS,4.79,1.16,1.16,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100134820,CPT,"Xpose for endoprosth, iliac",,,21,,RBRVS,9.74,2.45,2.45,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100134825,CPT,"Endovasc extend prosth, init",,,21,,RBRVS,12.72,5.15,5.15,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100134826,CPT,"Endovasc exten prosth, addl",,,21,,RBRVS,4.12,1.14,1.14,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100134830,CPT,Open aortic tube prosth repr,,,21,,RBRVS,35.1,10.34,10.34,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100134831,CPT,Open aortoiliac prosth repr,,,21,,RBRVS,37.85,11.28,11.28,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100134832,CPT,Open aortofemor prosth repr,,,21,,RBRVS,37.85,11.81,11.81,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100134833,CPT,"Xpose for endoprosth, iliac",,,21,,RBRVS,11.98,3.29,3.29,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100134834,CPT,"Xpose, endoprosth, brachial",,,21,,RBRVS,5.34,1.57,1.57,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100134900,CPT,Endovasc iliac repr w/graft,,,21,,RBRVS,16.77,6.06,6.06,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100135001,CPT,Repair defect of artery,,,21,,RBRVS,20.7,7.71,7.71,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100135002,CPT,"Repair artery rupture, neck",,,21,,RBRVS,22.12,7.52,7.52,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100135005,CPT,Repair defect of artery,,,21,,RBRVS,19.18,8.53,8.53,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100135011,CPT,Repair defect of artery,,,21,,RBRVS,18.5,6.3,6.3,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100135013,CPT,"Repair artery rupture, arm",,,21,,RBRVS,23.1,7.77,7.77,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100135021,CPT,Repair defect of artery,,,21,,RBRVS,22.09,8.47,8.47,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100135022,CPT,"Repair artery rupture, chest",,,21,,RBRVS,25.62,10.59,10.59,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100135045,CPT,Repair defect of arm artery,,,21,,RBRVS,17.94,6.28,6.28,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100135081,CPT,Repair defect of artery,,,21,,RBRVS,33.37,10.71,10.71,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100135082,CPT,"Repair artery rupture, aorta",,,21,,RBRVS,41.93,12.78,12.78,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100135091,CPT,Repair defect of artery,,,21,,RBRVS,35.35,10,10,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100135092,CPT,"Repair artery rupture, aorta",,,21,,RBRVS,50.81,14.51,14.51,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100135102,CPT,Repair defect of artery,,,21,,RBRVS,36.37,11.3,11.3,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100135103,CPT,"Repair artery rupture, groin",,,21,,RBRVS,43.49,12.64,12.64,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100135111,CPT,Repair defect of artery,,,21,,RBRVS,26.17,8.51,8.51,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100135112,CPT,"Repair artery rupture,spleen",,,21,,RBRVS,32.44,10.08,10.08,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100135121,CPT,Repair defect of artery,,,21,,RBRVS,31.41,9.98,9.98,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100135122,CPT,"Repair artery rupture, belly",,,21,,RBRVS,37.76,11.52,11.52,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100135131,CPT,Repair defect of artery,,,21,,RBRVS,26.29,8.64,8.64,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100135132,CPT,"Repair artery rupture, groin",,,21,,RBRVS,32.44,10.29,10.29,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100135141,CPT,Repair defect of artery,,,21,,RBRVS,20.83,6.94,6.94,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100135142,CPT,"Repair artery rupture, thigh",,,21,,RBRVS,25.03,8.25,8.25,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100135151,CPT,Repair defect of artery,,,21,,RBRVS,23.61,7.65,7.65,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100135152,CPT,"Repair artery rupture, knee",,,21,,RBRVS,27.53,9.12,9.12,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100135180,CPT,Repair blood vessel lesion,,,21,,RBRVS,15.01,6.26,6.26,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100135182,CPT,Repair blood vessel lesion,,,21,,RBRVS,31.58,10.84,10.84,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100135184,CPT,Repair blood vessel lesion,,,21,,RBRVS,18.72,6.51,6.51,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100135188,CPT,Repair blood vessel lesion,,,21,,RBRVS,15.05,6.29,6.29,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100135189,CPT,Repair blood vessel lesion,,,21,,RBRVS,29.85,10.68,10.68,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100135190,CPT,Repair blood vessel lesion,,,21,,RBRVS,13.33,5.24,5.24,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100135201,CPT,Repair blood vessel lesion,,,21,,RBRVS,16.84,6.32,6.32,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100135206,CPT,Repair blood vessel lesion,,,21,,RBRVS,13.76,5.3,5.3,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100135207,CPT,Repair blood vessel lesion,,,21,,RBRVS,10.85,6.64,6.64,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100135211,CPT,Repair blood vessel lesion,,,21,,RBRVS,24.5,9.72,9.72,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100135216,CPT,Repair blood vessel lesion,,,21,,RBRVS,36.47,13.58,13.58,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100135221,CPT,Repair blood vessel lesion,,,21,,RBRVS,26.54,8.34,8.34,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100135226,CPT,Repair blood vessel lesion,,,21,,RBRVS,15.22,5.8,5.8,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100135231,CPT,Repair blood vessel lesion,,,21,,RBRVS,21.08,7.73,7.73,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100135236,CPT,Repair blood vessel lesion,,,21,,RBRVS,17.94,6.3,6.3,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100135241,CPT,Repair blood vessel lesion,,,21,,RBRVS,25.5,10.03,10.03,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100135246,CPT,Repair blood vessel lesion,,,21,,RBRVS,28.15,10.11,10.11,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100135251,CPT,Repair blood vessel lesion,,,21,,RBRVS,31.83,9.46,9.46,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100135256,CPT,Repair blood vessel lesion,,,21,,RBRVS,18.98,6.38,6.38,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100135261,CPT,Repair blood vessel lesion,,,21,,RBRVS,18.88,6.98,6.98,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100135266,CPT,Repair blood vessel lesion,,,21,,RBRVS,15.75,5.47,5.47,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100135271,CPT,Repair blood vessel lesion,,,21,,RBRVS,24.5,9.69,9.69,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100135276,CPT,Repair blood vessel lesion,,,21,,RBRVS,25.72,9.79,9.79,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100135281,CPT,Repair blood vessel lesion,,,21,,RBRVS,29.93,9.29,9.29,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100135286,CPT,Repair blood vessel lesion,,,21,,RBRVS,17.06,6.31,6.31,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100135301,CPT,Rechanneling of artery,,,21,,RBRVS,19.53,6.69,6.69,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100135302,CPT,Rechanneling of artery,,,21,,RBRVS,21.27,6.91,6.91,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100135303,CPT,Rechanneling of artery,,,21,,RBRVS,23.52,7.46,7.46,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100135304,CPT,Rechanneling of artery,,,21,,RBRVS,24.52,7.71,7.71,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100135305,CPT,Rechanneling of artery,,,21,,RBRVS,23.52,7.46,7.46,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100135306,CPT,Rechanneling of artery,,,21,,RBRVS,9.25,2.28,2.28,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100135311,CPT,Rechanneling of artery,,,21,,RBRVS,28.52,9.64,9.64,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100135321,CPT,Rechanneling of artery,,,21,,RBRVS,16.51,5.78,5.78,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100135331,CPT,Rechanneling of artery,,,21,,RBRVS,27.61,8.82,8.82,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100135341,CPT,Rechanneling of artery,,,21,,RBRVS,26.1,8.25,8.25,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100135351,CPT,Rechanneling of artery,,,21,,RBRVS,24.53,7.65,7.65,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100135355,CPT,Rechanneling of artery,,,21,,RBRVS,19.78,6.36,6.36,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100135361,CPT,Rechanneling of artery,,,21,,RBRVS,30.11,9.6,9.6,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100135363,CPT,Rechanneling of artery,,,21,,RBRVS,32.22,10.44,10.44,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100135371,CPT,Rechanneling of artery,,,21,,RBRVS,15.23,5.33,5.33,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100135372,CPT,Rechanneling of artery,,,21,,RBRVS,18.5,6.13,6.13,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100135390,CPT,"Reoperation, carotid add-on",,,21,,RBRVS,3.19,0.82,0.82,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100135400,CPT,Angioscopy,,,21,,RBRVS,3,0.72,0.72,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100135450,CPT,Repair arterial blockage,,,21,,RBRVS,10.05,2.97,2.97,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100135452,CPT,Repair arterial blockage,,,21,,RBRVS,6.9,2.06,2.06,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100135454,CPT,Repair arterial blockage,,,21,,RBRVS,6.03,1.76,1.76,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100135456,CPT,Repair arterial blockage,,,21,,RBRVS,7.34,2.12,2.12,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100135458,CPT,Repair arterial blockage,,,21,,RBRVS,9.48,2.8,2.8,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100135459,CPT,Repair arterial blockage,,,21,,RBRVS,8.62,2.65,2.65,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100135460,CPT,Repair venous blockage,,,21,,RBRVS,6.03,1.75,1.75,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100135470,CPT,Repair arterial blockage,,,21,,RBRVS,8.62,3.44,61.19,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100135471,CPT,Repair arterial blockage,,,21,,RBRVS,10.05,4.69,66.05,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100135472,CPT,Repair arterial blockage,,,21,,RBRVS,6.9,2.81,47.53,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100135473,CPT,Repair arterial blockage,,,21,,RBRVS,6.03,2.5,46.56,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100135474,CPT,Repair arterial blockage,,,21,,RBRVS,7.35,2.98,60.44,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100135475,CPT,Repair arterial blockage,,,21,,RBRVS,9.48,3.39,48.69,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100135476,CPT,Repair venous blockage,,,21,,RBRVS,6.03,2.23,37.15,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100135480,CPT,"Atherectomy, open",,,21,,RBRVS,11.06,4.05,4.05,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100135481,CPT,"Atherectomy, open",,,21,,RBRVS,7.6,2.57,2.57,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100135482,CPT,"Atherectomy, open",,,21,,RBRVS,6.64,2.01,2.01,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100135483,CPT,"Atherectomy, open",,,21,,RBRVS,8.09,2.57,2.57,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100135484,CPT,"Atherectomy, open",,,21,,RBRVS,10.42,2.9,2.9,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100135485,CPT,"Atherectomy, open",,,21,,RBRVS,9.48,2.87,2.87,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100135490,CPT,"Atherectomy, percutaneous",,,21,,RBRVS,11.06,5.18,5.18,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100135491,CPT,"Atherectomy, percutaneous",,,21,,RBRVS,7.6,3.86,3.86,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100135492,CPT,"Atherectomy, percutaneous",,,21,,RBRVS,6.64,3.49,3.49,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100135493,CPT,"Atherectomy, percutaneous",,,21,,RBRVS,8.09,3.97,3.97,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100135494,CPT,"Atherectomy, percutaneous",,,21,,RBRVS,10.42,5.15,5.15,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100135495,CPT,"Atherectomy, percutaneous",,,21,,RBRVS,9.48,4.45,4.45,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100135500,CPT,Harvest vein for bypass,,,21,,RBRVS,6.44,1.6,1.6,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100135501,CPT,Artery bypass graft,,,21,,RBRVS,28.99,11.07,11.07,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100135506,CPT,Artery bypass graft,,,21,,RBRVS,25.23,8.32,8.32,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100135508,CPT,Artery bypass graft,,,21,,RBRVS,25.99,8.77,8.77,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100135509,CPT,Artery bypass graft,,,21,,RBRVS,27.99,10.79,10.79,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100135510,CPT,Artery bypass graft,,,21,,RBRVS,24.29,7.7,7.7,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100135511,CPT,Artery bypass graft,,,21,,RBRVS,22.12,7.66,7.66,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100135512,CPT,Artery bypass graft,,,21,,RBRVS,23.79,7.48,7.48,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100135515,CPT,Artery bypass graft,,,21,,RBRVS,25.99,9.09,9.09,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100135516,CPT,Artery bypass graft,,,21,,RBRVS,24.11,7.46,7.46,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100135518,CPT,Artery bypass graft,,,21,,RBRVS,22.57,7.33,7.33,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100135521,CPT,Artery bypass graft,,,21,,RBRVS,24,7.95,7.95,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100135522,CPT,Artery bypass graft,,,21,,RBRVS,23.05,7.4,7.4,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100135523,CPT,Artery bypass graft,,,21,,RBRVS,24,9.22,9.22,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100135525,CPT,Artery bypass graft,,,21,,RBRVS,21.59,7.04,7.04,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100135526,CPT,Artery bypass graft,,,21,,RBRVS,31.47,14.04,14.04,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100135531,CPT,Artery bypass graft,,,21,,RBRVS,38.98,11.48,11.48,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100135533,CPT,Artery bypass graft,,,21,,RBRVS,29.79,9.5,9.5,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100135536,CPT,Artery bypass graft,,,21,,RBRVS,33.6,9.51,9.51,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100135537,CPT,Artery bypass graft,,,21,,RBRVS,41.75,13.1,13.1,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100135538,CPT,Artery bypass graft,,,21,,RBRVS,46.82,14.45,14.45,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100135539,CPT,Artery bypass graft,,,21,,RBRVS,43.98,13.47,13.47,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100135540,CPT,Artery bypass graft,,,21,,RBRVS,49.2,14.82,14.82,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100135548,CPT,Artery bypass graft,,,21,,RBRVS,22.57,7.74,7.74,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100135549,CPT,Artery bypass graft,,,21,,RBRVS,24.34,8.74,8.74,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100135551,CPT,Artery bypass graft,,,21,,RBRVS,27.72,9.38,9.38,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100135556,CPT,Artery bypass graft,,,21,,RBRVS,26.62,8.64,8.64,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100135558,CPT,Artery bypass graft,,,21,,RBRVS,23,7.87,7.87,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100135560,CPT,Artery bypass graft,,,21,,RBRVS,33.9,10.63,10.63,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100135563,CPT,Artery bypass graft,,,21,,RBRVS,25.99,8.88,8.88,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100135565,CPT,Artery bypass graft,,,21,,RBRVS,25,8.17,8.17,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100135566,CPT,Artery bypass graft,,,21,,RBRVS,32.22,9.85,9.85,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100135571,CPT,Artery bypass graft,,,21,,RBRVS,25.39,8.09,8.09,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100135572,CPT,Harvest femoropopliteal vein,,,21,,RBRVS,6.81,1.92,1.92,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100135583,CPT,Vein bypass graft,,,21,,RBRVS,27.62,8.64,8.64,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100135585,CPT,Vein bypass graft,,,21,,RBRVS,32.22,10.11,10.11,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100135587,CPT,Vein bypass graft,,,21,,RBRVS,26.08,8.51,8.51,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100135600,CPT,Harvest artery for cabg,,,21,,RBRVS,4.94,1.52,1.52,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100135601,CPT,Artery bypass graft,,,21,,RBRVS,26.99,10.43,10.43,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100135606,CPT,Artery bypass graft,,,21,,RBRVS,22.36,7.3,7.3,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100135612,CPT,Artery bypass graft,,,21,,RBRVS,16.71,6.31,6.31,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100135616,CPT,Artery bypass graft,,,21,,RBRVS,21.74,7.13,7.13,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100135621,CPT,Artery bypass graft,,,21,,RBRVS,20.95,6.78,6.78,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100135623,CPT,"Bypass graft, not vein",,,21,,RBRVS,25.79,8.44,8.44,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100135626,CPT,Artery bypass graft,,,21,,RBRVS,29.06,10.28,10.28,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100135631,CPT,Artery bypass graft,,,21,,RBRVS,35.9,10.56,10.56,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100135636,CPT,Artery bypass graft,,,21,,RBRVS,31.62,9.72,9.72,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100135637,CPT,Artery bypass graft,,,21,,RBRVS,32.92,10.65,10.65,,,$0.00 ,$0.00 ,1,0,1,1,1,0,2008100135638,CPT,Artery bypass graft,,,21,,RBRVS,33.47,10.79,10.79,,,$0.00 ,$0.00 ,1,0,1,1,1,0,2008100135642,CPT,Artery bypass graft,,,21,,RBRVS,18.85,6.22,6.22,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100135645,CPT,Artery bypass graft,,,21,,RBRVS,18.34,7.98,7.98,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100135646,CPT,Artery bypass graft,,,21,,RBRVS,32.84,10.45,10.45,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100135647,CPT,Artery bypass graft,,,21,,RBRVS,29.62,9.66,9.66,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100135650,CPT,Artery bypass graft,,,21,,RBRVS,20.08,6.93,6.93,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100135651,CPT,Artery bypass graft,,,21,,RBRVS,25.97,8.71,8.71,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100135654,CPT,Artery bypass graft,,,21,,RBRVS,26.17,8.36,8.36,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100135656,CPT,Artery bypass graft,,,21,,RBRVS,20.39,6.84,6.84,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100135661,CPT,Artery bypass graft,,,21,,RBRVS,20.22,7.04,7.04,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100135663,CPT,Artery bypass graft,,,21,,RBRVS,23.8,7.9,7.9,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100135665,CPT,Artery bypass graft,,,21,,RBRVS,22.22,7.36,7.36,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100135666,CPT,Artery bypass graft,,,21,,RBRVS,23.53,8.51,8.51,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100135671,CPT,Artery bypass graft,,,21,,RBRVS,20.64,7.63,7.63,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100135681,CPT,Composite bypass graft,,,21,,RBRVS,1.6,0.4,0.4,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100135682,CPT,Composite bypass graft,,,21,,RBRVS,7.19,1.7,1.7,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100135683,CPT,Composite bypass graft,,,21,,RBRVS,8.49,1.96,1.96,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100135685,CPT,Bypass graft patency/patch,,,21,,RBRVS,4.04,0.96,0.96,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100135686,CPT,Bypass graft/av fist patency,,,21,,RBRVS,3.34,0.85,0.85,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100135691,CPT,Arterial transposition,,,21,,RBRVS,18.32,5.95,5.95,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100135693,CPT,Arterial transposition,,,21,,RBRVS,15.64,6.12,6.12,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100135694,CPT,Arterial transposition,,,21,,RBRVS,19.19,6.32,6.32,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100135695,CPT,Arterial transposition,,,21,,RBRVS,19.97,6.71,6.71,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100135697,CPT,Reimplant artery each,,,21,,RBRVS,3,0.74,0.74,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100135700,CPT,"Reoperation, bypass graft",,,21,,RBRVS,3.08,0.77,0.77,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100135701,CPT,"Exploration, carotid artery",,,21,,RBRVS,9.11,4.32,4.32,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100135721,CPT,"Exploration, femoral artery",,,21,,RBRVS,7.66,3.83,3.83,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100135741,CPT,Exploration popliteal artery,,,21,,RBRVS,8.61,3.87,3.87,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100135761,CPT,Exploration of artery/vein,,,21,,RBRVS,5.84,3.44,3.44,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100135800,CPT,Explore neck vessels,,,21,,RBRVS,7.99,3.95,3.95,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100135820,CPT,Explore chest vessels,,,21,,RBRVS,36.81,12.91,12.91,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100135840,CPT,Explore abdominal vessels,,,21,,RBRVS,10.87,4.81,4.81,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100135860,CPT,Explore limb vessels,,,21,,RBRVS,6.72,3.38,3.38,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100135870,CPT,Repair vessel graft defect,,,21,,RBRVS,24.39,7.92,7.92,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100135875,CPT,Removal of clot in graft,,,21,,RBRVS,10.64,4.29,4.29,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100135876,CPT,Removal of clot in graft,,,21,,RBRVS,17.74,5.95,5.95,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100135879,CPT,Revise graft w/vein,,,21,,RBRVS,17.28,5.98,5.98,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100135881,CPT,Revise graft w/vein,,,21,,RBRVS,19.22,6.46,6.46,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100135883,CPT,Revise graft w/nonauto graft,,,21,,RBRVS,23.07,8.5,8.5,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100135884,CPT,Revise graft w/vein,,,21,,RBRVS,24.57,8.94,8.94,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100135901,CPT,"Excision, graft, neck",,,21,,RBRVS,8.26,4.24,4.24,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100135903,CPT,"Excision, graft, extremity",,,21,,RBRVS,9.44,4.6,4.6,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100135905,CPT,"Excision, graft, thorax",,,21,,RBRVS,33.39,10.66,10.66,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100135907,CPT,"Excision, graft, abdomen",,,21,,RBRVS,37.14,10.89,10.89,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100136000,CPT,Place needle in vein,,,21,,RBRVS,0.18,0.06,0.46,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100136002,CPT,Pseudoaneurysm injection trt,,,21,,RBRVS,1.96,0.86,2.24,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100136005,CPT,Injection ext venography,,,21,,RBRVS,0.95,0.39,8.47,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100136010,CPT,Place catheter in vein,,,21,,RBRVS,2.43,0.78,11.1,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100136011,CPT,Place catheter in vein,,,21,,RBRVS,3.14,1.01,19.63,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100136012,CPT,Place catheter in vein,,,21,,RBRVS,3.51,1.28,20.26,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100136013,CPT,Place catheter in artery,,,21,,RBRVS,2.52,0.93,18.79,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100136014,CPT,Place catheter in artery,,,21,,RBRVS,3.02,1.11,18.96,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100136015,CPT,Place catheter in artery,,,21,,RBRVS,3.51,1.05,18.56,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100136100,CPT,Establish access to artery,,,21,,RBRVS,3.02,1.21,11.25,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100136120,CPT,Establish access to artery,,,21,,RBRVS,2.01,0.59,9.21,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100136140,CPT,Establish access to artery,,,21,,RBRVS,2.01,0.71,10.49,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100136145,CPT,Artery to vein shunt,,,21,,RBRVS,2.01,0.66,10.29,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100136160,CPT,Establish access to aorta,,,21,,RBRVS,2.52,1.05,11.55,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100136200,CPT,Place catheter in aorta,,,21,,RBRVS,3.02,1.02,13.67,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100136215,CPT,Place catheter in artery,,,21,,RBRVS,4.67,1.89,25.97,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100136216,CPT,Place catheter in artery,,,21,,RBRVS,5.27,2.09,28.06,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100136217,CPT,Place catheter in artery,,,21,,RBRVS,6.29,2.43,45.91,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100136218,CPT,Place catheter in artery,,,21,,RBRVS,1.01,0.39,3.77,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100136245,CPT,Place catheter in artery,,,21,,RBRVS,4.67,2.12,28.8,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100136246,CPT,Place catheter in artery,,,21,,RBRVS,5.27,1.99,27.45,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100136247,CPT,Place catheter in artery,,,21,,RBRVS,6.29,2.36,45.2,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100136248,CPT,Place catheter in artery,,,21,,RBRVS,1.01,0.38,3.18,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100136260,CPT,Insertion of infusion pump,,,21,,RBRVS,9.82,4.65,4.65,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100136261,CPT,Revision of infusion pump,,,21,,RBRVS,5.55,3.06,3.06,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100136262,CPT,Removal of infusion pump,,,21,,RBRVS,4.05,2.71,2.71,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100136299,CPT,Vessel injection procedure,,,21,,TotalUnits,,,,4.04,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100136400,CPT,Bl draw < 3 yrs fem/jugular,,,21,,RBRVS,0.38,0.09,0.28,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100136405,CPT,Bl draw < 3 yrs scalp vein,,,21,,RBRVS,0.31,0.08,0.27,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100136406,CPT,Bl draw < 3 yrs other vein,,,21,,RBRVS,0.18,0.04,0.25,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100136410,CPT,Non-routine bl draw > 3 yrs,,,21,,RBRVS,0.18,0.05,0.32,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100136415,CPT,Routine venipuncture,,,14,,TotalUnits,,,,0.19,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100136416,CPT,Capillary blood draw,,,14,,TotalUnits,,,,0.19,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100136420,CPT,Vein access cutdown < 1 yr,,,21,,RBRVS,1.01,0.21,0.21,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100136425,CPT,Vein access cutdown > 1 yr,,,21,,RBRVS,0.76,0.21,0.21,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100136430,CPT,Blood transfusion service,,,21,,RBRVS,0,0.94,0.94,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100136440,CPT,"Bl push transfuse, 2 yr or <",,,21,,RBRVS,1.03,0.25,0.25,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100136450,CPT,"Bl exchange/transfuse, nb",,,21,,RBRVS,2.23,0.77,0.77,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100136455,CPT,Bl exchange/transfuse non-nb,,,21,,RBRVS,2.43,0.67,0.67,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100136460,CPT,"Transfusion service, fetal",,,21,,RBRVS,6.58,1.81,1.81,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100136468,CPT,"Injection(s), spider veins",,,21,,TotalUnits,,,,1.97,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100136469,CPT,"Injection(s), spider veins",,,21,,TotalUnits,,,,2.1,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100136470,CPT,Injection therapy of vein,,,21,,RBRVS,1.09,0.64,2.41,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100136471,CPT,Injection therapy of veins,,,21,,RBRVS,1.6,0.79,2.56,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100136475,CPT,"Endovenous rf, 1st vein",,,21,,RBRVS,6.72,1.88,35.78,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100136476,CPT,"Endovenous rf, vein add-on",,,21,,RBRVS,3.38,0.83,6.14,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100136478,CPT,"Endovenous laser, 1st vein",,,21,,RBRVS,6.72,2.04,26.98,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100136479,CPT,Endovenous laser vein addon,,,21,,RBRVS,3.38,0.95,6.36,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100136481,CPT,"Insertion of catheter, vein",,,21,,RBRVS,6.98,2.36,2.36,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100136500,CPT,"Insertion of catheter, vein",,,21,,RBRVS,3.51,1.25,1.25,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100136510,CPT,"Insertion of catheter, vein",,,21,,RBRVS,1.09,0.3,1.08,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100136511,CPT,Apheresis wbc,,,21,,RBRVS,1.74,0.58,0.58,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100136512,CPT,Apheresis rbc,,,21,,RBRVS,1.74,0.6,0.6,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100136513,CPT,Apheresis platelets,,,21,,RBRVS,1.74,0.55,0.55,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100136514,CPT,Apheresis plasma,,,21,,RBRVS,1.74,0.53,10.51,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100136515,CPT,"Apheresis, adsorp/reinfuse",,,21,,RBRVS,1.74,0.48,45.51,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100136516,CPT,"Apheresis, selective",,,21,,RBRVS,1.22,0.39,49.59,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100136522,CPT,Photopheresis,,,21,,RBRVS,1.67,0.94,37.44,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100136555,CPT,Insert non-tunnel cv cath,,,21,,RBRVS,2.68,0.59,3.81,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100136556,CPT,Insert non-tunnel cv cath,,,21,,RBRVS,2.5,0.55,2.86,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100136557,CPT,Insert tunneled cv cath,,,21,,RBRVS,5.11,2.29,15.11,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100136558,CPT,Insert tunneled cv cath,,,21,,RBRVS,4.81,2.36,14.85,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100136560,CPT,Insert tunneled cv cath,,,21,,RBRVS,6.26,2.72,21.33,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100136561,CPT,Insert tunneled cv cath,,,21,,RBRVS,6.01,2.64,22.27,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100136563,CPT,Insert tunneled cv cath,,,21,,RBRVS,6.21,2.6,23.11,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100136565,CPT,Insert tunneled cv cath,,,21,,RBRVS,6.01,2.47,17.53,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100136566,CPT,Insert tunneled cv cath,,,21,,RBRVS,6.51,2.6,111.95,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100136568,CPT,Insert tunneled cv cath,,,21,,RBRVS,1.92,0.59,5.88,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100136569,CPT,Insert tunneled cv cath,,,21,,RBRVS,1.82,0.67,4.47,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100136570,CPT,Insert tunneled cv cath,,,21,,RBRVS,5.33,2.1,21.25,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100136571,CPT,Insert tunneled cv cath,,,21,,RBRVS,5.31,2.45,24.53,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100136575,CPT,Repair tunneled cv cath,,,21,,RBRVS,0.67,0.23,3.31,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100136576,CPT,Repair tunneled cv cath,,,21,,RBRVS,3.21,1.57,5.91,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100136578,CPT,Replace tunneled cv cath,,,21,,RBRVS,3.51,2,9.18,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100136580,CPT,Replace tunneled cv cath,,,21,,RBRVS,1.31,0.43,3.96,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100136581,CPT,Replace tunneled cv cath,,,21,,RBRVS,3.45,1.74,15.51,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100136582,CPT,Replace tunneled cv cath,,,21,,RBRVS,5.21,2.46,21.55,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100136583,CPT,Replace tunneled cv cath,,,21,,RBRVS,5.26,2.49,21.6,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100136584,CPT,Replace tunneled cv cath,,,21,,RBRVS,1.2,0.61,3.97,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100136585,CPT,Replace tunneled cv cath,,,21,,RBRVS,4.81,2.43,22.57,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100136589,CPT,Removal tunneled cv cath,,,21,,RBRVS,2.27,1.23,1.86,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100136590,CPT,Removal tunneled cv cath,,,21,,RBRVS,3.32,1.6,3.62,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100136591,CPT,Draw blood off venous device,,,21,,RBRVS,0,0.54,0.54,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100136592,CPT,Collect blood from picc,,,21,,RBRVS,0,0.67,0.67,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100136593,CPT,Declot vascular device,,,21,,RBRVS,0,0.82,0.82,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100136595,CPT,Mech remov tunneled cv cath,,,21,,RBRVS,3.59,1.38,10.84,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100136596,CPT,Mech remov tunneled cv cath,,,21,,RBRVS,0.75,0.43,2.58,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100136597,CPT,Reposition venous catheter,,,21,,RBRVS,1.21,0.46,2.04,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100136598,CPT,"Inj w/fluor, eval cv device",,,21,,RBRVS,0.74,0.27,2.22,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100136600,CPT,Withdrawal of arterial blood,,,21,,RBRVS,0.32,0.07,0.5,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100136620,CPT,"Insertion catheter, artery",,,21,,RBRVS,1.15,0.15,0.15,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100136625,CPT,"Insertion catheter, artery",,,21,,RBRVS,2.11,0.5,0.5,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100136640,CPT,"Insertion catheter, artery",,,21,,RBRVS,2.1,0.91,0.91,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100136660,CPT,"Insertion catheter, artery",,,21,,RBRVS,1.4,0.41,0.41,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100136680,CPT,"Insert needle, bone cavity",,,21,,RBRVS,1.2,0.28,0.28,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100136800,CPT,Insertion of cannula,,,21,,RBRVS,2.43,1.53,1.53,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100136810,CPT,Insertion of cannula,,,21,,RBRVS,3.96,1.32,1.32,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100136815,CPT,Insertion of cannula,,,21,,RBRVS,2.62,1.04,1.04,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100136818,CPT,"Av fuse, uppr arm, cephalic",,,21,,RBRVS,11.81,4.49,4.49,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100136819,CPT,Av fusion/uppr arm vein,,,21,,RBRVS,14.39,5.12,5.12,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100136820,CPT,Av fusion/forearm vein,,,21,,RBRVS,14.39,5.24,5.24,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100136821,CPT,Av fusion direct any site,,,21,,RBRVS,9.15,3.94,3.94,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100136822,CPT,Insertion of cannula(s),,,21,,RBRVS,5.51,3.75,3.75,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100136823,CPT,Insertion of cannula(s),,,21,,RBRVS,22.82,8.64,8.64,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100136825,CPT,Artery-vein autograft,,,21,,RBRVS,10,4.23,4.23,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100136830,CPT,Artery-vein nonautograft,,,21,,RBRVS,12,4.13,4.13,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100136831,CPT,Open thrombect av fistula,,,21,,RBRVS,8.01,3.19,3.19,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100136832,CPT,"Av fistula revision, open",,,21,,RBRVS,10.5,3.75,3.75,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100136833,CPT,Av fistula revision,,,21,,RBRVS,11.95,4.12,4.12,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100136834,CPT,Repair A-V aneurysm,,,21,,RBRVS,11.11,4.22,4.22,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100136835,CPT,Artery to vein shunt,,,21,,RBRVS,7.43,3.74,3.74,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100136838,CPT,"Dist revas ligation, hemo",,,21,,RBRVS,21.59,7.05,7.05,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100136860,CPT,External cannula declotting,,,21,,RBRVS,2.01,0.63,3.36,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100136861,CPT,Cannula declotting,,,21,,RBRVS,2.52,1.22,1.22,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100136870,CPT,Percut thrombect av fistula,,,21,,RBRVS,5.17,2.76,40.83,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100137140,CPT,Revision of circulation,,,21,,RBRVS,25.12,8.93,8.93,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100137145,CPT,Revision of circulation,,,21,,RBRVS,26.13,10.46,10.46,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100137160,CPT,Revision of circulation,,,21,,RBRVS,23.13,7.93,7.93,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100137180,CPT,Revision of circulation,,,21,,RBRVS,26.13,9.28,9.28,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100137181,CPT,Splice spleen/kidney veins,,,21,,RBRVS,28.26,8.84,8.84,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100137182,CPT,Insert hepatic shunt (tips),,,21,,RBRVS,16.97,6.33,6.33,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100137183,CPT,Remove hepatic shunt (tips),,,21,,RBRVS,7.99,3.09,3.09,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100137184,CPT,Prim art mech thrombectomy,,,21,,RBRVS,8.66,3.24,49.97,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100137185,CPT,Prim art m-thrombect add-on,,,21,,RBRVS,3.28,1.12,16.39,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100137186,CPT,Sec art m-thrombect add-on,,,21,,RBRVS,4.92,1.79,34.94,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100137187,CPT,Venous mech thrombectomy,,,21,,RBRVS,8.03,2.99,48.27,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100137188,CPT,Venous m-thrombectomy add-on,,,21,,RBRVS,5.71,2.18,42.27,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100137195,CPT,"Thrombolytic therapy, stroke",,,21,,RBRVS,4.99,2.33,2.33,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100137200,CPT,Transcatheter biopsy,,,21,,RBRVS,4.55,1.65,1.65,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100137201,CPT,Transcatheter therapy infuse,,,21,,RBRVS,4.99,2.33,2.33,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100137202,CPT,Transcatheter therapy infuse,,,21,,RBRVS,5.67,3.34,3.34,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100137203,CPT,Transcatheter retrieval,,,21,,RBRVS,5.02,2.07,30.14,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100137204,CPT,Transcatheter occlusion,,,21,,RBRVS,18.11,6.24,6.24,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100137205,CPT,Transcatheter stent,,,21,,RBRVS,8.27,3.25,108.78,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100137206,CPT,Transcatheter stent add-on,,,21,,RBRVS,4.12,1.58,66.53,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100137207,CPT,Transcatheter stent,,,21,,RBRVS,8.27,2.38,2.38,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100137208,CPT,Transcatheter stent add-on,,,21,,RBRVS,4.12,1.01,1.01,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100137209,CPT,Exchange arterial catheter,,,21,,RBRVS,2.27,0.77,0.77,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100137210,CPT,Embolization uterine fibroid,,,21,,RBRVS,10.6,3.68,83.31,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100137215,CPT,"Transcath stent, cca w/eps",,,21,,RBRVS,19.58,9.94,9.94,,,$0.00 ,$0.00 ,1,0,0,1,1,1,2008100137216,CPT,"Transcath stent, cca w/o eps",,,21,,RBRVS,18.85,5.76,5.76,,,$0.00 ,$0.00 ,1,0,0,1,1,1,2008100137250,CPT,Iv us first vessel add-on,,,21,,RBRVS,2.1,0.77,0.77,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100137251,CPT,Iv us each add vessel add-on,,,21,,RBRVS,1.6,0.5,0.5,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100137500,CPT,Endoscopy ligate perf veins,,,21,,RBRVS,11.54,5.35,5.35,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100137501,CPT,Vascular endoscopy procedure,,,21,,TotalUnits,,,,18.1,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100137565,CPT,Ligation of neck vein,,,21,,RBRVS,11.97,5.14,5.14,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100137600,CPT,Ligation of neck artery,,,21,,RBRVS,12.34,4.92,4.92,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100137605,CPT,Ligation of neck artery,,,21,,RBRVS,14.2,5.45,5.45,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100137606,CPT,Ligation of neck artery,,,21,,RBRVS,8.72,4.86,4.86,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100137607,CPT,Ligation of a-v fistula,,,21,,RBRVS,6.19,3.03,3.03,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100137609,CPT,Temporal artery procedure,,,21,,RBRVS,3.02,1.82,4.2,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100137615,CPT,Ligation of neck artery,,,21,,RBRVS,7.72,4.09,4.09,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100137616,CPT,Ligation of chest artery,,,21,,RBRVS,18.89,7.93,7.93,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100137617,CPT,Ligation of abdomen artery,,,21,,RBRVS,23.71,7.89,7.89,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100137618,CPT,Ligation of extremity artery,,,21,,RBRVS,5.95,3.37,3.37,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100137620,CPT,Revision of major vein,,,21,,RBRVS,11.49,5.45,5.45,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100137650,CPT,Revision of major vein,,,21,,RBRVS,8.41,4.23,4.23,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100137660,CPT,Revision of major vein,,,21,,RBRVS,22.2,7.59,7.59,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100137700,CPT,Revise leg vein,,,21,,RBRVS,3.76,2.39,2.39,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100137718,CPT,Ligate/strip short leg vein,,,21,,RBRVS,7.05,3.48,3.48,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100137722,CPT,Ligate/strip long leg vein,,,21,,RBRVS,8.08,3.69,3.69,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100137735,CPT,Removal of leg veins/lesion,,,21,,RBRVS,10.81,4.69,4.69,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100137760,CPT,"Ligation, leg veins, open",,,21,,RBRVS,10.69,4.48,4.48,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100137765,CPT,Phleb veins - extrem - to 20,,,21,,RBRVS,7.63,3.57,3.57,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100137766,CPT,Phleb veins - extrem 20+,,,21,,RBRVS,9.58,4.13,4.13,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100137780,CPT,Revision of leg vein,,,21,,RBRVS,3.87,2.39,2.39,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100137785,CPT,Revise secondary varicosity,,,21,,RBRVS,3.87,2.58,4.92,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100137788,CPT,"Revascularization, penis",,,21,,RBRVS,23.21,12.05,12.05,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100137790,CPT,Penile venous occlusion,,,21,,RBRVS,8.37,5.15,5.15,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100137799,CPT,Vascular surgery procedure,,,21,,TotalUnits,,,,0.11,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100138100,CPT,"Removal of spleen, total",,,21,,RBRVS,19.47,6.85,6.85,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100138101,CPT,"Removal of spleen, partial",,,21,,RBRVS,19.47,6.92,6.92,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100138102,CPT,"Removal of spleen, total",,,21,,RBRVS,4.79,1.23,1.23,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100138115,CPT,Repair of ruptured spleen,,,21,,RBRVS,21.8,7.44,7.44,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100138120,CPT,"Laparoscopy, splenectomy",,,21,,RBRVS,16.97,6.93,6.93,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100138129,CPT,"Laparoscope proc, spleen",,,21,,TotalUnits,,,,24.4,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100138200,CPT,Injection for spleen x-ray,,,21,,RBRVS,2.64,1.09,1.09,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100138204,CPT,MGMT RECIP HEM PROGNATOR CELLS DONR SEARCH&ACQN,,,21,,RBRVS,2,0.46,0.46,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100138205,CPT,Harvest allogenic stem cells,,,21,,RBRVS,1.5,0.53,0.53,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100138206,CPT,Harvest auto stem cells,,,21,,RBRVS,1.5,0.55,0.55,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100138207,CPT,Cryopreserve stem cells,,,21,,RBRVS,0.89,0.4,0.4,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100138208,CPT,Thaw preserved stem cells,,,21,,RBRVS,0.56,0.25,0.25,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100138209,CPT,Wash harvest stem cells,,,21,,RBRVS,0.24,0.11,0.11,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100138210,CPT,T-cell depletion of harvest,,,21,,RBRVS,1.57,0.71,0.71,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100138211,CPT,Tumor cell deplete of harvst,,,21,,RBRVS,1.42,0.64,0.64,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100138212,CPT,Rbc depletion of harvest,,,21,,RBRVS,0.94,0.42,0.42,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100138213,CPT,Platelet deplete of harvest,,,21,,RBRVS,0.24,0.11,0.11,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100138214,CPT,Volume deplete of harvest,,,21,,RBRVS,0.81,0.36,0.36,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100138215,CPT,Harvest stem cell concentrte,,,21,,RBRVS,0.94,0.42,0.42,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100138220,CPT,Bone marrow aspiration,,,21,,RBRVS,1.08,0.45,2.68,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100138221,CPT,Bone marrow biopsy,,,21,,RBRVS,1.37,0.57,2.79,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100138230,CPT,Bone marrow collection,,,21,,RBRVS,4.8,3.13,3.13,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100138240,CPT,Bone marrow/stem transplant,,,21,,RBRVS,2.24,0.94,0.94,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100138241,CPT,Bone marrow/stem transplant,,,21,,RBRVS,2.24,0.94,0.94,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100138242,CPT,Lymphocyte infuse transplant,,,21,,RBRVS,1.71,0.67,0.67,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100138300,CPT,"Drainage, lymph node lesion",,,21,,RBRVS,2.28,2.04,4.22,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100138305,CPT,"Drainage, lymph node lesion",,,21,,RBRVS,6.55,4.2,4.2,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100138308,CPT,Incision of lymph channels,,,21,,RBRVS,6.73,3.54,3.54,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100138380,CPT,Thoracic duct procedure,,,21,,RBRVS,8.34,5.06,5.06,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100138381,CPT,Thoracic duct procedure,,,21,,RBRVS,13.32,6.08,6.08,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100138382,CPT,Thoracic duct procedure,,,21,,RBRVS,10.51,5.43,5.43,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100138500,CPT,"Biopsy/removal, lymph nodes",,,21,,RBRVS,3.76,2.03,3.75,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100138505,CPT,"Needle biopsy, lymph nodes",,,21,,RBRVS,1.14,0.74,2.11,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100138510,CPT,"Biopsy/removal, lymph nodes",,,21,,RBRVS,6.69,3.09,5.38,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100138520,CPT,"Biopsy/removal, lymph nodes",,,21,,RBRVS,6.95,3.75,3.75,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100138525,CPT,"Biopsy/removal, lymph nodes",,,21,,RBRVS,6.35,3.47,3.47,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100138530,CPT,"Biopsy/removal, lymph nodes",,,21,,RBRVS,8.26,4.12,4.12,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100138542,CPT,"Explore deep node(s), neck",,,21,,RBRVS,6.08,3.97,3.97,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100138550,CPT,"Removal, neck/armpit lesion",,,21,,RBRVS,6.99,4.28,4.28,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100138555,CPT,"Removal, neck/armpit lesion",,,21,,RBRVS,15.42,7.45,7.45,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100138562,CPT,"Removal, pelvic lymph nodes",,,21,,RBRVS,10.92,5.77,5.77,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100138564,CPT,"Removal, abdomen lymph nodes",,,21,,RBRVS,11.29,5.21,5.21,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100138570,CPT,"Laparoscopy, lymph node biop",,,21,,RBRVS,9.28,4.04,4.04,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100138571,CPT,"Laparoscopy, lymphadenectomy",,,21,,RBRVS,14.7,6.8,6.8,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100138572,CPT,"Laparoscopy, lymphadenectomy",,,21,,RBRVS,16.86,5.94,5.94,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100138589,CPT,"Laparoscope proc, lymphatic",,,21,,TotalUnits,,,,13.18,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100138700,CPT,"Removal of lymph nodes, neck",,,21,,RBRVS,12.68,6.51,6.51,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100138720,CPT,"Removal of lymph nodes, neck",,,21,,RBRVS,21.72,10.18,10.18,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100138724,CPT,"Removal of lymph nodes, neck",,,21,,RBRVS,23.72,10.93,10.93,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100138740,CPT,Remove armpit lymph nodes,,,21,,RBRVS,10.57,5,5,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100138745,CPT,Remove armpit lymph nodes,,,21,,RBRVS,13.71,6.05,6.05,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100138746,CPT,Remove thoracic lymph nodes,,,21,,RBRVS,4.88,1.42,1.42,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100138747,CPT,Remove abdominal lymph nodes,,,21,,RBRVS,4.88,1.27,1.27,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100138760,CPT,Remove groin lymph nodes,,,21,,RBRVS,13.49,5.92,5.92,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100138765,CPT,Remove groin lymph nodes,,,21,,RBRVS,21.78,8.35,8.35,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100138770,CPT,Remove pelvis lymph nodes,,,21,,RBRVS,13.98,6.72,6.72,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100138780,CPT,Remove abdomen lymph nodes,,,21,,RBRVS,17.56,7.99,7.99,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100138790,CPT,Inject for lymphatic x-ray,,,21,,RBRVS,1.29,0.75,0.75,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100138792,CPT,Identify sentinel node,,,21,,RBRVS,0.52,0.49,0.49,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100138794,CPT,Access thoracic lymph duct,,,21,,RBRVS,4.51,3.18,3.18,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100138999,CPT,Blood/lymph system procedure,,,21,,TotalUnits,,,,5.81,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100139000,CPT,Exploration of chest,,,21,,RBRVS,7.49,4.27,4.27,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100139010,CPT,Exploration of chest,,,21,,RBRVS,13.11,6.34,6.34,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100139200,CPT,Removal chest lesion,,,21,,RBRVS,15.04,6.2,6.2,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100139220,CPT,Removal chest lesion,,,21,,RBRVS,19.47,8,8,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100139400,CPT,Visualization of chest,,,21,,RBRVS,8,4.15,4.15,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100139499,CPT,Chest procedure,,,21,,TotalUnits,,,,10.47,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100139501,CPT,Repair diaphragm laceration,,,21,,RBRVS,13.89,5.82,5.82,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100139502,CPT,Repair paraesophageal hernia,,,21,,RBRVS,17.09,6.59,6.59,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100139503,CPT,Repair of diaphragm hernia,,,21,,RBRVS,108.67,27.41,27.41,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100139520,CPT,Repair of diaphragm hernia,,,21,,RBRVS,16.63,6.8,6.8,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100139530,CPT,Repair of diaphragm hernia,,,21,,RBRVS,16.22,6.23,6.23,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100139531,CPT,Repair of diaphragm hernia,,,21,,RBRVS,17.23,6.58,6.58,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100139540,CPT,Repair of diaphragm hernia,,,21,,RBRVS,14.51,5.7,5.7,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100139541,CPT,Repair of diaphragm hernia,,,21,,RBRVS,15.67,6.07,6.07,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100139545,CPT,Revision of diaphragm,,,21,,RBRVS,14.58,6.93,6.93,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100139560,CPT,"Resect diaphragm, simple",,,21,,RBRVS,12.97,5.52,5.52,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100139561,CPT,"Resect diaphragm, complex",,,21,,RBRVS,19.75,9.32,9.32,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100139599,CPT,Diaphragm surgery procedure,,,21,,TotalUnits,,,,21.04,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100140490,CPT,Biopsy of lip,,,21,,RBRVS,1.22,0.58,2.08,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100140500,CPT,Partial excision of lip,,,21,,RBRVS,4.35,4.36,7.91,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100140510,CPT,Partial excision of lip,,,21,,RBRVS,4.74,3.62,6.74,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100140520,CPT,Partial excision of lip,,,21,,RBRVS,4.71,3.82,7,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100140525,CPT,Reconstruct lip with flap,,,21,,RBRVS,7.61,5.33,5.33,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100140527,CPT,Reconstruct lip with flap,,,21,,RBRVS,9.2,6.14,6.14,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100140530,CPT,Partial removal of lip,,,21,,RBRVS,5.45,4.27,7.59,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100140650,CPT,Repair lip,,,21,,RBRVS,3.69,3.17,5.99,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100140652,CPT,Repair lip,,,21,,RBRVS,4.32,4.12,7.26,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100140654,CPT,Repair lip,,,21,,RBRVS,5.37,4.68,8.09,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100140700,CPT,Repair cleft lip/nasal,,,21,,RBRVS,13.97,8.66,8.66,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100140701,CPT,Repair cleft lip/nasal,,,21,,RBRVS,17.03,7.82,7.82,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100140702,CPT,Repair cleft lip/nasal,,,21,,RBRVS,14.09,5.82,5.82,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100140720,CPT,Repair cleft lip/nasal,,,21,,RBRVS,14.54,9.53,9.53,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100140761,CPT,Repair cleft lip/nasal,,,21,,RBRVS,15.69,9.29,9.29,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100140799,CPT,Lip surgery procedure,,,21,,TotalUnits,,,,2.91,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100140800,CPT,Drainage of mouth lesion,,,21,,RBRVS,1.19,1.88,3.84,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100140801,CPT,Drainage of mouth lesion,,,21,,RBRVS,2.57,2.58,4.88,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100140804,CPT,"Removal, foreign body, mouth",,,21,,RBRVS,1.26,1.83,3.79,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100140805,CPT,"Removal, foreign body, mouth",,,21,,RBRVS,2.73,2.66,5.14,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100140806,CPT,Incision of lip fold,,,21,,RBRVS,0.31,0.51,2.43,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100140808,CPT,Biopsy of mouth lesion,,,21,,RBRVS,0.98,1.62,3.61,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100140810,CPT,Excision of mouth lesion,,,21,,RBRVS,1.33,1.72,3.69,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100140812,CPT,Excise/repair mouth lesion,,,21,,RBRVS,2.33,2.28,4.54,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100140814,CPT,Excise/repair mouth lesion,,,21,,RBRVS,3.45,3.7,5.69,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100140816,CPT,Excision of mouth lesion,,,21,,RBRVS,3.7,3.77,5.91,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100140818,CPT,Excise oral mucosa for graft,,,21,,RBRVS,2.72,3.75,5.83,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100140819,CPT,Excise lip or cheek fold,,,21,,RBRVS,2.45,3.11,4.93,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100140820,CPT,Treatment of mouth lesion,,,21,,RBRVS,1.3,2.94,5.3,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100140830,CPT,Repair mouth laceration,,,21,,RBRVS,1.78,2,4.04,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100140831,CPT,Repair mouth laceration,,,21,,RBRVS,2.5,2.7,5.24,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100140840,CPT,Reconstruction of mouth,,,21,,RBRVS,9.03,5.59,10.03,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100140842,CPT,Reconstruction of mouth,,,21,,RBRVS,9.03,5.72,10.22,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100140843,CPT,Reconstruction of mouth,,,21,,RBRVS,12.62,5.75,11.34,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100140844,CPT,Reconstruction of mouth,,,21,,RBRVS,16.57,9.12,15.23,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100140845,CPT,Reconstruction of mouth,,,21,,RBRVS,19.13,10.22,16.04,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100140899,CPT,Mouth surgery procedure,,,21,,TotalUnits,,,,5.25,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100141000,CPT,Drainage of mouth lesion,,,21,,RBRVS,1.32,1.33,2.56,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100141005,CPT,Drainage of mouth lesion,,,21,,RBRVS,1.28,1.77,4.33,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100141006,CPT,Drainage of mouth lesion,,,21,,RBRVS,3.28,2.82,5.44,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100141007,CPT,Drainage of mouth lesion,,,21,,RBRVS,3.14,2.72,5.35,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100141008,CPT,Drainage of mouth lesion,,,21,,RBRVS,3.4,2.85,5.52,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100141009,CPT,Drainage of mouth lesion,,,21,,RBRVS,3.63,3.15,5.83,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100141010,CPT,Incision of tongue fold,,,21,,RBRVS,1.08,1.56,3.9,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100141015,CPT,Drainage of mouth lesion,,,21,,RBRVS,4,3.98,6.29,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100141016,CPT,Drainage of mouth lesion,,,21,,RBRVS,4.11,4.07,6.23,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100141017,CPT,Drainage of mouth lesion,,,21,,RBRVS,4.11,4.12,6.37,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100141018,CPT,Drainage of mouth lesion,,,21,,RBRVS,5.14,4.48,6.76,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100141019,CPT,Place needles h&n for rt,,,21,,RBRVS,8.84,3.28,3.28,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100141100,CPT,Biopsy of tongue,,,21,,RBRVS,1.39,1.17,2.68,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100141105,CPT,Biopsy of tongue,,,21,,RBRVS,1.44,1.2,2.68,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100141108,CPT,Biopsy of floor of mouth,,,21,,RBRVS,1.07,1.08,2.52,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100141110,CPT,Excision of tongue lesion,,,21,,RBRVS,1.53,1.65,3.66,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100141112,CPT,Excision of tongue lesion,,,21,,RBRVS,2.77,3.24,5.26,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100141113,CPT,Excision of tongue lesion,,,21,,RBRVS,3.23,3.39,5.52,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100141114,CPT,Excision of tongue lesion,,,21,,RBRVS,8.71,6.3,6.3,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100141115,CPT,Excision of tongue fold,,,21,,RBRVS,1.76,1.72,4.19,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100141116,CPT,Excision of mouth lesion,,,21,,RBRVS,2.47,2.8,5.56,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100141120,CPT,Partial removal of tongue,,,21,,RBRVS,10.91,14.34,14.34,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100141130,CPT,Partial removal of tongue,,,21,,RBRVS,15.51,15.89,15.89,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100141135,CPT,Tongue and neck surgery,,,21,,RBRVS,29.83,21.87,21.87,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100141140,CPT,Removal of tongue,,,21,,RBRVS,28.81,23.59,23.59,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100141145,CPT,"Tongue removal, neck surgery",,,21,,RBRVS,37.59,28.83,28.83,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100141150,CPT,"Tongue, mouth, jaw surgery",,,21,,RBRVS,29.52,23.05,23.05,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100141153,CPT,"Tongue, mouth, neck surgery",,,21,,RBRVS,33.28,23.95,23.95,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100141155,CPT,"Tongue, jaw, & neck surgery",,,21,,RBRVS,43.96,27.62,27.62,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100141250,CPT,Repair tongue laceration,,,21,,RBRVS,1.93,1.61,3.86,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100141251,CPT,Repair tongue laceration,,,21,,RBRVS,2.29,1.78,3.49,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100141252,CPT,Repair tongue laceration,,,21,,RBRVS,2.99,2.12,4.6,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100141500,CPT,Fixation of tongue,,,21,,RBRVS,3.74,7.53,7.53,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100141510,CPT,Tongue to lip surgery,,,21,,RBRVS,3.45,6.48,6.48,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100141520,CPT,"Reconstruction, tongue fold",,,21,,RBRVS,2.77,3.26,5.81,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100141599,CPT,Tongue and mouth surgery,,,21,,TotalUnits,,,,4.52,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100141800,CPT,Drainage of gum lesion,,,21,,RBRVS,1.21,2.12,4.8,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100141805,CPT,"Removal foreign body, gum",,,21,,RBRVS,1.28,2.7,4.64,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100141806,CPT,"Removal foreign body,jawbone",,,21,,RBRVS,2.73,3.34,5.83,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100141820,CPT,"Excision, gum, each quadrant",,,21,,TotalUnits,,,,4.89,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100141821,CPT,Excision of gum flap,,,21,,TotalUnits,,,,1.1,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100141822,CPT,Excision of gum lesion,,,21,,RBRVS,2.35,1.85,4.8,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100141823,CPT,Excision of gum lesion,,,21,,RBRVS,3.63,3.73,6.46,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100141825,CPT,Excision of gum lesion,,,21,,RBRVS,1.35,1.47,3.69,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100141826,CPT,Excision of gum lesion,,,21,,RBRVS,2.35,2.58,5.09,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100141827,CPT,Excision of gum lesion,,,21,,RBRVS,3.72,3.38,6.65,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100141828,CPT,Excision of gum lesion,,,21,,RBRVS,3.11,1.64,4.09,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100141830,CPT,Removal of gum tissue,,,21,,RBRVS,3.38,3.12,5.99,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100141850,CPT,Treatment of gum lesion,,,21,,TotalUnits,,,,2.45,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100141870,CPT,Gum graft,,,21,,TotalUnits,,,,6.12,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100141872,CPT,Repair gum,,,21,,RBRVS,2.9,3.31,6.05,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100141874,CPT,Repair tooth socket,,,21,,RBRVS,3.13,2.72,5.67,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100141899,CPT,Dental surgery procedure,,,21,,TotalUnits,,,,5.92,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100142000,CPT,Drainage mouth roof lesion,,,21,,RBRVS,1.25,1.21,2.48,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100142100,CPT,Biopsy roof of mouth,,,21,,RBRVS,1.33,1.26,2.27,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100142104,CPT,"Excision lesion, mouth roof",,,21,,RBRVS,1.66,1.67,3.58,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100142106,CPT,"Excision lesion, mouth roof",,,21,,RBRVS,2.12,2.07,4.45,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100142107,CPT,"Excision lesion, mouth roof",,,21,,RBRVS,4.48,3.69,6.54,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100142120,CPT,Remove palate/lesion,,,21,,RBRVS,11.7,12.29,12.29,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100142140,CPT,Excision of uvula,,,21,,RBRVS,1.65,2.12,4.58,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100142145,CPT,"Repair palate, pharynx/uvula",,,21,,RBRVS,9.63,7.49,7.49,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100142160,CPT,Treatment mouth roof lesion,,,21,,RBRVS,1.82,1.69,3.78,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100142180,CPT,Repair palate,,,21,,RBRVS,2.52,1.86,3.38,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100142182,CPT,Repair palate,,,21,,RBRVS,3.84,2.4,3.99,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100142200,CPT,Reconstruct cleft palate,,,21,,RBRVS,12.41,8.63,8.63,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100142205,CPT,Reconstruct cleft palate,,,21,,RBRVS,13.57,7.37,7.37,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100142210,CPT,Reconstruct cleft palate,,,21,,RBRVS,14.91,10.25,10.25,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100142215,CPT,Reconstruct cleft palate,,,21,,RBRVS,8.88,7.42,7.42,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100142220,CPT,Reconstruct cleft palate,,,21,,RBRVS,7.07,7.22,7.22,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100142225,CPT,Reconstruct cleft palate,,,21,,RBRVS,9.66,12.25,12.25,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100142226,CPT,Lengthening of palate,,,21,,RBRVS,10.24,11.91,11.91,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100142227,CPT,Lengthening of palate,,,21,,RBRVS,9.81,11.22,11.22,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100142235,CPT,Repair palate,,,21,,RBRVS,7.92,10.35,10.35,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100142260,CPT,Repair nose to lip fistula,,,21,,RBRVS,10.1,6.03,9.74,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100142280,CPT,"Preparation, palate mold",,,21,,RBRVS,1.56,0.83,2.23,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100142281,CPT,"Insertion, palate prosthesis",,,21,,RBRVS,1.95,1.69,3.03,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100142299,CPT,Palate/uvula surgery,,,21,,TotalUnits,,,,14.65,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100142300,CPT,Drainage of salivary gland,,,21,,RBRVS,1.95,1.74,3.14,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100142305,CPT,Drainage of salivary gland,,,21,,RBRVS,6.23,3.99,3.99,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100142310,CPT,Drainage of salivary gland,,,21,,RBRVS,1.58,1.39,2.29,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100142320,CPT,Drainage of salivary gland,,,21,,RBRVS,2.37,1.88,3.74,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100142330,CPT,Removal of salivary stone,,,21,,RBRVS,2.23,1.73,3.41,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100142335,CPT,Removal of salivary stone,,,21,,RBRVS,3.35,2.85,5.77,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100142340,CPT,Removal of salivary stone,,,21,,RBRVS,4.64,3.48,6.71,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100142400,CPT,Biopsy of salivary gland,,,21,,RBRVS,0.78,0.65,2,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100142405,CPT,Biopsy of salivary gland,,,21,,RBRVS,3.31,2.15,3.97,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100142408,CPT,Excision of salivary cyst,,,21,,RBRVS,4.58,3.27,6.42,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100142409,CPT,Drainage of salivary cyst,,,21,,RBRVS,2.85,2.53,5.32,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100142410,CPT,Excise parotid gland/lesion,,,21,,RBRVS,9.46,5.37,5.37,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100142415,CPT,Excise parotid gland/lesion,,,21,,RBRVS,17.99,8.63,8.63,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100142420,CPT,Excise parotid gland/lesion,,,21,,RBRVS,20.87,9.58,9.58,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100142425,CPT,Excise parotid gland/lesion,,,21,,RBRVS,13.31,6.84,6.84,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100142426,CPT,Excise parotid gland/lesion,,,21,,RBRVS,22.54,10.01,10.01,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100142440,CPT,Excise submaxillary gland,,,21,,RBRVS,7.05,3.86,3.86,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100142450,CPT,Excise sublingual gland,,,21,,RBRVS,4.66,4.03,6.38,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100142500,CPT,Repair salivary duct,,,21,,RBRVS,4.34,3.86,6.12,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100142505,CPT,Repair salivary duct,,,21,,RBRVS,6.23,4.71,7.28,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100142507,CPT,Parotid duct diversion,,,21,,RBRVS,6.16,6.34,6.34,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100142508,CPT,Parotid duct diversion,,,21,,RBRVS,9.22,8.08,8.08,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100142509,CPT,Parotid duct diversion,,,21,,RBRVS,11.65,8.92,8.92,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100142510,CPT,Parotid duct diversion,,,21,,RBRVS,8.26,6.9,6.9,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100142550,CPT,Injection for salivary x-ray,,,21,,RBRVS,1.25,0.44,2.28,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100142600,CPT,Closure of salivary fistula,,,21,,RBRVS,4.86,3.43,6.57,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100142650,CPT,Dilation of salivary duct,,,21,,RBRVS,0.77,0.66,1.29,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100142660,CPT,Dilation of salivary duct,,,21,,RBRVS,1.13,0.75,1.46,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100142665,CPT,Ligation of salivary duct,,,21,,RBRVS,2.57,2.4,5,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100142699,CPT,Salivary surgery procedure,,,21,,TotalUnits,,,,12.02,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100142700,CPT,Drainage of tonsil abscess,,,21,,RBRVS,1.64,1.65,2.97,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100142720,CPT,Drainage of throat abscess,,,21,,RBRVS,6.31,3.17,4.7,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100142725,CPT,Drainage of throat abscess,,,21,,RBRVS,12.28,7.09,7.09,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100142800,CPT,Biopsy of throat,,,21,,RBRVS,1.41,1.3,2.47,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100142802,CPT,Biopsy of throat,,,21,,RBRVS,1.56,1.67,4.14,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100142804,CPT,Biopsy of upper nose/throat,,,21,,RBRVS,1.26,1.5,3.59,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100142806,CPT,Biopsy of upper nose/throat,,,21,,RBRVS,1.6,1.61,3.83,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100142808,CPT,Excise pharynx lesion,,,21,,RBRVS,2.32,1.6,3.22,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100142809,CPT,Remove pharynx foreign body,,,21,,RBRVS,1.83,1.32,2.23,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100142810,CPT,Excision of neck cyst,,,21,,RBRVS,3.3,3.73,6.23,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100142815,CPT,Excision of neck cyst,,,21,,RBRVS,7.23,6.26,6.26,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100142820,CPT,Remove tonsils and adenoids,,,21,,RBRVS,4.17,2.85,2.85,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100142821,CPT,Remove tonsils and adenoids,,,21,,RBRVS,4.31,2.99,2.99,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100142825,CPT,Removal of tonsils,,,21,,RBRVS,3.45,2.9,2.9,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100142826,CPT,Removal of tonsils,,,21,,RBRVS,3.4,2.69,2.69,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100142830,CPT,Removal of adenoids,,,21,,RBRVS,2.6,2.43,2.43,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100142831,CPT,Removal of adenoids,,,21,,RBRVS,2.75,2.66,2.66,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100142835,CPT,Removal of adenoids,,,21,,RBRVS,2.33,1.78,1.78,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100142836,CPT,Removal of adenoids,,,21,,RBRVS,3.21,2.65,2.65,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100142842,CPT,Extensive surgery of throat,,,21,,RBRVS,12.02,12.05,12.05,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100142844,CPT,Extensive surgery of throat,,,21,,RBRVS,17.57,15.48,15.48,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100142845,CPT,Extensive surgery of throat,,,21,,RBRVS,32.35,21.17,21.17,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100142860,CPT,Excision of tonsil tags,,,21,,RBRVS,2.25,2.3,2.3,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100142870,CPT,Excision of lingual tonsil,,,21,,RBRVS,5.44,8.71,8.71,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100142890,CPT,Partial removal of pharynx,,,21,,RBRVS,18.92,15.26,15.26,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100142892,CPT,Revision of pharyngeal walls,,,21,,RBRVS,25.77,19.22,19.22,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100142894,CPT,Revision of pharyngeal walls,,,21,,RBRVS,33.61,23.55,23.55,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100142900,CPT,Repair throat wound,,,21,,RBRVS,5.26,2.96,2.96,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100142950,CPT,Reconstruction of throat,,,21,,RBRVS,8.16,11.08,11.08,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100142953,CPT,"Repair throat, esophagus",,,21,,RBRVS,9.33,13.79,13.79,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100142955,CPT,Surgical opening of throat,,,21,,RBRVS,7.92,10.11,10.11,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100142960,CPT,Control throat bleeding,,,21,,RBRVS,2.35,1.72,1.72,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100142961,CPT,Control throat bleeding,,,21,,RBRVS,5.69,4.49,4.49,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100142962,CPT,Control throat bleeding,,,21,,RBRVS,7.31,5.19,5.19,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100142970,CPT,Control nose/throat bleeding,,,21,,RBRVS,5.76,3.59,3.59,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100142971,CPT,Control nose/throat bleeding,,,21,,RBRVS,6.54,4.51,4.51,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100142972,CPT,Control nose/throat bleeding,,,21,,RBRVS,7.53,4.99,4.99,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100142999,CPT,Throat surgery procedure,,,21,,TotalUnits,,,,7.37,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100143020,CPT,Incision of esophagus,,,21,,RBRVS,8.14,4.58,4.58,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100143030,CPT,Throat muscle surgery,,,21,,RBRVS,7.91,4.52,4.52,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100143045,CPT,Incision of esophagus,,,21,,RBRVS,21.7,9.31,9.31,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100143100,CPT,Excision of esophagus lesion,,,21,,RBRVS,9.55,5.21,5.21,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100143101,CPT,Excision of esophagus lesion,,,21,,RBRVS,16.99,7.17,7.17,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100143107,CPT,Removal of esophagus,,,21,,RBRVS,43.97,16.27,16.27,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100143108,CPT,Removal of esophagus,,,21,,RBRVS,82.66,24.49,24.49,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100143112,CPT,Removal of esophagus,,,21,,RBRVS,47.27,17.02,17.02,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100143113,CPT,Removal of esophagus,,,21,,RBRVS,79.85,25.37,25.37,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100143116,CPT,Partial removal of esophagus,,,21,,RBRVS,92.78,30.34,30.34,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100143117,CPT,Partial removal of esophagus,,,21,,RBRVS,43.52,15.16,15.16,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100143118,CPT,Partial removal of esophagus,,,21,,RBRVS,66.86,21.53,21.53,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100143121,CPT,Partial removal of esophagus,,,21,,RBRVS,51.22,18.29,18.29,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100143122,CPT,Partial removal of esophagus,,,21,,RBRVS,43.97,15.62,15.62,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100143123,CPT,Partial removal of esophagus,,,21,,RBRVS,82.91,25.78,25.78,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100143124,CPT,Removal of esophagus,,,21,,RBRVS,68.83,24.37,24.37,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100143130,CPT,Removal of esophagus pouch,,,21,,RBRVS,12.41,6.38,6.38,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100143135,CPT,Removal of esophagus pouch,,,21,,RBRVS,26.09,9.93,9.93,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100143200,CPT,Esophagus endoscopy,,,21,,RBRVS,1.59,0.98,3.73,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100143201,CPT,Esoph scope w/submucous inj,,,21,,RBRVS,2.09,1.19,5.63,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100143202,CPT,"Esophagus endoscopy, biopsy",,,21,,RBRVS,1.89,0.98,5.17,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100143204,CPT,Esoph scope w/sclerosis inj,,,21,,RBRVS,3.76,2.01,2.01,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100143205,CPT,Esophagus endoscopy/ligation,,,21,,RBRVS,3.78,2.06,2.06,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100143215,CPT,Esophagus endoscopy,,,21,,RBRVS,2.6,1.29,1.29,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100143216,CPT,Esophagus endoscopy/lesion,,,21,,RBRVS,2.4,1.26,3.08,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100143217,CPT,Esophagus endoscopy,,,21,,RBRVS,2.9,1.38,6.58,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100143219,CPT,Esophagus endoscopy,,,21,,RBRVS,2.8,1.55,1.55,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100143220,CPT,"Esoph endoscopy, dilation",,,21,,RBRVS,2.1,1.13,1.13,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100143226,CPT,"Esoph endoscopy, dilation",,,21,,RBRVS,2.34,1.29,1.29,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100143227,CPT,"Esoph endoscopy, repair",,,21,,RBRVS,3.59,1.77,1.77,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100143228,CPT,"Esoph endoscopy, ablation",,,21,,RBRVS,3.76,1.89,1.89,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100143231,CPT,Esoph endoscopy w/us exam,,,21,,RBRVS,3.19,1.76,1.76,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100143232,CPT,Esoph endoscopy w/us fn bx,,,21,,RBRVS,4.47,2.39,2.39,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100143234,CPT,"Upper GI endoscopy, exam",,,21,,RBRVS,2.01,1.02,4.98,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100143235,CPT,"Uppr gi endoscopy, diagnosis",,,21,,RBRVS,2.39,1.35,5.29,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100143236,CPT,Uppr gi scope w/submuc inj,,,21,,RBRVS,2.92,1.65,6.72,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100143237,CPT,"Endoscopic us exam, esoph",,,21,,RBRVS,3.98,2.16,2.16,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100143238,CPT,Uppr gi endoscopy w/us fn bx,,,21,,RBRVS,5.02,2.57,2.57,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100143239,CPT,"Upper GI endoscopy, biopsy",,,21,,RBRVS,2.87,1.56,6.06,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100143240,CPT,Esoph endoscope w/drain cyst,,,21,,RBRVS,6.85,3.29,3.29,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100143241,CPT,Upper GI endoscopy with tube,,,21,,RBRVS,2.59,1.4,1.4,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100143242,CPT,Uppr gi endoscopy w/us fn bx,,,21,,RBRVS,7.3,3.68,3.68,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100143243,CPT,Upper gi endoscopy & inject,,,21,,RBRVS,4.56,2.36,2.36,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100143244,CPT,Upper GI endoscopy/ligation,,,21,,RBRVS,5.04,2.65,2.65,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100143245,CPT,Uppr gi scope dilate strictr,,,21,,RBRVS,3.18,1.63,1.63,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100143246,CPT,Place gastrostomy tube,,,21,,RBRVS,4.32,2.11,2.11,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100143247,CPT,Operative upper GI endoscopy,,,21,,RBRVS,3.38,1.79,1.79,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100143248,CPT,Uppr gi endoscopy/guide wire,,,21,,RBRVS,3.15,1.77,1.77,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100143249,CPT,"Esoph endoscopy, dilation",,,21,,RBRVS,2.9,1.62,1.62,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100143250,CPT,Upper GI endoscopy/tumor,,,21,,RBRVS,3.2,1.61,1.61,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100143251,CPT,Operative upper GI endoscopy,,,21,,RBRVS,3.69,1.92,1.92,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100143255,CPT,Operative upper GI endoscopy,,,21,,RBRVS,4.81,2.53,2.53,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100143256,CPT,Uppr gi endoscopy w stent,,,21,,RBRVS,4.34,2.25,2.25,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100143257,CPT,Uppr gi scope w/thrml txmnt,,,21,,RBRVS,5.5,2.14,2.14,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100143258,CPT,Operative upper GI endoscopy,,,21,,RBRVS,4.54,2.37,2.37,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100143259,CPT,Endoscopic ultrasound exam,,,21,,RBRVS,5.19,2.69,2.69,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100143260,CPT,Endo cholangiopancreatograph,,,21,,RBRVS,5.95,3.06,3.06,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100143261,CPT,Endo cholangiopancreatograph,,,21,,RBRVS,6.26,3.2,3.2,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100143262,CPT,Endo cholangiopancreatograph,,,21,,RBRVS,7.38,3.73,3.73,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100143263,CPT,Endo cholangiopancreatograph,,,21,,RBRVS,7.28,3.64,3.64,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100143264,CPT,Endo cholangiopancreatograph,,,21,,RBRVS,8.89,4.44,4.44,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100143265,CPT,Endo cholangiopancreatograph,,,21,,RBRVS,10,4.99,4.99,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100143267,CPT,Endo cholangiopancreatograph,,,21,,RBRVS,7.38,3.39,3.39,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100143268,CPT,Endo cholangiopancreatograph,,,21,,RBRVS,7.38,3.89,3.89,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100143269,CPT,Endo cholangiopancreatograph,,,21,,RBRVS,8.2,4.1,4.1,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100143271,CPT,Endo cholangiopancreatograph,,,21,,RBRVS,7.38,3.71,3.71,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100143272,CPT,Endo cholangiopancreatograph,,,21,,RBRVS,7.38,3.78,3.78,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100143280,CPT,"Laparoscopy, fundoplasty",,,21,,RBRVS,18,6.66,6.66,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100143289,CPT,"Laparoscope proc, esoph",,,21,,TotalUnits,,,,24.55,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100143300,CPT,Repair of esophagus,,,21,,RBRVS,9.21,5.41,5.41,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100143305,CPT,Repair esophagus and fistula,,,21,,RBRVS,17.98,8.34,8.34,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100143310,CPT,Repair of esophagus,,,21,,RBRVS,26.18,9.82,9.82,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100143312,CPT,Repair esophagus and fistula,,,21,,RBRVS,29.23,10.28,10.28,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100143313,CPT,Esophagoplasty congenital,,,21,,RBRVS,48.17,17.48,17.48,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100143314,CPT,Tracheo-esophagoplasty cong,,,21,,RBRVS,53.15,15.11,15.11,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100143320,CPT,Fuse esophagus & stomach,,,21,,RBRVS,23.18,8.61,8.61,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100143324,CPT,Revise esophagus & stomach,,,21,,RBRVS,22.86,8.35,8.35,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100143325,CPT,Revise esophagus & stomach,,,21,,RBRVS,22.47,8.39,8.39,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100143326,CPT,Revise esophagus & stomach,,,21,,RBRVS,22.15,9.21,9.21,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100143330,CPT,Repair of esophagus,,,21,,RBRVS,22.06,8.1,8.1,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100143331,CPT,Repair of esophagus,,,21,,RBRVS,22.93,9.83,9.83,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100143340,CPT,Fuse esophagus & intestine,,,21,,RBRVS,22.86,9.28,9.28,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100143341,CPT,Fuse esophagus & intestine,,,21,,RBRVS,24.1,9.66,9.66,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100143350,CPT,"Surgical opening, esophagus",,,21,,RBRVS,19.31,8.76,8.76,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100143351,CPT,"Surgical opening, esophagus",,,21,,RBRVS,21.87,10.87,10.87,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100143352,CPT,"Surgical opening, esophagus",,,21,,RBRVS,17.68,7.95,7.95,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100143360,CPT,Gastrointestinal repair,,,21,,RBRVS,39.9,14.9,14.9,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100143361,CPT,Gastrointestinal repair,,,21,,RBRVS,45.5,18.15,18.15,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100143400,CPT,Ligate esophagus veins,,,21,,RBRVS,25.47,13.6,13.6,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100143401,CPT,Esophagus surgery for veins,,,21,,RBRVS,26.36,9.55,9.55,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100143405,CPT,Ligate/staple esophagus,,,21,,RBRVS,24.55,10.68,10.68,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100143410,CPT,Repair esophagus wound,,,21,,RBRVS,16.28,7.67,7.67,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100143415,CPT,Repair esophagus wound,,,21,,RBRVS,28.7,11.84,11.84,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100143420,CPT,Repair esophagus opening,,,21,,RBRVS,16.65,7.48,7.48,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100143425,CPT,Repair esophagus opening,,,21,,RBRVS,24.91,10.46,10.46,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100143450,CPT,Dilate esophagus,,,21,,RBRVS,1.38,0.93,2.68,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100143453,CPT,Dilate esophagus,,,21,,RBRVS,1.51,1.01,6.31,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100143456,CPT,Dilate esophagus,,,21,,RBRVS,2.57,1.45,13.02,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100143458,CPT,Dilate esophagus,,,21,,RBRVS,3.06,1.59,6.93,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100143460,CPT,Pressure treatment esophagus,,,21,,RBRVS,3.79,1.76,1.76,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100143496,CPT,"Free jejunum flap, microvasc",,,21,,TotalUnits,,,,4.58,,$0.00 ,$0.00 ,1,0,0,1,1,1,2008100143499,CPT,Esophagus surgery procedure,,,21,,TotalUnits,,,,4.58,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100143500,CPT,Surgical opening of stomach,,,21,,RBRVS,12.71,5.29,5.29,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100143501,CPT,Surgical repair of stomach,,,21,,RBRVS,22.47,8.1,8.1,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100143502,CPT,Surgical repair of stomach,,,21,,RBRVS,25.56,8.97,8.97,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100143510,CPT,Surgical opening of stomach,,,21,,RBRVS,15.01,9.14,9.14,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100143520,CPT,Incision of pyloric muscle,,,21,,RBRVS,11.21,4.82,4.82,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100143600,CPT,Biopsy of stomach,,,21,,RBRVS,1.91,0.77,0.77,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100143605,CPT,Biopsy of stomach,,,21,,RBRVS,13.64,5.36,5.36,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100143610,CPT,Excision of stomach lesion,,,21,,RBRVS,16.26,6.03,6.03,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100143611,CPT,Excision of stomach lesion,,,21,,RBRVS,20.25,7.49,7.49,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100143620,CPT,Removal of stomach,,,21,,RBRVS,33.91,11.1,11.1,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100143621,CPT,Removal of stomach,,,21,,RBRVS,39.4,12.41,12.41,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100143622,CPT,Removal of stomach,,,21,,RBRVS,39.9,12.51,12.51,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100143631,CPT,"Removal of stomach, partial",,,21,,RBRVS,24.38,8.59,8.59,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100143632,CPT,"Removal of stomach, partial",,,21,,RBRVS,35.01,11.28,11.28,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100143633,CPT,"Removal of stomach, partial",,,21,,RBRVS,33.01,10.76,10.76,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100143634,CPT,"Removal of stomach, partial",,,21,,RBRVS,36.51,11.79,11.79,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100143635,CPT,"Removal of stomach, partial",,,21,,RBRVS,2.06,0.52,0.52,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100143640,CPT,Vagotomy & pylorus repair,,,21,,RBRVS,19.43,7.34,7.34,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100143641,CPT,Vagotomy & pylorus repair,,,21,,RBRVS,19.68,7.63,7.63,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100143644,CPT,Lap gastric bypass/roux-en-y,,,21,,RBRVS,29.24,10.11,10.11,,,$0.00 ,$0.00 ,1,0,0,1,1,1,2008100143645,CPT,Lap gastr bypass incl smll i,,,21,,RBRVS,31.37,10.49,10.49,,,$0.00 ,$0.00 ,1,0,0,1,1,1,2008100143651,CPT,"Laparoscopy, vagus nerve",,,21,,RBRVS,10.13,4.62,4.62,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100143652,CPT,"Laparoscopy, vagus nerve",,,21,,RBRVS,12.13,5.23,5.23,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100143653,CPT,"Laparoscopy, gastrostomy",,,21,,RBRVS,8.38,4.47,4.47,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100143659,CPT,"Laparoscope proc, stom",,,21,,TotalUnits,,,,14.93,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100143752,CPT,Nasal/orogastric w/stent,,,21,,RBRVS,0.81,0.27,0.27,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100143760,CPT,Change gastrostomy tube,,,21,,RBRVS,0.9,0.33,5.99,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100143761,CPT,Reposition gastrostomy tube,,,21,,RBRVS,2.01,0.7,1.04,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100143770,CPT,"Lap, place gastr adjust band",,,21,,RBRVS,17.85,7.4,7.4,,,$0.00 ,$0.00 ,1,0,0,1,1,1,2008100143771,CPT,"Lap, revise adjust gast band",,,21,,RBRVS,20.64,8.13,8.13,,,$0.00 ,$0.00 ,1,0,0,1,1,1,2008100143772,CPT,"Lap, remove adjust gast band",,,21,,RBRVS,15.62,6,6,,,$0.00 ,$0.00 ,1,0,0,1,1,1,2008100143773,CPT,"Lap, change adjust gast band",,,21,,RBRVS,20.64,8.11,8.11,,,$0.00 ,$0.00 ,1,0,0,1,1,1,2008100143774,CPT,Lap remov adj gast band/port,,,21,,RBRVS,15.66,6.18,6.18,,,$0.00 ,$0.00 ,1,0,0,1,1,1,2008100143800,CPT,Reconstruction of pylorus,,,21,,RBRVS,15.35,5.82,5.82,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100143810,CPT,Fusion of stomach and bowel,,,21,,RBRVS,16.8,6.14,6.14,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100143820,CPT,Fusion of stomach and bowel,,,21,,RBRVS,22.4,8.08,8.08,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100143825,CPT,Fusion of stomach and bowel,,,21,,RBRVS,21.63,7.9,7.9,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100143830,CPT,Place gastrostomy tube,,,21,,RBRVS,10.75,5.17,5.17,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100143831,CPT,Place gastrostomy tube,,,21,,RBRVS,8.38,4.93,4.93,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100143832,CPT,Place gastrostomy tube,,,21,,RBRVS,17.26,7.07,7.07,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100143840,CPT,Repair of stomach lesion,,,21,,RBRVS,22.7,8.15,8.15,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100143842,CPT,Gastroplasty for obesity,,,21,,RBRVS,20.9,6.75,6.75,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100143843,CPT,Gastroplasty for obesity,,,21,,RBRVS,21.08,7.85,7.85,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100143845,CPT,Gastroplasty duodenal switch,,,21,,RBRVS,33.12,12.89,12.89,,,$0.00 ,$0.00 ,1,0,0,1,1,1,2008100143846,CPT,Gastric bypass for obesity,,,21,,RBRVS,27.23,9.98,9.98,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100143847,CPT,Gastric bypass for obesity,,,21,,RBRVS,30.1,10.52,10.52,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100143848,CPT,Revision gastroplasty,,,21,,RBRVS,32.57,11.31,11.31,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100143850,CPT,Revise stomach-bowel fusion,,,21,,RBRVS,27.45,9.5,9.5,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100143855,CPT,Revise stomach-bowel fusion,,,21,,RBRVS,28.56,9.71,9.71,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100143860,CPT,Revise stomach-bowel fusion,,,21,,RBRVS,27.76,9.48,9.48,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100143865,CPT,Revise stomach-bowel fusion,,,21,,RBRVS,28.92,9.74,9.74,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100143870,CPT,Repair stomach opening,,,21,,RBRVS,11.36,4.95,4.95,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100143880,CPT,Repair stomach-bowel fistula,,,21,,RBRVS,27.05,9.28,9.28,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100143886,CPT,"Revise gastric port, open",,,21,,RBRVS,4.54,3.45,3.45,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100143887,CPT,"Remove gastric port, open",,,21,,RBRVS,4.24,3.06,3.06,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100143888,CPT,"Change gastric port, open",,,21,,RBRVS,6.34,4.01,4.01,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100143999,CPT,Stomach surgery procedure,,,21,,TotalUnits,,,,21.8,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100144005,CPT,Freeing of bowel adhesion,,,21,,RBRVS,18.38,6.59,6.59,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100144010,CPT,Incision of small bowel,,,21,,RBRVS,14.18,5.53,5.53,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100144015,CPT,Insert needle cath bowel,,,21,,RBRVS,2.62,0.68,0.68,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100144020,CPT,Explore small intestine,,,21,,RBRVS,16.14,6.01,6.01,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100144021,CPT,Decompress small bowel,,,21,,RBRVS,16.23,6.15,6.15,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100144025,CPT,Incision of large bowel,,,21,,RBRVS,16.43,6.06,6.06,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100144050,CPT,Reduce bowel obstruction,,,21,,RBRVS,15.44,5.83,5.83,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100144055,CPT,Correct malrotation of bowel,,,21,,RBRVS,25.53,8.49,8.49,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100144100,CPT,Biopsy of bowel,,,21,,RBRVS,2.01,0.91,0.91,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100144110,CPT,Excise intestine lesion(s),,,21,,RBRVS,13.96,5.51,5.51,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100144111,CPT,Excision of bowel lesion(s),,,21,,RBRVS,16.44,6.1,6.1,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100144120,CPT,Removal of small intestine,,,21,,RBRVS,20.74,7.15,7.15,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100144121,CPT,Removal of small intestine,,,21,,RBRVS,4.44,1.12,1.12,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100144125,CPT,Removal of small intestine,,,21,,RBRVS,19.93,7.03,7.03,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100144126,CPT,"Enterectomy w/o taper, cong",,,21,,RBRVS,42.02,13.61,13.61,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100144127,CPT,"Enterectomy w/taper, cong",,,21,,RBRVS,49.09,15.65,15.65,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100144128,CPT,"Enterectomy cong, add-on",,,21,,RBRVS,4.44,1.22,1.22,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100144130,CPT,Bowel to bowel fusion,,,21,,RBRVS,21.98,7.98,7.98,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100144139,CPT,Mobilization of colon,,,21,,RBRVS,2.23,0.56,0.56,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100144140,CPT,Partial removal of colon,,,21,,RBRVS,22.46,8.07,8.07,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100144141,CPT,Partial removal of colon,,,21,,RBRVS,29.75,11.85,11.85,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100144143,CPT,Partial removal of colon,,,21,,RBRVS,27.63,10.29,10.29,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100144144,CPT,Partial removal of colon,,,21,,RBRVS,29.75,10.63,10.63,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100144145,CPT,Partial removal of colon,,,21,,RBRVS,28.45,9.49,9.49,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100144146,CPT,Partial removal of colon,,,21,,RBRVS,35.14,13.37,13.37,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100144147,CPT,Partial removal of colon,,,21,,RBRVS,33.56,10.79,10.79,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100144150,CPT,Removal of colon,,,21,,RBRVS,29.99,12.62,12.62,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100144151,CPT,Removal of colon/ileostomy,,,21,,RBRVS,34.73,13.93,13.93,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100144155,CPT,Removal of colon/ileostomy,,,21,,RBRVS,34.23,13.46,13.46,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100144156,CPT,Removal of colon/ileostomy,,,21,,RBRVS,37.23,14.49,14.49,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100144157,CPT,Colectomy w/ileoanal anast,,,21,,RBRVS,35.49,17.1,17.1,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100144158,CPT,Colectomy w/neo-rectum pouch,,,21,,RBRVS,36.49,17.44,17.44,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100144160,CPT,Removal of colon,,,21,,RBRVS,20.78,7.52,7.52,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100144180,CPT,"Lap, enterolysis",,,21,,RBRVS,15.19,5.81,5.81,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100144186,CPT,"Lap, jejunostomy",,,21,,RBRVS,10.3,4.59,4.59,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100144187,CPT,"Lap, ileo/jejuno-stomy",,,21,,RBRVS,17.27,8.13,8.13,,,$0.00 ,$0.00 ,1,0,0,1,1,1,2008100144188,CPT,"Lap, colostomy",,,21,,RBRVS,19.2,8.68,8.68,,,$0.00 ,$0.00 ,1,0,0,1,1,1,2008100144202,CPT,Lap resect s/intestine singl,,,21,,RBRVS,23.26,8.32,8.32,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100144203,CPT,"Lap resect s/intestine, addl",,,21,,RBRVS,4.44,1.12,1.12,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100144204,CPT,Laparo partial colectomy,,,21,,RBRVS,26.29,8.89,8.89,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100144205,CPT,Lap colectomy part w/ileum,,,21,,RBRVS,22.86,7.81,7.81,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100144206,CPT,Lap part colectomy w/stoma,,,21,,RBRVS,29.63,10.48,10.48,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100144207,CPT,L colectomy/coloproctostomy,,,21,,RBRVS,31.79,10.11,10.11,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100144208,CPT,L colectomy/coloproctostomy,,,21,,RBRVS,33.86,12.02,12.02,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100144210,CPT,Laparo total proctocolectomy,,,21,,RBRVS,29.88,11.19,11.19,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100144211,CPT,Laparo total proctocolectomy,,,21,,RBRVS,36.87,13.6,13.6,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100144212,CPT,Laparo total proctocolectomy,,,21,,RBRVS,34.37,13.05,13.05,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100144213,CPT,"Lap, mobil splenic fl add-on",,,21,,RBRVS,3.5,0.86,0.86,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100144227,CPT,"Lap, close enterostomy",,,21,,RBRVS,28.49,9.49,9.49,,,$0.00 ,$0.00 ,1,0,0,1,1,1,2008100144238,CPT,"Laparoscope proc, intestine",,,21,,TotalUnits,,,,20.65,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100144300,CPT,Open bowel to skin,,,21,,RBRVS,13.65,5.56,5.56,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100144310,CPT,Ileostomy/jejunostomy,,,21,,RBRVS,17.49,6.4,6.4,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100144312,CPT,Revision of ileostomy,,,21,,RBRVS,9.33,4.66,4.66,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100144314,CPT,Revision of ileostomy,,,21,,RBRVS,16.61,6.78,6.78,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100144316,CPT,Devise bowel pouch,,,21,,RBRVS,23.46,8.88,8.88,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100144320,CPT,Colostomy,,,21,,RBRVS,19.75,7.6,7.6,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100144322,CPT,Colostomy with biopsies,,,21,,RBRVS,13.15,9.11,9.11,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100144340,CPT,Revision of colostomy,,,21,,RBRVS,9.12,4.94,4.94,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100144345,CPT,Revision of colostomy,,,21,,RBRVS,17.06,6.92,6.92,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100144346,CPT,Revision of colostomy,,,21,,RBRVS,19.47,7.53,7.53,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100144360,CPT,Small bowel endoscopy,,,21,,RBRVS,2.59,1.5,1.5,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100144361,CPT,Small bowel endoscopy/biopsy,,,21,,RBRVS,2.87,1.63,1.63,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100144363,CPT,Small bowel endoscopy,,,21,,RBRVS,3.49,1.85,1.85,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100144364,CPT,Small bowel endoscopy,,,21,,RBRVS,3.73,1.98,1.98,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100144365,CPT,Small bowel endoscopy,,,21,,RBRVS,3.31,1.74,1.74,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100144366,CPT,Small bowel endoscopy,,,21,,RBRVS,4.4,2.37,2.37,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100144369,CPT,Small bowel endoscopy,,,21,,RBRVS,4.51,2.36,2.36,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100144370,CPT,Small bowel endoscopy/stent,,,21,,RBRVS,4.79,2.56,2.56,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100144372,CPT,Small bowel endoscopy,,,21,,RBRVS,4.4,2.12,2.12,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100144373,CPT,Small bowel endoscopy,,,21,,RBRVS,3.49,1.77,1.77,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100144376,CPT,Small bowel endoscopy,,,21,,RBRVS,5.25,2.47,2.47,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100144377,CPT,Small bowel endoscopy/biopsy,,,21,,RBRVS,5.52,2.76,2.76,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100144378,CPT,Small bowel endoscopy,,,21,,RBRVS,7.12,3.58,3.58,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100144379,CPT,S bowel endoscope w/stent,,,21,,RBRVS,7.46,3.93,3.93,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100144380,CPT,Small bowel endoscopy,,,21,,RBRVS,1.05,0.74,0.74,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100144382,CPT,Small bowel endoscopy,,,21,,RBRVS,1.27,0.84,0.84,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100144383,CPT,Ileoscopy w/stent,,,21,,RBRVS,2.94,1.61,1.61,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100144385,CPT,Endoscopy of bowel pouch,,,21,,RBRVS,1.82,0.89,4.9,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100144386,CPT,"Endoscopy, bowel pouch/biop",,,21,,RBRVS,2.12,1.02,6.65,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100144388,CPT,Colon endoscopy,,,21,,RBRVS,2.82,1.35,6.12,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100144389,CPT,Colonoscopy with biopsy,,,21,,RBRVS,3.13,1.58,7.11,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100144390,CPT,Colonoscopy for foreign body,,,21,,RBRVS,3.82,1.92,8.34,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100144391,CPT,Colonoscopy for bleeding,,,21,,RBRVS,4.31,2.22,8.94,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100144392,CPT,Colonoscopy & polypectomy,,,21,,RBRVS,3.81,1.72,7.37,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100144393,CPT,"Colonoscopy, lesion removal",,,21,,RBRVS,4.83,2.13,8.04,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100144394,CPT,Colonoscopy w/snare,,,21,,RBRVS,4.42,2.07,8.51,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100144397,CPT,Colonoscopy w/stent,,,21,,RBRVS,4.7,2.16,2.16,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100144500,CPT,"Intro, gastrointestinal tube",,,21,,RBRVS,0.49,0.17,0.17,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100144602,CPT,"Suture, small intestine",,,21,,RBRVS,24.64,7.62,7.62,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100144603,CPT,"Suture, small intestine",,,21,,RBRVS,28.03,8.97,8.97,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100144604,CPT,"Suture, large intestine",,,21,,RBRVS,18.06,6.07,6.07,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100144605,CPT,Repair of bowel lesion,,,21,,RBRVS,22,7.83,7.83,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100144615,CPT,Intestinal stricturoplasty,,,21,,RBRVS,18.08,6.54,6.54,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100144620,CPT,Repair bowel opening,,,21,,RBRVS,14.35,5.51,5.51,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100144625,CPT,Repair bowel opening,,,21,,RBRVS,17.2,6.15,6.15,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100144626,CPT,Repair bowel opening,,,21,,RBRVS,27.82,8.89,8.89,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100144640,CPT,Repair bowel-skin fistula,,,21,,RBRVS,24.12,8.02,8.02,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100144650,CPT,Repair bowel fistula,,,21,,RBRVS,25.04,8.31,8.31,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100144660,CPT,Repair bowel-bladder fistula,,,21,,RBRVS,23.83,9.76,9.76,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100144661,CPT,Repair bowel-bladder fistula,,,21,,RBRVS,27.27,9.4,9.4,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100144680,CPT,"Surgical revision, intestine",,,21,,RBRVS,17.88,6.69,6.69,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100144700,CPT,Suspend bowel w/prosthesis,,,21,,RBRVS,17.4,6.16,6.16,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100144701,CPT,Intraop colon lavage add-on,,,21,,RBRVS,3.1,0.76,0.76,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100144720,CPT,Prep donor intestine/venous,,,21,,RBRVS,5,1.27,1.27,,,$0.00 ,$0.00 ,1,0,0,1,1,1,2008100144721,CPT,Prep donor intestine/artery,,,21,,RBRVS,7,1.78,1.78,,,$0.00 ,$0.00 ,1,0,0,1,1,1,2008100144799,CPT,Intestine surgery procedure,,,21,,TotalUnits,,,,24.09,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100144800,CPT,Excision of bowel pouch,,,21,,RBRVS,11.94,5.49,5.49,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100144820,CPT,Excision of mesentery lesion,,,21,,RBRVS,13.63,5.56,5.56,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100144850,CPT,Repair of mesentery,,,21,,RBRVS,12.03,5.01,5.01,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100144899,CPT,Bowel surgery procedure,,,21,,TotalUnits,,,,16.64,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100144900,CPT,"Drain app abscess, open",,,21,,RBRVS,12.44,5.03,5.03,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100144901,CPT,"Drain app abscess, percut",,,21,,RBRVS,3.37,1.2,19.81,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100144950,CPT,Appendectomy,,,21,,RBRVS,10.52,4.05,4.05,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100144955,CPT,Appendectomy add-on,,,21,,RBRVS,1.53,0.4,0.4,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100144960,CPT,Appendectomy,,,21,,RBRVS,14.39,5.4,5.4,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100144970,CPT,"Laparoscopy, appendectomy",,,21,,RBRVS,9.35,4.19,4.19,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100144979,CPT,"Laparoscope proc, app",,,21,,TotalUnits,,,,12.92,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100145000,CPT,Drainage of pelvic abscess,,,21,,RBRVS,6.2,3.57,3.57,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100145005,CPT,Drainage of rectal abscess,,,21,,RBRVS,2,1.59,3.99,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100145020,CPT,Drainage of rectal abscess,,,21,,RBRVS,8.43,4.55,4.55,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100145100,CPT,Biopsy of rectum,,,21,,RBRVS,3.96,2.81,2.81,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100145108,CPT,Removal of anorectal lesion,,,21,,RBRVS,5.04,3.1,3.1,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100145110,CPT,Removal of rectum,,,21,,RBRVS,30.57,11.86,11.86,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100145111,CPT,Partial removal of rectum,,,21,,RBRVS,17.89,7,7,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100145112,CPT,Removal of rectum,,,21,,RBRVS,33.05,10.31,10.31,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100145113,CPT,Partial proctectomy,,,21,,RBRVS,33.09,11.59,11.59,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100145114,CPT,Partial removal of rectum,,,21,,RBRVS,30.63,10.3,10.3,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100145116,CPT,Partial removal of rectum,,,21,,RBRVS,27.56,9.65,9.65,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100145119,CPT,Remove rectum w/reservoir,,,21,,RBRVS,33.35,11.54,11.54,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100145120,CPT,Removal of rectum,,,21,,RBRVS,26.25,9.27,9.27,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100145121,CPT,Removal of rectum and colon,,,21,,RBRVS,28.93,10.04,10.04,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100145123,CPT,Partial proctectomy,,,21,,RBRVS,18.7,6.94,6.94,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100145126,CPT,Pelvic exenteration,,,21,,RBRVS,48.89,17.89,17.89,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100145130,CPT,Excision of rectal prolapse,,,21,,RBRVS,18.37,6.67,6.67,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100145135,CPT,Excision of rectal prolapse,,,21,,RBRVS,22.15,8.61,8.61,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100145136,CPT,Excise ileoanal reservior,,,21,,RBRVS,30.63,11.96,11.96,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100145150,CPT,Excision of rectal stricture,,,21,,RBRVS,5.77,3.34,3.34,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100145160,CPT,Excision of rectal lesion,,,21,,RBRVS,16.17,6.44,6.44,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100145170,CPT,Excision of rectal lesion,,,21,,RBRVS,12.48,5.36,5.36,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100145190,CPT,"Destruction, rectal tumor",,,21,,RBRVS,10.29,5.52,5.52,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100145300,CPT,Proctosigmoidoscopy dx,,,21,,RBRVS,0.8,0.45,1.96,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100145303,CPT,Proctosigmoidoscopy dilate,,,21,,RBRVS,1.5,0.66,19.93,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100145305,CPT,Proctosigmoidoscopy w/bx,,,21,,RBRVS,1.25,0.59,3.19,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100145307,CPT,Proctosigmoidoscopy fb,,,21,,RBRVS,1.7,0.7,3.25,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100145308,CPT,Proctosigmoidoscopy removal,,,21,,RBRVS,1.4,0.63,3.41,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100145309,CPT,Proctosigmoidoscopy removal,,,21,,RBRVS,1.5,0.67,3.53,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100145315,CPT,Proctosigmoidoscopy removal,,,21,,RBRVS,1.8,0.88,3.82,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100145317,CPT,Proctosigmoidoscopy bleed,,,21,,RBRVS,2,0.77,3.37,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100145320,CPT,Proctosigmoidoscopy ablate,,,21,,RBRVS,1.78,0.8,3.4,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100145321,CPT,Proctosigmoidoscopy volvul,,,21,,RBRVS,1.75,0.86,0.86,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100145327,CPT,Proctosigmoidoscopy w/stent,,,21,,RBRVS,2,0.91,0.91,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100145330,CPT,Diagnostic sigmoidoscopy,,,21,,RBRVS,0.96,0.62,2.52,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100145331,CPT,Sigmoidoscopy and biopsy,,,21,,RBRVS,1.15,0.79,3.28,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100145332,CPT,Sigmoidoscopy w/fb removal,,,21,,RBRVS,1.79,0.99,5.54,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100145333,CPT,Sigmoidoscopy & polypectomy,,,21,,RBRVS,1.79,0.99,5.67,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100145334,CPT,Sigmoidoscopy for bleeding,,,21,,RBRVS,2.73,1.54,1.54,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100145335,CPT,Sigmoidoscope w/submuc inj,,,21,,RBRVS,1.46,0.9,5.34,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100145337,CPT,Sigmoidoscopy & decompress,,,21,,RBRVS,2.36,1.25,1.25,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100145338,CPT,Sigmoidoscpy w/tumr remove,,,21,,RBRVS,2.34,1.28,5.91,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100145339,CPT,Sigmoidoscopy w/ablate tumr,,,21,,RBRVS,3.14,1.66,5.73,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100145340,CPT,Sig w/balloon dilation,,,21,,RBRVS,1.89,1.03,10.27,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100145341,CPT,Sigmoidoscopy w/ultrasound,,,21,,RBRVS,2.6,1.47,1.47,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100145342,CPT,Sigmoidoscopy w/us guide bx,,,21,,RBRVS,4.05,2.17,2.17,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100145345,CPT,Sigmoidoscopy w/stent,,,21,,RBRVS,2.92,1.5,1.5,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100145355,CPT,Surgical colonoscopy,,,21,,RBRVS,3.51,1.58,1.58,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100145378,CPT,Diagnostic colonoscopy,,,21,,RBRVS,3.69,1.82,6.39,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100145379,CPT,Colonoscopy w/fb removal,,,21,,RBRVS,4.68,2.17,8.08,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100145380,CPT,Colonoscopy and biopsy,,,21,,RBRVS,4.43,2.24,7.76,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100145381,CPT,"Colonoscope, submucous inj",,,21,,RBRVS,4.19,2.16,7.73,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100145382,CPT,Colonoscopy/control bleeding,,,21,,RBRVS,5.68,2.89,10.36,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100145383,CPT,Lesion removal colonoscopy,,,21,,RBRVS,5.86,2.63,8.56,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100145384,CPT,Lesion remove colonoscopy,,,21,,RBRVS,4.69,2.18,7.2,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100145385,CPT,Lesion removal colonoscopy,,,21,,RBRVS,5.3,2.59,8.38,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100145386,CPT,Colonoscope dilate stricture,,,21,,RBRVS,4.57,2.18,12.37,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100145387,CPT,Colonoscopy w/stent,,,21,,RBRVS,5.9,2.8,2.8,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100145391,CPT,Colonoscopy w/endoscope us,,,21,,RBRVS,5.09,2.6,2.6,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100145392,CPT,Colonoscopy w/endoscopic fnb,,,21,,RBRVS,6.54,3.21,3.21,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100145395,CPT,"Lap, removal of rectum",,,21,,RBRVS,32.79,12.96,12.96,,,$0.00 ,$0.00 ,1,0,0,1,1,1,2008100145397,CPT,"Lap, remove rectum w/pouch",,,21,,RBRVS,36.29,13.4,13.4,,,$0.00 ,$0.00 ,1,0,0,1,1,1,2008100145400,CPT,Laparoscopic proctopexy,,,21,,RBRVS,19.31,7.08,7.08,,,$0.00 ,$0.00 ,1,0,0,1,1,1,2008100145402,CPT,Lap proctopexy w/sig resect,,,21,,RBRVS,26.38,8.74,8.74,,,$0.00 ,$0.00 ,1,0,0,1,1,1,2008100145499,CPT,"Laparoscope proc, rectum",,,28,,NW,,,,,,"$2,279.23 ",$0.00 ,1,0,1,1,1,1,2008100145500,CPT,Repair of rectum,,,21,,RBRVS,7.64,4.46,4.46,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100145505,CPT,Repair of rectum,,,21,,RBRVS,8.2,5.04,5.04,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100145520,CPT,Treatment of rectal prolapse,,,21,,RBRVS,0.55,0.38,2.86,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100145540,CPT,Correct rectal prolapse,,,21,,RBRVS,18.02,5.84,5.84,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100145541,CPT,Correct rectal prolapse,,,21,,RBRVS,14.72,6.59,6.59,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100145550,CPT,Repair rectum/remove sigmoid,,,21,,RBRVS,24.67,8.96,8.96,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100145560,CPT,Repair of rectocele,,,21,,RBRVS,11.42,5.52,5.52,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100145562,CPT,Exploration/repair of rectum,,,21,,RBRVS,17.82,8.11,8.11,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100145563,CPT,Exploration/repair of rectum,,,21,,RBRVS,26.22,10.76,10.76,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100145800,CPT,Repair rect/bladder fistula,,,21,,RBRVS,20.18,9.15,9.15,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100145805,CPT,Repair fistula w/colostomy,,,21,,RBRVS,23.19,9.93,9.93,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100145820,CPT,Repair rectourethral fistula,,,21,,RBRVS,20.24,9.1,9.1,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100145825,CPT,Repair fistula w/colostomy,,,21,,RBRVS,24.01,9.47,9.47,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100145900,CPT,Reduction of rectal prolapse,,,21,,RBRVS,2.96,1.66,1.66,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100145905,CPT,Dilation of anal sphincter,,,21,,RBRVS,2.32,1.6,1.6,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100145910,CPT,Dilation of rectal narrowing,,,21,,RBRVS,2.82,1.85,1.85,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100145915,CPT,Remove rectal obstruction,,,21,,RBRVS,3.16,2.02,4.21,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100145990,CPT,"Surg dx exam, anorectal",,,21,,RBRVS,1.8,0.72,0.72,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100145999,CPT,Rectum surgery procedure,,,21,,TotalUnits,,,,5.83,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100146020,CPT,Placement of seton,,,21,,RBRVS,2.94,2.35,3.26,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100146030,CPT,Removal of rectal marker,,,21,,RBRVS,1.24,0.81,1.89,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100146040,CPT,Incision of rectal abscess,,,21,,RBRVS,5.26,3.99,6.54,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100146045,CPT,Incision of rectal abscess,,,21,,RBRVS,5.79,3.94,3.94,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100146050,CPT,Incision of anal abscess,,,21,,RBRVS,1.21,0.98,3.2,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100146060,CPT,Incision of rectal abscess,,,21,,RBRVS,6.24,4.42,4.42,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100146070,CPT,Incision of anal septum,,,21,,RBRVS,2.74,2.35,2.35,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100146080,CPT,Incision of anal sphincter,,,21,,RBRVS,2.5,1.12,3.07,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100146083,CPT,Incise external hemorrhoid,,,21,,RBRVS,1.42,0.96,2.37,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100146200,CPT,Removal of anal fissure,,,21,,RBRVS,3.48,3.73,6.29,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100146210,CPT,Removal of anal crypt,,,21,,RBRVS,2.73,3.3,5.83,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100146211,CPT,Removal of anal crypts,,,21,,RBRVS,4.31,4.67,7.85,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100146220,CPT,Removal of anal tag,,,21,,RBRVS,1.58,1.1,3.02,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100146221,CPT,Ligation of hemorrhoid(s),,,21,,RBRVS,2.31,2,3.73,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100146230,CPT,Removal of anal tags,,,21,,RBRVS,2.59,1.33,3.51,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100146250,CPT,Hemorrhoidectomy,,,21,,RBRVS,4.17,2.83,5.96,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100146255,CPT,Hemorrhoidectomy,,,21,,RBRVS,4.88,3.07,6.34,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100146257,CPT,Remove hemorrhoids & fissure,,,21,,RBRVS,5.68,3.85,3.85,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100146258,CPT,Remove hemorrhoids & fistula,,,21,,RBRVS,6.28,3.96,3.96,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100146260,CPT,Hemorrhoidectomy,,,21,,RBRVS,6.65,4.07,4.07,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100146261,CPT,Remove hemorrhoids & fissure,,,21,,RBRVS,7.63,4.3,4.3,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100146262,CPT,Remove hemorrhoids & fistula,,,21,,RBRVS,7.8,4.66,4.66,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100146270,CPT,Removal of anal fistula,,,21,,RBRVS,4.81,3.92,6.39,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100146275,CPT,Removal of anal fistula,,,21,,RBRVS,5.31,3.97,6.63,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100146280,CPT,Removal of anal fistula,,,21,,RBRVS,6.28,4.27,4.27,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100146285,CPT,Removal of anal fistula,,,21,,RBRVS,5.31,3.96,6.53,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100146288,CPT,Repair anal fistula,,,21,,RBRVS,7.68,4.68,4.68,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100146320,CPT,Removal of hemorrhoid clot,,,21,,RBRVS,1.62,0.88,2.41,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100146500,CPT,Injection into hemorrhoid(s),,,21,,RBRVS,1.64,1.25,3.61,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100146505,CPT,Chemodenervation anal musc,,,21,,RBRVS,3.13,2.28,3.28,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100146600,CPT,Diagnostic anoscopy,,,21,,RBRVS,0.55,0.38,1.37,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100146604,CPT,Anoscopy and dilation,,,21,,RBRVS,1.03,0.51,12.52,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100146606,CPT,Anoscopy and biopsy,,,21,,RBRVS,1.2,0.58,3.88,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100146608,CPT,"Anoscopy, remove for body",,,21,,RBRVS,1.3,0.58,3.76,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100146610,CPT,"Anoscopy, remove lesion",,,21,,RBRVS,1.28,0.59,3.8,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100146611,CPT,Anoscopy,,,21,,RBRVS,1.3,0.57,2.53,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100146612,CPT,"Anoscopy, remove lesions",,,21,,RBRVS,1.5,0.72,4.7,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100146614,CPT,"Anoscopy, control bleeding",,,21,,RBRVS,1,0.52,1.93,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100146615,CPT,Anoscopy,,,21,,RBRVS,1.5,0.64,1.74,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100146700,CPT,Repair of anal stricture,,,21,,RBRVS,9.68,5.16,5.16,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100146705,CPT,Repair of anal stricture,,,21,,RBRVS,7.32,4.07,4.07,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100146706,CPT,Repr of anal fistula w/glue,,,21,,RBRVS,2.41,1.49,1.49,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100146710,CPT,Repr per/vag pouch sngl proc,,,21,,RBRVS,17.01,7.55,7.55,,,$0.00 ,$0.00 ,1,0,0,1,1,1,2008100146712,CPT,Repr per/vag pouch dbl proc,,,21,,RBRVS,36.32,14.02,14.02,,,$0.00 ,$0.00 ,1,0,0,1,1,1,2008100146715,CPT,Repair of anovaginal fistula,,,21,,RBRVS,7.54,3.76,3.76,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100146716,CPT,Repair of anovaginal fistula,,,21,,RBRVS,17.14,9.6,9.6,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100146730,CPT,Construction of absent anus,,,21,,RBRVS,30.17,12.5,12.5,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100146735,CPT,Construction of absent anus,,,21,,RBRVS,35.66,15.02,15.02,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100146740,CPT,Construction of absent anus,,,21,,RBRVS,33.42,15.3,15.3,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100146742,CPT,Repair of imperforated anus,,,21,,RBRVS,39.66,13.76,13.76,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100146744,CPT,Repair of cloacal anomaly,,,21,,RBRVS,58.46,18.15,18.15,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100146746,CPT,Repair of cloacal anomaly,,,21,,RBRVS,64.93,19.69,19.69,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100146748,CPT,Repair of cloacal anomaly,,,21,,RBRVS,70.91,21.06,21.06,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100146750,CPT,Repair of anal sphincter,,,21,,RBRVS,12.02,5.77,5.77,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100146751,CPT,Repair of anal sphincter,,,21,,RBRVS,9.19,5.02,5.02,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100146753,CPT,Reconstruction of anus,,,21,,RBRVS,8.81,4.59,4.59,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100146754,CPT,Removal of suture from anus,,,21,,RBRVS,2.88,2.21,3.64,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100146760,CPT,Repair of anal sphincter,,,21,,RBRVS,17.21,8.06,8.06,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100146761,CPT,Repair of anal sphincter,,,21,,RBRVS,15.16,6.47,6.47,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100146762,CPT,Implant artificial sphincter,,,21,,RBRVS,14.66,7.08,7.08,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100146900,CPT,"Destruction, anal lesion(s)",,,21,,RBRVS,1.91,1.31,3.66,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100146910,CPT,"Destruction, anal lesion(s)",,,21,,RBRVS,1.88,1.2,3.88,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100146916,CPT,"Cryosurgery, anal lesion(s)",,,21,,RBRVS,1.88,1.58,3.77,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100146917,CPT,"Laser surgery, anal lesions",,,21,,RBRVS,1.88,1.22,8.79,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100146922,CPT,Excision of anal lesion(s),,,21,,RBRVS,1.88,1.2,4.14,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100146924,CPT,"Destruction, anal lesion(s)",,,21,,RBRVS,2.78,1.52,9.58,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100146934,CPT,Destruction of hemorrhoids,,,21,,RBRVS,3.79,2.88,5.57,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100146935,CPT,Destruction of hemorrhoids,,,21,,RBRVS,2.44,1.11,3.86,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100146936,CPT,Destruction of hemorrhoids,,,21,,RBRVS,3.7,2.66,6.24,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100146937,CPT,Cryotherapy of rectal lesion,,,21,,RBRVS,2.7,1.43,3.41,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100146938,CPT,Cryotherapy of rectal lesion,,,21,,RBRVS,4.7,3.55,5.63,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100146940,CPT,Treatment of anal fissure,,,21,,RBRVS,2.33,1.04,2.85,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100146942,CPT,Treatment of anal fissure,,,21,,RBRVS,2.05,0.96,2.8,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100146945,CPT,Ligation of hemorrhoids,,,21,,RBRVS,2.13,2.98,4.8,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100146946,CPT,Ligation of hemorrhoids,,,21,,RBRVS,2.6,2.65,4.64,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100146947,CPT,Hemorrhoidopexy by stapling,,,21,,RBRVS,5.49,3.11,3.11,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100146999,CPT,Anus surgery procedure,,,21,,TotalUnits,,,,3.55,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100147000,CPT,Needle biopsy of liver,,,21,,RBRVS,1.9,0.7,7.67,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100147001,CPT,"Needle biopsy, liver add-on",,,21,,RBRVS,1.9,0.48,0.48,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100147010,CPT,"Open drainage, liver lesion",,,21,,RBRVS,19.27,8.32,8.32,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100147011,CPT,"Percut drain, liver lesion",,,21,,RBRVS,3.69,1.32,1.32,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100147015,CPT,Inject/aspirate liver cyst,,,21,,RBRVS,18.37,8.17,8.17,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100147100,CPT,Wedge biopsy of liver,,,21,,RBRVS,12.78,6.32,6.32,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100147120,CPT,Partial removal of liver,,,21,,RBRVS,38.82,14.08,14.08,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100147122,CPT,Extensive removal of liver,,,21,,RBRVS,59.35,18.76,18.76,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100147125,CPT,Partial removal of liver,,,21,,RBRVS,52.91,17.18,17.18,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100147130,CPT,Partial removal of liver,,,21,,RBRVS,57.06,18.12,18.12,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100147135,CPT,Transplantation of liver,,,21,,RBRVS,83.29,27.76,27.76,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100147136,CPT,Transplantation of liver,,,21,,RBRVS,70.39,24.56,24.56,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100147140,CPT,"Partial removal, donor liver",,,21,,RBRVS,59.22,21.63,21.63,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100147141,CPT,"Partial removal, donor liver",,,21,,RBRVS,71.27,25.36,25.36,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100147142,CPT,"Partial removal, donor liver",,,21,,RBRVS,79.21,27.37,27.37,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100147146,CPT,Prep donor liver/venous,,,21,,RBRVS,6,1.52,1.52,,,$0.00 ,$0.00 ,1,0,0,1,1,1,2008100147147,CPT,Prep donor liver/arterial,,,21,,RBRVS,7,1.77,1.77,,,$0.00 ,$0.00 ,1,0,0,1,1,1,2008100147300,CPT,Surgery for liver lesion,,,21,,RBRVS,18.01,7.75,7.75,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100147350,CPT,Repair liver wound,,,21,,RBRVS,22.36,8.78,8.78,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100147360,CPT,Repair liver wound,,,21,,RBRVS,31.18,11.25,11.25,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100147361,CPT,Repair liver wound,,,21,,RBRVS,52.47,17.4,17.4,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100147362,CPT,Repair liver wound,,,21,,RBRVS,23.41,9.31,9.31,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100147370,CPT,Laparo ablate liver tumor rf,,,21,,RBRVS,20.67,7.7,7.7,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100147371,CPT,Laparo ablate liver cryosurg,,,21,,RBRVS,20.67,7.9,7.9,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100147379,CPT,"Laparoscope procedure, liver",,,21,,TotalUnits,,,,27.85,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100147380,CPT,Open ablate liver tumor rf,,,21,,RBRVS,24.43,8.61,8.61,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100147381,CPT,Open ablate liver tumor cryo,,,21,,RBRVS,24.72,9.32,9.32,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100147382,CPT,Percut ablate liver rf,,,21,,RBRVS,15.19,6.21,6.21,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100147399,CPT,Liver surgery procedure,,,21,,TotalUnits,,,,2.66,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100147400,CPT,Incision of liver duct,,,21,,RBRVS,36.23,13.02,13.02,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100147420,CPT,Incision of bile duct,,,21,,RBRVS,21.92,8.55,8.55,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100147425,CPT,Incision of bile duct,,,21,,RBRVS,22.2,8.65,8.65,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100147460,CPT,Incise bile duct sphincter,,,21,,RBRVS,20.41,9.14,9.14,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100147480,CPT,Incision of gallbladder,,,21,,RBRVS,13.12,6.64,6.64,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100147490,CPT,Incision of gallbladder,,,21,,RBRVS,8.05,5.3,5.3,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100147500,CPT,Injection for liver x-rays,,,21,,RBRVS,1.96,0.71,0.71,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100147505,CPT,Injection for liver x-rays,,,21,,RBRVS,0.76,0.27,0.27,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100147510,CPT,"Insert catheter, bile duct",,,21,,RBRVS,7.94,4.63,4.63,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100147511,CPT,Insert bile duct drain,,,21,,RBRVS,10.74,5.05,5.05,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100147525,CPT,Change bile duct catheter,,,21,,RBRVS,5.55,2.69,14.87,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100147530,CPT,Revise/reinsert bile tube,,,21,,RBRVS,5.96,3.45,30.6,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100147550,CPT,Bile duct endoscopy add-on,,,21,,RBRVS,3.02,0.78,0.78,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100147552,CPT,Biliary endoscopy thru skin,,,21,,RBRVS,6.03,2.48,2.48,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100147553,CPT,Biliary endoscopy thru skin,,,21,,RBRVS,6.34,2.25,2.25,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100147554,CPT,Biliary endoscopy thru skin,,,21,,RBRVS,9.05,3.3,3.3,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100147555,CPT,Biliary endoscopy thru skin,,,21,,RBRVS,7.55,2.75,2.75,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100147556,CPT,Biliary endoscopy thru skin,,,21,,RBRVS,8.55,3.09,3.09,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100147560,CPT,Laparoscopy w/cholangio,,,21,,RBRVS,4.88,1.24,1.24,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100147561,CPT,Laparo w/cholangio/biopsy,,,21,,RBRVS,5.17,1.58,1.58,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100147562,CPT,Laparoscopic cholecystectomy,,,21,,RBRVS,11.63,5.27,5.27,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100147563,CPT,Laparo cholecystectomy/graph,,,21,,RBRVS,12.03,5.07,5.07,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100147564,CPT,Laparo cholecystectomy/explr,,,21,,RBRVS,14.21,5.42,5.42,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100147570,CPT,Laparo cholecystoenterostomy,,,21,,RBRVS,12.56,4.97,4.97,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100147579,CPT,"Laparoscope proc, biliary",,,21,,TotalUnits,,,,16.07,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100147600,CPT,Removal of gallbladder,,,21,,RBRVS,17.35,7.22,7.22,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100147605,CPT,Removal of gallbladder,,,21,,RBRVS,15.9,6.39,6.39,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100147610,CPT,Removal of gallbladder,,,21,,RBRVS,20.84,7.66,7.66,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100147612,CPT,Removal of gallbladder,,,21,,RBRVS,21.13,7.68,7.68,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100147620,CPT,Removal of gallbladder,,,21,,RBRVS,22.99,8.16,8.16,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100147630,CPT,Remove bile duct stone,,,21,,RBRVS,9.57,4.73,4.73,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100147700,CPT,Exploration of bile ducts,,,21,,RBRVS,16.39,7.31,7.31,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100147701,CPT,Bile duct revision,,,21,,RBRVS,28.62,10.65,10.65,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100147711,CPT,Excision of bile duct tumor,,,21,,RBRVS,25.77,9.65,9.65,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100147712,CPT,Excision of bile duct tumor,,,21,,RBRVS,33.59,11.66,11.66,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100147715,CPT,Excision of bile duct cyst,,,21,,RBRVS,21.42,8.61,8.61,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100147720,CPT,Fuse gallbladder & bowel,,,21,,RBRVS,18.21,7.71,7.71,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100147721,CPT,Fuse upper gi structures,,,21,,RBRVS,21.86,8.55,8.55,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100147740,CPT,Fuse gallbladder & bowel,,,21,,RBRVS,21.1,8.34,8.34,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100147741,CPT,Fuse gallbladder & bowel,,,21,,RBRVS,24.08,9.26,9.26,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100147760,CPT,Fuse bile ducts and bowel,,,21,,RBRVS,38.14,13.05,13.05,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100147765,CPT,Fuse liver ducts & bowel,,,21,,RBRVS,52.01,16.96,16.96,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100147780,CPT,Fuse bile ducts and bowel,,,21,,RBRVS,42.14,14.13,14.13,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100147785,CPT,Fuse bile ducts and bowel,,,21,,RBRVS,56.01,17.86,17.86,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100147800,CPT,Reconstruction of bile ducts,,,21,,RBRVS,26.04,9.78,9.78,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100147801,CPT,"Placement, bile duct support",,,21,,RBRVS,17.47,8.44,8.44,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100147802,CPT,Fuse liver duct & intestine,,,21,,RBRVS,24.8,9.69,9.69,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100147900,CPT,Suture bile duct injury,,,21,,RBRVS,22.31,8.86,8.86,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100147999,CPT,Bile tract surgery procedure,,,21,,TotalUnits,,,,19.76,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100148000,CPT,Drainage of abdomen,,,21,,RBRVS,31.82,10.87,10.87,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100148001,CPT,"Placement of drain, pancreas",,,21,,RBRVS,39.56,12.77,12.77,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100148020,CPT,Removal of pancreatic stone,,,21,,RBRVS,18.96,7.6,7.6,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100148100,CPT,"Biopsy of pancreas, open",,,21,,RBRVS,14.38,5.96,5.96,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100148102,CPT,"Needle biopsy, pancreas",,,21,,RBRVS,4.68,1.91,9.62,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100148105,CPT,Resect/debride pancreas,,,21,,RBRVS,49.05,15.78,15.78,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100148120,CPT,Removal of pancreas lesion,,,21,,RBRVS,18.33,6.86,6.86,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100148140,CPT,Partial removal of pancreas,,,21,,RBRVS,26.19,9.38,9.38,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100148145,CPT,Partial removal of pancreas,,,21,,RBRVS,27.26,9.56,9.56,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100148146,CPT,Pancreatectomy,,,21,,RBRVS,30.42,11.94,11.94,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100148148,CPT,Removal of pancreatic duct,,,21,,RBRVS,20.26,8.21,8.21,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100148150,CPT,Partial removal of pancreas,,,21,,RBRVS,52.63,18.03,18.03,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100148152,CPT,Pancreatectomy,,,21,,RBRVS,48.47,16.84,16.84,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100148153,CPT,Pancreatectomy,,,21,,RBRVS,52.61,17.92,17.92,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100148154,CPT,Pancreatectomy,,,21,,RBRVS,48.7,17.07,17.07,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100148155,CPT,Removal of pancreas,,,21,,RBRVS,29.27,11.97,11.97,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100148160,CPT,Pancreas removal/transplant,,,21,,TotalUnits,,,,56.97,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100148400,CPT,"Injection, intraop add-on",,,21,,RBRVS,1.95,0.66,0.66,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100148500,CPT,Surgery of pancreatic cyst,,,21,,RBRVS,18.03,7.67,7.67,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100148510,CPT,Drain pancreatic pseudocyst,,,21,,RBRVS,17.06,7.61,7.61,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100148511,CPT,Drain pancreatic pseudocyst,,,21,,RBRVS,3.99,1.43,20.2,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100148520,CPT,Fuse pancreas cyst and bowel,,,21,,RBRVS,18.07,6.83,6.83,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100148540,CPT,Fuse pancreas cyst and bowel,,,21,,RBRVS,21.86,7.8,7.8,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100148545,CPT,Pancreatorrhaphy,,,21,,RBRVS,22.1,8.42,8.42,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100148547,CPT,Duodenal exclusion,,,21,,RBRVS,30.25,10.29,10.29,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100148548,CPT,Fuse pancreas and bowel,,,21,,RBRVS,27.96,9.89,9.89,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100148552,CPT,Prep donor pancreas/venous,,,21,,RBRVS,4.3,1.14,1.14,,,$0.00 ,$0.00 ,1,0,0,1,1,1,2008100148554,CPT,Transpl allograft pancreas,,,21,,RBRVS,37.03,20.53,20.53,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100148556,CPT,"Removal, allograft pancreas",,,21,,RBRVS,19.24,9.23,9.23,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100148999,CPT,Pancreas surgery procedure,,,21,,TotalUnits,,,,34.9,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100149000,CPT,Exploration of abdomen,,,21,,RBRVS,12.44,5.21,5.21,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100149002,CPT,Reopening of abdomen,,,21,,RBRVS,17.55,6.39,6.39,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100149010,CPT,Exploration behind abdomen,,,21,,RBRVS,15.98,6.2,6.2,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100149020,CPT,Drain abdominal abscess,,,21,,RBRVS,26.46,9.89,9.89,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100149021,CPT,Drain abdominal abscess,,,21,,RBRVS,3.37,1.21,19.65,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100149040,CPT,"Drain, open, abdom abscess",,,21,,RBRVS,16.41,6.52,6.52,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100149041,CPT,"Drain, percut, abdom abscess",,,21,,RBRVS,3.99,1.43,19.93,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100149060,CPT,"Drain, open, retrop abscess",,,21,,RBRVS,18.42,7.25,7.25,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100149061,CPT,"Drain, percut, retroper absc",,,21,,RBRVS,3.69,1.33,19.76,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100149062,CPT,Drain to peritoneal cavity,,,21,,RBRVS,12.12,5.12,5.12,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100149080,CPT,"Puncture, peritoneal cavity",,,21,,RBRVS,1.35,0.48,2.73,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100149081,CPT,Removal of abdominal fluid,,,21,,RBRVS,1.26,0.47,2.94,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100149180,CPT,"Biopsy, abdominal mass",,,21,,RBRVS,1.73,0.62,2.48,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100149203,CPT,Exc abd tum 5 cm or less,,,21,,RBRVS,20,7.66,7.66,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100149204,CPT,Exc abd tum over 5 cm,,,21,,RBRVS,26,9.27,9.27,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100149205,CPT,Exc abd tum over 10 cm,,,21,,RBRVS,30,10.35,10.35,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100149215,CPT,Excise sacral spine tumor,,,21,,RBRVS,37.66,12.69,12.69,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100149220,CPT,"Multiple surgery, abdomen",,,21,,RBRVS,15.7,6.46,6.46,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100149250,CPT,Excision of umbilicus,,,21,,RBRVS,8.93,4.34,4.34,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100149255,CPT,Removal of omentum,,,21,,RBRVS,12.41,5.63,5.63,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100149320,CPT,Diag laparo separate proc,,,21,,RBRVS,5.09,2.44,2.44,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100149321,CPT,"Laparoscopy, biopsy",,,21,,RBRVS,5.39,2.56,2.56,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100149322,CPT,"Laparoscopy, aspiration",,,21,,RBRVS,5.96,2.63,2.63,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100149323,CPT,Laparo drain lymphocele,,,21,,RBRVS,10.13,4.69,4.69,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100149324,CPT,Lap insertion perm ip cath,,,21,,RBRVS,6.27,2.79,2.79,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100149325,CPT,Lap revision perm ip cath,,,21,,RBRVS,6.77,2.91,2.91,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100149326,CPT,Lap w/omentopexy add-on,,,21,,RBRVS,3.5,0.92,0.92,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100149329,CPT,"Laparo proc, abdm/per/oment",,,21,,TotalUnits,,,,7.73,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100149400,CPT,Air injection into abdomen,,,21,,RBRVS,1.88,0.62,2.47,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100149402,CPT,"Remove foreign body, adbomen",,,21,,RBRVS,14.01,5.52,5.52,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100149419,CPT,Insrt abdom cath for chemotx,,,21,,RBRVS,7.03,3.43,3.43,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100149420,CPT,"Insert abdom drain, temp",,,21,,RBRVS,2.22,1.18,1.18,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100149421,CPT,"Insert abdom drain, perm",,,21,,RBRVS,5.87,3.12,3.12,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100149422,CPT,Remove perm cannula/catheter,,,21,,RBRVS,6.26,2.61,2.61,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100149423,CPT,Exchange drainage catheter,,,21,,RBRVS,1.46,0.56,13.1,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100149424,CPT,"Assess cyst, contrast inject",,,21,,RBRVS,0.76,0.3,3.08,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100149425,CPT,Insert abdomen-venous drain,,,21,,RBRVS,12.13,5.29,5.29,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100149426,CPT,Revise abdomen-venous shunt,,,21,,RBRVS,10.33,4.56,4.56,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100149427,CPT,"Injection, abdominal shunt",,,21,,RBRVS,0.89,0.32,0.32,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100149428,CPT,Ligation of shunt,,,21,,RBRVS,6.79,3,3,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100149429,CPT,Removal of shunt,,,21,,RBRVS,7.41,2.99,2.99,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100149435,CPT,Insert subq exten to ip cath,,,21,,RBRVS,2.25,0.62,0.62,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100149436,CPT,Embedded ip cath exit-site,,,21,,RBRVS,2.69,1.66,1.66,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100149440,CPT,Place gastrostomy tube perc,,,21,,RBRVS,4.18,1.81,25.06,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100149441,CPT,Place duod/jej tube perc,,,21,,RBRVS,4.77,2.01,30.13,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100149442,CPT,Place cecostomy tube perc,,,21,,RBRVS,4,1.63,24.46,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100149446,CPT,Change g-tube to g-j perc,,,21,,RBRVS,3.31,1.15,25.78,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100149450,CPT,Replace g/c tube perc,,,21,,RBRVS,1.36,0.44,18.97,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100149451,CPT,Replace duod/jej tube perc,,,21,,RBRVS,1.84,0.64,19.71,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100149452,CPT,Replace g-j tube perc,,,21,,RBRVS,2.86,1,23.51,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100149460,CPT,Fix g/colon tube w/device,,,21,,RBRVS,0.96,0.31,20.59,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100149465,CPT,Fluoro exam of g/colon tube,,,21,,RBRVS,0.62,0.22,3.89,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100149491,CPT,Rpr hern preemie reduc,,,21,,RBRVS,12.42,4.62,4.62,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100149492,CPT,"Rpr ing hern premie, blocked",,,21,,RBRVS,15.32,6.23,6.23,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100149495,CPT,"Rpr ing hernia baby, reduc",,,21,,RBRVS,6.15,3.06,3.06,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100149496,CPT,"Rpr ing hernia baby, blocked",,,21,,RBRVS,9.32,4.45,4.45,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100149500,CPT,"Rpr ing hernia, init, reduce",,,21,,RBRVS,5.76,3.65,3.65,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100149501,CPT,"Rpr ing hernia, init blocked",,,21,,RBRVS,9.28,4.27,4.27,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100149505,CPT,Prp i/hern init reduc>5 yr,,,21,,RBRVS,7.88,3.88,3.88,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100149507,CPT,Prp i/hern init block>5 yr,,,21,,RBRVS,9.97,4.45,4.45,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100149520,CPT,"Rerepair ing hernia, reduce",,,21,,RBRVS,9.91,4.38,4.38,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100149521,CPT,"Rerepair ing hernia, blocked",,,21,,RBRVS,12.36,4.98,4.98,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100149525,CPT,"Repair ing hernia, sliding",,,21,,RBRVS,8.85,4.12,4.12,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100149540,CPT,Repair lumbar hernia,,,21,,RBRVS,10.66,4.58,4.58,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100149550,CPT,"Rpr rem hernia, init, reduce",,,21,,RBRVS,8.91,4.11,4.11,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100149553,CPT,"Rpr fem hernia, init blocked",,,21,,RBRVS,9.84,4.42,4.42,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100149555,CPT,"Rerepair fem hernia, reduce",,,21,,RBRVS,9.31,4.2,4.2,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100149557,CPT,"Rerepair fem hernia, blocked",,,21,,RBRVS,11.54,4.83,4.83,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100149560,CPT,"Rpr ventral hern init, reduc",,,21,,RBRVS,11.84,4.88,4.88,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100149561,CPT,"Rpr ventral hern init, block",,,21,,RBRVS,15.3,5.8,5.8,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100149565,CPT,"Rerepair ventrl hern, reduce",,,21,,RBRVS,12.29,5.08,5.08,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100149566,CPT,"Rerepair ventrl hern, block",,,21,,RBRVS,15.45,5.85,5.85,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100149568,CPT,Hernia repair w/mesh,,,21,,RBRVS,4.88,1.24,1.24,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100149570,CPT,"Rpr epigastric hern, reduce",,,21,,RBRVS,5.97,3.38,3.38,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100149572,CPT,"Rpr epigastric hern, blocked",,,21,,RBRVS,7.79,3.83,3.83,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100149580,CPT,"Rpr umbil hern, reduc < 5 yr",,,21,,RBRVS,4.39,2.95,2.95,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100149582,CPT,"Rpr umbil hern, block < 5 yr",,,21,,RBRVS,7.05,3.69,3.69,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100149585,CPT,"Rpr umbil hern, reduc > 5 yr",,,21,,RBRVS,6.51,3.51,3.51,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100149587,CPT,"Rpr umbil hern, block > 5 yr",,,21,,RBRVS,7.96,3.86,3.86,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100149590,CPT,Repair spigilian hernia,,,21,,RBRVS,8.82,4.09,4.09,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100149600,CPT,Repair umbilical lesion,,,21,,RBRVS,11.47,5.38,5.38,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100149605,CPT,Repair umbilical lesion,,,21,,RBRVS,86.85,27.59,27.59,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100149606,CPT,Repair umbilical lesion,,,21,,RBRVS,18.92,6.78,6.78,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100149610,CPT,Repair umbilical lesion,,,21,,RBRVS,10.83,5.29,5.29,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100149611,CPT,Repair umbilical lesion,,,21,,RBRVS,9.26,4.21,4.21,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100149650,CPT,Laparo hernia repair initial,,,21,,RBRVS,6.3,3.35,3.35,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100149651,CPT,Laparo hernia repair recur,,,21,,RBRVS,8.29,4.23,4.23,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100149659,CPT,"Laparo proc, hernia repair",,,21,,TotalUnits,,,,9.49,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100149900,CPT,Repair of abdominal wall,,,21,,RBRVS,12.26,6.29,6.29,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100149904,CPT,"Omental flap, extra-abdom",,,21,,RBRVS,22.16,11.89,11.89,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100149905,CPT,"Omental flap, intra-abdom",,,21,,RBRVS,6.54,1.69,1.69,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100149999,CPT,Abdomen surgery procedure,,,21,,TotalUnits,,,,11.47,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100150010,CPT,Exploration of kidney,,,21,,RBRVS,12.13,6.73,6.73,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100150020,CPT,"Renal abscess, open drain",,,21,,RBRVS,17.88,8.49,8.49,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100150021,CPT,"Renal abscess, percut drain",,,21,,RBRVS,3.37,1.22,21.11,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100150040,CPT,Drainage of kidney,,,21,,RBRVS,16.48,8.83,8.83,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100150045,CPT,Exploration of kidney,,,21,,RBRVS,16.67,8.15,8.15,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100150060,CPT,Removal of kidney stone,,,21,,RBRVS,20.8,10.83,10.83,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100150065,CPT,Incision of kidney,,,21,,RBRVS,22.17,11.53,11.53,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100150070,CPT,Incision of kidney,,,21,,RBRVS,21.7,11.34,11.34,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100150075,CPT,Removal of kidney stone,,,21,,RBRVS,26.91,13.51,13.51,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100150080,CPT,Removal of kidney stone,,,21,,RBRVS,15.61,8.56,8.56,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100150081,CPT,Removal of kidney stone,,,21,,RBRVS,23.32,12.18,12.18,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100150100,CPT,Revise kidney blood vessels,,,21,,RBRVS,17.3,6.52,6.52,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100150120,CPT,Exploration of kidney,,,21,,RBRVS,17.06,9.12,9.12,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100150125,CPT,Explore and drain kidney,,,21,,RBRVS,17.67,9.72,9.72,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100150130,CPT,Removal of kidney stone,,,21,,RBRVS,18.67,10.06,10.06,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100150135,CPT,Exploration of kidney,,,21,,RBRVS,20.44,10.7,10.7,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100150200,CPT,Biopsy of kidney,,,21,,RBRVS,2.63,1.19,1.19,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100150205,CPT,Biopsy of kidney,,,21,,RBRVS,12.19,5.51,5.51,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100150220,CPT,"Remove kidney, open",,,21,,RBRVS,18.53,9.52,9.52,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100150225,CPT,"Removal kidney open, complex",,,21,,RBRVS,21.73,11.02,11.02,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100150230,CPT,"Removal kidney open, radical",,,21,,RBRVS,23.68,11.65,11.65,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100150234,CPT,Removal of kidney & ureter,,,21,,RBRVS,23.9,12.04,12.04,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100150236,CPT,Removal of kidney & ureter,,,21,,RBRVS,26.74,13.92,13.92,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100150240,CPT,Partial removal of kidney,,,21,,RBRVS,24.01,12.61,12.61,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100150250,CPT,Cryoablate renal mass open,,,21,,RBRVS,22.06,11.49,11.49,,,$0.00 ,$0.00 ,1,0,0,1,1,1,2008100150280,CPT,Removal of kidney lesion,,,21,,RBRVS,16.94,9.07,9.07,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100150290,CPT,Removal of kidney lesion,,,21,,RBRVS,16,7.74,7.74,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100150300,CPT,Removal of donor kidney,,,21,,TotalUnits,,,,26.89,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100150320,CPT,Removal of donor kidney,,,21,,RBRVS,22.28,12.31,12.31,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100150327,CPT,Prep renal graft/venous,,,21,,RBRVS,4,1.1,1.1,,,$0.00 ,$0.00 ,1,0,0,1,1,1,2008100150328,CPT,Prep renal graft/arterial,,,21,,RBRVS,3.5,0.98,0.98,,,$0.00 ,$0.00 ,1,0,0,1,1,1,2008100150329,CPT,Prep renal graft/ureteral,,,21,,RBRVS,3.34,1.05,1.05,,,$0.00 ,$0.00 ,1,0,0,1,1,1,2008100150340,CPT,Removal of kidney,,,21,,RBRVS,13.86,7.81,7.81,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100150360,CPT,Transplantation of kidney,,,21,,RBRVS,40.45,18.68,18.68,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100150365,CPT,Transplantation of kidney,,,21,,RBRVS,45.68,19.42,19.42,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100150370,CPT,Remove transplanted kidney,,,21,,RBRVS,18.68,9.19,9.19,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100150380,CPT,Reimplantation of kidney,,,21,,RBRVS,29.66,16.21,16.21,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100150382,CPT,"Change ureter stent, percut",,,21,,RBRVS,5.5,2.05,26.38,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100150384,CPT,"Remove ureter stent, percut",,,21,,RBRVS,5,1.86,20.68,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100150385,CPT,Change stent via transureth,,,21,,RBRVS,4.44,2.05,30.64,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100150386,CPT,Remove stent via transureth,,,21,,RBRVS,3.3,1.61,19.38,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100150387,CPT,Change ext/int ureter stent,,,21,,RBRVS,2,0.73,12.61,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100150389,CPT,Remove renal tube w/fluoro,,,21,,RBRVS,1.1,0.4,6.68,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100150390,CPT,Drainage of kidney lesion,,,21,,RBRVS,1.96,0.71,0.71,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100150391,CPT,Instll rx agnt into rnal tub,,,21,,RBRVS,1.96,0.72,1.38,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100150392,CPT,Insert kidney drain,,,21,,RBRVS,3.37,1.52,1.52,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100150393,CPT,Insert ureteral tube,,,21,,RBRVS,4.15,1.8,1.8,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100150394,CPT,Injection for kidney x-ray,,,21,,RBRVS,0.76,0.58,1.87,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100150395,CPT,Create passage to kidney,,,21,,RBRVS,3.37,1.57,1.57,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100150396,CPT,Measure kidney pressure,,,21,,RBRVS,2.09,1.08,1.08,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100150398,CPT,Change kidney tube,,,21,,RBRVS,1.46,0.57,11.85,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100150400,CPT,Revision of kidney/ureter,,,21,,RBRVS,21.12,10.95,10.95,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100150405,CPT,Revision of kidney/ureter,,,21,,RBRVS,25.68,12.91,12.91,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100150500,CPT,Repair of kidney wound,,,21,,RBRVS,21.07,8.7,8.7,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100150520,CPT,Close kidney-skin fistula,,,21,,RBRVS,18.73,9.25,9.25,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100150525,CPT,Repair renal-abdomen fistula,,,21,,RBRVS,24.21,11.8,11.8,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100150526,CPT,Repair renal-abdomen fistula,,,21,,RBRVS,26.13,8.16,8.16,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100150540,CPT,Revision of horseshoe kidney,,,21,,RBRVS,20.95,10.62,10.62,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100150541,CPT,Laparo ablate renal cyst,,,21,,RBRVS,16.76,8.7,8.7,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100150542,CPT,Laparo ablate renal mass,,,21,,RBRVS,21.18,11.18,11.18,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100150543,CPT,Laparo partial nephrectomy,,,21,,RBRVS,27.18,14.1,14.1,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100150544,CPT,"Laparoscopy, pyeloplasty",,,21,,RBRVS,23.27,11.44,11.44,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100150545,CPT,Laparo radical nephrectomy,,,21,,RBRVS,24.93,12.15,12.15,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100150546,CPT,Laparoscopic nephrectomy,,,21,,RBRVS,21.69,11.29,11.29,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100150547,CPT,Laparo removal donor kidney,,,21,,RBRVS,26.24,12.48,12.48,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100150548,CPT,Laparo remove k/ureter,,,21,,RBRVS,25.26,12.12,12.12,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100150549,CPT,"Laparoscope proc, renal",,,21,,TotalUnits,,,,28.75,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100150551,CPT,Kidney endoscopy,,,21,,RBRVS,5.59,2.65,4.6,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100150553,CPT,Kidney endoscopy,,,21,,RBRVS,5.98,2.63,4.5,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100150555,CPT,Kidney endoscopy & biopsy,,,21,,RBRVS,6.52,3.02,5.1,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100150557,CPT,Kidney endoscopy & treatment,,,21,,RBRVS,6.61,3.07,5.27,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100150561,CPT,Kidney endoscopy & treatment,,,21,,RBRVS,7.58,3.41,5.81,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100150562,CPT,Renal scope w/tumor resect,,,21,,RBRVS,10.9,5.36,5.36,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100150570,CPT,Kidney endoscopy,,,21,,RBRVS,9.53,4.15,4.15,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100150572,CPT,Kidney endoscopy,,,21,,RBRVS,10.33,4.32,4.32,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100150574,CPT,Kidney endoscopy & biopsy,,,21,,RBRVS,11,4.79,4.79,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100150575,CPT,Kidney endoscopy,,,21,,RBRVS,13.96,5.96,5.96,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100150576,CPT,Kidney endoscopy & treatment,,,21,,RBRVS,10.97,4.78,4.78,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100150580,CPT,Kidney endoscopy & treatment,,,21,,RBRVS,11.84,5.1,5.1,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100150590,CPT,Fragmenting of kidney stone,,,21,,RBRVS,9.64,6.13,17.1,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100150592,CPT,Perc rf ablate renal tumor,,,21,,RBRVS,6.77,3,75.49,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100150593,CPT,Perc cryo ablate renal tum,,,21,,RBRVS,9.08,3.45,114.62,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100150600,CPT,Exploration of ureter,,,21,,RBRVS,17.04,8.51,8.51,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100150605,CPT,Insert ureteral support,,,21,,RBRVS,16.66,7.89,7.89,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100150610,CPT,Removal of ureter stone,,,21,,RBRVS,17.12,8.98,8.98,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100150620,CPT,Removal of ureter stone,,,21,,RBRVS,16.3,8.88,8.88,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100150630,CPT,Removal of ureter stone,,,21,,RBRVS,16.08,8.2,8.2,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100150650,CPT,Removal of ureter,,,21,,RBRVS,18.67,9.96,9.96,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100150660,CPT,Removal of ureter,,,21,,RBRVS,20.87,10.73,10.73,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100150684,CPT,Injection for ureter x-ray,,,21,,RBRVS,0.76,0.63,3.97,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100150686,CPT,Measure