"Version 3.4 Update - Professional Services and Supplies Charge Table, Including Ambulance",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,Item Code,Code Type,Decription,Modifier,"Technical, Professional Indicator",Service Category Code,Primary/Bundled Indicator,Charge Type Indicator,Work Expense Units,Provider-Based Practice Expense Units,Non-Provider-Based Practice Expense Units,Total Expense Units, Anesthesia Base Units,Unit Charge,Base Charge,Unit Type,Facility Indicator,Outpatient Indicator,Inpatient Indicator,Skilled Nursing Facility Carveout,Freestanding Carve-out,Start Date,,00100,CPT,Anes-proc salivary glands incl bx,,,3 ,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,00102,CPT,Anes-proc plastic repair cleft lip,,,3 ,,Anesth,,,,,6.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,00103,CPT,Anes-reconstructive proc eyelid,,,3 ,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,00104,CPT,Anes-electroculvulsive therapy,,,3 ,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,00120,CPT,Anes-ext mid&innr ear w/bx; nos,,,3 ,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,00124,CPT,Anes-ext mid&innr ear w/bx; otscpy,,,3 ,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,00126,CPT,Anes-ext mid&innr ear w/bx; tympnot,,,3 ,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,00140,CPT,Anesthesia procedures on eye; nos,,,3 ,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,00142,CPT,Anesthesia proc eye; lens surgery,,,3 ,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,00144,CPT,Anes-proc eye; corneal transplant,,,3 ,,Anesth,,,,,6.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,00145,CPT,Anes-proc eye; vitreoretinal surg,,,3 ,,Anesth,,,,,6.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,00147,CPT,Anesthesia proc eye; iridectomy,,,3 ,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,00148,CPT,Anesthesia proc eye; ophthalmoscopy,,,3 ,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,00160,CPT,Anes-proc nose&access sinuses; nos,,,3 ,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,00162,CPT,Anes-nse&acss sinuses; radl surg,,,3 ,,Anesth,,,,,7.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,00164,CPT,Anes-nse&acss sinuses; bx sft tiss,,,3 ,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,00170,CPT,Anes-intraoral including bx; nos,,,3 ,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,00172,CPT,Anes-intraorl w/bx; repr clt palate,,,3 ,,Anesth,,,,,6.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,00174,CPT,Anes-intraoral w/bx; exc tumor,,,3 ,,Anesth,,,,,6.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,00176,CPT,Anes-intraorl incl bx; radl surgery,,,3 ,,Anesth,,,,,7.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,00190,CPT,Anes-proc facial bones/skull; nos,,,3 ,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,00192,CPT,Anes-proc fce bns/skull; radl surg,,,3 ,,Anesth,,,,,7.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,00210,CPT,Anes-intracran; nos,,,3 ,,Anesth,,,,,11.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,00211,CPT,Anes-intracran; craniotomy/hematoma,,,3 ,,Anesth,,,,,10.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,00212,CPT,Anes-intracran; subdural taps,,,3 ,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,00214,CPT,Anes-cran; burr holes-ventricgrph,,,3 ,,Anesth,,,,,9.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,00215,CPT,Anes-intracran;elev skl fx-xtradurl,,,3 ,,Anesth,,,,,9.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,00216,CPT,Anes-intracran; vascular procedures,,,3 ,,Anesth,,,,,15.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,00218,CPT,Anes-intracran; proc sitting pstn,,,3 ,,Anesth,,,,,13.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,00220,CPT,Anes-intracran;cerebrosp fl shnting,,,3 ,,Anesth,,,,,10.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,00222,CPT,Anes-intracran;elec-coag cran nerv,,,3 ,,Anesth,,,,,6.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,00300,CPT,Anes-integ-musc&nerv-head-trunk;nos,,,3 ,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,00320,CPT,Anes-esoph thyrd trachea;nos 1 yr/>,,,3 ,,Anesth,,,,,6.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,00322,CPT,Anes-esoph thyroid trach;bx thyroid,,,3 ,,Anesth,,,,,3.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,00326,CPT,Anes-larynx&trach chld < 1 yr age,,,3 ,,Anesth,,,,,7.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,00350,CPT,Anes-proc major vessels neck; nos,,,3 ,,Anesth,,,,,10.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,00352,CPT,Anes-proc maj ves neck; simple lig,,,3 ,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,00400,CPT,Anes-integ extrem trnk perin; nos,,,3 ,,Anesth,,,,,3.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,00402,CPT,Anes-integ extrem trnk; brst recon,,,3 ,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,00404,CPT,Anes-integ trunk; radl breast proc,,,3 ,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,00406,CPT,Anes-integ;radl brst w/node dissect,,,3 ,,Anesth,,,,,13.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,00410,CPT,Anes-integ extrm trnk;convrt arryth,,,3 ,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,00450,CPT,Anes-proc clavicle&scapula; nos,,,3 ,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,00452,CPT,Anes-proc clav&scapula; radl surg,,,3 ,,Anesth,,,,,6.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,00454,CPT,Anes-proc clav&scapula; bx clav,,,3 ,,Anesth,,,,,3.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,00470,CPT,Anes-partial rib resection; nos,,,3 ,,Anesth,,,,,6.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,00472,CPT,Anes-part rib res; thoracoplasty,,,3 ,,Anesth,,,,,10.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,00474,CPT,Anes-part rib resection; radl proc,,,3 ,,Anesth,,,,,13.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,00500,CPT,Anes-on esophagus,,,3 ,,Anesth,,,,,15.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,00520,CPT,Anes-closed chest; nos,,,3 ,,Anesth,,,,,6.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,00522,CPT,Anes-closed chest; needle bx pleura,,,3 ,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,00524,CPT,Anes-closed chest; pneumocentesis,,,3 ,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,00528,CPT,Anes-clo chst;mediastnscp no 1 lung,,,3 ,,Anesth,,,,,8.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,00529,CPT,Anes-clos chst; mediastnscpy 1 lung,,,3 ,,Anesth,,,,,11.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,00530,CPT,Anes-perm trns pacemkr insertion,,,3 ,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,00532,CPT,Anes-access cntrl venous circ,,,3 ,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,00534,CPT,Anes-trns insrt/repl pacing defib,,,3 ,,Anesth,,,,,7.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,00537,CPT,Anes-card eps incl radiofreq ablat,,,3 ,,Anesth,,,,,7.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,00539,CPT,Anes-tracheobronchial reconstruct,,,3 ,,Anesth,,,,,18.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,00540,CPT,Anes-thoracot; nos,,,3 ,,Anesth,,,,,12.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,00541,CPT,Anes-thoracot; util 1 lung vent,,,3 ,,Anesth,,,,,15.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,00542,CPT,Anes-thoracot; decortication,,,3 ,,Anesth,,,,,15.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,00546,CPT,Anes-thoracot lungs;thoracoplasty,,,3 ,,Anesth,,,,,15.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,00548,CPT,Anes-thoracot lungs;intrathor trach,,,3 ,,Anesth,,,,,17.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,00550,CPT,Anesthesia for sternal debridement,,,3 ,,Anesth,,,,,10.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,00560,CPT,Anes-hrt pericard sac; w/o oxygntr,,,3 ,,Anesth,,,,,15.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,00561,CPT,"Anesth, heart surg < age 1",,,3 ,,Anesth,,,,,25.0,$1.00,$0.00,3,0,0,1,1,1,20091001,,00562,CPT,Anes-hrt pericard sac; w/oxygntr,,,3 ,,Anesth,,,,,20.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,00563,CPT,Anes-hrt pericard sac;oxygntr&arrst,,,3 ,,Anesth,,,,,25.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,00566,CPT,Anes-direct cabg w/o pump oxygenatr,,,3 ,,Anesth,,,,,25.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,00580,CPT,Anes-hrt tplnt/hrt/lung tplnt,,,3 ,,Anesth,,,,,20.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,00600,CPT,Anesthesia proc c-spine&cord; nos,,,3 ,,Anesth,,,,,10.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,00604,CPT,Anes-cerv spine&cord; pt sit pstn,,,3 ,,Anesth,,,,,13.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,00620,CPT,Anesthesia proc t-spine&cord; nos,,,3 ,,Anesth,,,,,10.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,00622,CPT,Anes-thoracic;thoracolum sympathect,,,3 ,,Anesth,,,,,13.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,00625,CPT,Anes spine tranthor w/o vent,,,3 ,,Anesth,,,,,13.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,00626,CPT,"Anes, spine transthor w/vent",,,3 ,,Anesth,,,,,15.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,00630,CPT,Anesthesia proc lumbar region; nos,,,3 ,,Anesth,,,,,8.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,00632,CPT,Anes-proc lumb rgn; lumb sympathect,,,3 ,,Anesth,,,,,7.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,00634,CPT,Anes-lumb rgn; chemonucleolysis,,,3 ,,Anesth,,,,,10.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,00635,CPT,Anes-lumb rgn; dx/tx lumb punct,,,3 ,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,00640,CPT,Anes-manip spn/clos proc spn,,,3 ,,Anesth,,,,,3.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,00670,CPT,Anes-exten spine & spinal cord,,,3 ,,Anesth,,,,,13.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,00700,CPT,Anes-proc upper ant abd wall; nos,,,3 ,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,00702,CPT,Anes-up ant abd wall; perq livr bx,,,3 ,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,00730,CPT,Anes-proc upper posterior abd wall,,,3 ,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,00740,CPT,Anes-ugi endoscopy-intro prox duod,,,3 ,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,00750,CPT,Anes-hernia repairs upper abd; nos,,,3 ,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,00752,CPT,Anes-hernia repr up abd; &/dehis,,,3 ,,Anesth,,,,,6.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,00754,CPT,Anes-hern repr up abd; omphalocele,,,3 ,,Anesth,,,,,7.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,00756,CPT,Anes-hernia repr up abd;transabd,,,3 ,,Anesth,,,,,7.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,00770,CPT,Anes-on major abd blood vessels,,,3 ,,Anesth,,,,,15.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,00790,CPT,Anes-intraper up abd w/lap;nos,,,3 ,,Anesth,,,,,7.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,00792,CPT,Anes-intraper up abd w/lap;hepatec,,,3 ,,Anesth,,,,,13.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,00794,CPT,Anes-intraper up w/lap;pancreatect,,,3 ,,Anesth,,,,,8.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,00796,CPT,Anes-intraper up w/lap;liver tplnt,,,3 ,,Anesth,,,,,30.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,00797,CPT,Anes-intraper w/lap; gastr restirct,,,3 ,,Anesth,,,,,11.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,00800,CPT,Anes-proc lower ant abd wall; nos,,,3 ,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,00802,CPT,Anes-lw ant abd wall; panniculect,,,3 ,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,00810,CPT,Anes-low intest endo-dist to duod,,,3 ,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,00820,CPT,Anes-proc lower posterior abd wall,,,3 ,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,00830,CPT,Anes-hernia repairs lower abd; nos,,,3 ,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,00832,CPT,Anes-hern rep ; ventral&inci hern s,,,3 ,,Anesth,,,,,6.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,00834,CPT,Anes-hern repr nos under 1 yr age,,,3 ,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,00836,CPT,Anes-hern nos<37wk brth &<50wk surg,,,3 ,,Anesth,,,,,6.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,00840,CPT,Anes-intraper w/laparscpy; nos,,,3 ,,Anesth,,,,,6.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,00842,CPT,Anes-intraper w/laparscpy; amnio,,,3 ,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,00844,CPT,Anes-intraper;abd-perinl resection,,,3 ,,Anesth,,,,,7.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,00846,CPT,Anes-intraper low w/lap;radl hyst,,,3 ,,Anesth,,,,,8.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,00848,CPT,Anes-intraper w/lap;pelv exentratn,,,3 ,,Anesth,,,,,8.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,00851,CPT,Anes-intraper w/lap; tubal lig,,,3 ,,Anesth,,,,,6.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,00860,CPT,Anes-xtraper w/urin tract; nos,,,3 ,,Anesth,,,,,6.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,00862,CPT,Anes-xtraper;up 1/3 ureter/nephrect,,,3 ,,Anesth,,,,,7.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,00864,CPT,Anes-xtraper low abd;tot cystect,,,3 ,,Anesth,,,,,8.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,00865,CPT,Anes-xtraper low;radl prostatect,,,3 ,,Anesth,,,,,7.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,00866,CPT,Anes-xtraper low abd;adrenalectomy,,,3 ,,Anesth,,,,,10.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,00868,CPT,Anes-xtraper low abd;renal trsplnt,,,3 ,,Anesth,,,,,10.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,00870,CPT,Anes-xtraper low abd;cystolithtomy,,,3 ,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,00872,CPT,Anes-lith etracorp;w/water bath,,,3 ,,Anesth,,,,,7.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,00873,CPT,Anes-lith xtracorp;w/o water bath,,,3 ,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,00880,CPT,Anes-proc major lower abd ves; nos,,,3 ,,Anesth,,,,,15.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,00882,CPT,Anes-maj ves; inf vena cava lig,,,3 ,,Anesth,,,,,10.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,00902,CPT,Anesthesia for; anorectal procedure,,,3 ,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,00904,CPT,Anes-for; radical perineal proc,,,3 ,,Anesth,,,,,7.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,00906,CPT,Anesthesia for; vulvectomy,,,3 ,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,00908,CPT,Anes-for; perineal prostatectomy,,,3 ,,Anesth,,,,,6.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,00910,CPT,Anes-transurethral; nos,,,3 ,,Anesth,,,,,3.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,00912,CPT,Anes-trnsureth;resect bladder tumor,,,3 ,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,00914,CPT,Anes-transurethral ; turp,,,3 ,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,00916,CPT,Anes-trnsureth;post resection bleed,,,3 ,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,00918,CPT,Anes-trnsureth;w/manip&/remv calcu,,,3 ,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,00920,CPT,Anesthesia proc male genitalia; nos,,,3 ,,Anesth,,,,,3.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,00921,CPT,Anes-male gnt; vasect unilat/bilat,,,3 ,,Anesth,,,,,3.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,00922,CPT,Anes-proc male gnt; seminl vesicles,,,3 ,,Anesth,,,,,6.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,00924,CPT,Anes-male;undescend testis uni/bil,,,3 ,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,00926,CPT,Anes-male gnt; radl orchect ing,,,3 ,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,00928,CPT,Anes-male gnt; radl orchect abd,,,3 ,,Anesth,,,,,6.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,00930,CPT,Anes-male genit;orchiopexy uni/bil,,,3 ,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,00932,CPT,Anes-proc male gnt; cmpl amp penis,,,3 ,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,00934,CPT,Anes-male;radl amp penis-ing lymph,,,3 ,,Anesth,,,,,6.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,00936,CPT,Anes male;radl amp penis-ing&iliac,,,3 ,,Anesth,,,,,8.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,00938,CPT,Anes-male genit;insrt penile prosth,,,3 ,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,00940,CPT,Anes-vag; not otherwise specified,,,3 ,,Anesth,,,,,3.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,00942,CPT,Anes-vag; colpot vaginect&opn ureth,,,3 ,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,00944,CPT,Anes-vag; vaginal hysterectomy,,,3 ,,Anesth,,,,,6.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,00948,CPT,Anes-vag; cervical cerclage,,,3 ,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,00950,CPT,Anes-vag ; culdoscopy,,,3 ,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,00952,CPT,Anes-vag;hysteroscopy&/salpingraphy,,,3 ,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,01112,CPT,Anes-bn marrow asp&/bx iliac crest,,,3 ,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,01120,CPT,Anesthesia procedures bony pelvis,,,3 ,,Anesth,,,,,6.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,01130,CPT,Anes-body cast application/rev,,,3 ,,Anesth,,,,,3.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,01140,CPT,Anesthesia interpelviabd amputation,,,3 ,,Anesth,,,,,15.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,01150,CPT,Anes-radl tumor pelv no hndqtr amp,,,3 ,,Anesth,,,,,10.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,01160,CPT,Anes-clos proc invlv pubis/si jnt,,,3 ,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,01170,CPT,Anes-open proc invlv pubis/si jnt,,,3 ,,Anesth,,,,,8.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,01173,CPT,Anes-opn rep fx pelv/column acetab,,,3 ,,Anesth,,,,,12.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,01180,CPT,Anes-obtur neurectomy; extrapelvic,,,3 ,,Anesth,,,,,3.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,01190,CPT,Anes-obtur neurectomy; intrapelvic,,,3 ,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,01200,CPT,Anes-all clos proc invlv hip joint,,,3 ,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,01202,CPT,Anes-arthroscopic proc hip joint,,,3 ,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,01210,CPT,Anes-open proc invlv hip joint; nos,,,3 ,,Anesth,,,,,6.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,01212,CPT,Anes-open proc invlv hip;disartic,,,3 ,,Anesth,,,,,10.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,01214,CPT,Anes-opn hip jnt; tot hip arthplsty,,,3 ,,Anesth,,,,,8.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,01215,CPT,Anes-open invlv hip;total hip rev,,,3 ,,Anesth,,,,,10.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,01220,CPT,Anes-all clos proc invlv up 2/3 fem,,,3 ,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,01230,CPT,Anes-open invlv upper 2/3 femur;nos,,,3 ,,Anesth,,,,,6.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,01232,CPT,Anes-open invlv upper 2/3 femur;amp,,,3 ,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,01234,CPT,Anes-open upper 2/3 femur;radl res,,,3 ,,Anesth,,,,,8.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,01250,CPT,Anes-all nerv musc tend fasc up leg,,,3 ,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,01260,CPT,Anes-invlv vns upper leg incl expl,,,3 ,,Anesth,,,,,3.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,01270,CPT,Anes-invlv artery up leg w/gft;nos,,,3 ,,Anesth,,,,,8.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,01272,CPT,Anes-invlv art up leg w/gft;fem lig,,,3 ,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,01274,CPT,Anes-invlv art up leg w/gft;fem emb,,,3 ,,Anesth,,,,,6.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,01320,CPT,Anes-nerv musc fasc burs knee&/pop,,,3 ,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,01340,CPT,Anes-all clos proc lower 1/3 femur,,,3 ,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,01360,CPT,Anes-all open proc lower 1/3 femur,,,3 ,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,01380,CPT,Anes-all closed proc knee joint,,,3 ,,Anesth,,,,,3.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,01382,CPT,Anes-dx arthroscopic proc knee jnt,,,3 ,,Anesth,,,,,3.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,01390,CPT,Anes-all clos up ends tib fib&/pat,,,3 ,,Anesth,,,,,3.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,01392,CPT,Anes-all open up ends tib fib&/pat,,,3 ,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,01400,CPT,Anes-open/scope proc knee jnt; nos,,,3 ,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,01402,CPT,Anes-open/scope knee jnt; tot plsty,,,3 ,,Anesth,,,,,7.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,01404,CPT,Anes-open/scope knee jnt; disartic,,,3 ,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,01420,CPT,Anes-all cast applic/repr w/knee,,,3 ,,Anesth,,,,,3.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,01430,CPT,Anes-proc veins knee&pop area; nos,,,3 ,,Anesth,,,,,3.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,01432,CPT,Anes-vns knee&pop area; av fist,,,3 ,,Anesth,,,,,6.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,01440,CPT,Anes-proc art knee&pop area; nos,,,3 ,,Anesth,,,,,8.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,01442,CPT,Anes-art knee;pop thrombendartect,,,3 ,,Anesth,,,,,8.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,01444,CPT,Anes-art knee;pop exc occl/aneur,,,3 ,,Anesth,,,,,8.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,01462,CPT,Anes-all clos proc low leg ank&foot,,,3 ,,Anesth,,,,,3.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,01464,CPT,Anes-arthroscopic proc ank &or foot,,,3 ,,Anesth,,,,,3.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,01470,CPT,Anes-nerv musc fasc leg ank&ft;nos,,,3 ,,Anesth,,,,,3.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,01472,CPT,Anes-nerv musc leg&ft;repr achilles,,,3 ,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,01474,CPT,Anes-nrv musc leg&ft;gastroc recess,,,3 ,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,01480,CPT,Anes-open bones low leg ank&ft;nos,,,3 ,,Anesth,,,,,3.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,01482,CPT,Anes-open bones lw leg;radl res/amp,,,3 ,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,01484,CPT,Anes-open bns lw leg;osteot tib fib,,,3 ,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,01486,CPT,Anes-open bones lw leg;tot ank repl,,,3 ,,Anesth,,,,,7.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,01490,CPT,Anes-lw leg cast applic removl/repr,,,3 ,,Anesth,,,,,3.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,01500,CPT,Anes-art lw leg w/byps gft; nos,,,3 ,,Anesth,,,,,8.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,01502,CPT,Anes-art low leg w/gft;embolectomy,,,3 ,,Anesth,,,,,6.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,01520,CPT,Anes-proc veins lower leg; nos,,,3 ,,Anesth,,,,,3.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,01522,CPT,Anes-veins lw leg;thrombect direct,,,3 ,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,01610,CPT,Anes-nerv musc tend fasc burs shldr,,,3 ,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,01620,CPT,Anes-all clos hum sc ac&shldr jnt,,,3 ,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,01622,CPT,Anes-dx arthroscopic proc shldr jnt,,,3 ,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,01630,CPT,Anes-open/scope hum sc ac&shldr;nos,,,3 ,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,01632,CPT,Anes-opn/scope hum sc&shldr;rad res,,,3 ,,Anesth,,,,,6.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,01634,CPT,Anes-opn/scope hum sc&shldr;disartc,,,3 ,,Anesth,,,,,9.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,01636,CPT,Anes-opn/scope hum sc ac&shldr; amp,,,3 ,,Anesth,,,,,15.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,01638,CPT,Anes-opn/scope hum sc ac&shldr; replc,,,3 ,,Anesth,,,,,10.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,01650,CPT,Anes-proc art shoulder&axilla; nos,,,3 ,,Anesth,,,,,6.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,01652,CPT,Anes-art shldr&ax; ax-brach aneur,,,3 ,,Anesth,,,,,10.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,01654,CPT,Anes-proc art shldr&ax; byps graft,,,3 ,,Anesth,,,,,8.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,01656,CPT,Anes-art shldr&ax; ax-fem byps gft,,,3 ,,Anesth,,,,,10.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,01670,CPT,Anes-on veins of shoulder&axilla,,,3 ,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,01680,CPT,Anes-shldr cast applc/remv/repr;nos,,,3 ,,Anesth,,,,,3.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,01682,CPT,Anes-shldr cast applic/remv;spica,,,3 ,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,01710,CPT,Anes-nrv musc burs up arm&elb;nos,,,3 ,,Anesth,,,,,3.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,01712,CPT,Anes-nrv musc burs up arm&elb;tenot,,,3 ,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,01714,CPT,Anes-nrv musc up arm&elb;tenoplasty,,,3 ,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,01716,CPT,Anes-nrv musc up arm&elb;tenodesis,,,3 ,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,01730,CPT,Anes-all closed proc humerus&elbow,,,3 ,,Anesth,,,,,3.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,01732,CPT,Anes-dx arthroscopic proc elb joint,,,3 ,,Anesth,,,,,3.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,01740,CPT,Anes-open/surg scope proc elb; nos,,,3 ,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,01742,CPT,Anes-open/scope proc elb;osteot hum,,,3 ,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,01744,CPT,Anes-open/scope elb;rep non/mal hum,,,3 ,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,01756,CPT,Anes-open/scope proc elb; radl proc,,,3 ,,Anesth,,,,,6.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,01758,CPT,Anes-opn/scope elb;exc cyst/tum hum,,,3 ,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,01760,CPT,Anes-open/scope elb; tot elb repl,,,3 ,,Anesth,,,,,7.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,01770,CPT,Anes-proc art upper arm&elbow; nos,,,3 ,,Anesth,,,,,6.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,01772,CPT,Anes-proc art upper arm&elb; embo,,,3 ,,Anesth,,,,,6.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,01780,CPT,Anes-proc veins upper arm&elb; nos,,,3 ,,Anesth,,,,,3.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,01782,CPT,Anes-proc vns up arm&elb; phleborr,,,3 ,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,01810,CPT,Anes-all nerv musc forarm wrst&hnd,,,3 ,,Anesth,,,,,3.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,01820,CPT,Anes-clos radius ulna wrst/hnd bone,,,3 ,,Anesth,,,,,3.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,01829,CPT,Anes-dx arthroscopic proc wrist,,,3 ,,Anesth,,,,,3.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,01830,CPT,Anes-opn/scope/endo wrst/hnd; nos,,,3 ,,Anesth,,,,,3.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,01832,CPT,Anes-open/scope/endo wrst/hnd; tot,,,3 ,,Anesth,,,,,6.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,01840,CPT,Anes-proc art forarm wrst&hand; nos,,,3 ,,Anesth,,,,,6.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,01842,CPT,Anes-proc art forarm wrst&hnd; embo,,,3 ,,Anesth,,,,,6.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,01844,CPT,Anes-vasc shnt/shnt rev any type,,,3 ,,Anesth,,,,,6.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,01850,CPT,Anes-proc vns forarm wrst&hand; nos,,,3 ,,Anesth,,,,,3.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,01852,CPT,Anes-vns forarm wrst&hnd; phleborr,,,3 ,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,01860,CPT,Anes-forarm/hand cast applic/remv,,,3 ,,Anesth,,,,,3.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,01916,CPT,Anes-diagnostic artrgrph/venography,,,3 ,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,01920,CPT,Anes-card cath cor angio&ventrcgrph,,,3 ,,Anesth,,,,,7.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,01922,CPT,Anes-non-invasive imaging/rad tx,,,3 ,,Anesth,,,,,7.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,01924,CPT,Anes-tx intrvn rad art sys; nos,,,3 ,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,01925,CPT,Anes-tx intrvn rad art; carotid/cor,,,3 ,,Anesth,,,,,7.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,01926,CPT,Anes-tx rad art;intrcran -card/aort,,,3 ,,Anesth,,,,,8.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,01930,CPT,Anes-tx intrvn rad venus/lymph; nos,,,3 ,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,01931,CPT,Anes-tx rad venus; intrahep/portal,,,3 ,,Anesth,,,,,7.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,01932,CPT,Anes-tx rad venus; intrathr/jugular,,,3 ,,Anesth,,,,,6.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,01933,CPT,Anes-tx rad venus/lymph; intracran,,,3 ,,Anesth,,,,,7.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,01935,CPT,Anes-perc img spine/spinalcrd; diag,,,3 ,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,01936,CPT,Anes-perc img spine/spinalcrd; ther,,,3 ,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,01951,CPT,Anes-2&3 deg brn exc/debrid; < 4%,,,3 ,,Anesth,,,,,3.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,01952,CPT,Anes-2&3 deg brn exc/debrid; 4-9%,,,3 ,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,01953,CPT,Anes-2-3 deg exc/debrid;ea add 9%,,,3 ,,Anesth,,,,,1.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,01958,CPT,Anes-external cephalic version proc,,,3 ,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,01960,CPT,Anesthesia vaginal delivery only,,,3 ,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,01961,CPT,Anesthesia cesarean delivery only,,,3 ,,Anesth,,,,,7.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,01962,CPT,Anes-urgent hyst follow deliv,,,3 ,,Anesth,,,,,8.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,01963,CPT,Anes-c/s hyst w/o labr analg/anes,,,3 ,,Anesth,,,,,8.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,01965,CPT,"Anesth, inc/missed ab proc",,,3 ,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,01966,CPT,"Anesth, induced ab procedure",,,3 ,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,01967,CPT,Neurax labr anlg/anes-plan vag del,,,3 ,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,01968,CPT,Anes-cd flw neurax labr analg/anes,,,3 ,,Anesth,,,,,2.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,01969,CPT,Anes-c/s hyst flw neurax labr analg,,,3 ,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,01990,CPT,Physiolog supp-harv org-brain dead,,,3 ,,Anesth,,,,,7.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,01991,CPT,Anes-dx/tx nrv blks&inj; not prone,,,3 ,,Anesth,,,,,3.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,01992,CPT,Anes-dx/tx nrv blks&inj; prone pstn,,,3 ,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,01996,CPT,Daily hos epidurl/subarach cont rx,,,3 ,,Anesth,,,,,3.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,01999,CPT,Unlisted anesthsia procedure,,,3 ,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20091001,,10021,CPT,Fna w/o image,,,21 ,,RBRVS,1.27 ,0.37 ,2.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,10022,CPT,Fna w/image,,,21 ,,RBRVS,1.27 ,0.41 ,2.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,10040,CPT,Acne surgery,,,21 ,,RBRVS,1.19 ,0.98 ,1.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,10060,CPT,Drainage of skin abscess,,,21 ,,RBRVS,1.19 ,1.08 ,1.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,10061,CPT,Drainage of skin abscess,,,21 ,,RBRVS,2.42 ,1.51 ,2.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,10080,CPT,Drainage of pilonidal cyst,,,21 ,,RBRVS,1.19 ,1.10 ,2.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,10081,CPT,Drainage of pilonidal cyst,,,21 ,,RBRVS,2.47 ,1.45 ,3.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,10120,CPT,Remove foreign body,,,21 ,,RBRVS,1.23 ,0.94 ,1.95 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,10121,CPT,Remove foreign body,,,21 ,,RBRVS,2.71 ,1.65 ,3.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,10140,CPT,Drainage of hematoma/fluid,,,21 ,,RBRVS,1.55 ,1.29 ,2.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,10160,CPT,Puncture drainage of lesion,,,21 ,,RBRVS,1.22 ,1.08 ,1.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,10180,CPT,"Complex drainage, wound",,,21 ,,RBRVS,2.27 ,1.80 ,3.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,11000,CPT,Debride infected skin,,,21 ,,RBRVS,0.60 ,0.16 ,0.72 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,11001,CPT,Debride infected skin add-on,,,21 ,,RBRVS,0.30 ,0.08 ,0.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,11004,CPT,Debride genitalia & perineum,,,21 ,,RBRVS,10.80 ,3.21 ,3.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,11005,CPT,Debride abdom wall,,,21 ,,RBRVS,14.24 ,3.78 ,3.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,11006,CPT,Debride genit/per/abdom wall,,,21 ,,RBRVS,13.10 ,3.96 ,3.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,11008,CPT,Remove mesh from abd wall,,,21 ,,RBRVS,5.00 ,1.29 ,1.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,11010,CPT,"Debride skin, fx",,,21 ,,RBRVS,4.19 ,2.34 ,6.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,11011,CPT,"Debride skin/muscle, fx",,,21 ,,RBRVS,4.94 ,2.01 ,7.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,11012,CPT,"Debride skin/muscle/bone, fx",,,21 ,,RBRVS,6.87 ,3.11 ,9.01 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,11040,CPT,"Debride skin, partial",,,21 ,,RBRVS,0.50 ,0.16 ,0.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,11041,CPT,"Debride skin, full",,,21 ,,RBRVS,0.60 ,0.19 ,0.72 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,11042,CPT,Debride skin/tissue,,,21 ,,RBRVS,0.80 ,0.24 ,0.95 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,11043,CPT,Debride tissue/muscle,,,21 ,,RBRVS,3.04 ,2.60 ,3.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,11044,CPT,Debride tissue/muscle/bone,,,21 ,,RBRVS,4.11 ,3.58 ,4.84 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,11055,CPT,Trim skin lesion,,,21 ,,RBRVS,0.43 ,0.11 ,0.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,11056,CPT,"Trim skin lesions, 2 to 4",,,21 ,,RBRVS,0.61 ,0.16 ,0.88 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,11057,CPT,"Trim skin lesions, over 4",,,21 ,,RBRVS,0.79 ,0.20 ,0.99 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,11100,CPT,"Biopsy, skin lesion",,,21 ,,RBRVS,0.81 ,0.38 ,1.88 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,11101,CPT,"Biopsy, skin add-on",,,21 ,,RBRVS,0.41 ,0.20 ,0.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,11200,CPT,Removal of skin tags,,,21 ,,RBRVS,0.79 ,0.90 ,1.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,11201,CPT,Remove skin tags add-on,,,21 ,,RBRVS,0.29 ,0.11 ,0.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,11300,CPT,Shave skin lesion,,,21 ,,RBRVS,0.51 ,0.21 ,1.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,11301,CPT,Shave skin lesion,,,21 ,,RBRVS,0.85 ,0.38 ,1.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,11302,CPT,Shave skin lesion,,,21 ,,RBRVS,1.05 ,0.48 ,1.76 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,11303,CPT,Shave skin lesion,,,21 ,,RBRVS,1.24 ,0.55 ,2.03 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,11305,CPT,Shave skin lesion,,,21 ,,RBRVS,0.67 ,0.20 ,1.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,11306,CPT,Shave skin lesion,,,21 ,,RBRVS,0.99 ,0.38 ,1.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,11307,CPT,Shave skin lesion,,,21 ,,RBRVS,1.14 ,0.47 ,1.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,11308,CPT,Shave skin lesion,,,21 ,,RBRVS,1.41 ,0.49 ,1.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,11310,CPT,Shave skin lesion,,,21 ,,RBRVS,0.73 ,0.31 ,1.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,11311,CPT,Shave skin lesion,,,21 ,,RBRVS,1.05 ,0.48 ,1.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,11312,CPT,Shave skin lesion,,,21 ,,RBRVS,1.20 ,0.56 ,1.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,11313,CPT,Shave skin lesion,,,21 ,,RBRVS,1.62 ,0.73 ,2.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,11400,CPT,Exc tr-ext b9+marg 0.5 < cm,,,21 ,,RBRVS,0.87 ,0.93 ,1.88 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,11401,CPT,Exc tr-ext b9+marg 0.6-1 cm,,,21 ,,RBRVS,1.25 ,1.15 ,2.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,11402,CPT,Exc tr-ext b9+marg 1.1-2 cm,,,21 ,,RBRVS,1.42 ,1.21 ,2.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,11403,CPT,Exc tr-ext b9+marg 2.1-3 cm,,,21 ,,RBRVS,1.81 ,1.57 ,2.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,11404,CPT,Exc tr-ext b9+marg 3.1-4 cm,,,21 ,,RBRVS,2.08 ,1.63 ,2.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,11406,CPT,Exc tr-ext b9+marg > 4.0 cm,,,21 ,,RBRVS,3.47 ,2.10 ,3.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,11420,CPT,Exc h-f-nk-sp b9+marg 0.5 <,,,21 ,,RBRVS,1.00 ,0.93 ,1.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,11421,CPT,Exc h-f-nk-sp b9+marg 0.6-1,,,21 ,,RBRVS,1.44 ,1.16 ,2.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,11422,CPT,Exc h-f-nk-sp b9+marg 1.1-2,,,21 ,,RBRVS,1.65 ,1.53 ,2.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,11423,CPT,Exc h-f-nk-sp b9+marg 2.1-3,,,21 ,,RBRVS,2.03 ,1.66 ,2.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,11424,CPT,Exc h-f-nk-sp b9+marg 3.1-4,,,21 ,,RBRVS,2.45 ,1.77 ,2.97 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,11426,CPT,Exc h-f-nk-sp b9+marg > 4 cm,,,21 ,,RBRVS,4.04 ,2.31 ,3.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,11440,CPT,Exc face-mm b9+marg 0.5 < cm,,,21 ,,RBRVS,1.02 ,1.31 ,2.00 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,11441,CPT,Exc face-mm b9+marg 0.6-1 cm,,,21 ,,RBRVS,1.50 ,1.55 ,2.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,11442,CPT,Exc face-mm b9+marg 1.1-2 cm,,,21 ,,RBRVS,1.74 ,1.66 ,2.65 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,11443,CPT,Exc face-mm b9+marg 2.1-3 cm,,,21 ,,RBRVS,2.31 ,1.84 ,2.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,11444,CPT,Exc face-mm b9+marg 3.1-4 cm,,,21 ,,RBRVS,3.16 ,2.10 ,3.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,11446,CPT,Exc face-mm b9+marg > 4 cm,,,21 ,,RBRVS,4.75 ,2.68 ,4.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,11450,CPT,"Removal, sweat gland lesion",,,21 ,,RBRVS,3.14 ,2.41 ,5.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,11451,CPT,"Removal, sweat gland lesion",,,21 ,,RBRVS,4.35 ,2.91 ,6.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,11462,CPT,"Removal, sweat gland lesion",,,21 ,,RBRVS,2.92 ,2.47 ,5.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,11463,CPT,"Removal, sweat gland lesion",,,21 ,,RBRVS,4.35 ,2.94 ,6.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,11470,CPT,"Removal, sweat gland lesion",,,21 ,,RBRVS,3.66 ,2.63 ,5.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,11471,CPT,"Removal, sweat gland lesion",,,21 ,,RBRVS,4.81 ,3.01 ,6.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,11600,CPT,Exc tr-ext mlg+marg 0.5 < cm,,,21 ,,RBRVS,1.58 ,1.14 ,2.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,11601,CPT,Exc tr-ext mlg+marg 0.6-1 cm,,,21 ,,RBRVS,2.02 ,1.51 ,3.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,11602,CPT,Exc tr-ext mlg+marg 1.1-2 cm,,,21 ,,RBRVS,2.22 ,1.69 ,3.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,11603,CPT,Exc tr-ext mlg+marg 2.1-3 cm,,,21 ,,RBRVS,2.77 ,1.87 ,4.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,11604,CPT,Exc tr-ext mlg+marg 3.1-4 cm,,,21 ,,RBRVS,3.12 ,1.93 ,4.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,11606,CPT,Exc tr-ext mlg+marg > 4 cm,,,21 ,,RBRVS,4.97 ,2.46 ,5.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,11620,CPT,Exc h-f-nk-sp mlg+marg 0.5 <,,,21 ,,RBRVS,1.59 ,1.19 ,2.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,11621,CPT,Exc h-f-nk-sp mlg+marg 0.6-1,,,21 ,,RBRVS,2.03 ,1.54 ,3.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,11622,CPT,Exc h-f-nk-sp mlg+marg 1.1-2,,,21 ,,RBRVS,2.36 ,1.75 ,3.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,11623,CPT,Exc h-f-nk-sp mlg+marg 2.1-3,,,21 ,,RBRVS,3.06 ,1.95 ,4.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,11624,CPT,Exc h-f-nk-sp mlg+marg 3.1-4,,,21 ,,RBRVS,3.57 ,2.08 ,4.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,11626,CPT,Exc h-f-nk-sp mlg+mar > 4 cm,,,21 ,,RBRVS,4.56 ,2.33 ,4.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,11640,CPT,Exc face-mm malig+marg 0.5 <,,,21 ,,RBRVS,1.62 ,1.29 ,3.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,11641,CPT,Exc face-mm malig+marg 0.6-1,,,21 ,,RBRVS,2.12 ,1.61 ,3.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,11642,CPT,Exc face-mm malig+marg 1.1-2,,,21 ,,RBRVS,2.57 ,1.84 ,4.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,11643,CPT,Exc face-mm malig+marg 2.1-3,,,21 ,,RBRVS,3.37 ,2.11 ,4.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,11644,CPT,Exc face-mm malig+marg 3.1-4,,,21 ,,RBRVS,4.29 ,2.47 ,5.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,11646,CPT,Exc face-mm mlg+marg > 4 cm,,,21 ,,RBRVS,6.21 ,3.14 ,5.91 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,11719,CPT,Trim nail(s),,,21 ,,RBRVS,0.17 ,0.04 ,0.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,11720,CPT,"Debride nail, 1-5",,,21 ,,RBRVS,0.32 ,0.08 ,0.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,11721,CPT,"Debride nail, 6 or more",,,21 ,,RBRVS,0.54 ,0.14 ,0.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,11730,CPT,Removal of nail plate,,,21 ,,RBRVS,1.10 ,0.28 ,1.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,11732,CPT,"Remove nail plate, add-on",,,21 ,,RBRVS,0.57 ,0.15 ,0.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,11740,CPT,Drain blood from under nail,,,21 ,,RBRVS,0.37 ,0.43 ,0.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,11750,CPT,Removal of nail bed,,,21 ,,RBRVS,2.40 ,1.88 ,2.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,11752,CPT,Remove nail bed/finger tip,,,21 ,,RBRVS,3.48 ,2.78 ,4.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,11755,CPT,"Biopsy, nail unit",,,21 ,,RBRVS,1.31 ,0.76 ,2.03 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,11760,CPT,Repair of nail bed,,,21 ,,RBRVS,1.60 ,1.43 ,3.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,11762,CPT,Reconstruction of nail bed,,,21 ,,RBRVS,2.91 ,1.68 ,3.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,11765,CPT,"Excision of nail fold, toe",,,21 ,,RBRVS,0.71 ,1.01 ,2.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,11770,CPT,Removal of pilonidal lesion,,,21 ,,RBRVS,2.63 ,1.52 ,3.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,11771,CPT,Removal of pilonidal lesion,,,21 ,,RBRVS,5.98 ,3.69 ,6.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,11772,CPT,Removal of pilonidal lesion,,,21 ,,RBRVS,7.23 ,5.56 ,8.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,11900,CPT,Injection into skin lesions,,,21 ,,RBRVS,0.52 ,0.25 ,0.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,11901,CPT,Added skin lesions injection,,,21 ,,RBRVS,0.80 ,0.39 ,1.01 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,11920,CPT,Correct skin color defects,,,21 ,,RBRVS,1.61 ,1.09 ,2.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,11921,CPT,Correct skin color defects,,,21 ,,RBRVS,1.93 ,1.26 ,2.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,11922,CPT,Correct skin color defects,,,21 ,,RBRVS,0.49 ,0.22 ,0.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,11950,CPT,Therapy for contour defects,,,21 ,,RBRVS,0.84 ,0.36 ,0.88 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,11951,CPT,Therapy for contour defects,,,21 ,,RBRVS,1.19 ,0.36 ,0.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,11952,CPT,Therapy for contour defects,,,21 ,,RBRVS,1.69 ,0.77 ,1.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,11954,CPT,Therapy for contour defects,,,21 ,,RBRVS,1.85 ,0.77 ,1.79 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,11960,CPT,Insert tissue expander(s),,,21 ,,RBRVS,11.01 ,10.58 ,10.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,11970,CPT,Replace tissue expander,,,21 ,,RBRVS,7.86 ,6.17 ,6.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,11971,CPT,Remove tissue expander(s),,,21 ,,RBRVS,3.21 ,4.02 ,7.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,11975,CPT,Insert contraceptive cap,,,21 ,,RBRVS,1.48 ,0.34 ,1.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,11976,CPT,Removal of contraceptive cap,,,21 ,,RBRVS,1.78 ,0.48 ,1.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,11977,CPT,Removal/reinsert contra cap,,,21 ,,RBRVS,3.30 ,0.76 ,1.98 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,11980,CPT,Implant hormone pellet(s),,,21 ,,RBRVS,1.48 ,0.49 ,1.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,11981,CPT,Insert drug implant device,,,21 ,,RBRVS,1.48 ,0.58 ,1.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,11982,CPT,Remove drug implant device,,,21 ,,RBRVS,1.78 ,0.70 ,2.02 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,11983,CPT,Remove/insert drug implant,,,21 ,,RBRVS,3.30 ,1.32 ,2.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,12001,CPT,Repair superficial wound(s),,,21 ,,RBRVS,1.72 ,0.73 ,1.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,12002,CPT,Repair superficial wound(s),,,21 ,,RBRVS,1.88 ,0.84 ,1.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,12004,CPT,Repair superficial wound(s),,,21 ,,RBRVS,2.26 ,0.92 ,2.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,12005,CPT,Repair superficial wound(s),,,21 ,,RBRVS,2.88 ,1.06 ,2.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,12006,CPT,Repair superficial wound(s),,,21 ,,RBRVS,3.68 ,1.30 ,3.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,12007,CPT,Repair superficial wound(s),,,21 ,,RBRVS,4.13 ,1.46 ,3.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,12011,CPT,Repair superficial wound(s),,,21 ,,RBRVS,1.78 ,0.76 ,1.91 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,12013,CPT,Repair superficial wound(s),,,21 ,,RBRVS,2.01 ,0.89 ,2.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,12014,CPT,Repair superficial wound(s),,,21 ,,RBRVS,2.48 ,0.98 ,2.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,12015,CPT,Repair superficial wound(s),,,21 ,,RBRVS,3.21 ,1.12 ,2.79 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,12016,CPT,Repair superficial wound(s),,,21 ,,RBRVS,3.94 ,1.28 ,3.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,12017,CPT,Repair superficial wound(s),,,21 ,,RBRVS,4.72 ,1.52 ,1.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,12018,CPT,Repair superficial wound(s),,,21 ,,RBRVS,5.54 ,1.92 ,1.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,12020,CPT,Closure of split wound,,,21 ,,RBRVS,2.64 ,1.75 ,3.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,12021,CPT,Closure of split wound,,,21 ,,RBRVS,1.86 ,1.33 ,1.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,12031,CPT,Intmd wnd repair s/tr/ext,,,21 ,,RBRVS,2.17 ,1.77 ,3.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,12032,CPT,Intmd wnd repair s/tr/ext,,,21 ,,RBRVS,2.49 ,2.28 ,5.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,12034,CPT,Intmd wnd repair s/tr/ext,,,21 ,,RBRVS,2.94 ,2.00 ,4.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,12035,CPT,Intmd wnd repair s/tr/ext,,,21 ,,RBRVS,3.44 ,2.11 ,5.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,12036,CPT,Intmd wnd repair s/tr/ext,,,21 ,,RBRVS,4.06 ,2.23 ,5.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,12037,CPT,Intmd wnd repair s/tr/ext,,,21 ,,RBRVS,4.68 ,2.63 ,5.99 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,12041,CPT,Intmd wnd repair n-hf/genit,,,21 ,,RBRVS,2.39 ,1.78 ,3.87 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,12042,CPT,Intmd wnd repair n-hg/genit,,,21 ,,RBRVS,2.76 ,2.13 ,4.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,12044,CPT,Intmd wnd repair n-hg/genit,,,21 ,,RBRVS,3.16 ,1.95 ,5.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,12045,CPT,Intmd wnd repair n-hg/genit,,,21 ,,RBRVS,3.65 ,2.06 ,5.03 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,12046,CPT,Intmd wnd repair n-hg/genit,,,21 ,,RBRVS,4.26 ,2.29 ,5.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,12047,CPT,Intmd wnd repair n-hg/genit,,,21 ,,RBRVS,4.66 ,2.66 ,6.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,12051,CPT,Intmd wnd repair face/mm,,,21 ,,RBRVS,2.49 ,1.92 ,4.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,12052,CPT,Intmd wnd repair face/mm,,,21 ,,RBRVS,2.81 ,2.56 ,4.87 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,12053,CPT,Intmd wnd repair face/mm,,,21 ,,RBRVS,3.14 ,2.13 ,5.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,12054,CPT,"Intmd wnd repair, face/mm",,,21 ,,RBRVS,3.47 ,2.06 ,5.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,12055,CPT,Intmd wnd repair face/mm,,,21 ,,RBRVS,4.44 ,2.09 ,6.01 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,12056,CPT,Intmd wnd repair face/mm,,,21 ,,RBRVS,5.25 ,2.58 ,6.57 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,12057,CPT,Intmd wnd repair face/mm,,,21 ,,RBRVS,5.97 ,2.93 ,7.76 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,13100,CPT,Repair of wound or lesion,,,21 ,,RBRVS,3.14 ,2.47 ,4.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,13101,CPT,Repair of wound or lesion,,,21 ,,RBRVS,3.93 ,2.97 ,5.95 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,13102,CPT,Repair wound/lesion add-on,,,21 ,,RBRVS,1.24 ,0.53 ,1.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,13120,CPT,Repair of wound or lesion,,,21 ,,RBRVS,3.32 ,2.58 ,4.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,13121,CPT,Repair of wound or lesion,,,21 ,,RBRVS,4.36 ,3.64 ,6.72 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,13122,CPT,Repair wound/lesion add-on,,,21 ,,RBRVS,1.44 ,0.58 ,1.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,13131,CPT,Repair of wound or lesion,,,21 ,,RBRVS,3.80 ,2.88 ,5.01 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,13132,CPT,Repair of wound or lesion,,,21 ,,RBRVS,6.48 ,4.96 ,7.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,13133,CPT,Repair wound/lesion add-on,,,21 ,,RBRVS,2.19 ,0.98 ,1.88 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,13150,CPT,Repair of wound or lesion,,,21 ,,RBRVS,3.82 ,2.72 ,4.72 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,13151,CPT,Repair of wound or lesion,,,21 ,,RBRVS,4.46 ,3.22 ,5.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,13152,CPT,Repair of wound or lesion,,,21 ,,RBRVS,6.34 ,3.92 ,7.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,13153,CPT,Repair wound/lesion add-on,,,21 ,,RBRVS,2.38 ,1.03 ,2.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,13160,CPT,Late closure of wound,,,21 ,,RBRVS,11.84 ,7.02 ,7.02 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,14000,CPT,Skin tissue rearrangement,,,21 ,,RBRVS,6.83 ,6.04 ,8.95 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,14001,CPT,Skin tissue rearrangement,,,21 ,,RBRVS,9.60 ,7.49 ,11.02 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,14020,CPT,Skin tissue rearrangement,,,21 ,,RBRVS,7.66 ,6.89 ,10.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,14021,CPT,Skin tissue rearrangement,,,21 ,,RBRVS,11.18 ,8.66 ,12.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,14040,CPT,Skin tissue rearrangement,,,21 ,,RBRVS,8.44 ,6.99 ,10.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,14041,CPT,Skin tissue rearrangement,,,21 ,,RBRVS,12.67 ,9.35 ,13.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,14060,CPT,Skin tissue rearrangement,,,21 ,,RBRVS,9.07 ,7.18 ,9.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,14061,CPT,Skin tissue rearrangement,,,21 ,,RBRVS,13.67 ,10.18 ,14.84 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,14300,CPT,Skin tissue rearrangement,,,21 ,,RBRVS,13.26 ,9.45 ,13.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,14350,CPT,Skin tissue rearrangement,,,21 ,,RBRVS,10.82 ,6.90 ,6.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,15002,CPT,"Wound prep, trk/arm/leg",,,21 ,,RBRVS,3.65 ,1.69 ,4.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,15003,CPT,"Wound prep, addl 100 cm",,,21 ,,RBRVS,0.80 ,0.26 ,0.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,15004,CPT,"Wound prep, f/n/hf/g",,,21 ,,RBRVS,4.58 ,2.02 ,4.88 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,15005,CPT,"Wnd prep, f/n/hf/g, addl cm",,,21 ,,RBRVS,1.60 ,0.53 ,1.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,15040,CPT,Harvest cultured skin graft,,,21 ,,RBRVS,2.00 ,1.05 ,3.94 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,15050,CPT,Skin pinch graft,,,21 ,,RBRVS,5.37 ,5.01 ,7.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,15100,CPT,"Skin splt grft, trnk/arm/leg",,,21 ,,RBRVS,9.74 ,6.68 ,9.77 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,15101,CPT,"Skin splt grft t/a/l, add-on",,,21 ,,RBRVS,1.72 ,0.85 ,2.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,15110,CPT,Epidrm autogrft trnk/arm/leg,,,21 ,,RBRVS,10.88 ,6.36 ,8.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,15111,CPT,Epidrm autogrft t/a/l add-on,,,21 ,,RBRVS,1.85 ,0.62 ,0.87 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,15115,CPT,Epidrm a-grft face/nck/hf/g,,,21 ,,RBRVS,11.19 ,6.74 ,9.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,15116,CPT,Epidrm a-grft f/n/hf/g addl,,,21 ,,RBRVS,2.50 ,0.86 ,1.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,15120,CPT,Skn splt a-grft fac/nck/hf/g,,,21 ,,RBRVS,10.96 ,7.45 ,11.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,15121,CPT,Skn splt a-grft f/n/hf/g add,,,21 ,,RBRVS,2.67 ,1.29 ,3.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,15130,CPT,"Derm autograft, trnk/arm/leg",,,21 ,,RBRVS,7.41 ,5.58 ,7.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,15131,CPT,Derm autograft t/a/l add-on,,,21 ,,RBRVS,1.50 ,0.48 ,0.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,15135,CPT,Derm autograft face/nck/hf/g,,,21 ,,RBRVS,10.91 ,7.05 ,9.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,15136,CPT,"Derm autograft, f/n/hf/g add",,,21 ,,RBRVS,1.50 ,0.51 ,0.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,15150,CPT,Cult epiderm grft t/arm/leg,,,21 ,,RBRVS,9.30 ,5.76 ,7.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,15151,CPT,Cult epiderm grft t/a/l addl,,,21 ,,RBRVS,2.00 ,0.67 ,0.88 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,15152,CPT,Cult epiderm graft t/a/l +%,,,21 ,,RBRVS,2.50 ,0.84 ,1.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,15155,CPT,"Cult epiderm graft, f/n/hf/g",,,21 ,,RBRVS,10.05 ,6.31 ,7.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,15156,CPT,Cult epidrm grft f/n/hfg add,,,21 ,,RBRVS,2.75 ,0.94 ,1.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,15157,CPT,Cult epiderm grft f/n/hfg +%,,,21 ,,RBRVS,3.00 ,1.03 ,1.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,15170,CPT,Acell graft trunk/arms/legs,,,21 ,,RBRVS,5.99 ,2.60 ,4.01 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,15171,CPT,Acell graft t/arm/leg add-on,,,21 ,,RBRVS,1.55 ,0.46 ,0.60 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,15175,CPT,"Acellular graft, f/n/hf/g",,,21 ,,RBRVS,7.99 ,3.15 ,4.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,15176,CPT,"Acell graft, f/n/hf/g add-on",,,21 ,,RBRVS,2.45 ,0.79 ,1.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,15200,CPT,"Skin full graft, trunk",,,21 ,,RBRVS,8.97 ,6.35 ,9.91 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,15201,CPT,Skin full graft trunk add-on,,,21 ,,RBRVS,1.32 ,0.47 ,2.02 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,15220,CPT,Skin full graft sclp/arm/leg,,,21 ,,RBRVS,7.95 ,6.70 ,10.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,15221,CPT,Skin full graft add-on,,,21 ,,RBRVS,1.19 ,0.50 ,2.00 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,15240,CPT,Skin full grft face/genit/hf,,,21 ,,RBRVS,10.15 ,8.90 ,12.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,15241,CPT,Skin full graft add-on,,,21 ,,RBRVS,1.86 ,0.81 ,2.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,15260,CPT,Skin full graft een & lips,,,21 ,,RBRVS,11.39 ,9.34 ,13.02 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,15261,CPT,Skin full graft add-on,,,21 ,,RBRVS,2.23 ,1.16 ,2.98 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,15300,CPT,"Apply skinallogrft, t/arm/lg",,,21 ,,RBRVS,4.65 ,2.15 ,3.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,15301,CPT,Apply sknallogrft t/a/l addl,,,21 ,,RBRVS,1.00 ,0.32 ,0.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,15320,CPT,Apply skin allogrft f/n/hf/g,,,21 ,,RBRVS,5.36 ,2.36 ,3.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,15321,CPT,Aply sknallogrft f/n/hfg add,,,21 ,,RBRVS,1.50 ,0.51 ,0.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,15330,CPT,Aply acell alogrft t/arm/leg,,,21 ,,RBRVS,3.99 ,2.14 ,3.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,15331,CPT,Aply acell grft t/a/l add-on,,,21 ,,RBRVS,1.00 ,0.36 ,0.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,15335,CPT,"Apply acell graft, f/n/hf/g",,,21 ,,RBRVS,4.50 ,2.01 ,3.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,15336,CPT,Aply acell grft f/n/hf/g add,,,21 ,,RBRVS,1.43 ,0.51 ,0.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,15340,CPT,Apply cult skin substitute,,,21 ,,RBRVS,3.76 ,2.64 ,3.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,15341,CPT,Apply cult skin sub add-on,,,21 ,,RBRVS,0.50 ,0.13 ,0.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,15360,CPT,"Apply cult derm sub, t/a/l",,,21 ,,RBRVS,3.93 ,3.54 ,4.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,15361,CPT,Aply cult derm sub t/a/l add,,,21 ,,RBRVS,1.15 ,0.32 ,0.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,15365,CPT,Apply cult derm sub f/n/hf/g,,,21 ,,RBRVS,4.21 ,3.10 ,4.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,15366,CPT,Apply cult derm f/hf/g add,,,21 ,,RBRVS,1.45 ,0.47 ,0.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,15400,CPT,"Apply skin xenograft, t/a/l",,,21 ,,RBRVS,4.38 ,3.76 ,5.00 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,15401,CPT,Apply skn xenogrft t/a/l add,,,21 ,,RBRVS,1.00 ,0.33 ,1.01 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,15420,CPT,"Apply skin xgraft, f/n/hf/g",,,21 ,,RBRVS,4.89 ,4.18 ,5.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,15421,CPT,Apply skn xgrft f/n/hf/g add,,,21 ,,RBRVS,1.50 ,0.48 ,1.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,15430,CPT,Apply acellular xenograft,,,21 ,,RBRVS,5.93 ,6.06 ,6.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,15431,CPT,Apply acellular xgraft add,,,21 ,,TotalUnits,,,,3.73 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,15570,CPT,Form skin pedicle flap,,,21 ,,RBRVS,10.00 ,6.27 ,10.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,15572,CPT,Form skin pedicle flap,,,21 ,,RBRVS,9.94 ,6.66 ,9.79 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,15574,CPT,Form skin pedicle flap,,,21 ,,RBRVS,10.52 ,7.04 ,10.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,15576,CPT,Form skin pedicle flap,,,21 ,,RBRVS,9.24 ,6.52 ,9.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,15600,CPT,Skin graft,,,21 ,,RBRVS,1.95 ,2.75 ,5.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,15610,CPT,Skin graft,,,21 ,,RBRVS,2.46 ,3.05 ,5.57 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,15620,CPT,Skin graft,,,21 ,,RBRVS,3.62 ,3.90 ,6.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,15630,CPT,Skin graft,,,21 ,,RBRVS,3.95 ,4.32 ,7.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,15650,CPT,Transfer skin pedicle flap,,,21 ,,RBRVS,4.64 ,4.39 ,7.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,15731,CPT,Forehead flap w/vasc pedicle,,,21 ,,RBRVS,14.12 ,9.34 ,11.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,15732,CPT,"Muscle-skin graft, head/neck",,,21 ,,RBRVS,19.70 ,11.10 ,14.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,15734,CPT,"Muscle-skin graft, trunk",,,21 ,,RBRVS,19.62 ,11.85 ,15.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,15736,CPT,"Muscle-skin graft, arm",,,21 ,,RBRVS,16.92 ,9.60 ,13.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,15738,CPT,"Muscle-skin graft, leg",,,21 ,,RBRVS,18.92 ,10.20 ,13.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,15740,CPT,Island pedicle flap graft,,,21 ,,RBRVS,11.57 ,9.43 ,13.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,15750,CPT,Neurovascular pedicle graft,,,21 ,,RBRVS,12.73 ,8.86 ,8.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,15756,CPT,Free myo/skin flap microvasc,,,21 ,,RBRVS,36.74 ,18.57 ,18.57 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,15757,CPT,"Free skin flap, microvasc",,,21 ,,RBRVS,36.95 ,17.87 ,17.87 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,15758,CPT,"Free fascial flap, microvasc",,,21 ,,RBRVS,36.70 ,17.58 ,17.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,15760,CPT,Composite skin graft,,,21 ,,RBRVS,9.68 ,7.06 ,10.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,15770,CPT,Derma-fat-fascia graft,,,21 ,,RBRVS,8.73 ,6.64 ,6.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,15775,CPT,Hair transplant punch grafts,,,21 ,,RBRVS,3.95 ,1.23 ,2.88 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,15776,CPT,Hair transplant punch grafts,,,21 ,,RBRVS,5.53 ,2.14 ,4.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,15780,CPT,Abrasion treatment of skin,,,21 ,,RBRVS,8.50 ,6.53 ,11.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,15781,CPT,Abrasion treatment of skin,,,21 ,,RBRVS,4.91 ,5.64 ,8.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,15782,CPT,Abrasion treatment of skin,,,21 ,,RBRVS,4.36 ,4.97 ,8.72 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,15783,CPT,Abrasion treatment of skin,,,21 ,,RBRVS,4.33 ,4.97 ,7.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,15786,CPT,"Abrasion, lesion, single",,,21 ,,RBRVS,2.05 ,1.25 ,3.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,15787,CPT,"Abrasion, lesions, add-on",,,21 ,,RBRVS,0.33 ,0.08 ,0.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,15788,CPT,"Chemical peel, face, epiderm",,,21 ,,RBRVS,2.09 ,4.13 ,9.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,15789,CPT,"Chemical peel, face, dermal",,,21 ,,RBRVS,4.91 ,5.83 ,9.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,15792,CPT,"Chemical peel, nonfacial",,,21 ,,RBRVS,1.86 ,4.58 ,8.98 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,15793,CPT,"Chemical peel, nonfacial",,,21 ,,RBRVS,3.82 ,4.90 ,8.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,15819,CPT,"Plastic surgery, neck",,,21 ,,RBRVS,10.45 ,6.68 ,6.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,15820,CPT,Revision of lower eyelid,,,21 ,,RBRVS,6.09 ,5.20 ,6.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,15821,CPT,Revision of lower eyelid,,,21 ,,RBRVS,6.66 ,5.28 ,6.57 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,15822,CPT,Revision of upper eyelid,,,21 ,,RBRVS,4.51 ,4.09 ,5.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,15823,CPT,Revision of upper eyelid,,,21 ,,RBRVS,8.12 ,6.11 ,7.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,15824,CPT,Removal of forehead wrinkles,,,21 ,,TotalUnits,,,,16.56 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,15825,CPT,Removal of neck wrinkles,,,21 ,,TotalUnits,,,,18.63 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,15826,CPT,Removal of brow wrinkles,,,21 ,,TotalUnits,,,,13.46 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,15828,CPT,Removal of face wrinkles,,,21 ,,TotalUnits,,,,35.19 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,15829,CPT,Removal of skin wrinkles,,,21 ,,TotalUnits,,,,39.33 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,15830,CPT,Exc skin abd,,,21 ,,RBRVS,16.90 ,9.82 ,9.82 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,15832,CPT,Excise excessive skin tissue,,,21 ,,RBRVS,12.65 ,8.28 ,8.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,15833,CPT,Excise excessive skin tissue,,,21 ,,RBRVS,11.70 ,7.50 ,7.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,15834,CPT,Excise excessive skin tissue,,,21 ,,RBRVS,11.97 ,8.16 ,8.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,15835,CPT,Excise excessive skin tissue,,,21 ,,RBRVS,12.79 ,7.86 ,7.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,15836,CPT,Excise excessive skin tissue,,,21 ,,RBRVS,10.41 ,6.83 ,6.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,15837,CPT,Excise excessive skin tissue,,,21 ,,RBRVS,9.37 ,5.79 ,8.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,15838,CPT,Excise excessive skin tissue,,,21 ,,RBRVS,8.07 ,5.45 ,5.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,15839,CPT,Excise excessive skin tissue,,,21 ,,RBRVS,10.32 ,6.47 ,9.76 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,15840,CPT,Graft for face nerve palsy,,,21 ,,RBRVS,14.76 ,8.93 ,8.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,15841,CPT,Graft for face nerve palsy,,,21 ,,RBRVS,25.69 ,13.54 ,13.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,15842,CPT,Flap for face nerve palsy,,,21 ,,RBRVS,40.68 ,20.89 ,20.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,15845,CPT,"Skin and muscle repair, face",,,21 ,,RBRVS,14.04 ,8.36 ,8.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,15850,CPT,Removal of sutures,,,21 ,,RBRVS,0.78 ,0.18 ,1.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,15851,CPT,Removal of sutures,,,21 ,,RBRVS,0.86 ,0.24 ,1.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,15852,CPT,Dressing change not for burn,,,21 ,,RBRVS,0.86 ,0.25 ,0.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,15860,CPT,Test for blood flow in graft,,,21 ,,RBRVS,1.95 ,0.64 ,0.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,15876,CPT,Suction assisted lipectomy,,,21 ,,TotalUnits,,,,28.55 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,15877,CPT,Suction assisted lipectomy,,,21 ,,TotalUnits,,,,8.01 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,15878,CPT,Suction assisted lipectomy,,,21 ,,TotalUnits,,,,13.00 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,15879,CPT,Suction assisted lipectomy,,,21 ,,TotalUnits,,,,4.22 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,15920,CPT,Removal of tail bone ulcer,,,21 ,,RBRVS,8.15 ,5.35 ,5.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,15922,CPT,Removal of tail bone ulcer,,,21 ,,RBRVS,10.23 ,7.17 ,7.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,15931,CPT,Remove sacrum pressure sore,,,21 ,,RBRVS,9.96 ,5.56 ,5.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,15933,CPT,Remove sacrum pressure sore,,,21 ,,RBRVS,11.60 ,7.31 ,7.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,15934,CPT,Remove sacrum pressure sore,,,21 ,,RBRVS,13.54 ,7.73 ,7.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,15935,CPT,Remove sacrum pressure sore,,,21 ,,RBRVS,15.58 ,9.18 ,9.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,15936,CPT,Remove sacrum pressure sore,,,21 ,,RBRVS,13.04 ,7.42 ,7.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,15937,CPT,Remove sacrum pressure sore,,,21 ,,RBRVS,15.00 ,8.94 ,8.94 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,15940,CPT,Remove hip pressure sore,,,21 ,,RBRVS,10.11 ,5.81 ,5.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,15941,CPT,Remove hip pressure sore,,,21 ,,RBRVS,12.24 ,8.43 ,8.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,15944,CPT,Remove hip pressure sore,,,21 ,,RBRVS,12.27 ,8.14 ,8.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,15945,CPT,Remove hip pressure sore,,,21 ,,RBRVS,13.57 ,8.81 ,8.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,15946,CPT,Remove hip pressure sore,,,21 ,,RBRVS,23.80 ,13.71 ,13.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,15950,CPT,Remove thigh pressure sore,,,21 ,,RBRVS,7.91 ,5.40 ,5.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,15951,CPT,Remove thigh pressure sore,,,21 ,,RBRVS,11.41 ,7.34 ,7.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,15952,CPT,Remove thigh pressure sore,,,21 ,,RBRVS,12.14 ,7.46 ,7.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,15953,CPT,Remove thigh pressure sore,,,21 ,,RBRVS,13.39 ,8.23 ,8.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,15956,CPT,Remove thigh pressure sore,,,21 ,,RBRVS,16.59 ,9.55 ,9.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,15958,CPT,Remove thigh pressure sore,,,21 ,,RBRVS,16.55 ,10.43 ,10.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,15999,CPT,Removal of pressure sore,,,21 ,,TotalUnits,,,,11.32 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,16000,CPT,Initial treatment of burn(s),,,21 ,,RBRVS,0.89 ,0.23 ,0.72 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,16020,CPT,"Dress/debrid p-thick burn, s",,,21 ,,RBRVS,0.80 ,0.56 ,1.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,16025,CPT,"Dress/debrid p-thick burn, m",,,21 ,,RBRVS,1.85 ,0.86 ,1.57 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,16030,CPT,"Dress/debrid p-thick burn, l",,,21 ,,RBRVS,2.08 ,1.02 ,2.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,16035,CPT,"Incision of burn scab, initi",,,21 ,,RBRVS,3.74 ,1.22 ,1.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,16036,CPT,Escharotomy; add'l incision,,,21 ,,RBRVS,1.50 ,0.46 ,0.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,17000,CPT,Destruct premalg lesion,,,21 ,,RBRVS,0.62 ,0.74 ,1.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,17003,CPT,"Destruct premalg les, 2-14",,,21 ,,RBRVS,0.07 ,0.03 ,0.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,17004,CPT,Destroy premlg lesions 15+,,,21 ,,RBRVS,1.82 ,1.38 ,2.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,17106,CPT,Destruction of skin lesions,,,21 ,,RBRVS,4.62 ,3.28 ,4.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,17107,CPT,Destruction of skin lesions,,,21 ,,RBRVS,9.19 ,4.95 ,6.98 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,17108,CPT,Destruction of skin lesions,,,21 ,,RBRVS,13.22 ,6.39 ,8.87 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,17110,CPT,"Destruct b9 lesion, 1-14",,,21 ,,RBRVS,0.67 ,0.88 ,1.79 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,17111,CPT,"Destruct lesion, 15 or more",,,21 ,,RBRVS,0.94 ,1.11 ,2.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,17250,CPT,"Chemical cautery, tissue",,,21 ,,RBRVS,0.50 ,0.38 ,1.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,17260,CPT,Destruction of skin lesions,,,21 ,,RBRVS,0.93 ,0.71 ,1.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,17261,CPT,Destruction of skin lesions,,,21 ,,RBRVS,1.19 ,1.07 ,2.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,17262,CPT,Destruction of skin lesions,,,21 ,,RBRVS,1.60 ,1.27 ,2.84 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,17263,CPT,Destruction of skin lesions,,,21 ,,RBRVS,1.81 ,1.37 ,3.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,17264,CPT,Destruction of skin lesions,,,21 ,,RBRVS,1.96 ,1.44 ,3.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,17266,CPT,Destruction of skin lesions,,,21 ,,RBRVS,2.36 ,1.59 ,3.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,17270,CPT,Destruction of skin lesions,,,21 ,,RBRVS,1.34 ,1.10 ,2.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,17271,CPT,Destruction of skin lesions,,,21 ,,RBRVS,1.51 ,1.22 ,2.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,17272,CPT,Destruction of skin lesions,,,21 ,,RBRVS,1.79 ,1.37 ,2.97 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,17273,CPT,Destruction of skin lesions,,,21 ,,RBRVS,2.07 ,1.49 ,3.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,17274,CPT,Destruction of skin lesions,,,21 ,,RBRVS,2.61 ,1.74 ,3.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,17276,CPT,Destruction of skin lesions,,,21 ,,RBRVS,3.22 ,1.97 ,3.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,17280,CPT,Destruction of skin lesions,,,21 ,,RBRVS,1.19 ,1.03 ,2.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,17281,CPT,Destruction of skin lesions,,,21 ,,RBRVS,1.74 ,1.33 ,2.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,17282,CPT,Destruction of skin lesions,,,21 ,,RBRVS,2.06 ,1.49 ,3.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,17283,CPT,Destruction of skin lesions,,,21 ,,RBRVS,2.66 ,1.77 ,3.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,17284,CPT,Destruction of skin lesions,,,21 ,,RBRVS,3.23 ,2.03 ,3.97 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,17286,CPT,Destruction of skin lesions,,,21 ,,RBRVS,4.45 ,2.49 ,4.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,17311,CPT,"Mohs, 1 stage, h/n/hf/g",,,21 ,,RBRVS,6.20 ,3.05 ,10.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,17312,CPT,Mohs addl stage,,,21 ,,RBRVS,3.30 ,1.62 ,6.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,17313,CPT,"Mohs, 1 stage, t/a/l",,,21 ,,RBRVS,5.56 ,2.74 ,9.88 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,17314,CPT,"Mohs, addl stage, t/a/l",,,21 ,,RBRVS,3.06 ,1.50 ,6.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,17315,CPT,"Mohs surg, addl block",,,21 ,,RBRVS,0.87 ,0.43 ,1.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,17340,CPT,Cryotherapy of skin,,,21 ,,RBRVS,0.76 ,0.38 ,0.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,17360,CPT,Skin peel therapy,,,21 ,,RBRVS,1.44 ,1.01 ,1.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,17380,CPT,Hair removal by electrolysis,,,21 ,,TotalUnits,,,,0.88 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,17999,CPT,Skin tissue procedure,,,21 ,,TotalUnits,,,,5.31 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,19000,CPT,Drainage of breast lesion,,,21 ,,RBRVS,0.84 ,0.26 ,1.91 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,19001,CPT,Drain breast lesion add-on,,,21 ,,RBRVS,0.42 ,0.14 ,0.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,19020,CPT,Incision of breast lesion,,,21 ,,RBRVS,3.74 ,3.04 ,6.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,19030,CPT,Injection for breast x-ray,,,21 ,,RBRVS,1.53 ,0.54 ,2.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,19100,CPT,Bx breast percut w/o image,,,21 ,,RBRVS,1.27 ,0.33 ,2.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,19101,CPT,"Biopsy of breast, open",,,21 ,,RBRVS,3.20 ,1.78 ,4.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,19102,CPT,Bx breast percut w/image,,,21 ,,RBRVS,2.00 ,0.68 ,3.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,19103,CPT,Bx breast percut w/device,,,21 ,,RBRVS,3.69 ,1.19 ,10.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,19105,CPT,"Cryosurg ablate fa, each",,,21 ,,RBRVS,3.69 ,1.00 ,46.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,19110,CPT,Nipple exploration,,,21 ,,RBRVS,4.35 ,3.10 ,6.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,19112,CPT,Excise breast duct fistula,,,21 ,,RBRVS,3.72 ,3.13 ,6.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,19120,CPT,Removal of breast lesion,,,21 ,,RBRVS,5.84 ,3.37 ,5.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,19125,CPT,"Excision, breast lesion",,,21 ,,RBRVS,6.59 ,3.65 ,5.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,19126,CPT,"Excision, addl breast lesion",,,21 ,,RBRVS,2.93 ,0.75 ,0.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,19260,CPT,Removal of chest wall lesion,,,21 ,,RBRVS,17.60 ,10.15 ,10.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,19271,CPT,Revision of chest wall,,,21 ,,RBRVS,21.86 ,15.83 ,15.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,19272,CPT,Extensive chest wall surgery,,,21 ,,RBRVS,24.82 ,16.97 ,16.97 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,19290,CPT,"Place needle wire, breast",,,21 ,,RBRVS,1.27 ,0.45 ,2.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,19291,CPT,"Place needle wire, breast",,,21 ,,RBRVS,0.63 ,0.22 ,1.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,19295,CPT,"Place breast clip, percut",,,21 ,,RBRVS,0.00 ,2.28 ,2.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,19296,CPT,Place po breast cath for rad,,,21 ,,RBRVS,3.63 ,1.19 ,86.03 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,19297,CPT,Place breast cath for rad,,,21 ,,RBRVS,1.72 ,0.44 ,0.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,19298,CPT,Place breast rad tube/caths,,,21 ,,RBRVS,6.00 ,2.11 ,22.02 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,19300,CPT,Removal of breast tissue,,,21 ,,RBRVS,5.20 ,3.86 ,8.06 ,,,$0.00,$0.00,1,0,1,1,1,0,20091001,,19301,CPT,Partical mastectomy,,,21 ,,RBRVS,10.00 ,4.63 ,4.63 ,,,$0.00,$0.00,1,0,1,1,1,0,20091001,,19302,CPT,P-mastectomy w/ln removal,,,21 ,,RBRVS,13.88 ,6.14 ,6.14 ,,,$0.00,$0.00,1,0,1,1,1,0,20091001,,19303,CPT,"Mast, simple, complete",,,21 ,,RBRVS,15.67 ,7.00 ,7.00 ,,,$0.00,$0.00,1,0,1,1,1,0,20091001,,19304,CPT,"Mast, subq",,,21 ,,RBRVS,7.81 ,4.94 ,4.94 ,,,$0.00,$0.00,1,0,1,1,1,0,20091001,,19305,CPT,"Mast, radical",,,21 ,,RBRVS,17.23 ,8.12 ,8.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,19306,CPT,"Mast, rad, urban type",,,21 ,,RBRVS,17.85 ,8.72 ,8.72 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,19307,CPT,"Mast, mod rad",,,21 ,,RBRVS,17.95 ,8.77 ,8.77 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,19316,CPT,Suspension of breast,,,21 ,,RBRVS,10.98 ,6.95 ,6.95 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,19318,CPT,Reduction of large breast,,,21 ,,RBRVS,15.91 ,9.91 ,9.91 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,19324,CPT,Enlarge breast,,,21 ,,RBRVS,6.65 ,4.47 ,4.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,19325,CPT,Enlarge breast with implant,,,21 ,,RBRVS,8.52 ,6.41 ,6.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,19328,CPT,Removal of breast implant,,,21 ,,RBRVS,6.35 ,4.99 ,4.99 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,19330,CPT,Removal of implant material,,,21 ,,RBRVS,8.39 ,5.95 ,5.95 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,19340,CPT,Immediate breast prosthesis,,,21 ,,RBRVS,6.32 ,2.81 ,2.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,19342,CPT,Delayed breast prosthesis,,,21 ,,RBRVS,12.40 ,8.93 ,8.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,19350,CPT,Breast reconstruction,,,21 ,,RBRVS,8.99 ,6.59 ,9.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,19355,CPT,Correct inverted nipple(s),,,21 ,,RBRVS,8.37 ,4.68 ,7.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,19357,CPT,Breast reconstruction,,,21 ,,RBRVS,20.57 ,15.39 ,15.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,19361,CPT,Breast reconstr w/lat flap,,,21 ,,RBRVS,23.17 ,16.80 ,16.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,19364,CPT,Breast reconstruction,,,21 ,,RBRVS,42.40 ,22.17 ,22.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,19366,CPT,Breast reconstruction,,,21 ,,RBRVS,21.70 ,9.91 ,9.91 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,19367,CPT,Breast reconstruction,,,21 ,,RBRVS,26.59 ,15.19 ,15.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,19368,CPT,Breast reconstruction,,,21 ,,RBRVS,33.61 ,18.04 ,18.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,19369,CPT,Breast reconstruction,,,21 ,,RBRVS,31.02 ,16.33 ,16.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,19370,CPT,Surgery of breast capsule,,,21 ,,RBRVS,8.99 ,6.79 ,6.79 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,19371,CPT,Removal of breast capsule,,,21 ,,RBRVS,10.42 ,7.69 ,7.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,19380,CPT,Revise breast reconstruction,,,21 ,,RBRVS,10.21 ,7.61 ,7.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,19396,CPT,Design custom breast implant,,,21 ,,RBRVS,2.17 ,1.28 ,4.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,19499,CPT,Breast surgery procedure,,,21 ,,TotalUnits,,,,4.86 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,20000,CPT,Incision of abscess,,,21 ,,RBRVS,2.14 ,1.53 ,2.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,20005,CPT,Incision of deep abscess,,,21 ,,RBRVS,3.55 ,2.01 ,3.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,20100,CPT,"Explore wound, neck",,,21 ,,RBRVS,10.33 ,3.58 ,3.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,20101,CPT,"Explore wound, chest",,,21 ,,RBRVS,3.22 ,1.53 ,6.60 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,20102,CPT,"Explore wound, abdomen",,,21 ,,RBRVS,3.95 ,1.84 ,6.95 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,20103,CPT,"Explore wound, extremity",,,21 ,,RBRVS,5.31 ,2.79 ,7.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,20150,CPT,Excise epiphyseal bar,,,21 ,,RBRVS,14.60 ,7.65 ,7.65 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,20200,CPT,Muscle biopsy,,,21 ,,RBRVS,1.46 ,0.69 ,3.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,20205,CPT,Deep muscle biopsy,,,21 ,,RBRVS,2.35 ,1.10 ,3.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,20206,CPT,"Needle biopsy, muscle",,,21 ,,RBRVS,0.99 ,0.57 ,5.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,20220,CPT,"Bone biopsy, trocar/needle",,,21 ,,RBRVS,1.27 ,0.68 ,2.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,20225,CPT,"Bone biopsy, trocar/needle",,,21 ,,RBRVS,1.87 ,1.02 ,12.00 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,20240,CPT,"Bone biopsy, excisional",,,21 ,,RBRVS,3.25 ,2.02 ,2.02 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,20245,CPT,"Bone biopsy, excisional",,,21 ,,RBRVS,8.77 ,5.75 ,5.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,20250,CPT,Open bone biopsy,,,21 ,,RBRVS,5.16 ,3.63 ,3.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,20251,CPT,Open bone biopsy,,,21 ,,RBRVS,5.69 ,3.85 ,3.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,20500,CPT,Injection of sinus tract,,,21 ,,RBRVS,1.25 ,0.88 ,1.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,20501,CPT,Inject sinus tract for x-ray,,,21 ,,RBRVS,0.76 ,0.27 ,2.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,20520,CPT,Removal of foreign body,,,21 ,,RBRVS,1.87 ,1.45 ,2.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,20525,CPT,Removal of foreign body,,,21 ,,RBRVS,3.51 ,2.21 ,7.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,20526,CPT,"Ther injection, carp tunnel",,,21 ,,RBRVS,0.94 ,0.41 ,0.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,20550,CPT,Inj tendon sheath/ligament,,,21 ,,RBRVS,0.75 ,0.28 ,0.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,20551,CPT,Inj tendon origin/insertion,,,21 ,,RBRVS,0.75 ,0.29 ,0.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,20552,CPT,"Inj trigger point, 1/2 muscl",,,21 ,,RBRVS,0.66 ,0.24 ,0.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,20553,CPT,"Inject trigger points, =/> 3",,,21 ,,RBRVS,0.75 ,0.26 ,0.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,20555,CPT,Place ndl musc/tis for rt,,,21 ,,RBRVS,6.00 ,2.18 ,2.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,20600,CPT,"Drain/inject, joint/bursa",,,21 ,,RBRVS,0.66 ,0.31 ,0.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,20605,CPT,"Drain/inject, joint/bursa",,,21 ,,RBRVS,0.68 ,0.32 ,0.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,20610,CPT,"Drain/inject, joint/bursa",,,21 ,,RBRVS,0.79 ,0.40 ,1.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,20612,CPT,Aspirate/inj ganglion cyst,,,21 ,,RBRVS,0.70 ,0.32 ,0.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,20615,CPT,Treatment of bone cyst,,,21 ,,RBRVS,2.30 ,1.42 ,2.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,20650,CPT,Insert and remove bone pin,,,21 ,,RBRVS,2.25 ,1.45 ,2.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,20660,CPT,"Apply, rem fixation device",,,21 ,,RBRVS,4.00 ,1.50 ,1.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,20661,CPT,Application of head brace,,,21 ,,RBRVS,5.14 ,6.05 ,6.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,20662,CPT,Application of pelvis brace,,,21 ,,RBRVS,6.26 ,4.81 ,4.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,20663,CPT,Application of thigh brace,,,21 ,,RBRVS,5.62 ,4.86 ,4.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,20664,CPT,Halo brace application,,,21 ,,RBRVS,9.86 ,7.81 ,7.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,20665,CPT,Removal of fixation device,,,21 ,,RBRVS,1.33 ,0.98 ,1.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,20670,CPT,Removal of support implant,,,21 ,,RBRVS,1.76 ,1.67 ,6.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,20680,CPT,Removal of support implant,,,21 ,,RBRVS,5.90 ,4.07 ,8.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,20690,CPT,Apply bone fixation device,,,21 ,,RBRVS,8.65 ,4.91 ,4.91 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,20692,CPT,Apply bone fixation device,,,21 ,,RBRVS,16.00 ,9.81 ,9.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,20693,CPT,Adjust bone fixation device,,,21 ,,RBRVS,5.97 ,4.49 ,4.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,20694,CPT,Remove bone fixation device,,,21 ,,RBRVS,4.20 ,3.53 ,5.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,20696,CPT,Comp multiplane ext fixation,,,21 ,,RBRVS,17.32 ,7.96 ,7.96 ,,,$0.00,$0.00,1,1,1,1,1,1,20091001,,20697,CPT,Comp ext fixate strut change,,,21 ,,RBRVS,0.00 ,0.00 ,33.08 ,,,$0.00,$0.00,1,1,1,1,1,1,20091001,,20802,CPT,"Replantation, arm, complete",,,21 ,,RBRVS,42.30 ,13.23 ,13.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,20805,CPT,"Replant forearm, complete",,,21 ,,RBRVS,51.14 ,17.99 ,17.99 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,20808,CPT,"Replantation hand, complete",,,21 ,,RBRVS,62.77 ,30.34 ,30.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,20816,CPT,"Replantation digit, complete",,,21 ,,RBRVS,31.74 ,16.37 ,16.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,20822,CPT,"Replantation digit, complete",,,21 ,,RBRVS,26.42 ,15.07 ,15.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,20824,CPT,"Replantation thumb, complete",,,21 ,,RBRVS,31.74 ,16.21 ,16.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,20827,CPT,"Replantation thumb, complete",,,21 ,,RBRVS,27.24 ,14.75 ,14.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,20838,CPT,"Replantation foot, complete",,,21 ,,RBRVS,42.56 ,14.03 ,14.03 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,20900,CPT,Removal of bone for graft,,,21 ,,RBRVS,5.77 ,4.90 ,9.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,20902,CPT,Removal of bone for graft,,,21 ,,RBRVS,7.98 ,5.98 ,5.98 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,20910,CPT,Remove cartilage for graft,,,21 ,,RBRVS,5.41 ,4.57 ,4.57 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,20912,CPT,Remove cartilage for graft,,,21 ,,RBRVS,6.42 ,4.95 ,4.95 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,20920,CPT,Removal of fascia for graft,,,21 ,,RBRVS,5.42 ,4.34 ,4.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,20922,CPT,Removal of fascia for graft,,,21 ,,RBRVS,6.84 ,5.00 ,7.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,20924,CPT,Removal of tendon for graft,,,21 ,,RBRVS,6.59 ,4.97 ,4.97 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,20926,CPT,Removal of tissue for graft,,,21 ,,RBRVS,5.70 ,4.50 ,4.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,20930,CPT,Sp bone algrft morsel add-on,,,21 ,,TotalUnits,,,,3.62 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,20931,CPT,Sp bone algrft struct add-on,,,21 ,,RBRVS,1.81 ,0.68 ,0.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,20936,CPT,Sp bone agrft local add-on,,,21 ,,TotalUnits,,,,4.59 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,20937,CPT,Sp bone agrft morsel add-on,,,21 ,,RBRVS,2.79 ,1.08 ,1.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,20938,CPT,Sp bone agrft struct add-on,,,21 ,,RBRVS,3.02 ,1.15 ,1.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,20950,CPT,"Fluid pressure, muscle",,,21 ,,RBRVS,1.26 ,0.88 ,4.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,20955,CPT,"Fibula bone graft, microvasc",,,21 ,,RBRVS,40.02 ,18.55 ,18.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,20956,CPT,"Iliac bone graft, microvasc",,,21 ,,RBRVS,40.93 ,20.34 ,20.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,20957,CPT,"Mt bone graft, microvasc",,,21 ,,RBRVS,42.33 ,15.89 ,15.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,20962,CPT,"Other bone graft, microvasc",,,21 ,,RBRVS,39.21 ,21.32 ,21.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,20969,CPT,"Bone/skin graft, microvasc",,,21 ,,RBRVS,45.11 ,21.12 ,21.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,20970,CPT,"Bone/skin graft, iliac crest",,,21 ,,RBRVS,44.26 ,20.92 ,20.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,20972,CPT,"Bone/skin graft, metatarsal",,,21 ,,RBRVS,44.19 ,14.93 ,14.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,20973,CPT,"Bone/skin graft, great toe",,,21 ,,RBRVS,46.95 ,14.16 ,14.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,20974,CPT,Electrical bone stimulation,,,21 ,,RBRVS,0.62 ,0.48 ,0.98 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,20975,CPT,Electrical bone stimulation,,,21 ,,RBRVS,2.60 ,1.46 ,1.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,20979,CPT,Us bone stimulation,,,21 ,,RBRVS,0.62 ,0.20 ,0.61 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,20982,CPT,"Ablate, bone tumor(s) perq",,,21 ,,RBRVS,7.27 ,2.69 ,80.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,20985,CPT,Cptr-asst dir ms px,,,21 ,,RBRVS,2.50 ,0.99 ,0.99 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,20999,CPT,Musculoskeletal surgery,,,21 ,,TotalUnits,,,,10.84 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,21010,CPT,Incision of jaw joint,,,21 ,,RBRVS,10.90 ,6.29 ,6.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,21015,CPT,Resection of facial tumor,,,21 ,,RBRVS,5.59 ,4.31 ,4.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,21025,CPT,"Excision of bone, lower jaw",,,21 ,,RBRVS,11.07 ,8.75 ,12.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,21026,CPT,Excision of facial bone(s),,,21 ,,RBRVS,5.54 ,5.94 ,8.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,21029,CPT,Contour of face bone lesion,,,21 ,,RBRVS,8.26 ,6.52 ,9.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,21030,CPT,Excise max/zygoma b9 tumor,,,21 ,,RBRVS,4.80 ,4.69 ,7.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,21031,CPT,"Remove exostosis, mandible",,,21 ,,RBRVS,3.26 ,3.47 ,5.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,21032,CPT,"Remove exostosis, maxilla",,,21 ,,RBRVS,3.28 ,3.37 ,6.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,21034,CPT,Excise max/zygoma mlg tumor,,,21 ,,RBRVS,17.17 ,10.12 ,13.94 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,21040,CPT,Excise mandible lesion,,,21 ,,RBRVS,4.80 ,4.64 ,7.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,21044,CPT,Removal of jaw bone lesion,,,21 ,,RBRVS,12.61 ,8.11 ,8.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,21045,CPT,Extensive jaw surgery,,,21 ,,RBRVS,18.13 ,10.79 ,10.79 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,21046,CPT,Remove mandible cyst complex,,,21 ,,RBRVS,13.97 ,11.50 ,11.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,21047,CPT,Excise lwr jaw cyst w/repair,,,21 ,,RBRVS,19.83 ,10.22 ,10.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,21048,CPT,Remove maxilla cyst complex,,,21 ,,RBRVS,14.47 ,11.39 ,11.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,21049,CPT,Excis uppr jaw cyst w/repair,,,21 ,,RBRVS,19.08 ,10.29 ,10.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,21050,CPT,Removal of jaw joint,,,21 ,,RBRVS,11.54 ,8.21 ,8.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,21060,CPT,Remove jaw joint cartilage,,,21 ,,RBRVS,10.91 ,7.20 ,7.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,21070,CPT,Remove coronoid process,,,21 ,,RBRVS,8.50 ,6.27 ,6.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,21073,CPT,Mnpj of tmj w/anesth,,,21 ,,RBRVS,3.33 ,2.31 ,5.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,21076,CPT,Prepare face/oral prosthesis,,,21 ,,RBRVS,13.40 ,4.69 ,8.02 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,21077,CPT,Prepare face/oral prosthesis,,,21 ,,RBRVS,33.70 ,11.83 ,18.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,21079,CPT,Prepare face/oral prosthesis,,,21 ,,RBRVS,22.31 ,8.10 ,13.97 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,21080,CPT,Prepare face/oral prosthesis,,,21 ,,RBRVS,25.06 ,9.02 ,16.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,21081,CPT,Prepare face/oral prosthesis,,,21 ,,RBRVS,22.85 ,8.41 ,15.02 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,21082,CPT,Prepare face/oral prosthesis,,,21 ,,RBRVS,20.84 ,8.27 ,14.91 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,21083,CPT,Prepare face/oral prosthesis,,,21 ,,RBRVS,19.27 ,7.78 ,14.91 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,21084,CPT,Prepare face/oral prosthesis,,,21 ,,RBRVS,22.48 ,8.95 ,16.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,21085,CPT,Prepare face/oral prosthesis,,,21 ,,RBRVS,8.99 ,3.52 ,6.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,21086,CPT,Prepare face/oral prosthesis,,,21 ,,RBRVS,24.88 ,8.45 ,12.91 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,21087,CPT,Prepare face/oral prosthesis,,,21 ,,RBRVS,24.88 ,8.55 ,13.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,21088,CPT,Prepare face/oral prosthesis,,,21 ,,TotalUnits,,,,51.41 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,21089,CPT,Prepare face/oral prosthesis,,,21 ,,TotalUnits,,,,6.72 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,21100,CPT,Maxillofacial fixation,,,21 ,,RBRVS,4.56 ,5.53 ,14.87 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,21110,CPT,Interdental fixation,,,21 ,,RBRVS,5.80 ,9.74 ,13.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,21116,CPT,"Injection, jaw joint x-ray",,,21 ,,RBRVS,0.81 ,0.23 ,2.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,21120,CPT,Reconstruction of chin,,,21 ,,RBRVS,4.99 ,6.65 ,9.65 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,21121,CPT,Reconstruction of chin,,,21 ,,RBRVS,7.70 ,7.59 ,10.65 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,21122,CPT,Reconstruction of chin,,,21 ,,RBRVS,8.59 ,8.46 ,8.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,21123,CPT,Reconstruction of chin,,,21 ,,RBRVS,11.22 ,7.03 ,7.03 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,21125,CPT,"Augmentation, lower jaw bone",,,21 ,,RBRVS,10.68 ,6.43 ,64.01 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,21127,CPT,"Augmentation, lower jaw bone",,,21 ,,RBRVS,12.24 ,7.50 ,85.03 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,21137,CPT,Reduction of forehead,,,21 ,,RBRVS,10.12 ,7.44 ,7.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,21138,CPT,Reduction of forehead,,,21 ,,RBRVS,12.73 ,7.79 ,7.79 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,21139,CPT,Reduction of forehead,,,21 ,,RBRVS,14.90 ,6.99 ,6.99 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,21141,CPT,"Reconstruct midface, lefort",,,21 ,,RBRVS,19.27 ,11.87 ,11.87 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,21142,CPT,"Reconstruct midface, lefort",,,21 ,,RBRVS,19.98 ,10.08 ,10.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,21143,CPT,"Reconstruct midface, lefort",,,21 ,,RBRVS,20.75 ,11.81 ,11.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,21145,CPT,"Reconstruct midface, lefort",,,21 ,,RBRVS,23.64 ,12.98 ,12.98 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,21146,CPT,"Reconstruct midface, lefort",,,21 ,,RBRVS,24.54 ,9.18 ,9.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,21147,CPT,"Reconstruct midface, lefort",,,21 ,,RBRVS,26.14 ,14.31 ,14.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,21150,CPT,"Reconstruct midface, lefort",,,21 ,,RBRVS,25.78 ,16.93 ,16.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,21151,CPT,"Reconstruct midface, lefort",,,21 ,,RBRVS,28.84 ,11.61 ,11.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,21154,CPT,"Reconstruct midface, lefort",,,21 ,,RBRVS,31.05 ,17.89 ,17.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,21155,CPT,"Reconstruct midface, lefort",,,21 ,,RBRVS,34.98 ,18.17 ,18.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,21159,CPT,"Reconstruct midface, lefort",,,21 ,,RBRVS,42.90 ,15.13 ,15.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,21160,CPT,"Reconstruct midface, lefort",,,21 ,,RBRVS,46.95 ,23.24 ,23.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,21172,CPT,Reconstruct orbit/forehead,,,21 ,,RBRVS,28.07 ,13.75 ,13.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,21175,CPT,Reconstruct orbit/forehead,,,21 ,,RBRVS,33.43 ,13.53 ,13.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,21179,CPT,Reconstruct entire forehead,,,21 ,,RBRVS,22.53 ,11.22 ,11.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,21180,CPT,Reconstruct entire forehead,,,21 ,,RBRVS,25.46 ,13.00 ,13.00 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,21181,CPT,Contour cranial bone lesion,,,21 ,,RBRVS,10.18 ,6.83 ,6.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,21182,CPT,Reconstruct cranial bone,,,21 ,,RBRVS,32.45 ,15.27 ,15.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,21183,CPT,Reconstruct cranial bone,,,21 ,,RBRVS,35.57 ,19.23 ,19.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,21184,CPT,Reconstruct cranial bone,,,21 ,,RBRVS,38.49 ,15.63 ,15.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,21188,CPT,Reconstruction of midface,,,21 ,,RBRVS,22.97 ,15.65 ,15.65 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,21193,CPT,Reconst lwr jaw w/o graft,,,21 ,,RBRVS,18.65 ,9.82 ,9.82 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,21194,CPT,Reconst lwr jaw w/graft,,,21 ,,RBRVS,21.54 ,12.13 ,12.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,21195,CPT,Reconst lwr jaw w/o fixation,,,21 ,,RBRVS,18.88 ,13.08 ,13.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,21196,CPT,Reconst lwr jaw w/fixation,,,21 ,,RBRVS,20.55 ,13.95 ,13.95 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,21198,CPT,Reconstr lwr jaw segment,,,21 ,,RBRVS,15.48 ,11.89 ,11.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,21199,CPT,Reconstr lwr jaw w/advance,,,21 ,,RBRVS,16.62 ,7.57 ,7.57 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,21206,CPT,Reconstruct upper jaw bone,,,21 ,,RBRVS,15.36 ,10.89 ,10.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,21208,CPT,Augmentation of facial bones,,,21 ,,RBRVS,11.15 ,8.01 ,33.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,21209,CPT,Reduction of facial bones,,,21 ,,RBRVS,7.58 ,7.40 ,12.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,21210,CPT,Face bone graft,,,21 ,,RBRVS,11.40 ,7.64 ,43.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,21215,CPT,Lower jaw bone graft,,,21 ,,RBRVS,11.94 ,7.97 ,86.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,21230,CPT,Rib cartilage graft,,,21 ,,RBRVS,11.06 ,7.02 ,7.02 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,21235,CPT,Ear cartilage graft,,,21 ,,RBRVS,7.31 ,6.19 ,10.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,21240,CPT,Reconstruction of jaw joint,,,21 ,,RBRVS,15.77 ,9.44 ,9.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,21242,CPT,Reconstruction of jaw joint,,,21 ,,RBRVS,14.32 ,9.02 ,9.02 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,21243,CPT,Reconstruction of jaw joint,,,21 ,,RBRVS,24.03 ,14.16 ,14.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,21244,CPT,Reconstruction of lower jaw,,,21 ,,RBRVS,13.35 ,11.53 ,11.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,21245,CPT,Reconstruction of jaw,,,21 ,,RBRVS,12.88 ,8.62 ,14.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,21246,CPT,Reconstruction of jaw,,,21 ,,RBRVS,12.78 ,7.43 ,7.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,21247,CPT,Reconstruct lower jaw bone,,,21 ,,RBRVS,24.05 ,12.70 ,12.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,21248,CPT,Reconstruction of jaw,,,21 ,,RBRVS,12.54 ,7.52 ,12.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,21249,CPT,Reconstruction of jaw,,,21 ,,RBRVS,18.57 ,9.62 ,15.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,21255,CPT,Reconstruct lower jaw bone,,,21 ,,RBRVS,18.14 ,14.05 ,14.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,21256,CPT,Reconstruction of orbit,,,21 ,,RBRVS,17.42 ,9.59 ,9.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,21260,CPT,Revise eye sockets,,,21 ,,RBRVS,17.74 ,12.96 ,12.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,21261,CPT,Revise eye sockets,,,21 ,,RBRVS,33.78 ,14.75 ,14.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,21263,CPT,Revise eye sockets,,,21 ,,RBRVS,30.72 ,14.05 ,14.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,21267,CPT,Revise eye sockets,,,21 ,,RBRVS,20.45 ,16.05 ,16.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,21268,CPT,Revise eye sockets,,,21 ,,RBRVS,26.78 ,13.14 ,13.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,21270,CPT,"Augmentation, cheek bone",,,21 ,,RBRVS,10.52 ,5.90 ,11.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,21275,CPT,"Revision, orbitofacial bones",,,21 ,,RBRVS,11.65 ,7.16 ,7.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,21280,CPT,Revision of eyelid,,,21 ,,RBRVS,6.92 ,5.66 ,5.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,21282,CPT,Revision of eyelid,,,21 ,,RBRVS,4.11 ,4.16 ,4.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,21295,CPT,Revision of jaw muscle/bone,,,21 ,,RBRVS,1.82 ,2.23 ,2.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,21296,CPT,Revision of jaw muscle/bone,,,21 ,,RBRVS,4.67 ,5.43 ,5.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,21299,CPT,Cranio/maxillofacial surgery,,,21 ,,TotalUnits,,,,5.82 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,21310,CPT,Treatment of nose fracture,,,21 ,,RBRVS,0.58 ,0.11 ,2.00 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,21315,CPT,Treatment of nose fracture,,,21 ,,RBRVS,1.78 ,1.78 ,4.72 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,21320,CPT,Treatment of nose fracture,,,21 ,,RBRVS,1.86 ,1.36 ,4.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,21325,CPT,Treatment of nose fracture,,,21 ,,RBRVS,4.07 ,6.98 ,6.98 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,21330,CPT,Treatment of nose fracture,,,21 ,,RBRVS,5.68 ,7.63 ,7.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,21335,CPT,Treatment of nose fracture,,,21 ,,RBRVS,8.91 ,8.48 ,8.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,21336,CPT,Treat nasal septal fracture,,,21 ,,RBRVS,6.56 ,8.67 ,8.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,21337,CPT,Treat nasal septal fracture,,,21 ,,RBRVS,3.26 ,3.56 ,6.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,21338,CPT,Treat nasoethmoid fracture,,,21 ,,RBRVS,6.76 ,9.93 ,9.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,21339,CPT,Treat nasoethmoid fracture,,,21 ,,RBRVS,8.39 ,9.84 ,9.84 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,21340,CPT,Treatment of nose fracture,,,21 ,,RBRVS,11.33 ,7.25 ,7.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,21343,CPT,Treatment of sinus fracture,,,21 ,,RBRVS,14.11 ,12.80 ,12.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,21344,CPT,Treatment of sinus fracture,,,21 ,,RBRVS,21.36 ,13.06 ,13.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,21345,CPT,Treat nose/jaw fracture,,,21 ,,RBRVS,8.87 ,6.56 ,10.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,21346,CPT,Treat nose/jaw fracture,,,21 ,,RBRVS,11.29 ,10.83 ,10.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,21347,CPT,Treat nose/jaw fracture,,,21 ,,RBRVS,13.37 ,11.74 ,11.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,21348,CPT,Treat nose/jaw fracture,,,21 ,,RBRVS,17.36 ,11.00 ,11.00 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,21355,CPT,Treat cheek bone fracture,,,21 ,,RBRVS,4.32 ,3.25 ,5.91 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,21356,CPT,Treat cheek bone fracture,,,21 ,,RBRVS,4.70 ,4.06 ,6.98 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,21360,CPT,Treat cheek bone fracture,,,21 ,,RBRVS,7.03 ,5.40 ,5.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,21365,CPT,Treat cheek bone fracture,,,21 ,,RBRVS,16.52 ,9.10 ,9.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,21366,CPT,Treat cheek bone fracture,,,21 ,,RBRVS,18.44 ,10.51 ,10.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,21385,CPT,Treat eye socket fracture,,,21 ,,RBRVS,9.46 ,7.14 ,7.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,21386,CPT,Treat eye socket fracture,,,21 ,,RBRVS,9.46 ,6.01 ,6.01 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,21387,CPT,Treat eye socket fracture,,,21 ,,RBRVS,10.00 ,7.45 ,7.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,21390,CPT,Treat eye socket fracture,,,21 ,,RBRVS,11.07 ,7.01 ,7.01 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,21395,CPT,Treat eye socket fracture,,,21 ,,RBRVS,14.62 ,8.34 ,8.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,21400,CPT,Treat eye socket fracture,,,21 ,,RBRVS,1.44 ,1.96 ,2.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,21401,CPT,Treat eye socket fracture,,,21 ,,RBRVS,3.57 ,3.05 ,7.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,21406,CPT,Treat eye socket fracture,,,21 ,,RBRVS,7.31 ,5.29 ,5.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,21407,CPT,Treat eye socket fracture,,,21 ,,RBRVS,8.91 ,5.92 ,5.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,21408,CPT,Treat eye socket fracture,,,21 ,,RBRVS,12.67 ,7.45 ,7.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,21421,CPT,Treat mouth roof fracture,,,21 ,,RBRVS,5.80 ,9.22 ,12.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,21422,CPT,Treat mouth roof fracture,,,21 ,,RBRVS,8.62 ,7.05 ,7.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,21423,CPT,Treat mouth roof fracture,,,21 ,,RBRVS,10.71 ,7.40 ,7.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,21431,CPT,Treat craniofacial fracture,,,21 ,,RBRVS,7.74 ,10.85 ,10.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,21432,CPT,Treat craniofacial fracture,,,21 ,,RBRVS,8.76 ,6.81 ,6.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,21433,CPT,Treat craniofacial fracture,,,21 ,,RBRVS,26.13 ,12.14 ,12.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,21435,CPT,Treat craniofacial fracture,,,21 ,,RBRVS,20.02 ,11.08 ,11.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,21436,CPT,Treat craniofacial fracture,,,21 ,,RBRVS,30.01 ,13.15 ,13.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,21440,CPT,Treat dental ridge fracture,,,21 ,,RBRVS,3.28 ,7.46 ,10.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,21445,CPT,Treat dental ridge fracture,,,21 ,,RBRVS,6.04 ,8.47 ,12.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,21450,CPT,Treat lower jaw fracture,,,21 ,,RBRVS,3.55 ,7.72 ,10.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,21451,CPT,Treat lower jaw fracture,,,21 ,,RBRVS,5.46 ,9.68 ,12.99 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,21452,CPT,Treat lower jaw fracture,,,21 ,,RBRVS,2.29 ,6.06 ,12.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,21453,CPT,Treat lower jaw fracture,,,21 ,,RBRVS,6.40 ,11.66 ,14.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,21454,CPT,Treat lower jaw fracture,,,21 ,,RBRVS,7.17 ,5.72 ,5.72 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,21461,CPT,Treat lower jaw fracture,,,21 ,,RBRVS,9.07 ,12.82 ,41.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,21462,CPT,Treat lower jaw fracture,,,21 ,,RBRVS,10.77 ,13.41 ,43.02 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,21465,CPT,Treat lower jaw fracture,,,21 ,,RBRVS,12.88 ,8.12 ,8.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,21470,CPT,Treat lower jaw fracture,,,21 ,,RBRVS,17.24 ,10.18 ,10.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,21480,CPT,Reset dislocated jaw,,,21 ,,RBRVS,0.61 ,0.18 ,1.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,21485,CPT,Reset dislocated jaw,,,21 ,,RBRVS,4.58 ,9.11 ,12.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,21490,CPT,Repair dislocated jaw,,,21 ,,RBRVS,12.71 ,8.13 ,8.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,21495,CPT,Treat hyoid bone fracture,,,21 ,,RBRVS,6.55 ,10.48 ,10.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,21497,CPT,Interdental wiring,,,21 ,,RBRVS,4.45 ,9.35 ,12.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,21499,CPT,Head surgery procedure,,,21 ,,TotalUnits,,,,15.27 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,21501,CPT,Drain neck/chest lesion,,,21 ,,RBRVS,3.87 ,3.52 ,6.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,21502,CPT,Drain chest lesion,,,21 ,,RBRVS,7.43 ,4.56 ,4.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,21510,CPT,Drainage of bone lesion,,,21 ,,RBRVS,6.06 ,4.81 ,4.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,21550,CPT,Biopsy of neck/chest,,,21 ,,RBRVS,2.08 ,1.79 ,4.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,21555,CPT,"Remove lesion, neck/chest",,,21 ,,RBRVS,4.40 ,3.43 ,5.79 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,21556,CPT,"Remove lesion, neck/chest",,,21 ,,RBRVS,5.63 ,4.14 ,4.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,21557,CPT,"Remove tumor, neck/chest",,,21 ,,RBRVS,8.91 ,4.51 ,4.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,21600,CPT,Partial removal of rib,,,21 ,,RBRVS,7.14 ,5.97 ,5.97 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,21610,CPT,Partial removal of rib,,,21 ,,RBRVS,15.76 ,8.90 ,8.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,21615,CPT,Removal of rib,,,21 ,,RBRVS,10.31 ,5.17 ,5.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,21616,CPT,Removal of rib and nerves,,,21 ,,RBRVS,12.54 ,6.52 ,6.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,21620,CPT,Partial removal of sternum,,,21 ,,RBRVS,7.16 ,4.76 ,4.76 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,21627,CPT,Sternal debridement,,,21 ,,RBRVS,7.18 ,5.55 ,5.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,21630,CPT,Extensive sternum surgery,,,21 ,,RBRVS,19.01 ,10.36 ,10.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,21632,CPT,Extensive sternum surgery,,,21 ,,RBRVS,19.51 ,9.43 ,9.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,21685,CPT,Hyoid myotomy & suspension,,,21 ,,RBRVS,14.89 ,8.77 ,8.77 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,21700,CPT,Revision of neck muscle,,,21 ,,RBRVS,6.23 ,4.40 ,4.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,21705,CPT,Revision of neck muscle/rib,,,21 ,,RBRVS,9.83 ,4.36 ,4.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,21720,CPT,Revision of neck muscle,,,21 ,,RBRVS,5.72 ,4.11 ,4.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,21725,CPT,Revision of neck muscle,,,21 ,,RBRVS,7.10 ,5.15 ,5.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,21740,CPT,Reconstruction of sternum,,,21 ,,RBRVS,17.47 ,8.21 ,8.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,21742,CPT,Repair stern/nuss w/o scope,,,21 ,,TotalUnits,,,,21.35 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,21743,CPT,Repair sternum/nuss w/scope,,,21 ,,TotalUnits,,,,28.09 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,21750,CPT,Repair of sternum separation,,,21 ,,RBRVS,11.35 ,5.32 ,5.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,21800,CPT,Treatment of rib fracture,,,21 ,,RBRVS,0.98 ,1.43 ,1.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,21805,CPT,Treatment of rib fracture,,,21 ,,RBRVS,2.80 ,3.27 ,3.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,21810,CPT,Treatment of rib fracture(s),,,21 ,,RBRVS,6.92 ,5.38 ,5.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,21820,CPT,Treat sternum fracture,,,21 ,,RBRVS,1.31 ,1.89 ,1.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,21825,CPT,Treat sternum fracture,,,21 ,,RBRVS,7.65 ,5.38 ,5.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,21899,CPT,Neck/chest surgery procedure,,,21 ,,TotalUnits,,,,4.64 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,21920,CPT,Biopsy soft tissue of back,,,21 ,,RBRVS,2.08 ,1.88 ,4.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,21925,CPT,Biopsy soft tissue of back,,,21 ,,RBRVS,4.54 ,3.36 ,5.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,21930,CPT,"Remove lesion, back or flank",,,21 ,,RBRVS,5.06 ,3.78 ,6.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,21935,CPT,"Remove tumor, back",,,21 ,,RBRVS,18.38 ,8.45 ,8.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,22010,CPT,"I&d, p-spine, c/t/cerv-thor",,,21 ,,RBRVS,12.57 ,8.36 ,8.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,22015,CPT,"I&d, p-spine, l/s/ls",,,21 ,,RBRVS,12.46 ,8.34 ,8.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,22100,CPT,Remove part of neck vertebra,,,21 ,,RBRVS,10.80 ,8.20 ,8.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,22101,CPT,"Remove part, thorax vertebra",,,21 ,,RBRVS,10.88 ,8.12 ,8.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,22102,CPT,"Remove part, lumbar vertebra",,,21 ,,RBRVS,10.88 ,7.93 ,7.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,22103,CPT,Remove extra spine segment,,,21 ,,RBRVS,2.34 ,0.90 ,0.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,22110,CPT,Remove part of neck vertebra,,,21 ,,RBRVS,13.80 ,9.12 ,9.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,22112,CPT,"Remove part, thorax vertebra",,,21 ,,RBRVS,13.87 ,9.03 ,9.03 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,22114,CPT,"Remove part, lumbar vertebra",,,21 ,,RBRVS,13.87 ,9.01 ,9.01 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,22116,CPT,Remove extra spine segment,,,21 ,,RBRVS,2.32 ,0.89 ,0.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,22206,CPT,"Cut spine 3 col, thor",,,21 ,,RBRVS,37.00 ,17.73 ,17.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,22207,CPT,"Cut spine 3 col, lumb",,,21 ,,RBRVS,36.50 ,17.61 ,17.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,22208,CPT,"Cut spine 3 col, addl seg",,,21 ,,RBRVS,9.66 ,3.73 ,3.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,22210,CPT,Revision of neck spine,,,21 ,,RBRVS,25.13 ,14.56 ,14.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,22212,CPT,Revision of thorax spine,,,21 ,,RBRVS,20.74 ,12.45 ,12.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,22214,CPT,Revision of lumbar spine,,,21 ,,RBRVS,20.77 ,12.54 ,12.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,22216,CPT,"Revise, extra spine segment",,,21 ,,RBRVS,6.03 ,2.32 ,2.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,22220,CPT,Revision of neck spine,,,21 ,,RBRVS,22.69 ,13.36 ,13.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,22222,CPT,Revision of thorax spine,,,21 ,,RBRVS,22.84 ,10.47 ,10.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,22224,CPT,Revision of lumbar spine,,,21 ,,RBRVS,22.84 ,12.90 ,12.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,22226,CPT,"Revise, extra spine segment",,,21 ,,RBRVS,6.03 ,2.28 ,2.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,22305,CPT,Treat spine process fracture,,,21 ,,RBRVS,2.08 ,1.80 ,2.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,22310,CPT,Treat spine fracture,,,21 ,,RBRVS,3.69 ,2.50 ,2.99 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,22315,CPT,Treat spine fracture,,,21 ,,RBRVS,9.91 ,7.44 ,9.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,22318,CPT,Treat odontoid fx w/o graft,,,21 ,,RBRVS,22.54 ,13.27 ,13.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,22319,CPT,Treat odontoid fx w/graft,,,21 ,,RBRVS,25.15 ,13.46 ,13.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,22325,CPT,Treat spine fracture,,,21 ,,RBRVS,19.62 ,12.15 ,12.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,22326,CPT,Treat neck spine fracture,,,21 ,,RBRVS,20.64 ,12.03 ,12.03 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,22327,CPT,Treat thorax spine fracture,,,21 ,,RBRVS,20.52 ,12.34 ,12.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,22328,CPT,Treat each add spine fx,,,21 ,,RBRVS,4.60 ,1.76 ,1.76 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,22505,CPT,Manipulation of spine,,,21 ,,RBRVS,1.87 ,1.10 ,1.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,22520,CPT,Percut vertebroplasty thor,,,21 ,,RBRVS,9.17 ,4.58 ,43.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,22521,CPT,Percut vertebroplasty lumb,,,21 ,,RBRVS,8.60 ,4.36 ,45.01 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,22522,CPT,Percut vertebroplasty add'l,,,21 ,,RBRVS,4.30 ,1.51 ,1.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,22523,CPT,"Percut kyphoplasty, thor",,,21 ,,RBRVS,9.21 ,4.67 ,4.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,22524,CPT,"Percut kyphoplasty, lumbar",,,21 ,,RBRVS,8.81 ,4.53 ,4.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,22525,CPT,"Percut kyphoplasty, add-on",,,21 ,,RBRVS,4.47 ,1.69 ,1.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,22526,CPT,"Idet, single level",,,21 ,,RBRVS,6.07 ,2.05 ,46.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,22527,CPT,"Idet, 1 or more levels",,,21 ,,RBRVS,3.03 ,0.70 ,40.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,22532,CPT,Lat thorax spine fusion,,,21 ,,RBRVS,25.81 ,13.79 ,13.79 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,22533,CPT,Lat lumbar spine fusion,,,21 ,,RBRVS,24.61 ,13.58 ,13.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,22534,CPT,"Lat thor/lumb, add'l seg",,,21 ,,RBRVS,5.99 ,2.28 ,2.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,22548,CPT,Neck spine fusion,,,21 ,,RBRVS,26.86 ,14.94 ,14.94 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,22554,CPT,Neck spine fusion,,,21 ,,RBRVS,17.54 ,10.65 ,10.65 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,22556,CPT,Thorax spine fusion,,,21 ,,RBRVS,24.50 ,12.96 ,12.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,22558,CPT,Lumbar spine fusion,,,21 ,,RBRVS,23.33 ,11.44 ,11.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,22585,CPT,Additional spinal fusion,,,21 ,,RBRVS,5.52 ,2.06 ,2.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,22590,CPT,Spine & skull spinal fusion,,,21 ,,RBRVS,21.56 ,13.08 ,13.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,22595,CPT,Neck spinal fusion,,,21 ,,RBRVS,20.44 ,12.65 ,12.65 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,22600,CPT,Neck spine fusion,,,21 ,,RBRVS,17.20 ,11.20 ,11.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,22610,CPT,Thorax spine fusion,,,21 ,,RBRVS,17.08 ,10.82 ,10.82 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,22612,CPT,Lumbar spine fusion,,,21 ,,RBRVS,23.38 ,12.50 ,12.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,22614,CPT,"Spine fusion, extra segment",,,21 ,,RBRVS,6.43 ,2.46 ,2.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,22630,CPT,Lumbar spine fusion,,,21 ,,RBRVS,21.89 ,12.54 ,12.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,22632,CPT,"Spine fusion, extra segment",,,21 ,,RBRVS,5.22 ,1.99 ,1.99 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,22800,CPT,Fusion of spine,,,21 ,,RBRVS,19.30 ,11.16 ,11.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,22802,CPT,Fusion of spine,,,21 ,,RBRVS,31.91 ,16.00 ,16.00 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,22804,CPT,Fusion of spine,,,21 ,,RBRVS,37.30 ,18.13 ,18.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,22808,CPT,Fusion of spine,,,21 ,,RBRVS,27.31 ,14.06 ,14.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,22810,CPT,Fusion of spine,,,21 ,,RBRVS,31.30 ,14.92 ,14.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,22812,CPT,Fusion of spine,,,21 ,,RBRVS,34.00 ,17.39 ,17.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,22818,CPT,"Kyphectomy, 1-2 segments",,,21 ,,RBRVS,34.18 ,16.63 ,16.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,22819,CPT,"Kyphectomy, 3 or more",,,21 ,,RBRVS,39.18 ,18.88 ,18.88 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,22830,CPT,Exploration of spinal fusion,,,21 ,,RBRVS,11.13 ,7.06 ,7.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,22840,CPT,Insert spine fixation device,,,21 ,,RBRVS,12.52 ,4.78 ,4.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,22841,CPT,Insert spine fixation device,,,21 ,,TotalUnits,,,,13.26 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,22842,CPT,Insert spine fixation device,,,21 ,,RBRVS,12.56 ,4.80 ,4.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,22843,CPT,Insert spine fixation device,,,21 ,,RBRVS,13.44 ,5.16 ,5.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,22844,CPT,Insert spine fixation device,,,21 ,,RBRVS,16.42 ,6.41 ,6.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,22845,CPT,Insert spine fixation device,,,21 ,,RBRVS,11.94 ,4.49 ,4.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,22846,CPT,Insert spine fixation device,,,21 ,,RBRVS,12.40 ,4.66 ,4.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,22847,CPT,Insert spine fixation device,,,21 ,,RBRVS,13.78 ,5.20 ,5.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,22848,CPT,Insert pelv fixation device,,,21 ,,RBRVS,5.99 ,2.34 ,2.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,22849,CPT,Reinsert spinal fixation,,,21 ,,RBRVS,19.08 ,10.17 ,10.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,22850,CPT,Remove spine fixation device,,,21 ,,RBRVS,9.74 ,6.41 ,6.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,22851,CPT,Apply spine prosth device,,,21 ,,RBRVS,6.70 ,2.54 ,2.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,22852,CPT,Remove spine fixation device,,,21 ,,RBRVS,9.29 ,6.18 ,6.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,22855,CPT,Remove spine fixation device,,,21 ,,RBRVS,15.77 ,9.18 ,9.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,22856,CPT,Cerv artific diskectomy,,,21 ,,RBRVS,23.90 ,13.63 ,13.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,22857,CPT,Lumbar artif diskectomy,,,21 ,,RBRVS,26.93 ,14.82 ,14.82 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,22861,CPT,Revise cerv artific disc,,,21 ,,RBRVS,33.21 ,13.54 ,13.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,22862,CPT,Revise lumbar artif disc,,,21 ,,RBRVS,32.43 ,16.09 ,16.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,22864,CPT,Remove cerv artif disc,,,21 ,,RBRVS,29.25 ,12.22 ,12.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,22865,CPT,Remove lumb artif disc,,,21 ,,RBRVS,31.55 ,15.74 ,15.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,22899,CPT,Spine surgery procedure,,,21 ,,TotalUnits,,,,22.78 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,22900,CPT,Remove abdominal wall lesion,,,21 ,,RBRVS,6.14 ,3.54 ,3.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,22999,CPT,Abdomen surgery procedure,,,21 ,,TotalUnits,,,,8.00 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,23000,CPT,Removal of calcium deposits,,,21 ,,RBRVS,4.40 ,3.74 ,7.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,23020,CPT,Release shoulder joint,,,21 ,,RBRVS,9.24 ,6.49 ,6.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,23030,CPT,Drain shoulder lesion,,,21 ,,RBRVS,3.44 ,2.40 ,6.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,23031,CPT,Drain shoulder bursa,,,21 ,,RBRVS,2.76 ,2.22 ,6.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,23035,CPT,Drain shoulder bone lesion,,,21 ,,RBRVS,9.04 ,6.46 ,6.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,23040,CPT,Exploratory shoulder surgery,,,21 ,,RBRVS,9.63 ,6.75 ,6.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,23044,CPT,Exploratory shoulder surgery,,,21 ,,RBRVS,7.48 ,5.52 ,5.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,23065,CPT,Biopsy shoulder tissues,,,21 ,,RBRVS,2.28 ,1.74 ,2.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,23066,CPT,Biopsy shoulder tissues,,,21 ,,RBRVS,4.21 ,3.61 ,7.76 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,23075,CPT,Removal of shoulder lesion,,,21 ,,RBRVS,2.41 ,1.72 ,3.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,23076,CPT,Removal of shoulder lesion,,,21 ,,RBRVS,7.77 ,5.32 ,5.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,23077,CPT,Remove tumor of shoulder,,,21 ,,RBRVS,18.08 ,9.61 ,9.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,23100,CPT,Biopsy of shoulder joint,,,21 ,,RBRVS,6.09 ,5.00 ,5.00 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,23101,CPT,Shoulder joint surgery,,,21 ,,RBRVS,5.63 ,4.54 ,4.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,23105,CPT,Remove shoulder joint lining,,,21 ,,RBRVS,8.36 ,6.10 ,6.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,23106,CPT,Incision of collarbone joint,,,21 ,,RBRVS,6.02 ,4.79 ,4.79 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,23107,CPT,Explore treat shoulder joint,,,21 ,,RBRVS,8.75 ,6.26 ,6.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,23120,CPT,"Partial removal, collar bone",,,21 ,,RBRVS,7.23 ,5.47 ,5.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,23125,CPT,Removal of collar bone,,,21 ,,RBRVS,9.52 ,6.39 ,6.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,23130,CPT,"Remove shoulder bone, part",,,21 ,,RBRVS,7.63 ,6.08 ,6.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,23140,CPT,Removal of bone lesion,,,21 ,,RBRVS,7.01 ,4.90 ,4.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,23145,CPT,Removal of bone lesion,,,21 ,,RBRVS,9.28 ,6.49 ,6.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,23146,CPT,Removal of bone lesion,,,21 ,,RBRVS,7.96 ,5.92 ,5.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,23150,CPT,Removal of humerus lesion,,,21 ,,RBRVS,8.79 ,6.26 ,6.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,23155,CPT,Removal of humerus lesion,,,21 ,,RBRVS,10.72 ,7.26 ,7.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,23156,CPT,Removal of humerus lesion,,,21 ,,RBRVS,8.99 ,6.29 ,6.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,23170,CPT,Remove collar bone lesion,,,21 ,,RBRVS,7.10 ,5.00 ,5.00 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,23172,CPT,Remove shoulder blade lesion,,,21 ,,RBRVS,7.20 ,5.52 ,5.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,23174,CPT,Remove humerus lesion,,,21 ,,RBRVS,9.90 ,7.18 ,7.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,23180,CPT,Remove collar bone lesion,,,21 ,,RBRVS,8.85 ,6.42 ,6.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,23182,CPT,Remove shoulder blade lesion,,,21 ,,RBRVS,8.47 ,6.43 ,6.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,23184,CPT,Remove humerus lesion,,,21 ,,RBRVS,9.76 ,6.93 ,6.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,23190,CPT,Partial removal of scapula,,,21 ,,RBRVS,7.36 ,5.31 ,5.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,23195,CPT,Removal of head of humerus,,,21 ,,RBRVS,10.24 ,6.92 ,6.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,23200,CPT,Removal of collar bone,,,21 ,,RBRVS,12.69 ,7.12 ,7.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,23210,CPT,Removal of shoulder blade,,,21 ,,RBRVS,13.16 ,7.81 ,7.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,23220,CPT,Partial removal of humerus,,,21 ,,RBRVS,15.36 ,9.15 ,9.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,23221,CPT,Partial removal of humerus,,,21 ,,RBRVS,18.41 ,10.62 ,10.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,23222,CPT,Partial removal of humerus,,,21 ,,RBRVS,25.44 ,13.35 ,13.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,23330,CPT,Remove shoulder foreign body,,,21 ,,RBRVS,1.87 ,1.51 ,3.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,23331,CPT,Remove shoulder foreign body,,,21 ,,RBRVS,7.51 ,5.84 ,5.84 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,23332,CPT,Remove shoulder foreign body,,,21 ,,RBRVS,12.23 ,7.97 ,7.97 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,23350,CPT,Injection for shoulder x-ray,,,21 ,,RBRVS,1.00 ,0.35 ,2.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,23395,CPT,"Muscle transfer,shoulder/arm",,,21 ,,RBRVS,18.29 ,11.21 ,11.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,23397,CPT,Muscle transfers,,,21 ,,RBRVS,16.62 ,9.56 ,9.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,23400,CPT,Fixation of shoulder blade,,,21 ,,RBRVS,13.73 ,8.55 ,8.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,23405,CPT,Incision of tendon & muscle,,,21 ,,RBRVS,8.43 ,5.92 ,5.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,23406,CPT,Incise tendon(s) & muscle(s),,,21 ,,RBRVS,10.90 ,6.91 ,6.91 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,23410,CPT,"Repair rotator cuff, acute",,,21 ,,RBRVS,12.63 ,7.78 ,7.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,23412,CPT,"Repair rotator cuff, chronic",,,21 ,,RBRVS,13.55 ,8.16 ,8.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,23415,CPT,Release of shoulder ligament,,,21 ,,RBRVS,10.09 ,6.59 ,6.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,23420,CPT,Repair of shoulder,,,21 ,,RBRVS,14.75 ,9.71 ,9.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,23430,CPT,Repair biceps tendon,,,21 ,,RBRVS,10.05 ,6.78 ,6.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,23440,CPT,Remove/transplant tendon,,,21 ,,RBRVS,10.53 ,6.78 ,6.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,23450,CPT,Repair shoulder capsule,,,21 ,,RBRVS,13.58 ,8.18 ,8.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,23455,CPT,Repair shoulder capsule,,,21 ,,RBRVS,14.55 ,8.56 ,8.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,23460,CPT,Repair shoulder capsule,,,21 ,,RBRVS,15.68 ,9.37 ,9.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,23462,CPT,Repair shoulder capsule,,,21 ,,RBRVS,15.60 ,9.09 ,9.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,23465,CPT,Repair shoulder capsule,,,21 ,,RBRVS,16.16 ,9.50 ,9.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,23466,CPT,Repair shoulder capsule,,,21 ,,RBRVS,15.55 ,10.00 ,10.00 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,23470,CPT,Reconstruct shoulder joint,,,21 ,,RBRVS,17.75 ,10.13 ,10.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,23472,CPT,Reconstruct shoulder joint,,,21 ,,RBRVS,22.47 ,12.15 ,12.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,23480,CPT,Revision of collar bone,,,21 ,,RBRVS,11.42 ,7.30 ,7.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,23485,CPT,Revision of collar bone,,,21 ,,RBRVS,13.79 ,8.21 ,8.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,23490,CPT,Reinforce clavicle,,,21 ,,RBRVS,12.04 ,6.75 ,6.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,23491,CPT,Reinforce shoulder bones,,,21 ,,RBRVS,14.40 ,8.72 ,8.72 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,23500,CPT,Treat clavicle fracture,,,21 ,,RBRVS,2.13 ,2.71 ,2.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,23505,CPT,Treat clavicle fracture,,,21 ,,RBRVS,3.74 ,3.62 ,4.01 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,23515,CPT,Treat clavicle fracture,,,21 ,,RBRVS,9.53 ,7.01 ,7.01 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,23520,CPT,Treat clavicle dislocation,,,21 ,,RBRVS,2.21 ,2.84 ,2.77 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,23525,CPT,Treat clavicle dislocation,,,21 ,,RBRVS,3.67 ,3.64 ,4.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,23530,CPT,Treat clavicle dislocation,,,21 ,,RBRVS,7.37 ,5.31 ,5.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,23532,CPT,Treat clavicle dislocation,,,21 ,,RBRVS,8.08 ,6.02 ,6.02 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,23540,CPT,Treat clavicle dislocation,,,21 ,,RBRVS,2.28 ,2.74 ,2.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,23545,CPT,Treat clavicle dislocation,,,21 ,,RBRVS,3.32 ,3.26 ,3.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,23550,CPT,Treat clavicle dislocation,,,21 ,,RBRVS,7.48 ,5.54 ,5.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,23552,CPT,Treat clavicle dislocation,,,21 ,,RBRVS,8.70 ,6.26 ,6.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,23570,CPT,Treat shoulder blade fx,,,21 ,,RBRVS,2.28 ,2.92 ,2.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,23575,CPT,Treat shoulder blade fx,,,21 ,,RBRVS,4.12 ,4.08 ,4.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,23585,CPT,Treat scapula fracture,,,21 ,,RBRVS,14.07 ,8.51 ,8.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,23600,CPT,Treat humerus fracture,,,21 ,,RBRVS,3.00 ,3.65 ,4.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,23605,CPT,Treat humerus fracture,,,21 ,,RBRVS,4.94 ,4.60 ,5.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,23615,CPT,Treat humerus fracture,,,21 ,,RBRVS,12.12 ,8.06 ,8.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,23616,CPT,Treat humerus fracture,,,21 ,,RBRVS,18.19 ,10.46 ,10.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,23620,CPT,Treat humerus fracture,,,21 ,,RBRVS,2.46 ,3.15 ,3.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,23625,CPT,Treat humerus fracture,,,21 ,,RBRVS,3.99 ,3.92 ,4.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,23630,CPT,Treat humerus fracture,,,21 ,,RBRVS,10.39 ,7.37 ,7.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,23650,CPT,Treat shoulder dislocation,,,21 ,,RBRVS,3.44 ,2.83 ,3.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,23655,CPT,Treat shoulder dislocation,,,21 ,,RBRVS,4.64 ,4.15 ,4.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,23660,CPT,Treat shoulder dislocation,,,21 ,,RBRVS,7.55 ,5.69 ,5.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,23665,CPT,Treat dislocation/fracture,,,21 ,,RBRVS,4.54 ,4.27 ,4.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,23670,CPT,Treat dislocation/fracture,,,21 ,,RBRVS,12.12 ,7.93 ,7.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,23675,CPT,Treat dislocation/fracture,,,21 ,,RBRVS,6.13 ,5.13 ,6.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,23680,CPT,Treat dislocation/fracture,,,21 ,,RBRVS,12.99 ,8.24 ,8.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,23700,CPT,Fixation of shoulder,,,21 ,,RBRVS,2.54 ,1.90 ,1.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,23800,CPT,Fusion of shoulder joint,,,21 ,,RBRVS,14.59 ,8.87 ,8.87 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,23802,CPT,Fusion of shoulder joint,,,21 ,,RBRVS,18.17 ,11.22 ,11.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,23900,CPT,Amputation of arm & girdle,,,21 ,,RBRVS,20.57 ,10.43 ,10.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,23920,CPT,Amputation at shoulder joint,,,21 ,,RBRVS,16.03 ,9.22 ,9.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,23921,CPT,Amputation follow-up surgery,,,21 ,,RBRVS,5.61 ,4.85 ,4.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,23929,CPT,Shoulder surgery procedure,,,21 ,,TotalUnits,,,,6.64 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,23930,CPT,Drainage of arm lesion,,,21 ,,RBRVS,2.96 ,1.98 ,4.98 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,23931,CPT,Drainage of arm bursa,,,21 ,,RBRVS,1.81 ,1.75 ,4.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,23935,CPT,Drain arm/elbow bone lesion,,,21 ,,RBRVS,6.27 ,5.10 ,5.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,24000,CPT,Exploratory elbow surgery,,,21 ,,RBRVS,5.99 ,4.75 ,4.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,24006,CPT,Release elbow joint,,,21 ,,RBRVS,9.62 ,6.60 ,6.60 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,24065,CPT,Biopsy arm/elbow soft tissue,,,21 ,,RBRVS,2.10 ,1.92 ,4.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,24066,CPT,Biopsy arm/elbow soft tissue,,,21 ,,RBRVS,5.26 ,3.92 ,8.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,24075,CPT,Remove arm/elbow lesion,,,21 ,,RBRVS,3.96 ,3.27 ,7.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,24076,CPT,Remove arm/elbow lesion,,,21 ,,RBRVS,6.36 ,4.59 ,4.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,24077,CPT,Remove tumor of arm/elbow,,,21 ,,RBRVS,11.95 ,6.86 ,6.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,24100,CPT,Biopsy elbow joint lining,,,21 ,,RBRVS,4.98 ,4.09 ,4.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,24101,CPT,Explore/treat elbow joint,,,21 ,,RBRVS,6.19 ,5.05 ,5.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,24102,CPT,Remove elbow joint lining,,,21 ,,RBRVS,8.15 ,5.81 ,5.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,24105,CPT,Removal of elbow bursa,,,21 ,,RBRVS,3.67 ,4.03 ,4.03 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,24110,CPT,Remove humerus lesion,,,21 ,,RBRVS,7.46 ,5.65 ,5.65 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,24115,CPT,Remove/graft bone lesion,,,21 ,,RBRVS,10.00 ,4.32 ,4.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,24116,CPT,Remove/graft bone lesion,,,21 ,,RBRVS,12.11 ,7.68 ,7.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,24120,CPT,Remove elbow lesion,,,21 ,,RBRVS,6.71 ,5.18 ,5.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,24125,CPT,Remove/graft bone lesion,,,21 ,,RBRVS,8.02 ,5.99 ,5.99 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,24126,CPT,Remove/graft bone lesion,,,21 ,,RBRVS,8.50 ,6.01 ,6.01 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,24130,CPT,Removal of head of radius,,,21 ,,RBRVS,6.31 ,5.13 ,5.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,24134,CPT,Removal of arm bone lesion,,,21 ,,RBRVS,10.10 ,6.91 ,6.91 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,24136,CPT,Remove radius bone lesion,,,21 ,,RBRVS,8.29 ,5.77 ,5.77 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,24138,CPT,Remove elbow bone lesion,,,21 ,,RBRVS,8.33 ,6.49 ,6.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,24140,CPT,Partial removal of arm bone,,,21 ,,RBRVS,9.43 ,6.58 ,6.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,24145,CPT,Partial removal of radius,,,21 ,,RBRVS,7.70 ,5.64 ,5.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,24147,CPT,Partial removal of elbow,,,21 ,,RBRVS,7.69 ,6.28 ,6.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,24149,CPT,Radical resection of elbow,,,21 ,,RBRVS,15.92 ,10.77 ,10.77 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,24150,CPT,Extensive humerus surgery,,,21 ,,RBRVS,13.70 ,8.50 ,8.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,24151,CPT,Extensive humerus surgery,,,21 ,,RBRVS,16.08 ,9.70 ,9.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,24152,CPT,Extensive radius surgery,,,21 ,,RBRVS,10.24 ,6.17 ,6.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,24153,CPT,Extensive radius surgery,,,21 ,,RBRVS,11.73 ,4.87 ,4.87 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,24155,CPT,Removal of elbow joint,,,21 ,,RBRVS,11.97 ,7.42 ,7.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,24160,CPT,Remove elbow joint implant,,,21 ,,RBRVS,7.89 ,5.83 ,5.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,24164,CPT,Remove radius head implant,,,21 ,,RBRVS,6.34 ,4.90 ,4.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,24200,CPT,Removal of arm foreign body,,,21 ,,RBRVS,1.78 ,1.36 ,2.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,24201,CPT,Removal of arm foreign body,,,21 ,,RBRVS,4.61 ,3.66 ,7.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,24220,CPT,Injection for elbow x-ray,,,21 ,,RBRVS,1.31 ,0.46 ,2.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,24300,CPT,Manipulate elbow w/anesth,,,21 ,,RBRVS,3.86 ,5.16 ,5.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,24301,CPT,Muscle/tendon transfer,,,21 ,,RBRVS,10.26 ,6.83 ,6.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,24305,CPT,Arm tendon lengthening,,,21 ,,RBRVS,7.51 ,5.66 ,5.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,24310,CPT,Revision of arm tendon,,,21 ,,RBRVS,6.03 ,4.73 ,4.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,24320,CPT,Repair of arm tendon,,,21 ,,RBRVS,10.74 ,7.03 ,7.03 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,24330,CPT,Revision of arm muscles,,,21 ,,RBRVS,9.67 ,6.64 ,6.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,24331,CPT,Revision of arm muscles,,,21 ,,RBRVS,10.83 ,6.95 ,6.95 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,24332,CPT,"Tenolysis, triceps",,,21 ,,RBRVS,7.77 ,5.92 ,5.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,24340,CPT,Repair of biceps tendon,,,21 ,,RBRVS,7.96 ,5.96 ,5.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,24341,CPT,Repair arm tendon/muscle,,,21 ,,RBRVS,9.24 ,7.53 ,7.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,24342,CPT,Repair of ruptured tendon,,,21 ,,RBRVS,10.74 ,7.07 ,7.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,24343,CPT,Repr elbow lat ligmnt w/tiss,,,21 ,,RBRVS,8.99 ,6.99 ,6.99 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,24344,CPT,Reconstruct elbow lat ligmnt,,,21 ,,RBRVS,14.97 ,9.96 ,9.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,24345,CPT,Repr elbw med ligmnt w/tissu,,,21 ,,RBRVS,8.99 ,6.94 ,6.94 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,24346,CPT,Reconstruct elbow med ligmnt,,,21 ,,RBRVS,14.97 ,10.04 ,10.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,24357,CPT,"Repair elbow, perc",,,21 ,,RBRVS,5.32 ,4.72 ,4.72 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,24358,CPT,"Repair elbow w/deb, open",,,21 ,,RBRVS,6.54 ,5.28 ,5.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,24359,CPT,Repair elbow deb/attch open,,,21 ,,RBRVS,8.86 ,6.20 ,6.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,24360,CPT,Reconstruct elbow joint,,,21 ,,RBRVS,12.53 ,7.84 ,7.84 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,24361,CPT,Reconstruct elbow joint,,,21 ,,RBRVS,14.27 ,8.76 ,8.76 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,24362,CPT,Reconstruct elbow joint,,,21 ,,RBRVS,15.18 ,5.74 ,5.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,24363,CPT,Replace elbow joint,,,21 ,,RBRVS,22.47 ,12.18 ,12.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,24365,CPT,Reconstruct head of radius,,,21 ,,RBRVS,8.51 ,5.97 ,5.97 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,24366,CPT,Reconstruct head of radius,,,21 ,,RBRVS,9.25 ,6.31 ,6.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,24400,CPT,Revision of humerus,,,21 ,,RBRVS,11.19 ,7.50 ,7.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,24410,CPT,Revision of humerus,,,21 ,,RBRVS,14.96 ,9.25 ,9.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,24420,CPT,Revision of humerus,,,21 ,,RBRVS,13.58 ,8.51 ,8.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,24430,CPT,Repair of humerus,,,21 ,,RBRVS,15.07 ,9.23 ,9.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,24435,CPT,Repair humerus with graft,,,21 ,,RBRVS,14.74 ,9.82 ,9.82 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,24470,CPT,Revision of elbow joint,,,21 ,,RBRVS,8.81 ,5.66 ,5.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,24495,CPT,Decompression of forearm,,,21 ,,RBRVS,8.30 ,6.41 ,6.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,24498,CPT,Reinforce humerus,,,21 ,,RBRVS,12.16 ,7.67 ,7.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,24500,CPT,Treat humerus fracture,,,21 ,,RBRVS,3.29 ,3.81 ,4.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,24505,CPT,Treat humerus fracture,,,21 ,,RBRVS,5.25 ,4.88 ,5.84 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,24515,CPT,Treat humerus fracture,,,21 ,,RBRVS,11.97 ,8.04 ,8.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,24516,CPT,Treat humerus fracture,,,21 ,,RBRVS,12.07 ,7.65 ,7.65 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,24530,CPT,Treat humerus fracture,,,21 ,,RBRVS,3.57 ,4.00 ,4.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,24535,CPT,Treat humerus fracture,,,21 ,,RBRVS,6.96 ,5.86 ,6.82 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,24538,CPT,Treat humerus fracture,,,21 ,,RBRVS,9.63 ,7.19 ,7.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,24545,CPT,Treat humerus fracture,,,21 ,,RBRVS,12.99 ,8.28 ,8.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,24546,CPT,Treat humerus fracture,,,21 ,,RBRVS,14.73 ,9.11 ,9.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,24560,CPT,Treat humerus fracture,,,21 ,,RBRVS,2.87 ,3.43 ,4.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,24565,CPT,Treat humerus fracture,,,21 ,,RBRVS,5.64 ,5.05 ,5.94 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,24566,CPT,Treat humerus fracture,,,21 ,,RBRVS,8.86 ,6.80 ,6.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,24575,CPT,Treat humerus fracture,,,21 ,,RBRVS,9.53 ,6.97 ,6.97 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,24576,CPT,Treat humerus fracture,,,21 ,,RBRVS,2.94 ,3.71 ,4.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,24577,CPT,Treat humerus fracture,,,21 ,,RBRVS,5.87 ,5.08 ,6.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,24579,CPT,Treat humerus fracture,,,21 ,,RBRVS,11.26 ,7.74 ,7.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,24582,CPT,Treat humerus fracture,,,21 ,,RBRVS,9.89 ,8.18 ,8.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,24586,CPT,Treat elbow fracture,,,21 ,,RBRVS,15.64 ,9.33 ,9.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,24587,CPT,Treat elbow fracture,,,21 ,,RBRVS,15.65 ,9.32 ,9.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,24600,CPT,Treat elbow dislocation,,,21 ,,RBRVS,4.28 ,3.28 ,3.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,24605,CPT,Treat elbow dislocation,,,21 ,,RBRVS,5.50 ,4.91 ,4.91 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,24615,CPT,Treat elbow dislocation,,,21 ,,RBRVS,9.72 ,6.56 ,6.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,24620,CPT,Treat elbow fracture,,,21 ,,RBRVS,7.07 ,5.49 ,5.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,24635,CPT,Treat elbow fracture,,,21 ,,RBRVS,8.64 ,6.55 ,6.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,24640,CPT,Treat elbow dislocation,,,21 ,,RBRVS,1.22 ,0.83 ,1.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,24650,CPT,Treat radius fracture,,,21 ,,RBRVS,2.22 ,2.99 ,3.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,24655,CPT,Treat radius fracture,,,21 ,,RBRVS,4.48 ,4.40 ,5.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,24665,CPT,Treat radius fracture,,,21 ,,RBRVS,8.22 ,6.51 ,6.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,24666,CPT,Treat radius fracture,,,21 ,,RBRVS,9.74 ,6.96 ,6.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,24670,CPT,Treat ulnar fracture,,,21 ,,RBRVS,2.60 ,3.15 ,3.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,24675,CPT,Treat ulnar fracture,,,21 ,,RBRVS,4.79 ,4.57 ,5.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,24685,CPT,Treat ulnar fracture,,,21 ,,RBRVS,8.21 ,6.52 ,6.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,24800,CPT,Fusion of elbow joint,,,21 ,,RBRVS,11.27 ,6.89 ,6.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,24802,CPT,Fusion/graft of elbow joint,,,21 ,,RBRVS,14.18 ,8.03 ,8.03 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,24900,CPT,Amputation of upper arm,,,21 ,,RBRVS,10.04 ,6.42 ,6.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,24920,CPT,Amputation of upper arm,,,21 ,,RBRVS,10.02 ,6.04 ,6.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,24925,CPT,Amputation follow-up surgery,,,21 ,,RBRVS,7.19 ,4.95 ,4.95 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,24930,CPT,Amputation follow-up surgery,,,21 ,,RBRVS,10.72 ,6.20 ,6.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,24931,CPT,Amputate upper arm & implant,,,21 ,,RBRVS,13.32 ,5.08 ,5.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,24935,CPT,Revision of amputation,,,21 ,,RBRVS,16.30 ,10.47 ,10.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,24940,CPT,Revision of upper arm,,,21 ,,TotalUnits,,,,16.85 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,24999,CPT,Upper arm/elbow surgery,,,21 ,,TotalUnits,,,,11.56 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,25000,CPT,Incision of tendon sheath,,,21 ,,RBRVS,3.44 ,3.98 ,3.98 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,25001,CPT,Incise flexor carpi radialis,,,21 ,,RBRVS,3.68 ,3.95 ,3.95 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,25020,CPT,Decompress forearm 1 space,,,21 ,,RBRVS,5.97 ,6.95 ,6.95 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,25023,CPT,Decompress forearm 1 space,,,21 ,,RBRVS,13.69 ,11.33 ,11.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,25024,CPT,Decompress forearm 2 spaces,,,21 ,,RBRVS,10.62 ,7.08 ,7.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,25025,CPT,Decompress forearm 2 spaces,,,21 ,,RBRVS,17.77 ,9.70 ,9.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,25028,CPT,Drainage of forearm lesion,,,21 ,,RBRVS,5.30 ,6.20 ,6.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,25031,CPT,Drainage of forearm bursa,,,21 ,,RBRVS,4.18 ,3.49 ,3.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,25035,CPT,Treat forearm bone lesion,,,21 ,,RBRVS,7.54 ,5.63 ,5.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,25040,CPT,Explore/treat wrist joint,,,21 ,,RBRVS,7.41 ,5.40 ,5.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,25065,CPT,Biopsy forearm soft tissues,,,21 ,,RBRVS,2.01 ,1.98 ,4.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,25066,CPT,Biopsy forearm soft tissues,,,21 ,,RBRVS,4.18 ,3.84 ,3.84 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,25075,CPT,Removal forearm lesion subcu,,,21 ,,RBRVS,3.78 ,3.31 ,3.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,25076,CPT,Removal forearm lesion deep,,,21 ,,RBRVS,4.97 ,4.11 ,4.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,25077,CPT,"Remove tumor, forearm/wrist",,,21 ,,RBRVS,9.90 ,6.18 ,6.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,25085,CPT,Incision of wrist capsule,,,21 ,,RBRVS,5.55 ,4.62 ,4.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,25100,CPT,Biopsy of wrist joint,,,21 ,,RBRVS,3.94 ,3.77 ,3.77 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,25101,CPT,Explore/treat wrist joint,,,21 ,,RBRVS,4.74 ,4.35 ,4.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,25105,CPT,Remove wrist joint lining,,,21 ,,RBRVS,5.91 ,4.98 ,4.98 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,25107,CPT,Remove wrist joint cartilage,,,21 ,,RBRVS,7.50 ,6.24 ,6.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,25109,CPT,Excise tendon forearm/wrist,,,21 ,,RBRVS,6.81 ,5.24 ,5.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,25110,CPT,Remove wrist tendon lesion,,,21 ,,RBRVS,3.96 ,3.62 ,3.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,25111,CPT,Remove wrist tendon lesion,,,21 ,,RBRVS,3.44 ,3.62 ,3.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,25112,CPT,Reremove wrist tendon lesion,,,21 ,,RBRVS,4.58 ,4.08 ,4.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,25115,CPT,Remove wrist/forearm lesion,,,21 ,,RBRVS,9.89 ,7.34 ,7.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,25116,CPT,Remove wrist/forearm lesion,,,21 ,,RBRVS,7.38 ,6.19 ,6.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,25118,CPT,Excise wrist tendon sheath,,,21 ,,RBRVS,4.42 ,4.15 ,4.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,25119,CPT,Partial removal of ulna,,,21 ,,RBRVS,6.10 ,5.07 ,5.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,25120,CPT,Removal of forearm lesion,,,21 ,,RBRVS,6.16 ,5.10 ,5.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,25125,CPT,Remove/graft forearm lesion,,,21 ,,RBRVS,7.55 ,5.68 ,5.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,25126,CPT,Remove/graft forearm lesion,,,21 ,,RBRVS,7.62 ,5.86 ,5.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,25130,CPT,Removal of wrist lesion,,,21 ,,RBRVS,5.32 ,4.73 ,4.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,25135,CPT,Remove & graft wrist lesion,,,21 ,,RBRVS,6.96 ,5.62 ,5.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,25136,CPT,Remove & graft wrist lesion,,,21 ,,RBRVS,6.03 ,5.10 ,5.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,25145,CPT,Remove forearm bone lesion,,,21 ,,RBRVS,6.43 ,5.21 ,5.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,25150,CPT,Partial removal of ulna,,,21 ,,RBRVS,7.27 ,5.53 ,5.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,25151,CPT,Partial removal of radius,,,21 ,,RBRVS,7.57 ,5.65 ,5.65 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,25170,CPT,Extensive forearm surgery,,,21 ,,RBRVS,11.34 ,7.37 ,7.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,25210,CPT,Removal of wrist bone,,,21 ,,RBRVS,6.01 ,5.05 ,5.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,25215,CPT,Removal of wrist bones,,,21 ,,RBRVS,8.02 ,6.03 ,6.03 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,25230,CPT,Partial removal of radius,,,21 ,,RBRVS,5.28 ,4.50 ,4.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,25240,CPT,Partial removal of ulna,,,21 ,,RBRVS,5.22 ,4.47 ,4.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,25246,CPT,Injection for wrist x-ray,,,21 ,,RBRVS,1.45 ,0.53 ,2.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,25248,CPT,Remove forearm foreign body,,,21 ,,RBRVS,5.20 ,4.05 ,4.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,25250,CPT,Removal of wrist prosthesis,,,21 ,,RBRVS,6.66 ,5.27 ,5.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,25251,CPT,Removal of wrist prosthesis,,,21 ,,RBRVS,9.70 ,6.75 ,6.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,25259,CPT,Manipulate wrist w/anesthes,,,21 ,,RBRVS,3.86 ,5.16 ,5.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,25260,CPT,Repair forearm tendon/muscle,,,21 ,,RBRVS,7.89 ,6.38 ,6.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,25263,CPT,Repair forearm tendon/muscle,,,21 ,,RBRVS,7.90 ,6.10 ,6.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,25265,CPT,Repair forearm tendon/muscle,,,21 ,,RBRVS,9.96 ,7.11 ,7.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,25270,CPT,Repair forearm tendon/muscle,,,21 ,,RBRVS,6.06 ,4.97 ,4.97 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,25272,CPT,Repair forearm tendon/muscle,,,21 ,,RBRVS,7.10 ,5.49 ,5.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,25274,CPT,Repair forearm tendon/muscle,,,21 ,,RBRVS,8.82 ,6.37 ,6.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,25275,CPT,Repair forearm tendon sheath,,,21 ,,RBRVS,8.82 ,6.48 ,6.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,25280,CPT,Revise wrist/forearm tendon,,,21 ,,RBRVS,7.28 ,5.56 ,5.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,25290,CPT,Incise wrist/forearm tendon,,,21 ,,RBRVS,5.34 ,4.50 ,4.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,25295,CPT,Release wrist/forearm tendon,,,21 ,,RBRVS,6.61 ,5.29 ,5.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,25300,CPT,Fusion of tendons at wrist,,,21 ,,RBRVS,8.88 ,6.66 ,6.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,25301,CPT,Fusion of tendons at wrist,,,21 ,,RBRVS,8.47 ,6.19 ,6.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,25310,CPT,Transplant forearm tendon,,,21 ,,RBRVS,8.26 ,5.94 ,5.94 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,25312,CPT,Transplant forearm tendon,,,21 ,,RBRVS,9.70 ,6.71 ,6.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,25315,CPT,Revise palsy hand tendon(s),,,21 ,,RBRVS,10.56 ,7.11 ,7.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,25316,CPT,Revise palsy hand tendon(s),,,21 ,,RBRVS,12.76 ,7.82 ,7.82 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,25320,CPT,Repair/revise wrist joint,,,21 ,,RBRVS,12.38 ,9.87 ,9.87 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,25332,CPT,Revise wrist joint,,,21 ,,RBRVS,11.60 ,7.61 ,7.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,25335,CPT,Realignment of hand,,,21 ,,RBRVS,13.25 ,8.31 ,8.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,25337,CPT,Reconstruct ulna/radioulnar,,,21 ,,RBRVS,11.44 ,8.63 ,8.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,25350,CPT,Revision of radius,,,21 ,,RBRVS,8.97 ,6.35 ,6.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,25355,CPT,Revision of radius,,,21 ,,RBRVS,10.41 ,6.75 ,6.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,25360,CPT,Revision of ulna,,,21 ,,RBRVS,8.62 ,6.24 ,6.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,25365,CPT,Revise radius & ulna,,,21 ,,RBRVS,12.77 ,8.18 ,8.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,25370,CPT,Revise radius or ulna,,,21 ,,RBRVS,13.93 ,9.01 ,9.01 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,25375,CPT,Revise radius & ulna,,,21 ,,RBRVS,13.41 ,8.37 ,8.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,25390,CPT,Shorten radius or ulna,,,21 ,,RBRVS,10.58 ,7.07 ,7.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,25391,CPT,Lengthen radius or ulna,,,21 ,,RBRVS,14.14 ,8.67 ,8.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,25392,CPT,Shorten radius & ulna,,,21 ,,RBRVS,14.44 ,8.91 ,8.91 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,25393,CPT,Lengthen radius & ulna,,,21 ,,RBRVS,16.42 ,9.57 ,9.57 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,25394,CPT,"Repair carpal bone, shorten",,,21 ,,RBRVS,10.71 ,6.95 ,6.95 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,25400,CPT,Repair radius or ulna,,,21 ,,RBRVS,11.16 ,7.27 ,7.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,25405,CPT,Repair/graft radius or ulna,,,21 ,,RBRVS,14.87 ,8.93 ,8.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,25415,CPT,Repair radius & ulna,,,21 ,,RBRVS,13.66 ,8.80 ,8.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,25420,CPT,Repair/graft radius & ulna,,,21 ,,RBRVS,16.89 ,9.93 ,9.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,25425,CPT,Repair/graft radius or ulna,,,21 ,,RBRVS,13.58 ,8.49 ,8.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,25426,CPT,Repair/graft radius & ulna,,,21 ,,RBRVS,16.31 ,9.20 ,9.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,25430,CPT,Vasc graft into carpal bone,,,21 ,,RBRVS,9.57 ,7.04 ,7.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,25431,CPT,Repair nonunion carpal bone,,,21 ,,RBRVS,10.75 ,7.16 ,7.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,25440,CPT,Repair/graft wrist bone,,,21 ,,RBRVS,10.56 ,6.90 ,6.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,25441,CPT,Reconstruct wrist joint,,,21 ,,RBRVS,13.15 ,8.11 ,8.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,25442,CPT,Reconstruct wrist joint,,,21 ,,RBRVS,10.98 ,7.51 ,7.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,25443,CPT,Reconstruct wrist joint,,,21 ,,RBRVS,10.52 ,7.22 ,7.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,25444,CPT,Reconstruct wrist joint,,,21 ,,RBRVS,11.28 ,7.44 ,7.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,25445,CPT,Reconstruct wrist joint,,,21 ,,RBRVS,9.76 ,6.70 ,6.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,25446,CPT,Wrist replacement,,,21 ,,RBRVS,17.16 ,9.99 ,9.99 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,25447,CPT,Repair wrist joint(s),,,21 ,,RBRVS,10.95 ,7.87 ,7.87 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,25449,CPT,Remove wrist joint implant,,,21 ,,RBRVS,14.80 ,8.96 ,8.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,25450,CPT,Revision of wrist joint,,,21 ,,RBRVS,7.94 ,3.84 ,3.84 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,25455,CPT,Revision of wrist joint,,,21 ,,RBRVS,9.57 ,6.85 ,6.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,25490,CPT,Reinforce radius,,,21 ,,RBRVS,9.61 ,6.58 ,6.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,25491,CPT,Reinforce ulna,,,21 ,,RBRVS,10.03 ,6.79 ,6.79 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,25492,CPT,Reinforce radius and ulna,,,21 ,,RBRVS,12.52 ,8.34 ,8.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,25500,CPT,Treat fracture of radius,,,21 ,,RBRVS,2.51 ,2.86 ,3.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,25505,CPT,Treat fracture of radius,,,21 ,,RBRVS,5.30 ,4.98 ,5.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,25515,CPT,Treat fracture of radius,,,21 ,,RBRVS,8.64 ,6.47 ,6.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,25520,CPT,Treat fracture of radius,,,21 ,,RBRVS,6.35 ,5.14 ,5.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,25525,CPT,Treat fracture of radius,,,21 ,,RBRVS,10.37 ,7.42 ,7.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,25526,CPT,Treat fracture of radius,,,21 ,,RBRVS,12.96 ,8.69 ,8.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,25530,CPT,Treat fracture of ulna,,,21 ,,RBRVS,2.15 ,2.98 ,3.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,25535,CPT,Treat fracture of ulna,,,21 ,,RBRVS,5.22 ,4.84 ,5.57 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,25545,CPT,Treat fracture of ulna,,,21 ,,RBRVS,7.78 ,6.23 ,6.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,25560,CPT,Treat fracture radius & ulna,,,21 ,,RBRVS,2.50 ,2.85 ,3.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,25565,CPT,Treat fracture radius & ulna,,,21 ,,RBRVS,5.71 ,4.93 ,5.91 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,25574,CPT,Treat fracture radius & ulna,,,21 ,,RBRVS,8.64 ,6.55 ,6.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,25575,CPT,Treat fracture radius/ulna,,,21 ,,RBRVS,12.10 ,8.37 ,8.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,25600,CPT,Treat fracture radius/ulna,,,21 ,,RBRVS,2.69 ,3.17 ,3.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,25605,CPT,Treat fracture radius/ulna,,,21 ,,RBRVS,7.02 ,6.14 ,6.87 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,25606,CPT,Treat fx distal radial,,,21 ,,RBRVS,8.10 ,6.70 ,6.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,25607,CPT,Treat fx rad extra-articul,,,21 ,,RBRVS,9.35 ,7.20 ,7.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,25608,CPT,Treat fx rad intra-articul,,,21 ,,RBRVS,10.86 ,7.80 ,7.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,25609,CPT,Treat fx radial 3+ frag,,,21 ,,RBRVS,14.12 ,9.66 ,9.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,25622,CPT,Treat wrist bone fracture,,,21 ,,RBRVS,2.68 ,3.36 ,3.91 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,25624,CPT,Treat wrist bone fracture,,,21 ,,RBRVS,4.62 ,4.78 ,5.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,25628,CPT,Treat wrist bone fracture,,,21 ,,RBRVS,9.51 ,6.85 ,6.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,25630,CPT,Treat wrist bone fracture,,,21 ,,RBRVS,2.94 ,3.25 ,3.76 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,25635,CPT,Treat wrist bone fracture,,,21 ,,RBRVS,4.47 ,4.34 ,5.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,25645,CPT,Treat wrist bone fracture,,,21 ,,RBRVS,7.31 ,5.56 ,5.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,25650,CPT,Treat wrist bone fracture,,,21 ,,RBRVS,3.12 ,3.45 ,3.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,25651,CPT,Pin ulnar styloid fracture,,,21 ,,RBRVS,5.68 ,5.15 ,5.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,25652,CPT,Treat fracture ulnar styloid,,,21 ,,RBRVS,7.92 ,6.16 ,6.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,25660,CPT,Treat wrist dislocation,,,21 ,,RBRVS,4.84 ,4.33 ,4.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,25670,CPT,Treat wrist dislocation,,,21 ,,RBRVS,7.98 ,5.82 ,5.82 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,25671,CPT,Pin radioulnar dislocation,,,21 ,,RBRVS,6.32 ,5.54 ,5.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,25675,CPT,Treat wrist dislocation,,,21 ,,RBRVS,4.75 ,4.00 ,4.72 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,25676,CPT,Treat wrist dislocation,,,21 ,,RBRVS,8.17 ,6.14 ,6.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,25680,CPT,Treat wrist fracture,,,21 ,,RBRVS,6.08 ,4.39 ,4.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,25685,CPT,Treat wrist fracture,,,21 ,,RBRVS,9.97 ,6.63 ,6.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,25690,CPT,Treat wrist dislocation,,,21 ,,RBRVS,5.58 ,4.85 ,4.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,25695,CPT,Treat wrist dislocation,,,21 ,,RBRVS,8.40 ,6.01 ,6.01 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,25800,CPT,Fusion of wrist joint,,,21 ,,RBRVS,9.95 ,6.80 ,6.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,25805,CPT,Fusion/graft of wrist joint,,,21 ,,RBRVS,11.59 ,7.68 ,7.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,25810,CPT,Fusion/graft of wrist joint,,,21 ,,RBRVS,11.75 ,8.04 ,8.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,25820,CPT,Fusion of hand bones,,,21 ,,RBRVS,7.52 ,6.41 ,6.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,25825,CPT,Fuse hand bones with graft,,,21 ,,RBRVS,9.54 ,7.66 ,7.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,25830,CPT,"Fusion, radioulnar jnt/ulna",,,21 ,,RBRVS,10.69 ,10.59 ,10.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,25900,CPT,Amputation of forearm,,,21 ,,RBRVS,9.46 ,6.74 ,6.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,25905,CPT,Amputation of forearm,,,21 ,,RBRVS,9.48 ,6.07 ,6.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,25907,CPT,Amputation follow-up surgery,,,21 ,,RBRVS,7.98 ,5.77 ,5.77 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,25909,CPT,Amputation follow-up surgery,,,21 ,,RBRVS,9.20 ,6.33 ,6.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,25915,CPT,Amputation of forearm,,,21 ,,RBRVS,17.38 ,5.98 ,5.98 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,25920,CPT,Amputate hand at wrist,,,21 ,,RBRVS,8.92 ,6.59 ,6.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,25922,CPT,Amputate hand at wrist,,,21 ,,RBRVS,7.54 ,6.28 ,6.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,25924,CPT,Amputation follow-up surgery,,,21 ,,RBRVS,8.70 ,6.13 ,6.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,25927,CPT,Amputation of hand,,,21 ,,RBRVS,8.98 ,8.66 ,8.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,25929,CPT,Amputation follow-up surgery,,,21 ,,RBRVS,7.71 ,5.67 ,5.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,25931,CPT,Amputation follow-up surgery,,,21 ,,RBRVS,7.93 ,8.33 ,8.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,25999,CPT,Forearm or wrist surgery,,,21 ,,TotalUnits,,,,14.78 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,26010,CPT,Drainage of finger abscess,,,21 ,,RBRVS,1.56 ,1.52 ,4.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,26011,CPT,Drainage of finger abscess,,,21 ,,RBRVS,2.21 ,1.96 ,6.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,26020,CPT,Drain hand tendon sheath,,,21 ,,RBRVS,4.97 ,4.74 ,4.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,26025,CPT,Drainage of palm bursa,,,21 ,,RBRVS,4.99 ,4.46 ,4.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,26030,CPT,Drainage of palm bursa(s),,,21 ,,RBRVS,6.16 ,5.00 ,5.00 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,26034,CPT,Treat hand bone lesion,,,21 ,,RBRVS,6.49 ,5.58 ,5.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,26035,CPT,Decompress fingers/hand,,,21 ,,RBRVS,11.14 ,8.13 ,8.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,26037,CPT,Decompress fingers/hand,,,21 ,,RBRVS,7.48 ,5.50 ,5.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,26040,CPT,Release palm contracture,,,21 ,,RBRVS,3.38 ,3.60 ,3.60 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,26045,CPT,Release palm contracture,,,21 ,,RBRVS,5.62 ,4.89 ,4.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,26055,CPT,Incise finger tendon sheath,,,21 ,,RBRVS,3.00 ,3.83 ,9.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,26060,CPT,Incision of finger tendon,,,21 ,,RBRVS,2.85 ,3.06 ,3.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,26070,CPT,Explore/treat hand joint,,,21 ,,RBRVS,3.73 ,3.06 ,3.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,26075,CPT,Explore/treat finger joint,,,21 ,,RBRVS,3.83 ,3.37 ,3.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,26080,CPT,Explore/treat finger joint,,,21 ,,RBRVS,4.36 ,4.32 ,4.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,26100,CPT,Biopsy hand joint lining,,,21 ,,RBRVS,3.71 ,3.67 ,3.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,26105,CPT,Biopsy finger joint lining,,,21 ,,RBRVS,3.75 ,3.68 ,3.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,26110,CPT,Biopsy finger joint lining,,,21 ,,RBRVS,3.57 ,3.61 ,3.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,26115,CPT,Removal hand lesion subcut,,,21 ,,RBRVS,3.92 ,4.23 ,9.84 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,26116,CPT,"Removal hand lesion, deep",,,21 ,,RBRVS,5.61 ,5.31 ,5.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,26117,CPT,"Remove tumor, hand/finger",,,21 ,,RBRVS,8.62 ,6.19 ,6.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,26121,CPT,Release palm contracture,,,21 ,,RBRVS,7.61 ,5.93 ,5.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,26123,CPT,Release palm contracture,,,21 ,,RBRVS,10.63 ,8.22 ,8.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,26125,CPT,Release palm contracture,,,21 ,,RBRVS,4.60 ,1.87 ,1.87 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,26130,CPT,Remove wrist joint lining,,,21 ,,RBRVS,5.48 ,4.89 ,4.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,26135,CPT,"Revise finger joint, each",,,21 ,,RBRVS,7.02 ,5.47 ,5.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,26140,CPT,"Revise finger joint, each",,,21 ,,RBRVS,6.23 ,5.17 ,5.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,26145,CPT,"Tendon excision, palm/finger",,,21 ,,RBRVS,6.38 ,5.19 ,5.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,26160,CPT,Remove tendon sheath lesion,,,21 ,,RBRVS,3.46 ,3.94 ,9.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,26170,CPT,"Removal of palm tendon, each",,,21 ,,RBRVS,4.82 ,4.37 ,4.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,26180,CPT,Removal of finger tendon,,,21 ,,RBRVS,5.24 ,4.71 ,4.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,26185,CPT,Remove finger bone,,,21 ,,RBRVS,6.32 ,5.73 ,5.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,26200,CPT,Remove hand bone lesion,,,21 ,,RBRVS,5.56 ,4.56 ,4.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,26205,CPT,Remove/graft bone lesion,,,21 ,,RBRVS,7.82 ,5.85 ,5.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,26210,CPT,Removal of finger lesion,,,21 ,,RBRVS,5.21 ,4.74 ,4.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,26215,CPT,Remove/graft finger lesion,,,21 ,,RBRVS,7.16 ,5.54 ,5.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,26230,CPT,Partial removal of hand bone,,,21 ,,RBRVS,6.38 ,4.95 ,4.95 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,26235,CPT,"Partial removal, finger bone",,,21 ,,RBRVS,6.24 ,4.95 ,4.95 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,26236,CPT,"Partial removal, finger bone",,,21 ,,RBRVS,5.37 ,4.58 ,4.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,26250,CPT,Extensive hand surgery,,,21 ,,RBRVS,7.61 ,5.72 ,5.72 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,26255,CPT,Extensive hand surgery,,,21 ,,RBRVS,12.80 ,8.29 ,8.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,26260,CPT,Extensive finger surgery,,,21 ,,RBRVS,7.09 ,5.47 ,5.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,26261,CPT,Extensive finger surgery,,,21 ,,RBRVS,9.28 ,6.73 ,6.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,26262,CPT,Partial removal of finger,,,21 ,,RBRVS,5.72 ,4.75 ,4.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,26320,CPT,Removal of implant from hand,,,21 ,,RBRVS,4.02 ,3.79 ,3.79 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,26340,CPT,Manipulate finger w/anesth,,,21 ,,RBRVS,2.62 ,4.61 ,4.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,26350,CPT,Repair finger/hand tendon,,,21 ,,RBRVS,6.07 ,9.54 ,9.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,26352,CPT,Repair/graft hand tendon,,,21 ,,RBRVS,7.75 ,10.07 ,10.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,26356,CPT,Repair finger/hand tendon,,,21 ,,RBRVS,10.22 ,13.72 ,13.72 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,26357,CPT,Repair finger/hand tendon,,,21 ,,RBRVS,8.65 ,10.36 ,10.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,26358,CPT,Repair/graft hand tendon,,,21 ,,RBRVS,9.22 ,10.96 ,10.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,26370,CPT,Repair finger/hand tendon,,,21 ,,RBRVS,7.17 ,9.51 ,9.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,26372,CPT,Repair/graft hand tendon,,,21 ,,RBRVS,8.89 ,10.54 ,10.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,26373,CPT,Repair finger/hand tendon,,,21 ,,RBRVS,8.29 ,10.17 ,10.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,26390,CPT,Revise hand/finger tendon,,,21 ,,RBRVS,9.31 ,9.21 ,9.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,26392,CPT,Repair/graft hand tendon,,,21 ,,RBRVS,10.38 ,11.17 ,11.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,26410,CPT,Repair hand tendon,,,21 ,,RBRVS,4.68 ,7.64 ,7.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,26412,CPT,Repair/graft hand tendon,,,21 ,,RBRVS,6.37 ,8.63 ,8.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,26415,CPT,"Excision, hand/finger tendon",,,21 ,,RBRVS,8.40 ,7.47 ,7.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,26416,CPT,Graft hand or finger tendon,,,21 ,,RBRVS,9.44 ,9.05 ,9.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,26418,CPT,Repair finger tendon,,,21 ,,RBRVS,4.33 ,8.15 ,8.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,26420,CPT,Repair/graft finger tendon,,,21 ,,RBRVS,6.83 ,8.81 ,8.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,26426,CPT,Repair finger/hand tendon,,,21 ,,RBRVS,6.21 ,5.12 ,5.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,26428,CPT,Repair/graft finger tendon,,,21 ,,RBRVS,7.28 ,9.26 ,9.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,26432,CPT,Repair finger tendon,,,21 ,,RBRVS,4.07 ,6.79 ,6.79 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,26433,CPT,Repair finger tendon,,,21 ,,RBRVS,4.61 ,7.02 ,7.02 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,26434,CPT,Repair/graft finger tendon,,,21 ,,RBRVS,6.15 ,7.94 ,7.94 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,26437,CPT,Realignment of tendons,,,21 ,,RBRVS,5.88 ,7.82 ,7.82 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,26440,CPT,Release palm/finger tendon,,,21 ,,RBRVS,5.07 ,8.49 ,8.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,26442,CPT,Release palm & finger tendon,,,21 ,,RBRVS,9.50 ,11.83 ,11.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,26445,CPT,Release hand/finger tendon,,,21 ,,RBRVS,4.36 ,8.24 ,8.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,26449,CPT,Release forearm/hand tendon,,,21 ,,RBRVS,8.34 ,7.28 ,7.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,26450,CPT,Incision of palm tendon,,,21 ,,RBRVS,3.71 ,5.19 ,5.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,26455,CPT,Incision of finger tendon,,,21 ,,RBRVS,3.68 ,5.15 ,5.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,26460,CPT,Incise hand/finger tendon,,,21 ,,RBRVS,3.50 ,5.12 ,5.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,26471,CPT,Fusion of finger tendons,,,21 ,,RBRVS,5.79 ,7.80 ,7.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,26474,CPT,Fusion of finger tendons,,,21 ,,RBRVS,5.38 ,7.61 ,7.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,26476,CPT,Tendon lengthening,,,21 ,,RBRVS,5.24 ,7.36 ,7.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,26477,CPT,Tendon shortening,,,21 ,,RBRVS,5.21 ,7.58 ,7.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,26478,CPT,Lengthening of hand tendon,,,21 ,,RBRVS,5.86 ,7.79 ,7.79 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,26479,CPT,Shortening of hand tendon,,,21 ,,RBRVS,5.80 ,7.74 ,7.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,26480,CPT,Transplant hand tendon,,,21 ,,RBRVS,6.76 ,9.67 ,9.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,26483,CPT,Transplant/graft hand tendon,,,21 ,,RBRVS,8.36 ,10.23 ,10.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,26485,CPT,Transplant palm tendon,,,21 ,,RBRVS,7.77 ,10.09 ,10.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,26489,CPT,Transplant/graft palm tendon,,,21 ,,RBRVS,9.74 ,10.83 ,10.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,26490,CPT,Revise thumb tendon,,,21 ,,RBRVS,8.48 ,8.88 ,8.88 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,26492,CPT,Tendon transfer with graft,,,21 ,,RBRVS,9.70 ,9.83 ,9.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,26494,CPT,Hand tendon/muscle transfer,,,21 ,,RBRVS,8.54 ,9.24 ,9.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,26496,CPT,Revise thumb tendon,,,21 ,,RBRVS,9.66 ,9.58 ,9.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,26497,CPT,Finger tendon transfer,,,21 ,,RBRVS,9.64 ,9.54 ,9.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,26498,CPT,Finger tendon transfer,,,21 ,,RBRVS,14.07 ,11.66 ,11.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,26499,CPT,Revision of finger,,,21 ,,RBRVS,9.05 ,8.86 ,8.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,26500,CPT,Hand tendon reconstruction,,,21 ,,RBRVS,6.02 ,7.75 ,7.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,26502,CPT,Hand tendon reconstruction,,,21 ,,RBRVS,7.20 ,8.33 ,8.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,26508,CPT,Release thumb contracture,,,21 ,,RBRVS,6.07 ,7.80 ,7.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,26510,CPT,Thumb tendon transfer,,,21 ,,RBRVS,5.49 ,7.64 ,7.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,26516,CPT,Fusion of knuckle joint,,,21 ,,RBRVS,7.21 ,8.31 ,8.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,26517,CPT,Fusion of knuckle joints,,,21 ,,RBRVS,8.96 ,9.00 ,9.00 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,26518,CPT,Fusion of knuckle joints,,,21 ,,RBRVS,9.15 ,8.97 ,8.97 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,26520,CPT,Release knuckle contracture,,,21 ,,RBRVS,5.36 ,8.87 ,8.87 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,26525,CPT,Release finger contracture,,,21 ,,RBRVS,5.39 ,8.89 ,8.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,26530,CPT,Revise knuckle joint,,,21 ,,RBRVS,6.76 ,5.41 ,5.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,26531,CPT,Revise knuckle with implant,,,21 ,,RBRVS,7.99 ,6.17 ,6.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,26535,CPT,Revise finger joint,,,21 ,,RBRVS,5.30 ,4.09 ,4.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,26536,CPT,Revise/implant finger joint,,,21 ,,RBRVS,6.44 ,9.25 ,9.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,26540,CPT,Repair hand joint,,,21 ,,RBRVS,6.49 ,8.06 ,8.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,26541,CPT,Repair hand joint with graft,,,21 ,,RBRVS,8.69 ,9.12 ,9.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,26542,CPT,Repair hand joint with graft,,,21 ,,RBRVS,6.84 ,8.20 ,8.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,26545,CPT,Reconstruct finger joint,,,21 ,,RBRVS,6.99 ,8.46 ,8.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,26546,CPT,Repair nonunion hand,,,21 ,,RBRVS,10.53 ,11.43 ,11.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,26548,CPT,Reconstruct finger joint,,,21 ,,RBRVS,8.10 ,8.81 ,8.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,26550,CPT,Construct thumb replacement,,,21 ,,RBRVS,21.54 ,14.55 ,14.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,26551,CPT,Great toe-hand transfer,,,21 ,,RBRVS,48.23 ,17.17 ,17.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,26553,CPT,"Single transfer, toe-hand",,,21 ,,RBRVS,47.92 ,27.38 ,27.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,26554,CPT,"Double transfer, toe-hand",,,21 ,,RBRVS,56.73 ,35.82 ,35.82 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,26555,CPT,Positional change of finger,,,21 ,,RBRVS,16.94 ,14.01 ,14.01 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,26556,CPT,Toe joint transfer,,,21 ,,RBRVS,49.43 ,18.05 ,18.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,26560,CPT,Repair of web finger,,,21 ,,RBRVS,5.43 ,6.65 ,6.65 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,26561,CPT,Repair of web finger,,,21 ,,RBRVS,10.98 ,9.51 ,9.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,26562,CPT,Repair of web finger,,,21 ,,RBRVS,16.40 ,8.77 ,8.77 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,26565,CPT,Correct metacarpal flaw,,,21 ,,RBRVS,6.80 ,8.16 ,8.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,26567,CPT,Correct finger deformity,,,21 ,,RBRVS,6.88 ,8.12 ,8.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,26568,CPT,Lengthen metacarpal/finger,,,21 ,,RBRVS,9.15 ,10.70 ,10.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,26580,CPT,Repair hand deformity,,,21 ,,RBRVS,19.50 ,9.74 ,9.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,26587,CPT,Reconstruct extra finger,,,21 ,,RBRVS,14.36 ,8.02 ,8.02 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,26590,CPT,Repair finger deformity,,,21 ,,RBRVS,18.51 ,12.43 ,12.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,26591,CPT,Repair muscles of hand,,,21 ,,RBRVS,3.30 ,6.22 ,6.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,26593,CPT,Release muscles of hand,,,21 ,,RBRVS,5.38 ,7.80 ,7.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,26596,CPT,Excision constricting tissue,,,21 ,,RBRVS,9.02 ,7.49 ,7.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,26600,CPT,Treat metacarpal fracture,,,21 ,,RBRVS,2.48 ,3.49 ,3.84 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,26605,CPT,Treat metacarpal fracture,,,21 ,,RBRVS,2.92 ,3.51 ,4.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,26607,CPT,Treat metacarpal fracture,,,21 ,,RBRVS,5.40 ,4.89 ,4.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,26608,CPT,Treat metacarpal fracture,,,21 ,,RBRVS,5.43 ,5.23 ,5.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,26615,CPT,Treat metacarpal fracture,,,21 ,,RBRVS,6.91 ,6.02 ,6.02 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,26641,CPT,Treat thumb dislocation,,,21 ,,RBRVS,4.01 ,3.40 ,4.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,26645,CPT,Treat thumb fracture,,,21 ,,RBRVS,4.47 ,3.92 ,4.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,26650,CPT,Treat thumb fracture,,,21 ,,RBRVS,5.19 ,4.89 ,4.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,26665,CPT,Treat thumb fracture,,,21 ,,RBRVS,7.78 ,6.32 ,6.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,26670,CPT,Treat hand dislocation,,,21 ,,RBRVS,3.74 ,3.03 ,3.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,26675,CPT,Treat hand dislocation,,,21 ,,RBRVS,4.71 ,4.52 ,5.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,26676,CPT,Pin hand dislocation,,,21 ,,RBRVS,5.60 ,5.57 ,5.57 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,26685,CPT,Treat hand dislocation,,,21 ,,RBRVS,6.91 ,5.97 ,5.97 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,26686,CPT,Treat hand dislocation,,,21 ,,RBRVS,8.06 ,6.08 ,6.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,26700,CPT,Treat knuckle dislocation,,,21 ,,RBRVS,3.74 ,2.93 ,3.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,26705,CPT,Treat knuckle dislocation,,,21 ,,RBRVS,4.26 ,4.04 ,4.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,26706,CPT,Pin knuckle dislocation,,,21 ,,RBRVS,5.19 ,4.70 ,4.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,26715,CPT,Treat knuckle dislocation,,,21 ,,RBRVS,6.87 ,6.00 ,6.00 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,26720,CPT,"Treat finger fracture, each",,,21 ,,RBRVS,1.70 ,2.30 ,2.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,26725,CPT,"Treat finger fracture, each",,,21 ,,RBRVS,3.39 ,3.41 ,4.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,26727,CPT,"Treat finger fracture, each",,,21 ,,RBRVS,5.30 ,5.18 ,5.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,26735,CPT,"Treat finger fracture, each",,,21 ,,RBRVS,7.26 ,6.13 ,6.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,26740,CPT,"Treat finger fracture, each",,,21 ,,RBRVS,1.99 ,2.72 ,3.01 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,26742,CPT,"Treat finger fracture, each",,,21 ,,RBRVS,3.90 ,3.57 ,4.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,26746,CPT,"Treat finger fracture, each",,,21 ,,RBRVS,9.59 ,7.20 ,7.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,26750,CPT,"Treat finger fracture, each",,,21 ,,RBRVS,1.74 ,2.26 ,2.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,26755,CPT,"Treat finger fracture, each",,,21 ,,RBRVS,3.15 ,2.94 ,3.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,26756,CPT,"Pin finger fracture, each",,,21 ,,RBRVS,4.46 ,4.86 ,4.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,26765,CPT,"Treat finger fracture, each",,,21 ,,RBRVS,5.70 ,5.47 ,5.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,26770,CPT,Treat finger dislocation,,,21 ,,RBRVS,3.07 ,2.55 ,2.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,26775,CPT,Treat finger dislocation,,,21 ,,RBRVS,3.78 ,3.88 ,4.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,26776,CPT,Pin finger dislocation,,,21 ,,RBRVS,4.87 ,4.99 ,4.99 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,26785,CPT,Treat finger dislocation,,,21 ,,RBRVS,6.44 ,5.78 ,5.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,26820,CPT,Thumb fusion with graft,,,21 ,,RBRVS,8.33 ,8.97 ,8.97 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,26841,CPT,Fusion of thumb,,,21 ,,RBRVS,7.21 ,8.77 ,8.77 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,26842,CPT,Thumb fusion with graft,,,21 ,,RBRVS,8.37 ,9.02 ,9.02 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,26843,CPT,Fusion of hand joint,,,21 ,,RBRVS,7.67 ,8.57 ,8.57 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,26844,CPT,Fusion/graft of hand joint,,,21 ,,RBRVS,8.86 ,9.16 ,9.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,26850,CPT,Fusion of knuckle,,,21 ,,RBRVS,7.03 ,8.27 ,8.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,26852,CPT,Fusion of knuckle with graft,,,21 ,,RBRVS,8.59 ,9.14 ,9.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,26860,CPT,Fusion of finger joint,,,21 ,,RBRVS,4.76 ,7.54 ,7.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,26861,CPT,"Fusion of finger jnt, add-on",,,21 ,,RBRVS,1.74 ,0.70 ,0.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,26862,CPT,Fusion/graft of finger joint,,,21 ,,RBRVS,7.44 ,8.67 ,8.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,26863,CPT,Fuse/graft added joint,,,21 ,,RBRVS,3.89 ,1.58 ,1.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,26910,CPT,Amputate metacarpal bone,,,21 ,,RBRVS,7.67 ,8.28 ,8.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,26951,CPT,Amputation of finger/thumb,,,21 ,,RBRVS,5.85 ,8.40 ,8.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,26952,CPT,Amputation of finger/thumb,,,21 ,,RBRVS,6.37 ,7.91 ,7.91 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,26989,CPT,Hand/finger surgery,,,21 ,,TotalUnits,,,,5.84 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,26990,CPT,Drainage of pelvis lesion,,,21 ,,RBRVS,7.84 ,6.21 ,6.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,26991,CPT,Drainage of pelvis bursa,,,21 ,,RBRVS,6.97 ,4.88 ,8.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,26992,CPT,Drainage of bone lesion,,,21 ,,RBRVS,13.37 ,8.42 ,8.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27000,CPT,Incision of hip tendon,,,21 ,,RBRVS,5.66 ,4.51 ,4.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27001,CPT,Incision of hip tendon,,,21 ,,RBRVS,7.05 ,5.23 ,5.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27003,CPT,Incision of hip tendon,,,21 ,,RBRVS,7.70 ,5.73 ,5.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27005,CPT,Incision of hip tendon,,,21 ,,RBRVS,9.96 ,6.49 ,6.