ureter pressure,,,21,,RBRVS,1.51,0.81,2.3,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100150688,CPT,Change of ureter tube,,,21,,RBRVS,1.18,0.95,0.95,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100150690,CPT,Injection for ureter x-ray,,,21,,RBRVS,1.16,0.75,1.45,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100150700,CPT,Revision of ureter,,,21,,RBRVS,16.54,8.76,8.76,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100150715,CPT,Release of ureter,,,21,,RBRVS,20.49,8.54,8.54,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100150722,CPT,Release of ureter,,,21,,RBRVS,17.8,7.27,7.27,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100150725,CPT,Release/revise ureter,,,21,,RBRVS,20.05,8.82,8.82,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100150727,CPT,Revise ureter,,,21,,RBRVS,8.17,5.73,5.73,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100150728,CPT,Revise ureter,,,21,,RBRVS,12,6.75,6.75,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100150740,CPT,Fusion of ureter & kidney,,,21,,RBRVS,19.92,8.98,8.98,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100150750,CPT,Fusion of ureter & kidney,,,21,,RBRVS,21.07,11.08,11.08,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100150760,CPT,Fusion of ureters,,,21,,RBRVS,19.92,9.9,9.9,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100150770,CPT,Splicing of ureters,,,21,,RBRVS,21.07,10.88,10.88,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100150780,CPT,Reimplant ureter in bladder,,,21,,RBRVS,19.8,10.11,10.11,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100150782,CPT,Reimplant ureter in bladder,,,21,,RBRVS,19.51,9.89,9.89,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100150783,CPT,Reimplant ureter in bladder,,,21,,RBRVS,20.52,10.12,10.12,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100150785,CPT,Reimplant ureter in bladder,,,21,,RBRVS,22.08,11.2,11.2,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100150800,CPT,Implant ureter in bowel,,,21,,RBRVS,16.23,9.17,9.17,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100150810,CPT,Fusion of ureter & bowel,,,21,,RBRVS,22.38,10.58,10.58,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100150815,CPT,Urine shunt to intestine,,,21,,RBRVS,22.06,11.47,11.47,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100150820,CPT,Construct bowel bladder,,,21,,RBRVS,23.89,11.86,11.86,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100150825,CPT,Construct bowel bladder,,,21,,RBRVS,30.48,14.91,14.91,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100150830,CPT,Revise urine flow,,,21,,RBRVS,33.57,15.62,15.62,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100150840,CPT,Replace ureter by bowel,,,21,,RBRVS,22.19,11.93,11.93,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100150845,CPT,Appendico-vesicostomy,,,21,,RBRVS,22.21,12.07,12.07,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100150860,CPT,Transplant ureter to skin,,,21,,RBRVS,16.93,9.22,9.22,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100150900,CPT,Repair of ureter,,,21,,RBRVS,14.89,7.99,7.99,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100150920,CPT,Closure ureter/skin fistula,,,21,,RBRVS,15.66,8.52,8.52,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100150930,CPT,Closure ureter/bowel fistula,,,21,,RBRVS,20.04,9.49,9.49,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100150940,CPT,Release of ureter,,,21,,RBRVS,15.78,7.79,7.79,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100150945,CPT,Laparoscopy ureterolithotomy,,,21,,RBRVS,17.87,9.29,9.29,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100150947,CPT,Laparo new ureter/bladder,,,21,,RBRVS,25.63,12.29,12.29,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100150948,CPT,Laparo new ureter/bladder,,,21,,RBRVS,23.69,11.19,11.19,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100150949,CPT,"Laparoscope proc, ureter",,,21,,TotalUnits,,,,31.09,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100150951,CPT,Endoscopy of ureter,,,21,,RBRVS,5.83,2.76,4.82,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100150953,CPT,Endoscopy of ureter,,,21,,RBRVS,6.23,3.22,4.93,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100150955,CPT,Ureter endoscopy & biopsy,,,21,,RBRVS,6.74,3.45,5.15,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100150957,CPT,Ureter endoscopy & treatment,,,21,,RBRVS,6.78,3.14,5.38,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100150961,CPT,Ureter endoscopy & treatment,,,21,,RBRVS,6.04,2.79,4.75,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100150970,CPT,Ureter endoscopy,,,21,,RBRVS,7.13,3.24,3.24,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100150972,CPT,Ureter endoscopy & catheter,,,21,,RBRVS,6.88,3.05,3.05,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100150974,CPT,Ureter endoscopy & biopsy,,,21,,RBRVS,9.16,3.77,3.77,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100150976,CPT,Ureter endoscopy & treatment,,,21,,RBRVS,9.03,3.85,3.85,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100150980,CPT,Ureter endoscopy & treatment,,,21,,RBRVS,6.84,3.12,3.12,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100151020,CPT,Incise & treat bladder,,,21,,RBRVS,7.56,5.39,5.39,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100151030,CPT,Incise & treat bladder,,,21,,RBRVS,7.68,4.9,4.9,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100151040,CPT,Incise & drain bladder,,,21,,RBRVS,4.43,3.69,3.69,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100151045,CPT,Incise bladder/drain ureter,,,21,,RBRVS,7.68,5.15,5.15,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100151050,CPT,Removal of bladder stone,,,21,,RBRVS,7.87,5.33,5.33,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100151060,CPT,Removal of ureter stone,,,21,,RBRVS,9.82,6.42,6.42,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100151065,CPT,Remove ureter calculus,,,21,,RBRVS,9.82,6.25,6.25,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100151080,CPT,Drainage of bladder abscess,,,21,,RBRVS,6.61,4.61,4.61,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100151100,CPT,Drain bladder by needle,,,21,,RBRVS,0.78,0.27,0.92,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100151101,CPT,Drain bladder by trocar/cath,,,21,,RBRVS,1.02,0.34,2.41,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100151102,CPT,Drain bl w/cath insertion,,,21,,RBRVS,4.27,2.37,4.75,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100151500,CPT,Removal of bladder cyst,,,21,,RBRVS,10.92,5.76,5.76,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100151520,CPT,Removal of bladder lesion,,,21,,RBRVS,10.08,6.31,6.31,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100151525,CPT,Removal of bladder lesion,,,21,,RBRVS,15.29,8.47,8.47,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100151530,CPT,Removal of bladder lesion,,,21,,RBRVS,13.58,7.38,7.38,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100151535,CPT,Repair of ureter lesion,,,21,,RBRVS,13.77,7.38,7.38,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100151550,CPT,Partial removal of bladder,,,21,,RBRVS,17.1,8.71,8.71,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100151555,CPT,Partial removal of bladder,,,21,,RBRVS,23.03,11.36,11.36,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100151565,CPT,Revise bladder & ureter(s),,,21,,RBRVS,23.5,12.12,12.12,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100151570,CPT,Removal of bladder,,,21,,RBRVS,27.31,13.49,13.49,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100151575,CPT,Removal of bladder & nodes,,,21,,RBRVS,34,16.45,16.45,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100151580,CPT,Remove bladder/revise tract,,,21,,RBRVS,35.14,17.59,17.59,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100151585,CPT,Removal of bladder & nodes,,,21,,RBRVS,39.41,19.26,19.26,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100151590,CPT,Remove bladder/revise tract,,,21,,RBRVS,36.15,17.25,17.25,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100151595,CPT,Remove bladder/revise tract,,,21,,RBRVS,41.12,19.58,19.58,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100151596,CPT,Remove bladder/create pouch,,,21,,RBRVS,44.01,21.2,21.2,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100151597,CPT,Removal of pelvic structures,,,21,,RBRVS,42.61,20.19,20.19,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100151600,CPT,Injection for bladder x-ray,,,21,,RBRVS,0.88,0.33,4.23,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100151605,CPT,Preparation for bladder xray,,,21,,RBRVS,0.64,0.43,0.43,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100151610,CPT,Injection for bladder x-ray,,,21,,RBRVS,1.05,0.71,1.91,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100151700,CPT,Irrigation of bladder,,,21,,RBRVS,0.88,0.34,1.5,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100151701,CPT,Insert bladder catheter,,,21,,RBRVS,0.5,0.24,1.04,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100151702,CPT,Insert temp bladder cath,,,21,,RBRVS,0.5,0.33,1.53,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100151703,CPT,"Insert bladder cath, complex",,,21,,RBRVS,1.47,0.8,2.26,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100151705,CPT,Change of bladder tube,,,21,,RBRVS,1.03,0.85,2.02,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100151710,CPT,Change of bladder tube,,,21,,RBRVS,1.5,1.18,2.73,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100151715,CPT,Endoscopic injection/implant,,,21,,RBRVS,3.73,1.73,4.41,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100151720,CPT,Treatment of bladder lesion,,,21,,RBRVS,1.5,0.74,1.62,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100151725,CPT,Simple cystometrogram,26,,21,,RBRVS,1.51,0.55,0.55,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100151725,CPT,Simple cystometrogram,TC,,21,,RBRVS,0,3.68,3.68,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100151725,CPT,Simple cystometrogram,,,21,,RBRVS,1.51,4.23,4.23,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100151726,CPT,Complex cystometrogram,26,,21,,RBRVS,1.71,0.64,0.64,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100151726,CPT,Complex cystometrogram,TC,,21,,RBRVS,0,6.47,6.47,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100151726,CPT,Complex cystometrogram,,,21,,RBRVS,1.71,7.11,7.11,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100151736,CPT,Urine flow measurement,26,,21,,RBRVS,0.61,0.24,0.24,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100151736,CPT,Urine flow measurement,TC,,21,,RBRVS,0,0.7,0.7,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100151736,CPT,Urine flow measurement,,,21,,RBRVS,0.61,0.94,0.94,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100151741,CPT,"Electro-uroflowmetry, first",26,,21,,RBRVS,1.14,0.44,0.44,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100151741,CPT,"Electro-uroflowmetry, first",TC,,21,,RBRVS,0,0.83,0.83,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100151741,CPT,"Electro-uroflowmetry, first",,,21,,RBRVS,1.14,1.27,1.27,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100151772,CPT,Urethra pressure profile,26,,21,,RBRVS,1.61,0.55,0.55,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100151772,CPT,Urethra pressure profile,TC,,21,,RBRVS,0,4.51,4.51,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100151772,CPT,Urethra pressure profile,,,21,,RBRVS,1.61,5.06,5.06,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100151784,CPT,Anal/urinary muscle study,26,,21,,RBRVS,1.53,0.56,0.56,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100151784,CPT,Anal/urinary muscle study,TC,,21,,RBRVS,0,3.56,3.56,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100151784,CPT,Anal/urinary muscle study,,,21,,RBRVS,1.53,4.12,4.12,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100151785,CPT,Anal/urinary muscle study,26,,21,,RBRVS,1.53,0.56,0.56,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100151785,CPT,Anal/urinary muscle study,TC,,21,,RBRVS,0,3.99,3.99,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100151785,CPT,Anal/urinary muscle study,,,21,,RBRVS,1.53,4.55,4.55,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100151792,CPT,Urinary reflex study,26,,21,,RBRVS,1.1,0.39,0.39,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100151792,CPT,Urinary reflex study,TC,,21,,RBRVS,0,4.66,4.66,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100151792,CPT,Urinary reflex study,,,21,,RBRVS,1.1,5.05,5.05,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100151795,CPT,Urine voiding pressure study,26,,21,,RBRVS,1.53,0.57,0.57,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100151795,CPT,Urine voiding pressure study,TC,,21,,RBRVS,0,6.15,6.15,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100151795,CPT,Urine voiding pressure study,,,21,,RBRVS,1.53,6.72,6.72,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100151797,CPT,Intraabdominal pressure test,26,,21,,RBRVS,0.8,0.3,0.3,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100151797,CPT,Intraabdominal pressure test,TC,,21,,RBRVS,0,2.14,2.14,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100151797,CPT,Intraabdominal pressure test,,,21,,RBRVS,0.8,2.44,2.44,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100151798,CPT,Us urine capacity measure,,,21,,RBRVS,0,0.59,0.59,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100151800,CPT,Revision of bladder/urethra,,,21,,RBRVS,18.74,9.72,9.72,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100151820,CPT,Revision of urinary tract,,,21,,RBRVS,19.41,9.75,9.75,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100151840,CPT,Attach bladder/urethra,,,21,,RBRVS,11.28,5.76,5.76,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100151841,CPT,Attach bladder/urethra,,,21,,RBRVS,13.6,6.86,6.86,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100151845,CPT,Repair bladder neck,,,21,,RBRVS,10.07,5.89,5.89,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100151860,CPT,Repair of bladder wound,,,21,,RBRVS,12.49,6.73,6.73,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100151865,CPT,Repair of bladder wound,,,21,,RBRVS,15.69,8.33,8.33,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100151880,CPT,Repair of bladder opening,,,21,,RBRVS,7.81,4.73,4.73,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100151900,CPT,Repair bladder/vagina lesion,,,21,,RBRVS,14.48,7.98,7.98,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100151920,CPT,Close bladder-uterus fistula,,,21,,RBRVS,13.26,8.04,8.04,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100151925,CPT,Hysterectomy/bladder repair,,,21,,RBRVS,17.35,12.42,12.42,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100151940,CPT,Correction of bladder defect,,,21,,RBRVS,30.48,11.73,11.73,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100151960,CPT,Revision of bladder & bowel,,,21,,RBRVS,25.2,12.89,12.89,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100151980,CPT,Construct bladder opening,,,21,,RBRVS,12.44,7.07,7.07,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100151990,CPT,Laparo urethral suspension,,,21,,RBRVS,13.26,5.93,5.93,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100151992,CPT,Laparo sling operation,,,21,,RBRVS,14.77,6.51,6.51,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100151999,CPT,"Laparoscope proc, bladder",,,28,,NW,,,,,,"$2,279.23 ",$0.00 ,1,0,1,1,1,1,2008100152000,CPT,Cystoscopy,,,21,,RBRVS,2.23,1.31,3.66,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100152001,CPT,"Cystoscopy, removal of clots",,,21,,RBRVS,5.44,2.57,5.05,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100152005,CPT,Cystoscopy & ureter catheter,,,21,,RBRVS,2.37,1.37,5.73,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100152007,CPT,Cystoscopy and biopsy,,,21,,RBRVS,3.02,1.62,10.71,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100152010,CPT,Cystoscopy & duct catheter,,,21,,RBRVS,3.02,1.62,8.08,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100152204,CPT,Cystoscopy,,,21,,RBRVS,2.59,1.38,8.31,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100152214,CPT,Cystoscopy and treatment,,,21,,RBRVS,3.7,1.83,19.89,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100152224,CPT,Cystoscopy and treatment,,,21,,RBRVS,3.14,1.6,19.07,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100152234,CPT,Cystoscopy and treatment,,,21,,RBRVS,4.62,2.27,2.27,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100152235,CPT,Cystoscopy and treatment,,,21,,RBRVS,5.44,2.64,2.64,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100152240,CPT,Cystoscopy and treatment,,,21,,RBRVS,9.71,4.34,4.34,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100152250,CPT,Cystoscopy and radiotracer,,,21,,RBRVS,4.49,2.3,2.3,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100152260,CPT,Cystoscopy and treatment,,,21,,RBRVS,3.91,1.93,1.93,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100152265,CPT,Cystoscopy and treatment,,,21,,RBRVS,2.94,1.47,7.49,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100152270,CPT,Cystoscopy & revise urethra,,,21,,RBRVS,3.36,1.74,7.02,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100152275,CPT,Cystoscopy & revise urethra,,,21,,RBRVS,4.69,2.27,9.3,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100152276,CPT,Cystoscopy and treatment,,,21,,RBRVS,4.99,2.44,2.44,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100152277,CPT,Cystoscopy and treatment,,,21,,RBRVS,6.16,2.9,2.9,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100152281,CPT,Cystoscopy and treatment,,,21,,RBRVS,2.8,1.54,5.29,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100152282,CPT,"Cystoscopy, implant stent",,,21,,RBRVS,6.39,2.96,2.96,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100152283,CPT,Cystoscopy and treatment,,,21,,RBRVS,3.73,1.86,4.06,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100152285,CPT,Cystoscopy and treatment,,,21,,RBRVS,3.6,1.83,4.33,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100152290,CPT,Cystoscopy and treatment,,,21,,RBRVS,4.58,2.26,2.26,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100152300,CPT,Cystoscopy and treatment,,,21,,RBRVS,5.3,2.56,2.56,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100152301,CPT,Cystoscopy and treatment,,,21,,RBRVS,5.5,2.68,2.68,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100152305,CPT,Cystoscopy and treatment,,,21,,RBRVS,5.3,2.49,2.49,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100152310,CPT,Cystoscopy and treatment,,,21,,RBRVS,2.81,1.43,4,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100152315,CPT,Cystoscopy and treatment,,,21,,RBRVS,5.2,2.47,6.63,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100152317,CPT,Remove bladder stone,,,21,,RBRVS,6.71,2.99,17.07,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100152318,CPT,Remove bladder stone,,,21,,RBRVS,9.18,4.04,4.04,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100152320,CPT,Cystoscopy and treatment,,,21,,RBRVS,4.69,2.21,2.21,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100152325,CPT,"Cystoscopy, stone removal",,,21,,RBRVS,6.15,2.78,2.78,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100152327,CPT,"Cystoscopy, inject material",,,21,,RBRVS,5.18,2.04,2.04,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100152330,CPT,Cystoscopy and treatment,,,21,,RBRVS,5.03,2.35,20.41,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100152332,CPT,Cystoscopy and treatment,,,21,,RBRVS,2.83,1.55,12.42,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100152334,CPT,Create passage to kidney,,,21,,RBRVS,4.82,2.33,2.33,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100152341,CPT,Cysto w/ureter stricture tx,,,21,,RBRVS,6.11,3.04,3.04,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100152342,CPT,Cysto w/up stricture tx,,,21,,RBRVS,6.61,3.25,3.25,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100152343,CPT,Cysto w/renal stricture tx,,,21,,RBRVS,7.31,3.49,3.49,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100152344,CPT,"Cysto/uretero, stone remove",,,21,,RBRVS,7.81,3.9,3.9,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100152345,CPT,Cysto/uretero w/up stricture,,,21,,RBRVS,8.31,4.11,4.11,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100152346,CPT,Cystouretero w/renal strict,,,21,,RBRVS,9.34,4.51,4.51,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100152351,CPT,Cystouretero & or pyeloscope,,,21,,RBRVS,5.85,2.95,2.95,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100152352,CPT,Cystouretero w/stone remove,,,21,,RBRVS,6.87,3.46,3.46,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100152353,CPT,Cystouretero w/lithotripsy,,,21,,RBRVS,7.96,3.9,3.9,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100152354,CPT,Cystouretero w/biopsy,,,21,,RBRVS,7.33,3.64,3.64,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100152355,CPT,Cystouretero w/excise tumor,,,21,,RBRVS,8.81,4.24,4.24,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100152400,CPT,Cystouretero w/congen repr,,,21,,RBRVS,10.06,5.39,5.39,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100152402,CPT,Cystourethro cut ejacul duct,,,21,,RBRVS,5.27,2.15,2.15,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100152450,CPT,Incision of prostate,,,21,,RBRVS,7.63,5.48,5.48,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100152500,CPT,Revision of bladder neck,,,21,,RBRVS,9.39,6.18,6.18,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100152601,CPT,Prostatectomy (TURP),,,21,,RBRVS,15.13,8.43,8.43,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100152606,CPT,Control postop bleeding,,,21,,RBRVS,8.84,5.48,5.48,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100152612,CPT,"Prostatectomy, first stage",,,21,,RBRVS,9.07,5.88,5.88,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100152614,CPT,"Prostatectomy, second stage",,,21,,RBRVS,7.81,5.37,5.37,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100152620,CPT,Remove residual prostate,,,21,,RBRVS,7.19,4.61,4.61,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100152630,CPT,Remove prostate regrowth,,,21,,RBRVS,7.65,4.8,4.8,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100152640,CPT,Relieve bladder contracture,,,21,,RBRVS,6.89,4.41,4.41,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100152647,CPT,Laser surgery of prostate,,,21,,RBRVS,11.15,6.89,41.95,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100152648,CPT,Laser surgery of prostate,,,21,,RBRVS,12,7.22,42.49,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100152649,CPT,2Prostate laser enucleation,,,21,,RBRVS,17.16,9.32,9.32,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100152700,CPT,Drainage of prostate abscess,,,21,,RBRVS,7.39,4.9,4.9,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100153000,CPT,Incision of urethra,,,21,,RBRVS,2.3,1.78,1.78,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100153010,CPT,Incision of urethra,,,21,,RBRVS,4.35,3.83,3.83,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100153020,CPT,Incision of urethra,,,21,,RBRVS,1.77,0.95,0.95,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100153025,CPT,Incision of urethra,,,21,,RBRVS,1.13,0.82,0.82,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100153040,CPT,Drainage of urethra abscess,,,21,,RBRVS,6.49,4.4,4.4,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100153060,CPT,Drainage of urethra abscess,,,21,,RBRVS,2.65,1.54,2.09,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100153080,CPT,Drainage of urinary leakage,,,21,,RBRVS,6.82,4.97,4.97,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100153085,CPT,Drainage of urinary leakage,,,21,,RBRVS,11.05,4.41,4.41,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100153200,CPT,Biopsy of urethra,,,21,,RBRVS,2.59,1.29,1.7,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100153210,CPT,Removal of urethra,,,21,,RBRVS,13.59,7.76,7.76,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100153215,CPT,Removal of urethra,,,21,,RBRVS,16.72,9.12,9.12,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100153220,CPT,Treatment of urethra lesion,,,21,,RBRVS,7.53,4.98,4.98,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100153230,CPT,Removal of urethra lesion,,,21,,RBRVS,10.31,6.37,6.37,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100153235,CPT,Removal of urethra lesion,,,21,,RBRVS,10.86,6.92,6.92,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100153240,CPT,Surgery for urethra pouch,,,21,,RBRVS,6.98,4.87,4.87,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100153250,CPT,Removal of urethra gland,,,21,,RBRVS,6.42,4.38,4.38,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100153260,CPT,Treatment of urethra lesion,,,21,,RBRVS,3,1.84,2.45,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100153265,CPT,Treatment of urethra lesion,,,21,,RBRVS,3.14,1.98,2.94,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100153270,CPT,Removal of urethra gland,,,21,,RBRVS,3.11,1.84,2.46,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100153275,CPT,Repair of urethra defect,,,21,,RBRVS,4.54,2.77,2.77,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100153400,CPT,"Revise urethra, stage 1",,,21,,RBRVS,13.98,8.17,8.17,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100153405,CPT,"Revise urethra, stage 2",,,21,,RBRVS,15.51,8.69,8.69,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100153410,CPT,Reconstruction of urethra,,,21,,RBRVS,17.53,9.68,9.68,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100153415,CPT,Reconstruction of urethra,,,21,,RBRVS,20.55,10.7,10.7,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100153420,CPT,"Reconstruct urethra, stage 1",,,21,,RBRVS,15.04,7.12,7.12,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100153425,CPT,"Reconstruct urethra, stage 2",,,21,,RBRVS,16.94,9,9,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100153430,CPT,Reconstruction of urethra,,,21,,RBRVS,17.3,8.81,8.81,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100153431,CPT,Reconstruct urethra/bladder,,,21,,RBRVS,21.03,10.98,10.98,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100153440,CPT,Male sling procedure,,,21,,RBRVS,15.34,9.19,9.19,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100153442,CPT,Remove/revise male sling,,,21,,RBRVS,13.29,8.36,8.36,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100153444,CPT,Insert tandem cuff,,,21,,RBRVS,14.06,8.02,8.02,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100153445,CPT,Insert uro/ves nck sphincter,,,21,,RBRVS,15.21,8.75,8.75,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100153446,CPT,Remove uro sphincter,,,21,,RBRVS,10.89,7,7,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100153447,CPT,Remove/replace ur sphincter,,,21,,RBRVS,14.15,8.38,8.38,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100153448,CPT,Remov/replc ur sphinctr comp,,,21,,RBRVS,23.26,12.33,12.33,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100153449,CPT,Repair uro sphincter,,,21,,RBRVS,10.43,6.61,6.61,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100153450,CPT,Revision of urethra,,,21,,RBRVS,6.67,4.75,4.75,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100153460,CPT,Revision of urethra,,,21,,RBRVS,7.65,5.05,5.05,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100153500,CPT,"Urethrlys, transvag w/ scope",,,21,,RBRVS,12.87,7.41,7.41,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100153502,CPT,Repair of urethra injury,,,21,,RBRVS,8.16,5.1,5.1,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100153505,CPT,Repair of urethra injury,,,21,,RBRVS,8.16,5.38,5.38,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100153510,CPT,Repair of urethra injury,,,21,,RBRVS,10.83,6.83,6.83,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100153515,CPT,Repair of urethra injury,,,21,,RBRVS,14.09,7.96,7.96,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100153520,CPT,Repair of urethra defect,,,21,,RBRVS,9.35,6.2,6.2,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100153600,CPT,Dilate urethra stricture,,,21,,RBRVS,1.21,0.57,1.15,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100153601,CPT,Dilate urethra stricture,,,21,,RBRVS,0.98,0.52,1.36,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100153605,CPT,Dilate urethra stricture,,,21,,RBRVS,1.28,0.51,0.51,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100153620,CPT,Dilate urethra stricture,,,21,,RBRVS,1.62,0.83,1.7,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100153621,CPT,Dilate urethra stricture,,,21,,RBRVS,1.35,0.67,1.81,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100153660,CPT,Dilation of urethra,,,21,,RBRVS,0.71,0.45,1.32,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100153661,CPT,Dilation of urethra,,,21,,RBRVS,0.72,0.41,1.29,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100153665,CPT,Dilation of urethra,,,21,,RBRVS,0.76,0.27,0.27,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100153850,CPT,Prostatic microwave thermotx,,,21,,RBRVS,9.98,5.86,49.25,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100153852,CPT,Prostatic rf thermotx,,,21,,RBRVS,10.68,6.66,46.37,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100153853,CPT,Prostatic water thermother,,,21,,RBRVS,5.54,4.35,29.1,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100153899,CPT,Urology surgery procedure,,,21,,TotalUnits,,,,4.6,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100154000,CPT,Slitting of prepuce,,,21,,RBRVS,1.56,1.48,2.7,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100154001,CPT,Slitting of prepuce,,,21,,RBRVS,2.21,1.67,3.06,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100154015,CPT,Drain penis lesion,,,21,,RBRVS,5.33,3.21,3.21,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100154050,CPT,"Destruction, penis lesion(s)",,,21,,RBRVS,1.26,1.39,2.1,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100154055,CPT,"Destruction, penis lesion(s)",,,21,,RBRVS,1.23,1.23,1.97,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100154056,CPT,"Cryosurgery, penis lesion(s)",,,21,,RBRVS,1.26,1.53,2.37,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100154057,CPT,"Laser surg, penis lesion(s)",,,21,,RBRVS,1.26,1.37,2.63,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100154060,CPT,Excision of penis lesion(s),,,21,,RBRVS,1.95,1.64,3.09,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100154065,CPT,"Destruction, penis lesion(s)",,,21,,RBRVS,2.44,2,3.3,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100154100,CPT,Biopsy of penis,,,21,,RBRVS,1.9,1.36,3.35,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100154105,CPT,Biopsy of penis,,,21,,RBRVS,3.51,2.43,3.98,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100154110,CPT,Treatment of penis lesion,,,21,,RBRVS,10.79,6.72,6.72,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100154111,CPT,"Treat penis lesion, graft",,,21,,RBRVS,14.29,8.03,8.03,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100154112,CPT,"Treat penis lesion, graft",,,21,,RBRVS,16.83,9.31,9.31,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100154115,CPT,Treatment of penis lesion,,,21,,RBRVS,6.82,4.94,5.76,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100154120,CPT,Partial removal of penis,,,21,,RBRVS,10.88,6.72,6.72,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100154125,CPT,Removal of penis,,,21,,RBRVS,14.43,8.07,8.07,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100154130,CPT,Remove penis & nodes,,,21,,RBRVS,21.66,11.58,11.58,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100154135,CPT,Remove penis & nodes,,,21,,RBRVS,27.99,14.11,14.11,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100154150,CPT,Circumcision,,,21,,RBRVS,1.9,0.73,2.4,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100154160,CPT,Circumcision,,,21,,RBRVS,2.5,1.48,3.8,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100154161,CPT,Circumcision,,,21,,RBRVS,3.29,2.2,2.2,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100154162,CPT,Lysis penil circumic lesion,,,21,,RBRVS,3.27,2.26,4.01,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100154163,CPT,Repair of circumcision,,,21,,RBRVS,3.27,2.85,2.85,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100154164,CPT,Frenulotomy of penis,,,21,,RBRVS,2.77,2.66,2.66,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100154200,CPT,Treatment of penis lesion,,,21,,RBRVS,1.08,1.3,2.02,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100154205,CPT,Treatment of penis lesion,,,21,,RBRVS,8.84,6.06,6.06,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100154220,CPT,Treatment of penis lesion,,,21,,RBRVS,2.42,1.35,3.32,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100154230,CPT,Prepare penis study,,,21,,RBRVS,1.34,0.91,1.4,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100154231,CPT,Dynamic cavernosometry,,,21,,RBRVS,2.04,1.24,1.97,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100154235,CPT,Penile injection,,,21,,RBRVS,1.19,0.89,1.39,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100154240,CPT,Penis study,26,,21,,RBRVS,1.31,0.48,0.48,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100154240,CPT,Penis study,TC,,21,,RBRVS,0,1.03,1.03,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100154240,CPT,Penis study,,,21,,RBRVS,1.31,1.51,1.51,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100154250,CPT,Penis study,26,,21,,RBRVS,2.22,0.85,0.85,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100154250,CPT,Penis study,TC,,21,,RBRVS,0,0.37,0.37,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100154250,CPT,Penis study,,,21,,RBRVS,2.22,1.22,1.22,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100154300,CPT,Revision of penis,,,21,,RBRVS,11.07,6.7,6.7,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100154304,CPT,Revision of penis,,,21,,RBRVS,13.15,7.8,7.8,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100154308,CPT,Reconstruction of urethra,,,21,,RBRVS,12.49,4.76,4.76,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100154312,CPT,Reconstruction of urethra,,,21,,RBRVS,14.36,8.87,8.87,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100154316,CPT,Reconstruction of urethra,,,21,,RBRVS,17.9,9.94,9.94,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100154318,CPT,Reconstruction of urethra,,,21,,RBRVS,12.28,4.83,4.83,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100154322,CPT,Reconstruction of urethra,,,21,,RBRVS,13.85,7.94,7.94,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100154324,CPT,Reconstruction of urethra,,,21,,RBRVS,17.4,9.75,9.75,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100154326,CPT,Reconstruction of urethra,,,21,,RBRVS,16.87,9.16,9.16,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100154328,CPT,Revise penis/urethra,,,21,,RBRVS,16.74,9.48,9.48,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100154332,CPT,Revise penis/urethra,,,21,,RBRVS,18.22,10.07,10.07,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100154336,CPT,Revise penis/urethra,,,21,,RBRVS,21.44,7.31,7.31,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100154340,CPT,Secondary urethral surgery,,,21,,RBRVS,9.58,6.36,6.36,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100154344,CPT,Secondary urethral surgery,,,21,,RBRVS,16.91,9.54,9.54,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100154348,CPT,Secondary urethral surgery,,,21,,RBRVS,18.17,10.13,10.13,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100154352,CPT,Reconstruct urethra/penis,,,21,,RBRVS,25.95,14,14,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100154360,CPT,Penis plastic surgery,,,21,,RBRVS,12.65,7.45,7.45,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100154380,CPT,Repair penis,,,21,,RBRVS,14.03,8.04,8.04,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100154385,CPT,Repair penis,,,21,,RBRVS,16.38,11.31,11.31,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100154390,CPT,Repair penis and bladder,,,21,,RBRVS,22.59,7.42,7.42,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100154400,CPT,Insert semi-rigid prosthesis,,,21,,RBRVS,9.09,5.75,5.75,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100154401,CPT,Insert self-contd prosthesis,,,21,,RBRVS,10.26,8.15,8.15,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100154405,CPT,Insert multi-comp penis pros,,,21,,RBRVS,14.39,8.12,8.12,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100154406,CPT,Remove muti-comp penis pros,,,21,,RBRVS,12.76,7.6,7.6,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100154408,CPT,Repair multi-comp penis pros,,,21,,RBRVS,13.73,8.25,8.25,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100154410,CPT,Remove/replace penis prosth,,,21,,RBRVS,16.48,9.35,9.35,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100154411,CPT,"Remov/replc penis pros, comp",,,21,,RBRVS,18.14,10.41,10.41,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100154415,CPT,Remove self-contd penis pros,,,21,,RBRVS,8.75,6,6,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100154416,CPT,Remv/repl penis contain pros,,,21,,RBRVS,11.87,7.9,7.9,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100154417,CPT,"Remv/replc penis pros, compl",,,21,,RBRVS,15.94,9.1,9.1,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100154420,CPT,Revision of penis,,,21,,RBRVS,12.26,7.39,7.39,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100154430,CPT,Revision of penis,,,21,,RBRVS,10.93,6.97,6.97,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100154435,CPT,Revision of penis,,,21,,RBRVS,6.71,4.99,4.99,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100154440,CPT,Repair of penis,,,21,,TotalUnits,,,,14.95,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100154450,CPT,Preputial stretching,,,21,,RBRVS,1.12,0.48,0.85,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100154500,CPT,Biopsy of testis,,,21,,RBRVS,1.31,0.76,0.76,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100154505,CPT,Biopsy of testis,,,21,,RBRVS,3.47,2.44,2.44,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100154512,CPT,Excise lesion testis,,,21,,RBRVS,9.23,5.67,5.67,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100154520,CPT,Removal of testis,,,21,,RBRVS,5.25,3.72,3.72,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100154522,CPT,"Orchiectomy, partial",,,21,,RBRVS,10.15,5.59,5.59,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100154530,CPT,Removal of testis,,,21,,RBRVS,9.31,6.06,6.06,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100154535,CPT,Extensive testis surgery,,,21,,RBRVS,13.06,6.91,6.91,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100154550,CPT,Exploration for testis,,,21,,RBRVS,8.31,5.21,5.21,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100154560,CPT,Exploration for testis,,,21,,RBRVS,11.97,6.87,6.87,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100154600,CPT,Reduce testis torsion,,,21,,RBRVS,7.54,5.11,5.11,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100154620,CPT,Suspension of testis,,,21,,RBRVS,5.16,3.22,3.22,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100154640,CPT,Suspension of testis,,,21,,RBRVS,7.57,5.35,5.35,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100154650,CPT,Orchiopexy (Fowler-Stephens),,,21,,RBRVS,12.24,5.66,5.66,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100154660,CPT,Revision of testis,,,21,,RBRVS,5.64,4.35,4.35,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100154670,CPT,Repair testis injury,,,21,,RBRVS,6.57,4.79,4.79,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100154680,CPT,Relocation of testis(es),,,21,,RBRVS,13.91,7.7,7.7,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100154690,CPT,"Laparoscopy, orchiectomy",,,21,,RBRVS,11.6,5.59,5.59,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100154692,CPT,"Laparoscopy, orchiopexy",,,21,,RBRVS,13.64,7.56,7.56,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100154699,CPT,"Laparoscope proc, testis",,,21,,TotalUnits,,,,18.31,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100154700,CPT,Drainage of scrotum,,,21,,RBRVS,3.44,2.37,2.37,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100154800,CPT,Biopsy of epididymis,,,21,,RBRVS,2.33,1.22,1.22,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100154830,CPT,Remove epididymis lesion,,,21,,RBRVS,5.91,4.43,4.43,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100154840,CPT,Remove epididymis lesion,,,21,,RBRVS,5.22,3.8,3.8,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100154860,CPT,Removal of epididymis,,,21,,RBRVS,6.85,4.87,4.87,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100154861,CPT,Removal of epididymis,,,21,,RBRVS,9.57,6.25,6.25,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100154865,CPT,Explore epididymis,,,21,,RBRVS,5.67,4.26,4.26,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100154900,CPT,Fusion of spermatic ducts,,,21,,RBRVS,14.05,5.24,5.24,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100154901,CPT,Fusion of spermatic ducts,,,21,,RBRVS,18.92,10.51,10.51,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100155000,CPT,Drainage of hydrocele,,,21,,RBRVS,1.43,0.91,1.85,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100155040,CPT,Removal of hydrocele,,,21,,RBRVS,5.39,3.96,3.96,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100155041,CPT,Removal of hydroceles,,,21,,RBRVS,8.41,5.68,5.68,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100155060,CPT,Repair of hydrocele,,,21,,RBRVS,6.05,4.45,4.45,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100155100,CPT,Drainage of scrotum abscess,,,21,,RBRVS,2.4,2.11,3.49,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100155110,CPT,Explore scrotum,,,21,,RBRVS,6.23,4.48,4.48,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100155120,CPT,Removal of scrotum lesion,,,21,,RBRVS,5.62,4.21,4.21,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100155150,CPT,Removal of scrotum,,,21,,RBRVS,8.01,5.45,5.45,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100155175,CPT,Revision of scrotum,,,21,,RBRVS,5.77,4.34,4.34,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100155180,CPT,Revision of scrotum,,,21,,RBRVS,11.63,7.27,7.27,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100155200,CPT,Incision of sperm duct,,,21,,RBRVS,4.5,3.3,8.01,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100155250,CPT,Removal of sperm duct(s),,,21,,RBRVS,3.32,3.06,7.83,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100155300,CPT,"Prepare, sperm duct x-ray",,,21,,RBRVS,3.5,1.75,1.75,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100155400,CPT,Repair of sperm duct,,,21,,RBRVS,8.53,5.41,5.41,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100155450,CPT,Ligation of sperm duct,,,21,,RBRVS,4.38,2.57,5.46,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100155500,CPT,Removal of hydrocele,,,21,,RBRVS,6.12,4.2,4.2,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100155520,CPT,Removal of sperm cord lesion,,,21,,RBRVS,6.56,3.82,3.82,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100155530,CPT,Revise spermatic cord veins,,,21,,RBRVS,5.69,4.09,4.09,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100155535,CPT,Revise spermatic cord veins,,,21,,RBRVS,7.09,4.83,4.83,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100155540,CPT,Revise hernia & sperm veins,,,21,,RBRVS,8.2,4.25,4.25,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100155550,CPT,Laparo ligate spermatic vein,,,21,,RBRVS,7.1,4.55,4.55,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100155559,CPT,"Laparo proc, spermatic cord",,,21,,TotalUnits,,,,9.88,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100155600,CPT,Incise sperm duct pouch,,,21,,RBRVS,6.91,4.9,4.9,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100155605,CPT,Incise sperm duct pouch,,,21,,RBRVS,8.63,4.63,4.63,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100155650,CPT,Remove sperm duct pouch,,,21,,RBRVS,12.52,7.4,7.4,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100155680,CPT,Remove sperm pouch lesion,,,21,,RBRVS,5.59,3.93,3.93,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100155700,CPT,Biopsy of prostate,,,21,,RBRVS,2.58,1.32,3.71,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100155705,CPT,Biopsy of prostate,,,21,,RBRVS,4.58,2.85,2.85,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100155720,CPT,Drainage of prostate abscess,,,21,,RBRVS,7.67,4.89,4.89,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100155725,CPT,Drainage of prostate abscess,,,21,,RBRVS,9.9,6.28,6.28,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100155801,CPT,Removal of prostate,,,21,,RBRVS,19.62,10.34,10.34,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100155810,CPT,Extensive prostate surgery,,,21,,RBRVS,24.14,12.34,12.34,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100155812,CPT,Extensive prostate surgery,,,21,,RBRVS,29.69,14.21,14.21,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100155815,CPT,Extensive prostate surgery,,,21,,RBRVS,32.75,16.2,16.2,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100155821,CPT,Removal of prostate,,,21,,RBRVS,15.63,8.67,8.67,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100155831,CPT,Removal of prostate,,,21,,RBRVS,17.06,9.24,9.24,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100155840,CPT,Extensive prostate surgery,,,21,,RBRVS,24.45,12.69,12.69,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100155842,CPT,Extensive prostate surgery,,,21,,RBRVS,26.31,13.48,13.48,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100155845,CPT,Extensive prostate surgery,,,21,,RBRVS,30.52,14.86,14.86,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100155860,CPT,"Surgical exposure, prostate",,,21,,RBRVS,15.71,8.54,8.54,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100155862,CPT,Extensive prostate surgery,,,21,,RBRVS,19.89,10.7,10.7,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100155865,CPT,Extensive prostate surgery,,,21,,RBRVS,24.39,12.41,12.41,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100155866,CPT,Laparo radical prostatectomy,,,21,,RBRVS,32.25,15.96,15.96,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100155870,CPT,Vag hyst w/enterocele repair,,,21,,RBRVS,2.58,1.45,2.49,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100155873,CPT,Cryoablate prostate,,,21,,RBRVS,20.25,11.29,11.29,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100155875,CPT,"Transperi needle place, pros",,,21,,RBRVS,13.31,7.84,7.84,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100155876,CPT,"Place rt device/marker, pros",,,21,,RBRVS,1.73,1.05,2.07,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100155899,CPT,Genital surgery procedure,,,21,,TotalUnits,,,,4.69,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100155920,CPT,Place needles pelvic for rt,,,21,,RBRVS,8.31,3.14,3.14,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100156405,CPT,I & D of vulva/perineum,,,21,,RBRVS,1.46,1.16,1.18,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100156420,CPT,Drainage of gland abscess,,,21,,RBRVS,1.41,0.78,1.52,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100156440,CPT,Surgery for vulva lesion,,,21,,RBRVS,2.86,1.56,1.56,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100156441,CPT,Lysis of labial lesion(s),,,21,,RBRVS,1.99,1.56,1.71,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100156442,CPT,Hymenotomy,,,21,,RBRVS,0.68,0.52,0.52,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100156501,CPT,"Destroy, vulva lesions, sim",,,21,,RBRVS,1.55,1.21,1.63,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100156515,CPT,Destroy vulva lesion/s compl,,,21,,RBRVS,3.03,1.74,2.4,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100156605,CPT,Biopsy of vulva/perineum,,,21,,RBRVS,1.1,0.34,0.93,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100156606,CPT,Biopsy of vulva/perineum,,,21,,RBRVS,0.55,0.15,0.36,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100156620,CPT,Partial removal of vulva,,,21,,RBRVS,8.44,4.4,4.4,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100156625,CPT,Complete removal of vulva,,,21,,RBRVS,9.55,4.81,4.81,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100156630,CPT,Extensive vulva surgery,,,21,,RBRVS,14.67,6.28,6.28,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100156631,CPT,Extensive vulva surgery,,,21,,RBRVS,18.81,7.79,7.79,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100156632,CPT,Extensive vulva surgery,,,21,,RBRVS,21.61,9.3,9.3,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100156633,CPT,Extensive vulva surgery,,,21,,RBRVS,19.47,7.8,7.8,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100156634,CPT,Extensive vulva surgery,,,21,,RBRVS,20.48,8.19,8.19,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100156637,CPT,Extensive vulva surgery,,,21,,RBRVS,24.57,9.31,9.31,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100156640,CPT,Extensive vulva surgery,,,21,,RBRVS,24.65,8.84,8.84,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100156700,CPT,Partial removal of hymen,,,21,,RBRVS,2.79,1.77,1.77,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100156740,CPT,Remove vagina gland lesion,,,21,,RBRVS,4.83,2.33,2.33,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100156800,CPT,Repair of vagina,,,21,,RBRVS,3.9,1.96,1.96,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100156805,CPT,Repair clitoris,,,21,,RBRVS,19.75,7.69,7.69,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100156810,CPT,Repair of perineum,,,21,,RBRVS,4.26,2.04,2.04,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100156820,CPT,Exam of vulva w/scope,,,21,,RBRVS,1.5,0.53,1.19,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100156821,CPT,Exam/biopsy of vulva w/scope,,,21,,RBRVS,2.05,0.68,1.53,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100157000,CPT,Exploration of vagina,,,21,,RBRVS,2.99,1.75,1.75,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100157010,CPT,Drainage of pelvic abscess,,,21,,RBRVS,6.74,3.8,3.8,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100157020,CPT,Drainage of pelvic fluid,,,21,,RBRVS,1.5,0.45,0.77,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100157022,CPT,"I & d vaginal hematoma, pp",,,21,,RBRVS,2.7,1.43,1.43,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100157023,CPT,"I & d vag hematoma, non-ob",,,21,,RBRVS,5.13,2.37,2.37,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100157061,CPT,"Destroy vag lesions, simple",,,21,,RBRVS,1.27,1.12,1.52,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100157065,CPT,"Destroy vag lesions, complex",,,21,,RBRVS,2.63,1.49,2.03,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100157100,CPT,Biopsy of vagina,,,21,,RBRVS,1.2,0.37,0.95,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100157105,CPT,Biopsy of vagina,,,21,,RBRVS,1.71,1.33,1.59,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100157106,CPT,"Remove vagina wall, partial",,,21,,RBRVS,7.35,4.27,4.27,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100157107,CPT,"Remove vagina tissue, part",,,21,,RBRVS,24.43,9.06,9.06,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100157109,CPT,Vaginectomy partial w/nodes,,,21,,RBRVS,28.25,10.26,10.26,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100157110,CPT,"Remove vagina wall, complete",,,21,,RBRVS,15.38,6.19,6.19,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100157111,CPT,"Remove vagina tissue, compl",,,21,,RBRVS,28.25,10.43,10.43,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100157112,CPT,"Vaginectomy w/nodes, compl",,,21,,RBRVS,30.37,10.62,10.62,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100157120,CPT,Closure of vagina,,,21,,RBRVS,8.18,4.2,4.2,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100157130,CPT,Remove vagina lesion,,,21,,RBRVS,2.44,1.47,1.96,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100157135,CPT,Remove vagina lesion,,,21,,RBRVS,2.68,1.53,2.03,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100157150,CPT,Treat vagina infection,,,21,,RBRVS,0.55,0.15,0.58,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100157155,CPT,Insert uteri tandems/ovoids,,,21,,RBRVS,6.79,3.49,3.49,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100157160,CPT,Insert pessary/other device,,,21,,RBRVS,0.89,0.25,1.04,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100157170,CPT,Fitting of diaphragm/cap,,,21,,RBRVS,0.91,0.25,0.57,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100157180,CPT,Treat vaginal bleeding,,,21,,RBRVS,1.6,0.93,1.86,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100157200,CPT,Repair of vagina,,,21,,RBRVS,4.34,2.99,2.99,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100157210,CPT,Repair vagina/perineum,,,21,,RBRVS,5.63,3.27,3.27,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100157220,CPT,Revision of urethra,,,21,,RBRVS,4.77,3.01,3.01,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100157230,CPT,Repair of urethral lesion,,,21,,RBRVS,6.22,3.64,3.64,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100157240,CPT,Repair bladder & vagina,,,21,,RBRVS,11.42,5.49,5.49,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100157250,CPT,Repair rectum & vagina,,,21,,RBRVS,11.42,5.04,5.04,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100157260,CPT,Repair of vagina,,,21,,RBRVS,14.36,5.86,5.86,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100157265,CPT,Extensive repair of vagina,,,21,,RBRVS,15.86,6.33,6.33,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100157267,CPT,Insert mesh/pelvic flr addon,,,21,,RBRVS,4.88,1.5,1.5,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100157268,CPT,Repair of bowel bulge,,,21,,RBRVS,7.47,4.34,4.34,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100157270,CPT,Repair of bowel pouch,,,21,,RBRVS,13.57,5.84,5.84,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100157280,CPT,Suspension of vagina,,,21,,RBRVS,16.62,6.97,6.97,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100157282,CPT,Repair of vaginal prolapse,,,21,,RBRVS,7.84,4.5,4.5,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100157283,CPT,"Colpopexy, intraperitoneal",,,21,,RBRVS,11.58,5.12,5.12,,,$0.00 ,$0.00 ,1,0,0,1,1,1,2008100157284,CPT,Repair paravaginal defect,,,21,,RBRVS,14.25,5.99,5.99,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100157285,CPT,"Repair paravag defect, vag",,,21,,RBRVS,11.52,5.16,5.16,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100157287,CPT,Revise/remove sling repair,,,21,,RBRVS,11.49,6.35,6.35,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100157288,CPT,Repair bladder defect,,,21,,RBRVS,14.01,7.02,7.02,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100157289,CPT,Repair bladder & vagina,,,21,,RBRVS,12.69,6.71,6.71,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100157291,CPT,Construction of vagina,,,21,,RBRVS,8.54,4.9,4.9,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100157292,CPT,Construct vagina with graft,,,21,,RBRVS,13.91,5.91,5.91,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100157295,CPT,Change vaginal graft,,,21,,RBRVS,7.74,4.09,4.09,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100157296,CPT,"Revise vag graft, open abd",,,21,,RBRVS,16.46,6.67,6.67,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100157300,CPT,Repair rectum-vagina fistula,,,21,,RBRVS,8.58,4.44,4.44,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100157305,CPT,Repair rectum-vagina fistula,,,21,,RBRVS,15.24,6.2,6.2,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100157307,CPT,Fistula repair & colostomy,,,21,,RBRVS,17.02,6.91,6.91,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100157308,CPT,"Fistula repair, transperine",,,21,,RBRVS,10.48,4.96,4.96,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100157310,CPT,Repair urethrovaginal lesion,,,21,,RBRVS,7.55,5.02,5.02,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100157311,CPT,Repair urethrovaginal lesion,,,21,,RBRVS,8.81,5.51,5.51,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100157320,CPT,Repair bladder-vagina lesion,,,21,,RBRVS,8.78,5.28,5.28,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100157330,CPT,Repair bladder-vagina lesion,,,21,,RBRVS,13.11,7.2,7.2,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100157335,CPT,Repair vagina,,,21,,RBRVS,19.87,7.83,7.83,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100157400,CPT,Dilation of vagina,,,21,,RBRVS,2.27,1,1,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100157410,CPT,Pelvic examination,,,21,,RBRVS,1.75,0.91,0.91,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100157415,CPT,Remove vaginal foreign body,,,21,,RBRVS,2.44,1.49,1.49,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100157420,CPT,Exam of vagina w/scope,,,21,,RBRVS,1.6,0.56,1.23,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100157421,CPT,Exam/biopsy of vag w/scope,,,21,,RBRVS,2.2,0.72,1.59,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100157423,CPT,"Repair paravag defect, lap",,,21,,RBRVS,16,6.52,6.52,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100157425,CPT,"Laparoscopy, surg, colpopexy",,,21,,RBRVS,16.93,6.91,6.91,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100157452,CPT,Exam of cervix w/scope,,,21,,RBRVS,1.5,0.74,1.18,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100157454,CPT,Bx/curett of cervix w/scope,,,21,,RBRVS,2.33,0.95,1.39,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100157455,CPT,Biopsy of cervix w/scope,,,21,,RBRVS,1.99,0.66,1.5,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100157456,CPT,Endocerv curettage w/scope,,,21,,RBRVS,1.85,0.62,1.46,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100157460,CPT,"Bx of cervix w/scope, leep",,,21,,RBRVS,2.83,1.09,4.28,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100157461,CPT,"Conz of cervix w/scope, leep",,,21,,RBRVS,3.43,1.05,4.57,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100157500,CPT,Biopsy of cervix,,,21,,RBRVS,1.2,0.64,2.02,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100157505,CPT,Endocervical curettage,,,21,,RBRVS,1.16,1.07,1.33,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100157510,CPT,Cauterization of cervix,,,21,,RBRVS,1.9,0.9,1.3,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100157511,CPT,Cryocautery of cervix,,,21,,RBRVS,1.92,1.27,1.6,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100157513,CPT,Laser surgery of cervix,,,21,,RBRVS,1.92,1.28,1.57,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100157520,CPT,Conization of cervix,,,21,,RBRVS,4.06,2.51,3.38,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100157522,CPT,Conization of cervix,,,21,,RBRVS,3.62,2.25,2.77,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100157530,CPT,Removal of cervix,,,21,,RBRVS,5.19,3.1,3.1,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100157531,CPT,"Removal of cervix, radical",,,21,,RBRVS,29.77,10.86,10.86,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100157540,CPT,Removal of residual cervix,,,21,,RBRVS,13.19,5.44,5.44,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100157545,CPT,Remove cervix/repair pelvis,,,21,,RBRVS,14,5.72,5.72,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100157550,CPT,Removal of residual cervix,,,21,,RBRVS,6.24,3.61,3.61,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100157555,CPT,Remove cervix/repair vagina,,,21,,RBRVS,9.84,4.75,4.75,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100157556,CPT,"Remove cervix, repair bowel",,,21,,RBRVS,9.26,4.61,4.61,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100157558,CPT,D&c of cervical stump,,,21,,RBRVS,1.69,1.05,1.35,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100157700,CPT,Revision of cervix,,,21,,RBRVS,4.22,3.28,3.28,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100157720,CPT,Revision of cervix,,,21,,RBRVS,4.53,2.94,2.94,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100157800,CPT,Dilation of cervical canal,,,21,,RBRVS,0.77,0.41,0.72,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100158100,CPT,Biopsy of uterus lining,,,21,,RBRVS,1.53,0.58,1.14,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100158110,CPT,Bx done w/colposcopy add-on,,,21,,RBRVS,0.77,0.21,0.4,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100158120,CPT,Dilation and curettage,,,21,,RBRVS,3.54,1.66,2.7,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100158140,CPT,Myomectomy abdom method,,,21,,RBRVS,15.69,6.18,6.18,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100158145,CPT,Myomectomy vag method,,,21,,RBRVS,8.81,4.23,4.23,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100158146,CPT,Myomectomy abdom complex,,,21,,RBRVS,20.24,7.34,7.34,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100158150,CPT,Total hysterectomy,,,21,,RBRVS,17.21,6.56,6.56,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100158152,CPT,Total hysterectomy,,,21,,RBRVS,21.73,8.03,8.03,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100158180,CPT,Partial hysterectomy,,,21,,RBRVS,16.5,6.33,6.33,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100158200,CPT,Extensive hysterectomy,,,21,,RBRVS,23,8.15,8.15,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100158210,CPT,Extensive hysterectomy,,,21,,RBRVS,30.76,10.72,10.72,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100158240,CPT,Removal of pelvis contents,,,21,,RBRVS,49.02,17.64,17.64,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100158260,CPT,Vaginal hysterectomy,,,21,,RBRVS,14.02,5.79,5.79,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100158262,CPT,Vag hyst including t/o,,,21,,RBRVS,15.81,6.23,6.23,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100158263,CPT,Vag hyst w/t/o & vag repair,,,21,,RBRVS,17.1,6.64,6.64,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100158267,CPT,Vag hyst w/urinary repair,,,21,,RBRVS,18.23,6.97,6.97,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100158270,CPT,Vag hyst w/enterocele repair,,,21,,RBRVS,15.2,5.93,5.93,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100158275,CPT,Hysterectomy/revise vagina,,,21,,RBRVS,16.9,6.61,6.61,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100158280,CPT,Hysterectomy/revise vagina,,,21,,RBRVS,18.2,6.96,6.96,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100158285,CPT,Extensive hysterectomy,,,21,,RBRVS,23.3,7.94,7.94,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100158290,CPT,Vag hyst complex,,,21,,RBRVS,20.17,7.35,7.35,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100158291,CPT,"Vag hyst incl t/o, complex",,,21,,RBRVS,21.96,7.82,7.82,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100158292,CPT,"Vag hyst t/o & repair, compl",,,21,,RBRVS,23.25,8.21,8.21,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100158293,CPT,"Vag hyst w/uro repair, compl",,,21,,RBRVS,24.23,8.52,8.52,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100158294,CPT,"Vag hyst w/enterocele, compl",,,21,,RBRVS,21.45,7.51,7.51,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100158300,CPT,Insert intrauterine device,,,21,,RBRVS,1.01,0.23,0.63,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100158301,CPT,Remove intrauterine device,,,21,,RBRVS,1.27,0.34,1.05,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100158321,CPT,Artificial insemination,,,21,,RBRVS,0.92,0.23,0.94,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100158322,CPT,Artificial insemination,,,21,,RBRVS,1.1,0.31,1.03,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100158323,CPT,Sperm washing,,,21,,RBRVS,0.23,0.07,0.16,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100158340,CPT,Catheter for hysterography,,,21,,RBRVS,0.88,0.56,2.15,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100158345,CPT,Reopen fallopian tube,,,21,,RBRVS,4.67,2.11,2.11,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100158346,CPT,Insert heyman uteri capsule,,,21,,RBRVS,7.48,3.74,3.74,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100158350,CPT,Reopen fallopian tube,,,21,,RBRVS,1.03,0.88,1.35,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100158353,CPT,"Endometr ablate, thermal",,,21,,RBRVS,3.57,1.71,22.84,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100158356,CPT,Endometrial cryoablation,,,21,,RBRVS,6.36,1.85,43.38,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100158400,CPT,Suspension of uterus,,,21,,RBRVS,7.06,3.86,3.86,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100158410,CPT,Suspension of uterus,,,21,,RBRVS,13.7,5.55,5.55,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100158520,CPT,Repair of ruptured uterus,,,21,,RBRVS,13.38,5.49,5.49,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100158540,CPT,Revision of uterus,,,21,,RBRVS,15.61,6.15,6.15,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100158541,CPT,"Lsh, uterus 250 g or less",,,21,,RBRVS,14.57,6.13,6.13,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100158542,CPT,Lsh w/t/o ut 250 g or less,,,21,,RBRVS,16.43,6.64,6.64,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100158543,CPT,Lsh uterus above 250 g,,,21,,RBRVS,16.74,6.71,6.71,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100158544,CPT,Lsh w/t/o uterus above 250 g,,,21,,RBRVS,18.24,7.11,7.11,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100158545,CPT,Laparoscopic myomectomy,,,21,,RBRVS,15.45,5.87,5.87,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100158546,CPT,"Laparo-myomectomy, complex",,,21,,RBRVS,19.84,7.05,7.05,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100158548,CPT,Lap radical hyst,,,21,,RBRVS,31.45,12.47,12.47,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100158550,CPT,Laparo-asst vag hysterectomy,,,21,,RBRVS,14.97,6.13,6.13,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100158552,CPT,Laparo-vag hyst incl t/o,,,21,,RBRVS,16.78,6.56,6.56,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100158553,CPT,"Laparo-vag hyst, complex",,,21,,RBRVS,19.96,7.09,7.09,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100158554,CPT,"Laparo-vag hyst w/t/o, compl",,,21,,RBRVS,22.98,8.24,8.24,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100158555,CPT,"Hysteroscopy, dx, sep proc",,,21,,RBRVS,3.33,1.23,2.76,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100158558,CPT,"Hysteroscopy, biopsy",,,21,,RBRVS,4.74,1.65,3.62,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100158559,CPT,"Hysteroscopy, lysis",,,21,,RBRVS,6.16,2.04,2.04,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100158560,CPT,"Hysteroscopy, resect septum",,,21,,RBRVS,6.99,2.32,2.32,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100158561,CPT,"Hysteroscopy, remove myoma",,,21,,RBRVS,9.99,3.11,3.11,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100158562,CPT,"Hysteroscopy, remove fb",,,21,,RBRVS,5.2,1.75,3.53,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100158563,CPT,"Hysteroscopy, ablation",,,21,,RBRVS,6.16,2.04,37.26,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100158565,CPT,"Hysteroscopy, sterilization",,,21,,RBRVS,7.06,3.37,41.99,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100158570,CPT,"Tlh, uterus 250 g or less",,,21,,RBRVS,15.75,6.46,6.46,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100158571,CPT,Tlh w/t/o 250 g or less,,,21,,RBRVS,17.56,6.95,6.95,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100158572,CPT,"Tlh, uterus over 250 g",,,21,,RBRVS,19.96,7.6,7.6,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100158573,CPT,Tlh w/t/o uterus over 250 g,,,21,,RBRVS,22.98,8.42,8.42,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100158578,CPT,"Laparo proc, uterus",,,21,,TotalUnits,,,,21.48,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100158579,CPT,Hysteroscope procedure,,,21,,TotalUnits,,,,6.8,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100158600,CPT,Division of fallopian tube,,,21,,RBRVS,5.86,2.92,2.92,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100158605,CPT,Division of fallopian tube,,,21,,RBRVS,5.25,2.71,2.71,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100158611,CPT,Ligate oviduct(s) add-on,,,21,,RBRVS,1.45,0.4,0.4,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100158615,CPT,Occlude fallopian tube(s),,,21,,RBRVS,3.91,2.04,2.04,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100158660,CPT,"Laparoscopy, lysis",,,21,,RBRVS,11.54,4.49,4.49,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100158661,CPT,"Laparoscopy, remove adnexa",,,21,,RBRVS,11.3,3.99,3.99,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100158662,CPT,"Laparoscopy, excise lesions",,,21,,RBRVS,12.08,4.76,4.76,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100158670,CPT,"Laparoscopy, tubal cautery",,,21,,RBRVS,5.86,2.95,2.95,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100158671,CPT,"Laparoscopy, tubal block",,,21,,RBRVS,5.86,2.94,2.94,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100158672,CPT,"Laparoscopy, fimbrioplasty",,,21,,RBRVS,12.88,4.78,4.78,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100158673,CPT,"Laparoscopy, salpingostomy",,,21,,RBRVS,13.99,5.13,5.13,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100158679,CPT,"Laparo proc, oviduct-ovary",,,21,,TotalUnits,,,,16.17,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100158700,CPT,Removal of fallopian tube,,,21,,RBRVS,12.84,5.49,5.49,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100158720,CPT,Removal of ovary/tube(s),,,21,,RBRVS,12.08,5.09,5.09,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100158740,CPT,Revise fallopian tube(s),,,21,,RBRVS,14.79,6.05,6.05,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100158750,CPT,Repair oviduct,,,21,,RBRVS,15.56,6.05,6.05,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100158752,CPT,Revise ovarian tube(s),,,21,,RBRVS,15.56,5.99,5.99,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100158760,CPT,Remove tubal obstruction,,,21,,RBRVS,13.85,5.59,5.59,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100158770,CPT,Create new tubal opening,,,21,,RBRVS,14.69,5.75,5.75,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100158800,CPT,Drainage of ovarian cyst(s),,,21,,RBRVS,4.54,2.69,3.21,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100158805,CPT,Drainage of ovarian cyst(s),,,21,,RBRVS,6.34,3.51,3.51,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100158820,CPT,"Drain ovary abscess, open",,,21,,RBRVS,4.62,2.9,2.9,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100158822,CPT,"Drain ovary abscess, percut",,,21,,RBRVS,11.71,5.16,5.16,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100158823,CPT,"Drain pelvic abscess, percut",,,21,,RBRVS,3.37,1.16,20,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100158825,CPT,"Transposition, ovary(s)",,,21,,RBRVS,11.7,4.84,4.84,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100158900,CPT,Biopsy of ovary(s),,,21,,RBRVS,6.51,3.55,3.55,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100158920,CPT,Partial removal of ovary(s),,,21,,RBRVS,11.87,5.05,5.05,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100158925,CPT,Removal of ovarian cyst(s),,,21,,RBRVS,12.33,5.25,5.25,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100158940,CPT,Removal of ovary(s),,,21,,RBRVS,8.12,4.04,4.04,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100158943,CPT,Removal of ovary(s),,,21,,RBRVS,19.42,7.18,7.18,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100158950,CPT,Resect ovarian malignancy,,,21,,RBRVS,18.24,7.25,7.25,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100158951,CPT,Resect ovarian malignancy,,,21,,RBRVS,24.15,8.6,8.6,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100158952,CPT,Resect ovarian malignancy,,,21,,RBRVS,27.15,9.82,9.82,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100158953,CPT,"Tah, rad dissect for debulk",,,21,,RBRVS,33.97,11.63,11.63,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100158954,CPT,Tah rad debulk/lymph remove,,,21,,RBRVS,36.97,12.52,12.52,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100158956,CPT,"Bso, omentectomy w/tah",,,21,,RBRVS,22.65,8.59,8.59,,,$0.00 ,$0.00 ,1,0,0,1,1,1,2008100158957,CPT,Resect recurrent gyn mal,,,21,,RBRVS,26.06,9.57,9.57,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100158958,CPT,Resect recur gyn mal w/lym,,,21,,RBRVS,29.06,10.36,10.36,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100158960,CPT,Exploration of abdomen,,,21,,RBRVS,15.68,6.25,6.25,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100158970,CPT,Retrieval of oocyte,,,21,,RBRVS,3.52,1.28,1.85,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100158974,CPT,Transfer of embryo,,,21,,TotalUnits,,,,4.54,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100158976,CPT,Transfer of embryo,,,21,,RBRVS,3.82,1.2,1.94,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100158999,CPT,Genital surgery procedure,,,21,,TotalUnits,,,,4,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100159000,CPT,"Amniocentesis, diagnostic",,,12,,RBRVS,1.3,0.55,1.75,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100159001,CPT,"Amniocentesis, therapeutic",,,12,,RBRVS,3,1.07,1.07,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100159012,CPT,"Fetal cord puncture,prenatal",,,12,,RBRVS,3.44,1.13,1.13,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100159015,CPT,Chorion biopsy,,,12,,RBRVS,2.2,0.79,1.42,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100159020,CPT,Fetal contract stress test,26,,12,,RBRVS,0.66,0.18,0.18,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100159020,CPT,Fetal contract stress test,TC,,12,,RBRVS,0,0.89,0.89,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100159020,CPT,Fetal contract stress test,,,12,,RBRVS,0.66,1.07,1.07,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100159025,CPT,Fetal non-stress test,26,,12,,RBRVS,0.53,0.15,0.15,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100159025,CPT,Fetal non-stress test,TC,,12,,RBRVS,0,0.48,0.48,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100159025,CPT,Fetal non-stress test,,,12,,RBRVS,0.53,0.63,0.63,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100159030,CPT,Fetal scalp blood sample,,,12,,RBRVS,1.99,0.46,0.46,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100159050,CPT,Fetal monitor w/report,,,12,,RBRVS,0.89,0.27,0.27,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100159051,CPT,Fetal monitor/interpret only,,,12,,RBRVS,0.74,0.2,0.2,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100159070,CPT,Transabdom amnioinfus w/ us,,,12,,RBRVS,5.24,1.77,4.39,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100159072,CPT,Umbilical cord occlud w/ us,,,12,,RBRVS,8.99,2.39,2.39,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100159074,CPT,Fetal fluid drainage w/ us,,,12,,RBRVS,5.24,1.53,3.61,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100159076,CPT,"Fetal shunt placement, w/ us",,,12,,RBRVS,8.99,2.39,2.39,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100159100,CPT,Remove uterus lesion,,,12,,RBRVS,13.26,5.55,5.55,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100159120,CPT,Treat ectopic pregnancy,,,12,,RBRVS,12.56,5.4,5.4,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100159121,CPT,Treat ectopic pregnancy,,,12,,RBRVS,12.64,5.35,5.35,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100159130,CPT,Treat ectopic pregnancy,,,12,,RBRVS,14.98,6.74,6.74,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100159135,CPT,Treat ectopic pregnancy,,,12,,RBRVS,14.82,5.09,5.09,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100159136,CPT,Treat ectopic pregnancy,,,12,,RBRVS,14.15,4.93,4.93,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100159140,CPT,Treat ectopic pregnancy,,,12,,RBRVS,5.86,3.3,3.3,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100159150,CPT,Treat ectopic pregnancy,,,12,,RBRVS,12.19,5.23,5.23,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100159151,CPT,Treat ectopic pregnancy,,,12,,RBRVS,12.01,4.87,4.87,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100159160,CPT,D & c after delivery,,,12,,RBRVS,2.73,1.17,1.99,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100159200,CPT,Insert cervical dilator,,,12,,RBRVS,0.79,0.22,0.94,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100159300,CPT,Episiotomy or vaginal repair,,,12,,RBRVS,2.41,1,2.19,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100159320,CPT,Revision of cervix,,,12,,RBRVS,2.48,1,1,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100159325,CPT,Revision of cervix,,,12,,RBRVS,4.06,1.44,1.44,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100159350,CPT,Repair of uterus,,,12,,RBRVS,4.94,1.21,1.21,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100159400,CPT,Obstetrical care,,,13,,RBRVS,26.8,14.09,14.09,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100159409,CPT,Obstetrical care,,,13,,RBRVS,13.48,3.7,3.7,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100159410,CPT,Obstetrical care,,,13,,RBRVS,15.29,4.92,4.92,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100159412,CPT,Antepartum manipulation,,,13,,RBRVS,1.71,0.64,0.64,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100159414,CPT,Deliver placenta,,,13,,RBRVS,1.61,0.44,0.44,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100159425,CPT,Antepartum care only,,,13,,RBRVS,6.22,1.68,4.24,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100159426,CPT,Antepartum care only,,,13,,RBRVS,11.04,2.99,7.79,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100159430,CPT,Care after delivery,,,13,,RBRVS,2.13,0.71,1.08,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100159510,CPT,Cesarean delivery,,,11,,RBRVS,30.34,15.98,15.98,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100159514,CPT,Cesarean delivery only,,,11,,RBRVS,15.95,4.43,4.43,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100159515,CPT,Cesarean delivery,,,11,,RBRVS,18.26,6.13,6.13,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100159525,CPT,Remove uterus after cesarean,,,21,,RBRVS,8.53,2.25,2.25,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100159610,CPT,Vbac delivery,,,13,,RBRVS,28.21,14.94,14.94,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100159612,CPT,Vbac delivery only,,,13,,RBRVS,15.04,4.19,4.19,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100159614,CPT,Vbac care after delivery,,,13,,RBRVS,16.59,5.11,5.11,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100159618,CPT,Attempted vbac delivery,,,11,,RBRVS,31.78,16.37,16.37,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100159620,CPT,Attempted vbac delivery only,,,11,,RBRVS,17.5,4.66,4.66,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100159622,CPT,Attempted vbac after care,,,11,,RBRVS,19.7,6.71,6.71,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100159812,CPT,Treatment of miscarriage,,,12,,RBRVS,4.39,2.36,3.1,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100159820,CPT,Care of miscarriage,,,12,,RBRVS,4.68,3.46,4.07,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100159821,CPT,Treatment of miscarriage,,,12,,RBRVS,4.97,3.24,3.91,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100159830,CPT,Treat uterus infection,,,12,,RBRVS,6.51,3.44,3.44,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100159840,CPT,Abortion,,,12,,RBRVS,3.01,1.77,2,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100159841,CPT,Abortion,,,12,,RBRVS,5.57,2.55,3.12,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100159850,CPT,Abortion,,,12,,RBRVS,5.9,2.46,2.46,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100159851,CPT,Abortion,,,12,,RBRVS,5.92,3.29,3.29,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100159852,CPT,Abortion,,,12,,RBRVS,8.23,3.82,3.82,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100159855,CPT,Abortion,,,12,,RBRVS,6.38,3.08,3.08,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100159856,CPT,Abortion,,,12,,RBRVS,7.74,3.32,3.32,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100159857,CPT,Abortion,,,12,,RBRVS,9.3,3.64,3.64,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100159866,CPT,Abortion (mpr),,,12,,RBRVS,3.99,1.36,1.36,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100159870,CPT,Evacuate mole of uterus,,,12,,RBRVS,6.4,4.38,4.38,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100159871,CPT,Remove cerclage suture,,,12,,RBRVS,2.13,0.91,0.91,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100159897,CPT,Fetal invas px w/ us,,,12,,TotalUnits,,,,0.98,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100159898,CPT,"Laparo proc, ob care/deliver",,,12,,TotalUnits,,,,17.56,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100159899,CPT,Maternity care procedure,,,12,,TotalUnits,,,,20.51,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100160000,CPT,Drain thyroid/tongue cyst,,,21,,RBRVS,1.78,1.7,2.09,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100160100,CPT,Biopsy of thyroid,,,21,,RBRVS,1.56,0.52,1.32,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100160200,CPT,Remove thyroid lesion,,,21,,RBRVS,9.91,5.5,5.5,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100160210,CPT,Partial thyroid excision,,,21,,RBRVS,11.15,5.23,5.23,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100160212,CPT,Partial thyroid excision,,,21,,RBRVS,16.32,6.95,6.95,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100160220,CPT,Partial removal of thyroid,,,21,,RBRVS,12.29,5.67,5.67,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100160225,CPT,Partial removal of thyroid,,,21,,RBRVS,14.67,6.92,6.92,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100160240,CPT,Removal of thyroid,,,21,,RBRVS,16.18,6.4,6.4,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100160252,CPT,Removal of thyroid,,,21,,RBRVS,21.88,8.83,8.83,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100160254,CPT,Extensive thyroid surgery,,,21,,RBRVS,28.29,11.22,11.22,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100160260,CPT,Repeat thyroid surgery,,,21,,RBRVS,18.18,7.41,7.41,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100160270,CPT,Removal of thyroid,,,21,,RBRVS,23.07,9.33,9.33,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100160271,CPT,Removal of thyroid,,,21,,RBRVS,17.54,7.15,7.15,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100160280,CPT,Remove thyroid duct lesion,,,21,,RBRVS,6.05,4.48,4.48,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100160281,CPT,Remove thyroid duct lesion,,,21,,RBRVS,8.71,5.32,5.32,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100160300,CPT,Aspir/inj thyroid cyst,,,21,,RBRVS,0.97,0.3,1.94,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100160500,CPT,Explore parathyroid glands,,,21,,RBRVS,16.69,6.86,6.86,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100160502,CPT,Re-explore parathyroids,,,21,,RBRVS,21.01,8.61,8.61,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100160505,CPT,Explore parathyroid glands,,,21,,RBRVS,22.91,9.39,9.39,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100160512,CPT,Autotransplant parathyroid,,,21,,RBRVS,4.44,1.21,1.21,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100160520,CPT,Removal of thymus gland,,,21,,RBRVS,17.07,7.01,7.01,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100160521,CPT,Removal of thymus gland,,,21,,RBRVS,19.11,8.13,8.13,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100160522,CPT,Removal of thymus gland,,,21,,RBRVS,23.37,9.61,9.61,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100160540,CPT,Explore adrenal gland,,,21,,RBRVS,17.91,8.25,8.25,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100160545,CPT,Explore adrenal gland,,,21,,RBRVS,20.82,8.95,8.95,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100160600,CPT,Remove carotid body lesion,,,21,,RBRVS,24.99,8.83,8.83,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100160605,CPT,Remove carotid body lesion,,,21,,RBRVS,31.86,12.14,12.14,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100160650,CPT,Laparoscopy adrenalectomy,,,21,,RBRVS,20.63,8.09,8.09,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100160659,CPT,"Laparo proc, endocrine",,,21,,TotalUnits,,,,27.96,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100160699,CPT,Endocrine surgery procedure,,,21,,TotalUnits,,,,18.18,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100161000,CPT,Remove cranial cavity fluid,,,21,,RBRVS,1.58,1.24,1.24,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100161001,CPT,Remove cranial cavity fluid,,,21,,RBRVS,1.49,1.08,1.08,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100161020,CPT,Remove brain cavity fluid,,,21,,RBRVS,1.51,1.63,1.63,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100161026,CPT,Injection into brain canal,,,21,,RBRVS,1.69,1.3,1.3,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100161050,CPT,Remove brain canal fluid,,,21,,RBRVS,1.51,1.15,1.15,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100161055,CPT,Injection into brain canal,,,21,,RBRVS,2.1,1.33,1.33,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100161070,CPT,Brain canal shunt procedure,,,21,,RBRVS,0.89,1.16,1.16,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100161105,CPT,Twist drill hole,,,21,,RBRVS,5.4,4.91,4.91,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100161107,CPT,Drill skull for implantation,,,21,,RBRVS,4.99,1.83,1.83,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100161108,CPT,Drill skull for drainage,,,21,,RBRVS,11.51,8.35,8.35,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100161120,CPT,Burr hole for puncture,,,21,,RBRVS,9.52,6.78,6.78,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100161140,CPT,Pierce skull for biopsy,,,21,,RBRVS,17.1,10.42,10.42,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100161150,CPT,Pierce skull for drainage,,,21,,RBRVS,18.8,10.68,10.68,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100161151,CPT,Pierce skull for drainage,,,21,,RBRVS,13.41,8.44,8.44,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100161154,CPT,Pierce skull & remove clot,,,21,,RBRVS,16.92,10.83,10.83,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100161156,CPT,Pierce skull for drainage,,,21,,RBRVS,17.37,9.72,9.72,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100161210,CPT,"Pierce skull, implant device",,,21,,RBRVS,5.83,2.15,2.15,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100161215,CPT,Insert brain-fluid device,,,21,,RBRVS,5.77,5.45,5.45,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100161250,CPT,Pierce skull & explore,,,21,,RBRVS,11.41,7.38,7.38,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100161253,CPT,Pierce skull & explore,,,21,,RBRVS,13.41,7.49,7.49,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100161304,CPT,Open skull for exploration,,,21,,RBRVS,23.31,12.54,12.54,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100161305,CPT,Open skull for exploration,,,21,,RBRVS,28.51,14.97,14.97,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100161312,CPT,Open skull for drainage,,,21,,RBRVS,30.07,15.24,15.24,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100161313,CPT,Open skull for drainage,,,21,,RBRVS,27.94,15.37,15.37,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100161314,CPT,Open skull for drainage,,,21,,RBRVS,25.77,14.15,14.15,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100161315,CPT,Open skull for drainage,,,21,,RBRVS,29.52,15.51,15.51,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100161316,CPT,Implt cran bone flap to abdo,,,21,,RBRVS,1.39,0.51,0.51,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100161320,CPT,Open skull for drainage,,,21,,RBRVS,27.32,14.25,14.25,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100161321,CPT,Open skull for drainage,,,21,,RBRVS,30.4,16.07,16.07,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100161322,CPT,Decompressive craniotomy,,,21,,RBRVS,34.08,17.48,17.48,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100161323,CPT,Decompressive lobectomy,,,21,,RBRVS,34.93,17.31,17.31,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100161330,CPT,Decompress eye socket,,,21,,RBRVS,25.17,11.53,11.53,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100161332,CPT,Explore/biopsy eye socket,,,21,,RBRVS,28.5,12.96,12.96,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100161333,CPT,Explore orbit/remove lesion,,,21,,RBRVS,29.17,12.88,12.88,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100161334,CPT,Explore orbit/remove object,,,21,,RBRVS,19.5,9.02,9.02,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100161340,CPT,Subtemporal decompression,,,21,,RBRVS,20.01,11.68,11.68,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100161343,CPT,Incise skull (press relief),,,21,,RBRVS,31.73,15.94,15.94,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100161345,CPT,Relieve cranial pressure,,,21,,RBRVS,29.1,14.86,14.86,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100161440,CPT,Incise skull for surgery,,,21,,RBRVS,28.53,15.23,15.23,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100161450,CPT,Incise skull for surgery,,,21,,RBRVS,27.59,14.06,14.06,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100161458,CPT,Incise skull for brain wound,,,21,,RBRVS,28.71,14.89,14.89,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100161460,CPT,Incise skull for surgery,,,21,,RBRVS,30.11,14.58,14.58,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100161470,CPT,Incise skull for surgery,,,21,,RBRVS,27.52,14.06,14.06,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100161480,CPT,Incise skull for surgery,,,21,,RBRVS,27.95,8.14,8.14,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100161490,CPT,Incise skull for surgery,,,21,,RBRVS,27.12,14.23,14.23,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100161500,CPT,Removal of skull lesion,,,21,,RBRVS,19.05,10.69,10.69,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100161501,CPT,Remove infected skull bone,,,21,,RBRVS,16.22,9.45,9.45,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100161510,CPT,Removal of brain lesion,,,21,,RBRVS,30.63,16.95,16.95,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100161512,CPT,Remove brain lining lesion,,,21,,RBRVS,36.99,18.47,18.47,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100161514,CPT,Removal of brain abscess,,,21,,RBRVS,27.1,14.42,14.42,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100161516,CPT,Removal of brain lesion,,,21,,RBRVS,26.45,14.06,14.06,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100161517,CPT,Implt brain chemotx add-on,,,21,,RBRVS,1.38,0.51,0.51,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100161518,CPT,Removal of brain lesion,,,21,,RBRVS,39.69,20.31,20.31,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100161519,CPT,Remove brain lining lesion,,,21,,RBRVS,43.28,20.65,20.65,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100161520,CPT,Removal of brain lesion,,,21,,RBRVS,56.89,25.96,25.96,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100161521,CPT,Removal of brain lesion,,,21,,RBRVS,46.84,22.16,22.16,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100161522,CPT,Removal of brain abscess,,,21,,RBRVS,31.41,15.77,15.77,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100161524,CPT,Removal of brain lesion,,,21,,RBRVS,29.76,15.7,15.7,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100161526,CPT,Removal of brain lesion,,,21,,RBRVS,53.9,22.53,22.53,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100161530,CPT,Removal of brain lesion,,,21,,RBRVS,45.43,19.49,19.49,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100161531,CPT,Implant brain electrodes,,,21,,RBRVS,16.28,10.46,10.46,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100161533,CPT,Implant brain electrodes,,,21,,RBRVS,21.36,11.79,11.79,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100161534,CPT,Removal of brain lesion,,,21,,RBRVS,22.88,13.13,13.13,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100161535,CPT,Remove brain electrodes,,,21,,RBRVS,13.05,8.84,8.84,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100161536,CPT,Removal of brain lesion,,,21,,RBRVS,37.59,18.53,18.53,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100161537,CPT,Removal of brain tissue,,,21,,RBRVS,36.35,17.04,17.04,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100161538,CPT,Removal of brain tissue,,,21,,RBRVS,39.35,18.37,18.37,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100161539,CPT,Removal of brain tissue,,,21,,RBRVS,34.15,16.83,16.83,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100161540,CPT,Removal of brain tissue,,,21,,RBRVS,31.3,16.3,16.3,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100161541,CPT,Incision of brain tissue,,,21,,RBRVS,30.81,16.09,16.09,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100161542,CPT,Removal of brain tissue,,,21,,RBRVS,33.03,16.78,16.78,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100161543,CPT,Removal of brain tissue,,,21,,RBRVS,31.18,13.86,13.86,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100161544,CPT,Remove & treat brain lesion,,,21,,RBRVS,27.26,14.28,14.28,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100161545,CPT,Excision of brain tumor,,,21,,RBRVS,46.23,22.83,22.83,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100161546,CPT,Removal of pituitary gland,,,21,,RBRVS,33.31,16.74,16.74,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100161548,CPT,Removal of pituitary gland,,,21,,RBRVS,23.27,11.62,11.62,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100161550,CPT,Release of skull seams,,,21,,RBRVS,15.44,5.65,5.65,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100161552,CPT,Release of skull seams,,,21,,RBRVS,20.27,12.15,12.15,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100161556,CPT,Incise skull/sutures,,,21,,RBRVS,24,13.29,13.29,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100161557,CPT,Incise skull/sutures,,,21,,RBRVS,23.16,13.64,13.64,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100161558,CPT,Excision of skull/sutures,,,21,,RBRVS,26.35,14.7,14.7,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100161559,CPT,Excision of skull/sutures,,,21,,RBRVS,33.82,18.38,18.38,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100161563,CPT,Excision of skull tumor,,,21,,RBRVS,28.35,13.09,13.09,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100161564,CPT,Excision of skull tumor,,,21,,RBRVS,34.59,17.91,17.91,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100161566,CPT,Removal of brain tissue,,,21,,RBRVS,32.32,16.65,16.65,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100161567,CPT,Incision of brain tissue,,,21,,RBRVS,36.84,19.07,19.07,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100161570,CPT,"Remove foreign body, brain",,,21,,RBRVS,26.38,14.02,14.02,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100161571,CPT,Incise skull for brain wound,,,21,,RBRVS,28.29,14.64,14.64,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100161575,CPT,Skull base/brainstem surgery,,,21,,RBRVS,36.43,16.1,16.1,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100161576,CPT,Skull base/brainstem surgery,,,21,,RBRVS,55.11,28.09,28.09,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100161580,CPT,"Craniofacial approach, skull",,,21,,RBRVS,34.34,22.85,22.85,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100161581,CPT,"Craniofacial approach, skull",,,21,,RBRVS,38.88,27.83,27.83,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100161582,CPT,"Craniofacial approach, skull",,,21,,RBRVS,34.93,30.48,30.48,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100161583,CPT,"Craniofacial approach, skull",,,21,,RBRVS,38.41,25.9,25.9,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100161584,CPT,Orbitocranial approach/skull,,,21,,RBRVS,37.61,26.04,26.04,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100161585,CPT,Orbitocranial approach/skull,,,21,,RBRVS,42.46,25.13,25.13,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100161586,CPT,"Resect nasopharynx, skull",,,21,,RBRVS,27.28,22.64,22.64,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100161590,CPT,Infratemporal approach/skull,,,21,,RBRVS,46.87,24.81,24.81,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100161591,CPT,Infratemporal approach/skull,,,21,,RBRVS,46.87,24.6,24.6,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100161592,CPT,Orbitocranial approach/skull,,,21,,RBRVS,42.98,26.8,26.8,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100161595,CPT,Transtemporal approach/skull,,,21,,RBRVS,33.57,21.14,21.14,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100161596,CPT,Transcochlear approach/skull,,,21,,RBRVS,39.31,20.95,20.95,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100161597,CPT,Transcondylar approach/skull,,,21,,RBRVS,40.73,23.27,23.27,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100161598,CPT,Transpetrosal approach/skull,,,21,,RBRVS,36.41,22.16,22.16,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100161600,CPT,Resect/excise cranial lesion,,,21,,RBRVS,29.84,19.76,19.76,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100161601,CPT,Resect/excise cranial lesion,,,21,,RBRVS,31.04,22.38,22.38,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100161605,CPT,Resect/excise cranial lesion,,,21,,RBRVS,32.4,19.47,19.47,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100161606,CPT,Resect/excise cranial lesion,,,21,,RBRVS,41.94,23.77,23.77,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100161607,CPT,Resect/excise cranial lesion,,,21,,RBRVS,40.82,21,21,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100161608,CPT,Resect/excise cranial lesion,,,21,,RBRVS,45.45,26.32,26.32,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100161609,CPT,"Transect artery, sinus",,,21,,RBRVS,9.88,3.25,3.25,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100161610,CPT,"Transect artery, sinus",,,21,,RBRVS,29.63,11.06,11.06,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100161611,CPT,"Transect artery, sinus",,,21,,RBRVS,7.41,1.71,1.71,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100161612,CPT,"Transect artery, sinus",,,21,,RBRVS,27.84,6.41,6.41,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100161613,CPT,"Remove aneurysm, sinus",,,21,,RBRVS,44.94,27.35,27.35,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100161615,CPT,"Resect/excise lesion, skull",,,21,,RBRVS,35.63,21.3,21.3,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100161616,CPT,"Resect/excise lesion, skull",,,21,,RBRVS,46.6,27.24,27.24,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100161618,CPT,Repair dura,,,21,,RBRVS,18.58,10.44,10.44,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100161619,CPT,Repair dura,,,21,,RBRVS,22.01,11.67,11.67,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100161623,CPT,Endovasc tempory vessel occl,,,21,,RBRVS,9.95,3.72,3.72,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100161624,CPT,"Transcath occlusion, cns",,,21,,RBRVS,20.12,7.29,7.29,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100161626,CPT,"Transcath occlusion, non-cns",,,21,,RBRVS,16.6,5.97,5.97,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100161630,CPT,Intracranial angioplasty,,,21,,RBRVS,22.07,6.44,6.44,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100161635,CPT,Intracran angioplsty w/stent,,,21,,RBRVS,24.28,6.95,6.95,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100161640,CPT,"Dilate ic vasospasm, init",,,21,,RBRVS,12.32,2.83,2.83,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100161641,CPT,Dilate ic vasospasm add-on,,,21,,RBRVS,4.33,1,1,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100161642,CPT,Dilate ic vasospasm add-on,,,21,,RBRVS,8.66,1.99,1.99,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100161680,CPT,Intracranial vessel surgery,,,21,,RBRVS,32.4,16.75,16.75,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100161682,CPT,Intracranial vessel surgery,,,21,,RBRVS,63.31,27.54,27.54,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100161684,CPT,Intracranial vessel surgery,,,21,,RBRVS,41.49,20.38,20.38,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100161686,CPT,Intracranial vessel surgery,,,21,,RBRVS,67.32,30.47,30.47,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100161690,CPT,Intracranial vessel surgery,,,21,,RBRVS,31.18,16.52,16.52,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100161692,CPT,Intracranial vessel surgery,,,21,,RBRVS,54.43,24.35,24.35,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100161697,CPT,"Brain aneurysm repr, complx",,,21,,RBRVS,63.22,28.64,28.64,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100161698,CPT,"Brain aneurysm repr, complx",,,21,,RBRVS,69.45,30.59,30.59,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100161700,CPT,"Brain aneurysm repr, simple",,,21,,RBRVS,50.44,24.03,24.03,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100161702,CPT,Inner skull vessel surgery,,,21,,RBRVS,59.86,27.5,27.5,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100161703,CPT,Clamp neck artery,,,21,,RBRVS,18.7,10.06,10.06,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100161705,CPT,Revise circulation to head,,,21,,RBRVS,37.97,18.32,18.32,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100161708,CPT,Revise circulation to head,,,21,,RBRVS,37.07,14.87,14.87,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100161710,CPT,Revise circulation to head,,,21,,RBRVS,31.19,13.79,13.79,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100161711,CPT,Fusion of skull arteries,,,21,,RBRVS,38.1,18.61,18.61,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100161720,CPT,Incise skull/brain surgery,,,21,,RBRVS,17.52,7.89,7.89,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100161735,CPT,Incise skull/brain surgery,,,21,,RBRVS,22.22,9.17,9.17,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100161750,CPT,Incise skull/brain biopsy,,,21,,RBRVS,19.73,10.95,10.95,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100161751,CPT,Brain biopsy w/ct/mr guide,,,21,,RBRVS,18.64,11.37,11.37,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100161760,CPT,Implant brain electrodes,,,21,,RBRVS,22.24,12.06,12.06,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100161770,CPT,Incise skull for treatment,,,21,,RBRVS,23.09,9.89,9.89,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100161790,CPT,Treat trigeminal nerve,,,21,,RBRVS,11.5,7.7,7.7,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100161791,CPT,Treat trigeminal tract,,,21,,RBRVS,15.31,8.21,8.21,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100161793,CPT,Focus radiation beam,,,21,,RBRVS,17.75,9.55,9.55,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100161795,CPT,Brain surgery using computer,,,21,,RBRVS,4.03,1.43,1.43,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100161850,CPT,Implant neuroelectrodes,,,21,,RBRVS,13.26,7.89,7.89,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100161860,CPT,Implant neuroelectrodes,,,21,,RBRVS,22.16,11.6,11.6,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100161863,CPT,Implant neuroelectrode,,,21,,RBRVS,20.56,12.42,12.42,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100161864,CPT,"Implant neuroelectrde, add’l",,,21,,RBRVS,4.49,1.68,1.68,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100161867,CPT,Implant neuroelectrode,,,21,,RBRVS,32.88,16.37,16.37,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100161868,CPT,"Implant neuroelectrde, add’l",,,21,,RBRVS,7.91,2.94,2.94,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100161870,CPT,Implant neuroelectrodes,,,21,,RBRVS,16.24,9.69,9.69,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100161875,CPT,Implant neuroelectrodes,,,21,,RBRVS,16.36,5.33,5.33,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100161880,CPT,Revise/remove neuroelectrode,,,21,,RBRVS,6.87,5.18,5.18,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100161885,CPT,Implant neurostim one array,,,21,,RBRVS,7.37,7.06,7.06,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100161886,CPT,Implant neurostim arrays,,,21,,RBRVS,9.73,8.52,8.52,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100161888,CPT,Revise/remove neuroreceiver,,,21,,RBRVS,5.2,3.47,3.47,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100162000,CPT,Treat skull fracture,,,21,,RBRVS,13.83,7.61,7.61,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100162005,CPT,Treat skull fracture,,,21,,RBRVS,17.53,9.59,9.59,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100162010,CPT,Treatment of head injury,,,21,,RBRVS,21.3,11.81,11.81,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100162100,CPT,Repair brain fluid leakage,,,21,,RBRVS,23.4,12.09,12.09,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100162115,CPT,Reduction of skull defect,,,21,,RBRVS,22.71,13.89,13.89,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100162116,CPT,Reduction of skull defect,,,21,,RBRVS,24.9,13.35,13.35,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100162117,CPT,Reduction of skull defect,,,21,,RBRVS,28.26,12.74,12.74,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100162120,CPT,Repair skull cavity lesion,,,21,,RBRVS,24.39,17.33,17.33,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100162121,CPT,Incise skull repair,,,21,,RBRVS,22.93,14.24,14.24,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100162140,CPT,Repair of skull defect,,,21,,RBRVS,14.45,8.64,8.64,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100162141,CPT,Repair of skull defect,,,21,,RBRVS,15.97,9.34,9.34,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100162142,CPT,Remove skull plate/flap,,,21,,RBRVS,11.73,7.79,7.79,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100162143,CPT,Replace skull plate/flap,,,21,,RBRVS,14.05,8.73,8.73,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100162145,CPT,Repair of skull & brain,,,21,,RBRVS,19.99,10.26,10.26,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100162146,CPT,Repair of skull with graft,,,21,,RBRVS,17.18,9.52,9.52,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100162147,CPT,Repair of skull with graft,,,21,,RBRVS,20.57,11,11,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100162148,CPT,Retr bone flap to fix skull,,,21,,RBRVS,2,0.74,0.74,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100162160,CPT,Neuroendoscopy add-on,,,21,,RBRVS,3,1.11,1.11,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100162161,CPT,Dissect brain w/scope,,,21,,RBRVS,21.1,12.15,12.15,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100162162,CPT,Remove colloid cyst w/scope,,,21,,RBRVS,26.67,14.65,14.65,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100162163,CPT,Neuroendoscopy w/fb removal,,,21,,RBRVS,16.4,9.25,9.25,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100162164,CPT,Remove brain tumor w/scope,,,21,,RBRVS,29.27,15.93,15.93,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100162165,CPT,Remove pituit tumor w/scope,,,21,,RBRVS,23.1,11.78,11.78,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100162180,CPT,Establish brain cavity shunt,,,21,,RBRVS,22.45,12.37,12.37,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100162190,CPT,Establish brain cavity shunt,,,21,,RBRVS,12.07,7.37,7.37,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100162192,CPT,Establish brain cavity shunt,,,21,,RBRVS,13.25,8.02,8.02,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100162194,CPT,Replace/irrigate catheter,,,21,,RBRVS,5.68,3.14,3.14,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100162200,CPT,Establish brain cavity shunt,,,21,,RBRVS,19.19,10.7,10.7,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100162201,CPT,Brain cavity shunt w/scope,,,21,,RBRVS,15.89,10.35,10.35,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100162220,CPT,Establish brain cavity shunt,,,21,,RBRVS,14,8.62,8.62,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100162223,CPT,Establish brain cavity shunt,,,21,,RBRVS,13.9,9.36,9.36,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100162225,CPT,Replace/irrigate catheter,,,21,,RBRVS,6.11,5.48,5.48,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100162230,CPT,Replace/revise brain shunt,,,21,,RBRVS,11.35,7.21,7.21,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100162252,CPT,Csf shunt reprogram,26, ,21,,RBRVS,0.74,0.27,0.27,,,$0.00 ,$0.00 ,1,0,1,1,1,0,2008100162252,CPT,Csf shunt reprogram,TC, ,21,,RBRVS,0,1.5,1.5,,,$0.00 ,$0.00 ,1,1,1,0,1,0,2008100162252,CPT,Csf shunt reprogram,,,21,,RBRVS,0.74,1.77,1.77,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100162256,CPT,Remove brain cavity shunt,,,21,,RBRVS,7.3,5.9,5.9,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100162258,CPT,Replace brain cavity shunt,,,21,,RBRVS,15.54,9.3,9.3,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100162263,CPT,Epidural lysis mult sessions,,,21,,RBRVS,6.41,2.98,9.46,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100162264,CPT,Epidural lysis on single day,,,21,,RBRVS,4.42,1.24,5.63,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100162268,CPT,Drain spinal cord cyst,,,21,,RBRVS,4.73,1.81,6.7,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100162269,CPT,"Needle biopsy, spinal cord",,,21,,RBRVS,5.01,1.48,6.25,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100162270,CPT,"Spinal fluid tap, diagnostic",,,21,,RBRVS,1.37,0.58,2.4,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100162272,CPT,Drain cerebro spinal fluid,,,21,,RBRVS,1.35,0.62,3.13,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100162273,CPT,Treat epidural spine lesion,,,21,,RBRVS,2.15,0.57,1.67,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100162280,CPT,Treat spinal cord lesion,,,21,,RBRVS,2.63,1.15,4.63,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100162281,CPT,Treat spinal cord lesion,,,21,,RBRVS,2.66,1.03,4.08,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100162282,CPT,Treat spinal canal lesion,,,21,,RBRVS,2.33,1.11,4.08,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100162284,CPT,Injection for myelogram,,,21,,RBRVS,1.54,0.71,3.79,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100162287,CPT,Percutaneous diskectomy,,,21,,RBRVS,8.88,4.3,4.3,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100162290,CPT,Inject for spine disk x-ray,,,21,,RBRVS,3,1.15,4.5,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100162291,CPT,Inject for spine disk x-ray,,,21,,RBRVS,2.91,1.08,4.24,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100162292,CPT,Injection into disk lesion,,,21,,RBRVS,9.14,2.87,2.87,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100162294,CPT,Injection into spinal artery,,,21,,RBRVS,12.77,6.49,6.49,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100162310,CPT,Inject spine c/t,,,21,,RBRVS,1.91,0.56,3,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100162311,CPT,Inject spine l/s (cd),,,21,,RBRVS,1.54,0.52,2.66,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100162318,CPT,"Inject spine w/cath, c/t",,,21,,RBRVS,2.04,0.43,3.09,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100162319,CPT,Inject spine w/cath l/s (cd),,,21,,RBRVS,1.87,0.44,2.8,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100162350,CPT,Implant spinal canal cath,,,21,,RBRVS,8.04,3.99,3.99,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100162351,CPT,Implant spinal canal cath,,,21,,RBRVS,11.54,7.65,7.65,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100162355,CPT,Remove spinal canal catheter,,,21,,RBRVS,6.6,3.52,3.52,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100162360,CPT,Insert spine infusion device,,,21,,RBRVS,3.68,3.17,3.17,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100162361,CPT,Implant spine infusion pump,,,21,,RBRVS,6.59,4.07,4.07,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100162362,CPT,Implant spine infusion pump,,,21,,RBRVS,8.58,4.65,4.65,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100162365,CPT,Remove spine infusion device,,,21,,RBRVS,6.57,3.71,3.71,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100162367,CPT,Analyze spine infusion pump,,,21,,RBRVS,0.48,0.11,0.42,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100162368,CPT,Analyze spine infusion pump,,,21,,RBRVS,0.75,0.17,0.58,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100163001,CPT,Removal of spinal lamina,,,21,,RBRVS,17.51,9.77,9.77,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100163003,CPT,Removal of spinal lamina,,,21,,RBRVS,17.64,9.73,9.73,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100163005,CPT,Removal of spinal lamina,,,21,,RBRVS,16.28,9.74,9.74,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100163011,CPT,Removal of spinal lamina,,,21,,RBRVS,15.78,9.01,9.01,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100163012,CPT,Removal of spinal lamina,,,21,,RBRVS,16.72,9.76,9.76,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100163015,CPT,Removal of spinal lamina,,,21,,RBRVS,20.7,11.85,11.85,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100163016,CPT,Removal of spinal lamina,,,21,,RBRVS,21.9,11.65,11.65,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100163017,CPT,Removal of spinal lamina,,,21,,RBRVS,17.18,10.35,10.35,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100163020,CPT,Neck spine disk surgery,,,21,,RBRVS,16.05,9.88,9.88,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100163030,CPT,Low back disk surgery,,,21,,RBRVS,13.03,8.6,8.6,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100163035,CPT,Spinal disk surgery add-on,,,21,,RBRVS,3.15,1.19,1.19,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100163040,CPT,"Laminotomy, single cervical",,,21,,RBRVS,20.18,11.03,11.03,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100163042,CPT,"Laminotomy, single lumbar",,,21,,RBRVS,18.61,10.59,10.59,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100163043,CPT,"Laminotomy, addl cervical",,,21,,TotalUnits,,,,15.61,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100163044,CPT,"Laminotomy, addl lumbar",,,21,,TotalUnits,,,,14.83,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100163045,CPT,Removal of spinal lamina,,,21,,RBRVS,17.82,10.34,10.34,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100163046,CPT,Removal of spinal lamina,,,21,,RBRVS,17.12,9.79,9.79,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100163047,CPT,Removal of spinal lamina,,,21,,RBRVS,15.22,9.34,9.34,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100163048,CPT,Remove spinal lamina add-on,,,21,,RBRVS,3.47,1.32,1.32,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100163050,CPT,Cervical laminoplasty,,,21,,RBRVS,21.88,11.82,11.82,,,$0.00 ,$0.00 ,1,0,0,1,1,1,2008100163051,CPT,C-laminoplasty w/graft/plate,,,21,,RBRVS,25.38,13.08,13.08,,,$0.00 ,$0.00 ,1,0,0,1,1,1,2008100163055,CPT,Decompress spinal cord,,,21,,RBRVS,23.42,12.45,12.45,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100163056,CPT,Decompress spinal cord,,,21,,RBRVS,21.73,11.38,11.38,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100163057,CPT,Decompress spine cord add-on,,,21,,RBRVS,5.25,1.98,1.98,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100163064,CPT,Decompress spinal cord,,,21,,RBRVS,26.09,13.22,13.22,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100163066,CPT,Decompress spine cord add-on,,,21,,RBRVS,3.26,1.21,1.21,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100163075,CPT,Neck spine disk surgery,,,21,,RBRVS,19.47,11.01,11.01,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100163076,CPT,Neck spine disk surgery,,,21,,RBRVS,4.04,1.52,1.52,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100163077,CPT,"Spine disk surgery, thorax",,,21,,RBRVS,22.75,11.08,11.08,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100163078,CPT,"Spine disk surgery, thorax",,,21,,RBRVS,3.28,1.21,1.21,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100163081,CPT,Removal of vertebral body,,,21,,RBRVS,25.97,13.49,13.49,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100163082,CPT,Remove vertebral body add-on,,,21,,RBRVS,4.36,1.64,1.64,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100163085,CPT,Removal of vertebral body,,,21,,RBRVS,29.34,13.54,13.54,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100163086,CPT,Remove vertebral body add-on,,,21,,RBRVS,3.19,1.17,1.17,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100163087,CPT,Removal of vertebral body,,,21,,RBRVS,37.38,16.65,16.65,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100163088,CPT,Remove vertebral body add-on,,,21,,RBRVS,4.32,1.59,1.59,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100163090,CPT,Removal of vertebral body,,,21,,RBRVS,30.78,14.39,14.39,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100163091,CPT,Remove vertebral body add-on,,,21,,RBRVS,3.03,1.14,1.14,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100163101,CPT,Removal of vertebral body,,,21,,RBRVS,33.92,17.04,17.04,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100163102,CPT,Removal of vertebral body,,,21,,RBRVS,33.92,16.83,16.83,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100163103,CPT,Remove vertebral body add-on,,,21,,RBRVS,4.82,1.74,1.74,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100163170,CPT,Incise spinal cord tract(s),,,21,,RBRVS,22.08,10.44,10.44,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100163172,CPT,Drainage of spinal cyst,,,21,,RBRVS,19.66,11.07,11.07,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100163173,CPT,Drainage of spinal cyst,,,21,,RBRVS,24.18,13.57,13.57,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100163180,CPT,Revise spinal cord ligaments,,,21,,RBRVS,20.4,10.95,10.95,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100163182,CPT,Revise spinal cord ligaments,,,21,,RBRVS,22.69,7.18,7.18,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100163185,CPT,Incise spinal column/nerves,,,21,,RBRVS,16.36,9.8,9.8,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100163190,CPT,Incise spinal column/nerves,,,21,,RBRVS,18.76,9.6,9.6,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100163191,CPT,Incise spinal column/nerves,,,21,,RBRVS,18.79,4.1,4.1,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100163194,CPT,Incise spinal column & cord,,,21,,RBRVS,21.97,11.2,11.2,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100163195,CPT,Incise spinal column & cord,,,21,,RBRVS,21.54,12.1,12.1,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100163196,CPT,Incise spinal column & cord,,,21,,RBRVS,25.14,13.79,13.79,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100163197,CPT,Incise spinal column & cord,,,21,,RBRVS,23.95,7.47,7.47,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100163198,CPT,Incise spinal column & cord,,,21,,RBRVS,29.75,8.93,8.93,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100163199,CPT,Incise spinal column & cord,,,21,,RBRVS,31.32,9.29,9.29,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100163200,CPT,Release of spinal cord,,,21,,RBRVS,21.31,12.1,12.1,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100163250,CPT,Revise spinal cord vessels,,,21,,RBRVS,43.73,20.91,20.91,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100163251,CPT,Revise spinal cord vessels,,,21,,RBRVS,44.49,21.53,21.53,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100163252,CPT,Revise spinal cord vessels,,,21,,RBRVS,44.48,20.87,20.87,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100163265,CPT,Excise intraspinal lesion,,,21,,RBRVS,23.69,12.99,12.99,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100163266,CPT,Excise intraspinal lesion,,,21,,RBRVS,24.55,13.18,13.18,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100163267,CPT,Excise intraspinal lesion,,,21,,RBRVS,19.32,11.13,11.13,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100163268,CPT,Excise intraspinal lesion,,,21,,RBRVS,19.89,11.25,11.25,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100163270,CPT,Excise intraspinal lesion,,,21,,RBRVS,29.67,15.36,15.36,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100163271,CPT,Excise intraspinal lesion,,,21,,RBRVS,29.79,15.32,15.32,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100163272,CPT,Excise intraspinal lesion,,,21,,RBRVS,27.37,14.29,14.29,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100163273,CPT,Excise intraspinal lesion,,,21,,RBRVS,26.34,14.08,14.08,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100163275,CPT,Biopsy/excise spinal tumor,,,21,,RBRVS,25.73,13.74,13.74,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100163276,CPT,Biopsy/excise spinal tumor,,,21,,RBRVS,25.56,13.52,13.52,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100163277,CPT,Biopsy/excise spinal tumor,,,21,,RBRVS,22.26,12.13,12.13,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100163278,CPT,Biopsy/excise spinal tumor,,,21,,RBRVS,21.99,11.92,11.92,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100163280,CPT,Biopsy/excise spinal tumor,,,21,,RBRVS,30.14,15.88,15.88,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100163281,CPT,Biopsy/excise spinal tumor,,,21,,RBRVS,29.84,15.87,15.87,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100163282,CPT,Biopsy/excise spinal tumor,,,21,,RBRVS,28,15.01,15.01,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100163283,CPT,Biopsy/excise spinal tumor,,,21,,RBRVS,26.61,14.68,14.68,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100163285,CPT,Biopsy/excise spinal tumor,,,21,,RBRVS,37.9,18.1,18.1,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100163286,CPT,Biopsy/excise spinal tumor,,,21,,RBRVS,37.47,18.71,18.71,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100163287,CPT,Biopsy/excise spinal tumor,,,21,,RBRVS,39.93,19.62,19.62,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100163290,CPT,Biopsy/excise spinal tumor,,,21,,RBRVS,40.67,19.29,19.29,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100163295,CPT,Repair of laminectomy defect,,,21,,RBRVS,5.25,1.95,1.95,,,$0.00 ,$0.00 ,1,0,0,1,1,1,2008100163300,CPT,Removal of vertebral body,,,21,,RBRVS,26.67,13.8,13.8,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100163301,CPT,Removal of vertebral body,,,21,,RBRVS,31.42,14.21,14.21,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100163302,CPT,Removal of vertebral body,,,21,,RBRVS,31,13.78,13.78,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100163303,CPT,Removal of vertebral body,,,21,,RBRVS,33.42,15,15,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100163304,CPT,Removal of vertebral body,,,21,,RBRVS,33.7,17.58,17.58,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100163305,CPT,Removal of vertebral body,,,21,,RBRVS,36.09,16.99,16.99,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100163306,CPT,Removal of vertebral body,,,21,,RBRVS,35.4,16.65,16.65,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100163307,CPT,Removal of vertebral body,,,21,,RBRVS,34.81,14.83,14.83,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100163308,CPT,Remove vertebral body add-on,,,21,,RBRVS,5.24,1.95,1.95,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100163600,CPT,Remove spinal cord lesion,,,21,,RBRVS,15.02,4.03,4.03,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100163610,CPT,Stimulation of spinal cord,,,21,,RBRVS,8.72,1.49,13.95,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100163615,CPT,Remove lesion of spinal cord,,,21,,RBRVS,17.22,8.53,8.53,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100163650,CPT,Implant neuroelectrodes,,,21,,RBRVS,7.57,2.92,2.92,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100163655,CPT,Implant neuroelectrodes,,,21,,RBRVS,11.43,7.63,7.63,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100163660,CPT,Revise/remove neuroelectrode,,,21,,RBRVS,6.87,3.42,3.42,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100163685,CPT,Implant neuroreceiver,,,21,,RBRVS,7.87,3.65,3.65,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100163688,CPT,Revise/remove neuroreceiver,,,21,,RBRVS,6.1,3.53,3.53,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100163700,CPT,Repair of spinal herniation,,,21,,RBRVS,17.32,9.95,9.95,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100163702,CPT,Repair of spinal herniation,,,21,,RBRVS,19.26,9.98,9.98,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100163704,CPT,Repair of spinal herniation,,,21,,RBRVS,22.23,11.66,11.66,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100163706,CPT,Repair of spinal herniation,,,21,,RBRVS,25.15,14.3,14.3,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100163707,CPT,Repair spinal fluid leakage,,,21,,RBRVS,12.52,7.83,7.83,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100163709,CPT,Repair spinal fluid leakage,,,21,,RBRVS,15.52,8.97,8.97,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100163710,CPT,Graft repair of spine defect,,,21,,RBRVS,15.27,9.19,9.19,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100163740,CPT,Install spinal shunt,,,21,,RBRVS,12.5,8.28,8.28,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100163741,CPT,Install spinal shunt,,,21,,RBRVS,9.02,4.93,4.93,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100163744,CPT,Revision of spinal shunt,,,21,,RBRVS,8.86,5.76,5.76,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100163746,CPT,Removal of spinal shunt,,,21,,RBRVS,7.25,5.69,5.69,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100164400,CPT,"N block inj, trigeminal",,,21,,RBRVS,1.11,0.45,1.42,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100164402,CPT,"N block inj, facial",,,21,,RBRVS,1.25,0.5,1.41,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100164405,CPT,"N block inj, occipital",,,21,,RBRVS,1.32,0.49,1.16,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100164408,CPT,"N block inj, vagus",,,21,,RBRVS,1.41,0.71,1.45,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100164410,CPT,"N block inj, phrenic",,,21,,RBRVS,1.43,0.56,1.92,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100164412,CPT,"N block inj, spinal accessor",,,21,,RBRVS,1.18,0.59,2.13,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100164413,CPT,"N block inj, cervical plexus",,,21,,RBRVS,1.4,0.48,1.31,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100164415,CPT,"N block inj, brachial plexus",,,21,,RBRVS,1.48,0.3,1.41,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100164416,CPT,"N block cont infuse, b plex",,,21,,RBRVS,3.85,0.46,0.46,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100164417,CPT,"N block inj, axillary",,,21,,RBRVS,1.44,0.32,1.43,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100164418,CPT,"N block inj, suprascapular",,,21,,RBRVS,1.32,0.52,1.89,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100164420,CPT,"N block inj, intercost, sng",,,21,,RBRVS,1.18,0.45,2.4,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100164421,CPT,"N block inj, intercost, mlt",,,21,,RBRVS,1.68,0.53,3.55,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100164425,CPT,N block inj ilio-ing/hypogi,,,21,,RBRVS,1.75,0.53,1.29,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100164430,CPT,"N block inj, pudendal",,,21,,RBRVS,1.46,0.77,2.39,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100164435,CPT,"N block inj, paracervical",,,21,,RBRVS,1.45,0.56,2,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100164445,CPT,"N block inj, sciatic, sng",,,21,,RBRVS,1.48,0.5,1.63,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100164446,CPT,"N blk inj, sciatic, cont inf",,,21,,RBRVS,3.61,0.48,0.48,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100164447,CPT,"N block inj fem, single",,,21,,RBRVS,1.5,0.17,0.17,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100164448,CPT,"N block inj fem, cont inf",,,21,,RBRVS,3.36,0.39,0.39,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100164449,CPT,"N block inj, lumbar plexus",,,21,,RBRVS,3.24,0.42,0.42,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100164450,CPT,"N block, other peripheral",,,21,,RBRVS,1.27,0.49,1.28,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100164470,CPT,Inj paravertebral c/t,,,21,,RBRVS,1.85,0.7,3.83,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100164472,CPT,Inj paravertebral c/t add-on,,,21,,RBRVS,1.29,0.33,1.22,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100164475,CPT,Inj paravertebral l/s,,,21,,RBRVS,1.41,0.58,3.64,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100164476,CPT,Inj paravertebral l/s add-on,,,21,,RBRVS,0.98,0.22,1.1,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100164479,CPT,Inj foramen epidural c/t,,,21,,RBRVS,2.2,0.81,3.75,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100164480,CPT,Inj foramen epidural add-on,,,21,,RBRVS,1.54,0.39,1.55,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100164483,CPT,Inj foramen epidural l/s,,,21,,RBRVS,1.9,0.75,3.82,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100164484,CPT,Inj foramen epidural add-on,,,21,,RBRVS,1.33,0.32,1.63,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100164505,CPT,"N block, spenopalatine gangl",,,21,,RBRVS,1.36,0.74,1.13,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100164508,CPT,"N block, carotid sinus s/p",,,21,,RBRVS,1.12,0.56,2.04,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100164510,CPT,"N block, stellate ganglion",,,21,,RBRVS,1.22,0.43,1.9,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100164517,CPT,"N block inj, hypogas plxs",,,21,,RBRVS,2.2,0.68,1.72,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100164520,CPT,"N block, lumbar/thoracic",,,21,,RBRVS,1.35,0.51,2.57,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100164530,CPT,"N block inj, celiac pelus",,,21,,RBRVS,1.58,0.65,2.79,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100164550,CPT,Apply neurostimulator,,,21,,RBRVS,0.18,0.05,0.2,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100164553,CPT,Implant neuroelectrodes,,,21,,RBRVS,2.33,1.45,2.65,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100164555,CPT,Implant neuroelectrodes,,,21,,RBRVS,2.29,1.49,2.78,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100164560,CPT,Implant neuroelectrodes,,,21,,RBRVS,2.38,1.26,2.41,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100164561,CPT,Implant neuroelectrodes,,,21,,RBRVS,7.07,3.76,19.61,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100164565,CPT,Implant neuroelectrodes,,,21,,RBRVS,1.78,1.29,2.47,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100164573,CPT,Implant neuroelectrodes,,,21,,RBRVS,8.15,5.16,5.16,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100164575,CPT,Implant neuroelectrodes,,,21,,RBRVS,4.37,2.06,2.06,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100164577,CPT,Implant neuroelectrodes,,,21,,RBRVS,4.64,4.79,4.79,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100164580,CPT,Implant neuroelectrodes,,,21,,RBRVS,4.14,2.71,2.71,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100164581,CPT,Implant neuroelectrodes,,,21,,RBRVS,14.15,6.6,6.6,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100164585,CPT,Revise/remove neuroelectrode,,,21,,RBRVS,2.08,2.29,5.92,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100164590,CPT,Implant neuroreceiver,,,21,,RBRVS,2.42,2.46,6.41,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100164595,CPT,Revise/remove neuroreceiver,,,21,,RBRVS,1.75,2.18,6.45,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100164600,CPT,Injection treatment of nerve,,,21,,RBRVS,3.46,1.63,5.43,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100164605,CPT,Injection treatment of nerve,,,21,,RBRVS,5.62,2.27,7.22,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100164610,CPT,Injection treatment of nerve,,,21,,RBRVS,7.17,3.43,9.18,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100164612,CPT,"Destroy nerve, face muscle",,,21,,RBRVS,1.98,1.34,1.58,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100164613,CPT,"Destroy nerve, spine muscle",,,21,,RBRVS,1.98,1.14,1.37,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100164614,CPT,"Destroy nerve, extrem musc",,,21,,RBRVS,2.2,1.31,1.62,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100164620,CPT,Injection treatment of nerve,,,21,,RBRVS,2.86,1.11,3.3,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100164622,CPT,Destr paravertebrl nerve l/s,,,21,,RBRVS,3.02,1.26,4.06,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100164623,CPT,Destr paravertebral n add-on,,,21,,RBRVS,0.99,0.22,1.68,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100164626,CPT,Destr paravertebrl nerve c/t,,,21,,RBRVS,3.82,1.87,4.74,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100164627,CPT,Destr paravertebral n add-on,,,21,,RBRVS,1.16,0.25,2.37,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100164630,CPT,Injection treatment of nerve,,,21,,RBRVS,3.02,1.84,2.76,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100164640,CPT,Injection treatment of nerve,,,21,,RBRVS,2.78,1.42,2.42,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100164650,CPT,Chemodenerv eccrine glands,,,21,,RBRVS,0.7,0.16,0.72,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100164653,CPT,Chemodenerv eccrine glands,,,21,,RBRVS,0.88,0.19,0.75,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100164680,CPT,Injection treatment of nerve,,,21,,RBRVS,2.64,1.2,4.25,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100164681,CPT,Injection treatment of nerve,,,21,,RBRVS,3.78,1.27,4.82,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100164702,CPT,Revise finger/toe nerve,,,21,,RBRVS,6.1,5.19,5.19,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100164704,CPT,Revise hand/foot nerve,,,21,,RBRVS,4.61,3.28,3.28,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100164708,CPT,Revise arm/leg nerve,,,21,,RBRVS,6.22,4.2,4.2,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100164712,CPT,Revision of sciatic nerve,,,21,,RBRVS,7.98,4.38,4.38,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100164713,CPT,Revision of arm nerve(s),,,21,,RBRVS,11.29,6.05,6.05,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100164714,CPT,Revise low back nerve(s),,,21,,RBRVS,10.44,4.37,4.37,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100164716,CPT,Revision of cranial nerve,,,21,,RBRVS,6.86,5.46,5.46,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100164718,CPT,Revise ulnar nerve at elbow,,,21,,RBRVS,7.06,6.2,6.2,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100164719,CPT,Revise ulnar nerve at wrist,,,21,,RBRVS,4.89,4.14,4.14,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100164721,CPT,Carpal tunnel surgery,,,21,,RBRVS,4.84,4.65,4.71,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100164722,CPT,Relieve pressure on nerve(s),,,21,,RBRVS,4.74,3,3,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100164726,CPT,Release foot/toe nerve,,,21,,RBRVS,4.21,2.8,2.8,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100164727,CPT,Internal nerve revision,,,21,,RBRVS,3.1,1.19,1.19,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100164732,CPT,Incision of brow nerve,,,21,,RBRVS,4.81,3.66,3.66,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100164734,CPT,Incision of cheek nerve,,,21,,RBRVS,5.45,4.44,4.44,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100164736,CPT,Incision of chin nerve,,,21,,RBRVS,5.13,3.72,3.72,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100164738,CPT,Incision of jaw nerve,,,21,,RBRVS,6.26,4.65,4.65,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100164740,CPT,Incision of tongue nerve,,,21,,RBRVS,6.12,4.98,4.98,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100164742,CPT,Incision of facial nerve,,,21,,RBRVS,6.75,4.28,4.28,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100164744,CPT,"Incise nerve, back of head",,,21,,RBRVS,5.64,4.04,4.04,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100164746,CPT,Incise diaphragm nerve,,,21,,RBRVS,6.46,3.86,3.86,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100164752,CPT,Incision of vagus nerve,,,21,,RBRVS,7.59,3.79,3.79,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100164755,CPT,Incision of stomach nerves,,,21,,RBRVS,14.97,5.5,5.5,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100164760,CPT,Incision of vagus nerve,,,21,,RBRVS,7.49,3.78,3.78,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100164761,CPT,Incision of pelvis nerve,,,21,,RBRVS,6.94,4.33,4.33,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100164763,CPT,Incise hip/thigh nerve,,,21,,RBRVS,7.46,3.91,3.91,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100164766,CPT,Incise hip/thigh nerve,,,21,,RBRVS,9.34,4.74,4.74,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100164771,CPT,Sever cranial nerve,,,21,,RBRVS,8.02,5.64,5.64,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100164772,CPT,Incision of spinal nerve,,,21,,RBRVS,7.74,5.12,5.12,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100164774,CPT,Remove skin nerve lesion,,,21,,RBRVS,5.7,4.03,4.03,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100164776,CPT,Remove digit nerve lesion,,,21,,RBRVS,5.52,3.73,3.73,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100164778,CPT,Digit nerve surgery add-on,,,21,,RBRVS,3.11,1.21,1.21,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100164782,CPT,Remove limb nerve lesion,,,21,,RBRVS,6.76,4.22,4.22,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100164783,CPT,Limb nerve surgery add-on,,,21,,RBRVS,3.71,1.37,1.37,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100164784,CPT,Remove nerve lesion,,,21,,RBRVS,10.49,6.41,6.41,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100164786,CPT,Remove sciatic nerve lesion,,,21,,RBRVS,16.12,8.44,8.44,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100164787,CPT,Implant nerve end,,,21,,RBRVS,4.29,1.64,1.64,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100164788,CPT,Remove skin nerve lesion,,,21,,RBRVS,5.14,4.06,4.06,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100164790,CPT,Removal of nerve lesion,,,21,,RBRVS,11.97,6.98,6.98,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100164792,CPT,Removal of nerve lesion,,,21,,RBRVS,15.71,8.3,8.3,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100164795,CPT,Biopsy of nerve,,,21,,RBRVS,3.01,1.43,1.43,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100164802,CPT,Remove sympathetic nerves,,,21,,RBRVS,10.24,3.51,3.51,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100164804,CPT,Remove sympathetic nerves,,,21,,RBRVS,15.78,5.97,5.97,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100164809,CPT,Remove sympathetic nerves,,,21,,RBRVS,14.61,7.04,7.04,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100164818,CPT,Remove sympathetic nerves,,,21,,RBRVS,11.24,4.32,4.32,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100164820,CPT,Remove sympathetic nerves,,,21,,RBRVS,10.64,6.94,6.94,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100164821,CPT,Remove sympathestic nerves,,,21,,RBRVS,9.19,6.54,6.54,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100164822,CPT,Remove sympathetic nerves,,,21,,RBRVS,9.19,6.43,6.43,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100164823,CPT,Remove sympathetic nerves,,,21,,RBRVS,10.8,6.47,6.47,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100164831,CPT,Repair of digit nerve,,,21,,RBRVS,10.23,6.62,6.62,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100164832,CPT,Repair nerve add-on,,,21,,RBRVS,5.65,2.32,2.32,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100164834,CPT,Repair of hand or foot nerve,,,21,,RBRVS,10.71,6.45,6.45,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100164835,CPT,Repair of hand or foot nerve,,,21,,RBRVS,11.6,6.91,6.91,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100164836,CPT,Repair of hand or foot nerve,,,21,,RBRVS,11.6,7.07,7.07,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100164837,CPT,Repair nerve add-on,,,21,,RBRVS,6.25,2.57,2.57,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100164840,CPT,Repair of leg nerve,,,21,,RBRVS,13.87,7.52,7.52,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100164856,CPT,Repair/transpose nerve,,,21,,RBRVS,14.94,8.48,8.48,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100164857,CPT,Repair arm/leg nerve,,,21,,RBRVS,15.69,8.76,8.76,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100164858,CPT,Repair sciatic nerve,,,21,,RBRVS,17.69,9.57,9.57,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100164859,CPT,Nerve surgery,,,21,,RBRVS,4.25,1.75,1.75,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100164861,CPT,Repair of arm nerves,,,21,,RBRVS,20.74,10.01,10.01,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100164862,CPT,Repair of low back nerves,,,21,,RBRVS,20.94,10.14,10.14,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100164864,CPT,Repair of facial nerve,,,21,,RBRVS,13.31,7.47,7.47,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100164865,CPT,Repair of facial nerve,,,21,,RBRVS,15.96,11.53,11.53,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100164866,CPT,Fusion of facial/other nerve,,,21,,RBRVS,16.7,11.11,11.11,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100164868,CPT,Fusion of facial/other nerve,,,21,,RBRVS,14.8,9.79,9.79,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100164870,CPT,Fusion of facial/other nerve,,,21,,RBRVS,16.95,8.06,8.06,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100164872,CPT,Subsequent repair of nerve,,,21,,RBRVS,1.99,0.78,0.78,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100164874,CPT,Repair & revise nerve add-on,,,21,,RBRVS,2.98,1.26,1.26,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100164876,CPT,Repair nerve/shorten bone,,,21,,RBRVS,3.37,1.43,1.43,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100164885,CPT,"Nerve graft, head or neck",,,21,,RBRVS,17.5,8.95,8.95,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100164886,CPT,"Nerve graft, head or neck",,,21,,RBRVS,20.72,10.38,10.38,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100164890,CPT,"Nerve graft, hand or foot",,,21,,RBRVS,16.11,8.98,8.98,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100164891,CPT,"Nerve graft, hand or foot",,,21,,RBRVS,17.22,9.67,9.67,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100164892,CPT,"Nerve graft, arm or leg",,,21,,RBRVS,15.61,9.13,9.13,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100164893,CPT,"Nerve graft, arm or leg",,,21,,RBRVS,16.74,9.63,9.63,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100164895,CPT,"Nerve graft, hand or foot",,,21,,RBRVS,20.26,11.04,11.04,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100164896,CPT,"Nerve graft, hand or foot",,,21,,RBRVS,21.81,11.67,11.67,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100164897,CPT,"Nerve graft, arm or leg",,,21,,RBRVS,19.25,10.5,10.5,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100164898,CPT,"Nerve graft, arm or leg",,,21,,RBRVS,20.82,11.46,11.46,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100164901,CPT,Nerve graft add-on,,,21,,RBRVS,10.2,3.63,3.63,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100164902,CPT,Nerve graft add-on,,,21,,RBRVS,11.81,4.66,4.66,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100164905,CPT,Nerve pedicle transfer,,,21,,RBRVS,14.98,7,7,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100164907,CPT,Nerve pedicle transfer,,,21,,RBRVS,19.9,6.35,6.35,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100164910,CPT,Nerve repair w/allograft,,,21,,RBRVS,11.21,4.66,4.66,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100164911,CPT,Neurorraphy w/vein autograft,,,21,,RBRVS,14.21,5.32,5.32,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100164999,CPT,Nervous system surgery,,,21,,TotalUnits,,,,8.64,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100165091,CPT,Revise eye,,,21,,RBRVS,7.13,6.73,6.73,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100165093,CPT,Revise eye with implant,,,21,,RBRVS,6.93,6.79,6.79,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100165101,CPT,Removal of eye,,,21,,RBRVS,8.1,7.96,7.96,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100165103,CPT,Remove eye/insert implant,,,21,,RBRVS,8.64,8.12,8.12,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100165105,CPT,Remove eye/attach implant,,,21,,RBRVS,9.7,8.77,8.77,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100165110,CPT,Removal of eye,,,21,,RBRVS,15.42,11.42,11.42,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100165112,CPT,Remove eye/revise socket,,,21,,RBRVS,18.18,13.3,13.3,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100165114,CPT,Remove eye/revise socket,,,21,,RBRVS,19.32,13.57,13.57,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100165125,CPT,Revise ocular implant,,,21,,RBRVS,3.18,3.17,6.71,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100165130,CPT,Insert ocular implant,,,21,,RBRVS,8.22,7.68,7.68,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100165135,CPT,Insert ocular implant,,,21,,RBRVS,8.4,7.74,7.74,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100165140,CPT,Attach ocular implant,,,21,,RBRVS,9.23,8.38,8.38,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100165150,CPT,Revise ocular implant,,,21,,RBRVS,6.32,6.29,6.29,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100165155,CPT,Reinsert ocular implant,,,21,,RBRVS,9.87,8.77,8.77,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100165175,CPT,Removal of ocular implant,,,21,,RBRVS,7.22,7.04,7.04,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100165205,CPT,Remove foreign body from eye,,,21,,RBRVS,0.71,0.32,0.57,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100165210,CPT,Remove foreign body from eye,,,21,,RBRVS,0.84,0.39,0.71,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100165220,CPT,Remove foreign body from eye,,,21,,RBRVS,0.71,0.28,0.59,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100165222,CPT,Remove foreign body from eye,,,21,,RBRVS,0.93,0.41,0.78,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100165235,CPT,Remove foreign body from eye,,,21,,RBRVS,8.78,6.78,6.78,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100165260,CPT,Remove foreign body from eye,,,21,,RBRVS,12.29,8.74,8.74,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100165265,CPT,Remove foreign body from eye,,,21,,RBRVS,14.06,9.59,9.59,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100165270,CPT,Repair of eye wound,,,21,,RBRVS,1.92,1.2,3.82,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100165272,CPT,Repair of eye wound,,,21,,RBRVS,4.49,3.15,6.3,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100165273,CPT,Repair of eye wound,,,21,,RBRVS,5.03,3.36,3.36,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100165275,CPT,Repair of eye wound,,,21,,RBRVS,6.14,3.9,6.3,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100165280,CPT,Repair of eye wound,,,21,,RBRVS,8.87,5.83,5.83,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100165285,CPT,Repair of eye wound,,,21,,RBRVS,14.43,8.39,8.39,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100165286,CPT,Repair of eye wound,,,21,,RBRVS,6.45,4.38,8.7,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100165290,CPT,Repair of eye socket wound,,,21,,RBRVS,6.35,4.43,4.43,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100165400,CPT,Removal of eye lesion,,,21,,RBRVS,7.27,5.84,7.44,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100165410,CPT,Biopsy of cornea,,,21,,RBRVS,1.47,0.86,1.66,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100165420,CPT,Removal of eye lesion,,,21,,RBRVS,4.24,3.96,6.85,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100165426,CPT,Removal of eye lesion,,,21,,RBRVS,5.93,4.5,8.09,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100165430,CPT,Corneal smear,,,21,,RBRVS,1.47,0.86,1.09,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100165435,CPT,Curette/treat cornea,,,21,,RBRVS,0.92,0.64,0.86,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100165436,CPT,Curette/treat cornea,,,21,,RBRVS,4.72,3.43,3.76,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100165450,CPT,Treatment of corneal lesion,,,21,,RBRVS,3.35,3.6,3.67,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100165600,CPT,Revision of cornea,,,21,,RBRVS,4.07,3.38,4.43,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100165710,CPT,Corneal transplant,,,21,,RBRVS,14.09,10.14,10.14,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100165730,CPT,Corneal transplant,,,21,,RBRVS,15.99,10.96,10.96,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100165750,CPT,Corneal transplant,,,21,,RBRVS,16.6,10.61,10.61,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100165755,CPT,Corneal transplant,,,21,,RBRVS,16.49,10.58,10.58,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100165760,CPT,Revision of cornea,,,21,,TotalUnits,,,,30.91,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100165765,CPT,Revision of cornea,,,21,,TotalUnits,,,,35.86,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100165767,CPT,Corneal tissue transplant,,,21,,TotalUnits,,,,33.39,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100165770,CPT,Revise cornea with implant,,,21,,RBRVS,19.41,11.65,11.65,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100165771,CPT,Radial keratotomy,,,21,,TotalUnits,,,,18.18,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100165772,CPT,Correction of astigmatism,,,21,,RBRVS,4.96,3.91,4.84,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100165775,CPT,Correction of astigmatism,,,21,,RBRVS,6.73,5.3,5.3,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100165780,CPT,"Ocular reconst, transplant",,,21,,RBRVS,10.43,8.93,8.93,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100165781,CPT,"Ocular reconst, transplant",,,21,,RBRVS,17.84,11.57,11.57,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100165782,CPT,"Ocular reconst, transplant",,,21,,RBRVS,15.16,10.19,10.19,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100165800,CPT,Drainage of eye,,,21,,RBRVS,1.91,1.02,1.39,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100165805,CPT,Drainage of eye,,,21,,RBRVS,1.91,1.02,1.7,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100165810,CPT,Drainage of eye,,,21,,RBRVS,5.67,4.66,4.66,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100165815,CPT,Drainage of eye,,,21,,RBRVS,5.85,4.57,7.91,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100165820,CPT,Relieve inner eye pressure,,,21,,RBRVS,8.72,7.5,7.5,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100165850,CPT,Incision of eye,,,21,,RBRVS,11.24,7.32,7.32,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100165855,CPT,Laser surgery of eye,,,21,,RBRVS,3.9,2.62,3.49,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100165860,CPT,Incise inner eye adhesions,,,21,,RBRVS,3.56,2.07,3.26,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100165865,CPT,Incise inner eye adhesions,,,21,,RBRVS,5.66,4.69,4.69,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100165870,CPT,Incise inner eye adhesions,,,21,,RBRVS,7.21,5.7,5.7,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100165875,CPT,Incise inner eye adhesions,,,21,,RBRVS,7.61,6.13,6.13,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100165880,CPT,Incise inner eye adhesions,,,21,,RBRVS,8.16,6.3,6.3,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100165900,CPT,Remove eye lesion,,,21,,RBRVS,12.26,8.89,8.89,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100165920,CPT,Remove implant of eye,,,21,,RBRVS,9.74,7.46,7.46,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100165930,CPT,Remove blood clot from eye,,,21,,RBRVS,8.24,5.77,5.77,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100166020,CPT,Injection treatment of eye,,,21,,RBRVS,1.61,1.27,2.42,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100166030,CPT,Injection treatment of eye,,,21,,RBRVS,1.27,1.15,2.29,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100166130,CPT,Remove eye lesion,,,21,,RBRVS,7.74,4.86,7.51,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100166150,CPT,Glaucoma surgery,,,21,,RBRVS,10.18,8.81,8.81,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100166155,CPT,Glaucoma surgery,,,21,,RBRVS,10.17,8.81,8.81,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100166160,CPT,Glaucoma surgery,,,21,,RBRVS,12.04,9.47,9.47,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100166165,CPT,Glaucoma surgery,,,21,,RBRVS,9.89,8.77,8.77,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100166170,CPT,Glaucoma surgery,,,21,,RBRVS,14.57,11.54,11.54,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100166172,CPT,Incision of eye,,,21,,RBRVS,18.26,14.63,14.63,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100166180,CPT,Implant eye shunt,,,21,,RBRVS,16.02,9.69,9.69,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100166185,CPT,Revise eye shunt,,,21,,RBRVS,9.35,7.04,7.04,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100166220,CPT,Repair eye lesion,,,21,,RBRVS,8.98,7.17,7.17,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100166225,CPT,Repair/graft eye lesion,,,21,,RBRVS,12.38,8.11,8.11,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100166250,CPT,Follow-up surgery of eye,,,21,,RBRVS,6.92,5.25,9.24,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100166500,CPT,Incision of iris,,,21,,RBRVS,3.75,3.95,3.95,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100166505,CPT,Incision of iris,,,21,,RBRVS,4.13,4.3,4.3,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100166600,CPT,Remove iris and lesion,,,21,,RBRVS,9.89,8.25,8.25,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100166605,CPT,Removal of iris,,,21,,RBRVS,13.99,9.45,9.45,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100166625,CPT,Removal of iris,,,21,,RBRVS,5.19,4.21,4.21,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100166630,CPT,Removal of iris,,,21,,RBRVS,7.1,5.34,5.34,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100166635,CPT,Removal of iris,,,21,,RBRVS,7.19,5.37,5.37,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100166680,CPT,Repair iris & ciliary body,,,21,,RBRVS,6.24,5.06,5.06,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100166682,CPT,Repair iris & ciliary body,,,21,,RBRVS,7.15,6.71,6.71,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100166700,CPT,"Destruction, ciliary body",,,21,,RBRVS,5.06,3.59,4.78,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100166710,CPT,"Destruction, ciliary body",,,21,,RBRVS,5.06,3.6,4.6,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100166711,CPT,Ciliary endoscopic ablation,,,21,,RBRVS,7.7,6.29,6.29,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100166720,CPT,"Destruction, ciliary body",,,21,,RBRVS,4.86,4.32,5.37,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100166740,CPT,"Destruction, ciliary body",,,21,,RBRVS,5.06,3.6,4.53,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100166761,CPT,Revision of iris,,,21,,RBRVS,4.87,4.19,5.02,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100166762,CPT,Revision of iris,,,21,,RBRVS,5.25,4.06,5.1,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100166770,CPT,Removal of inner eye lesion,,,21,,RBRVS,5.98,4.59,5.53,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100166820,CPT,"Incision, secondary cataract",,,21,,RBRVS,3.93,4.62,4.62,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100166821,CPT,After cataract laser surgery,,,21,,RBRVS,3.32,3.42,3.82,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100166825,CPT,Reposition intraocular lens,,,21,,RBRVS,8.82,7.77,7.77,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100166830,CPT,Removal of lens lesion,,,21,,RBRVS,9.27,6.37,6.37,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100166840,CPT,Removal of lens material,,,21,,RBRVS,8.98,6.29,6.29,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100166850,CPT,Removal of lens material,,,21,,RBRVS,10.32,7.06,7.06,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100166852,CPT,Removal of lens material,,,21,,RBRVS,11.18,7.38,7.38,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100166920,CPT,Extraction of lens,,,21,,RBRVS,9.93,6.64,6.64,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100166930,CPT,Extraction of lens,,,21,,RBRVS,11.38,7.45,7.45,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100166940,CPT,Extraction of lens,,,21,,RBRVS,10.14,7,7,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100166982,CPT,"Cataract surgery, complex",,,21,,RBRVS,14.83,8.95,8.95,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100166983,CPT,"Cataract surg w/iol, 1 stage",,,21,,RBRVS,10.2,6.51,6.51,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100166984,CPT,"Cataract surg w/iol, 1 stage",,,21,,RBRVS,10.36,6.44,6.44,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100166985,CPT,Insert lens prosthesis,,,21,,RBRVS,9.73,7.12,7.12,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100166986,CPT,Exchange lens prosthesis,,,21,,RBRVS,12.26,8.05,8.05,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100166990,CPT,Ophthalmic endoscope add-on,,,21,,RBRVS,1.51,0.54,0.54,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100166999,CPT,Eye surgery procedure,,,21,,TotalUnits,,,,17.84,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100167005,CPT,Partial removal of eye fluid,,,21,,RBRVS,5.77,4.57,4.57,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100167010,CPT,Partial removal of eye fluid,,,21,,RBRVS,6.94,4.99,4.99,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100167015,CPT,Release of eye fluid,,,21,,RBRVS,7,5.7,5.7,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100167025,CPT,Replace eye fluid,,,21,,RBRVS,7.91,5.91,7.86,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100167027,CPT,Implant eye drug system,,,21,,RBRVS,11.43,7.37,7.37,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100167028,CPT,Injection eye drug,,,21,,RBRVS,2.52,1.24,2.15,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100167030,CPT,Incise inner eye strands,,,21,,RBRVS,5.91,5.6,5.6,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100167031,CPT,"Laser surgery, eye strands",,,21,,RBRVS,4.34,3.43,4.09,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100167036,CPT,Removal of inner eye fluid,,,21,,RBRVS,13.09,8.06,8.06,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100167039,CPT,Laser treatment of retina,,,21,,RBRVS,16.39,10.69,10.69,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100167040,CPT,Laser treatment of retina,,,21,,RBRVS,19.23,12,12,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100167041,CPT,Vit for macular pucker,,,21,,RBRVS,19,10.37,10.37,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100167042,CPT,Vit for macular hole,,,21,,RBRVS,22.13,11.49,11.49,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100167043,CPT,Vit for membrane dissect,,,21,,RBRVS,22.94,12.35,12.35,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100167101,CPT,Repair detached retina,,,21,,RBRVS,8.6,6.17,8.49,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100167105,CPT,Repair detached retina,,,21,,RBRVS,8.35,5.78,7.41,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100167107,CPT,Repair detached retina,,,21,,RBRVS,16.35,10.35,10.35,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100167108,CPT,Repair detached retina,,,21,,RBRVS,22.49,12.93,12.93,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100167110,CPT,Repair detached retina,,,21,,RBRVS,10.02,6.96,8.92,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100167112,CPT,Rerepair detached retina,,,21,,RBRVS,18.45,10.86,10.86,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100167113,CPT,"Repair retinal detach, cplx",,,21,,RBRVS,22.49,12.77,12.77,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100167115,CPT,Release encircling material,,,21,,RBRVS,5.93,4.92,4.92,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100167120,CPT,Remove eye implant material,,,21,,RBRVS,6.92,5.28,7.35,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100167121,CPT,Remove eye implant material,,,21,,RBRVS,12,7.95,7.95,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100167141,CPT,Treatment of retina,,,21,,RBRVS,6,4.65,5.41,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100167145,CPT,Treatment of retina,,,21,,RBRVS,6.17,4.71,5.34,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100167208,CPT,Treatment of retinal lesion,,,21,,RBRVS,7.5,5.2,5.64,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100167210,CPT,Treatment of retinal lesion,,,21,,RBRVS,9.35,5.44,5.91,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100167218,CPT,Treatment of retinal lesion,,,21,,RBRVS,20.22,10.61,10.61,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100167220,CPT,Treatment of choroid lesion,,,21,,RBRVS,14.19,8.16,9.22,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100167221,CPT,Ocular photodynamic ther,,,21,,RBRVS,3.45,1.38,2.92,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100167225,CPT,Eye photodynamic ther add-on,,,21,,RBRVS,0.47,0.17,0.22,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100167227,CPT,Treatment of retinal lesion,,,21,,RBRVS,7.38,5.16,6,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100167228,CPT,Treatment of retinal lesion,,,21,,RBRVS,13.67,10.19,13.6,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100167229,CPT,Tr retinal les preterm inf,,,21,,RBRVS,16,9.52,9.52,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100167250,CPT,Reinforce eye wall,,,21,,RBRVS,9.46,7.66,7.66,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100167255,CPT,Reinforce/graft eye wall,,,21,,RBRVS,9.97,8.43,8.43,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100167299,CPT,Eye surgery procedure,,,21,,TotalUnits,,,,21.22,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100167311,CPT,Revise eye muscle,,,21,,RBRVS,7.59,5.5,5.5,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100167312,CPT,Revise two eye muscles,,,21,,RBRVS,9.48,6.19,6.19,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100167314,CPT,Revise eye muscle,,,21,,RBRVS,8.59,6.15,6.15,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100167316,CPT,Revise two eye muscles,,,21,,RBRVS,10.73,6.92,6.92,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100167318,CPT,Revise eye muscle(s),,,21,,RBRVS,8.92,6.51,6.51,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100167320,CPT,Revise eye muscle(s) add-on,,,21,,RBRVS,5.4,1.92,1.92,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100167331,CPT,Eye surgery follow-up add-on,,,21,,RBRVS,5.13,1.81,1.81,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100167332,CPT,Rerevise eye muscles add-on,,,21,,RBRVS,5.56,1.97,1.97,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100167334,CPT,Revise eye muscle w/suture,,,21,,RBRVS,5.05,1.8,1.8,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100167335,CPT,Eye suture during surgery,,,21,,RBRVS,2.49,0.88,0.88,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100167340,CPT,Revise eye muscle add-on,,,21,,RBRVS,6,2.14,2.14,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100167343,CPT,Release eye tissue,,,21,,RBRVS,8.29,6.06,6.06,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100167345,CPT,Destroy nerve of eye muscle,,,21,,RBRVS,2.98,1.69,2.17,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100167346,CPT,"Biopsy, eye muscle",,,21,,RBRVS,2.87,1.62,1.62,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100167399,CPT,Eye muscle surgery procedure,,,21,,TotalUnits,,,,13.06,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100167400,CPT,Explore/biopsy eye socket,,,21,,RBRVS,10.97,9.42,9.42,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100167405,CPT,Explore/drain eye socket,,,21,,RBRVS,9,8.34,8.34,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100167412,CPT,Explore/treat eye socket,,,21,,RBRVS,10.17,8.53,8.53,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100167413,CPT,Explore/treat eye socket,,,21,,RBRVS,10.09,8.7,8.7,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100167414,CPT,Explr/decompress eye socket,,,21,,RBRVS,17.78,11.64,11.64,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100167415,CPT,"Aspiration, orbital contents",,,21,,RBRVS,1.76,0.62,0.62,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100167420,CPT,Explore/treat eye socket,,,21,,RBRVS,21.62,14.24,14.24,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100167430,CPT,Explore/treat eye socket,,,21,,RBRVS,14.99,11.87,11.87,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100167440,CPT,Explore/drain eye socket,,,21,,RBRVS,14.56,11.88,11.88,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100167445,CPT,Explr/decompress eye socket,,,21,,RBRVS,18.96,12.14,12.14,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100167450,CPT,Explore/biopsy eye socket,,,21,,RBRVS,15.11,12.3,12.3,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100167500,CPT,Inject/treat eye socket,,,21,,RBRVS,1.44,0.44,0.57,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100167505,CPT,Inject/treat eye socket,,,21,,RBRVS,1.27,0.5,0.65,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100167515,CPT,Inject/treat eye socket,,,21,,RBRVS,1.4,0.61,0.77,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100167550,CPT,Insert eye socket implant,,,21,,RBRVS,11.52,9.83,9.83,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100167560,CPT,Revise eye socket implant,,,21,,RBRVS,11.93,9.78,9.78,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100167570,CPT,Decompress optic nerve,,,21,,RBRVS,14.21,11.01,11.01,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100167599,CPT,Orbit surgery procedure,,,21,,TotalUnits,,,,1.38,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100167700,CPT,Drainage of eyelid abscess,,,21,,RBRVS,1.37,1.17,4.31,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100167710,CPT,Incision of eyelid,,,21,,RBRVS,1.04,1.08,3.7,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100167715,CPT,Incision of eyelid fold,,,21,,RBRVS,1.24,1.15,3.83,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100167800,CPT,Remove eyelid lesion,,,21,,RBRVS,1.39,0.9,1.39,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100167801,CPT,Remove eyelid lesions,,,21,,RBRVS,1.89,1.08,1.67,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100167805,CPT,Remove eyelid lesions,,,21,,RBRVS,2.24,1.41,2.18,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100167808,CPT,Remove eyelid lesion(s),,,21,,RBRVS,4.47,3.61,3.61,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100167810,CPT,Biopsy of eyelid,,,21,,RBRVS,1.48,0.68,3.94,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100167820,CPT,Revise eyelashes,,,21,,RBRVS,0.71,0.5,0.43,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100167825,CPT,Revise eyelashes,,,21,,RBRVS,1.4,1.26,1.4,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100167830,CPT,Revise eyelashes,,,21,,RBRVS,1.72,1.32,3.99,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100167835,CPT,Revise eyelashes,,,21,,RBRVS,5.61,4.12,4.12,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100167840,CPT,Remove eyelid lesion,,,21,,RBRVS,2.06,1.45,3.9,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100167850,CPT,Treat eyelid lesion,,,21,,RBRVS,1.71,1.45,3.29,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100167875,CPT,Closure of eyelid by suture,,,21,,RBRVS,1.35,0.83,2.38,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100167880,CPT,Revision of eyelid,,,21,,RBRVS,4.47,3.57,5.44,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100167882,CPT,Revision of eyelid,,,21,,RBRVS,5.87,4.46,6.36,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100167900,CPT,Repair brow defect,,,21,,RBRVS,6.69,4.61,7.37,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100167901,CPT,Repair eyelid defect,,,21,,RBRVS,7.47,5.29,8.99,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100167902,CPT,Repair eyelid defect,,,21,,RBRVS,9.68,6.34,6.34,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100167903,CPT,Repair eyelid defect,,,21,,RBRVS,6.42,4.34,6.63,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100167904,CPT,Repair eyelid defect,,,21,,RBRVS,7.83,5.37,8.17,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100167906,CPT,Repair eyelid defect,,,21,,RBRVS,6.84,4.47,4.47,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100167908,CPT,Repair eyelid defect,,,21,,RBRVS,5.19,4.12,5.55,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100167909,CPT,Revise eyelid defect,,,21,,RBRVS,5.46,4.17,6.18,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100167911,CPT,Revise eyelid defect,,,21,,RBRVS,7.38,5.05,5.05,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100167912,CPT,Correction eyelid w/ implant,,,21,,RBRVS,6.23,4.74,13.14,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100167914,CPT,Repair eyelid defect,,,21,,RBRVS,3.7,2.68,4.75,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100167915,CPT,Repair eyelid defect,,,21,,RBRVS,3.21,2.43,4.32,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100167916,CPT,Repair eyelid defect,,,21,,RBRVS,5.37,4.15,6.37,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100167917,CPT,Repair eyelid defect,,,21,,RBRVS,6.08,4.41,6.72,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100167921,CPT,Repair eyelid defect,,,21,,RBRVS,3.42,2.56,4.62,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100167922,CPT,Repair eyelid defect,,,21,,RBRVS,3.09,2.33,4.16,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100167923,CPT,Repair eyelid defect,,,21,,RBRVS,5.94,4.33,6.44,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100167924,CPT,Repair eyelid defect,,,21,,RBRVS,5.84,4.06,6.91,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100167930,CPT,Repair eyelid wound,,,21,,RBRVS,3.62,1.78,4.37,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100167935,CPT,Repair eyelid wound,,,21,,RBRVS,6.27,3.58,6.76,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100167938,CPT,Remove eyelid foreign body,,,21,,RBRVS,1.35,1.22,3.83,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100167950,CPT,Revision of eyelid,,,21,,RBRVS,5.88,4.37,6.66,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100167961,CPT,Revision of eyelid,,,21,,RBRVS,5.75,4.3,6.81,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100167966,CPT,Revision of eyelid,,,21,,RBRVS,8.83,5.74,8.05,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100167971,CPT,Reconstruction of eyelid,,,21,,RBRVS,9.87,6.18,6.18,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100167973,CPT,Reconstruction of eyelid,,,21,,RBRVS,12.96,7.71,7.71,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100167974,CPT,Reconstruction of eyelid,,,21,,RBRVS,12.93,7.69,7.69,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100167975,CPT,Reconstruction of eyelid,,,21,,RBRVS,9.21,5.94,5.94,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100167999,CPT,Revision of eyelid,,,21,,TotalUnits,,,,4.7,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100168020,CPT,Incise/drain eyelid lining,,,21,,RBRVS,1.39,1.05,1.24,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100168040,CPT,Treatment of eyelid lesions,,,21,,RBRVS,0.85,0.35,0.6,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100168100,CPT,Biopsy of eyelid lining,,,21,,RBRVS,1.35,0.86,2.36,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100168110,CPT,Remove eyelid lining lesion,,,21,,RBRVS,1.79,1.48,3.07,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100168115,CPT,Remove eyelid lining lesion,,,21,,RBRVS,2.38,1.69,4.33,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100168130,CPT,Remove eyelid lining lesion,,,21,,RBRVS,4.99,4.02,6.64,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100168135,CPT,Remove eyelid lining lesion,,,21,,RBRVS,1.86,1.47,1.58,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100168200,CPT,Treat eyelid by injection,,,21,,RBRVS,0.49,0.29,0.45,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100168320,CPT,Revise/graft eyelid lining,,,21,,RBRVS,6.44,5.31,9.16,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100168325,CPT,Revise/graft eyelid lining,,,21,,RBRVS,8.43,6.1,6.1,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100168326,CPT,Revise/graft eyelid lining,,,21,,RBRVS,8.22,5.92,5.92,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100168328,CPT,Revise/graft eyelid lining,,,21,,RBRVS,9.25,6.38,6.38,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100168330,CPT,Revise eyelid lining,,,21,,RBRVS,5.63,4.44,7.41,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100168335,CPT,Revise/graft eyelid lining,,,21,,RBRVS,8.26,5.92,5.92,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100168340,CPT,Separate eyelid adhesions,,,21,,RBRVS,4.84,3.87,6.87,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100168360,CPT,Revise eyelid lining,,,21,,RBRVS,5.04,3.96,6.43,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100168362,CPT,Revise eyelid lining,,,21,,RBRVS,8.41,5.97,5.97,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100168371,CPT,"Harvest eye tissue, alograft",,,21,,RBRVS,4.97,4.06,4.06,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100168399,CPT,Eyelid lining surgery,,,21,,TotalUnits,,,,4,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100168400,CPT,Incise/drain tear gland,,,21,,RBRVS,1.71,1.21,4.42,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100168420,CPT,Incise/drain tear sac,,,21,,RBRVS,2.32,1.42,4.59,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100168440,CPT,Incise tear duct opening,,,21,,RBRVS,0.96,1.19,1.25,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100168500,CPT,Removal of tear gland,,,21,,RBRVS,12.49,9.53,9.53,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100168505,CPT,"Partial removal, tear gland",,,21,,RBRVS,12.41,8.91,8.91,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100168510,CPT,Biopsy of tear gland,,,21,,RBRVS,4.6,2.02,5.21,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100168520,CPT,Removal of tear sac,,,21,,RBRVS,8.58,6.49,6.49,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100168525,CPT,Biopsy of tear sac,,,21,,RBRVS,4.42,1.57,1.57,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100168530,CPT,Clearance of tear duct,,,21,,RBRVS,3.67,2.07,5.6,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100168540,CPT,Remove tear gland lesion,,,21,,RBRVS,11.93,8.49,8.49,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100168550,CPT,Remove tear gland lesion,,,21,,RBRVS,14.86,9.68,9.68,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100168700,CPT,Repair tear ducts,,,21,,RBRVS,7.67,5.56,5.56,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100168705,CPT,Revise tear duct opening,,,21,,RBRVS,2.08,1.58,3.03,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100168720,CPT,Create tear sac drain,,,21,,RBRVS,9.78,6.88,6.88,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100168745,CPT,Create tear duct drain,,,21,,RBRVS,9.7,6.98,6.98,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100168750,CPT,Create tear duct drain,,,21,,RBRVS,9.87,7.43,7.43,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100168760,CPT,Close tear duct opening,,,21,,RBRVS,1.75,1.45,2.59,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100168761,CPT,Close tear duct opening,,,21,,RBRVS,1.38,1.25,1.83,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100168770,CPT,Close tear system fistula,,,21,,RBRVS,8.09,5.75,5.75,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100168801,CPT,Dilate tear duct opening,,,21,,RBRVS,0.96,1.41,1.77,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100168810,CPT,Probe nasolacrimal duct,,,21,,RBRVS,2.63,2.68,3.39,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100168811,CPT,Probe nasolacrimal duct,,,21,,RBRVS,2.39,2.12,2.12,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100168815,CPT,Probe nasolacrimal duct,,,21,,RBRVS,3.24,2.43,6.42,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100168816,CPT,Probe nl duct w/balloon,,,21,,RBRVS,3,2.51,12.75,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100168840,CPT,Explore/irrigate tear ducts,,,21,,RBRVS,1.27,1.28,1.51,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100168850,CPT,Injection for tear sac x-ray,,,21,,RBRVS,0.8,0.6,0.72,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100168899,CPT,Tear duct system surgery,,,21,,TotalUnits,,,,4.65,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100169000,CPT,Drain external ear lesion,,,21,,RBRVS,1.47,1.34,2.89,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100169005,CPT,Drain external ear lesion,,,21,,RBRVS,2.13,1.61,2.99,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100169020,CPT,Drain outer ear canal lesion,,,21,,RBRVS,1.5,1.9,4.09,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100169090,CPT,Pierce earlobes,,,21,,TotalUnits,,,,0.71,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100169100,CPT,Biopsy of external ear,,,21,,RBRVS,0.81,0.39,1.85,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100169105,CPT,Biopsy of external ear canal,,,21,,RBRVS,0.85,0.71,2.64,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100169110,CPT,"Remove external ear, partial",,,21,,RBRVS,3.47,4.45,7.84,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100169120,CPT,Removal of external ear,,,21,,RBRVS,4.08,5.36,5.36,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100169140,CPT,Remove ear canal lesion(s),,,21,,RBRVS,8.03,13.23,13.23,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100169145,CPT,Remove ear canal lesion(s),,,21,,RBRVS,2.65,3.37,7.03,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100169150,CPT,Extensive ear canal surgery,,,21,,RBRVS,13.49,11.46,11.46,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100169155,CPT,Extensive ear/neck surgery,,,21,,RBRVS,23.06,17,17,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100169200,CPT,Clear outer ear canal,,,21,,RBRVS,0.77,0.61,2.15,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100169205,CPT,Clear outer ear canal,,,21,,RBRVS,1.2,1.24,1.24,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100169210,CPT,Remove impacted ear wax,,,21,,RBRVS,0.61,0.17,0.58,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100169220,CPT,Clean out mastoid cavity,,,21,,RBRVS,0.83,0.68,2.56,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100169222,CPT,Clean out mastoid cavity,,,21,,RBRVS,1.42,1.9,3.97,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100169300,CPT,Revise external ear,,,21,,RBRVS,6.69,5.19,10.72,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100169310,CPT,Rebuild outer ear canal,,,21,,RBRVS,10.85,15.5,15.5,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100169320,CPT,Rebuild outer ear canal,,,21,,RBRVS,17.03,20.07,20.07,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100169399,CPT,Outer ear surgery procedure,,,21,,TotalUnits,,,,1.21,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100169400,CPT,Inflate middle ear canal,,,21,,RBRVS,0.83,0.68,2.82,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100169401,CPT,Inflate middle ear canal,,,21,,RBRVS,0.63,0.59,1.53,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100169405,CPT,Catheterize middle ear canal,,,21,,RBRVS,2.65,1.96,3.66,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100169420,CPT,Incision of eardrum,,,21,,RBRVS,1.35,1.56,3.32,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100169421,CPT,Incision of eardrum,,,21,,RBRVS,1.75,1.85,1.85,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100169424,CPT,Remove ventilating tube,,,21,,RBRVS,0.85,0.68,2.34,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100169433,CPT,Create eardrum opening,,,21,,RBRVS,1.54,1.6,3.32,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100169436,CPT,Create eardrum opening,,,21,,RBRVS,1.98,1.9,1.9,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100169440,CPT,Exploration of middle ear,,,21,,RBRVS,7.62,9.12,9.12,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100169450,CPT,Eardrum revision,,,21,,RBRVS,5.61,7.62,7.62,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100169501,CPT,Mastoidectomy,,,21,,RBRVS,9.12,8.66,8.66,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100169502,CPT,Mastoidectomy,,,21,,RBRVS,12.44,11.05,11.05,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100169505,CPT,Remove mastoid structures,,,21,,RBRVS,13.05,16.15,16.15,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100169511,CPT,Extensive mastoid surgery,,,21,,RBRVS,13.58,16.34,16.34,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100169530,CPT,Extensive mastoid surgery,,,21,,RBRVS,20.24,19.67,19.67,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100169535,CPT,Remove part of temporal bone,,,21,,RBRVS,37.27,26.78,26.78,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100169540,CPT,Remove ear lesion,,,21,,RBRVS,1.22,1.85,3.9,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100169550,CPT,Remove ear lesion,,,21,,RBRVS,11.04,14.28,14.28,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100169552,CPT,Remove ear lesion,,,21,,RBRVS,19.69,18.2,18.2,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100169554,CPT,Remove ear lesion,,,21,,RBRVS,35.71,24.01,24.01,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100169601,CPT,Mastoid surgery revision,,,21,,RBRVS,13.31,11.93,11.93,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100169602,CPT,Mastoid surgery revision,,,21,,RBRVS,13.64,12.81,12.81,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100169603,CPT,Mastoid surgery revision,,,21,,RBRVS,14.08,16.45,16.45,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100169604,CPT,Mastoid surgery revision,,,21,,RBRVS,14.08,12.79,12.79,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100169605,CPT,Mastoid surgery revision,,,21,,RBRVS,18.55,19.3,19.3,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100169610,CPT,Repair of eardrum,,,21,,RBRVS,4.44,2.59,4.91,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100169620,CPT,Repair of eardrum,,,21,,RBRVS,5.94,5.84,10.92,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100169631,CPT,Repair eardrum structures,,,21,,RBRVS,9.93,11.53,11.53,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100169632,CPT,Rebuild eardrum structures,,,21,,RBRVS,12.82,13.32,13.32,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100169633,CPT,Rebuild eardrum structures,,,21,,RBRVS,12.17,13.09,13.09,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100169635,CPT,Repair eardrum structures,,,21,,RBRVS,13.39,16.3,16.3,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100169636,CPT,Rebuild eardrum structures,,,21,,RBRVS,15.29,18.21,18.21,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100169637,CPT,Rebuild eardrum structures,,,21,,RBRVS,15.18,18.12,18.12,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100169641,CPT,Revise middle ear & mastoid,,,21,,RBRVS,12.77,12.48,12.48,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100169642,CPT,Revise middle ear & mastoid,,,21,,RBRVS,16.91,15.54,15.54,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100169643,CPT,Revise middle ear & mastoid,,,21,,RBRVS,15.45,14.17,14.17,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100169644,CPT,Revise middle ear & mastoid,,,21,,RBRVS,17.09,18.75,18.75,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100169645,CPT,Revise middle ear & mastoid,,,21,,RBRVS,16.57,18.61,18.61,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100169646,CPT,Revise middle ear & mastoid,,,21,,RBRVS,18.23,19.12,19.12,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100169650,CPT,Release middle ear bone,,,21,,RBRVS,9.71,9.54,9.54,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100169660,CPT,Revise middle ear bone,,,21,,RBRVS,11.94,10.51,10.51,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100169661,CPT,Revise middle ear bone,,,21,,RBRVS,15.8,13.47,13.47,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100169662,CPT,Revise middle ear bone,,,21,,RBRVS,15.49,12.51,12.51,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100169666,CPT,Repair middle ear structures,,,21,,RBRVS,9.8,9.81,9.81,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100169667,CPT,Repair middle ear structures,,,21,,RBRVS,9.81,9.84,9.84,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100169670,CPT,Remove mastoid air cells,,,21,,RBRVS,11.62,11.25,11.25,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100169676,CPT,Remove middle ear nerve,,,21,,RBRVS,9.58,10.62,10.62,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100169700,CPT,Close mastoid fistula,,,21,,RBRVS,8.28,8.68,8.68,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100169710,CPT,Implant/replace hearing aid,,,21,,TotalUnits,,,,18.06,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100169711,CPT,Remove/repair hearing aid,,,21,,RBRVS,10.5,10.42,10.42,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100169714,CPT,Implant temple bone w/stimul,,,21,,RBRVS,14.31,11.8,11.8,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100169715,CPT,Temple bne implnt w/stimulat,,,21,,RBRVS,18.8,13.34,13.34,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100169717,CPT,Temple bone implant revision,,,21,,RBRVS,15.29,11.97,11.97,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100169718,CPT,Revise temple bone implant,,,21,,RBRVS,19.05,13.42,13.42,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100169720,CPT,Release facial nerve,,,21,,RBRVS,14.57,14.03,14.03,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100169725,CPT,Release facial nerve,,,21,,RBRVS,27.44,18.04,18.04,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100169740,CPT,Repair facial nerve,,,21,,RBRVS,16.18,11.59,11.59,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100169745,CPT,Repair facial nerve,,,21,,RBRVS,16.91,9.94,9.94,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100169799,CPT,Middle ear surgery procedure,,,21,,TotalUnits,,,,4.18,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100169801,CPT,Incise inner ear,,,21,,RBRVS,8.61,9.63,9.63,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100169802,CPT,Incise inner ear,,,21,,RBRVS,13.39,11.87,11.87,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100169805,CPT,Explore inner ear,,,21,,RBRVS,14.55,10.9,10.9,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100169806,CPT,Explore inner ear,,,21,,RBRVS,12.52,10.4,10.4,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100169820,CPT,Establish inner ear window,,,21,,RBRVS,10.4,10.26,10.26,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100169840,CPT,Revise inner ear window,,,21,,RBRVS,10.32,11.38,11.38,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100169905,CPT,Remove inner ear,,,21,,RBRVS,11.15,11.04,11.04,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100169910,CPT,Remove inner ear & mastoid,,,21,,RBRVS,13.8,10.89,10.89,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100169915,CPT,Incise inner ear nerve,,,21,,RBRVS,22.65,14.83,14.83,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100169930,CPT,Implant cochlear device,,,21,,RBRVS,17.6,13.12,13.12,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100169949,CPT,Inner ear surgery procedure,,,21,,TotalUnits,,,,21.5,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100169950,CPT,Incise inner ear nerve,,,21,,RBRVS,27.44,16.86,16.86,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100169955,CPT,Release facial nerve,,,21,,RBRVS,29.22,19.41,19.41,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100169960,CPT,Release inner ear canal,,,21,,RBRVS,29.22,17.92,17.92,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100169970,CPT,Remove inner ear lesion,,,21,,RBRVS,32.21,19.54,19.54,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100169979,CPT,Temporal bone surgery,,,21,,TotalUnits,,,,41.64,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100169990,CPT,Microsurgery add-on,,,21,,RBRVS,3.46,1.27,1.27,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100170010,CPT,Contrast x-ray of brain,26,,20,,RBRVS,1.19,0.42,0.42,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100170010,CPT,Contrast x-ray of brain,TC,,20,,RBRVS,0,2.4,2.4,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100170010,CPT,Contrast x-ray of brain,,,20,,RBRVS,1.19,2.82,2.82,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100170015,CPT,Contrast x-ray of brain,26,,20,,RBRVS,1.19,0.43,0.43,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100170015,CPT,Contrast x-ray of brain,TC,,20,,RBRVS,0,2.49,2.49,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100170015,CPT,Contrast x-ray of brain,,,20,,RBRVS,1.19,2.92,2.92,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100170030,CPT,X-ray eye for foreign body,26,,20,,RBRVS,0.17,0.06,0.06,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100170030,CPT,X-ray eye for foreign body,TC,,20,,RBRVS,0,0.55,0.55,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100170030,CPT,X-ray eye for foreign body,,,20,,RBRVS,0.17,0.61,0.61,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100170100,CPT,X-ray exam of jaw,26,,20,,RBRVS,0.18,0.05,0.05,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100170100,CPT,X-ray exam of jaw,TC,,20,,RBRVS,0,0.58,0.58,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100170100,CPT,X-ray exam of jaw,,,20,,RBRVS,0.18,0.63,0.63,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100170110,CPT,X-ray exam of jaw,26,,20,,RBRVS,0.25,0.09,0.09,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100170110,CPT,X-ray exam of jaw,TC,,20,,RBRVS,0,0.72,0.72,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100170110,CPT,X-ray exam of jaw,,,20,,RBRVS,0.25,0.81,0.81,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100170120,CPT,X-ray exam of mastoids,26,,20,,RBRVS,0.18,0.05,0.05,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100170120,CPT,X-ray exam of mastoids,TC,,20,,RBRVS,0,0.64,0.64,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100170120,CPT,X-ray exam of mastoids,,,20,,RBRVS,0.18,0.69,0.69,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100170130,CPT,X-ray exam of mastoids,26,,20,,RBRVS,0.34,0.11,0.11,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100170130,CPT,X-ray exam of mastoids,TC,,20,,RBRVS,0,1.04,1.04,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100170130,CPT,X-ray exam of mastoids,,,20,,RBRVS,0.34,1.15,1.15,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100170134,CPT,X-ray exam of middle ear,26,,20,,RBRVS,0.34,0.12,0.12,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100170134,CPT,X-ray exam of middle ear,TC,,20,,RBRVS,0,0.8,0.8,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100170134,CPT,X-ray exam of middle ear,,,20,,RBRVS,0.34,0.92,0.92,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100170140,CPT,X-ray exam of facial bones,26,,20,,RBRVS,0.19,0.05,0.05,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100170140,CPT,X-ray exam of facial bones,TC,,20,,RBRVS,0,0.49,0.49,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100170140,CPT,X-ray exam of facial bones,,,20,,RBRVS,0.19,0.54,0.54,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100170150,CPT,X-ray exam of facial bones,26,,20,,RBRVS,0.26,0.08,0.08,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100170150,CPT,X-ray exam of facial bones,TC,,20,,RBRVS,0,0.77,0.77,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100170150,CPT,X-ray exam of facial bones,,,20,,RBRVS,0.26,0.85,0.85,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100170160,CPT,X-ray exam of nasal bones,26,,20,,RBRVS,0.17,0.06,0.06,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100170160,CPT,X-ray exam of nasal bones,TC,,20,,RBRVS,0,0.65,0.65,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100170160,CPT,X-ray exam of nasal bones,,,20,,RBRVS,0.17,0.71,0.71,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100170170,CPT,X-ray exam of tear duct,26,,20,,RBRVS,0.3,0.1,0.1,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100170190,CPT,X-ray exam of eye sockets,26,,20,,RBRVS,0.21,0.07,0.07,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100170190,CPT,X-ray exam of eye sockets,TC,,20,,RBRVS,0,0.65,0.65,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100170190,CPT,X-ray exam of eye sockets,,,20,,RBRVS,0.21,0.72,0.72,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100170200,CPT,X-ray exam of eye sockets,26,,20,,RBRVS,0.28,0.09,0.09,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100170200,CPT,X-ray exam of eye sockets,TC,,20,,RBRVS,0,0.78,0.78,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100170200,CPT,X-ray exam of eye sockets,,,20,,RBRVS,0.28,0.87,0.87,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100170210,CPT,X-ray exam of sinuses,26,,20,,RBRVS,0.17,0.05,0.05,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100170210,CPT,X-ray exam of sinuses,TC,,20,,RBRVS,0,0.53,0.53,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100170210,CPT,X-ray exam of sinuses,,,20,,RBRVS,0.17,0.58,0.58,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100170220,CPT,X-ray exam of sinuses,26,,20,,RBRVS,0.25,0.08,0.08,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100170220,CPT,X-ray exam of sinuses,TC,,20,,RBRVS,0,0.65,0.65,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100170220,CPT,X-ray exam of sinuses,,,20,,RBRVS,0.25,0.73,0.73,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100170240,CPT,"X-ray exam, pituitary saddle",26,,20,,RBRVS,0.19,0.06,0.06,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100170240,CPT,"X-ray exam, pituitary saddle",TC,,20,,RBRVS,0,0.55,0.55,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100170240,CPT,"X-ray exam, pituitary saddle",,,20,,RBRVS,0.19,0.61,0.61,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100170250,CPT,X-ray exam of skull,26,,20,,RBRVS,0.24,0.07,0.07,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100170250,CPT,X-ray exam of skull,TC,,20,,RBRVS,0,0.63,0.63,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100170250,CPT,X-ray exam of skull,,,20,,RBRVS,0.24,0.7,0.7,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100170260,CPT,X-ray exam of skull,26,,20,,RBRVS,0.34,0.1,0.1,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100170260,CPT,X-ray exam of skull,TC,,20,,RBRVS,0,0.78,0.78,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100170260,CPT,X-ray exam of skull,,,20,,RBRVS,0.34,0.88,0.88,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100170300,CPT,X-ray exam of teeth,26,,20,,RBRVS,0.1,0.03,0.03,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100170300,CPT,X-ray exam of teeth,TC,,20,,RBRVS,0,0.21,0.21,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100170300,CPT,X-ray exam of teeth,,,20,,RBRVS,0.1,0.24,0.24,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100170310,CPT,X-ray exam of teeth,26,,20,,RBRVS,0.16,0.05,0.05,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100170310,CPT,X-ray exam of teeth,TC,,20,,RBRVS,0,0.77,0.77,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100170310,CPT,X-ray exam of teeth,,,20,,RBRVS,0.16,0.82,0.82,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100170320,CPT,Full mouth x-ray of teeth,26,,20,,RBRVS,0.22,0.07,0.07,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100170320,CPT,Full mouth x-ray of teeth,TC,,20,,RBRVS,0,1,1,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100170320,CPT,Full mouth x-ray of teeth,,,20,,RBRVS,0.22,1.07,1.07,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100170328,CPT,X-ray exam of jaw joint,26,,20,,RBRVS,0.18,0.06,0.06,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100170328,CPT,X-ray exam of jaw joint,TC,,20,,RBRVS,0,0.57,0.57,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100170328,CPT,X-ray exam of jaw joint,,,20,,RBRVS,0.18,0.63,0.63,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100170330,CPT,X-ray exam of jaw joints,26,,20,,RBRVS,0.24,0.08,0.08,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100170330,CPT,X-ray exam of jaw joints,TC,,20,,RBRVS,0,0.93,0.93,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100170330,CPT,X-ray exam of jaw joints,,,20,,RBRVS,0.24,1.01,1.01,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100170332,CPT,X-ray exam of jaw joint,26,,20,,RBRVS,0.54,0.16,0.16,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100170332,CPT,X-ray exam of jaw joint,TC,,20,,RBRVS,0,1.29,1.29,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100170332,CPT,X-ray exam of jaw joint,,,20,,RBRVS,0.54,1.45,1.45,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100170336,CPT,"Magnetic image, jaw joint",26,,20,,RBRVS,1.48,0.5,0.5,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100170336,CPT,"Magnetic image, jaw joint",TC,,20,,RBRVS,0,11.67,11.67,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100170336,CPT,"Magnetic image, jaw joint",,,20,,RBRVS,1.48,12.17,12.17,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100170350,CPT,X-ray head for orthodontia,26,,20,,RBRVS,0.17,0.05,0.05,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100170350,CPT,X-ray head for orthodontia,TC,,20,,RBRVS,0,0.27,0.27,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100170350,CPT,X-ray head for orthodontia,,,20,,RBRVS,0.17,0.32,0.32,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100170355,CPT,Panoramic x-ray of jaws,26,,20,,RBRVS,0.2,0.07,0.07,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100170355,CPT,Panoramic x-ray of jaws,TC,,20,,RBRVS,0,0.23,0.23,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100170355,CPT,Panoramic x-ray of jaws,,,20,,RBRVS,0.2,0.3,0.3,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100170360,CPT,X-ray exam of neck,26,,20,,RBRVS,0.17,0.05,0.05,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100170360,CPT,X-ray exam of neck,TC,,20,,RBRVS,0,0.51,0.51,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100170360,CPT,X-ray exam of neck,,,20,,RBRVS,0.17,0.56,0.56,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100170370,CPT,Throat x-ray & fluoroscopy,26,,20,,RBRVS,0.32,0.1,0.1,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100170370,CPT,Throat x-ray & fluoroscopy,TC,,20,,RBRVS,0,1.55,1.55,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100170370,CPT,Throat x-ray & fluoroscopy,,,20,,RBRVS,0.32,1.65,1.65,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100170371,CPT,"Speech evaluation, complex",26,,20,,RBRVS,0.84,0.26,0.26,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100170371,CPT,"Speech evaluation, complex",TC,,20,,RBRVS,0,1.22,1.22,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100170371,CPT,"Speech evaluation, complex",,,20,,RBRVS,0.84,1.48,1.48,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100170373,CPT,Contrast x-ray of larynx,26,,20,,RBRVS,0.44,0.11,0.11,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100170373,CPT,Contrast x-ray of larynx,TC,,20,,RBRVS,0,1.47,1.47,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100170373,CPT,Contrast x-ray of larynx,,,20,,RBRVS,0.44,1.58,1.58,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100170380,CPT,X-ray exam of salivary gland,26,,20,,RBRVS,0.17,0.06,0.06,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100170380,CPT,X-ray exam of salivary gland,TC,,20,,RBRVS,0,0.76,0.76,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100170380,CPT,X-ray exam of salivary gland,,,20,,RBRVS,0.17,0.82,0.82,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100170390,CPT,X-ray exam of salivary duct,26,,20,,RBRVS,0.38,0.13,0.13,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100170390,CPT,X-ray exam of salivary duct,TC,,20,,RBRVS,0,2.21,2.21,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100170390,CPT,X-ray exam of salivary duct,,,20,,RBRVS,0.38,2.34,2.34,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100170450,CPT,Ct head/brain w/o dye,26,,20,,RBRVS,0.85,0.3,0.3,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100170450,CPT,Ct head/brain w/o dye,TC,,20,,RBRVS,0,4.62,4.62,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100170450,CPT,Ct head/brain w/o dye,,,20,,RBRVS,0.85,4.92,4.92,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100170460,CPT,Ct head/brain w/dye,26,,20,,RBRVS,1.13,0.4,0.4,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100170460,CPT,Ct head/brain w/dye,TC,,20,,RBRVS,0,6.11,6.11,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100170460,CPT,Ct head/brain w/dye,,,20,,RBRVS,1.13,6.51,6.51,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100170470,CPT,Ct head/brain w/o&w dye,26,,20,,RBRVS,1.27,0.45,0.45,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100170470,CPT,Ct head/brain w/o&w dye,TC,,20,,RBRVS,0,7.49,7.49,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100170470,CPT,Ct head/brain w/o&w dye,,,20,,RBRVS,1.27,7.94,7.94,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100170480,CPT,Ct orbit/ear/fossa w/o dye,26,,20,,RBRVS,1.28,0.45,0.45,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100170480,CPT,Ct orbit/ear/fossa w/o dye,TC,,20,,RBRVS,0,8.04,8.04,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100170480,CPT,Ct orbit/ear/fossa w/o dye,,,20,,RBRVS,1.28,8.49,8.49,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100170481,CPT,Ct orbit/ear/fossa w/dye,26,,20,,RBRVS,1.38,0.49,0.49,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100170481,CPT,Ct orbit/ear/fossa w/dye,TC,,20,,RBRVS,0,9.49,9.49,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100170481,CPT,Ct orbit/ear/fossa w/dye,,,20,,RBRVS,1.38,9.98,9.98,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100170482,CPT,Ct orbit/ear/fossa w/o&w dye,26,,20,,RBRVS,1.45,0.51,0.51,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100170482,CPT,Ct orbit/ear/fossa w/o&w dye,TC,,20,,RBRVS,0,10.9,10.9,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100170482,CPT,Ct orbit/ear/fossa w/o&w dye,,,20,,RBRVS,1.45,11.41,11.41,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100170486,CPT,Ct maxillofacial w/o dye,26,,20,,RBRVS,1.14,0.4,0.4,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100170486,CPT,Ct maxillofacial w/o dye,TC,,20,,RBRVS,0,6.4,6.4,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100170486,CPT,Ct maxillofacial w/o dye,,,20,,RBRVS,1.14,6.8,6.8,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100170487,CPT,Ct maxillofacial w/dye,26,,20,,RBRVS,1.3,0.46,0.46,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100170487,CPT,Ct maxillofacial w/dye,TC,,20,,RBRVS,0,7.89,7.89,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100170487,CPT,Ct maxillofacial w/dye,,,20,,RBRVS,1.3,8.35,8.35,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100170488,CPT,Ct maxillofacial w/o&w dye,26,,20,,RBRVS,1.42,0.49,0.49,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100170488,CPT,Ct maxillofacial w/o&w dye,TC,,20,,RBRVS,0,9.91,9.91,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100170488,CPT,Ct maxillofacial w/o&w dye,,,20,,RBRVS,1.42,10.4,10.4,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100170490,CPT,Ct soft tissue neck w/o dye,26,,20,,RBRVS,1.28,0.45,0.45,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100170490,CPT,Ct soft tissue neck w/o dye,TC,,20,,RBRVS,0,6.04,6.04,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100170490,CPT,Ct soft tissue neck w/o dye,,,20,,RBRVS,1.28,6.49,6.49,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100170491,CPT,Ct soft tissue neck w/dye,26,,20,,RBRVS,1.38,0.49,0.49,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100170491,CPT,Ct soft tissue neck w/dye,TC,,20,,RBRVS,0,7.55,7.55,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100170491,CPT,Ct soft tissue neck w/dye,,,20,,RBRVS,1.38,8.04,8.04,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100170492,CPT,Ct sft tsue nck w/o & w/dye,26,,20,,RBRVS,1.45,0.51,0.51,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100170492,CPT,Ct sft tsue nck w/o & w/dye,TC,,20,,RBRVS,0,9.53,9.53,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100170492,CPT,Ct sft tsue nck w/o & w/dye,,,20,,RBRVS,1.45,10.04,10.04,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100170496,CPT,"Ct angiography, head",26,,20,,RBRVS,1.75,0.63,0.63,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100170496,CPT,"Ct angiography, head",TC,,20,,RBRVS,0,16.47,16.47,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100170496,CPT,"Ct angiography, head",,,20,,RBRVS,1.75,17.1,17.1,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100170498,CPT,"Ct angiography, neck",26,,20,,RBRVS,1.75,0.65,0.65,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100170498,CPT,"Ct angiography, neck",TC,,20,,RBRVS,0,16.59,16.59,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100170498,CPT,"Ct angiography, neck",,,20,,RBRVS,1.75,17.24,17.24,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100170540,CPT,Mri orbit/face/neck w/o dye,26,,20,,RBRVS,1.35,0.46,0.46,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100170540,CPT,Mri orbit/face/neck w/o dye,TC,,20,,RBRVS,0,13.72,13.72,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100170540,CPT,Mri orbit/face/neck w/o dye,,,20,,RBRVS,1.35,14.18,14.18,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100170542,CPT,Mri orbit/face/neck w/dye,26,,20,,RBRVS,1.62,0.56,0.56,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100170542,CPT,Mri orbit/face/neck w/dye,TC,,20,,RBRVS,0,14.73,14.73,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100170542,CPT,Mri orbit/face/neck w/dye,,,20,,RBRVS,1.62,15.29,15.29,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100170543,CPT,Mri orbt/fac/nck w/o&w dye,26,,20,,RBRVS,2.15,0.74,0.74,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100170543,CPT,Mri orbt/fac/nck w/o&w dye,TC,,20,,RBRVS,0,18.03,18.03,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100170543,CPT,Mri orbt/fac/nck w/o&w dye,,,20,,RBRVS,2.15,18.77,18.77,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100170544,CPT,Mr angiography head w/o dye,26,,20,,RBRVS,1.2,0.42,0.42,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100170544,CPT,Mr angiography head w/o dye,TC,,20,,RBRVS,0,15.44,15.44,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100170544,CPT,Mr angiography head w/o dye,,,20,,RBRVS,1.2,15.86,15.86,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100170545,CPT,Mr angiography head w/dye,26,,20,,RBRVS,1.2,0.42,0.42,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100170545,CPT,Mr angiography head w/dye,TC,,20,,RBRVS,0,15.32,15.32,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100170545,CPT,Mr angiography head w/dye,,,20,,RBRVS,1.2,15.74,15.74,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100170546,CPT,Mr angiograph head w/o&w dye,26,,20,,RBRVS,1.8,0.62,0.62,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100170546,CPT,Mr angiograph head w/o&w dye,TC,,20,,RBRVS,0,23.41,23.41,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100170546,CPT,Mr angiograph head w/o&w dye,,,20,,RBRVS,1.8,24.03,24.03,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100170547,CPT,Mr angiography neck w/o dye,26,,20,,RBRVS,1.2,0.41,0.41,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100170547,CPT,Mr angiography neck w/o dye,TC,,20,,RBRVS,0,15.38,15.38,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100170547,CPT,Mr angiography neck w/o dye,,,20,,RBRVS,1.2,15.79,15.79,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100170548,CPT,Mr angiography neck w/dye,26,,20,,RBRVS,1.2,0.42,0.42,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100170548,CPT,Mr angiography neck w/dye,TC,,20,,RBRVS,0,16.23,16.23,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100170548,CPT,Mr angiography neck w/dye,,,20,,RBRVS,1.2,16.65,16.65,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100170549,CPT,Mr angiograph neck w/o&w dye,26,,20,,RBRVS,1.8,0.63,0.63,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100170549,CPT,Mr angiograph neck w/o&w dye,TC,,20,,RBRVS,0,23.42,23.42,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100170549,CPT,Mr angiograph neck w/o&w dye,,,20,,RBRVS,1.8,24.05,24.05,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100170551,CPT,Mri brain w/o dye,26,,20,,RBRVS,1.48,0.51,0.51,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100170551,CPT,Mri brain w/o dye,TC,,20,,RBRVS,0,13.93,13.93,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100170551,CPT,Mri brain w/o dye,,,20,,RBRVS,1.48,14.44,14.44,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100170552,CPT,Mri brain w/dye,26,,20,,RBRVS,1.78,0.62,0.62,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100170552,CPT,Mri brain w/dye,TC,,20,,RBRVS,0,14.97,14.97,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100170552,CPT,Mri brain w/dye,,,20,,RBRVS,1.78,15.59,15.59,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100170553,CPT,Mri brain w/o&w dye,26,,20,,RBRVS,2.36,0.82,0.82,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100170553,CPT,Mri brain w/o&w dye,TC,,20,,RBRVS,0,17.27,17.27,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100170553,CPT,Mri brain w/o&w dye,,,20,,RBRVS,2.36,18.09,18.09,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100170554,CPT,Fmri brain by tech,26,,20,,RBRVS,2.11,0.69,0.69,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100170554,CPT,Fmri brain by tech,TC,,20,,RBRVS,0,14.73,14.73,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100170554,CPT,Fmri brain by tech,,,20,,RBRVS,2.11,15.42,15.42,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100170555,CPT,Fmri brain by phys/psych,26,,20,,RBRVS,2.54,0.9,0.9,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100170557,CPT,Mri brain w/o dye,26,,20,,RBRVS,2.9,1.03,1.03,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100170557,CPT,Mri brain w/o dye,TC,,20,,TotalUnits,,,,15.52,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100170558,CPT,Mri brain w/ dye,26,,20,,RBRVS,3.2,1.1,1.1,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100170558,CPT,Mri brain w/ dye,TC,,20,,TotalUnits,,,,17.12,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100170559,CPT,Mri brain w/o & w/ dye,26,,20,,RBRVS,3.2,1.14,1.14,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100170559,CPT,Mri brain w/o & w/ dye,TC,,20,,TotalUnits,,,,17.12,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100171010,CPT,Chest x-ray,26,,20,,RBRVS,0.18,0.06,0.06,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100171010,CPT,Chest x-ray,TC,,20,,RBRVS,0,0.37,0.37,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100171010,CPT,Chest x-ray,,,20,,RBRVS,0.18,0.43,0.43,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100171015,CPT,Chest x-ray,26,,20,,RBRVS,0.21,0.07,0.07,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100171015,CPT,Chest x-ray,TC,,20,,RBRVS,0,0.51,0.51,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100171015,CPT,Chest x-ray,,,20,,RBRVS,0.21,0.58,0.58,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100171020,CPT,Chest x-ray,26,,20,,RBRVS,0.22,0.07,0.07,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100171020,CPT,Chest x-ray,TC,,20,,RBRVS,0,0.5,0.5,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100171020,CPT,Chest x-ray,,,20,,RBRVS,0.22,0.57,0.57,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100171021,CPT,Chest x-ray,26,,20,,RBRVS,0.27,0.09,0.09,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100171021,CPT,Chest x-ray,TC,,20,,RBRVS,0,0.62,0.62,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100171021,CPT,Chest x-ray,,,20,,RBRVS,0.27,0.71,0.71,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100171022,CPT,Chest x-ray,26,,20,,RBRVS,0.31,0.1,0.1,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100171022,CPT,Chest x-ray,TC,,20,,RBRVS,0,0.8,0.8,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100171022,CPT,Chest x-ray,,,20,,RBRVS,0.31,0.9,0.9,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100171023,CPT,Chest x-ray and fluoroscopy,26,,20,,RBRVS,0.38,0.14,0.14,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100171023,CPT,Chest x-ray and fluoroscopy,TC,,20,,RBRVS,0,1.4,1.4,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100171023,CPT,Chest x-ray and fluoroscopy,,,20,,RBRVS,0.38,1.54,1.54,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100171030,CPT,Chest x-ray,26,,20,,RBRVS,0.31,0.1,0.1,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100171030,CPT,Chest x-ray,TC,,20,,RBRVS,0,0.82,0.82,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100171030,CPT,Chest x-ray,,,20,,RBRVS,0.31,0.92,0.92,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100171034,CPT,Chest x-ray and fluoroscopy,26,,20,,RBRVS,0.46,0.21,0.21,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100171034,CPT,Chest x-ray and fluoroscopy,TC,,20,,RBRVS,0,1.91,1.91,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100171034,CPT,Chest x-ray and fluoroscopy,,,20,,RBRVS,0.46,2.12,2.12,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100171035,CPT,Chest x-ray,26,,20,,RBRVS,0.18,0.06,0.06,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100171035,CPT,Chest x-ray,TC,,20,,RBRVS,0,0.72,0.72,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100171035,CPT,Chest x-ray,,,20,,RBRVS,0.18,0.78,0.78,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100171040,CPT,Contrast x-ray of bronchi,26,,20,,RBRVS,0.58,0.18,0.18,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100171040,CPT,Contrast x-ray of bronchi,TC,,20,,RBRVS,0,1.88,1.88,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100171040,CPT,Contrast x-ray of bronchi,,,20,,RBRVS,0.58,2.06,2.06,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100171060,CPT,Contrast x-ray of bronchi,26,,20,,RBRVS,0.74,0.26,0.26,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100171060,CPT,Contrast x-ray of bronchi,TC,,20,,RBRVS,0,2.85,2.85,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100171060,CPT,Contrast x-ray of bronchi,,,20,,RBRVS,0.74,3.11,3.11,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100171090,CPT,X-ray & pacemaker insertion,26,,20,,RBRVS,0.54,0.28,0.28,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100171100,CPT,X-ray exam of ribs,26,,20,,RBRVS,0.22,0.07,0.07,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100171100,CPT,X-ray exam of ribs,TC,,20,,RBRVS,0,0.55,0.55,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100171100,CPT,X-ray exam of ribs,,,20,,RBRVS,0.22,0.62,0.62,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100171101,CPT,X-ray exam of ribs/chest,26,,20,,RBRVS,0.27,0.09,0.09,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100171101,CPT,X-ray exam of ribs/chest,TC,,20,,RBRVS,0,0.68,0.68,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100171101,CPT,X-ray exam of ribs/chest,,,20,,RBRVS,0.27,0.77,0.77,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100171110,CPT,X-ray exam of ribs,26,,20,,RBRVS,0.27,0.08,0.08,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100171110,CPT,X-ray exam of ribs,TC,,20,,RBRVS,0,0.69,0.69,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100171110,CPT,X-ray exam of ribs,,,20,,RBRVS,0.27,0.77,0.77,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100171111,CPT,X-ray exam of ribs/ chest,26,,20,,RBRVS,0.32,0.1,0.1,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100171111,CPT,X-ray exam of ribs/ chest,TC,,20,,RBRVS,0,0.96,0.96,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100171111,CPT,X-ray exam of ribs/ chest,,,20,,RBRVS,0.32,1.06,1.06,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100171120,CPT,X-ray exam of breastbone,26,,20,,RBRVS,0.2,0.07,0.07,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100171120,CPT,X-ray exam of breastbone,TC,,20,,RBRVS,0,0.56,0.56,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100171120,CPT,X-ray exam of breastbone,,,20,,RBRVS,0.2,0.63,0.63,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100171130,CPT,X-ray exam of breastbone,26,,20,,RBRVS,0.22,0.08,0.08,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100171130,CPT,X-ray exam of breastbone,TC,,20,,RBRVS,0,0.68,0.68,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100171130,CPT,X-ray exam of breastbone,,,20,,RBRVS,0.22,0.76,0.76,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100171250,CPT,Ct thorax w/o dye,26,,20,,RBRVS,1.16,0.41,0.41,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100171250,CPT,Ct thorax w/o dye,TC,,20,,RBRVS,0,6.04,6.04,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100171250,CPT,Ct thorax w/o dye,,,20,,RBRVS,1.16,6.45,6.45,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100171260,CPT,Ct thorax w/dye,26,,20,,RBRVS,1.24,0.44,0.44,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100171260,CPT,Ct thorax w/dye,TC,,20,,RBRVS,0,7.56,7.56,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100171260,CPT,Ct thorax w/dye,,,20,,RBRVS,1.24,8,8,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100171270,CPT,Ct thorax w/o&w dye,26,,20,,RBRVS,1.38,0.48,0.48,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100171270,CPT,Ct thorax w/o&w dye,TC,,20,,RBRVS,0,9.56,9.56,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100171270,CPT,Ct thorax w/o&w dye,,,20,,RBRVS,1.38,10.04,10.04,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100171275,CPT,"Ct angiography, chest",26,,20,,RBRVS,1.92,0.69,0.69,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100171275,CPT,"Ct angiography, chest",TC,,20,,RBRVS,0,11.08,11.08,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100171275,CPT,"Ct angiography, chest",,,20,,RBRVS,1.92,11.77,11.77,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100171550,CPT,Mri chest w/o dye,26,,20,,RBRVS,1.46,0.51,0.51,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100171550,CPT,Mri chest w/o dye,TC,,20,,RBRVS,0,15.87,15.87,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100171550,CPT,Mri chest w/o dye,,,20,,RBRVS,1.46,16.38,16.38,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100171551,CPT,Mri chest w/dye,26,,20,,RBRVS,1.73,0.6,0.6,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100171551,CPT,Mri chest w/dye,TC,,20,,RBRVS,0,17.34,17.34,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100171551,CPT,Mri chest w/dye,,,20,,RBRVS,1.73,17.94,17.94,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100171552,CPT,Mri chest w/o&w/dye,26,,20,,RBRVS,2.26,0.81,0.81,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100171552,CPT,Mri chest w/o&w/dye,TC,,20,,RBRVS,0,21.77,21.77,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100171552,CPT,Mri chest w/o&w/dye,,,20,,RBRVS,2.26,22.58,22.58,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100171555,CPT,Mri angio chest w or w/o dye,26,,20,,RBRVS,1.81,0.66,0.66,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100171555,CPT,Mri angio chest w or w/o dye,TC,,20,,RBRVS,0,14.65,14.65,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100171555,CPT,Mri angio chest w or w/o dye,,,20,,RBRVS,1.81,15.31,15.31,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100172010,CPT,X-ray exam of spine,26,,20,,RBRVS,0.45,0.13,0.13,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100172010,CPT,X-ray exam of spine,TC,,20,,RBRVS,0,1.3,1.3,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100172010,CPT,X-ray exam of spine,,,20,,RBRVS,0.45,1.43,1.43,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100172020,CPT,X-ray exam of spine,26,,20,,RBRVS,0.15,0.05,0.05,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100172020,CPT,X-ray exam of spine,TC,,20,,RBRVS,0,0.42,0.42,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100172020,CPT,X-ray exam of spine,,,20,,RBRVS,0.15,0.47,0.47,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100172040,CPT,X-ray exam of neck spine,26,,20,,RBRVS,0.22,0.07,0.07,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100172040,CPT,X-ray exam of neck spine,TC,,20,,RBRVS,0,0.69,0.69,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100172040,CPT,X-ray exam of neck spine,,,20,,RBRVS,0.22,0.76,0.76,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100172050,CPT,X-ray exam of neck spine,26,,20,,RBRVS,0.31,0.11,0.11,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100172050,CPT,X-ray exam of neck spine,TC,,20,,RBRVS,0,0.97,0.97,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100172050,CPT,X-ray exam of neck spine,,,20,,RBRVS,0.31,1.08,1.08,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100172052,CPT,X-ray exam of neck spine,26,,20,,RBRVS,0.36,0.12,0.12,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100172052,CPT,X-ray exam of neck spine,TC,,20,,RBRVS,0,1.27,1.27,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100172052,CPT,X-ray exam of neck spine,,,20,,RBRVS,0.36,1.39,1.39,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100172069,CPT,X-ray exam of trunk spine,26,,20,,RBRVS,0.22,0.08,0.08,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100172069,CPT,X-ray exam of trunk spine,TC,,20,,RBRVS,0,0.68,0.68,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100172069,CPT,X-ray exam of trunk spine,,,20,,RBRVS,0.22,0.76,0.76,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100172070,CPT,X-ray exam of thoracic spine,26,,20,,RBRVS,0.22,0.07,0.07,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100172070,CPT,X-ray exam of thoracic spine,TC,,20,,RBRVS,0,0.57,0.57,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100172070,CPT,X-ray exam of thoracic spine,,,20,,RBRVS,0.22,0.64,0.64,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100172072,CPT,X-ray exam of thoracic spine,26,,20,,RBRVS,0.22,0.07,0.07,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100172072,CPT,X-ray exam of thoracic spine,TC,,20,,RBRVS,0,0.7,0.7,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100172072,CPT,X-ray exam of thoracic spine,,,20,,RBRVS,0.22,0.77,0.77,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100172074,CPT,X-ray exam of thoracic spine,26,,20,,RBRVS,0.22,0.07,0.07,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100172074,CPT,X-ray exam of thoracic spine,TC,,20,,RBRVS,0,0.88,0.88,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100172074,CPT,X-ray exam of thoracic spine,,,20,,RBRVS,0.22,0.95,0.95,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100172080,CPT,X-ray exam of trunk spine,26,,20,,RBRVS,0.22,0.08,0.08,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100172080,CPT,X-ray exam of trunk spine,TC,,20,,RBRVS,0,0.62,0.62,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100172080,CPT,X-ray exam of trunk spine,,,20,,RBRVS,0.22,0.7,0.7,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100172090,CPT,X-ray exam of trunk spine,26,,20,,RBRVS,0.28,0.1,0.1,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100172090,CPT,X-ray exam of trunk spine,TC,,20,,RBRVS,0,0.9,0.9,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100172090,CPT,X-ray exam of trunk spine,,,20,,RBRVS,0.28,1,1,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100172100,CPT,X-ray exam of lower spine,26,,20,,RBRVS,0.22,0.07,0.07,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100172100,CPT,X-ray exam of lower spine,TC,,20,,RBRVS,0,0.74,0.74,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100172100,CPT,X-ray exam of lower spine,,,20,,RBRVS,0.22,0.81,0.81,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100172110,CPT,X-ray exam of lower spine,26,,20,,RBRVS,0.31,0.11,0.11,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100172110,CPT,X-ray exam of lower spine,TC,,20,,RBRVS,0,1.04,1.04,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100172110,CPT,X-ray exam of lower spine,,,20,,RBRVS,0.31,1.15,1.15,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100172114,CPT,X-ray exam of lower spine,26,,20,,RBRVS,0.36,0.13,0.13,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100172114,CPT,X-ray exam of lower spine,TC,,20,,RBRVS,0,1.44,1.44,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100172114,CPT,X-ray exam of lower spine,,,20,,RBRVS,0.36,1.57,1.57,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100172120,CPT,X-ray exam of lower spine,26,,20,,RBRVS,0.22,0.08,0.08,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100172120,CPT,X-ray exam of lower spine,TC,,20,,RBRVS,0,1,1,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100172120,CPT,X-ray exam of lower spine,,,20,,RBRVS,0.22,1.08,1.08,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100172125,CPT,Ct neck spine w/o dye,26,,20,,RBRVS,1.16,0.41,0.41,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100172125,CPT,Ct neck spine w/o dye,TC,,20,,RBRVS,0,6.06,6.06,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100172125,CPT,Ct neck spine w/o dye,,,20,,RBRVS,1.16,6.47,6.47,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100172126,CPT,Ct neck spine w/dye,26,,20,,RBRVS,1.22,0.43,0.43,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100172126,CPT,Ct neck spine w/dye,TC,,20,,RBRVS,0,7.57,7.57,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100172126,CPT,Ct neck spine w/dye,,,20,,RBRVS,1.22,8,8,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100172127,CPT,Ct neck spine w/o&w/dye,26,,20,,RBRVS,1.27,0.44,0.44,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100172127,CPT,Ct neck spine w/o&w/dye,TC,,20,,RBRVS,0,9.61,9.61,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100172127,CPT,Ct neck spine w/o&w/dye,,,20,,RBRVS,1.27,10.05,10.05,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100172128,CPT,Ct chest spine w/o dye,26,,20,,RBRVS,1.16,0.41,0.41,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100172128,CPT,Ct chest spine w/o dye,TC,,20,,RBRVS,0,6.05,6.05,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100172128,CPT,Ct chest spine w/o dye,,,20,,RBRVS,1.16,6.46,6.46,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100172129,CPT,Ct chest spine w/dye,26,,20,,RBRVS,1.22,0.43,0.43,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100172129,CPT,Ct chest spine w/dye,TC,,20,,RBRVS,0,7.57,7.57,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100172129,CPT,Ct chest spine w/dye,,,20,,RBRVS,1.22,8,8,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100172130,CPT,Ct chest spine w/o&w/dye,26,,20,,RBRVS,1.27,0.44,0.44,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100172130,CPT,Ct chest spine w/o&w/dye,TC,,20,,RBRVS,0,9.54,9.54,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100172130,CPT,Ct chest spine w/o&w/dye,,,20,,RBRVS,1.27,9.98,9.98,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100172131,CPT,Ct lumbar spine w/o dye,26,,20,,RBRVS,1.16,0.4,0.4,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100172131,CPT,Ct lumbar spine w/o dye,TC,,20,,RBRVS,0,6.03,6.03,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100172131,CPT,Ct lumbar spine w/o dye,,,20,,RBRVS,1.16,6.43,6.43,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100172132,CPT,Ct lumbar spine w/dye,26,,20,,RBRVS,1.22,0.43,0.43,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100172132,CPT,Ct lumbar spine w/dye,TC,,20,,RBRVS,0,7.55,7.55,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100172132,CPT,Ct lumbar spine w/dye,,,20,,RBRVS,1.22,7.98,7.98,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100172133,CPT,Ct lumbar spine w/o&w/dye,26,,20,,RBRVS,1.27,0.44,0.44,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100172133,CPT,Ct lumbar spine w/o&w/dye,TC,,20,,RBRVS,0,9.58,9.58,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100172133,CPT,Ct lumbar spine w/o&w/dye,,,20,,RBRVS,1.27,10.02,10.02,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100172141,CPT,Mri neck spine w/o dye,26,,20,,RBRVS,1.6,0.55,0.55,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100172141,CPT,Mri neck spine w/o dye,TC,,20,,RBRVS,0,11.91,11.91,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100172141,CPT,Mri neck spine w/o dye,,,20,,RBRVS,1.6,12.46,12.46,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100172142,CPT,Mri neck spine w/dye,26,,20,,RBRVS,1.92,0.66,0.66,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100172142,CPT,Mri neck spine w/dye,TC,,20,,RBRVS,0,14.96,14.96,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100172142,CPT,Mri neck spine w/dye,,,20,,RBRVS,1.92,15.62,15.62,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100172146,CPT,Mri chest spine w/o dye,26,,20,,RBRVS,1.6,0.55,0.55,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100172146,CPT,Mri chest spine w/o dye,TC,,20,,RBRVS,0,11.93,11.93,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100172146,CPT,Mri chest spine w/o dye,,,20,,RBRVS,1.6,12.48,12.48,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100172147,CPT,Mri chest spine w/dye,26,,20,,RBRVS,1.92,0.67,0.67,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100172147,CPT,Mri chest spine w/dye,TC,,20,,RBRVS,0,12.91,12.91,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100172147,CPT,Mri chest spine w/dye,,,20,,RBRVS,1.92,13.58,13.58,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100172148,CPT,Mri lumbar spine w/o dye,26,,20,,RBRVS,1.48,0.51,0.51,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100172148,CPT,Mri lumbar spine w/o dye,TC,,20,,RBRVS,0,11.91,11.91,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100172148,CPT,Mri lumbar spine w/o dye,,,20,,RBRVS,1.48,12.42,12.42,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100172149,CPT,Mri lumbar spine w/dye,26,,20,,RBRVS,1.78,0.62,0.62,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100172149,CPT,Mri lumbar spine w/dye,TC,,20,,RBRVS,0,14.9,14.9,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100172149,CPT,Mri lumbar spine w/dye,,,20,,RBRVS,1.78,15.52,15.52,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100172156,CPT,Mri neck spine w/o&w/dye,26,,20,,RBRVS,2.57,0.89,0.89,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100172156,CPT,Mri neck spine w/o&w/dye,TC,,20,,RBRVS,0,16.9,16.9,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100172156,CPT,Mri neck spine w/o&w/dye,,,20,,RBRVS,2.57,17.79,17.79,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100172157,CPT,Mri chest spine w/o&w/dye,26,,20,,RBRVS,2.57,0.9,0.9,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100172157,CPT,Mri chest spine w/o&w/dye,TC,,20,,RBRVS,0,15.32,15.32,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100172157,CPT,Mri chest spine w/o&w/dye,,,20,,RBRVS,2.57,16.22,16.22,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100172158,CPT,Mri lumbar spine w/o&w/dye,26,,20,,RBRVS,2.36,0.82,0.82,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100172158,CPT,Mri lumbar spine w/o&w/dye,TC,,20,,RBRVS,0,16.88,16.88,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100172158,CPT,Mri lumbar spine w/o&w/dye,,,20,,RBRVS,2.36,17.7,17.7,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100172159,CPT,Mr angio spine w/o&w/dye,26,,20,,RBRVS,1.8,0.42,0.42,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100172159,CPT,Mr angio spine w/o&w/dye,TC,,20,,RBRVS,0,14.25,14.25,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100172159,CPT,Mr angio spine w/o&w/dye,,,20,,RBRVS,1.8,14.67,14.67,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100172170,CPT,X-ray exam of pelvis,26,,20,,RBRVS,0.17,0.06,0.06,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100172170,CPT,X-ray exam of pelvis,TC,,20,,RBRVS,0,0.44,0.44,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100172170,CPT,X-ray exam of pelvis,,,20,,RBRVS,0.17,0.5,0.5,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100172190,CPT,X-ray exam of pelvis,26,,20,,RBRVS,0.21,0.07,0.07,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100172190,CPT,X-ray exam of pelvis,TC,,20,,RBRVS,0,0.77,0.77,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100172190,CPT,X-ray exam of pelvis,,,20,,RBRVS,0.21,0.84,0.84,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100172191,CPT,Ct angiograph pelv w/o&w/dye,26,,20,,RBRVS,1.81,0.65,0.65,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100172191,CPT,Ct angiograph pelv w/o&w/dye,TC,,20,,RBRVS,0,10.69,10.69,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100172191,CPT,Ct angiograph pelv w/o&w/dye,,,20,,RBRVS,1.81,11.34,11.34,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100172192,CPT,Ct pelvis w/o dye,26,,20,,RBRVS,1.09,0.39,0.39,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100172192,CPT,Ct pelvis w/o dye,TC,,20,,RBRVS,0,5.65,5.65,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100172192,CPT,Ct pelvis w/o dye,,,20,,RBRVS,1.09,6.04,6.04,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100172193,CPT,Ct pelvis w/dye,26,,20,,RBRVS,1.16,0.41,0.41,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100172193,CPT,Ct pelvis w/dye,TC,,20,,RBRVS,0,7.14,7.14,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100172193,CPT,Ct pelvis w/dye,,,20,,RBRVS,1.16,7.55,7.55,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100172194,CPT,Ct pelvis w/o&w/dye,26,,20,,RBRVS,1.22,0.43,0.43,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100172194,CPT,Ct pelvis w/o&w/dye,TC,,20,,RBRVS,0,9.7,9.7,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100172194,CPT,Ct pelvis w/o&w/dye,,,20,,RBRVS,1.22,10.13,10.13,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100172195,CPT,Mri pelvis w/o dye,26,,20,,RBRVS,1.46,0.51,0.51,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100172195,CPT,Mri pelvis w/o dye,TC,,20,,RBRVS,0,13.93,13.93,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100172195,CPT,Mri pelvis w/o dye,,,20,,RBRVS,1.46,14.44,14.44,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100172196,CPT,Mri pelvis w/dye,26,,20,,RBRVS,1.73,0.61,0.61,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100172196,CPT,Mri pelvis w/dye,TC,,20,,RBRVS,0,14.93,14.93,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100172196,CPT,Mri pelvis w/dye,,,20,,RBRVS,1.73,15.54,15.54,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100172197,CPT,Mri pelvis w/o & w/dye,26,,20,,RBRVS,2.26,0.79,0.79,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100172197,CPT,Mri pelvis w/o & w/dye,TC,,20,,RBRVS,0,18.18,18.18,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100172197,CPT,Mri pelvis w/o & w/dye,,,20,,RBRVS,2.26,18.97,18.97,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100172198,CPT,Mr angio pelvis w/o&w/dye,26,,20,,RBRVS,1.8,0.64,0.64,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100172198,CPT,Mr angio pelvis w/o&w/dye,TC,,20,,RBRVS,0,14.45,14.45,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100172198,CPT,Mr angio pelvis w/o&w/dye,,,20,,RBRVS,1.8,15.09,15.09,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100172200,CPT,X-ray exam sacroiliac joints,26,,20,,RBRVS,0.17,0.05,0.05,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100172200,CPT,X-ray exam sacroiliac joints,TC,,20,,RBRVS,0,0.54,0.54,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100172200,CPT,X-ray exam sacroiliac joints,,,20,,RBRVS,0.17,0.59,0.59,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100172202,CPT,X-ray exam sacroiliac joints,26,,20,,RBRVS,0.19,0.07,0.07,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100172202,CPT,X-ray exam sacroiliac joints,TC,,20,,RBRVS,0,0.67,0.67,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100172202,CPT,X-ray exam sacroiliac joints,,,20,,RBRVS,0.19,0.74,0.74,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100172220,CPT,X-ray exam of tailbone,26,,20,,RBRVS,0.17,0.06,0.06,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100172220,CPT,X-ray exam of tailbone,TC,,20,,RBRVS,0,0.52,0.52,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100172220,CPT,X-ray exam of tailbone,,,20,,RBRVS,0.17,0.58,0.58,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100172240,CPT,Contrast x-ray of neck spine,26,,20,,RBRVS,0.91,0.32,0.32,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100172240,CPT,Contrast x-ray of neck spine,TC,,20,,RBRVS,0,2.26,2.26,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100172240,CPT,Contrast x-ray of neck spine,,,20,,RBRVS,0.91,2.58,2.58,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100172255,CPT,"Contrast x-ray, thorax spine",26,,20,,RBRVS,0.91,0.28,0.28,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100172255,CPT,"Contrast x-ray, thorax spine",TC,,20,,RBRVS,0,1.96,1.96,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100172255,CPT,"Contrast x-ray, thorax spine",,,20,,RBRVS,0.91,2.24,2.24,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100172265,CPT,"Contrast x-ray, lower spine",26,,20,,RBRVS,0.83,0.29,0.29,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100172265,CPT,"Contrast x-ray, lower spine",TC,,20,,RBRVS,0,2.25,2.25,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100172265,CPT,"Contrast x-ray, lower spine",,,20,,RBRVS,0.83,2.54,2.54,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100172270,CPT,Contrast x-ray of spine,26,,20,,RBRVS,1.33,0.47,0.47,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100172270,CPT,Contrast x-ray of spine,TC,,20,,RBRVS,0,3.52,3.52,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100172270,CPT,Contrast x-ray of spine,,,20,,RBRVS,1.33,3.99,3.99,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100172275,CPT,Epidurography,26,,20,,RBRVS,0.76,0.2,0.2,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100172275,CPT,Epidurography,TC,,20,,RBRVS,0,1.53,1.53,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100172275,CPT,Epidurography,,,20,,RBRVS,0.76,1.73,1.73,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100172285,CPT,X-ray c/t spine disk,26,,20,,RBRVS,1.16,0.3,0.3,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100172285,CPT,X-ray c/t spine disk,TC,,20,,RBRVS,0,1.14,1.14,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100172285,CPT,X-ray c/t spine disk,,,20,,RBRVS,1.16,1.44,1.44,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100172291,CPT,"Perq vertebroplasty, fluor",26,,20,,RBRVS,1.31,0.48,0.48,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100172292,CPT,"Perq vertebroplasty, ct",26,,20,,RBRVS,1.38,0.5,0.5,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100172295,CPT,X-ray of lower spine disk,26,,20,,RBRVS,0.83,0.24,0.24,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100172295,CPT,X-ray of lower spine disk,TC,,20,,RBRVS,0,1.22,1.22,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100172295,CPT,X-ray of lower spine disk,,,20,,RBRVS,0.83,1.46,1.46,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100173000,CPT,X-ray exam of collar bone,26,,20,,RBRVS,0.16,0.05,0.05,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100173000,CPT,X-ray exam of collar bone,TC,,20,,RBRVS,0,0.5,0.5,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100173000,CPT,X-ray exam of collar bone,,,20,,RBRVS,0.16,0.55,0.55,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100173010,CPT,X-ray exam of shoulder blade,26,,20,,RBRVS,0.17,0.06,0.06,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100173010,CPT,X-ray exam of shoulder blade,TC,,20,,RBRVS,0,0.52,0.52,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100173010,CPT,X-ray exam of shoulder blade,,,20,,RBRVS,0.17,0.58,0.58,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100173020,CPT,X-ray exam of shoulder,26,,20,,RBRVS,0.15,0.05,0.05,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100173020,CPT,X-ray exam of shoulder,TC,,20,,RBRVS,0,0.39,0.39,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100173020,CPT,X-ray exam of shoulder,,,20,,RBRVS,0.15,0.44,0.44,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100173030,CPT,X-ray exam of shoulder,26,,20,,RBRVS,0.18,0.06,0.06,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100173030,CPT,X-ray exam of shoulder,TC,,20,,RBRVS,0,0.51,0.51,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100173030,CPT,X-ray exam of shoulder,,,20,,RBRVS,0.18,0.57,0.57,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100173040,CPT,Contrast x-ray of shoulder,26,,20,,RBRVS,0.54,0.19,0.19,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100173040,CPT,Contrast x-ray of shoulder,TC,,20,,RBRVS,0,2.06,2.06,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100173040,CPT,Contrast x-ray of shoulder,,,20,,RBRVS,0.54,2.25,2.25,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100173050,CPT,X-ray exam of shoulders,26,,20,,RBRVS,0.2,0.08,0.08,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100173050,CPT,X-ray exam of shoulders,TC,,20,,RBRVS,0,0.66,0.66,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100173050,CPT,X-ray exam of shoulders,,,20,,RBRVS,0.2,0.74,0.74,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100173060,CPT,X-ray exam of humerus,26,,20,,RBRVS,0.17,0.06,0.06,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100173060,CPT,X-ray exam of humerus,TC,,20,,RBRVS,0,0.52,0.52,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100173060,CPT,X-ray exam of humerus,,,20,,RBRVS,0.17,0.58,0.58,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100173070,CPT,X-ray exam of elbow,26,,20,,RBRVS,0.15,0.05,0.05,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100173070,CPT,X-ray exam of elbow,TC,,20,,RBRVS,0,0.5,0.5,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100173070,CPT,X-ray exam of elbow,,,20,,RBRVS,0.15,0.55,0.55,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100173080,CPT,X-ray exam of elbow,26,,20,,RBRVS,0.17,0.06,0.06,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100173080,CPT,X-ray exam of elbow,TC,,20,,RBRVS,0,0.7,0.7,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100173080,CPT,X-ray exam of elbow,,,20,,RBRVS,0.17,0.76,0.76,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100173085,CPT,Contrast x-ray of elbow,26,,20,,RBRVS,0.54,0.18,0.18,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100173085,CPT,Contrast x-ray of elbow,TC,,20,,RBRVS,0,1.66,1.66,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100173085,CPT,Contrast x-ray of elbow,,,20,,RBRVS,0.54,1.84,1.84,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100173090,CPT,X-ray exam of forearm,26,,20,,RBRVS,0.16,0.05,0.05,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100173090,CPT,X-ray exam of forearm,TC,,20,,RBRVS,0,0.5,0.5,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100173090,CPT,X-ray exam of forearm,,,20,,RBRVS,0.16,0.55,0.55,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100173092,CPT,"X-ray exam of arm, infant",26,,20,,RBRVS,0.16,0.05,0.05,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100173092,CPT,"X-ray exam of arm, infant",TC,,20,,RBRVS,0,0.53,0.53,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100173092,CPT,"X-ray exam of arm, infant",,,20,,RBRVS,0.16,0.58,0.58,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100173100,CPT,X-ray exam of wrist,26,,20,,RBRVS,0.16,0.06,0.06,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100173100,CPT,X-ray exam of wrist,TC,,20,,RBRVS,0,0.55,0.55,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100173100,CPT,X-ray exam of wrist,,,20,,RBRVS,0.16,0.61,0.61,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100173110,CPT,X-ray exam of wrist,26,,20,,RBRVS,0.17,0.06,0.06,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100173110,CPT,X-ray exam of wrist,TC,,20,,RBRVS,0,0.72,0.72,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100173110,CPT,X-ray exam of wrist,,,20,,RBRVS,0.17,0.78,0.78,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100173115,CPT,Contrast x-ray of wrist,26,,20,,RBRVS,0.54,0.19,0.19,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100173115,CPT,Contrast x-ray of wrist,TC,,20,,RBRVS,0,2.14,2.14,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100173115,CPT,Contrast x-ray of wrist,,,20,,RBRVS,0.54,2.33,2.33,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100173120,CPT,X-ray exam of hand,26,,20,,RBRVS,0.16,0.05,0.05,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100173120,CPT,X-ray exam of hand,TC,,20,,RBRVS,0,0.51,0.51,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100173120,CPT,X-ray exam of hand,,,20,,RBRVS,0.16,0.56,0.56,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100173130,CPT,X-ray exam of hand,26,,20,,RBRVS,0.17,0.06,0.06,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100173130,CPT,X-ray exam of hand,TC,,20,,RBRVS,0,0.6,0.6,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100173130,CPT,X-ray exam of hand,,,20,,RBRVS,0.17,0.66,0.66,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100173140,CPT,X-ray exam of finger(s),26,,20,,RBRVS,0.13,0.04,0.04,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100173140,CPT,X-ray exam of finger(s),TC,,20,,RBRVS,0,0.63,0.63,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100173140,CPT,X-ray exam of finger(s),,,20,,RBRVS,0.13,0.67,0.67,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100173200,CPT,Ct upper extremity w/o dye,26,,20,,RBRVS,1.09,0.38,0.38,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100173200,CPT,Ct upper extremity w/o dye,TC,,20,,RBRVS,0,6.02,6.02,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100173200,CPT,Ct upper extremity w/o dye,,,20,,RBRVS,1.09,6.4,6.4,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100173201,CPT,Ct upper extremity w/dye,26,,20,,RBRVS,1.16,0.41,0.41,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100173201,CPT,Ct upper extremity w/dye,TC,,20,,RBRVS,0,7.51,7.51,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100173201,CPT,Ct upper extremity w/dye,,,20,,RBRVS,1.16,7.92,7.92,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100173202,CPT,Ct uppr extremity w/o&w/dye,26,,20,,RBRVS,1.22,0.42,0.42,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100173202,CPT,Ct uppr extremity w/o&w/dye,TC,,20,,RBRVS,0,10.13,10.13,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100173202,CPT,Ct uppr extremity w/o&w/dye,,,20,,RBRVS,1.22,10.55,10.55,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100173206,CPT,Ct angio upr extrm w/o&w/dye,26,,20,,RBRVS,1.81,0.68,0.68,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100173206,CPT,Ct angio upr extrm w/o&w/dye,TC,,20,,RBRVS,0,10.26,10.26,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100173206,CPT,Ct angio upr extrm w/o&w/dye,,,20,,RBRVS,1.81,10.94,10.94,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100173218,CPT,Mri upper extremity w/o dye,26,,20,,RBRVS,1.35,0.46,0.46,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100173218,CPT,Mri upper extremity w/o dye,TC,,20,,RBRVS,0,14.19,14.19,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100173218,CPT,Mri upper extremity w/o dye,,,20,,RBRVS,1.35,14.65,14.65,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100173219,CPT,Mri upper extremity w/dye,26,,20,,RBRVS,1.62,0.56,0.56,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100173219,CPT,Mri upper extremity w/dye,TC,,20,,RBRVS,0,14.85,14.85,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100173219,CPT,Mri upper extremity w/dye,,,20,,RBRVS,1.62,15.41,15.41,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100173220,CPT,Mri uppr extremity w/o&w/dye,26,,20,,RBRVS,2.15,0.75,0.75,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100173220,CPT,Mri uppr extremity w/o&w/dye,TC,,20,,RBRVS,0,18.31,18.31,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100173220,CPT,Mri uppr extremity w/o&w/dye,,,20,,RBRVS,2.15,19.06,19.06,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100173221,CPT,Mri joint upr extrem w/o dye,26,,20,,RBRVS,1.35,0.47,0.47,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100173221,CPT,Mri joint upr extrem w/o dye,TC,,20,,RBRVS,0,13.09,13.09,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100173221,CPT,Mri joint upr extrem w/o dye,,,20,,RBRVS,1.35,13.56,13.56,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100173222,CPT,Mri joint upr extrem w/dye,26,,20,,RBRVS,1.62,0.56,0.56,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100173222,CPT,Mri joint upr extrem w/dye,TC,,20,,RBRVS,0,13.75,13.75,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100173222,CPT,Mri joint upr extrem w/dye,,,20,,RBRVS,1.62,14.31,14.31,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100173223,CPT,Mri joint upr extr w/o&w/dye,26,,20,,RBRVS,2.15,0.74,0.74,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100173223,CPT,Mri joint upr extr w/o&w/dye,TC,,20,,RBRVS,0,16.84,16.84,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100173223,CPT,Mri joint upr extr w/o&w/dye,,,20,,RBRVS,2.15,17.58,17.58,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100173225,CPT,Mr angio upr extr w/o&w/dye,26,,20,,RBRVS,1.73,0.4,0.4,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100173225,CPT,Mr angio upr extr w/o&w/dye,TC,,20,,RBRVS,0,14.25,14.25,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100173225,CPT,Mr angio upr extr w/o&w/dye,,,20,,RBRVS,1.73,14.65,14.65,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100173500,CPT,X-ray exam of hip,26,,20,,RBRVS,0.17,0.06,0.06,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100173500,CPT,X-ray exam of hip,TC,,20,,RBRVS,0,0.43,0.43,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100173500,CPT,X-ray exam of hip,,,20,,RBRVS,0.17,0.49,0.49,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100173510,CPT,X-ray exam of hip,26,,20,,RBRVS,0.21,0.07,0.07,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100173510,CPT,X-ray exam of hip,TC,,20,,RBRVS,0,0.7,0.7,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100173510,CPT,X-ray exam of hip,,,20,,RBRVS,0.21,0.77,0.77,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100173520,CPT,X-ray exam of hips,26,,20,,RBRVS,0.26,0.09,0.09,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100173520,CPT,X-ray exam of hips,TC,,20,,RBRVS,0,0.7,0.7,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100173520,CPT,X-ray exam of hips,,,20,,RBRVS,0.26,0.79,0.79,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100173525,CPT,Contrast x-ray of hip,26,,20,,RBRVS,0.54,0.18,0.18,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100173525,CPT,Contrast x-ray of hip,TC,,20,,RBRVS,0,1.65,1.65,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100173525,CPT,Contrast x-ray of hip,,,20,,RBRVS,0.54,1.83,1.83,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100173530,CPT,X-ray exam of hip,26,,20,,RBRVS,0.29,0.11,0.11,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100173540,CPT,X-ray exam of pelvis & hips,26,,20,,RBRVS,0.2,0.07,0.07,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100173540,CPT,X-ray exam of pelvis & hips,TC,,20,,RBRVS,0,0.74,0.74,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100173540,CPT,X-ray exam of pelvis & hips,,,20,,RBRVS,0.2,0.81,0.81,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100173542,CPT,"X-ray exam, sacroiliac joint",26,,20,,RBRVS,0.59,0.14,0.14,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100173542,CPT,"X-ray exam, sacroiliac joint",TC,,20,,RBRVS,0,0.99,0.99,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100173542,CPT,"X-ray exam, sacroiliac joint",,,20,,RBRVS,0.59,1.13,1.13,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100173550,CPT,X-ray exam of thigh,26,,20,,RBRVS,0.17,0.06,0.06,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100173550,CPT,X-ray exam of thigh,TC,,20,,RBRVS,0,0.49,0.49,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100173550,CPT,X-ray exam of thigh,,,20,,RBRVS,0.17,0.55,0.55,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100173560,CPT,"X-ray exam of knee, 1 or 2",26,,20,,RBRVS,0.17,0.06,0.06,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100173560,CPT,"X-ray exam of knee, 1 or 2",TC,,20,,RBRVS,0,0.52,0.52,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100173560,CPT,"X-ray exam of knee, 1 or 2",,,20,,RBRVS,0.17,0.58,0.58,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100173562,CPT,"X-ray exam of knee, 3",26,,20,,RBRVS,0.18,0.07,0.07,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100173562,CPT,"X-ray exam of knee, 3",TC,,20,,RBRVS,0,0.66,0.66,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100173562,CPT,"X-ray exam of knee, 3",,,20,,RBRVS,0.18,0.73,0.73,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100173564,CPT,"X-ray exam, knee, 4 or more",26,,20,,RBRVS,0.22,0.08,0.08,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100173564,CPT,"X-ray exam, knee, 4 or more",TC,,20,,RBRVS,0,0.78,0.78,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100173564,CPT,"X-ray exam, knee, 4 or more",,,20,,RBRVS,0.22,0.86,0.86,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100173565,CPT,X-ray exam of knees,26,,20,,RBRVS,0.17,0.06,0.06,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100173565,CPT,X-ray exam of knees,TC,,20,,RBRVS,0,0.59,0.59,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100173565,CPT,X-ray exam of knees,,,20,,RBRVS,0.17,0.65,0.65,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100173580,CPT,Contrast x-ray of knee joint,26,,20,,RBRVS,0.54,0.19,0.19,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100173580,CPT,Contrast x-ray of knee joint,TC,,20,,RBRVS,0,2.37,2.37,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100173580,CPT,Contrast x-ray of knee joint,,,20,,RBRVS,0.54,2.56,2.56,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100173590,CPT,X-ray exam of lower leg,26,,20,,RBRVS,0.17,0.06,0.06,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100173590,CPT,X-ray exam of lower leg,TC,,20,,RBRVS,0,0.48,0.48,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100173590,CPT,X-ray exam of lower leg,,,20,,RBRVS,0.17,0.54,0.54,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100173592,CPT,"X-ray exam of leg, infant",26,,20,,RBRVS,0.16,0.05,0.05,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100173592,CPT,"X-ray exam of leg, infant",TC,,20,,RBRVS,0,0.53,0.53,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100173592,CPT,"X-ray exam of leg, infant",,,20,,RBRVS,0.16,0.58,0.58,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100173600,CPT,X-ray exam of ankle,26,,20,,RBRVS,0.16,0.05,0.05,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100173600,CPT,X-ray exam of ankle,TC,,20,,RBRVS,0,0.51,0.51,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100173600,CPT,X-ray exam of ankle,,,20,,RBRVS,0.16,0.56,0.56,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100173610,CPT,X-ray exam of ankle,26,,20,,RBRVS,0.17,0.06,0.06,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100173610,CPT,X-ray exam of ankle,TC,,20,,RBRVS,0,0.62,0.62,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100173610,CPT,X-ray exam of ankle,,,20,,RBRVS,0.17,0.68,0.68,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100173615,CPT,Contrast x-ray of ankle,26,,20,,RBRVS,0.54,0.18,0.18,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100173615,CPT,Contrast x-ray of ankle,TC,,20,,RBRVS,0,1.82,1.82,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100173615,CPT,Contrast x-ray of ankle,,,20,,RBRVS,0.54,2,2,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100173620,CPT,X-ray exam of foot,26,,20,,RBRVS,0.16,0.04,0.04,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100173620,CPT,X-ray exam of foot,TC,,20,,RBRVS,0,0.48,0.48,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100173620,CPT,X-ray exam of foot,,,20,,RBRVS,0.16,0.52,0.52,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100173630,CPT,X-ray exam of foot,26,,20,,RBRVS,0.17,0.05,0.05,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100173630,CPT,X-ray exam of foot,TC,,20,,RBRVS,0,0.6,0.6,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100173630,CPT,X-ray exam of foot,,,20,,RBRVS,0.17,0.65,0.65,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100173650,CPT,X-ray exam of heel,26,,20,,RBRVS,0.16,0.05,0.05,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100173650,CPT,X-ray exam of heel,TC,,20,,RBRVS,0,0.5,0.5,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100173650,CPT,X-ray exam of heel,,,20,,RBRVS,0.16,0.55,0.55,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100173660,CPT,X-ray exam of toe(s),26,,20,,RBRVS,0.13,0.04,0.04,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100173660,CPT,X-ray exam of toe(s),TC,,20,,RBRVS,0,0.6,0.6,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100173660,CPT,X-ray exam of toe(s),,,20,,RBRVS,0.13,0.64,0.64,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100173700,CPT,Ct lower extremity w/o dye,26,,20,,RBRVS,1.09,0.38,0.38,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100173700,CPT,Ct lower extremity w/o dye,TC,,20,,RBRVS,0,6.03,6.03,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100173700,CPT,Ct lower extremity w/o dye,,,20,,RBRVS,1.09,6.41,6.41,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100173701,CPT,Ct lower extremity w/dye,26,,20,,RBRVS,1.16,0.41,0.41,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100173701,CPT,Ct lower extremity w/dye,TC,,20,,RBRVS,0,7.57,7.57,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100173701,CPT,Ct lower extremity w/dye,,,20,,RBRVS,1.16,7.98,7.98,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100173702,CPT,Ct lwr extremity w/o&w/dye,26,,20,,RBRVS,1.22,0.44,0.44,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100173702,CPT,Ct lwr extremity w/o&w/dye,TC,,20,,RBRVS,0,10.29,10.29,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100173702,CPT,Ct lwr extremity w/o&w/dye,,,20,,RBRVS,1.22,10.73,10.73,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100173706,CPT,Ct angio lwr extr w/o&w/dye,26,,20,,RBRVS,1.9,0.72,0.72,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100173706,CPT,Ct angio lwr extr w/o&w/dye,TC,,20,,RBRVS,0,11.63,11.63,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100173706,CPT,Ct angio lwr extr w/o&w/dye,,,20,,RBRVS,1.9,12.35,12.35,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100173718,CPT,Mri lower extremity w/o dye,26,,20,,RBRVS,1.35,0.46,0.46,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100173718,CPT,Mri lower extremity w/o dye,TC,,20,,RBRVS,0,13.81,13.81,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100173718,CPT,Mri lower extremity w/o dye,,,20,,RBRVS,1.35,14.27,14.27,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100173719,CPT,Mri lower extremity w/dye,26,,20,,RBRVS,1.62,0.57,0.57,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100173719,CPT,Mri lower extremity w/dye,TC,,20,,RBRVS,0,14.84,14.84,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100173719,CPT,Mri lower extremity w/dye,,,20,,RBRVS,1.62,15.41,15.41,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100173720,CPT,Mri lwr extremity w/o&w/dye,26,,20,,RBRVS,2.15,0.75,0.75,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100173720,CPT,Mri lwr extremity w/o&w/dye,TC,,20,,RBRVS,0,18.25,18.25,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100173720,CPT,Mri lwr extremity w/o&w/dye,,,20,,RBRVS,2.15,19,19,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100173721,CPT,Mri jnt of lwr extre w/o dye,26,,20,,RBRVS,1.35,0.47,0.47,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100173721,CPT,Mri jnt of lwr extre w/o dye,TC,,20,,RBRVS,0,13.41,13.41,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100173721,CPT,Mri jnt of lwr extre w/o dye,,,20,,RBRVS,1.35,13.88,13.88,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100173722,CPT,Mri joint of lwr extr w/dye,26,,20,,RBRVS,1.62,0.57,0.57,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100173722,CPT,Mri joint of lwr extr w/dye,TC,,20,,RBRVS,0,13.92,13.92,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100173722,CPT,Mri joint of lwr extr w/dye,,,20,,RBRVS,1.62,14.49,14.49,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100173723,CPT,Mri joint lwr extr w/o&w/dye,26,,20,,RBRVS,2.15,0.74,0.74,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100173723,CPT,Mri joint lwr extr w/o&w/dye,TC,,20,,RBRVS,0,16.82,16.82,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100173723,CPT,Mri joint lwr extr w/o&w/dye,,,20,,RBRVS,2.15,17.56,17.56,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100173725,CPT,Mr ang lwr ext w or w/o dye,26,,20,,RBRVS,1.82,0.64,0.64,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100173725,CPT,Mr ang lwr ext w or w/o dye,TC,,20,,RBRVS,0,14.49,14.49,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100173725,CPT,Mr ang lwr ext w or w/o dye,,,20,,RBRVS,1.82,15.13,15.13,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100174000,CPT,X-ray exam of abdomen,26,,20,,RBRVS,0.18,0.06,0.06,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100174000,CPT,X-ray exam of abdomen,TC,,20,,RBRVS,0,0.4,0.4,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100174000,CPT,X-ray exam of abdomen,,,20,,RBRVS,0.18,0.46,0.46,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100174010,CPT,X-ray exam of abdomen,26,,20,,RBRVS,0.23,0.08,0.08,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100174010,CPT,X-ray exam of abdomen,TC,,20,,RBRVS,0,0.71,0.71,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100174010,CPT,X-ray exam of abdomen,,,20,,RBRVS,0.23,0.79,0.79,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100174020,CPT,X-ray exam of abdomen,26,,20,,RBRVS,0.27,0.09,0.09,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100174020,CPT,X-ray exam of abdomen,TC,,20,,RBRVS,0,0.72,0.72,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100174020,CPT,X-ray exam of abdomen,,,20,,RBRVS,0.27,0.81,0.81,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100174022,CPT,"X-ray exam series, abdomen",26,,20,,RBRVS,0.32,0.11,0.11,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100174022,CPT,"X-ray exam series, abdomen",TC,,20,,RBRVS,0,0.88,0.88,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100174022,CPT,"X-ray exam series, abdomen",,,20,,RBRVS,0.32,0.99,0.99,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100174150,CPT,Ct abdomen w/o dye,26,,20,,RBRVS,1.19,0.42,0.42,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100174150,CPT,Ct abdomen w/o dye,TC,,20,,RBRVS,0,5.65,5.65,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100174150,CPT,Ct abdomen w/o dye,,,20,,RBRVS,1.19,6.07,6.07,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100174160,CPT,Ct abdomen w/dye,26,,20,,RBRVS,1.27,0.45,0.45,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100174160,CPT,Ct abdomen w/dye,TC,,20,,RBRVS,0,8.37,8.37,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100174160,CPT,Ct abdomen w/dye,,,20,,RBRVS,1.27,8.82,8.82,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100174170,CPT,Ct abdomen w/o&w/dye,26,,20,,RBRVS,1.4,0.49,0.49,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100174170,CPT,Ct abdomen w/o&w/dye,TC,,20,,RBRVS,0,11.7,11.7,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100174170,CPT,Ct abdomen w/o&w/dye,,,20,,RBRVS,1.4,12.19,12.19,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100174175,CPT,Ct angio abdom w/o&w/dye,26,,20,,RBRVS,1.9,0.69,0.69,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100174175,CPT,Ct angio abdom w/o&w/dye,TC,,20,,RBRVS,0,11.59,11.59,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100174175,CPT,Ct angio abdom w/o&w/dye,,,20,,RBRVS,1.9,12.28,12.28,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100174181,CPT,Mri abdomen w/o dye,26,,20,,RBRVS,1.46,0.51,0.51,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100174181,CPT,Mri abdomen w/o dye,TC,,20,,RBRVS,0,11.94,11.94,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100174181,CPT,Mri abdomen w/o dye,,,20,,RBRVS,1.46,12.45,12.45,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100174182,CPT,Mri abdomen w/dye,26,,20,,RBRVS,1.73,0.61,0.61,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100174182,CPT,Mri abdomen w/dye,TC,,20,,RBRVS,0,16.84,16.84,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100174182,CPT,Mri abdomen w/dye,,,20,,RBRVS,1.73,17.45,17.45,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100174183,CPT,Mri abdomen w/o&w/dye,26,,20,,RBRVS,2.26,0.79,0.79,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100174183,CPT,Mri abdomen w/o&w/dye,TC,,20,,RBRVS,0,18.21,18.21,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100174183,CPT,Mri abdomen w/o&w/dye,,,20,,RBRVS,2.26,19,19,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100174185,CPT,"Mri angio, abdom w or w/o dy",26,,20,,RBRVS,1.8,0.64,0.64,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100174185,CPT,"Mri angio, abdom w or w/o dy",TC,,20,,RBRVS,0,14.45,14.45,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100174185,CPT,"Mri angio, abdom w or w/o dy",,,20,,RBRVS,1.8,15.09,15.09,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100174190,CPT,X-ray exam of peritoneum,26,,20,,RBRVS,0.48,0.17,0.17,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100174210,CPT,Contrst x-ray exam of throat,26,,20,,RBRVS,0.36,0.13,0.13,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100174210,CPT,Contrst x-ray exam of throat,TC,,20,,RBRVS,0,1.64,1.64,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100174210,CPT,Contrst x-ray exam of throat,,,20,,RBRVS,0.36,1.77,1.77,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100174220,CPT,"Contrast x-ray, esophagus",26,,20,,RBRVS,0.46,0.16,0.16,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100174220,CPT,"Contrast x-ray, esophagus",TC,,20,,RBRVS,0,1.85,1.85,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100174220,CPT,"Contrast x-ray, esophagus",,,20,,RBRVS,0.46,2.01,2.01,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100174230,CPT,"Cine/vid x-ray, throat/esoph",26,,20,,RBRVS,0.53,0.19,0.19,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100174230,CPT,"Cine/vid x-ray, throat/esoph",TC,,20,,RBRVS,0,1.76,1.76,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100174230,CPT,"Cine/vid x-ray, throat/esoph",,,20,,RBRVS,0.53,1.95,1.95,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100174235,CPT,Remove esophagus obstruction,26,,20,,RBRVS,1.19,0.47,0.47,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100174240,CPT,"X-ray exam, upper gi tract",26,,20,,RBRVS,0.69,0.24,0.24,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100174240,CPT,"X-ray exam, upper gi tract",TC,,20,,RBRVS,0,2.06,2.06,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100174240,CPT,"X-ray exam, upper gi tract",,,20,,RBRVS,0.69,2.3,2.3,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100174241,CPT,"X-ray exam, upper gi tract",26,,20,,RBRVS,0.69,0.24,0.24,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100174241,CPT,"X-ray exam, upper gi tract",TC,,20,,RBRVS,0,2.33,2.33,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100174241,CPT,"X-ray exam, upper gi tract",,,20,,RBRVS,0.69,2.57,2.57,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100174245,CPT,"X-ray exam, upper gi tract",26,,20,,RBRVS,0.91,0.32,0.32,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100174245,CPT,"X-ray exam, upper gi tract",TC,,20,,RBRVS,0,3.64,3.64,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100174245,CPT,"X-ray exam, upper gi tract",,,20,,RBRVS,0.91,3.96,3.96,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100174246,CPT,Contrst x-ray uppr gi tract,26,,20,,RBRVS,0.69,0.25,0.25,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100174246,CPT,Contrst x-ray uppr gi tract,TC,,20,,RBRVS,0,2.56,2.56,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100174246,CPT,Contrst x-ray uppr gi tract,,,20,,RBRVS,0.69,2.81,2.81,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100174247,CPT,Contrst x-ray uppr gi tract,26,,20,,RBRVS,0.69,0.24,0.24,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100174247,CPT,Contrst x-ray uppr gi tract,TC,,20,,RBRVS,0,2.98,2.98,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100174247,CPT,Contrst x-ray uppr gi tract,,,20,,RBRVS,0.69,3.22,3.22,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100174249,CPT,Contrst x-ray uppr gi tract,26,,20,,RBRVS,0.91,0.32,0.32,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100174249,CPT,Contrst x-ray uppr gi tract,TC,,20,,RBRVS,0,4.03,4.03,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100174249,CPT,Contrst x-ray uppr gi tract,,,20,,RBRVS,0.91,4.35,4.35,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100174250,CPT,X-ray exam of small bowel,26,,20,,RBRVS,0.47,0.17,0.17,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100174250,CPT,X-ray exam of small bowel,TC,,20,,RBRVS,0,2.32,2.32,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100174250,CPT,X-ray exam of small bowel,,,20,,RBRVS,0.47,2.49,2.49,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100174251,CPT,X-ray exam of small bowel,26,,20,,RBRVS,0.69,0.25,0.25,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100174251,CPT,X-ray exam of small bowel,TC,,20,,RBRVS,0,9.77,9.77,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100174251,CPT,X-ray exam of small bowel,,,20,,RBRVS,0.69,10.02,10.02,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100174260,CPT,X-ray exam of small bowel,26,,20,,RBRVS,0.5,0.18,0.18,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100174260,CPT,X-ray exam of small bowel,TC,,20,,RBRVS,0,8.13,8.13,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100174260,CPT,X-ray exam of small bowel,,,20,,RBRVS,0.5,8.31,8.31,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100174270,CPT,Contrast x-ray exam of colon,26,,20,,RBRVS,0.69,0.25,0.25,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100174270,CPT,Contrast x-ray exam of colon,TC,,20,,RBRVS,0,3.34,3.34,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100174270,CPT,Contrast x-ray exam of colon,,,20,,RBRVS,0.69,3.59,3.59,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100174280,CPT,Contrast x-ray exam of colon,26,,20,,RBRVS,0.99,0.35,0.35,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100174280,CPT,Contrast x-ray exam of colon,TC,,20,,RBRVS,0,4.6,4.6,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100174280,CPT,Contrast x-ray exam of colon,,,20,,RBRVS,0.99,4.95,4.95,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100174283,CPT,Contrast x-ray exam of colon,26,,20,,RBRVS,2.02,0.69,0.69,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100174283,CPT,Contrast x-ray exam of colon,TC,,20,,RBRVS,0,2.8,2.8,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100174283,CPT,Contrast x-ray exam of colon,,,20,,RBRVS,2.02,3.49,3.49,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100174290,CPT,"Contrast x-ray, gallbladder",26,,20,,RBRVS,0.32,0.11,0.11,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100174290,CPT,"Contrast x-ray, gallbladder",TC,,20,,RBRVS,0,1.47,1.47,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100174290,CPT,"Contrast x-ray, gallbladder",,,20,,RBRVS,0.32,1.58,1.58,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100174291,CPT,"Contrast x-rays, gallbladder",26,,20,,RBRVS,0.2,0.07,0.07,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100174291,CPT,"Contrast x-rays, gallbladder",TC,,20,,RBRVS,0,1.49,1.49,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100174291,CPT,"Contrast x-rays, gallbladder",,,20,,RBRVS,0.2,1.56,1.56,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100174300,CPT,X-ray bile ducts/pancreas,26,,20,,RBRVS,0.36,0.13,0.13,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100174300,CPT,X-ray bile ducts/pancreas,TC,,20,,TotalUnits,,,,1.2,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100174301,CPT,X-rays at surgery add-on,26,,20,,RBRVS,0.21,0.07,0.07,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100174301,CPT,X-rays at surgery add-on,TC,,20,,TotalUnits,,,,0.69,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100174305,CPT,X-ray bile ducts/pancreas,26,,20,,RBRVS,0.42,0.15,0.15,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100174320,CPT,Contrast x-ray of bile ducts,26,,20,,RBRVS,0.54,0.2,0.2,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100174320,CPT,Contrast x-ray of bile ducts,TC,,20,,RBRVS,0,1.94,1.94,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100174320,CPT,Contrast x-ray of bile ducts,,,20,,RBRVS,0.54,2.14,2.14,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100174327,CPT,X-ray bile stone removal,26,,20,,RBRVS,0.7,0.25,0.25,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100174327,CPT,X-ray bile stone removal,TC,,20,,RBRVS,0,2.72,2.72,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100174327,CPT,X-ray bile stone removal,,,20,,RBRVS,0.7,2.97,2.97,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100174328,CPT,X-ray bile duct endoscopy,26,,20,,RBRVS,0.7,0.26,0.26,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100174329,CPT,X-ray for pancreas endoscopy,26,,20,,RBRVS,0.7,0.27,0.27,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100174330,CPT,X-ray bile/panc endoscopy,26,,20,,RBRVS,0.9,0.33,0.33,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100174340,CPT,X-ray guide for GI tube,26,,20,,RBRVS,0.54,0.19,0.19,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100174355,CPT,"X-ray guide, intestinal tube",26,,20,,RBRVS,0.76,0.28,0.28,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100174360,CPT,"X-ray guide, GI dilation",26,,20,,RBRVS,0.54,0.24,0.24,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100174363,CPT,"X-ray, bile duct dilation",26,,20,,RBRVS,0.88,0.32,0.32,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100174400,CPT,"Contrst x-ray, urinary tract",26,,20,,RBRVS,0.49,0.17,0.17,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100174400,CPT,"Contrst x-ray, urinary tract",TC,,20,,RBRVS,0,2.43,2.43,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100174400,CPT,"Contrst x-ray, urinary tract",,,20,,RBRVS,0.49,2.6,2.6,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100174410,CPT,"Contrst x-ray, urinary tract",26,,20,,RBRVS,0.49,0.18,0.18,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100174410,CPT,"Contrst x-ray, urinary tract",TC,,20,,RBRVS,0,2.51,2.51,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100174410,CPT,"Contrst x-ray, urinary tract",,,20,,RBRVS,0.49,2.69,2.69,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100174415,CPT,"Contrst x-ray, urinary tract",26,,20,,RBRVS,0.49,0.17,0.17,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100174415,CPT,"Contrst x-ray, urinary tract",TC,,20,,RBRVS,0,3.1,3.1,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100174415,CPT,"Contrst x-ray, urinary tract",,,20,,RBRVS,0.49,3.27,3.27,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100174420,CPT,"Contrst x-ray, urinary tract",26,,20,,RBRVS,0.36,0.14,0.14,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100174425,CPT,"Contrst x-ray, urinary tract",26,,20,,RBRVS,0.36,0.13,0.13,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100174430,CPT,"Contrast x-ray, bladder",26,,20,,RBRVS,0.32,0.12,0.12,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100174430,CPT,"Contrast x-ray, bladder",TC,,20,,RBRVS,0,1.84,1.84,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100174430,CPT,"Contrast x-ray, bladder",,,20,,RBRVS,0.32,1.96,1.96,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100174440,CPT,"X-ray, male genital tract",26,,20,,RBRVS,0.38,0.14,0.14,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100174440,CPT,"X-ray, male genital tract",TC,,20,,RBRVS,0,1.98,1.98,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100174440,CPT,"X-ray, male genital tract",,,20,,RBRVS,0.38,2.12,2.12,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100174445,CPT,X-ray exam of penis,26,,20,,RBRVS,1.14,0.45,0.45,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100174450,CPT,"X-ray, urethra/bladder",26,,20,,RBRVS,0.33,0.12,0.12,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100174455,CPT,"X-ray, urethra/bladder",26,,20,,RBRVS,0.33,0.12,0.12,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100174455,CPT,"X-ray, urethra/bladder",TC,,20,,RBRVS,0,2.06,2.06,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100174455,CPT,"X-ray, urethra/bladder",,,20,,RBRVS,0.33,2.18,2.18,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100174470,CPT,X-ray exam of kidney lesion,26,,20,,RBRVS,0.54,0.17,0.17,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100174475,CPT,"X-ray control, cath insert",26,,20,,RBRVS,0.54,0.2,0.2,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100174475,CPT,"X-ray control, cath insert",TC,,20,,RBRVS,0,1.92,1.92,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100174475,CPT,"X-ray control, cath insert",,,20,,RBRVS,0.54,2.12,2.12,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100174480,CPT,"X-ray control, cath insert",26,,20,,RBRVS,0.54,0.2,0.2,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100174480,CPT,"X-ray control, cath insert",TC,,20,,RBRVS,0,1.93,1.93,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100174480,CPT,"X-ray control, cath insert",,,20,,RBRVS,0.54,2.13,2.13,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100174485,CPT,"X-ray guide, GU dilation",26,,20,,RBRVS,0.54,0.2,0.2,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100174485,CPT,"X-ray guide, GU dilation",TC,,20,,RBRVS,0,2.07,2.07,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100174485,CPT,"X-ray guide, GU dilation",,,20,,RBRVS,0.54,2.27,2.27,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100174710,CPT,X-ray measurement of pelvis,26,,20,,RBRVS,0.34,0.11,0.11,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100174710,CPT,X-ray measurement of pelvis,TC,,20,,RBRVS,0,0.53,0.53,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100174710,CPT,X-ray measurement of pelvis,,,20,,RBRVS,0.34,0.64,0.64,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100174740,CPT,"X-ray, female genital tract",26,,20,,RBRVS,0.38,0.13,0.13,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100174740,CPT,"X-ray, female genital tract",TC,,20,,RBRVS,0,1.64,1.64,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100174740,CPT,"X-ray, female genital tract",,,20,,RBRVS,0.38,1.77,1.77,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100174742,CPT,"X-ray, fallopian tube",26,,20,,RBRVS,0.61,0.19,0.19,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100174775,CPT,X-ray exam of perineum,26,,20,,RBRVS,0.62,0.22,0.22,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100175557,CPT,Cardiac mri for morph,26,,20,,RBRVS,2.35,0.94,0.94,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100175557,CPT,Cardiac mri for morph,TC, ,20,,RBRVS,0,10.33,10.33,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100175557,CPT,Cardiac mri for morph,,,20,,RBRVS,2.35,11.27,11.27,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100175558,CPT,Cardiac mri flow/velocity,26,,20,,RBRVS,2.6,0.6,0.6,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100175558,CPT,Cardiac mri flow/velocity,TC, ,20,,RBRVS,0,11.79,11.79,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100175558,CPT,Cardiac mri flow/velocity,,,20,,RBRVS,2.6,12.39,12.39,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100175559,CPT,Cardiac mri w/stress img,26,,20,,RBRVS,2.95,1.27,1.27,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100175559,CPT,Cardiac mri w/stress img,TC, ,20,,RBRVS,0,15.99,15.99,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100175559,CPT,Cardiac mri w/stress img,,,20,,RBRVS,2.95,17.26,17.26,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100175560,CPT,Cardiac mri flow/vel/stress,26,,20,,RBRVS,3,0.69,0.69,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100175560,CPT,Cardiac mri flow/vel/stress,TC, ,20,,RBRVS,0,16.15,16.15,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100175560,CPT,Cardiac mri flow/vel/stress,,,20,,RBRVS,3,16.84,16.84,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100175561,CPT,Cardiac mri for morph w/dye,26,,20,,RBRVS,2.6,1.04,1.04,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100175561,CPT,Cardiac mri for morph w/dye,TC, ,20,,RBRVS,0,14.94,14.94,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100175561,CPT,Cardiac mri for morph w/dye,,,20,,RBRVS,2.6,15.98,15.98,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100175562,CPT,Card mri flow/vel w/dye,26,,20,,RBRVS,2.86,0.66,0.66,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100175562,CPT,Card mri flow/vel w/dye,TC, ,20,,RBRVS,0,16.11,16.11,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100175562,CPT,Card mri flow/vel w/dye,,,20,,RBRVS,2.86,16.77,16.77,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100175563,CPT,Card mri w/stress img & dye,26,,20,,RBRVS,3,1.38,1.38,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100175563,CPT,Card mri w/stress img & dye,TC, ,20,,RBRVS,0,18.84,18.84,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100175563,CPT,Card mri w/stress img & dye,,,20,,RBRVS,3,20.22,20.22,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100175564,CPT,Ht mri w/flo/vel/strs & dye,26,,20,,RBRVS,3.35,0.77,0.77,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100175564,CPT,Ht mri w/flo/vel/strs & dye,TC, ,20,,RBRVS,0,18.96,18.96,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100175564,CPT,Ht mri w/flo/vel/strs & dye,,,20,,RBRVS,3.35,19.73,19.73,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100175600,CPT,Contrast x-ray exam of aorta,26,,20,,RBRVS,0.49,0.24,0.24,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100175600,CPT,Contrast x-ray exam of aorta,TC,,20,,RBRVS,0,6.18,6.18,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100175600,CPT,Contrast x-ray exam of aorta,,,20,,RBRVS,0.49,6.42,6.42,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100175605,CPT,Contrast x-ray exam of aorta,26,,20,,RBRVS,1.14,0.49,0.49,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100175605,CPT,Contrast x-ray exam of aorta,TC,,20,,RBRVS,0,3.06,3.06,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100175605,CPT,Contrast x-ray exam of aorta,,,20,,RBRVS,1.14,3.55,3.55,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100175625,CPT,Contrast x-ray exam of aorta,26,,20,,RBRVS,1.14,0.42,0.42,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100175625,CPT,Contrast x-ray exam of aorta,TC,,20,,RBRVS,0,2.93,2.93,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100175625,CPT,Contrast x-ray exam of aorta,,,20,,RBRVS,1.14,3.35,3.35,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100175630,CPT,"X-ray aorta, leg arteries",26,,20,,RBRVS,1.79,0.71,0.71,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100175630,CPT,"X-ray aorta, leg arteries",TC,,20,,RBRVS,0,3.05,3.05,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100175630,CPT,"X-ray aorta, leg arteries",,,20,,RBRVS,1.79,3.76,3.76,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100175635,CPT,Ct angio abdominal arteries,26,,20,,RBRVS,2.4,0.92,0.92,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100175635,CPT,Ct angio abdominal arteries,TC,,20,,RBRVS,0,12.02,12.02,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100175635,CPT,Ct angio abdominal arteries,,,20,,RBRVS,2.4,12.94,12.94,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100175650,CPT,"Artery x-rays, head & neck",26,,20,,RBRVS,1.49,0.58,0.58,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100175650,CPT,"Artery x-rays, head & neck",TC,,20,,RBRVS,0,2.95,2.95,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100175650,CPT,"Artery x-rays, head & neck",,,20,,RBRVS,1.49,3.53,3.53,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100175658,CPT,"Artery x-rays, arm",26,,20,,RBRVS,1.31,0.44,0.44,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100175658,CPT,"Artery x-rays, arm",TC,,20,,RBRVS,0,3.29,3.29,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100175658,CPT,"Artery x-rays, arm",,,20,,RBRVS,1.31,3.73,3.73,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100175660,CPT,"Artery x-rays, head & neck",26,,20,,RBRVS,1.31,0.49,0.49,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100175660,CPT,"Artery x-rays, head & neck",TC,,20,,RBRVS,0,3.39,3.39,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100175660,CPT,"Artery x-rays, head & neck",,,20,,RBRVS,1.31,3.88,3.88,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100175662,CPT,"Artery x-rays, head & neck",26,,20,,RBRVS,1.66,0.7,0.7,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100175662,CPT,"Artery x-rays, head & neck",TC,,20,,RBRVS,0,4.31,4.31,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100175662,CPT,"Artery x-rays, head & neck",,,20,,RBRVS,1.66,5.01,5.01,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100175665,CPT,"Artery x-rays, head & neck",26,,20,,RBRVS,1.31,0.48,0.48,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100175665,CPT,"Artery x-rays, head & neck",TC,,20,,RBRVS,0,3.62,3.62,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100175665,CPT,"Artery x-rays, head & neck",,,20,,RBRVS,1.31,4.1,4.1,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100175671,CPT,"Artery x-rays, head & neck",26,,20,,RBRVS,1.66,0.64,0.64,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100175671,CPT,"Artery x-rays, head & neck",TC,,20,,RBRVS,0,4.46,4.46,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100175671,CPT,"Artery x-rays, head & neck",,,20,,RBRVS,1.66,5.1,5.1,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100175676,CPT,"Artery x-rays, neck",26,,20,,RBRVS,1.31,0.49,0.49,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100175676,CPT,"Artery x-rays, neck",TC,,20,,RBRVS,0,3.38,3.38,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100175676,CPT,"Artery x-rays, neck",,,20,,RBRVS,1.31,3.87,3.87,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100175680,CPT,"Artery x-rays, neck",26,,20,,RBRVS,1.66,0.66,0.66,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100175680,CPT,"Artery x-rays, neck",TC,,20,,RBRVS,0,3.95,3.95,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100175680,CPT,"Artery x-rays, neck",,,20,,RBRVS,1.66,4.61,4.61,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100175685,CPT,"Artery x-rays, spine",26,,20,,RBRVS,1.31,0.5,0.5,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100175685,CPT,"Artery x-rays, spine",TC,,20,,RBRVS,0,3.39,3.39,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100175685,CPT,"Artery x-rays, spine",,,20,,RBRVS,1.31,3.89,3.89,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100175705,CPT,"Artery x-rays, spine",26,,20,,RBRVS,2.18,0.8,0.8,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100175705,CPT,"Artery x-rays, spine",TC,,20,,RBRVS,0,3.38,3.38,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100175705,CPT,"Artery x-rays, spine",,,20,,RBRVS,2.18,4.18,4.18,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100175710,CPT,"Artery x-rays, arm/leg",26,,20,,RBRVS,1.14,0.42,0.42,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100175710,CPT,"Artery x-rays, arm/leg",TC,,20,,RBRVS,0,3.53,3.53,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100175710,CPT,"Artery x-rays, arm/leg",,,20,,RBRVS,1.14,3.95,3.95,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100175716,CPT,"Artery x-rays, arms/legs",26,,20,,RBRVS,1.31,0.5,0.5,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100175716,CPT,"Artery x-rays, arms/legs",TC,,20,,RBRVS,0,4.42,4.42,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100175716,CPT,"Artery x-rays, arms/legs",,,20,,RBRVS,1.31,4.92,4.92,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100175722,CPT,"Artery x-rays, kidney",26,,20,,RBRVS,1.14,0.47,0.47,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100175722,CPT,"Artery x-rays, kidney",TC,,20,,RBRVS,0,3.37,3.37,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100175722,CPT,"Artery x-rays, kidney",,,20,,RBRVS,1.14,3.84,3.84,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100175724,CPT,"Artery x-rays, kidneys",26,,20,,RBRVS,1.49,0.74,0.74,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100175724,CPT,"Artery x-rays, kidneys",TC,,20,,RBRVS,0,4.39,4.39,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100175724,CPT,"Artery x-rays, kidneys",,,20,,RBRVS,1.49,5.13,5.13,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100175726,CPT,"Artery x-rays, abdomen",26,,20,,RBRVS,1.14,0.42,0.42,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100175726,CPT,"Artery x-rays, abdomen",TC,,20,,RBRVS,0,3.35,3.35,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100175726,CPT,"Artery x-rays, abdomen",,,20,,RBRVS,1.14,3.77,3.77,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100175731,CPT,"Artery x-rays, adrenal gland",26,,20,,RBRVS,1.14,0.5,0.5,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100175731,CPT,"Artery x-rays, adrenal gland",TC,,20,,RBRVS,0,3.6,3.6,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100175731,CPT,"Artery x-rays, adrenal gland",,,20,,RBRVS,1.14,4.1,4.1,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100175733,CPT,"Artery x-rays, adrenals",26,,20,,RBRVS,1.31,0.65,0.65,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100175733,CPT,"Artery x-rays, adrenals",TC,,20,,RBRVS,0,4.81,4.81,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100175733,CPT,"Artery x-rays, adrenals",,,20,,RBRVS,1.31,5.46,5.46,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100175736,CPT,"Artery x-rays, pelvis",26,,20,,RBRVS,1.14,0.43,0.43,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100175736,CPT,"Artery x-rays, pelvis",TC,,20,,RBRVS,0,3.44,3.44,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100175736,CPT,"Artery x-rays, pelvis",,,20,,RBRVS,1.14,3.87,3.87,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100175741,CPT,"Artery x-rays, lung",26,,20,,RBRVS,1.31,0.49,0.49,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100175741,CPT,"Artery x-rays, lung",TC,,20,,RBRVS,0,2.69,2.69,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100175741,CPT,"Artery x-rays, lung",,,20,,RBRVS,1.31,3.18,3.18,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100175743,CPT,"Artery x-rays, lungs",26,,20,,RBRVS,1.66,0.62,0.62,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100175743,CPT,"Artery x-rays, lungs",TC,,20,,RBRVS,0,2.94,2.94,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100175743,CPT,"Artery x-rays, lungs",,,20,,RBRVS,1.66,3.56,3.56,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100175746,CPT,"Artery x-rays, lung",26,,20,,RBRVS,1.14,0.4,0.4,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100175746,CPT,"Artery x-rays, lung",TC,,20,,RBRVS,0,3.12,3.12,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100175746,CPT,"Artery x-rays, lung",,,20,,RBRVS,1.14,3.52,3.52,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100175756,CPT,"Artery x-rays, chest",26,,20,,RBRVS,1.14,0.58,0.58,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100175756,CPT,"Artery x-rays, chest",TC,,20,,RBRVS,0,3.76,3.76,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100175756,CPT,"Artery x-rays, chest",,,20,,RBRVS,1.14,4.34,4.34,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100175774,CPT,"Artery x-ray, each vessel",26,,20,,RBRVS,0.36,0.14,0.14,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100175774,CPT,"Artery x-ray, each vessel",TC,,20,,RBRVS,0,2.37,2.37,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100175774,CPT,"Artery x-ray, each vessel",,,20,,RBRVS,0.36,2.51,2.51,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100175790,CPT,Visualize A-V shunt,26,,20,,RBRVS,1.84,0.6,0.6,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100175790,CPT,Visualize A-V shunt,TC,,20,,RBRVS,0,2.52,2.52,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100175790,CPT,Visualize A-V shunt,,,20,,RBRVS,1.84,3.12,3.12,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100175801,CPT,"Lymph vessel x-ray, arm/leg",26,,20,,RBRVS,0.81,0.22,0.22,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100175803,CPT,"Lymph vessel x-ray,arms/legs",26,,20,,RBRVS,1.17,0.4,0.4,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100175805,CPT,"Lymph vessel x-ray, trunk",26,,20,,RBRVS,0.81,0.27,0.27,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100175807,CPT,"Lymph vessel x-ray, trunk",26,,20,,RBRVS,1.17,0.39,0.39,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100175809,CPT,"Nonvascular shunt, x-ray",26,,20,,RBRVS,0.47,0.16,0.16,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100175809,CPT,"Nonvascular shunt, x-ray",TC,,20,,RBRVS,0,2.01,2.01,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100175809,CPT,"Nonvascular shunt, x-ray",,,20,,RBRVS,0.47,2.17,2.17,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100175810,CPT,"Vein x-ray, spleen/liver",26,,20,,RBRVS,1.14,0.39,0.39,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100175820,CPT,"Vein x-ray, arm/leg",26,,20,,RBRVS,0.7,0.29,0.29,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100175820,CPT,"Vein x-ray, arm/leg",TC,,20,,RBRVS,0,2.72,2.72,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100175820,CPT,"Vein x-ray, arm/leg",,,20,,RBRVS,0.7,3.01,3.01,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100175822,CPT,"Vein x-ray, arms/legs",26,,20,,RBRVS,1.06,0.37,0.37,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100175822,CPT,"Vein x-ray, arms/legs",TC,,20,,RBRVS,0,2.81,2.81,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100175822,CPT,"Vein x-ray, arms/legs",,,20,,RBRVS,1.06,3.18,3.18,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100175825,CPT,"Vein x-ray, trunk",26,,20,,RBRVS,1.14,0.38,0.38,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100175825,CPT,"Vein x-ray, trunk",TC,,20,,RBRVS,0,2.55,2.55,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100175825,CPT,"Vein x-ray, trunk",,,20,,RBRVS,1.14,2.93,2.93,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100175827,CPT,"Vein x-ray, chest",26,,20,,RBRVS,1.14,0.37,0.37,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100175827,CPT,"Vein x-ray, chest",TC,,20,,RBRVS,0,2.58,2.58,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100175827,CPT,"Vein x-ray, chest",,,20,,RBRVS,1.14,2.95,2.95,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100175831,CPT,"Vein x-ray, kidney",26,,20,,RBRVS,1.14,0.38,0.38,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100175831,CPT,"Vein x-ray, kidney",TC,,20,,RBRVS,0,2.67,2.67,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100175831,CPT,"Vein x-ray, kidney",,,20,,RBRVS,1.14,3.05,3.05,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100175833,CPT,"Vein x-ray, kidneys",26,,20,,RBRVS,1.49,0.5,0.5,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100175833,CPT,"Vein x-ray, kidneys",TC,,20,,RBRVS,0,3.18,3.18,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100175833,CPT,"Vein x-ray, kidneys",,,20,,RBRVS,1.49,3.68,3.68,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100175840,CPT,"Vein x-ray, adrenal gland",26,,20,,RBRVS,1.14,0.36,0.36,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100175840,CPT,"Vein x-ray, adrenal gland",TC,,20,,RBRVS,0,2.6,2.6,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100175840,CPT,"Vein x-ray, adrenal gland",,,20,,RBRVS,1.14,2.96,2.96,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100175842,CPT,"Vein x-ray, adrenal glands",26,,20,,RBRVS,1.49,0.55,0.55,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100175842,CPT,"Vein x-ray, adrenal glands",TC,,20,,RBRVS,0,3.2,3.2,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100175842,CPT,"Vein x-ray, adrenal glands",,,20,,RBRVS,1.49,3.75,3.75,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100175860,CPT,"Vein x-ray, neck",26,,20,,RBRVS,1.14,0.49,0.49,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100175860,CPT,"Vein x-ray, neck",TC,,20,,RBRVS,0,2.91,2.91,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100175860,CPT,"Vein x-ray, neck",,,20,,RBRVS,1.14,3.4,3.4,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100175870,CPT,"Vein x-ray, skull",26,,20,,RBRVS,1.14,0.4,0.4,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100175870,CPT,"Vein x-ray, skull",TC,,20,,RBRVS,0,2.89,2.89,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100175870,CPT,"Vein x-ray, skull",,,20,,RBRVS,1.14,3.29,3.29,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100175872,CPT,"Vein x-ray, skull",26,,20,,RBRVS,1.14,0.44,0.44,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100175872,CPT,"Vein x-ray, skull",TC,,20,,RBRVS,0,3.6,3.6,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100175872,CPT,"Vein x-ray, skull",,,20,,RBRVS,1.14,4.04,4.04,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100175880,CPT,"Vein x-ray, eye socket",26,,20,,RBRVS,0.7,0.27,0.27,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100175880,CPT,"Vein x-ray, eye socket",TC,,20,,RBRVS,0,2.94,2.94,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100175880,CPT,"Vein x-ray, eye socket",,,20,,RBRVS,0.7,3.21,3.21,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100175885,CPT,"Vein x-ray, liver",26,,20,,RBRVS,1.44,0.52,0.52,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100175885,CPT,"Vein x-ray, liver",TC,,20,,RBRVS,0,2.66,2.66,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100175885,CPT,"Vein x-ray, liver",,,20,,RBRVS,1.44,3.18,3.18,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100175887,CPT,"Vein x-ray, liver",26,,20,,RBRVS,1.44,0.57,0.57,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100175887,CPT,"Vein x-ray, liver",TC,,20,,RBRVS,0,2.85,2.85,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100175887,CPT,"Vein x-ray, liver",,,20,,RBRVS,1.44,3.42,3.42,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100175889,CPT,"Vein x-ray, liver",26,,20,,RBRVS,1.14,0.41,0.41,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100175889,CPT,"Vein x-ray, liver",TC,,20,,RBRVS,0,2.66,2.66,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100175889,CPT,"Vein x-ray, liver",,,20,,RBRVS,1.14,3.07,3.07,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100175891,CPT,"Vein x-ray, liver",26,,20,,RBRVS,1.14,0.41,0.41,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100175891,CPT,"Vein x-ray, liver",TC,,20,,RBRVS,0,2.66,2.66,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100175891,CPT,"Vein x-ray, liver",,,20,,RBRVS,1.14,3.07,3.07,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100175893,CPT,Venous sampling by catheter,26,,20,,RBRVS,0.54,0.2,0.2,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100175893,CPT,Venous sampling by catheter,TC,,20,,RBRVS,0,2.66,2.66,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100175893,CPT,Venous sampling by catheter,,,20,,RBRVS,0.54,2.86,2.86,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100175894,CPT,"X-rays, transcath therapy",26,,20,,RBRVS,1.31,0.46,0.46,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100175896,CPT,"X-rays, transcath therapy",26,,20,,RBRVS,1.31,0.52,0.52,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100175898,CPT,Follow-up angiography,26,,20,,RBRVS,1.65,0.63,0.63,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100175900,CPT,Arterial catheter exchange,26,,20,,RBRVS,0.49,0.17,0.17,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100175901,CPT,Remove cva device obstruct,26,,20,,RBRVS,0.49,0.17,0.17,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100175901,CPT,Remove cva device obstruct,TC,,20,,RBRVS,0,3.98,3.98,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100175901,CPT,Remove cva device obstruct,,,20,,RBRVS,0.49,4.15,4.15,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100175902,CPT,Remove cva lumen obstruct,26,,20,,RBRVS,0.39,0.13,0.13,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100175902,CPT,Remove cva lumen obstruct,TC,,20,,RBRVS,0,1.5,1.5,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100175902,CPT,Remove cva lumen obstruct,,,20,,RBRVS,0.39,1.63,1.63,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100175940,CPT,"X-ray placement, vein filter",26,,20,,RBRVS,0.54,0.18,0.18,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100175945,CPT,Intravascular us,26,,20,,RBRVS,0.4,0.14,0.14,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100175946,CPT,Intravascular us add-on,26,,20,,RBRVS,0.4,0.12,0.12,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100175952,CPT,Endovasc repair abdom aorta,26,,20,,RBRVS,4.49,1.3,1.3,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100175952,CPT,Endovasc repair abdom aorta,TC,,20,,TotalUnits,,,,23.49,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100175953,CPT,Abdom aneurysm endovas rpr,26,,20,,RBRVS,1.36,0.4,0.4,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100175953,CPT,Abdom aneurysm endovas rpr,TC,,20,,TotalUnits,,,,21.33,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100175954,CPT,Iliac aneurysm endovas rpr,26,,20,,RBRVS,2.25,0.63,0.63,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100175954,CPT,Iliac aneurysm endovas rpr,TC,,20,,TotalUnits,,,,23.49,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100175956,CPT,"Xray, endovasc thor ao repr",26,,20,,RBRVS,7,1.88,1.88,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100175957,CPT,"Xray, endovasc thor ao repr",26,,20,,RBRVS,6,1.63,1.63,,,$0.00 ,$0.00 ,1,0,1,1,1,0,2008100175958,CPT,"Xray, place prox ext thor ao",26,,20,,RBRVS,4,1.05,1.05,,,$0.00 ,$0.00 ,1,0,1,1,1,0,2008100175959,CPT,"Xray, place dist ext thor ao",26,,20,,RBRVS,3.5,0.92,0.92,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100175960,CPT,"Transcatheter intro, stent",26,,20,,RBRVS,0.82,0.32,0.32,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100175960,CPT,"Transcatheter intro, stent",TC, ,20,,RBRVS,0,2.39,2.39,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100175960,CPT,"Transcatheter intro, stent",,,20,,RBRVS,0.82,2.71,2.71,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100175961,CPT,"Retrieval, broken catheter",26,,20,,RBRVS,4.24,1.49,1.49,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100175961,CPT,"Retrieval, broken catheter",TC,,20,,RBRVS,0,3.19,3.19,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100175961,CPT,"Retrieval, broken catheter",,,20,,RBRVS,4.24,4.68,4.68,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100175962,CPT,Repair arterial blockage,26,,20,,RBRVS,0.54,0.2,0.2,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100175962,CPT,Repair arterial blockage,TC,,20,,RBRVS,0,3.3,3.3,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100175962,CPT,Repair arterial blockage,,,20,,RBRVS,0.54,3.5,3.5,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100175964,CPT,"Repair artery blockage, each",26,,20,,RBRVS,0.36,0.13,0.13,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100175964,CPT,"Repair artery blockage, each",TC,,20,,RBRVS,0,2.22,2.22,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100175964,CPT,"Repair artery blockage, each",,,20,,RBRVS,0.36,2.35,2.35,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100175966,CPT,Repair arterial blockage,26,,20,,RBRVS,1.31,0.57,0.57,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100175966,CPT,Repair arterial blockage,TC,,20,,RBRVS,0,3.6,3.6,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100175966,CPT,Repair arterial blockage,,,20,,RBRVS,1.31,4.17,4.17,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100175968,CPT,"Repair artery blockage, each",26,,20,,RBRVS,0.36,0.16,0.16,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100175968,CPT,"Repair artery blockage, each",TC,,20,,RBRVS,0,2.25,2.25,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100175968,CPT,"Repair artery blockage, each",,,20,,RBRVS,0.36,2.41,2.41,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100175970,CPT,Vascular biopsy,26,,20,,RBRVS,0.83,0.31,0.31,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100175978,CPT,Repair venous blockage,26,,20,,RBRVS,0.54,0.18,0.18,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100175978,CPT,Repair venous blockage,TC,,20,,RBRVS,0,3.09,3.09,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100175978,CPT,Repair venous blockage,,,20,,RBRVS,0.54,3.27,3.27,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100175980,CPT,Contrast xray exam bile duct,26,,20,,RBRVS,1.44,0.52,0.52,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100175982,CPT,Contrast xray exam bile duct,26,,20,,RBRVS,1.44,0.52,0.52,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100175984,CPT,Xray control catheter change,26,,20,,RBRVS,0.72,0.26,0.26,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100175984,CPT,Xray control catheter change,TC,,20,,RBRVS,0,2.05,2.05,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100175984,CPT,Xray control catheter change,,,20,,RBRVS,0.72,2.31,2.31,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100175989,CPT,Abscess drainage under x-ray,26,,20,,RBRVS,1.19,0.42,0.42,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100175989,CPT,Abscess drainage under x-ray,TC,,20,,RBRVS,0,1.82,1.82,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100175989,CPT,Abscess drainage under x-ray,,,20,,RBRVS,1.19,2.24,2.24,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100175992,CPT,"Atherectomy, x-ray exam",26,,20,,RBRVS,0.54,0.22,0.22,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100175993,CPT,"Atherectomy, x-ray exam",26,,20,,RBRVS,0.36,0.14,0.14,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100175994,CPT,"Atherectomy, x-ray exam",26,,20,,RBRVS,1.31,0.54,0.54,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100175995,CPT,"Atherectomy, x-ray exam",26,,20,,RBRVS,1.31,0.48,0.48,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100175996,CPT,"Atherectomy, x-ray exam",26,,20,,RBRVS,0.36,0.12,0.12,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100176000,CPT,Fluoroscope examination,26,,20,,RBRVS,0.17,0.06,0.06,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100176000,CPT,Fluoroscope examination,TC,,20,,RBRVS,0,2.71,2.71,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100176000,CPT,Fluoroscope examination,,,20,,RBRVS,0.17,2.77,2.77,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100176001,CPT,"Fluoroscope exam, extensive",26,,20,,RBRVS,0.67,0.24,0.24,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100176010,CPT,"X-ray, nose to rectum",26,,20,,RBRVS,0.18,0.06,0.06,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100176010,CPT,"X-ray, nose to rectum",TC,,20,,RBRVS,0,0.48,0.48,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100176010,CPT,"X-ray, nose to rectum",,,20,,RBRVS,0.18,0.54,0.54,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100176080,CPT,X-ray exam of fistula,26,,20,,RBRVS,0.54,0.2,0.2,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100176080,CPT,X-ray exam of fistula,TC,,20,,RBRVS,0,0.9,0.9,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100176080,CPT,X-ray exam of fistula,,,20,,RBRVS,0.54,1.1,1.1,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100176098,CPT,"X-ray exam, breast specimen",26,,20,,RBRVS,0.16,0.05,0.05,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100176098,CPT,"X-ray exam, breast specimen",TC,,20,,RBRVS,0,0.27,0.27,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100176098,CPT,"X-ray exam, breast specimen",,,20,,RBRVS,0.16,0.32,0.32,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100176100,CPT,X-ray exam of body section,26,,20,,RBRVS,0.58,0.2,0.2,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100176100,CPT,X-ray exam of body section,TC,,20,,RBRVS,0,3.35,3.35,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100176100,CPT,X-ray exam of body section,,,20,,RBRVS,0.58,3.55,3.55,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100176101,CPT,Complex body section x-ray,26,,20,,RBRVS,0.58,0.19,0.19,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100176101,CPT,Complex body section x-ray,TC,,20,,RBRVS,0,5.28,5.28,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100176101,CPT,Complex body section x-ray,,,20,,RBRVS,0.58,5.47,5.47,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100176102,CPT,Complex body section x-rays,26,,20,,RBRVS,0.58,0.18,0.18,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100176102,CPT,Complex body section x-rays,TC,,20,,RBRVS,0,7.47,7.47,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100176102,CPT,Complex body section x-rays,,,20,,RBRVS,0.58,7.65,7.65,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100176120,CPT,Cine/video x-rays,26,,20,,RBRVS,0.38,0.13,0.13,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100176120,CPT,Cine/video x-rays,TC,,20,,RBRVS,0,1.74,1.74,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100176120,CPT,Cine/video x-rays,,,20,,RBRVS,0.38,1.87,1.87,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100176125,CPT,Cine/video x-rays add-on,26,,20,,RBRVS,0.27,0.12,0.12,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100176140,CPT,X-ray consultation,,,20,,TotalUnits,,,,0.69,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100176150,CPT,"X-ray exam, dry process",,TC,20,,RBRVS,0,0.68,0.68,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100176350,CPT,Special x-ray contrast study,26,,20,,TotalUnits,,,,0.27,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100176350,CPT,Special x-ray contrast study,TC,,20,,TotalUnits,,,,1.1,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100176376,CPT,3d render w/o postprocess,26,,20,,RBRVS,0.2,0.07,0.07,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100176376,CPT,3d render w/o postprocess,TC,,20,,RBRVS,0,1.34,1.34,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100176376,CPT,3d render w/o postprocess,,,20,,RBRVS,0.2,1.41,1.41,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100176377,CPT,3d rendering w/postprocess,26,,20,,RBRVS,0.79,0.28,0.28,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100176377,CPT,3d rendering w/postprocess,TC,,20,,RBRVS,0,1.12,1.12,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100176377,CPT,3d rendering w/postprocess,,,20,,RBRVS,0.79,1.4,1.4,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100176380,CPT,CAT scan follow-up study,26,,20,,RBRVS,0.98,0.34,0.34,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100176380,CPT,CAT scan follow-up study,TC,,20,,RBRVS,0,4.38,4.38,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100176380,CPT,CAT scan follow-up study,,,20,,RBRVS,0.98,4.72,4.72,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100176390,CPT,Mr spectroscopy,26,,20,,RBRVS,1.4,0.32,0.32,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100176390,CPT,Mr spectroscopy,TC,,20,,RBRVS,0,9.11,9.11,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100176390,CPT,Mr spectroscopy,,,20,,RBRVS,1.4,9.43,9.43,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100176496,CPT,Fluoroscopic procedure,,,20,,TotalUnits,,,,1.53,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100176497,CPT,Ct procedure,,,20,,TotalUnits,,,,7.5,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100176498,CPT,Mri procedure,,,20,,TotalUnits,,,,13.37,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100176499,CPT,Radiographic procedure,,,20,,TotalUnits,,,,0.91,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100176506,CPT,Echo exam of head,26,,20,,RBRVS,0.63,0.2,0.2,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100176506,CPT,Echo exam of head,TC,,20,,RBRVS,0,2.56,2.56,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100176506,CPT,Echo exam of head,,,20,,RBRVS,0.63,2.76,2.76,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100176510,CPT,"Ophth us, b & quant a",26,,20,,RBRVS,1.55,0.55,0.55,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100176510,CPT,"Ophth us, b & quant a",TC,,20,,RBRVS,0,1.7,1.7,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100176510,CPT,"Ophth us, b & quant a",,,20,,RBRVS,1.55,2.25,2.25,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100176511,CPT,Echo exam of eye,26,,20,,RBRVS,0.94,0.33,0.33,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100176511,CPT,Echo exam of eye,TC,,20,,RBRVS,0,1.02,1.02,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100176511,CPT,Echo exam of eye,,,20,,RBRVS,0.94,1.35,1.35,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100176512,CPT,Echo exam of eye,26,,20,,RBRVS,0.94,0.33,0.33,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100176512,CPT,Echo exam of eye,TC,,20,,RBRVS,0,0.83,0.83,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100176512,CPT,Echo exam of eye,,,20,,RBRVS,0.94,1.16,1.16,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100176513,CPT,"Echo exam of eye, water bath",26,,20,,RBRVS,0.66,0.23,0.23,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100176513,CPT,"Echo exam of eye, water bath",TC,,20,,RBRVS,0,1.29,1.29,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100176513,CPT,"Echo exam of eye, water bath",,,20,,RBRVS,0.66,1.52,1.52,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100176514,CPT,"Echo exam of eye, thickness",26,,20,,RBRVS,0.17,0.06,0.06,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100176514,CPT,"Echo exam of eye, thickness",TC,,20,,RBRVS,0,0.1,0.1,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100176514,CPT,"Echo exam of eye, thickness",,,20,,RBRVS,0.17,0.16,0.16,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100176516,CPT,Echo exam of eye,26,,20,,RBRVS,0.54,0.18,0.18,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100176516,CPT,Echo exam of eye,TC,,20,,RBRVS,0,0.97,0.97,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100176516,CPT,Echo exam of eye,,,20,,RBRVS,0.54,1.15,1.15,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100176519,CPT,Echo exam of eye,26,,20,,RBRVS,0.54,0.19,0.19,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100176519,CPT,Echo exam of eye,TC,,20,,RBRVS,0,1.1,1.1,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100176519,CPT,Echo exam of eye,,,20,,RBRVS,0.54,1.29,1.29,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100176529,CPT,Echo exam of eye,26,,20,,RBRVS,0.57,0.2,0.2,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100176529,CPT,Echo exam of eye,TC,,20,,RBRVS,0,0.95,0.95,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100176529,CPT,Echo exam of eye,,,20,,RBRVS,0.57,1.15,1.15,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100176536,CPT,Us exam of head and neck,26,,20,,RBRVS,0.56,0.18,0.18,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100176536,CPT,Us exam of head and neck,TC,,20,,RBRVS,0,2.5,2.5,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100176536,CPT,Us exam of head and neck,,,20,,RBRVS,0.56,2.68,2.68,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100176604,CPT,"Us exam, chest, b-scan",26,,20,,RBRVS,0.55,0.19,0.19,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100176604,CPT,"Us exam, chest, b-scan",TC,,20,,RBRVS,0,1.64,1.64,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100176604,CPT,"Us exam, chest, b-scan",,,20,,RBRVS,0.55,1.83,1.83,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100176645,CPT,"Us exam, breast(s)",26,,20,,RBRVS,0.54,0.19,0.19,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100176645,CPT,"Us exam, breast(s)",TC,,20,,RBRVS,0,1.93,1.93,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100176645,CPT,"Us exam, breast(s)",,,20,,RBRVS,0.54,2.12,2.12,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100176700,CPT,"Us exam, abdom, complete",26,,20,,RBRVS,0.81,0.27,0.27,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100176700,CPT,"Us exam, abdom, complete",TC,,20,,RBRVS,0,2.75,2.75,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100176700,CPT,"Us exam, abdom, complete",,,20,,RBRVS,0.81,3.02,3.02,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100176705,CPT,Echo exam of abdomen,26,,20,,RBRVS,0.59,0.21,0.21,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100176705,CPT,Echo exam of abdomen,TC,,20,,RBRVS,0,2.15,2.15,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100176705,CPT,Echo exam of abdomen,,,20,,RBRVS,0.59,2.36,2.36,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100176770,CPT,"Us exam abdo back wall, comp",26,,20,,RBRVS,0.74,0.26,0.26,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100176770,CPT,"Us exam abdo back wall, comp",TC,,20,,RBRVS,0,2.67,2.67,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100176770,CPT,"Us exam abdo back wall, comp",,,20,,RBRVS,0.74,2.93,2.93,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100176775,CPT,"Us eam abdo back wall, lim",26,,20,,RBRVS,0.58,0.21,0.21,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100176775,CPT,"Us eam abdo back wall, lim",TC,,20,,RBRVS,0,2.21,2.21,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100176775,CPT,"Us eam abdo back wall, lim",,,20,,RBRVS,0.58,2.42,2.42,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100176776,CPT,Us exam k transpl w/doppler,26,,20,,RBRVS,0.76,0.27,0.27,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100176776,CPT,Us exam k transpl w/doppler,TC,,20,,RBRVS,0,3.16,3.16,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100176776,CPT,Us exam k transpl w/doppler,,,20,,RBRVS,0.76,3.43,3.43,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100176800,CPT,"Us exam, spinal canal",26,,20,,RBRVS,1.13,0.28,0.28,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100176800,CPT,"Us exam, spinal canal",TC,,20,,RBRVS,0,2.03,2.03,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100176800,CPT,"Us exam, spinal canal",,,20,,RBRVS,1.13,2.31,2.31,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100176801,CPT,"Ob us < 14 wks, single fetus",26,,20,,RBRVS,0.99,0.3,0.3,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100176801,CPT,"Ob us < 14 wks, single fetus",TC,,20,,RBRVS,0,2.16,2.16,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100176801,CPT,"Ob us < 14 wks, single fetus",,,20,,RBRVS,0.99,2.46,2.46,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100176802,CPT,"Ob us < 14 wks, addl fetus",26,,20,,RBRVS,0.83,0.26,0.26,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100176802,CPT,"Ob us < 14 wks, addl fetus",TC,,20,,RBRVS,0,0.71,0.71,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100176802,CPT,"Ob us < 14 wks, addl fetus",,,20,,RBRVS,0.83,0.97,0.97,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100176805,CPT,"Ob us >/= 14 wks, sngl fetus",26,,20,,RBRVS,0.99,0.31,0.31,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100176805,CPT,"Ob us >/= 14 wks, sngl fetus",TC,,20,,RBRVS,0,2.74,2.74,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100176805,CPT,"Ob us >/= 14 wks, sngl fetus",,,20,,RBRVS,0.99,3.05,3.05,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100176810,CPT,"Ob us >/= 14 wks, addl fetus",26,,20,,RBRVS,0.98,0.3,0.3,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100176810,CPT,"Ob us >/= 14 wks, addl fetus",TC,,20,,RBRVS,0,1.35,1.35,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100176810,CPT,"Ob us >/= 14 wks, addl fetus",,,20,,RBRVS,0.98,1.65,1.65,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100176811,CPT,"Ob us, detailed, sngl fetus",26,,20,,RBRVS,1.9,0.54,0.54,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100176811,CPT,"Ob us, detailed, sngl fetus",TC,,20,,RBRVS,0,2.51,2.51,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100176811,CPT,"Ob us, detailed, sngl fetus",,,20,,RBRVS,1.9,3.05,3.05,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100176812,CPT,"Ob us, detailed, addl fetus",26,,20,,RBRVS,1.78,0.5,0.5,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100176812,CPT,"Ob us, detailed, addl fetus",TC,,20,,RBRVS,0,3.48,3.48,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100176812,CPT,"Ob us, detailed, addl fetus",,,20,,RBRVS,1.78,3.98,3.98,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100176813,CPT,"Ob us nuchal meas, 1 gest",26,,20,,RBRVS,1.18,0.4,0.4,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100176813,CPT,"Ob us nuchal meas, 1 gest",TC,,20,,RBRVS,0,1.81,1.81,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100176813,CPT,"Ob us nuchal meas, 1 gest",,,20,,RBRVS,1.18,2.21,2.21,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100176814,CPT,"Ob us nuchal meas, add-on",26,,20,,RBRVS,0.99,0.29,0.29,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100176814,CPT,"Ob us nuchal meas, add-on",TC,,20,,RBRVS,0,0.86,0.86,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100176814,CPT,"Ob us nuchal meas, add-on",,,20,,RBRVS,0.99,1.15,1.15,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100176815,CPT,"Ob us, limited, fetus(s)",26,,20,,RBRVS,0.65,0.2,0.2,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100176815,CPT,"Ob us, limited, fetus(s)",TC,,20,,RBRVS,0,1.6,1.6,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100176815,CPT,"Ob us, limited, fetus(s)",,,20,,RBRVS,0.65,1.8,1.8,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100176816,CPT,"Ob us, follow-up, per fetus",26,,20,,RBRVS,0.85,0.25,0.25,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100176816,CPT,"Ob us, follow-up, per fetus",TC,,20,,RBRVS,0,2.13,2.13,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100176816,CPT,"Ob us, follow-up, per fetus",,,20,,RBRVS,0.85,2.38,2.38,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100176817,CPT,"Transvaginal us, obstetric",26,,20,,RBRVS,0.75,0.23,0.23,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100176817,CPT,"Transvaginal us, obstetric",TC,,20,,RBRVS,0,1.79,1.79,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100176817,CPT,"Transvaginal us, obstetric",,,20,,RBRVS,0.75,2.02,2.02,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100176818,CPT,Fetal biophys profile w/nst,26,,20,,RBRVS,1.05,0.3,0.3,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100176818,CPT,Fetal biophys profile w/nst,TC,,20,,RBRVS,0,1.92,1.92,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100176818,CPT,Fetal biophys profile w/nst,,,20,,RBRVS,1.05,2.22,2.22,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100176819,CPT,Fetal biophys profil w/o nst,26,,20,,RBRVS,0.77,0.23,0.23,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100176819,CPT,Fetal biophys profil w/o nst,TC,,20,,RBRVS,0,1.4,1.4,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100176819,CPT,Fetal