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27006,CPT,Incision of hip tendons,,,21 ,,RBRVS,9.99 ,6.76 ,6.76 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27025,CPT,Incision of hip/thigh fascia,,,21 ,,RBRVS,12.66 ,8.21 ,8.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27027,CPT,Buttock fasciotomy,,,21 ,,RBRVS,12.90 ,7.57 ,7.57 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27030,CPT,Drainage of hip joint,,,21 ,,RBRVS,13.54 ,8.04 ,8.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27033,CPT,Exploration of hip joint,,,21 ,,RBRVS,13.99 ,8.40 ,8.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27035,CPT,Denervation of hip joint,,,21 ,,RBRVS,17.23 ,8.53 ,8.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27036,CPT,Excision of hip joint/muscle,,,21 ,,RBRVS,14.18 ,8.92 ,8.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27040,CPT,Biopsy of soft tissues,,,21 ,,RBRVS,2.89 ,1.87 ,5.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27041,CPT,Biopsy of soft tissues,,,21 ,,RBRVS,10.07 ,5.74 ,5.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27047,CPT,Remove hip/pelvis lesion,,,21 ,,RBRVS,7.51 ,4.50 ,7.03 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27048,CPT,Remove hip/pelvis lesion,,,21 ,,RBRVS,6.44 ,4.61 ,4.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27049,CPT,"Remove tumor, hip/pelvis",,,21 ,,RBRVS,15.20 ,8.17 ,8.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27050,CPT,Biopsy of sacroiliac joint,,,21 ,,RBRVS,4.65 ,3.01 ,3.01 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27052,CPT,Biopsy of hip joint,,,21 ,,RBRVS,7.27 ,5.65 ,5.65 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27054,CPT,Removal of hip joint lining,,,21 ,,RBRVS,9.09 ,6.49 ,6.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27057,CPT,Buttock fasciotomy w/dbrdmt,,,21 ,,RBRVS,14.77 ,8.32 ,8.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27060,CPT,Removal of ischial bursa,,,21 ,,RBRVS,5.78 ,4.37 ,4.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27062,CPT,Remove femur lesion/bursa,,,21 ,,RBRVS,5.66 ,4.60 ,4.60 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27065,CPT,Removal of hip bone lesion,,,21 ,,RBRVS,6.44 ,4.99 ,4.99 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27066,CPT,Removal of hip bone lesion,,,21 ,,RBRVS,11.06 ,7.44 ,7.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27067,CPT,Remove/graft hip bone lesion,,,21 ,,RBRVS,14.57 ,8.85 ,8.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27070,CPT,Partial removal of hip bone,,,21 ,,RBRVS,11.44 ,8.03 ,8.03 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27071,CPT,Partial removal of hip bone,,,21 ,,RBRVS,12.25 ,8.48 ,8.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27075,CPT,Extensive hip surgery,,,21 ,,RBRVS,36.77 ,16.15 ,16.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27076,CPT,Extensive hip surgery,,,21 ,,RBRVS,24.25 ,12.83 ,12.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27077,CPT,Extensive hip surgery,,,21 ,,RBRVS,42.54 ,19.95 ,19.95 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27078,CPT,Extensive hip surgery,,,21 ,,RBRVS,14.54 ,8.82 ,8.82 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27079,CPT,Extensive hip surgery,,,21 ,,RBRVS,14.91 ,8.01 ,8.01 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27080,CPT,Removal of tail bone,,,21 ,,RBRVS,6.80 ,4.59 ,4.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27086,CPT,Remove hip foreign body,,,21 ,,RBRVS,1.89 ,1.48 ,3.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27087,CPT,Remove hip foreign body,,,21 ,,RBRVS,8.72 ,5.66 ,5.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27090,CPT,Removal of hip prosthesis,,,21 ,,RBRVS,11.57 ,7.41 ,7.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27091,CPT,Removal of hip prosthesis,,,21 ,,RBRVS,24.15 ,12.91 ,12.91 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27093,CPT,Injection for hip x-ray,,,21 ,,RBRVS,1.30 ,0.47 ,3.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27095,CPT,Injection for hip x-ray,,,21 ,,RBRVS,1.50 ,0.51 ,3.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27096,CPT,Inject sacroiliac joint,,,21 ,,RBRVS,1.40 ,0.33 ,2.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27097,CPT,Revision of hip tendon,,,21 ,,RBRVS,9.16 ,6.34 ,6.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27098,CPT,Transfer tendon to pelvis,,,21 ,,RBRVS,9.20 ,4.91 ,4.91 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27100,CPT,Transfer of abdominal muscle,,,21 ,,RBRVS,11.21 ,7.40 ,7.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27105,CPT,Transfer of spinal muscle,,,21 ,,RBRVS,11.90 ,7.36 ,7.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27110,CPT,Transfer of iliopsoas muscle,,,21 ,,RBRVS,13.63 ,8.28 ,8.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27111,CPT,Transfer of iliopsoas muscle,,,21 ,,RBRVS,12.46 ,8.07 ,8.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27120,CPT,Reconstruction of hip socket,,,21 ,,RBRVS,19.10 ,10.82 ,10.82 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27122,CPT,Reconstruction of hip socket,,,21 ,,RBRVS,15.95 ,9.44 ,9.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27125,CPT,Partial hip replacement,,,21 ,,RBRVS,16.46 ,9.60 ,9.60 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27130,CPT,Total hip arthroplasty,,,21 ,,RBRVS,21.61 ,11.77 ,11.77 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27132,CPT,Total hip arthroplasty,,,21 ,,RBRVS,25.49 ,13.43 ,13.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27134,CPT,Revise hip joint replacement,,,21 ,,RBRVS,30.13 ,14.69 ,14.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27137,CPT,Revise hip joint replacement,,,21 ,,RBRVS,22.55 ,11.73 ,11.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27138,CPT,Revise hip joint replacement,,,21 ,,RBRVS,23.55 ,12.12 ,12.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27140,CPT,Transplant femur ridge,,,21 ,,RBRVS,12.66 ,7.88 ,7.88 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27146,CPT,Incision of hip bone,,,21 ,,RBRVS,18.72 ,10.69 ,10.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27147,CPT,Revision of hip bone,,,21 ,,RBRVS,21.87 ,12.02 ,12.02 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27151,CPT,Incision of hip bones,,,21 ,,RBRVS,23.92 ,12.89 ,12.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27156,CPT,Revision of hip bones,,,21 ,,RBRVS,26.03 ,13.72 ,13.72 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27158,CPT,Revision of pelvis,,,21 ,,RBRVS,20.89 ,11.52 ,11.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27161,CPT,Incision of neck of femur,,,21 ,,RBRVS,17.74 ,10.36 ,10.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27165,CPT,Incision/fixation of femur,,,21 ,,RBRVS,20.06 ,11.58 ,11.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27170,CPT,Repair/graft femur head/neck,,,21 ,,RBRVS,17.46 ,9.76 ,9.76 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27175,CPT,Treat slipped epiphysis,,,21 ,,RBRVS,9.29 ,5.17 ,5.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27176,CPT,Treat slipped epiphysis,,,21 ,,RBRVS,12.78 ,8.18 ,8.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27177,CPT,Treat slipped epiphysis,,,21 ,,RBRVS,15.94 ,9.64 ,9.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27178,CPT,Treat slipped epiphysis,,,21 ,,RBRVS,12.78 ,7.98 ,7.98 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27179,CPT,Revise head/neck of femur,,,21 ,,RBRVS,13.83 ,8.57 ,8.57 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27181,CPT,Treat slipped epiphysis,,,21 ,,RBRVS,15.98 ,9.74 ,9.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27185,CPT,Revision of femur epiphysis,,,21 ,,RBRVS,9.67 ,6.65 ,6.65 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27187,CPT,Reinforce hip bones,,,21 ,,RBRVS,14.09 ,8.69 ,8.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27193,CPT,Treat pelvic ring fracture,,,21 ,,RBRVS,5.98 ,4.76 ,4.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27194,CPT,Treat pelvic ring fracture,,,21 ,,RBRVS,10.08 ,6.61 ,6.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27200,CPT,Treat tail bone fracture,,,21 ,,RBRVS,1.87 ,2.22 ,2.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27202,CPT,Treat tail bone fracture,,,21 ,,RBRVS,7.25 ,4.91 ,4.91 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27215,CPT,Treat pelvic fracture(s),,,21 ,,RBRVS,10.45 ,6.55 ,6.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27216,CPT,Treat pelvic ring fracture,,,21 ,,RBRVS,15.73 ,9.14 ,9.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27217,CPT,Treat pelvic ring fracture,,,21 ,,RBRVS,14.65 ,8.63 ,8.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27218,CPT,Treat pelvic ring fracture,,,21 ,,RBRVS,20.93 ,11.33 ,11.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27220,CPT,Treat hip socket fracture,,,21 ,,RBRVS,6.72 ,5.15 ,5.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27222,CPT,Treat hip socket fracture,,,21 ,,RBRVS,13.97 ,8.52 ,8.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27226,CPT,Treat hip wall fracture,,,21 ,,RBRVS,15.45 ,8.93 ,8.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27227,CPT,Treat hip fracture(s),,,21 ,,RBRVS,25.21 ,13.38 ,13.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27228,CPT,Treat hip fracture(s),,,21 ,,RBRVS,29.13 ,14.85 ,14.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27230,CPT,Treat thigh fracture,,,21 ,,RBRVS,5.69 ,4.87 ,4.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27232,CPT,Treat thigh fracture,,,21 ,,RBRVS,11.66 ,6.10 ,6.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27235,CPT,Treat thigh fracture,,,21 ,,RBRVS,12.88 ,7.98 ,7.98 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27236,CPT,Treat thigh fracture,,,21 ,,RBRVS,17.43 ,10.14 ,10.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27238,CPT,Treat thigh fracture,,,21 ,,RBRVS,5.64 ,4.65 ,4.65 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27240,CPT,Treat thigh fracture,,,21 ,,RBRVS,13.66 ,8.21 ,8.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27244,CPT,Treat thigh fracture,,,21 ,,RBRVS,17.08 ,9.62 ,9.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27245,CPT,Treat thigh fracture,,,21 ,,RBRVS,21.09 ,11.34 ,11.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27246,CPT,Treat thigh fracture,,,21 ,,RBRVS,4.75 ,3.95 ,3.91 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27248,CPT,Treat thigh fracture,,,21 ,,RBRVS,10.64 ,6.38 ,6.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27250,CPT,Treat hip dislocation,,,21 ,,RBRVS,7.21 ,4.30 ,4.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27252,CPT,Treat hip dislocation,,,21 ,,RBRVS,10.92 ,6.49 ,6.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27253,CPT,Treat hip dislocation,,,21 ,,RBRVS,13.46 ,8.17 ,8.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27254,CPT,Treat hip dislocation,,,21 ,,RBRVS,18.80 ,10.54 ,10.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27256,CPT,Treat hip dislocation,,,21 ,,RBRVS,4.25 ,1.41 ,2.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27257,CPT,Treat hip dislocation,,,21 ,,RBRVS,5.35 ,2.54 ,2.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27258,CPT,Treat hip dislocation,,,21 ,,RBRVS,16.04 ,9.48 ,9.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27259,CPT,Treat hip dislocation,,,21 ,,RBRVS,23.03 ,12.78 ,12.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27265,CPT,Treat hip dislocation,,,21 ,,RBRVS,5.12 ,3.95 ,3.95 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27266,CPT,Treat hip dislocation,,,21 ,,RBRVS,7.67 ,5.51 ,5.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27267,CPT,Cltx thigh fx,,,21 ,,RBRVS,5.38 ,4.40 ,4.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27268,CPT,Cltx thigh fx w/mnpj,,,21 ,,RBRVS,7.00 ,5.02 ,5.02 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27269,CPT,Optx thigh fx,,,21 ,,RBRVS,18.75 ,9.89 ,9.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27275,CPT,Manipulation of hip joint,,,21 ,,RBRVS,2.29 ,1.85 ,1.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27280,CPT,Fusion of sacroiliac joint,,,21 ,,RBRVS,14.49 ,8.88 ,8.88 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27282,CPT,Fusion of pubic bones,,,21 ,,RBRVS,11.71 ,7.78 ,7.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27284,CPT,Fusion of hip joint,,,21 ,,RBRVS,24.91 ,12.01 ,12.01 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27286,CPT,Fusion of hip joint,,,21 ,,RBRVS,24.97 ,12.61 ,12.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27290,CPT,Amputation of leg at hip,,,21 ,,RBRVS,24.38 ,12.11 ,12.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27295,CPT,Amputation of leg at hip,,,21 ,,RBRVS,19.54 ,9.59 ,9.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27299,CPT,Pelvis/hip joint surgery,,,21 ,,TotalUnits,,,,17.06 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27301,CPT,Drain thigh/knee lesion,,,21 ,,RBRVS,6.67 ,4.65 ,8.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27303,CPT,Drainage of bone lesion,,,21 ,,RBRVS,8.52 ,5.99 ,5.99 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27305,CPT,Incise thigh tendon & fascia,,,21 ,,RBRVS,6.09 ,4.68 ,4.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27306,CPT,Incision of thigh tendon,,,21 ,,RBRVS,4.66 ,4.08 ,4.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27307,CPT,Incision of thigh tendons,,,21 ,,RBRVS,5.97 ,4.74 ,4.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27310,CPT,Exploration of knee joint,,,21 ,,RBRVS,9.88 ,6.78 ,6.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27323,CPT,"Biopsy, thigh soft tissues",,,21 ,,RBRVS,2.30 ,1.93 ,4.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27324,CPT,"Biopsy, thigh soft tissues",,,21 ,,RBRVS,4.95 ,3.82 ,3.82 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27325,CPT,"Neurectomy, hamstring",,,21 ,,RBRVS,7.09 ,4.99 ,4.99 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27326,CPT,"Neurectomy, popliteal",,,21 ,,RBRVS,6.36 ,5.12 ,5.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27327,CPT,Removal of thigh lesion,,,21 ,,RBRVS,4.52 ,3.58 ,6.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27328,CPT,Removal of thigh lesion,,,21 ,,RBRVS,5.62 ,4.07 ,4.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27329,CPT,"Remove tumor, thigh/knee",,,21 ,,RBRVS,15.68 ,8.47 ,8.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27330,CPT,"Biopsy, knee joint lining",,,21 ,,RBRVS,5.02 ,4.26 ,4.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27331,CPT,Explore/treat knee joint,,,21 ,,RBRVS,5.93 ,4.80 ,4.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27332,CPT,Removal of knee cartilage,,,21 ,,RBRVS,8.34 ,6.12 ,6.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27333,CPT,Removal of knee cartilage,,,21 ,,RBRVS,7.43 ,5.69 ,5.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27334,CPT,Remove knee joint lining,,,21 ,,RBRVS,9.07 ,6.43 ,6.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27335,CPT,Remove knee joint lining,,,21 ,,RBRVS,10.43 ,7.02 ,7.02 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27340,CPT,Removal of kneecap bursa,,,21 ,,RBRVS,4.23 ,4.04 ,4.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27345,CPT,Removal of knee cyst,,,21 ,,RBRVS,5.98 ,4.89 ,4.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27347,CPT,Remove knee cyst,,,21 ,,RBRVS,6.58 ,5.26 ,5.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27350,CPT,Removal of kneecap,,,21 ,,RBRVS,8.54 ,6.25 ,6.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27355,CPT,Remove femur lesion,,,21 ,,RBRVS,7.89 ,5.81 ,5.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27356,CPT,Remove femur lesion/graft,,,21 ,,RBRVS,9.97 ,6.84 ,6.84 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27357,CPT,Remove femur lesion/graft,,,21 ,,RBRVS,11.02 ,7.48 ,7.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27358,CPT,Remove femur lesion/fixation,,,21 ,,RBRVS,4.73 ,1.81 ,1.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27360,CPT,"Partial removal, leg bone(s)",,,21 ,,RBRVS,11.34 ,8.05 ,8.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27365,CPT,Extensive leg surgery,,,21 ,,RBRVS,17.93 ,10.42 ,10.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27370,CPT,Injection for knee x-ray,,,21 ,,RBRVS,0.96 ,0.36 ,3.00 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27372,CPT,Removal of foreign body,,,21 ,,RBRVS,5.12 ,4.04 ,8.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27380,CPT,Repair of kneecap tendon,,,21 ,,RBRVS,7.34 ,6.06 ,6.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27381,CPT,Repair/graft kneecap tendon,,,21 ,,RBRVS,10.64 ,7.56 ,7.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27385,CPT,Repair of thigh muscle,,,21 ,,RBRVS,8.00 ,6.31 ,6.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27386,CPT,Repair/graft of thigh muscle,,,21 ,,RBRVS,10.99 ,7.93 ,7.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27390,CPT,Incision of thigh tendon,,,21 ,,RBRVS,5.44 ,4.47 ,4.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27391,CPT,Incision of thigh tendons,,,21 ,,RBRVS,7.38 ,5.55 ,5.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27392,CPT,Incision of thigh tendons,,,21 ,,RBRVS,9.51 ,6.67 ,6.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27393,CPT,Lengthening of thigh tendon,,,21 ,,RBRVS,6.50 ,4.96 ,4.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27394,CPT,Lengthening of thigh tendons,,,21 ,,RBRVS,8.68 ,6.15 ,6.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27395,CPT,Lengthening of thigh tendons,,,21 ,,RBRVS,12.10 ,7.93 ,7.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27396,CPT,Transplant of thigh tendon,,,21 ,,RBRVS,8.04 ,5.83 ,5.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27397,CPT,Transplants of thigh tendons,,,21 ,,RBRVS,12.46 ,8.35 ,8.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27400,CPT,Revise thigh muscles/tendons,,,21 ,,RBRVS,9.21 ,6.51 ,6.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27403,CPT,Repair of knee cartilage,,,21 ,,RBRVS,8.51 ,6.03 ,6.03 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27405,CPT,Repair of knee ligament,,,21 ,,RBRVS,8.96 ,6.39 ,6.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27407,CPT,Repair of knee ligament,,,21 ,,RBRVS,10.71 ,6.83 ,6.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27409,CPT,Repair of knee ligaments,,,21 ,,RBRVS,13.57 ,8.26 ,8.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27412,CPT,Autochondrocyte implant knee,,,21 ,,RBRVS,24.53 ,13.66 ,13.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27415,CPT,Osteochondral knee allograft,,,21 ,,RBRVS,19.79 ,11.79 ,11.79 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27416,CPT,Osteochondral knee autograft,,,21 ,,RBRVS,14.00 ,8.39 ,8.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27418,CPT,Repair degenerated kneecap,,,21 ,,RBRVS,11.46 ,7.57 ,7.57 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27420,CPT,Revision of unstable kneecap,,,21 ,,RBRVS,10.14 ,6.91 ,6.91 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27422,CPT,Revision of unstable kneecap,,,21 ,,RBRVS,10.09 ,6.88 ,6.88 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27424,CPT,Revision/removal of kneecap,,,21 ,,RBRVS,10.12 ,6.90 ,6.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27425,CPT,Lat retinacular release open,,,21 ,,RBRVS,5.28 ,4.70 ,4.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27427,CPT,"Reconstruction, knee",,,21 ,,RBRVS,9.67 ,6.70 ,6.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27428,CPT,"Reconstruction, knee",,,21 ,,RBRVS,15.33 ,10.05 ,10.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27429,CPT,"Reconstruction, knee",,,21 ,,RBRVS,17.24 ,11.26 ,11.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27430,CPT,Revision of thigh muscles,,,21 ,,RBRVS,10.04 ,6.84 ,6.84 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27435,CPT,Incision of knee joint,,,21 ,,RBRVS,10.68 ,7.59 ,7.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27437,CPT,Revise kneecap,,,21 ,,RBRVS,8.82 ,6.19 ,6.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27438,CPT,Revise kneecap with implant,,,21 ,,RBRVS,11.77 ,7.50 ,7.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27440,CPT,Revision of knee joint,,,21 ,,RBRVS,10.97 ,7.00 ,7.00 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27441,CPT,Revision of knee joint,,,21 ,,RBRVS,11.42 ,7.36 ,7.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27442,CPT,Revision of knee joint,,,21 ,,RBRVS,12.25 ,7.64 ,7.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27443,CPT,Revision of knee joint,,,21 ,,RBRVS,11.29 ,7.35 ,7.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27445,CPT,Revision of knee joint,,,21 ,,RBRVS,18.52 ,10.42 ,10.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27446,CPT,Revision of knee joint,,,21 ,,RBRVS,16.26 ,9.29 ,9.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27447,CPT,Total knee arthroplasty,,,21 ,,RBRVS,23.04 ,12.58 ,12.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27448,CPT,Incision of thigh,,,21 ,,RBRVS,11.48 ,7.32 ,7.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27450,CPT,Incision of thigh,,,21 ,,RBRVS,14.47 ,8.84 ,8.84 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27454,CPT,Realignment of thigh bone,,,21 ,,RBRVS,18.97 ,10.73 ,10.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27455,CPT,Realignment of knee,,,21 ,,RBRVS,13.24 ,8.31 ,8.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27457,CPT,Realignment of knee,,,21 ,,RBRVS,13.92 ,8.23 ,8.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27465,CPT,Shortening of thigh bone,,,21 ,,RBRVS,18.44 ,10.29 ,10.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27466,CPT,Lengthening of thigh bone,,,21 ,,RBRVS,17.13 ,10.06 ,10.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27468,CPT,Shorten/lengthen thighs,,,21 ,,RBRVS,19.82 ,11.17 ,11.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27470,CPT,Repair of thigh,,,21 ,,RBRVS,16.97 ,10.16 ,10.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27472,CPT,Repair/graft of thigh,,,21 ,,RBRVS,18.57 ,10.64 ,10.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27475,CPT,Surgery to stop leg growth,,,21 ,,RBRVS,8.82 ,6.20 ,6.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27477,CPT,Surgery to stop leg growth,,,21 ,,RBRVS,10.03 ,6.60 ,6.60 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27479,CPT,Surgery to stop leg growth,,,21 ,,RBRVS,13.04 ,8.85 ,8.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27485,CPT,Surgery to stop leg growth,,,21 ,,RBRVS,9.02 ,6.22 ,6.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27486,CPT,Revise/replace knee joint,,,21 ,,RBRVS,20.92 ,11.63 ,11.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27487,CPT,Revise/replace knee joint,,,21 ,,RBRVS,26.91 ,13.98 ,13.98 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27488,CPT,Removal of knee prosthesis,,,21 ,,RBRVS,17.40 ,10.25 ,10.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27495,CPT,Reinforce thigh,,,21 ,,RBRVS,16.40 ,9.60 ,9.60 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27496,CPT,Decompression of thigh/knee,,,21 ,,RBRVS,6.66 ,4.98 ,4.98 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27497,CPT,Decompression of thigh/knee,,,21 ,,RBRVS,7.70 ,4.99 ,4.99 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27498,CPT,Decompression of thigh/knee,,,21 ,,RBRVS,8.54 ,5.19 ,5.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27499,CPT,Decompression of thigh/knee,,,21 ,,RBRVS,9.31 ,5.98 ,5.98 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27500,CPT,Treatment of thigh fracture,,,21 ,,RBRVS,6.21 ,4.58 ,5.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27501,CPT,Treatment of thigh fracture,,,21 ,,RBRVS,6.34 ,4.92 ,5.01 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27502,CPT,Treatment of thigh fracture,,,21 ,,RBRVS,11.24 ,6.86 ,6.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27503,CPT,Treatment of thigh fracture,,,21 ,,RBRVS,11.13 ,7.22 ,7.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27506,CPT,Treatment of thigh fracture,,,21 ,,RBRVS,19.42 ,11.37 ,11.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27507,CPT,Treatment of thigh fracture,,,21 ,,RBRVS,14.39 ,8.13 ,8.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27508,CPT,Treatment of thigh fracture,,,21 ,,RBRVS,6.08 ,5.05 ,5.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27509,CPT,Treatment of thigh fracture,,,21 ,,RBRVS,8.02 ,6.54 ,6.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27510,CPT,Treatment of thigh fracture,,,21 ,,RBRVS,9.68 ,6.27 ,6.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27511,CPT,Treatment of thigh fracture,,,21 ,,RBRVS,14.97 ,8.11 ,8.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27513,CPT,Treatment of thigh fracture,,,21 ,,RBRVS,19.11 ,9.75 ,9.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27514,CPT,Treatment of thigh fracture,,,21 ,,RBRVS,14.46 ,7.89 ,7.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27516,CPT,Treat thigh fx growth plate,,,21 ,,RBRVS,5.45 ,5.07 ,5.72 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27517,CPT,Treat thigh fx growth plate,,,21 ,,RBRVS,8.98 ,6.42 ,6.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27519,CPT,Treat thigh fx growth plate,,,21 ,,RBRVS,13.11 ,7.39 ,7.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27520,CPT,Treat kneecap fracture,,,21 ,,RBRVS,2.93 ,3.53 ,4.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27524,CPT,Treat kneecap fracture,,,21 ,,RBRVS,10.25 ,6.94 ,6.94 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27530,CPT,Treat knee fracture,,,21 ,,RBRVS,3.97 ,4.26 ,4.82 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27532,CPT,Treat knee fracture,,,21 ,,RBRVS,7.43 ,5.63 ,6.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27535,CPT,Treat knee fracture,,,21 ,,RBRVS,13.27 ,7.45 ,7.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27536,CPT,Treat knee fracture,,,21 ,,RBRVS,17.19 ,10.20 ,10.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27538,CPT,Treat knee fracture(s),,,21 ,,RBRVS,4.95 ,4.89 ,5.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27540,CPT,Treat knee fracture,,,21 ,,RBRVS,11.16 ,7.39 ,7.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27550,CPT,Treat knee dislocation,,,21 ,,RBRVS,5.84 ,4.51 ,5.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27552,CPT,Treat knee dislocation,,,21 ,,RBRVS,8.04 ,6.09 ,6.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27556,CPT,Treat knee dislocation,,,21 ,,RBRVS,12.86 ,7.26 ,7.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27557,CPT,Treat knee dislocation,,,21 ,,RBRVS,15.76 ,8.45 ,8.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27558,CPT,Treat knee dislocation,,,21 ,,RBRVS,18.25 ,9.29 ,9.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27560,CPT,Treat kneecap dislocation,,,21 ,,RBRVS,3.88 ,3.72 ,4.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27562,CPT,Treat kneecap dislocation,,,21 ,,RBRVS,5.86 ,4.61 ,4.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27566,CPT,Treat kneecap dislocation,,,21 ,,RBRVS,12.59 ,7.89 ,7.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27570,CPT,Fixation of knee joint,,,21 ,,RBRVS,1.76 ,1.62 ,1.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27580,CPT,Fusion of knee,,,21 ,,RBRVS,20.90 ,12.19 ,12.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27590,CPT,Amputate leg at thigh,,,21 ,,RBRVS,13.35 ,6.02 ,6.02 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27591,CPT,Amputate leg at thigh,,,21 ,,RBRVS,13.82 ,7.35 ,7.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27592,CPT,Amputate leg at thigh,,,21 ,,RBRVS,10.86 ,5.45 ,5.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27594,CPT,Amputation follow-up surgery,,,21 ,,RBRVS,7.17 ,4.73 ,4.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27596,CPT,Amputation follow-up surgery,,,21 ,,RBRVS,11.15 ,5.98 ,5.98 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27598,CPT,Amputate lower leg at knee,,,21 ,,RBRVS,11.08 ,6.20 ,6.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27599,CPT,Leg surgery procedure,,,21 ,,TotalUnits,,,,10.55 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27600,CPT,Decompression of lower leg,,,21 ,,RBRVS,5.94 ,3.80 ,3.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27601,CPT,Decompression of lower leg,,,21 ,,RBRVS,5.94 ,4.18 ,4.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27602,CPT,Decompression of lower leg,,,21 ,,RBRVS,7.71 ,4.29 ,4.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27603,CPT,Drain lower leg lesion,,,21 ,,RBRVS,5.12 ,3.90 ,7.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27604,CPT,Drain lower leg bursa,,,21 ,,RBRVS,4.51 ,3.43 ,6.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27605,CPT,Incision of achilles tendon,,,21 ,,RBRVS,2.89 ,1.74 ,5.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27606,CPT,Incision of achilles tendon,,,21 ,,RBRVS,4.15 ,2.63 ,2.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27607,CPT,Treat lower leg bone lesion,,,21 ,,RBRVS,8.51 ,5.70 ,5.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27610,CPT,Explore/treat ankle joint,,,21 ,,RBRVS,9.01 ,6.11 ,6.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27612,CPT,Exploration of ankle joint,,,21 ,,RBRVS,8.01 ,5.18 ,5.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27613,CPT,Biopsy lower leg soft tissue,,,21 ,,RBRVS,2.19 ,1.78 ,3.91 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27614,CPT,Biopsy lower leg soft tissue,,,21 ,,RBRVS,5.71 ,3.94 ,7.76 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27615,CPT,"Remove tumor, lower leg",,,21 ,,RBRVS,12.93 ,7.28 ,7.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27618,CPT,Remove lower leg lesion,,,21 ,,RBRVS,5.14 ,3.80 ,6.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27619,CPT,Remove lower leg lesion,,,21 ,,RBRVS,8.47 ,5.28 ,10.00 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27620,CPT,Explore/treat ankle joint,,,21 ,,RBRVS,6.04 ,4.57 ,4.57 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27625,CPT,Remove ankle joint lining,,,21 ,,RBRVS,8.37 ,5.50 ,5.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27626,CPT,Remove ankle joint lining,,,21 ,,RBRVS,8.98 ,5.78 ,5.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27630,CPT,Removal of tendon lesion,,,21 ,,RBRVS,4.85 ,3.81 ,7.99 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27635,CPT,Remove lower leg bone lesion,,,21 ,,RBRVS,7.91 ,5.63 ,5.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27637,CPT,Remove/graft leg bone lesion,,,21 ,,RBRVS,10.17 ,6.91 ,6.91 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27638,CPT,Remove/graft leg bone lesion,,,21 ,,RBRVS,10.87 ,7.05 ,7.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27640,CPT,Partial removal of tibia,,,21 ,,RBRVS,12.10 ,7.47 ,7.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27641,CPT,Partial removal of fibula,,,21 ,,RBRVS,9.73 ,6.09 ,6.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27645,CPT,Extensive lower leg surgery,,,21 ,,RBRVS,14.78 ,8.74 ,8.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27646,CPT,Extensive lower leg surgery,,,21 ,,RBRVS,13.21 ,7.64 ,7.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27647,CPT,Extensive ankle/heel surgery,,,21 ,,RBRVS,12.85 ,6.54 ,6.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27648,CPT,Injection for ankle x-ray,,,21 ,,RBRVS,0.96 ,0.34 ,2.88 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27650,CPT,Repair achilles tendon,,,21 ,,RBRVS,9.94 ,6.16 ,6.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27652,CPT,Repair/graft achilles tendon,,,21 ,,RBRVS,10.64 ,6.44 ,6.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27654,CPT,Repair of achilles tendon,,,21 ,,RBRVS,10.32 ,5.99 ,5.99 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27656,CPT,Repair leg fascia defect,,,21 ,,RBRVS,4.62 ,3.58 ,7.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27658,CPT,"Repair of leg tendon, each",,,21 ,,RBRVS,5.03 ,3.89 ,3.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27659,CPT,"Repair of leg tendon, each",,,21 ,,RBRVS,6.99 ,4.68 ,4.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27664,CPT,"Repair of leg tendon, each",,,21 ,,RBRVS,4.64 ,3.88 ,3.88 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27665,CPT,"Repair of leg tendon, each",,,21 ,,RBRVS,5.46 ,4.33 ,4.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27675,CPT,Repair lower leg tendons,,,21 ,,RBRVS,7.24 ,4.67 ,4.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27676,CPT,Repair lower leg tendons,,,21 ,,RBRVS,8.61 ,5.73 ,5.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27680,CPT,Release of lower leg tendon,,,21 ,,RBRVS,5.79 ,4.16 ,4.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27681,CPT,Release of lower leg tendons,,,21 ,,RBRVS,6.94 ,5.09 ,5.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27685,CPT,Revision of lower leg tendon,,,21 ,,RBRVS,6.57 ,4.57 ,8.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27686,CPT,Revise lower leg tendons,,,21 ,,RBRVS,7.64 ,5.29 ,5.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27687,CPT,Revision of calf tendon,,,21 ,,RBRVS,6.30 ,4.47 ,4.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27690,CPT,Revise lower leg tendon,,,21 ,,RBRVS,8.96 ,5.37 ,5.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27691,CPT,Revise lower leg tendon,,,21 ,,RBRVS,10.28 ,6.66 ,6.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27692,CPT,Revise additional leg tendon,,,21 ,,RBRVS,1.87 ,0.71 ,0.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27695,CPT,Repair of ankle ligament,,,21 ,,RBRVS,6.58 ,4.88 ,4.88 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27696,CPT,Repair of ankle ligaments,,,21 ,,RBRVS,8.46 ,5.26 ,5.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27698,CPT,Repair of ankle ligament,,,21 ,,RBRVS,9.49 ,5.87 ,5.87 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27700,CPT,Revision of ankle joint,,,21 ,,RBRVS,9.54 ,5.21 ,5.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27702,CPT,Reconstruct ankle joint,,,21 ,,RBRVS,14.28 ,8.65 ,8.65 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27703,CPT,"Reconstruction, ankle joint",,,21 ,,RBRVS,16.79 ,9.78 ,9.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27704,CPT,Removal of ankle implant,,,21 ,,RBRVS,7.69 ,5.62 ,5.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27705,CPT,Incision of tibia,,,21 ,,RBRVS,10.74 ,6.96 ,6.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27707,CPT,Incision of fibula,,,21 ,,RBRVS,4.67 ,4.49 ,4.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27709,CPT,Incision of tibia & fibula,,,21 ,,RBRVS,17.32 ,9.96 ,9.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27712,CPT,Realignment of lower leg,,,21 ,,RBRVS,15.67 ,9.45 ,9.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27715,CPT,Revision of lower leg,,,21 ,,RBRVS,15.36 ,9.04 ,9.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27720,CPT,Repair of tibia,,,21 ,,RBRVS,12.22 ,7.93 ,7.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27722,CPT,Repair/graft of tibia,,,21 ,,RBRVS,12.31 ,7.89 ,7.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27724,CPT,Repair/graft of tibia,,,21 ,,RBRVS,19.18 ,10.29 ,10.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27725,CPT,Repair of lower leg,,,21 ,,RBRVS,17.15 ,10.59 ,10.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27726,CPT,Repair fibula nonunion,,,21 ,,RBRVS,14.20 ,7.68 ,7.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27727,CPT,Repair of lower leg,,,21 ,,RBRVS,14.69 ,9.07 ,9.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27730,CPT,Repair of tibia epiphysis,,,21 ,,RBRVS,7.59 ,5.31 ,5.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27732,CPT,Repair of fibula epiphysis,,,21 ,,RBRVS,5.37 ,4.17 ,4.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27734,CPT,Repair lower leg epiphyses,,,21 ,,RBRVS,8.72 ,6.17 ,6.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27740,CPT,Repair of leg epiphyses,,,21 ,,RBRVS,9.49 ,6.61 ,6.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27742,CPT,Repair of leg epiphyses,,,21 ,,RBRVS,10.49 ,4.60 ,4.60 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27745,CPT,Reinforce tibia,,,21 ,,RBRVS,10.37 ,7.00 ,7.00 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27750,CPT,Treatment of tibia fracture,,,21 ,,RBRVS,3.26 ,3.74 ,4.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27752,CPT,Treatment of tibia fracture,,,21 ,,RBRVS,6.15 ,5.11 ,5.95 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27756,CPT,Treatment of tibia fracture,,,21 ,,RBRVS,7.33 ,5.76 ,5.76 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27758,CPT,Treatment of tibia fracture,,,21 ,,RBRVS,12.40 ,8.03 ,8.03 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27759,CPT,Treatment of tibia fracture,,,21 ,,RBRVS,14.31 ,8.67 ,8.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27760,CPT,Cltx medial ankle fx,,,21 ,,RBRVS,3.09 ,3.68 ,4.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27762,CPT,Cltx med ankle fx w/mnpj,,,21 ,,RBRVS,5.33 ,4.65 ,5.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27766,CPT,Optx medial ankle fx,,,21 ,,RBRVS,7.73 ,6.13 ,6.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27767,CPT,Cltx post ankle fx,,,21 ,,RBRVS,2.50 ,3.65 ,3.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27768,CPT,Cltx post ankle fx w/mnpj,,,21 ,,RBRVS,5.00 ,4.30 ,4.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27769,CPT,Optx post ankle fx,,,21 ,,RBRVS,10.00 ,6.08 ,6.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27780,CPT,Treatment of fibula fracture,,,21 ,,RBRVS,2.72 ,3.31 ,3.87 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27781,CPT,Treatment of fibula fracture,,,21 ,,RBRVS,4.47 ,4.26 ,4.88 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27784,CPT,Treatment of fibula fracture,,,21 ,,RBRVS,9.51 ,6.85 ,6.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27786,CPT,Treatment of ankle fracture,,,21 ,,RBRVS,2.91 ,3.43 ,4.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27788,CPT,Treatment of ankle fracture,,,21 ,,RBRVS,4.52 ,4.23 ,4.97 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27792,CPT,Treatment of ankle fracture,,,21 ,,RBRVS,9.55 ,6.81 ,6.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27808,CPT,Treatment of ankle fracture,,,21 ,,RBRVS,2.91 ,3.71 ,4.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27810,CPT,Treatment of ankle fracture,,,21 ,,RBRVS,5.20 ,4.55 ,5.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27814,CPT,Treatment of ankle fracture,,,21 ,,RBRVS,10.46 ,7.24 ,7.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27816,CPT,Treatment of ankle fracture,,,21 ,,RBRVS,2.96 ,3.33 ,3.99 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27818,CPT,Treatment of ankle fracture,,,21 ,,RBRVS,5.57 ,4.44 ,5.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27822,CPT,Treatment of ankle fracture,,,21 ,,RBRVS,11.03 ,8.21 ,8.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27823,CPT,Treatment of ankle fracture,,,21 ,,RBRVS,12.98 ,8.94 ,8.94 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27824,CPT,Treat lower leg fracture,,,21 ,,RBRVS,3.20 ,3.47 ,3.65 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27825,CPT,Treat lower leg fracture,,,21 ,,RBRVS,6.60 ,4.76 ,5.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27826,CPT,Treat lower leg fracture,,,21 ,,RBRVS,10.92 ,8.21 ,8.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27827,CPT,Treat lower leg fracture,,,21 ,,RBRVS,14.56 ,10.19 ,10.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27828,CPT,Treat lower leg fracture,,,21 ,,RBRVS,18.20 ,11.58 ,11.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27829,CPT,Treat lower leg joint,,,21 ,,RBRVS,8.64 ,6.97 ,6.97 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27830,CPT,Treat lower leg dislocation,,,21 ,,RBRVS,3.85 ,3.56 ,4.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27831,CPT,Treat lower leg dislocation,,,21 ,,RBRVS,4.62 ,4.06 ,4.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27832,CPT,Treat lower leg dislocation,,,21 ,,RBRVS,10.01 ,6.83 ,6.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27840,CPT,Treat ankle dislocation,,,21 ,,RBRVS,4.65 ,3.65 ,3.65 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27842,CPT,Treat ankle dislocation,,,21 ,,RBRVS,6.34 ,4.85 ,4.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27846,CPT,Treat ankle dislocation,,,21 ,,RBRVS,10.16 ,6.77 ,6.77 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27848,CPT,Treat ankle dislocation,,,21 ,,RBRVS,11.56 ,7.32 ,7.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27860,CPT,Fixation of ankle joint,,,21 ,,RBRVS,2.36 ,1.69 ,1.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27870,CPT,"Fusion of ankle joint, open",,,21 ,,RBRVS,15.21 ,9.08 ,9.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27871,CPT,Fusion of tibiofibular joint,,,21 ,,RBRVS,9.42 ,6.54 ,6.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27880,CPT,Amputation of lower leg,,,21 ,,RBRVS,15.24 ,6.65 ,6.65 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27881,CPT,Amputation of lower leg,,,21 ,,RBRVS,13.32 ,7.38 ,7.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27882,CPT,Amputation of lower leg,,,21 ,,RBRVS,9.67 ,4.91 ,4.91 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27884,CPT,Amputation follow-up surgery,,,21 ,,RBRVS,8.64 ,5.11 ,5.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27886,CPT,Amputation follow-up surgery,,,21 ,,RBRVS,9.88 ,5.65 ,5.65 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27888,CPT,Amputation of foot at ankle,,,21 ,,RBRVS,10.23 ,6.01 ,6.01 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27889,CPT,Amputation of foot at ankle,,,21 ,,RBRVS,10.72 ,5.44 ,5.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27892,CPT,Decompression of leg,,,21 ,,RBRVS,7.82 ,5.10 ,5.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27893,CPT,Decompression of leg,,,21 ,,RBRVS,7.78 ,5.13 ,5.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27894,CPT,Decompression of leg,,,21 ,,RBRVS,12.42 ,7.34 ,7.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,27899,CPT,Leg/ankle surgery procedure,,,21 ,,TotalUnits,,,,9.24 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,28001,CPT,Drainage of bursa of foot,,,21 ,,RBRVS,2.75 ,1.61 ,4.00 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,28002,CPT,Treatment of foot infection,,,21 ,,RBRVS,5.78 ,3.57 ,6.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,28003,CPT,Treatment of foot infection,,,21 ,,RBRVS,8.95 ,4.56 ,7.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,28005,CPT,Treat foot bone lesion,,,21 ,,RBRVS,9.30 ,5.53 ,5.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,28008,CPT,Incision of foot fascia,,,21 ,,RBRVS,4.50 ,3.00 ,6.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,28010,CPT,Incision of toe tendon,,,21 ,,RBRVS,2.89 ,2.35 ,2.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,28011,CPT,Incision of toe tendons,,,21 ,,RBRVS,4.19 ,3.03 ,3.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,28020,CPT,Exploration of foot joint,,,21 ,,RBRVS,5.06 ,3.58 ,7.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,28022,CPT,Exploration of foot joint,,,21 ,,RBRVS,4.72 ,3.33 ,6.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,28024,CPT,Exploration of toe joint,,,21 ,,RBRVS,4.43 ,3.12 ,6.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,28035,CPT,Decompression of tibia nerve,,,21 ,,RBRVS,5.14 ,3.55 ,7.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,28043,CPT,Excision of foot lesion,,,21 ,,RBRVS,3.58 ,2.73 ,4.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,28045,CPT,Excision of foot lesion,,,21 ,,RBRVS,4.77 ,3.24 ,7.03 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,28046,CPT,"Resection of tumor, foot",,,21 ,,RBRVS,10.55 ,5.76 ,10.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,28050,CPT,Biopsy of foot joint lining,,,21 ,,RBRVS,4.30 ,3.30 ,6.95 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,28052,CPT,Biopsy of foot joint lining,,,21 ,,RBRVS,3.98 ,2.87 ,6.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,28054,CPT,Biopsy of toe joint lining,,,21 ,,RBRVS,3.49 ,2.80 ,6.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,28055,CPT,"Neurectomy, foot",,,21 ,,RBRVS,6.20 ,3.44 ,3.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,28060,CPT,"Partial removal, foot fascia",,,21 ,,RBRVS,5.29 ,3.54 ,7.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,28062,CPT,Removal of foot fascia,,,21 ,,RBRVS,6.58 ,3.82 ,7.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,28070,CPT,Removal of foot joint lining,,,21 ,,RBRVS,5.15 ,3.54 ,7.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,28072,CPT,Removal of foot joint lining,,,21 ,,RBRVS,4.63 ,3.60 ,7.57 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,28080,CPT,Removal of foot lesion,,,21 ,,RBRVS,4.65 ,4.19 ,7.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,28086,CPT,Excise foot tendon sheath,,,21 ,,RBRVS,4.83 ,3.81 ,7.87 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,28088,CPT,Excise foot tendon sheath,,,21 ,,RBRVS,3.90 ,3.19 ,7.00 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,28090,CPT,Removal of foot lesion,,,21 ,,RBRVS,4.46 ,3.18 ,6.77 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,28092,CPT,Removal of toe lesions,,,21 ,,RBRVS,3.69 ,2.99 ,6.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,28100,CPT,Removal of ankle/heel lesion,,,21 ,,RBRVS,5.72 ,4.00 ,8.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,28102,CPT,Remove/graft foot lesion,,,21 ,,RBRVS,7.80 ,4.84 ,4.84 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,28103,CPT,Remove/graft foot lesion,,,21 ,,RBRVS,6.56 ,4.03 ,4.03 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,28104,CPT,Removal of foot lesion,,,21 ,,RBRVS,5.17 ,3.47 ,7.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,28106,CPT,Remove/graft foot lesion,,,21 ,,RBRVS,7.23 ,4.23 ,4.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,28107,CPT,Remove/graft foot lesion,,,21 ,,RBRVS,5.62 ,3.66 ,7.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,28108,CPT,Removal of toe lesions,,,21 ,,RBRVS,4.21 ,2.99 ,6.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,28110,CPT,Part removal of metatarsal,,,21 ,,RBRVS,4.13 ,3.06 ,6.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,28111,CPT,Part removal of metatarsal,,,21 ,,RBRVS,5.06 ,3.20 ,7.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,28112,CPT,Part removal of metatarsal,,,21 ,,RBRVS,4.54 ,3.24 ,7.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,28113,CPT,Part removal of metatarsal,,,21 ,,RBRVS,5.88 ,4.61 ,8.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,28114,CPT,Removal of metatarsal heads,,,21 ,,RBRVS,11.61 ,8.30 ,13.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,28116,CPT,Revision of foot,,,21 ,,RBRVS,8.94 ,5.34 ,9.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,28118,CPT,Removal of heel bone,,,21 ,,RBRVS,6.02 ,4.02 ,7.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,28119,CPT,Removal of heel spur,,,21 ,,RBRVS,5.45 ,3.58 ,7.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,28120,CPT,Part removal of ankle/heel,,,21 ,,RBRVS,5.64 ,3.97 ,8.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,28122,CPT,Partial removal of foot bone,,,21 ,,RBRVS,7.56 ,4.78 ,8.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,28124,CPT,Partial removal of toe,,,21 ,,RBRVS,4.88 ,3.46 ,6.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,28126,CPT,Partial removal of toe,,,21 ,,RBRVS,3.56 ,2.66 ,5.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,28130,CPT,Removal of ankle bone,,,21 ,,RBRVS,9.30 ,6.16 ,6.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,28140,CPT,Removal of metatarsal,,,21 ,,RBRVS,7.03 ,4.12 ,7.82 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,28150,CPT,Removal of toe,,,21 ,,RBRVS,4.14 ,2.98 ,6.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,28153,CPT,Partial removal of toe,,,21 ,,RBRVS,3.71 ,2.89 ,6.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,28160,CPT,Partial removal of toe,,,21 ,,RBRVS,3.79 ,2.93 ,6.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,28171,CPT,Extensive foot surgery,,,21 ,,RBRVS,9.85 ,5.26 ,5.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,28173,CPT,Extensive foot surgery,,,21 ,,RBRVS,9.05 ,4.61 ,8.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,28175,CPT,Extensive foot surgery,,,21 ,,RBRVS,6.17 ,3.63 ,7.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,28190,CPT,Removal of foot foreign body,,,21 ,,RBRVS,1.98 ,1.34 ,4.01 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,28192,CPT,Removal of foot foreign body,,,21 ,,RBRVS,4.69 ,3.19 ,6.72 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,28193,CPT,Removal of foot foreign body,,,21 ,,RBRVS,5.79 ,3.63 ,7.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,28200,CPT,Repair of foot tendon,,,21 ,,RBRVS,4.65 ,3.23 ,6.88 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,28202,CPT,Repair/graft of foot tendon,,,21 ,,RBRVS,6.96 ,3.94 ,7.77 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,28208,CPT,Repair of foot tendon,,,21 ,,RBRVS,4.42 ,3.19 ,6.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,28210,CPT,Repair/graft of foot tendon,,,21 ,,RBRVS,6.41 ,3.93 ,7.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,28220,CPT,Release of foot tendon,,,21 ,,RBRVS,4.58 ,3.08 ,6.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,28222,CPT,Release of foot tendons,,,21 ,,RBRVS,5.67 ,3.35 ,6.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,28225,CPT,Release of foot tendon,,,21 ,,RBRVS,3.70 ,2.72 ,6.02 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,28226,CPT,Release of foot tendons,,,21 ,,RBRVS,4.58 ,3.25 ,6.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,28230,CPT,Incision of foot tendon(s),,,21 ,,RBRVS,4.28 ,2.88 ,6.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,28232,CPT,Incision of toe tendon,,,21 ,,RBRVS,3.43 ,2.68 ,5.94 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,28234,CPT,Incision of foot tendon,,,21 ,,RBRVS,3.43 ,3.06 ,6.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,28238,CPT,Revision of foot tendon,,,21 ,,RBRVS,7.85 ,4.37 ,8.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,28240,CPT,Release of big toe,,,21 ,,RBRVS,4.40 ,2.95 ,6.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,28250,CPT,Revision of foot fascia,,,21 ,,RBRVS,5.97 ,3.82 ,7.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,28260,CPT,Release of midfoot joint,,,21 ,,RBRVS,8.08 ,4.61 ,8.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,28261,CPT,Revision of foot tendon,,,21 ,,RBRVS,12.91 ,6.33 ,10.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,28262,CPT,Revision of foot and ankle,,,21 ,,RBRVS,17.01 ,9.74 ,15.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,28264,CPT,Release of midfoot joint,,,21 ,,RBRVS,10.53 ,5.95 ,10.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,28270,CPT,Release of foot contracture,,,21 ,,RBRVS,4.82 ,3.44 ,6.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,28272,CPT,"Release of toe joint, each",,,21 ,,RBRVS,3.84 ,2.65 ,5.84 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,28280,CPT,Fusion of toes,,,21 ,,RBRVS,5.24 ,3.54 ,7.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,28285,CPT,Repair of hammertoe,,,21 ,,RBRVS,4.65 ,3.35 ,6.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,28286,CPT,Repair of hammertoe,,,21 ,,RBRVS,4.61 ,3.06 ,6.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,28288,CPT,Partial removal of foot bone,,,21 ,,RBRVS,5.81 ,4.69 ,8.60 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,28289,CPT,Repair hallux rigidus,,,21 ,,RBRVS,8.11 ,5.34 ,9.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,28290,CPT,Correction of bunion,,,21 ,,RBRVS,5.72 ,3.96 ,8.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,28292,CPT,Correction of bunion,,,21 ,,RBRVS,8.72 ,6.16 ,10.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,28293,CPT,Correction of bunion,,,21 ,,RBRVS,11.10 ,6.92 ,14.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,28294,CPT,Correction of bunion,,,21 ,,RBRVS,8.63 ,4.77 ,9.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,28296,CPT,Correction of bunion,,,21 ,,RBRVS,9.31 ,4.79 ,9.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,28297,CPT,Correction of bunion,,,21 ,,RBRVS,9.31 ,5.33 ,10.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,28298,CPT,Correction of bunion,,,21 ,,RBRVS,8.01 ,4.59 ,9.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,28299,CPT,Correction of bunion,,,21 ,,RBRVS,11.39 ,5.73 ,10.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,28300,CPT,Incision of heel bone,,,21 ,,RBRVS,9.61 ,6.04 ,6.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,28302,CPT,Incision of ankle bone,,,21 ,,RBRVS,9.62 ,6.21 ,6.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,28304,CPT,Incision of midfoot bones,,,21 ,,RBRVS,9.29 ,5.08 ,9.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,28305,CPT,Incise/graft midfoot bones,,,21 ,,RBRVS,10.63 ,5.79 ,5.79 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,28306,CPT,Incision of metatarsal,,,21 ,,RBRVS,5.91 ,3.89 ,8.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,28307,CPT,Incision of metatarsal,,,21 ,,RBRVS,6.39 ,4.33 ,9.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,28308,CPT,Incision of metatarsal,,,21 ,,RBRVS,5.36 ,3.83 ,7.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,28309,CPT,Incision of metatarsals,,,21 ,,RBRVS,13.96 ,7.69 ,7.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,28310,CPT,Revision of big toe,,,21 ,,RBRVS,5.48 ,3.42 ,7.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,28312,CPT,Revision of toe,,,21 ,,RBRVS,4.60 ,3.23 ,7.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,28313,CPT,Repair deformity of toe,,,21 ,,RBRVS,5.06 ,3.61 ,7.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,28315,CPT,Removal of sesamoid bone,,,21 ,,RBRVS,4.91 ,3.22 ,6.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,28320,CPT,Repair of foot bones,,,21 ,,RBRVS,9.25 ,5.69 ,5.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,28322,CPT,Repair of metatarsals,,,21 ,,RBRVS,8.41 ,5.32 ,9.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,28340,CPT,Resect enlarged toe tissue,,,21 ,,RBRVS,7.04 ,4.08 ,8.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,28341,CPT,Resect enlarged toe,,,21 ,,RBRVS,8.60 ,4.42 ,8.60 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,28344,CPT,Repair extra toe(s),,,21 ,,RBRVS,4.31 ,2.93 ,6.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,28345,CPT,Repair webbed toe(s),,,21 ,,RBRVS,5.98 ,3.79 ,7.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,28360,CPT,Reconstruct cleft foot,,,21 ,,RBRVS,14.67 ,6.35 ,6.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,28400,CPT,Treatment of heel fracture,,,21 ,,RBRVS,2.22 ,2.92 ,3.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,28405,CPT,Treatment of heel fracture,,,21 ,,RBRVS,4.63 ,3.68 ,4.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,28406,CPT,Treatment of heel fracture,,,21 ,,RBRVS,6.44 ,5.56 ,5.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,28415,CPT,Treat heel fracture,,,21 ,,RBRVS,15.96 ,10.25 ,10.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,28420,CPT,Treat/graft heel fracture,,,21 ,,RBRVS,17.29 ,10.28 ,10.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,28430,CPT,Treatment of ankle fracture,,,21 ,,RBRVS,2.14 ,2.57 ,3.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,28435,CPT,Treatment of ankle fracture,,,21 ,,RBRVS,3.45 ,3.26 ,3.99 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,28436,CPT,Treatment of ankle fracture,,,21 ,,RBRVS,4.78 ,4.75 ,4.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,28445,CPT,Treat ankle fracture,,,21 ,,RBRVS,15.53 ,9.49 ,9.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,28446,CPT,Osteochondral talus autogrft,,,21 ,,RBRVS,17.50 ,10.36 ,10.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,28450,CPT,"Treat midfoot fracture, each",,,21 ,,RBRVS,1.95 ,2.42 ,2.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,28455,CPT,"Treat midfoot fracture, each",,,21 ,,RBRVS,3.15 ,3.10 ,3.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,28456,CPT,Treat midfoot fracture,,,21 ,,RBRVS,2.75 ,3.73 ,3.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,28465,CPT,"Treat midfoot fracture, each",,,21 ,,RBRVS,8.64 ,6.07 ,6.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,28470,CPT,Treat metatarsal fracture,,,21 ,,RBRVS,1.99 ,2.36 ,2.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,28475,CPT,Treat metatarsal fracture,,,21 ,,RBRVS,2.97 ,2.52 ,3.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,28476,CPT,Treat metatarsal fracture,,,21 ,,RBRVS,3.46 ,4.33 ,4.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,28485,CPT,Treat metatarsal fracture,,,21 ,,RBRVS,7.28 ,5.56 ,5.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,28490,CPT,Treat big toe fracture,,,21 ,,RBRVS,1.12 ,1.67 ,2.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,28495,CPT,Treat big toe fracture,,,21 ,,RBRVS,1.62 ,1.87 ,2.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,28496,CPT,Treat big toe fracture,,,21 ,,RBRVS,2.39 ,2.99 ,7.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,28505,CPT,Treat big toe fracture,,,21 ,,RBRVS,7.28 ,4.82 ,8.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,28510,CPT,Treatment of toe fracture,,,21 ,,RBRVS,1.12 ,1.61 ,1.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,28515,CPT,Treatment of toe fracture,,,21 ,,RBRVS,1.50 ,1.82 ,2.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,28525,CPT,Treat toe fracture,,,21 ,,RBRVS,5.46 ,4.32 ,8.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,28530,CPT,Treat sesamoid bone fracture,,,21 ,,RBRVS,1.08 ,1.34 ,1.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,28531,CPT,Treat sesamoid bone fracture,,,21 ,,RBRVS,2.51 ,2.43 ,6.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,28540,CPT,Treat foot dislocation,,,21 ,,RBRVS,2.10 ,2.31 ,2.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,28545,CPT,Treat foot dislocation,,,21 ,,RBRVS,2.51 ,2.81 ,3.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,28546,CPT,Treat foot dislocation,,,21 ,,RBRVS,3.28 ,3.64 ,8.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,28555,CPT,Repair foot dislocation,,,21 ,,RBRVS,9.49 ,6.29 ,10.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,28570,CPT,Treat foot dislocation,,,21 ,,RBRVS,1.70 ,1.91 ,2.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,28575,CPT,Treat foot dislocation,,,21 ,,RBRVS,3.38 ,3.72 ,4.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,28576,CPT,Treat foot dislocation,,,21 ,,RBRVS,4.48 ,4.06 ,4.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,28585,CPT,Repair foot dislocation,,,21 ,,RBRVS,10.92 ,6.97 ,11.57 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,28600,CPT,Treat foot dislocation,,,21 ,,RBRVS,1.94 ,2.37 ,3.03 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,28605,CPT,Treat foot dislocation,,,21 ,,RBRVS,2.78 ,3.27 ,3.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,28606,CPT,Treat foot dislocation,,,21 ,,RBRVS,4.97 ,4.12 ,4.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,28615,CPT,Repair foot dislocation,,,21 ,,RBRVS,10.46 ,8.14 ,8.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,28630,CPT,Treat toe dislocation,,,21 ,,RBRVS,1.72 ,0.91 ,1.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,28635,CPT,Treat toe dislocation,,,21 ,,RBRVS,1.93 ,1.33 ,2.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,28636,CPT,Treat toe dislocation,,,21 ,,RBRVS,2.77 ,2.05 ,4.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,28645,CPT,Repair toe dislocation,,,21 ,,RBRVS,7.28 ,4.62 ,8.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,28660,CPT,Treat toe dislocation,,,21 ,,RBRVS,1.25 ,0.78 ,1.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,28665,CPT,Treat toe dislocation,,,21 ,,RBRVS,1.94 ,1.33 ,1.82 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,28666,CPT,Treat toe dislocation,,,21 ,,RBRVS,2.66 ,1.83 ,1.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,28675,CPT,Repair of toe dislocation,,,21 ,,RBRVS,5.46 ,4.45 ,8.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,28705,CPT,Fusion of foot bones,,,21 ,,RBRVS,20.12 ,10.66 ,10.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,28715,CPT,Fusion of foot bones,,,21 ,,RBRVS,14.40 ,8.49 ,8.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,28725,CPT,Fusion of foot bones,,,21 ,,RBRVS,11.97 ,6.82 ,6.82 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,28730,CPT,Fusion of foot bones,,,21 ,,RBRVS,12.21 ,7.76 ,7.76 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,28735,CPT,Fusion of foot bones,,,21 ,,RBRVS,12.03 ,6.97 ,6.97 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,28737,CPT,Revision of foot bones,,,21 ,,RBRVS,10.83 ,6.07 ,6.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,28740,CPT,Fusion of foot bones,,,21 ,,RBRVS,9.09 ,5.99 ,10.87 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,28750,CPT,Fusion of big toe joint,,,21 ,,RBRVS,8.37 ,5.88 ,10.77 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,28755,CPT,Fusion of big toe joint,,,21 ,,RBRVS,4.79 ,3.35 ,7.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,28760,CPT,Fusion of big toe joint,,,21 ,,RBRVS,8.94 ,5.27 ,9.87 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,28800,CPT,Amputation of midfoot,,,21 ,,RBRVS,8.65 ,5.01 ,5.01 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,28805,CPT,Amputation thru metatarsal,,,21 ,,RBRVS,12.55 ,5.90 ,5.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,28810,CPT,Amputation toe & metatarsal,,,21 ,,RBRVS,6.52 ,4.06 ,4.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,28820,CPT,Amputation of toe,,,21 ,,RBRVS,4.89 ,3.55 ,7.65 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,28825,CPT,Partial amputation of toe,,,21 ,,RBRVS,3.71 ,3.13 ,7.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,28890,CPT,"High energy eswt, plantar f",,,21 ,,RBRVS,3.36 ,2.20 ,4.57 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,28899,CPT,Foot/toes surgery procedure,,,21 ,,TotalUnits,,,,4.43 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,29000,CPT,Application of body cast,,,21 ,,RBRVS,2.25 ,1.64 ,4.01 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,29010,CPT,Application of body cast,,,21 ,,RBRVS,2.06 ,1.62 ,4.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,29015,CPT,Application of body cast,,,21 ,,RBRVS,2.41 ,1.56 ,3.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,29020,CPT,Application of body cast,,,21 ,,RBRVS,2.11 ,1.41 ,3.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,29025,CPT,Application of body cast,,,21 ,,RBRVS,2.40 ,1.76 ,4.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,29035,CPT,Application of body cast,,,21 ,,RBRVS,1.77 ,1.48 ,3.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,29040,CPT,Application of body cast,,,21 ,,RBRVS,2.22 ,1.34 ,3.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,29044,CPT,Application of body cast,,,21 ,,RBRVS,2.12 ,1.47 ,3.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,29046,CPT,Application of body cast,,,21 ,,RBRVS,2.41 ,1.91 ,4.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,29049,CPT,Application of figure eight,,,21 ,,RBRVS,0.89 ,0.59 ,1.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,29055,CPT,Application of shoulder cast,,,21 ,,RBRVS,1.78 ,1.23 ,2.82 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,29058,CPT,Application of shoulder cast,,,21 ,,RBRVS,1.31 ,0.67 ,1.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,29065,CPT,Application of long arm cast,,,21 ,,RBRVS,0.87 ,0.70 ,1.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,29075,CPT,Application of forearm cast,,,21 ,,RBRVS,0.77 ,0.66 ,1.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,29085,CPT,Apply hand/wrist cast,,,21 ,,RBRVS,0.87 ,0.68 ,1.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,29086,CPT,Apply finger cast,,,21 ,,RBRVS,0.62 ,0.55 ,1.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,29105,CPT,Apply long arm splint,,,21 ,,RBRVS,0.87 ,0.53 ,1.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,29125,CPT,Apply forearm splint,,,21 ,,RBRVS,0.59 ,0.42 ,0.97 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,29126,CPT,Apply forearm splint,,,21 ,,RBRVS,0.77 ,0.48 ,1.01 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,29130,CPT,Application of finger splint,,,21 ,,RBRVS,0.50 ,0.18 ,0.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,29131,CPT,Application of finger splint,,,21 ,,RBRVS,0.55 ,0.24 ,0.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,29200,CPT,Strapping of chest,,,21 ,,RBRVS,0.65 ,0.35 ,0.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,29220,CPT,Strapping of low back,,,21 ,,RBRVS,0.64 ,0.38 ,0.65 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,29240,CPT,Strapping of shoulder,,,21 ,,RBRVS,0.71 ,0.40 ,0.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,29260,CPT,Strapping of elbow or wrist,,,21 ,,RBRVS,0.55 ,0.37 ,0.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,29280,CPT,Strapping of hand or finger,,,21 ,,RBRVS,0.51 ,0.37 ,0.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,29305,CPT,Application of hip cast,,,21 ,,RBRVS,2.03 ,1.56 ,3.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,29325,CPT,Application of hip casts,,,21 ,,RBRVS,2.32 ,1.58 ,3.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,29345,CPT,Application of long leg cast,,,21 ,,RBRVS,1.40 ,0.94 ,1.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,29355,CPT,Application of long leg cast,,,21 ,,RBRVS,1.53 ,0.94 ,1.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,29358,CPT,Apply long leg cast brace,,,21 ,,RBRVS,1.43 ,0.91 ,2.01 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,29365,CPT,Application of long leg cast,,,21 ,,RBRVS,1.18 ,0.86 ,1.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,29405,CPT,Apply short leg cast,,,21 ,,RBRVS,0.86 ,0.65 ,1.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,29425,CPT,Apply short leg cast,,,21 ,,RBRVS,1.01 ,0.66 ,1.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,29435,CPT,Apply short leg cast,,,21 ,,RBRVS,1.18 ,0.81 ,1.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,29440,CPT,Addition of walker to cast,,,21 ,,RBRVS,0.57 ,0.26 ,0.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,29445,CPT,Apply rigid leg cast,,,21 ,,RBRVS,1.78 ,0.89 ,1.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,29450,CPT,Application of leg cast,,,21 ,,RBRVS,2.08 ,0.90 ,1.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,29505,CPT,"Application, long leg splint",,,21 ,,RBRVS,0.69 ,0.45 ,1.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,29515,CPT,Application lower leg splint,,,21 ,,RBRVS,0.73 ,0.46 ,0.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,29520,CPT,Strapping of hip,,,21 ,,RBRVS,0.54 ,0.37 ,0.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,29530,CPT,Strapping of knee,,,21 ,,RBRVS,0.57 ,0.37 ,0.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,29540,CPT,Strapping of ankle and/or ft,,,21 ,,RBRVS,0.51 ,0.31 ,0.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,29550,CPT,Strapping of toes,,,21 ,,RBRVS,0.47 ,0.30 ,0.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,29580,CPT,Application of paste boot,,,21 ,,RBRVS,0.55 ,0.33 ,0.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,29590,CPT,Application of foot splint,,,21 ,,RBRVS,0.76 ,0.26 ,0.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,29700,CPT,Removal/revision of cast,,,21 ,,RBRVS,0.57 ,0.25 ,0.95 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,29705,CPT,Removal/revision of cast,,,21 ,,RBRVS,0.76 ,0.36 ,0.76 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,29710,CPT,Removal/revision of cast,,,21 ,,RBRVS,1.34 ,0.55 ,1.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,29715,CPT,Removal/revision of cast,,,21 ,,RBRVS,0.94 ,0.43 ,1.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,29720,CPT,Repair of body cast,,,21 ,,RBRVS,0.68 ,0.35 ,1.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,29730,CPT,Windowing of cast,,,21 ,,RBRVS,0.75 ,0.34 ,0.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,29740,CPT,Wedging of cast,,,21 ,,RBRVS,1.12 ,0.47 ,1.03 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,29750,CPT,Wedging of clubfoot cast,,,21 ,,RBRVS,1.26 ,0.52 ,1.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,29799,CPT,Casting/strapping procedure,,,21 ,,TotalUnits,,,,0.92 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,29800,CPT,Jaw arthroscopy/surgery,,,21 ,,RBRVS,6.73 ,4.63 ,4.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,29804,CPT,Jaw arthroscopy/surgery,,,21 ,,RBRVS,8.71 ,5.70 ,5.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,29805,CPT,"Shoulder arthroscopy, dx",,,21 ,,RBRVS,5.94 ,4.71 ,4.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,29806,CPT,Shoulder arthroscopy/surgery,,,21 ,,RBRVS,14.95 ,9.36 ,9.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,29807,CPT,Shoulder arthroscopy/surgery,,,21 ,,RBRVS,14.48 ,9.20 ,9.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,29819,CPT,Shoulder arthroscopy/surgery,,,21 ,,RBRVS,7.68 ,5.63 ,5.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,29820,CPT,Shoulder arthroscopy/surgery,,,21 ,,RBRVS,7.12 ,5.18 ,5.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,29821,CPT,Shoulder arthroscopy/surgery,,,21 ,,RBRVS,7.78 ,5.66 ,5.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,29822,CPT,Shoulder arthroscopy/surgery,,,21 ,,RBRVS,7.49 ,5.58 ,5.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,29823,CPT,Shoulder arthroscopy/surgery,,,21 ,,RBRVS,8.24 ,6.05 ,6.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,29824,CPT,Shoulder arthroscopy/surgery,,,21 ,,RBRVS,8.82 ,6.54 ,6.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,29825,CPT,Shoulder arthroscopy/surgery,,,21 ,,RBRVS,7.68 ,5.64 ,5.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,29826,CPT,Shoulder arthroscopy/surgery,,,21 ,,RBRVS,9.05 ,6.18 ,6.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,29827,CPT,Arthroscop rotator cuff repr,,,21 ,,RBRVS,15.44 ,9.32 ,9.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,29828,CPT,Arthroscopy biceps tenodesis,,,21 ,,RBRVS,13.00 ,8.18 ,8.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,29830,CPT,Elbow arthroscopy,,,21 ,,RBRVS,5.80 ,4.49 ,4.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,29834,CPT,Elbow arthroscopy/surgery,,,21 ,,RBRVS,6.33 ,4.86 ,4.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,29835,CPT,Elbow arthroscopy/surgery,,,21 ,,RBRVS,6.53 ,4.97 ,4.97 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,29836,CPT,Elbow arthroscopy/surgery,,,21 ,,RBRVS,7.61 ,5.54 ,5.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,29837,CPT,Elbow arthroscopy/surgery,,,21 ,,RBRVS,6.92 ,5.07 ,5.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,29838,CPT,Elbow arthroscopy/surgery,,,21 ,,RBRVS,7.77 ,5.66 ,5.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,29840,CPT,Wrist arthroscopy,,,21 ,,RBRVS,5.59 ,4.63 ,4.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,29843,CPT,Wrist arthroscopy/surgery,,,21 ,,RBRVS,6.06 ,4.81 ,4.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,29844,CPT,Wrist arthroscopy/surgery,,,21 ,,RBRVS,6.42 ,4.88 ,4.88 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,29845,CPT,Wrist arthroscopy/surgery,,,21 ,,RBRVS,7.58 ,5.60 ,5.60 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,29846,CPT,Wrist arthroscopy/surgery,,,21 ,,RBRVS,6.80 ,5.11 ,5.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,29847,CPT,Wrist arthroscopy/surgery,,,21 ,,RBRVS,7.13 ,5.28 ,5.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,29848,CPT,Wrist endoscopy/surgery,,,21 ,,RBRVS,6.24 ,5.28 ,5.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,29850,CPT,Knee arthroscopy/surgery,,,21 ,,RBRVS,8.18 ,4.72 ,4.72 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,29851,CPT,Knee arthroscopy/surgery,,,21 ,,RBRVS,13.08 ,8.22 ,8.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,29855,CPT,Tibial arthroscopy/surgery,,,21 ,,RBRVS,10.60 ,7.28 ,7.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,29856,CPT,Tibial arthroscopy/surgery,,,21 ,,RBRVS,14.12 ,8.70 ,8.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,29860,CPT,"Hip arthroscopy, dx",,,21 ,,RBRVS,8.85 ,6.25 ,6.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,29861,CPT,Hip arthroscopy/surgery,,,21 ,,RBRVS,9.95 ,6.40 ,6.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,29862,CPT,Hip arthroscopy/surgery,,,21 ,,RBRVS,10.97 ,7.57 ,7.57 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,29863,CPT,Hip arthroscopy/surgery,,,21 ,,RBRVS,10.97 ,7.49 ,7.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,29866,CPT,"Autgrft implnt, knee w/scope",,,21 ,,RBRVS,14.48 ,9.47 ,9.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,29867,CPT,"Allgrft implnt, knee w/scope",,,21 ,,RBRVS,18.18 ,11.04 ,11.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,29868,CPT,"Meniscal trnspl, knee w/scpe",,,21 ,,RBRVS,24.89 ,13.80 ,13.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,29870,CPT,"Knee arthroscopy, dx",,,21 ,,RBRVS,5.11 ,4.18 ,4.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,29871,CPT,Knee arthroscopy/drainage,,,21 ,,RBRVS,6.60 ,5.06 ,5.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,29873,CPT,Knee arthroscopy/surgery,,,21 ,,RBRVS,6.09 ,5.60 ,5.60 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,29874,CPT,Knee arthroscopy/surgery,,,21 ,,RBRVS,7.10 ,5.09 ,5.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,29875,CPT,Knee arthroscopy/surgery,,,21 ,,RBRVS,6.36 ,4.89 ,4.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,29876,CPT,Knee arthroscopy/surgery,,,21 ,,RBRVS,8.72 ,6.19 ,6.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,29877,CPT,Knee arthroscopy/surgery,,,21 ,,RBRVS,8.15 ,5.98 ,5.98 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,29879,CPT,Knee arthroscopy/surgery,,,21 ,,RBRVS,8.84 ,6.23 ,6.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,29880,CPT,Knee arthroscopy/surgery,,,21 ,,RBRVS,9.30 ,6.43 ,6.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,29881,CPT,Knee arthroscopy/surgery,,,21 ,,RBRVS,8.56 ,6.14 ,6.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,29882,CPT,Knee arthroscopy/surgery,,,21 ,,RBRVS,9.45 ,6.46 ,6.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,29883,CPT,Knee arthroscopy/surgery,,,21 ,,RBRVS,11.61 ,7.59 ,7.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,29884,CPT,Knee arthroscopy/surgery,,,21 ,,RBRVS,8.13 ,5.96 ,5.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,29885,CPT,Knee arthroscopy/surgery,,,21 ,,RBRVS,10.03 ,7.03 ,7.03 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,29886,CPT,Knee arthroscopy/surgery,,,21 ,,RBRVS,8.34 ,6.04 ,6.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,29887,CPT,Knee arthroscopy/surgery,,,21 ,,RBRVS,9.98 ,6.97 ,6.97 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,29888,CPT,Knee arthroscopy/surgery,,,21 ,,RBRVS,14.14 ,8.27 ,8.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,29889,CPT,Knee arthroscopy/surgery,,,21 ,,RBRVS,17.15 ,10.62 ,10.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,29891,CPT,Ankle arthroscopy/surgery,,,21 ,,RBRVS,9.47 ,6.65 ,6.65 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,29892,CPT,Ankle arthroscopy/surgery,,,21 ,,RBRVS,10.07 ,6.39 ,6.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,29893,CPT,"Scope, plantar fasciotomy",,,21 ,,RBRVS,6.08 ,4.67 ,8.84 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,29894,CPT,Ankle arthroscopy/surgery,,,21 ,,RBRVS,7.26 ,4.72 ,4.72 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,29895,CPT,Ankle arthroscopy/surgery,,,21 ,,RBRVS,7.04 ,4.52 ,4.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,29897,CPT,Ankle arthroscopy/surgery,,,21 ,,RBRVS,7.23 ,4.82 ,4.82 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,29898,CPT,Ankle arthroscopy/surgery,,,21 ,,RBRVS,8.38 ,5.24 ,5.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,29899,CPT,Ankle arthroscopy/surgery,,,21 ,,RBRVS,15.21 ,9.21 ,9.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,29900,CPT,"Mcp joint arthroscopy, dx",,,21 ,,RBRVS,5.74 ,4.67 ,4.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,29901,CPT,"Mcp joint arthroscopy, surg",,,21 ,,RBRVS,6.45 ,5.10 ,5.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,29902,CPT,"Mcp joint arthroscopy, surg",,,21 ,,RBRVS,7.02 ,4.71 ,4.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,29904,CPT,Subtalar arthro w/fb rmvl,,,21 ,,RBRVS,8.50 ,5.89 ,5.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,29905,CPT,Subtalar arthro w/exc,,,21 ,,RBRVS,9.00 ,6.52 ,6.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,29906,CPT,Subtalar arthro w/deb,,,21 ,,RBRVS,9.47 ,6.88 ,6.88 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,29907,CPT,Subtalar arthro w/fusion,,,21 ,,RBRVS,12.00 ,7.87 ,7.87 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,29999,CPT,Arthroscopy of joint,,,21 ,,TotalUnits,,,,10.67 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,30000,CPT,Drainage of nose lesion,,,21 ,,RBRVS,1.45 ,1.34 ,4.02 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,30020,CPT,Drainage of nose lesion,,,21 ,,RBRVS,1.45 ,1.39 ,4.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,30100,CPT,Intranasal biopsy,,,21 ,,RBRVS,0.94 ,0.75 ,2.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,30110,CPT,Removal of nose polyp(s),,,21 ,,RBRVS,1.65 ,1.45 ,3.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,30115,CPT,Removal of nose polyp(s),,,21 ,,RBRVS,4.38 ,5.99 ,5.99 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,30117,CPT,Removal of intranasal lesion,,,21 ,,RBRVS,3.20 ,4.92 ,18.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,30118,CPT,Removal of intranasal lesion,,,21 ,,RBRVS,9.81 ,8.56 ,8.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,30120,CPT,Revision of nose,,,21 ,,RBRVS,5.31 ,5.09 ,7.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,30124,CPT,Removal of nose lesion,,,21 ,,RBRVS,3.14 ,3.68 ,3.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,30125,CPT,Removal of nose lesion,,,21 ,,RBRVS,7.21 ,7.41 ,7.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,30130,CPT,Excise inferior turbinate,,,21 ,,RBRVS,3.41 ,5.64 ,5.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,30140,CPT,Resect inferior turbinate,,,21 ,,RBRVS,3.48 ,7.11 ,7.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,30150,CPT,Partial removal of nose,,,21 ,,RBRVS,9.44 ,9.04 ,9.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,30160,CPT,Removal of nose,,,21 ,,RBRVS,9.88 ,8.88 ,8.88 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,30200,CPT,Injection treatment of nose,,,21 ,,RBRVS,0.78 ,0.67 ,2.02 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,30210,CPT,Nasal sinus therapy,,,21 ,,RBRVS,1.10 ,1.27 ,2.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,30220,CPT,Insert nasal septal button,,,21 ,,RBRVS,1.56 ,1.43 ,5.82 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,30300,CPT,Remove nasal foreign body,,,21 ,,RBRVS,1.06 ,1.87 ,4.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,30310,CPT,Remove nasal foreign body,,,21 ,,RBRVS,1.98 ,2.91 ,2.91 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,30320,CPT,Remove nasal foreign body,,,21 ,,RBRVS,4.56 ,6.36 ,6.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,30400,CPT,Reconstruction of nose,,,21 ,,RBRVS,10.58 ,13.92 ,13.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,30410,CPT,Reconstruction of nose,,,21 ,,RBRVS,13.72 ,15.34 ,15.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,30420,CPT,Reconstruction of nose,,,21 ,,RBRVS,16.62 ,15.84 ,15.84 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,30430,CPT,Revision of nose,,,21 ,,RBRVS,7.96 ,13.25 ,13.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,30435,CPT,Revision of nose,,,21 ,,RBRVS,12.45 ,15.43 ,15.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,30450,CPT,Revision of nose,,,21 ,,RBRVS,19.38 ,16.90 ,16.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,30460,CPT,Revision of nose,,,21 ,,RBRVS,10.24 ,7.49 ,7.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,30462,CPT,Revision of nose,,,21 ,,RBRVS,20.12 ,14.66 ,14.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,30465,CPT,Repair nasal stenosis,,,21 ,,RBRVS,12.20 ,11.08 ,11.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,30520,CPT,Repair of nasal septum,,,21 ,,RBRVS,6.85 ,8.05 ,8.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,30540,CPT,Repair nasal defect,,,21 ,,RBRVS,7.81 ,8.55 ,8.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,30545,CPT,Repair nasal defect,,,21 ,,RBRVS,11.50 ,11.09 ,11.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,30560,CPT,Release of nasal adhesions,,,21 ,,RBRVS,1.28 ,2.03 ,5.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,30580,CPT,Repair upper jaw fistula,,,21 ,,RBRVS,6.76 ,4.69 ,8.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,30600,CPT,Repair mouth/nose fistula,,,21 ,,RBRVS,6.07 ,4.18 ,7.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,30620,CPT,Intranasal reconstruction,,,21 ,,RBRVS,6.04 ,8.67 ,8.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,30630,CPT,Repair nasal septum defect,,,21 ,,RBRVS,7.18 ,7.73 ,7.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,30801,CPT,"Ablate inf turbinate, superf",,,21 ,,RBRVS,1.11 ,2.12 ,4.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,30802,CPT,"Cauterization, inner nose",,,21 ,,RBRVS,2.05 ,2.51 ,4.98 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,30901,CPT,Control of nosebleed,,,21 ,,RBRVS,1.21 ,0.31 ,1.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,30903,CPT,Control of nosebleed,,,21 ,,RBRVS,1.54 ,0.43 ,3.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,30905,CPT,Control of nosebleed,,,21 ,,RBRVS,1.97 ,0.51 ,3.94 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,30906,CPT,Repeat control of nosebleed,,,21 ,,RBRVS,2.45 ,0.76 ,4.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,30915,CPT,"Ligation, nasal sinus artery",,,21 ,,RBRVS,7.36 ,6.46 ,6.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,30920,CPT,"Ligation, upper jaw artery",,,21 ,,RBRVS,11.03 ,8.97 ,8.97 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,30930,CPT,"Ther fx, nasal inf turbinate",,,21 ,,RBRVS,1.28 ,1.64 ,1.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,30999,CPT,Nasal surgery procedure,,,21 ,,TotalUnits,,,,4.51 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,31000,CPT,"Irrigation, maxillary sinus",,,21 ,,RBRVS,1.17 ,1.34 ,3.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,31002,CPT,"Irrigation, sphenoid sinus",,,21 ,,RBRVS,1.93 ,2.69 ,2.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,31020,CPT,"Exploration, maxillary sinus",,,21 ,,RBRVS,2.99 ,5.55 ,8.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,31030,CPT,"Exploration, maxillary sinus",,,21 ,,RBRVS,5.95 ,6.45 ,10.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,31032,CPT,"Explore sinus, remove polyps",,,21 ,,RBRVS,6.61 ,7.00 ,7.00 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,31040,CPT,Exploration behind upper jaw,,,21 ,,RBRVS,9.66 ,7.38 ,7.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,31050,CPT,"Exploration, sphenoid sinus",,,21 ,,RBRVS,5.31 ,6.51 ,6.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,31051,CPT,Sphenoid sinus surgery,,,21 ,,RBRVS,7.16 ,8.37 ,8.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,31070,CPT,Exploration of frontal sinus,,,21 ,,RBRVS,4.32 ,6.19 ,6.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,31075,CPT,Exploration of frontal sinus,,,21 ,,RBRVS,9.40 ,9.33 ,9.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,31080,CPT,Removal of frontal sinus,,,21 ,,RBRVS,12.54 ,10.63 ,10.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,31081,CPT,Removal of frontal sinus,,,21 ,,RBRVS,13.99 ,15.38 ,15.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,31084,CPT,Removal of frontal sinus,,,21 ,,RBRVS,14.75 ,12.88 ,12.88 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,31085,CPT,Removal of frontal sinus,,,21 ,,RBRVS,15.44 ,14.44 ,14.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,31086,CPT,Removal of frontal sinus,,,21 ,,RBRVS,14.16 ,12.79 ,12.79 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,31087,CPT,Removal of frontal sinus,,,21 ,,RBRVS,14.39 ,11.65 ,11.65 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,31090,CPT,Exploration of sinuses,,,21 ,,RBRVS,10.88 ,13.41 ,13.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,31200,CPT,Removal of ethmoid sinus,,,21 ,,RBRVS,5.03 ,7.44 ,7.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,31201,CPT,Removal of ethmoid sinus,,,21 ,,RBRVS,8.49 ,9.00 ,9.00 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,31205,CPT,Removal of ethmoid sinus,,,21 ,,RBRVS,10.47 ,9.52 ,9.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,31225,CPT,Removal of upper jaw,,,21 ,,RBRVS,26.44 ,17.90 ,17.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,31230,CPT,Removal of upper jaw,,,21 ,,RBRVS,30.56 ,19.50 ,19.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,31231,CPT,"Nasal endoscopy, dx",,,21 ,,RBRVS,1.10 ,0.77 ,3.60 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,31233,CPT,"Nasal/sinus endoscopy, dx",,,21 ,,RBRVS,2.18 ,1.12 ,4.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,31235,CPT,"Nasal/sinus endoscopy, dx",,,21 ,,RBRVS,2.64 ,1.26 ,4.65 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,31237,CPT,"Nasal/sinus endoscopy, surg",,,21 ,,RBRVS,2.98 ,1.39 ,4.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,31238,CPT,"Nasal/sinus endoscopy, surg",,,21 ,,RBRVS,3.26 ,1.48 ,4.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,31239,CPT,"Nasal/sinus endoscopy, surg",,,21 ,,RBRVS,9.23 ,6.43 ,6.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,31240,CPT,"Nasal/sinus endoscopy, surg",,,21 ,,RBRVS,2.61 ,1.27 ,1.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,31254,CPT,Revision of ethmoid sinus,,,21 ,,RBRVS,4.64 ,1.94 ,1.94 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,31255,CPT,Removal of ethmoid sinus,,,21 ,,RBRVS,6.95 ,2.69 ,2.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,31256,CPT,Exploration maxillary sinus,,,21 ,,RBRVS,3.29 ,1.49 ,1.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,31267,CPT,"Endoscopy, maxillary sinus",,,21 ,,RBRVS,5.45 ,2.20 ,2.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,31276,CPT,"Sinus endoscopy, surgical",,,21 ,,RBRVS,8.84 ,3.31 ,3.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,31287,CPT,"Nasal/sinus endoscopy, surg",,,21 ,,RBRVS,3.91 ,1.69 ,1.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,31288,CPT,"Nasal/sinus endoscopy, surg",,,21 ,,RBRVS,4.57 ,1.91 ,1.91 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,31290,CPT,"Nasal/sinus endoscopy, surg",,,21 ,,RBRVS,18.50 ,9.05 ,9.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,31291,CPT,"Nasal/sinus endoscopy, surg",,,21 ,,RBRVS,19.45 ,9.54 ,9.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,31292,CPT,"Nasal/sinus endoscopy, surg",,,21 ,,RBRVS,15.79 ,8.06 ,8.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,31293,CPT,"Nasal/sinus endoscopy, surg",,,21 ,,RBRVS,17.36 ,8.69 ,8.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,31294,CPT,"Nasal/sinus endoscopy, surg",,,21 ,,RBRVS,20.20 ,9.67 ,9.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,31299,CPT,Sinus surgery procedure,,,21 ,,TotalUnits,,,,8.01 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,31300,CPT,Removal of larynx lesion,,,21 ,,RBRVS,15.71 ,14.59 ,14.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,31320,CPT,"Diagnostic incision, larynx",,,21 ,,RBRVS,5.62 ,10.15 ,10.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,31360,CPT,Removal of larynx,,,21 ,,RBRVS,29.57 ,20.08 ,20.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,31365,CPT,Removal of larynx,,,21 ,,RBRVS,38.47 ,23.00 ,23.00 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,31367,CPT,Partial removal of larynx,,,21 ,,RBRVS,30.23 ,22.52 ,22.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,31368,CPT,Partial removal of larynx,,,21 ,,RBRVS,33.85 ,24.61 ,24.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,31370,CPT,Partial removal of larynx,,,21 ,,RBRVS,27.23 ,22.16 ,22.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,31375,CPT,Partial removal of larynx,,,21 ,,RBRVS,25.73 ,21.16 ,21.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,31380,CPT,Partial removal of larynx,,,21 ,,RBRVS,25.23 ,20.81 ,20.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,31382,CPT,Partial removal of larynx,,,21 ,,RBRVS,28.23 ,22.71 ,22.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,31390,CPT,Removal of larynx & pharynx,,,21 ,,RBRVS,42.17 ,25.99 ,25.99 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,31395,CPT,Reconstruct larynx & pharynx,,,21 ,,RBRVS,43.46 ,28.53 ,28.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,31400,CPT,Revision of larynx,,,21 ,,RBRVS,11.48 ,12.50 ,12.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,31420,CPT,Removal of epiglottis,,,21 ,,RBRVS,11.32 ,8.59 ,8.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,31500,CPT,Insert emergency airway,,,21 ,,RBRVS,2.33 ,0.42 ,0.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,31502,CPT,Change of windpipe airway,,,21 ,,RBRVS,0.65 ,0.21 ,0.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,31505,CPT,Diagnostic laryngoscopy,,,21 ,,RBRVS,0.61 ,0.59 ,1.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,31510,CPT,Laryngoscopy with biopsy,,,21 ,,RBRVS,1.92 ,1.00 ,3.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,31511,CPT,"Remove foreign body, larynx",,,21 ,,RBRVS,2.16 ,1.03 ,2.94 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,31512,CPT,Removal of larynx lesion,,,21 ,,RBRVS,2.07 ,1.06 ,2.97 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,31513,CPT,Injection into vocal cord,,,21 ,,RBRVS,2.10 ,1.09 ,1.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,31515,CPT,Laryngoscopy for aspiration,,,21 ,,RBRVS,1.80 ,0.88 ,3.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,31520,CPT,"Dx laryngoscopy, newborn",,,21 ,,RBRVS,2.56 ,1.21 ,1.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,31525,CPT,Dx laryngoscopy excl nb,,,21 ,,RBRVS,2.63 ,1.23 ,3.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,31526,CPT,Dx laryngoscopy w/oper scope,,,21 ,,RBRVS,2.57 ,1.25 ,1.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,31527,CPT,Laryngoscopy for treatment,,,21 ,,RBRVS,3.27 ,1.40 ,1.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,31528,CPT,Laryngoscopy and dilation,,,21 ,,RBRVS,2.37 ,1.09 ,1.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,31529,CPT,Laryngoscopy and dilation,,,21 ,,RBRVS,2.68 ,1.25 ,1.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,31530,CPT,Laryngoscopy w/fb removal,,,21 ,,RBRVS,3.38 ,1.45 ,1.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,31531,CPT,Laryngoscopy w/fb & op scope,,,21 ,,RBRVS,3.58 ,1.59 ,1.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,31535,CPT,Laryngoscopy w/biopsy,,,21 ,,RBRVS,3.16 ,1.44 ,1.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,31536,CPT,Laryngoscopy w/bx & op scope,,,21 ,,RBRVS,3.55 ,1.57 ,1.57 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,31540,CPT,Laryngoscopy w/exc of tumor,,,21 ,,RBRVS,4.12 ,1.76 ,1.76 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,31541,CPT,Larynscop w/tumr exc + scope,,,21 ,,RBRVS,4.52 ,1.89 ,1.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,31545,CPT,Remove vc lesion w/scope,,,21 ,,RBRVS,6.30 ,2.52 ,2.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,31546,CPT,Remove vc lesion scope/graft,,,21 ,,RBRVS,9.73 ,3.43 ,3.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,31560,CPT,Laryngoscop w/arytenoidectom,,,21 ,,RBRVS,5.45 ,2.16 ,2.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,31561,CPT,"Larynscop, remve cart + scop",,,21 ,,RBRVS,5.99 ,2.32 ,2.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,31570,CPT,Laryngoscope w/vc inj,,,21 ,,RBRVS,3.86 ,1.65 ,4.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,31571,CPT,Laryngoscop w/vc inj + scope,,,21 ,,RBRVS,4.26 ,1.81 ,1.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,31575,CPT,Diagnostic laryngoscopy,,,21 ,,RBRVS,1.10 ,0.76 ,1.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,31576,CPT,Laryngoscopy with biopsy,,,21 ,,RBRVS,1.97 ,1.04 ,3.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,31577,CPT,"Remove foreign body, larynx",,,21 ,,RBRVS,2.47 ,1.17 ,3.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,31578,CPT,Removal of larynx lesion,,,21 ,,RBRVS,2.84 ,1.34 ,4.00 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,31579,CPT,Diagnostic laryngoscopy,,,21 ,,RBRVS,2.26 ,1.15 ,2.87 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,31580,CPT,Revision of larynx,,,21 ,,RBRVS,14.46 ,13.83 ,13.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,31582,CPT,Revision of larynx,,,21 ,,RBRVS,22.87 ,22.57 ,22.57 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,31584,CPT,Treat larynx fracture,,,21 ,,RBRVS,20.35 ,15.28 ,15.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,31587,CPT,Revision of larynx,,,21 ,,RBRVS,15.12 ,8.64 ,8.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,31588,CPT,Revision of larynx,,,21 ,,RBRVS,14.62 ,12.52 ,12.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,31590,CPT,Reinnervate larynx,,,21 ,,RBRVS,7.63 ,12.80 ,12.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,31595,CPT,Larynx nerve surgery,,,21 ,,RBRVS,8.75 ,9.65 ,9.65 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,31599,CPT,Larynx surgery procedure,,,21 ,,TotalUnits,,,,9.59 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,31600,CPT,Incision of windpipe,,,21 ,,RBRVS,7.17 ,2.28 ,2.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,31601,CPT,Incision of windpipe,,,21 ,,RBRVS,4.44 ,1.74 ,1.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,31603,CPT,Incision of windpipe,,,21 ,,RBRVS,4.14 ,1.19 ,1.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,31605,CPT,Incision of windpipe,,,21 ,,RBRVS,3.57 ,0.82 ,0.82 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,31610,CPT,Incision of windpipe,,,21 ,,RBRVS,9.29 ,7.73 ,7.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,31611,CPT,Surgery/speech prosthesis,,,21 ,,RBRVS,5.92 ,7.08 ,7.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,31612,CPT,Puncture/clear windpipe,,,21 ,,RBRVS,0.91 ,0.26 ,1.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,31613,CPT,Repair windpipe opening,,,21 ,,RBRVS,4.63 ,6.14 ,6.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,31614,CPT,Repair windpipe opening,,,21 ,,RBRVS,8.47 ,9.59 ,9.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,31615,CPT,Visualization of windpipe,,,21 ,,RBRVS,2.09 ,1.05 ,2.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,31620,CPT,Endobronchial us add-on,,,21 ,,RBRVS,1.40 ,0.33 ,6.02 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,31622,CPT,Dx bronchoscope/wash,,,21 ,,RBRVS,2.78 ,0.90 ,5.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,31623,CPT,Dx bronchoscope/brush,,,21 ,,RBRVS,2.88 ,0.89 ,5.98 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,31624,CPT,Dx bronchoscope/lavage,,,21 ,,RBRVS,2.88 ,0.89 ,5.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,31625,CPT,Bronchoscopy w/biopsy(s),,,21 ,,RBRVS,3.36 ,1.01 ,5.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,31628,CPT,"Bronchoscopy/lung bx, each",,,21 ,,RBRVS,3.80 ,1.10 ,6.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,31629,CPT,"Bronchoscopy/needle bx, each",,,21 ,,RBRVS,4.09 ,1.17 ,12.01 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,31630,CPT,Bronchoscopy dilate/fx repr,,,21 ,,RBRVS,3.81 ,1.27 ,1.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,31631,CPT,"Bronchoscopy, dilate w/stent",,,21 ,,RBRVS,4.36 ,1.42 ,1.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,31632,CPT,"Bronchoscopy/lung bx, add'l",,,21 ,,RBRVS,1.03 ,0.24 ,0.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,31633,CPT,Bronchoscopy/needle bx add'l,,,21 ,,RBRVS,1.32 ,0.31 ,0.99 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,31635,CPT,Bronchoscopy w/fb removal,,,21 ,,RBRVS,3.67 ,1.13 ,5.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,31636,CPT,"Bronchoscopy, bronch stents",,,21 ,,RBRVS,4.30 ,1.34 ,1.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,31637,CPT,"Bronchoscopy, stent add-on",,,21 ,,RBRVS,1.58 ,0.41 ,0.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,31638,CPT,"Bronchoscopy, revise stent",,,21 ,,RBRVS,4.88 ,1.54 ,1.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,31640,CPT,Bronchoscopy w/tumor excise,,,21 ,,RBRVS,4.93 ,1.53 ,1.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,31641,CPT,"Bronchoscopy, treat blockage",,,21 ,,RBRVS,5.02 ,1.49 ,1.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,31643,CPT,Diag bronchoscope/catheter,,,21 ,,RBRVS,3.49 ,1.04 ,1.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,31645,CPT,"Bronchoscopy, clear airways",,,21 ,,RBRVS,3.16 ,0.96 ,4.72 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,31646,CPT,"Bronchoscopy, reclear airway",,,21 ,,RBRVS,2.72 ,0.85 ,4.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,31656,CPT,"Bronchoscopy, inj for x-ray",,,21 ,,RBRVS,2.17 ,0.68 ,5.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,31715,CPT,Injection for bronchus x-ray,,,21 ,,RBRVS,1.11 ,0.25 ,0.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,31717,CPT,Bronchial brush biopsy,,,21 ,,RBRVS,2.12 ,0.72 ,5.84 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,31720,CPT,Clearance of airways,,,21 ,,RBRVS,1.06 ,0.27 ,0.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,31725,CPT,Clearance of airways,,,21 ,,RBRVS,1.96 ,0.41 ,0.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,31730,CPT,"Intro, windpipe wire/tube",,,21 ,,RBRVS,2.85 ,0.74 ,25.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,31750,CPT,Repair of windpipe,,,21 ,,RBRVS,15.19 ,17.46 ,17.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,31755,CPT,Repair of windpipe,,,21 ,,RBRVS,17.19 ,24.00 ,24.00 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,31760,CPT,Repair of windpipe,,,21 ,,RBRVS,23.36 ,9.78 ,9.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,31766,CPT,Reconstruction of windpipe,,,21 ,,RBRVS,31.58 ,11.70 ,11.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,31770,CPT,Repair/graft of bronchus,,,21 ,,RBRVS,23.48 ,8.54 ,8.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,31775,CPT,Reconstruct bronchus,,,21 ,,RBRVS,24.51 ,9.52 ,9.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,31780,CPT,Reconstruct windpipe,,,21 ,,RBRVS,19.70 ,8.80 ,8.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,31781,CPT,Reconstruct windpipe,,,21 ,,RBRVS,24.77 ,9.67 ,9.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,31785,CPT,Remove windpipe lesion,,,21 ,,RBRVS,18.29 ,7.68 ,7.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,31786,CPT,Remove windpipe lesion,,,21 ,,RBRVS,25.34 ,9.62 ,9.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,31800,CPT,Repair of windpipe injury,,,21 ,,RBRVS,8.10 ,8.68 ,8.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,31805,CPT,Repair of windpipe injury,,,21 ,,RBRVS,13.34 ,6.22 ,6.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,31820,CPT,Closure of windpipe lesion,,,21 ,,RBRVS,4.58 ,3.26 ,5.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,31825,CPT,Repair of windpipe defect,,,21 ,,RBRVS,6.98 ,4.48 ,7.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,31830,CPT,Revise windpipe scar,,,21 ,,RBRVS,4.54 ,3.56 ,5.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,31899,CPT,Airways surgical procedure,,,21 ,,TotalUnits,,,,6.05 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,32035,CPT,Exploration of chest,,,21 ,,RBRVS,11.20 ,6.09 ,6.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,32036,CPT,Exploration of chest,,,21 ,,RBRVS,12.21 ,6.30 ,6.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,32095,CPT,Biopsy through chest wall,,,21 ,,RBRVS,10.06 ,5.10 ,5.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,32100,CPT,Exploration/biopsy of chest,,,21 ,,RBRVS,16.08 ,7.01 ,7.01 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,32110,CPT,Explore/repair chest,,,21 ,,RBRVS,25.15 ,9.88 ,9.88 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,32120,CPT,Re-exploration of chest,,,21 ,,RBRVS,14.27 ,6.78 ,6.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,32124,CPT,Explore chest free adhesions,,,21 ,,RBRVS,15.33 ,6.96 ,6.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,32140,CPT,Removal of lung lesion(s),,,21 ,,RBRVS,16.54 ,7.40 ,7.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,32141,CPT,Remove/treat lung lesions,,,21 ,,RBRVS,27.10 ,10.19 ,10.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,32150,CPT,Removal of lung lesion(s),,,21 ,,RBRVS,16.70 ,7.51 ,7.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,32151,CPT,Remove lung foreign body,,,21 ,,RBRVS,16.82 ,7.92 ,7.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,32160,CPT,Open chest heart massage,,,21 ,,RBRVS,13.02 ,5.84 ,5.84 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,32200,CPT,"Drain, open, lung lesion",,,21 ,,RBRVS,18.48 ,8.77 ,8.77 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,32201,CPT,"Drain, percut, lung lesion",,,21 ,,RBRVS,3.99 ,1.43 ,19.87 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,32215,CPT,Treat chest lining,,,21 ,,RBRVS,12.93 ,6.24 ,6.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,32220,CPT,Release of lung,,,21 ,,RBRVS,26.41 ,11.91 ,11.91 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,32225,CPT,Partial release of lung,,,21 ,,RBRVS,16.63 ,7.46 ,7.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,32310,CPT,Removal of chest lining,,,21 ,,RBRVS,15.16 ,6.93 ,6.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,32320,CPT,Free/remove chest lining,,,21 ,,RBRVS,27.04 ,11.46 ,11.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,32400,CPT,Needle biopsy chest lining,,,21 ,,RBRVS,1.76 ,0.57 ,2.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,32402,CPT,Open biopsy chest lining,,,21 ,,RBRVS,8.89 ,4.69 ,4.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,32405,CPT,"Biopsy, lung or mediastinum",,,21 ,,RBRVS,1.93 ,0.69 ,0.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,32420,CPT,Puncture/clear lung,,,21 ,,RBRVS,2.18 ,0.71 ,0.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,32421,CPT,Thoracentesis for aspiration,,,21 ,,RBRVS,1.54 ,0.47 ,2.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,32422,CPT,Thoracentesis w/tube insert,,,21 ,,RBRVS,2.19 ,1.03 ,2.88 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,32440,CPT,Removal of lung,,,21 ,,RBRVS,27.17 ,10.92 ,10.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,32442,CPT,Sleeve pneumonectomy,,,21 ,,RBRVS,56.37 ,18.74 ,18.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,32445,CPT,Removal of lung,,,21 ,,RBRVS,63.60 ,22.80 ,22.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,32480,CPT,Partial removal of lung,,,21 ,,RBRVS,25.71 ,10.19 ,10.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,32482,CPT,Bilobectomy,,,21 ,,RBRVS,27.28 ,11.10 ,11.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,32484,CPT,Segmentectomy,,,21 ,,RBRVS,25.30 ,9.57 ,9.57 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,32486,CPT,Sleeve lobectomy,,,21 ,,RBRVS,42.80 ,14.62 ,14.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,32488,CPT,Completion pneumonectomy,,,21 ,,RBRVS,42.83 ,15.58 ,15.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,32491,CPT,Lung volume reduction,,,21 ,,RBRVS,25.09 ,10.43 ,10.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,32500,CPT,Partial removal of lung,,,21 ,,RBRVS,24.48 ,10.27 ,10.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,32501,CPT,Repair bronchus add-on,,,21 ,,RBRVS,4.68 ,1.34 ,1.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,32503,CPT,Resect apical lung tumor,,,21 ,,RBRVS,31.61 ,12.09 ,12.09 ,,,$0.00,$0.00,1,0,0,1,1,1,20091001,,32504,CPT,Resect apical lung tum/chest,,,21 ,,RBRVS,36.41 ,13.48 ,13.48 ,,,$0.00,$0.00,1,0,0,1,1,1,20091001,,32540,CPT,Removal of lung lesion,,,21 ,,RBRVS,30.22 ,11.49 ,11.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,32550,CPT,Insert pleural cath,,,21 ,,RBRVS,4.17 ,1.51 ,14.97 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,32551,CPT,Insertion of chest tube,,,21 ,,RBRVS,3.29 ,0.97 ,0.97 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,32560,CPT,Treat lung lining chemically,,,21 ,,RBRVS,2.19 ,0.58 ,5.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,32601,CPT,"Thoracoscopy, diagnostic",,,21 ,,RBRVS,5.45 ,2.07 ,2.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,32602,CPT,"Thoracoscopy, diagnostic",,,21 ,,RBRVS,5.95 ,2.22 ,2.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,32603,CPT,"Thoracoscopy, diagnostic",,,21 ,,RBRVS,7.80 ,2.74 ,2.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,32604,CPT,"Thoracoscopy, diagnostic",,,21 ,,RBRVS,8.77 ,3.05 ,3.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,32605,CPT,"Thoracoscopy, diagnostic",,,21 ,,RBRVS,6.92 ,2.58 ,2.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,32606,CPT,"Thoracoscopy, diagnostic",,,21 ,,RBRVS,8.39 ,2.97 ,2.97 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,32650,CPT,"Thoracoscopy, surgical",,,21 ,,RBRVS,10.77 ,5.24 ,5.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,32651,CPT,"Thoracoscopy, surgical",,,21 ,,RBRVS,18.70 ,7.70 ,7.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,32652,CPT,"Thoracoscopy, surgical",,,21 ,,RBRVS,29.00 ,11.14 ,11.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,32653,CPT,"Thoracoscopy, surgical",,,21 ,,RBRVS,18.09 ,7.46 ,7.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,32654,CPT,"Thoracoscopy, surgical",,,21 ,,RBRVS,20.44 ,7.96 ,7.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,32655,CPT,"Thoracoscopy, surgical",,,21 ,,RBRVS,16.09 ,6.88 ,6.88 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,32656,CPT,"Thoracoscopy, surgical",,,21 ,,RBRVS,13.18 ,5.96 ,5.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,32657,CPT,"Thoracoscopy, surgical",,,21 ,,RBRVS,12.85 ,5.97 ,5.97 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,32658,CPT,"Thoracoscopy, surgical",,,21 ,,RBRVS,11.65 ,5.50 ,5.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,32659,CPT,"Thoracoscopy, surgical",,,21 ,,RBRVS,11.86 ,5.80 ,5.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,32660,CPT,"Thoracoscopy, surgical",,,21 ,,RBRVS,17.69 ,7.59 ,7.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,32661,CPT,"Thoracoscopy, surgical",,,21 ,,RBRVS,13.27 ,6.05 ,6.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,32662,CPT,"Thoracoscopy, surgical",,,21 ,,RBRVS,14.91 ,6.64 ,6.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,32663,CPT,"Thoracoscopy, surgical",,,21 ,,RBRVS,24.56 ,9.40 ,9.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,32664,CPT,"Thoracoscopy, surgical",,,21 ,,RBRVS,14.22 ,5.62 ,5.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,32665,CPT,"Thoracoscopy, surgical",,,21 ,,RBRVS,21.45 ,8.57 ,8.57 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,32800,CPT,Repair lung hernia,,,21 ,,RBRVS,15.59 ,6.93 ,6.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,32810,CPT,Close chest after drainage,,,21 ,,RBRVS,14.83 ,6.98 ,6.98 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,32815,CPT,Close bronchial fistula,,,21 ,,RBRVS,49.79 ,18.60 ,18.60 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,32820,CPT,Reconstruct injured chest,,,21 ,,RBRVS,22.33 ,10.57 ,10.57 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,32851,CPT,"Lung transplant, single",,,21 ,,RBRVS,40.94 ,20.19 ,20.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,32852,CPT,Lung transplant with bypass,,,21 ,,RBRVS,44.65 ,22.58 ,22.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,32853,CPT,"Lung transplant, double",,,21 ,,RBRVS,50.11 ,22.80 ,22.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,32854,CPT,Lung transplant with bypass,,,21 ,,RBRVS,53.88 ,25.79 ,25.79 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,32855,CPT,"Prepare donor lung, single",,,14 ,,TotalUnits,,,,11.48 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,32900,CPT,Removal of rib(s),,,21 ,,RBRVS,23.69 ,9.57 ,9.57 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,32905,CPT,Revise & repair chest wall,,,21 ,,RBRVS,23.17 ,9.53 ,9.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,32906,CPT,Revise & repair chest wall,,,21 ,,RBRVS,29.18 ,11.04 ,11.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,32940,CPT,Revision of lung,,,21 ,,RBRVS,21.22 ,8.49 ,8.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,32960,CPT,Therapeutic pneumothorax,,,21 ,,RBRVS,1.84 ,0.68 ,1.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,32997,CPT,Total lung lavage,,,21 ,,RBRVS,7.31 ,1.84 ,1.84 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,32998,CPT,"Perq rf ablate tx, pul tumor",,,21 ,,RBRVS,5.68 ,1.99 ,70.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,32999,CPT,Chest surgery procedure,,,21 ,,TotalUnits,,,,10.36 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33010,CPT,Drainage of heart sac,,,21 ,,RBRVS,2.24 ,1.04 ,1.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33011,CPT,Repeat drainage of heart sac,,,21 ,,RBRVS,2.24 ,1.13 ,1.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33015,CPT,Incision of heart sac,,,21 ,,RBRVS,8.44 ,5.16 ,5.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33020,CPT,Incision of heart sac,,,21 ,,RBRVS,14.87 ,6.37 ,6.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33025,CPT,Incision of heart sac,,,21 ,,RBRVS,13.65 ,5.85 ,5.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33030,CPT,Partial removal of heart sac,,,21 ,,RBRVS,22.27 ,9.12 ,9.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33031,CPT,Partial removal of heart sac,,,21 ,,RBRVS,25.30 ,9.58 ,9.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33050,CPT,Removal of heart sac lesion,,,21 ,,RBRVS,16.85 ,7.37 ,7.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33120,CPT,Removal of heart lesion,,,21 ,,RBRVS,27.33 ,10.57 ,10.57 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33130,CPT,Removal of heart lesion,,,21 ,,RBRVS,24.05 ,9.37 ,9.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33140,CPT,Heart revascularize (tmr),,,21 ,,RBRVS,28.26 ,10.31 ,10.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33141,CPT,Heart tmr w/other procedure,,,21 ,,RBRVS,2.54 ,0.78 ,0.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33202,CPT,"Insert epicard eltrd, open",,,21 ,,RBRVS,13.15 ,6.08 ,6.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33203,CPT,"Insert epicard eltrd, endo",,,21 ,,RBRVS,13.92 ,6.13 ,6.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33206,CPT,Insertion of heart pacemaker,,,21 ,,RBRVS,7.31 ,5.13 ,5.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33207,CPT,Insertion of heart pacemaker,,,21 ,,RBRVS,8.00 ,5.23 ,5.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33208,CPT,Insertion of heart pacemaker,,,21 ,,RBRVS,8.72 ,5.66 ,5.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33210,CPT,Insertion of heart electrode,,,21 ,,RBRVS,3.30 ,1.66 ,1.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33211,CPT,Insertion of heart electrode,,,21 ,,RBRVS,3.39 ,1.59 ,1.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33212,CPT,Insertion of pulse generator,,,21 ,,RBRVS,5.51 ,3.71 ,3.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33213,CPT,Insertion of pulse generator,,,21 ,,RBRVS,6.36 ,4.21 ,4.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33214,CPT,Upgrade of pacemaker system,,,21 ,,RBRVS,7.78 ,5.36 ,5.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33215,CPT,Reposition pacing-defib lead,,,21 ,,RBRVS,4.89 ,3.49 ,3.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33216,CPT,"Insert lead pace-defib, one",,,21 ,,RBRVS,5.81 ,4.54 ,4.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33217,CPT,"Insert lead pace-defib, dual",,,21 ,,RBRVS,5.78 ,4.43 ,4.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33218,CPT,"Repair lead pace-defib, one",,,21 ,,RBRVS,5.97 ,4.82 ,4.82 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33220,CPT,"Repair lead pace-defib, dual",,,21 ,,RBRVS,6.05 ,4.78 ,4.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33222,CPT,"Revise pocket, pacemaker",,,21 ,,RBRVS,5.01 ,4.30 ,4.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33223,CPT,"Revise pocket, pacing-defib",,,21 ,,RBRVS,6.49 ,4.88 ,4.88 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33224,CPT,Insert pacing lead & connect,,,21 ,,RBRVS,9.04 ,4.91 ,4.91 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33225,CPT,L ventric pacing lead add-on,,,21 ,,RBRVS,8.33 ,4.35 ,4.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33226,CPT,Reposition l ventric lead,,,21 ,,RBRVS,8.68 ,4.74 ,4.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33233,CPT,Removal of pacemaker system,,,21 ,,RBRVS,3.33 ,3.27 ,3.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33234,CPT,Removal of pacemaker system,,,21 ,,RBRVS,7.85 ,5.49 ,5.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33235,CPT,Removal pacemaker electrode,,,21 ,,RBRVS,9.93 ,7.24 ,7.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33236,CPT,Remove electrode/thoracotomy,,,21 ,,RBRVS,12.64 ,6.38 ,6.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33237,CPT,Remove electrode/thoracotomy,,,21 ,,RBRVS,13.75 ,8.02 ,8.02 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33238,CPT,Remove electrode/thoracotomy,,,21 ,,RBRVS,15.28 ,8.05 ,8.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33240,CPT,Insert pulse generator,,,21 ,,RBRVS,7.61 ,5.25 ,5.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33241,CPT,Remove pulse generator,,,21 ,,RBRVS,3.26 ,3.00 ,3.00 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33243,CPT,Remove eltrd/thoracotomy,,,21 ,,RBRVS,23.42 ,10.94 ,10.94 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33244,CPT,"Remove eltrd, transven",,,21 ,,RBRVS,13.84 ,9.44 ,9.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33249,CPT,Eltrd/insert pace-defib,,,21 ,,RBRVS,15.02 ,10.16 ,10.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33250,CPT,Ablate heart dysrhythm focus,,,21 ,,RBRVS,25.78 ,10.89 ,10.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33251,CPT,Ablate heart dysrhythm focus,,,21 ,,RBRVS,28.80 ,10.97 ,10.97 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33254,CPT,"Ablate atria, lmtd",,,21 ,,RBRVS,23.58 ,9.77 ,9.77 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33255,CPT,"Ablate atria w/o bypass, ext",,,21 ,,RBRVS,28.91 ,11.37 ,11.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33256,CPT,"Ablate atria w/bypass, exten",,,21 ,,RBRVS,34.77 ,13.12 ,13.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33257,CPT,"Ablate atria, lmtd, add-on",,,21 ,,RBRVS,9.63 ,5.47 ,5.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33258,CPT,"Ablate atria, x10sv, add-on",,,21 ,,RBRVS,11.00 ,5.99 ,5.99 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33259,CPT,Ablate atria w/bypass add-on,,,21 ,,RBRVS,14.14 ,7.80 ,7.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33261,CPT,Ablate heart dysrhythm focus,,,21 ,,RBRVS,28.80 ,11.69 ,11.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33265,CPT,"Ablate atria,  lmtd,  endo",,,21 ,,RBRVS,23.58 ,9.77 ,9.77 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33266,CPT,"Ablate atria, x10sv, endo",,,21 ,,RBRVS,32.91 ,12.57 ,12.57 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33282,CPT,Implant pat-active ht record,,,21 ,,RBRVS,4.70 ,4.24 ,4.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33284,CPT,Remove pat-active ht record,,,21 ,,RBRVS,3.04 ,3.38 ,3.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33300,CPT,Repair of heart wound,,,21 ,,RBRVS,44.89 ,15.06 ,15.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33305,CPT,Repair of heart wound,,,21 ,,RBRVS,76.85 ,25.14 ,25.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33310,CPT,Exploratory heart surgery,,,21 ,,RBRVS,20.22 ,8.36 ,8.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33315,CPT,Exploratory heart surgery,,,21 ,,RBRVS,26.05 ,10.36 ,10.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33320,CPT,Repair major blood vessel(s),,,21 ,,RBRVS,18.46 ,8.01 ,8.01 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33321,CPT,Repair major vessel,,,21 ,,RBRVS,20.71 ,8.38 ,8.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33322,CPT,Repair major blood vessel(s),,,21 ,,RBRVS,24.30 ,9.55 ,9.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33330,CPT,Insert major vessel graft,,,21 ,,RBRVS,25.17 ,9.50 ,9.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33332,CPT,Insert major vessel graft,,,21 ,,RBRVS,24.46 ,9.46 ,9.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33335,CPT,Insert major vessel graft,,,21 ,,RBRVS,33.79 ,12.49 ,12.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33400,CPT,Repair of aortic valve,,,21 ,,RBRVS,41.37 ,14.58 ,14.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33401,CPT,"Valvuloplasty, open",,,21 ,,RBRVS,24.41 ,10.28 ,10.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33403,CPT,"Valvuloplasty, w/cp bypass",,,21 ,,RBRVS,25.39 ,12.53 ,12.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33404,CPT,Prepare heart-aorta conduit,,,21 ,,RBRVS,31.25 ,12.02 ,12.02 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33405,CPT,Replacement of aortic valve,,,21 ,,RBRVS,41.19 ,15.12 ,15.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33406,CPT,Replacement of aortic valve,,,21 ,,RBRVS,52.55 ,18.39 ,18.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33410,CPT,Replacement of aortic valve,,,21 ,,RBRVS,46.28 ,16.53 ,16.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33411,CPT,Replacement of aortic valve,,,21 ,,RBRVS,61.94 ,21.11 ,21.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33412,CPT,Replacement of aortic valve,,,21 ,,RBRVS,43.77 ,16.22 ,16.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33413,CPT,Replacement of aortic valve,,,21 ,,RBRVS,59.74 ,23.55 ,23.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33414,CPT,Repair of aortic valve,,,21 ,,RBRVS,39.29 ,14.29 ,14.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33415,CPT,"Revision, subvalvular tissue",,,21 ,,RBRVS,37.19 ,13.15 ,13.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33416,CPT,Revise ventricle muscle,,,21 ,,RBRVS,36.43 ,13.24 ,13.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33417,CPT,Repair of aortic valve,,,21 ,,RBRVS,29.17 ,11.71 ,11.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33420,CPT,Revision of mitral valve,,,21 ,,RBRVS,25.67 ,9.50 ,9.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33422,CPT,Revision of mitral valve,,,21 ,,RBRVS,29.61 ,11.36 ,11.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33425,CPT,Repair of mitral valve,,,21 ,,RBRVS,49.83 ,17.61 ,17.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33426,CPT,Repair of mitral valve,,,21 ,,RBRVS,43.15 ,15.76 ,15.76 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33427,CPT,Repair of mitral valve,,,21 ,,RBRVS,44.70 ,15.70 ,15.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33430,CPT,Replacement of mitral valve,,,21 ,,RBRVS,50.75 ,18.57 ,18.57 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33460,CPT,Revision of tricuspid valve,,,21 ,,RBRVS,44.62 ,14.72 ,14.72 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33463,CPT,"Valvuloplasty, tricuspid",,,21 ,,RBRVS,56.95 ,19.73 ,19.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33464,CPT,"Valvuloplasty, tricuspid",,,21 ,,RBRVS,44.49 ,15.85 ,15.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33465,CPT,Replace tricuspid valve,,,21 ,,RBRVS,50.59 ,17.65 ,17.65 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33468,CPT,Revision of tricuspid valve,,,21 ,,RBRVS,32.82 ,15.25 ,15.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33470,CPT,Revision of pulmonary valve,,,21 ,,RBRVS,21.32 ,7.93 ,7.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33471,CPT,"Valvotomy, pulmonary valve",,,21 ,,RBRVS,22.83 ,11.60 ,11.60 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33472,CPT,Revision of pulmonary valve,,,21 ,,RBRVS,22.90 ,8.79 ,8.79 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33474,CPT,Revision of pulmonary valve,,,21 ,,RBRVS,39.27 ,12.95 ,12.95 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33475,CPT,"Replacement, pulmonary valve",,,21 ,,RBRVS,42.27 ,15.07 ,15.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33476,CPT,Revision of heart chamber,,,21 ,,RBRVS,26.41 ,10.37 ,10.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33478,CPT,Revision of heart chamber,,,21 ,,RBRVS,27.38 ,11.02 ,11.02 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33496,CPT,"Repair, prosth valve clot",,,21 ,,RBRVS,29.71 ,11.10 ,11.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33500,CPT,Repair heart vessel fistula,,,21 ,,RBRVS,27.82 ,11.04 ,11.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33501,CPT,Repair heart vessel fistula,,,21 ,,RBRVS,19.43 ,8.00 ,8.00 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33502,CPT,Coronary artery correction,,,21 ,,RBRVS,21.69 ,9.34 ,9.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33503,CPT,Coronary artery graft,,,21 ,,RBRVS,22.29 ,12.33 ,12.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33504,CPT,Coronary artery graft,,,21 ,,RBRVS,25.30 ,10.59 ,10.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33505,CPT,Repair artery w/tunnel,,,21 ,,RBRVS,38.35 ,15.14 ,15.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33506,CPT,"Repair artery, translocation",,,21 ,,RBRVS,37.80 ,12.71 ,12.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33507,CPT,"Repair art, intramural",,,21 ,,RBRVS,31.35 ,11.10 ,11.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33508,CPT,Endoscopic vein harvest,,,21 ,,RBRVS,0.31 ,0.09 ,0.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33510,CPT,"Cabg, vein, single",,,21 ,,RBRVS,34.87 ,12.92 ,12.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33511,CPT,"Cabg, vein, two",,,21 ,,RBRVS,38.34 ,14.16 ,14.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33512,CPT,"Cabg, vein, three",,,21 ,,RBRVS,43.87 ,15.95 ,15.95 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33513,CPT,"Cabg, vein, four",,,21 ,,RBRVS,45.26 ,16.38 ,16.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33514,CPT,"Cabg, vein, five",,,21 ,,RBRVS,47.97 ,17.36 ,17.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33516,CPT,"Cabg, vein, six or more",,,21 ,,RBRVS,49.65 ,17.97 ,17.97 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33517,CPT,"Cabg, artery-vein, single",,,21 ,,RBRVS,3.61 ,1.08 ,1.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33518,CPT,"Cabg, artery-vein, two",,,21 ,,RBRVS,7.93 ,2.37 ,2.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33519,CPT,"Cabg, artery-vein, three",,,21 ,,RBRVS,10.49 ,3.14 ,3.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33521,CPT,"Cabg, artery-vein, four",,,21 ,,RBRVS,12.59 ,3.78 ,3.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33522,CPT,"Cabg, artery-vein, five",,,21 ,,RBRVS,14.14 ,4.24 ,4.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33523,CPT,"Cabg, art-vein, six or more",,,21 ,,RBRVS,16.08 ,4.78 ,4.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33530,CPT,"Coronary artery, bypass/reop",,,21 ,,RBRVS,10.13 ,2.95 ,2.95 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33533,CPT,"Cabg, arterial, single",,,21 ,,RBRVS,33.64 ,12.57 ,12.57 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33534,CPT,"Cabg, arterial, two",,,21 ,,RBRVS,39.77 ,14.75 ,14.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33535,CPT,"Cabg, arterial, three",,,21 ,,RBRVS,44.64 ,16.31 ,16.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33536,CPT,"Cabg, arterial, four or more",,,21 ,,RBRVS,48.32 ,17.34 ,17.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33542,CPT,Removal of heart lesion,,,21 ,,RBRVS,48.08 ,16.90 ,16.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33545,CPT,Repair of heart damage,,,21 ,,RBRVS,56.93 ,20.16 ,20.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33548,CPT,"Restore/remodel, ventricle",,,21 ,,RBRVS,53.96 ,19.35 ,19.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33572,CPT,Open coronary endarterectomy,,,21 ,,RBRVS,4.44 ,1.31 ,1.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33600,CPT,Closure of valve,,,21 ,,RBRVS,30.15 ,12.15 ,12.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33602,CPT,Closure of valve,,,21 ,,RBRVS,29.18 ,11.17 ,11.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33606,CPT,Anastomosis/artery-aorta,,,21 ,,RBRVS,31.37 ,11.92 ,11.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33608,CPT,Repair anomaly w/conduit,,,21 ,,RBRVS,31.72 ,12.86 ,12.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33610,CPT,Repair by enlargement,,,21 ,,RBRVS,31.24 ,13.56 ,13.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33611,CPT,Repair double ventricle,,,21 ,,RBRVS,35.49 ,12.37 ,12.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33612,CPT,Repair double ventricle,,,21 ,,RBRVS,36.49 ,14.32 ,14.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33615,CPT,"Repair, modified fontan",,,21 ,,RBRVS,35.76 ,13.80 ,13.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33617,CPT,Repair single ventricle,,,21 ,,RBRVS,38.96 ,13.96 ,13.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33619,CPT,Repair single ventricle,,,21 ,,RBRVS,48.60 ,17.99 ,17.99 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33641,CPT,Repair heart septum defect,,,21 ,,RBRVS,29.50 ,10.89 ,10.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33645,CPT,Revision of heart veins,,,21 ,,RBRVS,27.98 ,10.68 ,10.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33647,CPT,Repair heart septum defects,,,21 ,,RBRVS,29.37 ,12.72 ,12.72 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33660,CPT,Repair of heart defects,,,21 ,,RBRVS,31.75 ,11.83 ,11.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33665,CPT,Repair of heart defects,,,21 ,,RBRVS,34.77 ,12.17 ,12.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33670,CPT,Repair of heart chambers,,,21 ,,RBRVS,36.58 ,15.64 ,15.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33675,CPT,Close mult vsd,,,21 ,,RBRVS,35.87 ,15.76 ,15.76 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33676,CPT,Close mult vsd w/resection,,,21 ,,RBRVS,36.87 ,16.06 ,16.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33677,CPT,Cl mult vsd w/rem pul band,,,21 ,,RBRVS,38.37 ,16.63 ,16.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33681,CPT,Repair heart septum defect,,,21 ,,RBRVS,32.16 ,12.89 ,12.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33684,CPT,Repair heart septum defect,,,21 ,,RBRVS,34.29 ,13.29 ,13.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33688,CPT,Repair heart septum defect,,,21 ,,RBRVS,34.67 ,11.63 ,11.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33690,CPT,Reinforce pulmonary artery,,,21 ,,RBRVS,20.20 ,8.64 ,8.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33692,CPT,Repair of heart defects,,,21 ,,RBRVS,31.38 ,19.59 ,19.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33694,CPT,Repair of heart defects,,,21 ,,RBRVS,35.49 ,10.05 ,10.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33697,CPT,Repair of heart defects,,,21 ,,RBRVS,37.49 ,16.95 ,16.95 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33702,CPT,Repair of heart defects,,,21 ,,RBRVS,27.11 ,10.53 ,10.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33710,CPT,Repair of heart defects,,,21 ,,RBRVS,30.28 ,11.26 ,11.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33720,CPT,Repair of heart defect,,,21 ,,RBRVS,27.13 ,10.69 ,10.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33722,CPT,Repair of heart defect,,,21 ,,RBRVS,29.05 ,10.61 ,10.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33724,CPT,Repair venous anomaly,,,21 ,,RBRVS,27.55 ,10.38 ,10.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33726,CPT,Repair pul venous stenosis,,,21 ,,RBRVS,37.04 ,13.23 ,13.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33730,CPT,Repair heart-vein defect(s),,,21 ,,RBRVS,36.01 ,12.87 ,12.87 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33732,CPT,Repair heart-vein defect,,,21 ,,RBRVS,28.80 ,12.66 ,12.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33735,CPT,Revision of heart chamber,,,21 ,,RBRVS,22.04 ,11.04 ,11.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33736,CPT,Revision of heart chamber,,,21 ,,RBRVS,24.16 ,12.07 ,12.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33737,CPT,Revision of heart chamber,,,21 ,,RBRVS,22.34 ,9.13 ,9.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33750,CPT,Major vessel shunt,,,21 ,,RBRVS,22.06 ,9.43 ,9.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33755,CPT,Major vessel shunt,,,21 ,,RBRVS,22.44 ,7.80 ,7.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33762,CPT,Major vessel shunt,,,21 ,,RBRVS,22.44 ,8.69 ,8.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33764,CPT,Major vessel shunt & graft,,,21 ,,RBRVS,22.44 ,8.95 ,8.95 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33766,CPT,Major vessel shunt,,,21 ,,RBRVS,23.41 ,8.48 ,8.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33767,CPT,Major vessel shunt,,,21 ,,RBRVS,25.14 ,8.51 ,8.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33768,CPT,Cavopulmonary shunting,,,21 ,,RBRVS,8.00 ,1.84 ,1.84 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33770,CPT,Repair great vessels defect,,,21 ,,RBRVS,39.02 ,11.92 ,11.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33771,CPT,Repair great vessels defect,,,21 ,,RBRVS,40.58 ,13.09 ,13.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33774,CPT,Repair great vessels defect,,,21 ,,RBRVS,31.54 ,12.21 ,12.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33775,CPT,Repair great vessels defect,,,21 ,,RBRVS,32.83 ,10.11 ,10.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33776,CPT,Repair great vessels defect,,,21 ,,RBRVS,34.53 ,10.25 ,10.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33777,CPT,Repair great vessels defect,,,21 ,,RBRVS,33.95 ,9.93 ,9.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33778,CPT,Repair great vessels defect,,,21 ,,RBRVS,42.62 ,14.93 ,14.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33779,CPT,Repair great vessels defect,,,21 ,,RBRVS,43.15 ,12.46 ,12.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33780,CPT,Repair great vessels defect,,,21 ,,RBRVS,43.85 ,13.15 ,13.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33781,CPT,Repair great vessels defect,,,21 ,,RBRVS,43.16 ,11.13 ,11.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33786,CPT,Repair arterial trunk,,,21 ,,RBRVS,41.74 ,14.10 ,14.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33788,CPT,Revision of pulmonary artery,,,21 ,,RBRVS,27.26 ,8.25 ,8.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33800,CPT,Aortic suspension,,,21 ,,RBRVS,17.23 ,6.82 ,6.82 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33802,CPT,Repair vessel defect,,,21 ,,RBRVS,18.24 ,7.95 ,7.95 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33803,CPT,Repair vessel defect,,,21 ,,RBRVS,20.18 ,6.39 ,6.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33813,CPT,Repair septal defect,,,21 ,,RBRVS,21.23 ,8.82 ,8.82 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33814,CPT,Repair septal defect,,,21 ,,RBRVS,26.41 ,10.41 ,10.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33820,CPT,Revise major vessel,,,21 ,,RBRVS,16.61 ,6.96 ,6.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33822,CPT,Revise major vessel,,,21 ,,RBRVS,17.63 ,5.94 ,5.94 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33824,CPT,Revise major vessel,,,21 ,,RBRVS,20.10 ,8.46 ,8.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33840,CPT,Remove aorta constriction,,,21 ,,RBRVS,21.21 ,9.34 ,9.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33845,CPT,Remove aorta constriction,,,21 ,,RBRVS,22.77 ,9.39 ,9.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33851,CPT,Remove aorta constriction,,,21 ,,RBRVS,21.85 ,8.88 ,8.88 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33852,CPT,Repair septal defect,,,21 ,,RBRVS,24.28 ,14.77 ,14.77 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33853,CPT,Repair septal defect,,,21 ,,RBRVS,32.35 ,12.26 ,12.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33860,CPT,Ascending aortic graft,,,21 ,,RBRVS,59.33 ,20.22 ,20.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33861,CPT,Ascending aortic graft,,,21 ,,RBRVS,43.94 ,15.71 ,15.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33863,CPT,Ascending aortic graft,,,21 ,,RBRVS,58.71 ,19.61 ,19.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33864,CPT,Ascending aortic graft,,,21 ,,RBRVS,60.00 ,20.11 ,20.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33870,CPT,Transverse aortic arch graft,,,21 ,,RBRVS,45.93 ,16.29 ,16.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33875,CPT,Thoracic aortic graft,,,21 ,,RBRVS,35.68 ,12.92 ,12.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33877,CPT,Thoracoabdominal graft,,,21 ,,RBRVS,68.85 ,21.03 ,21.03 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33880,CPT,Endovasc taa repr incl subcl,,,21 ,,RBRVS,34.48 ,10.93 ,10.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33881,CPT,Endovasc taa repr w/o subcl,,,21 ,,RBRVS,29.48 ,9.67 ,9.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33883,CPT,"Insert endovasc prosth, taa",,,21 ,,RBRVS,20.99 ,7.24 ,7.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33884,CPT,"Endovasc prosth, taa, add-on",,,21 ,,RBRVS,8.20 ,2.08 ,2.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33886,CPT,"Endovasc prosth, delayed",,,21 ,,RBRVS,17.99 ,6.34 ,6.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33889,CPT,Artery transpose/endovas taa,,,21 ,,RBRVS,15.92 ,3.98 ,3.98 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33891,CPT,Car-car bp grft/endovas taa,,,21 ,,RBRVS,20.00 ,5.82 ,5.82 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33910,CPT,Remove lung artery emboli,,,21 ,,RBRVS,29.59 ,11.35 ,11.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33915,CPT,Remove lung artery emboli,,,21 ,,RBRVS,24.83 ,9.12 ,9.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33916,CPT,Surgery of great vessel,,,21 ,,RBRVS,28.30 ,10.83 ,10.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33917,CPT,Repair pulmonary artery,,,21 ,,RBRVS,25.14 ,10.04 ,10.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33920,CPT,Repair pulmonary atresia,,,21 ,,RBRVS,32.58 ,9.47 ,9.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33922,CPT,Transect pulmonary artery,,,21 ,,RBRVS,24.09 ,10.25 ,10.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33924,CPT,Remove pulmonary shunt,,,21 ,,RBRVS,5.49 ,1.59 ,1.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33925,CPT,Rpr pul art unifocal w/o cpb,,,21 ,,RBRVS,31.25 ,16.44 ,16.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33926,CPT,"Repr pul art, unifocal w/cpb",,,21 ,,RBRVS,44.68 ,14.81 ,14.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33935,CPT,"Transplantation, heart/lung",,,21 ,,RBRVS,61.68 ,22.96 ,22.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33940,CPT,Removal of donor heart,,,21 ,,TotalUnits,,,,39.56 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33944,CPT,Prepare donor heart,,,14 ,,TotalUnits,,,,27.63 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33945,CPT,Transplantation of heart,,,21 ,,RBRVS,89.08 ,30.40 ,30.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33960,CPT,External circulation assist,,,21 ,,RBRVS,19.33 ,5.26 ,5.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33961,CPT,External circulation assist,,,21 ,,RBRVS,10.91 ,2.99 ,2.99 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33967,CPT,Insert ia percut device,,,21 ,,RBRVS,4.84 ,2.41 ,2.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33968,CPT,Remove aortic assist device,,,21 ,,RBRVS,0.64 ,0.26 ,0.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33970,CPT,Aortic circulation assist,,,21 ,,RBRVS,6.74 ,2.54 ,2.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33971,CPT,Aortic circulation assist,,,21 ,,RBRVS,11.91 ,6.01 ,6.01 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33973,CPT,Insert balloon device,,,21 ,,RBRVS,9.75 ,3.94 ,3.94 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33974,CPT,Remove intra-aortic balloon,,,21 ,,RBRVS,14.93 ,7.74 ,7.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33975,CPT,Implant ventricular device,,,21 ,,RBRVS,20.97 ,6.30 ,6.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33976,CPT,Implant ventricular device,,,21 ,,RBRVS,22.97 ,7.67 ,7.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33977,CPT,Remove ventricular device,,,21 ,,RBRVS,20.07 ,9.42 ,9.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33978,CPT,Remove ventricular device,,,21 ,,RBRVS,22.51 ,10.43 ,10.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33979,CPT,Insert intracorporeal device,,,21 ,,RBRVS,45.93 ,13.29 ,13.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33980,CPT,Remove intracorporeal device,,,21 ,,RBRVS,64.86 ,23.09 ,23.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,33999,CPT,Cardiac surgery procedure,,,21 ,,TotalUnits,,,,15.35 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,34001,CPT,Removal of artery clot,,,21 ,,RBRVS,17.78 ,6.37 ,6.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,34051,CPT,Removal of artery clot,,,21 ,,RBRVS,16.91 ,7.44 ,7.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,34101,CPT,Removal of artery clot,,,21 ,,RBRVS,10.85 ,4.30 ,4.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,34111,CPT,Removal of arm artery clot,,,21 ,,RBRVS,10.85 ,4.28 ,4.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,34151,CPT,Removal of artery clot,,,21 ,,RBRVS,26.41 ,8.66 ,8.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,34201,CPT,Removal of artery clot,,,21 ,,RBRVS,19.38 ,6.55 ,6.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,34203,CPT,Removal of leg artery clot,,,21 ,,RBRVS,17.73 ,6.38 ,6.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,34401,CPT,Removal of vein clot,,,21 ,,RBRVS,26.41 ,9.27 ,9.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,34421,CPT,Removal of vein clot,,,21 ,,RBRVS,13.29 ,5.20 ,5.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,34451,CPT,Removal of vein clot,,,21 ,,RBRVS,28.41 ,9.39 ,9.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,34471,CPT,Removal of vein clot,,,21 ,,RBRVS,21.00 ,7.87 ,7.87 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,34490,CPT,Removal of vein clot,,,21 ,,RBRVS,10.83 ,4.35 ,4.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,34501,CPT,"Repair valve, femoral vein",,,21 ,,RBRVS,16.74 ,6.43 ,6.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,34502,CPT,Reconstruct vena cava,,,21 ,,RBRVS,27.86 ,10.49 ,10.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,34510,CPT,Transposition of vein valve,,,21 ,,RBRVS,19.80 ,7.53 ,7.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,34520,CPT,Cross-over vein graft,,,21 ,,RBRVS,19.05 ,7.02 ,7.02 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,34530,CPT,Leg vein fusion,,,21 ,,RBRVS,17.77 ,6.77 ,6.77 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,34800,CPT,Endovas aaa repr w/sm tube,,,21 ,,RBRVS,21.46 ,7.25 ,7.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,34802,CPT,Endovas aaa repr w/2-p part,,,21 ,,RBRVS,23.71 ,8.18 ,8.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,34803,CPT,Endovas aaa repr w/3-p part,,,21 ,,RBRVS,24.74 ,8.02 ,8.02 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,34804,CPT,Endovas aaa repr w/1-p part,,,21 ,,RBRVS,23.71 ,8.07 ,8.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,34805,CPT,Endovas aaa repr w/long tube,,,21 ,,RBRVS,22.59 ,7.27 ,7.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,34806,CPT,Aneurysm press sensor add-on,,,21 ,,RBRVS,2.06 ,0.51 ,0.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,34808,CPT,Endovas iliac a device addon,,,21 ,,RBRVS,4.12 ,1.05 ,1.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,34812,CPT,"Xpose for endoprosth, femorl",,,21 ,,RBRVS,6.74 ,1.67 ,1.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,34813,CPT,Femoral endovas graft add-on,,,21 ,,RBRVS,4.79 ,1.16 ,1.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,34820,CPT,"Xpose for endoprosth, iliac",,,21 ,,RBRVS,9.74 ,2.45 ,2.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,34825,CPT,"Endovasc extend prosth, init",,,21 ,,RBRVS,12.72 ,5.15 ,5.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,34826,CPT,"Endovasc exten prosth, add'l",,,21 ,,RBRVS,4.12 ,1.14 ,1.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,34830,CPT,Open aortic tube prosth repr,,,21 ,,RBRVS,35.10 ,10.34 ,10.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,34831,CPT,Open aortoiliac prosth repr,,,21 ,,RBRVS,37.85 ,11.28 ,11.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,34832,CPT,Open aortofemor prosth repr,,,21 ,,RBRVS,37.85 ,11.81 ,11.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,34833,CPT,"Xpose for endoprosth, iliac",,,21 ,,RBRVS,11.98 ,3.29 ,3.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,34834,CPT,"Xpose, endoprosth, brachial",,,21 ,,RBRVS,5.34 ,1.57 ,1.57 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,34900,CPT,Endovasc iliac repr w/graft,,,21 ,,RBRVS,16.77 ,6.06 ,6.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,35001,CPT,Repair defect of artery,,,21 ,,RBRVS,20.70 ,7.71 ,7.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,35002,CPT,"Repair artery rupture, neck",,,21 ,,RBRVS,22.12 ,7.52 ,7.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,35005,CPT,Repair defect of artery,,,21 ,,RBRVS,19.18 ,8.53 ,8.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,35011,CPT,Repair defect of artery,,,21 ,,RBRVS,18.50 ,6.30 ,6.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,35013,CPT,"Repair artery rupture, arm",,,21 ,,RBRVS,23.10 ,7.77 ,7.77 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,35021,CPT,Repair defect of artery,,,21 ,,RBRVS,22.09 ,8.47 ,8.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,35022,CPT,"Repair artery rupture, chest",,,21 ,,RBRVS,25.62 ,10.59 ,10.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,35045,CPT,Repair defect of arm artery,,,21 ,,RBRVS,17.94 ,6.28 ,6.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,35081,CPT,Repair defect of artery,,,21 ,,RBRVS,33.37 ,10.71 ,10.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,35082,CPT,"Repair artery rupture, aorta",,,21 ,,RBRVS,41.93 ,12.78 ,12.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,35091,CPT,Repair defect of artery,,,21 ,,RBRVS,35.35 ,10.00 ,10.00 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,35092,CPT,"Repair artery rupture, aorta",,,21 ,,RBRVS,50.81 ,14.51 ,14.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,35102,CPT,Repair defect of artery,,,21 ,,RBRVS,36.37 ,11.30 ,11.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,35103,CPT,"Repair artery rupture, groin",,,21 ,,RBRVS,43.49 ,12.64 ,12.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,35111,CPT,Repair defect of artery,,,21 ,,RBRVS,26.17 ,8.51 ,8.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,35112,CPT,"Repair artery rupture,spleen",,,21 ,,RBRVS,32.44 ,10.08 ,10.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,35121,CPT,Repair defect of artery,,,21 ,,RBRVS,31.41 ,9.98 ,9.98 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,35122,CPT,"Repair artery rupture, belly",,,21 ,,RBRVS,37.76 ,11.52 ,11.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,35131,CPT,Repair defect of artery,,,21 ,,RBRVS,26.29 ,8.64 ,8.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,35132,CPT,"Repair artery rupture, groin",,,21 ,,RBRVS,32.44 ,10.29 ,10.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,35141,CPT,Repair defect of artery,,,21 ,,RBRVS,20.83 ,6.94 ,6.94 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,35142,CPT,"Repair artery rupture, thigh",,,21 ,,RBRVS,25.03 ,8.25 ,8.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,35151,CPT,Repair defect of artery,,,21 ,,RBRVS,23.61 ,7.65 ,7.65 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,35152,CPT,"Repair artery rupture, knee",,,21 ,,RBRVS,27.53 ,9.12 ,9.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,35180,CPT,Repair blood vessel lesion,,,21 ,,RBRVS,15.01 ,6.26 ,6.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,35182,CPT,Repair blood vessel lesion,,,21 ,,RBRVS,31.58 ,10.84 ,10.84 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,35184,CPT,Repair blood vessel lesion,,,21 ,,RBRVS,18.72 ,6.51 ,6.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,35188,CPT,Repair blood vessel lesion,,,21 ,,RBRVS,15.05 ,6.29 ,6.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,35189,CPT,Repair blood vessel lesion,,,21 ,,RBRVS,29.85 ,10.68 ,10.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,35190,CPT,Repair blood vessel lesion,,,21 ,,RBRVS,13.33 ,5.24 ,5.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,35201,CPT,Repair blood vessel lesion,,,21 ,,RBRVS,16.84 ,6.32 ,6.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,35206,CPT,Repair blood vessel lesion,,,21 ,,RBRVS,13.76 ,5.30 ,5.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,35207,CPT,Repair blood vessel lesion,,,21 ,,RBRVS,10.85 ,6.64 ,6.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,35211,CPT,Repair blood vessel lesion,,,21 ,,RBRVS,24.50 ,9.72 ,9.72 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,35216,CPT,Repair blood vessel lesion,,,21 ,,RBRVS,36.47 ,13.58 ,13.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,35221,CPT,Repair blood vessel lesion,,,21 ,,RBRVS,26.54 ,8.34 ,8.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,35226,CPT,Repair blood vessel lesion,,,21 ,,RBRVS,15.22 ,5.80 ,5.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,35231,CPT,Repair blood vessel lesion,,,21 ,,RBRVS,21.08 ,7.73 ,7.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,35236,CPT,Repair blood vessel lesion,,,21 ,,RBRVS,17.94 ,6.30 ,6.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,35241,CPT,Repair blood vessel lesion,,,21 ,,RBRVS,25.50 ,10.03 ,10.03 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,35246,CPT,Repair blood vessel lesion,,,21 ,,RBRVS,28.15 ,10.11 ,10.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,35251,CPT,Repair blood vessel lesion,,,21 ,,RBRVS,31.83 ,9.46 ,9.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,35256,CPT,Repair blood vessel lesion,,,21 ,,RBRVS,18.98 ,6.38 ,6.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,35261,CPT,Repair blood vessel lesion,,,21 ,,RBRVS,18.88 ,6.98 ,6.98 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,35266,CPT,Repair blood vessel lesion,,,21 ,,RBRVS,15.75 ,5.47 ,5.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,35271,CPT,Repair blood vessel lesion,,,21 ,,RBRVS,24.50 ,9.69 ,9.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,35276,CPT,Repair blood vessel lesion,,,21 ,,RBRVS,25.72 ,9.79 ,9.79 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,35281,CPT,Repair blood vessel lesion,,,21 ,,RBRVS,29.93 ,9.29 ,9.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,35286,CPT,Repair blood vessel lesion,,,21 ,,RBRVS,17.06 ,6.31 ,6.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,35301,CPT,Rechanneling of artery,,,21 ,,RBRVS,19.53 ,6.69 ,6.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,35302,CPT,Rechanneling of artery,,,21 ,,RBRVS,21.27 ,6.91 ,6.91 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,35303,CPT,Rechanneling of artery,,,21 ,,RBRVS,23.52 ,7.46 ,7.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,35304,CPT,Rechanneling of artery,,,21 ,,RBRVS,24.52 ,7.71 ,7.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,35305,CPT,Rechanneling of artery,,,21 ,,RBRVS,23.52 ,7.46 ,7.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,35306,CPT,Rechanneling of artery,,,21 ,,RBRVS,9.25 ,2.28 ,2.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,35311,CPT,Rechanneling of artery,,,21 ,,RBRVS,28.52 ,9.64 ,9.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,35321,CPT,Rechanneling of artery,,,21 ,,RBRVS,16.51 ,5.78 ,5.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,35331,CPT,Rechanneling of artery,,,21 ,,RBRVS,27.61 ,8.82 ,8.82 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,35341,CPT,Rechanneling of artery,,,21 ,,RBRVS,26.10 ,8.25 ,8.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,35351,CPT,Rechanneling of artery,,,21 ,,RBRVS,24.53 ,7.65 ,7.65 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,35355,CPT,Rechanneling of artery,,,21 ,,RBRVS,19.78 ,6.36 ,6.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,35361,CPT,Rechanneling of artery,,,21 ,,RBRVS,30.11 ,9.60 ,9.60 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,35363,CPT,Rechanneling of artery,,,21 ,,RBRVS,32.22 ,10.44 ,10.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,35371,CPT,Rechanneling of artery,,,21 ,,RBRVS,15.23 ,5.33 ,5.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,35372,CPT,Rechanneling of artery,,,21 ,,RBRVS,18.50 ,6.13 ,6.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,35390,CPT,"Reoperation, carotid add-on",,,21 ,,RBRVS,3.19 ,0.82 ,0.82 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,35400,CPT,Angioscopy,,,21 ,,RBRVS,3.00 ,0.72 ,0.72 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,35450,CPT,Repair arterial blockage,,,21 ,,RBRVS,10.05 ,2.97 ,2.97 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,35452,CPT,Repair arterial blockage,,,21 ,,RBRVS,6.90 ,2.06 ,2.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,35454,CPT,Repair arterial blockage,,,21 ,,RBRVS,6.03 ,1.76 ,1.76 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,35456,CPT,Repair arterial blockage,,,21 ,,RBRVS,7.34 ,2.12 ,2.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,35458,CPT,Repair arterial blockage,,,21 ,,RBRVS,9.48 ,2.80 ,2.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,35459,CPT,Repair arterial blockage,,,21 ,,RBRVS,8.62 ,2.65 ,2.65 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,35460,CPT,Repair venous blockage,,,21 ,,RBRVS,6.03 ,1.75 ,1.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,35470,CPT,Repair arterial blockage,,,21 ,,RBRVS,8.62 ,3.44 ,61.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,35471,CPT,Repair arterial blockage,,,21 ,,RBRVS,10.05 ,4.69 ,66.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,35472,CPT,Repair arterial blockage,,,21 ,,RBRVS,6.90 ,2.81 ,47.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,35473,CPT,Repair arterial blockage,,,21 ,,RBRVS,6.03 ,2.50 ,46.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,35474,CPT,Repair arterial blockage,,,21 ,,RBRVS,7.35 ,2.98 ,60.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,35475,CPT,Repair arterial blockage,,,21 ,,RBRVS,9.48 ,3.39 ,48.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,35476,CPT,Repair venous blockage,,,21 ,,RBRVS,6.03 ,2.23 ,37.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,35480,CPT,"Atherectomy, open",,,21 ,,RBRVS,11.06 ,4.05 ,4.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,35481,CPT,"Atherectomy, open",,,21 ,,RBRVS,7.60 ,2.57 ,2.57 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,35482,CPT,"Atherectomy, open",,,21 ,,RBRVS,6.64 ,2.01 ,2.01 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,35483,CPT,"Atherectomy, open",,,21 ,,RBRVS,8.09 ,2.57 ,2.57 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,35484,CPT,"Atherectomy, open",,,21 ,,RBRVS,10.42 ,2.90 ,2.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,35485,CPT,"Atherectomy, open",,,21 ,,RBRVS,9.48 ,2.87 ,2.87 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,35490,CPT,"Atherectomy, percutaneous",,,21 ,,RBRVS,11.06 ,5.18 ,5.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,35491,CPT,"Atherectomy, percutaneous",,,21 ,,RBRVS,7.60 ,3.86 ,3.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,35492,CPT,"Atherectomy, percutaneous",,,21 ,,RBRVS,6.64 ,3.49 ,3.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,35493,CPT,"Atherectomy, percutaneous",,,21 ,,RBRVS,8.09 ,3.97 ,3.97 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,35494,CPT,"Atherectomy, percutaneous",,,21 ,,RBRVS,10.42 ,5.15 ,5.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,35495,CPT,"Atherectomy, percutaneous",,,21 ,,RBRVS,9.48 ,4.45 ,4.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,35500,CPT,Harvest vein for bypass,,,21 ,,RBRVS,6.44 ,1.60 ,1.60 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,35501,CPT,Artery bypass graft,,,21 ,,RBRVS,28.99 ,11.07 ,11.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,35506,CPT,Artery bypass graft,,,21 ,,RBRVS,25.23 ,8.32 ,8.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,35508,CPT,Artery bypass graft,,,21 ,,RBRVS,25.99 ,8.77 ,8.77 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,35509,CPT,Artery bypass graft,,,21 ,,RBRVS,27.99 ,10.79 ,10.79 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,35510,CPT,Artery bypass graft,,,21 ,,RBRVS,24.29 ,7.70 ,7.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,35511,CPT,Artery bypass graft,,,21 ,,RBRVS,22.12 ,7.66 ,7.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,35512,CPT,Artery bypass graft,,,21 ,,RBRVS,23.79 ,7.48 ,7.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,35515,CPT,Artery bypass graft,,,21 ,,RBRVS,25.99 ,9.09 ,9.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,35516,CPT,Artery bypass graft,,,21 ,,RBRVS,24.11 ,7.46 ,7.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,35518,CPT,Artery bypass graft,,,21 ,,RBRVS,22.57 ,7.33 ,7.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,35521,CPT,Artery bypass graft,,,21 ,,RBRVS,24.00 ,7.95 ,7.95 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,35522,CPT,Artery bypass graft,,,21 ,,RBRVS,23.05 ,7.40 ,7.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,35523,CPT,Artery bypass graft,,,21 ,,RBRVS,24.00 ,9.22 ,9.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,35525,CPT,Artery bypass graft,,,21 ,,RBRVS,21.59 ,7.04 ,7.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,35526,CPT,Artery bypass graft,,,21 ,,RBRVS,31.47 ,14.04 ,14.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,35531,CPT,Artery bypass graft,,,21 ,,RBRVS,38.98 ,11.48 ,11.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,35533,CPT,Artery bypass graft,,,21 ,,RBRVS,29.79 ,9.50 ,9.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,35535,CPT,Artery bypass graft,,,21 ,,RBRVS,38.00 ,13.58 ,13.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,35536,CPT,Artery bypass graft,,,21 ,,RBRVS,33.60 ,9.51 ,9.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,35537,CPT,Artery bypass graft,,,21 ,,RBRVS,41.75 ,13.10 ,13.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,35538,CPT,Artery bypass graft,,,21 ,,RBRVS,46.82 ,14.45 ,14.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,35539,CPT,Artery bypass graft,,,21 ,,RBRVS,43.98 ,13.47 ,13.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,35540,CPT,Artery bypass graft,,,21 ,,RBRVS,49.20 ,14.82 ,14.82 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,35548,CPT,Artery bypass graft,,,21 ,,RBRVS,22.57 ,7.74 ,7.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,35549,CPT,Artery bypass graft,,,21 ,,RBRVS,24.34 ,8.74 ,8.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,35551,CPT,Artery bypass graft,,,21 ,,RBRVS,27.72 ,9.38 ,9.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,35556,CPT,Artery bypass graft,,,21 ,,RBRVS,26.62 ,8.64 ,8.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,35558,CPT,Artery bypass graft,,,21 ,,RBRVS,23.00 ,7.87 ,7.87 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,35560,CPT,Artery bypass graft,,,21 ,,RBRVS,33.90 ,10.63 ,10.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,35563,CPT,Artery bypass graft,,,21 ,,RBRVS,25.99 ,8.88 ,8.88 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,35565,CPT,Artery bypass graft,,,21 ,,RBRVS,25.00 ,8.17 ,8.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,35566,CPT,Artery bypass graft,,,21 ,,RBRVS,32.22 ,9.85 ,9.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,35570,CPT,Artery bypass graft,,,21 ,,RBRVS,29.00 ,10.95 ,10.95 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,35571,CPT,Artery bypass graft,,,21 ,,RBRVS,25.39 ,8.09 ,8.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,35572,CPT,Harvest femoropopliteal vein,,,21 ,,RBRVS,6.81 ,1.92 ,1.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,35583,CPT,Vein bypass graft,,,21 ,,RBRVS,27.62 ,8.64 ,8.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,35585,CPT,Vein bypass graft,,,21 ,,RBRVS,32.22 ,10.11 ,10.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,35587,CPT,Vein bypass graft,,,21 ,,RBRVS,26.08 ,8.51 ,8.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,35600,CPT,Harvest art for cabg add-on,,,21 ,,RBRVS,4.94 ,1.52 ,1.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,35601,CPT,Artery bypass graft,,,21 ,,RBRVS,26.99 ,10.43 ,10.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,35606,CPT,Artery bypass graft,,,21 ,,RBRVS,22.36 ,7.30 ,7.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,35612,CPT,Artery bypass graft,,,21 ,,RBRVS,16.71 ,6.31 ,6.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,35616,CPT,Artery bypass graft,,,21 ,,RBRVS,21.74 ,7.13 ,7.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,35621,CPT,Artery bypass graft,,,21 ,,RBRVS,20.95 ,6.78 ,6.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,35623,CPT,"Bypass graft, not vein",,,21 ,,RBRVS,25.79 ,8.44 ,8.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,35626,CPT,Artery bypass graft,,,21 ,,RBRVS,29.06 ,10.28 ,10.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,35631,CPT,Artery bypass graft,,,21 ,,RBRVS,35.90 ,10.56 ,10.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,35632,CPT,Artery bypass graft,,,21 ,,RBRVS,36.00 ,12.97 ,12.97 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,35633,CPT,Artery bypass graft,,,21 ,,RBRVS,38.98 ,13.88 ,13.88 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,35634,CPT,Artery bypass graft,,,21 ,,RBRVS,35.20 ,12.73 ,12.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,35636,CPT,Artery bypass graft,,,21 ,,RBRVS,31.62 ,9.72 ,9.72 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,35637,CPT,Artery bypass graft,,,21 ,,RBRVS,32.92 ,10.65 ,10.65 ,,,$0.00,$0.00,1,0,1,1,1,0,20091001,,35638,CPT,Artery bypass graft,,,21 ,,RBRVS,33.47 ,10.79 ,10.79 ,,,$0.00,$0.00,1,0,1,1,1,0,20091001,,35642,CPT,Artery bypass graft,,,21 ,,RBRVS,18.85 ,6.22 ,6.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,35645,CPT,Artery bypass graft,,,21 ,,RBRVS,18.34 ,7.98 ,7.98 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,35646,CPT,Artery bypass graft,,,21 ,,RBRVS,32.84 ,10.45 ,10.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,35647,CPT,Artery bypass graft,,,21 ,,RBRVS,29.62 ,9.66 ,9.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,35650,CPT,Artery bypass graft,,,21 ,,RBRVS,20.08 ,6.93 ,6.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,35651,CPT,Artery bypass graft,,,21 ,,RBRVS,25.97 ,8.71 ,8.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,35654,CPT,Artery bypass graft,,,21 ,,RBRVS,26.17 ,8.36 ,8.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,35656,CPT,Artery bypass graft,,,21 ,,RBRVS,20.39 ,6.84 ,6.84 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,35661,CPT,Artery bypass graft,,,21 ,,RBRVS,20.22 ,7.04 ,7.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,35663,CPT,Artery bypass graft,,,21 ,,RBRVS,23.80 ,7.90 ,7.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,35665,CPT,Artery bypass graft,,,21 ,,RBRVS,22.22 ,7.36 ,7.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,35666,CPT,Artery bypass graft,,,21 ,,RBRVS,23.53 ,8.51 ,8.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,35671,CPT,Artery bypass graft,,,21 ,,RBRVS,20.64 ,7.63 ,7.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,35681,CPT,Composite bypass graft,,,21 ,,RBRVS,1.60 ,0.40 ,0.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,35682,CPT,Composite bypass graft,,,21 ,,RBRVS,7.19 ,1.70 ,1.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,35683,CPT,Composite bypass graft,,,21 ,,RBRVS,8.49 ,1.96 ,1.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,35685,CPT,Bypass graft patency/patch,,,21 ,,RBRVS,4.04 ,0.96 ,0.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,35686,CPT,Bypass graft/av fist patency,,,21 ,,RBRVS,3.34 ,0.85 ,0.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,35691,CPT,Arterial transposition,,,21 ,,RBRVS,18.32 ,5.95 ,5.95 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,35693,CPT,Arterial transposition,,,21 ,,RBRVS,15.64 ,6.12 ,6.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,35694,CPT,Arterial transposition,,,21 ,,RBRVS,19.19 ,6.32 ,6.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,35695,CPT,Arterial transposition,,,21 ,,RBRVS,19.97 ,6.71 ,6.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,35697,CPT,Reimplant artery each,,,21 ,,RBRVS,3.00 ,0.74 ,0.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,35700,CPT,"Reoperation, bypass graft",,,21 ,,RBRVS,3.08 ,0.77 ,0.77 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,35701,CPT,"Exploration, carotid artery",,,21 ,,RBRVS,9.11 ,4.32 ,4.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,35721,CPT,"Exploration, femoral artery",,,21 ,,RBRVS,7.66 ,3.83 ,3.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,35741,CPT,Exploration popliteal artery,,,21 ,,RBRVS,8.61 ,3.87 ,3.87 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,35761,CPT,Exploration of artery/vein,,,21 ,,RBRVS,5.84 ,3.44 ,3.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,35800,CPT,Explore neck vessels,,,21 ,,RBRVS,7.99 ,3.95 ,3.95 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,35820,CPT,Explore chest vessels,,,21 ,,RBRVS,36.81 ,12.91 ,12.91 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,35840,CPT,Explore abdominal vessels,,,21 ,,RBRVS,10.87 ,4.81 ,4.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,35860,CPT,Explore limb vessels,,,21 ,,RBRVS,6.72 ,3.38 ,3.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,35870,CPT,Repair vessel graft defect,,,21 ,,RBRVS,24.39 ,7.92 ,7.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,35875,CPT,Removal of clot in graft,,,21 ,,RBRVS,10.64 ,4.29 ,4.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,35876,CPT,Removal of clot in graft,,,21 ,,RBRVS,17.74 ,5.95 ,5.95 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,35879,CPT,Revise graft w/vein,,,21 ,,RBRVS,17.28 ,5.98 ,5.98 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,35881,CPT,Revise graft w/vein,,,21 ,,RBRVS,19.22 ,6.46 ,6.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,35883,CPT,Revise graft w/nonauto graft,,,21 ,,RBRVS,23.07 ,8.50 ,8.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,35884,CPT,Revise graft w/vein,,,21 ,,RBRVS,24.57 ,8.94 ,8.94 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,35901,CPT,"Excision, graft, neck",,,21 ,,RBRVS,8.26 ,4.24 ,4.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,35903,CPT,"Excision, graft, extremity",,,21 ,,RBRVS,9.44 ,4.60 ,4.60 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,35905,CPT,"Excision, graft, thorax",,,21 ,,RBRVS,33.39 ,10.66 ,10.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,35907,CPT,"Excision, graft, abdomen",,,21 ,,RBRVS,37.14 ,10.89 ,10.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,36000,CPT,Place needle in vein,,,21 ,,RBRVS,0.18 ,0.06 ,0.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,36002,CPT,Pseudoaneurysm injection trt,,,21 ,,RBRVS,1.96 ,0.86 ,2.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,36005,CPT,Injection ext venography,,,21 ,,RBRVS,0.95 ,0.39 ,8.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,36010,CPT,Place catheter in vein,,,21 ,,RBRVS,2.43 ,0.78 ,11.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,36011,CPT,Place catheter in vein,,,21 ,,RBRVS,3.14 ,1.01 ,19.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,36012,CPT,Place catheter in vein,,,21 ,,RBRVS,3.51 ,1.28 ,20.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,36013,CPT,Place catheter in artery,,,21 ,,RBRVS,2.52 ,0.93 ,18.79 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,36014,CPT,Place catheter in artery,,,21 ,,RBRVS,3.02 ,1.11 ,18.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,36015,CPT,Place catheter in artery,,,21 ,,RBRVS,3.51 ,1.05 ,18.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,36100,CPT,Establish access to artery,,,21 ,,RBRVS,3.02 ,1.21 ,11.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,36120,CPT,Establish access to artery,,,21 ,,RBRVS,2.01 ,0.59 ,9.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,36140,CPT,Establish access to artery,,,21 ,,RBRVS,2.01 ,0.71 ,10.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,36145,CPT,Artery to vein shunt,,,21 ,,RBRVS,2.01 ,0.66 ,10.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,36160,CPT,Establish access to aorta,,,21 ,,RBRVS,2.52 ,1.05 ,11.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,36200,CPT,Place catheter in aorta,,,21 ,,RBRVS,3.02 ,1.02 ,13.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,36215,CPT,Place catheter in artery,,,21 ,,RBRVS,4.67 ,1.89 ,25.97 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,36216,CPT,Place catheter in artery,,,21 ,,RBRVS,5.27 ,2.09 ,28.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,36217,CPT,Place catheter in artery,,,21 ,,RBRVS,6.29 ,2.43 ,45.91 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,36218,CPT,Place catheter in artery,,,21 ,,RBRVS,1.01 ,0.39 ,3.77 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,36245,CPT,Place catheter in artery,,,21 ,,RBRVS,4.67 ,2.12 ,28.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,36246,CPT,Place catheter in artery,,,21 ,,RBRVS,5.27 ,1.99 ,27.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,36247,CPT,Place catheter in artery,,,21 ,,RBRVS,6.29 ,2.36 ,45.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,36248,CPT,Place catheter in artery,,,21 ,,RBRVS,1.01 ,0.38 ,3.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,36260,CPT,Insertion of infusion pump,,,21 ,,RBRVS,9.82 ,4.65 ,4.65 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,36261,CPT,Revision of infusion pump,,,21 ,,RBRVS,5.55 ,3.06 ,3.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,36262,CPT,Removal of infusion pump,,,21 ,,RBRVS,4.05 ,2.71 ,2.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,36299,CPT,Vessel injection procedure,,,21 ,,TotalUnits,,,,4.43 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,36400,CPT,Bl draw < 3 yrs fem/jugular,,,21 ,,RBRVS,0.38 ,0.09 ,0.28 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,36405,CPT,Bl draw < 3 yrs scalp vein,,,21 ,,RBRVS,0.31 ,0.08 ,0.27 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,36406,CPT,Bl draw < 3 yrs other vein,,,21 ,,RBRVS,0.18 ,0.04 ,0.25 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,36410,CPT,Non-routine bl draw > 3 yrs,,,21 ,,RBRVS,0.18 ,0.05 ,0.32 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,36415,CPT,Routine venipuncture,,,14 ,,TotalUnits,,,,0.14 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,36416,CPT,Capillary blood draw,,,14 ,,TotalUnits,,,,0.13 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,36420,CPT,Vein access cutdown < 1 yr,,,21 ,,RBRVS,1.01 ,0.21 ,0.21 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,36425,CPT,Vein access cutdown > 1 yr,,,21 ,,RBRVS,0.76 ,0.21 ,0.21 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,36430,CPT,Blood transfusion service,,,21 ,,RBRVS,0.00 ,0.94 ,0.94 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,36440,CPT,"Bl push transfuse, 2 yr or <",,,21 ,,RBRVS,1.03 ,0.25 ,0.25 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,36450,CPT,"Bl exchange/transfuse, nb",,,21 ,,RBRVS,2.23 ,0.77 ,0.77 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,36455,CPT,Bl exchange/transfuse non-nb,,,21 ,,RBRVS,2.43 ,0.67 ,0.67 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,36460,CPT,"Transfusion service, fetal",,,21 ,,RBRVS,6.58 ,1.81 ,1.81 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,36468,CPT,"Injection(s), spider veins",,,21 ,,TotalUnits,,,,1.37 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,36469,CPT,"Injection(s), spider veins",,,21 ,,TotalUnits,,,,0.40 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,36470,CPT,Injection therapy of vein,,,21 ,,RBRVS,1.09 ,0.64 ,2.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,36471,CPT,Injection therapy of veins,,,21 ,,RBRVS,1.60 ,0.79 ,2.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,36475,CPT,"Endovenous rf, 1st vein",,,21 ,,RBRVS,6.72 ,1.88 ,35.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,36476,CPT,"Endovenous rf, vein add-on",,,21 ,,RBRVS,3.38 ,0.83 ,6.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,36478,CPT,"Endovenous laser, 1st vein",,,21 ,,RBRVS,6.72 ,2.04 ,26.98 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,36479,CPT,Endovenous laser vein addon,,,21 ,,RBRVS,3.38 ,0.95 ,6.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,36481,CPT,"Insertion of catheter, vein",,,21 ,,RBRVS,6.98 ,2.36 ,2.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,36500,CPT,"Insertion of catheter, vein",,,21 ,,RBRVS,3.51 ,1.25 ,1.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,36510,CPT,"Insertion of catheter, vein",,,21 ,,RBRVS,1.09 ,0.30 ,1.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,36511,CPT,Apheresis wbc,,,21 ,,RBRVS,1.74 ,0.58 ,0.58 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,36512,CPT,Apheresis rbc,,,21 ,,RBRVS,1.74 ,0.60 ,0.60 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,36513,CPT,Apheresis platelets,,,21 ,,RBRVS,1.74 ,0.55 ,0.55 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,36514,CPT,Apheresis plasma,,,21 ,,RBRVS,1.74 ,0.53 ,10.51 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,36515,CPT,"Apheresis, adsorp/reinfuse",,,21 ,,RBRVS,1.74 ,0.48 ,45.51 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,36516,CPT,"Apheresis, selective",,,21 ,,RBRVS,1.22 ,0.39 ,49.59 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,36522,CPT,Photopheresis,,,21 ,,RBRVS,1.67 ,0.94 ,37.44 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,36555,CPT,Insert non-tunnel cv cath,,,21 ,,RBRVS,2.68 ,0.59 ,3.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,36556,CPT,Insert non-tunnel cv cath,,,21 ,,RBRVS,2.50 ,0.55 ,2.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,36557,CPT,Insert tunneled cv cath,,,21 ,,RBRVS,5.11 ,2.29 ,15.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,36558,CPT,Insert tunneled cv cath,,,21 ,,RBRVS,4.81 ,2.36 ,14.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,36560,CPT,Insert tunneled cv cath,,,21 ,,RBRVS,6.26 ,2.72 ,21.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,36561,CPT,Insert tunneled cv cath,,,21 ,,RBRVS,6.01 ,2.64 ,22.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,36563,CPT,Insert tunneled cv cath,,,21 ,,RBRVS,6.21 ,2.60 ,23.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,36565,CPT,Insert tunneled cv cath,,,21 ,,RBRVS,6.01 ,2.47 ,17.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,36566,CPT,Insert tunneled cv cath,,,21 ,,RBRVS,6.51 ,2.60 ,111.95 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,36568,CPT,Insert picc cath,,,21 ,,RBRVS,1.92 ,0.59 ,5.88 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,36569,CPT,Insert picc cath,,,21 ,,RBRVS,1.82 ,0.67 ,4.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,36570,CPT,Insert picvad cath,,,21 ,,RBRVS,5.33 ,2.10 ,21.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,36571,CPT,Insert picvad cath,,,21 ,,RBRVS,5.31 ,2.45 ,24.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,36575,CPT,Repair tunneled cv cath,,,21 ,,RBRVS,0.67 ,0.23 ,3.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,36576,CPT,Repair tunneled cv cath,,,21 ,,RBRVS,3.21 ,1.57 ,5.91 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,36578,CPT,Replace tunneled cv cath,,,21 ,,RBRVS,3.51 ,2.00 ,9.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,36580,CPT,Replace cvad cath,,,21 ,,RBRVS,1.31 ,0.43 ,3.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,36581,CPT,Replace tunneled cv cath,,,21 ,,RBRVS,3.45 ,1.74 ,15.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,36582,CPT,Replace tunneled cv cath,,,21 ,,RBRVS,5.21 ,2.46 ,21.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,36583,CPT,Replace tunneled cv cath,,,21 ,,RBRVS,5.26 ,2.49 ,21.60 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,36584,CPT,Replace picc cath,,,21 ,,RBRVS,1.20 ,0.61 ,3.97 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,36585,CPT,Replace picvad cath,,,21 ,,RBRVS,4.81 ,2.43 ,22.57 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,36589,CPT,Removal tunneled cv cath,,,21 ,,RBRVS,2.27 ,1.23 ,1.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,36590,CPT,Removal tunneled cv cath,,,21 ,,RBRVS,3.32 ,1.60 ,3.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,36591,CPT,Draw blood off venous device,,,21 ,,RBRVS,0.00 ,0.54 ,0.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,36592,CPT,Collect blood from picc,,,21 ,,RBRVS,0.00 ,0.67 ,0.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,36593,CPT,Declot vascular device,,,21 ,,RBRVS,0.00 ,0.82 ,0.82 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,36595,CPT,Mech remov tunneled cv cath,,,21 ,,RBRVS,3.59 ,1.38 ,10.84 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,36596,CPT,Mech remov tunneled cv cath,,,21 ,,RBRVS,0.75 ,0.43 ,2.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,36597,CPT,Reposition venous catheter,,,21 ,,RBRVS,1.21 ,0.46 ,2.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,36598,CPT,"Inj w/fluor, eval cv device",,,21 ,,RBRVS,0.74 ,0.27 ,2.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,36600,CPT,Withdrawal of arterial blood,,,21 ,,RBRVS,0.32 ,0.07 ,0.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,36620,CPT,"Insertion catheter, artery",,,21 ,,RBRVS,1.15 ,0.15 ,0.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,36625,CPT,"Insertion catheter, artery",,,21 ,,RBRVS,2.11 ,0.50 ,0.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,36640,CPT,"Insertion catheter, artery",,,21 ,,RBRVS,2.10 ,0.91 ,0.91 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,36660,CPT,"Insertion catheter, artery",,,21 ,,RBRVS,1.40 ,0.41 ,0.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,36680,CPT,"Insert needle, bone cavity",,,21 ,,RBRVS,1.20 ,0.28 ,0.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,36800,CPT,Insertion of cannula,,,21 ,,RBRVS,2.43 ,1.53 ,1.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,36810,CPT,Insertion of cannula,,,21 ,,RBRVS,3.96 ,1.32 ,1.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,36815,CPT,Insertion of cannula,,,21 ,,RBRVS,2.62 ,1.04 ,1.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,36818,CPT,"Av fuse, uppr arm, cephalic",,,21 ,,RBRVS,11.81 ,4.49 ,4.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,36819,CPT,"Av fuse, uppr arm, basilic",,,21 ,,RBRVS,14.39 ,5.12 ,5.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,36820,CPT,Av fusion/forearm vein,,,21 ,,RBRVS,14.39 ,5.24 ,5.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,36821,CPT,Av fusion direct any site,,,21 ,,RBRVS,9.15 ,3.94 ,3.94 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,36822,CPT,Insertion of cannula(s),,,21 ,,RBRVS,5.51 ,3.75 ,3.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,36823,CPT,Insertion of cannula(s),,,21 ,,RBRVS,22.82 ,8.64 ,8.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,36825,CPT,Artery-vein autograft,,,21 ,,RBRVS,10.00 ,4.23 ,4.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,36830,CPT,Artery-vein nonautograft,,,21 ,,RBRVS,12.00 ,4.13 ,4.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,36831,CPT,Open thrombect av fistula,,,21 ,,RBRVS,8.01 ,3.19 ,3.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,36832,CPT,"Av fistula revision, open",,,21 ,,RBRVS,10.50 ,3.75 ,3.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,36833,CPT,Av fistula revision,,,21 ,,RBRVS,11.95 ,4.12 ,4.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,36834,CPT,Repair a-v aneurysm,,,21 ,,RBRVS,11.11 ,4.22 ,4.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,36835,CPT,Artery to vein shunt,,,21 ,,RBRVS,7.43 ,3.74 ,3.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,36838,CPT,"Dist revas ligation, hemo",,,21 ,,RBRVS,21.59 ,7.05 ,7.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,36860,CPT,External cannula declotting,,,21 ,,RBRVS,2.01 ,0.63 ,3.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,36861,CPT,Cannula declotting,,,21 ,,RBRVS,2.52 ,1.22 ,1.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,36870,CPT,Percut thrombect av fistula,,,21 ,,RBRVS,5.17 ,2.76 ,40.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,37140,CPT,Revision of circulation,,,21 ,,RBRVS,25.12 ,8.93 ,8.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,37145,CPT,Revision of circulation,,,21 ,,RBRVS,26.13 ,10.46 ,10.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,37160,CPT,Revision of circulation,,,21 ,,RBRVS,23.13 ,7.93 ,7.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,37180,CPT,Revision of circulation,,,21 ,,RBRVS,26.13 ,9.28 ,9.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,37181,CPT,Splice spleen/kidney veins,,,21 ,,RBRVS,28.26 ,8.84 ,8.84 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,37182,CPT,Insert hepatic shunt (tips),,,21 ,,RBRVS,16.97 ,6.33 ,6.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,37183,CPT,Remove hepatic shunt (tips),,,21 ,,RBRVS,7.99 ,3.09 ,3.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,37184,CPT,Prim art mech thrombectomy,,,21 ,,RBRVS,8.66 ,3.24 ,49.97 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,37185,CPT,Prim art m-thrombect add-on,,,21 ,,RBRVS,3.28 ,1.12 ,16.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,37186,CPT,Sec art m-thrombect add-on,,,21 ,,RBRVS,4.92 ,1.79 ,34.94 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,37187,CPT,Venous mech thrombectomy,,,21 ,,RBRVS,8.03 ,2.99 ,48.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,37188,CPT,Venous m-thrombectomy add-on,,,21 ,,RBRVS,5.71 ,2.18 ,42.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,37195,CPT,"Thrombolytic therapy, stroke",,,21 ,,TotalUnits,,,,6.56 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,37200,CPT,Transcatheter biopsy,,,21 ,,RBRVS,4.55 ,1.65 ,1.65 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,37201,CPT,Transcatheter therapy infuse,,,21 ,,RBRVS,4.99 ,2.33 ,2.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,37202,CPT,Transcatheter therapy infuse,,,21 ,,RBRVS,5.67 ,3.34 ,3.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,37203,CPT,Transcatheter retrieval,,,21 ,,RBRVS,5.02 ,2.07 ,30.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,37204,CPT,Transcatheter occlusion,,,21 ,,RBRVS,18.11 ,6.24 ,6.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,37205,CPT,"Transcath iv stent, percut",,,21 ,,RBRVS,8.27 ,3.25 ,108.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,37206,CPT,Transcath iv stent/perc addl,,,21 ,,RBRVS,4.12 ,1.58 ,66.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,37207,CPT,"Transcath iv stent, open",,,21 ,,RBRVS,8.27 ,2.38 ,2.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,37208,CPT,Transcath iv stent/open addl,,,21 ,,RBRVS,4.12 ,1.01 ,1.01 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,37209,CPT,Change iv cath at thromb tx,,,21 ,,RBRVS,2.27 ,0.77 ,0.77 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,37210,CPT,Embolization uterine fibroid,,,21 ,,RBRVS,10.60 ,3.68 ,83.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,37215,CPT,"Transcath stent, cca w/eps",,,21 ,,RBRVS,19.58 ,9.94 ,9.94 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,37216,CPT,"Transcath stent, cca w/o eps",,,21 ,,RBRVS,18.85 ,5.76 ,5.76 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,37250,CPT,Iv us first vessel add-on,,,21 ,,RBRVS,2.10 ,0.77 ,0.77 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,37251,CPT,Iv us each add vessel add-on,,,21 ,,RBRVS,1.60 ,0.50 ,0.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,37500,CPT,Endoscopy ligate perf veins,,,21 ,,RBRVS,11.54 ,5.35 ,5.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,37501,CPT,Vascular endoscopy procedure,,,21 ,,TotalUnits,,,,5.44 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,37565,CPT,Ligation of neck vein,,,21 ,,RBRVS,11.97 ,5.14 ,5.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,37600,CPT,Ligation of neck artery,,,21 ,,RBRVS,12.34 ,4.92 ,4.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,37605,CPT,Ligation of neck artery,,,21 ,,RBRVS,14.20 ,5.45 ,5.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,37606,CPT,Ligation of neck artery,,,21 ,,RBRVS,8.72 ,4.86 ,4.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,37607,CPT,Ligation of a-v fistula,,,21 ,,RBRVS,6.19 ,3.03 ,3.03 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,37609,CPT,Temporal artery procedure,,,21 ,,RBRVS,3.02 ,1.82 ,4.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,37615,CPT,Ligation of neck artery,,,21 ,,RBRVS,7.72 ,4.09 ,4.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,37616,CPT,Ligation of chest artery,,,21 ,,RBRVS,18.89 ,7.93 ,7.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,37617,CPT,Ligation of abdomen artery,,,21 ,,RBRVS,23.71 ,7.89 ,7.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,37618,CPT,Ligation of extremity artery,,,21 ,,RBRVS,5.95 ,3.37 ,3.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,37620,CPT,Revision of major vein,,,21 ,,RBRVS,11.49 ,5.45 ,5.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,37650,CPT,Revision of major vein,,,21 ,,RBRVS,8.41 ,4.23 ,4.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,37660,CPT,Revision of major vein,,,21 ,,RBRVS,22.20 ,7.59 ,7.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,37700,CPT,Revise leg vein,,,21 ,,RBRVS,3.76 ,2.39 ,2.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,37718,CPT,Ligate/strip short leg vein,,,21 ,,RBRVS,7.05 ,3.48 ,3.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,37722,CPT,Ligate/strip long leg vein,,,21 ,,RBRVS,8.08 ,3.69 ,3.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,37735,CPT,Removal of leg veins/lesion,,,21 ,,RBRVS,10.81 ,4.69 ,4.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,37760,CPT,"Ligation, leg veins, open",,,21 ,,RBRVS,10.69 ,4.48 ,4.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,37765,CPT,Phleb veins - extrem - to 20,,,21 ,,RBRVS,7.63 ,3.57 ,3.57 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,37766,CPT,Phleb veins - extrem 20+,,,21 ,,RBRVS,9.58 ,4.13 ,4.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,37780,CPT,Revision of leg vein,,,21 ,,RBRVS,3.87 ,2.39 ,2.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,37785,CPT,Ligate/divide/excise vein,,,21 ,,RBRVS,3.87 ,2.58 ,4.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,37788,CPT,"Revascularization, penis",,,21 ,,RBRVS,23.21 ,12.05 ,12.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,37790,CPT,Penile venous occlusion,,,21 ,,RBRVS,8.37 ,5.15 ,5.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,37799,CPT,Vascular surgery procedure,,,21 ,,TotalUnits,,,,13.33 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,38100,CPT,"Removal of spleen, total",,,21 ,,RBRVS,19.47 ,6.85 ,6.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,38101,CPT,"Removal of spleen, partial",,,21 ,,RBRVS,19.47 ,6.92 ,6.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,38102,CPT,"Removal of spleen, total",,,21 ,,RBRVS,4.79 ,1.23 ,1.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,38115,CPT,Repair of ruptured spleen,,,21 ,,RBRVS,21.80 ,7.44 ,7.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,38120,CPT,"Laparoscopy, splenectomy",,,21 ,,RBRVS,16.97 ,6.93 ,6.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,38129,CPT,"Laparoscope proc, spleen",,,21 ,,TotalUnits,,,,20.92 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,38200,CPT,Injection for spleen x-ray,,,21 ,,RBRVS,2.64 ,1.09 ,1.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,38204,CPT,Bl donor search management,,,21 ,,RBRVS,2.00 ,0.46 ,0.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,38205,CPT,Harvest allogenic stem cells,,,21 ,,RBRVS,1.50 ,0.53 ,0.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,38206,CPT,Harvest auto stem cells,,,21 ,,RBRVS,1.50 ,0.55 ,0.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,38207,CPT,Cryopreserve stem cells,,,21 ,,RBRVS,0.89 ,0.40 ,0.40 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,38208,CPT,Thaw preserved stem cells,,,21 ,,RBRVS,0.56 ,0.25 ,0.25 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,38209,CPT,Wash harvest stem cells,,,21 ,,RBRVS,0.24 ,0.11 ,0.11 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,38210,CPT,T-cell depletion of harvest,,,21 ,,RBRVS,1.57 ,0.71 ,0.71 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,38211,CPT,Tumor cell deplete of harvst,,,21 ,,RBRVS,1.42 ,0.64 ,0.64 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,38212,CPT,Rbc depletion of harvest,,,21 ,,RBRVS,0.94 ,0.42 ,0.42 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,38213,CPT,Platelet deplete of harvest,,,21 ,,RBRVS,0.24 ,0.11 ,0.11 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,38214,CPT,Volume deplete of harvest,,,21 ,,RBRVS,0.81 ,0.36 ,0.36 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,38215,CPT,Harvest stem cell concentrte,,,21 ,,RBRVS,0.94 ,0.42 ,0.42 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,38220,CPT,Bone marrow aspiration,,,21 ,,RBRVS,1.08 ,0.45 ,2.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,38221,CPT,Bone marrow biopsy,,,21 ,,RBRVS,1.37 ,0.57 ,2.79 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,38230,CPT,Bone marrow collection,,,21 ,,RBRVS,4.80 ,3.13 ,3.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,38240,CPT,Bone marrow/stem transplant,,,21 ,,RBRVS,2.24 ,0.94 ,0.94 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,38241,CPT,Bone marrow/stem transplant,,,21 ,,RBRVS,2.24 ,0.94 ,0.94 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,38242,CPT,Lymphocyte infuse transplant,,,21 ,,RBRVS,1.71 ,0.67 ,0.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,38300,CPT,"Drainage, lymph node lesion",,,21 ,,RBRVS,2.28 ,2.04 ,4.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,38305,CPT,"Drainage, lymph node lesion",,,21 ,,RBRVS,6.55 ,4.20 ,4.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,38308,CPT,Incision of lymph channels,,,21 ,,RBRVS,6.73 ,3.54 ,3.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,38380,CPT,Thoracic duct procedure,,,21 ,,RBRVS,8.34 ,5.06 ,5.