biophys profil w/o nst,,,20,,RBRVS,0.77,1.63,1.63,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100176820,CPT,Umbilical artery echo,26,,20,,RBRVS,0.5,0.14,0.14,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100176820,CPT,Umbilical artery echo,TC,,20,,RBRVS,0,0.42,0.42,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100176820,CPT,Umbilical artery echo,,,20,,RBRVS,0.5,0.56,0.56,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100176821,CPT,Middle cerebral artery echo,26,,20,,RBRVS,0.7,0.2,0.2,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100176821,CPT,Middle cerebral artery echo,TC,,20,,RBRVS,0,1.67,1.67,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100176821,CPT,Middle cerebral artery echo,,,20,,RBRVS,0.7,1.87,1.87,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100176825,CPT,Echo exam of fetal heart,26,,20,,RBRVS,1.67,0.5,0.5,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100176825,CPT,Echo exam of fetal heart,TC,,20,,RBRVS,0,3.87,3.87,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100176825,CPT,Echo exam of fetal heart,,,20,,RBRVS,1.67,4.37,4.37,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100176826,CPT,Echo exam of fetal heart,26,,20,,RBRVS,0.83,0.24,0.24,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100176826,CPT,Echo exam of fetal heart,TC,,20,,RBRVS,0,2.52,2.52,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100176826,CPT,Echo exam of fetal heart,,,20,,RBRVS,0.83,2.76,2.76,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100176827,CPT,Echo exam of fetal heart,26,,20,,RBRVS,0.58,0.17,0.17,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100176827,CPT,Echo exam of fetal heart,TC,,20,,RBRVS,0,0.9,0.9,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100176827,CPT,Echo exam of fetal heart,,,20,,RBRVS,0.58,1.07,1.07,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100176828,CPT,Echo exam of fetal heart,26,,20,,RBRVS,0.56,0.15,0.15,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100176828,CPT,Echo exam of fetal heart,TC,,20,,RBRVS,0,0.48,0.48,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100176828,CPT,Echo exam of fetal heart,,,20,,RBRVS,0.56,0.63,0.63,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100176830,CPT,"Transvaginal us, non-ob",26,,20,,RBRVS,0.69,0.22,0.22,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100176830,CPT,"Transvaginal us, non-ob",TC,,20,,RBRVS,0,2.54,2.54,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100176830,CPT,"Transvaginal us, non-ob",,,20,,RBRVS,0.69,2.76,2.76,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100176831,CPT,"Echo exam, uterus",26,,20,,RBRVS,0.72,0.21,0.21,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100176831,CPT,"Echo exam, uterus",TC,,20,,RBRVS,0,2.53,2.53,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100176831,CPT,"Echo exam, uterus",,,20,,RBRVS,0.72,2.74,2.74,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100176856,CPT,"Us exam, pelvic, complete",26,,20,,RBRVS,0.69,0.24,0.24,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100176856,CPT,"Us exam, pelvic, complete",TC,,20,,RBRVS,0,2.56,2.56,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100176856,CPT,"Us exam, pelvic, complete",,,20,,RBRVS,0.69,2.8,2.8,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100176857,CPT,"Us exam, pelvic, limited",26,,20,,RBRVS,0.38,0.14,0.14,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100176857,CPT,"Us exam, pelvic, limited",TC,,20,,RBRVS,0,2.35,2.35,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100176857,CPT,"Us exam, pelvic, limited",,,20,,RBRVS,0.38,2.49,2.49,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100176870,CPT,"Us exam, scrotum",26,,20,,RBRVS,0.64,0.23,0.23,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100176870,CPT,"Us exam, scrotum",TC,,20,,RBRVS,0,2.6,2.6,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100176870,CPT,"Us exam, scrotum",,,20,,RBRVS,0.64,2.83,2.83,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100176872,CPT,"Echo exam, transrectal",26,,20,,RBRVS,0.69,0.27,0.27,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100176872,CPT,"Echo exam, transrectal",TC,,20,,RBRVS,0,3.14,3.14,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100176872,CPT,"Echo exam, transrectal",,,20,,RBRVS,0.69,3.41,3.41,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100176873,CPT,"Echograp trans r, pros study",26,,20,,RBRVS,1.55,0.55,0.55,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100176873,CPT,"Echograp trans r, pros study",TC,,20,,RBRVS,0,2.85,2.85,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100176873,CPT,"Echograp trans r, pros study",,,20,,RBRVS,1.55,3.4,3.4,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100176880,CPT,"Us exam, extremity",26,,20,,RBRVS,0.59,0.18,0.18,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100176880,CPT,"Us exam, extremity",TC,,20,,RBRVS,0,3.01,3.01,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100176880,CPT,"Us exam, extremity",,,20,,RBRVS,0.59,3.19,3.19,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100176885,CPT,"Us exam infant hips, dynamic",26,,20,,RBRVS,0.74,0.25,0.25,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100176885,CPT,"Us exam infant hips, dynamic",TC,,20,,RBRVS,0,3.01,3.01,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100176885,CPT,"Us exam infant hips, dynamic",,,20,,RBRVS,0.74,3.26,3.26,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100176886,CPT,"Us exam infant hips, static",26,,20,,RBRVS,0.62,0.22,0.22,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100176886,CPT,"Us exam infant hips, static",TC,,20,,RBRVS,0,2.06,2.06,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100176886,CPT,"Us exam infant hips, static",,,20,,RBRVS,0.62,2.28,2.28,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100176930,CPT,"Echo guide, cardiocentesis",26,,20,,RBRVS,0.67,0.34,0.34,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100176930,CPT,"Echo guide, cardiocentesis",TC,,20,,RBRVS,0,1.74,1.74,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100176930,CPT,"Echo guide, cardiocentesis",,,20,,RBRVS,0.67,2.08,2.08,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100176932,CPT,Echo guide for heart biopsy,26,,20,,RBRVS,0.67,0.35,0.35,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100176936,CPT,Echo guide for artery repair,26,,20,,RBRVS,1.99,0.71,0.71,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100176936,CPT,Echo guide for artery repair,TC,,20,,RBRVS,0,5.42,5.42,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100176936,CPT,Echo guide for artery repair,,,20,,RBRVS,1.99,6.13,6.13,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100176937,CPT,"Us guide, vascular access",26,,20,,RBRVS,0.3,0.1,0.1,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100176937,CPT,"Us guide, vascular access",TC, ,20,,RBRVS,0,0.52,0.52,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100176937,CPT,"Us guide, vascular access",,,20,,RBRVS,0.3,0.62,0.62,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100176940,CPT,"Us guide, tissue ablation",26,,20,,RBRVS,2,0.65,0.65,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100176941,CPT,Echo guide for transfusion,26,,20,,RBRVS,1.34,0.38,0.38,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100176942,CPT,Echo guide for biopsy,26,,20,,RBRVS,0.67,0.24,0.24,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100176942,CPT,Echo guide for biopsy,TC,,20,,RBRVS,0,4.56,4.56,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100176942,CPT,Echo guide for biopsy,,,20,,RBRVS,0.67,4.8,4.8,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100176945,CPT,"Echo guide, villus sampling",26,,20,,RBRVS,0.67,0.21,0.21,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100176946,CPT,Echo guide for amniocentesis,26,,20,,RBRVS,0.38,0.11,0.11,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100176946,CPT,Echo guide for amniocentesis,TC,,20,,RBRVS,0,0.34,0.34,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100176946,CPT,Echo guide for amniocentesis,,,20,,RBRVS,0.38,0.45,0.45,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100176948,CPT,"Echo guide, ova aspiration",26,,20,,RBRVS,0.38,0.1,0.1,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100176948,CPT,"Echo guide, ova aspiration",TC,,20,,RBRVS,0,0.35,0.35,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100176948,CPT,"Echo guide, ova aspiration",,,20,,RBRVS,0.38,0.45,0.45,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100176950,CPT,Echo guidance radiotherapy,26,,20,,RBRVS,0.58,0.19,0.19,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100176950,CPT,Echo guidance radiotherapy,TC,,20,,RBRVS,0,1.02,1.02,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100176950,CPT,Echo guidance radiotherapy,,,20,,RBRVS,0.58,1.21,1.21,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100176965,CPT,Echo guidance radiotherapy,26,,20,,RBRVS,1.34,0.5,0.5,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100176965,CPT,Echo guidance radiotherapy,TC,,20,,RBRVS,0,0.7,0.7,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100176965,CPT,Echo guidance radiotherapy,,,20,,RBRVS,1.34,1.2,1.2,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100176970,CPT,Ultrasound exam follow-up,26,,20,,RBRVS,0.4,0.11,0.11,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100176970,CPT,Ultrasound exam follow-up,TC,,20,,RBRVS,0,1.88,1.88,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100176970,CPT,Ultrasound exam follow-up,,,20,,RBRVS,0.4,1.99,1.99,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100176975,CPT,GI endoscopic ultrasound,26,,20,,RBRVS,0.81,0.3,0.3,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100176977,CPT,Us bone density measure,26,,20,,RBRVS,0.05,0.01,0.01,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100176977,CPT,Us bone density measure,TC,,20,,RBRVS,0,0.09,0.09,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100176977,CPT,Us bone density measure,,,20,,RBRVS,0.05,0.1,0.1,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100176998,CPT,"Us guide, intraop",26,,20,,RBRVS,1.2,0.35,0.35,,,$0.00 ,$0.00 ,1,0,1,1,1,0,2008100176999,CPT,Echo examination procedure,,,20,,TotalUnits,,,,2.44,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100177001,CPT,Fluoroguide for vein device,26,,20,,RBRVS,0.38,0.13,0.13,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100177001,CPT,Fluoroguide for vein device,TC,,20,,RBRVS,0,2.6,2.6,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100177001,CPT,Fluoroguide for vein device,,,20,,RBRVS,0.38,2.73,2.73,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100177002,CPT,Needle localization by xray,26,,20,,RBRVS,0.54,0.16,0.16,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100177002,CPT,Needle localization by xray,TC,,20,,RBRVS,0,1.07,1.07,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100177002,CPT,Needle localization by xray,,,20,,RBRVS,0.54,1.23,1.23,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100177003,CPT,Fluoroguide for spine inject,26,,20,,RBRVS,0.6,0.14,0.14,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100177003,CPT,Fluoroguide for spine inject,TC,,20,,RBRVS,0,0.62,0.62,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100177003,CPT,Fluoroguide for spine inject,,,20,,RBRVS,0.6,0.76,0.76,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100177011,CPT,Ct scan for localization,26,,20,,RBRVS,1.21,0.4,0.4,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100177011,CPT,Ct scan for localization,TC,,20,,RBRVS,0,19.88,19.88,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100177011,CPT,Ct scan for localization,,,20,,RBRVS,1.21,20.28,20.28,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100177012,CPT,Ct scan for needle biopsy,26,,20,,RBRVS,1.16,0.41,0.41,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100177012,CPT,Ct scan for needle biopsy,TC,,20,,RBRVS,0,1.92,1.92,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100177012,CPT,Ct scan for needle biopsy,,,20,,RBRVS,1.16,2.33,2.33,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100177013,CPT,Ct guide for tissue ablation,26,,20,,RBRVS,3.99,1.43,1.43,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100177014,CPT,Ct scan for therapy guide,26,,20,,RBRVS,0.85,0.28,0.28,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100177014,CPT,Ct scan for therapy guide,TC,,20,,RBRVS,0,4.2,4.2,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100177014,CPT,Ct scan for therapy guide,,,20,,RBRVS,0.85,4.48,4.48,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100177021,CPT,Mr guidance for needle place,26,,20,,RBRVS,1.5,0.52,0.52,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100177021,CPT,Mr guidance for needle place,TC,,20,,RBRVS,0,9.19,9.19,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100177021,CPT,Mr guidance for needle place,,,20,,RBRVS,1.5,9.71,9.71,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100177022,CPT,Mri for tissue ablation,26,,20,,RBRVS,4.24,1.52,1.52,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100177031,CPT,Stereotact guide for brst bx,26,,20,,RBRVS,1.59,0.53,0.53,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100177031,CPT,Stereotact guide for brst bx,TC,,20,,RBRVS,0,1.34,1.34,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100177031,CPT,Stereotact guide for brst bx,,,20,,RBRVS,1.59,1.87,1.87,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100177032,CPT,"Guidance for needle, breast",26,,20,,RBRVS,0.56,0.2,0.2,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100177032,CPT,"Guidance for needle, breast",TC,,20,,RBRVS,0,0.64,0.64,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100177032,CPT,"Guidance for needle, breast",,,20,,RBRVS,0.56,0.84,0.84,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100177051,CPT,Computer dx mammogram add-on,26,,20,,RBRVS,0.06,0.02,0.02,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100177051,CPT,Computer dx mammogram add-on,TC,,20,,RBRVS,0,0.18,0.18,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100177051,CPT,Computer dx mammogram add-on,,,20,,RBRVS,0.06,0.2,0.2,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100177052,CPT,Comp screen mammogram add-on,26,,20,,RBRVS,0.06,0.02,0.02,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100177052,CPT,Comp screen mammogram add-on,TC,,20,,RBRVS,0,0.18,0.18,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100177052,CPT,Comp screen mammogram add-on,,,20,,RBRVS,0.06,0.2,0.2,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100177053,CPT,X-ray of mammary duct,26,,20,,RBRVS,0.36,0.13,0.13,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100177053,CPT,X-ray of mammary duct,TC,,20,,RBRVS,0,1.11,1.11,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100177053,CPT,X-ray of mammary duct,,,20,,RBRVS,0.36,1.24,1.24,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100177054,CPT,X-ray of mammary ducts,26,,20,,RBRVS,0.45,0.16,0.16,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100177054,CPT,X-ray of mammary ducts,TC,,20,,RBRVS,0,1.52,1.52,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100177054,CPT,X-ray of mammary ducts,,,20,,RBRVS,0.45,1.68,1.68,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100177055,CPT,"Mammogram, one breast",26,,20,,RBRVS,0.7,0.25,0.25,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100177055,CPT,"Mammogram, one breast",TC,,20,,RBRVS,0,1.4,1.4,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100177055,CPT,"Mammogram, one breast",,,20,,RBRVS,0.7,1.65,1.65,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100177056,CPT,"Mammogram, both breasts",26,,20,,RBRVS,0.87,0.31,0.31,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100177056,CPT,"Mammogram, both breasts",TC,,20,,RBRVS,0,1.84,1.84,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100177056,CPT,"Mammogram, both breasts",,,20,,RBRVS,0.87,2.15,2.15,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100177057,CPT,"Mammogram, screening",26,,20,,RBRVS,0.7,0.24,0.24,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100177057,CPT,"Mammogram, screening",TC,,20,,RBRVS,0,1.2,1.2,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100177057,CPT,"Mammogram, screening",,,20,,RBRVS,0.7,1.44,1.44,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100177058,CPT,"Mri, one breast",26,,20,,RBRVS,1.63,0.56,0.56,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100177058,CPT,"Mri, one breast",TC,,20,,RBRVS,0,21.09,21.09,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100177058,CPT,"Mri, one breast",,,20,,RBRVS,1.63,21.65,21.65,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100177059,CPT,"Mri, both breasts",26,,20,,RBRVS,1.63,0.57,0.57,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100177059,CPT,"Mri, both breasts",TC,,20,,RBRVS,0,21.01,21.01,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100177059,CPT,"Mri, both breasts",,,20,,RBRVS,1.63,21.58,21.58,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100177071,CPT,X-ray stress view,,,20,,RBRVS,0.41,0.77,0.77,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100177072,CPT,X-rays for bone age,26,,20,,RBRVS,0.19,0.06,0.06,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100177072,CPT,X-rays for bone age,TC,,20,,RBRVS,0,0.36,0.36,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100177072,CPT,X-rays for bone age,,,20,,RBRVS,0.19,0.42,0.42,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100177073,CPT,"X-rays, bone length studies",26,,20,,RBRVS,0.27,0.1,0.1,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100177073,CPT,"X-rays, bone length studies",TC,,20,,RBRVS,0,0.57,0.57,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100177073,CPT,"X-rays, bone length studies",,,20,,RBRVS,0.27,0.67,0.67,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100177074,CPT,"X-rays, bone survey, limited",26,,20,,RBRVS,0.45,0.16,0.16,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100177074,CPT,"X-rays, bone survey, limited",TC,,20,,RBRVS,0,1.29,1.29,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100177074,CPT,"X-rays, bone survey, limited",,,20,,RBRVS,0.45,1.45,1.45,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100177075,CPT,"X-rays, bone survey complete",26,,20,,RBRVS,0.54,0.19,0.19,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100177075,CPT,"X-rays, bone survey complete",TC,,20,,RBRVS,0,2.1,2.1,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100177075,CPT,"X-rays, bone survey complete",,,20,,RBRVS,0.54,2.29,2.29,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100177076,CPT,"X-rays, bone survey, infant",26,,20,,RBRVS,0.7,0.23,0.23,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100177076,CPT,"X-rays, bone survey, infant",TC,,20,,RBRVS,0,1.9,1.9,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100177076,CPT,"X-rays, bone survey, infant",,,20,,RBRVS,0.7,2.13,2.13,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100177077,CPT,"Joint survey, single view",26,,20,,RBRVS,0.31,0.11,0.11,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100177077,CPT,"Joint survey, single view",TC,,20,,RBRVS,0,0.55,0.55,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100177077,CPT,"Joint survey, single view",,,20,,RBRVS,0.31,0.66,0.66,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100177078,CPT,"Ct bone density, axial",26,,20,,RBRVS,0.25,0.09,0.09,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100177078,CPT,"Ct bone density, axial",TC,,20,,RBRVS,0,4.66,4.66,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100177078,CPT,"Ct bone density, axial",,,20,,RBRVS,0.25,4.75,4.75,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100177079,CPT,"Ct bone density, peripheral",26,,20,,RBRVS,0.22,0.08,0.08,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100177079,CPT,"Ct bone density, peripheral",TC,,20,,RBRVS,0,0.75,0.75,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100177079,CPT,"Ct bone density, peripheral",,,20,,RBRVS,0.22,0.83,0.83,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100177080,CPT,"Dxa bone density, axial",26,,20,,RBRVS,0.2,0.06,0.06,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100177080,CPT,"Dxa bone density, axial",TC,,20,,RBRVS,0,1.04,1.04,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100177080,CPT,"Dxa bone density, axial",,,20,,RBRVS,0.2,1.1,1.1,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100177081,CPT,Dxa bone density/peripheral,26,,20,,RBRVS,0.22,0.06,0.06,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100177081,CPT,Dxa bone density/peripheral,TC,,20,,RBRVS,0,0.41,0.41,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100177081,CPT,Dxa bone density/peripheral,,,20,,RBRVS,0.22,0.47,0.47,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100177082,CPT,"Dxa bone density, vert fx",26,,20,,RBRVS,0.17,0.05,0.05,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100177082,CPT,"Dxa bone density, vert fx",TC,,20,,RBRVS,0,0.48,0.48,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100177082,CPT,"Dxa bone density, vert fx",,,20,,RBRVS,0.17,0.53,0.53,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100177083,CPT,Radiographic absorptiometry,26,,20,,RBRVS,0.2,0.05,0.05,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100177083,CPT,Radiographic absorptiometry,TC,,20,,RBRVS,0,0.32,0.32,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100177083,CPT,Radiographic absorptiometry,,,20,,RBRVS,0.2,0.37,0.37,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100177084,CPT,"Magnetic image, bone marrow",26,,20,,RBRVS,1.6,0.52,0.52,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100177084,CPT,"Magnetic image, bone marrow",TC,,20,,RBRVS,0,13.05,13.05,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100177084,CPT,"Magnetic image, bone marrow",,,20,,RBRVS,1.6,13.57,13.57,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100177261,CPT,Radiation therapy planning,,PC,20,,RBRVS,1.39,0.48,0.48,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100177262,CPT,Radiation therapy planning,,PC,20,,RBRVS,2.11,0.69,0.69,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100177263,CPT,Radiation therapy planning,,PC,20,,RBRVS,3.14,1.03,1.03,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100177280,CPT,Set radiation therapy field,26,,20,,RBRVS,0.7,0.23,0.23,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100177280,CPT,Set radiation therapy field,TC,,20,,RBRVS,0,4.2,4.2,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100177280,CPT,Set radiation therapy field,,,20,,RBRVS,0.7,4.43,4.43,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100177285,CPT,Set radiation therapy field,26,,20,,RBRVS,1.05,0.34,0.34,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100177285,CPT,Set radiation therapy field,TC,,20,,RBRVS,0,7.68,7.68,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100177285,CPT,Set radiation therapy field,,,20,,RBRVS,1.05,8.02,8.02,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100177290,CPT,Set radiation therapy field,26,,20,,RBRVS,1.56,0.51,0.51,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100177290,CPT,Set radiation therapy field,TC,,20,,RBRVS,0,12.92,12.92,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100177290,CPT,Set radiation therapy field,,,20,,RBRVS,1.56,13.43,13.43,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100177295,CPT,Set radiation therapy field,26,,20,,RBRVS,4.56,1.5,1.5,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100177295,CPT,Set radiation therapy field,TC,,20,,RBRVS,0,5.96,5.96,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100177295,CPT,Set radiation therapy field,,,20,,RBRVS,4.56,7.46,7.46,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100177299,CPT,Radiation therapy planning,,,20,,TotalUnits,,,,8.58,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100177300,CPT,Radiation therapy dose plan,26,,20,,RBRVS,0.62,0.2,0.2,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100177300,CPT,Radiation therapy dose plan,TC,,20,,RBRVS,0,0.98,0.98,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100177300,CPT,Radiation therapy dose plan,,,20,,RBRVS,0.62,1.18,1.18,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100177301,CPT,"Radiotherapy dose plan, imrt",26,,20,,RBRVS,7.99,2.62,2.62,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100177301,CPT,"Radiotherapy dose plan, imrt",TC,,20,,RBRVS,0,54.86,54.86,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100177301,CPT,"Radiotherapy dose plan, imrt",,,20,,RBRVS,7.99,57.48,57.48,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100177305,CPT,Teletx isodose plan simple,26,,20,,RBRVS,0.7,0.23,0.23,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100177305,CPT,Teletx isodose plan simple,TC,,20,,RBRVS,0,0.67,0.67,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100177305,CPT,Teletx isodose plan simple,,,20,,RBRVS,0.7,0.9,0.9,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100177310,CPT,Teletx isodose plan intermed,26,,20,,RBRVS,1.05,0.34,0.34,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100177310,CPT,Teletx isodose plan intermed,TC,,20,,RBRVS,0,0.9,0.9,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100177310,CPT,Teletx isodose plan intermed,,,20,,RBRVS,1.05,1.24,1.24,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100177315,CPT,Teletx isodose plan complex,26,,20,,RBRVS,1.56,0.51,0.51,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100177315,CPT,Teletx isodose plan complex,TC,,20,,RBRVS,0,1.57,1.57,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100177315,CPT,Teletx isodose plan complex,,,20,,RBRVS,1.56,2.08,2.08,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100177321,CPT,Special teletx port plan,26,,20,,RBRVS,0.95,0.31,0.31,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100177321,CPT,Special teletx port plan,TC,,20,,RBRVS,0,1.2,1.2,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100177321,CPT,Special teletx port plan,,,20,,RBRVS,0.95,1.51,1.51,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100177326,CPT,Brachytx isodose calc simp,26,,20,,RBRVS,0.93,0.3,0.3,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100177326,CPT,Brachytx isodose calc simp,TC,,20,,RBRVS,0,2.68,2.68,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100177326,CPT,Brachytx isodose calc simp,,,20,,RBRVS,0.93,2.98,2.98,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100177327,CPT,Brachytx isodose calc interm,26,,20,,RBRVS,1.39,0.45,0.45,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100177327,CPT,Brachytx isodose calc interm,TC,,20,,RBRVS,0,3.64,3.64,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100177327,CPT,Brachytx isodose calc interm,,,20,,RBRVS,1.39,4.09,4.09,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100177328,CPT,Brachytx isodose plan compl,26,,20,,RBRVS,2.09,0.69,0.69,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100177328,CPT,Brachytx isodose plan compl,TC,,20,,RBRVS,0,4.57,4.57,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100177328,CPT,Brachytx isodose plan compl,,,20,,RBRVS,2.09,5.26,5.26,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100177331,CPT,Special radiation dosimetry,26,,20,,RBRVS,0.87,0.29,0.29,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100177331,CPT,Special radiation dosimetry,TC,,20,,RBRVS,0,0.52,0.52,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100177331,CPT,Special radiation dosimetry,,,20,,RBRVS,0.87,0.81,0.81,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100177332,CPT,Radiation treatment aid(s),26,,20,,RBRVS,0.54,0.18,0.18,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100177332,CPT,Radiation treatment aid(s),TC,,20,,RBRVS,0,1.37,1.37,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100177332,CPT,Radiation treatment aid(s),,,20,,RBRVS,0.54,1.55,1.55,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100177333,CPT,Radiation treatment aid(s),26,,20,,RBRVS,0.84,0.28,0.28,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100177333,CPT,Radiation treatment aid(s),TC,,20,,RBRVS,0,0.24,0.24,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100177333,CPT,Radiation treatment aid(s),,,20,,RBRVS,0.84,0.52,0.52,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100177334,CPT,Radiation treatment aid(s),26,,20,,RBRVS,1.24,0.41,0.41,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100177334,CPT,Radiation treatment aid(s),TC,,20,,RBRVS,0,2.31,2.31,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100177334,CPT,Radiation treatment aid(s),,,20,,RBRVS,1.24,2.72,2.72,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100177336,CPT,Radiation physics consult,,TC,20,,RBRVS,0,1.14,1.14,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100177370,CPT,Radiation physics consult,,TC,20,,RBRVS,0,3.05,3.05,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100177371,CPT,"Srs, multisource",,,20,,RBRVS,0,30.11,30.11,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100177372,CPT,"Srs, linear based",,,20,,RBRVS,0,22.83,22.83,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100177373,CPT,Sbrt delivery,,,20,,RBRVS,0,42.67,42.67,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100177399,CPT,External radiation dosimetry,,,20,,TotalUnits,,,,2.99,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100177401,CPT,Radiation treatment delivery,,TC,20,,RBRVS,0,0.47,0.47,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100177402,CPT,Radiation treatment delivery,,TC,20,,RBRVS,0,4.35,4.35,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100177403,CPT,Radiation treatment delivery,,TC,20,,RBRVS,0,3.76,3.76,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100177404,CPT,Radiation treatment delivery,,TC,20,,RBRVS,0,4.21,4.21,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100177406,CPT,Radiation treatment delivery,,TC,20,,RBRVS,0,4.24,4.24,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100177407,CPT,Radiation treatment delivery,,TC,20,,RBRVS,0,5.78,5.78,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100177408,CPT,Radiation treatment delivery,,TC,20,,RBRVS,0,5.19,5.19,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100177409,CPT,Radiation treatment delivery,,TC,20,,RBRVS,0,5.77,5.77,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100177411,CPT,Radiation treatment delivery,,TC,20,,RBRVS,0,5.74,5.74,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100177412,CPT,Radiation treatment delivery,,TC,20,,RBRVS,0,6.79,6.79,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100177413,CPT,Radiation treatment delivery,,TC,20,,RBRVS,0,6.86,6.86,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100177414,CPT,Radiation treatment delivery,,TC,20,,RBRVS,0,7.72,7.72,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100177416,CPT,Radiation treatment delivery,,TC,20,,RBRVS,0,7.73,7.73,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100177417,CPT,Radiology port film(s),,TC,20,,RBRVS,0,0.36,0.36,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100177418,CPT,"Radiation tx delivery, imrt",,TC,20,,RBRVS,0,13.17,13.17,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100177421,CPT,Stereoscopic x-ray guidance,26,,20,,RBRVS,0.39,0.13,0.13,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100177421,CPT,Stereoscopic x-ray guidance,TC, ,20,,RBRVS,0,2.26,2.26,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100177421,CPT,Stereoscopic x-ray guidance,,,20,,RBRVS,0.39,2.39,2.39,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100177422,CPT,"Neutron beam tx, simple",,,20,,RBRVS,0,5.36,5.36,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100177423,CPT,"Neutron beam tx, complex",,,20,,RBRVS,0,7.47,7.47,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100177427,CPT,"Radiation tx management, x5",,PC,20,,RBRVS,3.7,1.39,1.39,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100177431,CPT,Radiation therapy management,,PC,20,,RBRVS,1.81,0.78,0.78,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100177432,CPT,Stereotactic radiation trmt,,PC,20,,RBRVS,7.92,2.59,2.59,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100177435,CPT,Sbrt management,,,14,,RBRVS,13,4.76,4.76,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100177470,CPT,Special radiation treatment,26,,20,,RBRVS,2.09,0.68,0.68,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100177470,CPT,Special radiation treatment,TC,,20,,RBRVS,0,1.24,1.24,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100177470,CPT,Special radiation treatment,,,20,,RBRVS,2.09,1.92,1.92,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100177499,CPT,Radiation therapy management,,,20,,TotalUnits,,,,4.36,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100177520,CPT,"Proton trmt, simple w/o comp",,TC,20,,TotalUnits,,,,22.19,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100177522,CPT,"Proton trmt, simple w/comp",,TC,20,,TotalUnits,,,,23.39,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100177600,CPT,Hyperthermia treatment,26,,20,,RBRVS,1.56,0.5,0.5,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100177600,CPT,Hyperthermia treatment,TC,,20,,RBRVS,0,9.74,9.74,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100177600,CPT,Hyperthermia treatment,,,20,,RBRVS,1.56,10.24,10.24,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100177605,CPT,Hyperthermia treatment,26,,20,,RBRVS,2.09,0.55,0.55,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100177605,CPT,Hyperthermia treatment,TC,,20,,RBRVS,0,17.93,17.93,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100177605,CPT,Hyperthermia treatment,,,20,,RBRVS,2.09,18.48,18.48,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100177610,CPT,Hyperthermia treatment,26,,20,,RBRVS,1.56,0.36,0.36,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100177610,CPT,Hyperthermia treatment,TC,,20,,RBRVS,0,17.58,17.58,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100177610,CPT,Hyperthermia treatment,,,20,,RBRVS,1.56,17.94,17.94,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100177615,CPT,Hyperthermia treatment,26,,20,,RBRVS,2.09,0.64,0.64,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100177615,CPT,Hyperthermia treatment,TC,,20,,RBRVS,0,25.29,25.29,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100177615,CPT,Hyperthermia treatment,,,20,,RBRVS,2.09,25.93,25.93,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100177620,CPT,Hyperthermia treatment,26,,20,,RBRVS,1.56,0.4,0.4,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100177620,CPT,Hyperthermia treatment,TC,,20,,RBRVS,0,10.1,10.1,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100177620,CPT,Hyperthermia treatment,,,20,,RBRVS,1.56,10.5,10.5,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100177750,CPT,Infuse radioactive materials,26,,20,,RBRVS,4.94,1.62,1.62,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100177750,CPT,Infuse radioactive materials,TC,,20,,RBRVS,0,2.93,2.93,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100177750,CPT,Infuse radioactive materials,,,20,,RBRVS,4.94,4.55,4.55,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100177761,CPT,Apply intrcav radiat simple,26,,20,,RBRVS,3.82,1.24,1.24,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100177761,CPT,Apply intrcav radiat simple,TC,,20,,RBRVS,0,5.1,5.1,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100177761,CPT,Apply intrcav radiat simple,,,20,,RBRVS,3.82,6.34,6.34,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100177762,CPT,Apply intrcav radiat interm,26,,20,,RBRVS,5.73,1.88,1.88,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100177762,CPT,Apply intrcav radiat interm,TC,,20,,RBRVS,0,5.75,5.75,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100177762,CPT,Apply intrcav radiat interm,,,20,,RBRVS,5.73,7.63,7.63,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100177763,CPT,Apply intrcav radiat compl,26,,20,,RBRVS,8.6,2.82,2.82,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100177763,CPT,Apply intrcav radiat compl,TC,,20,,RBRVS,0,7.53,7.53,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100177763,CPT,Apply intrcav radiat compl,,,20,,RBRVS,8.6,10.35,10.35,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100177776,CPT,Apply interstit radiat simpl,26,,20,,RBRVS,4.67,1.67,1.67,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100177776,CPT,Apply interstit radiat simpl,TC,,20,,RBRVS,0,5.79,5.79,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100177776,CPT,Apply interstit radiat simpl,,,20,,RBRVS,4.67,7.46,7.46,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100177777,CPT,Apply interstit radiat inter,26,,20,,RBRVS,7.49,2.45,2.45,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100177777,CPT,Apply interstit radiat inter,TC,,20,,RBRVS,0,5.47,5.47,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100177777,CPT,Apply interstit radiat inter,,,20,,RBRVS,7.49,7.92,7.92,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100177778,CPT,Apply interstit radiat compl,26,,20,,RBRVS,11.23,3.7,3.7,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100177778,CPT,Apply interstit radiat compl,TC,,20,,RBRVS,0,7.63,7.63,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100177778,CPT,Apply interstit radiat compl,,,20,,RBRVS,11.23,11.33,11.33,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100177781,CPT,High intensity brachytherapy,26,,20,,RBRVS,1.21,0.4,0.4,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100177781,CPT,High intensity brachytherapy,TC,,20,,RBRVS,0,4.01,4.01,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100177781,CPT,High intensity brachytherapy,,,20,,RBRVS,1.21,4.41,4.41,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100177782,CPT,High intensity brachytherapy,26,,20,,RBRVS,2.04,0.67,0.67,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100177782,CPT,High intensity brachytherapy,TC,,20,,RBRVS,0,11.75,11.75,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100177782,CPT,High intensity brachytherapy,,,20,,RBRVS,2.04,12.42,12.42,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100177783,CPT,High intensity brachytherapy,26,,20,,RBRVS,3.27,1.07,1.07,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100177783,CPT,High intensity brachytherapy,TC,,20,,RBRVS,0,23.14,23.14,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100177783,CPT,High intensity brachytherapy,,,20,,RBRVS,3.27,24.21,24.21,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100177784,CPT,High intensity brachytherapy,26,,20,,RBRVS,5.15,1.68,1.68,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100177784,CPT,High intensity brachytherapy,TC,,20,,RBRVS,0,44.03,44.03,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100177784,CPT,High intensity brachytherapy,,,20,,RBRVS,5.15,45.71,45.71,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100177789,CPT,Apply surface radiation,26,,20,,RBRVS,1.14,0.38,0.38,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100177789,CPT,Apply surface radiation,TC,,20,,RBRVS,0,1.64,1.64,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100177789,CPT,Apply surface radiation,,,20,,RBRVS,1.14,2.02,2.02,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100177790,CPT,Radiation handling,26,,20,,RBRVS,1.05,0.34,0.34,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100177790,CPT,Radiation handling,TC,,20,,RBRVS,0,1.12,1.12,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100177790,CPT,Radiation handling,,,20,,RBRVS,1.05,1.46,1.46,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100177799,CPT,Radium/radioisotope therapy,,,20,,TotalUnits,,,,19.86,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100178000,CPT,"Thyroid, single uptake",26,,20,,RBRVS,0.19,0.06,0.06,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100178000,CPT,"Thyroid, single uptake",TC,,20,,RBRVS,0,1.79,1.79,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100178000,CPT,"Thyroid, single uptake",,,20,,RBRVS,0.19,1.85,1.85,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100178001,CPT,"Thyroid, multiple uptakes",26,,20,,RBRVS,0.26,0.09,0.09,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100178001,CPT,"Thyroid, multiple uptakes",TC,,20,,RBRVS,0,2.22,2.22,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100178001,CPT,"Thyroid, multiple uptakes",,,20,,RBRVS,0.26,2.31,2.31,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100178003,CPT,Thyroid suppress/stimul,26,,20,,RBRVS,0.33,0.12,0.12,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100178003,CPT,Thyroid suppress/stimul,TC,,20,,RBRVS,0,1.82,1.82,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100178003,CPT,Thyroid suppress/stimul,,,20,,RBRVS,0.33,1.94,1.94,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100178006,CPT,Thyroid imaging with uptake,26,,20,,RBRVS,0.49,0.17,0.17,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100178006,CPT,Thyroid imaging with uptake,TC,,20,,RBRVS,0,6.06,6.06,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100178006,CPT,Thyroid imaging with uptake,,,20,,RBRVS,0.49,6.23,6.23,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100178007,CPT,"Thyroid image, mult uptakes",26,,20,,RBRVS,0.5,0.17,0.17,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100178007,CPT,"Thyroid image, mult uptakes",TC,,20,,RBRVS,0,2.89,2.89,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100178007,CPT,"Thyroid image, mult uptakes",,,20,,RBRVS,0.5,3.06,3.06,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100178010,CPT,Thyroid imaging,26,,20,,RBRVS,0.39,0.13,0.13,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100178010,CPT,Thyroid imaging,TC,,20,,RBRVS,0,4.06,4.06,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100178010,CPT,Thyroid imaging,,,20,,RBRVS,0.39,4.19,4.19,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100178011,CPT,Thyroid imaging with flow,26,,20,,RBRVS,0.45,0.16,0.16,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100178011,CPT,Thyroid imaging with flow,TC,,20,,RBRVS,0,4.39,4.39,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100178011,CPT,Thyroid imaging with flow,,,20,,RBRVS,0.45,4.55,4.55,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100178015,CPT,Thyroid met imaging,26,,20,,RBRVS,0.67,0.22,0.22,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100178015,CPT,Thyroid met imaging,TC,,20,,RBRVS,0,5.12,5.12,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100178015,CPT,Thyroid met imaging,,,20,,RBRVS,0.67,5.34,5.34,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100178016,CPT,Thyroid met imaging/studies,26,,20,,RBRVS,0.82,0.28,0.28,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100178016,CPT,Thyroid met imaging/studies,TC,,20,,RBRVS,0,8.26,8.26,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100178016,CPT,Thyroid met imaging/studies,,,20,,RBRVS,0.82,8.54,8.54,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100178018,CPT,"Thyroid met imaging, body",26,,20,,RBRVS,0.86,0.3,0.3,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100178018,CPT,"Thyroid met imaging, body",TC,,20,,RBRVS,0,7.64,7.64,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100178018,CPT,"Thyroid met imaging, body",,,20,,RBRVS,0.86,7.94,7.94,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100178020,CPT,Thyroid met uptake,26,,20,,RBRVS,0.6,0.2,0.2,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100178020,CPT,Thyroid met uptake,TC,,20,,RBRVS,0,1.6,1.6,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100178020,CPT,Thyroid met uptake,,,20,,RBRVS,0.6,1.8,1.8,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100178070,CPT,Parathyroid nuclear imaging,26,,20,,RBRVS,0.82,0.28,0.28,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100178070,CPT,Parathyroid nuclear imaging,TC,,20,,RBRVS,0,3.2,3.2,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100178070,CPT,Parathyroid nuclear imaging,,,20,,RBRVS,0.82,3.48,3.48,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100178075,CPT,Adrenal nuclear imaging,26,,20,,RBRVS,0.74,0.25,0.25,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100178075,CPT,Adrenal nuclear imaging,TC,,20,,RBRVS,0,11.38,11.38,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100178075,CPT,Adrenal nuclear imaging,,,20,,RBRVS,0.74,11.63,11.63,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100178099,CPT,Endocrine nuclear procedure,,,20,,TotalUnits,,,,3.05,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100178102,CPT,"Bone marrow imaging, ltd",26,,20,,RBRVS,0.55,0.19,0.19,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100178102,CPT,"Bone marrow imaging, ltd",TC,,20,,RBRVS,0,3.99,3.99,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100178102,CPT,"Bone marrow imaging, ltd",,,20,,RBRVS,0.55,4.18,4.18,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100178103,CPT,"Bone marrow imaging, mult",26,,20,,RBRVS,0.75,0.26,0.26,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100178103,CPT,"Bone marrow imaging, mult",TC,,20,,RBRVS,0,5.18,5.18,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100178103,CPT,"Bone marrow imaging, mult",,,20,,RBRVS,0.75,5.44,5.44,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100178104,CPT,"Bone marrow imaging, body",26,,20,,RBRVS,0.8,0.29,0.29,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100178104,CPT,"Bone marrow imaging, body",TC,,20,,RBRVS,0,5.94,5.94,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100178104,CPT,"Bone marrow imaging, body",,,20,,RBRVS,0.8,6.23,6.23,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100178110,CPT,"Plasma volume, single",26,,20,,RBRVS,0.19,0.07,0.07,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100178110,CPT,"Plasma volume, single",TC,,20,,RBRVS,0,2.06,2.06,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100178110,CPT,"Plasma volume, single",,,20,,RBRVS,0.19,2.13,2.13,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100178111,CPT,"Plasma volume, multiple",26,,20,,RBRVS,0.22,0.07,0.07,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100178111,CPT,"Plasma volume, multiple",TC,,20,,RBRVS,0,2.07,2.07,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100178111,CPT,"Plasma volume, multiple",,,20,,RBRVS,0.22,2.14,2.14,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100178120,CPT,"Red cell mass, single",26,,20,,RBRVS,0.23,0.08,0.08,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100178120,CPT,"Red cell mass, single",TC,,20,,RBRVS,0,2.02,2.02,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100178120,CPT,"Red cell mass, single",,,20,,RBRVS,0.23,2.1,2.1,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100178121,CPT,"Red cell mass, multiple",26,,20,,RBRVS,0.32,0.1,0.1,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100178121,CPT,"Red cell mass, multiple",TC,,20,,RBRVS,0,2.1,2.1,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100178121,CPT,"Red cell mass, multiple",,,20,,RBRVS,0.32,2.2,2.2,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100178122,CPT,Blood volume,26,,20,,RBRVS,0.45,0.15,0.15,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100178122,CPT,Blood volume,TC,,20,,RBRVS,0,2.1,2.1,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100178122,CPT,Blood volume,,,20,,RBRVS,0.45,2.25,2.25,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100178130,CPT,Red cell survival study,26,,20,,RBRVS,0.61,0.21,0.21,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100178130,CPT,Red cell survival study,TC,,20,,RBRVS,0,3.29,3.29,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100178130,CPT,Red cell survival study,,,20,,RBRVS,0.61,3.5,3.5,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100178135,CPT,Red cell survival kinetics,26,,20,,RBRVS,0.64,0.22,0.22,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100178135,CPT,Red cell survival kinetics,TC,,20,,RBRVS,0,8.46,8.46,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100178135,CPT,Red cell survival kinetics,,,20,,RBRVS,0.64,8.68,8.68,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100178140,CPT,Red cell sequestration,26,,20,,RBRVS,0.61,0.22,0.22,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100178140,CPT,Red cell sequestration,TC,,20,,RBRVS,0,2.73,2.73,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100178140,CPT,Red cell sequestration,,,20,,RBRVS,0.61,2.95,2.95,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100178185,CPT,Spleen imaging,26,,20,,RBRVS,0.4,0.14,0.14,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100178185,CPT,Spleen imaging,TC,,20,,RBRVS,0,5.06,5.06,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100178185,CPT,Spleen imaging,,,20,,RBRVS,0.4,5.2,5.2,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100178190,CPT,"Platelet survival, kinetics",26,,20,,RBRVS,1.09,0.25,0.25,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100178190,CPT,"Platelet survival, kinetics",TC,,20,,RBRVS,0,8.13,8.13,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100178190,CPT,"Platelet survival, kinetics",,,20,,RBRVS,1.09,8.38,8.38,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100178191,CPT,Platelet survival,26,,20,,RBRVS,0.61,0.21,0.21,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100178191,CPT,Platelet survival,TC,,20,,RBRVS,0,3.31,3.31,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100178191,CPT,Platelet survival,,,20,,RBRVS,0.61,3.52,3.52,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100178195,CPT,Lymph system imaging,26,,20,,RBRVS,1.2,0.41,0.41,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100178195,CPT,Lymph system imaging,TC,,20,,RBRVS,0,8.28,8.28,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100178195,CPT,Lymph system imaging,,,20,,RBRVS,1.2,8.69,8.69,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100178199,CPT,Blood/lymph nuclear exam,,,20,,TotalUnits,,,,5.7,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100178201,CPT,Liver imaging,26,,20,,RBRVS,0.44,0.13,0.13,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100178201,CPT,Liver imaging,TC,,20,,RBRVS,0,4.47,4.47,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100178201,CPT,Liver imaging,,,20,,RBRVS,0.44,4.6,4.6,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100178202,CPT,Liver imaging with flow,26,,20,,RBRVS,0.51,0.17,0.17,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100178202,CPT,Liver imaging with flow,TC,,20,,RBRVS,0,5.18,5.18,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100178202,CPT,Liver imaging with flow,,,20,,RBRVS,0.51,5.35,5.35,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100178205,CPT,Liver imaging (3D),26,,20,,RBRVS,0.71,0.25,0.25,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100178205,CPT,Liver imaging (3D),TC,,20,,RBRVS,0,5.02,5.02,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100178205,CPT,Liver imaging (3D),,,20,,RBRVS,0.71,5.27,5.27,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100178206,CPT,Liver image (3d) with flow,26,,20,,RBRVS,0.96,0.34,0.34,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100178206,CPT,Liver image (3d) with flow,TC,,20,,RBRVS,0,8.27,8.27,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100178206,CPT,Liver image (3d) with flow,,,20,,RBRVS,0.96,8.61,8.61,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100178215,CPT,Liver and spleen imaging,26,,20,,RBRVS,0.49,0.17,0.17,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100178215,CPT,Liver and spleen imaging,TC,,20,,RBRVS,0,4.65,4.65,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100178215,CPT,Liver and spleen imaging,,,20,,RBRVS,0.49,4.82,4.82,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100178216,CPT,Liver & spleen image/flow,26,,20,,RBRVS,0.57,0.2,0.2,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100178216,CPT,Liver & spleen image/flow,TC,,20,,RBRVS,0,2.66,2.66,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100178216,CPT,Liver & spleen image/flow,,,20,,RBRVS,0.57,2.86,2.86,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100178220,CPT,Liver function study,26,,20,,RBRVS,0.49,0.17,0.17,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100178220,CPT,Liver function study,TC,,20,,RBRVS,0,2.91,2.91,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100178220,CPT,Liver function study,,,20,,RBRVS,0.49,3.08,3.08,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100178223,CPT,Hepatobiliary imaging,26,,20,,RBRVS,0.84,0.29,0.29,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100178223,CPT,Hepatobiliary imaging,TC,,20,,RBRVS,0,8.22,8.22,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100178223,CPT,Hepatobiliary imaging,,,20,,RBRVS,0.84,8.51,8.51,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100178230,CPT,Salivary gland imaging,26,,20,,RBRVS,0.45,0.16,0.16,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100178230,CPT,Salivary gland imaging,TC,,20,,RBRVS,0,4.01,4.01,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100178230,CPT,Salivary gland imaging,,,20,,RBRVS,0.45,4.17,4.17,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100178231,CPT,Serial salivary imaging,26,,20,,RBRVS,0.52,0.17,0.17,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100178231,CPT,Serial salivary imaging,TC,,20,,RBRVS,0,2.64,2.64,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100178231,CPT,Serial salivary imaging,,,20,,RBRVS,0.52,2.81,2.81,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100178232,CPT,Salivary gland function exam,26,,20,,RBRVS,0.47,0.15,0.15,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100178232,CPT,Salivary gland function exam,TC,,20,,RBRVS,0,2.63,2.63,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100178232,CPT,Salivary gland function exam,,,20,,RBRVS,0.47,2.78,2.78,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100178258,CPT,Esophageal motility study,26,,20,,RBRVS,0.74,0.27,0.27,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100178258,CPT,Esophageal motility study,TC,,20,,RBRVS,0,5.25,5.25,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100178258,CPT,Esophageal motility study,,,20,,RBRVS,0.74,5.52,5.52,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100178261,CPT,Gastric mucosa imaging,26,,20,,RBRVS,0.69,0.24,0.24,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100178261,CPT,Gastric mucosa imaging,TC,,20,,RBRVS,0,5.77,5.77,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100178261,CPT,Gastric mucosa imaging,,,20,,RBRVS,0.69,6.01,6.01,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100178262,CPT,Gastroesophageal reflux exam,26,,20,,RBRVS,0.68,0.22,0.22,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100178262,CPT,Gastroesophageal reflux exam,TC,,20,,RBRVS,0,5.74,5.74,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100178262,CPT,Gastroesophageal reflux exam,,,20,,RBRVS,0.68,5.96,5.96,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100178264,CPT,Gastric emptying study,26,,20,,RBRVS,0.78,0.27,0.27,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100178264,CPT,Gastric emptying study,TC,,20,,RBRVS,0,6.89,6.89,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100178264,CPT,Gastric emptying study,,,20,,RBRVS,0.78,7.16,7.16,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100178267,CPT,Breath tst attain/anal c-14,,,17,,TotalUnits,,,,0.37,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100178268,CPT,"Breath test analysis, c-14",,,17,,TotalUnits,,,,3.14,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100178270,CPT,Vit B-12 absorption exam,26,,20,,RBRVS,0.2,0.07,0.07,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100178270,CPT,Vit B-12 absorption exam,TC,,20,,RBRVS,0,1.88,1.88,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100178270,CPT,Vit B-12 absorption exam,,,20,,RBRVS,0.2,1.95,1.95,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100178271,CPT,"Vit b-12 absrp exam, int fac",26,,20,,RBRVS,0.2,0.05,0.05,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100178271,CPT,"Vit b-12 absrp exam, int fac",TC,,20,,RBRVS,0,1.84,1.84,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100178271,CPT,"Vit b-12 absrp exam, int fac",,,20,,RBRVS,0.2,1.89,1.89,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100178272,CPT,"Vit B-12 absorp, combined",26,,20,,RBRVS,0.27,0.07,0.07,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100178272,CPT,"Vit B-12 absorp, combined",TC,,20,,RBRVS,0,1.99,1.99,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100178272,CPT,"Vit B-12 absorp, combined",,,20,,RBRVS,0.27,2.06,2.06,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100178278,CPT,Acute GI blood loss imaging,26,,20,,RBRVS,0.99,0.35,0.35,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100178278,CPT,Acute GI blood loss imaging,TC,,20,,RBRVS,0,8.26,8.26,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100178278,CPT,Acute GI blood loss imaging,,,20,,RBRVS,0.99,8.61,8.61,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100178282,CPT,GI protein loss exam,26,,20,,RBRVS,0.38,0.13,0.13,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100178282,CPT,GI protein loss exam,TC,,20,,TotalUnits,,,,2.89,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100178290,CPT,Meckel’s divert exam,26,,20,,RBRVS,0.68,0.24,0.24,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100178290,CPT,Meckel’s divert exam,TC,,20,,RBRVS,0,8.28,8.28,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100178290,CPT,Meckel’s divert exam,,,20,,RBRVS,0.68,8.52,8.52,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100178291,CPT,Leveen/shunt patency exam,26,,20,,RBRVS,0.88,0.3,0.3,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100178291,CPT,Leveen/shunt patency exam,TC,,20,,RBRVS,0,5.85,5.85,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100178291,CPT,Leveen/shunt patency exam,,,20,,RBRVS,0.88,6.15,6.15,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100178299,CPT,GI nuclear procedure,,,20,,TotalUnits,,,,4.8,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100178300,CPT,"Bone imaging, limited area",26,,20,,RBRVS,0.62,0.22,0.22,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100178300,CPT,"Bone imaging, limited area",TC,,20,,RBRVS,0,4.01,4.01,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100178300,CPT,"Bone imaging, limited area",,,20,,RBRVS,0.62,4.23,4.23,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100178305,CPT,"Bone imaging, multiple areas",26,,20,,RBRVS,0.83,0.28,0.28,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100178305,CPT,"Bone imaging, multiple areas",TC,,20,,RBRVS,0,5.2,5.2,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100178305,CPT,"Bone imaging, multiple areas",,,20,,RBRVS,0.83,5.48,5.48,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100178306,CPT,"Bone imaging, whole body",26,,20,,RBRVS,0.86,0.3,0.3,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100178306,CPT,"Bone imaging, whole body",TC,,20,,RBRVS,0,5.77,5.77,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100178306,CPT,"Bone imaging, whole body",,,20,,RBRVS,0.86,6.07,6.07,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100178315,CPT,"Bone imaging, 3 phase",26,,20,,RBRVS,1.02,0.36,0.36,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100178315,CPT,"Bone imaging, 3 phase",TC,,20,,RBRVS,0,8.24,8.24,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100178315,CPT,"Bone imaging, 3 phase",,,20,,RBRVS,1.02,8.6,8.6,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100178320,CPT,Bone imaging (3D),26,,20,,RBRVS,1.04,0.36,0.36,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100178320,CPT,Bone imaging (3D),TC,,20,,RBRVS,0,4.99,4.99,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100178320,CPT,Bone imaging (3D),,,20,,RBRVS,1.04,5.35,5.35,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100178350,CPT,"Bone mineral, single photon",26,,20,,RBRVS,0.22,0.05,0.05,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100178350,CPT,"Bone mineral, single photon",TC, ,20,,RBRVS,0,0.46,0.46,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100178350,CPT,"Bone mineral, single photon",,,20,,RBRVS,0.22,0.51,0.51,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100178351,CPT,"Bone mineral, dual photon",26,,20,,TotalUnits,,,,0.58,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100178351,CPT,"Bone mineral, dual photon",TC,,20,,TotalUnits,,,,3.44,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100178351,CPT,"Bone mineral, dual photon",,,20,,RBRVS,0.3,0.07,0.07,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100178399,CPT,Musculoskeletal nuclear exam,,,20,,TotalUnits,,,,5.44,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100178414,CPT,Non-imaging heart function,26,,20,,RBRVS,0.45,0.17,0.17,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100178414,CPT,Non-imaging heart function,TC,,20,,TotalUnits,,,,1.22,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100178428,CPT,Cardiac shunt imaging,26,,20,,RBRVS,0.78,0.36,0.36,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100178428,CPT,Cardiac shunt imaging,TC,,20,,RBRVS,0,4.9,4.9,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100178428,CPT,Cardiac shunt imaging,,,20,,RBRVS,0.78,5.26,5.26,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100178445,CPT,Vascular flow imaging,26,,20,,RBRVS,0.49,0.17,0.17,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100178445,CPT,Vascular flow imaging,TC,,20,,RBRVS,0,4.32,4.32,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100178445,CPT,Vascular flow imaging,,,20,,RBRVS,0.49,4.49,4.49,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100178456,CPT,Acute venous thrombus image,26,,20,,RBRVS,1,0.37,0.37,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100178456,CPT,Acute venous thrombus image,TC,,20,,RBRVS,0,8.44,8.44,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100178456,CPT,Acute venous thrombus image,,,20,,RBRVS,1,8.81,8.81,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100178457,CPT,Venous thrombosis imaging,26,,20,,RBRVS,0.77,0.25,0.25,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100178457,CPT,Venous thrombosis imaging,TC,,20,,RBRVS,0,4.41,4.41,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100178457,CPT,Venous thrombosis imaging,,,20,,RBRVS,0.77,4.66,4.66,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100178458,CPT,"Ven thrombosis images, bilat",26,,20,,RBRVS,0.9,0.29,0.29,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100178458,CPT,"Ven thrombosis images, bilat",TC,,20,,RBRVS,0,4.22,4.22,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100178458,CPT,"Ven thrombosis images, bilat",,,20,,RBRVS,0.9,4.51,4.51,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100178459,CPT,Heart muscle imaging (PET),26,,20,,RBRVS,1.5,0.61,0.61,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100178459,CPT,Heart muscle imaging (PET),TC,,20,,TotalUnits,,,,27.72,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100178460,CPT,"Heart muscle blood, single",26,,20,,RBRVS,0.86,0.32,0.32,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100178460,CPT,"Heart muscle blood, single",TC,,20,,RBRVS,0,4.34,4.34,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100178460,CPT,"Heart muscle blood, single",,,20,,RBRVS,0.86,4.66,4.66,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100178461,CPT,"Heart muscle blood, multiple",26,,20,,RBRVS,1.23,0.46,0.46,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100178461,CPT,"Heart muscle blood, multiple",TC,,20,,RBRVS,0,3.61,3.61,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100178461,CPT,"Heart muscle blood, multiple",,,20,,RBRVS,1.23,4.07,4.07,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100178464,CPT,"Heart image (3d), single",26,,20,,RBRVS,1.09,0.5,0.5,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100178464,CPT,"Heart image (3d), single",TC,,20,,RBRVS,0,5.36,5.36,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100178464,CPT,"Heart image (3d), single",,,20,,RBRVS,1.09,5.86,5.86,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100178465,CPT,"Heart image (3d), multiple",26,,20,,RBRVS,1.46,0.71,0.71,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100178465,CPT,"Heart image (3d), multiple",TC,,20,,RBRVS,0,10.75,10.75,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100178465,CPT,"Heart image (3d), multiple",,,20,,RBRVS,1.46,11.46,11.46,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100178466,CPT,Heart infarct image,26,,20,,RBRVS,0.69,0.29,0.29,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100178466,CPT,Heart infarct image,TC,,20,,RBRVS,0,4.29,4.29,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100178466,CPT,Heart infarct image,,,20,,RBRVS,0.69,4.58,4.58,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100178468,CPT,Heart infarct image (ef),26,,20,,RBRVS,0.8,0.4,0.4,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100178468,CPT,Heart infarct image (ef),TC,,20,,RBRVS,0,5.48,5.48,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100178468,CPT,Heart infarct image (ef),,,20,,RBRVS,0.8,5.88,5.88,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100178469,CPT,Heart infarct image (3D),26,,20,,RBRVS,0.92,0.44,0.44,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100178469,CPT,Heart infarct image (3D),TC,,20,,RBRVS,0,5.85,5.85,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100178469,CPT,Heart infarct image (3D),,,20,,RBRVS,0.92,6.29,6.29,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100178472,CPT,"Gated heart, planar, single",26,,20,,RBRVS,0.98,0.41,0.41,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100178472,CPT,"Gated heart, planar, single",TC,,20,,RBRVS,0,5.62,5.62,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100178472,CPT,"Gated heart, planar, single",,,20,,RBRVS,0.98,6.03,6.03,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100178473,CPT,"Gated heart, multiple",26,,20,,RBRVS,1.47,0.64,0.64,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100178473,CPT,"Gated heart, multiple",TC,,20,,RBRVS,0,7.12,7.12,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100178473,CPT,"Gated heart, multiple",,,20,,RBRVS,1.47,7.76,7.76,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100178478,CPT,Heart wall motion add-on,26,,20,,RBRVS,0.5,0.24,0.24,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100178478,CPT,Heart wall motion add-on,TC,,20,,RBRVS,0,0.56,0.56,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100178478,CPT,Heart wall motion add-on,,,20,,RBRVS,0.5,0.8,0.8,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100178480,CPT,Heart function add-on,26,,20,,RBRVS,0.3,0.14,0.14,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100178480,CPT,Heart function add-on,TC,,20,,RBRVS,0,0.56,0.56,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100178480,CPT,Heart function add-on,,,20,,RBRVS,0.3,0.7,0.7,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100178481,CPT,"Heart first pass, single",26,,20,,RBRVS,0.98,0.49,0.49,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100178481,CPT,"Heart first pass, single",TC,,20,,RBRVS,0,4.58,4.58,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100178481,CPT,"Heart first pass, single",,,20,,RBRVS,0.98,5.07,5.07,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100178483,CPT,"Heart first pass, multiple",26,,20,,RBRVS,1.47,0.78,0.78,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100178483,CPT,"Heart first pass, multiple",TC,,20,,RBRVS,0,6.09,6.09,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100178483,CPT,"Heart first pass, multiple",,,20,,RBRVS,1.47,6.87,6.87,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100178491,CPT,"Heart image (pet), single",26,,20,,RBRVS,1.5,0.63,0.63,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100178491,CPT,"Heart image (pet), single",TC,,20,,TotalUnits,,,,16.06,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100178492,CPT,"Heart image (pet), multiple",26,,20,,RBRVS,1.87,0.91,0.91,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100178492,CPT,"Heart image (pet), multiple",TC,,20,,TotalUnits,,,,20.04,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100178494,CPT,"Heart image, spect",26,,20,,RBRVS,1.19,0.54,0.54,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100178494,CPT,"Heart image, spect",TC,,20,,RBRVS,0,5.69,5.69,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100178494,CPT,"Heart image, spect",,,20,,RBRVS,1.19,6.23,6.23,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100178496,CPT,Heart first pass add-on,26,,20,,RBRVS,0.5,0.23,0.23,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100178496,CPT,Heart first pass add-on,TC,,20,,RBRVS,0,0.65,0.65,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100178496,CPT,Heart first pass add-on,,,20,,RBRVS,0.5,0.88,0.88,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100178499,CPT,Cardiovascular nuclear exam,,,20,,TotalUnits,,,,2.41,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100178580,CPT,Lung perfusion imaging,26,,20,,RBRVS,0.74,0.26,0.26,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100178580,CPT,Lung perfusion imaging,TC,,20,,RBRVS,0,4.87,4.87,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100178580,CPT,Lung perfusion imaging,,,20,,RBRVS,0.74,5.13,5.13,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100178584,CPT,Lung V/Q image single breath,26,,20,,RBRVS,0.99,0.35,0.35,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100178584,CPT,Lung V/Q image single breath,TC,,20,,RBRVS,0,2.67,2.67,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100178584,CPT,Lung V/Q image single breath,,,20,,RBRVS,0.99,3.02,3.02,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100178585,CPT,Lung V/Q imaging,26,,20,,RBRVS,1.09,0.38,0.38,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100178585,CPT,Lung V/Q imaging,TC,,20,,RBRVS,0,8.25,8.25,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100178585,CPT,Lung V/Q imaging,,,20,,RBRVS,1.09,8.63,8.63,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100178586,CPT,"Aerosol lung image, single",26,,20,,RBRVS,0.4,0.14,0.14,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100178586,CPT,"Aerosol lung image, single",TC,,20,,RBRVS,0,4.03,4.03,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100178586,CPT,"Aerosol lung image, single",,,20,,RBRVS,0.4,4.17,4.17,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100178587,CPT,"Aerosol lung image, multiple",26,,20,,RBRVS,0.49,0.17,0.17,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100178587,CPT,"Aerosol lung image, multiple",TC,,20,,RBRVS,0,5.27,5.27,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100178587,CPT,"Aerosol lung image, multiple",,,20,,RBRVS,0.49,5.44,5.44,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100178588,CPT,Perfusion lung image,26,,20,,RBRVS,1.09,0.38,0.38,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100178588,CPT,Perfusion lung image,TC,,20,,RBRVS,0,8.28,8.28,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100178588,CPT,Perfusion lung image,,,20,,RBRVS,1.09,8.66,8.66,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100178591,CPT,"Vent image, 1 breath, 1 proj",26,,20,,RBRVS,0.4,0.14,0.14,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100178591,CPT,"Vent image, 1 breath, 1 proj",TC,,20,,RBRVS,0,4.03,4.03,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100178591,CPT,"Vent image, 1 breath, 1 proj",,,20,,RBRVS,0.4,4.17,4.17,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100178593,CPT,"Vent image, 1 proj, gas",26,,20,,RBRVS,0.49,0.17,0.17,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100178593,CPT,"Vent image, 1 proj, gas",TC,,20,,RBRVS,0,4.65,4.65,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100178593,CPT,"Vent image, 1 proj, gas",,,20,,RBRVS,0.49,4.82,4.82,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100178594,CPT,"Vent image, mult proj, gas",26,,20,,RBRVS,0.53,0.18,0.18,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100178594,CPT,"Vent image, mult proj, gas",TC,,20,,RBRVS,0,5.11,5.11,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100178594,CPT,"Vent image, mult proj, gas",,,20,,RBRVS,0.53,5.29,5.29,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100178596,CPT,Lung differential function,26,,20,,RBRVS,1.27,0.39,0.39,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100178596,CPT,Lung differential function,TC,,20,,RBRVS,0,8.29,8.29,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100178596,CPT,Lung differential function,,,20,,RBRVS,1.27,8.68,8.68,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100178599,CPT,Respiratory nuclear exam,,,20,,TotalUnits,,,,4.67,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100178600,CPT,"Brain imaging, ltd static",26,,20,,RBRVS,0.44,0.15,0.15,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100178600,CPT,"Brain imaging, ltd static",TC,,20,,RBRVS,0,4.24,4.24,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100178600,CPT,"Brain imaging, ltd static",,,20,,RBRVS,0.44,4.39,4.39,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100178601,CPT,"Brain imaging, ltd w/ flow",26,,20,,RBRVS,0.51,0.18,0.18,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100178601,CPT,"Brain imaging, ltd w/ flow",TC,,20,,RBRVS,0,5.21,5.21,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100178601,CPT,"Brain imaging, ltd w/ flow",,,20,,RBRVS,0.51,5.39,5.39,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100178605,CPT,"Brain imaging, complete",26,,20,,RBRVS,0.53,0.19,0.19,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100178605,CPT,"Brain imaging, complete",TC,,20,,RBRVS,0,4.66,4.66,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100178605,CPT,"Brain imaging, complete",,,20,,RBRVS,0.53,4.85,4.85,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100178606,CPT,"Brain imaging, compl w/flow",26,,20,,RBRVS,0.64,0.22,0.22,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100178606,CPT,"Brain imaging, compl w/flow",TC,,20,,RBRVS,0,8.32,8.32,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100178606,CPT,"Brain imaging, compl w/flow",,,20,,RBRVS,0.64,8.54,8.54,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100178607,CPT,Brain imaging (3D),26,,20,,RBRVS,1.23,0.41,0.41,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100178607,CPT,Brain imaging (3D),TC,,20,,RBRVS,0,8.23,8.23,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100178607,CPT,Brain imaging (3D),,,20,,RBRVS,1.23,8.64,8.64,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100178608,CPT,Brain imaging (PET),26,,20,,RBRVS,1.5,0.49,0.49,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100178608,CPT,Brain imaging (PET),,,20,,TotalUnits,,,,49.17,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100178609,CPT,Brain imaging (PET),,,20,,RBRVS,1.5,0,0,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100178610,CPT,Brain flow imaging only,26,,20,,RBRVS,0.3,0.1,0.1,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100178610,CPT,Brain flow imaging only,TC,,20,,RBRVS,0,4.36,4.36,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100178610,CPT,Brain flow imaging only,,,20,,RBRVS,0.3,4.46,4.46,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100178630,CPT,Cerebrospinal fluid scan,26,,20,,RBRVS,0.68,0.24,0.24,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100178630,CPT,Cerebrospinal fluid scan,TC,,20,,RBRVS,0,8.42,8.42,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100178630,CPT,Cerebrospinal fluid scan,,,20,,RBRVS,0.68,8.66,8.66,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100178635,CPT,CSF ventriculography,26,,20,,RBRVS,0.61,0.21,0.21,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100178635,CPT,CSF ventriculography,TC,,20,,RBRVS,0,8.59,8.59,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100178635,CPT,CSF ventriculography,,,20,,RBRVS,0.61,8.8,8.8,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100178645,CPT,CSF shunt evaluation,26,,20,,RBRVS,0.57,0.2,0.2,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100178645,CPT,CSF shunt evaluation,TC,,20,,RBRVS,0,8.29,8.29,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100178645,CPT,CSF shunt evaluation,,,20,,RBRVS,0.57,8.49,8.49,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100178647,CPT,Cerebrospinal fluid scan,26,,20,,RBRVS,0.9,0.29,0.29,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100178647,CPT,Cerebrospinal fluid scan,TC,,20,,RBRVS,0,8.24,8.24,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100178647,CPT,Cerebrospinal fluid scan,,,20,,RBRVS,0.9,8.53,8.53,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100178650,CPT,CSF leakage imaging,26,,20,,RBRVS,0.61,0.21,0.21,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100178650,CPT,CSF leakage imaging,TC,,20,,RBRVS,0,8.36,8.36,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100178650,CPT,CSF leakage imaging,,,20,,RBRVS,0.61,8.57,8.57,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100178660,CPT,Nuclear exam of tear flow,26,,20,,RBRVS,0.53,0.19,0.19,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100178660,CPT,Nuclear exam of tear flow,TC,,20,,RBRVS,0,4.07,4.07,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100178660,CPT,Nuclear exam of tear flow,,,20,,RBRVS,0.53,4.26,4.26,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100178699,CPT,Nervous system nuclear exam,,,20,,TotalUnits,,,,5.96,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100178700,CPT,"Kidney imaging, static",26,,20,,RBRVS,0.45,0.16,0.16,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100178700,CPT,"Kidney imaging, static",TC,,20,,RBRVS,0,4.23,4.23,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100178700,CPT,"Kidney imaging, static",,,20,,RBRVS,0.45,4.39,4.39,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100178701,CPT,Kidney imaging with flow,26,,20,,RBRVS,0.49,0.17,0.17,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100178701,CPT,Kidney imaging with flow,TC,,20,,RBRVS,0,5.22,5.22,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100178701,CPT,Kidney imaging with flow,,,20,,RBRVS,0.49,5.39,5.39,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100178707,CPT,Kidney flow/function image,26,,20,,RBRVS,0.96,0.34,0.34,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100178707,CPT,Kidney flow/function image,TC,,20,,RBRVS,0,5.15,5.15,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100178707,CPT,Kidney flow/function image,,,20,,RBRVS,0.96,5.49,5.49,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100178708,CPT,Kidney flow/function image,26,,20,,RBRVS,1.21,0.43,0.43,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100178708,CPT,Kidney flow/function image,TC,,20,,RBRVS,0,3.05,3.05,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100178708,CPT,Kidney flow/function image,,,20,,RBRVS,1.21,3.48,3.48,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100178709,CPT,Kidney flow/function image,26,,20,,RBRVS,1.41,0.49,0.49,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100178709,CPT,Kidney flow/function image,TC,,20,,RBRVS,0,8.4,8.4,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100178709,CPT,Kidney flow/function image,,,20,,RBRVS,1.41,8.89,8.89,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100178710,CPT,Kidney imaging (3D),26,,20,,RBRVS,0.66,0.22,0.22,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100178710,CPT,Kidney imaging (3D),TC,,20,,RBRVS,0,5.06,5.06,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100178710,CPT,Kidney imaging (3D),,,20,,RBRVS,0.66,5.28,5.28,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100178725,CPT,Kidney function study,26,,20,,RBRVS,0.38,0.12,0.12,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100178725,CPT,Kidney function study,TC,,20,,RBRVS,0,2.23,2.23,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100178725,CPT,Kidney function study,,,20,,RBRVS,0.38,2.35,2.35,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100178730,CPT,Urinary bladder retention,26,,20,,RBRVS,0.15,0.06,0.06,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100178730,CPT,Urinary bladder retention,TC,,20,,RBRVS,0,1.93,1.93,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100178730,CPT,Urinary bladder retention,,,20,,RBRVS,0.15,1.99,1.99,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100178740,CPT,Ureteral reflux study,26,,20,,RBRVS,0.57,0.19,0.19,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100178740,CPT,Ureteral reflux study,TC,,20,,RBRVS,0,5.46,5.46,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100178740,CPT,Ureteral reflux study,,,20,,RBRVS,0.57,5.65,5.65,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100178761,CPT,Testicular imaging/flow,26,,20,,RBRVS,0.71,0.25,0.25,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100178761,CPT,Testicular imaging/flow,TC,,20,,RBRVS,0,4.81,4.81,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100178761,CPT,Testicular imaging/flow,,,20,,RBRVS,0.71,5.06,5.06,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100178799,CPT,Genitourinary nuclear exam,,,20,,TotalUnits,,,,5.77,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100178800,CPT,"Tumor imaging, limited area",26,,20,,RBRVS,0.66,0.21,0.21,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100178800,CPT,"Tumor imaging, limited area",TC,,20,,RBRVS,0,4.13,4.13,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100178800,CPT,"Tumor imaging, limited area",,,20,,RBRVS,0.66,4.34,4.34,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100178801,CPT,"Tumor imaging, mult areas",26,,20,,RBRVS,0.79,0.27,0.27,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100178801,CPT,"Tumor imaging, mult areas",TC,,20,,RBRVS,0,5.79,5.79,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100178801,CPT,"Tumor imaging, mult areas",,,20,,RBRVS,0.79,6.06,6.06,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100178802,CPT,"Tumor imaging, whole body",26,,20,,RBRVS,0.86,0.3,0.3,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100178802,CPT,"Tumor imaging, whole body",TC,,20,,RBRVS,0,7.85,7.85,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100178802,CPT,"Tumor imaging, whole body",,,20,,RBRVS,0.86,8.15,8.15,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100178803,CPT,Tumor imaging (3D),26,,20,,RBRVS,1.09,0.37,0.37,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100178803,CPT,Tumor imaging (3D),TC,,20,,RBRVS,0,8.17,8.17,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100178803,CPT,Tumor imaging (3D),,,20,,RBRVS,1.09,8.54,8.54,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100178804,CPT,"Tumor imaging, whole body",26,,20,,RBRVS,1.07,0.37,0.37,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100178804,CPT,"Tumor imaging, whole body",TC,,20,,RBRVS,0,14.48,14.48,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100178804,CPT,"Tumor imaging, whole body",,,20,,RBRVS,1.07,14.85,14.85,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100178805,CPT,"Abscess imaging, ltd area",26,,20,,RBRVS,0.73,0.25,0.25,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100178805,CPT,"Abscess imaging, ltd area",TC,,20,,RBRVS,0,3.98,3.98,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100178805,CPT,"Abscess imaging, ltd area",,,20,,RBRVS,0.73,4.23,4.23,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100178806,CPT,"Abscess imaging, whole body",26,,20,,RBRVS,0.86,0.3,0.3,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100178806,CPT,"Abscess imaging, whole body",TC,,20,,RBRVS,0,8.06,8.06,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100178806,CPT,"Abscess imaging, whole body",,,20,,RBRVS,0.86,8.36,8.36,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100178807,CPT,Nuclear localization/abscess,26,,20,,RBRVS,1.09,0.37,0.37,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100178807,CPT,Nuclear localization/abscess,TC,,20,,RBRVS,0,8.15,8.15,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100178807,CPT,Nuclear localization/abscess,,,20,,RBRVS,1.09,8.52,8.52,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100178811,CPT,"Tumor imaging (pet), limited",26,,20,,RBRVS,1.54,0.54,0.54,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100178812,CPT,Tumor image (pet)/skul-thigh,26,,20,,RBRVS,1.93,0.67,0.67,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100178813,CPT,Tumor image (pet) full body,26,,20,,RBRVS,2,0.68,0.68,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100178814,CPT,"Tumor image pet/ct, limited",26,,20,,RBRVS,2.2,0.74,0.74,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100178815,CPT,Tumorimage pet/ct skul-thigh,26,,20,,RBRVS,2.44,0.84,0.84,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100178816,CPT,Tumor image pet/ct full body,26,,20,,RBRVS,2.5,0.85,0.85,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100178890,CPT,Nuclear medicine data proc,26,,20,,RBRVS,0.05,0.01,0.01,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100178890,CPT,Nuclear medicine data proc,TC,,20,,RBRVS,0,0.38,0.38,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100178890,CPT,Nuclear medicine data proc,,,20,,RBRVS,0.05,0.39,0.39,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100178891,CPT,Nuclear med data proc,26,,20,,RBRVS,0.1,0.02,0.02,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100178891,CPT,Nuclear med data proc,TC,,20,,RBRVS,0,0.86,0.86,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100178891,CPT,Nuclear med data proc,,,20,,RBRVS,0.1,0.88,0.88,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100178999,CPT,Nuclear diagnostic exam,,,20,,TotalUnits,,,,1.81,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100179005,CPT,"Nuclear rx, oral admin",26,,20,,RBRVS,1.8,0.58,0.58,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100179005,CPT,"Nuclear rx, oral admin",TC,,20,,RBRVS,0,1.27,1.27,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100179005,CPT,"Nuclear rx, oral admin",,,20,,RBRVS,1.8,1.85,1.85,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100179101,CPT,"Nuclear rx, iv admin",26,,20,,RBRVS,1.96,0.74,0.74,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100179101,CPT,"Nuclear rx, iv admin",TC,,20,,RBRVS,0,1.43,1.43,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100179101,CPT,"Nuclear rx, iv admin",,,20,,RBRVS,1.96,2.17,2.17,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100179200,CPT,Intracavitary nuclear trmt,26,,20,,RBRVS,1.99,0.65,0.65,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100179200,CPT,Intracavitary nuclear trmt,TC,,20,,RBRVS,0,1.57,1.57,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100179200,CPT,Intracavitary nuclear trmt,,,20,,RBRVS,1.99,2.22,2.22,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100179300,CPT,Interstitial nuclear therapy,26,,20,,RBRVS,1.6,0.54,0.54,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100179300,CPT,Interstitial nuclear therapy,TC,,20,,TotalUnits,,,,1.7,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100179403,CPT,Hematopoetic nuclear therapy,26,,20,,RBRVS,2.25,0.75,0.75,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100179403,CPT,Hematopoetic nuclear therapy,TC,,20,,RBRVS,0,2.17,2.17,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100179403,CPT,Hematopoetic nuclear therapy,,,20,,RBRVS,2.25,2.92,2.92,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100179440,CPT,Nuclear joint therapy,26,,20,,RBRVS,1.99,0.68,0.68,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100179440,CPT,Nuclear joint therapy,TC,,20,,RBRVS,0,1.16,1.16,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100179440,CPT,Nuclear joint therapy,,,20,,RBRVS,1.99,1.84,1.84,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100179445,CPT,"Nuclear rx, intra-arterial",26,,20,,RBRVS,2.4,0.85,0.85,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100179999,CPT,Nuclear medicine therapy,,,20,,TotalUnits,,,,5.02,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100180048,CPT,Basic metabolic panel,,,17,,TotalUnits,,,,0.4,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100180050,CPT,General health panel,,,17,,TotalUnits,,,,1.42,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100180051,CPT,Electrolyte panel,,,17,,TotalUnits,,,,0.33,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100180053,CPT,Comprehen metabolic panel,,,17,,TotalUnits,,,,0.49,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100180055,CPT,Obstetric panel,,,17,,TotalUnits,,,,1.29,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100180061,CPT,Lipid panel,,,17,,TotalUnits,,,,0.63,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100180069,CPT,Renal function panel,,,17,,TotalUnits,,,,0.41,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100180074,CPT,Acute hepatitis panel,,,17,,TotalUnits,,,,2.22,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100180076,CPT,Hepatic function panel,,,17,,TotalUnits,,,,0.38,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100180100,CPT,"Drug screen, qualitate/multi",,,17,,TotalUnits,,,,0.68,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100180101,CPT,"Drug screen, single",,,17,,TotalUnits,,,,0.64,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100180102,CPT,Drug confirmation,,,17,,TotalUnits,,,,0.62,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100180103,CPT,"Drug analysis, tissue prep",,,17,,TotalUnits,,,,0.44,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100180150,CPT,Assay of amikacin,,,17,,TotalUnits,,,,0.7,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100180152,CPT,Assay of amitriptyline,,,17,,TotalUnits,,,,0.84,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100180154,CPT,Assay of benzodiazepines,,,17,,TotalUnits,,,,0.86,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100180156,CPT,"Assay, carbamazepine, total",,,17,,TotalUnits,,,,0.68,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100180157,CPT,"Assay, carbamazepine, free",,,17,,TotalUnits,,,,0.62,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100180158,CPT,Assay of cyclosporine,,,17,,TotalUnits,,,,0.84,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100180160,CPT,Assay of desipramine,,,17,,TotalUnits,,,,0.8,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100180162,CPT,Assay of digoxin,,,17,,TotalUnits,,,,0.62,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100180164,CPT,"Assay, dipropylacetic acid",,,17,,TotalUnits,,,,0.63,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100180166,CPT,Assay of doxepin,,,17,,TotalUnits,,,,0.72,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100180168,CPT,Assay of ethosuximide,,,17,,TotalUnits,,,,0.76,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100180170,CPT,Assay of gentamicin,,,17,,TotalUnits,,,,0.76,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100180172,CPT,Assay of gold,,,17,,TotalUnits,,,,0.76,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100180173,CPT,Assay of haloperidol,,,17,,TotalUnits,,,,0.68,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100180174,CPT,Assay of imipramine,,,17,,TotalUnits,,,,0.8,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100180176,CPT,Assay of lidocaine,,,17,,TotalUnits,,,,0.69,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100180178,CPT,Assay of lithium,,,17,,TotalUnits,,,,0.31,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100180182,CPT,Assay of nortriptyline,,,17,,TotalUnits,,,,0.63,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100180184,CPT,Assay of phenobarbital,,,17,,TotalUnits,,,,0.53,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100180185,CPT,"Assay of phenytoin, total",,,17,,TotalUnits,,,,0.62,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100180186,CPT,"Assay of phenytoin, free",,,17,,TotalUnits,,,,0.64,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100180188,CPT,Assay of primidone,,,17,,TotalUnits,,,,0.77,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100180190,CPT,Assay of procainamide,,,17,,TotalUnits,,,,0.78,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100180192,CPT,Assay of procainamide,,,17,,TotalUnits,,,,0.78,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100180194,CPT,Assay of quinidine,,,17,,TotalUnits,,,,0.68,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100180195,CPT,Assay of sirolimus,,,17,,NW,,,,,,$23.04 ,$0.00 ,1,1,1,0,1,1,2008100180196,CPT,Assay of salicylate,,,17,,TotalUnits,,,,0.33,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100180197,CPT,Assay of tacrolimus,,,17,,TotalUnits,,,,0.64,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100180198,CPT,Assay of theophylline,,,17,,TotalUnits,,,,0.66,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100180200,CPT,Assay of tobramycin,,,17,,TotalUnits,,,,0.75,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100180201,CPT,Assay of topiramate,,,17,,TotalUnits,,,,0.56,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100180202,CPT,Assay of vancomycin,,,17,,TotalUnits,,,,0.63,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100180299,CPT,"Quantitative assay, drug",,,17,,TotalUnits,,,,0.64,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100180400,CPT,Acth stimulation panel,,,17,,TotalUnits,,,,1.52,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100180402,CPT,Acth stimulation panel,,,17,,TotalUnits,,,,4.06,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100180406,CPT,Acth stimulation panel,,,17,,TotalUnits,,,,3.65,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100180408,CPT,Aldosterone suppression eval,,,17,,TotalUnits,,,,5.86,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100180410,CPT,Calcitonin stimul panel,,,17,,TotalUnits,,,,3.75,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100180412,CPT,CRH stimulation panel,,,17,,TotalUnits,,,,15.38,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100180414,CPT,Testosterone response,,,17,,TotalUnits,,,,2.41,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100180415,CPT,Estradiol response panel,,,17,,TotalUnits,,,,2.61,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100180416,CPT,Renin stimulation panel,,,17,,TotalUnits,,,,6.16,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100180417,CPT,Renin stimulation panel,,,17,,TotalUnits,,,,2.05,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100180418,CPT,Pituitary evaluation panel,,,17,,TotalUnits,,,,27.05,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100180420,CPT,Dexamethasone panel,,,17,,TotalUnits,,,,3.36,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100180422,CPT,Glucagon tolerance panel,,,17,,TotalUnits,,,,2.15,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100180424,CPT,Glucagon tolerance panel,,,17,,TotalUnits,,,,2.36,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100180426,CPT,Gonadotropin hormone panel,,,17,,TotalUnits,,,,6.93,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100180428,CPT,Growth hormone panel,,,17,,TotalUnits,,,,3.11,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100180430,CPT,Growth hormone panel,,,17,,TotalUnits,,,,3.66,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100180432,CPT,Insulin suppression panel,,,17,,TotalUnits,,,,6.3,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100180434,CPT,Insulin tolerance panel,,,17,,TotalUnits,,,,4.72,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100180435,CPT,Insulin tolerance panel,,,17,,TotalUnits,,,,4.81,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100180436,CPT,Metyrapone panel,,,17,,TotalUnits,,,,4.25,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100180438,CPT,TRH stimulation panel,,,17,,TotalUnits,,,,2.35,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100180439,CPT,TRH stimulation panel,,,17,,TotalUnits,,,,3.14,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100180440,CPT,TRH stimulation panel,,,17,,TotalUnits,,,,2.71,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100180500,CPT,Lab pathology consultation,,,17,,RBRVS,0.37,0.11,0.2,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100180502,CPT,Lab pathology consultation,,,17,,RBRVS,1.33,0.25,0.31,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100181000,CPT,"Urinalysis, nonauto w/scope",,,17,,TotalUnits,,,,0.15,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100181001,CPT,"Urinalysis, auto w/scope",,,17,,TotalUnits,,,,0.15,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100181002,CPT,Urinalysis nonauto w/o scope,,,17,,TotalUnits,,,,0.12,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100181003,CPT,"Urinalysis, auto, w/o scope",,,17,,TotalUnits,,,,0.1,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100181005,CPT,Urinalysis,,,17,,TotalUnits,,,,0.1,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100181007,CPT,Urine screen for bacteria,,,17,,TotalUnits,,,,0.12,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100181015,CPT,Microscopic exam of urine,,,17,,TotalUnits,,,,0.14,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100181020,CPT,"Urinalysis, glass test",,,17,,TotalUnits,,,,0.17,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100181025,CPT,Urine pregnancy test,,,17,,TotalUnits,,,,0.3,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100181050,CPT,"Urinalysis, volume measure",,,17,,TotalUnits,,,,0.14,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100181099,CPT,Urinalysis test procedure,,,17,,TotalUnits,,,,0.15,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100182000,CPT,Assay of blood acetaldehyde,,,17,,TotalUnits,,,,0.58,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100182003,CPT,Assay of acetaminophen,,,17,,TotalUnits,,,,0.94,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100182009,CPT,Test for acetone/ketones,,,17,,TotalUnits,,,,0.21,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100182010,CPT,Acetone assay,,,17,,TotalUnits,,,,0.38,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100182013,CPT,Acetylcholinesterase assay,,,17,,TotalUnits,,,,0.52,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100182016,CPT,"Acylcarnitines, qual",,,17,,TotalUnits,,,,0.65,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100182017,CPT,"Acylcarnitines, quant",,,17,,TotalUnits,,,,0.79,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100182024,CPT,Assay of acth,,,17,,TotalUnits,,,,1.8,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100182030,CPT,Assay of adp & amp,,,17,,TotalUnits,,,,1.2,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100182040,CPT,Assay of serum albumin,,,17,,TotalUnits,,,,0.23,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100182042,CPT,Assay of urine albumin,,,17,,TotalUnits,,,,0.24,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100182043,CPT,"Microalbumin, quantitative",,,17,,TotalUnits,,,,0.27,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100182044,CPT,"Microalbumin, semiquant",,,17,,TotalUnits,,,,0.21,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100182045,CPT,"Albumin, ischemia modified",,,17,,TotalUnits,,,,1.58,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100182055,CPT,Assay of ethanol,,,17,,TotalUnits,,,,0.5,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100182075,CPT,Assay of breath ethanol,,,17,,TotalUnits,,,,0.56,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100182085,CPT,Assay of aldolase,,,17,,TotalUnits,,,,0.45,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100182088,CPT,Assay of aldosterone,,,17,,TotalUnits,,,,1.9,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100182101,CPT,Assay of urine alkaloids,,,17,,TotalUnits,,,,1.4,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100182103,CPT,"Alpha-1-antitrypsin, total",,,17,,TotalUnits,,,,0.63,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100182104,CPT,"Alpha-1-antitrypsin, pheno",,,17,,TotalUnits,,,,0.67,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100182105,CPT,"Alpha-fetoprotein, serum",,,17,,TotalUnits,,,,0.78,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100182106,CPT,"Alpha-fetoprotein, amniotic",,,17,,TotalUnits,,,,0.78,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100182107,CPT,Alpha-fetoprotein l3,,,17,,NW,,,,,,$91.63 ,$0.00 ,1,1,1,0,1,1,2008100182108,CPT,Assay of aluminum,,,17,,TotalUnits,,,,1.19,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100182120,CPT,"Amines, vaginal fluid qual",,,17,,TotalUnits,,,,0.18,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100182127,CPT,"Amino acid, single qual",,,17,,TotalUnits,,,,0.65,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100182128,CPT,"Amino acids, mult qual",,,17,,TotalUnits,,,,0.65,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100182131,CPT,"Amino acids, single quant",,,17,,TotalUnits,,,,0.79,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100182135,CPT,"Assay, aminolevulinic acid",,,17,,TotalUnits,,,,0.77,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100182136,CPT,"Amino acids, quant, 2-5",,,17,,TotalUnits,,,,0.79,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100182139,CPT,"Amino acids, quan, 6 or more",,,17,,TotalUnits,,,,0.79,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100182140,CPT,Assay of ammonia,,,17,,TotalUnits,,,,0.68,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100182143,CPT,Amniotic fluid scan,,,17,,TotalUnits,,,,0.32,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100182145,CPT,Assay of amphetamines,,,17,,TotalUnits,,,,0.73,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100182150,CPT,Assay of amylase,,,17,,TotalUnits,,,,0.3,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100182154,CPT,Androstanediol glucuronide,,,17,,TotalUnits,,,,1.35,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100182157,CPT,Assay of androstenedione,,,17,,TotalUnits,,,,1.37,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100182160,CPT,Assay of androsterone,,,17,,TotalUnits,,,,1.17,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100182163,CPT,Assay of angiotensin II,,,17,,TotalUnits,,,,0.96,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100182164,CPT,Angiotensin I enzyme test,,,17,,TotalUnits,,,,0.68,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100182172,CPT,Assay of apolipoprotein,,,17,,TotalUnits,,,,0.72,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100182175,CPT,Assay of arsenic,,,17,,TotalUnits,,,,0.89,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100182180,CPT,Assay of ascorbic acid,,,17,,TotalUnits,,,,0.46,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100182190,CPT,Atomic absorption,,,17,,TotalUnits,,,,0.7,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100182205,CPT,Assay of barbiturates,,,17,,TotalUnits,,,,0.53,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100182232,CPT,Assay of beta-2 protein,,,17,,TotalUnits,,,,0.76,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100182239,CPT,"Bile acids, total",,,17,,TotalUnits,,,,0.8,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100182240,CPT,"Bile acids, cholylglycine",,,17,,TotalUnits,,,,1.24,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100182247,CPT,"Bilirubin, total",,,17,,TotalUnits,,,,0.23,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100182248,CPT,"Bilirubin, direct",,,17,,TotalUnits,,,,0.23,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100182252,CPT,Fecal bilirubin test,,,17,,TotalUnits,,,,0.21,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100182261,CPT,Assay of biotinidase,,,17,,TotalUnits,,,,0.79,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100182270,CPT,"Test for blood, feces",,,17,,TotalUnits,,,,0.15,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100182271,CPT,"Occult blood, feces, single",,,17,,NW,,,,,,$5.46 ,$0.00 ,1,1,1,0,1,1,2008100182272,CPT,Blood occult peroxidase,,,17,,NW,,,,,,$5.46 ,$0.00 ,1,1,1,0,1,1,2008100182274,CPT,"Assay test for blood, fecal",,,17,,TotalUnits,,,,0.6,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100182286,CPT,Assay of bradykinin,,,17,,TotalUnits,,,,0.32,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100182300,CPT,Assay of cadmium,,,17,,TotalUnits,,,,1.08,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100182306,CPT,Assay of vitamin D,,,17,,TotalUnits,,,,1.38,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100182307,CPT,Assay of vitamin D,,,17,,TotalUnits,,,,1.5,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100182308,CPT,Assay of calcitonin,,,17,,TotalUnits,,,,1.25,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100182310,CPT,Assay of calcium,,,17,,TotalUnits,,,,0.24,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100182330,CPT,Assay of calcium,,,17,,TotalUnits,,,,0.64,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100182331,CPT,Calcium infusion test,,,17,,TotalUnits,,,,0.24,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100182340,CPT,Assay of calcium in urine,,,17,,TotalUnits,,,,0.28,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100182355,CPT,"Calculus analysis, qual",,,17,,TotalUnits,,,,0.54,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100182360,CPT,"Calculus assay, quant",,,17,,TotalUnits,,,,0.6,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100182365,CPT,Calculus spectroscopy,,,17,,TotalUnits,,,,0.6,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100182370,CPT,"X-ray assay, calculus",,,17,,TotalUnits,,,,0.58,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100182373,CPT,"Assay, c-d transfer measure",,,17,,TotalUnits,,,,0.84,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100182374,CPT,"Assay, blood carbon dioxide",,,17,,TotalUnits,,,,0.23,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100182375,CPT,"Assay, blood carbon monoxide",,,17,,TotalUnits,,,,0.58,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100182376,CPT,Test for carbon monoxide,,,17,,TotalUnits,,,,0.28,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100182378,CPT,Carcinoembryonic antigen,,,17,,TotalUnits,,,,0.89,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100182379,CPT,Assay of carnitine,,,17,,TotalUnits,,,,0.79,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100182380,CPT,Assay of carotene,,,17,,TotalUnits,,,,0.43,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100182382,CPT,"Assay, urine catecholamines",,,17,,TotalUnits,,,,0.8,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100182383,CPT,"Assay, blood catecholamines",,,17,,TotalUnits,,,,1.17,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100182384,CPT,"Assay, three catecholamines",,,17,,TotalUnits,,,,1.18,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100182387,CPT,Assay of cathepsin-d,,,17,,TotalUnits,,,,0.97,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100182390,CPT,Assay of ceruloplasmin,,,17,,TotalUnits,,,,0.5,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100182397,CPT,Chemiluminescent assay,,,17,,TotalUnits,,,,0.66,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100182415,CPT,Assay of chloramphenicol,,,17,,TotalUnits,,,,0.59,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100182435,CPT,Assay of blood chloride,,,17,,TotalUnits,,,,0.21,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100182436,CPT,Assay of urine chloride,,,17,,TotalUnits,,,,0.23,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100182438,CPT,"Assay, other fluid chlorides",,,17,,TotalUnits,,,,0.23,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100182441,CPT,Test for chlorohydrocarbons,,,17,,TotalUnits,,,,0.28,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100182465,CPT,"Assay, bld/serum cholesterol",,,17,,TotalUnits,,,,0.2,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100182480,CPT,"Assay, serum cholinesterase",,,17,,TotalUnits,,,,0.37,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100182482,CPT,"Assay, rbc cholinesterase",,,17,,TotalUnits,,,,0.36,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100182485,CPT,"Assay, chondroitin sulfate",,,17,,TotalUnits,,,,0.96,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100182486,CPT,Gas/liquid chromatography,,,17,,TotalUnits,,,,0.84,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100182487,CPT,Paper chromatography,,,17,,TotalUnits,,,,0.74,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100182488,CPT,Paper chromatography,,,17,,TotalUnits,,,,1,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100182489,CPT,Thin layer chromatography,,,17,,TotalUnits,,,,0.86,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100182491,CPT,"Chromotography, quant, sing",,,17,,TotalUnits,,,,0.84,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100182492,CPT,"Chromotography, quant, mult",,,17,,TotalUnits,,,,0.84,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100182495,CPT,Assay of chromium,,,17,,TotalUnits,,,,0.95,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100182507,CPT,Assay of citrate,,,17,,TotalUnits,,,,1.3,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100182520,CPT,Assay of cocaine,,,17,,TotalUnits,,,,0.71,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100182523,CPT,Collagen crosslinks,,,17,,TotalUnits,,,,0.87,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100182525,CPT,Assay of copper,,,17,,TotalUnits,,,,0.58,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100182528,CPT,Assay of corticosterone,,,17,,TotalUnits,,,,1.05,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100182530,CPT,"Cortisol, free",,,17,,TotalUnits,,,,0.78,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100182533,CPT,Total cortisol,,,17,,TotalUnits,,,,0.76,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100182540,CPT,Assay of creatine,,,17,,TotalUnits,,,,0.22,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100182541,CPT,"Column chromotography, qual",,,17,,TotalUnits,,,,0.84,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100182542,CPT,"Column chromotography, quant",,,17,,TotalUnits,,,,0.84,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100182543,CPT,Column chromotograph/isotope,,,17,,TotalUnits,,,,0.84,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100182544,CPT,Column chromotograph/isotope,,,17,,TotalUnits,,,,0.84,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100182550,CPT,Assay of ck (cpk),,,17,,TotalUnits,,,,0.3,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100182552,CPT,Assay of cpk in blood,,,17,,TotalUnits,,,,0.63,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100182553,CPT,"Creatine, MB fraction",,,17,,TotalUnits,,,,0.54,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100182554,CPT,"Creatine, isoforms",,,17,,TotalUnits,,,,0.55,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100182565,CPT,Assay of creatinine,,,17,,TotalUnits,,,,0.24,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100182570,CPT,Assay of urine creatinine,,,17,,TotalUnits,,,,0.24,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100182575,CPT,Creatinine clearance test,,,17,,TotalUnits,,,,0.44,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100182585,CPT,Assay of cryofibrinogen,,,17,,TotalUnits,,,,0.4,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100182595,CPT,Assay of cryoglobulin,,,17,,TotalUnits,,,,0.3,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100182600,CPT,Assay of cyanide,,,17,,TotalUnits,,,,0.91,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100182607,CPT,Vitamin B-12,,,17,,TotalUnits,,,,0.7,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100182608,CPT,B-12 binding capacity,,,17,,TotalUnits,,,,0.67,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100182615,CPT,Test for urine cystines,,,17,,TotalUnits,,,,0.38,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100182626,CPT,Dehydroepiandrosterone,,,17,,TotalUnits,,,,1.18,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100182627,CPT,Dehydroepiandrosterone,,,17,,TotalUnits,,,,1.04,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100182633,CPT,Desoxycorticosterone,,,17,,TotalUnits,,,,1.45,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100182634,CPT,Deoxycortisol,,,17,,TotalUnits,,,,1.37,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100182638,CPT,Assay of dibucaine number,,,17,,TotalUnits,,,,0.57,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100182646,CPT,Assay of dihydrocodeinone,,,17,,TotalUnits,,,,0.96,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100182649,CPT,Assay of dihydromorphinone,,,17,,TotalUnits,,,,1.2,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100182651,CPT,Assay of dihydrotestosterone,,,17,,TotalUnits,,,,1.2,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100182652,CPT,Assay of dihydroxyvitamin d,,,17,,TotalUnits,,,,1.8,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100182654,CPT,Assay of dimethadione,,,17,,TotalUnits,,,,0.65,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100182656,CPT,"Pancreatic elastase, fecal",,,17,,TotalUnits,,,,0.54,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100182657,CPT,Enzyme cell activity,,,17,,TotalUnits,,,,0.84,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100182658,CPT,"Enzyme cell activity, ra",,,17,,TotalUnits,,,,0.84,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100182664,CPT,Electrophoretic test,,,17,,TotalUnits,,,,1.6,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100182666,CPT,Assay of epiandrosterone,,,17,,TotalUnits,,,,1,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100182668,CPT,Assay of erythropoietin,,,17,,TotalUnits,,,,0.88,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100182670,CPT,Assay of estradiol,,,17,,TotalUnits,,,,1.3,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100182671,CPT,Assay of estrogens,,,17,,TotalUnits,,,,1.51,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100182672,CPT,Assay of estrogen,,,17,,TotalUnits,,,,1.01,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100182677,CPT,Assay of estriol,,,17,,TotalUnits,,,,1.13,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100182679,CPT,Assay of estrone,,,17,,TotalUnits,,,,1.17,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100182690,CPT,Assay of ethchlorvynol,,,17,,TotalUnits,,,,0.81,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100182693,CPT,Assay of ethylene glycol,,,17,,TotalUnits,,,,0.7,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100182696,CPT,Assay of etiocholanolone,,,17,,TotalUnits,,,,1.1,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100182705,CPT,"Fats/lipids, feces, qual",,,17,,TotalUnits,,,,0.24,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100182710,CPT,"Fats/lipids, feces, quant",,,17,,TotalUnits,,,,0.78,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100182715,CPT,Assay of fecal fat,,,17,,TotalUnits,,,,0.8,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100182725,CPT,Assay of blood fatty acids,,,17,,TotalUnits,,,,0.62,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100182726,CPT,Long chain fatty acids,,,17,,TotalUnits,,,,0.84,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100182728,CPT,Assay of ferritin,,,17,,TotalUnits,,,,0.64,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100182731,CPT,Assay of fetal fibronectin,,,17,,TotalUnits,,,,3.01,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100182735,CPT,Assay of fluoride,,,17,,TotalUnits,,,,0.87,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100182742,CPT,Assay of flurazepam,,,17,,TotalUnits,,,,0.92,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100182746,CPT,Blood folic acid serum,,,17,,TotalUnits,,,,0.69,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100182747,CPT,"Assay of folic acid, rbc",,,17,,TotalUnits,,,,0.81,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100182757,CPT,Assay of semen fructose,,,17,,TotalUnits,,,,0.81,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100182759,CPT,Assay of rbc galactokinase,,,17,,TotalUnits,,,,1,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100182760,CPT,Assay of galactose,,,17,,TotalUnits,,,,0.52,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100182775,CPT,Assay galactose transferase,,,17,,TotalUnits,,,,0.98,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100182776,CPT,Galactose transferase test,,,17,,TotalUnits,,,,0.39,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100182784,CPT,Assay of gammaglobulin igm,,,17,,TotalUnits,,,,0.43,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100182785,CPT,Assay of gammaglobulin ige,,,17,,TotalUnits,,,,0.77,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100182787,CPT,"Igg 1, 2, 3 or 4, each",,,17,,TotalUnits,,,,0.37,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100182800,CPT,Blood pH,,,17,,TotalUnits,,,,0.4,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100182803,CPT,"Blood gases: pH, pO2 & pCO2",,,17,,TotalUnits,,,,0.9,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100182805,CPT,Blood gases W/02 saturation,,,17,,TotalUnits,,,,1.32,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100182810,CPT,"Blood gases, O2 sat only",,,17,,TotalUnits,,,,0.41,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100182820,CPT,Hemoglobin-oxygen affinity,,,17,,TotalUnits,,,,0.47,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100182926,CPT,Assay of gastric acid,,,17,,TotalUnits,,,,0.25,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100182928,CPT,Assay of gastric acid,,,17,,TotalUnits,,,,0.31,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100182938,CPT,Gastrin test,,,17,,TotalUnits,,,,0.83,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100182941,CPT,Assay of gastrin,,,17,,TotalUnits,,,,0.82,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100182943,CPT,Assay of glucagon,,,17,,TotalUnits,,,,0.67,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100182945,CPT,Glucose other fluid,,,17,,TotalUnits,,,,0.18,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100182946,CPT,Glucagon tolerance test,,,17,,TotalUnits,,,,0.7,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100182947,CPT,"Assay, glucose, blood quant",,,17,,TotalUnits,,,,0.18,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100182948,CPT,Reagent strip/blood glucose,,,17,,TotalUnits,,,,0.15,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100182950,CPT,Glucose test,,,17,,TotalUnits,,,,0.22,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100182951,CPT,Glucose tolerance test (GTT),,,17,,TotalUnits,,,,0.6,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100182952,CPT,GTT-added samples,,,17,,TotalUnits,,,,0.18,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100182953,CPT,Glucose-tolbutamide test,,,17,,TotalUnits,,,,0.71,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100182955,CPT,Assay of g6pd enzyme,,,17,,TotalUnits,,,,0.45,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100182960,CPT,Test for G6PD enzyme,,,17,,TotalUnits,,,,0.28,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100182962,CPT,Glucose blood test,,,17,,TotalUnits,,,,0.11,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100182963,CPT,Assay of glucosidase,,,17,,TotalUnits,,,,1,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100182965,CPT,Assay of gdh enzyme,,,17,,TotalUnits,,,,0.36,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100182975,CPT,Assay of glutamine,,,17,,TotalUnits,,,,0.74,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100182977,CPT,Assay of GGT,,,17,,TotalUnits,,,,0.34,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100182978,CPT,Assay of glutathione,,,17,,TotalUnits,,,,0.67,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100182979,CPT,"Assay, rbc glutathione",,,17,,TotalUnits,,,,0.32,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100182980,CPT,Assay of glutethimide,,,17,,TotalUnits,,,,0.86,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100182985,CPT,Glycated protein,,,17,,TotalUnits,,,,0.7,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100183001,CPT,Gonadotropin (FSH),,,17,,TotalUnits,,,,0.87,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100183002,CPT,Gonadotropin (LH),,,17,,TotalUnits,,,,0.86,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100183003,CPT,"Assay, growth hormone (hgh)",,,17,,TotalUnits,,,,0.78,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100183008,CPT,Assay of guanosine,,,17,,TotalUnits,,,,0.78,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100183009,CPT,"H pylori (c-13), blood",,,17,,TotalUnits,,,,3.14,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100183010,CPT,"Assay of haptoglobin, quant",,,17,,TotalUnits,,,,0.59,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100183012,CPT,Assay of haptoglobins,,,17,,TotalUnits,,,,0.8,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100183013,CPT,H pylori analysis,,,17,,TotalUnits,,,,3.14,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100183014,CPT,H pylori drug admin/collect,,,17,,TotalUnits,,,,0.37,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100183015,CPT,Heavy metal screen,,,17,,TotalUnits,,,,0.88,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100183018,CPT,"Quantitative screen, metals",,,17,,TotalUnits,,,,1.02,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100183020,CPT,Hemoglobin electrophoresis,26,,17,,RBRVS,0.37,0.12,0.12,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100183020,CPT,Hemoglobin electrophoresis,TC,,17,,TotalUnits,,,,0.6,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100183020,CPT,Hemoglobin electrophoresis,,,17,,NW,,,,,,$36.46 ,$0.00 ,1,0,0,0,0,1,2008100183021,CPT,Hemoglobin chromotography,,,17,,TotalUnits,,,,0.84,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100183026,CPT,"Hemoglobin, copper sulfate",,,17,,TotalUnits,,,,0.11,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100183030,CPT,"Fetal hemoglobin, chemical",,,17,,TotalUnits,,,,0.39,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100183033,CPT,"Fetal hemoglobin assay, qual",,,17,,TotalUnits,,,,0.28,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100183036,CPT,Glycated hemoglobin test,,,17,,TotalUnits,,,,0.45,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100183037,CPT,"Glycosylated hb, home device",,,17,,TotalUnits,,,,0.45,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100183045,CPT,Blood methemoglobin test,,,17,,TotalUnits,,,,0.23,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100183050,CPT,Blood methemoglobin assay,,,17,,TotalUnits,,,,0.34,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100183051,CPT,Assay of plasma hemoglobin,,,17,,TotalUnits,,,,0.34,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100183055,CPT,Blood sulfhemoglobin test,,,17,,TotalUnits,,,,0.23,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100183060,CPT,Blood sulfhemoglobin assay,,,17,,TotalUnits,,,,0.39,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100183065,CPT,Assay of hemoglobin heat,,,17,,TotalUnits,,,,0.32,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100183068,CPT,Hemoglobin stability screen,,,17,,TotalUnits,,,,0.4,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100183069,CPT,Assay of urine hemoglobin,,,17,,TotalUnits,,,,0.18,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100183070,CPT,"Assay of hemosiderin, qual",,,17,,TotalUnits,,,,0.22,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100183071,CPT,"Assay of hemosiderin, quant",,,17,,TotalUnits,,,,0.32,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100183080,CPT,Assay of b hexosaminidase,,,17,,TotalUnits,,,,0.79,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100183088,CPT,Assay of histamine,,,17,,TotalUnits,,,,1.38,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100183090,CPT,Assay of homocystine,,,17,,TotalUnits,,,,0.79,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100183150,CPT,Assay of for hva,,,17,,TotalUnits,,,,0.9,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100183491,CPT,Assay of corticosteroids,,,17,,TotalUnits,,,,0.82,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100183497,CPT,Assay of 5-hiaa,,,17,,TotalUnits,,,,0.6,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100183498,CPT,Assay of progesterone,,,17,,TotalUnits,,,,1.27,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100183499,CPT,Assay of progesterone,,,17,,TotalUnits,,,,1.18,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100183500,CPT,"Assay, free hydroxyproline",,,17,,TotalUnits,,,,1.06,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100183505,CPT,"Assay, total hydroxyproline",,,17,,TotalUnits,,,,1.13,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100183516,CPT,"Immunoassay, nonantibody",,,17,,TotalUnits,,,,0.54,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100183518,CPT,"Immunoassay, dipstick",,,17,,TotalUnits,,,,0.4,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100183519,CPT,"Immunoassay, nonantibody",,,17,,TotalUnits,,,,0.63,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100183520,CPT,"Immunoassay, RIA",,,17,,TotalUnits,,,,0.6,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100183525,CPT,Assay of insulin,,,17,,TotalUnits,,,,0.53,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100183527,CPT,Assay of insulin,,,17,,TotalUnits,,,,0.6,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100183528,CPT,Assay of intrinsic factor,,,17,,TotalUnits,,,,0.74,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100183540,CPT,Assay of iron,,,17,,TotalUnits,,,,0.3,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100183550,CPT,Iron binding test,,,17,,TotalUnits,,,,0.41,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100183570,CPT,Assay of idh enzyme,,,17,,TotalUnits,,,,0.41,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100183582,CPT,Assay of ketogenic steroids,,,17,,TotalUnits,,,,0.66,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100183586,CPT,Assay 17- ketosteroids,,,17,,TotalUnits,,,,0.6,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100183593,CPT,"Fractionation, ketosteroids",,,17,,TotalUnits,,,,1.23,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100183605,CPT,Assay of lactic acid,,,17,,TotalUnits,,,,0.5,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100183615,CPT,Lactate (LD) (LDH) enzyme,,,17,,TotalUnits,,,,0.28,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100183625,CPT,Assay of ldh enzymes,,,17,,TotalUnits,,,,0.6,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100183630,CPT,"Lactoferrin, fecal (qual)",,,17,,TotalUnits,,,,0.54,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100183631,CPT,"Lactoferrin, fecal (quant)",,,17,,NW,,,,,,$32.95 ,$0.00 ,1,1,1,0,1,1,2008100183632,CPT,Placental lactogen,,,17,,TotalUnits,,,,0.94,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100183633,CPT,Test urine for lactose,,,17,,TotalUnits,,,,0.26,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100183634,CPT,Assay of urine for lactose,,,17,,TotalUnits,,,,0.54,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100183655,CPT,Assay of lead,,,17,,TotalUnits,,,,0.56,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100183661,CPT,"L/s ratio, fetal lung",,,17,,TotalUnits,,,,1.03,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100183662,CPT,"Foam stability, fetal lung",,,17,,TotalUnits,,,,0.88,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100183663,CPT,"Fluoro polarize, fetal lung",,,17,,TotalUnits,,,,0.88,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100183664,CPT,"Lamellar bdy, fetal lung",,,17,,TotalUnits,,,,0.88,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100183670,CPT,Assay of lap enzyme,,,17,,TotalUnits,,,,0.43,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100183690,CPT,Assay of lipase,,,17,,TotalUnits,,,,0.32,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100183695,CPT,Assay of lipoprotein(a),,,17,,NW,,,,,,$21.74 ,$0.00 ,1,1,1,0,1,1,2008100183698,CPT,Assay lipoprotein pla2,,,17,,NW,,,,,,$48.30 ,$0.00 ,1,1,1,0,1,1,2008100183700,CPT,"Lipopro bld, electrophoretic",,,17,,NW,,,,,,$18.91 ,$0.00 ,1,1,1,0,1,1,2008100183701,CPT,"Lipoprotein bld, hr fraction",,,17,,NW,,,,,,$41.67 ,$0.00 ,1,1,1,0,1,1,2008100183704,CPT,"Lipoprotein, bld, by nmr",,,17,,NW,,,,,,$52.97 ,$0.00 ,1,1,1,0,1,1,2008100183718,CPT,Assay of lipoprotein,,,17,,TotalUnits,,,,0.38,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100183719,CPT,Assay of blood lipoprotein,,,17,,TotalUnits,,,,0.54,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100183721,CPT,Assay of blood lipoprotein,,,17,,TotalUnits,,,,0.45,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100183727,CPT,Assay of lrh hormone,,,17,,TotalUnits,,,,0.8,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100183735,CPT,Assay of magnesium,,,17,,TotalUnits,,,,0.31,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100183775,CPT,Assay of md enzyme,,,17,,TotalUnits,,,,0.34,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100183785,CPT,Assay of manganese,,,17,,TotalUnits,,,,1.15,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100183788,CPT,Mass spectrometry qual,,,17,,TotalUnits,,,,0.84,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100183789,CPT,Mass spectrometry quant,,,17,,TotalUnits,,,,0.84,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100183805,CPT,Assay of meprobamate,,,17,,TotalUnits,,,,0.82,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100183825,CPT,Assay of mercury,,,17,,TotalUnits,,,,0.76,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100183835,CPT,Assay of metanephrines,,,17,,TotalUnits,,,,0.79,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100183840,CPT,Assay of methadone,,,17,,TotalUnits,,,,0.76,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100183857,CPT,Assay of methemalbumin,,,17,,TotalUnits,,,,0.5,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100183858,CPT,Assay of methsuximide,,,17,,TotalUnits,,,,0.69,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100183864,CPT,Mucopolysaccharides,,,17,,TotalUnits,,,,0.93,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100183866,CPT,Mucopolysaccharides screen,,,17,,TotalUnits,,,,0.46,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100183872,CPT,Assay synovial fluid mucin,,,17,,TotalUnits,,,,0.27,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100183873,CPT,Assay of csf protein,,,17,,TotalUnits,,,,0.8,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100183874,CPT,Assay of myoglobin,,,17,,TotalUnits,,,,0.6,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100183880,CPT,Natriuretic peptide,,,17,,TotalUnits,,,,1.58,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100183883,CPT,"Assay, nephelometry not spec",,,17,,TotalUnits,,,,0.63,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100183885,CPT,Assay of nickel,,,17,,TotalUnits,,,,1.14,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100183887,CPT,Assay of nicotine,,,17,,TotalUnits,,,,1.11,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100183890,CPT,Molecule isolate,,,17,,TotalUnits,,,,0.19,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100183891,CPT,Molecule isolate nucleic,,,17,,TotalUnits,,,,0.19,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100183892,CPT,Molecular diagnostics,,,17,,TotalUnits,,,,0.19,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100183893,CPT,Molecule dot/slot/blot,,,17,,TotalUnits,,,,0.19,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100183894,CPT,Molecule gel electrophor,,,17,,TotalUnits,,,,0.19,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100183896,CPT,Molecular diagnostics,,,17,,TotalUnits,,,,0.19,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100183897,CPT,Molecule nucleic transfer,,,17,,TotalUnits,,,,0.19,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100183898,CPT,Molecule nucleic ampli,,,17,,TotalUnits,,,,0.78,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100183900,CPT,Molecule nucleic ampli 2 seq,,,17,,NW,,,,,,$56.28 ,$0.00 ,1,1,1,0,1,1,2008100183901,CPT,Molecule nucleic ampli,,,17,,TotalUnits,,,,0.78,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100183902,CPT,Molecular diagnostics,,,17,,TotalUnits,,,,0.66,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100183903,CPT,Molecule mutation scan,,,17,,TotalUnits,,,,0.78,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100183904,CPT,Molecule mutation identify,,,17,,TotalUnits,,,,0.78,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100183905,CPT,Molecule mutation identify,,,17,,TotalUnits,,,,0.78,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100183906,CPT,Molecule mutation identify,,,17,,TotalUnits,,,,0.78,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100183907,CPT,Lyse cells for nucleic ext,,,17,,NW,,,,,,$22.42 ,$0.00 ,1,1,1,0,1,1,2008100183908,CPT,"Nucleic acid, signal ampli",,,17,,NW,,,,,,$28.15 ,$0.00 ,1,1,1,0,1,1,2008100183909,CPT,"Nucleic acid, high resolute",,,17,,NW,,,,,,$28.15 ,$0.00 ,1,1,1,0,1,1,2008100183912,CPT,Genetic examination,26,,17,,RBRVS,0.37,0.11,0.11,,,$0.00 ,$0.00 ,1,0,1,1,1,0,2008100183912,CPT,Genetic examination,TC,,17,,TotalUnits,,,,0.19,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100183913,CPT,"Molecular, rna stabilization",,,17,,NW,,,,,,$19.00 ,$0.00 ,1,1,1,0,1,1,2008100183914,CPT,Mutation ident ola/sbce/aspe,,,17,,NW,,,,,,$28.15 ,$0.00 ,1,1,1,0,1,1,2008100183915,CPT,Assay of nucleotidase,,,17,,TotalUnits,,,,0.52,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100183916,CPT,Oligoclonal bands,,,17,,TotalUnits,,,,0.94,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100183918,CPT,"Organic acids, total, quant",,,17,,TotalUnits,,,,0.77,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100183919,CPT,"Organic acids, qual, each",,,17,,TotalUnits,,,,0.77,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100183921,CPT,"Organic acid,  single, quant",,,17,,TotalUnits,,,,0.77,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100183925,CPT,Assay of opiates,,,17,,TotalUnits,,,,0.91,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100183930,CPT,Assay of blood osmolality,,,17,,TotalUnits,,,,0.31,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100183935,CPT,Assay of urine osmolality,,,17,,TotalUnits,,,,0.32,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100183937,CPT,Assay of osteocalcin,,,17,,TotalUnits,,,,1.39,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100183945,CPT,Assay of oxalate,,,17,,TotalUnits,,,,0.6,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100183950,CPT,"Oncoprotein, her-2/neu",,,17,,TotalUnits,,,,3.01,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100183970,CPT,Assay of parathormone,,,17,,TotalUnits,,,,1.93,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100183986,CPT,Assay of body fluid acidity,,,17,,TotalUnits,,,,0.17,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100183992,CPT,Assay for phencyclidine,,,17,,TotalUnits,,,,0.69,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100184022,CPT,Assay of phenothiazine,,,17,,TotalUnits,,,,0.73,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100184030,CPT,Assay of blood pku,,,17,,TotalUnits,,,,0.26,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100184035,CPT,Assay of phenylketones,,,17,,TotalUnits,,,,0.17,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100184060,CPT,Assay acid phosphatase,,,17,,TotalUnits,,,,0.34,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100184061,CPT,"Phosphatase, forensic exam",,,17,,TotalUnits,,,,0.37,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100184066,CPT,Assay prostate phosphatase,,,17,,TotalUnits,,,,0.45,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100184075,CPT,Assay alkaline phosphatase,,,17,,TotalUnits,,,,0.24,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100184078,CPT,Assay alkaline phosphatase,,,17,,TotalUnits,,,,0.34,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100184080,CPT,Assay alkaline phosphatases,,,17,,TotalUnits,,,,0.69,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100184081,CPT,Amniotic fluid enzyme test,,,17,,TotalUnits,,,,0.77,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100184085,CPT,Assay of rbc pg6d enzyme,,,17,,TotalUnits,,,,0.31,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100184087,CPT,Assay phosphohexose enzymes,,,17,,TotalUnits,,,,0.48,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100184100,CPT,Assay of phosphorus,,,17,,TotalUnits,,,,0.22,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100184105,CPT,Assay of urine phosphorus,,,17,,TotalUnits,,,,0.24,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100184106,CPT,Test for porphobilinogen,,,17,,TotalUnits,,,,0.2,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100184110,CPT,Assay of porphobilinogen,,,17,,TotalUnits,,,,0.39,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100184119,CPT,Test urine for porphyrins,,,17,,TotalUnits,,,,0.4,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100184120,CPT,Assay of urine porphyrins,,,17,,TotalUnits,,,,0.69,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100184126,CPT,Assay of feces porphyrins,,,17,,TotalUnits,,,,1.19,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100184127,CPT,Assay of feces porphyrins,,,17,,TotalUnits,,,,0.54,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100184132,CPT,Assay of serum potassium,,,17,,TotalUnits,,,,0.21,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100184133,CPT,Assay of urine potassium,,,17,,TotalUnits,,,,0.2,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100184134,CPT,Assay of prealbumin,,,17,,TotalUnits,,,,0.68,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100184135,CPT,Assay of pregnanediol,,,17,,TotalUnits,,,,0.89,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100184138,CPT,Assay of pregnanetriol,,,17,,TotalUnits,,,,0.88,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100184140,CPT,Assay of pregnenolone,,,17,,TotalUnits,,,,0.97,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100184143,CPT,Assay of 17-hydroxypregneno,,,17,,TotalUnits,,,,1.07,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100184144,CPT,Assay of progesterone,,,17,,TotalUnits,,,,0.97,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100184146,CPT,Assay of prolactin,,,17,,TotalUnits,,,,0.9,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100184150,CPT,Assay of prostaglandin,,,17,,TotalUnits,,,,1.17,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100184152,CPT,"Assay of psa, complexed",,,17,,TotalUnits,,,,0.86,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100184153,CPT,"Assay of psa, total",,,17,,TotalUnits,,,,0.86,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100184154,CPT,"Assay of psa, free",,,17,,TotalUnits,,,,0.86,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100184155,CPT,Assay of protein,,,17,,TotalUnits,,,,0.17,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100184156,CPT,"Assay of protein, urine",,,17,,TotalUnits,,,,0.17,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100184157,CPT,"Assay of protein, other",,,17,,TotalUnits,,,,0.17,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100184160,CPT,Assay of serum protein,,,17,,TotalUnits,,,,0.24,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100184163,CPT,"Pappa, serum",,,17,,TotalUnits,,,,0.7,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100184165,CPT,Assay of serum proteins,26,,17,,RBRVS,0.37,0.12,0.12,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100184165,CPT,Assay of serum proteins,TC,,17,,TotalUnits,,,,0.5,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100184165,CPT,"Protein e-phoresis, serum",,,17,,NW,,,,,,$30.42 ,$0.00 ,1,0,0,0,0,1,2008100184166,CPT,Protein e-phoresis/urine/csf,26,,17,,RBRVS,0.37,0.12,0.12,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100184166,CPT,Protein e-phoresis/urine/csf,TC,,17,,TotalUnits,,,,0.81,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100184166,CPT,Protein e-phoresis/urine/csf,,,17,,NW,,,,,,$50.50 ,$0.00 ,1,0,0,0,0,1,2008100184181,CPT,Western blot test,26,,17,,RBRVS,0.37,0.12,0.12,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100184181,CPT,Western blot test,,,17,,TotalUnits,,,,0.8,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100184182,CPT,"Protein, western blot test",26,,17,,RBRVS,0.37,0.12,0.12,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100184182,CPT,"Protein, western blot test",,,17,,TotalUnits,,,,0.84,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100184202,CPT,Assay RBC protoporphyrin,,,17,,TotalUnits,,,,0.67,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100184203,CPT,Test RBC protoporphyrin,,,17,,TotalUnits,,,,0.4,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100184206,CPT,Assay of proinsulin,,,17,,TotalUnits,,,,0.83,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100184207,CPT,Assay of vitamin b-6,,,17,,TotalUnits,,,,1.31,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100184210,CPT,Assay of pyruvate,,,17,,TotalUnits,,,,0.51,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100184220,CPT,Assay of pyruvate kinase,,,17,,TotalUnits,,,,0.44,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100184228,CPT,Assay of quinine,,,17,,TotalUnits,,,,0.54,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100184233,CPT,Assay of estrogen,,,17,,TotalUnits,,,,3.01,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100184234,CPT,Assay of progesterone,,,17,,TotalUnits,,,,3.03,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100184235,CPT,Assay of endocrine hormone,,,17,,TotalUnits,,,,2.44,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100184238,CPT,"Assay, nonendocrine receptor",,,17,,TotalUnits,,,,1.71,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100184244,CPT,Assay of renin,,,17,,TotalUnits,,,,1.03,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100184252,CPT,Assay of vitamin b-2,,,17,,TotalUnits,,,,0.94,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100184255,CPT,Assay of selenium,,,17,,TotalUnits,,,,1.19,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100184260,CPT,Assay of serotonin,,,17,,TotalUnits,,,,1.45,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100184270,CPT,Assay of sex hormone globul,,,17,,TotalUnits,,,,1.01,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100184275,CPT,Assay of sialic acid,,,17,,TotalUnits,,,,0.63,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100184285,CPT,Assay of silica,,,17,,TotalUnits,,,,1.1,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100184295,CPT,Assay of serum sodium,,,17,,TotalUnits,,,,0.22,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100184300,CPT,Assay of urine sodium,,,17,,TotalUnits,,,,0.23,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100184302,CPT,Assay of sweat sodium,,,17,,TotalUnits,,,,0.23,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100184305,CPT,Assay of somatomedin,,,17,,TotalUnits,,,,0.99,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100184307,CPT,Assay of somatostatin,,,17,,TotalUnits,,,,0.85,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100184311,CPT,Spectrophotometry,,,17,,TotalUnits,,,,0.33,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100184315,CPT,Body fluid specific gravity,,,17,,TotalUnits,,,,0.12,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100184375,CPT,"Chromatogram assay, sugars",,,17,,TotalUnits,,,,0.91,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100184376,CPT,"Sugars, single, qual",,,17,,TotalUnits,,,,0.26,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100184377,CPT,"Sugars, multiple, qual",,,17,,TotalUnits,,,,0.26,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100184378,CPT,Sugars single quant,,,17,,TotalUnits,,,,0.54,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100184379,CPT,Sugars multiple quant,,,17,,TotalUnits,,,,0.54,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100184392,CPT,Assay of urine sulfate,,,17,,TotalUnits,,,,0.22,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100184402,CPT,Assay of testosterone,,,17,,TotalUnits,,,,1.19,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100184403,CPT,Assay of total testosterone,,,17,,TotalUnits,,,,1.21,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100184425,CPT,Assay of vitamin b-1,,,17,,TotalUnits,,,,0.99,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100184430,CPT,Assay of thiocyanate,,,17,,TotalUnits,,,,0.54,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100184432,CPT,Assay of thyroglobulin,,,17,,TotalUnits,,,,0.75,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100184436,CPT,Assay of total thyroxine,,,17,,TotalUnits,,,,0.32,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100184437,CPT,Assay of neonatal thyroxine,,,17,,TotalUnits,,,,0.3,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100184439,CPT,Assay of free thyroxine,,,17,,TotalUnits,,,,0.42,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100184442,CPT,Assay of thyroid activity,,,17,,TotalUnits,,,,0.69,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100184443,CPT,Assay thyroid stim hormone,,,17,,TotalUnits,,,,0.78,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100184445,CPT,Assay of tsi,,,17,,TotalUnits,,,,2.37,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100184446,CPT,Assay of vitamin e,,,17,,TotalUnits,,,,0.66,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100184449,CPT,Assay of transcortin,,,17,,TotalUnits,,,,0.84,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100184450,CPT,Transferase (AST) (SGOT),,,17,,TotalUnits,,,,0.24,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100184460,CPT,Alanine amino (ALT) (SGPT),,,17,,TotalUnits,,,,0.25,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100184466,CPT,Assay of transferrin,,,17,,TotalUnits,,,,0.6,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100184478,CPT,Assay of triglycerides,,,17,,TotalUnits,,,,0.27,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100184479,CPT,Assay of thyroid (t3 or t4),,,17,,TotalUnits,,,,0.3,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100184480,CPT,"Assay, triiodothyronine (t3)",,,17,,TotalUnits,,,,0.66,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100184481,CPT,Free assay (FT-3),,,17,,TotalUnits,,,,0.79,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100184482,CPT,T3 reverse,,,17,,TotalUnits,,,,0.74,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100184484,CPT,"Assay of troponin, quant",,,17,,TotalUnits,,,,0.46,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100184485,CPT,Assay duodenal fluid trypsin,,,17,,TotalUnits,,,,0.35,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100184488,CPT,Test feces for trypsin,,,17,,TotalUnits,,,,0.34,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100184490,CPT,Assay of feces for trypsin,,,17,,TotalUnits,,,,0.36,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100184510,CPT,Assay of tyrosine,,,17,,TotalUnits,,,,0.49,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100184512,CPT,"Assay of troponin, qual",,,17,,TotalUnits,,,,0.36,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100184520,CPT,Assay of urea nitrogen,,,17,,TotalUnits,,,,0.18,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100184525,CPT,Urea nitrogen semi-quant,,,17,,TotalUnits,,,,0.18,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100184540,CPT,Assay of urine/urea-n,,,17,,TotalUnits,,,,0.22,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100184545,CPT,Urea-N clearance test,,,17,,TotalUnits,,,,0.31,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100184550,CPT,Assay of blood/uric acid,,,17,,TotalUnits,,,,0.21,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100184560,CPT,Assay of urine/uric acid,,,17,,TotalUnits,,,,0.22,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100184577,CPT,Assay of feces/urobilinogen,,,17,,TotalUnits,,,,0.58,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100184578,CPT,Test urine urobilinogen,,,17,,TotalUnits,,,,0.15,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100184580,CPT,Assay of urine urobilinogen,,,17,,TotalUnits,,,,0.33,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100184583,CPT,Assay of urine urobilinogen,,,17,,TotalUnits,,,,0.23,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100184585,CPT,Assay of urine vma,,,17,,TotalUnits,,,,0.72,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100184586,CPT,Assay of vip,,,17,,TotalUnits,,,,1.65,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100184588,CPT,Assay of vasopressin,,,17,,TotalUnits,,,,1.58,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100184590,CPT,Assay of vitamin a,,,17,,TotalUnits,,,,0.54,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100184591,CPT,Assay of nos vitamin,,,17,,TotalUnits,,,,0.54,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100184597,CPT,Assay of vitamin k,,,17,,TotalUnits,,,,0.64,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100184600,CPT,Assay of volatiles,,,17,,TotalUnits,,,,0.75,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100184620,CPT,Xylose tolerance test,,,17,,TotalUnits,,,,0.55,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100184630,CPT,Assay of zinc,,,17,,TotalUnits,,,,0.53,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100184681,CPT,Assay of c-peptide,,,17,,TotalUnits,,,,0.97,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100184702,CPT,Chorionic gonadotropin test,,,17,,TotalUnits,,,,0.7,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100184703,CPT,Chorionic gonadotropin assay,,,17,,TotalUnits,,,,0.35,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100184830,CPT,Ovulation tests,,,17,,TotalUnits,,,,0.47,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100184999,CPT,Clinical chemistry test,,,17,,TotalUnits,,,,0.24,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100185002,CPT,Bleeding time test,,,17,,TotalUnits,,,,0.21,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100185004,CPT,Automated diff wbc count,,,17,,TotalUnits,,,,0.3,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100185007,CPT,Bl smear w/diff wbc count,,,17,,TotalUnits,,,,0.16,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100185008,CPT,Bl smear w/o diff wbc count,,,17,,TotalUnits,,,,0.16,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100185009,CPT,Manual diff wbc count b-coat,,,17,,TotalUnits,,,,0.17,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100185013,CPT,Spun microhematocrit,,,17,,TotalUnits,,,,0.11,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100185014,CPT,Hematocrit,,,17,,TotalUnits,,,,0.11,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100185018,CPT,Hemoglobin,,,17,,TotalUnits,,,,0.11,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100185025,CPT,Complete cbc w/auto diff wbc,,,17,,TotalUnits,,,,0.36,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100185027,CPT,"Complete cbc, automated",,,17,,TotalUnits,,,,0.3,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100185032,CPT,"Manual cell count, each",,,17,,TotalUnits,,,,0.2,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100185041,CPT,Automated rbc count,,,17,,TotalUnits,,,,0.14,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100185044,CPT,Manual reticulocyte count,,,17,,TotalUnits,,,,0.2,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100185045,CPT,Automated reticulocyte count,,,17,,TotalUnits,,,,0.19,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100185046,CPT,Reticyte/hgb concentrate,,,17,,TotalUnits,,,,0.26,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100185048,CPT,Automated leukocyte count,,,17,,TotalUnits,,,,0.12,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100185049,CPT,Automated platelet count,,,17,,TotalUnits,,,,0.21,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100185055,CPT,Reticulated platelet assay,,,17,,TotalUnits,,,,1.25,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100185060,CPT,Blood smear interpretation,,,17,,RBRVS,0.45,0.14,0.14,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100185097,CPT,Bone marrow interpretation,,,17,,RBRVS,0.94,0.27,1.25,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100185130,CPT,Chromogenic substrate assay,,,17,,TotalUnits,,,,0.56,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100185170,CPT,Blood clot retraction,,,17,,TotalUnits,,,,0.17,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100185175,CPT,Blood clot lysis time,,,17,,TotalUnits,,,,0.21,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100185210,CPT,Blood clot factor II test,,,17,,TotalUnits,,,,0.61,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100185220,CPT,Blood clot factor V test,,,17,,TotalUnits,,,,0.82,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100185230,CPT,Blood clot factor VII test,,,17,,TotalUnits,,,,0.84,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100185240,CPT,Blood clot factor VIII test,,,17,,TotalUnits,,,,0.84,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100185244,CPT,Blood clot factor VIII test,,,17,,TotalUnits,,,,0.95,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100185245,CPT,Blood clot factor VIII test,,,17,,TotalUnits,,,,1.07,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100185246,CPT,Blood clot factor VIII test,,,17,,TotalUnits,,,,1.07,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100185247,CPT,Blood clot factor VIII test,,,17,,TotalUnits,,,,1.07,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100185250,CPT,Blood clot factor IX test,,,17,,TotalUnits,,,,0.89,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100185260,CPT,Blood clot factor X test,,,17,,TotalUnits,,,,0.84,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100185270,CPT,Blood clot factor XI test,,,17,,TotalUnits,,,,0.84,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100185280,CPT,Blood clot factor XII test,,,17,,TotalUnits,,,,0.9,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100185290,CPT,Blood clot factor XIII test,,,17,,TotalUnits,,,,0.76,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100185291,CPT,Blood clot factor XIII test,,,17,,TotalUnits,,,,0.41,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100185292,CPT,Blood clot factor assay,,,17,,TotalUnits,,,,0.88,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100185293,CPT,Blood clot factor assay,,,17,,TotalUnits,,,,0.88,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100185300,CPT,Antithrombin III test,,,17,,TotalUnits,,,,0.55,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100185301,CPT,Antithrombin III test,,,17,,TotalUnits,,,,0.5,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100185302,CPT,Blood clot inhibitor antigen,,,17,,TotalUnits,,,,0.56,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100185303,CPT,Blood clot inhibitor test,,,17,,TotalUnits,,,,0.65,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100185305,CPT,Blood clot inhibitor assay,,,17,,TotalUnits,,,,0.54,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100185306,CPT,Blood clot inhibitor test,,,17,,TotalUnits,,,,0.72,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100185307,CPT,Assay activated protein c,,,17,,TotalUnits,,,,0.72,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100185335,CPT,Factor inhibitor test,,,17,,TotalUnits,,,,0.6,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100185337,CPT,Thrombomodulin,,,17,,TotalUnits,,,,0.49,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100185345,CPT,Coagulation time,,,17,,TotalUnits,,,,0.2,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100185347,CPT,Coagulation time,,,17,,TotalUnits,,,,0.2,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100185348,CPT,Coagulation time,,,17,,TotalUnits,,,,0.17,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100185360,CPT,Euglobulin lysis,,,17,,TotalUnits,,,,0.39,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100185362,CPT,Fibrin degradation products,,,17,,TotalUnits,,,,0.32,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100185366,CPT,Fibrinogen test,,,17,,TotalUnits,,,,0.4,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100185370,CPT,Fibrinogen test,,,17,,TotalUnits,,,,0.53,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100185378,CPT,"Fibrin degrade, semiquant",,,17,,TotalUnits,,,,0.33,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100185379,CPT,"Fibrin degradation, quant",,,17,,TotalUnits,,,,0.48,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100185380,CPT,"Fibrin degradation, vte",,,17,,TotalUnits,,,,0.48,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100185384,CPT,Fibrinogen,,,17,,TotalUnits,,,,0.4,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100185385,CPT,Fibrinogen,,,17,,TotalUnits,,,,0.4,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100185390,CPT,Fibrinolysins screen,26,,17,,RBRVS,0.37,0.13,0.13,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100185390,CPT,Fibrinolysins screen,,,17,,TotalUnits,,,,0.24,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100185396,CPT,"Clotting assay, whole blood",,,17,,RBRVS,0.37,0.1,0.1,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100185400,CPT,Fibrinolytic plasmin,,,17,,TotalUnits,,,,0.41,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100185410,CPT,Fibrinolytic antiplasmin,,,17,,TotalUnits,,,,0.36,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100185415,CPT,Fibrinolytic plasminogen,,,17,,TotalUnits,,,,0.8,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100185420,CPT,Fibrinolytic plasminogen,,,17,,TotalUnits,,,,0.3,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100185421,CPT,Fibrinolytic plasminogen,,,17,,TotalUnits,,,,0.48,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100185441,CPT,"Heinz bodies, direct",,,17,,TotalUnits,,,,0.2,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100185445,CPT,"Heinz bodies, induced",,,17,,TotalUnits,,,,0.32,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100185460,CPT,"Hemoglobin, fetal",,,17,,TotalUnits,,,,0.36,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100185461,CPT,"Hemoglobin, fetal",,,17,,TotalUnits,,,,0.31,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100185475,CPT,Hemolysin,,,17,,TotalUnits,,,,0.41,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100185520,CPT,Heparin assay,,,17,,TotalUnits,,,,0.61,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100185525,CPT,Heparin neutralization,,,17,,TotalUnits,,,,0.55,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100185530,CPT,Heparin-protamine tolerance,,,17,,TotalUnits,,,,0.66,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100185536,CPT,Iron stain peripheral blood,,,17,,TotalUnits,,,,0.3,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100185540,CPT,Wbc alkaline phosphatase,,,17,,TotalUnits,,,,0.4,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100185547,CPT,RBC mechanical fragility,,,17,,TotalUnits,,,,0.4,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100185549,CPT,Muramidase,,,17,,TotalUnits,,,,0.88,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100185555,CPT,RBC osmotic fragility,,,17,,TotalUnits,,,,0.31,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100185557,CPT,RBC osmotic fragility,,,17,,TotalUnits,,,,0.62,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100185576,CPT,Blood platelet aggregation,26,,17,,RBRVS,0.37,0.12,0.12,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100185576,CPT,Blood platelet aggregation,TC,,17,,TotalUnits,,,,1,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100185576,CPT,Blood platelet aggregation,,,17,,NW,,,,,,$60.84 ,$0.00 ,1,0,0,0,0,1,2008100185597,CPT,Platelet neutralization,,,17,,TotalUnits,,,,0.84,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100185610,CPT,Prothrombin time,,,17,,TotalUnits,,,,0.18,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100185611,CPT,Prothrombin test,,,17,,TotalUnits,,,,0.18,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100185612,CPT,Viper venom prothrombin time,,,17,,TotalUnits,,,,0.45,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100185613,CPT,"Russell viper venom, diluted",,,17,,TotalUnits,,,,0.45,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100185635,CPT,Reptilase test,,,17,,TotalUnits,,,,0.46,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100185651,CPT,"Rbc sed rate, nonautomated",,,17,,TotalUnits,,,,0.17,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100185652,CPT,"Rbc sed rate, automated",,,17,,TotalUnits,,,,0.13,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100185660,CPT,RBC sickle cell test,,,17,,TotalUnits,,,,0.26,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100185670,CPT,"Thrombin time, plasma",,,17,,TotalUnits,,,,0.27,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100185675,CPT,"Thrombin time, titer",,,17,,TotalUnits,,,,0.32,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100185705,CPT,Thromboplastin inhibition,,,17,,TotalUnits,,,,0.45,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100185730,CPT,"Thromboplastin time, partial",,,17,,TotalUnits,,,,0.28,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100185732,CPT,"Thromboplastin time, partial",,,17,,TotalUnits,,,,0.3,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100185810,CPT,Blood viscosity examination,,,17,,TotalUnits,,,,0.55,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100185999,CPT,Hematology procedure,,,17,,TotalUnits,,,,0.3,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100186000,CPT,"Agglutinins, febrile",,,17,,TotalUnits,,,,0.33,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100186001,CPT,Allergen specific igg,,,17,,TotalUnits,,,,0.24,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100186003,CPT,Allergen specific IgE,,,17,,TotalUnits,,,,0.24,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100186005,CPT,Allergen specific IgE,,,17,,TotalUnits,,,,0.37,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100186021,CPT,WBC antibody identification,,,17,,TotalUnits,,,,0.7,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100186022,CPT,Platelet antibodies,,,17,,TotalUnits,,,,0.86,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100186023,CPT,Immunoglobulin assay,,,17,,TotalUnits,,,,0.58,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100186038,CPT,Antinuclear antibodies,,,17,,TotalUnits,,,,0.56,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100186039,CPT,Antinuclear antibodies (ANA),,,17,,TotalUnits,,,,0.52,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100186060,CPT,"Antistreptolysin o, titer",,,17,,TotalUnits,,,,0.34,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100186063,CPT,"Antistreptolysin o, screen",,,17,,TotalUnits,,,,0.27,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100186077,CPT,Physician blood bank service,,,17,,RBRVS,0.94,0.3,0.38,,,$0.00 ,$0.00 ,1,0,1,0,1,1,2008100186078,CPT,Physician blood bank service,,,17,,RBRVS,0.94,0.3,0.38,,,$0.00 ,$0.00 ,1,0,1,0,1,1,2008100186079,CPT,Physician blood bank service,,,17,,RBRVS,0.94,0.3,0.39,,,$0.00 ,$0.00 ,1,0,1,0,1,1,2008100186140,CPT,C-reactive protein,,,17,,TotalUnits,,,,0.24,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100186141,CPT,"C-reactive protein, hs",,,17,,TotalUnits,,,,0.6,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100186146,CPT,Glycoprotein antibody,,,17,,TotalUnits,,,,1.19,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100186147,CPT,Cardiolipin antibody,,,17,,TotalUnits,,,,1.19,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100186148,CPT,Phospholipid antibody,,,17,,TotalUnits,,,,0.75,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100186155,CPT,Chemotaxis assay,,,17,,TotalUnits,,,,0.75,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100186156,CPT,"Cold agglutinin, screen",,,17,,TotalUnits,,,,0.31,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100186157,CPT,"Cold agglutinin, titer",,,17,,TotalUnits,,,,0.38,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100186160,CPT,"Complement, antigen",,,17,,TotalUnits,,,,0.56,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100186161,CPT,Complement/function activity,,,17,,TotalUnits,,,,0.56,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100186162,CPT,"Complement, total (CH50)",,,17,,TotalUnits,,,,0.95,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100186171,CPT,"Complement fixation, each",,,17,,TotalUnits,,,,0.47,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100186185,CPT,Counterimmunoelectrophoresis,,,17,,TotalUnits,,,,0.42,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100186200,CPT,Ccp antibody,,,17,,NW,,,,,,$21.74 ,$0.00 ,1,1,1,0,1,1,2008100186215,CPT,"Deoxyribonuclease, antibody",,,17,,TotalUnits,,,,0.62,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100186225,CPT,DNA antibody,,,17,,TotalUnits,,,,0.64,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100186226,CPT,"DNA antibody, single strand",,,17,,TotalUnits,,,,0.57,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100186235,CPT,Nuclear antigen antibody,,,17,,TotalUnits,,,,0.84,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100186243,CPT,Fc receptor,,,17,,TotalUnits,,,,0.96,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100186255,CPT,"Fluorescent antibody, screen",26,,17,,RBRVS,0.37,0.12,0.12,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100186255,CPT,"Fluorescent antibody, screen",,,17,,TotalUnits,,,,0.56,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100186256,CPT,"Fluorescent antibody, titer",26,,17,,RBRVS,0.37,0.12,0.12,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100186256,CPT,"Fluorescent antibody, titer",,,17,,TotalUnits,,,,0.56,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100186277,CPT,Growth hormone antibody,,,17,,TotalUnits,,,,0.73,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100186280,CPT,Hemagglutination inhibition,,,17,,TotalUnits,,,,0.38,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100186294,CPT,"Immunoassay, tumor qual",,,17,,TotalUnits,,,,0.92,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100186300,CPT,"Immunoassay, tumor ca 15-3",,,17,,TotalUnits,,,,0.97,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100186301,CPT,"Immunoassay, tumor ca 19-9",,,17,,TotalUnits,,,,0.97,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100186304,CPT,"Immunoassay, tumor, ca 125",,,17,,TotalUnits,,,,0.97,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100186308,CPT,Heterophile antibodies,,,17,,TotalUnits,,,,0.24,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100186309,CPT,Heterophile antibodies,,,17,,TotalUnits,,,,0.3,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100186310,CPT,Heterophile antibodies,,,17,,TotalUnits,,,,0.34,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100186316,CPT,"Immunoassay, tumor other",,,17,,TotalUnits,,,,0.97,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100186317,CPT,"Immunoassay,infectious agent",,,17,,TotalUnits,,,,0.7,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100186318,CPT,"Immunoassay,infectious agent",,,17,,TotalUnits,,,,0.6,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100186320,CPT,Serum immunoelectrophoresis,26,,17,,RBRVS,0.37,0.12,0.12,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100186320,CPT,Serum immunoelectrophoresis,TC,,17,,TotalUnits,,,,1.05,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100186320,CPT,Serum immunoelectrophoresis,,,17,,NW,,,,,,$63.48 ,$0.00 ,1,0,0,0,0,1,2008100186325,CPT,Other immunoelectrophoresis,26,,17,,RBRVS,0.37,0.12,0.12,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100186325,CPT,Other immunoelectrophoresis,TC,,17,,TotalUnits,,,,1.04,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100186325,CPT,Other immunoelectrophoresis,,,17,,NW,,,,,,$63.33 ,$0.00 ,1,0,0,0,0,1,2008100186327,CPT,Immunoelectrophoresis assay,26,,17,,RBRVS,0.42,0.12,0.12,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100186327,CPT,Immunoelectrophoresis assay,TC,,17,,TotalUnits,,,,1.06,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100186327,CPT,Immunoelectrophoresis assay,,,17,,NW,,,,,,$64.26 ,$0.00 ,1,0,0,0,0,1,2008100186329,CPT,Immunodiffusion,,,17,,TotalUnits,,,,0.66,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100186331,CPT,Immunodiffusion ouchterlony,,,17,,TotalUnits,,,,0.56,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100186332,CPT,Immune complex assay,,,17,,TotalUnits,,,,1.14,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100186334,CPT,Immunofixation procedure,26,,17,,RBRVS,0.37,0.12,0.12,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100186334,CPT,Immunofixation procedure,TC,,17,,TotalUnits,,,,1.04,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100186334,CPT,"Immunofix e-phoresis, serum",,,17,,NW,,,,,,$63.27 ,$0.00 ,1,0,0,0,0,1,2008100186335,CPT,Immunfix e-phorsis/urine/csf,26,,17,,RBRVS,0.37,0.12,0.12,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100186335,CPT,Immunfix e-phorsis/urine/csf,,,17,,TotalUnits,,,,1.35,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100186336,CPT,Inhibin A,,,17,,TotalUnits,,,,0.73,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100186337,CPT,Insulin antibodies,,,17,,TotalUnits,,,,1,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100186340,CPT,Intrinsic factor antibody,,,17,,TotalUnits,,,,0.7,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100186341,CPT,Islet cell antibody,,,17,,TotalUnits,,,,0.92,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100186343,CPT,Leukocyte histamine release,,,17,,TotalUnits,,,,0.58,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100186344,CPT,Leukocyte phagocytosis,,,17,,TotalUnits,,,,0.37,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100186353,CPT,Lymphocyte transformation,,,17,,TotalUnits,,,,2.29,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100186355,CPT,"B cells, total count",,,17,,NW,,,,,,$63.33 ,$0.00 ,1,1,1,0,1,1,2008100186357,CPT,"Nk cells, total count",,,17,,NW,,,,,,$63.33 ,$0.00 ,1,1,1,0,1,1,2008100186359,CPT,"T cells, total count",,,17,,TotalUnits,,,,1.76,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100186360,CPT,"T cell, absolute count/ratio",,,17,,TotalUnits,,,,2.19,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100186361,CPT,"T cell, absolute count",,,17,,TotalUnits,,,,1.25,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100186367,CPT,"Stem cells, total count",,,17,,NW,,,,,,$63.33 ,$0.00 ,1,1,1,0,1,1,2008100186376,CPT,Microsomal antibody,,,17,,TotalUnits,,,,0.68,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100186378,CPT,Migration inhibitory factor,,,17,,TotalUnits,,,,0.92,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100186382,CPT,"Neutralization test, viral",,,17,,TotalUnits,,,,0.79,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100186384,CPT,Nitroblue tetrazolium dye,,,17,,TotalUnits,,,,0.53,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100186403,CPT,Particle agglutination test,,,17,,TotalUnits,,,,0.48,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100186406,CPT,Particle agglutination test,,,17,,TotalUnits,,,,0.5,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100186430,CPT,Rheumatoid factor test,,,17,,TotalUnits,,,,0.26,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100186431,CPT,"Rheumatoid factor, quant",,,17,,TotalUnits,,,,0.26,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100186480,CPT,"Tb test, cell immun measure",,,17,,NW,,,,,,$104.05 ,$0.00 ,1,1,1,0,1,1,2008100186485,CPT,"Skin test, candida",,TC,17,,TotalUnits,,,,0.28,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100186486,CPT,"Skin test, nos antigen", ,TC,17,,RBRVS,0,0.13,0.13,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100186490,CPT,Coccidioidomycosis skin test,,TC,17,,RBRVS,0,0.13,0.13,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100186510,CPT,Histoplasmosis skin test,,TC,17,,RBRVS,0,0.13,0.13,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100186580,CPT,TB intradermal test,,TC,17,,RBRVS,0,0.16,0.16,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100186590,CPT,"Streptokinase, antibody",,,17,,TotalUnits,,,,0.51,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100186592,CPT,"Blood serology, qualitative",,,17,,TotalUnits,,,,0.2,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100186593,CPT,"Blood serology, quantitative",,,17,,TotalUnits,,,,0.21,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100186602,CPT,Antinomyces antibody,,,17,,TotalUnits,,,,0.48,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100186603,CPT,Adenovirus antibody,,,17,,TotalUnits,,,,0.6,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100186606,CPT,Aspergillus antibody,,,17,,TotalUnits,,,,0.7,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100186609,CPT,Bacterium antibody,,,17,,TotalUnits,,,,0.6,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100186611,CPT,Bartonella antibody,,,17,,TotalUnits,,,,0.48,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100186612,CPT,Blastomyces antibody,,,17,,TotalUnits,,,,0.6,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100186615,CPT,Bordetella antibody,,,17,,TotalUnits,,,,0.62,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100186617,CPT,Lyme disease antibody,,,17,,TotalUnits,,,,0.72,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100186618,CPT,Lyme disease antibody,,,17,,TotalUnits,,,,0.8,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100186619,CPT,Borrelia antibody,,,17,,TotalUnits,,,,0.62,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100186622,CPT,Brucella antibody,,,17,,TotalUnits,,,,0.42,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100186625,CPT,Campylobacter antibody,,,17,,TotalUnits,,,,0.61,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100186628,CPT,Candida antibody,,,17,,TotalUnits,,,,0.56,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100186631,CPT,Chlamydia antibody,,,17,,TotalUnits,,,,0.55,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100186632,CPT,Chlamydia igm antibody,,,17,,TotalUnits,,,,0.59,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100186635,CPT,Coccidioides antibody,,,17,,TotalUnits,,,,0.54,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100186638,CPT,Q fever antibody,,,17,,TotalUnits,,,,0.57,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100186641,CPT,Cryptococcus antibody,,,17,,TotalUnits,,,,0.67,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100186644,CPT,CMV antibody,,,17,,TotalUnits,,,,0.67,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100186645,CPT,"CMV antibody, IgM",,,17,,TotalUnits,,,,0.79,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100186648,CPT,Diphtheria antibody,,,17,,TotalUnits,,,,0.71,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100186651,CPT,Encephalitis antibody,,,17,,TotalUnits,,,,0.62,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100186652,CPT,Encephalitis antibody,,,17,,TotalUnits,,,,0.62,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100186653,CPT,Encephalitis antibody,,,17,,TotalUnits,,,,0.62,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100186654,CPT,Encephalitis antibody,,,17,,TotalUnits,,,,0.62,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100186658,CPT,Enterovirus antibody,,,17,,TotalUnits,,,,0.61,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100186663,CPT,Epstein-barr antibody,,,17,,TotalUnits,,,,0.61,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100186664,CPT,Epstein-barr antibody,,,17,,TotalUnits,,,,0.71,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100186665,CPT,Epstein-barr antibody,,,17,,TotalUnits,,,,0.85,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100186666,CPT,Ehrlichia antibody,,,17,,TotalUnits,,,,0.48,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100186668,CPT,Francisella tularensis,,,17,,TotalUnits,,,,0.49,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100186671,CPT,Fungus antibody,,,17,,TotalUnits,,,,0.57,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100186674,CPT,Giardia lamblia antibody,,,17,,TotalUnits,,,,0.69,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100186677,CPT,Helicobacter pylori,,,17,,TotalUnits,,,,0.68,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100186682,CPT,Helminth antibody,,,17,,TotalUnits,,,,0.61,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100186684,CPT,Hemophilus influenza,,,17,,TotalUnits,,,,0.74,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100186687,CPT,Htlv-i antibody,,,17,,TotalUnits,,,,0.39,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100186688,CPT,Htlv-ii antibody,,,17,,TotalUnits,,,,0.65,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100186689,CPT,HTLV/HIV confirmatory test,,,17,,TotalUnits,,,,0.9,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100186692,CPT,"Hepatitis, delta agent",,,17,,TotalUnits,,,,0.8,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100186694,CPT,Herpes simplex test,,,17,,TotalUnits,,,,0.67,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100186695,CPT,Herpes simplex test,,,17,,TotalUnits,,,,0.62,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100186696,CPT,Herpes simplex type 2,,,17,,TotalUnits,,,,0.9,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100186698,CPT,Histoplasma,,,17,,TotalUnits,,,,0.58,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100186701,CPT,HIV-1,,,17,,TotalUnits,,,,0.41,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100186702,CPT,HIV-2,,,17,,TotalUnits,,,,0.63,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100186703,CPT,"HIV-1/HIV-2, single assay",,,17,,TotalUnits,,,,0.64,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100186704,CPT,"Hep b core antibody, total",,,17,,TotalUnits,,,,0.56,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100186705,CPT,"Hep b core antibody, igm",,,17,,TotalUnits,,,,0.55,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100186706,CPT,Hep b surface antibody,,,17,,TotalUnits,,,,0.5,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100186707,CPT,Hep be antibody,,,17,,TotalUnits,,,,0.54,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100186708,CPT,"Hep a antibody, total",,,17,,TotalUnits,,,,0.58,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100186709,CPT,"Hep a antibody, igm",,,17,,TotalUnits,,,,0.53,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100186710,CPT,Influenza virus antibody,,,17,,TotalUnits,,,,0.63,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100186713,CPT,Legionella antibody,,,17,,TotalUnits,,,,0.71,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100186717,CPT,Leishmania antibody,,,17,,TotalUnits,,,,0.57,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100186720,CPT,Leptospira antibody,,,17,,TotalUnits,,,,0.62,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100186723,CPT,Listeria monocytogenes ab,,,17,,TotalUnits,,,,0.62,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100186727,CPT,Lymph choriomeningitis ab,,,17,,TotalUnits,,,,0.6,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100186729,CPT,Lympho venereum antibody,,,17,,TotalUnits,,,,0.56,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100186732,CPT,Mucormycosis antibody,,,17,,TotalUnits,,,,0.62,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100186735,CPT,Mumps antibody,,,17,,TotalUnits,,,,0.61,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100186738,CPT,Mycoplasma antibody,,,17,,TotalUnits,,,,0.62,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100186741,CPT,Neisseria meningitidis,,,17,,TotalUnits,,,,0.62,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100186744,CPT,Nocardia antibody,,,17,,TotalUnits,,,,0.62,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100186747,CPT,Parvovirus antibody,,,17,,TotalUnits,,,,0.7,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100186750,CPT,Malaria antibody,,,17,,TotalUnits,,,,0.62,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100186753,CPT,Protozoa antibody nos,,,17,,TotalUnits,,,,0.58,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100186756,CPT,Respiratory virus antibody,,,17,,TotalUnits,,,,0.6,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100186757,CPT,Rickettsia antibody,,,17,,TotalUnits,,,,0.9,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100186759,CPT,Rotavirus antibody,,,17,,TotalUnits,,,,0.62,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100186762,CPT,Rubella antibody,,,17,,TotalUnits,,,,0.67,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100186765,CPT,Rubeola antibody,,,17,,TotalUnits,,,,0.6,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100186768,CPT,Salmonella antibody,,,17,,TotalUnits,,,,0.62,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100186771,CPT,Shigella antibody,,,17,,TotalUnits,,,,0.62,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100186774,CPT,Tetanus antibody,,,17,,TotalUnits,,,,0.69,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100186777,CPT,Toxoplasma antibody,,,17,,TotalUnits,,,,0.67,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100186778,CPT,"Toxoplasma antibody, igm",,,17,,TotalUnits,,,,0.67,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100186781,CPT,"Treponema pallidum, confirm",,,17,,TotalUnits,,,,0.62,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100186784,CPT,Trichinella antibody,,,17,,TotalUnits,,,,0.59,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100186787,CPT,Varicella-zoster antibody,,,17,,TotalUnits,,,,0.6,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100186788,CPT,"West nile virus ab, igm",,,17,,NW,,,,,,$23.97 ,$0.00 ,1,1,1,0,1,1,2008100186789,CPT,West nile virus antibody,,,17,,NW,,,,,,$20.48 ,$0.00 ,1,1,1,0,1,1,2008100186790,CPT,Virus antibody nos,,,17,,TotalUnits,,,,0.6,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100186793,CPT,Yersinia antibody,,,17,,TotalUnits,,,,0.62,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100186800,CPT,Thyroglobulin antibody,,,17,,TotalUnits,,,,0.74,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100186803,CPT,Hepatitis c ab test,,,17,,TotalUnits,,,,0.67,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100186804,CPT,"Hep c ab test, confirm",,,17,,TotalUnits,,,,0.72,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100186805,CPT,Lymphocytotoxicity assay,,,17,,TotalUnits,,,,2.44,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100186806,CPT,Lymphocytotoxicity assay,,,17,,TotalUnits,,,,2.22,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100186807,CPT,Cytotoxic antibody screening,,,17,,TotalUnits,,,,1.85,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100186808,CPT,Cytotoxic antibody screening,,,17,,TotalUnits,,,,1.39,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100186812,CPT,"HLA typing, A, B, or C",,,17,,TotalUnits,,,,1.2,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100186813,CPT,"HLA typing, A, B, or C",,,17,,TotalUnits,,,,2.71,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100186816,CPT,"HLA typing, DR/DQ",,,17,,TotalUnits,,,,1.3,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100186817,CPT,"HLA typing, DR/DQ",,,17,,TotalUnits,,,,3,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100186821,CPT,"Lymphocyte culture, mixed",,,17,,TotalUnits,,,,2.64,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100186822,CPT,"Lymphocyte culture, primed",,,17,,TotalUnits,,,,1.71,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100186849,CPT,Immunology procedure,,,17,,TotalUnits,,,,0.48,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100186850,CPT,RBC antibody screen,,,17,,TotalUnits,,,,0.41,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100186860,CPT,RBC antibody elution,,,17,,TotalUnits,,,,0.41,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100186870,CPT,RBC antibody identification,,,17,,TotalUnits,,,,0.71,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100186880,CPT,"Coombs test, direct",,,17,,TotalUnits,,,,0.25,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100186885,CPT,"Coombs test, indirect, qual",,,17,,TotalUnits,,,,0.27,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100186886,CPT,"Coombs test, indirect, titer",,,17,,TotalUnits,,,,0.24,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100186890,CPT,Autologous blood process,,,17,,TotalUnits,,,,1.63,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100186891,CPT,"Autologous blood, op salvage",,,17,,TotalUnits,,,,2.55,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100186900,CPT,"Blood typing, ABO",,,17,,TotalUnits,,,,0.14,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100186901,CPT,"Blood typing, Rh (D)",,,17,,TotalUnits,,,,0.2,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100186903,CPT,"Blood typing, antigen screen",,,17,,TotalUnits,,,,0.44,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100186904,CPT,"Blood typing, patient serum",,,17,,TotalUnits,,,,0.44,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100186905,CPT,"Blood typing, RBC antigens",,,17,,TotalUnits,,,,0.18,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100186906,CPT,"Blood typing, Rh phenotype",,,17,,TotalUnits,,,,0.36,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100186910,CPT,"Blood typing, paternity test",,,17,,TotalUnits,,,,0.45,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100186911,CPT,"Blood typing, antigen system",,,17,,TotalUnits,,,,0.35,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100186920,CPT,Compatibility test,,,17,,TotalUnits,,,,0.45,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100186921,CPT,Compatibility test,,,17,,TotalUnits,,,,0.41,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100186922,CPT,Compatibility test,,,17,,TotalUnits,,,,0.25,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100186923,CPT,"Compatibility test, electric",,,17,,NW,,,,,,$15.52 ,$0.00 ,1,1,1,0,1,1,2008100186927,CPT,"Plasma, fresh frozen",,,17,,TotalUnits,,,,0.22,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100186930,CPT,Frozen blood prep,,,17,,TotalUnits,,,,2.04,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100186931,CPT,Frozen blood thaw,,,17,,TotalUnits,,,,2.25,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100186932,CPT,Frozen blood freeze/thaw,,,17,,TotalUnits,,,,2.45,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100186940,CPT,"Hemolysins/agglutinins, auto",,,17,,TotalUnits,,,,0.38,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100186941,CPT,Hemolysins/agglutinins,,,17,,TotalUnits,,,,0.57,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100186945,CPT,Blood product/irradiation,,,17,,TotalUnits,,,,0.61,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100186950,CPT,Leukacyte transfusion,,,17,,TotalUnits,,,,1.12,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100186960,CPT,Vol reduction of blood/prod,,,17,,NW,,,,,,$15.52 ,$0.00 ,1,1,1,0,1,1,2008100186965,CPT,Pooling blood platelets,,,17,,TotalUnits,,,,0.29,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100186970,CPT,RBC pretreatment,,,17,,TotalUnits,,,,0.33,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100186971,CPT,RBC pretreatment,,,17,,TotalUnits,,,,0.33,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100186972,CPT,RBC pretreatment,,,17,,TotalUnits,,,,0.31,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100186975,CPT,"RBC pretreatment, serum",,,17,,TotalUnits,,,,0.2,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100186976,CPT,"RBC pretreatment, serum",,,17,,TotalUnits,,,,0.16,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100186977,CPT,"RBC pretreatment, serum",,,17,,TotalUnits,,,,0.2,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100186978,CPT,"RBC pretreatment, serum",,,17,,TotalUnits,,,,0.45,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100186985,CPT,Split blood or products,,,17,,TotalUnits,,,,0.43,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100186999,CPT,Transfusion procedure,,,17,,TotalUnits,,,,0.2,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100187001,CPT,Small animal inoculation,,,17,,TotalUnits,,,,0.62,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100187003,CPT,Small animal inoculation,,,17,,TotalUnits,,,,0.79,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100187015,CPT,Specimen concentration,,,17,,TotalUnits,,,,0.31,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100187040,CPT,Blood culture for bacteria,,,17,,TotalUnits,,,,0.48,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100187045,CPT,"Feces culture, bacteria",,,17,,TotalUnits,,,,0.44,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100187046,CPT,"Stool cultr, bacteria, each",,,17,,TotalUnits,,,,0.44,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100187070,CPT,"Culture, bacteria, other",,,17,,TotalUnits,,,,0.4,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100187071,CPT,Culture bacteri aerobic othr,,,17,,TotalUnits,,,,0.44,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100187073,CPT,Culture bacteria anaerobic,,,17,,TotalUnits,,,,0.44,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100187075,CPT,Culture bacteria anaerobic,,,17,,TotalUnits,,,,0.44,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100187076,CPT,"Culture anaerobe ident, each",,,17,,TotalUnits,,,,0.38,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100187077,CPT,Culture aerobic identify,,,17,,TotalUnits,,,,0.38,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100187081,CPT,Culture screen only,,,17,,TotalUnits,,,,0.31,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100187084,CPT,Culture of specimen by kit,,,17,,TotalUnits,,,,0.4,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100187086,CPT,Urine culture/colony count,,,17,,TotalUnits,,,,0.38,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100187088,CPT,Urine bacteria culture,,,17,,TotalUnits,,,,0.38,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100187101,CPT,Skin fungi culture,,,17,,TotalUnits,,,,0.36,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100187102,CPT,Fungus isolation culture,,,17,,TotalUnits,,,,0.39,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100187103,CPT,Blood fungus culture,,,17,,TotalUnits,,,,0.42,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100187106,CPT,"Fungi identification, yeast",,,17,,TotalUnits,,,,0.48,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100187107,CPT,"Fungi identification, mold",,,17,,TotalUnits,,,,0.48,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100187109,CPT,Mycoplasma,,,17,,TotalUnits,,,,0.72,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100187110,CPT,Chlamydia culture,,,17,,TotalUnits,,,,0.91,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100187116,CPT,Mycobacteria culture,,,17,,TotalUnits,,,,0.5,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100187118,CPT,Mycobacteric identification,,,17,,TotalUnits,,,,0.51,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100187140,CPT,Culture type immunofluoresc,,,17,,TotalUnits,,,,0.26,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100187143,CPT,"Culture typing, glc/hplc",,,17,,TotalUnits,,,,0.58,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100187147,CPT,"Culture type, immunologic",,,17,,TotalUnits,,,,0.24,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100187149,CPT,"Culture type, nucleic acid",,,17,,TotalUnits,,,,0.94,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100187152,CPT,Culture type pulse field gel,,,17,,TotalUnits,,,,0.24,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100187158,CPT,"Culture typing, added method",,,17,,TotalUnits,,,,0.24,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100187164,CPT,Dark field examination,26,,17,,RBRVS,0.37,0.12,0.12,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100187164,CPT,Dark field examination,TC,,17,,TotalUnits,,,,0.5,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100187164,CPT,Dark field examination,,,17,,NW,,,,,,$30.42 ,$0.00 ,1,0,0,0,0,1,2008100187166,CPT,Dark field examination,,,17,,TotalUnits,,,,0.53,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100187168,CPT,Macroscopic exam arthropod,,,17,,TotalUnits,,,,0.2,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100187169,CPT,Macroscopic exam parasite,,,17,,TotalUnits,,,,0.2,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100187172,CPT,Pinworm exam,,,17,,TotalUnits,,,,0.2,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100187176,CPT,"Tissue homogenization, cultr",,,17,,TotalUnits,,,,0.27,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100187177,CPT,Ova and parasites smears,,,17,,TotalUnits,,,,0.42,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100187181,CPT,"Microbe susceptible, diffuse",,,17,,TotalUnits,,,,0.22,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100187184,CPT,"Microbe susceptible, disk",,,17,,TotalUnits,,,,0.32,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100187185,CPT,"Microbe susceptible, enzyme",,,17,,TotalUnits,,,,0.22,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100187186,CPT,"Microbe susceptible, mic",,,17,,TotalUnits,,,,0.4,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100187187,CPT,"Microbe susceptible, mlc",,,17,,TotalUnits,,,,0.48,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100187188,CPT,"Microbe suscept, macrobroth",,,17,,TotalUnits,,,,0.31,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100187190,CPT,"Microbe suscept, mycobacteri",,,17,,TotalUnits,,,,0.26,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100187197,CPT,"Bactericidal level, serum",,,17,,TotalUnits,,,,0.7,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100187205,CPT,"Smear, gram stain",,,17,,TotalUnits,,,,0.2,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100187206,CPT,"Smear, fluorescent/acid stai",,,17,,TotalUnits,,,,0.25,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100187207,CPT,"Smear, special stain",26,,17,,RBRVS,0.37,0.12,0.12,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100187207,CPT,"Smear, special stain",,,17,,TotalUnits,,,,0.28,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100187209,CPT,"Smear, complex stain",,,17,,NW,,,,,,$30.17 ,$0.00 ,1,1,1,0,1,1,2008100187210,CPT,"Smear, wet mount, saline/ink",,,17,,TotalUnits,,,,0.2,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100187220,CPT,Tissue exam for fungi,,,17,,TotalUnits,,,,0.2,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100187230,CPT,"Assay, toxin or antitoxin",,,17,,TotalUnits,,,,0.92,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100187250,CPT,"Virus inoculate, eggs/animal",,,17,,TotalUnits,,,,0.91,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100187252,CPT,"Virus inoculation, tissue",,,17,,TotalUnits,,,,1.22,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100187253,CPT,"Virus inoculate tissue, addl",,,17,,TotalUnits,,,,0.94,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100187254,CPT,"Virus inoculation, shell via",,,17,,TotalUnits,,,,0.91,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100187255,CPT,"Genet virus isolate, hsv",,,17,,TotalUnits,,,,1.58,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100187260,CPT,"Adenovirus ag, if",,,17,,TotalUnits,,,,0.56,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100187265,CPT,"Pertussis ag, if",,,17,,TotalUnits,,,,0.56,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100187267,CPT,"Enterovirus antibody, dfa",,,17,,TotalUnits,,,,0.56,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100187269,CPT,"Giardia ag, if",,,17,,TotalUnits,,,,0.56,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100187270,CPT,"Chlamydia trachomatis ag, if",,,17,,TotalUnits,,,,0.56,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100187271,CPT,"Cryptosporidum/gardia ag, if",,,17,,TotalUnits,,,,0.56,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100187272,CPT,"Cryptosporidum/gardia ag, if",,,17,,TotalUnits,,,,0.56,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100187273,CPT,"Herpes simplex 2, ag, if",,,17,,TotalUnits,,,,0.56,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100187274,CPT,"Herpes simplex 1, ag, if",,,17,,TotalUnits,,,,0.56,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100187275,CPT,"Influenza b, ag, if",,,17,,TotalUnits,,,,0.56,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100187276,CPT,"Influenza a, ag, if",,,17,,TotalUnits,,,,0.56,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100187277,CPT,"Legionella micdadei, ag, if",,,17,,TotalUnits,,,,0.56,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100187278,CPT,"Legion pneumophilia ag, if",,,17,,TotalUnits,,,,0.56,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100187279,CPT,"Parainfluenza, ag, if",,,17,,TotalUnits,,,,0.56,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100187280,CPT,"Respiratory syncytial ag, if",,,17,,TotalUnits,,,,0.56,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100187281,CPT,"Pneumocystis carinii, ag, if",,,17,,TotalUnits,,,,0.56,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100187283,CPT,"Rubeola, ag, if",,,17,,TotalUnits,,,,0.56,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100187285,CPT,"Treponema pallidum, ag, if",,,17,,TotalUnits,,,,0.56,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100187290,CPT,"Varicella zoster, ag, if",,,17,,TotalUnits,,,,0.56,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100187299,CPT,"Antibody detection, nos, if",,,17,,TotalUnits,,,,0.56,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100187300,CPT,"Ag detection, polyval, if",,,17,,TotalUnits,,,,0.56,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100187301,CPT,"Adenovirus ag, eia",,,17,,TotalUnits,,,,0.56,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100187305,CPT,"Aspergillus ag, eia",,,17,,NW,,,,,,$17.07 ,$0.00 ,1,1,1,0,1,1,2008100187320,CPT,"Chylmd trach ag, eia",,,17,,TotalUnits,,,,0.56,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100187324,CPT,"Clostridium ag, eia",,,17,,TotalUnits,,,,0.56,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100187327,CPT,"Cryptococcus neoform ag, eia",,,17,,TotalUnits,,,,0.56,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100187328,CPT,"Cryptospor ag, eia",,,17,,TotalUnits,,,,0.56,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100187329,CPT,"Giardia ag, eia",,,17,,TotalUnits,,,,0.56,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100187332,CPT,"Cytomegalovirus ag, eia",,,17,,TotalUnits,,,,0.56,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100187335,CPT,"E coli 0157 ag, eia",,,17,,TotalUnits,,,,0.56,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100187336,CPT,"Entamoeb hist dispr, ag, eia",,,17,,TotalUnits,,,,0.56,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100187337,CPT,"Entamoeb hist group, ag, eia",,,17,,TotalUnits,,,,0.56,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100187338,CPT,"Hpylori, stool, eia",,,17,,TotalUnits,,,,0.67,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100187339,CPT,"H pylori ag, eia",,,17,,TotalUnits,,,,0.56,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100187340,CPT,"Hepatitis b surface ag, eia",,,17,,TotalUnits,,,,0.48,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100187341,CPT,"Hepatitis b surface, ag, eia",,,17,,TotalUnits,,,,0.48,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100187350,CPT,"Hepatitis be ag, eia",,,17,,TotalUnits,,,,0.54,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100187380,CPT,"Hepatitis delta ag, eia",,,17,,TotalUnits,,,,0.77,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100187385,CPT,"Histoplasma capsul ag, eia",,,17,,TotalUnits,,,,0.56,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100187390,CPT,"Hiv-1 ag, eia",,,17,,TotalUnits,,,,0.82,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100187391,CPT,"Hiv-2 ag, eia",,,17,,TotalUnits,,,,0.82,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100187400,CPT,"Influenza a/b, ag, eia",,,17,,TotalUnits,,,,0.56,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100187420,CPT,"Resp syncytial ag, eia",,,17,,TotalUnits,,,,0.56,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100187425,CPT,"Rotavirus ag, eia",,,17,,TotalUnits,,,,0.56,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100187427,CPT,"Shiga-like toxin ag, eia",,,17,,TotalUnits,,,,0.56,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100187430,CPT,"Strep a ag, eia",,,17,,TotalUnits,,,,0.56,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100187449,CPT,"Ag detect nos, eia, mult",,,17,,TotalUnits,,,,0.56,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100187450,CPT,"Ag detect nos, eia, single",,,17,,TotalUnits,,,,0.45,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100187451,CPT,"Ag detect polyval, eia, mult",,,17,,TotalUnits,,,,0.45,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100187470,CPT,"Bartonella, dna, dir probe",,,17,,TotalUnits,,,,0.94,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100187471,CPT,"Bartonella, dna, amp probe",,,17,,TotalUnits,,,,1.64,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100187472,CPT,"Bartonella, dna, quant",,,17,,TotalUnits,,,,2,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100187475,CPT,"Lyme dis, dna, dir probe",,,17,,TotalUnits,,,,0.94,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100187476,CPT,"Lyme dis, dna, amp probe",,,17,,TotalUnits,,,,1.64,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100187477,CPT,"Lyme dis, dna, quant",,,17,,TotalUnits,,,,2,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100187480,CPT,"Candida, dna, dir probe",,,17,,TotalUnits,,,,0.94,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100187481,CPT,"Candida, dna, amp probe",,,17,,TotalUnits,,,,1.64,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100187482,CPT,"Candida, dna, quant",,,17,,TotalUnits,,,,1.95,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100187485,CPT,"Chylmd pneum, dna, dir probe",,,17,,TotalUnits,,,,0.94,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100187486,CPT,"Chylmd pneum, dna, amp probe",,,17,,TotalUnits,,,,1.64,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100187487,CPT,"Chylmd pneum, dna, quant",,,17,,TotalUnits,,,,2,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100187490,CPT,"Chylmd trach, dna, dir probe",,,17,,TotalUnits,,,,0.94,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100187491,CPT,"Chylmd trach, dna, amp probe",,,17,,TotalUnits,,,,1.64,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100187492,CPT,"Chylmd trach, dna, quant",,,17,,TotalUnits,,,,1.63,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100187495,CPT,"Cytomeg, dna, dir probe",,,17,,TotalUnits,,,,0.94,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100187496,CPT,"Cytomeg, dna, amp probe",,,17,,TotalUnits,,,,1.64,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100187497,CPT,"Cytomeg, dna, quant",,,17,,TotalUnits,,,,2,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100187498,CPT,"Enterovirus, dna, amp probe",,,17,,NW,,,,,,$49.94 ,$0.00 ,1,1,1,0,1,1,2008100187510,CPT,"Gardner vag, dna, dir probe",,,17,,TotalUnits,,,,0.94,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100187511,CPT,"Gardner vag, dna, amp probe",,,17,,TotalUnits,,,,1.64,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100187512,CPT,"Gardner vag, dna, quant",,,17,,TotalUnits,,,,1.95,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100187515,CPT,"Hepatitis b, dna, dir probe",,,17,,TotalUnits,,,,0.94,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100187516,CPT,"Hepatitis b, dna, amp probe",,,17,,TotalUnits,,,,1.64,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100187517,CPT,"Hepatitis b, dna, quant",,,17,,TotalUnits,,,,2,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100187520,CPT,"Hepatitis c, rna, dir probe",,,17,,TotalUnits,,,,0.94,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100187521,CPT,"Hepatitis c, rna, amp probe",,,17,,TotalUnits,,,,1.64,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100187522,CPT,"Hepatitis c, rna, quant",,,17,,TotalUnits,,,,2,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100187525,CPT,"Hepatitis g, dna, dir probe",,,17,,TotalUnits,,,,0.94,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100187526,CPT,"Hepatitis g, dna, amp probe",,,17,,TotalUnits,,,,1.64,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100187527,CPT,"Hepatitis g, dna, quant",,,17,,TotalUnits,,,,1.95,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100187528,CPT,"Hsv, dna, dir probe",,,17,,TotalUnits,,,,0.94,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100187529,CPT,"Hsv, dna, amp probe",,,17,,TotalUnits,,,,1.64,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100187530,CPT,"Hsv, dna, quant",,,17,,TotalUnits,,,,2,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100187531,CPT,"Hhv-6, dna, dir probe",,,17,,TotalUnits,,,,0.94,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100187532,CPT,"Hhv-6, dna, amp probe",,,17,,TotalUnits,,,,1.64,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100187533,CPT,"Hhv-6, dna, quant",,,17,,TotalUnits,,,,1.95,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100187534,CPT,"Hiv-1, dna, dir probe",,,17,,TotalUnits,,,,0.94,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100187535,CPT,"Hiv-1, dna, amp probe",,,17,,TotalUnits,,,,1.64,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100187536,CPT,"Hiv-1, dna, quant",,,17,,TotalUnits,,,,3.97,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100187537,CPT,"Hiv-2, dna, dir probe",,,17,,TotalUnits,,,,0.94,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100187538,CPT,"Hiv-2, dna, amp probe",,,17,,TotalUnits,,,,1.64,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100187539,CPT,"Hiv-2, dna, quant",,,17,,TotalUnits,,,,2,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100187540,CPT,"Legion pneumo, dna, dir prob",,,17,,TotalUnits,,,,0.94,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100187541,CPT,"Legion pneumo, dna, amp prob",,,17,,TotalUnits,,,,1.64,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100187542,CPT,"Legion pneumo, dna, quant",,,17,,TotalUnits,,,,1.95,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100187550,CPT,"Mycobacteria, dna, dir probe",,,17,,TotalUnits,,,,0.94,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100187551,CPT,"Mycobacteria, dna, amp probe",,,17,,TotalUnits,,,,1.64,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100187552,CPT,"Mycobacteria, dna, quant",,,17,,TotalUnits,,,,2,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100187555,CPT,"M.tuberculo, dna, dir probe",,,17,,TotalUnits,,,,0.94,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100187556,CPT,"M.tuberculo, dna, amp probe",,,17,,TotalUnits,,,,1.64,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100187557,CPT,"M.tuberculo, dna, quant",,,17,,TotalUnits,,,,2,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100187560,CPT,"M.avium-intra, dna, dir prob",,,17,,TotalUnits,,,,0.94,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100187561,CPT,"M.avium-intra, dna, amp prob",,,17,,TotalUnits,,,,1.64,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100187562,CPT,"M.avium-intra, dna, quant",,,17,,TotalUnits,,,,2,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100187580,CPT,"M.pneumon, dna, dir probe",,,17,,TotalUnits,,,,0.94,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100187581,CPT,"M.pneumon, dna, amp probe",,,17,,TotalUnits,,,,1.64,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100187582,CPT,"M.pneumon, dna, quant",,,17,,TotalUnits,,,,1.95,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100187590,CPT,"N.gonorrhoeae, dna, dir prob",,,17,,TotalUnits,,,,0.94,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100187591,CPT,"N.gonorrhoeae, dna, amp prob",,,17,,TotalUnits,,,,1.64,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100187592,CPT,"N.gonorrhoeae, dna, quant",,,17,,TotalUnits,,,,2,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100187620,CPT,"Hpv, dna, dir probe",,,17,,TotalUnits,,,,0.94,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100187621,CPT,"Hpv, dna, amp probe",,,17,,TotalUnits,,,,1.64,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100187622,CPT,"Hpv, dna, quant",,,17,,TotalUnits,,,,1.95,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100187640,CPT,"Staph a, dna, amp probe",,,17,,NW,,,,,,$49.94 ,$0.00 ,1,1,1,0,1,1,2008100187641,CPT,"Mr-staph, dna, amp probe",,,17,,NW,,,,,,$49.94 ,$0.00 ,1,1,1,0,1,1,2008100187650,CPT,"Strep a, dna, dir probe",,,17,,TotalUnits,,,,0.94,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100187651,CPT,"Strep a, dna, amp probe",,,17,,TotalUnits,,,,1.64,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100187652,CPT,"Strep a, dna, quant",,,17,,TotalUnits,,,,1.95,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100187653,CPT,"Strep b, dna, amp probe",,,17,,NW,,,,,,$49.94 ,$0.00 ,1,1,1,0,1,1,2008100187660,CPT,"Trichomonas vagin, dir probe",,,17,,TotalUnits,,,,0.94,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100187797,CPT,"Detect agent nos, dna, dir",,,17,,TotalUnits,,,,0.94,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100187798,CPT,"Detect agent nos, dna, amp",,,17,,TotalUnits,,,,1.64,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100187799,CPT,"Detect agent nos, dna, quant",,,17,,TotalUnits,,,,2,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100187800,CPT,"Detect agnt mult, dna, direc",,,17,,TotalUnits,,,,1.87,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100187801,CPT,"Detect agnt mult, dna, ampli",,,17,,TotalUnits,,,,3.28,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100187802,CPT,Strep b assay w/optic,,,17,,TotalUnits,,,,0.56,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100187803,CPT,Clostridium toxin a w/optic,,,17,,TotalUnits,,,,0.56,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100187804,CPT,Influenza assay w/optic,,,17,,TotalUnits,,,,0.56,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100187807,CPT,Rsv assay w/optic,,,17,,TotalUnits,,,,0.56,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100187808,CPT,Trichomonas assay w/optic,,,17,,NW,,,,,,$17.07 ,$0.00 ,1,1,1,0,1,1,2008100187810,CPT,Chylmd trach assay w/optic,,,17,,TotalUnits,,,,0.56,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100187850,CPT,N. gonorrhoeae assay w/optic,,,17,,TotalUnits,,,,0.56,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100187880,CPT,Strep a assay w/optic,,,17,,TotalUnits,,,,0.56,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100187899,CPT,Agent nos assay w/optic,,,17,,TotalUnits,,,,0.56,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100187900,CPT,"Phenotype, infect agent drug",,,17,,NW,,,,,,$218.82 ,$0.00 ,1,1,1,0,1,1,2008100187901,CPT,"Genotype, dna, hiv reverse t",,,17,,TotalUnits,,,,12.02,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100187902,CPT,"Genotype, dna, hepatitis C",,,17,,TotalUnits,,,,12.02,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100187903,CPT,"Phenotype, dna hiv w/culture",,,17,,TotalUnits,,,,22.81,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100187904,CPT,"Phenotype, dna hiv w/clt add",,,17,,TotalUnits,,,,1.22,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100187999,CPT,Microbiology procedure,,,17,,TotalUnits,,,,0.4,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100188000,CPT,"Autopsy (necropsy), gross",,,17,,TotalUnits,,,,8.1,,$0.00 ,$0.00 ,1,0,1,0,1,1,2008100188005,CPT,"Autopsy (necropsy), gross",,,17,,TotalUnits,,,,9,,$0.00 ,$0.00 ,1,0,1,0,1,1,2008100188007,CPT,"Autopsy (necropsy), gross",,,17,,TotalUnits,,,,9.9,,$0.00 ,$0.00 ,1,0,1,0,1,1,2008100188012,CPT,"Autopsy (necropsy), gross",,,17,,TotalUnits,,,,7.46,,$0.00 ,$0.00 ,1,0,1,0,1,1,2008100188014,CPT,"Autopsy (necropsy), gross",,,17,,TotalUnits,,,,7.46,,$0.00 ,$0.00 ,1,0,1,0,1,1,2008100188016,CPT,"Autopsy (necropsy), gross",,,17,,TotalUnits,,,,9.07,,$0.00 ,$0.00 ,1,0,1,0,1,1,2008100188020,CPT,"Autopsy (necropsy), complete",,,17,,TotalUnits,,,,11.64,,$0.00 ,$0.00 ,1,0,1,0,1,1,2008100188025,CPT,"Autopsy (necropsy), complete",,,17,,TotalUnits,,,,12.54,,$0.00 ,$0.00 ,1,0,1,0,1,1,2008100188027,CPT,"Autopsy (necropsy), complete",,,17,,TotalUnits,,,,13.44,,$0.00 ,$0.00 ,1,0,1,0,1,1,2008100188028,CPT,"Autopsy (necropsy), complete",,,17,,TotalUnits,,,,7.46,,$0.00 ,$0.00 ,1,0,1,0,1,1,2008100188029,CPT,"Autopsy (necropsy), complete",,,17,,TotalUnits,,,,7.46,,$0.00 ,$0.00 ,1,0,1,0,1,1,2008100188036,CPT,Limited autopsy,,,17,,TotalUnits,,,,4.82,,$0.00 ,$0.00 ,1,0,1,0,1,1,2008100188037,CPT,Limited autopsy,,,17,,TotalUnits,,,,3.54,,$0.00 ,$0.00 ,1,0,1,0,1,1,2008100188040,CPT,Forensic autopsy (necropsy),,,17,,TotalUnits,,,,19.29,,$0.00 ,$0.00 ,1,0,1,0,1,1,2008100188045,CPT,Coroner’s autopsy (necropsy),,,17,,TotalUnits,,,,1.61,,$0.00 ,$0.00 ,1,0,1,0,1,1,2008100188099,CPT,Necropsy (autopsy) procedure,,,17,,TotalUnits,,,,12.54,,$0.00 ,$0.00 ,1,0,1,0,1,1,2008100188104,CPT,"Cytopathology, fluids",26,,17,,RBRVS,0.56,0.16,0.16,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100188104,CPT,"Cytopathology, fluids",TC,,17,,RBRVS,0,1.03,1.03,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100188104,CPT,"Cytopathology, fluids",,,17,,RBRVS,0.56,1.19,1.19,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100188106,CPT,"Cytopathology, fluids",26,,17,,RBRVS,0.56,0.15,0.15,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100188106,CPT,"Cytopathology, fluids",TC,,17,,RBRVS,0,1.37,1.37,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100188106,CPT,"Cytopathology, fluids",,,17,,RBRVS,0.56,1.52,1.52,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100188107,CPT,"Cytopathology, fluids",26,,17,,RBRVS,0.76,0.23,0.23,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100188107,CPT,"Cytopathology, fluids",TC,,17,,RBRVS,0,1.77,1.77,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100188107,CPT,"Cytopathology, fluids",,,17,,RBRVS,0.76,2,2,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100188108,CPT,"Cytopath, concentrate tech",26,,17,,RBRVS,0.56,0.15,0.15,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100188108,CPT,"Cytopath, concentrate tech",TC,,17,,RBRVS,0,1.32,1.32,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100188108,CPT,"Cytopath, concentrate tech",,,17,,RBRVS,0.56,1.47,1.47,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100188112,CPT,"Cytopath, cell enhance tech",26,,17,,RBRVS,1.18,0.29,0.29,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100188112,CPT,"Cytopath, cell enhance tech",TC,,17,,RBRVS,0,1.18,1.18,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100188112,CPT,"Cytopath, cell enhance tech",,,17,,RBRVS,1.18,1.47,1.47,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100188125,CPT,Forensic cytopathology,26,,17,,RBRVS,0.26,0.05,0.05,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100188125,CPT,Forensic cytopathology,TC,,17,,RBRVS,0,0.16,0.16,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100188125,CPT,Forensic cytopathology,,,17,,RBRVS,0.26,0.21,0.21,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100188130,CPT,Sex chromatin identification,,,17,,TotalUnits,,,,0.7,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100188140,CPT,Sex chromatin identification,,,17,,TotalUnits,,,,0.37,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100188141,CPT,"Cytopath, c/v, interpret",,PC,17,,RBRVS,0.42,0.38,0.38,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100188142,CPT,"Cytopath, c/v, thin layer",,,17,,TotalUnits,,,,0.95,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100188143,CPT,Cytopath c/v thin layer redo,,,17,,TotalUnits,,,,0.95,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100188147,CPT,"Cytopath, c/v, automated",,,17,,TotalUnits,,,,0.53,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100188148,CPT,"Cytopath, c/v, auto rescreen",,,17,,TotalUnits,,,,0.71,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100188150,CPT,"Cytopath, c/v, manual",,,17,,TotalUnits,,,,0.49,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100188152,CPT,"Cytopath, c/v, auto redo",,,17,,TotalUnits,,,,0.49,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100188153,CPT,"Cytopath, c/v, redo",,,17,,TotalUnits,,,,0.49,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100188154,CPT,"Cytopath, c/v, select",,,17,,TotalUnits,,,,0.49,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100188155,CPT,"Cytopath, c/v, index add-on",,,17,,TotalUnits,,,,0.28,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100188160,CPT,"Cytopath smear, other source",26,,17,,RBRVS,0.5,0.13,0.13,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100188160,CPT,"Cytopath smear, other source",TC,,17,,RBRVS,0,0.78,0.78,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100188160,CPT,"Cytopath smear, other source",,,17,,RBRVS,0.5,0.91,0.91,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100188161,CPT,"Cytopath smear, other source",26,,17,,RBRVS,0.5,0.14,0.14,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100188161,CPT,"Cytopath smear, other source",TC,,17,,RBRVS,0,0.92,0.92,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100188161,CPT,"Cytopath smear, other source",,,17,,RBRVS,0.5,1.06,1.06,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100188162,CPT,"Cytopath smear, other source",26,,17,,RBRVS,0.76,0.23,0.23,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100188162,CPT,"Cytopath smear, other source",TC,,17,,RBRVS,0,1.35,1.35,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100188162,CPT,"Cytopath smear, other source",,,17,,RBRVS,0.76,1.58,1.58,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100188164,CPT,"Cytopath tbs, c/v, manual",,,17,,TotalUnits,,,,0.49,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100188165,CPT,"Cytopath tbs, c/v, redo",,,17,,TotalUnits,,,,0.49,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100188166,CPT,"Cytopath tbs, c/v, auto redo",,,17,,TotalUnits,,,,0.49,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100188167,CPT,"Cytopath tbs, c/v, select",,,17,,TotalUnits,,,,0.49,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100188172,CPT,Cytopathology eval of fna,26,,17,,RBRVS,0.6,0.17,0.17,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100188172,CPT,Cytopathology eval of fna,TC,,17,,RBRVS,0,0.64,0.64,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100188172,CPT,Cytopathology eval of fna,,,17,,RBRVS,0.6,0.81,0.81,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100188173,CPT,"Cytopath eval, fna, report",26,,17,,RBRVS,1.39,0.38,0.38,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100188173,CPT,"Cytopath eval, fna, report",TC,,17,,RBRVS,0,1.82,1.82,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100188173,CPT,"Cytopath eval, fna, report",,,17,,RBRVS,1.39,2.2,2.2,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100188174,CPT,"Cytopath, c/v auto, in fluid",,,17,,TotalUnits,,,,1,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100188175,CPT,Cytopath c/v auto fluid redo,,,17,,TotalUnits,,,,1.24,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100188182,CPT,Cell marker study,26,,17,,RBRVS,0.77,0.14,0.14,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100188182,CPT,Cell marker study,TC,,17,,RBRVS,0,1.88,1.88,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100188182,CPT,Cell marker study,,,17,,RBRVS,0.77,2.02,2.02,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100188184,CPT,"Flowcytometry/ tc, 1 marker",,TC,17,,RBRVS,0,2.47,2.47,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100188185,CPT,"Flowcytometry/tc, add-on",,TC,17,,RBRVS,0,1.5,1.5,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100188187,CPT,"Flowcytometry/read, 2-8",,PC,17,,RBRVS,1.36,0.4,0.4,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100188188,CPT,"Flowcytometry/read, 9-15",,PC,17,,RBRVS,1.69,0.44,0.44,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100188189,CPT,"Flowcytometry/read, 16 & >",,PC,17,,RBRVS,2.23,0.47,0.47,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100188199,HCPCS,Cytopathology procedure,,,17,,TotalUnits,,,,0.49,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100188230,HCPCS,"Tissue culture, lymphocyte",,,17,,TotalUnits,,,,5.44,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100188233,HCPCS,"Tissue culture, skin/biopsy",,,17,,TotalUnits,,,,6.57,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100188235,HCPCS,"Tissue culture, placenta",,,17,,TotalUnits,,,,6.87,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100188237,HCPCS,"Tissue culture, bone marrow",,,17,,TotalUnits,,,,5.9,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100188239,HCPCS,"Tissue culture, tumor",,,17,,TotalUnits,,,,6.89,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100188240,HCPCS,Cell cryopreserve/storage,,,17,,TotalUnits,,,,0.47,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100188241,HCPCS,Frozen cell preparation,,,17,,TotalUnits,,,,0.47,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100188245,HCPCS,"Chromosome analysis, 20-25",,,17,,TotalUnits,,,,6.95,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100188248,HCPCS,"Chromosome analysis, 50-100",,,17,,TotalUnits,,,,8.08,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100188249,HCPCS,"Chromosome analysis, 100",,,17,,TotalUnits,,,,8.08,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100188261,HCPCS,"Chromosome analysis, 5",,,17,,TotalUnits,,,,8.25,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100188262,HCPCS,"Chromosome analysis, 15-20",,,17,,TotalUnits,,,,5.82,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100188263,HCPCS,"Chromosome analysis, 45",,,17,,TotalUnits,,,,7.01,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100188264,HCPCS,"Chromosome analysis, 20-25",,,17,,TotalUnits,,,,5.82,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100188267,HCPCS,"Chromosome analys, placenta",,,17,,TotalUnits,,,,8.39,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100188269,HCPCS,"Chromosome analys, amniotic",,,17,,TotalUnits,,,,7.76,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100188271,HCPCS,"Cytogenetics, dna probe",,,17,,TotalUnits,,,,1,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100188272,HCPCS,"Cytogenetics, 3-5",,,17,,TotalUnits,,,,1.25,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100188273,HCPCS,"Cytogenetics, 10-30",,,17,,TotalUnits,,,,1.5,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100188274,HCPCS,"Cytogenetics, 25-99",,,17,,TotalUnits,,,,1.62,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100188275,HCPCS,"Cytogenetics, 100-300",,,17,,TotalUnits,,,,1.87,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100188280,HCPCS,Chromosome karyotype study,,,17,,TotalUnits,,,,1.17,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100188283,HCPCS,Chromosome banding study,,,17,,TotalUnits,,,,3.2,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100188285,HCPCS,"Chromosome count, additional",,,17,,TotalUnits,,,,0.89,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100188289,HCPCS,"Chromosome study, additional",,,17,,TotalUnits,,,,1.61,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100188291,HCPCS,Cyto/molecular report,,PC,17,,RBRVS,0.52,0.27,0.27,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100188299,HCPCS,Cytogenetic study,,,17,,TotalUnits,,,,5.82,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100188300,HCPCS,"Surgical path, gross",26,,17,,RBRVS,0.08,0.02,0.02,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100188300,HCPCS,"Surgical path, gross",TC,,17,,RBRVS,0,0.54,0.54,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100188300,CPT,"Surgical path, gross",,,17,,RBRVS,0.08,0.56,0.56,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100188302,HCPCS,Tissue exam by pathologist,26,,17,,RBRVS,0.13,0.04,0.04,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100188302,HCPCS,Tissue exam by pathologist,TC,,17,,RBRVS,0,1.25,1.25,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100188302,CPT,Tissue exam by pathologist,,,17,,RBRVS,0.13,1.29,1.29,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100188304,HCPCS,Tissue exam by pathologist,26,,17,,RBRVS,0.22,0.06,0.06,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100188304,HCPCS,Tissue exam by pathologist,TC,,17,,RBRVS,0,1.42,1.42,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100188304,CPT,Tissue exam by pathologist,,,17,,RBRVS,0.22,1.48,1.48,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100188305,HCPCS,Tissue exam by pathologist,26,,17,,RBRVS,0.75,0.2,0.2,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100188305,HCPCS,Tissue exam by pathologist,TC,,17,,RBRVS,0,1.85,1.85,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100188305,CPT,Tissue exam by pathologist,,,17,,RBRVS,0.75,2.05,2.05,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100188307,HCPCS,Tissue exam by pathologist,26,,17,,RBRVS,1.59,0.47,0.47,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100188307,HCPCS,Tissue exam by pathologist,TC,,17,,RBRVS,0,3.94,3.94,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100188307,CPT,Tissue exam by pathologist,,,17,,RBRVS,1.59,4.41,4.41,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100188309,HCPCS,Tissue exam by pathologist,26,,17,,RBRVS,2.8,0.83,0.83,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100188309,HCPCS,Tissue exam by pathologist,TC,,17,,RBRVS,0,5.34,5.34,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100188309,CPT,Tissue exam by pathologist,,,17,,RBRVS,2.8,6.17,6.17,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100188311,HCPCS,Decalcify tissue,26,,17,,RBRVS,0.24,0.07,0.07,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100188311,HCPCS,Decalcify tissue,TC,,17,,RBRVS,0,0.17,0.17,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100188311,CPT,Decalcify tissue,,,17,,RBRVS,0.24,0.24,0.24,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100188312,HCPCS,Special stains,26,,17,,RBRVS,0.54,0.14,0.14,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100188312,HCPCS,Special stains,TC,,17,,RBRVS,0,2.16,2.16,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100188312,CPT,Special stains,,,17,,RBRVS,0.54,2.3,2.3,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100188313,HCPCS,Special stains,26,,17,,RBRVS,0.24,0.06,0.06,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100188313,HCPCS,Special stains,TC,,17,,RBRVS,0,1.89,1.89,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100188313,CPT,Special stains,,,17,,RBRVS,0.24,1.95,1.95,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100188314,HCPCS,Histochemical stain,26,,17,,RBRVS,0.45,0.14,0.14,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100188314,HCPCS,Histochemical stain,TC,,17,,RBRVS,0,1.82,1.82,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100188314,CPT,Histochemical stain,,,17,,RBRVS,0.45,1.96,1.96,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100188318,HCPCS,Chemical histochemistry,26,,17,,RBRVS,0.42,0.12,0.12,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100188318,HCPCS,Chemical histochemistry,TC,,17,,RBRVS,0,2.83,2.83,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100188318,CPT,Chemical histochemistry,,,17,,RBRVS,0.42,2.95,2.95,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100188319,HCPCS,Enzyme histochemistry,26,,17,,RBRVS,0.53,0.15,0.15,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100188319,HCPCS,Enzyme histochemistry,TC,,17,,RBRVS,0,3.08,3.08,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100188319,CPT,Enzyme histochemistry,,,17,,RBRVS,0.53,3.23,3.23,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100188321,HCPCS,Microslide consultation,,,17,,RBRVS,1.63,0.46,0.71,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100188323,HCPCS,Microslide consultation,26,,17,,RBRVS,1.83,0.46,0.46,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100188323,HCPCS,Microslide consultation,TC,,17,,RBRVS,0,1.75,1.75,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100188323,CPT,Microslide consultation,,,17,,RBRVS,1.83,2.21,2.21,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100188325,HCPCS,Comprehensive review of data,,,17,,RBRVS,2.5,0.69,2.4,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100188329,HCPCS,Path consult introp,,,17,,RBRVS,0.67,0.2,0.66,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100188331,HCPCS,"Path consult intraop, 1 bloc",26,,17,,RBRVS,1.19,0.37,0.37,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100188331,HCPCS,"Path consult intraop, 1 bloc",TC,,17,,RBRVS,0,0.84,0.84,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100188331,CPT,"Path consult intraop, 1 bloc",,,17,,RBRVS,1.19,1.21,1.21,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100188332,HCPCS,"Path consult intraop, addl",26,,17,,RBRVS,0.59,0.18,0.18,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100188332,HCPCS,"Path consult intraop, addl",TC,,17,,RBRVS,0,0.3,0.3,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100188332,CPT,"Path consult intraop, addl",,,17,,RBRVS,0.59,0.48,0.48,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100188333,CPT,"Intraop cyto path consult, 1",26,,17,,RBRVS,1.2,0.37,0.37,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100188333,CPT,"Intraop cyto path consult, 1",TC, ,17,,RBRVS,0,0.95,0.95,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100188333,HCPCS,"Intraop cyto path consult, 1",,,17,,RBRVS,1.2,1.32,1.32,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100188334,CPT,"Intraop cyto path consult, 2",26,,17,,RBRVS,0.73,0.22,0.22,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100188334,CPT,"Intraop cyto path consult, 2",TC, ,17,,RBRVS,0,0.56,0.56,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100188334,HCPCS,"Intraop cyto path consult, 2",,,17,,RBRVS,0.73,0.78,0.78,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100188342,HCPCS,Immunocytochemistry,26,,17,,RBRVS,0.85,0.23,0.23,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100188342,HCPCS,Immunocytochemistry,TC,,17,,RBRVS,0,1.77,1.77,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100188342,CPT,Immunocytochemistry,,,17,,RBRVS,0.85,2,2,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100188346,HCPCS,Immunofluorescent study,26,,17,,RBRVS,0.86,0.23,0.23,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100188346,HCPCS,Immunofluorescent study,TC,,17,,RBRVS,0,1.68,1.68,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100188346,CPT,Immunofluorescent study,,,17,,RBRVS,0.86,1.91,1.91,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100188347,HCPCS,Immunofluorescent study,26,,17,,RBRVS,0.86,0.18,0.18,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100188347,HCPCS,Immunofluorescent study,TC,,17,,RBRVS,0,1.13,1.13,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100188347,CPT,Immunofluorescent study,,,17,,RBRVS,0.86,1.31,1.31,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100188348,HCPCS,Electron microscopy,26,,17,,RBRVS,1.51,0.42,0.42,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100188348,HCPCS,Electron microscopy,TC,,17,,RBRVS,0,17.84,17.84,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100188348,CPT,Electron microscopy,,,17,,RBRVS,1.51,18.26,18.26,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100188349,HCPCS,Scanning electron microscopy,26,,17,,RBRVS,0.76,0.23,0.23,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100188349,HCPCS,Scanning electron microscopy,TC,,17,,RBRVS,0,9.17,9.17,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100188349,CPT,Scanning electron microscopy,,,17,,RBRVS,0.76,9.4,9.4,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100188355,HCPCS,"Analysis, skeletal muscle",26,,17,,RBRVS,1.85,0.37,0.37,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100188355,HCPCS,"Analysis, skeletal muscle",TC,,17,,RBRVS,0,2.85,2.85,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100188355,CPT,"Analysis, skeletal muscle",,,17,,RBRVS,1.85,3.22,3.22,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100188356,HCPCS,"Analysis, nerve",26,,17,,RBRVS,3.02,0.58,0.58,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100188356,HCPCS,"Analysis, nerve",TC,,17,,RBRVS,0,4.78,4.78,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100188356,CPT,"Analysis, nerve",,,17,,RBRVS,3.02,5.36,5.36,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100188358,HCPCS,"Analysis, tumor",26,,17,,RBRVS,0.95,0.16,0.16,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100188358,HCPCS,"Analysis, tumor",TC,,17,,RBRVS,0,0.94,0.94,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100188358,CPT,"Analysis, tumor",,,17,,RBRVS,0.95,1.1,1.1,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100188360,HCPCS,Tumor immunohistochem/manual,26,,17,,RBRVS,1.1,0.27,0.27,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100188360,HCPCS,Tumor immunohistochem/manual,TC,,17,,RBRVS,0,1.95,1.95,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100188360,CPT,Tumor immunohistochem/manual,,,17,,RBRVS,1.1,2.22,2.22,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100188361,HCPCS,"Immunohistochemistry, tumor",26,,17,,RBRVS,1.18,0.27,0.27,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100188361,HCPCS,"Immunohistochemistry, tumor",TC,,17,,RBRVS,0,2.53,2.53,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100188361,CPT,"Immunohistochemistry, tumor",,,17,,RBRVS,1.18,2.8,2.8,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100188362,HCPCS,Nerve teasing preparations,26,,17,,RBRVS,2.17,0.57,0.57,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100188362,HCPCS,Nerve teasing preparations,TC,,17,,RBRVS,0,4.43,4.43,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100188362,CPT,Nerve teasing preparations,,,17,,RBRVS,2.17,5,5,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100188365,HCPCS,Tissue hybridization,26,,17,,RBRVS,1.2,0.3,0.3,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100188365,HCPCS,Tissue hybridization,TC,,17,,RBRVS,0,3.04,3.04,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100188365,CPT,Tissue hybridization,,,17,,RBRVS,1.2,3.34,3.34,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100188367,HCPCS,"Insitu hybridization, auto",26,,17,,RBRVS,1.3,0.22,0.22,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100188367,HCPCS,"Insitu hybridization, auto",TC,,17,,RBRVS,0,4.94,4.94,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100188367,CPT,"Insitu hybridization, auto",,,17,,RBRVS,1.3,5.16,5.16,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100188368,HCPCS,"Insitu hybridization, manual",26,,17,,RBRVS,1.4,0.25,0.25,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100188368,HCPCS,"Insitu hybridization, manual",TC,,17,,RBRVS,0,4.72,4.72,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100188368,CPT,"Insitu hybridization, manual",,,17,,RBRVS,1.4,4.97,4.97,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100188371,HCPCS,"Protein, western blot tissue",26,,17,,RBRVS,0.37,0.1,0.1,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100188371,HCPCS,"Protein, western blot tissue",,,17,,TotalUnits,,,,1.04,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100188372,HCPCS,Protein analysis w/probe,26,,17,,RBRVS,0.37,0.12,0.12,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100188372,HCPCS,Protein analysis w/probe,,,17,,TotalUnits,,,,1.06,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100188380,HCPCS,Microdissection,26,,17,,RBRVS,1.56,0.43,0.43,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100188380,HCPCS,Microdissection,TC,,17,,RBRVS,0,2.23,2.23,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100188380,CPT,Microdissection,,,17,,RBRVS,1.56,2.66,2.66,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100188381,CPT,"Microdissection, manual",26,,17,,RBRVS,1.18,0.32,0.32,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100188381,CPT,"Microdissection, manual",TC, ,17,,RBRVS,0,4.15,4.15,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100188381,CPT,"Microdissection, manual",,,17,,RBRVS,1.18,4.47,4.47,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100188384,CPT,"Eval molecular probes, 11-50",,,21,,NW,,,,,,$17.83 ,$0.00 ,1,1,1,0,1,1,2008100188385,CPT,"Eval  molecul probes, 51-250",26, ,17,,RBRVS,1.5,0.27,0.27,,,$0.00 ,$0.00 ,1,0,1,1,1,0,2008100188385,CPT,"Eval  molecul probes, 51-250",TC, ,17,,RBRVS,0,15.28,15.28,,,$0.00 ,$0.00 ,1,1,1,0,0,0,2008100188385,CPT,"Eval  molecul probes, 51-250",,,21,,RBRVS,1.5,15.55,15.55,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100188386,CPT,"Eval molecul probes, 251-500",26, ,17,,RBRVS,1.88,0.34,0.34,,,$0.00 ,$0.00 ,1,0,1,1,1,0,2008100188386,CPT,"Eval molecul probes, 251-500",TC, ,17,,RBRVS,0,15.12,15.12,,,$0.00 ,$0.00 ,1,1,1,0,0,0,2008100188386,CPT,"Eval molecul probes, 251-500",,,21,,RBRVS,1.88,15.46,15.46,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100188399,HCPCS,Surgical pathology procedure,,,17,,TotalUnits,,,,2.49,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100188400,HCPCS,Bilirubin total transcut,,,17,,TotalUnits,,,,0.23,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100189049,HCPCS,Chct for mal hyperthermia,,,17,,RBRVS,1.4,0.19,3.56,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100189050,HCPCS,Body fluid cell count,,,17,,TotalUnits,,,,0.22,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100189051,HCPCS,Body fluid cell count,,,17,,TotalUnits,,,,0.26,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100189055,HCPCS,"Leukocyte count, fecal",,,17,,TotalUnits,,,,0.2,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100189060,CPT,"Exam,synovial fluid crystals",26,,17,,RBRVS,0.37,0.12,0.12,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100189060,HCPCS,"Exam,synovial fluid crystals",,,17,,TotalUnits,,,,0.33,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100189100,HCPCS,Sample intestinal contents,,,17,,RBRVS,0.6,0.54,7.9,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100189105,HCPCS,Sample intestinal contents,,,17,,RBRVS,0.5,0.46,7.85,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100189125,HCPCS,Specimen fat stain,,,17,,TotalUnits,,,,0.2,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100189130,HCPCS,Sample stomach contents,,,17,,RBRVS,0.45,0.38,6.55,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100189132,HCPCS,Sample stomach contents,,,17,,RBRVS,0.19,0.39,8.39,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100189135,HCPCS,Sample stomach contents,,,17,,RBRVS,0.79,0.67,8.83,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100189136,HCPCS,Sample stomach contents,,,17,,RBRVS,0.21,0.26,5.95,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100189140,HCPCS,Sample stomach contents,,,17,,RBRVS,0.94,0.43,6.22,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100189141,HCPCS,Sample stomach contents,,,17,,RBRVS,0.85,0.49,6.36,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100189160,HCPCS,Exam feces for meat fibers,,,17,,TotalUnits,,,,0.17,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100189190,HCPCS,Nasal smear for eosinophils,,,17,,TotalUnits,,,,0.22,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100189220,HCPCS,Sputum specimen collection,,TC,17,,RBRVS,0,0.37,0.37,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100189225,HCPCS,"Starch granules, feces",,,17,,TotalUnits,,,,0.16,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100189230,HCPCS,Collect sweat for test,,TC,17,,RBRVS,0,0.07,0.07,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100189235,HCPCS,Water load test,,,17,,TotalUnits,,,,0.26,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100189240,HCPCS,Pathology lab procedure,,,17,,TotalUnits,,,,0.26,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100189250,HCPCS,Cultr oocyte/embryo <4 days,,,17,,TotalUnits,,,,14.03,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100189300,HCPCS,Semen analysis w/huhner,,,17,,TotalUnits,,,,0.42,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100189310,HCPCS,Semen analysis w/count,,,17,,TotalUnits,,,,0.4,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100189320,HCPCS,"Semen analysis, complete",,,17,,TotalUnits,,,,0.56,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100189321,HCPCS,Semen analysis & motility,,,17,,TotalUnits,,,,0.56,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100189325,HCPCS,Sperm antibody test,,,17,,TotalUnits,,,,0.5,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100189329,HCPCS,Sperm evaluation test,,,17,,TotalUnits,,,,0.98,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100189330,HCPCS,"Evaluation, cervical mucus",,,17,,TotalUnits,,,,0.46,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100190281,HCPCS,"Human ig, im",,,22,,TotalUnits,,,,0.77,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100190283,HCPCS,"Human ig, iv",,,22,,TotalUnits,,,,2.16,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100190287,HCPCS,Botulinum antitoxin,,,22,,TotalUnits,,,,0.55,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100190291,CPT,"Cmv ig, iv",,,29,,NW,,,,,,$548.59 ,$0.00 ,1,1,1,0,0,1,2008100190371,HCPCS,"Hep b ig, im",,,22,,TotalUnits,,,,4.56,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100190375,HCPCS,"Rabies ig, im/sc",,,22,,TotalUnits,,,,5.22,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100190376,HCPCS,"Rabies ig, heat treated",,,22,,TotalUnits,,,,4.98,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100190378,HCPCS,"Rsv ig, im, 50mg",,,22,,TotalUnits,,,,22.71,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100190379,HCPCS,"Rsv ig, iv",,,22,,TotalUnits,,,,27.49,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100190384,HCPCS,"Rh ig, full-dose, im",,,22,,TotalUnits,,,,3.1,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100190385,HCPCS,"Rh ig, minidose, im",,,22,,TotalUnits,,,,1.73,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100190386,HCPCS,"Rh ig, iv",,,22,,TotalUnits,,,,6.95,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100190389,HCPCS,"Tetanus ig, im",,,22,,TotalUnits,,,,3.85,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100190396,HCPCS,"Varicella-zoster ig, im",,,22,,TotalUnits,,,,2.75,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100190399,HCPCS,Immune globulin,,,22,,TotalUnits,,,,4.56,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100190465,HCPCS,"Immune admin 1 inj, < 8 yrs",,,9,,RBRVS,0.17,0.44,0.44,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100190466,HCPCS,"Immune admin addl inj, < 8 y",,,9,,RBRVS,0.15,0.04,0.12,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100190467,HCPCS,"Immune admin o or n, < 8 yrs",,,9,,RBRVS,0.17,0.07,0.17,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100190468,HCPCS,"Immune admin o/n, addl < 8 y",,,9,,RBRVS,0.15,0.04,0.11,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100190471,HCPCS,Immunization admin,,,9,,RBRVS,0.17,0.44,0.44,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100190472,HCPCS,"Immunization admin, each add",,,9,,RBRVS,0.15,0.04,0.12,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100190473,HCPCS,Immune admin oral/nasal,,,9,,RBRVS,0.17,0.04,0.17,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100190474,HCPCS,Immune admin oral/nasal addl,,,9,,RBRVS,0.15,0.04,0.08,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100190476,HCPCS,"Adenovirus vaccine, type 4",,,9,,TotalUnits,,,,1.05,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100190477,HCPCS,"Adenovirus vaccine, type 7",,,9,,TotalUnits,,,,0.41,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100190581,HCPCS,"Anthrax vaccine, sc",,,9,,TotalUnits,,,,2.97,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100190585,HCPCS,"Bcg vaccine, percut",,,9,,TotalUnits,,,,4,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100190586,HCPCS,"Bcg vaccine, intravesical",,,9,,TotalUnits,,,,3.19,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100190632,HCPCS,"Hep a vaccine, adult im",,,9,,TotalUnits,,,,1.21,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100190633,HCPCS,"Hep a vacc, ped/adol, 2 dose",,,9,,TotalUnits,,,,0.96,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100190634,HCPCS,"Hep a vacc, ped/adol, 3 dose",,,9,,TotalUnits,,,,0.96,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100190636,HCPCS,"Hep a/hep b vacc, adult im",,,9,,TotalUnits,,,,1.73,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100190645,HCPCS,"Hib vaccine, hboc, im",,,9,,TotalUnits,,,,0.57,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100190646,HCPCS,"Hib vaccine, prp-d, im",,,9,,TotalUnits,,,,0.61,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100190647,HCPCS,"Hib vaccine, prp-omp, im",,,9,,TotalUnits,,,,0.57,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100190648,HCPCS,"Hib vaccine, prp-t, im",,,9,,TotalUnits,,,,0.64,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100190657,HCPCS,"Flu vaccine, 6-35 mo, im",,,9,,TotalUnits,,,,0.25,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100190658,HCPCS,"Flu vaccine, 3 yrs, im",,,9,,TotalUnits,,,,0.25,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100190660,HCPCS,"Flu vaccine, nasal",,,9,,TotalUnits,,,,0.34,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100190665,HCPCS,"Lyme disease vaccine, im",,,9,,TotalUnits,,,,1.41,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100190669,HCPCS,"Pneumococcal vacc, ped <5",,,9,,TotalUnits,,,,1.27,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100190675,HCPCS,"Rabies vaccine, im",,,9,,TotalUnits,,,,2.8,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100190676,HCPCS,"Rabies vaccine, id",,,9,,TotalUnits,,,,2.75,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100190680,HCPCS,"Rotovirus vaccine, oral",,,9,,TotalUnits,,,,0.76,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100190690,HCPCS,"Typhoid vaccine, oral",,,9,,TotalUnits,,,,0.78,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100190691,HCPCS,"Typhoid vaccine, im",,,9,,TotalUnits,,,,0.93,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100190692,HCPCS,"Typhoid vaccine, h-p, sc/id",,,9,,TotalUnits,,,,0.85,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100190693,HCPCS,"Typhoid vaccine, akd, sc",,,9,,TotalUnits,,,,0.76,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100190700,HCPCS,"Dtap vaccine, im",,,9,,TotalUnits,,,,0.61,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100190701,HCPCS,"Dtp vaccine, im",,,9,,TotalUnits,,,,0.51,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100190702,HCPCS,"Dt vaccine < 7, im",,,9,,TotalUnits,,,,0.32,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100190703,HCPCS,"Tetanus vaccine, im",,,9,,TotalUnits,,,,0.32,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100190704,HCPCS,"Mumps vaccine, sc",,,9,,TotalUnits,,,,0.57,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100190705,HCPCS,"Measles vaccine, sc",,,9,,TotalUnits,,,,0.51,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100190706,HCPCS,"Rubella vaccine, sc",,,9,,TotalUnits,,,,0.51,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100190707,HCPCS,"Mmr vaccine, sc",,,9,,TotalUnits,,,,0.83,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100190708,HCPCS,"Measles-rubella vaccine, sc",,,9,,TotalUnits,,,,0.7,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100190710,HCPCS,"Mmrv vaccine, sc",,,9,,TotalUnits,,,,0.99,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100190712,HCPCS,Oral poliovirus vaccine,,,9,,TotalUnits,,,,0.47,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100190713,HCPCS,"Poliovirus, ipv, sc",,,9,,TotalUnits,,,,0.57,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100190714,HCPCS,Td vaccine no prsrv >/= 7 im,,,9,,NW,,,,,,$44.46 ,$0.00 ,1,1,1,0,1,1,2008100190716,HCPCS,"Chicken pox vaccine, sc",,,9,,TotalUnits,,,,1.1,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100190717,HCPCS,"Yellow fever vaccine, sc",,,9,,TotalUnits,,,,1.27,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100190718,HCPCS,"Td vaccine > 7, im",,,9,,TotalUnits,,,,0.33,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100190719,HCPCS,"Diphtheria vaccine, im",,,9,,TotalUnits,,,,0.32,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100190720,HCPCS,"Dtp/hib vaccine, im",,,9,,TotalUnits,,,,0.89,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100190721,HCPCS,"Dtap/hib vaccine, im",,,9,,TotalUnits,,,,0.96,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100190723,HCPCS,"Dtap-hep b-ipv vaccine, im",,,9,,TotalUnits,,,,1.47,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100190725,HCPCS,"Cholera vaccine, injectable",,,9,,TotalUnits,,,,0.4,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100190727,HCPCS,"Plague vaccine, im",,,9,,TotalUnits,,,,0.38,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100190732,HCPCS,Pneumococcal vaccine,,,9,,TotalUnits,,,,0.41,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100190733,HCPCS,"Meningococcal vaccine, sc",,,9,,TotalUnits,,,,1.34,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100190734,HCPCS,"Meningococcal vaccine, im",,,9,,NW,,,,,,$68.24 ,$0.00 ,1,1,1,0,1,1,2008100190735,HCPCS,"Encephalitis vaccine, sc",,,9,,TotalUnits,,,,1.53,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100190740,HCPCS,"Hepb vacc, ill pat 3 dose im",,,9,,TotalUnits,,,,5.05,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100190743,HCPCS,"Hep b vacc, adol, 2 dose, im",,,9,,TotalUnits,,,,1.02,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100190744,HCPCS,Hepb vacc ped/adol 3 dose im,,,9,,TotalUnits,,,,0.76,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100190746,HCPCS,"Hep b vaccine, adult, im",,,9,,TotalUnits,,,,1.15,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100190747,HCPCS,"Hepb vacc, ill pat 4 dose im",,,9,,TotalUnits,,,,4.31,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100190748,HCPCS,"Hep b/hib vaccine, im",,,9,,TotalUnits,,,,1.07,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100190749,HCPCS,Vaccine toxoid,,,9,,TotalUnits,,,,0.61,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100190760,HCPCS,"Hydration iv infusion, init",,,22,,RBRVS,0.17,1.32,1.32,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100190761,HCPCS,"Hydrate iv infusion, add-on",,,22,,RBRVS,0.09,0.32,0.32,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100190765,HCPCS,"Ther/proph/diag iv inf, init",,,22,,RBRVS,0.21,1.62,1.62,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100190766,HCPCS,"Ther/proph/dg iv inf, add-on",,,22,,RBRVS,0.18,0.37,0.37,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100190767,HCPCS,Tx/proph/dg addl seq iv inf,,,22,,RBRVS,0.19,0.69,0.69,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100190768,HCPCS,Ther/diag concurrent inf,,,22,,RBRVS,0.17,0.33,0.33,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100190769,CPT,"Sc ther infusion, up to 1 hr",,,22,,RBRVS,0.21,3.93,3.93,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100190770,CPT,"Sc ther infusion, addl hr",,,22,,RBRVS,0.18,0.22,0.22,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100190771,CPT,"Sc ther infusion, reset pump",,,22,,RBRVS,0,1.86,1.86,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100190772,HCPCS,"Ther/proph/diag inj, sc/im",,,22,,RBRVS,0.17,0.44,0.44,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100190773,HCPCS,"Ther/proph/diag inj, ia",,,22,,RBRVS,0.17,0.3,0.3,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100190774,HCPCS,"Ther/proph/diag inj, iv push",,,22,,RBRVS,0.18,1.33,1.33,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100190775,HCPCS,Ther/proph/diag inj add-on,,,22,,RBRVS,0.1,0.51,0.51,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100190779,CPT,Ther/prop/diag inj/inf proc,,,22,,NW,,,,,,$9.79 ,$0.00 ,1,1,1,0,1,1,2008100190801,HCPCS,Psy dx interview,,,16,,RBRVS,2.8,0.6,1.49,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100190802,HCPCS,Intac psy dx interview,,,16,,RBRVS,3.01,0.68,1.54,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100190804,HCPCS,"Psytx, office, 20-30 min",,,16,,RBRVS,1.21,0.22,0.56,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100190805,HCPCS,"Psytx, off, 20-30 min w/e&m",,,16,,RBRVS,1.37,0.24,0.6,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100190806,HCPCS,"Psytx, off, 45-50 min",,,16,,RBRVS,1.86,0.33,0.53,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100190807,HCPCS,"Psytx, off, 45-50 min w/e&m",,,16,,RBRVS,2.02,0.35,0.7,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100190808,HCPCS,"Psytx, office, 75-80 min",,,16,,RBRVS,2.79,0.49,0.69,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100190809,HCPCS,"Psytx, off, 75-80, w/e&m",,,16,,RBRVS,2.95,0.52,0.86,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100190810,HCPCS,"Intac psytx, off, 20-30 min",,,16,,RBRVS,1.32,0.23,0.54,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100190811,HCPCS,"Intac psytx, 20-30, w/e&m",,,16,,RBRVS,1.48,0.26,0.72,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100190812,HCPCS,"Intac psytx, off, 45-50 min",,,16,,RBRVS,1.97,0.34,0.65,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100190813,HCPCS,"Intac psytx, 45-50 min w/e&m",,,16,,RBRVS,2.13,0.37,0.83,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100190814,HCPCS,"Intac psytx, off, 75-80 min",,,16,,RBRVS,2.9,0.53,0.81,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100190815,HCPCS,"Intac psytx, 75-80 w/e&m",,,16,,RBRVS,3.06,0.53,0.99,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100190816,HCPCS,"Psytx, hosp, 20-30 min",,,16,,RBRVS,1.25,0.33,0.33,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100190817,HCPCS,"Psytx, hosp, 20-30 min w/e&m",,,16,,RBRVS,1.41,0.35,0.35,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100190818,HCPCS,"Psytx, hosp, 45-50 min",,,16,,RBRVS,1.89,0.44,0.44,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100190819,HCPCS,"Psytx, hosp, 45-50 min w/e&m",,,16,,RBRVS,2.05,0.46,0.46,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100190821,HCPCS,"Psytx, hosp, 75-80 min",,,16,,RBRVS,2.83,0.6,0.6,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100190822,HCPCS,"Psytx, hosp, 75-80 min w/e&m",,,16,,RBRVS,2.99,0.63,0.63,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100190823,HCPCS,"Intac psytx, hosp, 20-30 min",,,16,,RBRVS,1.36,0.35,0.35,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100190824,HCPCS,"Intac psytx, hsp 20-30 w/e&m",,,16,,RBRVS,1.52,0.37,0.37,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100190826,HCPCS,"Intac psytx, hosp, 45-50 min",,,16,,RBRVS,2.01,0.46,0.46,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100190827,HCPCS,"Intac psytx, hsp 45-50 w/e&m",,,16,,RBRVS,2.16,0.48,0.48,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100190828,HCPCS,"Intac psytx, hosp, 75-80 min",,,16,,RBRVS,2.94,0.62,0.62,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100190829,HCPCS,"Intac psytx, hsp 75-80 w/e&m",,,16,,RBRVS,3.1,0.64,0.64,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100190845,HCPCS,Psychoanalysis,,,16,,RBRVS,1.79,0.32,0.39,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100190846,HCPCS,Family psytx w/o patient,,,16,,RBRVS,1.83,0.43,0.51,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100190847,HCPCS,Family psytx w/patient,,,16,,RBRVS,2.21,0.49,0.74,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100190849,HCPCS,Multiple family group psytx,,,16,,RBRVS,0.59,0.21,0.33,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100190853,HCPCS,Group psychotherapy,,,16,,RBRVS,0.59,0.2,0.26,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100190857,HCPCS,Intac group psytx,,,16,,RBRVS,0.63,0.21,0.38,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100190862,HCPCS,Medication management,,,16,,RBRVS,0.95,0.27,0.62,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100190865,HCPCS,Narcosynthesis,,,16,,RBRVS,2.84,0.63,1.17,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100190870,HCPCS,Electroconvulsive therapy,,,16,,RBRVS,1.88,0.38,1.92,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100190875,HCPCS,Psychophysiological therapy,,,16,,RBRVS,1.2,0.28,0.53,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100190876,HCPCS,Psychophysiological therapy,,,16,,RBRVS,1.9,0.44,0.67,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100190880,HCPCS,Hypnotherapy,,,16,,RBRVS,2.19,0.39,0.58,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100190882,HCPCS,Environmental manipulation,,,16,,TotalUnits,,,,3.32,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100190885,HCPCS,Psy evaluation of records,,,16,,RBRVS,0.97,0.22,0.22,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100190887,HCPCS,Consultation with family,,,16,,RBRVS,1.48,0.34,0.61,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100190889,HCPCS,Preparation of report,,,16,,TotalUnits,,,,2.86,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100190899,HCPCS,Psychiatric service/therapy,,,16,,TotalUnits,,,,2.56,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100190901,HCPCS,"Biofeedback train, any meth",,,14,,RBRVS,0.41,0.1,0.46,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100190911,HCPCS,Biofeedback peri/uro/rectal,,,14,,RBRVS,0.89,0.3,1.37,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100190918,HCPCS,"ESRD related services, month",,,14,,RBRVS,11.16,3.74,4.7,,,$0.00 ,$0.00 ,1,1,1,1,1,1,2008100190919,HCPCS,"ESRD related services, month",,,14,,RBRVS,8.53,2.55,3.03,,,$0.00 ,$0.00 ,1,1,1,1,1,1,2008100190920,HCPCS,"ESRD related services, month",,,14,,RBRVS,7.26,2.27,2.74,,,$0.00 ,$0.00 ,1,1,1,1,1,1,2008100190921,HCPCS,"ESRD related services, month",,,14,,RBRVS,4.46,1.61,1.71,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100190922,HCPCS,"ESRD related services, day",,,14,,RBRVS,0.37,0.13,0.16,,,$0.00 ,$0.00 ,1,1,1,1,1,1,2008100190923,HCPCS,"Esrd related services, day",,,14,,RBRVS,0.28,0.08,0.1,,,$0.00 ,$0.00 ,1,1,1,1,1,1,2008100190924,HCPCS,"Esrd related services, day",,,14,,RBRVS,0.24,0.07,0.09,,,$0.00 ,$0.00 ,1,1,1,1,1,1,2008100190925,HCPCS,"Esrd related services, day",,,14,,RBRVS,0.15,0.05,0.05,,,$0.00 ,$0.00 ,1,0,1,0,1,1,2008100190935,HCPCS,"Hemodialysis, one evaluation",,,14,,RBRVS,1.22,0.54,0.54,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100190937,HCPCS,"Hemodialysis, repeated eval",,,14,,RBRVS,2.11,0.77,0.77,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100190940,CPT,Hemodialysis access study,26,,14,,TotalUnits,,,,0.92,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100190940,CPT,Hemodialysis access study,TC,,14,,TotalUnits,,,,1.37,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100190945,HCPCS,"Dialysis, one evaluation",,,14,,RBRVS,1.28,0.55,0.55,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100190947,HCPCS,"Dialysis, repeated eval",,,14,,RBRVS,2.16,0.79,0.79,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100190989,HCPCS,"Dialysis training, complete",,,14,,TotalUnits,,,,14.95,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100190993,HCPCS,"Dialysis training, incompl",,,14,,TotalUnits,,,,2.52,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100190997,HCPCS,Hemoperfusion,,,14,,RBRVS,1.84,0.5,0.5,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100190999,HCPCS,Dialysis procedure,,,14,,TotalUnits,,,,3.09,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100191000,HCPCS,Esophageal intubation,26,,14,,RBRVS,0.73,0.22,0.22,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100191000,HCPCS,Esophageal intubation,TC,,14,,RBRVS,0,1.91,1.91,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100191000,CPT,Esophageal intubation,,,14,,RBRVS,0.73,2.13,2.13,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100191010,HCPCS,Esophagus motility study,26,,14,,RBRVS,1.25,0.55,0.55,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100191010,HCPCS,Esophagus motility study,TC,,14,,RBRVS,0,3.12,3.12,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100191010,CPT,Esophagus motility study,,,14,,RBRVS,1.25,3.67,3.67,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100191011,HCPCS,Esophagus motility study,26,,14,,RBRVS,1.5,0.72,0.72,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100191011,HCPCS,Esophagus motility study,TC,,14,,RBRVS,0,4.66,4.66,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100191011,CPT,Esophagus motility study,,,14,,RBRVS,1.5,5.38,5.38,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100191012,HCPCS,Esophagus motility study,26,,14,,RBRVS,1.46,0.68,0.68,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100191012,HCPCS,Esophagus motility study,TC,,14,,RBRVS,0,4.76,4.76,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100191012,CPT,Esophagus motility study,,,14,,RBRVS,1.46,5.44,5.44,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100191020,HCPCS,Gastric motility,26,,14,,RBRVS,1.44,0.61,0.61,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100191020,HCPCS,Gastric motility,TC,,14,,RBRVS,0,4.21,4.21,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100191020,CPT,Gastric motility,,,14,,RBRVS,1.44,4.82,4.82,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100191022,HCPCS,Duodenal motility study,26,,14,,RBRVS,1.44,0.62,0.62,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100191022,HCPCS,Duodenal motility study,TC,,14,,RBRVS,0,2.52,2.52,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100191022,CPT,Duodenal motility study,,,14,,RBRVS,1.44,3.14,3.14,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100191030,HCPCS,Acid perfusion of esophagus,26,,14,,RBRVS,0.91,0.42,0.42,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100191030,HCPCS,Acid perfusion of esophagus,TC,,14,,RBRVS,0,2.48,2.48,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100191030,CPT,Acid perfusion of esophagus,,,14,,RBRVS,0.91,2.9,2.9,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100191034,HCPCS,Gastroesophageal reflux test,26,,14,,RBRVS,0.97,0.42,0.42,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100191034,HCPCS,Gastroesophageal reflux test,TC,,14,,RBRVS,0,3.73,3.73,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100191034,CPT,Gastroesophageal reflux test,,,14,,RBRVS,0.97,4.15,4.15,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100191035,HCPCS,G-esoph reflx tst w/electrod,26,,14,,RBRVS,1.59,0.7,0.7,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100191035,HCPCS,G-esoph reflx tst w/electrod,TC,,14,,RBRVS,0,10.69,10.69,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100191035,CPT,G-esoph reflx tst w/electrod,,,14,,RBRVS,1.59,11.39,11.39,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100191037,HCPCS,Esoph imped function test,26,,14,,RBRVS,0.97,0.44,0.44,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100191037,HCPCS,Esoph imped function test,TC,,14,,RBRVS,0,3.03,3.03,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100191037,CPT,Esoph imped function test,,,14,,RBRVS,0.97,3.47,3.47,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100191038,HCPCS,Esoph imped funct test > 1h,26,,14,,RBRVS,1.1,0.5,0.5,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100191038,HCPCS,Esoph imped funct test > 1h,TC,,14,,RBRVS,0,2.31,2.31,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100191038,CPT,Esoph imped funct test > 1h,,,14,,RBRVS,1.1,2.81,2.81,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100191040,HCPCS,Esoph balloon distension tst,26,,14,,RBRVS,0.97,0.28,0.28,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100191040,HCPCS,Esoph balloon distension tst,TC,,14,,RBRVS,0,7.45,7.45,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100191040,CPT,Esoph balloon distension tst,,,14,,RBRVS,0.97,7.73,7.73,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100191052,HCPCS,Gastric analysis test,26,,14,,RBRVS,0.79,0.37,0.37,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100191052,HCPCS,Gastric analysis test,TC,,14,,RBRVS,0,2.55,2.55,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100191052,CPT,Gastric analysis test,,,14,,RBRVS,0.79,2.92,2.92,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100191055,HCPCS,Gastric intubation for smear,26,,14,,RBRVS,0.94,0.29,0.29,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100191055,HCPCS,Gastric intubation for smear,TC,,14,,RBRVS,0,2.29,2.29,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100191055,CPT,Gastric intubation for smear,,,14,,RBRVS,0.94,2.58,2.58,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100191065,HCPCS,Breath hydrogen test,26,,14,,RBRVS,0.2,0.06,0.06,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100191065,HCPCS,Breath hydrogen test,TC,,14,,RBRVS,0,1.28,1.28,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100191065,CPT,Breath hydrogen test,,,14,,RBRVS,0.2,1.34,1.34,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100191100,HCPCS,Pass intestine bleeding tube,,,14,,RBRVS,1.08,0.32,2.14,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100191105,HCPCS,Gastric intubation treatment,,,14,,RBRVS,0.37,0.07,1.67,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100191110,CPT,Gi tract capsule endoscopy,26,,14,,RBRVS,3.64,1.67,1.67,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100191110,CPT,Gi tract capsule endoscopy,TC, ,14,,RBRVS,0,18.99,18.99,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100191110,HCPCS,Gi tract capsule endoscopy,,,14,,RBRVS,3.64,20.66,20.66,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100191111,HCPCS,Esophageal capsule endoscopy,26,,21,,RBRVS,1,0.45,0.45,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100191111,HCPCS,Esophageal capsule endoscopy,TC,,21,,RBRVS,0,18.39,18.39,,,$0.00 ,$0.00 ,1,1,1,1,1,1,2008100191111,CPT,Esophageal capsule endoscopy,,,21,,RBRVS,1,18.84,18.84,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100191120,CPT,Rectal sensation test,26,,14,,RBRVS,0.97,0.27,0.27,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100191120,CPT,Rectal sensation test,TC, ,14,,RBRVS,0,8.62,8.62,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100191120,HCPCS,Rectal sensation test,,,14,,RBRVS,0.97,8.89,8.89,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100191122,HCPCS,Anal pressure record,26,,14,,RBRVS,1.77,0.62,0.62,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100191122,HCPCS,Anal pressure record,TC,,14,,RBRVS,0,3.69,3.69,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100191122,CPT,Anal pressure record,,,14,,RBRVS,1.77,4.31,4.31,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100191123,HCPCS,Irrigate fecal impaction,,,14,,TotalUnits,,,,2.04,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100191132,HCPCS,Electrogastrography,26,,14,,RBRVS,0.52,0.25,0.25,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100191133,HCPCS,Electrogastrography w/test,26,,14,,RBRVS,0.66,0.32,0.32,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100191299,HCPCS,Gastroenterology procedure,,,14,,TotalUnits,,,,3.96,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100192002,HCPCS,"Eye exam, new patient",,,23,,RBRVS,0.88,0.25,0.93,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100192004,HCPCS,"Eye exam, new patient",,,23,,RBRVS,1.82,0.55,1.57,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100192012,HCPCS,Eye exam established pat,,,23,,RBRVS,0.92,0.31,0.99,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100192014,HCPCS,Eye exam & treatment,,,23,,RBRVS,1.42,0.46,1.37,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100192015,HCPCS,Refraction,,,23,,RBRVS,0.38,0.09,0.1,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100192018,HCPCS,New eye exam & treatment,,,14,,RBRVS,2.5,0.86,0.86,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100192019,HCPCS,Eye exam & treatment,,,23,,RBRVS,1.31,0.35,0.35,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100192020,HCPCS,Special eye evaluation,,,23,,RBRVS,0.37,0.13,0.25,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100192025,HCPCS,Corneal topography,26,,23,,RBRVS,0.35,0.12,0.12,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100192025,HCPCS,Corneal topography,TC,,23,,RBRVS,0,0.37,0.37,,,$0.00 ,$0.00 ,1,1,1,1,1,1,2008100192025,CPT,Corneal topography,,,23,,RBRVS,0.35,0.49,0.49,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100192060,CPT,Special eye evaluation,26,,23,,RBRVS,0.69,0.22,0.22,,,$0.00 ,$0.00 ,1,0,1,1,1,0,2008100192060,CPT,Special eye evaluation,TC,,23,,RBRVS,0,0.54,0.54,,,$0.00 ,$0.00 ,1,1,1,0,1,0,2008100192060,HCPCS,Special eye evaluation,,,23,,RBRVS,0.69,0.76,0.76,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100192065,CPT,Orthoptic/pleoptic training,26,,23,,RBRVS,0.37,0.09,0.09,,,$0.00 ,$0.00 ,1,0,1,1,1,0,2008100192065,CPT,Orthoptic/pleoptic training,TC,,23,,RBRVS,0,0.77,0.77,,,$0.00 ,$0.00 ,1,1,1,0,1,0,2008100192065,HCPCS,Orthoptic/pleoptic training,,,23,,RBRVS,0.37,0.86,0.86,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100192070,HCPCS,Fitting of contact lens,,,23,,RBRVS,0.7,0.22,0.9,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100192081,HCPCS,Visual field examination(s),26,,23,,RBRVS,0.36,0.11,0.11,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100192081,HCPCS,Visual field examination(s),TC,,23,,RBRVS,0,0.84,0.84,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100192081,CPT,Visual field examination(s),,,23,,RBRVS,0.36,0.95,0.95,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100192082,HCPCS,Visual field examination(s),26,,23,,RBRVS,0.44,0.14,0.14,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100192082,HCPCS,Visual field examination(s),TC,,23,,RBRVS,0,1.18,1.18,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100192082,CPT,Visual field examination(s),,,23,,RBRVS,0.44,1.32,1.32,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100192083,HCPCS,Visual field examination(s),26,,23,,RBRVS,0.5,0.16,0.16,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100192083,HCPCS,Visual field examination(s),TC,,23,,RBRVS,0,1.35,1.35,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100192083,CPT,Visual field examination(s),,,23,,RBRVS,0.5,1.51,1.51,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100192100,HCPCS,Serial tonometry exam(s),,,23,,RBRVS,0.92,0.27,1.24,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100192120,HCPCS,Tonography & eye evaluation,,,23,,RBRVS,0.81,0.25,0.97,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100192130,HCPCS,Water provocation tonography,,,23,,RBRVS,0.81,0.27,1.18,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100192135,HCPCS,Opthalmic dx imaging,26,,23,,RBRVS,0.35,0.12,0.12,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100192135,HCPCS,Opthalmic dx imaging,TC,,23,,RBRVS,0,0.67,0.67,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100192135,CPT,Opthalmic dx imaging,,,23,,RBRVS,0.35,0.79,0.79,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100192136,HCPCS,Ophthalmic biometry,26,,23,,RBRVS,0.54,0.19,0.19,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100192136,HCPCS,Ophthalmic biometry,TC,,23,,RBRVS,0,1.23,1.23,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100192136,CPT,Ophthalmic biometry,,,23,,RBRVS,0.54,1.42,1.42,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100192140,HCPCS,Glaucoma provocative tests,,,23,,RBRVS,0.5,0.14,0.89,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100192225,HCPCS,"Special eye exam, initial",,,23,,RBRVS,0.38,0.12,0.24,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100192226,HCPCS,"Special eye exam, subsequent",,,23,,RBRVS,0.33,0.11,0.23,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100192230,HCPCS,Eye exam with photos,,,23,,RBRVS,0.6,0.19,0.68,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100192235,HCPCS,Eye exam with photos,26,,23,,RBRVS,0.81,0.29,0.29,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100192235,HCPCS,Eye exam with photos,TC,,23,,RBRVS,0,1.97,1.97,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100192235,CPT,Eye exam with photos,,,23,,RBRVS,0.81,2.26,2.26,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100192240,HCPCS,Icg angiography,26,,23,,RBRVS,1.1,0.39,0.39,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100192240,HCPCS,Icg angiography,TC,,23,,RBRVS,0,3.99,3.99,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100192240,CPT,Icg angiography,,,23,,RBRVS,1.1,4.38,4.38,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100192250,HCPCS,Eye exam with photos,26,,23,,RBRVS,0.44,0.14,0.14,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100192250,HCPCS,Eye exam with photos,TC,,23,,RBRVS,0,1.16,1.16,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100192250,CPT,Eye exam with photos,,,23,,RBRVS,0.44,1.3,1.3,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100192260,HCPCS,Ophthalmoscopy/dynamometry,,,23,,RBRVS,0.2,0.07,0.23,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100192265,HCPCS,Eye muscle evaluation,26,,23,,RBRVS,0.81,0.24,0.24,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100192265,HCPCS,Eye muscle evaluation,TC,,23,,RBRVS,0,0.76,0.76,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100192265,CPT,Eye muscle evaluation,,,23,,RBRVS,0.81,1,1,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100192270,HCPCS,Electro-oculography,26,,23,,RBRVS,0.81,0.23,0.23,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100192270,HCPCS,Electro-oculography,TC,,23,,RBRVS,0,1.09,1.09,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100192270,CPT,Electro-oculography,,,23,,RBRVS,0.81,1.32,1.32,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100192275,HCPCS,Electroretinography,26,,23,,RBRVS,1.01,0.35,0.35,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100192275,HCPCS,Electroretinography,TC,,23,,RBRVS,0,2.07,2.07,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100192275,CPT,Electroretinography,,,23,,RBRVS,1.01,2.42,2.42,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100192283,CPT,Color vision examination,26,,23,,RBRVS,0.17,0.05,0.05,,,$0.00 ,$0.00 ,1,0,1,1,1,0,2008100192283,CPT,Color vision examination,TC,,23,,RBRVS,0,0.94,0.94,,,$0.00 ,$0.00 ,1,1,1,0,1,0,2008100192283,HCPCS,Color vision examination,,,23,,RBRVS,0.17,0.99,0.99,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100192284,CPT,Dark adaptation eye exam,26,,23,,RBRVS,0.24,0.07,0.07,,,$0.00 ,$0.00 ,1,0,1,1,1,0,2008100192284,CPT,Dark adaptation eye exam,TC,,23,,RBRVS,0,1.06,1.06,,,$0.00 ,$0.00 ,1,1,1,0,1,0,2008100192284,HCPCS,Dark adaptation eye exam,,,23,,RBRVS,0.24,1.13,1.13,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100192285,HCPCS,Eye photography,26,,23,,RBRVS,0.2,0.07,0.07,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100192285,HCPCS,Eye photography,TC,,23,,RBRVS,0,0.73,0.73,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100192285,CPT,Eye photography,,,23,,RBRVS,0.2,0.8,0.8,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100192286,HCPCS,Internal eye photography,26,,23,,RBRVS,0.66,0.22,0.22,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100192286,HCPCS,Internal eye photography,TC,,23,,RBRVS,0,1.87,1.87,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100192286,CPT,Internal eye photography,,,23,,RBRVS,0.66,2.09,2.09,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100192287,CPT,Internal eye photography,26,,14,,TotalUnits,,,,1.5,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100192287,CPT,Internal eye photography,TC,,14,,TotalUnits,,,,2,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100192287,CPT,Internal eye photography,,,23,,RBRVS,0.81,0.27,1.9,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100192310,HCPCS,Contact lens fitting,,,23,,RBRVS,1.17,0.27,1.06,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100192311,HCPCS,Contact lens fitting,,,23,,RBRVS,1.08,0.31,1.27,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100192312,HCPCS,Contact lens fitting,,,23,,RBRVS,1.26,0.33,1.45,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100192313,HCPCS,Contact lens fitting,,,23,,RBRVS,0.92,0.31,1.42,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100192314,HCPCS,Prescription of contact lens,,,23,,RBRVS,0.69,0.16,1.14,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100192315,HCPCS,Prescription of contact lens,,,23,,RBRVS,0.45,0.13,1.31,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100192316,HCPCS,Prescription of contact lens,,,23,,RBRVS,0.68,0.22,1.63,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100192317,HCPCS,Prescription of contact lens,,,23,,RBRVS,0.45,0.11,1.31,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100192325,HCPCS,Modification of contact lens,,,23,,RBRVS,0,0.83,0.83,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100192326,HCPCS,Replacement of contact lens,,,23,,RBRVS,0,0.73,0.73,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100192340,HCPCS,Fitting of spectacles,,,23,,RBRVS,0.37,0.09,0.44,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100192341,HCPCS,Fitting of spectacles,,,23,,RBRVS,0.47,0.11,0.46,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100192342,HCPCS,Fitting of spectacles,,,23,,RBRVS,0.53,0.12,0.48,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100192352,HCPCS,Special spectacles fitting,,,23,,RBRVS,0.37,0.09,0.56,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100192353,HCPCS,Special spectacles fitting,,,23,,RBRVS,0.5,0.11,0.59,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100192354,HCPCS,Special spectacles fitting,,,23,,RBRVS,0,0.28,0.28,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100192355,HCPCS,Special spectacles fitting,,,23,,RBRVS,0,0.44,0.44,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100192358,HCPCS,Eye prosthesis service,,,23,,RBRVS,0,0.24,0.24,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100192370,HCPCS,Repair & adjust spectacles,,,23,,RBRVS,0.32,0.07,0.39,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100192371,HCPCS,Repair & adjust spectacles,,,23,,RBRVS,0,0.24,0.24,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100192499,HCPCS,Eye service or procedure,,,23,,TotalUnits,,,,1.15,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100192502,HCPCS,Ear and throat examination,,,14,,RBRVS,1.51,0.9,0.9,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100192504,HCPCS,Ear microscopy examination,,,14,,RBRVS,0.18,0.06,0.6,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100192506,HCPCS,Speech/hearing evaluation,,,8,,RBRVS,0.86,0.28,3.5,,,$0.00 ,$0.00 ,1,1,1,0,0,1,2008100192507,HCPCS,Speech/hearing therapy,,,8,,RBRVS,0.52,0.16,1.23,,,$0.00 ,$0.00 ,1,1,1,0,0,1,2008100192508,HCPCS,Speech/hearing therapy,,,8,,RBRVS,0.26,0.09,0.55,,,$0.00 ,$0.00 ,1,1,1,0,0,1,2008100192511,HCPCS,Nasopharyngoscopy,,,14,,RBRVS,0.84,0.67,3.12,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100192512,HCPCS,Nasal function studies,,,14,,RBRVS,0.55,0.17,1,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100192516,HCPCS,Facial nerve function test,,,14,,RBRVS,0.43,0.14,1.23,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100192520,HCPCS,Laryngeal function studies,,,14,,RBRVS,0.75,0.24,0.93,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100192526,HCPCS,Oral function therapy,,,14,,RBRVS,0.55,0.16,1.7,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100192531,HCPCS,Spontaneous nystagmus study,,,14,,TotalUnits,,,,0.64,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100192532,HCPCS,Positional nystagmus test,,,14,,TotalUnits,,,,0.75,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100192533,HCPCS,Caloric vestibular test,,,14,,TotalUnits,,,,1.2,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100192534,HCPCS,Optokinetic nystagmus test,,,14,,TotalUnits,,,,0.53,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100192541,HCPCS,Spontaneous nystagmus test,26,,14,,RBRVS,0.4,0.11,0.11,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100192541,HCPCS,Spontaneous nystagmus test,TC,,14,,RBRVS,0,1.04,1.04,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100192541,CPT,Spontaneous nystagmus test,,,14,,RBRVS,0.4,1.15,1.15,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100192542,HCPCS,Positional nystagmus test,26,,14,,RBRVS,0.33,0.09,0.09,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100192542,HCPCS,Positional nystagmus test,TC,,14,,RBRVS,0,1.2,1.2,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100192542,CPT,Positional nystagmus test,,,14,,RBRVS,0.33,1.29,1.29,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100192543,HCPCS,Caloric vestibular test,26,,14,,RBRVS,0.1,0.03,0.03,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100192543,HCPCS,Caloric vestibular test,TC,,14,,RBRVS,0,0.62,0.62,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100192543,CPT,Caloric vestibular test,,,14,,RBRVS,0.1,0.65,0.65,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100192544,HCPCS,Optokinetic nystagmus test,26,,14,,RBRVS,0.26,0.07,0.07,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100192544,HCPCS,Optokinetic nystagmus test,TC,,14,,RBRVS,0,0.96,0.96,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100192544,CPT,Optokinetic nystagmus test,,,14,,RBRVS,0.26,1.03,1.03,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100192545,HCPCS,Oscillating tracking test,26,,14,,RBRVS,0.23,0.06,0.06,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100192545,HCPCS,Oscillating tracking test,TC,,14,,RBRVS,0,0.94,0.94,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100192545,CPT,Oscillating tracking test,,,14,,RBRVS,0.23,1,1,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100192546,HCPCS,Sinusoidal rotational test,26,,14,,RBRVS,0.29,0.08,0.08,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100192546,HCPCS,Sinusoidal rotational test,TC,,14,,RBRVS,0,1.73,1.73,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100192546,CPT,Sinusoidal rotational test,,,14,,RBRVS,0.29,1.81,1.81,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100192547,HCPCS,Supplemental electrical test,,TC,14,,RBRVS,0,0.11,0.11,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100192548,CPT,Posturography,26, ,14,,RBRVS,0.5,0.14,0.14,,,$0.00 ,$0.00 ,1,0,1,1,1,0,2008100192548,CPT,Posturography,TC, ,14,,RBRVS,0,1.56,1.56,,,$0.00 ,$0.00 ,1,1,1,0,1,0,2008100192548,HCPCS,Posturography,,,14,,RBRVS,0.5,1.7,1.7,,,$0.00 ,$0.00 ,1,0,1,1,1,0,2008100192551,HCPCS,"Pure tone hearing test, air",,,8,,RBRVS,0,0.25,0.25,,,$0.00 ,$0.00 ,1,1,1,0,0,1,2008100192552,HCPCS,"Pure tone audiometry, air",,TC,8,,RBRVS,0,0.61,0.61,,,$0.00 ,$0.00 ,1,1,1,0,0,1,2008100192553,HCPCS,"Audiometry, air & bone",,TC,8,,RBRVS,0,0.77,0.77,,,$0.00 ,$0.00 ,1,1,1,0,0,1,2008100192555,HCPCS,Speech threshold audiometry,,TC,8,,RBRVS,0,0.41,0.41,,,$0.00 ,$0.00 ,1,1,1,0,0,1,2008100192556,HCPCS,"Speech audiometry, complete",,TC,8,,RBRVS,0,0.51,0.51,,,$0.00 ,$0.00 ,1,1,1,0,0,1,2008100192557,HCPCS,Comprehensive hearing test,,TC,8,,RBRVS,0.6,0.2,0.29,,,$0.00 ,$0.00 ,1,1,1,0,0,1,2008100192559,HCPCS,Group audiometric testing,,,8,,TotalUnits,,,,1.26,,$0.00 ,$0.00 ,1,1,1,0,0,1,2008100192560,HCPCS,"Bekesy audiometry, screen",,,8,,TotalUnits,,,,0.75,,$0.00 ,$0.00 ,1,1,1,0,0,1,2008100192561,HCPCS,"Bekesy audiometry, diagnosis",,TC,8,,RBRVS,0,0.7,0.7,,,$0.00 ,$0.00 ,1,1,1,0,0,1,2008100192562,HCPCS,Loudness balance test,,TC,8,,RBRVS,0,0.62,0.62,,,$0.00 ,$0.00 ,1,1,1,0,0,1,2008100192563,HCPCS,Tone decay hearing test,,TC,8,,RBRVS,0,0.55,0.55,,,$0.00 ,$0.00 ,1,1,1,0,0,1,2008100192564,HCPCS,Sisi hearing test,,TC,8,,RBRVS,0,0.48,0.48,,,$0.00 ,$0.00 ,1,1,1,0,0,1,2008100192565,HCPCS,"Stenger test, pure tone",,TC,8,,RBRVS,0,0.25,0.25,,,$0.00 ,$0.00 ,1,1,1,0,0,1,2008100192567,HCPCS,Tympanometry,,TC,8,,RBRVS,0.2,0.07,0.13,,,$0.00 ,$0.00 ,1,1,1,0,0,1,2008100192568,HCPCS,Acoustic reflex testing,,TC,8,,RBRVS,0.29,0.09,0.1,,,$0.00 ,$0.00 ,1,1,1,0,0,1,2008100192569,HCPCS,Acoustic reflex decay test,,TC,8,,RBRVS,0.2,0.07,0.07,,,$0.00 ,$0.00 ,1,1,1,0,0,1,2008100192571,HCPCS,Filtered speech hearing test,,TC,8,,RBRVS,0,0.44,0.44,,,$0.00 ,$0.00 ,1,1,1,0,0,1,2008100192572,HCPCS,Staggered spondaic word test,,TC,8,,RBRVS,0,0.59,0.59,,,$0.00 ,$0.00 ,1,1,1,0,0,1,2008100192575,HCPCS,Sensorineural acuity test,,TC,8,,RBRVS,0,1.15,1.15,,,$0.00 ,$0.00 ,1,1,1,0,0,1,2008100192576,HCPCS,Synthetic sentence test,,TC,8,,RBRVS,0,0.58,0.58,,,$0.00 ,$0.00 ,1,1,1,0,0,1,2008100192577,HCPCS,"Stenger test, speech",,TC,8,,RBRVS,0,0.26,0.26,,,$0.00 ,$0.00 ,1,1,1,0,0,1,2008100192579,HCPCS,Visual audiometry (vra),,TC,8,,RBRVS,0.7,0.23,0.35,,,$0.00 ,$0.00 ,1,1,1,0,0,1,2008100192582,HCPCS,Conditioning play audiometry,,TC,8,,RBRVS,0,1.17,1.17,,,$0.00 ,$0.00 ,1,1,1,0,0,1,2008100192583,HCPCS,Select picture audiometry,,TC,8,,RBRVS,0,0.73,0.73,,,$0.00 ,$0.00 ,1,1,1,0,0,1,2008100192584,HCPCS,Electrocochleography,,TC,8,,RBRVS,0,1.36,1.36,,,$0.00 ,$0.00 ,1,1,1,0,0,1,2008100192585,HCPCS,"Auditor evoke potent, compre",26,,8,,RBRVS,0.5,0.15,0.15,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100192585,HCPCS,"Auditor evoke potent, compre",TC,,8,,RBRVS,0,1.95,1.95,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100192585,CPT,"Auditor evoke potent, compre",,,8,,RBRVS,0.5,2.1,2.1,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100192586,HCPCS,"Auditor evoke potent, limit",,TC,8,,RBRVS,0,1.41,1.41,,,$0.00 ,$0.00 ,1,1,1,0,0,1,2008100192587,HCPCS,Evoked auditory test,26,,8,,RBRVS,0.13,0.04,0.04,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100192587,HCPCS,Evoked auditory test,TC,,8,,RBRVS,0,0.61,0.61,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100192587,CPT,Evoked auditory test,,,8,,RBRVS,0.13,0.65,0.65,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100192588,HCPCS,Evoked auditory test,26,,8,,RBRVS,0.36,0.11,0.11,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100192588,HCPCS,Evoked auditory test,TC,,8,,RBRVS,0,1.01,1.01,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100192588,CPT,Evoked auditory test,,,8,,RBRVS,0.36,1.12,1.12,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100192590,HCPCS,"Hearing aid exam, one ear",,,8,,TotalUnits,,,,1.51,,$0.00 ,$0.00 ,1,1,1,0,0,1,2008100192591,HCPCS,"Hearing aid exam, both ears",,,8,,TotalUnits,,,,2.26,,$0.00 ,$0.00 ,1,1,1,0,0,1,2008100192592,HCPCS,"Hearing aid check, one ear",,,8,,TotalUnits,,,,0.66,,$0.00 ,$0.00 ,1,1,1,0,0,1,2008100192593,HCPCS,"Hearing aid check, both ears",,,8,,TotalUnits,,,,0.99,,$0.00 ,$0.00 ,1,1,1,0,0,1,2008100192594,HCPCS,"Electro hearng aid test, one",,,8,,TotalUnits,,,,0.72,,$0.00 ,$0.00 ,1,1,1,0,0,1,2008100192595,HCPCS,"Electro hearng aid tst, both",,,8,,TotalUnits,,,,1.08,,$0.00 ,$0.00 ,1,1,1,0,0,1,2008100192596,HCPCS,Ear protector evaluation,,,8,,RBRVS,0,1.02,1.02,,,$0.00 ,$0.00 ,1,1,1,0,0,1,2008100192597,HCPCS,Oral speech device eval,,,8,,RBRVS,0.86,0.28,1.99,,,$0.00 ,$0.00 ,1,1,1,0,0,1,2008100192601,HCPCS,Cochlear implt f/up exam < 7,,,8,,RBRVS,2.3,0.64,1.09,,,$0.00 ,$0.00 ,1,1,1,0,0,1,2008100192602,HCPCS,Reprogram cochlear implt < 7,,,8,,RBRVS,1.3,0.4,0.84,,,$0.00 ,$0.00 ,1,1,1,0,0,1,2008100192603,HCPCS,Cochlear implt f/up exam 7 >,,,8,,RBRVS,2.25,0.73,1.19,,,$0.00 ,$0.00 ,1,1,1,0,0,1,2008100192604,HCPCS,Reprogram cochlear implt 7 >,,,8,,RBRVS,1.25,0.41,0.78,,,$0.00 ,$0.00 ,1,1,1,0,0,1,2008100192607,HCPCS,"Ex for speech device rx, 1hr",,,8,,RBRVS,0,4.63,4.63,,,$0.00 ,$0.00 ,1,1,1,0,0,1,2008100192608,HCPCS,Ex for speech device rx addl,,,8,,RBRVS,0,0.88,0.88,,,$0.00 ,$0.00 ,1,1,1,0,0,1,2008100192609,HCPCS,Use of speech device service,,,8,,RBRVS,0,2.45,2.45,,,$0.00 ,$0.00 ,1,1,1,0,0,1,2008100192610,HCPCS,Evaluate swallowing function,,,8,,RBRVS,0,1.7,1.7,,,$0.00 ,$0.00 ,1,1,1,0,0,1,2008100192611,HCPCS,Motion fluoroscopy/swallow,,,8,,RBRVS,0,1.95,1.95,,,$0.00 ,$0.00 ,1,1,1,0,0,1,2008100192612,HCPCS,Endoscopy swallow tst (fees),,,8,,RBRVS,1.27,0.42,2.97,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100192613,HCPCS,Endoscopy swallow tst (fees),,,8,,RBRVS,0.71,0.24,0.24,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100192614,HCPCS,Laryngoscopic sensory test,,,8,,RBRVS,1.27,0.42,2.42,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100192615,HCPCS,Eval laryngoscopy sense tst,,,8,,RBRVS,0.63,0.21,0.21,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100192616,HCPCS,Fees w/laryngeal sense test,,,8,,RBRVS,1.88,0.61,3.16,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100192617,HCPCS,Interprt fees/laryngeal test,,,8,,RBRVS,0.79,0.26,0.26,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100192620,HCPCS,"Auditory function, 60 min",,,8,,RBRVS,0,1.93,1.93,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100192621,HCPCS,"Auditory function, + 15 min",,,8,,RBRVS,0,0.44,0.44,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100192625,HCPCS,Tinnitus assessment,,,8,,RBRVS,0,1.94,1.94,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100192626,HCPCS,Eval aud rehab status,,,8,,RBRVS,0,2.01,2.01,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100192627,CPT,Eval aud status rehab add-on,,,8,,RBRVS,0,0.46,0.46,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100192640,HCPCS,Aud brainstem implt programg,,,8,,RBRVS,0,1.34,1.34,,,$0.00 ,$0.00 ,1,1,1,1,1,1,2008100192700,HCPCS,Ent procedure/service,,,8,,TotalUnits,,,,0.46,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100192950,HCPCS,Heart/lung resuscitation cpr,,,4,,RBRVS,3.79,0.77,3.25,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100192953,HCPCS,Temporary external pacing,,,4,,RBRVS,0.23,0.07,0.07,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100192960,HCPCS,"Cardioversion electric, ext",,,4,,RBRVS,2.25,1.45,4.37,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100192961,CPT,"Cardioversion, electric, int",26,,4,,TotalUnits,,,,3.67,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100192961,CPT,"Cardioversion, electric, int",TC,,4,,TotalUnits,,,,3.01,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100192961,CPT,"Cardioversion, electric, int",,,4,,RBRVS,4.59,2.43,2.43,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100192970,HCPCS,"Cardioassist, internal",,,4,,RBRVS,3.51,1.46,1.46,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100192971,HCPCS,"Cardioassist, external",,,4,,RBRVS,1.77,1.09,1.09,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100192973,HCPCS,Percut coronary thrombectomy,,,21,,RBRVS,3.28,1.76,1.76,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100192974,HCPCS,"Cath place, cardio brachytx",,,21,,RBRVS,3,1.62,1.62,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100192975,HCPCS,"Dissolve clot, heart vessel",,,4,,RBRVS,7.24,3.84,3.84,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100192977,HCPCS,"Dissolve clot, heart vessel",,,4,,RBRVS,0,1.73,1.73,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100192978,HCPCS,"Intravasc us, heart add-on",26,,4,,RBRVS,1.8,0.96,0.96,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100192979,HCPCS,"Intravasc us, heart add-on",26,,4,,RBRVS,1.44,0.77,0.77,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100192980,HCPCS,Insert intracoronary stent,,,21,,RBRVS,14.82,8.13,8.13,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100192981,HCPCS,Insert intracoronary stent,,,21,,RBRVS,4.16,2.23,2.23,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100192982,HCPCS,Coronary artery dilation,,,21,,RBRVS,10.96,6.06,6.06,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100192984,HCPCS,Coronary artery dilation,,,21,,RBRVS,2.97,1.58,1.58,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100192986,HCPCS,Revision of aortic valve,,,21,,RBRVS,22.7,15.34,15.34,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100192987,HCPCS,Revision of mitral valve,,,21,,RBRVS,23.48,15.96,15.96,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100192990,HCPCS,Revision of pulmonary valve,,,21,,RBRVS,18.12,11.34,11.34,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100192992,HCPCS,Revision of heart chamber,,,21,,TotalUnits,,,,36.93,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100192993,HCPCS,Revision of heart chamber,,,21,,TotalUnits,,,,25.88,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100192995,HCPCS,Coronary atherectomy,,,21,,RBRVS,12.07,6.65,6.65,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100192996,HCPCS,Coronary atherectomy add-on,,,21,,RBRVS,3.26,1.76,1.76,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100192997,HCPCS,"Pul art balloon repr, percut",,,21,,RBRVS,11.98,5.61,5.61,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100192998,HCPCS,"Pul art balloon repr, percut",,,21,,RBRVS,5.99,3,3,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100193000,HCPCS,"Electrocardiogram, complete",,,4,,RBRVS,0.17,0.35,0.35,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100193005,HCPCS,"Electrocardiogram, tracing",,TC,4,,RBRVS,0,0.28,0.28,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100193010,HCPCS,Electrocardiogram report,,PC,4,,RBRVS,0.17,0.07,0.07,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100193012,HCPCS,Transmission of ecg,,TC,4,,RBRVS,0,4.17,4.17,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100193014,HCPCS,Report on transmitted ecg,,PC,4,,RBRVS,0.52,0.22,0.22,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100193015,HCPCS,Cardiovascular stress test,,,4,,RBRVS,0.75,1.91,1.91,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100193016,HCPCS,Cardiovascular stress test,,PC,4,,RBRVS,0.45,0.22,0.22,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100193017,HCPCS,Cardiovascular stress test,,TC,4,,RBRVS,0,1.54,1.54,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100193018,HCPCS,Cardiovascular stress test,,PC,4,,RBRVS,0.3,0.15,0.15,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100193024,HCPCS,Cardiac drug stress test,26,,4,,RBRVS,1.17,0.58,0.58,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100193024,HCPCS,Cardiac drug stress test,TC,,4,,RBRVS,0,1.82,1.82,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100193024,CPT,Cardiac drug stress test,,,4,,RBRVS,1.17,2.4,2.4,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100193025,CPT,Microvolt t-wave assess,26,,4,,RBRVS,0.75,0.38,0.38,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100193025,HCPCS,Microvolt t-wave assess,TC,,4,,RBRVS,0,3.55,3.55,,,$0.00 ,$0.00 ,1,1,1,0,1,0,2008100193025,HCPCS,Microvolt t-wave assess,,,4,,RBRVS,0.75,3.93,3.93,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100193040,HCPCS,Rhythm ECG with report,,,4,,RBRVS,0.16,0.19,0.19,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100193041,HCPCS,"Rhythm ECG, tracing",,TC,4,,RBRVS,0,0.14,0.14,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100193042,HCPCS,"Rhythm ECG, report",,PC,4,,RBRVS,0.16,0.05,0.05,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100193224,HCPCS,"ECG monitor/report, 24 hrs",,,4,,RBRVS,0.52,2.31,2.31,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100193225,HCPCS,"ECG monitor/record, 24 hrs",,TC,4,,RBRVS,0,0.85,0.85,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100193226,HCPCS,"ECG monitor/report, 24 hrs",,TC,4,,RBRVS,0,1.19,1.19,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100193227,HCPCS,"ECG monitor/review, 24 hrs",,PC,4,,RBRVS,0.52,0.27,0.27,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100193230,HCPCS,"ECG monitor/report, 24 hrs",,,4,,RBRVS,0.52,2.3,2.3,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100193231,HCPCS,"Ecg monitor/record, 24 hrs",,TC,4,,RBRVS,0,0.72,0.72,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100193232,HCPCS,"ECG monitor/report, 24 hrs",,TC,4,,RBRVS,0,1.35,1.35,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100193233,HCPCS,"ECG monitor/review, 24 hrs",,PC,4,,RBRVS,0.52,0.23,0.23,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100193237,HCPCS,"ECG monitor/review, 24 hrs",,PC,4,,RBRVS,0.45,0.22,0.22,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100193268,HCPCS,ECG record/review,,,4,,RBRVS,0.52,5.79,5.79,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100193270,HCPCS,ECG recording,,TC,4,,RBRVS,0,0.29,0.29,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100193271,HCPCS,Ecg/monitoring and analysis,,TC,4,,RBRVS,0,5.28,5.28,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100193272,HCPCS,"Ecg/review, interpret only",,PC,4,,RBRVS,0.52,0.22,0.22,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100193278,HCPCS,ECG/signal-averaged,26,,4,,RBRVS,0.25,0.1,0.1,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100193278,HCPCS,ECG/signal-averaged,TC,,4,,RBRVS,0,0.52,0.52,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100193278,CPT,ECG/signal-averaged,,,4,,RBRVS,0.25,0.62,0.62,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100193303,HCPCS,Echo transthoracic,26,,4,,RBRVS,1.3,0.53,0.53,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100193303,HCPCS,Echo transthoracic,TC,,4,,RBRVS,0,3.97,3.97,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100193303,CPT,Echo transthoracic,,,4,,RBRVS,1.3,4.5,4.5,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100193304,HCPCS,Echo transthoracic,26,,4,,RBRVS,0.75,0.3,0.3,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100193304,HCPCS,Echo transthoracic,TC,,4,,RBRVS,0,2.8,2.8,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100193304,CPT,Echo transthoracic,,,4,,RBRVS,0.75,3.1,3.1,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100193307,HCPCS,Echo exam of heart,26,,4,,RBRVS,0.92,0.45,0.45,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100193307,HCPCS,Echo exam of heart,TC,,4,,RBRVS,0,3.28,3.28,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100193307,CPT,Echo exam of heart,,,4,,RBRVS,0.92,3.73,3.73,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100193308,HCPCS,Echo exam of heart,26,,4,,RBRVS,0.53,0.27,0.27,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100193308,HCPCS,Echo exam of heart,TC,,4,,RBRVS,0,2.35,2.35,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100193308,CPT,Echo exam of heart,,,4,,RBRVS,0.53,2.62,2.62,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100193312,HCPCS,Echo transesophageal,26,,4,,RBRVS,2.2,0.97,0.97,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100193312,HCPCS,Echo transesophageal,TC,,4,,RBRVS,0,6.42,6.42,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100193312,CPT,Echo transesophageal,,,4,,RBRVS,2.2,7.39,7.39,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100193313,HCPCS,Echo transesophageal,,,4,,RBRVS,0.95,0.12,0.12,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100193314,HCPCS,Echo transesophageal,26,,4,,RBRVS,1.25,0.56,0.56,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100193314,HCPCS,Echo transesophageal,TC,,4,,RBRVS,0,6.66,6.66,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100193314,CPT,Echo transesophageal,,,4,,RBRVS,1.25,7.22,7.22,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100193315,HCPCS,Echo transesophageal,26,,4,,RBRVS,2.78,1.31,1.31,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100193315,HCPCS,Echo transesophageal,TC,,4,,TotalUnits,,,,4.19,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100193316,HCPCS,Echo transesophageal,,,4,,RBRVS,0.95,0.26,0.26,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100193317,HCPCS,Echo transesophageal,26,,4,,RBRVS,1.83,0.55,0.55,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100193317,HCPCS,Echo transesophageal,TC,,4,,TotalUnits,,,,3.43,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100193318,HCPCS,Echo transesophageal intraop,26,,4,,RBRVS,2.2,0.86,0.86,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100193318,HCPCS,Echo transesophageal intraop,TC,,4,,TotalUnits,,,,3.81,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100193320,HCPCS,"Doppler echo exam, heart",26,,4,,RBRVS,0.38,0.18,0.18,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100193320,HCPCS,"Doppler echo exam, heart",TC,,4,,RBRVS,0,1.49,1.49,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100193320,CPT,"Doppler echo exam, heart",,,4,,RBRVS,0.38,1.67,1.67,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100193321,HCPCS,"Doppler echo exam, heart",26,,4,,RBRVS,0.15,0.07,0.07,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100193321,HCPCS,"Doppler echo exam, heart",TC,,4,,RBRVS,0,0.54,0.54,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100193321,CPT,"Doppler echo exam, heart",,,4,,RBRVS,0.15,0.61,0.61,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100193325,HCPCS,Doppler color flow add-on,26,,4,,RBRVS,0.07,0.03,0.03,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100193325,HCPCS,Doppler color flow add-on,TC,,4,,RBRVS,0,0.63,0.63,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100193325,CPT,Doppler color flow add-on,,,4,,RBRVS,0.07,0.66,0.66,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100193350,HCPCS,Echo transthoracic,26,,4,,RBRVS,1.48,0.76,0.76,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100193350,HCPCS,Echo transthoracic,TC,,4,,RBRVS,0,4.33,4.33,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100193350,CPT,Echo transthoracic,,,4,,RBRVS,1.48,5.09,5.09,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100193501,HCPCS,Right heart catheterization,26,,21,,RBRVS,3.02,1.57,1.57,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100193501,CPT,Right heart catheterization,TC, ,21,,RBRVS,0,17.14,17.14,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100193501,CPT,Right heart catheterization,,,21,,RBRVS,3.02,18.71,18.71,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100193505,HCPCS,Biopsy of heart lining,26,,21,,RBRVS,4.37,2.28,2.28,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100193505,CPT,Biopsy of heart lining,TC, ,21,,RBRVS,0,18.64,18.64,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100193505,CPT,Biopsy of heart lining,,,21,,RBRVS,4.37,20.92,20.92,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100193508,HCPCS,"Cath placement, angiography",26,,21,,RBRVS,4.09,2.17,2.17,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100193508,CPT,"Cath placement, angiography",TC, ,21,,RBRVS,0,26.68,26.68,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100193508,CPT,"Cath placement, angiography",,,21,,RBRVS,4.09,28.85,28.85,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100193510,HCPCS,Left heart catheterization,26,,21,,RBRVS,4.32,2.28,2.28,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100193510,CPT,Left heart catheterization,TC, ,21,,RBRVS,0,25.87,25.87,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100193510,CPT,Left heart catheterization,,,21,,RBRVS,4.32,28.15,28.15,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100193511,HCPCS,Left heart catheterization,26,,21,,RBRVS,5.02,2.65,2.65,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100193514,HCPCS,Left heart catheterization,26,,21,,RBRVS,7.04,2.95,2.95,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100193524,HCPCS,Left heart catheterization,26,,21,,RBRVS,6.94,3.78,3.78,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100193526,HCPCS,Rt & Lt heart catheters,26,,21,,RBRVS,5.98,3.17,3.17,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100193526,CPT,Rt & Lt heart catheters,TC, ,21,,RBRVS,0,31.97,31.97,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100193526,CPT,Rt & Lt heart catheters,,,21,,RBRVS,5.98,35.14,35.14,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100193527,HCPCS,Rt & Lt heart catheters,26,,21,,RBRVS,7.27,3.86,3.86,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100193528,HCPCS,Rt & Lt heart catheters,26,,21,,RBRVS,8.99,4.43,4.43,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100193529,HCPCS,"Rt, lt heart catheterization",26,,21,,RBRVS,4.79,2.58,2.58,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100193530,HCPCS,"Rt heart cath, congenital",26,,21,,RBRVS,4.22,1.84,1.84,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100193531,HCPCS,"R & l heart cath, congenital",26,,21,,RBRVS,8.34,3.57,3.57,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100193532,HCPCS,"R & l heart cath, congenital",26,,21,,RBRVS,9.99,3.66,3.66,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100193533,HCPCS,"R & l heart cath, congenital",26,,21,,RBRVS,6.69,3.16,3.16,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100193539,CPT,"Injection, cardiac cath",,,4,,RBRVS,0.4,0.21,2.47,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100193540,CPT,"Injection, cardiac cath",,,4,,RBRVS,0.43,0.23,8.62,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100193541,CPT,Injection for lung angiogram,,,4,,RBRVS,0.29,0.15,0.15,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100193542,CPT,Injection for heart x-rays,,,4,,RBRVS,0.29,0.15,5.19,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100193543,CPT,Injection for heart x-rays,,,4,,RBRVS,0.29,0.16,2.62,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100193544,CPT,Injection for aortography,,,4,,RBRVS,0.25,0.13,1.84,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100193545,CPT,Inject for coronary x-rays,,,4,,RBRVS,0.4,0.21,5.87,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100193555,HCPCS,"Imaging, cardiac cath",26,,4,,RBRVS,0.81,0.43,0.43,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100193555,CPT,"Imaging, cardiac cath",TC, ,4,,RBRVS,0,0.17,0.17,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100193555,CPT,"Imaging, cardiac cath",,,4,,RBRVS,0.81,0.6,0.6,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100193556,HCPCS,"Imaging, cardiac cath",26,,4,,RBRVS,0.83,0.44,0.44,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100193556,CPT,"Imaging, cardiac cath",TC, ,4,,RBRVS,0,0.44,0.44,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100193556,CPT,"Imaging, cardiac cath",,,4,,RBRVS,0.83,0.88,0.88,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100193561,HCPCS,Cardiac output measurement,26,,4,,RBRVS,0.5,0.14,0.14,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100193562,HCPCS,Cardiac output measurement,26,,4,,RBRVS,0.16,0.03,0.03,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100193571,CPT,Heart flow reserve measure,26,,4,,RBRVS,1.8,0.96,0.96,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100193572,HCPCS,Heart flow reserve measure,26,,4,,RBRVS,1.44,0.74,0.74,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100193580,HCPCS,Transcath closure of asd,,,21,,RBRVS,17.97,9.41,9.41,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100193581,HCPCS,Transcath closure of vsd,,,21,,RBRVS,24.39,11.56,11.56,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100193600,HCPCS,Bundle of His recording,26,,4,,RBRVS,2.12,1.09,1.09,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100193602,HCPCS,Intra-atrial recording,26,,4,,RBRVS,2.12,1.04,1.04,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100193603,HCPCS,Right ventricular recording,26,,4,,RBRVS,2.12,1.04,1.04,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100193609,HCPCS,"Map tachycardia, add-on",26,,4,,RBRVS,4.99,2.61,2.61,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100193610,HCPCS,Intra-atrial pacing,26,,4,,RBRVS,3.02,1.47,1.47,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100193612,HCPCS,Intraventricular pacing,26,,4,,RBRVS,3.02,1.43,1.43,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100193613,CPT,"Electrophys map 3d, add-on",26,,4,,TotalUnits,,,,5.36,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100193613,CPT,"Electrophys map 3d, add-on",TC,,4,,TotalUnits,,,,0.98,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100193613,CPT,"Electrophys map 3d, add-on",,,4,,RBRVS,6.99,3.69,3.69,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100193615,HCPCS,Esophageal recording,26,,4,,RBRVS,0.99,0.54,0.54,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100193616,HCPCS,Esophageal recording,26,,4,,RBRVS,1.49,0.26,0.26,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100193618,HCPCS,Heart rhythm pacing,26,,4,,RBRVS,4.25,2.28,2.28,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100193619,HCPCS,Electrophysiology evaluation,26,,4,,RBRVS,7.31,3.87,3.87,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100193620,HCPCS,Electrophysiology evaluation,26,,4,,RBRVS,11.57,6.09,6.09,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100193620,HCPCS,Electrophysiology evaluation,TC,,4,,TotalUnits,,,,11.47,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100193621,HCPCS,Electrophysiology evaluation,26,,4,,RBRVS,2.1,1.1,1.1,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100193621,HCPCS,Electrophysiology evaluation,TC,,4,,TotalUnits,,,,3.89,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100193622,HCPCS,Electrophysiology evaluation,26,,4,,RBRVS,3.1,1.57,1.57,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100193622,HCPCS,Electrophysiology evaluation,TC,,4,,TotalUnits,,,,3.89,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100193623,HCPCS,"Stimulation, pacing heart",26,,4,,RBRVS,2.85,1.5,1.5,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100193623,HCPCS,"Stimulation, pacing heart",TC,,4,,TotalUnits,,,,3.53,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100193624,HCPCS,Electrophysiologic study,26,,4,,RBRVS,4.8,2.6,2.6,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100193631,HCPCS,"Heart pacing, mapping",26,,4,,RBRVS,7.59,2.75,2.75,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100193640,HCPCS,Evaluation heart device,26,,4,,RBRVS,3.51,1.82,1.82,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100193641,HCPCS,Electrophysiology evaluation,26,,4,,RBRVS,5.92,3.11,3.11,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100193642,HCPCS,Electrophysiology evaluation,26,,4,,RBRVS,4.88,2.6,2.6,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100193642,HCPCS,Electrophysiology evaluation,TC,,4,,RBRVS,0,4.77,4.77,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100193650,HCPCS,Ablate heart dysrhythm focus,,,4,,RBRVS,10.49,5.8,5.8,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100193651,HCPCS,Ablate heart dysrhythm focus,,,4,,RBRVS,16.23,8.53,8.53,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100193652,HCPCS,Ablate heart dysrhythm focus,,,4,,RBRVS,17.65,9.35,9.35,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100193660,HCPCS,Tilt table evaluation,26,,4,,RBRVS,1.89,0.97,0.97,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100193660,HCPCS,Tilt table evaluation,TC,,4,,RBRVS,0,2.04,2.04,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100193660,CPT,Tilt table evaluation,,,4,,RBRVS,1.89,3.01,3.01,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100193662,HCPCS,Intracardiac ecg (ice),26,,4,,RBRVS,2.8,1.47,1.47,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100193662,HCPCS,Intracardiac ecg (ice),TC,,4,,TotalUnits,,,,4.4,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100193668,HCPCS,Peripheral vascular rehab,,,4,,RBRVS,0,0.41,0.41,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100193701,CPT,"Bioimpedance, thoracic",26,,4,,RBRVS,0.17,0.06,0.06,,,$0.00 ,$0.00 ,1,0,1,1,1,0,2008100193701,CPT,"Bioimpedance, thoracic",TC,,4,,RBRVS,0,0.64,0.64,,,$0.00 ,$0.00 ,1,1,1,0,1,0,2008100193701,HCPCS,"Bioimpedance, thoracic",,,4,,RBRVS,0.17,0.7,0.7,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100193720,HCPCS,Total body plethysmography,,,4,,RBRVS,0.17,1.17,1.17,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100193721,HCPCS,Plethysmography tracing,,TC,4,,RBRVS,0,1.13,1.13,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100193722,HCPCS,Plethysmography report,,,4,,RBRVS,0.17,0.04,0.04,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100193724,HCPCS,Analyze pacemaker system,26,,4,,RBRVS,4.88,2.35,2.35,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100193724,HCPCS,Analyze pacemaker system,TC,,4,,RBRVS,0,0.88,0.88,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100193724,CPT,Analyze pacemaker system,,,4,,RBRVS,4.88,3.23,3.23,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100193727,HCPCS,Analyze ilr system,,PC,4,,RBRVS,0.52,0.64,0.64,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100193731,HCPCS,Analyze pacemaker system,26,,4,,RBRVS,0.45,0.24,0.24,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100193731,HCPCS,Analyze pacemaker system,TC,,4,,RBRVS,0,0.55,0.55,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100193731,CPT,Analyze pacemaker system,,,4,,RBRVS,0.45,0.79,0.79,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100193732,HCPCS,Analyze pacemaker system,26,,4,,RBRVS,0.92,0.48,0.48,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100193732,HCPCS,Analyze pacemaker system,TC,,4,,RBRVS,0,0.67,0.67,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100193732,CPT,Analyze pacemaker system,,,4,,RBRVS,0.92,1.15,1.15,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100193733,HCPCS,"Telephone analy, pacemaker",26,,4,,RBRVS,0.17,0.08,0.08,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100193733,HCPCS,"Telephone analy, pacemaker",TC,,4,,RBRVS,0,0.85,0.85,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100193733,CPT,"Telephone analy, pacemaker",,,4,,RBRVS,0.17,0.93,0.93,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100193734,HCPCS,Analyze pacemaker system,26,,4,,RBRVS,0.38,0.19,0.19,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100193734,HCPCS,Analyze pacemaker system,TC,,4,,RBRVS,0,0.5,0.5,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100193734,CPT,Analyze pacemaker system,,,4,,RBRVS,0.38,0.69,0.69,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100193735,HCPCS,Analyze pacemaker system,26,,4,,RBRVS,0.74,0.39,0.39,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100193735,HCPCS,Analyze pacemaker system,TC,,4,,RBRVS,0,0.57,0.57,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100193735,CPT,Analyze pacemaker system,,,4,,RBRVS,0.74,0.96,0.96,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100193736,HCPCS,"Telephone analy, pacemaker",26,,4,,RBRVS,0.15,0.07,0.07,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100193736,HCPCS,"Telephone analy, pacemaker",TC,,4,,RBRVS,0,0.84,0.84,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100193736,CPT,"Telephone analy, pacemaker",,,4,,RBRVS,0.15,0.91,0.91,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100193740,HCPCS,Temperature gradient studies,26,,4,,RBRVS,0.16,0.04,0.04,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100193740,CPT,Temperature gradient studies,,,4,,RBRVS,0.16,0.04,0.04,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100193741,HCPCS,Analyze ht pace device sngl,26,,4,,RBRVS,0.8,0.42,0.42,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100193741,HCPCS,Analyze ht pace device sngl,TC,,4,,RBRVS,0,0.6,0.6,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100193741,CPT,Analyze ht pace device sngl,,,4,,RBRVS,0.8,1.02,1.02,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100193742,HCPCS,Analyze ht pace device sngl,26,,4,,RBRVS,0.91,0.48,0.48,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100193742,HCPCS,Analyze ht pace device sngl,TC,,4,,RBRVS,0,0.67,0.67,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100193742,CPT,Analyze ht pace device sngl,,,4,,RBRVS,0.91,1.15,1.15,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100193743,HCPCS,Analyze ht pace device dual,26,,4,,RBRVS,1.03,0.55,0.55,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100193743,HCPCS,Analyze ht pace device dual,TC,,4,,RBRVS,0,0.64,0.64,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100193743,CPT,Analyze ht pace device dual,,,4,,RBRVS,1.03,1.19,1.19,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100193744,HCPCS,Analyze ht pace device dual,26,,4,,RBRVS,1.18,0.63,0.63,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100193744,HCPCS,Analyze ht pace device dual,TC,,4,,RBRVS,0,0.72,0.72,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100193744,CPT,Analyze ht pace device dual,,,4,,RBRVS,1.18,1.35,1.35,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100193760,CPT,Cephalic thermogram,26,,4,,TotalUnits,,,,0.44,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100193760,CPT,Cephalic thermogram,TC,,4,,TotalUnits,,,,1.74,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100193762,CPT,Peripheral thermogram,26,,4,,TotalUnits,,,,0.64,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100193762,CPT,Peripheral thermogram,TC,,4,,TotalUnits,,,,2.56,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100193770,HCPCS,Measure venous pressure,26,,4,,RBRVS,0.16,0.04,0.04,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100193770,CPT,Measure venous pressure,,,4,,RBRVS,0.16,0.04,0.04,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100193784,HCPCS,Ambulatory BP monitoring,,,4,,RBRVS,0.38,1.39,1.39,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100193786,HCPCS,Ambulatory BP recording,,TC,4,,RBRVS,0,0.81,0.81,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100193788,HCPCS,Ambulatory BP analysis,,TC,4,,RBRVS,0,0.45,0.45,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100193790,HCPCS,Review/report BP recording,,PC,4,,RBRVS,0.38,0.13,0.13,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100193797,HCPCS,Cardiac rehab,,,4,,RBRVS,0.18,0.09,0.32,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100193798,HCPCS,Cardiac rehab/monitor,,,4,,RBRVS,0.28,0.13,0.44,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100193799,HCPCS,Cardiovascular procedure,,,4,,TotalUnits,,,,0.68,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100193875,HCPCS,Extracranial study,26,,14,,RBRVS,0.22,0.07,0.07,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100193875,HCPCS,Extracranial study,TC,,14,,RBRVS,0,2.48,2.48,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100193875,CPT,Extracranial study,,,14,,RBRVS,0.22,2.55,2.55,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100193880,HCPCS,Extracranial study,26,,14,,RBRVS,0.6,0.21,0.21,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100193880,HCPCS,Extracranial study,TC,,14,,RBRVS,0,5.95,5.95,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100193880,CPT,Extracranial study,,,14,,RBRVS,0.6,6.16,6.16,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100193882,HCPCS,Extracranial study,26,,14,,RBRVS,0.4,0.11,0.11,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100193882,HCPCS,Extracranial study,TC,,14,,RBRVS,0,4.01,4.01,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100193882,CPT,Extracranial study,,,14,,RBRVS,0.4,4.12,4.12,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100193886,HCPCS,Intracranial study,26,,14,,RBRVS,0.94,0.28,0.28,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100193886,HCPCS,Intracranial study,TC,,14,,RBRVS,0,6.75,6.75,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100193886,CPT,Intracranial study,,,14,,RBRVS,0.94,7.03,7.03,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100193888,HCPCS,Intracranial study,26,,14,,RBRVS,0.62,0.2,0.2,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100193888,HCPCS,Intracranial study,TC,,14,,RBRVS,0,4.72,4.72,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100193888,CPT,Intracranial study,,,14,,RBRVS,0.62,4.92,4.92,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100193890,HCPCS,"Tcd, vasoreactivity study",26,,4,,RBRVS,1,0.31,0.31,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100193890,HCPCS,"Tcd, vasoreactivity study",TC,,4,,RBRVS,0,6.13,6.13,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100193890,CPT,"Tcd, vasoreactivity study",,,4,,RBRVS,1,6.44,6.44,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100193892,HCPCS,"Tcd, emboli detect w/o inj",26,,4,,RBRVS,1.15,0.32,0.32,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100193892,HCPCS,"Tcd, emboli detect w/o inj",TC,,4,,RBRVS,0,6.53,6.53,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100193892,CPT,"Tcd, emboli detect w/o inj",,,4,,RBRVS,1.15,6.85,6.85,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100193893,HCPCS,"Tcd, emboli detect w/inj",26,,4,,RBRVS,1.15,0.33,0.33,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100193893,HCPCS,"Tcd, emboli detect w/inj",TC,,4,,RBRVS,0,6.67,6.67,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100193893,CPT,"Tcd, emboli detect w/inj",,,4,,RBRVS,1.15,7,7,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100193922,HCPCS,Extremity study,26,,14,,RBRVS,0.25,0.08,0.08,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100193922,HCPCS,Extremity study,TC,,14,,RBRVS,0,3.03,3.03,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100193922,CPT,Extremity study,,,14,,RBRVS,0.25,3.11,3.11,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100193923,HCPCS,Extremity study,26,,14,,RBRVS,0.45,0.14,0.14,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100193923,HCPCS,Extremity study,TC,,14,,RBRVS,0,4.54,4.54,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100193923,CPT,Extremity study,,,14,,RBRVS,0.45,4.68,4.68,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100193924,HCPCS,Extremity study,26,,14,,RBRVS,0.5,0.17,0.17,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100193924,HCPCS,Extremity study,TC,,14,,RBRVS,0,5.77,5.77,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100193924,CPT,Extremity study,,,14,,RBRVS,0.5,5.94,5.94,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100193925,HCPCS,Lower extremity study,26,,14,,RBRVS,0.58,0.19,0.19,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100193925,HCPCS,Lower extremity study,TC,,14,,RBRVS,0,7.83,7.83,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100193925,CPT,Lower extremity study,,,14,,RBRVS,0.58,8.02,8.02,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100193926,HCPCS,Lower extremity study,26,,14,,RBRVS,0.39,0.11,0.11,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100193926,HCPCS,Lower extremity study,TC,,14,,RBRVS,0,5.03,5.03,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100193926,CPT,Lower extremity study,,,14,,RBRVS,0.39,5.14,5.14,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100193930,HCPCS,Upper extremity study,26,,14,,RBRVS,0.46,0.15,0.15,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100193930,HCPCS,Upper extremity study,TC,,14,,RBRVS,0,6.1,6.1,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100193930,CPT,Upper extremity study,,,14,,RBRVS,0.46,6.25,6.25,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100193931,HCPCS,Upper extremity study,26,,14,,RBRVS,0.31,0.1,0.1,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100193931,HCPCS,Upper extremity study,TC,,14,,RBRVS,0,4.08,4.08,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100193931,CPT,Upper extremity study,,,14,,RBRVS,0.31,4.18,4.18,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100193965,HCPCS,Extremity study,26,,14,,RBRVS,0.35,0.11,0.11,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100193965,HCPCS,Extremity