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,38381,CPT,Thoracic duct procedure,,,21 ,,RBRVS,13.32 ,6.08 ,6.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,38382,CPT,Thoracic duct procedure,,,21 ,,RBRVS,10.51 ,5.43 ,5.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,38500,CPT,"Biopsy/removal, lymph nodes",,,21 ,,RBRVS,3.76 ,2.03 ,3.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,38505,CPT,"Needle biopsy, lymph nodes",,,21 ,,RBRVS,1.14 ,0.74 ,2.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,38510,CPT,"Biopsy/removal, lymph nodes",,,21 ,,RBRVS,6.69 ,3.09 ,5.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,38520,CPT,"Biopsy/removal, lymph nodes",,,21 ,,RBRVS,6.95 ,3.75 ,3.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,38525,CPT,"Biopsy/removal, lymph nodes",,,21 ,,RBRVS,6.35 ,3.47 ,3.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,38530,CPT,"Biopsy/removal, lymph nodes",,,21 ,,RBRVS,8.26 ,4.12 ,4.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,38542,CPT,"Explore deep node(s), neck",,,21 ,,RBRVS,6.08 ,3.97 ,3.97 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,38550,CPT,"Removal, neck/armpit lesion",,,21 ,,RBRVS,6.99 ,4.28 ,4.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,38555,CPT,"Removal, neck/armpit lesion",,,21 ,,RBRVS,15.42 ,7.45 ,7.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,38562,CPT,"Removal, pelvic lymph nodes",,,21 ,,RBRVS,10.92 ,5.77 ,5.77 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,38564,CPT,"Removal, abdomen lymph nodes",,,21 ,,RBRVS,11.29 ,5.21 ,5.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,38570,CPT,"Laparoscopy, lymph node biop",,,21 ,,RBRVS,9.28 ,4.04 ,4.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,38571,CPT,"Laparoscopy, lymphadenectomy",,,21 ,,RBRVS,14.70 ,6.80 ,6.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,38572,CPT,"Laparoscopy, lymphadenectomy",,,21 ,,RBRVS,16.86 ,5.94 ,5.94 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,38589,CPT,"Laparoscope proc, lymphatic",,,21 ,,TotalUnits,,,,4.24 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,38700,CPT,"Removal of lymph nodes, neck",,,21 ,,RBRVS,12.68 ,6.51 ,6.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,38720,CPT,"Removal of lymph nodes, neck",,,21 ,,RBRVS,21.72 ,10.18 ,10.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,38724,CPT,"Removal of lymph nodes, neck",,,21 ,,RBRVS,23.72 ,10.93 ,10.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,38740,CPT,Remove armpit lymph nodes,,,21 ,,RBRVS,10.57 ,5.00 ,5.00 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,38745,CPT,Remove armpit lymph nodes,,,21 ,,RBRVS,13.71 ,6.05 ,6.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,38746,CPT,Remove thoracic lymph nodes,,,21 ,,RBRVS,4.88 ,1.42 ,1.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,38747,CPT,Remove abdominal lymph nodes,,,21 ,,RBRVS,4.88 ,1.27 ,1.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,38760,CPT,Remove groin lymph nodes,,,21 ,,RBRVS,13.49 ,5.92 ,5.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,38765,CPT,Remove groin lymph nodes,,,21 ,,RBRVS,21.78 ,8.35 ,8.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,38770,CPT,Remove pelvis lymph nodes,,,21 ,,RBRVS,13.98 ,6.72 ,6.72 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,38780,CPT,Remove abdomen lymph nodes,,,21 ,,RBRVS,17.56 ,7.99 ,7.99 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,38790,CPT,Inject for lymphatic x-ray,,,21 ,,RBRVS,1.29 ,0.75 ,0.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,38792,CPT,Identify sentinel node,,,21 ,,RBRVS,0.52 ,0.49 ,0.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,38794,CPT,Access thoracic lymph duct,,,21 ,,RBRVS,4.51 ,3.18 ,3.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,38999,CPT,Blood/lymph system procedure,,,21 ,,TotalUnits,,,,24.44 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,39000,CPT,Exploration of chest,,,21 ,,RBRVS,7.49 ,4.27 ,4.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,39010,CPT,Exploration of chest,,,21 ,,RBRVS,13.11 ,6.34 ,6.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,39200,CPT,Removal chest lesion,,,21 ,,RBRVS,15.04 ,6.20 ,6.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,39220,CPT,Removal chest lesion,,,21 ,,RBRVS,19.47 ,8.00 ,8.00 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,39400,CPT,Visualization of chest,,,21 ,,RBRVS,8.00 ,4.15 ,4.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,39499,CPT,Chest procedure,,,21 ,,TotalUnits,,,,6.77 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,39501,CPT,Repair diaphragm laceration,,,21 ,,RBRVS,13.89 ,5.82 ,5.82 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,39502,CPT,Repair paraesophageal hernia,,,21 ,,RBRVS,17.09 ,6.59 ,6.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,39503,CPT,Repair of diaphragm hernia,,,21 ,,RBRVS,108.67 ,27.41 ,27.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,39520,CPT,Repair of diaphragm hernia,,,21 ,,RBRVS,16.63 ,6.80 ,6.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,39530,CPT,Repair of diaphragm hernia,,,21 ,,RBRVS,16.22 ,6.23 ,6.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,39531,CPT,Repair of diaphragm hernia,,,21 ,,RBRVS,17.23 ,6.58 ,6.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,39540,CPT,Repair of diaphragm hernia,,,21 ,,RBRVS,14.51 ,5.70 ,5.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,39541,CPT,Repair of diaphragm hernia,,,21 ,,RBRVS,15.67 ,6.07 ,6.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,39545,CPT,Revision of diaphragm,,,21 ,,RBRVS,14.58 ,6.93 ,6.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,39560,CPT,"Resect diaphragm, simple",,,21 ,,RBRVS,12.97 ,5.52 ,5.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,39561,CPT,"Resect diaphragm, complex",,,21 ,,RBRVS,19.75 ,9.32 ,9.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,39599,CPT,Diaphragm surgery procedure,,,21 ,,TotalUnits,,,,19.52 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,40490,CPT,Biopsy of lip,,,21 ,,RBRVS,1.22 ,0.58 ,2.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,40500,CPT,Partial excision of lip,,,21 ,,RBRVS,4.35 ,4.36 ,7.91 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,40510,CPT,Partial excision of lip,,,21 ,,RBRVS,4.74 ,3.62 ,6.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,40520,CPT,Partial excision of lip,,,21 ,,RBRVS,4.71 ,3.82 ,7.00 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,40525,CPT,Reconstruct lip with flap,,,21 ,,RBRVS,7.61 ,5.33 ,5.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,40527,CPT,Reconstruct lip with flap,,,21 ,,RBRVS,9.20 ,6.14 ,6.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,40530,CPT,Partial removal of lip,,,21 ,,RBRVS,5.45 ,4.27 ,7.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,40650,CPT,Repair lip,,,21 ,,RBRVS,3.69 ,3.17 ,5.99 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,40652,CPT,Repair lip,,,21 ,,RBRVS,4.32 ,4.12 ,7.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,40654,CPT,Repair lip,,,21 ,,RBRVS,5.37 ,4.68 ,8.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,40700,CPT,Repair cleft lip/nasal,,,21 ,,RBRVS,13.97 ,8.66 ,8.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,40701,CPT,Repair cleft lip/nasal,,,21 ,,RBRVS,17.03 ,7.82 ,7.82 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,40702,CPT,Repair cleft lip/nasal,,,21 ,,RBRVS,14.09 ,5.82 ,5.82 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,40720,CPT,Repair cleft lip/nasal,,,21 ,,RBRVS,14.54 ,9.53 ,9.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,40761,CPT,Repair cleft lip/nasal,,,21 ,,RBRVS,15.69 ,9.29 ,9.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,40799,CPT,Lip surgery procedure,,,21 ,,TotalUnits,,,,1.56 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,40800,CPT,Drainage of mouth lesion,,,21 ,,RBRVS,1.19 ,1.88 ,3.84 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,40801,CPT,Drainage of mouth lesion,,,21 ,,RBRVS,2.57 ,2.58 ,4.88 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,40804,CPT,"Removal, foreign body, mouth",,,21 ,,RBRVS,1.26 ,1.83 ,3.79 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,40805,CPT,"Removal, foreign body, mouth",,,21 ,,RBRVS,2.73 ,2.66 ,5.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,40806,CPT,Incision of lip fold,,,21 ,,RBRVS,0.31 ,0.51 ,2.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,40808,CPT,Biopsy of mouth lesion,,,21 ,,RBRVS,0.98 ,1.62 ,3.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,40810,CPT,Excision of mouth lesion,,,21 ,,RBRVS,1.33 ,1.72 ,3.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,40812,CPT,Excise/repair mouth lesion,,,21 ,,RBRVS,2.33 ,2.28 ,4.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,40814,CPT,Excise/repair mouth lesion,,,21 ,,RBRVS,3.45 ,3.70 ,5.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,40816,CPT,Excision of mouth lesion,,,21 ,,RBRVS,3.70 ,3.77 ,5.91 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,40818,CPT,Excise oral mucosa for graft,,,21 ,,RBRVS,2.72 ,3.75 ,5.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,40819,CPT,Excise lip or cheek fold,,,21 ,,RBRVS,2.45 ,3.11 ,4.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,40820,CPT,Treatment of mouth lesion,,,21 ,,RBRVS,1.30 ,2.94 ,5.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,40830,CPT,Repair mouth laceration,,,21 ,,RBRVS,1.78 ,2.00 ,4.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,40831,CPT,Repair mouth laceration,,,21 ,,RBRVS,2.50 ,2.70 ,5.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,40840,CPT,Reconstruction of mouth,,,21 ,,RBRVS,9.03 ,5.59 ,10.03 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,40842,CPT,Reconstruction of mouth,,,21 ,,RBRVS,9.03 ,5.72 ,10.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,40843,CPT,Reconstruction of mouth,,,21 ,,RBRVS,12.62 ,5.75 ,11.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,40844,CPT,Reconstruction of mouth,,,21 ,,RBRVS,16.57 ,9.12 ,15.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,40845,CPT,Reconstruction of mouth,,,21 ,,RBRVS,19.13 ,10.22 ,16.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,40899,CPT,Mouth surgery procedure,,,21 ,,TotalUnits,,,,15.76 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,41000,CPT,Drainage of mouth lesion,,,21 ,,RBRVS,1.32 ,1.33 ,2.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,41005,CPT,Drainage of mouth lesion,,,21 ,,RBRVS,1.28 ,1.77 ,4.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,41006,CPT,Drainage of mouth lesion,,,21 ,,RBRVS,3.28 ,2.82 ,5.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,41007,CPT,Drainage of mouth lesion,,,21 ,,RBRVS,3.14 ,2.72 ,5.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,41008,CPT,Drainage of mouth lesion,,,21 ,,RBRVS,3.40 ,2.85 ,5.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,41009,CPT,Drainage of mouth lesion,,,21 ,,RBRVS,3.63 ,3.15 ,5.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,41010,CPT,Incision of tongue fold,,,21 ,,RBRVS,1.08 ,1.56 ,3.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,41015,CPT,Drainage of mouth lesion,,,21 ,,RBRVS,4.00 ,3.98 ,6.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,41016,CPT,Drainage of mouth lesion,,,21 ,,RBRVS,4.11 ,4.07 ,6.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,41017,CPT,Drainage of mouth lesion,,,21 ,,RBRVS,4.11 ,4.12 ,6.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,41018,CPT,Drainage of mouth lesion,,,21 ,,RBRVS,5.14 ,4.48 ,6.76 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,41019,CPT,Place needles h&n for rt,,,21 ,,RBRVS,8.84 ,3.28 ,3.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,41100,CPT,Biopsy of tongue,,,21 ,,RBRVS,1.39 ,1.17 ,2.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,41105,CPT,Biopsy of tongue,,,21 ,,RBRVS,1.44 ,1.20 ,2.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,41108,CPT,Biopsy of floor of mouth,,,21 ,,RBRVS,1.07 ,1.08 ,2.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,41110,CPT,Excision of tongue lesion,,,21 ,,RBRVS,1.53 ,1.65 ,3.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,41112,CPT,Excision of tongue lesion,,,21 ,,RBRVS,2.77 ,3.24 ,5.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,41113,CPT,Excision of tongue lesion,,,21 ,,RBRVS,3.23 ,3.39 ,5.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,41114,CPT,Excision of tongue lesion,,,21 ,,RBRVS,8.71 ,6.30 ,6.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,41115,CPT,Excision of tongue fold,,,21 ,,RBRVS,1.76 ,1.72 ,4.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,41116,CPT,Excision of mouth lesion,,,21 ,,RBRVS,2.47 ,2.80 ,5.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,41120,CPT,Partial removal of tongue,,,21 ,,RBRVS,10.91 ,14.34 ,14.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,41130,CPT,Partial removal of tongue,,,21 ,,RBRVS,15.51 ,15.89 ,15.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,41135,CPT,Tongue and neck surgery,,,21 ,,RBRVS,29.83 ,21.87 ,21.87 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,41140,CPT,Removal of tongue,,,21 ,,RBRVS,28.81 ,23.59 ,23.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,41145,CPT,"Tongue removal, neck surgery",,,21 ,,RBRVS,37.59 ,28.83 ,28.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,41150,CPT,"Tongue, mouth, jaw surgery",,,21 ,,RBRVS,29.52 ,23.05 ,23.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,41153,CPT,"Tongue, mouth, neck surgery",,,21 ,,RBRVS,33.28 ,23.95 ,23.95 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,41155,CPT,"Tongue, jaw, & neck surgery",,,21 ,,RBRVS,43.96 ,27.62 ,27.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,41250,CPT,Repair tongue laceration,,,21 ,,RBRVS,1.93 ,1.61 ,3.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,41251,CPT,Repair tongue laceration,,,21 ,,RBRVS,2.29 ,1.78 ,3.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,41252,CPT,Repair tongue laceration,,,21 ,,RBRVS,2.99 ,2.12 ,4.60 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,41500,CPT,Fixation of tongue,,,21 ,,RBRVS,3.74 ,7.53 ,7.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,41510,CPT,Tongue to lip surgery,,,21 ,,RBRVS,3.45 ,6.48 ,6.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,41512,CPT,Tongue suspension,,,21 ,,RBRVS,6.75 ,8.46 ,8.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,41520,CPT,"Reconstruction, tongue fold",,,21 ,,RBRVS,2.77 ,3.26 ,5.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,41530,CPT,Tongue base vol reduction,,,21 ,,RBRVS,4.38 ,5.57 ,73.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,41599,CPT,Tongue and mouth surgery,,,21 ,,TotalUnits,,,,4.05 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,41800,CPT,Drainage of gum lesion,,,21 ,,RBRVS,1.21 ,2.12 ,4.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,41805,CPT,"Removal foreign body, gum",,,21 ,,RBRVS,1.28 ,2.70 ,4.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,41806,CPT,"Removal foreign body,jawbone",,,21 ,,RBRVS,2.73 ,3.34 ,5.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,41820,CPT,"Excision, gum, each quadrant",,,21 ,,TotalUnits,,,,4.21 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,41821,CPT,Excision of gum flap,,,21 ,,TotalUnits,,,,0.95 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,41822,CPT,Excision of gum lesion,,,21 ,,RBRVS,2.35 ,1.85 ,4.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,41823,CPT,Excision of gum lesion,,,21 ,,RBRVS,3.63 ,3.73 ,6.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,41825,CPT,Excision of gum lesion,,,21 ,,RBRVS,1.35 ,1.47 ,3.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,41826,CPT,Excision of gum lesion,,,21 ,,RBRVS,2.35 ,2.58 ,5.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,41827,CPT,Excision of gum lesion,,,21 ,,RBRVS,3.72 ,3.38 ,6.65 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,41828,CPT,Excision of gum lesion,,,21 ,,RBRVS,3.11 ,1.64 ,4.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,41830,CPT,Removal of gum tissue,,,21 ,,RBRVS,3.38 ,3.12 ,5.99 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,41850,CPT,Treatment of gum lesion,,,21 ,,TotalUnits,,,,2.10 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,41870,CPT,Gum graft,,,21 ,,TotalUnits,,,,5.26 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,41872,CPT,Repair gum,,,21 ,,RBRVS,2.90 ,3.31 ,6.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,41874,CPT,Repair tooth socket,,,21 ,,RBRVS,3.13 ,2.72 ,5.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,41899,CPT,Dental surgery procedure,,,21 ,,TotalUnits,,,,10.40 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,42000,CPT,Drainage mouth roof lesion,,,21 ,,RBRVS,1.25 ,1.21 ,2.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,42100,CPT,Biopsy roof of mouth,,,21 ,,RBRVS,1.33 ,1.26 ,2.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,42104,CPT,"Excision lesion, mouth roof",,,21 ,,RBRVS,1.66 ,1.67 ,3.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,42106,CPT,"Excision lesion, mouth roof",,,21 ,,RBRVS,2.12 ,2.07 ,4.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,42107,CPT,"Excision lesion, mouth roof",,,21 ,,RBRVS,4.48 ,3.69 ,6.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,42120,CPT,Remove palate/lesion,,,21 ,,RBRVS,11.70 ,12.29 ,12.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,42140,CPT,Excision of uvula,,,21 ,,RBRVS,1.65 ,2.12 ,4.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,42145,CPT,"Repair palate, pharynx/uvula",,,21 ,,RBRVS,9.63 ,7.49 ,7.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,42160,CPT,Treatment mouth roof lesion,,,21 ,,RBRVS,1.82 ,1.69 ,3.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,42180,CPT,Repair palate,,,21 ,,RBRVS,2.52 ,1.86 ,3.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,42182,CPT,Repair palate,,,21 ,,RBRVS,3.84 ,2.40 ,3.99 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,42200,CPT,Reconstruct cleft palate,,,21 ,,RBRVS,12.41 ,8.63 ,8.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,42205,CPT,Reconstruct cleft palate,,,21 ,,RBRVS,13.57 ,7.37 ,7.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,42210,CPT,Reconstruct cleft palate,,,21 ,,RBRVS,14.91 ,10.25 ,10.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,42215,CPT,Reconstruct cleft palate,,,21 ,,RBRVS,8.88 ,7.42 ,7.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,42220,CPT,Reconstruct cleft palate,,,21 ,,RBRVS,7.07 ,7.22 ,7.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,42225,CPT,Reconstruct cleft palate,,,21 ,,RBRVS,9.66 ,12.25 ,12.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,42226,CPT,Lengthening of palate,,,21 ,,RBRVS,10.24 ,11.91 ,11.91 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,42227,CPT,Lengthening of palate,,,21 ,,RBRVS,9.81 ,11.22 ,11.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,42235,CPT,Repair palate,,,21 ,,RBRVS,7.92 ,10.35 ,10.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,42260,CPT,Repair nose to lip fistula,,,21 ,,RBRVS,10.10 ,6.03 ,9.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,42280,CPT,"Preparation, palate mold",,,21 ,,RBRVS,1.56 ,0.83 ,2.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,42281,CPT,"Insertion, palate prosthesis",,,21 ,,RBRVS,1.95 ,1.69 ,3.03 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,42299,CPT,Palate/uvula surgery,,,21 ,,TotalUnits,,,,5.90 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,42300,CPT,Drainage of salivary gland,,,21 ,,RBRVS,1.95 ,1.74 ,3.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,42305,CPT,Drainage of salivary gland,,,21 ,,RBRVS,6.23 ,3.99 ,3.99 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,42310,CPT,Drainage of salivary gland,,,21 ,,RBRVS,1.58 ,1.39 ,2.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,42320,CPT,Drainage of salivary gland,,,21 ,,RBRVS,2.37 ,1.88 ,3.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,42330,CPT,Removal of salivary stone,,,21 ,,RBRVS,2.23 ,1.73 ,3.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,42335,CPT,Removal of salivary stone,,,21 ,,RBRVS,3.35 ,2.85 ,5.77 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,42340,CPT,Removal of salivary stone,,,21 ,,RBRVS,4.64 ,3.48 ,6.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,42400,CPT,Biopsy of salivary gland,,,21 ,,RBRVS,0.78 ,0.65 ,2.00 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,42405,CPT,Biopsy of salivary gland,,,21 ,,RBRVS,3.31 ,2.15 ,3.97 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,42408,CPT,Excision of salivary cyst,,,21 ,,RBRVS,4.58 ,3.27 ,6.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,42409,CPT,Drainage of salivary cyst,,,21 ,,RBRVS,2.85 ,2.53 ,5.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,42410,CPT,Excise parotid gland/lesion,,,21 ,,RBRVS,9.46 ,5.37 ,5.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,42415,CPT,Excise parotid gland/lesion,,,21 ,,RBRVS,17.99 ,8.63 ,8.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,42420,CPT,Excise parotid gland/lesion,,,21 ,,RBRVS,20.87 ,9.58 ,9.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,42425,CPT,Excise parotid gland/lesion,,,21 ,,RBRVS,13.31 ,6.84 ,6.84 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,42426,CPT,Excise parotid gland/lesion,,,21 ,,RBRVS,22.54 ,10.01 ,10.01 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,42440,CPT,Excise submaxillary gland,,,21 ,,RBRVS,7.05 ,3.86 ,3.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,42450,CPT,Excise sublingual gland,,,21 ,,RBRVS,4.66 ,4.03 ,6.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,42500,CPT,Repair salivary duct,,,21 ,,RBRVS,4.34 ,3.86 ,6.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,42505,CPT,Repair salivary duct,,,21 ,,RBRVS,6.23 ,4.71 ,7.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,42507,CPT,Parotid duct diversion,,,21 ,,RBRVS,6.16 ,6.34 ,6.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,42508,CPT,Parotid duct diversion,,,21 ,,RBRVS,9.22 ,8.08 ,8.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,42509,CPT,Parotid duct diversion,,,21 ,,RBRVS,11.65 ,8.92 ,8.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,42510,CPT,Parotid duct diversion,,,21 ,,RBRVS,8.26 ,6.90 ,6.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,42550,CPT,Injection for salivary x-ray,,,21 ,,RBRVS,1.25 ,0.44 ,2.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,42600,CPT,Closure of salivary fistula,,,21 ,,RBRVS,4.86 ,3.43 ,6.57 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,42650,CPT,Dilation of salivary duct,,,21 ,,RBRVS,0.77 ,0.66 ,1.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,42660,CPT,Dilation of salivary duct,,,21 ,,RBRVS,1.13 ,0.75 ,1.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,42665,CPT,Ligation of salivary duct,,,21 ,,RBRVS,2.57 ,2.40 ,5.00 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,42699,CPT,Salivary surgery procedure,,,21 ,,TotalUnits,,,,14.97 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,42700,CPT,Drainage of tonsil abscess,,,21 ,,RBRVS,1.64 ,1.65 ,2.97 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,42720,CPT,Drainage of throat abscess,,,21 ,,RBRVS,6.31 ,3.17 ,4.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,42725,CPT,Drainage of throat abscess,,,21 ,,RBRVS,12.28 ,7.09 ,7.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,42800,CPT,Biopsy of throat,,,21 ,,RBRVS,1.41 ,1.30 ,2.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,42802,CPT,Biopsy of throat,,,21 ,,RBRVS,1.56 ,1.67 ,4.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,42804,CPT,Biopsy of upper nose/throat,,,21 ,,RBRVS,1.26 ,1.50 ,3.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,42806,CPT,Biopsy of upper nose/throat,,,21 ,,RBRVS,1.60 ,1.61 ,3.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,42808,CPT,Excise pharynx lesion,,,21 ,,RBRVS,2.32 ,1.60 ,3.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,42809,CPT,Remove pharynx foreign body,,,21 ,,RBRVS,1.83 ,1.32 ,2.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,42810,CPT,Excision of neck cyst,,,21 ,,RBRVS,3.30 ,3.73 ,6.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,42815,CPT,Excision of neck cyst,,,21 ,,RBRVS,7.23 ,6.26 ,6.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,42820,CPT,Remove tonsils and adenoids,,,21 ,,RBRVS,4.17 ,2.85 ,2.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,42821,CPT,Remove tonsils and adenoids,,,21 ,,RBRVS,4.31 ,2.99 ,2.99 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,42825,CPT,Removal of tonsils,,,21 ,,RBRVS,3.45 ,2.90 ,2.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,42826,CPT,Removal of tonsils,,,21 ,,RBRVS,3.40 ,2.69 ,2.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,42830,CPT,Removal of adenoids,,,21 ,,RBRVS,2.60 ,2.43 ,2.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,42831,CPT,Removal of adenoids,,,21 ,,RBRVS,2.75 ,2.66 ,2.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,42835,CPT,Removal of adenoids,,,21 ,,RBRVS,2.33 ,1.78 ,1.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,42836,CPT,Removal of adenoids,,,21 ,,RBRVS,3.21 ,2.65 ,2.65 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,42842,CPT,Extensive surgery of throat,,,21 ,,RBRVS,12.02 ,12.05 ,12.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,42844,CPT,Extensive surgery of throat,,,21 ,,RBRVS,17.57 ,15.48 ,15.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,42845,CPT,Extensive surgery of throat,,,21 ,,RBRVS,32.35 ,21.17 ,21.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,42860,CPT,Excision of tonsil tags,,,21 ,,RBRVS,2.25 ,2.30 ,2.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,42870,CPT,Excision of lingual tonsil,,,21 ,,RBRVS,5.44 ,8.71 ,8.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,42890,CPT,Partial removal of pharynx,,,21 ,,RBRVS,18.92 ,15.26 ,15.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,42892,CPT,Revision of pharyngeal walls,,,21 ,,RBRVS,25.77 ,19.22 ,19.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,42894,CPT,Revision of pharyngeal walls,,,21 ,,RBRVS,33.61 ,23.55 ,23.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,42900,CPT,Repair throat wound,,,21 ,,RBRVS,5.26 ,2.96 ,2.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,42950,CPT,Reconstruction of throat,,,21 ,,RBRVS,8.16 ,11.08 ,11.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,42953,CPT,"Repair throat, esophagus",,,21 ,,RBRVS,9.33 ,13.79 ,13.79 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,42955,CPT,Surgical opening of throat,,,21 ,,RBRVS,7.92 ,10.11 ,10.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,42960,CPT,Control throat bleeding,,,21 ,,RBRVS,2.35 ,1.72 ,1.72 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,42961,CPT,Control throat bleeding,,,21 ,,RBRVS,5.69 ,4.49 ,4.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,42962,CPT,Control throat bleeding,,,21 ,,RBRVS,7.31 ,5.19 ,5.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,42970,CPT,Control nose/throat bleeding,,,21 ,,RBRVS,5.76 ,3.59 ,3.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,42971,CPT,Control nose/throat bleeding,,,21 ,,RBRVS,6.54 ,4.51 ,4.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,42972,CPT,Control nose/throat bleeding,,,21 ,,RBRVS,7.53 ,4.99 ,4.99 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,42999,CPT,Throat surgery procedure,,,21 ,,TotalUnits,,,,7.99 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,43020,CPT,Incision of esophagus,,,21 ,,RBRVS,8.14 ,4.58 ,4.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,43030,CPT,Throat muscle surgery,,,21 ,,RBRVS,7.91 ,4.52 ,4.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,43045,CPT,Incision of esophagus,,,21 ,,RBRVS,21.70 ,9.31 ,9.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,43100,CPT,Excision of esophagus lesion,,,21 ,,RBRVS,9.55 ,5.21 ,5.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,43101,CPT,Excision of esophagus lesion,,,21 ,,RBRVS,16.99 ,7.17 ,7.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,43107,CPT,Removal of esophagus,,,21 ,,RBRVS,43.97 ,16.27 ,16.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,43108,CPT,Removal of esophagus,,,21 ,,RBRVS,82.66 ,24.49 ,24.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,43112,CPT,Removal of esophagus,,,21 ,,RBRVS,47.27 ,17.02 ,17.02 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,43113,CPT,Removal of esophagus,,,21 ,,RBRVS,79.85 ,25.37 ,25.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,43116,CPT,Partial removal of esophagus,,,21 ,,RBRVS,92.78 ,30.34 ,30.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,43117,CPT,Partial removal of esophagus,,,21 ,,RBRVS,43.52 ,15.16 ,15.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,43118,CPT,Partial removal of esophagus,,,21 ,,RBRVS,66.86 ,21.53 ,21.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,43121,CPT,Partial removal of esophagus,,,21 ,,RBRVS,51.22 ,18.29 ,18.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,43122,CPT,Partial removal of esophagus,,,21 ,,RBRVS,43.97 ,15.62 ,15.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,43123,CPT,Partial removal of esophagus,,,21 ,,RBRVS,82.91 ,25.78 ,25.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,43124,CPT,Removal of esophagus,,,21 ,,RBRVS,68.83 ,24.37 ,24.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,43130,CPT,Removal of esophagus pouch,,,21 ,,RBRVS,12.41 ,6.38 ,6.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,43135,CPT,Removal of esophagus pouch,,,21 ,,RBRVS,26.09 ,9.93 ,9.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,43200,CPT,Esophagus endoscopy,,,21 ,,RBRVS,1.59 ,0.98 ,3.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,43201,CPT,Esoph scope w/submucous inj,,,21 ,,RBRVS,2.09 ,1.19 ,5.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,43202,CPT,"Esophagus endoscopy, biopsy",,,21 ,,RBRVS,1.89 ,0.98 ,5.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,43204,CPT,Esoph scope w/sclerosis inj,,,21 ,,RBRVS,3.76 ,2.01 ,2.01 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,43205,CPT,Esophagus endoscopy/ligation,,,21 ,,RBRVS,3.78 ,2.06 ,2.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,43215,CPT,Esophagus endoscopy,,,21 ,,RBRVS,2.60 ,1.29 ,1.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,43216,CPT,Esophagus endoscopy/lesion,,,21 ,,RBRVS,2.40 ,1.26 ,3.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,43217,CPT,Esophagus endoscopy,,,21 ,,RBRVS,2.90 ,1.38 ,6.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,43219,CPT,Esophagus endoscopy,,,21 ,,RBRVS,2.80 ,1.55 ,1.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,43220,CPT,"Esoph endoscopy, dilation",,,21 ,,RBRVS,2.10 ,1.13 ,1.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,43226,CPT,"Esoph endoscopy, dilation",,,21 ,,RBRVS,2.34 ,1.29 ,1.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,43227,CPT,"Esoph endoscopy, repair",,,21 ,,RBRVS,3.59 ,1.77 ,1.77 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,43228,CPT,"Esoph endoscopy, ablation",,,21 ,,RBRVS,3.76 ,1.89 ,1.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,43231,CPT,Esoph endoscopy w/us exam,,,21 ,,RBRVS,3.19 ,1.76 ,1.76 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,43232,CPT,Esoph endoscopy w/us fn bx,,,21 ,,RBRVS,4.47 ,2.39 ,2.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,43234,CPT,"Upper gi endoscopy, exam",,,21 ,,RBRVS,2.01 ,1.02 ,4.98 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,43235,CPT,"Uppr gi endoscopy, diagnosis",,,21 ,,RBRVS,2.39 ,1.35 ,5.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,43236,CPT,Uppr gi scope w/submuc inj,,,21 ,,RBRVS,2.92 ,1.65 ,6.72 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,43237,CPT,"Endoscopic us exam, esoph",,,21 ,,RBRVS,3.98 ,2.16 ,2.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,43238,CPT,Uppr gi endoscopy w/us fn bx,,,21 ,,RBRVS,5.02 ,2.57 ,2.57 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,43239,CPT,"Upper gi endoscopy, biopsy",,,21 ,,RBRVS,2.87 ,1.56 ,6.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,43240,CPT,Esoph endoscope w/drain cyst,,,21 ,,RBRVS,6.85 ,3.29 ,3.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,43241,CPT,Upper gi endoscopy with tube,,,21 ,,RBRVS,2.59 ,1.40 ,1.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,43242,CPT,Uppr gi endoscopy w/us fn bx,,,21 ,,RBRVS,7.30 ,3.68 ,3.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,43243,CPT,Upper gi endoscopy & inject,,,21 ,,RBRVS,4.56 ,2.36 ,2.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,43244,CPT,Upper gi endoscopy/ligation,,,21 ,,RBRVS,5.04 ,2.65 ,2.65 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,43245,CPT,Uppr gi scope dilate strictr,,,21 ,,RBRVS,3.18 ,1.63 ,1.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,43246,CPT,Place gastrostomy tube,,,21 ,,RBRVS,4.32 ,2.11 ,2.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,43247,CPT,Operative upper gi endoscopy,,,21 ,,RBRVS,3.38 ,1.79 ,1.79 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,43248,CPT,Uppr gi endoscopy/guide wire,,,21 ,,RBRVS,3.15 ,1.77 ,1.77 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,43249,CPT,"Esoph endoscopy, dilation",,,21 ,,RBRVS,2.90 ,1.62 ,1.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,43250,CPT,Upper gi endoscopy/tumor,,,21 ,,RBRVS,3.20 ,1.61 ,1.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,43251,CPT,Operative upper gi endoscopy,,,21 ,,RBRVS,3.69 ,1.92 ,1.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,43255,CPT,Operative upper gi endoscopy,,,21 ,,RBRVS,4.81 ,2.53 ,2.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,43256,CPT,Uppr gi endoscopy w/stent,,,21 ,,RBRVS,4.34 ,2.25 ,2.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,43257,CPT,Uppr gi scope w/thrml txmnt,,,21 ,,RBRVS,5.50 ,2.14 ,2.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,43258,CPT,Operative upper gi endoscopy,,,21 ,,RBRVS,4.54 ,2.37 ,2.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,43259,CPT,Endoscopic ultrasound exam,,,21 ,,RBRVS,5.19 ,2.69 ,2.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,43260,CPT,Endo cholangiopancreatograph,,,21 ,,RBRVS,5.95 ,3.06 ,3.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,43261,CPT,Endo cholangiopancreatograph,,,21 ,,RBRVS,6.26 ,3.20 ,3.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,43262,CPT,Endo cholangiopancreatograph,,,21 ,,RBRVS,7.38 ,3.73 ,3.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,43263,CPT,Endo cholangiopancreatograph,,,21 ,,RBRVS,7.28 ,3.64 ,3.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,43264,CPT,Endo cholangiopancreatograph,,,21 ,,RBRVS,8.89 ,4.44 ,4.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,43265,CPT,Endo cholangiopancreatograph,,,21 ,,RBRVS,10.00 ,4.99 ,4.99 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,43267,CPT,Endo cholangiopancreatograph,,,21 ,,RBRVS,7.38 ,3.39 ,3.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,43268,CPT,Endo cholangiopancreatograph,,,21 ,,RBRVS,7.38 ,3.89 ,3.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,43269,CPT,Endo cholangiopancreatograph,,,21 ,,RBRVS,8.20 ,4.10 ,4.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,43271,CPT,Endo cholangiopancreatograph,,,21 ,,RBRVS,7.38 ,3.71 ,3.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,43272,CPT,Endo cholangiopancreatograph,,,21 ,,RBRVS,7.38 ,3.78 ,3.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,43273,CPT,Endoscopic pancreatoscopy,,,21 ,,RBRVS,2.24 ,1.08 ,1.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,43279,CPT,"Lap myotomy, heller",,,21 ,,RBRVS,22.00 ,8.07 ,8.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,43280,CPT,"Laparoscopy, fundoplasty",,,21 ,,RBRVS,18.00 ,6.66 ,6.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,43289,CPT,"Laparoscope proc, esoph",,,21 ,,TotalUnits,,,,22.40 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,43300,CPT,Repair of esophagus,,,21 ,,RBRVS,9.21 ,5.41 ,5.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,43305,CPT,Repair esophagus and fistula,,,21 ,,RBRVS,17.98 ,8.34 ,8.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,43310,CPT,Repair of esophagus,,,21 ,,RBRVS,26.18 ,9.82 ,9.82 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,43312,CPT,Repair esophagus and fistula,,,21 ,,RBRVS,29.23 ,10.28 ,10.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,43313,CPT,Esophagoplasty congenital,,,21 ,,RBRVS,48.17 ,17.48 ,17.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,43314,CPT,Tracheo-esophagoplasty cong,,,21 ,,RBRVS,53.15 ,15.11 ,15.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,43320,CPT,Fuse esophagus & stomach,,,21 ,,RBRVS,23.18 ,8.61 ,8.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,43324,CPT,Revise esophagus & stomach,,,21 ,,RBRVS,22.86 ,8.35 ,8.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,43325,CPT,Revise esophagus & stomach,,,21 ,,RBRVS,22.47 ,8.39 ,8.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,43326,CPT,Revise esophagus & stomach,,,21 ,,RBRVS,22.15 ,9.21 ,9.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,43330,CPT,Repair of esophagus,,,21 ,,RBRVS,22.06 ,8.10 ,8.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,43331,CPT,Repair of esophagus,,,21 ,,RBRVS,22.93 ,9.83 ,9.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,43340,CPT,Fuse esophagus & intestine,,,21 ,,RBRVS,22.86 ,9.28 ,9.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,43341,CPT,Fuse esophagus & intestine,,,21 ,,RBRVS,24.10 ,9.66 ,9.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,43350,CPT,"Surgical opening, esophagus",,,21 ,,RBRVS,19.31 ,8.76 ,8.76 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,43351,CPT,"Surgical opening, esophagus",,,21 ,,RBRVS,21.87 ,10.87 ,10.87 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,43352,CPT,"Surgical opening, esophagus",,,21 ,,RBRVS,17.68 ,7.95 ,7.95 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,43360,CPT,Gastrointestinal repair,,,21 ,,RBRVS,39.90 ,14.90 ,14.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,43361,CPT,Gastrointestinal repair,,,21 ,,RBRVS,45.50 ,18.15 ,18.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,43400,CPT,Ligate esophagus veins,,,21 ,,RBRVS,25.47 ,13.60 ,13.60 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,43401,CPT,Esophagus surgery for veins,,,21 ,,RBRVS,26.36 ,9.55 ,9.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,43405,CPT,Ligate/staple esophagus,,,21 ,,RBRVS,24.55 ,10.68 ,10.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,43410,CPT,Repair esophagus wound,,,21 ,,RBRVS,16.28 ,7.67 ,7.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,43415,CPT,Repair esophagus wound,,,21 ,,RBRVS,28.70 ,11.84 ,11.84 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,43420,CPT,Repair esophagus opening,,,21 ,,RBRVS,16.65 ,7.48 ,7.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,43425,CPT,Repair esophagus opening,,,21 ,,RBRVS,24.91 ,10.46 ,10.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,43450,CPT,Dilate esophagus,,,21 ,,RBRVS,1.38 ,0.93 ,2.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,43453,CPT,Dilate esophagus,,,21 ,,RBRVS,1.51 ,1.01 ,6.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,43456,CPT,Dilate esophagus,,,21 ,,RBRVS,2.57 ,1.45 ,13.02 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,43458,CPT,Dilate esophagus,,,21 ,,RBRVS,3.06 ,1.59 ,6.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,43460,CPT,Pressure treatment esophagus,,,21 ,,RBRVS,3.79 ,1.76 ,1.76 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,43496,CPT,"Free jejunum flap, microvasc",,,21 ,,TotalUnits,,,,3.93 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,43499,CPT,Esophagus surgery procedure,,,21 ,,TotalUnits,,,,9.84 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,43500,CPT,Surgical opening of stomach,,,21 ,,RBRVS,12.71 ,5.29 ,5.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,43501,CPT,Surgical repair of stomach,,,21 ,,RBRVS,22.47 ,8.10 ,8.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,43502,CPT,Surgical repair of stomach,,,21 ,,RBRVS,25.56 ,8.97 ,8.97 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,43510,CPT,Surgical opening of stomach,,,21 ,,RBRVS,15.01 ,9.14 ,9.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,43520,CPT,Incision of pyloric muscle,,,21 ,,RBRVS,11.21 ,4.82 ,4.82 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,43600,CPT,Biopsy of stomach,,,21 ,,RBRVS,1.91 ,0.77 ,0.77 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,43605,CPT,Biopsy of stomach,,,21 ,,RBRVS,13.64 ,5.36 ,5.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,43610,CPT,Excision of stomach lesion,,,21 ,,RBRVS,16.26 ,6.03 ,6.03 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,43611,CPT,Excision of stomach lesion,,,21 ,,RBRVS,20.25 ,7.49 ,7.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,43620,CPT,Removal of stomach,,,21 ,,RBRVS,33.91 ,11.10 ,11.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,43621,CPT,Removal of stomach,,,21 ,,RBRVS,39.40 ,12.41 ,12.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,43622,CPT,Removal of stomach,,,21 ,,RBRVS,39.90 ,12.51 ,12.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,43631,CPT,"Removal of stomach, partial",,,21 ,,RBRVS,24.38 ,8.59 ,8.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,43632,CPT,"Removal of stomach, partial",,,21 ,,RBRVS,35.01 ,11.28 ,11.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,43633,CPT,"Removal of stomach, partial",,,21 ,,RBRVS,33.01 ,10.76 ,10.76 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,43634,CPT,"Removal of stomach, partial",,,21 ,,RBRVS,36.51 ,11.79 ,11.79 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,43635,CPT,"Removal of stomach, partial",,,21 ,,RBRVS,2.06 ,0.52 ,0.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,43640,CPT,Vagotomy & pylorus repair,,,21 ,,RBRVS,19.43 ,7.34 ,7.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,43641,CPT,Vagotomy & pylorus repair,,,21 ,,RBRVS,19.68 ,7.63 ,7.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,43644,CPT,Lap gastric bypass/roux-en-y,,,21 ,,RBRVS,29.24 ,10.11 ,10.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,43645,CPT,Lap gastr bypass incl smll i,,,21 ,,RBRVS,31.37 ,10.49 ,10.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,43651,CPT,"Laparoscopy, vagus nerve",,,21 ,,RBRVS,10.13 ,4.62 ,4.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,43652,CPT,"Laparoscopy, vagus nerve",,,21 ,,RBRVS,12.13 ,5.23 ,5.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,43653,CPT,"Laparoscopy, gastrostomy",,,21 ,,RBRVS,8.38 ,4.47 ,4.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,43659,CPT,"Laparoscope proc, stom",,,21 ,,TotalUnits,,,,18.84 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,43752,CPT,Nasal/orogastric w/stent,,,21 ,,RBRVS,0.81 ,0.27 ,0.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,43760,CPT,Change gastrostomy tube,,,21 ,,RBRVS,0.90 ,0.33 ,5.99 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,43761,CPT,Reposition gastrostomy tube,,,21 ,,RBRVS,2.01 ,0.70 ,1.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,43770,CPT,Lap place gastr adj device,,,21 ,,RBRVS,17.85 ,7.40 ,7.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,43771,CPT,Lap revise gastr adj device,,,21 ,,RBRVS,20.64 ,8.13 ,8.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,43772,CPT,Lap rmvl gastr adj device,,,21 ,,RBRVS,15.62 ,6.00 ,6.00 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,43773,CPT,Lap replace gastr adj device,,,21 ,,RBRVS,20.64 ,8.11 ,8.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,43774,CPT,Lap rmvl gastr adj all parts,,,21 ,,RBRVS,15.66 ,6.18 ,6.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,43800,CPT,Reconstruction of pylorus,,,21 ,,RBRVS,15.35 ,5.82 ,5.82 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,43810,CPT,Fusion of stomach and bowel,,,21 ,,RBRVS,16.80 ,6.14 ,6.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,43820,CPT,Fusion of stomach and bowel,,,21 ,,RBRVS,22.40 ,8.08 ,8.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,43825,CPT,Fusion of stomach and bowel,,,21 ,,RBRVS,21.63 ,7.90 ,7.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,43830,CPT,Place gastrostomy tube,,,21 ,,RBRVS,10.75 ,5.17 ,5.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,43831,CPT,Place gastrostomy tube,,,21 ,,RBRVS,8.38 ,4.93 ,4.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,43832,CPT,Place gastrostomy tube,,,21 ,,RBRVS,17.26 ,7.07 ,7.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,43840,CPT,Repair of stomach lesion,,,21 ,,RBRVS,22.70 ,8.15 ,8.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,43842,CPT,V-band gastroplasty,,,21 ,,RBRVS,20.90 ,6.75 ,6.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,43843,CPT,Gastroplasty w/o v-band,,,21 ,,RBRVS,21.08 ,7.85 ,7.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,43845,CPT,Gastroplasty duodenal switch,,,21 ,,RBRVS,33.12 ,12.89 ,12.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,43846,CPT,Gastric bypass for obesity,,,21 ,,RBRVS,27.23 ,9.98 ,9.98 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,43847,CPT,Gastric bypass incl small i,,,21 ,,RBRVS,30.10 ,10.52 ,10.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,43848,CPT,Revision gastroplasty,,,21 ,,RBRVS,32.57 ,11.31 ,11.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,43850,CPT,Revise stomach-bowel fusion,,,21 ,,RBRVS,27.45 ,9.50 ,9.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,43855,CPT,Revise stomach-bowel fusion,,,21 ,,RBRVS,28.56 ,9.71 ,9.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,43860,CPT,Revise stomach-bowel fusion,,,21 ,,RBRVS,27.76 ,9.48 ,9.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,43865,CPT,Revise stomach-bowel fusion,,,21 ,,RBRVS,28.92 ,9.74 ,9.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,43870,CPT,Repair stomach opening,,,21 ,,RBRVS,11.36 ,4.95 ,4.95 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,43880,CPT,Repair stomach-bowel fistula,,,21 ,,RBRVS,27.05 ,9.28 ,9.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,43886,CPT,"Revise gastric port, open",,,21 ,,RBRVS,4.54 ,3.45 ,3.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,43887,CPT,"Remove gastric port, open",,,21 ,,RBRVS,4.24 ,3.06 ,3.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,43888,CPT,"Change gastric port, open",,,21 ,,RBRVS,6.34 ,4.01 ,4.01 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,43999,CPT,Stomach surgery procedure,,,21 ,,TotalUnits,,,,4.42 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,44005,CPT,Freeing of bowel adhesion,,,21 ,,RBRVS,18.38 ,6.59 ,6.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,44010,CPT,Incision of small bowel,,,21 ,,RBRVS,14.18 ,5.53 ,5.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,44015,CPT,Insert needle cath bowel,,,21 ,,RBRVS,2.62 ,0.68 ,0.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,44020,CPT,Explore small intestine,,,21 ,,RBRVS,16.14 ,6.01 ,6.01 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,44021,CPT,Decompress small bowel,,,21 ,,RBRVS,16.23 ,6.15 ,6.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,44025,CPT,Incision of large bowel,,,21 ,,RBRVS,16.43 ,6.06 ,6.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,44050,CPT,Reduce bowel obstruction,,,21 ,,RBRVS,15.44 ,5.83 ,5.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,44055,CPT,Correct malrotation of bowel,,,21 ,,RBRVS,25.53 ,8.49 ,8.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,44100,CPT,Biopsy of bowel,,,21 ,,RBRVS,2.01 ,0.91 ,0.91 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,44110,CPT,Excise intestine lesion(s),,,21 ,,RBRVS,13.96 ,5.51 ,5.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,44111,CPT,Excision of bowel lesion(s),,,21 ,,RBRVS,16.44 ,6.10 ,6.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,44120,CPT,Removal of small intestine,,,21 ,,RBRVS,20.74 ,7.15 ,7.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,44121,CPT,Removal of small intestine,,,21 ,,RBRVS,4.44 ,1.12 ,1.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,44125,CPT,Removal of small intestine,,,21 ,,RBRVS,19.93 ,7.03 ,7.03 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,44126,CPT,"Enterectomy w/o taper, cong",,,21 ,,RBRVS,42.02 ,13.61 ,13.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,44127,CPT,"Enterectomy w/taper, cong",,,21 ,,RBRVS,49.09 ,15.65 ,15.65 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,44128,CPT,"Enterectomy cong, add-on",,,21 ,,RBRVS,4.44 ,1.22 ,1.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,44130,CPT,Bowel to bowel fusion,,,21 ,,RBRVS,21.98 ,7.98 ,7.98 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,44139,CPT,Mobilization of colon,,,21 ,,RBRVS,2.23 ,0.56 ,0.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,44140,CPT,Partial removal of colon,,,21 ,,RBRVS,22.46 ,8.07 ,8.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,44141,CPT,Partial removal of colon,,,21 ,,RBRVS,29.75 ,11.85 ,11.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,44143,CPT,Partial removal of colon,,,21 ,,RBRVS,27.63 ,10.29 ,10.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,44144,CPT,Partial removal of colon,,,21 ,,RBRVS,29.75 ,10.63 ,10.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,44145,CPT,Partial removal of colon,,,21 ,,RBRVS,28.45 ,9.49 ,9.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,44146,CPT,Partial removal of colon,,,21 ,,RBRVS,35.14 ,13.37 ,13.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,44147,CPT,Partial removal of colon,,,21 ,,RBRVS,33.56 ,10.79 ,10.79 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,44150,CPT,Removal of colon,,,21 ,,RBRVS,29.99 ,12.62 ,12.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,44151,CPT,Removal of colon/ileostomy,,,21 ,,RBRVS,34.73 ,13.93 ,13.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,44155,CPT,Removal of colon/ileostomy,,,21 ,,RBRVS,34.23 ,13.46 ,13.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,44156,CPT,Removal of colon/ileostomy,,,21 ,,RBRVS,37.23 ,14.49 ,14.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,44157,CPT,Colectomy w/ileoanal anast,,,21 ,,RBRVS,35.49 ,17.10 ,17.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,44158,CPT,Colectomy w/neo-rectum pouch,,,21 ,,RBRVS,36.49 ,17.44 ,17.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,44160,CPT,Removal of colon,,,21 ,,RBRVS,20.78 ,7.52 ,7.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,44180,CPT,"Lap, enterolysis",,,21 ,,RBRVS,15.19 ,5.81 ,5.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,44186,CPT,"Lap, jejunostomy",,,21 ,,RBRVS,10.30 ,4.59 ,4.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,44187,CPT,"Lap, ileo/jejuno-stomy",,,21 ,,RBRVS,17.27 ,8.13 ,8.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,44188,CPT,"Lap, colostomy",,,21 ,,RBRVS,19.20 ,8.68 ,8.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,44202,CPT,"Lap, enterectomy",,,21 ,,RBRVS,23.26 ,8.32 ,8.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,44203,CPT,"Lap resect s/intestine, addl",,,21 ,,RBRVS,4.44 ,1.12 ,1.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,44204,CPT,Laparo partial colectomy,,,21 ,,RBRVS,26.29 ,8.89 ,8.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,44205,CPT,Lap colectomy part w/ileum,,,21 ,,RBRVS,22.86 ,7.81 ,7.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,44206,CPT,Lap part colectomy w/stoma,,,21 ,,RBRVS,29.63 ,10.48 ,10.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,44207,CPT,L colectomy/coloproctostomy,,,21 ,,RBRVS,31.79 ,10.11 ,10.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,44208,CPT,L colectomy/coloproctostomy,,,21 ,,RBRVS,33.86 ,12.02 ,12.02 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,44210,CPT,Laparo total proctocolectomy,,,21 ,,RBRVS,29.88 ,11.19 ,11.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,44211,CPT,Lap colectomy w/proctectomy,,,21 ,,RBRVS,36.87 ,13.60 ,13.60 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,44212,CPT,Laparo total proctocolectomy,,,21 ,,RBRVS,34.37 ,13.05 ,13.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,44213,CPT,"Lap, mobil splenic fl add-on",,,21 ,,RBRVS,3.50 ,0.86 ,0.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,44227,CPT,"Lap, close enterostomy",,,21 ,,RBRVS,28.49 ,9.49 ,9.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,44238,CPT,"Laparoscope proc, intestine",,,21 ,,TotalUnits,,,,13.13 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,44300,CPT,Open bowel to skin,,,21 ,,RBRVS,13.65 ,5.56 ,5.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,44310,CPT,Ileostomy/jejunostomy,,,21 ,,RBRVS,17.49 ,6.40 ,6.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,44312,CPT,Revision of ileostomy,,,21 ,,RBRVS,9.33 ,4.66 ,4.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,44314,CPT,Revision of ileostomy,,,21 ,,RBRVS,16.61 ,6.78 ,6.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,44316,CPT,Devise bowel pouch,,,21 ,,RBRVS,23.46 ,8.88 ,8.88 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,44320,CPT,Colostomy,,,21 ,,RBRVS,19.75 ,7.60 ,7.60 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,44322,CPT,Colostomy with biopsies,,,21 ,,RBRVS,13.15 ,9.11 ,9.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,44340,CPT,Revision of colostomy,,,21 ,,RBRVS,9.12 ,4.94 ,4.94 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,44345,CPT,Revision of colostomy,,,21 ,,RBRVS,17.06 ,6.92 ,6.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,44346,CPT,Revision of colostomy,,,21 ,,RBRVS,19.47 ,7.53 ,7.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,44360,CPT,Small bowel endoscopy,,,21 ,,RBRVS,2.59 ,1.50 ,1.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,44361,CPT,Small bowel endoscopy/biopsy,,,21 ,,RBRVS,2.87 ,1.63 ,1.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,44363,CPT,Small bowel endoscopy,,,21 ,,RBRVS,3.49 ,1.85 ,1.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,44364,CPT,Small bowel endoscopy,,,21 ,,RBRVS,3.73 ,1.98 ,1.98 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,44365,CPT,Small bowel endoscopy,,,21 ,,RBRVS,3.31 ,1.74 ,1.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,44366,CPT,Small bowel endoscopy,,,21 ,,RBRVS,4.40 ,2.37 ,2.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,44369,CPT,Small bowel endoscopy,,,21 ,,RBRVS,4.51 ,2.36 ,2.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,44370,CPT,Small bowel endoscopy/stent,,,21 ,,RBRVS,4.79 ,2.56 ,2.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,44372,CPT,Small bowel endoscopy,,,21 ,,RBRVS,4.40 ,2.12 ,2.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,44373,CPT,Small bowel endoscopy,,,21 ,,RBRVS,3.49 ,1.77 ,1.77 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,44376,CPT,Small bowel endoscopy,,,21 ,,RBRVS,5.25 ,2.47 ,2.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,44377,CPT,Small bowel endoscopy/biopsy,,,21 ,,RBRVS,5.52 ,2.76 ,2.76 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,44378,CPT,Small bowel endoscopy,,,21 ,,RBRVS,7.12 ,3.58 ,3.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,44379,CPT,S bowel endoscope w/stent,,,21 ,,RBRVS,7.46 ,3.93 ,3.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,44380,CPT,Small bowel endoscopy,,,21 ,,RBRVS,1.05 ,0.74 ,0.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,44382,CPT,Small bowel endoscopy,,,21 ,,RBRVS,1.27 ,0.84 ,0.84 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,44383,CPT,Ileoscopy w/stent,,,21 ,,RBRVS,2.94 ,1.61 ,1.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,44385,CPT,Endoscopy of bowel pouch,,,21 ,,RBRVS,1.82 ,0.89 ,4.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,44386,CPT,"Endoscopy, bowel pouch/biop",,,21 ,,RBRVS,2.12 ,1.02 ,6.65 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,44388,CPT,Colonoscopy,,,21 ,,RBRVS,2.82 ,1.35 ,6.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,44389,CPT,Colonoscopy with biopsy,,,21 ,,RBRVS,3.13 ,1.58 ,7.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,44390,CPT,Colonoscopy for foreign body,,,21 ,,RBRVS,3.82 ,1.92 ,8.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,44391,CPT,Colonoscopy for bleeding,,,21 ,,RBRVS,4.31 ,2.22 ,8.94 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,44392,CPT,Colonoscopy & polypectomy,,,21 ,,RBRVS,3.81 ,1.72 ,7.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,44393,CPT,"Colonoscopy, lesion removal",,,21 ,,RBRVS,4.83 ,2.13 ,8.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,44394,CPT,Colonoscopy w/snare,,,21 ,,RBRVS,4.42 ,2.07 ,8.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,44397,CPT,Colonoscopy w/stent,,,21 ,,RBRVS,4.70 ,2.16 ,2.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,44500,CPT,"Intro, gastrointestinal tube",,,21 ,,RBRVS,0.49 ,0.17 ,0.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,44602,CPT,"Suture, small intestine",,,21 ,,RBRVS,24.64 ,7.62 ,7.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,44603,CPT,"Suture, small intestine",,,21 ,,RBRVS,28.03 ,8.97 ,8.97 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,44604,CPT,"Suture, large intestine",,,21 ,,RBRVS,18.06 ,6.07 ,6.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,44605,CPT,Repair of bowel lesion,,,21 ,,RBRVS,22.00 ,7.83 ,7.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,44615,CPT,Intestinal stricturoplasty,,,21 ,,RBRVS,18.08 ,6.54 ,6.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,44620,CPT,Repair bowel opening,,,21 ,,RBRVS,14.35 ,5.51 ,5.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,44625,CPT,Repair bowel opening,,,21 ,,RBRVS,17.20 ,6.15 ,6.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,44626,CPT,Repair bowel opening,,,21 ,,RBRVS,27.82 ,8.89 ,8.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,44640,CPT,Repair bowel-skin fistula,,,21 ,,RBRVS,24.12 ,8.02 ,8.02 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,44650,CPT,Repair bowel fistula,,,21 ,,RBRVS,25.04 ,8.31 ,8.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,44660,CPT,Repair bowel-bladder fistula,,,21 ,,RBRVS,23.83 ,9.76 ,9.76 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,44661,CPT,Repair bowel-bladder fistula,,,21 ,,RBRVS,27.27 ,9.40 ,9.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,44680,CPT,"Surgical revision, intestine",,,21 ,,RBRVS,17.88 ,6.69 ,6.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,44700,CPT,Suspend bowel w/prosthesis,,,21 ,,RBRVS,17.40 ,6.16 ,6.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,44701,CPT,Intraop colon lavage add-on,,,21 ,,RBRVS,3.10 ,0.76 ,0.76 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,44720,CPT,Prep donor intestine/venous,,,21 ,,RBRVS,5.00 ,1.27 ,1.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,44721,CPT,Prep donor intestine/artery,,,21 ,,RBRVS,7.00 ,1.78 ,1.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,44799,CPT,Unlisted procedure intestine,,,21 ,,TotalUnits,,,,6.84 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,44800,CPT,Excision of bowel pouch,,,21 ,,RBRVS,11.94 ,5.49 ,5.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,44820,CPT,Excision of mesentery lesion,,,21 ,,RBRVS,13.63 ,5.56 ,5.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,44850,CPT,Repair of mesentery,,,21 ,,RBRVS,12.03 ,5.01 ,5.01 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,44899,CPT,Bowel surgery procedure,,,21 ,,TotalUnits,,,,11.74 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,44900,CPT,"Drain app abscess, open",,,21 ,,RBRVS,12.44 ,5.03 ,5.03 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,44901,CPT,"Drain app abscess, percut",,,21 ,,RBRVS,3.37 ,1.20 ,19.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,44950,CPT,Appendectomy,,,21 ,,RBRVS,10.52 ,4.05 ,4.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,44955,CPT,Appendectomy add-on,,,21 ,,RBRVS,1.53 ,0.40 ,0.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,44960,CPT,Appendectomy,,,21 ,,RBRVS,14.39 ,5.40 ,5.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,44970,CPT,"Laparoscopy, appendectomy",,,21 ,,RBRVS,9.35 ,4.19 ,4.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,44979,CPT,"Laparoscope proc, app",,,21 ,,TotalUnits,,,,9.33 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,45000,CPT,Drainage of pelvic abscess,,,21 ,,RBRVS,6.20 ,3.57 ,3.57 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,45005,CPT,Drainage of rectal abscess,,,21 ,,RBRVS,2.00 ,1.59 ,3.99 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,45020,CPT,Drainage of rectal abscess,,,21 ,,RBRVS,8.43 ,4.55 ,4.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,45100,CPT,Biopsy of rectum,,,21 ,,RBRVS,3.96 ,2.81 ,2.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,45108,CPT,Removal of anorectal lesion,,,21 ,,RBRVS,5.04 ,3.10 ,3.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,45110,CPT,Removal of rectum,,,21 ,,RBRVS,30.57 ,11.86 ,11.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,45111,CPT,Partial removal of rectum,,,21 ,,RBRVS,17.89 ,7.00 ,7.00 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,45112,CPT,Removal of rectum,,,21 ,,RBRVS,33.05 ,10.31 ,10.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,45113,CPT,Partial proctectomy,,,21 ,,RBRVS,33.09 ,11.59 ,11.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,45114,CPT,Partial removal of rectum,,,21 ,,RBRVS,30.63 ,10.30 ,10.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,45116,CPT,Partial removal of rectum,,,21 ,,RBRVS,27.56 ,9.65 ,9.65 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,45119,CPT,Remove rectum w/reservoir,,,21 ,,RBRVS,33.35 ,11.54 ,11.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,45120,CPT,Removal of rectum,,,21 ,,RBRVS,26.25 ,9.27 ,9.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,45121,CPT,Removal of rectum and colon,,,21 ,,RBRVS,28.93 ,10.04 ,10.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,45123,CPT,Partial proctectomy,,,21 ,,RBRVS,18.70 ,6.94 ,6.94 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,45126,CPT,Pelvic exenteration,,,21 ,,RBRVS,48.89 ,17.89 ,17.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,45130,CPT,Excision of rectal prolapse,,,21 ,,RBRVS,18.37 ,6.67 ,6.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,45135,CPT,Excision of rectal prolapse,,,21 ,,RBRVS,22.15 ,8.61 ,8.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,45136,CPT,Excise ileoanal reservior,,,21 ,,RBRVS,30.63 ,11.96 ,11.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,45150,CPT,Excision of rectal stricture,,,21 ,,RBRVS,5.77 ,3.34 ,3.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,45160,CPT,Excision of rectal lesion,,,21 ,,RBRVS,16.17 ,6.44 ,6.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,45170,CPT,Excision of rectal lesion,,,21 ,,RBRVS,12.48 ,5.36 ,5.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,45190,CPT,"Destruction, rectal tumor",,,21 ,,RBRVS,10.29 ,5.52 ,5.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,45300,CPT,Proctosigmoidoscopy dx,,,21 ,,RBRVS,0.80 ,0.45 ,1.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,45303,CPT,Proctosigmoidoscopy dilate,,,21 ,,RBRVS,1.50 ,0.66 ,19.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,45305,CPT,Proctosigmoidoscopy w/bx,,,21 ,,RBRVS,1.25 ,0.59 ,3.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,45307,CPT,Proctosigmoidoscopy fb,,,21 ,,RBRVS,1.70 ,0.70 ,3.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,45308,CPT,Proctosigmoidoscopy removal,,,21 ,,RBRVS,1.40 ,0.63 ,3.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,45309,CPT,Proctosigmoidoscopy removal,,,21 ,,RBRVS,1.50 ,0.67 ,3.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,45315,CPT,Proctosigmoidoscopy removal,,,21 ,,RBRVS,1.80 ,0.88 ,3.82 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,45317,CPT,Proctosigmoidoscopy bleed,,,21 ,,RBRVS,2.00 ,0.77 ,3.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,45320,CPT,Proctosigmoidoscopy ablate,,,21 ,,RBRVS,1.78 ,0.80 ,3.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,45321,CPT,Proctosigmoidoscopy volvul,,,21 ,,RBRVS,1.75 ,0.86 ,0.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,45327,CPT,Proctosigmoidoscopy w/stent,,,21 ,,RBRVS,2.00 ,0.91 ,0.91 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,45330,CPT,Diagnostic sigmoidoscopy,,,21 ,,RBRVS,0.96 ,0.62 ,2.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,45331,CPT,Sigmoidoscopy and biopsy,,,21 ,,RBRVS,1.15 ,0.79 ,3.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,45332,CPT,Sigmoidoscopy w/fb removal,,,21 ,,RBRVS,1.79 ,0.99 ,5.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,45333,CPT,Sigmoidoscopy & polypectomy,,,21 ,,RBRVS,1.79 ,0.99 ,5.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,45334,CPT,Sigmoidoscopy for bleeding,,,21 ,,RBRVS,2.73 ,1.54 ,1.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,45335,CPT,Sigmoidoscopy w/submuc inj,,,21 ,,RBRVS,1.46 ,0.90 ,5.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,45337,CPT,Sigmoidoscopy & decompress,,,21 ,,RBRVS,2.36 ,1.25 ,1.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,45338,CPT,Sigmoidoscopy w/tumr remove,,,21 ,,RBRVS,2.34 ,1.28 ,5.91 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,45339,CPT,Sigmoidoscopy w/ablate tumr,,,21 ,,RBRVS,3.14 ,1.66 ,5.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,45340,CPT,Sig w/balloon dilation,,,21 ,,RBRVS,1.89 ,1.03 ,10.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,45341,CPT,Sigmoidoscopy w/ultrasound,,,21 ,,RBRVS,2.60 ,1.47 ,1.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,45342,CPT,Sigmoidoscopy w/us guide bx,,,21 ,,RBRVS,4.05 ,2.17 ,2.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,45345,CPT,Sigmoidoscopy w/stent,,,21 ,,RBRVS,2.92 ,1.50 ,1.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,45355,CPT,Surgical colonoscopy,,,21 ,,RBRVS,3.51 ,1.58 ,1.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,45378,CPT,Diagnostic colonoscopy,,,21 ,,RBRVS,3.69 ,1.82 ,6.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,45379,CPT,Colonoscopy w/fb removal,,,21 ,,RBRVS,4.68 ,2.17 ,8.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,45380,CPT,Colonoscopy and biopsy,,,21 ,,RBRVS,4.43 ,2.24 ,7.76 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,45381,CPT,"Colonoscopy, submucous inj",,,21 ,,RBRVS,4.19 ,2.16 ,7.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,45382,CPT,Colonoscopy/control bleeding,,,21 ,,RBRVS,5.68 ,2.89 ,10.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,45383,CPT,Lesion removal colonoscopy,,,21 ,,RBRVS,5.86 ,2.63 ,8.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,45384,CPT,Lesion remove colonoscopy,,,21 ,,RBRVS,4.69 ,2.18 ,7.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,45385,CPT,Lesion removal colonoscopy,,,21 ,,RBRVS,5.30 ,2.59 ,8.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,45386,CPT,Colonoscopy dilate stricture,,,21 ,,RBRVS,4.57 ,2.18 ,12.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,45387,CPT,Colonoscopy w/stent,,,21 ,,RBRVS,5.90 ,2.80 ,2.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,45391,CPT,Colonoscopy w/endoscope us,,,21 ,,RBRVS,5.09 ,2.60 ,2.60 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,45392,CPT,Colonoscopy w/endoscopic fnb,,,21 ,,RBRVS,6.54 ,3.21 ,3.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,45395,CPT,"Lap, removal of rectum",,,21 ,,RBRVS,32.79 ,12.96 ,12.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,45397,CPT,"Lap, remove rectum w/pouch",,,21 ,,RBRVS,36.29 ,13.40 ,13.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,45400,CPT,Laparoscopic proc,,,21 ,,RBRVS,19.31 ,7.08 ,7.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,45402,CPT,Lap proctopexy w/sig resect,,,21 ,,RBRVS,26.38 ,8.74 ,8.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,45499,CPT,"Laparoscope proc, rectum",,,21 ,,TotalUnits,,,,6.66 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,45500,CPT,Repair of rectum,,,21 ,,RBRVS,7.64 ,4.46 ,4.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,45505,CPT,Repair of rectum,,,21 ,,RBRVS,8.20 ,5.04 ,5.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,45520,CPT,Treatment of rectal prolapse,,,21 ,,RBRVS,0.55 ,0.38 ,2.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,45540,CPT,Correct rectal prolapse,,,21 ,,RBRVS,18.02 ,5.84 ,5.84 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,45541,CPT,Correct rectal prolapse,,,21 ,,RBRVS,14.72 ,6.59 ,6.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,45550,CPT,Repair rectum/remove sigmoid,,,21 ,,RBRVS,24.67 ,8.96 ,8.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,45560,CPT,Repair of rectocele,,,21 ,,RBRVS,11.42 ,5.52 ,5.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,45562,CPT,Exploration/repair of rectum,,,21 ,,RBRVS,17.82 ,8.11 ,8.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,45563,CPT,Exploration/repair of rectum,,,21 ,,RBRVS,26.22 ,10.76 ,10.76 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,45800,CPT,Repair rect/bladder fistula,,,21 ,,RBRVS,20.18 ,9.15 ,9.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,45805,CPT,Repair fistula w/colostomy,,,21 ,,RBRVS,23.19 ,9.93 ,9.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,45820,CPT,Repair rectourethral fistula,,,21 ,,RBRVS,20.24 ,9.10 ,9.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,45825,CPT,Repair fistula w/colostomy,,,21 ,,RBRVS,24.01 ,9.47 ,9.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,45900,CPT,Reduction of rectal prolapse,,,21 ,,RBRVS,2.96 ,1.66 ,1.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,45905,CPT,Dilation of anal sphincter,,,21 ,,RBRVS,2.32 ,1.60 ,1.60 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,45910,CPT,Dilation of rectal narrowing,,,21 ,,RBRVS,2.82 ,1.85 ,1.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,45915,CPT,Remove rectal obstruction,,,21 ,,RBRVS,3.16 ,2.02 ,4.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,45990,CPT,"Surg dx exam, anorectal",,,21 ,,RBRVS,1.80 ,0.72 ,0.72 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,45999,CPT,Rectum surgery procedure,,,21 ,,TotalUnits,,,,4.73 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,46020,CPT,Placement of seton,,,21 ,,RBRVS,2.94 ,2.35 ,3.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,46030,CPT,Removal of rectal marker,,,21 ,,RBRVS,1.24 ,0.81 ,1.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,46040,CPT,Incision of rectal abscess,,,21 ,,RBRVS,5.26 ,3.99 ,6.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,46045,CPT,Incision of rectal abscess,,,21 ,,RBRVS,5.79 ,3.94 ,3.94 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,46050,CPT,Incision of anal abscess,,,21 ,,RBRVS,1.21 ,0.98 ,3.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,46060,CPT,Incision of rectal abscess,,,21 ,,RBRVS,6.24 ,4.42 ,4.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,46070,CPT,Incision of anal septum,,,21 ,,RBRVS,2.74 ,2.35 ,2.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,46080,CPT,Incision of anal sphincter,,,21 ,,RBRVS,2.50 ,1.12 ,3.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,46083,CPT,Incise external hemorrhoid,,,21 ,,RBRVS,1.42 ,0.96 ,2.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,46200,CPT,Removal of anal fissure,,,21 ,,RBRVS,3.48 ,3.73 ,6.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,46210,CPT,Removal of anal crypt,,,21 ,,RBRVS,2.73 ,3.30 ,5.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,46211,CPT,Removal of anal crypts,,,21 ,,RBRVS,4.31 ,4.67 ,7.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,46220,CPT,Removal of anal tag,,,21 ,,RBRVS,1.58 ,1.10 ,3.02 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,46221,CPT,Ligation of hemorrhoid(s),,,21 ,,RBRVS,2.31 ,2.00 ,3.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,46230,CPT,Removal of anal tags,,,21 ,,RBRVS,2.59 ,1.33 ,3.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,46250,CPT,Hemorrhoidectomy,,,21 ,,RBRVS,4.17 ,2.83 ,5.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,46255,CPT,Hemorrhoidectomy,,,21 ,,RBRVS,4.88 ,3.07 ,6.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,46257,CPT,Remove hemorrhoids & fissure,,,21 ,,RBRVS,5.68 ,3.85 ,3.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,46258,CPT,Remove hemorrhoids & fistula,,,21 ,,RBRVS,6.28 ,3.96 ,3.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,46260,CPT,Hemorrhoidectomy,,,21 ,,RBRVS,6.65 ,4.07 ,4.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,46261,CPT,Remove hemorrhoids & fissure,,,21 ,,RBRVS,7.63 ,4.30 ,4.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,46262,CPT,Remove hemorrhoids & fistula,,,21 ,,RBRVS,7.80 ,4.66 ,4.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,46270,CPT,Removal of anal fistula,,,21 ,,RBRVS,4.81 ,3.92 ,6.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,46275,CPT,Removal of anal fistula,,,21 ,,RBRVS,5.31 ,3.97 ,6.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,46280,CPT,Removal of anal fistula,,,21 ,,RBRVS,6.28 ,4.27 ,4.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,46285,CPT,Removal of anal fistula,,,21 ,,RBRVS,5.31 ,3.96 ,6.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,46288,CPT,Repair anal fistula,,,21 ,,RBRVS,7.68 ,4.68 ,4.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,46320,CPT,Removal of hemorrhoid clot,,,21 ,,RBRVS,1.62 ,0.88 ,2.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,46500,CPT,Injection into hemorrhoid(s),,,21 ,,RBRVS,1.64 ,1.25 ,3.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,46505,CPT,Chemodenervation anal musc,,,21 ,,RBRVS,3.13 ,2.28 ,3.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,46600,CPT,Diagnostic anoscopy,,,21 ,,RBRVS,0.55 ,0.38 ,1.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,46604,CPT,Anoscopy and dilation,,,21 ,,RBRVS,1.03 ,0.51 ,12.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,46606,CPT,Anoscopy and biopsy,,,21 ,,RBRVS,1.20 ,0.58 ,3.88 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,46608,CPT,"Anoscopy, remove for body",,,21 ,,RBRVS,1.30 ,0.58 ,3.76 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,46610,CPT,"Anoscopy, remove lesion",,,21 ,,RBRVS,1.28 ,0.59 ,3.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,46611,CPT,Anoscopy,,,21 ,,RBRVS,1.30 ,0.57 ,2.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,46612,CPT,"Anoscopy, remove lesions",,,21 ,,RBRVS,1.50 ,0.72 ,4.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,46614,CPT,"Anoscopy, control bleeding",,,21 ,,RBRVS,1.00 ,0.52 ,1.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,46615,CPT,Anoscopy,,,21 ,,RBRVS,1.50 ,0.64 ,1.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,46700,CPT,Repair of anal stricture,,,21 ,,RBRVS,9.68 ,5.16 ,5.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,46705,CPT,Repair of anal stricture,,,21 ,,RBRVS,7.32 ,4.07 ,4.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,46706,CPT,Repr of anal fistula w/glue,,,21 ,,RBRVS,2.41 ,1.49 ,1.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,46710,CPT,Repr per/vag pouch sngl proc,,,21 ,,RBRVS,17.01 ,7.55 ,7.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,46712,CPT,Repr per/vag pouch dbl proc,,,21 ,,RBRVS,36.32 ,14.02 ,14.02 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,46715,CPT,Rep perf anoper fistu,,,21 ,,RBRVS,7.54 ,3.76 ,3.76 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,46716,CPT,Rep perf anoper/vestib fistu,,,21 ,,RBRVS,17.14 ,9.60 ,9.60 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,46730,CPT,Construction of absent anus,,,21 ,,RBRVS,30.17 ,12.50 ,12.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,46735,CPT,Construction of absent anus,,,21 ,,RBRVS,35.66 ,15.02 ,15.02 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,46740,CPT,Construction of absent anus,,,21 ,,RBRVS,33.42 ,15.30 ,15.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,46742,CPT,Repair of imperforated anus,,,21 ,,RBRVS,39.66 ,13.76 ,13.76 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,46744,CPT,Repair of cloacal anomaly,,,21 ,,RBRVS,58.46 ,18.15 ,18.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,46746,CPT,Repair of cloacal anomaly,,,21 ,,RBRVS,64.93 ,19.69 ,19.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,46748,CPT,Repair of cloacal anomaly,,,21 ,,RBRVS,70.91 ,21.06 ,21.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,46750,CPT,Repair of anal sphincter,,,21 ,,RBRVS,12.02 ,5.77 ,5.77 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,46751,CPT,Repair of anal sphincter,,,21 ,,RBRVS,9.19 ,5.02 ,5.02 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,46753,CPT,Reconstruction of anus,,,21 ,,RBRVS,8.81 ,4.59 ,4.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,46754,CPT,Removal of suture from anus,,,21 ,,RBRVS,2.88 ,2.21 ,3.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,46760,CPT,Repair of anal sphincter,,,21 ,,RBRVS,17.21 ,8.06 ,8.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,46761,CPT,Repair of anal sphincter,,,21 ,,RBRVS,15.16 ,6.47 ,6.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,46762,CPT,Implant artificial sphincter,,,21 ,,RBRVS,14.66 ,7.08 ,7.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,46900,CPT,"Destruction, anal lesion(s)",,,21 ,,RBRVS,1.91 ,1.31 ,3.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,46910,CPT,"Destruction, anal lesion(s)",,,21 ,,RBRVS,1.88 ,1.20 ,3.88 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,46916,CPT,"Cryosurgery, anal lesion(s)",,,21 ,,RBRVS,1.88 ,1.58 ,3.77 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,46917,CPT,"Laser surgery, anal lesions",,,21 ,,RBRVS,1.88 ,1.22 ,8.79 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,46922,CPT,Excision of anal lesion(s),,,21 ,,RBRVS,1.88 ,1.20 ,4.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,46924,CPT,"Destruction, anal lesion(s)",,,21 ,,RBRVS,2.78 ,1.52 ,9.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,46930,CPT,Destroy internal hemorrhoids,,,21 ,,RBRVS,1.56 ,1.79 ,3.02 ,,,$0.00,$0.00,1,1,1,1,1,1,20091001,,46937,CPT,Cryotherapy of rectal lesion,,,21 ,,RBRVS,2.70 ,1.43 ,3.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,46938,CPT,Cryotherapy of rectal lesion,,,21 ,,RBRVS,4.70 ,3.55 ,5.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,46940,CPT,Treatment of anal fissure,,,21 ,,RBRVS,2.33 ,1.04 ,2.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,46942,CPT,Treatment of anal fissure,,,21 ,,RBRVS,2.05 ,0.96 ,2.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,46945,CPT,Ligation of hemorrhoids,,,21 ,,RBRVS,2.13 ,2.98 ,4.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,46946,CPT,Ligation of hemorrhoids,,,21 ,,RBRVS,2.60 ,2.65 ,4.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,46947,CPT,Hemorrhoidopexy by stapling,,,21 ,,RBRVS,5.49 ,3.11 ,3.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,46999,CPT,Anus surgery procedure,,,21 ,,TotalUnits,,,,10.32 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,47000,CPT,Needle biopsy of liver,,,21 ,,RBRVS,1.90 ,0.70 ,7.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,47001,CPT,"Needle biopsy, liver add-on",,,21 ,,RBRVS,1.90 ,0.48 ,0.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,47010,CPT,"Open drainage, liver lesion",,,21 ,,RBRVS,19.27 ,8.32 ,8.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,47011,CPT,"Percut drain, liver lesion",,,21 ,,RBRVS,3.69 ,1.32 ,1.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,47015,CPT,Inject/aspirate liver cyst,,,21 ,,RBRVS,18.37 ,8.17 ,8.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,47100,CPT,Wedge biopsy of liver,,,21 ,,RBRVS,12.78 ,6.32 ,6.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,47120,CPT,Partial removal of liver,,,21 ,,RBRVS,38.82 ,14.08 ,14.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,47122,CPT,Extensive removal of liver,,,21 ,,RBRVS,59.35 ,18.76 ,18.76 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,47125,CPT,Partial removal of liver,,,21 ,,RBRVS,52.91 ,17.18 ,17.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,47130,CPT,Partial removal of liver,,,21 ,,RBRVS,57.06 ,18.12 ,18.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,47135,CPT,Transplantation of liver,,,21 ,,RBRVS,83.29 ,27.76 ,27.76 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,47136,CPT,Transplantation of liver,,,21 ,,RBRVS,70.39 ,24.56 ,24.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,47140,CPT,"Partial removal, donor liver",,,21 ,,RBRVS,59.22 ,21.63 ,21.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,47141,CPT,"Partial removal, donor liver",,,21 ,,RBRVS,71.27 ,25.36 ,25.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,47142,CPT,"Partial removal, donor liver",,,21 ,,RBRVS,79.21 ,27.37 ,27.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,47143,CPT,"Prep donor liver, whole",,,14 ,,TotalUnits,,,,15.55 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,47146,CPT,Prep donor liver/venous,,,21 ,,RBRVS,6.00 ,1.52 ,1.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,47147,CPT,Prep donor liver/arterial,,,21 ,,RBRVS,7.00 ,1.77 ,1.77 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,47300,CPT,Surgery for liver lesion,,,21 ,,RBRVS,18.01 ,7.75 ,7.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,47350,CPT,Repair liver wound,,,21 ,,RBRVS,22.36 ,8.78 ,8.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,47360,CPT,Repair liver wound,,,21 ,,RBRVS,31.18 ,11.25 ,11.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,47361,CPT,Repair liver wound,,,21 ,,RBRVS,52.47 ,17.40 ,17.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,47362,CPT,Repair liver wound,,,21 ,,RBRVS,23.41 ,9.31 ,9.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,47370,CPT,Laparo ablate liver tumor rf,,,21 ,,RBRVS,20.67 ,7.70 ,7.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,47371,CPT,Laparo ablate liver cryosurg,,,21 ,,RBRVS,20.67 ,7.90 ,7.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,47379,CPT,"Laparoscope procedure, liver",,,21 ,,TotalUnits,,,,11.05 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,47380,CPT,Open ablate liver tumor rf,,,21 ,,RBRVS,24.43 ,8.61 ,8.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,47381,CPT,Open ablate liver tumor cryo,,,21 ,,RBRVS,24.72 ,9.32 ,9.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,47382,CPT,Percut ablate liver rf,,,21 ,,RBRVS,15.19 ,6.21 ,6.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,47399,CPT,Liver surgery procedure,,,21 ,,TotalUnits,,,,10.84 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,47400,CPT,Incision of liver duct,,,21 ,,RBRVS,36.23 ,13.02 ,13.02 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,47420,CPT,Incision of bile duct,,,21 ,,RBRVS,21.92 ,8.55 ,8.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,47425,CPT,Incision of bile duct,,,21 ,,RBRVS,22.20 ,8.65 ,8.65 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,47460,CPT,Incise bile duct sphincter,,,21 ,,RBRVS,20.41 ,9.14 ,9.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,47480,CPT,Incision of gallbladder,,,21 ,,RBRVS,13.12 ,6.64 ,6.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,47490,CPT,Incision of gallbladder,,,21 ,,RBRVS,8.05 ,5.30 ,5.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,47500,CPT,Injection for liver x-rays,,,21 ,,RBRVS,1.96 ,0.71 ,0.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,47505,CPT,Injection for liver x-rays,,,21 ,,RBRVS,0.76 ,0.27 ,0.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,47510,CPT,"Insert catheter, bile duct",,,21 ,,RBRVS,7.94 ,4.63 ,4.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,47511,CPT,Insert bile duct drain,,,21 ,,RBRVS,10.74 ,5.05 ,5.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,47525,CPT,Change bile duct catheter,,,21 ,,RBRVS,5.55 ,2.69 ,14.87 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,47530,CPT,Revise/reinsert bile tube,,,21 ,,RBRVS,5.96 ,3.45 ,30.60 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,47550,CPT,Bile duct endoscopy add-on,,,21 ,,RBRVS,3.02 ,0.78 ,0.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,47552,CPT,Biliary endoscopy thru skin,,,21 ,,RBRVS,6.03 ,2.48 ,2.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,47553,CPT,Biliary endoscopy thru skin,,,21 ,,RBRVS,6.34 ,2.25 ,2.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,47554,CPT,Biliary endoscopy thru skin,,,21 ,,RBRVS,9.05 ,3.30 ,3.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,47555,CPT,Biliary endoscopy thru skin,,,21 ,,RBRVS,7.55 ,2.75 ,2.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,47556,CPT,Biliary endoscopy thru skin,,,21 ,,RBRVS,8.55 ,3.09 ,3.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,47560,CPT,Laparoscopy w/cholangio,,,21 ,,RBRVS,4.88 ,1.24 ,1.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,47561,CPT,Laparo w/cholangio/biopsy,,,21 ,,RBRVS,5.17 ,1.58 ,1.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,47562,CPT,Laparoscopic cholecystectomy,,,21 ,,RBRVS,11.63 ,5.27 ,5.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,47563,CPT,Laparo cholecystectomy/graph,,,21 ,,RBRVS,12.03 ,5.07 ,5.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,47564,CPT,Laparo cholecystectomy/explr,,,21 ,,RBRVS,14.21 ,5.42 ,5.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,47570,CPT,Laparo cholecystoenterostomy,,,21 ,,RBRVS,12.56 ,4.97 ,4.97 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,47579,CPT,"Laparoscope proc, biliary",,,21 ,,TotalUnits,,,,10.54 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,47600,CPT,Removal of gallbladder,,,21 ,,RBRVS,17.35 ,7.22 ,7.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,47605,CPT,Removal of gallbladder,,,21 ,,RBRVS,15.90 ,6.39 ,6.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,47610,CPT,Removal of gallbladder,,,21 ,,RBRVS,20.84 ,7.66 ,7.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,47612,CPT,Removal of gallbladder,,,21 ,,RBRVS,21.13 ,7.68 ,7.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,47620,CPT,Removal of gallbladder,,,21 ,,RBRVS,22.99 ,8.16 ,8.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,47630,CPT,Remove bile duct stone,,,21 ,,RBRVS,9.57 ,4.73 ,4.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,47700,CPT,Exploration of bile ducts,,,21 ,,RBRVS,16.39 ,7.31 ,7.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,47701,CPT,Bile duct revision,,,21 ,,RBRVS,28.62 ,10.65 ,10.65 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,47711,CPT,Excision of bile duct tumor,,,21 ,,RBRVS,25.77 ,9.65 ,9.65 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,47712,CPT,Excision of bile duct tumor,,,21 ,,RBRVS,33.59 ,11.66 ,11.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,47715,CPT,Excision of bile duct cyst,,,21 ,,RBRVS,21.42 ,8.61 ,8.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,47720,CPT,Fuse gallbladder & bowel,,,21 ,,RBRVS,18.21 ,7.71 ,7.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,47721,CPT,Fuse upper gi structures,,,21 ,,RBRVS,21.86 ,8.55 ,8.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,47740,CPT,Fuse gallbladder & bowel,,,21 ,,RBRVS,21.10 ,8.34 ,8.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,47741,CPT,Fuse gallbladder & bowel,,,21 ,,RBRVS,24.08 ,9.26 ,9.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,47760,CPT,Fuse bile ducts and bowel,,,21 ,,RBRVS,38.14 ,13.05 ,13.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,47765,CPT,Fuse liver ducts & bowel,,,21 ,,RBRVS,52.01 ,16.96 ,16.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,47780,CPT,Fuse bile ducts and bowel,,,21 ,,RBRVS,42.14 ,14.13 ,14.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,47785,CPT,Fuse bile ducts and bowel,,,21 ,,RBRVS,56.01 ,17.86 ,17.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,47800,CPT,Reconstruction of bile ducts,,,21 ,,RBRVS,26.04 ,9.78 ,9.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,47801,CPT,"Placement, bile duct support",,,21 ,,RBRVS,17.47 ,8.44 ,8.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,47802,CPT,Fuse liver duct & intestine,,,21 ,,RBRVS,24.80 ,9.69 ,9.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,47900,CPT,Suture bile duct injury,,,21 ,,RBRVS,22.31 ,8.86 ,8.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,47999,CPT,Bile tract surgery procedure,,,21 ,,TotalUnits,,,,10.48 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,48000,CPT,Drainage of abdomen,,,21 ,,RBRVS,31.82 ,10.87 ,10.87 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,48001,CPT,"Placement of drain, pancreas",,,21 ,,RBRVS,39.56 ,12.77 ,12.77 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,48020,CPT,Removal of pancreatic stone,,,21 ,,RBRVS,18.96 ,7.60 ,7.60 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,48100,CPT,"Biopsy of pancreas, open",,,21 ,,RBRVS,14.38 ,5.96 ,5.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,48102,CPT,"Needle biopsy, pancreas",,,21 ,,RBRVS,4.68 ,1.91 ,9.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,48105,CPT,Resect/debride pancreas,,,21 ,,RBRVS,49.05 ,15.78 ,15.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,48120,CPT,Removal of pancreas lesion,,,21 ,,RBRVS,18.33 ,6.86 ,6.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,48140,CPT,Partial removal of pancreas,,,21 ,,RBRVS,26.19 ,9.38 ,9.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,48145,CPT,Partial removal of pancreas,,,21 ,,RBRVS,27.26 ,9.56 ,9.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,48146,CPT,Pancreatectomy,,,21 ,,RBRVS,30.42 ,11.94 ,11.94 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,48148,CPT,Removal of pancreatic duct,,,21 ,,RBRVS,20.26 ,8.21 ,8.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,48150,CPT,Partial removal of pancreas,,,21 ,,RBRVS,52.63 ,18.03 ,18.03 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,48152,CPT,Pancreatectomy,,,21 ,,RBRVS,48.47 ,16.84 ,16.84 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,48153,CPT,Pancreatectomy,,,21 ,,RBRVS,52.61 ,17.92 ,17.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,48154,CPT,Pancreatectomy,,,21 ,,RBRVS,48.70 ,17.07 ,17.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,48155,CPT,Removal of pancreas,,,21 ,,RBRVS,29.27 ,11.97 ,11.97 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,48160,CPT,Pancreas removal/transplant,,,21 ,,TotalUnits,,,,42.09 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,48400,CPT,"Injection, intraop add-on",,,21 ,,RBRVS,1.95 ,0.66 ,0.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,48500,CPT,Surgery of pancreatic cyst,,,21 ,,RBRVS,18.03 ,7.67 ,7.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,48510,CPT,Drain pancreatic pseudocyst,,,21 ,,RBRVS,17.06 ,7.61 ,7.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,48511,CPT,Drain pancreatic pseudocyst,,,21 ,,RBRVS,3.99 ,1.43 ,20.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,48520,CPT,Fuse pancreas cyst and bowel,,,21 ,,RBRVS,18.07 ,6.83 ,6.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,48540,CPT,Fuse pancreas cyst and bowel,,,21 ,,RBRVS,21.86 ,7.80 ,7.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,48545,CPT,Pancreatorrhaphy,,,21 ,,RBRVS,22.10 ,8.42 ,8.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,48547,CPT,Duodenal exclusion,,,21 ,,RBRVS,30.25 ,10.29 ,10.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,48548,CPT,Fuse pancreas and bowel,,,21 ,,RBRVS,27.96 ,9.89 ,9.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,48552,CPT,Prep donor pancreas/venous,,,21 ,,RBRVS,4.30 ,1.14 ,1.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,48554,CPT,Transpl allograft pancreas,,,21 ,,RBRVS,37.03 ,20.53 ,20.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,48556,CPT,"Removal, allograft pancreas",,,21 ,,RBRVS,19.24 ,9.23 ,9.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,48999,CPT,Pancreas surgery procedure,,,21 ,,TotalUnits,,,,15.74 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,49000,CPT,Exploration of abdomen,,,21 ,,RBRVS,12.44 ,5.21 ,5.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,49002,CPT,Reopening of abdomen,,,21 ,,RBRVS,17.55 ,6.39 ,6.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,49010,CPT,Exploration behind abdomen,,,21 ,,RBRVS,15.98 ,6.20 ,6.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,49020,CPT,Drain abdominal abscess,,,21 ,,RBRVS,26.46 ,9.89 ,9.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,49021,CPT,Drain abdominal abscess,,,21 ,,RBRVS,3.37 ,1.21 ,19.65 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,49040,CPT,"Drain, open, abdom abscess",,,21 ,,RBRVS,16.41 ,6.52 ,6.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,49041,CPT,"Drain, percut, abdom abscess",,,21 ,,RBRVS,3.99 ,1.43 ,19.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,49060,CPT,"Drain, open, retrop abscess",,,21 ,,RBRVS,18.42 ,7.25 ,7.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,49061,CPT,"Drain, percut, retroper absc",,,21 ,,RBRVS,3.69 ,1.33 ,19.76 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,49062,CPT,Drain to peritoneal cavity,,,21 ,,RBRVS,12.12 ,5.12 ,5.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,49080,CPT,"Puncture, peritoneal cavity",,,21 ,,RBRVS,1.35 ,0.48 ,2.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,49081,CPT,Removal of abdominal fluid,,,21 ,,RBRVS,1.26 ,0.47 ,2.94 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,49180,CPT,"Biopsy, abdominal mass",,,21 ,,RBRVS,1.73 ,0.62 ,2.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,49203,CPT,Exc abd tum 5 cm or less,,,21 ,,RBRVS,20.00 ,7.66 ,7.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,49204,CPT,Exc abd tum over 5 cm,,,21 ,,RBRVS,26.00 ,9.27 ,9.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,49205,CPT,Exc abd tum over 10 cm,,,21 ,,RBRVS,30.00 ,10.35 ,10.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,49215,CPT,Excise sacral spine tumor,,,21 ,,RBRVS,37.66 ,12.69 ,12.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,49220,CPT,"Multiple surgery, abdomen",,,21 ,,RBRVS,15.70 ,6.46 ,6.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,49250,CPT,Excision of umbilicus,,,21 ,,RBRVS,8.93 ,4.34 ,4.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,49255,CPT,Removal of omentum,,,21 ,,RBRVS,12.41 ,5.63 ,5.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,49320,CPT,Diag laparo separate proc,,,21 ,,RBRVS,5.09 ,2.44 ,2.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,49321,CPT,"Laparoscopy, biopsy",,,21 ,,RBRVS,5.39 ,2.56 ,2.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,49322,CPT,"Laparoscopy, aspiration",,,21 ,,RBRVS,5.96 ,2.63 ,2.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,49323,CPT,Laparo drain lymphocele,,,21 ,,RBRVS,10.13 ,4.69 ,4.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,49324,CPT,Lap insertion perm ip cath,,,21 ,,RBRVS,6.27 ,2.79 ,2.79 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,49325,CPT,Lap revision perm ip cath,,,21 ,,RBRVS,6.77 ,2.91 ,2.91 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,49326,CPT,Lap w/omentopexy add-on,,,21 ,,RBRVS,3.50 ,0.92 ,0.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,49329,CPT,"Laparo proc, abdm/per/oment",,,21 ,,TotalUnits,,,,16.95 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,49400,CPT,Air injection into abdomen,,,21 ,,RBRVS,1.88 ,0.62 ,2.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,49402,CPT,"Remove foreign body, adbomen",,,21 ,,RBRVS,14.01 ,5.52 ,5.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,49419,CPT,Insrt abdom cath for chemotx,,,21 ,,RBRVS,7.03 ,3.43 ,3.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,49420,CPT,"Insert abdom drain, temp",,,21 ,,RBRVS,2.22 ,1.18 ,1.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,49421,CPT,"Insert abdom drain, perm",,,21 ,,RBRVS,5.87 ,3.12 ,3.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,49422,CPT,Remove perm cannula/catheter,,,21 ,,RBRVS,6.26 ,2.61 ,2.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,49423,CPT,Exchange drainage catheter,,,21 ,,RBRVS,1.46 ,0.56 ,13.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,49424,CPT,"Assess cyst, contrast inject",,,21 ,,RBRVS,0.76 ,0.30 ,3.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,49425,CPT,Insert abdomen-venous drain,,,21 ,,RBRVS,12.13 ,5.29 ,5.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,49426,CPT,Revise abdomen-venous shunt,,,21 ,,RBRVS,10.33 ,4.56 ,4.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,49427,CPT,"Injection, abdominal shunt",,,21 ,,RBRVS,0.89 ,0.32 ,0.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,49428,CPT,Ligation of shunt,,,21 ,,RBRVS,6.79 ,3.00 ,3.00 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,49429,CPT,Removal of shunt,,,21 ,,RBRVS,7.41 ,2.99 ,2.99 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,49435,CPT,Insert subq exten to ip cath,,,21 ,,RBRVS,2.25 ,0.62 ,0.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,49436,CPT,Embedded ip cath exit-site,,,21 ,,RBRVS,2.69 ,1.66 ,1.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,49440,CPT,Place gastrostomy tube perc,,,21 ,,RBRVS,4.18 ,1.81 ,25.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,49441,CPT,Place duod/jej tube perc,,,21 ,,RBRVS,4.77 ,2.01 ,30.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,49442,CPT,Place cecostomy tube perc,,,21 ,,RBRVS,4.00 ,1.63 ,24.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,49446,CPT,Change g-tube to g-j perc,,,21 ,,RBRVS,3.31 ,1.15 ,25.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,49450,CPT,Replace g/c tube perc,,,21 ,,RBRVS,1.36 ,0.44 ,18.97 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,49451,CPT,Replace duod/jej tube perc,,,21 ,,RBRVS,1.84 ,0.64 ,19.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,49452,CPT,Replace g-j tube perc,,,21 ,,RBRVS,2.86 ,1.00 ,23.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,49460,CPT,Fix g/colon tube w/device,,,21 ,,RBRVS,0.96 ,0.31 ,20.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,49465,CPT,Fluoro exam of g/colon tube,,,21 ,,RBRVS,0.62 ,0.22 ,3.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,49491,CPT,Rpr hern preemie reduc,,,21 ,,RBRVS,12.42 ,4.62 ,4.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,49492,CPT,"Rpr ing hern premie, blocked",,,21 ,,RBRVS,15.32 ,6.23 ,6.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,49495,CPT,"Rpr ing hernia baby, reduc",,,21 ,,RBRVS,6.15 ,3.06 ,3.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,49496,CPT,"Rpr ing hernia baby, blocked",,,21 ,,RBRVS,9.32 ,4.45 ,4.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,49500,CPT,"Rpr ing hernia, init, reduce",,,21 ,,RBRVS,5.76 ,3.65 ,3.65 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,49501,CPT,"Rpr ing hernia, init blocked",,,21 ,,RBRVS,9.28 ,4.27 ,4.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,49505,CPT,Prp i/hern init reduc >5 yr,,,21 ,,RBRVS,7.88 ,3.88 ,3.88 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,49507,CPT,Prp i/hern init block >5 yr,,,21 ,,RBRVS,9.97 ,4.45 ,4.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,49520,CPT,"Rerepair ing hernia, reduce",,,21 ,,RBRVS,9.91 ,4.38 ,4.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,49521,CPT,"Rerepair ing hernia, blocked",,,21 ,,RBRVS,12.36 ,4.98 ,4.98 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,49525,CPT,"Repair ing hernia, sliding",,,21 ,,RBRVS,8.85 ,4.12 ,4.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,49540,CPT,Repair lumbar hernia,,,21 ,,RBRVS,10.66 ,4.58 ,4.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,49550,CPT,"Rpr rem hernia, init, reduce",,,21 ,,RBRVS,8.91 ,4.11 ,4.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,49553,CPT,"Rpr fem hernia, init blocked",,,21 ,,RBRVS,9.84 ,4.42 ,4.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,49555,CPT,"Rerepair fem hernia, reduce",,,21 ,,RBRVS,9.31 ,4.20 ,4.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,49557,CPT,"Rerepair fem hernia, blocked",,,21 ,,RBRVS,11.54 ,4.83 ,4.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,49560,CPT,"Rpr ventral hern init, reduc",,,21 ,,RBRVS,11.84 ,4.88 ,4.88 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,49561,CPT,"Rpr ventral hern init, block",,,21 ,,RBRVS,15.30 ,5.80 ,5.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,49565,CPT,"Rerepair ventrl hern, reduce",,,21 ,,RBRVS,12.29 ,5.08 ,5.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,49566,CPT,"Rerepair ventrl hern, block",,,21 ,,RBRVS,15.45 ,5.85 ,5.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,49568,CPT,Hernia repair w/mesh,,,21 ,,RBRVS,4.88 ,1.24 ,1.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,49570,CPT,"Rpr epigastric hern, reduce",,,21 ,,RBRVS,5.97 ,3.38 ,3.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,49572,CPT,"Rpr epigastric hern, blocked",,,21 ,,RBRVS,7.79 ,3.83 ,3.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,49580,CPT,"Rpr umbil hern, reduc < 5 yr",,,21 ,,RBRVS,4.39 ,2.95 ,2.95 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,49582,CPT,"Rpr umbil hern, block < 5 yr",,,21 ,,RBRVS,7.05 ,3.69 ,3.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,49585,CPT,"Rpr umbil hern, reduc > 5 yr",,,21 ,,RBRVS,6.51 ,3.51 ,3.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,49587,CPT,"Rpr umbil hern, block > 5 yr",,,21 ,,RBRVS,7.96 ,3.86 ,3.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,49590,CPT,Repair spigelian hernia,,,21 ,,RBRVS,8.82 ,4.09 ,4.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,49600,CPT,Repair umbilical lesion,,,21 ,,RBRVS,11.47 ,5.38 ,5.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,49605,CPT,Repair umbilical lesion,,,21 ,,RBRVS,86.85 ,27.59 ,27.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,49606,CPT,Repair umbilical lesion,,,21 ,,RBRVS,18.92 ,6.78 ,6.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,49610,CPT,Repair umbilical lesion,,,21 ,,RBRVS,10.83 ,5.29 ,5.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,49611,CPT,Repair umbilical lesion,,,21 ,,RBRVS,9.26 ,4.21 ,4.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,49650,CPT,Lap ing hernia repair init,,,21 ,,RBRVS,6.30 ,3.35 ,3.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,49651,CPT,Lap ing hernia repair recur,,,21 ,,RBRVS,8.29 ,4.23 ,4.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,49652,CPT,Lap vent/abd hernia repair,,,21 ,,RBRVS,12.80 ,5.43 ,5.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,49653,CPT,Lap vent/abd hern proc comp,,,21 ,,RBRVS,16.10 ,6.71 ,6.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,49654,CPT,Lap inc hernia repair,,,21 ,,RBRVS,14.95 ,6.02 ,6.02 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,49655,CPT,Lap inc hern repair comp,,,21 ,,RBRVS,18.00 ,7.23 ,7.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,49656,CPT,Lap inc hernia repair recur,,,21 ,,RBRVS,15.00 ,6.03 ,6.03 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,49657,CPT,Lap inc hern recur comp,,,21 ,,RBRVS,22.00 ,8.32 ,8.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,49659,CPT,"Laparo proc, hernia repair",,,21 ,,TotalUnits,,,,23.52 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,49900,CPT,Repair of abdominal wall,,,21 ,,RBRVS,12.26 ,6.29 ,6.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,49904,CPT,"Omental flap, extra-abdom",,,21 ,,RBRVS,22.16 ,11.89 ,11.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,49905,CPT,"Omental flap, intra-abdom",,,21 ,,RBRVS,6.54 ,1.69 ,1.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,49999,CPT,Abdomen surgery procedure,,,21 ,,TotalUnits,,,,11.25 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,50010,CPT,Exploration of kidney,,,21 ,,RBRVS,12.13 ,6.73 ,6.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,50020,CPT,"Renal abscess, open drain",,,21 ,,RBRVS,17.88 ,8.49 ,8.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,50021,CPT,"Renal abscess, percut drain",,,21 ,,RBRVS,3.37 ,1.22 ,21.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,50040,CPT,Drainage of kidney,,,21 ,,RBRVS,16.48 ,8.83 ,8.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,50045,CPT,Exploration of kidney,,,21 ,,RBRVS,16.67 ,8.15 ,8.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,50060,CPT,Removal of kidney stone,,,21 ,,RBRVS,20.80 ,10.83 ,10.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,50065,CPT,Incision of kidney,,,21 ,,RBRVS,22.17 ,11.53 ,11.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,50070,CPT,Incision of kidney,,,21 ,,RBRVS,21.70 ,11.34 ,11.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,50075,CPT,Removal of kidney stone,,,21 ,,RBRVS,26.91 ,13.51 ,13.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,50080,CPT,Removal of kidney stone,,,21 ,,RBRVS,15.61 ,8.56 ,8.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,50081,CPT,Removal of kidney stone,,,21 ,,RBRVS,23.32 ,12.18 ,12.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,50100,CPT,Revise kidney blood vessels,,,21 ,,RBRVS,17.30 ,6.52 ,6.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,50120,CPT,Exploration of kidney,,,21 ,,RBRVS,17.06 ,9.12 ,9.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,50125,CPT,Explore and drain kidney,,,21 ,,RBRVS,17.67 ,9.72 ,9.72 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,50130,CPT,Removal of kidney stone,,,21 ,,RBRVS,18.67 ,10.06 ,10.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,50135,CPT,Exploration of kidney,,,21 ,,RBRVS,20.44 ,10.70 ,10.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,50200,CPT,Biopsy of kidney,,,21 ,,RBRVS,2.63 ,1.19 ,1.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,50205,CPT,Biopsy of kidney,,,21 ,,RBRVS,12.19 ,5.51 ,5.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,50220,CPT,"Remove kidney, open",,,21 ,,RBRVS,18.53 ,9.52 ,9.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,50225,CPT,"Removal kidney open, complex",,,21 ,,RBRVS,21.73 ,11.02 ,11.02 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,50230,CPT,"Removal kidney open, radical",,,21 ,,RBRVS,23.68 ,11.65 ,11.65 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,50234,CPT,Removal of kidney & ureter,,,21 ,,RBRVS,23.90 ,12.04 ,12.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,50236,CPT,Removal of kidney & ureter,,,21 ,,RBRVS,26.74 ,13.92 ,13.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,50240,CPT,Partial removal of kidney,,,21 ,,RBRVS,24.01 ,12.61 ,12.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,50250,CPT,Cryoablate renal mass open,,,21 ,,RBRVS,22.06 ,11.49 ,11.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,50280,CPT,Removal of kidney lesion,,,21 ,,RBRVS,16.94 ,9.07 ,9.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,50290,CPT,Removal of kidney lesion,,,21 ,,RBRVS,16.00 ,7.74 ,7.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,50300,CPT,Remove cadaver donor kidney,,,21 ,,TotalUnits,,,,23.05 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,50320,CPT,"Remove kidney, living donor",,,21 ,,RBRVS,22.28 ,12.31 ,12.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,50323,CPT,Prep cadaver renal allograft,,,14 ,,TotalUnits,,,,7.07 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,50325,CPT,Prep donor renal graft,,,14 ,,TotalUnits,,,,8.64 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,50327,CPT,Prep renal graft/venous,,,21 ,,RBRVS,4.00 ,1.10 ,1.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,50328,CPT,Prep renal graft/arterial,,,21 ,,RBRVS,3.50 ,0.98 ,0.98 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,50329,CPT,Prep renal graft/ureteral,,,21 ,,RBRVS,3.34 ,1.05 ,1.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,50340,CPT,Removal of kidney,,,21 ,,RBRVS,13.86 ,7.81 ,7.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,50360,CPT,Transplantation of kidney,,,21 ,,RBRVS,40.45 ,18.68 ,18.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,50365,CPT,Transplantation of kidney,,,21 ,,RBRVS,45.68 ,19.42 ,19.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,50370,CPT,Remove transplanted kidney,,,21 ,,RBRVS,18.68 ,9.19 ,9.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,50380,CPT,Reimplantation of kidney,,,21 ,,RBRVS,29.66 ,16.21 ,16.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,50382,CPT,"Change ureter stent, percut",,,21 ,,RBRVS,5.50 ,2.05 ,26.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,50384,CPT,"Remove ureter stent, percut",,,21 ,,RBRVS,5.00 ,1.86 ,20.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,50385,CPT,Change stent via transureth,,,21 ,,RBRVS,4.44 ,2.05 ,30.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,50386,CPT,Remove stent via transureth,,,21 ,,RBRVS,3.30 ,1.61 ,19.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,50387,CPT,Change ext/int ureter stent,,,21 ,,RBRVS,2.00 ,0.73 ,12.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,50389,CPT,Remove renal tube w/fluoro,,,21 ,,RBRVS,1.10 ,0.40 ,6.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,50390,CPT,Drainage of kidney lesion,,,21 ,,RBRVS,1.96 ,0.71 ,0.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,50391,CPT,Instll rx agnt into rnal tub,,,21 ,,RBRVS,1.96 ,0.72 ,1.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,50392,CPT,Insert kidney drain,,,21 ,,RBRVS,3.37 ,1.52 ,1.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,50393,CPT,Insert ureteral tube,,,21 ,,RBRVS,4.15 ,1.80 ,1.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,50394,CPT,Injection for kidney x-ray,,,21 ,,RBRVS,0.76 ,0.58 ,1.87 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,50395,CPT,Create passage to kidney,,,21 ,,RBRVS,3.37 ,1.57 ,1.57 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,50396,CPT,Measure kidney pressure,,,21 ,,RBRVS,2.09 ,1.08 ,1.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,50398,CPT,Change kidney tube,,,21 ,,RBRVS,1.46 ,0.57 ,11.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,50400,CPT,Revision of kidney/ureter,,,21 ,,RBRVS,21.12 ,10.95 ,10.95 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,50405,CPT,Revision of kidney/ureter,,,21 ,,RBRVS,25.68 ,12.91 ,12.91 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,50500,CPT,Repair of kidney wound,,,21 ,,RBRVS,21.07 ,8.70 ,8.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,50520,CPT,Close kidney-skin fistula,,,21 ,,RBRVS,18.73 ,9.25 ,9.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,50525,CPT,Repair renal-abdomen fistula,,,21 ,,RBRVS,24.21 ,11.80 ,11.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,50526,CPT,Repair renal-abdomen fistula,,,21 ,,RBRVS,26.13 ,8.16 ,8.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,50540,CPT,Revision of horseshoe kidney,,,21 ,,RBRVS,20.95 ,10.62 ,10.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,50541,CPT,Laparo ablate renal cyst,,,21 ,,RBRVS,16.76 ,8.70 ,8.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,50542,CPT,Laparo ablate renal mass,,,21 ,,RBRVS,21.18 ,11.18 ,11.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,50543,CPT,Laparo partial nephrectomy,,,21 ,,RBRVS,27.18 ,14.10 ,14.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,50544,CPT,"Laparoscopy, pyeloplasty",,,21 ,,RBRVS,23.27 ,11.44 ,11.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,50545,CPT,Laparo radical nephrectomy,,,21 ,,RBRVS,24.93 ,12.15 ,12.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,50546,CPT,Laparoscopic nephrectomy,,,21 ,,RBRVS,21.69 ,11.29 ,11.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,50547,CPT,Laparo removal donor kidney,,,21 ,,RBRVS,26.24 ,12.48 ,12.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,50548,CPT,Laparo remove w/ureter,,,21 ,,RBRVS,25.26 ,12.12 ,12.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,50549,CPT,"Laparoscope proc, renal",,,21 ,,TotalUnits,,,,9.16 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,50551,CPT,Kidney endoscopy,,,21 ,,RBRVS,5.59 ,2.65 ,4.60 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,50553,CPT,Kidney endoscopy,,,21 ,,RBRVS,5.98 ,2.63 ,4.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,50555,CPT,Kidney endoscopy & biopsy,,,21 ,,RBRVS,6.52 ,3.02 ,5.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,50557,CPT,Kidney endoscopy & treatment,,,21 ,,RBRVS,6.61 ,3.07 ,5.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,50561,CPT,Kidney endoscopy & treatment,,,21 ,,RBRVS,7.58 ,3.41 ,5.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,50562,CPT,Renal scope w/tumor resect,,,21 ,,RBRVS,10.90 ,5.36 ,5.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,50570,CPT,Kidney endoscopy,,,21 ,,RBRVS,9.53 ,4.15 ,4.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,50572,CPT,Kidney endoscopy,,,21 ,,RBRVS,10.33 ,4.32 ,4.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,50574,CPT,Kidney endoscopy & biopsy,,,21 ,,RBRVS,11.00 ,4.79 ,4.79 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,50575,CPT,Kidney endoscopy,,,21 ,,RBRVS,13.96 ,5.96 ,5.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,50576,CPT,Kidney endoscopy & treatment,,,21 ,,RBRVS,10.97 ,4.78 ,4.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,50580,CPT,Kidney endoscopy & treatment,,,21 ,,RBRVS,11.84 ,5.10 ,5.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,50590,CPT,Fragmenting of kidney stone,,,21 ,,RBRVS,9.64 ,6.13 ,17.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,50592,CPT,Perc rf ablate renal tumor,,,21 ,,RBRVS,6.77 ,3.00 ,75.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,50593,CPT,Perc cryo ablate renal tum,,,21 ,,RBRVS,9.08 ,3.45 ,114.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,50600,CPT,Exploration of ureter,,,21 ,,RBRVS,17.04 ,8.51 ,8.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,50605,CPT,Insert ureteral support,,,21 ,,RBRVS,16.66 ,7.89 ,7.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,50610,CPT,Removal of ureter stone,,,21 ,,RBRVS,17.12 ,8.98 ,8.98 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,50620,CPT,Removal of ureter stone,,,21 ,,RBRVS,16.30 ,8.88 ,8.88 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,50630,CPT,Removal of ureter stone,,,21 ,,RBRVS,16.08 ,8.20 ,8.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,50650,CPT,Removal of ureter,,,21 ,,RBRVS,18.67 ,9.96 ,9.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,50660,CPT,Removal of ureter,,,21 ,,RBRVS,20.87 ,10.73 ,10.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,50684,CPT,Injection for ureter x-ray,,,21 ,,RBRVS,0.76 ,0.63 ,3.97 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,50686,CPT,Measure ureter pressure,,,21 ,,RBRVS,1.51 ,0.81 ,2.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,50688,CPT,Change of ureter tube/stent,,,21 ,,RBRVS,1.18 ,0.95 ,0.95 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,50690,CPT,Injection for ureter x-ray,,,21 ,,RBRVS,1.16 ,0.75 ,1.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,50700,CPT,Revision of ureter,,,21 ,,RBRVS,16.54 ,8.76 ,8.76 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,50715,CPT,Release of ureter,,,21 ,,RBRVS,20.49 ,8.54 ,8.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,50722,CPT,Release of ureter,,,21 ,,RBRVS,17.80 ,7.27 ,7.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,50725,CPT,Release/revise ureter,,,21 ,,RBRVS,20.05 ,8.82 ,8.82 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,50727,CPT,Revise ureter,,,21 ,,RBRVS,8.17 ,5.73 ,5.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,50728,CPT,Revise ureter,,,21 ,,RBRVS,12.00 ,6.75 ,6.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,50740,CPT,Fusion of ureter & kidney,,,21 ,,RBRVS,19.92 ,8.98 ,8.98 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,50750,CPT,Fusion of ureter & kidney,,,21 ,,RBRVS,21.07 ,11.08 ,11.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,50760,CPT,Fusion of ureters,,,21 ,,RBRVS,19.92 ,9.90 ,9.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,50770,CPT,Splicing of ureters,,,21 ,,RBRVS,21.07 ,10.88 ,10.88 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,50780,CPT,Reimplant ureter in bladder,,,21 ,,RBRVS,19.80 ,10.11 ,10.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,50782,CPT,Reimplant ureter in bladder,,,21 ,,RBRVS,19.51 ,9.89 ,9.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,50783,CPT,Reimplant ureter in bladder,,,21 ,,RBRVS,20.52 ,10.12 ,10.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,50785,CPT,Reimplant ureter in bladder,,,21 ,,RBRVS,22.08 ,11.20 ,11.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,50800,CPT,Implant ureter in bowel,,,21 ,,RBRVS,16.23 ,9.17 ,9.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,50810,CPT,Fusion of ureter & bowel,,,21 ,,RBRVS,22.38 ,10.58 ,10.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,50815,CPT,Urine shunt to intestine,,,21 ,,RBRVS,22.06 ,11.47 ,11.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,50820,CPT,Construct bowel bladder,,,21 ,,RBRVS,23.89 ,11.86 ,11.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,50825,CPT,Construct bowel bladder,,,21 ,,RBRVS,30.48 ,14.91 ,14.91 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,50830,CPT,Revise urine flow,,,21 ,,RBRVS,33.57 ,15.62 ,15.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,50840,CPT,Replace ureter by bowel,,,21 ,,RBRVS,22.19 ,11.93 ,11.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,50845,CPT,Appendico-vesicostomy,,,21 ,,RBRVS,22.21 ,12.07 ,12.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,50860,CPT,Transplant ureter to skin,,,21 ,,RBRVS,16.93 ,9.22 ,9.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,50900,CPT,Repair of ureter,,,21 ,,RBRVS,14.89 ,7.99 ,7.99 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,50920,CPT,Closure ureter/skin fistula,,,21 ,,RBRVS,15.66 ,8.52 ,8.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,50930,CPT,Closure ureter/bowel fistula,,,21 ,,RBRVS,20.04 ,9.49 ,9.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,50940,CPT,Release of ureter,,,21 ,,RBRVS,15.78 ,7.79 ,7.79 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,50945,CPT,Laparoscopy ureterolithotomy,,,21 ,,RBRVS,17.87 ,9.29 ,9.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,50947,CPT,Laparo new ureter/bladder,,,21 ,,RBRVS,25.63 ,12.29 ,12.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,50948,CPT,Laparo new ureter/bladder,,,21 ,,RBRVS,23.69 ,11.19 ,11.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,50949,CPT,"Laparoscope proc, ureter",,,21 ,,TotalUnits,,,,15.23 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,50951,CPT,Endoscopy of ureter,,,21 ,,RBRVS,5.83 ,2.76 ,4.82 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,50953,CPT,Endoscopy of ureter,,,21 ,,RBRVS,6.23 ,3.22 ,4.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,50955,CPT,Ureter endoscopy & biopsy,,,21 ,,RBRVS,6.74 ,3.45 ,5.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,50957,CPT,Ureter endoscopy & treatment,,,21 ,,RBRVS,6.78 ,3.14 ,5.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,50961,CPT,Ureter endoscopy & treatment,,,21 ,,RBRVS,6.04 ,2.79 ,4.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,50970,CPT,Ureter endoscopy,,,21 ,,RBRVS,7.13 ,3.24 ,3.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,50972,CPT,Ureter endoscopy & catheter,,,21 ,,RBRVS,6.88 ,3.05 ,3.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,50974,CPT,Ureter endoscopy & biopsy,,,21 ,,RBRVS,9.16 ,3.77 ,3.77 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,50976,CPT,Ureter endoscopy & treatment,,,21 ,,RBRVS,9.03 ,3.85 ,3.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,50980,CPT,Ureter endoscopy & treatment,,,21 ,,RBRVS,6.84 ,3.12 ,3.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,51020,CPT,Incise & treat bladder,,,21 ,,RBRVS,7.56 ,5.39 ,5.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,51030,CPT,Incise & treat bladder,,,21 ,,RBRVS,7.68 ,4.90 ,4.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,51040,CPT,Incise & drain bladder,,,21 ,,RBRVS,4.43 ,3.69 ,3.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,51045,CPT,Incise bladder/drain ureter,,,21 ,,RBRVS,7.68 ,5.15 ,5.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,51050,CPT,Removal of bladder stone,,,21 ,,RBRVS,7.87 ,5.33 ,5.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,51060,CPT,Removal of ureter stone,,,21 ,,RBRVS,9.82 ,6.42 ,6.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,51065,CPT,Remove ureter calculus,,,21 ,,RBRVS,9.82 ,6.25 ,6.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,51080,CPT,Drainage of bladder abscess,,,21 ,,RBRVS,6.61 ,4.61 ,4.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,51100,CPT,Drain bladder by needle,,,21 ,,RBRVS,0.78 ,0.27 ,0.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,51101,CPT,Drain bladder by trocar/cath,,,21 ,,RBRVS,1.02 ,0.34 ,2.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,51102,CPT,Drain bl w/cath insertion,,,21 ,,RBRVS,4.27 ,2.37 ,4.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,51500,CPT,Removal of bladder cyst,,,21 ,,RBRVS,10.92 ,5.76 ,5.76 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,51520,CPT,Removal of bladder lesion,,,21 ,,RBRVS,10.08 ,6.31 ,6.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,51525,CPT,Removal of bladder lesion,,,21 ,,RBRVS,15.29 ,8.47 ,8.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,51530,CPT,Removal of bladder lesion,,,21 ,,RBRVS,13.58 ,7.38 ,7.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,51535,CPT,Repair of ureter lesion,,,21 ,,RBRVS,13.77 ,7.38 ,7.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,51550,CPT,Partial removal of bladder,,,21 ,,RBRVS,17.10 ,8.71 ,8.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,51555,CPT,Partial removal of bladder,,,21 ,,RBRVS,23.03 ,11.36 ,11.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,51565,CPT,Revise bladder & ureter(s),,,21 ,,RBRVS,23.50 ,12.12 ,12.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,51570,CPT,Removal of bladder,,,21 ,,RBRVS,27.31 ,13.49 ,13.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,51575,CPT,Removal of bladder & nodes,,,21 ,,RBRVS,34.00 ,16.45 ,16.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,51580,CPT,Remove bladder/revise tract,,,21 ,,RBRVS,35.14 ,17.59 ,17.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,51585,CPT,Removal of bladder & nodes,,,21 ,,RBRVS,39.41 ,19.26 ,19.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,51590,CPT,Remove bladder/revise tract,,,21 ,,RBRVS,36.15 ,17.25 ,17.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,51595,CPT,Remove bladder/revise tract,,,21 ,,RBRVS,41.12 ,19.58 ,19.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,51596,CPT,Remove bladder/create pouch,,,21 ,,RBRVS,44.01 ,21.20 ,21.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,51597,CPT,Removal of pelvic structures,,,21 ,,RBRVS,42.61 ,20.19 ,20.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,51600,CPT,Injection for bladder x-ray,,,21 ,,RBRVS,0.88 ,0.33 ,4.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,51605,CPT,Preparation for bladder xray,,,21 ,,RBRVS,0.64 ,0.43 ,0.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,51610,CPT,Injection for bladder x-ray,,,21 ,,RBRVS,1.05 ,0.71 ,1.91 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,51700,CPT,Irrigation of bladder,,,21 ,,RBRVS,0.88 ,0.34 ,1.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,51701,CPT,Insert bladder catheter,,,21 ,,RBRVS,0.50 ,0.24 ,1.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,51702,CPT,Insert temp bladder cath,,,21 ,,RBRVS,0.50 ,0.33 ,1.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,51703,CPT,"Insert bladder cath, complex",,,21 ,,RBRVS,1.47 ,0.80 ,2.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,51705,CPT,Change of bladder tube,,,21 ,,RBRVS,1.03 ,0.85 ,2.02 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,51710,CPT,Change of bladder tube,,,21 ,,RBRVS,1.50 ,1.18 ,2.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,51715,CPT,Endoscopic injection/implant,,,21 ,,RBRVS,3.73 ,1.73 ,4.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,51720,CPT,Treatment of bladder lesion,,,21 ,,RBRVS,1.50 ,0.74 ,1.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,51725,CPT,Simple cystometrogram,26,,21 ,,RBRVS,1.51 ,0.55 ,0.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,51725,CPT,Simple cystometrogram,TC,,21 ,,RBRVS,0.00 ,3.68 ,3.68 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,51725,CPT,Simple cystometrogram,,,21 ,,RBRVS,1.51 ,4.23 ,4.23 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,51726,CPT,Complex cystometrogram,26,,21 ,,RBRVS,1.71 ,0.64 ,0.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,51726,CPT,Complex cystometrogram,TC,,21 ,,RBRVS,0.00 ,6.47 ,6.47 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,51726,CPT,Complex cystometrogram,,,21 ,,RBRVS,1.71 ,7.11 ,7.11 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,51736,CPT,Urine flow measurement,26,,21 ,,RBRVS,0.61 ,0.24 ,0.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,51736,CPT,Urine flow measurement,TC,,21 ,,RBRVS,0.00 ,0.70 ,0.70 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,51736,CPT,Urine flow measurement,,,21 ,,RBRVS,0.61 ,0.94 ,0.94 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,51741,CPT,"Electro-uroflowmetry, first",26,,21 ,,RBRVS,1.14 ,0.44 ,0.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,51741,CPT,"Electro-uroflowmetry, first",TC,,21 ,,RBRVS,0.00 ,0.83 ,0.83 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,51741,CPT,"Electro-uroflowmetry, first",,,21 ,,RBRVS,1.14 ,1.27 ,1.27 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,51772,CPT,Urethra pressure profile,26,,21 ,,RBRVS,1.61 ,0.55 ,0.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,51772,CPT,Urethra pressure profile,TC,,21 ,,RBRVS,0.00 ,4.51 ,4.51 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,51772,CPT,Urethra pressure profile,,,21 ,,RBRVS,1.61 ,5.06 ,5.06 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,51784,CPT,Anal/urinary muscle study,26,,21 ,,RBRVS,1.53 ,0.56 ,0.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,51784,CPT,Anal/urinary muscle study,TC,,21 ,,RBRVS,0.00 ,3.56 ,3.56 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,51784,CPT,Anal/urinary muscle study,,,21 ,,RBRVS,1.53 ,4.12 ,4.12 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,51785,CPT,Anal/urinary muscle study,26,,21 ,,RBRVS,1.53 ,0.56 ,0.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,51785,CPT,Anal/urinary muscle study,TC,,21 ,,RBRVS,0.00 ,3.99 ,3.99 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,51785,CPT,Anal/urinary muscle study,,,21 ,,RBRVS,1.53 ,4.55 ,4.55 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,51792,CPT,Urinary reflex study,26,,21 ,,RBRVS,1.10 ,0.39 ,0.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,51792,CPT,Urinary reflex study,TC,,21 ,,RBRVS,0.00 ,4.66 ,4.66 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,51792,CPT,Urinary reflex study,,,21 ,,RBRVS,1.10 ,5.05 ,5.05 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,51795,CPT,Urine voiding pressure study,26,,21 ,,RBRVS,1.53 ,0.57 ,0.57 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,51795,CPT,Urine voiding pressure study,TC,,21 ,,RBRVS,0.00 ,6.15 ,6.15 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,51795,CPT,Urine voiding pressure study,,,21 ,,RBRVS,1.53 ,6.72 ,6.72 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,51797,CPT,Intraabdominal pressure test,26,,21 ,,RBRVS,0.80 ,0.30 ,0.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,51797,CPT,Intraabdominal pressure test,TC,,21 ,,RBRVS,0.00 ,2.14 ,2.14 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,51797,CPT,Intraabdominal pressure test,,,21 ,,RBRVS,0.80 ,2.44 ,2.44 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,51798,CPT,Us urine capacity measure,,,21 ,,RBRVS,0.00 ,0.59 ,0.59 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,51800,CPT,Revision of bladder/urethra,,,21 ,,RBRVS,18.74 ,9.72 ,9.72 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,51820,CPT,Revision of urinary tract,,,21 ,,RBRVS,19.41 ,9.75 ,9.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,51840,CPT,Attach bladder/urethra,,,21 ,,RBRVS,11.28 ,5.76 ,5.76 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,51841,CPT,Attach bladder/urethra,,,21 ,,RBRVS,13.60 ,6.86 ,6.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,51845,CPT,Repair bladder neck,,,21 ,,RBRVS,10.07 ,5.89 ,5.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,51860,CPT,Repair of bladder wound,,,21 ,,RBRVS,12.49 ,6.73 ,6.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,51865,CPT,Repair of bladder wound,,,21 ,,RBRVS,15.69 ,8.33 ,8.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,51880,CPT,Repair of bladder opening,,,21 ,,RBRVS,7.81 ,4.73 ,4.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,51900,CPT,Repair bladder/vagina lesion,,,21 ,,RBRVS,14.48 ,7.98 ,7.98 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,51920,CPT,Close bladder-uterus fistula,,,21 ,,RBRVS,13.26 ,8.04 ,8.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,51925,CPT,Hysterectomy/bladder repair,,,21 ,,RBRVS,17.35 ,12.42 ,12.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,51940,CPT,Correction of bladder defect,,,21 ,,RBRVS,30.48 ,11.73 ,11.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,51960,CPT,Revision of bladder & bowel,,,21 ,,RBRVS,25.20 ,12.89 ,12.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,51980,CPT,Construct bladder opening,,,21 ,,RBRVS,12.44 ,7.07 ,7.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,51990,CPT,Laparo urethral suspension,,,21 ,,RBRVS,13.26 ,5.93 ,5.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,51992,CPT,Laparo sling operation,,,21 ,,RBRVS,14.77 ,6.51 ,6.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,51999,CPT,"Laparoscope proc, bla",,,21 ,,TotalUnits,,,,9.30 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,52000,CPT,Cystoscopy,,,21 ,,RBRVS,2.23 ,1.31 ,3.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,52001,CPT,"Cystoscopy, removal of clots",,,21 ,,RBRVS,5.44 ,2.57 ,5.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,52005,CPT,Cystoscopy & ureter catheter,,,21 ,,RBRVS,2.37 ,1.37 ,5.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,52007,CPT,Cystoscopy and biopsy,,,21 ,,RBRVS,3.02 ,1.62 ,10.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,52010,CPT,Cystoscopy & duct catheter,,,21 ,,RBRVS,3.02 ,1.62 ,8.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,52204,CPT,Cystoscopy w/biopsy(s),,,21 ,,RBRVS,2.59 ,1.38 ,8.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,52214,CPT,Cystoscopy and treatment,,,21 ,,RBRVS,3.70 ,1.83 ,19.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,52224,CPT,Cystoscopy and treatment,,,21 ,,RBRVS,3.14 ,1.60 ,19.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,52234,CPT,Cystoscopy and treatment,,,21 ,,RBRVS,4.62 ,2.27 ,2.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,52235,CPT,Cystoscopy and treatment,,,21 ,,RBRVS,5.44 ,2.64 ,2.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,52240,CPT,Cystoscopy and treatment,,,21 ,,RBRVS,9.71 ,4.34 ,4.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,52250,CPT,Cystoscopy and radiotracer,,,21 ,,RBRVS,4.49 ,2.30 ,2.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,52260,CPT,Cystoscopy and treatment,,,21 ,,RBRVS,3.91 ,1.93 ,1.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,52265,CPT,Cystoscopy and treatment,,,21 ,,RBRVS,2.94 ,1.47 ,7.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,52270,CPT,Cystoscopy & revise urethra,,,21 ,,RBRVS,3.36 ,1.74 ,7.02 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,52275,CPT,Cystoscopy & revise urethra,,,21 ,,RBRVS,4.69 ,2.27 ,9.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,52276,CPT,Cystoscopy and treatment,,,21 ,,RBRVS,4.99 ,2.44 ,2.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,52277,CPT,Cystoscopy and treatment,,,21 ,,RBRVS,6.16 ,2.90 ,2.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,52281,CPT,Cystoscopy and treatment,,,21 ,,RBRVS,2.80 ,1.54 ,5.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,52282,CPT,"Cystoscopy, implant stent",,,21 ,,RBRVS,6.39 ,2.96 ,2.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,52283,CPT,Cystoscopy and treatment,,,21 ,,RBRVS,3.73 ,1.86 ,4.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,52285,CPT,Cystoscopy and treatment,,,21 ,,RBRVS,3.60 ,1.83 ,4.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,52290,CPT,Cystoscopy and treatment,,,21 ,,RBRVS,4.58 ,2.26 ,2.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,52300,CPT,Cystoscopy and treatment,,,21 ,,RBRVS,5.30 ,2.56 ,2.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,52301,CPT,Cystoscopy and treatment,,,21 ,,RBRVS,5.50 ,2.68 ,2.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,52305,CPT,Cystoscopy and treatment,,,21 ,,RBRVS,5.30 ,2.49 ,2.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,52310,CPT,Cystoscopy and treatment,,,21 ,,RBRVS,2.81 ,1.43 ,4.00 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,52315,CPT,Cystoscopy and treatment,,,21 ,,RBRVS,5.20 ,2.47 ,6.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,52317,CPT,Remove bladder stone,,,21 ,,RBRVS,6.71 ,2.99 ,17.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,52318,CPT,Remove bladder stone,,,21 ,,RBRVS,9.18 ,4.04 ,4.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,52320,CPT,Cystoscopy and treatment,,,21 ,,RBRVS,4.69 ,2.21 ,2.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,52325,CPT,"Cystoscopy, stone removal",,,21 ,,RBRVS,6.15 ,2.78 ,2.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,52327,CPT,"Cystoscopy, inject material",,,21 ,,RBRVS,5.18 ,2.04 ,2.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,52330,CPT,Cystoscopy and treatment,,,21 ,,RBRVS,5.03 ,2.35 ,20.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,52332,CPT,Cystoscopy and treatment,,,21 ,,RBRVS,2.83 ,1.55 ,12.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,52334,CPT,Create passage to kidney,,,21 ,,RBRVS,4.82 ,2.33 ,2.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,52341,CPT,Cysto w/ureter stricture tx,,,21 ,,RBRVS,6.11 ,3.04 ,3.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,52342,CPT,Cysto w/up stricture tx,,,21 ,,RBRVS,6.61 ,3.25 ,3.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,52343,CPT,Cysto w/renal stricture tx,,,21 ,,RBRVS,7.31 ,3.49 ,3.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,52344,CPT,"Cysto/uretero, stricture tx",,,21 ,,RBRVS,7.81 ,3.90 ,3.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,52345,CPT,Cysto/uretero w/up stricture,,,21 ,,RBRVS,8.31 ,4.11 ,4.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,52346,CPT,Cystouretero w/renal strict,,,21 ,,RBRVS,9.34 ,4.51 ,4.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,52351,CPT,Cystouretero & or pyeloscope,,,21 ,,RBRVS,5.85 ,2.95 ,2.95 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,52352,CPT,Cystouretero w/stone remove,,,21 ,,RBRVS,6.87 ,3.46 ,3.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,52353,CPT,Cystouretero w/lithotripsy,,,21 ,,RBRVS,7.96 ,3.90 ,3.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,52354,CPT,Cystouretero w/biopsy,,,21 ,,RBRVS,7.33 ,3.64 ,3.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,52355,CPT,Cystouretero w/excise tumor,,,21 ,,RBRVS,8.81 ,4.24 ,4.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,52400,CPT,Cystouretero w/congen repr,,,21 ,,RBRVS,10.06 ,5.39 ,5.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,52402,CPT,Cystourethro cut ejacul duct,,,21 ,,RBRVS,5.27 ,2.15 ,2.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,52450,CPT,Incision of prostate,,,21 ,,RBRVS,7.63 ,5.48 ,5.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,52500,CPT,Revision of bladder neck,,,21 ,,RBRVS,9.39 ,6.18 ,6.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,52601,CPT,Prostatectomy (turp),,,21 ,,RBRVS,15.13 ,8.43 ,8.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,52630,CPT,Remove prostate regrowth,,,21 ,,RBRVS,7.65 ,4.80 ,4.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,52640,CPT,Relieve bladder contracture,,,21 ,,RBRVS,6.89 ,4.41 ,4.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,52647,CPT,Laser surgery of prostate,,,21 ,,RBRVS,11.15 ,6.89 ,41.95 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,52648,CPT,Laser surgery of prostate,,,21 ,,RBRVS,12.00 ,7.22 ,42.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,52649,CPT,Prostate laser enucleation,,,21 ,,RBRVS,17.16 ,9.32 ,9.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,52700,CPT,Drainage of prostate abscess,,,21 ,,RBRVS,7.39 ,4.90 ,4.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,53000,CPT,Incision of urethra,,,21 ,,RBRVS,2.30 ,1.78 ,1.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,53010,CPT,Incision of urethra,,,21 ,,RBRVS,4.35 ,3.83 ,3.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,53020,CPT,Incision of urethra,,,21 ,,RBRVS,1.77 ,0.95 ,0.95 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,53025,CPT,Incision of urethra,,,21 ,,RBRVS,1.13 ,0.82 ,0.82 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,53040,CPT,Drainage of urethra abscess,,,21 ,,RBRVS,6.49 ,4.40 ,4.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,53060,CPT,Drainage of urethra abscess,,,21 ,,RBRVS,2.65 ,1.54 ,2.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,53080,CPT,Drainage of urinary leakage,,,21 ,,RBRVS,6.82 ,4.97 ,4.97 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,53085,CPT,Drainage of urinary leakage,,,21 ,,RBRVS,11.05 ,4.41 ,4.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,53200,CPT,Biopsy of urethra,,,21 ,,RBRVS,2.59 ,1.29 ,1.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,53210,CPT,Removal of urethra,,,21 ,,RBRVS,13.59 ,7.76 ,7.76 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,53215,CPT,Removal of urethra,,,21 ,,RBRVS,16.72 ,9.12 ,9.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,53220,CPT,Treatment of urethra lesion,,,21 ,,RBRVS,7.53 ,4.98 ,4.98 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,53230,CPT,Removal of urethra lesion,,,21 ,,RBRVS,10.31 ,6.37 ,6.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,53235,CPT,Removal of urethra lesion,,,21 ,,RBRVS,10.86 ,6.92 ,6.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,53240,CPT,Surgery for urethra pouch,,,21 ,,RBRVS,6.98 ,4.87 ,4.87 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,53250,CPT,Removal of urethra gland,,,21 ,,RBRVS,6.42 ,4.38 ,4.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,53260,CPT,Treatment of urethra lesion,,,21 ,,RBRVS,3.00 ,1.84 ,2.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,53265,CPT,Treatment of urethra lesion,,,21 ,,RBRVS,3.14 ,1.98 ,2.94 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,53270,CPT,Removal of urethra gland,,,21 ,,RBRVS,3.11 ,1.84 ,2.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,53275,CPT,Repair of urethra defect,,,21 ,,RBRVS,4.54 ,2.77 ,2.77 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,53400,CPT,"Revise urethra, stage 1",,,21 ,,RBRVS,13.98 ,8.17 ,8.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,53405,CPT,"Revise urethra, stage 2",,,21 ,,RBRVS,15.51 ,8.69 ,8.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,53410,CPT,Reconstruction of urethra,,,21 ,,RBRVS,17.53 ,9.68 ,9.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,53415,CPT,Reconstruction of urethra,,,21 ,,RBRVS,20.55 ,10.70 ,10.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,53420,CPT,"Reconstruct urethra, stage 1",,,21 ,,RBRVS,15.04 ,7.12 ,7.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,53425,CPT,"Reconstruct urethra, stage 2",,,21 ,,RBRVS,16.94 ,9.00 ,9.00 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,53430,CPT,Reconstruction of urethra,,,21 ,,RBRVS,17.30 ,8.81 ,8.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,53431,CPT,Reconstruct urethra/bladder,,,21 ,,RBRVS,21.03 ,10.98 ,10.98 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,53440,CPT,Male sling procedure,,,21 ,,RBRVS,15.34 ,9.19 ,9.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,53442,CPT,Remove/revise male sling,,,21 ,,RBRVS,13.29 ,8.36 ,8.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,53444,CPT,Insert tandem cuff,,,21 ,,RBRVS,14.06 ,8.02 ,8.02 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,53445,CPT,Insert uro/ves nck sphincter,,,21 ,,RBRVS,15.21 ,8.75 ,8.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,53446,CPT,Remove uro sphincter,,,21 ,,RBRVS,10.89 ,7.00 ,7.00 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,53447,CPT,Remove/replace ur sphincter,,,21 ,,RBRVS,14.15 ,8.38 ,8.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,53448,CPT,Remov/replc ur sphinctr comp,,,21 ,,RBRVS,23.26 ,12.33 ,12.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,53449,CPT,Repair uro sphincter,,,21 ,,RBRVS,10.43 ,6.61 ,6.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,53450,CPT,Revision of urethra,,,21 ,,RBRVS,6.67 ,4.75 ,4.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,53460,CPT,Revision of urethra,,,21 ,,RBRVS,7.65 ,5.05 ,5.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,53500,CPT,"Urethrlys, transvag w/ scope",,,21 ,,RBRVS,12.87 ,7.41 ,7.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,53502,CPT,Repair of urethra injury,,,21 ,,RBRVS,8.16 ,5.10 ,5.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,53505,CPT,Repair of urethra injury,,,21 ,,RBRVS,8.16 ,5.38 ,5.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,53510,CPT,Repair of urethra injury,,,21 ,,RBRVS,10.83 ,6.83 ,6.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,53515,CPT,Repair of urethra injury,,,21 ,,RBRVS,14.09 ,7.96 ,7.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,53520,CPT,Repair of urethra defect,,,21 ,,RBRVS,9.35 ,6.20 ,6.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,53600,CPT,Dilate urethra stricture,,,21 ,,RBRVS,1.21 ,0.57 ,1.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,53601,CPT,Dilate urethra stricture,,,21 ,,RBRVS,0.98 ,0.52 ,1.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,53605,CPT,Dilate urethra stricture,,,21 ,,RBRVS,1.28 ,0.51 ,0.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,53620,CPT,Dilate urethra stricture,,,21 ,,RBRVS,1.62 ,0.83 ,1.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,53621,CPT,Dilate urethra stricture,,,21 ,,RBRVS,1.35 ,0.67 ,1.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,53660,CPT,Dilation of urethra,,,21 ,,RBRVS,0.71 ,0.45 ,1.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,53661,CPT,Dilation of urethra,,,21 ,,RBRVS,0.72 ,0.41 ,1.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,53665,CPT,Dilation of urethra,,,21 ,,RBRVS,0.76 ,0.27 ,0.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,53850,CPT,Prostatic microwave thermotx,,,21 ,,RBRVS,9.98 ,5.86 ,49.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,53852,CPT,Prostatic rf thermotx,,,21 ,,RBRVS,10.68 ,6.66 ,46.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,53899,CPT,Urology surgery procedure,,,21 ,,TotalUnits,,,,16.89 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,54000,CPT,Slitting of prepuce,,,21 ,,RBRVS,1.56 ,1.48 ,2.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,54001,CPT,Slitting of prepuce,,,21 ,,RBRVS,2.21 ,1.67 ,3.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,54015,CPT,Drain penis lesion,,,21 ,,RBRVS,5.33 ,3.21 ,3.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,54050,CPT,"Destruction, penis lesion(s)",,,21 ,,RBRVS,1.26 ,1.39 ,2.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,54055,CPT,"Destruction, penis lesion(s)",,,21 ,,RBRVS,1.23 ,1.23 ,1.97 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,54056,CPT,"Cryosurgery, penis lesion(s)",,,21 ,,RBRVS,1.26 ,1.53 ,2.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,54057,CPT,"Laser surg, penis lesion(s)",,,21 ,,RBRVS,1.26 ,1.37 ,2.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,54060,CPT,Excision of penis lesion(s),,,21 ,,RBRVS,1.95 ,1.64 ,3.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,54065,CPT,"Destruction, penis lesion(s)",,,21 ,,RBRVS,2.44 ,2.00 ,3.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,54100,CPT,Biopsy of penis,,,21 ,,RBRVS,1.90 ,1.36 ,3.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,54105,CPT,Biopsy of penis,,,21 ,,RBRVS,3.51 ,2.43 ,3.98 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,54110,CPT,Treatment of penis lesion,,,21 ,,RBRVS,10.79 ,6.72 ,6.72 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,54111,CPT,"Treat penis lesion, graft",,,21 ,,RBRVS,14.29 ,8.03 ,8.03 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,54112,CPT,"Treat penis lesion, graft",,,21 ,,RBRVS,16.83 ,9.31 ,9.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,54115,CPT,Treatment of penis lesion,,,21 ,,RBRVS,6.82 ,4.94 ,5.76 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,54120,CPT,Partial removal of penis,,,21 ,,RBRVS,10.88 ,6.72 ,6.72 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,54125,CPT,Removal of penis,,,21 ,,RBRVS,14.43 ,8.07 ,8.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,54130,CPT,Remove penis & nodes,,,21 ,,RBRVS,21.66 ,11.58 ,11.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,54135,CPT,Remove penis & nodes,,,21 ,,RBRVS,27.99 ,14.11 ,14.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,54150,CPT,Circumcision w/regionl block,,,21 ,,RBRVS,1.90 ,0.73 ,2.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,54160,CPT,"Circumcision, neonate",,,21 ,,RBRVS,2.50 ,1.48 ,3.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,54161,CPT,Circum 28 days or older,,,21 ,,RBRVS,3.29 ,2.20 ,2.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,54162,CPT,Lysis penil circumic lesion,,,21 ,,RBRVS,3.27 ,2.26 ,4.01 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,54163,CPT,Repair of circumcision,,,21 ,,RBRVS,3.27 ,2.85 ,2.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,54164,CPT,Frenulotomy of penis,,,21 ,,RBRVS,2.77 ,2.66 ,2.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,54200,CPT,Treatment of penis lesion,,,21 ,,RBRVS,1.08 ,1.30 ,2.02 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,54205,CPT,Treatment of penis lesion,,,21 ,,RBRVS,8.84 ,6.06 ,6.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,54220,CPT,Treatment of penis lesion,,,21 ,,RBRVS,2.42 ,1.35 ,3.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,54230,CPT,Prepare penis study,,,21 ,,RBRVS,1.34 ,0.91 ,1.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,54231,CPT,Dynamic cavernosometry,,,21 ,,RBRVS,2.04 ,1.24 ,1.97 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,54235,CPT,Penile injection,,,21 ,,RBRVS,1.19 ,0.89 ,1.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,54240,CPT,Penis study,26,,21 ,,RBRVS,1.31 ,0.48 ,0.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,54240,CPT,Penis study,TC,,21 ,,RBRVS,0.00 ,1.03 ,1.03 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,54240,CPT,Penis study,,,21 ,,RBRVS,1.31 ,1.51 ,1.51 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,54250,CPT,Penis study,26,,21 ,,RBRVS,2.22 ,0.85 ,0.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,54250,CPT,Penis study,TC,,21 ,,RBRVS,0.00 ,0.37 ,0.37 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,54250,CPT,Penis study,,,21 ,,RBRVS,2.22 ,1.22 ,1.22 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,54300,CPT,Revision of penis,,,21 ,,RBRVS,11.07 ,6.70 ,6.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,54304,CPT,Revision of penis,,,21 ,,RBRVS,13.15 ,7.80 ,7.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,54308,CPT,Reconstruction of urethra,,,21 ,,RBRVS,12.49 ,4.76 ,4.76 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,54312,CPT,Reconstruction of urethra,,,21 ,,RBRVS,14.36 ,8.87 ,8.87 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,54316,CPT,Reconstruction of urethra,,,21 ,,RBRVS,17.90 ,9.94 ,9.94 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,54318,CPT,Reconstruction of urethra,,,21 ,,RBRVS,12.28 ,4.83 ,4.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,54322,CPT,Reconstruction of urethra,,,21 ,,RBRVS,13.85 ,7.94 ,7.94 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,54324,CPT,Reconstruction of urethra,,,21 ,,RBRVS,17.40 ,9.75 ,9.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,54326,CPT,Reconstruction of urethra,,,21 ,,RBRVS,16.87 ,9.16 ,9.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,54328,CPT,Revise penis/urethra,,,21 ,,RBRVS,16.74 ,9.48 ,9.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,54332,CPT,Revise penis/urethra,,,21 ,,RBRVS,18.22 ,10.07 ,10.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,54336,CPT,Revise penis/urethra,,,21 ,,RBRVS,21.44 ,7.31 ,7.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,54340,CPT,Secondary urethral surgery,,,21 ,,RBRVS,9.58 ,6.36 ,6.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,54344,CPT,Secondary urethral surgery,,,21 ,,RBRVS,16.91 ,9.54 ,9.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,54348,CPT,Secondary urethral surgery,,,21 ,,RBRVS,18.17 ,10.13 ,10.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,54352,CPT,Reconstruct urethra/penis,,,21 ,,RBRVS,25.95 ,14.00 ,14.00 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,54360,CPT,Penis plastic surgery,,,21 ,,RBRVS,12.65 ,7.45 ,7.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,54380,CPT,Repair penis,,,21 ,,RBRVS,14.03 ,8.04 ,8.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,54385,CPT,Repair penis,,,21 ,,RBRVS,16.38 ,11.31 ,11.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,54390,CPT,Repair penis and bladder,,,21 ,,RBRVS,22.59 ,7.42 ,7.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,54400,CPT,Insert semi-rigid prosthesis,,,21 ,,RBRVS,9.09 ,5.75 ,5.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,54401,CPT,Insert self-contd prosthesis,,,21 ,,RBRVS,10.26 ,8.15 ,8.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,54405,CPT,Insert multi-comp penis pros,,,21 ,,RBRVS,14.39 ,8.12 ,8.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,54406,CPT,Remove muti-comp penis pros,,,21 ,,RBRVS,12.76 ,7.60 ,7.60 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,54408,CPT,Repair multi-comp penis pros,,,21 ,,RBRVS,13.73 ,8.25 ,8.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,54410,CPT,Remove/replace penis prosth,,,21 ,,RBRVS,16.48 ,9.35 ,9.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,54411,CPT,"Remov/replc penis pros, comp",,,21 ,,RBRVS,18.14 ,10.41 ,10.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,54415,CPT,Remove self-contd penis pros,,,21 ,,RBRVS,8.75 ,6.00 ,6.00 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,54416,CPT,Remv/repl penis contain pros,,,21 ,,RBRVS,11.87 ,7.90 ,7.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,54417,CPT,"Remv/replc penis pros, compl",,,21 ,,RBRVS,15.94 ,9.10 ,9.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,54420,CPT,Revision of penis,,,21 ,,RBRVS,12.26 ,7.39 ,7.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,54430,CPT,Revision of penis,,,21 ,,RBRVS,10.93 ,6.97 ,6.97 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,54435,CPT,Revision of penis,,,21 ,,RBRVS,6.71 ,4.99 ,4.99 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,54440,CPT,Repair of penis,,,21 ,,TotalUnits,,,,12.05 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,54450,CPT,Preputial stretching,,,21 ,,RBRVS,1.12 ,0.48 ,0.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,54500,CPT,Biopsy of testis,,,21 ,,RBRVS,1.31 ,0.76 ,0.76 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,54505,CPT,Biopsy of testis,,,21 ,,RBRVS,3.47 ,2.44 ,2.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,54512,CPT,Excise lesion testis,,,21 ,,RBRVS,9.23 ,5.67 ,5.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,54520,CPT,Removal of testis,,,21 ,,RBRVS,5.25 ,3.72 ,3.72 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,54522,CPT,"Orchiectomy, partial",,,21 ,,RBRVS,10.15 ,5.59 ,5.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,54530,CPT,Removal of testis,,,21 ,,RBRVS,9.31 ,6.06 ,6.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,54535,CPT,Extensive testis surgery,,,21 ,,RBRVS,13.06 ,6.91 ,6.91 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,54550,CPT,Exploration for testis,,,21 ,,RBRVS,8.31 ,5.21 ,5.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,54560,CPT,Exploration for testis,,,21 ,,RBRVS,11.97 ,6.87 ,6.87 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,54600,CPT,Reduce testis torsion,,,21 ,,RBRVS,7.54 ,5.11 ,5.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,54620,CPT,Suspension of testis,,,21 ,,RBRVS,5.16 ,3.22 ,3.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,54640,CPT,Suspension of testis,,,21 ,,RBRVS,7.57 ,5.35 ,5.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,54650,CPT,Orchiopexy (fowler-stephens),,,21 ,,RBRVS,12.24 ,5.66 ,5.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,54660,CPT,Revision of testis,,,21 ,,RBRVS,5.64 ,4.35 ,4.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,54670,CPT,Repair testis injury,,,21 ,,RBRVS,6.57 ,4.79 ,4.79 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,54680,CPT,Relocation of testis(es),,,21 ,,RBRVS,13.91 ,7.70 ,7.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,54690,CPT,"Laparoscopy, orchiectomy",,,21 ,,RBRVS,11.60 ,5.59 ,5.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,54692,CPT,"Laparoscopy, orchiopexy",,,21 ,,RBRVS,13.64 ,7.56 ,7.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,54699,CPT,"Laparoscope proc, testis",,,21 ,,TotalUnits,,,,15.70 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,54700,CPT,Drainage of scrotum,,,21 ,,RBRVS,3.44 ,2.37 ,2.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,54800,CPT,Biopsy of epididymis,,,21 ,,RBRVS,2.33 ,1.22 ,1.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,54830,CPT,Remove epididymis lesion,,,21 ,,RBRVS,5.91 ,4.43 ,4.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,54840,CPT,Remove epididymis lesion,,,21 ,,RBRVS,5.22 ,3.80 ,3.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,54860,CPT,Removal of epididymis,,,21 ,,RBRVS,6.85 ,4.87 ,4.87 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,54861,CPT,Removal of epididymis,,,21 ,,RBRVS,9.57 ,6.25 ,6.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,54865,CPT,Explore epididymis,,,21 ,,RBRVS,5.67 ,4.26 ,4.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,54900,CPT,Fusion of spermatic ducts,,,21 ,,RBRVS,14.05 ,5.24 ,5.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,54901,CPT,Fusion of spermatic ducts,,,21 ,,RBRVS,18.92 ,10.51 ,10.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,55000,CPT,Drainage of hydrocele,,,21 ,,RBRVS,1.43 ,0.91 ,1.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,55040,CPT,Removal of hydrocele,,,21 ,,RBRVS,5.39 ,3.96 ,3.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,55041,CPT,Removal of hydroceles,,,21 ,,RBRVS,8.41 ,5.68 ,5.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,55060,CPT,Repair of hydrocele,,,21 ,,RBRVS,6.05 ,4.45 ,4.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,55100,CPT,Drainage of scrotum abscess,,,21 ,,RBRVS,2.40 ,2.11 ,3.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,55110,CPT,Explore scrotum,,,21 ,,RBRVS,6.23 ,4.48 ,4.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,55120,CPT,Removal of scrotum lesion,,,21 ,,RBRVS,5.62 ,4.21 ,4.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,55150,CPT,Removal of scrotum,,,21 ,,RBRVS,8.01 ,5.45 ,5.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,55175,CPT,Revision of scrotum,,,21 ,,RBRVS,5.77 ,4.34 ,4.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,55180,CPT,Revision of scrotum,,,21 ,,RBRVS,11.63 ,7.27 ,7.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,55200,CPT,Incision of sperm duct,,,21 ,,RBRVS,4.50 ,3.30 ,8.01 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,55250,CPT,Removal of sperm duct(s),,,21 ,,RBRVS,3.32 ,3.06 ,7.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,55300,CPT,"Prepare, sperm duct x-ray",,,21 ,,RBRVS,3.50 ,1.75 ,1.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,55400,CPT,Repair of sperm duct,,,21 ,,RBRVS,8.53 ,5.41 ,5.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,55450,CPT,Ligation of sperm duct,,,21 ,,RBRVS,4.38 ,2.57 ,5.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,55500,CPT,Removal of hydrocele,,,21 ,,RBRVS,6.12 ,4.20 ,4.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,55520,CPT,Removal of sperm cord lesion,,,21 ,,RBRVS,6.56 ,3.82 ,3.82 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,55530,CPT,Revise spermatic cord veins,,,21 ,,RBRVS,5.69 ,4.09 ,4.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,55535,CPT,Revise spermatic cord veins,,,21 ,,RBRVS,7.09 ,4.83 ,4.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,55540,CPT,Revise hernia & sperm veins,,,21 ,,RBRVS,8.20 ,4.25 ,4.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,55550,CPT,Laparo ligate spermatic vein,,,21 ,,RBRVS,7.10 ,4.55 ,4.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,55559,CPT,"Laparo proc, spermatic cord",,,21 ,,TotalUnits,,,,5.84 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,55600,CPT,Incise sperm duct pouch,,,21 ,,RBRVS,6.91 ,4.90 ,4.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,55605,CPT,Incise sperm duct pouch,,,21 ,,RBRVS,8.63 ,4.63 ,4.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,55650,CPT,Remove sperm duct pouch,,,21 ,,RBRVS,12.52 ,7.40 ,7.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,55680,CPT,Remove sperm pouch lesion,,,21 ,,RBRVS,5.59 ,3.93 ,3.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,55700,CPT,Biopsy of prostate,,,21 ,,RBRVS,2.58 ,1.32 ,3.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,55705,CPT,Biopsy of prostate,,,21 ,,RBRVS,4.58 ,2.85 ,2.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,55706,CPT,Prostate saturation sampling,,,21 ,,RBRVS,6.15 ,4.39 ,4.39 ,,,$0.00,$0.00,1,1,1,1,1,1,20091001,,55720,CPT,Drainage of prostate abscess,,,21 ,,RBRVS,7.67 ,4.89 ,4.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,55725,CPT,Drainage of prostate abscess,,,21 ,,RBRVS,9.90 ,6.28 ,6.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,55801,CPT,Removal of prostate,,,21 ,,RBRVS,19.62 ,10.34 ,10.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,55810,CPT,Extensive prostate surgery,,,21 ,,RBRVS,24.14 ,12.34 ,12.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,55812,CPT,Extensive prostate surgery,,,21 ,,RBRVS,29.69 ,14.21 ,14.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,55815,CPT,Extensive prostate surgery,,,21 ,,RBRVS,32.75 ,16.20 ,16.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,55821,CPT,Removal of prostate,,,21 ,,RBRVS,15.63 ,8.67 ,8.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,55831,CPT,Removal of prostate,,,21 ,,RBRVS,17.06 ,9.24 ,9.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,55840,CPT,Extensive prostate surgery,,,21 ,,RBRVS,24.45 ,12.69 ,12.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,55842,CPT,Extensive prostate surgery,,,21 ,,RBRVS,26.31 ,13.48 ,13.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,55845,CPT,Extensive prostate surgery,,,21 ,,RBRVS,30.52 ,14.86 ,14.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,55860,CPT,"Surgical exposure, prostate",,,21 ,,RBRVS,15.71 ,8.54 ,8.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,55862,CPT,Extensive prostate surgery,,,21 ,,RBRVS,19.89 ,10.70 ,10.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,55865,CPT,Extensive prostate surgery,,,21 ,,RBRVS,24.39 ,12.41 ,12.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,55866,CPT,Laparo radical prostatectomy,,,21 ,,RBRVS,32.25 ,15.96 ,15.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,55870,CPT,Electroejaculation,,,21 ,,RBRVS,2.58 ,1.45 ,2.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,55873,CPT,Cryoablate prostate,,,21 ,,RBRVS,20.25 ,11.29 ,11.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,55875,CPT,"Transperi needle place, pros",,,21 ,,RBRVS,13.31 ,7.84 ,7.84 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,55876,CPT,"Place rt device/marker, pros",,,21 ,,RBRVS,1.73 ,1.05 ,2.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,55899,CPT,Genital surgery procedure,,,21 ,,TotalUnits,,,,9.49 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,55920,CPT,Place needles pelvic for rt,,,21 ,,RBRVS,8.31 ,3.14 ,3.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,56405,CPT,I & d of vulva/perineum,,,21 ,,RBRVS,1.46 ,1.16 ,1.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,56420,CPT,Drainage of gland abscess,,,21 ,,RBRVS,1.41 ,0.78 ,1.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,56440,CPT,Surgery for vulva lesion,,,21 ,,RBRVS,2.86 ,1.56 ,1.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,56441,CPT,Lysis of labial lesion(s),,,21 ,,RBRVS,1.99 ,1.56 ,1.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,56442,CPT,Hymenotomy,,,21 ,,RBRVS,0.68 ,0.52 ,0.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,56501,CPT,"Destroy, vulva lesions, sim",,,21 ,,RBRVS,1.55 ,1.21 ,1.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,56515,CPT,Destroy vulva lesion/s compl,,,21 ,,RBRVS,3.03 ,1.74 ,2.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,56605,CPT,Biopsy of vulva/perineum,,,21 ,,RBRVS,1.10 ,0.34 ,0.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,56606,CPT,Biopsy of vulva/perineum,,,21 ,,RBRVS,0.55 ,0.15 ,0.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,56620,CPT,Partial removal of vulva,,,21 ,,RBRVS,8.44 ,4.40 ,4.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,56625,CPT,Complete removal of vulva,,,21 ,,RBRVS,9.55 ,4.81 ,4.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,56630,CPT,Extensive vulva surgery,,,21 ,,RBRVS,14.67 ,6.28 ,6.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,56631,CPT,Extensive vulva surgery,,,21 ,,RBRVS,18.81 ,7.79 ,7.79 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,56632,CPT,Extensive vulva surgery,,,21 ,,RBRVS,21.61 ,9.30 ,9.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,56633,CPT,Extensive vulva surgery,,,21 ,,RBRVS,19.47 ,7.80 ,7.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,56634,CPT,Extensive vulva surgery,,,21 ,,RBRVS,20.48 ,8.19 ,8.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,56637,CPT,Extensive vulva surgery,,,21 ,,RBRVS,24.57 ,9.31 ,9.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,56640,CPT,Extensive vulva surgery,,,21 ,,RBRVS,24.65 ,8.84 ,8.84 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,56700,CPT,Partial removal of hymen,,,21 ,,RBRVS,2.79 ,1.77 ,1.77 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,56740,CPT,Remove vagina gland lesion,,,21 ,,RBRVS,4.83 ,2.33 ,2.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,56800,CPT,Repair of vagina,,,21 ,,RBRVS,3.90 ,1.96 ,1.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,56805,CPT,Repair clitoris,,,21 ,,RBRVS,19.75 ,7.69 ,7.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,56810,CPT,Repair of perineum,,,21 ,,RBRVS,4.26 ,2.04 ,2.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,56820,CPT,Exam of vulva w/scope,,,21 ,,RBRVS,1.50 ,0.53 ,1.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,56821,CPT,Exam/biopsy of vulva w/scope,,,21 ,,RBRVS,2.05 ,0.68 ,1.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,57000,CPT,Exploration of vagina,,,21 ,,RBRVS,2.99 ,1.75 ,1.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,57010,CPT,Drainage of pelvic abscess,,,21 ,,RBRVS,6.74 ,3.80 ,3.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,57020,CPT,Drainage of pelvic fluid,,,21 ,,RBRVS,1.50 ,0.45 ,0.77 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,57022,CPT,"I & d vaginal hematoma, pp",,,21 ,,RBRVS,2.70 ,1.43 ,1.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,57023,CPT,"I & d vag hematoma, non-ob",,,21 ,,RBRVS,5.13 ,2.37 ,2.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,57061,CPT,"Destroy vag lesions, simple",,,21 ,,RBRVS,1.27 ,1.12 ,1.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,57065,CPT,"Destroy vag lesions, complex",,,21 ,,RBRVS,2.63 ,1.49 ,2.03 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,57100,CPT,Biopsy of vagina,,,21 ,,RBRVS,1.20 ,0.37 ,0.95 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,57105,CPT,Biopsy of vagina,,,21 ,,RBRVS,1.71 ,1.33 ,1.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,57106,CPT,"Remove vagina wall, partial",,,21 ,,RBRVS,7.35 ,4.27 ,4.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,57107,CPT,"Remove vagina tissue, part",,,21 ,,RBRVS,24.43 ,9.06 ,9.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,57109,CPT,Vaginectomy partial w/nodes,,,21 ,,RBRVS,28.25 ,10.26 ,10.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,57110,CPT,"Remove vagina wall, complete",,,21 ,,RBRVS,15.38 ,6.19 ,6.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,57111,CPT,"Remove vagina tissue, compl",,,21 ,,RBRVS,28.25 ,10.43 ,10.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,57112,CPT,"Vaginectomy w/nodes, compl",,,21 ,,RBRVS,30.37 ,10.62 ,10.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,57120,CPT,Closure of vagina,,,21 ,,RBRVS,8.18 ,4.20 ,4.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,57130,CPT,Remove vagina lesion,,,21 ,,RBRVS,2.44 ,1.47 ,1.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,57135,CPT,Remove vagina lesion,,,21 ,,RBRVS,2.68 ,1.53 ,2.03 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,57150,CPT,Treat vagina infection,,,21 ,,RBRVS,0.55 ,0.15 ,0.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,57155,CPT,Insert uteri tandems/ovoids,,,21 ,,RBRVS,6.79 ,3.49 ,3.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,57160,CPT,Insert pessary/other device,,,21 ,,RBRVS,0.89 ,0.25 ,1.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,57170,CPT,Fitting of diaphragm/cap,,,21 ,,RBRVS,0.91 ,0.25 ,0.57 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,57180,CPT,Treat vaginal bleeding,,,21 ,,RBRVS,1.60 ,0.93 ,1.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,57200,CPT,Repair of vagina,,,21 ,,RBRVS,4.34 ,2.99 ,2.99 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,57210,CPT,Repair vagina/perineum,,,21 ,,RBRVS,5.63 ,3.27 ,3.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,57220,CPT,Revision of urethra,,,21 ,,RBRVS,4.77 ,3.01 ,3.01 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,57230,CPT,Repair of urethral lesion,,,21 ,,RBRVS,6.22 ,3.64 ,3.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,57240,CPT,Repair bladder & vagina,,,21 ,,RBRVS,11.42 ,5.49 ,5.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,57250,CPT,Repair rectum & vagina,,,21 ,,RBRVS,11.42 ,5.04 ,5.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,57260,CPT,Repair of vagina,,,21 ,,RBRVS,14.36 ,5.86 ,5.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,57265,CPT,Extensive repair of vagina,,,21 ,,RBRVS,15.86 ,6.33 ,6.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,57267,CPT,Insert mesh/pelvic flr addon,,,21 ,,RBRVS,4.88 ,1.50 ,1.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,57268,CPT,Repair of bowel bulge,,,21 ,,RBRVS,7.47 ,4.34 ,4.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,57270,CPT,Repair of bowel pouch,,,21 ,,RBRVS,13.57 ,5.84 ,5.84 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,57280,CPT,Suspension of vagina,,,21 ,,RBRVS,16.62 ,6.97 ,6.97 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,57282,CPT,"Colpopexy, extraperitoneal",,,21 ,,RBRVS,7.84 ,4.50 ,4.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,57283,CPT,"Colpopexy, intraperitoneal",,,21 ,,RBRVS,11.58 ,5.12 ,5.12 ,,,$0.00,$0.00,1,0,0,1,1,1,20091001,,57284,CPT,"Repair paravag defect, open",,,21 ,,RBRVS,14.25 ,5.99 ,5.99 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,57285,CPT,"Repair paravag defect, vag",,,21 ,,RBRVS,11.52 ,5.16 ,5.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,57287,CPT,Revise/remove sling repair,,,21 ,,RBRVS,11.49 ,6.35 ,6.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,57288,CPT,Repair bladder defect,,,21 ,,RBRVS,14.01 ,7.02 ,7.02 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,57289,CPT,Repair bladder & vagina,,,21 ,,RBRVS,12.69 ,6.71 ,6.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,57291,CPT,Construction of vagina,,,21 ,,RBRVS,8.54 ,4.90 ,4.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,57292,CPT,Construct vagina with graft,,,21 ,,RBRVS,13.91 ,5.91 ,5.91 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,57295,CPT,Revise vag graft via vagina,,,21 ,,RBRVS,7.74 ,4.09 ,4.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,57296,CPT,"Revise vag graft, open abd",,,21 ,,RBRVS,16.46 ,6.67 ,6.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,57300,CPT,Repair rectum-vagina fistula,,,21 ,,RBRVS,8.58 ,4.44 ,4.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,57305,CPT,Repair rectum-vagina fistula,,,21 ,,RBRVS,15.24 ,6.20 ,6.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,57307,CPT,Fistula repair & colostomy,,,21 ,,RBRVS,17.02 ,6.91 ,6.91 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,57308,CPT,"Fistula repair, transperine",,,21 ,,RBRVS,10.48 ,4.96 ,4.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,57310,CPT,Repair urethrovaginal lesion,,,21 ,,RBRVS,7.55 ,5.02 ,5.02 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,57311,CPT,Repair urethrovaginal lesion,,,21 ,,RBRVS,8.81 ,5.51 ,5.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,57320,CPT,Repair bladder-vagina lesion,,,21 ,,RBRVS,8.78 ,5.28 ,5.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,57330,CPT,Repair bladder-vagina lesion,,,21 ,,RBRVS,13.11 ,7.20 ,7.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,57335,CPT,Repair vagina,,,21 ,,RBRVS,19.87 ,7.83 ,7.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,57400,CPT,Dilation of vagina,,,21 ,,RBRVS,2.27 ,1.00 ,1.00 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,57410,CPT,Pelvic examination,,,21 ,,RBRVS,1.75 ,0.91 ,0.91 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,57415,CPT,Remove vaginal foreign body,,,21 ,,RBRVS,2.44 ,1.49 ,1.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,57420,CPT,Exam of vagina w/scope,,,21 ,,RBRVS,1.60 ,0.56 ,1.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,57421,CPT,Exam/biopsy of vag w/scope,,,21 ,,RBRVS,2.20 ,0.72 ,1.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,57423,CPT,"Repair paravag defect, lap",,,21 ,,RBRVS,16.00 ,6.52 ,6.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,57425,CPT,"Laparoscopy, surg, colpopexy",,,21 ,,RBRVS,16.93 ,6.91 ,6.91 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,57452,CPT,Exam of cervix w/scope,,,21 ,,RBRVS,1.50 ,0.74 ,1.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,57454,CPT,Bx/curett of cervix w/scope,,,21 ,,RBRVS,2.33 ,0.95 ,1.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,57455,CPT,Biopsy of cervix w/scope,,,21 ,,RBRVS,1.99 ,0.66 ,1.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,57456,CPT,Endocerv curettage w/scope,,,21 ,,RBRVS,1.85 ,0.62 ,1.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,57460,CPT,"Bx of cervix w/scope, leep",,,21 ,,RBRVS,2.83 ,1.09 ,4.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,57461,CPT,"Conz of cervix w/scope, leep",,,21 ,,RBRVS,3.43 ,1.05 ,4.57 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,57500,CPT,Biopsy of cervix,,,21 ,,RBRVS,1.20 ,0.64 ,2.02 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,57505,CPT,Endocervical curettage,,,21 ,,RBRVS,1.16 ,1.07 ,1.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,57510,CPT,Cauterization of cervix,,,21 ,,RBRVS,1.90 ,0.90 ,1.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,57511,CPT,Cryocautery of cervix,,,21 ,,RBRVS,1.92 ,1.27 ,1.60 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,57513,CPT,Laser surgery of cervix,,,21 ,,RBRVS,1.92 ,1.28 ,1.57 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,57520,CPT,Conization of cervix,,,21 ,,RBRVS,4.06 ,2.51 ,3.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,57522,CPT,Conization of cervix,,,21 ,,RBRVS,3.62 ,2.25 ,2.77 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,57530,CPT,Removal of cervix,,,21 ,,RBRVS,5.19 ,3.10 ,3.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,57531,CPT,"Removal of cervix, radical",,,21 ,,RBRVS,29.77 ,10.86 ,10.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,57540,CPT,Removal of residual cervix,,,21 ,,RBRVS,13.19 ,5.44 ,5.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,57545,CPT,Remove cervix/repair pelvis,,,21 ,,RBRVS,14.00 ,5.72 ,5.72 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,57550,CPT,Removal of residual cervix,,,21 ,,RBRVS,6.24 ,3.61 ,3.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,57555,CPT,Remove cervix/repair vagina,,,21 ,,RBRVS,9.84 ,4.75 ,4.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,57556,CPT,"Remove cervix, repair bowel",,,21 ,,RBRVS,9.26 ,4.61 ,4.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,57558,CPT,D&c of cervical stump,,,21 ,,RBRVS,1.69 ,1.05 ,1.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,57700,CPT,Revision of cervix,,,21 ,,RBRVS,4.22 ,3.28 ,3.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,57720,CPT,Revision of cervix,,,21 ,,RBRVS,4.53 ,2.94 ,2.94 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,57800,CPT,Dilation of cervical canal,,,21 ,,RBRVS,0.77 ,0.41 ,0.72 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,58100,CPT,Biopsy of uterus lining,,,21 ,,RBRVS,1.53 ,0.58 ,1.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,58110,CPT,Bx done w/colposcopy add-on,,,21 ,,RBRVS,0.77 ,0.21 ,0.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,58120,CPT,Dilation and curettage,,,21 ,,RBRVS,3.54 ,1.66 ,2.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,58140,CPT,Myomectomy abdom method,,,21 ,,RBRVS,15.69 ,6.18 ,6.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,58145,CPT,Myomectomy vag method,,,21 ,,RBRVS,8.81 ,4.23 ,4.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,58146,CPT,Myomectomy abdom complex,,,21 ,,RBRVS,20.24 ,7.34 ,7.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,58150,CPT,Total hysterectomy,,,21 ,,RBRVS,17.21 ,6.56 ,6.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,58152,CPT,Total hysterectomy,,,21 ,,RBRVS,21.73 ,8.03 ,8.03 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,58180,CPT,Partial hysterectomy,,,21 ,,RBRVS,16.50 ,6.33 ,6.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,58200,CPT,Extensive hysterectomy,,,21 ,,RBRVS,23.00 ,8.15 ,8.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,58210,CPT,Extensive hysterectomy,,,21 ,,RBRVS,30.76 ,10.72 ,10.72 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,58240,CPT,Removal of pelvis contents,,,21 ,,RBRVS,49.02 ,17.64 ,17.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,58260,CPT,Vaginal hysterectomy,,,21 ,,RBRVS,14.02 ,5.79 ,5.79 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,58262,CPT,Vag hyst including t/o,,,21 ,,RBRVS,15.81 ,6.23 ,6.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,58263,CPT,Vag hyst w/t/o & vag repair,,,21 ,,RBRVS,17.10 ,6.64 ,6.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,58267,CPT,Vag hyst w/urinary repair,,,21 ,,RBRVS,18.23 ,6.97 ,6.97 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,58270,CPT,Vag hyst w/enterocele repair,,,21 ,,RBRVS,15.20 ,5.93 ,5.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,58275,CPT,Hysterectomy/revise vagina,,,21 ,,RBRVS,16.90 ,6.61 ,6.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,58280,CPT,Hysterectomy/revise vagina,,,21 ,,RBRVS,18.20 ,6.96 ,6.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,58285,CPT,Extensive hysterectomy,,,21 ,,RBRVS,23.30 ,7.94 ,7.94 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,58290,CPT,Vag hyst complex,,,21 ,,RBRVS,20.17 ,7.35 ,7.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,58291,CPT,"Vag hyst incl t/o, complex",,,21 ,,RBRVS,21.96 ,7.82 ,7.82 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,58292,CPT,"Vag hyst t/o & repair, compl",,,21 ,,RBRVS,23.25 ,8.21 ,8.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,58293,CPT,"Vag hyst w/uro repair, compl",,,21 ,,RBRVS,24.23 ,8.52 ,8.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,58294,CPT,"Vag hyst w/enterocele, compl",,,21 ,,RBRVS,21.45 ,7.51 ,7.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,58300,CPT,Insert intrauterine device,,,21 ,,RBRVS,1.01 ,0.23 ,0.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,58301,CPT,Remove intrauterine device,,,21 ,,RBRVS,1.27 ,0.34 ,1.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,58321,CPT,Artificial insemination,,,21 ,,RBRVS,0.92 ,0.23 ,0.94 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,58322,CPT,Artificial insemination,,,21 ,,RBRVS,1.10 ,0.31 ,1.03 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,58323,CPT,Sperm washing,,,21 ,,RBRVS,0.23 ,0.07 ,0.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,58340,CPT,Catheter for hysterography,,,21 ,,RBRVS,0.88 ,0.56 ,2.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,58345,CPT,Reopen fallopian tube,,,21 ,,RBRVS,4.67 ,2.11 ,2.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,58346,CPT,Insert heyman uteri capsule,,,21 ,,RBRVS,7.48 ,3.74 ,3.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,58350,CPT,Reopen fallopian tube,,,21 ,,RBRVS,1.03 ,0.88 ,1.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,58353,CPT,"Endometr ablate, thermal",,,21 ,,RBRVS,3.57 ,1.71 ,22.84 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,58356,CPT,Endometrial cryoablation,,,21 ,,RBRVS,6.36 ,1.85 ,43.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,58400,CPT,Suspension of uterus,,,21 ,,RBRVS,7.06 ,3.86 ,3.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,58410,CPT,Suspension of uterus,,,21 ,,RBRVS,13.70 ,5.55 ,5.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,58520,CPT,Repair of ruptured uterus,,,21 ,,RBRVS,13.38 ,5.49 ,5.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,58540,CPT,Revision of uterus,,,21 ,,RBRVS,15.61 ,6.15 ,6.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,58541,CPT,"Lsh, uterus 250 g or less",,,21 ,,RBRVS,14.57 ,6.13 ,6.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,58542,CPT,Lsh w/t/o ut 250 g or less,,,21 ,,RBRVS,16.43 ,6.64 ,6.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,58543,CPT,Lsh uterus above 250 g,,,21 ,,RBRVS,16.74 ,6.71 ,6.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,58544,CPT,Lsh w/t/o uterus above 250 g,,,21 ,,RBRVS,18.24 ,7.11 ,7.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,58545,CPT,Laparoscopic myomectomy,,,21 ,,RBRVS,15.45 ,5.87 ,5.87 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,58546,CPT,"Laparo-myomectomy, complex",,,21 ,,RBRVS,19.84 ,7.05 ,7.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,58548,CPT,Lap radical hyst,,,21 ,,RBRVS,31.45 ,12.47 ,12.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,58550,CPT,Laparo-asst vag hysterectomy,,,21 ,,RBRVS,14.97 ,6.13 ,6.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,58552,CPT,Laparo-vag hyst incl t/o,,,21 ,,RBRVS,16.78 ,6.56 ,6.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,58553,CPT,"Laparo-vag hyst, complex",,,21 ,,RBRVS,19.96 ,7.09 ,7.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,58554,CPT,"Laparo-vag hyst w/t/o, compl",,,21 ,,RBRVS,22.98 ,8.24 ,8.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,58555,CPT,"Hysteroscopy, dx, sep proc",,,21 ,,RBRVS,3.33 ,1.23 ,2.76 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,58558,CPT,"Hysteroscopy, biopsy",,,21 ,,RBRVS,4.74 ,1.65 ,3.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,58559,CPT,"Hysteroscopy, lysis",,,21 ,,RBRVS,6.16 ,2.04 ,2.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,58560,CPT,"Hysteroscopy, resect septum",,,21 ,,RBRVS,6.99 ,2.32 ,2.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,58561,CPT,"Hysteroscopy, remove myoma",,,21 ,,RBRVS,9.99 ,3.11 ,3.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,58562,CPT,"Hysteroscopy, remove fb",,,21 ,,RBRVS,5.20 ,1.75 ,3.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,58563,CPT,"Hysteroscopy, ablation",,,21 ,,RBRVS,6.16 ,2.04 ,37.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,58565,CPT,"Hysteroscopy, sterilization",,,21 ,,RBRVS,7.06 ,3.37 ,41.99 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,58570,CPT,"Tlh, uterus 250 g or less",,,21 ,,RBRVS,15.75 ,6.46 ,6.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,58571,CPT,Tlh w/t/o 250 g or less,,,21 ,,RBRVS,17.56 ,6.95 ,6.95 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,58572,CPT,"Tlh, uterus over 250 g",,,21 ,,RBRVS,19.96 ,7.60 ,7.60 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,58573,CPT,Tlh w/t/o uterus over 250 g,,,21 ,,RBRVS,22.98 ,8.42 ,8.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,58578,CPT,"Laparo proc, uterus",,,21 ,,TotalUnits,,,,17.92 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,58579,CPT,Hysteroscope procedure,,,21 ,,TotalUnits,,,,2.31 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,58600,CPT,Division of fallopian tube,,,21 ,,RBRVS,5.86 ,2.92 ,2.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,58605,CPT,Division of fallopian tube,,,21 ,,RBRVS,5.25 ,2.71 ,2.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,58611,CPT,Ligate oviduct(s) add-on,,,21 ,,RBRVS,1.45 ,0.40 ,0.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,58615,CPT,Occlude fallopian tube(s),,,21 ,,RBRVS,3.91 ,2.04 ,2.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,58660,CPT,"Laparoscopy, lysis",,,21 ,,RBRVS,11.54 ,4.49 ,4.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,58661,CPT,"Laparoscopy, remove adnexa",,,21 ,,RBRVS,11.30 ,3.99 ,3.99 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,58662,CPT,"Laparoscopy, excise lesions",,,21 ,,RBRVS,12.08 ,4.76 ,4.76 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,58670,CPT,"Laparoscopy, tubal cautery",,,21 ,,RBRVS,5.86 ,2.95 ,2.95 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,58671,CPT,"Laparoscopy, tubal block",,,21 ,,RBRVS,5.86 ,2.94 ,2.94 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,58672,CPT,"Laparoscopy, fimbrioplasty",,,21 ,,RBRVS,12.88 ,4.78 ,4.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,58673,CPT,"Laparoscopy, salpingostomy",,,21 ,,RBRVS,13.99 ,5.13 ,5.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,58679,CPT,"Laparo proc, oviduct-ovary",,,21 ,,TotalUnits,,,,12.31 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,58700,CPT,Removal of fallopian tube,,,21 ,,RBRVS,12.84 ,5.49 ,5.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,58720,CPT,Removal of ovary/tube(s),,,21 ,,RBRVS,12.08 ,5.09 ,5.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,58740,CPT,"Adhesiolysis tube, ovary",,,21 ,,RBRVS,14.79 ,6.05 ,6.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,58750,CPT,Repair oviduct,,,21 ,,RBRVS,15.56 ,6.05 ,6.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,58752,CPT,Revise ovarian tube(s),,,21 ,,RBRVS,15.56 ,5.99 ,5.99 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,58760,CPT,Fimbrioplasty,,,21 ,,RBRVS,13.85 ,5.59 ,5.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,58770,CPT,Create new tubal opening,,,21 ,,RBRVS,14.69 ,5.75 ,5.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,58800,CPT,Drainage of ovarian cyst(s),,,21 ,,RBRVS,4.54 ,2.69 ,3.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,58805,CPT,Drainage of ovarian cyst(s),,,21 ,,RBRVS,6.34 ,3.51 ,3.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,58820,CPT,"Drain ovary abscess, open",,,21 ,,RBRVS,4.62 ,2.90 ,2.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,58822,CPT,"Drain ovary abscess, percut",,,21 ,,RBRVS,11.71 ,5.16 ,5.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,58823,CPT,"Drain pelvic abscess, percut",,,21 ,,RBRVS,3.37 ,1.16 ,20.00 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,58825,CPT,"Transposition, ovary(s)",,,21 ,,RBRVS,11.70 ,4.84 ,4.84 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,58900,CPT,Biopsy of ovary(s),,,21 ,,RBRVS,6.51 ,3.55 ,3.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,58920,CPT,Partial removal of ovary(s),,,21 ,,RBRVS,11.87 ,5.05 ,5.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,58925,CPT,Removal of ovarian cyst(s),,,21 ,,RBRVS,12.33 ,5.25 ,5.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,58940,CPT,Removal of ovary(s),,,21 ,,RBRVS,8.12 ,4.04 ,4.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,58943,CPT,Removal of ovary(s),,,21 ,,RBRVS,19.42 ,7.18 ,7.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,58950,CPT,Resect ovarian malignancy,,,21 ,,RBRVS,18.24 ,7.25 ,7.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,58951,CPT,Resect ovarian malignancy,,,21 ,,RBRVS,24.15 ,8.60 ,8.60 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,58952,CPT,Resect ovarian malignancy,,,21 ,,RBRVS,27.15 ,9.82 ,9.82 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,58953,CPT,"Tah, rad dissect for debulk",,,21 ,,RBRVS,33.97 ,11.63 ,11.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,58954,CPT,Tah rad debulk/lymph remove,,,21 ,,RBRVS,36.97 ,12.52 ,12.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,58956,CPT,"Bso, omentectomy w/tah",,,21 ,,RBRVS,22.65 ,8.59 ,8.59 ,,,$0.00,$0.00,1,0,0,1,1,1,20091001,,58957,CPT,Resect recurrent gyn mal,,,21 ,,RBRVS,26.06 ,9.57 ,9.57 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,58958,CPT,Resect recur gyn mal w/lym,,,21 ,,RBRVS,29.06 ,10.36 ,10.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,58960,CPT,Exploration of abdomen,,,21 ,,RBRVS,15.68 ,6.25 ,6.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,58970,CPT,Retrieval of oocyte,,,21 ,,RBRVS,3.52 ,1.28 ,1.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,58974,CPT,Transfer of embryo,,,21 ,,TotalUnits,,,,5.75 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,58976,CPT,Transfer of embryo,,,21 ,,RBRVS,3.82 ,1.20 ,1.94 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,58999,CPT,Genital surgery procedure,,,21 ,,TotalUnits,,,,5.94 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,59000,CPT,"Amniocentesis, diagnostic",,,12 ,,RBRVS,1.30 ,0.55 ,1.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,59001,CPT,"Amniocentesis, therapeutic",,,12 ,,RBRVS,3.00 ,1.07 ,1.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,59012,CPT,"Fetal cord puncture,prenatal",,,12 ,,RBRVS,3.44 ,1.13 ,1.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,59015,CPT,Chorion biopsy,,,12 ,,RBRVS,2.20 ,0.79 ,1.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,59020,CPT,Fetal contract stress test,26,,12 ,,RBRVS,0.66 ,0.18 ,0.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,59020,CPT,Fetal contract stress test,TC,,12 ,,RBRVS,0.00 ,0.89 ,0.89 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,59020,CPT,Fetal contract stress test,,,12 ,,RBRVS,0.66 ,1.07 ,1.07 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,59025,CPT,Fetal non-stress test,26,,12 ,,RBRVS,0.53 ,0.15 ,0.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,59025,CPT,Fetal non-stress test,TC,,12 ,,RBRVS,0.00 ,0.48 ,0.48 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,59025,CPT,Fetal non-stress test,,,12 ,,RBRVS,0.53 ,0.63 ,0.63 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,59030,CPT,Fetal scalp blood sample,,,12 ,,RBRVS,1.99 ,0.46 ,0.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,59050,CPT,Fetal monitor w/report,,,12 ,,RBRVS,0.89 ,0.27 ,0.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,59051,CPT,Fetal monitor/interpret only,,,12 ,,RBRVS,0.74 ,0.20 ,0.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,59070,CPT,Transabdom amnioinfus w/us,,,12 ,,RBRVS,5.24 ,1.77 ,4.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,59072,CPT,Umbilical cord occlud w/us,,,12 ,,RBRVS,8.99 ,2.39 ,2.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,59074,CPT,Fetal fluid drainage w/us,,,12 ,,RBRVS,5.24 ,1.53 ,3.