study,TC,,14,,RBRVS,0,2.9,2.9,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100193965,CPT,Extremity study,,,14,,RBRVS,0.35,3.01,3.01,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100193970,HCPCS,Extremity study,26,,14,,RBRVS,0.68,0.21,0.21,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100193970,HCPCS,Extremity study,TC,,14,,RBRVS,0,5.99,5.99,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100193970,CPT,Extremity study,,,14,,RBRVS,0.68,6.2,6.2,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100193971,HCPCS,Extremity study,26,,14,,RBRVS,0.45,0.15,0.15,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100193971,HCPCS,Extremity study,TC,,14,,RBRVS,0,3.92,3.92,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100193971,CPT,Extremity study,,,14,,RBRVS,0.45,4.07,4.07,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100193975,HCPCS,Vascular study,26,,14,,RBRVS,1.8,0.63,0.63,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100193975,HCPCS,Vascular study,TC,,14,,RBRVS,0,7.83,7.83,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100193975,CPT,Vascular study,,,14,,RBRVS,1.8,8.46,8.46,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100193976,HCPCS,Vascular study,26,,14,,RBRVS,1.21,0.42,0.42,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100193976,HCPCS,Vascular study,TC,,14,,RBRVS,0,4.16,4.16,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100193976,CPT,Vascular study,,,14,,RBRVS,1.21,4.58,4.58,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100193978,HCPCS,Vascular study,26,,14,,RBRVS,0.65,0.21,0.21,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100193978,HCPCS,Vascular study,TC,,14,,RBRVS,0,5.82,5.82,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100193978,CPT,Vascular study,,,14,,RBRVS,0.65,6.03,6.03,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100193979,HCPCS,Vascular study,26,,14,,RBRVS,0.44,0.14,0.14,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100193979,HCPCS,Vascular study,TC,,14,,RBRVS,0,4.02,4.02,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100193979,CPT,Vascular study,,,14,,RBRVS,0.44,4.16,4.16,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100193980,HCPCS,Penile vascular study,26,,14,,RBRVS,1.25,0.46,0.46,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100193980,HCPCS,Penile vascular study,TC,,14,,RBRVS,0,3.02,3.02,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100193980,CPT,Penile vascular study,,,14,,RBRVS,1.25,3.48,3.48,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100193981,HCPCS,Penile vascular study,26,,14,,RBRVS,0.44,0.16,0.16,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100193981,HCPCS,Penile vascular study,TC,,14,,RBRVS,0,2.68,2.68,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100193981,CPT,Penile vascular study,,,14,,RBRVS,0.44,2.84,2.84,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100193982,CPT,Aneurysm pressure sens study,,,21,,RBRVS,0.3,0.8,0.8,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100193990,HCPCS,Doppler flow testing,26,,14,,RBRVS,0.25,0.06,0.06,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100193990,HCPCS,Doppler flow testing,TC,,14,,RBRVS,0,5.16,5.16,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100193990,CPT,Doppler flow testing,,,14,,RBRVS,0.25,5.22,5.22,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100194002,HCPCS,"Vent mgmt inpat, init day",,,10,,RBRVS,1.99,0.35,0.35,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100194003,HCPCS,"Vent mgmt inpat, subq day",,,10,,RBRVS,1.37,0.32,0.32,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100194004,CPT,Vent mgmt nf per day,,,15,,RBRVS,1,0.23,0.23,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100194005,CPT,Home vent mgmt supervision,,,15,,RBRVS,1.5,0.7,0.7,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100194010,HCPCS,Breathing capacity test,26,,14,,RBRVS,0.17,0.04,0.04,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100194010,HCPCS,Breathing capacity test,TC,,14,,RBRVS,0,0.7,0.7,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100194010,CPT,Breathing capacity test,,,14,,RBRVS,0.17,0.74,0.74,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100194014,HCPCS,Patient recorded spirometry,,,14,,RBRVS,0.52,0.81,0.81,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100194015,HCPCS,Patient recorded spirometry,,TC,14,,RBRVS,0,0.67,0.67,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100194016,HCPCS,Review patient spirometry,,PC,14,,RBRVS,0.52,0.14,0.14,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100194060,HCPCS,Evaluation of wheezing,26,,14,,RBRVS,0.31,0.08,0.08,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100194060,HCPCS,Evaluation of wheezing,TC,,14,,RBRVS,0,1.24,1.24,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100194060,CPT,Evaluation of wheezing,,,14,,RBRVS,0.31,1.32,1.32,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100194070,HCPCS,Evaluation of wheezing,26,,14,,RBRVS,0.6,0.15,0.15,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100194070,HCPCS,Evaluation of wheezing,TC,,14,,RBRVS,0,0.85,0.85,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100194070,CPT,Evaluation of wheezing,,,14,,RBRVS,0.6,1,1,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100194150,HCPCS,Vital capacity test,26,,14,,RBRVS,0.07,0.02,0.02,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100194150,HCPCS,Vital capacity test,TC,,14,,RBRVS,0,0.46,0.46,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100194150,CPT,Vital capacity test,,,14,,RBRVS,0.07,0.48,0.48,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100194200,HCPCS,Lung function test (MBC/MVV),26,,14,,RBRVS,0.11,0.03,0.03,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100194200,HCPCS,Lung function test (MBC/MVV),TC,,14,,RBRVS,0,0.48,0.48,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100194200,CPT,Lung function test (MBC/MVV),,,14,,RBRVS,0.11,0.51,0.51,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100194240,HCPCS,Residual lung capacity,26,,14,,RBRVS,0.26,0.06,0.06,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100194240,HCPCS,Residual lung capacity,TC,,14,,RBRVS,0,0.76,0.76,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100194240,CPT,Residual lung capacity,,,14,,RBRVS,0.26,0.82,0.82,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100194250,HCPCS,Expired gas collection,26,,14,,RBRVS,0.11,0.03,0.03,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100194250,HCPCS,Expired gas collection,TC,,14,,RBRVS,0,0.48,0.48,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100194250,CPT,Expired gas collection,,,14,,RBRVS,0.11,0.51,0.51,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100194260,HCPCS,Thoracic gas volume,26,,14,,RBRVS,0.13,0.03,0.03,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100194260,HCPCS,Thoracic gas volume,TC,,14,,RBRVS,0,0.73,0.73,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100194260,CPT,Thoracic gas volume,,,14,,RBRVS,0.13,0.76,0.76,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100194350,HCPCS,Lung nitrogen washout curve,26,,14,,RBRVS,0.26,0.06,0.06,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100194350,HCPCS,Lung nitrogen washout curve,TC,,14,,RBRVS,0,0.55,0.55,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100194350,CPT,Lung nitrogen washout curve,,,14,,RBRVS,0.26,0.61,0.61,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100194360,HCPCS,Measure airflow resistance,26,,14,,RBRVS,0.26,0.06,0.06,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100194360,HCPCS,Measure airflow resistance,TC,,14,,RBRVS,0,0.89,0.89,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100194360,CPT,Measure airflow resistance,,,14,,RBRVS,0.26,0.95,0.95,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100194370,HCPCS,Breath airway closing volume,26,,14,,RBRVS,0.26,0.07,0.07,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100194370,HCPCS,Breath airway closing volume,TC,,14,,RBRVS,0,0.53,0.53,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100194370,CPT,Breath airway closing volume,,,14,,RBRVS,0.26,0.6,0.6,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100194375,HCPCS,Respiratory flow volume loop,26,,14,,RBRVS,0.31,0.08,0.08,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100194375,HCPCS,Respiratory flow volume loop,TC,,14,,RBRVS,0,0.65,0.65,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100194375,CPT,Respiratory flow volume loop,,,14,,RBRVS,0.31,0.73,0.73,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100194400,HCPCS,CO2 breathing response curve,26,,14,,RBRVS,0.4,0.1,0.1,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100194400,HCPCS,CO2 breathing response curve,TC,,14,,RBRVS,0,0.93,0.93,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100194400,CPT,CO2 breathing response curve,,,14,,RBRVS,0.4,1.03,1.03,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100194450,HCPCS,Hypoxia response curve,26,,14,,RBRVS,0.4,0.09,0.09,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100194450,HCPCS,Hypoxia response curve,TC,,14,,RBRVS,0,0.92,0.92,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100194450,CPT,Hypoxia response curve,,,14,,RBRVS,0.4,1.01,1.01,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100194452,HCPCS,Hast w/report,26,,14,,RBRVS,0.31,0.07,0.07,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100194452,HCPCS,Hast w/report,TC,,14,,RBRVS,0,1.2,1.2,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100194452,CPT,Hast w/report,,,14,,RBRVS,0.31,1.27,1.27,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100194453,HCPCS,Hast w/oxygen titrate,26,,14,,RBRVS,0.4,0.1,0.1,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100194453,HCPCS,Hast w/oxygen titrate,TC,,14,,RBRVS,0,1.59,1.59,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100194453,CPT,Hast w/oxygen titrate,,,14,,RBRVS,0.4,1.69,1.69,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100194610,HCPCS,Surfactant admin thru tube,,,14,,RBRVS,1.16,0.34,0.34,,,$0.00 ,$0.00 ,1,1,1,1,1,1,2008100194620,HCPCS,Pulmonary stress test/simple,26,,14,,RBRVS,0.64,0.16,0.16,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100194620,HCPCS,Pulmonary stress test/simple,TC,,14,,RBRVS,0,0.63,0.63,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100194620,CPT,Pulmonary stress test/simple,,,14,,RBRVS,0.64,0.79,0.79,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100194621,HCPCS,Pulm stress test/complex,26,,14,,RBRVS,1.42,0.45,0.45,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100194621,HCPCS,Pulm stress test/complex,TC,,14,,RBRVS,0,2.73,2.73,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100194621,CPT,Pulm stress test/complex,,,14,,RBRVS,1.42,3.18,3.18,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100194640,HCPCS,Airway inhalation treatment,,,14,,RBRVS,0,0.38,0.38,,,$0.00 ,$0.00 ,1,1,1,0,0,1,2008100194642,HCPCS,Aerosol inhalation treatment,,,14,,TotalUnits,,,,2.3,,$0.00 ,$0.00 ,1,1,1,0,0,1,2008100194644,HCPCS,"Cbt, 1st hour",,,14,,RBRVS,0,0.96,0.96,,,$0.00 ,$0.00 ,1,1,1,1,1,1,2008100194645,HCPCS,"Cbt, each addl hour",,,14,,RBRVS,0,0.35,0.35,,,$0.00 ,$0.00 ,1,1,1,1,1,1,2008100194660,HCPCS,"Pos airway pressure, CPAP",,,14,,RBRVS,0.76,0.19,0.81,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100194662,HCPCS,"Neg press ventilation, cnp",,,14,,RBRVS,0.76,0.2,0.2,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100194664,HCPCS,Evaluate pt use of inhaler,,,14,,RBRVS,0,0.4,0.4,,,$0.00 ,$0.00 ,1,1,1,0,0,1,2008100194667,HCPCS,Chest wall manipulation,,,14,,RBRVS,0,0.54,0.54,,,$0.00 ,$0.00 ,1,1,1,0,0,1,2008100194668,HCPCS,Chest wall manipulation,,,14,,RBRVS,0,0.51,0.51,,,$0.00 ,$0.00 ,1,1,1,0,0,1,2008100194680,HCPCS,"Exhaled air analysis, o2",26,,14,,RBRVS,0.26,0.06,0.06,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100194680,HCPCS,"Exhaled air analysis, o2",TC,,14,,RBRVS,0,1,1,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100194680,CPT,"Exhaled air analysis, o2",,,14,,RBRVS,0.26,1.06,1.06,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100194681,HCPCS,"Exhaled air analysis, o2/co2",26,,14,,RBRVS,0.2,0.05,0.05,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100194681,HCPCS,"Exhaled air analysis, o2/co2",TC,,14,,RBRVS,0,1.02,1.02,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100194681,CPT,"Exhaled air analysis, o2/co2",,,14,,RBRVS,0.2,1.07,1.07,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100194690,HCPCS,Exhaled air analysis,26,,14,,RBRVS,0.07,0.02,0.02,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100194690,HCPCS,Exhaled air analysis,TC,,14,,RBRVS,0,1.02,1.02,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100194690,CPT,Exhaled air analysis,,,14,,RBRVS,0.07,1.04,1.04,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100194720,HCPCS,Monoxide diffusing capacity,26,,14,,RBRVS,0.26,0.06,0.06,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100194720,HCPCS,Monoxide diffusing capacity,TC,,14,,RBRVS,0,1.09,1.09,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100194720,CPT,Monoxide diffusing capacity,,,14,,RBRVS,0.26,1.15,1.15,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100194725,HCPCS,Membrane diffusion capacity,26,,14,,RBRVS,0.26,0.07,0.07,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100194725,HCPCS,Membrane diffusion capacity,TC,,14,,RBRVS,0,0.91,0.91,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100194725,CPT,Membrane diffusion capacity,,,14,,RBRVS,0.26,0.98,0.98,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100194750,HCPCS,Pulmonary compliance study,26,,14,,RBRVS,0.23,0.06,0.06,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100194750,HCPCS,Pulmonary compliance study,TC,,14,,RBRVS,0,1.71,1.71,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100194750,CPT,Pulmonary compliance study,,,14,,RBRVS,0.23,1.77,1.77,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100194760,HCPCS,Measure blood oxygen level,,TC,14,,RBRVS,0,0.06,0.06,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100194761,HCPCS,Measure blood oxygen level,,TC,14,,RBRVS,0,0.11,0.11,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100194762,HCPCS,Measure blood oxygen level,,TC,14,,RBRVS,0,0.84,0.84,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100194770,HCPCS,Exhaled carbon dioxide test,26,,14,,RBRVS,0.15,0.04,0.04,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100194770,HCPCS,Exhaled carbon dioxide test,TC,,14,,RBRVS,0,0.77,0.77,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100194770,CPT,Exhaled carbon dioxide test,,,14,,RBRVS,0.15,0.81,0.81,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100194799,HCPCS,Pulmonary service/procedure,,,14,,TotalUnits,,,,0.55,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100195004,HCPCS,Percut allergy skin tests,,,2,,RBRVS,0.01,0.15,0.15,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100195010,HCPCS,Percut allergy titrate test,,,2,,RBRVS,0.15,0.31,0.31,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100195012,HCPCS,Exhaled nitric oxide meas,,,14,,RBRVS,0,0.49,0.49,,,$0.00 ,$0.00 ,1,1,1,1,1,1,2008100195015,HCPCS,Id allergy titrate-drug/bug,,,2,,RBRVS,0.15,0.21,0.21,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100195024,HCPCS,"Id allergy test, drug/bug",,,2,,RBRVS,0.01,0.17,0.17,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100195027,HCPCS,Id allergy titrate-airborne,,TC,2,,RBRVS,0.01,0.1,0.1,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100195028,HCPCS,Id allergy test-delayed type,,TC,2,,RBRVS,0,0.31,0.31,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100195044,HCPCS,Allergy patch tests,,,2,,RBRVS,0,0.15,0.15,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100195052,HCPCS,Photo patch test,,,2,,RBRVS,0,0.16,0.16,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100195056,HCPCS,Photosensitivity tests,,,2,,RBRVS,0,1.25,1.25,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100195060,HCPCS,Eye allergy tests,,TC,2,,RBRVS,0,0.73,0.73,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100195065,HCPCS,Nose allergy test,,TC,2,,RBRVS,0,0.7,0.7,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100195070,HCPCS,Bronchial allergy tests,,TC,2,,RBRVS,0,0.81,0.81,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100195071,HCPCS,Bronchial allergy tests,,TC,2,,RBRVS,0,0.98,0.98,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100195075,HCPCS,Ingestion challenge test,,,2,,RBRVS,0.95,0.26,0.68,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100195115,HCPCS,"Immunotherapy, one injection",,,1,,RBRVS,0,0.23,0.23,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100195117,HCPCS,Immunotherapy injections,,,1,,RBRVS,0,0.28,0.28,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100195120,HCPCS,"Immunotherapy, one injection",,,1,,TotalUnits,,,,0.54,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100195125,HCPCS,"Immunotherapy, many antigens",,,1,,TotalUnits,,,,0.66,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100195130,HCPCS,"Immunotherapy, insect venom",,,1,,TotalUnits,,,,0.93,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100195131,HCPCS,"Immunotherapy, insect venoms",,,1,,TotalUnits,,,,1.18,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100195132,HCPCS,"Immunotherapy, insect venoms",,,1,,TotalUnits,,,,1.43,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100195133,HCPCS,"Immunotherapy, insect venoms",,,1,,TotalUnits,,,,1.72,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100195134,HCPCS,"Immunotherapy, insect venoms",,,1,,TotalUnits,,,,2.07,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100195144,HCPCS,Antigen therapy services,,,1,,RBRVS,0.06,0.02,0.27,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100195145,HCPCS,Antigen therapy services,,,1,,RBRVS,0.06,0.02,0.36,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100195146,HCPCS,Antigen therapy services,,,1,,RBRVS,0.06,0.02,0.68,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100195147,HCPCS,Antigen therapy services,,,1,,RBRVS,0.06,0.02,0.66,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100195148,HCPCS,Antigen therapy services,,,1,,RBRVS,0.06,0.02,0.98,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100195149,HCPCS,Antigen therapy services,,,1,,RBRVS,0.06,0.02,1.3,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100195165,HCPCS,Antigen therapy services,,,1,,RBRVS,0.06,0.02,0.26,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100195170,HCPCS,Antigen therapy services,,,1,,RBRVS,0.06,0.02,0.2,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100195180,HCPCS,Rapid desensitization,,,1,,RBRVS,2.01,0.77,1.66,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100195199,HCPCS,Allergy immunology services,,,1,,TotalUnits,,,,0.26,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100195250,HCPCS,"Glucose monitoring, cont",,TC,14,,RBRVS,0,3.5,3.5,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100195251,HCPCS,"Gluc monitor, cont, phys i&r",,,14,,RBRVS,0.85,0.26,0.26,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100195805,HCPCS,Multiple sleep latency test,26,,14,,RBRVS,1.88,0.51,0.51,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100195805,HCPCS,Multiple sleep latency test,TC,,14,,RBRVS,0,6.51,6.51,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100195805,CPT,Multiple sleep latency test,,,14,,RBRVS,1.88,7.02,7.02,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100195806,HCPCS,"Sleep study, unattended",26,,14,,RBRVS,1.66,0.47,0.47,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100195806,HCPCS,"Sleep study, unattended",TC,,14,,RBRVS,0,3.46,3.46,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100195806,CPT,"Sleep study, unattended",,,14,,RBRVS,1.66,3.93,3.93,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100195807,HCPCS,"Sleep study, attended",26,,14,,RBRVS,1.66,0.41,0.41,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100195807,HCPCS,"Sleep study, attended",TC,,14,,RBRVS,0,11.9,11.9,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100195807,CPT,"Sleep study, attended",,,14,,RBRVS,1.66,12.31,12.31,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100195808,HCPCS,"Polysomnography, 1-3",26,,14,,RBRVS,2.65,0.7,0.7,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100195808,HCPCS,"Polysomnography, 1-3",TC,,14,,RBRVS,0,15.06,15.06,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100195808,CPT,"Polysomnography, 1-3",,,14,,RBRVS,2.65,15.76,15.76,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100195810,HCPCS,"Polysomnography, 4 or more",26,,14,,RBRVS,3.52,0.9,0.9,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100195810,HCPCS,"Polysomnography, 4 or more",TC,,14,,RBRVS,0,16.8,16.8,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100195810,CPT,"Polysomnography, 4 or more",,,14,,RBRVS,3.52,17.7,17.7,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100195811,HCPCS,Polysomnography w/cpap,26,,14,,RBRVS,3.79,0.96,0.96,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100195811,HCPCS,Polysomnography w/cpap,TC,,14,,RBRVS,0,18.74,18.74,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100195811,CPT,Polysomnography w/cpap,,,14,,RBRVS,3.79,19.7,19.7,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100195812,HCPCS,"Eeg, 41-60 minutes",26,,14,,RBRVS,1.08,0.3,0.3,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100195812,HCPCS,"Eeg, 41-60 minutes",TC,,14,,RBRVS,0,5.6,5.6,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100195812,CPT,"Eeg, 41-60 minutes",,,14,,RBRVS,1.08,5.9,5.9,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100195813,HCPCS,"Eeg, over 1 hour",26,,14,,RBRVS,1.73,0.48,0.48,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100195813,HCPCS,"Eeg, over 1 hour",TC,,14,,RBRVS,0,6.04,6.04,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100195813,CPT,"Eeg, over 1 hour",,,14,,RBRVS,1.73,6.52,6.52,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100195816,HCPCS,"Eeg, awake and drowsy",26,,14,,RBRVS,1.08,0.3,0.3,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100195816,HCPCS,"Eeg, awake and drowsy",TC,,14,,RBRVS,0,4.98,4.98,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100195816,CPT,"Eeg, awake and drowsy",,,14,,RBRVS,1.08,5.28,5.28,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100195819,HCPCS,"Eeg, awake and asleep",26,,14,,RBRVS,1.08,0.3,0.3,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100195819,HCPCS,"Eeg, awake and asleep",TC,,14,,RBRVS,0,5.83,5.83,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100195819,CPT,"Eeg, awake and asleep",,,14,,RBRVS,1.08,6.13,6.13,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100195822,HCPCS,"Eeg, coma or sleep only",26,,14,,RBRVS,1.08,0.3,0.3,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100195822,HCPCS,"Eeg, coma or sleep only",TC,,14,,RBRVS,0,5.22,5.22,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100195822,CPT,"Eeg, coma or sleep only",,,14,,RBRVS,1.08,5.52,5.52,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100195824,HCPCS,"Eeg, cerebral death only",26,,14,,RBRVS,0.74,0.21,0.21,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100195824,HCPCS,"Eeg, cerebral death only",TC,,14,,TotalUnits,,,,1.64,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100195827,HCPCS,"Eeg, all night recording",26,,14,,RBRVS,1.08,0.3,0.3,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100195827,HCPCS,"Eeg, all night recording",TC,,14,,RBRVS,0,11.24,11.24,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100195827,CPT,"Eeg, all night recording",,,14,,RBRVS,1.08,11.54,11.54,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100195829,HCPCS,Surgery electrocorticogram,26,,14,,RBRVS,6.2,1.76,1.76,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100195829,HCPCS,Surgery electrocorticogram,TC,,14,,RBRVS,0,23.01,23.01,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100195829,CPT,Surgery electrocorticogram,,,14,,RBRVS,6.2,24.77,24.77,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100195830,HCPCS,Insert electrodes for EEG,,,14,,RBRVS,1.7,0.41,2.97,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100195831,HCPCS,"Limb muscle testing, manual",,,14,,RBRVS,0.28,0.09,0.4,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100195832,HCPCS,"Hand muscle testing, manual",,,14,,RBRVS,0.29,0.1,0.37,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100195833,HCPCS,"Body muscle testing, manual",,,14,,RBRVS,0.47,0.14,0.5,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100195834,HCPCS,"Body muscle testing, manual",,,14,,RBRVS,0.6,0.17,0.54,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100195851,HCPCS,Range of motion measurements,,,14,,RBRVS,0.16,0.04,0.26,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100195852,HCPCS,Range of motion measurements,,,14,,RBRVS,0.11,0.04,0.24,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100195857,HCPCS,Tensilon test,,,14,,RBRVS,0.53,0.16,0.58,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100195860,HCPCS,"Muscle test, one limb",26,,14,,RBRVS,0.96,0.32,0.32,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100195860,HCPCS,"Muscle test, one limb",TC,,14,,RBRVS,0,0.84,0.84,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100195860,CPT,"Muscle test, one limb",,,14,,RBRVS,0.96,1.16,1.16,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100195861,HCPCS,"Muscle test, 2 limbs",26,,14,,RBRVS,1.54,0.51,0.51,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100195861,HCPCS,"Muscle test, 2 limbs",TC,,14,,RBRVS,0,1.15,1.15,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100195861,CPT,"Muscle test, 2 limbs",,,14,,RBRVS,1.54,1.66,1.66,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100195863,HCPCS,"Muscle test, 3 limbs",26,,14,,RBRVS,1.87,0.57,0.57,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100195863,HCPCS,"Muscle test, 3 limbs",TC,,14,,RBRVS,0,1.35,1.35,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100195863,CPT,"Muscle test, 3 limbs",,,14,,RBRVS,1.87,1.92,1.92,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100195864,HCPCS,"Muscle test, 4 limbs",26,,14,,RBRVS,1.99,0.61,0.61,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100195864,HCPCS,"Muscle test, 4 limbs",TC,,14,,RBRVS,0,1.53,1.53,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100195864,CPT,"Muscle test, 4 limbs",,,14,,RBRVS,1.99,2.14,2.14,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100195865,HCPCS,"Muscle test, larynx",26,,14,,RBRVS,1.57,0.49,0.49,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100195865,HCPCS,"Muscle test, larynx",TC,,14,,RBRVS,0,0.9,0.9,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100195865,CPT,"Muscle test, larynx",,,14,,RBRVS,1.57,1.39,1.39,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100195866,HCPCS,"Muscle test, hemidiaphragm",26,,14,,RBRVS,1.25,0.39,0.39,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100195866,HCPCS,"Muscle test, hemidiaphragm",TC,,14,,RBRVS,0,0.93,0.93,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100195866,CPT,"Muscle test, hemidiaphragm",,,14,,RBRVS,1.25,1.32,1.32,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100195867,HCPCS,Muscle test cran nerv unilat,26,,14,,RBRVS,0.79,0.24,0.24,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100195867,HCPCS,Muscle test cran nerv unilat,TC,,14,,RBRVS,0,0.91,0.91,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100195867,CPT,Muscle test cran nerv unilat,,,14,,RBRVS,0.79,1.15,1.15,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100195868,HCPCS,Muscle test cran nerve bilat,26,,14,,RBRVS,1.18,0.36,0.36,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100195868,HCPCS,Muscle test cran nerve bilat,TC,,14,,RBRVS,0,1.11,1.11,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100195868,CPT,Muscle test cran nerve bilat,,,14,,RBRVS,1.18,1.47,1.47,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100195869,HCPCS,"Muscle test, thor paraspinal",26,,14,,RBRVS,0.37,0.12,0.12,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100195869,HCPCS,"Muscle test, thor paraspinal",TC,,14,,RBRVS,0,0.91,0.91,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100195869,CPT,"Muscle test, thor paraspinal",,,14,,RBRVS,0.37,1.03,1.03,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100195870,HCPCS,"Muscle test, nonparaspinal",26,,14,,RBRVS,0.37,0.12,0.12,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100195870,HCPCS,"Muscle test, nonparaspinal",TC,,14,,RBRVS,0,0.87,0.87,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100195870,CPT,"Muscle test, nonparaspinal",,,14,,RBRVS,0.37,0.99,0.99,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100195872,HCPCS,"Muscle test, one fiber",26,,14,,RBRVS,2.88,0.88,0.88,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100195872,HCPCS,"Muscle test, one fiber",TC,,14,,RBRVS,0,0.76,0.76,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100195872,CPT,"Muscle test, one fiber",,,14,,RBRVS,2.88,1.64,1.64,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100195873,HCPCS,"Guide nerv destr, elec stim",26,,14,,RBRVS,0.37,0.14,0.14,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100195873,HCPCS,"Guide nerv destr, elec stim",TC,,14,,RBRVS,0,0.88,0.88,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100195873,CPT,"Guide nerv destr, elec stim",,,14,,RBRVS,0.37,1.02,1.02,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100195874,HCPCS,"Guide nerv destr, needle emg",26,,14,,RBRVS,0.37,0.12,0.12,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100195874,HCPCS,"Guide nerv destr, needle emg",TC,,14,,RBRVS,0,0.83,0.83,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100195874,CPT,"Guide nerv destr, needle emg",,,14,,RBRVS,0.37,0.95,0.95,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100195875,HCPCS,Limb exercise test,26,,14,,RBRVS,1.1,0.39,0.39,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100195875,HCPCS,Limb exercise test,TC,,14,,RBRVS,0,1.09,1.09,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100195875,CPT,Limb exercise test,,,14,,RBRVS,1.1,1.48,1.48,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100195900,HCPCS,Motor nerve conduction test,26,,14,,RBRVS,0.42,0.14,0.14,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100195900,HCPCS,Motor nerve conduction test,TC,,14,,RBRVS,0,0.78,0.78,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100195900,CPT,Motor nerve conduction test,,,14,,RBRVS,0.42,0.92,0.92,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100195903,HCPCS,Motor nerve conduction test,26,,14,,RBRVS,0.6,0.17,0.17,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100195903,HCPCS,Motor nerve conduction test,TC,,14,,RBRVS,0,0.83,0.83,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100195903,CPT,Motor nerve conduction test,,,14,,RBRVS,0.6,1,1,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100195904,HCPCS,Sense nerve conduction test,26,,14,,RBRVS,0.34,0.1,0.1,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100195904,HCPCS,Sense nerve conduction test,TC,,14,,RBRVS,0,0.74,0.74,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100195904,CPT,Sense nerve conduction test,,,14,,RBRVS,0.34,0.84,0.84,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100195920,HCPCS,Intraop nerve test add-on,26,,14,,RBRVS,2.11,0.62,0.62,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100195920,HCPCS,Intraop nerve test add-on,TC,,14,,RBRVS,0,1.1,1.1,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100195920,CPT,Intraop nerve test add-on,,,14,,RBRVS,2.11,1.72,1.72,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100195921,CPT,Autonomic nerv function test,26,,14,,RBRVS,0.9,0.25,0.25,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100195921,CPT,Autonomic nerv function test,TC, ,14,,RBRVS,0,0.91,0.91,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100195921,HCPCS,Autonomic nerv function test,,,14,,RBRVS,0.9,1.16,1.16,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100195922,CPT,Autonomic nerv function test,26,,14,,RBRVS,0.96,0.26,0.26,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100195922,CPT,Autonomic nerv function test,TC, ,14,,RBRVS,0,1.35,1.35,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100195922,HCPCS,Autonomic nerv function test,,,14,,RBRVS,0.96,1.61,1.61,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100195923,CPT,Autonomic nerv function test,26,,14,,RBRVS,0.9,0.25,0.25,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100195923,CPT,Autonomic nerv function test,TC, ,14,,RBRVS,0,2.08,2.08,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100195923,HCPCS,Autonomic nerv function test,,,14,,RBRVS,0.9,2.33,2.33,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100195925,HCPCS,Somatosensory testing,26,,14,,RBRVS,0.54,0.15,0.15,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100195925,HCPCS,Somatosensory testing,TC,,14,,RBRVS,0,2.92,2.92,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100195925,CPT,Somatosensory testing,,,14,,RBRVS,0.54,3.07,3.07,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100195926,HCPCS,Somatosensory testing,26,,14,,RBRVS,0.54,0.15,0.15,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100195926,HCPCS,Somatosensory testing,TC,,14,,RBRVS,0,2.85,2.85,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100195926,CPT,Somatosensory testing,,,14,,RBRVS,0.54,3,3,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100195927,HCPCS,Somatosensory testing,26,,14,,RBRVS,0.54,0.16,0.16,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100195927,HCPCS,Somatosensory testing,TC,,14,,RBRVS,0,2.97,2.97,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100195927,CPT,Somatosensory testing,,,14,,RBRVS,0.54,3.13,3.13,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100195928,HCPCS,"C motor evoked, uppr limbs",26,,14,,RBRVS,1.5,0.44,0.44,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100195928,HCPCS,"C motor evoked, uppr limbs",TC,,14,,RBRVS,0,3.5,3.5,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100195928,CPT,"C motor evoked, uppr limbs",,,14,,RBRVS,1.5,3.94,3.94,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100195929,HCPCS,"C motor evoked, lwr limbs",26,,14,,RBRVS,1.5,0.44,0.44,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100195929,HCPCS,"C motor evoked, lwr limbs",TC,,14,,RBRVS,0,3.82,3.82,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100195929,CPT,"C motor evoked, lwr limbs",,,14,,RBRVS,1.5,4.26,4.26,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100195930,HCPCS,Visual evoked potential test,26,,14,,RBRVS,0.35,0.1,0.1,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100195930,HCPCS,Visual evoked potential test,TC,,14,,RBRVS,0,2.54,2.54,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100195930,CPT,Visual evoked potential test,,,14,,RBRVS,0.35,2.64,2.64,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100195933,HCPCS,Blink reflex test,26,,14,,RBRVS,0.59,0.17,0.17,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100195933,HCPCS,Blink reflex test,TC,,14,,RBRVS,0,0.94,0.94,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100195933,CPT,Blink reflex test,,,14,,RBRVS,0.59,1.11,1.11,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100195934,HCPCS,H-reflex test,26,,14,,RBRVS,0.51,0.15,0.15,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100195934,HCPCS,H-reflex test,TC,,14,,RBRVS,0,0.7,0.7,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100195934,CPT,H-reflex test,,,14,,RBRVS,0.51,0.85,0.85,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100195936,HCPCS,H-reflex test,26,,14,,RBRVS,0.55,0.16,0.16,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100195936,HCPCS,H-reflex test,TC,,14,,RBRVS,0,0.43,0.43,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100195936,CPT,H-reflex test,,,14,,RBRVS,0.55,0.59,0.59,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100195937,HCPCS,Neuromuscular junction test,26,,14,,RBRVS,0.65,0.2,0.2,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100195937,HCPCS,Neuromuscular junction test,TC,,14,,RBRVS,0,0.72,0.72,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100195937,CPT,Neuromuscular junction test,,,14,,RBRVS,0.65,0.92,0.92,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100195950,HCPCS,Ambulatory eeg monitoring,26,,14,,RBRVS,1.51,0.43,0.43,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100195950,HCPCS,Ambulatory eeg monitoring,TC,,14,,RBRVS,0,4.5,4.5,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100195950,CPT,Ambulatory eeg monitoring,,,14,,RBRVS,1.51,4.93,4.93,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100195951,HCPCS,EEG monitoring/videorecord,26,,14,,RBRVS,5.99,1.68,1.68,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100195951,HCPCS,EEG monitoring/videorecord,TC,,14,,TotalUnits,,,,6.12,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100195953,HCPCS,EEG monitoring/computer,26,,14,,RBRVS,3.3,0.93,0.93,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100195953,HCPCS,EEG monitoring/computer,TC,,14,,RBRVS,0,6.29,6.29,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100195953,CPT,EEG monitoring/computer,,,14,,RBRVS,3.3,7.22,7.22,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100195954,HCPCS,EEG monitoring/giving drugs,26,,14,,RBRVS,2.45,0.42,0.42,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100195954,HCPCS,EEG monitoring/giving drugs,TC,,14,,RBRVS,0,3.96,3.96,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100195954,CPT,EEG monitoring/giving drugs,,,14,,RBRVS,2.45,4.38,4.38,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100195955,HCPCS,EEG during surgery,26,,14,,RBRVS,1.01,0.28,0.28,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100195955,HCPCS,EEG during surgery,TC,,14,,RBRVS,0,2.48,2.48,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100195955,CPT,EEG during surgery,,,14,,RBRVS,1.01,2.76,2.76,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100195956,HCPCS,"Eeg monitoring, cable/radio",26,,14,,RBRVS,3.08,0.86,0.86,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100195956,HCPCS,"Eeg monitoring, cable/radio",TC,,14,,RBRVS,0,15.44,15.44,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100195956,CPT,"Eeg monitoring, cable/radio",,,14,,RBRVS,3.08,16.3,16.3,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100195957,HCPCS,EEG digital analysis,26,,14,,RBRVS,1.98,0.55,0.55,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100195957,HCPCS,EEG digital analysis,TC,,14,,RBRVS,0,5.3,5.3,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100195957,CPT,EEG digital analysis,,,14,,RBRVS,1.98,5.85,5.85,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100195958,HCPCS,EEG monitoring/function test,26,,14,,RBRVS,4.24,1.23,1.23,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100195958,HCPCS,EEG monitoring/function test,TC,,14,,RBRVS,0,5.47,5.47,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100195958,CPT,EEG monitoring/function test,,,14,,RBRVS,4.24,6.7,6.7,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100195961,HCPCS,"Electrode stimulation, brain",26,,14,,RBRVS,2.97,0.87,0.87,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100195961,HCPCS,"Electrode stimulation, brain",TC,,14,,RBRVS,0,2.18,2.18,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100195961,CPT,"Electrode stimulation, brain",,,14,,RBRVS,2.97,3.05,3.05,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100195962,HCPCS,"Electrode stim, brain add-on",26,,14,,RBRVS,3.21,0.91,0.91,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100195962,HCPCS,"Electrode stim, brain add-on",TC,,14,,RBRVS,0,1.3,1.3,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100195962,CPT,"Electrode stim, brain add-on",,,14,,RBRVS,3.21,2.21,2.21,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100195965,HCPCS,"Meg, spontaneous",26,,14,,RBRVS,7.99,2.39,2.39,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100195965,HCPCS,"Meg, spontaneous",,,14,,TotalUnits,,,,57.05,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100195966,HCPCS,"Meg, evoked, single",26,,14,,RBRVS,3.99,1.19,1.19,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100195966,HCPCS,"Meg, evoked, single",,,14,,TotalUnits,,,,28.6,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100195967,HCPCS,"Meg, evoked, each addl",26,,14,,RBRVS,3.49,1.01,1.01,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100195967,HCPCS,"Meg, evoked, each addl",,,14,,TotalUnits,,,,24.1,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100195970,HCPCS,"Analyze neurostim, no prog",,,14,,RBRVS,0.45,0.13,0.9,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100195971,HCPCS,"Analyze neurostim, simple",,,14,,RBRVS,0.78,0.18,0.58,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100195972,HCPCS,"Analyze neurostim, complex",,,14,,RBRVS,1.5,0.44,1.15,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100195973,HCPCS,"Analyze neurostim, complex",,,14,,RBRVS,0.92,0.22,0.49,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100195974,HCPCS,"Cranial neurostim, complex",,,14,,RBRVS,3,0.78,1.44,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100195975,HCPCS,"Cranial neurostim, complex",,,14,,RBRVS,1.7,0.47,0.73,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100195978,HCPCS,Analyze neurostim brain/1h,,,14,,RBRVS,3.5,1.02,1.86,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100195979,HCPCS,Analyz neurostim brain addon,,,14,,RBRVS,1.64,0.46,0.72,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100195980,CPT,Io anal gast  n-stim init,,,14,,RBRVS,0.8,0.25,0.25,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100195981,CPT,Io anal gast n-stim subsq,,,14,,RBRVS,0.3,0.12,0.44,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100195982,CPT,Io ga n-stim subsq w/reprog,,,14,,RBRVS,0.65,0.18,0.47,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100195990,HCPCS,Spin/brain pump refil & main,,,14,,RBRVS,0,1.62,1.62,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100195991,HCPCS,Spin/brain pump refil & main,,,14,,RBRVS,0.77,0.17,1.61,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100195999,HCPCS,Neurological procedure,,,14,,TotalUnits,,,,1.81,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100196000,HCPCS,"Motion analysis, video/3d",,,14,,RBRVS,1.8,0.44,0.44,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100196001,HCPCS,Motion test w/ft press meas,,,14,,RBRVS,2.15,0.56,0.56,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100196002,HCPCS,Dynamic surface emg,,,14,,RBRVS,0.41,0.1,0.1,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100196003,HCPCS,Dynamic fine wire emg,,,14,,RBRVS,0.37,0.09,0.09,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100196004,HCPCS,Phys review of motion tests,,PC,14,,RBRVS,2.14,0.65,0.65,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100196020,HCPCS,Functional brain mapping,26,,14,,RBRVS,3.43,1.07,1.07,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100196040,CPT,"Genetic counseling, 30 min",,,15,,RBRVS,0,0.98,0.98,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100196101,HCPCS,Psycho testing by psych/phys,,,16,,RBRVS,1.86,0.33,0.35,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100196102,HCPCS,Psycho testing by technician,,,16,,RBRVS,0.5,0.09,1.1,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100196103,HCPCS,Psycho testing admin by comp,,,16,,RBRVS,0.51,0.1,0.92,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100196105,HCPCS,Assessment of aphasia,,,16,,RBRVS,0,1.66,1.66,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100196110,HCPCS,"Developmental test, lim",,,16,,RBRVS,0,0.19,0.19,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100196111,HCPCS,"Developmental test, extend",,,16,,RBRVS,2.6,0.58,0.69,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100196116,HCPCS,Neurobehavioral status exam,,,16,,RBRVS,1.86,0.4,0.53,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100196118,HCPCS,Neuropsych tst by psych/phys,,,16,,RBRVS,1.86,0.33,0.84,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100196119,HCPCS,Neuropsych testing by tech,,,16,,RBRVS,0.55,0.1,1.53,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100196120,HCPCS,Neuropsych tst admin w/comp,,,16,,RBRVS,0.51,0.1,1.69,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100196125,CPT,Cognitive test by hc pro,,,16,,RBRVS,1.7,0.37,0.76,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100196150,HCPCS,"Assess lth/behave, init",,,16,,RBRVS,0.5,0.09,0.1,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100196151,HCPCS,"Assess hlth/behave, subseq",,,16,,RBRVS,0.48,0.09,0.1,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100196152,HCPCS,"Intervene hlth/behave, indiv",,,16,,RBRVS,0.46,0.08,0.09,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100196153,HCPCS,"Intervene hlth/behave, group",,,16,,RBRVS,0.1,0.02,0.02,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100196154,HCPCS,"Interv hlth/behav, fam w/pt",,,16,,RBRVS,0.45,0.08,0.09,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100196155,HCPCS,Interv hlth/behav fam no pt,,,16,,RBRVS,0.44,0.1,0.1,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100196401,HCPCS,"Chemo, anti-neopl, sq/im",,,22,,RBRVS,0.21,1.86,1.86,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100196402,HCPCS,Chemo hormon antineopl sq/im,,,22,,RBRVS,0.19,0.78,0.78,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100196405,HCPCS,Intralesional chemo admin,,,22,,RBRVS,0.52,0.24,3.69,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100196406,HCPCS,Intralesional chemo admin,,,22,,RBRVS,0.8,0.32,3.62,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100196409,HCPCS,"Chemo, iv push, sngl drug",,,22,,RBRVS,0.24,2.8,2.8,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100196411,HCPCS,"Chemo, iv push, addl drug",,,22,,RBRVS,0.2,1.5,1.5,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100196413,HCPCS,"Chemo, iv infusion, 1 hr",,,22,,RBRVS,0.28,3.64,3.64,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100196415,HCPCS,"Chemo, iv infusion, addl hr",,,22,,RBRVS,0.19,0.66,0.66,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100196416,HCPCS,Chemo prolong infuse w/pump,,,22,,RBRVS,0.21,4.09,4.09,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100196417,HCPCS,Chemo iv infus each addl seq,,,22,,RBRVS,0.21,1.73,1.73,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100196420,HCPCS,"Chemotherapy, push technique",,,22,,RBRVS,0.17,2.78,2.78,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100196422,HCPCS,"Chemotherapy,infusion method",,,22,,RBRVS,0.17,4.5,4.5,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100196423,HCPCS,"Chemo, infuse method add-on",,,22,,RBRVS,0.17,1.99,1.99,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100196425,HCPCS,"Chemotherapy,infusion method",,,22,,RBRVS,0.17,4.67,4.67,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100196440,HCPCS,"Chemotherapy, intracavitary",,,22,,RBRVS,2.37,0.98,5.56,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100196445,HCPCS,"Chemotherapy, intracavitary",,,22,,RBRVS,2.2,0.96,5.42,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100196450,HCPCS,"Chemotherapy, into CNS",,,22,,RBRVS,1.53,0.83,4.99,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100196521,HCPCS,"Refill/maint, portable pump",,,22,,RBRVS,0.21,3.16,3.16,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100196522,HCPCS,Refill/maint pump/resvr syst,,,22,,RBRVS,0.21,2.78,2.78,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100196523,HCPCS,Irrig drug delivery device,,,22,,RBRVS,0.04,0.64,0.64,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100196542,HCPCS,Chemotherapy injection,,,22,,RBRVS,0.75,0.32,3.56,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100196549,HCPCS,"Chemotherapy, unspecified",,,22,,TotalUnits,,,,3.08,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100196567,HCPCS,"Photodynamic tx, skin",,,14,,RBRVS,0,3.74,3.74,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100196570,HCPCS,"Photodynamic tx, 30 min",,,14,,RBRVS,1.1,0.4,0.4,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100196571,HCPCS,"Photodynamic tx, addl 15 min",,,14,,RBRVS,0.55,0.19,0.19,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100196900,HCPCS,Ultraviolet light therapy,,,14,,RBRVS,0,0.57,0.57,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100196902,HCPCS,Trichogram,,,14,,RBRVS,0.41,0.09,0.11,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100196904,CPT,Whole body photography,,,14,,RBRVS,0,1.9,1.9,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100196910,HCPCS,Photochemotherapy with UV-B,,,14,,RBRVS,0,2.01,2.01,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100196912,HCPCS,Photochemotherapy with UV-A,,,14,,RBRVS,0,2.58,2.58,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100196913,HCPCS,"Photochemotherapy, UV-A or B",,,14,,RBRVS,0,3.47,3.47,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100196920,HCPCS,"Laser tx, skin < 250 sq cm",,,14,,RBRVS,1.15,0.56,3.58,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100196921,HCPCS,"Laser tx, skin 250-500 sq cm",,,14,,RBRVS,1.17,0.51,3.33,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100196922,HCPCS,"Laser tx, skin > 500 sq cm",,,14,,RBRVS,2.1,1.04,4.64,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100196999,HCPCS,Dermatological procedure,,,14,,TotalUnits,,,,1.07,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100197001,HCPCS,Pt evaluation,,,19,,RBRVS,1.2,0.65,0.65,,,$0.00 ,$0.00 ,1,1,1,0,0,1,2008100197002,HCPCS,Pt re-evaluation,,,19,,RBRVS,0.6,0.41,0.41,,,$0.00 ,$0.00 ,1,1,1,0,0,1,2008100197003,HCPCS,Ot evaluation,,,19,,RBRVS,1.2,0.76,0.76,,,$0.00 ,$0.00 ,1,1,1,0,0,1,2008100197004,HCPCS,Ot re-evaluation,,,19,,RBRVS,0.6,0.54,0.54,,,$0.00 ,$0.00 ,1,1,1,0,0,1,2008100197005,HCPCS,Athletic train eval,,,19,,TotalUnits,,,,1.45,,$0.00 ,$0.00 ,1,1,1,0,0,1,2008100197006,HCPCS,Athletic train reeval,,,19,,TotalUnits,,,,0.72,,$0.00 ,$0.00 ,1,1,1,0,0,1,2008100197010,HCPCS,Hot or cold packs therapy,,,19,,RBRVS,0.06,0.07,0.07,,,$0.00 ,$0.00 ,1,1,1,0,0,1,2008100197012,HCPCS,Mechanical traction therapy,,,19,,RBRVS,0.25,0.14,0.14,,,$0.00 ,$0.00 ,1,1,1,0,0,1,2008100197014,HCPCS,Electric stimulation therapy,,,19,,RBRVS,0.18,0.18,0.18,,,$0.00 ,$0.00 ,1,1,1,0,0,1,2008100197016,HCPCS,Vasopneumatic device therapy,,,19,,RBRVS,0.18,0.24,0.24,,,$0.00 ,$0.00 ,1,1,1,0,0,1,2008100197018,HCPCS,Paraffin bath therapy,,,19,,RBRVS,0.06,0.17,0.17,,,$0.00 ,$0.00 ,1,1,1,0,0,1,2008100197022,HCPCS,Whirlpool therapy,,,19,,RBRVS,0.17,0.33,0.33,,,$0.00 ,$0.00 ,1,1,1,0,0,1,2008100197024,HCPCS,Diathermy treatment,,,19,,RBRVS,0.06,0.08,0.08,,,$0.00 ,$0.00 ,1,1,1,0,0,1,2008100197026,HCPCS,Infrared therapy,,,19,,RBRVS,0.06,0.07,0.07,,,$0.00 ,$0.00 ,1,1,1,0,0,1,2008100197028,HCPCS,Ultraviolet therapy,,,19,,RBRVS,0.08,0.08,0.08,,,$0.00 ,$0.00 ,1,1,1,0,0,1,2008100197032,HCPCS,Electrical stimulation,,,19,,RBRVS,0.25,0.2,0.2,,,$0.00 ,$0.00 ,1,1,1,0,0,1,2008100197033,HCPCS,Electric current therapy,,,19,,RBRVS,0.26,0.44,0.44,,,$0.00 ,$0.00 ,1,1,1,0,0,1,2008100197034,HCPCS,Contrast bath therapy,,,19,,RBRVS,0.21,0.2,0.2,,,$0.00 ,$0.00 ,1,1,1,0,0,1,2008100197035,HCPCS,Ultrasound therapy,,,19,,RBRVS,0.21,0.1,0.1,,,$0.00 ,$0.00 ,1,1,1,0,0,1,2008100197036,HCPCS,Hydrotherapy,,,19,,RBRVS,0.28,0.44,0.44,,,$0.00 ,$0.00 ,1,1,1,0,0,1,2008100197039,HCPCS,Unlisted physical medicine/rehab modality,,,19,,NW,,,,,,$26.19 ,$0.00 ,1,1,1,0,0,1,2008100197110,HCPCS,Therapeutic exercises,,,19,,RBRVS,0.45,0.32,0.32,,,$0.00 ,$0.00 ,1,1,1,0,0,1,2008100197112,HCPCS,Neuromuscular reeducation,,,19,,RBRVS,0.45,0.34,0.34,,,$0.00 ,$0.00 ,1,1,1,0,0,1,2008100197113,HCPCS,Aquatic therapy/exercises,,,19,,RBRVS,0.44,0.53,0.53,,,$0.00 ,$0.00 ,1,1,1,0,0,1,2008100197116,HCPCS,Gait training therapy,,,19,,RBRVS,0.4,0.27,0.27,,,$0.00 ,$0.00 ,1,1,1,0,0,1,2008100197124,HCPCS,Massage therapy,,,19,,RBRVS,0.35,0.27,0.27,,,$0.00 ,$0.00 ,1,1,1,0,0,1,2008100197139,HCPCS,Physical medicine procedure,,,19,,NW,,,,,,$26.19 ,$0.00 ,1,1,1,0,0,1,2008100197140,HCPCS,Manual therapy,,,19,,RBRVS,0.43,0.29,0.29,,,$0.00 ,$0.00 ,1,1,1,0,0,1,2008100197150,HCPCS,Group therapeutic procedures,,,19,,RBRVS,0.27,0.22,0.22,,,$0.00 ,$0.00 ,1,1,1,0,0,1,2008100197530,HCPCS,Therapeutic activities,,,19,,RBRVS,0.44,0.38,0.38,,,$0.00 ,$0.00 ,1,1,1,0,0,1,2008100197532,HCPCS,Cognitive skills development,,,19,,RBRVS,0.44,0.22,0.22,,,$0.00 ,$0.00 ,1,1,1,0,0,1,2008100197533,HCPCS,Sensory integration,,,19,,RBRVS,0.44,0.27,0.27,,,$0.00 ,$0.00 ,1,1,1,0,0,1,2008100197535,HCPCS,Self care mngment training,,,19,,RBRVS,0.45,0.37,0.37,,,$0.00 ,$0.00 ,1,1,1,0,0,1,2008100197537,HCPCS,Community/work reintegration,,,19,,RBRVS,0.45,0.28,0.28,,,$0.00 ,$0.00 ,1,1,1,0,0,1,2008100197542,HCPCS,Wheelchair mngment training,,,19,,RBRVS,0.45,0.29,0.29,,,$0.00 ,$0.00 ,1,1,1,0,0,1,2008100197545,HCPCS,Work hardening,,,19,,TotalUnits,,,,2.68,,$0.00 ,$0.00 ,1,1,1,0,0,1,2008100197546,HCPCS,Work hardening add-on,,,19,,TotalUnits,,,,1.07,,$0.00 ,$0.00 ,1,1,1,0,0,1,2008100197597,HCPCS,Active wound care/20 cm or <,,,19,,RBRVS,0.58,0.12,1.1,,,$0.00 ,$0.00 ,1,1,1,0,0,1,2008100197598,HCPCS,Active wound care > 20 cm,,,19,,RBRVS,0.8,0.17,1.27,,,$0.00 ,$0.00 ,1,1,1,0,0,1,2008100197602,HCPCS,Wound(s) care non-selective,,,19,,TotalUnits,,,,0.39,,$0.00 ,$0.00 ,1,1,1,0,0,1,2008100197605,HCPCS,Negative pressure wound therapy less than or equal to 50 square cm,,,19,,RBRVS,0.55,0.11,0.4,,,$0.00 ,$0.00 ,1,1,1,0,0,1,2008100197606,HCPCS,Negative pressure wound therapy greater than 50 square cm,,,19,,RBRVS,0.6,0.13,0.41,,,$0.00 ,$0.00 ,1,1,1,0,0,1,2008100197750,HCPCS,Physical performance test,,,19,,RBRVS,0.45,0.33,0.33,,,$0.00 ,$0.00 ,1,1,1,0,0,1,2008100197755,HCPCS,Assistive technology assess,,,19,,RBRVS,0.62,0.27,0.27,,,$0.00 ,$0.00 ,1,1,1,0,0,1,2008100197760,HCPCS,Orthotic mgmt and training,,,19,,RBRVS,0.45,0.42,0.42,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100197761,HCPCS,Prosthetic training,,,19,,RBRVS,0.45,0.33,0.33,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100197762,HCPCS,C/o for orthotic/prosth use,,,19,,RBRVS,0.25,0.73,0.73,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100197799,HCPCS,Physical medicine procedure,,,19,,TotalUnits,,,,0.76,,$0.00 ,$0.00 ,1,1,1,0,0,1,2008100197802,HCPCS,"Medical nutrition, indiv, in",,,14,,RBRVS,0.45,0.11,0.14,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100197803,HCPCS,"Med nutrition, indiv, subseq",,,14,,RBRVS,0.37,0.09,0.12,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100197804,HCPCS,"Medical nutrition, group",,,14,,RBRVS,0.25,0.07,0.08,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100197810,HCPCS,Acupunct w/o stimul 15 min,,,19,,RBRVS,0.6,0.14,0.26,,,$0.00 ,$0.00 ,1,1,1,1,1,1,2008100197811,HCPCS,Acupunct w/o stimul addl 15m,,,19,,RBRVS,0.5,0.11,0.15,,,$0.00 ,$0.00 ,1,1,1,1,1,1,2008100197813,HCPCS,Acupunct w/stimul 15 min,,,19,,RBRVS,0.65,0.15,0.27,,,$0.00 ,$0.00 ,1,1,1,1,1,1,2008100197814,HCPCS,Acupunct w/stimul addl 15m,,,19,,RBRVS,0.55,0.13,0.19,,,$0.00 ,$0.00 ,1,1,1,1,1,1,2008100198925,HCPCS,Osteopathic manipulation,,,19,,RBRVS,0.45,0.12,0.29,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100198926,HCPCS,Osteopathic manipulation,,,19,,RBRVS,0.65,0.17,0.37,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100198927,HCPCS,Osteopathic manipulation,,,19,,RBRVS,0.87,0.22,0.45,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100198928,HCPCS,Osteopathic manipulation,,,19,,RBRVS,1.03,0.26,0.51,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100198929,HCPCS,Osteopathic manipulation,,,19,,RBRVS,1.19,0.3,0.57,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100198940,HCPCS,Chiropractic manipulation,,,5,,RBRVS,0.45,0.12,0.21,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100198941,HCPCS,Chiropractic manipulation,,,5,,RBRVS,0.65,0.17,0.27,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100198942,HCPCS,Chiropractic manipulation,,,5,,RBRVS,0.87,0.24,0.33,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100198943,HCPCS,Chiropractic manipulation,,,5,,RBRVS,0.4,0.09,0.17,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100198960,HCPCS,"Self-mgmt educ & train, 1 pt",,,14,,RBRVS,0,0.58,0.58,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100198961,HCPCS,"Self-mgmt educ/train, 2-4 pt",,,14,,RBRVS,0,0.28,0.28,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100198962,HCPCS,"Self-mgmt educ/train, 5-8 pt",,,14,,RBRVS,0,0.2,0.2,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100198966,CPT,Hc pro phone call 5-10 min,,,15,,RBRVS,0.25,0.06,0.09,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100198967,CPT,Hc pro phone call 11-20 min,,,15,,RBRVS,0.5,0.11,0.14,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100198968,CPT,Hc pro phone call 21-30 min,,,15,,RBRVS,0.75,0.17,0.2,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100199000,HCPCS,Specimen handling,,,14,,TotalUnits,,,,0.22,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100199001,HCPCS,Specimen handling,,,14,,TotalUnits,,,,0.25,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100199002,HCPCS,Device handling,,,14,,TotalUnits,,,,0.37,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100199026,HCPCS,In-hospital on call service,,,10,,TotalUnits,,,,2.1,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100199027,HCPCS,Out-of-hosp on call service,,,15,,TotalUnits,,,,2.1,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100199050,HCPCS,Medical services after hrs,,,15,,TotalUnits,,,,0.69,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100199056,HCPCS,Non-office medical services,,,15,,TotalUnits,,,,0.9,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100199058,HCPCS,Office emergency care,,,15,,TotalUnits,,,,0.93,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100199075,HCPCS,Medical testimony,,,14,,TotalUnits,,,,5.27,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100199078,HCPCS,Group health education,,,14,,TotalUnits,,,,0.9,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100199080,HCPCS,Special reports or forms,,,14,,TotalUnits,,,,0.72,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100199082,HCPCS,Unusual physician travel,,,14,,TotalUnits,,,,0.47,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100199090,HCPCS,Computer data analysis,,,14,,TotalUnits,,,,1.5,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100199091,HCPCS,Collect/review data from pt,,,14,,RBRVS,1.1,0.25,0.25,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100199100,HCPCS,Special anesthesia service,,,21,,TotalUnits,,,,0.08,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100199116,HCPCS,Anesthesia with hypothermia,,,21,,TotalUnits,,,,0.5,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100199135,HCPCS,Special anesthesia procedure,,,21,,TotalUnits,,,,0.63,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100199140,HCPCS,Emergency anesthesia,,,21,,TotalUnits,,,,0.39,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100199170,HCPCS,"Anogenital exam, child",,,14,,RBRVS,1.75,0.61,1.83,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100199172,CPT,Ocular function screen,26,,23,,TotalUnits,,,,0.28,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100199172,CPT,Ocular function screen,TC,,23,,TotalUnits,,,,1.1,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100199173,HCPCS,Visual acuity screen,,,23,,RBRVS,0,0.06,0.06,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100199175,HCPCS,Induction of vomiting,,,14,,RBRVS,0,0.36,0.36,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100199183,HCPCS,Hyperbaric oxygen therapy,,,14,,RBRVS,2.34,0.57,2.6,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100199185,CPT,Regional hypothermia,26,,14,,TotalUnits,,,,0.25,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100199185,CPT,Regional hypothermia,TC,,14,,TotalUnits,,,,0.39,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100199185,CPT,Regional hypothermia,,,14,,RBRVS,0,1.67,1.67,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100199186,CPT,Total body hypothermia,26,,14,,TotalUnits,,,,1.19,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100199186,CPT,Total body hypothermia,TC,,14,,TotalUnits,,,,1.78,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100199186,CPT,Total body hypothermia,,,14,,RBRVS,0,1.63,1.63,,,$0.00 ,$0.00 ,1,0,0,0,0,1,2008100199190,HCPCS,Special pump services,,,14,,TotalUnits,,,,14.5,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100199191,HCPCS,Special pump services,,,14,,TotalUnits,,,,10.87,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100199192,HCPCS,Special pump services,,,14,,TotalUnits,,,,7.25,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100199195,HCPCS,Phlebotomy,,,14,,RBRVS,0,2.56,2.56,,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100199199,HCPCS,Special service/proc/report,,,14,,TotalUnits,,,,0.32,,$0.00 ,$0.00 ,1,1,1,0,1,1,2008100199201,HCPCS,"Office/outpatient visit, new",,,15,,RBRVS,0.45,0.16,0.55,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100199202,HCPCS,"Office/outpatient visit, new",,,15,,RBRVS,0.88,0.29,0.84,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100199203,HCPCS,"Office/outpatient visit, new",,,15,,RBRVS,1.34,0.43,1.11,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100199204,HCPCS,"Office/outpatient visit, new",,,15,,RBRVS,2.3,0.71,1.49,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100199205,HCPCS,"Office/outpatient visit, new",,,15,,RBRVS,3,0.91,1.79,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100199211,HCPCS,"Office/outpatient visit, est",,,15,,RBRVS,0.17,0.06,0.32,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100199212,HCPCS,"Office/outpatient visit, est",,,15,,RBRVS,0.45,0.15,0.55,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100199213,HCPCS,"Office/outpatient visit, est",,,15,,RBRVS,0.92,0.28,0.76,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100199214,HCPCS,"Office/outpatient visit, est",,,15,,RBRVS,1.42,0.44,1.1,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100199215,HCPCS,"Office/outpatient visit, est",,,15,,RBRVS,2,0.61,1.38,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100199217,HCPCS,Observation care discharge,,,7,,RBRVS,1.28,0.5,0.5,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100199218,HCPCS,Observation care,,,7,,RBRVS,1.28,0.38,0.38,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100199219,HCPCS,Observation care,,,7,,RBRVS,2.14,0.59,0.59,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100199220,HCPCS,Observation care,,,7,,RBRVS,2.99,0.84,0.84,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100199221,HCPCS,Initial hospital care,,,10,,RBRVS,1.88,0.54,0.54,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100199222,HCPCS,Initial hospital care,,,10,,RBRVS,2.56,0.71,0.71,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100199223,HCPCS,Initial hospital care,,,10,,RBRVS,3.78,1.07,1.07,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100199231,HCPCS,Subsequent hospital care,,,10,,RBRVS,0.76,0.24,0.24,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100199232,HCPCS,Subsequent hospital care,,,10,,RBRVS,1.39,0.42,0.42,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100199233,HCPCS,Subsequent hospital care,,,10,,RBRVS,2,0.59,0.59,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100199234,HCPCS,Observ/hosp same date,,,10,,RBRVS,2.56,0.78,0.78,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100199235,HCPCS,Observ/hosp same date,,,10,,RBRVS,3.41,0.98,0.98,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100199236,HCPCS,Observ/hosp same date,,,10,,RBRVS,4.26,1.21,1.21,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100199238,HCPCS,Hospital discharge day,,,10,,RBRVS,1.28,0.49,0.49,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100199239,HCPCS,Hospital discharge day,,,10,,RBRVS,1.9,0.67,0.67,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100199241,HCPCS,Office consultation,,,6,,RBRVS,0.64,0.22,0.66,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100199242,HCPCS,Office consultation,,,6,,RBRVS,1.34,0.48,1.08,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100199243,HCPCS,Office consultation,,,6,,RBRVS,1.88,0.67,1.45,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100199244,HCPCS,Office consultation,,,6,,RBRVS,3.02,1.08,1.93,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100199245,HCPCS,Office consultation,,,6,,RBRVS,3.77,1.31,2.26,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100199251,HCPCS,Initial inpatient consult,,,6,,RBRVS,1,0.31,0.31,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100199252,HCPCS,Initial inpatient consult,,,6,,RBRVS,1.5,0.49,0.49,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100199253,HCPCS,Initial inpatient consult,,,6,,RBRVS,2.27,0.8,0.8,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100199254,HCPCS,Initial inpatient consult,,,6,,RBRVS,3.29,1.19,1.19,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100199255,HCPCS,Initial inpatient consult,,,6,,RBRVS,4,1.39,1.39,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100199281,HCPCS,Emergency dept visit,,,7,,RBRVS,0.45,0.09,0.09,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100199282,HCPCS,Emergency dept visit,,,7,,RBRVS,0.88,0.17,0.17,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100199283,HCPCS,Emergency dept visit,,,7,,RBRVS,1.34,0.25,0.25,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100199284,HCPCS,Emergency dept visit,,,7,,RBRVS,2.56,0.46,0.46,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100199285,HCPCS,Emergency dept visit,,,7,,RBRVS,3.8,0.67,0.67,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100199288,HCPCS,Direct advanced life support,,,7,,TotalUnits,,,,1.26,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100199289,HCPCS,Ped crit care transport,,,10,,RBRVS,4.79,1.08,1.08,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100199290,HCPCS,Ped crit care transport addl,,,10,,RBRVS,2.4,0.89,0.89,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100199291,HCPCS,"Critical care, first hour",,,10,,RBRVS,4.5,1.1,2.26,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100199292,HCPCS,"Critical care, addl 30 min",,,10,,RBRVS,2.25,0.56,0.8,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100199293,HCPCS,"Ped critical care, initial",,,10,,RBRVS,15.98,3.78,3.78,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100199294,HCPCS,"Ped critical care, subseq",,,10,,RBRVS,7.99,1.65,1.65,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100199295,HCPCS,"Neonate crit care, initial",,,10,,RBRVS,18.46,4.57,4.57,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100199296,HCPCS,Neonate critical care subseq,,,10,,RBRVS,7.99,2.06,2.06,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100199298,HCPCS,Ic for lbw infant < 1500 gm,,,10,,RBRVS,2.75,0.68,0.68,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100199299,HCPCS,"Ic, lbw infant 1500-2500 gm",,,10,,RBRVS,2.5,0.58,0.58,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100199300,HCPCS,"Ic, infant pbw 2501-5000 gm",,,10,,RBRVS,2.4,0.71,0.71,,,$0.00 ,$0.00 ,1,0,1,0,1,1,2008100199304,HCPCS,"Nursing facility care, init",,,15,,RBRVS,1.61,0.57,0.57,,,$0.00 ,$0.00 ,1,0,1,0,1,1,2008100199305,HCPCS,"Nursing facility care, init",,,15,,RBRVS,2.3,0.74,0.74,,,$0.00 ,$0.00 ,1,0,1,0,1,1,2008100199306,HCPCS,"Nursing facility care, init",,,15,,RBRVS,3,0.91,0.91,,,$0.00 ,$0.00 ,1,0,1,0,1,1,2008100199307,HCPCS,"Nursing fac care, subseq",,,15,,RBRVS,0.76,0.31,0.31,,,$0.00 ,$0.00 ,1,0,1,0,1,1,2008100199308,HCPCS,"Nursing fac care, subseq",,,15,,RBRVS,1.16,0.47,0.47,,,$0.00 ,$0.00 ,1,0,1,0,1,1,2008100199309,HCPCS,"Nursing fac care, subseq",,,15,,RBRVS,1.55,0.61,0.61,,,$0.00 ,$0.00 ,1,0,1,0,1,1,2008100199310,HCPCS,"Nursing fac care, subseq",,,15,,RBRVS,2.35,0.87,0.87,,,$0.00 ,$0.00 ,1,0,1,0,1,1,2008100199315,HCPCS,Nursing fac discharge day,,,10,,RBRVS,1.13,0.41,0.41,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100199316,HCPCS,Nursing fac discharge day,,,10,,RBRVS,1.5,0.51,0.51,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100199318,HCPCS,Annual nursing fac assessmnt,,,15,,RBRVS,1.71,0.56,0.56,,,$0.00 ,$0.00 ,1,0,1,0,1,1,2008100199324,HCPCS,Domicil/r-home visit new pat,,,15,,RBRVS,1.01,0.43,0.43,,,$0.00 ,$0.00 ,1,0,1,0,1,1,2008100199325,HCPCS,Domicil/r-home visit new pat,,,15,,RBRVS,1.52,0.55,0.55,,,$0.00 ,$0.00 ,1,0,1,0,1,1,2008100199326,HCPCS,Domicil/r-home visit new pat,,,15,,RBRVS,2.63,0.82,0.82,,,$0.00 ,$0.00 ,1,0,1,0,1,1,2008100199327,HCPCS,Domicil/r-home visit new pat,,,15,,RBRVS,3.46,1.02,1.02,,,$0.00 ,$0.00 ,1,0,1,0,1,1,2008100199328,HCPCS,Domicil/r-home visit new pat,,,15,,RBRVS,4.09,1.16,1.16,,,$0.00 ,$0.00 ,1,0,1,0,1,1,2008100199334,HCPCS,Domicil/r-home visit est pat,,,15,,RBRVS,1.07,0.43,0.43,,,$0.00 ,$0.00 ,1,0,1,0,1,1,2008100199335,HCPCS,Domicil/r-home visit est pat,,,15,,RBRVS,1.72,0.59,0.59,,,$0.00 ,$0.00 ,1,0,1,0,1,1,2008100199336,HCPCS,Domicil/r-home visit est pat,,,15,,RBRVS,2.46,0.77,0.77,,,$0.00 ,$0.00 ,1,0,1,0,1,1,2008100199337,HCPCS,Domicil/r-home visit est pat,,,15,,RBRVS,3.58,1.03,1.03,,,$0.00 ,$0.00 ,1,0,1,0,1,1,2008100199339,CPT,Domicil/r-home care supervis,,,15,,RBRVS,1.25,0.58,0.58,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100199340,CPT,Domicil/r-home care supervis,,,15,,RBRVS,1.8,0.77,0.77,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100199341,HCPCS,"Home visit, new patient",,,15,,RBRVS,1.01,0.43,0.43,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100199342,HCPCS,"Home visit, new patient",,,15,,RBRVS,1.52,0.56,0.56,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100199343,HCPCS,"Home visit, new patient",,,15,,RBRVS,2.53,0.82,0.82,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100199344,HCPCS,"Home visit, new patient",,,15,,RBRVS,3.38,1,1,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100199345,HCPCS,"Home visit, new patient",,,15,,RBRVS,4.09,1.15,1.15,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100199347,HCPCS,"Home visit, est patient",,,15,,RBRVS,1,0.42,0.42,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100199348,HCPCS,"Home visit, est patient",,,15,,RBRVS,1.56,0.56,0.56,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100199349,HCPCS,"Home visit, est patient",,,15,,RBRVS,2.33,0.73,0.73,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100199350,HCPCS,"Home visit, est patient",,,15,,RBRVS,3.28,0.96,0.96,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100199354,HCPCS,"Prolonged service, office",,,15,,RBRVS,1.77,0.5,0.65,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100199355,HCPCS,"Prolonged service, office",,,15,,RBRVS,1.77,0.47,0.62,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100199356,HCPCS,"Prolonged service, inpatient",,,10,,RBRVS,1.71,0.5,0.5,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100199357,HCPCS,"Prolonged service, inpatient",,,10,,RBRVS,1.71,0.5,0.5,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100199358,HCPCS,"Prolonged serv, w/o contact",,,15,,RBRVS,2.1,0.51,0.51,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100199359,HCPCS,"Prolonged serv, w/o contact",,,15,,RBRVS,1,0.26,0.26,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100199360,HCPCS,Physician standby services,,,14,,RBRVS,1.2,0.28,0.28,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100199363,CPT,"Anticoag mgmt, init",,,15,,RBRVS,1.65,0.38,1.3,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100199364,CPT,"Anticoag mgmt, subseq",,,15,,RBRVS,0.63,0.14,0.38,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100199366,CPT,Team conf w/pat by hc pro,,,15,,RBRVS,0.82,0.19,0.2,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100199367,CPT,Team conf w/o pat by phys,,,15,,RBRVS,1.1,0.25,0.25,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100199368,CPT,Team conf w/o pat by hc pro,,,15,,RBRVS,0.72,0.16,0.16,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100199374,HCPCS,Home health care supervision,,,15,,RBRVS,1.1,0.25,0.55,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100199375,HCPCS,Home health care supervision,,,15,,RBRVS,1.73,0.4,0.75,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100199377,HCPCS,Hospice care supervision,,,15,,RBRVS,1.1,0.25,0.55,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100199378,HCPCS,Hospice care supervision,,,15,,RBRVS,1.73,0.4,0.75,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100199379,HCPCS,Nursing fac care supervision,,,15,,RBRVS,1.1,0.25,0.55,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100199380,HCPCS,Nursing fac care supervision,,,15,,RBRVS,1.73,0.4,0.75,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100199381,HCPCS,"Prev visit, new, infant",,,24,,RBRVS,1.19,0.27,1,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100199382,HCPCS,"Prev visit, new, age 1-4",,,18,,RBRVS,1.36,0.31,1.04,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100199383,HCPCS,"Prev visit, new, age 5-11",,,18,,RBRVS,1.36,0.31,1.03,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100199384,HCPCS,"Prev visit, new, age 12-17",,,18,,RBRVS,1.53,0.35,1.07,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100199385,HCPCS,"Prev visit, new, age 18-39",,,18,,RBRVS,1.53,0.35,1.07,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100199386,HCPCS,"Prev visit, new, age 40-64",,,18,,RBRVS,1.88,0.43,1.15,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100199387,HCPCS,"Prev visit, new, 65 & over",,,18,,RBRVS,2.06,0.47,1.28,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100199391,HCPCS,"Prev visit, est, infant",,,24,,RBRVS,1.02,0.24,0.86,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100199392,HCPCS,"Prev visit, est, age 1-4",,,18,,RBRVS,1.19,0.27,0.9,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100199393,HCPCS,"Prev visit, est, age 5-11",,,18,,RBRVS,1.19,0.27,0.9,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100199394,HCPCS,"Prev visit, est, age 12-17",,,18,,RBRVS,1.36,0.31,0.93,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100199395,HCPCS,"Prev visit, est, age 18-39",,,18,,RBRVS,1.36,0.31,0.94,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100199396,HCPCS,"Prev visit, est, age 40-64",,,18,,RBRVS,1.53,0.35,0.98,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100199397,HCPCS,"Prev visit, est, 65 & over",,,18,,RBRVS,1.71,0.39,1.12,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100199401,HCPCS,"Preventive counseling, indiv",,,18,,RBRVS,0.48,0.11,0.36,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100199402,HCPCS,"Preventive counseling, indiv",,,18,,RBRVS,0.98,0.22,0.48,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100199403,HCPCS,"Preventive counseling, indiv",,,18,,RBRVS,1.46,0.34,0.59,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100199404,HCPCS,"Preventive counseling, indiv",,,18,,RBRVS,1.95,0.45,0.7,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100199406,CPT,Behav chng smoking 3-10 min,,,15,,RBRVS,0.24,0.07,0.11,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100199407,CPT,Behav chng smoking < 10 min,,,15,,RBRVS,0.5,0.13,0.18,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100199408,CPT,"Audit/dast, 15-30 min",,,16,,RBRVS,0.65,0.15,0.19,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100199409,CPT,"Audit/dast, over 30 min",,,16,,RBRVS,1.3,0.3,0.34,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100199411,HCPCS,"Preventive counseling, group",,,18,,RBRVS,0.15,0.03,0.22,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100199412,HCPCS,"Preventive counseling, group",,,18,,RBRVS,0.25,0.06,0.24,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100199420,HCPCS,Health risk assessment test,,,18,,RBRVS,0,0.22,0.22,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100199429,HCPCS,Unlisted preventive service,,,18,,TotalUnits,,,,2.46,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100199431,HCPCS,"Initial care, normal newborn",,,10,,RBRVS,1.17,0.27,0.27,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100199432,HCPCS,"Newborn care, not in hosp",,,24,,RBRVS,1.26,0.29,1.01,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100199433,HCPCS,Normal newborn care/hospital,,,10,,RBRVS,0.62,0.17,0.17,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100199435,HCPCS,Newborn discharge day hosp,,,10,,RBRVS,1.5,0.5,0.5,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100199436,HCPCS,"Attendance, birth",,,10,,RBRVS,1.5,0.33,0.33,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100199440,HCPCS,Newborn resuscitation,,,10,,RBRVS,2.93,0.67,0.67,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100199441,CPT,Phone e/m by phys 5-10 min,,,15,,RBRVS,0.25,0.06,0.09,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100199442,CPT,Phone e/m by phys 11-20 min,,,15,,RBRVS,0.5,0.11,0.14,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100199443,CPT,Phone e/m by phys 21-30 min,,,15,,RBRVS,0.75,0.17,0.2,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100199450,HCPCS,Life/disability evaluation,,,15,,TotalUnits,,,,1.68,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100199455,HCPCS,Disability examination,,,15,,TotalUnits,,,,4.23,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100199456,HCPCS,Disability examination,,,15,,TotalUnits,,,,11.47,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100199477,CPT,Init day hosp neonate care,,,10,,RBRVS,7,1.98,1.98,,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100199499,HCPCS,Unlisted e&m service,,,15,,TotalUnits,,,,1.37,,$0.00 ,$0.00 ,1,0,1,1,1,1,2008100199500,HCPCS,"Home visit, prenatal",,,15,,TotalUnits,,,,2.91,,$0.00 ,$0.00 ,1,1,1,1,1,1,2008100199501,HCPCS,"Home visit, postnatal",,,15,,TotalUnits,,,,3.32,,$0.00 ,$0.00 ,1,1,1,1,1,1,2008100199502,HCPCS,"Home visit, nb care",,,15,,TotalUnits,,,,4.85,,$0.00 ,$0.00 ,1,1,1,1,1,1,2008100199503,HCPCS,"Home visit, resp therapy",,,15,,TotalUnits,,,,1.94,,$0.00 ,$0.00 ,1,1,1,1,1,1,2008100199504,HCPCS,Home visit mech ventilator,,,15,,TotalUnits,,,,5.64,,$0.00 ,$0.00 ,1,1,1,1,1,1,2008100199505,HCPCS,"Home visit, stoma care",,,15,,TotalUnits,,,,1.99,,$0.00 ,$0.00 ,1,1,1,1,1,1,2008100199506,HCPCS,"Home visit, im injection",,,15,,TotalUnits,,,,0.79,,$0.00 ,$0.00 ,1,1,1,1,1,1,2008100199507,HCPCS,"Home visit, cath maintain",,,15,,TotalUnits,,,,1.41,,$0.00 ,$0.00 ,1,1,1,1,1,1,2008100199509,HCPCS,Home visit day life activity,,,15,,TotalUnits,,,,1.91,,$0.00 ,$0.00 ,1,1,1,1,1,1,2008100199510,HCPCS,"Home visit, sing/m/fam couns",,,15,,RBRVS,0.48,0.11,0.36,,,$0.00 ,$0.00 ,1,0,1,0,0,1,2008100199511,HCPCS,"Home visit, fecal/enema mgmt",,,15,,TotalUnits,,,,0.81,,$0.00 ,$0.00 ,1,1,1,1,1,1,2008100199512,HCPCS,"Home visit, hemodialysis",,,15,,TotalUnits,,,,7.06,,$0.00 ,$0.00 ,1,1,1,1,1,1,2008100199600,HCPCS,Home visit nos,,,15,,TotalUnits,,,,2.21,,$0.00 ,$0.00 ,1,1,1,1,1,1,2008100199601,HCPCS,"Home infusion/visit, 2 hrs",,,15,,TotalUnits,,,,2.21,,$0.00 ,$0.00 ,1,1,1,1,1,1,2008100199602,HCPCS,"Home infusion, each addtl hr",,,15,,TotalUnits,,,,2.21,,$0.00 ,$0.00 ,1,0,1,0,0,1,200810010017T,CPT,Photocoagulat macular drusen,,,21,,RBRVS,6,4.65,5.41,,,$0.00 ,$0.00 ,1,0,1,1,1,1,200810010026T,CPT,Measure remnant lipoproteins,,,17,,TotalUnits,,,,0.38,,$0.00 ,$0.00 ,1,1,1,0,1,1,200810010030T,CPT,Antiprothrombin antibody,,,17,,TotalUnits,,,,0.4,,$0.00 ,$0.00 ,1,1,1,0,1,1,200810010041T,CPT,Detect ur infect agnt w/cpas,,,17,,TotalUnits,,,,0.1,,$0.00 ,$0.00 ,1,1,1,0,1,1,200810010042T,CPT,"Ct perfusion w/contrast, cbf",,,20,,RBRVS,0,6.11,6.11,,,$0.00 ,$0.00 ,1,0,1,1,1,1,200810010043T,CPT,Co expired gas analysis,,,14,,RBRVS,0.11,0.03,0.03,,,$0.00 ,$0.00 ,1,1,1,0,1,1,200810010064T,CPT,Spectroscop eval expired gas,,,14,,RBRVS,0.11,0.03,0.03,,,$0.00 ,$0.00 ,1,1,1,0,1,1,200810010066T,CPT,Ct colonography;screen,,,20,,RBRVS,1.19,0.42,0.42,,,$0.00 ,$0.00 ,1,0,1,1,1,1,200810010067T,CPT,Ct colonography;dx,,,20,,RBRVS,1.19,0.42,0.42,,,$0.00 ,$0.00 ,1,0,1,1,1,1,200810010073T,CPT,"Delivery, comp imrt", ,,20,,RBRVS,0,13.17,13.17,,,$0.00 ,$0.00 ,1,1,1,0,1,1,200810010089T,CPT,"Actigraphy testing, 3-day",,,28,,NW,,,,,,$79.64 ,$0.00 ,1,0,1,1,1,1,200810010090T,CPT,Cervical artific disc,,,21,,RBRVS,19.47,11.01,11.01,,,$0.00 ,$0.00 ,1,0,0,1,1,1,200810010092T,CPT,Artific disc addl,,,21,,RBRVS,4.04,1.52,1.52,,,$0.00 ,$0.00 ,1,0,0,1,1,1,200810010093T,CPT,Cervical artific diskectomy,,,21,,RBRVS,19.47,11.01,11.01,,,$0.00 ,$0.00 ,1,0,0,1,1,1,200810010095T,CPT,Artific diskectomy addl,,,21,,RBRVS,4.04,1.52,1.52,,,$0.00 ,$0.00 ,1,0,0,1,1,1,200810010096T,CPT,Rev cervical artific disc,,,21,,RBRVS,19.47,11.01,11.01,,,$0.00 ,$0.00 ,1,0,0,1,1,1,200810010098T,CPT,Rev artific disc addl,,,21,,RBRVS,4.04,1.52,1.52,,,$0.00 ,$0.00 ,1,0,0,1,1,1,200810010099T,CPT,Implant corneal ring,,,28,,NW,,,,,,"$1,048.58 ",$0.00 ,1,0,1,1,1,1,200810010100T,CPT,Prosth retina receive&gen,,,28,,NW,,,,,,"$2,636.91 ",$0.00 ,1,0,1,1,1,1,200810010101T,CPT,"Extracorp shockwv tx,hi enrg",,,28,,NW,,,,,,"$1,021.31 ",$0.00 ,1,0,1,1,1,1,200810010102T,CPT,"Extracorp shockwv tx,anesth",,,28,,NW,,,,,,"$1,021.31 ",$0.00 ,1,0,1,1,1,1,200810010103T,CPT,Holotranscobalamin,,,17,,TotalUnits,,,,0.67,,$0.00 ,$0.00 ,1,1,1,0,1,1,200810010104T,CPT,At rest cardio gas rebreathe,,,14,,RBRVS,1.47,0.64,0.64,,,$0.00 ,$0.00 ,1,1,1,1,1,1,200810010105T,CPT,Exerc cardio gas rebreathe,,,14,,RBRVS,1.47,0.64,0.64,,,$0.00 ,$0.00 ,1,1,1,1,1,1,200810010106T,CPT,Touch quant sensory test,,,28,,NW,,,,,,$7.41 ,$0.00 ,1,0,1,1,1,1,200810010107T,CPT,Vibrate quant sensory test,,,28,,NW,,,,,,$7.41 ,$0.00 ,1,0,1,1,1,1,200810010108T,CPT,Cool quant sensory test,,,28,,NW,,,,,,$7.41 ,$0.00 ,1,0,1,1,1,1,200810010109T,CPT,Heat quant sensory test,,,28,,NW,,,,,,$7.41 ,$0.00 ,1,0,1,1,1,1,200810010110T,CPT,Nos quant sensory test,,,28,,NW,,,,,,$7.41 ,$0.00 ,1,0,1,1,1,1,200810010111T,CPT,Rbc membranes fatty acids,,,17,,TotalUnits,,,,0.84,,$0.00 ,$0.00 ,1,1,1,0,1,1,200810010140T,CPT,Exhaled breath condensate ph,,,17,,TotalUnits,,,,0.17,,$0.00 ,$0.00 ,1,1,1,0,1,1,200810010155T,CPT,Lap Ins Gastr Eltrd for Mo,,,28,,NW,,,,,,"$4,607.15 ",$0.00 ,1,0,1,1,1,1,200810010156T,CPT,Lap Redo Gastr Eltrd for Mo,,,28,,NW,,,,,,"$4,607.15 ",$0.00 ,1,0,1,1,1,1,200810010157T,CPT,Opn Ins Gastr Eltrd for Mo,,,28,,NW,,,,,,$379.34 ,$0.00 ,1,0,1,1,1,1,200810010158T,CPT,Opn Redo Gastr Eltrd for Mo,,,28,,NW,,,,,,$379.34 ,$0.00 ,1,0,1,1,1,1,200810010159T,CPT,Computer Breast MRI Add-On,,,28,,NW,,,,,,$55.50 ,$0.00 ,1,1,1,0,1,1,200810010160T,CPT,Transcran mag stim planning ,,,28,,NW,,,,,,$41.01 ,$0.00 ,1,1,1,0,1,1,200810010161T,CPT,Transcran mag stim delivery ,,,28,,NW,,,,,,$41.01 ,$0.00 ,1,1,1,0,1,1,20081001A4206,HCPCS,1 CC sterile syringe&needle,,,28,,NW,,,,,,$0.80 ,$0.00 ,1,1,1,0,0,1,20081001A4207,HCPCS,2 CC sterile syringe&needle,,,28,,NW,,,,,,$0.80 ,$0.00 ,1,1,1,0,0,1,20081001A4208,HCPCS,3 CC sterile syringe&needle,,,28,,NW,,,,,,$0.80 ,$0.00 ,1,1,1,0,0,1,20081001A4209,HCPCS,5+ CC sterile syringe&needle,,,28,,NW,,,,,,$0.80 ,$0.00 ,1,1,1,0,0,1,20081001A4210,HCPCS,Nonneedle injection device,,,28,,NW,,,,,,"$2,014.95 ",$0.00 ,1,1,1,0,0,1,20081001A4211,HCPCS,Supp for self-adm injections,,,28,,NW,,,,,,$1.05 ,$0.00 ,1,1,1,0,0,1,20081001A4212,HCPCS,Non coring needle or stylet,,,28,,NW,,,,,,$19.44 ,$0.00 ,1,1,1,0,0,1,20081001A4213,HCPCS,20+ CC syringe only,,,28,,NW,,,,,,$2.44 ,$0.00 ,1,1,1,0,0,1,20081001A4215,HCPCS,Sterile needle,,,28,,NW,,,,,,$0.46 ,$0.00 ,1,1,1,0,0,1,20081001A4216,HCPCS,"Sterile water/saline, 10 ml",,,28,,NW,,,,,,$2.44 ,$0.00 ,1,1,1,0,0,1,20081001A4217,HCPCS,"Sterile water/saline, 500 ml",,,28,,NW,,,,,,$25.04 ,$0.00 ,1,1,1,0,0,1,20081001A4220,HCPCS,Infusion pump refill kit,,,28,,NW,,,,,,$36.65 ,$0.00 ,1,1,1,0,0,1,20081001A4221,HCPCS,Maint drug infus cath per wk,,,28,,NW,,,,,,$43.16 ,$0.00 ,1,1,1,0,0,1,20081001A4222,HCPCS,Drug infusion pump supplies,,,28,,NW,,,,,,$88.29 ,$0.00 ,1,1,1,0,0,1,20081001A4230,HCPCS,Infus insulin pump non needl,,,28,,NW,,,,,,$21.99 ,$0.00 ,1,1,1,0,0,1,20081001A4231,HCPCS,Infusion insulin pump needle,,,28,,NW,,,,,,$12.02 ,$0.00 ,1,1,1,0,0,1,20081001A4232,HCPCS,Syringe w/needle insulin 3cc,,,28,,NW,,,,,,$7.72 ,$0.00 ,1,1,1,0,0,1,20081001A4244,HCPCS,Alcohol or peroxide per pint,,,28,,NW,,,,,,$2.44 ,$0.00 ,1,1,1,0,0,1,20081001A4245,HCPCS,Alcohol wipes per box,,,28,,NW,,,,,,$6.52 ,$0.00 ,1,1,1,0,0,1,20081001A4246,HCPCS,Betadine/phisohex solution,,,28,,NW,,,,,,$7.33 ,$0.00 ,1,1,1,0,0,1,20081001A4247,HCPCS,Betadine/iodine swabs/wipes,,,28,,NW,,,,,,$11.40 ,$0.00 ,1,1,1,0,0,1,20081001A4250,HCPCS,Urine reagent strips/tablets,,,28,,NW,,,,,,$41.06 ,$0.00 ,1,1,1,0,0,1,20081001A4253,HCPCS,Blood glucose/reagent strips,,,28,,NW,,,,,,$70.11 ,$0.00 ,1,1,1,0,0,1,20081001A4255,HCPCS,Glucose monitor platforms,,,28,,NW,,,,,,$11.79 ,$0.00 ,1,1,1,0,0,1,20081001A4256,HCPCS,Calibrator solution/chips,,,28,,NW,,,,,,$24.18 ,$0.00 ,1,1,1,0,0,1,20081001A4257,HCPCS,Replace Lensshield Cartridge,,,28,,NW,,,,,,$26.41 ,$0.00 ,1,1,1,0,0,1,20081001A4258,HCPCS,Lancet device each,,,28,,NW,,,,,,$35.40 ,$0.00 ,1,1,1,0,0,1,20081001A4259,HCPCS,Lancets per box,,,28,,NW,,,,,,$26.40 ,$0.00 ,1,1,1,0,0,1,20081001A4261,HCPCS,Cervical cap contraceptive,,,28,,NW,,,,,,$55.47 ,$0.00 ,1,1,1,0,0,1,20081001A4262,HCPCS,Temporary tear duct plug,,,28,,NW,,,,,,$0.80 ,$0.00 ,1,1,1,0,0,1,20081001A4263,HCPCS,Permanent tear duct plug,,,28,,NW,,,,,,$93.10 ,$0.00 ,1,1,1,0,0,1,20081001A4265,HCPCS,Paraffin,,,28,,NW,,,,,,$6.25 ,$0.00 ,1,1,1,0,0,1,20081001A4267,HCPCS,Male condom,,,28,,NW,,,,,,$0.80 ,$0.00 ,1,1,1,0,0,1,20081001A4269,HCPCS,Spermicide,,,28,,NW,,,,,,$2.44 ,$0.00 ,1,1,1,0,0,1,20081001A4270,HCPCS,Disposable endoscope sheath,,,28,,NW,,,,,,$39.46 ,$0.00 ,1,1,1,0,0,1,20081001A4280,HCPCS,Brst prsths adhsv attchmnt,,,28,,NW,,,,,,$9.84 ,$0.00 ,1,1,1,0,0,1,20081001A4284,HCPCS,Replcmnt breast pump shield,,,28,,NW,,,,,,$41.85 ,$0.00 ,1,1,1,0,0,1,20081001A4285,HCPCS,Replcmnt breast pump bottle,,,28,,NW,,,,,,$8.33 ,$0.00 ,1,1,1,0,0,1,20081001A4290,HCPCS,Sacral nerve stim test lead,,,28,,NW,,,,,,$253.90 ,$0.00 ,1,1,1,0,0,1,20081001A4300,HCPCS,Cath impl vasc access portal,,,28,,NW,,,,,,$19.75 ,$0.00 ,1,1,1,0,0,1,20081001A4301,HCPCS,Implantable access syst perc,,,28,,NW,,,,,,$89.04 ,$0.00 ,1,1,1,0,0,1,20081001A4305,HCPCS,Drug delivery system >=50 ML,,,28,,NW,,,,,,$30.64 ,$0.00 ,1,1,1,0,0,1,20081001A4306,HCPCS,Drug delivery system <=5 ML,,,28,,NW,,,,,,$42.66 ,$0.00 ,1,1,1,0,0,1,20081001A4310,HCPCS,Insert tray w/o bag/cath,,,28,,NW,,,,,,$14.22 ,$0.00 ,1,1,1,0,0,1,20081001A4311,HCPCS,Catheter w/o bag 2-way latex,,,28,,NW,,,,,,$27.14 ,$0.00 ,1,1,1,0,0,1,20081001A4312,HCPCS,Cath w/o bag 2-way silicone,,,28,,NW,,,,,,$32.93 ,$0.00 ,1,1,1,0,0,1,20081001A4313,HCPCS,Catheter w/bag 3-way,,,28,,NW,,,,,,$33.81 ,$0.00 ,1,1,1,0,0,1,20081001A4314,HCPCS,Cath w/drainage 2-way latex,,,28,,NW,,,,,,$46.10 ,$0.00 ,1,1,1,0,0,1,20081001A4315,HCPCS,Cath w/drainage 2-way silcne,,,28,,NW,,,,,,$48.08 ,$0.00 ,1,1,1,0,0,1,20081001A4316,HCPCS,Cath w/drainage 3-way,,,28,,NW,,,,,,$51.76 ,$0.00 ,1,1,1,0,0,1,20081001A4320,HCPCS,Irrigation tray,,,28,,NW,,,,,,$9.84 ,$0.00 ,1,1,1,0,0,1,20081001A4321,HCPCS,Cath therapeutic irrig agent,,,28,,NW,,,,,,$3.17 ,$0.00 ,1,1,1,0,0,1,20081001A4322,HCPCS,Irrigation syringe,,,28,,NW,,,,,,$5.60 ,$0.00 ,1,1,1,0,0,1,20081001A4326,HCPCS,Male external catheter,,,28,,NW,,,,,,$19.80 ,$0.00 ,1,1,1,0,0,1,20081001A4327,HCPCS,Fem urinary collect dev cup,,,28,,NW,,,,,,$81.18 ,$0.00 ,1,1,1,0,0,1,20081001A4328,HCPCS,Fem urinary collect pouch,,,28,,NW,,,,,,$19.18 ,$0.00 ,1,1,1,0,0,1,20081001A4330,HCPCS,Stool collection pouch,,,28,,NW,,,,,,$13.20 ,$0.00 ,1,1,1,0,0,1,20081001A4331,HCPCS,Extension drainage tubing,,,28,,NW,,,,,,$5.88 ,$0.00 ,1,1,1,0,0,1,20081001A4332,HCPCS,Lube sterile packet,,,28,,NW,,,,,,$0.21 ,$0.00 ,1,1,1,1,1,1,20081001A4333,HCPCS,Urinary cath anchor device,,,28,,NW,,,,,,$3.65 ,$0.00 ,1,1,1,0,0,1,20081001A4334,HCPCS,Urinary cath leg strap,,,28,,NW,,,,,,$8.16 ,$0.00 ,1,1,1,0,0,1,20081001A4335,HCPCS,Incontinence supply,,,28,,NW,,,,,,$2.10 ,$0.00 ,1,1,1,0,0,1,20081001A4338,HCPCS,Indwelling catheter latex,,,28,,NW,,,,,,$22.46 ,$0.00 ,1,1,1,0,0,1,20081001A4340,HCPCS,Indwelling catheter special,,,28,,NW,,,,,,$57.82 ,$0.00 ,1,1,1,0,0,1,20081001A4344,HCPCS,Cath indw foley 2 way silicn,,,28,,NW,,,,,,$29.29 ,$0.00 ,1,1,1,0,0,1,20081001A4346,HCPCS,Cath indw foley 3 way,,,28,,NW,,,,,,$35.75 ,$0.00 ,1,1,1,0,0,1,20081001A4349,HCPCS,Disposable male external cat,,,28,,NW,,,,,,$2.43 ,$0.00 ,1,1,1,0,1,1,20081001A4351,HCPCS,Straight tip urine catheter,,,28,,NW,,,,,,$3.35 ,$0.00 ,1,1,1,0,0,1,20081001A4352,HCPCS,Coude tip urinary catheter,,,28,,NW,,,,,,$11.82 ,$0.00 ,1,1,1,0,0,1,20081001A4353,HCPCS,Intermittent urinary cath,,,28,,NW,,,,,,$12.92 ,$0.00 ,1,1,1,0,0,1,20081001A4354,HCPCS,Cath insertion tray w/bag,,,28,,NW,,,,,,$21.63 ,$0.00 ,1,1,1,0,0,1,20081001A4355,HCPCS,Bladder irrigation tubing,,,28,,NW,,,,,,$16.38 ,$0.00 ,1,1,1,0,0,1,20081001A4356,HCPCS,Ext ureth clmp or compr dvc,,,28,,NW,,,,,,$83.01 ,$0.00 ,1,1,1,0,0,1,20081001A4357,HCPCS,Bedside drainage bag,,,28,,NW,,,,,,$17.80 ,$0.00 ,1,1,1,0,0,1,20081001A4358,HCPCS,Urinary leg or abdomen bag,,,28,,NW,,,,,,$12.24 ,$0.00 ,1,1,1,0,0,1,20081001A4361,HCPCS,Ostomy face plate,,,28,,NW,,,,,,$33.55 ,$0.00 ,1,1,1,0,0,1,20081001A4362,HCPCS,Solid skin barrier,,,28,,NW,,,,,,$6.38 ,$0.00 ,1,1,1,0,0,1,20081001A4363,HCPCS,"Ostomy clamp, replacement",,,28,,NW,,,,,,$3.54 ,$0.00 ,1,1,1,1,1,1,20081001A4364,HCPCS,"Adhesive, liquid or equal",,,28,,NW,,,,,,$4.85 ,$0.00 ,1,1,1,0,0,1,20081001A4365,HCPCS,Adhesive remover wipes,,,28,,NW,,,,,,$20.76 ,$0.00 ,1,1,1,0,0,1,20081001A4366,HCPCS,Ostomy vent,,,28,,NW,,,,,,$62.37 ,$0.00 ,1,1,1,0,0,1,20081001A4367,HCPCS,Ostomy belt,,,28,,NW,,,,,,$13.53 ,$0.00 ,1,1,1,0,0,1,20081001A4368,HCPCS,Ostomy filter,,,28,,NW,,,,,,$0.48 ,$0.00 ,1,1,1,0,0,1,20081001A4369,HCPCS,Skin barrier liquid per oz,,,28,,NW,,,,,,$4.46 ,$0.00 ,1,1,1,0,0,1,20081001A4371,HCPCS,Skin barrier powder per oz,,,28,,NW,,,,,,$6.75 ,$0.00 ,1,1,1,0,0,1,20081001A4372,HCPCS,Skin barrier solid 4x4 equiv,,,28,,NW,,,,,,$7.72 ,$0.00 ,1,1,1,0,0,1,20081001A4373,HCPCS,Skin barrier with flange,,,28,,NW,,,,,,$11.59 ,$0.00 ,1,1,1,0,0,1,20081001A4375,HCPCS,Drainable plastic pch w fcpl,,,28,,NW,,,,,,$31.38 ,$0.00 ,1,1,1,0,0,1,20081001A4376,HCPCS,Drainable rubber pch w fcplt,,,28,,NW,,,,,,$86.54 ,$0.00 ,1,1,1,0,0,1,20081001A4377,HCPCS,Drainable plstic pch w/o fp,,,28,,NW,,,,,,$7.93 ,$0.00 ,1,1,1,0,0,1,20081001A4378,HCPCS,Drainable rubber pch w/o fp,,,28,,NW,,,,,,$56.02 ,$0.00 ,1,1,1,0,0,1,20081001A4379,HCPCS,Urinary plastic pouch w fcpl,,,28,,NW,,,,,,$27.47 ,$0.00 ,1,1,1,0,0,1,20081001A4380,HCPCS,Urinary rubber pouch w fcplt,,,28,,NW,,,,,,$67.93 ,$0.00 ,1,1,1,0,0,1,20081001A4381,HCPCS,Urinary plastic pouch w/o fp,,,28,,NW,,,,,,$8.51 ,$0.00 ,1,1,1,0,0,1,20081001A4382,HCPCS,Urinary hvy plstc pch w/o fp,,,28,,NW,,,,,,$44.90 ,$0.00 ,1,1,1,0,0,1,20081001A4383,HCPCS,Urinary rubber pouch w/o fp,,,28,,NW,,,,,,$51.36 ,$0.00 ,1,1,1,0,0,1,20081001A4384,HCPCS,Ostomy faceplt/silicone ring,,,28,,NW,,,,,,$17.67 ,$0.00 ,1,1,1,0,0,1,20081001A4385,HCPCS,Ost skn barrier sld ext wear,,,28,,NW,,,,,,$9.41 ,$0.00 ,1,1,1,0,0,1,20081001A4387,HCPCS,Ost clsd pouch w att st barr,,,28,,NW,,,,,,$5.49 ,$0.00 ,1,1,1,0,0,1,20081001A4388,HCPCS,Drainable pch w ex wear barr,,,28,,NW,,,,,,$8.04 ,$0.00 ,1,1,1,0,0,1,20081001A4389,HCPCS,Drainable pch w st wear barr,,,28,,NW,,,,,,$11.48 ,$0.00 ,1,1,1,0,0,1,20081001A4390,HCPCS,Drainable pch ex wear convex,,,28,,NW,,,,,,$17.64 ,$0.00 ,1,1,1,0,0,1,20081001A4391,HCPCS,Urinary pouch w ex wear barr,,,28,,NW,,,,,,$13.03 ,$0.00 ,1,1,1,0,0,1,20081001A4392,HCPCS,Urinary pouch w st wear barr,,,28,,NW,,,,,,$15.06 ,$0.00 ,1,1,1,0,0,1,20081001A4393,HCPCS,Urine pch w ex wear bar conv,,,28,,NW,,,,,,$16.61 ,$0.00 ,1,1,1,0,0,1,20081001A4394,HCPCS,Ostomy pouch liq deodorant,,,28,,NW,,,,,,$4.75 ,$0.00 ,1,1,1,0,0,1,20081001A4395,HCPCS,Ostomy pouch solid deodorant,,,28,,NW,,,,,,$0.09 ,$0.00 ,1,1,1,1,1,1,20081001A4396,HCPCS,Peristomal hernia supprt blt,,,28,,NW,,,,,,$73.66 ,$0.00 ,1,1,1,0,0,1,20081001A4397,HCPCS,Irrigation supply sleeve,,,28,,NW,,,,,,$8.84 ,$0.00 ,1,1,1,0,0,1,20081001A4398,HCPCS,Ostomy irrigation bag,,,28,,NW,,,,,,$25.27 ,$0.00 ,1,1,1,0,0,1,20081001A4399,HCPCS,Ostomy irrig cone/cath w brs,,,28,,NW,,,,,,$22.46 ,$0.00 ,1,1,1,0,0,1,20081001A4400,HCPCS,Ostomy irrigation set,,,28,,NW,,,,,,$88.87 ,$0.00 ,1,1,1,0,0,1,20081001A4402,HCPCS,Lubricant per ounce,,,28,,NW,,,,,,$2.95 ,$0.00 ,1,1,1,0,0,1,20081001A4404,HCPCS,Ostomy ring each,,,28,,NW,,,,,,$3.13 ,$0.00 ,1,1,1,0,0,1,20081001A4405,HCPCS,Nonpectin based ostomy paste,,,28,,NW,,,,,,$6.27 ,$0.00 ,1,1,1,0,0,1,20081001A4406,HCPCS,Pectin based ostomy paste,,,28,,NW,,,,,,$10.59 ,$0.00 ,1,1,1,0,0,1,20081001A4407,HCPCS,Ext wear ost skn barr <=4sq”,,,28,,NW,,,,,,$16.10 ,$0.00 ,1,1,1,0,0,1,20081001A4408,HCPCS,Ext wear ost skn barr >4sq”,,,28,,NW,,,,,,$18.13 ,$0.00 ,1,1,1,0,0,1,20081001A4409,HCPCS,Ost skn barr w flng <=4 sq”,,,28,,NW,,,,,,$11.48 ,$0.00 ,1,1,1,0,0,1,20081001A4410,HCPCS,Ost skn barr w flng >4sq”,,,28,,NW,,,,,,$16.61 ,$0.00 ,1,1,1,0,0,1,20081001A4413,HCPCS,2 pc drainable ost pouch,,,28,,NW,,,,,,$10.15 ,$0.00 ,1,1,1,0,0,1,20081001A4414,HCPCS,Ostomy sknbarr w flng <=4sq”,,,28,,NW,,,,,,$9.08 ,$0.00 ,1,1,1,0,0,1,20081001A4415,HCPCS,Ostomy skn barr w flng >4sq”,,,28,,NW,,,,,,$11.07 ,$0.00 ,1,1,1,0,0,1,20081001A4416,HCPCS,Ost pch clsd w barrier/filtr,,,28,,NW,,,,,,$4.56 ,$0.00 ,1,1,1,0,0,1,20081001A4417,HCPCS,Ost pch w bar/bltinconv/fltr,,,28,,NW,,,,,,$6.16 ,$0.00 ,1,1,1,0,0,1,20081001A4418,HCPCS,Ost pch clsd w/o bar w filtr,,,28,,NW,,,,,,$2.99 ,$0.00 ,1,1,1,0,0,1,20081001A4419,HCPCS,Ost pch for bar w flange/flt,,,28,,NW,,,,,,$2.88 ,$0.00 ,1,1,1,0,0,1,20081001A4420,HCPCS,Ost pch clsd for bar w lk fl,,,28,,NW,,,,,,$2.88 ,$0.00 ,1,1,1,0,0,1,20081001A4421,HCPCS,Ostomy supply misc,,,28,,NW,,,,,,$0.70 ,$0.00 ,1,1,1,0,0,1,20081001A4422,HCPCS,Ost pouch absorbent material,,,28,,NW,,,,,,$0.21 ,$0.00 ,1,1,1,1,1,1,20081001A4423,HCPCS,Ost pch for bar w lk fl/fltr,,,28,,NW,,,,,,$2.88 ,$0.00 ,1,1,1,0,0,1,20081001A4424,HCPCS,Ost pch drain w bar & filter,,,28,,NW,,,,,,$7.85 ,$0.00 ,1,1,1,0,0,1,20081001A4425,HCPCS,Ost pch drain for barrier fl,,,28,,NW,,,,,,$5.93 ,$0.00 ,1,1,1,0,0,1,20081001A4426,HCPCS,Ost pch drain 2 piece system,,,28,,NW,,,,,,$3.91 ,$0.00 ,1,1,1,0,0,1,20081001A4427,HCPCS,Ost pch drain/barr lk flng/f,,,28,,NW,,,,,,$5.93 ,$0.00 ,1,1,1,0,0,1,20081001A4428,HCPCS,Urine ost pouch w faucet/tap,,,28,,NW,,,,,,$10.77 ,$0.00 ,1,1,1,0,0,1,20081001A4429,HCPCS,Urine ost pouch w bltinconv,,,28,,NW,,,,,,$13.63 ,$0.00 ,1,1,1,0,0,1,20081001A4430,HCPCS,Ost urine pch w b/bltin conv,,,28,,NW,,,,,,$14.09 ,$0.00 ,1,1,1,0,0,1,20081001A4431,HCPCS,Ost pch urine w barrier/tapv,,,28,,NW,,,,,,$10.28 ,$0.00 ,1,1,1,0,0,1,20081001A4432,HCPCS,Os pch urine w bar/fange/tap,,,28,,NW,,,,,,$5.94 ,$0.00 ,1,1,1,0,0,1,20081001A4433,HCPCS,Urine ost pch bar w lock fln,,,28,,NW,,,,,,$5.53 ,$0.00 ,1,1,1,0,0,1,20081001A4434,HCPCS,Ost pch urine w lock flng/ft,,,28,,NW,,,,,,$6.23 ,$0.00 ,1,1,1,0,0,1,20081001A4450,HCPCS,Non-waterproof tape,,,28,,NW,,,,,,$0.15 ,$0.00 ,1,1,1,0,0,1,20081001A4452,HCPCS,Waterproof tape,,,28,,NW,,,,,,$0.66 ,$0.00 ,1,1,1,0,0,1,20081001A4455,HCPCS,Adhesive remover per ounce,,,28,,NW,,,,,,$2.65 ,$0.00 ,1,1,1,0,0,1,20081001A4465,HCPCS,Non-elastic extremity binder,,,28,,NW,,,,,,$21.84 ,$0.00 ,1,1,1,0,0,1,20081001A4470,HCPCS,Gravlee jet washer,,,28,,NW,,,,,,$14.63 ,$0.00 ,1,1,1,0,0,1,20081001A4480,HCPCS,Vabra aspirator,,,28,,NW,,,,,,$12.22 ,$0.00 ,1,1,1,0,0,1,20081001A4481,HCPCS,Tracheostoma filter,,,28,,NW,,,,,,$1.90 ,$0.00 ,1,1,1,0,0,1,20081001A4483,HCPCS,Moisture exchanger,,,28,,NW,,,,,,$15.25 ,$0.00 ,1,1,1,0,0,1,20081001A4490,HCPCS,Above knee surgical stocking,,,28,,NW,,,,,,$16.24 ,$0.00 ,1,1,1,0,0,1,20081001A4495,HCPCS,Thigh length surg stocking,,,28,,NW,,,,,,$16.24 ,$0.00 ,1,1,1,0,0,1,20081001A4500,HCPCS,Below knee surgical stocking,,,28,,NW,,,,,,$12.22 ,$0.00 ,1,1,1,0,0,1,20081001A4510,HCPCS,Full length surg stocking,,,28,,NW,,,,,,$29.05 ,$0.00 ,1,1,1,0,0,1,20081001A4550,HCPCS,Surgical trays,,,28,,NW,,,,,,$69.08 ,$0.00 ,1,1,1,0,0,1,20081001A4554,HCPCS,Disposable underpads,,,28,,NW,,,,,,$7.33 ,$0.00 ,1,1,1,0,0,1,20081001A4556,HCPCS,"Electrodes, pair",,,28,,NW,,,,,,$25.37 ,$0.00 ,1,1,1,0,0,1,20081001A4557,HCPCS,"Lead wires, pair",,,28,,NW,,,,,,$40.55 ,$0.00 ,1,1,1,0,0,1,20081001A4558,HCPCS,Conductive paste or gel,,,28,,NW,,,,,,$14.05 ,$0.00 ,1,1,1,0,0,1,20081001A4561,HCPCS,"Pessary rubber, any type",,,28,,NW,,,,,,$41.49 ,$0.00 ,1,1,1,0,0,1,20081001A4562,HCPCS,"Pessary, non rubber,any type",,,28,,NW,,,,,,$102.91 ,$0.00 ,1,1,1,0,0,1,20081001A4565,HCPCS,Slings,,,28,,NW,,,,,,$17.04 ,$0.00 ,1,1,1,0,0,1,20081001A4570,HCPCS,Splint,,,28,,NW,,,,,,$40.25 ,$0.00 ,1,1,1,0,0,1,20081001A4575,HCPCS,Hyperbaric o2 chamber disps,,,28,,NW,,,,,,$867.91 ,$0.00 ,1,1,1,0,0,1,20081001A4580,HCPCS,Cast supplies (plaster),,,28,,NW,,,,,,$36.94 ,$0.00 ,1,1,1,0,0,1,20081001A4590,HCPCS,Special casting material,,,28,,NW,,,,,,$90.70 ,$0.00 ,1,1,1,0,0,1,20081001A4595,HCPCS,TENS suppl 2 lead per month,,,28,,NW,,,,,,$53.62 ,$0.00 ,1,1,1,0,0,1,20081001A4605,HCPCS,Trach suction cath close sys,,,28,,NW,,,,,,$24.60 ,$0.00 ,1,1,1,1,1,1,20081001A4608,HCPCS,Transtracheal oxygen cath,,,28,,NW,,,,,,$110.20 ,$0.00 ,1,1,1,0,0,1,20081001A4611,HCPCS,Heavy duty battery,,,28,,NW,,,,,,$408.92 ,$0.00 ,1,1,1,0,0,1,20081001A4612,HCPCS,Battery cables,,,28,,NW,,,,,,$118.74 ,$0.00 ,1,1,1,0,0,1,20081001A4613,HCPCS,Battery charger,,,28,,NW,,,,,,$211.55 ,$0.00 ,1,1,1,0,0,1,20081001A4614,HCPCS,Hand-held PEFR meter,,,28,,NW,,,,,,$43.36 ,$0.00 ,1,1,1,0,0,1,20081001A4615,HCPCS,Cannula nasal,,,28,,NW,,,,,,$4.11 ,$0.00 ,1,1,1,0,0,1,20081001A4616,HCPCS,Tubing (oxygen) per foot,,,28,,NW,,,,,,$1.77 ,$0.00 ,1,1,1,0,0,1,20081001A4617,HCPCS,Mouth piece,,,28,,NW,,,,,,$27.57 ,$0.00 ,1,1,1,0,0,1,20081001A4618,HCPCS,Breathing circuits,,,28,,NW,,,,,,$16.35 ,$0.00 ,1,1,1,0,0,1,20081001A4619,HCPCS,Face tent,,,28,,NW,,,,,,$2.88 ,$0.00 ,1,1,1,0,0,1,20081001A4620,HCPCS,Variable concentration mask,,,28,,NW,,,,,,$8.82 ,$0.00 ,1,1,1,0,0,1,20081001A4623,HCPCS,Tracheostomy inner cannula,,,28,,NW,,,,,,$12.10 ,$0.00 ,1,1,1,0,0,1,20081001A4624,HCPCS,Tracheal suction tube,,,28,,NW,,,,,,$9.30 ,$0.00 ,1,1,1,0,0,1,20081001A4625,HCPCS,Trach care kit for new trach,,,28,,NW,,,,,,$12.79 ,$0.00 ,1,1,1,0,0,1,20081001A4626,HCPCS,Tracheostomy cleaning brush,,,28,,NW,,,,,,$5.90 ,$0.00 ,1,1,1,0,0,1,20081001A4627,HCPCS,Spacer bag/reservoir,,,28,,NW,,,,,,$42.15 ,$0.00 ,1,1,1,0,0,1,20081001A4628,HCPCS,Oropharyngeal suction cath,,,28,,NW,,,,,,$6.90 ,$0.00 ,1,1,1,0,0,1,20081001A4629,HCPCS,Tracheostomy care kit,,,28,,NW,,,,,,$8.54 ,$0.00 ,1,1,1,0,0,1,20081001A4630,HCPCS,Repl bat t.e.n.s. own by pt,,,28,,NW,,,,,,$15.41 ,$0.00 ,1,1,1,0,0,1,20081001A4633,HCPCS,Uvl replacement bulb,,,28,,NW,,,,,,$76.12 ,$0.00 ,1,1,1,0,0,1,20081001A4635,HCPCS,Underarm crutch pad,,,28,,NW,,,,,,$13.50 ,$0.00 ,1,1,1,0,0,1,20081001A4636,HCPCS,Handgrip for cane etc,,,28,,NW,,,,,,$11.95 ,$0.00 ,1,1,1,0,0,1,20081001A4637,HCPCS,Repl tip cane/crutch/walker,,,28,,NW,,,,,,$8.43 ,$0.00 ,1,1,1,0,0,1,20081001A4639,HCPCS,Infrared ht sys replcmnt pad,,,28,,NW,,,,,,$603.26 ,$0.00 ,1,1,1,0,0,1,20081001A4640,HCPCS,Alternating pressure pad,,,28,,NW,,,,,,$123.82 ,$0.00 ,1,1,1,0,0,1,20081001A4641,HCPCS,Diagnostic imaging agent,,,28,,NW,,,,,,$70.43 ,$0.00 ,1,1,1,0,0,1,20081001A4642,HCPCS,Satumomab pendetide per dose,,,28,,NW,,,,,,$14.75 ,$0.00 ,1,1,1,0,0,1,20081001A4649,HCPCS,Surgical supplies,,,28,,NW,,,,,,$2.98 ,$0.00 ,1,1,1,0,0,1,20081001A4651,HCPCS,Calibrated microcap tube,,,28,,NW,,,,,,$3.68 ,$0.00 ,1,1,1,0,0,1,20081001A4652,HCPCS,Microcapillary tube sealant,,,28,,NW,,,,,,$5.49 ,$0.00 ,1,1,1,0,0,1,20081001A4657,HCPCS,Syringe w/wo needle,,,28,,NW,,,,,,$0.88 ,$0.00 ,1,1,1,0,0,1,20081001A4660,HCPCS,Sphyg/bp app w cuff and stet,,,28,,NW,,,,,,$54.22 ,$0.00 ,1,1,1,0,0,1,20081001A4663,HCPCS,Dialysis blood pressure cuff,,,28,,NW,,,,,,$60.66 ,$0.00 ,1,1,1,0,0,1,20081001A4670,HCPCS,"Automatic bp monitor, dial",,,28,,NW,,,,,,$146.77 ,$0.00 ,1,1,1,0,0,1,20081001A4680,HCPCS,"Activated carbon filter, ea",,,28,,NW,,,,,,$208.33 ,$0.00 ,1,1,1,0,0,1,20081001A4690,HCPCS,"Dialyzer, each",,,28,,NW,,,,,,"$1,491.81 ",$0.00 ,1,1,1,0,0,1,20081001A4706,HCPCS,Bicarbonate conc sol per gal,,,28,,NW,,,,,,$22.91 ,$0.00 ,1,1,1,0,0,1,20081001A4707,HCPCS,Bicarbonate conc pow per pac,,,28,,NW,,,,,,$7.57 ,$0.00 ,1,1,1,0,0,1,20081001A4708,HCPCS,Acetate conc sol per gallon,,,28,,NW,,,,,,$17.58 ,$0.00 ,1,1,1,0,0,1,20081001A4709,HCPCS,Acid conc sol per gallon,,,28,,NW,,,,,,$17.58 ,$0.00 ,1,1,1,0,0,1,20081001A4714,HCPCS,Treated water per gallon,,,28,,NW,,,,,,$23.84 ,$0.00 ,1,1,1,0,0,1,20081001A4719,HCPCS,"""Y set"" tubing",,,28,,NW,,,,,,$15.65 ,$0.00 ,1,1,1,0,0,1,20081001A4720,HCPCS,Dialysat sol fld vol > 249cc,,,28,,NW,,,,,,$21.75 ,$0.00 ,1,1,1,0,0,1,20081001A4721,HCPCS,Dialysat sol fld vol > 999cc,,,28,,NW,,,,,,$43.51 ,$0.00 ,1,1,1,0,0,1,20081001A4722,HCPCS,Dialys sol fld vol > 1999cc,,,28,,NW,,,,,,$52.73 ,$0.00 ,1,1,1,0,0,1,20081001A4723,HCPCS,Dialys sol fld vol > 2999cc,,,28,,NW,,,,,,$53.41 ,$0.00 ,1,1,1,0,0,1,20081001A4724,HCPCS,Dialys sol fld vol > 3999cc,,,28,,NW,,,,,,$53.50 ,$0.00 ,1,1,1,0,0,1,20081001A4725,HCPCS,Dialys sol fld vol > 4999cc,,,28,,NW,,,,,,$56.63 ,$0.00 ,1,1,1,0,0,1,20081001A4726,HCPCS,Dialys sol fld vol > 5999cc,,,28,,NW,,,,,,$62.93 ,$0.00 ,1,1,1,0,0,1,20081001A4730,HCPCS,"Fistula cannulation set, ea",,,28,,NW,,,,,,$3.15 ,$0.00 ,1,1,1,0,0,1,20081001A4736,HCPCS,"Topical anesthetic, per gram",,,28,,NW,,,,,,$11.04 ,$0.00 ,1,1,1,0,0,1,20081001A4737,HCPCS,Inj anesthetic per 10 ml,,,28,,NW,,,,,,$15.85 ,$0.00 ,1,1,1,0,0,1,20081001A4740,HCPCS,Shunt accessory,,,28,,NW,,,,,,$1.83 ,$0.00 ,1,1,1,0,0,1,20081001A4750,HCPCS,Art or venous blood tubing,,,28,,NW,,,,,,$22.04 ,$0.00 ,1,1,1,0,0,1,20081001A4755,HCPCS,Comb art/venous blood tubing,,,28,,NW,,,,,,$33.08 ,$0.00 ,1,1,1,0,0,1,20081001A4760,HCPCS,"Dialysate sol test kit, each",,,28,,NW,,,,,,$45.85 ,$0.00 ,1,1,1,0,0,1,20081001A4765,HCPCS,Dialysate conc pow per pack,,,28,,NW,,,,,,$14.67 ,$0.00 ,1,1,1,0,0,1,20081001A4766,HCPCS,Dialysate conc sol add 10 ml,,,28,,NW,,,,,,$7.34 ,$0.00 ,1,1,1,0,0,1,20081001A4770,HCPCS,Blood collection tube/vacuum,,,28,,NW,,,,,,$32.40 ,$0.00 ,1,1,1,0,0,1,20081001A4772,HCPCS,Blood glucose test strips,,,28,,NW,,,,,,$50.58 ,$0.00 ,1,1,1,0,0,1,20081001A4773,HCPCS,Occult blood test strips,,,28,,NW,,,,,,$34.66 ,$0.00 ,1,1,1,0,0,1,20081001A4774,HCPCS,Ammonia test strips,,,28,,NW,,,,,,$18.34 ,$0.00 ,1,1,1,0,0,1,20081001A4802,HCPCS,Protamine sulfate per 50 mg,,,28,,NW,,,,,,$10.86 ,$0.00 ,1,1,1,0,0,1,20081001A4860,HCPCS,Disposable catheter tips,,,28,,NW,,,,,,$7.54 ,$0.00 ,1,1,1,0,0,1,20081001A4870,HCPCS,Plumb/elec wk hm hemo equip,,,28,,NW,,,,,,$192.55 ,$0.00 ,1,1,1,0,0,1,20081001A4890,HCPCS,Repair/maint cont hemo equip,,,28,,NW,,,,,,$192.55 ,$0.00 ,1,1,1,0,0,1,20081001A4911,HCPCS,Drain bag/bottle,,,28,,NW,,,,,,$21.59 ,$0.00 ,1,1,1,0,0,1,20081001A4913,HCPCS,Misc dialysis supplies noc,,,28,,NW,,,,,,$17.09 ,$0.00 ,1,1,1,0,0,1,20081001A4918,HCPCS,Venous pressure clamp,,,28,,NW,,,,,,$1.83 ,$0.00 ,1,1,1,0,0,1,20081001A4927,HCPCS,Non-sterile gloves,,,28,,NW,,,,,,$8.30 ,$0.00 ,1,1,1,0,0,1,20081001A4928,HCPCS,Surgical mask,,,28,,NW,,,,,,$0.53 ,$0.00 ,1,1,1,0,0,1,20081001A4929,HCPCS,"Tourniquet for dialysis, ea",,,28,,NW,,,,,,$0.33 ,$0.00 ,1,1,1,0,0,1,20081001A4930,HCPCS,"Sterile, gloves per pair",,,28,,NW,,,,,,$1.94 ,$0.00 ,1,1,1,0,0,1,20081001A5051,HCPCS,Pouch clsd w barr attached,,,28,,NW,,,,,,$3.82 ,$0.00 ,1,1,1,0,0,1,20081001A5052,HCPCS,Clsd ostomy pouch w/o barr,,,28,,NW,,,,,,$2.76 ,$0.00 ,1,1,1,0,0,1,20081001A5053,HCPCS,Clsd ostomy pouch faceplate,,,28,,NW,,,,,,$3.22 ,$0.00 ,1,1,1,0,0,1,20081001A5054,HCPCS,Clsd ostomy pouch w/flange,,,28,,NW,,,,,,$3.31 ,$0.00 ,1,1,1,0,0,1,20081001A5055,HCPCS,Stoma cap,,,28,,NW,,,,,,$2.66 ,$0.00 ,1,1,1,0,0,1,20081001A5061,HCPCS,Pouch drainable w barrier at,,,28,,NW,,,,,,$6.48 ,$0.00 ,1,1,1,0,0,1,20081001A5062,HCPCS,Drnble ostomy pouch w/o barr,,,28,,NW,,,,,,$4.10 ,$0.00 ,1,1,1,0,0,1,20081001A5063,HCPCS,Drain ostomy pouch w/flange,,,28,,NW,,,,,,$4.11 ,$0.00 ,1,1,1,0,0,1,20081001A5071,HCPCS,Urinary pouch w/barrier,,,28,,NW,,,,,,$11.10 ,$0.00 ,1,1,1,0,0,1,20081001A5072,HCPCS,Urinary pouch w/o barrier,,,28,,NW,,,,,,$6.48 ,$0.00 ,1,1,1,0,0,1,20081001A5073,HCPCS,Urinary pouch on barr w/flng,,,28,,NW,,,,,,$5.88 ,$0.00 ,1,1,1,0,0,1,20081001A5081,HCPCS,Continent stoma plug,,,28,,NW,,,,,,$6.09 ,$0.00 ,1,1,1,0,0,1,20081001A5082,HCPCS,Continent stoma catheter,,,28,,NW,,,,,,$21.78 ,$0.00 ,1,1,1,0,0,1,20081001A5093,HCPCS,Ostomy accessory convex inse,,,28,,NW,,,,,,$3.59 ,$0.00 ,1,1,1,0,0,1,20081001A5102,HCPCS,Bedside drain btl w/wo tube,,,28,,NW,,,,,,$41.17 ,$0.00 ,1,1,1,0,0,1,20081001A5105,HCPCS,Urinary suspensory,,,28,,NW,,,,,,$74.18 ,$0.00 ,1,1,1,0,0,1,20081001A5112,HCPCS,Urinary leg bag,,,28,,NW,,,,,,$63.04 ,$0.00 ,1,1,1,0,0,1,20081001A5113,HCPCS,Latex leg strap,,,28,,NW,,,,,,$8.68 ,$0.00 ,1,1,1,0,0,1,20081001A5114,HCPCS,Foam/fabric leg strap,,,28,,NW,,,,,,$16.43 ,$0.00 ,1,1,1,0,0,1,20081001A5121,HCPCS,Solid skin barrier 6x6,,,28,,NW,,,,,,$13.77 ,$0.00 ,1,1,1,0,0,1,20081001A5122,HCPCS,Solid skin barrier 8x8,,,28,,NW,,,,,,$23.53 ,$0.00 ,1,1,1,0,0,1,20081001A5126,HCPCS,Disk/foam pad +or- adhesive,,,28,,NW,,,,,,$2.44 ,$0.00 ,1,1,1,0,0,1,20081001A5131,HCPCS,Appliance cleaner,,,28,,NW,,,,,,$28.98 ,$0.00 ,1,1,1,0,0,1,20081001A5200,HCPCS,Percutaneous catheter anchor,,,28,,NW,,,,,,$20.72 ,$0.00 ,1,1,1,0,0,1,20081001A5500,HCPCS,Diab shoe for density insert,,,28,,NW,,,,,,$120.12 ,$0.00 ,1,1,1,0,0,1,20081001A5501,HCPCS,Diabetic custom molded shoe,,,28,,NW,,,,,,$357.35 ,$0.00 ,1,1,1,0,0,1,20081001A5503,HCPCS,Diabetic shoe w/roller/rockr,,,28,,NW,,,,,,$64.54 ,$0.00 ,1,1,1,0,0,1,20081001A5504,HCPCS,Diabetic shoe with wedge,,,28,,NW,,,,,,$57.44 ,$0.00 ,1,1,1,0,0,1,20081001A5505,HCPCS,Diab shoe w/metatarsal bar,,,28,,NW,,,,,,$70.84 ,$0.00 ,1,1,1,0,0,1,20081001A5506,HCPCS,Diabetic shoe w/off set heel,,,28,,NW,,,,,,$57.79 ,$0.00 ,1,1,1,0,0,1,20081001A5507,HCPCS,Modification diabetic shoe,,,28,,NW,,,,,,$114.50 ,$0.00 ,1,1,1,0,0,1,20081001A5508,HCPCS,Diabetic deluxe shoe,,,28,,NW,,,,,,$57.48 ,$0.00 ,1,1,1,0,0,1,20081001A5510,HCPCS,Compression form shoe insert,,,28,,NW,,,,,,$56.68 ,$0.00 ,1,1,1,0,0,1,20081001A6000,HCPCS,Wound warming wound cover,,,28,,NW,,,,,,$40.79 ,$0.00 ,1,1,1,0,0,1,20081001A6010,HCPCS,Collagen based wound filler,,,28,,NW,,,,,,$56.39 ,$0.00 ,1,1,1,0,0,1,20081001A6011,HCPCS,Collagen gel/paste wound fil,,,28,,NW,,,,,,$4.22 ,$0.00 ,1,1,1,0,0,1,20081001A6021,HCPCS,Collagen dressing <=16 sq in,,,28,,NW,,,,,,$38.36 ,$0.00 ,1,1,1,0,0,1,20081001A6022,HCPCS,Collagen drsg>6<=48 sq in,,,28,,NW,,,,,,$38.36 ,$0.00 ,1,1,1,0,0,1,20081001A6023,HCPCS,Collagen dressing >48 sq in,,,28,,NW,,,,,,$345.48 ,$0.00 ,1,1,1,0,0,1,20081001A6024,HCPCS,Collagen dsg wound filler,,,28,,NW,,,,,,$11.43 ,$0.00 ,1,1,1,0,0,1,20081001A6025,HCPCS,"Silicone gel sheet, each",,,28,,NW,,,,,,$57.07 ,$0.00 ,1,1,1,0,0,1,20081001A6154,HCPCS,Wound pouch each,,,28,,NW,,,,,,$26.31 ,$0.00 ,1,1,1,0,0,1,20081001A6196,HCPCS,Alginate dressing <=16 sq in,,,28,,NW,,,,,,$13.53 ,$0.00 ,1,1,1,0,0,1,20081001A6197,HCPCS,Alginate drsg >16 <=48 sq in,,,28,,NW,,,,,,$30.04 ,$0.00 ,1,1,1,0,0,1,20081001A6198,HCPCS,alginate dressing > 48 sq in,,,28,,NW,,,,,,$37.55 ,$0.00 ,1,1,1,0,0,1,20081001A6199,HCPCS,Alginate drsg wound filler,,,28,,NW,,,,,,$9.76 ,$0.00 ,1,1,1,0,0,1,20081001A6200,HCPCS,Compos drsg <=16 no border,,,28,,NW,,,,,,$17.45 ,$0.00 ,1,1,1,0,0,1,20081001A6201,HCPCS,Compos drsg >16<=48 no bdr,,,28,,NW,,,,,,$37.96 ,$0.00 ,1,1,1,0,0,1,20081001A6202,HCPCS,Compos drsg >48 no border,,,28,,NW,,,,,,$63.49 ,$0.00 ,1,1,1,0,0,1,20081001A6203,HCPCS,Composite drsg <= 16 sq in,,,28,,NW,,,,,,$6.18 ,$0.00 ,1,1,1,0,0,1,20081001A6204,HCPCS,Composite drsg >16<=48 sq in,,,28,,NW,,,,,,$11.49 ,$0.00 ,1,1,1,0,0,1,20081001A6205,HCPCS,Composite drsg > 48 sq in,,,28,,NW,,,,,,$14.36 ,$0.00 ,1,1,1,0,0,1,20081001A6206,HCPCS,Contact layer <= 16 sq in,,,28,,NW,,,,,,$10.58 ,$0.00 ,1,1,1,0,0,1,20081001A6207,HCPCS,Contact layer >16<= 48 sq in,,,28,,NW,,,,,,$13.52 ,$0.00 ,1,1,1,0,0,1,20081001A6208,HCPCS,Contact layer > 48 sq in,,,28,,NW,,,,,,$16.91 ,$0.00 ,1,1,1,0,0,1,20081001A6209,HCPCS,Foam drsg <=16 sq in w/o bdr,,,28,,NW,,,,,,$13.80 ,$0.00 ,1,1,1,0,0,1,20081001A6210,HCPCS,Foam drg >16<=48 sq in w/o b,,,28,,NW,,,,,,$36.35 ,$0.00 ,1,1,1,0,0,1,20081001A6211,HCPCS,Foam drg > 48 sq in w/o brdr,,,28,,NW,,,,,,$53.51 ,$0.00 ,1,1,1,0,0,1,20081001A6212,HCPCS,Foam drg <=16 sq in w/border,,,28,,NW,,,,,,$17.80 ,$0.00 ,1,1,1,0,0,1,20081001A6213,HCPCS,Foam drg >16<=48 sq in w/bdr,,,28,,NW,,,,,,$18.88 ,$0.00 ,1,1,1,0,0,1,20081001A6214,HCPCS,Foam drg > 48 sq in w/border,,,28,,NW,,,,,,$18.88 ,$0.00 ,1,1,1,0,0,1,20081001A6216,HCPCS,Non-sterile gauze<=16 sq in,,,28,,NW,,,,,,$0.09 ,$0.00 ,1,1,1,1,1,1,20081001A6217,HCPCS,Non-sterile gauze>16<=48 sq,,,28,,NW,,,,,,$0.80 ,$0.00 ,1,1,1,0,0,1,20081001A6218,HCPCS,Non-sterile gauze > 48 sq in,,,28,,NW,,,,,,$0.80 ,$0.00 ,1,1,1,0,0,1,20081001A6219,HCPCS,Gauze <= 16 sq in w/border,,,28,,NW,,,,,,$1.76 ,$0.00 ,1,1,1,0,0,1,20081001A6220,HCPCS,Gauze >16 <=48 sq in w/bordr,,,28,,NW,,,,,,$4.75 ,$0.00 ,1,1,1,0,0,1,20081001A6221,HCPCS,Gauze > 48 sq in w/border,,,28,,NW,,,,,,$5.94 ,$0.00 ,1,1,1,0,0,1,20081001A6222,HCPCS,Gauze <=16 in no w/sal w/o b,,,28,,NW,,,,,,$3.92 ,$0.00 ,1,1,1,0,0,1,20081001A6223,HCPCS,Gauze >16<=48 no w/sal w/o b,,,28,,NW,,,,,,$4.46 ,$0.00 ,1,1,1,0,0,1,20081001A6224,HCPCS,Gauze > 48 in no w/sal w/o b,,,28,,NW,,,,,,$6.66 ,$0.00 ,1,1,1,0,0,1,20081001A6228,HCPCS,Gauze <= 16 sq in water/sal,,,28,,NW,,,,,,$4.89 ,$0.00 ,1,1,1,0,0,1,20081001A6229,HCPCS,Gauze >16<=48 sq in watr/sal,,,28,,NW,,,,,,$6.66 ,$0.00 ,1,1,1,0,0,1,20081001A6230,HCPCS,Gauze > 48 sq in water/salne,,,28,,NW,,,,,,$7.33 ,$0.00 ,1,1,1,0,0,1,20081001A6231,HCPCS,Hydrogel dsg<=16 sq in,,,28,,NW,,,,,,$8.65 ,$0.00 ,1,1,1,0,0,1,20081001A6232,HCPCS,Hydrogel dsg>16<=48 sq in,,,28,,NW,,,,,,$12.68 ,$0.00 ,1,1,1,0,0,1,20081001A6233,HCPCS,Hydrogel dressing >48 sq in,,,28,,NW,,,,,,$35.04 ,$0.00 ,1,1,1,0,0,1,20081001A6234,HCPCS,Hydrocolld drg <=16 w/o bdr,,,28,,NW,,,,,,$12.07 ,$0.00 ,1,1,1,0,0,1,20081001A6235,HCPCS,Hydrocolld drg >16<=48 w/o b,,,28,,NW,,,,,,$30.72 ,$0.00 ,1,1,1,0,0,1,20081001A6236,HCPCS,Hydrocolld drg > 48 in w/o b,,,28,,NW,,,,,,$49.65 ,$0.00 ,1,1,1,0,0,1,20081001A6237,HCPCS,Hydrocolld drg <=16 in w/bdr,,,28,,NW,,,,,,$14.57 ,$0.00 ,1,1,1,0,0,1,20081001A6238,HCPCS,Hydrocolld drg >16<=48 w/bdr,,,28,,NW,,,,,,$41.57 ,$0.00 ,1,1,1,0,0,1,20081001A6239,HCPCS,Hydrocolld drg > 48 in w/bdr,,,28,,NW,,,,,,$51.96 ,$0.00 ,1,1,1,0,0,1,20081001A6240,HCPCS,Hydrocolld drg filler paste,,,28,,NW,,,,,,$22.42 ,$0.00 ,1,1,1,0,0,1,20081001A6241,HCPCS,Hydrocolloid drg filler dry,,,28,,NW,,,,,,$4.73 ,$0.00 ,1,1,1,0,0,1,20081001A6242,HCPCS,Hydrogel drg <=16 in w/o bdr,,,28,,NW,,,,,,$11.21 ,$0.00 ,1,1,1,0,0,1,20081001A6243,HCPCS,Hydrogel drg >16<=48 w/o bdr,,,28,,NW,,,,,,$22.55 ,$0.00 ,1,1,1,0,0,1,20081001A6244,HCPCS,Hydrogel drg >48 in w/o bdr,,,28,,NW,,,,,,$71.47 ,$0.00 ,1,1,1,0,0,1,20081001A6245,HCPCS,Hydrogel drg <= 16 in w/bdr,,,28,,NW,,,,,,$13.41 ,$0.00 ,1,1,1,0,0,1,20081001A6246,HCPCS,Hydrogel drg >16<=48 in w/b,,,28,,NW,,,,,,$18.22 ,$0.00 ,1,1,1,0,0,1,20081001A6247,HCPCS,Hydrogel drg > 48 sq in w/b,,,28,,NW,,,,,,$43.36 ,$0.00 ,1,1,1,0,0,1,20081001A6248,HCPCS,Hydrogel drsg gel filler,,,28,,NW,,,,,,$29.68 ,$0.00 ,1,1,1,0,0,1,20081001A6250,HCPCS,Skin seal protect moisturizr,,,28,,NW,,,,,,$2.82 ,$0.00 ,1,1,1,0,0,1,20081001A6251,HCPCS,Absorpt drg <=16 sq in w/o b,,,28,,NW,,,,,,$3.68 ,$0.00 ,1,1,1,0,0,1,20081001A6252,HCPCS,Absorpt drg >16 <=48 w/o bdr,,,28,,NW,,,,,,$6.00 ,$0.00 ,1,1,1,0,0,1,20081001A6253,HCPCS,Absorpt drg > 48 sq in w/o b,,,28,,NW,,,,,,$11.69 ,$0.00 ,1,1,1,0,0,1,20081001A6254,HCPCS,Absorpt drg <=16 sq in w/bdr,,,28,,NW,,,,,,$2.25 ,$0.00 ,1,1,1,0,0,1,20081001A6255,HCPCS,Absorpt drg >16<=48 in w/bdr,,,28,,NW,,,,,,$5.59 ,$0.00 ,1,1,1,0,0,1,20081001A6256,HCPCS,Absorpt drg > 48 sq in w/bdr,,,28,,NW,,,,,,$6.98 ,$0.00 ,1,1,1,0,0,1,20081001A6257,HCPCS,Transparent film <= 16 sq in,,,28,,NW,,,,,,$2.82 ,$0.00 ,1,1,1,0,0,1,20081001A6258,HCPCS,Transparent film >16<=48 in,,,28,,NW,,,,,,$7.94 ,$0.00 ,1,1,1,0,0,1,20081001A6259,HCPCS,Transparent film > 48 sq in,,,28,,NW,,,,,,$20.06 ,$0.00 ,1,1,1,0,0,1,20081001A6260,HCPCS,Wound cleanser any type/size,,,28,,NW,,,,,,$2.44 ,$0.00 ,1,1,1,0,0,1,20081001A6261,HCPCS,Wound filler gel/paste /oz,,,28,,NW,,,,,,$9.77 ,$0.00 ,1,1,1,0,0,1,20081001A6262,HCPCS,Wound filler dry form / gram,,,28,,NW,,,,,,$2.44 ,$0.00 ,1,1,1,0,0,1,20081001A6266,HCPCS,Impreg gauze no h20/sal/yard,,,28,,NW,,,,,,$3.53 ,$0.00 ,1,1,1,0,0,1,20081001A6402,HCPCS,Sterile gauze <= 16 sq in,,,28,,NW,,,,,,$0.21 ,$0.00 ,1,1,1,1,1,1,20081001A6403,HCPCS,Sterile gauze>16 <= 48 sq in,,,28,,NW,,,,,,$0.79 ,$0.00 ,1,1,1,0,0,1,20081001A6404,HCPCS,Sterile gauze > 48 sq in,,,28,,NW,,,,,,$1.63 ,$0.00 ,1,1,1,0,0,1,20081001A6407,HCPCS,"Packing strips, non-impreg",,,28,,NW,,,,,,$2.27 ,$0.00 ,1,1,1,0,1,1,20081001A6410,HCPCS,Sterile eye pad,,,28,,NW,,,,,,$0.73 ,$0.00 ,1,1,1,0,0,1,20081001A6411,HCPCS,Non-sterile eye pad,,,28,,NW,,,,,,$0.80 ,$0.00 ,1,1,1,0,0,1,20081001A6412,HCPCS,Occlusive eye patch,,,28,,NW,,,,,,$0.80 ,$0.00 ,1,1,1,0,0,1,20081001A6441,HCPCS,Pad band w>=3” <5”/yd,,,28,,NW,,,,,,$0.80 ,$0.00 ,1,1,1,0,1,1,20081001A6442,HCPCS,Conform band n/s w<3ö/yd,,,28,,NW,,,,,,$0.21 ,$0.00 ,1,1,1,1,1,1,20081001A6443,HCPCS,Conform band n/s w>=3”<5”/yd,,,28,,NW,,,,,,$0.36 ,$0.00 ,1,1,1,0,1,1,20081001A6444,HCPCS,Conform band n/s w>=5”/yd,,,28,,NW,,,,,,$0.67 ,$0.00 ,1,1,1,0,1,1,20081001A6445,HCPCS,Conform band s w <3”/yd,,,28,,NW,,,,,,$0.40 ,$0.00 ,1,1,1,0,1,1,20081001A6446,HCPCS,Conform band s w>=3” <5”/yd,,,28,,NW,,,,,,$0.50 ,$0.00 ,1,1,1,0,1,1,20081001A6447,HCPCS,Conform band s w >=5”/yd,,,28,,NW,,,,,,$0.80 ,$0.00 ,1,1,1,0,1,1,20081001A6448,HCPCS,Lt compres band <3”/yd,,,28,,NW,,,,,,$1.41 ,$0.00 ,1,1,1,0,1,1,20081001A6449,HCPCS,Lt compres band >=3” <5”/yd,,,28,,NW,,,,,,$2.11 ,$0.00 ,1,1,1,0,1,1,20081001A6452,HCPCS,High compres band w>=3”<5”yd,,,28,,NW,,,,,,$7.11 ,$0.00 ,1,1,1,0,1,1,20081001A6453,HCPCS,Self-adher band w <3”/yd,,,28,,NW,,,,,,$0.74 ,$0.00 ,1,1,1,0,1,1,20081001A6454,HCPCS,Self-adher band w>=3” <5”/yd,,,28,,NW,,,,,,$0.94 ,$0.00 ,1,1,1,0,1,1,20081001A6455,HCPCS,Self-adher band >=5”/yd,,,28,,NW,,,,,,$1.67 ,$0.00 ,1,1,1,0,1,1,20081001A6456,HCPCS,Zinc paste band w >=3”<5”/yd,,,28,,NW,,,,,,$1.54 ,$0.00 ,1,1,1,0,1,1,20081001A6550,HCPCS,Neg pres wound ther drsg set,,,28,,NW,,,,,,$51.26 ,$0.00 ,1,1,1,0,0,1,20081001A7000,HCPCS,Disposable canister for pump,,,28,,NW,,,,,,$20.99 ,$0.00 ,1,1,1,0,0,1,20081001A7001,HCPCS,Nondisposable pump canister,,,28,,NW,,,,,,$60.82 ,$0.00 ,1,1,1,0,0,1,20081001A7002,HCPCS,Tubing used w suction pump,,,28,,NW,,,,,,$11.30 ,$0.00 ,1,1,1,0,0,1,20081001A7003,HCPCS,Nebulizer administration set,,,28,,NW,,,,,,$9.48 ,$0.00 ,1,1,1,0,0,1,20081001A7004,HCPCS,Disposable nebulizer sml vol,,,28,,NW,,,,,,$7.87 ,$0.00 ,1,1,1,0,0,1,20081001A7005,HCPCS,Nondisposable nebulizer set,,,28,,NW,,,,,,$57.03 ,$0.00 ,1,1,1,0,0,1,20081001A7006,HCPCS,Filtered nebulizer admin set,,,28,,NW,,,,,,$20.99 ,$0.00 ,1,1,1,0,0,1,20081001A7007,HCPCS,Lg vol nebulizer disposable,,,28,,NW,,,,,,$12.65 ,$0.00 ,1,1,1,0,0,1,20081001A7008,HCPCS,Disposable nebulizer prefill,,,28,,NW,,,,,,$23.45 ,$0.00 ,1,1,1,0,0,1,20081001A7009,HCPCS,Nebulizer reservoir bottle,,,28,,NW,,,,,,$78.24 ,$0.00 ,1,1,1,0,0,1,20081001A7010,HCPCS,Disposable corrugated tubing,,,28,,NW,,,,,,$44.77 ,$0.00 ,1,1,1,0,0,1,20081001A7011,HCPCS,Nondispos corrugated tubing,,,28,,NW,,,,,,$68.63 ,$0.00 ,1,1,1,0,0,1,20081001A7012,HCPCS,Nebulizer water collec devic,,,28,,NW,,,,,,$11.23 ,$0.00 ,1,1,1,0,0,1,20081001A7013,HCPCS,Disposable compressor filter,,,28,,NW,,,,,,$4.15 ,$0.00 ,1,1,1,0,0,1,20081001A7014,HCPCS,Compressor nondispos filter,,,28,,NW,,,,,,$12.43 ,$0.00 ,1,1,1,0,0,1,20081001A7015,HCPCS,Aerosol mask used w nebulize,,,28,,NW,,,,,,$8.01 ,$0.00 ,1,1,1,0,0,1,20081001A7016,HCPCS,Nebulizer dome & mouthpiece,,,28,,NW,,,,,,$17.11 ,$0.00 ,1,1,1,0,0,1,20081001A7017,HCPCS,Nebulizer not used w oxygen,,,28,,NW,,,,,,$203.47 ,$0.00 ,1,1,1,0,0,1,20081001A7018,HCPCS,Water distilled w/nebulizer,,,28,,NW,,,,,,$1.90 ,$0.00 ,1,1,1,0,0,1,20081001A7025,HCPCS,Replace chest compress vest,,,28,,NW,,,,,,$919.59 ,$0.00 ,1,1,1,0,0,1,20081001A7026,HCPCS,Replace chst cmprss sys hose,,,28,,NW,,,,,,$53.50 ,$0.00 ,1,1,1,0,0,1,20081001A7030,HCPCS,CPAP full face mask,,,28,,NW,,,,,,$392.17 ,$0.00 ,1,1,1,0,0,1,20081001A7031,HCPCS,Replacement facemask interfa,,,28,,NW,,,,,,$137.65 ,$0.00 ,1,1,1,0,0,1,20081001A7032,HCPCS,Replacement nasal cushion,NU,,28,,NW,,,,,,$75.03 ,$0.00 ,1,1,1,0,0,1,20081001A7032,HCPCS,Replacement nasal cushion,,,28,,NW,,,,,,$60.79 ,$0.00 ,1,1,1,1,1,1,20081001A7033,HCPCS,Replacement nasal pillows,NU,,28,,NW,,,,,,$52.93 ,$0.00 ,1,1,1,0,0,1,20081001A7033,HCPCS,Replacement nasal pillows,,,28,,NW,,,,,,$42.61 ,$0.00 ,1,1,1,1,1,1,20081001A7034,HCPCS,Nasal application device,NU,,28,,NW,,,,,,$240.15 ,$0.00 ,1,1,1,0,0,1,20081001A7034,HCPCS,Nasal application device,,,28,,NW,,,,,,$176.46 ,$0.00 ,1,1,1,1,1,1,20081001A7035,HCPCS,Pos airway press headgear,NU,,28,,NW,,,,,,$73.35 ,$0.00 ,1,1,1,0,0,1,20081001A7035,HCPCS,Pos airway press headgear,,,28,,NW,,,,,,$59.63 ,$0.00 ,1,1,1,1,1,1,20081001A7036,HCPCS,Pos airway press chinstrap,NU,,28,,NW,,,,,,$35.64 ,$0.00 ,1,1,1,0,0,1,20081001A7036,HCPCS,Pos airway press chinstrap,,,28,,NW,,,,,,$27.30 ,$0.00 ,1,1,1,1,1,1,20081001A7037,HCPCS,Pos airway pressure tubing,NU,,28,,NW,,,,,,$76.06 ,$0.00 ,1,1,1,0,0,1,20081001A7037,HCPCS,Pos airway pressure tubing,,,28,,NW,,,,,,$61.53 ,$0.00 ,1,1,1,1,1,1,20081001A7038,HCPCS,Pos airway pressure filter,NU,,28,,NW,,,,,,$13.96 ,$0.00 ,1,1,1,1,1,1,20081001A7039,HCPCS,"Filter, non disposable w pap",NU,,28,,NW,,,,,,$30.79 ,$0.00 ,1,1,1,1,1,1,20081001A7040,HCPCS,One way chest drain valve,,,28,,NW,,,,,,$54.07 ,$0.00 ,1,1,1,0,1,1,20081001A7041,HCPCS,Water seal drain container,,,28,,NW,,,,,,$101.59 ,$0.00 ,1,1,1,0,1,1,20081001A7042,HCPCS,Implanted pleural catheter,,,28,,NW,,,,,,$370.50 ,$0.00 ,1,1,1,0,0,1,20081001A7043,HCPCS,Vacuum drainagebottle/tubing,,,28,,NW,,,,,,$53.24 ,$0.00 ,1,1,1,0,0,1,20081001A7044,HCPCS,PAP oral interface,NU,,28,,NW,,,,,,$247.14 ,$0.00 ,1,1,1,1,1,1,20081001A7045,HCPCS,Repl exhalation port for PAP,NU,,28,,NW,,,,,,$29.20 ,$0.00 ,1,1,1,1,1,1,20081001A7045,HCPCS,Repl exhalation port for PAP,RR,,28,,NW,,,,,,$2.93 ,$0.00 ,1,1,1,1,1,1,20081001A7045,HCPCS,Repl exhalation port for PAP,UE,,28,,NW,,,,,,$21.90 ,$0.00 ,1,1,1,1,1,1,20081001A7045,HCPCS,Repl exhalation port for PAP,,,28,,NW,,,,,,$2.34 ,$0.00 ,1,1,1,0,1,1,20081001A7046,HCPCS,"Repl water chamber, PAP dev",NU,,28,,NW,,,,,,$23.45 ,$0.00 ,1,1,1,1,1,1,20081001A7501,HCPCS,Tracheostoma valve w diaphra,,,28,,NW,,,,,,$190.78 ,$0.00 ,1,1,1,0,0,1,20081001A7502,HCPCS,Replacement diaphragm/fplate,,,28,,NW,,,,,,$90.77 ,$0.00 ,1,1,1,0,0,1,20081001A7503,HCPCS,HMES filter holder or cap,,,28,,NW,,,,,,$20.78 ,$0.00 ,1,1,1,0,0,1,20081001A7504,HCPCS,Tracheostoma HMES filter,,,28,,NW,,,,,,$1.23 ,$0.00 ,1,1,1,0,0,1,20081001A7505,HCPCS,HMES or trach valve housing,,,28,,NW,,,,,,$8.65 ,$0.00 ,1,1,1,0,0,1,20081001A7506,HCPCS,HMES/trachvalve adhesivedisk,,,28,,NW,,,,,,$0.62 ,$0.00 ,1,1,1,0,0,1,20081001A7507,HCPCS,Integrated filter & holder,,,28,,NW,,,,,,$4.59 ,$0.00 ,1,1,1,0,0,1,20081001A7508,HCPCS,Housing & Integrated Adhesiv,,,28,,NW,,,,,,$5.28 ,$0.00 ,1,1,1,0,0,1,20081001A7509,HCPCS,Heat & moisture exchange sys,,,28,,NW,,,,,,$2.61 ,$0.00 ,1,1,1,0,0,1,20081001A7520,HCPCS,Trach/laryn tube non-cuffed,,,28,,NW,,,,,,$57.05 ,$0.00 ,1,1,1,0,1,1,20081001A7521,HCPCS,Trach/laryn tube cuffed,,,28,,NW,,,,,,$56.53 ,$0.00 ,1,1,1,0,1,1,20081001A7522,HCPCS,Trach/laryn tube stainless,,,28,,NW,,,,,,$54.27 ,$0.00 ,1,1,1,0,1,1,20081001A7523,HCPCS,Tracheostomy shower protect,,,28,,NW,,,,,,$25.67 ,$0.00 ,1,1,1,0,1,1,20081001A7524,HCPCS,Tracheostoma stent/stud/bttn,,,28,,NW,,,,,,$93.00 ,$0.00 ,1,1,1,0,1,1,20081001A7525,HCPCS,Tracheostomy mask,,,28,,NW,,,,,,$3.41 ,$0.00 ,1,1,1,0,0,1,20081001A7526,HCPCS,Tracheostomy tube collar,,,28,,NW,,,,,,$4.05 ,$0.00 ,1,1,1,0,1,1,20081001A7527,HCPCS,Trach/laryn tube plug/stop,,,28,,NW,,,,,,$4.31 ,$0.00 ,1,1,1,0,1,1,20081001A8000,HCPCS,Soft protect helmet prefab,NU,,28,,NW,,,,,,$230.03 ,$0.00 ,1,1,1,1,1,1,20081001A8000,HCPCS,Soft protect helmet prefab,RR,,28,,NW,,,,,,$22.99 ,$0.00 ,1,1,1,1,1,1,20081001A8000,HCPCS,Soft protect helmet prefab,UE,,28,,NW,,,,,,$172.54 ,$0.00 ,1,1,1,1,1,1,20081001A8001,HCPCS,Hard protect helmet prefab,NU,,28,,NW,,,,,,$230.03 ,$0.00 ,1,1,1,1,1,1,20081001A8001,HCPCS,Hard protect helmet prefab,RR,,28,,NW,,,,,,$22.99 ,$0.00 ,1,1,1,1,1,1,20081001A8001,HCPCS,Hard protect helmet prefab,UE,,28,,NW,,,,,,$172.54 ,$0.00 ,1,1,1,1,1,1,20081001A9150,HCPCS,Misc/exper non-prescript dru,,,29,,NW,,,,,,$12.30 ,$0.00 ,1,1,1,0,0,1,20081001A9270,HCPCS,Non-covered item or service,,,28,,NW,,,,,,$51.18 ,$0.00 ,1,1,1,0,0,1,20081001A9280,HCPCS,"Alert device, noc",,,28,,NW,,,,,,$341.20 ,$0.00 ,1,1,1,0,1,1,20081001A9300,HCPCS,Exercise equipment,,,28,,NW,,,,,,$6.55 ,$0.00 ,1,1,1,0,0,1,20081001A9500,HCPCS,Technetium TC 99m sestamibi,,,28,,NW,,,,,,$176.82 ,$0.00 ,1,1,1,0,0,1,20081001A9502,HCPCS,Technetium TC99M tetrofosmin,,,28,,NW,,,,,,$198.20 ,$0.00 ,1,1,1,0,0,1,20081001A9503,HCPCS,Technetium TC 99m medronate,,,28,,NW,,,,,,$45.98 ,$0.00 ,1,1,1,0,0,1,20081001A9504,HCPCS,Technetium tc 99m apcitide,,,28,,NW,,,,,,$82.07 ,$0.00 ,1,1,1,0,0,1,20081001A9505,HCPCS,Thallous chloride TL 201/mci,,,28,,NW,,,,,,$77.60 ,$0.00 ,1,1,1,0,0,1,20081001A9507,HCPCS,Indium/111 capromab pendetid,,,28,,NW,,,,,,"$3,330.95 ",$0.00 ,1,1,1,0,0,1,20081001A9508,HCPCS,Iobenguane sulfate I-131,,,28,,NW,,,,,,$37.99 ,$0.00 ,1,1,1,0,0,1,20081001A9510,HCPCS,Technetium TC99m Disofenin,,,28,,NW,,,,,,$131.67 ,$0.00 ,1,1,1,0,0,1,20081001A9600,HCPCS,Strontium-89 chloride,,,28,,NW,,,,,,"$1,213.50 ",$0.00 ,1,1,1,0,0,1,20081001A9605,HCPCS,Samarium sm153 lexidronamm,,,28,,NW,,,,,,$601.00 ,$0.00 ,1,1,1,0,0,1,20081001A9700,HCPCS,Echocardiography Contrast,,,28,,NW,,,,,,$240.18 ,$0.00 ,1,1,1,0,0,1,20081001A9900,HCPCS,Supply/accessory/service,,,28,,NW,,,,,,$26.35 ,$0.00 ,1,1,1,0,0,1,20081001A9901,HCPCS,Delivery/set up/dispensing,,,28,,NW,,,,,,$21.84 ,$0.00 ,1,1,1,0,0,1,20081001B4034,HCPCS,Enter feed supkit syr by day,,,28,,NW,,,,,,$11.06 ,$0.00 ,1,1,1,0,0,1,20081001B4035,HCPCS,Enteral feed supp pump per d,,,28,,NW,,,,,,$21.44 ,$0.00 ,1,1,1,0,0,1,20081001B4036,HCPCS,Enteral feed sup kit grav by,,,28,,NW,,,,,,$14.45 ,$0.00 ,1,1,1,0,0,1,20081001B4081,HCPCS,Enteral ng tubing w/ stylet,,,28,,NW,,,,,,$42.93 ,$0.00 ,1,1,1,0,0,1,20081001B4082,HCPCS,Enteral ng tubing w/o stylet,,,28,,NW,,,,,,$31.01 ,$0.00 ,1,1,1,0,0,1,20081001B4083,HCPCS,Enteral stomach tube levine,,,28,,NW,,,,,,$4.46 ,$0.00 ,1,1,1,0,0,1,20081001B4149,HCPCS,EF blenderized foods,,,28,,NW,,,,,,$1.84 ,$0.00 ,1,1,1,0,1,1,20081001B4150,HCPCS,Enteral formulae category i,,,28,,NW,,,,,,$1.23 ,$0.00 ,1,1,1,0,0,1,20081001B4152,HCPCS,Enteral formulae category ii,,,28,,NW,,,,,,$1.06 ,$0.00 ,1,1,1,0,0,1,20081001B4153,HCPCS,Enteral formulae categoryIII,,,28,,NW,,,,,,$3.47 ,$0.00 ,1,1,1,0,0,1,20081001B4154,HCPCS,Enteral formulae category IV,,,28,,NW,,,,,,$2.22 ,$0.00 ,1,1,1,0,0,1,20081001B4155,HCPCS,Enteral formulae category v,,,28,,NW,,,,,,$1.75 ,$0.00 ,1,1,1,0,0,1,20081001B4164,HCPCS,Parenteral 50% dextrose solu,,,28,,NW,,,,,,$31.86 ,$0.00 ,1,1,1,0,0,1,20081001B4168,HCPCS,Parenteral sol amino acid 3.,,,28,,NW,,,,,,$48.06 ,$0.00 ,1,1,1,0,0,1,20081001B4172,HCPCS,Parenteral sol amino acid 5.,,,28,,NW,,,,,,$72.32 ,$0.00 ,1,1,1,0,0,1,20081001B4176,HCPCS,Parenteral sol amino acid 7-,,,28,,NW,,,,,,$96.55 ,$0.00 ,1,1,1,0,0,1,20081001B4178,HCPCS,Parenteral sol amino acid >,,,28,,NW,,,,,,$116.66 ,$0.00 ,1,1,1,0,0,1,20081001B4180,HCPCS,Parenteral sol carb > 50%,,,28,,NW,,,,,,$47.25 ,$0.00 ,1,1,1,0,0,1,20081001B4189,HCPCS,Parenteral sol amino acid &,,,28,,NW,,,,,,$368.21 ,$0.00 ,1,1,1,0,0,1,20081001B4193,HCPCS,Parenteral sol 52-73 gm prot,,,28,,NW,,,,,,$476.91 ,$0.00 ,1,1,1,0,0,1,20081001B4197,HCPCS,Parenteral sol 74-100 gm pro,,,28,,NW,,,,,,$581.40 ,$0.00 ,1,1,1,0,0,1,20081001B4199,HCPCS,Parenteral sol > 100gm prote,,,28,,NW,,,,,,$664.92 ,$0.00 ,1,1,1,0,0,1,20081001B4216,HCPCS,Parenteral nutrition additiv,,,28,,NW,,,,,,$13.54 ,$0.00 ,1,1,1,0,0,1,20081001B4220,HCPCS,Parenteral supply kit premix,,,28,,NW,,,,,,$14.02 ,$0.00 ,1,1,1,0,0,1,20081001B4222,HCPCS,Parenteral supply kit homemi,,,28,,NW,,,,,,$17.29 ,$0.00 ,1,1,1,0,0,1,20081001B4224,HCPCS,Parenteral administration ki,,,28,,NW,,,,,,$48.60 ,$0.00 ,1,1,1,0,0,1,20081001B5000,HCPCS,Parenteral sol renal-amirosy,,,28,,NW,,,,,,$21.13 ,$0.00 ,1,1,1,0,0,1,20081001B5100,HCPCS,Parenteral sol hepatic-fream,,,28,,NW,,,,,,$8.17 ,$0.00 ,1,1,1,0,0,1,20081001B5200,HCPCS,Parenteral sol stres-brnch c,,,28,,NW,,,,,,$654.46 ,$0.00 ,1,1,1,0,0,1,20081001B9000,HCPCS,Enter infusion pump w/o alrm,NU,,28,,NW,,,,,,"$2,643.23 ",$0.00 ,1,1,1,0,0,1,20081001B9000,HCPCS,Enter infusion pump w/o alrm,RR,,28,,NW,,,,,,$239.50 ,$0.00 ,1,1,1,0,0,1,20081001B9000,HCPCS,Enter infusion pump w/o alrm,UE,,28,,NW,,,,,,"$1,981.49 ",$0.00 ,1,1,1,0,0,1,20081001B9002,HCPCS,Enteral infusion pump w/ ala,NU,,28,,NW,,,,,,"$2,643.23 ",$0.00 ,1,1,1,0,0,1,20081001B9002,HCPCS,Enteral infusion pump w/ ala,RR,,28,,NW,,,,,,$252.62 ,$0.00 ,1,1,1,0,0,1,20081001B9004,HCPCS,Parenteral infus pump portab,NU,,28,,NW,,,,,,"$5,276.22 ",$0.00 ,1,1,1,0,0,1,20081001B9004,HCPCS,Parenteral infus pump portab,RR,,28,,NW,,,,,,$832.12 ,$0.00 ,1,1,1,0,0,1,20081001B9004,HCPCS,Parenteral infus pump portab,UE,,28,,NW,,,,,,"$3,956.21 ",$0.00 ,1,1,1,0,0,1,20081001B9006,HCPCS,Parenteral infus pump statio,NU,,28,,NW,,,,,,"$5,276.22 ",$0.00 ,1,1,1,0,0,1,20081001B9006,HCPCS,Parenteral infus pump statio,RR,,28,,NW,,,,,,$832.12 ,$0.00 ,1,1,1,0,0,1,20081001B9006,HCPCS,Parenteral infus pump statio,UE,,28,,NW,,,,,,"$3,956.21 ",$0.00 ,1,1,1,0,0,1,20081001B9998,HCPCS,Enteral supp not otherwise c,,,28,,NW,,,,,,$10.85 ,$0.00 ,1,1,1,0,0,1,20081001B9999,HCPCS,Parenteral supp not othrws c,,,28,,NW,,,,,,$323.87 ,$0.00 ,1,1,1,0,0,1,20081001C9726,HCPCS,Rxt breast appl place/remov,,,28,,NW,,,,,,$661.88 ,$0.00 ,1,1,1,0,1,1,20081001D0120,HCPCS,Periodic oral evaluation,,,25,,NW,,,,,,$52.65 ,$0.00 ,1,0,1,1,1,1,20081001D0140,HCPCS,Limit oral eval problm focus,,,25,,NW,,,,,,$80.63 ,$0.00 ,1,0,1,1,1,1,20081001D0150,HCPCS,Comprehensve oral evaluation,,,25,,NW,,,,,,$88.66 ,$0.00 ,1,0,1,1,1,1,20081001D0160,HCPCS,Extensv oral eval prob focus,,,25,,NW,,,,,,$190.82 ,$0.00 ,1,0,1,1,1,1,20081001D0170,HCPCS,"Re-eval,est pt,problem focus",,,25,,NW,,,,,,$72.44 ,$0.00 ,1,0,1,1,1,1,20081001D0180,HCPCS,Comp periodontal evaluation,,,25,,NW,,,,,,$102.46 ,$0.00 ,1,0,1,1,1,1,20081001D0210,HCPCS,Intraor complete film series,,,25,,NW,,,,,,$144.30 ,$0.00 ,1,0,1,1,1,1,20081001D0220,HCPCS,Intraoral periapical first f,,,25,,NW,,,,,,$30.34 ,$0.00 ,1,0,1,1,1,1,20081001D0230,HCPCS,Intraoral periapical ea add,,,25,,NW,,,,,,$24.44 ,$0.00 ,1,0,1,1,1,1,20081001D0240,HCPCS,Intraoral occlusal film,,,25,,NW,,,,,,$44.25 ,$0.00 ,1,0,1,1,1,1,20081001D0250,HCPCS,Extraoral first film,,,25,,NW,,,,,,$62.57 ,$0.00 ,1,0,1,1,1,1,20081001D0260,HCPCS,Extraoral ea additional film,,,25,,NW,,,,,,$55.98 ,$0.00 ,1,0,1,1,1,1,20081001D0270,HCPCS,Dental bitewing single film,,,25,,NW,,,,,,$30.36 ,$0.00 ,1,0,1,1,1,1,20081001D0272,HCPCS,Dental bitewings two films,,,25,,NW,,,,,,$47.54 ,$0.00 ,1,0,1,1,1,1,20081001D0274,HCPCS,Dental bitewings four films,,,25,,NW,,,,,,$68.75 ,$0.00 ,1,0,1,1,1,1,20081001D0277,HCPCS,Vert bitewings-sev to eight,,,25,,NW,,,,,,$103.16 ,$0.00 ,1,0,1,1,1,1,20081001D0290,HCPCS,Dental film skull/facial bon,,,25,,NW,,,,,,$156.68 ,$0.00 ,1,0,1,1,1,1,20081001D0310,HCPCS,Dental saliography,,,25,,NW,,,,,,$434.53 ,$0.00 ,1,0,1,1,1,1,20081001D0320,HCPCS,Dental tmj arthrogram incl i,,,25,,NW,,,,,,$701.72 ,$0.00 ,1,0,1,1,1,1,20081001D0321,HCPCS,Dental other tmj films,,,25,,NW,,,,,,$239.67 ,$0.00 ,1,0,1,1,1,1,20081001D0322,HCPCS,Dental tomographic survey,,,25,,NW,,,,,,$583.77 ,$0.00 ,1,0,1,1,1,1,20081001D0330,HCPCS,Dental panoramic film,,,25,,NW,,,,,,$123.32 ,$0.00 ,1,0,1,1,1,1,20081001D0340,HCPCS,Dental cephalometric film,,,25,,NW,,,,,,$139.06 ,$0.00 ,1,0,1,1,1,1,20081001D0350,HCPCS,Oral/facial images,,,25,,NW,,,,,,$71.67 ,$0.00 ,1,0,1,1,1,1,20081001D0415,HCPCS,Bacteriologic study,,,25,,NW,,,,,,$37.79 ,$0.00 ,1,0,1,1,1,1,20081001D0416,HCPCS,Viral culture,,,25,,TotalUnits,,,,1.22,,$0.00 ,$0.00 ,1,1,1,0,1,1,20081001D0425,HCPCS,Caries susceptibility test,,,25,,NW,,,,,,$34.54 ,$0.00 ,1,0,1,1,1,1,20081001D0431,HCPCS,Diag tst detect mucos abnorm,,,25,,NW,,,,,,$34.54 ,$0.00 ,1,1,1,0,1,1,20081001D0460,HCPCS,Pulp vitality test,,,25,,NW,,,,,,$59.30 ,$0.00 ,1,0,1,1,1,1,20081001D0470,HCPCS,Diagnostic casts,,,25,,NW,,,,,,$121.53 ,$0.00 ,1,0,1,1,1,1,20081001D0472,HCPCS,"Gross exam, prep & report",,,25,,NW,,,,,,$102.18 ,$0.00 ,1,0,1,1,1,1,20081001D0473,HCPCS,"Micro exam, prep & report",,,25,,NW,,,,,,$166.37 ,$0.00 ,1,0,1,1,1,1,20081001D0474,HCPCS,Micro w exam of surg margins,,,25,,NW,,,,,,$192.18 ,$0.00 ,1,0,1,1,1,1,20081001D0475,HCPCS,Decalcification procedure,,,25,,NW,,,,,,$39.04 ,$0.00 ,1,0,1,1,1,1,20081001D0476,HCPCS,Spec stains for microorganis,,,25,,NW,,,,,,$85.63 ,$0.00 ,1,0,1,1,1,1,20081001D0477,HCPCS,Spec stains not for microorg,,,25,,NW,,,,,,$39.04 ,$0.00 ,1,0,1,1,1,1,20081001D0478,HCPCS,Immunohistochemical stains,,,25,,NW,,,,,,$135.99 ,$0.00 ,1,0,1,1,1,1,20081001D0479,HCPCS,Tissue in-situ hybridization,,,25,,NW,,,,,,$188.88 ,$0.00 ,1,0,1,1,1,1,20081001D0480,HCPCS,Cytopath smear prep & report,,,25,,NW,,,,,,$157.25 ,$0.00 ,1,0,1,1,1,1,20081001D0481,HCPCS,Electron microscopy diagnost,,,25,,NW,,,,,,$243.03 ,$0.00 ,1,0,1,1,1,1,20081001D0482,HCPCS,Direct immunofluorescence,,,25,,NW,,,,,,$137.25 ,$0.00 ,1,0,1,1,1,1,20081001D0483,HCPCS,Indirect immunofluorescence,,,25,,NW,,,,,,$130.96 ,$0.00 ,1,0,1,1,1,1,20081001D0484,HCPCS,Consult slides prep elsewher,,,25,,NW,,,,,,$263.17 ,$0.00 ,1,0,1,1,1,1,20081001D0485,HCPCS,Consult inc prep of slides,,,25,,NW,,,,,,$288.36 ,$0.00 ,1,0,1,1,1,1,20081001D0502,HCPCS,Other oral pathology procedu,,,25,,NW,,,,,,$186.49 ,$0.00 ,1,0,1,1,1,1,20081001D0999,HCPCS,Unspecified diagnostic proce,,,25,,NW,,,,,,"$1,563.11 ",$0.00 ,1,0,1,1,1,1,20081001D1110,HCPCS,Dental prophylaxis adult,,,25,,NW,,,,,,$100.85 ,$0.00 ,1,0,1,1,1,1,20081001D1120,HCPCS,Dental prophylaxis child,,,25,,NW,,,,,,$73.30 ,$0.00 ,1,0,1,1,1,1,20081001D1203,HCPCS,Topical fluor w/o prophy chi,,,25,,NW,,,,,,$41.77 ,$0.00 ,1,0,1,1,1,1,20081001D1204,HCPCS,Topical fluor w/o prophy adu,,,25,,NW,,,,,,$40.75 ,$0.00 ,1,0,1,1,1,1,20081001D1310,HCPCS,Nutri counsel-control caries,,,25,,NW,,,,,,$61.90 ,$0.00 ,1,0,1,1,1,1,20081001D1320,HCPCS,Tobacco counseling,,,25,,NW,,,,,,$72.79 ,$0.00 ,1,0,1,1,1,1,20081001D1330,HCPCS,Oral hygiene instruction,,,25,,NW,,,,,,$65.34 ,$0.00 ,1,0,1,1,1,1,20081001D1351,HCPCS,Dental sealant per tooth,,,25,,NW,,,,,,$58.93 ,$0.00 ,1,0,1,1,1,1,20081001D1510,HCPCS,Space maintainer fxd unilat,,,26,,NW,,,,,,$373.16 ,$0.00 ,1,0,1,1,1,1,20081001D1515,HCPCS,Fixed bilat space maintainer,,,26,,NW,,,,,,$528.74 ,$0.00 ,1,0,1,1,1,1,20081001D1520,HCPCS,Remove unilat space maintain,,,26,,NW,,,,,,$471.53 ,$0.00 ,1,0,1,1,1,1,20081001D1525,HCPCS,Remove bilat space maintain,,,26,,NW,,,,,,$625.09 ,$0.00 ,1,0,1,1,1,1,20081001D1550,HCPCS,Recement space maintainer,,,26,,NW,,,,,,$84.42 ,$0.00 ,1,0,1,1,1,1,20081001D2140,HCPCS,Amalgam one surface permanen,,,26,,NW,,,,,,$144.26 ,$0.00 ,1,0,1,1,1,1,20081001D2150,HCPCS,Amalgam two surfaces permane,,,26,,NW,,,,,,$181.66 ,$0.00 ,1,0,1,1,1,1,20081001D2160,HCPCS,Amalgam three surfaces perma,,,26,,NW,,,,,,$219.97 ,$0.00 ,1,0,1,1,1,1,20081001D2161,HCPCS,Amalgam 4 or > surfaces perm,,,26,,NW,,,,,,$266.21 ,$0.00 ,1,0,1,1,1,1,20081001D2330,HCPCS,Resin one surface-anterior,,,26,,NW,,,,,,$166.52 ,$0.00 ,1,0,1,1,1,1,20081001D2331,HCPCS,Resin two surfaces-anterior,,,26,,NW,,,,,,$206.60 ,$0.00 ,1,0,1,1,1,1,20081001D2332,HCPCS,Resin three surfaces-anterio,,,26,,NW,,,,,,$253.99 ,$0.00 ,1,0,1,1,1,1,20081001D2335,HCPCS,Resin 4/> surf or w incis an,,,26,,NW,,,,,,$304.37 ,$0.00 ,1,0,1,1,1,1,20081001D2390,HCPCS,Ant resin-based cmpst crown,,,26,,NW,,,,,,$384.78 ,$0.00 ,1,0,1,1,1,1,20081001D2391,HCPCS,Post 1 srfc resinbased cmpst,,,26,,NW,,,,,,$185.46 ,$0.00 ,1,0,1,1,1,1,20081001D2392,HCPCS,Post 2 srfc resinbased cmpst,,,26,,NW,,,,,,$247.73 ,$0.00 ,1,0,1,1,1,1,20081001D2393,HCPCS,Post 3 srfc resinbased cmpst,,,26,,NW,,,,,,$306.14 ,$0.00 ,1,0,1,1,1,1,20081001D2394,HCPCS,Post >=4srfc resinbase cmpst,,,26,,NW,,,,,,$360.57 ,$0.00 ,1,0,1,1,1,1,20081001D2410,HCPCS,Dental gold foil one surface,,,27,,NW,,,,,,$248.45 ,$0.00 ,1,0,1,1,1,1,20081001D2420,HCPCS,Dental gold foil two surface,,,27,,NW,,,,,,$602.96 ,$0.00 ,1,0,1,1,1,1,20081001D2430,HCPCS,Dental gold foil three surfa,,,27,,NW,,,,,,"$1,091.58 ",$0.00 ,1,0,1,1,1,1,20081001D2510,HCPCS,Dental inlay metalic 1 surf,,,27,,NW,,,,,,$904.80 ,$0.00 ,1,0,1,1,1,1,20081001D2520,HCPCS,Dental inlay metallic 2 surf,,,27,,NW,,,,,,"$1,018.96 ",$0.00 ,1,0,1,1,1,1,20081001D2530,HCPCS,Dental inlay metl 3/more sur,,,27,,NW,,,,,,"$1,122.34 ",$0.00 ,1,0,1,1,1,1,20081001D2542,HCPCS,Dental onlay metallic 2 surf,,,27,,NW,,,,,,"$1,115.81 ",$0.00 ,1,0,1,1,1,1,20081001D2543,HCPCS,Dental onlay metallic 3 surf,,,27,,NW,,,,,,"$1,171.23 ",$0.00 ,1,0,1,1,1,1,20081001D2544,HCPCS,Dental onlay metl 4/more sur,,,27,,NW,,,,,,"$1,214.67 ",$0.00 ,1,0,1,1,1,1,20081001D2610,HCPCS,Inlay porcelain/ceramic 1 su,,,27,,NW,,,,,,"$1,009.29 ",$0.00 ,1,0,1,1,1,1,20081001D2620,HCPCS,Inlay porcelain/ceramic 2 su,,,27,,NW,,,,,,"$1,079.39 ",$0.00 ,1,0,1,1,1,1,20081001D2630,HCPCS,Dental onlay porc 3/more sur,,,27,,NW,,,,,,"$1,134.90 ",$0.00 ,1,0,1,1,1,1,20081001D2642,HCPCS,Dental onlay porcelin 2 surf,,,27,,NW,,,,,,"$1,146.74 ",$0.00 ,1,0,1,1,1,1,20081001D2643,HCPCS,Dental onlay porcelin 3 surf,,,27,,NW,,,,,,"$1,188.95 ",$0.00 ,1,0,1,1,1,1,20081001D2644,HCPCS,Dental onlay porc 4/more sur,,,27,,NW,,,,,,"$1,243.44 ",$0.00 ,1,0,1,1,1,1,20081001D2650,HCPCS,Inlay composite/resin one su,,,27,,NW,,,,,,$814.52 ,$0.00 ,1,0,1,1,1,1,20081001D2651,HCPCS,Inlay composite/resin two su,,,27,,NW,,,,,,$921.05 ,$0.00 ,1,0,1,1,1,1,20081001D2652,HCPCS,Dental inlay resin 3/mre sur,,,27,,NW,,,,,,$979.78 ,$0.00 ,1,0,1,1,1,1,20081001D2662,HCPCS,Dental onlay resin 2 surface,,,27,,NW,,,,,,$979.77 ,$0.00 ,1,0,1,1,1,1,20081001D2663,HCPCS,Dental onlay resin 3 surface,,,27,,NW,,,,,,"$1,032.42 ",$0.00 ,1,0,1,1,1,1,20081001D2664,HCPCS,Dental onlay resin 4/mre sur,,,27,,NW,,,,,,"$1,081.59 ",$0.00 ,1,0,1,1,1,1,20081001D2710,HCPCS,Crown resin laboratory,,,27,,NW,,,,,,$668.00 ,$0.00 ,1,0,1,1,1,1,20081001D2712,HCPCS,Crown 3/4 resin-based compos,,,27,,NW,,,,,,$668.00 ,$0.00 ,1,0,1,1,1,1,20081001D2720,HCPCS,Crown resin w/ high noble me,,,27,,NW,,,,,,"$1,215.81 ",$0.00 ,1,0,1,1,1,1,20081001D2721,HCPCS,Crown resin w/ base metal,,,27,,NW,,,,,,"$1,061.99 ",$0.00 ,1,0,1,1,1,1,20081001D2722,HCPCS,Crown resin w/ noble metal,,,27,,NW,,,,,,"$1,118.47 ",$0.00 ,1,0,1,1,1,1,20081001D2740,HCPCS,Crown porcelain/ceramic subs,,,27,,NW,,,,,,"$1,263.60 ",$0.00 ,1,0,1,1,1,1,20081001D2750,HCPCS,Crown porcelain w/ h noble m,,,27,,NW,,,,,,"$1,209.16 ",$0.00 ,1,0,1,1,1,1,20081001D2751,HCPCS,Crown porcelain fused base m,,,27,,NW,,,,,,"$1,105.07 ",$0.00 ,1,0,1,1,1,1,20081001D2752,HCPCS,Crown porcelain w/ noble met,,,27,,NW,,,,,,"$1,152.87 ",$0.00 ,1,0,1,1,1,1,20081001D2780,HCPCS,Crown 3/4 cast hi noble met,,,27,,NW,,,,,,"$1,210.66 ",$0.00 ,1,0,1,1,1,1,20081001D2781,HCPCS,Crown 3/4 cast base metal,,,27,,NW,,,,,,"$1,147.61 ",$0.00 ,1,0,1,1,1,1,20081001D2782,HCPCS,Crown 3/4 cast noble metal,,,27,,NW,,,,,,"$1,163.93 ",$0.00 ,1,0,1,1,1,1,20081001D2783,HCPCS,Crown 3/4 porcelain/ceramic,,,27,,NW,,,,,,"$1,234.12 ",$0.00 ,1,0,1,1,1,1,20081001D2790,HCPCS,Crown full cast high noble m,,,27,,NW,,,,,,"$1,185.55 ",$0.00 ,1,0,1,1,1,1,20081001D2791,HCPCS,Crown full cast base metal,,,27,,NW,,,,,,"$1,105.89 ",$0.00 ,1,0,1,1,1,1,20081001D2792,HCPCS,Crown full cast noble metal,,,27,,NW,,,,,,"$1,138.00 ",$0.00 ,1,0,1,1,1,1,20081001D2794,HCPCS,Crown-titanium,,,27,,NW,,,,,,"$1,137.98 ",$0.00 ,1,0,1,1,1,1,20081001D2799,HCPCS,Provisional crown,,,27,,NW,,,,,,$457.24 ,$0.00 ,1,0,1,1,1,1,20081001D2910,HCPCS,Dental recement inlay,,,27,,NW,,,,,,$113.54 ,$0.00 ,1,0,1,1,1,1,20081001D2915,HCPCS,Recement cast or prefab post,,,27,,NW,,,,,,$371.83 ,$0.00 ,1,0,1,1,1,1,20081001D2920,HCPCS,Dental recement crown,,,27,,NW,,,,,,$113.55 ,$0.00 ,1,0,1,1,1,1,20081001D2930,HCPCS,Prefab stnlss steel crwn pri,,,27,,NW,,,,,,$295.03 ,$0.00 ,1,0,1,1,1,1,20081001D2931,HCPCS,Prefab stnlss steel crown pe,,,27,,NW,,,,,,$339.35 ,$0.00 ,1,0,1,1,1,1,20081001D2932,HCPCS,Prefabricated resin crown,,,27,,NW,,,,,,$370.87 ,$0.00 ,1,0,1,1,1,1,20081001D2933,HCPCS,Prefab stainless steel crown,,,27,,NW,,,,,,$396.57 ,$0.00 ,1,0,1,1,1,1,20081001D2934,HCPCS,Prefab steel crown primary,,,27,,NW,,,,,,$396.60 ,$0.00 ,1,0,1,1,1,1,20081001D2940,HCPCS,Dental sedative filling,,,27,,NW,,,,,,$118.89 ,$0.00 ,1,0,1,1,1,1,20081001D2950,HCPCS,Core build-up incl any pins,,,27,,NW,,,,,,$294.35 ,$0.00 ,1,0,1,1,1,1,20081001D2951,HCPCS,Tooth pin retention,,,27,,NW,,,,,,$65.07 ,$0.00 ,1,0,1,1,1,1,20081001D2952,HCPCS,Post and core cast + crown,,,27,,NW,,,,,,$463.96 ,$0.00 ,1,0,1,1,1,1,20081001D2953,HCPCS,Each addtnl cast post,,,27,,NW,,,,,,$276.72 ,$0.00 ,1,0,1,1,1,1,20081001D2954,HCPCS,Prefab post/core + crown,,,27,,NW,,,,,,$371.87 ,$0.00 ,1,0,1,1,1,1,20081001D2955,HCPCS,Post removal,,,27,,NW,,,,,,$321.78 ,$0.00 ,1,0,1,1,1,1,20081001D2957,HCPCS,Each addtnl prefab post,,,27,,NW,,,,,,$196.97 ,$0.00 ,1,0,1,1,1,1,20081001D2960,HCPCS,Laminate labial veneer,,,27,,NW,,,,,,$744.23 ,$0.00 ,1,0,1,1,1,1,20081001D2961,HCPCS,Lab labial veneer resin,,,27,,NW,,,,,,"$1,076.87 ",$0.00 ,1,0,1,1,1,1,20081001D2962,HCPCS,Lab labial veneer porcelain,,,27,,NW,,,,,,"$1,183.71 ",$0.00 ,1,0,1,1,1,1,20081001D2971,HCPCS,Add proc construct new crown,,,27,,NW,,,,,,$302.29 ,$0.00 ,1,0,1,1,1,1,20081001D2975,HCPCS,Coping,,,27,,NW,,,,,,$791.61 ,$0.00 ,1,0,1,1,1,1,20081001D2980,HCPCS,Crown repair,,,27,,NW,,,,,,$302.28 ,$0.00 ,1,0,1,1,1,1,20081001D2999,HCPCS,Dental unspec restorative pr,,,27,,NW,,,,,,"$1,582.26 ",$0.00 ,1,0,1,1,1,1,20081001D3110,HCPCS,Pulp cap direct,,,26,,NW,,,,,,$86.02 ,$0.00 ,1,0,1,1,1,1,20081001D3120,HCPCS,Pulp cap indirect,,,26,,NW,,,,,,$76.99 ,$0.00 ,1,0,1,1,1,1,20081001D3220,HCPCS,Therapeutic pulpotomy,,,26,,NW,,,,,,$197.32 ,$0.00 ,1,0,1,1,1,1,20081001D3221,HCPCS,Gross pulpal debridement,,,26,,NW,,,,,,$223.81 ,$0.00 ,1,0,1,1,1,1,20081001D3230,HCPCS,Pulpal therapy anterior prim,,,26,,NW,,,,,,$253.36 ,$0.00 ,1,0,1,1,1,1,20081001D3240,HCPCS,Pulpal therapy posterior pri,,,26,,NW,,,,,,$285.44 ,$0.00 ,1,0,1,1,1,1,20081001D3310,HCPCS,Anterior,,,26,,NW,,,,,,$814.23 ,$0.00 ,1,0,1,1,1,1,20081001D3320,HCPCS,Root canal therapy 2 canals,,,26,,NW,,,,,,$970.03 ,$0.00 ,1,0,1,1,1,1,20081001D3330,HCPCS,Root canal therapy 3 canals,,,26,,NW,,,,,,"$1,219.52 ",$0.00 ,1,0,1,1,1,1,20081001D3331,HCPCS,Non-surg tx root canal obs,,,26,,NW,,,,,,$387.37 ,$0.00 ,1,0,1,1,1,1,20081001D3332,HCPCS,Incomplete endodontic tx,,,26,,NW,,,,,,$527.27 ,$0.00 ,1,0,1,1,1,1,20081001D3333,HCPCS,Internal root repair,,,26,,NW,,,,,,$277.76 ,$0.00 ,1,0,1,1,1,1,20081001D3346,HCPCS,Retreat root canal anterior,,,26,,NW,,,,,,"$1,044.41 ",$0.00 ,1,0,1,1,1,1,20081001D3347,HCPCS,Retreat root canal bicuspid,,,26,,NW,,,,,,"$1,200.12 ",$0.00 ,1,0,1,1,1,1,20081001D3348,HCPCS,Retreat root canal molar,,,26,,NW,,,,,,"$1,430.12 ",$0.00 ,1,0,1,1,1,1,20081001D3351,HCPCS,Apexification/recalc initial,,,26,,NW,,,,,,$421.01 ,$0.00 ,1,0,1,1,1,1,20081001D3352,HCPCS,Apexification/recalc interim,,,26,,NW,,,,,,$235.80 ,$0.00 ,1,0,1,1,1,1,20081001D3353,HCPCS,Apexification/recalc final,,,26,,NW,,,,,,$684.84 ,$0.00 ,1,0,1,1,1,1,20081001D3410,HCPCS,Apicoect/perirad surg anter,,,26,,NW,,,,,,$890.43 ,$0.00 ,1,0,1,1,1,1,20081001D3421,HCPCS,Root surgery bicuspid,,,26,,NW,,,,,,$968.20 ,$0.00 ,1,0,1,1,1,1,20081001D3425,HCPCS,Root surgery molar,,,26,,NW,,,,,,"$1,101.49 ",$0.00 ,1,0,1,1,1,1,20081001D3426,HCPCS,Root surgery ea add root,,,26,,NW,,,,,,$400.12 ,$0.00 ,1,0,1,1,1,1,20081001D3430,HCPCS,Retrograde filling,,,26,,NW,,,,,,$292.12 ,$0.00 ,1,0,1,1,1,1,20081001D3450,HCPCS,Root amputation,,,26,,NW,,,,,,$587.97 ,$0.00 ,1,0,1,1,1,1,20081001D3460,HCPCS,Endodontic endosseous implan,,,26,,NW,,,,,,"$2,236.34 ",$0.00 ,1,0,1,1,1,1,20081001D3470,HCPCS,Intentional replantation,,,26,,NW,,,,,,"$1,042.12 ",$0.00 ,1,0,1,1,1,1,20081001D3910,HCPCS,Isolation- tooth w rubb dam,,,26,,NW,,,,,,$220.43 ,$0.00 ,1,0,1,1,1,1,20081001D3920,HCPCS,Tooth splitting,,,26,,NW,,,,,,$480.91 ,$0.00 ,1,0,1,1,1,1,20081001D3950,HCPCS,Canal prep/fitting of dowel,,,26,,NW,,,,,,$222.18 ,$0.00 ,1,0,1,1,1,1,20081001D3999,HCPCS,Endodontic procedure,,,26,,NW,,,,,,"$1,617.62 ",$0.00 ,1,0,1,1,1,1,20081001D4210,HCPCS,Gingivectomy/plasty per quad,,,26,,NW,,,,,,$722.14 ,$0.00 ,1,0,1,1,1,1,20081001D4211,HCPCS,Gingivectomy/plasty per toot,,,26,,NW,,,,,,$273.92 ,$0.00 ,1,0,1,1,1,1,20081001D4240,HCPCS,Gingival flap proc w/ planin,,,26,,NW,,,,,,$881.77 ,$0.00 ,1,0,1,1,1,1,20081001D4241,HCPCS,Gngvl flap w rootplan 1-3 th,,,26,,NW,,,,,,$585.34 ,$0.00 ,1,0,1,1,1,1,20081001D4245,HCPCS,Apically positioned flap,,,26,,NW,,,,,,$782.42 ,$0.00 ,1,0,1,1,1,1,20081001D4249,HCPCS,Crown lengthen hard tissue,,,26,,NW,,,,,,$975.28 ,$0.00 ,1,0,1,1,1,1,20081001D4260,HCPCS,Osseous surgery per quadrant,,,26,,NW,,,,,,"$1,318.46 ",$0.00 ,1,0,1,1,1,1,20081001D4261,HCPCS,Osseous surgl-3teethperquad,,,26,,NW,,,,,,$956.82 ,$0.00 ,1,0,1,1,1,1,20081001D4263,HCPCS,Bone replce graft first site,,,26,,NW,,,,,,$592.58 ,$0.00 ,1,0,1,1,1,1,20081001D4264,HCPCS,Bone replce graft each add,,,26,,NW,,,,,,$251.49 ,$0.00 ,1,0,1,1,1,1,20081001D4265,HCPCS,Bio mtrls to aid soft/os reg,,,26,,NW,,,,,,$553.47 ,$0.00 ,1,0,1,1,1,1,20081001D4266,HCPCS,Guided tiss regen resorble,,,26,,NW,,,,,,$704.72 ,$0.00 ,1,0,1,1,1,1,20081001D4267,HCPCS,Guided tiss regen nonresorb,,,26,,NW,,,,,,$844.41 ,$0.00 ,1,0,1,1,1,1,20081001D4268,HCPCS,Surgical revision procedure,,,26,,NW,,,,,,$830.87 ,$0.00 ,1,0,1,1,1,1,20081001D4270,HCPCS,Pedicle soft tissue graft pr,,,26,,NW,,,,,,"$1,013.89 ",$0.00 ,1,0,1,1,1,1,20081001D4271,HCPCS,Free soft tissue graft proc,,,26,,NW,,,,,,"$1,083.58 ",$0.00 ,1,0,1,1,1,1,20081001D4273,HCPCS,Subepithelial tissue graft,,,26,,NW,,,,,,"$1,213.76 ",$0.00 ,1,0,1,1,1,1,20081001D4274,HCPCS,Distal/proximal wedge proc,,,26,,NW,,,,,,$549.28 ,$0.00 ,1,0,1,1,1,1,20081001D4275,HCPCS,Soft tissue allograft,,,26,,NW,,,,,,$895.09 ,$0.00 ,1,0,1,1,1,1,20081001D4276,HCPCS,Con tissue w dble ped graft,,,26,,NW,,,,,,"$1,249.00 ",$0.00 ,1,0,1,1,1,1,20081001D4320,HCPCS,Provision splnt intracoronal,,,26,,NW,,,,,,$513.95 ,$0.00 ,1,0,1,1,1,1,20081001D4321,HCPCS,Provisional splint extracoro,,,26,,NW,,,,,,$451.69 ,$0.00 ,1,0,1,1,1,1,20081001D4341,HCPCS,Periodontal scaling & root,,,26,,NW,,,,,,$282.38 ,$0.00 ,1,0,1,1,1,1,20081001D4342,HCPCS,Periodontal scaling 1-3teeth,,,26,,NW,,,,,,$183.12 ,$0.00 ,1,0,1,1,1,1,20081001D4355,HCPCS,Full mouth debridement,,,26,,NW,,,,,,$190.48 ,$0.00 ,1,0,1,1,1,1,20081001D4381,HCPCS,Localized chemo delivery,,,26,,NW,,,,,,$153.02 ,$0.00 ,1,0,1,1,1,1,20081001D4910,HCPCS,Periodontal maint procedures,,,26,,NW,,,,,,$157.59 ,$0.00 ,1,0,1,1,1,1,20081001D4920,HCPCS,Unscheduled dressing change,,,26,,NW,,,,,,$126.39 ,$0.00 ,1,0,1,1,1,1,20081001D4999,HCPCS,Unspecified periodontal proc,,,26,,NW,,,,,,"$1,480.61 ",$0.00 ,1,0,1,1,1,1,20081001D5110,HCPCS,Dentures complete maxillary,,,27,,NW,,,,,,"$1,643.56 ",$0.00 ,1,0,1,1,1,1,20081001D5120,HCPCS,Dentures complete mandible,,,27,,NW,,,,,,"$1,637.97 ",$0.00 ,1,0,1,1,1,1,20081001D5130,HCPCS,Dentures immediat maxillary,,,27,,NW,,,,,,"$1,798.85 ",$0.00 ,1,0,1,1,1,1,20081001D5140,HCPCS,Dentures immediat mandible,,,27,,NW,,,,,,"$1,780.06 ",$0.00 ,1,0,1,1,1,1,20081001D5211,HCPCS,Dentures maxill part resin,,,27,,NW,,,,,,"$1,314.22 ",$0.00 ,1,0,1,1,1,1,20081001D5212,HCPCS,Dentures mand part resin,,,27,,NW,,,,,,"$1,431.47 ",$0.00 ,1,0,1,1,1,1,20081001D5213,HCPCS,Dentures maxill part metal,,,27,,NW,,,,,,"$1,804.73 ",$0.00 ,1,0,1,1,1,1,20081001D5214,HCPCS,Dentures mandibl part metal,,,27,,NW,,,,,,"$1,818.72 ",$0.00 ,1,0,1,1,1,1,20081001D5225,HCPCS,Maxillary part denture flex,,,27,,NW,,,,,,"$1,804.73 ",$0.00 ,1,0,1,1,1,1,20081001D5226,HCPCS,Mandibular part denture flex,,,27,,NW,,,,,,"$1,818.73 ",$0.00 ,1,0,1,1,1,1,20081001D5281,HCPCS,Removable partial denture,,,27,,NW,,,,,,"$1,021.54 ",$0.00 ,1,0,1,1,1,1,20081001D5410,HCPCS,Dentures adjust cmplt maxil,,,27,,NW,,,,,,$93.44 ,$0.00 ,1,0,1,1,1,1,20081001D5411,HCPCS,Dentures adjust cmplt mand,,,27,,NW,,,,,,$92.96 ,$0.00 ,1,0,1,1,1,1,20081001D5421,HCPCS,Dentures adjust part maxill,,,27,,NW,,,,,,$93.44 ,$0.00 ,1,0,1,1,1,1,20081001D5422,HCPCS,Dentures adjust part mandbl,,,27,,NW,,,,,,$93.44 ,$0.00 ,1,0,1,1,1,1,20081001D5510,HCPCS,Dentur repr broken compl bas,,,27,,NW,,,,,,$202.97 ,$0.00 ,1,0,1,1,1,1,20081001D5520,HCPCS,Replace denture teeth complt,,,27,,NW,,,,,,$172.87 ,$0.00 ,1,0,1,1,1,1,20081001D5610,HCPCS,Dentures repair resin base,,,27,,NW,,,,,,$203.85 ,$0.00 ,1,0,1,1,1,1,20081001D5620,HCPCS,Rep part denture cast frame,,,27,,NW,,,,,,$257.41 ,$0.00 ,1,0,1,1,1,1,20081001D5630,HCPCS,Rep partial denture clasp,,,27,,NW,,,,,,$262.94 ,$0.00 ,1,0,1,1,1,1,20081001D5640,HCPCS,Replace part denture teeth,,,27,,NW,,,,,,$182.00 ,$0.00 ,1,0,1,1,1,1,20081001D5650,HCPCS,Add tooth to partial denture,,,27,,NW,,,,,,$227.22 ,$0.00 ,1,0,1,1,1,1,20081001D5660,HCPCS,Add clasp to partial denture,,,27,,NW,,,,,,$272.82 ,$0.00 ,1,0,1,1,1,1,20081001D5670,HCPCS,Replc tth&acrlc on mtl frmwk,,,27,,NW,,,,,,$671.28 ,$0.00 ,1,0,1,1,1,1,20081001D5671,HCPCS,Replc tth&acrlc mandibular,,,27,,NW,,,,,,$705.65 ,$0.00 ,1,0,1,1,1,1,20081001D5710,HCPCS,Dentures rebase cmplt maxil,,,27,,NW,,,,,,$621.16 ,$0.00 ,1,0,1,1,1,1,20081001D5711,HCPCS,Dentures rebase cmplt mand,,,27,,NW,,,,,,$611.70 ,$0.00 ,1,0,1,1,1,1,20081001D5720,HCPCS,Dentures rebase part maxill,,,27,,NW,,,,,,$598.85 ,$0.00 ,1,0,1,1,1,1,20081001D5721,HCPCS,Dentures rebase part mandbl,,,27,,NW,,,,,,$604.31 ,$0.00 ,1,0,1,1,1,1,20081001D5730,HCPCS,Denture reln cmplt maxil ch,,,27,,NW,,,,,,$382.89 ,$0.00 ,1,0,1,1,1,1,20081001D5731,HCPCS,Denture reln cmplt mand chr,,,27,,NW,,,,,,$382.89 ,$0.00 ,1,0,1,1,1,1,20081001D5740,HCPCS,Denture reln part maxil chr,,,27,,NW,,,,,,$364.76 ,$0.00 ,1,0,1,1,1,1,20081001D5741,HCPCS,Denture reln part mand chr,,,27,,NW,,,,,,$364.72 ,$0.00 ,1,0,1,1,1,1,20081001D5750,HCPCS,Denture reln cmplt max lab,,,27,,NW,,,,,,$496.44 ,$0.00 ,1,0,1,1,1,1,20081001D5751,HCPCS,Denture reln cmplt mand lab,,,27,,NW,,,,,,$494.49 ,$0.00 ,1,0,1,1,1,1,20081001D5760,HCPCS,Denture reln part maxil lab,,,27,,NW,,,,,,$494.56 ,$0.00 ,1,0,1,1,1,1,20081001D5761,HCPCS,Denture reln part mand lab,,,27,,NW,,,,,,$494.56 ,$0.00 ,1,0,1,1,1,1,20081001D5810,HCPCS,Denture interm cmplt maxill,,,27,,NW,,,,,,$805.64 ,$0.00 ,1,0,1,1,1,1,20081001D5811,HCPCS,Denture interm cmplt mandbl,,,27,,NW,,,,,,$836.87 ,$0.00 ,1,0,1,1,1,1,20081001D5820,HCPCS,Denture interm part maxill,,,27,,NW,,,,,,$669.20 ,$0.00 ,1,0,1,1,1,1,20081001D5821,HCPCS,Denture interm part mandbl,,,27,,NW,,,,,,$687.44 ,$0.00 ,1,0,1,1,1,1,20081001D5850,HCPCS,Denture tiss conditn maxill,,,27,,NW,,,,,,$181.25 ,$0.00 ,1,0,1,1,1,1,20081001D5851,HCPCS,Denture tiss condtin mandbl,,,27,,NW,,,,,,$183.21 ,$0.00 ,1,0,1,1,1,1,20081001D5860,HCPCS,Overdenture complete,,,27,,NW,,,,,,"$2,532.99 ",$0.00 ,1,0,1,1,1,1,20081001D5861,HCPCS,Overdenture partial,,,27,,NW,,,,,,"$2,195.88 ",$0.00 ,1,0,1,1,1,1,20081001D5862,HCPCS,Precision attachment,,,27,,NW,,,,,,$682.45 ,$0.00 ,1,0,1,1,1,1,20081001D5867,HCPCS,Replacement of precision att,,,27,,NW,,,,,,$252.87 ,$0.00 ,1,0,1,1,1,1,20081001D5875,HCPCS,Prosthesis modification,,,27,,NW,,,,,,$487.33 ,$0.00 ,1,0,1,1,1,1,20081001D5899,HCPCS,Removable prosthodontic proc,,,27,,NW,,,,,,"$1,479.12 ",$0.00 ,1,0,1,1,1,1,20081001D5911,HCPCS,Facial moulage sectional,,,27,,NW,,,,,,$789.91 ,$0.00 ,1,0,1,1,1,1,20081001D5912,HCPCS,Facial moulage complete,,,27,,NW,,,,,,$789.91 ,$0.00 ,1,0,1,1,1,1,20081001D5913,HCPCS,Nasal prosthesis,,,27,,NW,,,,,,"$4,754.30 ",$0.00 ,1,0,1,1,1,1,20081001D5914,HCPCS,Auricular prosthesis,,,27,,NW,,,,,,"$4,754.30 ",$0.00 ,1,0,1,1,1,1,20081001D5915,HCPCS,Orbital prosthesis,,,27,,NW,,,,,,"$6,224.59 ",$0.00 ,1,0,1,1,1,1,20081001D5916,HCPCS,Ocular prosthesis,,,27,,NW,,,,,,"$2,094.53 ",$0.00 ,1,0,1,1,1,1,20081001D5919,HCPCS,Facial prosthesis,,,27,,NW,,,,,,"$1,184.48 ",$0.00 ,1,0,1,1,1,1,20081001D5922,HCPCS,Nasal septal prosthesis,,,27,,NW,,,,,,"$1,184.48 ",$0.00 ,1,0,1,1,1,1,20081001D5923,HCPCS,Ocular prosthesis interim,,,27,,NW,,,,,,"$1,184.48 ",$0.00 ,1,0,1,1,1,1,20081001D5924,HCPCS,Cranial prosthesis,,,27,,NW,,,,,,"$1,377.47 ",$0.00 ,1,0,1,1,1,1,20081001D5925,HCPCS,Facial augmentation implant,,,27,,NW,,,,,,$290.25 ,$0.00 ,1,0,1,1,1,1,20081001D5926,HCPCS,Replacement nasal prosthesis,,,27,,NW,,,,,,"$1,184.48 ",$0.00 ,1,0,1,1,1,1,20081001D5927,HCPCS,Auricular replacement,,,27,,NW,,,,,,"$1,184.48 ",$0.00 ,1,0,1,1,1,1,20081001D5928,HCPCS,Orbital replacement,,,27,,NW,,,,,,"$1,184.48 ",$0.00 ,1,0,1,1,1,1,20081001D5929,HCPCS,Facial replacement,,,27,,NW,,,,,,"$1,184.48 ",$0.00 ,1,0,1,1,1,1,20081001D5931,HCPCS,Surgical obturator,,,27,,NW,,,,,,"$2,833.26 ",$0.00 ,1,0,1,1,1,1,20081001D5932,HCPCS,Postsurgical obturator,,,27,,NW,,,,,,"$4,783.45 ",$0.00 ,1,0,1,1,1,1,20081001D5933,HCPCS,Refitting of obturator,,,27,,NW,,,,,,"$1,184.48 ",$0.00 ,1,0,1,1,1,1,20081001D5934,HCPCS,Mandibular flange prosthesis,,,27,,NW,,,,,,"$4,412.33 ",$0.00 ,1,0,1,1,1,1,20081001D5935,HCPCS,Mandibular denture prosth,,,27,,NW,,,,,,"$3,916.06 ",$0.00 ,1,0,1,1,1,1,20081001D5936,HCPCS,Temp obturator prosthesis,,,27,,NW,,,,,,"$4,325.59 ",$0.00 ,1,0,1,1,1,1,20081001D5937,HCPCS,Trismus appliance,,,27,,NW,,,,,,$783.33 ,$0.00 ,1,0,1,1,1,1,20081001D5951,HCPCS,Feeding aid,,,27,,NW,,,,,,"$1,202.26 ",$0.00 ,1,0,1,1,1,1,20081001D5952,HCPCS,Pediatric speech aid,,,27,,NW,,,,,,"$2,573.02 ",$0.00 ,1,0,1,1,1,1,20081001D5953,HCPCS,Adult speech aid,,,27,,NW,,,,,,"$4,354.05 ",$0.00 ,1,0,1,1,1,1,20081001D5954,HCPCS,Superimposed prosthesis,,,27,,NW,,,,,,"$4,078.16 ",$0.00 ,1,0,1,1,1,1,20081001D5955,HCPCS,Palatal lift prosthesis,,,27,,NW,,,,,,"$3,816.53 ",$0.00 ,1,0,1,1,1,1,20081001D5958,HCPCS,Intraoral con def inter plt,,,27,,NW,,,,,,"$1,184.48 ",$0.00 ,1,0,1,1,1,1,20081001D5959,HCPCS,Intraoral con def mod palat,,,27,,NW,,,,,,"$1,184.48 ",$0.00 ,1,0,1,1,1,1,20081001D5960,HCPCS,Modify speech aid prosthesis,,,27,,NW,,,,,,$427.24 ,$0.00 ,1,0,1,1,1,1,20081001D5982,HCPCS,Surgical stent,,,27,,NW,,,,,,$589.99 ,$0.00 ,1,0,1,1,1,1,20081001D5983,HCPCS,Radiation applicator,,,27,,NW,,,,,,"$1,530.74 ",$0.00 ,1,0,1,1,1,1,20081001D5984,HCPCS,Radiation shield,,,27,,NW,,,,,,"$1,530.74 ",$0.00 ,1,0,1,1,1,1,20081001D5985,HCPCS,Radiation cone locator,,,27,,NW,,,,,,"$1,530.74 ",$0.00 ,1,0,1,1,1,1,20081001D5986,HCPCS,Fluoride applicator,,,27,,NW,,,,,,$202.04 ,$0.00 ,1,0,1,1,1,1,20081001D5987,HCPCS,Commissure splint,,,27,,NW,,,,,,"$2,000.69 ",$0.00 ,1,0,1,1,1,1,20081001D5988,HCPCS,Surgical splint,,,27,,NW,,,,,,$780.40 ,$0.00 ,1,0,1,1,1,1,20081001D5999,HCPCS,Maxillofacial prosthesis,,,27,,NW,,,,,,"$1,184.48 ",$0.00 ,1,0,1,1,1,1,20081001D6010,HCPCS,Odontics endosteal implant,,,27,,NW,,,,,,"$2,493.25 ",$0.00 ,1,0,1,1,1,1,20081001D6040,HCPCS,Odontics eposteal implant,,,27,,NW,,,,,,"$10,811.96 ",$0.00 ,1,0,1,1,1,1,20081001D6050,HCPCS,Odontics transosteal implnt,,,27,,NW,,,,,,"$7,001.06 ",$0.00 ,1,0,1,1,1,1,20081001D6053,HCPCS,Implnt/abtmnt spprt remv dnt,,,27,,NW,,,,,,"$2,506.06 ",$0.00 ,1,0,1,1,1,1,20081001D6054,HCPCS,Implnt/abtmnt spprt remvprtl,,,27,,NW,,,,,,"$2,296.52 ",$0.00 ,1,0,1,1,1,1,20081001D6055,HCPCS,Implant connecting bar,,,27,,NW,,,,,,$846.24 ,$0.00 ,1,0,1,1,1,1,20081001D6056,HCPCS,Prefabricated abutment,,,27,,NW,,,,,,$843.52 ,$0.00 ,1,0,1,1,1,1,20081001D6057,HCPCS,Custom abutment,,,27,,NW,,,,,,"$1,094.25 ",$0.00 ,1,0,1,1,1,1,20081001D6058,HCPCS,Abutment supported crown,,,27,,NW,,,,,,"$1,628.30 ",$0.00 ,1,0,1,1,1,1,20081001D6059,HCPCS,Abutment supported mtl crown,,,27,,NW,,,,,,"$1,642.98 ",$0.00 ,1,0,1,1,1,1,20081001D6060,HCPCS,Abutment supported mtl crown,,,27,,NW,,,,,,"$1,446.67 ",$0.00 ,1,0,1,1,1,1,20081001D6061,HCPCS,Abutment supported mtl crown,,,27,,NW,,,,,,"$1,545.89 ",$0.00 ,1,0,1,1,1,1,20081001D6062,HCPCS,Abutment supported mtl crown,,,27,,NW,,,,,,"$1,578.48 ",$0.00 ,1,0,1,1,1,1,20081001D6063,HCPCS,Abutment supported mtl crown,,,27,,NW,,,,,,"$1,569.13 ",$0.00 ,1,0,1,1,1,1,20081001D6064,HCPCS,Abutment supported mtl crown,,,27,,NW,,,,,,"$1,588.99 ",$0.00 ,1,0,1,1,1,1,20081001D6065,HCPCS,Implant supported crown,,,27,,NW,,,,,,"$1,736.93 ",$0.00 ,1,0,1,1,1,1,20081001D6066,HCPCS,Implant supported mtl crown,,,27,,NW,,,,,,"$1,703.16 ",$0.00 ,1,0,1,1,1,1,20081001D6067,HCPCS,Implant supported mtl crown,,,27,,NW,,,,,,"$1,640.61 ",$0.00 ,1,0,1,1,1,1,20081001D6068,HCPCS,Abutment supported retainer,,,27,,NW,,,,,,"$1,574.33 ",$0.00 ,1,0,1,1,1,1,20081001D6069,HCPCS,Abutment supported retainer,,,27,,NW,,,,,,"$1,596.39 ",$0.00 ,1,0,1,1,1,1,20081001D6070,HCPCS,Abutment supported retainer,,,27,,NW,,,,,,"$1,275.45 ",$0.00 ,1,0,1,1,1,1,20081001D6071,HCPCS,Abutment supported retainer,,,27,,NW,,,,,,"$1,607.12 ",$0.00 ,1,0,1,1,1,1,20081001D6072,HCPCS,Abutment supported retainer,,,27,,NW,,,,,,"$1,645.02 ",$0.00 ,1,0,1,1,1,1,20081001D6073,HCPCS,Abutment supported retainer,,,27,,NW,,,,,,"$1,443.80 ",$0.00 ,1,0,1,1,1,1,20081001D6074,HCPCS,Abutment supported retainer,,,27,,NW,,,,,,"$1,486.31 ",$0.00 ,1,0,1,1,1,1,20081001D6075,HCPCS,Implant supported retainer,,,27,,NW,,,,,,"$1,736.17 ",$0.00 ,1,0,1,1,1,1,20081001D6076,HCPCS,Implant supported retainer,,,27,,NW,,,,,,"$1,626.10 ",$0.00 ,1,0,1,1,1,1,20081001D6077,HCPCS,Implant supported retainer,,,27,,NW,,,,,,"$1,688.64 ",$0.00 ,1,0,1,1,1,1,20081001D6078,HCPCS,Implnt/abut suprtd fixd dent,,,27,,NW,,,,,,"$6,234.31 ",$0.00 ,1,0,1,1,1,1,20081001D6079,HCPCS,Implnt/abut suprtd fixd dent,,,27,,NW,,,,,,"$2,995.44 ",$0.00 ,1,0,1,1,1,1,20081001D6080,HCPCS,Implant maintenance,,,27,,NW,,,,,,$138.99 ,$0.00 ,1,0,1,1,1,1,20081001D6090,HCPCS,Repair implant,,,27,,NW,,,,,,$598.52 ,$0.00 ,1,0,1,1,1,1,20081001D6094,HCPCS,Abut support crown titanium,,,27,,NW,,,,,,"$1,578.48 ",$0.00 ,1,0,1,1,1,1,20081001D6095,HCPCS,Odontics repr abutment,,,27,,NW,,,,,,$664.20 ,$0.00 ,1,0,1,1,1,1,20081001D6100,HCPCS,Removal of implant,,,27,,NW,,,,,,$801.25 ,$0.00 ,1,0,1,1,1,1,20081001D6190,HCPCS,Radio/surgical implant index,,,27,,NW,,,,,,$144.30 ,$0.00 ,1,0,1,1,1,1,20081001D6194,HCPCS,Abut support retainer titani,,,27,,NW,,,,,,"$1,645.02 ",$0.00 ,1,0,1,1,1,1,20081001D6199,HCPCS,Implant procedure,,,27,,NW,,,,,,"$1,608.79 ",$0.00 ,1,0,1,1,1,1,20081001D6205,HCPCS,Pontic-indirect resin based,,,27,,NW,,,,,,"$1,110.93 ",$0.00 ,1,0,1,1,1,1,20081001D6210,HCPCS,Prosthodont high noble metal,,,27,,NW,,,,,,"$1,175.43 ",$0.00 ,1,0,1,1,1,1,20081001D6211,HCPCS,Bridge base metal cast,,,27,,NW,,,,,,"$1,081.08 ",$0.00 ,1,0,1,1,1,1,20081001D6212,HCPCS,Bridge noble metal cast,,,27,,NW,,,,,,"$1,120.62 ",$0.00 ,1,0,1,1,1,1,20081001D6214,HCPCS,Pontic titanium,,,27,,NW,,,,,,"$1,120.66 ",$0.00 ,1,0,1,1,1,1,20081001D6240,HCPCS,Bridge porcelain high noble,,,27,,NW,,,,,,"$1,193.36 ",$0.00 ,1,0,1,1,1,1,20081001D6241,HCPCS,Bridge porcelain base metal,,,27,,NW,,,,,,"$1,079.58 ",$0.00 ,1,0,1,1,1,1,20081001D6242,HCPCS,Bridge porcelain nobel metal,,,27,,NW,,,,,,"$1,140.28 ",$0.00 ,1,0,1,1,1,1,20081001D6245,HCPCS,Bridge porcelain/ceramic,,,27,,NW,,,,,,"$1,212.43 ",$0.00 ,1,0,1,1,1,1,20081001D6250,HCPCS,Bridge resin w/high noble,,,27,,NW,,,,,,"$1,173.35 ",$0.00 ,1,0,1,1,1,1,20081001D6251,HCPCS,Bridge resin base metal,,,27,,NW,,,,,,"$1,076.34 ",$0.00 ,1,0,1,1,1,1,20081001D6252,HCPCS,Bridge resin w/noble metal,,,27,,NW,,,,,,"$1,110.96 ",$0.00 ,1,0,1,1,1,1,20081001D6253,HCPCS,Provisional pontic,,,27,,NW,,,,,,$435.28 ,$0.00 ,1,0,1,1,1,1,20081001D6545,HCPCS,Dental retainr cast metl,,,27,,NW,,,,,,$640.38 ,$0.00 ,1,0,1,1,1,1,20081001D6548,HCPCS,Porcelain/ceramic retainer,,,27,,NW,,,,,,$782.99 ,$0.00 ,1,0,1,1,1,1,20081001D6600,HCPCS,Porcelain/ceramic inlay 2srf,,,27,,NW,,,,,,"$1,034.11 ",$0.00 ,1,0,1,1,1,1,20081001D6601,HCPCS,Porc/ceram inlay >= 3 surfac,,,27,,NW,,,,,,"$1,123.51 ",$0.00 ,1,0,1,1,1,1,20081001D6602,HCPCS,Cst hgh nble mtl inlay 2 srf,,,27,,NW,,,,,,"$1,085.44 ",$0.00 ,1,0,1,1,1,1,20081001D6603,HCPCS,Cst hgh nble mtl inlay >=3sr,,,27,,NW,,,,,,"$1,139.35 ",$0.00 ,1,0,1,1,1,1,20081001D6604,HCPCS,Cst bse mtl inlay 2 surfaces,,,27,,NW,,,,,,"$1,063.46 ",$0.00 ,1,0,1,1,1,1,20081001D6605,HCPCS,Cst bse mtl inlay >= 3 surfa,,,27,,NW,,,,,,"$1,273.26 ",$0.00 ,1,0,1,1,1,1,20081001D6606,HCPCS,Cast noble metal inlay 2 sur,,,27,,NW,,,,,,"$1,024.35 ",$0.00 ,1,0,1,1,1,1,20081001D6607,HCPCS,Cst noble mtl inlay >=3 surf,,,27,,NW,,,,,,"$1,287.19 ",$0.00 ,1,0,1,1,1,1,20081001D6608,HCPCS,Onlay porc/crmc 2 surfaces,,,27,,NW,,,,,,"$1,101.70 ",$0.00 ,1,0,1,1,1,1,20081001D6609,HCPCS,Onlay porc/crmc >=3 surfaces,,,27,,NW,,,,,,"$1,254.07 ",$0.00 ,1,0,1,1,1,1,20081001D6610,HCPCS,Onlay cst hgh nbl mtl 2 srfc,,,27,,NW,,,,,,"$1,164.46 ",$0.00 ,1,0,1,1,1,1,20081001D6611,HCPCS,Onlay cst hgh nbl mtl >=3srf,,,27,,NW,,,,,,"$1,304.98 ",$0.00 ,1,0,1,1,1,1,20081001D6612,HCPCS,Onlay cst base mtl 2 surface,,,27,,NW,,,,,,"$1,258.79 ",$0.00 ,1,0,1,1,1,1,20081001D6613,HCPCS,Onlay cst base mtl >=3 surfa,,,27,,NW,,,,,,"$1,360.74 ",$0.00 ,1,0,1,1,1,1,20081001D6614,HCPCS,Onlay cst nbl mtl 2 surfaces,,,27,,NW,,,,,,"$1,290.48 ",$0.00 ,1,0,1,1,1,1,20081001D6615,HCPCS,Onlay cst nbl mtl >=3 surfac,,,27,,NW,,,,,,"$1,381.27 ",$0.00 ,1,0,1,1,1,1,20081001D6624,HCPCS,Inlay titanium,,,27,,NW,,,,,,"$1,085.44 ",$0.00 ,1,0,1,1,1,1,20081001D6634,HCPCS,Onlay titanium,,,27,,NW,,,,,,"$1,164.46 ",$0.00 ,1,0,1,1,1,1,20081001D6710,HCPCS,Crown-indirect resin based,,,27,,NW,,,,,,$668.00 ,$0.00 ,1,0,1,1,1,1,20081001D6720,HCPCS,Retain crown resin w hi nble,,,27,,NW,,,,,,"$1,219.40 ",$0.00 ,1,0,1,1,1,1,20081001D6721,HCPCS,Crown resin w/base metal,,,27,,NW,,,,,,"$1,104.72 ",$0.00 ,1,0,1,1,1,1,20081001D6722,HCPCS,Crown resin w/noble metal,,,27,,NW,,,,,,"$1,201.20 ",$0.00 ,1,0,1,1,1,1,20081001D6740,HCPCS,Crown porcelain/ceramic,,,27,,NW,,,,,,"$1,286.21 ",$0.00 ,1,0,1,1,1,1,20081001D6750,HCPCS,Crown porcelain high noble,,,27,,NW,,,,,,"$1,246.78 ",$0.00 ,1,0,1,1,1,1,20081001D6751,HCPCS,Crown porcelain base metal,,,27,,NW,,,,,,"$1,131.14 ",$0.00 ,1,0,1,1,1,1,20081001D6752,HCPCS,Crown porcelain noble metal,,,27,,NW,,,,,,"$1,187.82 ",$0.00 ,1,0,1,1,1,1,20081001D6780,HCPCS,Crown 3/4 high noble metal,,,27,,NW,,,,,,"$1,209.11 ",$0.00 ,1,0,1,1,1,1,20081001D6781,HCPCS,Crown 3/4 cast based metal,,,27,,NW,,,,,,"$1,170.12 ",$0.00 ,1,0,1,1,1,1,20081001D6782,HCPCS,Crown 3/4 cast noble metal,,,27,,NW,,,,,,"$1,120.50 ",$0.00 ,1,0,1,1,1,1,20081001D6783,HCPCS,Crown 3/4 porcelain/ceramic,,,27,,NW,,,,,,"$1,233.47 ",$0.00 ,1,0,1,1,1,1,20081001D6790,HCPCS,Crown full high noble metal,,,27,,NW,,,,,,"$1,209.14 ",$0.00 ,1,0,1,1,1,1,20081001D6791,HCPCS,Crown full base metal cast,,,27,,NW,,,,,,"$1,128.06 ",$0.00 ,1,0,1,1,1,1,20081001D6792,HCPCS,Crown full noble metal cast,,,27,,NW,,,,,,"$1,171.71 ",$0.00 ,1,0,1,1,1,1,20081001D6793,HCPCS,Provisional retainer crown,,,27,,NW,,,,,,$464.37 ,$0.00 ,1,0,1,1,1,1,20081001D6794,HCPCS,Crown titanium,,,27,,NW,,,,,,"$1,171.68 ",$0.00 ,1,0,1,1,1,1,20081001D6920,HCPCS,Dental connector bar,,,27,,NW,,,,,,$216.48 ,$0.00 ,1,0,1,1,1,1,20081001D6930,HCPCS,Dental recement bridge,,,27,,NW,,,,,,$163.81 ,$0.00 ,1,0,1,1,1,1,20081001D6940,HCPCS,Stress breaker,,,27,,NW,,,,,,$393.10 ,$0.00 ,1,0,1,1,1,1,20081001D6950,HCPCS,Precision attachment,,,27,,NW,,,,,,$685.08 ,$0.00 ,1,0,1,1,1,1,20081001D6970,HCPCS,Post & core plus retainer,,,27,,NW,,,,,,$456.28 ,$0.00 ,1,0,1,1,1,1,20081001D6972,HCPCS,Prefab post & core plus reta,,,27,,NW,,,,,,$355.83 ,$0.00 ,1,0,1,1,1,1,20081001D6973,HCPCS,Core build up for retainer,,,27,,NW,,,,,,$287.03 ,$0.00 ,1,0,1,1,1,1,20081001D6975,HCPCS,Coping metal,,,27,,NW,,,,,,$791.61 ,$0.00 ,1,0,1,1,1,1,20081001D6976,HCPCS,Each addtnl cast post,,,27,,NW,,,,,,$239.41 ,$0.00 ,1,0,1,1,1,1,20081001D6977,HCPCS,Each addtl prefab post,,,27,,NW,,,,,,$174.46 ,$0.00 ,1,0,1,1,1,1,20081001D6980,HCPCS,Bridge repair,,,27,,NW,,,,,,$390.36 ,$0.00 ,1,0,1,1,1,1,20081001D6985,HCPCS,Pediatric partial denture fx,,,27,,NW,,,,,,$825.85 ,$0.00 ,1,0,1,1,1,1,20081001D6999,HCPCS,Fixed prosthodontic proc,,,27,,NW,,,,,,"$1,479.12 ",$0.00 ,1,0,1,1,1,1,20081001D7111,HCPCS,Coronal remnants deciduous t,,,26,,NW,,,,,,$141.51 ,$0.00 ,1,0,1,1,1,1,20081001D7140,HCPCS,Extraction erupted tooth/exr,,,26,,NW,,,,,,$166.86 ,$0.00 ,1,0,1,1,1,1,20081001D7210,HCPCS,Rem imp tooth w mucoper flp,,,26,,NW,,,,,,$295.23 ,$0.00 ,1,0,1,1,1,1,20081001D7220,HCPCS,Impact tooth remov soft tiss,,,26,,NW,,,,,,$355.46 ,$0.00 ,1,0,1,1,1,1,20081001D7230,HCPCS,Impact tooth remov part bony,,,26,,NW,,,,,,$458.57 ,$0.00 ,1,0,1,1,1,1,20081001D7240,HCPCS,Impact tooth remov comp bony,,,26,,NW,,,,,,$544.74 ,$0.00 ,1,0,1,1,1,1,20081001D7241,HCPCS,Impact tooth rem bony w/comp,,,26,,NW,,,,,,$656.06 ,$0.00 ,1,0,1,1,1,1,20081001D7250,HCPCS,Tooth root removal,,,26,,NW,,,,,,$324.16 ,$0.00 ,1,0,1,1,1,1,20081001D7260,HCPCS,Oral antral fistula closure,,,26,,NW,,,,,,"$2,388.37 ",$0.00 ,1,0,1,1,1,1,20081001D7261,HCPCS,Primary closure sinus perf,,,26,,NW,,,,,,$811.18 ,$0.00 ,1,0,1,1,1,1,20081001D7270,HCPCS,Tooth reimplantation,,,26,,NW,,,,,,$583.31 ,$0.00 ,1,0,1,1,1,1,20081001D7272,HCPCS,Tooth transplantation,,,26,,NW,,,,,,$778.76 ,$0.00 ,1,0,1,1,1,1,20081001D7280,HCPCS,Exposure impact tooth orthod,,,26,,NW,,,,,,$641.30 ,$0.00 ,1,0,1,1,1,1,20081001D7282,HCPCS,Mobilize