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,59076,CPT,"Fetal shunt placement, w/us",,,12 ,,RBRVS,8.99 ,2.39 ,2.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,59100,CPT,Remove uterus lesion,,,12 ,,RBRVS,13.26 ,5.55 ,5.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,59120,CPT,Treat ectopic pregnancy,,,12 ,,RBRVS,12.56 ,5.40 ,5.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,59121,CPT,Treat ectopic pregnancy,,,12 ,,RBRVS,12.64 ,5.35 ,5.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,59130,CPT,Treat ectopic pregnancy,,,12 ,,RBRVS,14.98 ,6.74 ,6.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,59135,CPT,Treat ectopic pregnancy,,,12 ,,RBRVS,14.82 ,5.09 ,5.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,59136,CPT,Treat ectopic pregnancy,,,12 ,,RBRVS,14.15 ,4.93 ,4.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,59140,CPT,Treat ectopic pregnancy,,,12 ,,RBRVS,5.86 ,3.30 ,3.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,59150,CPT,Treat ectopic pregnancy,,,12 ,,RBRVS,12.19 ,5.23 ,5.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,59151,CPT,Treat ectopic pregnancy,,,12 ,,RBRVS,12.01 ,4.87 ,4.87 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,59160,CPT,D & c after delivery,,,12 ,,RBRVS,2.73 ,1.17 ,1.99 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,59200,CPT,Insert cervical dilator,,,12 ,,RBRVS,0.79 ,0.22 ,0.94 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,59300,CPT,Episiotomy or vaginal repair,,,12 ,,RBRVS,2.41 ,1.00 ,2.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,59320,CPT,Revision of cervix,,,12 ,,RBRVS,2.48 ,1.00 ,1.00 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,59325,CPT,Revision of cervix,,,12 ,,RBRVS,4.06 ,1.44 ,1.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,59350,CPT,Repair of uterus,,,12 ,,RBRVS,4.94 ,1.21 ,1.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,59400,CPT,Obstetrical care,,,13 ,,RBRVS,26.80 ,14.09 ,14.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,59409,CPT,Obstetrical care,,,13 ,,RBRVS,13.48 ,3.70 ,3.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,59410,CPT,Obstetrical care,,,13 ,,RBRVS,15.29 ,4.92 ,4.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,59412,CPT,Antepartum manipulation,,,13 ,,RBRVS,1.71 ,0.64 ,0.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,59414,CPT,Deliver placenta,,,13 ,,RBRVS,1.61 ,0.44 ,0.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,59425,CPT,Antepartum care only,,,13 ,,RBRVS,6.22 ,1.68 ,4.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,59426,CPT,Antepartum care only,,,13 ,,RBRVS,11.04 ,2.99 ,7.79 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,59430,CPT,Care after delivery,,,13 ,,RBRVS,2.13 ,0.71 ,1.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,59510,CPT,Cesarean delivery,,,11 ,,RBRVS,30.34 ,15.98 ,15.98 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,59514,CPT,Cesarean delivery only,,,11 ,,RBRVS,15.95 ,4.43 ,4.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,59515,CPT,Cesarean delivery,,,11 ,,RBRVS,18.26 ,6.13 ,6.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,59525,CPT,Remove uterus after cesarean,,,21 ,,RBRVS,8.53 ,2.25 ,2.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,59610,CPT,Vbac delivery,,,13 ,,RBRVS,28.21 ,14.94 ,14.94 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,59612,CPT,Vbac delivery only,,,13 ,,RBRVS,15.04 ,4.19 ,4.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,59614,CPT,Vbac care after delivery,,,13 ,,RBRVS,16.59 ,5.11 ,5.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,59618,CPT,Attempted vbac delivery,,,11 ,,RBRVS,31.78 ,16.37 ,16.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,59620,CPT,Attempted vbac delivery only,,,11 ,,RBRVS,17.50 ,4.66 ,4.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,59622,CPT,Attempted vbac after care,,,11 ,,RBRVS,19.70 ,6.71 ,6.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,59812,CPT,Treatment of miscarriage,,,12 ,,RBRVS,4.39 ,2.36 ,3.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,59820,CPT,Care of miscarriage,,,12 ,,RBRVS,4.68 ,3.46 ,4.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,59821,CPT,Treatment of miscarriage,,,12 ,,RBRVS,4.97 ,3.24 ,3.91 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,59830,CPT,Treat uterus infection,,,12 ,,RBRVS,6.51 ,3.44 ,3.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,59840,CPT,Abortion,,,12 ,,RBRVS,3.01 ,1.77 ,2.00 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,59841,CPT,Abortion,,,12 ,,RBRVS,5.57 ,2.55 ,3.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,59850,CPT,Abortion,,,12 ,,RBRVS,5.90 ,2.46 ,2.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,59851,CPT,Abortion,,,12 ,,RBRVS,5.92 ,3.29 ,3.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,59852,CPT,Abortion,,,12 ,,RBRVS,8.23 ,3.82 ,3.82 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,59855,CPT,Abortion,,,12 ,,RBRVS,6.38 ,3.08 ,3.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,59856,CPT,Abortion,,,12 ,,RBRVS,7.74 ,3.32 ,3.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,59857,CPT,Abortion,,,12 ,,RBRVS,9.30 ,3.64 ,3.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,59866,CPT,Abortion (mpr),,,12 ,,RBRVS,3.99 ,1.36 ,1.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,59870,CPT,Evacuate mole of uterus,,,12 ,,RBRVS,6.40 ,4.38 ,4.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,59871,CPT,Remove cerclage suture,,,12 ,,RBRVS,2.13 ,0.91 ,0.91 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,59897,CPT,Fetal invas px w/us,,,12 ,,TotalUnits,,,,0.93 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,59898,CPT,"Laparo proc, ob care/deliver",,,12 ,,TotalUnits,,,,16.67 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,59899,CPT,Maternity care procedure,,,12 ,,TotalUnits,,,,1.54 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,60000,CPT,Drain thyroid/tongue cyst,,,21 ,,RBRVS,1.78 ,1.70 ,2.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,60100,CPT,Biopsy of thyroid,,,21 ,,RBRVS,1.56 ,0.52 ,1.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,60200,CPT,Remove thyroid lesion,,,21 ,,RBRVS,9.91 ,5.50 ,5.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,60210,CPT,Partial thyroid excision,,,21 ,,RBRVS,11.15 ,5.23 ,5.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,60212,CPT,Partial thyroid excision,,,21 ,,RBRVS,16.32 ,6.95 ,6.95 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,60220,CPT,Partial removal of thyroid,,,21 ,,RBRVS,12.29 ,5.67 ,5.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,60225,CPT,Partial removal of thyroid,,,21 ,,RBRVS,14.67 ,6.92 ,6.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,60240,CPT,Removal of thyroid,,,21 ,,RBRVS,16.18 ,6.40 ,6.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,60252,CPT,Removal of thyroid,,,21 ,,RBRVS,21.88 ,8.83 ,8.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,60254,CPT,Extensive thyroid surgery,,,21 ,,RBRVS,28.29 ,11.22 ,11.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,60260,CPT,Repeat thyroid surgery,,,21 ,,RBRVS,18.18 ,7.41 ,7.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,60270,CPT,Removal of thyroid,,,21 ,,RBRVS,23.07 ,9.33 ,9.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,60271,CPT,Removal of thyroid,,,21 ,,RBRVS,17.54 ,7.15 ,7.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,60280,CPT,Remove thyroid duct lesion,,,21 ,,RBRVS,6.05 ,4.48 ,4.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,60281,CPT,Remove thyroid duct lesion,,,21 ,,RBRVS,8.71 ,5.32 ,5.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,60300,CPT,Aspir/inj thyroid cyst,,,21 ,,RBRVS,0.97 ,0.30 ,1.94 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,60500,CPT,Explore parathyroid glands,,,21 ,,RBRVS,16.69 ,6.86 ,6.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,60502,CPT,Re-explore parathyroids,,,21 ,,RBRVS,21.01 ,8.61 ,8.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,60505,CPT,Explore parathyroid glands,,,21 ,,RBRVS,22.91 ,9.39 ,9.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,60512,CPT,Autotransplant parathyroid,,,21 ,,RBRVS,4.44 ,1.21 ,1.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,60520,CPT,Removal of thymus gland,,,21 ,,RBRVS,17.07 ,7.01 ,7.01 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,60521,CPT,Removal of thymus gland,,,21 ,,RBRVS,19.11 ,8.13 ,8.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,60522,CPT,Removal of thymus gland,,,21 ,,RBRVS,23.37 ,9.61 ,9.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,60540,CPT,Explore adrenal gland,,,21 ,,RBRVS,17.91 ,8.25 ,8.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,60545,CPT,Explore adrenal gland,,,21 ,,RBRVS,20.82 ,8.95 ,8.95 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,60600,CPT,Remove carotid body lesion,,,21 ,,RBRVS,24.99 ,8.83 ,8.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,60605,CPT,Remove carotid body lesion,,,21 ,,RBRVS,31.86 ,12.14 ,12.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,60650,CPT,Laparoscopy adrenalectomy,,,21 ,,RBRVS,20.63 ,8.09 ,8.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,60659,CPT,"Laparo proc, endocrine",,,21 ,,TotalUnits,,,,23.97 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,60699,CPT,Endocrine surgery procedure,,,21 ,,TotalUnits,,,,8.24 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,61000,CPT,Remove cranial cavity fluid,,,21 ,,RBRVS,1.58 ,1.24 ,1.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,61001,CPT,Remove cranial cavity fluid,,,21 ,,RBRVS,1.49 ,1.08 ,1.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,61020,CPT,Remove brain cavity fluid,,,21 ,,RBRVS,1.51 ,1.63 ,1.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,61026,CPT,Injection into brain canal,,,21 ,,RBRVS,1.69 ,1.30 ,1.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,61050,CPT,Remove brain canal fluid,,,21 ,,RBRVS,1.51 ,1.15 ,1.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,61055,CPT,Injection into brain canal,,,21 ,,RBRVS,2.10 ,1.33 ,1.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,61070,CPT,Brain canal shunt procedure,,,21 ,,RBRVS,0.89 ,1.16 ,1.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,61105,CPT,Twist drill hole,,,21 ,,RBRVS,5.40 ,4.91 ,4.91 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,61107,CPT,Drill skull for implantation,,,21 ,,RBRVS,4.99 ,1.83 ,1.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,61108,CPT,Drill skull for drainage,,,21 ,,RBRVS,11.51 ,8.35 ,8.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,61120,CPT,Burr hole for puncture,,,21 ,,RBRVS,9.52 ,6.78 ,6.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,61140,CPT,Pierce skull for biopsy,,,21 ,,RBRVS,17.10 ,10.42 ,10.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,61150,CPT,Pierce skull for drainage,,,21 ,,RBRVS,18.80 ,10.68 ,10.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,61151,CPT,Pierce skull for drainage,,,21 ,,RBRVS,13.41 ,8.44 ,8.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,61154,CPT,Pierce skull & remove clot,,,21 ,,RBRVS,16.92 ,10.83 ,10.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,61156,CPT,Pierce skull for drainage,,,21 ,,RBRVS,17.37 ,9.72 ,9.72 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,61210,CPT,"Pierce skull, implant device",,,21 ,,RBRVS,5.83 ,2.15 ,2.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,61215,CPT,Insert brain-fluid device,,,21 ,,RBRVS,5.77 ,5.45 ,5.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,61250,CPT,Pierce skull & explore,,,21 ,,RBRVS,11.41 ,7.38 ,7.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,61253,CPT,Pierce skull & explore,,,21 ,,RBRVS,13.41 ,7.49 ,7.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,61304,CPT,Open skull for exploration,,,21 ,,RBRVS,23.31 ,12.54 ,12.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,61305,CPT,Open skull for exploration,,,21 ,,RBRVS,28.51 ,14.97 ,14.97 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,61312,CPT,Open skull for drainage,,,21 ,,RBRVS,30.07 ,15.24 ,15.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,61313,CPT,Open skull for drainage,,,21 ,,RBRVS,27.94 ,15.37 ,15.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,61314,CPT,Open skull for drainage,,,21 ,,RBRVS,25.77 ,14.15 ,14.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,61315,CPT,Open skull for drainage,,,21 ,,RBRVS,29.52 ,15.51 ,15.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,61316,CPT,Implt cran bone flap to abdo,,,21 ,,RBRVS,1.39 ,0.51 ,0.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,61320,CPT,Open skull for drainage,,,21 ,,RBRVS,27.32 ,14.25 ,14.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,61321,CPT,Open skull for drainage,,,21 ,,RBRVS,30.40 ,16.07 ,16.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,61322,CPT,Decompressive craniotomy,,,21 ,,RBRVS,34.08 ,17.48 ,17.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,61323,CPT,Decompressive lobectomy,,,21 ,,RBRVS,34.93 ,17.31 ,17.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,61330,CPT,Decompress eye socket,,,21 ,,RBRVS,25.17 ,11.53 ,11.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,61332,CPT,Explore/biopsy eye socket,,,21 ,,RBRVS,28.50 ,12.96 ,12.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,61333,CPT,Explore orbit/remove lesion,,,21 ,,RBRVS,29.17 ,12.88 ,12.88 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,61334,CPT,Explore orbit/remove object,,,21 ,,RBRVS,19.50 ,9.02 ,9.02 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,61340,CPT,Subtemporal decompression,,,21 ,,RBRVS,20.01 ,11.68 ,11.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,61343,CPT,Incise skull (press relief),,,21 ,,RBRVS,31.73 ,15.94 ,15.94 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,61345,CPT,Relieve cranial pressure,,,21 ,,RBRVS,29.10 ,14.86 ,14.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,61440,CPT,Incise skull for surgery,,,21 ,,RBRVS,28.53 ,15.23 ,15.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,61450,CPT,Incise skull for surgery,,,21 ,,RBRVS,27.59 ,14.06 ,14.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,61458,CPT,Incise skull for brain wound,,,21 ,,RBRVS,28.71 ,14.89 ,14.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,61460,CPT,Incise skull for surgery,,,21 ,,RBRVS,30.11 ,14.58 ,14.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,61470,CPT,Incise skull for surgery,,,21 ,,RBRVS,27.52 ,14.06 ,14.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,61480,CPT,Incise skull for surgery,,,21 ,,RBRVS,27.95 ,8.14 ,8.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,61490,CPT,Incise skull for surgery,,,21 ,,RBRVS,27.12 ,14.23 ,14.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,61500,CPT,Removal of skull lesion,,,21 ,,RBRVS,19.05 ,10.69 ,10.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,61501,CPT,Remove infected skull bone,,,21 ,,RBRVS,16.22 ,9.45 ,9.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,61510,CPT,Removal of brain lesion,,,21 ,,RBRVS,30.63 ,16.95 ,16.95 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,61512,CPT,Remove brain lining lesion,,,21 ,,RBRVS,36.99 ,18.47 ,18.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,61514,CPT,Removal of brain abscess,,,21 ,,RBRVS,27.10 ,14.42 ,14.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,61516,CPT,Removal of brain lesion,,,21 ,,RBRVS,26.45 ,14.06 ,14.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,61517,CPT,Implt brain chemotx add-on,,,21 ,,RBRVS,1.38 ,0.51 ,0.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,61518,CPT,Removal of brain lesion,,,21 ,,RBRVS,39.69 ,20.31 ,20.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,61519,CPT,Remove brain lining lesion,,,21 ,,RBRVS,43.28 ,20.65 ,20.65 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,61520,CPT,Removal of brain lesion,,,21 ,,RBRVS,56.89 ,25.96 ,25.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,61521,CPT,Removal of brain lesion,,,21 ,,RBRVS,46.84 ,22.16 ,22.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,61522,CPT,Removal of brain abscess,,,21 ,,RBRVS,31.41 ,15.77 ,15.77 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,61524,CPT,Removal of brain lesion,,,21 ,,RBRVS,29.76 ,15.70 ,15.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,61526,CPT,Removal of brain lesion,,,21 ,,RBRVS,53.90 ,22.53 ,22.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,61530,CPT,Removal of brain lesion,,,21 ,,RBRVS,45.43 ,19.49 ,19.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,61531,CPT,Implant brain electrodes,,,21 ,,RBRVS,16.28 ,10.46 ,10.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,61533,CPT,Implant brain electrodes,,,21 ,,RBRVS,21.36 ,11.79 ,11.79 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,61534,CPT,Removal of brain lesion,,,21 ,,RBRVS,22.88 ,13.13 ,13.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,61535,CPT,Remove brain electrodes,,,21 ,,RBRVS,13.05 ,8.84 ,8.84 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,61536,CPT,Removal of brain lesion,,,21 ,,RBRVS,37.59 ,18.53 ,18.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,61537,CPT,Removal of brain tissue,,,21 ,,RBRVS,36.35 ,17.04 ,17.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,61538,CPT,Removal of brain tissue,,,21 ,,RBRVS,39.35 ,18.37 ,18.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,61539,CPT,Removal of brain tissue,,,21 ,,RBRVS,34.15 ,16.83 ,16.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,61540,CPT,Removal of brain tissue,,,21 ,,RBRVS,31.30 ,16.30 ,16.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,61541,CPT,Incision of brain tissue,,,21 ,,RBRVS,30.81 ,16.09 ,16.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,61542,CPT,Removal of brain tissue,,,21 ,,RBRVS,33.03 ,16.78 ,16.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,61543,CPT,Removal of brain tissue,,,21 ,,RBRVS,31.18 ,13.86 ,13.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,61544,CPT,Remove & treat brain lesion,,,21 ,,RBRVS,27.26 ,14.28 ,14.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,61545,CPT,Excision of brain tumor,,,21 ,,RBRVS,46.23 ,22.83 ,22.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,61546,CPT,Removal of pituitary gland,,,21 ,,RBRVS,33.31 ,16.74 ,16.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,61548,CPT,Removal of pituitary gland,,,21 ,,RBRVS,23.27 ,11.62 ,11.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,61550,CPT,Release of skull seams,,,21 ,,RBRVS,15.44 ,5.65 ,5.65 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,61552,CPT,Release of skull seams,,,21 ,,RBRVS,20.27 ,12.15 ,12.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,61556,CPT,Incise skull/sutures,,,21 ,,RBRVS,24.00 ,13.29 ,13.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,61557,CPT,Incise skull/sutures,,,21 ,,RBRVS,23.16 ,13.64 ,13.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,61558,CPT,Excision of skull/sutures,,,21 ,,RBRVS,26.35 ,14.70 ,14.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,61559,CPT,Excision of skull/sutures,,,21 ,,RBRVS,33.82 ,18.38 ,18.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,61563,CPT,Excision of skull tumor,,,21 ,,RBRVS,28.35 ,13.09 ,13.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,61564,CPT,Excision of skull tumor,,,21 ,,RBRVS,34.59 ,17.91 ,17.91 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,61566,CPT,Removal of brain tissue,,,21 ,,RBRVS,32.32 ,16.65 ,16.65 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,61567,CPT,Incision of brain tissue,,,21 ,,RBRVS,36.84 ,19.07 ,19.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,61570,CPT,"Remove foreign body, brain",,,21 ,,RBRVS,26.38 ,14.02 ,14.02 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,61571,CPT,Incise skull for brain wound,,,21 ,,RBRVS,28.29 ,14.64 ,14.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,61575,CPT,Skull base/brainstem surgery,,,21 ,,RBRVS,36.43 ,16.10 ,16.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,61576,CPT,Skull base/brainstem surgery,,,21 ,,RBRVS,55.11 ,28.09 ,28.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,61580,CPT,"Craniofacial approach, skull",,,21 ,,RBRVS,34.34 ,22.85 ,22.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,61581,CPT,"Craniofacial approach, skull",,,21 ,,RBRVS,38.88 ,27.83 ,27.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,61582,CPT,"Craniofacial approach, skull",,,21 ,,RBRVS,34.93 ,30.48 ,30.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,61583,CPT,"Craniofacial approach, skull",,,21 ,,RBRVS,38.41 ,25.90 ,25.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,61584,CPT,Orbitocranial approach/skull,,,21 ,,RBRVS,37.61 ,26.04 ,26.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,61585,CPT,Orbitocranial approach/skull,,,21 ,,RBRVS,42.46 ,25.13 ,25.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,61586,CPT,"Resect nasopharynx, skull",,,21 ,,RBRVS,27.28 ,22.64 ,22.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,61590,CPT,Infratemporal approach/skull,,,21 ,,RBRVS,46.87 ,24.81 ,24.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,61591,CPT,Infratemporal approach/skull,,,21 ,,RBRVS,46.87 ,24.60 ,24.60 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,61592,CPT,Orbitocranial approach/skull,,,21 ,,RBRVS,42.98 ,26.80 ,26.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,61595,CPT,Transtemporal approach/skull,,,21 ,,RBRVS,33.57 ,21.14 ,21.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,61596,CPT,Transcochlear approach/skull,,,21 ,,RBRVS,39.31 ,20.95 ,20.95 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,61597,CPT,Transcondylar approach/skull,,,21 ,,RBRVS,40.73 ,23.27 ,23.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,61598,CPT,Transpetrosal approach/skull,,,21 ,,RBRVS,36.41 ,22.16 ,22.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,61600,CPT,Resect/excise cranial lesion,,,21 ,,RBRVS,29.84 ,19.76 ,19.76 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,61601,CPT,Resect/excise cranial lesion,,,21 ,,RBRVS,31.04 ,22.38 ,22.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,61605,CPT,Resect/excise cranial lesion,,,21 ,,RBRVS,32.40 ,19.47 ,19.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,61606,CPT,Resect/excise cranial lesion,,,21 ,,RBRVS,41.94 ,23.77 ,23.77 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,61607,CPT,Resect/excise cranial lesion,,,21 ,,RBRVS,40.82 ,21.00 ,21.00 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,61608,CPT,Resect/excise cranial lesion,,,21 ,,RBRVS,45.45 ,26.32 ,26.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,61609,CPT,"Transect artery, sinus",,,21 ,,RBRVS,9.88 ,3.25 ,3.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,61610,CPT,"Transect artery, sinus",,,21 ,,RBRVS,29.63 ,11.06 ,11.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,61611,CPT,"Transect artery, sinus",,,21 ,,RBRVS,7.41 ,1.71 ,1.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,61612,CPT,"Transect artery, sinus",,,21 ,,RBRVS,27.84 ,6.41 ,6.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,61613,CPT,"Remove aneurysm, sinus",,,21 ,,RBRVS,44.94 ,27.35 ,27.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,61615,CPT,"Resect/excise lesion, skull",,,21 ,,RBRVS,35.63 ,21.30 ,21.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,61616,CPT,"Resect/excise lesion, skull",,,21 ,,RBRVS,46.60 ,27.24 ,27.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,61618,CPT,Repair dura,,,21 ,,RBRVS,18.58 ,10.44 ,10.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,61619,CPT,Repair dura,,,21 ,,RBRVS,22.01 ,11.67 ,11.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,61623,CPT,Endovasc tempory vessel occl,,,21 ,,RBRVS,9.95 ,3.72 ,3.72 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,61624,CPT,"Transcath occlusion, cns",,,21 ,,RBRVS,20.12 ,7.29 ,7.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,61626,CPT,"Transcath occlusion, non-cns",,,21 ,,RBRVS,16.60 ,5.97 ,5.97 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,61630,CPT,Intracranial angioplasty,,,21 ,,RBRVS,22.07 ,6.44 ,6.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,61635,CPT,Intracran angioplsty w/stent,,,21 ,,RBRVS,24.28 ,6.95 ,6.95 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,61640,CPT,"Dilate ic vasospasm, init",,,21 ,,RBRVS,12.32 ,2.83 ,2.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,61641,CPT,Dilate ic vasospasm add-on,,,21 ,,RBRVS,4.33 ,1.00 ,1.00 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,61642,CPT,Dilate ic vasospasm add-on,,,21 ,,RBRVS,8.66 ,1.99 ,1.99 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,61680,CPT,Intracranial vessel surgery,,,21 ,,RBRVS,32.40 ,16.75 ,16.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,61682,CPT,Intracranial vessel surgery,,,21 ,,RBRVS,63.31 ,27.54 ,27.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,61684,CPT,Intracranial vessel surgery,,,21 ,,RBRVS,41.49 ,20.38 ,20.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,61686,CPT,Intracranial vessel surgery,,,21 ,,RBRVS,67.32 ,30.47 ,30.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,61690,CPT,Intracranial vessel surgery,,,21 ,,RBRVS,31.18 ,16.52 ,16.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,61692,CPT,Intracranial vessel surgery,,,21 ,,RBRVS,54.43 ,24.35 ,24.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,61697,CPT,"Brain aneurysm repr, complx",,,21 ,,RBRVS,63.22 ,28.64 ,28.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,61698,CPT,"Brain aneurysm repr, complx",,,21 ,,RBRVS,69.45 ,30.59 ,30.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,61700,CPT,"Brain aneurysm repr, simple",,,21 ,,RBRVS,50.44 ,24.03 ,24.03 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,61702,CPT,Inner skull vessel surgery,,,21 ,,RBRVS,59.86 ,27.50 ,27.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,61703,CPT,Clamp neck artery,,,21 ,,RBRVS,18.70 ,10.06 ,10.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,61705,CPT,Revise circulation to head,,,21 ,,RBRVS,37.97 ,18.32 ,18.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,61708,CPT,Revise circulation to head,,,21 ,,RBRVS,37.07 ,14.87 ,14.87 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,61710,CPT,Revise circulation to head,,,21 ,,RBRVS,31.19 ,13.79 ,13.79 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,61711,CPT,Fusion of skull arteries,,,21 ,,RBRVS,38.10 ,18.61 ,18.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,61720,CPT,Incise skull/brain surgery,,,21 ,,RBRVS,17.52 ,7.89 ,7.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,61735,CPT,Incise skull/brain surgery,,,21 ,,RBRVS,22.22 ,9.17 ,9.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,61750,CPT,Incise skull/brain biopsy,,,21 ,,RBRVS,19.73 ,10.95 ,10.95 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,61751,CPT,Brain biopsy w/ct/mr guide,,,21 ,,RBRVS,18.64 ,11.37 ,11.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,61760,CPT,Implant brain electrodes,,,21 ,,RBRVS,22.24 ,12.06 ,12.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,61770,CPT,Incise skull for treatment,,,21 ,,RBRVS,23.09 ,9.89 ,9.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,61790,CPT,Treat trigeminal nerve,,,21 ,,RBRVS,11.50 ,7.70 ,7.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,61791,CPT,Treat trigeminal tract,,,21 ,,RBRVS,15.31 ,8.21 ,8.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,61795,CPT,Brain surgery using computer,,,21 ,,RBRVS,4.03 ,1.43 ,1.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,61796,CPT,"Srs, cranial lesion simple",,,21 ,,RBRVS,10.79 ,6.85 ,6.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,61797,CPT,"Srs, cran les simple, addl",,,21 ,,RBRVS,3.48 ,1.34 ,1.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,61798,CPT,"Srs, cranial lesion complex",,,21 ,,RBRVS,10.79 ,6.85 ,6.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,61799,CPT,"Srs, cran les complex, addl",,,21 ,,RBRVS,4.81 ,1.85 ,1.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,61800,CPT,Apply srs headframe add-on,,,21 ,,RBRVS,2.25 ,1.11 ,1.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,61850,CPT,Implant neuroelectrodes,,,21 ,,RBRVS,13.26 ,7.89 ,7.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,61860,CPT,Implant neuroelectrodes,,,21 ,,RBRVS,22.16 ,11.60 ,11.60 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,61863,CPT,Implant neuroelectrode,,,21 ,,RBRVS,20.56 ,12.42 ,12.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,61864,CPT,"Implant neuroelectrde, addl",,,21 ,,RBRVS,4.49 ,1.68 ,1.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,61867,CPT,Implant neuroelectrode,,,21 ,,RBRVS,32.88 ,16.37 ,16.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,61868,CPT,"Implant neuroelectrde, add'l",,,21 ,,RBRVS,7.91 ,2.94 ,2.94 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,61870,CPT,Implant neuroelectrodes,,,21 ,,RBRVS,16.24 ,9.69 ,9.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,61875,CPT,Implant neuroelectrodes,,,21 ,,RBRVS,16.36 ,5.33 ,5.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,61880,CPT,Revise/remove neuroelectrode,,,21 ,,RBRVS,6.87 ,5.18 ,5.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,61885,CPT,Insrt/redo neurostim 1 array,,,21 ,,RBRVS,7.37 ,7.06 ,7.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,61886,CPT,Implant neurostim arrays,,,21 ,,RBRVS,9.73 ,8.52 ,8.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,61888,CPT,Revise/remove neuroreceiver,,,21 ,,RBRVS,5.20 ,3.47 ,3.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,62000,CPT,Treat skull fracture,,,21 ,,RBRVS,13.83 ,7.61 ,7.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,62005,CPT,Treat skull fracture,,,21 ,,RBRVS,17.53 ,9.59 ,9.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,62010,CPT,Treatment of head injury,,,21 ,,RBRVS,21.30 ,11.81 ,11.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,62100,CPT,Repair brain fluid leakage,,,21 ,,RBRVS,23.40 ,12.09 ,12.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,62115,CPT,Reduction of skull defect,,,21 ,,RBRVS,22.71 ,13.89 ,13.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,62116,CPT,Reduction of skull defect,,,21 ,,RBRVS,24.90 ,13.35 ,13.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,62117,CPT,Reduction of skull defect,,,21 ,,RBRVS,28.26 ,12.74 ,12.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,62120,CPT,Repair skull cavity lesion,,,21 ,,RBRVS,24.39 ,17.33 ,17.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,62121,CPT,Incise skull repair,,,21 ,,RBRVS,22.93 ,14.24 ,14.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,62140,CPT,Repair of skull defect,,,21 ,,RBRVS,14.45 ,8.64 ,8.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,62141,CPT,Repair of skull defect,,,21 ,,RBRVS,15.97 ,9.34 ,9.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,62142,CPT,Remove skull plate/flap,,,21 ,,RBRVS,11.73 ,7.79 ,7.79 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,62143,CPT,Replace skull plate/flap,,,21 ,,RBRVS,14.05 ,8.73 ,8.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,62145,CPT,Repair of skull & brain,,,21 ,,RBRVS,19.99 ,10.26 ,10.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,62146,CPT,Repair of skull with graft,,,21 ,,RBRVS,17.18 ,9.52 ,9.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,62147,CPT,Repair of skull with graft,,,21 ,,RBRVS,20.57 ,11.00 ,11.00 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,62148,CPT,Retr bone flap to fix skull,,,21 ,,RBRVS,2.00 ,0.74 ,0.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,62160,CPT,Neuroendoscopy add-on,,,21 ,,RBRVS,3.00 ,1.11 ,1.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,62161,CPT,Dissect brain w/scope,,,21 ,,RBRVS,21.10 ,12.15 ,12.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,62162,CPT,Remove colloid cyst w/scope,,,21 ,,RBRVS,26.67 ,14.65 ,14.65 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,62163,CPT,Neuroendoscopy w/fb removal,,,21 ,,RBRVS,16.40 ,9.25 ,9.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,62164,CPT,Remove brain tumor w/scope,,,21 ,,RBRVS,29.27 ,15.93 ,15.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,62165,CPT,Remove pituit tumor w/scope,,,21 ,,RBRVS,23.10 ,11.78 ,11.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,62180,CPT,Establish brain cavity shunt,,,21 ,,RBRVS,22.45 ,12.37 ,12.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,62190,CPT,Establish brain cavity shunt,,,21 ,,RBRVS,12.07 ,7.37 ,7.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,62192,CPT,Establish brain cavity shunt,,,21 ,,RBRVS,13.25 ,8.02 ,8.02 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,62194,CPT,Replace/irrigate catheter,,,21 ,,RBRVS,5.68 ,3.14 ,3.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,62200,CPT,Establish brain cavity shunt,,,21 ,,RBRVS,19.19 ,10.70 ,10.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,62201,CPT,Brain cavity shunt w/scope,,,21 ,,RBRVS,15.89 ,10.35 ,10.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,62220,CPT,Establish brain cavity shunt,,,21 ,,RBRVS,14.00 ,8.62 ,8.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,62223,CPT,Establish brain cavity shunt,,,21 ,,RBRVS,13.90 ,9.36 ,9.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,62225,CPT,Replace/irrigate catheter,,,21 ,,RBRVS,6.11 ,5.48 ,5.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,62230,CPT,Replace/revise brain shunt,,,21 ,,RBRVS,11.35 ,7.21 ,7.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,62252,CPT,Csf shunt reprogram,26, ,21 ,,RBRVS,0.74 ,0.27 ,0.27 ,,,$0.00,$0.00,1,0,1,1,1,0,20091001,,62252,CPT,Csf shunt reprogram,TC, ,21 ,,RBRVS,0.00 ,1.50 ,1.50 ,,,$0.00,$0.00,1,1,1,0,1,0,20091001,,62252,CPT,Csf shunt reprogram,,,21 ,,RBRVS,0.74 ,1.77 ,1.77 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,62256,CPT,Remove brain cavity shunt,,,21 ,,RBRVS,7.30 ,5.90 ,5.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,62258,CPT,Replace brain cavity shunt,,,21 ,,RBRVS,15.54 ,9.30 ,9.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,62263,CPT,Epidural lysis mult sessions,,,21 ,,RBRVS,6.41 ,2.98 ,9.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,62264,CPT,Epidural lysis on single day,,,21 ,,RBRVS,4.42 ,1.24 ,5.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,62267,CPT,"Interdiscal perq aspir, dx",,,21 ,,RBRVS,3.00 ,1.15 ,3.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,62268,CPT,Drain spinal cord cyst,,,21 ,,RBRVS,4.73 ,1.81 ,6.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,62269,CPT,"Needle biopsy, spinal cord",,,21 ,,RBRVS,5.01 ,1.48 ,6.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,62270,CPT,"Spinal fluid tap, diagnostic",,,21 ,,RBRVS,1.37 ,0.58 ,2.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,62272,CPT,Drain cerebro spinal fluid,,,21 ,,RBRVS,1.35 ,0.62 ,3.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,62273,CPT,Inject epidural patch,,,21 ,,RBRVS,2.15 ,0.57 ,1.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,62280,CPT,Treat spinal cord lesion,,,21 ,,RBRVS,2.63 ,1.15 ,4.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,62281,CPT,Treat spinal cord lesion,,,21 ,,RBRVS,2.66 ,1.03 ,4.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,62282,CPT,Treat spinal canal lesion,,,21 ,,RBRVS,2.33 ,1.11 ,4.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,62284,CPT,Injection for myelogram,,,21 ,,RBRVS,1.54 ,0.71 ,3.79 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,62287,CPT,Percutaneous diskectomy,,,21 ,,RBRVS,8.88 ,4.30 ,4.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,62290,CPT,Inject for spine disk x-ray,,,21 ,,RBRVS,3.00 ,1.15 ,4.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,62291,CPT,Inject for spine disk x-ray,,,21 ,,RBRVS,2.91 ,1.08 ,4.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,62292,CPT,Injection into disk lesion,,,21 ,,RBRVS,9.14 ,2.87 ,2.87 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,62294,CPT,Injection into spinal artery,,,21 ,,RBRVS,12.77 ,6.49 ,6.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,62310,CPT,Inject spine c/t,,,21 ,,RBRVS,1.91 ,0.56 ,3.00 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,62311,CPT,Inject spine l/s (cd),,,21 ,,RBRVS,1.54 ,0.52 ,2.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,62318,CPT,"Inject spine w/cath, c/t",,,21 ,,RBRVS,2.04 ,0.43 ,3.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,62319,CPT,Inject spine w/cath l/s (cd),,,21 ,,RBRVS,1.87 ,0.44 ,2.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,62350,CPT,Implant spinal canal cath,,,21 ,,RBRVS,8.04 ,3.99 ,3.99 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,62351,CPT,Implant spinal canal cath,,,21 ,,RBRVS,11.54 ,7.65 ,7.65 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,62355,CPT,Remove spinal canal catheter,,,21 ,,RBRVS,6.60 ,3.52 ,3.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,62360,CPT,Insert spine infusion device,,,21 ,,RBRVS,3.68 ,3.17 ,3.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,62361,CPT,Implant spine infusion pump,,,21 ,,RBRVS,6.59 ,4.07 ,4.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,62362,CPT,Implant spine infusion pump,,,21 ,,RBRVS,8.58 ,4.65 ,4.65 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,62365,CPT,Remove spine infusion device,,,21 ,,RBRVS,6.57 ,3.71 ,3.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,62367,CPT,Analyze spine infusion pump,,,21 ,,RBRVS,0.48 ,0.11 ,0.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,62368,CPT,Analyze spine infusion pump,,,21 ,,RBRVS,0.75 ,0.17 ,0.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,63001,CPT,Removal of spinal lamina,,,21 ,,RBRVS,17.51 ,9.77 ,9.77 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,63003,CPT,Removal of spinal lamina,,,21 ,,RBRVS,17.64 ,9.73 ,9.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,63005,CPT,Removal of spinal lamina,,,21 ,,RBRVS,16.28 ,9.74 ,9.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,63011,CPT,Removal of spinal lamina,,,21 ,,RBRVS,15.78 ,9.01 ,9.01 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,63012,CPT,Removal of spinal lamina,,,21 ,,RBRVS,16.72 ,9.76 ,9.76 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,63015,CPT,Removal of spinal lamina,,,21 ,,RBRVS,20.70 ,11.85 ,11.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,63016,CPT,Removal of spinal lamina,,,21 ,,RBRVS,21.90 ,11.65 ,11.65 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,63017,CPT,Removal of spinal lamina,,,21 ,,RBRVS,17.18 ,10.35 ,10.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,63020,CPT,Neck spine disk surgery,,,21 ,,RBRVS,16.05 ,9.88 ,9.88 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,63030,CPT,Low back disk surgery,,,21 ,,RBRVS,13.03 ,8.60 ,8.60 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,63035,CPT,Spinal disk surgery add-on,,,21 ,,RBRVS,3.15 ,1.19 ,1.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,63040,CPT,"Laminotomy, single cervical",,,21 ,,RBRVS,20.18 ,11.03 ,11.03 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,63042,CPT,"Laminotomy, single lumbar",,,21 ,,RBRVS,18.61 ,10.59 ,10.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,63043,CPT,"Laminotomy, add'l cervical",,,21 ,,TotalUnits,,,,13.75 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,63044,CPT,"Laminotomy, add'l lumbar",,,21 ,,TotalUnits,,,,12.19 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,63045,CPT,Removal of spinal lamina,,,21 ,,RBRVS,17.82 ,10.34 ,10.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,63046,CPT,Removal of spinal lamina,,,21 ,,RBRVS,17.12 ,9.79 ,9.79 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,63047,CPT,Removal of spinal lamina,,,21 ,,RBRVS,15.22 ,9.34 ,9.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,63048,CPT,Remove spinal lamina add-on,,,21 ,,RBRVS,3.47 ,1.32 ,1.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,63050,CPT,Cervical laminoplasty,,,21 ,,RBRVS,21.88 ,11.82 ,11.82 ,,,$0.00,$0.00,1,0,0,1,1,1,20091001,,63051,CPT,C-laminoplasty w/graft/plate,,,21 ,,RBRVS,25.38 ,13.08 ,13.08 ,,,$0.00,$0.00,1,0,0,1,1,1,20091001,,63055,CPT,Decompress spinal cord,,,21 ,,RBRVS,23.42 ,12.45 ,12.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,63056,CPT,Decompress spinal cord,,,21 ,,RBRVS,21.73 ,11.38 ,11.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,63057,CPT,Decompress spine cord add-on,,,21 ,,RBRVS,5.25 ,1.98 ,1.98 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,63064,CPT,Decompress spinal cord,,,21 ,,RBRVS,26.09 ,13.22 ,13.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,63066,CPT,Decompress spine cord add-on,,,21 ,,RBRVS,3.26 ,1.21 ,1.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,63075,CPT,Neck spine disk surgery,,,21 ,,RBRVS,19.47 ,11.01 ,11.01 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,63076,CPT,Neck spine disk surgery,,,21 ,,RBRVS,4.04 ,1.52 ,1.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,63077,CPT,"Spine disk surgery, thorax",,,21 ,,RBRVS,22.75 ,11.08 ,11.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,63078,CPT,"Spine disk surgery, thorax",,,21 ,,RBRVS,3.28 ,1.21 ,1.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,63081,CPT,Removal of vertebral body,,,21 ,,RBRVS,25.97 ,13.49 ,13.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,63082,CPT,Remove vertebral body add-on,,,21 ,,RBRVS,4.36 ,1.64 ,1.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,63085,CPT,Removal of vertebral body,,,21 ,,RBRVS,29.34 ,13.54 ,13.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,63086,CPT,Remove vertebral body add-on,,,21 ,,RBRVS,3.19 ,1.17 ,1.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,63087,CPT,Removal of vertebral body,,,21 ,,RBRVS,37.38 ,16.65 ,16.65 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,63088,CPT,Remove vertebral body add-on,,,21 ,,RBRVS,4.32 ,1.59 ,1.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,63090,CPT,Removal of vertebral body,,,21 ,,RBRVS,30.78 ,14.39 ,14.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,63091,CPT,Remove vertebral body add-on,,,21 ,,RBRVS,3.03 ,1.14 ,1.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,63101,CPT,Removal of vertebral body,,,21 ,,RBRVS,33.92 ,17.04 ,17.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,63102,CPT,Removal of vertebral body,,,21 ,,RBRVS,33.92 ,16.83 ,16.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,63103,CPT,Remove vertebral body add-on,,,21 ,,RBRVS,4.82 ,1.74 ,1.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,63170,CPT,Incise spinal cord tract(s),,,21 ,,RBRVS,22.08 ,10.44 ,10.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,63172,CPT,Drainage of spinal cyst,,,21 ,,RBRVS,19.66 ,11.07 ,11.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,63173,CPT,Drainage of spinal cyst,,,21 ,,RBRVS,24.18 ,13.57 ,13.57 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,63180,CPT,Revise spinal cord ligaments,,,21 ,,RBRVS,20.40 ,10.95 ,10.95 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,63182,CPT,Revise spinal cord ligaments,,,21 ,,RBRVS,22.69 ,7.18 ,7.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,63185,CPT,Incise spinal column/nerves,,,21 ,,RBRVS,16.36 ,9.80 ,9.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,63190,CPT,Incise spinal column/nerves,,,21 ,,RBRVS,18.76 ,9.60 ,9.60 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,63191,CPT,Incise spinal column/nerves,,,21 ,,RBRVS,18.79 ,4.10 ,4.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,63194,CPT,Incise spinal column & cord,,,21 ,,RBRVS,21.97 ,11.20 ,11.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,63195,CPT,Incise spinal column & cord,,,21 ,,RBRVS,21.54 ,12.10 ,12.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,63196,CPT,Incise spinal column & cord,,,21 ,,RBRVS,25.14 ,13.79 ,13.79 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,63197,CPT,Incise spinal column & cord,,,21 ,,RBRVS,23.95 ,7.47 ,7.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,63198,CPT,Incise spinal column & cord,,,21 ,,RBRVS,29.75 ,8.93 ,8.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,63199,CPT,Incise spinal column & cord,,,21 ,,RBRVS,31.32 ,9.29 ,9.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,63200,CPT,Release of spinal cord,,,21 ,,RBRVS,21.31 ,12.10 ,12.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,63250,CPT,Revise spinal cord vessels,,,21 ,,RBRVS,43.73 ,20.91 ,20.91 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,63251,CPT,Revise spinal cord vessels,,,21 ,,RBRVS,44.49 ,21.53 ,21.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,63252,CPT,Revise spinal cord vessels,,,21 ,,RBRVS,44.48 ,20.87 ,20.87 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,63265,CPT,Excise intraspinal lesion,,,21 ,,RBRVS,23.69 ,12.99 ,12.99 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,63266,CPT,Excise intraspinal lesion,,,21 ,,RBRVS,24.55 ,13.18 ,13.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,63267,CPT,Excise intraspinal lesion,,,21 ,,RBRVS,19.32 ,11.13 ,11.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,63268,CPT,Excise intraspinal lesion,,,21 ,,RBRVS,19.89 ,11.25 ,11.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,63270,CPT,Excise intraspinal lesion,,,21 ,,RBRVS,29.67 ,15.36 ,15.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,63271,CPT,Excise intraspinal lesion,,,21 ,,RBRVS,29.79 ,15.32 ,15.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,63272,CPT,Excise intraspinal lesion,,,21 ,,RBRVS,27.37 ,14.29 ,14.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,63273,CPT,Excise intraspinal lesion,,,21 ,,RBRVS,26.34 ,14.08 ,14.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,63275,CPT,Biopsy/excise spinal tumor,,,21 ,,RBRVS,25.73 ,13.74 ,13.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,63276,CPT,Biopsy/excise spinal tumor,,,21 ,,RBRVS,25.56 ,13.52 ,13.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,63277,CPT,Biopsy/excise spinal tumor,,,21 ,,RBRVS,22.26 ,12.13 ,12.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,63278,CPT,Biopsy/excise spinal tumor,,,21 ,,RBRVS,21.99 ,11.92 ,11.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,63280,CPT,Biopsy/excise spinal tumor,,,21 ,,RBRVS,30.14 ,15.88 ,15.88 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,63281,CPT,Biopsy/excise spinal tumor,,,21 ,,RBRVS,29.84 ,15.87 ,15.87 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,63282,CPT,Biopsy/excise spinal tumor,,,21 ,,RBRVS,28.00 ,15.01 ,15.01 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,63283,CPT,Biopsy/excise spinal tumor,,,21 ,,RBRVS,26.61 ,14.68 ,14.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,63285,CPT,Biopsy/excise spinal tumor,,,21 ,,RBRVS,37.90 ,18.10 ,18.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,63286,CPT,Biopsy/excise spinal tumor,,,21 ,,RBRVS,37.47 ,18.71 ,18.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,63287,CPT,Biopsy/excise spinal tumor,,,21 ,,RBRVS,39.93 ,19.62 ,19.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,63290,CPT,Biopsy/excise spinal tumor,,,21 ,,RBRVS,40.67 ,19.29 ,19.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,63295,CPT,Repair of laminectomy defect,,,21 ,,RBRVS,5.25 ,1.95 ,1.95 ,,,$0.00,$0.00,1,0,0,1,1,1,20091001,,63300,CPT,Removal of vertebral body,,,21 ,,RBRVS,26.67 ,13.80 ,13.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,63301,CPT,Removal of vertebral body,,,21 ,,RBRVS,31.42 ,14.21 ,14.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,63302,CPT,Removal of vertebral body,,,21 ,,RBRVS,31.00 ,13.78 ,13.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,63303,CPT,Removal of vertebral body,,,21 ,,RBRVS,33.42 ,15.00 ,15.00 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,63304,CPT,Removal of vertebral body,,,21 ,,RBRVS,33.70 ,17.58 ,17.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,63305,CPT,Removal of vertebral body,,,21 ,,RBRVS,36.09 ,16.99 ,16.99 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,63306,CPT,Removal of vertebral body,,,21 ,,RBRVS,35.40 ,16.65 ,16.65 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,63307,CPT,Removal of vertebral body,,,21 ,,RBRVS,34.81 ,14.83 ,14.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,63308,CPT,Remove vertebral body add-on,,,21 ,,RBRVS,5.24 ,1.95 ,1.95 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,63600,CPT,Remove spinal cord lesion,,,21 ,,RBRVS,15.02 ,4.03 ,4.03 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,63610,CPT,Stimulation of spinal cord,,,21 ,,RBRVS,8.72 ,1.49 ,13.95 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,63615,CPT,Remove lesion of spinal cord,,,21 ,,RBRVS,17.22 ,8.53 ,8.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,63620,CPT,"Srs, spinal lesion",,,21 ,,RBRVS,10.79 ,6.85 ,6.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,63621,CPT,"Srs, spinal lesion, addl",,,21 ,,RBRVS,4.00 ,1.54 ,1.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,63650,CPT,Implant neuroelectrodes,,,21 ,,RBRVS,7.57 ,2.92 ,2.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,63655,CPT,Implant neuroelectrodes,,,21 ,,RBRVS,11.43 ,7.63 ,7.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,63660,CPT,Revise/remove neuroelectrode,,,21 ,,RBRVS,6.87 ,3.42 ,3.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,63685,CPT,Insrt/redo spine n generator,,,21 ,,RBRVS,7.87 ,3.65 ,3.65 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,63688,CPT,Revise/remove neuroreceiver,,,21 ,,RBRVS,6.10 ,3.53 ,3.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,63700,CPT,Repair of spinal herniation,,,21 ,,RBRVS,17.32 ,9.95 ,9.95 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,63702,CPT,Repair of spinal herniation,,,21 ,,RBRVS,19.26 ,9.98 ,9.98 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,63704,CPT,Repair of spinal herniation,,,21 ,,RBRVS,22.23 ,11.66 ,11.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,63706,CPT,Repair of spinal herniation,,,21 ,,RBRVS,25.15 ,14.30 ,14.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,63707,CPT,Repair spinal fluid leakage,,,21 ,,RBRVS,12.52 ,7.83 ,7.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,63709,CPT,Repair spinal fluid leakage,,,21 ,,RBRVS,15.52 ,8.97 ,8.97 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,63710,CPT,Graft repair of spine defect,,,21 ,,RBRVS,15.27 ,9.19 ,9.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,63740,CPT,Install spinal shunt,,,21 ,,RBRVS,12.50 ,8.28 ,8.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,63741,CPT,Install spinal shunt,,,21 ,,RBRVS,9.02 ,4.93 ,4.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,63744,CPT,Revision of spinal shunt,,,21 ,,RBRVS,8.86 ,5.76 ,5.76 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,63746,CPT,Removal of spinal shunt,,,21 ,,RBRVS,7.25 ,5.69 ,5.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,64400,CPT,"N block inj, trigeminal",,,21 ,,RBRVS,1.11 ,0.45 ,1.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,64402,CPT,"N block inj, facial",,,21 ,,RBRVS,1.25 ,0.50 ,1.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,64405,CPT,"N block inj, occipital",,,21 ,,RBRVS,1.32 ,0.49 ,1.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,64408,CPT,"N block inj, vagus",,,21 ,,RBRVS,1.41 ,0.71 ,1.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,64410,CPT,"N block inj, phrenic",,,21 ,,RBRVS,1.43 ,0.56 ,1.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,64412,CPT,"N block inj, spinal accessor",,,21 ,,RBRVS,1.18 ,0.59 ,2.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,64413,CPT,"N block inj, cervical plexus",,,21 ,,RBRVS,1.40 ,0.48 ,1.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,64415,CPT,"N block inj, brachial plexus",,,21 ,,RBRVS,1.48 ,0.30 ,1.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,64416,CPT,"N block cont infuse, b plex",,,21 ,,RBRVS,3.85 ,0.46 ,0.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,64417,CPT,"N block inj, axillary",,,21 ,,RBRVS,1.44 ,0.32 ,1.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,64418,CPT,"N block inj, suprascapular",,,21 ,,RBRVS,1.32 ,0.52 ,1.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,64420,CPT,"N block inj, intercost, sng",,,21 ,,RBRVS,1.18 ,0.45 ,2.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,64421,CPT,"N block inj, intercost, mlt",,,21 ,,RBRVS,1.68 ,0.53 ,3.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,64425,CPT,"N block inj, ilio-ing/hypogi",,,21 ,,RBRVS,1.75 ,0.53 ,1.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,64430,CPT,"N block inj, pudendal",,,21 ,,RBRVS,1.46 ,0.77 ,2.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,64435,CPT,"N block inj, paracervical",,,21 ,,RBRVS,1.45 ,0.56 ,2.00 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,64445,CPT,"N block inj, sciatic, sng",,,21 ,,RBRVS,1.48 ,0.50 ,1.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,64446,CPT,"N blk inj, sciatic, cont inf",,,21 ,,RBRVS,3.61 ,0.48 ,0.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,64447,CPT,"N block inj fem, single",,,21 ,,RBRVS,1.50 ,0.17 ,0.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,64448,CPT,"N block inj fem, cont inf",,,21 ,,RBRVS,3.36 ,0.39 ,0.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,64449,CPT,"N block inj, lumbar plexus",,,21 ,,RBRVS,3.24 ,0.42 ,0.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,64450,CPT,"N block, other peripheral",,,21 ,,RBRVS,1.27 ,0.49 ,1.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,64455,CPT,"N block inj,  plantar digit",,,21 ,,RBRVS,0.75 ,0.24 ,0.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,64470,CPT,Inj paravertebral c/t,,,21 ,,RBRVS,1.85 ,0.70 ,3.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,64472,CPT,Inj paravertebral c/t add-on,,,21 ,,RBRVS,1.29 ,0.33 ,1.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,64475,CPT,Inj paravertebral l/s,,,21 ,,RBRVS,1.41 ,0.58 ,3.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,64476,CPT,Inj paravertebral l/s add-on,,,21 ,,RBRVS,0.98 ,0.22 ,1.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,64479,CPT,Inj foramen epidural c/t,,,21 ,,RBRVS,2.20 ,0.81 ,3.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,64480,CPT,Inj foramen epidural add-on,,,21 ,,RBRVS,1.54 ,0.39 ,1.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,64483,CPT,Inj foramen epidural l/s,,,21 ,,RBRVS,1.90 ,0.75 ,3.82 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,64484,CPT,Inj foramen epidural add-on,,,21 ,,RBRVS,1.33 ,0.32 ,1.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,64505,CPT,"N block, spenopalatine gangl",,,21 ,,RBRVS,1.36 ,0.74 ,1.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,64508,CPT,"N block, carotid sinus s/p",,,21 ,,RBRVS,1.12 ,0.56 ,2.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,64510,CPT,"N block, stellate ganglion",,,21 ,,RBRVS,1.22 ,0.43 ,1.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,64517,CPT,"N block inj, hypogas plxs",,,21 ,,RBRVS,2.20 ,0.68 ,1.72 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,64520,CPT,"N block, lumbar/thoracic",,,21 ,,RBRVS,1.35 ,0.51 ,2.57 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,64530,CPT,"N block inj, celiac pelus",,,21 ,,RBRVS,1.58 ,0.65 ,2.79 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,64550,CPT,Apply neurostimulator,,,21 ,,RBRVS,0.18 ,0.05 ,0.20 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,64553,CPT,Implant neuroelectrodes,,,21 ,,RBRVS,2.33 ,1.45 ,2.65 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,64555,CPT,Implant neuroelectrodes,,,21 ,,RBRVS,2.29 ,1.49 ,2.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,64560,CPT,Implant neuroelectrodes,,,21 ,,RBRVS,2.38 ,1.26 ,2.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,64561,CPT,Implant neuroelectrodes,,,21 ,,RBRVS,7.07 ,3.76 ,19.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,64565,CPT,Implant neuroelectrodes,,,21 ,,RBRVS,1.78 ,1.29 ,2.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,64573,CPT,Implant neuroelectrodes,,,21 ,,RBRVS,8.15 ,5.16 ,5.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,64575,CPT,Implant neuroelectrodes,,,21 ,,RBRVS,4.37 ,2.06 ,2.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,64577,CPT,Implant neuroelectrodes,,,21 ,,RBRVS,4.64 ,4.79 ,4.79 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,64580,CPT,Implant neuroelectrodes,,,21 ,,RBRVS,4.14 ,2.71 ,2.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,64581,CPT,Implant neuroelectrodes,,,21 ,,RBRVS,14.15 ,6.60 ,6.60 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,64585,CPT,Revise/remove neuroelectrode,,,21 ,,RBRVS,2.08 ,2.29 ,5.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,64590,CPT,Insrt/redo pn/gastr stimul,,,21 ,,RBRVS,2.42 ,2.46 ,6.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,64595,CPT,Revise/rmv pn/gastr stimul,,,21 ,,RBRVS,1.75 ,2.18 ,6.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,64600,CPT,Injection treatment of nerve,,,21 ,,RBRVS,3.46 ,1.63 ,5.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,64605,CPT,Injection treatment of nerve,,,21 ,,RBRVS,5.62 ,2.27 ,7.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,64610,CPT,Injection treatment of nerve,,,21 ,,RBRVS,7.17 ,3.43 ,9.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,64612,CPT,"Destroy nerve, face muscle",,,21 ,,RBRVS,1.98 ,1.34 ,1.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,64613,CPT,"Destroy nerve, neck muscle",,,21 ,,RBRVS,1.98 ,1.14 ,1.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,64614,CPT,"Destroy nerve, extrem musc",,,21 ,,RBRVS,2.20 ,1.31 ,1.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,64620,CPT,Injection treatment of nerve,,,21 ,,RBRVS,2.86 ,1.11 ,3.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,64622,CPT,Destr paravertebrl nerve l/s,,,21 ,,RBRVS,3.02 ,1.26 ,4.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,64623,CPT,Destr paravertebral n add-on,,,21 ,,RBRVS,0.99 ,0.22 ,1.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,64626,CPT,Destr paravertebrl nerve c/t,,,21 ,,RBRVS,3.82 ,1.87 ,4.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,64627,CPT,Destr paravertebral n add-on,,,21 ,,RBRVS,1.16 ,0.25 ,2.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,64630,CPT,Injection treatment of nerve,,,21 ,,RBRVS,3.02 ,1.84 ,2.76 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,64632,CPT,"N block inj, common digit",,,21 ,,RBRVS,1.20 ,0.63 ,0.95 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,64640,CPT,Injection treatment of nerve,,,21 ,,RBRVS,2.78 ,1.42 ,2.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,64650,CPT,Chemodenerv eccrine glands,,,21 ,,RBRVS,0.70 ,0.16 ,0.72 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,64653,CPT,Chemodenerv eccrine glands,,,21 ,,RBRVS,0.88 ,0.19 ,0.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,64680,CPT,Injection treatment of nerve,,,21 ,,RBRVS,2.64 ,1.20 ,4.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,64681,CPT,Injection treatment of nerve,,,21 ,,RBRVS,3.78 ,1.27 ,4.82 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,64702,CPT,Revise finger/toe nerve,,,21 ,,RBRVS,6.10 ,5.19 ,5.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,64704,CPT,Revise hand/foot nerve,,,21 ,,RBRVS,4.61 ,3.28 ,3.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,64708,CPT,Revise arm/leg nerve,,,21 ,,RBRVS,6.22 ,4.20 ,4.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,64712,CPT,Revision of sciatic nerve,,,21 ,,RBRVS,7.98 ,4.38 ,4.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,64713,CPT,Revision of arm nerve(s),,,21 ,,RBRVS,11.29 ,6.05 ,6.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,64714,CPT,Revise low back nerve(s),,,21 ,,RBRVS,10.44 ,4.37 ,4.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,64716,CPT,Revision of cranial nerve,,,21 ,,RBRVS,6.86 ,5.46 ,5.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,64718,CPT,Revise ulnar nerve at elbow,,,21 ,,RBRVS,7.06 ,6.20 ,6.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,64719,CPT,Revise ulnar nerve at wrist,,,21 ,,RBRVS,4.89 ,4.14 ,4.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,64721,CPT,Carpal tunnel surgery,,,21 ,,RBRVS,4.84 ,4.65 ,4.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,64722,CPT,Relieve pressure on nerve(s),,,21 ,,RBRVS,4.74 ,3.00 ,3.00 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,64726,CPT,Release foot/toe nerve,,,21 ,,RBRVS,4.21 ,2.80 ,2.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,64727,CPT,Internal nerve revision,,,21 ,,RBRVS,3.10 ,1.19 ,1.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,64732,CPT,Incision of brow nerve,,,21 ,,RBRVS,4.81 ,3.66 ,3.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,64734,CPT,Incision of cheek nerve,,,21 ,,RBRVS,5.45 ,4.44 ,4.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,64736,CPT,Incision of chin nerve,,,21 ,,RBRVS,5.13 ,3.72 ,3.72 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,64738,CPT,Incision of jaw nerve,,,21 ,,RBRVS,6.26 ,4.65 ,4.65 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,64740,CPT,Incision of tongue nerve,,,21 ,,RBRVS,6.12 ,4.98 ,4.98 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,64742,CPT,Incision of facial nerve,,,21 ,,RBRVS,6.75 ,4.28 ,4.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,64744,CPT,"Incise nerve, back of head",,,21 ,,RBRVS,5.64 ,4.04 ,4.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,64746,CPT,Incise diaphragm nerve,,,21 ,,RBRVS,6.46 ,3.86 ,3.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,64752,CPT,Incision of vagus nerve,,,21 ,,RBRVS,7.59 ,3.79 ,3.79 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,64755,CPT,Incision of stomach nerves,,,21 ,,RBRVS,14.97 ,5.50 ,5.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,64760,CPT,Incision of vagus nerve,,,21 ,,RBRVS,7.49 ,3.78 ,3.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,64761,CPT,Incision of pelvis nerve,,,21 ,,RBRVS,6.94 ,4.33 ,4.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,64763,CPT,Incise hip/thigh nerve,,,21 ,,RBRVS,7.46 ,3.91 ,3.91 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,64766,CPT,Incise hip/thigh nerve,,,21 ,,RBRVS,9.34 ,4.74 ,4.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,64771,CPT,Sever cranial nerve,,,21 ,,RBRVS,8.02 ,5.64 ,5.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,64772,CPT,Incision of spinal nerve,,,21 ,,RBRVS,7.74 ,5.12 ,5.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,64774,CPT,Remove skin nerve lesion,,,21 ,,RBRVS,5.70 ,4.03 ,4.03 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,64776,CPT,Remove digit nerve lesion,,,21 ,,RBRVS,5.52 ,3.73 ,3.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,64778,CPT,Digit nerve surgery add-on,,,21 ,,RBRVS,3.11 ,1.21 ,1.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,64782,CPT,Remove limb nerve lesion,,,21 ,,RBRVS,6.76 ,4.22 ,4.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,64783,CPT,Limb nerve surgery add-on,,,21 ,,RBRVS,3.71 ,1.37 ,1.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,64784,CPT,Remove nerve lesion,,,21 ,,RBRVS,10.49 ,6.41 ,6.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,64786,CPT,Remove sciatic nerve lesion,,,21 ,,RBRVS,16.12 ,8.44 ,8.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,64787,CPT,Implant nerve end,,,21 ,,RBRVS,4.29 ,1.64 ,1.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,64788,CPT,Remove skin nerve lesion,,,21 ,,RBRVS,5.14 ,4.06 ,4.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,64790,CPT,Removal of nerve lesion,,,21 ,,RBRVS,11.97 ,6.98 ,6.98 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,64792,CPT,Removal of nerve lesion,,,21 ,,RBRVS,15.71 ,8.30 ,8.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,64795,CPT,Biopsy of nerve,,,21 ,,RBRVS,3.01 ,1.43 ,1.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,64802,CPT,Remove sympathetic nerves,,,21 ,,RBRVS,10.24 ,3.51 ,3.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,64804,CPT,Remove sympathetic nerves,,,21 ,,RBRVS,15.78 ,5.97 ,5.97 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,64809,CPT,Remove sympathetic nerves,,,21 ,,RBRVS,14.61 ,7.04 ,7.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,64818,CPT,Remove sympathetic nerves,,,21 ,,RBRVS,11.24 ,4.32 ,4.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,64820,CPT,Remove sympathetic nerves,,,21 ,,RBRVS,10.64 ,6.94 ,6.94 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,64821,CPT,Remove sympathetic nerves,,,21 ,,RBRVS,9.19 ,6.54 ,6.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,64822,CPT,Remove sympathetic nerves,,,21 ,,RBRVS,9.19 ,6.43 ,6.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,64823,CPT,Remove sympathetic nerves,,,21 ,,RBRVS,10.80 ,6.47 ,6.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,64831,CPT,Repair of digit nerve,,,21 ,,RBRVS,10.23 ,6.62 ,6.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,64832,CPT,Repair nerve add-on,,,21 ,,RBRVS,5.65 ,2.32 ,2.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,64834,CPT,Repair of hand or foot nerve,,,21 ,,RBRVS,10.71 ,6.45 ,6.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,64835,CPT,Repair of hand or foot nerve,,,21 ,,RBRVS,11.60 ,6.91 ,6.91 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,64836,CPT,Repair of hand or foot nerve,,,21 ,,RBRVS,11.60 ,7.07 ,7.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,64837,CPT,Repair nerve add-on,,,21 ,,RBRVS,6.25 ,2.57 ,2.57 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,64840,CPT,Repair of leg nerve,,,21 ,,RBRVS,13.87 ,7.52 ,7.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,64856,CPT,Repair/transpose nerve,,,21 ,,RBRVS,14.94 ,8.48 ,8.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,64857,CPT,Repair arm/leg nerve,,,21 ,,RBRVS,15.69 ,8.76 ,8.76 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,64858,CPT,Repair sciatic nerve,,,21 ,,RBRVS,17.69 ,9.57 ,9.57 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,64859,CPT,Nerve surgery,,,21 ,,RBRVS,4.25 ,1.75 ,1.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,64861,CPT,Repair of arm nerves,,,21 ,,RBRVS,20.74 ,10.01 ,10.01 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,64862,CPT,Repair of low back nerves,,,21 ,,RBRVS,20.94 ,10.14 ,10.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,64864,CPT,Repair of facial nerve,,,21 ,,RBRVS,13.31 ,7.47 ,7.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,64865,CPT,Repair of facial nerve,,,21 ,,RBRVS,15.96 ,11.53 ,11.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,64866,CPT,Fusion of facial/other nerve,,,21 ,,RBRVS,16.70 ,11.11 ,11.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,64868,CPT,Fusion of facial/other nerve,,,21 ,,RBRVS,14.80 ,9.79 ,9.79 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,64870,CPT,Fusion of facial/other nerve,,,21 ,,RBRVS,16.95 ,8.06 ,8.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,64872,CPT,Subsequent repair of nerve,,,21 ,,RBRVS,1.99 ,0.78 ,0.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,64874,CPT,Repair & revise nerve add-on,,,21 ,,RBRVS,2.98 ,1.26 ,1.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,64876,CPT,Repair nerve/shorten bone,,,21 ,,RBRVS,3.37 ,1.43 ,1.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,64885,CPT,"Nerve graft, head or neck",,,21 ,,RBRVS,17.50 ,8.95 ,8.95 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,64886,CPT,"Nerve graft, head or neck",,,21 ,,RBRVS,20.72 ,10.38 ,10.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,64890,CPT,"Nerve graft, hand or foot",,,21 ,,RBRVS,16.11 ,8.98 ,8.98 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,64891,CPT,"Nerve graft, hand or foot",,,21 ,,RBRVS,17.22 ,9.67 ,9.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,64892,CPT,"Nerve graft, arm or leg",,,21 ,,RBRVS,15.61 ,9.13 ,9.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,64893,CPT,"Nerve graft, arm or leg",,,21 ,,RBRVS,16.74 ,9.63 ,9.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,64895,CPT,"Nerve graft, hand or foot",,,21 ,,RBRVS,20.26 ,11.04 ,11.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,64896,CPT,"Nerve graft, hand or foot",,,21 ,,RBRVS,21.81 ,11.67 ,11.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,64897,CPT,"Nerve graft, arm or leg",,,21 ,,RBRVS,19.25 ,10.50 ,10.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,64898,CPT,"Nerve graft, arm or leg",,,21 ,,RBRVS,20.82 ,11.46 ,11.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,64901,CPT,Nerve graft add-on,,,21 ,,RBRVS,10.20 ,3.63 ,3.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,64902,CPT,Nerve graft add-on,,,21 ,,RBRVS,11.81 ,4.66 ,4.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,64905,CPT,Nerve pedicle transfer,,,21 ,,RBRVS,14.98 ,7.00 ,7.00 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,64907,CPT,Nerve pedicle transfer,,,21 ,,RBRVS,19.90 ,6.35 ,6.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,64910,CPT,Nerve repair w/allograft,,,21 ,,RBRVS,11.21 ,4.66 ,4.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,64911,CPT,Neurorraphy w/vein autograft,,,21 ,,RBRVS,14.21 ,5.32 ,5.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,64999,CPT,Nervous system surgery,,,21 ,,TotalUnits,,,,9.58 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,65091,CPT,Revise eye,,,21 ,,RBRVS,7.13 ,6.73 ,6.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,65093,CPT,Revise eye with implant,,,21 ,,RBRVS,6.93 ,6.79 ,6.79 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,65101,CPT,Removal of eye,,,21 ,,RBRVS,8.10 ,7.96 ,7.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,65103,CPT,Remove eye/insert implant,,,21 ,,RBRVS,8.64 ,8.12 ,8.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,65105,CPT,Remove eye/attach implant,,,21 ,,RBRVS,9.70 ,8.77 ,8.77 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,65110,CPT,Removal of eye,,,21 ,,RBRVS,15.42 ,11.42 ,11.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,65112,CPT,Remove eye/revise socket,,,21 ,,RBRVS,18.18 ,13.30 ,13.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,65114,CPT,Remove eye/revise socket,,,21 ,,RBRVS,19.32 ,13.57 ,13.57 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,65125,CPT,Revise ocular implant,,,21 ,,RBRVS,3.18 ,3.17 ,6.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,65130,CPT,Insert ocular implant,,,21 ,,RBRVS,8.22 ,7.68 ,7.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,65135,CPT,Insert ocular implant,,,21 ,,RBRVS,8.40 ,7.74 ,7.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,65140,CPT,Attach ocular implant,,,21 ,,RBRVS,9.23 ,8.38 ,8.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,65150,CPT,Revise ocular implant,,,21 ,,RBRVS,6.32 ,6.29 ,6.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,65155,CPT,Reinsert ocular implant,,,21 ,,RBRVS,9.87 ,8.77 ,8.77 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,65175,CPT,Removal of ocular implant,,,21 ,,RBRVS,7.22 ,7.04 ,7.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,65205,CPT,Remove foreign body from eye,,,21 ,,RBRVS,0.71 ,0.32 ,0.57 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,65210,CPT,Remove foreign body from eye,,,21 ,,RBRVS,0.84 ,0.39 ,0.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,65220,CPT,Remove foreign body from eye,,,21 ,,RBRVS,0.71 ,0.28 ,0.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,65222,CPT,Remove foreign body from eye,,,21 ,,RBRVS,0.93 ,0.41 ,0.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,65235,CPT,Remove foreign body from eye,,,21 ,,RBRVS,8.78 ,6.78 ,6.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,65260,CPT,Remove foreign body from eye,,,21 ,,RBRVS,12.29 ,8.74 ,8.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,65265,CPT,Remove foreign body from eye,,,21 ,,RBRVS,14.06 ,9.59 ,9.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,65270,CPT,Repair of eye wound,,,21 ,,RBRVS,1.92 ,1.20 ,3.82 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,65272,CPT,Repair of eye wound,,,21 ,,RBRVS,4.49 ,3.15 ,6.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,65273,CPT,Repair of eye wound,,,21 ,,RBRVS,5.03 ,3.36 ,3.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,65275,CPT,Repair of eye wound,,,21 ,,RBRVS,6.14 ,3.90 ,6.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,65280,CPT,Repair of eye wound,,,21 ,,RBRVS,8.87 ,5.83 ,5.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,65285,CPT,Repair of eye wound,,,21 ,,RBRVS,14.43 ,8.39 ,8.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,65286,CPT,Repair of eye wound,,,21 ,,RBRVS,6.45 ,4.38 ,8.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,65290,CPT,Repair of eye socket wound,,,21 ,,RBRVS,6.35 ,4.43 ,4.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,65400,CPT,Removal of eye lesion,,,21 ,,RBRVS,7.27 ,5.84 ,7.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,65410,CPT,Biopsy of cornea,,,21 ,,RBRVS,1.47 ,0.86 ,1.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,65420,CPT,Removal of eye lesion,,,21 ,,RBRVS,4.24 ,3.96 ,6.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,65426,CPT,Removal of eye lesion,,,21 ,,RBRVS,5.93 ,4.50 ,8.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,65430,CPT,Corneal smear,,,21 ,,RBRVS,1.47 ,0.86 ,1.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,65435,CPT,Curette/treat cornea,,,21 ,,RBRVS,0.92 ,0.64 ,0.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,65436,CPT,Curette/treat cornea,,,21 ,,RBRVS,4.72 ,3.43 ,3.76 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,65450,CPT,Treatment of corneal lesion,,,21 ,,RBRVS,3.35 ,3.60 ,3.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,65600,CPT,Revision of cornea,,,21 ,,RBRVS,4.07 ,3.38 ,4.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,65710,CPT,Corneal transplant,,,21 ,,RBRVS,14.09 ,10.14 ,10.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,65730,CPT,Corneal transplant,,,21 ,,RBRVS,15.99 ,10.96 ,10.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,65750,CPT,Corneal transplant,,,21 ,,RBRVS,16.60 ,10.61 ,10.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,65755,CPT,Corneal transplant,,,21 ,,RBRVS,16.49 ,10.58 ,10.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,65756,CPT,"Corneal trnspl, endothelial",,,21 ,,RBRVS,16.60 ,10.14 ,10.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,65760,CPT,Revision of cornea,,,21 ,,TotalUnits,,,,19.43 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,65765,CPT,Revision of cornea,,,21 ,,TotalUnits,,,,33.24 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,65767,CPT,Corneal tissue transplant,,,21 ,,TotalUnits,,,,30.95 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,65770,CPT,Revise cornea with implant,,,21 ,,RBRVS,19.41 ,11.65 ,11.65 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,65771,CPT,Radial keratotomy,,,21 ,,TotalUnits,,,,16.85 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,65772,CPT,Correction of astigmatism,,,21 ,,RBRVS,4.96 ,3.91 ,4.84 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,65775,CPT,Correction of astigmatism,,,21 ,,RBRVS,6.73 ,5.30 ,5.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,65780,CPT,"Ocular reconst, transplant",,,21 ,,RBRVS,10.43 ,8.93 ,8.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,65781,CPT,"Ocular reconst, transplant",,,21 ,,RBRVS,17.84 ,11.57 ,11.57 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,65782,CPT,"Ocular reconst, transplant",,,21 ,,RBRVS,15.16 ,10.19 ,10.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,65800,CPT,Drainage of eye,,,21 ,,RBRVS,1.91 ,1.02 ,1.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,65805,CPT,Drainage of eye,,,21 ,,RBRVS,1.91 ,1.02 ,1.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,65810,CPT,Drainage of eye,,,21 ,,RBRVS,5.67 ,4.66 ,4.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,65815,CPT,Drainage of eye,,,21 ,,RBRVS,5.85 ,4.57 ,7.91 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,65820,CPT,Relieve inner eye pressure,,,21 ,,RBRVS,8.72 ,7.50 ,7.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,65850,CPT,Incision of eye,,,21 ,,RBRVS,11.24 ,7.32 ,7.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,65855,CPT,Laser surgery of eye,,,21 ,,RBRVS,3.90 ,2.62 ,3.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,65860,CPT,Incise inner eye adhesions,,,21 ,,RBRVS,3.56 ,2.07 ,3.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,65865,CPT,Incise inner eye adhesions,,,21 ,,RBRVS,5.66 ,4.69 ,4.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,65870,CPT,Incise inner eye adhesions,,,21 ,,RBRVS,7.21 ,5.70 ,5.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,65875,CPT,Incise inner eye adhesions,,,21 ,,RBRVS,7.61 ,6.13 ,6.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,65880,CPT,Incise inner eye adhesions,,,21 ,,RBRVS,8.16 ,6.30 ,6.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,65900,CPT,Remove eye lesion,,,21 ,,RBRVS,12.26 ,8.89 ,8.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,65920,CPT,Remove implant of eye,,,21 ,,RBRVS,9.74 ,7.46 ,7.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,65930,CPT,Remove blood clot from eye,,,21 ,,RBRVS,8.24 ,5.77 ,5.77 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,66020,CPT,Injection treatment of eye,,,21 ,,RBRVS,1.61 ,1.27 ,2.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,66030,CPT,Injection treatment of eye,,,21 ,,RBRVS,1.27 ,1.15 ,2.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,66130,CPT,Remove eye lesion,,,21 ,,RBRVS,7.74 ,4.86 ,7.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,66150,CPT,Glaucoma surgery,,,21 ,,RBRVS,10.18 ,8.81 ,8.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,66155,CPT,Glaucoma surgery,,,21 ,,RBRVS,10.17 ,8.81 ,8.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,66160,CPT,Glaucoma surgery,,,21 ,,RBRVS,12.04 ,9.47 ,9.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,66165,CPT,Glaucoma surgery,,,21 ,,RBRVS,9.89 ,8.77 ,8.77 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,66170,CPT,Glaucoma surgery,,,21 ,,RBRVS,14.57 ,11.54 ,11.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,66172,CPT,Incision of eye,,,21 ,,RBRVS,18.26 ,14.63 ,14.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,66180,CPT,Implant eye shunt,,,21 ,,RBRVS,16.02 ,9.69 ,9.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,66185,CPT,Revise eye shunt,,,21 ,,RBRVS,9.35 ,7.04 ,7.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,66220,CPT,Repair eye lesion,,,21 ,,RBRVS,8.98 ,7.17 ,7.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,66225,CPT,Repair/graft eye lesion,,,21 ,,RBRVS,12.38 ,8.11 ,8.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,66250,CPT,Follow-up surgery of eye,,,21 ,,RBRVS,6.92 ,5.25 ,9.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,66500,CPT,Incision of iris,,,21 ,,RBRVS,3.75 ,3.95 ,3.95 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,66505,CPT,Incision of iris,,,21 ,,RBRVS,4.13 ,4.30 ,4.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,66600,CPT,Remove iris and lesion,,,21 ,,RBRVS,9.89 ,8.25 ,8.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,66605,CPT,Removal of iris,,,21 ,,RBRVS,13.99 ,9.45 ,9.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,66625,CPT,Removal of iris,,,21 ,,RBRVS,5.19 ,4.21 ,4.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,66630,CPT,Removal of iris,,,21 ,,RBRVS,7.10 ,5.34 ,5.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,66635,CPT,Removal of iris,,,21 ,,RBRVS,7.19 ,5.37 ,5.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,66680,CPT,Repair iris & ciliary body,,,21 ,,RBRVS,6.24 ,5.06 ,5.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,66682,CPT,Repair iris & ciliary body,,,21 ,,RBRVS,7.15 ,6.71 ,6.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,66700,CPT,"Destruction, ciliary body",,,21 ,,RBRVS,5.06 ,3.59 ,4.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,66710,CPT,Ciliary transsleral therapy,,,21 ,,RBRVS,5.06 ,3.60 ,4.60 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,66711,CPT,Ciliary endoscopic ablation,,,21 ,,RBRVS,7.70 ,6.29 ,6.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,66720,CPT,"Destruction, ciliary body",,,21 ,,RBRVS,4.86 ,4.32 ,5.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,66740,CPT,"Destruction, ciliary body",,,21 ,,RBRVS,5.06 ,3.60 ,4.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,66761,CPT,Revision of iris,,,21 ,,RBRVS,4.87 ,4.19 ,5.02 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,66762,CPT,Revision of iris,,,21 ,,RBRVS,5.25 ,4.06 ,5.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,66770,CPT,Removal of inner eye lesion,,,21 ,,RBRVS,5.98 ,4.59 ,5.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,66820,CPT,"Incision, secondary cataract",,,21 ,,RBRVS,3.93 ,4.62 ,4.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,66821,CPT,After cataract laser surgery,,,21 ,,RBRVS,3.32 ,3.42 ,3.82 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,66825,CPT,Reposition intraocular lens,,,21 ,,RBRVS,8.82 ,7.77 ,7.77 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,66830,CPT,Removal of lens lesion,,,21 ,,RBRVS,9.27 ,6.37 ,6.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,66840,CPT,Removal of lens material,,,21 ,,RBRVS,8.98 ,6.29 ,6.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,66850,CPT,Removal of lens material,,,21 ,,RBRVS,10.32 ,7.06 ,7.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,66852,CPT,Removal of lens material,,,21 ,,RBRVS,11.18 ,7.38 ,7.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,66920,CPT,Extraction of lens,,,21 ,,RBRVS,9.93 ,6.64 ,6.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,66930,CPT,Extraction of lens,,,21 ,,RBRVS,11.38 ,7.45 ,7.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,66940,CPT,Extraction of lens,,,21 ,,RBRVS,10.14 ,7.00 ,7.00 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,66982,CPT,"Cataract surgery, complex",,,21 ,,RBRVS,14.83 ,8.95 ,8.95 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,66983,CPT,"Cataract surg w/iol, 1 stage",,,21 ,,RBRVS,10.20 ,6.51 ,6.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,66984,CPT,"Cataract surg w/iol, 1 stage",,,21 ,,RBRVS,10.36 ,6.44 ,6.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,66985,CPT,Insert lens prosthesis,,,21 ,,RBRVS,9.73 ,7.12 ,7.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,66986,CPT,Exchange lens prosthesis,,,21 ,,RBRVS,12.26 ,8.05 ,8.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,66990,CPT,Ophthalmic endoscope add-on,,,21 ,,RBRVS,1.51 ,0.54 ,0.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,66999,CPT,Eye surgery procedure,,,21 ,,TotalUnits,,,,8.03 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,67005,CPT,Partial removal of eye fluid,,,21 ,,RBRVS,5.77 ,4.57 ,4.57 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,67010,CPT,Partial removal of eye fluid,,,21 ,,RBRVS,6.94 ,4.99 ,4.99 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,67015,CPT,Release of eye fluid,,,21 ,,RBRVS,7.00 ,5.70 ,5.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,67025,CPT,Replace eye fluid,,,21 ,,RBRVS,7.91 ,5.91 ,7.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,67027,CPT,Implant eye drug system,,,21 ,,RBRVS,11.43 ,7.37 ,7.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,67028,CPT,Injection eye drug,,,21 ,,RBRVS,2.52 ,1.24 ,2.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,67030,CPT,Incise inner eye strands,,,21 ,,RBRVS,5.91 ,5.60 ,5.60 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,67031,CPT,"Laser surgery, eye strands",,,21 ,,RBRVS,4.34 ,3.43 ,4.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,67036,CPT,Removal of inner eye fluid,,,21 ,,RBRVS,13.09 ,8.06 ,8.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,67039,CPT,Laser treatment of retina,,,21 ,,RBRVS,16.39 ,10.69 ,10.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,67040,CPT,Laser treatment of retina,,,21 ,,RBRVS,19.23 ,12.00 ,12.00 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,67041,CPT,Vit for macular pucker,,,21 ,,RBRVS,19.00 ,10.37 ,10.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,67042,CPT,Vit for macular hole,,,21 ,,RBRVS,22.13 ,11.49 ,11.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,67043,CPT,Vit for membrane dissect,,,21 ,,RBRVS,22.94 ,12.35 ,12.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,67101,CPT,Repair detached retina,,,21 ,,RBRVS,8.60 ,6.17 ,8.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,67105,CPT,Repair detached retina,,,21 ,,RBRVS,8.35 ,5.78 ,7.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,67107,CPT,Repair detached retina,,,21 ,,RBRVS,16.35 ,10.35 ,10.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,67108,CPT,Repair detached retina,,,21 ,,RBRVS,22.49 ,12.93 ,12.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,67110,CPT,Repair detached retina,,,21 ,,RBRVS,10.02 ,6.96 ,8.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,67112,CPT,Rerepair detached retina,,,21 ,,RBRVS,18.45 ,10.86 ,10.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,67113,CPT,"Repair retinal detach, cplx",,,21 ,,RBRVS,25.00 ,13.75 ,13.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,67115,CPT,Release encircling material,,,21 ,,RBRVS,5.93 ,4.92 ,4.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,67120,CPT,Remove eye implant material,,,21 ,,RBRVS,6.92 ,5.28 ,7.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,67121,CPT,Remove eye implant material,,,21 ,,RBRVS,12.00 ,7.95 ,7.95 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,67141,CPT,Treatment of retina,,,21 ,,RBRVS,6.00 ,4.65 ,5.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,67145,CPT,Treatment of retina,,,21 ,,RBRVS,6.17 ,4.71 ,5.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,67208,CPT,Treatment of retinal lesion,,,21 ,,RBRVS,7.50 ,5.20 ,5.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,67210,CPT,Treatment of retinal lesion,,,21 ,,RBRVS,9.35 ,5.44 ,5.91 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,67218,CPT,Treatment of retinal lesion,,,21 ,,RBRVS,20.22 ,10.61 ,10.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,67220,CPT,Treatment of choroid lesion,,,21 ,,RBRVS,14.19 ,8.16 ,9.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,67221,CPT,Ocular photodynamic ther,,,21 ,,RBRVS,3.45 ,1.38 ,2.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,67225,CPT,Eye photodynamic ther add-on,,,21 ,,RBRVS,0.47 ,0.17 ,0.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,67227,CPT,Treatment of retinal lesion,,,21 ,,RBRVS,7.38 ,5.16 ,6.00 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,67228,CPT,Treatment of retinal lesion,,,21 ,,RBRVS,13.67 ,10.19 ,13.60 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,67229,CPT,Tr retinal les preterm inf,,,21 ,,RBRVS,16.00 ,9.52 ,9.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,67250,CPT,Reinforce eye wall,,,21 ,,RBRVS,9.46 ,7.66 ,7.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,67255,CPT,Reinforce/graft eye wall,,,21 ,,RBRVS,9.97 ,8.43 ,8.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,67299,CPT,Eye surgery procedure,,,21 ,,TotalUnits,,,,4.05 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,67311,CPT,Revise eye muscle,,,21 ,,RBRVS,7.59 ,5.50 ,5.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,67312,CPT,Revise two eye muscles,,,21 ,,RBRVS,9.48 ,6.19 ,6.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,67314,CPT,Revise eye muscle,,,21 ,,RBRVS,8.59 ,6.15 ,6.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,67316,CPT,Revise two eye muscles,,,21 ,,RBRVS,10.73 ,6.92 ,6.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,67318,CPT,Revise eye muscle(s),,,21 ,,RBRVS,8.92 ,6.51 ,6.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,67320,CPT,Revise eye muscle(s) add-on,,,21 ,,RBRVS,5.40 ,1.92 ,1.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,67331,CPT,Eye surgery follow-up add-on,,,21 ,,RBRVS,5.13 ,1.81 ,1.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,67332,CPT,Rerevise eye muscles add-on,,,21 ,,RBRVS,5.56 ,1.97 ,1.97 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,67334,CPT,Revise eye muscle w/suture,,,21 ,,RBRVS,5.05 ,1.80 ,1.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,67335,CPT,Eye suture during surgery,,,21 ,,RBRVS,2.49 ,0.88 ,0.88 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,67340,CPT,Revise eye muscle add-on,,,21 ,,RBRVS,6.00 ,2.14 ,2.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,67343,CPT,Release eye tissue,,,21 ,,RBRVS,8.29 ,6.06 ,6.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,67345,CPT,Destroy nerve of eye muscle,,,21 ,,RBRVS,2.98 ,1.69 ,2.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,67346,CPT,"Biopsy, eye muscle",,,21 ,,RBRVS,2.87 ,1.62 ,1.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,67399,CPT,Eye muscle surgery procedure,,,21 ,,TotalUnits,,,,11.20 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,67400,CPT,Explore/biopsy eye socket,,,21 ,,RBRVS,10.97 ,9.42 ,9.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,67405,CPT,Explore/drain eye socket,,,21 ,,RBRVS,9.00 ,8.34 ,8.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,67412,CPT,Explore/treat eye socket,,,21 ,,RBRVS,10.17 ,8.53 ,8.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,67413,CPT,Explore/treat eye socket,,,21 ,,RBRVS,10.09 ,8.70 ,8.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,67414,CPT,Explr/decompress eye socket,,,21 ,,RBRVS,17.78 ,11.64 ,11.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,67415,CPT,"Aspiration, orbital contents",,,21 ,,RBRVS,1.76 ,0.62 ,0.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,67420,CPT,Explore/treat eye socket,,,21 ,,RBRVS,21.62 ,14.24 ,14.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,67430,CPT,Explore/treat eye socket,,,21 ,,RBRVS,14.99 ,11.87 ,11.87 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,67440,CPT,Explore/drain eye socket,,,21 ,,RBRVS,14.56 ,11.88 ,11.88 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,67445,CPT,Explr/decompress eye socket,,,21 ,,RBRVS,18.96 ,12.14 ,12.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,67450,CPT,Explore/biopsy eye socket,,,21 ,,RBRVS,15.11 ,12.30 ,12.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,67500,CPT,Inject/treat eye socket,,,21 ,,RBRVS,1.44 ,0.44 ,0.57 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,67505,CPT,Inject/treat eye socket,,,21 ,,RBRVS,1.27 ,0.50 ,0.65 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,67515,CPT,Inject/treat eye socket,,,21 ,,RBRVS,1.40 ,0.61 ,0.77 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,67550,CPT,Insert eye socket implant,,,21 ,,RBRVS,11.52 ,9.83 ,9.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,67560,CPT,Revise eye socket implant,,,21 ,,RBRVS,11.93 ,9.78 ,9.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,67570,CPT,Decompress optic nerve,,,21 ,,RBRVS,14.21 ,11.01 ,11.01 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,67599,CPT,Orbit surgery procedure,,,21 ,,TotalUnits,,,,6.77 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,67700,CPT,Drainage of eyelid abscess,,,21 ,,RBRVS,1.37 ,1.17 ,4.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,67710,CPT,Incision of eyelid,,,21 ,,RBRVS,1.04 ,1.08 ,3.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,67715,CPT,Incision of eyelid fold,,,21 ,,RBRVS,1.24 ,1.15 ,3.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,67800,CPT,Remove eyelid lesion,,,21 ,,RBRVS,1.39 ,0.90 ,1.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,67801,CPT,Remove eyelid lesions,,,21 ,,RBRVS,1.89 ,1.08 ,1.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,67805,CPT,Remove eyelid lesions,,,21 ,,RBRVS,2.24 ,1.41 ,2.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,67808,CPT,Remove eyelid lesion(s),,,21 ,,RBRVS,4.47 ,3.61 ,3.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,67810,CPT,Biopsy of eyelid,,,21 ,,RBRVS,1.48 ,0.68 ,3.94 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,67820,CPT,Revise eyelashes,,,21 ,,RBRVS,0.71 ,0.50 ,0.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,67825,CPT,Revise eyelashes,,,21 ,,RBRVS,1.40 ,1.26 ,1.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,67830,CPT,Revise eyelashes,,,21 ,,RBRVS,1.72 ,1.32 ,3.99 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,67835,CPT,Revise eyelashes,,,21 ,,RBRVS,5.61 ,4.12 ,4.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,67840,CPT,Remove eyelid lesion,,,21 ,,RBRVS,2.06 ,1.45 ,3.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,67850,CPT,Treat eyelid lesion,,,21 ,,RBRVS,1.71 ,1.45 ,3.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,67875,CPT,Closure of eyelid by suture,,,21 ,,RBRVS,1.35 ,0.83 ,2.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,67880,CPT,Revision of eyelid,,,21 ,,RBRVS,4.47 ,3.57 ,5.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,67882,CPT,Revision of eyelid,,,21 ,,RBRVS,5.87 ,4.46 ,6.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,67900,CPT,Repair brow defect,,,21 ,,RBRVS,6.69 ,4.61 ,7.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,67901,CPT,Repair eyelid defect,,,21 ,,RBRVS,7.47 ,5.29 ,8.99 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,67902,CPT,Repair eyelid defect,,,21 ,,RBRVS,9.68 ,6.34 ,6.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,67903,CPT,Repair eyelid defect,,,21 ,,RBRVS,6.42 ,4.34 ,6.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,67904,CPT,Repair eyelid defect,,,21 ,,RBRVS,7.83 ,5.37 ,8.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,67906,CPT,Repair eyelid defect,,,21 ,,RBRVS,6.84 ,4.47 ,4.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,67908,CPT,Repair eyelid defect,,,21 ,,RBRVS,5.19 ,4.12 ,5.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,67909,CPT,Revise eyelid defect,,,21 ,,RBRVS,5.46 ,4.17 ,6.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,67911,CPT,Revise eyelid defect,,,21 ,,RBRVS,7.38 ,5.05 ,5.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,67912,CPT,Correction eyelid w/implant,,,21 ,,RBRVS,6.23 ,4.74 ,13.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,67914,CPT,Repair eyelid defect,,,21 ,,RBRVS,3.70 ,2.68 ,4.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,67915,CPT,Repair eyelid defect,,,21 ,,RBRVS,3.21 ,2.43 ,4.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,67916,CPT,Repair eyelid defect,,,21 ,,RBRVS,5.37 ,4.15 ,6.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,67917,CPT,Repair eyelid defect,,,21 ,,RBRVS,6.08 ,4.41 ,6.72 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,67921,CPT,Repair eyelid defect,,,21 ,,RBRVS,3.42 ,2.56 ,4.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,67922,CPT,Repair eyelid defect,,,21 ,,RBRVS,3.09 ,2.33 ,4.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,67923,CPT,Repair eyelid defect,,,21 ,,RBRVS,5.94 ,4.33 ,6.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,67924,CPT,Repair eyelid defect,,,21 ,,RBRVS,5.84 ,4.06 ,6.91 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,67930,CPT,Repair eyelid wound,,,21 ,,RBRVS,3.62 ,1.78 ,4.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,67935,CPT,Repair eyelid wound,,,21 ,,RBRVS,6.27 ,3.58 ,6.76 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,67938,CPT,Remove eyelid foreign body,,,21 ,,RBRVS,1.35 ,1.22 ,3.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,67950,CPT,Revision of eyelid,,,21 ,,RBRVS,5.88 ,4.37 ,6.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,67961,CPT,Revision of eyelid,,,21 ,,RBRVS,5.75 ,4.30 ,6.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,67966,CPT,Revision of eyelid,,,21 ,,RBRVS,8.83 ,5.74 ,8.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,67971,CPT,Reconstruction of eyelid,,,21 ,,RBRVS,9.87 ,6.18 ,6.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,67973,CPT,Reconstruction of eyelid,,,21 ,,RBRVS,12.96 ,7.71 ,7.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,67974,CPT,Reconstruction of eyelid,,,21 ,,RBRVS,12.93 ,7.69 ,7.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,67975,CPT,Reconstruction of eyelid,,,21 ,,RBRVS,9.21 ,5.94 ,5.94 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,67999,CPT,Revision of eyelid,,,21 ,,TotalUnits,,,,10.34 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,68020,CPT,Incise/drain eyelid lining,,,21 ,,RBRVS,1.39 ,1.05 ,1.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,68040,CPT,Treatment of eyelid lesions,,,21 ,,RBRVS,0.85 ,0.35 ,0.60 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,68100,CPT,Biopsy of eyelid lining,,,21 ,,RBRVS,1.35 ,0.86 ,2.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,68110,CPT,Remove eyelid lining lesion,,,21 ,,RBRVS,1.79 ,1.48 ,3.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,68115,CPT,Remove eyelid lining lesion,,,21 ,,RBRVS,2.38 ,1.69 ,4.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,68130,CPT,Remove eyelid lining lesion,,,21 ,,RBRVS,4.99 ,4.02 ,6.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,68135,CPT,Remove eyelid lining lesion,,,21 ,,RBRVS,1.86 ,1.47 ,1.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,68200,CPT,Treat eyelid by injection,,,21 ,,RBRVS,0.49 ,0.29 ,0.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,68320,CPT,Revise/graft eyelid lining,,,21 ,,RBRVS,6.44 ,5.31 ,9.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,68325,CPT,Revise/graft eyelid lining,,,21 ,,RBRVS,8.43 ,6.10 ,6.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,68326,CPT,Revise/graft eyelid lining,,,21 ,,RBRVS,8.22 ,5.92 ,5.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,68328,CPT,Revise/graft eyelid lining,,,21 ,,RBRVS,9.25 ,6.38 ,6.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,68330,CPT,Revise eyelid lining,,,21 ,,RBRVS,5.63 ,4.44 ,7.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,68335,CPT,Revise/graft eyelid lining,,,21 ,,RBRVS,8.26 ,5.92 ,5.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,68340,CPT,Separate eyelid adhesions,,,21 ,,RBRVS,4.84 ,3.87 ,6.87 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,68360,CPT,Revise eyelid lining,,,21 ,,RBRVS,5.04 ,3.96 ,6.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,68362,CPT,Revise eyelid lining,,,21 ,,RBRVS,8.41 ,5.97 ,5.97 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,68371,CPT,"Harvest eye tissue, alograft",,,21 ,,RBRVS,4.97 ,4.06 ,4.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,68399,CPT,Eyelid lining surgery,,,21 ,,TotalUnits,,,,1.76 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,68400,CPT,Incise/drain tear gland,,,21 ,,RBRVS,1.71 ,1.21 ,4.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,68420,CPT,Incise/drain tear sac,,,21 ,,RBRVS,2.32 ,1.42 ,4.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,68440,CPT,Incise tear duct opening,,,21 ,,RBRVS,0.96 ,1.19 ,1.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,68500,CPT,Removal of tear gland,,,21 ,,RBRVS,12.49 ,9.53 ,9.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,68505,CPT,"Partial removal, tear gland",,,21 ,,RBRVS,12.41 ,8.91 ,8.91 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,68510,CPT,Biopsy of tear gland,,,21 ,,RBRVS,4.60 ,2.02 ,5.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,68520,CPT,Removal of tear sac,,,21 ,,RBRVS,8.58 ,6.49 ,6.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,68525,CPT,Biopsy of tear sac,,,21 ,,RBRVS,4.42 ,1.57 ,1.57 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,68530,CPT,Clearance of tear duct,,,21 ,,RBRVS,3.67 ,2.07 ,5.60 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,68540,CPT,Remove tear gland lesion,,,21 ,,RBRVS,11.93 ,8.49 ,8.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,68550,CPT,Remove tear gland lesion,,,21 ,,RBRVS,14.86 ,9.68 ,9.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,68700,CPT,Repair tear ducts,,,21 ,,RBRVS,7.67 ,5.56 ,5.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,68705,CPT,Revise tear duct opening,,,21 ,,RBRVS,2.08 ,1.58 ,3.03 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,68720,CPT,Create tear sac drain,,,21 ,,RBRVS,9.78 ,6.88 ,6.88 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,68745,CPT,Create tear duct drain,,,21 ,,RBRVS,9.70 ,6.98 ,6.98 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,68750,CPT,Create tear duct drain,,,21 ,,RBRVS,9.87 ,7.43 ,7.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,68760,CPT,Close tear duct opening,,,21 ,,RBRVS,1.75 ,1.45 ,2.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,68761,CPT,Close tear duct opening,,,21 ,,RBRVS,1.38 ,1.25 ,1.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,68770,CPT,Close tear system fistula,,,21 ,,RBRVS,8.09 ,5.75 ,5.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,68801,CPT,Dilate tear duct opening,,,21 ,,RBRVS,0.96 ,1.41 ,1.77 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,68810,CPT,Probe nasolacrimal duct,,,21 ,,RBRVS,2.63 ,2.68 ,3.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,68811,CPT,Probe nasolacrimal duct,,,21 ,,RBRVS,2.39 ,2.12 ,2.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,68815,CPT,Probe nasolacrimal duct,,,21 ,,RBRVS,3.24 ,2.43 ,6.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,68816,CPT,Probe nl duct w/balloon,,,21 ,,RBRVS,3.00 ,2.51 ,12.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,68840,CPT,Explore/irrigate tear ducts,,,21 ,,RBRVS,1.27 ,1.28 ,1.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,68850,CPT,Injection for tear sac x-ray,,,21 ,,RBRVS,0.80 ,0.60 ,0.72 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,68899,CPT,Tear duct system surgery,,,21 ,,TotalUnits,,,,6.09 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,69000,CPT,Drain external ear lesion,,,21 ,,RBRVS,1.47 ,1.34 ,2.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,69005,CPT,Drain external ear lesion,,,21 ,,RBRVS,2.13 ,1.61 ,2.99 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,69020,CPT,Drain outer ear canal lesion,,,21 ,,RBRVS,1.50 ,1.90 ,4.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,69090,CPT,Pierce earlobes,,,21 ,,TotalUnits,,,,0.57 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,69100,CPT,Biopsy of external ear,,,21 ,,RBRVS,0.81 ,0.39 ,1.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,69105,CPT,Biopsy of external ear canal,,,21 ,,RBRVS,0.85 ,0.71 ,2.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,69110,CPT,"Remove external ear, partial",,,21 ,,RBRVS,3.47 ,4.45 ,7.84 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,69120,CPT,Removal of external ear,,,21 ,,RBRVS,4.08 ,5.36 ,5.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,69140,CPT,Remove ear canal lesion(s),,,21 ,,RBRVS,8.03 ,13.23 ,13.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,69145,CPT,Remove ear canal lesion(s),,,21 ,,RBRVS,2.65 ,3.37 ,7.03 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,69150,CPT,Extensive ear canal surgery,,,21 ,,RBRVS,13.49 ,11.46 ,11.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,69155,CPT,Extensive ear/neck surgery,,,21 ,,RBRVS,23.06 ,17.00 ,17.00 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,69200,CPT,Clear outer ear canal,,,21 ,,RBRVS,0.77 ,0.61 ,2.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,69205,CPT,Clear outer ear canal,,,21 ,,RBRVS,1.20 ,1.24 ,1.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,69210,CPT,Remove impacted ear wax,,,21 ,,RBRVS,0.61 ,0.17 ,0.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,69220,CPT,Clean out mastoid cavity,,,21 ,,RBRVS,0.83 ,0.68 ,2.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,69222,CPT,Clean out mastoid cavity,,,21 ,,RBRVS,1.42 ,1.90 ,3.97 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,69300,CPT,Revise external ear,,,21 ,,RBRVS,6.69 ,5.19 ,10.72 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,69310,CPT,Rebuild outer ear canal,,,21 ,,RBRVS,10.85 ,15.50 ,15.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,69320,CPT,Rebuild outer ear canal,,,21 ,,RBRVS,17.03 ,20.07 ,20.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,69399,CPT,Outer ear surgery procedure,,,21 ,,TotalUnits,,,,2.63 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,69400,CPT,Inflate middle ear canal,,,21 ,,RBRVS,0.83 ,0.68 ,2.82 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,69401,CPT,Inflate middle ear canal,,,21 ,,RBRVS,0.63 ,0.59 ,1.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,69405,CPT,Catheterize middle ear canal,,,21 ,,RBRVS,2.65 ,1.96 ,3.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,69420,CPT,Incision of eardrum,,,21 ,,RBRVS,1.35 ,1.56 ,3.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,69421,CPT,Incision of eardrum,,,21 ,,RBRVS,1.75 ,1.85 ,1.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,69424,CPT,Remove ventilating tube,,,21 ,,RBRVS,0.85 ,0.68 ,2.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,69433,CPT,Create eardrum opening,,,21 ,,RBRVS,1.54 ,1.60 ,3.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,69436,CPT,Create eardrum opening,,,21 ,,RBRVS,1.98 ,1.90 ,1.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,69440,CPT,Exploration of middle ear,,,21 ,,RBRVS,7.62 ,9.12 ,9.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,69450,CPT,Eardrum revision,,,21 ,,RBRVS,5.61 ,7.62 ,7.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,69501,CPT,Mastoidectomy,,,21 ,,RBRVS,9.12 ,8.66 ,8.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,69502,CPT,Mastoidectomy,,,21 ,,RBRVS,12.44 ,11.05 ,11.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,69505,CPT,Remove mastoid structures,,,21 ,,RBRVS,13.05 ,16.15 ,16.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,69511,CPT,Extensive mastoid surgery,,,21 ,,RBRVS,13.58 ,16.34 ,16.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,69530,CPT,Extensive mastoid surgery,,,21 ,,RBRVS,20.24 ,19.67 ,19.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,69535,CPT,Remove part of temporal bone,,,21 ,,RBRVS,37.27 ,26.78 ,26.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,69540,CPT,Remove ear lesion,,,21 ,,RBRVS,1.22 ,1.85 ,3.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,69550,CPT,Remove ear lesion,,,21 ,,RBRVS,11.04 ,14.28 ,14.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,69552,CPT,Remove ear lesion,,,21 ,,RBRVS,19.69 ,18.20 ,18.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,69554,CPT,Remove ear lesion,,,21 ,,RBRVS,35.71 ,24.01 ,24.01 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,69601,CPT,Mastoid surgery revision,,,21 ,,RBRVS,13.31 ,11.93 ,11.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,69602,CPT,Mastoid surgery revision,,,21 ,,RBRVS,13.64 ,12.81 ,12.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,69603,CPT,Mastoid surgery revision,,,21 ,,RBRVS,14.08 ,16.45 ,16.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,69604,CPT,Mastoid surgery revision,,,21 ,,RBRVS,14.08 ,12.79 ,12.79 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,69605,CPT,Mastoid surgery revision,,,21 ,,RBRVS,18.55 ,19.30 ,19.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,69610,CPT,Repair of eardrum,,,21 ,,RBRVS,4.44 ,2.59 ,4.91 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,69620,CPT,Repair of eardrum,,,21 ,,RBRVS,5.94 ,5.84 ,10.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,69631,CPT,Repair eardrum structures,,,21 ,,RBRVS,9.93 ,11.53 ,11.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,69632,CPT,Rebuild eardrum structures,,,21 ,,RBRVS,12.82 ,13.32 ,13.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,69633,CPT,Rebuild eardrum structures,,,21 ,,RBRVS,12.17 ,13.09 ,13.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,69635,CPT,Repair eardrum structures,,,21 ,,RBRVS,13.39 ,16.30 ,16.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,69636,CPT,Rebuild eardrum structures,,,21 ,,RBRVS,15.29 ,18.21 ,18.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,69637,CPT,Rebuild eardrum structures,,,21 ,,RBRVS,15.18 ,18.12 ,18.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,69641,CPT,Revise middle ear & mastoid,,,21 ,,RBRVS,12.77 ,12.48 ,12.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,69642,CPT,Revise middle ear & mastoid,,,21 ,,RBRVS,16.91 ,15.54 ,15.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,69643,CPT,Revise middle ear & mastoid,,,21 ,,RBRVS,15.45 ,14.17 ,14.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,69644,CPT,Revise middle ear & mastoid,,,21 ,,RBRVS,17.09 ,18.75 ,18.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,69645,CPT,Revise middle ear & mastoid,,,21 ,,RBRVS,16.57 ,18.61 ,18.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,69646,CPT,Revise middle ear & mastoid,,,21 ,,RBRVS,18.23 ,19.12 ,19.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,69650,CPT,Release middle ear bone,,,21 ,,RBRVS,9.71 ,9.54 ,9.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,69660,CPT,Revise middle ear bone,,,21 ,,RBRVS,11.94 ,10.51 ,10.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,69661,CPT,Revise middle ear bone,,,21 ,,RBRVS,15.80 ,13.47 ,13.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,69662,CPT,Revise middle ear bone,,,21 ,,RBRVS,15.49 ,12.51 ,12.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,69666,CPT,Repair middle ear structures,,,21 ,,RBRVS,9.80 ,9.81 ,9.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,69667,CPT,Repair middle ear structures,,,21 ,,RBRVS,9.81 ,9.84 ,9.84 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,69670,CPT,Remove mastoid air cells,,,21 ,,RBRVS,11.62 ,11.25 ,11.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,69676,CPT,Remove middle ear nerve,,,21 ,,RBRVS,9.58 ,10.62 ,10.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,69700,CPT,Close mastoid fistula,,,21 ,,RBRVS,8.28 ,8.68 ,8.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,69710,CPT,Implant/replace hearing aid,,,21 ,,TotalUnits,,,,19.59 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,69711,CPT,Remove/repair hearing aid,,,21 ,,RBRVS,10.50 ,10.42 ,10.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,69714,CPT,Implant temple bone w/stimul,,,21 ,,RBRVS,14.31 ,11.80 ,11.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,69715,CPT,Temple bne implnt w/stimulat,,,21 ,,RBRVS,18.80 ,13.34 ,13.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,69717,CPT,Temple bone implant revision,,,21 ,,RBRVS,15.29 ,11.97 ,11.97 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,69718,CPT,Revise temple bone implant,,,21 ,,RBRVS,19.05 ,13.42 ,13.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,69720,CPT,Release facial nerve,,,21 ,,RBRVS,14.57 ,14.03 ,14.03 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,69725,CPT,Release facial nerve,,,21 ,,RBRVS,27.44 ,18.04 ,18.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,69740,CPT,Repair facial nerve,,,21 ,,RBRVS,16.18 ,11.59 ,11.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,69745,CPT,Repair facial nerve,,,21 ,,RBRVS,16.91 ,9.94 ,9.94 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,69799,CPT,Middle ear surgery procedure,,,21 ,,TotalUnits,,,,8.03 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,69801,CPT,Incise inner ear,,,21 ,,RBRVS,8.61 ,9.63 ,9.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,69802,CPT,Incise inner ear,,,21 ,,RBRVS,13.39 ,11.87 ,11.87 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,69805,CPT,Explore inner ear,,,21 ,,RBRVS,14.55 ,10.90 ,10.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,69806,CPT,Explore inner ear,,,21 ,,RBRVS,12.52 ,10.40 ,10.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,69820,CPT,Establish inner ear window,,,21 ,,RBRVS,10.40 ,10.26 ,10.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,69840,CPT,Revise inner ear window,,,21 ,,RBRVS,10.32 ,11.38 ,11.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,69905,CPT,Remove inner ear,,,21 ,,RBRVS,11.15 ,11.04 ,11.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,69910,CPT,Remove inner ear & mastoid,,,21 ,,RBRVS,13.80 ,10.89 ,10.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,69915,CPT,Incise inner ear nerve,,,21 ,,RBRVS,22.65 ,14.83 ,14.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,69930,CPT,Implant cochlear device,,,21 ,,RBRVS,17.60 ,13.12 ,13.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,69949,CPT,Inner ear surgery procedure,,,21 ,,TotalUnits,,,,13.29 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,69950,CPT,Incise inner ear nerve,,,21 ,,RBRVS,27.44 ,16.86 ,16.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,69955,CPT,Release facial nerve,,,21 ,,RBRVS,29.22 ,19.41 ,19.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,69960,CPT,Release inner ear canal,,,21 ,,RBRVS,29.22 ,17.92 ,17.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,69970,CPT,Remove inner ear lesion,,,21 ,,RBRVS,32.21 ,19.54 ,19.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,69979,CPT,Temporal bone surgery,,,21 ,,TotalUnits,,,,35.70 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,69990,CPT,Microsurgery add-on,,,21 ,,RBRVS,3.46 ,1.27 ,1.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,70010,CPT,Contrast x-ray of brain,26,,20 ,,RBRVS,1.19 ,0.42 ,0.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,70010,CPT,Contrast x-ray of brain,TC,,20 ,,RBRVS,0.00 ,2.40 ,2.40 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,70010,CPT,Contrast x-ray of brain,,,20 ,,RBRVS,1.19 ,2.82 ,2.82 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,70015,CPT,Contrast x-ray of brain,26,,20 ,,RBRVS,1.19 ,0.43 ,0.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,70015,CPT,Contrast x-ray of brain,TC,,20 ,,RBRVS,0.00 ,2.49 ,2.49 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,70015,CPT,Contrast x-ray of brain,,,20 ,,RBRVS,1.19 ,2.92 ,2.92 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,70030,CPT,X-ray eye for foreign body,26,,20 ,,RBRVS,0.17 ,0.06 ,0.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,70030,CPT,X-ray eye for foreign body,TC,,20 ,,RBRVS,0.00 ,0.55 ,0.55 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,70030,CPT,X-ray eye for foreign body,,,20 ,,RBRVS,0.17 ,0.61 ,0.61 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,70100,CPT,X-ray exam of jaw,26,,20 ,,RBRVS,0.18 ,0.05 ,0.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,70100,CPT,X-ray exam of jaw,TC,,20 ,,RBRVS,0.00 ,0.58 ,0.58 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,70100,CPT,X-ray exam of jaw,,,20 ,,RBRVS,0.18 ,0.63 ,0.63 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,70110,CPT,X-ray exam of jaw,26,,20 ,,RBRVS,0.25 ,0.09 ,0.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,70110,CPT,X-ray exam of jaw,TC,,20 ,,RBRVS,0.00 ,0.72 ,0.72 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,70110,CPT,X-ray exam of jaw,,,20 ,,RBRVS,0.25 ,0.81 ,0.81 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,70120,CPT,X-ray exam of mastoids,26,,20 ,,RBRVS,0.18 ,0.05 ,0.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,70120,CPT,X-ray exam of mastoids,TC,,20 ,,RBRVS,0.00 ,0.64 ,0.64 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,70120,CPT,X-ray exam of mastoids,,,20 ,,RBRVS,0.18 ,0.69 ,0.69 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,70130,CPT,X-ray exam of mastoids,26,,20 ,,RBRVS,0.34 ,0.11 ,0.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,70130,CPT,X-ray exam of mastoids,TC,,20 ,,RBRVS,0.00 ,1.04 ,1.04 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,70130,CPT,X-ray exam of mastoids,,,20 ,,RBRVS,0.34 ,1.15 ,1.15 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,70134,CPT,X-ray exam of middle ear,26,,20 ,,RBRVS,0.34 ,0.12 ,0.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,70134,CPT,X-ray exam of middle ear,TC,,20 ,,RBRVS,0.00 ,0.80 ,0.80 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,70134,CPT,X-ray exam of middle ear,,,20 ,,RBRVS,0.34 ,0.92 ,0.92 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,70140,CPT,X-ray exam of facial bones,26,,20 ,,RBRVS,0.19 ,0.05 ,0.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,70140,CPT,X-ray exam of facial bones,TC,,20 ,,RBRVS,0.00 ,0.49 ,0.49 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,70140,CPT,X-ray exam of facial bones,,,20 ,,RBRVS,0.19 ,0.54 ,0.54 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,70150,CPT,X-ray exam of facial bones,26,,20 ,,RBRVS,0.26 ,0.08 ,0.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,70150,CPT,X-ray exam of facial bones,TC,,20 ,,RBRVS,0.00 ,0.77 ,0.77 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,70150,CPT,X-ray exam of facial bones,,,20 ,,RBRVS,0.26 ,0.85 ,0.85 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,70160,CPT,X-ray exam of nasal bones,26,,20 ,,RBRVS,0.17 ,0.06 ,0.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,70160,CPT,X-ray exam of nasal bones,TC,,20 ,,RBRVS,0.00 ,0.65 ,0.65 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,70160,CPT,X-ray exam of nasal bones,,,20 ,,RBRVS,0.17 ,0.71 ,0.71 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,70170,CPT,X-ray exam of tear duct,26,,20 ,,RBRVS,0.30 ,0.10 ,0.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,70190,CPT,X-ray exam of eye sockets,26,,20 ,,RBRVS,0.21 ,0.07 ,0.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,70190,CPT,X-ray exam of eye sockets,TC,,20 ,,RBRVS,0.00 ,0.65 ,0.65 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,70190,CPT,X-ray exam of eye sockets,,,20 ,,RBRVS,0.21 ,0.72 ,0.72 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,70200,CPT,X-ray exam of eye sockets,26,,20 ,,RBRVS,0.28 ,0.09 ,0.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,70200,CPT,X-ray exam of eye sockets,TC,,20 ,,RBRVS,0.00 ,0.78 ,0.78 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,70200,CPT,X-ray exam of eye sockets,,,20 ,,RBRVS,0.28 ,0.87 ,0.87 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,70210,CPT,X-ray exam of sinuses,26,,20 ,,RBRVS,0.17 ,0.05 ,0.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,70210,CPT,X-ray exam of sinuses,TC,,20 ,,RBRVS,0.00 ,0.53 ,0.53 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,70210,CPT,X-ray exam of sinuses,,,20 ,,RBRVS,0.17 ,0.58 ,0.58 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,70220,CPT,X-ray exam of sinuses,26,,20 ,,RBRVS,0.25 ,0.08 ,0.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,70220,CPT,X-ray exam of sinuses,TC,,20 ,,RBRVS,0.00 ,0.65 ,0.65 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,70220,CPT,X-ray exam of sinuses,,,20 ,,RBRVS,0.25 ,0.73 ,0.73 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,70240,CPT,"X-ray exam, pituitary saddle",26,,20 ,,RBRVS,0.19 ,0.06 ,0.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,70240,CPT,"X-ray exam, pituitary saddle",TC,,20 ,,RBRVS,0.00 ,0.55 ,0.55 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,70240,CPT,"X-ray exam, pituitary saddle",,,20 ,,RBRVS,0.19 ,0.61 ,0.61 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,70250,CPT,X-ray exam of skull,26,,20 ,,RBRVS,0.24 ,0.07 ,0.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,70250,CPT,X-ray exam of skull,TC,,20 ,,RBRVS,0.00 ,0.63 ,0.63 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,70250,CPT,X-ray exam of skull,,,20 ,,RBRVS,0.24 ,0.70 ,0.70 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,70260,CPT,X-ray exam of skull,26,,20 ,,RBRVS,0.34 ,0.10 ,0.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,70260,CPT,X-ray exam of skull,TC,,20 ,,RBRVS,0.00 ,0.78 ,0.78 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,70260,CPT,X-ray exam of skull,,,20 ,,RBRVS,0.34 ,0.88 ,0.88 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,70300,CPT,X-ray exam of teeth,26,,20 ,,RBRVS,0.10 ,0.03 ,0.03 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,70300,CPT,X-ray exam of teeth,TC,,20 ,,RBRVS,0.00 ,0.21 ,0.21 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,70300,CPT,X-ray exam of teeth,,,20 ,,RBRVS,0.10 ,0.24 ,0.24 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,70310,CPT,X-ray exam of teeth,26,,20 ,,RBRVS,0.16 ,0.05 ,0.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,70310,CPT,X-ray exam of teeth,TC,,20 ,,RBRVS,0.00 ,0.77 ,0.77 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,70310,CPT,X-ray exam of teeth,,,20 ,,RBRVS,0.16 ,0.82 ,0.82 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,70320,CPT,Full mouth x-ray of teeth,26,,20 ,,RBRVS,0.22 ,0.07 ,0.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,70320,CPT,Full mouth x-ray of teeth,TC,,20 ,,RBRVS,0.00 ,1.00 ,1.00 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,70320,CPT,Full mouth x-ray of teeth,,,20 ,,RBRVS,0.22 ,1.07 ,1.07 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,70328,CPT,X-ray exam of jaw joint,26,,20 ,,RBRVS,0.18 ,0.06 ,0.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,70328,CPT,X-ray exam of jaw joint,TC,,20 ,,RBRVS,0.00 ,0.57 ,0.57 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,70328,CPT,X-ray exam of jaw joint,,,20 ,,RBRVS,0.18 ,0.63 ,0.63 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,70330,CPT,X-ray exam of jaw joints,26,,20 ,,RBRVS,0.24 ,0.08 ,0.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,70330,CPT,X-ray exam of jaw joints,TC,,20 ,,RBRVS,0.00 ,0.93 ,0.93 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,70330,CPT,X-ray exam of jaw joints,,,20 ,,RBRVS,0.24 ,1.01 ,1.01 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,70332,CPT,X-ray exam of jaw joint,26,,20 ,,RBRVS,0.54 ,0.16 ,0.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,70332,CPT,X-ray exam of jaw joint,TC,,20 ,,RBRVS,0.00 ,1.29 ,1.29 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,70332,CPT,X-ray exam of jaw joint,,,20 ,,RBRVS,0.54 ,1.45 ,1.45 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,70336,CPT,"Magnetic image, jaw joint",26,,20 ,,RBRVS,1.48 ,0.50 ,0.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,70336,CPT,"Magnetic image, jaw joint",TC,,20 ,,RBRVS,0.00 ,11.67 ,11.67 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,70336,CPT,"Magnetic image, jaw joint",,,20 ,,RBRVS,1.48 ,12.17 ,12.17 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,70350,CPT,X-ray head for orthodontia,26,,20 ,,RBRVS,0.17 ,0.05 ,0.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,70350,CPT,X-ray head for orthodontia,TC,,20 ,,RBRVS,0.00 ,0.27 ,0.27 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,70350,CPT,X-ray head for orthodontia,,,20 ,,RBRVS,0.17 ,0.32 ,0.32 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,70355,CPT,Panoramic x-ray of jaws,26,,20 ,,RBRVS,0.20 ,0.07 ,0.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,70355,CPT,Panoramic x-ray of jaws,TC,,20 ,,RBRVS,0.00 ,0.23 ,0.23 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,70355,CPT,Panoramic x-ray of jaws,,,20 ,,RBRVS,0.20 ,0.30 ,0.30 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,70360,CPT,X-ray exam of neck,26,,20 ,,RBRVS,0.17 ,0.05 ,0.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,70360,CPT,X-ray exam of neck,TC,,20 ,,RBRVS,0.00 ,0.51 ,0.51 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,70360,CPT,X-ray exam of neck,,,20 ,,RBRVS,0.17 ,0.56 ,0.56 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,70370,CPT,Throat x-ray & fluoroscopy,26,,20 ,,RBRVS,0.32 ,0.10 ,0.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,70370,CPT,Throat x-ray & fluoroscopy,TC,,20 ,,RBRVS,0.00 ,1.55 ,1.55 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,70370,CPT,Throat x-ray & fluoroscopy,,,20 ,,RBRVS,0.32 ,1.65 ,1.65 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,70371,CPT,"Speech evaluation, complex",26,,20 ,,RBRVS,0.84 ,0.26 ,0.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,70371,CPT,"Speech evaluation, complex",TC,,20 ,,RBRVS,0.00 ,1.22 ,1.22 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,70371,CPT,"Speech evaluation, complex",,,20 ,,RBRVS,0.84 ,1.48 ,1.48 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,70373,CPT,Contrast x-ray of larynx,26,,20 ,,RBRVS,0.44 ,0.11 ,0.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,70373,CPT,Contrast x-ray of larynx,TC,,20 ,,RBRVS,0.00 ,1.47 ,1.47 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,70373,CPT,Contrast x-ray of larynx,,,20 ,,RBRVS,0.44 ,1.58 ,1.58 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,70380,CPT,X-ray exam of salivary gland,26,,20 ,,RBRVS,0.17 ,0.06 ,0.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,70380,CPT,X-ray exam of salivary gland,TC,,20 ,,RBRVS,0.00 ,0.76 ,0.76 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,70380,CPT,X-ray exam of salivary gland,,,20 ,,RBRVS,0.17 ,0.82 ,0.82 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,70390,CPT,X-ray exam of salivary duct,26,,20 ,,RBRVS,0.38 ,0.13 ,0.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,70390,CPT,X-ray exam of salivary duct,TC,,20 ,,RBRVS,0.00 ,2.21 ,2.21 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,70390,CPT,X-ray exam of salivary duct,,,20 ,,RBRVS,0.38 ,2.34 ,2.34 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,70450,CPT,Ct head/brain w/o dye,26,,20 ,,RBRVS,0.85 ,0.30 ,0.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,70450,CPT,Ct head/brain w/o dye,TC,,20 ,,RBRVS,0.00 ,4.62 ,4.62 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,70450,CPT,Ct head/brain w/o dye,,,20 ,,RBRVS,0.85 ,4.92 ,4.92 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,70460,CPT,Ct head/brain w/dye,26,,20 ,,RBRVS,1.13 ,0.40 ,0.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,70460,CPT,Ct head/brain w/dye,TC,,20 ,,RBRVS,0.00 ,6.11 ,6.11 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,70460,CPT,Ct head/brain w/dye,,,20 ,,RBRVS,1.13 ,6.51 ,6.51 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,70470,CPT,Ct head/brain w/o & w/dye,26,,20 ,,RBRVS,1.27 ,0.45 ,0.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,70470,CPT,Ct head/brain w/o & w/dye,TC,,20 ,,RBRVS,0.00 ,7.49 ,7.49 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,70470,CPT,Ct head/brain w/o & w/dye,,,20 ,,RBRVS,1.27 ,7.94 ,7.94 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,70480,CPT,Ct orbit/ear/fossa w/o dye,26,,20 ,,RBRVS,1.28 ,0.45 ,0.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,70480,CPT,Ct orbit/ear/fossa w/o dye,TC,,20 ,,RBRVS,0.00 ,8.04 ,8.04 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,70480,CPT,Ct orbit/ear/fossa w/o dye,,,20 ,,RBRVS,1.28 ,8.49 ,8.49 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,70481,CPT,Ct orbit/ear/fossa w/dye,26,,20 ,,RBRVS,1.38 ,0.49 ,0.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,70481,CPT,Ct orbit/ear/fossa w/dye,TC,,20 ,,RBRVS,0.00 ,9.49 ,9.49 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,70481,CPT,Ct orbit/ear/fossa w/dye,,,20 ,,RBRVS,1.38 ,9.98 ,9.98 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,70482,CPT,Ct orbit/ear/fossa w/o&w/dye,26,,20 ,,RBRVS,1.45 ,0.51 ,0.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,70482,CPT,Ct orbit/ear/fossa w/o&w/dye,TC,,20 ,,RBRVS,0.00 ,10.90 ,10.90 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,70482,CPT,Ct orbit/ear/fossa w/o&w/dye,,,20 ,,RBRVS,1.45 ,11.41 ,11.41 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,70486,CPT,Ct maxillofacial w/o dye,26,,20 ,,RBRVS,1.14 ,0.40 ,0.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,70486,CPT,Ct maxillofacial w/o dye,TC,,20 ,,RBRVS,0.00 ,6.40 ,6.40 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,70486,CPT,Ct maxillofacial w/o dye,,,20 ,,RBRVS,1.14 ,6.80 ,6.80 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,70487,CPT,Ct maxillofacial w/dye,26,,20 ,,RBRVS,1.30 ,0.46 ,0.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,70487,CPT,Ct maxillofacial w/dye,TC,,20 ,,RBRVS,0.00 ,7.89 ,7.89 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,70487,CPT,Ct maxillofacial w/dye,,,20 ,,RBRVS,1.30 ,8.35 ,8.35 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,70488,CPT,Ct maxillofacial w/o & w/dye,26,,20 ,,RBRVS,1.42 ,0.49 ,0.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,70488,CPT,Ct maxillofacial w/o & w/dye,TC,,20 ,,RBRVS,0.00 ,9.91 ,9.91 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,70488,CPT,Ct maxillofacial w/o & w/dye,,,20 ,,RBRVS,1.42 ,10.40 ,10.40 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,70490,CPT,Ct soft tissue neck w/o dye,26,,20 ,,RBRVS,1.28 ,0.45 ,0.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,70490,CPT,Ct soft tissue neck w/o dye,TC,,20 ,,RBRVS,0.00 ,6.04 ,6.04 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,70490,CPT,Ct soft tissue neck w/o dye,,,20 ,,RBRVS,1.28 ,6.49 ,6.49 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,70491,CPT,Ct soft tissue neck w/dye,26,,20 ,,RBRVS,1.38 ,0.49 ,0.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,70491,CPT,Ct soft tissue neck w/dye,TC,,20 ,,RBRVS,0.00 ,7.55 ,7.55 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,70491,CPT,Ct soft tissue neck w/dye,,,20 ,,RBRVS,1.38 ,8.04 ,8.04 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,70492,CPT,Ct sft tsue nck w/o & w/dye,26,,20 ,,RBRVS,1.45 ,0.51 ,0.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,70492,CPT,Ct sft tsue nck w/o & w/dye,TC,,20 ,,RBRVS,0.00 ,9.53 ,9.53 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,70492,CPT,Ct sft tsue nck w/o & w/dye,,,20 ,,RBRVS,1.45 ,10.04 ,10.04 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,70496,CPT,"Ct angiography, head",26,,20 ,,RBRVS,1.75 ,0.63 ,0.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,70496,CPT,"Ct angiography, head",TC,,20 ,,RBRVS,0.00 ,16.47 ,16.47 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,70496,CPT,"Ct angiography, head",,,20 ,,RBRVS,1.75 ,17.10 ,17.10 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,70498,CPT,"Ct angiography, neck",26,,20 ,,RBRVS,1.75 ,0.65 ,0.65 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,70498,CPT,"Ct angiography, neck",TC,,20 ,,RBRVS,0.00 ,16.59 ,16.59 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,70498,CPT,"Ct angiography, neck",,,20 ,,RBRVS,1.75 ,17.24 ,17.24 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,70540,CPT,Mri orbit/face/neck w/o dye,26,,20 ,,RBRVS,1.35 ,0.46 ,0.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,70540,CPT,Mri orbit/face/neck w/o dye,TC,,20 ,,RBRVS,0.00 ,13.72 ,13.72 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,70540,CPT,Mri orbit/face/neck w/o dye,,,20 ,,RBRVS,1.35 ,14.18 ,14.18 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,70542,CPT,Mri orbit/face/neck w/dye,26,,20 ,,RBRVS,1.62 ,0.56 ,0.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,70542,CPT,Mri orbit/face/neck w/dye,TC,,20 ,,RBRVS,0.00 ,14.73 ,14.73 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,70542,CPT,Mri orbit/face/neck w/dye,,,20 ,,RBRVS,1.62 ,15.29 ,15.29 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,70543,CPT,Mri orbt/fac/nck w/o & w/dye,26,,20 ,,RBRVS,2.15 ,0.74 ,0.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,70543,CPT,Mri orbt/fac/nck w/o & w/dye,TC,,20 ,,RBRVS,0.00 ,18.03 ,18.03 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,70543,CPT,Mri orbt/fac/nck w/o & w/dye,,,20 ,,RBRVS,2.15 ,18.77 ,18.77 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,70544,CPT,Mr angiography head w/o dye,26,,20 ,,RBRVS,1.20 ,0.42 ,0.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,70544,CPT,Mr angiography head w/o dye,TC,,20 ,,RBRVS,0.00 ,15.44 ,15.44 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,70544,CPT,Mr angiography head w/o dye,,,20 ,,RBRVS,1.20 ,15.86 ,15.86 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,70545,CPT,Mr angiography head w/dye,26,,20 ,,RBRVS,1.20 ,0.42 ,0.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,70545,CPT,Mr angiography head w/dye,TC,,20 ,,RBRVS,0.00 ,15.32 ,15.32 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,70545,CPT,Mr angiography head w/dye,,,20 ,,RBRVS,1.20 ,15.74 ,15.74 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,70546,CPT,Mr angiograph head w/o&w/dye,26,,20 ,,RBRVS,1.80 ,0.62 ,0.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,70546,CPT,Mr angiograph head w/o&w/dye,TC,,20 ,,RBRVS,0.00 ,23.41 ,23.41 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,70546,CPT,Mr angiograph head w/o&w/dye,,,20 ,,RBRVS,1.80 ,24.03 ,24.03 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,70547,CPT,Mr angiography neck w/o dye,26,,20 ,,RBRVS,1.20 ,0.41 ,0.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,70547,CPT,Mr angiography neck w/o dye,TC,,20 ,,RBRVS,0.00 ,15.38 ,15.38 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,70547,CPT,Mr angiography neck w/o dye,,,20 ,,RBRVS,1.20 ,15.79 ,15.79 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,70548,CPT,Mr angiography neck w/dye,26,,20 ,,RBRVS,1.20 ,0.42 ,0.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,70548,CPT,Mr angiography neck w/dye,TC,,20 ,,RBRVS,0.00 ,16.23 ,16.23 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,70548,CPT,Mr angiography neck w/dye,,,20 ,,RBRVS,1.20 ,16.65 ,16.65 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,70549,CPT,Mr angiograph neck w/o&w/dye,26,,20 ,,RBRVS,1.80 ,0.63 ,0.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,70549,CPT,Mr angiograph neck w/o&w/dye,TC,,20 ,,RBRVS,0.00 ,23.42 ,23.42 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,70549,CPT,Mr angiograph neck w/o&w/dye,,,20 ,,RBRVS,1.80 ,24.05 ,24.05 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,70551,CPT,Mri brain w/o dye,26,,20 ,,RBRVS,1.48 ,0.51 ,0.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,70551,CPT,Mri brain w/o dye,TC,,20 ,,RBRVS,0.00 ,13.93 ,13.93 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,70551,CPT,Mri brain w/o dye,,,20 ,,RBRVS,1.48 ,14.44 ,14.44 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,70552,CPT,Mri brain w/dye,26,,20 ,,RBRVS,1.78 ,0.62 ,0.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,70552,CPT,Mri brain w/dye,TC,,20 ,,RBRVS,0.00 ,14.97 ,14.97 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,70552,CPT,Mri brain w/dye,,,20 ,,RBRVS,1.78 ,15.59 ,15.59 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,70553,CPT,Mri brain w/o & w/dye,26,,20 ,,RBRVS,2.36 ,0.82 ,0.82 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,70553,CPT,Mri brain w/o & w/dye,TC,,20 ,,RBRVS,0.00 ,17.27 ,17.27 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,70553,CPT,Mri brain w/o & w/dye,,,20 ,,RBRVS,2.36 ,18.09 ,18.09 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,70554,CPT,Fmri brain by tech,26,,20 ,,RBRVS,2.11 ,0.69 ,0.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,70554,CPT,Fmri brain by tech,TC,,20 ,,RBRVS,0.00 ,14.73 ,14.73 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,70554,CPT,Fmri brain by tech,,,20 ,,RBRVS,2.11 ,15.42 ,15.42 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,70555,CPT,Fmri brain by phys/psych,26,,20 ,,RBRVS,2.54 ,0.90 ,0.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,70557,CPT,Mri brain w/o dye,26,,20 ,,RBRVS,2.90 ,1.03 ,1.03 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,70557,CPT,Mri brain w/o dye,TC,,20 ,,TotalUnits,,,,38.32 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,70558,CPT,Mri brain w/dye,26,,20 ,,RBRVS,3.20 ,1.10 ,1.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,70558,CPT,Mri brain w/dye,TC,,20 ,,TotalUnits,,,,42.59 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,70559,CPT,Mri brain w/o & w/dye,26,,20 ,,RBRVS,3.20 ,1.14 ,1.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,70559,CPT,Mri brain w/o & w/dye,TC,,20 ,,TotalUnits,,,,50.45 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,71010,CPT,Chest x-ray,26,,20 ,,RBRVS,0.18 ,0.06 ,0.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,71010,CPT,Chest x-ray,TC,,20 ,,RBRVS,0.00 ,0.37 ,0.37 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,71010,CPT,Chest x-ray,,,20 ,,RBRVS,0.18 ,0.43 ,0.43 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,71015,CPT,Chest x-ray,26,,20 ,,RBRVS,0.21 ,0.07 ,0.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,71015,CPT,Chest x-ray,TC,,20 ,,RBRVS,0.00 ,0.51 ,0.51 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,71015,CPT,Chest x-ray,,,20 ,,RBRVS,0.21 ,0.58 ,0.58 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,71020,CPT,Chest x-ray,26,,20 ,,RBRVS,0.22 ,0.07 ,0.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,71020,CPT,Chest x-ray,TC,,20 ,,RBRVS,0.00 ,0.50 ,0.50 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,71020,CPT,Chest x-ray,,,20 ,,RBRVS,0.22 ,0.57 ,0.57 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,71021,CPT,Chest x-ray,26,,20 ,,RBRVS,0.27 ,0.09 ,0.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,71021,CPT,Chest x-ray,TC,,20 ,,RBRVS,0.00 ,0.62 ,0.62 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,71021,CPT,Chest x-ray,,,20 ,,RBRVS,0.27 ,0.71 ,0.71 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,71022,CPT,Chest x-ray,26,,20 ,,RBRVS,0.31 ,0.10 ,0.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,71022,CPT,Chest x-ray,TC,,20 ,,RBRVS,0.00 ,0.80 ,0.80 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,71022,CPT,Chest x-ray,,,20 ,,RBRVS,0.31 ,0.90 ,0.90 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,71023,CPT,Chest x-ray and fluoroscopy,26,,20 ,,RBRVS,0.38 ,0.14 ,0.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,71023,CPT,Chest x-ray and fluoroscopy,TC,,20 ,,RBRVS,0.00 ,1.40 ,1.40 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,71023,CPT,Chest x-ray and fluoroscopy,,,20 ,,RBRVS,0.38 ,1.54 ,1.54 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,71030,CPT,Chest x-ray,26,,20 ,,RBRVS,0.31 ,0.10 ,0.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,71030,CPT,Chest x-ray,TC,,20 ,,RBRVS,0.00 ,0.82 ,0.82 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,71030,CPT,Chest x-ray,,,20 ,,RBRVS,0.31 ,0.92 ,0.92 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,71034,CPT,Chest x-ray and fluoroscopy,26,,20 ,,RBRVS,0.46 ,0.21 ,0.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,71034,CPT,Chest x-ray and fluoroscopy,TC,,20 ,,RBRVS,0.00 ,1.91 ,1.91 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,71034,CPT,Chest x-ray and fluoroscopy,,,20 ,,RBRVS,0.46 ,2.12 ,2.12 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,71035,CPT,Chest x-ray,26,,20 ,,RBRVS,0.18 ,0.06 ,0.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,71035,CPT,Chest x-ray,TC,,20 ,,RBRVS,0.00 ,0.72 ,0.72 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,71035,CPT,Chest x-ray,,,20 ,,RBRVS,0.18 ,0.78 ,0.78 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,71040,CPT,Contrast x-ray of bronchi,26,,20 ,,RBRVS,0.58 ,0.18 ,0.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,71040,CPT,Contrast x-ray of bronchi,TC,,20 ,,RBRVS,0.00 ,1.88 ,1.88 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,71040,CPT,Contrast x-ray of bronchi,,,20 ,,RBRVS,0.58 ,2.06 ,2.06 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,71060,CPT,Contrast x-ray of bronchi,26,,20 ,,RBRVS,0.74 ,0.26 ,0.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,71060,CPT,Contrast x-ray of bronchi,TC,,20 ,,RBRVS,0.00 ,2.85 ,2.85 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,71060,CPT,Contrast x-ray of bronchi,,,20 ,,RBRVS,0.74 ,3.11 ,3.11 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,71090,CPT,X-ray & pacemaker insertion,26,,20 ,,RBRVS,0.54 ,0.28 ,0.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,71100,CPT,X-ray exam of ribs,26,,20 ,,RBRVS,0.22 ,0.07 ,0.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,71100,CPT,X-ray exam of ribs,TC,,20 ,,RBRVS,0.00 ,0.55 ,0.55 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,71100,CPT,X-ray exam of ribs,,,20 ,,RBRVS,0.22 ,0.62 ,0.62 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,71101,CPT,X-ray exam of ribs/chest,26,,20 ,,RBRVS,0.27 ,0.09 ,0.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,71101,CPT,X-ray exam of ribs/chest,TC,,20 ,,RBRVS,0.00 ,0.68 ,0.68 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,71101,CPT,X-ray exam of ribs/chest,,,20 ,,RBRVS,0.27 ,0.77 ,0.77 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,71110,CPT,X-ray exam of ribs,26,,20 ,,RBRVS,0.27 ,0.08 ,0.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,71110,CPT,X-ray exam of ribs,TC,,20 ,,RBRVS,0.00 ,0.69 ,0.69 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,71110,CPT,X-ray exam of ribs,,,20 ,,RBRVS,0.27 ,0.77 ,0.77 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,71111,CPT,X-ray exam of ribs/chest,26,,20 ,,RBRVS,0.32 ,0.10 ,0.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,71111,CPT,X-ray exam of ribs/chest,TC,,20 ,,RBRVS,0.00 ,0.96 ,0.96 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,71111,CPT,X-ray exam of ribs/chest,,,20 ,,RBRVS,0.32 ,1.06 ,1.06 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,71120,CPT,X-ray exam of breastbone,26,,20 ,,RBRVS,0.20 ,0.07 ,0.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,71120,CPT,X-ray exam of breastbone,TC,,20 ,,RBRVS,0.00 ,0.56 ,0.56 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,71120,CPT,X-ray exam of breastbone,,,20 ,,RBRVS,0.20 ,0.63 ,0.63 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,71130,CPT,X-ray exam of breastbone,26,,20 ,,RBRVS,0.22 ,0.08 ,0.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,71130,CPT,X-ray exam of breastbone,TC,,20 ,,RBRVS,0.00 ,0.68 ,0.68 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,71130,CPT,X-ray exam of breastbone,,,20 ,,RBRVS,0.22 ,0.76 ,0.76 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,71250,CPT,Ct thorax w/o dye,26,,20 ,,RBRVS,1.16 ,0.41 ,0.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,71250,CPT,Ct thorax w/o dye,TC,,20 ,,RBRVS,0.00 ,6.04 ,6.04 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,71250,CPT,Ct thorax w/o dye,,,20 ,,RBRVS,1.16 ,6.45 ,6.45 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,71260,CPT,Ct thorax w/dye,26,,20 ,,RBRVS,1.24 ,0.44 ,0.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,71260,CPT,Ct thorax w/dye,TC,,20 ,,RBRVS,0.00 ,7.56 ,7.56 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,71260,CPT,Ct thorax w/dye,,,20 ,,RBRVS,1.24 ,8.00 ,8.00 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,71270,CPT,Ct thorax w/o & w/dye,26,,20 ,,RBRVS,1.38 ,0.48 ,0.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,71270,CPT,Ct thorax w/o & w/dye,TC,,20 ,,RBRVS,0.00 ,9.56 ,9.56 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,71270,CPT,Ct thorax w/o & w/dye,,,20 ,,RBRVS,1.38 ,10.04 ,10.04 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,71275,CPT,"Ct angiography, chest",26,,20 ,,RBRVS,1.92 ,0.69 ,0.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,71275,CPT,"Ct angiography, chest",TC,,20 ,,RBRVS,0.00 ,11.08 ,11.08 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,71275,CPT,"Ct angiography, chest",,,20 ,,RBRVS,1.92 ,11.77 ,11.77 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,71550,CPT,Mri chest w/o dye,26,,20 ,,RBRVS,1.46 ,0.51 ,0.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,71550,CPT,Mri chest w/o dye,TC,,20 ,,RBRVS,0.00 ,15.87 ,15.87 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,71550,CPT,Mri chest w/o dye,,,20 ,,RBRVS,1.46 ,16.38 ,16.38 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,71551,CPT,Mri chest w/dye,26,,20 ,,RBRVS,1.73 ,0.60 ,0.60 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,71551,CPT,Mri chest w/dye,TC,,20 ,,RBRVS,0.00 ,17.34 ,17.34 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,71551,CPT,Mri chest w/dye,,,20 ,,RBRVS,1.73 ,17.94 ,17.94 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,71552,CPT,Mri chest w/o & w/dye,26,,20 ,,RBRVS,2.26 ,0.81 ,0.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,71552,CPT,Mri chest w/o & w/dye,TC,,20 ,,RBRVS,0.00 ,21.77 ,21.77 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,71552,CPT,Mri chest w/o & w/dye,,,20 ,,RBRVS,2.26 ,22.58 ,22.58 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,71555,CPT,Mri angio chest w or w/o dye,26,,20 ,,RBRVS,1.81 ,0.66 ,0.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,71555,CPT,Mri angio chest w or w/o dye,TC,,20 ,,RBRVS,0.00 ,14.65 ,14.65 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,71555,CPT,Mri angio chest w or w/o dye,,,20 ,,RBRVS,1.81 ,15.31 ,15.31 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,72010,CPT,X-ray exam of spine,26,,20 ,,RBRVS,0.45 ,0.13 ,0.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,72010,CPT,X-ray exam of spine,TC,,20 ,,RBRVS,0.00 ,1.30 ,1.30 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,72010,CPT,X-ray exam of spine,,,20 ,,RBRVS,0.45 ,1.43 ,1.43 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,72020,CPT,X-ray exam of spine,26,,20 ,,RBRVS,0.15 ,0.05 ,0.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,72020,CPT,X-ray exam of spine,TC,,20 ,,RBRVS,0.00 ,0.42 ,0.42 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,72020,CPT,X-ray exam of spine,,,20 ,,RBRVS,0.15 ,0.47 ,0.47 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,72040,CPT,X-ray exam of neck spine,26,,20 ,,RBRVS,0.22 ,0.07 ,0.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,72040,CPT,X-ray exam of neck spine,TC,,20 ,,RBRVS,0.00 ,0.69 ,0.69 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,72040,CPT,X-ray exam of neck spine,,,20 ,,RBRVS,0.22 ,0.76 ,0.76 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,72050,CPT,X-ray exam of neck spine,26,,20 ,,RBRVS,0.31 ,0.11 ,0.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,72050,CPT,X-ray exam of neck spine,TC,,20 ,,RBRVS,0.00 ,0.97 ,0.97 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,72050,CPT,X-ray exam of neck spine,,,20 ,,RBRVS,0.31 ,1.08 ,1.08 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,72052,CPT,X-ray exam of neck spine,26,,20 ,,RBRVS,0.36 ,0.12 ,0.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,72052,CPT,X-ray exam of neck spine,TC,,20 ,,RBRVS,0.00 ,1.27 ,1.27 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,72052,CPT,X-ray exam of neck spine,,,20 ,,RBRVS,0.36 ,1.39 ,1.39 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,72069,CPT,X-ray exam of trunk spine,26,,20 ,,RBRVS,0.22 ,0.08 ,0.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,72069,CPT,X-ray exam of trunk spine,TC,,20 ,,RBRVS,0.00 ,0.68 ,0.68 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,72069,CPT,X-ray exam of trunk spine,,,20 ,,RBRVS,0.22 ,0.76 ,0.76 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,72070,CPT,X-ray exam of thoracic spine,26,,20 ,,RBRVS,0.22 ,0.07 ,0.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,72070,CPT,X-ray exam of thoracic spine,TC,,20 ,,RBRVS,0.00 ,0.57 ,0.57 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,72070,CPT,X-ray exam of thoracic spine,,,20 ,,RBRVS,0.22 ,0.64 ,0.64 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,72072,CPT,X-ray exam of thoracic spine,26,,20 ,,RBRVS,0.22 ,0.07 ,0.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,72072,CPT,X-ray exam of thoracic spine,TC,,20 ,,RBRVS,0.00 ,0.70 ,0.70 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,72072,CPT,X-ray exam of thoracic spine,,,20 ,,RBRVS,0.22 ,0.77 ,0.77 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,72074,CPT,X-ray exam of thoracic spine,26,,20 ,,RBRVS,0.22 ,0.07 ,0.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,72074,CPT,X-ray exam of thoracic spine,TC,,20 ,,RBRVS,0.00 ,0.88 ,0.88 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,72074,CPT,X-ray exam of thoracic spine,,,20 ,,RBRVS,0.22 ,0.95 ,0.95 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,72080,CPT,X-ray exam of trunk spine,26,,20 ,,RBRVS,0.22 ,0.08 ,0.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,72080,CPT,X-ray exam of trunk spine,TC,,20 ,,RBRVS,0.00 ,0.62 ,0.62 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,72080,CPT,X-ray exam of trunk spine,,,20 ,,RBRVS,0.22 ,0.70 ,0.70 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,72090,CPT,X-ray exam of trunk spine,26,,20 ,,RBRVS,0.28 ,0.10 ,0.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,72090,CPT,X-ray exam of trunk spine,TC,,20 ,,RBRVS,0.00 ,0.90 ,0.90 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,72090,CPT,X-ray exam of trunk spine,,,20 ,,RBRVS,0.28 ,1.00 ,1.00 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,72100,CPT,X-ray exam of lower spine,26,,20 ,,RBRVS,0.22 ,0.07 ,0.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,72100,CPT,X-ray exam of lower spine,TC,,20 ,,RBRVS,0.00 ,0.74 ,0.74 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,72100,CPT,X-ray exam of lower spine,,,20 ,,RBRVS,0.22 ,0.81 ,0.81 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,72110,CPT,X-ray exam of lower spine,26,,20 ,,RBRVS,0.31 ,0.11 ,0.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,72110,CPT,X-ray exam of lower spine,TC,,20 ,,RBRVS,0.00 ,1.04 ,1.04 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,72110,CPT,X-ray exam of lower spine,,,20 ,,RBRVS,0.31 ,1.15 ,1.15 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,72114,CPT,X-ray exam of lower spine,26,,20 ,,RBRVS,0.36 ,0.13 ,0.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,72114,CPT,X-ray exam of lower spine,TC,,20 ,,RBRVS,0.00 ,1.44 ,1.44 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,72114,CPT,X-ray exam of lower spine,,,20 ,,RBRVS,0.36 ,1.57 ,1.57 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,72120,CPT,X-ray exam of lower spine,26,,20 ,,RBRVS,0.22 ,0.08 ,0.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,72120,CPT,X-ray exam of lower spine,TC,,20 ,,RBRVS,0.00 ,1.00 ,1.00 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,72120,CPT,X-ray exam of lower spine,,,20 ,,RBRVS,0.22 ,1.08 ,1.08 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,72125,CPT,Ct neck spine w/o dye,26,,20 ,,RBRVS,1.16 ,0.41 ,0.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,72125,CPT,Ct neck spine w/o dye,TC,,20 ,,RBRVS,0.00 ,6.06 ,6.06 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,72125,CPT,Ct neck spine w/o dye,,,20 ,,RBRVS,1.16 ,6.47 ,6.47 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,72126,CPT,Ct neck spine w/dye,26,,20 ,,RBRVS,1.22 ,0.43 ,0.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,72126,CPT,Ct neck spine w/dye,TC,,20 ,,RBRVS,0.00 ,7.57 ,7.57 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,72126,CPT,Ct neck spine w/dye,,,20 ,,RBRVS,1.22 ,8.00 ,8.00 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,72127,CPT,Ct neck spine w/o & w/dye,26,,20 ,,RBRVS,1.27 ,0.44 ,0.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,72127,CPT,Ct neck spine w/o & w/dye,TC,,20 ,,RBRVS,0.00 ,9.61 ,9.61 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,72127,CPT,Ct neck spine w/o & w/dye,,,20 ,,RBRVS,1.27 ,10.05 ,10.05 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,72128,CPT,Ct chest spine w/o dye,26,,20 ,,RBRVS,1.16 ,0.41 ,0.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,72128,CPT,Ct chest spine w/o dye,TC,,20 ,,RBRVS,0.00 ,6.05 ,6.05 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,72128,CPT,Ct chest spine w/o dye,,,20 ,,RBRVS,1.16 ,6.46 ,6.46 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,72129,CPT,Ct chest spine w/dye,26,,20 ,,RBRVS,1.22 ,0.43 ,0.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,72129,CPT,Ct chest spine w/dye,TC,,20 ,,RBRVS,0.00 ,7.57 ,7.57 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,72129,CPT,Ct chest spine w/dye,,,20 ,,RBRVS,1.22 ,8.00 ,8.00 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,72130,CPT,Ct chest spine w/o & w/dye,26,,20 ,,RBRVS,1.27 ,0.44 ,0.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,72130,CPT,Ct chest spine w/o & w/dye,TC,,20 ,,RBRVS,0.00 ,9.54 ,9.54 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,72130,CPT,Ct chest spine w/o & w/dye,,,20 ,,RBRVS,1.27 ,9.98 ,9.98 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,72131,CPT,Ct lumbar spine w/o dye,26,,20 ,,RBRVS,1.16 ,0.40 ,0.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,72131,CPT,Ct lumbar spine w/o dye,TC,,20 ,,RBRVS,0.00 ,6.03 ,6.03 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,72131,CPT,Ct lumbar spine w/o dye,,,20 ,,RBRVS,1.16 ,6.43 ,6.43 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,72132,CPT,Ct lumbar spine w/dye,26,,20 ,,RBRVS,1.22 ,0.43 ,0.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,72132,CPT,Ct lumbar spine w/dye,TC,,20 ,,RBRVS,0.00 ,7.55 ,7.55 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,72132,CPT,Ct lumbar spine w/dye,,,20 ,,RBRVS,1.22 ,7.98 ,7.98 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,72133,CPT,Ct lumbar spine w/o & w/dye,26,,20 ,,RBRVS,1.27 ,0.44 ,0.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,72133,CPT,Ct lumbar spine w/o & w/dye,TC,,20 ,,RBRVS,0.00 ,9.58 ,9.58 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,72133,CPT,Ct lumbar spine w/o & w/dye,,,20 ,,RBRVS,1.27 ,10.02 ,10.02 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,72141,CPT,Mri neck spine w/o dye,26,,20 ,,RBRVS,1.60 ,0.55 ,0.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,72141,CPT,Mri neck spine w/o dye,TC,,20 ,,RBRVS,0.00 ,11.91 ,11.91 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,72141,CPT,Mri neck spine w/o dye,,,20 ,,RBRVS,1.60 ,12.46 ,12.46 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,72142,CPT,Mri neck spine w/dye,26,,20 ,,RBRVS,1.92 ,0.66 ,0.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,72142,CPT,Mri neck spine w/dye,TC,,20 ,,RBRVS,0.00 ,14.96 ,14.96 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,72142,CPT,Mri neck spine w/dye,,,20 ,,RBRVS,1.92 ,15.62 ,15.62 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,72146,CPT,Mri chest spine w/o dye,26,,20 ,,RBRVS,1.60 ,0.55 ,0.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,72146,CPT,Mri chest spine w/o dye,TC,,20 ,,RBRVS,0.00 ,11.93 ,11.93 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,72146,CPT,Mri chest spine w/o dye,,,20 ,,RBRVS,1.60 ,12.48 ,12.48 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,72147,CPT,Mri chest spine w/dye,26,,20 ,,RBRVS,1.92 ,0.67 ,0.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,72147,CPT,Mri chest spine w/dye,TC,,20 ,,RBRVS,0.00 ,12.91 ,12.91 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,72147,CPT,Mri chest spine w/dye,,,20 ,,RBRVS,1.92 ,13.58 ,13.58 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,72148,CPT,Mri lumbar spine w/o dye,26,,20 ,,RBRVS,1.48 ,0.51 ,0.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,72148,CPT,Mri lumbar spine w/o dye,TC,,20 ,,RBRVS,0.00 ,11.91 ,11.91 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,72148,CPT,Mri lumbar spine w/o dye,,,20 ,,RBRVS,1.48 ,12.42 ,12.42 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,72149,CPT,Mri lumbar spine w/dye,26,,20 ,,RBRVS,1.78 ,0.62 ,0.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,72149,CPT,Mri lumbar spine w/dye,TC,,20 ,,RBRVS,0.00 ,14.90 ,14.90 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,72149,CPT,Mri lumbar spine w/dye,,,20 ,,RBRVS,1.78 ,15.52 ,15.52 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,72156,CPT,Mri neck spine w/o & w/dye,26,,20 ,,RBRVS,2.57 ,0.89 ,0.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,72156,CPT,Mri neck spine w/o & w/dye,TC,,20 ,,RBRVS,0.00 ,16.90 ,16.90 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,72156,CPT,Mri neck spine w/o & w/dye,,,20 ,,RBRVS,2.57 ,17.79 ,17.79 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,72157,CPT,Mri chest spine w/o & w/dye,26,,20 ,,RBRVS,2.57 ,0.90 ,0.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,72157,CPT,Mri chest spine w/o & w/dye,TC,,20 ,,RBRVS,0.00 ,15.32 ,15.32 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,72157,CPT,Mri chest spine w/o & w/dye,,,20 ,,RBRVS,2.57 ,16.22 ,16.22 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,72158,CPT,Mri lumbar spine w/o & w/dye,26,,20 ,,RBRVS,2.36 ,0.82 ,0.82 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,72158,CPT,Mri lumbar spine w/o & w/dye,TC,,20 ,,RBRVS,0.00 ,16.88 ,16.88 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,72158,CPT,Mri lumbar spine w/o & w/dye,,,20 ,,RBRVS,2.36 ,17.70 ,17.70 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,72159,CPT,Mr angio spine w/o&w/dye,26,,20 ,,RBRVS,1.80 ,0.42 ,0.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,72159,CPT,Mr angio spine w/o&w/dye,TC,,20 ,,RBRVS,0.00 ,14.25 ,14.25 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,72159,CPT,Mr angio spine w/o&w/dye,,,20 ,,RBRVS,1.80 ,14.67 ,14.67 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,72170,CPT,X-ray exam of pelvis,26,,20 ,,RBRVS,0.17 ,0.06 ,0.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,72170,CPT,X-ray exam of pelvis,TC,,20 ,,RBRVS,0.00 ,0.44 ,0.44 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,72170,CPT,X-ray exam of pelvis,,,20 ,,RBRVS,0.17 ,0.50 ,0.50 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,72190,CPT,X-ray exam of pelvis,26,,20 ,,RBRVS,0.21 ,0.07 ,0.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,72190,CPT,X-ray exam of pelvis,TC,,20 ,,RBRVS,0.00 ,0.77 ,0.77 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,72190,CPT,X-ray exam of pelvis,,,20 ,,RBRVS,0.21 ,0.84 ,0.84 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,72191,CPT,Ct angiograph pelv w/o&w/dye,26,,20 ,,RBRVS,1.81 ,0.65 ,0.65 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,72191,CPT,Ct angiograph pelv w/o&w/dye,TC,,20 ,,RBRVS,0.00 ,10.69 ,10.69 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,72191,CPT,Ct angiograph pelv w/o&w/dye,,,20 ,,RBRVS,1.81 ,11.34 ,11.34 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,72192,CPT,Ct pelvis w/o dye,26,,20 ,,RBRVS,1.09 ,0.39 ,0.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,72192,CPT,Ct pelvis w/o dye,TC,,20 ,,RBRVS,0.00 ,5.65 ,5.65 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,72192,CPT,Ct pelvis w/o dye,,,20 ,,RBRVS,1.09 ,6.04 ,6.04 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,72193,CPT,Ct pelvis w/dye,26,,20 ,,RBRVS,1.16 ,0.41 ,0.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,72193,CPT,Ct pelvis w/dye,TC,,20 ,,RBRVS,0.00 ,7.14 ,7.14 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,72193,CPT,Ct pelvis w/dye,,,20 ,,RBRVS,1.16 ,7.55 ,7.55 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,72194,CPT,Ct pelvis w/o & w/dye,26,,20 ,,RBRVS,1.22 ,0.43 ,0.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,72194,CPT,Ct pelvis w/o & w/dye,TC,,20 ,,RBRVS,0.00 ,9.70 ,9.70 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,72194,CPT,Ct pelvis w/o & w/dye,,,20 ,,RBRVS,1.22 ,10.13 ,10.13 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,72195,CPT,Mri pelvis w/o dye,26,,20 ,,RBRVS,1.46 ,0.51 ,0.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,72195,CPT,Mri pelvis w/o dye,TC,,20 ,,RBRVS,0.00 ,13.93 ,13.93 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,72195,CPT,Mri pelvis w/o dye,,,20 ,,RBRVS,1.46 ,14.44 ,14.44 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,72196,CPT,Mri pelvis w/dye,26,,20 ,,RBRVS,1.73 ,0.61 ,0.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,72196,CPT,Mri pelvis w/dye,TC,,20 ,,RBRVS,0.00 ,14.93 ,14.93 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,72196,CPT,Mri pelvis w/dye,,,20 ,,RBRVS,1.73 ,15.54 ,15.54 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,72197,CPT,Mri pelvis w/o & w/dye,26,,20 ,,RBRVS,2.26 ,0.79 ,0.79 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,72197,CPT,Mri pelvis w/o & w/dye,TC,,20 ,,RBRVS,0.00 ,18.18 ,18.18 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,72197,CPT,Mri pelvis w/o & w/dye,,,20 ,,RBRVS,2.26 ,18.97 ,18.97 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,72198,CPT,Mr angio pelvis w/o & w/dye,26,,20 ,,RBRVS,1.80 ,0.64 ,0.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,72198,CPT,Mr angio pelvis w/o & w/dye,TC,,20 ,,RBRVS,0.00 ,14.45 ,14.45 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,72198,CPT,Mr angio pelvis w/o & w/dye,,,20 ,,RBRVS,1.80 ,15.09 ,15.09 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,72200,CPT,X-ray exam sacroiliac joints,26,,20 ,,RBRVS,0.17 ,0.05 ,0.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,72200,CPT,X-ray exam sacroiliac joints,TC,,20 ,,RBRVS,0.00 ,0.54 ,0.54 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,72200,CPT,X-ray exam sacroiliac joints,,,20 ,,RBRVS,0.17 ,0.59 ,0.59 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,72202,CPT,X-ray exam sacroiliac joints,26,,20 ,,RBRVS,0.19 ,0.07 ,0.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,72202,CPT,X-ray exam sacroiliac joints,TC,,20 ,,RBRVS,0.00 ,0.67 ,0.67 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,72202,CPT,X-ray exam sacroiliac joints,,,20 ,,RBRVS,0.19 ,0.74 ,0.74 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,72220,CPT,X-ray exam of tailbone,26,,20 ,,RBRVS,0.17 ,0.06 ,0.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,72220,CPT,X-ray exam of tailbone,TC,,20 ,,RBRVS,0.00 ,0.52 ,0.52 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,72220,CPT,X-ray exam of tailbone,,,20 ,,RBRVS,0.17 ,0.58 ,0.58 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,72240,CPT,Contrast x-ray of neck spine,26,,20 ,,RBRVS,0.91 ,0.32 ,0.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,72240,CPT,Contrast x-ray of neck spine,TC,,20 ,,RBRVS,0.00 ,2.26 ,2.26 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,72240,CPT,Contrast x-ray of neck spine,,,20 ,,RBRVS,0.91 ,2.58 ,2.58 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,72255,CPT,"Contrast x-ray, thorax spine",26,,20 ,,RBRVS,0.91 ,0.28 ,0.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,72255,CPT,"Contrast x-ray, thorax spine",TC,,20 ,,RBRVS,0.00 ,1.96 ,1.96 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,72255,CPT,"Contrast x-ray, thorax spine",,,20 ,,RBRVS,0.91 ,2.24 ,2.24 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,72265,CPT,"Contrast x-ray, lower spine",26,,20 ,,RBRVS,0.83 ,0.29 ,0.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,72265,CPT,"Contrast x-ray, lower spine",TC,,20 ,,RBRVS,0.00 ,2.25 ,2.25 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,72265,CPT,"Contrast x-ray, lower spine",,,20 ,,RBRVS,0.83 ,2.54 ,2.54 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,72270,CPT,"Contrast x-ray, spine",26,,20 ,,RBRVS,1.33 ,0.47 ,0.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,72270,CPT,"Contrast x-ray, spine",TC,,20 ,,RBRVS,0.00 ,3.52 ,3.52 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,72270,CPT,"Contrast x-ray, spine",,,20 ,,RBRVS,1.33 ,3.99 ,3.99 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,72275,CPT,Epidurography,26,,20 ,,RBRVS,0.76 ,0.20 ,0.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,72275,CPT,Epidurography,TC,,20 ,,RBRVS,0.00 ,1.53 ,1.53 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,72275,CPT,Epidurography,,,20 ,,RBRVS,0.76 ,1.73 ,1.73 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,72285,CPT,X-ray c/t spine disk,26,,20 ,,RBRVS,1.16 ,0.30 ,0.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,72285,CPT,X-ray c/t spine disk,TC,,20 ,,RBRVS,0.00 ,1.14 ,1.14 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,72285,CPT,X-ray c/t spine disk,,,20 ,,RBRVS,1.16 ,1.44 ,1.44 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,72291,CPT,"Perq vertebroplasty, fluor",26,,20 ,,RBRVS,1.31 ,0.48 ,0.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,72292,CPT,"Perq vertebroplasty, ct",26,,20 ,,RBRVS,1.38 ,0.50 ,0.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,72295,CPT,X-ray of lower spine disk,26,,20 ,,RBRVS,0.83 ,0.24 ,0.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,72295,CPT,X-ray of lower spine disk,TC,,20 ,,RBRVS,0.00 ,1.22 ,1.22 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,72295,CPT,X-ray of lower spine disk,,,20 ,,RBRVS,0.83 ,1.46 ,1.46 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,73000,CPT,X-ray exam of collar bone,26,,20 ,,RBRVS,0.16 ,0.05 ,0.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,73000,CPT,X-ray exam of collar bone,TC,,20 ,,RBRVS,0.00 ,0.50 ,0.50 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,73000,CPT,X-ray exam of collar bone,,,20 ,,RBRVS,0.16 ,0.55 ,0.55 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,73010,CPT,X-ray exam of shoulder blade,26,,20 ,,RBRVS,0.17 ,0.06 ,0.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,73010,CPT,X-ray exam of shoulder blade,TC,,20 ,,RBRVS,0.00 ,0.52 ,0.52 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,73010,CPT,X-ray exam of shoulder blade,,,20 ,,RBRVS,0.17 ,0.58 ,0.58 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,73020,CPT,X-ray exam of shoulder,26,,20 ,,RBRVS,0.15 ,0.05 ,0.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,73020,CPT,X-ray exam of shoulder,TC,,20 ,,RBRVS,0.00 ,0.39 ,0.39 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,73020,CPT,X-ray exam of shoulder,,,20 ,,RBRVS,0.15 ,0.44 ,0.44 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,73030,CPT,X-ray exam of shoulder,26,,20 ,,RBRVS,0.18 ,0.06 ,0.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,73030,CPT,X-ray exam of shoulder,TC,,20 ,,RBRVS,0.00 ,0.51 ,0.51 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,73030,CPT,X-ray exam of shoulder,,,20 ,,RBRVS,0.18 ,0.57 ,0.57 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,73040,CPT,Contrast x-ray of shoulder,26,,20 ,,RBRVS,0.54 ,0.19 ,0.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,73040,CPT,Contrast x-ray of shoulder,TC,,20 ,,RBRVS,0.00 ,2.06 ,2.06 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,73040,CPT,Contrast x-ray of shoulder,,,20 ,,RBRVS,0.54 ,2.25 ,2.25 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,73050,CPT,X-ray exam of shoulders,26,,20 ,,RBRVS,0.20 ,0.08 ,0.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,73050,CPT,X-ray exam of shoulders,TC,,20 ,,RBRVS,0.00 ,0.66 ,0.66 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,73050,CPT,X-ray exam of shoulders,,,20 ,,RBRVS,0.20 ,0.74 ,0.74 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,73060,CPT,X-ray exam of humerus,26,,20 ,,RBRVS,0.17 ,0.06 ,0.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,73060,CPT,X-ray exam of humerus,TC,,20 ,,RBRVS,0.00 ,0.52 ,0.52 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,73060,CPT,X-ray exam of humerus,,,20 ,,RBRVS,0.17 ,0.58 ,0.58 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,73070,CPT,X-ray exam of elbow,26,,20 ,,RBRVS,0.15 ,0.05 ,0.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,73070,CPT,X-ray exam of elbow,TC,,20 ,,RBRVS,0.00 ,0.50 ,0.50 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,73070,CPT,X-ray exam of elbow,,,20 ,,RBRVS,0.15 ,0.55 ,0.55 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,73080,CPT,X-ray exam of elbow,26,,20 ,,RBRVS,0.17 ,0.06 ,0.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,73080,CPT,X-ray exam of elbow,TC,,20 ,,RBRVS,0.00 ,0.70 ,0.70 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,73080,CPT,X-ray exam of elbow,,,20 ,,RBRVS,0.17 ,0.76 ,0.76 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,73085,CPT,Contrast x-ray of elbow,26,,20 ,,RBRVS,0.54 ,0.18 ,0.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,73085,CPT,Contrast x-ray of elbow,TC,,20 ,,RBRVS,0.00 ,1.66 ,1.66 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,73085,CPT,Contrast x-ray of elbow,,,20 ,,RBRVS,0.54 ,1.84 ,1.84 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,73090,CPT,X-ray exam of forearm,26,,20 ,,RBRVS,0.16 ,0.05 ,0.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,73090,CPT,X-ray exam of forearm,TC,,20 ,,RBRVS,0.00 ,0.50 ,0.50 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,73090,CPT,X-ray exam of forearm,,,20 ,,RBRVS,0.16 ,0.55 ,0.55 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,73092,CPT,"X-ray exam of arm, infant",26,,20 ,,RBRVS,0.16 ,0.05 ,0.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,73092,CPT,"X-ray exam of arm, infant",TC,,20 ,,RBRVS,0.00 ,0.53 ,0.53 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,73092,CPT,"X-ray exam of arm, infant",,,20 ,,RBRVS,0.16 ,0.58 ,0.58 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,73100,CPT,X-ray exam of wrist,26,,20 ,,RBRVS,0.16 ,0.06 ,0.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,73100,CPT,X-ray exam of wrist,TC,,20 ,,RBRVS,0.00 ,0.55 ,0.55 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,73100,CPT,X-ray exam of wrist,,,20 ,,RBRVS,0.16 ,0.61 ,0.61 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,73110,CPT,X-ray exam of wrist,26,,20 ,,RBRVS,0.17 ,0.06 ,0.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,73110,CPT,X-ray exam of wrist,TC,,20 ,,RBRVS,0.00 ,0.72 ,0.72 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,73110,CPT,X-ray exam of wrist,,,20 ,,RBRVS,0.17 ,0.78 ,0.78 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,73115,CPT,Contrast x-ray of wrist,26,,20 ,,RBRVS,0.54 ,0.19 ,0.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,73115,CPT,Contrast x-ray of wrist,TC,,20 ,,RBRVS,0.00 ,2.14 ,2.14 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,73115,CPT,Contrast x-ray of wrist,,,20 ,,RBRVS,0.54 ,2.33 ,2.33 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,73120,CPT,X-ray exam of hand,26,,20 ,,RBRVS,0.16 ,0.05 ,0.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,73120,CPT,X-ray exam of hand,TC,,20 ,,RBRVS,0.00 ,0.51 ,0.51 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,73120,CPT,X-ray exam of hand,,,20 ,,RBRVS,0.16 ,0.56 ,0.56 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,73130,CPT,X-ray exam of hand,26,,20 ,,RBRVS,0.17 ,0.06 ,0.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,73130,CPT,X-ray exam of hand,TC,,20 ,,RBRVS,0.00 ,0.60 ,0.60 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,73130,CPT,X-ray exam of hand,,,20 ,,RBRVS,0.17 ,0.66 ,0.66 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,73140,CPT,X-ray exam of finger(s),26,,20 ,,RBRVS,0.13 ,0.04 ,0.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,73140,CPT,X-ray exam of finger(s),TC,,20 ,,RBRVS,0.00 ,0.63 ,0.63 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,73140,CPT,X-ray exam of finger(s),,,20 ,,RBRVS,0.13 ,0.67 ,0.67 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,73200,CPT,Ct upper extremity w/o dye,26,,20 ,,RBRVS,1.09 ,0.38 ,0.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,73200,CPT,Ct upper extremity w/o dye,TC,,20 ,,RBRVS,0.00 ,6.02 ,6.02 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,73200,CPT,Ct upper extremity w/o dye,,,20 ,,RBRVS,1.09 ,6.40 ,6.40 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,73201,CPT,Ct upper extremity w/dye,26,,20 ,,RBRVS,1.16 ,0.41 ,0.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,73201,CPT,Ct upper extremity w/dye,TC,,20 ,,RBRVS,0.00 ,7.51 ,7.51 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,73201,CPT,Ct upper extremity w/dye,,,20 ,,RBRVS,1.16 ,7.92 ,7.92 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,73202,CPT,Ct uppr extremity w/o&w/dye,26,,20 ,,RBRVS,1.22 ,0.42 ,0.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,73202,CPT,Ct uppr extremity w/o&w/dye,TC,,20 ,,RBRVS,0.00 ,10.13 ,10.13 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,73202,CPT,Ct uppr extremity w/o&w/dye,,,20 ,,RBRVS,1.22 ,10.55 ,10.55 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,73206,CPT,Ct angio upr extrm w/o&w/dye,26,,20 ,,RBRVS,1.81 ,0.68 ,0.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,73206,CPT,Ct angio upr extrm w/o&w/dye,TC,,20 ,,RBRVS,0.00 ,10.26 ,10.26 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,73206,CPT,Ct angio upr extrm w/o&w/dye,,,20 ,,RBRVS,1.81 ,10.94 ,10.94 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,73218,CPT,Mri upper extremity w/o dye,26,,20 ,,RBRVS,1.35 ,0.46 ,0.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,73218,CPT,Mri upper extremity w/o dye,TC,,20 ,,RBRVS,0.00 ,14.19 ,14.19 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,73218,CPT,Mri upper extremity w/o dye,,,20 ,,RBRVS,1.35 ,14.65 ,14.65 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,73219,CPT,Mri upper extremity w/dye,26,,20 ,,RBRVS,1.62 ,0.56 ,0.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,73219,CPT,Mri upper extremity w/dye,TC,,20 ,,RBRVS,0.00 ,14.85 ,14.85 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,73219,CPT,Mri upper extremity w/dye,,,20 ,,RBRVS,1.62 ,15.41 ,15.41 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,73220,CPT,Mri uppr extremity w/o&w/dye,26,,20 ,,RBRVS,2.15 ,0.75 ,0.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,73220,CPT,Mri uppr extremity w/o&w/dye,TC,,20 ,,RBRVS,0.00 ,18.31 ,18.31 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,73220,CPT,Mri uppr extremity w/o&w/dye,,,20 ,,RBRVS,2.15 ,19.06 ,19.06 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,73221,CPT,Mri joint upr extrem w/o dye,26,,20 ,,RBRVS,1.35 ,0.47 ,0.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,73221,CPT,Mri joint upr extrem w/o dye,TC,,20 ,,RBRVS,0.00 ,13.09 ,13.09 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,73221,CPT,Mri joint upr extrem w/o dye,,,20 ,,RBRVS,1.35 ,13.56 ,13.56 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,73222,CPT,Mri joint upr extrem w/dye,26,,20 ,,RBRVS,1.62 ,0.56 ,0.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,73222,CPT,Mri joint upr extrem w/dye,TC,,20 ,,RBRVS,0.00 ,13.75 ,13.75 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,73222,CPT,Mri joint upr extrem w/dye,,,20 ,,RBRVS,1.62 ,14.31 ,14.31 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,73223,CPT,Mri joint upr extr w/o&w/dye,26,,20 ,,RBRVS,2.15 ,0.74 ,0.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,73223,CPT,Mri joint upr extr w/o&w/dye,TC,,20 ,,RBRVS,0.00 ,16.84 ,16.84 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,73223,CPT,Mri joint upr extr w/o&w/dye,,,20 ,,RBRVS,2.15 ,17.58 ,17.58 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,73225,CPT,Mr angio upr extr w/o&w/dye,26,,20 ,,RBRVS,1.73 ,0.40 ,0.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,73225,CPT,Mr angio upr extr w/o&w/dye,TC,,20 ,,RBRVS,0.00 ,14.25 ,14.25 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,73225,CPT,Mr angio upr extr w/o&w/dye,,,20 ,,RBRVS,1.73 ,14.65 ,14.65 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,73500,CPT,X-ray exam of hip,26,,20 ,,RBRVS,0.17 ,0.06 ,0.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,73500,CPT,X-ray exam of hip,TC,,20 ,,RBRVS,0.00 ,0.43 ,0.43 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,73500,CPT,X-ray exam of hip,,,20 ,,RBRVS,0.17 ,0.49 ,0.49 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,73510,CPT,X-ray exam of hip,26,,20 ,,RBRVS,0.21 ,0.07 ,0.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,73510,CPT,X-ray exam of hip,TC,,20 ,,RBRVS,0.00 ,0.70 ,0.70 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,73510,CPT,X-ray exam of hip,,,20 ,,RBRVS,0.21 ,0.77 ,0.77 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,73520,CPT,X-ray exam of hips,26,,20 ,,RBRVS,0.26 ,0.09 ,0.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,73520,CPT,X-ray exam of hips,TC,,20 ,,RBRVS,0.00 ,0.70 ,0.70 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,73520,CPT,X-ray exam of hips,,,20 ,,RBRVS,0.26 ,0.79 ,0.79 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,73525,CPT,Contrast x-ray of hip,26,,20 ,,RBRVS,0.54 ,0.18 ,0.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,73525,CPT,Contrast x-ray of hip,TC,,20 ,,RBRVS,0.00 ,1.65 ,1.65 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,73525,CPT,Contrast x-ray of hip,,,20 ,,RBRVS,0.54 ,1.83 ,1.83 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,73530,CPT,X-ray exam of hip,26,,20 ,,RBRVS,0.29 ,0.11 ,0.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,73540,CPT,X-ray exam of pelvis & hips,26,,20 ,,RBRVS,0.20 ,0.07 ,0.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,73540,CPT,X-ray exam of pelvis & hips,TC,,20 ,,RBRVS,0.00 ,0.74 ,0.74 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,73540,CPT,X-ray exam of pelvis & hips,,,20 ,,RBRVS,0.20 ,0.81 ,0.81 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,73542,CPT,"X-ray exam, sacroiliac joint",26,,20 ,,RBRVS,0.59 ,0.14 ,0.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,73542,CPT,"X-ray exam, sacroiliac joint",TC,,20 ,,RBRVS,0.00 ,0.99 ,0.99 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,73542,CPT,"X-ray exam, sacroiliac joint",,,20 ,,RBRVS,0.59 ,1.13 ,1.13 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,73550,CPT,X-ray exam of thigh,26,,20 ,,RBRVS,0.17 ,0.06 ,0.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,73550,CPT,X-ray exam of thigh,TC,,20 ,,RBRVS,0.00 ,0.49 ,0.49 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,73550,CPT,X-ray exam of thigh,,,20 ,,RBRVS,0.17 ,0.55 ,0.55 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,73560,CPT,"X-ray exam of knee, 1 or 2",26,,20 ,,RBRVS,0.17 ,0.06 ,0.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,73560,CPT,"X-ray exam of knee, 1 or 2",TC,,20 ,,RBRVS,0.00 ,0.52 ,0.52 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,73560,CPT,"X-ray exam of knee, 1 or 2",,,20 ,,RBRVS,0.17 ,0.58 ,0.58 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,73562,CPT,"X-ray exam of knee, 3",26,,20 ,,RBRVS,0.18 ,0.07 ,0.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,73562,CPT,"X-ray exam of knee, 3",TC,,20 ,,RBRVS,0.00 ,0.66 ,0.66 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,73562,CPT,"X-ray exam of knee, 3",,,20 ,,RBRVS,0.18 ,0.73 ,0.73 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,73564,CPT,"X-ray exam, knee, 4 or more",26,,20 ,,RBRVS,0.22 ,0.08 ,0.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,73564,CPT,"X-ray exam, knee, 4 or more",TC,,20 ,,RBRVS,0.00 ,0.78 ,0.78 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,73564,CPT,"X-ray exam, knee, 4 or more",,,20 ,,RBRVS,0.22 ,0.86 ,0.86 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,73565,CPT,X-ray exam of knees,26,,20 ,,RBRVS,0.17 ,0.06 ,0.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,73565,CPT,X-ray exam of knees,TC,,20 ,,RBRVS,0.00 ,0.59 ,0.59 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,73565,CPT,X-ray exam of knees,,,20 ,,RBRVS,0.17 ,0.65 ,0.65 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,73580,CPT,Contrast x-ray of knee joint,26,,20 ,,RBRVS,0.54 ,0.19 ,0.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,73580,CPT,Contrast x-ray of knee joint,TC,,20 ,,RBRVS,0.00 ,2.37 ,2.37 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,73580,CPT,Contrast x-ray of knee joint,,,20 ,,RBRVS,0.54 ,2.56 ,2.56 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,73590,CPT,X-ray exam of lower leg,26,,20 ,,RBRVS,0.17 ,0.06 ,0.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,73590,CPT,X-ray exam of lower leg,TC,,20 ,,RBRVS,0.00 ,0.48 ,0.48 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,73590,CPT,X-ray exam of lower leg,,,20 ,,RBRVS,0.17 ,0.54 ,0.54 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,73592,CPT,"X-ray exam of leg, infant",26,,20 ,,RBRVS,0.16 ,0.05 ,0.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,73592,CPT,"X-ray exam of leg, infant",TC,,20 ,,RBRVS,0.00 ,0.53 ,0.53 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,73592,CPT,"X-ray exam of leg, infant",,,20 ,,RBRVS,0.16 ,0.58 ,0.58 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,73600,CPT,X-ray exam of ankle,26,,20 ,,RBRVS,0.16 ,0.05 ,0.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,73600,CPT,X-ray exam of ankle,TC,,20 ,,RBRVS,0.00 ,0.51 ,0.51 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,73600,CPT,X-ray exam of ankle,,,20 ,,RBRVS,0.16 ,0.56 ,0.56 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,73610,CPT,X-ray exam of ankle,26,,20 ,,RBRVS,0.17 ,0.06 ,0.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,73610,CPT,X-ray exam of ankle,TC,,20 ,,RBRVS,0.00 ,0.62 ,0.62 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,73610,CPT,X-ray exam of ankle,,,20 ,,RBRVS,0.17 ,0.68 ,0.68 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,73615,CPT,Contrast x-ray of ankle,26,,20 ,,RBRVS,0.54 ,0.18 ,0.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,73615,CPT,Contrast x-ray of ankle,TC,,20 ,,RBRVS,0.00 ,1.82 ,1.82 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,73615,CPT,Contrast x-ray of ankle,,,20 ,,RBRVS,0.54 ,2.00 ,2.00 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,73620,CPT,X-ray exam of foot,26,,20 ,,RBRVS,0.16 ,0.04 ,0.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,73620,CPT,X-ray exam of foot,TC,,20 ,,RBRVS,0.00 ,0.48 ,0.48 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,73620,CPT,X-ray exam of foot,,,20 ,,RBRVS,0.16 ,0.52 ,0.52 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,73630,CPT,X-ray exam of foot,26,,20 ,,RBRVS,0.17 ,0.05 ,0.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,73630,CPT,X-ray exam of foot,TC,,20 ,,RBRVS,0.00 ,0.60 ,0.60 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,73630,CPT,X-ray exam of foot,,,20 ,,RBRVS,0.17 ,0.65 ,0.65 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,73650,CPT,X-ray exam of heel,26,,20 ,,RBRVS,0.16 ,0.05 ,0.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,73650,CPT,X-ray exam of heel,TC,,20 ,,RBRVS,0.00 ,0.50 ,0.50 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,73650,CPT,X-ray exam of heel,,,20 ,,RBRVS,0.16 ,0.55 ,0.55 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,73660,CPT,X-ray exam of toe(s),26,,20 ,,RBRVS,0.13 ,0.04 ,0.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,73660,CPT,X-ray exam of toe(s),TC,,20 ,,RBRVS,0.00 ,0.60 ,0.60 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,73660,CPT,X-ray exam of toe(s),,,20 ,,RBRVS,0.13 ,0.64 ,0.64 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,73700,CPT,Ct lower extremity w/o dye,26,,20 ,,RBRVS,1.09 ,0.38 ,0.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,73700,CPT,Ct lower extremity w/o dye,TC,,20 ,,RBRVS,0.00 ,6.03 ,6.03 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,73700,CPT,Ct lower extremity w/o dye,,,20 ,,RBRVS,1.09 ,6.41 ,6.41 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,73701,CPT,Ct lower extremity w/dye,26,,20 ,,RBRVS,1.16 ,0.41 ,0.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,73701,CPT,Ct lower extremity w/dye,TC,,20 ,,RBRVS,0.00 ,7.57 ,7.57 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,73701,CPT,Ct lower extremity w/dye,,,20 ,,RBRVS,1.16 ,7.98 ,7.98 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,73702,CPT,Ct lwr extremity w/o&w/dye,26,,20 ,,RBRVS,1.22 ,0.44 ,0.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,73702,CPT,Ct lwr extremity w/o&w/dye,TC,,20 ,,RBRVS,0.00 ,10.29 ,10.29 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,73702,CPT,Ct lwr extremity w/o&w/dye,,,20 ,,RBRVS,1.22 ,10.73 ,10.73 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,73706,CPT,Ct angio lwr extr w/o&w/dye,26,,20 ,,RBRVS,1.90 ,0.72 ,0.72 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,73706,CPT,Ct angio lwr extr w/o&w/dye,TC,,20 ,,RBRVS,0.00 ,11.63 ,11.63 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,73706,CPT,Ct angio lwr extr w/o&w/dye,,,20 ,,RBRVS,1.90 ,12.35 ,12.35 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,73718,CPT,Mri lower extremity w/o dye,26,,20 ,,RBRVS,1.35 ,0.46 ,0.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,73718,CPT,Mri lower extremity w/o dye,TC,,20 ,,RBRVS,0.00 ,13.81 ,13.81 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,73718,CPT,Mri lower extremity w/o dye,,,20 ,,RBRVS,1.35 ,14.27 ,14.27 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,73719,CPT,Mri lower extremity w/dye,26,,20 ,,RBRVS,1.62 ,0.57 ,0.57 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,73719,CPT,Mri lower extremity w/dye,TC,,20 ,,RBRVS,0.00 ,14.84 ,14.84 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,73719,CPT,Mri lower extremity w/dye,,,20 ,,RBRVS,1.62 ,15.41 ,15.41 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,73720,CPT,Mri lwr extremity w/o&w/dye,26,,20 ,,RBRVS,2.15 ,0.75 ,0.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,73720,CPT,Mri lwr extremity w/o&w/dye,TC,,20 ,,RBRVS,0.00 ,18.25 ,18.25 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,73720,CPT,Mri lwr extremity w/o&w/dye,,,20 ,,RBRVS,2.15 ,19.00 ,19.00 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,73721,CPT,Mri jnt of lwr extre w/o dye,26,,20 ,,RBRVS,1.35 ,0.47 ,0.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,73721,CPT,Mri jnt of lwr extre w/o dye,TC,,20 ,,RBRVS,0.00 ,13.41 ,13.41 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,73721,CPT,Mri jnt of lwr extre w/o dye,,,20 ,,RBRVS,1.35 ,13.88 ,13.88 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,73722,CPT,Mri joint of lwr extr w/dye,26,,20 ,,RBRVS,1.62 ,0.57 ,0.57 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,73722,CPT,Mri joint of lwr extr w/dye,TC,,20 ,,RBRVS,0.00 ,13.92 ,13.92 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,73722,CPT,Mri joint of lwr extr w/dye,,,20 ,,RBRVS,1.62 ,14.49 ,14.49 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,73723,CPT,Mri joint lwr extr w/o&w/dye,26,,20 ,,RBRVS,2.15 ,0.74 ,0.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,73723,CPT,Mri joint lwr extr w/o&w/dye,TC,,20 ,,RBRVS,0.00 ,16.82 ,16.82 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,73723,CPT,Mri joint lwr extr w/o&w/dye,,,20 ,,RBRVS,2.15 ,17.56 ,17.56 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,73725,CPT,Mr ang lwr ext w or w/o dye,26,,20 ,,RBRVS,1.82 ,0.64 ,0.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,73725,CPT,Mr ang lwr ext w or w/o dye,TC,,20 ,,RBRVS,0.00 ,14.49 ,14.49 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,73725,CPT,Mr ang lwr ext w or w/o dye,,,20 ,,RBRVS,1.82 ,15.13 ,15.13 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,74000,CPT,X-ray exam of abdomen,26,,20 ,,RBRVS,0.18 ,0.06 ,0.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,74000,CPT,X-ray exam of abdomen,TC,,20 ,,RBRVS,0.00 ,0.40 ,0.40 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,74000,CPT,X-ray exam of abdomen,,,20 ,,RBRVS,0.18 ,0.46 ,0.46 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,74010,CPT,X-ray exam of abdomen,26,,20 ,,RBRVS,0.23 ,0.08 ,0.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,74010,CPT,X-ray exam of abdomen,TC,,20 ,,RBRVS,0.00 ,0.71 ,0.71 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,74010,CPT,X-ray exam of abdomen,,,20 ,,RBRVS,0.23 ,0.79 ,0.79 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,74020,CPT,X-ray exam of abdomen,26,,20 ,,RBRVS,0.27 ,0.09 ,0.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,74020,CPT,X-ray exam of abdomen,TC,,20 ,,RBRVS,0.00 ,0.72 ,0.72 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,74020,CPT,X-ray exam of abdomen,,,20 ,,RBRVS,0.27 ,0.81 ,0.81 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,74022,CPT,"X-ray exam series, abdomen",26,,20 ,,RBRVS,0.32 ,0.11 ,0.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,74022,CPT,"X-ray exam series, abdomen",TC,,20 ,,RBRVS,0.00 ,0.88 ,0.88 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,74022,CPT,"X-ray exam series, abdomen",,,20 ,,RBRVS,0.32 ,0.99 ,0.99 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,74150,CPT,Ct abdomen w/o dye,26,,20 ,,RBRVS,1.19 ,0.42 ,0.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,74150,CPT,Ct abdomen w/o dye,TC,,20 ,,RBRVS,0.00 ,5.65 ,5.65 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,74150,CPT,Ct abdomen w/o dye,,,20 ,,RBRVS,1.19 ,6.07 ,6.07 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,74160,CPT,Ct abdomen w/dye,26,,20 ,,RBRVS,1.27 ,0.45 ,0.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,74160,CPT,Ct abdomen w/dye,TC,,20 ,,RBRVS,0.00 ,8.37 ,8.37 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,74160,CPT,Ct abdomen w/dye,,,20 ,,RBRVS,1.27 ,8.82 ,8.82 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,74170,CPT,Ct abdomen w/o & w/dye,26,,20 ,,RBRVS,1.40 ,0.49 ,0.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,74170,CPT,Ct abdomen w/o & w/dye,TC,,20 ,,RBRVS,0.00 ,11.70 ,11.70 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,74170,CPT,Ct abdomen w/o & w/dye,,,20 ,,RBRVS,1.40 ,12.19 ,12.19 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,74175,CPT,Ct angio abdom w/o & w/dye,26,,20 ,,RBRVS,1.90 ,0.69 ,0.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,74175,CPT,Ct angio abdom w/o & w/dye,TC,,20 ,,RBRVS,0.00 ,11.59 ,11.59 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,74175,CPT,Ct angio abdom w/o & w/dye,,,20 ,,RBRVS,1.90 ,12.28 ,12.28 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,74181,CPT,Mri abdomen w/o dye,26,,20 ,,RBRVS,1.46 ,0.51 ,0.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,74181,CPT,Mri abdomen w/o dye,TC,,20 ,,RBRVS,0.00 ,11.94 ,11.94 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,74181,CPT,Mri abdomen w/o dye,,,20 ,,RBRVS,1.46 ,12.45 ,12.45 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,74182,CPT,Mri abdomen w/dye,26,,20 ,,RBRVS,1.73 ,0.61 ,0.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,74182,CPT,Mri abdomen w/dye,TC,,20 ,,RBRVS,0.00 ,16.84 ,16.84 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,74182,CPT,Mri abdomen w/dye,,,20 ,,RBRVS,1.73 ,17.45 ,17.45 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,74183,CPT,Mri abdomen w/o & w/dye,26,,20 ,,RBRVS,2.26 ,0.79 ,0.79 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,74183,CPT,Mri abdomen w/o & w/dye,TC,,20 ,,RBRVS,0.00 ,18.21 ,18.21 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,74183,CPT,Mri abdomen w/o & w/dye,,,20 ,,RBRVS,2.26 ,19.00 ,19.00 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,74185,CPT,"Mri angio, abdom w orw/o dye",26,,20 ,,RBRVS,1.80 ,0.64 ,0.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,74185,CPT,"Mri angio, abdom w orw/o dye",TC,,20 ,,RBRVS,0.00 ,14.45 ,14.45 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,74185,CPT,"Mri angio, abdom w orw/o dye",,,20 ,,RBRVS,1.80 ,15.09 ,15.09 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,74190,CPT,X-ray exam of peritoneum,26,,20 ,,RBRVS,0.48 ,0.17 ,0.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,74210,CPT,Contrst x-ray exam of throat,26,,20 ,,RBRVS,0.36 ,0.13 ,0.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,74210,CPT,Contrst x-ray exam of throat,TC,,20 ,,RBRVS,0.00 ,1.64 ,1.64 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,74210,CPT,Contrst x-ray exam of throat,,,20 ,,RBRVS,0.36 ,1.77 ,1.77 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,74220,CPT,"Contrast x-ray, esophagus",26,,20 ,,RBRVS,0.46 ,0.16 ,0.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,74220,CPT,"Contrast x-ray, esophagus",TC,,20 ,,RBRVS,0.00 ,1.85 ,1.85 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,74220,CPT,"Contrast x-ray, esophagus",,,20 ,,RBRVS,0.46 ,2.01 ,2.01 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,74230,CPT,"Cine/vid x-ray, throat/esoph",26,,20 ,,RBRVS,0.53 ,0.19 ,0.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,74230,CPT,"Cine/vid x-ray, throat/esoph",TC,,20 ,,RBRVS,0.00 ,1.76 ,1.76 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,74230,CPT,"Cine/vid x-ray, throat/esoph",,,20 ,,RBRVS,0.53 ,1.95 ,1.95 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,74235,CPT,Remove esophagus obstruction,26,,20 ,,RBRVS,1.19 ,0.47 ,0.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,74240,CPT,"X-ray exam, upper gi tract",26,,20 ,,RBRVS,0.69 ,0.24 ,0.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,74240,CPT,"X-ray exam, upper gi tract",TC,,20 ,,RBRVS,0.00 ,2.06 ,2.06 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,74240,CPT,"X-ray exam, upper gi tract",,,20 ,,RBRVS,0.69 ,2.30 ,2.30 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,74241,CPT,"X-ray exam, upper gi tract",26,,20 ,,RBRVS,0.69 ,0.24 ,0.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,74241,CPT,"X-ray exam, upper gi tract",TC,,20 ,,RBRVS,0.00 ,2.33 ,2.33 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,74241,CPT,"X-ray exam, upper gi tract",,,20 ,,RBRVS,0.69 ,2.57 ,2.57 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,74245,CPT,"X-ray exam, upper gi tract",26,,20 ,,RBRVS,0.91 ,0.32 ,0.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,74245,CPT,"X-ray exam, upper gi tract",TC,,20 ,,RBRVS,0.00 ,3.64 ,3.64 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,74245,CPT,"X-ray exam, upper gi tract",,,20 ,,RBRVS,0.91 ,3.96 ,3.96 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,74246,CPT,Contrst x-ray uppr gi tract,26,,20 ,,RBRVS,0.69 ,0.25 ,0.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,74246,CPT,Contrst x-ray uppr gi tract,TC,,20 ,,RBRVS,0.00 ,2.56 ,2.56 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,74246,CPT,Contrst x-ray uppr gi tract,,,20 ,,RBRVS,0.69 ,2.81 ,2.81 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,74247,CPT,Contrst x-ray uppr gi tract,26,,20 ,,RBRVS,0.69 ,0.24 ,0.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,74247,CPT,Contrst x-ray uppr gi tract,TC,,20 ,,RBRVS,0.00 ,2.98 ,2.98 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,74247,CPT,Contrst x-ray uppr gi tract,,,20 ,,RBRVS,0.69 ,3.22 ,3.22 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,74249,CPT,Contrst x-ray uppr gi tract,26,,20 ,,RBRVS,0.91 ,0.32 ,0.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,74249,CPT,Contrst x-ray uppr gi tract,TC,,20 ,,RBRVS,0.00 ,4.03 ,4.03 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,74249,CPT,Contrst x-ray uppr gi tract,,,20 ,,RBRVS,0.91 ,4.35 ,4.35 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,74250,CPT,X-ray exam of small bowel,26,,20 ,,RBRVS,0.47 ,0.17 ,0.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,74250,CPT,X-ray exam of small bowel,TC,,20 ,,RBRVS,0.00 ,2.32 ,2.32 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,74250,CPT,X-ray exam of small bowel,,,20 ,,RBRVS,0.47 ,2.49 ,2.49 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,74251,CPT,X-ray exam of small bowel,26,,20 ,,RBRVS,0.69 ,0.25 ,0.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,74251,CPT,X-ray exam of small bowel,TC,,20 ,,RBRVS,0.00 ,9.77 ,9.77 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,74251,CPT,X-ray exam of small bowel,,,20 ,,RBRVS,0.69 ,10.02 ,10.02 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,74260,CPT,X-ray exam of small bowel,26,,20 ,,RBRVS,0.50 ,0.18 ,0.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,74260,CPT,X-ray exam of small bowel,TC,,20 ,,RBRVS,0.00 ,8.13 ,8.13 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,74260,CPT,X-ray exam of small bowel,,,20 ,,RBRVS,0.50 ,8.31 ,8.31 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,74270,CPT,Contrast x-ray exam of colon,26,,20 ,,RBRVS,0.69 ,0.25 ,0.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,74270,CPT,Contrast x-ray exam of colon,TC,,20 ,,RBRVS,0.00 ,3.34 ,3.34 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,74270,CPT,Contrast x-ray exam of colon,,,20 ,,RBRVS,0.69 ,3.59 ,3.59 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,74280,CPT,Contrast x-ray exam of colon,26,,20 ,,RBRVS,0.99 ,0.35 ,0.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,74280,CPT,Contrast x-ray exam of colon,TC,,20 ,,RBRVS,0.00 ,4.60 ,4.60 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,74280,CPT,Contrast x-ray exam of colon,,,20 ,,RBRVS,0.99 ,4.95 ,4.95 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,74283,CPT,Contrast x-ray exam of colon,26,,20 ,,RBRVS,2.02 ,0.69 ,0.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,74283,CPT,Contrast x-ray exam of colon,TC,,20 ,,RBRVS,0.00 ,2.80 ,2.80 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,74283,CPT,Contrast x-ray exam of colon,,,20 ,,RBRVS,2.02 ,3.49 ,3.49 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,74290,CPT,"Contrast x-ray, gallbladder",26,,20 ,,RBRVS,0.32 ,0.11 ,0.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,74290,CPT,"Contrast x-ray, gallbladder",TC,,20 ,,RBRVS,0.00 ,1.47 ,1.47 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,74290,CPT,"Contrast x-ray, gallbladder",,,20 ,,RBRVS,0.32 ,1.58 ,1.58 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,74291,CPT,"Contrast x-rays, gallbladder",26,,20 ,,RBRVS,0.20 ,0.07 ,0.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,74291,CPT,"Contrast x-rays, gallbladder",TC,,20 ,,RBRVS,0.00 ,1.49 ,1.49 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,74291,CPT,"Contrast x-rays, gallbladder",,,20 ,,RBRVS,0.20 ,1.56 ,1.56 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,74300,CPT,X-ray bile ducts/pancreas,26,,20 ,,RBRVS,0.36 ,0.13 ,0.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,74300,CPT,X-ray bile ducts/pancreas,TC,,20 ,,TotalUnits,,,,0.98 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,74301,CPT,X-rays at surgery add-on,26,,20 ,,RBRVS,0.21 ,0.07 ,0.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,74301,CPT,X-rays at surgery add-on,TC,,20 ,,TotalUnits,,,,0.98 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,74305,CPT,X-ray bile ducts/pancreas,26,,20 ,,RBRVS,0.42 ,0.15 ,0.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,74320,CPT,Contrast x-ray of bile ducts,26,,20 ,,RBRVS,0.54 ,0.20 ,0.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,74320,CPT,Contrast x-ray of bile ducts,TC,,20 ,,RBRVS,0.00 ,1.94 ,1.94 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,74320,CPT,Contrast x-ray of bile ducts,,,20 ,,RBRVS,0.54 ,2.14 ,2.14 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,74327,CPT,X-ray bile stone removal,26,,20 ,,RBRVS,0.70 ,0.25 ,0.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,74327,CPT,X-ray bile stone removal,TC,,20 ,,RBRVS,0.00 ,2.72 ,2.72 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,74327,CPT,X-ray bile stone removal,,,20 ,,RBRVS,0.70 ,2.97 ,2.97 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,74328,CPT,X-ray bile duct endoscopy,26,,20 ,,RBRVS,0.70 ,0.26 ,0.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,74329,CPT,X-ray for pancreas endoscopy,26,,20 ,,RBRVS,0.70 ,0.27 ,0.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,74330,CPT,X-ray bile/panc endoscopy,26,,20 ,,RBRVS,0.90 ,0.33 ,0.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,74340,CPT,X-ray guide for gi tube,26,,20 ,,RBRVS,0.54 ,0.19 ,0.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,74355,CPT,"X-ray guide, intestinal tube",26,,20 ,,RBRVS,0.76 ,0.28 ,0.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,74360,CPT,"X-ray guide, gi dilation",26,,20 ,,RBRVS,0.54 ,0.24 ,0.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,74363,CPT,"X-ray, bile duct dilation",26,,20 ,,RBRVS,0.88 ,0.32 ,0.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,74400,CPT,"Contrst x-ray, urinary tract",26,,20 ,,RBRVS,0.49 ,0.17 ,0.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,74400,CPT,"Contrst x-ray, urinary tract",TC,,20 ,,RBRVS,0.00 ,2.43 ,2.43 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,74400,CPT,"Contrst x-ray, urinary tract",,,20 ,,RBRVS,0.49 ,2.60 ,2.60 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,74410,CPT,"Contrst x-ray, urinary tract",26,,20 ,,RBRVS,0.49 ,0.18 ,0.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,74410,CPT,"Contrst x-ray, urinary tract",TC,,20 ,,RBRVS,0.00 ,2.51 ,2.51 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,74410,CPT,"Contrst x-ray, urinary tract",,,20 ,,RBRVS,0.49 ,2.69 ,2.69 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,74415,CPT,"Contrst x-ray, urinary tract",26,,20 ,,RBRVS,0.49 ,0.17 ,0.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,74415,CPT,"Contrst x-ray, urinary tract",TC,,20 ,,RBRVS,0.00 ,3.10 ,3.10 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,74415,CPT,"Contrst x-ray, urinary tract",,,20 ,,RBRVS,0.49 ,3.27 ,3.27 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,74420,CPT,"Contrst x-ray, urinary tract",26,,20 ,,RBRVS,0.36 ,0.14 ,0.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,74425,CPT,"Contrst x-ray, urinary tract",26,,20 ,,RBRVS,0.36 ,0.13 ,0.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,74430,CPT,"Contrast x-ray, bladder",26,,20 ,,RBRVS,0.32 ,0.12 ,0.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,74430,CPT,"Contrast x-ray, bladder",TC,,20 ,,RBRVS,0.00 ,1.84 ,1.84 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,74430,CPT,"Contrast x-ray, bladder",,,20 ,,RBRVS,0.32 ,1.96 ,1.96 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,74440,CPT,"X-ray, male genital tract",26,,20 ,,RBRVS,0.38 ,0.14 ,0.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,74440,CPT,"X-ray, male genital tract",TC,,20 ,,RBRVS,0.00 ,1.98 ,1.98 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,74440,CPT,"X-ray, male genital tract",,,20 ,,RBRVS,0.38 ,2.12 ,2.12 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,74445,CPT,X-ray exam of penis,26,,20 ,,RBRVS,1.14 ,0.45 ,0.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,74450,CPT,"X-ray, urethra/bladder",26,,20 ,,RBRVS,0.33 ,0.12 ,0.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,74455,CPT,"X-ray, urethra/bladder",26,,20 ,,RBRVS,0.33 ,0.12 ,0.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,74455,CPT,"X-ray, urethra/bladder",TC,,20 ,,RBRVS,0.00 ,2.06 ,2.06 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,74455,CPT,"X-ray, urethra/bladder",,,20 ,,RBRVS,0.33 ,2.18 ,2.18 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,74470,CPT,X-ray exam of kidney lesion,26,,20 ,,RBRVS,0.54 ,0.17 ,0.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,74475,CPT,"X-ray control, cath insert",26,,20 ,,RBRVS,0.54 ,0.20 ,0.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,74475,CPT,"X-ray control, cath insert",TC,,20 ,,RBRVS,0.00 ,1.92 ,1.92 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,74475,CPT,"X-ray control, cath insert",,,20 ,,RBRVS,0.54 ,2.12 ,2.12 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,74480,CPT,"X-ray control, cath insert",26,,20 ,,RBRVS,0.54 ,0.20 ,0.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,74480,CPT,"X-ray control, cath insert",TC,,20 ,,RBRVS,0.00 ,1.93 ,1.93 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,74480,CPT,"X-ray control, cath insert",,,20 ,,RBRVS,0.54 ,2.13 ,2.13 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,74485,CPT,"X-ray guide, gu dilation",26,,20 ,,RBRVS,0.54 ,0.20 ,0.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,74485,CPT,"X-ray guide, gu dilation",TC,,20 ,,RBRVS,0.00 ,2.07 ,2.07 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,74485,CPT,"X-ray guide, gu dilation",,,20 ,,RBRVS,0.54 ,2.27 ,2.27 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,74710,CPT,X-ray measurement of pelvis,26,,20 ,,RBRVS,0.34 ,0.11 ,0.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,74710,CPT,X-ray measurement of pelvis,TC,,20 ,,RBRVS,0.00 ,0.53 ,0.53 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,74710,CPT,X-ray measurement of pelvis,,,20 ,,RBRVS,0.34 ,0.64 ,0.64 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,74740,CPT,"X-ray, female genital tract",26,,20 ,,RBRVS,0.38 ,0.13 ,0.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,74740,CPT,"X-ray, female genital tract",TC,,20 ,,RBRVS,0.00 ,1.64 ,1.64 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,74740,CPT,"X-ray, female genital tract",,,20 ,,RBRVS,0.38 ,1.77 ,1.77 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,74742,CPT,"X-ray, fallopian tube",26,,20 ,,RBRVS,0.61 ,0.19 ,0.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,74775,CPT,X-ray exam of perineum,26,,20 ,,RBRVS,0.62 ,0.22 ,0.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,75557,CPT,Cardiac mri for morph,26,,20 ,,RBRVS,2.35 ,0.94 ,0.94 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,75557,CPT,Cardiac mri for morph,TC, ,20 ,,RBRVS,0.00 ,10.33 ,10.33 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,75557,CPT,Cardiac mri for morph,,,20 ,,RBRVS,2.35 ,11.27 ,11.27 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,75558,CPT,Cardiac mri flow/velocity,26,,20 ,,RBRVS,2.60 ,0.60 ,0.60 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,75558,CPT,Cardiac mri flow/velocity,TC, ,20 ,,RBRVS,0.00 ,11.79 ,11.79 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,75558,CPT,Cardiac mri flow/velocity,,,20 ,,RBRVS,2.60 ,12.39 ,12.39 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,75559,CPT,Cardiac mri w/stress img,26,,20 ,,RBRVS,2.95 ,1.27 ,1.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,75559,CPT,Cardiac mri w/stress img,TC, ,20 ,,RBRVS,0.00 ,15.99 ,15.99 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,75559,CPT,Cardiac mri w/stress img,,,20 ,,RBRVS,2.95 ,17.26 ,17.26 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,75560,CPT,Cardiac mri flow/vel/stress,26,,20 ,,RBRVS,3.00 ,0.69 ,0.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,75560,CPT,Cardiac mri flow/vel/stress,TC, ,20 ,,RBRVS,0.00 ,16.15 ,16.15 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,75560,CPT,Cardiac mri flow/vel/stress,,,20 ,,RBRVS,3.00 ,16.84 ,16.84 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,75561,CPT,Cardiac mri for morph w/dye,26,,20 ,,RBRVS,2.60 ,1.04 ,1.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,75561,CPT,Cardiac mri for morph w/dye,TC, ,20 ,,RBRVS,0.00 ,14.94 ,14.94 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,75561,CPT,Cardiac mri for morph w/dye,,,20 ,,RBRVS,2.60 ,15.98 ,15.98 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,75562,CPT,Card mri flow/vel w/dye,26,,20 ,,RBRVS,2.86 ,0.66 ,0.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,75562,CPT,Card mri flow/vel w/dye,TC, ,20 ,,RBRVS,0.00 ,16.11 ,16.11 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,75562,CPT,Card mri flow/vel w/dye,,,20 ,,RBRVS,2.86 ,16.77 ,16.77 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,75563,CPT,Card mri w/stress img & dye,26,,20 ,,RBRVS,3.00 ,1.38 ,1.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,75563,CPT,Card mri w/stress img & dye,TC, ,20 ,,RBRVS,0.00 ,18.84 ,18.84 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,75563,CPT,Card mri w/stress img & dye,,,20 ,,RBRVS,3.00 ,20.22 ,20.22 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,75564,CPT,Ht mri w/flo/vel/strs & dye,26,,20 ,,RBRVS,3.35 ,0.77 ,0.77 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,75564,CPT,Ht mri w/flo/vel/strs & dye,TC, ,20 ,,RBRVS,0.00 ,18.96 ,18.96 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,75564,CPT,Ht mri w/flo/vel/strs & dye,,,20 ,,RBRVS,3.35 ,19.73 ,19.73 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,75600,CPT,Contrast x-ray exam of aorta,26,,20 ,,RBRVS,0.49 ,0.24 ,0.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,75600,CPT,Contrast x-ray exam of aorta,TC,,20 ,,RBRVS,0.00 ,6.18 ,6.18 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,75600,CPT,Contrast x-ray exam of aorta,,,20 ,,RBRVS,0.49 ,6.42 ,6.42 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,75605,CPT,Contrast x-ray exam of aorta,26,,20 ,,RBRVS,1.14 ,0.49 ,0.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,75605,CPT,Contrast x-ray exam of aorta,TC,,20 ,,RBRVS,0.00 ,3.06 ,3.06 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,75605,CPT,Contrast x-ray exam of aorta,,,20 ,,RBRVS,1.14 ,3.55 ,3.55 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,75625,CPT,Contrast x-ray exam of aorta,26,,20 ,,RBRVS,1.14 ,0.42 ,0.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,75625,CPT,Contrast x-ray exam of aorta,TC,,20 ,,RBRVS,0.00 ,2.93 ,2.93 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,75625,CPT,Contrast x-ray exam of aorta,,,20 ,,RBRVS,1.14 ,3.35 ,3.35 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,75630,CPT,"X-ray aorta, leg arteries",26,,20 ,,RBRVS,1.79 ,0.71 ,0.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,75630,CPT,"X-ray aorta, leg arteries",TC,,20 ,,RBRVS,0.00 ,3.05 ,3.05 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,75630,CPT,"X-ray aorta, leg arteries",,,20 ,,RBRVS,1.79 ,3.76 ,3.76 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,75635,CPT,Ct angio abdominal arteries,26,,20 ,,RBRVS,2.40 ,0.92 ,0.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,75635,CPT,Ct angio abdominal arteries,TC,,20 ,,RBRVS,0.00 ,12.02 ,12.02 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,75635,CPT,Ct angio abdominal arteries,,,20 ,,RBRVS,2.40 ,12.94 ,12.94 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,75650,CPT,"Artery x-rays, head & neck",26,,20 ,,RBRVS,1.49 ,0.58 ,0.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,75650,CPT,"Artery x-rays, head & neck",TC,,20 ,,RBRVS,0.00 ,2.95 ,2.95 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,75650,CPT,"Artery x-rays, head & neck",,,20 ,,RBRVS,1.49 ,3.53 ,3.53 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,75658,CPT,"Artery x-rays, arm",26,,20 ,,RBRVS,1.31 ,0.44 ,0.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,75658,CPT,"Artery x-rays, arm",TC,,20 ,,RBRVS,0.00 ,3.29 ,3.29 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,75658,CPT,"Artery x-rays, arm",,,20 ,,RBRVS,1.31 ,3.73 ,3.73 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,75660,CPT,"Artery x-rays, head & neck",26,,20 ,,RBRVS,1.31 ,0.49 ,0.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,75660,CPT,"Artery x-rays, head & neck",TC,,20 ,,RBRVS,0.00 ,3.39 ,3.39 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,75660,CPT,"Artery x-rays, head & neck",,,20 ,,RBRVS,1.31 ,3.88 ,3.88 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,75662,CPT,"Artery x-rays, head & neck",26,,20 ,,RBRVS,1.66 ,0.70 ,0.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,75662,CPT,"Artery x-rays, head & neck",TC,,20 ,,RBRVS,0.00 ,4.31 ,4.31 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,75662,CPT,"Artery x-rays, head & neck",,,20 ,,RBRVS,1.66 ,5.01 ,5.01 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,75665,CPT,"Artery x-rays, head & neck",26,,20 ,,RBRVS,1.31 ,0.48 ,0.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,75665,CPT,"Artery x-rays, head & neck",TC,,20 ,,RBRVS,0.00 ,3.62 ,3.62 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,75665,CPT,"Artery x-rays, head & neck",,,20 ,,RBRVS,1.31 ,4.10 ,4.10 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,75671,CPT,"Artery x-rays, head & neck",26,,20 ,,RBRVS,1.66 ,0.64 ,0.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,75671,CPT,"Artery x-rays, head & neck",TC,,20 ,,RBRVS,0.00 ,4.46 ,4.46 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,75671,CPT,"Artery x-rays, head & neck",,,20 ,,RBRVS,1.66 ,5.10 ,5.10 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,75676,CPT,"Artery x-rays, neck",26,,20 ,,RBRVS,1.31 ,0.49 ,0.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,75676,CPT,"Artery x-rays, neck",TC,,20 ,,RBRVS,0.00 ,3.38 ,3.38 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,75676,CPT,"Artery x-rays, neck",,,20 ,,RBRVS,1.31 ,3.87 ,3.87 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,75680,CPT,"Artery x-rays, neck",26,,20 ,,RBRVS,1.66 ,0.66 ,0.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,75680,CPT,"Artery x-rays, neck",TC,,20 ,,RBRVS,0.00 ,3.95 ,3.95 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,75680,CPT,"Artery x-rays, neck",,,20 ,,RBRVS,1.66 ,4.61 ,4.61 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,75685,CPT,"Artery x-rays, spine",26,,20 ,,RBRVS,1.31 ,0.50 ,0.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,75685,CPT,"Artery x-rays, spine",TC,,20 ,,RBRVS,0.00 ,3.39 ,3.39 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,75685,CPT,"Artery x-rays, spine",,,20 ,,RBRVS,1.31 ,3.89 ,3.89 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,75705,CPT,"Artery x-rays, spine",26,,20 ,,RBRVS,2.18 ,0.80 ,0.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,75705,CPT,"Artery x-rays, spine",TC,,20 ,,RBRVS,0.00 ,3.38 ,3.38 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,75705,CPT,"Artery x-rays, spine",,,20 ,,RBRVS,2.18 ,4.18 ,4.18 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,75710,CPT,"Artery x-rays, arm/leg",26,,20 ,,RBRVS,1.14 ,0.42 ,0.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,75710,CPT,"Artery x-rays, arm/leg",TC,,20 ,,RBRVS,0.00 ,3.53 ,3.53 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,75710,CPT,"Artery x-rays, arm/leg",,,20 ,,RBRVS,1.14 ,3.95 ,3.95 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,75716,CPT,"Artery x-rays, arms/legs",26,,20 ,,RBRVS,1.31 ,0.50 ,0.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,75716,CPT,"Artery x-rays, arms/legs",TC,,20 ,,RBRVS,0.00 ,4.42 ,4.42 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,75716,CPT,"Artery x-rays, arms/legs",,,20 ,,RBRVS,1.31 ,4.92 ,4.92 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,75722,CPT,"Artery x-rays, kidney",26,,20 ,,RBRVS,1.14 ,0.47 ,0.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,75722,CPT,"Artery x-rays, kidney",TC,,20 ,,RBRVS,0.00 ,3.37 ,3.37 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,75722,CPT,"Artery x-rays, kidney",,,20 ,,RBRVS,1.14 ,3.84 ,3.84 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,75724,CPT,"Artery x-rays, kidneys",26,,20 ,,RBRVS,1.49 ,0.74 ,0.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,75724,CPT,"Artery x-rays, kidneys",TC,,20 ,,RBRVS,0.00 ,4.39 ,4.39 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,75724,CPT,"Artery x-rays, kidneys",,,20 ,,RBRVS,1.49 ,5.13 ,5.13 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,75726,CPT,"Artery x-rays, abdomen",26,,20 ,,RBRVS,1.14 ,0.42 ,0.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,75726,CPT,"Artery x-rays, abdomen",TC,,20 ,,RBRVS,0.00 ,3.35 ,3.35 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,75726,CPT,"Artery x-rays, abdomen",,,20 ,,RBRVS,1.14 ,3.77 ,3.77 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,75731,CPT,"Artery x-rays, adrenal gland",26,,20 ,,RBRVS,1.14 ,0.50 ,0.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,75731,CPT,"Artery x-rays, adrenal gland",TC,,20 ,,RBRVS,0.00 ,3.60 ,3.60 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,75731,CPT,"Artery x-rays, adrenal gland",,,20 ,,RBRVS,1.14 ,4.10 ,4.10 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,75733,CPT,"Artery x-rays, adrenals",26,,20 ,,RBRVS,1.31 ,0.65 ,0.65 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,75733,CPT,"Artery x-rays, adrenals",TC,,20 ,,RBRVS,0.00 ,4.81 ,4.81 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,75733,CPT,"Artery x-rays, adrenals",,,20 ,,RBRVS,1.31 ,5.46 ,5.46 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,75736,CPT,"Artery x-rays, pelvis",26,,20 ,,RBRVS,1.14 ,0.43 ,0.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,75736,CPT,"Artery x-rays, pelvis",TC,,20 ,,RBRVS,0.00 ,3.44 ,3.44 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,75736,CPT,"Artery x-rays, pelvis",,,20 ,,RBRVS,1.14 ,3.87 ,3.87 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,75741,CPT,"Artery x-rays, lung",26,,20 ,,RBRVS,1.31 ,0.49 ,0.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,75741,CPT,"Artery x-rays, lung",TC,,20 ,,RBRVS,0.00 ,2.69 ,2.69 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,75741,CPT,"Artery x-rays, lung",,,20 ,,RBRVS,1.31 ,3.18 ,3.18 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,75743,CPT,"Artery x-rays, lungs",26,,20 ,,RBRVS,1.66 ,0.62 ,0.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,75743,CPT,"Artery x-rays, lungs",TC,,20 ,,RBRVS,0.00 ,2.94 ,2.94 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,75743,CPT,"Artery x-rays, lungs",,,20 ,,RBRVS,1.66 ,3.56 ,3.56 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,75746,CPT,"Artery x-rays, lung",26,,20 ,,RBRVS,1.14 ,0.40 ,0.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,75746,CPT,"Artery x-rays, lung",TC,,20 ,,RBRVS,0.00 ,3.12 ,3.12 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,75746,CPT,"Artery x-rays, lung",,,20 ,,RBRVS,1.14 ,3.52 ,3.52 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,75756,CPT,"Artery x-rays, chest",26,,20 ,,RBRVS,1.14 ,0.58 ,0.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,75756,CPT,"Artery x-rays, chest",TC,,20 ,,RBRVS,0.00 ,3.76 ,3.76 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,75756,CPT,"Artery x-rays, chest",,,20 ,,RBRVS,1.14 ,4.34 ,4.34 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,75774,CPT,"Artery x-ray, each vessel",26,,20 ,,RBRVS,0.36 ,0.14 ,0.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,75774,CPT,"Artery x-ray, each vessel",TC,,20 ,,RBRVS,0.00 ,2.37 ,2.37 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,75774,CPT,"Artery x-ray, each vessel",,,20 ,,RBRVS,0.36 ,2.51 ,2.51 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,75790,CPT,Visualize a-v shunt,26,,20 ,,RBRVS,1.84 ,0.60 ,0.60 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,75790,CPT,Visualize a-v shunt,TC,,20 ,,RBRVS,0.00 ,2.52 ,2.52 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,75790,CPT,Visualize a-v shunt,,,20 ,,RBRVS,1.84 ,3.12 ,3.12 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,75801,CPT,"Lymph vessel x-ray, arm/leg",26,,20 ,,RBRVS,0.81 ,0.22 ,0.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,75803,CPT,"Lymph vessel x-ray,arms/legs",26,,20 ,,RBRVS,1.17 ,0.40 ,0.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,75805,CPT,"Lymph vessel x-ray, trunk",26,,20 ,,RBRVS,0.81 ,0.27 ,0.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,75807,CPT,"Lymph vessel x-ray, trunk",26,,20 ,,RBRVS,1.17 ,0.39 ,0.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,75809,CPT,"Nonvascular shunt, x-ray",26,,20 ,,RBRVS,0.47 ,0.16 ,0.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,75809,CPT,"Nonvascular shunt, x-ray",TC,,20 ,,RBRVS,0.00 ,2.01 ,2.01 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,75809,CPT,"Nonvascular shunt, x-ray",,,20 ,,RBRVS,0.47 ,2.17 ,2.17 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,75810,CPT,"Vein x-ray, spleen/liver",26,,20 ,,RBRVS,1.14 ,0.39 ,0.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,75820,CPT,"Vein x-ray, arm/leg",26,,20 ,,RBRVS,0.70 ,0.29 ,0.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,75820,CPT,"Vein x-ray, arm/leg",TC,,20 ,,RBRVS,0.00 ,2.72 ,2.72 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,75820,CPT,"Vein x-ray, arm/leg",,,20 ,,RBRVS,0.70 ,3.01 ,3.01 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,75822,CPT,"Vein x-ray, arms/legs",26,,20 ,,RBRVS,1.06 ,0.37 ,0.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,75822,CPT,"Vein x-ray, arms/legs",TC,,20 ,,RBRVS,0.00 ,2.81 ,2.81 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,75822,CPT,"Vein x-ray, arms/legs",,,20 ,,RBRVS,1.06 ,3.18 ,3.18 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,75825,CPT,"Vein x-ray, trunk",26,,20 ,,RBRVS,1.14 ,0.38 ,0.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,75825,CPT,"Vein x-ray, trunk",TC,,20 ,,RBRVS,0.00 ,2.55 ,2.55 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,75825,CPT,"Vein x-ray, trunk",,,20 ,,RBRVS,1.14 ,2.93 ,2.93 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,75827,CPT,"Vein x-ray, chest",26,,20 ,,RBRVS,1.14 ,0.37 ,0.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,75827,CPT,"Vein x-ray, chest",TC,,20 ,,RBRVS,0.00 ,2.58 ,2.58 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,75827,CPT,"Vein x-ray, chest",,,20 ,,RBRVS,1.14 ,2.95 ,2.95 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,75831,CPT,"Vein x-ray, kidney",26,,20 ,,RBRVS,1.14 ,0.38 ,0.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,75831,CPT,"Vein x-ray, kidney",TC,,20 ,,RBRVS,0.00 ,2.67 ,2.67 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,75831,CPT,"Vein x-ray, kidney",,,20 ,,RBRVS,1.14 ,3.05 ,3.05 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,75833,CPT,"Vein x-ray, kidneys",26,,20 ,,RBRVS,1.49 ,0.50 ,0.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,75833,CPT,"Vein x-ray, kidneys",TC,,20 ,,RBRVS,0.00 ,3.18 ,3.18 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,75833,CPT,"Vein x-ray, kidneys",,,20 ,,RBRVS,1.49 ,3.68 ,3.68 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,75840,CPT,"Vein x-ray, adrenal gland",26,,20 ,,RBRVS,1.14 ,0.36 ,0.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,75840,CPT,"Vein x-ray, adrenal gland",TC,,20 ,,RBRVS,0.00 ,2.60 ,2.60 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,75840,CPT,"Vein x-ray, adrenal gland",,,20 ,,RBRVS,1.14 ,2.96 ,2.96 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,75842,CPT,"Vein x-ray, adrenal glands",26,,20 ,,RBRVS,1.49 ,0.55 ,0.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,75842,CPT,"Vein x-ray, adrenal glands",TC,,20 ,,RBRVS,0.00 ,3.20 ,3.20 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,75842,CPT,"Vein x-ray, adrenal glands",,,20 ,,RBRVS,1.49 ,3.75 ,3.75 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,75860,CPT,"Vein x-ray, neck",26,,20 ,,RBRVS,1.14 ,0.49 ,0.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,75860,CPT,"Vein x-ray, neck",TC,,20 ,,RBRVS,0.00 ,2.91 ,2.91 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,75860,CPT,"Vein x-ray, neck",,,20 ,,RBRVS,1.14 ,3.40 ,3.40 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,75870,CPT,"Vein x-ray, skull",26,,20 ,,RBRVS,1.14 ,0.40 ,0.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,75870,CPT,"Vein x-ray, skull",TC,,20 ,,RBRVS,0.00 ,2.89 ,2.89 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,75870,CPT,"Vein x-ray, skull",,,20 ,,RBRVS,1.14 ,3.29 ,3.29 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,75872,CPT,"Vein x-ray, skull",26,,20 ,,RBRVS,1.14 ,0.44 ,0.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,75872,CPT,"Vein x-ray, skull",TC,,20 ,,RBRVS,0.00 ,3.60 ,3.60 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,75872,CPT,"Vein x-ray, skull",,,20 ,,RBRVS,1.14 ,4.04 ,4.04 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,75880,CPT,"Vein x-ray, eye socket",26,,20 ,,RBRVS,0.70 ,0.27 ,0.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,75880,CPT,"Vein x-ray, eye socket",TC,,20 ,,RBRVS,0.00 ,2.94 ,2.94 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,75880,CPT,"Vein x-ray, eye socket",,,20 ,,RBRVS,0.70 ,3.21 ,3.21 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,75885,CPT,"Vein x-ray, liver",26,,20 ,,RBRVS,1.44 ,0.52 ,0.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,75885,CPT,"Vein x-ray, liver",TC,,20 ,,RBRVS,0.00 ,2.66 ,2.66 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,75885,CPT,"Vein x-ray, liver",,,20 ,,RBRVS,1.44 ,3.18 ,3.18 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,75887,CPT,"Vein x-ray, liver",26,,20 ,,RBRVS,1.44 ,0.57 ,0.57 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,75887,CPT,"Vein x-ray, liver",TC,,20 ,,RBRVS,0.00 ,2.85 ,2.85 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,75887,CPT,"Vein x-ray, liver",,,20 ,,RBRVS,1.44 ,3.42 ,3.42 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,75889,CPT,"Vein x-ray, liver",26,,20 ,,RBRVS,1.14 ,0.41 ,0.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,75889,CPT,"Vein x-ray, liver",TC,,20 ,,RBRVS,0.00 ,2.66 ,2.66 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,75889,CPT,"Vein x-ray, liver",,,20 ,,RBRVS,1.14 ,3.07 ,3.07 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,75891,CPT,"Vein x-ray, liver",26,,20 ,,RBRVS,1.14 ,0.41 ,0.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,75891,CPT,"Vein x-ray, liver",TC,,20 ,,RBRVS,0.00 ,2.66 ,2.66 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,75891,CPT,"Vein x-ray, liver",,,20 ,,RBRVS,1.14 ,3.07 ,3.07 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,75893,CPT,Venous sampling by catheter,26,,20 ,,RBRVS,0.54 ,0.20 ,0.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,75893,CPT,Venous sampling by catheter,TC,,20 ,,RBRVS,0.00 ,2.66 ,2.66 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,75893,CPT,Venous sampling by catheter,,,20 ,,RBRVS,0.54 ,2.86 ,2.86 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,75894,CPT,"X-rays, transcath therapy",26,,20 ,,RBRVS,1.31 ,0.46 ,0.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,75896,CPT,"X-rays, transcath therapy",26,,20 ,,RBRVS,1.31 ,0.52 ,0.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,75898,CPT,Follow-up angiography,26,,20 ,,RBRVS,1.65 ,0.63 ,0.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,75900,CPT,Intravascular cath exchange,26,,20 ,,RBRVS,0.49 ,0.17 ,0.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,75901,CPT,Remove cva device obstruct,26,,20 ,,RBRVS,0.49 ,0.17 ,0.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,75901,CPT,Remove cva device obstruct,TC,,20 ,,RBRVS,0.00 ,3.98 ,3.98 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,75901,CPT,Remove cva device obstruct,,,20 ,,RBRVS,0.49 ,4.15 ,4.15 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,75902,CPT,Remove cva lumen obstruct,26,,20 ,,RBRVS,0.39 ,0.13 ,0.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,75902,CPT,Remove cva lumen obstruct,TC,,20 ,,RBRVS,0.00 ,1.50 ,1.50 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,75902,CPT,Remove cva lumen obstruct,,,20 ,,RBRVS,0.39 ,1.63 ,1.63 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,75940,CPT,"X-ray placement, vein filter",26,,20 ,,RBRVS,0.54 ,0.18 ,0.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,75945,CPT,Intravascular us,26,,20 ,,RBRVS,0.40 ,0.14 ,0.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,75946,CPT,Intravascular us add-on,26,,20 ,,RBRVS,0.40 ,0.12 ,0.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,75952,CPT,Endovasc repair abdom aorta,26,,20 ,,RBRVS,4.49 ,1.30 ,1.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,75952,CPT,Endovasc repair abdom aorta,TC,,20 ,,TotalUnits,,,,9.63 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,75953,CPT,Abdom aneurysm endovas rpr,26,,20 ,,RBRVS,1.36 ,0.40 ,0.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,75953,CPT,Abdom aneurysm endovas rpr,TC,,20 ,,TotalUnits,,,,2.36 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,75954,CPT,Iliac aneurysm endovas rpr,26,,20 ,,RBRVS,2.25 ,0.63 ,0.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,75954,CPT,Iliac aneurysm endovas rpr,TC,,20 ,,TotalUnits,,,,4.32 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,75956,CPT,"Xray, endovasc thor ao repr",26,,20 ,,RBRVS,7.00 ,1.88 ,1.88 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,75957,CPT,"Xray, endovasc thor ao repr",26,,20 ,,RBRVS,6.00 ,1.63 ,1.63 ,,,$0.00,$0.00,1,0,1,1,1,0,20091001,,75958,CPT,"Xray, place prox ext thor ao",26,,20 ,,RBRVS,4.00 ,1.05 ,1.05 ,,,$0.00,$0.00,1,0,1,1,1,0,20091001,,75959,CPT,"Xray, place dist ext thor ao",26,,20 ,,RBRVS,3.50 ,0.92 ,0.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,75960,CPT,Transcath iv stent rs&i,26,,20 ,,RBRVS,0.82 ,0.32 ,0.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,75960,CPT,Transcath iv stent rs&i,TC, ,20 ,,RBRVS,0.00 ,2.39 ,2.39 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,75960,CPT,Transcath iv stent rs&i,,,20 ,,RBRVS,0.82 ,2.71 ,2.71 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,75961,CPT,"Retrieval, broken catheter",26,,20 ,,RBRVS,4.24 ,1.49 ,1.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,75961,CPT,"Retrieval, broken catheter",TC,,20 ,,RBRVS,0.00 ,3.19 ,3.19 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,75961,CPT,"Retrieval, broken catheter",,,20 ,,RBRVS,4.24 ,4.68 ,4.68 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,75962,CPT,Repair arterial blockage,26,,20 ,,RBRVS,0.54 ,0.20 ,0.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,75962,CPT,Repair arterial blockage,TC,,20 ,,RBRVS,0.00 ,3.30 ,3.30 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,75962,CPT,Repair arterial blockage,,,20 ,,RBRVS,0.54 ,3.50 ,3.50 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,75964,CPT,"Repair artery blockage, each",26,,20 ,,RBRVS,0.36 ,0.13 ,0.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,75964,CPT,"Repair artery blockage, each",TC,,20 ,,RBRVS,0.00 ,2.22 ,2.22 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,75964,CPT,"Repair artery blockage, each",,,20 ,,RBRVS,0.36 ,2.35 ,2.35 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,75966,CPT,Repair arterial blockage,26,,20 ,,RBRVS,1.31 ,0.57 ,0.57 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,75966,CPT,Repair arterial blockage,TC,,20 ,,RBRVS,0.00 ,3.60 ,3.60 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,75966,CPT,Repair arterial blockage,,,20 ,,RBRVS,1.31 ,4.17 ,4.17 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,75968,CPT,"Repair artery blockage, each",26,,20 ,,RBRVS,0.36 ,0.16 ,0.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,75968,CPT,"Repair artery blockage, each",TC,,20 ,,RBRVS,0.00 ,2.25 ,2.25 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,75968,CPT,"Repair artery blockage, each",,,20 ,,RBRVS,0.36 ,2.41 ,2.41 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,75970,CPT,Vascular biopsy,26,,20 ,,RBRVS,0.83 ,0.31 ,0.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,75978,CPT,Repair venous blockage,26,,20 ,,RBRVS,0.54 ,0.18 ,0.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,75978,CPT,Repair venous blockage,TC,,20 ,,RBRVS,0.00 ,3.09 ,3.09 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,75978,CPT,Repair venous blockage,,,20 ,,RBRVS,0.54 ,3.27 ,3.27 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,75980,CPT,Contrast xray exam bile duct,26,,20 ,,RBRVS,1.44 ,0.52 ,0.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,75982,CPT,Contrast xray exam bile duct,26,,20 ,,RBRVS,1.44 ,0.52 ,0.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,75984,CPT,Xray control catheter change,26,,20 ,,RBRVS,0.72 ,0.26 ,0.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,75984,CPT,Xray control catheter change,TC,,20 ,,RBRVS,0.00 ,2.05 ,2.05 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,75984,CPT,Xray control catheter change,,,20 ,,RBRVS,0.72 ,2.31 ,2.31 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,75989,CPT,Abscess drainage under x-ray,26,,20 ,,RBRVS,1.19 ,0.42 ,0.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,75989,CPT,Abscess drainage under x-ray,TC,,20 ,,RBRVS,0.00 ,1.82 ,1.82 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,75989,CPT,Abscess drainage under x-ray,,,20 ,,RBRVS,1.19 ,2.24 ,2.24 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,75992,CPT,"Atherectomy, x-ray exam",26,,20 ,,RBRVS,0.54 ,0.22 ,0.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,75993,CPT,"Atherectomy, x-ray exam",26,,20 ,,RBRVS,0.36 ,0.14 ,0.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,75994,CPT,"Atherectomy, x-ray exam",26,,20 ,,RBRVS,1.31 ,0.54 ,0.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,75995,CPT,"Atherectomy, x-ray exam",26,,20 ,,RBRVS,1.31 ,0.48 ,0.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,75996,CPT,"Atherectomy, x-ray exam",26,,20 ,,RBRVS,0.36 ,0.12 ,0.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,76000,CPT,Fluoroscope examination,26,,20 ,,RBRVS,0.17 ,0.06 ,0.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,76000,CPT,Fluoroscope examination,TC,,20 ,,RBRVS,0.00 ,2.71 ,2.71 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,76000,CPT,Fluoroscope examination,,,20 ,,RBRVS,0.17 ,2.77 ,2.77 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,76001,CPT,"Fluoroscope exam, extensive",26,,20 ,,RBRVS,0.67 ,0.24 ,0.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,76010,CPT,"X-ray, nose to rectum",26,,20 ,,RBRVS,0.18 ,0.06 ,0.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,76010,CPT,"X-ray, nose to rectum",TC,,20 ,,RBRVS,0.00 ,0.48 ,0.48 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,76010,CPT,"X-ray, nose to rectum",,,20 ,,RBRVS,0.18 ,0.54 ,0.54 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,76080,CPT,X-ray exam of fistula,26,,20 ,,RBRVS,0.54 ,0.20 ,0.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,76080,CPT,X-ray exam of fistula,TC,,20 ,,RBRVS,0.00 ,0.90 ,0.90 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,76080,CPT,X-ray exam of fistula,,,20 ,,RBRVS,0.54 ,1.10 ,1.10 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,76098,CPT,"X-ray exam, breast specimen",26,,20 ,,RBRVS,0.16 ,0.05 ,0.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,76098,CPT,"X-ray exam, breast specimen",TC,,20 ,,RBRVS,0.00 ,0.27 ,0.27 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,76098,CPT,"X-ray exam, breast specimen",,,20 ,,RBRVS,0.16 ,0.32 ,0.32 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,76100,CPT,X-ray exam of body section,26,,20 ,,RBRVS,0.58 ,0.20 ,0.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,76100,CPT,X-ray exam of body section,TC,,20 ,,RBRVS,0.00 ,3.35 ,3.35 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,76100,CPT,X-ray exam of body section,,,20 ,,RBRVS,0.58 ,3.55 ,3.55 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,76101,CPT,Complex body section x-ray,26,,20 ,,RBRVS,0.58 ,0.19 ,0.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,76101,CPT,Complex body section x-ray,TC,,20 ,,RBRVS,0.00 ,5.28 ,5.28 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,76101,CPT,Complex body section x-ray,,,20 ,,RBRVS,0.58 ,5.47 ,5.47 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,76102,CPT,Complex body section x-rays,26,,20 ,,RBRVS,0.58 ,0.18 ,0.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,76102,CPT,Complex body section x-rays,TC,,20 ,,RBRVS,0.00 ,7.47 ,7.47 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,76102,CPT,Complex body section x-rays,,,20 ,,RBRVS,0.58 ,7.65 ,7.65 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,76120,CPT,Cine/video x-rays,26,,20 ,,RBRVS,0.38 ,0.13 ,0.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,76120,CPT,Cine/video x-rays,TC,,20 ,,RBRVS,0.00 ,1.74 ,1.74 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,76120,CPT,Cine/video x-rays,,,20 ,,RBRVS,0.38 ,1.87 ,1.87 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,76125,CPT,Cine/video x-rays add-on,26,,20 ,,RBRVS,0.27 ,0.12 ,0.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,76140,CPT,X-ray consultation,,,20 ,,TotalUnits,,,,0.52 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,76150,CPT,"X-ray exam, dry process",,TC,20 ,,RBRVS,0.00 ,0.68 ,0.68 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,76350,CPT,Special x-ray contrast study,,,20 ,,TotalUnits,,,,0.20 ,,$0.00,$0.00,1,0,1,1,1,0,20091001,,76350,CPT,Special x-ray contrast study,,,20 ,,TotalUnits,,,,0.79 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,76376,CPT,3d render w/o postprocess,26,,20 ,,RBRVS,0.20 ,0.07 ,0.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,76376,CPT,3d render w/o postprocess,TC,,20 ,,RBRVS,0.00 ,1.34 ,1.34 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,76376,CPT,3d render w/o postprocess,,,20 ,,RBRVS,0.20 ,1.41 ,1.41 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,76377,CPT,3d rendering w/postprocess,26,,20 ,,RBRVS,0.79 ,0.28 ,0.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,76377,CPT,3d rendering w/postprocess,TC,,20 ,,RBRVS,0.00 ,1.12 ,1.12 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,76377,CPT,3d rendering w/postprocess,,,20 ,,RBRVS,0.79 ,1.40 ,1.40 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,76380,CPT,Cat scan follow-up study,26,,20 ,,RBRVS,0.98 ,0.34 ,0.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,76380,CPT,Cat scan follow-up study,TC,,20 ,,RBRVS,0.00 ,4.38 ,4.38 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,76380,CPT,Cat scan follow-up study,,,20 ,,RBRVS,0.98 ,4.72 ,4.72 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,76390,CPT,Mr spectroscopy,26,,20 ,,RBRVS,1.40 ,0.32 ,0.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,76390,CPT,Mr spectroscopy,TC,,20 ,,RBRVS,0.00 ,9.11 ,9.11 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,76390,CPT,Mr spectroscopy,,,20 ,,RBRVS,1.40 ,9.43 ,9.43 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,76496,CPT,Fluoroscopic procedure,,,20 ,,TotalUnits,,,,2.39 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,76497,CPT,Ct procedure,,,20 ,,TotalUnits,,,,5.69 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,76498,CPT,Mri procedure,,,20 ,,TotalUnits,,,,8.10 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,76499,CPT,Radiographic procedure,,,20 ,,TotalUnits,,,,1.93 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,76506,CPT,Echo exam of head,26,,20 ,,RBRVS,0.63 ,0.20 ,0.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,76506,CPT,Echo exam of head,TC,,20 ,,RBRVS,0.00 ,2.56 ,2.56 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,76506,CPT,Echo exam of head,,,20 ,,RBRVS,0.63 ,2.76 ,2.76 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,76510,CPT,"Ophth us, b & quant a",26,,20 ,,RBRVS,1.55 ,0.55 ,0.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,76510,CPT,"Ophth us, b & quant a",TC,,20 ,,RBRVS,0.00 ,1.70 ,1.70 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,76510,CPT,"Ophth us, b & quant a",,,20 ,,RBRVS,1.55 ,2.25 ,2.25 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,76511,CPT,"Ophth us, quant a only",26,,20 ,,RBRVS,0.94 ,0.33 ,0.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,76511,CPT,"Ophth us, quant a only",TC,,20 ,,RBRVS,0.00 ,1.02 ,1.02 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,76511,CPT,"Ophth us, quant a only",,,20 ,,RBRVS,0.94 ,1.35 ,1.35 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,76512,CPT,"Ophth us, b w/non-quant a",26,,20 ,,RBRVS,0.94 ,0.33 ,0.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,76512,CPT,"Ophth us, b w/non-quant a",TC,,20 ,,RBRVS,0.00 ,0.83 ,0.83 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,76512,CPT,"Ophth us, b w/non-quant a",,,20 ,,RBRVS,0.94 ,1.16 ,1.16 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,76513,CPT,"Echo exam of eye, water bath",26,,20 ,,RBRVS,0.66 ,0.23 ,0.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,76513,CPT,"Echo exam of eye, water bath",TC,,20 ,,RBRVS,0.00 ,1.29 ,1.29 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,76513,CPT,"Echo exam of eye, water bath",,,20 ,,RBRVS,0.66 ,1.52 ,1.52 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,76514,CPT,"Echo exam of eye, thickness",26,,20 ,,RBRVS,0.17 ,0.06 ,0.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,76514,CPT,"Echo exam of eye, thickness",TC,,20 ,,RBRVS,0.00 ,0.10 ,0.10 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,76514,CPT,"Echo exam of eye, thickness",,,20 ,,RBRVS,0.17 ,0.16 ,0.16 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,76516,CPT,Echo exam of eye,26,,20 ,,RBRVS,0.54 ,0.18 ,0.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,76516,CPT,Echo exam of eye,TC,,20 ,,RBRVS,0.00 ,0.97 ,0.97 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,76516,CPT,Echo exam of eye,,,20 ,,RBRVS,0.54 ,1.15 ,1.15 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,76519,CPT,Echo exam of eye,26,,20 ,,RBRVS,0.54 ,0.19 ,0.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,76519,CPT,Echo exam of eye,TC,,20 ,,RBRVS,0.00 ,1.10 ,1.10 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,76519,CPT,Echo exam of eye,,,20 ,,RBRVS,0.54 ,1.29 ,1.29 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,76529,CPT,Echo exam of eye,26,,20 ,,RBRVS,0.57 ,0.20 ,0.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,76529,CPT,Echo exam of eye,TC,,20 ,,RBRVS,0.00 ,0.95 ,0.95 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,76529,CPT,Echo exam of eye,,,20 ,,RBRVS,0.57 ,1.15 ,1.15 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,76536,CPT,Us exam of head and neck,26,,20 ,,RBRVS,0.56 ,0.18 ,0.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,76536,CPT,Us exam of head and neck,TC,,20 ,,RBRVS,0.00 ,2.50 ,2.50 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,76536,CPT,Us exam of head and neck,,,20 ,,RBRVS,0.56 ,2.68 ,2.68 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,76604,CPT,"Us exam, chest",26,,20 ,,RBRVS,0.55 ,0.19 ,0.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,76604,CPT,"Us exam, chest",TC,,20 ,,RBRVS,0.00 ,1.64 ,1.64 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,76604,CPT,"Us exam, chest",,,20 ,,RBRVS,0.55 ,1.83 ,1.83 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,76645,CPT,"Us exam, breast(s)",26,,20 ,,RBRVS,0.54 ,0.19 ,0.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,76645,CPT,"Us exam, breast(s)",TC,,20 ,,RBRVS,0.00 ,1.93 ,1.93 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,76645,CPT,"Us exam, breast(s)",,,20 ,,RBRVS,0.54 ,2.12 ,2.12 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,76700,CPT,"Us exam, abdom, complete",26,,20 ,,RBRVS,0.81 ,0.27 ,0.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,76700,CPT,"Us exam, abdom, complete",TC,,20 ,,RBRVS,0.00 ,2.75 ,2.75 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,76700,CPT,"Us exam, abdom, complete",,,20 ,,RBRVS,0.81 ,3.02 ,3.02 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,76705,CPT,Echo exam of abdomen,26,,20 ,,RBRVS,0.59 ,0.21 ,0.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,76705,CPT,Echo exam of abdomen,TC,,20 ,,RBRVS,0.00 ,2.15 ,2.15 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,76705,CPT,Echo exam of abdomen,,,20 ,,RBRVS,0.59 ,2.36 ,2.36 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,76770,CPT,"Us exam abdo back wall, comp",26,,20 ,,RBRVS,0.74 ,0.26 ,0.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,76770,CPT,"Us exam abdo back wall, comp",TC,,20 ,,RBRVS,0.00 ,2.67 ,2.67 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,76770,CPT,"Us exam abdo back wall, comp",,,20 ,,RBRVS,0.74 ,2.93 ,2.93 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,76775,CPT,"Us exam abdo back wall, lim",26,,20 ,,RBRVS,0.58 ,0.21 ,0.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,76775,CPT,"Us exam abdo back wall, lim",TC,,20 ,,RBRVS,0.00 ,2.21 ,2.21 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,76775,CPT,"Us exam abdo back wall, lim",,,20 ,,RBRVS,0.58 ,2.42 ,2.42 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,76776,CPT,Us exam k transpl w/doppler,26,,20 ,,RBRVS,0.76 ,0.27 ,0.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,76776,CPT,Us exam k transpl w/doppler,TC,,20 ,,RBRVS,0.00 ,3.16 ,3.16 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,76776,CPT,Us exam k transpl w/doppler,,,20 ,,RBRVS,0.76 ,3.43 ,3.43 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,76800,CPT,"Us exam, spinal canal",26,,20 ,,RBRVS,1.13 ,0.28 ,0.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,76800,CPT,"Us exam, spinal canal",TC,,20 ,,RBRVS,0.00 ,2.03 ,2.03 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,76800,CPT,"Us exam, spinal canal",,,20 ,,RBRVS,1.13 ,2.31 ,2.31 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,76801,CPT,"Ob us < 14 wks, single fetus",26,,20 ,,RBRVS,0.99 ,0.30 ,0.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,76801,CPT,"Ob us < 14 wks, single fetus",TC,,20 ,,RBRVS,0.00 ,2.16 ,2.16 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,76801,CPT,"Ob us < 14 wks, single fetus",,,20 ,,RBRVS,0.99 ,2.46 ,2.46 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,76802,CPT,"Ob us < 14 wks, add'l fetus",26,,20 ,,RBRVS,0.83 ,0.26 ,0.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,76802,CPT,"Ob us < 14 wks, add'l fetus",TC,,20 ,,RBRVS,0.00 ,0.71 ,0.71 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,76802,CPT,"Ob us < 14 wks, add'l fetus",,,20 ,,RBRVS,0.83 ,0.97 ,0.97 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,76805,CPT,"Ob us >/= 14 wks, sngl fetus",26,,20 ,,RBRVS,0.99 ,0.31 ,0.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,76805,CPT,"Ob us >/= 14 wks, sngl fetus",TC,,20 ,,RBRVS,0.00 ,2.74 ,2.74 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,76805,CPT,"Ob us >/= 14 wks, sngl fetus",,,20 ,,RBRVS,0.99 ,3.05 ,3.05 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,76810,CPT,"Ob us >/= 14 wks, addl fetus",26,,20 ,,RBRVS,0.98 ,0.30 ,0.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,76810,CPT,"Ob us >/= 14 wks, addl fetus",TC,,20 ,,RBRVS,0.00 ,1.35 ,1.35 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,76810,CPT,"Ob us >/= 14 wks, addl fetus",,,20 ,,RBRVS,0.98 ,1.65 ,1.65 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,76811,CPT,"Ob us, detailed, sngl fetus",26,,20 ,,RBRVS,1.90 ,0.54 ,0.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,76811,CPT,"Ob us, detailed, sngl fetus",TC,,20 ,,RBRVS,0.00 ,2.51 ,2.51 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,76811,CPT,"Ob us, detailed, sngl fetus",,,20 ,,RBRVS,1.90 ,3.05 ,3.05 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,76812,CPT,"Ob us, detailed, addl fetus",26,,20 ,,RBRVS,1.78 ,0.50 ,0.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,76812,CPT,"Ob us, detailed, addl fetus",TC,,20 ,,RBRVS,0.00 ,3.48 ,3.48 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,76812,CPT,"Ob us, detailed, addl fetus",,,20 ,,RBRVS,1.78 ,3.98 ,3.98 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,76813,CPT,"Ob us nuchal meas, 1 gest",26,,20 ,,RBRVS,1.18 ,0.40 ,0.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,76813,CPT,"Ob us nuchal meas, 1 gest",TC,,20 ,,RBRVS,0.00 ,1.81 ,1.81 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,76813,CPT,"Ob us nuchal meas, 1 gest",,,20 ,,RBRVS,1.18 ,2.21 ,2.21 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,76814,CPT,"Ob us nuchal meas, add-on",26,,20 ,,RBRVS,0.99 ,0.29 ,0.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,76814,CPT,"Ob us nuchal meas, add-on",TC,,20 ,,RBRVS,0.00 ,0.86 ,0.86 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,76814,CPT,"Ob us nuchal meas, add-on",,,20 ,,RBRVS,0.99 ,1.15 ,1.15 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,76815,CPT,"Ob us, limited, fetus(s)",26,,20 ,,RBRVS,0.65 ,0.20 ,0.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,76815,CPT,"Ob us, limited, fetus(s)",TC,,20 ,,RBRVS,0.00 ,1.60 ,1.60 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,76815,CPT,"Ob us, limited, fetus(s)",,,20 ,,RBRVS,0.65 ,1.80 ,1.80 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,76816,CPT,"Ob us, follow-up, per fetus",26,,20 ,,RBRVS,0.85 ,0.25 ,0.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,76816,CPT,"Ob us, follow-up, per fetus",TC,,20 ,,RBRVS,0.00 ,2.13 ,2.13 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,76816,CPT,"Ob us, follow-up, per fetus",,,20 ,,RBRVS,0.85 ,2.38 ,2.38 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,76817,CPT,"Transvaginal us, obstetric",26,,20 ,,RBRVS,0.75 ,0.23 ,0.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,76817,CPT,"Transvaginal us, obstetric",TC,,20 ,,RBRVS,0.00 ,1.79 ,1.79 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,76817,CPT,"Transvaginal us, obstetric",,,20 ,,RBRVS,0.75 ,2.02 ,2.02 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,76818,CPT,Fetal biophys profile w/nst,26,,20 ,,RBRVS,1.05 ,0.30 ,0.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,76818,CPT,Fetal biophys profile w/nst,TC,,20 ,,RBRVS,0.00 ,1.92 ,1.92 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,76818,CPT,Fetal biophys profile w/nst,,,20 ,,RBRVS,1.05 ,2.22 ,2.22 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,76819,CPT,Fetal biophys profil w/o nst,26,,20 ,,RBRVS,0.77 ,0.23 ,0.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,76819,CPT,Fetal biophys profil w/o nst,TC,,20 ,,RBRVS,0.00 ,1.40 ,1.40 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,76819,CPT,Fetal biophys profil w/o nst,,,20 ,,RBRVS,0.77 ,1.63 ,1.63 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,76820,CPT,Umbilical artery echo,26,,20 ,,RBRVS,0.50 ,0.14 ,0.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,76820,CPT,Umbilical artery echo,TC,,20 ,,RBRVS,0.00 ,0.42 ,0.42 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,76820,CPT,Umbilical artery echo,,,20 ,,RBRVS,0.50 ,0.56 ,0.56 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,76821,CPT,Middle cerebral artery echo,26,,20 ,,RBRVS,0.70 ,0.20 ,0.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,76821,CPT,Middle cerebral artery echo,TC,,20 ,,RBRVS,0.00 ,1.67 ,1.67 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,76821,CPT,Middle cerebral artery echo,,,20 ,,RBRVS,0.70 ,1.87 ,1.87 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,76825,CPT,Echo exam of fetal heart,26,,20 ,,RBRVS,1.67 ,0.50 ,0.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,76825,CPT,Echo exam of fetal heart,TC,,20 ,,RBRVS,0.00 ,3.87 ,3.87 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,76825,CPT,Echo exam of fetal heart,,,20 ,,RBRVS,1.67 ,4.37 ,4.37 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,76826,CPT,Echo exam of fetal heart,26,,20 ,,RBRVS,0.83 ,0.24 ,0.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,76826,CPT,Echo exam of fetal heart,TC,,20 ,,RBRVS,0.00 ,2.52 ,2.52 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,76826,CPT,Echo exam of fetal heart,,,20 ,,RBRVS,0.83 ,2.76 ,2.76 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,76827,CPT,Echo exam of fetal heart,26,,20 ,,RBRVS,0.58 ,0.17 ,0.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,76827,CPT,Echo exam of fetal heart,TC,,20 ,,RBRVS,0.00 ,0.90 ,0.90 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,76827,CPT,Echo exam of fetal heart,,,20 ,,RBRVS,0.58 ,1.07 ,1.07 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,76828,CPT,Echo exam of fetal heart,26,,20 ,,RBRVS,0.56 ,0.15 ,0.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,76828,CPT,Echo exam of fetal heart,TC,,20 ,,RBRVS,0.00 ,0.48 ,0.48 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,76828,CPT,Echo exam of fetal heart,,,20 ,,RBRVS,0.56 ,0.63 ,0.63 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,76830,CPT,"Transvaginal us, non-ob",26,,20 ,,RBRVS,0.69 ,0.22 ,0.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,76830,CPT,"Transvaginal us, non-ob",TC,,20 ,,RBRVS,0.00 ,2.54 ,2.54 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,76830,CPT,"Transvaginal us, non-ob",,,20 ,,RBRVS,0.69 ,2.76 ,2.76 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,76831,CPT,"Echo exam, uterus",26,,20 ,,RBRVS,0.72 ,0.21 ,0.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,76831,CPT,"Echo exam, uterus",TC,,20 ,,RBRVS,0.00 ,2.53 ,2.53 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,76831,CPT,"Echo exam, uterus",,,20 ,,RBRVS,0.72 ,2.74 ,2.74 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,76856,CPT,"Us exam, pelvic, complete",26,,20 ,,RBRVS,0.69 ,0.24 ,0.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,76856,CPT,"Us exam, pelvic, complete",TC,,20 ,,RBRVS,0.00 ,2.56 ,2.56 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,76856,CPT,"Us exam, pelvic, complete",,,20 ,,RBRVS,0.69 ,2.80 ,2.80 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,76857,CPT,"Us exam, pelvic, limited",26,,20 ,,RBRVS,0.38 ,0.14 ,0.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,76857,CPT,"Us exam, pelvic, limited",TC,,20 ,,RBRVS,0.00 ,2.35 ,2.35 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,76857,CPT,"Us exam, pelvic, limited",,,20 ,,RBRVS,0.38 ,2.49 ,2.49 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,76870,CPT,"Us exam, scrotum",26,,20 ,,RBRVS,0.64 ,0.23 ,0.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,76870,CPT,"Us exam, scrotum",TC,,20 ,,RBRVS,0.00 ,2.60 ,2.60 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,76870,CPT,"Us exam, scrotum",,,20 ,,RBRVS,0.64 ,2.83 ,2.83 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,76872,CPT,"Us, transrectal",26,,20 ,,RBRVS,0.69 ,0.27 ,0.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,76872,CPT,"Us, transrectal",TC,,20 ,,RBRVS,0.00 ,3.14 ,3.14 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,76872,CPT,"Us, transrectal",,,20 ,,RBRVS,0.69 ,3.41 ,3.41 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,76873,CPT,"Echograp trans r, pros study",26,,20 ,,RBRVS,1.55 ,0.55 ,0.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,76873,CPT,"Echograp trans r, pros study",TC,,20 ,,RBRVS,0.00 ,2.85 ,2.85 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,76873,CPT,"Echograp trans r, pros study",,,20 ,,RBRVS,1.55 ,3.40 ,3.40 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,76880,CPT,"Us exam, extremity",26,,20 ,,RBRVS,0.59 ,0.18 ,0.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,76880,CPT,"Us exam, extremity",TC,,20 ,,RBRVS,0.00 ,3.01 ,3.01 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,76880,CPT,"Us exam, extremity",,,20 ,,RBRVS,0.59 ,3.19 ,3.19 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,76885,CPT,"Us exam infant hips, dynamic",26,,20 ,,RBRVS,0.74 ,0.25 ,0.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,76885,CPT,"Us exam infant hips, dynamic",TC,,20 ,,RBRVS,0.00 ,3.01 ,3.01 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,76885,CPT,"Us exam infant hips, dynamic",,,20 ,,RBRVS,0.74 ,3.26 ,3.26 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,76886,CPT,"Us exam infant hips, static",26,,20 ,,RBRVS,0.62 ,0.22 ,0.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,76886,CPT,"Us exam infant hips, static",TC,,20 ,,RBRVS,0.00 ,2.06 ,2.06 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,76886,CPT,"Us exam infant hips, static",,,20 ,,RBRVS,0.62 ,2.28 ,2.28 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,76930,CPT,"Echo guide, cardiocentesis",26,,20 ,,RBRVS,0.67 ,0.34 ,0.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,76930,CPT,"Echo guide, cardiocentesis",TC,,20 ,,RBRVS,0.00 ,1.74 ,1.74 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,76930,CPT,"Echo guide, cardiocentesis",,,20 ,,RBRVS,0.67 ,2.08 ,2.08 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,76932,CPT,Echo guide for heart biopsy,26,,20 ,,RBRVS,0.67 ,0.35 ,0.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,76936,CPT,Echo guide for artery repair,26,,20 ,,RBRVS,1.99 ,0.71 ,0.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,76936,CPT,Echo guide for artery repair,TC,,20 ,,RBRVS,0.00 ,5.42 ,5.42 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,76936,CPT,Echo guide for artery repair,,,20 ,,RBRVS,1.99 ,6.13 ,6.13 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,76937,CPT,"Us guide, vascular access",26,,20 ,,RBRVS,0.30 ,0.10 ,0.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,76937,CPT,"Us guide, vascular access",TC, ,20 ,,RBRVS,0.00 ,0.52 ,0.52 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,76937,CPT,"Us guide, vascular access",,,20 ,,RBRVS,0.30 ,0.62 ,0.62 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,76940,CPT,"Us guide, tissue ablation",26,,20 ,,RBRVS,2.00 ,0.65 ,0.65 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,76941,CPT,Echo guide for transfusion,26,,20 ,,RBRVS,1.34 ,0.38 ,0.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,76942,CPT,Echo guide for biopsy,26,,20 ,,RBRVS,0.67 ,0.24 ,0.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,76942,CPT,Echo guide for biopsy,TC,,20 ,,RBRVS,0.00 ,4.56 ,4.56 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,76942,CPT,Echo guide for biopsy,,,20 ,,RBRVS,0.67 ,4.80 ,4.80 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,76945,CPT,"Echo guide, villus sampling",26,,20 ,,RBRVS,0.67 ,0.21 ,0.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,76946,CPT,Echo guide for amniocentesis,26,,20 ,,RBRVS,0.38 ,0.11 ,0.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,76946,CPT,Echo guide for amniocentesis,TC,,20 ,,RBRVS,0.00 ,0.34 ,0.34 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,76946,CPT,Echo guide for amniocentesis,,,20 ,,RBRVS,0.38 ,0.45 ,0.45 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,76948,CPT,"Echo guide, ova aspiration",26,,20 ,,RBRVS,0.38 ,0.10 ,0.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,76948,CPT,"Echo guide, ova aspiration",TC,,20 ,,RBRVS,0.00 ,0.35 ,0.35 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,76948,CPT,"Echo guide, ova aspiration",,,20 ,,RBRVS,0.38 ,0.45 ,0.45 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,76950,CPT,Echo guidance radiotherapy,26,,20 ,,RBRVS,0.58 ,0.19 ,0.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,76950,CPT,Echo guidance radiotherapy,TC,,20 ,,RBRVS,0.00 ,1.02 ,1.02 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,76950,CPT,Echo guidance radiotherapy,,,20 ,,RBRVS,0.58 ,1.21 ,1.21 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,76965,CPT,Echo guidance radiotherapy,26,,20 ,,RBRVS,1.34 ,0.50 ,0.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,76965,CPT,Echo guidance radiotherapy,TC,,20 ,,RBRVS,0.00 ,0.70 ,0.70 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,76965,CPT,Echo guidance radiotherapy,,,20 ,,RBRVS,1.34 ,1.20 ,1.20 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,76970,CPT,Ultrasound exam follow-up,26,,20 ,,RBRVS,0.40 ,0.11 ,0.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,76970,CPT,Ultrasound exam follow-up,TC,,20 ,,RBRVS,0.00 ,1.88 ,1.88 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,76970,CPT,Ultrasound exam follow-up,,,20 ,,RBRVS,0.40 ,1.99 ,1.99 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,76975,CPT,Gi endoscopic ultrasound,26,,20 ,,RBRVS,0.81 ,0.30 ,0.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,76977,CPT,Us bone density measure,26,,20 ,,RBRVS,0.05 ,0.01 ,0.01 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,76977,CPT,Us bone density measure,TC,,20 ,,RBRVS,0.00 ,0.09 ,0.09 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,76977,CPT,Us bone density measure,,,20 ,,RBRVS,0.05 ,0.10 ,0.10 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,76998,CPT,"Us guide, intraop",26,,20 ,,RBRVS,1.20 ,0.35 ,0.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,76999,CPT,Echo examination procedure,,,20 ,,TotalUnits,,,,1.99 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,77001,CPT,Fluoroguide for vein device,26,,20 ,,RBRVS,0.38 ,0.13 ,0.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,77001,CPT,Fluoroguide for vein device,TC,,20 ,,RBRVS,0.00 ,2.60 ,2.60 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,77001,CPT,Fluoroguide for vein device,,,20 ,,RBRVS,0.38 ,2.73 ,2.73 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,77002,CPT,Needle localization by xray,26,,20 ,,RBRVS,0.54 ,0.16 ,0.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,77002,CPT,Needle localization by xray,TC,,20 ,,RBRVS,0.00 ,1.07 ,1.07 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,77002,CPT,Needle localization by xray,,,20 ,,RBRVS,0.54 ,1.23 ,1.23 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,77003,CPT,Fluoroguide for spine inject,26,,20 ,,RBRVS,0.60 ,0.14 ,0.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,77003,CPT,Fluoroguide for spine inject,TC,,20 ,,RBRVS,0.00 ,0.62 ,0.62 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,77003,CPT,Fluoroguide for spine inject,,,20 ,,RBRVS,0.60 ,0.76 ,0.76 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,77011,CPT,Ct scan for localization,26,,20 ,,RBRVS,1.21 ,0.40 ,0.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,77011,CPT,Ct scan for localization,TC,,20 ,,RBRVS,0.00 ,19.88 ,19.88 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,77011,CPT,Ct scan for localization,,,20 ,,RBRVS,1.21 ,20.28 ,20.28 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,77012,CPT,Ct scan for needle biopsy,26,,20 ,,RBRVS,1.16 ,0.41 ,0.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,77012,CPT,Ct scan for needle biopsy,TC,,20 ,,RBRVS,0.00 ,1.92 ,1.92 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,77012,CPT,Ct scan for needle biopsy,,,20 ,,RBRVS,1.16 ,2.33 ,2.33 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,77013,CPT,Ct guide for tissue ablation,26,,20 ,,RBRVS,3.99 ,1.43 ,1.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,77014,CPT,Ct scan for therapy guide,26,,20 ,,RBRVS,0.85 ,0.28 ,0.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,77014,CPT,Ct scan for therapy guide,TC,,20 ,,RBRVS,0.00 ,4.20 ,4.20 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,77014,CPT,Ct scan for therapy guide,,,20 ,,RBRVS,0.85 ,4.48 ,4.48 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,77021,CPT,Mr guidance for needle place,26,,20 ,,RBRVS,1.50 ,0.52 ,0.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,77021,CPT,Mr guidance for needle place,TC,,20 ,,RBRVS,0.00 ,9.19 ,9.19 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,77021,CPT,Mr guidance for needle place,,,20 ,,RBRVS,1.50 ,9.71 ,9.71 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,77022,CPT,Mri for tissue ablation,26,,20 ,,RBRVS,4.24 ,1.52 ,1.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,77031,CPT,Stereotact guide for brst bx,26,,20 ,,RBRVS,1.59 ,0.53 ,0.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,77031,CPT,Stereotact guide for brst bx,TC,,20 ,,RBRVS,0.00 ,1.34 ,1.34 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,77031,CPT,Stereotact guide for brst bx,,,20 ,,RBRVS,1.59 ,1.87 ,1.87 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,77032,CPT,"Guidance for needle, breast",26,,20 ,,RBRVS,0.56 ,0.20 ,0.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,77032,CPT,"Guidance for needle, breast",TC,,20 ,,RBRVS,0.00 ,0.64 ,0.64 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,77032,CPT,"Guidance for needle, breast",,,20 ,,RBRVS,0.56 ,0.84 ,0.84 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,77051,CPT,Computer dx mammogram add-on,26,,20 ,,RBRVS,0.06 ,0.02 ,0.02 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,77051,CPT,Computer dx mammogram add-on,TC,,20 ,,RBRVS,0.00 ,0.18 ,0.18 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,77051,CPT,Computer dx mammogram add-on,,,20 ,,RBRVS,0.06 ,0.20 ,0.20 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,77052,CPT,Comp screen mammogram add-on,26,,20 ,,RBRVS,0.06 ,0.02 ,0.02 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,77052,CPT,Comp screen mammogram add-on,TC,,20 ,,RBRVS,0.00 ,0.18 ,0.18 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,77052,CPT,Comp screen mammogram add-on,,,20 ,,RBRVS,0.06 ,0.20 ,0.20 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,77053,CPT,X-ray of mammary duct,26,,20 ,,RBRVS,0.36 ,0.13 ,0.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,77053,CPT,X-ray of mammary duct,TC,,20 ,,RBRVS,0.00 ,1.11 ,1.11 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,77053,CPT,X-ray of mammary duct,,,20 ,,RBRVS,0.36 ,1.24 ,1.24 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,77054,CPT,X-ray of mammary ducts,26,,20 ,,RBRVS,0.45 ,0.16 ,0.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,77054,CPT,X-ray of mammary ducts,TC,,20 ,,RBRVS,0.00 ,1.52 ,1.52 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,77054,CPT,X-ray of mammary ducts,,,20 ,,RBRVS,0.45 ,1.68 ,1.68 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,77055,CPT,"Mammogram, one breast",26,,20 ,,RBRVS,0.70 ,0.25 ,0.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,77055,CPT,"Mammogram, one breast",TC,,20 ,,RBRVS,0.00 ,1.40 ,1.40 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,77055,CPT,"Mammogram, one breast",,,20 ,,RBRVS,0.70 ,1.65 ,1.65 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,77056,CPT,"Mammogram, both breasts",26,,20 ,,RBRVS,0.87 ,0.31 ,0.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,77056,CPT,"Mammogram, both breasts",TC,,20 ,,RBRVS,0.00 ,1.84 ,1.84 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,77056,CPT,"Mammogram, both breasts",,,20 ,,RBRVS,0.87 ,2.15 ,2.15 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,77057,CPT,"Mammogram, screening",26,,20 ,,RBRVS,0.70 ,0.24 ,0.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,77057,CPT,"Mammogram, screening",TC,,20 ,,RBRVS,0.00 ,1.20 ,1.20 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,77057,CPT,"Mammogram, screening",,,20 ,,RBRVS,0.70 ,1.44 ,1.44 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,77058,CPT,"Mri, one breast",26,,20 ,,RBRVS,1.63 ,0.56 ,0.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,77058,CPT,"Mri, one breast",TC,,20 ,,RBRVS,0.00 ,21.09 ,21.09 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,77058,CPT,"Mri, one breast",,,20 ,,RBRVS,1.63 ,21.65 ,21.65 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,77059,CPT,"Mri, both breasts",26,,20 ,,RBRVS,1.63 ,0.57 ,0.57 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,77059,CPT,"Mri, both breasts",TC,,20 ,,RBRVS,0.00 ,21.01 ,21.01 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,77059,CPT,"Mri, both breasts",,,20 ,,RBRVS,1.63 ,21.58 ,21.58 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,77071,CPT,X-ray stress view,,,20 ,,RBRVS,0.41 ,0.77 ,0.77 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,77072,CPT,X-rays for bone age,26,,20 ,,RBRVS,0.19 ,0.06 ,0.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,77072,CPT,X-rays for bone age,TC,,20 ,,RBRVS,0.00 ,0.36 ,0.36 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,77072,CPT,X-rays for bone age,,,20 ,,RBRVS,0.19 ,0.42 ,0.42 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,77073,CPT,"X-rays, bone length studies",26,,20 ,,RBRVS,0.27 ,0.10 ,0.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,77073,CPT,"X-rays, bone length studies",TC,,20 ,,RBRVS,0.00 ,0.57 ,0.57 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,77073,CPT,"X-rays, bone length studies",,,20 ,,RBRVS,0.27 ,0.67 ,0.67 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,77074,CPT,"X-rays, bone survey, limited",26,,20 ,,RBRVS,0.45 ,0.16 ,0.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,77074,CPT,"X-rays, bone survey, limited",TC,,20 ,,RBRVS,0.00 ,1.29 ,1.29 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,77074,CPT,"X-rays, bone survey, limited",,,20 ,,RBRVS,0.45 ,1.45 ,1.45 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,77075,CPT,"X-rays, bone survey complete",26,,20 ,,RBRVS,0.54 ,0.19 ,0.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,77075,CPT,"X-rays, bone survey complete",TC,,20 ,,RBRVS,0.00 ,2.10 ,2.10 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,77075,CPT,"X-rays, bone survey complete",,,20 ,,RBRVS,0.54 ,2.29 ,2.29 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,77076,CPT,"X-rays, bone survey, infant",26,,20 ,,RBRVS,0.70 ,0.23 ,0.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,77076,CPT,"X-rays, bone survey, infant",TC,,20 ,,RBRVS,0.00 ,1.90 ,1.90 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,77076,CPT,"X-rays, bone survey, infant",,,20 ,,RBRVS,0.70 ,2.13 ,2.13 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,77077,CPT,"Joint survey, single view",26,,20 ,,RBRVS,0.31 ,0.11 ,0.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,77077,CPT,"Joint survey, single view",TC,,20 ,,RBRVS,0.00 ,0.55 ,0.55 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,77077,CPT,"Joint survey, single view",,,20 ,,RBRVS,0.31 ,0.66 ,0.66 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,77078,CPT,"Ct bone density, axial",26,,20 ,,RBRVS,0.25 ,0.09 ,0.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,77078,CPT,"Ct bone density, axial",TC,,20 ,,RBRVS,0.00 ,4.66 ,4.66 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,77078,CPT,"Ct bone density, axial",,,20 ,,RBRVS,0.25 ,4.75 ,4.75 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,77079,CPT,"Ct bone density, peripheral",26,,20 ,,RBRVS,0.22 ,0.08 ,0.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,77079,CPT,"Ct bone density, peripheral",TC,,20 ,,RBRVS,0.00 ,0.75 ,0.75 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,77079,CPT,"Ct bone density, peripheral",,,20 ,,RBRVS,0.22 ,0.83 ,0.83 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,77080,CPT,"Dxa bone density, axial",26,,20 ,,RBRVS,0.20 ,0.06 ,0.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,77080,CPT,"Dxa bone density, axial",TC,,20 ,,RBRVS,0.00 ,1.04 ,1.04 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,77080,CPT,"Dxa bone density, axial",,,20 ,,RBRVS,0.20 ,1.10 ,1.10 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,77081,CPT,Dxa bone density/peripheral,26,,20 ,,RBRVS,0.22 ,0.06 ,0.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,77081,CPT,Dxa bone density/peripheral,TC,,20 ,,RBRVS,0.00 ,0.41 ,0.41 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,77081,CPT,Dxa bone density/peripheral,,,20 ,,RBRVS,0.22 ,0.47 ,0.47 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,77082,CPT,"Dxa bone density, vert fx",26,,20 ,,RBRVS,0.17 ,0.05 ,0.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,77082,CPT,"Dxa bone density, vert fx",TC,,20 ,,RBRVS,0.00 ,0.48 ,0.48 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,77082,CPT,"Dxa bone density, vert fx",,,20 ,,RBRVS,0.17 ,0.53 ,0.53 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,77083,CPT,Radiographic absorptiometry,26,,20 ,,RBRVS,0.20 ,0.05 ,0.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,77083,CPT,Radiographic absorptiometry,TC,,20 ,,RBRVS,0.00 ,0.32 ,0.32 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,77083,CPT,Radiographic absorptiometry,,,20 ,,RBRVS,0.20 ,0.37 ,0.37 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,77084,CPT,"Magnetic image, bone marrow",26,,20 ,,RBRVS,1.60 ,0.52 ,0.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,77084,CPT,"Magnetic image, bone marrow",TC,,20 ,,RBRVS,0.00 ,13.05 ,13.05 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,77084,CPT,"Magnetic image, bone marrow",,,20 ,,RBRVS,1.60 ,13.57 ,13.57 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,77261,CPT,Radiation therapy planning,,PC,20 ,,RBRVS,1.39 ,0.48 ,0.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,77262,CPT,Radiation therapy planning,,PC,20 ,,RBRVS,2.11 ,0.69 ,0.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,77263,CPT,Radiation therapy planning,,PC,20 ,,RBRVS,3.14 ,1.03 ,1.03 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,77280,CPT,Set radiation therapy field,26,,20 ,,RBRVS,0.70 ,0.23 ,0.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,77280,CPT,Set radiation therapy field,TC,,20 ,,RBRVS,0.00 ,4.20 ,4.20 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,77280,CPT,Set radiation therapy field,,,20 ,,RBRVS,0.70 ,4.43 ,4.43 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,77285,CPT,Set radiation therapy field,26,,20 ,,RBRVS,1.05 ,0.34 ,0.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,77285,CPT,Set radiation therapy field,TC,,20 ,,RBRVS,0.00 ,7.68 ,7.68 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,77285,CPT,Set radiation therapy field,,,20 ,,RBRVS,1.05 ,8.02 ,8.02 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,77290,CPT,Set radiation therapy field,26,,20 ,,RBRVS,1.56 ,0.51 ,0.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,77290,CPT,Set radiation therapy field,TC,,20 ,,RBRVS,0.00 ,12.92 ,12.92 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,77290,CPT,Set radiation therapy field,,,20 ,,RBRVS,1.56 ,13.43 ,13.43 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,77295,CPT,Set radiation therapy field,26,,20 ,,RBRVS,4.56 ,1.50 ,1.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,77295,CPT,Set radiation therapy field,TC,,20 ,,RBRVS,0.00 ,5.96 ,5.96 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,77295,CPT,Set radiation therapy field,,,20 ,,RBRVS,4.56 ,7.46 ,7.46 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,77299,CPT,Radiation therapy planning,,,20 ,,TotalUnits,,,,9.36 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,77300,CPT,Radiation therapy dose plan,26,,20 ,,RBRVS,0.62 ,0.20 ,0.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,77300,CPT,Radiation therapy dose plan,TC,,20 ,,RBRVS,0.00 ,0.98 ,0.98 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,77300,CPT,Radiation therapy dose plan,,,20 ,,RBRVS,0.62 ,1.18 ,1.18 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,77301,CPT,"Radiotherapy dose plan, imrt",26,,20 ,,RBRVS,7.99 ,2.62 ,2.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,77301,CPT,"Radiotherapy dose plan, imrt",TC,,20 ,,RBRVS,0.00 ,54.86 ,54.86 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,77301,CPT,"Radiotherapy dose plan, imrt",,,20 ,,RBRVS,7.99 ,57.48 ,57.48 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,77305,CPT,Teletx isodose plan simple,26,,20 ,,RBRVS,0.70 ,0.23 ,0.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,77305,CPT,Teletx isodose plan simple,TC,,20 ,,RBRVS,0.00 ,0.67 ,0.67 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,77305,CPT,Teletx isodose plan simple,,,20 ,,RBRVS,0.70 ,0.90 ,0.90 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,77310,CPT,Teletx isodose plan intermed,26,,20 ,,RBRVS,1.05 ,0.34 ,0.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,77310,CPT,Teletx isodose plan intermed,TC,,20 ,,RBRVS,0.00 ,0.90 ,0.90 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,77310,CPT,Teletx isodose plan intermed,,,20 ,,RBRVS,1.05 ,1.24 ,1.24 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,77315,CPT,Teletx isodose plan complex,26,,20 ,,RBRVS,1.56 ,0.51 ,0.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,77315,CPT,Teletx isodose plan complex,TC,,20 ,,RBRVS,0.00 ,1.57 ,1.57 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,77315,CPT,Teletx isodose plan complex,,,20 ,,RBRVS,1.56 ,2.08 ,2.08 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,77321,CPT,Special teletx port plan,26,,20 ,,RBRVS,0.95 ,0.31 ,0.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,77321,CPT,Special teletx port plan,TC,,20 ,,RBRVS,0.00 ,1.20 ,1.20 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,77321,CPT,Special teletx port plan,,,20 ,,RBRVS,0.95 ,1.51 ,1.51 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,77326,CPT,Brachytx isodose calc simp,26,,20 ,,RBRVS,0.93 ,0.30 ,0.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,77326,CPT,Brachytx isodose calc simp,TC,,20 ,,RBRVS,0.00 ,2.68 ,2.68 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,77326,CPT,Brachytx isodose calc simp,,,20 ,,RBRVS,0.93 ,2.98 ,2.98 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,77327,CPT,Brachytx isodose calc interm,26,,20 ,,RBRVS,1.39 ,0.45 ,0.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,77327,CPT,Brachytx isodose calc interm,TC,,20 ,,RBRVS,0.00 ,3.64 ,3.64 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,77327,CPT,Brachytx isodose calc interm,,,20 ,,RBRVS,1.39 ,4.09 ,4.09 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,77328,CPT,Brachytx isodose plan compl,26,,20 ,,RBRVS,2.09 ,0.69 ,0.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,77328,CPT,Brachytx isodose plan compl,TC,,20 ,,RBRVS,0.00 ,4.57 ,4.57 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,77328,CPT,Brachytx isodose plan compl,,,20 ,,RBRVS,2.09 ,5.26 ,5.26 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,77331,CPT,Special radiation dosimetry,26,,20 ,,RBRVS,0.87 ,0.29 ,0.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,77331,CPT,Special radiation dosimetry,TC,,20 ,,RBRVS,0.00 ,0.52 ,0.52 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,77331,CPT,Special radiation dosimetry,,,20 ,,RBRVS,0.87 ,0.81 ,0.81 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,77332,CPT,Radiation treatment aid(s),26,,20 ,,RBRVS,0.54 ,0.18 ,0.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,77332,CPT,Radiation treatment aid(s),TC,,20 ,,RBRVS,0.00 ,1.37 ,1.37 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,77332,CPT,Radiation treatment aid(s),,,20 ,,RBRVS,0.54 ,1.55 ,1.55 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,77333,CPT,Radiation treatment aid(s),26,,20 ,,RBRVS,0.84 ,0.28 ,0.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,77333,CPT,Radiation treatment aid(s),TC,,20 ,,RBRVS,0.00 ,0.24 ,0.24 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,77333,CPT,Radiation treatment aid(s),,,20 ,,RBRVS,0.84 ,0.52 ,0.52 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,77334,CPT,Radiation treatment aid(s),26,,20 ,,RBRVS,1.24 ,0.41 ,0.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,77334,CPT,Radiation treatment aid(s),TC,,20 ,,RBRVS,0.00 ,2.31 ,2.31 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,77334,CPT,Radiation treatment aid(s),,,20 ,,RBRVS,1.24 ,2.72 ,2.72 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,77336,CPT,Radiation physics consult,,TC,20 ,,RBRVS,0.00 ,1.14 ,1.14 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,77370,CPT,Radiation physics consult,,TC,20 ,,RBRVS,0.00 ,3.05 ,3.05 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,77371,CPT,"Srs, multisource",,,20 ,,RBRVS,0.00 ,30.11 ,30.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,77372,CPT,"Srs, linear based",,,20 ,,RBRVS,0.00 ,22.83 ,22.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,77373,CPT,Sbrt delivery,,,20 ,,RBRVS,0.00 ,42.67 ,42.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,77399,CPT,External radiation dosimetry,,,20 ,,TotalUnits,,,,7.83 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,77401,CPT,Radiation treatment delivery,,TC,20 ,,RBRVS,0.00 ,0.47 ,0.47 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,77402,CPT,Radiation treatment delivery,,TC,20 ,,RBRVS,0.00 ,4.35 ,4.35 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,77403,CPT,Radiation treatment delivery,,TC,20 ,,RBRVS,0.00 ,3.76 ,3.76 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,77404,CPT,Radiation treatment delivery,,TC,20 ,,RBRVS,0.00 ,4.21 ,4.21 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,77406,CPT,Radiation treatment delivery,,TC,20 ,,RBRVS,0.00 ,4.24 ,4.24 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,77407,CPT,Radiation treatment delivery,,TC,20 ,,RBRVS,0.00 ,5.78 ,5.78 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,77408,CPT,Radiation treatment delivery,,TC,20 ,,RBRVS,0.00 ,5.19 ,5.19 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,77409,CPT,Radiation treatment delivery,,TC,20 ,,RBRVS,0.00 ,5.77 ,5.77 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,77411,CPT,Radiation treatment delivery,,TC,20 ,,RBRVS,0.00 ,5.74 ,5.74 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,77412,CPT,Radiation treatment delivery,,TC,20 ,,RBRVS,0.00 ,6.79 ,6.79 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,77413,CPT,Radiation treatment delivery,,TC,20 ,,RBRVS,0.00 ,6.86 ,6.86 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,77414,CPT,Radiation treatment delivery,,TC,20 ,,RBRVS,0.00 ,7.72 ,7.72 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,77416,CPT,Radiation treatment delivery,,TC,20 ,,RBRVS,0.00 ,7.73 ,7.73 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,77417,CPT,Radiology port film(s),,TC,20 ,,RBRVS,0.00 ,0.36 ,0.36 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,77418,CPT,"Radiation tx delivery, imrt",,TC,20 ,,RBRVS,0.00 ,13.17 ,13.17 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,77421,CPT,Stereoscopic x-ray guidance,26,,20 ,,RBRVS,0.39 ,0.13 ,0.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,77421,CPT,Stereoscopic x-ray guidance,TC, ,20 ,,RBRVS,0.00 ,2.26 ,2.26 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,77421,CPT,Stereoscopic x-ray guidance,,,20 ,,RBRVS,0.39 ,2.39 ,2.39 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,77422,CPT,"Neutron beam tx, simple",,,20 ,,RBRVS,0.00 ,5.36 ,5.36 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,77423,CPT,"Neutron beam tx, complex",,,20 ,,RBRVS,0.00 ,7.47 ,7.47 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,77427,CPT,"Radiation tx management, x5",,PC,20 ,,RBRVS,3.70 ,1.39 ,1.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,77431,CPT,Radiation therapy management,,PC,20 ,,RBRVS,1.81 ,0.78 ,0.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,77432,CPT,Stereotactic radiation trmt,,PC,20 ,,RBRVS,7.92 ,2.59 ,2.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,77435,CPT,Sbrt management,,,20 ,,RBRVS,13.00 ,4.76 ,4.76 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,77470,CPT,Special radiation treatment,26,,20 ,,RBRVS,2.09 ,0.68 ,0.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,77470,CPT,Special radiation treatment,TC,,20 ,,RBRVS,0.00 ,1.24 ,1.24 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,77470,CPT,Special radiation treatment,,,20 ,,RBRVS,2.09 ,1.92 ,1.92 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,77499,CPT,Radiation therapy management,,,20 ,,TotalUnits,,,,0.68 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,77520,CPT,"Proton trmt, simple w/o comp",,TC,20 ,,TotalUnits,,,,13.37 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,77522,CPT,"Proton trmt, simple w/comp",,TC,20 ,,TotalUnits,,,,19.94 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,77600,CPT,Hyperthermia treatment,26,,20 ,,RBRVS,1.56 ,0.50 ,0.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,77600,CPT,Hyperthermia treatment,TC,,20 ,,RBRVS,0.00 ,9.74 ,9.74 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,77600,CPT,Hyperthermia treatment,,,20 ,,RBRVS,1.56 ,10.24 ,10.24 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,77605,CPT,Hyperthermia treatment,26,,20 ,,RBRVS,2.09 ,0.55 ,0.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,77605,CPT,Hyperthermia treatment,TC,,20 ,,RBRVS,0.00 ,17.93 ,17.93 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,77605,CPT,Hyperthermia treatment,,,20 ,,RBRVS,2.09 ,18.48 ,18.48 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,77610,CPT,Hyperthermia treatment,26,,20 ,,RBRVS,1.56 ,0.36 ,0.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,77610,CPT,Hyperthermia treatment,TC,,20 ,,RBRVS,0.00 ,17.58 ,17.58 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,77610,CPT,Hyperthermia treatment,,,20 ,,RBRVS,1.56 ,17.94 ,17.94 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,77615,CPT,Hyperthermia treatment,26,,20 ,,RBRVS,2.09 ,0.64 ,0.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,77615,CPT,Hyperthermia treatment,TC,,20 ,,RBRVS,0.00 ,25.29 ,25.29 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,77615,CPT,Hyperthermia treatment,,,20 ,,RBRVS,2.09 ,25.93 ,25.93 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,77620,CPT,Hyperthermia treatment,26,,20 ,,RBRVS,1.56 ,0.40 ,0.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,77620,CPT,Hyperthermia treatment,TC,,20 ,,RBRVS,0.00 ,10.10 ,10.10 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,77620,CPT,Hyperthermia treatment,,,20 ,,RBRVS,1.56 ,10.50 ,10.50 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,77750,CPT,Infuse radioactive materials,26,,20 ,,RBRVS,4.94 ,1.62 ,1.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,77750,CPT,Infuse radioactive materials,TC,,20 ,,RBRVS,0.00 ,2.93 ,2.93 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,77750,CPT,Infuse radioactive materials,,,20 ,,RBRVS,4.94 ,4.55 ,4.55 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,77761,CPT,Apply intrcav radiat simple,26,,20 ,,RBRVS,3.82 ,1.24 ,1.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,77761,CPT,Apply intrcav radiat simple,TC,,20 ,,RBRVS,0.00 ,5.10 ,5.10 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,77761,CPT,Apply intrcav radiat simple,,,20 ,,RBRVS,3.82 ,6.34 ,6.34 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,77762,CPT,Apply intrcav radiat interm,26,,20 ,,RBRVS,5.73 ,1.88 ,1.88 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,77762,CPT,Apply intrcav radiat interm,TC,,20 ,,RBRVS,0.00 ,5.75 ,5.75 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,77762,CPT,Apply intrcav radiat interm,,,20 ,,RBRVS,5.73 ,7.63 ,7.63 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,77763,CPT,Apply intrcav radiat compl,26,,20 ,,RBRVS,8.60 ,2.82 ,2.82 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,77763,CPT,Apply intrcav radiat compl,TC,,20 ,,RBRVS,0.00 ,7.53 ,7.53 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,77763,CPT,Apply intrcav radiat compl,,,20 ,,RBRVS,8.60 ,10.35 ,10.35 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,77776,CPT,Apply interstit radiat simpl,26,,20 ,,RBRVS,4.67 ,1.67 ,1.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,77776,CPT,Apply interstit radiat simpl,TC,,20 ,,RBRVS,0.00 ,5.79 ,5.79 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,77776,CPT,Apply interstit radiat simpl,,,20 ,,RBRVS,4.67 ,7.46 ,7.46 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,77777,CPT,Apply interstit radiat inter,26,,20 ,,RBRVS,7.49 ,2.45 ,2.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,77777,CPT,Apply interstit radiat inter,TC,,20 ,,RBRVS,0.00 ,5.47 ,5.47 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,77777,CPT,Apply interstit radiat inter,,,20 ,,RBRVS,7.49 ,7.92 ,7.92 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,77778,CPT,Apply interstit radiat compl,26,,20 ,,RBRVS,11.23 ,3.70 ,3.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,77778,CPT,Apply interstit radiat compl,TC,,20 ,,RBRVS,0.00 ,7.63 ,7.63 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,77778,CPT,Apply interstit radiat compl,,,20 ,,RBRVS,11.23 ,11.33 ,11.33 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,77785,CPT,"Hdr brachytx, 1 channel",,,20 ,,RBRVS,1.42 ,3.54 ,3.54 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,77786,CPT,"Hdr brachytx, 2-12 channel",,,20 ,,RBRVS,3.25 ,8.61 ,8.61 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,77787,CPT,Hdr brachytx over 12 chan,,,20 ,,RBRVS,4.89 ,15.80 ,15.80 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,77789,CPT,Apply surface radiation,26,,20 ,,RBRVS,1.14 ,0.38 ,0.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,77789,CPT,Apply surface radiation,TC,,20 ,,RBRVS,0.00 ,1.64 ,1.64 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,77789,CPT,Apply surface radiation,,,20 ,,RBRVS,1.14 ,2.02 ,2.02 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,77790,CPT,Radiation handling,26,,20 ,,RBRVS,1.05 ,0.34 ,0.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,77790,CPT,Radiation handling,TC,,20 ,,RBRVS,0.00 ,1.12 ,1.12 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,77790,CPT,Radiation handling,,,20 ,,RBRVS,1.05 ,1.46 ,1.46 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,77799,CPT,Radium/radioisotope therapy,,,20 ,,TotalUnits,,,,7.18 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,78000,CPT,"Thyroid, single uptake",26,,20 ,,RBRVS,0.19 ,0.06 ,0.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,78000,CPT,"Thyroid, single uptake",TC,,20 ,,RBRVS,0.00 ,1.79 ,1.79 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,78000,CPT,"Thyroid, single uptake",,,20 ,,RBRVS,0.19 ,1.85 ,1.85 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,78001,CPT,"Thyroid, multiple uptakes",26,,20 ,,RBRVS,0.26 ,0.09 ,0.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,78001,CPT,"Thyroid, multiple uptakes",TC,,20 ,,RBRVS,0.00 ,2.22 ,2.22 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,78001,CPT,"Thyroid, multiple uptakes",,,20 ,,RBRVS,0.26 ,2.31 ,2.31 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,78003,CPT,Thyroid suppress/stimul,26,,20 ,,RBRVS,0.33 ,0.12 ,0.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,78003,CPT,Thyroid suppress/stimul,TC,,20 ,,RBRVS,0.00 ,1.82 ,1.82 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,78003,CPT,Thyroid suppress/stimul,,,20 ,,RBRVS,0.33 ,1.94 ,1.94 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,78006,CPT,Thyroid imaging with uptake,26,,20 ,,RBRVS,0.49 ,0.17 ,0.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,78006,CPT,Thyroid imaging with uptake,TC,,20 ,,RBRVS,0.00 ,6.06 ,6.06 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,78006,CPT,Thyroid imaging with uptake,,,20 ,,RBRVS,0.49 ,6.23 ,6.23 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,78007,CPT,"Thyroid image, mult uptakes",26,,20 ,,RBRVS,0.50 ,0.17 ,0.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,78007,CPT,"Thyroid image, mult uptakes",TC,,20 ,,RBRVS,0.00 ,2.89 ,2.89 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,78007,CPT,"Thyroid image, mult uptakes",,,20 ,,RBRVS,0.50 ,3.06 ,3.06 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,78010,CPT,Thyroid imaging,26,,20 ,,RBRVS,0.39 ,0.13 ,0.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,78010,CPT,Thyroid imaging,TC,,20 ,,RBRVS,0.00 ,4.06 ,4.06 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,78010,CPT,Thyroid imaging,,,20 ,,RBRVS,0.39 ,4.19 ,4.19 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,78011,CPT,Thyroid imaging with flow,26,,20 ,,RBRVS,0.45 ,0.16 ,0.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,78011,CPT,Thyroid imaging with flow,TC,,20 ,,RBRVS,0.00 ,4.39 ,4.39 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,78011,CPT,Thyroid imaging with flow,,,20 ,,RBRVS,0.45 ,4.55 ,4.55 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,78015,CPT,Thyroid met imaging,26,,20 ,,RBRVS,0.67 ,0.22 ,0.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,78015,CPT,Thyroid met imaging,TC,,20 ,,RBRVS,0.00 ,5.12 ,5.12 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,78015,CPT,Thyroid met imaging,,,20 ,,RBRVS,0.67 ,5.34 ,5.34 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,78016,CPT,Thyroid met imaging/studies,26,,20 ,,RBRVS,0.82 ,0.28 ,0.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,78016,CPT,Thyroid met imaging/studies,TC,,20 ,,RBRVS,0.00 ,8.26 ,8.26 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,78016,CPT,Thyroid met imaging/studies,,,20 ,,RBRVS,0.82 ,8.54 ,8.54 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,78018,CPT,"Thyroid met imaging, body",26,,20 ,,RBRVS,0.86 ,0.30 ,0.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,78018,CPT,"Thyroid met imaging, body",TC,,20 ,,RBRVS,0.00 ,7.64 ,7.64 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,78018,CPT,"Thyroid met imaging, body",,,20 ,,RBRVS,0.86 ,7.94 ,7.94 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,78020,CPT,Thyroid met uptake,26,,20 ,,RBRVS,0.60 ,0.20 ,0.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,78020,CPT,Thyroid met uptake,TC,,20 ,,RBRVS,0.00 ,1.60 ,1.60 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,78020,CPT,Thyroid met uptake,,,20 ,,RBRVS,0.60 ,1.80 ,1.80 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,78070,CPT,Parathyroid nuclear imaging,26,,20 ,,RBRVS,0.82 ,0.28 ,0.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,78070,CPT,Parathyroid nuclear imaging,TC,,20 ,,RBRVS,0.00 ,3.20 ,3.20 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,78070,CPT,Parathyroid nuclear imaging,,,20 ,,RBRVS,0.82 ,3.48 ,3.48 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,78075,CPT,Adrenal nuclear imaging,26,,20 ,,RBRVS,0.74 ,0.25 ,0.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,78075,CPT,Adrenal nuclear imaging,TC,,20 ,,RBRVS,0.00 ,11.38 ,11.38 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,78075,CPT,Adrenal nuclear imaging,,,20 ,,RBRVS,0.74 ,11.63 ,11.63 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,78099,CPT,Endocrine nuclear procedure,,,20 ,,TotalUnits,,,,1.10 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,78102,CPT,"Bone marrow imaging, ltd",26,,20 ,,RBRVS,0.55 ,0.19 ,0.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,78102,CPT,"Bone marrow imaging, ltd",TC,,20 ,,RBRVS,0.00 ,3.99 ,3.99 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,78102,CPT,"Bone marrow imaging, ltd",,,20 ,,RBRVS,0.55 ,4.18 ,4.18 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,78103,CPT,"Bone marrow imaging, mult",26,,20 ,,RBRVS,0.75 ,0.26 ,0.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,78103,CPT,"Bone marrow imaging, mult",TC,,20 ,,RBRVS,0.00 ,5.18 ,5.18 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,78103,CPT,"Bone marrow imaging, mult",,,20 ,,RBRVS,0.75 ,5.44 ,5.44 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,78104,CPT,"Bone marrow imaging, body",26,,20 ,,RBRVS,0.80 ,0.29 ,0.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,78104,CPT,"Bone marrow imaging, body",TC,,20 ,,RBRVS,0.00 ,5.94 ,5.94 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,78104,CPT,"Bone marrow imaging, body",,,20 ,,RBRVS,0.80 ,6.23 ,6.23 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,78110,CPT,"Plasma volume, single",26,,20 ,,RBRVS,0.19 ,0.07 ,0.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,78110,CPT,"Plasma volume, single",TC,,20 ,,RBRVS,0.00 ,2.06 ,2.06 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,78110,CPT,"Plasma volume, single",,,20 ,,RBRVS,0.19 ,2.13 ,2.13 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,78111,CPT,"Plasma volume, multiple",26,,20 ,,RBRVS,0.22 ,0.07 ,0.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,78111,CPT,"Plasma volume, multiple",TC,,20 ,,RBRVS,0.00 ,2.07 ,2.07 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,78111,CPT,"Plasma volume, multiple",,,20 ,,RBRVS,0.22 ,2.14 ,2.14 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,78120,CPT,"Red cell mass, single",26,,20 ,,RBRVS,0.23 ,0.08 ,0.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,78120,CPT,"Red cell mass, single",TC,,20 ,,RBRVS,0.00 ,2.02 ,2.02 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,78120,CPT,"Red cell mass, single",,,20 ,,RBRVS,0.23 ,2.10 ,2.10 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,78121,CPT,"Red cell mass, multiple",26,,20 ,,RBRVS,0.32 ,0.10 ,0.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,78121,CPT,"Red cell mass, multiple",TC,,20 ,,RBRVS,0.00 ,2.10 ,2.10 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,78121,CPT,"Red cell mass, multiple",,,20 ,,RBRVS,0.32 ,2.20 ,2.20 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,78122,CPT,Blood volume,26,,20 ,,RBRVS,0.45 ,0.15 ,0.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,78122,CPT,Blood volume,TC,,20 ,,RBRVS,0.00 ,2.10 ,2.10 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,78122,CPT,Blood volume,,,20 ,,RBRVS,0.45 ,2.25 ,2.25 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,78130,CPT,Red cell survival study,26,,20 ,,RBRVS,0.61 ,0.21 ,0.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,78130,CPT,Red cell survival study,TC,,20 ,,RBRVS,0.00 ,3.29 ,3.29 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,78130,CPT,Red cell survival study,,,20 ,,RBRVS,0.61 ,3.50 ,3.50 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,78135,CPT,Red cell survival kinetics,26,,20 ,,RBRVS,0.64 ,0.22 ,0.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,78135,CPT,Red cell survival kinetics,TC,,20 ,,RBRVS,0.00 ,8.46 ,8.46 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,78135,CPT,Red cell survival kinetics,,,20 ,,RBRVS,0.64 ,8.68 ,8.68 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,78140,CPT,Red cell sequestration,26,,20 ,,RBRVS,0.61 ,0.22 ,0.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,78140,CPT,Red cell sequestration,TC,,20 ,,RBRVS,0.00 ,2.73 ,2.73 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,78140,CPT,Red cell sequestration,,,20 ,,RBRVS,0.61 ,2.95 ,2.95 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,78185,CPT,Spleen imaging,26,,20 ,,RBRVS,0.40 ,0.14 ,0.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,78185,CPT,Spleen imaging,TC,,20 ,,RBRVS,0.00 ,5.06 ,5.06 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,78185,CPT,Spleen imaging,,,20 ,,RBRVS,0.40 ,5.20 ,5.20 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,78190,CPT,"Platelet survival, kinetics",26,,20 ,,RBRVS,1.09 ,0.25 ,0.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,78190,CPT,"Platelet survival, kinetics",TC,,20 ,,RBRVS,0.00 ,8.13 ,8.13 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,78190,CPT,"Platelet survival, kinetics",,,20 ,,RBRVS,1.09 ,8.38 ,8.38 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,78191,CPT,Platelet survival,26,,20 ,,RBRVS,0.61 ,0.21 ,0.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,78191,CPT,Platelet survival,TC,,20 ,,RBRVS,0.00 ,3.31 ,3.31 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,78191,CPT,Platelet survival,,,20 ,,RBRVS,0.61 ,3.52 ,3.52 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,78195,CPT,Lymph system imaging,26,,20 ,,RBRVS,1.20 ,0.41 ,0.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,78195,CPT,Lymph system imaging,TC,,20 ,,RBRVS,0.00 ,8.28 ,8.28 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,78195,CPT,Lymph system imaging,,,20 ,,RBRVS,1.20 ,8.69 ,8.69 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,78199,CPT,Blood/lymph nuclear exam,,,20 ,,TotalUnits,,,,3.97 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,78201,CPT,Liver imaging,26,,20 ,,RBRVS,0.44 ,0.13 ,0.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,78201,CPT,Liver imaging,TC,,20 ,,RBRVS,0.00 ,4.47 ,4.47 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,78201,CPT,Liver imaging,,,20 ,,RBRVS,0.44 ,4.60 ,4.60 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,78202,CPT,Liver imaging with flow,26,,20 ,,RBRVS,0.51 ,0.17 ,0.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,78202,CPT,Liver imaging with flow,TC,,20 ,,RBRVS,0.00 ,5.18 ,5.18 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,78202,CPT,Liver imaging with flow,,,20 ,,RBRVS,0.51 ,5.35 ,5.35 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,78205,CPT,Liver imaging (3d),26,,20 ,,RBRVS,0.71 ,0.25 ,0.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,78205,CPT,Liver imaging (3d),TC,,20 ,,RBRVS,0.00 ,5.02 ,5.02 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,78205,CPT,Liver imaging (3d),,,20 ,,RBRVS,0.71 ,5.27 ,5.27 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,78206,CPT,Liver image (3d) with flow,26,,20 ,,RBRVS,0.96 ,0.34 ,0.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,78206,CPT,Liver image (3d) with flow,TC,,20 ,,RBRVS,0.00 ,8.27 ,8.27 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,78206,CPT,Liver image (3d) with flow,,,20 ,,RBRVS,0.96 ,8.61 ,8.61 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,78215,CPT,Liver and spleen imaging,26,,20 ,,RBRVS,0.49 ,0.17 ,0.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,78215,CPT,Liver and spleen imaging,TC,,20 ,,RBRVS,0.00 ,4.65 ,4.65 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,78215,CPT,Liver and spleen imaging,,,20 ,,RBRVS,0.49 ,4.82 ,4.82 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,78216,CPT,Liver & spleen image/flow,26,,20 ,,RBRVS,0.57 ,0.20 ,0.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,78216,CPT,Liver & spleen image/flow,TC,,20 ,,RBRVS,0.00 ,2.66 ,2.66 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,78216,CPT,Liver & spleen image/flow,,,20 ,,RBRVS,0.57 ,2.86 ,2.86 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,78220,CPT,Liver function study,26,,20 ,,RBRVS,0.49 ,0.17 ,0.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,78220,CPT,Liver function study,TC,,20 ,,RBRVS,0.00 ,2.91 ,2.91 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,78220,CPT,Liver function study,,,20 ,,RBRVS,0.49 ,3.08 ,3.08 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,78223,CPT,Hepatobiliary imaging,26,,20 ,,RBRVS,0.84 ,0.29 ,0.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,78223,CPT,Hepatobiliary imaging,TC,,20 ,,RBRVS,0.00 ,8.22 ,8.22 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,78223,CPT,Hepatobiliary imaging,,,20 ,,RBRVS,0.84 ,8.51 ,8.51 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,78230,CPT,Salivary gland imaging,26,,20 ,,RBRVS,0.45 ,0.16 ,0.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,78230,CPT,Salivary gland imaging,TC,,20 ,,RBRVS,0.00 ,4.01 ,4.01 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,78230,CPT,Salivary gland imaging,,,20 ,,RBRVS,0.45 ,4.17 ,4.17 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,78231,CPT,Serial salivary imaging,26,,20 ,,RBRVS,0.52 ,0.17 ,0.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,78231,CPT,Serial salivary imaging,TC,,20 ,,RBRVS,0.00 ,2.64 ,2.64 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,78231,CPT,Serial salivary imaging,,,20 ,,RBRVS,0.52 ,2.81 ,2.81 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,78232,CPT,Salivary gland function exam,26,,20 ,,RBRVS,0.47 ,0.15 ,0.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,78232,CPT,Salivary gland function exam,TC,,20 ,,RBRVS,0.00 ,2.63 ,2.63 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,78232,CPT,Salivary gland function exam,,,20 ,,RBRVS,0.47 ,2.78 ,2.78 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,78258,CPT,Esophageal motility study,26,,20 ,,RBRVS,0.74 ,0.27 ,0.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,78258,CPT,Esophageal motility study,TC,,20 ,,RBRVS,0.00 ,5.25 ,5.25 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,78258,CPT,Esophageal motility study,,,20 ,,RBRVS,0.74 ,5.52 ,5.52 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,78261,CPT,Gastric mucosa imaging,26,,20 ,,RBRVS,0.69 ,0.24 ,0.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,78261,CPT,Gastric mucosa imaging,TC,,20 ,,RBRVS,0.00 ,5.77 ,5.77 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,78261,CPT,Gastric mucosa imaging,,,20 ,,RBRVS,0.69 ,6.01 ,6.01 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,78262,CPT,Gastroesophageal reflux exam,26,,20 ,,RBRVS,0.68 ,0.22 ,0.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,78262,CPT,Gastroesophageal reflux exam,TC,,20 ,,RBRVS,0.00 ,5.74 ,5.74 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,78262,CPT,Gastroesophageal reflux exam,,,20 ,,RBRVS,0.68 ,5.96 ,5.96 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,78264,CPT,Gastric emptying study,26,,20 ,,RBRVS,0.78 ,0.27 ,0.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,78264,CPT,Gastric emptying study,TC,,20 ,,RBRVS,0.00 ,6.89 ,6.89 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,78264,CPT,Gastric emptying study,,,20 ,,RBRVS,0.78 ,7.16 ,7.16 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,78267,CPT,Breath tst attain/anal c-14,,,17 ,,TotalUnits,,,,0.89 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,78268,CPT,"Breath test analysis, c-14",,,17 ,,TotalUnits,,,,2.27 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,78270,CPT,Vit b-12 absorption exam,26,,20 ,,RBRVS,0.20 ,0.07 ,0.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,78270,CPT,Vit b-12 absorption exam,TC,,20 ,,RBRVS,0.00 ,1.88 ,1.88 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,78270,CPT,Vit b-12 absorption exam,,,20 ,,RBRVS,0.20 ,1.95 ,1.95 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,78271,CPT,"Vit b-12 absrp exam, int fac",26,,20 ,,RBRVS,0.20 ,0.05 ,0.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,78271,CPT,"Vit b-12 absrp exam, int fac",TC,,20 ,,RBRVS,0.00 ,1.84 ,1.84 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,78271,CPT,"Vit b-12 absrp exam, int fac",,,20 ,,RBRVS,0.20 ,1.89 ,1.89 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,78272,CPT,"Vit b-12 absorp, combined",26,,20 ,,RBRVS,0.27 ,0.07 ,0.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,78272,CPT,"Vit b-12 absorp, combined",TC,,20 ,,RBRVS,0.00 ,1.99 ,1.99 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,78272,CPT,"Vit b-12 absorp, combined",,,20 ,,RBRVS,0.27 ,2.06 ,2.06 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,78278,CPT,Acute gi blood loss imaging,26,,20 ,,RBRVS,0.99 ,0.35 ,0.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,78278,CPT,Acute gi blood loss imaging,TC,,20 ,,RBRVS,0.00 ,8.26 ,8.26 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,78278,CPT,Acute gi blood loss imaging,,,20 ,,RBRVS,0.99 ,8.61 ,8.61 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,78282,CPT,Gi protein loss exam,26,,20 ,,RBRVS,0.38 ,0.13 ,0.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,78282,CPT,Gi protein loss exam,TC,,20 ,,TotalUnits,,,,3.30 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,78290,CPT,Meckel's divert exam,26,,20 ,,RBRVS,0.68 ,0.24 ,0.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,78290,CPT,Meckel's divert exam,TC,,20 ,,RBRVS,0.00 ,8.28 ,8.28 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,78290,CPT,Meckel's divert exam,,,20 ,,RBRVS,0.68 ,8.52 ,8.52 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,78291,CPT,Leveen/shunt patency exam,26,,20 ,,RBRVS,0.88 ,0.30 ,0.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,78291,CPT,Leveen/shunt patency exam,TC,,20 ,,RBRVS,0.00 ,5.85 ,5.85 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,78291,CPT,Leveen/shunt patency exam,,,20 ,,RBRVS,0.88 ,6.15 ,6.15 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,78299,CPT,Gi nuclear procedure,,,20 ,,TotalUnits,,,,0.74 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,78300,CPT,"Bone imaging, limited area",26,,20 ,,RBRVS,0.62 ,0.22 ,0.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,78300,CPT,"Bone imaging, limited area",TC,,20 ,,RBRVS,0.00 ,4.01 ,4.01 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,78300,CPT,"Bone imaging, limited area",,,20 ,,RBRVS,0.62 ,4.23 ,4.23 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,78305,CPT,"Bone imaging, multiple areas",26,,20 ,,RBRVS,0.83 ,0.28 ,0.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,78305,CPT,"Bone imaging, multiple areas",TC,,20 ,,RBRVS,0.00 ,5.20 ,5.20 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,78305,CPT,"Bone imaging, multiple areas",,,20 ,,RBRVS,0.83 ,5.48 ,5.48 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,78306,CPT,"Bone imaging, whole body",26,,20 ,,RBRVS,0.86 ,0.30 ,0.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,78306,CPT,"Bone imaging, whole body",TC,,20 ,,RBRVS,0.00 ,5.77 ,5.77 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,78306,CPT,"Bone imaging, whole body",,,20 ,,RBRVS,0.86 ,6.07 ,6.07 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,78315,CPT,"Bone imaging, 3 phase",26,,20 ,,RBRVS,1.02 ,0.36 ,0.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,78315,CPT,"Bone imaging, 3 phase",TC,,20 ,,RBRVS,0.00 ,8.24 ,8.24 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,78315,CPT,"Bone imaging, 3 phase",,,20 ,,RBRVS,1.02 ,8.60 ,8.60 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,78320,CPT,Bone imaging (3d),26,,20 ,,RBRVS,1.04 ,0.36 ,0.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,78320,CPT,Bone imaging (3d),TC,,20 ,,RBRVS,0.00 ,4.99 ,4.99 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,78320,CPT,Bone imaging (3d),,,20 ,,RBRVS,1.04 ,5.35 ,5.35 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,78350,CPT,"Bone mineral, single photon",26,,20 ,,RBRVS,0.22 ,0.05 ,0.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,78350,CPT,"Bone mineral, single photon",TC, ,20 ,,RBRVS,0.00 ,0.46 ,0.46 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,78350,CPT,"Bone mineral, single photon",,,20 ,,RBRVS,0.22 ,0.51 ,0.51 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,78351,CPT,"Bone mineral, dual photon",,,20 ,,RBRVS,0.30 ,0.07 ,0.07 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,78399,CPT,Musculoskeletal nuclear exam,,,20 ,,TotalUnits,,,,8.91 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,78414,CPT,Non-imaging heart function,26,,20 ,,RBRVS,0.45 ,0.17 ,0.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,78414,CPT,Non-imaging heart function,TC,,20 ,,TotalUnits,,,,2.22 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,78428,CPT,Cardiac shunt imaging,26,,20 ,,RBRVS,0.78 ,0.36 ,0.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,78428,CPT,Cardiac shunt imaging,TC,,20 ,,RBRVS,0.00 ,4.90 ,4.90 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,78428,CPT,Cardiac shunt imaging,,,20 ,,RBRVS,0.78 ,5.26 ,5.26 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,78445,CPT,Vascular flow imaging,26,,20 ,,RBRVS,0.49 ,0.17 ,0.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,78445,CPT,Vascular flow imaging,TC,,20 ,,RBRVS,0.00 ,4.32 ,4.32 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,78445,CPT,Vascular flow imaging,,,20 ,,RBRVS,0.49 ,4.49 ,4.49 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,78456,CPT,Acute venous thrombus image,26,,20 ,,RBRVS,1.00 ,0.37 ,0.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,78456,CPT,Acute venous thrombus image,TC,,20 ,,RBRVS,0.00 ,8.44 ,8.44 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,78456,CPT,Acute venous thrombus image,,,20 ,,RBRVS,1.00 ,8.81 ,8.81 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,78457,CPT,Venous thrombosis imaging,26,,20 ,,RBRVS,0.77 ,0.25 ,0.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,78457,CPT,Venous thrombosis imaging,TC,,20 ,,RBRVS,0.00 ,4.41 ,4.41 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,78457,CPT,Venous thrombosis imaging,,,20 ,,RBRVS,0.77 ,4.66 ,4.66 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,78458,CPT,"Ven thrombosis images, bilat",26,,20 ,,RBRVS,0.90 ,0.29 ,0.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,78458,CPT,"Ven thrombosis images, bilat",TC,,20 ,,RBRVS,0.00 ,4.22 ,4.22 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,78458,CPT,"Ven thrombosis images, bilat",,,20 ,,RBRVS,0.90 ,4.51 ,4.51 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,78459,CPT,Heart muscle imaging (pet),26,,20 ,,RBRVS,1.50 ,0.61 ,0.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,78459,CPT,Heart muscle imaging (pet),TC,,20 ,,TotalUnits,,,,7.59 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,78460,CPT,"Heart muscle blood, single",26,,20 ,,RBRVS,0.86 ,0.32 ,0.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,78460,CPT,"Heart muscle blood, single",TC,,20 ,,RBRVS,0.00 ,4.34 ,4.34 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,78460,CPT,"Heart muscle blood, single",,,20 ,,RBRVS,0.86 ,4.66 ,4.66 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,78461,CPT,"Heart muscle blood, multiple",26,,20 ,,RBRVS,1.23 ,0.46 ,0.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,78461,CPT,"Heart muscle blood, multiple",TC,,20 ,,RBRVS,0.00 ,3.61 ,3.61 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,78461,CPT,"Heart muscle blood, multiple",,,20 ,,RBRVS,1.23 ,4.07 ,4.07 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,78464,CPT,"Heart image (3d), single",26,,20 ,,RBRVS,1.09 ,0.50 ,0.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,78464,CPT,"Heart image (3d), single",TC,,20 ,,RBRVS,0.00 ,5.36 ,5.36 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,78464,CPT,"Heart image (3d), single",,,20 ,,RBRVS,1.09 ,5.86 ,5.86 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,78465,CPT,"Heart image (3d), multiple",26,,20 ,,RBRVS,1.46 ,0.71 ,0.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,78465,CPT,"Heart image (3d), multiple",TC,,20 ,,RBRVS,0.00 ,10.75 ,10.75 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,78465,CPT,"Heart image (3d), multiple",,,20 ,,RBRVS,1.46 ,11.46 ,11.46 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,78466,CPT,Heart infarct image,26,,20 ,,RBRVS,0.69 ,0.29 ,0.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,78466,CPT,Heart infarct image,TC,,20 ,,RBRVS,0.00 ,4.29 ,4.29 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,78466,CPT,Heart infarct image,,,20 ,,RBRVS,0.69 ,4.58 ,4.58 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,78468,CPT,Heart infarct image (ef),26,,20 ,,RBRVS,0.80 ,0.40 ,0.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,78468,CPT,Heart infarct image (ef),TC,,20 ,,RBRVS,0.00 ,5.48 ,5.48 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,78468,CPT,Heart infarct image (ef),,,20 ,,RBRVS,0.80 ,5.88 ,5.88 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,78469,CPT,Heart infarct image (3d),26,,20 ,,RBRVS,0.92 ,0.44 ,0.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,78469,CPT,Heart infarct image (3d),TC,,20 ,,RBRVS,0.00 ,5.85 ,5.85 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,78469,CPT,Heart infarct image (3d),,,20 ,,RBRVS,0.92 ,6.29 ,6.29 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,78472,CPT,"Gated heart, planar, single",26,,20 ,,RBRVS,0.98 ,0.41 ,0.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,78472,CPT,"Gated heart, planar, single",TC,,20 ,,RBRVS,0.00 ,5.62 ,5.62 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,78472,CPT,"Gated heart, planar, single",,,20 ,,RBRVS,0.98 ,6.03 ,6.03 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,78473,CPT,"Gated heart, multiple",26,,20 ,,RBRVS,1.47 ,0.64 ,0.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,78473,CPT,"Gated heart, multiple",TC,,20 ,,RBRVS,0.00 ,7.12 ,7.12 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,78473,CPT,"Gated heart, multiple",,,20 ,,RBRVS,1.47 ,7.76 ,7.76 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,78478,CPT,Heart wall motion add-on,26,,20 ,,RBRVS,0.50 ,0.24 ,0.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,78478,CPT,Heart wall motion add-on,TC,,20 ,,RBRVS,0.00 ,0.56 ,0.56 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,78478,CPT,Heart wall motion add-on,,,20 ,,RBRVS,0.50 ,0.80 ,0.80 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,78480,CPT,Heart function add-on,26,,20 ,,RBRVS,0.30 ,0.14 ,0.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,78480,CPT,Heart function add-on,TC,,20 ,,RBRVS,0.00 ,0.56 ,0.56 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,78480,CPT,Heart function add-on,,,20 ,,RBRVS,0.30 ,0.70 ,0.70 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,78481,CPT,"Heart first pass, single",26,,20 ,,RBRVS,0.98 ,0.49 ,0.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,78481,CPT,"Heart first pass, single",TC,,20 ,,RBRVS,0.00 ,4.58 ,4.58 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,78481,CPT,"Heart first pass, single",,,20 ,,RBRVS,0.98 ,5.07 ,5.07 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,78483,CPT,"Heart first pass, multiple",26,,20 ,,RBRVS,1.47 ,0.78 ,0.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,78483,CPT,"Heart first pass, multiple",TC,,20 ,,RBRVS,0.00 ,6.09 ,6.09 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,78483,CPT,"Heart first pass, multiple",,,20 ,,RBRVS,1.47 ,6.87 ,6.87 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,78491,CPT,"Heart image (pet), single",26,,20 ,,RBRVS,1.50 ,0.63 ,0.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,78491,CPT,"Heart image (pet), single",TC,,20 ,,TotalUnits,,,,7.72 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,78492,CPT,"Heart image (pet), multiple",26,,20 ,,RBRVS,1.87 ,0.91 ,0.91 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,78492,CPT,"Heart image (pet), multiple",TC,,20 ,,TotalUnits,,,,5.40 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,78494,CPT,"Heart image, spect",26,,20 ,,RBRVS,1.19 ,0.54 ,0.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,78494,CPT,"Heart image, spect",TC,,20 ,,RBRVS,0.00 ,5.69 ,5.69 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,78494,CPT,"Heart image, spect",,,20 ,,RBRVS,1.19 ,6.23 ,6.23 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,78496,CPT,Heart first pass add-on,26,,20 ,,RBRVS,0.50 ,0.23 ,0.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,78496,CPT,Heart first pass add-on,TC,,20 ,,RBRVS,0.00 ,0.65 ,0.65 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,78496,CPT,Heart first pass add-on,,,20 ,,RBRVS,0.50 ,0.88 ,0.88 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,78499,CPT,Cardiovascular nuclear exam,,,20 ,,TotalUnits,,,,4.75 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,78580,CPT,Lung perfusion imaging,26,,20 ,,RBRVS,0.74 ,0.26 ,0.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,78580,CPT,Lung perfusion imaging,TC,,20 ,,RBRVS,0.00 ,4.87 ,4.87 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,78580,CPT,Lung perfusion imaging,,,20 ,,RBRVS,0.74 ,5.13 ,5.13 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,78584,CPT,Lung v/q image single breath,26,,20 ,,RBRVS,0.99 ,0.35 ,0.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,78584,CPT,Lung v/q image single breath,TC,,20 ,,RBRVS,0.00 ,2.67 ,2.67 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,78584,CPT,Lung v/q image single breath,,,20 ,,RBRVS,0.99 ,3.02 ,3.02 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,78585,CPT,Lung v/q imaging,26,,20 ,,RBRVS,1.09 ,0.38 ,0.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,78585,CPT,Lung v/q imaging,TC,,20 ,,RBRVS,0.00 ,8.25 ,8.25 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,78585,CPT,Lung v/q imaging,,,20 ,,RBRVS,1.09 ,8.63 ,8.63 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,78586,CPT,"Aerosol lung image, single",26,,20 ,,RBRVS,0.40 ,0.14 ,0.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,78586,CPT,"Aerosol lung image, single",TC,,20 ,,RBRVS,0.00 ,4.03 ,4.03 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,78586,CPT,"Aerosol lung image, single",,,20 ,,RBRVS,0.40 ,4.17 ,4.17 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,78587,CPT,"Aerosol lung image, multiple",26,,20 ,,RBRVS,0.49 ,0.17 ,0.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,78587,CPT,"Aerosol lung image, multiple",TC,,20 ,,RBRVS,0.00 ,5.27 ,5.27 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,78587,CPT,"Aerosol lung image, multiple",,,20 ,,RBRVS,0.49 ,5.44 ,5.44 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,78588,CPT,Perfusion lung image,26,,20 ,,RBRVS,1.09 ,0.38 ,0.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,78588,CPT,Perfusion lung image,TC,,20 ,,RBRVS,0.00 ,8.28 ,8.28 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,78588,CPT,Perfusion lung image,,,20 ,,RBRVS,1.09 ,8.66 ,8.66 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,78591,CPT,"Vent image, 1 breath, 1 proj",26,,20 ,,RBRVS,0.40 ,0.14 ,0.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,78591,CPT,"Vent image, 1 breath, 1 proj",TC,,20 ,,RBRVS,0.00 ,4.03 ,4.03 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,78591,CPT,"Vent image, 1 breath, 1 proj",,,20 ,,RBRVS,0.40 ,4.17 ,4.17 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,78593,CPT,"Vent image, 1 proj, gas",26,,20 ,,RBRVS,0.49 ,0.17 ,0.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,78593,CPT,"Vent image, 1 proj, gas",TC,,20 ,,RBRVS,0.00 ,4.65 ,4.65 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,78593,CPT,"Vent image, 1 proj, gas",,,20 ,,RBRVS,0.49 ,4.82 ,4.82 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,78594,CPT,"Vent image, mult proj, gas",26,,20 ,,RBRVS,0.53 ,0.18 ,0.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,78594,CPT,"Vent image, mult proj, gas",TC,,20 ,,RBRVS,0.00 ,5.11 ,5.11 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,78594,CPT,"Vent image, mult proj, gas",,,20 ,,RBRVS,0.53 ,5.29 ,5.29 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,78596,CPT,Lung differential function,26,,20 ,,RBRVS,1.27 ,0.39 ,0.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,78596,CPT,Lung differential function,TC,,20 ,,RBRVS,0.00 ,8.29 ,8.29 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,78596,CPT,Lung differential function,,,20 ,,RBRVS,1.27 ,8.68 ,8.68 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,78599,CPT,Respiratory nuclear exam,,,20 ,,TotalUnits,,,,8.12 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,78600,CPT,Brain image < 4 views,26,,20 ,,RBRVS,0.44 ,0.15 ,0.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,78600,CPT,Brain image < 4 views,TC,,20 ,,RBRVS,0.00 ,4.24 ,4.24 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,78600,CPT,Brain image < 4 views,,,20 ,,RBRVS,0.44 ,4.39 ,4.39 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,78601,CPT,Brain image w/flow < 4 views,26,,20 ,,RBRVS,0.51 ,0.18 ,0.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,78601,CPT,Brain image w/flow < 4 views,TC,,20 ,,RBRVS,0.00 ,5.21 ,5.21 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,78601,CPT,Brain image w/flow < 4 views,,,20 ,,RBRVS,0.51 ,5.39 ,5.39 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,78605,CPT,Brain image 4+ views,26,,20 ,,RBRVS,0.53 ,0.19 ,0.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,78605,CPT,Brain image 4+ views,TC,,20 ,,RBRVS,0.00 ,4.66 ,4.66 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,78605,CPT,Brain image 4+ views,,,20 ,,RBRVS,0.53 ,4.85 ,4.85 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,78606,CPT,Brain image w/flow 4 + views,26,,20 ,,RBRVS,0.64 ,0.22 ,0.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,78606,CPT,Brain image w/flow 4 + views,TC,,20 ,,RBRVS,0.00 ,8.32 ,8.32 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,78606,CPT,Brain image w/flow 4 + views,,,20 ,,RBRVS,0.64 ,8.54 ,8.54 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,78607,CPT,Brain imaging (3d),26,,20 ,,RBRVS,1.23 ,0.41 ,0.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,78607,CPT,Brain imaging (3d),TC,,20 ,,RBRVS,0.00 ,8.23 ,8.23 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,78607,CPT,Brain imaging (3d),,,20 ,,RBRVS,1.23 ,8.64 ,8.64 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,78608,CPT,Brain imaging (pet),26,,20 ,,RBRVS,1.50 ,0.49 ,0.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,78608,CPT,Brain imaging (pet),,,20 ,,TotalUnits,,,,12.15 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,78609,CPT,Brain imaging (pet),,,20 ,,RBRVS,1.50 ,0.00 ,0.00 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,78610,CPT,Brain flow imaging only,26,,20 ,,RBRVS,0.30 ,0.10 ,0.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,78610,CPT,Brain flow imaging only,TC,,20 ,,RBRVS,0.00 ,4.36 ,4.36 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,78610,CPT,Brain flow imaging only,,,20 ,,RBRVS,0.30 ,4.46 ,4.46 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,78630,CPT,Cerebrospinal fluid scan,26,,20 ,,RBRVS,0.68 ,0.24 ,0.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,78630,CPT,Cerebrospinal fluid scan,TC,,20 ,,RBRVS,0.00 ,8.42 ,8.42 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,78630,CPT,Cerebrospinal fluid scan,,,20 ,,RBRVS,0.68 ,8.66 ,8.66 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,78635,CPT,Csf ventriculography,26,,20 ,,RBRVS,0.61 ,0.21 ,0.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,78635,CPT,Csf ventriculography,TC,,20 ,,RBRVS,0.00 ,8.59 ,8.59 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,78635,CPT,Csf ventriculography,,,20 ,,RBRVS,0.61 ,8.80 ,8.80 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,78645,CPT,Csf shunt evaluation,26,,20 ,,RBRVS,0.57 ,0.20 ,0.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,78645,CPT,Csf shunt evaluation,TC,,20 ,,RBRVS,0.00 ,8.29 ,8.29 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,78645,CPT,Csf shunt evaluation,,,20 ,,RBRVS,0.57 ,8.49 ,8.49 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,78647,CPT,Cerebrospinal fluid scan,26,,20 ,,RBRVS,0.90 ,0.29 ,0.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,78647,CPT,Cerebrospinal fluid scan,TC,,20 ,,RBRVS,0.00 ,8.24 ,8.24 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,78647,CPT,Cerebrospinal fluid scan,,,20 ,,RBRVS,0.90 ,8.53 ,8.53 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,78650,CPT,Csf leakage imaging,26,,20 ,,RBRVS,0.61 ,0.21 ,0.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,78650,CPT,Csf leakage imaging,TC,,20 ,,RBRVS,0.00 ,8.36 ,8.36 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,78650,CPT,Csf leakage imaging,,,20 ,,RBRVS,0.61 ,8.57 ,8.57 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,78660,CPT,Nuclear exam of tear flow,26,,20 ,,RBRVS,0.53 ,0.19 ,0.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,78660,CPT,Nuclear exam of tear flow,TC,,20 ,,RBRVS,0.00 ,4.07 ,4.07 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,78660,CPT,Nuclear exam of tear flow,,,20 ,,RBRVS,0.53 ,4.26 ,4.26 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,78699,CPT,Nervous system nuclear exam,,,20 ,,TotalUnits,,,,3.50 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,78700,CPT,"Kidney imaging, morphol",26,,20 ,,RBRVS,0.45 ,0.16 ,0.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,78700,CPT,"Kidney imaging, morphol",TC,,20 ,,RBRVS,0.00 ,4.23 ,4.23 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,78700,CPT,"Kidney imaging, morphol",,,20 ,,RBRVS,0.45 ,4.39 ,4.39 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,78701,CPT,Kidney imaging with flow,26,,20 ,,RBRVS,0.49 ,0.17 ,0.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,78701,CPT,Kidney imaging with flow,TC,,20 ,,RBRVS,0.00 ,5.22 ,5.22 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,78701,CPT,Kidney imaging with flow,,,20 ,,RBRVS,0.49 ,5.39 ,5.39 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,78707,CPT,K flow/funct image w/o drug,26,,20 ,,RBRVS,0.96 ,0.34 ,0.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,78707,CPT,K flow/funct image w/o drug,TC,,20 ,,RBRVS,0.00 ,5.15 ,5.15 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,78707,CPT,K flow/funct image w/o drug,,,20 ,,RBRVS,0.96 ,5.49 ,5.49 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,78708,CPT,K flow/funct image w/drug,26,,20 ,,RBRVS,1.21 ,0.43 ,0.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,78708,CPT,K flow/funct image w/drug,TC,,20 ,,RBRVS,0.00 ,3.05 ,3.05 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,78708,CPT,K flow/funct image w/drug,,,20 ,,RBRVS,1.21 ,3.48 ,3.48 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,78709,CPT,"K flow/funct image, multiple",26,,20 ,,RBRVS,1.41 ,0.49 ,0.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,78709,CPT,"K flow/funct image, multiple",TC,,20 ,,RBRVS,0.00 ,8.40 ,8.40 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,78709,CPT,"K flow/funct image, multiple",,,20 ,,RBRVS,1.41 ,8.89 ,8.89 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,78710,CPT,Kidney imaging (3d),26,,20 ,,RBRVS,0.66 ,0.22 ,0.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,78710,CPT,Kidney imaging (3d),TC,,20 ,,RBRVS,0.00 ,5.06 ,5.06 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,78710,CPT,Kidney imaging (3d),,,20 ,,RBRVS,0.66 ,5.28 ,5.28 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,78725,CPT,Kidney function study,26,,20 ,,RBRVS,0.38 ,0.12 ,0.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,78725,CPT,Kidney function study,TC,,20 ,,RBRVS,0.00 ,2.23 ,2.23 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,78725,CPT,Kidney function study,,,20 ,,RBRVS,0.38 ,2.35 ,2.35 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,78730,CPT,Urinary bladder retention,26,,20 ,,RBRVS,0.15 ,0.06 ,0.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,78730,CPT,Urinary bladder retention,TC,,20 ,,RBRVS,0.00 ,1.93 ,1.93 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,78730,CPT,Urinary bladder retention,,,20 ,,RBRVS,0.15 ,1.99 ,1.99 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,78740,CPT,Ureteral reflux study,26,,20 ,,RBRVS,0.57 ,0.19 ,0.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,78740,CPT,Ureteral reflux study,TC,,20 ,,RBRVS,0.00 ,5.46 ,5.46 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,78740,CPT,Ureteral reflux study,,,20 ,,RBRVS,0.57 ,5.65 ,5.65 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,78761,CPT,Testicular imaging w/flow,26,,20 ,,RBRVS,0.71 ,0.25 ,0.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,78761,CPT,Testicular imaging w/flow,TC,,20 ,,RBRVS,0.00 ,4.81 ,4.81 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,78761,CPT,Testicular imaging w/flow,,,20 ,,RBRVS,0.71 ,5.06 ,5.06 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,78799,CPT,Genitourinary nuclear exam,,,20 ,,TotalUnits,,,,8.08 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,78800,CPT,"Tumor imaging, limited area",26,,20 ,,RBRVS,0.66 ,0.21 ,0.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,78800,CPT,"Tumor imaging, limited area",TC,,20 ,,RBRVS,0.00 ,4.13 ,4.13 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,78800,CPT,"Tumor imaging, limited area",,,20 ,,RBRVS,0.66 ,4.34 ,4.34 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,78801,CPT,"Tumor imaging, mult areas",26,,20 ,,RBRVS,0.79 ,0.27 ,0.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,78801,CPT,"Tumor imaging, mult areas",TC,,20 ,,RBRVS,0.00 ,5.79 ,5.79 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,78801,CPT,"Tumor imaging, mult areas",,,20 ,,RBRVS,0.79 ,6.06 ,6.06 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,78802,CPT,"Tumor imaging, whole body",26,,20 ,,RBRVS,0.86 ,0.30 ,0.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,78802,CPT,"Tumor imaging, whole body",TC,,20 ,,RBRVS,0.00 ,7.85 ,7.85 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,78802,CPT,"Tumor imaging, whole body",,,20 ,,RBRVS,0.86 ,8.15 ,8.15 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,78803,CPT,Tumor imaging (3d),26,,20 ,,RBRVS,1.09 ,0.37 ,0.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,78803,CPT,Tumor imaging (3d),TC,,20 ,,RBRVS,0.00 ,8.17 ,8.17 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,78803,CPT,Tumor imaging (3d),,,20 ,,RBRVS,1.09 ,8.54 ,8.54 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,78804,CPT,"Tumor imaging, whole body",26,,20 ,,RBRVS,1.07 ,0.37 ,0.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,78804,CPT,"Tumor imaging, whole body",TC,,20 ,,RBRVS,0.00 ,14.48 ,14.48 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,78804,CPT,"Tumor imaging, whole body",,,20 ,,RBRVS,1.07 ,14.85 ,14.85 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,78805,CPT,"Abscess imaging, ltd area",26,,20 ,,RBRVS,0.73 ,0.25 ,0.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,78805,CPT,"Abscess imaging, ltd area",TC,,20 ,,RBRVS,0.00 ,3.98 ,3.98 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,78805,CPT,"Abscess imaging, ltd area",,,20 ,,RBRVS,0.73 ,4.23 ,4.23 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,78806,CPT,"Abscess imaging, whole body",26,,20 ,,RBRVS,0.86 ,0.30 ,0.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,78806,CPT,"Abscess imaging, whole body",TC,,20 ,,RBRVS,0.00 ,8.06 ,8.06 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,78806,CPT,"Abscess imaging, whole body",,,20 ,,RBRVS,0.86 ,8.36 ,8.36 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,78807,CPT,Nuclear localization/abscess,26,,20 ,,RBRVS,1.09 ,0.37 ,0.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,78807,CPT,Nuclear localization/abscess,TC,,20 ,,RBRVS,0.00 ,8.15 ,8.15 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,78807,CPT,Nuclear localization/abscess,,,20 ,,RBRVS,1.09 ,8.52 ,8.52 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,78808,CPT,Iv inj ra drug dx study,,,20 ,,RBRVS,0.18 ,1.01 ,1.01 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,78811,CPT,"Pet image, ltd area",26,,20 ,,RBRVS,1.54 ,0.54 ,0.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,78812,CPT,"Pet image, skull-thigh",26,,20 ,,RBRVS,1.93 ,0.67 ,0.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,78813,CPT,"Pet image, full body",26,,20 ,,RBRVS,2.00 ,0.68 ,0.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,78814,CPT,"Pet image w/ct, lmtd",26,,20 ,,RBRVS,2.20 ,0.74 ,0.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,78815,CPT,"Pet image w/ct, skull-thigh",26,,20 ,,RBRVS,2.44 ,0.84 ,0.84 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,78816,CPT,"Pet image w/ct, full body",26,,20 ,,RBRVS,2.50 ,0.85 ,0.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,78999,CPT,Nuclear diagnostic exam,,,20 ,,TotalUnits,,,,3.49 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,79005,CPT,"Nuclear rx, oral admin",26,,20 ,,RBRVS,1.80 ,0.58 ,0.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,79005,CPT,"Nuclear rx, oral admin",TC,,20 ,,RBRVS,0.00 ,1.27 ,1.27 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,79005,CPT,"Nuclear rx, oral admin",,,20 ,,RBRVS,1.80 ,1.85 ,1.85 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,79101,CPT,"Nuclear rx, iv admin",26,,20 ,,RBRVS,1.96 ,0.74 ,0.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,79101,CPT,"Nuclear rx, iv admin",TC,,20 ,,RBRVS,0.00 ,1.43 ,1.43 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,79101,CPT,"Nuclear rx, iv admin",,,20 ,,RBRVS,1.96 ,2.17 ,2.17 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,79200,CPT,"Nuclear rx, intracav admin",26,,20 ,,RBRVS,1.99 ,0.65 ,0.65 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,79200,CPT,"Nuclear rx, intracav admin",TC,,20 ,,RBRVS,0.00 ,1.57 ,1.57 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,79200,CPT,"Nuclear rx, intracav admin",,,20 ,,RBRVS,1.99 ,2.22 ,2.22 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,79300,CPT,"Nuclr rx, interstit colloid",26,,20 ,,RBRVS,1.60 ,0.54 ,0.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,79300,CPT,"Nuclr rx, interstit colloid",TC,,20 ,,TotalUnits,,,,4.05 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,79403,CPT,Hematopoietic nuclear tx,26,,20 ,,RBRVS,2.25 ,0.75 ,0.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,79403,CPT,Hematopoietic nuclear tx,TC,,20 ,,RBRVS,0.00 ,2.17 ,2.17 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,79403,CPT,Hematopoietic nuclear tx,,,20 ,,RBRVS,2.25 ,2.92 ,2.92 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,79440,CPT,"Nuclear rx, intra-articular",26,,20 ,,RBRVS,1.99 ,0.68 ,0.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,79440,CPT,"Nuclear rx, intra-articular",TC,,20 ,,RBRVS,0.00 ,1.16 ,1.16 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,79440,CPT,"Nuclear rx, intra-articular",,,20 ,,RBRVS,1.99 ,1.84 ,1.84 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,79445,CPT,"Nuclear rx, intra-arterial",26,,20 ,,RBRVS,2.40 ,0.85 ,0.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,79999,CPT,Nuclear medicine therapy,,,20 ,,TotalUnits,,,,6.40 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,80047,CPT,Metabolic panel ionized ca,,,17 ,,TotalUnits,,,,0.49 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,80048,CPT,Metabolic panel total ca,,,17 ,,TotalUnits,,,,0.76 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,80050,CPT,General health panel,,,17 ,,TotalUnits,,,,1.33 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,80051,CPT,Electrolyte panel,,,17 ,,TotalUnits,,,,0.55 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,80053,CPT,Comprehen metabolic panel,,,17 ,,TotalUnits,,,,0.83 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,80055,CPT,Obstetric panel,,,17 ,,TotalUnits,,,,1.96 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,80061,CPT,Lipid panel,,,17 ,,TotalUnits,,,,0.81 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,80069,CPT,Renal function panel,,,17 ,,TotalUnits,,,,0.76 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,80074,CPT,Acute hepatitis panel,,,17 ,,TotalUnits,,,,2.43 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,80076,CPT,Hepatic function panel,,,17 ,,TotalUnits,,,,0.69 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,80100,CPT,"Drug screen, qualitate/multi",,,17 ,,TotalUnits,,,,1.07 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,80101,CPT,"Drug screen, single",,,17 ,,TotalUnits,,,,1.39 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,80102,CPT,Drug confirmation,,,17 ,,TotalUnits,,,,0.80 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,80103,CPT,"Drug analysis, tissue prep",,,17 ,,TotalUnits,,,,0.77 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,80150,CPT,Assay of amikacin,,,17 ,,TotalUnits,,,,0.79 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,80152,CPT,Assay of amitriptyline,,,17 ,,TotalUnits,,,,0.94 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,80154,CPT,Assay of benzodiazepines,,,17 ,,TotalUnits,,,,0.61 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,80156,CPT,"Assay, carbamazepine, total",,,17 ,,TotalUnits,,,,0.95 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,80157,CPT,"Assay, carbamazepine, free",,,17 ,,TotalUnits,,,,0.71 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,80158,CPT,Assay of cyclosporine,,,17 ,,TotalUnits,,,,1.38 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,80160,CPT,Assay of desipramine,,,17 ,,TotalUnits,,,,1.01 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,80162,CPT,Assay of digoxin,,,17 ,,TotalUnits,,,,0.79 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,80164,CPT,"Assay, dipropylacetic acid",,,17 ,,TotalUnits,,,,0.89 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,80166,CPT,Assay of doxepin,,,17 ,,TotalUnits,,,,0.91 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,80168,CPT,Assay of ethosuximide,,,17 ,,TotalUnits,,,,0.93 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,80170,CPT,Assay of gentamicin,,,17 ,,TotalUnits,,,,0.99 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,80172,CPT,Assay of gold,,,17 ,,TotalUnits,,,,0.96 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,80173,CPT,Assay of haloperidol,,,17 ,,TotalUnits,,,,0.86 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,80174,CPT,Assay of imipramine,,,17 ,,TotalUnits,,,,0.97 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,80176,CPT,Assay of lidocaine,,,17 ,,TotalUnits,,,,0.49 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,80178,CPT,Assay of lithium,,,17 ,,TotalUnits,,,,0.51 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,80182,CPT,Assay of nortriptyline,,,17 ,,TotalUnits,,,,0.82 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,80184,CPT,Assay of phenobarbital,,,17 ,,TotalUnits,,,,0.82 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,80185,CPT,"Assay of phenytoin, total",,,17 ,,TotalUnits,,,,0.85 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,80186,CPT,"Assay of phenytoin, free",,,17 ,,TotalUnits,,,,0.80 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,80188,CPT,Assay of primidone,,,17 ,,TotalUnits,,,,0.91 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,80190,CPT,Assay of procainamide,,,17 ,,TotalUnits,,,,0.99 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,80192,CPT,Assay of procainamide,,,17 ,,TotalUnits,,,,0.99 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,80194,CPT,Assay of quinidine,,,17 ,,TotalUnits,,,,0.86 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,80195,CPT,Assay of sirolimus,,,17 ,,TotalUnits,,,,1.21 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,80196,CPT,Assay of salicylate,,,17 ,,TotalUnits,,,,0.75 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,80197,CPT,Assay of tacrolimus,,,17 ,,TotalUnits,,,,1.34 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,80198,CPT,Assay of theophylline,,,17 ,,TotalUnits,,,,0.84 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,80200,CPT,Assay of tobramycin,,,17 ,,TotalUnits,,,,0.81 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,80201,CPT,Assay of topiramate,,,17 ,,TotalUnits,,,,0.87 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,80202,CPT,Assay of vancomycin,,,17 ,,TotalUnits,,,,1.05 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,80299,CPT,"Quantitative assay, drug",,,17 ,,TotalUnits,,,,1.10 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,80400,CPT,Acth stimulation panel,,,17 ,,TotalUnits,,,,1.70 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,80402,CPT,Acth stimulation panel,,,17 ,,TotalUnits,,,,5.12 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,80406,CPT,Acth stimulation panel,,,17 ,,TotalUnits,,,,4.61 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,80408,CPT,Aldosterone suppression eval,,,17 ,,TotalUnits,,,,7.39 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,80410,CPT,Calcitonin stimul panel,,,17 ,,TotalUnits,,,,4.73 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,80412,CPT,Crh stimulation panel,,,17 ,,TotalUnits,,,,19.41 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,80414,CPT,Testosterone response,,,17 ,,TotalUnits,,,,1.24 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,80415,CPT,Estradiol response panel,,,17 ,,TotalUnits,,,,1.27 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,80416,CPT,Renin stimulation panel,,,17 ,,TotalUnits,,,,7.77 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,80417,CPT,Renin stimulation panel,,,17 ,,TotalUnits,,,,2.59 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,80418,CPT,Pituitary evaluation panel,,,17 ,,TotalUnits,,,,34.13 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,80420,CPT,Dexamethasone panel,,,17 ,,TotalUnits,,,,4.24 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,80422,CPT,Glucagon tolerance panel,,,17 ,,TotalUnits,,,,2.71 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,80424,CPT,Glucagon tolerance panel,,,17 ,,TotalUnits,,,,0.58 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,80426,CPT,Gonadotropin hormone panel,,,17 ,,TotalUnits,,,,8.74 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,80428,CPT,Growth hormone panel,,,17 ,,TotalUnits,,,,3.93 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,80430,CPT,Growth hormone panel,,,17 ,,TotalUnits,,,,4.62 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,80432,CPT,Insulin suppression panel,,,17 ,,TotalUnits,,,,7.95 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,80434,CPT,Insulin tolerance panel,,,17 ,,TotalUnits,,,,5.96 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,80435,CPT,Insulin tolerance panel,,,17 ,,TotalUnits,,,,6.06 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,80436,CPT,Metyrapone panel,,,17 ,,TotalUnits,,,,5.37 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,80438,CPT,Trh stimulation panel,,,17 ,,TotalUnits,,,,1.65 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,80439,CPT,Trh stimulation panel,,,17 ,,TotalUnits,,,,3.96 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,80440,CPT,Trh stimulation panel,,,17 ,,TotalUnits,,,,3.42 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,80500,CPT,Lab pathology consultation,,,17 ,,RBRVS,0.37 ,0.11 ,0.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,80502,CPT,Lab pathology consultation,,,17 ,,RBRVS,1.33 ,0.25 ,0.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,81000,CPT,"Urinalysis, nonauto w/scope",,,17 ,,TotalUnits,,,,0.20 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,81001,CPT,"Urinalysis, auto w/scope",,,17 ,,TotalUnits,,,,0.34 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,81002,CPT,Urinalysis nonauto w/o scope,,,17 ,,TotalUnits,,,,0.15 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,81003,CPT,"Urinalysis, auto, w/o scope",,,17 ,,TotalUnits,,,,0.27 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,81005,CPT,Urinalysis,,,17 ,,TotalUnits,,,,0.18 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,81007,CPT,Urine screen for bacteria,,,17 ,,TotalUnits,,,,0.21 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,81015,CPT,Microscopic exam of urine,,,17 ,,TotalUnits,,,,0.20 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,81020,CPT,"Urinalysis, glass test",,,17 ,,TotalUnits,,,,0.20 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,81025,CPT,Urine pregnancy test,,,17 ,,TotalUnits,,,,0.51 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,81050,CPT,"Urinalysis, volume measure",,,17 ,,TotalUnits,,,,0.20 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,81099,CPT,Urinalysis test procedure,,,17 ,,TotalUnits,,,,0.33 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,82000,CPT,Assay of blood acetaldehyde,,,17 ,,TotalUnits,,,,0.73 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,82003,CPT,Assay of acetaminophen,,,17 ,,TotalUnits,,,,1.20 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,82009,CPT,Test for acetone/ketones,,,17 ,,TotalUnits,,,,0.41 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,82010,CPT,Acetone assay,,,17 ,,TotalUnits,,,,0.44 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,82013,CPT,Acetylcholinesterase assay,,,17 ,,TotalUnits,,,,0.59 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,82016,CPT,"Acylcarnitines, qual",,,17 ,,TotalUnits,,,,0.82 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,82017,CPT,"Acylcarnitines, quant",,,17 ,,TotalUnits,,,,1.00 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,82024,CPT,Assay of acth,,,17 ,,TotalUnits,,,,1.86 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,82030,CPT,Assay of adp & amp,,,17 ,,TotalUnits,,,,1.42 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,82040,CPT,Assay of serum albumin,,,17 ,,TotalUnits,,,,0.21 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,82042,CPT,Assay of urine albumin,,,17 ,,TotalUnits,,,,0.31 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,82043,CPT,"Microalbumin, quantitative",,,17 ,,TotalUnits,,,,0.67 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,82044,CPT,"Microalbumin, semiquant",,,17 ,,TotalUnits,,,,0.29 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,82045,CPT,"Albumin, ischemia modified",,,17 ,,TotalUnits,,,,2.00 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,82055,CPT,Assay of ethanol,,,17 ,,TotalUnits,,,,0.82 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,82075,CPT,Assay of breath ethanol,,,17 ,,TotalUnits,,,,0.31 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,82085,CPT,Assay of aldolase,,,17 ,,TotalUnits,,,,0.62 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,82088,CPT,Assay of aldosterone,,,17 ,,TotalUnits,,,,1.71 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,82101,CPT,Assay of urine alkaloids,,,17 ,,TotalUnits,,,,0.71 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,82103,CPT,"Alpha-1-antitrypsin, total",,,17 ,,TotalUnits,,,,0.86 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,82104,CPT,"Alpha-1-antitrypsin, pheno",,,17 ,,TotalUnits,,,,1.19 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,82105,CPT,"Alpha-fetoprotein, serum",,,17 ,,TotalUnits,,,,0.99 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,82106,CPT,"Alpha-fetoprotein, amniotic",,,17 ,,TotalUnits,,,,0.73 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,82107,CPT,Alpha-fetoprotein l3,,,17 ,,TotalUnits,,,,1.15 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,82108,CPT,Assay of aluminum,,,17 ,,TotalUnits,,,,1.40 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,82120,CPT,"Amines, vaginal fluid qual",,,17 ,,TotalUnits,,,,0.22 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,82127,CPT,"Amino acid, single qual",,,17 ,,TotalUnits,,,,0.50 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,82128,CPT,"Amino acids, mult qual",,,17 ,,TotalUnits,,,,0.82 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,82131,CPT,"Amino acids, single quant",,,17 ,,TotalUnits,,,,1.82 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,82135,CPT,"Assay, aminolevulinic acid",,,17 ,,TotalUnits,,,,0.97 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,82136,CPT,"Amino acids, quant, 2-5",,,17 ,,TotalUnits,,,,1.84 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,82139,CPT,"Amino acids, quan, 6 or more",,,17 ,,TotalUnits,,,,2.38 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,82140,CPT,Assay of ammonia,,,17 ,,TotalUnits,,,,0.78 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,82143,CPT,Amniotic fluid scan,,,17 ,,TotalUnits,,,,0.41 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,82145,CPT,Assay of amphetamines,,,17 ,,TotalUnits,,,,0.42 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,82150,CPT,Assay of amylase,,,17 ,,TotalUnits,,,,0.57 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,82154,CPT,Androstanediol glucuronide,,,17 ,,TotalUnits,,,,1.35 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,82157,CPT,Assay of androstenedione,,,17 ,,TotalUnits,,,,1.25 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,82160,CPT,Assay of androsterone,,,17 ,,TotalUnits,,,,1.47 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,82163,CPT,Assay of angiotensin ii,,,17 ,,TotalUnits,,,,1.21 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,82164,CPT,Angiotensin i enzyme test,,,17 ,,TotalUnits,,,,1.01 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,82172,CPT,Assay of apolipoprotein,,,17 ,,TotalUnits,,,,0.81 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,82175,CPT,Assay of arsenic,,,17 ,,TotalUnits,,,,1.10 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,82180,CPT,Assay of ascorbic acid,,,17 ,,TotalUnits,,,,0.65 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,82190,CPT,Atomic absorption,,,17 ,,TotalUnits,,,,0.88 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,82205,CPT,Assay of barbiturates,,,17 ,,TotalUnits,,,,0.36 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,82232,CPT,Assay of beta-2 protein,,,17 ,,TotalUnits,,,,1.07 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,82239,CPT,"Bile acids, total",,,17 ,,TotalUnits,,,,0.68 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,82240,CPT,"Bile acids, cholylglycine",,,17 ,,TotalUnits,,,,1.56 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,82247,CPT,"Bilirubin, total",,,17 ,,TotalUnits,,,,0.22 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,82248,CPT,"Bilirubin, direct",,,17 ,,TotalUnits,,,,0.22 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,82252,CPT,Fecal bilirubin test,,,17 ,,TotalUnits,,,,0.27 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,82261,CPT,Assay of biotinidase,,,17 ,,TotalUnits,,,,0.21 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,82270,CPT,"Occult blood, feces",,,17 ,,TotalUnits,,,,0.21 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,82271,CPT,"Occult blood, other sources",,,17 ,,TotalUnits,,,,0.21 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,82272,CPT,"Occult bld feces, 1-3 tests",,,17 ,,TotalUnits,,,,0.21 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,82274,CPT,"Assay test for blood, fecal",,,17 ,,TotalUnits,,,,0.56 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,82286,CPT,Assay of bradykinin,,,17 ,,TotalUnits,,,,0.41 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,82300,CPT,Assay of cadmium,,,17 ,,TotalUnits,,,,1.19 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,82306,CPT,Assay of vitamin d,,,17 ,,TotalUnits,,,,1.86 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,82307,CPT,Assay of vitamin d,,,17 ,,TotalUnits,,,,1.34 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,82308,CPT,Assay of calcitonin,,,17 ,,TotalUnits,,,,1.80 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,82310,CPT,Assay of calcium,,,17 ,,TotalUnits,,,,0.28 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,82330,CPT,Assay of calcium,,,17 ,,TotalUnits,,,,0.82 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,82331,CPT,Calcium infusion test,,,17 ,,TotalUnits,,,,0.53 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,82340,CPT,Assay of calcium in urine,,,17 ,,TotalUnits,,,,0.42 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,82355,CPT,"Calculus analysis, qual",,,17 ,,TotalUnits,,,,0.67 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,82360,CPT,"Calculus assay, quant",,,17 ,,TotalUnits,,,,0.97 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,82365,CPT,Calculus spectroscopy,,,17 ,,TotalUnits,,,,0.85 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,82370,CPT,"X-ray assay, calculus",,,17 ,,TotalUnits,,,,0.81 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,82373,CPT,"Assay, c-d transfer measure",,,17 ,,TotalUnits,,,,1.06 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,82374,CPT,"Assay, blood carbon dioxide",,,17 ,,TotalUnits,,,,0.24 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,82375,CPT,"Assay, carboxyhb, quant",,,17 ,,TotalUnits,,,,0.74 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,82376,CPT,"Assay, carboxyhb, qual",,,17 ,,TotalUnits,,,,0.35 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,82378,CPT,Carcinoembryonic antigen,,,17 ,,TotalUnits,,,,1.18 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,82379,CPT,Assay of carnitine,,,17 ,,TotalUnits,,,,1.27 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,82380,CPT,Assay of carotene,,,17 ,,TotalUnits,,,,0.66 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,82382,CPT,"Assay, urine catecholamines",,,17 ,,TotalUnits,,,,1.15 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,82383,CPT,"Assay, blood catecholamines",,,17 ,,TotalUnits,,,,1.48 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,82384,CPT,"Assay, three catecholamines",,,17 ,,TotalUnits,,,,1.65 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,82387,CPT,Assay of cathepsin-d,,,17 ,,TotalUnits,,,,1.23 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,82390,CPT,Assay of ceruloplasmin,,,17 ,,TotalUnits,,,,0.80 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,82397,CPT,Chemiluminescent assay,,,17 ,,TotalUnits,,,,0.80 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,82415,CPT,Assay of chloramphenicol,,,17 ,,TotalUnits,,,,0.75 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,82435,CPT,Assay of blood chloride,,,17 ,,TotalUnits,,,,0.23 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,82436,CPT,Assay of urine chloride,,,17 ,,TotalUnits,,,,0.31 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,82438,CPT,"Assay, other fluid chlorides",,,17 ,,TotalUnits,,,,0.40 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,82441,CPT,Test for chlorohydrocarbons,,,17 ,,TotalUnits,,,,0.35 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,82465,CPT,"Assay, bld/serum cholesterol",,,17 ,,TotalUnits,,,,0.25 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,82480,CPT,"Assay, serum cholinesterase",,,17 ,,TotalUnits,,,,0.61 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,82482,CPT,"Assay, rbc cholinesterase",,,17 ,,TotalUnits,,,,0.45 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,82485,CPT,"Assay, chondroitin sulfate",,,17 ,,TotalUnits,,,,1.22 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,82486,CPT,Gas/liquid chromatography,,,17 ,,TotalUnits,,,,0.57 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,82487,CPT,Paper chromatography,,,17 ,,TotalUnits,,,,0.94 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,82488,CPT,Paper chromatography,,,17 ,,TotalUnits,,,,1.26 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,82489,CPT,Thin layer chromatography,,,17 ,,TotalUnits,,,,1.09 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,82491,CPT,"Chromotography, quant, sing",,,17 ,,TotalUnits,,,,1.26 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,82492,CPT,"Chromotography, quant, mult",,,17 ,,TotalUnits,,,,1.09 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,82495,CPT,Assay of chromium,,,17 ,,TotalUnits,,,,1.20 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,82507,CPT,Assay of citrate,,,17 ,,TotalUnits,,,,1.44 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,82520,CPT,Assay of cocaine,,,17 ,,TotalUnits,,,,0.53 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,82523,CPT,Collagen crosslinks,,,17 ,,TotalUnits,,,,1.15 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,82525,CPT,Assay of copper,,,17 ,,TotalUnits,,,,0.82 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,82528,CPT,Assay of corticosterone,,,17 ,,TotalUnits,,,,1.33 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,82530,CPT,"Cortisol, free",,,17 ,,TotalUnits,,,,1.05 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,82533,CPT,Total cortisol,,,17 ,,TotalUnits,,,,1.13 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,82540,CPT,Assay of creatine,,,17 ,,TotalUnits,,,,0.34 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,82541,CPT,"Column chromotography, qual",,,17 ,,TotalUnits,,,,0.68 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,82542,CPT,"Column chromotography, quant",,,17 ,,TotalUnits,,,,0.92 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,82543,CPT,Column chromotograph/isotope,,,17 ,,TotalUnits,,,,0.80 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,82544,CPT,Column chromotograph/isotope,,,17 ,,TotalUnits,,,,1.78 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,82550,CPT,Assay of ck (cpk),,,17 ,,TotalUnits,,,,0.47 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,82552,CPT,Assay of cpk in blood,,,17 ,,TotalUnits,,,,0.98 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,82553,CPT,"Creatine, mb fraction",,,17 ,,TotalUnits,,,,0.91 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,82554,CPT,"Creatine, isoforms",,,17 ,,TotalUnits,,,,0.70 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,82565,CPT,Assay of creatinine,,,17 ,,TotalUnits,,,,0.28 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,82570,CPT,Assay of urine creatinine,,,17 ,,TotalUnits,,,,0.39 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,82575,CPT,Creatinine clearance test,,,17 ,,TotalUnits,,,,0.76 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,82585,CPT,Assay of cryofibrinogen,,,17 ,,TotalUnits,,,,0.57 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,82595,CPT,Assay of cryoglobulin,,,17 ,,TotalUnits,,,,0.56 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,82600,CPT,Assay of cyanide,,,17 ,,TotalUnits,,,,1.14 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,82607,CPT,Vitamin b-12,,,17 ,,TotalUnits,,,,0.93 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,82608,CPT,B-12 binding capacity,,,17 ,,TotalUnits,,,,1.07 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,82610,CPT,Cystatin c,,,17 ,,TotalUnits,,,,0.80 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,82615,CPT,Test for urine cystines,,,17 ,,TotalUnits,,,,0.77 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,82626,CPT,Dehydroepiandrosterone,,,17 ,,TotalUnits,,,,1.33 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,82627,CPT,Dehydroepiandrosterone,,,17 ,,TotalUnits,,,,1.25 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,82633,CPT,Desoxycorticosterone,,,17 ,,TotalUnits,,,,1.82 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,82634,CPT,Deoxycortisol,,,17 ,,TotalUnits,,,,1.41 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,82638,CPT,Assay of dibucaine number,,,17 ,,TotalUnits,,,,0.72 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,82646,CPT,Assay of dihydrocodeinone,,,17 ,,TotalUnits,,,,1.22 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,82649,CPT,Assay of dihydromorphinone,,,17 ,,TotalUnits,,,,1.51 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,82651,CPT,Assay of dihydrotestosterone,,,17 ,,TotalUnits,,,,1.23 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,82652,CPT,Assay of dihydroxyvitamin d,,,17 ,,TotalUnits,,,,1.94 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,82654,CPT,Assay of dimethadione,,,17 ,,TotalUnits,,,,0.82 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,82656,CPT,"Pancreatic elastase, fecal",,,17 ,,TotalUnits,,,,0.68 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,82657,CPT,Enzyme cell activity,,,17 ,,TotalUnits,,,,1.06 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,82658,CPT,"Enzyme cell activity, ra",,,17 ,,TotalUnits,,,,1.06 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,82664,CPT,Electrophoretic test,,,17 ,,TotalUnits,,,,1.63 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,82666,CPT,Assay of epiandrosterone,,,17 ,,TotalUnits,,,,1.26 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,82668,CPT,Assay of erythropoietin,,,17 ,,TotalUnits,,,,1.34 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,82670,CPT,Assay of estradiol,,,17 ,,TotalUnits,,,,1.17 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,82671,CPT,Assay of estrogens,,,17 ,,TotalUnits,,,,1.65 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,82672,CPT,Assay of estrogen,,,17 ,,TotalUnits,,,,1.29 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,82677,CPT,Assay of estriol,,,17 ,,TotalUnits,,,,0.88 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,82679,CPT,Assay of estrone,,,17 ,,TotalUnits,,,,1.21 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,82690,CPT,Assay of ethchlorvynol,,,17 ,,TotalUnits,,,,1.02 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,82693,CPT,Assay of ethylene glycol,,,17 ,,TotalUnits,,,,0.88 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,82696,CPT,Assay of etiocholanolone,,,17 ,,TotalUnits,,,,1.39 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,82705,CPT,"Fats/lipids, feces, qual",,,17 ,,TotalUnits,,,,0.56 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,82710,CPT,"Fats/lipids, feces, quant",,,17 ,,TotalUnits,,,,1.10 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,82715,CPT,Assay of fecal fat,,,17 ,,TotalUnits,,,,0.43 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,82725,CPT,Assay of blood fatty acids,,,17 ,,TotalUnits,,,,0.42 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,82726,CPT,Long chain fatty acids,,,17 ,,TotalUnits,,,,1.06 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,82728,CPT,Assay of ferritin,,,17 ,,TotalUnits,,,,0.79 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,82731,CPT,Assay of fetal fibronectin,,,17 ,,TotalUnits,,,,1.29 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,82735,CPT,Assay of fluoride,,,17 ,,TotalUnits,,,,1.09 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,82742,CPT,Assay of flurazepam,,,17 ,,TotalUnits,,,,1.17 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,82746,CPT,Blood folic acid serum,,,17 ,,TotalUnits,,,,0.84 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,82747,CPT,"Assay of folic acid, rbc",,,17 ,,TotalUnits,,,,1.07 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,82757,CPT,Assay of semen fructose,,,17 ,,TotalUnits,,,,1.02 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,82759,CPT,Assay of rbc galactokinase,,,17 ,,TotalUnits,,,,1.26 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,82760,CPT,Assay of galactose,,,17 ,,TotalUnits,,,,0.44 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,82775,CPT,Assay galactose transferase,,,17 ,,TotalUnits,,,,0.59 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,82776,CPT,Galactose transferase test,,,17 ,,TotalUnits,,,,0.26 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,82784,CPT,Assay of gammaglobulin igm,,,17 ,,TotalUnits,,,,1.05 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,82785,CPT,Assay of gammaglobulin ige,,,17 ,,TotalUnits,,,,0.84 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,82787,CPT,"Igg 1, 2, 3 or 4, each",,,17 ,,TotalUnits,,,,2.00 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,82800,CPT,Blood ph,,,17 ,,TotalUnits,,,,0.35 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,82803,CPT,"Blood gases: ph, po2 & pco2",,,17 ,,TotalUnits,,,,1.34 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,82805,CPT,Blood gases w/02 saturation,,,17 ,,TotalUnits,,,,1.55 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,82810,CPT,"Blood gases, o2 sat only",,,17 ,,TotalUnits,,,,0.89 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,82820,CPT,Hemoglobin-oxygen affinity,,,17 ,,TotalUnits,,,,0.59 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,82926,CPT,Assay of gastric acid,,,17 ,,TotalUnits,,,,0.32 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,82928,CPT,Assay of gastric acid,,,17 ,,TotalUnits,,,,0.39 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,82938,CPT,Gastrin test,,,17 ,,TotalUnits,,,,1.04 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,82941,CPT,Assay of gastrin,,,17 ,,TotalUnits,,,,1.00 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,82943,CPT,Assay of glucagon,,,17 ,,TotalUnits,,,,1.19 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,82945,CPT,Glucose other fluid,,,17 ,,TotalUnits,,,,0.69 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,82946,CPT,Glucagon tolerance test,,,17 ,,TotalUnits,,,,0.64 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,82947,CPT,"Assay, glucose, blood quant",,,17 ,,TotalUnits,,,,0.26 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,82948,CPT,Reagent strip/blood glucose,,,17 ,,TotalUnits,,,,0.20 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,82950,CPT,Glucose test,,,17 ,,TotalUnits,,,,0.34 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,82951,CPT,Glucose tolerance test (gtt),,,17 ,,TotalUnits,,,,0.78 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,82952,CPT,Gtt-added samples,,,17 ,,TotalUnits,,,,0.32 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,82953,CPT,Glucose-tolbutamide test,,,17 ,,TotalUnits,,,,0.89 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,82955,CPT,Assay of g6pd enzyme,,,17 ,,TotalUnits,,,,0.65 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,82960,CPT,Test for g6pd enzyme,,,17 ,,TotalUnits,,,,0.36 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,82962,CPT,Glucose blood test,,,17 ,,TotalUnits,,,,0.17 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,82963,CPT,Assay of glucosidase,,,17 ,,TotalUnits,,,,1.26 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,82965,CPT,Assay of gdh enzyme,,,17 ,,TotalUnits,,,,0.46 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,82975,CPT,Assay of glutamine,,,17 ,,TotalUnits,,,,0.93 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,82977,CPT,Assay of ggt,,,17 ,,TotalUnits,,,,0.28 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,82978,CPT,Assay of glutathione,,,17 ,,TotalUnits,,,,0.65 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,82979,CPT,"Assay, rbc glutathione",,,17 ,,TotalUnits,,,,0.41 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,82980,CPT,Assay of glutethimide,,,17 ,,TotalUnits,,,,0.64 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,82985,CPT,Glycated protein,,,17 ,,TotalUnits,,,,0.46 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,83001,CPT,Gonadotropin (fsh),,,17 ,,TotalUnits,,,,1.02 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,83002,CPT,Gonadotropin (lh),,,17 ,,TotalUnits,,,,1.02 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,83003,CPT,"Assay, growth hormone (hgh)",,,17 ,,TotalUnits,,,,0.95 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,83008,CPT,Assay of guanosine,,,17 ,,TotalUnits,,,,0.99 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,83009,CPT,"H pylori (c-13), blood",,,17 ,,TotalUnits,,,,3.97 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,83010,CPT,"Assay of haptoglobin, quant",,,17 ,,TotalUnits,,,,0.89 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,83012,CPT,Assay of haptoglobins,,,17 ,,TotalUnits,,,,1.01 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,83013,CPT,"H pylori (c-13), breath",,,17 ,,TotalUnits,,,,1.90 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,83014,CPT,H pylori drug admin,,,17 ,,TotalUnits,,,,0.50 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,83015,CPT,Heavy metal screen,,,17 ,,TotalUnits,,,,1.51 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,83018,CPT,"Quantitative screen, metals",,,17 ,,TotalUnits,,,,1.57 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,83020,CPT,Hemoglobin electrophoresis,26,,17 ,,RBRVS,0.37 ,0.12 ,0.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,83020,CPT,Hemoglobin electrophoresis,,,17 ,,TotalUnits,,,,0.85 ,,$0.00,$0.00,1,0,0,0,0,1,20091001,,83021,CPT,Hemoglobin chromotography,,,17 ,,TotalUnits,,,,1.04 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,83026,CPT,"Hemoglobin, copper sulfate",,,17 ,,TotalUnits,,,,0.13 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,83030,CPT,"Fetal hemoglobin, chemical",,,17 ,,TotalUnits,,,,0.49 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,83033,CPT,"Fetal hemoglobin assay, qual",,,17 ,,TotalUnits,,,,0.35 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,83036,CPT,Glycosylated hemoglobin test,,,17 ,,TotalUnits,,,,0.61 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,83037,CPT,"Glycosylated hb, home device",,,17 ,,TotalUnits,,,,0.43 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,83045,CPT,Blood methemoglobin test,,,17 ,,TotalUnits,,,,0.28 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,83050,CPT,Blood methemoglobin assay,,,17 ,,TotalUnits,,,,0.39 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,83051,CPT,Assay of plasma hemoglobin,,,17 ,,TotalUnits,,,,0.34 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,83055,CPT,Blood sulfhemoglobin test,,,17 ,,TotalUnits,,,,0.29 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,83060,CPT,Blood sulfhemoglobin assay,,,17 ,,TotalUnits,,,,0.49 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,83065,CPT,Assay of hemoglobin heat,,,17 ,,TotalUnits,,,,0.41 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,83068,CPT,Hemoglobin stability screen,,,17 ,,TotalUnits,,,,0.50 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,83069,CPT,Assay of urine hemoglobin,,,17 ,,TotalUnits,,,,0.23 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,83070,CPT,"Assay of hemosiderin, qual",,,17 ,,TotalUnits,,,,0.28 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,83071,CPT,"Assay of hemosiderin, quant",,,17 ,,TotalUnits,,,,0.41 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,83080,CPT,Assay of b hexosaminidase,,,17 ,,TotalUnits,,,,0.90 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,83088,CPT,Assay of histamine,,,17 ,,TotalUnits,,,,1.20 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,83090,CPT,Assay of homocystine,,,17 ,,TotalUnits,,,,1.24 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,83150,CPT,Assay of for hva,,,17 ,,TotalUnits,,,,1.00 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,83491,CPT,Assay of corticosteroids,,,17 ,,TotalUnits,,,,1.32 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,83497,CPT,Assay of 5-hiaa,,,17 ,,TotalUnits,,,,1.01 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,83498,CPT,Assay of progesterone,,,17 ,,TotalUnits,,,,1.50 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,83499,CPT,Assay of progesterone,,,17 ,,TotalUnits,,,,1.48 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,83500,CPT,"Assay, free hydroxyproline",,,17 ,,TotalUnits,,,,1.33 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,83505,CPT,"Assay, total hydroxyproline",,,17 ,,TotalUnits,,,,1.43 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,83516,CPT,"Immunoassay, nonantibody",,,17 ,,TotalUnits,,,,1.04 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,83518,CPT,"Immunoassay, dipstick",,,17 ,,TotalUnits,,,,0.39 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,83519,CPT,"Immunoassay, nonantibody",,,17 ,,TotalUnits,,,,1.46 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,83520,CPT,"Immunoassay, ria",,,17 ,,TotalUnits,,,,1.21 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,83525,CPT,Assay of insulin,,,17 ,,TotalUnits,,,,0.80 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,83527,CPT,Assay of insulin,,,17 ,,TotalUnits,,,,1.05 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,83528,CPT,Assay of intrinsic factor,,,17 ,,TotalUnits,,,,0.94 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,83540,CPT,Assay of iron,,,17 ,,TotalUnits,,,,0.31 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,83550,CPT,Iron binding test,,,17 ,,TotalUnits,,,,0.43 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,83570,CPT,Assay of idh enzyme,,,17 ,,TotalUnits,,,,0.52 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,83582,CPT,Assay of ketogenic steroids,,,17 ,,TotalUnits,,,,0.83 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,83586,CPT,Assay 17- ketosteroids,,,17 ,,TotalUnits,,,,0.94 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,83593,CPT,"Fractionation, ketosteroids",,,17 ,,TotalUnits,,,,1.55 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,83605,CPT,Assay of lactic acid,,,17 ,,TotalUnits,,,,0.81 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,83615,CPT,Lactate (ld) (ldh) enzyme,,,17 ,,TotalUnits,,,,0.29 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,83625,CPT,Assay of ldh enzymes,,,17 ,,TotalUnits,,,,0.88 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,83630,CPT,"Lactoferrin, fecal (qual)",,,17 ,,TotalUnits,,,,0.68 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,83631,CPT,"Lactoferrin, fecal (quant)",,,17 ,,TotalUnits,,,,1.16 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,83632,CPT,Placental lactogen,,,17 ,,TotalUnits,,,,1.19 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,83633,CPT,Test urine for lactose,,,17 ,,TotalUnits,,,,0.32 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,83634,CPT,Assay of urine for lactose,,,17 ,,TotalUnits,,,,0.68 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,83655,CPT,Assay of lead,,,17 ,,TotalUnits,,,,0.64 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,83661,CPT,"L/s ratio, fetal lung",,,17 ,,TotalUnits,,,,2.02 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,83662,CPT,"Foam stability, fetal lung",,,17 ,,TotalUnits,,,,1.11 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,83663,CPT,"Fluoro polarize, fetal lung",,,17 ,,TotalUnits,,,,1.11 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,83664,CPT,"Lamellar bdy, fetal lung",,,17 ,,TotalUnits,,,,1.11 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,83670,CPT,Assay of lap enzyme,,,17 ,,TotalUnits,,,,0.54 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,83690,CPT,Assay of lipase,,,17 ,,TotalUnits,,,,0.70 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,83695,CPT,Assay of lipoprotein(a),,,17 ,,TotalUnits,,,,0.77 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,83698,CPT,Assay lipoprotein pla2,,,17 ,,TotalUnits,,,,1.18 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,83700,CPT,"Lipopro bld, electrophoretic",,,17 ,,TotalUnits,,,,0.60 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,83701,CPT,"Lipoprotein bld, hr fraction",,,17 ,,TotalUnits,,,,1.21 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,83704,CPT,"Lipoprotein, bld, by nmr",,,17 ,,TotalUnits,,,,1.09 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,83718,CPT,Assay of lipoprotein,,,17 ,,TotalUnits,,,,0.38 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,83719,CPT,Assay of blood lipoprotein,,,17 ,,TotalUnits,,,,0.38 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,83721,CPT,Assay of blood lipoprotein,,,17 ,,TotalUnits,,,,0.44 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,83727,CPT,Assay of lrh hormone,,,17 ,,TotalUnits,,,,1.27 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,83735,CPT,Assay of magnesium,,,17 ,,TotalUnits,,,,0.42 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,83775,CPT,Assay of md enzyme,,,17 ,,TotalUnits,,,,0.43 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,83785,CPT,Assay of manganese,,,17 ,,TotalUnits,,,,1.15 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,83788,CPT,Mass spectrometry qual,,,17 ,,TotalUnits,,,,1.06 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,83789,CPT,Mass spectrometry quant,,,17 ,,TotalUnits,,,,1.06 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,83805,CPT,Assay of meprobamate,,,17 ,,TotalUnits,,,,0.64 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,83825,CPT,Assay of mercury,,,17 ,,TotalUnits,,,,0.94 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,83835,CPT,Assay of metanephrines,,,17 ,,TotalUnits,,,,1.54 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,83840,CPT,Assay of methadone,,,17 ,,TotalUnits,,,,0.44 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,83857,CPT,Assay of methemalbumin,,,17 ,,TotalUnits,,,,0.63 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,83858,CPT,Assay of methsuximide,,,17 ,,TotalUnits,,,,0.87 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,83864,CPT,Mucopolysaccharides,,,17 ,,TotalUnits,,,,1.17 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,83866,CPT,Mucopolysaccharides screen,,,17 ,,TotalUnits,,,,0.58 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,83872,CPT,Assay synovial fluid mucin,,,17 ,,TotalUnits,,,,0.31 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,83873,CPT,Assay of csf protein,,,17 ,,TotalUnits,,,,1.08 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,83874,CPT,Assay of myoglobin,,,17 ,,TotalUnits,,,,1.03 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,83880,CPT,Natriuretic peptide,,,17 ,,TotalUnits,,,,1.39 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,83883,CPT,"Assay, nephelometry not spec",,,17 ,,TotalUnits,,,,1.13 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,83885,CPT,Assay of nickel,,,17 ,,TotalUnits,,,,0.96 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,83887,CPT,Assay of nicotine,,,17 ,,TotalUnits,,,,0.68 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,83890,CPT,Molecule isolate,,,17 ,,TotalUnits,,,,0.68 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,83891,CPT,Molecule isolate nucleic,,,17 ,,TotalUnits,,,,0.40 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,83892,CPT,Molecular diagnostics,,,17 ,,TotalUnits,,,,0.45 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,83893,CPT,Molecule dot/slot/blot,,,17 ,,TotalUnits,,,,0.25 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,83894,CPT,Molecule gel electrophor,,,17 ,,TotalUnits,,,,0.64 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,83896,CPT,Molecular diagnostics,,,17 ,,TotalUnits,,,,0.85 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,83897,CPT,Molecule nucleic transfer,,,17 ,,TotalUnits,,,,0.28 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,83898,CPT,"Molecule nucleic ampli, each",,,17 ,,TotalUnits,,,,2.48 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,83900,CPT,Molecule nucleic ampli 2 seq,,,17 ,,TotalUnits,,,,1.28 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,83901,CPT,Molecule nucleic ampli addon,,,17 ,,TotalUnits,,,,0.92 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,83902,CPT,Molecular diagnostics,,,17 ,,TotalUnits,,,,1.07 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,83903,CPT,Molecule mutation scan,,,17 ,,TotalUnits,,,,0.93 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,83904,CPT,Molecule mutation identify,,,17 ,,TotalUnits,,,,5.53 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,83905,CPT,Molecule mutation identify,,,17 ,,TotalUnits,,,,0.99 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,83906,CPT,Molecule mutation identify,,,17 ,,TotalUnits,,,,0.99 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,83907,CPT,Lyse cells for nucleic ext,,,17 ,,TotalUnits,,,,0.47 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,83908,CPT,"Nucleic acid, signal ampli",,,17 ,,TotalUnits,,,,1.07 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,83909,CPT,"Nucleic acid, high resolute",,,17 ,,TotalUnits,,,,1.08 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,83912,CPT,Genetic examination,26,,17 ,,RBRVS,0.37 ,0.11 ,0.