erupted/malpos toot,,,26,,NW,,,,,,$231.72 ,$0.00 ,1,0,1,1,1,1,20081001D7283,HCPCS,Place device impacted tooth,,,26,,NW,,,,,,$231.72 ,$0.00 ,1,0,1,1,1,1,20081001D7285,HCPCS,Biopsy of oral tissue hard,,,26,,NW,,,,,,$770.44 ,$0.00 ,1,0,1,1,1,1,20081001D7286,HCPCS,Biopsy of oral tissue soft,,,26,,NW,,,,,,$408.74 ,$0.00 ,1,0,1,1,1,1,20081001D7287,HCPCS,Cytology sample collection,,,26,,NW,,,,,,$162.13 ,$0.00 ,1,0,1,1,1,1,20081001D7288,HCPCS,Brush biopsy,,,26,,NW,,,,,,$450.94 ,$0.00 ,1,0,1,1,1,1,20081001D7290,HCPCS,Repositioning of teeth,,,26,,NW,,,,,,$533.62 ,$0.00 ,1,0,1,1,1,1,20081001D7291,HCPCS,Transseptal fiberotomy,,,26,,NW,,,,,,$237.97 ,$0.00 ,1,0,1,1,1,1,20081001D7310,HCPCS,Alveoplasty w/ extraction,,,26,,NW,,,,,,$313.96 ,$0.00 ,1,0,1,1,1,1,20081001D7311,HCPCS,Alveoloplasty w/extract 1-3,,,26,,NW,,,,,,"$1,014.62 ",$0.00 ,1,0,1,1,1,1,20081001D7320,HCPCS,Alveoplasty w/o extraction,,,26,,NW,,,,,,$534.31 ,$0.00 ,1,0,1,1,1,1,20081001D7321,HCPCS,Alveoloplasty not w/extracts,,,26,,NW,,,,,,"$1,014.62 ",$0.00 ,1,0,1,1,1,1,20081001D7340,HCPCS,Vestibuloplasty ridge extens,,,26,,NW,,,,,,"$1,821.42 ",$0.00 ,1,0,1,1,1,1,20081001D7350,HCPCS,Vestibuloplasty exten graft,,,26,,NW,,,,,,"$2,842.01 ",$0.00 ,1,0,1,1,1,1,20081001D7410,HCPCS,Rad exc lesion up to 1.25 cm,,,26,,NW,,,,,,$683.47 ,$0.00 ,1,0,1,1,1,1,20081001D7411,HCPCS,Excision benign lesion>1.25c,,,26,,NW,,,,,,$738.93 ,$0.00 ,1,0,1,1,1,1,20081001D7412,HCPCS,Excision benign lesion compl,,,26,,NW,,,,,,$881.54 ,$0.00 ,1,0,1,1,1,1,20081001D7413,HCPCS,Excision malig lesion<=1.25c,,,26,,NW,,,,,,"$1,185.11 ",$0.00 ,1,0,1,1,1,1,20081001D7414,HCPCS,Excision malig lesion>1.25cm,,,26,,NW,,,,,,"$1,526.68 ",$0.00 ,1,0,1,1,1,1,20081001D7415,HCPCS,Excision malig les complicat,,,26,,NW,,,,,,"$1,656.33 ",$0.00 ,1,0,1,1,1,1,20081001D7440,HCPCS,Malig tumor exc to 1.25 cm,,,26,,NW,,,,,,$818.88 ,$0.00 ,1,0,1,1,1,1,20081001D7441,HCPCS,Malig tumor > 1.25 cm,,,26,,NW,,,,,,"$1,207.20 ",$0.00 ,1,0,1,1,1,1,20081001D7450,HCPCS,Rem odontogen cyst to 1.25cm,,,26,,NW,,,,,,$747.53 ,$0.00 ,1,0,1,1,1,1,20081001D7451,HCPCS,Rem odontogen cyst > 1.25 cm,,,26,,NW,,,,,,"$1,194.87 ",$0.00 ,1,0,1,1,1,1,20081001D7460,HCPCS,Rem nonodonto cyst to 1.25cm,,,26,,NW,,,,,,$732.10 ,$0.00 ,1,0,1,1,1,1,20081001D7461,HCPCS,Rem nonodonto cyst > 1.25 cm,,,26,,NW,,,,,,"$1,215.33 ",$0.00 ,1,0,1,1,1,1,20081001D7465,HCPCS,Lesion destruction,,,26,,NW,,,,,,$457.85 ,$0.00 ,1,0,1,1,1,1,20081001D7471,HCPCS,Rem exostosis any site,,,26,,NW,,,,,,$856.54 ,$0.00 ,1,0,1,1,1,1,20081001D7472,HCPCS,Removal of torus palatinus,,,26,,NW,,,,,,"$1,024.05 ",$0.00 ,1,0,1,1,1,1,20081001D7473,HCPCS,Remove torus mandibularis,,,26,,NW,,,,,,$963.59 ,$0.00 ,1,0,1,1,1,1,20081001D7485,HCPCS,Surg reduct osseoustuberosit,,,26,,NW,,,,,,$845.28 ,$0.00 ,1,0,1,1,1,1,20081001D7490,HCPCS,Mandible resection,,,26,,NW,,,,,,"$9,127.49 ",$0.00 ,1,0,1,1,1,1,20081001D7510,HCPCS,I&d absc intraoral soft tiss,,,26,,NW,,,,,,$273.16 ,$0.00 ,1,0,1,1,1,1,20081001D7511,HCPCS,Incision/drain abscess intra,,,26,,NW,,,,,,$459.62 ,$0.00 ,1,0,1,1,1,1,20081001D7520,HCPCS,I&d abscess extraoral,,,26,,NW,,,,,,"$1,243.78 ",$0.00 ,1,0,1,1,1,1,20081001D7521,HCPCS,Incision/drain abscess extra,,,26,,NW,,,,,,"$1,384.05 ",$0.00 ,1,0,1,1,1,1,20081001D7530,HCPCS,Removal fb skin/areolar tiss,,,26,,NW,,,,,,$425.30 ,$0.00 ,1,0,1,1,1,1,20081001D7540,HCPCS,Removal of fb reaction,,,26,,NW,,,,,,$619.22 ,$0.00 ,1,0,1,1,1,1,20081001D7550,HCPCS,Removal of sloughed off bone,,,26,,NW,,,,,,$444.49 ,$0.00 ,1,0,1,1,1,1,20081001D7560,HCPCS,Maxillary sinusotomy,,,26,,NW,,,,,,"$2,113.69 ",$0.00 ,1,0,1,1,1,1,20081001D7610,HCPCS,Maxilla open reduct simple,,,26,,NW,,,,,,"$4,776.35 ",$0.00 ,1,0,1,1,1,1,20081001D7620,HCPCS,Clsd reduct simpl maxilla fx,,,26,,NW,,,,,,"$3,281.72 ",$0.00 ,1,0,1,1,1,1,20081001D7630,HCPCS,Open red simpl mandible fx,,,26,,NW,,,,,,"$5,777.18 ",$0.00 ,1,0,1,1,1,1,20081001D7640,HCPCS,Clsd red simpl mandible fx,,,26,,NW,,,,,,"$3,738.79 ",$0.00 ,1,0,1,1,1,1,20081001D7650,HCPCS,Open red simp malar/zygom fx,,,26,,NW,,,,,,"$2,934.10 ",$0.00 ,1,0,1,1,1,1,20081001D7660,HCPCS,Clsd red simp malar/zygom fx,,,26,,NW,,,,,,"$1,623.53 ",$0.00 ,1,0,1,1,1,1,20081001D7670,HCPCS,Closd rductn splint alveolus,,,26,,NW,,,,,,"$1,503.29 ",$0.00 ,1,0,1,1,1,1,20081001D7671,HCPCS,Alveolus open reduction,,,26,,NW,,,,,,"$1,162.72 ",$0.00 ,1,0,1,1,1,1,20081001D7680,HCPCS,Reduct simple facial bone fx,,,26,,NW,,,,,,"$8,058.57 ",$0.00 ,1,0,1,1,1,1,20081001D7710,HCPCS,Maxilla open reduct compound,,,26,,NW,,,,,,"$5,182.38 ",$0.00 ,1,0,1,1,1,1,20081001D7720,HCPCS,Clsd reduct compd maxilla fx,,,26,,NW,,,,,,"$3,014.64 ",$0.00 ,1,0,1,1,1,1,20081001D7730,HCPCS,Open reduct compd mandble fx,,,26,,NW,,,,,,"$6,630.99 ",$0.00 ,1,0,1,1,1,1,20081001D7740,HCPCS,Clsd reduct compd mandble fx,,,26,,NW,,,,,,"$3,919.07 ",$0.00 ,1,0,1,1,1,1,20081001D7750,HCPCS,Open red comp malar/zygma fx,,,26,,NW,,,,,,"$4,779.30 ",$0.00 ,1,0,1,1,1,1,20081001D7760,HCPCS,Clsd red comp malar/zygma fx,,,26,,NW,,,,,,"$1,765.76 ",$0.00 ,1,0,1,1,1,1,20081001D7770,HCPCS,Open reduc compd alveolus fx,,,26,,NW,,,,,,"$2,529.82 ",$0.00 ,1,0,1,1,1,1,20081001D7771,HCPCS,Alveolus clsd reduc stblz te,,,26,,NW,,,,,,"$1,790.43 ",$0.00 ,1,0,1,1,1,1,20081001D7780,HCPCS,Reduct compnd facial bone fx,,,26,,NW,,,,,,"$11,014.70 ",$0.00 ,1,0,1,1,1,1,20081001D7810,HCPCS,Tmj open reduct-dislocation,,,26,,NW,,,,,,"$4,923.40 ",$0.00 ,1,0,1,1,1,1,20081001D7820,HCPCS,Closed tmp manipulation,,,26,,NW,,,,,,$739.52 ,$0.00 ,1,0,1,1,1,1,20081001D7830,HCPCS,Tmj manipulation under anest,,,26,,NW,,,,,,$614.58 ,$0.00 ,1,0,1,1,1,1,20081001D7840,HCPCS,Removal of tmj condyle,,,26,,NW,,,,,,"$6,504.52 ",$0.00 ,1,0,1,1,1,1,20081001D7850,HCPCS,Tmj meniscectomy,,,26,,NW,,,,,,"$6,073.92 ",$0.00 ,1,0,1,1,1,1,20081001D7852,HCPCS,Tmj repair of joint disc,,,26,,NW,,,,,,"$6,595.19 ",$0.00 ,1,0,1,1,1,1,20081001D7854,HCPCS,Tmj excisn of joint membrane,,,26,,NW,,,,,,"$6,717.13 ",$0.00 ,1,0,1,1,1,1,20081001D7856,HCPCS,Tmj cutting of a muscle,,,26,,NW,,,,,,"$4,480.34 ",$0.00 ,1,0,1,1,1,1,20081001D7858,HCPCS,Tmj reconstruction,,,26,,NW,,,,,,"$8,002.65 ",$0.00 ,1,0,1,1,1,1,20081001D7860,HCPCS,Tmj cutting into joint,,,26,,NW,,,,,,"$3,847.59 ",$0.00 ,1,0,1,1,1,1,20081001D7865,HCPCS,Tmj reshaping components,,,26,,NW,,,,,,"$5,735.03 ",$0.00 ,1,0,1,1,1,1,20081001D7870,HCPCS,Tmj aspiration joint fluid,,,26,,NW,,,,,,$378.79 ,$0.00 ,1,0,1,1,1,1,20081001D7871,HCPCS,Lysis + lavage w catheters,,,26,,NW,,,,,,"$1,089.68 ",$0.00 ,1,0,1,1,1,1,20081001D7872,HCPCS,Tmj diagnostic arthroscopy,,,26,,NW,,,,,,"$2,515.46 ",$0.00 ,1,0,1,1,1,1,20081001D7873,HCPCS,Tmj arthroscopy lysis adhesn,,,26,,NW,,,,,,"$2,873.48 ",$0.00 ,1,0,1,1,1,1,20081001D7874,HCPCS,Tmj arthroscopy disc reposit,,,26,,NW,,,,,,"$3,791.13 ",$0.00 ,1,0,1,1,1,1,20081001D7875,HCPCS,Tmj arthroscopy synovectomy,,,26,,NW,,,,,,"$4,080.57 ",$0.00 ,1,0,1,1,1,1,20081001D7876,HCPCS,Tmj arthroscopy discectomy,,,26,,NW,,,,,,"$4,339.98 ",$0.00 ,1,0,1,1,1,1,20081001D7877,HCPCS,Tmj arthroscopy debridement,,,26,,NW,,,,,,"$3,919.77 ",$0.00 ,1,0,1,1,1,1,20081001D7880,HCPCS,Occlusal orthotic appliance,,,26,,NW,,,,,,$954.32 ,$0.00 ,1,0,1,1,1,1,20081001D7899,HCPCS,Tmj unspecified therapy,,,26,,NW,,,,,,"$1,521.86 ",$0.00 ,1,0,1,1,1,1,20081001D7910,HCPCS,Dent sutur recent wnd to 5cm,,,26,,NW,,,,,,$361.74 ,$0.00 ,1,0,1,1,1,1,20081001D7911,HCPCS,Dental suture wound to 5 cm,,,26,,NW,,,,,,$787.27 ,$0.00 ,1,0,1,1,1,1,20081001D7912,HCPCS,Suture complicate wnd > 5 cm,,,26,,NW,,,,,,"$1,488.73 ",$0.00 ,1,0,1,1,1,1,20081001D7920,HCPCS,Dental skin graft,,,26,,NW,,,,,,"$3,071.00 ",$0.00 ,1,0,1,1,1,1,20081001D7940,HCPCS,Reshaping bone orthognathic,,,26,,NW,,,,,,"$3,227.87 ",$0.00 ,1,0,1,1,1,1,20081001D7941,HCPCS,Bone cutting ramus closed,,,26,,NW,,,,,,"$10,155.47 ",$0.00 ,1,0,1,1,1,1,20081001D7943,HCPCS,Cutting ramus open w/graft,,,26,,NW,,,,,,"$10,526.98 ",$0.00 ,1,0,1,1,1,1,20081001D7944,HCPCS,Bone cutting segmented,,,26,,NW,,,,,,"$8,718.92 ",$0.00 ,1,0,1,1,1,1,20081001D7945,HCPCS,Bone cutting body mandible,,,26,,NW,,,,,,"$9,019.42 ",$0.00 ,1,0,1,1,1,1,20081001D7946,HCPCS,Reconstruction maxilla total,,,26,,NW,,,,,,"$10,868.16 ",$0.00 ,1,0,1,1,1,1,20081001D7947,HCPCS,Reconstruct maxilla segment,,,26,,NW,,,,,,"$10,047.02 ",$0.00 ,1,0,1,1,1,1,20081001D7948,HCPCS,Reconstruct midface no graft,,,26,,NW,,,,,,"$14,446.66 ",$0.00 ,1,0,1,1,1,1,20081001D7949,HCPCS,Reconstruct midface w/graft,,,26,,NW,,,,,,"$18,706.18 ",$0.00 ,1,0,1,1,1,1,20081001D7950,HCPCS,Mandible graft,,,26,,NW,,,,,,"$2,846.81 ",$0.00 ,1,0,1,1,1,1,20081001D7953,HCPCS,Bone replacement graft,,,26,,NW,,,,,,$592.58 ,$0.00 ,1,0,1,1,1,1,20081001D7955,HCPCS,Repair maxillofacial defects,,,26,,NW,,,,,,"$2,817.48 ",$0.00 ,1,0,1,1,1,1,20081001D7960,HCPCS,Frenulectomy/frenulotomy,,,26,,NW,,,,,,$583.78 ,$0.00 ,1,0,1,1,1,1,20081001D7963,HCPCS,Frenuloplasty,,,26,,NW,,,,,,"$1,045.84 ",$0.00 ,1,0,1,1,1,1,20081001D7970,HCPCS,Excision hyperplastic tissue,,,26,,NW,,,,,,$608.58 ,$0.00 ,1,0,1,1,1,1,20081001D7971,HCPCS,Excision pericoronal gingiva,,,26,,NW,,,,,,$240.49 ,$0.00 ,1,0,1,1,1,1,20081001D7972,HCPCS,Surg redct fibrous tuberosit,,,26,,NW,,,,,,$776.99 ,$0.00 ,1,0,1,1,1,1,20081001D7980,HCPCS,Sialolithotomy,,,26,,NW,,,,,,$850.27 ,$0.00 ,1,0,1,1,1,1,20081001D7981,HCPCS,Excision of salivary gland,,,26,,NW,,,,,,$581.92 ,$0.00 ,1,0,1,1,1,1,20081001D7982,HCPCS,Sialodochoplasty,,,26,,NW,,,,,,"$2,006.61 ",$0.00 ,1,0,1,1,1,1,20081001D7983,HCPCS,Closure of salivary fistula,,,26,,NW,,,,,,"$1,849.20 ",$0.00 ,1,0,1,1,1,1,20081001D7990,HCPCS,Emergency tracheotomy,,,26,,NW,,,,,,"$1,775.89 ",$0.00 ,1,0,1,1,1,1,20081001D7991,HCPCS,Dental coronoidectomy,,,26,,NW,,,,,,"$5,115.06 ",$0.00 ,1,0,1,1,1,1,20081001D7995,HCPCS,Synthetic graft facial bones,,,26,,NW,,,,,,$534.80 ,$0.00 ,1,0,1,1,1,1,20081001D7996,HCPCS,Implant mandible for augment,,,26,,NW,,,,,,"$2,267.32 ",$0.00 ,1,0,1,1,1,1,20081001D7997,HCPCS,Appliance removal,,,26,,NW,,,,,,$297.53 ,$0.00 ,1,0,1,1,1,1,20081001D7999,HCPCS,Oral surgery procedure,,,26,,NW,,,,,,"$1,521.86 ",$0.00 ,1,0,1,1,1,1,20081001D8010,HCPCS,Limited dental tx primary,,,27,,NW,,,,,,"$1,850.33 ",$0.00 ,1,0,1,1,1,1,20081001D8020,HCPCS,Limited dental tx transition,,,27,,NW,,,,,,"$2,046.68 ",$0.00 ,1,0,1,1,1,1,20081001D8030,HCPCS,Limited dental tx adolescent,,,27,,NW,,,,,,"$2,199.00 ",$0.00 ,1,0,1,1,1,1,20081001D8040,HCPCS,Limited dental tx adult,,,27,,NW,,,,,,"$2,321.28 ",$0.00 ,1,0,1,1,1,1,20081001D8050,HCPCS,Intercep dental tx primary,,,27,,NW,,,,,,"$2,308.70 ",$0.00 ,1,0,1,1,1,1,20081001D8060,HCPCS,Intercep dental tx transitn,,,27,,NW,,,,,,"$2,516.23 ",$0.00 ,1,0,1,1,1,1,20081001D8070,HCPCS,Compre dental tx transition,,,27,,NW,,,,,,"$3,958.43 ",$0.00 ,1,0,1,1,1,1,20081001D8080,HCPCS,Compre dental tx adolescent,,,27,,NW,,,,,,"$4,017.83 ",$0.00 ,1,0,1,1,1,1,20081001D8090,HCPCS,Compre dental tx adult,,,27,,NW,,,,,,"$4,185.52 ",$0.00 ,1,0,1,1,1,1,20081001D8210,HCPCS,Orthodontic rem appliance tx,,,27,,NW,,,,,,"$1,268.28 ",$0.00 ,1,0,1,1,1,1,20081001D8220,HCPCS,Fixed appliance therapy habt,,,27,,NW,,,,,,"$1,339.55 ",$0.00 ,1,0,1,1,1,1,20081001D8660,HCPCS,Preorthodontic tx visit,,,27,,NW,,,,,,$205.28 ,$0.00 ,1,0,1,1,1,1,20081001D8670,HCPCS,Periodic orthodontc tx visit,,,27,,NW,,,,,,$243.01 ,$0.00 ,1,0,1,1,1,1,20081001D8680,HCPCS,Orthodontic retention,,,27,,NW,,,,,,$593.57 ,$0.00 ,1,0,1,1,1,1,20081001D8690,HCPCS,Orthodontic treatment,,,27,,NW,,,,,,$259.18 ,$0.00 ,1,0,1,1,1,1,20081001D8691,HCPCS,Repair ortho appliance,,,27,,NW,,,,,,$179.20 ,$0.00 ,1,0,1,1,1,1,20081001D8692,HCPCS,Replacement retainer,,,27,,NW,,,,,,$317.16 ,$0.00 ,1,0,1,1,1,1,20081001D8999,HCPCS,Orthodontic procedure,,,27,,NW,,,,,,"$1,551.32 ",$0.00 ,1,0,1,1,1,1,20081001D9110,HCPCS,Tx dental pain minor proc,,,26,,NW,,,,,,$126.34 ,$0.00 ,1,0,1,1,1,1,20081001D9210,HCPCS,Dent anesthesia w/o surgery,,,26,,NW,,,,,,$35.91 ,$0.00 ,1,0,1,1,1,1,20081001D9211,HCPCS,Regional block anesthesia,,,26,,NW,,,,,,$40.25 ,$0.00 ,1,0,1,1,1,1,20081001D9212,HCPCS,Trigeminal block anesthesia,,,26,,NW,,,,,,$87.12 ,$0.00 ,1,0,1,1,1,1,20081001D9215,HCPCS,Local anesthesia,,,26,,NW,,,,,,$33.70 ,$0.00 ,1,0,1,1,1,1,20081001D9220,HCPCS,General anesthesia,,,26,,NW,,,,,,$439.12 ,$0.00 ,1,0,1,1,1,1,20081001D9221,HCPCS,General anesthesia ea ad 15m,,,26,,NW,,,,,,$179.21 ,$0.00 ,1,0,1,1,1,1,20081001D9230,HCPCS,Analgesia,,,26,,NW,,,,,,$67.62 ,$0.00 ,1,0,1,1,1,1,20081001D9241,HCPCS,Intravenous sedation,,,26,,NW,,,,,,$412.12 ,$0.00 ,1,0,1,1,1,1,20081001D9242,HCPCS,IV sedation ea ad 30 m,,,26,,NW,,,,,,$157.37 ,$0.00 ,1,0,1,1,1,1,20081001D9248,HCPCS,Sedation (non-iv),,,26,,NW,,,,,,$93.16 ,$0.00 ,1,0,1,1,1,1,20081001D9310,HCPCS,Dental consultation,,,25,,NW,,,,,,$170.58 ,$0.00 ,1,0,1,1,1,1,20081001D9410,HCPCS,Dental house call,,,25,,NW,,,,,,$285.28 ,$0.00 ,1,0,1,1,1,1,20081001D9420,HCPCS,Hospital call,,,25,,NW,,,,,,$360.71 ,$0.00 ,1,0,1,1,1,1,20081001D9430,HCPCS,Office visit during hours,,,25,,NW,,,,,,$83.20 ,$0.00 ,1,0,1,1,1,1,20081001D9440,HCPCS,Office visit after hours,,,25,,NW,,,,,,$163.03 ,$0.00 ,1,0,1,1,1,1,20081001D9450,HCPCS,Case presentation tx plan,,,25,,NW,,,,,,$73.35 ,$0.00 ,1,0,1,1,1,1,20081001D9610,HCPCS,Dent therapeutic drug inject,,,27,,NW,,,,,,$93.24 ,$0.00 ,1,0,1,1,1,1,20081001D9630,HCPCS,Other drugs/medicaments,,,27,,NW,,,,,,$53.55 ,$0.00 ,1,0,1,1,1,1,20081001D9910,HCPCS,Dent appl desensitizing med,,,27,,NW,,,,,,$57.51 ,$0.00 ,1,0,1,1,1,1,20081001D9911,HCPCS,Appl desensitizing resin,,,27,,NW,,,,,,$79.10 ,$0.00 ,1,0,1,1,1,1,20081001D9920,HCPCS,Behavior management,,,27,,NW,,,,,,$155.42 ,$0.00 ,1,0,1,1,1,1,20081001D9930,HCPCS,Treatment of complications,,,27,,NW,,,,,,$130.70 ,$0.00 ,1,0,1,1,1,1,20081001D9940,HCPCS,Dental occlusal guard,,,27,,NW,,,,,,$693.99 ,$0.00 ,1,0,1,1,1,1,20081001D9941,HCPCS,Fabrication athletic guard,,,27,,NW,,,,,,$215.27 ,$0.00 ,1,0,1,1,1,1,20081001D9950,HCPCS,Occlusion analysis,,,27,,NW,,,,,,$332.21 ,$0.00 ,1,0,1,1,1,1,20081001D9951,HCPCS,Limited occlusal adjustment,,,27,,NW,,,,,,$161.66 ,$0.00 ,1,0,1,1,1,1,20081001D9952,HCPCS,Complete occlusal adjustment,,,27,,NW,,,,,,$784.59 ,$0.00 ,1,0,1,1,1,1,20081001D9970,HCPCS,Enamel microabrasion,,,27,,NW,,,,,,$60.85 ,$0.00 ,1,0,1,1,1,1,20081001D9971,HCPCS,Odontoplasty 1-2 teeth,,,27,,NW,,,,,,$80.63 ,$0.00 ,1,0,1,1,1,1,20081001D9972,HCPCS,Extrnl bleaching per arch,,,27,,NW,,,,,,$377.81 ,$0.00 ,1,0,1,1,1,1,20081001D9973,HCPCS,Extrnl bleaching per tooth,,,27,,NW,,,,,,$49.16 ,$0.00 ,1,0,1,1,1,1,20081001D9974,HCPCS,Intrnl bleaching per tooth,,,27,,NW,,,,,,$306.36 ,$0.00 ,1,0,1,1,1,1,20081001D9999,HCPCS,Adjunctive procedure,,,27,,NW,,,,,,"$1,473.25 ",$0.00 ,1,0,1,1,1,1,20081001E0100,HCPCS,Cane adjust/fixed with tip,NU,,28,,NW,,,,,,$40.50 ,$0.00 ,1,1,1,1,1,1,20081001E0100,HCPCS,Cane adjust/fixed with tip,RR,,28,,NW,,,,,,$14.88 ,$0.00 ,1,1,1,1,1,1,20081001E0100,HCPCS,Cane adjust/fixed with tip,UE,,28,,NW,,,,,,$33.26 ,$0.00 ,1,1,1,1,1,1,20081001E0105,HCPCS,Cane adjust/fixed quad/3 pro,NU,,28,,NW,,,,,,$93.40 ,$0.00 ,1,1,1,1,1,1,20081001E0105,HCPCS,Cane adjust/fixed quad/3 pro,RR,,28,,NW,,,,,,$19.85 ,$0.00 ,1,1,1,1,1,1,20081001E0105,HCPCS,Cane adjust/fixed quad/3 pro,UE,,28,,NW,,,,,,$69.31 ,$0.00 ,1,1,1,1,1,1,20081001E0110,HCPCS,Crutch forearm pair,NU,,28,,NW,,,,,,$154.38 ,$0.00 ,1,1,1,1,1,1,20081001E0110,HCPCS,Crutch forearm pair,RR,,28,,NW,,,,,,$31.91 ,$0.00 ,1,1,1,1,1,1,20081001E0110,HCPCS,Crutch forearm pair,UE,,28,,NW,,,,,,$112.82 ,$0.00 ,1,1,1,1,1,1,20081001E0111,HCPCS,Crutch forearm each,NU,,28,,NW,,,,,,$102.28 ,$0.00 ,1,1,1,1,1,1,20081001E0111,HCPCS,Crutch forearm each,RR,,28,,NW,,,,,,$19.11 ,$0.00 ,1,1,1,1,1,1,20081001E0111,HCPCS,Crutch forearm each,UE,,28,,NW,,,,,,$76.24 ,$0.00 ,1,1,1,1,1,1,20081001E0112,HCPCS,Crutch underarm pair wood,NU,,28,,NW,,,,,,$67.45 ,$0.00 ,1,1,1,1,1,1,20081001E0112,HCPCS,Crutch underarm pair wood,RR,,28,,NW,,,,,,$21.65 ,$0.00 ,1,1,1,1,1,1,20081001E0112,HCPCS,Crutch underarm pair wood,UE,,28,,NW,,,,,,$52.61 ,$0.00 ,1,1,1,1,1,1,20081001E0113,HCPCS,Crutch underarm each wood,NU,,28,,NW,,,,,,$40.60 ,$0.00 ,1,1,1,1,1,1,20081001E0113,HCPCS,Crutch underarm each wood,RR,,28,,NW,,,,,,$13.55 ,$0.00 ,1,1,1,1,1,1,20081001E0113,HCPCS,Crutch underarm each wood,UE,,28,,NW,,,,,,$31.68 ,$0.00 ,1,1,1,1,1,1,20081001E0114,HCPCS,Crutch underarm pair no wood,NU,,28,,NW,,,,,,$89.28 ,$0.00 ,1,1,1,1,1,1,20081001E0114,HCPCS,Crutch underarm pair no wood,RR,,28,,NW,,,,,,$19.34 ,$0.00 ,1,1,1,1,1,1,20081001E0114,HCPCS,Crutch underarm pair no wood,UE,,28,,NW,,,,,,$65.22 ,$0.00 ,1,1,1,1,1,1,20081001E0116,HCPCS,Crutch underarm each no wood,NU,,28,,NW,,,,,,$51.79 ,$0.00 ,1,1,1,1,1,1,20081001E0116,HCPCS,Crutch underarm each no wood,RR,,28,,NW,,,,,,$13.97 ,$0.00 ,1,1,1,1,1,1,20081001E0116,HCPCS,Crutch underarm each no wood,UE,,28,,NW,,,,,,$40.19 ,$0.00 ,1,1,1,1,1,1,20081001E0117,HCPCS,Underarm springassist crutch,NU,,28,,NW,,,,,,$400.89 ,$0.00 ,1,1,1,1,1,1,20081001E0117,HCPCS,Underarm springassist crutch,RR,,28,,NW,,,,,,$37.44 ,$0.00 ,1,1,1,1,1,1,20081001E0117,HCPCS,Underarm springassist crutch,UE,,28,,NW,,,,,,$297.77 ,$0.00 ,1,1,1,1,1,1,20081001E0130,HCPCS,Walker rigid adjust/fixed ht,NU,,28,,NW,,,,,,$138.61 ,$0.00 ,1,1,1,1,1,1,20081001E0130,HCPCS,Walker rigid adjust/fixed ht,RR,,28,,NW,,,,,,$33.30 ,$0.00 ,1,1,1,1,1,1,20081001E0130,HCPCS,Walker rigid adjust/fixed ht,UE,,28,,NW,,,,,,$105.43 ,$0.00 ,1,1,1,1,1,1,20081001E0135,HCPCS,Walker folding adjust/fixed,NU,,28,,NW,,,,,,$167.77 ,$0.00 ,1,1,1,1,1,1,20081001E0135,HCPCS,Walker folding adjust/fixed,RR,,28,,NW,,,,,,$34.05 ,$0.00 ,1,1,1,1,1,1,20081001E0135,HCPCS,Walker folding adjust/fixed,UE,,28,,NW,,,,,,$125.96 ,$0.00 ,1,1,1,1,1,1,20081001E0140,HCPCS,Walker w trunk support,NU,,28,,NW,,,,,,$433.41 ,$0.00 ,1,1,1,0,1,1,20081001E0140,HCPCS,Walker w trunk support,RR,,28,,NW,,,,,,$43.34 ,$0.00 ,1,1,1,0,1,1,20081001E0140,HCPCS,Walker w trunk support,UE,,28,,NW,,,,,,$325.05 ,$0.00 ,1,1,1,0,1,1,20081001E0141,HCPCS,Rigid wheeled walker adj/fix,NU,,28,,NW,,,,,,$235.10 ,$0.00 ,1,1,1,1,1,1,20081001E0141,HCPCS,Rigid wheeled walker adj/fix,RR,,28,,NW,,,,,,$42.69 ,$0.00 ,1,1,1,1,1,1,20081001E0141,HCPCS,Rigid wheeled walker adj/fix,UE,,28,,NW,,,,,,$173.41 ,$0.00 ,1,1,1,1,1,1,20081001E0143,HCPCS,Walker folding wheeled w/o s,NU,,28,,NW,,,,,,$245.69 ,$0.00 ,1,1,1,1,1,1,20081001E0143,HCPCS,Walker folding wheeled w/o s,RR,,28,,NW,,,,,,$41.38 ,$0.00 ,1,1,1,1,1,1,20081001E0143,HCPCS,Walker folding wheeled w/o s,UE,,28,,NW,,,,,,$180.92 ,$0.00 ,1,1,1,1,1,1,20081001E0144,HCPCS,Enclosed walker w rear seat,NU,,28,,NW,,,,,,$670.16 ,$0.00 ,1,1,1,1,1,1,20081001E0144,HCPCS,Enclosed walker w rear seat,RR,,28,,NW,,,,,,$58.77 ,$0.00 ,1,1,1,1,1,1,20081001E0144,HCPCS,Enclosed walker w rear seat,UE,,28,,NW,,,,,,$499.66 ,$0.00 ,1,1,1,1,1,1,20081001E0147,HCPCS,Walker variable wheel resist,NU,,28,,NW,,,,,,"$1,219.11 ",$0.00 ,1,1,1,1,1,1,20081001E0147,HCPCS,Walker variable wheel resist,RR,,28,,NW,,,,,,$111.33 ,$0.00 ,1,1,1,1,1,1,20081001E0147,HCPCS,Walker variable wheel resist,UE,,28,,NW,,,,,,$911.43 ,$0.00 ,1,1,1,1,1,1,20081001E0148,HCPCS,Heavyduty walker no wheels,NU,,28,,NW,,,,,,$260.30 ,$0.00 ,1,1,1,1,1,1,20081001E0148,HCPCS,Heavyduty walker no wheels,RR,,28,,NW,,,,,,$26.36 ,$0.00 ,1,1,1,1,1,1,20081001E0148,HCPCS,Heavyduty walker no wheels,UE,,28,,NW,,,,,,$192.27 ,$0.00 ,1,1,1,1,1,1,20081001E0149,HCPCS,Heavy duty wheeled walker,NU,,28,,NW,,,,,,$466.19 ,$0.00 ,1,1,1,1,1,1,20081001E0149,HCPCS,Heavy duty wheeled walker,RR,,28,,NW,,,,,,$42.62 ,$0.00 ,1,1,1,1,1,1,20081001E0149,HCPCS,Heavy duty wheeled walker,UE,,28,,NW,,,,,,$346.68 ,$0.00 ,1,1,1,1,1,1,20081001E0153,HCPCS,Forearm crutch platform atta,NU,,28,,NW,,,,,,$136.79 ,$0.00 ,1,1,1,1,1,1,20081001E0153,HCPCS,Forearm crutch platform atta,RR,,28,,NW,,,,,,$18.10 ,$0.00 ,1,1,1,1,1,1,20081001E0153,HCPCS,Forearm crutch platform atta,UE,,28,,NW,,,,,,$99.65 ,$0.00 ,1,1,1,1,1,1,20081001E0154,HCPCS,Walker platform attachment,NU,,28,,NW,,,,,,$139.22 ,$0.00 ,1,1,1,1,1,1,20081001E0154,HCPCS,Walker platform attachment,RR,,28,,NW,,,,,,$19.33 ,$0.00 ,1,1,1,1,1,1,20081001E0154,HCPCS,Walker platform attachment,UE,,28,,NW,,,,,,$102.93 ,$0.00 ,1,1,1,1,1,1,20081001E0155,HCPCS,"Walker wheel attachment,pair",NU,,28,,NW,,,,,,$58.26 ,$0.00 ,1,1,1,1,1,1,20081001E0155,HCPCS,"Walker wheel attachment,pair",RR,,28,,NW,,,,,,$11.35 ,$0.00 ,1,1,1,1,1,1,20081001E0155,HCPCS,"Walker wheel attachment,pair",UE,,28,,NW,,,,,,$45.56 ,$0.00 ,1,1,1,1,1,1,20081001E0156,HCPCS,Walker seat attachment,NU,,28,,NW,,,,,,$49.58 ,$0.00 ,1,1,1,1,1,1,20081001E0156,HCPCS,Walker seat attachment,RR,,28,,NW,,,,,,$10.56 ,$0.00 ,1,1,1,1,1,1,20081001E0156,HCPCS,Walker seat attachment,UE,,28,,NW,,,,,,$38.44 ,$0.00 ,1,1,1,1,1,1,20081001E0157,HCPCS,Walker crutch attachment,NU,,28,,NW,,,,,,$163.66 ,$0.00 ,1,1,1,1,1,1,20081001E0157,HCPCS,Walker crutch attachment,RR,,28,,NW,,,,,,$20.04 ,$0.00 ,1,1,1,1,1,1,20081001E0157,HCPCS,Walker crutch attachment,UE,,28,,NW,,,,,,$119.83 ,$0.00 ,1,1,1,1,1,1,20081001E0158,HCPCS,Walker leg extenders set of4,NU,,28,,NW,,,,,,$59.31 ,$0.00 ,1,1,1,1,1,1,20081001E0158,HCPCS,Walker leg extenders set of4,RR,,28,,NW,,,,,,$10.84 ,$0.00 ,1,1,1,1,1,1,20081001E0158,HCPCS,Walker leg extenders set of4,UE,,28,,NW,,,,,,$45.95 ,$0.00 ,1,1,1,1,1,1,20081001E0159,HCPCS,Brake for wheeled walker,NU,,28,,NW,,,,,,$35.09 ,$0.00 ,1,1,1,1,1,1,20081001E0159,HCPCS,Brake for wheeled walker,RR,,28,,NW,,,,,,$7.97 ,$0.00 ,1,1,1,1,1,1,20081001E0159,HCPCS,Brake for wheeled walker,UE,,28,,NW,,,,,,$27.51 ,$0.00 ,1,1,1,1,1,1,20081001E0160,HCPCS,Sitz type bath or equipment,NU,,28,,NW,,,,,,$60.79 ,$0.00 ,1,1,1,1,1,1,20081001E0160,HCPCS,Sitz type bath or equipment,RR,,28,,NW,,,,,,$12.16 ,$0.00 ,1,1,1,1,1,1,20081001E0160,HCPCS,Sitz type bath or equipment,UE,,28,,NW,,,,,,$46.76 ,$0.00 ,1,1,1,1,1,1,20081001E0161,HCPCS,Sitz bath/equipment w/faucet,NU,,28,,NW,,,,,,$49.23 ,$0.00 ,1,1,1,1,1,1,20081001E0161,HCPCS,Sitz bath/equipment w/faucet,RR,,28,,NW,,,,,,$10.89 ,$0.00 ,1,1,1,1,1,1,20081001E0161,HCPCS,Sitz bath/equipment w/faucet,UE,,28,,NW,,,,,,$38.06 ,$0.00 ,1,1,1,1,1,1,20081001E0162,HCPCS,Sitz bath chair,NU,,28,,NW,,,,,,$300.24 ,$0.00 ,1,1,1,1,1,1,20081001E0162,HCPCS,Sitz bath chair,RR,,28,,NW,,,,,,$30.71 ,$0.00 ,1,1,1,1,1,1,20081001E0162,HCPCS,Sitz bath chair,UE,,28,,NW,,,,,,$230.20 ,$0.00 ,1,1,1,1,1,1,20081001E0163,HCPCS,Commode chair stationry fxd,NU,,28,,NW,,,,,,$224.41 ,$0.00 ,1,1,1,1,1,1,20081001E0163,HCPCS,Commode chair stationry fxd,RR,,28,,NW,,,,,,$46.19 ,$0.00 ,1,1,1,1,1,1,20081001E0163,HCPCS,Commode chair stationry fxd,UE,,28,,NW,,,,,,$170.37 ,$0.00 ,1,1,1,1,1,1,20081001E0165,HCPCS,Commode chair stationry det,,,28,,NW,,,,,,$508.26 ,$0.00 ,1,1,1,0,0,1,20081001E0167,HCPCS,Commode chair pail or pan,NU,,28,,NW,,,,,,$25.14 ,$0.00 ,1,1,1,1,1,1,20081001E0167,HCPCS,Commode chair pail or pan,RR,,28,,NW,,,,,,$6.30 ,$0.00 ,1,1,1,1,1,1,20081001E0167,HCPCS,Commode chair pail or pan,UE,,28,,NW,,,,,,$20.13 ,$0.00 ,1,1,1,1,1,1,20081001E0168,HCPCS,Heavyduty/wide commode chair,NU,,28,,NW,,,,,,$311.41 ,$0.00 ,1,1,1,1,1,1,20081001E0168,HCPCS,Heavyduty/wide commode chair,RR,,28,,NW,,,,,,$30.51 ,$0.00 ,1,1,1,1,1,1,20081001E0168,HCPCS,Heavyduty/wide commode chair,UE,,28,,NW,,,,,,$230.61 ,$0.00 ,1,1,1,1,1,1,20081001E0175,HCPCS,Commode chair foot rest,,,28,,NW,,,,,,$92.58 ,$0.00 ,1,1,1,1,1,1,20081001E0181,HCPCS,Press pad alternating w/ pum,,,28,,NW,,,,,,$496.05 ,$0.00 ,1,1,1,1,1,1,20081001E0182,HCPCS,Pressure pad alternating pum,,,28,,NW,,,,,,$510.95 ,$0.00 ,1,1,1,1,1,1,20081001E0184,HCPCS,Dry pressure mattress,,,28,,NW,,,,,,$307.99 ,$0.00 ,1,1,1,1,1,1,20081001E0185,HCPCS,Gel pressure mattress pad,,,28,,NW,,,,,,$513.91 ,$0.00 ,1,1,1,1,1,1,20081001E0186,HCPCS,Air pressure mattress,,,28,,NW,,,,,,$459.48 ,$0.00 ,1,1,1,1,1,1,20081001E0187,HCPCS,Water pressure mattress,,,28,,NW,,,,,,$376.86 ,$0.00 ,1,1,1,1,1,1,20081001E0188,HCPCS,Synthetic sheepskin pad,,,28,,NW,,,,,,$48.17 ,$0.00 ,1,1,1,1,1,1,20081001E0189,HCPCS,Lambswool sheepskin pad,,,28,,NW,,,,,,$94.49 ,$0.00 ,1,1,1,1,1,1,20081001E0190,HCPCS,Positioning cushion,,,28,,NW,,,,,,$189.59 ,$0.00 ,1,1,1,0,1,1,20081001E0191,HCPCS,Protector heel or elbow,UE,,28,,NW,,,,,,$11.19 ,$0.00 ,1,1,1,1,1,1,20081001E0191,HCPCS,Protector heel or elbow,,,28,,NW,,,,,,$21.74 ,$0.00 ,1,1,1,1,1,1,20081001E0193,HCPCS,Powered air flotation bed,RR,,28,,NW,,,,,,"$1,558.03 ",$0.00 ,1,1,1,1,1,1,20081001E0194,HCPCS,Air fluidized bed,RR,,28,,NW,,,,,,"$5,574.08 ",$0.00 ,1,1,1,1,1,1,20081001E0194,HCPCS,Air fluidized bed,UE,,28,,NW,,,,,,"$40,555.37 ",$0.00 ,1,1,1,1,1,1,20081001E0194,HCPCS,Air fluidized bed,,,28,,NW,,,,,,"$54,058.64 ",$0.00 ,1,1,1,1,1,1,20081001E0196,HCPCS,Gel pressure mattress,RR,,28,,NW,,,,,,$63.05 ,$0.00 ,1,1,1,1,1,1,20081001E0196,HCPCS,Gel pressure mattress,UE,,28,,NW,,,,,,$474.61 ,$0.00 ,1,1,1,1,1,1,20081001E0196,HCPCS,Gel pressure mattress,,,28,,NW,,,,,,$633.12 ,$0.00 ,1,1,1,1,1,1,20081001E0197,HCPCS,Air pressure pad for mattres,,,28,,NW,,,,,,$405.03 ,$0.00 ,1,1,1,1,1,1,20081001E0198,HCPCS,Water pressure pad for mattr,,,28,,NW,,,,,,$348.29 ,$0.00 ,1,1,1,1,1,1,20081001E0199,HCPCS,Dry pressure pad for mattres,,,28,,NW,,,,,,$45.53 ,$0.00 ,1,1,1,1,1,1,20081001E0200,HCPCS,Heat lamp without stand,,,28,,NW,,,,,,$115.62 ,$0.00 ,1,1,1,1,1,1,20081001E0202,HCPCS,Phototherapy light w/ photom,RR,,28,,NW,,,,,,$122.28 ,$0.00 ,1,1,1,1,1,1,20081001E0203,HCPCS,Therapeutic lightbox tabletp,,,28,,NW,,,,,,$631.27 ,$0.00 ,1,1,1,0,1,1,20081001E0205,HCPCS,Heat lamp with stand,,,28,,NW,,,,,,$299.89 ,$0.00 ,1,1,1,1,1,1,20081001E0210,HCPCS,Electric heat pad standard,,,28,,NW,,,,,,$46.26 ,$0.00 ,1,1,1,1,1,1,20081001E0215,HCPCS,Electric heat pad moist,,,28,,NW,,,,,,$102.04 ,$0.00 ,1,1,1,1,1,1,20081001E0217,HCPCS,Water circ heat pad w pump,,,28,,NW,,,,,,$785.52 ,$0.00 ,1,1,1,1,1,1,20081001E0218,HCPCS,Water circ cold pad w pump,,,28,,NW,,,,,,$771.49 ,$0.00 ,1,1,1,1,1,1,20081001E0220,HCPCS,Hot water bottle,,,28,,NW,,,,,,$15.55 ,$0.00 ,1,1,1,1,1,1,20081001E0221,HCPCS,Infrared heating pad system,,,28,,NW,,,,,,"$3,382.52 ",$0.00 ,1,1,1,1,1,1,20081001E0225,HCPCS,Hydrocollator unit,,,28,,NW,,,,,,$612.39 ,$0.00 ,1,1,1,1,1,1,20081001E0230,HCPCS,Ice cap or collar,,,28,,NW,,,,,,$15.56 ,$0.00 ,1,1,1,1,1,1,20081001E0231,HCPCS,Wound warming device,RR,,28,,NW,,,,,,$19.32 ,$0.00 ,1,1,1,1,1,1,20081001E0231,HCPCS,Wound warming device,,,28,,NW,,,,,,$187.26 ,$0.00 ,1,1,1,1,1,1,20081001E0235,HCPCS,Paraffin bath unit portable,RR,,28,,NW,,,,,,$34.05 ,$0.00 ,1,1,1,1,1,1,20081001E0235,HCPCS,Paraffin bath unit portable,UE,,28,,NW,,,,,,$256.99 ,$0.00 ,1,1,1,1,1,1,20081001E0235,HCPCS,Paraffin bath unit portable,,,28,,NW,,,,,,$342.41 ,$0.00 ,1,1,1,1,1,1,20081001E0236,HCPCS,Pump for water circulating p,RR,,28,,NW,,,,,,$82.99 ,$0.00 ,1,1,1,1,1,1,20081001E0236,HCPCS,Pump for water circulating p,UE,,28,,NW,,,,,,$343.35 ,$0.00 ,1,1,1,1,1,1,20081001E0236,HCPCS,Pump for water circulating p,,,28,,NW,,,,,,$428.86 ,$0.00 ,1,1,1,1,1,1,20081001E0238,HCPCS,Heat pad non-electric moist,,,28,,NW,,,,,,$50.60 ,$0.00 ,1,1,1,1,1,1,20081001E0239,HCPCS,Hydrocollator unit portable,,,28,,NW,,,,,,$710.72 ,$0.00 ,1,1,1,1,1,1,20081001E0240,HCPCS,Bath/shower chair,,,28,,NW,,,,,,$120.10 ,$0.00 ,1,1,1,0,1,1,20081001E0241,HCPCS,Bath tub wall rail,,,28,,NW,,,,,,$48.26 ,$0.00 ,1,1,1,1,1,1,20081001E0242,HCPCS,Bath tub rail floor,,,28,,NW,,,,,,$111.55 ,$0.00 ,1,1,1,1,1,1,20081001E0243,HCPCS,Toilet rail,,,28,,NW,,,,,,$86.50 ,$0.00 ,1,1,1,1,1,1,20081001E0244,HCPCS,Toilet seat raised,,,28,,NW,,,,,,$63.48 ,$0.00 ,1,1,1,1,1,1,20081001E0245,HCPCS,Tub stool or bench,,,28,,NW,,,,,,$110.58 ,$0.00 ,1,1,1,1,1,1,20081001E0246,HCPCS,Transfer tub rail attachment,,,28,,NW,,,,,,$155.88 ,$0.00 ,1,1,1,1,1,1,20081001E0247,HCPCS,Trans bench w/wo comm open,,,28,,NW,,,,,,$108.67 ,$0.00 ,1,1,1,1,1,1,20081001E0248,HCPCS,HDtrans bench w/wo comm open,,,28,,NW,,,,,,$184.97 ,$0.00 ,1,1,1,0,1,1,20081001E0249,HCPCS,Pad water circulating heat u,,,28,,NW,,,,,,$201.51 ,$0.00 ,1,1,1,1,1,1,20081001E0250,HCPCS,Hosp bed fixed ht w/ mattres,RR,,28,,NW,,,,,,$181.65 ,$0.00 ,1,1,1,1,1,1,20081001E0250,HCPCS,Hosp bed fixed ht w/ mattres,UE,,28,,NW,,,,,,"$1,567.78 ",$0.00 ,1,1,1,1,1,1,20081001E0250,HCPCS,Hosp bed fixed ht w/ mattres,,,28,,NW,,,,,,"$2,420.73 ",$0.00 ,1,1,1,1,1,1,20081001E0251,HCPCS,Hosp bed fixd ht w/o mattres,RR,,28,,NW,,,,,,$139.83 ,$0.00 ,1,1,1,1,1,1,20081001E0251,HCPCS,Hosp bed fixd ht w/o mattres,UE,,28,,NW,,,,,,"$1,122.12 ",$0.00 ,1,1,1,1,1,1,20081001E0251,HCPCS,Hosp bed fixd ht w/o mattres,,,28,,NW,,,,,,"$1,402.64 ",$0.00 ,1,1,1,1,1,1,20081001E0255,HCPCS,Hospital bed var ht w/ mattr,RR,,28,,NW,,,,,,$215.34 ,$0.00 ,1,1,1,1,1,1,20081001E0255,HCPCS,Hospital bed var ht w/ mattr,UE,,28,,NW,,,,,,"$1,847.15 ",$0.00 ,1,1,1,1,1,1,20081001E0255,HCPCS,Hospital bed var ht w/ mattr,,,28,,NW,,,,,,"$2,466.96 ",$0.00 ,1,1,1,1,1,1,20081001E0256,HCPCS,Hospital bed var ht w/o matt,RR,,28,,NW,,,,,,$156.94 ,$0.00 ,1,1,1,1,1,1,20081001E0256,HCPCS,Hospital bed var ht w/o matt,UE,,28,,NW,,,,,,"$1,253.73 ",$0.00 ,1,1,1,1,1,1,20081001E0256,HCPCS,Hospital bed var ht w/o matt,,,28,,NW,,,,,,"$1,567.59 ",$0.00 ,1,1,1,1,1,1,20081001E0260,HCPCS,Hosp bed semi-electr w/ matt,RR,,28,,NW,,,,,,$301.53 ,$0.00 ,1,1,1,1,1,1,20081001E0260,HCPCS,Hosp bed semi-electr w/ matt,UE,,28,,NW,,,,,,"$1,890.38 ",$0.00 ,1,1,1,1,1,1,20081001E0260,HCPCS,Hosp bed semi-electr w/ matt,,,28,,NW,,,,,,"$2,447.33 ",$0.00 ,1,1,1,1,1,1,20081001E0261,HCPCS,Hosp bed semi-electr w/o mat,RR,,28,,NW,,,,,,$248.59 ,$0.00 ,1,1,1,1,1,1,20081001E0261,HCPCS,Hosp bed semi-electr w/o mat,UE,,28,,NW,,,,,,"$1,592.25 ",$0.00 ,1,1,1,1,1,1,20081001E0261,HCPCS,Hosp bed semi-electr w/o mat,,,28,,NW,,,,,,"$2,388.37 ",$0.00 ,1,1,1,1,1,1,20081001E0265,HCPCS,Hosp bed total electr w/ mat,RR,,28,,NW,,,,,,$356.11 ,$0.00 ,1,1,1,1,1,1,20081001E0265,HCPCS,Hosp bed total electr w/ mat,UE,,28,,NW,,,,,,"$1,915.64 ",$0.00 ,1,1,1,1,1,1,20081001E0265,HCPCS,Hosp bed total electr w/ mat,,,28,,NW,,,,,,"$2,959.30 ",$0.00 ,1,1,1,1,1,1,20081001E0266,HCPCS,Hosp bed total elec w/o matt,RR,,28,,NW,,,,,,$318.02 ,$0.00 ,1,1,1,1,1,1,20081001E0266,HCPCS,Hosp bed total elec w/o matt,UE,,28,,NW,,,,,,"$2,184.12 ",$0.00 ,1,1,1,1,1,1,20081001E0266,HCPCS,Hosp bed total elec w/o matt,,,28,,NW,,,,,,"$3,176.90 ",$0.00 ,1,1,1,1,1,1,20081001E0270,HCPCS,Hospital bed institutional t,RR,,28,,NW,,,,,,$67.66 ,$0.00 ,1,1,1,1,1,1,20081001E0270,HCPCS,Hospital bed institutional t,UE,,28,,NW,,,,,,$492.25 ,$0.00 ,1,1,1,1,1,1,20081001E0270,HCPCS,Hospital bed institutional t,,,28,,NW,,,,,,$656.15 ,$0.00 ,1,1,1,1,1,1,20081001E0271,HCPCS,Mattress innerspring,,,28,,NW,,,,,,$310.96 ,$0.00 ,1,1,1,1,1,1,20081001E0272,HCPCS,Mattress foam rubber,,,28,,NW,,,,,,$272.68 ,$0.00 ,1,1,1,1,1,1,20081001E0273,HCPCS,Bed board,RR,,28,,NW,,,,,,$22.22 ,$0.00 ,1,1,1,1,1,1,20081001E0273,HCPCS,Bed board,UE,,28,,NW,,,,,,$41.36 ,$0.00 ,1,1,1,1,1,1,20081001E0273,HCPCS,Bed board,,,28,,NW,,,,,,$51.73 ,$0.00 ,1,1,1,1,1,1,20081001E0274,HCPCS,Over-bed table,RR,,28,,NW,,,,,,$37.37 ,$0.00 ,1,1,1,1,1,1,20081001E0274,HCPCS,Over-bed table,UE,,28,,NW,,,,,,$66.86 ,$0.00 ,1,1,1,1,1,1,20081001E0274,HCPCS,Over-bed table,,,28,,NW,,,,,,$82.01 ,$0.00 ,1,1,1,1,1,1,20081001E0275,HCPCS,Bed pan standard,,,28,,NW,,,,,,$24.28 ,$0.00 ,1,1,1,1,1,1,20081001E0276,HCPCS,Bed pan fracture,,,28,,NW,,,,,,$22.64 ,$0.00 ,1,1,1,1,1,1,20081001E0277,HCPCS,Powered pres-redu air mattrs,RR,,28,,NW,,,,,,"$1,311.87 ",$0.00 ,1,1,1,1,1,1,20081001E0277,HCPCS,Powered pres-redu air mattrs,UE,,28,,NW,,,,,,"$9,544.79 ",$0.00 ,1,1,1,1,1,1,20081001E0277,HCPCS,Powered pres-redu air mattrs,,,28,,NW,,,,,,"$12,722.82 ",$0.00 ,1,1,1,1,1,1,20081001E0280,HCPCS,Bed cradle,,,28,,NW,,,,,,$55.97 ,$0.00 ,1,1,1,1,1,1,20081001E0290,HCPCS,Hosp bed fx ht w/o rails w/m,RR,,28,,NW,,,,,,$141.04 ,$0.00 ,1,1,1,1,1,1,20081001E0290,HCPCS,Hosp bed fx ht w/o rails w/m,UE,,28,,NW,,,,,,"$1,160.99 ",$0.00 ,1,1,1,1,1,1,20081001E0290,HCPCS,Hosp bed fx ht w/o rails w/m,,,28,,NW,,,,,,"$1,450.83 ",$0.00 ,1,1,1,1,1,1,20081001E0291,HCPCS,Hosp bed fx ht w/o rail w/o,RR,,28,,NW,,,,,,$103.31 ,$0.00 ,1,1,1,1,1,1,20081001E0291,HCPCS,Hosp bed fx ht w/o rail w/o,UE,,28,,NW,,,,,,$761.60 ,$0.00 ,1,1,1,1,1,1,20081001E0291,HCPCS,Hosp bed fx ht w/o rail w/o,,,28,,NW,,,,,,"$1,028.83 ",$0.00 ,1,1,1,1,1,1,20081001E0292,HCPCS,Hosp bed var ht w/o rail w/o,RR,,28,,NW,,,,,,$158.20 ,$0.00 ,1,1,1,1,1,1,20081001E0292,HCPCS,Hosp bed var ht w/o rail w/o,UE,,28,,NW,,,,,,"$1,266.45 ",$0.00 ,1,1,1,1,1,1,20081001E0292,HCPCS,Hosp bed var ht w/o rail w/o,,,28,,NW,,,,,,"$1,583.71 ",$0.00 ,1,1,1,1,1,1,20081001E0293,HCPCS,Hosp bed var ht w/o rail w/,RR,,28,,NW,,,,,,$135.07 ,$0.00 ,1,1,1,1,1,1,20081001E0293,HCPCS,Hosp bed var ht w/o rail w/,UE,,28,,NW,,,,,,$985.10 ,$0.00 ,1,1,1,1,1,1,20081001E0293,HCPCS,Hosp bed var ht w/o rail w/,,,28,,NW,,,,,,"$1,348.17 ",$0.00 ,1,1,1,1,1,1,20081001E0294,HCPCS,Hosp bed semi-elect w/ mattr,RR,,28,,NW,,,,,,$237.83 ,$0.00 ,1,1,1,1,1,1,20081001E0294,HCPCS,Hosp bed semi-elect w/ mattr,UE,,28,,NW,,,,,,"$1,586.60 ",$0.00 ,1,1,1,1,1,1,20081001E0294,HCPCS,Hosp bed semi-elect w/ mattr,,,28,,NW,,,,,,"$2,308.28 ",$0.00 ,1,1,1,1,1,1,20081001E0295,HCPCS,Hosp bed semi-elect w/o matt,RR,,28,,NW,,,,,,$232.19 ,$0.00 ,1,1,1,1,1,1,20081001E0295,HCPCS,Hosp bed semi-elect w/o matt,UE,,28,,NW,,,,,,"$1,379.23 ",$0.00 ,1,1,1,1,1,1,20081001E0295,HCPCS,Hosp bed semi-elect w/o matt,,,28,,NW,,,,,,"$2,125.64 ",$0.00 ,1,1,1,1,1,1,20081001E0296,HCPCS,Hosp bed total elect w/ matt,RR,,28,,NW,,,,,,$295.15 ,$0.00 ,1,1,1,1,1,1,20081001E0296,HCPCS,Hosp bed total elect w/ matt,UE,,28,,NW,,,,,,"$2,358.70 ",$0.00 ,1,1,1,1,1,1,20081001E0296,HCPCS,Hosp bed total elect w/ matt,,,28,,NW,,,,,,"$2,948.99 ",$0.00 ,1,1,1,1,1,1,20081001E0297,HCPCS,Hosp bed total elect w/o mat,RR,,28,,NW,,,,,,$254.93 ,$0.00 ,1,1,1,1,1,1,20081001E0297,HCPCS,Hosp bed total elect w/o mat,UE,,28,,NW,,,,,,"$1,707.10 ",$0.00 ,1,1,1,1,1,1,20081001E0297,HCPCS,Hosp bed total elect w/o mat,,,28,,NW,,,,,,"$2,550.25 ",$0.00 ,1,1,1,1,1,1,20081001E0300,HCPCS,Enclosed ped crib hosp grade,,,28,,NW,,,,,,$341.08 ,$0.00 ,1,1,1,0,1,1,20081001E0301,HCPCS,"HD hosp bed, 350-600 lbs",,,28,,NW,,,,,,"$3,838.35 ",$0.00 ,1,1,1,1,1,1,20081001E0302,HCPCS,Ex hd hosp bed > 600 lbs,,,28,,NW,,,,,,$859.64 ,$0.00 ,1,1,1,0,1,1,20081001E0303,HCPCS,Hosp bed hvy dty xtra wide,,,28,,NW,,,,,,$533.93 ,$0.00 ,1,1,1,1,1,1,20081001E0304,HCPCS,Hosp bed xtra hvy dty x wide,,,28,,NW,,,,,,"$1,331.19 ",$0.00 ,1,1,1,1,1,1,20081001E0305,HCPCS,Rails bed side half length,RR,,28,,NW,,,,,,$35.91 ,$0.00 ,1,1,1,1,1,1,20081001E0305,HCPCS,Rails bed side half length,UE,,28,,NW,,,,,,$255.09 ,$0.00 ,1,1,1,1,1,1,20081001E0305,HCPCS,Rails bed side half length,,,28,,NW,,,,,,$355.44 ,$0.00 ,1,1,1,1,1,1,20081001E0310,HCPCS,Rails bed side full length,NU,,28,,NW,,,,,,$291.21 ,$0.00 ,1,1,1,1,1,1,20081001E0310,HCPCS,Rails bed side full length,RR,,28,,NW,,,,,,$34.14 ,$0.00 ,1,1,1,1,1,1,20081001E0310,HCPCS,Rails bed side full length,UE,,28,,NW,,,,,,$220.37 ,$0.00 ,1,1,1,1,1,1,20081001E0310,HCPCS,Rails bed side full length,,,28,,NW,,,,,,$265.63 ,$0.00 ,1,1,1,1,1,1,20081001E0315,HCPCS,Bed accessory brd/tbl/supprt,,,28,,NW,,,,,,$62.54 ,$0.00 ,1,1,1,1,1,1,20081001E0316,HCPCS,Bed safety enclosure,,,28,,NW,,,,,,$375.59 ,$0.00 ,1,1,1,1,1,1,20081001E0325,HCPCS,Urinal male jug-type,,,28,,NW,,,,,,$16.17 ,$0.00 ,1,1,1,1,1,1,20081001E0326,HCPCS,Urinal female jug-type,,,28,,NW,,,,,,$18.16 ,$0.00 ,1,1,1,1,1,1,20081001E0352,HCPCS,Disposable pack w/bowel syst,,,28,,NW,,,,,,$75.06 ,$0.00 ,1,1,1,1,1,1,20081001E0370,HCPCS,Air elevator for heel,,,28,,NW,,,,,,$26.12 ,$0.00 ,1,1,1,1,1,1,20081001E0371,HCPCS,Nonpower mattress overlay,,,28,,NW,,,,,,$940.02 ,$0.00 ,1,1,1,1,1,1,20081001E0372,HCPCS,Powered air mattress overlay,,,28,,NW,,,,,,"$1,143.16 ",$0.00 ,1,1,1,1,1,1,20081001E0373,HCPCS,Nonpowered pressure mattress,,,28,,NW,,,,,,"$1,304.03 ",$0.00 ,1,1,1,1,1,1,20081001E0424,HCPCS,Stationary compressed gas 02,RR,,28,,NW,,,,,,$622.87 ,$0.00 ,1,1,1,1,1,1,20081001E0425,HCPCS,Gas system stationary compre,NU,,28,,NW,,,,,,"$8,495.62 ",$0.00 ,1,1,1,1,1,1,20081001E0430,HCPCS,Oxygen system gas portable,NU,,28,,NW,,,,,,"$3,849.35 ",$0.00 ,1,1,1,1,1,1,20081001E0430,HCPCS,Oxygen system gas portable,UE,,28,,NW,,,,,,"$2,888.86 ",$0.00 ,1,1,1,1,1,1,20081001E0431,HCPCS,Portable gaseous 02,RR,,28,,NW,,,,,,$102.27 ,$0.00 ,1,1,1,1,1,1,20081001E0434,HCPCS,Portable liquid 02,,,28,,NW,,,,,,$102.27 ,$0.00 ,1,1,1,1,1,1,20081001E0435,HCPCS,Oxygen system liquid portabl,NU,,28,,NW,,,,,,"$2,648.47 ",$0.00 ,1,1,1,1,1,1,20081001E0435,HCPCS,Oxygen system liquid portabl,UE,,28,,NW,,,,,,"$1,987.07 ",$0.00 ,1,1,1,1,1,1,20081001E0439,HCPCS,Stationary liquid 02,RR,,28,,NW,,,,,,$622.87 ,$0.00 ,1,1,1,1,1,1,20081001E0440,HCPCS,Oxygen system liquid station,NU,,28,,NW,,,,,,"$5,371.51 ",$0.00 ,1,1,1,1,1,1,20081001E0440,HCPCS,Oxygen system liquid station,UE,,28,,NW,,,,,,"$4,029.94 ",$0.00 ,1,1,1,1,1,1,20081001E0441,HCPCS,"Oxygen contents, gaseous",,,28,,NW,,,,,,$445.18 ,$0.00 ,1,1,1,1,1,1,20081001E0442,HCPCS,"Oxygen contents, liquid",,,28,,NW,,,,,,$445.18 ,$0.00 ,1,1,1,1,1,1,20081001E0443,HCPCS,"Portable 02 contents, gas",,,28,,NW,,,,,,$60.65 ,$0.00 ,1,1,1,1,1,1,20081001E0444,HCPCS,"Portable 02 contents, liquid",,,28,,NW,,,,,,$60.65 ,$0.00 ,1,1,1,1,1,1,20081001E0445,HCPCS,Oximeter non-invasive,,,28,,NW,,,,,,$146.47 ,$0.00 ,1,1,1,1,1,1,20081001E0450,HCPCS,Volume vent stationary/porta,NU,,28,,NW,,,,,,"$19,708.69 ",$0.00 ,1,1,1,1,1,1,20081001E0450,HCPCS,Volume vent stationary/porta,RR,,28,,NW,,,,,,"$2,032.20 ",$0.00 ,1,1,1,1,1,1,20081001E0450,HCPCS,Volume vent stationary/porta,UE,,28,,NW,,,,,,"$14,785.66 ",$0.00 ,1,1,1,1,1,1,20081001E0457,HCPCS,Chest shell,NU,,28,,NW,,,,,,"$1,304.10 ",$0.00 ,1,1,1,1,1,1,20081001E0457,HCPCS,Chest shell,RR,,28,,NW,,,,,,$119.83 ,$0.00 ,1,1,1,1,1,1,20081001E0457,HCPCS,Chest shell,UE,,28,,NW,,,,,,$975.09 ,$0.00 ,1,1,1,1,1,1,20081001E0459,HCPCS,Chest wrap,NU,,28,,NW,,,,,,$969.03 ,$0.00 ,1,1,1,1,1,1,20081001E0459,HCPCS,Chest wrap,RR,,28,,NW,,,,,,$97.21 ,$0.00 ,1,1,1,1,1,1,20081001E0459,HCPCS,Chest wrap,UE,,28,,NW,,,,,,$727.15 ,$0.00 ,1,1,1,1,1,1,20081001E0460,HCPCS,Neg press vent portabl/statn,NU,,28,,NW,,,,,,"$15,120.13 ",$0.00 ,1,1,1,1,1,1,20081001E0460,HCPCS,Neg press vent portabl/statn,RR,,28,,NW,,,,,,"$1,559.07 ",$0.00 ,1,1,1,1,1,1,20081001E0460,HCPCS,Neg press vent portabl/statn,UE,,28,,NW,,,,,,"$11,343.27 ",$0.00 ,1,1,1,1,1,1,20081001E0461,HCPCS,Vol vent noninvasive interfa,RR,,28,,NW,,,,,,"$2,133.98 ",$0.00 ,1,1,1,1,1,1,20081001E0462,HCPCS,Rocking bed w/ or w/o side r,NU,,28,,NW,,,,,,"$5,122.35 ",$0.00 ,1,1,1,1,1,1,20081001E0462,HCPCS,Rocking bed w/ or w/o side r,RR,,28,,NW,,,,,,$512.45 ,$0.00 ,1,1,1,1,1,1,20081001E0462,HCPCS,Rocking bed w/ or w/o side r,UE,,28,,NW,,,,,,"$3,842.27 ",$0.00 ,1,1,1,1,1,1,20081001E0463,HCPCS,Press supp vent invasive int,RR,,28,,NW,,,,,,"$1,689.81 ",$0.00 ,1,1,1,1,1,1,20081001E0464,HCPCS,Press supp vent noninv int,RR,,28,,NW,,,,,,"$1,689.81 ",$0.00 ,1,1,1,1,1,1,20081001E0470,HCPCS,RAD w/o backup non-inv intfc,RR,,28,,NW,,,,,,$537.70 ,$0.00 ,1,1,1,1,1,1,20081001E0471,HCPCS,RAD w/backup non inv intrfc,RR,,28,,NW,,,,,,"$1,363.36 ",$0.00 ,1,1,1,1,1,1,20081001E0472,HCPCS,RAD w backup invasive intrfc,RR,,28,,NW,,,,,,"$1,363.36 ",$0.00 ,1,1,1,1,1,1,20081001E0480,HCPCS,Percussor elect/pneum home m,NU,,28,,NW,,,,,,$795.70 ,$0.00 ,1,1,1,1,1,1,20081001E0480,HCPCS,Percussor elect/pneum home m,RR,,28,,NW,,,,,,$82.32 ,$0.00 ,1,1,1,1,1,1,20081001E0480,HCPCS,Percussor elect/pneum home m,UE,,28,,NW,,,,,,$698.14 ,$0.00 ,1,1,1,1,1,1,20081001E0481,HCPCS,Intrpulmnry percuss vent sys,,,28,,NW,,,,,,"$1,305.27 ",$0.00 ,1,1,1,1,1,1,20081001E0482,HCPCS,Cough stimulating device,RR,,28,,NW,,,,,,$909.06 ,$0.00 ,1,1,1,1,1,1,20081001E0483,HCPCS,Chest compression gen system,RR,,28,,NW,,,,,,"$2,264.79 ",$0.00 ,1,1,1,1,1,1,20081001E0484,HCPCS,Non-elec oscillatory pep dvc,NU,,28,,NW,,,,,,$67.33 ,$0.00 ,1,1,1,1,1,1,20081001E0484,HCPCS,Non-elec oscillatory pep dvc,RR,,28,,NW,,,,,,$11.08 ,$0.00 ,1,1,1,1,1,1,20081001E0484,HCPCS,Non-elec oscillatory pep dvc,UE,,28,,NW,,,,,,$51.72 ,$0.00 ,1,1,1,1,1,1,20081001E0500,HCPCS,Ippb all types,NU,,28,,NW,,,,,,"$2,456.25 ",$0.00 ,1,1,1,1,1,1,20081001E0500,HCPCS,Ippb all types,RR,,28,,NW,,,,,,$223.30 ,$0.00 ,1,1,1,1,1,1,20081001E0500,HCPCS,Ippb all types,UE,,28,,NW,,,,,,"$1,618.67 ",$0.00 ,1,1,1,1,1,1,20081001E0550,HCPCS,Humidif extens supple w ippb,NU,,28,,NW,,,,,,$581.16 ,$0.00 ,1,1,1,1,1,1,20081001E0550,HCPCS,Humidif extens supple w ippb,RR,,28,,NW,,,,,,$95.58 ,$0.00 ,1,1,1,1,1,1,20081001E0550,HCPCS,Humidif extens supple w ippb,UE,,28,,NW,,,,,,$464.92 ,$0.00 ,1,1,1,1,1,1,20081001E0555,HCPCS,Humidifier for use w/ regula,NU,,28,,NW,,,,,,$19.36 ,$0.00 ,1,1,1,1,1,1,20081001E0555,HCPCS,Humidifier for use w/ regula,RR,,28,,NW,,,,,,$13.50 ,$0.00 ,1,1,1,1,1,1,20081001E0555,HCPCS,Humidifier for use w/ regula,UE,,28,,NW,,,,,,$15.84 ,$0.00 ,1,1,1,1,1,1,20081001E0560,HCPCS,Humidifier supplemental w/ i,NU,,28,,NW,,,,,,$355.52 ,$0.00 ,1,1,1,1,1,1,20081001E0560,HCPCS,Humidifier supplemental w/ i,RR,,28,,NW,,,,,,$38.87 ,$0.00 ,1,1,1,1,1,1,20081001E0560,HCPCS,Humidifier supplemental w/ i,UE,,28,,NW,,,,,,$263.70 ,$0.00 ,1,1,1,1,1,1,20081001E0561,HCPCS,Humidifier nonheated w PAP,NU,,28,,NW,,,,,,$217.36 ,$0.00 ,1,1,1,1,1,1,20081001E0561,HCPCS,Humidifier nonheated w PAP,RR,,28,,NW,,,,,,$22.92 ,$0.00 ,1,1,1,1,1,1,20081001E0561,HCPCS,Humidifier nonheated w PAP,UE,,28,,NW,,,,,,$160.06 ,$0.00 ,1,1,1,1,1,1,20081001E0562,HCPCS,Humidifier heated used w PAP,NU,,28,,NW,,,,,,$633.26 ,$0.00 ,1,1,1,1,1,1,20081001E0562,HCPCS,Humidifier heated used w PAP,RR,,28,,NW,,,,,,$55.81 ,$0.00 ,1,1,1,1,1,1,20081001E0562,HCPCS,Humidifier heated used w PAP,UE,,28,,NW,,,,,,$471.98 ,$0.00 ,1,1,1,1,1,1,20081001E0565,HCPCS,Compressor air power source,NU,,28,,NW,,,,,,"$1,189.61 ",$0.00 ,1,1,1,1,1,1,20081001E0565,HCPCS,Compressor air power source,RR,,28,,NW,,,,,,$118.87 ,$0.00 ,1,1,1,1,1,1,20081001E0565,HCPCS,Compressor air power source,UE,,28,,NW,,,,,,$837.58 ,$0.00 ,1,1,1,1,1,1,20081001E0570,HCPCS,Nebulizer with compression,NU,,28,,NW,,,,,,$350.19 ,$0.00 ,1,1,1,1,1,1,20081001E0570,HCPCS,Nebulizer with compression,RR,,28,,NW,,,,,,$38.22 ,$0.00 ,1,1,1,1,1,1,20081001E0570,HCPCS,Nebulizer with compression,UE,,28,,NW,,,,,,$140.43 ,$0.00 ,1,1,1,1,1,1,20081001E0571,HCPCS,Aerosol compressor for svneb,RR,,28,,NW,,,,,,$55.57 ,$0.00 ,1,1,1,1,1,1,20081001E0572,HCPCS,Aerosol compressor adjust pr,RR,,28,,NW,,,,,,$110.16 ,$0.00 ,1,1,1,1,1,1,20081001E0574,HCPCS,Ultrasonic generator w svneb,RR,,28,,NW,,,,,,$116.14 ,$0.00 ,1,1,1,1,1,1,20081001E0575,HCPCS,Nebulizer ultrasonic,NU,,28,,NW,,,,,,"$2,075.18 ",$0.00 ,1,1,1,1,1,1,20081001E0575,HCPCS,Nebulizer ultrasonic,RR,,28,,NW,,,,,,$208.33 ,$0.00 ,1,1,1,1,1,1,20081001E0575,HCPCS,Nebulizer ultrasonic,UE,,28,,NW,,,,,,"$1,352.09 ",$0.00 ,1,1,1,1,1,1,20081001E0580,HCPCS,Nebulizer for use w/ regulat,NU,,28,,NW,,,,,,$275.25 ,$0.00 ,1,1,1,1,1,1,20081001E0580,HCPCS,Nebulizer for use w/ regulat,RR,,28,,NW,,,,,,$27.51 ,$0.00 ,1,1,1,1,1,1,20081001E0580,HCPCS,Nebulizer for use w/ regulat,UE,,28,,NW,,,,,,$203.47 ,$0.00 ,1,1,1,1,1,1,20081001E0585,HCPCS,Nebulizer w/ compressor & he,NU,,28,,NW,,,,,,$639.41 ,$0.00 ,1,1,1,1,1,1,20081001E0585,HCPCS,Nebulizer w/ compressor & he,RR,,28,,NW,,,,,,$64.21 ,$0.00 ,1,1,1,1,1,1,20081001E0585,HCPCS,Nebulizer w/ compressor & he,UE,,28,,NW,,,,,,$412.57 ,$0.00 ,1,1,1,1,1,1,20081001E0600,HCPCS,Suction pump portab hom modl,NU,,28,,NW,,,,,,$782.47 ,$0.00 ,1,1,1,1,1,1,20081001E0600,HCPCS,Suction pump portab hom modl,RR,,28,,NW,,,,,,$86.29 ,$0.00 ,1,1,1,1,1,1,20081001E0600,HCPCS,Suction pump portab hom modl,UE,,28,,NW,,,,,,$468.98 ,$0.00 ,1,1,1,1,1,1,20081001E0601,HCPCS,Cont airway pressure device,NU,,28,,NW,,,,,,"$2,095.89 ",$0.00 ,1,1,1,1,1,1,20081001E0601,HCPCS,Cont airway pressure device,RR,,28,,NW,,,,,,$227.45 ,$0.00 ,1,1,1,1,1,1,20081001E0601,HCPCS,Cont airway pressure device,UE,,28,,NW,,,,,,"$1,254.97 ",$0.00 ,1,1,1,1,1,1,20081001E0602,HCPCS,Manual breast pump,NU,,28,,NW,,,,,,$54.81 ,$0.00 ,1,1,1,1,1,1,20081001E0602,HCPCS,Manual breast pump,RR,,28,,NW,,,,,,$9.85 ,$0.00 ,1,1,1,1,1,1,20081001E0602,HCPCS,Manual breast pump,UE,,28,,NW,,,,,,$42.30 ,$0.00 ,1,1,1,1,1,1,20081001E0603,HCPCS,Electric breast pump,NU,,28,,NW,,,,,,$162.61 ,$0.00 ,1,1,1,1,1,1,20081001E0603,HCPCS,Electric breast pump,RR,,28,,NW,,,,,,$50.52 ,$0.00 ,1,1,1,1,1,1,20081001E0603,HCPCS,Electric breast pump,UE,,28,,NW,,,,,,$127.94 ,$0.00 ,1,1,1,1,1,1,20081001E0604,HCPCS,Hosp grade elec breast pump,NU,,28,,NW,,,,,,$490.17 ,$0.00 ,1,1,1,1,1,1,20081001E0604,HCPCS,Hosp grade elec breast pump,RR,,28,,NW,,,,,,$180.92 ,$0.00 ,1,1,1,1,1,1,20081001E0604,HCPCS,Hosp grade elec breast pump,UE,,28,,NW,,,,,,$363.96 ,$0.00 ,1,1,1,1,1,1,20081001E0605,HCPCS,Vaporizer room type,NU,,28,,NW,,,,,,$49.58 ,$0.00 ,1,1,1,1,1,1,20081001E0605,HCPCS,Vaporizer room type,RR,,28,,NW,,,,,,$10.03 ,$0.00 ,1,1,1,1,1,1,20081001E0605,HCPCS,Vaporizer room type,UE,,28,,NW,,,,,,$41.69 ,$0.00 ,1,1,1,1,1,1,20081001E0606,HCPCS,Drainage board postural,NU,,28,,NW,,,,,,$436.57 ,$0.00 ,1,1,1,1,1,1,20081001E0606,HCPCS,Drainage board postural,RR,,28,,NW,,,,,,$43.67 ,$0.00 ,1,1,1,1,1,1,20081001E0606,HCPCS,Drainage board postural,UE,,28,,NW,,,,,,$327.43 ,$0.00 ,1,1,1,1,1,1,20081001E0607,HCPCS,Blood glucose monitor home,NU,,28,,NW,,,,,,$99.98 ,$0.00 ,1,1,1,1,1,1,20081001E0607,HCPCS,Blood glucose monitor home,RR,,28,,NW,,,,,,$13.98 ,$0.00 ,1,1,1,1,1,1,20081001E0607,HCPCS,Blood glucose monitor home,UE,,28,,NW,,,,,,$88.43 ,$0.00 ,1,1,1,1,1,1,20081001E0610,HCPCS,Pacemaker monitr audible/vis,NU,,28,,NW,,,,,,$497.58 ,$0.00 ,1,1,1,1,1,1,20081001E0610,HCPCS,Pacemaker monitr audible/vis,RR,,28,,NW,,,,,,$47.31 ,$0.00 ,1,1,1,1,1,1,20081001E0610,HCPCS,Pacemaker monitr audible/vis,UE,,28,,NW,,,,,,$370.31 ,$0.00 ,1,1,1,1,1,1,20081001E0615,HCPCS,Pacemaker monitr digital/vis,NU,,28,,NW,,,,,,"$1,013.57 ",$0.00 ,1,1,1,1,1,1,20081001E0615,HCPCS,Pacemaker monitr digital/vis,RR,,28,,NW,,,,,,$113.51 ,$0.00 ,1,1,1,1,1,1,20081001E0615,HCPCS,Pacemaker monitr digital/vis,UE,,28,,NW,,,,,,$757.24 ,$0.00 ,1,1,1,1,1,1,20081001E0616,HCPCS,Cardiac event recorder,,,28,,NW,,,,,,$460.65 ,$0.00 ,1,1,1,0,1,1,20081001E0617,HCPCS,Automatic ext defibrillator,RR,,28,,NW,,,,,,$639.31 ,$0.00 ,1,1,1,1,1,1,20081001E0618,HCPCS,Apnea monitor,RR,,28,,NW,,,,,,$588.57 ,$0.00 ,1,1,1,1,1,1,20081001E0618,HCPCS,Apnea monitor,,,28,,NW,,,,,,$622.15 ,$0.00 ,1,1,1,1,1,1,20081001E0620,HCPCS,Cap bld skin piercing laser,NU,,28,,NW,,,,,,"$1,860.62 ",$0.00 ,1,1,1,1,1,1,20081001E0620,HCPCS,Cap bld skin piercing laser,RR,,28,,NW,,,,,,$175.46 ,$0.00 ,1,1,1,1,1,1,20081001E0620,HCPCS,Cap bld skin piercing laser,UE,,28,,NW,,,,,,"$1,392.52 ",$0.00 ,1,1,1,1,1,1,20081001E0621,HCPCS,Patient lift sling or seat,NU,,28,,NW,,,,,,$193.79 ,$0.00 ,1,1,1,1,1,1,20081001E0621,HCPCS,Patient lift sling or seat,RR,,28,,NW,,,,,,$20.48 ,$0.00 ,1,1,1,1,1,1,20081001E0621,HCPCS,Patient lift sling or seat,UE,,28,,NW,,,,,,$143.19 ,$0.00 ,1,1,1,1,1,1,20081001E0625,HCPCS,Patient lift bathroom or toi,NU,,28,,NW,,,,,,"$1,712.73 ",$0.00 ,1,1,1,1,1,1,20081001E0625,HCPCS,Patient lift bathroom or toi,RR,,28,,NW,,,,,,$176.60 ,$0.00 ,1,1,1,1,1,1,20081001E0625,HCPCS,Patient lift bathroom or toi,UE,,28,,NW,,,,,,"$1,284.91 ",$0.00 ,1,1,1,1,1,1,20081001E0627,HCPCS,Seat lift incorp lift-chair,NU,,28,,NW,,,,,,$710.54 ,$0.00 ,1,1,1,1,1,1,20081001E0627,HCPCS,Seat lift incorp lift-chair,RR,,28,,NW,,,,,,$61.94 ,$0.00 ,1,1,1,1,1,1,20081001E0627,HCPCS,Seat lift incorp lift-chair,UE,,28,,NW,,,,,,$529.99 ,$0.00 ,1,1,1,1,1,1,20081001E0628,HCPCS,Seat lift for pt furn-electr,NU,,28,,NW,,,,,,$710.54 ,$0.00 ,1,1,1,1,1,1,20081001E0628,HCPCS,Seat lift for pt furn-electr,RR,,28,,NW,,,,,,$61.94 ,$0.00 ,1,1,1,1,1,1,20081001E0628,HCPCS,Seat lift for pt furn-electr,UE,,28,,NW,,,,,,$529.99 ,$0.00 ,1,1,1,1,1,1,20081001E0629,HCPCS,Seat lift for pt furn-non-el,NU,,28,,NW,,,,,,$696.40 ,$0.00 ,1,1,1,1,1,1,20081001E0629,HCPCS,Seat lift for pt furn-non-el,RR,,28,,NW,,,,,,$60.82 ,$0.00 ,1,1,1,1,1,1,20081001E0629,HCPCS,Seat lift for pt furn-non-el,UE,,28,,NW,,,,,,$519.32 ,$0.00 ,1,1,1,1,1,1,20081001E0630,HCPCS,Patient lift hydraulic,NU,,28,,NW,,,,,,"$2,215.55 ",$0.00 ,1,1,1,1,1,1,20081001E0630,HCPCS,Patient lift hydraulic,RR,,28,,NW,,,,,,$206.41 ,$0.00 ,1,1,1,1,1,1,20081001E0630,HCPCS,Patient lift hydraulic,UE,,28,,NW,,,,,,"$1,574.69 ",$0.00 ,1,1,1,1,1,1,20081001E0635,HCPCS,Patient lift electric,NU,,28,,NW,,,,,,"$2,500.35 ",$0.00 ,1,1,1,1,1,1,20081001E0635,HCPCS,Patient lift electric,RR,,28,,NW,,,,,,$250.24 ,$0.00 ,1,1,1,1,1,1,20081001E0635,HCPCS,Patient lift electric,UE,,28,,NW,,,,,,"$1,706.16 ",$0.00 ,1,1,1,1,1,1,20081001E0636,HCPCS,PT support & positioning sys,RR,,28,,NW,,,,,,"$2,246.43 ",$0.00 ,1,1,1,1,1,1,20081001E0637,HCPCS,Combination sit to stand sys,,,28,,NW,,,,,,$94.95 ,$0.00 ,1,1,1,0,1,1,20081001E0638,HCPCS,Standing frame sys,,,28,,NW,,,,,,"$1,791.97 ",$0.00 ,1,1,1,0,1,1,20081001E0650,HCPCS,Pneuma compresor non-segment,NU,,28,,NW,,,,,,"$1,530.48 ",$0.00 ,1,1,1,1,1,1,20081001E0650,HCPCS,Pneuma compresor non-segment,RR,,28,,NW,,,,,,$178.55 ,$0.00 ,1,1,1,1,1,1,20081001E0650,HCPCS,Pneuma compresor non-segment,UE,,28,,NW,,,,,,"$1,144.92 ",$0.00 ,1,1,1,1,1,1,20081001E0651,HCPCS,Pneum compressor segmental,NU,,28,,NW,,,,,,"$1,954.90 ",$0.00 ,1,1,1,1,1,1,20081001E0651,HCPCS,Pneum compressor segmental,RR,,28,,NW,,,,,,$189.13 ,$0.00 ,1,1,1,1,1,1,20081001E0651,HCPCS,Pneum compressor segmental,UE,,28,,NW,,,,,,"$1,463.26 ",$0.00 ,1,1,1,1,1,1,20081001E0652,HCPCS,Pneum compres w/cal pressure,NU,,28,,NW,,,,,,"$11,340.57 ",$0.00 ,1,1,1,1,1,1,20081001E0652,HCPCS,Pneum compres w/cal pressure,RR,,28,,NW,,,,,,"$1,110.18 ",$0.00 ,1,1,1,1,1,1,20081001E0652,HCPCS,Pneum compres w/cal pressure,UE,,28,,NW,,,,,,"$8,494.88 ",$0.00 ,1,1,1,1,1,1,20081001E0655,HCPCS,Pneumatic appliance half arm,NU,,28,,NW,,,,,,$219.33 ,$0.00 ,1,1,1,1,1,1,20081001E0655,HCPCS,Pneumatic appliance half arm,RR,,28,,NW,,,,,,$26.31 ,$0.00 ,1,1,1,1,1,1,20081001E0655,HCPCS,Pneumatic appliance half arm,UE,,28,,NW,,,,,,$161.79 ,$0.00 ,1,1,1,1,1,1,20081001E0660,HCPCS,Pneumatic appliance full leg,NU,,28,,NW,,,,,,$330.30 ,$0.00 ,1,1,1,1,1,1,20081001E0660,HCPCS,Pneumatic appliance full leg,RR,,28,,NW,,,,,,$32.98 ,$0.00 ,1,1,1,1,1,1,20081001E0660,HCPCS,Pneumatic appliance full leg,UE,,28,,NW,,,,,,$244.78 ,$0.00 ,1,1,1,1,1,1,20081001E0665,HCPCS,Pneumatic appliance full arm,NU,,28,,NW,,,,,,$281.58 ,$0.00 ,1,1,1,1,1,1,20081001E0665,HCPCS,Pneumatic appliance full arm,RR,,28,,NW,,,,,,$28.65 ,$0.00 ,1,1,1,1,1,1,20081001E0665,HCPCS,Pneumatic appliance full arm,UE,,28,,NW,,,,,,$208.53 ,$0.00 ,1,1,1,1,1,1,20081001E0666,HCPCS,Pneumatic appliance half leg,NU,,28,,NW,,,,,,$283.92 ,$0.00 ,1,1,1,1,1,1,20081001E0666,HCPCS,Pneumatic appliance half leg,RR,,28,,NW,,,,,,$28.92 ,$0.00 ,1,1,1,1,1,1,20081001E0666,HCPCS,Pneumatic appliance half leg,UE,,28,,NW,,,,,,$210.07 ,$0.00 ,1,1,1,1,1,1,20081001E0667,HCPCS,Seg pneumatic appl full leg,NU,,28,,NW,,,,,,$681.55 ,$0.00 ,1,1,1,1,1,1,20081001E0667,HCPCS,Seg pneumatic appl full leg,RR,,28,,NW,,,,,,$66.72 ,$0.00 ,1,1,1,1,1,1,20081001E0667,HCPCS,Seg pneumatic appl full leg,UE,,28,,NW,,,,,,$508.22 ,$0.00 ,1,1,1,1,1,1,20081001E0668,HCPCS,Seg pneumatic appl full arm,NU,,28,,NW,,,,,,$934.47 ,$0.00 ,1,1,1,1,1,1,20081001E0668,HCPCS,Seg pneumatic appl full arm,RR,,28,,NW,,,,,,$81.62 ,$0.00 ,1,1,1,1,1,1,20081001E0668,HCPCS,Seg pneumatic appl full arm,UE,,28,,NW,,,,,,$697.93 ,$0.00 ,1,1,1,1,1,1,20081001E0669,HCPCS,Seg pneumatic appli half leg,NU,,28,,NW,,,,,,$380.77 ,$0.00 ,1,1,1,1,1,1,20081001E0669,HCPCS,Seg pneumatic appli half leg,RR,,28,,NW,,,,,,$35.88 ,$0.00 ,1,1,1,1,1,1,20081001E0669,HCPCS,Seg pneumatic appli half leg,UE,,28,,NW,,,,,,$282.69 ,$0.00 ,1,1,1,1,1,1,20081001E0671,HCPCS,Pressure pneum appl full leg,NU,,28,,NW,,,,,,$877.65 ,$0.00 ,1,1,1,1,1,1,20081001E0671,HCPCS,Pressure pneum appl full leg,RR,,28,,NW,,,,,,$77.17 ,$0.00 ,1,1,1,1,1,1,20081001E0671,HCPCS,Pressure pneum appl full leg,UE,,28,,NW,,,,,,$655.28 ,$0.00 ,1,1,1,1,1,1,20081001E0672,HCPCS,Pressure pneum appl full arm,NU,,28,,NW,,,,,,$679.32 ,$0.00 ,1,1,1,1,1,1,20081001E0672,HCPCS,Pressure pneum appl full arm,RR,,28,,NW,,,,,,$59.48 ,$0.00 ,1,1,1,1,1,1,20081001E0672,HCPCS,Pressure pneum appl full arm,UE,,28,,NW,,,,,,$506.56 ,$0.00 ,1,1,1,1,1,1,20081001E0673,HCPCS,Pressure pneum appl half leg,NU,,28,,NW,,,,,,$562.47 ,$0.00 ,1,1,1,1,1,1,20081001E0673,HCPCS,Pressure pneum appl half leg,RR,,28,,NW,,,,,,$50.23 ,$0.00 ,1,1,1,1,1,1,20081001E0673,HCPCS,Pressure pneum appl half leg,UE,,28,,NW,,,,,,$418.96 ,$0.00 ,1,1,1,1,1,1,20081001E0675,HCPCS,Pneumatic compression device,RR,,28,,NW,,,,,,$920.85 ,$0.00 ,1,1,1,0,1,1,20081001E0691,HCPCS,Uvl pnl 2 sq ft or less,NU,,28,,NW,,,,,,"$1,912.44 ",$0.00 ,1,1,1,1,1,1,20081001E0691,HCPCS,Uvl pnl 2 sq ft or less,RR,,28,,NW,,,,,,$180.65 ,$0.00 ,1,1,1,1,1,1,20081001E0691,HCPCS,Uvl pnl 2 sq ft or less,UE,,28,,NW,,,,,,"$1,431.39 ",$0.00 ,1,1,1,1,1,1,20081001E0692,HCPCS,Uvl sys panel 4 ft,NU,,28,,NW,,,,,,"$2,404.50 ",$0.00 ,1,1,1,1,1,1,20081001E0692,HCPCS,Uvl sys panel 4 ft,RR,,28,,NW,,,,,,$229.83 ,$0.00 ,1,1,1,1,1,1,20081001E0692,HCPCS,Uvl sys panel 4 ft,UE,,28,,NW,,,,,,"$1,800.45 ",$0.00 ,1,1,1,1,1,1,20081001E0693,HCPCS,Uvl sys panel 6 ft,NU,,28,,NW,,,,,,"$2,966.83 ",$0.00 ,1,1,1,1,1,1,20081001E0693,HCPCS,Uvl sys panel 6 ft,RR,,28,,NW,,,,,,$286.10 ,$0.00 ,1,1,1,1,1,1,20081001E0693,HCPCS,Uvl sys panel 6 ft,UE,,28,,NW,,,,,,"$2,222.20 ",$0.00 ,1,1,1,1,1,1,20081001E0694,HCPCS,Uvl md cabinet sys 6 ft,NU,,28,,NW,,,,,,"$9,468.77 ",$0.00 ,1,1,1,1,1,1,20081001E0694,HCPCS,Uvl md cabinet sys 6 ft,RR,,28,,NW,,,,,,$936.29 ,$0.00 ,1,1,1,1,1,1,20081001E0694,HCPCS,Uvl md cabinet sys 6 ft,UE,,28,,NW,,,,,,"$7,098.70 ",$0.00 ,1,1,1,1,1,1,20081001E0700,HCPCS,Safety equipment,,,28,,NW,,,,,,$55.36 ,$0.00 ,1,1,1,1,1,1,20081001E0705,HCPCS,Transfer device,NU,,28,,NW,,,,,,$82.68 ,$0.00 ,1,1,1,1,1,1,20081001E0705,HCPCS,Transfer device,RR,,28,,NW,,,,,,$8.42 ,$0.00 ,1,1,1,1,1,1,20081001E0705,HCPCS,Transfer device,UE,,28,,NW,,,,,,$60.54 ,$0.00 ,1,1,1,1,1,1,20081001E0710,HCPCS,Restraints any type,,,28,,NW,,,,,,$19.59 ,$0.00 ,1,1,1,1,1,1,20081001E0720,HCPCS,Tens two lead,NU,,28,,NW,,,,,,$775.36 ,$0.00 ,1,1,1,1,1,1,20081001E0720,HCPCS,Tens two lead,RR,,28,,NW,,,,,,$223.41 ,$0.00 ,1,1,1,1,1,1,20081001E0720,HCPCS,Tens two lead,UE,,28,,NW,,,,,,$426.39 ,$0.00 ,1,1,1,1,1,1,20081001E0730,HCPCS,Tens four lead,NU,,28,,NW,,,,,,$781.74 ,$0.00 ,1,1,1,1,1,1,20081001E0730,HCPCS,Tens four lead,RR,,28,,NW,,,,,,$265.82 ,$0.00 ,1,1,1,1,1,1,20081001E0730,HCPCS,Tens four lead,UE,,28,,NW,,,,,,$430.17 ,$0.00 ,1,1,1,1,1,1,20081001E0731,HCPCS,Conductive garment for tens/,NU,,28,,NW,,,,,,$752.04 ,$0.00 ,1,1,1,1,1,1,20081001E0731,HCPCS,Conductive garment for tens/,RR,,28,,NW,,,,,,$77.55 ,$0.00 ,1,1,1,1,1,1,20081001E0740,HCPCS,Incontinence treatment systm,NU,,28,,NW,,,,,,"$1,107.88 ",$0.00 ,1,1,1,1,1,1,20081001E0740,HCPCS,Incontinence treatment systm,RR,,28,,NW,,,,,,$100.21 ,$0.00 ,1,1,1,1,1,1,20081001E0744,HCPCS,Neuromuscular stim for scoli,NU,,28,,NW,,,,,,"$1,230.93 ",$0.00 ,1,1,1,1,1,1,20081001E0744,HCPCS,Neuromuscular stim for scoli,RR,,28,,NW,,,,,,$184.32 ,$0.00 ,1,1,1,1,1,1,20081001E0744,HCPCS,Neuromuscular stim for scoli,UE,,28,,NW,,,,,,"$1,116.33 ",$0.00 ,1,1,1,1,1,1,20081001E0745,HCPCS,Neuromuscular stim for shock,NU,,28,,NW,,,,,,"$1,744.73 ",$0.00 ,1,1,1,1,1,1,20081001E0745,HCPCS,Neuromuscular stim for shock,RR,,28,,NW,,,,,,$179.92 ,$0.00 ,1,1,1,1,1,1,20081001E0745,HCPCS,Neuromuscular stim for shock,UE,,28,,NW,,,,,,"$1,308.92 ",$0.00 ,1,1,1,1,1,1,20081001E0746,HCPCS,Electromyograph biofeedback,NU,,28,,NW,,,,,,$241.49 ,$0.00 ,1,1,1,1,1,1,20081001E0746,HCPCS,Electromyograph biofeedback,RR,,28,,NW,,,,,,$24.92 ,$0.00 ,1,1,1,1,1,1,20081001E0746,HCPCS,Electromyograph biofeedback,UE,,28,,NW,,,,,,$181.18 ,$0.00 ,1,1,1,1,1,1,20081001E0747,HCPCS,Elec osteogen stim not spine,NU,,28,,NW,,,,,,"$7,541.28 ",$0.00 ,1,1,1,1,1,1,20081001E0747,HCPCS,Elec osteogen stim not spine,RR,,28,,NW,,,,,,$738.81 ,$0.00 ,1,1,1,1,1,1,20081001E0747,HCPCS,Elec osteogen stim not spine,UE,,28,,NW,,,,,,"$5,599.99 ",$0.00 ,1,1,1,1,1,1,20081001E0748,HCPCS,Elec osteogen stim spinal,NU,,28,,NW,,,,,,"$7,492.32 ",$0.00 ,1,1,1,1,1,1,20081001E0748,HCPCS,Elec osteogen stim spinal,RR,,28,,NW,,,,,,$738.62 ,$0.00 ,1,1,1,1,1,1,20081001E0748,HCPCS,Elec osteogen stim spinal,UE,,28,,NW,,,,,,"$5,616.34 ",$0.00 ,1,1,1,1,1,1,20081001E0749,HCPCS,Elec osteogen stim implanted,,,28,,NW,,,,,,"$7,328.48 ",$0.00 ,1,1,1,1,1,1,20081001E0760,HCPCS,Osteogen ultrasound stimltor,NU,,28,,NW,,,,,,"$6,223.99 ",$0.00 ,1,1,1,1,1,1,20081001E0762,HCPCS,Trans elec jt stim dev sys,NU,,28,,NW,,,,,,"$1,649.34 ",$0.00 ,1,1,1,1,1,1,20081001E0762,HCPCS,Trans elec jt stim dev sys,RR,,28,,NW,,,,,,$164.94 ,$0.00 ,1,1,1,1,1,1,20081001E0762,HCPCS,Trans elec jt stim dev sys,UE,,28,,NW,,,,,,"$1,236.98 ",$0.00 ,1,1,1,1,1,1,20081001E0765,HCPCS,Nerve stimulator for tx n&v,NU,,28,,NW,,,,,,$168.38 ,$0.00 ,1,1,1,1,1,1,20081001E0776,HCPCS,Iv pole,NU,,28,,NW,,,,,,$294.80 ,$0.00 ,1,1,1,1,1,1,20081001E0776,HCPCS,Iv pole,RR,,28,,NW,,,,,,$36.40 ,$0.00 ,1,1,1,1,1,1,20081001E0776,HCPCS,Iv pole,UE,,28,,NW,,,,,,$213.79 ,$0.00 ,1,1,1,1,1,1,20081001E0779,HCPCS,Amb infusion pump mechanical,RR,,28,,NW,,,,,,$33.17 ,$0.00 ,1,1,1,1,1,1,20081001E0780,HCPCS,Mech amb infusion pump <8hrs,NU,,28,,NW,,,,,,$22.39 ,$0.00 ,1,1,1,1,1,1,20081001E0781,HCPCS,External ambulatory infus pu,RR,,28,,NW,,,,,,$555.42 ,$0.00 ,1,1,1,1,1,1,20081001E0782,HCPCS,Non-programble infusion pump,NU,,28,,NW,,,,,,"$8,269.07 ",$0.00 ,1,1,1,1,1,1,20081001E0783,HCPCS,Programmable infusion pump,NU,,28,,NW,,,,,,"$15,778.52 ",$0.00 ,1,1,1,1,1,1,20081001E0784,HCPCS,Ext amb infusn pump insulin,RR,,28,,NW,,,,,,$882.40 ,$0.00 ,1,1,1,1,1,1,20081001E0784,HCPCS,Ext amb infusn pump insulin,,,28,,NW,,,,,,"$6,489.36 ",$0.00 ,1,1,1,1,1,1,20081001E0785,HCPCS,Replacement impl pump cathet,,,28,,NW,,,,,,$899.55 ,$0.00 ,1,1,1,1,1,1,20081001E0786,HCPCS,Implantable pump replacement,,,28,,NW,,,,,,"$11,540.10 ",$0.00 ,1,1,1,1,1,1,20081001E0791,HCPCS,Parenteral infusion pump sta,RR,,28,,NW,,,,,,$734.12 ,$0.00 ,1,1,1,1,1,1,20081001E0791,HCPCS,Parenteral infusion pump sta,UE,,28,,NW,,,,,,"$5,341.27 ",$0.00 ,1,1,1,1,1,1,20081001E0791,HCPCS,Parenteral infusion pump sta,,,28,,NW,,,,,,"$7,119.69 ",$0.00 ,1,1,1,1,1,1,20081001E0830,HCPCS,Ambulatory traction device,,,28,,NW,,,,,,"$2,855.27 ",$0.00 ,1,1,1,1,1,1,20081001E0840,HCPCS,Tract frame attach headboard,,,28,,NW,,,,,,$104.47 ,$0.00 ,1,1,1,1,1,1,20081001E0849,HCPCS,Cervical pneum trac equip,NU,,28,,NW,,,,,,$772.96 ,$0.00 ,1,1,1,1,1,1,20081001E0849,HCPCS,Cervical pneum trac equip,RR,,28,,NW,,,,,,$77.29 ,$0.00 ,1,1,1,1,1,1,20081001E0849,HCPCS,Cervical pneum trac equip,UE,,28,,NW,,,,,,$579.69 ,$0.00 ,1,1,1,1,1,1,20081001E0849,HCPCS,Cervical pneum trac equip,,,28,,NW,,,,,,$61.92 ,$0.00 ,1,1,1,0,1,1,20081001E0850,HCPCS,Traction stand free standing,,,28,,NW,,,,,,$148.53 ,$0.00 ,1,1,1,1,1,1,20081001E0855,HCPCS,Cervical traction equipment,,,28,,NW,,,,,,$795.46 ,$0.00 ,1,1,1,1,1,1,20081001E0860,HCPCS,Tract equip cervical tract,,,28,,NW,,,,,,$57.56 ,$0.00 ,1,1,1,1,1,1,20081001E0870,HCPCS,Tract frame attach footboard,,,28,,NW,,,,,,$164.33 ,$0.00 ,1,1,1,1,1,1,20081001E0880,HCPCS,Trac stand free stand extrem,,,28,,NW,,,,,,$176.99 ,$0.00 ,1,1,1,1,1,1,20081001E0890,HCPCS,Traction frame attach pelvic,,,28,,NW,,,,,,$180.35 ,$0.00 ,1,1,1,1,1,1,20081001E0900,HCPCS,Trac stand free stand pelvic,,,28,,NW,,,,,,$178.85 ,$0.00 ,1,1,1,1,1,1,20081001E0910,HCPCS,Trapeze bar attached to bed,RR,,28,,NW,,,,,,$39.99 ,$0.00 ,1,1,1,1,1,1,20081001E0910,HCPCS,Trapeze bar attached to bed,UE,,28,,NW,,,,,,$299.27 ,$0.00 ,1,1,1,1,1,1,20081001E0910,HCPCS,Trapeze bar attached to bed,,,28,,NW,,,,,,$399.26 ,$0.00 ,1,1,1,1,1,1,20081001E0920,HCPCS,Fracture frame attached to b,RR,,28,,NW,,,,,,$88.26 ,$0.00 ,1,1,1,1,1,1,20081001E0920,HCPCS,Fracture frame attached to b,UE,,28,,NW,,,,,,$732.66 ,$0.00 ,1,1,1,1,1,1,20081001E0920,HCPCS,Fracture frame attached to b,,,28,,NW,,,,,,$882.51 ,$0.00 ,1,1,1,1,1,1,20081001E0930,HCPCS,Fracture frame free standing,RR,,28,,NW,,,,,,$87.43 ,$0.00 ,1,1,1,1,1,1,20081001E0930,HCPCS,Fracture frame free standing,UE,,28,,NW,,,,,,$644.83 ,$0.00 ,1,1,1,1,1,1,20081001E0930,HCPCS,Fracture frame free standing,,,28,,NW,,,,,,$875.92 ,$0.00 ,1,1,1,1,1,1,20081001E0935,HCPCS,Exercise device passive moti,RR,,28,,NW,,,,,,$43.31 ,$0.00 ,1,1,1,1,1,1,20081001E0940,HCPCS,Trapeze bar free standing,RR,,28,,NW,,,,,,$67.27 ,$0.00 ,1,1,1,1,1,1,20081001E0940,HCPCS,Trapeze bar free standing,UE,,28,,NW,,,,,,$447.61 ,$0.00 ,1,1,1,1,1,1,20081001E0940,HCPCS,Trapeze bar free standing,,,28,,NW,,,,,,$632.58 ,$0.00 ,1,1,1,1,1,1,20081001E0941,HCPCS,Gravity assisted traction de,NU,,28,,NW,,,,,,$830.38 ,$0.00 ,1,1,1,1,1,1,20081001E0941,HCPCS,Gravity assisted traction de,RR,,28,,NW,,,,,,$83.21 ,$0.00 ,1,1,1,1,1,1,20081001E0941,HCPCS,Gravity assisted traction de,UE,,28,,NW,,,,,,$627.84 ,$0.00 ,1,1,1,1,1,1,20081001E0942,HCPCS,Cervical head harness/halter,NU,,28,,NW,,,,,,$39.73 ,$0.00 ,1,1,1,1,1,1,20081001E0944,HCPCS,Pelvic belt/harness/boot,NU,,28,,NW,,,,,,$75.55 ,$0.00 ,1,1,1,1,1,1,20081001E0945,HCPCS,Belt/harness extremity,NU,,28,,NW,,,,,,$73.11 ,$0.00 ,1,1,1,1,1,1,20081001E0946,HCPCS,Fracture frame dual w cross,NU,,28,,NW,,,,,,"$1,126.55 ",$0.00 ,1,1,1,1,1,1,20081001E0946,HCPCS,Fracture frame dual w cross,RR,,28,,NW,,,,,,$112.28 ,$0.00 ,1,1,1,1,1,1,20081001E0946,HCPCS,Fracture frame dual w cross,UE,,28,,NW,,,,,,$845.47 ,$0.00 ,1,1,1,1,1,1,20081001E0947,HCPCS,Fracture frame attachmnts pe,NU,,28,,NW,,,,,,"$1,050.68 ",$0.00 ,1,1,1,1,1,1,20081001E0947,HCPCS,Fracture frame attachmnts pe,RR,,28,,NW,,,,,,$119.18 ,$0.00 ,1,1,1,1,1,1,20081001E0947,HCPCS,Fracture frame attachmnts pe,UE,,28,,NW,,,,,,$791.66 ,$0.00 ,1,1,1,1,1,1,20081001E0948,HCPCS,Fracture frame attachmnts ce,NU,,28,,NW,,,,,,"$1,016.72 ",$0.00 ,1,1,1,1,1,1,20081001E0948,HCPCS,Fracture frame attachmnts ce,RR,,28,,NW,,,,,,$111.33 ,$0.00 ,1,1,1,1,1,1,20081001E0948,HCPCS,Fracture frame attachmnts ce,UE,,28,,NW,,,,,,$721.39 ,$0.00 ,1,1,1,1,1,1,20081001E0950,HCPCS,Tray,NU,,28,,NW,,,,,,$169.75 ,$0.00 ,1,1,1,1,1,1,20081001E0950,HCPCS,Tray,RR,,28,,NW,,,,,,$20.39 ,$0.00 ,1,1,1,1,1,1,20081001E0950,HCPCS,Tray,UE,,28,,NW,,,,,,$127.49 ,$0.00 ,1,1,1,1,1,1,20081001E0951,HCPCS,Loop heel,NU,,28,,NW,,,,,,$33.73 ,$0.00 ,1,1,1,1,1,1,20081001E0951,HCPCS,Loop heel,RR,,28,,NW,,,,,,$4.72 ,$0.00 ,1,1,1,1,1,1,20081001E0951,HCPCS,Loop heel,UE,,28,,NW,,,,,,$26.31 ,$0.00 ,1,1,1,1,1,1,20081001E0952,HCPCS,"Toe loop/holder, each",NU,,28,,NW,,,,,,$33.48 ,$0.00 ,1,1,1,1,1,1,20081001E0952,HCPCS,"Toe loop/holder, each",RR,,28,,NW,,,,,,$4.72 ,$0.00 ,1,1,1,1,1,1,20081001E0952,HCPCS,"Toe loop/holder, each",UE,,28,,NW,,,,,,$26.18 ,$0.00 ,1,1,1,1,1,1,20081001E0955,HCPCS,Cushioned headrest,NU,,28,,NW,,,,,,$242.94 ,$0.00 ,1,1,1,0,1,1,20081001E0955,HCPCS,Cushioned headrest,RR,,28,,NW,,,,,,$24.30 ,$0.00 ,1,1,1,0,1,1,20081001E0955,HCPCS,Cushioned headrest,UE,,28,,NW,,,,,,$182.21 ,$0.00 ,1,1,1,0,1,1,20081001E0956,HCPCS,W/c lateral trunk/hip suppor,NU,,28,,NW,,,,,,$118.46 ,$0.00 ,1,1,1,0,1,1,20081001E0956,HCPCS,W/c lateral trunk/hip suppor,RR,,28,,NW,,,,,,$11.84 ,$0.00 ,1,1,1,0,1,1,20081001E0956,HCPCS,W/c lateral trunk/hip suppor,UE,,28,,NW,,,,,,$88.84 ,$0.00 ,1,1,1,0,1,1,20081001E0957,HCPCS,W/c medial thigh support,NU,,28,,NW,,,,,,$165.73 ,$0.00 ,1,1,1,0,1,1,20081001E0957,HCPCS,W/c medial thigh support,RR,,28,,NW,,,,,,$16.58 ,$0.00 ,1,1,1,0,1,1,20081001E0957,HCPCS,W/c medial thigh support,UE,,28,,NW,,,,,,$124.30 ,$0.00 ,1,1,1,0,1,1,20081001E0958,HCPCS,Whlchr att- conv 1 arm drive,NU,,28,,NW,,,,,,$719.40 ,$0.00 ,1,1,1,1,1,1,20081001E0958,HCPCS,Whlchr att- conv 1 arm drive,RR,,28,,NW,,,,,,$72.04 ,$0.00 ,1,1,1,1,1,1,20081001E0958,HCPCS,Whlchr att- conv 1 arm drive,UE,,28,,NW,,,,,,$539.83 ,$0.00 ,1,1,1,1,1,1,20081001E0959,HCPCS,Amputee adapter,NU,,28,,NW,,,,,,$72.95 ,$0.00 ,1,1,1,1,1,1,20081001E0959,HCPCS,Amputee adapter,RR,,28,,NW,,,,,,$10.71 ,$0.00 ,1,1,1,1,1,1,20081001E0959,HCPCS,Amputee adapter,UE,,28,,NW,,,,,,$56.23 ,$0.00 ,1,1,1,1,1,1,20081001E0960,HCPCS,W/c shoulder harness/straps,NU,,28,,NW,,,,,,$109.32 ,$0.00 ,1,1,1,0,1,1,20081001E0960,HCPCS,W/c shoulder harness/straps,RR,,28,,NW,,,,,,$10.94 ,$0.00 ,1,1,1,0,1,1,20081001E0960,HCPCS,W/c shoulder harness/straps,UE,,28,,NW,,,,,,$81.99 ,$0.00 ,1,1,1,0,1,1,20081001E0961,HCPCS,Wheelchair brake extension,NU,,28,,NW,,,,,,$50.44 ,$0.00 ,1,1,1,1,1,1,20081001E0961,HCPCS,Wheelchair brake extension,RR,,28,,NW,,,,,,$7.49 ,$0.00 ,1,1,1,1,1,1,20081001E0961,HCPCS,Wheelchair brake extension,UE,,28,,NW,,,,,,$27.31 ,$0.00 ,1,1,1,1,1,1,20081001E0966,HCPCS,Wheelchair head rest extensi,NU,,28,,NW,,,,,,$116.77 ,$0.00 ,1,1,1,1,1,1,20081001E0966,HCPCS,Wheelchair head rest extensi,RR,,28,,NW,,,,,,$15.15 ,$0.00 ,1,1,1,1,1,1,20081001E0966,HCPCS,Wheelchair head rest extensi,UE,,28,,NW,,,,,,$87.70 ,$0.00 ,1,1,1,1,1,1,20081001E0967,HCPCS,Wheelchair hand rims,NU,,28,,NW,,,,,,$107.52 ,$0.00 ,1,1,1,1,1,1,20081001E0967,HCPCS,Wheelchair hand rims,RR,,28,,NW,,,,,,$14.41 ,$0.00 ,1,1,1,1,1,1,20081001E0967,HCPCS,Wheelchair hand rims,UE,,28,,NW,,,,,,$80.78 ,$0.00 ,1,1,1,1,1,1,20081001E0968,HCPCS,Wheelchair commode seat,NU,,28,,NW,,,,,,$323.63 ,$0.00 ,1,1,1,1,1,1,20081001E0968,HCPCS,Wheelchair commode seat,RR,,28,,NW,,,,,,$32.09 ,$0.00 ,1,1,1,1,1,1,20081001E0968,HCPCS,Wheelchair commode seat,UE,,28,,NW,,,,,,$206.03 ,$0.00 ,1,1,1,1,1,1,20081001E0969,HCPCS,Wheelchair narrowing device,NU,,28,,NW,,,,,,$255.44 ,$0.00 ,1,1,1,1,1,1,20081001E0969,HCPCS,Wheelchair narrowing device,RR,,28,,NW,,,,,,$28.31 ,$0.00 ,1,1,1,1,1,1,20081001E0969,HCPCS,Wheelchair narrowing device,UE,,28,,NW,,,,,,$191.76 ,$0.00 ,1,1,1,1,1,1,20081001E0970,HCPCS,Wheelchair no. 2 footplates,NU,,28,,NW,,,,,,$84.23 ,$0.00 ,1,1,1,1,1,1,20081001E0970,HCPCS,Wheelchair no. 2 footplates,RR,,28,,NW,,,,,,$11.17 ,$0.00 ,1,1,1,1,1,1,20081001E0970,HCPCS,Wheelchair no. 2 footplates,UE,,28,,NW,,,,,,$64.45 ,$0.00 ,1,1,1,1,1,1,20081001E0971,HCPCS,Wheelchair anti-tipping devi,NU,,28,,NW,,,,,,$107.60 ,$0.00 ,1,1,1,1,1,1,20081001E0971,HCPCS,Wheelchair anti-tipping devi,RR,,28,,NW,,,,,,$15.79 ,$0.00 ,1,1,1,1,1,1,20081001E0971,HCPCS,Wheelchair anti-tipping devi,UE,,28,,NW,,,,,,$80.88 ,$0.00 ,1,1,1,1,1,1,20081001E0973,HCPCS,W/Ch access det adj armrest,NU,,28,,NW,,,,,,$187.67 ,$0.00 ,1,1,1,1,1,1,20081001E0973,HCPCS,W/Ch access det adj armrest,RR,,28,,NW,,,,,,$21.21 ,$0.00 ,1,1,1,1,1,1,20081001E0973,HCPCS,W/Ch access det adj armrest,UE,,28,,NW,,,,,,$140.92 ,$0.00 ,1,1,1,1,1,1,20081001E0974,HCPCS,W/Ch access anti-rollback,NU,,28,,NW,,,,,,$128.20 ,$0.00 ,1,1,1,1,1,1,20081001E0974,HCPCS,W/Ch access anti-rollback,RR,,28,,NW,,,,,,$17.11 ,$0.00 ,1,1,1,1,1,1,20081001E0974,HCPCS,W/Ch access anti-rollback,UE,,28,,NW,,,,,,$97.03 ,$0.00 ,1,1,1,1,1,1,20081001E0978,HCPCS,"W/C acc,saf belt pelv strap",NU,,28,,NW,,,,,,$70.61 ,$0.00 ,1,1,1,1,1,1,20081001E0978,HCPCS,"W/C acc,saf belt pelv strap",RR,,28,,NW,,,,,,$10.34 ,$0.00 ,1,1,1,1,1,1,20081001E0978,HCPCS,"W/C acc,saf belt pelv strap",UE,,28,,NW,,,,,,$53.43 ,$0.00 ,1,1,1,1,1,1,20081001E0980,HCPCS,Wheelchair safety vest,NU,,28,,NW,,,,,,$55.60 ,$0.00 ,1,1,1,1,1,1,20081001E0980,HCPCS,Wheelchair safety vest,RR,,28,,NW,,,,,,$7.96 ,$0.00 ,1,1,1,1,1,1,20081001E0980,HCPCS,Wheelchair safety vest,UE,,28,,NW,,,,,,$42.54 ,$0.00 ,1,1,1,1,1,1,20081001E0981,HCPCS,"Seat upholstery, replacement",NU,,28,,NW,,,,,,$77.53 ,$0.00 ,1,1,1,1,1,1,20081001E0981,HCPCS,"Seat upholstery, replacement",RR,,28,,NW,,,,,,$11.58 ,$0.00 ,1,1,1,1,1,1,20081001E0981,HCPCS,"Seat upholstery, replacement",UE,,28,,NW,,,,,,$59.70 ,$0.00 ,1,1,1,1,1,1,20081001E0982,HCPCS,"Back upholstery, replacement",NU,,28,,NW,,,,,,$84.49 ,$0.00 ,1,1,1,1,1,1,20081001E0982,HCPCS,"Back upholstery, replacement",RR,,28,,NW,,,,,,$12.21 ,$0.00 ,1,1,1,1,1,1,20081001E0982,HCPCS,"Back upholstery, replacement",UE,,28,,NW,,,,,,$64.28 ,$0.00 ,1,1,1,1,1,1,20081001E0983,HCPCS,Add pwr joystick,RR,,28,,NW,,,,,,$407.21 ,$0.00 ,1,1,1,1,1,1,20081001E0984,HCPCS,Add pwr tiller,NU,,28,,NW,,,,,,"$3,108.41 ",$0.00 ,1,1,1,1,1,1,20081001E0984,HCPCS,Add pwr tiller,RR,,28,,NW,,,,,,$289.54 ,$0.00 ,1,1,1,1,1,1,20081001E0984,HCPCS,Add pwr tiller,UE,,28,,NW,,,,,,"$2,398.71 ",$0.00 ,1,1,1,1,1,1,20081001E0985,HCPCS,W/c seat lift mechanism,NU,,28,,NW,,,,,,$243.73 ,$0.00 ,1,1,1,0,1,1,20081001E0985,HCPCS,W/c seat lift mechanism,RR,,28,,NW,,,,,,$24.38 ,$0.00 ,1,1,1,0,1,1,20081001E0985,HCPCS,W/c seat lift mechanism,UE,,28,,NW,,,,,,$182.80 ,$0.00 ,1,1,1,0,1,1,20081001E0986,HCPCS,Man w/c push-rim pow assist,NU,,28,,NW,,,,,,"$5,844.55 ",$0.00 ,1,1,1,0,1,1,20081001E0986,HCPCS,Man w/c push-rim pow assist,RR,,28,,NW,,,,,,$584.15 ,$0.00 ,1,1,1,0,1,1,20081001E0986,HCPCS,Man w/c push-rim pow assist,UE,,28,,NW,,,,,,"$4,381.12 ",$0.00 ,1,1,1,0,1,1,20081001E0990,HCPCS,Whellchair elevating leg res,NU,,28,,NW,,,,,,$191.67 ,$0.00 ,1,1,1,1,1,1,20081001E0990,HCPCS,Whellchair elevating leg res,RR,,28,,NW,,,,,,$24.76 ,$0.00 ,1,1,1,1,1,1,20081001E0990,HCPCS,Whellchair elevating leg res,UE,,28,,NW,,,,,,$149.91 ,$0.00 ,1,1,1,1,1,1,20081001E0992,HCPCS,Wheelchair solid seat insert,NU,,28,,NW,,,,,,$155.44 ,$0.00 ,1,1,1,1,1,1,20081001E0992,HCPCS,Wheelchair solid seat insert,RR,,28,,NW,,,,,,$18.57 ,$0.00 ,1,1,1,1,1,1,20081001E0992,HCPCS,Wheelchair solid seat insert,UE,,28,,NW,,,,,,$116.77 ,$0.00 ,1,1,1,1,1,1,20081001E0994,HCPCS,Wheelchair arm rest,NU,,28,,NW,,,,,,$31.61 ,$0.00 ,1,1,1,1,1,1,20081001E0994,HCPCS,Wheelchair arm rest,RR,,28,,NW,,,,,,$4.29 ,$0.00 ,1,1,1,1,1,1,20081001E0994,HCPCS,Wheelchair arm rest,UE,,28,,NW,,,,,,$24.77 ,$0.00 ,1,1,1,1,1,1,20081001E0995,HCPCS,Wheelchair calf rest,NU,,28,,NW,,,,,,$51.47 ,$0.00 ,1,1,1,1,1,1,20081001E0995,HCPCS,Wheelchair calf rest,RR,,28,,NW,,,,,,$7.34 ,$0.00 ,1,1,1,1,1,1,20081001E0995,HCPCS,Wheelchair calf rest,UE,,28,,NW,,,,,,$39.62 ,$0.00 ,1,1,1,1,1,1,20081001E1002,HCPCS,Pwr seat tilt,,,28,,NW,,,,,,$494.24 ,$0.00 ,1,1,1,0,1,1,20081001E1003,HCPCS,Pwr seat recline,,,28,,NW,,,,,,$527.64 ,$0.00 ,1,1,1,0,1,1,20081001E1004,HCPCS,Pwr seat recline mech,,,28,,NW,,,,,,$585.04 ,$0.00 ,1,1,1,0,1,1,20081001E1005,HCPCS,Pwr seat recline pwr,,,28,,NW,,,,,,$633.25 ,$0.00 ,1,1,1,0,1,1,20081001E1006,HCPCS,Pwr seat combo w/o shear,,,28,,NW,,,,,,$775.65 ,$0.00 ,1,1,1,0,1,1,20081001E1007,HCPCS,Pwr seat combo w/shear,,,28,,NW,,,,,,"$1,050.30 ",$0.00 ,1,1,1,0,1,1,20081001E1008,HCPCS,Pwr seat combo pwr shear,,,28,,NW,,,,,,"$1,050.39 ",$0.00 ,1,1,1,0,1,1,20081001E1009,HCPCS,Add mech leg elevation,,,28,,NW,,,,,,$125.03 ,$0.00 ,1,1,1,0,1,1,20081001E1010,HCPCS,Add pwr leg elevation,,,28,,NW,,,,,,"$1,853.69 ",$0.00 ,1,1,1,0,1,1,20081001E1014,HCPCS,Reclining back add ped w/c,NU,,28,,NW,,,,,,$594.61 ,$0.00 ,1,1,1,1,1,1,20081001E1015,HCPCS,Shock absorber for man w/c,NU,,28,,NW,,,,,,$187.24 ,$0.00 ,1,1,1,1,1,1,20081001E1016,HCPCS,Shock absorber for power w/c,NU,,28,,NW,,,,,,$214.26 ,$0.00 ,1,1,1,1,1,1,20081001E1020,HCPCS,Residual limb support system,NU,,28,,NW,,,,,,$396.60 ,$0.00 ,1,1,1,1,1,1,20081001E1020,HCPCS,Residual limb support system,UE,,28,,NW,,,,,,$297.59 ,$0.00 ,1,1,1,1,1,1,20081001E1028,HCPCS,W/c manual swingaway,,,28,,NW,,,,,,$24.82 ,$0.00 ,1,1,1,0,1,1,20081001E1029,HCPCS,W/c vent tray fixed,,,28,,NW,,,,,,$44.40 ,$0.00 ,1,1,1,0,1,1,20081001E1030,HCPCS,W/c vent tray gimbaled,,,28,,NW,,,,,,$140.02 ,$0.00 ,1,1,1,0,1,1,20081001E1031,HCPCS,Rollabout chair with casters,NU,,28,,NW,,,,,,$826.23 ,$0.00 ,1,1,1,1,1,1,20081001E1031,HCPCS,Rollabout chair with casters,RR,,28,,NW,,,,,,$82.83 ,$0.00 ,1,1,1,1,1,1,20081001E1031,HCPCS,Rollabout chair with casters,UE,,28,,NW,,,,,,$619.83 ,$0.00 ,1,1,1,1,1,1,20081001E1035,HCPCS,Patient transfer system,RR,,28,,NW,,,,,,$998.10 ,$0.00 ,1,1,1,1,1,1,20081001E1037,HCPCS,"Transport chair, ped size",,,28,,NW,,,,,,$177.13 ,$0.00 ,1,1,1,1,1,1,20081001E1038,HCPCS,"Transport chair, adult size",,,28,,NW,,,,,,$66.42 ,$0.00 ,1,1,1,1,1,1,20081001E1039,HCPCS,Transport chair pt wt >300lb,,,28,,NW,,,,,,$41.10 ,$0.00 ,1,1,1,0,1,1,20081001E1050,HCPCS,Whelchr fxd full length arms,NU,,28,,NW,,,,,,"$1,865.79 ",$0.00 ,1,1,1,1,1,1,20081001E1050,HCPCS,Whelchr fxd full length arms,RR,,28,,NW,,,,,,$166.31 ,$0.00 ,1,1,1,1,1,1,20081001E1050,HCPCS,Whelchr fxd full length arms,UE,,28,,NW,,,,,,"$1,399.50 ",$0.00 ,1,1,1,1,1,1,20081001E1060,HCPCS,Wheelchair detachable arms,NU,,28,,NW,,,,,,"$2,437.32 ",$0.00 ,1,1,1,1,1,1,20081001E1060,HCPCS,Wheelchair detachable arms,RR,,28,,NW,,,,,,$205.73 ,$0.00 ,1,1,1,1,1,1,20081001E1060,HCPCS,Wheelchair detachable arms,UE,,28,,NW,,,,,,"$1,827.63 ",$0.00 ,1,1,1,1,1,1,20081001E1070,HCPCS,Wheelchair detachable foot r,NU,,28,,NW,,,,,,"$2,198.46 ",$0.00 ,1,1,1,1,1,1,20081001E1070,HCPCS,Wheelchair detachable foot r,RR,,28,,NW,,,,,,$178.82 ,$0.00 ,1,1,1,1,1,1,20081001E1070,HCPCS,Wheelchair detachable foot r,UE,,28,,NW,,,,,,"$1,648.52 ",$0.00 ,1,1,1,1,1,1,20081001E1083,HCPCS,Hemi-wheelchair fixed arms,NU,,28,,NW,,,,,,"$1,285.46 ",$0.00 ,1,1,1,1,1,1,20081001E1083,HCPCS,Hemi-wheelchair fixed arms,RR,,28,,NW,,,,,,$128.73 ,$0.00 ,1,1,1,1,1,1,20081001E1083,HCPCS,Hemi-wheelchair fixed arms,UE,,28,,NW,,,,,,$937.91 ,$0.00 ,1,1,1,1,1,1,20081001E1084,HCPCS,Hemi-wheelchair detachable a,NU,,28,,NW,,,,,,"$1,959.12 ",$0.00 ,1,1,1,1,1,1,20081001E1084,HCPCS,Hemi-wheelchair detachable a,RR,,28,,NW,,,,,,$160.24 ,$0.00 ,1,1,1,1,1,1,20081001E1084,HCPCS,Hemi-wheelchair detachable a,UE,,28,,NW,,,,,,"$1,399.48 ",$0.00 ,1,1,1,1,1,1,20081001E1085,HCPCS,Hemi-wheelchair fixed arms,NU,,28,,NW,,,,,,"$1,288.55 ",$0.00 ,1,1,1,1,1,1,20081001E1085,HCPCS,Hemi-wheelchair fixed arms,RR,,28,,NW,,,,,,$129.46 ,$0.00 ,1,1,1,1,1,1,20081001E1085,HCPCS,Hemi-wheelchair fixed arms,UE,,28,,NW,,,,,,$925.48 ,$0.00 ,1,1,1,1,1,1,20081001E1086,HCPCS,Hemi-wheelchair detachable a,NU,,28,,NW,,,,,,"$1,569.42 ",$0.00 ,1,1,1,1,1,1,20081001E1086,HCPCS,Hemi-wheelchair detachable a,RR,,28,,NW,,,,,,$143.15 ,$0.00 ,1,1,1,1,1,1,20081001E1086,HCPCS,Hemi-wheelchair detachable a,UE,,28,,NW,,,,,,"$1,139.88 ",$0.00 ,1,1,1,1,1,1,20081001E1087,HCPCS,Wheelchair lightwt fixed arm,NU,,28,,NW,,,,,,"$2,065.87 ",$0.00 ,1,1,1,1,1,1,20081001E1087,HCPCS,Wheelchair lightwt fixed arm,RR,,28,,NW,,,,,,$206.43 ,$0.00 ,1,1,1,1,1,1,20081001E1087,HCPCS,Wheelchair lightwt fixed arm,UE,,28,,NW,,,,,,"$1,506.54 ",$0.00 ,1,1,1,1,1,1,20081001E1088,HCPCS,Wheelchair lightweight det a,NU,,28,,NW,,,,,,"$2,464.98 ",$0.00 ,1,1,1,1,1,1,20081001E1088,HCPCS,Wheelchair lightweight det a,RR,,28,,NW,,,,,,$245.91 ,$0.00 ,1,1,1,1,1,1,20081001E1088,HCPCS,Wheelchair lightweight det a,UE,,28,,NW,,,,,,"$1,691.09 ",$0.00 ,1,1,1,1,1,1,20081001E1089,HCPCS,Wheelchair lightwt fixed arm,NU,,28,,NW,,,,,,"$2,082.52 ",$0.00 ,1,1,1,1,1,1,20081001E1089,HCPCS,Wheelchair lightwt fixed arm,RR,,28,,NW,,,,,,$208.92 ,$0.00 ,1,1,1,1,1,1,20081001E1089,HCPCS,Wheelchair lightwt fixed arm,UE,,28,,NW,,,,,,"$1,561.88 ",$0.00 ,1,1,1,1,1,1,20081001E1090,HCPCS,Wheelchair lightweight det a,NU,,28,,NW,,,,,,"$2,146.91 ",$0.00 ,1,1,1,1,1,1,20081001E1090,HCPCS,Wheelchair lightweight det a,RR,,28,,NW,,,,,,$208.92 ,$0.00 ,1,1,1,1,1,1,20081001E1090,HCPCS,Wheelchair lightweight det a,UE,,28,,NW,,,,,,"$1,569.42 ",$0.00 ,1,1,1,1,1,1,20081001E1092,HCPCS,Wheelchair wide w/ leg rests,NU,,28,,NW,,,,,,"$2,313.29 ",$0.00 ,1,1,1,1,1,1,20081001E1092,HCPCS,Wheelchair wide w/ leg rests,RR,,28,,NW,,,,,,$209.69 ,$0.00 ,1,1,1,1,1,1,20081001E1092,HCPCS,Wheelchair wide w/ leg rests,UE,,28,,NW,,,,,,"$1,690.85 ",$0.00 ,1,1,1,1,1,1,20081001E1093,HCPCS,Wheelchair wide w/ foot rest,NU,,28,,NW,,,,,,"$1,764.12 ",$0.00 ,1,1,1,1,1,1,20081001E1093,HCPCS,Wheelchair wide w/ foot rest,RR,,28,,NW,,,,,,$180.45 ,$0.00 ,1,1,1,1,1,1,20081001E1093,HCPCS,Wheelchair wide w/ foot rest,UE,,28,,NW,,,,,,"$1,312.71 ",$0.00 ,1,1,1,1,1,1,20081001E1100,HCPCS,Whchr s-recl fxd arm leg res,NU,,28,,NW,,,,,,"$1,693.35 ",$0.00 ,1,1,1,1,1,1,20081001E1100,HCPCS,Whchr s-recl fxd arm leg res,RR,,28,,NW,,,,,,$169.52 ,$0.00 ,1,1,1,1,1,1,20081001E1100,HCPCS,Whchr s-recl fxd arm leg res,UE,,28,,NW,,,,,,"$1,270.46 ",$0.00 ,1,1,1,1,1,1,20081001E1110,HCPCS,Wheelchair semi-recl detach,NU,,28,,NW,,,,,,"$1,657.33 ",$0.00 ,1,1,1,1,1,1,20081001E1110,HCPCS,Wheelchair semi-recl detach,RR,,28,,NW,,,,,,$166.01 ,$0.00 ,1,1,1,1,1,1,20081001E1110,HCPCS,Wheelchair semi-recl detach,UE,,28,,NW,,,,,,"$1,205.14 ",$0.00 ,1,1,1,1,1,1,20081001E1130,HCPCS,Whlchr stand fxd arm ft rest,NU,,28,,NW,,,,,,$826.13 ,$0.00 ,1,1,1,1,1,1,20081001E1130,HCPCS,Whlchr stand fxd arm ft rest,RR,,28,,NW,,,,,,$83.55 ,$0.00 ,1,1,1,1,1,1,20081001E1130,HCPCS,Whlchr stand fxd arm ft rest,UE,,28,,NW,,,,,,$628.15 ,$0.00 ,1,1,1,1,1,1,20081001E1140,HCPCS,Wheelchair standard detach a,NU,,28,,NW,,,,,,"$1,189.23 ",$0.00 ,1,1,1,1,1,1,20081001E1140,HCPCS,Wheelchair standard detach a,RR,,28,,NW,,,,,,$119.86 ,$0.00 ,1,1,1,1,1,1,20081001E1140,HCPCS,Wheelchair standard detach a,UE,,28,,NW,,,,,,$842.58 ,$0.00 ,1,1,1,1,1,1,20081001E1150,HCPCS,Wheelchair standard w/ leg r,NU,,28,,NW,,,,,,"$1,378.98 ",$0.00 ,1,1,1,1,1,1,20081001E1150,HCPCS,Wheelchair standard w/ leg r,RR,,28,,NW,,,,,,$133.34 ,$0.00 ,1,1,1,1,1,1,20081001E1150,HCPCS,Wheelchair standard w/ leg r,UE,,28,,NW,,,,,,$913.00 ,$0.00 ,1,1,1,1,1,1,20081001E1160,HCPCS,Wheelchair fixed arms,NU,,28,,NW,,,,,,"$1,117.39 ",$0.00 ,1,1,1,1,1,1,20081001E1160,HCPCS,Wheelchair fixed arms,RR,,28,,NW,,,,,,$102.33 ,$0.00 ,1,1,1,1,1,1,20081001E1160,HCPCS,Wheelchair fixed arms,UE,,28,,NW,,,,,,$780.27 ,$0.00 ,1,1,1,1,1,1,20081001E1161,HCPCS,Manual adult wc w tiltinspac,NU,,28,,NW,,,,,,"$3,849.35 ",$0.00 ,1,1,1,1,1,1,20081001E1161,HCPCS,Manual adult wc w tiltinspac,UE,,28,,NW,,,,,,"$2,887.22 ",$0.00 ,1,1,1,1,1,1,20081001E1170,HCPCS,Whlchr ampu fxd arm leg rest,NU,,28,,NW,,,,,,"$1,458.07 ",$0.00 ,1,1,1,1,1,1,20081001E1170,HCPCS,Whlchr ampu fxd arm leg rest,RR,,28,,NW,,,,,,$145.95 ,$0.00 ,1,1,1,1,1,1,20081001E1170,HCPCS,Whlchr ampu fxd arm leg rest,UE,,28,,NW,,,,,,"$1,093.89 ",$0.00 ,1,1,1,1,1,1,20081001E1171,HCPCS,Wheelchair amputee w/o leg r,NU,,28,,NW,,,,,,"$1,306.96 ",$0.00 ,1,1,1,1,1,1,20081001E1171,HCPCS,Wheelchair amputee w/o leg r,RR,,28,,NW,,,,,,$131.03 ,$0.00 ,1,1,1,1,1,1,20081001E1171,HCPCS,Wheelchair amputee w/o leg r,UE,,28,,NW,,,,,,$980.23 ,$0.00 ,1,1,1,1,1,1,20081001E1172,HCPCS,Wheelchair amputee detach ar,NU,,28,,NW,,,,,,"$1,596.05 ",$0.00 ,1,1,1,1,1,1,20081001E1172,HCPCS,Wheelchair amputee detach ar,RR,,28,,NW,,,,,,$159.99 ,$0.00 ,1,1,1,1,1,1,20081001E1172,HCPCS,Wheelchair amputee detach ar,UE,,28,,NW,,,,,,"$1,197.17 ",$0.00 ,1,1,1,1,1,1,20081001E1180,HCPCS,Wheelchair amputee w/ foot r,NU,,28,,NW,,,,,,"$1,656.30 ",$0.00 ,1,1,1,1,1,1,20081001E1180,HCPCS,Wheelchair amputee w/ foot r,RR,,28,,NW,,,,,,$165.51 ,$0.00 ,1,1,1,1,1,1,20081001E1180,HCPCS,Wheelchair amputee w/ foot r,UE,,28,,NW,,,,,,"$1,241.92 ",$0.00 ,1,1,1,1,1,1,20081001E1190,HCPCS,Wheelchair amputee w/ leg re,NU,,28,,NW,,,,,,"$1,912.24 ",$0.00 ,1,1,1,1,1,1,20081001E1190,HCPCS,Wheelchair amputee w/ leg re,RR,,28,,NW,,,,,,$191.09 ,$0.00 ,1,1,1,1,1,1,20081001E1190,HCPCS,Wheelchair amputee w/ leg re,UE,,28,,NW,,,,,,"$1,396.25 ",$0.00 ,1,1,1,1,1,1,20081001E1195,HCPCS,Wheelchair amputee heavy dut,NU,,28,,NW,,,,,,"$2,050.11 ",$0.00 ,1,1,1,1,1,1,20081001E1195,HCPCS,Wheelchair amputee heavy dut,RR,,28,,NW,,,,,,$205.01 ,$0.00 ,1,1,1,1,1,1,20081001E1195,HCPCS,Wheelchair amputee heavy dut,UE,,28,,NW,,,,,,"$1,538.19 ",$0.00 ,1,1,1,1,1,1,20081001E1200,HCPCS,Wheelchair amputee fixed arm,NU,,28,,NW,,,,,,"$1,419.66 ",$0.00 ,1,1,1,1,1,1,20081001E1200,HCPCS,Wheelchair amputee fixed arm,RR,,28,,NW,,,,,,$142.19 ,$0.00 ,1,1,1,1,1,1,20081001E1200,HCPCS,Wheelchair amputee fixed arm,UE,,28,,NW,,,,,,"$1,064.46 ",$0.00 ,1,1,1,1,1,1,20081001E1220,HCPCS,Whlchr special size/constrc,,,28,,NW,,,,,,"$4,130.36 ",$0.00 ,1,1,1,1,1,1,20081001E1221,HCPCS,Wheelchair spec size w foot,NU,,28,,NW,,,,,,$781.48 ,$0.00 ,1,1,1,1,1,1,20081001E1221,HCPCS,Wheelchair spec size w foot,RR,,28,,NW,,,,,,$78.09 ,$0.00 ,1,1,1,1,1,1,20081001E1221,HCPCS,Wheelchair spec size w foot,UE,,28,,NW,,,,,,$586.28 ,$0.00 ,1,1,1,1,1,1,20081001E1222,HCPCS,Wheelchair spec size w/ leg,NU,,28,,NW,,,,,,"$1,112.66 ",$0.00 ,1,1,1,1,1,1,20081001E1222,HCPCS,Wheelchair spec size w/ leg,RR,,28,,NW,,,,,,$110.93 ,$0.00 ,1,1,1,1,1,1,20081001E1222,HCPCS,Wheelchair spec size w/ leg,UE,,28,,NW,,,,,,$800.55 ,$0.00 ,1,1,1,1,1,1,20081001E1223,HCPCS,Wheelchair spec size w foot,NU,,28,,NW,,,,,,"$1,207.05 ",$0.00 ,1,1,1,1,1,1,20081001E1223,HCPCS,Wheelchair spec size w foot,RR,,28,,NW,,,,,,$121.06 ,$0.00 ,1,1,1,1,1,1,20081001E1223,HCPCS,Wheelchair spec size w foot,UE,,28,,NW,,,,,,$863.36 ,$0.00 ,1,1,1,1,1,1,20081001E1224,HCPCS,Wheelchair spec size w/ leg,NU,,28,,NW,,,,,,"$1,394.24 ",$0.00 ,1,1,1,1,1,1,20081001E1224,HCPCS,Wheelchair spec size w/ leg,RR,,28,,NW,,,,,,$132.65 ,$0.00 ,1,1,1,1,1,1,20081001E1224,HCPCS,Wheelchair spec size w/ leg,UE,,28,,NW,,,,,,$935.61 ,$0.00 ,1,1,1,1,1,1,20081001E1225,HCPCS,Wheelchair spec sz semi-recl,NU,,28,,NW,,,,,,$744.89 ,$0.00 ,1,1,1,1,1,1,20081001E1225,HCPCS,Wheelchair spec sz semi-recl,RR,,28,,NW,,,,,,$74.50 ,$0.00 ,1,1,1,1,1,1,20081001E1225,HCPCS,Wheelchair spec sz semi-recl,UE,,28,,NW,,,,,,$558.97 ,$0.00 ,1,1,1,1,1,1,20081001E1226,HCPCS,W/C access fully reclineback,NU,,28,,NW,,,,,,$888.22 ,$0.00 ,1,1,1,1,1,1,20081001E1226,HCPCS,W/C access fully reclineback,RR,,28,,NW,,,,,,$92.02 ,$0.00 ,1,1,1,1,1,1,20081001E1226,HCPCS,W/C access fully reclineback,UE,,28,,NW,,,,,,$666.27 ,$0.00 ,1,1,1,1,1,1,20081001E1227,HCPCS,Wheelchair spec sz spec ht a,NU,,28,,NW,,,,,,$452.04 ,$0.00 ,1,1,1,1,1,1,20081001E1227,HCPCS,Wheelchair spec sz spec ht a,RR,,28,,NW,,,,,,$47.34 ,$0.00 ,1,1,1,1,1,1,20081001E1227,HCPCS,Wheelchair spec sz spec ht a,UE,,28,,NW,,,,,,$339.25 ,$0.00 ,1,1,1,1,1,1,20081001E1228,HCPCS,Wheelchair spec sz spec ht b,NU,,28,,NW,,,,,,$475.83 ,$0.00 ,1,1,1,1,1,1,20081001E1228,HCPCS,Wheelchair spec sz spec ht b,RR,,28,,NW,,,,,,$47.78 ,$0.00 ,1,1,1,1,1,1,20081001E1228,HCPCS,Wheelchair spec sz spec ht b,UE,,28,,NW,,,,,,$356.72 ,$0.00 ,1,1,1,1,1,1,20081001E1230,HCPCS,Power operated vehicle,NU,,28,,NW,,,,,,"$3,679.70 ",$0.00 ,1,1,1,1,1,1,20081001E1230,HCPCS,Power operated vehicle,RR,,28,,NW,,,,,,$362.51 ,$0.00 ,1,1,1,1,1,1,20081001E1230,HCPCS,Power operated vehicle,UE,,28,,NW,,,,,,"$2,910.36 ",$0.00 ,1,1,1,1,1,1,20081001E1232,HCPCS,Folding ped wc tilt-in-space,NU,,28,,NW,,,,,,"$3,479.01 ",$0.00 ,1,1,1,1,1,1,20081001E1232,HCPCS,Folding ped wc tilt-in-space,UE,,28,,NW,,,,,,"$2,609.44 ",$0.00 ,1,1,1,1,1,1,20081001E1233,HCPCS,Rig ped wc tltnspc w/o seat,NU,,28,,NW,,,,,,"$3,604.77 ",$0.00 ,1,1,1,1,1,1,20081001E1233,HCPCS,Rig ped wc tltnspc w/o seat,UE,,28,,NW,,,,,,"$2,703.73 ",$0.00 ,1,1,1,1,1,1,20081001E1234,HCPCS,Fld ped wc tltnspc w/o seat,NU,,28,,NW,,,,,,"$3,138.31 ",$0.00 ,1,1,1,1,1,1,20081001E1234,HCPCS,Fld ped wc tltnspc w/o seat,UE,,28,,NW,,,,,,"$2,353.86 ",$0.00 ,1,1,1,1,1,1,20081001E1235,HCPCS,Rigid ped wc adjustable,NU,,28,,NW,,,,,,"$3,021.97 ",$0.00 ,1,1,1,1,1,1,20081001E1235,HCPCS,Rigid ped wc adjustable,UE,,28,,NW,,,,,,"$2,266.63 ",$0.00 ,1,1,1,1,1,1,20081001E1236,HCPCS,Folding ped wc adjustable,NU,,28,,NW,,,,,,"$2,666.22 ",$0.00 ,1,1,1,1,1,1,20081001E1236,HCPCS,Folding ped wc adjustable,UE,,28,,NW,,,,,,"$1,999.84 ",$0.00 ,1,1,1,1,1,1,20081001E1237,HCPCS,Rgd ped wc adjstabl w/o seat,NU,,28,,NW,,,,,,"$2,689.50 ",$0.00 ,1,1,1,1,1,1,20081001E1237,HCPCS,Rgd ped wc adjstabl w/o seat,UE,,28,,NW,,,,,,"$2,017.33 ",$0.00 ,1,1,1,1,1,1,20081001E1238,HCPCS,Fld ped wc adjstabl w/o seat,NU,,28,,NW,,,,,,"$2,804.18 ",$0.00 ,1,1,1,1,1,1,20081001E1238,HCPCS,Fld ped wc adjstabl w/o seat,UE,,28,,NW,,,,,,"$2,103.28 ",$0.00 ,1,1,1,1,1,1,20081001E1240,HCPCS,Whchr litwt det arm leg rest,NU,,28,,NW,,,,,,"$1,682.26 ",$0.00 ,1,1,1,1,1,1,20081001E1240,HCPCS,Whchr litwt det arm leg rest,RR,,28,,NW,,,,,,$168.24 ,$0.00 ,1,1,1,1,1,1,20081001E1240,HCPCS,Whchr litwt det arm leg rest,UE,,28,,NW,,,,,,"$1,204.03 ",$0.00 ,1,1,1,1,1,1,20081001E1250,HCPCS,Wheelchair lightwt fixed arm,NU,,28,,NW,,,,,,"$1,272.12 ",$0.00 ,1,1,1,1,1,1,20081001E1250,HCPCS,Wheelchair lightwt fixed arm,RR,,28,,NW,,,,,,$116.44 ,$0.00 ,1,1,1,1,1,1,20081001E1250,HCPCS,Wheelchair lightwt fixed arm,UE,,28,,NW,,,,,,"$1,007.68 ",$0.00 ,1,1,1,1,1,1,20081001E1260,HCPCS,Wheelchair lightwt foot rest,NU,,28,,NW,,,,,,"$1,486.54 ",$0.00 ,1,1,1,1,1,1,20081001E1260,HCPCS,Wheelchair lightwt foot rest,RR,,28,,NW,,,,,,$149.32 ,$0.00 ,1,1,1,1,1,1,20081001E1260,HCPCS,Wheelchair lightwt foot rest,UE,,28,,NW,,,,,,"$1,172.78 ",$0.00 ,1,1,1,1,1,1,20081001E1270,HCPCS,Wheelchair lightweight leg r,NU,,28,,NW,,,,,,"$1,293.38 ",$0.00 ,1,1,1,1,1,1,20081001E1270,HCPCS,Wheelchair lightweight leg r,RR,,28,,NW,,,,,,$129.07 ,$0.00 ,1,1,1,1,1,1,20081001E1270,HCPCS,Wheelchair lightweight leg r,UE,,28,,NW,,,,,,$949.66 ,$0.00 ,1,1,1,1,1,1,20081001E1280,HCPCS,Whchr h-duty det arm leg res,NU,,28,,NW,,,,,,"$2,143.21 ",$0.00 ,1,1,1,1,1,1,20081001E1280,HCPCS,Whchr h-duty det arm leg res,RR,,28,,NW,,,,,,$214.17 ,$0.00 ,1,1,1,1,1,1,20081001E1280,HCPCS,Whchr h-duty det arm leg res,UE,,28,,NW,,,,,,"$1,536.27 ",$0.00 ,1,1,1,1,1,1,20081001E1285,HCPCS,Wheelchair heavy duty fixed,NU,,28,,NW,,,,,,"$1,916.05 ",$0.00 ,1,1,1,1,1,1,20081001E1285,HCPCS,Wheelchair heavy duty fixed,RR,,28,,NW,,,,,,$192.47 ,$0.00 ,1,1,1,1,1,1,20081001E1285,HCPCS,Wheelchair heavy duty fixed,UE,,28,,NW,,,,,,"$1,404.32 ",$0.00 ,1,1,1,1,1,1,20081001E1290,HCPCS,Wheelchair hvy duty detach a,NU,,28,,NW,,,,,,"$1,981.80 ",$0.00 ,1,1,1,1,1,1,20081001E1290,HCPCS,Wheelchair hvy duty detach a,RR,,28,,NW,,,,,,$198.64 ,$0.00 ,1,1,1,1,1,1,20081001E1290,HCPCS,Wheelchair hvy duty detach a,UE,,28,,NW,,,,,,"$1,445.41 ",$0.00 ,1,1,1,1,1,1,20081001E1295,HCPCS,Wheelchair heavy duty fixed,NU,,28,,NW,,,,,,"$1,982.39 ",$0.00 ,1,1,1,1,1,1,20081001E1295,HCPCS,Wheelchair heavy duty fixed,RR,,28,,NW,,,,,,$198.24 ,$0.00 ,1,1,1,1,1,1,20081001E1295,HCPCS,Wheelchair heavy duty fixed,UE,,28,,NW,,,,,,"$1,440.42 ",$0.00 ,1,1,1,1,1,1,20081001E1296,HCPCS,Wheelchair special seat heig,NU,,28,,NW,,,,,,$800.42 ,$0.00 ,1,1,1,1,1,1,20081001E1296,HCPCS,Wheelchair special seat heig,RR,,28,,NW,,,,,,$81.90 ,$0.00 ,1,1,1,1,1,1,20081001E1296,HCPCS,Wheelchair special seat heig,UE,,28,,NW,,,,,,$600.48 ,$0.00 ,1,1,1,1,1,1,20081001E1297,HCPCS,Wheelchair special seat dept,NU,,28,,NW,,,,,,$170.84 ,$0.00 ,1,1,1,1,1,1,20081001E1297,HCPCS,Wheelchair special seat dept,RR,,28,,NW,,,,,,$22.26 ,$0.00 ,1,1,1,1,1,1,20081001E1297,HCPCS,Wheelchair special seat dept,UE,,28,,NW,,,,,,$128.28 ,$0.00 ,1,1,1,1,1,1,20081001E1298,HCPCS,Wheelchair spec seat depth/w,NU,,28,,NW,,,,,,$689.78 ,$0.00 ,1,1,1,1,1,1,20081001E1298,HCPCS,Wheelchair spec seat depth/w,RR,,28,,NW,,,,,,$71.63 ,$0.00 ,1,1,1,1,1,1,20081001E1298,HCPCS,Wheelchair spec seat depth/w,UE,,28,,NW,,,,,,$517.48 ,$0.00 ,1,1,1,1,1,1,20081001E1300,HCPCS,Whirlpool portable,NU,,28,,NW,,,,,,$158.24 ,$0.00 ,1,1,1,1,1,1,20081001E1300,HCPCS,Whirlpool portable,RR,,28,,NW,,,,,,$16.32 ,$0.00 ,1,1,1,1,1,1,20081001E1300,HCPCS,Whirlpool portable,UE,,28,,NW,,,,,,$118.72 ,$0.00 ,1,1,1,1,1,1,20081001E1310,HCPCS,Whirlpool non-portable,NU,,28,,NW,,,,,,"$4,586.62 ",$0.00 ,1,1,1,1,1,1,20081001E1310,HCPCS,Whirlpool non-portable,RR,,28,,NW,,,,,,$381.54 ,$0.00 ,1,1,1,1,1,1,20081001E1310,HCPCS,Whirlpool non-portable,UE,,28,,NW,,,,,,"$3,437.02 ",$0.00 ,1,1,1,1,1,1,20081001E1340,HCPCS,"Repair for DME, per 15 min",,,28,,NW,,,,,,$21.85 ,$0.00 ,1,1,1,1,1,1,20081001E1353,HCPCS,Oxygen supplies regulator, ,,28,,NW,,,,,,$49.30 ,$0.00 ,1,1,1,1,1,1,20081001E1353,HCPCS,Oxygen supplies regulator,NU,,28,,NW,,,,,,$205.67 ,$0.00 ,1,1,1,1,1,1,20081001E1353,HCPCS,Oxygen supplies regulator,RR,,28,,NW,,,,,,$11.15 ,$0.00 ,1,1,1,1,1,1,20081001E1353,HCPCS,Oxygen supplies regulator,UE,,28,,NW,,,,,,$165.78 ,$0.00 ,1,1,1,1,1,1,20081001E1355,HCPCS,Oxygen supplies stand/rack, ,,28,,NW,,,,,,$37.13 ,$0.00 ,1,1,1,1,1,1,20081001E1355,HCPCS,Oxygen supplies stand/rack,NU,,28,,NW,,,,,,$141.42 ,$0.00 ,1,1,1,1,1,1,20081001E1355,HCPCS,Oxygen supplies stand/rack,RR,,28,,NW,,,,,,$15.84 ,$0.00 ,1,1,1,1,1,1,20081001E1355,HCPCS,Oxygen supplies stand/rack,UE,,28,,NW,,,,,,$114.83 ,$0.00 ,1,1,1,1,1,1,20081001E1372,HCPCS,Oxy suppl heater for nebuliz,NU,,28,,NW,,,,,,$337.32 ,$0.00 ,1,1,1,1,1,1,20081001E1372,HCPCS,Oxy suppl heater for nebuliz,RR,,28,,NW,,,,,,$44.94 ,$0.00 ,1,1,1,1,1,1,20081001E1372,HCPCS,Oxy suppl heater for nebuliz,UE,,28,,NW,,,,,,$246.64 ,$0.00 ,1,1,1,1,1,1,20081001E1390,HCPCS,Oxygen concentrator,NU,,28,,NW,,,,,,"$4,737.19 ",$0.00 ,1,1,1,1,1,1,20081001E1390,HCPCS,Oxygen concentrator,RR,,28,,NW,,,,,,$622.87 ,$0.00 ,1,1,1,1,1,1,20081001E1391,HCPCS,"Oxygen concentrator, dual",,,28,,NW,,,,,,$622.87 ,$0.00 ,1,1,1,1,1,1,20081001E1399,HCPCS,Durable medical equipment mi,,,28,,NW,,,,,,$3.69 ,$0.00 ,1,1,1,1,1,1,20081001E1405,HCPCS,O2/water vapor enrich w/heat,NU,,28,,NW,,,,,,"$6,260.04 ",$0.00 ,1,1,1,1,1,1,20081001E1405,HCPCS,O2/water vapor enrich w/heat,RR,,28,,NW,,,,,,$645.49 ,$0.00 ,1,1,1,1,1,1,20081001E1405,HCPCS,O2/water vapor enrich w/heat,UE,,28,,NW,,,,,,"$4,696.35 ",$0.00 ,1,1,1,1,1,1,20081001E1406,HCPCS,O2/water vapor enrich w/o he,NU,,28,,NW,,,,,,"$2,639.31 ",$0.00 ,1,1,1,1,1,1,20081001E1406,HCPCS,O2/water vapor enrich w/o he,RR,,28,,NW,,,,,,$272.15 ,$0.00 ,1,1,1,1,1,1,20081001E1406,HCPCS,O2/water vapor enrich w/o he,UE,,28,,NW,,,,,,"$1,980.03 ",$0.00 ,1,1,1,1,1,1,20081001E1510,HCPCS,Kidney dialysate delivry sys,NU,,28,,NW,,,,,,"$8,091.84 ",$0.00 ,1,1,1,1,1,1,20081001E1510,HCPCS,Kidney dialysate delivry sys,RR,,28,,NW,,,,,,$834.36 ,$0.00 ,1,1,1,1,1,1,20081001E1510,HCPCS,Kidney dialysate delivry sys,UE,,28,,NW,,,,,,"$6,070.59 ",$0.00 ,1,1,1,1,1,1,20081001E1520,HCPCS,Heparin infusion pump,NU,,28,,NW,,,,,,"$1,096.12 ",$0.00 ,1,1,1,1,1,1,20081001E1520,HCPCS,Heparin infusion pump,RR,,28,,NW,,,,,,$113.02 ,$0.00 ,1,1,1,1,1,1,20081001E1520,HCPCS,Heparin infusion pump,UE,,28,,NW,,,,,,$822.34 ,$0.00 ,1,1,1,1,1,1,20081001E1530,HCPCS,Replacement air bubble detec,NU,,28,,NW,,,,,,"$1,585.89 ",$0.00 ,1,1,1,1,1,1,20081001E1530,HCPCS,Replacement air bubble detec,RR,,28,,NW,,,,,,$163.53 ,$0.00 ,1,1,1,1,1,1,20081001E1530,HCPCS,Replacement air bubble detec,UE,,28,,NW,,,,,,"$1,189.75 ",$0.00 ,1,1,1,1,1,1,20081001E1540,HCPCS,Replacement pressure alarm,NU,,28,,NW,,,,,,$982.60 ,$0.00 ,1,1,1,1,1,1,20081001E1540,HCPCS,Replacement pressure alarm,RR,,28,,NW,,,,,,$101.32 ,$0.00 ,1,1,1,1,1,1,20081001E1540,HCPCS,Replacement pressure alarm,UE,,28,,NW,,,,,,$737.17 ,$0.00 ,1,1,1,1,1,1,20081001E1550,HCPCS,Bath conductivity meter,NU,,28,,NW,,,,,,$640.24 ,$0.00 ,1,1,1,1,1,1,20081001E1550,HCPCS,Bath conductivity meter,RR,,28,,NW,,,,,,$66.01 ,$0.00 ,1,1,1,1,1,1,20081001E1550,HCPCS,Bath conductivity meter,UE,,28,,NW,,,,,,$480.31 ,$0.00 ,1,1,1,1,1,1,20081001E1560,HCPCS,Replace blood leak detector,NU,,28,,NW,,,,,,"$1,803.93 ",$0.00 ,1,1,1,1,1,1,20081001E1560,HCPCS,Replace blood leak detector,RR,,28,,NW,,,,,,$186.00 ,$0.00 ,1,1,1,1,1,1,20081001E1560,HCPCS,Replace blood leak detector,UE,,28,,NW,,,,,,"$1,353.34 ",$0.00 ,1,1,1,1,1,1,20081001E1570,HCPCS,Adjustable chair for esrd pt,NU,,28,,NW,,,,,,$711.38 ,$0.00 ,1,1,1,1,1,1,20081001E1570,HCPCS,Adjustable chair for esrd pt,RR,,28,,NW,,,,,,$73.36 ,$0.00 ,1,1,1,1,1,1,20081001E1570,HCPCS,Adjustable chair for esrd pt,UE,,28,,NW,,,,,,$533.70 ,$0.00 ,1,1,1,1,1,1,20081001E1575,HCPCS,Transducer protect/fld bar,NU,,28,,NW,,,,,,$94.62 ,$0.00 ,1,1,1,1,1,1,20081001E1575,HCPCS,Transducer protect/fld bar,RR,,28,,NW,,,,,,$9.76 ,$0.00 ,1,1,1,1,1,1,20081001E1575,HCPCS,Transducer protect/fld bar,UE,,28,,NW,,,,,,$70.99 ,$0.00 ,1,1,1,1,1,1,20081001E1590,HCPCS,Hemodialysis machine,NU,,28,,NW,,,,,,"$1,773.88 ",$0.00 ,1,1,1,1,1,1,20081001E1590,HCPCS,Hemodialysis machine,RR,,28,,NW,,,,,,$182.91 ,$0.00 ,1,1,1,1,1,1,20081001E1590,HCPCS,Hemodialysis machine,UE,,28,,NW,,,,,,"$1,330.78 ",$0.00 ,1,1,1,1,1,1,20081001E1594,HCPCS,Cycler dialysis machine,NU,,28,,NW,,,,,,"$8,142.69 ",$0.00 ,1,1,1,1,1,1,20081001E1594,HCPCS,Cycler dialysis machine,RR,,28,,NW,,,,,,$839.61 ,$0.00 ,1,1,1,1,1,1,20081001E1594,HCPCS,Cycler dialysis machine,UE,,28,,NW,,,,,,"$6,108.73 ",$0.00 ,1,1,1,1,1,1,20081001E1600,HCPCS,Deli/install chrg hemo equip,,,28,,NW,,,,,,$261.67 ,$0.00 ,1,1,1,0,1,1,20081001E1610,HCPCS,Reverse osmosis h2o puri sys,NU,,28,,NW,,,,,,"$6,224.49 ",$0.00 ,1,1,1,1,1,1,20081001E1610,HCPCS,Reverse osmosis h2o puri sys,RR,,28,,NW,,,,,,$641.83 ,$0.00 ,1,1,1,1,1,1,20081001E1610,HCPCS,Reverse osmosis h2o puri sys,UE,,28,,NW,,,,,,"$4,669.69 ",$0.00 ,1,1,1,1,1,1,20081001E1635,HCPCS,Compact travel hemodialyzer,,,28,,NW,,,,,,$755.62 ,$0.00 ,1,1,1,0,1,1,20081001E1636,HCPCS,Sorbent cartridges per 10,,,28,,NW,,,,,,$279.26 ,$0.00 ,1,1,1,0,1,1,20081001E1637,HCPCS,"Hemostats for dialysis, each",,,28,,NW,,,,,,$9.57 ,$0.00 ,1,1,1,1,1,1,20081001E1639,HCPCS,Dialysis scale,,,28,,NW,,,,,,$180.42 ,$0.00 ,1,1,1,1,1,1,20081001E1699,HCPCS,Dialysis equipment noc,,,28,,NW,,,,,,$98.24 ,$0.00 ,1,1,1,1,1,1,20081001E1700,HCPCS,Jaw motion rehab system,NU,,28,,NW,,,,,,$726.66 ,$0.00 ,1,1,1,1,1,1,20081001E1701,HCPCS,Repl cushions for jaw motion,,,28,,NW,,,,,,$22.79 ,$0.00 ,1,1,1,1,1,1,20081001E1702,HCPCS,Repl measr scales jaw motion,,,28,,NW,,,,,,$43.03 ,$0.00 ,1,1,1,1,1,1,20081001E1800,HCPCS,Adjust elbow ext/flex device,RR,,28,,NW,,,,,,$250.55 ,$0.00 ,1,1,1,1,1,1,20081001E1801,HCPCS,SPS elbow device,RR,,28,,NW,,,,,,$264.48 ,$0.00 ,1,1,1,1,1,1,20081001E1802,HCPCS,Adjst forearm pro/sup device,,,28,,NW,,,,,,$688.03 ,$0.00 ,1,1,1,1,1,1,20081001E1805,HCPCS,Adjust wrist ext/flex device,RR,,28,,NW,,,,,,$258.76 ,$0.00 ,1,1,1,1,1,1,20081001E1806,HCPCS,SPS wrist device,RR,,28,,NW,,,,,,$215.02 ,$0.00 ,1,1,1,1,1,1,20081001E1810,HCPCS,Adjust knee ext/flex device,RR,,28,,NW,,,,,,$255.02 ,$0.00 ,1,1,1,1,1,1,20081001E1811,HCPCS,SPS knee device,RR,,28,,NW,,,,,,$275.43 ,$0.00 ,1,1,1,1,1,1,20081001E1815,HCPCS,Adjust ankle ext/flex device,RR,,28,,NW,,,,,,$258.76 ,$0.00 ,1,1,1,1,1,1,20081001E1816,HCPCS,SPS ankle device,RR,,28,,NW,,,,,,$279.95 ,$0.00 ,1,1,1,1,1,1,20081001E1818,HCPCS,SPS forearm device,RR,,28,,NW,,,,,,$286.07 ,$0.00 ,1,1,1,1,1,1,20081001E1820,HCPCS,Soft interface material,NU,,28,,NW,,,,,,$163.27 ,$0.00 ,1,1,1,1,1,1,20081001E1820,HCPCS,Soft interface material,RR,,28,,NW,,,,,,$18.66 ,$0.00 ,1,1,1,1,1,1,20081001E1820,HCPCS,Soft interface material,UE,,28,,NW,,,,,,$119.54 ,$0.00 ,1,1,1,1,1,1,20081001E1821,HCPCS,Replacement interface SPSD,NU,,28,,NW,,,,,,$213.61 ,$0.00 ,1,1,1,1,1,1,20081001E1821,HCPCS,Replacement interface SPSD,RR,,28,,NW,,,,,,$22.63 ,$0.00 ,1,1,1,1,1,1,20081001E1821,HCPCS,Replacement interface SPSD,UE,,28,,NW,,,,,,$157.30 ,$0.00 ,1,1,1,1,1,1,20081001E1825,HCPCS,Adjust finger ext/flex devc,RR,,28,,NW,,,,,,$258.76 ,$0.00 ,1,1,1,1,1,1,20081001E1830,HCPCS,Adjust toe ext/flex device,RR,,28,,NW,,,,,,$258.76 ,$0.00 ,1,1,1,1,1,1,20081001E1840,HCPCS,Adj shoulder ext/flex device,RR,,28,,NW,,,,,,$807.75 ,$0.00 ,1,1,1,1,1,1,20081001E1841,HCPCS,Static str shldr dev rom adj,RR,,28,,NW,,,,,,$679.50 ,$0.00 ,1,1,1,1,1,1,20081001E1841,HCPCS,Static str shldr dev rom adj,,,28,,NW,,,,,,$544.30 ,$0.00 ,1,1,1,0,1,1,20081001E1902,HCPCS,AAC non-electronic board,,,28,,NW,,,,,,$488.74 ,$0.00 ,1,1,1,0,1,1,20081001E2000,HCPCS,Gastric suction pump hme mdl,RR,,28,,NW,,,,,,$99.23 ,$0.00 ,1,1,1,1,1,1,20081001E2100,HCPCS,Bld glucose monitor w voice,,,28,,NW,,,,,,"$1,021.23 ",$0.00 ,1,1,1,1,1,1,20081001E2101,HCPCS,Bld glucose monitor w lance,,,28,,NW,,,,,,$291.06 ,$0.00 ,1,1,1,1,1,1,20081001E2120,HCPCS,Pulse gen sys tx endolymp fl,,,28,,NW,,,,,,$340.66 ,$0.00 ,1,1,1,0,1,1,20081001E2201,HCPCS,Man w/ch acc seat w>=20”<24”,,,28,,NW,,,,,,$44.83 ,$0.00 ,1,1,1,0,1,1,20081001E2202,HCPCS,Seat width 24-27 in,,,28,,NW,,,,,,$56.95 ,$0.00 ,1,1,1,0,1,1,20081001E2203,HCPCS,Frame depth less than 22 in,,,28,,NW,,,,,,$57.55 ,$0.00 ,1,1,1,0,1,1,20081001E2204,HCPCS,Frame depth 22 to 25 in,,,28,,NW,,,,,,$97.75 ,$0.00 ,1,1,1,0,1,1,20081001E2205,HCPCS,"Manual wc accessory, handrim",NU,,28,,NW,,,,,,$49.00 ,$0.00 ,1,1,1,1,1,1,20081001E2205,HCPCS,"Manual wc accessory, handrim",RR,,28,,NW,,,,,,$4.88 ,$0.00 ,1,1,1,1,1,1,20081001E2205,HCPCS,"Manual wc accessory, handrim",UE,,28,,NW,,,,,,$36.78 ,$0.00 ,1,1,1,1,1,1,20081001E2205,HCPCS,"Manual wc accessory, handrim",,,28,,NW,,,,,,$3.91 ,$0.00 ,1,1,1,0,1,1,20081001E2206,HCPCS,Complete wheel lock assembly,NU,,28,,NW,,,,,,$61.02 ,$0.00 ,1,1,1,1,1,1,20081001E2206,HCPCS,Complete wheel lock assembly,RR,,28,,NW,,,,,,$6.09 ,$0.00 ,1,1,1,1,1,1,20081001E2206,HCPCS,Complete wheel lock assembly,UE,,28,,NW,,,,,,$45.75 ,$0.00 ,1,1,1,1,1,1,20081001E2206,HCPCS,Complete wheel lock assembly,,,28,,NW,,,,,,$4.89 ,$0.00 ,1,1,1,0,1,1,20081001E2300,HCPCS,Pwr seat elevation sys,,,28,,NW,,,,,,"$12,860.23 ",$0.00 ,1,1,1,0,1,1,20081001E2310,HCPCS,Electro connect btw control,NU,,28,,NW,,,,,,"$1,879.79 ",$0.00 ,1,1,1,0,1,1,20081001E2310,HCPCS,Electro connect btw control,RR,,28,,NW,,,,,,$187.98 ,$0.00 ,1,1,1,0,1,1,20081001E2310,HCPCS,Electro connect btw control,UE,,28,,NW,,,,,,"$1,409.85 ",$0.00 ,1,1,1,0,1,1,20081001E2311,HCPCS,Electro connect btw 2 sys,NU,,28,,NW,,,,,,$98.62 ,$0.00 ,1,1,1,0,1,1,20081001E2311,HCPCS,Electro connect btw 2 sys,RR,,28,,NW,,,,,,$9.87 ,$0.00 ,1,1,1,0,1,1,20081001E2311,HCPCS,Electro connect btw 2 sys,UE,,28,,NW,,,,,,$73.97 ,$0.00 ,1,1,1,0,1,1,20081001E2321,HCPCS,Hand interface joystick,,,28,,NW,,,,,,$485.70 ,$0.00 ,1,1,1,0,1,1,20081001E2322,HCPCS,Mult mech switches,,,28,,NW,,,,,,$220.76 ,$0.00 ,1,1,1,0,1,1,20081001E2323,HCPCS,Special joystick handle,NU,,28,,NW,,,,,,$95.58 ,$0.00 ,1,1,1,0,1,1,20081001E2323,HCPCS,Special joystick handle,RR,,28,,NW,,,,,,$9.56 ,$0.00 ,1,1,1,0,1,1,20081001E2323,HCPCS,Special joystick handle,UE,,28,,NW,,,,,,$71.69 ,$0.00 ,1,1,1,0,1,1,20081001E2324,HCPCS,Chin cup interface,NU,,28,,NW,,,,,,$52.65 ,$0.00 ,1,1,1,0,1,1,20081001E2324,HCPCS,Chin cup interface,RR,,28,,NW,,,,,,$5.26 ,$0.00 ,1,1,1,0,1,1,20081001E2324,HCPCS,Chin cup interface,UE,,28,,NW,,,,,,$39.49 ,$0.00 ,1,1,1,0,1,1,20081001E2325,HCPCS,Sip and puff interface,NU,,28,,NW,,,,,,$482.13 ,$0.00 ,1,1,1,0,1,1,20081001E2325,HCPCS,Sip and puff interface,RR,,28,,NW,,,,,,$48.22 ,$0.00 ,1,1,1,0,1,1,20081001E2325,HCPCS,Sip and puff interface,UE,,28,,NW,,,,,,$361.60 ,$0.00 ,1,1,1,0,1,1,20081001E2326,HCPCS,Breath tube kit,NU,,28,,NW,,,,,,$417.10 ,$0.00 ,1,1,1,0,1,1,20081001E2326,HCPCS,Breath tube kit,RR,,28,,NW,,,,,,$41.71 ,$0.00 ,1,1,1,0,1,1,20081001E2326,HCPCS,Breath tube kit,UE,,28,,NW,,,,,,$312.83 ,$0.00 ,1,1,1,0,1,1,20081001E2327,HCPCS,Head control interface mech,,,28,,NW,,,,,,$313.89 ,$0.00 ,1,1,1,0,1,1,20081001E2328,HCPCS,Head/extremity control inter,NU,,28,,NW,,,,,,"$5,953.99 ",$0.00 ,1,1,1,0,1,1,20081001E2328,HCPCS,Head/extremity control inter,RR,,28,,NW,,,,,,$595.40 ,$0.00 ,1,1,1,0,1,1,20081001E2328,HCPCS,Head/extremity control inter,UE,,28,,NW,,,,,,"$4,465.49 ",$0.00 ,1,1,1,0,1,1,20081001E2329,HCPCS,Head control nonproportional,NU,,28,,NW,,,,,,"$2,122.07 ",$0.00 ,1,1,1,0,1,1,20081001E2329,HCPCS,Head control nonproportional,RR,,28,,NW,,,,,,$212.21 ,$0.00 ,1,1,1,0,1,1,20081001E2329,HCPCS,Head control nonproportional,UE,,28,,NW,,,,,,"$1,591.55 ",$0.00 ,1,1,1,0,1,1,20081001E2330,HCPCS,Head control proximity switc,NU,,28,,NW,,,,,,"$4,111.76 ",$0.00 ,1,1,1,0,1,1,20081001E2330,HCPCS,Head control proximity switc,RR,,28,,NW,,,,,,$411.18 ,$0.00 ,1,1,1,0,1,1,20081001E2330,HCPCS,Head control proximity switc,UE,,28,,NW,,,,,,"$3,083.83 ",$0.00 ,1,1,1,0,1,1,20081001E2331,HCPCS,Attendant control,,,28,,NW,,,,,,$16.10 ,$0.00 ,1,1,1,0,1,1,20081001E2340,HCPCS,W/c wdth 20-23 in seat frame,NU,,28,,NW,,,,,,$430.59 ,$0.00 ,1,1,1,0,1,1,20081001E2340,HCPCS,W/c wdth 20-23 in seat frame,RR,,28,,NW,,,,,,$43.06 ,$0.00 ,1,1,1,0,1,1,20081001E2340,HCPCS,W/c wdth 20-23 in seat frame,UE,,28,,NW,,,,,,$322.95 ,$0.00 ,1,1,1,0,1,1,20081001E2341,HCPCS,W/c wdth 24-27 in seat frame,NU,,28,,NW,,,,,,$645.93 ,$0.00 ,1,1,1,0,1,1,20081001E2341,HCPCS,W/c wdth 24-27 in seat frame,RR,,28,,NW,,,,,,$64.59 ,$0.00 ,1,1,1,0,1,1,20081001E2341,HCPCS,W/c wdth 24-27 in seat frame,UE,,28,,NW,,,,,,$484.45 ,$0.00 ,1,1,1,0,1,1,20081001E2342,HCPCS,W/c dpth 20-21 in seat frame,NU,,28,,NW,,,,,,$538.27 ,$0.00 ,1,1,1,0,1,1,20081001E2342,HCPCS,W/c dpth 20-21 in seat frame,RR,,28,,NW,,,,,,$53.83 ,$0.00 ,1,1,1,0,1,1,20081001E2342,HCPCS,W/c dpth 20-21 in seat frame,UE,,28,,NW,,,,,,$403.70 ,$0.00 ,1,1,1,0,1,1,20081001E2343,HCPCS,W/c dpth 22-25 in seat frame,NU,,28,,NW,,,,,,$861.24 ,$0.00 ,1,1,1,0,1,1,20081001E2343,HCPCS,W/c dpth 22-25 in seat frame,RR,,28,,NW,,,,,,$86.13 ,$0.00 ,1,1,1,0,1,1,20081001E2343,HCPCS,W/c dpth 22-25 in seat frame,UE,,28,,NW,,,,,,$645.93 ,$0.00 ,1,1,1,0,1,1,20081001E2351,HCPCS,Electronic SGD interface,NU,,28,,NW,,,,,,$212.42 ,$0.00 ,1,1,1,0,1,1,20081001E2351,HCPCS,Electronic SGD interface,RR,,28,,NW,,,,,,$21.24 ,$0.00 ,1,1,1,0,1,1,20081001E2351,HCPCS,Electronic SGD interface,UE,,28,,NW,,,,,,$159.32 ,$0.00 ,1,1,1,0,1,1,20081001E2360,HCPCS,22nf nonsealed leadacid,,,28,,NW,,,,,,$183.40 ,$0.00 ,1,1,1,1,1,1,20081001E2361,HCPCS,22nf sealed leadacid battery,,,28,,NW,,,,,,$227.51 ,$0.00 ,1,1,1,1,1,1,20081001E2362,HCPCS,Gr24 nonsealed leadacid,,,28,,NW,,,,,,$150.27 ,$0.00 ,1,1,1,1,1,1,20081001E2363,HCPCS,Gr24 sealed leadacid battery,,,28,,NW,,,,,,$303.21 ,$0.00 ,1,1,1,1,1,1,20081001E2364,HCPCS,U1nonsealed leadacid battery,,,28,,NW,,,,,,$183.40 ,$0.00 ,1,1,1,1,1,1,20081001E2365,HCPCS,U1 sealed leadacid battery,,,28,,NW,,,,,,$183.12 ,$0.00 ,1,1,1,1,1,1,20081001E2366,HCPCS,"Battery charger, single mode",,,28,,NW,,,,,,$429.48 ,$0.00 ,1,1,1,1,1,1,20081001E2367,HCPCS,"Battery charger, dual mode",,,28,,NW,,,,,,$682.33 ,$0.00 ,1,1,1,1,1,1,20081001E2368,HCPCS,Power wc motor replacement,NU,,28,,NW,,,,,,$774.86 ,$0.00 ,1,1,1,1,1,1,20081001E2368,HCPCS,Power wc motor replacement,RR,,28,,NW,,,,,,$77.50 ,$0.00 ,1,1,1,1,1,1,20081001E2368,HCPCS,Power wc motor replacement,UE,,28,,NW,,,,,,$581.16 ,$0.00 ,1,1,1,1,1,1,20081001E2368,HCPCS,Power wc motor replacement,,,28,,NW,,,,,,$62.08 ,$0.00 ,1,1,1,0,1,1,20081001E2369,HCPCS,Pwr wc gear box replacement,NU,,28,,NW,,,,,,$674.91 ,$0.00 ,1,1,1,1,1,1,20081001E2369,HCPCS,Pwr wc gear box replacement,RR,,28,,NW,,,,,,$67.50 ,$0.00 ,1,1,1,1,1,1,20081001E2369,HCPCS,Pwr wc gear box replacement,UE,,28,,NW,,,,,,$506.18 ,$0.00 ,1,1,1,1,1,1,20081001E2369,HCPCS,Pwr wc gear box replacement,,,28,,NW,,,,,,$54.07 ,$0.00 ,1,1,1,0,1,1,20081001E2370,HCPCS,Pwr wc motor/gear box combo,NU,,28,,NW,,,,,,"$1,204.26 ",$0.00 ,1,1,1,1,1,1,20081001E2370,HCPCS,Pwr wc motor/gear box combo,RR,,28,,NW,,,,,,$120.44 ,$0.00 ,1,1,1,1,1,1,20081001E2370,HCPCS,Pwr wc motor/gear box combo,UE,,28,,NW,,,,,,$903.18 ,$0.00 ,1,1,1,1,1,1,20081001E2370,HCPCS,Pwr wc motor/gear box combo,,,28,,NW,,,,,,$96.48 ,$0.00 ,1,1,1,0,1,1,20081001E2373,HCPCS,Hand/chin ctrl spec joystick,NU,,28,,NW,,,,,,"$1,887.52 ",$0.00 ,1,1,1,1,1,1,20081001E2373,HCPCS,Hand/chin ctrl spec joystick,RR,,28,,NW,,,,,,$188.75 ,$0.00 ,1,1,1,1,1,1,20081001E2373,HCPCS,Hand/chin ctrl spec joystick,UE,,28,,NW,,,,,,"$1,415.67 ",$0.00 ,1,1,1,1,1,1,20081001E2374,HCPCS,Hand/chin ctrl std joystick,NU,,28,,NW,,,,,,$801.03 ,$0.00 ,1,1,1,1,1,1,20081001E2374,HCPCS,Hand/chin ctrl std joystick,RR,,28,,NW,,,,,,$80.10 ,$0.00 ,1,1,1,1,1,1,20081001E2374,HCPCS,Hand/chin ctrl std joystick,UE,,28,,NW,,,,,,$600.79 ,$0.00 ,1,1,1,1,1,1,20081001E2375,HCPCS,Non-expandable controller,NU,,28,,NW,,,,,,"$1,284.84 ",$0.00 ,1,1,1,1,1,1,20081001E2375,HCPCS,Non-expandable controller,RR,,28,,NW,,,,,,$128.48 ,$0.00 ,1,1,1,1,1,1,20081001E2375,HCPCS,Non-expandable controller,UE,,28,,NW,,,,,,$963.60 ,$0.00 ,1,1,1,1,1,1,20081001E2376,HCPCS,"Expandable controller, repl",NU,,28,,NW,,,,,,"$2,013.41 ",$0.00 ,1,1,1,1,1,1,20081001E2376,HCPCS,"Expandable controller, repl",RR,,28,,NW,,,,,,$201.34 ,$0.00 ,1,1,1,1,1,1,20081001E2376,HCPCS,"Expandable controller, repl",UE,,28,,NW,,,,,,"$1,510.08 ",$0.00 ,1,1,1,1,1,1,20081001E2377,HCPCS,"Expandable controller, initl",NU,,28,,NW,,,,,,$728.56 ,$0.00 ,1,1,1,1,1,1,20081001E2377,HCPCS,"Expandable controller, initl",RR,,28,,NW,,,,,,$72.84 ,$0.00 ,1,1,1,1,1,1,20081001E2377,HCPCS,"Expandable controller, initl",UE,,28,,NW,,,,,,$546.45 ,$0.00 ,1,1,1,1,1,1,20081001E2381,HCPCS,Pneum drive wheel tire,NU,,28,,NW,,,,,,$114.27 ,$0.00 ,1,1,1,1,1,1,20081001E2381,HCPCS,Pneum drive wheel tire,RR,,28,,NW,,,,,,$11.45 ,$0.00 ,1,1,1,1,1,1,20081001E2381,HCPCS,Pneum drive wheel tire,UE,,28,,NW,,,,,,$85.71 ,$0.00 ,1,1,1,1,1,1,20081001E2382,HCPCS,"Tube, pneum wheel drive tire",NU,,28,,NW,,,,,,$31.16 ,$0.00 ,1,1,1,1,1,1,20081001E2382,HCPCS,"Tube, pneum wheel drive tire",RR,,28,,NW,,,,,,$3.10 ,$0.00 ,1,1,1,1,1,1,20081001E2382,HCPCS,"Tube, pneum wheel drive tire",UE,,28,,NW,,,,,,$23.35 ,$0.00 ,1,1,1,1,1,1,20081001E2383,HCPCS,"Insert, pneum wheel drive",NU,,28,,NW,,,,,,$227.82 ,$0.00 ,1,1,1,1,1,1,20081001E2383,HCPCS,"Insert, pneum wheel drive",RR,,28,,NW,,,,,,$22.78 ,$0.00 ,1,1,1,1,1,1,20081001E2383,HCPCS,"Insert, pneum wheel drive",UE,,28,,NW,,,,,,$170.87 ,$0.00 ,1,1,1,1,1,1,20081001E2384,HCPCS,Pneumatic caster tire,NU,,28,,NW,,,,,,$121.37 ,$0.00 ,1,1,1,1,1,1,20081001E2384,HCPCS,Pneumatic caster tire,RR,,28,,NW,,,,,,$12.16 ,$0.00 ,1,1,1,1,1,1,20081001E2384,HCPCS,Pneumatic caster tire,UE,,28,,NW,,,,,,$91.02 ,$0.00 ,1,1,1,1,1,1,20081001E2385,HCPCS,"Tube, pneumatic caster tire",NU,,28,,NW,,,,,,$74.25 ,$0.00 ,1,1,1,1,1,1,20081001E2385,HCPCS,"Tube, pneumatic caster tire",RR,,28,,NW,,,,,,$7.44 ,$0.00 ,1,1,1,1,1,1,20081001E2385,HCPCS,"Tube, pneumatic caster tire",UE,,28,,NW,,,,,,$55.67 ,$0.00 ,1,1,1,1,1,1,20081001E2386,HCPCS,Foam filled drive wheel tire,NU,,28,,NW,,,,,,$225.76 ,$0.00 ,1,1,1,1,1,1,20081001E2386,HCPCS,Foam filled drive wheel tire,RR,,28,,NW,,,,,,$22.58 ,$0.00 ,1,1,1,1,1,1,20081001E2386,HCPCS,Foam filled drive wheel tire,UE,,28,,NW,,,,,,$169.31 ,$0.00 ,1,1,1,1,1,1,20081001E2387,HCPCS,Foam filled caster tire,NU,,28,,NW,,,,,,$101.23 ,$0.00 ,1,1,1,1,1,1,20081001E2387,HCPCS,Foam filled caster tire,RR,,28,,NW,,,,,,$10.13 ,$0.00 ,1,1,1,1,1,1,20081001E2387,HCPCS,Foam filled caster tire,UE,,28,,NW,,,,,,$75.98 ,$0.00 ,1,1,1,1,1,1,20081001E2388,HCPCS,Foam drive wheel tire,NU,,28,,NW,,,,,,$75.58 ,$0.00 ,1,1,1,1,1,1,20081001E2388,HCPCS,Foam drive wheel tire,RR,,28,,NW,,,,,,$7.56 ,$0.00 ,1,1,1,1,1,1,20081001E2388,HCPCS,Foam drive wheel tire,UE,,28,,NW,,,,,,$56.70 ,$0.00 ,1,1,1,1,1,1,20081001E2389,HCPCS,Foam caster tire,NU,,28,,NW,,,,,,$41.04 ,$0.00 ,1,1,1,1,1,1,20081001E2389,HCPCS,Foam caster tire,RR,,28,,NW,,,,,,$4.11 ,$0.00 ,1,1,1,1,1,1,20081001E2389,HCPCS,Foam caster tire,UE,,28,,NW,,,,,,$30.77 ,$0.00 ,1,1,1,1,1,1,20081001E2390,HCPCS,Solid drive wheel tire,NU,,28,,NW,,,,,,$64.19 ,$0.00 ,1,1,1,1,1,1,20081001E2390,HCPCS,Solid drive wheel tire,RR,,28,,NW,,,,,,$6.42 ,$0.00 ,1,1,1,1,1,1,20081001E2390,HCPCS,Solid drive wheel tire,UE,,28,,NW,,,,,,$48.10 ,$0.00 ,1,1,1,1,1,1,20081001E2391,HCPCS,Solid caster tire,NU,,28,,NW,,,,,,$30.75 ,$0.00 ,1,1,1,1,1,1,20081001E2391,HCPCS,Solid caster tire,RR,,28,,NW,,,,,,$3.07 ,$0.00 ,1,1,1,1,1,1,20081001E2391,HCPCS,Solid caster tire,UE,,28,,NW,,,,,,$23.07 ,$0.00 ,1,1,1,1,1,1,20081001E2392,HCPCS,"Solid caster tire, integrate",NU,,28,,NW,,,,,,$80.82 ,$0.00 ,1,1,1,1,1,1,20081001E2392,HCPCS,"Solid caster tire, integrate",RR,,28,,NW,,,,,,$8.10 ,$0.00 ,1,1,1,1,1,1,20081001E2392,HCPCS,"Solid caster tire, integrate",UE,,28,,NW,,,,,,$60.61 ,$0.00 ,1,1,1,1,1,1,20081001E2394,HCPCS,Drive wheel excludes tire,NU,,28,,NW,,,,,,$115.13 ,$0.00 ,1,1,1,1,1,1,20081001E2394,HCPCS,Drive wheel excludes tire,RR,,28,,NW,,,,,,$11.54 ,$0.00 ,1,1,1,1,1,1,20081001E2394,HCPCS,Drive wheel excludes tire,UE,,28,,NW,,,,,,$86.35 ,$0.00 ,1,1,1,1,1,1,20081001E2395,HCPCS,Caster wheel excludes tire,NU,,28,,NW,,,,,,$81.82 ,$0.00 ,1,1,1,1,1,1,20081001E2395,HCPCS,Caster wheel excludes tire,RR,,28,,NW,,,,,,$8.19 ,$0.00 ,1,1,1,1,1,1,20081001E2395,HCPCS,Caster wheel excludes tire,UE,,28,,NW,,,,,,$61.40 ,$0.00 ,1,1,1,1,1,1,20081001E2396,HCPCS,Caster fork,NU,,28,,NW,,,,,,$99.77 ,$0.00 ,1,1,1,1,1,1,20081001E2396,HCPCS,Caster fork,RR,,28,,NW,,,,,,$10.70 ,$0.00 ,1,1,1,1,1,1,20081001E2396,HCPCS,Caster fork,UE,,28,,NW,,,,,,$74.83 ,$0.00 ,1,1,1,1,1,1,20081001E2402,HCPCS,Neg press wound therapy pump,,,28,,NW,,,,,,"$3,663.82 ",$0.00 ,1,1,1,1,1,1,20081001E2500,HCPCS,SGD digitized pre-rec <=8min,,,28,,NW,,,,,,$616.28 ,$0.00 ,1,1,1,1,1,1,20081001E2502,HCPCS,SGD prerec msg >8min <=20min,,,28,,NW,,,,,,"$1,908.72 ",$0.00 ,1,1,1,1,1,1,20081001E2504,HCPCS,SGD prerec msg>20min <=40min,,,28,,NW,,,,,,"$2,521.56 ",$0.00 ,1,1,1,1,1,1,20081001E2506,HCPCS,SGD prerec msg > 40 min,,,28,,NW,,,,,,"$3,702.85 ",$0.00 ,1,1,1,1,1,1,20081001E2508,HCPCS,SGD spelling phys contact,,,28,,NW,,,,,,"$5,732.39 ",$0.00 ,1,1,1,1,1,1,20081001E2510,HCPCS,SGD w multi methods msg/accs,,,28,,NW,,,,,,"$10,858.18 ",$0.00 ,1,1,1,1,1,1,20081001E2511,HCPCS,SGD sftwre prgrm for PC/PDA,NU,,28,,NW,,,,,,"$3,735.84 ",$0.00 ,1,1,1,0,1,1,20081001E2511,HCPCS,SGD sftwre prgrm for PC/PDA,RR,,28,,NW,,,,,,$373.58 ,$0.00 ,1,1,1,0,1,1,20081001E2511,HCPCS,SGD sftwre prgrm for PC/PDA,UE,,28,,NW,,,,,,"$2,801.88 ",$0.00 ,1,1,1,0,1,1,20081001E2512,HCPCS,"SGD accessory, mounting sys",NU,,28,,NW,,,,,,$432.09 ,$0.00 ,1,1,1,0,1,1,20081001E2512,HCPCS,"SGD accessory, mounting sys",RR,,28,,NW,,,,,,$43.21 ,$0.00 ,1,1,1,0,1,1,20081001E2512,HCPCS,"SGD accessory, mounting sys",UE,,28,,NW,,,,,,$324.08 ,$0.00 ,1,1,1,0,1,1,20081001E2599,HCPCS,SGD accessory noc,,,28,,NW,,,,,,$253.21 ,$0.00 ,1,1,1,0,1,1,20081001E2601,HCPCS,Gen w/c cushion wdth < 22 in,NU,,28,,NW,,,,,,$91.74 ,$0.00 ,1,1,1,1,1,1,20081001E2601,HCPCS,Gen w/c cushion wdth < 22 in,RR,,28,,NW,,,,,,$9.20 ,$0.00 ,1,1,1,1,1,1,20081001E2601,HCPCS,Gen w/c cushion wdth < 22 in,UE,,28,,NW,,,,,,$68.80 ,$0.00 ,1,1,1,1,1,1,20081001E2601,HCPCS,Gen w/c cushion wdth < 22 in,,,28,,NW,,,,,,$58.99 ,$0.00 ,1,1,1,0,1,1,20081001E2602,HCPCS,Gen w/c cushion wdth >=22 in,NU,,28,,NW,,,,,,$179.10 ,$0.00 ,1,1,1,1,1,1,20081001E2602,HCPCS,Gen w/c cushion wdth >=22 in,RR,,28,,NW,,,,,,$17.91 ,$0.00 ,1,1,1,1,1,1,20081001E2602,HCPCS,Gen w/c cushion wdth >=22 in,UE,,28,,NW,,,,,,$134.33 ,$0.00 ,1,1,1,1,1,1,20081001E2602,HCPCS,Gen w/c cushion wdth >=22 in,,,28,,NW,,,,,,$19.47 ,$0.00 ,1,1,1,0,1,1,20081001E2603,HCPCS,Skin protect wc cus wd <22in,NU,,28,,NW,,,,,,$227.38 ,$0.00 ,1,1,1,1,1,1,20081001E2603,HCPCS,Skin protect wc cus wd <22in,RR,,28,,NW,,,,,,$22.76 ,$0.00 ,1,1,1,1,1,1,20081001E2603,HCPCS,Skin protect wc cus wd <22in,UE,,28,,NW,,,,,,$170.54 ,$0.00 ,1,1,1,1,1,1,20081001E2603,HCPCS,Skin protect wc cus wd <22in,,,28,,NW,,,,,,$26.81 ,$0.00 ,1,1,1,0,1,1,20081001E2604,HCPCS,Skin protect wc cus wd>=22in,NU,,28,,NW,,,,,,$282.62 ,$0.00 ,1,1,1,1,1,1,20081001E2604,HCPCS,Skin protect wc cus wd>=22in,RR,,28,,NW,,,,,,$28.24 ,$0.00 ,1,1,1,1,1,1,20081001E2604,HCPCS,Skin protect wc cus wd>=22in,UE,,28,,NW,,,,,,$212.00 ,$0.00 ,1,1,1,1,1,1,20081001E2604,HCPCS,Skin protect wc cus wd>=22in,,,28,,NW,,,,,,$37.92 ,$0.00 ,1,1,1,0,1,1,20081001E2605,HCPCS,Position wc cush wdth <22 in,NU,,28,,NW,,,,,,$403.76 ,$0.00 ,1,1,1,1,1,1,20081001E2605,HCPCS,Position wc cush wdth <22 in,RR,,28,,NW,,,,,,$40.40 ,$0.00 ,1,1,1,1,1,1,20081001E2605,HCPCS,Position wc cush wdth <22 in,UE,,28,,NW,,,,,,$302.87 ,$0.00 ,1,1,1,1,1,1,20081001E2605,HCPCS,Position wc cush wdth <22 in,,,28,,NW,,,,,,$38.68 ,$0.00 ,1,1,1,0,1,1,20081001E2606,HCPCS,Position wc cush wdth>=22 in,NU,,28,,NW,,,,,,$629.89 ,$0.00 ,1,1,1,1,1,1,20081001E2606,HCPCS,Position wc cush wdth>=22 in,RR,,28,,NW,,,,,,$63.01 ,$0.00 ,1,1,1,1,1,1,20081001E2606,HCPCS,Position wc cush wdth>=22 in,UE,,28,,NW,,,,,,$472.41 ,$0.00 ,1,1,1,1,1,1,20081001E2606,HCPCS,Position wc cush wdth>=22 in,,,28,,NW,,,,,,$52.41 ,$0.00 ,1,1,1,0,1,1,20081001E2607,HCPCS,Skin pro/pos wc cus wd <22in,NU,,28,,NW,,,,,,$434.78 ,$0.00 ,1,1,1,1,1,1,20081001E2607,HCPCS,Skin pro/pos wc cus wd <22in,RR,,28,,NW,,,,,,$43.48 ,$0.00 ,1,1,1,1,1,1,20081001E2607,HCPCS,Skin pro/pos wc cus wd <22in,UE,,28,,NW,,,,,,$326.08 ,$0.00 ,1,1,1,1,1,1,20081001E2607,HCPCS,Skin pro/pos wc cus wd <22in,,,28,,NW,,,,,,$35.52 ,$0.00 ,1,1,1,0,1,1,20081001E2608,HCPCS,Skin pro/pos wc cus wd>=22in,NU,,28,,NW,,,,,,$522.13 ,$0.00 ,1,1,1,1,1,1,20081001E2608,HCPCS,Skin pro/pos wc cus wd>=22in,RR,,28,,NW,,,,,,$52.20 ,$0.00 ,1,1,1,1,1,1,20081001E2608,HCPCS,Skin pro/pos wc cus wd>=22in,UE,,28,,NW,,,,,,$391.61 ,$0.00 ,1,1,1,1,1,1,20081001E2608,HCPCS,Skin pro/pos wc cus wd>=22in,,,28,,NW,,,,,,$42.56 ,$0.00 ,1,1,1,0,1,1,20081001E2611,HCPCS,Gen use back cush wdth <22in,NU,,28,,NW,,,,,,$468.53 ,$0.00 ,1,1,1,1,1,1,20081001E2611,HCPCS,Gen use back cush wdth <22in,RR,,28,,NW,,,,,,$46.84 ,$0.00 ,1,1,1,1,1,1,20081001E2611,HCPCS,Gen use back cush wdth <22in,UE,,28,,NW,,,,,,$351.43 ,$0.00 ,1,1,1,1,1,1,20081001E2611,HCPCS,Gen use back cush wdth <22in,,,28,,NW,,,,,,$37.52 ,$0.00 ,1,1,1,0,1,1,20081001E2612,HCPCS,Gen use back cush wdth>=22in,NU,,28,,NW,,,,,,$633.81 ,$0.00 ,1,1,1,1,1,1,20081001E2612,HCPCS,Gen use back cush wdth>=22in,RR,,28,,NW,,,,,,$63.38 ,$0.00 ,1,1,1,1,1,1,20081001E2612,HCPCS,Gen use back cush wdth>=22in,UE,,28,,NW,,,,,,$475.34 ,$0.00 ,1,1,1,1,1,1,20081001E2612,HCPCS,Gen use back cush wdth>=22in,,,28,,NW,,,,,,$50.77 ,$0.00 ,1,1,1,0,1,1,20081001E2613,HCPCS,Position back cush wd <22in,NU,,28,,NW,,,,,,$589.56 ,$0.00 ,1,1,1,1,1,1,20081001E2613,HCPCS,Position back cush wd <22in,RR,,28,,NW,,,,,,$58.97 ,$0.00 ,1,1,1,1,1,1,20081001E2613,HCPCS,Position back cush wd <22in,UE,,28,,NW,,,,,,$442.17 ,$0.00 ,1,1,1,1,1,1,20081001E2613,HCPCS,Position back cush wd <22in,,,28,,NW,,,,,,$47.24 ,$0.00 ,1,1,1,0,1,1,20081001E2614,HCPCS,Position back cush wd>=22in,NU,,28,,NW,,,,,,$815.89 ,$0.00 ,1,1,1,1,1,1,20081001E2614,HCPCS,Position back cush wd>=22in,RR,,28,,NW,,,,,,$81.60 ,$0.00 ,1,1,1,1,1,1,20081001E2614,HCPCS,Position back cush wd>=22in,UE,,28,,NW,,,,,,$611.96 ,$0.00 ,1,1,1,1,1,1,20081001E2614,HCPCS,Position back cush wd>=22in,,,28,,NW,,,,,,$65.36 ,$0.00 ,1,1,1,0,1,1,20081001E2615,HCPCS,Pos back post/lat wdth <22in,NU,,28,,NW,,,,,,$678.48 ,$0.00 ,1,1,1,1,1,1,20081001E2615,HCPCS,Pos back post/lat wdth <22in,RR,,28,,NW,,,,,,$67.86 ,$0.00 ,1,1,1,1,1,1,20081001E2615,HCPCS,Pos back post/lat wdth <22in,UE,,28,,NW,,,,,,$508.85 ,$0.00 ,1,1,1,1,1,1,20081001E2615,HCPCS,Pos back post/lat wdth <22in,,,28,,NW,,,,,,$54.37 ,$0.00 ,1,1,1,0,1,1,20081001E2616,HCPCS,Pos back post/lat wdth>=22in,NU,,28,,NW,,,,,,$912.87 ,$0.00 ,1,1,1,1,1,1,20081001E2616,HCPCS,Pos back post/lat wdth>=22in,RR,,28,,NW,,,,,,$91.29 ,$0.00 ,1,1,1,1,1,1,20081001E2616,HCPCS,Pos back post/lat wdth>=22in,UE,,28,,NW,,,,,,$684.68 ,$0.00 ,1,1,1,1,1,1,20081001E2616,HCPCS,Pos back post/lat wdth>=22in,,,28,,NW,,,,,,$73.13 ,$0.00 ,1,1,1,0,1,1,20081001E2619,HCPCS,Replace cover w/c seat cush,NU,,28,,NW,,,,,,$76.98 ,$0.00 ,1,1,1,1,1,1,20081001E2619,HCPCS,Replace cover w/c seat cush,RR,,28,,NW,,,,,,$7.70 ,$0.00 ,1,1,1,1,1,1,20081001E2619,HCPCS,Replace cover w/c seat cush,UE,,28,,NW,,,,,,$57.76 ,$0.00 ,1,1,1,1,1,1,20081001E2619,HCPCS,Replace cover w/c seat cush,,,28,,NW,,,,,,$38.22 ,$0.00 ,1,1,1,0,1,1,20081001E2620,HCPCS,WC planar back cush wd <22in,NU,,28,,NW,,,,,,$821.55 ,$0.00 ,1,1,1,1,1,1,20081001E2620,HCPCS,WC planar back cush wd <22in,RR,,28,,NW,,,,,,$82.16 ,$0.00 ,1,1,1,1,1,1,20081001E2620,HCPCS,WC planar back cush wd <22in,UE,,28,,NW,,,,,,$616.19 ,$0.00 ,1,1,1,1,1,1,20081001E2620,HCPCS,WC planar back cush wd <22in,,,28,,NW,,,,,,$69.06 ,$0.00 ,1,1,1,0,1,1,20081001E2621,HCPCS,WC planar back cush wd>=22in,NU,,28,,NW,,,,,,$862.14 ,$0.00 ,1,1,1,1,1,1,20081001E2621,HCPCS,WC planar back cush wd>=22in,RR,,28,,NW,,,,,,$86.21 ,$0.00 ,1,1,1,1,1,1,20081001E2621,HCPCS,WC planar back cush wd>=22in,UE,,28,,NW,,,,,,$646.62 ,$0.00 ,1,1,1,1,1,1,20081001E2621,HCPCS,WC planar back cush wd>=22in,,,28,,NW,,,,,,$65.81 ,$0.00 ,1,1,1,0,1,1,20081001G0008,HCPCS,Admin influenza virus vac,,,9,,TotalUnits,,,,0.22,,$0.00 ,$0.00 ,1,1,1,0,1,1,20081001G0009,HCPCS,Admin pneumococcal vaccine,,,9,,TotalUnits,,,,0.22,,$0.00 ,$0.00 ,1,1,1,0,1,1,20081001G0010,HCPCS,Admin hepatitis b vaccine,,,9,,TotalUnits,,,,0.22,,$0.00 ,$0.00 ,1,1,1,0,1,1,20081001G0027,HCPCS,Semen analysis,,,17,,TotalUnits,,,,0.3,,$0.00 ,$0.00 ,1,1,1,0,1,1,20081001G0101,HCPCS,CA screen;pelvic/breast exam,,,18,,RBRVS,0.45,0.48,0.48,,,$0.00 ,$0.00 ,1,0,1,1,1,1,20081001G0102,HCPCS,Prostate ca screening; dre,,,18,,RBRVS,0.17,0.06,0.32,,,$0.00 ,$0.00 ,1,0,1,1,1,1,20081001G0103,HCPCS,"Psa, total screening",,,17,,TotalUnits,,,,0.86,,$0.00 ,$0.00 ,1,1,1,0,1,1,20081001G0104,HCPCS,CA screen;flexi sigmoidscope,,,21,,RBRVS,0.96,0.62,2.52,,,$0.00 ,$0.00 ,1,0,1,1,1,1,20081001G0105,HCPCS,Colorectal scrn; hi risk ind,,,21,,RBRVS,3.69,1.82,6.39,,,$0.00 ,$0.00 ,1,1,1,1,1,1,20081001G0106,HCPCS,Colon CA screen;barium enema,26,,21,,RBRVS,0.99,0.35,0.35,,,$0.00 ,$0.00 ,1,0,1,1,1,0,20081001G0106,HCPCS,Colon CA screen;barium enema,TC,,21,,RBRVS,0,4.6,4.6,,,$0.00 ,$0.00 ,1,1,1,0,1,0,20081001G0106,HCPCS,Colon CA screen;barium enema,,,21,,RBRVS,0.99,4.95,4.95,,,$0.00 ,$0.00 ,1,0,0,0,0,1,20081001G0108,HCPCS,Diab manage trn  per indiv,,,14,,RBRVS,0,0.59,0.59,,,$0.00 ,$0.00 ,1,1,1,0,1,1,20081001G0109,HCPCS,Diab manage trn ind/group,,,14,,RBRVS,0,0.31,0.31,,,$0.00 ,$0.00 ,1,1,1,0,1,1,20081001G0117,HCPCS,Glaucoma scrn hgh risk direc,,,23,,RBRVS,0.45,0.76,0.76,,,$0.00 ,$0.00 ,1,0,1,1,1,1,20081001G0118,HCPCS,Glaucoma scrn hgh risk direc,,,23,,RBRVS,0.17,0.71,0.71,,,$0.00 ,$0.00 ,1,0,1,1,1,1,20081001G0120,HCPCS,Colon ca scrn; barium enema,26,,21,,RBRVS,0.99,0.35,0.35,,,$0.00 ,$0.00 ,1,0,1,1,1,0,20081001G0120,HCPCS,Colon ca scrn; barium enema,TC,,21,,RBRVS,0,4.6,4.6,,,$0.00 ,$0.00 ,1,1,1,0,1,0,20081001G0120,HCPCS,Colon ca scrn; barium enema,,,21,,RBRVS,0.99,4.95,4.95,,,$0.00 ,$0.00 ,1,0,0,0,0,1,20081001G0121,HCPCS,Colon ca scrn not hi rsk ind,,,21,,RBRVS,3.69,1.82,6.39,,,$0.00 ,$0.00 ,1,1,1,1,1,1,20081001G0122,HCPCS,Colon ca scrn; barium enema,26,,20,,RBRVS,0.99,0.23,0.23,,,$0.00 ,$0.00 ,1,0,1,1,1,1,20081001G0122,HCPCS,Colon ca scrn; barium enema,TC,,20,,RBRVS,0,5.42,5.42,,,$0.00 ,$0.00 ,1,1,1,0,1,1,20081001G0122,HCPCS,Colon ca scrn; barium enema,,,20,,RBRVS,0.99,5.65,5.65,,,$0.00 ,$0.00 ,1,0,0,0,0,1,20081001G0123,HCPCS,Screen cerv/vag thin layer,,,17,,TotalUnits,,,,0.95,,$0.00 ,$0.00 ,1,1,1,0,1,1,20081001G0124,HCPCS,Screen c/v thin layer by MD,,,17,,RBRVS,0.42,0.38,0.38,,,$0.00 ,$0.00 ,1,1,1,0,1,1,20081001G0127,HCPCS,Trim nail(s),,,15,,RBRVS,0.17,0.04,0.38,,,$0.00 ,$0.00 ,1,0,1,1,1,1,20081001G0128,HCPCS,CORF skilled nursing service,,,15,,RBRVS,0.08,0.02,0.02,,,$0.00 ,$0.00 ,1,1,1,0,0,1,20081001G0130,HCPCS,Single energy x-ray study,26,,20,,RBRVS,0.22,0.06,0.06,,,$0.00 ,$0.00 ,1,0,1,1,1,0,20081001G0130,HCPCS,Single energy x-ray study,TC,,20,,RBRVS,0,0.49,0.49,,,$0.00 ,$0.00 ,1,1,1,0,1,0,20081001G0130,HCPCS,Single energy x-ray study,,,20,,RBRVS,0.22,0.55,0.55,,,$0.00 ,$0.00 ,1,0,0,0,0,1,20081001G0141,HCPCS,"Scr c/v cyto,autosys and md",,,17,,RBRVS,0.42,0.38,0.38,,,$0.00 ,$0.00 ,1,0,1,1,1,1,20081001G0143,HCPCS,"Scr c/v cyto,thinlayer,rescr",,,17,,TotalUnits,,,,0.95,,$0.00 ,$0.00 ,1,1,1,0,1,1,20081001G0144,HCPCS,"Scr c/v cyto,thinlayer,rescr",,,17,,TotalUnits,,,,1,,$0.00 ,$0.00 ,1,1,1,0,1,1,20081001G0145,HCPCS,"Scr c/v cyto,thinlayer,rescr",,,17,,TotalUnits,,,,1.24,,$0.00 ,$0.00 ,1,1,1,0,1,1,20081001G0147,HCPCS,"Scr c/v cyto, automated sys",,,17,,TotalUnits,,,,0.53,,$0.00 ,$0.00 ,1,1,1,0,1,1,20081001G0148,HCPCS,"Scr c/v cyto, autosys, rescr",,,17,,TotalUnits,,,,0.71,,$0.00 ,$0.00 ,1,1,1,0,1,1,20081001G0151,HCPCS,"HHCP-serv of pt,ea 15 min",,,19,,RBRVS,0.45,0.32,0.32,,,$0.00 ,$0.00 ,1,1,1,0,0,1,20081001G0152,HCPCS,"HHCP-serv of ot,ea 15 min",,,19,,RBRVS,0.45,0.37,0.37,,,$0.00 ,$0.00 ,1,1,1,0,0,1,20081001G0153,HCPCS,"HHCP-svs of s/l path,ea 15mn",,,8,,RBRVS,0.26,0.09,0.55,,,$0.00 ,$0.00 ,1,1,1,0,0,1,20081001G0154,HCPCS,"HHCP-svs of rn,ea 15 min",,,15,,TotalUnits,,,,1.41,,$0.00 ,$0.00 ,1,1,1,0,0,1,20081001G0155,HCPCS,"HHCP-svs of csw,ea 15 min",,,15,,RBRVS,0.48,0.11,0.36,,,$0.00 ,$0.00 ,1,1,1,0,0,1,20081001G0156,HCPCS,"HHCP-svs of aide,ea 15 min",,,15,,TotalUnits,,,,1.91,,$0.00 ,$0.00 ,1,1,1,0,0,1,20081001G0166,HCPCS,"Extrnl counterpulse, per tx",,,14,,RBRVS,0.07,4.5,4.5,,,$0.00 ,$0.00 ,1,1,1,0,0,1,20081001G0168,HCPCS,Wound closure by adhesive,,,21,,RBRVS,0.45,0.21,1.58,,,$0.00 ,$0.00 ,1,0,1,1,1,1,20081001G0179,HCPCS,MD recertification HHA PT,,,15,,RBRVS,0.45,0.48,0.48,,,$0.00 ,$0.00 ,1,0,1,1,1,1,20081001G0180,HCPCS,MD certification HHA patient,,,15,,RBRVS,0.67,0.56,0.56,,,$0.00 ,$0.00 ,1,0,1,1,1,1,20081001G0181,HCPCS,Home health care supervision,,,15,,RBRVS,1.73,0.8,0.8,,,$0.00 ,$0.00 ,1,0,1,1,1,1,20081001G0182,HCPCS,Hospice care supervision,,,15,,RBRVS,1.73,0.82,0.82,,,$0.00 ,$0.00 ,1,0,1,1,1,1,20081001G0186,HCPCS,"Dstry eye lesn,fdr vssl tech",,,14,,TotalUnits,,,,18.47,,$0.00 ,$0.00 ,1,1,1,1,0,1,20081001G0202,HCPCS,Screen mammography film digital,26,,20,,RBRVS,0.7,0.24,0.24,,,$0.00 ,$0.00 ,1,0,1,1,1,1,20081001G0202,HCPCS,Screen mammography film digital,TC,,20,,RBRVS,0,2.57,2.57,,,$0.00 ,$0.00 ,1,1,1,0,1,1,20081001G0202,HCPCS,Screen mammography film digital,,,20,,RBRVS,0.7,2.81,2.81,,,$0.00 ,$0.00 ,1,0,0,0,0,1,20081001G0204,HCPCS,Diagnostic mammography digital,26,,20,,RBRVS,0.87,0.3,0.3,,,$0.00 ,$0.00 ,1,0,1,1,1,0,20081001G0204,HCPCS,Diagnostic mammography digital,TC,,20,,RBRVS,0,3.1,3.1,,,$0.00 ,$0.00 ,1,1,1,0,1,0,20081001G0204,HCPCS,Diagnostic mammography digital,,,20,,RBRVS,0.87,3.4,3.4,,,$0.00 ,$0.00 ,1,0,0,0,0,1,20081001G0206,HCPCS,Diagnostic mammography digital,26,,20,,RBRVS,0.7,0.24,0.24,,,$0.00 ,$0.00 ,1,0,1,1,1,0,20081001G0206,HCPCS,Diagnostic mammography digital,TC,,20,,RBRVS,0,2.43,2.43,,,$0.00 ,$0.00 ,1,1,1,0,1,0,20081001G0206,HCPCS,Diagnostic mammography digital,,,20,,RBRVS,0.7,2.67,2.67,,,$0.00 ,$0.00 ,1,0,0,0,0,1,20081001G0219,HCPCS,PET img wholbod melano nonco,26,,20,,RBRVS,2,0.68,0.68,,,$0.00 ,$0.00 ,1,0,1,1,1,1,20081001G0219,HCPCS,PET img wholbod melano nonco,TC,,20,,TotalUnits,,,,29.31,,$0.00 ,$0.00 ,1,1,1,0,1,1,20081001G0235,HCPCS,PET not otherwise specified,,,20,,RBRVS,0.22,0.07,0.07,,,$0.00 ,$0.00 ,1,0,1,1,1,1,20081001G0237,HCPCS,Therapeutic procd strg endur,,,14,,RBRVS,0,0.21,0.21,,,$0.00 ,$0.00 ,1,1,1,0,0,1,20081001G0238,HCPCS,"Oth resp proc, indiv",,,14,,RBRVS,0,0.23,0.23,,,$0.00 ,$0.00 ,1,1,1,0,0,1,20081001G0239,HCPCS,"Oth resp proc, group",,,14,,RBRVS,0,0.31,0.31,,,$0.00 ,$0.00 ,1,1,1,0,0,1,20081001G0245,HCPCS,Initial foot exam pt lops,,,15,,RBRVS,0.88,0.29,0.84,,,$0.00 ,$0.00 ,1,0,1,1,1,1,20081001G0246,HCPCS,Followup eval of foot pt lop,,,15,,RBRVS,0.45,0.15,0.55,,,$0.00 ,$0.00 ,1,0,1,1,1,1,20081001G0247,HCPCS,Routine footcare pt w lops,,,15,,RBRVS,0.5,0.16,0.68,,,$0.00 ,$0.00 ,1,0,1,1,1,1,20081001G0248,HCPCS,Demonstrate use home inr mon,,TC,15,,RBRVS,0,3.41,3.41,,,$0.00 ,$0.00 ,1,1,1,0,1,1,20081001G0249,HCPCS,"Provide test material,equipm",,TC,15,,RBRVS,0,3.4,3.4,,,$0.00 ,$0.00 ,1,1,1,0,1,1,20081001G0250,HCPCS,MD review interpret of test,,PC,15,,RBRVS,0.18,0.08,0.08,,,$0.00 ,$0.00 ,1,0,1,1,1,1,20081001G0259,HCPCS,Inject for sacroiliac joint,,,21,,RBRVS,1.4,0.33,2.52,,,$0.00 ,$0.00 ,1,0,1,1,1,1,20081001G0268,HCPCS,Removal of impacted wax md,,,15,,RBRVS,0.61,0.2,0.66,,,$0.00 ,$0.00 ,1,0,1,1,1,1,20081001G0270,HCPCS,MNT subs tx for change dx,,,14,,RBRVS,0.37,0.09,0.12,,,$0.00 ,$0.00 ,1,1,1,0,1,1,20081001G0271,HCPCS,Group MNT 2 or more 30 mins,,,14,,RBRVS,0.25,0.07,0.08,,,$0.00 ,$0.00 ,1,1,1,0,1,1,20081001G0275,HCPCS,"Renal angio, cardiac cath",,,20,,RBRVS,0.25,0.13,0.13,,,$0.00 ,$0.00 ,1,0,1,1,1,1,20081001G0278,HCPCS,"Iliac art angio,cardiac cath",,,20,,RBRVS,0.25,0.13,0.13,,,$0.00 ,$0.00 ,1,0,1,1,1,1,20081001G0281,HCPCS,Elec stim unattend for press,,,19,,RBRVS,0.18,0.14,0.14,,,$0.00 ,$0.00 ,1,1,1,0,0,1,20081001G0282,HCPCS,Elect stim wound care not pd,,,19,,RBRVS,0.18,0.14,0.14,,,$0.00 ,$0.00 ,1,1,1,0,0,1,20081001G0283,HCPCS,Elec stim other than wound,,,19,,RBRVS,0.18,0.14,0.14,,,$0.00 ,$0.00 ,1,1,1,0,0,1,20081001G0288,HCPCS,"Recon, CTA for surg plan",,,20,,RBRVS,0,1.03,1.03,,,$0.00 ,$0.00 ,1,1,1,0,1,1,20081001G0289,HCPCS,"Arthro, loose body + chondro",,,21,,RBRVS,1.48,0.58,0.58,,,$0.00 ,$0.00 ,1,0,1,1,1,1,20081001G0295,HCPCS,Electromagnetic therapy onc,,,19,,RBRVS,0.06,0.15,0.15,,,$0.00 ,$0.00 ,1,1,1,0,0,1,20081001G0306,HCPCS,CBC/diffwbc w/o platelet,,,17,,TotalUnits,,,,0.36,,$0.00 ,$0.00 ,1,1,1,0,1,1,20081001G0307,HCPCS,CBC without platelet,,,17,,TotalUnits,,,,0.3,,$0.00 ,$0.00 ,1,1,1,0,1,1,20081001G0308,HCPCS,ESRD related svc 4+mo<2yrs,,,14,,RBRVS,12.74,5.57,5.57,,,$0.00 ,$0.00 ,1,1,1,1,1,1,20081001G0309,HCPCS,ESRD related svc 2-3mo<2yrs,,,14,,RBRVS,10.61,4.16,4.16,,,$0.00 ,$0.00 ,1,1,1,1,1,1,20081001G0310,HCPCS,ESRD related svc 1 visit<2yr,,,14,,RBRVS,8.49,2.78,2.78,,,$0.00 ,$0.00 ,1,1,1,1,1,1,20081001G0311,HCPCS,ESRD related svs 4+mo 2-11yr,,,14,,RBRVS,9.73,3.55,3.55,,,$0.00 ,$0.00 ,1,1,1,1,1,1,20081001G0312,HCPCS,ESRD relate svs 2-3 mo 2-11y,,,14,,RBRVS,8.11,2.7,2.7,,,$0.00 ,$0.00 ,1,1,1,1,1,1,20081001G0313,HCPCS,ESRD related svs 1 mon 2-11y,,,14,,RBRVS,6.49,1.84,1.84,,,$0.00 ,$0.00 ,1,1,1,1,1,1,20081001G0314,HCPCS,ESRD related svs 4+ mo 12-19,,,14,,RBRVS,8.28,3.39,3.39,,,$0.00 ,$0.00 ,1,1,1,1,1,1,20081001G0315,HCPCS,ESRD related svs 2-3mo 12-19,,,14,,RBRVS,6.9,2.56,2.56,,,$0.00 ,$0.00 ,1,1,1,1,1,1,20081001G0316,HCPCS,ESRD relate svs 1 vist 12-19,,,14,,RBRVS,5.52,1.66,1.66,,,$0.00 ,$0.00 ,1,1,1,1,1,1,20081001G0317,HCPCS,ESRD related svs 4+mo 20+yrs,,,14,,RBRVS,5.09,2.25,2.25,,,$0.00 ,$0.00 ,1,1,1,1,1,1,20081001G0318,HCPCS,ESRD related svs 2-3 mo 20+y,,,14,,RBRVS,4.24,1.69,1.69,,,$0.00 ,$0.00 ,1,1,1,1,1,1,20081001G0319,HCPCS,ESRD related svs 1 visit 20+,,,14,,RBRVS,3.39,1.13,1.13,,,$0.00 ,$0.00 ,1,1,1,1,1,1,20081001G0320,HCPCS,ESRD related svs home under2,,,14,,RBRVS,10.61,2.69,2.69,,,$0.00 ,$0.00 ,1,1,1,1,1,1,20081001G0321,HCPCS,ESRD related svs home mo<2ys,,,14,,RBRVS,8.11,1.99,1.99,,,$0.00 ,$0.00 ,1,1,1,1,1,1,20081001G0322,HCPCS,ESRD relate svs home mo12-19,,,14,,RBRVS,6.9,1.71,1.71,,,$0.00 ,$0.00 ,1,1,1,1,1,1,20081001G0323,HCPCS,ESRD related svs home mo 20+,,,14,,RBRVS,4.24,1.14,1.14,,,$0.00 ,$0.00 ,1,1,1,1,1,1,20081001G0324,HCPCS,ESRD related svs home/dy<2y,,,14,,RBRVS,0.35,0.16,0.16,,,$0.00 ,$0.00 ,1,1,1,1,1,1,20081001G0325,HCPCS,ESRD relate home/dy 2-11 yr,,,14,,RBRVS,0.23,0.09,0.09,,,$0.00 ,$0.00 ,1,1,1,1,1,1,20081001G0326,HCPCS,ESRD relate home/dy 12-19y,,,14,,RBRVS,0.27,0.1,0.1,,,$0.00 ,$0.00 ,1,1,1,1,1,1,20081001G0327,HCPCS,ESRD relate home/dy 20+yrs,,,14,,RBRVS,0.14,0.06,0.06,,,$0.00 ,$0.00 ,1,1,1,1,1,1,20081001G0328,HCPCS,Fecal blood scrn immunoassay,,,17,,TotalUnits,,,,0.6,,$0.00 ,$0.00 ,1,1,1,0,1,1,20081001G0329,HCPCS,Electromagntic tx for ulcers,,,19,,RBRVS,0.06,0.15,0.15,,,$0.00 ,$0.00 ,1,1,1,0,0,1,20081001G0332,HCPCS,Preadmin IV immunoglobulin,,,28,,NW,,,,,,$90.12 ,$0.00 ,1,1,1,0,1,1,20081001G0337,HCPCS,Hospice evaluation preelecti,,,15,,RBRVS,1.34,0.31,0.31,,,$0.00 ,$0.00 ,1,0,1,1,1,1,20081001G0341,HCPCS,Percutaneous islet celltrans,,,21,,RBRVS,6.98,2.36,2.36,,,$0.00 ,$0.00 ,1,0,0,1,1,1,20081001G0342,HCPCS,Laparoscopy islet cell trans,,,21,,RBRVS,11.92,5.07,5.07,,,$0.00 ,$0.00 ,1,0,0,1,1,1,20081001G0343,HCPCS,Laparotomy islet cell transp,,,21,,RBRVS,19.85,8.55,8.55,,,$0.00 ,$0.00 ,1,0,0,1,1,1,20081001G0344,HCPCS,Initial preventive exam,,,15,,RBRVS,1.34,0.43,1.11,,,$0.00 ,$0.00 ,1,0,1,1,1,1,20081001G0364,HCPCS,Bone marrow aspirate &biopsy,,,21,,RBRVS,0.16,0.07,0.16,,,$0.00 ,$0.00 ,1,0,1,1,1,1,20081001G0365,HCPCS,Vessel mapping hemo access,26, ,14,,RBRVS,0.25,0.06,0.06,,,$0.00 ,$0.00 ,1,0,1,1,1,0,20081001G0365,HCPCS,Vessel mapping hemo access,TC, ,14,,RBRVS,0,5.16,5.16,,,$0.00 ,$0.00 ,1,1,1,0,1,0,20081001G0365,HCPCS,Vessel mapping hemo access,,,14,,RBRVS,0.25,5.22,5.22,,,$0.00 ,$0.00 ,1,0,0,0,0,1,20081001G0366,HCPCS,EKG for initial prevent exam,,PC,15,,RBRVS,0.17,0.35,0.35,,,$0.00 ,$0.00 ,1,0,0,0,0,1,20081001G0367,HCPCS,EKG tracing for initial prev,,,4,,RBRVS,0,0.28,0.28,,,$0.00 ,$0.00 ,1,1,1,0,1,1,20081001G0368,HCPCS,EKG interpret & report preve,,PC,15,,RBRVS,0.17,0.07,0.07,,,$0.00 ,$0.00 ,1,0,1,1,1,1,20081001G0372,HCPCS,MD service required for PMD,,,15,,RBRVS,0.17,0.04,0.04,,,$0.00 ,$0.00 ,1,0,1,1,0,1,20081001G0377,HCPCS,Administra Part D vaccine,,,9,,NW,,,,,,$24.25 ,$0.00 ,1,1,1,0,1,1,20081001G0389,HCPCS,Ultrasound exam AAA screen,26,,20,,RBRVS,0.58,0.2,0.2,,,$0.00 ,$0.00 ,1,0,1,1,1,0,20081001G0389,HCPCS,Ultrasound exam AAA screen,TC,,20,,RBRVS,0,2.21,2.21,,,$0.00 ,$0.00 ,1,1,1,0,1,0,20081001G0389,HCPCS,Ultrasound exam AAA screen,,,20,,RBRVS,0.58,2.41,2.41,,,$0.00 ,$0.00 ,1,0,0,0,0,1,20081001G0392,HCPCS,AV fistula or graft arterial,,,20,,RBRVS,9.48,48.69,48.69,,,$0.00 ,$0.00 ,1,0,1,1,1,1,20081001G0393,HCPCS,AV fistula or graft venous,,,20,,RBRVS,6.03,37.15,37.15,,,$0.00 ,$0.00 ,1,0,1,1,1,1,20081001G0394,HCPCS,"Blood occult test,colorectal",,,17,,NW,,,,,,$4.62 ,$0.00 ,1,1,1,0,1,1,20081001G0396,HCPCS,Alcohol/subs interv 15-30mn,,,15,,RBRVS,0.65,0.15,0.19,,,$0.00 ,$0.00 ,1,0,0,0,0,0,20081001G0397,HCPCS,Alcohol/subs interv >30 min,,,15,,RBRVS,1.3,0.29,0.34,,,$0.00 ,$0.00 ,1,0,1,1,0,1,20081001G9001,HCPCS,"MCCD, initial rate",,,15,,TotalUnits,,,,1.79,,$0.00 ,$0.00 ,1,0,1,1,1,1,20081001G9002,HCPCS,"MCCD,maintenance rate",,,15,,TotalUnits,,,,2.13,,$0.00 ,$0.00 ,1,0,1,1,1,1,20081001G9003,HCPCS,"MCCD, risk adj hi, initial",,,15,,TotalUnits,,,,2.69,,$0.00 ,$0.00 ,1,0,1,1,1,1,20081001G9004,HCPCS,"MCCD, risk adj lo, initial",,,15,,TotalUnits,,,,2.41,,$0.00 ,$0.00 ,1,0,1,1,1,1,20081001G9005,HCPCS,"MCCD, risk adj, maintenance",,,15,,TotalUnits,,,,3.19,,$0.00 ,$0.00 ,1,0,1,1,1,1,20081001G9006,HCPCS,"MCCD, Home monitoring",,,15,,TotalUnits,,,,0.32,,$0.00 ,$0.00 ,1,0,1,1,1,1,20081001G9007,HCPCS,"MCCD, sch team conf",,,14,,TotalUnits,,,,0.32,,$0.00 ,$0.00 ,1,0,1,1,1,1,20081001G9008,HCPCS,"Mccd,phys coor-care ovrsght",,,14,,TotalUnits,,,,0.32,,$0.00 ,$0.00 ,1,0,1,1,1,1,20081001G9009,HCPCS,"MCCD, risk adj, level 3",,,14,,TotalUnits,,,,4.67,,$0.00 ,$0.00 ,1,0,1,1,1,1,20081001G9010,HCPCS,"MCCD, risk adj, level 4",,,14,,TotalUnits,,,,4.67,,$0.00 ,$0.00 ,1,0,1,1,1,1,20081001G9011,HCPCS,"MCCD, risk adj, level 5",,,14,,TotalUnits,,,,4.67,,$0.00 ,$0.00 ,1,0,1,1,1,1,20081001G9012,HCPCS,Other Specified Case Mgmt,,,14,,TotalUnits,,,,4.67,,$0.00 ,$0.00 ,1,0,1,1,1,1,20081001G9018,HCPCS,"Zanamivir,inhalation pwd 10m",,,29,,NW,,,,,,$44.02 ,$0.00 ,1,1,1,0,1,1,20081001G9020,HCPCS,Rimantadine HCL 100mg oral,,,29,,NW,,,,,,$170.70 ,$0.00 ,1,1,1,0,1,1,20081001G9033,HCPCS,"Amantadine HCL, oral, brand",,,29,,NW,,,,,,$55.15 ,$0.00 ,1,1,1,0,1,1,20081001G9034,HCPCS,Zanamivir powder via inhaler,,,29,,NW,,,,,,$44.02 ,$0.00 ,1,1,1,0,1,1,20081001G9036,HCPCS,Rimantadine HCL 100mg,,,29,,NW,,,,,,$170.70 ,$0.00 ,1,1,1,0,1,1,20081001G9041,HCPCS,Low vision rehab occupationa,,,14,,RBRVS,0.44,0.1,0.1,,,$0.00 ,$0.00 ,1,1,1,0,1,1,20081001G9042,HCPCS,Low vision rehab orient/mobi,,,14,,RBRVS,0.1,0.02,0.02,,,$0.00 ,$0.00 ,1,1,1,0,1,1,20081001G9043,HCPCS,Low vision lowvision therapi,,,14,,RBRVS,0.1,0.02,0.02,,,$0.00 ,$0.00 ,1,1,1,0,1,1,20081001G9044,HCPCS,Low vision rehabilate teache,,,14,,RBRVS,0.1,0.02,0.02,,,$0.00 ,$0.00 ,1,1,1,0,1,1,20081001H0004,HCPCS,Alcohol and/or drug services,,,16,,TotalUnits,,,,0.51,,$0.00 ,$0.00 ,1,1,1,0,1,1,20081001H0020,HCPCS,Alcohol and/or drug services,,,16,,TotalUnits,,,,0.41,,$0.00 ,$0.00 ,1,1,1,0,1,1,20081001J0120,HCPCS,Tetracyclin injection,,,29,,NW,,,,,,$163.22 ,$0.00 ,1,1,1,0,0,1,20081001J0129,HCPCS,Abatacept injection,,,29,,NW,,,,,,$18.98 ,$0.00 ,1,1,1,0,1,1,20081001J0130,HCPCS,Abciximab injection,,,29,,NW,,,,,,"$1,074.85 ",$0.00 ,1,1,1,0,0,1,20081001J0132,HCPCS,Acetylcysteine injection,,,29,,NW,,,,,,$34.43 ,$0.00 ,1,1,1,0,0,1,20081001J0133,HCPCS,Acyclovir injection,,,29,,NW,,,,,,$0.59 ,$0.00 ,1,1,1,0,0,1,20081001J0150,HCPCS,Injection adenosine 6 MG,,,29,,NW,,,,,,$95.03 ,$0.00 ,1,1,1,0,0,1,20081001J0170,HCPCS,Adrenalin epinephrin inject,,,29,,NW,,,,,,$6.50 ,$0.00 ,1,1,1,0,0,1,20081001J0200,HCPCS,Alatrofloxacin mesylate,,,29,,NW,,,,,,$53.25 ,$0.00 ,1,1,1,0,0,1,20081001J0205,HCPCS,Alglucerase injection,,,29,,NW,,,,,,$100.20 ,$0.00 ,1,1,1,0,0,1,20081001J0207,HCPCS,Amifostine,,,29,,NW,,,,,,"$1,051.80 ",$0.00 ,1,1,1,0,0,1,20081001J0210,HCPCS,Methyldopate hcl injection,,,29,,NW,,,,,,$32.21 ,$0.00 ,1,1,1,0,0,1,20081001J0215,HCPCS,Alefacept,,,29,,NW,,,,,,$33.74 ,$0.00 ,1,1,1,0,0,1,20081001J0256,HCPCS,Alpha 1 proteinase inhibitor,,,29,,NW,,,,,,$6.50 ,$0.00 ,1,1,1,0,0,1,20081001J0270,HCPCS,Alprostadil for injection,,,29,,NW,,,,,,$0.64 ,$0.00 ,1,1,1,0,0,1,20081001J0275,HCPCS,Alprostadil urethral suppos,,,29,,NW,,,,,,$56.76 ,$0.00 ,1,1,1,0,0,1,20081001J0278,HCPCS,Amikacin sulfate injection,,,29,,NW,,,,,,$34.43 ,$0.00 ,1,1,1,0,0,1,20081001J0280,HCPCS,Aminophyllin 250 MG inj,,,29,,NW,,,,,,$1.81 ,$0.00 ,1,1,1,0,0,1,20081001J0282,HCPCS,Amiodarone HCl,,,29,,NW,,,,,,$17.01 ,$0.00 ,1,1,1,0,0,1,20081001J0285,HCPCS,Amphotericin B,,,29,,NW,,,,,,$28.70 ,$0.00 ,1,1,1,0,0,1,20081001J0287,HCPCS,Amphotericin b lipid complex,,,29,,NW,,,,,,$59.65 ,$0.00 ,1,1,1,0,0,1,20081001J0288,HCPCS,Ampho b cholesteryl sulfate,,,29,,NW,,,,,,$41.56 ,$0.00 ,1,1,1,0,0,1,20081001J0289,HCPCS,Amphotericin b liposome inj,,,29,,NW,,,,,,$88.98 ,$0.00 ,1,1,1,0,0,1,20081001J0290,HCPCS,Ampicillin 500 MG inj,,,29,,NW,,,,,,$4.15 ,$0.00 ,1,1,1,0,0,1,20081001J0295,HCPCS,Ampicillin sodium per 1.5 gm,,,29,,NW,,,,,,$20.51 ,$0.00 ,1,1,1,0,0,1,20081001J0300,HCPCS,Amobarbital 125 MG inj,,,29,,NW,,,,,,$6.50 ,$0.00 ,1,1,1,0,0,1,20081001J0330,HCPCS,Succinycholine chloride inj,,,29,,NW,,,,,,$0.64 ,$0.00 ,1,1,1,0,0,1,20081001J0348,HCPCS,Anadulafungin injection,,,29,,NW,,,,,,$1.94 ,$0.00 ,1,1,1,0,1,1,20081001J0360,HCPCS,Hydralazine hcl injection,,,29,,NW,,,,,,$43.89 ,$0.00 ,1,1,1,0,0,1,20081001J0364,HCPCS,Apomorphine hydrochloride,,,29,,NW,,,,,,$2.96 ,$0.00 ,1,1,1,0,1,1,20081001J0365,HCPCS,"Aprotonin, 10,000 kiu",,,29,,NW,,,,,,$29.62 ,$0.00 ,1,1,1,0,0,1,20081001J0380,HCPCS,Inj metaraminol bitartrate,,,29,,NW,,,,,,$2.99 ,$0.00 ,1,1,1,0,0,1,20081001J0390,HCPCS,Chloroquine injection,,,29,,NW,,,,,,$65.68 ,$0.00 ,1,1,1,0,0,1,20081001J0456,HCPCS,Azithromycin,,,29,,NW,,,,,,$67.42 ,$0.00 ,1,1,1,0,0,1,20081001J0460,HCPCS,Atropine sulfate injection,,,29,,NW,,,,,,$1.81 ,$0.00 ,1,1,1,0,0,1,20081001J0470,HCPCS,Dimecaprol injection,,,29,,NW,,,,,,$63.97 ,$0.00 ,1,1,1,0,0,1,20081001J0475,HCPCS,Baclofen 10 MG injection,,,29,,NW,,,,,,$459.86 ,$0.00 ,1,1,1,0,0,1,20081001J0476,HCPCS,Baclofen intrathecal trial,,,29,,NW,,,,,,$179.55 ,$0.00 ,1,1,1,0,0,1,20081001J0480,HCPCS,Basiliximab,,,29,,NW,,,,,,$27.03 ,$0.00 ,1,1,1,0,0,1,20081001J0500,HCPCS,Dicyclomine injection,,,29,,NW,,,,,,$47.41 ,$0.00 ,1,1,1,0,0,1,20081001J0515,HCPCS,Inj benztropine mesylate,,,29,,NW,,,,,,$10.00 ,$0.00 ,1,1,1,0,0,1,20081001J0520,HCPCS,Bethanechol chloride inject,,,29,,NW,,,,,,$6.79 ,$0.00 ,1,1,1,0,0,1,20081001J0530,HCPCS,Penicillin g benzathine inj,,,29,,NW,,,,,,$33.38 ,$0.00 ,1,1,1,0,0,1,20081001J0540,HCPCS,Penicillin g benzathine inj,,,29,,NW,,,,,,$63.09 ,$0.00 ,1,1,1,0,0,1,20081001J0550,HCPCS,Penicillin g benzathine inj,,,29,,NW,,,,,,$118.30 ,$0.00 ,1,1,1,0,0,1,20081001J0560,HCPCS,Penicillin g benzathine inj,,,29,,NW,,,,,,$27.53 ,$0.00 ,1,1,1,0,0,1,20081001J0570,HCPCS,Penicillin g benzathine inj,,,29,,NW,,,,,,$54.41 ,$0.00 ,1,1,1,0,0,1,20081001J0580,HCPCS,Penicillin g benzathine inj,,,29,,NW,,,,,,$96.75 ,$0.00 ,1,1,1,0,0,1,20081001J0585,HCPCS,Botulinum toxin a per unit,,,29,,NW,,,,,,$13.51 ,$0.00 ,1,1,1,0,0,1,20081001J0587,HCPCS,Botulinum toxin type B,,,29,,NW,,,,,,$24.03 ,$0.00 ,1,1,1,0,0,1,20081001J0592,HCPCS,Buprenorphine hydrochloride,,,29,,NW,,,,,,$1.81 ,$0.00 ,1,1,1,0,0,1,20081001J0594,HCPCS,Busulfan injection,,,29,,NW,,,,,,$9.02 ,$0.00 ,1,1,1,0,1,1,20081001J0600,HCPCS,Edetate calcium disodium inj,,,29,,NW,,,,,,$106.23 ,$0.00 ,1,1,1,0,0,1,20081001J0610,HCPCS,Calcium gluconate injection,,,29,,NW,,,,,,$1.81 ,$0.00 ,1,1,1,0,0,1,20081001J0620,HCPCS,Calcium glycer & lact/10 ML,,,29,,NW,,,,,,$17.01 ,$0.00 ,1,1,1,0,0,1,20081001J0630,HCPCS,Calcitonin salmon injection,,,29,,NW,,,,,,$94.14 ,$0.00 ,1,1,1,0,0,1,20081001J0636,HCPCS,Inj calcitriol per 0.1 mcg,,,29,,NW,,,,,,$0.64 ,$0.00 ,1,1,1,0,0,1,20081001J0637,HCPCS,Caspofungin acetate,,,29,,NW,,,,,,$82.94 ,$0.00 ,1,1,1,0,0,1,20081001J0640,HCPCS,Leucovorin calcium injection,,,29,,NW,,,,,,$8.82 ,$0.00 ,1,1,1,0,0,1,20081001J0670,HCPCS,Inj mepivacaine HCL/10 ml,,,29,,NW,,,,,,$5.33 ,$0.00 ,1,1,1,0,0,1,20081001J0690,HCPCS,Cefazolin sodium injection,,,29,,NW,,,,,,$5.33 ,$0.00 ,1,1,1,0,0,1,20081001J0692,HCPCS,Cefepime HCl for injection,,,29,,NW,,,,,,$1.81 ,$0.00 ,1,1,1,0,0,1,20081001J0694,HCPCS,Cefoxitin sodium injection,,,29,,NW,,,,,,$29.87 ,$0.00 ,1,1,1,0,0,1,20081001J0696,HCPCS,Ceftriaxone sodium injection,,,29,,NW,,,,,,$41.56 ,$0.00 ,1,1,1,0,0,1,20081001J0697,HCPCS,Sterile cefuroxime injection,,,29,,NW,,,,,,$8.82 ,$0.00 ,1,1,1,0,0,1,20081001J0698,HCPCS,Cefotaxime sodium injection,,,29,,NW,,,,,,$26.37 ,$0.00 ,1,1,1,0,0,1,20081001J0702,HCPCS,Betamethasone acet&sod phosp,,,29,,NW,,,,,,$13.51 ,$0.00 ,1,1,1,0,0,1,20081001J0704,HCPCS,Betamethasone sod phosp/4 MG,,,29,,NW,,,,,,$2.99 ,$0.00 ,1,1,1,0,0,1,20081001J0706,HCPCS,Caffeine citrate injection,,,29,,NW,,,,,,$8.82 ,$0.00 ,1,1,1,0,0,1,20081001J0710,HCPCS,Cephapirin sodium injection,,,29,,NW,,,,,,$20.46 ,$0.00 ,1,1,1,0,0,1,20081001J0713,HCPCS,Inj ceftazidime per 500 mg,,,29,,NW,,,,,,$18.18 ,$0.00 ,1,1,1,0,0,1,20081001J0715,HCPCS,Ceftizoxime sodium / 500 MG,,,29,,NW,,,,,,$13.51 ,$0.00 ,1,1,1,0,0,1,20081001J0720,HCPCS,Chloramphenicol sodium injec,,,29,,NW,,,,,,$19.34 ,$0.00 ,1,1,1,0,0,1,20081001J0725,HCPCS,Chorionic gonadotropin/1000u,,,29,,NW,,,,,,$6.50 ,$0.00 ,1,1,1,0,0,1,20081001J0735,HCPCS,Clonidine hydrochloride,,,29,,NW,,,,,,$128.65 ,$0.00 ,1,1,1,0,0,1,20081001J0740,HCPCS,Cidofovir injection,,,29,,NW,,,,,,"$1,758.84 ",$0.00 ,1,1,1,0,0,1,20081001J0743,HCPCS,Cilastatin sodium injection,,,29,,NW,,,,,,$43.89 ,$0.00 ,1,1,1,0,0,1,20081001J0744,HCPCS,Ciprofloxacin iv,,,29,,NW,,,,,,$38.06 ,$0.00 ,1,1,1,0,0,1,20081001J0745,HCPCS,Inj codeine phosphate /30 MG,,,29,,NW,,,,,,$0.64 ,$0.00 ,1,1,1,0,0,1,20081001J0760,HCPCS,Colchicine injection,,,29,,NW,,,,,,$19.34 ,$0.00 ,1,1,1,0,0,1,20081001J0770,HCPCS,Colistimethate sodium inj,,,29,,NW,,,,,,$126.93 ,$0.00 ,1,1,1,0,0,1,20081001J0780,HCPCS,Prochlorperazine injection,,,29,,NW,,,,,,$11.16 ,$0.00 ,1,1,1,0,0,1,20081001J0795,HCPCS,Corticorelin ovine triflutal,,,29,,NW,,,,,,$25.82 ,$0.00 ,1,1,1,0,0,1,20081001J0800,HCPCS,Corticotropin injection,,,29,,NW,,,,,,$207.15 ,$0.00 ,1,1,1,0,0,1,20081001J0835,HCPCS,Inj cosyntropin per 0.25 MG,,,29,,NW,,,,,,$50.91 ,$0.00 ,1,1,1,0,0,1,20081001J0850,HCPCS,Cytomegalovirus imm IV /vial,,,29,,NW,,,,,,"$1,486.29 ",$0.00 ,1,1,1,0,0,1,20081001J0881,HCPCS,"Darbepoetin alfa, non-esrd",,,29,,NW,,,,,,$18.85 ,$0.00 ,1,1,1,0,0,1,20081001J0882,HCPCS,"Darbepoetin alfa, esrd use",,,29,,NW,,,,,,$30.10 ,$0.00 ,1,1,1,0,0,1,20081001J0885,HCPCS,"Epoetin alfa, non-esrd",,,29,,NW,,,,,,$18.85 ,$0.00 ,1,1,1,0,0,1,20081001J0886,HCPCS,"Epoetin alfa, esrd",,,29,,NW,,,,,,$6.02 ,$0.00 ,1,1,1,0,0,1,20081001J0894,HCPCS,Decitabine injection,,,29,,NW,,,,,,$26.90 ,$0.00 ,1,1,1,0,1,1,20081001J0895,HCPCS,Deferoxamine mesylate inj,,,29,,NW,,,,,,$42.74 ,$0.00 ,1,1,1,0,0,1,20081001J0900,HCPCS,Testosterone enanthate inj,,,29,,NW,,,,,,$4.15 ,$0.00 ,1,1,1,0,0,1,20081001J0945,HCPCS,Brompheniramine maleate inj,,,29,,NW,,,,,,$1.81 ,$0.00 ,1,1,1,0,0,1,20081001J0970,HCPCS,Estradiol valerate injection,,,29,,NW,,,,,,$4.15 ,$0.00 ,1,1,1,0,0,1,20081001J1000,HCPCS,Depo-estradiol cypionate inj,,,29,,NW,,,,,,$5.33 ,$0.00 ,1,1,1,0,0,1,20081001J1020,HCPCS,Methylprednisolone 20 MG inj,,,29,,NW,,,,,,$6.50 ,$0.00 ,1,1,1,0,0,1,20081001J1030,HCPCS,Methylprednisolone 40 MG inj,,,29,,NW,,,,,,$11.16 ,$0.00 ,1,1,1,0,0,1,20081001J1040,HCPCS,Methylprednisolone 80 MG inj,,,29,,NW,,,,,,$22.86 ,$0.00 ,1,1,1,0,0,1,20081001J1051,HCPCS,Medroxyprogesterone inj,,,29,,NW,,,,,,$13.51 ,$0.00 ,1,1,1,0,0,1,20081001J1055,HCPCS,Medrxyprogester acetate inj,,,29,,NW,,,,,,$154.54 ,$0.00 ,1,1,1,0,0,1,20081001J1056,HCPCS,MA/EC contraceptiveinjection,,,29,,NW,,,,,,$65.68 ,$0.00 ,1,1,1,0,0,1,20081001J1060,HCPCS,Testosterone cypionate 1 ML,,,29,,NW,,,,,,$12.33 ,$0.00 ,1,1,1,0,0,1,20081001J1070,HCPCS,Testosterone cypionat 100 MG,,,29,,NW,,,,,,$13.51 ,$0.00 ,1,1,1,0,0,1,20081001J1080,HCPCS,Testosterone cypionat 200 MG,,,29,,NW,,,,,,$26.37 ,$0.00 ,1,1,1,0,0,1,20081001J1094,HCPCS,Inj dexamethasone acetate,,,29,,NW,,,,,,$1.81 ,$0.00 ,1,1,1,0,0,1,20081001J1100,HCPCS,Dexamethasone sodium phos,,,29,,NW,,,,,,$0.64 ,$0.00 ,1,1,1,0,0,1,20081001J1110,HCPCS,Inj dihydroergotamine mesylt,,,29,,NW,,,,,,$98.47 ,$0.00 ,1,1,1,0,0,1,20081001J1120,HCPCS,Acetazolamid sodium injectio,,,29,,NW,,,,,,$56.76 ,$0.00 ,1,1,1,0,0,1,20081001J1160,HCPCS,Digoxin injection,,,29,,NW,,,,,,$4.15 ,$0.00 ,1,1,1,0,0,1,20081001J1162,HCPCS,Digoxin immune fab (ovine),,,29,,NW,,,,,,$16.40 ,$0.00 ,1,1,1,0,0,1,20081001J1165,HCPCS,Phenytoin sodium injection,,,29,,NW,,,,,,$1.81 ,$0.00 ,1,1,1,0,0,1,20081001J1170,HCPCS,Hydromorphone injection,,,29,,NW,,,,,,$4.15 ,$0.00 ,1,1,1,0,0,1,20081001J1180,HCPCS,Dyphylline injection,,,29,,NW,,,,,,$25.20 ,$0.00 ,1,1,1,0,0,1,20081001J1190,HCPCS,Dexrazoxane HCl injection,,,29,,NW,,,,,,$498.68 ,$0.00 ,1,1,1,0,0,1,20081001J1200,HCPCS,Diphenhydramine hcl injectio,,,29,,NW,,,,,,$4.15 ,$0.00 ,1,1,1,0,0,1,20081001J1205,HCPCS,Chlorothiazide sodium inj,,,29,,NW,,,,,,$28.70 ,$0.00 ,1,1,1,0,0,1,20081001J1212,HCPCS,Dimethyl sulfoxide 50% 50 ML,,,29,,NW,,,,,,$107.10 ,$0.00 ,1,1,1,0,0,1,20081001J1230,HCPCS,Methadone injection,,,29,,NW,,,,,,$1.81 ,$0.00 ,1,1,1,0,0,1,20081001J1240,HCPCS,Dimenhydrinate injection,,,29,,NW,,,,,,$0.64 ,$0.00 ,1,1,1,0,0,1,20081001J1245,HCPCS,Dipyridamole injection,,,29,,NW,,,,,,$15.85 ,$0.00 ,1,1,1,0,0,1,20081001J1250,HCPCS,Inj dobutamine HCL/250 mg,,,29,,NW,,,,,,$12.33 ,$0.00 ,1,1,1,0,0,1,20081001J1260,HCPCS,Dolasetron mesylate,,,29,,NW,,,,,,$52.63 ,$0.00 ,1,1,1,0,0,1,20081001J1270,HCPCS,"Injection, doxercalciferol",,,29,,NW,,,,,,$14.68 ,$0.00 ,1,1,1,0,0,1,20081001J1320,HCPCS,Amitriptyline injection,,,29,,NW,,,,,,$7.65 ,$0.00 ,1,1,1,0,0,1,20081001J1324,HCPCS,Enfuvirtide injection,,,29,,NW,,,,,,$22.15 ,$0.00 ,1,1,1,0,1,1,20081001J1325,HCPCS,Epoprostenol injection,,,29,,NW,,,,,,$34.06 ,$0.00 ,1,1,1,0,0,1,20081001J1327,HCPCS,Eptifibatide injection,,,29,,NW,,,,,,$35.71 ,$0.00 ,1,1,1,0,0,1,20081001J1330,HCPCS,Ergonovine maleate injection,,,29,,NW,,,,,,$42.07 ,$0.00 ,1,1,1,0,0,1,20081001J1364,HCPCS,Erythro lactobionate /500 MG,,,29,,NW,,,,,,$8.82 ,$0.00 ,1,1,1,0,0,1,20081001J1380,HCPCS,Estradiol valerate 10 MG inj,,,29,,NW,,,,,,$0.64 ,$0.00 ,1,1,1,0,0,1,20081001J1390,HCPCS,Estradiol valerate 20 MG inj,,,29,,NW,,,,,,$2.99 ,$0.00 ,1,1,1,0,0,1,20081001J1410,HCPCS,Inj estrogen conjugate 25 MG,,,29,,NW,,,,,,$141.59 ,$0.00 ,1,1,1,0,0,1,20081001J1430,HCPCS,Ethanolamine oleate 100 mg,,,29,,NW,,,,,,$16.40 ,$0.00 ,1,1,1,0,0,1,20081001J1435,HCPCS,Injection estrone per 1 MG,,,29,,NW,,,,,,$0.64 ,$0.00 ,1,1,1,0,0,1,20081001J1436,HCPCS,Etidronate disodium inj,,,29,,NW,,,,,,$173.51 ,$0.00 ,1,1,1,0,0,1,20081001J1438,HCPCS,Etanercept injection,,,29,,NW,,,,,,$335.67 ,$0.00 ,1,1,1,0,0,1,20081001J1440,HCPCS,Filgrastim 300 mcg injection,,,29,,NW,,,,,,$381.38 ,$0.00 ,1,1,1,0,0,1,20081001J1441,HCPCS,Filgrastim 480 mcg injection,,,29,,NW,,,,,,$633.23 ,$0.00 ,1,1,1,0,0,1,20081001J1450,HCPCS,Fluconazole,,,29,,NW,,,,,,$213.18 ,$0.00 ,1,1,1,0,0,1,20081001J1451,HCPCS,"Fomepizole, 15 mg",,,29,,NW,,,,,,$16.17 ,$0.00 ,1,1,1,0,0,1,20081001J1452,HCPCS,Intraocular Fomivirsen na,,,29,,NW,,,,,,"$1,978.79 ",$0.00 ,1,1,1,0,0,1,20081001J1455,HCPCS,Foscarnet sodium injection,,,29,,NW,,,,,,$35.71 ,$0.00 ,1,1,1,0,0,1,20081001J1458,HCPCS,Galsulfase injection,,,29,,NW,,,,,,"$1,539.08 ",$0.00 ,1,1,1,0,1,1,20081001J1460,HCPCS,Gamma globulin 1 CC inj,,,29,,NW,,,,,,$31.05 ,$0.00 ,1,1,1,0,0,1,20081001J1470,HCPCS,Gamma globulin 2 CC inj,,,29,,NW,,,,,,$62.24 ,$0.00 ,1,1,1,0,0,1,20081001J1480,HCPCS,Gamma globulin 3 CC inj,,,29,,NW,,,,,,$85.53 ,$0.00 ,1,1,1,0,0,1,20081001J1490,HCPCS,Gamma globulin 4 CC inj,,,29,,NW,,,,,,$108.82 ,$0.00 ,1,1,1,0,0,1,20081001J1500,HCPCS,Gamma globulin 5 CC inj,,,29,,NW,,,,,,$132.96 ,$0.00 ,1,1,1,0,0,1,20081001J1510,HCPCS,Gamma globulin 6 CC inj,,,29,,NW,,,,,,$156.26 ,$0.00 ,1,1,1,0,0,1,20081001J1520,HCPCS,Gamma globulin 7 CC inj,,,29,,NW,,,,,,$179.55 ,$0.00 ,1,1,1,0,0,1,20081001J1530,HCPCS,Gamma globulin 8 CC inj,,,29,,NW,,,,,,$203.70 ,$0.00 ,1,1,1,0,0,1,20081001J1540,HCPCS,Gamma globulin 9 CC inj,,,29,,NW,,,,,,$226.98 ,$0.00 ,1,1,1,0,0,1,20081001J1550,HCPCS,Gamma globulin 10 CC inj,,,29,,NW,,,,,,$250.27 ,$0.00 ,1,1,1,0,0,1,20081001J1560,HCPCS,Gamma globulin > 10 CC inj,,,29,,NW,,,,,,$25.28 ,$0.00 ,1,1,1,0,0,1,20081001J1562,HCPCS,Immune globulin subcutaneous,,,29,,NW,,,,,,$7.19 ,$0.00 ,1,1,1,0,1,1,20081001J1565,HCPCS,RSV-ivig,,,29,,NW,,,,,,$46.24 ,$0.00 ,1,1,1,0,0,1,20081001J1566,HCPCS,"Immune globulin, powder",,,29,,NW,,,,,,$15.89 ,$0.00 ,1,1,1,0,0,1,20081001J1570,HCPCS,Ganciclovir sodium injection,,,29,,NW,,,,,,$87.25 ,$0.00 ,1,1,1,0,0,1,20081001J1580,HCPCS,Garamycin gentamicin inj,,,29,,NW,,,,,,$5.33 ,$0.00 ,1,1,1,0,0,1,20081001J1590,HCPCS,Gatifloxacin injection,,,29,,NW,,,,,,$1.81 ,$0.00 ,1,1,1,0,0,1,20081001J1595,HCPCS,Injection glatiramer acetate,,,29,,NW,,,,,,$836.67 ,$0.00 ,1,1,1,0,0,1,20081001J1600,HCPCS,Gold sodium thiomaleate inj,,,29,,NW,,,,,,$36.89 ,$0.00 ,1,1,1,0,0,1,20081001J1610,HCPCS,Glucagon hydrochloride/1 MG,,,29,,NW,,,,,,$108.82 ,$0.00 ,1,1,1,0,0,1,20081001J1620,HCPCS,Gonadorelin hydroch/ 100 mcg,,,29,,NW,,,,,,$432.27 ,$0.00 ,1,1,1,0,0,1,20081001J1626,HCPCS,Granisetron HCl injection,,,29,,NW,,,,,,$48.57 ,$0.00 ,1,1,1,0,0,1,20081001J1630,HCPCS,Haloperidol injection,,,29,,NW,,,,,,$18.18 ,$0.00 ,1,1,1,0,0,1,20081001J1631,HCPCS,Haloperidol decanoate inj,,,29,,NW,,,,,,$25.20 ,$0.00 ,1,1,1,0,0,1,20081001J1640,HCPCS,"Hemin, 1 mg",,,29,,NW,,,,,,$14.99 ,$0.00 ,1,1,1,0,0,1,20081001J1642,HCPCS,Inj heparin sodium per 10 u,,,29,,NW,,,,,,$0.64 ,$0.00 ,1,1,1,0,0,1,20081001J1644,HCPCS,Inj heparin sodium per 1000u,,,29,,NW,,,,,,$0.64 ,$0.00 ,1,1,1,0,0,1,20081001J1645,HCPCS,Dalteparin sodium,,,29,,NW,,,,,,$43.89 ,$0.00 ,1,1,1,0,0,1,20081001J1650,HCPCS,Inj enoxaparin sodium,,,29,,NW,,,,,,$17.01 ,$0.00 ,1,1,1,0,0,1,20081001J1652,HCPCS,Fondaparinux sodium,,,29,,NW,,,,,,$22.86 ,$0.00 ,1,1,1,0,0,1,20081001J1655,HCPCS,Tinzaparin sodium injection,,,29,,NW,,,,,,$10.00 ,$0.00 ,1,1,1,0,0,1,20081001J1670,HCPCS,Tetanus immune globulin inj,,,29,,NW,,,,,,$260.63 ,$0.00 ,1,1,1,0,0,1,20081001J1700,HCPCS,Hydrocortisone acetate inj,,,29,,NW,,,,,,$0.64 ,$0.00 ,1,1,1,0,0,1,20081001J1710,HCPCS,Hydrocortisone sodium ph inj,,,29,,NW,,,,,,$19.34 ,$0.00 ,1,1,1,0,0,1,20081001J1720,HCPCS,Hydrocortisone sodium succ i,,,29,,NW,,,,,,$5.33 ,$0.00 ,1,1,1,0,0,1,20081001J1730,HCPCS,Diazoxide injection,,,29,,NW,,,,,,$269.26 ,$0.00 ,1,1,1,0,0,1,20081001J1740,HCPCS,Ibandronate sodium injection,,,29,,NW,,,,,,$141.23 ,$0.00 ,1,1,1,0,1,1,20081001J1742,HCPCS,Ibutilide fumarate injection,,,29,,NW,,,,,,$534.05 ,$0.00 ,1,1,1,0,0,1,20081001J1745,HCPCS,Infliximab injection,,,29,,NW,,,,,,$150.21 ,$0.00 ,1,1,1,0,0,1,20081001J1751,HCPCS,Iron dextran 165 injection,,,29,,NW,,,,,,$13.98 ,$0.00 ,1,1,1,0,0,1,20081001J1752,HCPCS,Iron dextran 267 injection,,,29,,NW,,,,,,$12.96 ,$0.00 ,1,1,1,0,0,1,20081001J1756,HCPCS,Iron sucrose injection,,,29,,NW,,,,,,$1.81 ,$0.00 ,1,1,1,0,0,1,20081001J1785,HCPCS,Injection imiglucerase /unit,,,29,,NW,,,,,,$11.16 ,$0.00 ,1,1,1,0,0,1,20081001J1790,HCPCS,Droperidol injection,,,29,,NW,,,,,,$7.65 ,$0.00 ,1,1,1,0,0,1,20081001J1800,HCPCS,Propranolol injection,,,29,,NW,,,,,,$32.21 ,$0.00 ,1,1,1,0,0,1,20081001J1810,HCPCS,Droperidol/fentanyl inj,,,29,,NW,,,,,,$16.91 ,$0.00 ,1,1,1,0,0,1,20081001J1815,HCPCS,Insulin injection,,,29,,NW,,,,,,$0.64 ,$0.00 ,1,1,1,0,0,1,20081001J1817,HCPCS,Insulin for insulin pump use,,,29,,NW,,,,,,$7.65 ,$0.00 ,1,1,1,0,0,1,20081001J1825,HCPCS,Interferon beta-1a,,,29,,NW,,,,,,$708.29 ,$0.00 ,1,1,1,0,0,1,20081001J1830,HCPCS,Interferon beta-1b / .25 MG,,,29,,NW,,,,,,$153.67 ,$0.00 ,1,1,1,0,0,1,20081001J1835,HCPCS,Itraconazole injection,,,29,,NW,,,,,,$90.70 ,$0.00 ,1,1,1,0,0,1,20081001J1840,HCPCS,Kanamycin sulfate 500 MG inj,,,29,,NW,,,,,,$8.82 ,$0.00 ,1,1,1,0,0,1,20081001J1850,HCPCS,Kanamycin sulfate 75 MG inj,,,29,,NW,,,,,,$0.64 ,$0.00 ,1,1,1,0,0,1,20081001J1885,HCPCS,Ketorolac tromethamine inj,,,29,,NW,,,,,,$10.00 ,$0.00 ,1,1,1,0,0,1,20081001J1890,HCPCS,Cephalothin sodium injection,,,29,,NW,,,,,,$28.70 ,$0.00 ,1,1,1,0,0,1,20081001J1940,HCPCS,Furosemide injection,,,29,,NW,,,,,,$1.81 ,$0.00 ,1,1,1,0,0,1,20081001J1945,HCPCS,Lepiridin,,,29,,NW,,,,,,$11.71 ,$0.00 ,1,1,1,0,0,1,20081001J1950,HCPCS,Leuprolide acetate /3.75 MG,,,29,,NW,,,,,,"$1,062.78 ",$0.00 ,1,1,1,0,0,1,20081001J1955,HCPCS,Inj levocarnitine per 1 gm,,,29,,NW,,,,,,$85.53 ,$0.00 ,1,1,1,0,0,1,20081001J1956,HCPCS,Levofloxacin injection,,,29,,NW,,,,,,$57.93 ,$0.00 ,1,1,1,0,0,1,20081001J1960,HCPCS,Levorphanol tartrate inj,,,29,,NW,,,,,,$10.00 ,$0.00 ,1,1,1,0,0,1,20081001J1980,HCPCS,Hyoscyamine sulfate inj,,,29,,NW,,,,,,$24.03 ,$0.00 ,1,1,1,0,0,1,20081001J1990,HCPCS,Chlordiazepoxide injection,,,29,,NW,,,,,,$66.55 ,$0.00 ,1,1,1,0,0,1,20081001J2001,HCPCS,INJECTION LIDO HCL IV INFUS 10 MG,,,29,,NW,,,,,,$1.25 ,$0.00 ,1,1,1,0,0,1,20081001J2010,HCPCS,Lincomycin injection,,,29,,NW,,,,,,$8.82 ,$0.00 ,1,1,1,0,0,1,20081001J2020,HCPCS,Linezolid injection,,,29,,NW,,,,,,$90.70 ,$0.00 ,1,1,1,0,0,1,20081001J2060,HCPCS,Lorazepam injection,,,29,,NW,,,,,,$8.82 ,$0.00 ,1,1,1,0,0,1,20081001J2150,HCPCS,Mannitol injection,,,29,,NW,,,,,,$8.82 ,$0.00 ,1,1,1,0,0,1,20081001J2170,HCPCS,Mecasermin injection,,,29,,NW,,,,,,$12.11 ,$0.00 ,1,1,1,0,1,1,20081001J2175,HCPCS,Meperidine hydrochl /100 MG,,,29,,NW,,,,,,$0.64 ,$0.00 ,1,1,1,0,0,1,20081001J2180,HCPCS,Meperidine/promethazine inj,,,29,,NW,,,,,,$12.33 ,$0.00 ,1,1,1,0,0,1,20081001J2210,HCPCS,Methylergonovin maleate inj,,,29,,NW,,,,,,$11.16 ,$0.00 ,1,1,1,0,0,1,20081001J2248,HCPCS,Micafungin sodium injection,,,29,,NW,,,,,,$1.90 ,$0.00 ,1,1,1,0,1,1,20081001J2250,HCPCS,Inj midazolam hydrochloride,,,29,,NW,,,,,,$2.99 ,$0.00 ,1,1,1,0,0,1,20081001J2260,HCPCS,Inj milrinone lactate / 5 MG,,,29,,NW,,,,,,$121.76 ,$0.00 ,1,1,1,0,0,1,20081001J2270,HCPCS,Morphine sulfate injection,,,29,,NW,,,,,,$1.81 ,$0.00 ,1,1,1,0,0,1,20081001J2271,HCPCS,Morphine so4 injection 100mg,,,29,,NW,,,,,,$12.33 ,$0.00 ,1,1,1,0,0,1,20081001J2275,HCPCS,Morphine sulfate injection,,,29,,NW,,,,,,$5.33 ,$0.00 ,1,1,1,0,0,1,20081001J2278,HCPCS,Ziconotide injection,,,29,,NW,,,,,,$10.58 ,$0.00 ,1,1,1,0,0,1,20081001J2300,HCPCS,Inj nalbuphine hydrochloride,,,29,,NW,,,,,,$4.15 ,$0.00 ,1,1,1,0,0,1,20081001J2310,HCPCS,Inj naloxone hydrochloride,,,29,,NW,,,,,,$6.50 ,$0.00 ,1,1,1,0,0,1,20081001J2315,HCPCS,"Naltrexone, depot form",,,29,,NW,,,,,,$1.97 ,$0.00 ,1,1,1,0,1,1,20081001J2320,HCPCS,Nandrolone decanoate 50 MG,,,29,,NW,,,,,,$10.00 ,$0.00 ,1,1,1,0,0,1,20081001J2321,HCPCS,Nandrolone decanoate 100 MG,,,29,,NW,,,,,,$19.34 ,$0.00 ,1,1,1,0,0,1,20081001J2322,HCPCS,Nandrolone decanoate 200 MG,,,29,,NW,,,,,,$43.89 ,$0.00 ,1,1,1,0,0,1,20081001J2325,HCPCS,Nesiritide injection,,,29,,NW,,,,,,$10.34 ,$0.00 ,1,1,1,0,0,1,20081001J2355,HCPCS,Oprelvekin injection,,,29,,NW,,,,,,$568.54 ,$0.00 ,1,1,1,0,0,1,20081001J2360,HCPCS,Orphenadrine injection,,,29,,NW,,,,,,$14.68 ,$0.00 ,1,1,1,0,0,1,20081001J2370,HCPCS,Phenylephrine hcl injection,,,29,,NW,,,,,,$2.99 ,$0.00 ,1,1,1,0,0,1,20081001J2400,HCPCS,Chloroprocaine hcl injection,,,29,,NW,,,,,,$17.01 ,$0.00 ,1,1,1,0,0,1,20081001J2405,HCPCS,Ondansetron hcl injection,,,29,,NW,,,,,,$17.01 ,$0.00 ,1,1,1,0,0,1,20081001J2410,HCPCS,Oxymorphone hcl injection,,,29,,NW,,,,,,$7.65 ,$0.00 ,1,1,1,0,0,1,20081001J2425,HCPCS,Palifermin injection,,,29,,NW,,,,,,$9.16 ,$0.00 ,1,1,1,0,0,1,20081001J2430,HCPCS,Pamidronate disodium /30 MG,,,29,,NW,,,,,,$564.24 ,$0.00 ,1,1,1,0,0,1,20081001J2440,HCPCS,Papaverin hcl injection,,,29,,NW,,,,,,$8.82 ,$0.00 ,1,1,1,0,0,1,20081001J2460,HCPCS,Oxytetracycline injection,,,29,,NW,,,,,,$1.81 ,$0.00 ,1,1,1,0,0,1,20081001J2501,HCPCS,Paricalcitol,,,29,,NW,,,,,,$13.51 ,$0.00 ,1,1,1,0,0,1,20081001J2503,HCPCS,Pegaptanib sodium injection,,,29,,NW,,,,,,$8.20 ,$0.00 ,1,1,1,0,0,1,20081001J2504,HCPCS,"Pegademase bovine, 25 iu",,,29,,NW,,,,,,$8.12 ,$0.00 ,1,1,1,0,0,1,20081001J2510,HCPCS,Penicillin g procaine inj,,,29,,NW,,,,,,$26.37 ,$0.00 ,1,1,1,0,0,1,20081001J2513,HCPCS,Pentastarch 10% solution,,,29,,NW,,,,,,$7.84 ,$0.00 ,1,1,1,0,0,1,20081001J2515,HCPCS,Pentobarbital sodium inj,,,29,,NW,,,,,,$2.99 ,$0.00 ,1,1,1,0,0,1,20081001J2540,HCPCS,Penicillin g potassium inj,,,29,,NW,,,,,,$0.64 ,$0.00 ,1,1,1,0,0,1,20081001J2543,HCPCS,Piperacillin/tazobactam,,,29,,NW,,,,,,$13.51 ,$0.00 ,1,1,1,0,0,1,20081001J2545,HCPCS,Pentamidine isethionte/300mg,,,29,,NW,,,,,,$107.10 ,$0.00 ,1,1,1,0,0,1,20081001J2550,HCPCS,Promethazine hcl injection,,,29,,NW,,,,,,$7.65 ,$0.00 ,1,1,1,0,0,1,20081001J2560,HCPCS,Phenobarbital sodium inj,,,29,,NW,,,,,,$4.15 ,$0.00 ,1,1,1,0,0,1,20081001J2590,HCPCS,Oxytocin injection,,,29,,NW,,,,,,$2.99 ,$0.00 ,1,1,1,0,0,1,20081001J2597,HCPCS,Inj desmopressin acetate,,,29,,NW,,,,,,$8.82 ,$0.00 ,1,1,1,0,0,1,20081001J2650,HCPCS,Prednisolone acetate inj,,,29,,NW,,,,,,$0.64 ,$0.00 ,1,1,1,0,0,1,20081001J2670,HCPCS,Totazoline hcl injection,,,29,,NW,,,,,,$10.00 ,$0.00 ,1,1,1,0,0,1,20081001J2675,HCPCS,Inj progesterone per 50 MG,,,29,,NW,,,,,,$10.00 ,$0.00 ,1,1,1,0,0,1,20081001J2680,HCPCS,Fluphenazine decanoate 25 MG,,,29,,NW,,,,,,$24.03 ,$0.00 ,1,1,1,0,0,1,20081001J2690,HCPCS,Procainamide hcl injection,,,29,,NW,,,,,,$2.99 ,$0.00 ,1,1,1,0,0,1,20081001J2700,HCPCS,Oxacillin sodium injeciton,,,29,,NW,,,,,,$1.81 ,$0.00 ,1,1,1,0,0,1,20081001J2710,HCPCS,Neostigmine methylslfte inj,,,29,,NW,,,,,,$1.81 ,$0.00 ,1,1,1,0,0,1,20081001J2720,HCPCS,Inj protamine sulfate/10 MG,,,29,,NW,,,,,,$1.81 ,$0.00 ,1,1,1,0,0,1,20081001J2725,HCPCS,Inj protirelin per 250 mcg,,,29,,NW,,,,,,$64.83 ,$0.00 ,1,1,1,0,0,1,20081001J2730,HCPCS,Pralidoxime chloride inj,,,29,,NW,,,,,,$227.86 ,$0.00 ,1,1,1,0,0,1,20081001J2760,HCPCS,Phentolaine mesylate inj,,,29,,NW,,,,,,$80.35 ,$0.00 ,1,1,1,0,0,1,20081001J2765,HCPCS,Metoclopramide hcl injection,,,29,,NW,,,,,,$4.15 ,$0.00 ,1,1,1,0,0,1,20081001J2770,HCPCS,Quinupristin/dalfopristin,,,29,,NW,,,,,,$252.01 ,$0.00 ,1,1,1,0,0,1,20081001J2780,HCPCS,Ranitidine hydrochloride inj,,,29,,NW,,,,,,$2.99 ,$0.00 ,1,1,1,0,0,1,20081001J2788,HCPCS,Rho d immune globulin 50 mcg,,,29,,NW,,,,,,$120.91 ,$0.00 ,1,1,1,0,0,1,20081001J2790,HCPCS,Rho d immune globulin inj,,,29,,NW,,,,,,$221.81 ,$0.00 ,1,1,1,0,0,1,20081001J2792,HCPCS,"Rho(D) immune globulin h, sd",,,29,,NW,,,,,,$56.76 ,$0.00 ,1,1,1,0,0,1,20081001J2795,HCPCS,Ropivacaine HCl injection,,,29,,NW,,,,,,$0.64 ,$0.00 ,1,1,1,0,0,1,20081001J2800,HCPCS,Methocarbamol injection,,,29,,NW,,,,,,$10.00 ,$0.00 ,1,1,1,0,0,1,20081001J2805,HCPCS,Sincalide injection,,,29,,NW,,,,,,$7.84 ,$0.00 ,1,1,1,0,0,1,20081001J2810,HCPCS,Inj theophylline per 40 MG,,,29,,NW,,,,,,$1.76 ,$0.00 ,1,1,1,0,0,1,20081001J2820,HCPCS,Sargramostim injection,,,29,,NW,,,,,,$71.73 ,$0.00 ,1,1,1,0,0,1,20081001J2850,HCPCS,Inj secretin synthetic human,,,29,,NW,,,,,,$7.84 ,$0.00 ,1,1,1,0,0,1,20081001J2910,HCPCS,Aurothioglucose injeciton,,,29,,NW,,,,,,$47.41 ,$0.00 ,1,1,1,0,0,1,20081001J2916,HCPCS,Na ferric gluconate complex,,,29,,NW,,,,,,$22.86 ,$0.00 ,1,1,1,0,0,1,20081001J2920,HCPCS,Methylprednisolone injection,,,29,,NW,,,,,,$4.15 ,$0.00 ,1,1,1,0,0,1,20081001J2930,HCPCS,Methylprednisolone injection,,,29,,NW,,,,,,$5.33 ,$0.00 ,1,1,1,0,0,1,20081001J2940,HCPCS,Somatrem injection,,,29,,NW,,,,,,$108.82 ,$0.00 ,1,1,1,0,0,1,20081001J2941,HCPCS,Somatropin injection,,,29,,NW,,,,,,$109.69 ,$0.00 ,1,1,1,0,0,1,20081001J2950,HCPCS,Promazine hcl injection,,,29,,NW,,,,,,$0.64 ,$0.00 ,1,1,1,0,0,1,20081001J2993,HCPCS,Reteplase injection,,,29,,NW,,,,,,"$2,714.52 ",$0.00 ,1,1,1,0,0,1,20081001J2995,HCPCS,Inj streptokinase /250000 IU,,,29,,NW,,,,,,$198.51 ,$0.00 ,1,1,1,0,0,1,20081001J2997,HCPCS,Alteplase recombinant,,,29,,NW,,,,,,$90.70 ,$0.00 ,1,1,1,0,0,1,20081001J3000,HCPCS,Streptomycin injection,,,29,,NW,,,,,,$17.01 ,$0.00 ,1,1,1,0,0,1,20081001J3010,HCPCS,Fentanyl citrate injeciton,,,29,,NW,,,,,,$1.81 ,$0.00 ,1,1,1,0,0,1,20081001J3030,HCPCS,Sumatriptan succinate / 6 MG,,,29,,NW,,,,,,$69.99 ,$0.00 ,1,1,1,0,0,1,20081001J3070,HCPCS,Pentazocine injection,,,29,,NW,,,,,,$14.68 ,$0.00 ,1,1,1,0,0,1,20081001J3100,HCPCS,Tenecteplase injection,,,29,,NW,,,,,,"$5,576.40 ",$0.00 ,1,1,1,0,0,1,20081001J3105,HCPCS,Terbutaline sulfate inj,,,29,,NW,,,,,,$75.18 ,$0.00 ,1,1,1,0,0,1,20081001J3110,HCPCS,Teriparatide injection,,,29,,NW,,,,,,$437.18 ,$0.00 ,1,1,1,0,0,1,20081001J3120,HCPCS,Testosterone enanthate inj,,,29,,NW,,,,,,$25.20 ,$0.00 ,1,1,1,0,0,1,20081001J3130,HCPCS,Testosterone enanthate inj,,,29,,NW,,,,,,$49.76 ,$0.00 ,1,1,1,0,0,1,20081001J3140,HCPCS,Testosterone suspension inj,,,29,,NW,,,,,,$17.13 ,$0.00 ,1,1,1,0,0,1,20081001J3150,HCPCS,Testosteron propionate inj,,,29,,NW,,,,,,$4.15 ,$0.00 ,1,1,1,0,0,1,20081001J3230,HCPCS,Chlorpromazine hcl injection,,,29,,NW,,,,,,$12.33 ,$0.00 ,1,1,1,0,0,1,20081001J3240,HCPCS,Thyrotropin injection,,,29,,NW,,,,,,"$1,291.36 ",$0.00 ,1,1,1,0,0,1,20081001J3243,HCPCS,Tigecycline injection,,,29,,NW,,,,,,$0.92 ,$0.00 ,1,1,1,0,1,1,20081001J3250,HCPCS,Trimethobenzamide hcl inj,,,29,,NW,,,,,,$4.15 ,$0.00 ,1,1,1,0,0,1,20081001J3260,HCPCS,Tobramycin sulfate injection,,,29,,NW,,,,,,$12.33 ,$0.00 ,1,1,1,0,0,1,20081001J3265,HCPCS,Injection torsemide 10 mg/ml,,,29,,NW,,,,,,$4.15 ,$0.00 ,1,1,1,0,0,1,20081001J3280,HCPCS,Thiethylperazine maleate inj,,,29,,NW,,,,,,$15.85 ,$0.00 ,1,1,1,0,0,1,20081001J3285,HCPCS,Treprostinil injection,,,29,,NW,,,,,,$7.84 ,$0.00 ,1,1,1,0,0,1,20081001J3301,HCPCS,Triamcinolone acetonide inj,,,29,,NW,,,,,,$4.15 ,$0.00 ,1,1,1,0,0,1,20081001J3302,HCPCS,Triamcinolone diacetate inj,,,29,,NW,,,,,,$0.64 ,$0.00 ,1,1,1,0,0,1,20081001J3303,HCPCS,Triamcinolone hexacetonl inj,,,29,,NW,,,,,,$1.81 ,$0.00 ,1,1,1,0,0,1,20081001J3305,HCPCS,Inj trimetrexate glucoronate,,,29,,NW,,,,,,$308.93 ,$0.00 ,1,1,1,0,0,1,20081001J3310,HCPCS,Perphenazine injeciton,,,29,,NW,,,,,,$25.20 ,$0.00 ,1,1,1,0,0,1,20081001J3315,HCPCS,Triptorelin pamoate,,,29,,NW,,,,,,$838.54 ,$0.00 ,1,1,1,0,0,1,20081001J3320,HCPCS,Spectinomycn di-hcl inj,,,29,,NW,,,,,,$73.45 ,$0.00 ,1,1,1,0,0,1,20081001J3350,HCPCS,Urea injection,,,29,,NW,,,,,,$240.78 ,$0.00 ,1,1,1,0,0,1,20081001J3355,HCPCS,"Urofollitropin, 75 iu",,,29,,NW,,,,,,$7.84 ,$0.00 ,1,1,1,0,0,1,20081001J3360,HCPCS,Diazepam injection,,,29,,NW,,,,,,$1.81 ,$0.00 ,1,1,1,0,0,1,20081001J3364,HCPCS,Urokinase 5000 IU injection,,,29,,NW,,,,,,$28.70 ,$0.00 ,1,1,1,0,0,1,20081001J3365,HCPCS,"Urokinase 250,000 IU inj",,,29,,NW,,,,,,"$1,072.26 ",$0.00 ,1,1,1,0,0,1,20081001J3370,HCPCS,Vancomycin hcl injection,,,29,,NW,,,,,,$7.65 ,$0.00 ,1,1,1,0,0,1,20081001J3400,HCPCS,Triflupromazine hcl inj,,,29,,NW,,,,,,$97.48 ,$0.00 ,1,1,1,0,0,1,20081001J3410,HCPCS,Hydroxyzine hcl injection,,,29,,NW,,,,,,$2.99 ,$0.00 ,1,1,1,0,0,1,20081001J3420,HCPCS,Vitamin b12 injection,,,29,,NW,,,,,,$0.64 ,$0.00 ,1,1,1,0,0,1,20081001J3430,HCPCS,Vitamin k phytonadione inj,,,29,,NW,,,,,,$5.33 ,$0.00 ,1,1,1,0,0,1,20081001J3470,HCPCS,Hyaluronidase injection,,,29,,NW,,,,,,$70.88 ,$0.00 ,1,1,1,0,0,1,20081001J3471,HCPCS,"Ovine, up to 999 USP units",,,29,,NW,,,,,,$6.35 ,$0.00 ,1,1,1,0,0,1,20081001J3472,HCPCS,"Ovine, 1000 USP units",,,29,,NW,,,,,,$6.35 ,$0.00 ,1,1,1,0,0,1,20081001J3473,HCPCS,Hyaluronidase recombinant,,,29,,NW,,,,,,$0.41 ,$0.00 ,1,1,1,0,1,1,20081001J3475,HCPCS,Inj magnesium sulfate,,,29,,NW,,,,,,$0.64 ,$0.00 ,1,1,1,0,0,1,20081001J3480,HCPCS,Inj potassium chloride,,,29,,NW,,,,,,$0.64 ,$0.00 ,1,1,1,0,0,1,20081001J3485,HCPCS,Zidovudine,,,29,,NW,,,,,,$1.81 ,$0.00 ,1,1,1,0,0,1,20081001J3487,HCPCS,Zoledronic acid,,,29,,NW,,,,,,$464.17 ,$0.00 ,1,1,1,0,0,1,20081001J3490,HCPCS,Drugs unclassified injection,,,29,,NW,,,,,,$19.04 ,$0.00 ,1,1,1,0,0,1,20081001J3520,HCPCS,Edetate disodium per 150 mg,,,29,,NW,,,,,,$0.64 ,$0.00 ,1,1,1,0,0,1,20081001J3535,HCPCS,Metered dose inhaler drug,,,29,,NW,,,,,,$2.62 ,$0.00 ,1,1,1,0,0,1,20081001J3570,HCPCS,Laetrile amygdalin vit B17,,,29,,NW,,,,,,$46.94 ,$0.00 ,1,1,1,0,0,1,20081001J7030,HCPCS,Normal saline solution infus,,,29,,NW,,,,,,$22.86 ,$0.00 ,1,1,1,0,0,1,20081001J7040,HCPCS,Normal saline solution infus,,,29,,NW,,,,,,$12.33 ,$0.00 ,1,1,1,0,0,1,20081001J7042,HCPCS,5% dextrose/normal saline,,,29,,NW,,,,,,$26.37 ,$0.00 ,1,1,1,0,0,1,20081001J7050,HCPCS,Normal saline solution infus,,,29,,NW,,,,,,$4.15 ,$0.00 ,1,1,1,0,0,1,20081001J7060,HCPCS,5% dextrose/water,,,29,,NW,,,,,,$24.03 ,$0.00 ,1,1,1,0,0,1,20081001J7070,HCPCS,D5w infusion,,,29,,NW,,,,,,$29.87 ,$0.00 ,1,1,1,0,0,1,20081001J7100,HCPCS,Dextran 40 infusion,,,29,,NW,,,,,,$66.55 ,$0.00 ,1,1,1,0,0,1,20081001J7110,HCPCS,Dextran 75 infusion,,,29,,NW,,,,,,$39.21 ,$0.00 ,1,1,1,0,0,1,20081001J7120,HCPCS,Ringers lactate infusion,,,29,,NW,,,,,,$32.21 ,$0.00 ,1,1,1,0,0,1,20081001J7130,HCPCS,Hypertonic saline solution,,,29,,NW,,,,,,$0.64 ,$0.00 ,1,1,1,0,0,1,20081001J7187,HCPCS,Inj Vonwillebrand factor IU,,,29,,NW,,,,,,$0.89 ,$0.00 ,1,1,1,0,1,1,20081001J7189,HCPCS,Factor viia,,,29,,NW,,,,,,$5.07 ,$0.00 ,1,1,1,0,0,1,20081001J7190,HCPCS,Factor viii,,,29,,NW,,,,,,$1.81 ,$0.00 ,1,1,1,0,0,1,20081001J7191,HCPCS,Factor VIII (porcine),,,29,,NW,,,,,,$5.33 ,$0.00 ,1,1,1,0,0,1,20081001J7192,HCPCS,Factor viii recombinant,,,29,,NW,,,,,,$2.99 ,$0.00 ,1,1,1,0,0,1,20081001J7193,HCPCS,Factor IX non-recombinant,,,29,,NW,,,,,,$2.99 ,$0.00 ,1,1,1,0,0,1,20081001J7194,HCPCS,Factor ix complex,,,29,,NW,,,,,,$0.64 ,$0.00 ,1,1,1,0,0,1,20081001J7195,HCPCS,Factor IX recombinant,,,29,,NW,,,,,,$2.99 ,$0.00 ,1,1,1,0,0,1,20081001J7197,HCPCS,Antithrombin iii injection,,,29,,NW,,,,,,$4.15 ,$0.00 ,1,1,1,0,0,1,20081001J7198,HCPCS,Anti-inhibitor,,,29,,NW,,,,,,$4.15 ,$0.00 ,1,1,1,0,0,1,20081001J7300,HCPCS,Intraut copper contraceptive,,,29,,NW,,,,,,$606.40 ,$0.00 ,1,1,1,1,1,1,20081001J7302,HCPCS,Levonorgestrel iu contracept,,,29,,NW,,,,,,"$1,020.51 ",$0.00 ,1,1,1,1,1,1,20081001J7308,HCPCS,Aminolevulinic acid hcl top,,,29,,NW,,,,,,$223.53 ,$0.00 ,1,1,1,0,0,1,20081001J7310,HCPCS,Ganciclovir long act implant,,,29,,NW,,,,,,"$9,832.99 ",$0.00 ,1,1,1,0,0,1,20081001J7311,HCPCS,Fluocinolone acetonide implt,,,29,,NW,,,,,,"$18,526.36 ",$0.00 ,1,1,1,0,1,1,20081001J7330,HCPCS,Cultured chondrocytes implnt,,,29,,NW,,,,,,"$31,353.97 ",$0.00 ,1,1,1,0,0,1,20081001J7340,HCPCS,Metabolic active D/E tissue,,,29,,NW,,,,,,$75.18 ,$0.00 ,1,1,1,0,0,1,20081001J7341,HCPCS,"Non-human, metabolic tissue",,,29,,NW,,,,,,$3.88 ,$0.00 ,1,1,1,0,0,1,20081001J7342,HCPCS,Metabolically active tissue,,,28,,NW,,,,,,$29.84 ,$0.00 ,1,1,1,0,0,1,20081001J7343,HCPCS,Nonmetabolic act d/e tissue,,,29,,NW,,,,,,$13.58 ,$0.00 ,1,1,1,0,0,1,20081001J7344,HCPCS,Nonmetabolic active tissue,,,28,,NW,,,,,,$76.15 ,$0.00 ,1,1,1,0,0,1,20081001J7346,HCPCS,Injectable human tissue,,,29,,NW,,,,,,$755.23 ,$0.00 ,1,1,1,0,1,1,20081001J7500,HCPCS,Azathioprine oral 50mg,,,29,,NW,,,,,,$2.99 ,$0.00 ,1,1,1,0,0,1,20081001J7501,HCPCS,Azathioprine parenteral,,,29,,NW,,,,,,$138.15 ,$0.00 ,1,1,1,0,0,1,20081001J7502,HCPCS,Cyclosporine oral 100 mg,,,29,,NW,,,,,,$14.68 ,$0.00 ,1,1,1,0,0,1,20081001J7504,HCPCS,Lymphocyte immune globulin,,,29,,NW,,,,,,$590.99 ,$0.00 ,1,1,1,0,0,1,20081001J7505,HCPCS,Monoclonal antibodies,,,29,,NW,,,,,,"$2,121.96 ",$0.00 ,1,1,1,0,0,1,20081001J7506,HCPCS,Prednisone oral,,,29,,NW,,,,,,$0.64 ,$0.00 ,1,1,1,0,0,1,20081001J7507,HCPCS,Tacrolimus oral per 1 MG,,,29,,NW,,,,,,$8.82 ,$0.00 ,1,1,1,0,0,1,20081001J7509,HCPCS,Methylprednisolone oral,,,29,,NW,,,,,,$0.64 ,$0.00 ,1,1,1,0,0,1,20081001J7510,HCPCS,Prednisolone oral per 5 mg,,,29,,NW,,,,,,$0.64 ,$0.00 ,1,1,1,0,0,1,20081001J7511,HCPCS,Antithymocyte globuln rabbit,,,29,,NW,,,,,,$754.00 ,$0.00 ,1,1,1,0,0,1,20081001J7513,HCPCS,"Daclizumab, parenteral",,,29,,NW,,,,,,$893.72 ,$0.00 ,1,1,1,0,0,1,20081001J7515,HCPCS,Cyclosporine oral 25 mg,,,29,,NW,,,,,,$2.99 ,$0.00 ,1,1,1,0,0,1,20081001J7516,HCPCS,Cyclosporin parenteral 250mg,,,29,,NW,,,,,,$82.94 ,$0.00 ,1,1,1,0,0,1,20081001J7517,HCPCS,Mycophenolate mofetil oral,,,29,,NW,,,,,,$7.65 ,$0.00 ,1,1,1,0,0,1,20081001J7520,HCPCS,"Sirolimus, oral",,,29,,NW,,,,,,$19.34 ,$0.00 ,1,1,1,0,0,1,20081001J7525,HCPCS,Tacrolimus injection,,,29,,NW,,,,,,$260.63 ,$0.00 ,1,1,1,0,0,1,20081001J7599,HCPCS,Immunosuppressive drug noc,,,29,,NW,,,,,,$8.03 ,$0.00 ,1,1,1,0,0,1,20081001J7608,HCPCS,Acetylcysteine inh sol u d,,,29,,NW,,,,,,$74.32 ,$0.00 ,1,1,1,0,0,1,20081001J7620,HCPCS,Albuterol non-compounded,,,29,,NW,,,,,,$0.54 ,$0.00 ,1,1,1,0,0,1,20081001J7622,HCPCS,Beclomethasone inhalatn sol,,,29,,NW,,,,,,$0.64 ,$0.00 ,1,1,1,0,0,1,20081001J7624,HCPCS,Betamethasone inhalation sol,,,29,,NW,,,,,,$2.08 ,$0.00 ,1,1,1,0,0,1,20081001J7626,HCPCS,Budesonide inhalation sol,,,29,,NW,,,,,,$12.33 ,$0.00 ,1,1,1,0,0,1,20081001J7628,HCPCS,Bitolterol mes inhal sol con,,,29,,NW,,,,,,$0.72 ,$0.00 ,1,1,1,0,0,1,20081001J7629,HCPCS,Bitolterol mes inh sol u d,,,29,,NW,,,,,,$1.81 ,$0.00 ,1,1,1,0,0,1,20081001J7631,HCPCS,Cromolyn sodium inh sol u d,,,29,,NW,,,,,,$0.64 ,$0.00 ,1,1,1,0,0,1,20081001J7633,HCPCS,Budesonide concentrated sol,,,29,,NW,,,,,,$0.64 ,$0.00 ,1,1,1,0,0,1,20081001J7635,HCPCS,Atropine inhal sol con,,,29,,NW,,,,,,$0.64 ,$0.00 ,1,1,1,0,0,1,20081001J7636,HCPCS,Atropine inhal sol unit dose,,,29,,NW,,,,,,$0.64 ,$0.00 ,1,1,1,0,0,1,20081001J7637,HCPCS,Dexamethasone inhal sol con,,,29,,NW,,,,,,$0.64 ,$0.00 ,1,1,1,0,0,1,20081001J7638,HCPCS,Dexamethasone inhal sol u d,,,29,,NW,,,,,,$0.64 ,$0.00 ,1,1,1,0,0,1,20081001J7639,HCPCS,Dornase alpha inhal sol u d,,,29,,NW,,,,,,$46.24 ,$0.00 ,1,1,1,0,0,1,20081001J7641,HCPCS,"Flunisolide, inhalation sol",,,29,,NW,,,,,,$0.64 ,$0.00 ,1,1,1,0,0,1,20081001J7642,HCPCS,Glycopyrrolate inhal sol con,,,29,,NW,,,,,,$0.64 ,$0.00 ,1,1,1,0,0,1,20081001J7643,HCPCS,Glycopyrrolate inhal sol u d,,,29,,NW,,,,,,$0.64 ,$0.00 ,1,1,1,0,0,1,20081001J7644,HCPCS,Ipratropium brom inh sol u d,,,29,,NW,,,,,,$8.82 ,$0.00 ,1,1,1,0,0,1,20081001J7649,HCPCS,Isoetharine hcl inh sol u d,,,29,,NW,,,,,,$1.81 ,$0.00 ,1,1,1,0,0,1,20081001J7658,HCPCS,Isoproterenolhcl inh sol con,,,29,,NW,,,,,,$10.00 ,$0.00 ,1,1,1,0,0,1,20081001J7659,HCPCS,Isoproterenol hcl inh sol ud,,,29,,NW,,,,,,$10.00 ,$0.00 ,1,1,1,0,0,1,20081001J7668,HCPCS,Metaproterenol inh sol con,,,29,,NW,,,,,,$0.20 ,$0.00 ,1,1,1,0,0,1,20081001J7669,HCPCS,Metaproterenol inh sol u d,,,29,,NW,,,,,,$3.16 ,$0.00 ,1,1,1,0,0,1,20081001J7680,HCPCS,Terbutaline so4 inh sol con,,,29,,NW,,,,,,$0.64 ,$0.00 ,1,1,1,0,0,1,20081001J7681,HCPCS,Terbutaline so4 inh sol u d,,,29,,NW,,,,,,$0.64 ,$0.00 ,1,1,1,0,0,1,20081001J7682,HCPCS,Tobramycin inhalation sol,,,29,,NW,,,,,,$140.74 ,$0.00 ,1,1,1,0,0,1,20081001J7683,HCPCS,Triamcinolone inh sol con,,,29,,NW,,,,,,$0.64 ,$0.00 ,1,1,1,0,0,1,20081001J7684,HCPCS,Triamcinolone inh sol u d,,,29,,NW,,,,,,$0.64 ,$0.00 ,1,1,1,0,0,1,20081001J7699,HCPCS,Inhalation solution for DME,,,29,,NW,,,,,,$23.04 ,$0.00 ,1,1,1,0,0,1,20081001J7799,HCPCS,Non-inhalation drug for DME,,,29,,NW,,,,,,$81.62 ,$0.00 ,1,1,1,0,0,1,20081001J8499,HCPCS,Oral prescrip drug non chemo,,,29,,NW,,,,,,$2.93 ,$0.00 ,1,1,1,0,0,1,20081001J8501,HCPCS,Oral aprepitant,,,29,,NW,,,,,,$383.52 ,$0.00 ,1,1,1,0,0,1,20081001J8510,HCPCS,Oral busulfan,,,29,,NW,,,,,,$8.55 ,$0.00 ,1,1,1,0,0,1,20081001J8520,HCPCS,"Capecitabine, oral, 150 mg",,,29,,NW,,,,,,$11.38 ,$0.00 ,1,1,1,0,0,1,20081001J8521,HCPCS,"Capecitabine, oral, 500 mg",,,29,,NW,,,,,,$39.83 ,$0.00 ,1,1,1,0,0,1,20081001J8530,HCPCS,Cyclophosphamide oral 25 MG,,,29,,NW,,,,,,$9.96 ,$0.00 ,1,1,1,0,0,1,20081001J8540,HCPCS,Oral dexamethasone,,,29,,NW,,,,,,$3.84 ,$0.00 ,1,1,1,0,0,1,20081001J8560,HCPCS,Etoposide oral 50 MG,,,29,,NW,,,,,,$212.41 ,$0.00 ,1,1,1,0,0,1,20081001J8565,HCPCS,Gefitinib oral,,,29,,NW,,,,,,"$1,505.21 ",$0.00 ,1,1,1,0,0,1,20081001J8600,HCPCS,Melphalan oral 2 MG,,,29,,NW,,,,,,$9.96 ,$0.00 ,1,1,1,0,0,1,20081001J8610,HCPCS,Methotrexate oral 2.5 MG,,,29,,NW,,,,,,$14.23 ,$0.00 ,1,1,1,0,0,1,20081001J8650,HCPCS,Nabilone oral,,,29,,NW,,,,,,$17.22 ,$0.00 ,1,1,1,0,1,1,20081001J8700,HCPCS,Temozolomide,,,29,,NW,,,,,,$28.44 ,$0.00 ,1,1,1,0,0,1,20081001J8999,HCPCS,Oral prescription drug chemo,,,29,,NW,,,,,,$22.89 ,$0.00 ,1,1,1,0,0,1,20081001J9000,HCPCS,Doxorubic hcl 10 MG vl chemo,,,29,,NW,,,,,,$32.73 ,$0.00 ,1,1,1,0,0,1,20081001J9001,HCPCS,Doxorubicin hcl liposome inj,,,29,,NW,,,,,,$828.18 ,$0.00 ,1,1,1,0,0,1,20081001J9010,HCPCS,Alemtuzumab injection,,,29,,NW,,,,,,"$1,223.21 ",$0.00 ,1,1,1,0,0,1,20081001J9015,HCPCS,Aldesleukin/single use vial,,,29,,NW,,,,,,"$1,601.17 ",$0.00 ,1,1,1,0,0,1,20081001J9017,HCPCS,Arsenic trioxide,,,29,,NW,,,,,,$11.38 ,$0.00 ,1,1,1,0,0,1,20081001J9020,HCPCS,Asparaginase injection,,,29,,NW,,,,,,$183.24 ,$0.00 ,1,1,1,0,0,1,20081001J9025,HCPCS,Azacitidine injection,,,29,,NW,,,,,,$2.94 ,$0.00 ,1,1,1,0,0,1,20081001J9027,HCPCS,Clofarabine injection,,,29,,NW,,,,,,$1.31 ,$0.00 ,1,1,1,0,0,1,20081001J9031,HCPCS,Bcg live intravesical vac,,,29,,NW,,,,,,$445.59 ,$0.00 ,1,1,1,0,0,1,20081001J9040,HCPCS,Bleomycin sulfate injection,,,29,,NW,,,,,,$466.90 ,$0.00 ,1,1,1,0,0,1,20081001J9045,HCPCS,Carboplatin injection,,,29,,NW,,,,,,$396.27 ,$0.00 ,1,1,1,0,0,1,20081001J9050,HCPCS,Carmus bischl nitro inj,,,29,,NW,,,,,,$380.56 ,$0.00 ,1,1,1,0,0,1,20081001J9060,HCPCS,Cisplatin 10 MG injection,,,29,,NW,,,,,,$51.22 ,$0.00 ,1,1,1,0,0,1,20081001J9062,HCPCS,Cisplatin 50 MG injection,,,29,,NW,,,,,,$219.13 ,$0.00 ,1,1,1,0,0,1,20081001J9065,HCPCS,Inj cladribine per 1 MG,,,29,,NW,,,,,,$158.59 ,$0.00 ,1,1,1,0,0,1,20081001J9070,HCPCS,Cyclophosphamide 100 MG inj,,,29,,NW,,,,,,$19.91 ,$0.00 ,1,1,1,0,0,1,20081001J9080,HCPCS,Cyclophosphamide 200 MG inj,,,29,,NW,,,,,,$36.98 ,$0.00 ,1,1,1,0,0,1,20081001J9090,HCPCS,Cyclophosphamide 500 MG inj,,,29,,NW,,,,,,$76.72 ,$0.00 ,1,1,1,0,0,1,20081001J9091,HCPCS,Cyclophosphamide 1.0 grm inj,,,29,,NW,,,,,,$138.39 ,$0.00 ,1,1,1,0,0,1,20081001J9092,HCPCS,Cyclophosphamide 2.0 grm inj,,,29,,NW,,,,,,$260.60 ,$0.00 ,1,1,1,0,0,1,20081001J9093,HCPCS,Cyclophosphamide lyophilized,,,29,,NW,,,,,,$19.91 ,$0.00 ,1,1,1,0,0,1,20081001J9094,HCPCS,Cyclophosphamide lyophilized,,,29,,NW,,,,,,$39.83 ,$0.00 ,1,1,1,0,0,1,20081001J9095,HCPCS,Cyclophosphamide lyophilized,,,29,,NW,,,,,,$76.72 ,$0.00 ,1,1,1,0,0,1,20081001J9096,HCPCS,Cyclophosphamide lyophilized,,,29,,NW,,,,,,$138.39 ,$0.00 ,1,1,1,0,0,1,20081001J9097,HCPCS,Cyclophosphamide lyophilized,,,29,,NW,,,,,,$267.34 ,$0.00 ,1,1,1,0,0,1,20081001J9100,HCPCS,Cytarabine hcl 100 MG inj,,,29,,NW,,,,,,$28.44 ,$0.00 ,1,1,1,0,0,1,20081001J9110,HCPCS,Cytarabine hcl 500 MG inj,,,29,,NW,,,,,,$28.44 ,$0.00 ,1,1,1,0,0,1,20081001J9120,HCPCS,Dactinomycin actinomycin d,,,29,,NW,,,,,,$46.95 ,$0.00 ,1,1,1,0,0,1,20081001J9130,HCPCS,Dacarbazine 100 mg inj,,,29,,NW,,,,,,$38.41 ,$0.00 ,1,1,1,0,0,1,20081001J9140,HCPCS,Dacarbazine 200 MG inj,,,29,,NW,,,,,,$74.49 ,$0.00 ,1,1,1,0,0,1,20081001J9150,HCPCS,Daunorubicin,,,29,,NW,,,,,,$214.63 ,$0.00 ,1,1,1,0,0,1,20081001J9151,HCPCS,Daunorubicin citrate liposom,,,29,,NW,,,,,,$188.85 ,$0.00 ,1,1,1,0,0,1,20081001J9160,HCPCS,"Denileukin diftitox, 300 mcg",,,29,,NW,,,,,,"$2,765.41 ",$0.00 ,1,1,1,0,0,1,20081001J9165,HCPCS,Diethylstilbestrol injection,,,29,,NW,,,,,,$49.79 ,$0.00 ,1,1,1,0,0,1,20081001J9170,HCPCS,Docetaxel,,,29,,NW,,,,,,$825.51 ,$0.00 ,1,1,1,0,0,1,20081001J9181,HCPCS,Etoposide 10 MG inj,,,29,,NW,,,,,,$5.69 ,$0.00 ,1,1,1,0,0,1,20081001J9182,HCPCS,Etoposide 100 MG inj,,,29,,NW,,,,,,$58.32 ,$0.00 ,1,1,1,0,0,1,20081001J9185,HCPCS,Fludarabine phosphate inj,,,29,,NW,,,,,,$862.96 ,$0.00 ,1,1,1,0,0,1,20081001J9190,HCPCS,Fluorouracil injection,,,29,,NW,,,,,,$7.13 ,$0.00 ,1,1,1,0,0,1,20081001J9200,HCPCS,Floxuridine injection,,,29,,NW,,,,,,$388.42 ,$0.00 ,1,1,1,0,0,1,20081001J9201,HCPCS,Gemcitabine HCl,,,29,,NW,,,,,,$321.14 ,$0.00 ,1,1,1,0,0,1,20081001J9202,HCPCS,Goserelin acetate implant,,,29,,NW,,,,,,$988.31 ,$0.00 ,1,1,1,0,0,1,20081001J9206,HCPCS,Irinotecan injection,,,29,,NW,,,,,,$383.95 ,$0.00 ,1,1,1,0,0,1,20081001J9208,HCPCS,Ifosfomide injection,,,29,,NW,,,,,,$418.69 ,$0.00 ,1,1,1,0,0,1,20081001J9209,HCPCS,Mesna injection,,,29,,NW,,,,,,$109.25 ,$0.00 ,1,1,1,0,0,1,20081001J9211,HCPCS,Idarubicin hcl injection,,,29,,NW,,,,,,$987.49 ,$0.00 ,1,1,1,0,0,1,20081001J9212,HCPCS,Interferon alfacon-1,,,29,,NW,,,,,,$11.16 ,$0.00 ,1,1,1,0,0,1,20081001J9213,HCPCS,Interferon alfa-2a inj,,,29,,NW,,,,,,$109.25 ,$0.00 ,1,1,1,0,0,1,20081001J9214,HCPCS,Interferon alfa-2b inj,,,29,,NW,,,,,,$51.22 ,$0.00 ,1,1,1,0,0,1,20081001J9215,HCPCS,Interferon alfa-n3 inj,,,29,,NW,,,,,,$27.03 ,$0.00 ,1,1,1,0,0,1,20081001J9216,HCPCS,Interferon gamma 1-b inj,,,29,,NW,,,,,,$576.46 ,$0.00 ,1,1,1,0,0,1,20081001J9217,HCPCS,Leuprolide acetate suspnsion,,,29,,NW,,,,,,"$1,260.16 ",$0.00 ,1,1,1,0,0,1,20081001J9218,HCPCS,Leuprolide acetate injeciton,,,29,,NW,,,,,,$84.57 ,$0.00 ,1,1,1,0,0,1,20081001J9219,HCPCS,Leuprolide acetate implant,,,29,,NW,,,,,,"$10,700.65 ",$0.00 ,1,1,1,0,0,1,20081001J9225,HCPCS,Histrelin implant,,,29,,NW,,,,,,$1.29 ,$0.00 ,1,1,1,0,0,1,20081001J9230,HCPCS,Mechlorethamine hcl inj,,,29,,NW,,,,,,$41.27 ,$0.00 ,1,1,1,0,0,1,20081001J9245,HCPCS,Inj melphalan hydrochl 50 MG,,,29,,NW,,,,,,$988.31 ,$0.00 ,1,1,1,0,0,1,20081001J9250,HCPCS,Methotrexate sodium inj,,,29,,NW,,,,,,$1.42 ,$0.00 ,1,1,1,0,0,1,20081001J9260,HCPCS,Methotrexate sodium inj,,,29,,NW,,,,,,$15.65 ,$0.00 ,1,1,1,0,0,1,20081001J9261,HCPCS,Nelarabine injection,,,29,,NW,,,,,,$84.36 ,$0.00 ,1,1,1,0,1,1,20081001J9263,HCPCS,Oxaliplatin,,,29,,NW,,,,,,$756.25 ,$0.00 ,1,1,1,0,0,1,20081001J9264,HCPCS,Paclitaxel injection,,,29,,NW,,,,,,$1.12 ,$0.00 ,1,1,1,0,0,1,20081001J9265,HCPCS,Paclitaxel injection,,,29,,NW,,,,,,$435.50 ,$0.00 ,1,1,1,0,0,1,20081001J9266,HCPCS,Pegaspargase/singl dose vial,,,29,,NW,,,,,,"$2,952.26 ",$0.00 ,1,1,1,0,0,1,20081001J9268,HCPCS,Pentostatin injection,,,29,,NW,,,,,,"$3,753.14 ",$0.00 ,1,1,1,0,0,1,20081001J9270,HCPCS,Plicamycin (mithramycin) inj,,,29,,NW,,,,,,$267.34 ,$0.00 ,1,1,1,0,0,1,20081001J9280,HCPCS,Mitomycin 5 MG inj,,,29,,NW,,,,,,$186.61 ,$0.00 ,1,1,1,0,0,1,20081001J9290,HCPCS,Mitomycin 20 MG inj,,,29,,NW,,,,,,$572.29 ,$0.00 ,1,1,1,0,0,1,20081001J9291,HCPCS,Mitomycin 40 MG inj,,,29,,NW,,,,,,$724.60 ,$0.00 ,1,1,1,0,0,1,20081001J9293,HCPCS,Mitoxantrone hydrochl / 5 MG,,,29,,NW,,,,,,$869.48 ,$0.00 ,1,1,1,0,0,1,20081001J9300,HCPCS,Gemtuzumab ozogamicin,,,29,,NW,,,,,,"$4,427.87 ",$0.00 ,1,1,1,0,0,1,20081001J9310,HCPCS,Rituximab cancer treatment,,,29,,NW,,,,,,"$1,099.82 ",$0.00 ,1,1,1,0,0,1,20081001J9320,HCPCS,Streptozocin injection,,,29,,NW,,,,,,$395.15 ,$0.00 ,1,1,1,0,0,1,20081001J9340,HCPCS,Thiotepa injection,,,29,,NW,,,,,,$266.20 ,$0.00 ,1,1,1,0,0,1,20081001J9350,HCPCS,Topotecan,,,29,,NW,,,,,,"$1,707.81 ",$0.00 ,1,1,1,0,0,1,20081001J9355,HCPCS,Trastuzumab,,,29,,NW,,,,,,$134.69 ,$0.00 ,1,1,1,0,0,1,20081001J9357,HCPCS,"Valrubicin, 200 mg",,,29,,NW,,,,,,"$1,103.31 ",$0.00 ,1,1,1,0,0,1,20081001J9360,HCPCS,Vinblastine sulfate inj,,,29,,NW,,,,,,$11.38 ,$0.00 ,1,1,1,0,0,1,20081001J9370,HCPCS,Vincristine sulfate 1 MG inj,,,29,,NW,,,,,,$61.16 ,$0.00 ,1,1,1,0,0,1,20081001J9375,HCPCS,Vincristine sulfate 2 MG inj,,,29,,NW,,,,,,$154.08 ,$0.00 ,1,1,1,0,0,1,20081001J9380,HCPCS,Vincristine sulfate 5 MG inj,,,29,,NW,,,,,,$254.99 ,$0.00 ,1,1,1,0,0,1,20081001J9390,HCPCS,Vinorelbine tartrate/10 mg,,,29,,NW,,,,,,$243.80 ,$0.00 ,1,1,1,0,0,1,20081001J9600,HCPCS,Porfimer sodium,,,29,,NW,,,,,,"$5,246.66 ",$0.00 ,1,1,1,0,0,1,20081001J9999,HCPCS,Chemotherapy drug,,,29,,NW,,,,,,$39.48 ,$0.00 ,1,1,1,0,0,1,20081001K0001,HCPCS,Standard wheelchair,NU,,28,,NW,,,,,,$887.40 ,$0.00 ,1,1,1,1,1,1,20081001K0001,HCPCS,Standard wheelchair,RR,,28,,NW,,,,,,$89.51 ,$0.00 ,1,1,1,1,1,1,20081001K0001,HCPCS,Standard wheelchair,UE,,28,,NW,,,,,,$665.56 ,$0.00 ,1,1,1,1,1,1,20081001K0002,HCPCS,Stnd hemi (low seat) whlchr,NU,,28,,NW,,,,,,"$1,059.69 ",$0.00 ,1,1,1,1,1,1,20081001K0002,HCPCS,Stnd hemi (low seat) whlchr,RR,,28,,NW,,,,,,$133.77 ,$0.00 ,1,1,1,1,1,1,20081001K0002,HCPCS,Stnd hemi (low seat) whlchr,UE,,28,,NW,,,,,,$831.96 ,$0.00 ,1,1,1,1,1,1,20081001K0003,HCPCS,Lightweight wheelchair,NU,,28,,NW,,,,,,"$1,665.19 ",$0.00 ,1,1,1,1,1,1,20081001K0003,HCPCS,Lightweight wheelchair,RR,,28,,NW,,,,,,$146.39 ,$0.00 ,1,1,1,1,1,1,20081001K0003,HCPCS,Lightweight wheelchair,UE,,28,,NW,,,,,,"$1,249.69 ",$0.00 ,1,1,1,1,1,1,20081001K0004,HCPCS,High strength ltwt whlchr,NU,,28,,NW,,,,,,"$2,596.48 ",$0.00 ,1,1,1,1,1,1,20081001K0004,HCPCS,High strength ltwt whlchr,RR,,28,,NW,,,,,,$218.05 ,$0.00 ,1,1,1,1,1,1,20081001K0004,HCPCS,High strength ltwt whlchr,UE,,28,,NW,,,,,,"$1,947.15 ",$0.00 ,1,1,1,1,1,1,20081001K0005,HCPCS,Ultralightweight wheelchair,NU,,28,,NW,,,,,,"$3,007.86 ",$0.00 ,1,1,1,1,1,1,20081001K0005,HCPCS,Ultralightweight wheelchair,RR,,28,,NW,,,,,,$301.35 ,$0.00 ,1,1,1,1,1,1,20081001K0005,HCPCS,Ultralightweight wheelchair,UE,,28,,NW,,,,,,"$2,256.03 ",$0.00 ,1,1,1,1,1,1,20081001K0006,HCPCS,Heavy duty wheelchair,NU,,28,,NW,,,,,,"$1,863.74 ",$0.00 ,1,1,1,1,1,1,20081001K0006,HCPCS,Heavy duty wheelchair,RR,,28,,NW,,,,,,$204.65 ,$0.00 ,1,1,1,1,1,1,20081001K0006,HCPCS,Heavy duty wheelchair,UE,,28,,NW,,,,,,"$1,404.75 ",$0.00 ,1,1,1,1,1,1,20081001K0007,HCPCS,Extra heavy duty wheelchair,NU,,28,,NW,,,,,,"$2,907.71 ",$0.00 ,1,1,1,1,1,1,20081001K0007,HCPCS,Extra heavy duty wheelchair,RR,,28,,NW,,,,,,$291.02 ,$0.00 ,1,1,1,1,1,1,20081001K0007,HCPCS,Extra heavy duty wheelchair,UE,,28,,NW,,,,,,"$2,847.01 ",$0.00 ,1,1,1,1,1,1,20081001K0009,HCPCS,Other manual wheelchair/base,,,28,,NW,,,,,,$681.57 ,$0.00 ,1,1,1,1,1,1,20081001K0010,HCPCS,Stnd wt frame power whlchr,NU,,28,,NW,,,,,,"$6,933.81 ",$0.00 ,1,1,1,1,1,1,20081001K0010,HCPCS,Stnd wt frame power whlchr,RR,,28,,NW,,,,,,$693.58 ,$0.00 ,1,1,1,1,1,1,20081001K0010,HCPCS,Stnd wt frame power whlchr,UE,,28,,NW,,,,,,"$5,201.53 ",$0.00 ,1,1,1,1,1,1,20081001K0011,HCPCS,Stnd wt pwr whlchr w control,NU,,28,,NW,,,,,,"$11,683.97 ",$0.00 ,1,1,1,1,1,1,20081001K0011,HCPCS,Stnd wt pwr whlchr w control,RR,,28,,NW,,,,,,$862.18 ,$0.00 ,1,1,1,1,1,1,20081001K0012,HCPCS,Ltwt portbl power whlchr,RR,,28,,NW,,,,,,$529.17 ,$0.00 ,1,1,1,1,1,1,20081001K0012,HCPCS,Ltwt portbl power whlchr,,,28,,NW,,,,,,"$5,034.37 ",$0.00 ,1,1,1,1,1,1,20081001K0014,HCPCS,Other power whlchr base,,,28,,NW,,,,,,$6.07 ,$0.00 ,1,1,1,1,1,1,20081001K0015,HCPCS,Detach non-adjus hght armrst,NU,,28,,NW,,,,,,$296.22 ,$0.00 ,1,1,1,1,1,1,20081001K0015,HCPCS,Detach non-adjus hght armrst,RR,,28,,NW,,,,,,$32.47 ,$0.00 ,1,1,1,1,1,1,20081001K0015,HCPCS,Detach non-adjus hght armrst,UE,,28,,NW,,,,,,$222.33 ,$0.00 ,1,1,1,1,1,1,20081001K0017,HCPCS,Detach adjust armrest base,NU,,28,,NW,,,,,,$83.79 ,$0.00 ,1,1,1,1,1,1,20081001K0017,HCPCS,Detach adjust armrest base,RR,,28,,NW,,,,,,$12.14 ,$0.00 ,1,1,1,1,1,1,20081001K0017,HCPCS,Detach adjust armrest base,UE,,28,,NW,,,,,,$63.79 ,$0.00 ,1,1,1,1,1,1,20081001K0018,HCPCS,Detach adjust armrst upper,NU,,28,,NW,,,,,,$48.60 ,$0.00 ,1,1,1,1,1,1,20081001K0018,HCPCS,Detach adjust armrst upper,RR,,28,,NW,,,,,,$6.85 ,$0.00 ,1,1,1,1,1,1,20081001K0018,HCPCS,Detach adjust armrst upper,UE,,28,,NW,,,,,,$37.51 ,$0.00 ,1,1,1,1,1,1,20081001K0019,HCPCS,Arm pad each,NU,,28,,NW,,,,,,$31.01 ,$0.00 ,1,1,1,1,1,1,20081001K0019,HCPCS,Arm pad each,RR,,28,,NW,,,,,,$4.16 ,$0.00 ,1,1,1,1,1,1,20081001K0019,HCPCS,Arm pad each,UE,,28,,NW,,,,,,$24.30 ,$0.00 ,1,1,1,1,1,1,20081001K0020,HCPCS,Fixed adjust armrest pair,NU,,28,,NW,,,,,,$76.46 ,$0.00 ,1,1,1,1,1,1,20081001K0020,HCPCS,Fixed adjust armrest pair,RR,,28,,NW,,,,,,$11.22 ,$0.00 ,1,1,1,1,1,1,20081001K0020,HCPCS,Fixed adjust armrest pair,UE,,28,,NW,,,,,,$58.36 ,$0.00 ,1,1,1,1,1,1,20081001K0037,HCPCS,High mount flip-up footrest,NU,,28,,NW,,,,,,$79.09 ,$0.00 ,1,1,1,1,1,1,20081001K0037,HCPCS,High mount flip-up footrest,RR,,28,,NW,,,,,,$10.38 ,$0.00 ,1,1,1,1,1,1,20081001K0037,HCPCS,High mount flip-up footrest,UE,,28,,NW,,,,,,$60.38 ,$0.00 ,1,1,1,1,1,1,20081001K0038,HCPCS,Leg strap each,NU,,28,,NW,,,,,,$41.93 ,$0.00 ,1,1,1,1,1,1,20081001K0038,HCPCS,Leg strap each,RR,,28,,NW,,,,,,$5.87 ,$0.00 ,1,1,1,1,1,1,20081001K0038,HCPCS,Leg strap each,UE,,28,,NW,,,,,,$32.49 ,$0.00 ,1,1,1,1,1,1,20081001K0039,HCPCS,Leg strap h style each,NU,,28,,NW,,,,,,$88.30 ,$0.00 ,1,1,1,1,1,1,20081001K0039,HCPCS,Leg strap h style each,RR,,28,,NW,,,,,,$12.59 ,$0.00 ,1,1,1,1,1,1,20081001K0039,HCPCS,Leg strap h style each,UE,,28,,NW,,,,,,$67.05 ,$0.00 ,1,1,1,1,1,1,20081001K0040,HCPCS,Adjustable angle footplate,NU,,28,,NW,,,,,,$122.13 ,$0.00 ,1,1,1,1,1,1,20081001K0040,HCPCS,Adjustable angle footplate,RR,,28,,NW,,,,,,$15.77 ,$0.00 ,1,1,1,1,1,1,20081001K0040,HCPCS,Adjustable angle footplate,UE,,28,,NW,,,,,,$91.75 ,$0.00 ,1,1,1,1,1,1,20081001K0041,HCPCS,Large size footplate each,NU,,28,,NW,,,,,,$86.74 ,$0.00 ,1,1,1,1,1,1,20081001K0041,HCPCS,Large size footplate each,RR,,28,,NW,,,,,,$12.44 ,$0.00 ,1,1,1,1,1,1,20081001K0041,HCPCS,Large size footplate each,UE,,28,,NW,,,,,,$65.92 ,$0.00 ,1,1,1,1,1,1,20081001K0042,HCPCS,Standard size footplate each,NU,,28,,NW,,,,,,$60.85 ,$0.00 ,1,1,1,1,1,1,20081001K0042,HCPCS,Standard size footplate each,RR,,28,,NW,,,,,,$8.77 ,$0.00 ,1,1,1,1,1,1,20081001K0042,HCPCS,Standard size footplate each,UE,,28,,NW,,,,,,$46.67 ,$0.00 ,1,1,1,1,1,1,20081001K0043,HCPCS,Ftrst lower extension tube,NU,,28,,NW,,,,,,$34.56 ,$0.00 ,1,1,1,1,1,1,20081001K0043,HCPCS,Ftrst lower extension tube,RR,,28,,NW,,,,,,$4.70 ,$0.00 ,1,1,1,1,1,1,20081001K0043,HCPCS,Ftrst lower extension tube,UE,,28,,NW,,,,,,$26.99 ,$0.00 ,1,1,1,1,1,1,20081001K0044,HCPCS,Ftrst upper hanger bracket,NU,,28,,NW,,,,,,$30.07 ,$0.00 ,1,1,1,1,1,1,20081001K0044,HCPCS,Ftrst upper hanger bracket,RR,,28,,NW,,,,,,$4.04 ,$0.00 ,1,1,1,1,1,1,20081001K0044,HCPCS,Ftrst upper hanger bracket,UE,,28,,NW,,,,,,$23.59 ,$0.00 ,1,1,1,1,1,1,20081001K0045,HCPCS,Footrest complete assembly,NU,,28,,NW,,,,,,$92.76 ,$0.00 ,1,1,1,1,1,1,20081001K0045,HCPCS,Footrest complete assembly,RR,,28,,NW,,,,,,$13.27 ,$0.00 ,1,1,1,1,1,1,20081001K0045,HCPCS,Footrest complete assembly,UE,,28,,NW,,,,,,$70.24 ,$0.00 ,1,1,1,1,1,1,20081001K0046,HCPCS,Elevat legrst low extension,NU,,28,,NW,,,,,,$34.56 ,$0.00 ,1,1,1,1,1,1,20081001K0046,HCPCS,Elevat legrst low extension,RR,,28,,NW,,,,,,$4.70 ,$0.00 ,1,1,1,1,1,1,20081001K0046,HCPCS,Elevat legrst low extension,UE,,28,,NW,,,,,,$26.99 ,$0.00 ,1,1,1,1,1,1,20081001K0047,HCPCS,Elevat legrst up hangr brack,NU,,28,,NW,,,,,,$125.07 ,$0.00 ,1,1,1,1,1,1,20081001K0047,HCPCS,Elevat legrst up hangr brack,RR,,28,,NW,,,,,,$16.11 ,$0.00 ,1,1,1,1,1,1,20081001K0047,HCPCS,Elevat legrst up hangr brack,UE,,28,,NW,,,,,,$93.94 ,$0.00 ,1,1,1,1,1,1,20081001K0050,HCPCS,Ratchet assembly,NU,,28,,NW,,,,,,$54.73 ,$0.00 ,1,1,1,1,1,1,20081001K0050,HCPCS,Ratchet assembly,RR,,28,,NW,,,,,,$7.82 ,$0.00 ,1,1,1,1,1,1,20081001K0050,HCPCS,Ratchet assembly,UE,,28,,NW,,,,,,$42.13 ,$0.00 ,1,1,1,1,1,1,20081001K0051,HCPCS,Cam relese assem ftrst/lgrst,NU,,28,,NW,,,,,,$86.24 ,$0.00 ,1,1,1,1,1,1,20081001K0051,HCPCS,Cam relese assem ftrst/lgrst,RR,,28,,NW,,,,,,$12.42 ,$0.00 ,1,1,1,1,1,1,20081001K0051,HCPCS,Cam relese assem ftrst/lgrst,UE,,28,,NW,,,,,,$65.54 ,$0.00 ,1,1,1,1,1,1,20081001K0052,HCPCS,Swingaway detach footrest,NU,,28,,NW,,,,,,$151.02 ,$0.00 ,1,1,1,1,1,1,20081001K0052,HCPCS,Swingaway detach footrest,RR,,28,,NW,,,,,,$18.56 ,$0.00 ,1,1,1,1,1,1,20081001K0052,HCPCS,Swingaway detach footrest,UE,,28,,NW,,,,,,$113.43 ,$0.00 ,1,1,1,1,1,1,20081001K0053,HCPCS,Elevate footrest articulate,NU,,28,,NW,,,,,,$166.59 ,$0.00 ,1,1,1,1,1,1,20081001K0053,HCPCS,Elevate footrest articulate,RR,,28,,NW,,,,,,$20.03 ,$0.00 ,1,1,1,1,1,1,20081001K0053,HCPCS,Elevate footrest articulate,UE,,28,,NW,,,,,,$125.12 ,$0.00 ,1,1,1,1,1,1,20081001K0056,HCPCS,Seat ht <17 or >=21 ltwt wc,NU,,28,,NW,,,,,,$155.37 ,$0.00 ,1,1,1,1,1,1,20081001K0056,HCPCS,Seat ht <17 or >=21 ltwt wc,RR,,28,,NW,,,,,,$18.98 ,$0.00 ,1,1,1,1,1,1,20081001K0056,HCPCS,Seat ht <17 or >=21 ltwt wc,UE,,28,,NW,,,,,,$116.70 ,$0.00 ,1,1,1,1,1,1,20081001K0065,HCPCS,Spoke protectors,NU,,28,,NW,,,,,,$73.35 ,$0.00 ,1,1,1,1,1,1,20081001K0065,HCPCS,Spoke protectors,RR,,28,,NW,,,,,,$10.71 ,$0.00 ,1,1,1,1,1,1,20081001K0065,HCPCS,Spoke protectors,UE,,28,,NW,,,,,,$56.05 ,$0.00 ,1,1,1,1,1,1,20081001K0069,HCPCS,Rear whl complete solid tire,NU,,28,,NW,,,,,,$163.19 ,$0.00 ,1,1,1,1,1,1,20081001K0069,HCPCS,Rear whl complete solid tire,RR,,28,,NW,,,,,,$20.39 ,$0.00 ,1,1,1,1,1,1,20081001K0069,HCPCS,Rear whl complete solid tire,UE,,28,,NW,,,,,,$122.56 ,$0.00 ,1,1,1,1,1,1,20081001K0070,HCPCS,Rear whl compl pneum tire,NU,,28,,NW,,,,,,$298.60 ,$0.00 ,1,1,1,1,1,1,20081001K0070,HCPCS,Rear whl compl pneum tire,RR,,28,,NW,,,,,,$32.69 ,$0.00 ,1,1,1,1,1,1,20081001K0070,HCPCS,Rear whl compl pneum tire,UE,,28,,NW,,,,,,$224.10 ,$0.00 ,1,1,1,1,1,1,20081001K0071,HCPCS,Front castr compl pneum tire,NU,,28,,NW,,,,,,$178.37 ,$0.00 ,1,1,1,1,1,1,20081001K0071,HCPCS,Front castr compl pneum tire,RR,,28,,NW,,,,,,$21.19 ,$0.00 ,1,1,1,1,1,1,20081001K0071,HCPCS,Front castr compl pneum tire,UE,,28,,NW,,,,,,$133.92 ,$0.00 ,1,1,1,1,1,1,20081001K0072,HCPCS,Frnt cstr cmpl sem-pneum tir,NU,,28,,NW,,,,,,$107.62 ,$0.00 ,1,1,1,1,1,1,20081001K0072,HCPCS,Frnt cstr cmpl sem-pneum tir,RR,,28,,NW,,,,,,$14.41 ,$0.00 ,1,1,1,1,1,1,20081001K0072,HCPCS,Frnt cstr cmpl sem-pneum tir,UE,,28,,NW,,,,,,$80.91 ,$0.00 ,1,1,1,1,1,1,20081001K0073,HCPCS,Caster pin lock each,NU,,28,,NW,,,,,,$58.32 ,$0.00 ,1,1,1,1,1,1,20081001K0073,HCPCS,Caster pin lock each,RR,,28,,NW,,,,,,$8.38 ,$0.00 ,1,1,1,1,1,1,20081001K0073,HCPCS,Caster pin lock each,UE,,28,,NW,,,,,,$44.78 ,$0.00 ,1,1,1,1,1,1,20081001K0077,HCPCS,Front caster assem complete,NU,,28,,NW,,,,,,$96.39 ,$0.00 ,1,1,1,1,1,1,20081001K0077,HCPCS,Front caster assem complete,RR,,28,,NW,,,,,,$13.33 ,$0.00 ,1,1,1,1,1,1,20081001K0077,HCPCS,Front caster assem complete,UE,,28,,NW,,,,,,$72.85 ,$0.00 ,1,1,1,1,1,1,20081001K0098,HCPCS,Drive belt power wheelchair,NU,,28,,NW,,,,,,$40.81 ,$0.00 ,1,1,1,1,1,1,20081001K0098,HCPCS,Drive belt power wheelchair,RR,,28,,NW,,,,,,$4.08 ,$0.00 ,1,1,1,1,1,1,20081001K0098,HCPCS,Drive belt power wheelchair,UE,,28,,NW,,,,,,$30.58 ,$0.00 ,1,1,1,1,1,1,20081001K0099,HCPCS,Pwr wheelchair front  caster,NU,,28,,NW,,,,,,$132.27 ,$0.00 ,1,1,1,1,1,1,20081001K0099,HCPCS,Pwr wheelchair front  caster,RR,,28,,NW,,,,,,$16.80 ,$0.00 ,1,1,1,1,1,1,20081001K0099,HCPCS,Pwr wheelchair front  caster,UE,,28,,NW,,,,,,$99.35 ,$0.00 ,1,1,1,1,1,1,20081001K0108,HCPCS,W/c component-accessory NOS,,,28,,NW,,,,,,$113.89 ,$0.00 ,1,1,1,1,1,1,20081001K0195,HCPCS,Elevating whlchair leg rests,RR,,28,,NW,,,,,,$36.95 ,$0.00 ,1,1,1,1,1,1,20081001K0195,HCPCS,Elevating whlchair leg rests,,,28,,NW,,,,,,$182.21 ,$0.00 ,1,1,1,1,1,1,20081001K0455,HCPCS,Pump uninterrupted infusion,RR,,28,,NW,,,,,,$555.42 ,$0.00 ,1,1,1,1,1,1,20081001K0552,HCPCS,Supply/ext inf pump syr type,,,28,,NW,,,,,,$9.33 ,$0.00 ,1,1,1,1,1,1,20081001K0601,HCPCS,Repl batt silver oxide 1.5 v,NU,,28,,NW,,,,,,$1.65 ,$0.00 ,1,1,1,1,1,1,20081001K0601,HCPCS,Repl batt silver oxide 1.5 v,,,28,,NW,,,,,,$5.46 ,$0.00 ,1,1,1,1,1,1,20081001K0602,HCPCS,Repl batt silver oxide 3 v,NU,,28,,NW,,,,,,$9.54 ,$0.00 ,1,1,1,1,1,1,20081001K0602,HCPCS,Repl batt silver oxide 3 v,,,28,,NW,,,,,,$15.60 ,$0.00 ,1,1,1,1,1,1,20081001K0603,HCPCS,Repl batt alkaline 1.5 v,NU,,28,,NW,,,,,,$0.85 ,$0.00 ,1,1,1,1,1,1,20081001K0603,HCPCS,Repl batt alkaline 1.5 v,,,28,,NW,,,,,,$2.84 ,$0.00 ,1,1,1,1,1,1,20081001K0604,HCPCS,Repl batt lithium 3.6 v,NU,,28,,NW,,,,,,$9.14 ,$0.00 ,1,1,1,1,1,1,20081001K0604,HCPCS,Repl batt lithium 3.6 v,,,28,,NW,,,,,,$15.15 ,$0.00 ,1,1,1,1,1,1,20081001K0605,HCPCS,Repl batt lithium 4.5 v,NU,,28,,NW,,,,,,$21.90 ,$0.00 ,1,1,1,1,1,1,20081001K0605,HCPCS,Repl batt lithium 4.5 v,,,28,,NW,,,,,,$29.57 ,$0.00 ,1,1,1,1,1,1,20081001K0607,HCPCS,Repl batt for AED,,,28,,NW,,,,,,$404.15 ,$0.00 ,1,1,1,1,1,1,20081001K0608,HCPCS,Repl garment for AED,,,28,,NW,,,,,,$247.80 ,$0.00 ,1,1,1,1,1,1,20081001K0609,HCPCS,Repl electrode for AED,,,28,,NW,,,,,,"$1,714.37 ",$0.00 ,1,1,1,1,1,1,20081001K0730,HCPCS,Ctrl dose inh drug deliv sys,RR,,28,,NW,,,,,,$258.60 ,$0.00 ,1,1,1,1,1,1,20081001K0733,HCPCS,12-24hr sealed lead acid,NU,,28,,NW,,,,,,$45.31 ,$0.00 ,1,1,1,1,1,1,20081001K0733,HCPCS,12-24hr sealed lead acid,RR,,28,,NW,,,,,,$4.56 ,$0.00 ,1,1,1,1,1,1,20081001K0733,HCPCS,12-24hr sealed lead acid,UE,,28,,NW,,,,,,$34.01 ,$0.00 ,1,1,1,1,1,1,20081001K0734,HCPCS,Adj skin pro w/c cus wd<22in,NU,,28,,NW,,,,,,$497.21 ,$0.00 ,1,1,1,1,1,1,20081001K0734,HCPCS,Adj skin pro w/c cus wd<22in,RR,,28,,NW,,,,,,$49.73 ,$0.00 ,1,1,1,1,1,1,20081001K0734,HCPCS,Adj skin pro w/c cus wd<22in,UE,,28,,NW,,,,,,$372.90 ,$0.00 ,1,1,1,1,1,1,20081001K0735,HCPCS,Adj skin pro wc cus wd>=22in,NU,,28,,NW,,,,,,$632.67 ,$0.00 ,1,1,1,1,1,1,20081001K0735,HCPCS,Adj skin pro wc cus wd>=22in,RR,,28,,NW,,,,,,$63.28 ,$0.00 ,1,1,1,1,1,1,20081001K0735,HCPCS,Adj skin pro wc cus wd>=22in,UE,,28,,NW,,,,,,$474.49 ,$0.00 ,1,1,1,1,1,1,20081001K0736,HCPCS,Adj skin pro/pos wc cus<22in,NU,,28,,NW,,,,,,$501.29 ,$0.00 ,1,1,1,1,1,1,20081001K0736,HCPCS,Adj skin pro/pos wc cus<22in,RR,,28,,NW,,,,,,$50.13 ,$0.00 ,1,1,1,1,1,1,20081001K0736,HCPCS,Adj skin pro/pos wc cus<22in,UE,,28,,NW,,,,,,$375.99 ,$0.00 ,1,1,1,1,1,1,20081001K0737,HCPCS,Adj skin pro/pos wc cus>=22ö,NU,,28,,NW,,,,,,$634.59 ,$0.00 ,1,1,1,1,1,1,20081001K0737,HCPCS,Adj skin pro/pos wc cus>=22ö,RR,,28,,NW,,,,,,$63.45 ,$0.00 ,1,1,1,1,1,1,20081001K0737,HCPCS,Adj skin pro/pos wc cus>=22ö,UE,,28,,NW,,,,,,$475.94 ,$0.00 ,1,1,1,1,1,1,20081001K0800,HCPCS,POV group 1 std up to 300lbs,NU,,28,,NW,,,,,,"$1,939.16 ",$0.00 ,1,1,1,1,1,1,20081001K0800,HCPCS,POV group 1 std up to 300lbs,RR,,28,,NW,,,,,,$193.92 ,$0.00 ,1,1,1,1,1,1,20081001K0800,HCPCS,POV group 1 std up to 300lbs,UE,,28,,NW,,,,,,"$1,454.37 ",$0.00 ,1,1,1,1,1,1,20081001K0801,HCPCS,POV group 1 hd 301-450 lbs,NU,,28,,NW,,,,,,"$3,126.33 ",$0.00 ,1,1,1,1,1,1,20081001K0801,HCPCS,POV group 1 hd 301-450 lbs,RR,,28,,NW,,,,,,$312.60 ,$0.00 ,1,1,1,1,1,1,20081001K0801,HCPCS,POV group 1 hd 301-450 lbs,UE,,28,,NW,,,,,,"$2,344.73 ",$0.00 ,1,1,1,1,1,1,20081001K0802,HCPCS,POV group 1 vhd 451-600 lbs,NU,,28,,NW,,,,,,"$3,537.99 ",$0.00 ,1,1,1,1,1,1,20081001K0802,HCPCS,POV group 1 vhd 451-600 lbs,RR,,28,,NW,,,,,,$353.79 ,$0.00 ,1,1,1,1,1,1,20081001K0802,HCPCS,POV group 1 vhd 451-600 lbs,UE,,28,,NW,,,,,,"$2,653.52 ",$0.00 ,1,1,1,1,1,1,20081001K0806,HCPCS,POV group 2 std up to 300lbs,NU,,28,,NW,,,,,,"$2,345.87 ",$0.00 ,1,1,1,1,1,1,20081001K0806,HCPCS,POV group 2 std up to 300lbs,RR,,28,,NW,,,,,,$234.58 ,$0.00 ,1,1,1,1,1,1,20081001K0806,HCPCS,POV group 2 std up to 300lbs,UE,,28,,NW,,,,,,"$1,759.40 ",$0.00 ,1,1,1,1,1,1,20081001K0807,HCPCS,POV group 2 hd 301-450 lbs,NU,,28,,NW,,,,,,"$3,559.58 ",$0.00 ,1,1,1,1,1,1,20081001K0807,HCPCS,POV group 2 hd 301-450 lbs,RR,,28,,NW,,,,,,$355.95 ,$0.00 ,1,1,1,1,1,1,20081001K0807,HCPCS,POV group 2 hd 301-450 lbs,UE,,28,,NW,,,,,,"$2,669.70 ",$0.00 ,1,1,1,1,1,1,20081001K0808,HCPCS,POV group 2 vhd 451-600 lbs,NU,,28,,NW,,,,,,"$5,507.40 ",$0.00 ,1,1,1,1,1,1,20081001K0808,HCPCS,POV group 2 vhd 451-600 lbs,RR,,28,,NW,,,,,,$550.72 ,$0.00 ,1,1,1,1,1,1,20081001K0808,HCPCS,POV group 2 vhd 451-600 lbs,UE,,28,,NW,,,,,,"$4,130.53 ",$0.00 ,1,1,1,1,1,1,20081001K0813,HCPCS,PWC gp 1 std port seat/back,RR,,28,,NW,,,,,,$361.86 ,$0.00 ,1,1,1,1,1,1,20081001K0814,HCPCS,PWC gp 1 std port cap chair,RR,,28,,NW,,,,,,$463.17 ,$0.00 ,1,1,1,1,1,1,20081001K0815,HCPCS,PWC gp 1 std seat/back,RR,,28,,NW,,,,,,$527.45 ,$0.00 ,1,1,1,1,1,1,20081001K0816,HCPCS,PWC gp 1 std cap chair,RR,,28,,NW,,,,,,$505.11 ,$0.00 ,1,1,1,1,1,1,20081001K0820,HCPCS,PWC gp 2 std port seat/back,RR,,28,,NW,,,,,,$386.49 ,$0.00 ,1,1,1,1,1,1,20081001K0821,HCPCS,PWC gp 2 std port cap chair,RR,,28,,NW,,,,,,$496.15 ,$0.00 ,1,1,1,1,1,1,20081001K0822,HCPCS,PWC gp 2 std seat/back,RR,,28,,NW,,,,,,$599.63 ,$0.00 ,1,1,1,1,1,1,20081001K0823,HCPCS,PWC gp 2 std cap chair,RR,,28,,NW,,,,,,$603.55 ,$0.00 ,1,1,1,1,1,1,20081001K0824,HCPCS,PWC gp 2 hd seat/back,RR,,28,,NW,,,,,,$726.40 ,$0.00 ,1,1,1,1,1,1,20081001K0825,HCPCS,PWC gp 2 hd cap chair,RR,,28,,NW,,,,,,$664.98 ,$0.00 ,1,1,1,1,1,1,20081001K0826,HCPCS,PWC gp 2 vhd seat/back,RR,,28,,NW,,,,,,$940.39 ,$0.00 ,1,1,1,1,1,1,20081001K0827,HCPCS,PWC gp vhd cap chair,RR,,28,,NW,,,,,,$799.64 ,$0.00 ,1,1,1,1,1,1,20081001K0828,HCPCS,PWC gp 2 xtra hd seat/back,RR,,28,,NW,,,,,,"$1,036.23 ",$0.00 ,1,1,1,1,1,1,20081001K0829,HCPCS,PWC gp 2 xtra hd cap chair,RR,,28,,NW,,,,,,$951.55 ,$0.00 ,1,1,1,1,1,1,20081001K0835,HCPCS,PWC gp2 std sing pow opt s/b,RR,,28,,NW,,,,,,$608.61 ,$0.00 ,1,1,1,1,1,1,20081001K0836,HCPCS,PWC gp2 std sing pow opt cap,RR,,28,,NW,,,,,,$631.13 ,$0.00 ,1,1,1,1,1,1,20081001K0837,HCPCS,PWC gp 2 hd sing pow opt s/b,RR,,28,,NW,,,,,,$726.40 ,$0.00 ,1,1,1,1,1,1,20081001K0838,HCPCS,PWC gp 2 hd sing pow opt cap,RR,,28,,NW,,,,,,$649.85 ,$0.00 ,1,1,1,1,1,1,20081001K0839,HCPCS,PWC gp2 vhd sing pow opt s/b,RR,,28,,NW,,,,,,$940.39 ,$0.00 ,1,1,1,1,1,1,20081001K0840,HCPCS,PWC gp2 xhd sing pow opt s/b,RR,,28,,NW,,,,,,"$1,424.75 ",$0.00 ,1,1,1,1,1,1,20081001K0841,HCPCS,PWC gp2 std mult pow opt s/b,RR,,28,,NW,,,,,,$647.79 ,$0.00 ,1,1,1,1,1,1,20081001K0842,HCPCS,PWC gp2 std mult pow opt cap,RR,,28,,NW,,,,,,$647.79 ,$0.00 ,1,1,1,1,1,1,20081001K0843,HCPCS,PWC gp2 hd mult pow opt s/b,RR,,28,,NW,,,,,,$779.94 ,$0.00 ,1,1,1,1,1,1,20081001K0848,HCPCS,PWC gp 3 std seat/back,RR,,28,,NW,,,,,,$792.66 ,$0.00 ,1,1,1,1,1,1,20081001K0849,HCPCS,PWC gp 3 std cap chair,RR,,28,,NW,,,,,,$762.11 ,$0.00 ,1,1,1,1,1,1,20081001K0850,HCPCS,PWC gp 3 hd seat/back,RR,,28,,NW,,,,,,$919.47 ,$0.00 ,1,1,1,1,1,1,20081001K0851,HCPCS,PWC gp 3 hd cap chair,RR,,28,,NW,,,,,,$884.05 ,$0.00 ,1,1,1,1,1,1,20081001K0852,HCPCS,PWC gp 3 vhd seat/back,RR,,28,,NW,,,,,,"$1,062.39 ",$0.00 ,1,1,1,1,1,1,20081001K0853,HCPCS,PWC gp 3 vhd cap chair,RR,,28,,NW,,,,,,"$1,091.34 ",$0.00 ,1,1,1,1,1,1,20081001K0854,HCPCS,PWC gp 3 xhd seat/back,RR,,28,,NW,,,,,,"$1,445.79 ",$0.00 ,1,1,1,1,1,1,20081001K0855,HCPCS,PWC gp 3 xhd cap chair,RR,,28,,NW,,,,,,"$1,365.77 ",$0.00 ,1,1,1,1,1,1,20081001K0856,HCPCS,PWC gp3 std sing pow opt s/b,RR,,28,,NW,,,,,,$850.84 ,$0.00 ,1,1,1,1,1,1,20081001K0857,HCPCS,PWC gp3 std sing pow opt cap,RR,,28,,NW,,,,,,$867.90 ,$0.00 ,1,1,1,1,1,1,20081001K0858,HCPCS,PWC gp3 hd sing pow opt s/b,RR,,28,,NW,,,,,,"$1,055.64 ",$0.00 ,1,1,1,1,1,1,20081001K0859,HCPCS,PWC gp3 hd sing pow opt cap,RR,,28,,NW,,,,,,"$1,006.75 ",$0.00 ,1,1,1,1,1,1,20081001K0860,HCPCS,PWC gp3 vhd sing pow opt s/b,RR,,28,,NW,,,,,,"$1,508.11 ",$0.00 ,1,1,1,1,1,1,20081001K0861,HCPCS,PWC gp3 std mult pow opt s/b,RR,,28,,NW,,,,,,$852.21 ,$0.00 ,1,1,1,1,1,1,20081001K0862,HCPCS,PWC gp3 hd mult pow opt s/b,RR,,28,,NW,,,,,,"$1,055.64 ",$0.00 ,1,1,1,1,1,1,20081001K0863,HCPCS,PWC gp3 vhd mult pow opt s/b,RR,,28,,NW,,,,,,"$1,508.11 ",$0.00 ,1,1,1,1,1,1,20081001K0864,HCPCS,PWC gp3 xhd mult pow opt s/b,RR,,28,,NW,,,,,,"$1,794.67 ",$0.00 ,1,1,1,1,1,1,20081001L0112,HCPCS,Cranial cervical orthosis,,,28,,NW,,,,,,"$1,612.58 ",$0.00 ,1,1,1,0,1,1,20081001L0120,HCPCS,Cerv flexible non-adjustable,,,28,,NW,,,,,,$39.05 ,$0.00 ,1,1,1,1,1,1,20081001L0130,HCPCS,Flex thermoplastic collar mo,,,28,,NW,,,,,,$225.24 ,$0.00 ,1,1,1,1,1,1,20081001L0140,HCPCS,Cervical semi-rigid adjustab,,,28,,NW,,,,,,$90.14 ,$0.00 ,1,1,1,1,1,1,20081001L0150,HCPCS,Cerv semi-rig adj molded chn,,,28,,NW,,,,,,$150.15 ,$0.00 ,1,1,1,1,1,1,20081001L0160,HCPCS,Cerv semi-rig wire occ/mand,,,28,,NW,,,,,,$216.34 ,$0.00 ,1,1,1,1,1,1,20081001L0170,HCPCS,Cervical collar molded to pt,,,28,,NW,,,,,,$950.69 ,$0.00 ,1,1,1,1,1,1,20081001L0172,HCPCS,Cerv col thermplas foam 2 pi,,,28,,NW,,,,,,$175.91 ,$0.00 ,1,1,1,1,1,1,20081001L0174,HCPCS,Cerv col foam 2 piece w thor,,,28,,NW,,,,,,$377.27 ,$0.00 ,1,1,1,1,1,1,20081001L0180,HCPCS,Cer post col occ/man sup adj,,,28,,NW,,,,,,$523.32 ,$0.00 ,1,1,1,1,1,1,20081001L0190,HCPCS,Cerv collar supp adj cerv ba,,,28,,NW,,,,,,$717.76 ,$0.00 ,1,1,1,1,1,1,20081001L0200,HCPCS,Cerv col supp adj bar & thor,,,28,,NW,,,,,,$750.53 ,$0.00 ,1,1,1,1,1,1,20081001L0210,HCPCS,Thoracic rib belt,,,28,,NW,,,,,,$63.24 ,$0.00 ,1,1,1,1,1,1,20081001L0220,HCPCS,Thor rib belt custom fabrica,,,28,,NW,,,,,,$169.81 ,$0.00 ,1,1,1,1,1,1,20081001L0430,HCPCS,Dewall posture protector,,,28,,NW,,,,,,"$1,615.91 ",$0.00 ,1,1,1,0,1,1,20081001L0450,HCPCS,TLSO flex prefab thoracic,,,28,,NW,,,,,,$239.75 ,$0.00 ,1,1,1,1,1,1,20081001L0452,HCPCS,tlso flex custom fab thoraci,,,28,,NW,,,,,,$16.00 ,$0.00 ,1,1,1,0,1,1,20081001L0454,HCPCS,TLSO flex prefab sacrococ-T9,,,28,,NW,,,,,,$462.30 ,$0.00 ,1,1,1,1,1,1,20081001L0456,HCPCS,TLSO flex prefab,,,28,,NW,,,,,,"$1,426.25 ",$0.00 ,1,1,1,1,1,1,20081001L0458,HCPCS,TLSO 2Mod symphis-xipho pre,,,28,,NW,,,,,,"$1,273.37 ",$0.00 ,1,1,1,1,1,1,20081001L0460,HCPCS,TLSO2Mod symphysis-stern pre,,,28,,NW,,,,,,"$1,440.00 ",$0.00 ,1,1,1,1,1,1,20081001L0462,HCPCS,TLSO 3Mod sacro-scap pre,,,28,,NW,,,,,,"$1,438.56 ",$0.00 ,1,1,1,0,1,1,20081001L0464,HCPCS,TLSO 4Mod sacro-scap pre,,,28,,NW,,,,,,"$2,158.19 ",$0.00 ,1,1,1,1,1,1,20081001L0466,HCPCS,TLSO rigid frame pre soft ap,,,28,,NW,,,,,,$528.13 ,$0.00 ,1,1,1,1,1,1,20081001L0468,HCPCS,TLSO rigid frame prefab pelv,,,28,,NW,,,,,,$660.17 ,$0.00 ,1,1,1,1,1,1,20081001L0470,HCPCS,TLSO rigid frame pre subclav,,,28,,NW,,,,,,$939.25 ,$0.00 ,1,1,1,1,1,1,20081001L0472,HCPCS,TLSO rigid frame hyperex pre,,,28,,NW,,,,,,$576.00 ,$0.00 ,1,1,1,1,1,1,20081001L0480,HCPCS,TLSO rigid plastic custom fa,,,28,,NW,,,,,,"$2,164.13 ",$0.00 ,1,1,1,1,1,1,20081001L0482,HCPCS,TLSO rigid lined custom fab,,,28,,NW,,,,,,"$2,361.59 ",$0.00 ,1,1,1,1,1,1,20081001L0484,HCPCS,TLSO rigid plastic cust fab,,,28,,NW,,,,,,"$2,714.26 ",$0.00 ,1,1,1,1,1,1,20081001L0486,HCPCS,TLSO rigidlined cust fab two,,,28,,NW,,,,,,"$2,882.94 ",$0.00 ,1,1,1,1,1,1,20081001L0488,HCPCS,TLSO rigid lined pre one pie,,,28,,NW,,,,,,"$1,440.00 ",$0.00 ,1,1,1,1,1,1,20081001L0490,HCPCS,TLSO rigid plastic pre one,,,28,,NW,,,,,,$371.19 ,$0.00 ,1,1,1,1,1,1,20081001L0700,HCPCS,Ctlso a-p-l control molded,,,28,,NW,,,,,,"$3,095.19 ",$0.00 ,1,1,1,1,1,1,20081001L0710,HCPCS,Ctlso a-p-l control w/ inter,,,28,,NW,,,,,,"$3,199.26 ",$0.00 ,1,1,1,1,1,1,20081001L0810,HCPCS,Halo cervical into jckt vest,,,28,,NW,,,,,,"$3,963.89 ",$0.00 ,1,1,1,1,1,1,20081001L0820,HCPCS,Halo cervical into body jack,,,28,,NW,,,,,,"$3,310.72 ",$0.00 ,1,1,1,1,1,1,20081001L0830,HCPCS,Halo cerv into milwaukee typ,,,28,,NW,,,,,,"$4,830.49 ",$0.00 ,1,1,1,1,1,1,20081001L0861,HCPCS,Halo repl liner/interface,,,28,,NW,,,,,,$248.34 ,$0.00 ,1,1,1,0,1,1,20081001L0970,HCPCS,Tlso corset front,,,28,,NW,,,,,,$158.66 ,$0.00 ,1,1,1,1,1,1,20081001L0972,HCPCS,Lso corset front,,,28,,NW,,,,,,$143.14 ,$0.00 ,1,1,1,1,1,1,20081001L0974,HCPCS,Tlso full corset,,,28,,NW,,,,,,$246.90 ,$0.00 ,1,1,1,1,1,1,20081001L0976,HCPCS,Lso full corset,,,28,,NW,,,,,,$220.80 ,$0.00 ,1,1,1,1,1,1,20081001L0978,HCPCS,Axillary crutch extension,,,28,,NW,,,,,,$265.24 ,$0.00 ,1,1,1,1,1,1,20081001L0980,HCPCS,Peroneal straps pair,,,28,,NW,,,,,,$26.69 ,$0.00 ,1,1,1,1,1,1,20081001L0982,HCPCS,Stocking supp grips set of f,,,28,,NW,,,,,,$25.09 ,$0.00 ,1,1,1,1,1,1,20081001L0984,HCPCS,Protective body sock each,,,28,,NW,,,,,,$84.48 ,$0.00 ,1,1,1,1,1,1,20081001L0999,HCPCS,Add to spinal orthosis NOS,,,28,,NW,,,,,,$345.35 ,$0.00 ,1,1,1,1,1,1,20081001L1000,HCPCS,Ctlso milwauke initial model,,,28,,NW,,,,,,"$3,108.49 ",$0.00 ,1,1,1,1,1,1,20081001L1005,HCPCS,Tension based scoliosis orth,,,28,,NW,,,,,,"$4,709.13 ",$0.00 ,1,1,1,1,1,1,20081001L1010,HCPCS,Ctlso axilla sling,,,28,,NW,,,,,,$94.36 ,$0.00 ,1,1,1,1,1,1,20081001L1020,HCPCS,Kyphosis pad,,,28,,NW,,,,,,$120.70 ,$0.00 ,1,1,1,1,1,1,20081001L1025,HCPCS,Kyphosis pad floating,,,28,,NW,,,,,,$172.84 ,$0.00 ,1,1,1,1,1,1,20081001L1030,HCPCS,Lumbar bolster pad,,,28,,NW,,,,,,$89.59 ,$0.00 ,1,1,1,1,1,1,20081001L1040,HCPCS,Lumbar or lumbar rib pad,,,28,,NW,,,,,,$109.23 ,$0.00 ,1,1,1,1,1,1,20081001L1050,HCPCS,Sternal pad,,,28,,NW,,,,,,$116.36 ,$0.00 ,1,1,1,1,1,1,20081001L1060,HCPCS,Thoracic pad,,,28,,NW,,,,,,$133.22 ,$0.00 ,1,1,1,1,1,1,20081001L1070,HCPCS,Trapezius sling,,,28,,NW,,,,,,$125.52 ,$0.00 ,1,1,1,1,1,1,20081001L1080,HCPCS,Outrigger,,,28,,NW,,,,,,$78.32 ,$0.00 ,1,1,1,1,1,1,20081001L1085,HCPCS,Outrigger bil w/ vert extens,,,28,,NW,,,,,,$212.66 ,$0.00 ,1,1,1,1,1,1,20081001L1090,HCPCS,Lumbar sling,,,28,,NW,,,,,,$127.81 ,$0.00 ,1,1,1,1,1,1,20081001L1100,HCPCS,Ring flange plastic/leather,,,28,,NW,,,,,,$219.61 ,$0.00 ,1,1,1,1,1,1,20081001L1110,HCPCS,Ring flange plas/leather mol,,,28,,NW,,,,,,$350.95 ,$0.00 ,1,1,1,1,1,1,20081001L1120,HCPCS,Covers for upright each,,,28,,NW,,,,,,$57.03 ,$0.00 ,1,1,1,1,1,1,20081001L1200,HCPCS,Furnsh initial orthosis only,,,28,,NW,,,,,,"$2,386.70 ",$0.00 ,1,1,1,1,1,1,20081001L1210,HCPCS,Lateral thoracic extension,,,28,,NW,,,,,,$359.48 ,$0.00 ,1,1,1,1,1,1,20081001L1220,HCPCS,Anterior thoracic extension,,,28,,NW,,,,,,$304.81 ,$0.00 ,1,1,1,1,1,1,20081001L1230,HCPCS,Milwaukee type superstructur,,,28,,NW,,,,,,$831.60 ,$0.00 ,1,1,1,1,1,1,20081001L1240,HCPCS,Lumbar derotation pad,,,28,,NW,,,,,,$108.72 ,$0.00 ,1,1,1,1,1,1,20081001L1250,HCPCS,Anterior asis pad,,,28,,NW,,,,,,$101.37 ,$0.00 ,1,1,1,1,1,1,20081001L1260,HCPCS,Anterior thoracic derotation,,,28,,NW,,,,,,$105.98 ,$0.00 ,1,1,1,1,1,1,20081001L1270,HCPCS,Abdominal pad,,,28,,NW,,,,,,$108.50 ,$0.00 ,1,1,1,1,1,1,20081001L1280,HCPCS,Rib gusset (elastic) each,,,28,,NW,,,,,,$120.46 ,$0.00 ,1,1,1,1,1,1,20081001L1290,HCPCS,Lateral trochanteric pad,,,28,,NW,,,,,,$110.00 ,$0.00 ,1,1,1,1,1,1,20081001L1300,HCPCS,Body jacket mold to patient,,,28,,NW,,,,,,"$2,548.06 ",$0.00 ,1,1,1,1,1,1,20081001L1310,HCPCS,Post-operative body jacket,,,28,,NW,,,,,,"$2,623.52 ",$0.00 ,1,1,1,1,1,1,20081001L1499,HCPCS,Spinal orthosis NOS,,,28,,NW,,,,,,$343.10 ,$0.00 ,1,1,1,1,1,1,20081001L1500,HCPCS,Thkao mobility frame,,,28,,NW,,,,,,"$2,904.80 ",$0.00 ,1,1,1,1,1,1,20081001L1510,HCPCS,Thkao standing frame,,,28,,NW,,,,,,"$1,817.94 ",$0.00 ,1,1,1,1,1,1,20081001L1520,HCPCS,Thkao swivel walker,,,28,,NW,,,,,,"$3,499.66 ",$0.00 ,1,1,1,1,1,1,20081001L1600,HCPCS,Abduct hip flex frejka w cvr,,,28,,NW,,,,,,$178.51 ,$0.00 ,1,1,1,1,1,1,20081001L1610,HCPCS,Abduct hip flex frejka covr,,,28,,NW,,,,,,$62.73 ,$0.00 ,1,1,1,1,1,1,20081001L1620,HCPCS,Abduct hip flex pavlik harne,,,28,,NW,,,,,,$185.50 ,$0.00 ,1,1,1,1,1,1,20081001L1630,HCPCS,Abduct control hip semi-flex,,,28,,NW,,,,,,$233.83 ,$0.00 ,1,1,1,1,1,1,20081001L1640,HCPCS,Pelv band/spread bar thigh c,,,28,,NW,,,,,,$664.91 ,$0.00 ,1,1,1,1,1,1,20081001L1650,HCPCS,HO abduction hip adjustable,,,28,,NW,,,,,,$318.42 ,$0.00 ,1,1,1,1,1,1,20081001L1652,HCPCS,HO bi thighcuffs w sprdr bar,,,28,,NW,,,,,,$476.66 ,$0.00 ,1,1,1,1,1,1,20081001L1660,HCPCS,HO abduction static plastic,,,28,,NW,,,,,,$236.12 ,$0.00 ,1,1,1,1,1,1,20081001L1680,HCPCS,Pelvic & hip control thigh c,,,28,,NW,,,,,,"$1,844.03 ",$0.00 ,1,1,1,1,1,1,20081001L1685,HCPCS,Post-op hip abduct custom fa,,,28,,NW,,,,,,"$1,798.92 ",$0.00 ,1,1,1,1,1,1,20081001L1686,HCPCS,HO post-op hip abduction,,,28,,NW,,,,,,"$1,367.03 ",$0.00 ,1,1,1,1,1,1,20081001L1690,HCPCS,Combination bilateral HO,,,28,,NW,,,,,,"$2,823.84 ",$0.00 ,1,1,1,1,1,1,20081001L1700,HCPCS,Leg perthes orth toronto typ,,,28,,NW,,,,,,"$2,324.83 ",$0.00 ,1,1,1,1,1,1,20081001L1710,HCPCS,Legg perthes orth newington,,,28,,NW,,,,,,"$2,730.64 ",$0.00 ,1,1,1,1,1,1,20081001L1720,HCPCS,Legg perthes orthosis trilat,,,28,,NW,,,,,,"$1,998.66 ",$0.00 ,1,1,1,1,1,1,20081001L1730,HCPCS,Legg perthes orth scottish r,,,28,,NW,,,,,,"$1,709.08 ",$0.00 ,1,1,1,1,1,1,20081001L1755,HCPCS,Legg perthes patten bottom t,,,28,,NW,,,,,,"$2,412.26 ",$0.00 ,1,1,1,1,1,1,20081001L1800,HCPCS,Knee orthoses elas w stays,,,28,,NW,,,,,,$93.56 ,$0.00 ,1,1,1,1,1,1,20081001L1810,HCPCS,Ko elastic with joints,,,28,,NW,,,,,,$137.11 ,$0.00 ,1,1,1,1,1,1,20081001L1815,HCPCS,Elastic with condylar pads,,,28,,NW,,,,,,$134.91 ,$0.00 ,1,1,1,1,1,1,20081001L1820,HCPCS,Ko elas w/ condyle pads & jo,,,28,,NW,,,,,,$179.59 ,$0.00 ,1,1,1,1,1,1,20081001L1825,HCPCS,Ko elastic knee cap,,,28,,NW,,,,,,$77.83 ,$0.00 ,1,1,1,1,1,1,20081001L1830,HCPCS,Ko immobilizer canvas longit,,,28,,NW,,,,,,$122.12 ,$0.00 ,1,1,1,1,1,1,20081001L1831,HCPCS,Knee orth pos locking joint,,,28,,NW,,,,,,$339.11 ,$0.00 ,1,1,1,0,1,1,20081001L1832,HCPCS,KO adj jnt pos rigid support,,,28,,NW,,,,,,$893.17 ,$0.00 ,1,1,1,1,1,1,20081001L1834,HCPCS,Ko w/0 joint rigid molded to,,,28,,NW,,,,,,"$1,155.29 ",$0.00 ,1,1,1,1,1,1,20081001L1836,HCPCS,Rigid KO wo joints,,,28,,NW,,,,,,$176.61 ,$0.00 ,1,1,1,1,1,1,20081001L1840,HCPCS,Ko derot ant cruciate custom,,,28,,NW,,,,,,"$1,378.38 ",$0.00 ,1,1,1,1,1,1,20081001L1843,HCPCS,KO single upright custom fit,,,28,,NW,,,,,,"$1,281.45 ",$0.00 ,1,1,1,1,1,1,20081001L1844,HCPCS,Ko w/adj jt rot cntrl molded,,,28,,NW,,,,,,"$2,422.90 ",$0.00 ,1,1,1,1,1,1,20081001L1845,HCPCS,Ko w/ adj flex/ext rotat cus,,,28,,NW,,,,,,"$1,219.30 ",$0.00 ,1,1,1,1,1,1,20081001L1846,HCPCS,Ko w adj flex/ext rotat mold,,,28,,NW,,,,,,"$1,599.89 ",$0.00 ,1,1,1,1,1,1,20081001L1847,HCPCS,KO adjustable w air chambers,,,28,,NW,,,,,,$802.09 ,$0.00 ,1,1,1,1,1,1,20081001L1850,HCPCS,Ko swedish type,,,28,,NW,,,,,,$395.17 ,$0.00 ,1,1,1,1,1,1,20081001L1860,HCPCS,Ko supracondylar socket mold,,,28,,NW,,,,,,"$1,617.57 ",$0.00 ,1,1,1,1,1,1,20081001L1900,HCPCS,Afo sprng wir drsflx calf bd,,,28,,NW,,,,,,$370.53 ,$0.00 ,1,1,1,1,1,1,20081001L1901,HCPCS,Prefab ankle orthosis,,,28,,NW,,,,,,$25.92 ,$0.00 ,1,1,1,1,1,1,20081001L1902,HCPCS,Afo ankle gauntlet,,,28,,NW,,,,,,$111.67 ,$0.00 ,1,1,1,1,1,1,20081001L1904,HCPCS,Afo molded ankle gauntlet,,,28,,NW,,,,,,$678.65 ,$0.00 ,1,1,1,1,1,1,20081001L1906,HCPCS,Afo multiligamentus ankle su,,,28,,NW,,,,,,$166.80 ,$0.00 ,1,1,1,1,1,1,20081001L1907,HCPCS,AFO supramalleolar custom,,,28,,NW,,,,,,$648.31 ,$0.00 ,1,1,1,0,1,1,20081001L1910,HCPCS,Afo sing bar clasp attach sh,,,28,,NW,,,,,,$367.34 ,$0.00 ,1,1,1,1,1,1,20081001L1920,HCPCS,Afo sing upright w/ adjust s,,,28,,NW,,,,,,$490.72 ,$0.00 ,1,1,1,1,1,1,20081001L1930,HCPCS,Afo plastic,,,28,,NW,,,,,,$325.29 ,$0.00 ,1,1,1,1,1,1,20081001L1932,HCPCS,Afo rig ant tib prefab TCF/=,,,28,,NW,,,,,,"$1,028.13 ",$0.00 ,1,1,1,0,1,1,20081001L1940,HCPCS,Afo molded to patient plasti,,,28,,NW,,,,,,$716.51 ,$0.00 ,1,1,1,1,1,1,20081001L1945,HCPCS,Afo molded plas rig ant tib,,,28,,NW,,,,,,"$1,388.05 ",$0.00 ,1,1,1,1,1,1,20081001L1950,HCPCS,Afo spiral molded to pt plas,,,28,,NW,,,,,,"$1,106.36 ",$0.00 ,1,1,1,1,1,1,20081001L1951,HCPCS,AFO spiral prefabricated,,,28,,NW,,,,,,$967.62 ,$0.00 ,1,1,1,0,1,1,20081001L1960,HCPCS,Afo pos solid ank plastic mo,,,28,,NW,,,,,,$809.56 ,$0.00 ,1,1,1,1,1,1,20081001L1970,HCPCS,Afo plastic molded w/ankle j,,,28,,NW,,,,,,"$1,054.53 ",$0.00 ,1,1,1,1,1,1,20081001L1971,HCPCS,"AFO w/ankle joint, prefab",,,28,,NW,,,,,,$540.05 ,$0.00 ,1,1,1,0,1,1,20081001L1980,HCPCS,Afo sing solid stirrup calf,,,28,,NW,,,,,,$517.83 ,$0.00 ,1,1,1,1,1,1,20081001L1990,HCPCS,Afo doub solid stirrup calf,,,28,,NW,,,,,,$640.48 ,$0.00 ,1,1,1,1,1,1,20081001L2000,HCPCS,Kafo sing fre stirr thi/calf,,,28,,NW,,,,,,"$1,526.03 ",$0.00 ,1,1,1,1,1,1,20081001L2005,HCPCS,KAFO sng/dbl mechanical act,,,28,,NW,,,,,,"$4,147.38 ",$0.00 ,1,1,1,0,1,1,20081001L2010,HCPCS,Kafo sng solid stirrup w/o j,,,28,,NW,,,,,,"$1,386.37 ",$0.00 ,1,1,1,1,1,1,20081001L2020,HCPCS,Kafo dbl solid stirrup band/,,,28,,NW,,,,,,"$1,764.94 ",$0.00 ,1,1,1,1,1,1,20081001L2030,HCPCS,Kafo dbl solid stirrup w/o j,,,28,,NW,,,,,,"$1,524.12 ",$0.00 ,1,1,1,1,1,1,20081001L2035,HCPCS,KAFO plastic pediatric size,,,28,,NW,,,,,,$229.86 ,$0.00 ,1,1,1,1,1,1,20081001L2036,HCPCS,Kafo plas doub free knee mol,,,28,,NW,,,,,,"$2,836.06 ",$0.00 ,1,1,1,1,1,1,20081001L2037,HCPCS,Kafo plas sing free knee mol,,,28,,NW,,,,,,"$2,540.53 ",$0.00 ,1,1,1,1,1,1,20081001L2038,HCPCS,Kafo w/o joint multi-axis an,,,28,,NW,,,,,,"$2,173.15 ",$0.00 ,1,1,1,1,1,1,20081001L2040,HCPCS,Hkafo torsion bil rot straps,,,28,,NW,,,,,,$244.85 ,$0.00 ,1,1,1,1,1,1,20081001L2050,HCPCS,Hkafo torsion cable hip pelv,,,28,,NW,,,,,,$688.18 ,$0.00 ,1,1,1,1,1,1,20081001L2060,HCPCS,Hkafo torsion ball bearing j,,,28,,NW,,,,,,$850.53 ,$0.00 ,1,1,1,1,1,1,20081001L2070,HCPCS,Hkafo torsion unilat rot str,,,28,,NW,,,,,,$186.17 ,$0.00 ,1,1,1,1,1,1,20081001L2080,HCPCS,Hkafo unilat torsion cable,,,28,,NW,,,,,,$506.43 ,$0.00 ,1,1,1,1,1,1,20081001L2090,HCPCS,Hkafo unilat torsion ball br,,,28,,NW,,,,,,$629.19 ,$0.00 ,1,1,1,1,1,1,20081001L2106,HCPCS,Afo tib fx cast plaster mold,,,28,,NW,,,,,,"$1,005.22 ",$0.00 ,1,1,1,1,1,1,20081001L2108,HCPCS,Afo tib fx cast molded to pt,,,28,,NW,,,,,,"$1,610.43 ",$0.00 ,1,1,1,1,1,1,20081001L2112,HCPCS,Afo tibial fracture soft,,,28,,NW,,,,,,$672.89 ,$0.00 ,1,1,1,1,1,1,20081001L2114,HCPCS,Afo tib fx semi-rigid,,,28,,NW,,,,,,$850.28 ,$0.00 ,1,1,1,1,1,1,20081001L2116,HCPCS,Afo tibial fracture rigid,,,28,,NW,,,,,,"$1,055.05 ",$0.00 ,1,1,1,1,1,1,20081001L2126,HCPCS,Kafo fem fx cast thermoplas,,,28,,NW,,,,,,"$1,811.36 ",$0.00 ,1,1,1,1,1,1,20081001L2128,HCPCS,Kafo fem fx cast molded to p,,,28,,NW,,,,,,"$2,617.05 ",$0.00 ,1,1,1,1,1,1,20081001L2132,HCPCS,Kafo femoral fx cast soft,,,28,,NW,,,,,,"$1,202.67 ",$0.00 ,1,1,1,1,1,1,20081001L2134,HCPCS,Kafo fem fx cast semi-rigid,,,28,,NW,,,,,,"$1,452.66 ",$0.00 ,1,1,1,1,1,1,20081001L2136,HCPCS,Kafo femoral fx cast rigid,,,28,,NW,,,,,,"$1,788.21 ",$0.00 ,1,1,1,1,1,1,20081001L2180,HCPCS,Plas shoe insert w ank joint,,,28,,NW,,,,,,$162.48 ,$0.00 ,1,1,1,1,1,1,20081001L2182,HCPCS,Drop lock knee,,,28,,NW,,,,,,$127.80 ,$0.00 ,1,1,1,1,1,1,20081001L2184,HCPCS,Limited motion knee joint,,,28,,NW,,,,,,$171.72 ,$0.00 ,1,1,1,1,1,1,20081001L2186,HCPCS,Adj motion knee jnt lerman t,,,28,,NW,,,,,,$208.05 ,$0.00 ,1,1,1,1,1,1,20081001L2188,HCPCS,Quadrilateral brim,,,28,,NW,,,,,,$412.69 ,$0.00 ,1,1,1,1,1,1,20081001L2190,HCPCS,Waist belt,,,28,,NW,,,,,,$121.92 ,$0.00 ,1,1,1,1,1,1,20081001L2192,HCPCS,Pelvic band & belt thigh fla,,,28,,NW,,,,,,$501.57 ,$0.00 ,1,1,1,1,1,1,20081001L2200,HCPCS,Limited ankle motion ea jnt,,,28,,NW,,,,,,$67.69 ,$0.00 ,1,1,1,1,1,1,20081001L2210,HCPCS,Dorsiflexion assist each joi,,,28,,NW,,,,,,$94.51 ,$0.00 ,1,1,1,1,1,1,20081001L2220,HCPCS,Dorsi & plantar flex ass/res,,,28,,NW,,,,,,$114.50 ,$0.00 ,1,1,1,1,1,1,20081001L2230,HCPCS,Split flat caliper stirr & p,,,28,,NW,,,,,,$107.48 ,$0.00 ,1,1,1,1,1,1,20081001L2240,HCPCS,Round caliper and plate atta,,,28,,NW,,,,,,$116.87 ,$0.00 ,1,1,1,1,1,1,20081001L2250,HCPCS,Foot plate molded stirrup at,,,28,,NW,,,,,,$499.65 ,$0.00 ,1,1,1,1,1,1,20081001L2260,HCPCS,Reinforced solid stirrup,,,28,,NW,,,,,,$276.08 ,$0.00 ,1,1,1,1,1,1,20081001L2265,HCPCS,Long tongue stirrup,,,28,,NW,,,,,,$163.38 ,$0.00 ,1,1,1,1,1,1,20081001L2270,HCPCS,Varus/valgus strap padded/li,,,28,,NW,,,,,,$76.08 ,$0.00 ,1,1,1,1,1,1,20081001L2275,HCPCS,Plastic mod low ext pad/line,,,28,,NW,,,,,,$173.82 ,$0.00 ,1,1,1,1,1,1,20081001L2280,HCPCS,Molded inner boot,,,28,,NW,,,,,,$651.50 ,$0.00 ,1,1,1,1,1,1,20081001L2300,HCPCS,Abduction bar jointed adjust,,,28,,NW,,,,,,$369.82 ,$0.00 ,1,1,1,1,1,1,20081001L2310,HCPCS,Abduction bar-straight,,,28,,NW,,,,,,$170.55 ,$0.00 ,1,1,1,1,1,1,20081001L2320,HCPCS,Non-molded lacer,,,28,,NW,,,,,,$283.29 ,$0.00 ,1,1,1,1,1,1,20081001L2330,HCPCS,Lacer molded to patient mode,,,28,,NW,,,,,,$557.80 ,$0.00 ,1,1,1,1,1,1,20081001L2335,HCPCS,Anterior swing band,,,28,,NW,,,,,,$312.49 ,$0.00 ,1,1,1,1,1,1,20081001L2340,HCPCS,Pre-tibial shell molded to p,,,28,,NW,,,,,,$642.35 ,$0.00 ,1,1,1,1,1,1,20081001L2350,HCPCS,Prosthetic type socket molde,,,28,,NW,,,,,,"$1,334.11 ",$0.00 ,1,1,1,1,1,1,20081001L2360,HCPCS,Extended steel shank,,,28,,NW,,,,,,$73.41 ,$0.00 ,1,1,1,1,1,1,20081001L2370,HCPCS,Patten bottom,,,28,,NW,,,,,,$352.73 ,$0.00 ,1,1,1,1,1,1,20081001L2375,HCPCS,Torsion ank & half solid sti,,,28,,NW,,,,,,$156.89 ,$0.00 ,1,1,1,1,1,1,20081001L2380,HCPCS,Torsion straight knee joint,,,28,,NW,,,,,,$170.67 ,$0.00 ,1,1,1,1,1,1,20081001L2385,HCPCS,Straight knee joint heavy du,,,28,,NW,,,,,,$185.43 ,$0.00 ,1,1,1,1,1,1,20081001L2390,HCPCS,Offset knee joint each,,,28,,NW,,,,,,$152.06 ,$0.00 ,1,1,1,1,1,1,20081001L2395,HCPCS,Offset knee joint heavy duty,,,28,,NW,,,,,,$216.12 ,$0.00 ,1,1,1,1,1,1,20081001L2397,HCPCS,Suspension sleeve lower ext,,,28,,NW,,,,,,$156.06 ,$0.00 ,1,1,1,1,1,1,20081001L2405,HCPCS,Knee joint drop lock ea jnt,,,28,,NW,,,,,,$116.42 ,$0.00 ,1,1,1,1,1,1,20081001L2415,HCPCS,Knee joint cam lock each joi,,,28,,NW,,,,,,$161.05 ,$0.00 ,1,1,1,1,1,1,20081001L2425,HCPCS,Knee disc/dial lock/adj flex,,,28,,NW,,,,,,$189.53 ,$0.00 ,1,1,1,1,1,1,20081001L2430,HCPCS,Knee jnt ratchet lock ea jnt,,,28,,NW,,,,,,$189.53 ,$0.00 ,1,1,1,1,1,1,20081001L2492,HCPCS,Knee lift loop drop lock rin,,,28,,NW,,,,,,$141.87 ,$0.00 ,1,1,1,1,1,1,20081001L2500,HCPCS,Thi/glut/ischia wgt bearing,,,28,,NW,,,,,,$437.57 ,$0.00 ,1,1,1,1,1,1,20081001L2510,HCPCS,Th/wght bear quad-lat brim m,,,28,,NW,,,,,,"$1,077.60 ",$0.00 ,1,1,1,1,1,1,20081001L2520,HCPCS,Th/wght bear quad-lat brim c,,,28,,NW,,,,,,$663.74 ,$0.00 ,1,1,1,1,1,1,20081001L2525,HCPCS,Th/wght bear nar m-l brim mo,,,28,,NW,,,,,,"$1,844.90 ",$0.00 ,1,1,1,1,1,1,20081001L2526,HCPCS,Th/wght bear nar m-l brim cu,,,28,,NW,,,,,,"$1,013.06 ",$0.00 ,1,1,1,1,1,1,20081001L2530,HCPCS,Thigh/wght bear lacer non-mo,,,28,,NW,,,,,,$323.09 ,$0.00 ,1,1,1,1,1,1,20081001L2540,HCPCS,Thigh/wght bear lacer molded,,,28,,NW,,,,,,$604.71 ,$0.00 ,1,1,1,1,1,1,20081001L2550,HCPCS,Thigh/wght bear high roll cu,,,28,,NW,,,,,,$394.30 ,$0.00 ,1,1,1,1,1,1,20081001L2570,HCPCS,Hip clevis type 2 posit jnt,,,28,,NW,,,,,,$688.09 ,$0.00 ,1,1,1,1,1,1,20081001L2580,HCPCS,Pelvic control pelvic sling,,,28,,NW,,,,,,$669.07 ,$0.00 ,1,1,1,1,1,1,20081001L2600,HCPCS,Hip clevis/thrust bearing fr,,,28,,NW,,,,,,$282.78 ,$0.00 ,1,1,1,1,1,1,20081001L2610,HCPCS,Hip clevis/thrust bearing lo,,,28,,NW,,,,,,$333.83 ,$0.00 ,1,1,1,1,1,1,20081001L2620,HCPCS,Pelvic control hip heavy dut,,,28,,NW,,,,,,$367.26 ,$0.00 ,1,1,1,1,1,1,20081001L2622,HCPCS,Hip joint adjustable flexion,,,28,,NW,,,,,,$423.85 ,$0.00 ,1,1,1,1,1,1,20081001L2624,HCPCS,Hip adj flex ext abduct cont,,,28,,NW,,,,,,$461.98 ,$0.00 ,1,1,1,1,1,1,20081001L2627,HCPCS,Plastic mold recipro hip & c,,,28,,NW,,,,,,"$2,616.37 ",$0.00 ,1,1,1,1,1,1,20081001L2628,HCPCS,Metal frame recipro hip & ca,,,28,,NW,,,,,,"$2,555.78 ",$0.00 ,1,1,1,1,1,1,20081001L2630,HCPCS,Pelvic control band & belt u,,,28,,NW,,,,,,$340.35 ,$0.00 ,1,1,1,1,1,1,20081001L2640,HCPCS,Pelvic control band & belt b,,,28,,NW,,,,,,$469.64 ,$0.00 ,1,1,1,1,1,1,20081001L2650,HCPCS,Pelv & thor control gluteal,,,28,,NW,,,,,,$166.44 ,$0.00 ,1,1,1,1,1,1,20081001L2660,HCPCS,Thoracic control thoracic ba,,,28,,NW,,,,,,$256.89 ,$0.00 ,1,1,1,1,1,1,20081001L2670,HCPCS,Thorac cont paraspinal uprig,,,28,,NW,,,,,,$235.36 ,$0.00 ,1,1,1,1,1,1,20081001L2680,HCPCS,Thorac cont lat support upri,,,28,,NW,,,,,,$216.15 ,$0.00 ,1,1,1,1,1,1,20081001L2750,HCPCS,Plating chrome/nickel pr bar,,,28,,NW,,,,,,$116.82 ,$0.00 ,1,1,1,1,1,1,20081001L2755,HCPCS,Carbon graphite lamination,,,28,,NW,,,,,,$173.01 ,$0.00 ,1,1,1,1,1,1,20081001L2760,HCPCS,Extension per extension per,,,28,,NW,,,,,,$85.70 ,$0.00 ,1,1,1,1,1,1,20081001L2768,HCPCS,Ortho sidebar disconnect,,,28,,NW,,,,,,$172.55 ,$0.00 ,1,1,1,1,1,1,20081001L2770,HCPCS,Low ext orthosis per bar/jnt,,,28,,NW,,,,,,$87.05 ,$0.00 ,1,1,1,1,1,1,20081001L2780,HCPCS,Non-corrosive finish,,,28,,NW,,,,,,$95.14 ,$0.00 ,1,1,1,1,1,1,20081001L2785,HCPCS,Drop lock retainer each,,,28,,NW,,,,,,$46.10 ,$0.00 ,1,1,1,1,1,1,20081001L2795,HCPCS,Knee control full kneecap,,,28,,NW,,,,,,$118.69 ,$0.00 ,1,1,1,1,1,1,20081001L2800,HCPCS,Knee cap medial or lateral p,,,28,,NW,,,,,,$148.25 ,$0.00 ,1,1,1,1,1,1,20081001L2810,HCPCS,Knee control condylar pad,,,28,,NW,,,,,,$109.33 ,$0.00 ,1,1,1,1,1,1,20081001L2820,HCPCS,Soft interface below knee se,,,28,,NW,,,,,,$121.26 ,$0.00 ,1,1,1,1,1,1,20081001L2830,HCPCS,Soft interface above knee se,,,28,,NW,,,,,,$130.93 ,$0.00 ,1,1,1,1,1,1,20081001L2840,HCPCS,Tibial length sock fx or equ,,,28,,NW,,,,,,$62.43 ,$0.00 ,1,1,1,1,1,1,20081001L2850,HCPCS,Femoral lgth sock fx or equa,,,28,,NW,,,,,,$87.28 ,$0.00 ,1,1,1,1,1,1,20081001L2860,HCPCS,Torsion mechanism knee/ankle,,,28,,NW,,,,,,$521.56 ,$0.00 ,1,1,1,1,1,1,20081001L2999,HCPCS,Lower extremity orthosis NOS,,,28,,NW,,,,,,$70.39 ,$0.00 ,1,1,1,1,1,1,20081001L3000,HCPCS,Ft insert ucb berkeley shell,,,28,,NW,,,,,,$327.56 ,$0.00 ,1,1,1,1,1,1,20081001L3001,HCPCS,Foot insert remov molded spe,,,28,,NW,,,,,,$194.28 ,$0.00 ,1,1,1,1,1,1,20081001L3002,HCPCS,Foot insert plastazote or eq,,,28,,NW,,,,,,$160.79 ,$0.00 ,1,1,1,1,1,1,20081001L3003,HCPCS,Foot insert silicone gel eac,,,28,,NW,,,,,,$197.01 ,$0.00 ,1,1,1,1,1,1,20081001L3010,HCPCS,Foot longitudinal arch suppo,,,28,,NW,,,,,,$255.11 ,$0.00 ,1,1,1,1,1,1,20081001L3020,HCPCS,Foot longitud/metatarsal sup,,,28,,NW,,,,,,$322.77 ,$0.00 ,1,1,1,1,1,1,20081001L3030,HCPCS,Foot arch support remov prem,,,28,,NW,,,,,,$322.77 ,$0.00 ,1,1,1,1,1,1,20081001L3031,HCPCS,Foot lamin/prepreg composite,,,28,,NW,,,,,,"$1,717.38 ",$0.00 ,1,1,1,0,1,1,20081001L3040,HCPCS,Ft arch suprt premold longit,,,28,,NW,,,,,,$59.63 ,$0.00 ,1,1,1,1,1,1,20081001L3050,HCPCS,Foot arch supp premold metat,,,28,,NW,,,,,,$55.53 ,$0.00 ,1,1,1,1,1,1,20081001L3060,HCPCS,Foot arch supp longitud/meta,,,28,,NW,,,,,,$104.74 ,$0.00 ,1,1,1,1,1,1,20081001L3070,HCPCS,Arch suprt att to sho longit,,,28,,NW,,,,,,$34.35 ,$0.00 ,1,1,1,1,1,1,20081001L3080,HCPCS,Arch supp att to shoe metata,,,28,,NW,,,,,,$15.82 ,$0.00 ,1,1,1,1,1,1,20081001L3090,HCPCS,Arch supp att to shoe long/m,,,28,,NW,,,,,,$22.73 ,$0.00 ,1,1,1,1,1,1,20081001L3100,HCPCS,Hallus-valgus nght dynamic s,,,28,,NW,,,,,,$35.70 ,$0.00 ,1,1,1,1,1,1,20081001L3140,HCPCS,Abduction rotation bar shoe,,,28,,NW,,,,,,$98.59 ,$0.00 ,1,1,1,1,1,1,20081001L3150,HCPCS,Abduct rotation bar w/o shoe,,,28,,NW,,,,,,$82.86 ,$0.00 ,1,1,1,1,1,1,20081001L3160,HCPCS,Shoe styled positioning dev,,,28,,NW,,,,,,$27.51 ,$0.00 ,1,1,1,1,1,1,20081001L3170,HCPCS,Foot plastic heel stabilizer,,,28,,NW,,,,,,$44.58 ,$0.00 ,1,1,1,1,1,1,20081001L3201,HCPCS,Oxford w supinat/pronat inf,,,28,,NW,,,,,,$97.91 ,$0.00 ,1,1,1,1,1,1,20081001L3202,HCPCS,Oxford w/ supinat/pronator c,,,28,,NW,,,,,,$95.85 ,$0.00 ,1,1,1,1,1,1,20081001L3203,HCPCS,Oxford w/ supinator/pronator,,,28,,NW,,,,,,$93.81 ,$0.00 ,1,1,1,1,1,1,20081001L3204,HCPCS,Hightop w/ supp/pronator inf,,,28,,NW,,,,,,$93.81 ,$0.00 ,1,1,1,1,1,1,20081001L3206,HCPCS,Hightop w/ supp/pronator chi,,,28,,NW,,,,,,$97.21 ,$0.00 ,1,1,1,1,1,1,20081001L3207,HCPCS,Hightop w/ supp/pronator jun,,,28,,NW,,,,,,$98.59 ,$0.00 ,1,1,1,1,1,1,20081001L3208,HCPCS,Surgical boot each infant,,,28,,NW,,,,,,$53.49 ,$0.00 ,1,1,1,1,1,1,20081001L3209,HCPCS,Surgical boot each child,,,28,,NW,,,,,,$73.98 ,$0.00 ,1,1,1,1,1,1,20081001L3211,HCPCS,Surgical boot each junior,,,28,,NW,,,,,,$78.76 ,$0.00 ,1,1,1,1,1,1,20081001L3212,HCPCS,Benesch boot pair infant,,,28,,NW,,,,,,$108.84 ,$0.00 ,1,1,1,1,1,1,20081001L3213,HCPCS,Benesch boot pair child,,,28,,NW,,,,,,$130.71 ,$0.00 ,1,1,1,1,1,1,20081001L3214,HCPCS,Benesch boot pair junior,,,28,,NW,,,,,,$138.91 ,$0.00 ,1,1,1,1,1,1,20081001L3215,HCPCS,Orthopedic ftwear ladies oxf,,,28,,NW,,,,, ,$87.92 ,$0.00 ,1,1,1,1,1,1,20081001L3216,HCPCS,Orthoped ladies shoes dpth i,,,28,,NW,,,,, ,$106.03 ,$0.00 ,1,1,1,1,1,1,20081001L3217,HCPCS,Ladies shoes hightop depth i,,,28,,NW,,,,, ,$114.90 ,$0.00 ,1,1,1,1,1,1,20081001L3219,HCPCS,Orthopedic mens shoes oxford,,,28,,NW,,,,, ,$98.51 ,$0.00 ,1,1,1,1,1,1,20081001L3221,HCPCS,Orthopedic mens shoes dpth i,,,28,,NW,,,,, ,$117.98 ,$0.00 ,1,1,1,1,1,1,20081001L3222,HCPCS,Mens shoes hightop depth inl,,,28,,NW,,,,, ,$130.29 ,$0.00 ,1,1,1,1,1,1,20081001L3224,HCPCS,Woman's shoe oxford brace,,,28,,NW,,,,,,$83.03 ,$0.00 ,1,1,1,1,1,1,20081001L3225,HCPCS,Man's shoe oxford brace,,,28,,NW,,,,,,$95.08 ,$0.00 ,1,1,1,1,1,1,20081001L3230,HCPCS,Custom shoes depth inlay,,,28,,NW,,,,,,$305.68 ,$0.00 ,1,1,1,1,1,1,20081001L3250,HCPCS,Custom mold shoe remov prost,,,28,,NW,,,,,,$620.37 ,$0.00 ,1,1,1,1,1,1,20081001L3251,HCPCS,Shoe molded to pt silicone s,,,28,,NW,,,,,,$84.23 ,$0.00 ,1,1,1,1,1,1,20081001L3252,HCPCS,Shoe molded plastazote cust,,,28,,NW,,,,,,$325.50 ,$0.00 ,1,1,1,1,1,1,20081001L3253,HCPCS,Shoe molded plastazote cust,,,28,,NW,,,,,,$83.55 ,$0.00 ,1,1,1,1,1,1,20081001L3254,HCPCS,Orth foot non-stndard size/w,,,28,,NW,,,,,,$28.45 ,$0.00 ,1,1,1,1,1,1,20081001L3255,HCPCS,Orth foot non-standard size/,,,28,,NW,,,,,,$31.62 ,$0.00 ,1,1,1,1,1,1,20081001L3257,HCPCS,Orth foot add charge split s,,,28,,NW,,,,,,$61.69 ,$0.00 ,1,1,1,1,1,1,20081001L3260,HCPCS,Ambulatory surgical boot eac,,,28,,NW,,,,,,$35.70 ,$0.00 ,1,1,1,1,1,1,20081001L3265,HCPCS,Plastazote sandal each,,,28,,NW,,,,,,$38.44 ,$0.00 ,1,1,1,1,1,1,20081001L3300,HCPCS,Sho lift taper to metatarsal,,,28,,NW,,,,,,$43.91 ,$0.00 ,1,1,1,1,1,1,20081001L3310,HCPCS,Shoe lift elev heel/sole neo,,,28,,NW,,,,,,$85.60 ,$0.00 ,1,1,1,1,1,1,20081001L3320,HCPCS,Shoe lift elev heel/sole cor,,,28,,NW,,,,,,$220.93 ,$0.00 ,1,1,1,1,1,1,20081001L3330,HCPCS,Lifts elevation metal extens,,,28,,NW,,,,,,$356.26 ,$0.00 ,1,1,1,1,1,1,20081001L3332,HCPCS,Shoe lifts tapered to one-ha,,,28,,NW,,,,,,$27.51 ,$0.00 ,1,1,1,1,1,1,20081001L3334,HCPCS,Shoe lifts elevation heel /i,,,28,,NW,,,,,,$27.51 ,$0.00 ,1,1,1,1,1,1,20081001L3340,HCPCS,Shoe wedge sach,,,28,,NW,,,,,,$62.37 ,$0.00 ,1,1,1,1,1,1,20081001L3350,HCPCS,Shoe heel wedge,,,28,,NW,,,,,,$40.49 ,$0.00 ,1,1,1,1,1,1,20081001L3360,HCPCS,Shoe sole wedge outside sole,,,28,,NW,,,,,,$30.92 ,$0.00 ,1,1,1,1,1,1,20081001L3370,HCPCS,Shoe sole wedge between sole,,,28,,NW,,,,,,$36.38 ,$0.00 ,1,1,1,1,1,1,20081001L3380,HCPCS,Shoe clubfoot wedge,,,28,,NW,,,,,,$60.99 ,$0.00 ,1,1,1,1,1,1,20081001L3390,HCPCS,Shoe outflare wedge,,,28,,NW,,,,,,$83.55 ,$0.00 ,1,1,1,1,1,1,20081001L3400,HCPCS,Shoe metatarsal bar wedge ro,,,28,,NW,,,,,,$80.13 ,$0.00 ,1,1,1,1,1,1,20081001L3410,HCPCS,Shoe metatarsal bar between,,,28,,NW,,,,,,$134.14 ,$0.00 ,1,1,1,1,1,1,20081001L3420,HCPCS,Full sole/heel wedge btween,,,28,,NW,,,,,,$44.58 ,$0.00 ,1,1,1,1,1,1,20081001L3430,HCPCS,Sho heel count plast reinfor,,,28,,NW,,,,,,$108.16 ,$0.00 ,1,1,1,1,1,1,20081001L3440,HCPCS,Heel leather reinforced,,,28,,NW,,,,,,$73.98 ,$0.00 ,1,1,1,1,1,1,20081001L3450,HCPCS,Shoe heel sach cushion type,,,28,,NW,,,,,,$60.31 ,$0.00 ,1,1,1,1,1,1,20081001L3455,HCPCS,Shoe heel new leather standa,,,28,,NW,,,,,,$26.83 ,$0.00 ,1,1,1,1,1,1,20081001L3460,HCPCS,Shoe heel new rubber standar,,,28,,NW,,,,,,$44.58 ,$0.00 ,1,1,1,1,1,1,20081001L3465,HCPCS,Shoe heel thomas with wedge,,,28,,NW,,,,,,$32.30 ,$0.00 ,1,1,1,1,1,1,20081001L3470,HCPCS,Shoe heel thomas extend to b,,,28,,NW,,,,,,$75.35 ,$0.00 ,1,1,1,1,1,1,20081001L3480,HCPCS,Shoe heel pad & depress for,,,28,,NW,,,,,,$52.11 ,$0.00 ,1,1,1,1,1,1,20081001L3485,HCPCS,Shoe heel pad removable for,,,28,,NW,,,,,,$35.70 ,$0.00 ,1,1,1,1,1,1,20081001L3500,HCPCS,Ortho shoe add leather insol,,,28,,NW,,,,,,$39.12 ,$0.00 ,1,1,1,1,1,1,20081001L3510,HCPCS,Orthopedic shoe add rub insl,,,28,,NW,,,,,,$36.38 ,$0.00 ,1,1,1,1,1,1,20081001L3520,HCPCS,O shoe add felt w leath insl,,,28,,NW,,,,,,$58.27 ,$0.00 ,1,1,1,1,1,1,20081001L3530,HCPCS,Ortho shoe add half sole,,,28,,NW,,,,,,$19.31 ,$0.00 ,1,1,1,1,1,1,20081001L3540,HCPCS,Ortho shoe add full sole,,,28,,NW,,,,,,$63.72 ,$0.00 ,1,1,1,1,1,1,20081001L3550,HCPCS,O shoe add standard toe tap,,,28,,NW,,,,,,$11.66 ,$0.00 ,1,1,1,1,1,1,20081001L3560,HCPCS,O shoe add horseshoe toe tap,,,28,,NW,,,,,,$15.82 ,$0.00 ,1,1,1,1,1,1,20081001L3570,HCPCS,O shoe add instep extension,,,28,,NW,,,,,,$57.58 ,$0.00 ,1,1,1,1,1,1,20081001L3580,HCPCS,O shoe add instep velcro clo,,,28,,NW,,,,,,$83.55 ,$0.00 ,1,1,1,1,1,1,20081001L3590,HCPCS,O shoe convert to sof counte,,,28,,NW,,,,,,$65.79 ,$0.00 ,1,1,1,1,1,1,20081001L3595,HCPCS,Ortho shoe add march bar,,,28,,NW,,,,,,$21.35 ,$0.00 ,1,1,1,1,1,1,20081001L3600,HCPCS,Trans shoe calip plate exist,,,28,,NW,,,,,,$104.74 ,$0.00 ,1,1,1,1,1,1,20081001L3610,HCPCS,Trans shoe caliper plate new,,,28,,NW,,,,,,$167.62 ,$0.00 ,1,1,1,1,1,1,20081001L3620,HCPCS,Trans shoe solid stirrup exi,,,28,,NW,,,,,,$104.74 ,$0.00 ,1,1,1,1,1,1,20081001L3630,HCPCS,Trans shoe solid stirrup new,,,28,,NW,,,,,,$127.98 ,$0.00 ,1,1,1,1,1,1,20081001L3640,HCPCS,Shoe dennis browne splint bo,,,28,,NW,,,,,,$43.91 ,$0.00 ,1,1,1,1,1,1,20081001L3649,HCPCS,Orthopedic shoe modifica NOS,,,28,,NW,,,,,,$28.49 ,$0.00 ,1,1,1,1,1,1,20081001L3650,HCPCS,Shlder fig 8 abduct restrain,,,28,,NW,,,,,,$81.98 ,$0.00 ,1,1,1,1,1,1,20081001L3651,HCPCS,Prefab shoulder orthosis,,,28,,NW,,,,,,$80.93 ,$0.00 ,1,1,1,1,1,1,20081001L3652,HCPCS,Prefab dbl shoulder orthosis,,,28,,NW,,,,,,$238.03 ,$0.00 ,1,1,1,1,1,1,20081001L3660,HCPCS,Abduct restrainer canvas&web,,,28,,NW,,,,,,$139.96 ,$0.00 ,1,1,1,1,1,1,20081001L3670,HCPCS,Acromio/clavicular canvas&we,,,28,,NW,,,,,,$153.71 ,$0.00 ,1,1,1,1,1,1,20081001L3675,HCPCS,Canvas vest SO,,,28,,NW,,,,,,$210.84 ,$0.00 ,1,1,1,1,1,1,20081001L3677,HCPCS,SO hard plastic stabilizer,,,28,,NW,,,,,,$241.43 ,$0.00 ,1,1,1,1,1,1,20081001L3700,HCPCS,Elbow orthoses elas w stays,,,28,,NW,,,,,,$95.97 ,$0.00 ,1,1,1,1,1,1,20081001L3701,HCPCS,Prefab elbow orthosis,,,28,,NW,,,,,,$27.02 ,$0.00 ,1,1,1,1,1,1,20081001L3710,HCPCS,Elbow elastic with metal joi,,,28,,NW,,,,,,$167.75 ,$0.00 ,1,1,1,1,1,1,20081001L3720,HCPCS,Forearm/arm cuffs free motio,,,28,,NW,,,,,,$943.12 ,$0.00 ,1,1,1,1,1,1,20081001L3730,HCPCS,Forearm/arm cuffs ext/flex a,,,28,,NW,,,,,,"$1,320.18 ",$0.00 ,1,1,1,1,1,1,20081001L3740,HCPCS,Cuffs adj lock w/ active con,,,28,,NW,,,,,,"$1,575.17 ",$0.00 ,1,1,1,1,1,1,20081001L3760,HCPCS,"EO withjoint, Prefabricated",,,28,,NW,,,,,,$623.47 ,$0.00 ,1,1,1,1,1,1,20081001L3762,HCPCS,Rigid EO wo joints,,,28,,NW,,,,,,$130.31 ,$0.00 ,1,1,1,1,1,1,20081001L3807,HCPCS,"WHFO,no joint, prefabricated",,,28,,NW,,,,,,$299.17 ,$0.00 ,1,1,1,1,1,1,20081001L3890,HCPCS,Torsion mechanism wrist/elbo,,,28,,NW,,,,,,$381.90 ,$0.00 ,1,1,1,1,1,1,20081001L3900,HCPCS,Hinge extension/flex wrist/f,,,28,,NW,,,,,,"$1,918.43 ",$0.00 ,1,1,1,1,1,1,20081001L3901,HCPCS,Hinge ext/flex wrist finger,,,28,,NW,,,,,,"$2,395.61 ",$0.00 ,1,1,1,1,1,1,20081001L3904,HCPCS,Whfo electric custom fitted,,,28,,NW,,,,,,"$4,409.71 ",$0.00 ,1,1,1,1,1,1,20081001L3906,HCPCS,Wrist gauntlet molded to pt,,,28,,NW,,,,,,$548.47 ,$0.00 ,1,1,1,1,1,1,20081001L3908,HCPCS,Wrist cock-up non-molded,,,28,,NW,,,,,,$82.81 ,$0.00 ,1,1,1,1,1,1,20081001L3909,HCPCS,Prefab wrist orthosis,,,28,,NW,,,,,,$19.65 ,$0.00 ,1,1,1,1,1,1,20081001L3911,HCPCS,Prefab hand finger orthosis,,,28,,NW,,,,,,$25.99 ,$0.00 ,1,1,1,0,1,1,20081001L3912,HCPCS,Flex glove w/elastic finger,,,28,,NW,,,,,,$129.36 ,$0.00 ,1,1,1,1,1,1,20081001L3917,HCPCS,Prefab metacarpl fx orthosis,,,28,,NW,,,,,,$110.77 ,$0.00 ,1,1,1,0,1,1,20081001L3923,HCPCS,"HFO, no joint, prefabricated",,,28,,NW,,,,,,$49.01 ,$0.00 ,1,1,1,1,1,1,20081001L3956,HCPCS,Add joint upper ext orthosis,,,28,,NW,,,,,,$56.90 ,$0.00 ,1,1,1,1,1,1,20081001L3960,HCPCS,Sewho airplan desig abdu pos,,,28,,NW,,,,,,"$1,066.36 ",$0.00 ,1,1,1,1,1,1,20081001L3962,HCPCS,Sewho erbs palsey design abd,,,28,,NW,,,,,,"$1,039.79 ",$0.00 ,1,1,1,1,1,1,20081001L3964,HCPCS,Seo mobile arm sup att to wc,,,28,,NW,,,,,,$669.06 ,$0.00 ,1,1,1,1,1,1,20081001L3965,HCPCS,Arm supp att to wc rancho ty,,,28,,NW,,,,,,"$1,099.78 ",$0.00 ,1,1,1,1,1,1,20081001L3966,HCPCS,Mobile arm supports reclinin,,,28,,NW,,,,,,$815.24 ,$0.00 ,1,1,1,1,1,1,20081001L3968,HCPCS,Friction dampening arm supp,,,28,,NW,,,,,,"$1,045.94 ",$0.00 ,1,1,1,1,1,1,20081001L3969,HCPCS,Monosuspension arm/hand supp,,,28,,NW,,,,,,$715.21 ,$0.00 ,1,1,1,1,1,1,20081001L3970,HCPCS,Elevat proximal arm support,,,28,,NW,,,,,,$272.05 ,$0.00 ,1,1,1,1,1,1,20081001L3972,HCPCS,Offset/lat rocker arm w/ ela,,,28,,NW,,,,,,$174.04 ,$0.00 ,1,1,1,1,1,1,20081001L3974,HCPCS,Mobile arm support supinator,,,28,,NW,,,,,,$148.06 ,$0.00 ,1,1,1,1,1,1,20081001L3980,HCPCS,Upp ext fx orthosis humeral,,,28,,NW,,,,,,$417.38 ,$0.00 ,1,1,1,1,1,1,20081001L3982,HCPCS,Upper ext fx orthosis rad/ul,,,28,,NW,,,,,,$515.20 ,$0.00 ,1,1,1,1,1,1,20081001L3984,HCPCS,Upper ext fx orthosis wrist,,,28,,NW,,,,,,$470.81 ,$0.00 ,1,1,1,1,1,1,20081001L3995,HCPCS,Sock fracture or equal each,,,28,,NW,,,,,,$46.51 ,$0.00 ,1,1,1,1,1,1,20081001L3999,HCPCS,Upper limb orthosis NOS,,,28,,NW,,,,,,$44.14 ,$0.00 ,1,1,1,1,1,1,20081001L4000,HCPCS,Repl girdle milwaukee orth,,,28,,NW,,,,,,"$1,932.21 ",$0.00 ,1,1,1,1,1,1,20081001L4010,HCPCS,Replace trilateral socket br,,,28,,NW,,,,,,$991.52 ,$0.00 ,1,1,1,1,1,1,20081001L4020,HCPCS,Replace quadlat socket brim,,,28,,NW,,,,,,"$1,287.80 ",$0.00 ,1,1,1,1,1,1,20081001L4030,HCPCS,Replace socket brim cust fit,,,28,,NW,,,,,,$732.59 ,$0.00 ,1,1,1,1,1,1,20081001L4040,HCPCS,Replace molded thigh lacer,,,28,,NW,,,,,,$581.99 ,$0.00 ,1,1,1,1,1,1,20081001L4045,HCPCS,Replace non-molded thigh lac,,,28,,NW,,,,,,$457.14 ,$0.00 ,1,1,1,1,1,1,20081001L4050,HCPCS,Replace molded calf lacer,,,28,,NW,,,,,,$589.23 ,$0.00 ,1,1,1,1,1,1,20081001L4055,HCPCS,Replace non-molded calf lace,,,28,,NW,,,,,,$367.22 ,$0.00 ,1,1,1,1,1,1,20081001L4060,HCPCS,Replace high roll cuff,,,28,,NW,,,,,,$441.20 ,$0.00 ,1,1,1,1,1,1,20081001L4070,HCPCS,Replace prox & dist upright,,,28,,NW,,,,,,$386.41 ,$0.00 ,1,1,1,1,1,1,20081001L4080,HCPCS,Repl met band kafo-afo prox,,,28,,NW,,,,,,$140.74 ,$0.00 ,1,1,1,1,1,1,20081001L4090,HCPCS,Repl met band kafo-afo calf/,,,28,,NW,,,,,,$125.97 ,$0.00 ,1,1,1,1,1,1,20081001L4100,HCPCS,Repl leath cuff kafo prox th,,,28,,NW,,,,,,$145.03 ,$0.00 ,1,1,1,1,1,1,20081001L4110,HCPCS,Repl leath cuff kafo-afo cal,,,28,,NW,,,,,,$118.47 ,$0.00 ,1,1,1,1,1,1,20081001L4130,HCPCS,Replace pretibial shell,,,28,,NW,,,,,,$718.96 ,$0.00 ,1,1,1,1,1,1,20081001L4205,HCPCS,Ortho dvc repair per 15 min,,,28,,NW,,,,,,$39.64 ,$0.00 ,1,1,1,1,1,1,20081001L4210,HCPCS,Orth dev repair/repl minor p,,,28,,NW,,,,,,$52.91 ,$0.00 ,1,1,1,1,1,1,20081001L4350,HCPCS,Ankle control orthosi prefab,,,28,,NW,,,,,,$124.71 ,$0.00 ,1,1,1,1,1,1,20081001L4360,HCPCS,Pneumati walking boot prefab,,,28,,NW,,,,,,$380.23 ,$0.00 ,1,1,1,1,1,1,20081001L4370,HCPCS,Pneumatic full leg splint,,,28,,NW,,,,,,$260.17 ,$0.00 ,1,1,1,1,1,1,20081001L4380,HCPCS,Pneumatic knee splint,,,28,,NW,,,,,,$149.28 ,$0.00 ,1,1,1,1,1,1,20081001L4386,HCPCS,Non-pneum walk boot prefab,,,28,,NW,,,,,,$209.33 ,$0.00 ,1,1,1,1,1,1,20081001L4392,HCPCS,Replace AFO soft interface,,,28,,NW,,,,,,$33.48 ,$0.00 ,1,1,1,1,1,1,20081001L4394,HCPCS,Replace foot drop spint,,,28,,NW,,,,,,$25.21 ,$0.00 ,1,1,1,1,1,1,20081001L4396,HCPCS,Static AFO,,,28,,NW,,,,,,$221.01 ,$0.00 ,1,1,1,1,1,1,20081001L4398,HCPCS,Foot drop splint recumbent,,,28,,NW,,,,,,$103.28 ,$0.00 ,1,1,1,1,1,1,20081001L5000,HCPCS,Sho insert w arch toe filler,,,28,,NW,,,,,,$784.62 ,$0.00 ,1,1,1,1,1,1,20081001L5010,HCPCS,Mold socket ank hgt w/ toe f,,,28,,NW,,,,,,"$1,966.44 ",$0.00 ,1,1,1,1,1,1,20081001L5020,HCPCS,Tibial tubercle hgt w/ toe f,,,28,,NW,,,,,,"$3,234.78 ",$0.00 ,1,1,1,1,1,1,20081001L5050,HCPCS,Ank symes mold sckt sach ft,,,28,,NW,,,,,,"$3,754.52 ",$0.00 ,1,1,1,1,1,1,20081001L5060,HCPCS,Symes met fr leath socket ar,,,28,,NW,,,,,,"$4,529.56 ",$0.00 ,1,1,1,1,1,1,20081001L5100,HCPCS,Molded socket shin sach foot,,,28,,NW,,,,,,"$3,802.97 ",$0.00 ,1,1,1,1,1,1,20081001L5105,HCPCS,Plast socket jts/thgh lacer,,,28,,NW,,,,,,"$5,710.98 ",$0.00 ,1,1,1,1,1,1,20081001L5150,HCPCS,Mold sckt ext knee shin sach,,,28,,NW,,,,,,"$5,773.60 ",$0.00 ,1,1,1,1,1,1,20081001L5160,HCPCS,Mold socket bent knee shin s,,,28,,NW,,,,,,"$6,284.56 ",$0.00 ,1,1,1,1,1,1,20081001L5200,HCPCS,Kne sing axis fric shin sach,,,28,,NW,,,,,,"$5,428.10 ",$0.00 ,1,1,1,1,1,1,20081001L5210,HCPCS,No knee/ankle joints w/ ft b,,,28,,NW,,,,,,"$3,972.93 ",$0.00 ,1,1,1,1,1,1,20081001L5220,HCPCS,No knee joint with artic ali,,,28,,NW,,,,,,"$4,523.31 ",$0.00 ,1,1,1,1,1,1,20081001L5230,HCPCS,Fem focal defic constant fri,,,28,,NW,,,,,,"$6,258.96 ",$0.00 ,1,1,1,1,1,1,20081001L5250,HCPCS,Hip canad sing axi cons fric,,,28,,NW,,,,,,"$8,556.25 ",$0.00 ,1,1,1,1,1,1,20081001L5270,HCPCS,Tilt table locking hip sing,,,28,,NW,,,,,,"$8,480.83 ",$0.00 ,1,1,1,1,1,1,20081001L5280,HCPCS,Hemipelvect canad sing axis,,,28,,NW,,,,,,"$8,395.48 ",$0.00 ,1,1,1,1,1,1,20081001L5301,HCPCS,BK mold socket SACH ft endo,,,28,,NW,,,,,,"$3,756.30 ",$0.00 ,1,1,1,1,1,1,20081001L5311,HCPCS,"Knee disart, SACH ft, endo",,,28,,NW,,,,,,"$5,419.83 ",$0.00 ,1,1,1,1,1,1,20081001L5321,HCPCS,AK open end SACH,,,28,,NW,,,,,,"$5,400.27 ",$0.00 ,1,1,1,1,1,1,20081001L5331,HCPCS,Hip disart canadian SACH ft,,,28,,NW,,,,,,"$7,663.89 ",$0.00 ,1,1,1,1,1,1,20081001L5341,HCPCS,Hemipelvectomy canadian SACH,,,28,,NW,,,,,,"$8,332.89 ",$0.00 ,1,1,1,1,1,1,20081001L5400,HCPCS,Postop dress & 1 cast chg bk,,,28,,NW,,,,,,"$1,943.38 ",$0.00 ,1,1,1,1,1,1,20081001L5410,HCPCS,Postop dsg bk ea add cast ch,,,28,,NW,,,,,,$639.53 ,$0.00 ,1,1,1,1,1,1,20081001L5420,HCPCS,Postop dsg & 1 cast chg ak/d,,,28,,NW,,,,,,"$2,468.57 ",$0.00 ,1,1,1,1,1,1,20081001L5430,HCPCS,Postop dsg ak ea add cast ch,,,28,,NW,,,,,,$781.23 ,$0.00 ,1,1,1,1,1,1,20081001L5450,HCPCS,Postop app non-wgt bear dsg,,,28,,NW,,,,,,$622.25 ,$0.00 ,1,1,1,1,1,1,20081001L5460,HCPCS,Postop app non-wgt bear dsg,,,28,,NW,,,,,,$851.05 ,$0.00 ,1,1,1,1,1,1,20081001L5500,HCPCS,Init bk ptb plaster direct,,,28,,NW,,,,,,"$2,077.44 ",$0.00 ,1,1,1,1,1,1,20081001L5505,HCPCS,Init ak ischal plstr direct,,,28,,NW,,,,,,"$2,832.49 ",$0.00 ,1,1,1,1,1,1,20081001L5510,HCPCS,Prep BK ptb plaster molded,,,28,,NW,,,,,,"$2,362.11 ",$0.00 ,1,1,1,1,1,1,20081001L5520,HCPCS,Perp BK ptb thermopls direct,,,28,,NW,,,,,,"$2,332.55 ",$0.00 ,1,1,1,1,1,1,20081001L5530,HCPCS,Prep BK ptb thermopls molded,,,28,,NW,,,,,,"$2,812.42 ",$0.00 ,1,1,1,1,1,1,20081001L5535,HCPCS,Prep BK ptb open end socket,,,28,,NW,,,,,,"$2,760.26 ",$0.00 ,1,1,1,1,1,1,20081001L5540,HCPCS,Prep BK ptb laminated socket,,,28,,NW,,,,,,"$2,949.70 ",$0.00 ,1,1,1,1,1,1,20081001L5560,HCPCS,Prep AK ischial plast molded,,,28,,NW,,,,,,"$3,171.44 ",$0.00 ,1,1,1,1,1,1,20081001L5570,HCPCS,Prep AK ischial direct form,,,28,,NW,,,,,,"$3,299.33 ",$0.00 ,1,1,1,1,1,1,20081001L5580,HCPCS,Prep AK ischial thermo mold,,,28,,NW,,,,,,"$3,860.73 ",$0.00 ,1,1,1,1,1,1,20081001L5585,HCPCS,Prep AK ischial open end,,,28,,NW,,,,,,"$4,191.95 ",$0.00 ,1,1,1,1,1,1,20081001L5590,HCPCS,Prep AK ischial laminated,,,28,,NW,,,,,,"$3,935.36 ",$0.00 ,1,1,1,1,1,1,20081001L5595,HCPCS,Hip disartic sach thermopls,,,28,,NW,,,,,,"$6,627.91 ",$0.00 ,1,1,1,1,1,1,20081001L5600,HCPCS,Hip disart sach laminat mold,,,28,,NW,,,,,,"$7,324.81 ",$0.00 ,1,1,1,1,1,1,20081001L5610,HCPCS,Above knee hydracadence,,,28,,NW,,,,,,"$3,381.87 ",$0.00 ,1,1,1,1,1,1,20081001L5611,HCPCS,Ak 4 bar link w/fric swing,,,28,,NW,,,,,,"$2,619.84 ",$0.00 ,1,1,1,1,1,1,20081001L5613,HCPCS,Ak 4 bar ling w/hydraul swig,,,28,,NW,,,,,,"$4,012.96 ",$0.00 ,1,1,1,1,1,1,20081001L5614,HCPCS,4-bar link above knee w/swng,,,28,,NW,,,,,,"$2,462.23 ",$0.00 ,1,1,1,1,1,1,20081001L5616,HCPCS,Ak univ multiplex sys frict,,,28,,NW,,,,,,"$2,199.95 ",$0.00 ,1,1,1,1,1,1,20081001L5617,HCPCS,AK/BK self-aligning unit ea,,,28,,NW,,,,,,$785.78 ,$0.00 ,1,1,1,1,1,1,20081001L5618,HCPCS,Test socket symes,,,28,,NW,,,,,,$412.88 ,$0.00 ,1,1,1,1,1,1,20081001L5620,HCPCS,Test socket below knee,,,28,,NW,,,,,,$407.54 ,$0.00 ,1,1,1,1,1,1,20081001L5622,HCPCS,Test socket knee disarticula,,,28,,NW,,,,,,$547.78 ,$0.00 ,1,1,1,1,1,1,20081001L5624,HCPCS,Test socket above knee,,,28,,NW,,,,,,$549.49 ,$0.00 ,1,1,1,1,1,1,20081001L5626,HCPCS,Test socket hip disarticulat,,,28,,NW,,,,,,$737.38 ,$0.00 ,1,1,1,1,1,1,20081001L5628,HCPCS,Test socket hemipelvectomy,,,28,,NW,,,,,,$747.40 ,$0.00 ,1,1,1,1,1,1,20081001L5629,HCPCS,Below knee acrylic socket,,,28,,NW,,,,,,$473.56 ,$0.00 ,1,1,1,1,1,1,20081001L5630,HCPCS,Syme typ expandabl wall sckt,,,28,,NW,,,,,,$690.94 ,$0.00 ,1,1,1,1,1,1,20081001L5631,HCPCS,Ak/knee disartic acrylic soc,,,28,,NW,,,,,,$675.31 ,$0.00 ,1,1,1,1,1,1,20081001L5632,HCPCS,Symes type ptb brim design s,,,28,,NW,,,,,,$325.27 ,$0.00 ,1,1,1,1,1,1,20081001L5634,HCPCS,Symes type poster opening so,,,28,,NW,,,,,,$450.97 ,$0.00 ,1,1,1,1,1,1,20081001L5636,HCPCS,Symes type medial opening so,,,28,,NW,,,,,,$372.85 ,$0.00 ,1,1,1,1,1,1,20081001L5637,HCPCS,Below knee total contact,,,28,,NW,,,,,,$425.57 ,$0.00 ,1,1,1,1,1,1,20081001L5638,HCPCS,Below knee leather socket,,,28,,NW,,,,,,$753.78 ,$0.00 ,1,1,1,1,1,1,20081001L5639,HCPCS,Below knee wood socket,,,28,,NW,,,,,,"$1,806.71 ",$0.00 ,1,1,1,1,1,1,20081001L5640,HCPCS,Knee disarticulat leather so,,,28,,NW,,,,,,"$1,007.29 ",$0.00 ,1,1,1,1,1,1,20081001L5642,HCPCS,Above knee leather socket,,,28,,NW,,,,,,$974.32 ,$0.00 ,1,1,1,1,1,1,20081001L5643,HCPCS,Hip flex inner socket ext fr,,,28,,NW,,,,,,"$2,529.00 ",$0.00 ,1,1,1,1,1,1,20081001L5644,HCPCS,Above knee wood socket,,,28,,NW,,,,,,$926.32 ,$0.00 ,1,1,1,1,1,1,20081001L5645,HCPCS,Bk flex inner socket ext fra,,,28,,NW,,,,,,"$1,270.22 ",$0.00 ,1,1,1,1,1,1,20081001L5646,HCPCS,Below knee cushion socket,,,28,,NW,,,,,,$855.41 ,$0.00 ,1,1,1,1,1,1,20081001L5647,HCPCS,Below knee suction socket,,,28,,NW,,,,,,"$1,266.19 ",$0.00 ,1,1,1,1,1,1,20081001L5648,HCPCS,Above knee cushion socket,,,28,,NW,,,,,,"$1,038.72 ",$0.00 ,1,1,1,1,1,1,20081001L5649,HCPCS,Isch containmt/narrow m-l so,,,28,,NW,,,,,,"$3,105.64 ",$0.00 ,1,1,1,1,1,1,20081001L5650,HCPCS,Tot contact ak/knee disart s,,,28,,NW,,,,,,$756.30 ,$0.00 ,1,1,1,1,1,1,20081001L5651,HCPCS,Ak flex inner socket ext fra,,,28,,NW,,,,,,"$1,939.03 ",$0.00 ,1,1,1,1,1,1,20081001L5652,HCPCS,Suction susp ak/knee disart,,,28,,NW,,,,,,$669.67 ,$0.00 ,1,1,1,1,1,1,20081001L5653,HCPCS,Knee disart expand wall sock,,,28,,NW,,,,,,$911.96 ,$0.00 ,1,1,1,1,1,1,20081001L5654,HCPCS,Socket insert symes,,,28,,NW,,,,,,$496.51 ,$0.00 ,1,1,1,1,1,1,20081001L5655,HCPCS,Socket insert below knee,,,28,,NW,,,,,,$387.99 ,$0.00 ,1,1,1,1,1,1,20081001L5656,HCPCS,Socket insert knee articulat,,,28,,NW,,,,,,$561.77 ,$0.00 ,1,1,1,1,1,1,20081001L5658,HCPCS,Socket insert above knee,,,28,,NW,,,,,,$549.56 ,$0.00 ,1,1,1,1,1,1,20081001L5661,HCPCS,Multi-durometer symes,,,28,,NW,,,,,,$956.03 ,$0.00 ,1,1,1,1,1,1,20081001L5665,HCPCS,Multi-durometer below knee,,,28,,NW,,,,,,$795.85 ,$0.00 ,1,1,1,1,1,1,20081001L5666,HCPCS,Below knee cuff suspension,,,28,,NW,,,,,,$104.53 ,$0.00 ,1,1,1,1,1,1,20081001L5668,HCPCS,Socket insert w/o lock lower,,,28,,NW,,,,,,$149.51 ,$0.00 ,1,1,1,1,1,1,20081001L5670,HCPCS,Bk molded supracondylar susp,,,28,,NW,,,,,,$396.84 ,$0.00 ,1,1,1,1,1,1,20081001L5671,HCPCS,BK/AK locking mechanism,,,28,,NW,,,,,,$771.61 ,$0.00 ,1,1,1,1,1,1,20081001L5672,HCPCS,Bk removable medial brim sus,,,28,,NW,,,,,,$441.00 ,$0.00 ,1,1,1,1,1,1,20081001L5673,HCPCS,Socket insert w lock mech,,,28,,NW,,,,,,"$1,055.05 ",$0.00 ,1,1,1,1,1,1,20081001L5676,HCPCS,Bk knee joints single axis p,,,28,,NW,,,,,,$547.52 ,$0.00 ,1,1,1,1,1,1,20081001L5677,HCPCS,Bk knee joints polycentric p,,,28,,NW,,,,,,$764.38 ,$0.00 ,1,1,1,1,1,1,20081001L5678,HCPCS,Bk joint covers pair,,,28,,NW,,,,,,$60.55 ,$0.00 ,1,1,1,1,1,1,20081001L5679,HCPCS,Socket insert w/o lock mech,,,28,,NW,,,,,,$870.21 ,$0.00 ,1,1,1,1,1,1,20081001L5680,HCPCS,Bk thigh lacer non-molded,,,28,,NW,,,,,,$451.30 ,$0.00 ,1,1,1,1,1,1,20081001L5681,HCPCS,Intl custm cong/latyp insert,,,28,,NW,,,,,,"$1,907.97 ",$0.00 ,1,1,1,1,1,1,20081001L5682,HCPCS,Bk thigh lacer glut/ischia m,,,28,,NW,,,,,,$983.98 ,$0.00 ,1,1,1,1,1,1,20081001L5683,HCPCS,Initial custom socket insert,,,28,,NW,,,,,,"$1,907.97 ",$0.00 ,1,1,1,1,1,1,20081001L5684,HCPCS,Bk fork strap,,,28,,NW,,,,,,$72.77 ,$0.00 ,1,1,1,1,1,1,20081001L5685,HCPCS,Below knee sus/seal sleeve,,,28,,NW,,,,,,$276.82 ,$0.00 ,1,1,1,0,1,1,20081001L5686,HCPCS,Bk back check,,,28,,NW,,,,,,$77.06 ,$0.00 ,1,1,1,1,1,1,20081001L5688,HCPCS,Bk waist belt webbing,,,28,,NW,,,,,,$91.57 ,$0.00 ,1,1,1,1,1,1,20081001L5690,HCPCS,Bk waist belt padded and lin,,,28,,NW,,,,,,$144.97 ,$0.00 ,1,1,1,1,1,1,20081001L5692,HCPCS,Ak pelvic control belt light,,,28,,NW,,,,,,$195.81 ,$0.00 ,1,1,1,1,1,1,20081001L5694,HCPCS,Ak pelvic control belt pad/l,,,28,,NW,,,,,,$266.29 ,$0.00 ,1,1,1,1,1,1,20081001L5695,HCPCS,Ak sleeve susp neoprene/equa,,,28,,NW,,,,,,$239.68 ,$0.00 ,1,1,1,1,1,1,20081001L5696,HCPCS,Ak/knee disartic pelvic join,,,28,,NW,,,,,,$271.52 ,$0.00 ,1,1,1,1,1,1,20081001L5697,HCPCS,Ak/knee disartic pelvic band,,,28,,NW,,,,,,$119.43 ,$0.00 ,1,1,1,1,1,1,20081001L5698,HCPCS,Ak/knee disartic silesian ba,,,28,,NW,,,,,,$154.35 ,$0.00 ,1,1,1,1,1,1,20081001L5699,HCPCS,Shoulder harness,,,28,,NW,,,,,,$273.60 ,$0.00 ,1,1,1,1,1,1,20081001L5700,HCPCS,Replace socket below knee,,,28,,NW,,,,,,"$4,490.62 ",$0.00 ,1,1,1,1,1,1,20081001L5701,HCPCS,Replace socket above knee,,,28,,NW,,,,,,"$5,588.45 ",$0.00 ,1,1,1,1,1,1,20081001L5702,HCPCS,Replace socket hip,,,28,,NW,,,,,,"$7,155.86 ",$0.00 ,1,1,1,1,1,1,20081001L5704,HCPCS,Custom shape cover BK,,,28,,NW,,,,,,$819.97 ,$0.00 ,1,1,1,1,1,1,20081001L5705,HCPCS,Custom shape cover AK,,,28,,NW,,,,,,"$1,487.67 ",$0.00 ,1,1,1,1,1,1,20081001L5706,HCPCS,Custom shape cvr knee disart,,,28,,NW,,,,,,"$1,458.51 ",$0.00 ,1,1,1,1,1,1,20081001L5707,HCPCS,Custom shape cvr hip disart,,,28,,NW,,,,,,"$1,998.98 ",$0.00 ,1,1,1,1,1,1,20081001L5710,HCPCS,Kne-shin exo sng axi mnl loc,,,28,,NW,,,,,,$543.02 ,$0.00 ,1,1,1,1,1,1,20081001L5711,HCPCS,Knee-shin exo mnl lock ultra,,,28,,NW,,,,,,$812.66 ,$0.00 ,1,1,1,1,1,1,20081001L5712,HCPCS,Knee-shin exo frict swg & st,,,28,,NW,,,,,,$661.24 ,$0.00 ,1,1,1,1,1,1,20081001L5714,HCPCS,Knee-shin exo variable frict,,,28,,NW,,,,,,$640.29 ,$0.00 ,1,1,1,1,1,1,20081001L5716,HCPCS,Knee-shin exo mech stance ph,,,28,,NW,,,,,,"$1,155.65 ",$0.00 ,1,1,1,1,1,1,20081001L5718,HCPCS,Knee-shin exo frct swg & sta,,,28,,NW,,,,,,"$1,457.89 ",$0.00 ,1,1,1,1,1,1,20081001L5722,HCPCS,Knee-shin pneum swg frct exo,,,28,,NW,,,,,,"$1,444.46 ",$0.00 ,1,1,1,1,1,1,20081001L5724,HCPCS,Knee-shin exo fluid swing ph,,,28,,NW,,,,,,"$2,450.97 ",$0.00 ,1,1,1,1,1,1,20081001L5726,HCPCS,Knee-shin ext jnts fld swg e,,,28,,NW,,,,,,"$2,832.90 ",$0.00 ,1,1,1,1,1,1,20081001L5728,HCPCS,Knee-shin fluid swg & stance,,,28,,NW,,,,,,"$3,894.79 ",$0.00 ,1,1,1,1,1,1,20081001L5780,HCPCS,Knee-shin pneum/hydra pneum,,,28,,NW,,,,,,"$1,846.10 ",$0.00 ,1,1,1,1,1,1,20081001L5781,HCPCS,Lower limb pros vacuum pump,,,28,,NW,,,,,,"$5,912.05 ",$0.00 ,1,1,1,1,1,1,20081001L5782,HCPCS,HD low limb pros vacuum pump,,,28,,NW,,,,,,"$4,869.44 ",$0.00 ,1,1,1,0,1,1,20081001L5785,HCPCS,Exoskeletal bk ultralt mater,,,28,,NW,,,,,,$808.37 ,$0.00 ,1,1,1,1,1,1,20081001L5790,HCPCS,Exoskeletal ak ultra-light m,,,28,,NW,,,,,,"$1,139.36 ",$0.00 ,1,1,1,1,1,1,20081001L5795,HCPCS,Exoskel hip ultra-light mate,,,28,,NW,,,,,,"$1,727.91 ",$0.00 ,1,1,1,1,1,1,20081001L5810,HCPCS,Endoskel knee-shin mnl lock,,,28,,NW,,,,,,$754.10 ,$0.00 ,1,1,1,1,1,1,20081001L5811,HCPCS,Endo knee-shin mnl lck ultra,,,28,,NW,,,,,,"$1,156.45 ",$0.00 ,1,1,1,1,1,1,20081001L5812,HCPCS,Endo knee-shin frct swg & st,,,28,,NW,,,,,,$884.26 ,$0.00 ,1,1,1,1,1,1,20081001L5814,HCPCS,Endo knee-shin hydral swg ph,,,28,,NW,,,,,,"$5,483.66 ",$0.00 ,1,1,1,1,1,1,20081001L5816,HCPCS,Endo knee-shin polyc mch sta,,,28,,NW,,,,,,"$1,357.45 ",$0.00 ,1,1,1,1,1,1,20081001L5818,HCPCS,Endo knee-shin frct swg & st,,,28,,NW,,,,,,"$1,539.78 ",$0.00 ,1,1,1,1,1,1,20081001L5822,HCPCS,Endo knee-shin pneum swg frc,,,28,,NW,,,,,,"$2,772.02 ",$0.00 ,1,1,1,1,1,1,20081001L5824,HCPCS,Endo knee-shin fluid swing p,,,28,,NW,,,,,,"$2,491.03 ",$0.00 ,1,1,1,1,1,1,20081001L5826,HCPCS,Miniature knee joint,,,28,,NW,,,,,,"$4,631.74 ",$0.00 ,1,1,1,1,1,1,20081001L5828,HCPCS,Endo knee-shin fluid swg/sta,,,28,,NW,,,,,,"$4,632.33 ",$0.00 ,1,1,1,1,1,1,20081001L5830,HCPCS,Endo knee-shin pneum/swg pha,,,28,,NW,,,,,,"$3,095.02 ",$0.00 ,1,1,1,1,1,1,20081001L5840,HCPCS,Multi-axial knee/shin system,,,28,,NW,,,,,,"$5,570.67 ",$0.00 ,1,1,1,1,1,1,20081001L5845,HCPCS,Knee-shin sys stance flexion,,,28,,NW,,,,,,"$2,618.65 ",$0.00 ,1,1,1,1,1,1,20081001L5848,HCPCS,Knee-shin sys hydraul stance,,,28,,NW,,,,,,"$1,549.52 ",$0.00 ,1,1,1,1,1,1,20081001L5850,HCPCS,Endo ak/hip knee extens assi,,,28,,NW,,,,,,$188.65 ,$0.00 ,1,1,1,1,1,1,20081001L5855,HCPCS,Mech hip extension assist,,,28,,NW,,,,,,$458.68 ,$0.00 ,1,1,1,1,1,1,20081001L5856,HCPCS,Elec knee-shin swing/stance,,,28,,NW,,,,,,"$27,752.57 ",$0.00 ,1,1,1,0,1,1,20081001L5857,HCPCS,Elec knee-shin swing only,,,28,,NW,,,,,,"$9,873.54 ",$0.00 ,1,1,1,0,1,1,20081001L5910,HCPCS,Endo below knee alignable sy,,,28,,NW,,,,,,$547.19 ,$0.00 ,1,1,1,1,1,1,20081001L5920,HCPCS,Endo ak/hip alignable system,,,28,,NW,,,,,,$826.64 ,$0.00 ,1,1,1,1,1,1,20081001L5925,HCPCS,Above knee manual lock,,,28,,NW,,,,,,$503.76 ,$0.00 ,1,1,1,1,1,1,20081001L5930,HCPCS,High activity knee frame,,,28,,NW,,,,,,"$4,997.02 ",$0.00 ,1,1,1,1,1,1,20081001L5940,HCPCS,Endo bk ultra-light material,,,28,,NW,,,,,,$778.57 ,$0.00 ,1,1,1,1,1,1,20081001L5950,HCPCS,Endo ak ultra-light material,,,28,,NW,,,,,,"$1,237.25 ",$0.00 ,1,1,1,1,1,1,20081001L5960,HCPCS,Endo hip ultra-light materia,,,28,,NW,,,,,,"$1,545.95 ",$0.00 ,1,1,1,1,1,1,20081001L5962,HCPCS,Below knee flex cover system,,,28,,NW,,,,,,$921.60 ,$0.00 ,1,1,1,1,1,1,20081001L5964,HCPCS,Above knee flex cover system,,,28,,NW,,,,,,"$1,500.29 ",$0.00 ,1,1,1,1,1,1,20081001L5966,HCPCS,Hip flexible cover system,,,28,,NW,,,,,,"$1,926.49 ",$0.00 ,1,1,1,1,1,1,20081001L5968,HCPCS,Multiaxial ankle w dorsiflex,,,28,,NW,,,,,,"$5,364.46 ",$0.00 ,1,1,1,1,1,1,20081001L5970,HCPCS,Foot external keel sach foot,,,28,,NW,,,,,,$297.76 ,$0.00 ,1,1,1,1,1,1,20081001L5972,HCPCS,Flexible keel foot,,,28,,NW,,,,,,$531.01 ,$0.00 ,1,1,1,1,1,1,20081001L5974,HCPCS,Foot single axis ankle/foot,,,28,,NW,,,,,,$341.22 ,$0.00 ,1,1,1,1,1,1,20081001L5975,HCPCS,Combo ankle/foot prosthesis,,,28,,NW,,,,,,$637.42 ,$0.00 ,1,1,1,1,1,1,20081001L5976,HCPCS,Energy storing foot,,,28,,NW,,,,,,$875.50 ,$0.00 ,1,1,1,1,1,1,20081001L5978,HCPCS,Ft prosth multiaxial ankl/ft,,,28,,NW,,,,,,$430.46 ,$0.00 ,1,1,1,1,1,1,20081001L5979,HCPCS,Multi-axial ankle/ft prosth,,,28,,NW,,,,,,"$3,732.61 ",$0.00 ,1,1,1,1,1,1,20081001L5980,HCPCS,Flex foot system,,,28,,NW,,,,,,"$6,098.89 ",$0.00 ,1,1,1,1,1,1,20081001L5981,HCPCS,Flex-walk sys low ext prosth,,,28,,NW,,,,,,"$4,725.65 ",$0.00 ,1,1,1,1,1,1,20081001L5982,HCPCS,Exoskeletal axial rotation u,,,28,,NW,,,,,,$905.53 ,$0.00 ,1,1,1,1,1,1,20081001L5984,HCPCS,Endoskeletal axial rotation,,,28,,NW,,,,,,$891.52 ,$0.00 ,1,1,1,1,1,1,20081001L5985,HCPCS,Lwr ext dynamic prosth pylon,,,28,,NW,,,,,,$373.63 ,$0.00 ,1,1,1,1,1,1,20081001L5986,HCPCS,Multi-axial rotation unit,,,28,,NW,,,,,,$997.74 ,$0.00 ,1,1,1,1,1,1,20081001L5987,HCPCS,Shank ft w vert load pylon,,,28,,NW,,,,,,"$10,672.26 ",$0.00 ,1,1,1,1,1,1,20081001L5988,HCPCS,Vertical shock reducing pylo,,,28,,NW,,,,,,"$2,924.80 ",$0.00 ,1,1,1,1,1,1,20081001L5990,HCPCS,User adjustable heel height,,,28,,NW,,,,,,"$2,651.21 ",$0.00 ,1,1,1,1,1,1,20081001L5995,HCPCS,Lower ext pros heavyduty fea,,,28,,NW,,,,,,$557.25 ,$0.00 ,1,1,1,0,1,1,20081001L5999,HCPCS,Lowr extremity prosthes NOS,,,28,,NW,,,,,,$278.50 ,$0.00 ,1,1,1,1,1,1,20081001L6000,HCPCS,Par hand robin-aids thum rem,,,28,,NW,,,,,,"$2,151.07 ",$0.00 ,1,1,1,1,1,1,20081001L6010,HCPCS,Hand robin-aids little/ring,,,28,,NW,,,,,,"$2,399.85 ",$0.00 ,1,1,1,1,1,1,20081001L6020,HCPCS,Part hand robin-aids no fing,,,28,,NW,,,,,,"$2,233.85 ",$0.00 ,1,1,1,1,1,1,20081001L6025,HCPCS,Part hand disart myoelectric,,,28,,NW,,,,,,"$11,877.96 ",$0.00 ,1,1,1,1,1,1,20081001L6050,HCPCS,Wrst MLd sck flx hng tri pad,,,28,,NW,,,,,,"$3,098.47 ",$0.00 ,1,1,1,1,1,1,20081001L6055,HCPCS,Wrst mold sock w/exp interfa,,,28,,NW,,,,,,"$4,339.68 ",$0.00 ,1,1,1,1,1,1,20081001L6100,HCPCS,Elb mold sock flex hinge pad,,,28,,NW,,,,,,"$3,139.94 ",$0.00 ,1,1,1,1,1,1,20081001L6110,HCPCS,Elbow mold sock suspension t,,,28,,NW,,,,,,"$3,333.70 ",$0.00 ,1,1,1,1,1,1,20081001L6120,HCPCS,Elbow mold doub splt soc ste,,,28,,NW,,,,,,"$3,893.86 ",$0.00 ,1,1,1,1,1,1,20081001L6130,HCPCS,Elbow stump activated lock h,,,28,,NW,,,,,,"$4,242.00 ",$0.00 ,1,1,1,1,1,1,20081001L6200,HCPCS,Elbow mold outsid lock hinge,,,28,,NW,,,,,,"$4,473.26 ",$0.00 ,1,1,1,1,1,1,20081001L6205,HCPCS,Elbow molded w/ expand inter,,,28,,NW,,,,,,"$5,989.13 ",$0.00 ,1,1,1,1,1,1,20081001L6250,HCPCS,Elbow inter loc elbow forarm,,,28,,NW,,,,,,"$4,402.35 ",$0.00 ,1,1,1,1,1,1,20081001L6300,HCPCS,Shlder disart int lock elbow,,,28,,NW,,,,,,"$6,128.62 ",$0.00 ,1,1,1,1,1,1,20081001L6310,HCPCS,Shoulder passive restor comp,,,28,,NW,,,,,,"$4,981.90 ",$0.00 ,1,1,1,1,1,1,20081001L6320,HCPCS,Shoulder passive restor cap,,,28,,NW,,,,,,"$2,782.05 ",$0.00 ,1,1,1,1,1,1,20081001L6350,HCPCS,Thoracic intern lock elbow,,,28,,NW,,,,,,"$6,446.07 ",$0.00 ,1,1,1,1,1,1,20081001L6360,HCPCS,Thoracic passive restor comp,,,28,,NW,,,,,,"$5,231.78 ",$0.00 ,1,1,1,1,1,1,20081001L6370,HCPCS,Thoracic passive restor cap,,,28,,NW,,,,,,"$3,316.63 ",$0.00 ,1,1,1,1,1,1,20081001L6380,HCPCS,Postop dsg cast chg wrst/elb,,,28,,NW,,,,,,"$1,854.98 ",$0.00 ,1,1,1,1,1,1,20081001L6382,HCPCS,Postop dsg cast chg elb dis/,,,28,,NW,,,,,,"$2,403.27 ",$0.00 ,1,1,1,1,1,1,20081001L6384,HCPCS,Postop dsg cast chg shlder/t,,,28,,NW,,,,,,"$3,110.08 ",$0.00 ,1,1,1,1,1,1,20081001L6386,HCPCS,Postop ea cast chg & realign,,,28,,NW,,,,,,$612.59 ,$0.00 ,1,1,1,1,1,1,20081001L6388,HCPCS,Postop applicat rigid dsg on,,,28,,NW,,,,,,$675.72 ,$0.00 ,1,1,1,1,1,1,20081001L6400,HCPCS,Below elbow prosth tiss shap,,,28,,NW,,,,,,"$3,796.72 ",$0.00 ,1,1,1,1,1,1,20081001L6450,HCPCS,Elb disart prosth tiss shap,,,28,,NW,,,,,,"$5,062.36 ",$0.00 ,1,1,1,1,1,1,20081001L6500,HCPCS,Above elbow prosth tiss shap,,,28,,NW,,,,,,"$5,066.56 ",$0.00 ,1,1,1,1,1,1,20081001L6550,HCPCS,Shldr disar prosth tiss shap,,,28,,NW,,,,,,"$6,274.03 ",$0.00 ,1,1,1,1,1,1,20081001L6570,HCPCS,Scap thorac prosth tiss shap,,,28,,NW,,,,,,"$7,209.33 ",$0.00 ,1,1,1,1,1,1,20081001L6580,HCPCS,Wrist/elbow bowden cable mol,,,28,,NW,,,,,,"$2,540.14 ",$0.00 ,1,1,1,1,1,1,20081001L6582,HCPCS,Wrist/elbow bowden cbl dir f,,,28,,NW,,,,,,"$2,230.08 ",$0.00 ,1,1,1,1,1,1,20081001L6584,HCPCS,Elbow fair lead cable molded,,,28,,NW,,,,,,"$3,342.72 ",$0.00 ,1,1,1,1,1,1,20081001L6586,HCPCS,Elbow fair lead cable dir fo,,,28,,NW,,,,,,"$3,071.60 ",$0.00 ,1,1,1,1,1,1,20081001L6588,HCPCS,Shdr fair lead cable molded,,,28,,NW,,,,,,"$4,636.60 ",$0.00 ,1,1,1,1,1,1,20081001L6590,HCPCS,Shdr fair lead cable direct,,,28,,NW,,,,,,"$4,312.01 ",$0.00 ,1,1,1,1,1,1,20081001L6600,HCPCS,Polycentric hinge pair,,,28,,NW,,,,,,$275.23 ,$0.00 ,1,1,1,1,1,1,20081001L6605,HCPCS,Single pivot hinge pair,,,28,,NW,,,,,,$271.80 ,$0.00 ,1,1,1,1,1,1,20081001L6610,HCPCS,Flexible metal hinge pair,,,28,,NW,,,,,,$244.62 ,$0.00 ,1,1,1,1,1,1,20081001L6615,HCPCS,Disconnect locking wrist uni,,,28,,NW,,,,,,$255.13 ,$0.00 ,1,1,1,1,1,1,20081001L6616,HCPCS,Disconnect insert locking wr,,,28,,NW,,,,,,$97.06 ,$0.00 ,1,1,1,1,1,1,20081001L6620,HCPCS,Flexion/extension wrist unit,,,28,,NW,,,,,,$449.34 ,$0.00 ,1,1,1,1,1,1,20081001L6623,HCPCS,Spring-ass rot wrst w/ latch,,,28,,NW,,,,,,"$1,010.66 ",$0.00 ,1,1,1,1,1,1,20081001L6625,HCPCS,Rotation wrst w/ cable lock,,,28,,NW,,,,,,$828.78 ,$0.00 ,1,1,1,1,1,1,20081001L6628,HCPCS,Quick disconn hook adapter o,,,28,,NW,,,,,,$741.14 ,$0.00 ,1,1,1,1,1,1,20081001L6629,HCPCS,Lamination collar w/ couplin,,,28,,NW,,,,,,$215.32 ,$0.00 ,1,1,1,1,1,1,20081001L6630,HCPCS,Stainless steel any wrist,,,28,,NW,,,,,,$315.80 ,$0.00 ,1,1,1,1,1,1,20081001L6632,HCPCS,Latex suspension sleeve each,,,28,,NW,,,,,,$97.22 ,$0.00 ,1,1,1,1,1,1,20081001L6635,HCPCS,Lift assist for elbow,,,28,,NW,,,,,,$258.62 ,$0.00 ,1,1,1,1,1,1,20081001L6637,HCPCS,Nudge control elbow lock,,,28,,NW,,,,,,$555.53 ,$0.00 ,1,1,1,1,1,1,20081001L6638,HCPCS,Elec lock on manual pw elbow,,,28,,NW,,,,,,"$3,674.86 ",$0.00 ,1,1,1,1,1,1,20081001L6640,HCPCS,Shoulder abduction joint pai,,,28,,NW,,,,,,$411.02 ,$0.00 ,1,1,1,1,1,1,20081001L6641,HCPCS,Excursion amplifier pulley t,,,28,,NW,,,,,,$235.81 ,$0.00 ,1,1,1,1,1,1,20081001L6642,HCPCS,Excursion amplifier lever ty,,,28,,NW,,,,,,$318.61 ,$0.00 ,1,1,1,1,1,1,20081001L6645,HCPCS,Shoulder flexion-abduction j,,,28,,NW,,,,,,$475.93 ,$0.00 ,1,1,1,1,1,1,20081001L6646,HCPCS,Multipo locking shoulder jnt,,,28,,NW,,,,,,"$4,648.87 ",$0.00 ,1,1,1,1,1,1,20081001L6647,HCPCS,Shoulder lock actuator,,,28,,NW,,,,,,$720.38 ,$0.00 ,1,1,1,1,1,1,20081001L6648,HCPCS,Ext pwrd shlder lock/unlock,,,28,,NW,,,,,,"$4,796.33 ",$0.00 ,1,1,1,1,1,1,20081001L6650,HCPCS,Shoulder universal joint,,,28,,NW,,,,,,$507.87 ,$0.00 ,1,1,1,1,1,1,20081001L6655,HCPCS,Standard control cable extra,,,28,,NW,,,,,,$111.97 ,$0.00 ,1,1,1,1,1,1,20081001L6660,HCPCS,Heavy duty control cable,,,28,,NW,,,,,,$136.16 ,$0.00 ,1,1,1,1,1,1,20081001L6665,HCPCS,Teflon or equal cable lining,,,28,,NW,,,,,,$69.75 ,$0.00 ,1,1,1,1,1,1,20081001L6670,HCPCS,Hook to hand cable adapter,,,28,,NW,,,,,,$72.52 ,$0.00 ,1,1,1,1,1,1,20081001L6672,HCPCS,Harness chest/shlder saddle,,,28,,NW,,,,,,$247.71 ,$0.00 ,1,1,1,1,1,1,20081001L6675,HCPCS,Harness figure of 8 sing con,,,28,,NW,,,,,,$177.25 ,$0.00 ,1,1,1,1,1,1,20081001L6676,HCPCS,Harness figure of 8 dual con,,,28,,NW,,,,,,$178.97 ,$0.00 ,1,1,1,1,1,1,20081001L6680,HCPCS,Test sock wrist disart/bel e,,,28,,NW,,,,,,$339.77 ,$0.00 ,1,1,1,1,1,1,20081001L6682,HCPCS,Test sock elbw disart/above,,,28,,NW,,,,,,$375.31 ,$0.00 ,1,1,1,1,1,1,20081001L6684,HCPCS,Test socket shldr disart/tho,,,28,,NW,,,,,,$524.62 ,$0.00 ,1,1,1,1,1,1,20081001L6686,HCPCS,Suction socket,,,28,,NW,,,,,,$925.85 ,$0.00 ,1,1,1,1,1,1,20081001L6687,HCPCS,Frame typ socket bel elbow/w,,,28,,NW,,,,,,$903.36 ,$0.00 ,1,1,1,1,1,1,20081001L6688,HCPCS,Frame typ sock above elb/dis,,,28,,NW,,,,,,$825.25 ,$0.00 ,1,1,1,1,1,1,20081001L6689,HCPCS,Frame typ socket shoulder di,,,28,,NW,,,,,,"$1,064.32 ",$0.00 ,1,1,1,1,1,1,20081001L6690,HCPCS,Frame typ sock interscap-tho,,,28,,NW,,,,,,"$1,087.24 ",$0.00 ,1,1,1,1,1,1,20081001L6691,HCPCS,Removable insert each,,,28,,NW,,,,,,$519.00 ,$0.00 ,1,1,1,1,1,1,20081001L6692,HCPCS,Silicone gel insert or equal,,,28,,NW,,,,,,$874.19 ,$0.00 ,1,1,1,1,1,1,20081001L6693,HCPCS,Lockingelbow forearm cntrbal,,,28,,NW,,,,,,"$4,179.23 ",$0.00 ,1,1,1,1,1,1,20081001L6805,HCPCS,Modifier wrist flexion unit,,,28,,NW,,,,,,$510.78 ,$0.00 ,1,1,1,1,1,1,20081001L6810,HCPCS,Pincher tool otto bock or eq,,,28,,NW,,,,,,$273.72 ,$0.00 ,1,1,1,1,1,1,20081001L6881,HCPCS,Autograsp feature ul term dv,,,28,,NW,,,,,,"$6,041.88 ",$0.00 ,1,1,1,1,1,1,20081001L6882,HCPCS,Microprocessor control uplmb,,,28,,NW,,,,,,"$4,570.06 ",$0.00 ,1,1,1,1,1,1,20081001L6890,HCPCS,Production glove,,,28,,NW,,,,,,$249.84 ,$0.00 ,1,1,1,1,1,1,20081001L6895,HCPCS,Custom glove,,,28,,NW,,,,,,$872.79 ,$0.00 ,1,1,1,1,1,1,20081001L6900,HCPCS,Hand restorat thumb/1 finger,,,28,,NW,,,,,,"$2,452.71 ",$0.00 ,1,1,1,1,1,1,20081001L6905,HCPCS,Hand restoration multiple fi,,,28,,NW,,,,,,"$2,382.58 ",$0.00 ,1,1,1,1,1,1,20081001L6910,HCPCS,Hand restoration no fingers,,,28,,NW,,,,,,"$2,319.74 ",$0.00 ,1,1,1,1,1,1,20081001L6915,HCPCS,Hand restoration replacmnt g,,,28,,NW,,,,,,$985.04 ,$0.00 ,1,1,1,1,1,1,20081001L6920,HCPCS,Wrist disarticul switch ctrl,,,28,,NW,,,,,,"$11,020.81 ",$0.00 ,1,1,1,1,1,1,20081001L6925,HCPCS,Wrist disart myoelectronic c,,,28,,NW,,,,,,"$12,731.67 ",$0.00 ,1,1,1,1,1,1,20081001L6930,HCPCS,Below elbow switch control,,,28,,NW,,,,,,"$11,089.48 ",$0.00 ,1,1,1,1,1,1,20081001L6935,HCPCS,Below elbow myoelectronic ct,,,28,,NW,,,,,,"$12,971.02 ",$0.00 ,1,1,1,1,1,1,20081001L6940,HCPCS,Elbow disarticulation switch,,,28,,NW,,,,,,"$14,505.62 ",$0.00 ,1,1,1,1,1,1,20081001L6945,HCPCS,Elbow disart myoelectronic c,,,28,,NW,,,,,,"$16,884.39 ",$0.00 ,1,1,1,1,1,1,20081001L6950,HCPCS,Above elbow switch control,,,28,,NW,,,,,,"$16,495.04 ",$0.00 ,1,1,1,1,1,1,20081001L6955,HCPCS,Above elbow myoelectronic ct,,,28,,NW,,,,,,"$19,765.68 ",$0.00 ,1,1,1,1,1,1,20081001L6960,HCPCS,Shldr disartic switch contro,,,28,,NW,,,,,,"$19,935.63 ",$0.00 ,1,1,1,1,1,1,20081001L6965,HCPCS,Shldr disartic myoelectronic,,,28,,NW,,,,,,"$23,464.71 ",$0.00 ,1,1,1,1,1,1,20081001L6970,HCPCS,Interscapular-thor switch ct,,,28,,NW,,,,,,"$24,148.92 ",$0.00 ,1,1,1,1,1,1,20081001L6975,HCPCS,Interscap-thor myoelectronic,,,28,,NW,,,,,,"$26,464.72 ",$0.00 ,1,1,1,1,1,1,20081001L7040,HCPCS,Prehensile actuator hosmer s,,,28,,NW,,,,,,"$4,624.43 ",$0.00 ,1,1,1,1,1,1,20081001L7045,HCPCS,Electron hook child michigan,,,28,,NW,,,,,,"$2,628.38 ",$0.00 ,1,1,1,1,1,1,20081001L7170,HCPCS,Electronic elbow hosmer swit,,,28,,NW,,,,,,"$9,676.29 ",$0.00 ,1,1,1,1,1,1,20081001L7180,HCPCS,Electronic elbow utah myoele,,,28,,NW,,,,,,"$54,155.11 ",$0.00 ,1,1,1,1,1,1,20081001L7185,HCPCS,Electron elbow adolescent sw,,,28,,NW,,,,,,"$9,799.22 ",$0.00 ,1,1,1,1,1,1,20081001L7186,HCPCS,Electron elbow child switch,,,28,,NW,,,,,,"$14,624.81 ",$0.00 ,1,1,1,1,1,1,20081001L7190,HCPCS,Elbow adolescent myoelectron,,,28,,NW,,,,,,"$12,482.31 ",$0.00 ,1,1,1,1,1,1,20081001L7191,HCPCS,Elbow child myoelectronic ct,,,28,,NW,,,,,,"$15,284.48 ",$0.00 ,1,1,1,1,1,1,20081001L7260,HCPCS,Electron wrist rotator otto,,,28,,NW,,,,,,"$3,211.98 ",$0.00 ,1,1,1,1,1,1,20081001L7261,HCPCS,Electron wrist rotator utah,,,28,,NW,,,,,,"$5,891.21 ",$0.00 ,1,1,1,1,1,1,20081001L7266,HCPCS,Servo control steeper or equ,,,28,,NW,,,,,,"$1,589.15 ",$0.00 ,1,1,1,1,1,1,20081001L7272,HCPCS,Analogue control unb or equa,,,28,,NW,,,,,,"$3,296.18 ",$0.00 ,1,1,1,1,1,1,20081001L7274,HCPCS,Proportional ctl 12 volt uta,,,28,,NW,,,,,,"$9,477.30 ",$0.00 ,1,1,1,1,1,1,20081001L7360,HCPCS,Six volt bat otto bock/eq ea,,,28,,NW,,,,,,$333.05 ,$0.00 ,1,1,1,1,1,1,20081001L7362,HCPCS,Battery chrgr six volt otto,,,28,,NW,,,,,,$366.67 ,$0.00 ,1,1,1,1,1,1,20081001L7364,HCPCS,Twelve volt battery utah/equ,,,28,,NW,,,,,,$607.43 ,$0.00 ,1,1,1,1,1,1,20081001L7366,HCPCS,Battery chrgr 12 volt utah/e,,,28,,NW,,,,,,$836.92 ,$0.00 ,1,1,1,1,1,1,20081001L7367,HCPCS,Replacemnt lithium ionbatter,,,28,,NW,,,,,,$526.69 ,$0.00 ,1,1,1,1,1,1,20081001L7368,HCPCS,Lithium ion battery charger,,,28,,NW,,,,,,$698.70 ,$0.00 ,1,1,1,1,1,1,20081001L7499,HCPCS,Upper extremity prosthes NOS,,,28,,NW,,,,,,$177.10 ,$0.00 ,1,1,1,1,1,1,20081001L7500,HCPCS,Prosthetic dvc repair hourly,,,28,,NW,,,,,,$126.43 ,$0.00 ,1,1,1,1,1,1,20081001L7510,HCPCS,Prosthetic device repair rep,,,28,,NW,,,,,,$37.63 ,$0.00 ,1,1,1,1,1,1,20081001L7520,HCPCS,Repair prosthesis per 15 min,,,28,,NW,,,,,,$40.42 ,$0.00 ,1,1,1,1,1,1,20081001L7900,HCPCS,Male vacuum erection system,,,28,,NW,,,,,,$745.82 ,$0.00 ,1,1,1,1,1,1,20081001L8000,HCPCS,Mastectomy bra,,,28,,NW,,,,,,$55.91 ,$0.00 ,1,1,1,1,1,1,20081001L8001,HCPCS,Breast prosthesis bra & form,,,28,,NW,,,,,,$166.52 ,$0.00 ,1,1,1,1,1,1,20081001L8002,HCPCS,Brst prsth bra & bilat form,,,28,,NW,,,,,,$218.11 ,$0.00 ,1,1,1,1,1,1,20081001L8010,HCPCS,Mastectomy sleeve,,,28,,NW,,,,,,$76.71 ,$0.00 ,1,1,1,1,1,1,20081001L8015,HCPCS,Ext breastprosthesis garment,,,28,,NW,,,,,,$81.27 ,$0.00 ,1,1,1,1,1,1,20081001L8020,HCPCS,Mastectomy form,,,28,,NW,,,,,,$294.16 ,$0.00 ,1,1,1,1,1,1,20081001L8030,HCPCS,Breast prosthesis silicone/e,,,28,,NW,,,,,,$469.71 ,$0.00 ,1,1,1,1,1,1,20081001L8035,HCPCS,Custom breast prosthesis,,,28,,NW,,,,,,"$5,408.74 ",$0.00 ,1,1,1,1,1,1,20081001L8039,HCPCS,Breast prosthesis NOS,,,28,,NW,,,,,,$304.09 ,$0.00 ,1,1,1,1,1,1,20081001L8040,HCPCS,Nasal prosthesis,KM,,28,,NW,,,,,,"$3,454.46 ",$0.00 ,1,1,1,1,1,1,20081001L8040,HCPCS,Nasal prosthesis,KN,,28,,NW,,,,,,"$1,423.36 ",$0.00 ,1,1,1,1,1,1,20081001L8041,HCPCS,Midfacial prosthesis,KM,,28,,NW,,,,,,"$4,174.84 ",$0.00 ,1,1,1,1,1,1,20081001L8041,HCPCS,Midfacial prosthesis,KN,,28,,NW,,,,,,"$1,726.68 ",$0.00 ,1,1,1,1,1,1,20081001L8042,HCPCS,Orbital prosthesis,KM,,28,,NW,,,,,,"$4,697.45 ",$0.00 ,1,1,1,1,1,1,20081001L8042,HCPCS,Orbital prosthesis,KN,,28,,NW,,,,,,"$1,946.72 ",$0.00 ,1,1,1,1,1,1,20081001L8043,HCPCS,Upper facial prosthesis,KM,,28,,NW,,,,,,"$5,267.63 ",$0.00 ,1,1,1,1,1,1,20081001L8043,HCPCS,Upper facial prosthesis,KN,,28,,NW,,,,,,"$2,186.78 ",$0.00 ,1,1,1,1,1,1,20081001L8044,HCPCS,Hemi-facial prosthesis,KM,,28,,NW,,,,,,"$5,837.79 ",$0.00 ,1,1,1,1,1,1,20081001L8044,HCPCS,Hemi-facial prosthesis,KN,,28,,NW,,,,,,"$2,426.85 ",$0.00 ,1,1,1,1,1,1,20081001L8045,HCPCS,Auricular prosthesis,KM,,28,,NW,,,,,,"$3,822.86 ",$0.00 ,1,1,1,1,1,1,20081001L8045,HCPCS,Auricular prosthesis,KN,,28,,NW,,,,,,"$1,578.49 ",$0.00 ,1,1,1,1,1,1,20081001L8046,HCPCS,Partial facial prosthesis,KM,,28,,NW,,,,,,"$3,747.22 ",$0.00 ,1,1,1,1,1,1,20081001L8046,HCPCS,Partial facial prosthesis,KN,,28,,NW,,,,,,"$1,546.63 ",$0.00 ,1,1,1,1,1,1,20081001L8047,HCPCS,Nasal septal prosthesis,KM,,28,,NW,,,,,,"$1,894.23 ",$0.00 ,1,1,1,1,1,1,20081001L8047,HCPCS,Nasal septal prosthesis,KN,,28,,NW,,,,,,$766.42 ,$0.00 ,1,1,1,1,1,1,20081001L8048,HCPCS,Unspec maxillofacial prosth,,,28,,NW,,,,,,$37.04 ,$0.00 ,1,1,1,0,1,1,20081001L8049,HCPCS,Repair maxillofacial prosth,,,28,,NW,,,,,,$47.68 ,$0.00 ,1,1,1,1,1,1,20081001L8300,HCPCS,Truss single w/ standard pad,,,28,,NW,,,,,,$125.38 ,$0.00 ,1,1,1,1,1,1,20081001L8310,HCPCS,Truss double w/ standard pad,,,28,,NW,,,,,,$196.26 ,$0.00 ,1,1,1,1,1,1,20081001L8320,HCPCS,Truss addition to std pad wa,,,28,,NW,,,,,,$80.50 ,$0.00 ,1,1,1,1,1,1,20081001L8330,HCPCS,Truss add to std pad scrotal,,,28,,NW,,,,,,$74.59 ,$0.00 ,1,1,1,1,1,1,20081001L8400,HCPCS,Sheath below knee,,,28,,NW,,,,,,$25.74 ,$0.00 ,1,1,1,1,1,1,20081001L8410,HCPCS,Sheath above knee,,,28,,NW,,,,,,$32.98 ,$0.00 ,1,1,1,1,1,1,20081001L8415,HCPCS,Sheath upper limb,,,28,,NW,,,,,,$34.01 ,$0.00 ,1,1,1,1,1,1,20081001L8417,HCPCS,Pros sheath/sock w gel cushn,,,28,,NW,,,,,,$100.97 ,$0.00 ,1,1,1,1,1,1,20081001L8420,HCPCS,Prosthetic sock multi ply BK,,,28,,NW,,,,,,$31.13 ,$0.00 ,1,1,1,1,1,1,20081001L8430,HCPCS,Prosthetic sock multi ply AK,,,28,,NW,,,,,,$35.04 ,$0.00 ,1,1,1,1,1,1,20081001L8435,HCPCS,Pros sock multi ply upper lm,,,28,,NW,,,,,,$33.43 ,$0.00 ,1,1,1,1,1,1,20081001L8440,HCPCS,Shrinker below knee,,,28,,NW,,,,,,$63.62 ,$0.00 ,1,1,1,1,1,1,20081001L8460,HCPCS,Shrinker above knee,,,28,,NW,,,,,,$99.66 ,$0.00 ,1,1,1,1,1,1,20081001L8465,HCPCS,Shrinker upper limb,,,28,,NW,,,,,,$73.71 ,$0.00 ,1,1,1,1,1,1,20081001L8470,HCPCS,Pros sock single ply BK,,,28,,NW,,,,,,$11.80 ,$0.00 ,1,1,1,1,1,1,20081001L8480,HCPCS,Pros sock single ply AK,,,28,,NW,,,,,,$16.26 ,$0.00 ,1,1,1,1,1,1,20081001L8485,HCPCS,Pros sock single ply upper l,,,28,,NW,,,,,,$19.04 ,$0.00 ,1,1,1,1,1,1,20081001L8499,HCPCS,Unlisted misc prosthetic ser,,,28,,NW,,,,,,$61.26 ,$0.00 ,1,1,1,1,1,1,20081001L8500,HCPCS,Artificial larynx,,,28,,NW,,,,,,"$1,041.35 ",$0.00 ,1,1,1,1,1,1,20081001L8501,HCPCS,Tracheostomy speaking valve,,,28,,NW,,,,,,$178.28 ,$0.00 ,1,1,1,1,1,1,20081001L8505,HCPCS,"Artificial larynx, accessory",,,28,,NW,,,,,,$35.43 ,$0.00 ,1,1,1,1,1,1,20081001L8507,HCPCS,Trach-esoph voice pros pt in,,,28,,NW,,,,,,$57.54 ,$0.00 ,1,1,1,1,1,1,20081001L8509,HCPCS,Trach-esoph voice pros md in,,,28,,NW,,,,,,$145.36 ,$0.00 ,1,1,1,1,1,1,20081001L8510,HCPCS,Voice amplifier,,,28,,NW,,,,,,$332.55 ,$0.00 ,1,1,1,1,1,1,20081001L8511,HCPCS,Indwelling trach insert,,,28,,NW,,,,,,$83.98 ,$0.00 ,1,1,1,0,1,1,20081001L8512,HCPCS,Gel cap for trach voice pros,,,28,,NW,,,,,,$2.52 ,$0.00 ,1,1,1,0,1,1,20081001L8513,HCPCS,Trach pros cleaning device,,,28,,NW,,,,,,$6.00 ,$0.00 ,1,1,1,0,1,1,20081001L8514,HCPCS,Repl trach puncture dilator,,,28,,NW,,,,,,$108.88 ,$0.00 ,1,1,1,0,1,1,20081001L8515,HCPCS,Gel cap app device for trach,,,28,,NW,,,,,,$72.88 ,$0.00 ,1,1,1,0,1,1,20081001L8600,HCPCS,Implant breast silicone/eq,,,28,,NW,,,,,,$982.43 ,$0.00 ,1,1,1,1,1,1,20081001L8603,HCPCS,Collagen imp urinary 2.5 ml,,,28,,NW,,,,,,$765.22 ,$0.00 ,1,1,1,1,1,1,20081001L8606,HCPCS,Synthetic implnt urinary 1ml,,,28,,NW,,,,,,$383.84 ,$0.00 ,1,1,1,1,1,1,20081001L8610,HCPCS,Ocular implant,,,28,,NW,,,,,,$917.47 ,$0.00 ,1,1,1,1,1,1,20081001L8612,HCPCS,Aqueous shunt prosthesis,,,28,,NW,,,,,,$955.17 ,$0.00 ,1,1,1,1,1,1,20081001L8613,HCPCS,Ossicular implant,,,28,,NW,,,,,,$376.22 ,$0.00 ,1,1,1,1,1,1,20081001L8614,HCPCS,Cochlear device/system,,,28,,NW,,,,,,"$28,786.15 ",$0.00 ,1,1,1,1,1,1,20081001L8615,HCPCS,Coch implant headset replace,,,28,,NW,,,,,,$520.80 ,$0.00 ,1,1,1,0,1,1,20081001L8616,HCPCS,Coch implant microphone repl,,,28,,NW,,,,,,$121.30 ,$0.00 ,1,1,1,0,1,1,20081001L8617,HCPCS,Coch implant trans coil repl,,,28,,NW,,,,,,$105.95 ,$0.00 ,1,1,1,0,1,1,20081001L8618,HCPCS,Coch implant tran cable repl,,,28,,NW,,,,,,$30.27 ,$0.00 ,1,1,1,0,1,1,20081001L8619,HCPCS,Replace cochlear processor,,,28,,NW,,,,,,"$12,325.44 ",$0.00 ,1,1,1,1,1,1,20081001L8621,HCPCS,Repl zinc air battery,,,28,,NW,,,,,,$0.73 ,$0.00 ,1,1,1,0,1,1,20081001L8622,HCPCS,Repl alkaline battery,,,28,,NW,,,,,,$0.40 ,$0.00 ,1,1,1,0,1,1,20081001L8623,HCPCS,"Lith ion batt CID,non-earlvl", ,,28,,NW,,,,,,$97.26 ,$0.00 ,1,1,1,1,1,1,20081001L8624,HCPCS,"Lith ion batt CID, ear level", ,,28,,NW,,,,,,$242.45 ,$0.00 ,1,1,1,1,1,1,20081001L8630,HCPCS,Metacarpophalangeal implant,,,28,,NW,,,,,,$505.25 ,$0.00 ,1,1,1,1,1,1,20081001L8631,HCPCS,MCP joint repl 2 pc or more,,,28,,NW,,,,,,"$3,227.40 ",$0.00 ,1,1,1,1,1,1,20081001L8641,HCPCS,Metatarsal joint implant,,,28,,NW,,,,,,$527.06 ,$0.00 ,1,1,1,1,1,1,20081001L8642,HCPCS,Hallux implant,,,28,,NW,,,,,,$417.34 ,$0.00 ,1,1,1,1,1,1,20081001L8658,HCPCS,Interphalangeal joint spacer,,,28,,NW,,,,,,$452.66 ,$0.00 ,1,1,1,1,1,1,20081001L8659,HCPCS,Interphalangeal joint repl,,,28,,NW,,,,,,"$2,824.11 ",$0.00 ,1,1,1,1,1,1,20081001L8670,HCPCS,"Vascular graft, synthetic",,,28,,NW,,,,,,$777.52 ,$0.00 ,1,1,1,1,1,1,20081001L8680,HCPCS,Implt neurostim elctr each, ,,28,,NW,,,,,,$698.46 ,$0.00 ,1,1,1,1,1,1,20081001L8690,HCPCS,"Aud osseo dev, int/ext comp", ,,28,,NW,,,,,,"$7,152.44 ",$0.00 ,1,1,1,1,1,1,20081001L8699,HCPCS,Prosthetic implant NOS,,,28,,NW,,,,,,$384.18 ,$0.00 ,1,1,1,1,1,1,20081001L9900,HCPCS,O&P supply/accessory/service,,,28,,NW,,,,,,$55.07 ,$0.00 ,1,1,1,1,1,1,20081001M0064,HCPCS,Visit for drug monitoring,,,16,,RBRVS,0.37,0.07,0.91,,,$0.00 ,$0.00 ,1,1,1,0,1,1,20081001M0076,HCPCS,Prolotherapy,,,14,,TotalUnits,,,,2.08,,$0.00 ,$0.00 ,1,1,1,0,1,1,20081001M0300,HCPCS,IV chelationtherapy,,,4,,TotalUnits,,,,0.94,,$0.00 ,$0.00 ,1,1,1,0,1,1,20081001P2038,HCPCS,Blood mucoprotein,,,17,,TotalUnits,,,,0.23,,$0.00 ,$0.00 ,1,1,1,0,1,1,20081001P3000,HCPCS,Screen pap by tech w md supv,,,17,,TotalUnits,,,,0.49,,$0.00 ,$0.00 ,1,1,1,0,1,1,20081001P3001,HCPCS,Screening pap smear by phys,,,17,,RBRVS,0.42,0.38,0.38,,,$0.00 ,$0.00 ,1,0,1,1,1,1,20081001P7001,HCPCS,Culture bacterial urine,,,17,,TotalUnits,,,,0.48,,$0.00 ,$0.00 ,1,1,1,0,1,1,20081001P9010,HCPCS,Whole blood for transfusion,,,14,,TotalUnits,,,,1.41,,$0.00 ,$0.00 ,1,1,1,0,1,1,20081001P9011,HCPCS,Blood split unit,,,14,,TotalUnits,,,,2.02,,$0.00 ,$0.00 ,1,1,1,0,1,1,20081001P9016,HCPCS,RBC leukocytes reduced,,,14,,TotalUnits,,,,3.03,,$0.00 ,$0.00 ,1,1,1,0,1,1,20081001P9019,HCPCS,"Platelets, each unit",,,14,,TotalUnits,,,,0.93,,$0.00 ,$0.00 ,1,1,1,0,1,1,20081001P9020,HCPCS,Plaelet rich plasma unit,,,14,,TotalUnits,,,,1.35,,$0.00 ,$0.00 ,1,1,1,0,1,1,20081001P9021,HCPCS,Red blood cells unit,,,14,,TotalUnits,,,,3.2,,$0.00 ,$0.00 ,1,1,1,0,1,1,20081001P9022,HCPCS,Washed red blood cells unit,,,14,,TotalUnits,,,,4.36,,$0.00 ,$0.00 ,1,1,1,0,1,1,20081001P9041,HCPCS,"Albumin (human),5%, 50ml",,,14,,TotalUnits,,,,0.77,,$0.00 ,$0.00 ,1,1,1,0,1,1,20081001P9043,HCPCS,"Plasma protein fract,5%,50ml",,,14,,TotalUnits,,,,0.58,,$0.00 ,$0.00 ,1,1,1,0,1,1,20081001P9045,HCPCS,"Albumin (human), 5%, 250 ml",,,14,,TotalUnits,,,,1.35,,$0.00 ,$0.00 ,1,1,1,0,1,1,20081001P9046,HCPCS,"Albumin (human), 25%, 20 ml",,,14,,TotalUnits,,,,0.73,,$0.00 ,$0.00 ,1,1,1,0,1,1,20081001P9047,HCPCS,"Albumin (human), 25%, 50ml",,,14,,TotalUnits,,,,1.35,,$0.00 ,$0.00 ,1,1,1,0,1,1,20081001P9048,HCPCS,"Plasmaprotein fract,5%,250ml",,,14,,TotalUnits,,,,1.69,,$0.00 ,$0.00 ,1,1,1,0,1,1,20081001P9603,HCPCS,One-way allow prorated miles,,,14,,TotalUnits,,,,0.01,,$0.00 ,$0.00 ,1,1,1,0,1,1,20081001P9604,HCPCS,One-way allow prorated trip,,,14,,TotalUnits,,,,0.11,,$0.00 ,$0.00 ,1,1,1,0,1,1,20081001P9612,HCPCS,Catheterize for urine spec,,,17,,TotalUnits,,,,0.1,,$0.00 ,$0.00 ,1,1,1,0,1,1,20081001P9615,HCPCS,Urine specimen collect mult,,,17,,TotalUnits,,,,0.1,,$0.00 ,$0.00 ,1,1,1,0,1,1,20081001Q0035,HCPCS,Cardiokymography,26,,20,,RBRVS,0.17,0.05,0.05,,,$0.00 ,$0.00 ,1,0,1,1,1,0,20081001Q0035,HCPCS,Cardiokymography,TC,,20,,RBRVS,0,0.25,0.25,,,$0.00 ,$0.00 ,1,1,1,0,1,0,20081001Q0035,HCPCS,Cardiokymography,,,20,,RBRVS,0.17,0.3,0.3,,,$0.00 ,$0.00 ,1,0,0,0,0,1,20081001Q0081,HCPCS,Infusion ther other than che,,,28,,NW,,,,,,$105.90 ,$0.00 ,1,1,1,0,1,1,20081001Q0083,HCPCS,Chemo by other than infusion,,,29,,NW,,,,,,$288.64 ,$0.00 ,1,1,1,0,1,1,20081001Q0084,HCPCS,Chemotherapy by infusion,,,29,,NW,,,,,,$481.46 ,$0.00 ,1,1,1,0,1,1,20081001Q0085,HCPCS,Chemo by both infusion and o,,,29,,NW,,,,,,$549.10 ,$0.00 ,1,1,1,0,1,1,20081001Q0091,HCPCS,Obtaining screen pap smear,,,17,,RBRVS,0.37,0.1,0.75,,,$0.00 ,$0.00 ,1,1,1,0,1,1,20081001Q0092,HCPCS,Set up port xray equipment,,,20,,RBRVS,0,0.47,0.47,,,$0.00 ,$0.00 ,1,1,1,0,1,1,20081001Q0111,HCPCS,Wet mounts/ w preparations,,,17,,TotalUnits,,,,0.2,,$0.00 ,$0.00 ,1,1,1,0,1,1,20081001Q0112,HCPCS,Potassium hydroxide preps,,,17,,TotalUnits,,,,0.2,,$0.00 ,$0.00 ,1,1,1,0,1,1,20081001Q0113,HCPCS,Pinworm examinations,,,17,,TotalUnits,,,,0.25,,$0.00 ,$0.00 ,1,1,1,0,1,1,20081001Q0114,HCPCS,Fern test,,,17,,TotalUnits,,,,0.33,,$0.00 ,$0.00 ,1,1,1,0,1,1,20081001Q0115,HCPCS,Post-coital mucous exam,,,17,,TotalUnits,,,,0.46,,$0.00 ,$0.00 ,1,1,1,0,1,1,20081001Q0144,HCPCS,"Azithromycin dihydrate, oral",,,29,,NW,,,,,,$40.39 ,$0.00 ,1,1,1,0,0,1,20081001Q0163,HCPCS,Diphenhydramine HCl 50mg,,,29,,NW,,,,,,$1.42 ,$0.00 ,1,1,1,0,0,1,20081001Q0164,HCPCS,Prochlorperazine maleate 5mg,,,29,,NW,,,,,,$1.42 ,$0.00 ,1,1,1,0,0,1,20081001Q0165,HCPCS,Prochlorperazine maleate10mg,,,29,,NW,,,,,,$2.85 ,$0.00 ,1,1,1,0,0,1,20081001Q0166,HCPCS,Granisetron HCl 1 mg oral,,,29,,NW,,,,,,$135.05 ,$0.00 ,1,1,1,0,0,1,20081001Q0167,HCPCS,Dronabinol 2.5mg oral,,,29,,NW,,,,,,$11.38 ,$0.00 ,1,1,1,0,0,1,20081001Q0168,HCPCS,Dronabinol 5mg oral,,,29,,NW,,,,,,$29.88 ,$0.00 ,1,1,1,0,0,1,20081001Q0169,HCPCS,Promethazine HCl 12.5mg oral,,,29,,NW,,,,,,$1.42 ,$0.00 ,1,1,1,0,0,1,20081001Q0170,HCPCS,Promethazine HCl 25 mg oral,,,29,,NW,,,,,,$1.42 ,$0.00 ,1,1,1,0,0,1,20081001Q0171,HCPCS,Chlorpromazine HCl 10mg oral,,,29,,NW,,,,,,$1.42 ,$0.00 ,1,1,1,0,0,1,20081001Q0172,HCPCS,Chlorpromazine HCl 25mg oral,,,29,,NW,,,,,,$1.42 ,$0.00 ,1,1,1,0,0,1,20081001Q0173,HCPCS,Trimethobenzamide HCl 250mg,,,29,,NW,,,,,,$1.42 ,$0.00 ,1,1,1,0,0,1,20081001Q0174,HCPCS,Thiethylperazine maleate10mg,,,29,,NW,,,,,,$2.85 ,$0.00 ,1,1,1,0,0,1,20081001Q0175,HCPCS,Perphenazine 4mg oral,,,29,,NW,,,,,,$1.42 ,$0.00 ,1,1,1,0,0,1,20081001Q0176,HCPCS,Perphenazine 8mg oral,,,29,,NW,,,,,,$2.85 ,$0.00 ,1,1,1,0,0,1,20081001Q0177,HCPCS,Hydroxyzine pamoate 25mg,,,29,,NW,,,,,,$1.42 ,$0.00 ,1,1,1,0,0,1,20081001Q0178,HCPCS,Hydroxyzine pamoate 50mg,,,29,,NW,,,,,,$1.42 ,$0.00 ,1,1,1,0,0,1,20081001Q0179,HCPCS,Ondansetron HCl 8mg oral,,,29,,NW,,,,,,$96.92 ,$0.00 ,1,1,1,0,0,1,20081001Q0180,HCPCS,Dolasetron mesylate oral,,,29,,NW,,,,,,$210.15 ,$0.00 ,1,1,1,0,0,1,20081001Q0181,HCPCS,Unspecified oral anti-emetic,,,29,,NW,,,,,,$1.07 ,$0.00 ,1,1,1,0,0,1,20081001Q0480,HCPCS,"Driver pneumatic vad, rep",,,28,,NW,,,,,,"$103,996.84 ",$0.00 ,1,1,1,0,1,1,20081001Q0481,HCPCS,"Microprcsr cu elec vad, rep",,,28,,NW,,,,,,"$16,778.69 ",$0.00 ,1,1,1,0,1,1,20081001Q0482,HCPCS,"Microprcsr cu combo vad, rep",,,28,,NW,,,,,,"$5,255.40 ",$0.00 ,1,1,1,0,1,1,20081001Q0483,HCPCS,"Monitor elec vad, rep",,,28,,NW,,,,,,"$21,649.87 ",$0.00 ,1,1,1,0,1,1,20081001Q0484,HCPCS,Monitor elec or comb vad rep,,,28,,NW,,,,,,"$4,204.34 ",$0.00 ,1,1,1,0,1,1,20081001Q0485,HCPCS,"Monitor cable elec vad, rep",,,28,,NW,,,,,,$405.92 ,$0.00 ,1,1,1,0,1,1,20081001Q0486,HCPCS,Mon cable elec/pneum vad rep,,,28,,NW,,,,,,$337.85 ,$0.00 ,1,1,1,0,1,1,20081001Q0487,HCPCS,"Leads any type vad, rep only",,,28,,NW,,,,,,$394.17 ,$0.00 ,1,1,1,0,1,1,20081001Q0488,HCPCS,"Pwr pack base elec vad, rep",,,28,,NW,,,,,,"$18,769.28 ",$0.00 ,1,1,1,0,1,1,20081001Q0489,HCPCS,"Pwr pck base combo vad, rep",,,28,,NW,,,,,,"$18,769.28 ",$0.00 ,1,1,1,0,1,1,20081001Q0490,HCPCS,"Emr pwr source elec vad, rep",,,28,,NW,,,,,,$811.88 ,$0.00 ,1,1,1,0,1,1,20081001Q0491,HCPCS,Emr pwr source combo vad rep,,,28,,NW,,,,,,"$1,276.35 ",$0.00 ,1,1,1,0,1,1,20081001Q0492,HCPCS,"Emr pwr cbl elec vad, rep",,,28,,NW,,,,,,$102.85 ,$0.00 ,1,1,1,0,1,1,20081001Q0493,HCPCS,"Emr pwr cbl combo vad, rep",,,28,,NW,,,,,,$292.79 ,$0.00 ,1,1,1,0,1,1,20081001Q0494,HCPCS,"Emr hd pmp elec/combo, rep",,,28,,NW,,,,,,$247.77 ,$0.00 ,1,1,1,0,1,1,20081001Q0495,HCPCS,"Charger elec/combo vad, rep",,,28,,NW,,,,,,"$4,823.24 ",$0.00 ,1,1,1,0,1,1,20081001Q0496,HCPCS,"Battery elec/combo vad, rep",,,28,,NW,,,,,,"$1,731.16 ",$0.00 ,1,1,1,0,1,1,20081001Q0497,HCPCS,"Bat clps elec/comb vad, rep",,,28,,NW,,,,,,$540.58 ,$0.00 ,1,1,1,0,1,1,20081001Q0498,HCPCS,"Holster elec/combo vad, rep",,,28,,NW,,,,,,$593.13 ,$0.00 ,1,1,1,0,1,1,20081001Q0499,HCPCS,Belt/vest elec/combo vad rep,,,28,,NW,,,,,,$192.72 ,$0.00 ,1,1,1,0,1,1,20081001Q0500,HCPCS,"Filters elec/combo vad, rep",,,28,,NW,,,,,,$35.27 ,$0.00 ,1,1,1,0,1,1,20081001Q0501,HCPCS,"Shwr cov elec/combo vad, rep",,,28,,NW,,,,,,$589.71 ,$0.00 ,1,1,1,0,1,1,20081001Q0502,HCPCS,"Mobility cart pneum vad, rep",,,28,,NW,,,,,,$750.77 ,$0.00 ,1,1,1,0,1,1,20081001Q0503,HCPCS,Battery pneum vad replacemnt,,,28,,NW,,,,,,"$1,501.54 ",$0.00 ,1,1,1,0,1,1,20081001Q0504,HCPCS,"Pwr adpt pneum vad, rep veh",,,28,,NW,,,,,,$792.34 ,$0.00 ,1,1,1,0,1,1,20081001Q0513,HCPCS,Disp fee inhal drugs/30 days,,,28,,NW,,,,,,$9.36 ,$0.00 ,1,1,1,0,0,1,20081001Q0514,HCPCS,Disp fee inhal drugs/90 days,,,28,,NW,,,,,,$9.36 ,$0.00 ,1,1,1,0,0,1,20081001Q2004,HCPCS,Bladder calculi irrig sol,,,29,,NW,,,,,,$69.14 ,$0.00 ,1,1,1,0,0,1,20081001Q2009,HCPCS,"Fosphenytoin, 50 mg",,,29,,NW,,,,,,$17.01 ,$0.00 ,1,1,1,0,0,1,20081001Q2017,HCPCS,"Teniposide, 50 mg",,,29,,NW,,,,,,$665.98 ,$0.00 ,1,1,1,0,0,1,20081001Q3001,HCPCS,Brachytherapy Radioelements,,,28,,NW,,,,,,$86.53 ,$0.00 ,1,1,1,0,0,1,20081001Q3014,HCPCS,Telehealth facility fee,,,28,,NW,,,,,,$44.75 ,$0.00 ,1,1,1,0,0,1,20081001Q3025,HCPCS,IM inj interferon beta 1-a,,,29,,NW,,,,,,$190.78 ,$0.00 ,1,1,1,0,0,1,20081001Q3026,HCPCS,Subc inj interferon beta-1a,,,29,,NW,,,,,,$108.25 ,$0.00 ,1,1,1,0,0,1,20081001Q3031,HCPCS,Collagen skin test,,,2,,RBRVS,0.01,0.15,0.15,,,$0.00 ,$0.00 ,1,0,1,1,1,1,20081001Q4001,HCPCS,Cast sup body cast plaster,,,28,,NW,,,,,,$323.72 ,$0.00 ,1,1,1,0,0,1,20081001Q4002,HCPCS,Cast sup body cast fiberglas,,,28,,NW,,,,,,$688.87 ,$0.00 ,1,1,1,0,0,1,20081001Q4003,HCPCS,Cast sup shoulder cast plstr,,,28,,NW,,,,,,$175.58 ,$0.00 ,1,1,1,0,0,1,20081001Q4004,HCPCS,Cast sup shoulder cast fbrgl,,,28,,NW,,,,,,$373.37 ,$0.00 ,1,1,1,0,0,1,20081001Q4005,HCPCS,Cast sup long arm adult plst,,,28,,NW,,,,,,$97.10 ,$0.00 ,1,1,1,0,0,1,20081001Q4006,HCPCS,Cast sup long arm adult fbrg,,,28,,NW,,,,,,$206.03 ,$0.00 ,1,1,1,0,0,1,20081001Q4007,HCPCS,Cast sup long arm ped plster,,,28,,NW,,,,,,$48.28 ,$0.00 ,1,1,1,0,0,1,20081001Q4008,HCPCS,Cast sup long arm ped fbrgls,,,28,,NW,,,,,,$102.71 ,$0.00 ,1,1,1,0,0,1,20081001Q4009,HCPCS,Cast sup sht arm adult plstr,,,28,,NW,,,,,,$74.70 ,$0.00 ,1,1,1,0,0,1,20081001Q4010,HCPCS,Cast sup sht arm adult fbrgl,,,28,,NW,,,,,,$158.77 ,$0.00 ,1,1,1,0,0,1,20081001Q4011,HCPCS,Cast sup sht arm ped plaster,,,28,,NW,,,,,,$37.04 ,$0.00 ,1,1,1,0,0,1,20081001Q4012,HCPCS,Cast sup sht arm ped fbrglas,,,28,,NW,,,,,,$79.50 ,$0.00 ,1,1,1,0,0,1,20081001Q4013,HCPCS,Cast sup gauntlet plaster,,,28,,NW,,,,,,$69.89 ,$0.00 ,1,1,1,0,0,1,20081001Q4014,HCPCS,Cast sup gauntlet fiberglass,,,28,,NW,,,,,,$149.97 ,$0.00 ,1,1,1,0,0,1,20081001Q4015,HCPCS,Cast sup gauntlet ped plster,,,28,,NW,,,,,,$35.45 ,$0.00 ,1,1,1,0,0,1,20081001Q4016,HCPCS,Cast sup gauntlet ped fbrgls,,,28,,NW,,,,,,$74.70 ,$0.00 ,1,1,1,0,0,1,20081001Q4017,HCPCS,Cast sup lng arm splint plst,,,28,,NW,,,,,,$61.08 ,$0.00 ,1,1,1,0,0,1,20081001Q4018,HCPCS,Cast sup lng arm splint fbrg,,,28,,NW,,,,,,$130.75 ,$0.00 ,1,1,1,0,0,1,20081001Q4019,HCPCS,Cast sup lng arm splnt ped p,,,28,,NW,,,,,,$30.64 ,$0.00 ,1,1,1,0,0,1,20081001Q4020,HCPCS,Cast sup lng arm splnt ped f,,,28,,NW,,,,,,$65.88 ,$0.00 ,1,1,1,0,0,1,20081001Q4021,HCPCS,Cast sup sht arm splint plst,,,28,,NW,,,,,,$61.08 ,$0.00 ,1,1,1,0,0,1,20081001Q4022,HCPCS,Cast sup sht arm splint fbrg,,,28,,NW,,,,,,$130.75 ,$0.00 ,1,1,1,0,0,1,20081001Q4023,HCPCS,Cast sup sht arm splnt ped p,,,28,,NW,,,,,,$30.64 ,$0.00 ,1,1,1,0,0,1,20081001Q4024,HCPCS,Cast sup sht arm splnt ped f,,,28,,NW,,,,,,$65.88 ,$0.00 ,1,1,1,0,0,1,20081001Q4025,HCPCS,Cast sup hip spica plaster,,,28,,NW,,,,,,$272.48 ,$0.00 ,1,1,1,0,0,1,20081001Q4026,HCPCS,Cast sup hip spica fiberglas,,,28,,NW,,,,,,$579.17 ,$0.00 ,1,1,1,0,0,1,20081001Q4027,HCPCS,Cast sup hip spica ped plstr,,,28,,NW,,,,,,$136.35 ,$0.00 ,1,1,1,0,0,1,20081001Q4028,HCPCS,Cast sup hip spica ped fbrgl,,,28,,NW,,,,,,$290.11 ,$0.00 ,1,1,1,0,0,1,20081001Q4029,HCPCS,Cast sup long leg plaster,,,28,,NW,,,,,,$134.74 ,$0.00 ,1,1,1,0,0,1,20081001Q4030,HCPCS,Cast sup long leg fiberglass,,,28,,NW,,,,,,$285.29 ,$0.00 ,1,1,1,0,0,1,20081001Q4031,HCPCS,Cast sup lng leg ped plaster,,,28,,NW,,,,,,$67.49 ,$0.00 ,1,1,1,0,0,1,20081001Q4032,HCPCS,Cast sup lng leg ped fbrgls,,,28,,NW,,,,,,$142.75 ,$0.00 ,1,1,1,0,0,1,20081001Q4033,HCPCS,Cast sup lng leg cylinder pl,,,28,,NW,,,,,,$114.72 ,$0.00 ,1,1,1,0,0,1,20081001Q4034,HCPCS,Cast sup lng leg cylinder fb,,,28,,NW,,,,,,$242.85 ,$0.00 ,1,1,1,0,0,1,20081001Q4035,HCPCS,Cast sup lngleg cylndr ped p,,,28,,NW,,,,,,$57.07 ,$0.00 ,1,1,1,0,0,1,20081001Q4036,HCPCS,Cast sup lngleg cylndr ped f,,,28,,NW,,,,,,$121.13 ,$0.00 ,1,1,1,0,0,1,20081001Q4037,HCPCS,Cast sup shrt leg plaster,,,28,,NW,,,,,,$153.96 ,$0.00 ,1,1,1,0,0,1,20081001Q4038,HCPCS,Cast sup shrt leg fiberglass,,,28,,NW,,,,,,$326.93 ,$0.00 ,1,1,1,0,0,1,20081001Q4039,HCPCS,Cast sup shrt leg ped plster,,,28,,NW,,,,,,$77.09 ,$0.00 ,1,1,1,0,0,1,20081001Q4040,HCPCS,Cast sup shrt leg ped fbrgls,,,28,,NW,,,,,,$163.57 ,$0.00 ,1,1,1,0,0,1,20081001Q4041,HCPCS,Cast sup lng leg splnt plstr,,,28,,NW,,,,,,$88.29 ,$0.00 ,1,1,1,0,0,1,20081001Q4042,HCPCS,Cast sup lng leg splnt fbrgl,,,28,,NW,,,,,,$186.80 ,$0.00 ,1,1,1,0,0,1,20081001Q4043,HCPCS,Cast sup lng leg splnt ped p,,,28,,NW,,,,,,$44.25 ,$0.00 ,1,1,1,0,0,1,20081001Q4044,HCPCS,Cast sup lng leg splnt ped f,,,28,,NW,,,,,,$93.92 ,$0.00 ,1,1,1,0,0,1,20081001Q4045,HCPCS,Cast sup sht leg splnt plstr,,,28,,NW,,,,,,$57.07 ,$0.00 ,1,1,1,0,0,1,20081001Q4046,HCPCS,Cast sup sht leg splnt fbrgl,,,28,,NW,,,,,,$121.13 ,$0.00 ,1,1,1,0,0,1,20081001Q4047,HCPCS,Cast sup sht leg splnt ped p,,,28,,NW,,,,,,$28.24 ,$0.00 ,1,1,1,0,0,1,20081001Q4048,HCPCS,Cast sup sht leg splnt ped f,,,28,,NW,,,,,,$61.08 ,$0.00 ,1,1,1,0,0,1,20081001Q4049,HCPCS,"Finger splint, static",,,28,,NW,,,,,,$74.70 ,$0.00 ,1,1,1,0,0,1,20081001Q4050,HCPCS,Cast supplies unlisted,,,28,,NW,,,,,,$35.21 ,$0.00 ,1,1,1,0,0,1,20081001Q4051,HCPCS,Splint supplies misc,,,28,,NW,,,,,,$31.44 ,$0.00 ,1,1,1,0,0,1,20081001Q9951,HCPCS,"LOCM >= 400 mg/ml iodine,1ml",,,28,,NW,,,,,,$0.37 ,$0.00 ,1,0,0,0,0,1,20081001Q9953,HCPCS,"Inj Fe-based MR contrast,1ml",,,28,,NW,,,,,,$36.54 ,$0.00 ,1,0,0,0,0,1,20081001Q9954,HCPCS,"Oral MR contrast, 100 ml",,,28,,NW,,,,,,$10.77 ,$0.00 ,1,0,0,0,0,1,20081001Q9955,HCPCS,"Inj perflexane lip micros,ml",,,28,,NW,,,,,,$15.93 ,$0.00 ,1,0,0,0,0,1,20081001Q9956,HCPCS,"Inj octafluoropropane mic,ml",,,28,,NW,,,,,,$49.43 ,$0.00 ,1,0,0,0,0,1,20081001Q9957,HCPCS,"Inj perflutren lip micros,ml",,,28,,NW,,,,,,$421.45 ,$0.00 ,1,0,0,0,0,1,20081001Q9958,HCPCS,"HOCM <=149 mg/ml iodine, 1ml",,,28,,NW,,,,,,$0.08 ,$0.00 ,1,0,0,0,0,1,20081001Q9960,HCPCS,"HOCM 200-249mg/ml iodine,1ml",,,28,,NW,,,,,,$0.11 ,$0.00 ,1,0,0,0,0,1,20081001Q9961,HCPCS,"HOCM 250-299mg/ml iodine,1ml",,,28,,NW,,,,,,$0.22 ,$0.00 ,1,0,0,0,0,1,20081001Q9962,HCPCS,"HOCM 300-349mg/ml iodine,1ml",,,28,,NW,,,,,,$0.17 ,$0.00 ,1,0,0,0,0,1,20081001Q9963,HCPCS,"HOCM 350-399mg/ml iodine,1ml",,,28,,NW,,,,,,$0.47 ,$0.00 ,1,0,0,0,0,1,20081001Q9964,HCPCS,"HOCM>= 400mg/ml iodine, 1ml",,,28,,NW,,,,,,$0.23 ,$0.00 ,1,0,0,0,0,1,20081001R0070,HCPCS,Transport portable x-ray,,,28,,NW,,,,,,$175.53 ,$0.00 ,1,1,1,0,1,1,20081001R0075,HCPCS,Transport port x-ray multipl,,,28,,NW,,,,,,$91.68 ,$0.00 ,1,1,1,0,1,1,20081001R0076,HCPCS,Transport portable EKG,,,28,,NW,,,,,,$179.41 ,$0.00 ,1,1,1,0,1,1,20081001S0012,HCPCS,"Butorphanol tartrate, nasal",,,28,,NW,,,,,,$195.69 ,$0.00 ,1,1,1,0,0,1,20081001S0014,HCPCS,"Tacrine hydrochloride, 10 mg",,,28,,NW,,,,,,$2.77 ,$0.00 ,1,1,1,0,0,1,20081001S0020,HCPCS,"Injection, bupivicaine hydro",,,28,,NW,,,,,,$5.35 ,$0.00 ,1,1,1,0,0,1,20081001S0023,HCPCS,"Injection, cimetidine hydroc",,,28,,NW,,,,,,$11.05 ,$0.00 ,1,1,1,0,0,1,20081001S0028,HCPCS,"Injection, famotidine, 20 mg",,,28,,NW,,,,,,$12.01 ,$0.00 ,1,1,1,0,0,1,20081001S0030,HCPCS,"Injection, metronidazole",,,28,,NW,,,,,,$33.51 ,$0.00 ,1,1,1,0,0,1,20081001S0032,HCPCS,"Injection, nafcillin sodium",,,28,,NW,,,,,,$12.75 ,$0.00 ,1,1,1,0,0,1,20081001S0034,HCPCS,Injection Ofloxacin 400 mg,,,29,,NW,,,,,,$26.45 ,$0.00 ,1,1,1,0,0,1,20081001S0039,HCPCS,"Injection, sulfamethoxazole",,,28,,NW,,,,,,$24.07 ,$0.00 ,1,1,1,0,0,1,20081001S0040,HCPCS,"Injection, ticarcillin disod",,,28,,NW,,,,,,$35.72 ,$0.00 ,1,1,1,0,0,1,20081001S0073,HCPCS,"Injection, aztreonam, 500 mg",,,28,,NW,,,,,,$34.39 ,$0.00 ,1,1,1,0,0,1,20081001S0074,HCPCS,"Injection, cefotetan disodiu",,,28,,NW,,,,,,$16.17 ,$0.00 ,1,1,1,0,0,1,20081001S0077,HCPCS,"Injection, clindamycin phosp",,,28,,NW,,,,,,$23.89 ,$0.00 ,1,1,1,0,0,1,20081001S0078,HCPCS,Inj Fosphenytoin Sodium 750 mg,,,28,,NW,,,,,,$373.79 ,$0.00 ,1,1,1,0,0,1,20081001S0080,HCPCS,"Injection, pentamidine iseth",,,28,,NW,,,,,,$196.65 ,$0.00 ,1,1,1,0,0,1,20081001S0081,HCPCS,"Injection, piperacillin sodi",,,28,,NW,,,,,,$86.27 ,$0.00 ,1,1,1,0,0,1,20081001S0088,HCPCS,Imatinib 100 mg,,,28,,NW,,,,,,$28.58 ,$0.00 ,1,1,1,0,0,1,20081001S0090,HCPCS,"Sildenafil citrate, 25 mg",,,28,,NW,,,,,,$20.19 ,$0.00 ,1,1,1,0,0,1,20081001S0091,HCPCS,Granisetron 1mg,,,28,,NW,,,,,,$444.61 ,$0.00 ,1,1,1,0,0,1,20081001S0092,HCPCS,Hydromorphone 250 mg,,,28,,NW,,,,,,$202.23 ,$0.00 ,1,1,1,0,0,1,20081001S0093,HCPCS,Morphine 500 mg,,,28,,NW,,,,,,$24.08 ,$0.00 ,1,1,1,0,0,1,20081001S0104,HCPCS,"Zidovudine, oral, 100 mg",,,28,,NW,,,,,,$5.18 ,$0.00 ,1,1,1,0,0,1,20081001S0108,HCPCS,Mercaptopurine 50 mg,,,28,,NW,,,,,,$9.53 ,$0.00 ,1,1,1,0,0,1,20081001S0109,HCPCS,Methadone oral 5 mg,,,29,,NW,,,,,,$0.96 ,$0.00 ,1,1,1,0,0,1,20081001S0122,HCPCS,Inj menotropins 75 iu,,,28,,NW,,,,,,$174.11 ,$0.00 ,1,1,1,0,0,1,20081001S0126,HCPCS,Inj follitropin alfa 75 iu,,,28,,NW,,,,,,$229.88 ,$0.00 ,1,1,1,0,0,1,20081001S0128,HCPCS,Inj follitropin beta 75 iu,,,28,,NW,,,,,,$221.57 ,$0.00 ,1,1,1,0,0,1,20081001S0132,HCPCS,Injection Ganirelix Acetate 250 mcg,,,28,,NW,,,,,,$37.17 ,$0.00 ,1,1,1,0,0,1,20081001S0136,HCPCS,Clozapine 25 mg,,,28,,NW,,,,,,$35.32 ,$0.00 ,1,1,1,0,0,1,20081001S0137,HCPCS,Didanosine 25 mg,,,28,,NW,,,,,,$128.69 ,$0.00 ,1,1,1,0,0,1,20081001S0145,HCPCS,Inj Pegylated Interferon Alfa2A 180 mcg per ml,,,29,,NW,,,,,,$44.32 ,$0.00 ,1,1,1,0,0,1,20081001S0146,HCPCS,Inj Pegylated Interferon Alfa2B 10 mcg 0.5 ml,,,29,,NW,,,,,,$18.90 ,$0.00 ,1,1,1,0,0,1,20081001S0155,HCPCS,Epoprostenol dilutant,,,28,,NW,,,,,,$26.91 ,$0.00 ,1,1,1,0,0,1,20081001S0156,HCPCS,"Exemestane, 25 mg",,,28,,NW,,,,,,$16.29 ,$0.00 ,1,1,1,0,0,1,20081001S0157,HCPCS,Becaplermin Gel 0.01% 0.5 gm,,,28,,NW,,,,,,$384.90 ,$0.00 ,1,1,1,0,0,1,20081001S0161,HCPCS,Calcitrol 0.25 mg,,,28,,NW,,,,,,$87.63 ,$0.00 ,1,1,1,0,0,1,20081001S0164,HCPCS,Injection Pantoprazole Sodium 40 mg,,,28,,NW,,,,,,$72.46 ,$0.00 ,1,1,1,0,0,1,20081001S0170,HCPCS,Anastrozole 1 mg,,,28,,NW,,,,,,$14.74 ,$0.00 ,1,1,1,0,0,1,20081001S0171,HCPCS,Bumetanide 0.5 mg,,,28,,NW,,,,,,$3.29 ,$0.00 ,1,1,1,0,0,1,20081001S0172,HCPCS,Chlorambucil 2 mg,,,28,,NW,,,,,,$3.76 ,$0.00 ,1,1,1,0,0,1,20081001S0174,HCPCS,Dolasetron 50 mg,,,28,,NW,,,,,,$146.47 ,$0.00 ,1,1,1,0,0,1,20081001S0175,HCPCS,Flutamide 125 mg,,,28,,NW,,,,,,$4.50 ,$0.00 ,1,1,1,0,0,1,20081001S0176,HCPCS,Hydroxyurea 500 mg,,,28,,NW,,,,,,$2.91 ,$0.00 ,1,1,1,0,0,1,20081001S0177,HCPCS,Levamisole 50 mg,,,28,,NW,,,,,,$14.49 ,$0.00 ,1,1,1,0,0,1,20081001S0178,HCPCS,Lomustine 10 mg,,,28,,NW,,,,,,$14.56 ,$0.00 ,1,1,1,0,0,1,20081001S0179,HCPCS,Megestrol 20 mg,,,28,,NW,,,,,,$1.52 ,$0.00 ,1,1,1,0,0,1,20081001S0181,HCPCS,Ondansetron 4 mg,,,28,,NW,,,,,,$38.02 ,$0.00 ,1,1,1,0,0,1,20081001S0182,HCPCS,Procarbazine 5 mg,,,28,,NW,,,,,,$1.60 ,$0.00 ,1,1,1,0,0,1,20081001S0183,HCPCS,Prochlorperazine 5 mg,,,28,,NW,,,,,,$1.28 ,$0.00 ,1,1,1,0,0,1,20081001S0187,HCPCS,Tamoxifen 10 mg,,,28,,NW,,,,,,$5.04 ,$0.00 ,1,1,1,0,0,1,20081001S0195,HCPCS,Pneumcoccl Conjugat Vac Im 5-9 Yr Not Prev Recvd,,,28,,NW,,,,,,$273.86 ,$0.00 ,1,1,1,0,0,1,20081001S0209,HCPCS,WC van mileage per mi,,,28,,NW,,,,,,$1.74 ,$0.00 ,1,1,1,1,1,1,20081001S0215,HCPCS,Nonemerg transp mileage,,,28,,NW,,,,,,$1.74 ,$0.00 ,1,1,1,1,1,1,20081001S0220,HCPCS,Med Conf Md W/Team Hlth Prof;30 Min,,,15,,RBRVS,1.42,0.44,1.1,,,$0.00 ,$0.00 ,1,0,1,1,1,1,20081001S0221,HCPCS,Med Conf Md W/Team Hlth Prof;60 Min,,,15,,RBRVS,1.42,0.44,1.1,,,$0.00 ,$0.00 ,1,0,1,1,1,1,20081001S0255,HCPCS,By Nurse Social Worker Or Other Designated Staff,,,15,,RBRVS,0.48,0.11,0.36,,,$0.00 ,$0.00 ,1,0,1,1,1,1,20081001S0257,HCPCS,Cnsl&Discuss Ad/Eol Pt&/Surrogate ,,,15,,RBRVS,1.77,0.5,0.65,,,$0.00 ,$0.00 ,1,0,1,1,1,1,20081001S0260,HCPCS,Hx & Phys Related To Surgical Proc,,,15,,RBRVS,0.17,0.06,0.32,,,$0.00 ,$0.00 ,1,0,1,1,1,1,20081001S0265,HCPCS,Genetic Counseling Phys Supervision Ea 15 Mins,,,15,,RBRVS,0.17,0.06,0.32,,,$0.00 ,$0.00 ,1,0,1,1,1,1,20081001S0302,HCPCS,Completed EPSDT,,,28,,NW,,,,,,$81.09 ,$0.00 ,1,0,1,1,1,1,20081001S0315,HCPCS,Dz Mgmt Progm; Init Assess&Init Pro,,,15,,RBRVS,0.17,0.06,0.32,,,$0.00 ,$0.00 ,1,0,1,1,1,1,20081001S0316,HCPCS,Disease Mgmt Progm; F/U/Reassess,,,15,,RBRVS,0.17,0.06,0.32,,,$0.00 ,$0.00 ,1,0,1,1,1,1,20081001S0345,HCPCS,Home ECG monitoring global 24 h,,,28,,RBRVS,0.17,0.35,0.35,,,$0.00 ,$0.00 ,1,0,0,0,0,1,20081001S0346,HCPCS,Home ECG monitoring tech 24 h,,,28,,RBRVS,0,0.28,0.28,,,$0.00 ,$0.00 ,1,1,1,0,1,1,20081001S0347,HCPCS,Home ECG monitoring prof 24 h,,,28,,RBRVS,0.17,0.07,0.07,,,$0.00 ,$0.00 ,1,0,1,1,1,1,20081001S0390,HCPCS,Routine Foot Care; Per Visit,,,15,,RBRVS,0.5,0.16,0.68,,,$0.00 ,$0.00 ,1,0,1,1,1,1,20081001S0395,HCPCS,Impression casting ft,,,28,,NW,,,,,,$86.27 ,$0.00 ,1,1,1,0,1,1,20081001S0400,HCPCS,Globl Fee Xtracorp Shock Wave Lith,,,21,,RBRVS,9.64,6.13,17.1,,,$0.00 ,$0.00 ,1,0,1,1,1,1,20081001S0500,HCPCS,Dispos cont lens,,,28,,NW,,,,,,$155.27 ,$0.00 ,1,1,1,1,1,1,20081001S0504,HCPCS,Singl prscrp lens,,,28,,NW,,,,,,$21.78 ,$0.00 ,1,1,1,1,1,1,20081001S0506,HCPCS,Bifoc prscp lens,,,28,,NW,,,,,,$37.45 ,$0.00 ,1,1,1,1,1,1,20081001S0508,HCPCS,Trifoc prscrp lens,,,28,,NW,,,,,,$48.37 ,$0.00 ,1,1,1,1,1,1,20081001S0510,HCPCS,Non-prscrp lens,,,28,,NW,,,,,,$30.79 ,$0.00 ,1,1,1,1,1,1,20081001S0512,HCPCS,Daily cont lens,,,28,,NW,,,,,,$276.86 ,$0.00 ,1,1,1,1,1,1,20081001S0514,HCPCS,Color cont lens,,,28,,NW,,,,,,$317.35 ,$0.00 ,1,1,1,1,1,1,20081001S0515,HCPCS,Scleral Lens Lqd Bandge Device-Lens,,,28,,NW,,,,,,$334.02 ,$0.00 ,1,1,1,0,0,1,20081001S0516,HCPCS,Safety frames,,,28,,NW,,,,,,$90.08 ,$0.00 ,1,1,1,1,1,1,20081001S0518,HCPCS,Sunglass frames,,,28,,NW,,,,,,$52.09 ,$0.00 ,1,1,1,1,1,1,20081001S0580,HCPCS,Polycarb lens,,,28,,NW,,,,,,$43.14 ,$0.00 ,1,1,1,1,1,1,20081001S0581,HCPCS,Nonstandard Lens,,,28,,NW,,,,,,$334.02 ,$0.00 ,1,1,1,0,0,1,20081001S0592,HCPCS,Comp Contact Lens Evaluation,,,23,,RBRVS,1.08,0.31,1.27,,,$0.00 ,$0.00 ,1,0,1,1,1,1,20081001S0601,HCPCS,Screening Proctoscopy,,,21,,RBRVS,0.55,0.38,1.37,,,$0.00 ,$0.00 ,1,0,1,1,1,1,20081001S0605,HCPCS,"Digital rectal examination,",,,28,,NW,,,,,,$25.87 ,$0.00 ,1,0,1,1,1,1,20081001S0610,HCPCS,Annual gynecological examina,,,28,,NW,,,,,,$181.14 ,$0.00 ,1,0,1,1,1,1,20081001S0612,HCPCS,Annual gynecological examina,,,28,,NW,,,,,,$138.02 ,$0.00 ,1,0,1,1,1,1,20081001S0613,HCPCS,Annual Gyn Exam Clin Breast Exam W/O Pelv Exam,,,15,,RBRVS,0.45,0.48,0.48,,,$0.00 ,$0.00 ,1,0,1,1,1,1,20081001S0618,HCPCS,Audiometry For Hearing Aid Eval,,,8,,TotalUnits,,,,0.39,,$0.00 ,$0.00 ,1,1,1,0,0,1,20081001S0620,HCPCS,Routine ophthalmological exa,,,28,,NW,,,,,,$94.87 ,$0.00 ,1,0,1,1,1,1,20081001S0621,HCPCS,Routine ophthalmological exa,,,28,,NW,,,,,,$105.24 ,$0.00 ,1,0,1,1,1,1,20081001S0622,HCPCS,Physical Exam College New/Est Pt,,,15,,RBRVS,0.17,0.06,0.32,,,$0.00 ,$0.00 ,1,0,1,1,1,1,20081001S0625,HCPCS,Retinal Telescr Digtl Imag Mx Diff Fundus Areas ,,,23,,RBRVS,0.44,0.14,0.14,,,$0.00 ,$0.00 ,1,0,1,1,1,1,20081001S0630,HCPCS,Removal of sutures,,,28,,NW,,,,,,$65.56 ,$0.00 ,1,0,1,1,1,1,20081001S0800,HCPCS,Laser in situ keratomileusis,,,28,,NW,,,,,,"$1,975.24 ",$0.00 ,1,0,1,1,1,1,20081001S0810,HCPCS,Photorefractive Keratectomy,,,23,,RBRVS,0.92,0.64,0.86,,,$0.00 ,$0.00 ,1,0,1,1,1,1,20081001S0812,HCPCS,Phototherapeutic Keratectomy,,,23,,RBRVS,0.92,0.64,0.86,,,$0.00 ,$0.00 ,1,0,1,1,1,1,20081001S1015,HCPCS,IV tubing extension set,,,28,,NW,,,,,,$43.26 ,$0.00 ,1,1,1,0,0,1,20081001S1016,HCPCS,Non-pvc intravenous administ,,,28,,NW,,,,,,$27.61 ,$0.00 ,1,1,1,0,0,1,20081001S1040,HCPCS,Cranil Remold Orthos Rigd W/Sft Int,,,28,,NW,,,,,,$694.34 ,$0.00 ,1,1,1,0,0,1,20081001S2053,HCPCS,Tplnt Sm Intestine&Liver Allogfts,,,21,,RBRVS,83.29,27.76,27.76,,,$0.00 ,$0.00 ,1,0,0,1,1,1,20081001S2054,HCPCS,Transplantation of Multivisceral Organs,,,21,,RBRVS,61.68,22.96,22.96,,,$0.00 ,$0.00 ,1,0,1,1,1,1,20081001S2055,HCPCS,Harvest Donor Mx-Visceral Organ; Cadver Donor,,,21,,RBRVS,61.68,22.96,22.96,,,$0.00 ,$0.00 ,1,0,1,1,1,1,20081001S2060,HCPCS,Lobar Lung Transplantation,,,21,,RBRVS,40.94,20.19,20.19,,,$0.00 ,$0.00 ,1,0,0,1,1,1,20081001S2065,HCPCS,Simultaneous Pancreas Kidney Transplantation,,,21,,RBRVS,61.68,22.96,22.96,,,$0.00 ,$0.00 ,1,0,1,1,1,1,20081001S2070,HCPCS,Cysto; Laser Tx Ureteral Calc+C13392,,,21,,RBRVS,6.87,3.46,3.46,,,$0.00 ,$0.00 ,1,0,1,1,1,1,20081001S2080,HCPCS,Laser-Assisted Uvulopalatoplasty,,,21,,RBRVS,9.63,7.49,7.49,,,$0.00 ,$0.00 ,1,0,1,1,1,1,20081001S2095,HCPCS,Trnscath Occl/Emboliz Tumr Destruc,,,21,,RBRVS,18.11,6.24,6.24,,,$0.00 ,$0.00 ,1,0,1,1,1,1,20081001S2102,HCPCS,Islet Cell Tiss Tplnt Panc; Allogen,,,21,,TotalUnits,,,,56.97,,$0.00 ,$0.00 ,1,0,0,1,1,1,20081001S2115,HCPCS,Osteot Periacetabular W/Intrl Fix,,,21,,RBRVS,21.87,12.02,12.02,,,$0.00 ,$0.00 ,1,0,0,1,1,1,20081001S2120,HCPCS,Ldl Apheres Heparn Xtrcrp Ldl Precp,,,21,,RBRVS,1.22,0.39,49.59,,,$0.00 ,$0.00 ,1,0,1,1,1,1,20081001S2135,HCPCS,Neurolysis Inj Mt Neuroma/Interdigt,,,21,,RBRVS,1.27,0.49,1.28,,,$0.00 ,$0.00 ,1,0,1,1,1,1,20081001S2140,HCPCS,Cord Bld Harvest Tplnt Allogeneic,,,21,,RBRVS,1.5,0.53,0.53,,,$0.00 ,$0.00 ,1,0,1,1,1,1,20081001S2142,HCPCS,Cord Blood Stem-Cell Tplnt Allogen,,,21,,RBRVS,2.24,0.94,0.94,,,$0.00 ,$0.00 ,1,0,1,1,1,1,20081001S2150,HCPCS,Bn Marrw/Stem Cell Harv Tplnt&Comp;,,,21,,RBRVS,2.24,0.94,0.94,,,$0.00 ,$0.00 ,1,0,1,1,1,1,20081001S2202,HCPCS,Echosclerotherapy,,,21,,RBRVS,1.09,0.64,2.41,,,$0.00 ,$0.00 ,1,0,1,1,1,1,20081001S2205,HCPCS,Min Invas Dir Cab; Art Gft 1 Cag,,,21,,RBRVS,33.64,12.57,12.57,,,$0.00 ,$0.00 ,1,0,0,1,1,1,20081001S2206,HCPCS,Min Invas Dir Cab; Art Gft 2 Cag,,,21,,RBRVS,39.77,14.75,14.75,,,$0.00 ,$0.00 ,1,0,0,1,1,1,20081001S2207,HCPCS,Min Invas Dir Cab; Ven Only 1 Cvg,,,21,,RBRVS,34.87,12.92,12.92,,,$0.00 ,$0.00 ,1,0,0,1,1,1,20081001S2225,HCPCS,Myringotomy Laser-Assisted,,,21,,RBRVS,1.35,1.56,3.32,,,$0.00 ,$0.00 ,1,0,1,1,1,1,20081001S2230,HCPCS,Impl Magnt Cmpnt Semi-Impl Hear Dvc,,,21,,TotalUnits,,,,18.06,,$0.00 ,$0.00 ,1,0,1,1,1,1,20081001S2235,HCPCS,Impl Auditry Brain Stem Implant,,,21,,RBRVS,9.73,8.52,8.52,,,$0.00 ,$0.00 ,1,0,1,1,1,1,20081001S2260,HCPCS,Inducd Ab 17-24 Weeks Any Surg Meth,,,21,,RBRVS,5.9,2.46,2.46,,,$0.00 ,$0.00 ,1,0,0,1,1,1,20081001S2265,HCPCS,Ab Fetal Indication 25-28 Weeks,,,21,,RBRVS,5.9,2.46,2.46,,,$0.00 ,$0.00 ,1,0,0,1,1,1,20081001S2266,HCPCS,Ab Fetal Indication 29-31 Weeks,,,21,,RBRVS,5.9,2.46,2.46,,,$0.00 ,$0.00 ,1,0,0,1,1,1,20081001S2267,HCPCS,Ab Fetal Indication 32 Weeks/>,,,21,,RBRVS,5.9,2.46,2.46,,,$0.00 ,$0.00 ,1,0,0,1,1,1,20081001S2300,HCPCS,Scope Shldr;W/Therml-Inducd Cpslorr,,,21,,TotalUnits,,,,14.57,,$0.00 ,$0.00 ,1,0,1,1,1,1,20081001S2340,HCPCS,Chemodnervat Abductr Musc Vocl Cord,,,21,,RBRVS,3.86,1.65,4.26,,,$0.00 ,$0.00 ,1,0,1,1,1,1,20081001S2341,HCPCS,Chemodenervat Adduct Musc Vocal Crd,,,21,,RBRVS,3.86,1.65,4.26,,,$0.00 ,$0.00 ,1,0,1,1,1,1,20081001S2342,HCPCS,Nasl Endo Postop Debrid Uni/Bil,,,21,,RBRVS,2.98,1.39,4.9,,,$0.00 ,$0.00 ,1,0,1,1,1,1,20081001S2348,HCPCS,Decomp Perq Disc Rf 1/Mx Lumb,,,21,,RBRVS,8.88,4.3,4.3,,,$0.00 ,$0.00 ,1,0,1,1,1,1,20081001S2350,HCPCS,Diskect Ant-Osteophyt;Lumb 1 Intrsp,,,21,,RBRVS,22.75,11.08,11.08,,,$0.00 ,$0.00 ,1,0,0,1,1,1,20081001S2351,HCPCS,Dskct Ant-Osteophyt;Lumb Add Intrsp,,,21,,RBRVS,3.28,1.21,1.21,,,$0.00 ,$0.00 ,1,0,0,1,1,1,20081001S2361,HCPCS,Each Add Cervical Vertebral Body,,,21,,RBRVS,4.3,1.51,1.51,,,$0.00 ,$0.00 ,1,0,1,1,1,1,20081001S3005,HCPCS,Performance Msr Eval Pt Self Assess Depression,,,15,,RBRVS,0.17,0.06,0.32,,,$0.00 ,$0.00 ,1,0,1,1,1,1,20081001S3620,HCPCS,Newborn metabolic screening,,,28,,NW,,,,,,$51.77 ,$0.00 ,1,1,1,0,1,1,20081001S3625,HCPCS,Maternl Serum Triple Markr Scr W/Afp Estriol&Hcg,,,17,,TotalUnits,,,,0.78,,$0.00 ,$0.00 ,1,1,1,0,1,1,20081001S3630,HCPCS,Eosinophil Count Blood Direct,,,17,,TotalUnits,,,,0.2,,$0.00 ,$0.00 ,1,1,1,0,1,1,20081001S3645,HCPCS,Hiv-1 Antibody Testing Oral Mucosal Transudate,,,17,,TotalUnits,,,,0.41,,$0.00 ,$0.00 ,1,1,1,0,1,1,20081001S3650,HCPCS,Saliva Test Hormone Level; During Menopause,,,17,,TotalUnits,,,,3.01,,$0.00 ,$0.00 ,1,1,1,0,1,1,20081001S3652,HCPCS,Saliva Tst Hormone Levl; Assess Prterm Labr Risk,,,17,,TotalUnits,,,,2.44,,$0.00 ,$0.00 ,1,1,1,0,1,1,20081001S3655,HCPCS,Antisperm Antibodies Test,,,17,,TotalUnits,,,,0.5,,$0.00 ,$0.00 ,1,1,1,0,1,1,20081001S3708,HCPCS,Gastrointestinal Fat Absorption Study,,,20,,RBRVS,0.78,0.27,0.27,,,$0.00 ,$0.00 ,1,0,1,1,1,1,20081001S3900,HCPCS,Surface Electromyography,,,14,,RBRVS,0.41,0.1,0.1,,,$0.00 ,$0.00 ,1,0,1,1,1,1,20081001S4005,HCPCS,Interim Labor Facility Global,,,12,,RBRVS,0.53,0.15,0.15,,,$0.00 ,$0.00 ,1,0,1,1,1,1,20081001S4981,HCPCS,Insrt Levonorgestrel Intrautrn Sys,,,21,,RBRVS,1.01,0.23,0.63,,,$0.00 ,$0.00 ,1,0,1,1,1,1,20081001S4993,HCPCS,Contraceptive pills for bc,,,28,,NW,,,,,,$41.41 ,$0.00 ,1,1,1,0,0,1,20081001S5000,HCPCS,"Prescription drug, generic",,,28,,NW,,,,,,$18.98 ,$0.00 ,1,1,1,0,0,1,20081001S5001,HCPCS,"Prescription drug,brand name",,,28,,NW,,,,,,$81.09 ,$0.00 ,1,1,1,0,0,1,20081001S5010,HCPCS,5% dextrose and 0.45% saline,,,28,,NW,,,,,,$13.81 ,$0.00 ,1,1,1,0,0,1,20081001S5011,HCPCS,5% Dextrose in Lactated Ringers 1000 ml ,,,28,,NW,,,,,,$14.96 ,$0.00 ,1,1,1,0,0,1,20081001S5012,HCPCS,5% Dextrose with Potassium Chloride 1000 ml,,,28,,NW,,,,,,$11.35 ,$0.00 ,1,1,1,0,0,1,20081001S5013,HCPCS,5% Dxtrose/0.45% Normal Saline 1000 ml,,,28,,NW,,,,,,$11.35 ,$0.00 ,1,1,1,0,0,1,20081001S5014,HCPCS,5% Dextrose/0.45% NL Saline w/KCL&MGSO4 1500 ml,,,28,,NW,,,,,,$11.35 ,$0.00 ,1,1,1,0,0,1,20081001S5035,HCPCS,Home Infus Tx Routine Infus Devc,,,15,,RBRVS,0.18,0.37,0.37,,,$0.00 ,$0.00 ,1,0,1,0,0,1,20081001S5108,HCPCS,Hom Care Trn Hom Care Client 15 Min,,,19,,RBRVS,0.45,0.37,0.37,,,$0.00 ,$0.00 ,1,0,1,0,0,1,20081001S5109,HCPCS,Home Care Trn Home Care Client Sess,,,19,,RBRVS,0.45,0.37,0.37,,,$0.00 ,$0.00 ,1,0,1,0,0,1,20081001S5110,HCPCS,Home Care Training Fam; Per 15 Min,,,19,,RBRVS,0.45,0.37,0.37,,,$0.00 ,$0.00 ,1,0,1,0,0,1,20081001S5111,HCPCS,Home Care Training Fam; Per Session,,,15,,TotalUnits,,,,2.21,,$0.00 ,$0.00 ,1,0,1,0,0,1,20081001S5115,HCPCS,Home Care Trn Non-Fam; Per 15 Min,,,15,,TotalUnits,,,,2.21,,$0.00 ,$0.00 ,1,0,1,0,0,1,20081001S5116,HCPCS,Home Care Trn Non-Fam; Per Session,,,15,,TotalUnits,,,,2.21,,$0.00 ,$0.00 ,1,0,1,0,0,1,20081001S5180,HCPCS,Home Health Resp Tx Init Evaluation,,,15,,TotalUnits,,,,1.94,,$0.00 ,$0.00 ,1,0,1,0,0,1,20081001S5181,HCPCS,Home Health Resp Tx Nos Per Diem,,,15,,TotalUnits,,,,1.94,,$0.00 ,$0.00 ,1,0,1,0,0,1,20081001S5190,HCPCS,Wellness Assessment Performed By Non-Physician,,,18,,RBRVS,0.48,0.11,0.36,,,$0.00 ,$0.00 ,1,0,1,1,1,1,20081001S5497,HCPCS,HIT cath care noc,,,28,,NW,,,,,,$25.30 ,$0.00 ,1,1,1,1,1,1,20081001S5498,HCPCS,HIT simple cath care,,,28,,NW,,,,,,$25.87 ,$0.00 ,1,1,1,1,1,1,20081001S5501,HCPCS,HIT complex cath care,,,28,,NW,,,,,,$34.50 ,$0.00 ,1,1,1,1,1,1,20081001S5502,HCPCS,HIT interim cath care,,,28,,NW,,,,,,$15.54 ,$0.00 ,1,1,1,1,1,1,20081001S5522,HCPCS,Hom Infus Tx Insrtion Picc Nrs Srvc Only,,,15,,RBRVS,1.82,0.67,4.47,,,$0.00 ,$0.00 ,1,0,1,0,0,1,20081001S5523,HCPCS,Hit Insert Midline Cvc Nrs Srvc Only,,,21,,RBRVS,1.82,0.67,4.47,,,$0.00 ,$0.00 ,1,0,1,0,0,1,20081001S5550,HCPCS,Insulin Rapid Onset; 5 Units,,,29,,NW,,,,,,$0.13 ,$0.00 ,1,1,1,0,0,1,20081001S5551,HCPCS,Insulin Most Rapid Onset; 5 Units,,,29,,NW,,,,,,$0.13 ,$0.00 ,1,1,1,0,0,1,20081001S5552,HCPCS,Insulin Intermediate Acting; 5 Units,,,29,,NW,,,,,,$0.13 ,$0.00 ,1,1,1,0,0,1,20081001S5553,HCPCS,Insulin Long Acting; 5 Units,,,29,,NW,,,,,,$0.13 ,$0.00 ,1,1,1,0,0,1,20081001S8030,HCPCS,Scleral Application Tantalum Ring+C13457,,,21,,RBRVS,9.46,7.66,7.66,,,$0.00 ,$0.00 ,1,0,1,1,1,1,20081001S8037,HCPCS,Mr Cholangiopancreatography,,,20,,TotalUnits,,,,13.37,,$0.00 ,$0.00 ,1,0,1,1,1,1,20081001S8040,HCPCS,Topographic Brain Mapping,,,14,,RBRVS,2.97,3.05,3.05,,,$0.00 ,$0.00 ,1,0,1,1,1,1,20081001S8049,HCPCS,Intraoperative Radiation Therapy,,,20,,RBRVS,0,4.35,4.35,,,$0.00 ,$0.00 ,1,0,1,1,1,1,20081001S8080,HCPCS,Scintimammo Uni W/Spl Radiopharm,,,20,,TotalUnits,,,,1.81,,$0.00 ,$0.00 ,1,0,1,1,1,1,20081001S8085,HCPCS,Fluorine-18 fluorodeoxygluco,,,28,,NW,,,,,,$886.70 ,$0.00 ,1,1,1,0,1,1,20081001S8092,HCPCS,Electron beam computed tomog,,,28,,NW,,,,,,$681.41 ,$0.00 ,1,1,1,0,1,1,20081001S8096,HCPCS,Portable peak flow meter,,,28,,NW,,,,,,$34.50 ,$0.00 ,1,1,1,0,0,1,20081001S8100,HCPCS,Hold Chamb W/Inhal/Nebulizr;No Mask,,,28,,NW,,,,,,$205.08 ,$0.00 ,1,1,1,0,0,1,20081001S8101,HCPCS,Hold Chamb W/Inhal/Nebulizr; W/Mask,,,28,,NW,,,,,,$20.65 ,$0.00 ,1,1,1,0,0,1,20081001S8110,HCPCS,Peak expiratory flow rate (p,,,28,,NW,,,,,,$32.78 ,$0.00 ,1,1,1,0,0,1,20081001S8185,HCPCS,Flutter device,,,28,,NW,,,,,,$63.05 ,$0.00 ,1,1,1,0,0,1,20081001S8186,HCPCS,Swivel adaptor,,,28,,NW,,,,,,$58.65 ,$0.00 ,1,1,1,0,0,1,20081001S8189,HCPCS,Trach supply noc,,,28,,NW,,,,,,$31.05 ,$0.00 ,1,1,1,0,0,1,20081001S8190,HCPCS,Electronic spirometer,,,28,,NW,,,,,,$57.74 ,$0.00 ,1,1,1,0,0,1,20081001S8420,HCPCS,Custom gradient sleev/glov,,,28,,NW,,,,,,$213.85 ,$0.00 ,1,1,1,0,0,1,20081001S8421,HCPCS,Ready gradient sleev/glov,,,28,,NW,,,,,,$40.99 ,$0.00 ,1,1,1,0,0,1,20081001S8422,HCPCS,Custom grad sleeve med,,,28,,NW,,,,,,$142.40 ,$0.00 ,1,1,1,0,0,1,20081001S8423,HCPCS,Custom grad sleeve heavy,,,28,,NW,,,,,,$132.62 ,$0.00 ,1,1,1,0,0,1,20081001S8424,HCPCS,Ready gradient sleeve,,,28,,NW,,,,,,$72.57 ,$0.00 ,1,1,1,0,0,1,20081001S8425,HCPCS,Custom grad glove med,,,28,,NW,,,,,,$34.52 ,$0.00 ,1,1,1,0,0,1,20081001S8427,HCPCS,Ready gradient glove,,,28,,NW,,,,,,$18.56 ,$0.00 ,1,1,1,0,0,1,20081001S8428,HCPCS,Gradent Press Aid Gauntlet Rdy Made,,,28,,NW,,,,,,$55.40 ,$0.00 ,1,1,1,0,0,1,20081001S8429,HCPCS,Gradient pressure wrap,,,28,,NW,,,,,,$263.91 ,$0.00 ,1,1,1,0,0,1,20081001S8450,HCPCS,Splint digit,,,28,,NW,,,,,,$12.09 ,$0.00 ,1,1,1,0,0,1,20081001S8451,HCPCS,Splint wrist or ankle,,,28,,NW,,,,,,$48.31 ,$0.00 ,1,1,1,0,0,1,20081001S8452,HCPCS,Splint elbow,,,28,,NW,,,,,,$93.52 ,$0.00 ,1,1,1,0,0,1,20081001S8950,HCPCS,Complex Lymphedema Tx Ea 15 Min,,,19,,RBRVS,0.43,0.29,0.29,,,$0.00 ,$0.00 ,1,1,1,0,1,0,20081001S9001,HCPCS,Home uterine monitor with or,,,28,,NW,,,,,,$127.66 ,$0.00 ,1,1,1,0,0,1,20081001S9015,HCPCS,Automated EEG monitoring,,,28,,NW,,,,,,$151.82 ,$0.00 ,1,1,1,0,0,1,20081001S9024,HCPCS,Paranasal Sinus Ultrasound,,,20,,TotalUnits,,,,2.44,,$0.00 ,$0.00 ,1,0,1,1,1,1,20081001S9034,HCPCS,Eswl For Gall Stones,,,21,,RBRVS,9.64,6.13,17.1,,,$0.00 ,$0.00 ,1,0,1,1,1,1,20081001S9061,HCPCS,Home Admin Aerosolized Drug Tx Diem,,,15,,RBRVS,0,0.38,0.38,,,$0.00 ,$0.00 ,1,0,1,0,0,1,20081001S9075,HCPCS,Smoking cessation treatment,,,28,,NW,,,,,,$301.90 ,$0.00 ,1,1,1,0,0,1,20081001S9083,HCPCS,Global Fee Urgent Care Centers,,,15,,RBRVS,0.17,0.06,0.32,,,$0.00 ,$0.00 ,1,0,1,1,1,1,20081001S9088,HCPCS,Services provided in urgent,,,28,,NW,,,,,,$155.27 ,$0.00 ,1,1,1,0,0,1,20081001S9090,HCPCS,Vertebral axial decompressio,,,28,,NW,,,,,,$112.13 ,$0.00 ,1,1,1,0,0,1,20081001S9092,HCPCS,Canolith Repositioning Per Visit,,,15,,RBRVS,0.17,0.06,0.32,,,$0.00 ,$0.00 ,1,0,1,1,1,1,20081001S9097,HCPCS,Home Visit For Wound Care,,,15,,TotalUnits,,,,2.21,,$0.00 ,$0.00 ,1,0,1,0,0,1,20081001S9117,HCPCS,Back School Per Visit,,,15,,RBRVS,0.17,0.06,0.32,,,$0.00 ,$0.00 ,1,0,1,1,1,1,20081001S9122,HCPCS,Home health aide or certifie,,,28,,NW,,,,,,$74.30 ,$0.00 ,1,1,1,1,1,1,20081001S9123,HCPCS,Nursing care in home RN,,,28,,NW,,,,,,$126.71 ,$0.00 ,1,1,1,1,1,1,20081001S9124,HCPCS,"Nursing care, in the home; b",,,28,,NW,,,,,,$67.28 ,$0.00 ,1,1,1,1,1,1,20081001S9126,HCPCS,"Hospice care, in the home, p",,,28,,NW,,,,,,$345.03 ,$0.00 ,1,1,1,1,1,1,20081001S9127,HCPCS,"Social work visit, in the ho",,,28,,NW,,,,,,$266.36 ,$0.00 ,1,1,1,1,1,1,20081001S9128,HCPCS,Speech Therapy In The Home Per Diem,,,28,,NW,,,,,,$220.84 ,$0.00 ,1,0,1,0,0,1,20081001S9129,HCPCS,"Occupational therapy, in the",,,28,,NW,,,,,,$225.88 ,$0.00 ,1,1,1,1,1,1,20081001S9131,HCPCS,PT in the home per diem,,,28,,NW,,,,,,$220.81 ,$0.00 ,1,1,1,1,1,1,20081001S9140,HCPCS,"Diabetic Management Program,",,,28,,NW,,,,,,$109.06 ,$0.00 ,1,1,1,1,1,1,20081001S9141,HCPCS,Diab Mgmt Progm F/U Visit Md Prov,,,15,,RBRVS,0,0.59,0.59,,,$0.00 ,$0.00 ,1,1,1,0,1,0,20081001S9145,HCPCS,Insulin Pump Init Instruct Use Pump,,,15,,RBRVS,0,0.59,0.59,,,$0.00 ,$0.00 ,1,1,1,0,1,0,20081001S9208,HCPCS,Home Mgmt Preterm Labor Per Diem,,,15,,TotalUnits,,,,2.91,,$0.00 ,$0.00 ,1,0,1,0,0,1,20081001S9209,HCPCS,Home Mangement Pprom Diem,,,15,,TotalUnits,,,,2.91,,$0.00 ,$0.00 ,1,0,1,0,0,1,20081001S9211,HCPCS,Home Mgmt Gestational Htn; Diem,,,15,,TotalUnits,,,,2.91,,$0.00 ,$0.00 ,1,0,1,0,0,1,20081001S9212,HCPCS,Home Management Postpartum Htn Diem,,,15,,TotalUnits,,,,2.91,,$0.00 ,$0.00 ,1,0,1,0,0,1,20081001S9213,HCPCS,Home Management Preeclampsia; Diem,,,15,,TotalUnits,,,,2.91,,$0.00 ,$0.00 ,1,0,1,0,0,1,20081001S9214,HCPCS,Home Mgmt Gestational Diabetes;Diem,,,15,,TotalUnits,,,,2.91,,$0.00 ,$0.00 ,1,0,1,0,0,1,20081001S9325,HCPCS,HIT pain mgmt per diem,,,28,,NW,,,,,,$405.39 ,$0.00 ,1,1,1,1,1,1,20081001S9326,HCPCS,HIT cont pain per diem,,,28,,NW,,,,,,$163.89 ,$0.00 ,1,1,1,1,1,1,20081001S9327,HCPCS,Hit Intermit Pain Mgmt Infus; Diem,,,28,,NW,,,,,,$431.27 ,$0.00 ,1,0,1,0,0,1,20081001S9328,HCPCS,Hit Implanted Pump Pain Mgmt; Diem,,,28,,NW,,,,,,$377.13 ,$0.00 ,1,0,1,0,0,1,20081001S9329,HCPCS,Hit Chemotherapy Infusion; Per Diem,,,28,,NW,,,,,,$377.13 ,$0.00 ,1,0,1,0,0,1,20081001S9330,HCPCS,HIT cont chem diem,,,28,,NW,,,,,,$155.27 ,$0.00 ,1,1,1,1,1,1,20081001S9331,HCPCS,HIT intermit chemo diem,,,28,,NW,,,,,,$431.27 ,$0.00 ,1,1,1,1,1,1,20081001S9335,HCPCS,Hom Tx Hd; Admin Spl & Eqp Per Diem,,,15,,TotalUnits,,,,2.91,,$0.00 ,$0.00 ,1,0,1,0,0,1,20081001S9336,HCPCS,Hit Cont Anticoagulnt Infus Tx Diem,,,28,,NW,,,,,,$163.89 ,$0.00 ,1,0,1,0,0,1,20081001S9338,HCPCS,HIT immunotherapy diem,,,28,,NW,,,,,,$207.00 ,$0.00 ,1,1,1,1,1,1,20081001S9339,HCPCS,Home Tx; Peritonl Dialysis Per Diem,,,15,,TotalUnits,,,,2.91,,$0.00 ,$0.00 ,1,0,1,0,0,1,20081001S9340,HCPCS,HIT enteral per diem,,,28,,NW,,,,,,$215.65 ,$0.00 ,1,1,1,1,1,1,20081001S9341,HCPCS,Ht; Enterl Nutrit Via Gravity; Diem,,,28,,NW,,,,,,$215.65 ,$0.00 ,1,0,1,0,0,1,20081001S9342,HCPCS,HIT enteral pump diem,,,28,,NW,,,,,,$79.36 ,$0.00 ,1,1,1,1,1,1,20081001S9343,HCPCS,Ht; Enteral Nutrit Via Bolus; Diem,,,28,,NW,,,,,,$215.65 ,$0.00 ,1,0,1,0,0,1,20081001S9345,HCPCS,Hit Anti-Hemophilic Agent; Per Diem,,,28,,NW,,,,,,$377.13 ,$0.00 ,1,0,1,0,0,1,20081001S9346,HCPCS,Hit Alpha-1-Protenas Inhibitr; Diem,,,28,,NW,,,,,,$207.00 ,$0.00 ,1,0,1,0,0,1,20081001S9347,HCPCS,HIT longterm infusion diem,,,28,,NW,,,,,,$112.13 ,$0.00 ,1,1,1,1,1,1,20081001S9348,HCPCS,HIT sympathomim diem,,,28,,NW,,,,,,$15.54 ,$0.00 ,1,1,1,1,1,1,20081001S9349,HCPCS,HIT tocolysis diem,,,28,,NW,,,,,,$345.03 ,$0.00 ,1,1,1,1,1,1,20081001S9351,HCPCS,Hit Cont Anti-Emetic; Per Diem,,,28,,NW,,,,,,$163.89 ,$0.00 ,1,0,1,0,0,1,20081001S9353,HCPCS,Home Infus Tx Cont Insulin; Diem,,,28,,NW,,,,,,$163.89 ,$0.00 ,1,0,1,0,0,1,20081001S9355,HCPCS,Home Infus Tx Chelation;  Per Diem,,,28,,NW,,,,,,$207.00 ,$0.00 ,1,0,1,0,0,1,20081001S9357,HCPCS,Hit Enzyme Repl Iv Tx;  Per Diem,,,28,,NW,,,,,,$377.13 ,$0.00 ,1,0,1,0,0,1,20081001S9359,HCPCS,Hit Anti-Tumr Necros Factor Iv Tx;,,,28,,NW,,,,,,$377.13 ,$0.00 ,1,0,1,0,0,1,20081001S9361,HCPCS,Hit Diuretic Iv Tx;  Per Diem,,,28,,NW,,,,,,$377.13 ,$0.00 ,1,0,1,0,0,1,20081001S9363,HCPCS,Hit Anti-Spasmotic Tx; Per Diem,,,28,,NW,,,,,,$207.00 ,$0.00 ,1,0,1,0,0,1,20081001S9364,HCPCS,HIT tpn total diem,,,28,,NW,,,,,,$742.65 ,$0.00 ,1,1,1,1,1,1,20081001S9365,HCPCS,HIT tpn 1 liter diem,,,28,,NW,,,,,,$742.65 ,$0.00 ,1,1,1,1,1,1,20081001S9366,HCPCS,HIT tpn 2 liter diem,,,28,,NW,,,,,,$742.65 ,$0.00 ,1,1,1,1,1,1,20081001S9367,HCPCS,HIT tpn 3 liter diem,,,28,,NW,,,,,,$742.65 ,$0.00 ,1,1,1,1,1,1,20081001S9368,HCPCS,HIT tpn over 3l diem,,,28,,NW,,,,,,$742.65 ,$0.00 ,1,1,1,1,1,1,20081001S9370,HCPCS,Ht Intermittent Anti-Emetic Inj Tx;,,,28,,NW,,,,,,$86.27 ,$0.00 ,1,0,1,0,0,1,20081001S9372,HCPCS,Ht; Intermit Anticoagulant Inj Tx;,,,28,,NW,,,,,,$86.27 ,$0.00 ,1,0,1,0,0,1,20081001S9373,HCPCS,HIT hydra total diem,,,28,,NW,,,,,,$377.13 ,$0.00 ,1,1,1,1,1,1,20081001S9374,HCPCS,HIT hydra 1 liter diem,,,28,,NW,,,,,,$377.13 ,$0.00 ,1,1,1,1,1,1,20081001S9375,HCPCS,HIT hydra 2 liter diem,,,28,,NW,,,,,,$377.13 ,$0.00 ,1,1,1,1,1,1,20081001S9376,HCPCS,HIT hydra 3 liter diem,,,28,,NW,,,,,,$377.13 ,$0.00 ,1,1,1,1,1,1,20081001S9377,HCPCS,HIT hydra over 3l diem,,,28,,NW,,,,,,$377.13 ,$0.00 ,1,1,1,1,1,1,20081001S9379,HCPCS,HIT noc per diem,,,28,,NW,,,,,,$377.13 ,$0.00 ,1,1,1,1,1,1,20081001S9401,HCPCS,Anticoagulat Clin No Lab Per Sess,,,15,,RBRVS,0.17,0.06,0.32,,,$0.00 ,$0.00 ,1,0,1,1,1,1,20081001S9435,HCPCS,Medical foods for inborn err,,,28,,NW,,,,,,$17.26 ,$0.00 ,1,1,1,0,1,1,20081001S9452,HCPCS,Nutrition Classes Non-Physician Per Session,,,28,,NW,,,,,,$96.60 ,$0.00 ,1,0,1,1,1,1,20081001S9455,HCPCS,"Diabetic Management Program,",,,28,,NW,,,,,,$86.27 ,$0.00 ,1,1,1,1,1,1,20081001S9460,HCPCS,"Diabetic Management Program,",,,28,,NW,,,,,,$120.76 ,$0.00 ,1,1,1,1,1,1,20081001S9465,HCPCS,"Diabetic Management Program,",,,28,,NW,,,,,,$107.33 ,$0.00 ,1,1,1,1,1,1,20081001S9470,HCPCS,"Nutritional counseling, diet",,,28,,NW,,,,,,$96.56 ,$0.00 ,1,1,1,0,1,1,20081001S9474,HCPCS,Entrstml Tx Registered Nrs Cert Entrstml Tx-Diem,,,15,,TotalUnits,,,,1.99,,$0.00 ,$0.00 ,1,0,1,1,1,1,20081001S9475,HCPCS,Amb Set Sbstnc Abs Tx/Dtox Srvc Day,,,16,,RBRVS,2.79,0.49,0.69,,,$0.00 ,$0.00 ,1,0,1,1,1,1,20081001S9480,HCPCS,Intensive Op Psyc Services Per Diem,,,16,,RBRVS,2.79,0.49,0.69,,,$0.00 ,$0.00 ,1,0,1,1,1,1,20081001S9484,HCPCS,Crisis Interven Mentl Hlth Srvc-Hr,,,16,,RBRVS,1.86,0.33,0.53,,,$0.00 ,$0.00 ,1,0,1,1,1,1,20081001S9485,HCPCS,Crisis Intervent Mental Health Serv,,,16,,RBRVS,1.86,0.33,0.53,,,$0.00 ,$0.00 ,1,0,1,1,1,1,20081001S9490,HCPCS,Hit Corticosteroid Infus; Admn Srvc,,,28,,NW,,,,,,$377.13 ,$0.00 ,1,0,1,0,0,1,20081001S9494,HCPCS,HIT antibiotic total diem,,,28,,NW,,,,,,$5.18 ,$0.00 ,1,1,1,1,1,1,20081001S9497,HCPCS,HIT antibiotic q3h diem,,,28,,NW,,,,,,$353.65 ,$0.00 ,1,1,1,1,1,1,20081001S9500,HCPCS,HIT antibiotic q24h diem,,,28,,NW,,,,,,$181.14 ,$0.00 ,1,1,1,1,1,1,20081001S9501,HCPCS,HIT antibiotic q12h diem,,,28,,NW,,,,,,$279.48 ,$0.00 ,1,1,1,1,1,1,20081001S9502,HCPCS,HIT antibiotic q8h diem,,,28,,NW,,,,,,$301.90 ,$0.00 ,1,1,1,1,1,1,20081001S9503,HCPCS,HIT antibiotic q6h diem,,,28,,NW,,,,,,$327.77 ,$0.00 ,1,1,1,1,1,1,20081001S9504,HCPCS,HIT antibiotic q4h diem,,,28,,NW,,,,,,$353.65 ,$0.00 ,1,1,1,1,1,1,20081001S9529,HCPCS,Venipuncture home/snf,,,28,,NW,,,,,,$207.00 ,$0.00 ,1,1,1,0,1,1,20081001S9537,HCPCS,HT hem horm inj diem,,,28,,NW,,,,,,$86.27 ,$0.00 ,1,1,1,1,1,1,20081001S9542,HCPCS,Home Injectable Therapy Noc-Diem,,,28,,NW,,,,,,$6.90 ,$0.00 ,1,0,1,0,0,1,20081001S9558,HCPCS,HT inj growth horm diem,,,28,,NW,,,,,,$6.90 ,$0.00 ,1,1,1,1,1,1,20081001S9559,HCPCS,Home Infus Tx Interferon Per Diem,,,28,,NW,,,,,,$6.90 ,$0.00 ,1,0,1,0,0,1,20081001S9560,HCPCS,Home Inj Tx; Hormonal Therapy Diem,,,28,,NW,,,,,,$6.90 ,$0.00 ,1,0,1,0,0,1,20081001S9562,HCPCS,Hom Inj Tx Palivizumab-Per Diem,,,28,,NW,,,,,,$6.90 ,$0.00 ,1,0,1,0,0,1,20081001S9590,HCPCS,Hom Tx Irrig Tx; W/Admn-Per Diem,,,15,,TotalUnits,,,,2.21,,$0.00 ,$0.00 ,1,0,1,0,0,1,20081001V2020,HCPCS,Vision svcs frames purchases,,,28,,NW,,,,,,$103.06 ,$0.00 ,1,1,1,1,1,1,20081001V2025,HCPCS,Eyeglasses delux frames,,,28,,NW,,,,,,$142.05 ,$0.00 ,1,1,1,1,1,1,20081001V2100,HCPCS,Lens spher single plano 4.00,,,28,,NW,,,,,,$60.50 ,$0.00 ,1,1,1,1,1,1,20081001V2101,HCPCS,Single visn sphere 4.12-7.00,,,28,,NW,,,,,,$63.59 ,$0.00 ,1,1,1,1,1,1,20081001V2102,HCPCS,Singl visn sphere 7.12-20.00,,,28,,NW,,,,,,$88.26 ,$0.00 ,1,1,1,1,1,1,20081001V2103,HCPCS,Spherocylindr 4.00d/12-2.00d,,,28,,NW,,,,,,$52.92 ,$0.00 ,1,1,1,1,1,1,20081001V2104,HCPCS,Spherocylindr 4.00d/2.12-4d,,,28,,NW,,,,,,$58.28 ,$0.00 ,1,1,1,1,1,1,20081001V2105,HCPCS,Spherocylinder 4.00d/4.25-6d,,,28,,NW,,,,,,$63.19 ,$0.00 ,1,1,1,1,1,1,20081001V2106,HCPCS,Spherocylinder 4.00d/>6.00d,,,28,,NW,,,,,,$69.80 ,$0.00 ,1,1,1,1,1,1,20081001V2107,HCPCS,Spherocylinder 4.25d/12-2d,,,28,,NW,,,,,,$66.53 ,$0.00 ,1,1,1,1,1,1,20081001V2108,HCPCS,Spherocylinder 4.25d/2.12-4d,,,28,,NW,,,,,,$68.78 ,$0.00 ,1,1,1,1,1,1,20081001V2109,HCPCS,Spherocylinder 4.25d/4.25-6d,,,28,,NW,,,,,,$75.80 ,$0.00 ,1,1,1,1,1,1,20081001V2110,HCPCS,Spherocylinder 4.25d/over 6d,,,28,,NW,,,,,,$74.82 ,$0.00 ,1,1,1,1,1,1,20081001V2111,HCPCS,Spherocylindr 7.25d/.25-2.25,,,28,,NW,,,,,,$77.88 ,$0.00 ,1,1,1,1,1,1,20081001V2112,HCPCS,Spherocylindr 7.25d/2.25-4d,,,28,,NW,,,,,,$84.75 ,$0.00 ,1,1,1,1,1,1,20081001V2113,HCPCS,Spherocylindr 7.25d/4.25-6d,,,28,,NW,,,,,,$94.74 ,$0.00 ,1,1,1,1,1,1,20081001V2114,HCPCS,Spherocylinder over 12.00d,,,28,,NW,,,,,,$100.92 ,$0.00 ,1,1,1,1,1,1,20081001V2115,HCPCS,Lens lenticular bifocal,,,28,,NW,,,,,,$108.01 ,$0.00 ,1,1,1,1,1,1,20081001V2118,HCPCS,Lens aniseikonic single,,,28,,NW,,,,,,$107.24 ,$0.00 ,1,1,1,1,1,1,20081001V2121,HCPCS,"Lenticular lens, single",,,28,,NW,,,,,,$110.02 ,$0.00 ,1,1,1,1,1,1,20081001V2199,HCPCS,Lens single vision not oth c,,,28,,NW,,,,,,$116.28 ,$0.00 ,1,1,1,1,1,1,20081001V2200,HCPCS,Lens spher bifoc plano 4.00d,,,28,,NW,,,,,,$78.26 ,$0.00 ,1,1,1,1,1,1,20081001V2201,HCPCS,Lens sphere bifocal 4.12-7.0,,,28,,NW,,,,,,$85.05 ,$0.00 ,1,1,1,1,1,1,20081001V2202,HCPCS,Lens sphere bifocal 7.12-20.,,,28,,NW,,,,,,$98.30 ,$0.00 ,1,1,1,1,1,1,20081001V2203,HCPCS,Lens sphcyl bifocal 4.00d/.1,,,28,,NW,,,,,,$78.93 ,$0.00 ,1,1,1,1,1,1,20081001V2204,HCPCS,Lens sphcy bifocal 4.00d/2.1,,,28,,NW,,,,,,$82.39 ,$0.00 ,1,1,1,1,1,1,20081001V2205,HCPCS,Lens sphcy bifocal 4.00d/4.2,,,28,,NW,,,,,,$88.85 ,$0.00 ,1,1,1,1,1,1,20081001V2206,HCPCS,Lens sphcy bifocal 4.00d/ove,,,28,,NW,,,,,,$94.82 ,$0.00 ,1,1,1,1,1,1,20081001V2207,HCPCS,Lens sphcy bifocal 4.25-7d/.,,,28,,NW,,,,,,$86.90 ,$0.00 ,1,1,1,1,1,1,20081001V2208,HCPCS,Lens sphcy bifocal 4.25-7/2.,,,28,,NW,,,,,,$91.07 ,$0.00 ,1,1,1,1,1,1,20081001V2209,HCPCS,Lens sphcy bifocal 4.25-7/4.,,,28,,NW,,,,,,$96.90 ,$0.00 ,1,1,1,1,1,1,20081001V2210,HCPCS,Lens sphcy bifocal 4.25-7/ov,,,28,,NW,,,,,,$104.73 ,$0.00 ,1,1,1,1,1,1,20081001V2211,HCPCS,Lens sphcy bifo 7.25-12/.25-,,,28,,NW,,,,,,$107.86 ,$0.00 ,1,1,1,1,1,1,20081001V2212,HCPCS,Lens sphcyl bifo 7.25-12/2.2,,,28,,NW,,,,,,$110.67 ,$0.00 ,1,1,1,1,1,1,20081001V2213,HCPCS,Lens sphcyl bifo 7.25-12/4.2,,,28,,NW,,,,,,$111.59 ,$0.00 ,1,1,1,1,1,1,20081001V2214,HCPCS,Lens sphcyl bifocal over 12.,,,28,,NW,,,,,,$119.51 ,$0.00 ,1,1,1,1,1,1,20081001V2215,HCPCS,Lens lenticular bifocal,,,28,,NW,,,,,,$120.98 ,$0.00 ,1,1,1,1,1,1,20081001V2218,HCPCS,Lens aniseikonic bifocal,,,28,,NW,,,,,,$140.03 ,$0.00 ,1,1,1,1,1,1,20081001V2219,HCPCS,Lens bifocal seg width over,,,28,,NW,,,,,,$68.37 ,$0.00 ,1,1,1,1,1,1,20081001V2220,HCPCS,Lens bifocal add over 3.25d,,,28,,NW,,,,,,$56.00 ,$0.00 ,1,1,1,1,1,1,20081001V2221,HCPCS,"Lenticular lens, bifocal",,,28,,NW,,,,,,$124.91 ,$0.00 ,1,1,1,1,1,1,20081001V2299,HCPCS,Lens bifocal speciality,,,28,,NW,,,,,,$81.11 ,$0.00 ,1,1,1,1,1,1,20081001V2300,HCPCS,Lens sphere trifocal 4.00d,,,28,,NW,,,,,,$97.71 ,$0.00 ,1,1,1,1,1,1,20081001V2301,HCPCS,Lens sphere trifocal 4.12-7.,,,28,,NW,,,,,,$111.48 ,$0.00 ,1,1,1,1,1,1,20081001V2302,HCPCS,Lens sphere trifocal 7.12-20,,,28,,NW,,,,,,$117.46 ,$0.00 ,1,1,1,1,1,1,20081001V2303,HCPCS,Lens sphcy trifocal 4.0/.12-,,,28,,NW,,,,,,$96.49 ,$0.00 ,1,1,1,1,1,1,20081001V2304,HCPCS,Lens sphcy trifocal 4.0/2.25,,,28,,NW,,,,,,$99.99 ,$0.00 ,1,1,1,1,1,1,20081001V2305,HCPCS,Lens sphcy trifocal 4.0/4.25,,,28,,NW,,,,,,$112.56 ,$0.00 ,1,1,1,1,1,1,20081001V2306,HCPCS,Lens sphcyl trifocal 4.00/>6,,,28,,NW,,,,,,$115.28 ,$0.00 ,1,1,1,1,1,1,20081001V2307,HCPCS,Lens sphcy trifocal 4.25-7/.,,,28,,NW,,,,,,$110.27 ,$0.00 ,1,1,1,1,1,1,20081001V2308,HCPCS,Lens sphc trifocal 4.25-7/2.,,,28,,NW,,,,,,$114.55 ,$0.00 ,1,1,1,1,1,1,20081001V2309,HCPCS,Lens sphc trifocal 4.25-7/4.,,,28,,NW,,,,,,$122.94 ,$0.00 ,1,1,1,1,1,1,20081001V2310,HCPCS,Lens sphc trifocal 4.25-7/>6,,,28,,NW,,,,,,$121.72 ,$0.00 ,1,1,1,1,1,1,20081001V2311,HCPCS,Lens sphc trifo 7.25-12/.25-,,,28,,NW,,,,,,$125.82 ,$0.00 ,1,1,1,1,1,1,20081001V2312,HCPCS,Lens sphc trifo 7.25-12/2.25,,,28,,NW,,,,,,$126.42 ,$0.00 ,1,1,1,1,1,1,20081001V2313,HCPCS,Lens sphc trifo 7.25-12/4.25,,,28,,NW,,,,,,$138.77 ,$0.00 ,1,1,1,1,1,1,20081001V2314,HCPCS,Lens sphcyl trifocal over 12,,,28,,NW,,,,,,$147.49 ,$0.00 ,1,1,1,1,1,1,20081001V2315,HCPCS,Lens lenticular trifocal,,,28,,NW,,,,,,$161.45 ,$0.00 ,1,1,1,1,1,1,20081001V2318,HCPCS,Lens aniseikonic trifocal,,,28,,NW,,,,,,$193.73 ,$0.00 ,1,1,1,1,1,1,20081001V2319,HCPCS,Lens trifocal seg width > 28,,,28,,NW,,,,,,$75.91 ,$0.00 ,1,1,1,1,1,1,20081001V2320,HCPCS,Lens trifocal add over 3.25d,,,28,,NW,,,,,,$79.93 ,$0.00 ,1,1,1,1,1,1,20081001V2321,HCPCS,"Lenticular lens, trifocal",,,28,,NW,,,,,,$159.43 ,$0.00 ,1,1,1,1,1,1,20081001V2399,HCPCS,Lens trifocal speciality,,,28,,NW,,,,,,$81.11 ,$0.00 ,1,1,1,1,1,1,20081001V2410,HCPCS,Lens variab asphericity sing,,,28,,NW,,,,,,$126.49 ,$0.00 ,1,1,1,1,1,1,20081001V2430,HCPCS,Lens variable asphericity bi,,,28,,NW,,,,,,$148.19 ,$0.00 ,1,1,1,1,1,1,20081001V2499,HCPCS,Variable asphericity lens,,,28,,NW,,,,,,$50.01 ,$0.00 ,1,1,1,1,1,1,20081001V2500,HCPCS,Contact lens pmma spherical,,,28,,NW,,,,,,$116.61 ,$0.00 ,1,1,1,1,1,1,20081001V2501,HCPCS,Cntct lens pmma-toric/prism,,,28,,NW,,,,,,$166.74 ,$0.00 ,1,1,1,1,1,1,20081001V2502,HCPCS,Contact lens pmma bifocal,,,28,,NW,,,,,,$200.59 ,$0.00 ,1,1,1,1,1,1,20081001V2503,HCPCS,Cntct lens pmma color vision,,,28,,NW,,,,,,$186.38 ,$0.00 ,1,1,1,1,1,1,20081001V2510,HCPCS,Cntct gas permeable sphericl,,,28,,NW,,,,,,$151.60 ,$0.00 ,1,1,1,1,1,1,20081001V2511,HCPCS,Cntct toric prism ballast,,,28,,NW,,,,,,$208.72 ,$0.00 ,1,1,1,1,1,1,20081001V2512,HCPCS,Cntct lens gas permbl bifocl,,,28,,NW,,,,,,$242.88 ,$0.00 ,1,1,1,1,1,1,20081001V2513,HCPCS,Contact lens extended wear,,,28,,NW,,,,,,$207.25 ,$0.00 ,1,1,1,1,1,1,20081001V2520,HCPCS,Contact lens hydrophilic,,,28,,NW,,,,,,$143.75 ,$0.00 ,1,1,1,1,1,1,20081001V2521,HCPCS,Cntct lens hydrophilic toric,,,28,,NW,,,,,,$234.85 ,$0.00 ,1,1,1,1,1,1,20081001V2522,HCPCS,Cntct lens hydrophil bifocl,,,28,,NW,,,,,,$229.09 ,$0.00 ,1,1,1,1,1,1,20081001V2523,HCPCS,Cntct lens hydrophil extend,,,28,,NW,,,,,,$198.31 ,$0.00 ,1,1,1,1,1,1,20081001V2530,HCPCS,Contact lens gas impermeable,,,28,,NW,,,,,,$283.72 ,$0.00 ,1,1,1,1,1,1,20081001V2531,HCPCS,Contact lens gas permeable,,,28,,NW,,,,,,$598.04 ,$0.00 ,1,1,1,1,1,1,20081001V2599,HCPCS,Contact lens/es other type,,,28,,NW,,,,,,$82.39 ,$0.00 ,1,1,1,1,1,1,20081001V2600,HCPCS,Hand held low vision aids,,,28,,NW,,,,,,$75.06 ,$0.00 ,1,1,1,1,1,1,20081001V2610,HCPCS,Single lens spectacle mount,,,28,,NW,,,,,,$380.88 ,$0.00 ,1,1,1,1,1,1,20081001V2615,HCPCS,Telescop/othr compound lens,,,28,,NW,,,,,,"$1,617.02 ",$0.00 ,1,1,1,1,1,1,20081001V2623,HCPCS,Plastic eye prosth custom,,,28,,NW,,,,,,"$2,681.93 ",$0.00 ,1,1,1,1,1,1,20081001V2624,HCPCS,Polishing artifical eye,,,28,,NW,,,,,,$97.86 ,$0.00 ,1,1,1,1,1,1,20081001V2625,HCPCS,Enlargemnt of eye prosthesis,,,28,,NW,,,,,,"$1,003.47 ",$0.00 ,1,1,1,1,1,1,20081001V2626,HCPCS,Reduction of eye prosthesis,,,28,,NW,,,,,,$494.31 ,$0.00 ,1,1,1,1,1,1,20081001V2627,HCPCS,Scleral cover shell,,,28,,NW,,,,,,"$3,925.64 ",$0.00 ,1,1,1,1,1,1,20081001V2628,HCPCS,Fabrication & fitting,,,28,,NW,,,,,,$793.90 ,$0.00 ,1,1,1,1,1,1,20081001V2629,HCPCS,Prosthetic eye other type,,,28,,NW,,,,,,$865.65 ,$0.00 ,1,1,1,1,1,1,20081001V2630,HCPCS,Anter chamber intraocul lens,,,28,,NW,,,,,,$334.06 ,$0.00 ,1,1,1,0,1,1,20081001V2632,HCPCS,Post chmbr intraocular lens,,,28,,NW,,,,,,$452.63 ,$0.00 ,1,1,1,0,1,1,20081001V2700,HCPCS,Balance lens,,,28,,NW,,,,,,$67.32 ,$0.00 ,1,1,1,1,1,1,20081001V2702,HCPCS,Deluxe lens feature,,,28,,NW,,,,,,$67.32 ,$0.00 ,1,1,1,0,0,1,20081001V2710,HCPCS,Glass/plastic slab off prism,,,28,,NW,,,,,,$96.37 ,$0.00 ,1,1,1,1,1,1,20081001V2715,HCPCS,Prism lens/es,,,28,,NW,,,,,,$20.00 ,$0.00 ,1,1,1,1,1,1,20081001V2718,HCPCS,Fresnell prism press-on lens,,,28,,NW,,,,,,$44.89 ,$0.00 ,1,1,1,1,1,1,20081001V2730,HCPCS,Special base curve,,,28,,NW,,,,,,$33.91 ,$0.00 ,1,1,1,1,1,1,20081001V2744,HCPCS,Tint photochromatic lens/es,,,28,,NW,,,,,,$27.02 ,$0.00 ,1,1,1,1,1,1,20081001V2745,HCPCS,"Tint, any color/solid/grad",,,28,,NW,,,,,,$18.02 ,$0.00 ,1,1,1,1,1,1,20081001V2750,HCPCS,Anti-reflective coating,,,28,,NW,,,,,,$30.97 ,$0.00 ,1,1,1,1,1,1,20081001V2755,HCPCS,UV lens/es,,,28,,NW,,,,,,$27.34 ,$0.00 ,1,1,1,1,1,1,20081001V2760,HCPCS,Scratch resistant coating,,,28,,NW,,,,,,$26.46 ,$0.00 ,1,1,1,1,1,1,20081001V2761,HCPCS,Mirror coating,,,28,,NW,,,,,,$21.27 ,$0.00 ,1,1,1,0,0,1,20081001V2762,HCPCS,"Polarization, any lens",,,28,,NW,,,,,,$21.21 ,$0.00 ,1,1,1,1,1,1,20081001V2770,HCPCS,Occluder lens/es,,,28,,NW,,,,,,$31.61 ,$0.00 ,1,1,1,1,1,1,20081001V2780,HCPCS,Oversize lens/es,,,28,,NW,,,,,,$21.34 ,$0.00 ,1,1,1,1,1,1,20081001V2781,HCPCS,Progressive lens per lens,,,28,,NW,,,,,,$187.70 ,$0.00 ,1,1,1,1,1,1,20081001V2782,HCPCS,"Lens, 1.54-1.65 p/1.60-1.79g",,,28,,NW,,,,,,$74.30 ,$0.00 ,1,1,1,0,1,1,20081001V2783,HCPCS,"Lens, >= 1.66 p/>=1.80 g",,,28,,NW,,,,,,$83.80 ,$0.00 ,1,1,1,0,1,1,20081001V2784,HCPCS,Lens polycarb or equal,,,28,,NW,,,,,,$54.50 ,$0.00 ,1,1,1,0,1,1,20081001V2785,HCPCS,Corneal tissue processing,,,28,,NW,,,,,,"$3,374.17 ",$0.00 ,1,1,1,1,1,1,20081001V2790,HCPCS,Amniotic membrane,,,28,,NW,,,,,,$60.61 ,$0.00 ,1,1,1,0,1,1,20081001V2799,HCPCS,Miscellaneous vision service,,,28,,NW,,,,,,$70.48 ,$0.00 ,1,1,1,0,1,1,20081001V5008,HCPCS,Hearing screening,,,28,,NW,,,,,,$86.36 ,$0.00 ,1,1,1,0,0,1,20081001V5010,HCPCS,Assessment for hearing aid,,,28,,NW,,,,,,$112.56 ,$0.00 ,1,1,1,0,0,1,20081001V5011,HCPCS,Hearing aid fitting/checking,,,28,,NW,,,,,,$175.79 ,$0.00 ,1,1,1,1,1,1,20081001V5014,HCPCS,Hearing aid repair/modifying,,,28,,NW,,,,,,$212.02 ,$0.00 ,1,1,1,1,1,1,20081001V5020,HCPCS,Conformity evaluation,,,28,,NW,,,,,,$98.68 ,$0.00 ,1,1,1,1,1,1,20081001V5030,HCPCS,Body-worn hearing aid air,,,28,,NW,,,,,,"$2,218.02 ",$0.00 ,1,1,1,1,1,1,20081001V5040,HCPCS,Body-worn hearing aid bone,,,28,,NW,,,,,,"$1,640.91 ",$0.00 ,1,1,1,1,1,1,20081001V5050,HCPCS,Hearing aid monaural in ear,,,28,,NW,,,,,,"$1,927.10 ",$0.00 ,1,1,1,1,1,1,20081001V5060,HCPCS,Behind ear hearing aid,,,28,,NW,,,,,,"$1,579.15 ",$0.00 ,1,1,1,1,1,1,20081001V5070,HCPCS,Glasses air conduction,,,28,,NW,,,,,,$794.24 ,$0.00 ,1,1,1,1,1,1,20081001V5080,HCPCS,Glasses bone conduction,,,28,,NW,,,,,,"$2,279.77 ",$0.00 ,1,1,1,1,1,1,20081001V5090,HCPCS,Hearing aid dispensing fee,,,28,,NW,,,,,,$689.75 ,$0.00 ,1,1,1,1,1,1,20081001V5100,HCPCS,Body-worn bilat hearing aid,,,28,,NW,,,,,,"$3,771.24 ",$0.00 ,1,1,1,1,1,1,20081001V5110,HCPCS,Hearing aid dispensing fee,,,28,,NW,,,,,,$703.98 ,$0.00 ,1,1,1,1,1,1,20081001V5120,HCPCS,Body-worn binaur hearing aid,,,28,,NW,,,,,,"$3,272.50 ",$0.00 ,1,1,1,1,1,1,20081001V5130,HCPCS,In ear binaural hearing aid,,,28,,NW,,,,,,"$3,493.37 ",$0.00 ,1,1,1,1,1,1,20081001V5140,HCPCS,Behind ear binaur hearing ai,,,28,,NW,,,,,,"$3,640.61 ",$0.00 ,1,1,1,1,1,1,20081001V5150,HCPCS,Glasses binaural hearing aid,,,28,,NW,,,,,,"$3,899.49 ",$0.00 ,1,1,1,1,1,1,20081001V5160,HCPCS,Dispensing fee binaural,,,28,,NW,,,,,,$880.93 ,$0.00 ,1,1,1,1,1,1,20081001V5170,HCPCS,Within ear cros hearing aid,,,28,,NW,,,,,,"$2,655.00 ",$0.00 ,1,1,1,1,1,1,20081001V5180,HCPCS,Behind ear cros hearing aid,,,28,,NW,,,,,,"$2,218.02 ",$0.00 ,1,1,1,1,1,1,20081001V5190,HCPCS,Glasses cros hearing aid,,,28,,NW,,,,,,"$2,624.14 ",$0.00 ,1,1,1,1,1,1,20081001V5200,HCPCS,Cros hearing aid dispens fee,,,28,,NW,,,,,,$696.87 ,$0.00 ,1,1,1,1,1,1,20081001V5210,HCPCS,In ear bicros hearing aid,,,28,,NW,,,,,,"$2,902.01 ",$0.00 ,1,1,1,1,1,1,20081001V5220,HCPCS,Behind ear bicros hearing ai,,,28,,NW,,,,,,"$2,780.89 ",$0.00 ,1,1,1,1,1,1,20081001V5230,HCPCS,Glasses bicros hearing aid,,,28,,NW,,,,,,"$2,880.64 ",$0.00 ,1,1,1,1,1,1,20081001V5240,HCPCS,Dispensing fee bicros,,,28,,NW,,,,,,$727.74 ,$0.00 ,1,1,1,1,1,1,20081001V5241,HCPCS,"Dispensing fee, monaural",,,28,,NW,,,,,,$139.32 ,$0.00 ,1,1,1,1,1,1,20081001V5242,HCPCS,"Hearing aid, monaural, cic",,,28,,NW,,,,,,"$1,606.24 ",$0.00 ,1,1,1,1,1,1,20081001V5243,HCPCS,"Hearing aid, monaural, itc",,,28,,NW,,,,,,"$1,691.84 ",$0.00 ,1,1,1,1,1,1,20081001V5244,HCPCS,"Hearing aid, prog, mon, cic",,,28,,NW,,,,,,"$3,781.75 ",$0.00 ,1,1,1,1,1,1,20081001V5245,HCPCS,"Hearing aid, prog, mon, itc",,,28,,NW,,,,,,"$2,985.60 ",$0.00 ,1,1,1,1,1,1,20081001V5246,HCPCS,"Hearing aid, prog, mon, ite",,,28,,NW,,,,,,"$1,847.12 ",$0.00 ,1,1,1,1,1,1,20081001V5247,HCPCS,"Hearing aid, prog, mon, bte",,,28,,NW,,,,,,"$2,559.71 ",$0.00 ,1,1,1,1,1,1,20081001V5248,HCPCS,"Hearing aid, binaural, cic",,,28,,NW,,,,,,"$2,032.85 ",$0.00 ,1,1,1,1,1,1,20081001V5249,HCPCS,"Hearing aid, binaural, itc",,,28,,NW,,,,,,"$2,583.54 ",$0.00 ,1,1,1,1,1,1,20081001V5250,HCPCS,"Hearing aid, prog, bin, cic",,,28,,NW,,,,,,"$7,145.51 ",$0.00 ,1,1,1,1,1,1,20081001V5251,HCPCS,"Hearing aid, prog, bin, itc",,,28,,NW,,,,,,"$6,747.42 ",$0.00 ,1,1,1,1,1,1,20081001V5252,HCPCS,"Hearing aid, prog, bin, ite",,,28,,NW,,,,,,"$6,369.25 ",$0.00 ,1,1,1,1,1,1,20081001V5253,HCPCS,"Hearing aid, prog, bin, bte",,,28,,NW,,,,,,"$2,886.06 ",$0.00 ,1,1,1,1,1,1,20081001V5254,HCPCS,"Hearing id, digit, mon, cic",,,28,,NW,,,,,,"$4,478.38 ",$0.00 ,1,1,1,1,1,1,20081001V5255,HCPCS,"Hearing aid, digit, mon, itc",,,28,,NW,,,,,,"$3,542.91 ",$0.00 ,1,1,1,1,1,1,20081001V5256,HCPCS,"Hearing aid, digit, mon, ite",,,28,,NW,,,,,,"$4,229.59 ",$0.00 ,1,1,1,1,1,1,20081001V5257,HCPCS,"Hearing aid, digit, mon, bte",,,28,,NW,,,,,,"$3,105.01 ",$0.00 ,1,1,1,1,1,1,20081001V5258,HCPCS,"Hearing aid, digit, bin, cic",,,28,,NW,,,,,,"$6,765.35 ",$0.00 ,1,1,1,1,1,1,20081001V5259,HCPCS,"Hearing aid, digit, bin, itc",,,28,,NW,,,,,,"$7,961.58 ",$0.00 ,1,1,1,1,1,1,20081001V5260,HCPCS,"Hearing aid, digit, bin, ite",,,28,,NW,,,,,,"$9,155.80 ",$0.00 ,1,1,1,1,1,1,20081001V5261,HCPCS,"Hearing aid, digit, bin, bte",,,28,,NW,,,,,,"$7,563.49 ",$0.00 ,1,1,1,1,1,1,20081001V5262,HCPCS,"Hearing aid, disp, monaural",,,28,,NW,,,,,,$155.26 ,$0.00 ,1,1,1,1,1,1,20081001V5263,HCPCS,"Hearing aid, disp, binaural",,,28,,NW,,,,,,$77.64 ,$0.00 ,1,1,1,1,1,0,20081001V5264,HCPCS,Ear mold/insert,,,28,,NW,,,,,,$98.13 ,$0.00 ,1,1,1,1,1,1,20081001V5265,HCPCS,"Ear mold/insert, disp",,,28,,NW,,,,,,$13.95 ,$0.00 ,1,1,1,1,1,1,20081001V5266,HCPCS,Battery for hearing device,,,28,,NW,,,,,,$2.73 ,$0.00 ,1,1,1,1,1,1,20081001V5267,HCPCS,Hearing aid supply/accessory,,,28,,NW,,,,,,$29.86 ,$0.00 ,1,1,1,1,1,1,20081001V5268,HCPCS,ALD Telephone Amplifier,,,28,,NW,,,,,,$421.73 ,$0.00 ,1,1,1,1,1,1,20081001V5269,HCPCS,"Alerting device, any type",,,28,,NW,,,,,,$617.41 ,$0.00 ,1,1,1,1,1,1,20081001V5270,HCPCS,"ALD, TV amplifier, any type",,,28,,NW,,,,,,$753.52 ,$0.00 ,1,1,1,1,1,1,20081001V5271,HCPCS,"ALD, TV caption decoder",,,28,,NW,,,,,,"$3,914.80 ",$0.00 ,1,1,1,1,1,1,20081001V5272,HCPCS,Tdd,,,28,,NW,,,,,,$886.88 ,$0.00 ,1,1,1,1,1,1,20081001V5273,HCPCS,ALD for cochlear implant,,,28,,NW,,,,,,$585.09 ,$0.00 ,1,1,1,1,1,1,20081001V5274,HCPCS,ALD unspecified,,,28,,NW,,,,,,"$1,297.11 ",$0.00 ,1,1,1,1,1,1,20081001V5275,HCPCS,Ear impression,,,28,,NW,,,,,,$59.70 ,$0.00 ,1,1,1,1,1,1,20081001V5298,HCPCS,Hearing aid noc,,,28,,NW,,,,,,"$3,789.60 ",$0.00 ,1,1,1,1,1,1,20081001V5299,HCPCS,Hearing service,,,28,,NW,,,,,,$972.09 ,$0.00 ,1,1,1,0,0,1,20081001V5336,HCPCS,Repair communication device,,,28,,NW,,,,,,$346.23 ,$0.00 ,1,1,1,0,0,1,20081001V5362,HCPCS,Speech screening,,,8,,RBRVS,0.86,0.28,3.5,,,$0.00 ,$0.00 ,1,1,1,0,1,0,20081001V5363,HCPCS,Language screening,,,8,,RBRVS,0.86,0.28,3.5,,,$0.00 ,$0.00 ,1,1,1,0,1,0,20081001V5364,HCPCS,Dysphagia screening,,,14,,RBRVS,0,1.7,1.7,,,$0.00 ,$0.00 ,1,1,1,0,1,0,20081001 ,,,,,,,,,,,,,,,,,,,,,