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,83913,CPT,"Molecular, rna stabilization",,,17 ,,TotalUnits,,,,1.15 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,83914,CPT,Mutation ident ola/sbce/aspe,,,17 ,,TotalUnits,,,,0.43 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,83915,CPT,Assay of nucleotidase,,,17 ,,TotalUnits,,,,0.62 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,83916,CPT,Oligoclonal bands,,,17 ,,TotalUnits,,,,1.07 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,83918,CPT,"Organic acids, total, quant",,,17 ,,TotalUnits,,,,1.50 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,83919,CPT,"Organic acids, qual, each",,,17 ,,TotalUnits,,,,1.08 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,83921,CPT,"Organic acid,  single, quant",,,17 ,,TotalUnits,,,,1.34 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,83925,CPT,Assay of opiates,,,17 ,,TotalUnits,,,,0.76 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,83930,CPT,Assay of blood osmolality,,,17 ,,TotalUnits,,,,0.48 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,83935,CPT,Assay of urine osmolality,,,17 ,,TotalUnits,,,,0.57 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,83937,CPT,Assay of osteocalcin,,,17 ,,TotalUnits,,,,1.51 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,83945,CPT,Assay of oxalate,,,17 ,,TotalUnits,,,,0.69 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,83950,CPT,"Oncoprotein, her-2/neu",,,17 ,,TotalUnits,,,,3.79 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,83970,CPT,Assay of parathormone,,,17 ,,TotalUnits,,,,1.81 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,83986,CPT,Assay of body fluid acidity,,,17 ,,TotalUnits,,,,0.16 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,83992,CPT,Assay for phencyclidine,,,17 ,,TotalUnits,,,,0.44 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,83993,CPT,Assay for calprotectin fecal,,,17 ,,TotalUnits,,,,1.16 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,84022,CPT,Assay of phenothiazine,,,17 ,,TotalUnits,,,,0.92 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,84030,CPT,Assay of blood pku,,,17 ,,TotalUnits,,,,0.22 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,84035,CPT,Assay of phenylketones,,,17 ,,TotalUnits,,,,0.20 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,84060,CPT,Assay acid phosphatase,,,17 ,,TotalUnits,,,,0.58 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,84061,CPT,"Phosphatase, forensic exam",,,17 ,,TotalUnits,,,,0.47 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,84066,CPT,Assay prostate phosphatase,,,17 ,,TotalUnits,,,,0.57 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,84075,CPT,Assay alkaline phosphatase,,,17 ,,TotalUnits,,,,0.23 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,84078,CPT,Assay alkaline phosphatase,,,17 ,,TotalUnits,,,,0.53 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,84080,CPT,Assay alkaline phosphatases,,,17 ,,TotalUnits,,,,0.84 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,84081,CPT,Amniotic fluid enzyme test,,,17 ,,TotalUnits,,,,1.26 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,84085,CPT,Assay of rbc pg6d enzyme,,,17 ,,TotalUnits,,,,0.40 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,84087,CPT,Assay phosphohexose enzymes,,,17 ,,TotalUnits,,,,0.61 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,84100,CPT,Assay of phosphorus,,,17 ,,TotalUnits,,,,0.25 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,84105,CPT,Assay of urine phosphorus,,,17 ,,TotalUnits,,,,0.33 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,84106,CPT,Test for porphobilinogen,,,17 ,,TotalUnits,,,,0.25 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,84110,CPT,Assay of porphobilinogen,,,17 ,,TotalUnits,,,,0.52 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,84119,CPT,Test urine for porphyrins,,,17 ,,TotalUnits,,,,0.51 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,84120,CPT,Assay of urine porphyrins,,,17 ,,TotalUnits,,,,0.97 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,84126,CPT,Assay of feces porphyrins,,,17 ,,TotalUnits,,,,1.50 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,84127,CPT,Assay of feces porphyrins,,,17 ,,TotalUnits,,,,0.69 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,84132,CPT,Assay of serum potassium,,,17 ,,TotalUnits,,,,0.26 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,84133,CPT,Assay of urine potassium,,,17 ,,TotalUnits,,,,0.34 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,84134,CPT,Assay of prealbumin,,,17 ,,TotalUnits,,,,0.72 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,84135,CPT,Assay of pregnanediol,,,17 ,,TotalUnits,,,,0.82 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,84138,CPT,Assay of pregnanetriol,,,17 ,,TotalUnits,,,,1.12 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,84140,CPT,Assay of pregnenolone,,,17 ,,TotalUnits,,,,1.21 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,84143,CPT,Assay of 17-hydroxypregneno,,,17 ,,TotalUnits,,,,1.26 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,84144,CPT,Assay of progesterone,,,17 ,,TotalUnits,,,,0.96 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,84146,CPT,Assay of prolactin,,,17 ,,TotalUnits,,,,1.12 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,84150,CPT,Assay of prostaglandin,,,17 ,,TotalUnits,,,,0.73 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,84152,CPT,"Assay of psa, complexed",,,17 ,,TotalUnits,,,,0.81 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,84153,CPT,"Assay of psa, total",,,17 ,,TotalUnits,,,,0.97 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,84154,CPT,"Assay of psa, free",,,17 ,,TotalUnits,,,,0.91 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,84155,CPT,"Assay of protein, serum",,,17 ,,TotalUnits,,,,0.23 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,84156,CPT,"Assay of protein, urine",,,17 ,,TotalUnits,,,,0.35 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,84157,CPT,"Assay of protein, other",,,17 ,,TotalUnits,,,,0.44 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,84160,CPT,"Assay of protein, any source",,,17 ,,TotalUnits,,,,0.19 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,84163,CPT,"Pappa, serum",,,17 ,,TotalUnits,,,,0.89 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,84165,CPT,"Protein e-phoresis, serum",26,,17 ,,RBRVS,0.37 ,0.12 ,0.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,84165,CPT,"Protein e-phoresis, serum",,,17 ,,TotalUnits,,,,0.76 ,,$0.00,$0.00,1,0,0,0,0,1,20091001,,84166,CPT,Protein e-phoresis/urine/csf,26,,17 ,,RBRVS,0.37 ,0.12 ,0.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,84166,CPT,Protein e-phoresis/urine/csf,TC,,17 ,,TotalUnits,,,,0.75 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,84166,CPT,Protein e-phoresis/urine/csf,,,17 ,,TotalUnits,,,,0.95 ,,$0.00,$0.00,1,0,0,0,0,1,20091001,,84181,CPT,Western blot test,26,,17 ,,RBRVS,0.37 ,0.12 ,0.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,84181,CPT,Western blot test,,,17 ,,TotalUnits,,,,1.03 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,84182,CPT,"Protein, western blot test",26,,17 ,,RBRVS,0.37 ,0.12 ,0.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,84182,CPT,"Protein, western blot test",,,17 ,,TotalUnits,,,,1.77 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,84202,CPT,Assay rbc protoporphyrin,,,17 ,,TotalUnits,,,,0.71 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,84203,CPT,Test rbc protoporphyrin,,,17 ,,TotalUnits,,,,0.26 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,84206,CPT,Assay of proinsulin,,,17 ,,TotalUnits,,,,1.44 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,84207,CPT,Assay of vitamin b-6,,,17 ,,TotalUnits,,,,1.35 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,84210,CPT,Assay of pyruvate,,,17 ,,TotalUnits,,,,0.68 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,84220,CPT,Assay of pyruvate kinase,,,17 ,,TotalUnits,,,,0.56 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,84228,CPT,Assay of quinine,,,17 ,,TotalUnits,,,,0.69 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,84233,CPT,Assay of estrogen,,,17 ,,TotalUnits,,,,3.79 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,84234,CPT,Assay of progesterone,,,17 ,,TotalUnits,,,,3.82 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,84235,CPT,Assay of endocrine hormone,,,17 ,,TotalUnits,,,,1.42 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,84238,CPT,"Assay, nonendocrine receptor",,,17 ,,TotalUnits,,,,2.04 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,84244,CPT,Assay of renin,,,17 ,,TotalUnits,,,,1.32 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,84252,CPT,Assay of vitamin b-2,,,17 ,,TotalUnits,,,,0.66 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,84255,CPT,Assay of selenium,,,17 ,,TotalUnits,,,,0.86 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,84260,CPT,Assay of serotonin,,,17 ,,TotalUnits,,,,1.45 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,84270,CPT,Assay of sex hormone globul,,,17 ,,TotalUnits,,,,1.01 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,84275,CPT,Assay of sialic acid,,,17 ,,TotalUnits,,,,0.79 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,84285,CPT,Assay of silica,,,17 ,,TotalUnits,,,,1.42 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,84295,CPT,Assay of serum sodium,,,17 ,,TotalUnits,,,,0.22 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,84300,CPT,Assay of urine sodium,,,17 ,,TotalUnits,,,,0.34 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,84302,CPT,Assay of sweat sodium,,,17 ,,TotalUnits,,,,0.22 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,84305,CPT,Assay of somatomedin,,,17 ,,TotalUnits,,,,1.63 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,84307,CPT,Assay of somatostatin,,,17 ,,TotalUnits,,,,1.08 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,84311,CPT,Spectrophotometry,,,17 ,,TotalUnits,,,,0.28 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,84315,CPT,Body fluid specific gravity,,,17 ,,TotalUnits,,,,0.15 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,84375,CPT,"Chromatogram assay, sugars",,,17 ,,TotalUnits,,,,1.15 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,84376,CPT,"Sugars, single, qual",,,17 ,,TotalUnits,,,,0.32 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,84377,CPT,"Sugars, multiple, qual",,,17 ,,TotalUnits,,,,0.32 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,84378,CPT,"Sugars, single, quant",,,17 ,,TotalUnits,,,,0.68 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,84379,CPT,Sugars multiple quant,,,17 ,,TotalUnits,,,,0.68 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,84392,CPT,Assay of urine sulfate,,,17 ,,TotalUnits,,,,0.23 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,84402,CPT,Assay of testosterone,,,17 ,,TotalUnits,,,,1.42 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,84403,CPT,Assay of total testosterone,,,17 ,,TotalUnits,,,,1.26 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,84425,CPT,Assay of vitamin b-1,,,17 ,,TotalUnits,,,,1.12 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,84430,CPT,Assay of thiocyanate,,,17 ,,TotalUnits,,,,0.69 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,84432,CPT,Assay of thyroglobulin,,,17 ,,TotalUnits,,,,1.06 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,84436,CPT,Assay of total thyroxine,,,17 ,,TotalUnits,,,,0.43 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,84437,CPT,Assay of neonatal thyroxine,,,17 ,,TotalUnits,,,,0.35 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,84439,CPT,Assay of free thyroxine,,,17 ,,TotalUnits,,,,0.78 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,84442,CPT,Assay of thyroid activity,,,17 ,,TotalUnits,,,,0.62 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,84443,CPT,Assay thyroid stim hormone,,,17 ,,TotalUnits,,,,0.96 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,84445,CPT,Assay of tsi,,,17 ,,TotalUnits,,,,3.16 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,84446,CPT,Assay of vitamin e,,,17 ,,TotalUnits,,,,0.87 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,84449,CPT,Assay of transcortin,,,17 ,,TotalUnits,,,,1.28 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,84450,CPT,Transferase (ast) (sgot),,,17 ,,TotalUnits,,,,0.27 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,84460,CPT,Alanine amino (alt) (sgpt),,,17 ,,TotalUnits,,,,0.28 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,84466,CPT,Assay of transferrin,,,17 ,,TotalUnits,,,,0.77 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,84478,CPT,Assay of triglycerides,,,17 ,,TotalUnits,,,,0.27 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,84479,CPT,Assay of thyroid (t3 or t4),,,17 ,,TotalUnits,,,,0.41 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,84480,CPT,"Assay, triiodothyronine (t3)",,,17 ,,TotalUnits,,,,0.94 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,84481,CPT,Free assay (ft-3),,,17 ,,TotalUnits,,,,1.32 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,84482,CPT,T3 reverse,,,17 ,,TotalUnits,,,,1.25 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,84484,CPT,"Assay of troponin, quant",,,17 ,,TotalUnits,,,,1.41 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,84485,CPT,Assay duodenal fluid trypsin,,,17 ,,TotalUnits,,,,0.44 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,84488,CPT,Test feces for trypsin,,,17 ,,TotalUnits,,,,0.43 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,84490,CPT,Assay of feces for trypsin,,,17 ,,TotalUnits,,,,0.28 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,84510,CPT,Assay of tyrosine,,,17 ,,TotalUnits,,,,0.61 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,84512,CPT,"Assay of troponin, qual",,,17 ,,TotalUnits,,,,1.12 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,84520,CPT,Assay of urea nitrogen,,,17 ,,TotalUnits,,,,0.27 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,84525,CPT,Urea nitrogen semi-quant,,,17 ,,TotalUnits,,,,0.22 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,84540,CPT,Assay of urine/urea-n,,,17 ,,TotalUnits,,,,0.35 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,84545,CPT,Urea-n clearance test,,,17 ,,TotalUnits,,,,0.47 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,84550,CPT,Assay of blood/uric acid,,,17 ,,TotalUnits,,,,0.28 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,84560,CPT,Assay of urine/uric acid,,,17 ,,TotalUnits,,,,0.38 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,84577,CPT,Assay of feces/urobilinogen,,,17 ,,TotalUnits,,,,0.73 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,84578,CPT,Test urine urobilinogen,,,17 ,,TotalUnits,,,,0.19 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,84580,CPT,Assay of urine urobilinogen,,,17 ,,TotalUnits,,,,0.42 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,84583,CPT,Assay of urine urobilinogen,,,17 ,,TotalUnits,,,,0.30 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,84585,CPT,Assay of urine vma,,,17 ,,TotalUnits,,,,1.09 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,84586,CPT,Assay of vip,,,17 ,,TotalUnits,,,,1.97 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,84588,CPT,Assay of vasopressin,,,17 ,,TotalUnits,,,,2.03 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,84590,CPT,Assay of vitamin a,,,17 ,,TotalUnits,,,,0.89 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,84591,CPT,Assay of nos vitamin,,,17 ,,TotalUnits,,,,0.94 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,84597,CPT,Assay of vitamin k,,,17 ,,TotalUnits,,,,1.46 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,84600,CPT,Assay of volatiles,,,17 ,,TotalUnits,,,,0.80 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,84620,CPT,Xylose tolerance test,,,17 ,,TotalUnits,,,,0.70 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,84630,CPT,Assay of zinc,,,17 ,,TotalUnits,,,,0.78 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,84681,CPT,Assay of c-peptide,,,17 ,,TotalUnits,,,,1.24 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,84702,CPT,Chorionic gonadotropin test,,,17 ,,TotalUnits,,,,1.03 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,84703,CPT,Chorionic gonadotropin assay,,,17 ,,TotalUnits,,,,0.73 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,84704,CPT,"Hcg, free betachain test",,,17 ,,TotalUnits,,,,0.71 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,84830,CPT,Ovulation tests,,,17 ,,TotalUnits,,,,0.42 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,84999,CPT,Clinical chemistry test,,,17 ,,TotalUnits,,,,7.40 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,85002,CPT,Bleeding time test,,,17 ,,TotalUnits,,,,0.55 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,85004,CPT,Automated diff wbc count,,,17 ,,TotalUnits,,,,0.24 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,85007,CPT,Bl smear w/diff wbc count,,,17 ,,TotalUnits,,,,0.27 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,85008,CPT,Bl smear w/o diff wbc count,,,17 ,,TotalUnits,,,,0.17 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,85009,CPT,Manual diff wbc count b-coat,,,17 ,,TotalUnits,,,,0.24 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,85013,CPT,Spun microhematocrit,,,17 ,,TotalUnits,,,,0.16 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,85014,CPT,Hematocrit,,,17 ,,TotalUnits,,,,0.21 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,85018,CPT,Hemoglobin,,,17 ,,TotalUnits,,,,0.21 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,85025,CPT,Complete cbc w/auto diff wbc,,,17 ,,TotalUnits,,,,0.43 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,85027,CPT,"Complete cbc, automated",,,17 ,,TotalUnits,,,,0.42 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,85032,CPT,"Manual cell count, each",,,17 ,,TotalUnits,,,,0.34 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,85041,CPT,Automated rbc count,,,17 ,,TotalUnits,,,,0.18 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,85044,CPT,Manual reticulocyte count,,,17 ,,TotalUnits,,,,0.30 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,85045,CPT,Automated reticulocyte count,,,17 ,,TotalUnits,,,,0.34 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,85046,CPT,Reticyte/hgb concentrate,,,17 ,,TotalUnits,,,,0.36 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,85048,CPT,Automated leukocyte count,,,17 ,,TotalUnits,,,,0.22 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,85049,CPT,Automated platelet count,,,17 ,,TotalUnits,,,,0.31 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,85055,CPT,Reticulated platelet assay,,,17 ,,TotalUnits,,,,1.58 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,85060,CPT,Blood smear interpretation,,,17 ,,RBRVS,0.45 ,0.14 ,0.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,85097,CPT,Bone marrow interpretation,,,17 ,,RBRVS,0.94 ,0.27 ,1.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,85130,CPT,Chromogenic substrate assay,,,17 ,,TotalUnits,,,,0.90 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,85170,CPT,Blood clot retraction,,,17 ,,TotalUnits,,,,0.21 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,85175,CPT,Blood clot lysis time,,,17 ,,TotalUnits,,,,0.27 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,85210,CPT,Blood clot factor ii test,,,17 ,,TotalUnits,,,,0.54 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,85220,CPT,Blood clot factor v test,,,17 ,,TotalUnits,,,,1.38 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,85230,CPT,Blood clot factor vii test,,,17 ,,TotalUnits,,,,1.34 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,85240,CPT,Blood clot factor viii test,,,17 ,,TotalUnits,,,,1.65 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,85244,CPT,Blood clot factor viii test,,,17 ,,TotalUnits,,,,1.20 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,85245,CPT,Blood clot factor viii test,,,17 ,,TotalUnits,,,,1.21 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,85246,CPT,Blood clot factor viii test,,,17 ,,TotalUnits,,,,1.78 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,85247,CPT,Blood clot factor viii test,,,17 ,,TotalUnits,,,,1.75 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,85250,CPT,Blood clot factor ix test,,,17 ,,TotalUnits,,,,1.43 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,85260,CPT,Blood clot factor x test,,,17 ,,TotalUnits,,,,1.47 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,85270,CPT,Blood clot factor xi test,,,17 ,,TotalUnits,,,,1.41 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,85280,CPT,Blood clot factor xii test,,,17 ,,TotalUnits,,,,1.38 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,85290,CPT,Blood clot factor xiii test,,,17 ,,TotalUnits,,,,0.96 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,85291,CPT,Blood clot factor xiii test,,,17 ,,TotalUnits,,,,0.52 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,85292,CPT,Blood clot factor assay,,,17 ,,TotalUnits,,,,1.12 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,85293,CPT,Blood clot factor assay,,,17 ,,TotalUnits,,,,1.12 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,85300,CPT,Antithrombin iii test,,,17 ,,TotalUnits,,,,1.43 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,85301,CPT,Antithrombin iii test,,,17 ,,TotalUnits,,,,1.26 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,85302,CPT,Blood clot inhibitor antigen,,,17 ,,TotalUnits,,,,1.33 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,85303,CPT,Blood clot inhibitor test,,,17 ,,TotalUnits,,,,1.56 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,85305,CPT,Blood clot inhibitor assay,,,17 ,,TotalUnits,,,,1.50 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,85306,CPT,Blood clot inhibitor test,,,17 ,,TotalUnits,,,,1.69 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,85307,CPT,Assay activated protein c,,,17 ,,TotalUnits,,,,1.25 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,85335,CPT,Factor inhibitor test,,,17 ,,TotalUnits,,,,0.82 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,85337,CPT,Thrombomodulin,,,17 ,,TotalUnits,,,,0.61 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,85345,CPT,Coagulation time,,,17 ,,TotalUnits,,,,0.25 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,85347,CPT,Coagulation time,,,17 ,,TotalUnits,,,,0.61 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,85348,CPT,Coagulation time,,,17 ,,TotalUnits,,,,0.22 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,85360,CPT,Euglobulin lysis,,,17 ,,TotalUnits,,,,0.49 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,85362,CPT,Fibrin degradation products,,,17 ,,TotalUnits,,,,0.45 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,85366,CPT,Fibrinogen test,,,17 ,,TotalUnits,,,,0.51 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,85370,CPT,Fibrinogen test,,,17 ,,TotalUnits,,,,0.59 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,85378,CPT,"Fibrin degrade, semiquant",,,17 ,,TotalUnits,,,,0.82 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,85379,CPT,"Fibrin degradation, quant",,,17 ,,TotalUnits,,,,1.01 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,85380,CPT,"Fibrin degradation, vte",,,17 ,,TotalUnits,,,,0.94 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,85384,CPT,Fibrinogen,,,17 ,,TotalUnits,,,,0.57 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,85385,CPT,Fibrinogen,,,17 ,,TotalUnits,,,,0.70 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,85390,CPT,Fibrinolysins screen,26,,17 ,,RBRVS,0.37 ,0.13 ,0.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,85390,CPT,Fibrinolysins screen,,,17 ,,TotalUnits,,,,0.49 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,85396,CPT,"Clotting assay, whole blood",,,17 ,,RBRVS,0.37 ,0.10 ,0.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,85400,CPT,Fibrinolytic plasmin,,,17 ,,TotalUnits,,,,0.52 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,85410,CPT,Fibrinolytic antiplasmin,,,17 ,,TotalUnits,,,,0.45 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,85415,CPT,Fibrinolytic plasminogen,,,17 ,,TotalUnits,,,,1.03 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,85420,CPT,Fibrinolytic plasminogen,,,17 ,,TotalUnits,,,,1.10 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,85421,CPT,Fibrinolytic plasminogen,,,17 ,,TotalUnits,,,,0.60 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,85441,CPT,"Heinz bodies, direct",,,17 ,,TotalUnits,,,,0.25 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,85445,CPT,"Heinz bodies, induced",,,17 ,,TotalUnits,,,,0.40 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,85460,CPT,"Hemoglobin, fetal",,,17 ,,TotalUnits,,,,0.46 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,85461,CPT,"Hemoglobin, fetal",,,17 ,,TotalUnits,,,,0.39 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,85475,CPT,Hemolysin,,,17 ,,TotalUnits,,,,0.52 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,85520,CPT,Heparin assay,,,17 ,,TotalUnits,,,,1.00 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,85525,CPT,Heparin neutralization,,,17 ,,TotalUnits,,,,0.70 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,85530,CPT,Heparin-protamine tolerance,,,17 ,,TotalUnits,,,,0.83 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,85536,CPT,Iron stain peripheral blood,,,17 ,,TotalUnits,,,,0.38 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,85540,CPT,Wbc alkaline phosphatase,,,17 ,,TotalUnits,,,,0.61 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,85547,CPT,Rbc mechanical fragility,,,17 ,,TotalUnits,,,,0.51 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,85549,CPT,Muramidase,,,17 ,,TotalUnits,,,,0.95 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,85555,CPT,Rbc osmotic fragility,,,17 ,,TotalUnits,,,,0.39 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,85557,CPT,Rbc osmotic fragility,,,17 ,,TotalUnits,,,,0.79 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,85576,CPT,Blood platelet aggregation,26,,17 ,,RBRVS,0.37 ,0.12 ,0.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,85576,CPT,Blood platelet aggregation,,,17 ,,TotalUnits,,,,1.11 ,,$0.00,$0.00,1,0,0,0,0,1,20091001,,85597,CPT,Platelet neutralization,,,17 ,,TotalUnits,,,,0.86 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,85610,CPT,Prothrombin time,,,17 ,,TotalUnits,,,,0.31 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,85611,CPT,Prothrombin test,,,17 ,,TotalUnits,,,,0.31 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,85612,CPT,Viper venom prothrombin time,,,17 ,,TotalUnits,,,,0.56 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,85613,CPT,"Russell viper venom, diluted",,,17 ,,TotalUnits,,,,0.92 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,85635,CPT,Reptilase test,,,17 ,,TotalUnits,,,,0.72 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,85651,CPT,"Rbc sed rate, nonautomated",,,17 ,,TotalUnits,,,,0.28 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,85652,CPT,"Rbc sed rate, automated",,,17 ,,TotalUnits,,,,0.31 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,85660,CPT,Rbc sickle cell test,,,17 ,,TotalUnits,,,,0.48 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,85670,CPT,"Thrombin time, plasma",,,17 ,,TotalUnits,,,,0.51 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,85675,CPT,"Thrombin time, titer",,,17 ,,TotalUnits,,,,0.40 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,85705,CPT,Thromboplastin inhibition,,,17 ,,TotalUnits,,,,1.07 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,85730,CPT,"Thromboplastin time, partial",,,17 ,,TotalUnits,,,,0.53 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,85732,CPT,"Thromboplastin time, partial",,,17 ,,TotalUnits,,,,0.76 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,85810,CPT,Blood viscosity examination,,,17 ,,TotalUnits,,,,0.60 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,85999,CPT,Hematology procedure,,,17 ,,TotalUnits,,,,0.56 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86000,CPT,"Agglutinins, febrile",,,17 ,,TotalUnits,,,,0.47 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86001,CPT,Allergen specific igg,,,17 ,,TotalUnits,,,,0.16 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86003,CPT,Allergen specific ige,,,17 ,,TotalUnits,,,,2.56 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86005,CPT,Allergen specific ige,,,17 ,,TotalUnits,,,,0.95 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86021,CPT,Wbc antibody identification,,,17 ,,TotalUnits,,,,1.60 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86022,CPT,Platelet antibodies,,,17 ,,TotalUnits,,,,2.11 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86023,CPT,Immunoglobulin assay,,,17 ,,TotalUnits,,,,1.14 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86038,CPT,Antinuclear antibodies,,,17 ,,TotalUnits,,,,0.78 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86039,CPT,Antinuclear antibodies (ana),,,17 ,,TotalUnits,,,,0.74 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86060,CPT,"Antistreptolysin o, titer",,,17 ,,TotalUnits,,,,0.46 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86063,CPT,"Antistreptolysin o, screen",,,17 ,,TotalUnits,,,,0.30 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86077,CPT,Physician blood bank service,,,17 ,,RBRVS,0.94 ,0.30 ,0.38 ,,,$0.00,$0.00,1,0,1,0,1,1,20091001,,86078,CPT,Physician blood bank service,,,17 ,,RBRVS,0.94 ,0.30 ,0.38 ,,,$0.00,$0.00,1,0,1,0,1,1,20091001,,86079,CPT,Physician blood bank service,,,17 ,,RBRVS,0.94 ,0.30 ,0.39 ,,,$0.00,$0.00,1,0,1,0,1,1,20091001,,86140,CPT,C-reactive protein,,,17 ,,TotalUnits,,,,0.50 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86141,CPT,"C-reactive protein, hs",,,17 ,,TotalUnits,,,,0.62 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86146,CPT,Glycoprotein antibody,,,17 ,,TotalUnits,,,,1.42 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86147,CPT,Cardiolipin antibody,,,17 ,,TotalUnits,,,,1.75 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86148,CPT,Phospholipid antibody,,,17 ,,TotalUnits,,,,0.95 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86155,CPT,Chemotaxis assay,,,17 ,,TotalUnits,,,,0.94 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86156,CPT,"Cold agglutinin, screen",,,17 ,,TotalUnits,,,,0.34 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86157,CPT,"Cold agglutinin, titer",,,17 ,,TotalUnits,,,,0.53 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86160,CPT,"Complement, antigen",,,17 ,,TotalUnits,,,,1.08 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86161,CPT,Complement/function activity,,,17 ,,TotalUnits,,,,0.74 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86162,CPT,"Complement, total (ch50)",,,17 ,,TotalUnits,,,,1.39 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86171,CPT,"Complement fixation, each",,,17 ,,TotalUnits,,,,0.55 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86185,CPT,Counterimmunoelectrophoresis,,,17 ,,TotalUnits,,,,0.53 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86200,CPT,Ccp antibody,,,17 ,,TotalUnits,,,,0.95 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86215,CPT,"Deoxyribonuclease, antibody",,,17 ,,TotalUnits,,,,0.90 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86225,CPT,Dna antibody,,,17 ,,TotalUnits,,,,0.87 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86226,CPT,"Dna antibody, single strand",,,17 ,,TotalUnits,,,,0.73 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86235,CPT,Nuclear antigen antibody,,,17 ,,TotalUnits,,,,1.60 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86243,CPT,Fc receptor,,,17 ,,TotalUnits,,,,1.21 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86255,CPT,"Fluorescent antibody, screen",26,,17 ,,RBRVS,0.37 ,0.12 ,0.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,86255,CPT,"Fluorescent antibody, screen",,,17 ,,TotalUnits,,,,0.94 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86256,CPT,"Fluorescent antibody, titer",26,,17 ,,RBRVS,0.37 ,0.12 ,0.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,86256,CPT,"Fluorescent antibody, titer",,,17 ,,TotalUnits,,,,1.11 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86277,CPT,Growth hormone antibody,,,17 ,,TotalUnits,,,,0.78 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86280,CPT,Hemagglutination inhibition,,,17 ,,TotalUnits,,,,0.61 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86294,CPT,"Immunoassay, tumor, qual",,,17 ,,TotalUnits,,,,0.74 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86300,CPT,"Immunoassay, tumor, ca 15-3",,,17 ,,TotalUnits,,,,1.16 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86301,CPT,"Immunoassay, tumor, ca 19-9",,,17 ,,TotalUnits,,,,1.19 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86304,CPT,"Immunoassay, tumor, ca 125",,,17 ,,TotalUnits,,,,1.20 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86308,CPT,Heterophile antibodies,,,17 ,,TotalUnits,,,,0.45 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86309,CPT,Heterophile antibodies,,,17 ,,TotalUnits,,,,0.53 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86310,CPT,Heterophile antibodies,,,17 ,,TotalUnits,,,,0.43 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86316,CPT,"Immunoassay, tumor other",,,17 ,,TotalUnits,,,,1.09 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86317,CPT,"Immunoassay,infectious agent",,,17 ,,TotalUnits,,,,0.85 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86318,CPT,"Immunoassay,infectious agent",,,17 ,,TotalUnits,,,,0.52 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86320,CPT,Serum immunoelectrophoresis,26,,17 ,,RBRVS,0.37 ,0.12 ,0.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,86320,CPT,Serum immunoelectrophoresis,,,17 ,,TotalUnits,,,,1.33 ,,$0.00,$0.00,1,0,0,0,0,1,20091001,,86325,CPT,Other immunoelectrophoresis,26,,17 ,,RBRVS,0.37 ,0.12 ,0.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,86325,CPT,Other immunoelectrophoresis,,,17 ,,TotalUnits,,,,1.31 ,,$0.00,$0.00,1,0,0,0,0,1,20091001,,86327,CPT,Immunoelectrophoresis assay,26,,17 ,,RBRVS,0.42 ,0.12 ,0.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,86327,CPT,Immunoelectrophoresis assay,,,17 ,,TotalUnits,,,,1.34 ,,$0.00,$0.00,1,0,0,0,0,1,20091001,,86329,CPT,Immunodiffusion,,,17 ,,TotalUnits,,,,0.84 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86331,CPT,Immunodiffusion ouchterlony,,,17 ,,TotalUnits,,,,0.79 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86332,CPT,Immune complex assay,,,17 ,,TotalUnits,,,,1.17 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86334,CPT,"Immunofix e-phoresis, serum",26,,17 ,,RBRVS,0.37 ,0.12 ,0.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,86334,CPT,"Immunofix e-phoresis, serum",,,17 ,,TotalUnits,,,,1.36 ,,$0.00,$0.00,1,0,0,0,0,1,20091001,,86335,CPT,Immunfix e-phorsis/urine/csf,26,,17 ,,RBRVS,0.37 ,0.12 ,0.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,86335,CPT,Immunfix e-phorsis/urine/csf,,,17 ,,TotalUnits,,,,1.45 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86336,CPT,Inhibin a,,,17 ,,TotalUnits,,,,0.99 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86337,CPT,Insulin antibodies,,,17 ,,TotalUnits,,,,1.38 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86340,CPT,Intrinsic factor antibody,,,17 ,,TotalUnits,,,,1.03 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86341,CPT,Islet cell antibody,,,17 ,,TotalUnits,,,,0.83 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86343,CPT,Leukocyte histamine release,,,17 ,,TotalUnits,,,,1.00 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86344,CPT,Leukocyte phagocytosis,,,17 ,,TotalUnits,,,,0.47 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86353,CPT,Lymphocyte transformation,,,17 ,,TotalUnits,,,,2.21 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86355,CPT,"B cells, total count",,,17 ,,TotalUnits,,,,1.11 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86356,CPT,Mononuclear cell antigen,,,17 ,,TotalUnits,,,,1.58 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86357,CPT,"Nk cells, total count",,,17 ,,TotalUnits,,,,1.20 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86359,CPT,"T cells, total count",,,17 ,,TotalUnits,,,,1.37 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86360,CPT,"T cell, absolute count/ratio",,,17 ,,TotalUnits,,,,1.89 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86361,CPT,"T cell, absolute count",,,17 ,,TotalUnits,,,,1.39 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86367,CPT,"Stem cells, total count",,,17 ,,TotalUnits,,,,1.42 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86376,CPT,Microsomal antibody,,,17 ,,TotalUnits,,,,0.91 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86378,CPT,Migration inhibitory factor,,,17 ,,TotalUnits,,,,1.16 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86382,CPT,"Neutralization test, viral",,,17 ,,TotalUnits,,,,1.41 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86384,CPT,Nitroblue tetrazolium dye,,,17 ,,TotalUnits,,,,0.67 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86403,CPT,Particle agglutination test,,,17 ,,TotalUnits,,,,0.42 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86406,CPT,Particle agglutination test,,,17 ,,TotalUnits,,,,0.57 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86430,CPT,Rheumatoid factor test,,,17 ,,TotalUnits,,,,0.38 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86431,CPT,"Rheumatoid factor, quant",,,17 ,,TotalUnits,,,,0.45 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86480,CPT,"Tb test, cell immun measure",,,17 ,,TotalUnits,,,,0.61 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86485,CPT,"Skin test, candida",,TC,17 ,,TotalUnits,,,,0.31 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86486,CPT,"Skin test, nos antigen", ,TC,17 ,,RBRVS,0.00 ,0.13 ,0.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,86490,CPT,Coccidioidomycosis skin test,,TC,17 ,,RBRVS,0.00 ,0.13 ,0.13 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86510,CPT,Histoplasmosis skin test,,TC,17 ,,RBRVS,0.00 ,0.13 ,0.13 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86580,CPT,Tb intradermal test,,TC,17 ,,RBRVS,0.00 ,0.16 ,0.16 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86590,CPT,"Streptokinase, antibody",,,17 ,,TotalUnits,,,,0.35 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86592,CPT,"Blood serology, qualitative",,,17 ,,TotalUnits,,,,0.33 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86593,CPT,"Blood serology, quantitative",,,17 ,,TotalUnits,,,,0.33 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86602,CPT,Antinomyces antibody,,,17 ,,TotalUnits,,,,0.82 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86603,CPT,Adenovirus antibody,,,17 ,,TotalUnits,,,,0.75 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86606,CPT,Aspergillus antibody,,,17 ,,TotalUnits,,,,0.76 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86609,CPT,Bacterium antibody,,,17 ,,TotalUnits,,,,0.85 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86611,CPT,Bartonella antibody,,,17 ,,TotalUnits,,,,0.99 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86612,CPT,Blastomyces antibody,,,17 ,,TotalUnits,,,,0.92 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86615,CPT,Bordetella antibody,,,17 ,,TotalUnits,,,,1.07 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86617,CPT,Lyme disease antibody,,,17 ,,TotalUnits,,,,1.49 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86618,CPT,Lyme disease antibody,,,17 ,,TotalUnits,,,,1.22 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86619,CPT,Borrelia antibody,,,17 ,,TotalUnits,,,,0.79 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86622,CPT,Brucella antibody,,,17 ,,TotalUnits,,,,0.63 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86625,CPT,Campylobacter antibody,,,17 ,,TotalUnits,,,,0.77 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86628,CPT,Candida antibody,,,17 ,,TotalUnits,,,,0.94 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86631,CPT,Chlamydia antibody,,,17 ,,TotalUnits,,,,0.65 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86632,CPT,Chlamydia igm antibody,,,17 ,,TotalUnits,,,,0.73 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86635,CPT,Coccidioides antibody,,,17 ,,TotalUnits,,,,1.09 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86638,CPT,Q fever antibody,,,17 ,,TotalUnits,,,,0.78 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86641,CPT,Cryptococcus antibody,,,17 ,,TotalUnits,,,,0.85 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86644,CPT,Cmv antibody,,,17 ,,TotalUnits,,,,1.00 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86645,CPT,"Cmv antibody, igm",,,17 ,,TotalUnits,,,,1.03 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86648,CPT,Diphtheria antibody,,,17 ,,TotalUnits,,,,0.85 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86651,CPT,Encephalitis antibody,,,17 ,,TotalUnits,,,,0.78 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86652,CPT,Encephalitis antibody,,,17 ,,TotalUnits,,,,0.78 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86653,CPT,Encephalitis antibody,,,17 ,,TotalUnits,,,,0.78 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86654,CPT,Encephalitis antibody,,,17 ,,TotalUnits,,,,0.78 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86658,CPT,Enterovirus antibody,,,17 ,,TotalUnits,,,,0.77 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86663,CPT,Epstein-barr antibody,,,17 ,,TotalUnits,,,,0.92 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86664,CPT,Epstein-barr antibody,,,17 ,,TotalUnits,,,,0.91 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86665,CPT,Epstein-barr antibody,,,17 ,,TotalUnits,,,,1.30 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86666,CPT,Ehrlichia antibody,,,17 ,,TotalUnits,,,,1.01 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86668,CPT,Francisella tularensis,,,17 ,,TotalUnits,,,,0.61 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86671,CPT,Fungus antibody,,,17 ,,TotalUnits,,,,1.12 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86674,CPT,Giardia lamblia antibody,,,17 ,,TotalUnits,,,,0.88 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86677,CPT,Helicobacter pylori,,,17 ,,TotalUnits,,,,1.01 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86682,CPT,Helminth antibody,,,17 ,,TotalUnits,,,,1.02 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86684,CPT,Hemophilus influenza,,,17 ,,TotalUnits,,,,1.07 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86687,CPT,Htlv-i antibody,,,17 ,,TotalUnits,,,,0.75 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86688,CPT,Htlv-ii antibody,,,17 ,,TotalUnits,,,,0.79 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86689,CPT,Htlv/hiv confirmatory test,,,17 ,,TotalUnits,,,,1.15 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86692,CPT,"Hepatitis, delta agent",,,17 ,,TotalUnits,,,,1.12 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86694,CPT,Herpes simplex test,,,17 ,,TotalUnits,,,,1.00 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86695,CPT,Herpes simplex test,,,17 ,,TotalUnits,,,,0.87 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86696,CPT,Herpes simplex type 2,,,17 ,,TotalUnits,,,,0.96 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86698,CPT,Histoplasma,,,17 ,,TotalUnits,,,,0.82 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86701,CPT,Hiv-1,,,17 ,,TotalUnits,,,,0.79 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86702,CPT,Hiv-2,,,17 ,,TotalUnits,,,,1.03 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86703,CPT,"Hiv-1/hiv-2, single assay",,,17 ,,TotalUnits,,,,0.87 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86704,CPT,"Hep b core antibody, total",,,17 ,,TotalUnits,,,,0.76 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86705,CPT,"Hep b core antibody, igm",,,17 ,,TotalUnits,,,,0.83 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86706,CPT,Hep b surface antibody,,,17 ,,TotalUnits,,,,0.70 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86707,CPT,Hep be antibody,,,17 ,,TotalUnits,,,,0.73 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86708,CPT,"Hep a antibody, total",,,17 ,,TotalUnits,,,,0.78 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86709,CPT,"Hep a antibody, igm",,,17 ,,TotalUnits,,,,0.76 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86710,CPT,Influenza virus antibody,,,17 ,,TotalUnits,,,,0.65 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86713,CPT,Legionella antibody,,,17 ,,TotalUnits,,,,0.83 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86717,CPT,Leishmania antibody,,,17 ,,TotalUnits,,,,0.72 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86720,CPT,Leptospira antibody,,,17 ,,TotalUnits,,,,0.78 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86723,CPT,Listeria monocytogenes ab,,,17 ,,TotalUnits,,,,0.78 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86727,CPT,Lymph choriomeningitis ab,,,17 ,,TotalUnits,,,,0.76 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86729,CPT,Lympho venereum antibody,,,17 ,,TotalUnits,,,,0.70 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86732,CPT,Mucormycosis antibody,,,17 ,,TotalUnits,,,,0.78 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86735,CPT,Mumps antibody,,,17 ,,TotalUnits,,,,0.89 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86738,CPT,Mycoplasma antibody,,,17 ,,TotalUnits,,,,0.87 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86741,CPT,Neisseria meningitidis,,,17 ,,TotalUnits,,,,0.78 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86744,CPT,Nocardia antibody,,,17 ,,TotalUnits,,,,0.81 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86747,CPT,Parvovirus antibody,,,17 ,,TotalUnits,,,,1.04 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86750,CPT,Malaria antibody,,,17 ,,TotalUnits,,,,0.78 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86753,CPT,Protozoa antibody nos,,,17 ,,TotalUnits,,,,1.03 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86756,CPT,Respiratory virus antibody,,,17 ,,TotalUnits,,,,0.71 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86757,CPT,Rickettsia antibody,,,17 ,,TotalUnits,,,,0.87 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86759,CPT,Rotavirus antibody,,,17 ,,TotalUnits,,,,0.71 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86762,CPT,Rubella antibody,,,17 ,,TotalUnits,,,,0.62 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86765,CPT,Rubeola antibody,,,17 ,,TotalUnits,,,,1.04 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86768,CPT,Salmonella antibody,,,17 ,,TotalUnits,,,,0.70 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86771,CPT,Shigella antibody,,,17 ,,TotalUnits,,,,0.78 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86774,CPT,Tetanus antibody,,,17 ,,TotalUnits,,,,0.91 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86777,CPT,Toxoplasma antibody,,,17 ,,TotalUnits,,,,0.86 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86778,CPT,"Toxoplasma antibody, igm",,,17 ,,TotalUnits,,,,1.00 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86781,CPT,"Treponema pallidum, confirm",,,17 ,,TotalUnits,,,,0.76 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86784,CPT,Trichinella antibody,,,17 ,,TotalUnits,,,,0.57 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86787,CPT,Varicella-zoster antibody,,,17 ,,TotalUnits,,,,1.01 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86788,CPT,"West nile virus ab, igm",,,17 ,,TotalUnits,,,,0.89 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86789,CPT,West nile virus antibody,,,17 ,,TotalUnits,,,,0.90 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86790,CPT,Virus antibody nos,,,17 ,,TotalUnits,,,,1.06 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86793,CPT,Yersinia antibody,,,17 ,,TotalUnits,,,,0.78 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86800,CPT,Thyroglobulin antibody,,,17 ,,TotalUnits,,,,0.88 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86803,CPT,Hepatitis c ab test,,,17 ,,TotalUnits,,,,1.04 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86804,CPT,"Hep c ab test, confirm",,,17 ,,TotalUnits,,,,1.65 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86805,CPT,Lymphocytotoxicity assay,,,17 ,,TotalUnits,,,,3.08 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86806,CPT,Lymphocytotoxicity assay,,,17 ,,TotalUnits,,,,2.80 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86807,CPT,Cytotoxic antibody screening,,,17 ,,TotalUnits,,,,2.13 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86808,CPT,Cytotoxic antibody screening,,,17 ,,TotalUnits,,,,1.15 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86812,CPT,"Hla typing, a, b, or c",,,17 ,,TotalUnits,,,,1.49 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86813,CPT,"Hla typing, a, b, or c",,,17 ,,TotalUnits,,,,1.58 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86816,CPT,"Hla typing, dr/dq",,,17 ,,TotalUnits,,,,1.64 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86817,CPT,"Hla typing, dr/dq",,,17 ,,TotalUnits,,,,4.15 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86821,CPT,"Lymphocyte culture, mixed",,,17 ,,TotalUnits,,,,3.32 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86822,CPT,"Lymphocyte culture, primed",,,17 ,,TotalUnits,,,,2.15 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86849,CPT,Immunology procedure,,,17 ,,TotalUnits,,,,12.67 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86850,CPT,Rbc antibody screen,,,17 ,,TotalUnits,,,,0.70 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86860,CPT,Rbc antibody elution,,,17 ,,TotalUnits,,,,0.62 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86870,CPT,Rbc antibody identification,,,17 ,,TotalUnits,,,,1.40 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86880,CPT,"Coombs test, direct",,,17 ,,TotalUnits,,,,0.45 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86885,CPT,"Coombs test, indirect, qual",,,17 ,,TotalUnits,,,,0.52 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86886,CPT,"Coombs test, indirect, titer",,,17 ,,TotalUnits,,,,0.46 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86890,CPT,Autologous blood process,,,17 ,,TotalUnits,,,,2.60 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86891,CPT,"Autologous blood, op salvage",,,17 ,,TotalUnits,,,,3.21 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86900,CPT,"Blood typing, abo",,,17 ,,TotalUnits,,,,0.39 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86901,CPT,"Blood typing, rh (d)",,,17 ,,TotalUnits,,,,0.37 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86903,CPT,"Blood typing, antigen screen",,,17 ,,TotalUnits,,,,2.00 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86904,CPT,"Blood typing, patient serum",,,17 ,,TotalUnits,,,,0.56 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86905,CPT,"Blood typing, rbc antigens",,,17 ,,TotalUnits,,,,1.10 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86906,CPT,"Blood typing, rh phenotype",,,17 ,,TotalUnits,,,,0.33 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86910,CPT,"Blood typing, paternity test",,,17 ,,TotalUnits,,,,0.56 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86911,CPT,"Blood typing, antigen system",,,17 ,,TotalUnits,,,,0.49 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86920,CPT,"Compatibility test, spin",,,17 ,,TotalUnits,,,,1.40 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86921,CPT,"Compatibility test, incubate",,,17 ,,TotalUnits,,,,1.32 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86922,CPT,"Compatibility test, antiglob",,,17 ,,TotalUnits,,,,1.36 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86923,CPT,"Compatibility test, electric",,,17 ,,TotalUnits,,,,0.89 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86927,CPT,"Plasma, fresh frozen",,,17 ,,TotalUnits,,,,0.69 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86930,CPT,Frozen blood prep,,,17 ,,TotalUnits,,,,2.56 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86931,CPT,Frozen blood thaw,,,17 ,,TotalUnits,,,,1.92 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86932,CPT,Frozen blood freeze/thaw,,,17 ,,TotalUnits,,,,2.56 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86940,CPT,"Hemolysins/agglutinins, auto",,,17 ,,TotalUnits,,,,0.48 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86941,CPT,Hemolysins/agglutinins,,,17 ,,TotalUnits,,,,0.71 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86945,CPT,Blood product/irradiation,,,17 ,,TotalUnits,,,,0.92 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86950,CPT,Leukacyte transfusion,,,17 ,,TotalUnits,,,,1.59 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86960,CPT,Vol reduction of blood/prod,,,17 ,,TotalUnits,,,,0.72 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86965,CPT,Pooling blood platelets,,,17 ,,TotalUnits,,,,0.77 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86970,CPT,Rbc pretreatment,,,17 ,,TotalUnits,,,,0.51 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86971,CPT,Rbc pretreatment,,,17 ,,TotalUnits,,,,0.51 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86972,CPT,Rbc pretreatment,,,17 ,,TotalUnits,,,,0.82 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86975,CPT,"Rbc pretreatment, serum",,,17 ,,TotalUnits,,,,0.69 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86976,CPT,"Rbc pretreatment, serum",,,17 ,,TotalUnits,,,,0.77 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86977,CPT,"Rbc pretreatment, serum",,,17 ,,TotalUnits,,,,0.69 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86978,CPT,"Rbc pretreatment, serum",,,17 ,,TotalUnits,,,,0.69 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86985,CPT,Split blood or products,,,17 ,,TotalUnits,,,,0.50 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,86999,CPT,Transfusion procedure,,,17 ,,TotalUnits,,,,3.34 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,87001,CPT,Small animal inoculation,,,17 ,,TotalUnits,,,,0.35 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,87003,CPT,Small animal inoculation,,,17 ,,TotalUnits,,,,0.99 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,87015,CPT,Specimen concentration,,,17 ,,TotalUnits,,,,0.53 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,87040,CPT,Blood culture for bacteria,,,17 ,,TotalUnits,,,,1.17 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,87045,CPT,"Feces culture, bacteria",,,17 ,,TotalUnits,,,,0.71 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,87046,CPT,"Stool cultr, bacteria, each",,,17 ,,TotalUnits,,,,0.54 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,87070,CPT,"Culture, bacteria, other",,,17 ,,TotalUnits,,,,0.70 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,87071,CPT,Culture bacteri aerobic othr,,,17 ,,TotalUnits,,,,0.64 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,87073,CPT,Culture bacteria anaerobic,,,17 ,,TotalUnits,,,,0.43 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,87075,CPT,"Cultr bacteria, except blood",,,17 ,,TotalUnits,,,,0.95 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,87076,CPT,"Culture anaerobe ident, each",,,17 ,,TotalUnits,,,,0.63 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,87077,CPT,Culture aerobic identify,,,17 ,,TotalUnits,,,,0.53 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,87081,CPT,Culture screen only,,,17 ,,TotalUnits,,,,0.48 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,87084,CPT,Culture of specimen by kit,,,17 ,,TotalUnits,,,,0.29 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,87086,CPT,Urine culture/colony count,,,17 ,,TotalUnits,,,,0.55 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,87088,CPT,Urine bacteria culture,,,17 ,,TotalUnits,,,,0.46 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,87101,CPT,Skin fungi culture,,,17 ,,TotalUnits,,,,0.53 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,87102,CPT,Fungus isolation culture,,,17 ,,TotalUnits,,,,0.82 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,87103,CPT,Blood fungus culture,,,17 ,,TotalUnits,,,,0.49 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,87106,CPT,"Fungi identification, yeast",,,17 ,,TotalUnits,,,,0.59 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,87107,CPT,"Fungi identification, mold",,,17 ,,TotalUnits,,,,0.59 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,87109,CPT,Mycoplasma,,,17 ,,TotalUnits,,,,1.12 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,87110,CPT,Chlamydia culture,,,17 ,,TotalUnits,,,,0.68 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,87116,CPT,Mycobacteria culture,,,17 ,,TotalUnits,,,,0.99 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,87118,CPT,Mycobacteric identification,,,17 ,,TotalUnits,,,,0.61 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,87140,CPT,Culture type immunofluoresc,,,17 ,,TotalUnits,,,,0.35 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,87143,CPT,"Culture typing, glc/hplc",,,17 ,,TotalUnits,,,,0.74 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,87147,CPT,"Culture type, immunologic",,,17 ,,TotalUnits,,,,0.30 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,87149,CPT,"Culture type, nucleic acid",,,17 ,,TotalUnits,,,,0.86 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,87152,CPT,Culture type pulse field gel,,,17 ,,TotalUnits,,,,0.31 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,87158,CPT,"Culture typing, added method",,,17 ,,TotalUnits,,,,0.25 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,87164,CPT,Dark field examination,26,,17 ,,RBRVS,0.37 ,0.12 ,0.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,87164,CPT,Dark field examination,,,17 ,,TotalUnits,,,,0.49 ,,$0.00,$0.00,1,0,0,0,0,1,20091001,,87166,CPT,Dark field examination,,,17 ,,TotalUnits,,,,0.67 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,87168,CPT,Macroscopic exam arthropod,,,17 ,,TotalUnits,,,,0.32 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,87169,CPT,Macroscopic exam parasite,,,17 ,,TotalUnits,,,,0.30 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,87172,CPT,Pinworm exam,,,17 ,,TotalUnits,,,,0.30 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,87176,CPT,"Tissue homogenization, cultr",,,17 ,,TotalUnits,,,,0.38 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,87177,CPT,Ova and parasites smears,,,17 ,,TotalUnits,,,,0.63 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,87181,CPT,"Microbe susceptible, diffuse",,,17 ,,TotalUnits,,,,0.40 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,87184,CPT,"Microbe susceptible, disk",,,17 ,,TotalUnits,,,,0.45 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,87185,CPT,"Microbe susceptible, enzyme",,,17 ,,TotalUnits,,,,0.32 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,87186,CPT,"Microbe susceptible, mic",,,17 ,,TotalUnits,,,,0.56 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,87187,CPT,"Microbe susceptible, mlc",,,17 ,,TotalUnits,,,,0.33 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,87188,CPT,"Microbe suscept, macrobroth",,,17 ,,TotalUnits,,,,0.44 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,87190,CPT,"Microbe suscept, mycobacteri",,,17 ,,TotalUnits,,,,0.33 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,87197,CPT,"Bactericidal level, serum",,,17 ,,TotalUnits,,,,0.88 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,87205,CPT,"Smear, gram stain",,,17 ,,TotalUnits,,,,0.38 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,87206,CPT,"Smear, fluorescent/acid stai",,,17 ,,TotalUnits,,,,0.54 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,87207,CPT,"Smear, special stain",26,,17 ,,RBRVS,0.37 ,0.12 ,0.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,87207,CPT,"Smear, special stain",,,17 ,,TotalUnits,,,,0.62 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,87209,CPT,"Smear, complex stain",,,17 ,,TotalUnits,,,,0.52 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,87210,CPT,"Smear, wet mount, saline/ink",,,17 ,,TotalUnits,,,,0.30 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,87220,CPT,Tissue exam for fungi,,,17 ,,TotalUnits,,,,0.28 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,87230,CPT,"Assay, toxin or antitoxin",,,17 ,,TotalUnits,,,,1.15 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,87250,CPT,"Virus inoculate, eggs/animal",,,17 ,,TotalUnits,,,,1.15 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,87252,CPT,"Virus inoculation, tissue",,,17 ,,TotalUnits,,,,1.43 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,87253,CPT,"Virus inoculate tissue, addl",,,17 ,,TotalUnits,,,,0.94 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,87254,CPT,"Virus inoculation, shell via",,,17 ,,TotalUnits,,,,1.16 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,87255,CPT,"Genet virus isolate, hsv",,,17 ,,TotalUnits,,,,1.15 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,87260,CPT,"Adenovirus ag, if",,,17 ,,TotalUnits,,,,0.51 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,87265,CPT,"Pertussis ag, if",,,17 ,,TotalUnits,,,,0.58 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,87267,CPT,"Enterovirus antibody, dfa",,,17 ,,TotalUnits,,,,0.71 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,87269,CPT,"Giardia ag, if",,,17 ,,TotalUnits,,,,0.48 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,87270,CPT,"Chlamydia trachomatis ag, if",,,17 ,,TotalUnits,,,,0.47 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,87271,CPT,Cytomegalovirus dfa,,,17 ,,TotalUnits,,,,0.71 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,87272,CPT,"Cryptosporidium ag, if",,,17 ,,TotalUnits,,,,0.55 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,87273,CPT,"Herpes simplex 2, ag, if",,,17 ,,TotalUnits,,,,0.51 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,87274,CPT,"Herpes simplex 1, ag, if",,,17 ,,TotalUnits,,,,0.52 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,87275,CPT,"Influenza b, ag, if",,,17 ,,TotalUnits,,,,0.46 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,87276,CPT,"Influenza a, ag, if",,,17 ,,TotalUnits,,,,0.46 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,87277,CPT,"Legionella micdadei, ag, if",,,17 ,,TotalUnits,,,,0.71 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,87278,CPT,"Legion pneumophilia ag, if",,,17 ,,TotalUnits,,,,0.71 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,87279,CPT,"Parainfluenza, ag, if",,,17 ,,TotalUnits,,,,0.47 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,87280,CPT,"Respiratory syncytial ag, if",,,17 ,,TotalUnits,,,,0.48 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,87281,CPT,"Pneumocystis carinii, ag, if",,,17 ,,TotalUnits,,,,0.71 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,87283,CPT,"Rubeola, ag, if",,,17 ,,TotalUnits,,,,0.71 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,87285,CPT,"Treponema pallidum, ag, if",,,17 ,,TotalUnits,,,,0.71 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,87290,CPT,"Varicella zoster, ag, if",,,17 ,,TotalUnits,,,,0.54 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,87299,CPT,"Antibody detection, nos, if",,,17 ,,TotalUnits,,,,0.58 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,87300,CPT,"Ag detection, polyval, if",,,17 ,,TotalUnits,,,,0.42 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,87301,CPT,"Adenovirus ag, eia",,,17 ,,TotalUnits,,,,0.44 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,87305,CPT,"Aspergillus ag, eia",,,17 ,,TotalUnits,,,,0.71 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,87320,CPT,"Chylmd trach ag, eia",,,17 ,,TotalUnits,,,,0.39 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,87324,CPT,"Clostridium ag, eia",,,17 ,,TotalUnits,,,,0.83 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,87327,CPT,"Cryptococcus neoform ag, eia",,,17 ,,TotalUnits,,,,0.71 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,87328,CPT,"Cryptosporidium ag, eia",,,17 ,,TotalUnits,,,,0.55 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,87329,CPT,"Giardia ag, eia",,,17 ,,TotalUnits,,,,0.60 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,87332,CPT,"Cytomegalovirus ag, eia",,,17 ,,TotalUnits,,,,0.71 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,87335,CPT,"E coli 0157 ag, eia",,,17 ,,TotalUnits,,,,0.42 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,87336,CPT,"Entamoeb hist dispr, ag, eia",,,17 ,,TotalUnits,,,,0.34 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,87337,CPT,"Entamoeb hist group, ag, eia",,,17 ,,TotalUnits,,,,0.43 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,87338,CPT,"Hpylori, stool, eia",,,17 ,,TotalUnits,,,,0.97 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,87339,CPT,"H pylori ag, eia",,,17 ,,TotalUnits,,,,0.52 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,87340,CPT,"Hepatitis b surface ag, eia",,,17 ,,TotalUnits,,,,0.59 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,87341,CPT,"Hepatitis b surface, ag, eia",,,17 ,,TotalUnits,,,,0.44 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,87350,CPT,"Hepatitis be ag, eia",,,17 ,,TotalUnits,,,,0.63 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,87380,CPT,"Hepatitis delta ag, eia",,,17 ,,TotalUnits,,,,0.97 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,87385,CPT,"Histoplasma capsul ag, eia",,,17 ,,TotalUnits,,,,0.71 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,87390,CPT,"Hiv-1 ag, eia",,,17 ,,TotalUnits,,,,0.71 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,87391,CPT,"Hiv-2 ag, eia",,,17 ,,TotalUnits,,,,0.72 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,87400,CPT,"Influenza a/b, ag, eia",,,17 ,,TotalUnits,,,,0.71 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,87420,CPT,"Resp syncytial ag, eia",,,17 ,,TotalUnits,,,,0.38 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,87425,CPT,"Rotavirus ag, eia",,,17 ,,TotalUnits,,,,0.50 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,87427,CPT,"Shiga-like toxin ag, eia",,,17 ,,TotalUnits,,,,0.59 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,87430,CPT,"Strep a ag, eia",,,17 ,,TotalUnits,,,,0.41 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,87449,CPT,"Ag detect nos, eia, mult",,,17 ,,TotalUnits,,,,0.63 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,87450,CPT,"Ag detect nos, eia, single",,,17 ,,TotalUnits,,,,0.41 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,87451,CPT,"Ag detect polyval, eia, mult",,,17 ,,TotalUnits,,,,0.47 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,87470,CPT,"Bartonella, dna, dir probe",,,17 ,,TotalUnits,,,,1.18 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,87471,CPT,"Bartonella, dna, amp probe",,,17 ,,TotalUnits,,,,2.07 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,87472,CPT,"Bartonella, dna, quant",,,17 ,,TotalUnits,,,,2.52 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,87475,CPT,"Lyme dis, dna, dir probe",,,17 ,,TotalUnits,,,,1.18 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,87476,CPT,"Lyme dis, dna, amp probe",,,17 ,,TotalUnits,,,,1.46 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,87477,CPT,"Lyme dis, dna, quant",,,17 ,,TotalUnits,,,,2.52 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,87480,CPT,"Candida, dna, dir probe",,,17 ,,TotalUnits,,,,0.63 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,87481,CPT,"Candida, dna, amp probe",,,17 ,,TotalUnits,,,,1.10 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,87482,CPT,"Candida, dna, quant",,,17 ,,TotalUnits,,,,2.46 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,87485,CPT,"Chylmd pneum, dna, dir probe",,,17 ,,TotalUnits,,,,1.18 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,87486,CPT,"Chylmd pneum, dna, amp probe",,,17 ,,TotalUnits,,,,1.15 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,87487,CPT,"Chylmd pneum, dna, quant",,,17 ,,TotalUnits,,,,2.52 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,87490,CPT,"Chylmd trach, dna, dir probe",,,17 ,,TotalUnits,,,,0.71 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,87491,CPT,"Chylmd trach, dna, amp probe",,,17 ,,TotalUnits,,,,1.13 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,87492,CPT,"Chylmd trach, dna, quant",,,17 ,,TotalUnits,,,,2.06 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,87495,CPT,"Cytomeg, dna, dir probe",,,17 ,,TotalUnits,,,,1.18 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,87496,CPT,"Cytomeg, dna, amp probe",,,17 ,,TotalUnits,,,,1.64 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,87497,CPT,"Cytomeg, dna, quant",,,17 ,,TotalUnits,,,,2.55 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,87498,CPT,"Enterovirus, dna, amp probe",,,17 ,,TotalUnits,,,,2.07 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,87500,CPT,"Vanomycin, dna, amp probe",,,17 ,,TotalUnits,,,,2.07 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,87510,CPT,"Gardner vag, dna, dir probe",,,17 ,,TotalUnits,,,,0.60 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,87511,CPT,"Gardner vag, dna, amp probe",,,17 ,,TotalUnits,,,,1.08 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,87512,CPT,"Gardner vag, dna, quant",,,17 ,,TotalUnits,,,,2.46 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,87515,CPT,"Hepatitis b, dna, dir probe",,,17 ,,TotalUnits,,,,1.18 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,87516,CPT,"Hepatitis b, dna, amp probe",,,17 ,,TotalUnits,,,,1.78 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,87517,CPT,"Hepatitis b, dna, quant",,,17 ,,TotalUnits,,,,2.29 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,87520,CPT,"Hepatitis c, rna, dir probe",,,17 ,,TotalUnits,,,,1.18 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,87521,CPT,"Hepatitis c, rna, amp probe",,,17 ,,TotalUnits,,,,2.46 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,87522,CPT,"Hepatitis c, rna, quant",,,17 ,,TotalUnits,,,,2.49 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,87525,CPT,"Hepatitis g, dna, dir probe",,,17 ,,TotalUnits,,,,1.18 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,87526,CPT,"Hepatitis g, dna, amp probe",,,17 ,,TotalUnits,,,,2.07 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,87527,CPT,"Hepatitis g, dna, quant",,,17 ,,TotalUnits,,,,2.46 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,87528,CPT,"Hsv, dna, dir probe",,,17 ,,TotalUnits,,,,1.18 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,87529,CPT,"Hsv, dna, amp probe",,,17 ,,TotalUnits,,,,1.23 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,87530,CPT,"Hsv, dna, quant",,,17 ,,TotalUnits,,,,1.16 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,87531,CPT,"Hhv-6, dna, dir probe",,,17 ,,TotalUnits,,,,1.18 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,87532,CPT,"Hhv-6, dna, amp probe",,,17 ,,TotalUnits,,,,1.27 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,87533,CPT,"Hhv-6, dna, quant",,,17 ,,TotalUnits,,,,2.46 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,87534,CPT,"Hiv-1, dna, dir probe",,,17 ,,TotalUnits,,,,1.18 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,87535,CPT,"Hiv-1, dna, amp probe",,,17 ,,TotalUnits,,,,1.46 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,87536,CPT,"Hiv-1, dna, quant",,,17 ,,TotalUnits,,,,2.98 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,87537,CPT,"Hiv-2, dna, dir probe",,,17 ,,TotalUnits,,,,1.18 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,87538,CPT,"Hiv-2, dna, amp probe",,,17 ,,TotalUnits,,,,2.07 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,87539,CPT,"Hiv-2, dna, quant",,,17 ,,TotalUnits,,,,2.52 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,87540,CPT,"Legion pneumo, dna, dir prob",,,17 ,,TotalUnits,,,,1.18 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,87541,CPT,"Legion pneumo, dna, amp prob",,,17 ,,TotalUnits,,,,2.07 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,87542,CPT,"Legion pneumo, dna, quant",,,17 ,,TotalUnits,,,,2.46 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,87550,CPT,"Mycobacteria, dna, dir probe",,,17 ,,TotalUnits,,,,1.18 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,87551,CPT,"Mycobacteria, dna, amp probe",,,17 ,,TotalUnits,,,,2.07 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,87552,CPT,"Mycobacteria, dna, quant",,,17 ,,TotalUnits,,,,2.52 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,87555,CPT,"M.tuberculo, dna, dir probe",,,17 ,,TotalUnits,,,,1.18 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,87556,CPT,"M.tuberculo, dna, amp probe",,,17 ,,TotalUnits,,,,2.07 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,87557,CPT,"M.tuberculo, dna, quant",,,17 ,,TotalUnits,,,,2.52 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,87560,CPT,"M.avium-intra, dna, dir prob",,,17 ,,TotalUnits,,,,1.18 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,87561,CPT,"M.avium-intra, dna, amp prob",,,17 ,,TotalUnits,,,,2.07 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,87562,CPT,"M.avium-intra, dna, quant",,,17 ,,TotalUnits,,,,2.52 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,87580,CPT,"M.pneumon, dna, dir probe",,,17 ,,TotalUnits,,,,1.18 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,87581,CPT,"M.pneumon, dna, amp probe",,,17 ,,TotalUnits,,,,2.07 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,87582,CPT,"M.pneumon, dna, quant",,,17 ,,TotalUnits,,,,2.46 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,87590,CPT,"N.gonorrhoeae, dna, dir prob",,,17 ,,TotalUnits,,,,0.66 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,87591,CPT,"N.gonorrhoeae, dna, amp prob",,,17 ,,TotalUnits,,,,1.12 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,87592,CPT,"N.gonorrhoeae, dna, quant",,,17 ,,TotalUnits,,,,2.52 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,87620,CPT,"Hpv, dna, dir probe",,,17 ,,TotalUnits,,,,0.52 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,87621,CPT,"Hpv, dna, amp probe",,,17 ,,TotalUnits,,,,1.31 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,87622,CPT,"Hpv, dna, quant",,,17 ,,TotalUnits,,,,0.87 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,87640,CPT,"Staph a, dna, amp probe",,,17 ,,TotalUnits,,,,2.07 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,87641,CPT,"Mr-staph, dna, amp probe",,,17 ,,TotalUnits,,,,0.98 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,87650,CPT,"Strep a, dna, dir probe",,,17 ,,TotalUnits,,,,0.57 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,87651,CPT,"Strep a, dna, amp probe",,,17 ,,TotalUnits,,,,1.02 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,87652,CPT,"Strep a, dna, quant",,,17 ,,TotalUnits,,,,2.46 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,87653,CPT,"Strep b, dna, amp probe",,,17 ,,TotalUnits,,,,1.04 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,87660,CPT,"Trichomonas vagin, dir probe",,,17 ,,TotalUnits,,,,0.56 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,87797,CPT,"Detect agent nos, dna, dir",,,17 ,,TotalUnits,,,,0.55 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,87798,CPT,"Detect agent nos, dna, amp",,,17 ,,TotalUnits,,,,1.42 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,87799,CPT,"Detect agent nos, dna, quant",,,17 ,,TotalUnits,,,,1.26 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,87800,CPT,"Detect agnt mult, dna, direc",,,17 ,,TotalUnits,,,,1.74 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,87801,CPT,"Detect agnt mult, dna, ampli",,,17 ,,TotalUnits,,,,4.13 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,87802,CPT,Strep b assay w/optic,,,17 ,,TotalUnits,,,,0.50 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,87803,CPT,Clostridium toxin a w/optic,,,17 ,,TotalUnits,,,,0.76 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,87804,CPT,Influenza assay w/optic,,,17 ,,TotalUnits,,,,0.59 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,87807,CPT,Rsv assay w/optic,,,17 ,,TotalUnits,,,,0.48 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,87808,CPT,Trichomonas assay w/optic,,,17 ,,TotalUnits,,,,0.51 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,87809,CPT,Adenovirus assay w/optic,,,17 ,,TotalUnits,,,,0.71 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,87810,CPT,Chylmd trach assay w/optic,,,17 ,,TotalUnits,,,,0.49 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,87850,CPT,N. gonorrhoeae assay w/optic,,,17 ,,TotalUnits,,,,0.49 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,87880,CPT,Strep a assay w/optic,,,17 ,,TotalUnits,,,,0.42 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,87899,CPT,Agent nos assay w/optic,,,17 ,,TotalUnits,,,,0.46 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,87900,CPT,"Phenotype, infect agent drug",,,17 ,,TotalUnits,,,,7.68 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,87901,CPT,"Genotype, dna, hiv reverse t",,,17 ,,TotalUnits,,,,6.56 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,87902,CPT,"Genotype, dna, hepatitis c",,,17 ,,TotalUnits,,,,6.35 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,87903,CPT,"Phenotype, dna hiv w/culture",,,17 ,,TotalUnits,,,,14.17 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,87904,CPT,"Phenotype, dna hiv w/clt add",,,17 ,,TotalUnits,,,,3.19 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,87999,CPT,Microbiology procedure,,,17 ,,TotalUnits,,,,0.67 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,88000,CPT,"Autopsy (necropsy), gross",,,17 ,,TotalUnits,,,,5.13 ,,$0.00,$0.00,1,0,1,0,1,1,20091001,,88005,CPT,"Autopsy (necropsy), gross",,,17 ,,TotalUnits,,,,5.90 ,,$0.00,$0.00,1,0,1,0,1,1,20091001,,88007,CPT,"Autopsy (necropsy), gross",,,17 ,,TotalUnits,,,,6.41 ,,$0.00,$0.00,1,0,1,0,1,1,20091001,,88012,CPT,"Autopsy (necropsy), gross",,,17 ,,TotalUnits,,,,4.62 ,,$0.00,$0.00,1,0,1,0,1,1,20091001,,88014,CPT,"Autopsy (necropsy), gross",,,17 ,,TotalUnits,,,,4.62 ,,$0.00,$0.00,1,0,1,0,1,1,20091001,,88016,CPT,"Autopsy (necropsy), gross",,,17 ,,TotalUnits,,,,5.90 ,,$0.00,$0.00,1,0,1,0,1,1,20091001,,88020,CPT,"Autopsy (necropsy), complete",,,17 ,,TotalUnits,,,,7.95 ,,$0.00,$0.00,1,0,1,0,1,1,20091001,,88025,CPT,"Autopsy (necropsy), complete",,,17 ,,TotalUnits,,,,8.72 ,,$0.00,$0.00,1,0,1,0,1,1,20091001,,88027,CPT,"Autopsy (necropsy), complete",,,17 ,,TotalUnits,,,,9.49 ,,$0.00,$0.00,1,0,1,0,1,1,20091001,,88028,CPT,"Autopsy (necropsy), complete",,,17 ,,TotalUnits,,,,4.62 ,,$0.00,$0.00,1,0,1,0,1,1,20091001,,88029,CPT,"Autopsy (necropsy), complete",,,17 ,,TotalUnits,,,,4.62 ,,$0.00,$0.00,1,0,1,0,1,1,20091001,,88036,CPT,Limited autopsy,,,17 ,,TotalUnits,,,,2.56 ,,$0.00,$0.00,1,0,1,0,1,1,20091001,,88037,CPT,Limited autopsy,,,17 ,,TotalUnits,,,,2.05 ,,$0.00,$0.00,1,0,1,0,1,1,20091001,,88040,CPT,Forensic autopsy (necropsy),,,17 ,,TotalUnits,,,,12.82 ,,$0.00,$0.00,1,0,1,0,1,1,20091001,,88045,CPT,Coroner's autopsy (necropsy),,,17 ,,TotalUnits,,,,1.28 ,,$0.00,$0.00,1,0,1,0,1,1,20091001,,88099,CPT,Necropsy (autopsy) procedure,,,17 ,,TotalUnits,,,,12.89 ,,$0.00,$0.00,1,0,1,0,1,1,20091001,,88104,CPT,"Cytopath fl nongyn, smears",26,,17 ,,RBRVS,0.56 ,0.16 ,0.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,88104,CPT,"Cytopath fl nongyn, smears",TC,,17 ,,RBRVS,0.00 ,1.03 ,1.03 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,88104,CPT,"Cytopath fl nongyn, smears",,,17 ,,RBRVS,0.56 ,1.19 ,1.19 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,88106,CPT,"Cytopath fl nongyn, filter",26,,17 ,,RBRVS,0.56 ,0.15 ,0.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,88106,CPT,"Cytopath fl nongyn, filter",TC,,17 ,,RBRVS,0.00 ,1.37 ,1.37 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,88106,CPT,"Cytopath fl nongyn, filter",,,17 ,,RBRVS,0.56 ,1.52 ,1.52 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,88107,CPT,"Cytopath fl nongyn, sm/fltr",26,,17 ,,RBRVS,0.76 ,0.23 ,0.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,88107,CPT,"Cytopath fl nongyn, sm/fltr",TC,,17 ,,RBRVS,0.00 ,1.77 ,1.77 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,88107,CPT,"Cytopath fl nongyn, sm/fltr",,,17 ,,RBRVS,0.76 ,2.00 ,2.00 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,88108,CPT,"Cytopath, concentrate tech",26,,17 ,,RBRVS,0.56 ,0.15 ,0.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,88108,CPT,"Cytopath, concentrate tech",TC,,17 ,,RBRVS,0.00 ,1.32 ,1.32 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,88108,CPT,"Cytopath, concentrate tech",,,17 ,,RBRVS,0.56 ,1.47 ,1.47 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,88112,CPT,"Cytopath, cell enhance tech",26,,17 ,,RBRVS,1.18 ,0.29 ,0.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,88112,CPT,"Cytopath, cell enhance tech",TC,,17 ,,RBRVS,0.00 ,1.18 ,1.18 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,88112,CPT,"Cytopath, cell enhance tech",,,17 ,,RBRVS,1.18 ,1.47 ,1.47 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,88125,CPT,Forensic cytopathology,26,,17 ,,RBRVS,0.26 ,0.05 ,0.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,88125,CPT,Forensic cytopathology,TC,,17 ,,RBRVS,0.00 ,0.16 ,0.16 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,88125,CPT,Forensic cytopathology,,,17 ,,RBRVS,0.26 ,0.21 ,0.21 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,88130,CPT,Sex chromatin identification,,,17 ,,TotalUnits,,,,0.89 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,88140,CPT,Sex chromatin identification,,,17 ,,TotalUnits,,,,0.47 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,88141,CPT,"Cytopath, c/v, interpret",,PC,17 ,,RBRVS,0.42 ,0.38 ,0.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,88142,CPT,"Cytopath, c/v, thin layer",,,17 ,,TotalUnits,,,,0.69 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,88143,CPT,Cytopath c/v thin layer redo,,,17 ,,TotalUnits,,,,0.68 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,88147,CPT,"Cytopath, c/v, automated",,,17 ,,TotalUnits,,,,0.59 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,88148,CPT,"Cytopath, c/v, auto rescreen",,,17 ,,TotalUnits,,,,0.58 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,88150,CPT,"Cytopath, c/v, manual",,,17 ,,TotalUnits,,,,0.47 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,88152,CPT,"Cytopath, c/v, auto redo",,,17 ,,TotalUnits,,,,0.62 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,88153,CPT,"Cytopath, c/v, redo",,,17 ,,TotalUnits,,,,0.62 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,88154,CPT,"Cytopath, c/v, select",,,17 ,,TotalUnits,,,,0.62 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,88155,CPT,"Cytopath, c/v, index add-on",,,17 ,,TotalUnits,,,,0.44 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,88160,CPT,"Cytopath smear, other source",26,,17 ,,RBRVS,0.50 ,0.13 ,0.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,88160,CPT,"Cytopath smear, other source",TC,,17 ,,RBRVS,0.00 ,0.78 ,0.78 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,88160,CPT,"Cytopath smear, other source",,,17 ,,RBRVS,0.50 ,0.91 ,0.91 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,88161,CPT,"Cytopath smear, other source",26,,17 ,,RBRVS,0.50 ,0.14 ,0.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,88161,CPT,"Cytopath smear, other source",TC,,17 ,,RBRVS,0.00 ,0.92 ,0.92 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,88161,CPT,"Cytopath smear, other source",,,17 ,,RBRVS,0.50 ,1.06 ,1.06 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,88162,CPT,"Cytopath smear, other source",26,,17 ,,RBRVS,0.76 ,0.23 ,0.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,88162,CPT,"Cytopath smear, other source",TC,,17 ,,RBRVS,0.00 ,1.35 ,1.35 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,88162,CPT,"Cytopath smear, other source",,,17 ,,RBRVS,0.76 ,1.58 ,1.58 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,88164,CPT,"Cytopath tbs, c/v, manual",,,17 ,,TotalUnits,,,,0.55 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,88165,CPT,"Cytopath tbs, c/v, redo",,,17 ,,TotalUnits,,,,0.74 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,88166,CPT,"Cytopath tbs, c/v, auto redo",,,17 ,,TotalUnits,,,,0.62 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,88167,CPT,"Cytopath tbs, c/v, select",,,17 ,,TotalUnits,,,,0.62 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,88172,CPT,Cytopathology eval of fna,26,,17 ,,RBRVS,0.60 ,0.17 ,0.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,88172,CPT,Cytopathology eval of fna,TC,,17 ,,RBRVS,0.00 ,0.64 ,0.64 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,88172,CPT,Cytopathology eval of fna,,,17 ,,RBRVS,0.60 ,0.81 ,0.81 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,88173,CPT,"Cytopath eval, fna, report",26,,17 ,,RBRVS,1.39 ,0.38 ,0.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,88173,CPT,"Cytopath eval, fna, report",TC,,17 ,,RBRVS,0.00 ,1.82 ,1.82 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,88173,CPT,"Cytopath eval, fna, report",,,17 ,,RBRVS,1.39 ,2.20 ,2.20 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,88174,CPT,"Cytopath, c/v auto, in fluid",,,17 ,,TotalUnits,,,,0.70 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,88175,CPT,Cytopath c/v auto fluid redo,,,17 ,,TotalUnits,,,,0.77 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,88182,CPT,Cell marker study,26,,17 ,,RBRVS,0.77 ,0.14 ,0.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,88182,CPT,Cell marker study,TC,,17 ,,RBRVS,0.00 ,1.88 ,1.88 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,88182,CPT,Cell marker study,,,17 ,,RBRVS,0.77 ,2.02 ,2.02 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,88184,CPT,"Flowcytometry/ tc, 1 marker",,TC,17 ,,RBRVS,0.00 ,2.47 ,2.47 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,88185,CPT,"Flowcytometry/tc, add-on",,TC,17 ,,RBRVS,0.00 ,1.50 ,1.50 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,88187,CPT,"Flowcytometry/read, 2-8",,PC,17 ,,RBRVS,1.36 ,0.40 ,0.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,88188,CPT,"Flowcytometry/read, 9-15",,PC,17 ,,RBRVS,1.69 ,0.44 ,0.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,88189,CPT,"Flowcytometry/read, 16 & >",,PC,17 ,,RBRVS,2.23 ,0.47 ,0.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,88199,CPT,Cytopathology procedure,,,17 ,,TotalUnits,,,,1.94 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,88230,CPT,"Tissue culture, lymphocyte",,,17 ,,TotalUnits,,,,3.93 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,88233,CPT,"Tissue culture, skin/biopsy",,,17 ,,TotalUnits,,,,2.98 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,88235,CPT,"Tissue culture, placenta",,,17 ,,TotalUnits,,,,4.82 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,88237,CPT,"Tissue culture, bone marrow",,,17 ,,TotalUnits,,,,5.16 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,88239,CPT,"Tissue culture, tumor",,,17 ,,TotalUnits,,,,8.69 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,88240,CPT,Cell cryopreserve/storage,,,17 ,,TotalUnits,,,,0.59 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,88241,CPT,Frozen cell preparation,,,17 ,,TotalUnits,,,,0.59 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,88245,CPT,"Chromosome analysis, 20-25",,,17 ,,TotalUnits,,,,8.77 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,88248,CPT,"Chromosome analysis, 50-100",,,17 ,,TotalUnits,,,,10.20 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,88249,CPT,"Chromosome analysis, 100",,,17 ,,TotalUnits,,,,10.20 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,88261,CPT,"Chromosome analysis, 5",,,17 ,,TotalUnits,,,,7.60 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,88262,CPT,"Chromosome analysis, 15-20",,,17 ,,TotalUnits,,,,7.54 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,88263,CPT,"Chromosome analysis, 45",,,17 ,,TotalUnits,,,,8.85 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,88264,CPT,"Chromosome analysis, 20-25",,,17 ,,TotalUnits,,,,7.86 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,88267,CPT,"Chromosome analys, placenta",,,17 ,,TotalUnits,,,,8.12 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,88269,CPT,"Chromosome analys, amniotic",,,17 ,,TotalUnits,,,,12.26 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,88271,CPT,"Cytogenetics, dna probe",,,17 ,,TotalUnits,,,,3.22 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,88272,CPT,"Cytogenetics, 3-5",,,17 ,,TotalUnits,,,,1.58 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,88273,CPT,"Cytogenetics, 10-30",,,17 ,,TotalUnits,,,,1.89 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,88274,CPT,"Cytogenetics, 25-99",,,17 ,,TotalUnits,,,,1.76 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,88275,CPT,"Cytogenetics, 100-300",,,17 ,,TotalUnits,,,,4.86 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,88280,CPT,Chromosome karyotype study,,,17 ,,TotalUnits,,,,2.26 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,88283,CPT,Chromosome banding study,,,17 ,,TotalUnits,,,,2.79 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,88285,CPT,"Chromosome count, additional",,,17 ,,TotalUnits,,,,3.02 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,88289,CPT,"Chromosome study, additional",,,17 ,,TotalUnits,,,,2.88 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,88291,CPT,Cyto/molecular report,,PC,17 ,,RBRVS,0.52 ,0.27 ,0.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,88299,CPT,Cytogenetic study,,,17 ,,TotalUnits,,,,3.66 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,88300,CPT,"Surgical path, gross",26,,17 ,,RBRVS,0.08 ,0.02 ,0.02 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,88300,CPT,"Surgical path, gross",TC,,17 ,,RBRVS,0.00 ,0.54 ,0.54 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,88300,CPT,"Surgical path, gross",,,17 ,,RBRVS,0.08 ,0.56 ,0.56 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,88302,CPT,Tissue exam by pathologist,26,,17 ,,RBRVS,0.13 ,0.04 ,0.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,88302,CPT,Tissue exam by pathologist,TC,,17 ,,RBRVS,0.00 ,1.25 ,1.25 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,88302,CPT,Tissue exam by pathologist,,,17 ,,RBRVS,0.13 ,1.29 ,1.29 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,88304,CPT,Tissue exam by pathologist,26,,17 ,,RBRVS,0.22 ,0.06 ,0.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,88304,CPT,Tissue exam by pathologist,TC,,17 ,,RBRVS,0.00 ,1.42 ,1.42 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,88304,CPT,Tissue exam by pathologist,,,17 ,,RBRVS,0.22 ,1.48 ,1.48 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,88305,CPT,Tissue exam by pathologist,26,,17 ,,RBRVS,0.75 ,0.20 ,0.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,88305,CPT,Tissue exam by pathologist,TC,,17 ,,RBRVS,0.00 ,1.85 ,1.85 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,88305,CPT,Tissue exam by pathologist,,,17 ,,RBRVS,0.75 ,2.05 ,2.05 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,88307,CPT,Tissue exam by pathologist,26,,17 ,,RBRVS,1.59 ,0.47 ,0.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,88307,CPT,Tissue exam by pathologist,TC,,17 ,,RBRVS,0.00 ,3.94 ,3.94 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,88307,CPT,Tissue exam by pathologist,,,17 ,,RBRVS,1.59 ,4.41 ,4.41 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,88309,CPT,Tissue exam by pathologist,26,,17 ,,RBRVS,2.80 ,0.83 ,0.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,88309,CPT,Tissue exam by pathologist,TC,,17 ,,RBRVS,0.00 ,5.34 ,5.34 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,88309,CPT,Tissue exam by pathologist,,,17 ,,RBRVS,2.80 ,6.17 ,6.17 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,88311,CPT,Decalcify tissue,26,,17 ,,RBRVS,0.24 ,0.07 ,0.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,88311,CPT,Decalcify tissue,TC,,17 ,,RBRVS,0.00 ,0.17 ,0.17 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,88311,CPT,Decalcify tissue,,,17 ,,RBRVS,0.24 ,0.24 ,0.24 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,88312,CPT,Special stains,26,,17 ,,RBRVS,0.54 ,0.14 ,0.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,88312,CPT,Special stains,TC,,17 ,,RBRVS,0.00 ,2.16 ,2.16 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,88312,CPT,Special stains,,,17 ,,RBRVS,0.54 ,2.30 ,2.30 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,88313,CPT,Special stains,26,,17 ,,RBRVS,0.24 ,0.06 ,0.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,88313,CPT,Special stains,TC,,17 ,,RBRVS,0.00 ,1.89 ,1.89 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,88313,CPT,Special stains,,,17 ,,RBRVS,0.24 ,1.95 ,1.95 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,88314,CPT,Histochemical stain,26,,17 ,,RBRVS,0.45 ,0.14 ,0.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,88314,CPT,Histochemical stain,TC,,17 ,,RBRVS,0.00 ,1.82 ,1.82 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,88314,CPT,Histochemical stain,,,17 ,,RBRVS,0.45 ,1.96 ,1.96 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,88318,CPT,Chemical histochemistry,26,,17 ,,RBRVS,0.42 ,0.12 ,0.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,88318,CPT,Chemical histochemistry,TC,,17 ,,RBRVS,0.00 ,2.83 ,2.83 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,88318,CPT,Chemical histochemistry,,,17 ,,RBRVS,0.42 ,2.95 ,2.95 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,88319,CPT,Enzyme histochemistry,26,,17 ,,RBRVS,0.53 ,0.15 ,0.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,88319,CPT,Enzyme histochemistry,TC,,17 ,,RBRVS,0.00 ,3.08 ,3.08 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,88319,CPT,Enzyme histochemistry,,,17 ,,RBRVS,0.53 ,3.23 ,3.23 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,88321,CPT,Microslide consultation,,,17 ,,RBRVS,1.63 ,0.46 ,0.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,88323,CPT,Microslide consultation,26,,17 ,,RBRVS,1.83 ,0.46 ,0.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,88323,CPT,Microslide consultation,TC,,17 ,,RBRVS,0.00 ,1.75 ,1.75 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,88323,CPT,Microslide consultation,,,17 ,,RBRVS,1.83 ,2.21 ,2.21 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,88325,CPT,Comprehensive review of data,,,17 ,,RBRVS,2.50 ,0.69 ,2.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,88329,CPT,Path consult introp,,,17 ,,RBRVS,0.67 ,0.20 ,0.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,88331,CPT,"Path consult intraop, 1 bloc",26,,17 ,,RBRVS,1.19 ,0.37 ,0.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,88331,CPT,"Path consult intraop, 1 bloc",TC,,17 ,,RBRVS,0.00 ,0.84 ,0.84 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,88331,CPT,"Path consult intraop, 1 bloc",,,17 ,,RBRVS,1.19 ,1.21 ,1.21 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,88332,CPT,"Path consult intraop, add'l",26,,17 ,,RBRVS,0.59 ,0.18 ,0.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,88332,CPT,"Path consult intraop, add'l",TC,,17 ,,RBRVS,0.00 ,0.30 ,0.30 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,88332,CPT,"Path consult intraop, add'l",,,17 ,,RBRVS,0.59 ,0.48 ,0.48 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,88333,CPT,"Intraop cyto path consult, 1",26,,17 ,,RBRVS,1.20 ,0.37 ,0.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,88333,CPT,"Intraop cyto path consult, 1",TC, ,17 ,,RBRVS,0.00 ,0.95 ,0.95 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,88333,CPT,"Intraop cyto path consult, 1",,,17 ,,RBRVS,1.20 ,1.32 ,1.32 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,88334,CPT,"Intraop cyto path consult, 2",26,,17 ,,RBRVS,0.73 ,0.22 ,0.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,88334,CPT,"Intraop cyto path consult, 2",TC, ,17 ,,RBRVS,0.00 ,0.56 ,0.56 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,88334,CPT,"Intraop cyto path consult, 2",,,17 ,,RBRVS,0.73 ,0.78 ,0.78 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,88342,CPT,Immunohistochemistry,26,,17 ,,RBRVS,0.85 ,0.23 ,0.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,88342,CPT,Immunohistochemistry,TC,,17 ,,RBRVS,0.00 ,1.77 ,1.77 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,88342,CPT,Immunohistochemistry,,,17 ,,RBRVS,0.85 ,2.00 ,2.00 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,88346,CPT,Immunofluorescent study,26,,17 ,,RBRVS,0.86 ,0.23 ,0.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,88346,CPT,Immunofluorescent study,TC,,17 ,,RBRVS,0.00 ,1.68 ,1.68 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,88346,CPT,Immunofluorescent study,,,17 ,,RBRVS,0.86 ,1.91 ,1.91 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,88347,CPT,Immunofluorescent study,26,,17 ,,RBRVS,0.86 ,0.18 ,0.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,88347,CPT,Immunofluorescent study,TC,,17 ,,RBRVS,0.00 ,1.13 ,1.13 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,88347,CPT,Immunofluorescent study,,,17 ,,RBRVS,0.86 ,1.31 ,1.31 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,88348,CPT,Electron microscopy,26,,17 ,,RBRVS,1.51 ,0.42 ,0.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,88348,CPT,Electron microscopy,TC,,17 ,,RBRVS,0.00 ,17.84 ,17.84 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,88348,CPT,Electron microscopy,,,17 ,,RBRVS,1.51 ,18.26 ,18.26 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,88349,CPT,Scanning electron microscopy,26,,17 ,,RBRVS,0.76 ,0.23 ,0.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,88349,CPT,Scanning electron microscopy,TC,,17 ,,RBRVS,0.00 ,9.17 ,9.17 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,88349,CPT,Scanning electron microscopy,,,17 ,,RBRVS,0.76 ,9.40 ,9.40 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,88355,CPT,"Analysis, skeletal muscle",26,,17 ,,RBRVS,1.85 ,0.37 ,0.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,88355,CPT,"Analysis, skeletal muscle",TC,,17 ,,RBRVS,0.00 ,2.85 ,2.85 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,88355,CPT,"Analysis, skeletal muscle",,,17 ,,RBRVS,1.85 ,3.22 ,3.22 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,88356,CPT,"Analysis, nerve",26,,17 ,,RBRVS,3.02 ,0.58 ,0.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,88356,CPT,"Analysis, nerve",TC,,17 ,,RBRVS,0.00 ,4.78 ,4.78 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,88356,CPT,"Analysis, nerve",,,17 ,,RBRVS,3.02 ,5.36 ,5.36 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,88358,CPT,"Analysis, tumor",26,,17 ,,RBRVS,0.95 ,0.16 ,0.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,88358,CPT,"Analysis, tumor",TC,,17 ,,RBRVS,0.00 ,0.94 ,0.94 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,88358,CPT,"Analysis, tumor",,,17 ,,RBRVS,0.95 ,1.10 ,1.10 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,88360,CPT,Tumor immunohistochem/manual,26,,17 ,,RBRVS,1.10 ,0.27 ,0.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,88360,CPT,Tumor immunohistochem/manual,TC,,17 ,,RBRVS,0.00 ,1.95 ,1.95 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,88360,CPT,Tumor immunohistochem/manual,,,17 ,,RBRVS,1.10 ,2.22 ,2.22 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,88361,CPT,Tumor immunohistochem/comput,26,,17 ,,RBRVS,1.18 ,0.27 ,0.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,88361,CPT,Tumor immunohistochem/comput,TC,,17 ,,RBRVS,0.00 ,2.53 ,2.53 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,88361,CPT,Tumor immunohistochem/comput,,,17 ,,RBRVS,1.18 ,2.80 ,2.80 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,88362,CPT,Nerve teasing preparations,26,,17 ,,RBRVS,2.17 ,0.57 ,0.57 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,88362,CPT,Nerve teasing preparations,TC,,17 ,,RBRVS,0.00 ,4.43 ,4.43 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,88362,CPT,Nerve teasing preparations,,,17 ,,RBRVS,2.17 ,5.00 ,5.00 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,88365,CPT,Insitu hybridization (fish),26,,17 ,,RBRVS,1.20 ,0.30 ,0.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,88365,CPT,Insitu hybridization (fish),TC,,17 ,,RBRVS,0.00 ,3.04 ,3.04 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,88365,CPT,Insitu hybridization (fish),,,17 ,,RBRVS,1.20 ,3.34 ,3.34 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,88367,CPT,"Insitu hybridization, auto",26,,17 ,,RBRVS,1.30 ,0.22 ,0.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,88367,CPT,"Insitu hybridization, auto",TC,,17 ,,RBRVS,0.00 ,4.94 ,4.94 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,88367,CPT,"Insitu hybridization, auto",,,17 ,,RBRVS,1.30 ,5.16 ,5.16 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,88368,CPT,"Insitu hybridization, manual",26,,17 ,,RBRVS,1.40 ,0.25 ,0.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,88368,CPT,"Insitu hybridization, manual",TC,,17 ,,RBRVS,0.00 ,4.72 ,4.72 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,88368,CPT,"Insitu hybridization, manual",,,17 ,,RBRVS,1.40 ,4.97 ,4.97 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,88371,CPT,"Protein, western blot tissue",26,,17 ,,RBRVS,0.37 ,0.10 ,0.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,88371,CPT,"Protein, western blot tissue",,,17 ,,TotalUnits,,,,1.31 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,88372,CPT,Protein analysis w/probe,26,,17 ,,RBRVS,0.37 ,0.12 ,0.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,88372,CPT,Protein analysis w/probe,,,17 ,,TotalUnits,,,,1.34 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,88380,CPT,"Microdissection, laser",26,,17 ,,RBRVS,1.56 ,0.43 ,0.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,88380,CPT,"Microdissection, laser",TC,,17 ,,RBRVS,0.00 ,2.23 ,2.23 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,88380,CPT,"Microdissection, laser",,,17 ,,RBRVS,1.56 ,2.66 ,2.66 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,88381,CPT,"Microdissection, manual",26,,17 ,,RBRVS,1.18 ,0.32 ,0.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,88381,CPT,"Microdissection, manual",TC, ,17 ,,RBRVS,0.00 ,4.15 ,4.15 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,88381,CPT,"Microdissection, manual",,,17 ,,RBRVS,1.18 ,4.47 ,4.47 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,88384,CPT,"Eval molecular probes, 11-50",,,17 ,,TotalUnits,,,,7.44 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,88385,CPT,"Eval  molecul probes, 51-250",26, ,17 ,,RBRVS,1.50 ,0.27 ,0.27 ,,,$0.00,$0.00,1,0,1,1,1,0,20091001,,88385,CPT,"Eval  molecul probes, 51-250",TC, ,17 ,,RBRVS,0.00 ,15.28 ,15.28 ,,,$0.00,$0.00,1,1,1,0,0,0,20091001,,88385,CPT,"Eval  molecul probes, 51-250",,,17 ,,RBRVS,1.50 ,15.55 ,15.55 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,88386,CPT,"Eval molecul probes, 251-500",26, ,17 ,,RBRVS,1.88 ,0.34 ,0.34 ,,,$0.00,$0.00,1,0,1,1,1,0,20091001,,88386,CPT,"Eval molecul probes, 251-500",TC, ,17 ,,RBRVS,0.00 ,15.12 ,15.12 ,,,$0.00,$0.00,1,1,1,0,0,0,20091001,,88386,CPT,"Eval molecul probes, 251-500",,,17 ,,RBRVS,1.88 ,15.46 ,15.46 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,88399,CPT,Surgical pathology procedure,,,17 ,,TotalUnits,,,,1.73 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,89049,CPT,Chct for mal hyperthermia,,,17 ,,RBRVS,1.40 ,0.19 ,3.56 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,89050,CPT,Body fluid cell count,,,17 ,,TotalUnits,,,,0.52 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,89051,CPT,Body fluid cell count,,,17 ,,TotalUnits,,,,0.67 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,89055,CPT,"Leukocyte assessment, fecal",,,17 ,,TotalUnits,,,,0.45 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,89060,CPT,"Exam,synovial fluid crystals",26,,17 ,,RBRVS,0.37 ,0.12 ,0.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,89060,CPT,"Exam,synovial fluid crystals",,,17 ,,TotalUnits,,,,0.56 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,89100,CPT,Sample intestinal contents,,,17 ,,RBRVS,0.60 ,0.54 ,7.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,89105,CPT,Sample intestinal contents,,,17 ,,RBRVS,0.50 ,0.46 ,7.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,89125,CPT,Specimen fat stain,,,17 ,,TotalUnits,,,,0.36 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,89130,CPT,Sample stomach contents,,,17 ,,RBRVS,0.45 ,0.38 ,6.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,89132,CPT,Sample stomach contents,,,17 ,,RBRVS,0.19 ,0.39 ,8.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,89135,CPT,Sample stomach contents,,,17 ,,RBRVS,0.79 ,0.67 ,8.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,89136,CPT,Sample stomach contents,,,17 ,,RBRVS,0.21 ,0.26 ,5.95 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,89140,CPT,Sample stomach contents,,,17 ,,RBRVS,0.94 ,0.43 ,6.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,89141,CPT,Sample stomach contents,,,17 ,,RBRVS,0.85 ,0.49 ,6.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,89160,CPT,Exam feces for meat fibers,,,17 ,,TotalUnits,,,,0.26 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,89190,CPT,Nasal smear for eosinophils,,,17 ,,TotalUnits,,,,0.22 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,89220,CPT,Sputum specimen collection,,TC,17 ,,RBRVS,0.00 ,0.37 ,0.37 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,89225,CPT,"Starch granules, feces",,,17 ,,TotalUnits,,,,0.20 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,89230,CPT,Collect sweat for test,,TC,17 ,,RBRVS,0.00 ,0.07 ,0.07 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,89235,CPT,Water load test,,,17 ,,TotalUnits,,,,0.32 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,89240,CPT,Pathology lab procedure,,,17 ,,TotalUnits,,,,3.65 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,89250,CPT,Cultr oocyte/embryo <4 days,,,17 ,,TotalUnits,,,,16.22 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,89300,CPT,Semen analysis w/huhner,,,17 ,,TotalUnits,,,,0.77 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,89310,CPT,Semen analysis w/count,,,17 ,,TotalUnits,,,,0.77 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,89320,CPT,Semen anal vol/count/mot,,,17 ,,TotalUnits,,,,1.46 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,89321,CPT,"Semen anal, sperm detection",,,17 ,,TotalUnits,,,,0.87 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,89322,CPT,"Semen anal, strict criteria",,,17 ,,TotalUnits,,,,1.58 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,89325,CPT,Sperm antibody test,,,17 ,,TotalUnits,,,,1.66 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,89329,CPT,Sperm evaluation test,,,17 ,,TotalUnits,,,,1.23 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,89330,CPT,"Evaluation, cervical mucus",,,17 ,,TotalUnits,,,,1.44 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,89331,CPT,Retrograde ejaculation anal,,,17 ,,TotalUnits,,,,1.15 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,90281,CPT,"Human ig, im",,,22 ,,TotalUnits,,,,0.22 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,90283,CPT,"Human ig, iv",,,22 ,,TotalUnits,,,,25.78 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,90287,CPT,Botulinum antitoxin,,,22 ,,TotalUnits,,,,0.30 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,90291,CPT,"Cmv ig, iv",,,29 ,,NW,,,,,,$560.35,$0.00,1,1,1,0,0,1,20091001,,90296,CPT,Diphtheria antitoxin,,,9 ,,TotalUnits,,,,0.45 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,90371,CPT,"Hep b ig, im",,,22 ,,TotalUnits,,,,2.20 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,90375,CPT,"Rabies ig, im/sc",,,22 ,,TotalUnits,,,,2.41 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,90376,CPT,"Rabies ig, heat treated",,,22 ,,TotalUnits,,,,2.70 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,90378,CPT,"Rsv ig, im, 50mg",,,22 ,,TotalUnits,,,,12.58 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,90379,CPT,"Rsv ig, iv",,,22 ,,TotalUnits,,,,15.23 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,90384,CPT,"Rh ig, full-dose, im",,,22 ,,TotalUnits,,,,1.68 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,90385,CPT,"Rh ig, minidose, im",,,22 ,,TotalUnits,,,,0.81 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,90386,CPT,"Rh ig, iv",,,22 ,,TotalUnits,,,,1.89 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,90389,CPT,"Tetanus ig, im",,,22 ,,TotalUnits,,,,1.64 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,90396,CPT,"Varicella-zoster ig, im",,,22 ,,TotalUnits,,,,1.94 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,90399,CPT,Immune globulin,,,22 ,,TotalUnits,,,,5.32 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,90465,CPT,"Immune admin 1 inj, < 8 yrs",,,9 ,,RBRVS,0.17 ,0.44 ,0.44 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,90466,CPT,"Immune admin addl inj, < 8 y",,,9 ,,RBRVS,0.15 ,0.04 ,0.12 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,90467,CPT,"Immune admin o or n, < 8 yrs",,,9 ,,RBRVS,0.17 ,0.07 ,0.17 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,90468,CPT,"Immune admin o/n, addl < 8 y",,,9 ,,RBRVS,0.15 ,0.04 ,0.11 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,90471,CPT,Immunization admin,,,9 ,,RBRVS,0.17 ,0.44 ,0.44 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,90472,CPT,"Immunization admin, each add",,,9 ,,RBRVS,0.15 ,0.04 ,0.12 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,90473,CPT,Immune admin oral/nasal,,,9 ,,RBRVS,0.17 ,0.04 ,0.17 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,90474,CPT,Immune admin oral/nasal addl,,,9 ,,RBRVS,0.15 ,0.04 ,0.08 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,90476,CPT,"Adenovirus vaccine, type 4",,,9 ,,TotalUnits,,,,0.69 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,90477,CPT,"Adenovirus vaccine, type 7",,,9 ,,TotalUnits,,,,0.45 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,90581,CPT,"Anthrax vaccine, sc",,,9 ,,TotalUnits,,,,2.87 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,90585,CPT,"Bcg vaccine, percut",,,9 ,,TotalUnits,,,,2.58 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,90586,CPT,"Bcg vaccine, intravesical",,,9 ,,TotalUnits,,,,3.96 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,90632,CPT,"Hep a vaccine, adult im",,,9 ,,TotalUnits,,,,1.34 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,90633,CPT,"Hep a vacc, ped/adol, 2 dose",,,9 ,,TotalUnits,,,,0.74 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,90634,CPT,"Hep a vacc, ped/adol, 3 dose",,,9 ,,TotalUnits,,,,0.79 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,90636,CPT,"Hep a/hep b vacc, adult im",,,9 ,,TotalUnits,,,,1.92 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,90645,CPT,"Hib vaccine, hboc, im",,,9 ,,TotalUnits,,,,0.57 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,90646,CPT,"Hib vaccine, prp-d, im",,,9 ,,TotalUnits,,,,0.73 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,90647,CPT,"Hib vaccine, prp-omp, im",,,9 ,,TotalUnits,,,,0.57 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,90648,CPT,"Hib vaccine, prp-t, im",,,9 ,,TotalUnits,,,,0.57 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,90649,CPT,"Hpv vaccine 4 valent, im",,,9 ,,TotalUnits,,,,2.50 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,90656,CPT,Flu vaccine no preserv 3 & >,,,9 ,,TotalUnits,,,,0.30 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,90657,CPT,"Flu vaccine, 3 yrs, im",,,9 ,,TotalUnits,,,,0.29 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,90658,CPT,"Flu vaccine, 3 yrs & >, im",,,9 ,,TotalUnits,,,,0.29 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,90660,CPT,"Flu vaccine, nasal",,,9 ,,TotalUnits,,,,0.37 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,90665,CPT,"Lyme disease vaccine, im",,,9 ,,TotalUnits,,,,0.49 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,90669,CPT,"Pneumococcal vacc, ped <5",,,9 ,,TotalUnits,,,,1.59 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,90675,CPT,"Rabies vaccine, im",,,9 ,,TotalUnits,,,,3.67 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,90676,CPT,"Rabies vaccine, id",,,9 ,,TotalUnits,,,,6.65 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,90680,CPT,"Rotovirus vacc 3 dose, oral",,,9 ,,TotalUnits,,,,1.49 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,90681,CPT,Rotavirus vacc 2 dose oral,,,9 ,,TotalUnits,,,,1.55 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,90690,CPT,"Typhoid vaccine, oral",,,9 ,,TotalUnits,,,,0.76 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,90691,CPT,"Typhoid vaccine, im",,,9 ,,TotalUnits,,,,1.13 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,90692,CPT,"Typhoid vaccine, h-p, sc/id",,,9 ,,TotalUnits,,,,1.12 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,90693,CPT,"Typhoid vaccine, akd, sc",,,9 ,,TotalUnits,,,,0.70 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,90698,CPT,"Dtap-hib-ip vaccine, im",,,9 ,,TotalUnits,,,,1.55 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,90700,CPT,"Dtap vaccine, < 7 yrs, im",,,9 ,,TotalUnits,,,,0.50 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,90701,CPT,"Dtp vaccine, im",,,9 ,,TotalUnits,,,,0.56 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,90702,CPT,"Dt vaccine < 7, im",,,9 ,,TotalUnits,,,,0.57 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,90703,CPT,"Tetanus vaccine, im",,,9 ,,TotalUnits,,,,0.50 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,90704,CPT,"Mumps vaccine, sc",,,9 ,,TotalUnits,,,,0.57 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,90705,CPT,"Measles vaccine, sc",,,9 ,,TotalUnits,,,,0.59 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,90706,CPT,"Rubella vaccine, sc",,,9 ,,TotalUnits,,,,0.58 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,90707,CPT,"Mmr vaccine, sc",,,9 ,,TotalUnits,,,,1.01 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,90708,CPT,"Measles-rubella vaccine, sc",,,9 ,,TotalUnits,,,,2.33 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,90710,CPT,"Mmrv vaccine, sc",,,9 ,,TotalUnits,,,,2.64 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,90712,CPT,Oral poliovirus vaccine,,,9 ,,TotalUnits,,,,0.54 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,90713,CPT,"Poliovirus, ipv, sc/im",,,9 ,,TotalUnits,,,,0.57 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,90714,CPT,Td vaccine no prsrv >/= 7 im,,,9 ,,TotalUnits,,,,0.87 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,90715,CPT,Tdap vaccine >7 im,,,9 ,,TotalUnits,,,,0.68 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,90716,CPT,"Chicken pox vaccine, sc",,,9 ,,TotalUnits,,,,1.48 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,90717,CPT,"Yellow fever vaccine, sc",,,9 ,,TotalUnits,,,,1.71 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,90718,CPT,"Td vaccine > 7, im",,,9 ,,TotalUnits,,,,0.57 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,90719,CPT,"Diphtheria vaccine, im",,,9 ,,TotalUnits,,,,0.55 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,90720,CPT,"Dtp/hib vaccine, im",,,9 ,,TotalUnits,,,,0.48 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,90721,CPT,"Dtap/hib vaccine, im",,,9 ,,TotalUnits,,,,0.76 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,90723,CPT,"Dtap-hep b-ipv vaccine, im",,,9 ,,TotalUnits,,,,1.44 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,90725,CPT,"Cholera vaccine, injectable",,,9 ,,TotalUnits,,,,0.15 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,90727,CPT,"Plague vaccine, im",,,9 ,,TotalUnits,,,,0.41 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,90732,CPT,Pneumococcal vaccine,,,9 ,,TotalUnits,,,,0.59 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,90733,CPT,"Meningococcal vaccine, sc",,,9 ,,TotalUnits,,,,2.01 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,90734,CPT,"Meningococcal vaccine, im",,,9 ,,TotalUnits,,,,1.88 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,90735,CPT,"Encephalitis vaccine, sc",,,9 ,,TotalUnits,,,,2.08 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,90736,CPT,"Zoster vacc, sc",,,9 ,,TotalUnits,,,,3.03 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,90740,CPT,"Hepb vacc, ill pat 3 dose im",,,9 ,,TotalUnits,,,,3.86 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,90743,CPT,"Hep b vacc, adol, 2 dose, im",,,9 ,,TotalUnits,,,,1.01 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,90744,CPT,Hepb vacc ped/adol 3 dose im,,,9 ,,TotalUnits,,,,0.71 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,90746,CPT,"Hep b vaccine, adult, im",,,9 ,,TotalUnits,,,,1.48 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,90747,CPT,"Hepb vacc, ill pat 4 dose im",,,9 ,,TotalUnits,,,,4.48 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,90748,CPT,"Hep b/hib vaccine, im",,,9 ,,TotalUnits,,,,1.12 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,90749,CPT,Vaccine toxoid,,,9 ,,TotalUnits,,,,0.77 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,90801,CPT,Psy dx interview,,,16 ,,RBRVS,2.80 ,0.60 ,1.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,90802,CPT,Intac psy dx interview,,,16 ,,RBRVS,3.01 ,0.68 ,1.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,90804,CPT,"Psytx, office, 20-30 min",,,16 ,,RBRVS,1.21 ,0.22 ,0.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,90805,CPT,"Psytx, off, 20-30 min w/e&m",,,16 ,,RBRVS,1.37 ,0.24 ,0.60 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,90806,CPT,"Psytx, off, 45-50 min",,,16 ,,RBRVS,1.86 ,0.33 ,0.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,90807,CPT,"Psytx, off, 45-50 min w/e&m",,,16 ,,RBRVS,2.02 ,0.35 ,0.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,90808,CPT,"Psytx, office, 75-80 min",,,16 ,,RBRVS,2.79 ,0.49 ,0.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,90809,CPT,"Psytx, off, 75-80, w/e&m",,,16 ,,RBRVS,2.95 ,0.52 ,0.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,90810,CPT,"Intac psytx, off, 20-30 min",,,16 ,,RBRVS,1.32 ,0.23 ,0.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,90811,CPT,"Intac psytx, 20-30, w/e&m",,,16 ,,RBRVS,1.48 ,0.26 ,0.72 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,90812,CPT,"Intac psytx, off, 45-50 min",,,16 ,,RBRVS,1.97 ,0.34 ,0.65 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,90813,CPT,"Intac psytx, 45-50 min w/e&m",,,16 ,,RBRVS,2.13 ,0.37 ,0.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,90814,CPT,"Intac psytx, off, 75-80 min",,,16 ,,RBRVS,2.90 ,0.53 ,0.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,90815,CPT,"Intac psytx, 75-80 w/e&m",,,16 ,,RBRVS,3.06 ,0.53 ,0.99 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,90816,CPT,"Psytx, hosp, 20-30 min",,,16 ,,RBRVS,1.25 ,0.33 ,0.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,90817,CPT,"Psytx, hosp, 20-30 min w/e&m",,,16 ,,RBRVS,1.41 ,0.35 ,0.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,90818,CPT,"Psytx, hosp, 45-50 min",,,16 ,,RBRVS,1.89 ,0.44 ,0.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,90819,CPT,"Psytx, hosp, 45-50 min w/e&m",,,16 ,,RBRVS,2.05 ,0.46 ,0.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,90821,CPT,"Psytx, hosp, 75-80 min",,,16 ,,RBRVS,2.83 ,0.60 ,0.60 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,90822,CPT,"Psytx, hosp, 75-80 min w/e&m",,,16 ,,RBRVS,2.99 ,0.63 ,0.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,90823,CPT,"Intac psytx, hosp, 20-30 min",,,16 ,,RBRVS,1.36 ,0.35 ,0.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,90824,CPT,"Intac psytx, hsp 20-30 w/e&m",,,16 ,,RBRVS,1.52 ,0.37 ,0.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,90826,CPT,"Intac psytx, hosp, 45-50 min",,,16 ,,RBRVS,2.01 ,0.46 ,0.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,90827,CPT,"Intac psytx, hsp 45-50 w/e&m",,,16 ,,RBRVS,2.16 ,0.48 ,0.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,90828,CPT,"Intac psytx, hosp, 75-80 min",,,16 ,,RBRVS,2.94 ,0.62 ,0.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,90829,CPT,"Intac psytx, hsp 75-80 w/e&m",,,16 ,,RBRVS,3.10 ,0.64 ,0.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,90845,CPT,Psychoanalysis,,,16 ,,RBRVS,1.79 ,0.32 ,0.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,90846,CPT,Family psytx w/o patient,,,16 ,,RBRVS,1.83 ,0.43 ,0.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,90847,CPT,Family psytx w/patient,,,16 ,,RBRVS,2.21 ,0.49 ,0.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,90849,CPT,Multiple family group psytx,,,16 ,,RBRVS,0.59 ,0.21 ,0.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,90853,CPT,Group psychotherapy,,,16 ,,RBRVS,0.59 ,0.20 ,0.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,90857,CPT,Intac group psytx,,,16 ,,RBRVS,0.63 ,0.21 ,0.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,90862,CPT,Medication management,,,16 ,,RBRVS,0.95 ,0.27 ,0.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,90865,CPT,Narcosynthesis,,,16 ,,RBRVS,2.84 ,0.63 ,1.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,90870,CPT,Electroconvulsive therapy,,,16 ,,RBRVS,1.88 ,0.38 ,1.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,90875,CPT,Psychophysiological therapy,,,16 ,,RBRVS,1.20 ,0.28 ,0.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,90876,CPT,Psychophysiological therapy,,,16 ,,RBRVS,1.90 ,0.44 ,0.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,90880,CPT,Hypnotherapy,,,16 ,,RBRVS,2.19 ,0.39 ,0.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,90882,CPT,Environmental manipulation,,,16 ,,TotalUnits,,,,2.64 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,90885,CPT,Psy evaluation of records,,,16 ,,RBRVS,0.97 ,0.22 ,0.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,90887,CPT,Consultation with family,,,16 ,,RBRVS,1.48 ,0.34 ,0.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,90889,CPT,Preparation of report,,,16 ,,TotalUnits,,,,2.33 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,90899,CPT,Psychiatric service/therapy,,,16 ,,TotalUnits,,,,8.61 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,90901,CPT,"Biofeedback train, any meth",,,14 ,,RBRVS,0.41 ,0.10 ,0.46 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,90911,CPT,Biofeedback peri/uro/rectal,,,14 ,,RBRVS,0.89 ,0.30 ,1.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,90935,CPT,"Hemodialysis, one evaluation",,,14 ,,RBRVS,1.22 ,0.54 ,0.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,90937,CPT,"Hemodialysis, repeated eval",,,14 ,,RBRVS,2.11 ,0.77 ,0.77 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,90940,CPT,Hemodialysis access study,,,14 ,,TotalUnits,,,,1.22 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,90945,CPT,"Dialysis, one evaluation",,,14 ,,RBRVS,1.28 ,0.55 ,0.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,90947,CPT,"Dialysis, repeated eval",,,14 ,,RBRVS,2.16 ,0.79 ,0.79 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,90951,CPT,"Esrd serv, 4 visits p mo, <2",,,14 ,,RBRVS,18.46 ,7.27 ,7.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,90954,CPT,"Esrd serv, 4 vsts p mo, 2-11",,,14 ,,RBRVS,15.98 ,5.49 ,5.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,90955,CPT,"Esrd srv 2-3 vsts p mo, 2-11",,,14 ,,RBRVS,8.79 ,3.07 ,3.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,90956,CPT,"Esrd srv, 1 visit p mo, 2-11",,,14 ,,RBRVS,5.95 ,1.93 ,1.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,90957,CPT,"Esrd srv, 4 vsts p mo, 12-19",,,14 ,,RBRVS,12.52 ,4.68 ,4.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,90958,CPT,Esrd srv 2-3 vsts p mo 12-19,,,14 ,,RBRVS,8.34 ,3.07 ,3.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,90959,CPT,"Esrd serv, 1 vst p mo, 12-19",,,14 ,,RBRVS,5.50 ,1.81 ,1.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,90960,CPT,"Esrd srv, 4 visits p mo, 20+",,,14 ,,RBRVS,5.18 ,2.31 ,2.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,90961,CPT,"Esrd srv, 2-3 vsts p mo, 20+",,,14 ,,RBRVS,4.26 ,1.73 ,1.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,90962,CPT,"Esrd serv, 1 visit p mo, 20+",,,14 ,,RBRVS,3.15 ,1.10 ,1.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,90963,CPT,"Esrd home pt, serv p mo, <2",,,14 ,,RBRVS,10.56 ,3.14 ,3.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,90964,CPT,"Esrd home pt serv p mo, 2-11",,,14 ,,RBRVS,9.14 ,2.79 ,2.79 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,90965,CPT,Esrd home pt serv p mo 12-19,,,14 ,,RBRVS,8.69 ,2.70 ,2.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,90966,CPT,"Esrd home pt, serv p mo, 20+",,,14 ,,RBRVS,4.26 ,1.64 ,1.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,90967,CPT,"Esrd home pt serv p day, <2",,,14 ,,RBRVS,0.35 ,0.16 ,0.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,90968,CPT,"Esrd home pt srv p day, 2-11",,,14 ,,RBRVS,0.30 ,0.11 ,0.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,90969,CPT,Esrd home pt srv p day 12-19,,,14 ,,RBRVS,0.29 ,0.11 ,0.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,90970,CPT,"Esrd home pt serv p day, 20+",,,14 ,,RBRVS,0.14 ,0.06 ,0.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,90989,CPT,"Dialysis training, complete",,,14 ,,TotalUnits,,,,8.30 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,90993,CPT,"Dialysis training, incompl",,,14 ,,TotalUnits,,,,1.44 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,90997,CPT,Hemoperfusion,,,14 ,,RBRVS,1.84 ,0.50 ,0.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,90999,CPT,Dialysis procedure,,,14 ,,TotalUnits,,,,5.74 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,91000,CPT,Esophageal intubation,26,,14 ,,RBRVS,0.73 ,0.22 ,0.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,91000,CPT,Esophageal intubation,TC,,14 ,,RBRVS,0.00 ,1.91 ,1.91 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,91000,CPT,Esophageal intubation,,,14 ,,RBRVS,0.73 ,2.13 ,2.13 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,91010,CPT,Esophagus motility study,26,,14 ,,RBRVS,1.25 ,0.55 ,0.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,91010,CPT,Esophagus motility study,TC,,14 ,,RBRVS,0.00 ,3.12 ,3.12 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,91010,CPT,Esophagus motility study,,,14 ,,RBRVS,1.25 ,3.67 ,3.67 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,91011,CPT,Esophagus motility study,26,,14 ,,RBRVS,1.50 ,0.72 ,0.72 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,91011,CPT,Esophagus motility study,TC,,14 ,,RBRVS,0.00 ,4.66 ,4.66 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,91011,CPT,Esophagus motility study,,,14 ,,RBRVS,1.50 ,5.38 ,5.38 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,91012,CPT,Esophagus motility study,26,,14 ,,RBRVS,1.46 ,0.68 ,0.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,91012,CPT,Esophagus motility study,TC,,14 ,,RBRVS,0.00 ,4.76 ,4.76 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,91012,CPT,Esophagus motility study,,,14 ,,RBRVS,1.46 ,5.44 ,5.44 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,91020,CPT,Gastric motility studies,26,,14 ,,RBRVS,1.44 ,0.61 ,0.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,91020,CPT,Gastric motility studies,TC,,14 ,,RBRVS,0.00 ,4.21 ,4.21 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,91020,CPT,Gastric motility studies,,,14 ,,RBRVS,1.44 ,4.82 ,4.82 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,91022,CPT,Duodenal motility study,26,,14 ,,RBRVS,1.44 ,0.62 ,0.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,91022,CPT,Duodenal motility study,TC,,14 ,,RBRVS,0.00 ,2.52 ,2.52 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,91022,CPT,Duodenal motility study,,,14 ,,RBRVS,1.44 ,3.14 ,3.14 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,91030,CPT,Acid perfusion of esophagus,26,,14 ,,RBRVS,0.91 ,0.42 ,0.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,91030,CPT,Acid perfusion of esophagus,TC,,14 ,,RBRVS,0.00 ,2.48 ,2.48 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,91030,CPT,Acid perfusion of esophagus,,,14 ,,RBRVS,0.91 ,2.90 ,2.90 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,91034,CPT,Gastroesophageal reflux test,26,,14 ,,RBRVS,0.97 ,0.42 ,0.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,91034,CPT,Gastroesophageal reflux test,TC,,14 ,,RBRVS,0.00 ,3.73 ,3.73 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,91034,CPT,Gastroesophageal reflux test,,,14 ,,RBRVS,0.97 ,4.15 ,4.15 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,91035,CPT,G-esoph reflx tst w/electrod,26,,14 ,,RBRVS,1.59 ,0.70 ,0.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,91035,CPT,G-esoph reflx tst w/electrod,TC,,14 ,,RBRVS,0.00 ,10.69 ,10.69 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,91035,CPT,G-esoph reflx tst w/electrod,,,14 ,,RBRVS,1.59 ,11.39 ,11.39 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,91037,CPT,Esoph imped function test,26,,14 ,,RBRVS,0.97 ,0.44 ,0.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,91037,CPT,Esoph imped function test,TC,,14 ,,RBRVS,0.00 ,3.03 ,3.03 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,91037,CPT,Esoph imped function test,,,14 ,,RBRVS,0.97 ,3.47 ,3.47 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,91038,CPT,Esoph imped funct test > 1h,26,,14 ,,RBRVS,1.10 ,0.50 ,0.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,91038,CPT,Esoph imped funct test > 1h,TC,,14 ,,RBRVS,0.00 ,2.31 ,2.31 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,91038,CPT,Esoph imped funct test > 1h,,,14 ,,RBRVS,1.10 ,2.81 ,2.81 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,91040,CPT,Esoph balloon distension tst,26,,14 ,,RBRVS,0.97 ,0.28 ,0.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,91040,CPT,Esoph balloon distension tst,TC,,14 ,,RBRVS,0.00 ,7.45 ,7.45 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,91040,CPT,Esoph balloon distension tst,,,14 ,,RBRVS,0.97 ,7.73 ,7.73 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,91052,CPT,Gastric analysis test,26,,14 ,,RBRVS,0.79 ,0.37 ,0.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,91052,CPT,Gastric analysis test,TC,,14 ,,RBRVS,0.00 ,2.55 ,2.55 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,91052,CPT,Gastric analysis test,,,14 ,,RBRVS,0.79 ,2.92 ,2.92 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,91055,CPT,Gastric intubation for smear,26,,14 ,,RBRVS,0.94 ,0.29 ,0.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,91055,CPT,Gastric intubation for smear,TC,,14 ,,RBRVS,0.00 ,2.29 ,2.29 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,91055,CPT,Gastric intubation for smear,,,14 ,,RBRVS,0.94 ,2.58 ,2.58 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,91065,CPT,Breath hydrogen test,26,,14 ,,RBRVS,0.20 ,0.06 ,0.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,91065,CPT,Breath hydrogen test,TC,,14 ,,RBRVS,0.00 ,1.28 ,1.28 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,91065,CPT,Breath hydrogen test,,,14 ,,RBRVS,0.20 ,1.34 ,1.34 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,91105,CPT,Gastric intubation treatment,,,14 ,,RBRVS,0.37 ,0.07 ,1.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,91110,CPT,Gi tract capsule endoscopy,26,,14 ,,RBRVS,3.64 ,1.67 ,1.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,91110,CPT,Gi tract capsule endoscopy,TC, ,14 ,,RBRVS,0.00 ,18.99 ,18.99 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,91110,CPT,Gi tract capsule endoscopy,,,14 ,,RBRVS,3.64 ,20.66 ,20.66 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,91111,CPT,Esophageal capsule endoscopy,26,,21 ,,RBRVS,1.00 ,0.45 ,0.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,91111,CPT,Esophageal capsule endoscopy,TC,,21 ,,RBRVS,0.00 ,18.39 ,18.39 ,,,$0.00,$0.00,1,1,1,1,1,1,20091001,,91111,CPT,Esophageal capsule endoscopy,,,21 ,,RBRVS,1.00 ,18.84 ,18.84 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,91120,CPT,Rectal sensation test,26,,14 ,,RBRVS,0.97 ,0.27 ,0.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,91120,CPT,Rectal sensation test,TC, ,14 ,,RBRVS,0.00 ,8.62 ,8.62 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,91120,CPT,Rectal sensation test,,,14 ,,RBRVS,0.97 ,8.89 ,8.89 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,91122,CPT,Anal pressure record,26,,14 ,,RBRVS,1.77 ,0.62 ,0.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,91122,CPT,Anal pressure record,TC,,14 ,,RBRVS,0.00 ,3.69 ,3.69 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,91122,CPT,Anal pressure record,,,14 ,,RBRVS,1.77 ,4.31 ,4.31 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,91123,CPT,Irrigate fecal impaction,,,14 ,,TotalUnits,,,,0.75 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,91132,CPT,Electrogastrography,26,,14 ,,RBRVS,0.52 ,0.25 ,0.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,91133,CPT,Electrogastrography w/test,26,,14 ,,RBRVS,0.66 ,0.32 ,0.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,91299,CPT,Gastroenterology procedure,,,14 ,,TotalUnits,,,,21.26 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,92002,CPT,"Eye exam, new patient",,,23 ,,RBRVS,0.88 ,0.25 ,0.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,92004,CPT,"Eye exam, new patient",,,23 ,,RBRVS,1.82 ,0.55 ,1.57 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,92012,CPT,Eye exam established pat,,,23 ,,RBRVS,0.92 ,0.31 ,0.99 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,92014,CPT,Eye exam & treatment,,,23 ,,RBRVS,1.42 ,0.46 ,1.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,92015,CPT,Refraction,,,23 ,,RBRVS,0.38 ,0.09 ,0.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,92018,CPT,New eye exam & treatment,,,14 ,,RBRVS,2.50 ,0.86 ,0.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,92019,CPT,Eye exam & treatment,,,23 ,,RBRVS,1.31 ,0.35 ,0.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,92020,CPT,Special eye evaluation,,,23 ,,RBRVS,0.37 ,0.13 ,0.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,92025,CPT,Corneal topography,26,,23 ,,RBRVS,0.35 ,0.12 ,0.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,92025,CPT,Corneal topography,TC,,23 ,,RBRVS,0.00 ,0.37 ,0.37 ,,,$0.00,$0.00,1,1,1,1,1,1,20091001,,92025,CPT,Corneal topography,,,23 ,,RBRVS,0.35 ,0.49 ,0.49 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,92060,CPT,Special eye evaluation,26,,23 ,,RBRVS,0.69 ,0.22 ,0.22 ,,,$0.00,$0.00,1,0,1,1,1,0,20091001,,92060,CPT,Special eye evaluation,TC,,23 ,,RBRVS,0.00 ,0.54 ,0.54 ,,,$0.00,$0.00,1,1,1,0,1,0,20091001,,92060,CPT,Special eye evaluation,,,23 ,,RBRVS,0.69 ,0.76 ,0.76 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,92065,CPT,Orthoptic/pleoptic training,26,,23 ,,RBRVS,0.37 ,0.09 ,0.09 ,,,$0.00,$0.00,1,0,1,1,1,0,20091001,,92065,CPT,Orthoptic/pleoptic training,TC,,23 ,,RBRVS,0.00 ,0.77 ,0.77 ,,,$0.00,$0.00,1,1,1,0,1,0,20091001,,92065,CPT,Orthoptic/pleoptic training,,,23 ,,RBRVS,0.37 ,0.86 ,0.86 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,92070,CPT,Fitting of contact lens,,,23 ,,RBRVS,0.70 ,0.22 ,0.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,92081,CPT,Visual field examination(s),26,,23 ,,RBRVS,0.36 ,0.11 ,0.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,92081,CPT,Visual field examination(s),TC,,23 ,,RBRVS,0.00 ,0.84 ,0.84 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,92081,CPT,Visual field examination(s),,,23 ,,RBRVS,0.36 ,0.95 ,0.95 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,92082,CPT,Visual field examination(s),26,,23 ,,RBRVS,0.44 ,0.14 ,0.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,92082,CPT,Visual field examination(s),TC,,23 ,,RBRVS,0.00 ,1.18 ,1.18 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,92082,CPT,Visual field examination(s),,,23 ,,RBRVS,0.44 ,1.32 ,1.32 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,92083,CPT,Visual field examination(s),26,,23 ,,RBRVS,0.50 ,0.16 ,0.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,92083,CPT,Visual field examination(s),TC,,23 ,,RBRVS,0.00 ,1.35 ,1.35 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,92083,CPT,Visual field examination(s),,,23 ,,RBRVS,0.50 ,1.51 ,1.51 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,92100,CPT,Serial tonometry exam(s),,,23 ,,RBRVS,0.92 ,0.27 ,1.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,92120,CPT,Tonography & eye evaluation,,,23 ,,RBRVS,0.81 ,0.25 ,0.97 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,92130,CPT,Water provocation tonography,,,23 ,,RBRVS,0.81 ,0.27 ,1.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,92135,CPT,Ophth dx imaging post seg,26,,23 ,,RBRVS,0.35 ,0.12 ,0.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,92135,CPT,Ophth dx imaging post seg,TC,,23 ,,RBRVS,0.00 ,0.67 ,0.67 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,92135,CPT,Ophth dx imaging post seg,,,23 ,,RBRVS,0.35 ,0.79 ,0.79 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,92136,CPT,Ophthalmic biometry,26,,23 ,,RBRVS,0.54 ,0.19 ,0.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,92136,CPT,Ophthalmic biometry,TC,,23 ,,RBRVS,0.00 ,1.23 ,1.23 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,92136,CPT,Ophthalmic biometry,,,23 ,,RBRVS,0.54 ,1.42 ,1.42 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,92140,CPT,Glaucoma provocative tests,,,23 ,,RBRVS,0.50 ,0.14 ,0.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,92225,CPT,"Special eye exam, initial",,,23 ,,RBRVS,0.38 ,0.12 ,0.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,92226,CPT,"Special eye exam, subsequent",,,23 ,,RBRVS,0.33 ,0.11 ,0.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,92230,CPT,Eye exam with photos,,,23 ,,RBRVS,0.60 ,0.19 ,0.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,92235,CPT,Eye exam with photos,26,,23 ,,RBRVS,0.81 ,0.29 ,0.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,92235,CPT,Eye exam with photos,TC,,23 ,,RBRVS,0.00 ,1.97 ,1.97 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,92235,CPT,Eye exam with photos,,,23 ,,RBRVS,0.81 ,2.26 ,2.26 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,92240,CPT,Icg angiography,26,,23 ,,RBRVS,1.10 ,0.39 ,0.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,92240,CPT,Icg angiography,TC,,23 ,,RBRVS,0.00 ,3.99 ,3.99 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,92240,CPT,Icg angiography,,,23 ,,RBRVS,1.10 ,4.38 ,4.38 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,92250,CPT,Eye exam with photos,26,,23 ,,RBRVS,0.44 ,0.14 ,0.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,92250,CPT,Eye exam with photos,TC,,23 ,,RBRVS,0.00 ,1.16 ,1.16 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,92250,CPT,Eye exam with photos,,,23 ,,RBRVS,0.44 ,1.30 ,1.30 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,92260,CPT,Ophthalmoscopy/dynamometry,,,23 ,,RBRVS,0.20 ,0.07 ,0.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,92265,CPT,Eye muscle evaluation,26,,23 ,,RBRVS,0.81 ,0.24 ,0.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,92265,CPT,Eye muscle evaluation,TC,,23 ,,RBRVS,0.00 ,0.76 ,0.76 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,92265,CPT,Eye muscle evaluation,,,23 ,,RBRVS,0.81 ,1.00 ,1.00 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,92270,CPT,Electro-oculography,26,,23 ,,RBRVS,0.81 ,0.23 ,0.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,92270,CPT,Electro-oculography,TC,,23 ,,RBRVS,0.00 ,1.09 ,1.09 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,92270,CPT,Electro-oculography,,,23 ,,RBRVS,0.81 ,1.32 ,1.32 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,92275,CPT,Electroretinography,26,,23 ,,RBRVS,1.01 ,0.35 ,0.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,92275,CPT,Electroretinography,TC,,23 ,,RBRVS,0.00 ,2.07 ,2.07 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,92275,CPT,Electroretinography,,,23 ,,RBRVS,1.01 ,2.42 ,2.42 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,92283,CPT,Color vision examination,26,,23 ,,RBRVS,0.17 ,0.05 ,0.05 ,,,$0.00,$0.00,1,0,1,1,1,0,20091001,,92283,CPT,Color vision examination,TC,,23 ,,RBRVS,0.00 ,0.94 ,0.94 ,,,$0.00,$0.00,1,1,1,0,1,0,20091001,,92283,CPT,Color vision examination,,,23 ,,RBRVS,0.17 ,0.99 ,0.99 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,92284,CPT,Dark adaptation eye exam,26,,23 ,,RBRVS,0.24 ,0.07 ,0.07 ,,,$0.00,$0.00,1,0,1,1,1,0,20091001,,92284,CPT,Dark adaptation eye exam,TC,,23 ,,RBRVS,0.00 ,1.06 ,1.06 ,,,$0.00,$0.00,1,1,1,0,1,0,20091001,,92284,CPT,Dark adaptation eye exam,,,23 ,,RBRVS,0.24 ,1.13 ,1.13 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,92285,CPT,Eye photography,26,,23 ,,RBRVS,0.20 ,0.07 ,0.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,92285,CPT,Eye photography,TC,,23 ,,RBRVS,0.00 ,0.73 ,0.73 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,92285,CPT,Eye photography,,,23 ,,RBRVS,0.20 ,0.80 ,0.80 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,92286,CPT,Internal eye photography,26,,23 ,,RBRVS,0.66 ,0.22 ,0.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,92286,CPT,Internal eye photography,TC,,23 ,,RBRVS,0.00 ,1.87 ,1.87 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,92286,CPT,Internal eye photography,,,23 ,,RBRVS,0.66 ,2.09 ,2.09 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,92287,CPT,Internal eye photography,,,23 ,,RBRVS,0.81 ,0.27 ,1.90 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,92310,CPT,Contact lens fitting,,,23 ,,RBRVS,1.17 ,0.27 ,1.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,92311,CPT,Contact lens fitting,,,23 ,,RBRVS,1.08 ,0.31 ,1.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,92312,CPT,Contact lens fitting,,,23 ,,RBRVS,1.26 ,0.33 ,1.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,92313,CPT,Contact lens fitting,,,23 ,,RBRVS,0.92 ,0.31 ,1.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,92314,CPT,Prescription of contact lens,,,23 ,,RBRVS,0.69 ,0.16 ,1.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,92315,CPT,Prescription of contact lens,,,23 ,,RBRVS,0.45 ,0.13 ,1.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,92316,CPT,Prescription of contact lens,,,23 ,,RBRVS,0.68 ,0.22 ,1.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,92317,CPT,Prescription of contact lens,,,23 ,,RBRVS,0.45 ,0.11 ,1.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,92325,CPT,Modification of contact lens,,,23 ,,RBRVS,0.00 ,0.83 ,0.83 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,92326,CPT,Replacement of contact lens,,,23 ,,RBRVS,0.00 ,0.73 ,0.73 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,92340,CPT,Fitting of spectacles,,,23 ,,RBRVS,0.37 ,0.09 ,0.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,92341,CPT,Fitting of spectacles,,,23 ,,RBRVS,0.47 ,0.11 ,0.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,92342,CPT,Fitting of spectacles,,,23 ,,RBRVS,0.53 ,0.12 ,0.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,92352,CPT,Special spectacles fitting,,,23 ,,RBRVS,0.37 ,0.09 ,0.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,92353,CPT,Special spectacles fitting,,,23 ,,RBRVS,0.50 ,0.11 ,0.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,92354,CPT,Special spectacles fitting,,,23 ,,RBRVS,0.00 ,0.28 ,0.28 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,92355,CPT,Special spectacles fitting,,,23 ,,RBRVS,0.00 ,0.44 ,0.44 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,92358,CPT,Eye prosthesis service,,,23 ,,RBRVS,0.00 ,0.24 ,0.24 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,92370,CPT,Repair & adjust spectacles,,,23 ,,RBRVS,0.32 ,0.07 ,0.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,92371,CPT,Repair & adjust spectacles,,,23 ,,RBRVS,0.00 ,0.24 ,0.24 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,92499,CPT,Eye service or procedure,,,23 ,,TotalUnits,,,,1.58 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,92502,CPT,Ear and throat examination,,,14 ,,RBRVS,1.51 ,0.90 ,0.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,92504,CPT,Ear microscopy examination,,,14 ,,RBRVS,0.18 ,0.06 ,0.60 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,92506,CPT,Speech/hearing evaluation,,,8 ,,RBRVS,0.86 ,0.28 ,3.50 ,,,$0.00,$0.00,1,1,1,0,0,1,20091001,,92507,CPT,Speech/hearing therapy,,,8 ,,RBRVS,0.52 ,0.16 ,1.23 ,,,$0.00,$0.00,1,1,1,0,0,1,20091001,,92508,CPT,Speech/hearing therapy,,,8 ,,RBRVS,0.26 ,0.09 ,0.55 ,,,$0.00,$0.00,1,1,1,0,0,1,20091001,,92511,CPT,Nasopharyngoscopy,,,14 ,,RBRVS,0.84 ,0.67 ,3.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,92512,CPT,Nasal function studies,,,14 ,,RBRVS,0.55 ,0.17 ,1.00 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,92516,CPT,Facial nerve function test,,,14 ,,RBRVS,0.43 ,0.14 ,1.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,92520,CPT,Laryngeal function studies,,,14 ,,RBRVS,0.75 ,0.24 ,0.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,92526,CPT,Oral function therapy,,,14 ,,RBRVS,0.55 ,0.16 ,1.70 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,92531,CPT,Spontaneous nystagmus study,,,14 ,,TotalUnits,,,,0.68 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,92532,CPT,Positional nystagmus test,,,14 ,,TotalUnits,,,,0.63 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,92533,CPT,Caloric vestibular test,,,14 ,,TotalUnits,,,,0.95 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,92534,CPT,Optokinetic nystagmus test,,,14 ,,TotalUnits,,,,0.61 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,92541,CPT,Spontaneous nystagmus test,26,,14 ,,RBRVS,0.40 ,0.11 ,0.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,92541,CPT,Spontaneous nystagmus test,TC,,14 ,,RBRVS,0.00 ,1.04 ,1.04 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,92541,CPT,Spontaneous nystagmus test,,,14 ,,RBRVS,0.40 ,1.15 ,1.15 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,92542,CPT,Positional nystagmus test,26,,14 ,,RBRVS,0.33 ,0.09 ,0.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,92542,CPT,Positional nystagmus test,TC,,14 ,,RBRVS,0.00 ,1.20 ,1.20 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,92542,CPT,Positional nystagmus test,,,14 ,,RBRVS,0.33 ,1.29 ,1.29 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,92543,CPT,Caloric vestibular test,26,,14 ,,RBRVS,0.10 ,0.03 ,0.03 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,92543,CPT,Caloric vestibular test,TC,,14 ,,RBRVS,0.00 ,0.62 ,0.62 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,92543,CPT,Caloric vestibular test,,,14 ,,RBRVS,0.10 ,0.65 ,0.65 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,92544,CPT,Optokinetic nystagmus test,26,,14 ,,RBRVS,0.26 ,0.07 ,0.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,92544,CPT,Optokinetic nystagmus test,TC,,14 ,,RBRVS,0.00 ,0.96 ,0.96 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,92544,CPT,Optokinetic nystagmus test,,,14 ,,RBRVS,0.26 ,1.03 ,1.03 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,92545,CPT,Oscillating tracking test,26,,14 ,,RBRVS,0.23 ,0.06 ,0.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,92545,CPT,Oscillating tracking test,TC,,14 ,,RBRVS,0.00 ,0.94 ,0.94 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,92545,CPT,Oscillating tracking test,,,14 ,,RBRVS,0.23 ,1.00 ,1.00 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,92546,CPT,Sinusoidal rotational test,26,,14 ,,RBRVS,0.29 ,0.08 ,0.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,92546,CPT,Sinusoidal rotational test,TC,,14 ,,RBRVS,0.00 ,1.73 ,1.73 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,92546,CPT,Sinusoidal rotational test,,,14 ,,RBRVS,0.29 ,1.81 ,1.81 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,92547,CPT,Supplemental electrical test,,TC,14 ,,RBRVS,0.00 ,0.11 ,0.11 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,92548,CPT,Posturography,26, ,14 ,,RBRVS,0.50 ,0.14 ,0.14 ,,,$0.00,$0.00,1,0,1,1,1,0,20091001,,92548,CPT,Posturography,TC, ,14 ,,RBRVS,0.00 ,1.56 ,1.56 ,,,$0.00,$0.00,1,1,1,0,1,0,20091001,,92548,CPT,Posturography,,,14 ,,RBRVS,0.50 ,1.70 ,1.70 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,92551,CPT,"Pure tone hearing test, air",,,8 ,,RBRVS,0.00 ,0.25 ,0.25 ,,,$0.00,$0.00,1,1,1,0,0,1,20091001,,92552,CPT,"Pure tone audiometry, air",,TC,8 ,,RBRVS,0.00 ,0.61 ,0.61 ,,,$0.00,$0.00,1,1,1,0,0,1,20091001,,92553,CPT,"Audiometry, air & bone",,TC,8 ,,RBRVS,0.00 ,0.77 ,0.77 ,,,$0.00,$0.00,1,1,1,0,0,1,20091001,,92555,CPT,Speech threshold audiometry,,TC,8 ,,RBRVS,0.00 ,0.41 ,0.41 ,,,$0.00,$0.00,1,1,1,0,0,1,20091001,,92556,CPT,"Speech audiometry, complete",,TC,8 ,,RBRVS,0.00 ,0.51 ,0.51 ,,,$0.00,$0.00,1,1,1,0,0,1,20091001,,92557,CPT,Comprehensive hearing test,,TC,8 ,,RBRVS,0.60 ,0.20 ,0.29 ,,,$0.00,$0.00,1,1,1,0,0,1,20091001,,92559,CPT,Group audiometric testing,,,8 ,,TotalUnits,,,,0.59 ,,$0.00,$0.00,1,1,1,0,0,1,20091001,,92560,CPT,"Bekesy audiometry, screen",,,8 ,,TotalUnits,,,,0.29 ,,$0.00,$0.00,1,1,1,0,0,1,20091001,,92561,CPT,"Bekesy audiometry, diagnosis",,TC,8 ,,RBRVS,0.00 ,0.70 ,0.70 ,,,$0.00,$0.00,1,1,1,0,0,1,20091001,,92562,CPT,Loudness balance test,,TC,8 ,,RBRVS,0.00 ,0.62 ,0.62 ,,,$0.00,$0.00,1,1,1,0,0,1,20091001,,92563,CPT,Tone decay hearing test,,TC,8 ,,RBRVS,0.00 ,0.55 ,0.55 ,,,$0.00,$0.00,1,1,1,0,0,1,20091001,,92564,CPT,Sisi hearing test,,TC,8 ,,RBRVS,0.00 ,0.48 ,0.48 ,,,$0.00,$0.00,1,1,1,0,0,1,20091001,,92565,CPT,"Stenger test, pure tone",,TC,8 ,,RBRVS,0.00 ,0.25 ,0.25 ,,,$0.00,$0.00,1,1,1,0,0,1,20091001,,92567,CPT,Tympanometry,,TC,8 ,,RBRVS,0.20 ,0.07 ,0.13 ,,,$0.00,$0.00,1,1,1,0,0,1,20091001,,92568,CPT,Acoustic refl threshold tst,,TC,8 ,,RBRVS,0.29 ,0.09 ,0.10 ,,,$0.00,$0.00,1,1,1,0,0,1,20091001,,92569,CPT,Acoustic reflex decay test,,TC,8 ,,RBRVS,0.20 ,0.07 ,0.07 ,,,$0.00,$0.00,1,1,1,0,0,1,20091001,,92571,CPT,Filtered speech hearing test,,TC,8 ,,RBRVS,0.00 ,0.44 ,0.44 ,,,$0.00,$0.00,1,1,1,0,0,1,20091001,,92572,CPT,Staggered spondaic word test,,TC,8 ,,RBRVS,0.00 ,0.59 ,0.59 ,,,$0.00,$0.00,1,1,1,0,0,1,20091001,,92575,CPT,Sensorineural acuity test,,TC,8 ,,RBRVS,0.00 ,1.15 ,1.15 ,,,$0.00,$0.00,1,1,1,0,0,1,20091001,,92576,CPT,Synthetic sentence test,,TC,8 ,,RBRVS,0.00 ,0.58 ,0.58 ,,,$0.00,$0.00,1,1,1,0,0,1,20091001,,92577,CPT,"Stenger test, speech",,TC,8 ,,RBRVS,0.00 ,0.26 ,0.26 ,,,$0.00,$0.00,1,1,1,0,0,1,20091001,,92579,CPT,Visual audiometry (vra),,TC,8 ,,RBRVS,0.70 ,0.23 ,0.35 ,,,$0.00,$0.00,1,1,1,0,0,1,20091001,,92582,CPT,Conditioning play audiometry,,TC,8 ,,RBRVS,0.00 ,1.17 ,1.17 ,,,$0.00,$0.00,1,1,1,0,0,1,20091001,,92583,CPT,Select picture audiometry,,TC,8 ,,RBRVS,0.00 ,0.73 ,0.73 ,,,$0.00,$0.00,1,1,1,0,0,1,20091001,,92584,CPT,Electrocochleography,,TC,8 ,,RBRVS,0.00 ,1.36 ,1.36 ,,,$0.00,$0.00,1,1,1,0,0,1,20091001,,92585,CPT,"Auditor evoke potent, compre",26,,8 ,,RBRVS,0.50 ,0.15 ,0.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,92585,CPT,"Auditor evoke potent, compre",TC,,8 ,,RBRVS,0.00 ,1.95 ,1.95 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,92585,CPT,"Auditor evoke potent, compre",,,8 ,,RBRVS,0.50 ,2.10 ,2.10 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,92586,CPT,"Auditor evoke potent, limit",,TC,8 ,,RBRVS,0.00 ,1.41 ,1.41 ,,,$0.00,$0.00,1,1,1,0,0,1,20091001,,92587,CPT,Evoked auditory test,26,,8 ,,RBRVS,0.13 ,0.04 ,0.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,92587,CPT,Evoked auditory test,TC,,8 ,,RBRVS,0.00 ,0.61 ,0.61 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,92587,CPT,Evoked auditory test,,,8 ,,RBRVS,0.13 ,0.65 ,0.65 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,92588,CPT,Evoked auditory test,26,,8 ,,RBRVS,0.36 ,0.11 ,0.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,92588,CPT,Evoked auditory test,TC,,8 ,,RBRVS,0.00 ,1.01 ,1.01 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,92588,CPT,Evoked auditory test,,,8 ,,RBRVS,0.36 ,1.12 ,1.12 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,92590,CPT,"Hearing aid exam, one ear",,,8 ,,TotalUnits,,,,0.89 ,,$0.00,$0.00,1,1,1,0,0,1,20091001,,92591,CPT,"Hearing aid exam, both ears",,,8 ,,TotalUnits,,,,1.17 ,,$0.00,$0.00,1,1,1,0,0,1,20091001,,92592,CPT,"Hearing aid check, one ear",,,8 ,,TotalUnits,,,,0.39 ,,$0.00,$0.00,1,1,1,0,0,1,20091001,,92593,CPT,"Hearing aid check, both ears",,,8 ,,TotalUnits,,,,0.61 ,,$0.00,$0.00,1,1,1,0,0,1,20091001,,92594,CPT,"Electro hearng aid test, one",,,8 ,,TotalUnits,,,,0.41 ,,$0.00,$0.00,1,1,1,0,0,1,20091001,,92595,CPT,"Electro hearng aid tst, both",,,8 ,,TotalUnits,,,,0.75 ,,$0.00,$0.00,1,1,1,0,0,1,20091001,,92596,CPT,Ear protector evaluation,,,8 ,,RBRVS,0.00 ,1.02 ,1.02 ,,,$0.00,$0.00,1,1,1,0,0,1,20091001,,92597,CPT,Oral speech device eval,,,8 ,,RBRVS,0.86 ,0.28 ,1.99 ,,,$0.00,$0.00,1,1,1,0,0,1,20091001,,92601,CPT,Cochlear implt f/up exam < 7,,,8 ,,RBRVS,2.30 ,0.64 ,1.09 ,,,$0.00,$0.00,1,1,1,0,0,1,20091001,,92602,CPT,Reprogram cochlear implt < 7,,,8 ,,RBRVS,1.30 ,0.40 ,0.84 ,,,$0.00,$0.00,1,1,1,0,0,1,20091001,,92603,CPT,Cochlear implt f/up exam 7 >,,,8 ,,RBRVS,2.25 ,0.73 ,1.19 ,,,$0.00,$0.00,1,1,1,0,0,1,20091001,,92604,CPT,Reprogram cochlear implt 7 >,,,8 ,,RBRVS,1.25 ,0.41 ,0.78 ,,,$0.00,$0.00,1,1,1,0,0,1,20091001,,92606,CPT,Non-speech device service,,,8 ,,TotalUnits,,,,0.94 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,92607,CPT,"Ex for speech device rx, 1hr",,,8 ,,RBRVS,0.00 ,4.63 ,4.63 ,,,$0.00,$0.00,1,1,1,0,0,1,20091001,,92608,CPT,Ex for speech device rx addl,,,8 ,,RBRVS,0.00 ,0.88 ,0.88 ,,,$0.00,$0.00,1,1,1,0,0,1,20091001,,92609,CPT,Use of speech device service,,,8 ,,RBRVS,0.00 ,2.45 ,2.45 ,,,$0.00,$0.00,1,1,1,0,0,1,20091001,,92610,CPT,Evaluate swallowing function,,,8 ,,RBRVS,0.00 ,1.70 ,1.70 ,,,$0.00,$0.00,1,1,1,0,0,1,20091001,,92611,CPT,Motion fluoroscopy/swallow,,,8 ,,RBRVS,0.00 ,1.95 ,1.95 ,,,$0.00,$0.00,1,1,1,0,0,1,20091001,,92612,CPT,Endoscopy swallow tst (fees),,,8 ,,RBRVS,1.27 ,0.42 ,2.97 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,92613,CPT,Endoscopy swallow tst (fees),,,8 ,,RBRVS,0.71 ,0.24 ,0.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,92614,CPT,Laryngoscopic sensory test,,,8 ,,RBRVS,1.27 ,0.42 ,2.42 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,92615,CPT,Eval laryngoscopy sense tst,,,8 ,,RBRVS,0.63 ,0.21 ,0.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,92616,CPT,Fees w/laryngeal sense test,,,8 ,,RBRVS,1.88 ,0.61 ,3.16 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,92617,CPT,Interprt fees/laryngeal test,,,8 ,,RBRVS,0.79 ,0.26 ,0.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,92620,CPT,"Auditory function, 60 min",,,8 ,,RBRVS,0.00 ,1.93 ,1.93 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,92621,CPT,"Auditory function, + 15 min",,,8 ,,RBRVS,0.00 ,0.44 ,0.44 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,92625,CPT,Tinnitus assessment,,,8 ,,RBRVS,0.00 ,1.94 ,1.94 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,92626,CPT,Eval aud rehab status,,,8 ,,RBRVS,0.00 ,2.01 ,2.01 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,92627,CPT,Eval aud status rehab add-on,,,8 ,,RBRVS,0.00 ,0.46 ,0.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,92630,CPT,Aud rehab pre-ling hear loss,,,8 ,,TotalUnits,,,,2.02 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,92633,CPT,Aud rehab postling hear loss,,,8 ,,TotalUnits,,,,1.10 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,92640,CPT,Aud brainstem implt programg,,,8 ,,RBRVS,0.00 ,1.34 ,1.34 ,,,$0.00,$0.00,1,1,1,1,1,1,20091001,,92700,CPT,Ent procedure/service,,,8 ,,TotalUnits,,,,0.92 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,92950,CPT,Heart/lung resuscitation cpr,,,4 ,,RBRVS,3.79 ,0.77 ,3.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,92953,CPT,Temporary external pacing,,,4 ,,RBRVS,0.23 ,0.07 ,0.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,92960,CPT,"Cardioversion electric, ext",,,4 ,,RBRVS,2.25 ,1.45 ,4.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,92961,CPT,"Cardioversion, electric, int",,,4 ,,RBRVS,4.59 ,2.43 ,2.43 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,92970,CPT,"Cardioassist, internal",,,4 ,,RBRVS,3.51 ,1.46 ,1.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,92971,CPT,"Cardioassist, external",,,4 ,,RBRVS,1.77 ,1.09 ,1.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,92973,CPT,Percut coronary thrombectomy,,,21 ,,RBRVS,3.28 ,1.76 ,1.76 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,92974,CPT,"Cath place, cardio brachytx",,,21 ,,RBRVS,3.00 ,1.62 ,1.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,92975,CPT,"Dissolve clot, heart vessel",,,4 ,,RBRVS,7.24 ,3.84 ,3.84 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,92977,CPT,"Dissolve clot, heart vessel",,,4 ,,RBRVS,0.00 ,1.73 ,1.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,92978,CPT,"Intravasc us, heart add-on",26,,4 ,,RBRVS,1.80 ,0.96 ,0.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,92979,CPT,"Intravasc us, heart add-on",26,,4 ,,RBRVS,1.44 ,0.77 ,0.77 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,92980,CPT,Insert intracoronary stent,,,21 ,,RBRVS,14.82 ,8.13 ,8.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,92981,CPT,Insert intracoronary stent,,,21 ,,RBRVS,4.16 ,2.23 ,2.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,92982,CPT,Coronary artery dilation,,,21 ,,RBRVS,10.96 ,6.06 ,6.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,92984,CPT,Coronary artery dilation,,,21 ,,RBRVS,2.97 ,1.58 ,1.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,92986,CPT,Revision of aortic valve,,,21 ,,RBRVS,22.70 ,15.34 ,15.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,92987,CPT,Revision of mitral valve,,,21 ,,RBRVS,23.48 ,15.96 ,15.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,92990,CPT,Revision of pulmonary valve,,,21 ,,RBRVS,18.12 ,11.34 ,11.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,92992,CPT,Revision of heart chamber,,,21 ,,TotalUnits,,,,34.61 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,92993,CPT,Revision of heart chamber,,,21 ,,TotalUnits,,,,27.37 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,92995,CPT,Coronary atherectomy,,,21 ,,RBRVS,12.07 ,6.65 ,6.65 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,92996,CPT,Coronary atherectomy add-on,,,21 ,,RBRVS,3.26 ,1.76 ,1.76 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,92997,CPT,"Pul art balloon repr, percut",,,21 ,,RBRVS,11.98 ,5.61 ,5.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,92998,CPT,"Pul art balloon repr, percut",,,21 ,,RBRVS,5.99 ,3.00 ,3.00 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,93000,CPT,"Electrocardiogram, complete",,,4 ,,RBRVS,0.17 ,0.35 ,0.35 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,93005,CPT,"Electrocardiogram, tracing",,TC,4 ,,RBRVS,0.00 ,0.28 ,0.28 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,93010,CPT,Electrocardiogram report,,PC,4 ,,RBRVS,0.17 ,0.07 ,0.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,93012,CPT,Transmission of ecg,,TC,4 ,,RBRVS,0.00 ,4.17 ,4.17 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,93014,CPT,Report on transmitted ecg,,PC,4 ,,RBRVS,0.52 ,0.22 ,0.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,93015,CPT,Cardiovascular stress test,,,4 ,,RBRVS,0.75 ,1.91 ,1.91 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,93016,CPT,Cardiovascular stress test,,PC,4 ,,RBRVS,0.45 ,0.22 ,0.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,93017,CPT,Cardiovascular stress test,,TC,4 ,,RBRVS,0.00 ,1.54 ,1.54 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,93018,CPT,Cardiovascular stress test,,PC,4 ,,RBRVS,0.30 ,0.15 ,0.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,93024,CPT,Cardiac drug stress test,26,,4 ,,RBRVS,1.17 ,0.58 ,0.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,93024,CPT,Cardiac drug stress test,TC,,4 ,,RBRVS,0.00 ,1.82 ,1.82 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,93024,CPT,Cardiac drug stress test,,,4 ,,RBRVS,1.17 ,2.40 ,2.40 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,93025,CPT,Microvolt t-wave assess,26,,4 ,,RBRVS,0.75 ,0.38 ,0.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,93025,CPT,Microvolt t-wave assess,TC,,4 ,,RBRVS,0.00 ,3.55 ,3.55 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,93025,CPT,Microvolt t-wave assess,,,4 ,,RBRVS,0.75 ,3.93 ,3.93 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,93040,CPT,Rhythm ecg with report,,,4 ,,RBRVS,0.16 ,0.19 ,0.19 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,93041,CPT,"Rhythm ecg, tracing",,TC,4 ,,RBRVS,0.00 ,0.14 ,0.14 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,93042,CPT,"Rhythm ecg, report",,PC,4 ,,RBRVS,0.16 ,0.05 ,0.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,93224,CPT,"Ecg monitor/report, 24 hrs",,,4 ,,RBRVS,0.52 ,2.31 ,2.31 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,93225,CPT,"Ecg monitor/record, 24 hrs",,TC,4 ,,RBRVS,0.00 ,0.85 ,0.85 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,93226,CPT,"Ecg monitor/report, 24 hrs",,TC,4 ,,RBRVS,0.00 ,1.19 ,1.19 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,93227,CPT,"Ecg monitor/review, 24 hrs",,PC,4 ,,RBRVS,0.52 ,0.27 ,0.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,93228,CPT,Remote 30 day ecg rev/report,,,4 ,,RBRVS,0.52 ,0.17 ,0.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,93229,CPT,Remote 30 day ecg tech supp,,,4 ,,NW,,,,,,"$1,131.62",$0.00,1,0,1,1,1,1,20091001,,93230,CPT,"Ecg monitor/report, 24 hrs",,,4 ,,RBRVS,0.52 ,2.30 ,2.30 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,93231,CPT,"Ecg monitor/record, 24 hrs",,TC,4 ,,RBRVS,0.00 ,0.72 ,0.72 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,93232,CPT,"Ecg monitor/report, 24 hrs",,TC,4 ,,RBRVS,0.00 ,1.35 ,1.35 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,93233,CPT,"Ecg monitor/review, 24 hrs",,PC,4 ,,RBRVS,0.52 ,0.23 ,0.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,93235,CPT,"Ecg monitor/report, 24 hrs",,,4 ,,TotalUnits,,,,2.05 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,93237,CPT,"Ecg monitor/review, 24 hrs",,PC,4 ,,RBRVS,0.45 ,0.22 ,0.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,93268,CPT,Ecg record/review,,,4 ,,RBRVS,0.52 ,5.79 ,5.79 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,93270,CPT,Ecg recording,,TC,4 ,,RBRVS,0.00 ,0.29 ,0.29 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,93271,CPT,Ecg/monitoring and analysis,,TC,4 ,,RBRVS,0.00 ,5.28 ,5.28 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,93272,CPT,"Ecg/review, interpret only",,PC,4 ,,RBRVS,0.52 ,0.22 ,0.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,93278,CPT,Ecg/signal-averaged,26,,4 ,,RBRVS,0.25 ,0.10 ,0.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,93278,CPT,Ecg/signal-averaged,TC,,4 ,,RBRVS,0.00 ,0.52 ,0.52 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,93278,CPT,Ecg/signal-averaged,,,4 ,,RBRVS,0.25 ,0.62 ,0.62 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,93279,CPT,"Pm device progr eval,  sngl",,,4 ,,RBRVS,0.65 ,0.88 ,0.88 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,93280,CPT,"Pm device progr eval,  dual",,,4 ,,RBRVS,0.77 ,1.01 ,1.01 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,93281,CPT,"Pm device progr eval, multi",,,4 ,,RBRVS,0.90 ,1.18 ,1.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,93282,CPT,"Icd device prog eval, 1 sngl",,,4 ,,RBRVS,0.85 ,1.07 ,1.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,93283,CPT,"Icd device progr eval, dual",,,4 ,,RBRVS,1.05 ,1.28 ,1.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,93284,CPT,"Icd device progr eval, mult",,,4 ,,RBRVS,1.25 ,1.49 ,1.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,93285,CPT,Ilr device eval progr,,,4 ,,RBRVS,0.52 ,0.76 ,0.76 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,93286,CPT,Pre-op pm device eval,,,4 ,,RBRVS,0.30 ,0.42 ,0.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,93287,CPT,Pre-op icd device eval,,,4 ,,RBRVS,0.45 ,0.50 ,0.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,93288,CPT,Pm device eval in person,,,4 ,,RBRVS,0.43 ,0.72 ,0.72 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,93289,CPT,Icd device interrogate,,,4 ,,RBRVS,0.78 ,1.01 ,1.01 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,93290,CPT,Icm device eval,,,4 ,,RBRVS,0.43 ,0.40 ,0.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,93291,CPT,Ilr device interrogate,,,4 ,,RBRVS,0.43 ,0.67 ,0.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,93292,CPT,Wcd device interrogate,,,4 ,,RBRVS,0.43 ,0.56 ,0.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,93293,CPT,Pm phone r-strip device eval,,,4 ,,RBRVS,0.32 ,1.34 ,1.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,93294,CPT,Pm device interrogate remote,,,4 ,,RBRVS,0.65 ,0.34 ,0.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,93295,CPT,Icd device interrogat remote,,,4 ,,RBRVS,1.17 ,0.63 ,0.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,93296,CPT,Pm/icd remote tech serv,,,4 ,,NW,,,,,,$58.88,$0.00,1,0,1,1,1,1,20091001,,93297,CPT,Icm device interrogat remote,,,4 ,,RBRVS,0.52 ,0.17 ,0.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,93298,CPT,Ilr device interrogat remote,,,4 ,,RBRVS,0.52 ,0.28 ,0.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,93299,CPT,Icm/ilr remote tech serv,,,4 ,,NW,,,,,,"$1,131.62",$0.00,1,0,1,1,1,1,20091001,,93303,CPT,Echo transthoracic,26,,4 ,,RBRVS,1.30 ,0.53 ,0.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,93303,CPT,Echo transthoracic,TC,,4 ,,RBRVS,0.00 ,3.97 ,3.97 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,93303,CPT,Echo transthoracic,,,4 ,,RBRVS,1.30 ,4.50 ,4.50 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,93304,CPT,Echo transthoracic,26,,4 ,,RBRVS,0.75 ,0.30 ,0.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,93304,CPT,Echo transthoracic,TC,,4 ,,RBRVS,0.00 ,2.80 ,2.80 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,93304,CPT,Echo transthoracic,,,4 ,,RBRVS,0.75 ,3.10 ,3.10 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,93306,CPT,"Tte w/doppler, complete",,,4 ,,RBRVS,1.30 ,5.75 ,5.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,93307,CPT,"Tte w/o doppler, complete",26,,4 ,,RBRVS,0.92 ,0.45 ,0.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,93307,CPT,"Tte w/o doppler, complete",TC,,4 ,,RBRVS,0.00 ,3.28 ,3.28 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,93307,CPT,"Tte w/o doppler, complete",,,4 ,,RBRVS,0.92 ,3.73 ,3.73 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,93308,CPT,"Tte, f-up or lmtd",26,,4 ,,RBRVS,0.53 ,0.27 ,0.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,93308,CPT,"Tte, f-up or lmtd",TC,,4 ,,RBRVS,0.00 ,2.35 ,2.35 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,93308,CPT,"Tte, f-up or lmtd",,,4 ,,RBRVS,0.53 ,2.62 ,2.62 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,93312,CPT,Echo transesophageal,26,,4 ,,RBRVS,2.20 ,0.97 ,0.97 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,93312,CPT,Echo transesophageal,TC,,4 ,,RBRVS,0.00 ,6.42 ,6.42 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,93312,CPT,Echo transesophageal,,,4 ,,RBRVS,2.20 ,7.39 ,7.39 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,93313,CPT,Echo transesophageal,,,4 ,,RBRVS,0.95 ,0.12 ,0.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,93314,CPT,Echo transesophageal,26,,4 ,,RBRVS,1.25 ,0.56 ,0.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,93314,CPT,Echo transesophageal,TC,,4 ,,RBRVS,0.00 ,6.66 ,6.66 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,93314,CPT,Echo transesophageal,,,4 ,,RBRVS,1.25 ,7.22 ,7.22 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,93315,CPT,Echo transesophageal,26,,4 ,,RBRVS,2.78 ,1.31 ,1.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,93315,CPT,Echo transesophageal,TC,,4 ,,TotalUnits,,,,2.79 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,93316,CPT,Echo transesophageal,,,4 ,,RBRVS,0.95 ,0.26 ,0.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,93317,CPT,Echo transesophageal,26,,4 ,,RBRVS,1.83 ,0.55 ,0.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,93317,CPT,Echo transesophageal,TC,,4 ,,TotalUnits,,,,1.84 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,93318,CPT,Echo transesophageal intraop,26,,4 ,,RBRVS,2.20 ,0.86 ,0.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,93318,CPT,Echo transesophageal intraop,TC,,4 ,,TotalUnits,,,,1.86 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,93320,CPT,"Doppler echo exam, heart",26,,4 ,,RBRVS,0.38 ,0.18 ,0.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,93320,CPT,"Doppler echo exam, heart",TC,,4 ,,RBRVS,0.00 ,1.49 ,1.49 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,93320,CPT,"Doppler echo exam, heart",,,4 ,,RBRVS,0.38 ,1.67 ,1.67 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,93321,CPT,"Doppler echo exam, heart",26,,4 ,,RBRVS,0.15 ,0.07 ,0.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,93321,CPT,"Doppler echo exam, heart",TC,,4 ,,RBRVS,0.00 ,0.54 ,0.54 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,93321,CPT,"Doppler echo exam, heart",,,4 ,,RBRVS,0.15 ,0.61 ,0.61 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,93325,CPT,Doppler color flow add-on,26,,4 ,,RBRVS,0.07 ,0.03 ,0.03 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,93325,CPT,Doppler color flow add-on,TC,,4 ,,RBRVS,0.00 ,0.63 ,0.63 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,93325,CPT,Doppler color flow add-on,,,4 ,,RBRVS,0.07 ,0.66 ,0.66 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,93350,CPT,Stress tte only,26,,4 ,,RBRVS,1.48 ,0.76 ,0.76 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,93350,CPT,Stress tte only,TC,,4 ,,RBRVS,0.00 ,4.33 ,4.33 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,93350,CPT,Stress tte only,,,4 ,,RBRVS,1.48 ,5.09 ,5.09 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,93351,CPT,Stress tte complete,,,4 ,,RBRVS,1.75 ,5.60 ,5.60 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,93352,CPT,Admin ecg contrast agent,,,4 ,,RBRVS,0.19 ,0.84 ,0.84 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,93501,CPT,Right heart catheterization,26,,21 ,,RBRVS,3.02 ,1.57 ,1.57 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,93501,CPT,Right heart catheterization,TC, ,21 ,,RBRVS,0.00 ,17.29 ,17.29 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,93501,CPT,Right heart catheterization,,,21 ,,RBRVS,3.02 ,18.86 ,18.86 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,93505,CPT,Biopsy of heart lining,26,,21 ,,RBRVS,4.37 ,2.28 ,2.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,93505,CPT,Biopsy of heart lining,TC, ,21 ,,RBRVS,0.00 ,18.64 ,18.64 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,93505,CPT,Biopsy of heart lining,,,21 ,,RBRVS,4.37 ,20.92 ,20.92 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,93508,CPT,"Cath placement, angiography",26,,21 ,,RBRVS,4.09 ,2.17 ,2.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,93508,CPT,"Cath placement, angiography",TC, ,21 ,,RBRVS,0.00 ,26.83 ,26.83 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,93508,CPT,"Cath placement, angiography",,,21 ,,RBRVS,4.09 ,29.00 ,29.00 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,93510,CPT,Left heart catheterization,26,,21 ,,RBRVS,4.32 ,2.28 ,2.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,93510,CPT,Left heart catheterization,TC, ,21 ,,RBRVS,0.00 ,26.02 ,26.02 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,93510,CPT,Left heart catheterization,,,21 ,,RBRVS,4.32 ,28.30 ,28.30 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,93511,CPT,Left heart catheterization,26,,21 ,,RBRVS,5.02 ,2.65 ,2.65 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,93514,CPT,Left heart catheterization,26,,21 ,,RBRVS,7.04 ,2.95 ,2.95 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,93524,CPT,Left heart catheterization,26,,21 ,,RBRVS,6.94 ,3.78 ,3.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,93526,CPT,Rt & lt heart catheters,26,,21 ,,RBRVS,5.98 ,3.17 ,3.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,93526,CPT,Rt & lt heart catheters,TC, ,21 ,,RBRVS,0.00 ,32.12 ,32.12 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,93526,CPT,Rt & lt heart catheters,,,21 ,,RBRVS,5.98 ,35.29 ,35.29 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,93527,CPT,Rt & lt heart catheters,26,,21 ,,RBRVS,7.27 ,3.86 ,3.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,93528,CPT,Rt & lt heart catheters,26,,21 ,,RBRVS,8.99 ,4.43 ,4.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,93529,CPT,"Rt, lt heart catheterization",26,,21 ,,RBRVS,4.79 ,2.58 ,2.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,93530,CPT,"Rt heart cath, congenital",26,,21 ,,RBRVS,4.22 ,1.84 ,1.84 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,93531,CPT,"R & l heart cath, congenital",26,,21 ,,RBRVS,8.34 ,3.57 ,3.57 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,93532,CPT,"R & l heart cath, congenital",26,,21 ,,RBRVS,9.99 ,3.66 ,3.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,93533,CPT,"R & l heart cath, congenital",26,,21 ,,RBRVS,6.69 ,3.16 ,3.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,93539,CPT,"Injection, cardiac cath",,,4 ,,RBRVS,0.40 ,0.21 ,2.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,93540,CPT,"Injection, cardiac cath",,,4 ,,RBRVS,0.43 ,0.23 ,8.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,93541,CPT,Injection for lung angiogram,,,4 ,,RBRVS,0.29 ,0.15 ,0.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,93542,CPT,Injection for heart x-rays,,,4 ,,RBRVS,0.29 ,0.15 ,5.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,93543,CPT,Injection for heart x-rays,,,4 ,,RBRVS,0.29 ,0.16 ,2.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,93544,CPT,Injection for aortography,,,4 ,,RBRVS,0.25 ,0.13 ,1.84 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,93545,CPT,Inject for coronary x-rays,,,4 ,,RBRVS,0.40 ,0.21 ,5.87 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,93555,CPT,"Imaging, cardiac cath",26,,4 ,,RBRVS,0.81 ,0.43 ,0.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,93555,CPT,"Imaging, cardiac cath",TC, ,4 ,,RBRVS,0.00 ,0.17 ,0.17 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,93555,CPT,"Imaging, cardiac cath",,,4 ,,RBRVS,0.81 ,0.60 ,0.60 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,93556,CPT,"Imaging, cardiac cath",26,,4 ,,RBRVS,0.83 ,0.44 ,0.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,93556,CPT,"Imaging, cardiac cath",TC, ,4 ,,RBRVS,0.00 ,0.44 ,0.44 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,93556,CPT,"Imaging, cardiac cath",,,4 ,,RBRVS,0.83 ,0.88 ,0.88 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,93561,CPT,Cardiac output measurement,26,,4 ,,RBRVS,0.50 ,0.14 ,0.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,93562,CPT,Cardiac output measurement,26,,4 ,,RBRVS,0.16 ,0.03 ,0.03 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,93571,CPT,Heart flow reserve measure,26,,4 ,,RBRVS,1.80 ,0.96 ,0.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,93572,CPT,Heart flow reserve measure,26,,4 ,,RBRVS,1.44 ,0.74 ,0.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,93580,CPT,Transcath closure of asd,,,21 ,,RBRVS,17.97 ,9.41 ,9.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,93581,CPT,Transcath closure of vsd,,,21 ,,RBRVS,24.39 ,11.56 ,11.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,93600,CPT,Bundle of his recording,26,,4 ,,RBRVS,2.12 ,1.09 ,1.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,93602,CPT,Intra-atrial recording,26,,4 ,,RBRVS,2.12 ,1.04 ,1.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,93603,CPT,Right ventricular recording,26,,4 ,,RBRVS,2.12 ,1.04 ,1.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,93609,CPT,"Map tachycardia, add-on",26,,4 ,,RBRVS,4.99 ,2.61 ,2.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,93610,CPT,Intra-atrial pacing,26,,4 ,,RBRVS,3.02 ,1.47 ,1.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,93612,CPT,Intraventricular pacing,26,,4 ,,RBRVS,3.02 ,1.43 ,1.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,93613,CPT,"Electrophys map 3d, add-on",,,4 ,,RBRVS,6.99 ,3.69 ,3.69 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,93615,CPT,Esophageal recording,26,,4 ,,RBRVS,0.99 ,0.54 ,0.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,93616,CPT,Esophageal recording,26,,4 ,,RBRVS,1.49 ,0.26 ,0.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,93618,CPT,Heart rhythm pacing,26,,4 ,,RBRVS,4.25 ,2.28 ,2.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,93619,CPT,Electrophysiology evaluation,26,,4 ,,RBRVS,7.31 ,3.87 ,3.87 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,93620,CPT,Electrophysiology evaluation,26,,4 ,,RBRVS,11.57 ,6.09 ,6.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,93620,CPT,Electrophysiology evaluation,TC,,4 ,,TotalUnits,,,,4.27 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,93621,CPT,Electrophysiology evaluation,26,,4 ,,RBRVS,2.10 ,1.10 ,1.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,93621,CPT,Electrophysiology evaluation,TC,,4 ,,TotalUnits,,,,1.04 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,93622,CPT,Electrophysiology evaluation,26,,4 ,,RBRVS,3.10 ,1.57 ,1.57 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,93622,CPT,Electrophysiology evaluation,TC,,4 ,,TotalUnits,,,,0.80 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,93623,CPT,"Stimulation, pacing heart",26,,4 ,,RBRVS,2.85 ,1.50 ,1.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,93623,CPT,"Stimulation, pacing heart",TC,,4 ,,TotalUnits,,,,0.89 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,93624,CPT,Electrophysiologic study,26,,4 ,,RBRVS,4.80 ,2.60 ,2.60 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,93631,CPT,"Heart pacing, mapping",26,,4 ,,RBRVS,7.59 ,2.75 ,2.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,93640,CPT,Evaluation heart device,26,,4 ,,RBRVS,3.51 ,1.82 ,1.82 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,93641,CPT,Electrophysiology evaluation,26,,4 ,,RBRVS,5.92 ,3.11 ,3.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,93642,CPT,Electrophysiology evaluation,26,,4 ,,RBRVS,4.88 ,2.60 ,2.60 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,93642,CPT,Electrophysiology evaluation,TC,,4 ,,RBRVS,0.00 ,4.77 ,4.77 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,93650,CPT,Ablate heart dysrhythm focus,,,4 ,,RBRVS,10.49 ,5.80 ,5.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,93651,CPT,Ablate heart dysrhythm focus,,,4 ,,RBRVS,16.23 ,8.53 ,8.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,93652,CPT,Ablate heart dysrhythm focus,,,4 ,,RBRVS,17.65 ,9.35 ,9.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,93660,CPT,Tilt table evaluation,26,,4 ,,RBRVS,1.89 ,0.97 ,0.97 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,93660,CPT,Tilt table evaluation,TC,,4 ,,RBRVS,0.00 ,2.04 ,2.04 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,93660,CPT,Tilt table evaluation,,,4 ,,RBRVS,1.89 ,3.01 ,3.01 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,93662,CPT,Intracardiac ecg (ice),26,,4 ,,RBRVS,2.80 ,1.47 ,1.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,93662,CPT,Intracardiac ecg (ice),TC,,4 ,,TotalUnits,,,,1.35 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,93668,CPT,Peripheral vascular rehab,,,4 ,,RBRVS,0.00 ,0.41 ,0.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,93701,CPT,"Bioimpedance, thoracic",26,,4 ,,RBRVS,0.17 ,0.06 ,0.06 ,,,$0.00,$0.00,1,0,1,1,1,0,20091001,,93701,CPT,"Bioimpedance, thoracic",TC,,4 ,,RBRVS,0.00 ,0.64 ,0.64 ,,,$0.00,$0.00,1,1,1,0,1,0,20091001,,93701,CPT,"Bioimpedance, thoracic",,,4 ,,RBRVS,0.17 ,0.70 ,0.70 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,93720,CPT,Total body plethysmography,,,4 ,,RBRVS,0.17 ,1.17 ,1.17 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,93721,CPT,Plethysmography tracing,,TC,4 ,,RBRVS,0.00 ,1.13 ,1.13 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,93722,CPT,Plethysmography report,,,4 ,,RBRVS,0.17 ,0.04 ,0.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,93724,CPT,Analyze pacemaker system,26,,4 ,,RBRVS,4.88 ,2.35 ,2.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,93724,CPT,Analyze pacemaker system,TC,,4 ,,RBRVS,0.00 ,0.88 ,0.88 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,93724,CPT,Analyze pacemaker system,,,4 ,,RBRVS,4.88 ,3.23 ,3.23 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,93740,CPT,Temperature gradient studies,26,,4 ,,RBRVS,0.16 ,0.04 ,0.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,93740,CPT,Temperature gradient studies,,,4 ,,RBRVS,0.16 ,0.04 ,0.04 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,93770,CPT,Measure venous pressure,26,,4 ,,RBRVS,0.16 ,0.04 ,0.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,93770,CPT,Measure venous pressure,,,4 ,,RBRVS,0.16 ,0.04 ,0.04 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,93784,CPT,Ambulatory bp monitoring,,,4 ,,RBRVS,0.38 ,1.39 ,1.39 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,93786,CPT,Ambulatory bp recording,,TC,4 ,,RBRVS,0.00 ,0.81 ,0.81 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,93788,CPT,Ambulatory bp analysis,,TC,4 ,,RBRVS,0.00 ,0.45 ,0.45 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,93790,CPT,Review/report bp recording,,PC,4 ,,RBRVS,0.38 ,0.13 ,0.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,93797,CPT,Cardiac rehab,,,4 ,,RBRVS,0.18 ,0.09 ,0.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,93798,CPT,Cardiac rehab/monitor,,,4 ,,RBRVS,0.28 ,0.13 ,0.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,93799,CPT,Cardiovascular procedure,,,4 ,,TotalUnits,,,,1.07 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,93875,CPT,Extracranial study,26,,14 ,,RBRVS,0.22 ,0.07 ,0.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,93875,CPT,Extracranial study,TC,,14 ,,RBRVS,0.00 ,2.48 ,2.48 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,93875,CPT,Extracranial study,,,14 ,,RBRVS,0.22 ,2.55 ,2.55 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,93880,CPT,Extracranial study,26,,14 ,,RBRVS,0.60 ,0.21 ,0.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,93880,CPT,Extracranial study,TC,,14 ,,RBRVS,0.00 ,5.95 ,5.95 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,93880,CPT,Extracranial study,,,14 ,,RBRVS,0.60 ,6.16 ,6.16 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,93882,CPT,Extracranial study,26,,14 ,,RBRVS,0.40 ,0.11 ,0.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,93882,CPT,Extracranial study,TC,,14 ,,RBRVS,0.00 ,4.01 ,4.01 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,93882,CPT,Extracranial study,,,14 ,,RBRVS,0.40 ,4.12 ,4.12 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,93886,CPT,Intracranial study,26,,14 ,,RBRVS,0.94 ,0.28 ,0.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,93886,CPT,Intracranial study,TC,,14 ,,RBRVS,0.00 ,6.75 ,6.75 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,93886,CPT,Intracranial study,,,14 ,,RBRVS,0.94 ,7.03 ,7.03 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,93888,CPT,Intracranial study,26,,14 ,,RBRVS,0.62 ,0.20 ,0.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,93888,CPT,Intracranial study,TC,,14 ,,RBRVS,0.00 ,4.72 ,4.72 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,93888,CPT,Intracranial study,,,14 ,,RBRVS,0.62 ,4.92 ,4.92 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,93890,CPT,"Tcd, vasoreactivity study",26,,4 ,,RBRVS,1.00 ,0.31 ,0.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,93890,CPT,"Tcd, vasoreactivity study",TC,,4 ,,RBRVS,0.00 ,6.13 ,6.13 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,93890,CPT,"Tcd, vasoreactivity study",,,4 ,,RBRVS,1.00 ,6.44 ,6.44 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,93892,CPT,"Tcd, emboli detect w/o inj",26,,4 ,,RBRVS,1.15 ,0.32 ,0.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,93892,CPT,"Tcd, emboli detect w/o inj",TC,,4 ,,RBRVS,0.00 ,6.53 ,6.53 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,93892,CPT,"Tcd, emboli detect w/o inj",,,4 ,,RBRVS,1.15 ,6.85 ,6.85 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,93893,CPT,"Tcd, emboli detect w/inj",26,,4 ,,RBRVS,1.15 ,0.33 ,0.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,93893,CPT,"Tcd, emboli detect w/inj",TC,,4 ,,RBRVS,0.00 ,6.67 ,6.67 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,93893,CPT,"Tcd, emboli detect w/inj",,,4 ,,RBRVS,1.15 ,7.00 ,7.00 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,93922,CPT,Extremity study,26,,14 ,,RBRVS,0.25 ,0.08 ,0.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,93922,CPT,Extremity study,TC,,14 ,,RBRVS,0.00 ,3.03 ,3.03 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,93922,CPT,Extremity study,,,14 ,,RBRVS,0.25 ,3.11 ,3.11 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,93923,CPT,Extremity study,26,,14 ,,RBRVS,0.45 ,0.14 ,0.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,93923,CPT,Extremity study,TC,,14 ,,RBRVS,0.00 ,4.54 ,4.54 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,93923,CPT,Extremity study,,,14 ,,RBRVS,0.45 ,4.68 ,4.68 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,93924,CPT,Extremity study,26,,14 ,,RBRVS,0.50 ,0.17 ,0.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,93924,CPT,Extremity study,TC,,14 ,,RBRVS,0.00 ,5.77 ,5.77 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,93924,CPT,Extremity study,,,14 ,,RBRVS,0.50 ,5.94 ,5.94 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,93925,CPT,Lower extremity study,26,,14 ,,RBRVS,0.58 ,0.19 ,0.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,93925,CPT,Lower extremity study,TC,,14 ,,RBRVS,0.00 ,7.83 ,7.83 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,93925,CPT,Lower extremity study,,,14 ,,RBRVS,0.58 ,8.02 ,8.02 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,93926,CPT,Lower extremity study,26,,14 ,,RBRVS,0.39 ,0.11 ,0.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,93926,CPT,Lower extremity study,TC,,14 ,,RBRVS,0.00 ,5.03 ,5.03 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,93926,CPT,Lower extremity study,,,14 ,,RBRVS,0.39 ,5.14 ,5.14 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,93930,CPT,Upper extremity study,26,,14 ,,RBRVS,0.46 ,0.15 ,0.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,93930,CPT,Upper extremity study,TC,,14 ,,RBRVS,0.00 ,6.10 ,6.10 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,93930,CPT,Upper extremity study,,,14 ,,RBRVS,0.46 ,6.25 ,6.25 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,93931,CPT,Upper extremity study,26,,14 ,,RBRVS,0.31 ,0.10 ,0.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,93931,CPT,Upper extremity study,TC,,14 ,,RBRVS,0.00 ,4.08 ,4.08 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,93931,CPT,Upper extremity study,,,14 ,,RBRVS,0.31 ,4.18 ,4.18 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,93965,CPT,Extremity study,26,,14 ,,RBRVS,0.35 ,0.11 ,0.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,93965,CPT,Extremity study,TC,,14 ,,RBRVS,0.00 ,2.90 ,2.90 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,93965,CPT,Extremity study,,,14 ,,RBRVS,0.35 ,3.01 ,3.01 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,93970,CPT,Extremity study,26,,14 ,,RBRVS,0.68 ,0.21 ,0.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,93970,CPT,Extremity study,TC,,14 ,,RBRVS,0.00 ,5.99 ,5.99 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,93970,CPT,Extremity study,,,14 ,,RBRVS,0.68 ,6.20 ,6.20 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,93971,CPT,Extremity study,26,,14 ,,RBRVS,0.45 ,0.15 ,0.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,93971,CPT,Extremity study,TC,,14 ,,RBRVS,0.00 ,3.92 ,3.92 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,93971,CPT,Extremity study,,,14 ,,RBRVS,0.45 ,4.07 ,4.07 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,93975,CPT,Vascular study,26,,14 ,,RBRVS,1.80 ,0.63 ,0.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,93975,CPT,Vascular study,TC,,14 ,,RBRVS,0.00 ,7.83 ,7.83 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,93975,CPT,Vascular study,,,14 ,,RBRVS,1.80 ,8.46 ,8.46 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,93976,CPT,Vascular study,26,,14 ,,RBRVS,1.21 ,0.42 ,0.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,93976,CPT,Vascular study,TC,,14 ,,RBRVS,0.00 ,4.16 ,4.16 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,93976,CPT,Vascular study,,,14 ,,RBRVS,1.21 ,4.58 ,4.58 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,93978,CPT,Vascular study,26,,14 ,,RBRVS,0.65 ,0.21 ,0.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,93978,CPT,Vascular study,TC,,14 ,,RBRVS,0.00 ,5.82 ,5.82 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,93978,CPT,Vascular study,,,14 ,,RBRVS,0.65 ,6.03 ,6.03 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,93979,CPT,Vascular study,26,,14 ,,RBRVS,0.44 ,0.14 ,0.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,93979,CPT,Vascular study,TC,,14 ,,RBRVS,0.00 ,4.02 ,4.02 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,93979,CPT,Vascular study,,,14 ,,RBRVS,0.44 ,4.16 ,4.16 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,93980,CPT,Penile vascular study,26,,14 ,,RBRVS,1.25 ,0.46 ,0.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,93980,CPT,Penile vascular study,TC,,14 ,,RBRVS,0.00 ,3.02 ,3.02 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,93980,CPT,Penile vascular study,,,14 ,,RBRVS,1.25 ,3.48 ,3.48 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,93981,CPT,Penile vascular study,26,,14 ,,RBRVS,0.44 ,0.16 ,0.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,93981,CPT,Penile vascular study,TC,,14 ,,RBRVS,0.00 ,2.68 ,2.68 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,93981,CPT,Penile vascular study,,,14 ,,RBRVS,0.44 ,2.84 ,2.84 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,93982,CPT,Aneurysm pressure sens study,,,21 ,,RBRVS,0.30 ,0.80 ,0.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,93990,CPT,Doppler flow testing,26,,14 ,,RBRVS,0.25 ,0.06 ,0.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,93990,CPT,Doppler flow testing,TC,,14 ,,RBRVS,0.00 ,5.16 ,5.16 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,93990,CPT,Doppler flow testing,,,14 ,,RBRVS,0.25 ,5.22 ,5.22 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,94002,CPT,"Vent mgmt inpat, init day",,,10 ,,RBRVS,1.99 ,0.35 ,0.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,94003,CPT,"Vent mgmt inpat, subq day",,,10 ,,RBRVS,1.37 ,0.32 ,0.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,94004,CPT,Vent mgmt nf per day,,,15 ,,RBRVS,1.00 ,0.23 ,0.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,94005,CPT,Home vent mgmt supervision,,,15 ,,RBRVS,1.50 ,0.70 ,0.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,94010,CPT,Breathing capacity test,26,,14 ,,RBRVS,0.17 ,0.04 ,0.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,94010,CPT,Breathing capacity test,TC,,14 ,,RBRVS,0.00 ,0.70 ,0.70 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,94010,CPT,Breathing capacity test,,,14 ,,RBRVS,0.17 ,0.74 ,0.74 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,94014,CPT,Patient recorded spirometry,,,14 ,,RBRVS,0.52 ,0.81 ,0.81 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,94015,CPT,Patient recorded spirometry,,TC,14 ,,RBRVS,0.00 ,0.67 ,0.67 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,94016,CPT,Review patient spirometry,,PC,14 ,,RBRVS,0.52 ,0.14 ,0.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,94060,CPT,Evaluation of wheezing,26,,14 ,,RBRVS,0.31 ,0.08 ,0.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,94060,CPT,Evaluation of wheezing,TC,,14 ,,RBRVS,0.00 ,1.24 ,1.24 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,94060,CPT,Evaluation of wheezing,,,14 ,,RBRVS,0.31 ,1.32 ,1.32 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,94070,CPT,Evaluation of wheezing,26,,14 ,,RBRVS,0.60 ,0.15 ,0.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,94070,CPT,Evaluation of wheezing,TC,,14 ,,RBRVS,0.00 ,0.85 ,0.85 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,94070,CPT,Evaluation of wheezing,,,14 ,,RBRVS,0.60 ,1.00 ,1.00 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,94150,CPT,Vital capacity test,26,,14 ,,RBRVS,0.07 ,0.02 ,0.02 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,94150,CPT,Vital capacity test,TC,,14 ,,RBRVS,0.00 ,0.46 ,0.46 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,94150,CPT,Vital capacity test,,,14 ,,RBRVS,0.07 ,0.48 ,0.48 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,94200,CPT,Lung function test (mbc/mvv),26,,14 ,,RBRVS,0.11 ,0.03 ,0.03 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,94200,CPT,Lung function test (mbc/mvv),TC,,14 ,,RBRVS,0.00 ,0.48 ,0.48 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,94200,CPT,Lung function test (mbc/mvv),,,14 ,,RBRVS,0.11 ,0.51 ,0.51 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,94240,CPT,Residual lung capacity,26,,14 ,,RBRVS,0.26 ,0.06 ,0.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,94240,CPT,Residual lung capacity,TC,,14 ,,RBRVS,0.00 ,0.76 ,0.76 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,94240,CPT,Residual lung capacity,,,14 ,,RBRVS,0.26 ,0.82 ,0.82 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,94250,CPT,Expired gas collection,26,,14 ,,RBRVS,0.11 ,0.03 ,0.03 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,94250,CPT,Expired gas collection,TC,,14 ,,RBRVS,0.00 ,0.48 ,0.48 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,94250,CPT,Expired gas collection,,,14 ,,RBRVS,0.11 ,0.51 ,0.51 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,94260,CPT,Thoracic gas volume,26,,14 ,,RBRVS,0.13 ,0.03 ,0.03 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,94260,CPT,Thoracic gas volume,TC,,14 ,,RBRVS,0.00 ,0.73 ,0.73 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,94260,CPT,Thoracic gas volume,,,14 ,,RBRVS,0.13 ,0.76 ,0.76 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,94350,CPT,Lung nitrogen washout curve,26,,14 ,,RBRVS,0.26 ,0.06 ,0.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,94350,CPT,Lung nitrogen washout curve,TC,,14 ,,RBRVS,0.00 ,0.55 ,0.55 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,94350,CPT,Lung nitrogen washout curve,,,14 ,,RBRVS,0.26 ,0.61 ,0.61 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,94360,CPT,Measure airflow resistance,26,,14 ,,RBRVS,0.26 ,0.06 ,0.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,94360,CPT,Measure airflow resistance,TC,,14 ,,RBRVS,0.00 ,0.89 ,0.89 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,94360,CPT,Measure airflow resistance,,,14 ,,RBRVS,0.26 ,0.95 ,0.95 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,94370,CPT,Breath airway closing volume,26,,14 ,,RBRVS,0.26 ,0.07 ,0.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,94370,CPT,Breath airway closing volume,TC,,14 ,,RBRVS,0.00 ,0.53 ,0.53 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,94370,CPT,Breath airway closing volume,,,14 ,,RBRVS,0.26 ,0.60 ,0.60 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,94375,CPT,Respiratory flow volume loop,26,,14 ,,RBRVS,0.31 ,0.08 ,0.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,94375,CPT,Respiratory flow volume loop,TC,,14 ,,RBRVS,0.00 ,0.65 ,0.65 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,94375,CPT,Respiratory flow volume loop,,,14 ,,RBRVS,0.31 ,0.73 ,0.73 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,94400,CPT,Co2 breathing response curve,26,,14 ,,RBRVS,0.40 ,0.10 ,0.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,94400,CPT,Co2 breathing response curve,TC,,14 ,,RBRVS,0.00 ,0.93 ,0.93 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,94400,CPT,Co2 breathing response curve,,,14 ,,RBRVS,0.40 ,1.03 ,1.03 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,94450,CPT,Hypoxia response curve,26,,14 ,,RBRVS,0.40 ,0.09 ,0.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,94450,CPT,Hypoxia response curve,TC,,14 ,,RBRVS,0.00 ,0.92 ,0.92 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,94450,CPT,Hypoxia response curve,,,14 ,,RBRVS,0.40 ,1.01 ,1.01 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,94452,CPT,Hast w/report,26,,14 ,,RBRVS,0.31 ,0.07 ,0.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,94452,CPT,Hast w/report,TC,,14 ,,RBRVS,0.00 ,1.20 ,1.20 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,94452,CPT,Hast w/report,,,14 ,,RBRVS,0.31 ,1.27 ,1.27 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,94453,CPT,Hast w/oxygen titrate,26,,14 ,,RBRVS,0.40 ,0.10 ,0.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,94453,CPT,Hast w/oxygen titrate,TC,,14 ,,RBRVS,0.00 ,1.59 ,1.59 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,94453,CPT,Hast w/oxygen titrate,,,14 ,,RBRVS,0.40 ,1.69 ,1.69 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,94610,CPT,Surfactant admin thru tube,,,14 ,,RBRVS,1.16 ,0.34 ,0.34 ,,,$0.00,$0.00,1,1,1,1,1,1,20091001,,94620,CPT,Pulmonary stress test/simple,26,,14 ,,RBRVS,0.64 ,0.16 ,0.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,94620,CPT,Pulmonary stress test/simple,TC,,14 ,,RBRVS,0.00 ,0.63 ,0.63 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,94620,CPT,Pulmonary stress test/simple,,,14 ,,RBRVS,0.64 ,0.79 ,0.79 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,94621,CPT,Pulm stress test/complex,26,,14 ,,RBRVS,1.42 ,0.45 ,0.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,94621,CPT,Pulm stress test/complex,TC,,14 ,,RBRVS,0.00 ,2.73 ,2.73 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,94621,CPT,Pulm stress test/complex,,,14 ,,RBRVS,1.42 ,3.18 ,3.18 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,94640,CPT,Airway inhalation treatment,,,14 ,,RBRVS,0.00 ,0.38 ,0.38 ,,,$0.00,$0.00,1,1,1,0,0,1,20091001,,94642,CPT,Aerosol inhalation treatment,,,14 ,,TotalUnits,,,,1.18 ,,$0.00,$0.00,1,1,1,0,0,1,20091001,,94644,CPT,"Cbt, 1st hour",,,14 ,,RBRVS,0.00 ,0.96 ,0.96 ,,,$0.00,$0.00,1,1,1,1,1,1,20091001,,94645,CPT,"Cbt, each addl hour",,,14 ,,RBRVS,0.00 ,0.35 ,0.35 ,,,$0.00,$0.00,1,1,1,1,1,1,20091001,,94660,CPT,"Pos airway pressure, cpap",,,14 ,,RBRVS,0.76 ,0.19 ,0.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,94662,CPT,"Neg press ventilation, cnp",,,14 ,,RBRVS,0.76 ,0.20 ,0.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,94664,CPT,Evaluate pt use of inhaler,,,14 ,,RBRVS,0.00 ,0.40 ,0.40 ,,,$0.00,$0.00,1,1,1,0,0,1,20091001,,94667,CPT,Chest wall manipulation,,,14 ,,RBRVS,0.00 ,0.54 ,0.54 ,,,$0.00,$0.00,1,1,1,0,0,1,20091001,,94668,CPT,Chest wall manipulation,,,14 ,,RBRVS,0.00 ,0.51 ,0.51 ,,,$0.00,$0.00,1,1,1,0,0,1,20091001,,94680,CPT,"Exhaled air analysis, o2",26,,14 ,,RBRVS,0.26 ,0.06 ,0.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,94680,CPT,"Exhaled air analysis, o2",TC,,14 ,,RBRVS,0.00 ,1.00 ,1.00 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,94680,CPT,"Exhaled air analysis, o2",,,14 ,,RBRVS,0.26 ,1.06 ,1.06 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,94681,CPT,"Exhaled air analysis, o2/co2",26,,14 ,,RBRVS,0.20 ,0.05 ,0.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,94681,CPT,"Exhaled air analysis, o2/co2",TC,,14 ,,RBRVS,0.00 ,1.02 ,1.02 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,94681,CPT,"Exhaled air analysis, o2/co2",,,14 ,,RBRVS,0.20 ,1.07 ,1.07 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,94690,CPT,Exhaled air analysis,26,,14 ,,RBRVS,0.07 ,0.02 ,0.02 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,94690,CPT,Exhaled air analysis,TC,,14 ,,RBRVS,0.00 ,1.02 ,1.02 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,94690,CPT,Exhaled air analysis,,,14 ,,RBRVS,0.07 ,1.04 ,1.04 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,94720,CPT,Monoxide diffusing capacity,26,,14 ,,RBRVS,0.26 ,0.06 ,0.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,94720,CPT,Monoxide diffusing capacity,TC,,14 ,,RBRVS,0.00 ,1.09 ,1.09 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,94720,CPT,Monoxide diffusing capacity,,,14 ,,RBRVS,0.26 ,1.15 ,1.15 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,94725,CPT,Membrane diffusion capacity,26,,14 ,,RBRVS,0.26 ,0.07 ,0.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,94725,CPT,Membrane diffusion capacity,TC,,14 ,,RBRVS,0.00 ,0.91 ,0.91 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,94725,CPT,Membrane diffusion capacity,,,14 ,,RBRVS,0.26 ,0.98 ,0.98 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,94750,CPT,Pulmonary compliance study,26,,14 ,,RBRVS,0.23 ,0.06 ,0.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,94750,CPT,Pulmonary compliance study,TC,,14 ,,RBRVS,0.00 ,1.71 ,1.71 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,94750,CPT,Pulmonary compliance study,,,14 ,,RBRVS,0.23 ,1.77 ,1.77 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,94760,CPT,Measure blood oxygen level,,TC,14 ,,RBRVS,0.00 ,0.06 ,0.06 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,94761,CPT,Measure blood oxygen level,,TC,14 ,,RBRVS,0.00 ,0.11 ,0.11 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,94762,CPT,Measure blood oxygen level,,TC,14 ,,RBRVS,0.00 ,0.84 ,0.84 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,94770,CPT,Exhaled carbon dioxide test,26,,14 ,,RBRVS,0.15 ,0.04 ,0.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,94770,CPT,Exhaled carbon dioxide test,TC,,14 ,,RBRVS,0.00 ,0.77 ,0.77 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,94770,CPT,Exhaled carbon dioxide test,,,14 ,,RBRVS,0.15 ,0.81 ,0.81 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,94799,CPT,Pulmonary service/procedure,,,14 ,,TotalUnits,,,,1.16 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,95004,CPT,Percut allergy skin tests,,,2 ,,RBRVS,0.01 ,0.15 ,0.15 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,95010,CPT,Percut allergy titrate test,,,2 ,,RBRVS,0.15 ,0.31 ,0.31 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,95012,CPT,Exhaled nitric oxide meas,,,14 ,,RBRVS,0.00 ,0.49 ,0.49 ,,,$0.00,$0.00,1,1,1,1,1,1,20091001,,95015,CPT,Id allergy titrate-drug/bug,,,2 ,,RBRVS,0.15 ,0.21 ,0.21 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,95024,CPT,"Id allergy test, drug/bug",,,2 ,,RBRVS,0.01 ,0.17 ,0.17 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,95027,CPT,Id allergy titrate-airborne,,TC,2 ,,RBRVS,0.01 ,0.10 ,0.10 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,95028,CPT,Id allergy test-delayed type,,TC,2 ,,RBRVS,0.00 ,0.31 ,0.31 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,95044,CPT,Allergy patch tests,,,2 ,,RBRVS,0.00 ,0.15 ,0.15 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,95052,CPT,Photo patch test,,,2 ,,RBRVS,0.00 ,0.16 ,0.16 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,95056,CPT,Photosensitivity tests,,,2 ,,RBRVS,0.00 ,1.25 ,1.25 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,95060,CPT,Eye allergy tests,,TC,2 ,,RBRVS,0.00 ,0.73 ,0.73 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,95065,CPT,Nose allergy test,,TC,2 ,,RBRVS,0.00 ,0.70 ,0.70 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,95070,CPT,Bronchial allergy tests,,TC,2 ,,RBRVS,0.00 ,0.81 ,0.81 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,95071,CPT,Bronchial allergy tests,,TC,2 ,,RBRVS,0.00 ,0.98 ,0.98 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,95075,CPT,Ingestion challenge test,,,2 ,,RBRVS,0.95 ,0.26 ,0.68 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,95115,CPT,"Immunotherapy, one injection",,,1 ,,RBRVS,0.00 ,0.23 ,0.23 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,95117,CPT,Immunotherapy injections,,,1 ,,RBRVS,0.00 ,0.28 ,0.28 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,95120,CPT,"Immunotherapy, one injection",,,1 ,,TotalUnits,,,,0.26 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,95125,CPT,"Immunotherapy, many antigens",,,1 ,,TotalUnits,,,,0.36 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,95130,CPT,"Immunotherapy, insect venom",,,1 ,,TotalUnits,,,,0.45 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,95131,CPT,"Immunotherapy, insect venoms",,,1 ,,TotalUnits,,,,0.64 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,95132,CPT,"Immunotherapy, insect venoms",,,1 ,,TotalUnits,,,,0.71 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,95133,CPT,"Immunotherapy, insect venoms",,,1 ,,TotalUnits,,,,0.88 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,95134,CPT,"Immunotherapy, insect venoms",,,1 ,,TotalUnits,,,,1.10 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,95144,CPT,Antigen therapy services,,,1 ,,RBRVS,0.06 ,0.02 ,0.27 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,95145,CPT,Antigen therapy services,,,1 ,,RBRVS,0.06 ,0.02 ,0.36 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,95146,CPT,Antigen therapy services,,,1 ,,RBRVS,0.06 ,0.02 ,0.68 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,95147,CPT,Antigen therapy services,,,1 ,,RBRVS,0.06 ,0.02 ,0.66 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,95148,CPT,Antigen therapy services,,,1 ,,RBRVS,0.06 ,0.02 ,0.98 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,95149,CPT,Antigen therapy services,,,1 ,,RBRVS,0.06 ,0.02 ,1.30 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,95165,CPT,Antigen therapy services,,,1 ,,RBRVS,0.06 ,0.02 ,0.26 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,95170,CPT,Antigen therapy services,,,1 ,,RBRVS,0.06 ,0.02 ,0.20 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,95180,CPT,Rapid desensitization,,,1 ,,RBRVS,2.01 ,0.77 ,1.66 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,95199,CPT,Allergy immunology services,,,1 ,,TotalUnits,,,,1.19 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,95250,CPT,"Glucose monitoring, cont",,TC,14 ,,RBRVS,0.00 ,3.50 ,3.50 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,95251,CPT,"Gluc monitor, cont, phys i&r",,,14 ,,RBRVS,0.85 ,0.26 ,0.26 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,95803,CPT,Actigraphy testing,,,14 ,,NW,,,,,,$117.45,$0.00,1,0,1,1,1,1,20091001,,95805,CPT,Multiple sleep latency test,26,,14 ,,RBRVS,1.88 ,0.51 ,0.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,95805,CPT,Multiple sleep latency test,TC,,14 ,,RBRVS,0.00 ,6.51 ,6.51 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,95805,CPT,Multiple sleep latency test,,,14 ,,RBRVS,1.88 ,7.02 ,7.02 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,95806,CPT,"Sleep study, unattended",26,,14 ,,RBRVS,1.66 ,0.47 ,0.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,95806,CPT,"Sleep study, unattended",TC,,14 ,,RBRVS,0.00 ,3.46 ,3.46 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,95806,CPT,"Sleep study, unattended",,,14 ,,RBRVS,1.66 ,3.93 ,3.93 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,95807,CPT,"Sleep study, attended",26,,14 ,,RBRVS,1.66 ,0.41 ,0.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,95807,CPT,"Sleep study, attended",TC,,14 ,,RBRVS,0.00 ,11.90 ,11.90 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,95807,CPT,"Sleep study, attended",,,14 ,,RBRVS,1.66 ,12.31 ,12.31 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,95808,CPT,"Polysomnography, 1-3",26,,14 ,,RBRVS,2.65 ,0.70 ,0.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,95808,CPT,"Polysomnography, 1-3",TC,,14 ,,RBRVS,0.00 ,15.06 ,15.06 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,95808,CPT,"Polysomnography, 1-3",,,14 ,,RBRVS,2.65 ,15.76 ,15.76 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,95810,CPT,"Polysomnography, 4 or more",26,,14 ,,RBRVS,3.52 ,0.90 ,0.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,95810,CPT,"Polysomnography, 4 or more",TC,,14 ,,RBRVS,0.00 ,16.80 ,16.80 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,95810,CPT,"Polysomnography, 4 or more",,,14 ,,RBRVS,3.52 ,17.70 ,17.70 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,95811,CPT,Polysomnography w/cpap,26,,14 ,,RBRVS,3.79 ,0.96 ,0.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,95811,CPT,Polysomnography w/cpap,TC,,14 ,,RBRVS,0.00 ,18.74 ,18.74 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,95811,CPT,Polysomnography w/cpap,,,14 ,,RBRVS,3.79 ,19.70 ,19.70 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,95812,CPT,"Eeg, 41-60 minutes",26,,14 ,,RBRVS,1.08 ,0.30 ,0.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,95812,CPT,"Eeg, 41-60 minutes",TC,,14 ,,RBRVS,0.00 ,5.60 ,5.60 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,95812,CPT,"Eeg, 41-60 minutes",,,14 ,,RBRVS,1.08 ,5.90 ,5.90 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,95813,CPT,"Eeg, over 1 hour",26,,14 ,,RBRVS,1.73 ,0.48 ,0.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,95813,CPT,"Eeg, over 1 hour",TC,,14 ,,RBRVS,0.00 ,6.04 ,6.04 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,95813,CPT,"Eeg, over 1 hour",,,14 ,,RBRVS,1.73 ,6.52 ,6.52 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,95816,CPT,"Eeg, awake and drowsy",26,,14 ,,RBRVS,1.08 ,0.30 ,0.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,95816,CPT,"Eeg, awake and drowsy",TC,,14 ,,RBRVS,0.00 ,4.98 ,4.98 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,95816,CPT,"Eeg, awake and drowsy",,,14 ,,RBRVS,1.08 ,5.28 ,5.28 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,95819,CPT,"Eeg, awake and asleep",26,,14 ,,RBRVS,1.08 ,0.30 ,0.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,95819,CPT,"Eeg, awake and asleep",TC,,14 ,,RBRVS,0.00 ,5.83 ,5.83 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,95819,CPT,"Eeg, awake and asleep",,,14 ,,RBRVS,1.08 ,6.13 ,6.13 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,95822,CPT,"Eeg, coma or sleep only",26,,14 ,,RBRVS,1.08 ,0.30 ,0.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,95822,CPT,"Eeg, coma or sleep only",TC,,14 ,,RBRVS,0.00 ,5.22 ,5.22 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,95822,CPT,"Eeg, coma or sleep only",,,14 ,,RBRVS,1.08 ,5.52 ,5.52 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,95824,CPT,"Eeg, cerebral death only",26,,14 ,,RBRVS,0.74 ,0.21 ,0.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,95824,CPT,"Eeg, cerebral death only",TC,,14 ,,TotalUnits,,,,2.99 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,95827,CPT,"Eeg, all night recording",26,,14 ,,RBRVS,1.08 ,0.30 ,0.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,95827,CPT,"Eeg, all night recording",TC,,14 ,,RBRVS,0.00 ,11.24 ,11.24 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,95827,CPT,"Eeg, all night recording",,,14 ,,RBRVS,1.08 ,11.54 ,11.54 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,95829,CPT,Surgery electrocorticogram,26,,14 ,,RBRVS,6.20 ,1.76 ,1.76 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,95829,CPT,Surgery electrocorticogram,TC,,14 ,,RBRVS,0.00 ,23.01 ,23.01 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,95829,CPT,Surgery electrocorticogram,,,14 ,,RBRVS,6.20 ,24.77 ,24.77 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,95830,CPT,Insert electrodes for eeg,,,14 ,,RBRVS,1.70 ,0.41 ,2.97 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,95831,CPT,"Limb muscle testing, manual",,,14 ,,RBRVS,0.28 ,0.09 ,0.40 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,95832,CPT,"Hand muscle testing, manual",,,14 ,,RBRVS,0.29 ,0.10 ,0.37 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,95833,CPT,"Body muscle testing, manual",,,14 ,,RBRVS,0.47 ,0.14 ,0.50 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,95834,CPT,"Body muscle testing, manual",,,14 ,,RBRVS,0.60 ,0.17 ,0.54 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,95851,CPT,Range of motion measurements,,,14 ,,RBRVS,0.16 ,0.04 ,0.26 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,95852,CPT,Range of motion measurements,,,14 ,,RBRVS,0.11 ,0.04 ,0.24 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,95857,CPT,Tensilon test,,,14 ,,RBRVS,0.53 ,0.16 ,0.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,95860,CPT,"Muscle test, one limb",26,,14 ,,RBRVS,0.96 ,0.32 ,0.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,95860,CPT,"Muscle test, one limb",TC,,14 ,,RBRVS,0.00 ,0.84 ,0.84 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,95860,CPT,"Muscle test, one limb",,,14 ,,RBRVS,0.96 ,1.16 ,1.16 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,95861,CPT,"Muscle test, 2 limbs",26,,14 ,,RBRVS,1.54 ,0.51 ,0.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,95861,CPT,"Muscle test, 2 limbs",TC,,14 ,,RBRVS,0.00 ,1.15 ,1.15 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,95861,CPT,"Muscle test, 2 limbs",,,14 ,,RBRVS,1.54 ,1.66 ,1.66 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,95863,CPT,"Muscle test, 3 limbs",26,,14 ,,RBRVS,1.87 ,0.57 ,0.57 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,95863,CPT,"Muscle test, 3 limbs",TC,,14 ,,RBRVS,0.00 ,1.35 ,1.35 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,95863,CPT,"Muscle test, 3 limbs",,,14 ,,RBRVS,1.87 ,1.92 ,1.92 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,95864,CPT,"Muscle test, 4 limbs",26,,14 ,,RBRVS,1.99 ,0.61 ,0.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,95864,CPT,"Muscle test, 4 limbs",TC,,14 ,,RBRVS,0.00 ,1.53 ,1.53 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,95864,CPT,"Muscle test, 4 limbs",,,14 ,,RBRVS,1.99 ,2.14 ,2.14 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,95865,CPT,"Muscle test, larynx",26,,14 ,,RBRVS,1.57 ,0.49 ,0.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,95865,CPT,"Muscle test, larynx",TC,,14 ,,RBRVS,0.00 ,0.90 ,0.90 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,95865,CPT,"Muscle test, larynx",,,14 ,,RBRVS,1.57 ,1.39 ,1.39 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,95866,CPT,"Muscle test, hemidiaphragm",26,,14 ,,RBRVS,1.25 ,0.39 ,0.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,95866,CPT,"Muscle test, hemidiaphragm",TC,,14 ,,RBRVS,0.00 ,0.93 ,0.93 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,95866,CPT,"Muscle test, hemidiaphragm",,,14 ,,RBRVS,1.25 ,1.32 ,1.32 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,95867,CPT,Muscle test cran nerv unilat,26,,14 ,,RBRVS,0.79 ,0.24 ,0.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,95867,CPT,Muscle test cran nerv unilat,TC,,14 ,,RBRVS,0.00 ,0.91 ,0.91 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,95867,CPT,Muscle test cran nerv unilat,,,14 ,,RBRVS,0.79 ,1.15 ,1.15 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,95868,CPT,Muscle test cran nerve bilat,26,,14 ,,RBRVS,1.18 ,0.36 ,0.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,95868,CPT,Muscle test cran nerve bilat,TC,,14 ,,RBRVS,0.00 ,1.11 ,1.11 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,95868,CPT,Muscle test cran nerve bilat,,,14 ,,RBRVS,1.18 ,1.47 ,1.47 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,95869,CPT,"Muscle test, thor paraspinal",26,,14 ,,RBRVS,0.37 ,0.12 ,0.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,95869,CPT,"Muscle test, thor paraspinal",TC,,14 ,,RBRVS,0.00 ,0.91 ,0.91 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,95869,CPT,"Muscle test, thor paraspinal",,,14 ,,RBRVS,0.37 ,1.03 ,1.03 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,95870,CPT,"Muscle test, nonparaspinal",26,,14 ,,RBRVS,0.37 ,0.12 ,0.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,95870,CPT,"Muscle test, nonparaspinal",TC,,14 ,,RBRVS,0.00 ,0.87 ,0.87 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,95870,CPT,"Muscle test, nonparaspinal",,,14 ,,RBRVS,0.37 ,0.99 ,0.99 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,95872,CPT,"Muscle test, one fiber",26,,14 ,,RBRVS,2.88 ,0.88 ,0.88 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,95872,CPT,"Muscle test, one fiber",TC,,14 ,,RBRVS,0.00 ,0.76 ,0.76 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,95872,CPT,"Muscle test, one fiber",,,14 ,,RBRVS,2.88 ,1.64 ,1.64 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,95873,CPT,"Guide nerv destr, elec stim",26,,14 ,,RBRVS,0.37 ,0.14 ,0.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,95873,CPT,"Guide nerv destr, elec stim",TC,,14 ,,RBRVS,0.00 ,0.88 ,0.88 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,95873,CPT,"Guide nerv destr, elec stim",,,14 ,,RBRVS,0.37 ,1.02 ,1.02 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,95874,CPT,"Guide nerv destr, needle emg",26,,14 ,,RBRVS,0.37 ,0.12 ,0.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,95874,CPT,"Guide nerv destr, needle emg",TC,,14 ,,RBRVS,0.00 ,0.83 ,0.83 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,95874,CPT,"Guide nerv destr, needle emg",,,14 ,,RBRVS,0.37 ,0.95 ,0.95 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,95875,CPT,Limb exercise test,26,,14 ,,RBRVS,1.10 ,0.39 ,0.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,95875,CPT,Limb exercise test,TC,,14 ,,RBRVS,0.00 ,1.09 ,1.09 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,95875,CPT,Limb exercise test,,,14 ,,RBRVS,1.10 ,1.48 ,1.48 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,95900,CPT,Motor nerve conduction test,26,,14 ,,RBRVS,0.42 ,0.14 ,0.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,95900,CPT,Motor nerve conduction test,TC,,14 ,,RBRVS,0.00 ,0.78 ,0.78 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,95900,CPT,Motor nerve conduction test,,,14 ,,RBRVS,0.42 ,0.92 ,0.92 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,95903,CPT,Motor nerve conduction test,26,,14 ,,RBRVS,0.60 ,0.17 ,0.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,95903,CPT,Motor nerve conduction test,TC,,14 ,,RBRVS,0.00 ,0.83 ,0.83 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,95903,CPT,Motor nerve conduction test,,,14 ,,RBRVS,0.60 ,1.00 ,1.00 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,95904,CPT,Sense nerve conduction test,26,,14 ,,RBRVS,0.34 ,0.10 ,0.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,95904,CPT,Sense nerve conduction test,TC,,14 ,,RBRVS,0.00 ,0.74 ,0.74 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,95904,CPT,Sense nerve conduction test,,,14 ,,RBRVS,0.34 ,0.84 ,0.84 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,95920,CPT,Intraop nerve test add-on,26,,14 ,,RBRVS,2.11 ,0.62 ,0.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,95920,CPT,Intraop nerve test add-on,TC,,14 ,,RBRVS,0.00 ,1.10 ,1.10 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,95920,CPT,Intraop nerve test add-on,,,14 ,,RBRVS,2.11 ,1.72 ,1.72 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,95921,CPT,Autonomic nerv function test,26,,14 ,,RBRVS,0.90 ,0.25 ,0.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,95921,CPT,Autonomic nerv function test,TC, ,14 ,,RBRVS,0.00 ,0.91 ,0.91 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,95921,CPT,Autonomic nerv function test,,,14 ,,RBRVS,0.90 ,1.16 ,1.16 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,95922,CPT,Autonomic nerv function test,26,,14 ,,RBRVS,0.96 ,0.26 ,0.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,95922,CPT,Autonomic nerv function test,TC, ,14 ,,RBRVS,0.00 ,1.35 ,1.35 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,95922,CPT,Autonomic nerv function test,,,14 ,,RBRVS,0.96 ,1.61 ,1.61 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,95923,CPT,Autonomic nerv function test,26,,14 ,,RBRVS,0.90 ,0.25 ,0.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,95923,CPT,Autonomic nerv function test,TC, ,14 ,,RBRVS,0.00 ,2.08 ,2.08 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,95923,CPT,Autonomic nerv function test,,,14 ,,RBRVS,0.90 ,2.33 ,2.33 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,95925,CPT,Somatosensory testing,26,,14 ,,RBRVS,0.54 ,0.15 ,0.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,95925,CPT,Somatosensory testing,TC,,14 ,,RBRVS,0.00 ,2.92 ,2.92 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,95925,CPT,Somatosensory testing,,,14 ,,RBRVS,0.54 ,3.07 ,3.07 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,95926,CPT,Somatosensory testing,26,,14 ,,RBRVS,0.54 ,0.15 ,0.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,95926,CPT,Somatosensory testing,TC,,14 ,,RBRVS,0.00 ,2.85 ,2.85 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,95926,CPT,Somatosensory testing,,,14 ,,RBRVS,0.54 ,3.00 ,3.00 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,95927,CPT,Somatosensory testing,26,,14 ,,RBRVS,0.54 ,0.16 ,0.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,95927,CPT,Somatosensory testing,TC,,14 ,,RBRVS,0.00 ,2.97 ,2.97 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,95927,CPT,Somatosensory testing,,,14 ,,RBRVS,0.54 ,3.13 ,3.13 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,95928,CPT,"C motor evoked, uppr limbs",26,,14 ,,RBRVS,1.50 ,0.44 ,0.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,95928,CPT,"C motor evoked, uppr limbs",TC,,14 ,,RBRVS,0.00 ,3.50 ,3.50 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,95928,CPT,"C motor evoked, uppr limbs",,,14 ,,RBRVS,1.50 ,3.94 ,3.94 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,95929,CPT,"C motor evoked, lwr limbs",26,,14 ,,RBRVS,1.50 ,0.44 ,0.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,95929,CPT,"C motor evoked, lwr limbs",TC,,14 ,,RBRVS,0.00 ,3.82 ,3.82 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,95929,CPT,"C motor evoked, lwr limbs",,,14 ,,RBRVS,1.50 ,4.26 ,4.26 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,95930,CPT,Visual evoked potential test,26,,14 ,,RBRVS,0.35 ,0.10 ,0.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,95930,CPT,Visual evoked potential test,TC,,14 ,,RBRVS,0.00 ,2.54 ,2.54 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,95930,CPT,Visual evoked potential test,,,14 ,,RBRVS,0.35 ,2.64 ,2.64 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,95933,CPT,Blink reflex test,26,,14 ,,RBRVS,0.59 ,0.17 ,0.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,95933,CPT,Blink reflex test,TC,,14 ,,RBRVS,0.00 ,0.94 ,0.94 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,95933,CPT,Blink reflex test,,,14 ,,RBRVS,0.59 ,1.11 ,1.11 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,95934,CPT,H-reflex test,26,,14 ,,RBRVS,0.51 ,0.15 ,0.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,95934,CPT,H-reflex test,TC,,14 ,,RBRVS,0.00 ,0.70 ,0.70 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,95934,CPT,H-reflex test,,,14 ,,RBRVS,0.51 ,0.85 ,0.85 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,95936,CPT,H-reflex test,26,,14 ,,RBRVS,0.55 ,0.16 ,0.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,95936,CPT,H-reflex test,TC,,14 ,,RBRVS,0.00 ,0.43 ,0.43 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,95936,CPT,H-reflex test,,,14 ,,RBRVS,0.55 ,0.59 ,0.59 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,95937,CPT,Neuromuscular junction test,26,,14 ,,RBRVS,0.65 ,0.20 ,0.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,95937,CPT,Neuromuscular junction test,TC,,14 ,,RBRVS,0.00 ,0.72 ,0.72 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,95937,CPT,Neuromuscular junction test,,,14 ,,RBRVS,0.65 ,0.92 ,0.92 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,95950,CPT,Ambulatory eeg monitoring,26,,14 ,,RBRVS,1.51 ,0.43 ,0.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,95950,CPT,Ambulatory eeg monitoring,TC,,14 ,,RBRVS,0.00 ,4.50 ,4.50 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,95950,CPT,Ambulatory eeg monitoring,,,14 ,,RBRVS,1.51 ,4.93 ,4.93 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,95951,CPT,Eeg monitoring/videorecord,26,,14 ,,RBRVS,5.99 ,1.68 ,1.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,95951,CPT,Eeg monitoring/videorecord,TC,,14 ,,TotalUnits,,,,9.20 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,95953,CPT,Eeg monitoring/computer,26,,14 ,,RBRVS,3.30 ,0.93 ,0.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,95953,CPT,Eeg monitoring/computer,TC,,14 ,,RBRVS,0.00 ,6.29 ,6.29 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,95953,CPT,Eeg monitoring/computer,,,14 ,,RBRVS,3.30 ,7.22 ,7.22 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,95954,CPT,Eeg monitoring/giving drugs,26,,14 ,,RBRVS,2.45 ,0.42 ,0.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,95954,CPT,Eeg monitoring/giving drugs,TC,,14 ,,RBRVS,0.00 ,3.96 ,3.96 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,95954,CPT,Eeg monitoring/giving drugs,,,14 ,,RBRVS,2.45 ,4.38 ,4.38 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,95955,CPT,Eeg during surgery,26,,14 ,,RBRVS,1.01 ,0.28 ,0.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,95955,CPT,Eeg during surgery,TC,,14 ,,RBRVS,0.00 ,2.48 ,2.48 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,95955,CPT,Eeg during surgery,,,14 ,,RBRVS,1.01 ,2.76 ,2.76 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,95956,CPT,"Eeg monitoring, cable/radio",26,,14 ,,RBRVS,3.08 ,0.86 ,0.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,95956,CPT,"Eeg monitoring, cable/radio",TC,,14 ,,RBRVS,0.00 ,15.44 ,15.44 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,95956,CPT,"Eeg monitoring, cable/radio",,,14 ,,RBRVS,3.08 ,16.30 ,16.30 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,95957,CPT,Eeg digital analysis,26,,14 ,,RBRVS,1.98 ,0.55 ,0.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,95957,CPT,Eeg digital analysis,TC,,14 ,,RBRVS,0.00 ,5.30 ,5.30 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,95957,CPT,Eeg digital analysis,,,14 ,,RBRVS,1.98 ,5.85 ,5.85 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,95958,CPT,Eeg monitoring/function test,26,,14 ,,RBRVS,4.24 ,1.23 ,1.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,95958,CPT,Eeg monitoring/function test,TC,,14 ,,RBRVS,0.00 ,5.47 ,5.47 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,95958,CPT,Eeg monitoring/function test,,,14 ,,RBRVS,4.24 ,6.70 ,6.70 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,95961,CPT,"Electrode stimulation, brain",26,,14 ,,RBRVS,2.97 ,0.87 ,0.87 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,95961,CPT,"Electrode stimulation, brain",TC,,14 ,,RBRVS,0.00 ,2.18 ,2.18 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,95961,CPT,"Electrode stimulation, brain",,,14 ,,RBRVS,2.97 ,3.05 ,3.05 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,95962,CPT,"Electrode stim, brain add-on",26,,14 ,,RBRVS,3.21 ,0.91 ,0.91 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,95962,CPT,"Electrode stim, brain add-on",TC,,14 ,,RBRVS,0.00 ,1.30 ,1.30 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,95962,CPT,"Electrode stim, brain add-on",,,14 ,,RBRVS,3.21 ,2.21 ,2.21 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,95965,CPT,"Meg, spontaneous",26,,14 ,,RBRVS,7.99 ,2.39 ,2.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,95965,CPT,"Meg, spontaneous",,,14 ,,TotalUnits,,,,62.00 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,95966,CPT,"Meg, evoked, single",26,,14 ,,RBRVS,3.99 ,1.19 ,1.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,95966,CPT,"Meg, evoked, single",,,14 ,,TotalUnits,,,,18.53 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,95967,CPT,"Meg, evoked, each add'l",26,,14 ,,RBRVS,3.49 ,1.01 ,1.01 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,95967,CPT,"Meg, evoked, each add'l",,,14 ,,TotalUnits,,,,21.23 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,95970,CPT,"Analyze neurostim, no prog",,,14 ,,RBRVS,0.45 ,0.13 ,0.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,95971,CPT,"Analyze neurostim, simple",,,14 ,,RBRVS,0.78 ,0.18 ,0.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,95972,CPT,"Analyze neurostim, complex",,,14 ,,RBRVS,1.50 ,0.44 ,1.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,95973,CPT,"Analyze neurostim, complex",,,14 ,,RBRVS,0.92 ,0.22 ,0.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,95974,CPT,"Cranial neurostim, complex",,,14 ,,RBRVS,3.00 ,0.78 ,1.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,95975,CPT,"Cranial neurostim, complex",,,14 ,,RBRVS,1.70 ,0.47 ,0.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,95978,CPT,Analyze neurostim brain/1h,,,14 ,,RBRVS,3.50 ,1.02 ,1.86 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,95979,CPT,Analyz neurostim brain addon,,,14 ,,RBRVS,1.64 ,0.46 ,0.72 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,95980,CPT,Io anal gast  n-stim init,,,14 ,,RBRVS,0.80 ,0.25 ,0.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,95981,CPT,Io anal gast n-stim subsq,,,14 ,,RBRVS,0.30 ,0.12 ,0.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,95982,CPT,Io ga n-stim subsq w/reprog,,,14 ,,RBRVS,0.65 ,0.18 ,0.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,95990,CPT,Spin/brain pump refil & main,,,14 ,,RBRVS,0.00 ,1.62 ,1.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,95991,CPT,Spin/brain pump refil & main,,,14 ,,RBRVS,0.77 ,0.17 ,1.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,95992,CPT,Canalith repositioning proc,,,14 ,,RBRVS,0.75 ,0.25 ,0.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,95999,CPT,Neurological procedure,,,14 ,,TotalUnits,,,,2.04 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,96000,CPT,"Motion analysis, video/3d",,,14 ,,RBRVS,1.80 ,0.44 ,0.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,96001,CPT,Motion test w/ft press meas,,,14 ,,RBRVS,2.15 ,0.56 ,0.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,96002,CPT,Dynamic surface emg,,,14 ,,RBRVS,0.41 ,0.10 ,0.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,96003,CPT,Dynamic fine wire emg,,,14 ,,RBRVS,0.37 ,0.09 ,0.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,96004,CPT,Phys review of motion tests,,PC,14 ,,RBRVS,2.14 ,0.65 ,0.65 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,96020,CPT,Functional brain mapping,26,,14 ,,RBRVS,3.43 ,1.07 ,1.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,96040,CPT,"Genetic counseling, 30 min",,,15 ,,RBRVS,0.00 ,0.98 ,0.98 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,96101,CPT,Psycho testing by psych/phys,,,16 ,,RBRVS,1.86 ,0.33 ,0.35 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,96102,CPT,Psycho testing by technician,,,16 ,,RBRVS,0.50 ,0.09 ,1.10 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,96103,CPT,Psycho testing admin by comp,,,16 ,,RBRVS,0.51 ,0.10 ,0.92 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,96105,CPT,Assessment of aphasia,,,16 ,,RBRVS,0.00 ,1.66 ,1.66 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,96110,CPT,"Developmental test, lim",,,16 ,,RBRVS,0.00 ,0.19 ,0.19 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,96111,CPT,"Developmental test, extend",,,16 ,,RBRVS,2.60 ,0.58 ,0.69 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,96116,CPT,Neurobehavioral status exam,,,16 ,,RBRVS,1.86 ,0.40 ,0.53 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,96118,CPT,Neuropsych tst by psych/phys,,,16 ,,RBRVS,1.86 ,0.33 ,0.84 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,96119,CPT,Neuropsych testing by tec,,,16 ,,RBRVS,0.55 ,0.10 ,1.53 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,96120,CPT,Neuropsych tst admin w/comp,,,16 ,,RBRVS,0.51 ,0.10 ,1.69 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,96125,CPT,Cognitive test by hc pro,,,16 ,,RBRVS,1.70 ,0.37 ,0.76 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,96150,CPT,"Assess hlth/behave, init",,,16 ,,RBRVS,0.50 ,0.09 ,0.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,96151,CPT,"Assess hlth/behave, subseq",,,16 ,,RBRVS,0.48 ,0.09 ,0.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,96152,CPT,"Intervene hlth/behave, indiv",,,16 ,,RBRVS,0.46 ,0.08 ,0.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,96153,CPT,"Intervene hlth/behave, group",,,16 ,,RBRVS,0.10 ,0.02 ,0.02 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,96154,CPT,"Interv hlth/behav, fam w/pt",,,16 ,,RBRVS,0.45 ,0.08 ,0.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,96155,CPT,Interv hlth/behav fam no pt,,,16 ,,RBRVS,0.44 ,0.10 ,0.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,96360,CPT,"Hydration iv infusion, init",,,22 ,,RBRVS,0.17 ,1.29 ,1.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,96361,CPT,"Hydrate iv infusion, add-on",,,22 ,,RBRVS,0.09 ,0.31 ,0.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,96365,CPT,"Ther/proph/diag iv inf, init",,,22 ,,RBRVS,0.21 ,1.58 ,1.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,96366,CPT,Ther/proph/diag iv inf addon,,,22 ,,RBRVS,0.18 ,0.37 ,0.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,96367,CPT,Tx/proph/dg addl seq iv inf,,,22 ,,RBRVS,0.19 ,0.68 ,0.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,96368,CPT,Ther/diag concurrent inf,,,22 ,,RBRVS,0.17 ,0.34 ,0.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,96369,CPT,"Sc ther infusion, up to 1 hr",,,22 ,,RBRVS,0.21 ,3.86 ,3.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,96370,CPT,"Sc ther infusion, addl hr",,,22 ,,RBRVS,0.18 ,0.22 ,0.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,96371,CPT,"Sc ther infusion, reset pump",,,22 ,,RBRVS,0.00 ,2.04 ,2.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,96372,CPT,"Ther/proph/diag inj, sc/im",,,22 ,,RBRVS,0.17 ,0.43 ,0.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,96373,CPT,"Ther/proph/diag inj, ia",,,22 ,,RBRVS,0.17 ,0.30 ,0.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,96374,CPT,"Ther/proph/diag inj, iv push",,,22 ,,RBRVS,0.18 ,1.28 ,1.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,96375,CPT,Tx/pro/dx inj new drug addon,,,22 ,,RBRVS,0.10 ,0.50 ,0.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,96379,CPT,Ther/prop/diag inj/inf proc,,,22 ,,NW,,,,,,$37.34,$0.00,1,0,1,1,1,1,20091001,,96401,CPT,"Chemo, anti-neopl, sq/im",,,22 ,,RBRVS,0.21 ,1.86 ,1.86 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,96402,CPT,Chemo hormon antineopl sq/im,,,22 ,,RBRVS,0.19 ,0.78 ,0.78 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,96405,CPT,"Chemo intralesional, up to 7",,,22 ,,RBRVS,0.52 ,0.24 ,3.69 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,96406,CPT,Chemo intralesional over 7,,,22 ,,RBRVS,0.80 ,0.32 ,3.62 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,96409,CPT,"Chemo, iv push, sngl drug",,,22 ,,RBRVS,0.24 ,2.80 ,2.80 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,96411,CPT,"Chemo, iv push, addl drug",,,22 ,,RBRVS,0.20 ,1.50 ,1.50 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,96413,CPT,"Chemo, iv infusion, 1 hr",,,22 ,,RBRVS,0.28 ,3.64 ,3.64 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,96415,CPT,"Chemo, iv infusion, addl hr",,,22 ,,RBRVS,0.19 ,0.66 ,0.66 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,96416,CPT,Chemo prolong infuse w/pump,,,22 ,,RBRVS,0.21 ,4.09 ,4.09 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,96417,CPT,Chemo iv infus each addl seq,,,22 ,,RBRVS,0.21 ,1.73 ,1.73 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,96420,CPT,"Chemo, ia, push tecnique",,,22 ,,RBRVS,0.17 ,2.78 ,2.78 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,96422,CPT,Chemo ia infusion up to 1 hr,,,22 ,,RBRVS,0.17 ,4.50 ,4.50 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,96423,CPT,Chemo ia infuse each addl hr,,,22 ,,RBRVS,0.17 ,1.99 ,1.99 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,96425,CPT,"Chemotherapy,infusion method",,,22 ,,RBRVS,0.17 ,4.67 ,4.67 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,96440,CPT,"Chemotherapy, intracavitary",,,22 ,,RBRVS,2.37 ,0.98 ,5.56 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,96445,CPT,"Chemotherapy, intracavitary",,,22 ,,RBRVS,2.20 ,0.96 ,5.42 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,96450,CPT,"Chemotherapy, into cns",,,22 ,,RBRVS,1.53 ,0.83 ,4.99 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,96521,CPT,"Refill/maint, portable pump",,,22 ,,RBRVS,0.21 ,3.16 ,3.16 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,96522,CPT,Refill/maint pump/resvr syst,,,22 ,,RBRVS,0.21 ,2.78 ,2.78 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,96523,CPT,Irrig drug delivery device,,,22 ,,RBRVS,0.04 ,0.64 ,0.64 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,96542,CPT,Chemotherapy injection,,,22 ,,RBRVS,0.75 ,0.32 ,3.56 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,96549,CPT,"Chemotherapy, unspecified",,,22 ,,TotalUnits,,,,2.56 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,96567,CPT,"Photodynamic tx, skin",,,14 ,,RBRVS,0.00 ,3.74 ,3.74 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,96570,CPT,"Photodynamic tx, 30 min",,,14 ,,RBRVS,1.10 ,0.40 ,0.40 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,96571,CPT,"Photodynamic tx, addl 15 min",,,14 ,,RBRVS,0.55 ,0.19 ,0.19 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,96900,CPT,Ultraviolet light therapy,,,14 ,,RBRVS,0.00 ,0.57 ,0.57 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,96902,CPT,Trichogram,,,14 ,,RBRVS,0.41 ,0.09 ,0.11 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,96904,CPT,Whole body photography,,,14 ,,RBRVS,0.00 ,1.90 ,1.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,96910,CPT,Photochemotherapy with uv-b,,,14 ,,RBRVS,0.00 ,2.01 ,2.01 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,96912,CPT,Photochemotherapy with uv-a,,,14 ,,RBRVS,0.00 ,2.58 ,2.58 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,96913,CPT,"Photochemotherapy, uv-a or b",,,14 ,,RBRVS,0.00 ,3.47 ,3.47 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,96920,CPT,"Laser tx, skin < 250 sq cm",,,14 ,,RBRVS,1.15 ,0.56 ,3.58 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,96921,CPT,"Laser tx, skin 250-500 sq cm",,,14 ,,RBRVS,1.17 ,0.51 ,3.33 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,96922,CPT,"Laser tx, skin > 500 sq cm",,,14 ,,RBRVS,2.10 ,1.04 ,4.64 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,96999,CPT,Dermatological procedure,,,14 ,,TotalUnits,,,,1.18 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,97001,CPT,Pt evaluation,,,19 ,,RBRVS,1.20 ,0.65 ,0.65 ,,,$0.00,$0.00,1,1,1,0,0,1,20091001,,97002,CPT,Pt re-evaluation,,,19 ,,RBRVS,0.60 ,0.41 ,0.41 ,,,$0.00,$0.00,1,1,1,0,0,1,20091001,,97003,CPT,Ot evaluation,,,19 ,,RBRVS,1.20 ,0.76 ,0.76 ,,,$0.00,$0.00,1,1,1,0,0,1,20091001,,97004,CPT,Ot re-evaluation,,,19 ,,RBRVS,0.60 ,0.54 ,0.54 ,,,$0.00,$0.00,1,1,1,0,0,1,20091001,,97005,CPT,Athletic train eval,,,19 ,,TotalUnits,,,,1.41 ,,$0.00,$0.00,1,1,1,0,0,1,20091001,,97006,CPT,Athletic train reeval,,,19 ,,TotalUnits,,,,0.64 ,,$0.00,$0.00,1,1,1,0,0,1,20091001,,97010,CPT,Hot or cold packs therapy,,,19 ,,RBRVS,0.06 ,0.07 ,0.07 ,,,$0.00,$0.00,1,1,1,0,0,1,20091001,,97012,CPT,Mechanical traction therapy,,,19 ,,RBRVS,0.25 ,0.14 ,0.14 ,,,$0.00,$0.00,1,1,1,0,0,1,20091001,,97014,CPT,Electric stimulation therapy,,,19 ,,RBRVS,0.18 ,0.18 ,0.18 ,,,$0.00,$0.00,1,1,1,0,0,1,20091001,,97016,CPT,Vasopneumatic device therapy,,,19 ,,RBRVS,0.18 ,0.24 ,0.24 ,,,$0.00,$0.00,1,1,1,0,0,1,20091001,,97018,CPT,Paraffin bath therapy,,,19 ,,RBRVS,0.06 ,0.17 ,0.17 ,,,$0.00,$0.00,1,1,1,0,0,1,20091001,,97022,CPT,Whirlpool therapy,,,19 ,,RBRVS,0.17 ,0.33 ,0.33 ,,,$0.00,$0.00,1,1,1,0,0,1,20091001,,97024,CPT,"Diathermy eg, microwave",,,19 ,,RBRVS,0.06 ,0.08 ,0.08 ,,,$0.00,$0.00,1,1,1,0,0,1,20091001,,97026,CPT,Infrared therapy,,,19 ,,RBRVS,0.06 ,0.07 ,0.07 ,,,$0.00,$0.00,1,1,1,0,0,1,20091001,,97028,CPT,Ultraviolet therapy,,,19 ,,RBRVS,0.08 ,0.08 ,0.08 ,,,$0.00,$0.00,1,1,1,0,0,1,20091001,,97032,CPT,Electrical stimulation,,,19 ,,RBRVS,0.25 ,0.20 ,0.20 ,,,$0.00,$0.00,1,1,1,0,0,1,20091001,,97033,CPT,Electric current therapy,,,19 ,,RBRVS,0.26 ,0.44 ,0.44 ,,,$0.00,$0.00,1,1,1,0,0,1,20091001,,97034,CPT,Contrast bath therapy,,,19 ,,RBRVS,0.21 ,0.20 ,0.20 ,,,$0.00,$0.00,1,1,1,0,0,1,20091001,,97035,CPT,Ultrasound therapy,,,19 ,,RBRVS,0.21 ,0.10 ,0.10 ,,,$0.00,$0.00,1,1,1,0,0,1,20091001,,97036,CPT,Hydrotherapy,,,19 ,,RBRVS,0.28 ,0.44 ,0.44 ,,,$0.00,$0.00,1,1,1,0,0,1,20091001,,97039,CPT,Physical therapy treatment,,,19 ,,TotalUnits,,,,0.36 ,,$0.00,$0.00,1,1,1,0,0,1,20091001,,97110,CPT,Therapeutic exercises,,,19 ,,RBRVS,0.45 ,0.32 ,0.32 ,,,$0.00,$0.00,1,1,1,0,0,1,20091001,,97112,CPT,Neuromuscular reeducation,,,19 ,,RBRVS,0.45 ,0.34 ,0.34 ,,,$0.00,$0.00,1,1,1,0,0,1,20091001,,97113,CPT,Aquatic therapy/exercises,,,19 ,,RBRVS,0.44 ,0.53 ,0.53 ,,,$0.00,$0.00,1,1,1,0,0,1,20091001,,97116,CPT,Gait training therapy,,,19 ,,RBRVS,0.40 ,0.27 ,0.27 ,,,$0.00,$0.00,1,1,1,0,0,1,20091001,,97124,CPT,Massage therapy,,,19 ,,RBRVS,0.35 ,0.27 ,0.27 ,,,$0.00,$0.00,1,1,1,0,0,1,20091001,,97139,CPT,Physical medicine procedure,,,19 ,,TotalUnits,,,,0.41 ,,$0.00,$0.00,1,1,1,0,0,1,20091001,,97140,CPT,Manual therapy,,,19 ,,RBRVS,0.43 ,0.29 ,0.29 ,,,$0.00,$0.00,1,1,1,0,0,1,20091001,,97150,CPT,Group therapeutic procedures,,,19 ,,RBRVS,0.27 ,0.22 ,0.22 ,,,$0.00,$0.00,1,1,1,0,0,1,20091001,,97530,CPT,Therapeutic activities,,,19 ,,RBRVS,0.44 ,0.38 ,0.38 ,,,$0.00,$0.00,1,1,1,0,0,1,20091001,,97532,CPT,Cognitive skills development,,,19 ,,RBRVS,0.44 ,0.22 ,0.22 ,,,$0.00,$0.00,1,1,1,0,0,1,20091001,,97533,CPT,Sensory integration,,,19 ,,RBRVS,0.44 ,0.27 ,0.27 ,,,$0.00,$0.00,1,1,1,0,0,1,20091001,,97535,CPT,Self care mngment training,,,19 ,,RBRVS,0.45 ,0.37 ,0.37 ,,,$0.00,$0.00,1,1,1,0,0,1,20091001,,97537,CPT,Community/work reintegration,,,19 ,,RBRVS,0.45 ,0.28 ,0.28 ,,,$0.00,$0.00,1,1,1,0,0,1,20091001,,97542,CPT,Wheelchair mngment training,,,19 ,,RBRVS,0.45 ,0.29 ,0.29 ,,,$0.00,$0.00,1,1,1,0,0,1,20091001,,97545,CPT,Work hardening,,,19 ,,TotalUnits,,,,2.81 ,,$0.00,$0.00,1,1,1,0,0,1,20091001,,97546,CPT,Work hardening add-on,,,19 ,,TotalUnits,,,,1.12 ,,$0.00,$0.00,1,1,1,0,0,1,20091001,,97597,CPT,Active wound care/20 cm or <,,,19 ,,RBRVS,0.58 ,0.12 ,1.10 ,,,$0.00,$0.00,1,1,1,0,0,1,20091001,,97598,CPT,Active wound care > 20 cm,,,19 ,,RBRVS,0.80 ,0.17 ,1.27 ,,,$0.00,$0.00,1,1,1,0,0,1,20091001,,97602,CPT,Wound(s) care non-selective,,,19 ,,TotalUnits,,,,1.37 ,,$0.00,$0.00,1,1,1,0,0,1,20091001,,97605,CPT,"Neg press wound tx, < 50 cm",,,19 ,,RBRVS,0.55 ,0.11 ,0.40 ,,,$0.00,$0.00,1,1,1,0,0,1,20091001,,97606,CPT,"Neg press wound tx, > 50 cm",,,19 ,,RBRVS,0.60 ,0.13 ,0.41 ,,,$0.00,$0.00,1,1,1,0,0,1,20091001,,97750,CPT,Physical performance test,,,19 ,,RBRVS,0.45 ,0.33 ,0.33 ,,,$0.00,$0.00,1,1,1,0,0,1,20091001,,97755,CPT,Assistive technology assess,,,19 ,,RBRVS,0.62 ,0.27 ,0.27 ,,,$0.00,$0.00,1,1,1,0,0,1,20091001,,97760,CPT,Orthotic mgmt and training,,,19 ,,RBRVS,0.45 ,0.42 ,0.42 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,97761,CPT,Prosthetic training,,,19 ,,RBRVS,0.45 ,0.33 ,0.33 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,97762,CPT,C/o for orthotic/prosth use,,,19 ,,RBRVS,0.25 ,0.73 ,0.73 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,97799,CPT,Physical medicine procedure,,,19 ,,TotalUnits,,,,1.70 ,,$0.00,$0.00,1,1,1,0,0,1,20091001,,97802,CPT,"Medical nutrition, indiv, in",,,14 ,,RBRVS,0.45 ,0.11 ,0.14 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,97803,CPT,"Med nutrition, indiv, subseq",,,14 ,,RBRVS,0.37 ,0.09 ,0.12 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,97804,CPT,"Medical nutrition, group",,,14 ,,RBRVS,0.25 ,0.07 ,0.08 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,97810,CPT,Acupunct w/o stimul 15 min,,,19 ,,RBRVS,0.60 ,0.14 ,0.26 ,,,$0.00,$0.00,1,1,1,1,1,1,20091001,,97811,CPT,Acupunct w/o stimul addl 15m,,,19 ,,RBRVS,0.50 ,0.11 ,0.15 ,,,$0.00,$0.00,1,1,1,1,1,1,20091001,,97813,CPT,Acupunct w/stimul 15 min,,,19 ,,RBRVS,0.65 ,0.15 ,0.27 ,,,$0.00,$0.00,1,1,1,1,1,1,20091001,,97814,CPT,Acupunct w/stimul addl 15m,,,19 ,,RBRVS,0.55 ,0.13 ,0.19 ,,,$0.00,$0.00,1,1,1,1,1,1,20091001,,98925,CPT,Osteopathic manipulation,,,19 ,,RBRVS,0.45 ,0.12 ,0.29 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,98926,CPT,Osteopathic manipulation,,,19 ,,RBRVS,0.65 ,0.17 ,0.37 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,98927,CPT,Osteopathic manipulation,,,19 ,,RBRVS,0.87 ,0.22 ,0.45 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,98928,CPT,Osteopathic manipulation,,,19 ,,RBRVS,1.03 ,0.26 ,0.51 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,98929,CPT,Osteopathic manipulation,,,19 ,,RBRVS,1.19 ,0.30 ,0.57 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,98940,CPT,Chiropractic manipulation,,,5 ,,RBRVS,0.45 ,0.12 ,0.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,98941,CPT,Chiropractic manipulation,,,5 ,,RBRVS,0.65 ,0.17 ,0.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,98942,CPT,Chiropractic manipulation,,,5 ,,RBRVS,0.87 ,0.24 ,0.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,98943,CPT,Chiropractic manipulation,,,5 ,,RBRVS,0.40 ,0.09 ,0.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,98960,CPT,"Self-mgmt educ & train, 1 pt",,,14 ,,RBRVS,0.00 ,0.58 ,0.58 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,98961,CPT,"Self-mgmt educ/train, 2-4 pt",,,14 ,,RBRVS,0.00 ,0.28 ,0.28 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,98962,CPT,"Self-mgmt educ/train, 5-8 pt",,,14 ,,RBRVS,0.00 ,0.20 ,0.20 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,98966,CPT,Hc pro phone call 5-10 min,,,15 ,,RBRVS,0.25 ,0.06 ,0.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,98967,CPT,Hc pro phone call 11-20 min,,,15 ,,RBRVS,0.50 ,0.11 ,0.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,98968,CPT,Hc pro phone call 21-30 min,,,15 ,,RBRVS,0.75 ,0.17 ,0.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,99000,CPT,Specimen handling,,,14 ,,TotalUnits,,,,0.17 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,99001,CPT,Specimen handling,,,14 ,,TotalUnits,,,,0.25 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,99002,CPT,Device handling,,,14 ,,TotalUnits,,,,0.20 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,99024,CPT,Postop follow-up visit,,,15 ,,TotalUnits,,,,0.84 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,99026,CPT,In-hospital on call service,,,10 ,,TotalUnits,,,,0.69 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,99027,CPT,Out-of-hosp on call service,,,15 ,,TotalUnits,,,,1.59 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,99050,CPT,Medical services after hrs,,,15 ,,TotalUnits,,,,0.76 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,99051,CPT,"Med serv, eve/wkend/holiday",,,15 ,,TotalUnits,,,,0.63 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,99053,CPT,"Med serv 10pm-8am, 24 hr fac",,,15 ,,TotalUnits,,,,0.79 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,99056,CPT,Med service out of office,,,15 ,,TotalUnits,,,,0.84 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,99058,CPT,Office emergency care,,,15 ,,TotalUnits,,,,0.93 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,99060,CPT,Out of office emerg med serv,,,14 ,,TotalUnits,,,,0.80 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,99071,CPT,Patient education materials,,,14 ,,TotalUnits,,,,0.16 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,99075,CPT,Medical testimony,,,14 ,,TotalUnits,,,,1.44 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,99078,CPT,Group health education,,,14 ,,TotalUnits,,,,1.44 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,99080,CPT,Special reports or forms,,,14 ,,TotalUnits,,,,0.56 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,99082,CPT,Unusual physician travel,,,14 ,,TotalUnits,,,,0.38 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,99090,CPT,Computer data analysis,,,14 ,,TotalUnits,,,,0.57 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,99091,CPT,Collect/review data from pt,,,14 ,,RBRVS,1.10 ,0.25 ,0.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,99100,CPT,Special anesthesia service,,,21 ,,TotalUnits,,,,0.49 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,99116,CPT,Anesthesia with hypothermia,,,21 ,,TotalUnits,,,,2.13 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,99135,CPT,Special anesthesia procedure,,,21 ,,TotalUnits,,,,2.29 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,99140,CPT,Emergency anesthesia,,,21 ,,TotalUnits,,,,0.90 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,99143,CPT,"Mod cs by same phys, < 5 yrs",,,14 ,,TotalUnits,,,,1.30 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,99144,CPT,"Mod cs by same phys, 5 yrs +",,,14 ,,TotalUnits,,,,1.75 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,99145,CPT,Mod cs by same phys add-on,,,14 ,,TotalUnits,,,,1.19 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,99148,CPT,Mod cs diff phys < 5 yrs,,,14 ,,TotalUnits,,,,1.43 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,99149,CPT,Mod cs diff phys 5 yrs +,,,14 ,,TotalUnits,,,,1.76 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,99150,CPT,Mod cs diff phys add-on,,,14 ,,TotalUnits,,,,0.60 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,99170,CPT,"Anogenital exam, child",,,14 ,,RBRVS,1.75 ,0.61 ,1.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,99172,CPT,Ocular function screen,,,23 ,,TotalUnits,,,,0.13 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,99173,CPT,Visual acuity screen,,,23 ,,RBRVS,0.00 ,0.06 ,0.06 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,99174,CPT,Ocular photoscreening,,,23 ,,TotalUnits,,,,0.47 ,,$0.00,$0.00,1,0,1,1,1,0,20091001,,99174,CPT,Ocular photoscreening,,,23 ,,TotalUnits,,,,0.47 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,99175,CPT,Induction of vomiting,,,14 ,,RBRVS,0.00 ,0.36 ,0.36 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,99183,CPT,Hyperbaric oxygen therapy,,,14 ,,RBRVS,2.34 ,0.57 ,2.60 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,99185,CPT,Regional hypothermia,,,14 ,,RBRVS,0.00 ,1.67 ,1.67 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,99186,CPT,Total body hypothermia,,,14 ,,RBRVS,0.00 ,1.63 ,1.63 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,99190,CPT,Special pump services,,,14 ,,TotalUnits,,,,13.28 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,99191,CPT,Special pump services,,,14 ,,TotalUnits,,,,7.74 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,99192,CPT,Special pump services,,,14 ,,TotalUnits,,,,5.53 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,99195,CPT,Phlebotomy,,,14 ,,RBRVS,0.00 ,2.56 ,2.56 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,99199,CPT,Special service/proc/report,,,14 ,,TotalUnits,,,,2.01 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,99201,CPT,"Office/outpatient visit, new",,,15 ,,RBRVS,0.45 ,0.16 ,0.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,99202,CPT,"Office/outpatient visit, new",,,15 ,,RBRVS,0.88 ,0.29 ,0.84 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,99203,CPT,"Office/outpatient visit, new",,,15 ,,RBRVS,1.34 ,0.43 ,1.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,99204,CPT,"Office/outpatient visit, new",,,15 ,,RBRVS,2.30 ,0.71 ,1.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,99205,CPT,"Office/outpatient visit, new",,,15 ,,RBRVS,3.00 ,0.91 ,1.79 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,99211,CPT,"Office/outpatient visit, est",,,15 ,,RBRVS,0.17 ,0.06 ,0.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,99212,CPT,"Office/outpatient visit, est",,,15 ,,RBRVS,0.45 ,0.15 ,0.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,99213,CPT,"Office/outpatient visit, est",,,15 ,,RBRVS,0.92 ,0.28 ,0.76 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,99214,CPT,"Office/outpatient visit, est",,,15 ,,RBRVS,1.42 ,0.44 ,1.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,99215,CPT,"Office/outpatient visit, est",,,15 ,,RBRVS,2.00 ,0.61 ,1.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,99217,CPT,Observation care discharge,,,7 ,,RBRVS,1.28 ,0.50 ,0.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,99218,CPT,Observation care,,,7 ,,RBRVS,1.28 ,0.38 ,0.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,99219,CPT,Observation care,,,7 ,,RBRVS,2.14 ,0.59 ,0.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,99220,CPT,Observation care,,,7 ,,RBRVS,2.99 ,0.84 ,0.84 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,99221,CPT,Initial hospital care,,,10 ,,RBRVS,1.88 ,0.54 ,0.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,99222,CPT,Initial hospital care,,,10 ,,RBRVS,2.56 ,0.71 ,0.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,99223,CPT,Initial hospital care,,,10 ,,RBRVS,3.78 ,1.07 ,1.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,99231,CPT,Subsequent hospital care,,,10 ,,RBRVS,0.76 ,0.24 ,0.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,99232,CPT,Subsequent hospital care,,,10 ,,RBRVS,1.39 ,0.42 ,0.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,99233,CPT,Subsequent hospital care,,,10 ,,RBRVS,2.00 ,0.59 ,0.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,99234,CPT,Observ/hosp same date,,,10 ,,RBRVS,2.56 ,0.78 ,0.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,99235,CPT,Observ/hosp same date,,,10 ,,RBRVS,3.41 ,0.98 ,0.98 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,99236,CPT,Observ/hosp same date,,,10 ,,RBRVS,4.26 ,1.21 ,1.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,99238,CPT,Hospital discharge day,,,10 ,,RBRVS,1.28 ,0.49 ,0.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,99239,CPT,Hospital discharge day,,,10 ,,RBRVS,1.90 ,0.67 ,0.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,99241,CPT,Office consultation,,,6 ,,RBRVS,0.64 ,0.22 ,0.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,99242,CPT,Office consultation,,,6 ,,RBRVS,1.34 ,0.48 ,1.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,99243,CPT,Office consultation,,,6 ,,RBRVS,1.88 ,0.67 ,1.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,99244,CPT,Office consultation,,,6 ,,RBRVS,3.02 ,1.08 ,1.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,99245,CPT,Office consultation,,,6 ,,RBRVS,3.77 ,1.31 ,2.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,99251,CPT,Inpatient consultation,,,6 ,,RBRVS,1.00 ,0.31 ,0.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,99252,CPT,Inpatient consultation,,,6 ,,RBRVS,1.50 ,0.49 ,0.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,99253,CPT,Inpatient consultation,,,6 ,,RBRVS,2.27 ,0.80 ,0.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,99254,CPT,Inpatient consultation,,,6 ,,RBRVS,3.29 ,1.19 ,1.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,99255,CPT,Inpatient consultation,,,6 ,,RBRVS,4.00 ,1.39 ,1.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,99281,CPT,Emergency dept visit,,,7 ,,RBRVS,0.45 ,0.09 ,0.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,99282,CPT,Emergency dept visit,,,7 ,,RBRVS,0.88 ,0.17 ,0.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,99283,CPT,Emergency dept visit,,,7 ,,RBRVS,1.34 ,0.25 ,0.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,99284,CPT,Emergency dept visit,,,7 ,,RBRVS,2.56 ,0.46 ,0.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,99285,CPT,Emergency dept visit,,,7 ,,RBRVS,3.80 ,0.67 ,0.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,99288,CPT,Direct advanced life support,,,7 ,,TotalUnits,,,,1.33 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,99291,CPT,"Critical care, first hour",,,10 ,,RBRVS,4.50 ,1.10 ,2.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,99292,CPT,"Critical care, add'l 30 min",,,10 ,,RBRVS,2.25 ,0.56 ,0.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,99304,CPT,"Nursing facility care, init",,,15 ,,RBRVS,1.61 ,0.57 ,0.57 ,,,$0.00,$0.00,1,0,1,0,1,1,20091001,,99305,CPT,"Nursing facility care, init",,,15 ,,RBRVS,2.30 ,0.74 ,0.74 ,,,$0.00,$0.00,1,0,1,0,1,1,20091001,,99306,CPT,"Nursing facility care, init",,,15 ,,RBRVS,3.00 ,0.91 ,0.91 ,,,$0.00,$0.00,1,0,1,0,1,1,20091001,,99307,CPT,"Nursing fac care, subseq",,,15 ,,RBRVS,0.76 ,0.31 ,0.31 ,,,$0.00,$0.00,1,0,1,0,1,1,20091001,,99308,CPT,"Nursing fac care, subseq",,,15 ,,RBRVS,1.16 ,0.47 ,0.47 ,,,$0.00,$0.00,1,0,1,0,1,1,20091001,,99309,CPT,"Nursing fac care, subseq",,,15 ,,RBRVS,1.55 ,0.61 ,0.61 ,,,$0.00,$0.00,1,0,1,0,1,1,20091001,,99310,CPT,"Nursing fac care, subseq",,,15 ,,RBRVS,2.35 ,0.87 ,0.87 ,,,$0.00,$0.00,1,0,1,0,1,1,20091001,,99315,CPT,Nursing fac discharge day,,,10 ,,RBRVS,1.13 ,0.41 ,0.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,99316,CPT,Nursing fac discharge day,,,10 ,,RBRVS,1.50 ,0.51 ,0.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,99318,CPT,Annual nursing fac assessmnt,,,15 ,,RBRVS,1.71 ,0.56 ,0.56 ,,,$0.00,$0.00,1,0,1,0,1,1,20091001,,99324,CPT,Domicil/r-home visit new pat,,,15 ,,RBRVS,1.01 ,0.43 ,0.43 ,,,$0.00,$0.00,1,0,1,0,1,1,20091001,,99325,CPT,Domicil/r-home visit new pat,,,15 ,,RBRVS,1.52 ,0.55 ,0.55 ,,,$0.00,$0.00,1,0,1,0,1,1,20091001,,99326,CPT,Domicil/r-home visit new pat,,,15 ,,RBRVS,2.63 ,0.82 ,0.82 ,,,$0.00,$0.00,1,0,1,0,1,1,20091001,,99327,CPT,Domicil/r-home visit new pat,,,15 ,,RBRVS,3.46 ,1.02 ,1.02 ,,,$0.00,$0.00,1,0,1,0,1,1,20091001,,99328,CPT,Domicil/r-home visit new pat,,,15 ,,RBRVS,4.09 ,1.16 ,1.16 ,,,$0.00,$0.00,1,0,1,0,1,1,20091001,,99334,CPT,Domicil/r-home visit est pat,,,15 ,,RBRVS,1.07 ,0.43 ,0.43 ,,,$0.00,$0.00,1,0,1,0,1,1,20091001,,99335,CPT,Domicil/r-home visit est pat,,,15 ,,RBRVS,1.72 ,0.59 ,0.59 ,,,$0.00,$0.00,1,0,1,0,1,1,20091001,,99336,CPT,Domicil/r-home visit est pat,,,15 ,,RBRVS,2.46 ,0.77 ,0.77 ,,,$0.00,$0.00,1,0,1,0,1,1,20091001,,99337,CPT,Domicil/r-home visit est pat,,,15 ,,RBRVS,3.58 ,1.03 ,1.03 ,,,$0.00,$0.00,1,0,1,0,1,1,20091001,,99339,CPT,Domicil/r-home care supervis,,,15 ,,RBRVS,1.25 ,0.58 ,0.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,99340,CPT,Domicil/r-home care supervis,,,15 ,,RBRVS,1.80 ,0.77 ,0.77 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,99341,CPT,"Home visit, new patient",,,15 ,,RBRVS,1.01 ,0.43 ,0.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,99342,CPT,"Home visit, new patient",,,15 ,,RBRVS,1.52 ,0.56 ,0.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,99343,CPT,"Home visit, new patient",,,15 ,,RBRVS,2.53 ,0.82 ,0.82 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,99344,CPT,"Home visit, new patient",,,15 ,,RBRVS,3.38 ,1.00 ,1.00 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,99345,CPT,"Home visit, new patient",,,15 ,,RBRVS,4.09 ,1.15 ,1.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,99347,CPT,"Home visit, est patient",,,15 ,,RBRVS,1.00 ,0.42 ,0.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,99348,CPT,"Home visit, est patient",,,15 ,,RBRVS,1.56 ,0.56 ,0.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,99349,CPT,"Home visit, est patient",,,15 ,,RBRVS,2.33 ,0.73 ,0.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,99350,CPT,"Home visit, est patient",,,15 ,,RBRVS,3.28 ,0.96 ,0.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,99354,CPT,"Prolonged service, office",,,15 ,,RBRVS,1.77 ,0.50 ,0.65 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,99355,CPT,"Prolonged service, office",,,15 ,,RBRVS,1.77 ,0.47 ,0.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,99356,CPT,"Prolonged service, inpatient",,,10 ,,RBRVS,1.71 ,0.50 ,0.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,99357,CPT,"Prolonged service, inpatient",,,10 ,,RBRVS,1.71 ,0.50 ,0.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,99358,CPT,"Prolonged serv, w/o contact",,,15 ,,RBRVS,2.10 ,0.51 ,0.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,99359,CPT,"Prolonged serv, w/o contact",,,15 ,,RBRVS,1.00 ,0.26 ,0.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,99360,CPT,Physician standby services,,,14 ,,RBRVS,1.20 ,0.28 ,0.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,99363,CPT,"Anticoag mgmt, init",,,15 ,,RBRVS,1.65 ,0.38 ,1.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,99364,CPT,"Anticoag mgmt, subseq",,,15 ,,RBRVS,0.63 ,0.14 ,0.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,99366,CPT,Team conf w/pat by hc pro,,,15 ,,RBRVS,0.82 ,0.19 ,0.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,99367,CPT,Team conf w/o pat by phys,,,15 ,,RBRVS,1.10 ,0.25 ,0.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,99368,CPT,Team conf w/o pat by hc pro,,,15 ,,RBRVS,0.72 ,0.16 ,0.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,99374,CPT,Home health care supervision,,,15 ,,RBRVS,1.10 ,0.25 ,0.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,99375,CPT,Home health care supervision,,,15 ,,RBRVS,1.73 ,0.40 ,0.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,99377,CPT,Hospice care supervision,,,15 ,,RBRVS,1.10 ,0.25 ,0.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,99378,CPT,Hospice care supervision,,,15 ,,RBRVS,1.73 ,0.40 ,0.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,99379,CPT,Nursing fac care supervision,,,15 ,,RBRVS,1.10 ,0.25 ,0.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,99380,CPT,Nursing fac care supervision,,,15 ,,RBRVS,1.73 ,0.40 ,0.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,99381,CPT,"Init pm e/m, new pat, inf",,,24 ,,RBRVS,1.19 ,0.27 ,1.00 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,99382,CPT,"Init pm e/m, new pat 1-4 yrs",,,18 ,,RBRVS,1.36 ,0.31 ,1.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,99383,CPT,"Prev visit, new, age 5-11",,,18 ,,RBRVS,1.36 ,0.31 ,1.03 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,99384,CPT,"Prev visit, new, age 12-17",,,18 ,,RBRVS,1.53 ,0.35 ,1.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,99385,CPT,"Prev visit, new, age 18-39",,,18 ,,RBRVS,1.53 ,0.35 ,1.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,99386,CPT,"Prev visit, new, age 40-64",,,18 ,,RBRVS,1.88 ,0.43 ,1.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,99387,CPT,"Init pm e/m, new pat 65+ yrs",,,18 ,,RBRVS,2.06 ,0.47 ,1.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,99391,CPT,"Per pm reeval, est pat, inf",,,24 ,,RBRVS,1.02 ,0.24 ,0.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,99392,CPT,"Prev visit, est, age 1-4",,,18 ,,RBRVS,1.19 ,0.27 ,0.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,99393,CPT,"Prev visit, est, age 5-11",,,18 ,,RBRVS,1.19 ,0.27 ,0.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,99394,CPT,"Prev visit, est, age 12-17",,,18 ,,RBRVS,1.36 ,0.31 ,0.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,99395,CPT,"Prev visit, est, age 18-39",,,18 ,,RBRVS,1.36 ,0.31 ,0.94 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,99396,CPT,"Prev visit, est, age 40-64",,,18 ,,RBRVS,1.53 ,0.35 ,0.98 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,99397,CPT,Per pm reeval est pat 65+ yr,,,18 ,,RBRVS,1.71 ,0.39 ,1.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,99401,CPT,"Preventive counseling, indiv",,,18 ,,RBRVS,0.48 ,0.11 ,0.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,99402,CPT,"Preventive counseling, indiv",,,18 ,,RBRVS,0.98 ,0.22 ,0.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,99403,CPT,"Preventive counseling, indiv",,,18 ,,RBRVS,1.46 ,0.34 ,0.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,99404,CPT,"Preventive counseling, indiv",,,18 ,,RBRVS,1.95 ,0.45 ,0.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,99406,CPT,Behav chng smoking 3-10 min,,,15 ,,RBRVS,0.24 ,0.07 ,0.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,99407,CPT,Behav chng smoking > 10 min,,,15 ,,RBRVS,0.50 ,0.13 ,0.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,99408,CPT,"Audit/dast, 15-30 min",,,16 ,,RBRVS,0.65 ,0.15 ,0.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,99409,CPT,"Audit/dast, over 30 min",,,16 ,,RBRVS,1.30 ,0.30 ,0.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,99411,CPT,"Preventive counseling, group",,,18 ,,RBRVS,0.15 ,0.03 ,0.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,99412,CPT,"Preventive counseling, group",,,18 ,,RBRVS,0.25 ,0.06 ,0.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,99420,CPT,Health risk assessment test,,,18 ,,RBRVS,0.00 ,0.22 ,0.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,99429,CPT,Unlisted preventive service,,,18 ,,TotalUnits,,,,0.60 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,99441,CPT,Phone e/m by phys 5-10 min,,,15 ,,RBRVS,0.25 ,0.06 ,0.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,99442,CPT,Phone e/m by phys 11-20 min,,,15 ,,RBRVS,0.50 ,0.11 ,0.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,99443,CPT,Phone e/m by phys 21-30 min,,,15 ,,RBRVS,0.75 ,0.17 ,0.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,99450,CPT,Basic life disability exam,,,15 ,,TotalUnits,,,,1.48 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,99455,CPT,Work related disability exam,,,15 ,,TotalUnits,,,,1.28 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,99456,CPT,Disability examination,,,15 ,,TotalUnits,,,,4.11 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,99460,CPT,"Init nb em per day, hosp",,,10 ,,RBRVS,1.17 ,0.33 ,0.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,99461,CPT,"Init nb em per day, non-fac",,,10 ,,RBRVS,1.26 ,0.42 ,1.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,99462,CPT,"Sbsq nb em per day, hosp",,,10 ,,RBRVS,0.62 ,0.19 ,0.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,99463,CPT,Same day nb discharge,,,10 ,,RBRVS,1.50 ,0.50 ,0.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,99464,CPT,Attendance at delivery,,,10 ,,RBRVS,1.50 ,0.37 ,0.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,99465,CPT,Nb resuscitation,,,10 ,,RBRVS,2.93 ,0.98 ,0.98 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,99466,CPT,Ped crit care transport,,,10 ,,RBRVS,4.79 ,1.38 ,1.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,99467,CPT,Ped crit care transport addl,,,10 ,,RBRVS,2.40 ,0.65 ,0.65 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,99468,CPT,"Neonate crit care, initial",,,10 ,,RBRVS,18.46 ,4.22 ,4.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,99469,CPT,"Neonate crit care, subsq",,,10 ,,RBRVS,7.99 ,2.09 ,2.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,99471,CPT,"Ped critical care, initial",,,10 ,,RBRVS,15.98 ,4.36 ,4.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,99472,CPT,"Ped critical care, subsq",,,10 ,,RBRVS,7.99 ,2.14 ,2.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,99475,CPT,"Ped crit care age 2-5, init",,,10 ,,RBRVS,11.25 ,2.83 ,2.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,99476,CPT,"Ped crit care age 2-5, subsq",,,10 ,,RBRVS,6.75 ,1.70 ,1.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,99477,CPT,Init day hosp neonate care,,,10 ,,RBRVS,7.00 ,1.98 ,1.98 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,99478,CPT,"Ic, lbw inf < 1500 gm subsq",,,10 ,,RBRVS,2.75 ,0.90 ,0.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,99479,CPT,Ic lbw inf 1500-2500 g subsq,,,10 ,,RBRVS,2.50 ,0.66 ,0.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,99480,CPT,Ic inf pbw 2501-5000 g subsq,,,10 ,,RBRVS,2.40 ,0.64 ,0.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,99499,CPT,Unlisted e&m service,,,15 ,,TotalUnits,,,,2.53 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,99500,CPT,"Home visit, prenatal",,,15 ,,TotalUnits,,,,2.21 ,,$0.00,$0.00,1,1,1,1,1,1,20091001,,99501,CPT,"Home visit, postnatal",,,15 ,,TotalUnits,,,,2.52 ,,$0.00,$0.00,1,1,1,1,1,1,20091001,,99502,CPT,"Home visit, nb care",,,15 ,,TotalUnits,,,,3.68 ,,$0.00,$0.00,1,1,1,1,1,1,20091001,,99503,CPT,"Home visit, resp therapy",,,15 ,,TotalUnits,,,,0.85 ,,$0.00,$0.00,1,1,1,1,1,1,20091001,,99504,CPT,Home visit mech ventilator,,,15 ,,TotalUnits,,,,0.38 ,,$0.00,$0.00,1,1,1,1,1,1,20091001,,99505,CPT,"Home visit, stoma care",,,15 ,,TotalUnits,,,,1.51 ,,$0.00,$0.00,1,1,1,1,1,1,20091001,,99506,CPT,"Home visit, im injection",,,15 ,,TotalUnits,,,,0.29 ,,$0.00,$0.00,1,1,1,1,1,1,20091001,,99507,CPT,"Home visit, cath maintain",,,15 ,,TotalUnits,,,,1.07 ,,$0.00,$0.00,1,1,1,1,1,1,20091001,,99509,CPT,Home visit day life activity,,,15 ,,TotalUnits,,,,1.41 ,,$0.00,$0.00,1,1,1,1,1,1,20091001,,99510,CPT,"Home visit, sing/m/fam couns",,,15 ,,TotalUnits,,,,0.94 ,,$0.00,$0.00,1,0,1,0,0,1,20091001,,99511,CPT,"Home visit, fecal/enema mgmt",,,15 ,,TotalUnits,,,,0.61 ,,$0.00,$0.00,1,1,1,1,1,1,20091001,,99512,CPT,Home visit for hemodialysis,,,15 ,,TotalUnits,,,,5.35 ,,$0.00,$0.00,1,1,1,1,1,1,20091001,,99600,CPT,Home visit nos,,,15 ,,TotalUnits,,,,1.48 ,,$0.00,$0.00,1,1,1,1,1,1,20091001,,99601,CPT,"Home infusion/visit, 2 hrs",,,15 ,,TotalUnits,,,,1.68 ,,$0.00,$0.00,1,1,1,1,1,1,20091001,,99602,CPT,"Home infusion, each addtl hr",,,15 ,,TotalUnits,,,,1.68 ,,$0.00,$0.00,1,0,1,0,0,1,20091001,,0017T,CPT,Photocoagulat macular drusen,,,21 ,,RBRVS,6.00 ,4.65 ,5.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,0019T,CPT,"Extracorp shock wv tx,ms nos",,,21 ,,TotalUnits,,,,3.87 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,0030T,CPT,Antiprothrombin antibody,,,17 ,,TotalUnits,,,,1.41 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,0042T,CPT,"Ct perfusion w/contrast, cbf",,,20 ,,TotalUnits,,,,4.66 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,0048T,CPT,Implant ventricular device,,,21 ,,TotalUnits,,,,13.44 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,0064T,CPT,Spectroscop eval expired gas,,,14 ,,TotalUnits,,,,0.91 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,0066T,CPT,Ct colonography;screen,,,20 ,,TotalUnits,,,,5.79 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,0067T,CPT,Ct colonography;dx,,,20 ,,TotalUnits,,,,7.64 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,0068T,CPT,Interp/rept heart sound,,,4 ,,TotalUnits,,,,0.09 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,0070T,CPT,Interp only heart sound,,,4 ,,TotalUnits,,,,1.17 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,0073T,CPT,"Delivery, comp imrt", ,,20 ,,RBRVS,0.00 ,13.17 ,13.17 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,0075T,CPT,Perq stent/chest vert art,,,21 ,,TotalUnits,,,,14.77 ,,$0.00,$0.00,1,0,0,0,0,1,20091001,,0078T,CPT,Endovasc aort repr w/device,,,21 ,,TotalUnits,,,,26.80 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,0079T,CPT,Endovasc visc extnsn repr,,,21 ,,TotalUnits,,,,38.75 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,0080T,CPT,Endovasc aort repr rad s&i,,,21 ,,TotalUnits,,,,4.20 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,0081T,CPT,Endovasc visc extnsn s&i,,,21 ,,TotalUnits,,,,6.43 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,0092T,CPT,Artific disc addl,,,21 ,,RBRVS,4.04 ,1.52 ,1.52 ,,,$0.00,$0.00,1,0,0,1,1,1,20091001,,0095T,CPT,Artific diskectomy addl,,,21 ,,RBRVS,4.04 ,1.52 ,1.52 ,,,$0.00,$0.00,1,0,0,1,1,1,20091001,,0098T,CPT,Rev artific disc addl,,,21 ,,RBRVS,4.04 ,1.52 ,1.52 ,,,$0.00,$0.00,1,0,0,1,1,1,20091001,,0099T,CPT,Implant corneal ring,,,21 ,,TotalUnits,,,,5.14 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,0100T,CPT,Prosth retina receive&gen,,,21 ,,TotalUnits,,,,12.92 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,0101T,CPT,"Extracorp shockwv tx,hi enrg",,,21 ,,TotalUnits,,,,5.00 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,0102T,CPT,"Extracorp shockwv tx,anesth",,,21 ,,TotalUnits,,,,5.00 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,0103T,CPT,Holotranscobalamin,,,17 ,,TotalUnits,,,,0.69 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,0104T,CPT,At rest cardio gas rebreathe,,,14 ,,RBRVS,1.47 ,0.64 ,0.64 ,,,$0.00,$0.00,1,1,1,1,1,1,20091001,,0105T,CPT,Exerc cardio gas rebreathe,,,14 ,,TotalUnits,,,,1.18 ,,$0.00,$0.00,1,1,1,1,1,1,20091001,,0106T,CPT,Touch quant sensory test,,,14 ,,TotalUnits,,,,0.71 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,0107T,CPT,Vibrate quant sensory test,,,14 ,,TotalUnits,,,,2.14 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,0108T,CPT,Cool quant sensory test,,,14 ,,TotalUnits,,,,2.14 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,0109T,CPT,Heat quant sensory test,,,14 ,,TotalUnits,,,,0.05 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,0110T,CPT,Nos quant sensory test,,,14 ,,TotalUnits,,,,0.05 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,0111T,CPT,Rbc membranes fatty acids,,,17 ,,TotalUnits,,,,0.43 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,0126T,CPT,Chd risk imt study,,,14 ,,TotalUnits,,,,1.56 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,0140T,CPT,Exhaled breath condensate ph,,,17 ,,TotalUnits,,,,0.17 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,0147T,CPT,"Ccta w/wo, quan calcium",,,20 ,,TotalUnits,,,,3.69 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,0155T,CPT,Lap impl gast curve electrd,,,21 ,,TotalUnits,,,,22.57 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,0156T,CPT,Lap remv gast curve electrd,,,21 ,,TotalUnits,,,,22.57 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,0157T,CPT,Open impl gast curve electrd,,,21 ,,TotalUnits,,,,1.86 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,0158T,CPT,Open remv gast curve electrd,,,21 ,,TotalUnits,,,,1.86 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,0159T,CPT,Cad breast mri,,,20 ,,TotalUnits,,,,0.36 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,0160T,CPT,Tcranial magn stim tx plan,,,20 ,,TotalUnits,,,,0.27 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,0161T,CPT,Tcranial magn stim tx deliv,,,20 ,,TotalUnits,,,,0.27 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,0193T,CPT,Rf bladder neck microremodel,,,21 ,,NW,,,,,,"$1,985.21",$0.00,1,0,1,1,1,1,20091001,,0198T,CPT,Ocular blood flow measure,,,20 ,,NW,,,,,,$64.02,$0.00,1,0,1,1,1,1,20091001,,A4206,HCPCS,1 cc sterile syringe&needle,,,28 ,,NW,,,,,,$0.33,$0.00,1,1,1,0,0,1,20091001,,A4207,HCPCS,2 cc sterile syringe&needle,,,28 ,,NW,,,,,,$0.81,$0.00,1,1,1,0,0,1,20091001,,A4208,HCPCS,3 cc sterile syringe&needle,,,28 ,,NW,,,,,,$0.29,$0.00,1,1,1,0,0,1,20091001,,A4209,HCPCS,5+ cc sterile syringe&needle,,,28 ,,NW,,,,,,$0.56,$0.00,1,1,1,0,0,1,20091001,,A4210,HCPCS,Nonneedle injection device,,,28 ,,NW,,,,,,"$2,001.20",$0.00,1,1,1,0,0,1,20091001,,A4211,HCPCS,Supp for self-adm injections,,,28 ,,NW,,,,,,$347.84,$0.00,1,1,1,0,0,1,20091001,,A4212,HCPCS,Non coring needle or stylet,,,28 ,,NW,,,,,,$15.64,$0.00,1,1,1,0,0,1,20091001,,A4213,HCPCS,20+ cc syringe only,,,28 ,,NW,,,,,,$1.88,$0.00,1,1,1,0,0,1,20091001,,A4215,HCPCS,Sterile needle,,,28 ,,NW,,,,,,$27.43,$0.00,1,1,1,0,0,1,20091001,,A4216,HCPCS,"Sterile water/saline, 10 ml",,,28 ,,NW,,,,,,$46.79,$0.00,1,1,1,0,0,1,20091001,,A4217,HCPCS,"Sterile water/saline, 500 ml",,,28 ,,NW,,,,,,$56.75,$0.00,1,1,1,0,0,1,20091001,,A4218,HCPCS,Sterile saline or water,,,28 ,,NW,,,,,,$55.75,$0.00,1,1,1,0,1,1,20091001,,A4220,HCPCS,Infusion pump refill kit,,,28 ,,NW,,,,,,$225.62,$0.00,1,1,1,0,0,1,20091001,,A4221,HCPCS,Maint drug infus cath per wk,,,28 ,,NW,,,,,,$123.35,$0.00,1,1,1,0,0,1,20091001,,A4222,HCPCS,Infusion supplies with pump,,,28 ,,NW,,,,,,$272.54,$0.00,1,1,1,0,0,1,20091001,,A4223,HCPCS,Infusion supplies w/o pump,,,28 ,,NW,,,,,,$754.24,$0.00,1,1,1,0,1,1,20091001,,A4230,HCPCS,Infus insulin pump non needl,,,28 ,,NW,,,,,,$787.60,$0.00,1,1,1,0,0,1,20091001,,A4231,HCPCS,Infusion insulin pump needle,,,28 ,,NW,,,,,,$502.15,$0.00,1,1,1,0,0,1,20091001,,A4232,HCPCS,Syringe w/needle insulin 3cc,,,28 ,,NW,,,,,,$7.85,$0.00,1,1,1,0,0,1,20091001,,A4235,HCPCS,Lithium batt for glucose mon,,,28 ,,NW,,,,,,$9.70,$0.00,1,1,1,0,1,1,20091001,,A4244,HCPCS,Alcohol or peroxide per pint,,,28 ,,NW,,,,,,$1.73,$0.00,1,1,1,0,0,1,20091001,,A4245,HCPCS,Alcohol wipes per box,,,28 ,,NW,,,,,,$3.41,$0.00,1,1,1,0,0,1,20091001,,A4246,HCPCS,Betadine/phisohex solution,,,28 ,,NW,,,,,,$5.88,$0.00,1,1,1,0,0,1,20091001,,A4247,HCPCS,Betadine/iodine swabs/wipes,,,28 ,,NW,,,,,,$8.76,$0.00,1,1,1,0,0,1,20091001,,A4248,HCPCS,Chlorhexidine antisept,,,28 ,,NW,,,,,,$3.48,$0.00,1,1,1,0,1,1,20091001,,A4250,HCPCS,Urine reagent strips/tablets,,,28 ,,NW,,,,,,$31.38,$0.00,1,1,1,0,0,1,20091001,,A4253,HCPCS,Blood glucose/reagent strips,,,28 ,,NW,,,,,,$66.24,$0.00,1,1,1,0,0,1,20091001,,A4255,HCPCS,Glucose monitor platforms,,,28 ,,NW,,,,,,$8.22,$0.00,1,1,1,0,0,1,20091001,,A4256,HCPCS,Calibrator solution/chips,,,28 ,,NW,,,,,,$20.04,$0.00,1,1,1,0,0,1,20091001,,A4257,HCPCS,Replace lensshield cartridge,,,28 ,,NW,,,,,,$25.52,$0.00,1,1,1,0,0,1,20091001,,A4258,HCPCS,Lancet device each,,,28 ,,NW,,,,,,$31.61,$0.00,1,1,1,0,0,1,20091001,,A4259,HCPCS,Lancets per box,,,28 ,,NW,,,,,,$21.74,$0.00,1,1,1,0,0,1,20091001,,A4261,HCPCS,Cervical cap contraceptive,,,28 ,,NW,,,,,,$56.43,$0.00,1,1,1,0,0,1,20091001,,A4262,HCPCS,Temporary tear duct plug,,,28 ,,NW,,,,,,$1.18,$0.00,1,1,1,0,0,1,20091001,,A4263,HCPCS,Permanent tear duct plug,,,28 ,,NW,,,,,,$73.66,$0.00,1,1,1,0,0,1,20091001,,A4265,HCPCS,Paraffin,,,28 ,,NW,,,,,,$5.38,$0.00,1,1,1,0,0,1,20091001,,A4267,HCPCS,Male condom,,,28 ,,NW,,,,,,$0.58,$0.00,1,1,1,0,0,1,20091001,,A4269,HCPCS,Spermicide,,,28 ,,NW,,,,,,$2.35,$0.00,1,1,1,0,0,1,20091001,,A4270,HCPCS,Disposable endoscope sheath,,,28 ,,NW,,,,,,$40.14,$0.00,1,1,1,0,0,1,20091001,,A4280,HCPCS,Brst prsths adhsv attchmnt,,,28 ,,NW,,,,,,$8.93,$0.00,1,1,1,0,0,1,20091001,,A4284,HCPCS,Replcmnt breast pump shield,,,28 ,,NW,,,,,,$41.15,$0.00,1,1,1,0,0,1,20091001,,A4285,HCPCS,Replcmnt breast pump bottle,,,28 ,,NW,,,,,,$8.47,$0.00,1,1,1,0,0,1,20091001,,A4290,HCPCS,Sacral nerve stim test lead,,,28 ,,NW,,,,,,$258.29,$0.00,1,1,1,0,0,1,20091001,,A4300,HCPCS,Cath impl vasc access portal,,,28 ,,NW,,,,,,$9.42,$0.00,1,1,1,0,0,1,20091001,,A4301,HCPCS,Implantable access syst perc,,,28 ,,NW,,,,,,$90.58,$0.00,1,1,1,0,0,1,20091001,,A4305,HCPCS,Drug delivery system >=50 ml,,,28 ,,NW,,,,,,$26.93,$0.00,1,1,1,0,0,1,20091001,,A4306,HCPCS,Drug delivery system <=50 ml,,,28 ,,NW,,,,,,$34.82,$0.00,1,1,1,0,0,1,20091001,,A4310,HCPCS,Insert tray w/o bag/cath,,,28 ,,NW,,,,,,$12.29,$0.00,1,1,1,0,0,1,20091001,,A4311,HCPCS,Catheter w/o bag 2-way latex,,,28 ,,NW,,,,,,$23.73,$0.00,1,1,1,0,0,1,20091001,,A4312,HCPCS,Cath w/o bag 2-way silicone,,,28 ,,NW,,,,,,$29.35,$0.00,1,1,1,0,0,1,20091001,,A4313,HCPCS,Catheter w/bag 3-way,,,28 ,,NW,,,,,,$37.06,$0.00,1,1,1,0,0,1,20091001,,A4314,HCPCS,Cath w/drainage 2-way latex,,,28 ,,NW,,,,,,$39.31,$0.00,1,1,1,0,0,1,20091001,,A4315,HCPCS,Cath w/drainage 2-way silcne,,,28 ,,NW,,,,,,$44.41,$0.00,1,1,1,0,0,1,20091001,,A4316,HCPCS,Cath w/drainage 3-way,,,28 ,,NW,,,,,,$56.83,$0.00,1,1,1,0,0,1,20091001,,A4320,HCPCS,Irrigation tray,,,28 ,,NW,,,,,,$8.68,$0.00,1,1,1,0,0,1,20091001,,A4321,HCPCS,Cath therapeutic irrig agent,,,28 ,,NW,,,,,,$39.15,$0.00,1,1,1,0,0,1,20091001,,A4322,HCPCS,Irrigation syringe,,,28 ,,NW,,,,,,$4.98,$0.00,1,1,1,0,0,1,20091001,,A4326,HCPCS,Male external catheter,,,28 ,,NW,,,,,,$16.77,$0.00,1,1,1,0,0,1,20091001,,A4327,HCPCS,Fem urinary collect dev cup,,,28 ,,NW,,,,,,$89.30,$0.00,1,1,1,0,0,1,20091001,,A4328,HCPCS,Fem urinary collect pouch,,,28 ,,NW,,,,,,$20.91,$0.00,1,1,1,0,0,1,20091001,,A4330,HCPCS,Stool collection pouch,,,28 ,,NW,,,,,,$14.31,$0.00,1,1,1,0,0,1,20091001,,A4331,HCPCS,Extension drainage tubing,,,28 ,,NW,,,,,,$5.24,$0.00,1,1,1,0,0,1,20091001,,A4332,HCPCS,Lube sterile packet,,,28 ,,NW,,,,,,$0.20,$0.00,1,1,1,1,1,1,20091001,,A4333,HCPCS,Urinary cath anchor device,,,28 ,,NW,,,,,,$3.90,$0.00,1,1,1,0,0,1,20091001,,A4334,HCPCS,Urinary cath leg strap,,,28 ,,NW,,,,,,$8.18,$0.00,1,1,1,0,0,1,20091001,,A4335,HCPCS,Incontinence supply,,,28 ,,NW,,,,,,$100.36,$0.00,1,1,1,0,0,1,20091001,,A4338,HCPCS,Indwelling catheter latex,,,28 ,,NW,,,,,,$19.62,$0.00,1,1,1,0,0,1,20091001,,A4340,HCPCS,Indwelling catheter special,,,28 ,,NW,,,,,,$50.48,$0.00,1,1,1,0,0,1,20091001,,A4344,HCPCS,Cath indw foley 2 way silicn,,,28 ,,NW,,,,,,$26.82,$0.00,1,1,1,0,0,1,20091001,,A4346,HCPCS,Cath indw foley 3 way,,,28 ,,NW,,,,,,$30.08,$0.00,1,1,1,0,0,1,20091001,,A4349,HCPCS,Disposable male external cat,,,28 ,,NW,,,,,,$108.53,$0.00,1,1,1,0,1,1,20091001,,A4351,HCPCS,Straight tip urine catheter,,,28 ,,NW,,,,,,$3.05,$0.00,1,1,1,0,0,1,20091001,,A4352,HCPCS,Coude tip urinary catheter,,,28 ,,NW,,,,,,$11.13,$0.00,1,1,1,0,0,1,20091001,,A4353,HCPCS,Intermittent urinary cath,,,28 ,,NW,,,,,,$12.30,$0.00,1,1,1,0,0,1,20091001,,A4354,HCPCS,Cath insertion tray w/bag,,,28 ,,NW,,,,,,$18.42,$0.00,1,1,1,0,0,1,20091001,,A4355,HCPCS,Bladder irrigation tubing,,,28 ,,NW,,,,,,$12.48,$0.00,1,1,1,0,0,1,20091001,,A4356,HCPCS,Ext ureth clmp or compr dvc,,,28 ,,NW,,,,,,$78.43,$0.00,1,1,1,0,0,1,20091001,,A4357,HCPCS,Bedside drainage bag,,,28 ,,NW,,,,,,$30.17,$0.00,1,1,1,0,0,1,20091001,,A4358,HCPCS,Urinary leg or abdomen bag,,,28 ,,NW,,,,,,$15.76,$0.00,1,1,1,0,0,1,20091001,,A4361,HCPCS,Ostomy face plate,,,28 ,,NW,,,,,,$30.47,$0.00,1,1,1,0,0,1,20091001,,A4362,HCPCS,Solid skin barrier,,,28 ,,NW,,,,,,$59.05,$0.00,1,1,1,0,0,1,20091001,,A4363,HCPCS,"Ostomy clamp, replacement",,,28 ,,NW,,,,,,$18.69,$0.00,1,1,1,1,1,1,20091001,,A4364,HCPCS,"Adhesive, liquid or equal",,,28 ,,NW,,,,,,$18.12,$0.00,1,1,1,0,0,1,20091001,,A4365,HCPCS,Adhesive remover wipes,,,28 ,,NW,,,,,,$26.57,$0.00,1,1,1,0,0,1,20091001,,A4366,HCPCS,Ostomy vent,,,28 ,,NW,,,,,,$2.34,$0.00,1,1,1,0,0,1,20091001,,A4367,HCPCS,Ostomy belt,,,28 ,,NW,,,,,,$20.40,$0.00,1,1,1,0,0,1,20091001,,A4368,HCPCS,Ostomy filter,,,28 ,,NW,,,,,,$0.42,$0.00,1,1,1,0,0,1,20091001,,A4369,HCPCS,Skin barrier liquid per oz,,,28 ,,NW,,,,,,$4.08,$0.00,1,1,1,0,0,1,20091001,,A4371,HCPCS,Skin barrier powder per oz,,,28 ,,NW,,,,,,$15.18,$0.00,1,1,1,0,0,1,20091001,,A4372,HCPCS,Skin barrier solid 4x4 equiv,,,28 ,,NW,,,,,,$6.69,$0.00,1,1,1,0,0,1,20091001,,A4373,HCPCS,Skin barrier with flange,,,28 ,,NW,,,,,,$119.61,$0.00,1,1,1,0,0,1,20091001,,A4375,HCPCS,Drainable plastic pch w fcpl,,,28 ,,NW,,,,,,$314.09,$0.00,1,1,1,0,0,1,20091001,,A4376,HCPCS,Drainable rubber pch w fcplt,,,28 ,,NW,,,,,,$71.49,$0.00,1,1,1,0,0,1,20091001,,A4377,HCPCS,Drainable plstic pch w/o fp,,,28 ,,NW,,,,,,$7.31,$0.00,1,1,1,0,0,1,20091001,,A4378,HCPCS,Drainable rubber pch w/o fp,,,28 ,,NW,,,,,,$61.54,$0.00,1,1,1,0,0,1,20091001,,A4379,HCPCS,Urinary plastic pouch w fcpl,,,28 ,,NW,,,,,,$30.07,$0.00,1,1,1,0,0,1,20091001,,A4380,HCPCS,Urinary rubber pouch w fcplt,,,28 ,,NW,,,,,,$74.70,$0.00,1,1,1,0,0,1,20091001,,A4381,HCPCS,Urinary plastic pouch w/o fp,,,28 ,,NW,,,,,,$7.31,$0.00,1,1,1,0,0,1,20091001,,A4382,HCPCS,Urinary hvy plstc pch w/o fp,,,28 ,,NW,,,,,,$49.28,$0.00,1,1,1,0,0,1,20091001,,A4383,HCPCS,Urinary rubber pouch w/o fp,,,28 ,,NW,,,,,,$56.41,$0.00,1,1,1,0,0,1,20091001,,A4384,HCPCS,Ostomy faceplt/silicone ring,,,28 ,,NW,,,,,,$15.71,$0.00,1,1,1,0,0,1,20091001,,A4385,HCPCS,Ost skn barrier sld ext wear,,,28 ,,NW,,,,,,$134.07,$0.00,1,1,1,0,0,1,20091001,,A4387,HCPCS,Ost clsd pouch w att st barr,,,28 ,,NW,,,,,,$147.68,$0.00,1,1,1,0,0,1,20091001,,A4388,HCPCS,Drainable pch w ex wear barr,,,28 ,,NW,,,,,,$94.07,$0.00,1,1,1,0,0,1,20091001,,A4389,HCPCS,Drainable pch w st wear barr,,,28 ,,NW,,,,,,$116.98,$0.00,1,1,1,0,0,1,20091001,,A4390,HCPCS,Drainable pch ex wear convex,,,28 ,,NW,,,,,,$165.10,$0.00,1,1,1,0,0,1,20091001,,A4391,HCPCS,Urinary pouch w ex wear barr,,,28 ,,NW,,,,,,$11.93,$0.00,1,1,1,0,0,1,20091001,,A4392,HCPCS,Urinary pouch w st wear barr,,,28 ,,NW,,,,,,$13.90,$0.00,1,1,1,0,0,1,20091001,,A4393,HCPCS,Urine pch w ex wear bar conv,,,28 ,,NW,,,,,,$158.55,$0.00,1,1,1,0,0,1,20091001,,A4394,HCPCS,Ostomy pouch liq deodorant,,,28 ,,NW,,,,,,$37.34,$0.00,1,1,1,0,0,1,20091001,,A4395,HCPCS,Ostomy pouch solid deodorant,,,28 ,,NW,,,,,,$0.08,$0.00,1,1,1,1,1,1,20091001,,A4396,HCPCS,Peristomal hernia supprt blt,,,28 ,,NW,,,,,,$70.87,$0.00,1,1,1,0,0,1,20091001,,A4397,HCPCS,Irrigation supply sleeve,,,28 ,,NW,,,,,,$32.94,$0.00,1,1,1,0,0,1,20091001,,A4398,HCPCS,Ostomy irrigation bag,,,28 ,,NW,,,,,,$24.12,$0.00,1,1,1,0,0,1,20091001,,A4399,HCPCS,Ostomy irrig cone/cath w brs,,,28 ,,NW,,,,,,$20.53,$0.00,1,1,1,0,0,1,20091001,,A4400,HCPCS,Ostomy irrigation set,,,28 ,,NW,,,,,,$97.80,$0.00,1,1,1,0,0,1,20091001,,A4402,HCPCS,Lubricant per ounce,,,28 ,,NW,,,,,,$8.41,$0.00,1,1,1,0,0,1,20091001,,A4404,HCPCS,Ostomy ring each,,,28 ,,NW,,,,,,$2.91,$0.00,1,1,1,0,0,1,20091001,,A4405,HCPCS,Nonpectin based ostomy paste,,,28 ,,NW,,,,,,$22.37,$0.00,1,1,1,0,0,1,20091001,,A4406,HCPCS,Pectin based ostomy paste,,,28 ,,NW,,,,,,$30.81,$0.00,1,1,1,0,0,1,20091001,,A4407,HCPCS,"Ext wear ost skn barr <=4sq""",,,28 ,,NW,,,,,,$181.58,$0.00,1,1,1,0,0,1,20091001,,A4408,HCPCS,"Ext wear ost skn barr >4sq""",,,28 ,,NW,,,,,,$14.70,$0.00,1,1,1,0,0,1,20091001,,A4409,HCPCS,Ost skn barr convex <=4 sq i,,,28 ,,NW,,,,,,$127.00,$0.00,1,1,1,0,0,1,20091001,,A4410,HCPCS,Ost skn barr extnd >4 sq,,,28 ,,NW,,,,,,$113.52,$0.00,1,1,1,0,0,1,20091001,,A4411,HCPCS,Ost skn barr extnd =4sq,,,28 ,,NW,,,,,,$235.07,$0.00,1,1,1,0,1,1,20091001,,A4412,HCPCS,Ost pouch drain high output,,,28 ,,NW,,,,,,$134.59,$0.00,1,1,1,0,1,1,20091001,,A4413,HCPCS,2 pc drainable ost pouch,,,28 ,,NW,,,,,,$9.18,$0.00,1,1,1,0,0,1,20091001,,A4414,HCPCS,Ost sknbar w/o conv<=4 sq in,,,28 ,,NW,,,,,,$94.74,$0.00,1,1,1,0,0,1,20091001,,A4415,HCPCS,Ost skn barr w/o conv >4 sqi,,,28 ,,NW,,,,,,$83.42,$0.00,1,1,1,0,0,1,20091001,,A4416,HCPCS,Ost pch clsd w barrier/filtr,,,28 ,,NW,,,,,,$147.74,$0.00,1,1,1,0,0,1,20091001,,A4417,HCPCS,Ost pch w bar/bltinconv/fltr,,,28 ,,NW,,,,,,$5.80,$0.00,1,1,1,0,0,1,20091001,,A4418,HCPCS,Ost pch clsd w/o bar w filtr,,,28 ,,NW,,,,,,$3.06,$0.00,1,1,1,0,0,1,20091001,,A4419,HCPCS,Ost pch for bar w flange/flt,,,28 ,,NW,,,,,,$125.29,$0.00,1,1,1,0,0,1,20091001,,A4420,HCPCS,Ost pch clsd for bar w lk fl,,,28 ,,NW,,,,,,$2.93,$0.00,1,1,1,0,0,1,20091001,,A4421,HCPCS,Ostomy supply misc,,,28 ,,NW,,,,,,$87.37,$0.00,1,1,1,0,0,1,20091001,,A4422,HCPCS,Ost pouch absorbent material,,,28 ,,NW,,,,,,$0.20,$0.00,1,1,1,1,1,1,20091001,,A4423,HCPCS,Ost pch for bar w lk fl/fltr,,,28 ,,NW,,,,,,$3.20,$0.00,1,1,1,0,0,1,20091001,,A4424,HCPCS,Ost pch drain w bar & filter,,,28 ,,NW,,,,,,$121.11,$0.00,1,1,1,0,0,1,20091001,,A4425,HCPCS,Ost pch drain for barrier fl,,,28 ,,NW,,,,,,$79.98,$0.00,1,1,1,0,0,1,20091001,,A4426,HCPCS,Ost pch drain 2 piece system,,,28 ,,NW,,,,,,$4.82,$0.00,1,1,1,0,0,1,20091001,,A4427,HCPCS,Ost pch drain/barr lk flng/f,,,28 ,,NW,,,,,,$4.87,$0.00,1,1,1,0,0,1,20091001,,A4428,HCPCS,Urine ost pouch w faucet/tap,,,28 ,,NW,,,,,,$11.21,$0.00,1,1,1,0,0,1,20091001,,A4429,HCPCS,Urine ost pouch w bltinconv,,,28 ,,NW,,,,,,$12.32,$0.00,1,1,1,0,0,1,20091001,,A4430,HCPCS,Ost urine pch w b/bltin conv,,,28 ,,NW,,,,,,$168.33,$0.00,1,1,1,0,0,1,20091001,,A4431,HCPCS,Ost pch urine w barrier/tapv,,,28 ,,NW,,,,,,$10.04,$0.00,1,1,1,0,0,1,20091001,,A4432,HCPCS,Os pch urine w bar/fange/tap,,,28 ,,NW,,,,,,$82.73,$0.00,1,1,1,0,0,1,20091001,,A4433,HCPCS,Urine ost pch bar w lock fln,,,28 ,,NW,,,,,,$5.96,$0.00,1,1,1,0,0,1,20091001,,A4434,HCPCS,Ost pch urine w lock flng/ft,,,28 ,,NW,,,,,,$6.56,$0.00,1,1,1,0,0,1,20091001,,A4450,HCPCS,Non-waterproof tape,,,28 ,,NW,,,,,,$0.15,$0.00,1,1,1,0,0,1,20091001,,A4452,HCPCS,Waterproof tape,,,28 ,,NW,,,,,,$0.60,$0.00,1,1,1,0,0,1,20091001,,A4455,HCPCS,Adhesive remover per ounce,,,28 ,,NW,,,,,,$2.38,$0.00,1,1,1,0,0,1,20091001,,A4458,HCPCS,Reusable enema bag,,,28 ,,NW,,,,,,$34.25,$0.00,1,1,1,0,1,1,20091001,,A4465,HCPCS,Non-elastic extremity binder,,,28 ,,NW,,,,,,$16.48,$0.00,1,1,1,0,0,1,20091001,,A4470,HCPCS,Gravlee jet washer,,,28 ,,NW,,,,,,$14.60,$0.00,1,1,1,0,0,1,20091001,,A4480,HCPCS,Vabra aspirator,,,28 ,,NW,,,,,,$11.68,$0.00,1,1,1,0,0,1,20091001,,A4481,HCPCS,Tracheostoma filter,,,28 ,,NW,,,,,,$0.61,$0.00,1,1,1,0,0,1,20091001,,A4483,HCPCS,Moisture exchanger,,,28 ,,NW,,,,,,$127.10,$0.00,1,1,1,0,0,1,20091001,,A4490,HCPCS,Above knee surgical stocking,,,28 ,,NW,,,,,,$15.63,$0.00,1,1,1,0,0,1,20091001,,A4495,HCPCS,Thigh length surg stocking,,,28 ,,NW,,,,,,$15.63,$0.00,1,1,1,0,0,1,20091001,,A4500,HCPCS,Below knee surgical stocking,,,28 ,,NW,,,,,,$9.40,$0.00,1,1,1,0,0,1,20091001,,A4510,HCPCS,Full length surg stocking,,,28 ,,NW,,,,,,$28.25,$0.00,1,1,1,0,0,1,20091001,,A4520,HCPCS,Incontinence garment anytype,,,28 ,,NW,,,,,,$235.92,$0.00,1,1,1,0,1,1,20091001,,A4550,HCPCS,Surgical trays,,,28 ,,NW,,,,,,$55.10,$0.00,1,1,1,0,0,1,20091001,,A4554,HCPCS,Disposable underpads,,,28 ,,NW,,,,,,$5.46,$0.00,1,1,1,0,0,1,20091001,,A4556,HCPCS,"Electrodes, pair",,,28 ,,NW,,,,,,$15.15,$0.00,1,1,1,0,0,1,20091001,,A4557,HCPCS,"Lead wires, pair",,,28 ,,NW,,,,,,$25.31,$0.00,1,1,1,0,0,1,20091001,,A4558,HCPCS,Conductive gel or paste,,,28 ,,NW,,,,,,$8.51,$0.00,1,1,1,0,0,1,20091001,,A4561,HCPCS,"Pessary rubber, any type",,,28 ,,NW,,,,,,$36.01,$0.00,1,1,1,0,0,1,20091001,,A4562,HCPCS,"Pessary, non rubber,any type",,,28 ,,NW,,,,,,$79.52,$0.00,1,1,1,0,0,1,20091001,,A4565,HCPCS,Slings,,,28 ,,NW,,,,,,$13.79,$0.00,1,1,1,0,0,1,20091001,,A4570,HCPCS,Splint,,,28 ,,NW,,,,,,$32.01,$0.00,1,1,1,0,0,1,20091001,,A4575,HCPCS,Hyperbaric o2 chamber disps,,,28 ,,NW,,,,,,$882.92,$0.00,1,1,1,0,0,1,20091001,,A4580,HCPCS,Cast supplies (plaster),,,28 ,,NW,,,,,,$64.55,$0.00,1,1,1,0,0,1,20091001,,A4590,HCPCS,Special casting material,,,28 ,,NW,,,,,,$71.93,$0.00,1,1,1,0,0,1,20091001,,A4595,HCPCS,Tens suppl 2 lead per month,,,28 ,,NW,,,,,,$53.36,$0.00,1,1,1,0,0,1,20091001,,A4605,HCPCS,Trach suction cath close sys,,,28 ,,NW,,,,,,$25.03,$0.00,1,1,1,1,1,1,20091001,,A4606,HCPCS,Oxygen probe used w oximeter,,,28 ,,NW,,,,,,$46.47,$0.00,1,1,1,0,1,1,20091001,,A4608,HCPCS,Transtracheal oxygen cath,,,28 ,,NW,,,,,,$116.38,$0.00,1,1,1,0,0,1,20091001,,A4611,HCPCS,Heavy duty battery,,,28 ,,NW,,,,,,$415.99,$0.00,1,1,1,0,0,1,20091001,,A4612,HCPCS,Battery cables,,,28 ,,NW,,,,,,$120.79,$0.00,1,1,1,0,0,1,20091001,,A4613,HCPCS,Battery charger,,,28 ,,NW,,,,,,$215.21,$0.00,1,1,1,0,0,1,20091001,,A4614,HCPCS,Hand-held pefr meter,,,28 ,,NW,,,,,,$37.11,$0.00,1,1,1,0,0,1,20091001,,A4615,HCPCS,Cannula nasal,,,28 ,,NW,,,,,,$3.17,$0.00,1,1,1,0,0,1,20091001,,A4616,HCPCS,Tubing (oxygen) per foot,,,28 ,,NW,,,,,,$1.17,$0.00,1,1,1,0,0,1,20091001,,A4617,HCPCS,Mouth piece,,,28 ,,NW,,,,,,$13.99,$0.00,1,1,1,0,0,1,20091001,,A4618,HCPCS,Breathing circuits,,,28 ,,NW,,,,,,$16.63,$0.00,1,1,1,0,0,1,20091001,,A4619,HCPCS,Face tent,,,28 ,,NW,,,,,,$2.42,$0.00,1,1,1,0,0,1,20091001,,A4620,HCPCS,Variable concentration mask,,,28 ,,NW,,,,,,$5.45,$0.00,1,1,1,0,0,1,20091001,,A4623,HCPCS,Tracheostomy inner cannula,,,28 ,,NW,,,,,,$154.96,$0.00,1,1,1,0,0,1,20091001,,A4624,HCPCS,Tracheal suction tube,,,28 ,,NW,,,,,,$5.77,$0.00,1,1,1,0,0,1,20091001,,A4625,HCPCS,Trach care kit for new trach,,,28 ,,NW,,,,,,$16.68,$0.00,1,1,1,0,0,1,20091001,,A4626,HCPCS,Tracheostomy cleaning brush,,,28 ,,NW,,,,,,$6.38,$0.00,1,1,1,0,0,1,20091001,,A4627,HCPCS,Spacer bag/reservoir,,,28 ,,NW,,,,,,$32.79,$0.00,1,1,1,0,0,1,20091001,,A4628,HCPCS,Oropharyngeal suction cath,,,28 ,,NW,,,,,,$6.95,$0.00,1,1,1,0,0,1,20091001,,A4629,HCPCS,Tracheostomy care kit,,,28 ,,NW,,,,,,$110.84,$0.00,1,1,1,0,0,1,20091001,,A4630,HCPCS,Repl bat t.e.n.s. own by pt,,,28 ,,NW,,,,,,$8.89,$0.00,1,1,1,0,0,1,20091001,,A4633,HCPCS,Uvl replacement bulb,,,28 ,,NW,,,,,,$82.12,$0.00,1,1,1,0,0,1,20091001,,A4635,HCPCS,Underarm crutch pad,,,28 ,,NW,,,,,,$13.73,$0.00,1,1,1,0,0,1,20091001,,A4636,HCPCS,Handgrip for cane etc,,,28 ,,NW,,,,,,$5.23,$0.00,1,1,1,0,0,1,20091001,,A4637,HCPCS,Repl tip cane/crutch/walker,,,28 ,,NW,,,,,,$8.58,$0.00,1,1,1,0,0,1,20091001,,A4639,HCPCS,Infrared ht sys replcmnt pad,,,28 ,,NW,,,,,,$574.77,$0.00,1,1,1,0,0,1,20091001,,A4640,HCPCS,Alternating pressure pad,,,28 ,,NW,,,,,,$125.96,$0.00,1,1,1,0,0,1,20091001,,A4641,HCPCS,Radiopharm dx agent noc,,,28 ,,NW,,,,,,$71.65,$0.00,1,1,1,0,0,1,20091001,,A4642,HCPCS,In111 satumomab,,,28 ,,NW,,,,,,$15.01,$0.00,1,1,1,0,0,1,20091001,,A4649,HCPCS,Surgical supplies,,,28 ,,NW,,,,,,$149.93,$0.00,1,1,1,0,0,1,20091001,,A4651,HCPCS,Calibrated microcap tube,,,28 ,,NW,,,,,,$3.74,$0.00,1,1,1,0,0,1,20091001,,A4652,HCPCS,Microcapillary tube sealant,,,28 ,,NW,,,,,,$5.58,$0.00,1,1,1,0,0,1,20091001,,A4657,HCPCS,Syringe w/wo needle,,,28 ,,NW,,,,,,$35.92,$0.00,1,1,1,0,0,1,20091001,,A4660,HCPCS,Sphyg/bp app w cuff and stet,,,28 ,,NW,,,,,,$30.72,$0.00,1,1,1,0,0,1,20091001,,A4663,HCPCS,Dialysis blood pressure cuff,,,28 ,,NW,,,,,,$58.86,$0.00,1,1,1,0,0,1,20091001,,A4670,HCPCS,"Automatic bp monitor, dial",,,28 ,,NW,,,,,,$132.64,$0.00,1,1,1,0,0,1,20091001,,A4680,HCPCS,"Activated carbon filter, ea",,,28 ,,NW,,,,,,$153.03,$0.00,1,1,1,0,0,1,20091001,,A4690,HCPCS,"Dialyzer, each",,,28 ,,NW,,,,,,"$1,517.45",$0.00,1,1,1,0,0,1,20091001,,A4706,HCPCS,Bicarbonate conc sol per gal,,,28 ,,NW,,,,,,$23.31,$0.00,1,1,1,0,0,1,20091001,,A4707,HCPCS,Bicarbonate conc pow per pac,,,28 ,,NW,,,,,,$7.70,$0.00,1,1,1,0,0,1,20091001,,A4708,HCPCS,Acetate conc sol per gallon,,,28 ,,NW,,,,,,$17.88,$0.00,1,1,1,0,0,1,20091001,,A4709,HCPCS,Acid conc sol per gallon,,,28 ,,NW,,,,,,$17.88,$0.00,1,1,1,0,0,1,20091001,,A4714,HCPCS,Treated water per gallon,,,28 ,,NW,,,,,,$2.74,$0.00,1,1,1,0,0,1,20091001,,A4719,HCPCS,"""y set"" tubing",,,28 ,,NW,,,,,,$15.92,$0.00,1,1,1,0,0,1,20091001,,A4720,HCPCS,Dialysat sol fld vol > 249cc,,,28 ,,NW,,,,,,$22.13,$0.00,1,1,1,0,0,1,20091001,,A4721,HCPCS,Dialysat sol fld vol > 999cc,,,28 ,,NW,,,,,,$44.26,$0.00,1,1,1,0,0,1,20091001,,A4722,HCPCS,Dialys sol fld vol > 1999cc,,,28 ,,NW,,,,,,$53.64,$0.00,1,1,1,0,0,1,20091001,,A4723,HCPCS,Dialys sol fld vol > 2999cc,,,28 ,,NW,,,,,,$54.33,$0.00,1,1,1,0,0,1,20091001,,A4724,HCPCS,Dialys sol fld vol > 3999cc,,,28 ,,NW,,,,,,$54.43,$0.00,1,1,1,0,0,1,20091001,,A4725,HCPCS,Dialys sol fld vol > 4999cc,,,28 ,,NW,,,,,,$57.61,$0.00,1,1,1,0,0,1,20091001,,A4726,HCPCS,Dialys sol fld vol > 5999cc,,,28 ,,NW,,,,,,$64.02,$0.00,1,1,1,0,0,1,20091001,,A4728,HCPCS,"Dialysate solution, non-dex",,,28 ,,NW,,,,,,$15.69,$0.00,1,1,1,0,1,1,20091001,,A4730,HCPCS,"Fistula cannulation set, ea",,,28 ,,NW,,,,,,$3.20,$0.00,1,1,1,0,0,1,20091001,,A4736,HCPCS,"Topical anesthetic, per gram",,,28 ,,NW,,,,,,$11.23,$0.00,1,1,1,0,0,1,20091001,,A4737,HCPCS,Inj anesthetic per 10 ml,,,28 ,,NW,,,,,,$16.12,$0.00,1,1,1,0,0,1,20091001,,A4740,HCPCS,Shunt accessory,,,28 ,,NW,,,,,,$1.86,$0.00,1,1,1,0,0,1,20091001,,A4750,HCPCS,Art or venous blood tubing,,,28 ,,NW,,,,,,$21.64,$0.00,1,1,1,0,0,1,20091001,,A4755,HCPCS,Comb art/venous blood tubing,,,28 ,,NW,,,,,,$33.65,$0.00,1,1,1,0,0,1,20091001,,A4760,HCPCS,"Dialysate sol test kit, each",,,28 ,,NW,,,,,,$46.64,$0.00,1,1,1,0,0,1,20091001,,A4765,HCPCS,Dialysate conc pow per pack,,,28 ,,NW,,,,,,$14.92,$0.00,1,1,1,0,0,1,20091001,,A4766,HCPCS,Dialysate conc sol add 10 ml,,,28 ,,NW,,,,,,$7.47,$0.00,1,1,1,0,0,1,20091001,,A4770,HCPCS,Blood collection tube/vacuum,,,28 ,,NW,,,,,,$32.96,$0.00,1,1,1,0,0,1,20091001,,A4772,HCPCS,Blood glucose test strips,,,28 ,,NW,,,,,,$61.21,$0.00,1,1,1,0,0,1,20091001,,A4773,HCPCS,Occult blood test strips,,,28 ,,NW,,,,,,$38.82,$0.00,1,1,1,0,0,1,20091001,,A4774,HCPCS,Ammonia test strips,,,28 ,,NW,,,,,,$18.66,$0.00,1,1,1,0,0,1,20091001,,A4802,HCPCS,Protamine sulfate per 50 mg,,,28 ,,NW,,,,,,$11.04,$0.00,1,1,1,0,0,1,20091001,,A4860,HCPCS,Disposable catheter tips,,,28 ,,NW,,,,,,$47.06,$0.00,1,1,1,0,0,1,20091001,,A4870,HCPCS,Plumb/elec wk hm hemo equip,,,28 ,,NW,,,,,,$195.88,$0.00,1,1,1,0,0,1,20091001,,A4890,HCPCS,Repair/maint cont hemo equip,,,28 ,,NW,,,,,,$195.88,$0.00,1,1,1,0,0,1,20091001,,A4911,HCPCS,Drain bag/bottle,,,28 ,,NW,,,,,,$21.96,$0.00,1,1,1,0,0,1,20091001,,A4913,HCPCS,Misc dialysis supplies noc,,,28 ,,NW,,,,,,$17.39,$0.00,1,1,1,0,0,1,20091001,,A4918,HCPCS,Venous pressure clamp,,,28 ,,NW,,,,,,$1.86,$0.00,1,1,1,0,0,1,20091001,,A4927,HCPCS,Non-sterile gloves,,,28 ,,NW,,,,,,$19.87,$0.00,1,1,1,0,0,1,20091001,,A4928,HCPCS,Surgical mask,,,28 ,,NW,,,,,,$11.87,$0.00,1,1,1,0,0,1,20091001,,A4929,HCPCS,"Tourniquet for dialysis, ea",,,28 ,,NW,,,,,,$0.33,$0.00,1,1,1,0,0,1,20091001,,A4930,HCPCS,"Sterile, gloves per pair",,,28 ,,NW,,,,,,$1.73,$0.00,1,1,1,0,0,1,20091001,,A5051,HCPCS,Pouch clsd w barr attached,,,28 ,,NW,,,,,,$3.17,$0.00,1,1,1,0,0,1,20091001,,A5052,HCPCS,Clsd ostomy pouch w/o barr,,,28 ,,NW,,,,,,$2.43,$0.00,1,1,1,0,0,1,20091001,,A5053,HCPCS,Clsd ostomy pouch faceplate,,,28 ,,NW,,,,,,$3.05,$0.00,1,1,1,0,0,1,20091001,,A5054,HCPCS,Clsd ostomy pouch w/flange,,,28 ,,NW,,,,,,$102.00,$0.00,1,1,1,0,0,1,20091001,,A5055,HCPCS,Stoma cap,,,28 ,,NW,,,,,,$2.46,$0.00,1,1,1,0,0,1,20091001,,A5061,HCPCS,Pouch drainable w barrier at,,,28 ,,NW,,,,,,$88.40,$0.00,1,1,1,0,0,1,20091001,,A5062,HCPCS,Drnble ostomy pouch w/o barr,,,28 ,,NW,,,,,,$3.76,$0.00,1,1,1,0,0,1,20091001,,A5063,HCPCS,Drain ostomy pouch w/flange,,,28 ,,NW,,,,,,$56.08,$0.00,1,1,1,0,0,1,20091001,,A5071,HCPCS,Urinary pouch w/barrier,,,28 ,,NW,,,,,,$10.69,$0.00,1,1,1,0,0,1,20091001,,A5072,HCPCS,Urinary pouch w/o barrier,,,28 ,,NW,,,,,,$5.15,$0.00,1,1,1,0,0,1,20091001,,A5073,HCPCS,Urinary pouch on barr w/flng,,,28 ,,NW,,,,,,$55.44,$0.00,1,1,1,0,0,1,20091001,,A5081,HCPCS,Continent stoma plug,,,28 ,,NW,,,,,,$6.62,$0.00,1,1,1,0,0,1,20091001,,A5082,HCPCS,Continent stoma catheter,,,28 ,,NW,,,,,,$19.05,$0.00,1,1,1,0,0,1,20091001,,A5093,HCPCS,Ostomy accessory convex inse,,,28 ,,NW,,,,,,$31.13,$0.00,1,1,1,0,0,1,20091001,,A5102,HCPCS,Bedside drain btl w/wo tube,,,28 ,,NW,,,,,,$38.60,$0.00,1,1,1,0,0,1,20091001,,A5105,HCPCS,Urinary suspensory,,,28 ,,NW,,,,,,$81.58,$0.00,1,1,1,0,0,1,20091001,,A5112,HCPCS,Urinary leg bag,,,28 ,,NW,,,,,,$56.72,$0.00,1,1,1,0,0,1,20091001,,A5113,HCPCS,Latex leg strap,,,28 ,,NW,,,,,,$9.42,$0.00,1,1,1,0,0,1,20091001,,A5114,HCPCS,Foam/fabric leg strap,,,28 ,,NW,,,,,,$14.36,$0.00,1,1,1,0,0,1,20091001,,A5120,HCPCS,"Skin barrier, wipe or swab",,,28 ,,NW,,,,,,$36.83,$0.00,1,1,1,0,1,1,20091001,,A5121,HCPCS,Solid skin barrier 6x6,,,28 ,,NW,,,,,,$11.96,$0.00,1,1,1,0,0,1,20091001,,A5122,HCPCS,Solid skin barrier 8x8,,,28 ,,NW,,,,,,$20.64,$0.00,1,1,1,0,0,1,20091001,,A5126,HCPCS,Disk/foam pad +or- adhesive,,,28 ,,NW,,,,,,$2.07,$0.00,1,1,1,0,0,1,20091001,,A5131,HCPCS,Appliance cleaner,,,28 ,,NW,,,,,,$38.32,$0.00,1,1,1,0,0,1,20091001,,A5200,HCPCS,Percutaneous catheter anchor,,,28 ,,NW,,,,,,$19.50,$0.00,1,1,1,0,0,1,20091001,,A5500,HCPCS,Diab shoe for density insert,,,28 ,,NW,,,,,,$102.47,$0.00,1,1,1,0,0,1,20091001,,A5501,HCPCS,Diabetic custom molded shoe,,,28 ,,NW,,,,,,$323.09,$0.00,1,1,1,0,0,1,20091001,,A5503,HCPCS,Diabetic shoe w/roller/rockr,,,28 ,,NW,,,,,,$48.90,$0.00,1,1,1,0,0,1,20091001,,A5504,HCPCS,Diabetic shoe with wedge,,,28 ,,NW,,,,,,$55.94,$0.00,1,1,1,0,0,1,20091001,,A5505,HCPCS,Diab shoe w/metatarsal bar,,,28 ,,NW,,,,,,$55.94,$0.00,1,1,1,0,0,1,20091001,,A5506,HCPCS,Diabetic shoe w/off set heel,,,28 ,,NW,,,,,,$55.94,$0.00,1,1,1,0,0,1,20091001,,A5507,HCPCS,Modification diabetic shoe,,,28 ,,NW,,,,,,$55.94,$0.00,1,1,1,0,0,1,20091001,,A5508,HCPCS,Diabetic deluxe shoe,,,28 ,,NW,,,,,,$30.61,$0.00,1,1,1,0,0,1,20091001,,A5510,HCPCS,Compression form shoe insert,,,28 ,,NW,,,,,,$62.75,$0.00,1,1,1,0,0,1,20091001,,A5512,HCPCS,Multi den insert direct form,,,28 ,,NW,,,,,,$54.39,$0.00,1,1,1,0,1,1,20091001,,A5513,HCPCS,Multi den insert custom mold,,,28 ,,NW,,,,,,$83.07,$0.00,1,1,1,0,1,1,20091001,,A6000,HCPCS,Wound warming wound cover,,,28 ,,NW,,,,,,$41.50,$0.00,1,1,1,0,0,1,20091001,,A6010,HCPCS,Collagen based wound filler,,,28 ,,NW,,,,,,$42.18,$0.00,1,1,1,0,0,1,20091001,,A6011,HCPCS,Collagen gel/paste wound fil,,,28 ,,NW,,,,,,$3.51,$0.00,1,1,1,0,0,1,20091001,,A6021,HCPCS,Collagen dressing <=16 sq in,,,28 ,,NW,,,,,,$32.01,$0.00,1,1,1,0,0,1,20091001,,A6022,HCPCS,Collagen drsg>6<=48 sq in,,,28 ,,NW,,,,,,$34.30,$0.00,1,1,1,0,0,1,20091001,,A6023,HCPCS,Collagen dressing >48 sq in,,,28 ,,NW,,,,,,$380.84,$0.00,1,1,1,0,0,1,20091001,,A6024,HCPCS,Collagen dsg wound filler,,,28 ,,NW,,,,,,$9.95,$0.00,1,1,1,0,0,1,20091001,,A6025,HCPCS,"Silicone gel sheet, each",,,28 ,,NW,,,,,,$48.36,$0.00,1,1,1,0,0,1,20091001,,A6154,HCPCS,Wound pouch each,,,28 ,,NW,,,,,,$24.65,$0.00,1,1,1,0,0,1,20091001,,A6196,HCPCS,Alginate dressing <=16 sq in,,,28 ,,NW,,,,,,$11.14,$0.00,1,1,1,0,0,1,20091001,,A6197,HCPCS,Alginate drsg >16 <=48 sq in,,,28 ,,NW,,,,,,$25.93,$0.00,1,1,1,0,0,1,20091001,,A6198,HCPCS,Alginate dressing > 48 sq in,,,28 ,,NW,,,,,,$38.20,$0.00,1,1,1,0,0,1,20091001,,A6199,HCPCS,Alginate drsg wound filler,,,28 ,,NW,,,,,,$8.26,$0.00,1,1,1,0,0,1,20091001,,A6200,HCPCS,Compos drsg <=16 no border,,,28 ,,NW,,,,,,$13.25,$0.00,1,1,1,0,0,1,20091001,,A6201,HCPCS,Compos drsg >16<=48 no bdr,,,28 ,,NW,,,,,,$29.95,$0.00,1,1,1,0,0,1,20091001,,A6202,HCPCS,Compos drsg >48 no border,,,28 ,,NW,,,,,,$69.81,$0.00,1,1,1,0,0,1,20091001,,A6203,HCPCS,Composite drsg <= 16 sq in,,,28 ,,NW,,,,,,$5.47,$0.00,1,1,1,0,0,1,20091001,,A6204,HCPCS,Composite drsg >16<=48 sq in,,,28 ,,NW,,,,,,$11.10,$0.00,1,1,1,0,0,1,20091001,,A6205,HCPCS,Composite drsg > 48 sq in,,,28 ,,NW,,,,,,$26.15,$0.00,1,1,1,0,0,1,20091001,,A6206,HCPCS,Contact layer <= 16 sq in,,,28 ,,NW,,,,,,$8.06,$0.00,1,1,1,0,0,1,20091001,,A6207,HCPCS,Contact layer >16<= 48 sq in,,,28 ,,NW,,,,,,$10.81,$0.00,1,1,1,0,0,1,20091001,,A6208,HCPCS,Contact layer > 48 sq in,,,28 ,,NW,,,,,,$18.83,$0.00,1,1,1,0,0,1,20091001,,A6209,HCPCS,Foam drsg <=16 sq in w/o bdr,,,28 ,,NW,,,,,,$11.41,$0.00,1,1,1,0,0,1,20091001,,A6210,HCPCS,Foam drg >16<=48 sq in w/o b,,,28 ,,NW,,,,,,$29.47,$0.00,1,1,1,0,0,1,20091001,,A6211,HCPCS,Foam drg > 48 sq in w/o brdr,,,28 ,,NW,,,,,,$49.04,$0.00,1,1,1,0,0,1,20091001,,A6212,HCPCS,Foam drg <=16 sq in w/border,,,28 ,,NW,,,,,,$14.84,$0.00,1,1,1,0,0,1,20091001,,A6213,HCPCS,Foam drg >16<=48 sq in w/bdr,,,28 ,,NW,,,,,,$40.40,$0.00,1,1,1,0,0,1,20091001,,A6214,HCPCS,Foam drg > 48 sq in w/border,,,28 ,,NW,,,,,,$20.60,$0.00,1,1,1,0,0,1,20091001,,A6216,HCPCS,Non-sterile gauze<=16 sq in,,,28 ,,NW,,,,,,$0.08,$0.00,1,1,1,1,1,1,20091001,,A6217,HCPCS,Non-sterile gauze>16<=48 sq,,,28 ,,NW,,,,,,$30.68,$0.00,1,1,1,0,0,1,20091001,,A6218,HCPCS,Non-sterile gauze > 48 sq in,,,28 ,,NW,,,,,,$1.06,$0.00,1,1,1,0,0,1,20091001,,A6219,HCPCS,Gauze <= 16 sq in w/border,,,28 ,,NW,,,,,,$1.47,$0.00,1,1,1,0,0,1,20091001,,A6220,HCPCS,Gauze >16 <=48 sq in w/bordr,,,28 ,,NW,,,,,,$4.05,$0.00,1,1,1,0,0,1,20091001,,A6221,HCPCS,Gauze > 48 sq in w/border,,,28 ,,NW,,,,,,$6.04,$0.00,1,1,1,0,0,1,20091001,,A6222,HCPCS,Gauze <=16 in no w/sal w/o b,,,28 ,,NW,,,,,,$3.02,$0.00,1,1,1,0,0,1,20091001,,A6223,HCPCS,Gauze >16<=48 no w/sal w/o b,,,28 ,,NW,,,,,,$3.86,$0.00,1,1,1,0,0,1,20091001,,A6224,HCPCS,Gauze > 48 in no w/sal w/o b,,,28 ,,NW,,,,,,$5.75,$0.00,1,1,1,0,0,1,20091001,,A6228,HCPCS,Gauze <= 16 sq in water/sal,,,28 ,,NW,,,,,,$4.43,$0.00,1,1,1,0,0,1,20091001,,A6229,HCPCS,Gauze >16<=48 sq in watr/sal,,,28 ,,NW,,,,,,$7.23,$0.00,1,1,1,0,0,1,20091001,,A6230,HCPCS,Gauze > 48 sq in water/salne,,,28 ,,NW,,,,,,$7.30,$0.00,1,1,1,0,0,1,20091001,,A6231,HCPCS,Hydrogel dsg<=16 sq in,,,28 ,,NW,,,,,,$7.58,$0.00,1,1,1,0,0,1,20091001,,A6232,HCPCS,Hydrogel dsg>16<=48 sq in,,,28 ,,NW,,,,,,$11.36,$0.00,1,1,1,0,0,1,20091001,,A6233,HCPCS,Hydrogel dressing >48 sq in,,,28 ,,NW,,,,,,$38.40,$0.00,1,1,1,0,0,1,20091001,,A6234,HCPCS,Hydrocolld drg <=16 w/o bdr,,,28 ,,NW,,,,,,$10.71,$0.00,1,1,1,0,0,1,20091001,,A6235,HCPCS,Hydrocolld drg >16<=48 w/o b,,,28 ,,NW,,,,,,$27.07,$0.00,1,1,1,0,0,1,20091001,,A6236,HCPCS,Hydrocolld drg > 48 in w/o b,,,28 ,,NW,,,,,,$44.52,$0.00,1,1,1,0,0,1,20091001,,A6237,HCPCS,Hydrocolld drg <=16 in w/bdr,,,28 ,,NW,,,,,,$13.84,$0.00,1,1,1,0,0,1,20091001,,A6238,HCPCS,Hydrocolld drg >16<=48 w/bdr,,,28 ,,NW,,,,,,$35.46,$0.00,1,1,1,0,0,1,20091001,,A6239,HCPCS,Hydrocolld drg > 48 in w/bdr,,,28 ,,NW,,,,,,$52.86,$0.00,1,1,1,0,0,1,20091001,,A6240,HCPCS,Hydrocolld drg filler paste,,,28 ,,NW,,,,,,$23.08,$0.00,1,1,1,0,0,1,20091001,,A6241,HCPCS,Hydrocolloid drg filler dry,,,28 ,,NW,,,,,,$5.13,$0.00,1,1,1,0,0,1,20091001,,A6242,HCPCS,Hydrogel drg <=16 in w/o bdr,,,28 ,,NW,,,,,,$9.07,$0.00,1,1,1,0,0,1,20091001,,A6243,HCPCS,Hydrogel drg >16<=48 w/o bdr,,,28 ,,NW,,,,,,$17.94,$0.00,1,1,1,0,0,1,20091001,,A6244,HCPCS,Hydrogel drg >48 in w/o bdr,,,28 ,,NW,,,,,,$78.61,$0.00,1,1,1,0,0,1,20091001,,A6245,HCPCS,Hydrogel drg <= 16 in w/bdr,,,28 ,,NW,,,,,,$14.55,$0.00,1,1,1,0,0,1,20091001,,A6246,HCPCS,Hydrogel drg >16<=48 in w/b,,,28 ,,NW,,,,,,$19.85,$0.00,1,1,1,0,0,1,20091001,,A6247,HCPCS,Hydrogel drg > 48 sq in w/b,,,28 ,,NW,,,,,,$47.58,$0.00,1,1,1,0,0,1,20091001,,A6248,HCPCS,Hydrogel drsg gel filler,,,28 ,,NW,,,,,,$24.55,$0.00,1,1,1,0,0,1,20091001,,A6250,HCPCS,Skin seal protect moisturizr,,,28 ,,NW,,,,,,$23.50,$0.00,1,1,1,0,0,1,20091001,,A6251,HCPCS,Absorpt drg <=16 sq in w/o b,,,28 ,,NW,,,,,,$3.42,$0.00,1,1,1,0,0,1,20091001,,A6252,HCPCS,Absorpt drg >16 <=48 w/o bdr,,,28 ,,NW,,,,,,$4.88,$0.00,1,1,1,0,0,1,20091001,,A6253,HCPCS,Absorpt drg > 48 sq in w/o b,,,28 ,,NW,,,,,,$9.87,$0.00,1,1,1,0,0,1,20091001,,A6254,HCPCS,Absorpt drg <=16 sq in w/bdr,,,28 ,,NW,,,,,,$2.03,$0.00,1,1,1,0,0,1,20091001,,A6255,HCPCS,Absorpt drg >16<=48 in w/bdr,,,28 ,,NW,,,,,,$4.90,$0.00,1,1,1,0,0,1,20091001,,A6256,HCPCS,Absorpt drg > 48 sq in w/bdr,,,28 ,,NW,,,,,,$7.10,$0.00,1,1,1,0,0,1,20091001,,A6257,HCPCS,Transparent film <= 16 sq in,,,28 ,,NW,,,,,,$2.22,$0.00,1,1,1,0,0,1,20091001,,A6258,HCPCS,Transparent film >16<=48 in,,,28 ,,NW,,,,,,$7.40,$0.00,1,1,1,0,0,1,20091001,,A6259,HCPCS,Transparent film > 48 sq in,,,28 ,,NW,,,,,,$19.14,$0.00,1,1,1,0,0,1,20091001,,A6260,HCPCS,Wound cleanser any type/size,,,28 ,,NW,,,,,,$2.07,$0.00,1,1,1,0,0,1,20091001,,A6261,HCPCS,Wound filler gel/paste /oz,,,28 ,,NW,,,,,,$9.37,$0.00,1,1,1,0,0,1,20091001,,A6262,HCPCS,Wound filler dry form / gram,,,28 ,,NW,,,,,,$2.12,$0.00,1,1,1,0,0,1,20091001,,A6266,HCPCS,Impreg gauze no h20/sal/yard,,,28 ,,NW,,,,,,$2.93,$0.00,1,1,1,0,0,1,20091001,,A6402,HCPCS,Sterile gauze <= 16 sq in,,,28 ,,NW,,,,,,$19.38,$0.00,1,1,1,1,1,1,20091001,,A6403,HCPCS,Sterile gauze>16 <= 48 sq in,,,28 ,,NW,,,,,,$0.67,$0.00,1,1,1,0,0,1,20091001,,A6404,HCPCS,Sterile gauze > 48 sq in,,,28 ,,NW,,,,,,$0.83,$0.00,1,1,1,0,0,1,20091001,,A6407,HCPCS,"Packing strips, non-impreg",,,28 ,,NW,,,,,,$2.89,$0.00,1,1,1,0,1,1,20091001,,A6410,HCPCS,Sterile eye pad,,,28 ,,NW,,,,,,$0.67,$0.00,1,1,1,0,0,1,20091001,,A6411,HCPCS,Non-sterile eye pad,,,28 ,,NW,,,,,,$0.81,$0.00,1,1,1,0,0,1,20091001,,A6412,HCPCS,Occlusive eye patch,,,28 ,,NW,,,,,,$0.47,$0.00,1,1,1,0,0,1,20091001,,A6441,HCPCS,"Pad band w>=3"" <5""/yd",,,28 ,,NW,,,,,,$0.92,$0.00,1,1,1,0,1,1,20091001,,A6442,HCPCS,"Conform band n/s w<3""/yd",,,28 ,,NW,,,,,,$0.24,$0.00,1,1,1,1,1,1,20091001,,A6443,HCPCS,"Conform band n/s w>=3""<5""/yd",,,28 ,,NW,,,,,,$0.46,$0.00,1,1,1,0,1,1,20091001,,A6444,HCPCS,"Conform band n/s w>=5""/yd",,,28 ,,NW,,,,,,$0.91,$0.00,1,1,1,0,1,1,20091001,,A6445,HCPCS,"Conform band s w <3""/yd",,,28 ,,NW,,,,,,$0.51,$0.00,1,1,1,0,1,1,20091001,,A6446,HCPCS,"Conform band s w>=3"" <5""/yd",,,28 ,,NW,,,,,,$0.65,$0.00,1,1,1,0,1,1,20091001,,A6447,HCPCS,"Conform band s w >=5""/yd",,,28 ,,NW,,,,,,$1.06,$0.00,1,1,1,0,1,1,20091001,,A6448,HCPCS,"Lt compres band <3""/yd",,,28 ,,NW,,,,,,$1.92,$0.00,1,1,1,0,1,1,20091001,,A6449,HCPCS,"Lt compres band >=3"" <5""/yd",,,28 ,,NW,,,,,,$2.40,$0.00,1,1,1,0,1,1,20091001,,A6450,HCPCS,"Lt compres band >=5""/yd",,,28 ,,NW,,,,,,$22.90,$0.00,1,1,1,0,1,1,20091001,,A6451,HCPCS,"Mod compres band w>=3""<5""/yd",,,28 ,,NW,,,,,,$67.24,$0.00,1,1,1,0,1,1,20091001,,A6452,HCPCS,"High compres band w>=3""<5""yd",,,28 ,,NW,,,,,,$8.22,$0.00,1,1,1,0,1,1,20091001,,A6453,HCPCS,"Self-adher band w <3""/yd",,,28 ,,NW,,,,,,$0.98,$0.00,1,1,1,0,1,1,20091001,,A6454,HCPCS,"Self-adher band w>=3"" <5""/yd",,,28 ,,NW,,,,,,$1.28,$0.00,1,1,1,0,1,1,20091001,,A6455,HCPCS,"Self-adher band >=5""/yd",,,28 ,,NW,,,,,,$2.09,$0.00,1,1,1,0,1,1,20091001,,A6456,HCPCS,"Zinc paste band w >=3""<5""/yd",,,28 ,,NW,,,,,,$1.93,$0.00,1,1,1,0,1,1,20091001,,A6457,HCPCS,Tubular dressing,,,28 ,,NW,,,,,,$1.98,$0.00,1,1,1,0,1,1,20091001,,A6505,HCPCS,Cmprsburngarment glove-elbow,,,28 ,,NW,,,,,,$165.92,$0.00,1,1,1,0,1,1,20091001,,A6506,HCPCS,Cmprsburngrmnt glove-axilla,,,28 ,,NW,,,,,,$68.38,$0.00,1,1,1,0,1,1,20091001,,A6510,HCPCS,Compres burn garment leotard,,,28 ,,NW,,,,,,$209.23,$0.00,1,1,1,0,1,1,20091001,,A6512,HCPCS,"Compres burn garment, noc",,,28 ,,NW,,,,,,$15.13,$0.00,1,1,1,0,1,1,20091001,,A6530,HCPCS,Compression stocking bk18-30,,,28 ,,NW,,,,,,$114.32,$0.00,1,1,1,0,1,1,20091001,,A6531,HCPCS,Compression stocking bk30-40,,,28 ,,NW,,,,,,$77.26,$0.00,1,1,1,0,1,1,20091001,,A6532,HCPCS,Compression stocking bk40-50,,,28 ,,NW,,,,,,$105.71,$0.00,1,1,1,0,1,1,20091001,,A6533,HCPCS,Gc stocking thighlngth 18-30,,,28 ,,NW,,,,,,$128.00,$0.00,1,1,1,0,1,1,20091001,,A6534,HCPCS,Gc stocking thighlngth 30-40,,,28 ,,NW,,,,,,$150.22,$0.00,1,1,1,0,1,1,20091001,,A6535,HCPCS,Gc stocking thighlngth 40-50,,,28 ,,NW,,,,,,$91.51,$0.00,1,1,1,0,1,1,20091001,,A6536,HCPCS,Gc stocking full lngth 18-30,,,28 ,,NW,,,,,,$171.46,$0.00,1,1,1,0,1,1,20091001,,A6537,HCPCS,Gc stocking full lngth 30-40,,,28 ,,NW,,,,,,$200.23,$0.00,1,1,1,0,1,1,20091001,,A6538,HCPCS,Gc stocking full lngth 40-50,,,28 ,,NW,,,,,,$83.43,$0.00,1,1,1,0,1,1,20091001,,A6539,HCPCS,Gc stocking waistlngth 18-30,,,28 ,,NW,,,,,,$193.36,$0.00,1,1,1,0,1,1,20091001,,A6540,HCPCS,Gc stocking waistlngth 30-40,,,28 ,,NW,,,,,,$182.73,$0.00,1,1,1,0,1,1,20091001,,A6541,HCPCS,Gc stocking waistlngth 40-50,,,28 ,,NW,,,,,,$346.35,$0.00,1,1,1,0,1,1,20091001,,A6542,HCPCS,Gc stocking custom made,,,28 ,,NW,,,,,,$579.73,$0.00,1,1,1,0,1,1,20091001,,A6543,HCPCS,Gc stocking lymphedema,,,28 ,,NW,,,,,,$204.26,$0.00,1,1,1,0,1,1,20091001,,A6544,HCPCS,Gc stocking garter belt,,,28 ,,NW,,,,,,$34.92,$0.00,1,1,1,0,1,1,20091001,,A6549,HCPCS,G compression stocking,,,28 ,,NW,,,,,,$123.20,$0.00,1,1,1,0,1,1,20091001,,A6550,HCPCS,Neg pres wound ther drsg set,,,28 ,,NW,,,,,,$635.36,$0.00,1,1,1,0,0,1,20091001,,A7000,HCPCS,Disposable canister for pump,,,28 ,,NW,,,,,,$16.54,$0.00,1,1,1,0,0,1,20091001,,A7001,HCPCS,Nondisposable pump canister,,,28 ,,NW,,,,,,$66.20,$0.00,1,1,1,0,0,1,20091001,,A7002,HCPCS,Tubing used w suction pump,,,28 ,,NW,,,,,,$7.45,$0.00,1,1,1,0,0,1,20091001,,A7003,HCPCS,Nebulizer administration set,,,28 ,,NW,,,,,,$4.60,$0.00,1,1,1,0,0,1,20091001,,A7004,HCPCS,Disposable nebulizer sml vol,,,28 ,,NW,,,,,,$2.94,$0.00,1,1,1,0,0,1,20091001,,A7005,HCPCS,Nondisposable nebulizer set,,,28 ,,NW,,,,,,$65.51,$0.00,1,1,1,0,0,1,20091001,,A7006,HCPCS,Filtered nebulizer admin set,,,28 ,,NW,,,,,,$16.05,$0.00,1,1,1,0,0,1,20091001,,A7007,HCPCS,Lg vol nebulizer disposable,,,28 ,,NW,,,,,,$9.33,$0.00,1,1,1,0,0,1,20091001,,A7008,HCPCS,Disposable nebulizer prefill,,,28 ,,NW,,,,,,$17.64,$0.00,1,1,1,0,0,1,20091001,,A7009,HCPCS,Nebulizer reservoir bottle,,,28 ,,NW,,,,,,$84.12,$0.00,1,1,1,0,0,1,20091001,,A7010,HCPCS,Disposable corrugated tubing,,,28 ,,NW,,,,,,$37.91,$0.00,1,1,1,0,0,1,20091001,,A7011,HCPCS,Nondispos corrugated tubing,,,28 ,,NW,,,,,,$47.04,$0.00,1,1,1,0,0,1,20091001,,A7012,HCPCS,Nebulizer water collec devic,,,28 ,,NW,,,,,,$7.51,$0.00,1,1,1,0,0,1,20091001,,A7013,HCPCS,Disposable compressor filter,,,28 ,,NW,,,,,,$1.37,$0.00,1,1,1,0,0,1,20091001,,A7014,HCPCS,Compressor nondispos filter,,,28 ,,NW,,,,,,$8.99,$0.00,1,1,1,0,0,1,20091001,,A7015,HCPCS,Aerosol mask used w nebulize,,,28 ,,NW,,,,,,$3.81,$0.00,1,1,1,0,0,1,20091001,,A7016,HCPCS,Nebulizer dome & mouthpiece,,,28 ,,NW,,,,,,$11.56,$0.00,1,1,1,0,0,1,20091001,,A7017,HCPCS,Nebulizer not used w oxygen,,,28 ,,NW,,,,,,$206.99,$0.00,1,1,1,0,0,1,20091001,,A7018,HCPCS,Water distilled w/nebulizer,,,28 ,,NW,,,,,,$0.70,$0.00,1,1,1,0,0,1,20091001,,A7025,HCPCS,Replace chest compress vest,,,28 ,,NW,,,,,,$870.40,$0.00,1,1,1,0,0,1,20091001,,A7026,HCPCS,Replace chst cmprss sys hose,,,28 ,,NW,,,,,,$57.54,$0.00,1,1,1,0,0,1,20091001,,A7030,HCPCS,Cpap full face mask,,,28 ,,NW,,,,,,$391.68,$0.00,1,1,1,0,0,1,20091001,,A7031,HCPCS,Replacement facemask interfa,,,28 ,,NW,,,,,,$127.87,$0.00,1,1,1,0,0,1,20091001,,A7032,HCPCS,Replacement nasal cushion,NU,,28 ,,NW,,,,,,$122.07,$0.00,1,1,1,0,0,1,20091001,,A7032,HCPCS,Replacement nasal cushion,,,28 ,,NW,,,,,,$75.47,$0.00,1,1,1,1,1,1,20091001,,A7033,HCPCS,Replacement nasal pillows,NU,,28 ,,NW,,,,,,$78.07,$0.00,1,1,1,0,0,1,20091001,,A7033,HCPCS,Replacement nasal pillows,,,28 ,,NW,,,,,,$54.13,$0.00,1,1,1,1,1,1,20091001,,A7034,HCPCS,Nasal application device,NU,,28 ,,NW,,,,,,$188.54,$0.00,1,1,1,0,0,1,20091001,,A7034,HCPCS,Nasal application device,,,28 ,,NW,,,,,,$253.29,$0.00,1,1,1,1,1,1,20091001,,A7035,HCPCS,Pos airway press headgear,NU,,28 ,,NW,,,,,,$68.36,$0.00,1,1,1,0,0,1,20091001,,A7035,HCPCS,Pos airway press headgear,,,28 ,,NW,,,,,,$85.96,$0.00,1,1,1,1,1,1,20091001,,A7036,HCPCS,Pos airway press chinstrap,NU,,28 ,,NW,,,,,,$39.10,$0.00,1,1,1,0,0,1,20091001,,A7036,HCPCS,Pos airway press chinstrap,,,28 ,,NW,,,,,,$35.93,$0.00,1,1,1,1,1,1,20091001,,A7037,HCPCS,Pos airway pressure tubing,NU,,28 ,,NW,,,,,,$63.40,$0.00,1,1,1,0,0,1,20091001,,A7037,HCPCS,Pos airway pressure tubing,,,28 ,,NW,,,,,,$72.50,$0.00,1,1,1,1,1,1,20091001,,A7038,HCPCS,Pos airway pressure filter,NU,,28 ,,NW,,,,,,$19.32,$0.00,1,1,1,1,1,1,20091001,,A7039,HCPCS,"Filter, non disposable w pap",NU,,28 ,,NW,,,,,,$28.26,$0.00,1,1,1,1,1,1,20091001,,A7040,HCPCS,One way chest drain valve,,,28 ,,NW,,,,,,$55.01,$0.00,1,1,1,0,1,1,20091001,,A7041,HCPCS,Water seal drain container,,,28 ,,NW,,,,,,$103.35,$0.00,1,1,1,0,1,1,20091001,,A7042,HCPCS,Implanted pleural catheter,,,28 ,,NW,,,,,,$360.38,$0.00,1,1,1,0,0,1,20091001,,A7043,HCPCS,Vacuum drainagebottle/tubing,,,28 ,,NW,,,,,,$49.79,$0.00,1,1,1,0,0,1,20091001,,A7044,HCPCS,Pap oral interface,NU,,28 ,,NW,,,,,,$160.16,$0.00,1,1,1,1,1,1,20091001,,A7045,HCPCS,Repl exhalation port for pap,NU,,28 ,,NW,,,,,,$35.10,$0.00,1,1,1,1,1,1,20091001,,A7045,HCPCS,Repl exhalation port for pap,RR,,28 ,,NW,,,,,,$2.98,$0.00,1,1,1,1,1,1,20091001,,A7045,HCPCS,Repl exhalation port for pap,UE,,28 ,,NW,,,,,,$25.97,$0.00,1,1,1,1,1,1,20091001,,A7045,HCPCS,Repl exhalation port for pap,,,28 ,,NW,,,,,,$2.38,$0.00,1,1,1,0,1,1,20091001,,A7046,HCPCS,"Repl water chamber, pap dev",NU,,28 ,,NW,,,,,,$46.51,$0.00,1,1,1,1,1,1,20091001,,A7501,HCPCS,Tracheostoma valve w diaphra,,,28 ,,NW,,,,,,$210.20,$0.00,1,1,1,0,0,1,20091001,,A7502,HCPCS,Replacement diaphragm/fplate,,,28 ,,NW,,,,,,$99.87,$0.00,1,1,1,0,0,1,20091001,,A7503,HCPCS,Hmes filter holder or cap,,,28 ,,NW,,,,,,$17.99,$0.00,1,1,1,0,0,1,20091001,,A7504,HCPCS,Tracheostoma hmes filter,,,28 ,,NW,,,,,,$1.17,$0.00,1,1,1,0,0,1,20091001,,A7505,HCPCS,Hmes or trach valve housing,,,28 ,,NW,,,,,,$6.97,$0.00,1,1,1,0,0,1,20091001,,A7506,HCPCS,Hmes/trachvalve adhesivedisk,,,28 ,,NW,,,,,,$0.60,$0.00,1,1,1,0,0,1,20091001,,A7507,HCPCS,Integrated filter & holder,,,28 ,,NW,,,,,,$5.26,$0.00,1,1,1,0,0,1,20091001,,A7508,HCPCS,Housing & integrated adhesiv,,,28 ,,NW,,,,,,$6.17,$0.00,1,1,1,0,0,1,20091001,,A7509,HCPCS,Heat & moisture exchange sys,,,28 ,,NW,,,,,,$2.12,$0.00,1,1,1,0,0,1,20091001,,A7520,HCPCS,Trach/laryn tube non-cuffed,,,28 ,,NW,,,,,,$130.07,$0.00,1,1,1,0,1,1,20091001,,A7521,HCPCS,Trach/laryn tube cuffed,,,28 ,,NW,,,,,,$104.62,$0.00,1,1,1,0,1,1,20091001,,A7522,HCPCS,Trach/laryn tube stainless,,,28 ,,NW,,,,,,$90.38,$0.00,1,1,1,0,1,1,20091001,,A7523,HCPCS,Tracheostomy shower protect,,,28 ,,NW,,,,,,$23.95,$0.00,1,1,1,0,1,1,20091001,,A7524,HCPCS,Tracheostoma stent/stud/bttn,,,28 ,,NW,,,,,,$154.89,$0.00,1,1,1,0,1,1,20091001,,A7525,HCPCS,Tracheostomy mask,,,28 ,,NW,,,,,,$10.61,$0.00,1,1,1,0,0,1,20091001,,A7526,HCPCS,Tracheostomy tube collar,,,28 ,,NW,,,,,,$53.55,$0.00,1,1,1,0,1,1,20091001,,A7527,HCPCS,Trach/laryn tube plug/stop,,,28 ,,NW,,,,,,$17.40,$0.00,1,1,1,0,1,1,20091001,,A8000,HCPCS,Soft protect helmet prefab,NU,,28 ,,NW,,,,,,$234.01,$0.00,1,1,1,1,1,1,20091001,,A8000,HCPCS,Soft protect helmet prefab,RR,,28 ,,NW,,,,,,$23.39,$0.00,1,1,1,1,1,1,20091001,,A8000,HCPCS,Soft protect helmet prefab,UE,,28 ,,NW,,,,,,$173.17,$0.00,1,1,1,1,1,1,20091001,,A8001,HCPCS,Hard protect helmet prefab,NU,,28 ,,NW,,,,,,$234.01,$0.00,1,1,1,1,1,1,20091001,,A8001,HCPCS,Hard protect helmet prefab,RR,,28 ,,NW,,,,,,$23.39,$0.00,1,1,1,1,1,1,20091001,,A8001,HCPCS,Hard protect helmet prefab,UE,,28 ,,NW,,,,,,$173.17,$0.00,1,1,1,1,1,1,20091001,,A9150,HCPCS,Misc/exper non-prescript dru,,,29 ,,NW,,,,,,$12.56,$0.00,1,1,1,0,0,1,20091001,,A9270,HCPCS,Non-covered item or service,,,28 ,,NW,,,,,,$652.48,$0.00,1,1,1,0,0,1,20091001,,A9275,HCPCS,Disp home glucose monitor,,,28 ,,NW,,,,,,$15.46,$0.00,1,1,1,0,1,1,20091001,,A9280,HCPCS,"Alert device, noc",,,28 ,,NW,,,,,,$347.10,$0.00,1,1,1,0,1,1,20091001,,A9281,HCPCS,Reaching/grabbing device,,,28 ,,NW,,,,,,$15.47,$0.00,1,1,1,0,1,1,20091001,,A9282,HCPCS,Wig any type,,,28 ,,NW,,,,,,$321.50,$0.00,1,1,1,0,1,1,20091001,,A9300,HCPCS,Exercise equipment,,,28 ,,NW,,,,,,$27.75,$0.00,1,1,1,0,0,1,20091001,,A9500,HCPCS,Tc99m sestamibi,,,28 ,,NW,,,,,,$179.88,$0.00,1,1,1,0,0,1,20091001,,A9502,HCPCS,Tc99m tetrofosmin,,,28 ,,NW,,,,,,$201.63,$0.00,1,1,1,0,0,1,20091001,,A9503,HCPCS,Tc99m medronate,,,28 ,,NW,,,,,,$46.78,$0.00,1,1,1,0,0,1,20091001,,A9504,HCPCS,Tc99m apcitide,,,28 ,,NW,,,,,,$83.49,$0.00,1,1,1,0,0,1,20091001,,A9505,HCPCS,Tl201 thallium,,,28 ,,NW,,,,,,$78.94,$0.00,1,1,1,0,0,1,20091001,,A9507,HCPCS,In111 capromab,,,28 ,,NW,,,,,,"$3,388.56",$0.00,1,1,1,0,0,1,20091001,,A9508,HCPCS,"I131 iodobenguate, dx",,,28 ,,NW,,,,,,$38.65,$0.00,1,1,1,0,0,1,20091001,,A9509,HCPCS,Iodine i-123 sod iodide mil,,,28 ,,NW,,,,,,$88.57,$0.00,1,1,1,0,1,1,20091001,,A9510,HCPCS,Tc99m disofenin,,,28 ,,NW,,,,,,$133.95,$0.00,1,1,1,0,0,1,20091001,,A9532,HCPCS,"I125 serum albumin, dx",,,28 ,,NW,,,,,,$734.75,$0.00,1,1,1,0,1,1,20091001,,A9547,HCPCS,In111 oxyquinoline,,,28 ,,NW,,,,,,"$1,059.46",$0.00,1,1,1,0,1,1,20091001,,A9548,HCPCS,In111 pentetate,,,28 ,,NW,,,,,,$635.67,$0.00,1,1,1,0,1,1,20091001,,A9556,HCPCS,Ga67 gallium,,,28 ,,NW,,,,,,$79.41,$0.00,1,1,1,0,1,1,20091001,,A9564,HCPCS,P32 chromic phosphate,,,28 ,,NW,,,,,,$542.44,$0.00,1,1,1,0,1,1,20091001,,A9570,HCPCS,Indium in-111 auto wbc,,,28 ,,NW,,,,,,$277.23,$0.00,1,1,1,0,1,1,20091001,,A9579,HCPCS,"Gad-base mr contrast nos,1ml",,,28 ,,NW,,,,,,$2.55,$0.00,1,1,1,0,1,1,20091001,,A9600,HCPCS,Sr89 strontium,,,28 ,,NW,,,,,,"$1,370.94",$0.00,1,1,1,0,0,1,20091001,,A9605,HCPCS,Sm 153 lexidronm,,,28 ,,NW,,,,,,$611.39,$0.00,1,1,1,0,0,1,20091001,,A9700,HCPCS,Echocardiography contrast,,,28 ,,NW,,,,,,$244.33,$0.00,1,1,1,0,0,1,20091001,,A9900,HCPCS,Supply/accessory/service,,,28 ,,NW,,,,,,$154.06,$0.00,1,1,1,0,0,1,20091001,,A9901,HCPCS,Delivery/set up/dispensing,,,28 ,,NW,,,,,,$84.98,$0.00,1,1,1,0,0,1,20091001,,A9999,HCPCS,"Dme supply or accessory, nos",,,28 ,,NW,,,,,,$96.64,$0.00,1,1,1,0,1,1,20091001,,B4034,HCPCS,Enter feed supkit syr by day,,,28 ,,NW,,,,,,$158.91,$0.00,1,1,1,0,0,1,20091001,,B4035,HCPCS,Enteral feed supp pump per d,,,28 ,,NW,,,,,,$252.64,$0.00,1,1,1,0,0,1,20091001,,B4036,HCPCS,Enteral feed sup kit grav by,,,28 ,,NW,,,,,,$245.17,$0.00,1,1,1,0,0,1,20091001,,B4081,HCPCS,Enteral ng tubing w/ stylet,,,28 ,,NW,,,,,,$50.92,$0.00,1,1,1,0,0,1,20091001,,B4082,HCPCS,Enteral ng tubing w/o stylet,,,28 ,,NW,,,,,,$37.95,$0.00,1,1,1,0,0,1,20091001,,B4083,HCPCS,Enteral stomach tube levine,,,28 ,,NW,,,,,,$4.55,$0.00,1,1,1,0,0,1,20091001,,B4087,HCPCS,"Gastro/jejuno tube, std",,,28 ,,NW,,,,,,$74.62,$0.00,1,1,1,0,0,1,20091001,,B4088,HCPCS,"Gastro/jejuno tube, low-pro",,,28 ,,NW,,,,,,$74.62,$0.00,1,1,1,0,0,1,20091001,,B4100,HCPCS,Food thickener oral,,,28 ,,NW,,,,,,$90.43,$0.00,1,1,1,0,0,1,20091001,,B4102,HCPCS,Ef adult fluids and electro,,,28 ,,NW,,,,,,$653.80,$0.00,1,1,1,0,0,1,20091001,,B4103,HCPCS,Ef ped fluid and electrolyte,,,28 ,,NW,,,,,,$148.61,$0.00,1,1,1,0,0,1,20091001,,B4104,HCPCS,Additive for enteral formula,,,28 ,,NW,,,,,,$29.44,$0.00,1,1,1,0,0,1,20091001,,B4149,HCPCS,Ef blenderized foods,,,28 ,,NW,,,,,,$3.22,$0.00,1,1,1,0,1,1,20091001,,B4150,HCPCS,Ef complet w/intact nutrient,,,28 ,,NW,,,,,,$304.83,$0.00,1,1,1,0,0,1,20091001,,B4152,HCPCS,Ef calorie dense>/=1.5kcal,,,28 ,,NW,,,,,,$296.04,$0.00,1,1,1,0,0,1,20091001,,B4153,HCPCS,Ef hydrolyzed/amino acids,,,28 ,,NW,,,,,,$930.22,$0.00,1,1,1,0,0,1,20091001,,B4154,HCPCS,Ef spec metabolic noninherit,,,28 ,,NW,,,,,,$441.96,$0.00,1,1,1,0,0,1,20091001,,B4155,HCPCS,Ef incomplete/modular,,,28 ,,NW,,,,,,$48.81,$0.00,1,1,1,0,0,1,20091001,,B4159,HCPCS,Ef ped complete soy based,,,28 ,,NW,,,,,,$289.24,$0.00,1,1,1,0,0,1,20091001,,B4160,HCPCS,Ef ped caloric dense>/=0.7kc,,,28 ,,NW,,,,,,$137.99,$0.00,1,1,1,0,0,1,20091001,,B4161,HCPCS,Ef ped hydrolyzed/amino acid,,,28 ,,NW,,,,,,"$1,136.88",$0.00,1,1,1,0,0,1,20091001,,B4164,HCPCS,Parenteral 50% dextrose solu,,,28 ,,NW,,,,,,$34.46,$0.00,1,1,1,0,0,1,20091001,,B4168,HCPCS,Parenteral sol amino acid 3.,,,28 ,,NW,,,,,,$50.22,$0.00,1,1,1,0,0,1,20091001,,B4172,HCPCS,Parenteral sol amino acid 5.,,,28 ,,NW,,,,,,$150.02,$0.00,1,1,1,0,0,1,20091001,,B4176,HCPCS,Parenteral sol amino acid 7-,,,28 ,,NW,,,,,,$97.17,$0.00,1,1,1,0,0,1,20091001,,B4178,HCPCS,Parenteral sol amino acid >,,,28 ,,NW,,,,,,$120.49,$0.00,1,1,1,0,0,1,20091001,,B4180,HCPCS,Parenteral sol carb > 50%,,,28 ,,NW,,,,,,$49.43,$0.00,1,1,1,0,0,1,20091001,,B4185,HCPCS,Parenteral sol 10 gm lipids,,,28 ,,NW,,,,,,"$1,217.90",$0.00,1,1,1,0,0,1,20091001,,B4189,HCPCS,Parenteral sol amino acid &,,,28 ,,NW,,,,,,$337.43,$0.00,1,1,1,0,0,1,20091001,,B4193,HCPCS,Parenteral sol 52-73 gm prot,,,28 ,,NW,,,,,,"$2,757.39",$0.00,1,1,1,0,0,1,20091001,,B4197,HCPCS,Parenteral sol 74-100 gm pro,,,28 ,,NW,,,,,,"$3,103.11",$0.00,1,1,1,0,0,1,20091001,,B4199,HCPCS,Parenteral sol > 100gm prote,,,28 ,,NW,,,,,,$624.44,$0.00,1,1,1,0,0,1,20091001,,B4216,HCPCS,Parenteral nutrition additiv,,,28 ,,NW,,,,,,$14.32,$0.00,1,1,1,0,0,1,20091001,,B4220,HCPCS,Parenteral supply kit premix,,,28 ,,NW,,,,,,$308.22,$0.00,1,1,1,0,0,1,20091001,,B4222,HCPCS,Parenteral supply kit homemi,,,28 ,,NW,,,,,,$20.01,$0.00,1,1,1,0,0,1,20091001,,B4224,HCPCS,Parenteral administration ki,,,28 ,,NW,,,,,,$520.19,$0.00,1,1,1,0,0,1,20091001,,B5000,HCPCS,Parenteral sol renal-amirosy,,,28 ,,NW,,,,,,$24.09,$0.00,1,1,1,0,0,1,20091001,,B5100,HCPCS,Parenteral sol hepatic-fream,,,28 ,,NW,,,,,,$9.43,$0.00,1,1,1,0,0,1,20091001,,B5200,HCPCS,Parenteral sol stres-brnch c,,,28 ,,NW,,,,,,$665.78,$0.00,1,1,1,0,0,1,20091001,,B9000,HCPCS,Enter infusion pump w/o alrm,NU,,28 ,,NW,,,,,,"$1,259.39",$0.00,1,1,1,0,0,1,20091001,,B9000,HCPCS,Enter infusion pump w/o alrm,RR,,28 ,,NW,,,,,,"$1,322.41",$0.00,1,1,1,0,0,1,20091001,,B9000,HCPCS,Enter infusion pump w/o alrm,UE,,28 ,,NW,,,,,,$931.95,$0.00,1,1,1,0,0,1,20091001,,B9002,HCPCS,Enteral infusion pump w/ ala,NU,,28 ,,NW,,,,,,"$2,564.52",$0.00,1,1,1,0,0,1,20091001,,B9002,HCPCS,Enteral infusion pump w/ ala,RR,,28 ,,NW,,,,,,$226.46,$0.00,1,1,1,0,0,1,20091001,,B9004,HCPCS,Parenteral infus pump portab,NU,,28 ,,NW,,,,,,"$5,115.48",$0.00,1,1,1,0,0,1,20091001,,B9004,HCPCS,Parenteral infus pump portab,RR,,28 ,,NW,,,,,,$729.91,$0.00,1,1,1,0,0,1,20091001,,B9004,HCPCS,Parenteral infus pump portab,UE,,28 ,,NW,,,,,,"$3,785.46",$0.00,1,1,1,0,0,1,20091001,,B9006,HCPCS,Parenteral infus pump statio,NU,,28 ,,NW,,,,,,"$5,115.48",$0.00,1,1,1,0,0,1,20091001,,B9006,HCPCS,Parenteral infus pump statio,RR,,28 ,,NW,,,,,,$809.82,$0.00,1,1,1,0,0,1,20091001,,B9006,HCPCS,Parenteral infus pump statio,UE,,28 ,,NW,,,,,,"$3,785.46",$0.00,1,1,1,0,0,1,20091001,,B9998,HCPCS,Enteral supp not otherwise c,,,28 ,,NW,,,,,,$90.15,$0.00,1,1,1,0,0,1,20091001,,B9999,HCPCS,Parenteral supp not othrws c,,,28 ,,NW,,,,,,"$6,744.50",$0.00,1,1,1,0,0,1,20091001,,C8929,HCPCS,"Tte w or wo fol wcon,doppler",,,28 ,,NW,,,,,,$849.24,$0.00,1,1,1,0,1,1,20091001,,C8930,HCPCS,"Tte w or w/o contr, cont ecg",,,28 ,,NW,,,,,,$849.24,$0.00,1,1,1,0,1,1,20091001,,C9245,HCPCS,"Injection, romiplostim",,,29 ,,NW,,,,,,$67.58,$0.00,1,1,1,0,1,1,20091001,,C9246,HCPCS,"Inj, gadoxetate disodium",,,29 ,,NW,,,,,,$20.67,$0.00,1,1,1,0,1,1,20091001,,C9248,HCPCS,"Inj, clevidipine butyrate",,,29 ,,NW,,,,,,$9.23,$0.00,1,1,1,0,1,1,20091001,,C9726,HCPCS,Rxt breast appl place/remov,,,28 ,,NW,,,,,,$673.33,$0.00,1,1,1,0,1,1,20091001,,D0120,HCPCS,Periodic oral evaluation est pt,,,25 ,,NW,,,,,,$47.14,$0.00,1,0,1,1,1,1,20091001,,D0140,HCPCS,Ltd oral evaluation - problem focus,,,25 ,,NW,,,,,,$78.32,$0.00,1,0,1,1,1,1,20091001,,D0145,HCPCS,Orl eval pt<3 yr cnsl prim caregivr,,,25 ,,NW,,,,,,$77.57,$0.00,1,0,1,0,0,1,20091001,,D0150,HCPCS,Comp oral evaluation - new/est pt,,,25 ,,NW,,,,,,$85.67,$0.00,1,0,1,1,1,1,20091001,,D0160,HCPCS,Dtl&ext oral eval - prob focus rpt,,,25 ,,NW,,,,,,$210.65,$0.00,1,0,1,1,1,1,20091001,,D0170,HCPCS,Re-evaluation - ltd problem focused,,,25 ,,NW,,,,,,$43.20,$0.00,1,0,1,1,1,1,20091001,,D0180,HCPCS,Comp periodontal eval - new/est pt,,,25 ,,NW,,,,,,$88.81,$0.00,1,0,1,1,1,1,20091001,,D0210,HCPCS,Intraoral-complete series,,,25 ,,NW,,,,,,$141.96,$0.00,1,0,1,1,1,1,20091001,,D0220,HCPCS,Intraoral periapical first film,,,25 ,,NW,,,,,,$28.00,$0.00,1,0,1,1,1,1,20091001,,D0230,HCPCS,Intraorl periapical ea add film,,,25 ,,NW,,,,,,$23.63,$0.00,1,0,1,1,1,1,20091001,,D0240,HCPCS,Intraoral - occlusal film,,,25 ,,NW,,,,,,$39.95,$0.00,1,0,1,1,1,1,20091001,,D0250,HCPCS,Extraoral - first film,,,25 ,,NW,,,,,,$56.54,$0.00,1,0,1,1,1,1,20091001,,D0260,HCPCS,Extraoral - each additional film,,,25 ,,NW,,,,,,$52.74,$0.00,1,0,1,1,1,1,20091001,,D0270,HCPCS,Bitewing - single film,,,25 ,,NW,,,,,,$28.15,$0.00,1,0,1,1,1,1,20091001,,D0272,HCPCS,Bitewings - two films,,,25 ,,NW,,,,,,$42.16,$0.00,1,0,1,1,1,1,20091001,,D0273,HCPCS,Bitewings - three films,,,25 ,,NW,,,,,,$52.47,$0.00,1,0,1,0,0,1,20091001,,D0274,HCPCS,Bitewings - four films,,,25 ,,NW,,,,,,$61.49,$0.00,1,0,1,1,1,1,20091001,,D0277,HCPCS,Vertical bitewings - 7 to 8 films,,,25 ,,NW,,,,,,$88.65,$0.00,1,0,1,1,1,1,20091001,,D0290,HCPCS,Post-ant/lat skull&face bone film,,,25 ,,NW,,,,,,$167.18,$0.00,1,0,1,1,1,1,20091001,,D0310,HCPCS,Sialography,,,25 ,,NW,,,,,,$477.18,$0.00,1,0,1,1,1,1,20091001,,D0320,HCPCS,Tmj arthrogram including inj,,,25 ,,NW,,,,,,$772.90,$0.00,1,0,1,1,1,1,20091001,,D0321,HCPCS,Oth tmj films by report,,,25 ,,NW,,,,,,$252.67,$0.00,1,0,1,1,1,1,20091001,,D0322,HCPCS,Tomographic survey,,,25 ,,NW,,,,,,$607.91,$0.00,1,0,1,1,1,1,20091001,,D0330,HCPCS,Panoramic film,,,25 ,,NW,,,,,,$107.22,$0.00,1,0,1,1,1,1,20091001,,D0340,HCPCS,Cephalometric film,,,25 ,,NW,,,,,,$136.17,$0.00,1,0,1,1,1,1,20091001,,D0350,HCPCS,Oral/facial photographic images,,,25 ,,NW,,,,,,$59.89,$0.00,1,0,1,1,1,1,20091001,,D0360,HCPCS,Cone beam ct craniofacial data,,,25 ,,NW,,,,,,$761.51,$0.00,1,0,1,0,0,1,20091001,,D0362,HCPCS,Cone beam 2-d reconst exist data mx,,,25 ,,NW,,,,,,$694.93,$0.00,1,0,1,0,0,1,20091001,,D0363,HCPCS,Cone beam 3-d reconst exist data m,,,25 ,,NW,,,,,,$682.51,$0.00,1,0,1,0,0,1,20091001,,D0415,HCPCS,Collect microoragnisms cult & sens,,,25 ,,NW,,,,,,$39.56,$0.00,1,0,1,1,1,1,20091001,,D0416,HCPCS,Viral culture,,,25 ,,NW,,,,,,$53.77,$0.00,1,1,1,0,1,1,20091001,,D0425,HCPCS,Caries susceptibility tests,,,25 ,,NW,,,,,,$36.16,$0.00,1,0,1,1,1,1,20091001,,D0431,HCPCS,Adjunct predx tst no cytol/bx proc,,,25 ,,NW,,,,,,$66.33,$0.00,1,1,1,0,1,1,20091001,,D0460,HCPCS,Pulp vitality tests,,,25 ,,NW,,,,,,$60.08,$0.00,1,0,1,1,1,1,20091001,,D0470,HCPCS,Diagnostic casts,,,25 ,,NW,,,,,,$132.36,$0.00,1,0,1,1,1,1,20091001,,D0472,HCPCS,Access tiss-gross exam-prep & reprt,,,25 ,,NW,,,,,,$77.96,$0.00,1,0,1,1,1,1,20091001,,D0473,HCPCS,Access tiss-gross/micro-prep/reprt,,,25 ,,NW,,,,,,$164.27,$0.00,1,0,1,1,1,1,20091001,,D0474,HCPCS,Acss tiss gr&mic surg marg prep/rpt,,,25 ,,NW,,,,,,$188.18,$0.00,1,0,1,1,1,1,20091001,,D0475,HCPCS,Decalcification procedure,,,25 ,,NW,,,,,,$103.50,$0.00,1,0,1,1,1,1,20091001,,D0476,HCPCS,Special stains for microorganisms,,,25 ,,NW,,,,,,$103.50,$0.00,1,0,1,1,1,1,20091001,,D0477,HCPCS,Special stains not microorganisms,,,25 ,,NW,,,,,,$125.01,$0.00,1,0,1,1,1,1,20091001,,D0478,HCPCS,Immunohistochemical stains,,,25 ,,NW,,,,,,$114.25,$0.00,1,0,1,1,1,1,20091001,,D0479,HCPCS,Tiss insitu hybridization w/intepr,,,25 ,,NW,,,,,,$174.74,$0.00,1,0,1,1,1,1,20091001,,D0480,HCPCS,Acess exfoliative cyt smer mic exam,,,25 ,,NW,,,,,,$114.25,$0.00,1,0,1,1,1,1,20091001,,D0481,HCPCS,Electron microscopy diagnostic,,,25 ,,NW,,,,,,$672.08,$0.00,1,0,1,1,1,1,20091001,,D0482,HCPCS,Direct immunofluorescence,,,25 ,,NW,,,,,,$147.86,$0.00,1,0,1,1,1,1,20091001,,D0483,HCPCS,Indirect immunofluorescence,,,25 ,,NW,,,,,,$134.42,$0.00,1,0,1,1,1,1,20091001,,D0484,HCPCS,Consultation slides prepared elsw,,,25 ,,NW,,,,,,$241.95,$0.00,1,0,1,1,1,1,20091001,,D0485,HCPCS,Cnslt w/prep slides bx spl ref src,,,25 ,,NW,,,,,,$278.24,$0.00,1,0,1,1,1,1,20091001,,D0486,HCPCS,Lab access brush bx sample mic exam,,,26 ,,NW,,,,,,$125.01,$0.00,1,0,1,0,0,1,20091001,,D0502,HCPCS,Other oral pathology proc report,,,25 ,,NW,,,,,,$196.60,$0.00,1,0,1,1,1,1,20091001,,D0999,HCPCS,Unspec diagnostic procedure report,,,25 ,,NW,,,,,,"$1,647.87",$0.00,1,0,1,1,1,1,20091001,,D1110,HCPCS,Prophylaxis - adult,,,25 ,,NW,,,,,,$89.41,$0.00,1,0,1,1,1,1,20091001,,D1120,HCPCS,Prophylaxis - child,,,25 ,,NW,,,,,,$61.15,$0.00,1,0,1,1,1,1,20091001,,D1203,HCPCS,Topical applic of fluoride - child,,,25 ,,NW,,,,,,$37.00,$0.00,1,0,1,1,1,1,20091001,,D1204,HCPCS,Topical applic of fluoride - adult,,,25 ,,NW,,,,,,$33.81,$0.00,1,0,1,1,1,1,20091001,,D1206,HCPCS,Top fluoride; tx appl mod-hi risk,,,25 ,,NW,,,,,,$53.70,$0.00,1,0,1,0,0,1,20091001,,D1310,HCPCS,Nutrit cnsl control dental disease,,,25 ,,NW,,,,,,$54.23,$0.00,1,0,1,1,1,1,20091001,,D1320,HCPCS,Tobacco cnsl cntrl&previon orl dz,,,25 ,,NW,,,,,,$47.05,$0.00,1,0,1,1,1,1,20091001,,D1330,HCPCS,Oral hygiene instructions,,,25 ,,NW,,,,,,$69.82,$0.00,1,0,1,1,1,1,20091001,,D1351,HCPCS,Sealant - per tooth,,,25 ,,NW,,,,,,$52.59,$0.00,1,0,1,1,1,1,20091001,,D1510,HCPCS,Space maintainer - fixed-unilateral,,,26 ,,NW,,,,,,$338.49,$0.00,1,0,1,1,1,1,20091001,,D1515,HCPCS,Space maintainer - fixed-bilateral,,,26 ,,NW,,,,,,$447.31,$0.00,1,0,1,1,1,1,20091001,,D1520,HCPCS,Space maintainer - removable-uni,,,26 ,,NW,,,,,,$430.55,$0.00,1,0,1,1,1,1,20091001,,D1525,HCPCS,Space maintainer - removable-bil,,,26 ,,NW,,,,,,$629.32,$0.00,1,0,1,1,1,1,20091001,,D1550,HCPCS,Recementation of space maintainer,,,26 ,,NW,,,,,,$71.65,$0.00,1,0,1,1,1,1,20091001,,D1555,HCPCS,Removal of fixed space maintainer,,,26 ,,NW,,,,,,$67.35,$0.00,1,0,1,0,0,1,20091001,,D2140,HCPCS,Amalgam-one surface primary/perm,,,26 ,,NW,,,,,,$135.29,$0.00,1,0,1,1,1,1,20091001,,D2150,HCPCS,Amalgam-two surfaces primary/perm,,,26 ,,NW,,,,,,$174.63,$0.00,1,0,1,1,1,1,20091001,,D2160,HCPCS,Amalgam-3 surfaces primary/perm,,,26 ,,NW,,,,,,$211.71,$0.00,1,0,1,1,1,1,20091001,,D2161,HCPCS,Amalgam-four/more surf prim/perm,,,26 ,,NW,,,,,,$253.72,$0.00,1,0,1,1,1,1,20091001,,D2330,HCPCS,Resin-one surface anterior,,,26 ,,NW,,,,,,$144.44,$0.00,1,0,1,1,1,1,20091001,,D2331,HCPCS,Resin-two surfaces anterior,,,26 ,,NW,,,,,,$181.31,$0.00,1,0,1,1,1,1,20091001,,D2332,HCPCS,Resin-three surfaces anterior,,,26 ,,NW,,,,,,$223.20,$0.00,1,0,1,1,1,1,20091001,,D2335,HCPCS,Resin-4 /> surfaces incisal angle,,,26 ,,NW,,,,,,$263.94,$0.00,1,0,1,1,1,1,20091001,,D2390,HCPCS,Resin compos crown anterior,,,26 ,,NW,,,,,,$294.03,$0.00,1,0,1,1,1,1,20091001,,D2391,HCPCS,Resin compos - 1 surface posterior,,,26 ,,NW,,,,,,$170.57,$0.00,1,0,1,1,1,1,20091001,,D2392,HCPCS,Resin compos - 2 surfaces posterior,,,26 ,,NW,,,,,,$222.94,$0.00,1,0,1,1,1,1,20091001,,D2393,HCPCS,Resin compos - 3 surfaces posterior,,,26 ,,NW,,,,,,$278.33,$0.00,1,0,1,1,1,1,20091001,,D2394,HCPCS,Resin compos - 4/more surfaces post,,,26 ,,NW,,,,,,$333.02,$0.00,1,0,1,1,1,1,20091001,,D2410,HCPCS,Gold foil - one surface,,,27 ,,NW,,,,,,$302.44,$0.00,1,0,1,1,1,1,20091001,,D2420,HCPCS,Gold foil - two surfaces,,,27 ,,NW,,,,,,$504.06,$0.00,1,0,1,1,1,1,20091001,,D2430,HCPCS,Gold foil - three surfaces,,,27 ,,NW,,,,,,$873.71,$0.00,1,0,1,1,1,1,20091001,,D2510,HCPCS,Inlay - metallic - one surface,,,27 ,,NW,,,,,,$799.78,$0.00,1,0,1,1,1,1,20091001,,D2520,HCPCS,Inlay - metallic - two surfaces,,,27 ,,NW,,,,,,$820.68,$0.00,1,0,1,1,1,1,20091001,,D2530,HCPCS,Inlay - metallic - 3/more surfaces,,,27 ,,NW,,,,,,"$1,017.97",$0.00,1,0,1,1,1,1,20091001,,D2542,HCPCS,Onlay - metallic - two surfaces,,,27 ,,NW,,,,,,"$1,004.03",$0.00,1,0,1,1,1,1,20091001,,D2543,HCPCS,Onlay metallic three surfaces,,,27 ,,NW,,,,,,"$1,051.21",$0.00,1,0,1,1,1,1,20091001,,D2544,HCPCS,Onlay metallic four or more surf,,,27 ,,NW,,,,,,"$1,098.19",$0.00,1,0,1,1,1,1,20091001,,D2610,HCPCS,Inlay - porceln/ceramic - 1 surface,,,27 ,,NW,,,,,,$931.98,$0.00,1,0,1,1,1,1,20091001,,D2620,HCPCS,Inlay - porceln/ceramic - 2 surf,,,27 ,,NW,,,,,,$988.94,$0.00,1,0,1,1,1,1,20091001,,D2630,HCPCS,Inlay - porceln/ceram - 3/more surf,,,27 ,,NW,,,,,,"$1,063.22",$0.00,1,0,1,1,1,1,20091001,,D2642,HCPCS,Onlay - porceln/ceramic - 2 surf,,,27 ,,NW,,,,,,"$1,030.36",$0.00,1,0,1,1,1,1,20091001,,D2643,HCPCS,Onlay - porceln/ceramic - 3 surf,,,27 ,,NW,,,,,,"$1,086.99",$0.00,1,0,1,1,1,1,20091001,,D2644,HCPCS,Onlay - porceln/ceram - 4/more surf,,,27 ,,NW,,,,,,"$1,146.52",$0.00,1,0,1,1,1,1,20091001,,D2650,HCPCS,Inlay resin composite one surface,,,27 ,,NW,,,,,,$618.32,$0.00,1,0,1,1,1,1,20091001,,D2651,HCPCS,Inlay resin composite two surfaces,,,27 ,,NW,,,,,,$733.13,$0.00,1,0,1,1,1,1,20091001,,D2652,HCPCS,Inlay resin composite 3/> surfaces,,,27 ,,NW,,,,,,$777.96,$0.00,1,0,1,1,1,1,20091001,,D2662,HCPCS,Onlay-rsn compos compos/rsn-2 surf,,,27 ,,NW,,,,,,$672.08,$0.00,1,0,1,1,1,1,20091001,,D2663,HCPCS,Onlay-rsn compos compos/rsn-3 surf,,,27 ,,NW,,,,,,$764.08,$0.00,1,0,1,1,1,1,20091001,,D2664,HCPCS,Onlay resin composite 4/> surfaces,,,27 ,,NW,,,,,,$820.28,$0.00,1,0,1,1,1,1,20091001,,D2710,HCPCS,Crown resinbased composite indirect,,,27 ,,NW,,,,,,$463.06,$0.00,1,0,1,1,1,1,20091001,,D2712,HCPCS,Crown 3/4 resnbased compos indirect,,,27 ,,NW,,,,,,$477.18,$0.00,1,0,1,1,1,1,20091001,,D2720,HCPCS,Crown - resin with high noble metal,,,27 ,,NW,,,,,,"$1,118.75",$0.00,1,0,1,1,1,1,20091001,,D2721,HCPCS,Crown - resin w/predom base metal,,,27 ,,NW,,,,,,"$1,102.22",$0.00,1,0,1,1,1,1,20091001,,D2722,HCPCS,Crown - resin with noble metal,,,27 ,,NW,,,,,,"$1,126.41",$0.00,1,0,1,1,1,1,20091001,,D2740,HCPCS,Crown - porcelain/ceramic substrate,,,27 ,,NW,,,,,,"$1,101.67",$0.00,1,0,1,1,1,1,20091001,,D2750,HCPCS,Crown - porceln fused hi noble metl,,,27 ,,NW,,,,,,"$1,114.27",$0.00,1,0,1,1,1,1,20091001,,D2751,HCPCS,Crown-porceln fusd predom base metl,,,27 ,,NW,,,,,,$988.22,$0.00,1,0,1,1,1,1,20091001,,D2752,HCPCS,Crown - porcelain fused noble metal,,,27 ,,NW,,,,,,"$1,031.61",$0.00,1,0,1,1,1,1,20091001,,D2780,HCPCS,Crown - 3/4 cast high noble metal,,,27 ,,NW,,,,,,"$1,096.96",$0.00,1,0,1,1,1,1,20091001,,D2781,HCPCS,Crown - 3/4 cast predom base metl,,,27 ,,NW,,,,,,$872.27,$0.00,1,0,1,1,1,1,20091001,,D2782,HCPCS,Crown - 3/4 cast noble metal,,,27 ,,NW,,,,,,"$1,054.44",$0.00,1,0,1,1,1,1,20091001,,D2783,HCPCS,Crown - 3/4 porcelain/ceramic,,,27 ,,NW,,,,,,"$1,095.77",$0.00,1,0,1,1,1,1,20091001,,D2790,HCPCS,Crown - full cast high noble metal,,,27 ,,NW,,,,,,"$1,044.53",$0.00,1,0,1,1,1,1,20091001,,D2791,HCPCS,Crown - full cast predom base metl,,,27 ,,NW,,,,,,$981.88,$0.00,1,0,1,1,1,1,20091001,,D2792,HCPCS,Crown - full cast noble metal,,,27 ,,NW,,,,,,"$1,048.13",$0.00,1,0,1,1,1,1,20091001,,D2794,HCPCS,Crown titanium,,,27 ,,NW,,,,,,"$1,176.15",$0.00,1,0,1,1,1,1,20091001,,D2799,HCPCS,Provisional crown,,,27 ,,NW,,,,,,$436.83,$0.00,1,0,1,1,1,1,20091001,,D2910,HCPCS,Recement inlay onlay/part cov rest,,,27 ,,NW,,,,,,$103.05,$0.00,1,0,1,1,1,1,20091001,,D2915,HCPCS,Recement cast/prefab post & core,,,27 ,,NW,,,,,,$103.70,$0.00,1,0,1,1,1,1,20091001,,D2920,HCPCS,Recement crown,,,27 ,,NW,,,,,,$101.34,$0.00,1,0,1,1,1,1,20091001,,D2930,HCPCS,Prfabr stainless steel crown-prim,,,27 ,,NW,,,,,,$261.86,$0.00,1,0,1,1,1,1,20091001,,D2931,HCPCS,Prfabr stainless steel crown-perm,,,27 ,,NW,,,,,,$285.72,$0.00,1,0,1,1,1,1,20091001,,D2932,HCPCS,Prefabricated resin crown,,,27 ,,NW,,,,,,$331.34,$0.00,1,0,1,1,1,1,20091001,,D2933,HCPCS,Prfabr stnlss steel crown rsn wndow,,,27 ,,NW,,,,,,$353.80,$0.00,1,0,1,1,1,1,20091001,,D2934,HCPCS,Prefb esthet coat stnlss steel crwn,,,27 ,,NW,,,,,,$364.69,$0.00,1,0,1,1,1,1,20091001,,D2940,HCPCS,Sedative filling,,,27 ,,NW,,,,,,$106.87,$0.00,1,0,1,1,1,1,20091001,,D2950,HCPCS,Core buildup including any pins,,,27 ,,NW,,,,,,$259.52,$0.00,1,0,1,1,1,1,20091001,,D2951,HCPCS,Pin retn - per tooth addition rest,,,27 ,,NW,,,,,,$56.68,$0.00,1,0,1,1,1,1,20091001,,D2952,HCPCS,Post & core add crown indirect fab,,,27 ,,NW,,,,,,$449.07,$0.00,1,0,1,1,1,1,20091001,,D2953,HCPCS,Ea add indirect fab post same tooth,,,27 ,,NW,,,,,,$201.63,$0.00,1,0,1,1,1,1,20091001,,D2954,HCPCS,Prefabr post&core addition crown,,,27 ,,NW,,,,,,$344.10,$0.00,1,0,1,1,1,1,20091001,,D2955,HCPCS,Post removal,,,27 ,,NW,,,,,,$276.02,$0.00,1,0,1,1,1,1,20091001,,D2957,HCPCS,Ea add prefabr post - same tooth,,,27 ,,NW,,,,,,$165.43,$0.00,1,0,1,1,1,1,20091001,,D2960,HCPCS,Labial veneer - chairside,,,27 ,,NW,,,,,,$814.00,$0.00,1,0,1,1,1,1,20091001,,D2961,HCPCS,Labial veneer - laboratory,,,27 ,,NW,,,,,,$925.86,$0.00,1,0,1,1,1,1,20091001,,D2962,HCPCS,Labial veneer - laboratory,,,27 ,,NW,,,,,,"$1,003.16",$0.00,1,0,1,1,1,1,20091001,,D2970,HCPCS,Temporary crown fractured tooth,,,27 ,,NW,,,,,,$253.97,$0.00,1,0,1,0,0,1,20091001,,D2971,HCPCS,Add proc new crown xst part denture,,,27 ,,NW,,,,,,$154.52,$0.00,1,0,1,1,1,1,20091001,,D2975,HCPCS,Coping,,,27 ,,NW,,,,,,$470.46,$0.00,1,0,1,1,1,1,20091001,,D2980,HCPCS,Crown repair by report,,,27 ,,NW,,,,,,$318.67,$0.00,1,0,1,1,1,1,20091001,,D2999,HCPCS,Unspec restorative procedure report,,,27 ,,NW,,,,,,"$1,668.06",$0.00,1,0,1,1,1,1,20091001,,D3110,HCPCS,Pulp cap - direct,,,26 ,,NW,,,,,,$75.00,$0.00,1,0,1,1,1,1,20091001,,D3120,HCPCS,Pulp cap - indirect,,,26 ,,NW,,,,,,$61.59,$0.00,1,0,1,1,1,1,20091001,,D3220,HCPCS,Tx pulpot-coronl dentnocementl junc,,,26 ,,NW,,,,,,$172.51,$0.00,1,0,1,1,1,1,20091001,,D3221,HCPCS,Pulpal debrid primary&perm teeth,,,26 ,,NW,,,,,,$189.58,$0.00,1,0,1,1,1,1,20091001,,D3230,HCPCS,Pulpal therapy - ant primary tooth,,,26 ,,NW,,,,,,$180.64,$0.00,1,0,1,1,1,1,20091001,,D3240,HCPCS,Pulpal therapy - post primary tooth,,,26 ,,NW,,,,,,$196.30,$0.00,1,0,1,1,1,1,20091001,,D3310,HCPCS,Endodontic therapy anterior tooth,,,26 ,,NW,,,,,,$740.87,$0.00,1,0,1,1,1,1,20091001,,D3320,HCPCS,Endodontic therapy bicuspid tooth,,,26 ,,NW,,,,,,$911.67,$0.00,1,0,1,1,1,1,20091001,,D3330,HCPCS,Enododontic therapy molar,,,26 ,,NW,,,,,,"$1,182.29",$0.00,1,0,1,1,1,1,20091001,,D3331,HCPCS,Tx rc obstruction; non-surg access,,,26 ,,NW,,,,,,$277.71,$0.00,1,0,1,1,1,1,20091001,,D3332,HCPCS,Incmpl endo tx;inop unrstr/fx tooth,,,26 ,,NW,,,,,,$579.69,$0.00,1,0,1,1,1,1,20091001,,D3333,HCPCS,Intrl root repair perforation defec,,,26 ,,NW,,,,,,$236.30,$0.00,1,0,1,1,1,1,20091001,,D3346,HCPCS,Retx previous rc therapy - anterior,,,26 ,,NW,,,,,,"$1,022.49",$0.00,1,0,1,1,1,1,20091001,,D3347,HCPCS,Retx previous rc therapy - bicuspid,,,26 ,,NW,,,,,,"$1,213.81",$0.00,1,0,1,1,1,1,20091001,,D3348,HCPCS,Retx previous rc therapy - molar,,,26 ,,NW,,,,,,"$1,453.32",$0.00,1,0,1,1,1,1,20091001,,D3351,HCPCS,Apexificat/recalcificat - init vst,,,26 ,,NW,,,,,,$416.76,$0.00,1,0,1,1,1,1,20091001,,D3352,HCPCS,Apexificat/recalcificat-interim,,,26 ,,NW,,,,,,$184.80,$0.00,1,0,1,1,1,1,20091001,,D3353,HCPCS,Apexificat/recalcificat-final visit,,,26 ,,NW,,,,,,$606.74,$0.00,1,0,1,1,1,1,20091001,,D3410,HCPCS,Apicoect/periradicular surg - ant,,,26 ,,NW,,,,,,$869.45,$0.00,1,0,1,1,1,1,20091001,,D3421,HCPCS,Apicoect/periradiculr surg-bicuspid,,,26 ,,NW,,,,,,$959.12,$0.00,1,0,1,1,1,1,20091001,,D3425,HCPCS,Apicoect/periradicular surg - molar,,,26 ,,NW,,,,,,"$1,088.74",$0.00,1,0,1,1,1,1,20091001,,D3426,HCPCS,Apicoectomy/periradicular surgery,,,26 ,,NW,,,,,,$369.95,$0.00,1,0,1,1,1,1,20091001,,D3430,HCPCS,Retrograde filling - per root,,,26 ,,NW,,,,,,$267.23,$0.00,1,0,1,1,1,1,20091001,,D3450,HCPCS,Root amputation - per root,,,26 ,,NW,,,,,,$543.74,$0.00,1,0,1,1,1,1,20091001,,D3460,HCPCS,Endodontic endosseous implant,,,26 ,,NW,,,,,,"$2,354.98",$0.00,1,0,1,1,1,1,20091001,,D3470,HCPCS,Intentional replantation,,,26 ,,NW,,,,,,$978.55,$0.00,1,0,1,1,1,1,20091001,,D3910,HCPCS,Surg proc isolat tooth w/rubber dam,,,26 ,,NW,,,,,,$155.14,$0.00,1,0,1,1,1,1,20091001,,D3920,HCPCS,Hemisection not incl rc therapy,,,26 ,,NW,,,,,,$416.31,$0.00,1,0,1,1,1,1,20091001,,D3950,HCPCS,Canal prep&fit preformed dowel/post,,,26 ,,NW,,,,,,$199.14,$0.00,1,0,1,1,1,1,20091001,,D3999,HCPCS,Unspec endodontic procedure report,,,26 ,,NW,,,,,,"$1,705.33",$0.00,1,0,1,1,1,1,20091001,,D4210,HCPCS,Gingivect/plsty 4/>cntig teeth quad,,,26 ,,NW,,,,,,$716.28,$0.00,1,0,1,1,1,1,20091001,,D4211,HCPCS,Gingivect/plsty 1-3cntig teeth quad,,,26 ,,NW,,,,,,$300.76,$0.00,1,0,1,1,1,1,20091001,,D4230,HCPCS,Anat crown exp 4/> cont teeth quad,,,27 ,,NW,,,,,,$873.71,$0.00,1,0,1,0,0,1,20091001,,D4231,HCPCS,Anat crown exp 1- 3 teeth per quad,,,27 ,,NW,,,,,,$470.46,$0.00,1,0,1,0,0,1,20091001,,D4240,HCPCS,Gingl flp 4/>cntig/tooth bound quad,,,26 ,,NW,,,,,,$877.16,$0.00,1,0,1,1,1,1,20091001,,D4241,HCPCS,Gingl flp 1-3 cntig/tooth bnd  quad,,,26 ,,NW,,,,,,$510.78,$0.00,1,0,1,1,1,1,20091001,,D4245,HCPCS,Apically positioned flap,,,26 ,,NW,,,,,,$649.62,$0.00,1,0,1,1,1,1,20091001,,D4249,HCPCS,Clin crown len - hard tissue,,,26 ,,NW,,,,,,"$1,012.96",$0.00,1,0,1,1,1,1,20091001,,D4260,HCPCS,Osseous surg 4/> cntig teeth quad,,,26 ,,NW,,,,,,"$1,463.71",$0.00,1,0,1,1,1,1,20091001,,D4261,HCPCS,Osseous surg 1-3 cntig teeth quad,,,26 ,,NW,,,,,,$804.10,$0.00,1,0,1,1,1,1,20091001,,D4263,HCPCS,Bone replcmt graft - 1 site quad,,,26 ,,NW,,,,,,$512.15,$0.00,1,0,1,1,1,1,20091001,,D4264,HCPCS,Bn replcmt graft - ea add site quad,,,26 ,,NW,,,,,,$390.76,$0.00,1,0,1,1,1,1,20091001,,D4265,HCPCS,Bio matl aid sft&osseous tiss regen,,,26 ,,NW,,,,,,$583.48,$0.00,1,0,1,1,1,1,20091001,,D4266,HCPCS,Guid tiss regen-resorb barrier-site,,,26 ,,NW,,,,,,$554.44,$0.00,1,0,1,1,1,1,20091001,,D4267,HCPCS,Guid tiss regen-nonresorb barrier,,,26 ,,NW,,,,,,$720.39,$0.00,1,0,1,1,1,1,20091001,,D4268,HCPCS,Surgical revision proc per tooth,,,26 ,,NW,,,,,,$875.92,$0.00,1,0,1,1,1,1,20091001,,D4270,HCPCS,Pedicle soft tissue graft procedure,,,26 ,,NW,,,,,,"$1,045.65",$0.00,1,0,1,1,1,1,20091001,,D4271,HCPCS,Free soft tissue graft procedure,,,26 ,,NW,,,,,,"$1,096.55",$0.00,1,0,1,1,1,1,20091001,,D4273,HCPCS,Subepith conective tiss grft tooth,,,26 ,,NW,,,,,,"$1,325.36",$0.00,1,0,1,1,1,1,20091001,,D4274,HCPCS,Distal or proximal wedge procedure,,,26 ,,NW,,,,,,$698.43,$0.00,1,0,1,1,1,1,20091001,,D4275,HCPCS,Soft tissue allograft,,,26 ,,NW,,,,,,$933.58,$0.00,1,0,1,1,1,1,20091001,,D4276,HCPCS,Comb cnctiv tiss&dbl ped grft tooth,,,26 ,,NW,,,,,,"$1,182.87",$0.00,1,0,1,1,1,1,20091001,,D4320,HCPCS,Provisional splinting-intracoronal,,,26 ,,NW,,,,,,$454.30,$0.00,1,0,1,1,1,1,20091001,,D4321,HCPCS,Provisional splinting extracoronal,,,26 ,,NW,,,,,,$393.10,$0.00,1,0,1,1,1,1,20091001,,D4341,HCPCS,Prdntl scal&root plan 4/>teeth-quad,,,26 ,,NW,,,,,,$252.38,$0.00,1,0,1,1,1,1,20091001,,D4342,HCPCS,Prdontal scal&root plan 1-3 teeth,,,26 ,,NW,,,,,,$137.02,$0.00,1,0,1,1,1,1,20091001,,D4355,HCPCS,Full mouth debrid comp eval&dx,,,26 ,,NW,,,,,,$161.34,$0.00,1,0,1,1,1,1,20091001,,D4381,HCPCS,Loc del antimicrobial agt tooth br,,,26 ,,NW,,,,,,$161.32,$0.00,1,0,1,1,1,1,20091001,,D4910,HCPCS,Periodontal maintenance,,,26 ,,NW,,,,,,$149.47,$0.00,1,0,1,1,1,1,20091001,,D4920,HCPCS,Unscheduled dressing change,,,26 ,,NW,,,,,,$134.42,$0.00,1,0,1,1,1,1,20091001,,D4999,HCPCS,Unspec periodontal procedure report,,,26 ,,NW,,,,,,"$1,560.89",$0.00,1,0,1,1,1,1,20091001,,D5110,HCPCS,Complete denture - maxillary,,,27 ,,NW,,,,,,"$1,465.86",$0.00,1,0,1,1,1,1,20091001,,D5120,HCPCS,Complete denture - mandibular,,,27 ,,NW,,,,,,"$1,455.97",$0.00,1,0,1,1,1,1,20091001,,D5130,HCPCS,Immediate denture - maxillary,,,27 ,,NW,,,,,,"$1,573.26",$0.00,1,0,1,1,1,1,20091001,,D5140,HCPCS,Immediate denture - mandibular,,,27 ,,NW,,,,,,"$1,571.25",$0.00,1,0,1,1,1,1,20091001,,D5211,HCPCS,Upper partial denture - resin base,,,27 ,,NW,,,,,,"$1,246.83",$0.00,1,0,1,1,1,1,20091001,,D5212,HCPCS,Lower partial denture - resin base,,,27 ,,NW,,,,,,"$1,456.47",$0.00,1,0,1,1,1,1,20091001,,D5213,HCPCS,Max part dentur-cast metl w/rsn,,,27 ,,NW,,,,,,"$1,677.26",$0.00,1,0,1,1,1,1,20091001,,D5214,HCPCS,Mand part dentur- cast metl w/rsn,,,27 ,,NW,,,,,,"$1,672.32",$0.00,1,0,1,1,1,1,20091001,,D5225,HCPCS,Maxillary partial denture flex base,,,27 ,,NW,,,,,,"$1,271.26",$0.00,1,0,1,1,1,1,20091001,,D5226,HCPCS,Mandibular part denture flex base,,,27 ,,NW,,,,,,"$1,467.15",$0.00,1,0,1,1,1,1,20091001,,D5281,HCPCS,Remv uni part dentur-1 pc cast metl,,,27 ,,NW,,,,,,$988.51,$0.00,1,0,1,1,1,1,20091001,,D5410,HCPCS,Adjust complete denture - maxillary,,,27 ,,NW,,,,,,$83.53,$0.00,1,0,1,1,1,1,20091001,,D5411,HCPCS,Adjust complete dentur - mandibular,,,27 ,,NW,,,,,,$82.43,$0.00,1,0,1,1,1,1,20091001,,D5421,HCPCS,Adjust partial denture - maxillary,,,27 ,,NW,,,,,,$85.05,$0.00,1,0,1,1,1,1,20091001,,D5422,HCPCS,Adjust partial denture - mandibular,,,27 ,,NW,,,,,,$84.47,$0.00,1,0,1,1,1,1,20091001,,D5510,HCPCS,Repair broken complete denture base,,,27 ,,NW,,,,,,$164.36,$0.00,1,0,1,1,1,1,20091001,,D5520,HCPCS,Repl miss/broken teeth-cmpl dentur,,,27 ,,NW,,,,,,$136.24,$0.00,1,0,1,1,1,1,20091001,,D5610,HCPCS,Repair resin denture base,,,27 ,,NW,,,,,,$179.28,$0.00,1,0,1,1,1,1,20091001,,D5620,HCPCS,Repair cast framework,,,27 ,,NW,,,,,,$192.30,$0.00,1,0,1,1,1,1,20091001,,D5630,HCPCS,Repair or replace broken clasp,,,27 ,,NW,,,,,,$236.96,$0.00,1,0,1,1,1,1,20091001,,D5640,HCPCS,Replace broken teeth - per tooth,,,27 ,,NW,,,,,,$151.81,$0.00,1,0,1,1,1,1,20091001,,D5650,HCPCS,Add tooth existing partial denture,,,27 ,,NW,,,,,,$206.15,$0.00,1,0,1,1,1,1,20091001,,D5660,HCPCS,Add clasp existing partial denture,,,27 ,,NW,,,,,,$249.41,$0.00,1,0,1,1,1,1,20091001,,D5670,HCPCS,Repl all teeth&acrylc frmewrk max,,,27 ,,NW,,,,,,$591.43,$0.00,1,0,1,1,1,1,20091001,,D5671,HCPCS,Repl all teeth&acrylc frmewrk mand,,,27 ,,NW,,,,,,$591.43,$0.00,1,0,1,1,1,1,20091001,,D5710,HCPCS,Rebase complete maxillary denture,,,27 ,,NW,,,,,,$600.12,$0.00,1,0,1,1,1,1,20091001,,D5711,HCPCS,Rebase complete mandibular denture,,,27 ,,NW,,,,,,$570.68,$0.00,1,0,1,1,1,1,20091001,,D5720,HCPCS,Rebase maxillary partial denture,,,27 ,,NW,,,,,,$587.70,$0.00,1,0,1,1,1,1,20091001,,D5721,HCPCS,Rebase mandibular partial denture,,,27 ,,NW,,,,,,$577.59,$0.00,1,0,1,1,1,1,20091001,,D5730,HCPCS,Reline cmpl maxil denture chairside,,,27 ,,NW,,,,,,$343.96,$0.00,1,0,1,1,1,1,20091001,,D5731,HCPCS,Reline lowr cmpl mandibular denture,,,27 ,,NW,,,,,,$341.79,$0.00,1,0,1,1,1,1,20091001,,D5740,HCPCS,Reline maxil part denture chairside,,,27 ,,NW,,,,,,$327.13,$0.00,1,0,1,1,1,1,20091001,,D5741,HCPCS,Reline mand part denture chairside,,,27 ,,NW,,,,,,$324.00,$0.00,1,0,1,1,1,1,20091001,,D5750,HCPCS,Reline cmpl maxil denture lab,,,27 ,,NW,,,,,,$453.24,$0.00,1,0,1,1,1,1,20091001,,D5751,HCPCS,Reline cmpl mand dentrue laboratory,,,27 ,,NW,,,,,,$451.51,$0.00,1,0,1,1,1,1,20091001,,D5760,HCPCS,Reline maxil part denture lab,,,27 ,,NW,,,,,,$473.80,$0.00,1,0,1,1,1,1,20091001,,D5761,HCPCS,Reline mand part denture laboratory,,,27 ,,NW,,,,,,$468.05,$0.00,1,0,1,1,1,1,20091001,,D5810,HCPCS,Interim complete denture maxillary,,,27 ,,NW,,,,,,$695.64,$0.00,1,0,1,1,1,1,20091001,,D5811,HCPCS,Interim complete denture mandibular,,,27 ,,NW,,,,,,$742.26,$0.00,1,0,1,1,1,1,20091001,,D5820,HCPCS,Interim partial denture maxillary,,,27 ,,NW,,,,,,$581.18,$0.00,1,0,1,1,1,1,20091001,,D5821,HCPCS,Interim partial denture mandibular,,,27 ,,NW,,,,,,$619.25,$0.00,1,0,1,1,1,1,20091001,,D5850,HCPCS,Tissue conditioning maxillary,,,27 ,,NW,,,,,,$145.20,$0.00,1,0,1,1,1,1,20091001,,D5851,HCPCS,Tissue conditioning mandibular,,,27 ,,NW,,,,,,$145.89,$0.00,1,0,1,1,1,1,20091001,,D5860,HCPCS,Overdenture - complete by report,,,27 ,,NW,,,,,,"$2,670.34",$0.00,1,0,1,1,1,1,20091001,,D5861,HCPCS,Overdenture - partial by report,,,27 ,,NW,,,,,,"$2,314.95",$0.00,1,0,1,1,1,1,20091001,,D5862,HCPCS,Precision attachment by report,,,27 ,,NW,,,,,,$719.46,$0.00,1,0,1,1,1,1,20091001,,D5867,HCPCS,Repl part semi-prcisn/prcisn attch,,,27 ,,NW,,,,,,$266.58,$0.00,1,0,1,1,1,1,20091001,,D5875,HCPCS,Mod remv prosth follow impl surg,,,27 ,,NW,,,,,,$513.75,$0.00,1,0,1,1,1,1,20091001,,D5899,HCPCS,Uns remv prosthodontic proc rpt,,,27 ,,NW,,,,,,"$1,559.32",$0.00,1,0,1,1,1,1,20091001,,D5911,HCPCS,Facial moulage sectional,,,27 ,,NW,,,,,,$373.68,$0.00,1,0,1,1,1,1,20091001,,D5912,HCPCS,Facial moulage complete,,,27 ,,NW,,,,,,$373.68,$0.00,1,0,1,1,1,1,20091001,,D5913,HCPCS,Nasal prosthesis,,,27 ,,NW,,,,,,"$7,868.76",$0.00,1,0,1,1,1,1,20091001,,D5914,HCPCS,Auricular prosthesis,,,27 ,,NW,,,,,,"$7,868.76",$0.00,1,0,1,1,1,1,20091001,,D5915,HCPCS,Orbital prosthesis,,,27 ,,NW,,,,,,"$10,648.49",$0.00,1,0,1,1,1,1,20091001,,D5916,HCPCS,Ocular prosthesis,,,27 ,,NW,,,,,,"$2,840.23",$0.00,1,0,1,1,1,1,20091001,,D5919,HCPCS,Facial prosthesis,,,27 ,,NW,,,,,,"$1,248.71",$0.00,1,0,1,1,1,1,20091001,,D5922,HCPCS,Nasal septal prosthesis,,,27 ,,NW,,,,,,"$1,248.71",$0.00,1,0,1,1,1,1,20091001,,D5923,HCPCS,Ocular prosthesis interim,,,27 ,,NW,,,,,,"$1,248.71",$0.00,1,0,1,1,1,1,20091001,,D5924,HCPCS,Cranial prosthesis,,,27 ,,NW,,,,,,"$1,452.16",$0.00,1,0,1,1,1,1,20091001,,D5925,HCPCS,Facial augmentation implant prosth,,,27 ,,NW,,,,,,$305.99,$0.00,1,0,1,1,1,1,20091001,,D5926,HCPCS,Nasal prosthesis replacement,,,27 ,,NW,,,,,,"$1,248.71",$0.00,1,0,1,1,1,1,20091001,,D5927,HCPCS,Auricular prosthesis replacement,,,27 ,,NW,,,,,,"$1,248.71",$0.00,1,0,1,1,1,1,20091001,,D5928,HCPCS,Orbital prosthesis replacement,,,27 ,,NW,,,,,,"$1,248.71",$0.00,1,0,1,1,1,1,20091001,,D5929,HCPCS,Facial prosthesis replacement,,,27 ,,NW,,,,,,"$1,248.71",$0.00,1,0,1,1,1,1,20091001,,D5931,HCPCS,Obturator prosthesis surgical,,,27 ,,NW,,,,,,"$4,236.82",$0.00,1,0,1,1,1,1,20091001,,D5932,HCPCS,Obturator prosthesis definitive,,,27 ,,NW,,,,,,"$7,923.87",$0.00,1,0,1,1,1,1,20091001,,D5933,HCPCS,Obturator prosthesis modification,,,27 ,,NW,,,,,,"$1,248.71",$0.00,1,0,1,1,1,1,20091001,,D5934,HCPCS,Mandib resect prosth w/guide flange,,,27 ,,NW,,,,,,"$7,222.21",$0.00,1,0,1,1,1,1,20091001,,D5935,HCPCS,Mandib res prosth w/o guide flange,,,27 ,,NW,,,,,,"$6,283.98",$0.00,1,0,1,1,1,1,20091001,,D5936,HCPCS,Obturator/prosthesis interim,,,27 ,,NW,,,,,,"$7,058.22",$0.00,1,0,1,1,1,1,20091001,,D5937,HCPCS,Trismus appliance not for tm tx,,,27 ,,NW,,,,,,$887.15,$0.00,1,0,1,1,1,1,20091001,,D5951,HCPCS,Feeding aid,,,27 ,,NW,,,,,,"$1,153.30",$0.00,1,0,1,1,1,1,20091001,,D5952,HCPCS,Speech aid prosthesis pediatric,,,27 ,,NW,,,,,,"$3,744.85",$0.00,1,0,1,1,1,1,20091001,,D5953,HCPCS,Speech aid prosthesis adult,,,27 ,,NW,,,,,,"$7,111.99",$0.00,1,0,1,1,1,1,20091001,,D5954,HCPCS,Palatal augmentation prosthesis,,,27 ,,NW,,,,,,"$6,590.45",$0.00,1,0,1,1,1,1,20091001,,D5955,HCPCS,Palatal lift prosthesis definitive,,,27 ,,NW,,,,,,"$6,095.80",$0.00,1,0,1,1,1,1,20091001,,D5958,HCPCS,Palatal lift prosthesis interim,,,27 ,,NW,,,,,,"$1,248.71",$0.00,1,0,1,1,1,1,20091001,,D5959,HCPCS,Palatal lift prosth modification,,,27 ,,NW,,,,,,"$1,248.71",$0.00,1,0,1,1,1,1,20091001,,D5960,HCPCS,Speech aid prosthesis modification,,,27 ,,NW,,,,,,$450.41,$0.00,1,0,1,1,1,1,20091001,,D5982,HCPCS,Surgical stent,,,27 ,,NW,,,,,,$799.08,$0.00,1,0,1,1,1,1,20091001,,D5983,HCPCS,Radiation carrier,,,27 ,,NW,,,,,,"$1,774.30",$0.00,1,0,1,1,1,1,20091001,,D5984,HCPCS,Radiation shield,,,27 ,,NW,,,,,,"$1,774.30",$0.00,1,0,1,1,1,1,20091001,,D5985,HCPCS,Radiation cone locator,,,27 ,,NW,,,,,,"$1,774.30",$0.00,1,0,1,1,1,1,20091001,,D5986,HCPCS,Fluoride gel carrier,,,27 ,,NW,,,,,,$154.90,$0.00,1,0,1,1,1,1,20091001,,D5987,HCPCS,Commissure splint,,,27 ,,NW,,,,,,"$2,662.80",$0.00,1,0,1,1,1,1,20091001,,D5988,HCPCS,Surgical splint,,,27 ,,NW,,,,,,$822.72,$0.00,1,0,1,1,1,1,20091001,,D5999,HCPCS,Uns maxillofacial prosth  by report,,,27 ,,NW,,,,,,"$1,248.71",$0.00,1,0,1,1,1,1,20091001,,D6010,HCPCS,Surg plcmt impl body: endosteal,,,27 ,,NW,,,,,,"$2,652.52",$0.00,1,0,1,1,1,1,20091001,,D6012,HCPCS,Surg plcmt interim impl pros: endos,,,27 ,,NW,,,,,,"$2,325.41",$0.00,1,0,1,0,0,1,20091001,,D6040,HCPCS,Surg placement: eposteal implant,,,27 ,,NW,,,,,,"$8,468.25",$0.00,1,0,1,1,1,1,20091001,,D6050,HCPCS,Surg placement: transosteal implant,,,27 ,,NW,,,,,,"$6,317.59",$0.00,1,0,1,1,1,1,20091001,,D6053,HCPCS,Impl/abut dentur cmpl edntuls arch,,,27 ,,NW,,,,,,"$1,882.71",$0.00,1,0,1,1,1,1,20091001,,D6054,HCPCS,Impl/abut dentur part edntuls arch,,,27 ,,NW,,,,,,"$1,837.48",$0.00,1,0,1,1,1,1,20091001,,D6055,HCPCS,Dental implant supp connecting bar,,,27 ,,NW,,,,,,$625.04,$0.00,1,0,1,1,1,1,20091001,,D6056,HCPCS,Prefabricated abutment incl plcmnt,,,27 ,,NW,,,,,,$463.14,$0.00,1,0,1,1,1,1,20091001,,D6057,HCPCS,Custom abutment includes placement,,,27 ,,NW,,,,,,$642.55,$0.00,1,0,1,1,1,1,20091001,,D6058,HCPCS,Abut supp porceln/ceramic crown,,,27 ,,NW,,,,,,"$1,521.82",$0.00,1,0,1,1,1,1,20091001,,D6059,HCPCS,Abut porcln to mtl crwn hi nobl mtl,,,27 ,,NW,,,,,,"$1,536.21",$0.00,1,0,1,1,1,1,20091001,,D6060,HCPCS,Abut porcln to metl crown base metl,,,27 ,,NW,,,,,,"$1,378.02",$0.00,1,0,1,1,1,1,20091001,,D6061,HCPCS,Abut porcln to mtl crown noble mtl,,,27 ,,NW,,,,,,"$1,456.62",$0.00,1,0,1,1,1,1,20091001,,D6062,HCPCS,Abut supp cast mtl crwn hi nobl mtl,,,27 ,,NW,,,,,,"$1,473.27",$0.00,1,0,1,1,1,1,20091001,,D6063,HCPCS,Abut supp cast metl crown base metl,,,27 ,,NW,,,,,,"$1,153.30",$0.00,1,0,1,1,1,1,20091001,,D6064,HCPCS,Abut supp cast metl crown nobl metl,,,27 ,,NW,,,,,,"$1,350.89",$0.00,1,0,1,1,1,1,20091001,,D6065,HCPCS,Implant supp porceln/ceramic crown,,,27 ,,NW,,,,,,"$1,488.06",$0.00,1,0,1,1,1,1,20091001,,D6066,HCPCS,Impl supp porceln fused metal crown,,,27 ,,NW,,,,,,"$1,473.11",$0.00,1,0,1,1,1,1,20091001,,D6067,HCPCS,Implant supported metal crown,,,27 ,,NW,,,,,,"$1,433.54",$0.00,1,0,1,1,1,1,20091001,,D6068,HCPCS,Abut supp retain porceln/ceram fpd,,,27 ,,NW,,,,,,"$1,416.75",$0.00,1,0,1,1,1,1,20091001,,D6069,HCPCS,Abut retn porcln mtl fpd hi nobl mt,,,27 ,,NW,,,,,,"$1,500.64",$0.00,1,0,1,1,1,1,20091001,,D6070,HCPCS,Abut retn porcln metl fpd base metl,,,27 ,,NW,,,,,,"$1,321.32",$0.00,1,0,1,1,1,1,20091001,,D6071,HCPCS,Abut supp retn porcln fusd metl fpd,,,27 ,,NW,,,,,,"$1,348.20",$0.00,1,0,1,1,1,1,20091001,,D6072,HCPCS,Abut supp retain cast metal fpd,,,27 ,,NW,,,,,,"$1,376.43",$0.00,1,0,1,1,1,1,20091001,,D6073,HCPCS,Abut retn cast metl fpd base metl,,,27 ,,NW,,,,,,"$1,246.04",$0.00,1,0,1,1,1,1,20091001,,D6074,HCPCS,Abut retn cast metl fpd nobl metl,,,27 ,,NW,,,,,,"$1,342.82",$0.00,1,0,1,1,1,1,20091001,,D6075,HCPCS,Implant supp retain ceramic fpd,,,27 ,,NW,,,,,,"$1,393.90",$0.00,1,0,1,1,1,1,20091001,,D6076,HCPCS,Impl supp retn porcln fusd metl fpd,,,27 ,,NW,,,,,,"$1,357.61",$0.00,1,0,1,1,1,1,20091001,,D6077,HCPCS,Implant supp retain cast metal fpd,,,27 ,,NW,,,,,,"$1,317.28",$0.00,1,0,1,1,1,1,20091001,,D6078,HCPCS,Implnt/abut dentur cmpl edent arch,,,27 ,,NW,,,,,,"$6,572.36",$0.00,1,0,1,1,1,1,20091001,,D6079,HCPCS,Impl/abut dentur part edntuls arch,,,27 ,,NW,,,,,,"$3,157.86",$0.00,1,0,1,1,1,1,20091001,,D6080,HCPCS,Impl maint proc remv cleans prosth,,,27 ,,NW,,,,,,$118.64,$0.00,1,0,1,1,1,1,20091001,,D6090,HCPCS,Repair impl supp prosth by report,,,27 ,,NW,,,,,,$630.97,$0.00,1,0,1,1,1,1,20091001,,D6091,HCPCS,Repl impl/abut pros per attachment,,,27 ,,NW,,,,,,$557.83,$0.00,1,0,1,0,0,1,20091001,,D6092,HCPCS,Recement impl/abut supported crown,,,27 ,,NW,,,,,,$117.48,$0.00,1,0,1,0,0,1,20091001,,D6093,HCPCS,Recement impl/abut fix part denture,,,27 ,,NW,,,,,,$170.71,$0.00,1,0,1,0,0,1,20091001,,D6094,HCPCS,Abutment supported crown  titanium,,,27 ,,NW,,,,,,"$1,108.94",$0.00,1,0,1,1,1,1,20091001,,D6095,HCPCS,Repair implant abutment by report,,,27 ,,NW,,,,,,$700.22,$0.00,1,0,1,1,1,1,20091001,,D6100,HCPCS,Implant removal by report,,,27 ,,NW,,,,,,$844.70,$0.00,1,0,1,1,1,1,20091001,,D6190,HCPCS,Radiographic/surg implant indx rpt,,,27 ,,NW,,,,,,$266.64,$0.00,1,0,1,1,1,1,20091001,,D6194,HCPCS,Abutment supp retainr crown for fpd,,,27 ,,NW,,,,,,"$1,142.54",$0.00,1,0,1,1,1,1,20091001,,D6199,HCPCS,Unspec implant procedure by report,,,27 ,,NW,,,,,,"$1,696.02",$0.00,1,0,1,1,1,1,20091001,,D6205,HCPCS,Pontic indirect resin based compos,,,27 ,,NW,,,,,,$698.97,$0.00,1,0,1,1,1,1,20091001,,D6210,HCPCS,Pontic - cast high noble metal,,,27 ,,NW,,,,,,"$1,019.38",$0.00,1,0,1,1,1,1,20091001,,D6211,HCPCS,Pontic - cast predom base metal,,,27 ,,NW,,,,,,$957.13,$0.00,1,0,1,1,1,1,20091001,,D6212,HCPCS,Pontic - cast noble metal,,,27 ,,NW,,,,,,"$1,020.61",$0.00,1,0,1,1,1,1,20091001,,D6214,HCPCS,Pontic titanium,,,27 ,,NW,,,,,,"$1,075.33",$0.00,1,0,1,1,1,1,20091001,,D6240,HCPCS,Pontic-porceln fused hi noble metl,,,27 ,,NW,,,,,,"$1,028.38",$0.00,1,0,1,1,1,1,20091001,,D6241,HCPCS,Pontic-porcln fusd predom base metl,,,27 ,,NW,,,,,,$916.61,$0.00,1,0,1,1,1,1,20091001,,D6242,HCPCS,Pontic - porceln fused noble metal,,,27 ,,NW,,,,,,$984.23,$0.00,1,0,1,1,1,1,20091001,,D6245,HCPCS,Pontic - porcelain/ceramic,,,27 ,,NW,,,,,,"$1,022.06",$0.00,1,0,1,1,1,1,20091001,,D6250,HCPCS,Pontic - resin w/high noble metal,,,27 ,,NW,,,,,,"$1,021.81",$0.00,1,0,1,1,1,1,20091001,,D6251,HCPCS,Pontic resin w/predom base metal,,,27 ,,NW,,,,,,$924.58,$0.00,1,0,1,1,1,1,20091001,,D6252,HCPCS,Pontic resin w/noble metal,,,27 ,,NW,,,,,,$967.71,$0.00,1,0,1,1,1,1,20091001,,D6253,HCPCS,Provisional pontic,,,27 ,,NW,,,,,,$441.02,$0.00,1,0,1,1,1,1,20091001,,D6545,HCPCS,Retn-cast metl rsn bond fix prosth,,,27 ,,NW,,,,,,$428.83,$0.00,1,0,1,1,1,1,20091001,,D6548,HCPCS,Retn-porceln/ceram rsn bond prosth,,,27 ,,NW,,,,,,$470.41,$0.00,1,0,1,1,1,1,20091001,,D6600,HCPCS,Inlay-porcelain/ceramic 2 surfaces,,,27 ,,NW,,,,,,$880.43,$0.00,1,0,1,1,1,1,20091001,,D6601,HCPCS,Inlay - porceln/ceramic 3/more surf,,,27 ,,NW,,,,,,$923.44,$0.00,1,0,1,1,1,1,20091001,,D6602,HCPCS,Inlay - cast hi noble metal 2 surf,,,27 ,,NW,,,,,,$940.92,$0.00,1,0,1,1,1,1,20091001,,D6603,HCPCS,Inlay-cast hi noble metl 3/> surf,,,27 ,,NW,,,,,,"$1,035.01",$0.00,1,0,1,1,1,1,20091001,,D6604,HCPCS,Inlay-cast predom base metl 2 surf,,,27 ,,NW,,,,,,$922.10,$0.00,1,0,1,1,1,1,20091001,,D6605,HCPCS,Inlay-cast predom base metl 3/>surf,,,27 ,,NW,,,,,,$977.21,$0.00,1,0,1,1,1,1,20091001,,D6606,HCPCS,Inlay - cast noble metal 2 surfaces,,,27 ,,NW,,,,,,$907.31,$0.00,1,0,1,1,1,1,20091001,,D6607,HCPCS,Inlay - cast noble metl 3/more surf,,,27 ,,NW,,,,,,"$1,006.78",$0.00,1,0,1,1,1,1,20091001,,D6608,HCPCS,Onlay - porceln/ceramic 2 surfaces,,,27 ,,NW,,,,,,$957.05,$0.00,1,0,1,1,1,1,20091001,,D6609,HCPCS,Onlay - porceln/ceramic 3/more surf,,,27 ,,NW,,,,,,"$1,011.59",$0.00,1,0,1,1,1,1,20091001,,D6610,HCPCS,Onlay - cast hi noble metal 2 surf,,,27 ,,NW,,,,,,"$1,014.85",$0.00,1,0,1,1,1,1,20091001,,D6611,HCPCS,Onlay-cast hi noble metl 3/> surf,,,27 ,,NW,,,,,,"$1,110.28",$0.00,1,0,1,1,1,1,20091001,,D6612,HCPCS,Onlay-cast predom base metl 2 surf,,,27 ,,NW,,,,,,"$1,009.47",$0.00,1,0,1,1,1,1,20091001,,D6613,HCPCS,Onlay-cast predom base metl 3/>surf,,,27 ,,NW,,,,,,"$1,055.17",$0.00,1,0,1,1,1,1,20091001,,D6614,HCPCS,Onlay - cast noble metal 2 surfaces,,,27 ,,NW,,,,,,$987.96,$0.00,1,0,1,1,1,1,20091001,,D6615,HCPCS,Onlay - cast noble metl 3/more surf,,,27 ,,NW,,,,,,"$1,026.94",$0.00,1,0,1,1,1,1,20091001,,D6624,HCPCS,Inlay titanium,,,27 ,,NW,,,,,,$940.92,$0.00,1,0,1,1,1,1,20091001,,D6634,HCPCS,Onlay titanium,,,27 ,,NW,,,,,,$987.96,$0.00,1,0,1,1,1,1,20091001,,D6710,HCPCS,Crown indirect resin based compos,,,27 ,,NW,,,,,,"$1,008.13",$0.00,1,0,1,1,1,1,20091001,,D6720,HCPCS,Crown - resin with high noble metal,,,27 ,,NW,,,,,,"$1,136.80",$0.00,1,0,1,1,1,1,20091001,,D6721,HCPCS,Crown resin predom base metl-dentur,,,27 ,,NW,,,,,,"$1,115.66",$0.00,1,0,1,1,1,1,20091001,,D6722,HCPCS,Crown - resin with noble metal,,,27 ,,NW,,,,,,"$1,135.82",$0.00,1,0,1,1,1,1,20091001,,D6740,HCPCS,Crown - porcelain/ceramic,,,27 ,,NW,,,,,,"$1,164.67",$0.00,1,0,1,1,1,1,20091001,,D6750,HCPCS,Crwn porcln fusd hi nobl mtl-dentur,,,27 ,,NW,,,,,,"$1,172.45",$0.00,1,0,1,1,1,1,20091001,,D6751,HCPCS,Crown-porceln fusd predom base metl,,,27 ,,NW,,,,,,"$1,054.90",$0.00,1,0,1,1,1,1,20091001,,D6752,HCPCS,Crown - porcelain fused noble metal,,,27 ,,NW,,,,,,"$1,101.05",$0.00,1,0,1,1,1,1,20091001,,D6780,HCPCS,Crown - 3/4 cast high noble metal,,,27 ,,NW,,,,,,"$1,135.82",$0.00,1,0,1,1,1,1,20091001,,D6781,HCPCS,Crown-3/4 cast predom based metal,,,27 ,,NW,,,,,,"$1,135.82",$0.00,1,0,1,1,1,1,20091001,,D6782,HCPCS,Crown 3/4 cast noble metal-denture,,,27 ,,NW,,,,,,"$1,055.17",$0.00,1,0,1,1,1,1,20091001,,D6783,HCPCS,Crown 3/4 porcelain/ceramic-denture,,,27 ,,NW,,,,,,"$1,169.43",$0.00,1,0,1,1,1,1,20091001,,D6790,HCPCS,Crown full cast hi nobl metl-dentur,,,27 ,,NW,,,,,,"$1,112.50",$0.00,1,0,1,1,1,1,20091001,,D6791,HCPCS,Crown full cast base metal-denture,,,27 ,,NW,,,,,,"$1,050.37",$0.00,1,0,1,1,1,1,20091001,,D6792,HCPCS,Crown full cast noble metal-denture,,,27 ,,NW,,,,,,"$1,128.08",$0.00,1,0,1,1,1,1,20091001,,D6793,HCPCS,Provisional retainer crown,,,27 ,,NW,,,,,,$478.40,$0.00,1,0,1,1,1,1,20091001,,D6794,HCPCS,Crown titanium,,,27 ,,NW,,,,,,"$1,142.54",$0.00,1,0,1,1,1,1,20091001,,D6920,HCPCS,Connector bar,,,27 ,,NW,,,,,,$241.95,$0.00,1,0,1,1,1,1,20091001,,D6930,HCPCS,Recement bridge,,,27 ,,NW,,,,,,$139.14,$0.00,1,0,1,1,1,1,20091001,,D6940,HCPCS,Stress breaker,,,27 ,,NW,,,,,,$308.19,$0.00,1,0,1,1,1,1,20091001,,D6950,HCPCS,Precision attachment,,,27 ,,NW,,,,,,$594.45,$0.00,1,0,1,1,1,1,20091001,,D6970,HCPCS,Post&core add fix part denture ret,,,27 ,,NW,,,,,,$400.63,$0.00,1,0,1,1,1,1,20091001,,D6972,HCPCS,Prfab post&cor add part dentur retn,,,27 ,,NW,,,,,,$312.70,$0.00,1,0,1,1,1,1,20091001,,D6973,HCPCS,Core build up retain incl any pins,,,27 ,,NW,,,,,,$243.71,$0.00,1,0,1,1,1,1,20091001,,D6975,HCPCS,Coping - metal,,,27 ,,NW,,,,,,$685.53,$0.00,1,0,1,1,1,1,20091001,,D6976,HCPCS,Ea add indirect fab post same tooth,,,27 ,,NW,,,,,,$181.46,$0.00,1,0,1,1,1,1,20091001,,D6977,HCPCS,Each add prfab post same tooth,,,27 ,,NW,,,,,,$161.30,$0.00,1,0,1,1,1,1,20091001,,D6980,HCPCS,Bridge repair by report,,,27 ,,NW,,,,,,$411.53,$0.00,1,0,1,1,1,1,20091001,,D6985,HCPCS,Pediatric partial denture fixed,,,27 ,,NW,,,,,,$537.67,$0.00,1,0,1,1,1,1,20091001,,D6999,HCPCS,Unspec fix prosthodontic proc br,,,27 ,,NW,,,,,,"$1,559.32",$0.00,1,0,1,1,1,1,20091001,,D7111,HCPCS,Xtrct coronl rmnnts deciduous tooth,,,26 ,,NW,,,,,,$115.35,$0.00,1,0,1,1,1,1,20091001,,D7140,HCPCS,Extrac erupted tooth/exposed root,,,26 ,,NW,,,,,,$150.84,$0.00,1,0,1,1,1,1,20091001,,D7210,HCPCS,Surg removal erupted tooth,,,26 ,,NW,,,,,,$264.54,$0.00,1,0,1,1,1,1,20091001,,D7220,HCPCS,Removal impact tooth - soft tissue,,,26 ,,NW,,,,,,$327.66,$0.00,1,0,1,1,1,1,20091001,,D7230,HCPCS,Removal impact tooth - partly bony,,,26 ,,NW,,,,,,$436.49,$0.00,1,0,1,1,1,1,20091001,,D7240,HCPCS,Removal impacted tooth - cmpl bony,,,26 ,,NW,,,,,,$507.14,$0.00,1,0,1,1,1,1,20091001,,D7241,HCPCS,Remv imp tooth-cmpl bny w/surg comp,,,26 ,,NW,,,,,,$648.49,$0.00,1,0,1,1,1,1,20091001,,D7250,HCPCS,Surg removal residual tooth roots,,,26 ,,NW,,,,,,$278.50,$0.00,1,0,1,1,1,1,20091001,,D7260,HCPCS,Oral antral fistula closure,,,26 ,,NW,,,,,,"$2,458.26",$0.00,1,0,1,1,1,1,20091001,,D7261,HCPCS,Primary closure sinus perforation,,,26 ,,NW,,,,,,$792.50,$0.00,1,0,1,1,1,1,20091001,,D7270,HCPCS,Tooth reimpl&/stbl acc displcd,,,26 ,,NW,,,,,,$544.85,$0.00,1,0,1,1,1,1,20091001,,D7272,HCPCS,Tooth transplantation,,,26 ,,NW,,,,,,$772.90,$0.00,1,0,1,1,1,1,20091001,,D7280,HCPCS,Surgical access an unerupted tooth,,,26 ,,NW,,,,,,$473.64,$0.00,1,0,1,1,1,1,20091001,,D7282,HCPCS,Mobilz erupt/malpstn tooth aid erup,,,26 ,,NW,,,,,,$225.75,$0.00,1,0,1,1,1,1,20091001,,D7283,HCPCS,Plcmt devc facl erupt impact tooth,,,26 ,,NW,,,,,,$148.66,$0.00,1,0,1,1,1,1,20091001,,D7285,HCPCS,Biopsy of oral tissue hard,,,26 ,,NW,,,,,,"$1,039.85",$0.00,1,0,1,1,1,1,20091001,,D7286,HCPCS,Biopsy of oral tissue  soft,,,26 ,,NW,,,,,,$465.30,$0.00,1,0,1,1,1,1,20091001,,D7287,HCPCS,Exfoliative cytolog sample clction,,,26 ,,NW,,,,,,$141.14,$0.00,1,0,1,1,1,1,20091001,,D7288,HCPCS,Brush bx transepith sample clction,,,26 ,,NW,,,,,,$117.97,$0.00,1,0,1,1,1,1,20091001,,D7290,HCPCS,Surgical repositioning of teeth,,,26 ,,NW,,,,,,$497.34,$0.00,1,0,1,1,1,1,20091001,,D7291,HCPCS,Trnsseptl/supra crestal fiberot br,,,26 ,,NW,,,,,,$250.87,$0.00,1,0,1,1,1,1,20091001,,D7292,HCPCS,Surg plcmt: temp scrw ret plate flp,,,27 ,,NW,,,,,,$739.29,$0.00,1,0,1,0,0,1,20091001,,D7293,HCPCS,Surg plcmt: temp anchorage rqr flap,,,27 ,,NW,,,,,,$470.46,$0.00,1,0,1,0,0,1,20091001,,D7294,HCPCS,Surg plcmt: temp anchorage w/o flap,,,27 ,,NW,,,,,,$340.07,$0.00,1,0,1,0,0,1,20091001,,D7310,HCPCS,Alveoloplasty w/ext 4/> teeth/space,,,26 ,,NW,,,,,,$294.40,$0.00,1,0,1,1,1,1,20091001,,D7311,HCPCS,Alveoloplsty conjnc xtrct 1-3 teeth,,,26 ,,NW,,,,,,$236.69,$0.00,1,0,1,1,1,1,20091001,,D7320,HCPCS,Alveoloplasty no ext 4/> teeth/spac,,,26 ,,NW,,,,,,$437.57,$0.00,1,0,1,1,1,1,20091001,,D7321,HCPCS,Alveoloplsty not w/xtrct 1-3 teeth,,,26 ,,NW,,,,,,$368.30,$0.00,1,0,1,1,1,1,20091001,,D7340,HCPCS,Vestibuloplasty-ridge ext 2nd epith,,,26 ,,NW,,,,,,"$2,419.50",$0.00,1,0,1,1,1,1,20091001,,D7350,HCPCS,Vestbulplsty-ridge ext sft tiss gft,,,26 ,,NW,,,,,,"$7,560.94",$0.00,1,0,1,1,1,1,20091001,,D7410,HCPCS,Excision benign lesion to 1.25 cm,,,26 ,,NW,,,,,,"$1,002.94",$0.00,1,0,1,1,1,1,20091001,,D7411,HCPCS,Excision of benign lesion > 1.25 cm,,,26 ,,NW,,,,,,"$1,722.62",$0.00,1,0,1,1,1,1,20091001,,D7412,HCPCS,Excision benign lesion complicated,,,26 ,,NW,,,,,,"$1,830.76",$0.00,1,0,1,1,1,1,20091001,,D7413,HCPCS,Excision malig lesion up 1.25 cm,,,26 ,,NW,,,,,,"$1,243.35",$0.00,1,0,1,1,1,1,20091001,,D7414,HCPCS,Excision malignant lesion > 1.25 cm,,,26 ,,NW,,,,,,"$1,848.23",$0.00,1,0,1,1,1,1,20091001,,D7415,HCPCS,Excision malig lesion complicated,,,26 ,,NW,,,,,,"$1,982.65",$0.00,1,0,1,1,1,1,20091001,,D7440,HCPCS,Exc malig tumr - up 1.25 cm see cpt,,,26 ,,NW,,,,,,"$1,701.72",$0.00,1,0,1,1,1,1,20091001,,D7441,HCPCS,Exc malig tumor/les > 1.25cm,,,26 ,,NW,,,,,,"$2,645.32",$0.00,1,0,1,1,1,1,20091001,,D7450,HCPCS,Remv ben odontognic tumr-t0 1.25 cm,,,26 ,,NW,,,,,,"$1,068.34",$0.00,1,0,1,1,1,1,20091001,,D7451,HCPCS,Remv ben odontognic tumr >1.25 cm,,,26 ,,NW,,,,,,"$1,606.52",$0.00,1,0,1,1,1,1,20091001,,D7460,HCPCS,Remv ben nonodontgn tumr-to 1.25 cm,,,26 ,,NW,,,,,,$963.77,$0.00,1,0,1,1,1,1,20091001,,D7461,HCPCS,Remv ben nonodontognic tumr>1.25 cm,,,26 ,,NW,,,,,,"$1,552.51",$0.00,1,0,1,1,1,1,20091001,,D7465,HCPCS,Destruc les phys/chem meth by rpt,,,26 ,,NW,,,,,,$549.76,$0.00,1,0,1,1,1,1,20091001,,D7471,HCPCS,Removal of lateral exostosis,,,26 ,,NW,,,,,,$968.62,$0.00,1,0,1,1,1,1,20091001,,D7472,HCPCS,Removal of torus palatinus,,,26 ,,NW,,,,,,"$1,186.90",$0.00,1,0,1,1,1,1,20091001,,D7473,HCPCS,Removal of torus mandibularis,,,26 ,,NW,,,,,,"$1,078.88",$0.00,1,0,1,1,1,1,20091001,,D7485,HCPCS,Surgical rduc osseous tuberosity,,,26 ,,NW,,,,,,$998.72,$0.00,1,0,1,1,1,1,20091001,,D7490,HCPCS,Radical resection maxla or mandible,,,26 ,,NW,,,,,,"$8,065.00",$0.00,1,0,1,1,1,1,20091001,,D7510,HCPCS,I&d abscess-intraoral soft tiss,,,26 ,,NW,,,,,,$316.07,$0.00,1,0,1,1,1,1,20091001,,D7511,HCPCS,I & d absc intraoral soft tiss comp,,,26 ,,NW,,,,,,$465.59,$0.00,1,0,1,1,1,1,20091001,,D7520,HCPCS,I&d absc extraoral soft tiss,,,26 ,,NW,,,,,,"$1,376.43",$0.00,1,0,1,1,1,1,20091001,,D7521,HCPCS,I & d absc xtraoral soft tiss comp,,,26 ,,NW,,,,,,"$1,512.19",$0.00,1,0,1,1,1,1,20091001,,D7530,HCPCS,Remv fb mucos skn/subq alveol tiss,,,26 ,,NW,,,,,,$517.03,$0.00,1,0,1,1,1,1,20091001,,D7540,HCPCS,Remv react-produc fb muscloskel sys,,,26 ,,NW,,,,,,$549.76,$0.00,1,0,1,1,1,1,20091001,,D7550,HCPCS,Part ostec/seqect remv non-vital bn,,,26 ,,NW,,,,,,$346.16,$0.00,1,0,1,1,1,1,20091001,,D7560,HCPCS,Maxil sinusot remv tooth frag/fb,,,26 ,,NW,,,,,,"$2,721.94",$0.00,1,0,1,1,1,1,20091001,,D7610,HCPCS,Maxilla-open reduction,,,26 ,,NW,,,,,,"$4,402.15",$0.00,1,0,1,1,1,1,20091001,,D7620,HCPCS,Maxilla-closed reduction,,,26 ,,NW,,,,,,"$3,301.28",$0.00,1,0,1,1,1,1,20091001,,D7630,HCPCS,Mandible-open reduction,,,26 ,,NW,,,,,,"$5,723.47",$0.00,1,0,1,1,1,1,20091001,,D7640,HCPCS,Mandible-closed reduction,,,26 ,,NW,,,,,,"$3,631.94",$0.00,1,0,1,1,1,1,20091001,,D7650,HCPCS,Malar&/zygo arch-open reduction,,,26 ,,NW,,,,,,"$2,751.51",$0.00,1,0,1,1,1,1,20091001,,D7660,HCPCS,Malar&/zygo arch-closed reduction,,,26 ,,NW,,,,,,"$1,622.41",$0.00,1,0,1,1,1,1,20091001,,D7670,HCPCS,Alveol-closed rduc may w/stbl teeth,,,26 ,,NW,,,,,,"$1,266.21",$0.00,1,0,1,1,1,1,20091001,,D7671,HCPCS,Alveol-open rduc may w/stbl teeth,,,26 ,,NW,,,,,,"$2,385.90",$0.00,1,0,1,1,1,1,20091001,,D7680,HCPCS,Fce bns-comp rduc fix&mx apprch,,,26 ,,NW,,,,,,"$8,254.53",$0.00,1,0,1,1,1,1,20091001,,D7710,HCPCS,Maxilla open reduction,,,26 ,,NW,,,,,,"$5,173.70",$0.00,1,0,1,1,1,1,20091001,,D7720,HCPCS,Maxilla closed reduction,,,26 ,,NW,,,,,,"$3,631.94",$0.00,1,0,1,1,1,1,20091001,,D7730,HCPCS,Mandible open reduction,,,26 ,,NW,,,,,,"$7,484.32",$0.00,1,0,1,1,1,1,20091001,,D7740,HCPCS,Mandible closed reduction,,,26 ,,NW,,,,,,"$3,703.18",$0.00,1,0,1,1,1,1,20091001,,D7750,HCPCS,Malr&/zygomatic arch-open rduc,,,26 ,,NW,,,,,,"$4,709.96",$0.00,1,0,1,1,1,1,20091001,,D7760,HCPCS,Malar&/zygo arch closed reduction,,,26 ,,NW,,,,,,"$1,889.90",$0.00,1,0,1,1,1,1,20091001,,D7770,HCPCS,Alveol - open rduc stbl teeth,,,26 ,,NW,,,,,,"$2,560.64",$0.00,1,0,1,1,1,1,20091001,,D7771,HCPCS,Alveol clos rduc stbl teeth,,,26 ,,NW,,,,,,"$1,975.93",$0.00,1,0,1,1,1,1,20091001,,D7780,HCPCS,Fce bns-comp rduc fix & mx apprches,,,26 ,,NW,,,,,,"$11,006.04",$0.00,1,0,1,1,1,1,20091001,,D7810,HCPCS,Open reduction of dislocation,,,26 ,,NW,,,,,,"$4,841.69",$0.00,1,0,1,1,1,1,20091001,,D7820,HCPCS,Closed reduction of dislocation,,,26 ,,NW,,,,,,$793.06,$0.00,1,0,1,1,1,1,20091001,,D7830,HCPCS,Manipulation under anesthesia,,,26 ,,NW,,,,,,$454.33,$0.00,1,0,1,1,1,1,20091001,,D7840,HCPCS,Condylectomy,,,26 ,,NW,,,,,,"$6,599.86",$0.00,1,0,1,1,1,1,20091001,,D7850,HCPCS,Surgical discectomy w/wo implant,,,26 ,,NW,,,,,,"$5,699.27",$0.00,1,0,1,1,1,1,20091001,,D7852,HCPCS,Disc repair,,,26 ,,NW,,,,,,"$6,525.93",$0.00,1,0,1,1,1,1,20091001,,D7854,HCPCS,Synovectomy,,,26 ,,NW,,,,,,"$6,734.28",$0.00,1,0,1,1,1,1,20091001,,D7856,HCPCS,Myotomy,,,26 ,,NW,,,,,,"$4,778.52",$0.00,1,0,1,1,1,1,20091001,,D7858,HCPCS,Joint reconstruction,,,26 ,,NW,,,,,,"$13,620.45",$0.00,1,0,1,1,1,1,20091001,,D7860,HCPCS,Arthrotomy,,,26 ,,NW,,,,,,"$5,805.46",$0.00,1,0,1,1,1,1,20091001,,D7865,HCPCS,Arthroplasty,,,26 ,,NW,,,,,,"$9,355.41",$0.00,1,0,1,1,1,1,20091001,,D7870,HCPCS,Arthrocentesis,,,26 ,,NW,,,,,,$309.16,$0.00,1,0,1,1,1,1,20091001,,D7871,HCPCS,Non-arthroscopic lysis and lavage,,,26 ,,NW,,,,,,$618.32,$0.00,1,0,1,1,1,1,20091001,,D7872,HCPCS,Arthroscopy diagnosis w/wo biopsy,,,26 ,,NW,,,,,,"$3,299.93",$0.00,1,0,1,1,1,1,20091001,,D7873,HCPCS,Arthroscopy-surg:lavage&lysis adhes,,,26 ,,NW,,,,,,"$3,973.36",$0.00,1,0,1,1,1,1,20091001,,D7874,HCPCS,Arthroscopy-surg: disc repstn&stbl,,,26 ,,NW,,,,,,"$5,699.27",$0.00,1,0,1,1,1,1,20091001,,D7875,HCPCS,Arthroscopy-surgical: synovectomy,,,26 ,,NW,,,,,,"$6,243.66",$0.00,1,0,1,1,1,1,20091001,,D7876,HCPCS,Arthroscopy  surgical: discectomy,,,26 ,,NW,,,,,,"$6,731.59",$0.00,1,0,1,1,1,1,20091001,,D7877,HCPCS,Arthroscopy surgical: debridement,,,26 ,,NW,,,,,,"$5,941.22",$0.00,1,0,1,1,1,1,20091001,,D7880,HCPCS,Occlusal orthotic appliance,,,26 ,,NW,,,,,,$740.79,$0.00,1,0,1,1,1,1,20091001,,D7899,HCPCS,Unspecified tmd therapy by report,,,26 ,,NW,,,,,,"$1,604.38",$0.00,1,0,1,1,1,1,20091001,,D7910,HCPCS,Suture recent small wounds up 5 cm,,,26 ,,NW,,,,,,$455.20,$0.00,1,0,1,1,1,1,20091001,,D7911,HCPCS,Complicated suture up to 5cm,,,26 ,,NW,,,,,,"$1,100.87",$0.00,1,0,1,1,1,1,20091001,,D7912,HCPCS,Complicated suture > 5 cm,,,26 ,,NW,,,,,,"$1,981.30",$0.00,1,0,1,1,1,1,20091001,,D7920,HCPCS,Skin graft,,,26 ,,NW,,,,,,"$3,246.16",$0.00,1,0,1,1,1,1,20091001,,D7940,HCPCS,Osteoplasty - orthognathic deform,,,26 ,,NW,,,,,,"$3,402.90",$0.00,1,0,1,1,1,1,20091001,,D7941,HCPCS,Osteotomy - mandibular rami,,,26 ,,NW,,,,,,"$8,266.63",$0.00,1,0,1,1,1,1,20091001,,D7943,HCPCS,Osteot-mand rami bn gft; obtain gft,,,26 ,,NW,,,,,,"$7,594.55",$0.00,1,0,1,1,1,1,20091001,,D7944,HCPCS,Osteotomy segmented or subapical,,,26 ,,NW,,,,,,"$6,767.88",$0.00,1,0,1,1,1,1,20091001,,D7945,HCPCS,Osteotomy-body of mandible,,,26 ,,NW,,,,,,"$9,005.92",$0.00,1,0,1,1,1,1,20091001,,D7946,HCPCS,Lefort i maxilla total,,,26 ,,NW,,,,,,"$11,156.59",$0.00,1,0,1,1,1,1,20091001,,D7947,HCPCS,Lefort i maxilla segmented,,,26 ,,NW,,,,,,"$9,382.29",$0.00,1,0,1,1,1,1,20091001,,D7948,HCPCS,Lefort ii/lefort iii - w/o bone gft,,,26 ,,NW,,,,,,"$12,178.16",$0.00,1,0,1,1,1,1,20091001,,D7949,HCPCS,Lefort ii/lefort iii - w/bone graft,,,26 ,,NW,,,,,,"$15,861.18",$0.00,1,0,1,1,1,1,20091001,,D7950,HCPCS,Oss osteoperiostl cart gft mand/max,,,26 ,,NW,,,,,,"$3,001.17",$0.00,1,0,1,1,1,1,20091001,,D7953,HCPCS,Bone replcmt graft ridge pres -site,,,26 ,,NW,,,,,,$188.56,$0.00,1,0,1,1,1,1,20091001,,D7955,HCPCS,Repr maxlofacl soft&/hard tiss dfct,,,26 ,,NW,,,,,,"$2,970.25",$0.00,1,0,1,1,1,1,20091001,,D7960,HCPCS,Frenulectomy separate procedure,,,26 ,,NW,,,,,,$300.68,$0.00,1,0,1,1,1,1,20091001,,D7963,HCPCS,Frenuloplasty,,,26 ,,NW,,,,,,$638.48,$0.00,1,0,1,1,1,1,20091001,,D7970,HCPCS,Exc hyperplastic tissue-per arch,,,26 ,,NW,,,,,,$633.84,$0.00,1,0,1,1,1,1,20091001,,D7971,HCPCS,Excision of pericoronal gingiva,,,26 ,,NW,,,,,,$217.60,$0.00,1,0,1,1,1,1,20091001,,D7972,HCPCS,Surgical rduc fibrous tuberosity,,,26 ,,NW,,,,,,$752.73,$0.00,1,0,1,1,1,1,20091001,,D7980,HCPCS,Sialolithotomy,,,26 ,,NW,,,,,,$846.83,$0.00,1,0,1,1,1,1,20091001,,D7981,HCPCS,Excision salivary gland by report,,,26 ,,NW,,,,,,$613.47,$0.00,1,0,1,1,1,1,20091001,,D7982,HCPCS,Sialodochoplasty,,,26 ,,NW,,,,,,"$2,002.81",$0.00,1,0,1,1,1,1,20091001,,D7983,HCPCS,Closure of salivary fistula,,,26 ,,NW,,,,,,"$1,922.16",$0.00,1,0,1,1,1,1,20091001,,D7990,HCPCS,Emergency tracheotomy,,,26 ,,NW,,,,,,"$1,653.33",$0.00,1,0,1,1,1,1,20091001,,D7991,HCPCS,Coronoidectomy,,,26 ,,NW,,,,,,"$4,032.50",$0.00,1,0,1,1,1,1,20091001,,D7995,HCPCS,Synth gft-mand/face bones by rpt,,,26 ,,NW,,,,,,$563.80,$0.00,1,0,1,1,1,1,20091001,,D7996,HCPCS,Implnt-mandib-augmentation br,,,26 ,,NW,,,,,,"$2,390.26",$0.00,1,0,1,1,1,1,20091001,,D7997,HCPCS,Appliance remv incl remv archbar,,,26 ,,NW,,,,,,$309.16,$0.00,1,0,1,1,1,1,20091001,,D7998,HCPCS,Intraoral plcmt fix devc not w/fx,,,26 ,,NW,,,,,,"$1,344.17",$0.00,1,0,1,0,0,1,20091001,,D7999,HCPCS,Uns oral surg proc by report,,,26 ,,NW,,,,,,"$1,604.38",$0.00,1,0,1,1,1,1,20091001,,D8010,HCPCS,Ltd orthodont tx primary dentition,,,27 ,,NW,,,,,,"$1,950.66",$0.00,1,0,1,1,1,1,20091001,,D8020,HCPCS,Ltd orthodont tx trnsitionl dentitn,,,27 ,,NW,,,,,,"$2,157.66",$0.00,1,0,1,1,1,1,20091001,,D8030,HCPCS,Ltd orthodontic tx adoles dentition,,,27 ,,NW,,,,,,"$2,318.24",$0.00,1,0,1,1,1,1,20091001,,D8040,HCPCS,Ltd orthodontic tx adult dentition,,,27 ,,NW,,,,,,"$2,447.15",$0.00,1,0,1,1,1,1,20091001,,D8050,HCPCS,Intrcptv orthodont tx prim dentitn,,,27 ,,NW,,,,,,"$2,433.89",$0.00,1,0,1,1,1,1,20091001,,D8060,HCPCS,Intrcptv orthodont tx trnsitnl dent,,,27 ,,NW,,,,,,"$2,652.67",$0.00,1,0,1,1,1,1,20091001,,D8070,HCPCS,Comp orthodont tx trnsitnl dentitn,,,27 ,,NW,,,,,,"$4,173.07",$0.00,1,0,1,1,1,1,20091001,,D8080,HCPCS,Comp orthodont tx adoles dentition,,,27 ,,NW,,,,,,"$4,235.69",$0.00,1,0,1,1,1,1,20091001,,D8090,HCPCS,Comp orthodontic tx adult dentition,,,27 ,,NW,,,,,,"$4,412.47",$0.00,1,0,1,1,1,1,20091001,,D8210,HCPCS,Removable appliance therapy,,,27 ,,NW,,,,,,"$1,337.05",$0.00,1,0,1,1,1,1,20091001,,D8220,HCPCS,Fixed appliance therapy,,,27 ,,NW,,,,,,"$1,412.19",$0.00,1,0,1,1,1,1,20091001,,D8660,HCPCS,Orthodontic treatment,,,27 ,,NW,,,,,,$216.41,$0.00,1,0,1,1,1,1,20091001,,D8670,HCPCS,Periodic orthodontic tx visit,,,27 ,,NW,,,,,,$256.19,$0.00,1,0,1,1,1,1,20091001,,D8680,HCPCS,Orthodontic retention,,,27 ,,NW,,,,,,$625.76,$0.00,1,0,1,1,1,1,20091001,,D8690,HCPCS,Orthodontic treatment,,,27 ,,NW,,,,,,$273.23,$0.00,1,0,1,1,1,1,20091001,,D8691,HCPCS,Repair of orthodontic appliance,,,27 ,,NW,,,,,,$188.92,$0.00,1,0,1,1,1,1,20091001,,D8692,HCPCS,Replacement lost or broken retainer,,,27 ,,NW,,,,,,$334.36,$0.00,1,0,1,1,1,1,20091001,,D8999,HCPCS,Uns orthodontic procedure by report,,,27 ,,NW,,,,,,"$1,635.44",$0.00,1,0,1,1,1,1,20091001,,D9110,HCPCS,Palliatve tx dental pain-minor proc,,,26 ,,NW,,,,,,$116.65,$0.00,1,0,1,1,1,1,20091001,,D9120,HCPCS,Fixed partial denture sectioning,,,26 ,,NW,,,,,,$128.76,$0.00,1,0,1,0,0,1,20091001,,D9210,HCPCS,Loc anes-not conjunc w/op/surg proc,,,26 ,,NW,,,,,,$35.78,$0.00,1,0,1,1,1,1,20091001,,D9211,HCPCS,Regional block anesthesia,,,26 ,,NW,,,,,,$45.10,$0.00,1,0,1,1,1,1,20091001,,D9212,HCPCS,Trigeminal division block anes,,,26 ,,NW,,,,,,$94.09,$0.00,1,0,1,1,1,1,20091001,,D9215,HCPCS,Local anesthesia,,,26 ,,NW,,,,,,$33.77,$0.00,1,0,1,1,1,1,20091001,,D9220,HCPCS,Dp sedation/gen anes-1st 30 min,,,26 ,,NW,,,,,,$448.71,$0.00,1,0,1,1,1,1,20091001,,D9221,HCPCS,Dp sedat/gen anes-ea add 15 min,,,26 ,,NW,,,,,,$190.59,$0.00,1,0,1,1,1,1,20091001,,D9230,HCPCS,Analg anxiolysis inhal nitrous oxid,,,26 ,,NW,,,,,,$59.16,$0.00,1,0,1,1,1,1,20091001,,D9241,HCPCS,Iv consc sedat/analg -1st 30 min,,,26 ,,NW,,,,,,$358.15,$0.00,1,0,1,1,1,1,20091001,,D9242,HCPCS,Iv consc sedat/analg-ea add 15 min,,,26 ,,NW,,,,,,$151.44,$0.00,1,0,1,1,1,1,20091001,,D9248,HCPCS,Non-intravenous conscious sedation,,,26 ,,NW,,,,,,$75.70,$0.00,1,0,1,1,1,1,20091001,,D9310,HCPCS,Cnslt dx  dent/phy not req dent/phy,,,25 ,,NW,,,,,,$252.68,$0.00,1,0,1,1,1,1,20091001,,D9410,HCPCS,House/extended care facility call,,,25 ,,NW,,,,,,$244.40,$0.00,1,0,1,1,1,1,20091001,,D9420,HCPCS,Hospital call,,,25 ,,NW,,,,,,$414.08,$0.00,1,0,1,1,1,1,20091001,,D9430,HCPCS,Ov obs - no oth services performed,,,25 ,,NW,,,,,,$78.16,$0.00,1,0,1,1,1,1,20091001,,D9440,HCPCS,Ov-after regularly scheduled hours,,,25 ,,NW,,,,,,$151.27,$0.00,1,0,1,1,1,1,20091001,,D9450,HCPCS,Case prsation dtl&ext tx planning,,,25 ,,NW,,,,,,$75.09,$0.00,1,0,1,1,1,1,20091001,,D9610,HCPCS,Tx parentral drug 1 administration,,,27 ,,NW,,,,,,$98.30,$0.00,1,0,1,1,1,1,20091001,,D9630,HCPCS,Other drugs &/ medicaments by rpt,,,27 ,,NW,,,,,,$56.45,$0.00,1,0,1,1,1,1,20091001,,D9910,HCPCS,Application desenzt medicament,,,27 ,,NW,,,,,,$52.62,$0.00,1,0,1,1,1,1,20091001,,D9911,HCPCS,Applic desenzt rsn cerv&/root-tooth,,,27 ,,NW,,,,,,$83.92,$0.00,1,0,1,1,1,1,20091001,,D9920,HCPCS,Behavior management by report,,,27 ,,NW,,,,,,$163.85,$0.00,1,0,1,1,1,1,20091001,,D9930,HCPCS,Tx comps - unusul circumstances rpt,,,27 ,,NW,,,,,,$137.79,$0.00,1,0,1,1,1,1,20091001,,D9940,HCPCS,Occlusal guard by report,,,27 ,,NW,,,,,,$387.28,$0.00,1,0,1,1,1,1,20091001,,D9941,HCPCS,Fabrication of athletic mouthguard,,,27 ,,NW,,,,,,$176.20,$0.00,1,0,1,1,1,1,20091001,,D9942,HCPCS,Repair &/ reline of occlusal guard,,,26 ,,NW,,,,,,$171.29,$0.00,1,0,1,0,0,1,20091001,,D9950,HCPCS,Occlusion analysis - mounted case,,,27 ,,NW,,,,,,$315.38,$0.00,1,0,1,1,1,1,20091001,,D9951,HCPCS,Occlusal adjustment - limited,,,27 ,,NW,,,,,,$151.07,$0.00,1,0,1,1,1,1,20091001,,D9952,HCPCS,Occlusal adjustment - complete,,,27 ,,NW,,,,,,$851.55,$0.00,1,0,1,1,1,1,20091001,,D9970,HCPCS,Enamel microabrasion,,,27 ,,NW,,,,,,$55.32,$0.00,1,0,1,1,1,1,20091001,,D9971,HCPCS,Odontplsty 1-2 teeth;remv enaml prj,,,27 ,,NW,,,,,,$77.26,$0.00,1,0,1,1,1,1,20091001,,D9972,HCPCS,External bleaching - per arch,,,27 ,,NW,,,,,,$356.13,$0.00,1,0,1,1,1,1,20091001,,D9973,HCPCS,External bleaching - per tooth,,,27 ,,NW,,,,,,$39.17,$0.00,1,0,1,1,1,1,20091001,,D9974,HCPCS,Internal bleaching - per tooth,,,27 ,,NW,,,,,,$302.62,$0.00,1,0,1,1,1,1,20091001,,D9999,HCPCS,Uns adjunctive procedure report,,,27 ,,NW,,,,,,"$1,553.14",$0.00,1,0,1,1,1,1,20091001,,E0100,HCPCS,Cane adjust/fixed with tip,NU,,28 ,,NW,,,,,,$33.81,$0.00,1,1,1,1,1,1,20091001,,E0100,HCPCS,Cane adjust/fixed with tip,RR,,28 ,,NW,,,,,,$11.89,$0.00,1,1,1,1,1,1,20091001,,E0100,HCPCS,Cane adjust/fixed with tip,UE,,28 ,,NW,,,,,,$25.02,$0.00,1,1,1,1,1,1,20091001,,E0105,HCPCS,Cane adjust/fixed quad/3 pro,NU,,28 ,,NW,,,,,,$76.37,$0.00,1,1,1,1,1,1,20091001,,E0105,HCPCS,Cane adjust/fixed quad/3 pro,RR,,28 ,,NW,,,,,,$17.73,$0.00,1,1,1,1,1,1,20091001,,E0105,HCPCS,Cane adjust/fixed quad/3 pro,UE,,28 ,,NW,,,,,,$56.51,$0.00,1,1,1,1,1,1,20091001,,E0110,HCPCS,Crutch forearm pair,NU,,28 ,,NW,,,,,,$139.59,$0.00,1,1,1,1,1,1,20091001,,E0110,HCPCS,Crutch forearm pair,RR,,28 ,,NW,,,,,,$32.00,$0.00,1,1,1,1,1,1,20091001,,E0110,HCPCS,Crutch forearm pair,UE,,28 ,,NW,,,,,,$103.30,$0.00,1,1,1,1,1,1,20091001,,E0111,HCPCS,Crutch forearm each,NU,,28 ,,NW,,,,,,$90.18,$0.00,1,1,1,1,1,1,20091001,,E0111,HCPCS,Crutch forearm each,RR,,28 ,,NW,,,,,,$16.88,$0.00,1,1,1,1,1,1,20091001,,E0111,HCPCS,Crutch forearm each,UE,,28 ,,NW,,,,,,$66.74,$0.00,1,1,1,1,1,1,20091001,,E0112,HCPCS,Crutch underarm pair wood,NU,,28 ,,NW,,,,,,$63.72,$0.00,1,1,1,1,1,1,20091001,,E0112,HCPCS,Crutch underarm pair wood,RR,,28 ,,NW,,,,,,$19.87,$0.00,1,1,1,1,1,1,20091001,,E0112,HCPCS,Crutch underarm pair wood,UE,,28 ,,NW,,,,,,$47.15,$0.00,1,1,1,1,1,1,20091001,,E0113,HCPCS,Crutch underarm each wood,NU,,28 ,,NW,,,,,,$42.28,$0.00,1,1,1,1,1,1,20091001,,E0113,HCPCS,Crutch underarm each wood,RR,,28 ,,NW,,,,,,$10.31,$0.00,1,1,1,1,1,1,20091001,,E0113,HCPCS,Crutch underarm each wood,UE,,28 ,,NW,,,,,,$31.29,$0.00,1,1,1,1,1,1,20091001,,E0114,HCPCS,Crutch underarm pair no wood,NU,,28 ,,NW,,,,,,$78.55,$0.00,1,1,1,1,1,1,20091001,,E0114,HCPCS,Crutch underarm pair no wood,RR,,28 ,,NW,,,,,,$16.28,$0.00,1,1,1,1,1,1,20091001,,E0114,HCPCS,Crutch underarm pair no wood,UE,,28 ,,NW,,,,,,$58.12,$0.00,1,1,1,1,1,1,20091001,,E0116,HCPCS,Crutch underarm each no wood,NU,,28 ,,NW,,,,,,$54.82,$0.00,1,1,1,1,1,1,20091001,,E0116,HCPCS,Crutch underarm each no wood,RR,,28 ,,NW,,,,,,$10.81,$0.00,1,1,1,1,1,1,20091001,,E0116,HCPCS,Crutch underarm each no wood,UE,,28 ,,NW,,,,,,$40.57,$0.00,1,1,1,1,1,1,20091001,,E0117,HCPCS,Underarm springassist crutch,NU,,28 ,,NW,,,,,,$385.64,$0.00,1,1,1,1,1,1,20091001,,E0117,HCPCS,Underarm springassist crutch,RR,,28 ,,NW,,,,,,$38.54,$0.00,1,1,1,1,1,1,20091001,,E0117,HCPCS,Underarm springassist crutch,UE,,28 ,,NW,,,,,,$285.38,$0.00,1,1,1,1,1,1,20091001,,E0130,HCPCS,Walker rigid adjust/fixed ht,NU,,28 ,,NW,,,,,,$140.55,$0.00,1,1,1,1,1,1,20091001,,E0130,HCPCS,Walker rigid adjust/fixed ht,RR,,28 ,,NW,,,,,,$33.67,$0.00,1,1,1,1,1,1,20091001,,E0130,HCPCS,Walker rigid adjust/fixed ht,UE,,28 ,,NW,,,,,,$104.01,$0.00,1,1,1,1,1,1,20091001,,E0135,HCPCS,Walker folding adjust/fixed,NU,,28 ,,NW,,,,,,$137.66,$0.00,1,1,1,1,1,1,20091001,,E0135,HCPCS,Walker folding adjust/fixed,RR,,28 ,,NW,,,,,,$33.28,$0.00,1,1,1,1,1,1,20091001,,E0135,HCPCS,Walker folding adjust/fixed,UE,,28 ,,NW,,,,,,$101.87,$0.00,1,1,1,1,1,1,20091001,,E0140,HCPCS,Walker w trunk support,NU,,28 ,,NW,,,,,,$721.84,$0.00,1,1,1,0,1,1,20091001,,E0140,HCPCS,Walker w trunk support,RR,,28 ,,NW,,,,,,$72.21,$0.00,1,1,1,0,1,1,20091001,,E0140,HCPCS,Walker w trunk support,UE,,28 ,,NW,,,,,,$534.16,$0.00,1,1,1,0,1,1,20091001,,E0141,HCPCS,Rigid wheeled walker adj/fix,NU,,28 ,,NW,,,,,,$173.43,$0.00,1,1,1,1,1,1,20091001,,E0141,HCPCS,Rigid wheeled walker adj/fix,RR,,28 ,,NW,,,,,,$44.76,$0.00,1,1,1,1,1,1,20091001,,E0141,HCPCS,Rigid wheeled walker adj/fix,UE,,28 ,,NW,,,,,,$128.34,$0.00,1,1,1,1,1,1,20091001,,E0143,HCPCS,Walker folding wheeled w/o s,NU,,28 ,,NW,,,,,,$193.97,$0.00,1,1,1,1,1,1,20091001,,E0143,HCPCS,Walker folding wheeled w/o s,RR,,28 ,,NW,,,,,,$37.69,$0.00,1,1,1,1,1,1,20091001,,E0143,HCPCS,Walker folding wheeled w/o s,UE,,28 ,,NW,,,,,,$143.54,$0.00,1,1,1,1,1,1,20091001,,E0144,HCPCS,Enclosed walker w rear seat,NU,,28 ,,NW,,,,,,$637.28,$0.00,1,1,1,1,1,1,20091001,,E0144,HCPCS,Enclosed walker w rear seat,RR,,28 ,,NW,,,,,,$63.76,$0.00,1,1,1,1,1,1,20091001,,E0144,HCPCS,Enclosed walker w rear seat,UE,,28 ,,NW,,,,,,$471.58,$0.00,1,1,1,1,1,1,20091001,,E0147,HCPCS,Walker variable wheel resist,NU,,28 ,,NW,,,,,,"$1,045.58",$0.00,1,1,1,1,1,1,20091001,,E0147,HCPCS,Walker variable wheel resist,RR,,28 ,,NW,,,,,,$115.03,$0.00,1,1,1,1,1,1,20091001,,E0147,HCPCS,Walker variable wheel resist,UE,,28 ,,NW,,,,,,$773.73,$0.00,1,1,1,1,1,1,20091001,,E0148,HCPCS,Heavyduty walker no wheels,NU,,28 ,,NW,,,,,,$246.23,$0.00,1,1,1,1,1,1,20091001,,E0148,HCPCS,Heavyduty walker no wheels,RR,,28 ,,NW,,,,,,$25.45,$0.00,1,1,1,1,1,1,20091001,,E0148,HCPCS,Heavyduty walker no wheels,UE,,28 ,,NW,,,,,,$182.21,$0.00,1,1,1,1,1,1,20091001,,E0149,HCPCS,Heavy duty wheeled walker,NU,,28 ,,NW,,,,,,$414.39,$0.00,1,1,1,1,1,1,20091001,,E0149,HCPCS,Heavy duty wheeled walker,RR,,28 ,,NW,,,,,,$44.66,$0.00,1,1,1,1,1,1,20091001,,E0149,HCPCS,Heavy duty wheeled walker,UE,,28 ,,NW,,,,,,$306.65,$0.00,1,1,1,1,1,1,20091001,,E0153,HCPCS,Forearm crutch platform atta,NU,,28 ,,NW,,,,,,$138.84,$0.00,1,1,1,1,1,1,20091001,,E0153,HCPCS,Forearm crutch platform atta,RR,,28 ,,NW,,,,,,$15.68,$0.00,1,1,1,1,1,1,20091001,,E0153,HCPCS,Forearm crutch platform atta,UE,,28 ,,NW,,,,,,$102.74,$0.00,1,1,1,1,1,1,20091001,,E0154,HCPCS,Walker platform attachment,NU,,28 ,,NW,,,,,,$133.74,$0.00,1,1,1,1,1,1,20091001,,E0154,HCPCS,Walker platform attachment,RR,,28 ,,NW,,,,,,$15.80,$0.00,1,1,1,1,1,1,20091001,,E0154,HCPCS,Walker platform attachment,UE,,28 ,,NW,,,,,,$98.97,$0.00,1,1,1,1,1,1,20091001,,E0155,HCPCS,"Walker wheel attachment,pair",NU,,28 ,,NW,,,,,,$57.59,$0.00,1,1,1,1,1,1,20091001,,E0155,HCPCS,"Walker wheel attachment,pair",RR,,28 ,,NW,,,,,,$7.80,$0.00,1,1,1,1,1,1,20091001,,E0155,HCPCS,"Walker wheel attachment,pair",UE,,28 ,,NW,,,,,,$42.62,$0.00,1,1,1,1,1,1,20091001,,E0156,HCPCS,Walker seat attachment,NU,,28 ,,NW,,,,,,$46.00,$0.00,1,1,1,1,1,1,20091001,,E0156,HCPCS,Walker seat attachment,RR,,28 ,,NW,,,,,,$6.76,$0.00,1,1,1,1,1,1,20091001,,E0156,HCPCS,Walker seat attachment,UE,,28 ,,NW,,,,,,$34.04,$0.00,1,1,1,1,1,1,20091001,,E0157,HCPCS,Walker crutch attachment,NU,,28 ,,NW,,,,,,$163.93,$0.00,1,1,1,1,1,1,20091001,,E0157,HCPCS,Walker crutch attachment,RR,,28 ,,NW,,,,,,$17.99,$0.00,1,1,1,1,1,1,20091001,,E0157,HCPCS,Walker crutch attachment,UE,,28 ,,NW,,,,,,$121.31,$0.00,1,1,1,1,1,1,20091001,,E0158,HCPCS,Walker leg extenders set of4,NU,,28 ,,NW,,,,,,$60.22,$0.00,1,1,1,1,1,1,20091001,,E0158,HCPCS,Walker leg extenders set of4,RR,,28 ,,NW,,,,,,$7.11,$0.00,1,1,1,1,1,1,20091001,,E0158,HCPCS,Walker leg extenders set of4,UE,,28 ,,NW,,,,,,$44.56,$0.00,1,1,1,1,1,1,20091001,,E0159,HCPCS,Brake for wheeled walker,NU,,28 ,,NW,,,,,,$34.62,$0.00,1,1,1,1,1,1,20091001,,E0159,HCPCS,Brake for wheeled walker,RR,,28 ,,NW,,,,,,$3.70,$0.00,1,1,1,1,1,1,20091001,,E0159,HCPCS,Brake for wheeled walker,UE,,28 ,,NW,,,,,,$25.62,$0.00,1,1,1,1,1,1,20091001,,E0160,HCPCS,Sitz type bath or equipment,NU,,28 ,,NW,,,,,,$66.16,$0.00,1,1,1,1,1,1,20091001,,E0160,HCPCS,Sitz type bath or equipment,RR,,28 ,,NW,,,,,,$8.66,$0.00,1,1,1,1,1,1,20091001,,E0160,HCPCS,Sitz type bath or equipment,UE,,28 ,,NW,,,,,,$48.96,$0.00,1,1,1,1,1,1,20091001,,E0161,HCPCS,Sitz bath/equipment w/faucet,NU,,28 ,,NW,,,,,,$52.50,$0.00,1,1,1,1,1,1,20091001,,E0161,HCPCS,Sitz bath/equipment w/faucet,RR,,28 ,,NW,,,,,,$7.13,$0.00,1,1,1,1,1,1,20091001,,E0161,HCPCS,Sitz bath/equipment w/faucet,UE,,28 ,,NW,,,,,,$38.85,$0.00,1,1,1,1,1,1,20091001,,E0162,HCPCS,Sitz bath chair,NU,,28 ,,NW,,,,,,$291.59,$0.00,1,1,1,1,1,1,20091001,,E0162,HCPCS,Sitz bath chair,RR,,28 ,,NW,,,,,,$30.61,$0.00,1,1,1,1,1,1,20091001,,E0162,HCPCS,Sitz bath chair,UE,,28 ,,NW,,,,,,$215.77,$0.00,1,1,1,1,1,1,20091001,,E0163,HCPCS,Commode chair with fixed arm,NU,,28 ,,NW,,,,,,$174.29,$0.00,1,1,1,1,1,1,20091001,,E0163,HCPCS,Commode chair with fixed arm,RR,,28 ,,NW,,,,,,$39.85,$0.00,1,1,1,1,1,1,20091001,,E0163,HCPCS,Commode chair with fixed arm,UE,,28 ,,NW,,,,,,$128.97,$0.00,1,1,1,1,1,1,20091001,,E0165,HCPCS,Commode chair with detacharm,,,28 ,,NW,,,,,,$517.05,$0.00,1,1,1,0,0,1,20091001,,E0167,HCPCS,Commode chair pail or pan,NU,,28 ,,NW,,,,,,$24.01,$0.00,1,1,1,1,1,1,20091001,,E0167,HCPCS,Commode chair pail or pan,RR,,28 ,,NW,,,,,,$2.52,$0.00,1,1,1,1,1,1,20091001,,E0167,HCPCS,Commode chair pail or pan,UE,,28 ,,NW,,,,,,$17.77,$0.00,1,1,1,1,1,1,20091001,,E0168,HCPCS,Heavyduty/wide commode chair,NU,,28 ,,NW,,,,,,$261.25,$0.00,1,1,1,1,1,1,20091001,,E0168,HCPCS,Heavyduty/wide commode chair,RR,,28 ,,NW,,,,,,$32.69,$0.00,1,1,1,1,1,1,20091001,,E0168,HCPCS,Heavyduty/wide commode chair,UE,,28 ,,NW,,,,,,$193.32,$0.00,1,1,1,1,1,1,20091001,,E0175,HCPCS,Commode chair foot rest,,,28 ,,NW,,,,,,$94.18,$0.00,1,1,1,1,1,1,20091001,,E0181,HCPCS,Press pad alternating w/ pum,,,28 ,,NW,,,,,,$504.63,$0.00,1,1,1,1,1,1,20091001,,E0182,HCPCS,"Replace pump, alt press pad",,,28 ,,NW,,,,,,$519.79,$0.00,1,1,1,1,1,1,20091001,,E0184,HCPCS,Dry pressure mattress,,,28 ,,NW,,,,,,$313.32,$0.00,1,1,1,1,1,1,20091001,,E0185,HCPCS,Gel pressure mattress pad,,,28 ,,NW,,,,,,$522.80,$0.00,1,1,1,1,1,1,20091001,,E0186,HCPCS,Air pressure mattress,,,28 ,,NW,,,,,,$467.43,$0.00,1,1,1,1,1,1,20091001,,E0187,HCPCS,Water pressure mattress,,,28 ,,NW,,,,,,$383.38,$0.00,1,1,1,1,1,1,20091001,,E0188,HCPCS,Synthetic sheepskin pad,,,28 ,,NW,,,,,,$49.00,$0.00,1,1,1,1,1,1,20091001,,E0189,HCPCS,Lambswool sheepskin pad,,,28 ,,NW,,,,,,$96.12,$0.00,1,1,1,1,1,1,20091001,,E0190,HCPCS,Positioning cushion,,,28 ,,NW,,,,,,$82.38,$0.00,1,1,1,0,1,1,20091001,,E0191,HCPCS,Protector heel or elbow,UE,,28 ,,NW,,,,,,$11.38,$0.00,1,1,1,1,1,1,20091001,,E0191,HCPCS,Protector heel or elbow,,,28 ,,NW,,,,,,$15.34,$0.00,1,1,1,1,1,1,20091001,,E0193,HCPCS,Powered air flotation bed,RR,,28 ,,NW,,,,,,"$1,808.00",$0.00,1,1,1,1,1,1,20091001,,E0194,HCPCS,Air fluidized bed,RR,,28 ,,NW,,,,,,"$6,512.58",$0.00,1,1,1,1,1,1,20091001,,E0194,HCPCS,Air fluidized bed,UE,,28 ,,NW,,,,,,"$48,844.36",$0.00,1,1,1,1,1,1,20091001,,E0194,HCPCS,Air fluidized bed,,,28 ,,NW,,,,,,"$54,993.59",$0.00,1,1,1,1,1,1,20091001,,E0196,HCPCS,Gel pressure mattress,RR,,28 ,,NW,,,,,,$65.03,$0.00,1,1,1,1,1,1,20091001,,E0196,HCPCS,Gel pressure mattress,UE,,28 ,,NW,,,,,,$487.70,$0.00,1,1,1,1,1,1,20091001,,E0196,HCPCS,Gel pressure mattress,,,28 ,,NW,,,,,,$644.07,$0.00,1,1,1,1,1,1,20091001,,E0197,HCPCS,Air pressure pad for mattres,,,28 ,,NW,,,,,,$412.04,$0.00,1,1,1,1,1,1,20091001,,E0198,HCPCS,Water pressure pad for mattr,,,28 ,,NW,,,,,,$354.31,$0.00,1,1,1,1,1,1,20091001,,E0199,HCPCS,Dry pressure pad for mattres,,,28 ,,NW,,,,,,$46.32,$0.00,1,1,1,1,1,1,20091001,,E0200,HCPCS,Heat lamp without stand,,,28 ,,NW,,,,,,$117.62,$0.00,1,1,1,1,1,1,20091001,,E0202,HCPCS,Phototherapy light w/ photom,RR,,28 ,,NW,,,,,,$121.35,$0.00,1,1,1,1,1,1,20091001,,E0203,HCPCS,Therapeutic lightbox tabletp,,,28 ,,NW,,,,,,$175.96,$0.00,1,1,1,0,1,1,20091001,,E0205,HCPCS,Heat lamp with stand,,,28 ,,NW,,,,,,$305.08,$0.00,1,1,1,1,1,1,20091001,,E0210,HCPCS,Electric heat pad standard,,,28 ,,NW,,,,,,$47.06,$0.00,1,1,1,1,1,1,20091001,,E0215,HCPCS,Electric heat pad moist,,,28 ,,NW,,,,,,$103.80,$0.00,1,1,1,1,1,1,20091001,,E0217,HCPCS,Water circ heat pad w pump,,,28 ,,NW,,,,,,$799.11,$0.00,1,1,1,1,1,1,20091001,,E0218,HCPCS,Water circ cold pad w pump,,,28 ,,NW,,,,,,$470.77,$0.00,1,1,1,1,1,1,20091001,,E0220,HCPCS,Hot water bottle,,,28 ,,NW,,,,,,$15.82,$0.00,1,1,1,1,1,1,20091001,,E0221,HCPCS,Infrared heating pad system,,,28 ,,NW,,,,,,"$3,441.02",$0.00,1,1,1,1,1,1,20091001,,E0225,HCPCS,Hydrocollator unit,,,28 ,,NW,,,,,,$622.98,$0.00,1,1,1,1,1,1,20091001,,E0230,HCPCS,Ice cap or collar,,,28 ,,NW,,,,,,$31.78,$0.00,1,1,1,1,1,1,20091001,,E0231,HCPCS,Wound warming device,RR,,28 ,,NW,,,,,,$19.65,$0.00,1,1,1,1,1,1,20091001,,E0231,HCPCS,Wound warming device,,,28 ,,NW,,,,,,$190.50,$0.00,1,1,1,1,1,1,20091001,,E0235,HCPCS,Paraffin bath unit portable,RR,,28 ,,NW,,,,,,$24.00,$0.00,1,1,1,1,1,1,20091001,,E0235,HCPCS,Paraffin bath unit portable,UE,,28 ,,NW,,,,,,$259.05,$0.00,1,1,1,1,1,1,20091001,,E0235,HCPCS,Paraffin bath unit portable,,,28 ,,NW,,,,,,$348.33,$0.00,1,1,1,1,1,1,20091001,,E0236,HCPCS,Pump for water circulating p,RR,,28 ,,NW,,,,,,$73.09,$0.00,1,1,1,1,1,1,20091001,,E0236,HCPCS,Pump for water circulating p,UE,,28 ,,NW,,,,,,$664.12,$0.00,1,1,1,1,1,1,20091001,,E0236,HCPCS,Pump for water circulating p,,,28 ,,NW,,,,,,$436.28,$0.00,1,1,1,1,1,1,20091001,,E0238,HCPCS,Heat pad non-electric moist,,,28 ,,NW,,,,,,$51.48,$0.00,1,1,1,1,1,1,20091001,,E0239,HCPCS,Hydrocollator unit portable,,,28 ,,NW,,,,,,$723.01,$0.00,1,1,1,1,1,1,20091001,,E0240,HCPCS,Bath/shower chair,,,28 ,,NW,,,,,,$144.06,$0.00,1,1,1,0,1,1,20091001,,E0241,HCPCS,Bath tub wall rail,,,28 ,,NW,,,,,,$55.33,$0.00,1,1,1,1,1,1,20091001,,E0242,HCPCS,Bath tub rail floor,,,28 ,,NW,,,,,,$125.37,$0.00,1,1,1,1,1,1,20091001,,E0243,HCPCS,Toilet rail,,,28 ,,NW,,,,,,$99.47,$0.00,1,1,1,1,1,1,20091001,,E0244,HCPCS,Toilet seat raised,,,28 ,,NW,,,,,,$71.23,$0.00,1,1,1,1,1,1,20091001,,E0245,HCPCS,Tub stool or bench,,,28 ,,NW,,,,,,$108.95,$0.00,1,1,1,1,1,1,20091001,,E0246,HCPCS,Transfer tub rail attachment,,,28 ,,NW,,,,,,$169.51,$0.00,1,1,1,1,1,1,20091001,,E0247,HCPCS,Trans bench w/wo comm open,,,28 ,,NW,,,,,,$110.55,$0.00,1,1,1,1,1,1,20091001,,E0248,HCPCS,Hdtrans bench w/wo comm open,,,28 ,,NW,,,,,,$188.17,$0.00,1,1,1,0,1,1,20091001,,E0249,HCPCS,Pad water circulating heat u,,,28 ,,NW,,,,,,$205.00,$0.00,1,1,1,1,1,1,20091001,,E0250,HCPCS,Hosp bed fixed ht w/ mattres,RR,,28 ,,NW,,,,,,$207.70,$0.00,1,1,1,1,1,1,20091001,,E0250,HCPCS,Hosp bed fixed ht w/ mattres,UE,,28 ,,NW,,,,,,"$1,467.35",$0.00,1,1,1,1,1,1,20091001,,E0250,HCPCS,Hosp bed fixed ht w/ mattres,,,28 ,,NW,,,,,,"$2,462.60",$0.00,1,1,1,1,1,1,20091001,,E0251,HCPCS,Hosp bed fixd ht w/o mattres,RR,,28 ,,NW,,,,,,$148.25,$0.00,1,1,1,1,1,1,20091001,,E0251,HCPCS,Hosp bed fixd ht w/o mattres,UE,,28 ,,NW,,,,,,"$1,111.91",$0.00,1,1,1,1,1,1,20091001,,E0251,HCPCS,Hosp bed fixd ht w/o mattres,,,28 ,,NW,,,,,,"$1,426.90",$0.00,1,1,1,1,1,1,20091001,,E0255,HCPCS,Hospital bed var ht w/ mattr,RR,,28 ,,NW,,,,,,$214.39,$0.00,1,1,1,1,1,1,20091001,,E0255,HCPCS,Hospital bed var ht w/ mattr,UE,,28 ,,NW,,,,,,"$1,763.29",$0.00,1,1,1,1,1,1,20091001,,E0255,HCPCS,Hospital bed var ht w/ mattr,,,28 ,,NW,,,,,,"$2,509.63",$0.00,1,1,1,1,1,1,20091001,,E0256,HCPCS,Hospital bed var ht w/o matt,RR,,28 ,,NW,,,,,,$166.81,$0.00,1,1,1,1,1,1,20091001,,E0256,HCPCS,Hospital bed var ht w/o matt,UE,,28 ,,NW,,,,,,"$1,251.05",$0.00,1,1,1,1,1,1,20091001,,E0256,HCPCS,Hospital bed var ht w/o matt,,,28 ,,NW,,,,,,"$1,594.70",$0.00,1,1,1,1,1,1,20091001,,E0260,HCPCS,Hosp bed semi-electr w/ matt,RR,,28 ,,NW,,,,,,$264.67,$0.00,1,1,1,1,1,1,20091001,,E0260,HCPCS,Hosp bed semi-electr w/ matt,UE,,28 ,,NW,,,,,,"$1,923.07",$0.00,1,1,1,1,1,1,20091001,,E0260,HCPCS,Hosp bed semi-electr w/ matt,,,28 ,,NW,,,,,,$13.18,$0.00,1,1,1,1,1,1,20091001,,E0261,HCPCS,Hosp bed semi-electr w/o mat,RR,,28 ,,NW,,,,,,$218.77,$0.00,1,1,1,1,1,1,20091001,,E0261,HCPCS,Hosp bed semi-electr w/o mat,UE,,28 ,,NW,,,,,,"$2,055.35",$0.00,1,1,1,1,1,1,20091001,,E0261,HCPCS,Hosp bed semi-electr w/o mat,,,28 ,,NW,,,,,,"$2,429.68",$0.00,1,1,1,1,1,1,20091001,,E0265,HCPCS,Hosp bed total electr w/ mat,RR,,28 ,,NW,,,,,,$306.68,$0.00,1,1,1,1,1,1,20091001,,E0265,HCPCS,Hosp bed total electr w/ mat,UE,,28 ,,NW,,,,,,"$3,000.03",$0.00,1,1,1,1,1,1,20091001,,E0265,HCPCS,Hosp bed total electr w/ mat,,,28 ,,NW,,,,,,"$3,010.48",$0.00,1,1,1,1,1,1,20091001,,E0266,HCPCS,Hosp bed total elec w/o matt,RR,,28 ,,NW,,,,,,$355.39,$0.00,1,1,1,1,1,1,20091001,,E0266,HCPCS,Hosp bed total elec w/o matt,UE,,28 ,,NW,,,,,,"$2,665.43",$0.00,1,1,1,1,1,1,20091001,,E0266,HCPCS,Hosp bed total elec w/o matt,,,28 ,,NW,,,,,,"$3,231.85",$0.00,1,1,1,1,1,1,20091001,,E0270,HCPCS,Hospital bed institutional t,RR,,28 ,,NW,,,,,,$44.20,$0.00,1,1,1,1,1,1,20091001,,E0270,HCPCS,Hospital bed institutional t,UE,,28 ,,NW,,,,,,$500.76,$0.00,1,1,1,1,1,1,20091001,,E0270,HCPCS,Hospital bed institutional t,,,28 ,,NW,,,,,,$667.50,$0.00,1,1,1,1,1,1,20091001,,E0271,HCPCS,Mattress innerspring,,,28 ,,NW,,,,,,$316.34,$0.00,1,1,1,1,1,1,20091001,,E0272,HCPCS,Mattress foam rubber,,,28 ,,NW,,,,,,$277.40,$0.00,1,1,1,1,1,1,20091001,,E0273,HCPCS,Bed board,RR,,28 ,,NW,,,,,,$23.54,$0.00,1,1,1,1,1,1,20091001,,E0273,HCPCS,Bed board,UE,,28 ,,NW,,,,,,$47.09,$0.00,1,1,1,1,1,1,20091001,,E0273,HCPCS,Bed board,,,28 ,,NW,,,,,,$52.62,$0.00,1,1,1,1,1,1,20091001,,E0274,HCPCS,Over-bed table,RR,,28 ,,NW,,,,,,$42.38,$0.00,1,1,1,1,1,1,20091001,,E0274,HCPCS,Over-bed table,UE,,28 ,,NW,,,,,,$77.69,$0.00,1,1,1,1,1,1,20091001,,E0274,HCPCS,Over-bed table,,,28 ,,NW,,,,,,$42.76,$0.00,1,1,1,1,1,1,20091001,,E0275,HCPCS,Bed pan standard,,,28 ,,NW,,,,,,$24.70,$0.00,1,1,1,1,1,1,20091001,,E0276,HCPCS,Bed pan fracture,,,28 ,,NW,,,,,,$23.03,$0.00,1,1,1,1,1,1,20091001,,E0277,HCPCS,Powered pres-redu air mattrs,RR,,28 ,,NW,,,,,,"$1,199.45",$0.00,1,1,1,1,1,1,20091001,,E0277,HCPCS,Powered pres-redu air mattrs,UE,,28 ,,NW,,,,,,"$9,709.87",$0.00,1,1,1,1,1,1,20091001,,E0277,HCPCS,Powered pres-redu air mattrs,,,28 ,,NW,,,,,,"$12,942.86",$0.00,1,1,1,1,1,1,20091001,,E0280,HCPCS,Bed cradle,,,28 ,,NW,,,,,,$56.94,$0.00,1,1,1,1,1,1,20091001,,E0290,HCPCS,Hosp bed fx ht w/o rails w/m,RR,,28 ,,NW,,,,,,$149.57,$0.00,1,1,1,1,1,1,20091001,,E0290,HCPCS,Hosp bed fx ht w/o rails w/m,UE,,28 ,,NW,,,,,,"$1,121.80",$0.00,1,1,1,1,1,1,20091001,,E0290,HCPCS,Hosp bed fx ht w/o rails w/m,,,28 ,,NW,,,,,,"$1,475.92",$0.00,1,1,1,1,1,1,20091001,,E0291,HCPCS,Hosp bed fx ht w/o rail w/o,RR,,28 ,,NW,,,,,,$108.68,$0.00,1,1,1,1,1,1,20091001,,E0291,HCPCS,Hosp bed fx ht w/o rail w/o,UE,,28 ,,NW,,,,,,$815.08,$0.00,1,1,1,1,1,1,20091001,,E0291,HCPCS,Hosp bed fx ht w/o rail w/o,,,28 ,,NW,,,,,,"$1,046.62",$0.00,1,1,1,1,1,1,20091001,,E0292,HCPCS,Hosp bed var ht w/o rail w/o,RR,,28 ,,NW,,,,,,$168.17,$0.00,1,1,1,1,1,1,20091001,,E0292,HCPCS,Hosp bed var ht w/o rail w/o,UE,,28 ,,NW,,,,,,"$1,261.30",$0.00,1,1,1,1,1,1,20091001,,E0292,HCPCS,Hosp bed var ht w/o rail w/o,,,28 ,,NW,,,,,,"$1,611.10",$0.00,1,1,1,1,1,1,20091001,,E0293,HCPCS,Hosp bed var ht w/o rail w/,RR,,28 ,,NW,,,,,,$143.10,$0.00,1,1,1,1,1,1,20091001,,E0293,HCPCS,Hosp bed var ht w/o rail w/,UE,,28 ,,NW,,,,,,"$1,073.23",$0.00,1,1,1,1,1,1,20091001,,E0293,HCPCS,Hosp bed var ht w/o rail w/,,,28 ,,NW,,,,,,"$1,371.49",$0.00,1,1,1,1,1,1,20091001,,E0294,HCPCS,Hosp bed semi-elect w/ mattr,RR,,28 ,,NW,,,,,,$277.97,$0.00,1,1,1,1,1,1,20091001,,E0294,HCPCS,Hosp bed semi-elect w/ mattr,UE,,28 ,,NW,,,,,,"$1,960.89",$0.00,1,1,1,1,1,1,20091001,,E0294,HCPCS,Hosp bed semi-elect w/ mattr,,,28 ,,NW,,,,,,"$2,348.20",$0.00,1,1,1,1,1,1,20091001,,E0295,HCPCS,Hosp bed semi-elect w/o matt,RR,,28 ,,NW,,,,,,$207.99,$0.00,1,1,1,1,1,1,20091001,,E0295,HCPCS,Hosp bed semi-elect w/o matt,UE,,28 ,,NW,,,,,,"$1,911.45",$0.00,1,1,1,1,1,1,20091001,,E0295,HCPCS,Hosp bed semi-elect w/o matt,,,28 ,,NW,,,,,,"$2,162.40",$0.00,1,1,1,1,1,1,20091001,,E0296,HCPCS,Hosp bed total elect w/ matt,RR,,28 ,,NW,,,,,,$328.60,$0.00,1,1,1,1,1,1,20091001,,E0296,HCPCS,Hosp bed total elect w/ matt,UE,,28 ,,NW,,,,,,"$2,464.49",$0.00,1,1,1,1,1,1,20091001,,E0296,HCPCS,Hosp bed total elect w/ matt,,,28 ,,NW,,,,,,"$2,999.99",$0.00,1,1,1,1,1,1,20091001,,E0297,HCPCS,Hosp bed total elect w/o mat,RR,,28 ,,NW,,,,,,$281.51,$0.00,1,1,1,1,1,1,20091001,,E0297,HCPCS,Hosp bed total elect w/o mat,UE,,28 ,,NW,,,,,,"$2,111.33",$0.00,1,1,1,1,1,1,20091001,,E0297,HCPCS,Hosp bed total elect w/o mat,,,28 ,,NW,,,,,,"$2,594.36",$0.00,1,1,1,1,1,1,20091001,,E0300,HCPCS,Enclosed ped crib hosp grade,,,28 ,,NW,,,,,,$346.98,$0.00,1,1,1,0,1,1,20091001,,E0301,HCPCS,"Hd hosp bed, 350-600 lbs",,,28 ,,NW,,,,,,"$3,904.74",$0.00,1,1,1,1,1,1,20091001,,E0302,HCPCS,Ex hd hosp bed > 600 lbs,,,28 ,,NW,,,,,,$874.51,$0.00,1,1,1,0,1,1,20091001,,E0303,HCPCS,Hosp bed hvy dty xtra wide,,,28 ,,NW,,,,,,$543.16,$0.00,1,1,1,1,1,1,20091001,,E0304,HCPCS,Hosp bed xtra hvy dty x wide,,,28 ,,NW,,,,,,"$1,354.21",$0.00,1,1,1,1,1,1,20091001,,E0305,HCPCS,Rails bed side half length,RR,,28 ,,NW,,,,,,$31.19,$0.00,1,1,1,1,1,1,20091001,,E0305,HCPCS,Rails bed side half length,UE,,28 ,,NW,,,,,,$266.98,$0.00,1,1,1,1,1,1,20091001,,E0305,HCPCS,Rails bed side half length,,,28 ,,NW,,,,,,$361.59,$0.00,1,1,1,1,1,1,20091001,,E0310,HCPCS,Rails bed side full length,NU,,28 ,,NW,,,,,,$388.51,$0.00,1,1,1,1,1,1,20091001,,E0310,HCPCS,Rails bed side full length,RR,,28 ,,NW,,,,,,$45.56,$0.00,1,1,1,1,1,1,20091001,,E0310,HCPCS,Rails bed side full length,UE,,28 ,,NW,,,,,,$287.50,$0.00,1,1,1,1,1,1,20091001,,E0310,HCPCS,Rails bed side full length,,,28 ,,NW,,,,,,$270.22,$0.00,1,1,1,1,1,1,20091001,,E0315,HCPCS,Bed accessory brd/tbl/supprt,,,28 ,,NW,,,,,,$97.11,$0.00,1,1,1,1,1,1,20091001,,E0316,HCPCS,Bed safety enclosure,,,28 ,,NW,,,,,,$382.09,$0.00,1,1,1,1,1,1,20091001,,E0325,HCPCS,Urinal male jug-type,,,28 ,,NW,,,,,,$16.45,$0.00,1,1,1,1,1,1,20091001,,E0326,HCPCS,Urinal female jug-type,,,28 ,,NW,,,,,,$18.47,$0.00,1,1,1,1,1,1,20091001,,E0352,HCPCS,Disposable pack w/bowel syst,,,28 ,,NW,,,,,,$982.34,$0.00,1,1,1,1,1,1,20091001,,E0370,HCPCS,Air elevator for heel,,,28 ,,NW,,,,,,$26.57,$0.00,1,1,1,1,1,1,20091001,,E0371,HCPCS,Nonpower mattress overlay,,,28 ,,NW,,,,,,$956.28,$0.00,1,1,1,1,1,1,20091001,,E0372,HCPCS,Powered air mattress overlay,,,28 ,,NW,,,,,,$627.69,$0.00,1,1,1,1,1,1,20091001,,E0373,HCPCS,Nonpowered pressure mattress,,,28 ,,NW,,,,,,"$1,326.58",$0.00,1,1,1,1,1,1,20091001,,E0424,HCPCS,Stationary compressed gas 02,RR,,28 ,,NW,,,,,,$448.84,$0.00,1,1,1,1,1,1,20091001,,E0425,HCPCS,Gas system stationary compre,NU,,28 ,,NW,,,,,,"$7,486.83",$0.00,1,1,1,1,1,1,20091001,,E0430,HCPCS,Oxygen system gas portable,NU,,28 ,,NW,,,,,,"$3,390.26",$0.00,1,1,1,1,1,1,20091001,,E0430,HCPCS,Oxygen system gas portable,UE,,28 ,,NW,,,,,,"$2,508.80",$0.00,1,1,1,1,1,1,20091001,,E0431,HCPCS,Portable gaseous 02,RR,,28 ,,NW,,,,,,$86.85,$0.00,1,1,1,1,1,1,20091001,,E0434,HCPCS,Portable liquid 02,,,28 ,,NW,,,,,,$64.48,$0.00,1,1,1,1,1,1,20091001,,E0435,HCPCS,Oxygen system liquid portabl,NU,,28 ,,NW,,,,,,"$2,330.81",$0.00,1,1,1,1,1,1,20091001,,E0435,HCPCS,Oxygen system liquid portabl,UE,,28 ,,NW,,,,,,"$1,724.80",$0.00,1,1,1,1,1,1,20091001,,E0439,HCPCS,Stationary liquid 02,RR,,28 ,,NW,,,,,,$468.93,$0.00,1,1,1,1,1,1,20091001,,E0440,HCPCS,Oxygen system liquid station,NU,,28 ,,NW,,,,,,"$4,732.24",$0.00,1,1,1,1,1,1,20091001,,E0440,HCPCS,Oxygen system liquid station,UE,,28 ,,NW,,,,,,"$3,501.86",$0.00,1,1,1,1,1,1,20091001,,E0441,HCPCS,"Oxygen contents, gaseous",,,28 ,,NW,,,,,,$236.88,$0.00,1,1,1,1,1,1,20091001,,E0442,HCPCS,"Oxygen contents, liquid",,,28 ,,NW,,,,,,$212.32,$0.00,1,1,1,1,1,1,20091001,,E0443,HCPCS,"Portable 02 contents, gas",,,28 ,,NW,,,,,,$71.16,$0.00,1,1,1,1,1,1,20091001,,E0444,HCPCS,"Portable 02 contents, liquid",,,28 ,,NW,,,,,,$43.40,$0.00,1,1,1,1,1,1,20091001,,E0445,HCPCS,Oximeter non-invasive,,,28 ,,NW,,,,,,$256.84,$0.00,1,1,1,1,1,1,20091001,,E0450,HCPCS,Vol control vent invasiv int,NU,,28 ,,NW,,,,,,"$19,101.78",$0.00,1,1,1,1,1,1,20091001,,E0450,HCPCS,Vol control vent invasiv int,RR,,28 ,,NW,,,,,,"$1,583.43",$0.00,1,1,1,1,1,1,20091001,,E0450,HCPCS,Vol control vent invasiv int,UE,,28 ,,NW,,,,,,"$14,135.32",$0.00,1,1,1,1,1,1,20091001,,E0457,HCPCS,Chest shell,NU,,28 ,,NW,,,,,,"$1,229.75",$0.00,1,1,1,1,1,1,20091001,,E0457,HCPCS,Chest shell,RR,,28 ,,NW,,,,,,$122.97,$0.00,1,1,1,1,1,1,20091001,,E0457,HCPCS,Chest shell,UE,,28 ,,NW,,,,,,$910.01,$0.00,1,1,1,1,1,1,20091001,,E0459,HCPCS,Chest wrap,NU,,28 ,,NW,,,,,,"$1,018.49",$0.00,1,1,1,1,1,1,20091001,,E0459,HCPCS,Chest wrap,RR,,28 ,,NW,,,,,,$101.85,$0.00,1,1,1,1,1,1,20091001,,E0459,HCPCS,Chest wrap,UE,,28 ,,NW,,,,,,$753.68,$0.00,1,1,1,1,1,1,20091001,,E0460,HCPCS,Neg press vent portabl/statn,NU,,28 ,,NW,,,,,,"$14,680.08",$0.00,1,1,1,1,1,1,20091001,,E0460,HCPCS,Neg press vent portabl/statn,RR,,28 ,,NW,,,,,,"$1,468.01",$0.00,1,1,1,1,1,1,20091001,,E0460,HCPCS,Neg press vent portabl/statn,UE,,28 ,,NW,,,,,,"$10,863.26",$0.00,1,1,1,1,1,1,20091001,,E0461,HCPCS,Vol control vent noninv int,RR,,28 ,,NW,,,,,,"$2,005.29",$0.00,1,1,1,1,1,1,20091001,,E0462,HCPCS,Rocking bed w/ or w/o side r,NU,,28 ,,NW,,,,,,"$5,831.49",$0.00,1,1,1,1,1,1,20091001,,E0462,HCPCS,Rocking bed w/ or w/o side r,RR,,28 ,,NW,,,,,,$583.15,$0.00,1,1,1,1,1,1,20091001,,E0462,HCPCS,Rocking bed w/ or w/o side r,UE,,28 ,,NW,,,,,,"$4,315.30",$0.00,1,1,1,1,1,1,20091001,,E0463,HCPCS,Press supp vent invasive int,RR,,28 ,,NW,,,,,,"$1,582.17",$0.00,1,1,1,1,1,1,20091001,,E0464,HCPCS,Press supp vent noninv int,RR,,28 ,,NW,,,,,,"$2,220.18",$0.00,1,1,1,1,1,1,20091001,,E0470,HCPCS,Rad w/o backup non-inv intfc,RR,,28 ,,NW,,,,,,$462.01,$0.00,1,1,1,1,1,1,20091001,,E0471,HCPCS,Rad w/backup non inv intrfc,RR,,28 ,,NW,,,,,,"$1,076.79",$0.00,1,1,1,1,1,1,20091001,,E0472,HCPCS,Rad w backup invasive intrfc,RR,,28 ,,NW,,,,,,"$1,285.10",$0.00,1,1,1,1,1,1,20091001,,E0480,HCPCS,Percussor elect/pneum home m,NU,,28 ,,NW,,,,,,$879.35,$0.00,1,1,1,1,1,1,20091001,,E0480,HCPCS,Percussor elect/pneum home m,RR,,28 ,,NW,,,,,,$87.93,$0.00,1,1,1,1,1,1,20091001,,E0480,HCPCS,Percussor elect/pneum home m,UE,,28 ,,NW,,,,,,$650.72,$0.00,1,1,1,1,1,1,20091001,,E0481,HCPCS,Intrpulmnry percuss vent sys,,,28 ,,NW,,,,,,"$1,327.84",$0.00,1,1,1,1,1,1,20091001,,E0482,HCPCS,Cough stimulating device,RR,,28 ,,NW,,,,,,$870.31,$0.00,1,1,1,1,1,1,20091001,,E0483,HCPCS,Chest compression gen system,RR,,28 ,,NW,,,,,,"$1,787.79",$0.00,1,1,1,1,1,1,20091001,,E0484,HCPCS,Non-elec oscillatory pep dvc,NU,,28 ,,NW,,,,,,$73.88,$0.00,1,1,1,1,1,1,20091001,,E0484,HCPCS,Non-elec oscillatory pep dvc,RR,,28 ,,NW,,,,,,$7.39,$0.00,1,1,1,1,1,1,20091001,,E0484,HCPCS,Non-elec oscillatory pep dvc,UE,,28 ,,NW,,,,,,$54.67,$0.00,1,1,1,1,1,1,20091001,,E0500,HCPCS,Ippb all types,NU,,28 ,,NW,,,,,,"$2,196.61",$0.00,1,1,1,1,1,1,20091001,,E0500,HCPCS,Ippb all types,RR,,28 ,,NW,,,,,,$180.10,$0.00,1,1,1,1,1,1,20091001,,E0500,HCPCS,Ippb all types,UE,,28 ,,NW,,,,,,"$1,625.49",$0.00,1,1,1,1,1,1,20091001,,E0550,HCPCS,Humidif extens supple w ippb,NU,,28 ,,NW,,,,,,"$1,003.19",$0.00,1,1,1,1,1,1,20091001,,E0550,HCPCS,Humidif extens supple w ippb,RR,,28 ,,NW,,,,,,$124.78,$0.00,1,1,1,1,1,1,20091001,,E0550,HCPCS,Humidif extens supple w ippb,UE,,28 ,,NW,,,,,,$742.36,$0.00,1,1,1,1,1,1,20091001,,E0555,HCPCS,Humidifier for use w/ regula,NU,,28 ,,NW,,,,,,$16.42,$0.00,1,1,1,1,1,1,20091001,,E0555,HCPCS,Humidifier for use w/ regula,RR,,28 ,,NW,,,,,,$11.77,$0.00,1,1,1,1,1,1,20091001,,E0555,HCPCS,Humidifier for use w/ regula,UE,,28 ,,NW,,,,,,$12.15,$0.00,1,1,1,1,1,1,20091001,,E0560,HCPCS,Humidifier supplemental w/ i,NU,,28 ,,NW,,,,,,$343.24,$0.00,1,1,1,1,1,1,20091001,,E0560,HCPCS,Humidifier supplemental w/ i,RR,,28 ,,NW,,,,,,$40.24,$0.00,1,1,1,1,1,1,20091001,,E0560,HCPCS,Humidifier supplemental w/ i,UE,,28 ,,NW,,,,,,$254.00,$0.00,1,1,1,1,1,1,20091001,,E0561,HCPCS,Humidifier nonheated w pap,NU,,28 ,,NW,,,,,,$207.06,$0.00,1,1,1,1,1,1,20091001,,E0561,HCPCS,Humidifier nonheated w pap,RR,,28 ,,NW,,,,,,$26.27,$0.00,1,1,1,1,1,1,20091001,,E0561,HCPCS,Humidifier nonheated w pap,UE,,28 ,,NW,,,,,,$153.23,$0.00,1,1,1,1,1,1,20091001,,E0562,HCPCS,Humidifier heated used w pap,NU,,28 ,,NW,,,,,,$540.83,$0.00,1,1,1,1,1,1,20091001,,E0562,HCPCS,Humidifier heated used w pap,RR,,28 ,,NW,,,,,,$62.52,$0.00,1,1,1,1,1,1,20091001,,E0562,HCPCS,Humidifier heated used w pap,UE,,28 ,,NW,,,,,,$400.21,$0.00,1,1,1,1,1,1,20091001,,E0565,HCPCS,Compressor air power source,NU,,28 ,,NW,,,,,,"$1,220.97",$0.00,1,1,1,1,1,1,20091001,,E0565,HCPCS,Compressor air power source,RR,,28 ,,NW,,,,,,$114.71,$0.00,1,1,1,1,1,1,20091001,,E0565,HCPCS,Compressor air power source,UE,,28 ,,NW,,,,,,$903.51,$0.00,1,1,1,1,1,1,20091001,,E0570,HCPCS,Nebulizer with compression,NU,,28 ,,NW,,,,,,$125.37,$0.00,1,1,1,1,1,1,20091001,,E0570,HCPCS,Nebulizer with compression,RR,,28 ,,NW,,,,,,$51.60,$0.00,1,1,1,1,1,1,20091001,,E0570,HCPCS,Nebulizer with compression,UE,,28 ,,NW,,,,,,$92.78,$0.00,1,1,1,1,1,1,20091001,,E0571,HCPCS,Aerosol compressor for svneb,RR,,28 ,,NW,,,,,,$49.51,$0.00,1,1,1,1,1,1,20091001,,E0572,HCPCS,Aerosol compressor adjust pr,RR,,28 ,,NW,,,,,,$76.23,$0.00,1,1,1,1,1,1,20091001,,E0574,HCPCS,Ultrasonic generator w svneb,RR,,28 ,,NW,,,,,,$77.32,$0.00,1,1,1,1,1,1,20091001,,E0575,HCPCS,Nebulizer ultrasonic,NU,,28 ,,NW,,,,,,"$2,056.76",$0.00,1,1,1,1,1,1,20091001,,E0575,HCPCS,Nebulizer ultrasonic,RR,,28 ,,NW,,,,,,$205.68,$0.00,1,1,1,1,1,1,20091001,,E0575,HCPCS,Nebulizer ultrasonic,UE,,28 ,,NW,,,,,,"$1,522.00",$0.00,1,1,1,1,1,1,20091001,,E0580,HCPCS,Nebulizer for use w/ regulat,NU,,28 ,,NW,,,,,,$268.23,$0.00,1,1,1,1,1,1,20091001,,E0580,HCPCS,Nebulizer for use w/ regulat,RR,,28 ,,NW,,,,,,$26.82,$0.00,1,1,1,1,1,1,20091001,,E0580,HCPCS,Nebulizer for use w/ regulat,UE,,28 ,,NW,,,,,,$198.49,$0.00,1,1,1,1,1,1,20091001,,E0585,HCPCS,Nebulizer w/ compressor & he,NU,,28 ,,NW,,,,,,$701.83,$0.00,1,1,1,1,1,1,20091001,,E0585,HCPCS,Nebulizer w/ compressor & he,RR,,28 ,,NW,,,,,,$70.18,$0.00,1,1,1,1,1,1,20091001,,E0585,HCPCS,Nebulizer w/ compressor & he,UE,,28 ,,NW,,,,,,$519.36,$0.00,1,1,1,1,1,1,20091001,,E0600,HCPCS,Suction pump portab hom modl,NU,,28 ,,NW,,,,,,$916.31,$0.00,1,1,1,1,1,1,20091001,,E0600,HCPCS,Suction pump portab hom modl,RR,,28 ,,NW,,,,,,$93.77,$0.00,1,1,1,1,1,1,20091001,,E0600,HCPCS,Suction pump portab hom modl,UE,,28 ,,NW,,,,,,$678.07,$0.00,1,1,1,1,1,1,20091001,,E0601,HCPCS,Cont airway pressure device,NU,,28 ,,NW,,,,,,"$2,089.89",$0.00,1,1,1,1,1,1,20091001,,E0601,HCPCS,Cont airway pressure device,RR,,28 ,,NW,,,,,,$213.06,$0.00,1,1,1,1,1,1,20091001,,E0601,HCPCS,Cont airway pressure device,UE,,28 ,,NW,,,,,,"$1,546.52",$0.00,1,1,1,1,1,1,20091001,,E0602,HCPCS,Manual breast pump,NU,,28 ,,NW,,,,,,$59.07,$0.00,1,1,1,1,1,1,20091001,,E0602,HCPCS,Manual breast pump,RR,,28 ,,NW,,,,,,$5.93,$0.00,1,1,1,1,1,1,20091001,,E0602,HCPCS,Manual breast pump,UE,,28 ,,NW,,,,,,$43.71,$0.00,1,1,1,1,1,1,20091001,,E0603,HCPCS,Electric breast pump,NU,,28 ,,NW,,,,,,$177.24,$0.00,1,1,1,1,1,1,20091001,,E0603,HCPCS,Electric breast pump,RR,,28 ,,NW,,,,,,$54.93,$0.00,1,1,1,1,1,1,20091001,,E0603,HCPCS,Electric breast pump,UE,,28 ,,NW,,,,,,$131.16,$0.00,1,1,1,1,1,1,20091001,,E0604,HCPCS,Hosp grade elec breast pump,NU,,28 ,,NW,,,,,,$508.54,$0.00,1,1,1,1,1,1,20091001,,E0604,HCPCS,Hosp grade elec breast pump,RR,,28 ,,NW,,,,,,$146.78,$0.00,1,1,1,1,1,1,20091001,,E0604,HCPCS,Hosp grade elec breast pump,UE,,28 ,,NW,,,,,,$376.32,$0.00,1,1,1,1,1,1,20091001,,E0605,HCPCS,Vaporizer room type,NU,,28 ,,NW,,,,,,$52.90,$0.00,1,1,1,1,1,1,20091001,,E0605,HCPCS,Vaporizer room type,RR,,28 ,,NW,,,,,,$6.14,$0.00,1,1,1,1,1,1,20091001,,E0605,HCPCS,Vaporizer room type,UE,,28 ,,NW,,,,,,$39.15,$0.00,1,1,1,1,1,1,20091001,,E0606,HCPCS,Drainage board postural,NU,,28 ,,NW,,,,,,$459.10,$0.00,1,1,1,1,1,1,20091001,,E0606,HCPCS,Drainage board postural,RR,,28 ,,NW,,,,,,$45.91,$0.00,1,1,1,1,1,1,20091001,,E0606,HCPCS,Drainage board postural,UE,,28 ,,NW,,,,,,$339.73,$0.00,1,1,1,1,1,1,20091001,,E0607,HCPCS,Blood glucose monitor home,NU,,28 ,,NW,,,,,,$143.41,$0.00,1,1,1,1,1,1,20091001,,E0607,HCPCS,Blood glucose monitor home,RR,,28 ,,NW,,,,,,$15.73,$0.00,1,1,1,1,1,1,20091001,,E0607,HCPCS,Blood glucose monitor home,UE,,28 ,,NW,,,,,,$106.12,$0.00,1,1,1,1,1,1,20091001,,E0610,HCPCS,Pacemaker monitr audible/vis,NU,,28 ,,NW,,,,,,$476.00,$0.00,1,1,1,1,1,1,20091001,,E0610,HCPCS,Pacemaker monitr audible/vis,RR,,28 ,,NW,,,,,,$50.22,$0.00,1,1,1,1,1,1,20091001,,E0610,HCPCS,Pacemaker monitr audible/vis,UE,,28 ,,NW,,,,,,$352.24,$0.00,1,1,1,1,1,1,20091001,,E0615,HCPCS,Pacemaker monitr digital/vis,NU,,28 ,,NW,,,,,,$958.22,$0.00,1,1,1,1,1,1,20091001,,E0615,HCPCS,Pacemaker monitr digital/vis,RR,,28 ,,NW,,,,,,$117.08,$0.00,1,1,1,1,1,1,20091001,,E0615,HCPCS,Pacemaker monitr digital/vis,UE,,28 ,,NW,,,,,,$709.08,$0.00,1,1,1,1,1,1,20091001,,E0616,HCPCS,Cardiac event recorder,,,28 ,,NW,,,,,,$468.62,$0.00,1,1,1,0,1,1,20091001,,E0617,HCPCS,Automatic ext defibrillator,RR,,28 ,,NW,,,,,,$608.46,$0.00,1,1,1,1,1,1,20091001,,E0618,HCPCS,Apnea monitor,RR,,28 ,,NW,,,,,,$527.45,$0.00,1,1,1,1,1,1,20091001,,E0618,HCPCS,Apnea monitor,,,28 ,,NW,,,,,,$632.91,$0.00,1,1,1,1,1,1,20091001,,E0620,HCPCS,Cap bld skin piercing laser,NU,,28 ,,NW,,,,,,"$1,749.82",$0.00,1,1,1,1,1,1,20091001,,E0620,HCPCS,Cap bld skin piercing laser,RR,,28 ,,NW,,,,,,$174.98,$0.00,1,1,1,1,1,1,20091001,,E0620,HCPCS,Cap bld skin piercing laser,UE,,28 ,,NW,,,,,,"$1,294.87",$0.00,1,1,1,1,1,1,20091001,,E0621,HCPCS,Patient lift sling or seat,NU,,28 ,,NW,,,,,,$192.09,$0.00,1,1,1,1,1,1,20091001,,E0621,HCPCS,Patient lift sling or seat,RR,,28 ,,NW,,,,,,$18.51,$0.00,1,1,1,1,1,1,20091001,,E0621,HCPCS,Patient lift sling or seat,UE,,28 ,,NW,,,,,,$142.15,$0.00,1,1,1,1,1,1,20091001,,E0625,HCPCS,Patient lift bathroom or toi,NU,,28 ,,NW,,,,,,"$1,742.35",$0.00,1,1,1,1,1,1,20091001,,E0625,HCPCS,Patient lift bathroom or toi,RR,,28 ,,NW,,,,,,$179.65,$0.00,1,1,1,1,1,1,20091001,,E0625,HCPCS,Patient lift bathroom or toi,UE,,28 ,,NW,,,,,,"$1,289.34",$0.00,1,1,1,1,1,1,20091001,,E0627,HCPCS,Seat lift incorp lift-chair,NU,,28 ,,NW,,,,,,$717.60,$0.00,1,1,1,1,1,1,20091001,,E0627,HCPCS,Seat lift incorp lift-chair,RR,,28 ,,NW,,,,,,$67.52,$0.00,1,1,1,1,1,1,20091001,,E0627,HCPCS,Seat lift incorp lift-chair,UE,,28 ,,NW,,,,,,$531.03,$0.00,1,1,1,1,1,1,20091001,,E0628,HCPCS,Seat lift for pt furn-electr,NU,,28 ,,NW,,,,,,$657.75,$0.00,1,1,1,1,1,1,20091001,,E0628,HCPCS,Seat lift for pt furn-electr,RR,,28 ,,NW,,,,,,$67.52,$0.00,1,1,1,1,1,1,20091001,,E0628,HCPCS,Seat lift for pt furn-electr,UE,,28 ,,NW,,,,,,$486.74,$0.00,1,1,1,1,1,1,20091001,,E0629,HCPCS,Seat lift for pt furn-non-el,NU,,28 ,,NW,,,,,,$661.81,$0.00,1,1,1,1,1,1,20091001,,E0629,HCPCS,Seat lift for pt furn-non-el,RR,,28 ,,NW,,,,,,$66.20,$0.00,1,1,1,1,1,1,20091001,,E0629,HCPCS,Seat lift for pt furn-non-el,UE,,28 ,,NW,,,,,,$489.74,$0.00,1,1,1,1,1,1,20091001,,E0630,HCPCS,Patient lift hydraulic,NU,,28 ,,NW,,,,,,"$2,039.10",$0.00,1,1,1,1,1,1,20091001,,E0630,HCPCS,Patient lift hydraulic,RR,,28 ,,NW,,,,,,$164.68,$0.00,1,1,1,1,1,1,20091001,,E0630,HCPCS,Patient lift hydraulic,UE,,28 ,,NW,,,,,,"$1,508.94",$0.00,1,1,1,1,1,1,20091001,,E0635,HCPCS,Patient lift electric,NU,,28 ,,NW,,,,,,"$2,448.76",$0.00,1,1,1,1,1,1,20091001,,E0635,HCPCS,Patient lift electric,RR,,28 ,,NW,,,,,,$244.88,$0.00,1,1,1,1,1,1,20091001,,E0635,HCPCS,Patient lift electric,UE,,28 ,,NW,,,,,,"$1,812.08",$0.00,1,1,1,1,1,1,20091001,,E0636,HCPCS,Pt support & positioning sys,RR,,28 ,,NW,,,,,,"$2,110.39",$0.00,1,1,1,1,1,1,20091001,,E0637,HCPCS,Combination sit to stand sys,,,28 ,,NW,,,,,,$96.59,$0.00,1,1,1,0,1,1,20091001,,E0638,HCPCS,Standing frame sys,,,28 ,,NW,,,,,,"$1,822.96",$0.00,1,1,1,0,1,1,20091001,,E0650,HCPCS,Pneuma compresor non-segment,NU,,28 ,,NW,,,,,,"$1,441.31",$0.00,1,1,1,1,1,1,20091001,,E0650,HCPCS,Pneuma compresor non-segment,RR,,28 ,,NW,,,,,,$154.28,$0.00,1,1,1,1,1,1,20091001,,E0650,HCPCS,Pneuma compresor non-segment,UE,,28 ,,NW,,,,,,"$1,066.57",$0.00,1,1,1,1,1,1,20091001,,E0651,HCPCS,Pneum compressor segmental,NU,,28 ,,NW,,,,,,"$1,609.49",$0.00,1,1,1,1,1,1,20091001,,E0651,HCPCS,Pneum compressor segmental,RR,,28 ,,NW,,,,,,$176.70,$0.00,1,1,1,1,1,1,20091001,,E0651,HCPCS,Pneum compressor segmental,UE,,28 ,,NW,,,,,,"$1,191.02",$0.00,1,1,1,1,1,1,20091001,,E0652,HCPCS,Pneum compres w/cal pressure,NU,,28 ,,NW,,,,,,"$9,435.05",$0.00,1,1,1,1,1,1,20091001,,E0652,HCPCS,Pneum compres w/cal pressure,RR,,28 ,,NW,,,,,,$962.19,$0.00,1,1,1,1,1,1,20091001,,E0652,HCPCS,Pneum compres w/cal pressure,UE,,28 ,,NW,,,,,,"$6,981.94",$0.00,1,1,1,1,1,1,20091001,,E0655,HCPCS,Pneumatic appliance half arm,NU,,28 ,,NW,,,,,,$215.96,$0.00,1,1,1,1,1,1,20091001,,E0655,HCPCS,Pneumatic appliance half arm,RR,,28 ,,NW,,,,,,$22.71,$0.00,1,1,1,1,1,1,20091001,,E0655,HCPCS,Pneumatic appliance half arm,UE,,28 ,,NW,,,,,,$159.81,$0.00,1,1,1,1,1,1,20091001,,E0660,HCPCS,Pneumatic appliance full leg,NU,,28 ,,NW,,,,,,$319.70,$0.00,1,1,1,1,1,1,20091001,,E0660,HCPCS,Pneumatic appliance full leg,RR,,28 ,,NW,,,,,,$40.61,$0.00,1,1,1,1,1,1,20091001,,E0660,HCPCS,Pneumatic appliance full leg,UE,,28 ,,NW,,,,,,$236.58,$0.00,1,1,1,1,1,1,20091001,,E0665,HCPCS,Pneumatic appliance full arm,NU,,28 ,,NW,,,,,,$274.14,$0.00,1,1,1,1,1,1,20091001,,E0665,HCPCS,Pneumatic appliance full arm,RR,,28 ,,NW,,,,,,$35.10,$0.00,1,1,1,1,1,1,20091001,,E0665,HCPCS,Pneumatic appliance full arm,UE,,28 ,,NW,,,,,,$202.86,$0.00,1,1,1,1,1,1,20091001,,E0666,HCPCS,Pneumatic appliance half leg,NU,,28 ,,NW,,,,,,$248.28,$0.00,1,1,1,1,1,1,20091001,,E0666,HCPCS,Pneumatic appliance half leg,RR,,28 ,,NW,,,,,,$26.82,$0.00,1,1,1,1,1,1,20091001,,E0666,HCPCS,Pneumatic appliance half leg,UE,,28 ,,NW,,,,,,$183.73,$0.00,1,1,1,1,1,1,20091001,,E0667,HCPCS,Seg pneumatic appl full leg,NU,,28 ,,NW,,,,,,$580.29,$0.00,1,1,1,1,1,1,20091001,,E0667,HCPCS,Seg pneumatic appl full leg,RR,,28 ,,NW,,,,,,$73.17,$0.00,1,1,1,1,1,1,20091001,,E0667,HCPCS,Seg pneumatic appl full leg,UE,,28 ,,NW,,,,,,$429.41,$0.00,1,1,1,1,1,1,20091001,,E0668,HCPCS,Seg pneumatic appl full arm,NU,,28 ,,NW,,,,,,$884.29,$0.00,1,1,1,1,1,1,20091001,,E0668,HCPCS,Seg pneumatic appl full arm,RR,,28 ,,NW,,,,,,$87.28,$0.00,1,1,1,1,1,1,20091001,,E0668,HCPCS,Seg pneumatic appl full arm,UE,,28 ,,NW,,,,,,$654.38,$0.00,1,1,1,1,1,1,20091001,,E0669,HCPCS,Seg pneumatic appli half leg,NU,,28 ,,NW,,,,,,$366.83,$0.00,1,1,1,1,1,1,20091001,,E0669,HCPCS,Seg pneumatic appli half leg,RR,,28 ,,NW,,,,,,$36.70,$0.00,1,1,1,1,1,1,20091001,,E0669,HCPCS,Seg pneumatic appli half leg,UE,,28 ,,NW,,,,,,$271.46,$0.00,1,1,1,1,1,1,20091001,,E0671,HCPCS,Pressure pneum appl full leg,NU,,28 ,,NW,,,,,,$831.20,$0.00,1,1,1,1,1,1,20091001,,E0671,HCPCS,Pressure pneum appl full leg,RR,,28 ,,NW,,,,,,$83.13,$0.00,1,1,1,1,1,1,20091001,,E0671,HCPCS,Pressure pneum appl full leg,UE,,28 ,,NW,,,,,,$615.09,$0.00,1,1,1,1,1,1,20091001,,E0672,HCPCS,Pressure pneum appl full arm,NU,,28 ,,NW,,,,,,$645.85,$0.00,1,1,1,1,1,1,20091001,,E0672,HCPCS,Pressure pneum appl full arm,RR,,28 ,,NW,,,,,,$64.60,$0.00,1,1,1,1,1,1,20091001,,E0672,HCPCS,Pressure pneum appl full arm,UE,,28 ,,NW,,,,,,$477.93,$0.00,1,1,1,1,1,1,20091001,,E0673,HCPCS,Pressure pneum appl half leg,NU,,28 ,,NW,,,,,,$466.31,$0.00,1,1,1,1,1,1,20091001,,E0673,HCPCS,Pressure pneum appl half leg,RR,,28 ,,NW,,,,,,$61.87,$0.00,1,1,1,1,1,1,20091001,,E0673,HCPCS,Pressure pneum appl half leg,UE,,28 ,,NW,,,,,,$345.07,$0.00,1,1,1,1,1,1,20091001,,E0675,HCPCS,Pneumatic compression device,RR,,28 ,,NW,,,,,,$649.31,$0.00,1,1,1,0,1,1,20091001,,E0691,HCPCS,Uvl pnl 2 sq ft or less,NU,,28 ,,NW,,,,,,"$1,798.25",$0.00,1,1,1,1,1,1,20091001,,E0691,HCPCS,Uvl pnl 2 sq ft or less,RR,,28 ,,NW,,,,,,$179.83,$0.00,1,1,1,1,1,1,20091001,,E0691,HCPCS,Uvl pnl 2 sq ft or less,UE,,28 ,,NW,,,,,,"$1,330.71",$0.00,1,1,1,1,1,1,20091001,,E0692,HCPCS,Uvl sys panel 4 ft,NU,,28 ,,NW,,,,,,"$2,258.08",$0.00,1,1,1,1,1,1,20091001,,E0692,HCPCS,Uvl sys panel 4 ft,RR,,28 ,,NW,,,,,,$225.81,$0.00,1,1,1,1,1,1,20091001,,E0692,HCPCS,Uvl sys panel 4 ft,UE,,28 ,,NW,,,,,,"$1,670.98",$0.00,1,1,1,1,1,1,20091001,,E0693,HCPCS,Uvl sys panel 6 ft,NU,,28 ,,NW,,,,,,"$2,783.62",$0.00,1,1,1,1,1,1,20091001,,E0693,HCPCS,Uvl sys panel 6 ft,RR,,28 ,,NW,,,,,,$278.38,$0.00,1,1,1,1,1,1,20091001,,E0693,HCPCS,Uvl sys panel 6 ft,UE,,28 ,,NW,,,,,,"$2,059.88",$0.00,1,1,1,1,1,1,20091001,,E0694,HCPCS,Uvl md cabinet sys 6 ft,NU,,28 ,,NW,,,,,,"$8,859.98",$0.00,1,1,1,1,1,1,20091001,,E0694,HCPCS,Uvl md cabinet sys 6 ft,RR,,28 ,,NW,,,,,,$885.99,$0.00,1,1,1,1,1,1,20091001,,E0694,HCPCS,Uvl md cabinet sys 6 ft,UE,,28 ,,NW,,,,,,"$6,556.39",$0.00,1,1,1,1,1,1,20091001,,E0700,HCPCS,Safety equipment,,,28 ,,NW,,,,,,$32.82,$0.00,1,1,1,1,1,1,20091001,,E0705,HCPCS,Transfer device,NU,,28 ,,NW,,,,,,$74.15,$0.00,1,1,1,1,1,1,20091001,,E0705,HCPCS,Transfer device,RR,,28 ,,NW,,,,,,$34.75,$0.00,1,1,1,1,1,1,20091001,,E0705,HCPCS,Transfer device,UE,,28 ,,NW,,,,,,$54.87,$0.00,1,1,1,1,1,1,20091001,,E0710,HCPCS,Restraints any type,,,28 ,,NW,,,,,,$54.05,$0.00,1,1,1,1,1,1,20091001,,E0720,HCPCS,Tens two lead,NU,,28 ,,NW,,,,,,$699.02,$0.00,1,1,1,1,1,1,20091001,,E0720,HCPCS,Tens two lead,RR,,28 ,,NW,,,,,,$75.50,$0.00,1,1,1,1,1,1,20091001,,E0720,HCPCS,Tens two lead,UE,,28 ,,NW,,,,,,$517.28,$0.00,1,1,1,1,1,1,20091001,,E0730,HCPCS,Tens four lead,NU,,28 ,,NW,,,,,,$741.80,$0.00,1,1,1,1,1,1,20091001,,E0730,HCPCS,Tens four lead,RR,,28 ,,NW,,,,,,$95.30,$0.00,1,1,1,1,1,1,20091001,,E0730,HCPCS,Tens four lead,UE,,28 ,,NW,,,,,,$548.93,$0.00,1,1,1,1,1,1,20091001,,E0731,HCPCS,Conductive garment for tens/,NU,,28 ,,NW,,,,,,$497.74,$0.00,1,1,1,1,1,1,20091001,,E0731,HCPCS,Conductive garment for tens/,RR,,28 ,,NW,,,,,,$290.31,$0.00,1,1,1,1,1,1,20091001,,E0740,HCPCS,Incontinence treatment systm,NU,,28 ,,NW,,,,,,"$1,046.37",$0.00,1,1,1,1,1,1,20091001,,E0740,HCPCS,Incontinence treatment systm,RR,,28 ,,NW,,,,,,$104.65,$0.00,1,1,1,1,1,1,20091001,,E0744,HCPCS,Neuromuscular stim for scoli,NU,,28 ,,NW,,,,,,"$1,832.39",$0.00,1,1,1,1,1,1,20091001,,E0744,HCPCS,Neuromuscular stim for scoli,RR,,28 ,,NW,,,,,,$183.24,$0.00,1,1,1,1,1,1,20091001,,E0744,HCPCS,Neuromuscular stim for scoli,UE,,28 ,,NW,,,,,,"$1,355.97",$0.00,1,1,1,1,1,1,20091001,,E0745,HCPCS,Neuromuscular stim for shock,NU,,28 ,,NW,,,,,,"$2,005.09",$0.00,1,1,1,1,1,1,20091001,,E0745,HCPCS,Neuromuscular stim for shock,RR,,28 ,,NW,,,,,,$226.59,$0.00,1,1,1,1,1,1,20091001,,E0745,HCPCS,Neuromuscular stim for shock,UE,,28 ,,NW,,,,,,"$1,483.77",$0.00,1,1,1,1,1,1,20091001,,E0746,HCPCS,Electromyograph biofeedback,NU,,28 ,,NW,,,,,,$245.67,$0.00,1,1,1,1,1,1,20091001,,E0746,HCPCS,Electromyograph biofeedback,RR,,28 ,,NW,,,,,,$130.77,$0.00,1,1,1,1,1,1,20091001,,E0746,HCPCS,Electromyograph biofeedback,UE,,28 ,,NW,,,,,,$181.79,$0.00,1,1,1,1,1,1,20091001,,E0747,HCPCS,Elec osteogen stim not spine,NU,,28 ,,NW,,,,,,"$6,462.38",$0.00,1,1,1,1,1,1,20091001,,E0747,HCPCS,Elec osteogen stim not spine,RR,,28 ,,NW,,,,,,$739.81,$0.00,1,1,1,1,1,1,20091001,,E0747,HCPCS,Elec osteogen stim not spine,UE,,28 ,,NW,,,,,,"$4,782.16",$0.00,1,1,1,1,1,1,20091001,,E0748,HCPCS,Elec osteogen stim spinal,NU,,28 ,,NW,,,,,,"$6,521.25",$0.00,1,1,1,1,1,1,20091001,,E0748,HCPCS,Elec osteogen stim spinal,RR,,28 ,,NW,,,,,,$739.64,$0.00,1,1,1,1,1,1,20091001,,E0748,HCPCS,Elec osteogen stim spinal,UE,,28 ,,NW,,,,,,"$4,825.72",$0.00,1,1,1,1,1,1,20091001,,E0749,HCPCS,Elec osteogen stim implanted,,,28 ,,NW,,,,,,"$7,455.23",$0.00,1,1,1,1,1,1,20091001,,E0760,HCPCS,Osteogen ultrasound stimltor,NU,,28 ,,NW,,,,,,"$5,777.87",$0.00,1,1,1,1,1,1,20091001,,E0762,HCPCS,Trans elec jt stim dev sys,NU,,28 ,,NW,,,,,,"$1,677.87",$0.00,1,1,1,1,1,1,20091001,,E0762,HCPCS,Trans elec jt stim dev sys,RR,,28 ,,NW,,,,,,$386.05,$0.00,1,1,1,1,1,1,20091001,,E0762,HCPCS,Trans elec jt stim dev sys,UE,,28 ,,NW,,,,,,"$1,241.62",$0.00,1,1,1,1,1,1,20091001,,E0765,HCPCS,Nerve stimulator for tx n&v,NU,,28 ,,NW,,,,,,$168.36,$0.00,1,1,1,1,1,1,20091001,,E0776,HCPCS,Iv pole,NU,,28 ,,NW,,,,,,$140.60,$0.00,1,1,1,1,1,1,20091001,,E0776,HCPCS,Iv pole,RR,,28 ,,NW,,,,,,$46.13,$0.00,1,1,1,1,1,1,20091001,,E0776,HCPCS,Iv pole,UE,,28 ,,NW,,,,,,$104.05,$0.00,1,1,1,1,1,1,20091001,,E0779,HCPCS,Amb infusion pump mechanical,RR,,28 ,,NW,,,,,,$33.48,$0.00,1,1,1,1,1,1,20091001,,E0780,HCPCS,Mech amb infusion pump <8hrs,NU,,28 ,,NW,,,,,,$452.99,$0.00,1,1,1,1,1,1,20091001,,E0781,HCPCS,External ambulatory infus pu,RR,,28 ,,NW,,,,,,$568.84,$0.00,1,1,1,1,1,1,20091001,,E0782,HCPCS,Non-programble infusion pump,NU,,28 ,,NW,,,,,,"$8,162.04",$0.00,1,1,1,1,1,1,20091001,,E0783,HCPCS,Programmable infusion pump,NU,,28 ,,NW,,,,,,"$15,563.78",$0.00,1,1,1,1,1,1,20091001,,E0784,HCPCS,Ext amb infusn pump insulin,RR,,28 ,,NW,,,,,,$727.52,$0.00,1,1,1,1,1,1,20091001,,E0784,HCPCS,Ext amb infusn pump insulin,,,28 ,,NW,,,,,,"$6,601.59",$0.00,1,1,1,1,1,1,20091001,,E0785,HCPCS,Replacement impl pump cathet,,,28 ,,NW,,,,,,$898.26,$0.00,1,1,1,1,1,1,20091001,,E0786,HCPCS,Implantable pump replacement,,,28 ,,NW,,,,,,"$11,739.69",$0.00,1,1,1,1,1,1,20091001,,E0791,HCPCS,Parenteral infusion pump sta,RR,,28 ,,NW,,,,,,$541.48,$0.00,1,1,1,1,1,1,20091001,,E0791,HCPCS,Parenteral infusion pump sta,UE,,28 ,,NW,,,,,,"$4,745.85",$0.00,1,1,1,1,1,1,20091001,,E0791,HCPCS,Parenteral infusion pump sta,,,28 ,,NW,,,,,,$407.72,$0.00,1,1,1,1,1,1,20091001,,E0830,HCPCS,Ambulatory traction device,,,28 ,,NW,,,,,,"$2,904.65",$0.00,1,1,1,1,1,1,20091001,,E0840,HCPCS,Tract frame attach headboard,,,28 ,,NW,,,,,,$106.28,$0.00,1,1,1,1,1,1,20091001,,E0849,HCPCS,Cervical pneum trac equip,NU,,28 ,,NW,,,,,,$732.81,$0.00,1,1,1,1,1,1,20091001,,E0849,HCPCS,Cervical pneum trac equip,RR,,28 ,,NW,,,,,,$86.34,$0.00,1,1,1,1,1,1,20091001,,E0849,HCPCS,Cervical pneum trac equip,UE,,28 ,,NW,,,,,,$542.28,$0.00,1,1,1,1,1,1,20091001,,E0849,HCPCS,Cervical pneum trac equip,,,28 ,,NW,,,,,,$62.99,$0.00,1,1,1,0,1,1,20091001,,E0850,HCPCS,Traction stand free standing,,,28 ,,NW,,,,,,$151.10,$0.00,1,1,1,1,1,1,20091001,,E0855,HCPCS,Cervical traction equipment,,,28 ,,NW,,,,,,$809.22,$0.00,1,1,1,1,1,1,20091001,,E0860,HCPCS,Tract equip cervical tract,,,28 ,,NW,,,,,,$57.54,$0.00,1,1,1,1,1,1,20091001,,E0870,HCPCS,Tract frame attach footboard,,,28 ,,NW,,,,,,$167.17,$0.00,1,1,1,1,1,1,20091001,,E0880,HCPCS,Trac stand free stand extrem,,,28 ,,NW,,,,,,$180.05,$0.00,1,1,1,1,1,1,20091001,,E0890,HCPCS,Traction frame attach pelvic,,,28 ,,NW,,,,,,$183.47,$0.00,1,1,1,1,1,1,20091001,,E0900,HCPCS,Trac stand free stand pelvic,,,28 ,,NW,,,,,,$181.94,$0.00,1,1,1,1,1,1,20091001,,E0910,HCPCS,Trapeze bar attached to bed,RR,,28 ,,NW,,,,,,$38.71,$0.00,1,1,1,1,1,1,20091001,,E0910,HCPCS,Trapeze bar attached to bed,UE,,28 ,,NW,,,,,,$300.18,$0.00,1,1,1,1,1,1,20091001,,E0910,HCPCS,Trapeze bar attached to bed,,,28 ,,NW,,,,,,$406.17,$0.00,1,1,1,1,1,1,20091001,,E0920,HCPCS,Fracture frame attached to b,RR,,28 ,,NW,,,,,,$92.34,$0.00,1,1,1,1,1,1,20091001,,E0920,HCPCS,Fracture frame attached to b,UE,,28 ,,NW,,,,,,$927.97,$0.00,1,1,1,1,1,1,20091001,,E0920,HCPCS,Fracture frame attached to b,,,28 ,,NW,,,,,,$897.77,$0.00,1,1,1,1,1,1,20091001,,E0930,HCPCS,Fracture frame free standing,RR,,28 ,,NW,,,,,,$91.44,$0.00,1,1,1,1,1,1,20091001,,E0930,HCPCS,Fracture frame free standing,UE,,28 ,,NW,,,,,,$655.98,$0.00,1,1,1,1,1,1,20091001,,E0930,HCPCS,Fracture frame free standing,,,28 ,,NW,,,,,,$891.07,$0.00,1,1,1,1,1,1,20091001,,E0935,HCPCS,Cont pas motion exercise dev,RR,,28 ,,NW,,,,,,$445.73,$0.00,1,1,1,1,1,1,20091001,,E0940,HCPCS,Trapeze bar free standing,RR,,28 ,,NW,,,,,,$61.99,$0.00,1,1,1,1,1,1,20091001,,E0940,HCPCS,Trapeze bar free standing,UE,,28 ,,NW,,,,,,$521.79,$0.00,1,1,1,1,1,1,20091001,,E0940,HCPCS,Trapeze bar free standing,,,28 ,,NW,,,,,,$643.52,$0.00,1,1,1,1,1,1,20091001,,E0941,HCPCS,Gravity assisted traction de,NU,,28 ,,NW,,,,,,$112.69,$0.00,1,1,1,1,1,1,20091001,,E0941,HCPCS,Gravity assisted traction de,RR,,28 ,,NW,,,,,,$86.88,$0.00,1,1,1,1,1,1,20091001,,E0941,HCPCS,Gravity assisted traction de,UE,,28 ,,NW,,,,,,$83.39,$0.00,1,1,1,1,1,1,20091001,,E0942,HCPCS,Cervical head harness/halter,NU,,28 ,,NW,,,,,,$39.72,$0.00,1,1,1,1,1,1,20091001,,E0944,HCPCS,Pelvic belt/harness/boot,NU,,28 ,,NW,,,,,,$91.82,$0.00,1,1,1,1,1,1,20091001,,E0945,HCPCS,Belt/harness extremity,NU,,28 ,,NW,,,,,,$88.69,$0.00,1,1,1,1,1,1,20091001,,E0946,HCPCS,Fracture frame dual w cross,NU,,28 ,,NW,,,,,,"$1,146.03",$0.00,1,1,1,1,1,1,20091001,,E0946,HCPCS,Fracture frame dual w cross,RR,,28 ,,NW,,,,,,$118.40,$0.00,1,1,1,1,1,1,20091001,,E0946,HCPCS,Fracture frame dual w cross,UE,,28 ,,NW,,,,,,$848.07,$0.00,1,1,1,1,1,1,20091001,,E0947,HCPCS,Fracture frame attachmnts pe,NU,,28 ,,NW,,,,,,"$1,213.64",$0.00,1,1,1,1,1,1,20091001,,E0947,HCPCS,Fracture frame attachmnts pe,RR,,28 ,,NW,,,,,,$125.86,$0.00,1,1,1,1,1,1,20091001,,E0947,HCPCS,Fracture frame attachmnts pe,UE,,28 ,,NW,,,,,,$898.10,$0.00,1,1,1,1,1,1,20091001,,E0948,HCPCS,Fracture frame attachmnts ce,NU,,28 ,,NW,,,,,,"$1,173.88",$0.00,1,1,1,1,1,1,20091001,,E0948,HCPCS,Fracture frame attachmnts ce,RR,,28 ,,NW,,,,,,$117.34,$0.00,1,1,1,1,1,1,20091001,,E0948,HCPCS,Fracture frame attachmnts ce,UE,,28 ,,NW,,,,,,$868.67,$0.00,1,1,1,1,1,1,20091001,,E0950,HCPCS,Tray,NU,,28 ,,NW,,,,,,$214.98,$0.00,1,1,1,1,1,1,20091001,,E0950,HCPCS,Tray,RR,,28 ,,NW,,,,,,$20.84,$0.00,1,1,1,1,1,1,20091001,,E0950,HCPCS,Tray,UE,,28 ,,NW,,,,,,$159.09,$0.00,1,1,1,1,1,1,20091001,,E0951,HCPCS,Loop heel,NU,,28 ,,NW,,,,,,$43.80,$0.00,1,1,1,1,1,1,20091001,,E0951,HCPCS,Loop heel,RR,,28 ,,NW,,,,,,$3.21,$0.00,1,1,1,1,1,1,20091001,,E0951,HCPCS,Loop heel,UE,,28 ,,NW,,,,,,$32.41,$0.00,1,1,1,1,1,1,20091001,,E0952,HCPCS,"Toe loop/holder, each",NU,,28 ,,NW,,,,,,$37.69,$0.00,1,1,1,1,1,1,20091001,,E0952,HCPCS,"Toe loop/holder, each",RR,,28 ,,NW,,,,,,$3.93,$0.00,1,1,1,1,1,1,20091001,,E0952,HCPCS,"Toe loop/holder, each",UE,,28 ,,NW,,,,,,$27.89,$0.00,1,1,1,1,1,1,20091001,,E0955,HCPCS,Cushioned headrest,NU,,28 ,,NW,,,,,,$356.34,$0.00,1,1,1,0,1,1,20091001,,E0955,HCPCS,Cushioned headrest,RR,,28 ,,NW,,,,,,$40.49,$0.00,1,1,1,0,1,1,20091001,,E0955,HCPCS,Cushioned headrest,UE,,28 ,,NW,,,,,,$263.69,$0.00,1,1,1,0,1,1,20091001,,E0956,HCPCS,W/c lateral trunk/hip suppor,NU,,28 ,,NW,,,,,,$190.31,$0.00,1,1,1,0,1,1,20091001,,E0956,HCPCS,W/c lateral trunk/hip suppor,RR,,28 ,,NW,,,,,,$19.75,$0.00,1,1,1,0,1,1,20091001,,E0956,HCPCS,W/c lateral trunk/hip suppor,UE,,28 ,,NW,,,,,,$140.83,$0.00,1,1,1,0,1,1,20091001,,E0957,HCPCS,W/c medial thigh support,NU,,28 ,,NW,,,,,,$276.02,$0.00,1,1,1,0,1,1,20091001,,E0957,HCPCS,W/c medial thigh support,RR,,28 ,,NW,,,,,,$27.59,$0.00,1,1,1,0,1,1,20091001,,E0957,HCPCS,W/c medial thigh support,UE,,28 ,,NW,,,,,,$204.26,$0.00,1,1,1,0,1,1,20091001,,E0958,HCPCS,Whlchr att- conv 1 arm drive,NU,,28 ,,NW,,,,,,$873.23,$0.00,1,1,1,1,1,1,20091001,,E0958,HCPCS,Whlchr att- conv 1 arm drive,RR,,28 ,,NW,,,,,,$87.32,$0.00,1,1,1,1,1,1,20091001,,E0958,HCPCS,Whlchr att- conv 1 arm drive,UE,,28 ,,NW,,,,,,$646.19,$0.00,1,1,1,1,1,1,20091001,,E0959,HCPCS,Amputee adapter,NU,,28 ,,NW,,,,,,$88.48,$0.00,1,1,1,1,1,1,20091001,,E0959,HCPCS,Amputee adapter,RR,,28 ,,NW,,,,,,$8.90,$0.00,1,1,1,1,1,1,20091001,,E0959,HCPCS,Amputee adapter,UE,,28 ,,NW,,,,,,$65.47,$0.00,1,1,1,1,1,1,20091001,,E0960,HCPCS,W/c shoulder harness/straps,NU,,28 ,,NW,,,,,,$176.50,$0.00,1,1,1,0,1,1,20091001,,E0960,HCPCS,W/c shoulder harness/straps,RR,,28 ,,NW,,,,,,$18.22,$0.00,1,1,1,0,1,1,20091001,,E0960,HCPCS,W/c shoulder harness/straps,UE,,28 ,,NW,,,,,,$130.61,$0.00,1,1,1,0,1,1,20091001,,E0961,HCPCS,Wheelchair brake extension,NU,,28 ,,NW,,,,,,$60.74,$0.00,1,1,1,1,1,1,20091001,,E0961,HCPCS,Wheelchair brake extension,RR,,28 ,,NW,,,,,,$6.53,$0.00,1,1,1,1,1,1,20091001,,E0961,HCPCS,Wheelchair brake extension,UE,,28 ,,NW,,,,,,$44.95,$0.00,1,1,1,1,1,1,20091001,,E0966,HCPCS,Wheelchair head rest extensi,NU,,28 ,,NW,,,,,,$142.81,$0.00,1,1,1,1,1,1,20091001,,E0966,HCPCS,Wheelchair head rest extensi,RR,,28 ,,NW,,,,,,$14.08,$0.00,1,1,1,1,1,1,20091001,,E0966,HCPCS,Wheelchair head rest extensi,UE,,28 ,,NW,,,,,,$105.68,$0.00,1,1,1,1,1,1,20091001,,E0967,HCPCS,Manual wc hand rim w project,NU,,28 ,,NW,,,,,,$131.47,$0.00,1,1,1,1,1,1,20091001,,E0967,HCPCS,Manual wc hand rim w project,RR,,28 ,,NW,,,,,,$13.14,$0.00,1,1,1,1,1,1,20091001,,E0967,HCPCS,Manual wc hand rim w project,UE,,28 ,,NW,,,,,,$97.29,$0.00,1,1,1,1,1,1,20091001,,E0968,HCPCS,Wheelchair commode seat,NU,,28 ,,NW,,,,,,$443.21,$0.00,1,1,1,1,1,1,20091001,,E0968,HCPCS,Wheelchair commode seat,RR,,28 ,,NW,,,,,,$44.14,$0.00,1,1,1,1,1,1,20091001,,E0968,HCPCS,Wheelchair commode seat,UE,,28 ,,NW,,,,,,$327.97,$0.00,1,1,1,1,1,1,20091001,,E0969,HCPCS,Wheelchair narrowing device,NU,,28 ,,NW,,,,,,$313.46,$0.00,1,1,1,1,1,1,20091001,,E0969,HCPCS,Wheelchair narrowing device,RR,,28 ,,NW,,,,,,$31.03,$0.00,1,1,1,1,1,1,20091001,,E0969,HCPCS,Wheelchair narrowing device,UE,,28 ,,NW,,,,,,$231.96,$0.00,1,1,1,1,1,1,20091001,,E0970,HCPCS,Wheelchair no. 2 footplates,NU,,28 ,,NW,,,,,,$118.89,$0.00,1,1,1,1,1,1,20091001,,E0970,HCPCS,Wheelchair no. 2 footplates,RR,,28 ,,NW,,,,,,$10.59,$0.00,1,1,1,1,1,1,20091001,,E0970,HCPCS,Wheelchair no. 2 footplates,UE,,28 ,,NW,,,,,,$87.98,$0.00,1,1,1,1,1,1,20091001,,E0971,HCPCS,Wheelchair anti-tipping devi,NU,,28 ,,NW,,,,,,$132.86,$0.00,1,1,1,1,1,1,20091001,,E0971,HCPCS,Wheelchair anti-tipping devi,RR,,28 ,,NW,,,,,,$12.54,$0.00,1,1,1,1,1,1,20091001,,E0971,HCPCS,Wheelchair anti-tipping devi,UE,,28 ,,NW,,,,,,$98.32,$0.00,1,1,1,1,1,1,20091001,,E0973,HCPCS,W/ch access det adj armrest,NU,,28 ,,NW,,,,,,$243.26,$0.00,1,1,1,1,1,1,20091001,,E0973,HCPCS,W/ch access det adj armrest,RR,,28 ,,NW,,,,,,$18.14,$0.00,1,1,1,1,1,1,20091001,,E0973,HCPCS,W/ch access det adj armrest,UE,,28 ,,NW,,,,,,$180.01,$0.00,1,1,1,1,1,1,20091001,,E0974,HCPCS,W/ch access anti-rollback,NU,,28 ,,NW,,,,,,$156.92,$0.00,1,1,1,1,1,1,20091001,,E0974,HCPCS,W/ch access anti-rollback,RR,,28 ,,NW,,,,,,$16.62,$0.00,1,1,1,1,1,1,20091001,,E0974,HCPCS,W/ch access anti-rollback,UE,,28 ,,NW,,,,,,$116.12,$0.00,1,1,1,1,1,1,20091001,,E0978,HCPCS,"W/c acc,saf belt pelv strap",NU,,28 ,,NW,,,,,,$65.73,$0.00,1,1,1,1,1,1,20091001,,E0978,HCPCS,"W/c acc,saf belt pelv strap",RR,,28 ,,NW,,,,,,$7.40,$0.00,1,1,1,1,1,1,20091001,,E0978,HCPCS,"W/c acc,saf belt pelv strap",UE,,28 ,,NW,,,,,,$48.64,$0.00,1,1,1,1,1,1,20091001,,E0980,HCPCS,Wheelchair safety vest,NU,,28 ,,NW,,,,,,$66.16,$0.00,1,1,1,1,1,1,20091001,,E0980,HCPCS,Wheelchair safety vest,RR,,28 ,,NW,,,,,,$6.62,$0.00,1,1,1,1,1,1,20091001,,E0980,HCPCS,Wheelchair safety vest,UE,,28 ,,NW,,,,,,$48.96,$0.00,1,1,1,1,1,1,20091001,,E0981,HCPCS,"Seat upholstery, replacement",NU,,28 ,,NW,,,,,,$94.36,$0.00,1,1,1,1,1,1,20091001,,E0981,HCPCS,"Seat upholstery, replacement",RR,,28 ,,NW,,,,,,$9.61,$0.00,1,1,1,1,1,1,20091001,,E0981,HCPCS,"Seat upholstery, replacement",UE,,28 ,,NW,,,,,,$69.83,$0.00,1,1,1,1,1,1,20091001,,E0982,HCPCS,"Back upholstery, replacement",NU,,28 ,,NW,,,,,,$103.12,$0.00,1,1,1,1,1,1,20091001,,E0982,HCPCS,"Back upholstery, replacement",RR,,28 ,,NW,,,,,,$10.31,$0.00,1,1,1,1,1,1,20091001,,E0982,HCPCS,"Back upholstery, replacement",UE,,28 ,,NW,,,,,,$76.31,$0.00,1,1,1,1,1,1,20091001,,E0983,HCPCS,Add pwr joystick,RR,,28 ,,NW,,,,,,$500.16,$0.00,1,1,1,1,1,1,20091001,,E0984,HCPCS,Add pwr tiller,NU,,28 ,,NW,,,,,,"$3,823.44",$0.00,1,1,1,1,1,1,20091001,,E0984,HCPCS,Add pwr tiller,RR,,28 ,,NW,,,,,,$355.39,$0.00,1,1,1,1,1,1,20091001,,E0984,HCPCS,Add pwr tiller,UE,,28 ,,NW,,,,,,"$2,829.35",$0.00,1,1,1,1,1,1,20091001,,E0985,HCPCS,W/c seat lift mechanism,NU,,28 ,,NW,,,,,,$405.94,$0.00,1,1,1,0,1,1,20091001,,E0985,HCPCS,W/c seat lift mechanism,RR,,28 ,,NW,,,,,,$40.64,$0.00,1,1,1,0,1,1,20091001,,E0985,HCPCS,W/c seat lift mechanism,UE,,28 ,,NW,,,,,,$300.39,$0.00,1,1,1,0,1,1,20091001,,E0986,HCPCS,Man w/c push-rim pow assist,NU,,28 ,,NW,,,,,,"$9,734.30",$0.00,1,1,1,0,1,1,20091001,,E0986,HCPCS,Man w/c push-rim pow assist,RR,,28 ,,NW,,,,,,$973.45,$0.00,1,1,1,0,1,1,20091001,,E0986,HCPCS,Man w/c push-rim pow assist,UE,,28 ,,NW,,,,,,"$7,203.38",$0.00,1,1,1,0,1,1,20091001,,E0990,HCPCS,Wheelchair elevating leg res,NU,,28 ,,NW,,,,,,$278.00,$0.00,1,1,1,1,1,1,20091001,,E0990,HCPCS,Wheelchair elevating leg res,RR,,28 ,,NW,,,,,,$24.02,$0.00,1,1,1,1,1,1,20091001,,E0990,HCPCS,Wheelchair elevating leg res,UE,,28 ,,NW,,,,,,$205.72,$0.00,1,1,1,1,1,1,20091001,,E0992,HCPCS,Wheelchair solid seat insert,NU,,28 ,,NW,,,,,,$140.69,$0.00,1,1,1,1,1,1,20091001,,E0992,HCPCS,Wheelchair solid seat insert,RR,,28 ,,NW,,,,,,$18.51,$0.00,1,1,1,1,1,1,20091001,,E0992,HCPCS,Wheelchair solid seat insert,UE,,28 ,,NW,,,,,,$104.11,$0.00,1,1,1,1,1,1,20091001,,E0994,HCPCS,Wheelchair arm rest,NU,,28 ,,NW,,,,,,$35.29,$0.00,1,1,1,1,1,1,20091001,,E0994,HCPCS,Wheelchair arm rest,RR,,28 ,,NW,,,,,,$3.56,$0.00,1,1,1,1,1,1,20091001,,E0994,HCPCS,Wheelchair arm rest,UE,,28 ,,NW,,,,,,$26.12,$0.00,1,1,1,1,1,1,20091001,,E0995,HCPCS,Wheelchair calf rest,NU,,28 ,,NW,,,,,,$60.84,$0.00,1,1,1,1,1,1,20091001,,E0995,HCPCS,Wheelchair calf rest,RR,,28 ,,NW,,,,,,$6.10,$0.00,1,1,1,1,1,1,20091001,,E0995,HCPCS,Wheelchair calf rest,UE,,28 ,,NW,,,,,,$45.02,$0.00,1,1,1,1,1,1,20091001,,E1002,HCPCS,Pwr seat tilt,,,28 ,,NW,,,,,,$502.79,$0.00,1,1,1,0,1,1,20091001,,E1003,HCPCS,Pwr seat recline,,,28 ,,NW,,,,,,$536.77,$0.00,1,1,1,0,1,1,20091001,,E1004,HCPCS,Pwr seat recline mech,,,28 ,,NW,,,,,,$595.16,$0.00,1,1,1,0,1,1,20091001,,E1005,HCPCS,Pwr seat recline pwr,,,28 ,,NW,,,,,,$644.20,$0.00,1,1,1,0,1,1,20091001,,E1006,HCPCS,Pwr seat combo w/o shear,,,28 ,,NW,,,,,,$789.07,$0.00,1,1,1,0,1,1,20091001,,E1007,HCPCS,Pwr seat combo w/shear,,,28 ,,NW,,,,,,"$1,068.47",$0.00,1,1,1,0,1,1,20091001,,E1008,HCPCS,Pwr seat combo pwr shear,,,28 ,,NW,,,,,,"$1,068.56",$0.00,1,1,1,0,1,1,20091001,,E1009,HCPCS,Add mech leg elevation,,,28 ,,NW,,,,,,$127.19,$0.00,1,1,1,0,1,1,20091001,,E1010,HCPCS,Add pwr leg elevation,,,28 ,,NW,,,,,,"$1,885.75",$0.00,1,1,1,0,1,1,20091001,,E1014,HCPCS,Reclining back add ped w/c,NU,,28 ,,NW,,,,,,$730.72,$0.00,1,1,1,1,1,1,20091001,,E1015,HCPCS,Shock absorber for man w/c,NU,,28 ,,NW,,,,,,$229.55,$0.00,1,1,1,1,1,1,20091001,,E1016,HCPCS,Shock absorber for power w/c,NU,,28 ,,NW,,,,,,$262.77,$0.00,1,1,1,1,1,1,20091001,,E1020,HCPCS,Residual limb support system,NU,,28 ,,NW,,,,,,$487.12,$0.00,1,1,1,1,1,1,20091001,,E1020,HCPCS,Residual limb support system,UE,,28 ,,NW,,,,,,$360.47,$0.00,1,1,1,1,1,1,20091001,,E1028,HCPCS,W/c manual swingaway,,,28 ,,NW,,,,,,$25.25,$0.00,1,1,1,0,1,1,20091001,,E1029,HCPCS,W/c vent tray fixed,,,28 ,,NW,,,,,,$45.17,$0.00,1,1,1,0,1,1,20091001,,E1030,HCPCS,W/c vent tray gimbaled,,,28 ,,NW,,,,,,$142.44,$0.00,1,1,1,0,1,1,20091001,,E1031,HCPCS,Rollabout chair with casters,NU,,28 ,,NW,,,,,,"$1,010.72",$0.00,1,1,1,1,1,1,20091001,,E1031,HCPCS,Rollabout chair with casters,RR,,28 ,,NW,,,,,,$77.38,$0.00,1,1,1,1,1,1,20091001,,E1031,HCPCS,Rollabout chair with casters,UE,,28 ,,NW,,,,,,$747.93,$0.00,1,1,1,1,1,1,20091001,,E1035,HCPCS,Patient transfer system,RR,,28 ,,NW,,,,,,$679.59,$0.00,1,1,1,1,1,1,20091001,,E1037,HCPCS,"Transport chair, ped size",,,28 ,,NW,,,,,,$180.19,$0.00,1,1,1,1,1,1,20091001,,E1038,HCPCS,Transport chair pt wt<=300lb,,,28 ,,NW,,,,,,$67.57,$0.00,1,1,1,1,1,1,20091001,,E1039,HCPCS,Transport chair pt wt >300lb,,,28 ,,NW,,,,,,$41.81,$0.00,1,1,1,0,1,1,20091001,,E1050,HCPCS,Whelchr fxd full length arms,NU,,28 ,,NW,,,,,,"$2,037.93",$0.00,1,1,1,1,1,1,20091001,,E1050,HCPCS,Whelchr fxd full length arms,RR,,28 ,,NW,,,,,,$203.79,$0.00,1,1,1,1,1,1,20091001,,E1050,HCPCS,Whelchr fxd full length arms,UE,,28 ,,NW,,,,,,"$1,508.06",$0.00,1,1,1,1,1,1,20091001,,E1060,HCPCS,Wheelchair detachable arms,NU,,28 ,,NW,,,,,,"$2,522.92",$0.00,1,1,1,1,1,1,20091001,,E1060,HCPCS,Wheelchair detachable arms,RR,,28 ,,NW,,,,,,$237.27,$0.00,1,1,1,1,1,1,20091001,,E1060,HCPCS,Wheelchair detachable arms,UE,,28 ,,NW,,,,,,"$1,866.96",$0.00,1,1,1,1,1,1,20091001,,E1070,HCPCS,Wheelchair detachable foot r,NU,,28 ,,NW,,,,,,"$2,191.90",$0.00,1,1,1,1,1,1,20091001,,E1070,HCPCS,Wheelchair detachable foot r,RR,,28 ,,NW,,,,,,$219.19,$0.00,1,1,1,1,1,1,20091001,,E1070,HCPCS,Wheelchair detachable foot r,UE,,28 ,,NW,,,,,,"$1,622.01",$0.00,1,1,1,1,1,1,20091001,,E1083,HCPCS,Hemi-wheelchair fixed arms,NU,,28 ,,NW,,,,,,"$1,575.77",$0.00,1,1,1,1,1,1,20091001,,E1083,HCPCS,Hemi-wheelchair fixed arms,RR,,28 ,,NW,,,,,,$157.58,$0.00,1,1,1,1,1,1,20091001,,E1083,HCPCS,Hemi-wheelchair fixed arms,UE,,28 ,,NW,,,,,,"$1,166.07",$0.00,1,1,1,1,1,1,20091001,,E1084,HCPCS,Hemi-wheelchair detachable a,NU,,28 ,,NW,,,,,,"$1,963.29",$0.00,1,1,1,1,1,1,20091001,,E1084,HCPCS,Hemi-wheelchair detachable a,RR,,28 ,,NW,,,,,,$196.33,$0.00,1,1,1,1,1,1,20091001,,E1084,HCPCS,Hemi-wheelchair detachable a,UE,,28 ,,NW,,,,,,"$1,452.84",$0.00,1,1,1,1,1,1,20091001,,E1085,HCPCS,Hemi-wheelchair fixed arms,NU,,28 ,,NW,,,,,,"$1,836.39",$0.00,1,1,1,1,1,1,20091001,,E1085,HCPCS,Hemi-wheelchair fixed arms,RR,,28 ,,NW,,,,,,$183.64,$0.00,1,1,1,1,1,1,20091001,,E1085,HCPCS,Hemi-wheelchair fixed arms,UE,,28 ,,NW,,,,,,"$1,358.93",$0.00,1,1,1,1,1,1,20091001,,E1086,HCPCS,Hemi-wheelchair detachable a,NU,,28 ,,NW,,,,,,"$2,236.63",$0.00,1,1,1,1,1,1,20091001,,E1086,HCPCS,Hemi-wheelchair detachable a,RR,,28 ,,NW,,,,,,$203.65,$0.00,1,1,1,1,1,1,20091001,,E1086,HCPCS,Hemi-wheelchair detachable a,UE,,28 ,,NW,,,,,,"$1,655.11",$0.00,1,1,1,1,1,1,20091001,,E1087,HCPCS,Wheelchair lightwt fixed arm,NU,,28 ,,NW,,,,,,"$2,531.63",$0.00,1,1,1,1,1,1,20091001,,E1087,HCPCS,Wheelchair lightwt fixed arm,RR,,28 ,,NW,,,,,,$253.16,$0.00,1,1,1,1,1,1,20091001,,E1087,HCPCS,Wheelchair lightwt fixed arm,UE,,28 ,,NW,,,,,,"$1,873.41",$0.00,1,1,1,1,1,1,20091001,,E1088,HCPCS,Wheelchair lightweight det a,NU,,28 ,,NW,,,,,,"$3,017.10",$0.00,1,1,1,1,1,1,20091001,,E1088,HCPCS,Wheelchair lightweight det a,RR,,28 ,,NW,,,,,,$301.71,$0.00,1,1,1,1,1,1,20091001,,E1088,HCPCS,Wheelchair lightweight det a,UE,,28 ,,NW,,,,,,"$2,232.65",$0.00,1,1,1,1,1,1,20091001,,E1089,HCPCS,Wheelchair lightwt fixed arm,NU,,28 ,,NW,,,,,,"$2,968.84",$0.00,1,1,1,1,1,1,20091001,,E1089,HCPCS,Wheelchair lightwt fixed arm,RR,,28 ,,NW,,,,,,$296.65,$0.00,1,1,1,1,1,1,20091001,,E1089,HCPCS,Wheelchair lightwt fixed arm,UE,,28 ,,NW,,,,,,"$2,196.94",$0.00,1,1,1,1,1,1,20091001,,E1090,HCPCS,Wheelchair lightweight det a,NU,,28 ,,NW,,,,,,"$3,060.66",$0.00,1,1,1,1,1,1,20091001,,E1090,HCPCS,Wheelchair lightweight det a,RR,,28 ,,NW,,,,,,$292.48,$0.00,1,1,1,1,1,1,20091001,,E1090,HCPCS,Wheelchair lightweight det a,UE,,28 ,,NW,,,,,,"$2,264.88",$0.00,1,1,1,1,1,1,20091001,,E1092,HCPCS,Wheelchair wide w/ leg rests,NU,,28 ,,NW,,,,,,"$2,571.66",$0.00,1,1,1,1,1,1,20091001,,E1092,HCPCS,Wheelchair wide w/ leg rests,RR,,28 ,,NW,,,,,,$242.34,$0.00,1,1,1,1,1,1,20091001,,E1092,HCPCS,Wheelchair wide w/ leg rests,UE,,28 ,,NW,,,,,,"$1,903.03",$0.00,1,1,1,1,1,1,20091001,,E1093,HCPCS,Wheelchair wide w/ foot rest,NU,,28 ,,NW,,,,,,"$2,211.68",$0.00,1,1,1,1,1,1,20091001,,E1093,HCPCS,Wheelchair wide w/ foot rest,RR,,28 ,,NW,,,,,,$215.63,$0.00,1,1,1,1,1,1,20091001,,E1093,HCPCS,Wheelchair wide w/ foot rest,UE,,28 ,,NW,,,,,,"$1,636.64",$0.00,1,1,1,1,1,1,20091001,,E1100,HCPCS,Whchr s-recl fxd arm leg res,NU,,28 ,,NW,,,,,,"$2,077.48",$0.00,1,1,1,1,1,1,20091001,,E1100,HCPCS,Whchr s-recl fxd arm leg res,RR,,28 ,,NW,,,,,,$207.75,$0.00,1,1,1,1,1,1,20091001,,E1100,HCPCS,Whchr s-recl fxd arm leg res,UE,,28 ,,NW,,,,,,"$1,537.33",$0.00,1,1,1,1,1,1,20091001,,E1110,HCPCS,Wheelchair semi-recl detach,NU,,28 ,,NW,,,,,,"$2,034.39",$0.00,1,1,1,1,1,1,20091001,,E1110,HCPCS,Wheelchair semi-recl detach,RR,,28 ,,NW,,,,,,$203.44,$0.00,1,1,1,1,1,1,20091001,,E1110,HCPCS,Wheelchair semi-recl detach,UE,,28 ,,NW,,,,,,"$1,505.45",$0.00,1,1,1,1,1,1,20091001,,E1130,HCPCS,Whlchr stand fxd arm ft rest,NU,,28 ,,NW,,,,,,"$1,177.18",$0.00,1,1,1,1,1,1,20091001,,E1130,HCPCS,Whlchr stand fxd arm ft rest,RR,,28 ,,NW,,,,,,$117.72,$0.00,1,1,1,1,1,1,20091001,,E1130,HCPCS,Whlchr stand fxd arm ft rest,UE,,28 ,,NW,,,,,,$871.11,$0.00,1,1,1,1,1,1,20091001,,E1140,HCPCS,Wheelchair standard detach a,NU,,28 ,,NW,,,,,,"$1,695.13",$0.00,1,1,1,1,1,1,20091001,,E1140,HCPCS,Wheelchair standard detach a,RR,,28 ,,NW,,,,,,$166.16,$0.00,1,1,1,1,1,1,20091001,,E1140,HCPCS,Wheelchair standard detach a,UE,,28 ,,NW,,,,,,"$1,254.40",$0.00,1,1,1,1,1,1,20091001,,E1150,HCPCS,Wheelchair standard w/ leg r,NU,,28 ,,NW,,,,,,"$1,632.51",$0.00,1,1,1,1,1,1,20091001,,E1150,HCPCS,Wheelchair standard w/ leg r,RR,,28 ,,NW,,,,,,$153.20,$0.00,1,1,1,1,1,1,20091001,,E1150,HCPCS,Wheelchair standard w/ leg r,UE,,28 ,,NW,,,,,,"$1,208.05",$0.00,1,1,1,1,1,1,20091001,,E1160,HCPCS,Wheelchair fixed arms,NU,,28 ,,NW,,,,,,"$1,250.87",$0.00,1,1,1,1,1,1,20091001,,E1160,HCPCS,Wheelchair fixed arms,RR,,28 ,,NW,,,,,,$125.09,$0.00,1,1,1,1,1,1,20091001,,E1160,HCPCS,Wheelchair fixed arms,UE,,28 ,,NW,,,,,,$925.64,$0.00,1,1,1,1,1,1,20091001,,E1161,HCPCS,Manual adult wc w tiltinspac,NU,,28 ,,NW,,,,,,"$3,158.20",$0.00,1,1,1,1,1,1,20091001,,E1161,HCPCS,Manual adult wc w tiltinspac,UE,,28 ,,NW,,,,,,"$2,337.06",$0.00,1,1,1,1,1,1,20091001,,E1170,HCPCS,Whlchr ampu fxd arm leg rest,NU,,28 ,,NW,,,,,,"$1,787.19",$0.00,1,1,1,1,1,1,20091001,,E1170,HCPCS,Whlchr ampu fxd arm leg rest,RR,,28 ,,NW,,,,,,$178.72,$0.00,1,1,1,1,1,1,20091001,,E1170,HCPCS,Whlchr ampu fxd arm leg rest,UE,,28 ,,NW,,,,,,"$1,322.52",$0.00,1,1,1,1,1,1,20091001,,E1171,HCPCS,Wheelchair amputee w/o leg r,NU,,28 ,,NW,,,,,,"$1,604.02",$0.00,1,1,1,1,1,1,20091001,,E1171,HCPCS,Wheelchair amputee w/o leg r,RR,,28 ,,NW,,,,,,$160.40,$0.00,1,1,1,1,1,1,20091001,,E1171,HCPCS,Wheelchair amputee w/o leg r,UE,,28 ,,NW,,,,,,"$1,186.97",$0.00,1,1,1,1,1,1,20091001,,E1172,HCPCS,Wheelchair amputee detach ar,NU,,28 ,,NW,,,,,,"$1,960.23",$0.00,1,1,1,1,1,1,20091001,,E1172,HCPCS,Wheelchair amputee detach ar,RR,,28 ,,NW,,,,,,$196.02,$0.00,1,1,1,1,1,1,20091001,,E1172,HCPCS,Wheelchair amputee detach ar,UE,,28 ,,NW,,,,,,"$1,450.57",$0.00,1,1,1,1,1,1,20091001,,E1180,HCPCS,Wheelchair amputee w/ foot r,NU,,28 ,,NW,,,,,,"$2,028.04",$0.00,1,1,1,1,1,1,20091001,,E1180,HCPCS,Wheelchair amputee w/ foot r,RR,,28 ,,NW,,,,,,$202.80,$0.00,1,1,1,1,1,1,20091001,,E1180,HCPCS,Wheelchair amputee w/ foot r,UE,,28 ,,NW,,,,,,"$1,500.75",$0.00,1,1,1,1,1,1,20091001,,E1190,HCPCS,Wheelchair amputee w/ leg re,NU,,28 ,,NW,,,,,,"$2,342.81",$0.00,1,1,1,1,1,1,20091001,,E1190,HCPCS,Wheelchair amputee w/ leg re,RR,,28 ,,NW,,,,,,$234.28,$0.00,1,1,1,1,1,1,20091001,,E1190,HCPCS,Wheelchair amputee w/ leg re,UE,,28 ,,NW,,,,,,"$1,733.68",$0.00,1,1,1,1,1,1,20091001,,E1195,HCPCS,Wheelchair amputee heavy dut,NU,,28 ,,NW,,,,,,"$2,514.21",$0.00,1,1,1,1,1,1,20091001,,E1195,HCPCS,Wheelchair amputee heavy dut,RR,,28 ,,NW,,,,,,$251.42,$0.00,1,1,1,1,1,1,20091001,,E1195,HCPCS,Wheelchair amputee heavy dut,UE,,28 ,,NW,,,,,,"$1,860.52",$0.00,1,1,1,1,1,1,20091001,,E1200,HCPCS,Wheelchair amputee fixed arm,NU,,28 ,,NW,,,,,,"$1,741.28",$0.00,1,1,1,1,1,1,20091001,,E1200,HCPCS,Wheelchair amputee fixed arm,RR,,28 ,,NW,,,,,,$174.13,$0.00,1,1,1,1,1,1,20091001,,E1200,HCPCS,Wheelchair amputee fixed arm,UE,,28 ,,NW,,,,,,"$1,288.55",$0.00,1,1,1,1,1,1,20091001,,E1220,HCPCS,Whlchr special size/constrc,,,28 ,,NW,,,,,,"$4,201.80",$0.00,1,1,1,1,1,1,20091001,,E1221,HCPCS,Wheelchair spec size w foot,NU,,28 ,,NW,,,,,,$950.69,$0.00,1,1,1,1,1,1,20091001,,E1221,HCPCS,Wheelchair spec size w foot,RR,,28 ,,NW,,,,,,$95.07,$0.00,1,1,1,1,1,1,20091001,,E1221,HCPCS,Wheelchair spec size w foot,UE,,28 ,,NW,,,,,,$703.51,$0.00,1,1,1,1,1,1,20091001,,E1222,HCPCS,Wheelchair spec size w/ leg,NU,,28 ,,NW,,,,,,"$1,356.58",$0.00,1,1,1,1,1,1,20091001,,E1222,HCPCS,Wheelchair spec size w/ leg,RR,,28 ,,NW,,,,,,$135.66,$0.00,1,1,1,1,1,1,20091001,,E1222,HCPCS,Wheelchair spec size w/ leg,UE,,28 ,,NW,,,,,,"$1,003.87",$0.00,1,1,1,1,1,1,20091001,,E1223,HCPCS,Wheelchair spec size w foot,NU,,28 ,,NW,,,,,,"$1,481.36",$0.00,1,1,1,1,1,1,20091001,,E1223,HCPCS,Wheelchair spec size w foot,RR,,28 ,,NW,,,,,,$148.14,$0.00,1,1,1,1,1,1,20091001,,E1223,HCPCS,Wheelchair spec size w foot,UE,,28 ,,NW,,,,,,"$1,096.20",$0.00,1,1,1,1,1,1,20091001,,E1224,HCPCS,Wheelchair spec size w/ leg,NU,,28 ,,NW,,,,,,"$1,624.03",$0.00,1,1,1,1,1,1,20091001,,E1224,HCPCS,Wheelchair spec size w/ leg,RR,,28 ,,NW,,,,,,$162.40,$0.00,1,1,1,1,1,1,20091001,,E1224,HCPCS,Wheelchair spec size w/ leg,UE,,28 ,,NW,,,,,,"$1,201.78",$0.00,1,1,1,1,1,1,20091001,,E1225,HCPCS,Manual semi-reclining back,NU,,28 ,,NW,,,,,,$904.54,$0.00,1,1,1,1,1,1,20091001,,E1225,HCPCS,Manual semi-reclining back,RR,,28 ,,NW,,,,,,$83.87,$0.00,1,1,1,1,1,1,20091001,,E1225,HCPCS,Manual semi-reclining back,UE,,28 ,,NW,,,,,,$669.36,$0.00,1,1,1,1,1,1,20091001,,E1226,HCPCS,Manual fully reclining back,NU,,28 ,,NW,,,,,,$602.66,$0.00,1,1,1,1,1,1,20091001,,E1226,HCPCS,Manual fully reclining back,RR,,28 ,,NW,,,,,,$87.74,$0.00,1,1,1,1,1,1,20091001,,E1226,HCPCS,Manual fully reclining back,UE,,28 ,,NW,,,,,,$445.97,$0.00,1,1,1,1,1,1,20091001,,E1227,HCPCS,Wheelchair spec sz spec ht a,NU,,28 ,,NW,,,,,,$555.34,$0.00,1,1,1,1,1,1,20091001,,E1227,HCPCS,Wheelchair spec sz spec ht a,RR,,28 ,,NW,,,,,,$55.54,$0.00,1,1,1,1,1,1,20091001,,E1227,HCPCS,Wheelchair spec sz spec ht a,UE,,28 ,,NW,,,,,,$410.95,$0.00,1,1,1,1,1,1,20091001,,E1228,HCPCS,Wheelchair spec sz spec ht b,NU,,28 ,,NW,,,,,,$749.27,$0.00,1,1,1,1,1,1,20091001,,E1228,HCPCS,Wheelchair spec sz spec ht b,RR,,28 ,,NW,,,,,,$74.75,$0.00,1,1,1,1,1,1,20091001,,E1228,HCPCS,Wheelchair spec sz spec ht b,UE,,28 ,,NW,,,,,,$554.46,$0.00,1,1,1,1,1,1,20091001,,E1230,HCPCS,Power operated vehicle,NU,,28 ,,NW,,,,,,"$2,781.86",$0.00,1,1,1,1,1,1,20091001,,E1230,HCPCS,Power operated vehicle,RR,,28 ,,NW,,,,,,$427.97,$0.00,1,1,1,1,1,1,20091001,,E1230,HCPCS,Power operated vehicle,UE,,28 ,,NW,,,,,,"$2,058.57",$0.00,1,1,1,1,1,1,20091001,,E1232,HCPCS,Folding ped wc tilt-in-space,NU,,28 ,,NW,,,,,,"$4,279.38",$0.00,1,1,1,1,1,1,20091001,,E1232,HCPCS,Folding ped wc tilt-in-space,UE,,28 ,,NW,,,,,,"$3,166.74",$0.00,1,1,1,1,1,1,20091001,,E1233,HCPCS,Rig ped wc tltnspc w/o seat,NU,,28 ,,NW,,,,,,"$4,434.11",$0.00,1,1,1,1,1,1,20091001,,E1233,HCPCS,Rig ped wc tltnspc w/o seat,UE,,28 ,,NW,,,,,,"$3,281.24",$0.00,1,1,1,1,1,1,20091001,,E1234,HCPCS,Fld ped wc tltnspc w/o seat,NU,,28 ,,NW,,,,,,"$3,860.22",$0.00,1,1,1,1,1,1,20091001,,E1234,HCPCS,Fld ped wc tltnspc w/o seat,UE,,28 ,,NW,,,,,,"$2,856.56",$0.00,1,1,1,1,1,1,20091001,,E1235,HCPCS,Rigid ped wc adjustable,NU,,28 ,,NW,,,,,,"$3,717.09",$0.00,1,1,1,1,1,1,20091001,,E1235,HCPCS,Rigid ped wc adjustable,UE,,28 ,,NW,,,,,,"$2,750.65",$0.00,1,1,1,1,1,1,20091001,,E1236,HCPCS,Folding ped wc adjustable,NU,,28 ,,NW,,,,,,"$3,279.42",$0.00,1,1,1,1,1,1,20091001,,E1236,HCPCS,Folding ped wc adjustable,UE,,28 ,,NW,,,,,,"$2,426.77",$0.00,1,1,1,1,1,1,20091001,,E1237,HCPCS,Rgd ped wc adjstabl w/o seat,NU,,28 ,,NW,,,,,,"$3,308.07",$0.00,1,1,1,1,1,1,20091001,,E1237,HCPCS,Rgd ped wc adjstabl w/o seat,UE,,28 ,,NW,,,,,,"$2,447.97",$0.00,1,1,1,1,1,1,20091001,,E1238,HCPCS,Fld ped wc adjstabl w/o seat,NU,,28 ,,NW,,,,,,"$3,449.17",$0.00,1,1,1,1,1,1,20091001,,E1238,HCPCS,Fld ped wc adjstabl w/o seat,UE,,28 ,,NW,,,,,,"$2,552.39",$0.00,1,1,1,1,1,1,20091001,,E1240,HCPCS,Whchr litwt det arm leg rest,NU,,28 ,,NW,,,,,,"$2,061.70",$0.00,1,1,1,1,1,1,20091001,,E1240,HCPCS,Whchr litwt det arm leg rest,RR,,28 ,,NW,,,,,,$198.64,$0.00,1,1,1,1,1,1,20091001,,E1240,HCPCS,Whchr litwt det arm leg rest,UE,,28 ,,NW,,,,,,"$1,525.66",$0.00,1,1,1,1,1,1,20091001,,E1250,HCPCS,Wheelchair lightwt fixed arm,NU,,28 ,,NW,,,,,,"$1,812.85",$0.00,1,1,1,1,1,1,20091001,,E1250,HCPCS,Wheelchair lightwt fixed arm,RR,,28 ,,NW,,,,,,$164.80,$0.00,1,1,1,1,1,1,20091001,,E1250,HCPCS,Wheelchair lightwt fixed arm,UE,,28 ,,NW,,,,,,"$1,341.51",$0.00,1,1,1,1,1,1,20091001,,E1260,HCPCS,Wheelchair lightwt foot rest,NU,,28 ,,NW,,,,,,"$2,118.92",$0.00,1,1,1,1,1,1,20091001,,E1260,HCPCS,Wheelchair lightwt foot rest,RR,,28 ,,NW,,,,,,$208.94,$0.00,1,1,1,1,1,1,20091001,,E1260,HCPCS,Wheelchair lightwt foot rest,UE,,28 ,,NW,,,,,,"$1,568.00",$0.00,1,1,1,1,1,1,20091001,,E1270,HCPCS,Wheelchair lightweight leg r,NU,,28 ,,NW,,,,,,"$1,579.77",$0.00,1,1,1,1,1,1,20091001,,E1270,HCPCS,Wheelchair lightweight leg r,RR,,28 ,,NW,,,,,,$157.98,$0.00,1,1,1,1,1,1,20091001,,E1270,HCPCS,Wheelchair lightweight leg r,UE,,28 ,,NW,,,,,,"$1,169.03",$0.00,1,1,1,1,1,1,20091001,,E1280,HCPCS,Whchr h-duty det arm leg res,NU,,28 ,,NW,,,,,,"$2,626.75",$0.00,1,1,1,1,1,1,20091001,,E1280,HCPCS,Whchr h-duty det arm leg res,RR,,28 ,,NW,,,,,,$262.67,$0.00,1,1,1,1,1,1,20091001,,E1280,HCPCS,Whchr h-duty det arm leg res,UE,,28 ,,NW,,,,,,"$1,943.79",$0.00,1,1,1,1,1,1,20091001,,E1285,HCPCS,Wheelchair heavy duty fixed,NU,,28 ,,NW,,,,,,"$2,731.05",$0.00,1,1,1,1,1,1,20091001,,E1285,HCPCS,Wheelchair heavy duty fixed,RR,,28 ,,NW,,,,,,$273.10,$0.00,1,1,1,1,1,1,20091001,,E1285,HCPCS,Wheelchair heavy duty fixed,UE,,28 ,,NW,,,,,,"$2,020.97",$0.00,1,1,1,1,1,1,20091001,,E1290,HCPCS,Wheelchair hvy duty detach a,NU,,28 ,,NW,,,,,,"$2,825.22",$0.00,1,1,1,1,1,1,20091001,,E1290,HCPCS,Wheelchair hvy duty detach a,RR,,28 ,,NW,,,,,,$282.52,$0.00,1,1,1,1,1,1,20091001,,E1290,HCPCS,Wheelchair hvy duty detach a,UE,,28 ,,NW,,,,,,"$2,090.66",$0.00,1,1,1,1,1,1,20091001,,E1295,HCPCS,Wheelchair heavy duty fixed,NU,,28 ,,NW,,,,,,"$2,430.87",$0.00,1,1,1,1,1,1,20091001,,E1295,HCPCS,Wheelchair heavy duty fixed,RR,,28 ,,NW,,,,,,$243.09,$0.00,1,1,1,1,1,1,20091001,,E1295,HCPCS,Wheelchair heavy duty fixed,UE,,28 ,,NW,,,,,,"$1,798.84",$0.00,1,1,1,1,1,1,20091001,,E1296,HCPCS,Wheelchair special seat heig,NU,,28 ,,NW,,,,,,$983.93,$0.00,1,1,1,1,1,1,20091001,,E1296,HCPCS,Wheelchair special seat heig,RR,,28 ,,NW,,,,,,$99.94,$0.00,1,1,1,1,1,1,20091001,,E1296,HCPCS,Wheelchair special seat heig,UE,,28 ,,NW,,,,,,$728.11,$0.00,1,1,1,1,1,1,20091001,,E1297,HCPCS,Wheelchair special seat dept,NU,,28 ,,NW,,,,,,$209.35,$0.00,1,1,1,1,1,1,20091001,,E1297,HCPCS,Wheelchair special seat dept,RR,,28 ,,NW,,,,,,$23.26,$0.00,1,1,1,1,1,1,20091001,,E1297,HCPCS,Wheelchair special seat dept,UE,,28 ,,NW,,,,,,$154.92,$0.00,1,1,1,1,1,1,20091001,,E1298,HCPCS,Wheelchair spec seat depth/w,NU,,28 ,,NW,,,,,,$847.80,$0.00,1,1,1,1,1,1,20091001,,E1298,HCPCS,Wheelchair spec seat depth/w,RR,,28 ,,NW,,,,,,$86.76,$0.00,1,1,1,1,1,1,20091001,,E1298,HCPCS,Wheelchair spec seat depth/w,UE,,28 ,,NW,,,,,,$627.37,$0.00,1,1,1,1,1,1,20091001,,E1300,HCPCS,Whirlpool portable,NU,,28 ,,NW,,,,,,$160.98,$0.00,1,1,1,1,1,1,20091001,,E1300,HCPCS,Whirlpool portable,RR,,28 ,,NW,,,,,,$16.60,$0.00,1,1,1,1,1,1,20091001,,E1300,HCPCS,Whirlpool portable,UE,,28 ,,NW,,,,,,$119.12,$0.00,1,1,1,1,1,1,20091001,,E1310,HCPCS,Whirlpool non-portable,NU,,28 ,,NW,,,,,,"$4,297.37",$0.00,1,1,1,1,1,1,20091001,,E1310,HCPCS,Whirlpool non-portable,RR,,28 ,,NW,,,,,,$367.56,$0.00,1,1,1,1,1,1,20091001,,E1310,HCPCS,Whirlpool non-portable,UE,,28 ,,NW,,,,,,"$3,180.05",$0.00,1,1,1,1,1,1,20091001,,E1340,HCPCS,"Repair for dme, per 15 min",,,28 ,,NW,,,,,,$127.27,$0.00,1,1,1,1,1,1,20091001,,E1353,HCPCS,Oxygen supplies regulator,NU,,28 ,,NW,,,,,,$176.58,$0.00,1,1,1,1,1,1,20091001,,E1353,HCPCS,Oxygen supplies regulator,RR,,28 ,,NW,,,,,,$8.78,$0.00,1,1,1,1,1,1,20091001,,E1353,HCPCS,Oxygen supplies regulator,UE,,28 ,,NW,,,,,,$130.67,$0.00,1,1,1,1,1,1,20091001,,E1353,HCPCS,Oxygen supplies regulator,,,28 ,,NW,,,,,,$78.46,$0.00,1,1,1,0,1,1,20091001,,E1355,HCPCS,Oxygen supplies stand/rack,NU,,28 ,,NW,,,,,,$120.07,$0.00,1,1,1,1,1,1,20091001,,E1355,HCPCS,Oxygen supplies stand/rack,RR,,28 ,,NW,,,,,,$13.63,$0.00,1,1,1,1,1,1,20091001,,E1355,HCPCS,Oxygen supplies stand/rack,UE,,28 ,,NW,,,,,,$88.85,$0.00,1,1,1,1,1,1,20091001,,E1355,HCPCS,Oxygen supplies stand/rack,,,28 ,,NW,,,,,,$37.77,$0.00,1,1,1,0,1,1,20091001,,E1372,HCPCS,Oxy suppl heater for nebuliz,NU,,28 ,,NW,,,,,,$326.27,$0.00,1,1,1,1,1,1,20091001,,E1372,HCPCS,Oxy suppl heater for nebuliz,RR,,28 ,,NW,,,,,,$47.42,$0.00,1,1,1,1,1,1,20091001,,E1372,HCPCS,Oxy suppl heater for nebuliz,UE,,28 ,,NW,,,,,,$241.44,$0.00,1,1,1,1,1,1,20091001,,E1390,HCPCS,Oxygen concentrator,NU,,28 ,,NW,,,,,,"$1,398.14",$0.00,1,1,1,1,1,1,20091001,,E1390,HCPCS,Oxygen concentrator,RR,,28 ,,NW,,,,,,$468.05,$0.00,1,1,1,1,1,1,20091001,,E1391,HCPCS,"Oxygen concentrator, dual",,,28 ,,NW,,,,,,$633.64,$0.00,1,1,1,1,1,1,20091001,,E1392,HCPCS,Portable oxygen concentrator,RR,,28 ,,NW,,,,,,$65.90,$0.00,1,1,1,0,1,1,20091001,,E1399,HCPCS,Durable medical equipment mi,,,28 ,,NW,,,,,,$549.01,$0.00,1,1,1,1,1,1,20091001,,E1405,HCPCS,O2/water vapor enrich w/heat,NU,,28 ,,NW,,,,,,"$6,368.31",$0.00,1,1,1,1,1,1,20091001,,E1405,HCPCS,O2/water vapor enrich w/heat,RR,,28 ,,NW,,,,,,$528.06,$0.00,1,1,1,1,1,1,20091001,,E1405,HCPCS,O2/water vapor enrich w/heat,UE,,28 ,,NW,,,,,,"$4,712.55",$0.00,1,1,1,1,1,1,20091001,,E1406,HCPCS,O2/water vapor enrich w/o he,NU,,28 ,,NW,,,,,,"$2,684.96",$0.00,1,1,1,1,1,1,20091001,,E1406,HCPCS,O2/water vapor enrich w/o he,RR,,28 ,,NW,,,,,,$495.78,$0.00,1,1,1,1,1,1,20091001,,E1406,HCPCS,O2/water vapor enrich w/o he,UE,,28 ,,NW,,,,,,"$1,986.87",$0.00,1,1,1,1,1,1,20091001,,E1510,HCPCS,Kidney dialysate delivry sys,NU,,28 ,,NW,,,,,,"$8,231.79",$0.00,1,1,1,1,1,1,20091001,,E1510,HCPCS,Kidney dialysate delivry sys,RR,,28 ,,NW,,,,,,$848.79,$0.00,1,1,1,1,1,1,20091001,,E1510,HCPCS,Kidney dialysate delivry sys,UE,,28 ,,NW,,,,,,"$6,091.52",$0.00,1,1,1,1,1,1,20091001,,E1520,HCPCS,Heparin infusion pump,NU,,28 ,,NW,,,,,,"$1,115.08",$0.00,1,1,1,1,1,1,20091001,,E1520,HCPCS,Heparin infusion pump,RR,,28 ,,NW,,,,,,$114.97,$0.00,1,1,1,1,1,1,20091001,,E1520,HCPCS,Heparin infusion pump,UE,,28 ,,NW,,,,,,$825.16,$0.00,1,1,1,1,1,1,20091001,,E1530,HCPCS,Replacement air bubble detec,NU,,28 ,,NW,,,,,,"$1,613.32",$0.00,1,1,1,1,1,1,20091001,,E1530,HCPCS,Replacement air bubble detec,RR,,28 ,,NW,,,,,,$166.36,$0.00,1,1,1,1,1,1,20091001,,E1530,HCPCS,Replacement air bubble detec,UE,,28 ,,NW,,,,,,"$1,193.86",$0.00,1,1,1,1,1,1,20091001,,E1540,HCPCS,Replacement pressure alarm,NU,,28 ,,NW,,,,,,$999.59,$0.00,1,1,1,1,1,1,20091001,,E1540,HCPCS,Replacement pressure alarm,RR,,28 ,,NW,,,,,,$103.07,$0.00,1,1,1,1,1,1,20091001,,E1540,HCPCS,Replacement pressure alarm,UE,,28 ,,NW,,,,,,$739.70,$0.00,1,1,1,1,1,1,20091001,,E1550,HCPCS,Bath conductivity meter,NU,,28 ,,NW,,,,,,$651.31,$0.00,1,1,1,1,1,1,20091001,,E1550,HCPCS,Bath conductivity meter,RR,,28 ,,NW,,,,,,$67.15,$0.00,1,1,1,1,1,1,20091001,,E1550,HCPCS,Bath conductivity meter,UE,,28 ,,NW,,,,,,$481.97,$0.00,1,1,1,1,1,1,20091001,,E1560,HCPCS,Replace blood leak detector,NU,,28 ,,NW,,,,,,"$1,835.13",$0.00,1,1,1,1,1,1,20091001,,E1560,HCPCS,Replace blood leak detector,RR,,28 ,,NW,,,,,,$189.22,$0.00,1,1,1,1,1,1,20091001,,E1560,HCPCS,Replace blood leak detector,UE,,28 ,,NW,,,,,,"$1,358.00",$0.00,1,1,1,1,1,1,20091001,,E1570,HCPCS,Adjustable chair for esrd pt,NU,,28 ,,NW,,,,,,$723.68,$0.00,1,1,1,1,1,1,20091001,,E1570,HCPCS,Adjustable chair for esrd pt,RR,,28 ,,NW,,,,,,$74.63,$0.00,1,1,1,1,1,1,20091001,,E1570,HCPCS,Adjustable chair for esrd pt,UE,,28 ,,NW,,,,,,$535.53,$0.00,1,1,1,1,1,1,20091001,,E1575,HCPCS,Transducer protect/fld bar,NU,,28 ,,NW,,,,,,$96.26,$0.00,1,1,1,1,1,1,20091001,,E1575,HCPCS,Transducer protect/fld bar,RR,,28 ,,NW,,,,,,$9.93,$0.00,1,1,1,1,1,1,20091001,,E1575,HCPCS,Transducer protect/fld bar,UE,,28 ,,NW,,,,,,$71.23,$0.00,1,1,1,1,1,1,20091001,,E1590,HCPCS,Hemodialysis machine,NU,,28 ,,NW,,,,,,"$1,804.56",$0.00,1,1,1,1,1,1,20091001,,E1590,HCPCS,Hemodialysis machine,RR,,28 ,,NW,,,,,,$186.07,$0.00,1,1,1,1,1,1,20091001,,E1590,HCPCS,Hemodialysis machine,UE,,28 ,,NW,,,,,,"$1,335.37",$0.00,1,1,1,1,1,1,20091001,,E1594,HCPCS,Cycler dialysis machine,NU,,28 ,,NW,,,,,,"$8,283.52",$0.00,1,1,1,1,1,1,20091001,,E1594,HCPCS,Cycler dialysis machine,RR,,28 ,,NW,,,,,,$854.13,$0.00,1,1,1,1,1,1,20091001,,E1594,HCPCS,Cycler dialysis machine,UE,,28 ,,NW,,,,,,"$6,129.80",$0.00,1,1,1,1,1,1,20091001,,E1600,HCPCS,Deli/install chrg hemo equip,,,28 ,,NW,,,,,,$266.20,$0.00,1,1,1,0,1,1,20091001,,E1610,HCPCS,Reverse osmosis h2o puri sys,NU,,28 ,,NW,,,,,,"$6,332.14",$0.00,1,1,1,1,1,1,20091001,,E1610,HCPCS,Reverse osmosis h2o puri sys,RR,,28 ,,NW,,,,,,$652.93,$0.00,1,1,1,1,1,1,20091001,,E1610,HCPCS,Reverse osmosis h2o puri sys,UE,,28 ,,NW,,,,,,"$4,685.79",$0.00,1,1,1,1,1,1,20091001,,E1635,HCPCS,Compact travel hemodialyzer,,,28 ,,NW,,,,,,$768.69,$0.00,1,1,1,0,1,1,20091001,,E1636,HCPCS,Sorbent cartridges per 10,,,28 ,,NW,,,,,,$284.09,$0.00,1,1,1,0,1,1,20091001,,E1637,HCPCS,"Hemostats for dialysis, each",,,28 ,,NW,,,,,,$9.74,$0.00,1,1,1,1,1,1,20091001,,E1639,HCPCS,Dialysis scale,,,28 ,,NW,,,,,,$183.54,$0.00,1,1,1,1,1,1,20091001,,E1699,HCPCS,Dialysis equipment noc,,,28 ,,NW,,,,,,$99.94,$0.00,1,1,1,1,1,1,20091001,,E1700,HCPCS,Jaw motion rehab system,NU,,28 ,,NW,,,,,,$431.44,$0.00,1,1,1,1,1,1,20091001,,E1701,HCPCS,Repl cushions for jaw motion,,,28 ,,NW,,,,,,$21.24,$0.00,1,1,1,1,1,1,20091001,,E1702,HCPCS,Repl measr scales jaw motion,,,28 ,,NW,,,,,,$45.16,$0.00,1,1,1,1,1,1,20091001,,E1800,HCPCS,Adjust elbow ext/flex device,RR,,28 ,,NW,,,,,,$394.50,$0.00,1,1,1,1,1,1,20091001,,E1801,HCPCS,Sps elbow device,RR,,28 ,,NW,,,,,,$258.15,$0.00,1,1,1,1,1,1,20091001,,E1802,HCPCS,Adjst forearm pro/sup device,,,28 ,,NW,,,,,,$699.93,$0.00,1,1,1,1,1,1,20091001,,E1805,HCPCS,Adjust wrist ext/flex device,RR,,28 ,,NW,,,,,,$403.76,$0.00,1,1,1,1,1,1,20091001,,E1806,HCPCS,Sps wrist device,RR,,28 ,,NW,,,,,,$211.94,$0.00,1,1,1,1,1,1,20091001,,E1810,HCPCS,Adjust knee ext/flex device,RR,,28 ,,NW,,,,,,$336.38,$0.00,1,1,1,1,1,1,20091001,,E1811,HCPCS,Sps knee device,RR,,28 ,,NW,,,,,,$268.40,$0.00,1,1,1,1,1,1,20091001,,E1815,HCPCS,Adjust ankle ext/flex device,RR,,28 ,,NW,,,,,,$402.19,$0.00,1,1,1,1,1,1,20091001,,E1816,HCPCS,Sps ankle device,RR,,28 ,,NW,,,,,,$272.63,$0.00,1,1,1,1,1,1,20091001,,E1818,HCPCS,Sps forearm device,RR,,28 ,,NW,,,,,,$278.35,$0.00,1,1,1,1,1,1,20091001,,E1820,HCPCS,Soft interface material,NU,,28 ,,NW,,,,,,$162.79,$0.00,1,1,1,1,1,1,20091001,,E1820,HCPCS,Soft interface material,RR,,28 ,,NW,,,,,,$16.34,$0.00,1,1,1,1,1,1,20091001,,E1820,HCPCS,Soft interface material,UE,,28 ,,NW,,,,,,$120.46,$0.00,1,1,1,1,1,1,20091001,,E1821,HCPCS,Replacement interface spsd,NU,,28 ,,NW,,,,,,$210.62,$0.00,1,1,1,1,1,1,20091001,,E1821,HCPCS,Replacement interface spsd,RR,,28 ,,NW,,,,,,$21.02,$0.00,1,1,1,1,1,1,20091001,,E1821,HCPCS,Replacement interface spsd,UE,,28 ,,NW,,,,,,$155.86,$0.00,1,1,1,1,1,1,20091001,,E1825,HCPCS,Adjust finger ext/flex devc,RR,,28 ,,NW,,,,,,$411.16,$0.00,1,1,1,1,1,1,20091001,,E1830,HCPCS,Adjust toe ext/flex device,RR,,28 ,,NW,,,,,,$410.61,$0.00,1,1,1,1,1,1,20091001,,E1840,HCPCS,Adj shoulder ext/flex device,RR,,28 ,,NW,,,,,,$765.87,$0.00,1,1,1,1,1,1,20091001,,E1841,HCPCS,Static str shldr dev rom adj,RR,,28 ,,NW,,,,,,$931.08,$0.00,1,1,1,1,1,1,20091001,,E1841,HCPCS,Static str shldr dev rom adj,,,28 ,,NW,,,,,,$553.71,$0.00,1,1,1,0,1,1,20091001,,E1902,HCPCS,Aac non-electronic board,,,28 ,,NW,,,,,,$497.19,$0.00,1,1,1,0,1,1,20091001,,E2000,HCPCS,Gastric suction pump hme mdl,RR,,28 ,,NW,,,,,,$103.73,$0.00,1,1,1,1,1,1,20091001,,E2100,HCPCS,Bld glucose monitor w voice,,,28 ,,NW,,,,,,"$1,038.89",$0.00,1,1,1,1,1,1,20091001,,E2101,HCPCS,Bld glucose monitor w lance,,,28 ,,NW,,,,,,$296.09,$0.00,1,1,1,1,1,1,20091001,,E2120,HCPCS,Pulse gen sys tx endolymp fl,,,28 ,,NW,,,,,,$346.55,$0.00,1,1,1,0,1,1,20091001,,E2201,HCPCS,"Man w/ch acc seat w>=20""<24""",,,28 ,,NW,,,,,,$45.61,$0.00,1,1,1,0,1,1,20091001,,E2202,HCPCS,Seat width 24-27 in,,,28 ,,NW,,,,,,$57.93,$0.00,1,1,1,0,1,1,20091001,,E2203,HCPCS,Frame depth less than 22 in,,,28 ,,NW,,,,,,$103.57,$0.00,1,1,1,0,1,1,20091001,,E2204,HCPCS,Frame depth 22 to 25 in,,,28 ,,NW,,,,,,$99.44,$0.00,1,1,1,0,1,1,20091001,,E2205,HCPCS,"Manual wc accessory, handrim",NU,,28 ,,NW,,,,,,$109.98,$0.00,1,1,1,1,1,1,20091001,,E2205,HCPCS,"Manual wc accessory, handrim",RR,,28 ,,NW,,,,,,$52.31,$0.00,1,1,1,1,1,1,20091001,,E2205,HCPCS,"Manual wc accessory, handrim",UE,,28 ,,NW,,,,,,$81.39,$0.00,1,1,1,1,1,1,20091001,,E2205,HCPCS,"Manual wc accessory, handrim",,,28 ,,NW,,,,,,$3.98,$0.00,1,1,1,0,1,1,20091001,,E2206,HCPCS,Complete wheel lock assembly,NU,,28 ,,NW,,,,,,$301.93,$0.00,1,1,1,1,1,1,20091001,,E2206,HCPCS,Complete wheel lock assembly,RR,,28 ,,NW,,,,,,$43.44,$0.00,1,1,1,1,1,1,20091001,,E2206,HCPCS,Complete wheel lock assembly,UE,,28 ,,NW,,,,,,$223.43,$0.00,1,1,1,1,1,1,20091001,,E2206,HCPCS,Complete wheel lock assembly,,,28 ,,NW,,,,,,$4.97,$0.00,1,1,1,0,1,1,20091001,,E2207,HCPCS,Crutch and cane holder,NU,,28 ,,NW,,,,,,$102.06,$0.00,1,1,1,0,1,1,20091001,,E2208,HCPCS,Cylinder tank carrier,NU,,28 ,,NW,,,,,,$255.89,$0.00,1,1,1,0,1,1,20091001,,E2208,HCPCS,Cylinder tank carrier,RR,,28 ,,NW,,,,,,$25.76,$0.00,1,1,1,0,1,1,20091001,,E2208,HCPCS,Cylinder tank carrier,UE,,28 ,,NW,,,,,,$189.36,$0.00,1,1,1,0,1,1,20091001,,E2209,HCPCS,Arm trough each,NU,,28 ,,NW,,,,,,$252.29,$0.00,1,1,1,0,1,1,20091001,,E2209,HCPCS,Arm trough each,RR,,28 ,,NW,,,,,,$25.29,$0.00,1,1,1,0,1,1,20091001,,E2210,HCPCS,Wheelchair bearings,NU,,28 ,,NW,,,,,,$14.53,$0.00,1,1,1,0,1,1,20091001,,E2211,HCPCS,Pneumatic propulsion tire,NU,,28 ,,NW,,,,,,$89.56,$0.00,1,1,1,0,1,1,20091001,,E2211,HCPCS,Pneumatic propulsion tire,RR,,28 ,,NW,,,,,,$9.44,$0.00,1,1,1,0,1,1,20091001,,E2212,HCPCS,Pneumatic prop tire tube,NU,,28 ,,NW,,,,,,$13.84,$0.00,1,1,1,0,1,1,20091001,,E2213,HCPCS,Pneumatic prop tire insert,NU,,28 ,,NW,,,,,,$68.10,$0.00,1,1,1,0,1,1,20091001,,E2213,HCPCS,Pneumatic prop tire insert,RR,,28 ,,NW,,,,,,$7.18,$0.00,1,1,1,0,1,1,20091001,,E2214,HCPCS,Pneumatic caster tire each,NU,,28 ,,NW,,,,,,$84.76,$0.00,1,1,1,0,1,1,20091001,,E2214,HCPCS,Pneumatic caster tire each,RR,,28 ,,NW,,,,,,$9.32,$0.00,1,1,1,0,1,1,20091001,,E2215,HCPCS,Pneumatic caster tire tube,NU,,28 ,,NW,,,,,,$22.60,$0.00,1,1,1,0,1,1,20091001,,E2219,HCPCS,Foam caster tire any size ea,NU,,28 ,,NW,,,,,,$98.53,$0.00,1,1,1,0,1,1,20091001,,E2220,HCPCS,Solid propulsion tire each,NU,,28 ,,NW,,,,,,$67.15,$0.00,1,1,1,0,1,1,20091001,,E2221,HCPCS,Solid caster tire each,NU,,28 ,,NW,,,,,,$60.15,$0.00,1,1,1,0,1,1,20091001,,E2221,HCPCS,Solid caster tire each,RR,,28 ,,NW,,,,,,$6.07,$0.00,1,1,1,0,1,1,20091001,,E2224,HCPCS,Propulsion whl excludes tire,NU,,28 ,,NW,,,,,,$230.87,$0.00,1,1,1,0,1,1,20091001,,E2300,HCPCS,Pwr seat elevation sys,,,28 ,,NW,,,,,,"$13,082.65",$0.00,1,1,1,0,1,1,20091001,,E2310,HCPCS,Electro connect btw control,NU,,28 ,,NW,,,,,,"$2,341.87",$0.00,1,1,1,0,1,1,20091001,,E2310,HCPCS,Electro connect btw control,RR,,28 ,,NW,,,,,,$234.19,$0.00,1,1,1,0,1,1,20091001,,E2310,HCPCS,Electro connect btw control,UE,,28 ,,NW,,,,,,"$1,732.99",$0.00,1,1,1,0,1,1,20091001,,E2311,HCPCS,Electro connect btw 2 sys,NU,,28 ,,NW,,,,,,"$4,037.94",$0.00,1,1,1,0,1,1,20091001,,E2311,HCPCS,Electro connect btw 2 sys,RR,,28 ,,NW,,,,,,$474.14,$0.00,1,1,1,0,1,1,20091001,,E2311,HCPCS,Electro connect btw 2 sys,UE,,28 ,,NW,,,,,,"$2,988.07",$0.00,1,1,1,0,1,1,20091001,,E2321,HCPCS,Hand interface joystick,,,28 ,,NW,,,,,,$494.10,$0.00,1,1,1,0,1,1,20091001,,E2322,HCPCS,Mult mech switches,,,28 ,,NW,,,,,,$224.58,$0.00,1,1,1,0,1,1,20091001,,E2323,HCPCS,Special joystick handle,NU,,28 ,,NW,,,,,,$129.35,$0.00,1,1,1,0,1,1,20091001,,E2323,HCPCS,Special joystick handle,RR,,28 ,,NW,,,,,,$12.95,$0.00,1,1,1,0,1,1,20091001,,E2323,HCPCS,Special joystick handle,UE,,28 ,,NW,,,,,,$95.72,$0.00,1,1,1,0,1,1,20091001,,E2324,HCPCS,Chin cup interface,NU,,28 ,,NW,,,,,,$89.04,$0.00,1,1,1,0,1,1,20091001,,E2324,HCPCS,Chin cup interface,RR,,28 ,,NW,,,,,,$8.90,$0.00,1,1,1,0,1,1,20091001,,E2324,HCPCS,Chin cup interface,UE,,28 ,,NW,,,,,,$65.89,$0.00,1,1,1,0,1,1,20091001,,E2325,HCPCS,Sip and puff interface,NU,,28 ,,NW,,,,,,"$2,695.28",$0.00,1,1,1,0,1,1,20091001,,E2325,HCPCS,Sip and puff interface,RR,,28 ,,NW,,,,,,$269.57,$0.00,1,1,1,0,1,1,20091001,,E2325,HCPCS,Sip and puff interface,UE,,28 ,,NW,,,,,,"$1,994.51",$0.00,1,1,1,0,1,1,20091001,,E2326,HCPCS,Breath tube kit,NU,,28 ,,NW,,,,,,$639.58,$0.00,1,1,1,0,1,1,20091001,,E2326,HCPCS,Breath tube kit,RR,,28 ,,NW,,,,,,$63.97,$0.00,1,1,1,0,1,1,20091001,,E2326,HCPCS,Breath tube kit,UE,,28 ,,NW,,,,,,$473.29,$0.00,1,1,1,0,1,1,20091001,,E2327,HCPCS,Head control interface mech,,,28 ,,NW,,,,,,$319.32,$0.00,1,1,1,0,1,1,20091001,,E2328,HCPCS,Head/extremity control inter,NU,,28 ,,NW,,,,,,"$7,759.28",$0.00,1,1,1,0,1,1,20091001,,E2328,HCPCS,Head/extremity control inter,RR,,28 ,,NW,,,,,,$775.95,$0.00,1,1,1,0,1,1,20091001,,E2328,HCPCS,Head/extremity control inter,UE,,28 ,,NW,,,,,,"$5,741.87",$0.00,1,1,1,0,1,1,20091001,,E2329,HCPCS,Head control nonproportional,NU,,28 ,,NW,,,,,,"$3,462.68",$0.00,1,1,1,0,1,1,20091001,,E2329,HCPCS,Head control nonproportional,RR,,28 ,,NW,,,,,,$346.28,$0.00,1,1,1,0,1,1,20091001,,E2329,HCPCS,Head control nonproportional,UE,,28 ,,NW,,,,,,"$2,562.39",$0.00,1,1,1,0,1,1,20091001,,E2330,HCPCS,Head control proximity switc,NU,,28 ,,NW,,,,,,"$6,670.53",$0.00,1,1,1,0,1,1,20091001,,E2330,HCPCS,Head control proximity switc,RR,,28 ,,NW,,,,,,$667.03,$0.00,1,1,1,0,1,1,20091001,,E2330,HCPCS,Head control proximity switc,UE,,28 ,,NW,,,,,,"$4,936.19",$0.00,1,1,1,0,1,1,20091001,,E2331,HCPCS,Attendant control,,,28 ,,NW,,,,,,$16.38,$0.00,1,1,1,0,1,1,20091001,,E2340,HCPCS,W/c wdth 20-23 in seat frame,NU,,28 ,,NW,,,,,,$628.82,$0.00,1,1,1,0,1,1,20091001,,E2340,HCPCS,W/c wdth 20-23 in seat frame,RR,,28 ,,NW,,,,,,$62.88,$0.00,1,1,1,0,1,1,20091001,,E2340,HCPCS,W/c wdth 20-23 in seat frame,UE,,28 ,,NW,,,,,,$465.33,$0.00,1,1,1,0,1,1,20091001,,E2341,HCPCS,W/c wdth 24-27 in seat frame,NU,,28 ,,NW,,,,,,$926.48,$0.00,1,1,1,0,1,1,20091001,,E2341,HCPCS,W/c wdth 24-27 in seat frame,RR,,28 ,,NW,,,,,,$92.67,$0.00,1,1,1,0,1,1,20091001,,E2341,HCPCS,W/c wdth 24-27 in seat frame,UE,,28 ,,NW,,,,,,$685.60,$0.00,1,1,1,0,1,1,20091001,,E2342,HCPCS,W/c dpth 20-21 in seat frame,NU,,28 ,,NW,,,,,,$896.61,$0.00,1,1,1,0,1,1,20091001,,E2342,HCPCS,W/c dpth 20-21 in seat frame,RR,,28 ,,NW,,,,,,$89.65,$0.00,1,1,1,0,1,1,20091001,,E2342,HCPCS,W/c dpth 20-21 in seat frame,UE,,28 ,,NW,,,,,,$663.49,$0.00,1,1,1,0,1,1,20091001,,E2343,HCPCS,W/c dpth 22-25 in seat frame,NU,,28 ,,NW,,,,,,$518.85,$0.00,1,1,1,0,1,1,20091001,,E2343,HCPCS,W/c dpth 22-25 in seat frame,RR,,28 ,,NW,,,,,,$51.89,$0.00,1,1,1,0,1,1,20091001,,E2343,HCPCS,W/c dpth 22-25 in seat frame,UE,,28 ,,NW,,,,,,$383.95,$0.00,1,1,1,0,1,1,20091001,,E2351,HCPCS,Electronic sgd interface,NU,,28 ,,NW,,,,,,"$1,398.11",$0.00,1,1,1,0,1,1,20091001,,E2351,HCPCS,Electronic sgd interface,RR,,28 ,,NW,,,,,,$139.85,$0.00,1,1,1,0,1,1,20091001,,E2351,HCPCS,Electronic sgd interface,UE,,28 ,,NW,,,,,,"$1,034.60",$0.00,1,1,1,0,1,1,20091001,,E2360,HCPCS,22nf nonsealed leadacid,,,28 ,,NW,,,,,,$186.57,$0.00,1,1,1,1,1,1,20091001,,E2361,HCPCS,22nf sealed leadacid battery,,,28 ,,NW,,,,,,$289.39,$0.00,1,1,1,1,1,1,20091001,,E2362,HCPCS,Gr24 nonsealed leadacid,,,28 ,,NW,,,,,,$152.87,$0.00,1,1,1,1,1,1,20091001,,E2363,HCPCS,Gr24 sealed leadacid battery,,,28 ,,NW,,,,,,$308.45,$0.00,1,1,1,1,1,1,20091001,,E2364,HCPCS,U1nonsealed leadacid battery,,,28 ,,NW,,,,,,$186.57,$0.00,1,1,1,1,1,1,20091001,,E2365,HCPCS,U1 sealed leadacid battery,,,28 ,,NW,,,,,,$186.29,$0.00,1,1,1,1,1,1,20091001,,E2366,HCPCS,"Battery charger, single mode",,,28 ,,NW,,,,,,$436.91,$0.00,1,1,1,1,1,1,20091001,,E2367,HCPCS,"Battery charger, dual mode",,,28 ,,NW,,,,,,$694.13,$0.00,1,1,1,1,1,1,20091001,,E2368,HCPCS,Power wc motor replacement,NU,,28 ,,NW,,,,,,$927.63,$0.00,1,1,1,1,1,1,20091001,,E2368,HCPCS,Power wc motor replacement,RR,,28 ,,NW,,,,,,$78.84,$0.00,1,1,1,1,1,1,20091001,,E2368,HCPCS,Power wc motor replacement,UE,,28 ,,NW,,,,,,$686.45,$0.00,1,1,1,1,1,1,20091001,,E2368,HCPCS,Power wc motor replacement,,,28 ,,NW,,,,,,$63.15,$0.00,1,1,1,0,1,1,20091001,,E2369,HCPCS,Pwr wc gear box replacement,NU,,28 ,,NW,,,,,,$713.81,$0.00,1,1,1,1,1,1,20091001,,E2369,HCPCS,Pwr wc gear box replacement,RR,,28 ,,NW,,,,,,$68.67,$0.00,1,1,1,1,1,1,20091001,,E2369,HCPCS,Pwr wc gear box replacement,UE,,28 ,,NW,,,,,,$528.22,$0.00,1,1,1,1,1,1,20091001,,E2369,HCPCS,Pwr wc gear box replacement,,,28 ,,NW,,,,,,$55.01,$0.00,1,1,1,0,1,1,20091001,,E2370,HCPCS,Pwr wc motor/gear box combo,NU,,28 ,,NW,,,,,,"$1,352.55",$0.00,1,1,1,1,1,1,20091001,,E2370,HCPCS,Pwr wc motor/gear box combo,RR,,28 ,,NW,,,,,,$122.52,$0.00,1,1,1,1,1,1,20091001,,E2370,HCPCS,Pwr wc motor/gear box combo,UE,,28 ,,NW,,,,,,"$1,000.88",$0.00,1,1,1,1,1,1,20091001,,E2370,HCPCS,Pwr wc motor/gear box combo,,,28 ,,NW,,,,,,$98.15,$0.00,1,1,1,0,1,1,20091001,,E2373,HCPCS,Hand/chin ctrl spec joystick,NU,,28 ,,NW,,,,,,"$1,920.17",$0.00,1,1,1,1,1,1,20091001,,E2373,HCPCS,Hand/chin ctrl spec joystick,RR,,28 ,,NW,,,,,,$192.01,$0.00,1,1,1,1,1,1,20091001,,E2373,HCPCS,Hand/chin ctrl spec joystick,UE,,28 ,,NW,,,,,,"$1,420.92",$0.00,1,1,1,1,1,1,20091001,,E2374,HCPCS,Hand/chin ctrl std joystick,NU,,28 ,,NW,,,,,,$814.88,$0.00,1,1,1,1,1,1,20091001,,E2374,HCPCS,Hand/chin ctrl std joystick,RR,,28 ,,NW,,,,,,$81.49,$0.00,1,1,1,1,1,1,20091001,,E2374,HCPCS,Hand/chin ctrl std joystick,UE,,28 ,,NW,,,,,,$603.01,$0.00,1,1,1,1,1,1,20091001,,E2375,HCPCS,Non-expandable controller,NU,,28 ,,NW,,,,,,"$1,307.06",$0.00,1,1,1,1,1,1,20091001,,E2375,HCPCS,Non-expandable controller,RR,,28 ,,NW,,,,,,$130.70,$0.00,1,1,1,1,1,1,20091001,,E2375,HCPCS,Non-expandable controller,UE,,28 ,,NW,,,,,,$967.23,$0.00,1,1,1,1,1,1,20091001,,E2376,HCPCS,"Expandable controller, repl",NU,,28 ,,NW,,,,,,"$2,048.23",$0.00,1,1,1,1,1,1,20091001,,E2376,HCPCS,"Expandable controller, repl",RR,,28 ,,NW,,,,,,$204.82,$0.00,1,1,1,1,1,1,20091001,,E2376,HCPCS,"Expandable controller, repl",UE,,28 ,,NW,,,,,,"$1,515.69",$0.00,1,1,1,1,1,1,20091001,,E2377,HCPCS,"Expandable controller, initl",NU,,28 ,,NW,,,,,,$741.16,$0.00,1,1,1,1,1,1,20091001,,E2377,HCPCS,"Expandable controller, initl",RR,,28 ,,NW,,,,,,$74.10,$0.00,1,1,1,1,1,1,20091001,,E2377,HCPCS,"Expandable controller, initl",UE,,28 ,,NW,,,,,,$548.46,$0.00,1,1,1,1,1,1,20091001,,E2381,HCPCS,Pneum drive wheel tire,NU,,28 ,,NW,,,,,,$116.25,$0.00,1,1,1,1,1,1,20091001,,E2381,HCPCS,Pneum drive wheel tire,RR,,28 ,,NW,,,,,,$11.65,$0.00,1,1,1,1,1,1,20091001,,E2381,HCPCS,Pneum drive wheel tire,UE,,28 ,,NW,,,,,,$86.02,$0.00,1,1,1,1,1,1,20091001,,E2382,HCPCS,"Tube, pneum wheel drive tire",NU,,28 ,,NW,,,,,,$31.70,$0.00,1,1,1,1,1,1,20091001,,E2382,HCPCS,"Tube, pneum wheel drive tire",RR,,28 ,,NW,,,,,,$3.15,$0.00,1,1,1,1,1,1,20091001,,E2382,HCPCS,"Tube, pneum wheel drive tire",UE,,28 ,,NW,,,,,,$23.46,$0.00,1,1,1,1,1,1,20091001,,E2383,HCPCS,"Insert, pneum wheel drive",NU,,28 ,,NW,,,,,,$231.76,$0.00,1,1,1,1,1,1,20091001,,E2383,HCPCS,"Insert, pneum wheel drive",RR,,28 ,,NW,,,,,,$23.17,$0.00,1,1,1,1,1,1,20091001,,E2383,HCPCS,"Insert, pneum wheel drive",UE,,28 ,,NW,,,,,,$171.50,$0.00,1,1,1,1,1,1,20091001,,E2384,HCPCS,Pneumatic caster tire,NU,,28 ,,NW,,,,,,$123.47,$0.00,1,1,1,1,1,1,20091001,,E2384,HCPCS,Pneumatic caster tire,RR,,28 ,,NW,,,,,,$12.37,$0.00,1,1,1,1,1,1,20091001,,E2384,HCPCS,Pneumatic caster tire,UE,,28 ,,NW,,,,,,$91.37,$0.00,1,1,1,1,1,1,20091001,,E2385,HCPCS,"Tube, pneumatic caster tire",NU,,28 ,,NW,,,,,,$75.53,$0.00,1,1,1,1,1,1,20091001,,E2385,HCPCS,"Tube, pneumatic caster tire",RR,,28 ,,NW,,,,,,$7.57,$0.00,1,1,1,1,1,1,20091001,,E2385,HCPCS,"Tube, pneumatic caster tire",UE,,28 ,,NW,,,,,,$55.90,$0.00,1,1,1,1,1,1,20091001,,E2386,HCPCS,Foam filled drive wheel tire,NU,,28 ,,NW,,,,,,$229.66,$0.00,1,1,1,1,1,1,20091001,,E2386,HCPCS,Foam filled drive wheel tire,RR,,28 ,,NW,,,,,,$22.97,$0.00,1,1,1,1,1,1,20091001,,E2386,HCPCS,Foam filled drive wheel tire,UE,,28 ,,NW,,,,,,$169.95,$0.00,1,1,1,1,1,1,20091001,,E2387,HCPCS,Foam filled caster tire,NU,,28 ,,NW,,,,,,$102.98,$0.00,1,1,1,1,1,1,20091001,,E2387,HCPCS,Foam filled caster tire,RR,,28 ,,NW,,,,,,$10.31,$0.00,1,1,1,1,1,1,20091001,,E2387,HCPCS,Foam filled caster tire,UE,,28 ,,NW,,,,,,$76.21,$0.00,1,1,1,1,1,1,20091001,,E2388,HCPCS,Foam drive wheel tire,NU,,28 ,,NW,,,,,,$76.89,$0.00,1,1,1,1,1,1,20091001,,E2388,HCPCS,Foam drive wheel tire,RR,,28 ,,NW,,,,,,$7.69,$0.00,1,1,1,1,1,1,20091001,,E2388,HCPCS,Foam drive wheel tire,UE,,28 ,,NW,,,,,,$56.90,$0.00,1,1,1,1,1,1,20091001,,E2389,HCPCS,Foam caster tire,NU,,28 ,,NW,,,,,,$41.75,$0.00,1,1,1,1,1,1,20091001,,E2389,HCPCS,Foam caster tire,RR,,28 ,,NW,,,,,,$4.18,$0.00,1,1,1,1,1,1,20091001,,E2389,HCPCS,Foam caster tire,UE,,28 ,,NW,,,,,,$30.89,$0.00,1,1,1,1,1,1,20091001,,E2390,HCPCS,Solid drive wheel tire,NU,,28 ,,NW,,,,,,$65.30,$0.00,1,1,1,1,1,1,20091001,,E2390,HCPCS,Solid drive wheel tire,RR,,28 ,,NW,,,,,,$6.53,$0.00,1,1,1,1,1,1,20091001,,E2390,HCPCS,Solid drive wheel tire,UE,,28 ,,NW,,,,,,$48.32,$0.00,1,1,1,1,1,1,20091001,,E2391,HCPCS,Solid caster tire,NU,,28 ,,NW,,,,,,$31.28,$0.00,1,1,1,1,1,1,20091001,,E2391,HCPCS,Solid caster tire,RR,,28 ,,NW,,,,,,$3.12,$0.00,1,1,1,1,1,1,20091001,,E2391,HCPCS,Solid caster tire,UE,,28 ,,NW,,,,,,$23.15,$0.00,1,1,1,1,1,1,20091001,,E2392,HCPCS,"Solid caster tire, integrate",NU,,28 ,,NW,,,,,,$82.22,$0.00,1,1,1,1,1,1,20091001,,E2392,HCPCS,"Solid caster tire, integrate",RR,,28 ,,NW,,,,,,$8.24,$0.00,1,1,1,1,1,1,20091001,,E2392,HCPCS,"Solid caster tire, integrate",UE,,28 ,,NW,,,,,,$60.84,$0.00,1,1,1,1,1,1,20091001,,E2394,HCPCS,Drive wheel excludes tire,NU,,28 ,,NW,,,,,,$117.12,$0.00,1,1,1,1,1,1,20091001,,E2394,HCPCS,Drive wheel excludes tire,RR,,28 ,,NW,,,,,,$11.74,$0.00,1,1,1,1,1,1,20091001,,E2394,HCPCS,Drive wheel excludes tire,UE,,28 ,,NW,,,,,,$86.67,$0.00,1,1,1,1,1,1,20091001,,E2395,HCPCS,Caster wheel excludes tire,NU,,28 ,,NW,,,,,,$83.24,$0.00,1,1,1,1,1,1,20091001,,E2395,HCPCS,Caster wheel excludes tire,RR,,28 ,,NW,,,,,,$8.33,$0.00,1,1,1,1,1,1,20091001,,E2395,HCPCS,Caster wheel excludes tire,UE,,28 ,,NW,,,,,,$61.59,$0.00,1,1,1,1,1,1,20091001,,E2396,HCPCS,Caster fork,NU,,28 ,,NW,,,,,,$101.50,$0.00,1,1,1,1,1,1,20091001,,E2396,HCPCS,Caster fork,RR,,28 ,,NW,,,,,,$10.89,$0.00,1,1,1,1,1,1,20091001,,E2396,HCPCS,Caster fork,UE,,28 ,,NW,,,,,,$75.11,$0.00,1,1,1,1,1,1,20091001,,E2402,HCPCS,Neg press wound therapy pump,,,28 ,,NW,,,,,,"$3,727.19",$0.00,1,1,1,1,1,1,20091001,,E2500,HCPCS,Sgd digitized pre-rec <=8min,,,28 ,,NW,,,,,,$626.94,$0.00,1,1,1,1,1,1,20091001,,E2502,HCPCS,Sgd prerec msg >8min <=20min,,,28 ,,NW,,,,,,"$1,941.73",$0.00,1,1,1,1,1,1,20091001,,E2504,HCPCS,Sgd prerec msg>20min <=40min,,,28 ,,NW,,,,,,"$2,565.17",$0.00,1,1,1,1,1,1,20091001,,E2506,HCPCS,Sgd prerec msg > 40 min,,,28 ,,NW,,,,,,"$3,766.89",$0.00,1,1,1,1,1,1,20091001,,E2508,HCPCS,Sgd spelling phys contact,,,28 ,,NW,,,,,,"$5,831.53",$0.00,1,1,1,1,1,1,20091001,,E2510,HCPCS,Sgd w multi methods msg/accs,,,28 ,,NW,,,,,,"$11,045.97",$0.00,1,1,1,1,1,1,20091001,,E2511,HCPCS,Sgd sftwre prgrm for pc/pda,NU,,28 ,,NW,,,,,,"$3,800.45",$0.00,1,1,1,0,1,1,20091001,,E2511,HCPCS,Sgd sftwre prgrm for pc/pda,RR,,28 ,,NW,,,,,,$380.04,$0.00,1,1,1,0,1,1,20091001,,E2511,HCPCS,Sgd sftwre prgrm for pc/pda,UE,,28 ,,NW,,,,,,"$2,812.33",$0.00,1,1,1,0,1,1,20091001,,E2512,HCPCS,"Sgd accessory, mounting sys",NU,,28 ,,NW,,,,,,$581.42,$0.00,1,1,1,0,1,1,20091001,,E2512,HCPCS,"Sgd accessory, mounting sys",RR,,28 ,,NW,,,,,,$43.96,$0.00,1,1,1,0,1,1,20091001,,E2512,HCPCS,"Sgd accessory, mounting sys",UE,,28 ,,NW,,,,,,$430.25,$0.00,1,1,1,0,1,1,20091001,,E2599,HCPCS,Sgd accessory noc,,,28 ,,NW,,,,,,$257.59,$0.00,1,1,1,0,1,1,20091001,,E2601,HCPCS,Gen w/c cushion wdth < 22 in,NU,,28 ,,NW,,,,,,$153.95,$0.00,1,1,1,1,1,1,20091001,,E2601,HCPCS,Gen w/c cushion wdth < 22 in,RR,,28 ,,NW,,,,,,$15.18,$0.00,1,1,1,1,1,1,20091001,,E2601,HCPCS,Gen w/c cushion wdth < 22 in,UE,,28 ,,NW,,,,,,$113.93,$0.00,1,1,1,1,1,1,20091001,,E2601,HCPCS,Gen w/c cushion wdth < 22 in,,,28 ,,NW,,,,,,$60.01,$0.00,1,1,1,0,1,1,20091001,,E2602,HCPCS,Gen w/c cushion wdth >=22 in,NU,,28 ,,NW,,,,,,$302.53,$0.00,1,1,1,1,1,1,20091001,,E2602,HCPCS,Gen w/c cushion wdth >=22 in,RR,,28 ,,NW,,,,,,$16.93,$0.00,1,1,1,1,1,1,20091001,,E2602,HCPCS,Gen w/c cushion wdth >=22 in,UE,,28 ,,NW,,,,,,$223.88,$0.00,1,1,1,1,1,1,20091001,,E2602,HCPCS,Gen w/c cushion wdth >=22 in,,,28 ,,NW,,,,,,$278.54,$0.00,1,1,1,0,1,1,20091001,,E2603,HCPCS,Skin protect wc cus wd <22in,NU,,28 ,,NW,,,,,,$387.43,$0.00,1,1,1,1,1,1,20091001,,E2603,HCPCS,Skin protect wc cus wd <22in,RR,,28 ,,NW,,,,,,$40.01,$0.00,1,1,1,1,1,1,20091001,,E2603,HCPCS,Skin protect wc cus wd <22in,UE,,28 ,,NW,,,,,,$286.70,$0.00,1,1,1,1,1,1,20091001,,E2603,HCPCS,Skin protect wc cus wd <22in,,,28 ,,NW,,,,,,$27.27,$0.00,1,1,1,0,1,1,20091001,,E2604,HCPCS,Skin protect wc cus wd>=22in,NU,,28 ,,NW,,,,,,$427.42,$0.00,1,1,1,1,1,1,20091001,,E2604,HCPCS,Skin protect wc cus wd>=22in,RR,,28 ,,NW,,,,,,$33.02,$0.00,1,1,1,1,1,1,20091001,,E2604,HCPCS,Skin protect wc cus wd>=22in,UE,,28 ,,NW,,,,,,$316.29,$0.00,1,1,1,1,1,1,20091001,,E2604,HCPCS,Skin protect wc cus wd>=22in,,,28 ,,NW,,,,,,$38.58,$0.00,1,1,1,0,1,1,20091001,,E2605,HCPCS,Position wc cush wdth <22 in,NU,,28 ,,NW,,,,,,$432.09,$0.00,1,1,1,1,1,1,20091001,,E2605,HCPCS,Position wc cush wdth <22 in,RR,,28 ,,NW,,,,,,$39.19,$0.00,1,1,1,1,1,1,20091001,,E2605,HCPCS,Position wc cush wdth <22 in,UE,,28 ,,NW,,,,,,$319.74,$0.00,1,1,1,1,1,1,20091001,,E2605,HCPCS,Position wc cush wdth <22 in,,,28 ,,NW,,,,,,$39.35,$0.00,1,1,1,0,1,1,20091001,,E2606,HCPCS,Position wc cush wdth>=22 in,NU,,28 ,,NW,,,,,,$535.37,$0.00,1,1,1,1,1,1,20091001,,E2606,HCPCS,Position wc cush wdth>=22 in,RR,,28 ,,NW,,,,,,$47.08,$0.00,1,1,1,1,1,1,20091001,,E2606,HCPCS,Position wc cush wdth>=22 in,UE,,28 ,,NW,,,,,,$396.17,$0.00,1,1,1,1,1,1,20091001,,E2606,HCPCS,Position wc cush wdth>=22 in,,,28 ,,NW,,,,,,$53.32,$0.00,1,1,1,0,1,1,20091001,,E2607,HCPCS,Skin pro/pos wc cus wd <22in,NU,,28 ,,NW,,,,,,$470.86,$0.00,1,1,1,1,1,1,20091001,,E2607,HCPCS,Skin pro/pos wc cus wd <22in,RR,,28 ,,NW,,,,,,$33.67,$0.00,1,1,1,1,1,1,20091001,,E2607,HCPCS,Skin pro/pos wc cus wd <22in,UE,,28 ,,NW,,,,,,$348.44,$0.00,1,1,1,1,1,1,20091001,,E2607,HCPCS,Skin pro/pos wc cus wd <22in,,,28 ,,NW,,,,,,$36.13,$0.00,1,1,1,0,1,1,20091001,,E2608,HCPCS,Skin pro/pos wc cus wd>=22in,NU,,28 ,,NW,,,,,,$463.24,$0.00,1,1,1,1,1,1,20091001,,E2608,HCPCS,Skin pro/pos wc cus wd>=22in,RR,,28 ,,NW,,,,,,$53.10,$0.00,1,1,1,1,1,1,20091001,,E2608,HCPCS,Skin pro/pos wc cus wd>=22in,UE,,28 ,,NW,,,,,,$342.80,$0.00,1,1,1,1,1,1,20091001,,E2608,HCPCS,Skin pro/pos wc cus wd>=22in,,,28 ,,NW,,,,,,$43.30,$0.00,1,1,1,0,1,1,20091001,,E2611,HCPCS,Gen use back cush wdth <22in,NU,,28 ,,NW,,,,,,$465.16,$0.00,1,1,1,1,1,1,20091001,,E2611,HCPCS,Gen use back cush wdth <22in,RR,,28 ,,NW,,,,,,$47.65,$0.00,1,1,1,1,1,1,20091001,,E2611,HCPCS,Gen use back cush wdth <22in,UE,,28 ,,NW,,,,,,$344.22,$0.00,1,1,1,1,1,1,20091001,,E2611,HCPCS,Gen use back cush wdth <22in,,,28 ,,NW,,,,,,$38.17,$0.00,1,1,1,0,1,1,20091001,,E2612,HCPCS,Gen use back cush wdth>=22in,NU,,28 ,,NW,,,,,,$477.69,$0.00,1,1,1,1,1,1,20091001,,E2612,HCPCS,Gen use back cush wdth>=22in,RR,,28 ,,NW,,,,,,$64.48,$0.00,1,1,1,1,1,1,20091001,,E2612,HCPCS,Gen use back cush wdth>=22in,UE,,28 ,,NW,,,,,,$353.49,$0.00,1,1,1,1,1,1,20091001,,E2612,HCPCS,Gen use back cush wdth>=22in,,,28 ,,NW,,,,,,$51.65,$0.00,1,1,1,0,1,1,20091001,,E2613,HCPCS,Position back cush wd <22in,NU,,28 ,,NW,,,,,,$563.71,$0.00,1,1,1,1,1,1,20091001,,E2613,HCPCS,Position back cush wd <22in,RR,,28 ,,NW,,,,,,$59.99,$0.00,1,1,1,1,1,1,20091001,,E2613,HCPCS,Position back cush wd <22in,UE,,28 ,,NW,,,,,,$417.14,$0.00,1,1,1,1,1,1,20091001,,E2613,HCPCS,Position back cush wd <22in,,,28 ,,NW,,,,,,$48.06,$0.00,1,1,1,0,1,1,20091001,,E2614,HCPCS,Position back cush wd>=22in,NU,,28 ,,NW,,,,,,$775.39,$0.00,1,1,1,1,1,1,20091001,,E2614,HCPCS,Position back cush wd>=22in,RR,,28 ,,NW,,,,,,$83.01,$0.00,1,1,1,1,1,1,20091001,,E2614,HCPCS,Position back cush wd>=22in,UE,,28 ,,NW,,,,,,$573.79,$0.00,1,1,1,1,1,1,20091001,,E2614,HCPCS,Position back cush wd>=22in,,,28 ,,NW,,,,,,$66.49,$0.00,1,1,1,0,1,1,20091001,,E2615,HCPCS,Pos back post/lat wdth <22in,NU,,28 ,,NW,,,,,,$719.01,$0.00,1,1,1,1,1,1,20091001,,E2615,HCPCS,Pos back post/lat wdth <22in,RR,,28 ,,NW,,,,,,$69.03,$0.00,1,1,1,1,1,1,20091001,,E2615,HCPCS,Pos back post/lat wdth <22in,UE,,28 ,,NW,,,,,,$532.07,$0.00,1,1,1,1,1,1,20091001,,E2615,HCPCS,Pos back post/lat wdth <22in,,,28 ,,NW,,,,,,$55.31,$0.00,1,1,1,0,1,1,20091001,,E2616,HCPCS,Pos back post/lat wdth>=22in,NU,,28 ,,NW,,,,,,$929.13,$0.00,1,1,1,1,1,1,20091001,,E2616,HCPCS,Pos back post/lat wdth>=22in,RR,,28 ,,NW,,,,,,$92.87,$0.00,1,1,1,1,1,1,20091001,,E2616,HCPCS,Pos back post/lat wdth>=22in,UE,,28 ,,NW,,,,,,$687.56,$0.00,1,1,1,1,1,1,20091001,,E2616,HCPCS,Pos back post/lat wdth>=22in,,,28 ,,NW,,,,,,$74.39,$0.00,1,1,1,0,1,1,20091001,,E2619,HCPCS,Replace cover w/c seat cush,NU,,28 ,,NW,,,,,,$93.84,$0.00,1,1,1,1,1,1,20091001,,E2619,HCPCS,Replace cover w/c seat cush,RR,,28 ,,NW,,,,,,$7.83,$0.00,1,1,1,1,1,1,20091001,,E2619,HCPCS,Replace cover w/c seat cush,UE,,28 ,,NW,,,,,,$69.44,$0.00,1,1,1,1,1,1,20091001,,E2619,HCPCS,Replace cover w/c seat cush,,,28 ,,NW,,,,,,$38.88,$0.00,1,1,1,0,1,1,20091001,,E2620,HCPCS,Wc planar back cush wd <22in,NU,,28 ,,NW,,,,,,$709.62,$0.00,1,1,1,1,1,1,20091001,,E2620,HCPCS,Wc planar back cush wd <22in,RR,,28 ,,NW,,,,,,$83.58,$0.00,1,1,1,1,1,1,20091001,,E2620,HCPCS,Wc planar back cush wd <22in,UE,,28 ,,NW,,,,,,$525.12,$0.00,1,1,1,1,1,1,20091001,,E2620,HCPCS,Wc planar back cush wd <22in,,,28 ,,NW,,,,,,$70.25,$0.00,1,1,1,0,1,1,20091001,,E2621,HCPCS,Wc planar back cush wd>=22in,NU,,28 ,,NW,,,,,,$365.11,$0.00,1,1,1,1,1,1,20091001,,E2621,HCPCS,Wc planar back cush wd>=22in,RR,,28 ,,NW,,,,,,$87.70,$0.00,1,1,1,1,1,1,20091001,,E2621,HCPCS,Wc planar back cush wd>=22in,UE,,28 ,,NW,,,,,,$270.18,$0.00,1,1,1,1,1,1,20091001,,E2621,HCPCS,Wc planar back cush wd>=22in,,,28 ,,NW,,,,,,$66.95,$0.00,1,1,1,0,1,1,20091001,,G0008,HCPCS,Admin influenza virus vac,,,9 ,,TotalUnits,,,,0.30 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,G0009,HCPCS,Admin pneumococcal vaccine,,,9 ,,TotalUnits,,,,0.34 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,G0010,HCPCS,Admin hepatitis b vaccine,,,9 ,,TotalUnits,,,,0.32 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,G0027,HCPCS,Semen analysis,,,17 ,,TotalUnits,,,,0.38 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,G0101,HCPCS,Ca screen;pelvic/breast exam,,,18 ,,RBRVS,0.45 ,0.48 ,0.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,G0102,HCPCS,Prostate ca screening; dre,,,18 ,,RBRVS,0.17 ,0.06 ,0.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,G0103,HCPCS,Psa screening,,,17 ,,TotalUnits,,,,0.97 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,G0104,HCPCS,Ca screen;flexi sigmoidscope,,,21 ,,RBRVS,0.96 ,0.62 ,2.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,G0105,HCPCS,Colorectal scrn; hi risk ind,,,21 ,,RBRVS,3.69 ,1.82 ,6.39 ,,,$0.00,$0.00,1,1,1,1,1,1,20091001,,G0106,HCPCS,Colon ca screen;barium enema,26,,21 ,,RBRVS,0.99 ,0.35 ,0.35 ,,,$0.00,$0.00,1,0,1,1,1,0,20091001,,G0106,HCPCS,Colon ca screen;barium enema,TC,,21 ,,RBRVS,0.00 ,4.60 ,4.60 ,,,$0.00,$0.00,1,1,1,0,1,0,20091001,,G0106,HCPCS,Colon ca screen;barium enema,,,21 ,,RBRVS,0.99 ,4.95 ,4.95 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,G0108,HCPCS,Diab manage trn  per indiv,,,14 ,,RBRVS,0.00 ,0.59 ,0.59 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,G0109,HCPCS,Diab manage trn ind/group,,,14 ,,RBRVS,0.00 ,0.31 ,0.31 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,G0117,HCPCS,Glaucoma scrn hgh risk direc,,,23 ,,RBRVS,0.45 ,0.76 ,0.76 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,G0118,HCPCS,Glaucoma scrn hgh risk direc,,,23 ,,RBRVS,0.17 ,0.71 ,0.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,G0120,HCPCS,Colon ca scrn; barium enema,26,,21 ,,RBRVS,0.99 ,0.35 ,0.35 ,,,$0.00,$0.00,1,0,1,1,1,0,20091001,,G0120,HCPCS,Colon ca scrn; barium enema,TC,,21 ,,RBRVS,0.00 ,4.60 ,4.60 ,,,$0.00,$0.00,1,1,1,0,1,0,20091001,,G0120,HCPCS,Colon ca scrn; barium enema,,,21 ,,RBRVS,0.99 ,4.95 ,4.95 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,G0121,HCPCS,Colon ca scrn not hi rsk ind,,,21 ,,RBRVS,3.69 ,1.82 ,6.39 ,,,$0.00,$0.00,1,1,1,1,1,1,20091001,,G0122,HCPCS,Colon ca scrn; barium enema,26,,21 ,,RBRVS,0.99 ,0.23 ,0.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,G0122,HCPCS,Colon ca scrn; barium enema,TC,,21 ,,RBRVS,0.00 ,5.42 ,5.42 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,G0122,HCPCS,Colon ca scrn; barium enema,,,21 ,,RBRVS,0.99 ,5.65 ,5.65 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,G0123,HCPCS,Screen cerv/vag thin layer,,,17 ,,TotalUnits,,,,0.72 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,G0124,HCPCS,Screen c/v thin layer by md,,,17 ,,RBRVS,0.42 ,0.38 ,0.38 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,G0127,HCPCS,Trim nail(s),,,21 ,,RBRVS,0.17 ,0.04 ,0.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,G0128,HCPCS,Corf skilled nursing service,,,15 ,,RBRVS,0.08 ,0.02 ,0.02 ,,,$0.00,$0.00,1,1,1,0,0,1,20091001,,G0130,HCPCS,Single energy x-ray study,26,,20 ,,RBRVS,0.22 ,0.06 ,0.06 ,,,$0.00,$0.00,1,0,1,1,1,0,20091001,,G0130,HCPCS,Single energy x-ray study,TC,,20 ,,RBRVS,0.00 ,0.49 ,0.49 ,,,$0.00,$0.00,1,1,1,0,1,0,20091001,,G0130,HCPCS,Single energy x-ray study,,,20 ,,RBRVS,0.22 ,0.55 ,0.55 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,G0141,HCPCS,"Scr c/v cyto,autosys and md",,,17 ,,RBRVS,0.42 ,0.38 ,0.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,G0143,HCPCS,"Scr c/v cyto,thinlayer,rescr",,,17 ,,TotalUnits,,,,0.62 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,G0144,HCPCS,"Scr c/v cyto,thinlayer,rescr",,,17 ,,TotalUnits,,,,1.26 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,G0145,HCPCS,"Scr c/v cyto,thinlayer,rescr",,,17 ,,TotalUnits,,,,0.81 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,G0147,HCPCS,"Scr c/v cyto, automated sys",,,17 ,,TotalUnits,,,,0.65 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,G0148,HCPCS,"Scr c/v cyto, autosys, rescr",,,17 ,,TotalUnits,,,,0.89 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,G0151,HCPCS,"Hhcp-serv of pt,ea 15 min",,,19 ,,TotalUnits,,,,1.65 ,,$0.00,$0.00,1,1,1,0,0,1,20091001,,G0152,HCPCS,"Hhcp-serv of ot,ea 15 min",,,19 ,,TotalUnits,,,,3.77 ,,$0.00,$0.00,1,1,1,0,0,1,20091001,,G0153,HCPCS,"Hhcp-svs of s/l path,ea 15mn",,,8 ,,TotalUnits,,,,0.22 ,,$0.00,$0.00,1,1,1,0,0,1,20091001,,G0154,HCPCS,"Hhcp-svs of rn,ea 15 min",,,15 ,,TotalUnits,,,,2.48 ,,$0.00,$0.00,1,1,1,0,0,1,20091001,,G0155,HCPCS,"Hhcp-svs of csw,ea 15 min",,,15 ,,RBRVS,0.48 ,0.11 ,0.36 ,,,$0.00,$0.00,1,1,1,0,0,1,20091001,,G0156,HCPCS,"Hhcp-svs of aide,ea 15 min",,,15 ,,TotalUnits,,,,1.45 ,,$0.00,$0.00,1,1,1,0,0,1,20091001,,G0166,HCPCS,"Extrnl counterpulse, per tx",,,14 ,,RBRVS,0.07 ,4.50 ,4.50 ,,,$0.00,$0.00,1,1,1,0,0,1,20091001,,G0168,HCPCS,Wound closure by adhesive,,,21 ,,RBRVS,0.45 ,0.21 ,1.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,G0179,HCPCS,Md recertification hha pt,,,15 ,,RBRVS,0.45 ,0.48 ,0.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,G0180,HCPCS,Md certification hha patient,,,15 ,,RBRVS,0.67 ,0.56 ,0.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,G0181,HCPCS,Home health care supervision,,,15 ,,RBRVS,1.73 ,0.80 ,0.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,G0182,HCPCS,Hospice care supervision,,,15 ,,RBRVS,1.73 ,0.82 ,0.82 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,G0186,HCPCS,"Dstry eye lesn,fdr vssl tech",,,21 ,,TotalUnits,,,,9.21 ,,$0.00,$0.00,1,1,1,1,0,1,20091001,,G0202,HCPCS,Screening mammography digital,26,,20 ,,RBRVS,0.70 ,0.24 ,0.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,G0202,HCPCS,Screening mammography digital,TC,,20 ,,RBRVS,0.00 ,2.57 ,2.57 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,G0202,HCPCS,Screening mammography digital,,,20 ,,RBRVS,0.70 ,2.81 ,2.81 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,G0204,HCPCS,Screening mammography digital,26,,20 ,,RBRVS,0.87 ,0.30 ,0.30 ,,,$0.00,$0.00,1,0,1,1,1,0,20091001,,G0204,HCPCS,Screening mammography digital,TC,,20 ,,RBRVS,0.00 ,3.10 ,3.10 ,,,$0.00,$0.00,1,1,1,0,1,0,20091001,,G0204,HCPCS,Screening mammography digital,,,20 ,,RBRVS,0.87 ,3.40 ,3.40 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,G0206,HCPCS,Screening mammography digital,26,,20 ,,RBRVS,0.70 ,0.24 ,0.24 ,,,$0.00,$0.00,1,0,1,1,1,0,20091001,,G0206,HCPCS,Screening mammography digital,TC,,20 ,,RBRVS,0.00 ,2.43 ,2.43 ,,,$0.00,$0.00,1,1,1,0,1,0,20091001,,G0206,HCPCS,Screening mammography digital,,,20 ,,RBRVS,0.70 ,2.67 ,2.67 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,G0219,HCPCS,Pet img wholbod melano nonco,26,,20 ,,TotalUnits,,,,1.96 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,G0219,HCPCS,Pet img wholbod melano nonco,TC,,20 ,,TotalUnits,,,,26.12 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,G0235,HCPCS,Pet not otherwise specified,,,20 ,,TotalUnits,,,,26.72 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,G0237,HCPCS,Therapeutic procd strg endur,,,14 ,,RBRVS,0.00 ,0.21 ,0.21 ,,,$0.00,$0.00,1,1,1,0,0,1,20091001,,G0238,HCPCS,"Oth resp proc, indiv",,,14 ,,RBRVS,0.00 ,0.23 ,0.23 ,,,$0.00,$0.00,1,1,1,0,0,1,20091001,,G0239,HCPCS,"Oth resp proc, group",,,14 ,,RBRVS,0.00 ,0.31 ,0.31 ,,,$0.00,$0.00,1,1,1,0,0,1,20091001,,G0245,HCPCS,Initial foot exam pt lops,,,15 ,,RBRVS,0.88 ,0.29 ,0.84 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,G0246,HCPCS,Followup eval of foot pt lop,,,15 ,,RBRVS,0.45 ,0.15 ,0.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,G0247,HCPCS,Routine footcare pt w lops,,,15 ,,RBRVS,0.50 ,0.16 ,0.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,G0248,HCPCS,Demonstrate use home inr mon,,TC,15 ,,RBRVS,0.00 ,3.41 ,3.41 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,G0249,HCPCS,Provide inr test mater/equip,,TC,15 ,,RBRVS,0.00 ,3.40 ,3.40 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,G0250,HCPCS,Md inr test revie inter mgmt,,PC,15 ,,RBRVS,0.18 ,0.08 ,0.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,G0255,HCPCS,Current percep threshold tst,,,14 ,,TotalUnits,,,,0.60 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,G0259,HCPCS,Inject for sacroiliac joint,,,21 ,,TotalUnits,,,,4.77 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,G0268,HCPCS,Removal of impacted wax md,,,21 ,,RBRVS,0.61 ,0.20 ,0.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,G0269,HCPCS,Occlusive device in vein art,,,21 ,,TotalUnits,,,,3.65 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,G0270,HCPCS,Mnt subs tx for change dx,,,14 ,,RBRVS,0.37 ,0.09 ,0.12 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,G0271,HCPCS,Group mnt 2 or more 30 mins,,,14 ,,RBRVS,0.25 ,0.07 ,0.08 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,G0275,HCPCS,"Renal angio, cardiac cath",,,20 ,,RBRVS,0.25 ,0.13 ,0.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,G0278,HCPCS,"Iliac art angio,cardiac cath",,,20 ,,RBRVS,0.25 ,0.13 ,0.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,G0281,HCPCS,Elec stim unattend for press,,,19 ,,RBRVS,0.18 ,0.14 ,0.14 ,,,$0.00,$0.00,1,1,1,0,0,1,20091001,,G0282,HCPCS,Elect stim wound care not pd,,,19 ,,TotalUnits,,,,0.46 ,,$0.00,$0.00,1,1,1,0,0,1,20091001,,G0283,HCPCS,Elec stim other than wound,,,19 ,,RBRVS,0.18 ,0.14 ,0.14 ,,,$0.00,$0.00,1,1,1,0,0,1,20091001,,G0288,HCPCS,"Recon, cta for surg plan",,,20 ,,RBRVS,0.00 ,1.03 ,1.03 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,G0289,HCPCS,"Arthro, loose body + chondro",,,21 ,,RBRVS,1.48 ,0.58 ,0.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,G0295,HCPCS,Electromagnetic therapy onc,,,19 ,,RBRVS,0.06 ,0.15 ,0.15 ,,,$0.00,$0.00,1,1,1,0,0,1,20091001,,G0306,HCPCS,Cbc/diffwbc w/o platelet,,,17 ,,TotalUnits,,,,0.46 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,G0307,HCPCS,Cbc without platelet,,,17 ,,TotalUnits,,,,0.34 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,G0328,HCPCS,Fecal blood scrn immunoassay,,,17 ,,TotalUnits,,,,0.58 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,G0329,HCPCS,Electromagntic tx for ulcers,,,19 ,,RBRVS,0.06 ,0.15 ,0.15 ,,,$0.00,$0.00,1,1,1,0,0,1,20091001,,G0337,HCPCS,Hospice evaluation preelecti,,,15 ,,RBRVS,1.34 ,0.31 ,0.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,G0341,HCPCS,Percutaneous islet celltrans,,,21 ,,RBRVS,6.98 ,2.36 ,2.36 ,,,$0.00,$0.00,1,0,0,1,1,1,20091001,,G0342,HCPCS,Laparoscopy islet cell trans,,,21 ,,RBRVS,11.92 ,5.07 ,5.07 ,,,$0.00,$0.00,1,0,0,1,1,1,20091001,,G0343,HCPCS,Laparotomy islet cell transp,,,21 ,,RBRVS,19.85 ,8.55 ,8.55 ,,,$0.00,$0.00,1,0,0,1,1,1,20091001,,G0364,HCPCS,Bone marrow aspirate &biopsy,,,21 ,,RBRVS,0.16 ,0.07 ,0.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,G0365,HCPCS,Vessel mapping hemo access,26, ,20 ,,RBRVS,0.25 ,0.06 ,0.06 ,,,$0.00,$0.00,1,0,1,1,1,0,20091001,,G0365,HCPCS,Vessel mapping hemo access,TC, ,20 ,,RBRVS,0.00 ,5.16 ,5.16 ,,,$0.00,$0.00,1,1,1,0,1,0,20091001,,G0365,HCPCS,Vessel mapping hemo access,,,20 ,,RBRVS,0.25 ,5.22 ,5.22 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,G0372,HCPCS,Md service required for pmd,,,15 ,,RBRVS,0.17 ,0.04 ,0.04 ,,,$0.00,$0.00,1,0,1,1,0,1,20091001,,G0389,HCPCS,Ultrasound exam aaa screen,26,,20 ,,RBRVS,0.58 ,0.20 ,0.20 ,,,$0.00,$0.00,1,0,1,1,1,0,20091001,,G0389,HCPCS,Ultrasound exam aaa screen,TC,,20 ,,RBRVS,0.00 ,2.21 ,2.21 ,,,$0.00,$0.00,1,1,1,0,1,0,20091001,,G0389,HCPCS,Ultrasound exam aaa screen,,,20 ,,RBRVS,0.58 ,2.41 ,2.41 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,G0392,HCPCS,Av fistula or graft arterial,,,20 ,,RBRVS,9.48 ,3.39 ,48.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,G0393,HCPCS,Av fistula or graft venous,,,20 ,,RBRVS,6.03 ,2.23 ,37.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,G0394,HCPCS,"Blood occult test,colorectal",,,17 ,,TotalUnits,,,,0.19 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,G0396,HCPCS,Alcohol/subs interv 15-30mn,,,16 ,,RBRVS,0.65 ,0.15 ,0.19 ,,,$0.00,$0.00,1,0,0,0,0,0,20091001,,G0397,HCPCS,Alcohol/subs interv >30 min,,,16 ,,RBRVS,1.30 ,0.29 ,0.34 ,,,$0.00,$0.00,1,0,1,1,0,1,20091001,,G0402,HCPCS,Initial preventive exam,,,15 ,,RBRVS,1.34 ,1.13 ,1.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,G0403,HCPCS,Ekg for initial prevent exam,,,4 ,,RBRVS,0.17 ,0.33 ,0.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,G0404,HCPCS,Ekg tracing for initial prev,,,4 ,,RBRVS,0.00 ,0.28 ,0.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,G0405,HCPCS,Ekg interpret & report preve,,,4 ,,RBRVS,0.17 ,0.05 ,0.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,G0406,HCPCS,Telhealth inpt consult 15min,,,10 ,,RBRVS,0.76 ,0.25 ,0.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,G0407,HCPCS,Telheath inpt consult 25min,,,10 ,,RBRVS,1.39 ,0.44 ,0.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,G0408,HCPCS,Telhealth inpt consult 35min,,,10 ,,RBRVS,2.00 ,0.62 ,0.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,G0409,HCPCS,Corf related serv 15 mins ea,,,15 ,,RBRVS,0.00 ,0.23 ,0.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,G0412,HCPCS,Open tx iliac spine uni/bil,,,20 ,,RBRVS,10.45 ,6.57 ,6.57 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,G0413,HCPCS,Pelvic ring fracture uni/bil,,,20 ,,RBRVS,15.73 ,9.48 ,9.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,G0414,HCPCS,Pelvic ring fx treat int fix,,,20 ,,RBRVS,14.65 ,9.00 ,9.00 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,G0415,HCPCS,Open tx post pelvic fracture,,,20 ,,RBRVS,20.93 ,11.73 ,11.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,G0416,HCPCS,Sat biopsy prostate 1-20 spc,,,20 ,,RBRVS,3.09 ,13.96 ,13.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,G0417,HCPCS,Sat biopsy prostate 21-40,,,20 ,,RBRVS,5.86 ,27.26 ,27.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,G0418,HCPCS,Sat biopsy prostate 41-60,,,20 ,,RBRVS,10.30 ,46.56 ,46.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,G0419,HCPCS,Sat biopsy prostate: >60,,,20 ,,RBRVS,11.61 ,55.86 ,55.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,G9001,HCPCS,"Mccd, initial rate",,,14 ,,TotalUnits,,,,0.38 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,G9002,HCPCS,"Mccd,maintenance rate",,,14 ,,TotalUnits,,,,1.48 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,G9003,HCPCS,"Mccd, risk adj hi, initial",,,14 ,,TotalUnits,,,,2.91 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,G9004,HCPCS,"Mccd, risk adj lo, initial",,,14 ,,TotalUnits,,,,1.22 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,G9005,HCPCS,"Mccd, risk adj, maintenance",,,14 ,,TotalUnits,,,,1.62 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,G9006,HCPCS,"Mccd, home monitoring",,,14 ,,TotalUnits,,,,0.16 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,G9007,HCPCS,"Mccd, sch team conf",,,14 ,,TotalUnits,,,,0.24 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,G9008,HCPCS,"Mccd,phys coor-care ovrsght",,,14 ,,TotalUnits,,,,0.20 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,G9009,HCPCS,"Mccd, risk adj, level 3",,,14 ,,TotalUnits,,,,1.47 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,G9010,HCPCS,"Mccd, risk adj, level 4",,,14 ,,TotalUnits,,,,1.02 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,G9011,HCPCS,"Mccd, risk adj, level 5",,,14 ,,TotalUnits,,,,3.47 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,G9012,HCPCS,Other specified case mgmt,,,14 ,,TotalUnits,,,,2.87 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,G9018,HCPCS,"Zanamivir,inhalation pwd 10m",,,29 ,,NW,,,,,,$11.98,$0.00,1,1,1,0,1,1,20091001,,G9019,HCPCS,Oseltamivir phosphate 75mg,,,29 ,,NW,,,,,,$12.69,$0.00,1,1,1,0,1,1,20091001,,G9020,HCPCS,Rimantadine hcl 100mg oral,,,29 ,,NW,,,,,,$3.60,$0.00,1,1,1,0,1,1,20091001,,G9033,HCPCS,Amantadine hcl oral brand,,,29 ,,NW,,,,,,$56.33,$0.00,1,1,1,0,1,1,20091001,,G9034,HCPCS,"Zanamivir, inh pwdr, brand",,,29 ,,NW,,,,,,$44.96,$0.00,1,1,1,0,1,1,20091001,,G9036,HCPCS,"Rimantadine hcl, brand",,,29 ,,NW,,,,,,$174.36,$0.00,1,1,1,0,1,1,20091001,,G9041,HCPCS,Low vision rehab occupationa,,,19 ,,RBRVS,0.44 ,0.10 ,0.10 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,G9042,HCPCS,Low vision rehab orient/mobi,,,19 ,,RBRVS,0.10 ,0.02 ,0.02 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,G9043,HCPCS,Low vision lowvision therapi,,,19 ,,RBRVS,0.10 ,0.02 ,0.02 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,G9044,HCPCS,Low vision rehabilate teache,,,19 ,,RBRVS,0.10 ,0.02 ,0.02 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,H0004,HCPCS,Behavioral health cnsl&tx-15 min,,,16 ,,TotalUnits,,,,1.33 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,H0020,HCPCS,Alcohl&/rx srvc;methdone admn&/srvc,,,16 ,,TotalUnits,,,,2.44 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,J0120,HCPCS,Tetracyclin injection,,,29 ,,NW,,,,,,$166.72,$0.00,1,1,1,0,0,1,20091001,,J0129,HCPCS,Abatacept injection,,,29 ,,NW,,,,,,$45.95,$0.00,1,1,1,0,1,1,20091001,,J0130,HCPCS,Abciximab injection,,,29 ,,NW,,,,,,"$1,554.20",$0.00,1,1,1,0,0,1,20091001,,J0132,HCPCS,Acetylcysteine injection,,,29 ,,NW,,,,,,$6.05,$0.00,1,1,1,0,0,1,20091001,,J0133,HCPCS,Acyclovir injection,,,29 ,,NW,,,,,,$787.32,$0.00,1,1,1,0,0,1,20091001,,J0150,HCPCS,Injection adenosine 6 mg,,,29 ,,NW,,,,,,$76.55,$0.00,1,1,1,0,0,1,20091001,,J0170,HCPCS,Adrenalin epinephrin inject,,,29 ,,NW,,,,,,$4.42,$0.00,1,1,1,0,0,1,20091001,,J0200,HCPCS,Alatrofloxacin mesylate,,,29 ,,NW,,,,,,$54.39,$0.00,1,1,1,0,0,1,20091001,,J0205,HCPCS,Alglucerase injection,,,29 ,,NW,,,,,,$93.00,$0.00,1,1,1,0,0,1,20091001,,J0207,HCPCS,Amifostine,,,29 ,,NW,,,,,,"$1,190.01",$0.00,1,1,1,0,0,1,20091001,,J0210,HCPCS,Methyldopate hcl injection,,,29 ,,NW,,,,,,$29.43,$0.00,1,1,1,0,0,1,20091001,,J0215,HCPCS,Alefacept,,,29 ,,NW,,,,,,$67.12,$0.00,1,1,1,0,0,1,20091001,,J0256,HCPCS,Alpha 1 proteinase inhibitor,,,29 ,,NW,,,,,,$784.96,$0.00,1,1,1,0,0,1,20091001,,J0270,HCPCS,Alprostadil for injection,,,29 ,,NW,,,,,,$5.08,$0.00,1,1,1,0,0,1,20091001,,J0275,HCPCS,Alprostadil urethral suppos,,,29 ,,NW,,,,,,$57.98,$0.00,1,1,1,0,0,1,20091001,,J0278,HCPCS,Amikacin sulfate injection,,,29 ,,NW,,,,,,$26.12,$0.00,1,1,1,0,0,1,20091001,,J0280,HCPCS,Aminophyllin 250 mg inj,,,29 ,,NW,,,,,,$4.44,$0.00,1,1,1,0,0,1,20091001,,J0282,HCPCS,Amiodarone hcl,,,29 ,,NW,,,,,,$2.88,$0.00,1,1,1,0,0,1,20091001,,J0285,HCPCS,Amphotericin b,,,29 ,,NW,,,,,,$56.34,$0.00,1,1,1,0,0,1,20091001,,J0287,HCPCS,Amphotericin b lipid complex,,,29 ,,NW,,,,,,$45.57,$0.00,1,1,1,0,0,1,20091001,,J0288,HCPCS,Ampho b cholesteryl sulfate,,,29 ,,NW,,,,,,$219.73,$0.00,1,1,1,0,0,1,20091001,,J0289,HCPCS,Amphotericin b liposome inj,,,29 ,,NW,,,,,,$71.49,$0.00,1,1,1,0,0,1,20091001,,J0290,HCPCS,Ampicillin 500 mg inj,,,29 ,,NW,,,,,,$8.72,$0.00,1,1,1,0,0,1,20091001,,J0295,HCPCS,Ampicillin sodium per 1.5 gm,,,29 ,,NW,,,,,,$18.35,$0.00,1,1,1,0,0,1,20091001,,J0300,HCPCS,Amobarbital 125 mg inj,,,29 ,,NW,,,,,,$7.75,$0.00,1,1,1,0,0,1,20091001,,J0330,HCPCS,Succinycholine chloride inj,,,29 ,,NW,,,,,,$0.86,$0.00,1,1,1,0,0,1,20091001,,J0348,HCPCS,Anidulafungin injection,,,29 ,,NW,,,,,,$4.19,$0.00,1,1,1,0,1,1,20091001,,J0360,HCPCS,Hydralazine hcl injection,,,29 ,,NW,,,,,,$39.74,$0.00,1,1,1,0,0,1,20091001,,J0364,HCPCS,Apomorphine hydrochloride,,,29 ,,NW,,,,,,$8.27,$0.00,1,1,1,0,1,1,20091001,,J0365,HCPCS,"Aprotonin, 10,000 kiu",,,29 ,,NW,,,,,,$7.68,$0.00,1,1,1,0,0,1,20091001,,J0380,HCPCS,Inj metaraminol bitartrate,,,29 ,,NW,,,,,,$3.37,$0.00,1,1,1,0,0,1,20091001,,J0390,HCPCS,Chloroquine injection,,,29 ,,NW,,,,,,$67.09,$0.00,1,1,1,0,0,1,20091001,,J0456,HCPCS,Azithromycin,,,29 ,,NW,,,,,,$61.71,$0.00,1,1,1,0,0,1,20091001,,J0460,HCPCS,Atropine sulfate injection,,,29 ,,NW,,,,,,$2.55,$0.00,1,1,1,0,0,1,20091001,,J0470,HCPCS,Dimecaprol injection,,,29 ,,NW,,,,,,$65.34,$0.00,1,1,1,0,0,1,20091001,,J0475,HCPCS,Baclofen 10 mg injection,,,29 ,,NW,,,,,,$469.72,$0.00,1,1,1,0,0,1,20091001,,J0476,HCPCS,Baclofen intrathecal trial,,,29 ,,NW,,,,,,$155.38,$0.00,1,1,1,0,0,1,20091001,,J0480,HCPCS,Basiliximab,,,29 ,,NW,,,,,,"$4,535.49",$0.00,1,1,1,0,0,1,20091001,,J0500,HCPCS,Dicyclomine injection,,,29 ,,NW,,,,,,$31.46,$0.00,1,1,1,0,0,1,20091001,,J0515,HCPCS,Inj benztropine mesylate,,,29 ,,NW,,,,,,$31.74,$0.00,1,1,1,0,0,1,20091001,,J0520,HCPCS,Bethanechol chloride inject,,,29 ,,NW,,,,,,$6.94,$0.00,1,1,1,0,0,1,20091001,,J0530,HCPCS,Penicillin g benzathine inj,,,29 ,,NW,,,,,,$75.70,$0.00,1,1,1,0,0,1,20091001,,J0540,HCPCS,Penicillin g benzathine inj,,,29 ,,NW,,,,,,$146.35,$0.00,1,1,1,0,0,1,20091001,,J0550,HCPCS,Penicillin g benzathine inj,,,29 ,,NW,,,,,,$304.86,$0.00,1,1,1,0,0,1,20091001,,J0560,HCPCS,Penicillin g benzathine inj,,,29 ,,NW,,,,,,$47.00,$0.00,1,1,1,0,0,1,20091001,,J0570,HCPCS,Penicillin g benzathine inj,,,29 ,,NW,,,,,,$106.62,$0.00,1,1,1,0,0,1,20091001,,J0580,HCPCS,Penicillin g benzathine inj,,,29 ,,NW,,,,,,$198.47,$0.00,1,1,1,0,0,1,20091001,,J0585,HCPCS,Botulinum toxin a per unit,,,29 ,,NW,,,,,,$12.29,$0.00,1,1,1,0,0,1,20091001,,J0587,HCPCS,Botulinum toxin type b,,,29 ,,NW,,,,,,$20.66,$0.00,1,1,1,0,0,1,20091001,,J0592,HCPCS,Buprenorphine hydrochloride,,,29 ,,NW,,,,,,$2.38,$0.00,1,1,1,0,0,1,20091001,,J0594,HCPCS,Busulfan injection,,,29 ,,NW,,,,,,$24.78,$0.00,1,1,1,0,1,1,20091001,,J0600,HCPCS,Edetate calcium disodium inj,,,29 ,,NW,,,,,,$124.71,$0.00,1,1,1,0,0,1,20091001,,J0610,HCPCS,Calcium gluconate injection,,,29 ,,NW,,,,,,$0.30,$0.00,1,1,1,0,0,1,20091001,,J0620,HCPCS,Calcium glycer & lact/10 ml,,,29 ,,NW,,,,,,$33.86,$0.00,1,1,1,0,0,1,20091001,,J0630,HCPCS,Calcitonin salmon injection,,,29 ,,NW,,,,,,$124.22,$0.00,1,1,1,0,0,1,20091001,,J0636,HCPCS,Inj calcitriol per 0.1 mcg,,,29 ,,NW,,,,,,$3.78,$0.00,1,1,1,0,0,1,20091001,,J0637,HCPCS,Caspofungin acetate,,,29 ,,NW,,,,,,$82.11,$0.00,1,1,1,0,0,1,20091001,,J0640,HCPCS,Leucovorin calcium injection,,,29 ,,NW,,,,,,$6.13,$0.00,1,1,1,0,0,1,20091001,,J0641,HCPCS,Levoleucovorin injection,,,29 ,,NW,,,,,,$1.55,$0.00,1,1,1,0,1,1,20091001,,J0670,HCPCS,Inj mepivacaine hcl/10 ml,,,29 ,,NW,,,,,,$9.59,$0.00,1,1,1,0,0,1,20091001,,J0690,HCPCS,Cefazolin sodium injection,,,29 ,,NW,,,,,,$7.57,$0.00,1,1,1,0,0,1,20091001,,J0692,HCPCS,Cefepime hcl for injection,,,29 ,,NW,,,,,,$3.74,$0.00,1,1,1,0,0,1,20091001,,J0694,HCPCS,Cefoxitin sodium injection,,,29 ,,NW,,,,,,$23.49,$0.00,1,1,1,0,0,1,20091001,,J0696,HCPCS,Ceftriaxone sodium injection,,,29 ,,NW,,,,,,$21.71,$0.00,1,1,1,0,0,1,20091001,,J0697,HCPCS,Sterile cefuroxime injection,,,29 ,,NW,,,,,,$16.06,$0.00,1,1,1,0,0,1,20091001,,J0698,HCPCS,Cefotaxime sodium injection,,,29 ,,NW,,,,,,$24.36,$0.00,1,1,1,0,0,1,20091001,,J0702,HCPCS,Betamethasone acet&sod phosp,,,29 ,,NW,,,,,,$13.80,$0.00,1,1,1,0,0,1,20091001,,J0704,HCPCS,Betamethasone sod phosp/4 mg,,,29 ,,NW,,,,,,$2.72,$0.00,1,1,1,0,0,1,20091001,,J0706,HCPCS,Caffeine citrate injection,,,29 ,,NW,,,,,,$5.78,$0.00,1,1,1,0,0,1,20091001,,J0710,HCPCS,Cephapirin sodium injection,,,29 ,,NW,,,,,,$20.90,$0.00,1,1,1,0,0,1,20091001,,J0713,HCPCS,Inj ceftazidime per 500 mg,,,29 ,,NW,,,,,,$13.67,$0.00,1,1,1,0,0,1,20091001,,J0715,HCPCS,Ceftizoxime sodium / 500 mg,,,29 ,,NW,,,,,,$15.50,$0.00,1,1,1,0,0,1,20091001,,J0720,HCPCS,Chloramphenicol sodium injec,,,29 ,,NW,,,,,,$53.56,$0.00,1,1,1,0,0,1,20091001,,J0725,HCPCS,Chorionic gonadotropin/1000u,,,29 ,,NW,,,,,,$9.08,$0.00,1,1,1,0,0,1,20091001,,J0735,HCPCS,Clonidine hydrochloride,,,29 ,,NW,,,,,,$157.17,$0.00,1,1,1,0,0,1,20091001,,J0740,HCPCS,Cidofovir injection,,,29 ,,NW,,,,,,"$2,201.69",$0.00,1,1,1,0,0,1,20091001,,J0743,HCPCS,Cilastatin sodium injection,,,29 ,,NW,,,,,,$38.97,$0.00,1,1,1,0,0,1,20091001,,J0744,HCPCS,Ciprofloxacin iv,,,29 ,,NW,,,,,,$11.97,$0.00,1,1,1,0,0,1,20091001,,J0745,HCPCS,Inj codeine phosphate /30 mg,,,29 ,,NW,,,,,,$2.75,$0.00,1,1,1,0,0,1,20091001,,J0760,HCPCS,Colchicine injection,,,29 ,,NW,,,,,,$17.52,$0.00,1,1,1,0,0,1,20091001,,J0770,HCPCS,Colistimethate sodium inj,,,29 ,,NW,,,,,,$115.39,$0.00,1,1,1,0,0,1,20091001,,J0780,HCPCS,Prochlorperazine injection,,,29 ,,NW,,,,,,$11.40,$0.00,1,1,1,0,0,1,20091001,,J0795,HCPCS,Corticorelin ovine triflutal,,,29 ,,NW,,,,,,$10.05,$0.00,1,1,1,0,0,1,20091001,,J0800,HCPCS,Corticotropin injection,,,29 ,,NW,,,,,,$401.92,$0.00,1,1,1,0,0,1,20091001,,J0835,HCPCS,Inj cosyntropin per 0.25 mg,,,29 ,,NW,,,,,,$184.94,$0.00,1,1,1,0,0,1,20091001,,J0850,HCPCS,Cytomegalovirus imm iv /vial,,,29 ,,NW,,,,,,"$2,489.75",$0.00,1,1,1,0,0,1,20091001,,J0881,HCPCS,"Darbepoetin alfa, non-esrd",,,29 ,,NW,,,,,,$11.32,$0.00,1,1,1,0,0,1,20091001,,J0882,HCPCS,"Darbepoetin alfa, esrd use",,,29 ,,NW,,,,,,$12.87,$0.00,1,1,1,0,0,1,20091001,,J0885,HCPCS,"Epoetin alfa, non-esrd",,,29 ,,NW,,,,,,$28.90,$0.00,1,1,1,0,0,1,20091001,,J0886,HCPCS,Epoetin alfa 1000 units esrd,,,29 ,,NW,,,,,,$34.93,$0.00,1,1,1,0,0,1,20091001,,J0894,HCPCS,Decitabine injection,,,29 ,,NW,,,,,,$60.87,$0.00,1,1,1,0,1,1,20091001,,J0895,HCPCS,Deferoxamine mesylate inj,,,29 ,,NW,,,,,,$939.81,$0.00,1,1,1,0,0,1,20091001,,J0900,HCPCS,Testosterone enanthate inj,,,29 ,,NW,,,,,,$4.24,$0.00,1,1,1,0,0,1,20091001,,J0945,HCPCS,Brompheniramine maleate inj,,,29 ,,NW,,,,,,$2.52,$0.00,1,1,1,0,0,1,20091001,,J0970,HCPCS,Estradiol valerate injection,,,29 ,,NW,,,,,,$33.15,$0.00,1,1,1,0,0,1,20091001,,J1000,HCPCS,Depo-estradiol cypionate inj,,,29 ,,NW,,,,,,$3.48,$0.00,1,1,1,0,0,1,20091001,,J1020,HCPCS,Methylprednisolone 20 mg inj,,,29 ,,NW,,,,,,$7.74,$0.00,1,1,1,0,0,1,20091001,,J1030,HCPCS,Methylprednisolone 40 mg inj,,,29 ,,NW,,,,,,$15.08,$0.00,1,1,1,0,0,1,20091001,,J1040,HCPCS,Methylprednisolone 80 mg inj,,,29 ,,NW,,,,,,$25.48,$0.00,1,1,1,0,0,1,20091001,,J1051,HCPCS,Medroxyprogesterone inj,,,29 ,,NW,,,,,,$27.35,$0.00,1,1,1,0,0,1,20091001,,J1055,HCPCS,Medrxyprogester acetate inj,,,29 ,,NW,,,,,,$136.69,$0.00,1,1,1,0,0,1,20091001,,J1056,HCPCS,Ma/ec contraceptiveinjection,,,29 ,,NW,,,,,,$75.29,$0.00,1,1,1,0,0,1,20091001,,J1060,HCPCS,Testosterone cypionate 1 ml,,,29 ,,NW,,,,,,$12.59,$0.00,1,1,1,0,0,1,20091001,,J1070,HCPCS,Testosterone cypionat 100 mg,,,29 ,,NW,,,,,,$16.29,$0.00,1,1,1,0,0,1,20091001,,J1080,HCPCS,Testosterone cypionat 200 mg,,,29 ,,NW,,,,,,$39.60,$0.00,1,1,1,0,0,1,20091001,,J1094,HCPCS,Inj dexamethasone acetate,,,29 ,,NW,,,,,,$1.17,$0.00,1,1,1,0,0,1,20091001,,J1100,HCPCS,Dexamethasone sodium phos,,,29 ,,NW,,,,,,$0.69,$0.00,1,1,1,0,0,1,20091001,,J1110,HCPCS,Inj dihydroergotamine mesylt,,,29 ,,NW,,,,,,$86.64,$0.00,1,1,1,0,0,1,20091001,,J1120,HCPCS,Acetazolamid sodium injectio,,,29 ,,NW,,,,,,$59.33,$0.00,1,1,1,0,0,1,20091001,,J1160,HCPCS,Digoxin injection,,,29 ,,NW,,,,,,$7.16,$0.00,1,1,1,0,0,1,20091001,,J1162,HCPCS,Digoxin immune fab (ovine),,,29 ,,NW,,,,,,"$1,563.17",$0.00,1,1,1,0,0,1,20091001,,J1165,HCPCS,Phenytoin sodium injection,,,29 ,,NW,,,,,,$2.29,$0.00,1,1,1,0,0,1,20091001,,J1170,HCPCS,Hydromorphone injection,,,29 ,,NW,,,,,,$2.94,$0.00,1,1,1,0,0,1,20091001,,J1180,HCPCS,Dyphylline injection,,,29 ,,NW,,,,,,$25.74,$0.00,1,1,1,0,0,1,20091001,,J1190,HCPCS,Dexrazoxane hcl injection,,,29 ,,NW,,,,,,$511.44,$0.00,1,1,1,0,0,1,20091001,,J1200,HCPCS,Diphenhydramine hcl injectio,,,29 ,,NW,,,,,,$3.81,$0.00,1,1,1,0,0,1,20091001,,J1205,HCPCS,Chlorothiazide sodium inj,,,29 ,,NW,,,,,,$387.31,$0.00,1,1,1,0,0,1,20091001,,J1212,HCPCS,Dimethyl sulfoxide 50% 50 ml,,,29 ,,NW,,,,,,$121.58,$0.00,1,1,1,0,0,1,20091001,,J1230,HCPCS,Methadone injection,,,29 ,,NW,,,,,,$1.85,$0.00,1,1,1,0,0,1,20091001,,J1240,HCPCS,Dimenhydrinate injection,,,29 ,,NW,,,,,,$5.11,$0.00,1,1,1,0,0,1,20091001,,J1245,HCPCS,Dipyridamole injection,,,29 ,,NW,,,,,,$67.58,$0.00,1,1,1,0,0,1,20091001,,J1250,HCPCS,Inj dobutamine hcl/250 mg,,,29 ,,NW,,,,,,$17.35,$0.00,1,1,1,0,0,1,20091001,,J1260,HCPCS,Dolasetron mesylate,,,29 ,,NW,,,,,,$9.97,$0.00,1,1,1,0,0,1,20091001,,J1265,HCPCS,Dopamine injection,,,29 ,,NW,,,,,,$4.19,$0.00,1,1,1,0,1,1,20091001,,J1267,HCPCS,Doripenem injection,,,29 ,,NW,,,,,,$0.98,$0.00,1,1,1,0,1,1,20091001,,J1270,HCPCS,"Injection, doxercalciferol",,,29 ,,NW,,,,,,$15.29,$0.00,1,1,1,0,0,1,20091001,,J1320,HCPCS,Amitriptyline injection,,,29 ,,NW,,,,,,$7.81,$0.00,1,1,1,0,0,1,20091001,,J1324,HCPCS,Enfuvirtide injection,,,29 ,,NW,,,,,,$1.04,$0.00,1,1,1,0,1,1,20091001,,J1325,HCPCS,Epoprostenol injection,,,29 ,,NW,,,,,,"$8,189.05",$0.00,1,1,1,0,0,1,20091001,,J1327,HCPCS,Eptifibatide injection,,,29 ,,NW,,,,,,$53.28,$0.00,1,1,1,0,0,1,20091001,,J1330,HCPCS,Ergonovine maleate injection,,,29 ,,NW,,,,,,$42.97,$0.00,1,1,1,0,0,1,20091001,,J1364,HCPCS,Erythro lactobionate /500 mg,,,29 ,,NW,,,,,,$22.39,$0.00,1,1,1,0,0,1,20091001,,J1380,HCPCS,Estradiol valerate 10 mg inj,,,29 ,,NW,,,,,,$13.42,$0.00,1,1,1,0,0,1,20091001,,J1390,HCPCS,Estradiol valerate 20 mg inj,,,29 ,,NW,,,,,,$18.92,$0.00,1,1,1,0,0,1,20091001,,J1410,HCPCS,Inj estrogen conjugate 25 mg,,,29 ,,NW,,,,,,$153.42,$0.00,1,1,1,0,0,1,20091001,,J1430,HCPCS,Ethanolamine oleate 100 mg,,,29 ,,NW,,,,,,$217.52,$0.00,1,1,1,0,0,1,20091001,,J1435,HCPCS,Injection estrone per 1 mg,,,29 ,,NW,,,,,,$1.46,$0.00,1,1,1,0,0,1,20091001,,J1436,HCPCS,Etidronate disodium inj,,,29 ,,NW,,,,,,$177.23,$0.00,1,1,1,0,0,1,20091001,,J1438,HCPCS,Etanercept injection,,,29 ,,NW,,,,,,$381.01,$0.00,1,1,1,0,0,1,20091001,,J1440,HCPCS,Filgrastim 300 mcg injection,,,29 ,,NW,,,,,,$485.22,$0.00,1,1,1,0,0,1,20091001,,J1441,HCPCS,Filgrastim 480 mcg injection,,,29 ,,NW,,,,,,$764.34,$0.00,1,1,1,0,0,1,20091001,,J1450,HCPCS,Fluconazole,,,29 ,,NW,,,,,,$109.47,$0.00,1,1,1,0,0,1,20091001,,J1451,HCPCS,"Fomepizole, 15 mg",,,29 ,,NW,,,,,,$35.72,$0.00,1,1,1,0,0,1,20091001,,J1452,HCPCS,Intraocular fomivirsen na,,,29 ,,NW,,,,,,"$2,021.22",$0.00,1,1,1,0,0,1,20091001,,J1453,HCPCS,Fosaprepitant injection,,,29 ,,NW,,,,,,$2.36,$0.00,1,1,1,0,1,1,20091001,,J1455,HCPCS,Foscarnet sodium injection,,,29 ,,NW,,,,,,$21.20,$0.00,1,1,1,0,0,1,20091001,,J1458,HCPCS,Galsulfase injection,,,29 ,,NW,,,,,,$853.22,$0.00,1,1,1,0,1,1,20091001,,J1459,HCPCS,Inj ivig privigen 500 mg,,,29 ,,NW,,,,,,$50.46,$0.00,1,1,1,0,1,1,20091001,,J1460,HCPCS,Gamma globulin 1 cc inj,,,29 ,,NW,,,,,,$31.72,$0.00,1,1,1,0,0,1,20091001,,J1470,HCPCS,Gamma globulin 2 cc inj,,,29 ,,NW,,,,,,$63.57,$0.00,1,1,1,0,0,1,20091001,,J1480,HCPCS,Gamma globulin 3 cc inj,,,29 ,,NW,,,,,,$87.36,$0.00,1,1,1,0,0,1,20091001,,J1490,HCPCS,Gamma globulin 4 cc inj,,,29 ,,NW,,,,,,$111.15,$0.00,1,1,1,0,0,1,20091001,,J1500,HCPCS,Gamma globulin 5 cc inj,,,29 ,,NW,,,,,,$135.81,$0.00,1,1,1,0,0,1,20091001,,J1510,HCPCS,Gamma globulin 6 cc inj,,,29 ,,NW,,,,,,$159.61,$0.00,1,1,1,0,0,1,20091001,,J1520,HCPCS,Gamma globulin 7 cc inj,,,29 ,,NW,,,,,,$183.40,$0.00,1,1,1,0,0,1,20091001,,J1530,HCPCS,Gamma globulin 8 cc inj,,,29 ,,NW,,,,,,$208.07,$0.00,1,1,1,0,0,1,20091001,,J1540,HCPCS,Gamma globulin 9 cc inj,,,29 ,,NW,,,,,,$231.85,$0.00,1,1,1,0,0,1,20091001,,J1550,HCPCS,Gamma globulin 10 cc inj,,,29 ,,NW,,,,,,$255.64,$0.00,1,1,1,0,0,1,20091001,,J1560,HCPCS,Gamma globulin > 10 cc inj,,,29 ,,NW,,,,,,$25.82,$0.00,1,1,1,0,0,1,20091001,,J1562,HCPCS,"Vivaglobin, inj",,,29 ,,NW,,,,,,$21.24,$0.00,1,1,1,0,1,1,20091001,,J1565,HCPCS,Rsv-ivig,,,29 ,,NW,,,,,,$47.23,$0.00,1,1,1,0,0,1,20091001,,J1566,HCPCS,"Immune globulin, powder",,,29 ,,NW,,,,,,$149.75,$0.00,1,1,1,0,0,1,20091001,,J1570,HCPCS,Ganciclovir sodium injection,,,29 ,,NW,,,,,,$109.85,$0.00,1,1,1,0,0,1,20091001,,J1580,HCPCS,Garamycin gentamicin inj,,,29 ,,NW,,,,,,$8.97,$0.00,1,1,1,0,0,1,20091001,,J1590,HCPCS,Gatifloxacin injection,,,29 ,,NW,,,,,,$1.85,$0.00,1,1,1,0,0,1,20091001,,J1595,HCPCS,Injection glatiramer acetate,,,29 ,,NW,,,,,,"$3,441.58",$0.00,1,1,1,0,0,1,20091001,,J1600,HCPCS,Gold sodium thiomaleate inj,,,29 ,,NW,,,,,,$158.59,$0.00,1,1,1,0,0,1,20091001,,J1610,HCPCS,Glucagon hydrochloride/1 mg,,,29 ,,NW,,,,,,$184.23,$0.00,1,1,1,0,0,1,20091001,,J1620,HCPCS,Gonadorelin hydroch/ 100 mcg,,,29 ,,NW,,,,,,$887.31,$0.00,1,1,1,0,0,1,20091001,,J1626,HCPCS,Granisetron hcl injection,,,29 ,,NW,,,,,,$25.11,$0.00,1,1,1,0,0,1,20091001,,J1630,HCPCS,Haloperidol injection,,,29 ,,NW,,,,,,$26.63,$0.00,1,1,1,0,0,1,20091001,,J1631,HCPCS,Haloperidol decanoate inj,,,29 ,,NW,,,,,,$52.20,$0.00,1,1,1,0,0,1,20091001,,J1640,HCPCS,"Hemin, 1 mg",,,29 ,,NW,,,,,,$19.03,$0.00,1,1,1,0,0,1,20091001,,J1642,HCPCS,Inj heparin sodium per 10 u,,,29 ,,NW,,,,,,$2.20,$0.00,1,1,1,0,0,1,20091001,,J1644,HCPCS,Inj heparin sodium per 1000u,,,29 ,,NW,,,,,,$1.30,$0.00,1,1,1,0,0,1,20091001,,J1645,HCPCS,Dalteparin sodium,,,29 ,,NW,,,,,,$36.57,$0.00,1,1,1,0,0,1,20091001,,J1650,HCPCS,Inj enoxaparin sodium,,,29 ,,NW,,,,,,$16.42,$0.00,1,1,1,0,0,1,20091001,,J1652,HCPCS,Fondaparinux sodium,,,29 ,,NW,,,,,,$19.50,$0.00,1,1,1,0,0,1,20091001,,J1655,HCPCS,Tinzaparin sodium injection,,,29 ,,NW,,,,,,$9.16,$0.00,1,1,1,0,0,1,20091001,,J1670,HCPCS,Tetanus immune globulin inj,,,29 ,,NW,,,,,,$260.43,$0.00,1,1,1,0,0,1,20091001,,J1700,HCPCS,Hydrocortisone acetate inj,,,29 ,,NW,,,,,,$0.85,$0.00,1,1,1,0,0,1,20091001,,J1710,HCPCS,Hydrocortisone sodium ph inj,,,29 ,,NW,,,,,,$19.75,$0.00,1,1,1,0,0,1,20091001,,J1720,HCPCS,Hydrocortisone sodium succ i,,,29 ,,NW,,,,,,$4.93,$0.00,1,1,1,0,0,1,20091001,,J1730,HCPCS,Diazoxide injection,,,29 ,,NW,,,,,,$304.70,$0.00,1,1,1,0,0,1,20091001,,J1740,HCPCS,Ibandronate sodium injection,,,29 ,,NW,,,,,,$947.75,$0.00,1,1,1,0,1,1,20091001,,J1742,HCPCS,Ibutilide fumarate injection,,,29 ,,NW,,,,,,$798.12,$0.00,1,1,1,0,0,1,20091001,,J1745,HCPCS,Infliximab injection,,,29 ,,NW,,,,,,$139.03,$0.00,1,1,1,0,0,1,20091001,,J1756,HCPCS,Iron sucrose injection,,,29 ,,NW,,,,,,$1.41,$0.00,1,1,1,0,0,1,20091001,,J1785,HCPCS,Injection imiglucerase /unit,,,29 ,,NW,,,,,,$7.05,$0.00,1,1,1,0,0,1,20091001,,J1790,HCPCS,Droperidol injection,,,29 ,,NW,,,,,,$6.98,$0.00,1,1,1,0,0,1,20091001,,J1800,HCPCS,Propranolol injection,,,29 ,,NW,,,,,,$25.80,$0.00,1,1,1,0,0,1,20091001,,J1810,HCPCS,Droperidol/fentanyl inj,,,29 ,,NW,,,,,,$17.27,$0.00,1,1,1,0,0,1,20091001,,J1815,HCPCS,Insulin injection,,,29 ,,NW,,,,,,$149.32,$0.00,1,1,1,0,0,1,20091001,,J1817,HCPCS,Insulin for insulin pump use,,,29 ,,NW,,,,,,$372.78,$0.00,1,1,1,0,0,1,20091001,,J1825,HCPCS,Interferon beta-1a,,,29 ,,NW,,,,,,$886.59,$0.00,1,1,1,0,0,1,20091001,,J1830,HCPCS,Interferon beta-1b / .25 mg,,,29 ,,NW,,,,,,$156.97,$0.00,1,1,1,0,0,1,20091001,,J1835,HCPCS,Itraconazole injection,,,29 ,,NW,,,,,,"$2,817.33",$0.00,1,1,1,0,0,1,20091001,,J1840,HCPCS,Kanamycin sulfate 500 mg inj,,,29 ,,NW,,,,,,$15.44,$0.00,1,1,1,0,0,1,20091001,,J1850,HCPCS,Kanamycin sulfate 75 mg inj,,,29 ,,NW,,,,,,$2.31,$0.00,1,1,1,0,0,1,20091001,,J1885,HCPCS,Ketorolac tromethamine inj,,,29 ,,NW,,,,,,$9.68,$0.00,1,1,1,0,0,1,20091001,,J1890,HCPCS,Cephalothin sodium injection,,,29 ,,NW,,,,,,$29.32,$0.00,1,1,1,0,0,1,20091001,,J1930,HCPCS,Lanreotide injection,,,29 ,,NW,,,,,,$39.32,$0.00,1,1,1,0,1,1,20091001,,J1940,HCPCS,Furosemide injection,,,29 ,,NW,,,,,,$2.95,$0.00,1,1,1,0,0,1,20091001,,J1945,HCPCS,Lepirudin,,,29 ,,NW,,,,,,$449.78,$0.00,1,1,1,0,0,1,20091001,,J1950,HCPCS,Leuprolide acetate /3.75 mg,,,29 ,,NW,,,,,,"$1,291.20",$0.00,1,1,1,0,0,1,20091001,,J1953,HCPCS,Levetiracetam injection,,,29 ,,NW,,,,,,$0.62,$0.00,1,1,1,0,1,1,20091001,,J1955,HCPCS,Inj levocarnitine per 1 gm,,,29 ,,NW,,,,,,$74.84,$0.00,1,1,1,0,0,1,20091001,,J1956,HCPCS,Levofloxacin injection,,,29 ,,NW,,,,,,$45.69,$0.00,1,1,1,0,0,1,20091001,,J1960,HCPCS,Levorphanol tartrate inj,,,29 ,,NW,,,,,,$9.32,$0.00,1,1,1,0,0,1,20091001,,J1980,HCPCS,Hyoscyamine sulfate inj,,,29 ,,NW,,,,,,$27.85,$0.00,1,1,1,0,0,1,20091001,,J1990,HCPCS,Chlordiazepoxide injection,,,29 ,,NW,,,,,,$61.94,$0.00,1,1,1,0,0,1,20091001,,J2001,HCPCS,Lidocaine injection,,,29 ,,NW,,,,,,$4.06,$0.00,1,1,1,0,0,1,20091001,,J2010,HCPCS,Lincomycin injection,,,29 ,,NW,,,,,,$13.80,$0.00,1,1,1,0,0,1,20091001,,J2020,HCPCS,Linezolid injection,,,29 ,,NW,,,,,,"$4,528.61",$0.00,1,1,1,0,0,1,20091001,,J2060,HCPCS,Lorazepam injection,,,29 ,,NW,,,,,,$18.05,$0.00,1,1,1,0,0,1,20091001,,J2150,HCPCS,Mannitol injection,,,29 ,,NW,,,,,,$7.57,$0.00,1,1,1,0,0,1,20091001,,J2170,HCPCS,Mecasermin injection,,,29 ,,NW,,,,,,$16.36,$0.00,1,1,1,0,1,1,20091001,,J2175,HCPCS,Meperidine hydrochl /100 mg,,,29 ,,NW,,,,,,$2.56,$0.00,1,1,1,0,0,1,20091001,,J2180,HCPCS,Meperidine/promethazine inj,,,29 ,,NW,,,,,,$21.72,$0.00,1,1,1,0,0,1,20091001,,J2210,HCPCS,Methylergonovin maleate inj,,,29 ,,NW,,,,,,$13.87,$0.00,1,1,1,0,0,1,20091001,,J2248,HCPCS,Micafungin sodium injection,,,29 ,,NW,,,,,,$3.77,$0.00,1,1,1,0,1,1,20091001,,J2250,HCPCS,Inj midazolam hydrochloride,,,29 ,,NW,,,,,,$1.72,$0.00,1,1,1,0,0,1,20091001,,J2260,HCPCS,Inj milrinone lactate / 5 mg,,,29 ,,NW,,,,,,$117.78,$0.00,1,1,1,0,0,1,20091001,,J2270,HCPCS,Morphine sulfate injection,,,29 ,,NW,,,,,,$6.36,$0.00,1,1,1,0,0,1,20091001,,J2271,HCPCS,Morphine so4 injection 100mg,,,29 ,,NW,,,,,,$17.24,$0.00,1,1,1,0,0,1,20091001,,J2275,HCPCS,Morphine sulfate injection,,,29 ,,NW,,,,,,$15.91,$0.00,1,1,1,0,0,1,20091001,,J2278,HCPCS,Ziconotide injection,,,29 ,,NW,,,,,,$19.91,$0.00,1,1,1,0,0,1,20091001,,J2300,HCPCS,Inj nalbuphine hydrochloride,,,29 ,,NW,,,,,,$4.14,$0.00,1,1,1,0,0,1,20091001,,J2310,HCPCS,Inj naloxone hydrochloride,,,29 ,,NW,,,,,,$17.49,$0.00,1,1,1,0,0,1,20091001,,J2315,HCPCS,"Naltrexone, depot form",,,29 ,,NW,,,,,,$2.01,$0.00,1,1,1,0,1,1,20091001,,J2320,HCPCS,Nandrolone decanoate 50 mg,,,29 ,,NW,,,,,,$9.51,$0.00,1,1,1,0,0,1,20091001,,J2321,HCPCS,Nandrolone decanoate 100 mg,,,29 ,,NW,,,,,,$19.00,$0.00,1,1,1,0,0,1,20091001,,J2322,HCPCS,Nandrolone decanoate 200 mg,,,29 ,,NW,,,,,,$40.02,$0.00,1,1,1,0,0,1,20091001,,J2325,HCPCS,Nesiritide injection,,,29 ,,NW,,,,,,$89.70,$0.00,1,1,1,0,0,1,20091001,,J2355,HCPCS,Oprelvekin injection,,,29 ,,NW,,,,,,$702.73,$0.00,1,1,1,0,0,1,20091001,,J2360,HCPCS,Orphenadrine injection,,,29 ,,NW,,,,,,$32.30,$0.00,1,1,1,0,0,1,20091001,,J2370,HCPCS,Phenylephrine hcl injection,,,29 ,,NW,,,,,,$5.27,$0.00,1,1,1,0,0,1,20091001,,J2400,HCPCS,Chloroprocaine hcl injection,,,29 ,,NW,,,,,,$11.69,$0.00,1,1,1,0,0,1,20091001,,J2405,HCPCS,Ondansetron hcl injection,,,29 ,,NW,,,,,,$15.33,$0.00,1,1,1,0,0,1,20091001,,J2410,HCPCS,Oxymorphone hcl injection,,,29 ,,NW,,,,,,$7.68,$0.00,1,1,1,0,0,1,20091001,,J2425,HCPCS,Palifermin injection,,,29 ,,NW,,,,,,$26.31,$0.00,1,1,1,0,0,1,20091001,,J2430,HCPCS,Pamidronate disodium /30 mg,,,29 ,,NW,,,,,,$576.42,$0.00,1,1,1,0,0,1,20091001,,J2440,HCPCS,Papaverin hcl injection,,,29 ,,NW,,,,,,$5.83,$0.00,1,1,1,0,0,1,20091001,,J2460,HCPCS,Oxytetracycline injection,,,29 ,,NW,,,,,,$1.85,$0.00,1,1,1,0,0,1,20091001,,J2501,HCPCS,Paricalcitol,,,29 ,,NW,,,,,,$13.14,$0.00,1,1,1,0,0,1,20091001,,J2503,HCPCS,Pegaptanib sodium injection,,,29 ,,NW,,,,,,"$2,375.55",$0.00,1,1,1,0,0,1,20091001,,J2504,HCPCS,"Pegademase bovine, 25 iu",,,29 ,,NW,,,,,,$354.35,$0.00,1,1,1,0,0,1,20091001,,J2510,HCPCS,Penicillin g procaine inj,,,29 ,,NW,,,,,,$28.07,$0.00,1,1,1,0,0,1,20091001,,J2513,HCPCS,Pentastarch 10% solution,,,29 ,,NW,,,,,,$8.01,$0.00,1,1,1,0,0,1,20091001,,J2515,HCPCS,Pentobarbital sodium inj,,,29 ,,NW,,,,,,$20.60,$0.00,1,1,1,0,0,1,20091001,,J2540,HCPCS,Penicillin g potassium inj,,,29 ,,NW,,,,,,$7.81,$0.00,1,1,1,0,0,1,20091001,,J2543,HCPCS,Piperacillin/tazobactam,,,29 ,,NW,,,,,,$943.42,$0.00,1,1,1,0,0,1,20091001,,J2545,HCPCS,Pentamidine non-comp unit,,,29 ,,NW,,,,,,$179.17,$0.00,1,1,1,0,0,1,20091001,,J2550,HCPCS,Promethazine hcl injection,,,29 ,,NW,,,,,,$7.35,$0.00,1,1,1,0,0,1,20091001,,J2560,HCPCS,Phenobarbital sodium inj,,,29 ,,NW,,,,,,$21.12,$0.00,1,1,1,0,0,1,20091001,,J2590,HCPCS,Oxytocin injection,,,29 ,,NW,,,,,,$8.48,$0.00,1,1,1,0,0,1,20091001,,J2597,HCPCS,Inj desmopressin acetate,,,29 ,,NW,,,,,,$19.74,$0.00,1,1,1,0,0,1,20091001,,J2650,HCPCS,Prednisolone acetate inj,,,29 ,,NW,,,,,,$0.65,$0.00,1,1,1,0,0,1,20091001,,J2670,HCPCS,Totazoline hcl injection,,,29 ,,NW,,,,,,$10.21,$0.00,1,1,1,0,0,1,20091001,,J2675,HCPCS,Inj progesterone per 50 mg,,,29 ,,NW,,,,,,$8.44,$0.00,1,1,1,0,0,1,20091001,,J2680,HCPCS,Fluphenazine decanoate 25 mg,,,29 ,,NW,,,,,,$19.33,$0.00,1,1,1,0,0,1,20091001,,J2690,HCPCS,Procainamide hcl injection,,,29 ,,NW,,,,,,$10.43,$0.00,1,1,1,0,0,1,20091001,,J2700,HCPCS,Oxacillin sodium injeciton,,,29 ,,NW,,,,,,$7.62,$0.00,1,1,1,0,0,1,20091001,,J2710,HCPCS,Neostigmine methylslfte inj,,,29 ,,NW,,,,,,$5.13,$0.00,1,1,1,0,0,1,20091001,,J2720,HCPCS,Inj protamine sulfate/10 mg,,,29 ,,NW,,,,,,$3.13,$0.00,1,1,1,0,0,1,20091001,,J2725,HCPCS,Inj protirelin per 250 mcg,,,29 ,,NW,,,,,,$66.22,$0.00,1,1,1,0,0,1,20091001,,J2730,HCPCS,Pralidoxime chloride inj,,,29 ,,NW,,,,,,$244.95,$0.00,1,1,1,0,0,1,20091001,,J2760,HCPCS,Phentolaine mesylate inj,,,29 ,,NW,,,,,,$78.40,$0.00,1,1,1,0,0,1,20091001,,J2765,HCPCS,Metoclopramide hcl injection,,,29 ,,NW,,,,,,$4.80,$0.00,1,1,1,0,0,1,20091001,,J2770,HCPCS,Quinupristin/dalfopristin,,,29 ,,NW,,,,,,$353.88,$0.00,1,1,1,0,0,1,20091001,,J2780,HCPCS,Ranitidine hydrochloride inj,,,29 ,,NW,,,,,,$4.19,$0.00,1,1,1,0,0,1,20091001,,J2785,HCPCS,Regadenoson injection,,,29 ,,NW,,,,,,$321.74,$0.00,1,1,1,0,1,1,20091001,,J2788,HCPCS,Rho d immune globulin 50 mcg,,,29 ,,NW,,,,,,$106.91,$0.00,1,1,1,0,0,1,20091001,,J2790,HCPCS,Rho d immune globulin inj,,,29 ,,NW,,,,,,$262.97,$0.00,1,1,1,0,0,1,20091001,,J2792,HCPCS,"Rho(d) immune globulin h, sd",,,29 ,,NW,,,,,,$24.29,$0.00,1,1,1,0,0,1,20091001,,J2795,HCPCS,Ropivacaine hcl injection,,,29 ,,NW,,,,,,$0.48,$0.00,1,1,1,0,0,1,20091001,,J2800,HCPCS,Methocarbamol injection,,,29 ,,NW,,,,,,$35.33,$0.00,1,1,1,0,0,1,20091001,,J2805,HCPCS,Sincalide injection,,,29 ,,NW,,,,,,$148.05,$0.00,1,1,1,0,0,1,20091001,,J2810,HCPCS,Inj theophylline per 40 mg,,,29 ,,NW,,,,,,$1.80,$0.00,1,1,1,0,0,1,20091001,,J2820,HCPCS,Sargramostim injection,,,29 ,,NW,,,,,,$75.38,$0.00,1,1,1,0,0,1,20091001,,J2850,HCPCS,Inj secretin synthetic human,,,29 ,,NW,,,,,,$57.40,$0.00,1,1,1,0,0,1,20091001,,J2910,HCPCS,Aurothioglucose injeciton,,,29 ,,NW,,,,,,$48.43,$0.00,1,1,1,0,0,1,20091001,,J2916,HCPCS,Na ferric gluconate complex,,,29 ,,NW,,,,,,$17.81,$0.00,1,1,1,0,0,1,20091001,,J2920,HCPCS,Methylprednisolone injection,,,29 ,,NW,,,,,,$6.41,$0.00,1,1,1,0,0,1,20091001,,J2930,HCPCS,Methylprednisolone injection,,,29 ,,NW,,,,,,$16.64,$0.00,1,1,1,0,0,1,20091001,,J2940,HCPCS,Somatrem injection,,,29 ,,NW,,,,,,$111.15,$0.00,1,1,1,0,0,1,20091001,,J2941,HCPCS,Somatropin injection,,,29 ,,NW,,,,,,$122.85,$0.00,1,1,1,0,0,1,20091001,,J2950,HCPCS,Promazine hcl injection,,,29 ,,NW,,,,,,$0.65,$0.00,1,1,1,0,0,1,20091001,,J2993,HCPCS,Reteplase injection,,,29 ,,NW,,,,,,"$3,405.66",$0.00,1,1,1,0,0,1,20091001,,J2995,HCPCS,Inj streptokinase /250000 iu,,,29 ,,NW,,,,,,$220.72,$0.00,1,1,1,0,0,1,20091001,,J2997,HCPCS,Alteplase recombinant,,,29 ,,NW,,,,,,$87.56,$0.00,1,1,1,0,0,1,20091001,,J3000,HCPCS,Streptomycin injection,,,29 ,,NW,,,,,,$21.42,$0.00,1,1,1,0,0,1,20091001,,J3010,HCPCS,Fentanyl citrate injeciton,,,29 ,,NW,,,,,,$4.77,$0.00,1,1,1,0,0,1,20091001,,J3030,HCPCS,Sumatriptan succinate / 6 mg,,,29 ,,NW,,,,,,$139.79,$0.00,1,1,1,0,0,1,20091001,,J3070,HCPCS,Pentazocine injection,,,29 ,,NW,,,,,,$82.19,$0.00,1,1,1,0,0,1,20091001,,J3101,HCPCS,Tenecteplase injection,,,29 ,,NW,,,,,,"$2,894.18",$0.00,1,1,1,0,1,1,20091001,,J3105,HCPCS,Terbutaline sulfate inj,,,29 ,,NW,,,,,,$66.99,$0.00,1,1,1,0,0,1,20091001,,J3110,HCPCS,Teriparatide injection,,,29 ,,NW,,,,,,$19.51,$0.00,1,1,1,0,0,1,20091001,,J3120,HCPCS,Testosterone enanthate inj,,,29 ,,NW,,,,,,$23.43,$0.00,1,1,1,0,0,1,20091001,,J3130,HCPCS,Testosterone enanthate inj,,,29 ,,NW,,,,,,$46.58,$0.00,1,1,1,0,0,1,20091001,,J3140,HCPCS,Testosterone suspension inj,,,29 ,,NW,,,,,,$17.50,$0.00,1,1,1,0,0,1,20091001,,J3150,HCPCS,Testosteron propionate inj,,,29 ,,NW,,,,,,$1.98,$0.00,1,1,1,0,0,1,20091001,,J3230,HCPCS,Chlorpromazine hcl injection,,,29 ,,NW,,,,,,$7.60,$0.00,1,1,1,0,0,1,20091001,,J3240,HCPCS,Thyrotropin injection,,,29 ,,NW,,,,,,"$1,837.09",$0.00,1,1,1,0,0,1,20091001,,J3243,HCPCS,Tigecycline injection,,,29 ,,NW,,,,,,$113.82,$0.00,1,1,1,0,1,1,20091001,,J3250,HCPCS,Trimethobenzamide hcl inj,,,29 ,,NW,,,,,,$7.71,$0.00,1,1,1,0,0,1,20091001,,J3260,HCPCS,Tobramycin sulfate injection,,,29 ,,NW,,,,,,$10.28,$0.00,1,1,1,0,0,1,20091001,,J3265,HCPCS,Injection torsemide 10 mg/ml,,,29 ,,NW,,,,,,$7.08,$0.00,1,1,1,0,0,1,20091001,,J3280,HCPCS,Thiethylperazine maleate inj,,,29 ,,NW,,,,,,$14.01,$0.00,1,1,1,0,0,1,20091001,,J3285,HCPCS,Treprostinil injection,,,29 ,,NW,,,,,,$141.66,$0.00,1,1,1,0,0,1,20091001,,J3301,HCPCS,Triamcinolone acet inj nos,,,29 ,,NW,,,,,,$4.46,$0.00,1,1,1,0,0,1,20091001,,J3302,HCPCS,Triamcinolone diacetate inj,,,29 ,,NW,,,,,,$1.61,$0.00,1,1,1,0,0,1,20091001,,J3303,HCPCS,Triamcinolone hexacetonl inj,,,29 ,,NW,,,,,,$5.82,$0.00,1,1,1,0,0,1,20091001,,J3305,HCPCS,Inj trimetrexate glucoronate,,,29 ,,NW,,,,,,$315.55,$0.00,1,1,1,0,0,1,20091001,,J3310,HCPCS,Perphenazine injeciton,,,29 ,,NW,,,,,,$25.74,$0.00,1,1,1,0,0,1,20091001,,J3315,HCPCS,Triptorelin pamoate,,,29 ,,NW,,,,,,"$1,114.07",$0.00,1,1,1,0,0,1,20091001,,J3320,HCPCS,Spectinomycn di-hcl inj,,,29 ,,NW,,,,,,$75.03,$0.00,1,1,1,0,0,1,20091001,,J3350,HCPCS,Urea injection,,,29 ,,NW,,,,,,$552.36,$0.00,1,1,1,0,0,1,20091001,,J3355,HCPCS,"Urofollitropin, 75 iu",,,29 ,,NW,,,,,,$169.14,$0.00,1,1,1,0,0,1,20091001,,J3360,HCPCS,Diazepam injection,,,29 ,,NW,,,,,,$2.96,$0.00,1,1,1,0,0,1,20091001,,J3364,HCPCS,Urokinase 5000 iu injection,,,29 ,,NW,,,,,,$29.32,$0.00,1,1,1,0,0,1,20091001,,J3365,HCPCS,"Urokinase 250,000 iu inj",,,29 ,,NW,,,,,,"$1,095.25",$0.00,1,1,1,0,0,1,20091001,,J3370,HCPCS,Vancomycin hcl injection,,,29 ,,NW,,,,,,$14.53,$0.00,1,1,1,0,0,1,20091001,,J3400,HCPCS,Triflupromazine hcl inj,,,29 ,,NW,,,,,,$99.57,$0.00,1,1,1,0,0,1,20091001,,J3410,HCPCS,Hydroxyzine hcl injection,,,29 ,,NW,,,,,,$2.80,$0.00,1,1,1,0,0,1,20091001,,J3420,HCPCS,Vitamin b12 injection,,,29 ,,NW,,,,,,$1.85,$0.00,1,1,1,0,0,1,20091001,,J3430,HCPCS,Vitamin k phytonadione inj,,,29 ,,NW,,,,,,$6.04,$0.00,1,1,1,0,0,1,20091001,,J3470,HCPCS,Hyaluronidase injection,,,29 ,,NW,,,,,,$68.80,$0.00,1,1,1,0,0,1,20091001,,J3471,HCPCS,"Ovine, up to 999 usp units",,,29 ,,NW,,,,,,$0.27,$0.00,1,1,1,0,0,1,20091001,,J3472,HCPCS,"Ovine, 1000 usp units",,,29 ,,NW,,,,,,$329.61,$0.00,1,1,1,0,0,1,20091001,,J3473,HCPCS,Hyaluronidase recombinant,,,29 ,,NW,,,,,,$1.08,$0.00,1,1,1,0,1,1,20091001,,J3475,HCPCS,Inj magnesium sulfate,,,29 ,,NW,,,,,,$1.90,$0.00,1,1,1,0,0,1,20091001,,J3480,HCPCS,Inj potassium chloride,,,29 ,,NW,,,,,,$1.08,$0.00,1,1,1,0,0,1,20091001,,J3485,HCPCS,Zidovudine,,,29 ,,NW,,,,,,$3.06,$0.00,1,1,1,0,0,1,20091001,,J3487,HCPCS,Zoledronic acid,,,29 ,,NW,,,,,,$500.51,$0.00,1,1,1,0,0,1,20091001,,J3490,HCPCS,Drugs unclassified injection,,,29 ,,NW,,,,,,$478.12,$0.00,1,1,1,0,0,1,20091001,,J3520,HCPCS,Edetate disodium per 150 mg,,,29 ,,NW,,,,,,$1.15,$0.00,1,1,1,0,0,1,20091001,,J3535,HCPCS,Metered dose inhaler drug,,,29 ,,NW,,,,,,$45.66,$0.00,1,1,1,0,0,1,20091001,,J3570,HCPCS,Laetrile amygdalin vit b17,,,29 ,,NW,,,,,,$47.95,$0.00,1,1,1,0,0,1,20091001,,J3590,HCPCS,Unclassified biologics,,,29 ,,NW,,,,,,"$3,345.58",$0.00,1,1,1,0,1,1,20091001,,J7030,HCPCS,Normal saline solution infus,,,29 ,,NW,,,,,,$12.38,$0.00,1,1,1,0,0,1,20091001,,J7040,HCPCS,Normal saline solution infus,,,29 ,,NW,,,,,,$14.04,$0.00,1,1,1,0,0,1,20091001,,J7042,HCPCS,5% dextrose/normal saline,,,29 ,,NW,,,,,,$10.64,$0.00,1,1,1,0,0,1,20091001,,J7050,HCPCS,Normal saline solution infus,,,29 ,,NW,,,,,,$11.70,$0.00,1,1,1,0,0,1,20091001,,J7060,HCPCS,5% dextrose/water,,,29 ,,NW,,,,,,$20.10,$0.00,1,1,1,0,0,1,20091001,,J7070,HCPCS,D5w infusion,,,29 ,,NW,,,,,,$19.39,$0.00,1,1,1,0,0,1,20091001,,J7100,HCPCS,Dextran 40 infusion,,,29 ,,NW,,,,,,$234.09,$0.00,1,1,1,0,0,1,20091001,,J7110,HCPCS,Dextran 75 infusion,,,29 ,,NW,,,,,,$40.05,$0.00,1,1,1,0,0,1,20091001,,J7120,HCPCS,Ringers lactate infusion,,,29 ,,NW,,,,,,$50.59,$0.00,1,1,1,0,0,1,20091001,,J7130,HCPCS,Hypertonic saline solution,,,29 ,,NW,,,,,,$0.65,$0.00,1,1,1,0,0,1,20091001,,J7186,HCPCS,Antihemophilic viii/vwf comp,,,29 ,,NW,,,,,,$1.22,$0.00,1,1,1,0,1,1,20091001,,J7187,HCPCS,"Humate-p, inj",,,29 ,,NW,,,,,,$0.91,$0.00,1,1,1,0,1,1,20091001,,J7189,HCPCS,Factor viia,,,29 ,,NW,,,,,,$5.18,$0.00,1,1,1,0,0,1,20091001,,J7190,HCPCS,Factor viii,,,29 ,,NW,,,,,,$2.09,$0.00,1,1,1,0,0,1,20091001,,J7191,HCPCS,Factor viii (porcine),,,29 ,,NW,,,,,,$5.44,$0.00,1,1,1,0,0,1,20091001,,J7192,HCPCS,Factor viii recombinant,,,29 ,,NW,,,,,,$2.82,$0.00,1,1,1,0,0,1,20091001,,J7193,HCPCS,Factor ix non-recombinant,,,29 ,,NW,,,,,,$2.70,$0.00,1,1,1,0,0,1,20091001,,J7194,HCPCS,Factor ix complex,,,29 ,,NW,,,,,,$2.14,$0.00,1,1,1,0,0,1,20091001,,J7195,HCPCS,Factor ix recombinant,,,29 ,,NW,,,,,,$1.53,$0.00,1,1,1,0,0,1,20091001,,J7197,HCPCS,Antithrombin iii injection,,,29 ,,NW,,,,,,$5.34,$0.00,1,1,1,0,0,1,20091001,,J7198,HCPCS,Anti-inhibitor,,,29 ,,NW,,,,,,$3.88,$0.00,1,1,1,0,0,1,20091001,,J7300,HCPCS,Intraut copper contraceptive,,,29 ,,NW,,,,,,$946.55,$0.00,1,1,1,1,1,1,20091001,,J7302,HCPCS,Levonorgestrel iu contracept,,,29 ,,NW,,,,,,"$1,026.03",$0.00,1,1,1,1,1,1,20091001,,J7303,HCPCS,Contraceptive vaginal ring,,,29 ,,NW,,,,,,$81.45,$0.00,1,1,1,0,1,1,20091001,,J7306,HCPCS,Levonorgestrel implant sys,,,29 ,,NW,,,,,,"$1,164.65",$0.00,1,1,1,0,1,1,20091001,,J7308,HCPCS,Aminolevulinic acid hcl top,,,29 ,,NW,,,,,,$333.74,$0.00,1,1,1,0,0,1,20091001,,J7310,HCPCS,Ganciclovir long act implant,,,29 ,,NW,,,,,,"$12,713.49",$0.00,1,1,1,0,0,1,20091001,,J7311,HCPCS,Fluocinolone acetonide implt,,,29 ,,NW,,,,,,"$18,923.65",$0.00,1,1,1,0,1,1,20091001,,J7330,HCPCS,Cultured chondrocytes implnt,,,29 ,,NW,,,,,,"$32,026.33",$0.00,1,1,1,0,0,1,20091001,,J7500,HCPCS,Azathioprine oral 50mg,,,29 ,,NW,,,,,,$45.23,$0.00,1,1,1,0,0,1,20091001,,J7501,HCPCS,Azathioprine parenteral,,,29 ,,NW,,,,,,$192.11,$0.00,1,1,1,0,0,1,20091001,,J7502,HCPCS,Cyclosporine oral 100 mg,,,29 ,,NW,,,,,,$238.94,$0.00,1,1,1,0,0,1,20091001,,J7504,HCPCS,Lymphocyte immune globulin,,,29 ,,NW,,,,,,$948.90,$0.00,1,1,1,0,0,1,20091001,,J7505,HCPCS,Monoclonal antibodies,,,29 ,,NW,,,,,,"$2,690.13",$0.00,1,1,1,0,0,1,20091001,,J7506,HCPCS,Prednisone oral,,,29 ,,NW,,,,,,$8.14,$0.00,1,1,1,0,0,1,20091001,,J7507,HCPCS,Tacrolimus oral per 1 mg,,,29 ,,NW,,,,,,$487.77,$0.00,1,1,1,0,0,1,20091001,,J7509,HCPCS,Methylprednisolone oral,,,29 ,,NW,,,,,,$1.59,$0.00,1,1,1,0,0,1,20091001,,J7510,HCPCS,Prednisolone oral per 5 mg,,,29 ,,NW,,,,,,$0.21,$0.00,1,1,1,0,0,1,20091001,,J7511,HCPCS,Antithymocyte globuln rabbit,,,29 ,,NW,,,,,,"$1,101.84",$0.00,1,1,1,0,0,1,20091001,,J7513,HCPCS,"Daclizumab, parenteral",,,29 ,,NW,,,,,,"$1,161.50",$0.00,1,1,1,0,0,1,20091001,,J7515,HCPCS,Cyclosporine oral 25 mg,,,29 ,,NW,,,,,,$131.89,$0.00,1,1,1,0,0,1,20091001,,J7516,HCPCS,Cyclosporin parenteral 250mg,,,29 ,,NW,,,,,,$34.58,$0.00,1,1,1,0,0,1,20091001,,J7517,HCPCS,Mycophenolate mofetil oral,,,29 ,,NW,,,,,,$405.03,$0.00,1,1,1,0,0,1,20091001,,J7520,HCPCS,"Sirolimus, oral",,,29 ,,NW,,,,,,$532.02,$0.00,1,1,1,0,0,1,20091001,,J7525,HCPCS,Tacrolimus injection,,,29 ,,NW,,,,,,$385.97,$0.00,1,1,1,0,0,1,20091001,,J7599,HCPCS,Immunosuppressive drug noc,,,29 ,,NW,,,,,,$800.31,$0.00,1,1,1,0,0,1,20091001,,J7608,HCPCS,Acetylcysteine non-comp unit,,,29 ,,NW,,,,,,$169.78,$0.00,1,1,1,0,0,1,20091001,,J7611,HCPCS,Albuterol non-comp con,,,29 ,,NW,,,,,,$42.75,$0.00,1,1,1,0,1,1,20091001,,J7612,HCPCS,Levalbuterol non-comp con,,,29 ,,NW,,,,,,$6.10,$0.00,1,1,1,0,1,1,20091001,,J7613,HCPCS,Albuterol non-comp unit,,,29 ,,NW,,,,,,$1.04,$0.00,1,1,1,0,1,1,20091001,,J7614,HCPCS,Levalbuterol non-comp unit,,,29 ,,NW,,,,,,$4.82,$0.00,1,1,1,0,1,1,20091001,,J7615,HCPCS,Levalbuterol comp unit,,,29 ,,NW,,,,,,$4.55,$0.00,1,1,1,0,1,1,20091001,,J7620,HCPCS,Albuterol ipratrop non-comp,,,29 ,,NW,,,,,,$593.83,$0.00,1,1,1,0,0,1,20091001,,J7622,HCPCS,Beclomethasone comp unit,,,29 ,,NW,,,,,,$0.65,$0.00,1,1,1,0,0,1,20091001,,J7624,HCPCS,Betamethasone comp unit,,,29 ,,NW,,,,,,$2.12,$0.00,1,1,1,0,0,1,20091001,,J7626,HCPCS,Budesonide non-comp unit,,,29 ,,NW,,,,,,$11.49,$0.00,1,1,1,0,0,1,20091001,,J7627,HCPCS,Budesonide comp unit,,,29 ,,NW,,,,,,$13.44,$0.00,1,1,1,0,1,1,20091001,,J7628,HCPCS,Bitolterol mesylate comp con,,,29 ,,NW,,,,,,$0.74,$0.00,1,1,1,0,0,1,20091001,,J7629,HCPCS,Bitolterol mesylate comp unt,,,29 ,,NW,,,,,,"$2,393.08",$0.00,1,1,1,0,0,1,20091001,,J7631,HCPCS,Cromolyn sodium noncomp unit,,,29 ,,NW,,,,,,$0.78,$0.00,1,1,1,0,0,1,20091001,,J7633,HCPCS,Budesonide non-comp con,,,29 ,,NW,,,,,,$151.67,$0.00,1,1,1,0,0,1,20091001,,J7635,HCPCS,Atropine comp con,,,29 ,,NW,,,,,,$14.93,$0.00,1,1,1,0,0,1,20091001,,J7636,HCPCS,Atropine comp unit,,,29 ,,NW,,,,,,$0.65,$0.00,1,1,1,0,0,1,20091001,,J7637,HCPCS,Dexamethasone comp con,,,29 ,,NW,,,,,,$16.32,$0.00,1,1,1,0,0,1,20091001,,J7638,HCPCS,Dexamethasone comp unit,,,29 ,,NW,,,,,,$0.65,$0.00,1,1,1,0,0,1,20091001,,J7639,HCPCS,Dornase alfa non-comp unit,,,29 ,,NW,,,,,,$54.66,$0.00,1,1,1,0,0,1,20091001,,J7640,HCPCS,Formoterol comp unit,,,29 ,,NW,,,,,,$117.69,$0.00,1,1,1,0,1,1,20091001,,J7641,HCPCS,Flunisolide comp unit,,,29 ,,NW,,,,,,$31.41,$0.00,1,1,1,0,0,1,20091001,,J7642,HCPCS,Glycopyrrolate comp con,,,29 ,,NW,,,,,,$0.65,$0.00,1,1,1,0,0,1,20091001,,J7643,HCPCS,Glycopyrrolate comp unit,,,29 ,,NW,,,,,,$0.65,$0.00,1,1,1,0,0,1,20091001,,J7644,HCPCS,Ipratropium bromide non-comp,,,29 ,,NW,,,,,,$308.54,$0.00,1,1,1,0,0,1,20091001,,J7649,HCPCS,Isoetharine non-comp unit,,,29 ,,NW,,,,,,$1.85,$0.00,1,1,1,0,0,1,20091001,,J7658,HCPCS,Isoproterenol non-comp con,,,29 ,,NW,,,,,,$10.21,$0.00,1,1,1,0,0,1,20091001,,J7659,HCPCS,Isoproterenol non-comp unit,,,29 ,,NW,,,,,,$10.21,$0.00,1,1,1,0,0,1,20091001,,J7668,HCPCS,Metaproterenol non-comp con,,,29 ,,NW,,,,,,$0.20,$0.00,1,1,1,0,0,1,20091001,,J7669,HCPCS,Metaproterenol non-comp unit,,,29 ,,NW,,,,,,$3.23,$0.00,1,1,1,0,0,1,20091001,,J7680,HCPCS,Terbutaline sulf comp con,,,29 ,,NW,,,,,,$38.59,$0.00,1,1,1,0,0,1,20091001,,J7681,HCPCS,Terbutaline sulf comp unit,,,29 ,,NW,,,,,,$38.59,$0.00,1,1,1,0,0,1,20091001,,J7682,HCPCS,Tobramycin non-comp unit,,,29 ,,NW,,,,,,$143.61,$0.00,1,1,1,0,0,1,20091001,,J7683,HCPCS,Triamcinolone comp con,,,29 ,,NW,,,,,,$13.84,$0.00,1,1,1,0,0,1,20091001,,J7684,HCPCS,Triamcinolone comp unit,,,29 ,,NW,,,,,,$13.84,$0.00,1,1,1,0,0,1,20091001,,J7685,HCPCS,Tobramycin comp unit,,,29 ,,NW,,,,,,$218.75,$0.00,1,1,1,0,1,1,20091001,,J7699,HCPCS,Inhalation solution for dme,,,29 ,,NW,,,,,,$158.74,$0.00,1,1,1,0,0,1,20091001,,J7799,HCPCS,Non-inhalation drug for dme,,,29 ,,NW,,,,,,"$1,442.08",$0.00,1,1,1,0,0,1,20091001,,J8499,HCPCS,Oral prescrip drug non chemo,,,29 ,,NW,,,,,,$86.01,$0.00,1,1,1,0,0,1,20091001,,J8501,HCPCS,Oral aprepitant,,,29 ,,NW,,,,,,$186.26,$0.00,1,1,1,0,0,1,20091001,,J8510,HCPCS,Oral busulfan,,,29 ,,NW,,,,,,$6.69,$0.00,1,1,1,0,0,1,20091001,,J8520,HCPCS,"Capecitabine, oral, 150 mg",,,29 ,,NW,,,,,,$11.22,$0.00,1,1,1,0,0,1,20091001,,J8521,HCPCS,"Capecitabine, oral, 500 mg",,,29 ,,NW,,,,,,$33.42,$0.00,1,1,1,0,0,1,20091001,,J8530,HCPCS,Cyclophosphamide oral 25 mg,,,29 ,,NW,,,,,,$7.93,$0.00,1,1,1,0,0,1,20091001,,J8540,HCPCS,Oral dexamethasone,,,29 ,,NW,,,,,,$0.30,$0.00,1,1,1,0,0,1,20091001,,J8560,HCPCS,Etoposide oral 50 mg,,,29 ,,NW,,,,,,$130.20,$0.00,1,1,1,0,0,1,20091001,,J8565,HCPCS,Gefitinib oral,,,29 ,,NW,,,,,,$160.28,$0.00,1,1,1,0,0,1,20091001,,J8597,HCPCS,Antiemetic drug oral nos,,,29 ,,NW,,,,,,$748.00,$0.00,1,1,1,0,1,1,20091001,,J8600,HCPCS,Melphalan oral 2 mg,,,29 ,,NW,,,,,,$13.87,$0.00,1,1,1,0,0,1,20091001,,J8610,HCPCS,Methotrexate oral 2.5 mg,,,29 ,,NW,,,,,,$10.52,$0.00,1,1,1,0,0,1,20091001,,J8650,HCPCS,Nabilone oral,,,29 ,,NW,,,,,,$47.09,$0.00,1,1,1,0,1,1,20091001,,J8700,HCPCS,Temozolomide,,,29 ,,NW,,,,,,$17.37,$0.00,1,1,1,0,0,1,20091001,,J8705,HCPCS,Topotecan oral,,,29 ,,NW,,,,,,$102.87,$0.00,1,1,1,0,1,1,20091001,,J8999,HCPCS,Oral prescription drug chemo,,,29 ,,NW,,,,,,"$1,109.87",$0.00,1,1,1,0,0,1,20091001,,J9000,HCPCS,Doxorubicin hcl injection,,,29 ,,NW,,,,,,$50.31,$0.00,1,1,1,0,0,1,20091001,,J9001,HCPCS,Doxorubicin hcl liposome inj,,,29 ,,NW,,,,,,$958.14,$0.00,1,1,1,0,0,1,20091001,,J9010,HCPCS,Alemtuzumab injection,,,29 ,,NW,,,,,,"$1,262.44",$0.00,1,1,1,0,0,1,20091001,,J9015,HCPCS,Aldesleukin injection,,,29 ,,NW,,,,,,"$1,860.17",$0.00,1,1,1,0,0,1,20091001,,J9017,HCPCS,Arsenic trioxide injection,,,29 ,,NW,,,,,,$830.54,$0.00,1,1,1,0,0,1,20091001,,J9020,HCPCS,Asparaginase injection,,,29 ,,NW,,,,,,$148.98,$0.00,1,1,1,0,0,1,20091001,,J9025,HCPCS,Azacitidine injection,,,29 ,,NW,,,,,,$10.58,$0.00,1,1,1,0,0,1,20091001,,J9027,HCPCS,Clofarabine injection,,,29 ,,NW,,,,,,$318.89,$0.00,1,1,1,0,0,1,20091001,,J9031,HCPCS,Bcg live intravesical vac,,,29 ,,NW,,,,,,$351.85,$0.00,1,1,1,0,0,1,20091001,,J9033,HCPCS,Bendamustine injection,,,29 ,,NW,,,,,,$28.05,$0.00,1,1,1,0,1,1,20091001,,J9040,HCPCS,Bleomycin sulfate injection,,,29 ,,NW,,,,,,$493.08,$0.00,1,1,1,0,0,1,20091001,,J9045,HCPCS,Carboplatin injection,,,29 ,,NW,,,,,,$246.26,$0.00,1,1,1,0,0,1,20091001,,J9050,HCPCS,Carmustine injection,,,29 ,,NW,,,,,,$373.09,$0.00,1,1,1,0,0,1,20091001,,J9060,HCPCS,Cisplatin 10 mg injection,,,29 ,,NW,,,,,,$10.45,$0.00,1,1,1,0,0,1,20091001,,J9062,HCPCS,Cisplatin 50 mg injection,,,29 ,,NW,,,,,,$51.01,$0.00,1,1,1,0,0,1,20091001,,J9065,HCPCS,Inj cladribine per 1 mg,,,29 ,,NW,,,,,,$140.38,$0.00,1,1,1,0,0,1,20091001,,J9070,HCPCS,Cyclophosphamide 100 mg inj,,,29 ,,NW,,,,,,$18.16,$0.00,1,1,1,0,0,1,20091001,,J9080,HCPCS,Cyclophosphamide 200 mg inj,,,29 ,,NW,,,,,,$22.83,$0.00,1,1,1,0,0,1,20091001,,J9090,HCPCS,Cyclophosphamide 500 mg inj,,,29 ,,NW,,,,,,$32.55,$0.00,1,1,1,0,0,1,20091001,,J9091,HCPCS,Cyclophosphamide 1.0 grm inj,,,29 ,,NW,,,,,,$59.40,$0.00,1,1,1,0,0,1,20091001,,J9092,HCPCS,Cyclophosphamide 2.0 grm inj,,,29 ,,NW,,,,,,$92.17,$0.00,1,1,1,0,0,1,20091001,,J9093,HCPCS,Cyclophosphamide lyophilized,,,29 ,,NW,,,,,,$11.85,$0.00,1,1,1,0,0,1,20091001,,J9094,HCPCS,Cyclophosphamide lyophilized,,,29 ,,NW,,,,,,$23.16,$0.00,1,1,1,0,0,1,20091001,,J9095,HCPCS,Cyclophosphamide lyophilized,,,29 ,,NW,,,,,,$59.41,$0.00,1,1,1,0,0,1,20091001,,J9096,HCPCS,Cyclophosphamide lyophilized,,,29 ,,NW,,,,,,$114.89,$0.00,1,1,1,0,0,1,20091001,,J9097,HCPCS,Cyclophosphamide lyophilized,,,29 ,,NW,,,,,,$276.87,$0.00,1,1,1,0,0,1,20091001,,J9100,HCPCS,Cytarabine hcl 100 mg inj,,,29 ,,NW,,,,,,$9.94,$0.00,1,1,1,0,0,1,20091001,,J9110,HCPCS,Cytarabine hcl 500 mg inj,,,29 ,,NW,,,,,,$23.53,$0.00,1,1,1,0,0,1,20091001,,J9120,HCPCS,Dactinomycin injection,,,29 ,,NW,,,,,,"$1,341.98",$0.00,1,1,1,0,0,1,20091001,,J9130,HCPCS,Dacarbazine 100 mg inj,,,29 ,,NW,,,,,,$41.60,$0.00,1,1,1,0,0,1,20091001,,J9140,HCPCS,Dacarbazine 200 mg inj,,,29 ,,NW,,,,,,$49.76,$0.00,1,1,1,0,0,1,20091001,,J9150,HCPCS,Daunorubicin injection,,,29 ,,NW,,,,,,$135.84,$0.00,1,1,1,0,0,1,20091001,,J9151,HCPCS,Daunorubicin citrate inj,,,29 ,,NW,,,,,,$400.24,$0.00,1,1,1,0,0,1,20091001,,J9160,HCPCS,Denileukin diftitox inj,,,29 ,,NW,,,,,,"$3,842.30",$0.00,1,1,1,0,0,1,20091001,,J9165,HCPCS,Diethylstilbestrol injection,,,29 ,,NW,,,,,,$50.86,$0.00,1,1,1,0,0,1,20091001,,J9170,HCPCS,Docetaxel injection,,,29 ,,NW,,,,,,$811.83,$0.00,1,1,1,0,0,1,20091001,,J9175,HCPCS,Elliotts b solution per ml,,,29 ,,NW,,,,,,$11.09,$0.00,1,1,1,0,1,1,20091001,,J9181,HCPCS,Etoposide injection,,,29 ,,NW,,,,,,$10.51,$0.00,1,1,1,0,0,1,20091001,,J9185,HCPCS,Fludarabine phosphate inj,,,29 ,,NW,,,,,,$732.32,$0.00,1,1,1,0,0,1,20091001,,J9190,HCPCS,Fluorouracil injection,,,29 ,,NW,,,,,,$82.48,$0.00,1,1,1,0,0,1,20091001,,J9200,HCPCS,Floxuridine injection,,,29 ,,NW,,,,,,$206.00,$0.00,1,1,1,0,0,1,20091001,,J9201,HCPCS,Gemcitabine hcl injection,,,29 ,,NW,,,,,,$314.67,$0.00,1,1,1,0,0,1,20091001,,J9202,HCPCS,Goserelin acetate implant,,,29 ,,NW,,,,,,$899.59,$0.00,1,1,1,0,0,1,20091001,,J9206,HCPCS,Irinotecan injection,,,29 ,,NW,,,,,,$301.48,$0.00,1,1,1,0,0,1,20091001,,J9207,HCPCS,Ixabepilone injection,,,29 ,,NW,,,,,,$97.73,$0.00,1,1,1,0,1,1,20091001,,J9208,HCPCS,Ifosfomide injection,,,29 ,,NW,,,,,,$219.07,$0.00,1,1,1,0,0,1,20091001,,J9209,HCPCS,Mesna injection,,,29 ,,NW,,,,,,$68.36,$0.00,1,1,1,0,0,1,20091001,,J9211,HCPCS,Idarubicin hcl injection,,,29 ,,NW,,,,,,"$1,005.24",$0.00,1,1,1,0,0,1,20091001,,J9212,HCPCS,Interferon alfacon-1 inj,,,29 ,,NW,,,,,,$20.95,$0.00,1,1,1,0,0,1,20091001,,J9213,HCPCS,Interferon alfa-2a inj,,,29 ,,NW,,,,,,$105.13,$0.00,1,1,1,0,0,1,20091001,,J9214,HCPCS,Interferon alfa-2b inj,,,29 ,,NW,,,,,,$34.50,$0.00,1,1,1,0,0,1,20091001,,J9215,HCPCS,Interferon alfa-n3 inj,,,29 ,,NW,,,,,,$31.22,$0.00,1,1,1,0,0,1,20091001,,J9216,HCPCS,Interferon gamma 1-b inj,,,29 ,,NW,,,,,,$897.08,$0.00,1,1,1,0,0,1,20091001,,J9217,HCPCS,Leuprolide acetate suspnsion,,,29 ,,NW,,,,,,"$1,167.65",$0.00,1,1,1,0,0,1,20091001,,J9218,HCPCS,Leuprolide acetate injeciton,,,29 ,,NW,,,,,,$86.38,$0.00,1,1,1,0,0,1,20091001,,J9219,HCPCS,Leuprolide acetate implant,,,29 ,,NW,,,,,,"$10,930.12",$0.00,1,1,1,0,0,1,20091001,,J9225,HCPCS,Vantas implant,,,29 ,,NW,,,,,,"$11,602.95",$0.00,1,1,1,0,0,1,20091001,,J9230,HCPCS,Mechlorethamine hcl inj,,,29 ,,NW,,,,,,$392.85,$0.00,1,1,1,0,0,1,20091001,,J9245,HCPCS,Inj melphalan hydrochl 50 mg,,,29 ,,NW,,,,,,"$4,252.57",$0.00,1,1,1,0,0,1,20091001,,J9250,HCPCS,Methotrexate sodium inj,,,29 ,,NW,,,,,,$2.28,$0.00,1,1,1,0,0,1,20091001,,J9260,HCPCS,Methotrexate sodium inj,,,29 ,,NW,,,,,,$20.60,$0.00,1,1,1,0,0,1,20091001,,J9261,HCPCS,Nelarabine injection,,,29 ,,NW,,,,,,$238.65,$0.00,1,1,1,0,1,1,20091001,,J9263,HCPCS,Oxaliplatin,,,29 ,,NW,,,,,,$22.48,$0.00,1,1,1,0,0,1,20091001,,J9264,HCPCS,Paclitaxel protein bound,,,29 ,,NW,,,,,,$21.46,$0.00,1,1,1,0,0,1,20091001,,J9265,HCPCS,Paclitaxel injection,,,29 ,,NW,,,,,,$228.34,$0.00,1,1,1,0,0,1,20091001,,J9266,HCPCS,Pegaspargase injection,,,29 ,,NW,,,,,,"$4,708.70",$0.00,1,1,1,0,0,1,20091001,,J9268,HCPCS,Pentostatin injection,,,29 ,,NW,,,,,,"$5,250.16",$0.00,1,1,1,0,0,1,20091001,,J9270,HCPCS,Plicamycin (mithramycin) inj,,,29 ,,NW,,,,,,$273.07,$0.00,1,1,1,0,0,1,20091001,,J9280,HCPCS,Mitomycin 5 mg inj,,,29 ,,NW,,,,,,$187.94,$0.00,1,1,1,0,0,1,20091001,,J9290,HCPCS,Mitomycin 20 mg inj,,,29 ,,NW,,,,,,$637.17,$0.00,1,1,1,0,0,1,20091001,,J9291,HCPCS,Mitomycin 40 mg inj,,,29 ,,NW,,,,,,$965.37,$0.00,1,1,1,0,0,1,20091001,,J9293,HCPCS,Mitoxantrone hydrochl / 5 mg,,,29 ,,NW,,,,,,$680.01,$0.00,1,1,1,0,0,1,20091001,,J9300,HCPCS,Gemtuzumab ozogamicin inj,,,29 ,,NW,,,,,,"$6,490.10",$0.00,1,1,1,0,0,1,20091001,,J9310,HCPCS,Rituximab injection,,,29 ,,NW,,,,,,"$1,212.51",$0.00,1,1,1,0,0,1,20091001,,J9320,HCPCS,Streptozocin injection,,,29 ,,NW,,,,,,$402.32,$0.00,1,1,1,0,0,1,20091001,,J9330,HCPCS,Temsirolimus injection,,,29 ,,NW,,,,,,$71.85,$0.00,1,1,1,0,1,1,20091001,,J9340,HCPCS,Thiotepa injection,,,29 ,,NW,,,,,,$253.95,$0.00,1,1,1,0,0,1,20091001,,J9350,HCPCS,Topotecan injection,,,29 ,,NW,,,,,,"$2,098.15",$0.00,1,1,1,0,0,1,20091001,,J9355,HCPCS,Trastuzumab injection,,,29 ,,NW,,,,,,$143.67,$0.00,1,1,1,0,0,1,20091001,,J9357,HCPCS,Valrubicin injection,,,29 ,,NW,,,,,,"$1,305.25",$0.00,1,1,1,0,0,1,20091001,,J9360,HCPCS,Vinblastine sulfate inj,,,29 ,,NW,,,,,,$5.70,$0.00,1,1,1,0,0,1,20091001,,J9370,HCPCS,Vincristine sulfate 1 mg inj,,,29 ,,NW,,,,,,$28.84,$0.00,1,1,1,0,0,1,20091001,,J9375,HCPCS,Vincristine sulfate 2 mg inj,,,29 ,,NW,,,,,,$58.20,$0.00,1,1,1,0,0,1,20091001,,J9380,HCPCS,Vincristine sulfate 5 mg inj,,,29 ,,NW,,,,,,$260.46,$0.00,1,1,1,0,0,1,20091001,,J9390,HCPCS,Vinorelbine tartrate inj,,,29 ,,NW,,,,,,$157.82,$0.00,1,1,1,0,0,1,20091001,,J9600,HCPCS,Porfimer sodium injection,,,29 ,,NW,,,,,,"$6,813.91",$0.00,1,1,1,0,0,1,20091001,,J9999,HCPCS,Chemotherapy drug,,,29 ,,NW,,,,,,"$1,025.23",$0.00,1,1,1,0,0,1,20091001,,K0001,HCPCS,Standard wheelchair,NU,,28 ,,NW,,,,,,$705.82,$0.00,1,1,1,1,1,1,20091001,,K0001,HCPCS,Standard wheelchair,RR,,28 ,,NW,,,,,,$81.43,$0.00,1,1,1,1,1,1,20091001,,K0001,HCPCS,Standard wheelchair,UE,,28 ,,NW,,,,,,$522.30,$0.00,1,1,1,1,1,1,20091001,,K0002,HCPCS,Stnd hemi (low seat) whlchr,NU,,28 ,,NW,,,,,,"$1,637.69",$0.00,1,1,1,1,1,1,20091001,,K0002,HCPCS,Stnd hemi (low seat) whlchr,RR,,28 ,,NW,,,,,,$111.67,$0.00,1,1,1,1,1,1,20091001,,K0002,HCPCS,Stnd hemi (low seat) whlchr,UE,,28 ,,NW,,,,,,"$1,211.89",$0.00,1,1,1,1,1,1,20091001,,K0003,HCPCS,Lightweight wheelchair,NU,,28 ,,NW,,,,,,"$1,792.84",$0.00,1,1,1,1,1,1,20091001,,K0003,HCPCS,Lightweight wheelchair,RR,,28 ,,NW,,,,,,$126.62,$0.00,1,1,1,1,1,1,20091001,,K0003,HCPCS,Lightweight wheelchair,UE,,28 ,,NW,,,,,,"$1,326.70",$0.00,1,1,1,1,1,1,20091001,,K0004,HCPCS,High strength ltwt whlchr,NU,,28 ,,NW,,,,,,"$2,674.31",$0.00,1,1,1,1,1,1,20091001,,K0004,HCPCS,High strength ltwt whlchr,RR,,28 ,,NW,,,,,,$179.40,$0.00,1,1,1,1,1,1,20091001,,K0004,HCPCS,High strength ltwt whlchr,UE,,28 ,,NW,,,,,,"$1,978.99",$0.00,1,1,1,1,1,1,20091001,,K0005,HCPCS,Ultralightweight wheelchair,NU,,28 ,,NW,,,,,,"$2,638.50",$0.00,1,1,1,1,1,1,20091001,,K0005,HCPCS,Ultralightweight wheelchair,RR,,28 ,,NW,,,,,,$254.81,$0.00,1,1,1,1,1,1,20091001,,K0005,HCPCS,Ultralightweight wheelchair,UE,,28 ,,NW,,,,,,"$1,952.49",$0.00,1,1,1,1,1,1,20091001,,K0006,HCPCS,Heavy duty wheelchair,NU,,28 ,,NW,,,,,,"$2,509.74",$0.00,1,1,1,1,1,1,20091001,,K0006,HCPCS,Heavy duty wheelchair,RR,,28 ,,NW,,,,,,$174.44,$0.00,1,1,1,1,1,1,20091001,,K0006,HCPCS,Heavy duty wheelchair,UE,,28 ,,NW,,,,,,"$1,857.21",$0.00,1,1,1,1,1,1,20091001,,K0007,HCPCS,Extra heavy duty wheelchair,NU,,28 ,,NW,,,,,,"$3,572.26",$0.00,1,1,1,1,1,1,20091001,,K0007,HCPCS,Extra heavy duty wheelchair,RR,,28 ,,NW,,,,,,$244.81,$0.00,1,1,1,1,1,1,20091001,,K0007,HCPCS,Extra heavy duty wheelchair,UE,,28 ,,NW,,,,,,"$2,643.47",$0.00,1,1,1,1,1,1,20091001,,K0009,HCPCS,Other manual wheelchair/base,,,28 ,,NW,,,,,,$693.36,$0.00,1,1,1,1,1,1,20091001,,K0010,HCPCS,Stnd wt frame power whlchr,NU,,28 ,,NW,,,,,,"$8,524.87",$0.00,1,1,1,1,1,1,20091001,,K0010,HCPCS,Stnd wt frame power whlchr,RR,,28 ,,NW,,,,,,$852.49,$0.00,1,1,1,1,1,1,20091001,,K0010,HCPCS,Stnd wt frame power whlchr,UE,,28 ,,NW,,,,,,"$6,308.40",$0.00,1,1,1,1,1,1,20091001,,K0011,HCPCS,Stnd wt pwr whlchr w control,NU,,28 ,,NW,,,,,,"$6,559.57",$0.00,1,1,1,1,1,1,20091001,,K0011,HCPCS,Stnd wt pwr whlchr w control,RR,,28 ,,NW,,,,,,$682.04,$0.00,1,1,1,1,1,1,20091001,,K0012,HCPCS,Ltwt portbl power whlchr,RR,,28 ,,NW,,,,,,$650.22,$0.00,1,1,1,1,1,1,20091001,,K0012,HCPCS,Ltwt portbl power whlchr,,,28 ,,NW,,,,,,"$5,121.44",$0.00,1,1,1,1,1,1,20091001,,K0014,HCPCS,Other power whlchr base,,,28 ,,NW,,,,,,"$3,465.00",$0.00,1,1,1,1,1,1,20091001,,K0015,HCPCS,Detach non-adjus hght armrst,NU,,28 ,,NW,,,,,,$363.63,$0.00,1,1,1,1,1,1,20091001,,K0015,HCPCS,Detach non-adjus hght armrst,RR,,28 ,,NW,,,,,,$36.37,$0.00,1,1,1,1,1,1,20091001,,K0015,HCPCS,Detach non-adjus hght armrst,UE,,28 ,,NW,,,,,,$269.09,$0.00,1,1,1,1,1,1,20091001,,K0017,HCPCS,Detach adjust armrest base,NU,,28 ,,NW,,,,,,$102.27,$0.00,1,1,1,1,1,1,20091001,,K0017,HCPCS,Detach adjust armrest base,RR,,28 ,,NW,,,,,,$10.22,$0.00,1,1,1,1,1,1,20091001,,K0017,HCPCS,Detach adjust armrest base,UE,,28 ,,NW,,,,,,$75.68,$0.00,1,1,1,1,1,1,20091001,,K0018,HCPCS,Detach adjust armrst upper,NU,,28 ,,NW,,,,,,$57.14,$0.00,1,1,1,1,1,1,20091001,,K0018,HCPCS,Detach adjust armrst upper,RR,,28 ,,NW,,,,,,$5.67,$0.00,1,1,1,1,1,1,20091001,,K0018,HCPCS,Detach adjust armrst upper,UE,,28 ,,NW,,,,,,$42.28,$0.00,1,1,1,1,1,1,20091001,,K0019,HCPCS,Arm pad each,NU,,28 ,,NW,,,,,,$36.77,$0.00,1,1,1,1,1,1,20091001,,K0019,HCPCS,Arm pad each,RR,,28 ,,NW,,,,,,$3.44,$0.00,1,1,1,1,1,1,20091001,,K0019,HCPCS,Arm pad each,UE,,28 ,,NW,,,,,,$27.21,$0.00,1,1,1,1,1,1,20091001,,K0020,HCPCS,Fixed adjust armrest pair,NU,,28 ,,NW,,,,,,$92.97,$0.00,1,1,1,1,1,1,20091001,,K0020,HCPCS,Fixed adjust armrest pair,RR,,28 ,,NW,,,,,,$9.30,$0.00,1,1,1,1,1,1,20091001,,K0020,HCPCS,Fixed adjust armrest pair,UE,,28 ,,NW,,,,,,$68.80,$0.00,1,1,1,1,1,1,20091001,,K0037,HCPCS,High mount flip-up footrest,NU,,28 ,,NW,,,,,,$96.39,$0.00,1,1,1,1,1,1,20091001,,K0037,HCPCS,High mount flip-up footrest,RR,,28 ,,NW,,,,,,$8.62,$0.00,1,1,1,1,1,1,20091001,,K0037,HCPCS,High mount flip-up footrest,UE,,28 ,,NW,,,,,,$71.33,$0.00,1,1,1,1,1,1,20091001,,K0038,HCPCS,Leg strap each,NU,,28 ,,NW,,,,,,$48.55,$0.00,1,1,1,1,1,1,20091001,,K0038,HCPCS,Leg strap each,RR,,28 ,,NW,,,,,,$4.87,$0.00,1,1,1,1,1,1,20091001,,K0038,HCPCS,Leg strap each,UE,,28 ,,NW,,,,,,$35.92,$0.00,1,1,1,1,1,1,20091001,,K0039,HCPCS,Leg strap h style each,NU,,28 ,,NW,,,,,,$107.83,$0.00,1,1,1,1,1,1,20091001,,K0039,HCPCS,Leg strap h style each,RR,,28 ,,NW,,,,,,$10.81,$0.00,1,1,1,1,1,1,20091001,,K0039,HCPCS,Leg strap h style each,UE,,28 ,,NW,,,,,,$79.79,$0.00,1,1,1,1,1,1,20091001,,K0040,HCPCS,Adjustable angle footplate,NU,,28 ,,NW,,,,,,$147.20,$0.00,1,1,1,1,1,1,20091001,,K0040,HCPCS,Adjustable angle footplate,RR,,28 ,,NW,,,,,,$14.90,$0.00,1,1,1,1,1,1,20091001,,K0040,HCPCS,Adjustable angle footplate,UE,,28 ,,NW,,,,,,$108.93,$0.00,1,1,1,1,1,1,20091001,,K0041,HCPCS,Large size footplate each,NU,,28 ,,NW,,,,,,$105.90,$0.00,1,1,1,1,1,1,20091001,,K0041,HCPCS,Large size footplate each,RR,,28 ,,NW,,,,,,$10.62,$0.00,1,1,1,1,1,1,20091001,,K0041,HCPCS,Large size footplate each,UE,,28 ,,NW,,,,,,$78.37,$0.00,1,1,1,1,1,1,20091001,,K0042,HCPCS,Standard size footplate each,NU,,28 ,,NW,,,,,,$72.91,$0.00,1,1,1,1,1,1,20091001,,K0042,HCPCS,Standard size footplate each,RR,,28 ,,NW,,,,,,$7.27,$0.00,1,1,1,1,1,1,20091001,,K0042,HCPCS,Standard size footplate each,UE,,28 ,,NW,,,,,,$53.96,$0.00,1,1,1,1,1,1,20091001,,K0043,HCPCS,Ftrst lower extension tube,NU,,28 ,,NW,,,,,,$27.33,$0.00,1,1,1,1,1,1,20091001,,K0043,HCPCS,Ftrst lower extension tube,RR,,28 ,,NW,,,,,,$3.91,$0.00,1,1,1,1,1,1,20091001,,K0043,HCPCS,Ftrst lower extension tube,UE,,28 ,,NW,,,,,,$20.22,$0.00,1,1,1,1,1,1,20091001,,K0044,HCPCS,Ftrst upper hanger bracket,NU,,28 ,,NW,,,,,,$23.04,$0.00,1,1,1,1,1,1,20091001,,K0044,HCPCS,Ftrst upper hanger bracket,RR,,28 ,,NW,,,,,,$3.34,$0.00,1,1,1,1,1,1,20091001,,K0044,HCPCS,Ftrst upper hanger bracket,UE,,28 ,,NW,,,,,,$17.05,$0.00,1,1,1,1,1,1,20091001,,K0045,HCPCS,Footrest complete assembly,NU,,28 ,,NW,,,,,,$113.31,$0.00,1,1,1,1,1,1,20091001,,K0045,HCPCS,Footrest complete assembly,RR,,28 ,,NW,,,,,,$11.68,$0.00,1,1,1,1,1,1,20091001,,K0045,HCPCS,Footrest complete assembly,UE,,28 ,,NW,,,,,,$83.85,$0.00,1,1,1,1,1,1,20091001,,K0046,HCPCS,Elevat legrst low extension,NU,,28 ,,NW,,,,,,$39.08,$0.00,1,1,1,1,1,1,20091001,,K0046,HCPCS,Elevat legrst low extension,RR,,28 ,,NW,,,,,,$3.91,$0.00,1,1,1,1,1,1,20091001,,K0046,HCPCS,Elevat legrst low extension,UE,,28 ,,NW,,,,,,$28.92,$0.00,1,1,1,1,1,1,20091001,,K0047,HCPCS,Elevat legrst up hangr brack,NU,,28 ,,NW,,,,,,$153.06,$0.00,1,1,1,1,1,1,20091001,,K0047,HCPCS,Elevat legrst up hangr brack,RR,,28 ,,NW,,,,,,$15.35,$0.00,1,1,1,1,1,1,20091001,,K0047,HCPCS,Elevat legrst up hangr brack,UE,,28 ,,NW,,,,,,$113.26,$0.00,1,1,1,1,1,1,20091001,,K0050,HCPCS,Ratchet assembly,NU,,28 ,,NW,,,,,,$65.05,$0.00,1,1,1,1,1,1,20091001,,K0050,HCPCS,Ratchet assembly,RR,,28 ,,NW,,,,,,$6.47,$0.00,1,1,1,1,1,1,20091001,,K0050,HCPCS,Ratchet assembly,UE,,28 ,,NW,,,,,,$48.14,$0.00,1,1,1,1,1,1,20091001,,K0051,HCPCS,Cam relese assem ftrst/lgrst,NU,,28 ,,NW,,,,,,$105.29,$0.00,1,1,1,1,1,1,20091001,,K0051,HCPCS,Cam relese assem ftrst/lgrst,RR,,28 ,,NW,,,,,,$10.59,$0.00,1,1,1,1,1,1,20091001,,K0051,HCPCS,Cam relese assem ftrst/lgrst,UE,,28 ,,NW,,,,,,$77.91,$0.00,1,1,1,1,1,1,20091001,,K0052,HCPCS,Swingaway detach footrest,NU,,28 ,,NW,,,,,,$129.21,$0.00,1,1,1,1,1,1,20091001,,K0052,HCPCS,Swingaway detach footrest,RR,,28 ,,NW,,,,,,$13.95,$0.00,1,1,1,1,1,1,20091001,,K0052,HCPCS,Swingaway detach footrest,UE,,28 ,,NW,,,,,,$95.61,$0.00,1,1,1,1,1,1,20091001,,K0053,HCPCS,Elevate footrest articulate,NU,,28 ,,NW,,,,,,$204.15,$0.00,1,1,1,1,1,1,20091001,,K0053,HCPCS,Elevate footrest articulate,RR,,28 ,,NW,,,,,,$14.70,$0.00,1,1,1,1,1,1,20091001,,K0053,HCPCS,Elevate footrest articulate,UE,,28 ,,NW,,,,,,$151.07,$0.00,1,1,1,1,1,1,20091001,,K0056,HCPCS,Seat ht <17 or >=21 ltwt wc,NU,,28 ,,NW,,,,,,$190.33,$0.00,1,1,1,1,1,1,20091001,,K0056,HCPCS,Seat ht <17 or >=21 ltwt wc,RR,,28 ,,NW,,,,,,$13.31,$0.00,1,1,1,1,1,1,20091001,,K0056,HCPCS,Seat ht <17 or >=21 ltwt wc,UE,,28 ,,NW,,,,,,$140.84,$0.00,1,1,1,1,1,1,20091001,,K0065,HCPCS,Spoke protectors,NU,,28 ,,NW,,,,,,$88.97,$0.00,1,1,1,1,1,1,20091001,,K0065,HCPCS,Spoke protectors,RR,,28 ,,NW,,,,,,$8.90,$0.00,1,1,1,1,1,1,20091001,,K0065,HCPCS,Spoke protectors,UE,,28 ,,NW,,,,,,$65.84,$0.00,1,1,1,1,1,1,20091001,,K0069,HCPCS,Rear whl complete solid tire,NU,,28 ,,NW,,,,,,$199.95,$0.00,1,1,1,1,1,1,20091001,,K0069,HCPCS,Rear whl complete solid tire,RR,,28 ,,NW,,,,,,$20.74,$0.00,1,1,1,1,1,1,20091001,,K0069,HCPCS,Rear whl complete solid tire,UE,,28 ,,NW,,,,,,$147.97,$0.00,1,1,1,1,1,1,20091001,,K0070,HCPCS,Rear whl compl pneum tire,NU,,28 ,,NW,,,,,,$366.55,$0.00,1,1,1,1,1,1,20091001,,K0070,HCPCS,Rear whl compl pneum tire,RR,,28 ,,NW,,,,,,$26.15,$0.00,1,1,1,1,1,1,20091001,,K0070,HCPCS,Rear whl compl pneum tire,UE,,28 ,,NW,,,,,,$271.25,$0.00,1,1,1,1,1,1,20091001,,K0071,HCPCS,Front castr compl pneum tire,NU,,28 ,,NW,,,,,,$218.62,$0.00,1,1,1,1,1,1,20091001,,K0071,HCPCS,Front castr compl pneum tire,RR,,28 ,,NW,,,,,,$21.56,$0.00,1,1,1,1,1,1,20091001,,K0071,HCPCS,Front castr compl pneum tire,UE,,28 ,,NW,,,,,,$161.78,$0.00,1,1,1,1,1,1,20091001,,K0072,HCPCS,Frnt cstr cmpl sem-pneum tir,NU,,28 ,,NW,,,,,,$131.61,$0.00,1,1,1,1,1,1,20091001,,K0072,HCPCS,Frnt cstr cmpl sem-pneum tir,RR,,28 ,,NW,,,,,,$14.66,$0.00,1,1,1,1,1,1,20091001,,K0072,HCPCS,Frnt cstr cmpl sem-pneum tir,UE,,28 ,,NW,,,,,,$97.39,$0.00,1,1,1,1,1,1,20091001,,K0073,HCPCS,Caster pin lock each,NU,,28 ,,NW,,,,,,$69.64,$0.00,1,1,1,1,1,1,20091001,,K0073,HCPCS,Caster pin lock each,RR,,28 ,,NW,,,,,,$6.97,$0.00,1,1,1,1,1,1,20091001,,K0073,HCPCS,Caster pin lock each,UE,,28 ,,NW,,,,,,$51.53,$0.00,1,1,1,1,1,1,20091001,,K0077,HCPCS,Front caster assem complete,NU,,28 ,,NW,,,,,,$117.76,$0.00,1,1,1,1,1,1,20091001,,K0077,HCPCS,Front caster assem complete,RR,,28 ,,NW,,,,,,$11.77,$0.00,1,1,1,1,1,1,20091001,,K0077,HCPCS,Front caster assem complete,UE,,28 ,,NW,,,,,,$87.15,$0.00,1,1,1,1,1,1,20091001,,K0098,HCPCS,Drive belt power wheelchair,NU,,28 ,,NW,,,,,,$54.46,$0.00,1,1,1,1,1,1,20091001,,K0098,HCPCS,Drive belt power wheelchair,RR,,28 ,,NW,,,,,,$5.44,$0.00,1,1,1,1,1,1,20091001,,K0098,HCPCS,Drive belt power wheelchair,UE,,28 ,,NW,,,,,,$40.30,$0.00,1,1,1,1,1,1,20091001,,K0105,HCPCS,Iv hanger,NU,,28 ,,NW,,,,,,$198.99,$0.00,1,1,1,0,1,1,20091001,,K0105,HCPCS,Iv hanger,RR,,28 ,,NW,,,,,,$19.87,$0.00,1,1,1,0,1,1,20091001,,K0108,HCPCS,W/c component-accessory nos,,,28 ,,NW,,,,,,$395.09,$0.00,1,1,1,1,1,1,20091001,,K0195,HCPCS,Elevating whlchair leg rests,RR,,28 ,,NW,,,,,,$30.11,$0.00,1,1,1,1,1,1,20091001,,K0195,HCPCS,Elevating whlchair leg rests,,,28 ,,NW,,,,,,$24.52,$0.00,1,1,1,1,1,1,20091001,,K0455,HCPCS,Pump uninterrupted infusion,RR,,28 ,,NW,,,,,,$860.27,$0.00,1,1,1,1,1,1,20091001,,K0552,HCPCS,Supply/ext inf pump syr type,,,28 ,,NW,,,,,,$6.55,$0.00,1,1,1,1,1,1,20091001,,K0601,HCPCS,Repl batt silver oxide 1.5 v,NU,,28 ,,NW,,,,,,$46.15,$0.00,1,1,1,1,1,1,20091001,,K0601,HCPCS,Repl batt silver oxide 1.5 v,,,28 ,,NW,,,,,,$2.10,$0.00,1,1,1,1,1,1,20091001,,K0602,HCPCS,Repl batt silver oxide 3 v,NU,,28 ,,NW,,,,,,$107.11,$0.00,1,1,1,1,1,1,20091001,,K0602,HCPCS,Repl batt silver oxide 3 v,,,28 ,,NW,,,,,,$15.51,$0.00,1,1,1,1,1,1,20091001,,K0603,HCPCS,Repl batt alkaline 1.5 v,NU,,28 ,,NW,,,,,,$131.30,$0.00,1,1,1,1,1,1,20091001,,K0603,HCPCS,Repl batt alkaline 1.5 v,,,28 ,,NW,,,,,,$1.13,$0.00,1,1,1,1,1,1,20091001,,K0604,HCPCS,Repl batt lithium 3.6 v,NU,,28 ,,NW,,,,,,$56.49,$0.00,1,1,1,1,1,1,20091001,,K0604,HCPCS,Repl batt lithium 3.6 v,,,28 ,,NW,,,,,,$12.20,$0.00,1,1,1,1,1,1,20091001,,K0605,HCPCS,Repl batt lithium 4.5 v,NU,,28 ,,NW,,,,,,$22.28,$0.00,1,1,1,1,1,1,20091001,,K0605,HCPCS,Repl batt lithium 4.5 v,,,28 ,,NW,,,,,,$29.22,$0.00,1,1,1,1,1,1,20091001,,K0607,HCPCS,Repl batt for aed,,,28 ,,NW,,,,,,$411.14,$0.00,1,1,1,1,1,1,20091001,,K0608,HCPCS,Repl garment for aed,,,28 ,,NW,,,,,,$252.09,$0.00,1,1,1,1,1,1,20091001,,K0609,HCPCS,Repl electrode for aed,,,28 ,,NW,,,,,,"$1,613.15",$0.00,1,1,1,1,1,1,20091001,,K0730,HCPCS,Ctrl dose inh drug deliv sys,RR,,28 ,,NW,,,,,,$765.98,$0.00,1,1,1,1,1,1,20091001,,K0733,HCPCS,12-24hr sealed lead acid,NU,,28 ,,NW,,,,,,$186.82,$0.00,1,1,1,1,1,1,20091001,,K0733,HCPCS,12-24hr sealed lead acid,RR,,28 ,,NW,,,,,,$4.64,$0.00,1,1,1,1,1,1,20091001,,K0733,HCPCS,12-24hr sealed lead acid,UE,,28 ,,NW,,,,,,$138.25,$0.00,1,1,1,1,1,1,20091001,,K0734,HCPCS,Adj skin pro w/c cus wd<22in,NU,,28 ,,NW,,,,,,$489.95,$0.00,1,1,1,1,1,1,20091001,,K0734,HCPCS,Adj skin pro w/c cus wd<22in,RR,,28 ,,NW,,,,,,$427.88,$0.00,1,1,1,1,1,1,20091001,,K0734,HCPCS,Adj skin pro w/c cus wd<22in,UE,,28 ,,NW,,,,,,$362.56,$0.00,1,1,1,1,1,1,20091001,,K0735,HCPCS,Adj skin pro wc cus wd>=22in,NU,,28 ,,NW,,,,,,$529.93,$0.00,1,1,1,1,1,1,20091001,,K0735,HCPCS,Adj skin pro wc cus wd>=22in,RR,,28 ,,NW,,,,,,$64.37,$0.00,1,1,1,1,1,1,20091001,,K0735,HCPCS,Adj skin pro wc cus wd>=22in,UE,,28 ,,NW,,,,,,$392.15,$0.00,1,1,1,1,1,1,20091001,,K0736,HCPCS,Adj skin pro/pos wc cus<22in,NU,,28 ,,NW,,,,,,$498.39,$0.00,1,1,1,1,1,1,20091001,,K0736,HCPCS,Adj skin pro/pos wc cus<22in,RR,,28 ,,NW,,,,,,$51.00,$0.00,1,1,1,1,1,1,20091001,,K0736,HCPCS,Adj skin pro/pos wc cus<22in,UE,,28 ,,NW,,,,,,$368.81,$0.00,1,1,1,1,1,1,20091001,,K0737,HCPCS,"Adj skin pro/pos wc cus>=22""",NU,,28 ,,NW,,,,,,$461.36,$0.00,1,1,1,1,1,1,20091001,,K0737,HCPCS,"Adj skin pro/pos wc cus>=22""",RR,,28 ,,NW,,,,,,$64.55,$0.00,1,1,1,1,1,1,20091001,,K0737,HCPCS,"Adj skin pro/pos wc cus>=22""",UE,,28 ,,NW,,,,,,$341.40,$0.00,1,1,1,1,1,1,20091001,,K0800,HCPCS,Pov group 1 std up to 300lbs,NU,,28 ,,NW,,,,,,"$2,215.35",$0.00,1,1,1,1,1,1,20091001,,K0800,HCPCS,Pov group 1 std up to 300lbs,RR,,28 ,,NW,,,,,,$452.35,$0.00,1,1,1,1,1,1,20091001,,K0800,HCPCS,Pov group 1 std up to 300lbs,UE,,28 ,,NW,,,,,,"$1,639.36",$0.00,1,1,1,1,1,1,20091001,,K0801,HCPCS,Pov group 1 hd 301-450 lbs,NU,,28 ,,NW,,,,,,"$2,644.50",$0.00,1,1,1,1,1,1,20091001,,K0801,HCPCS,Pov group 1 hd 301-450 lbs,RR,,28 ,,NW,,,,,,$318.01,$0.00,1,1,1,1,1,1,20091001,,K0801,HCPCS,Pov group 1 hd 301-450 lbs,UE,,28 ,,NW,,,,,,"$1,956.93",$0.00,1,1,1,1,1,1,20091001,,K0802,HCPCS,Pov group 1 vhd 451-600 lbs,NU,,28 ,,NW,,,,,,"$3,985.01",$0.00,1,1,1,1,1,1,20091001,,K0802,HCPCS,Pov group 1 vhd 451-600 lbs,RR,,28 ,,NW,,,,,,$359.91,$0.00,1,1,1,1,1,1,20091001,,K0802,HCPCS,Pov group 1 vhd 451-600 lbs,UE,,28 ,,NW,,,,,,"$2,948.91",$0.00,1,1,1,1,1,1,20091001,,K0806,HCPCS,Pov group 2 std up to 300lbs,NU,,28 ,,NW,,,,,,"$2,005.43",$0.00,1,1,1,1,1,1,20091001,,K0806,HCPCS,Pov group 2 std up to 300lbs,RR,,28 ,,NW,,,,,,$163.61,$0.00,1,1,1,1,1,1,20091001,,K0806,HCPCS,Pov group 2 std up to 300lbs,UE,,28 ,,NW,,,,,,"$1,484.02",$0.00,1,1,1,1,1,1,20091001,,K0807,HCPCS,Pov group 2 hd 301-450 lbs,NU,,28 ,,NW,,,,,,"$3,666.77",$0.00,1,1,1,1,1,1,20091001,,K0807,HCPCS,Pov group 2 hd 301-450 lbs,RR,,28 ,,NW,,,,,,$362.11,$0.00,1,1,1,1,1,1,20091001,,K0807,HCPCS,Pov group 2 hd 301-450 lbs,UE,,28 ,,NW,,,,,,"$2,713.41",$0.00,1,1,1,1,1,1,20091001,,K0808,HCPCS,Pov group 2 vhd 451-600 lbs,NU,,28 ,,NW,,,,,,"$5,602.65",$0.00,1,1,1,1,1,1,20091001,,K0808,HCPCS,Pov group 2 vhd 451-600 lbs,RR,,28 ,,NW,,,,,,$560.24,$0.00,1,1,1,1,1,1,20091001,,K0808,HCPCS,Pov group 2 vhd 451-600 lbs,UE,,28 ,,NW,,,,,,"$4,145.96",$0.00,1,1,1,1,1,1,20091001,,K0813,HCPCS,Pwc gp 1 std port seat/back,RR,,28 ,,NW,,,,,,"$2,102.77",$0.00,1,1,1,1,1,1,20091001,,K0814,HCPCS,Pwc gp 1 std port cap chair,RR,,28 ,,NW,,,,,,$366.15,$0.00,1,1,1,1,1,1,20091001,,K0815,HCPCS,Pwc gp 1 std seat/back,RR,,28 ,,NW,,,,,,$536.57,$0.00,1,1,1,1,1,1,20091001,,K0816,HCPCS,Pwc gp 1 std cap chair,RR,,28 ,,NW,,,,,,$513.85,$0.00,1,1,1,1,1,1,20091001,,K0820,HCPCS,Pwc gp 2 std port seat/back,RR,,28 ,,NW,,,,,,$393.17,$0.00,1,1,1,1,1,1,20091001,,K0821,HCPCS,Pwc gp 2 std port cap chair,RR,,28 ,,NW,,,,,,$504.73,$0.00,1,1,1,1,1,1,20091001,,K0822,HCPCS,Pwc gp 2 std seat/back,RR,,28 ,,NW,,,,,,$739.63,$0.00,1,1,1,1,1,1,20091001,,K0823,HCPCS,Pwc gp 2 std cap chair,RR,,28 ,,NW,,,,,,$877.64,$0.00,1,1,1,1,1,1,20091001,,K0824,HCPCS,Pwc gp 2 hd seat/back,RR,,28 ,,NW,,,,,,$738.96,$0.00,1,1,1,1,1,1,20091001,,K0825,HCPCS,Pwc gp 2 hd cap chair,RR,,28 ,,NW,,,,,,$413.44,$0.00,1,1,1,1,1,1,20091001,,K0826,HCPCS,Pwc gp 2 vhd seat/back,RR,,28 ,,NW,,,,,,$956.65,$0.00,1,1,1,1,1,1,20091001,,K0827,HCPCS,Pwc gp vhd cap chair,RR,,28 ,,NW,,,,,,$813.47,$0.00,1,1,1,1,1,1,20091001,,K0828,HCPCS,Pwc gp 2 xtra hd seat/back,RR,,28 ,,NW,,,,,,"$1,054.15",$0.00,1,1,1,1,1,1,20091001,,K0829,HCPCS,Pwc gp 2 xtra hd cap chair,RR,,28 ,,NW,,,,,,$968.01,$0.00,1,1,1,1,1,1,20091001,,K0835,HCPCS,Pwc gp2 std sing pow opt s/b,RR,,28 ,,NW,,,,,,$619.14,$0.00,1,1,1,1,1,1,20091001,,K0836,HCPCS,Pwc gp2 std sing pow opt cap,RR,,28 ,,NW,,,,,,$642.05,$0.00,1,1,1,1,1,1,20091001,,K0837,HCPCS,Pwc gp 2 hd sing pow opt s/b,RR,,28 ,,NW,,,,,,$738.96,$0.00,1,1,1,1,1,1,20091001,,K0838,HCPCS,Pwc gp 2 hd sing pow opt cap,RR,,28 ,,NW,,,,,,$661.09,$0.00,1,1,1,1,1,1,20091001,,K0839,HCPCS,Pwc gp2 vhd sing pow opt s/b,RR,,28 ,,NW,,,,,,$956.65,$0.00,1,1,1,1,1,1,20091001,,K0840,HCPCS,Pwc gp2 xhd sing pow opt s/b,RR,,28 ,,NW,,,,,,"$1,449.39",$0.00,1,1,1,1,1,1,20091001,,K0841,HCPCS,Pwc gp2 std mult pow opt s/b,RR,,28 ,,NW,,,,,,$658.99,$0.00,1,1,1,1,1,1,20091001,,K0842,HCPCS,Pwc gp2 std mult pow opt cap,RR,,28 ,,NW,,,,,,$658.99,$0.00,1,1,1,1,1,1,20091001,,K0843,HCPCS,Pwc gp2 hd mult pow opt s/b,RR,,28 ,,NW,,,,,,$793.43,$0.00,1,1,1,1,1,1,20091001,,K0848,HCPCS,Pwc gp 3 std seat/back,RR,,28 ,,NW,,,,,,$806.37,$0.00,1,1,1,1,1,1,20091001,,K0849,HCPCS,Pwc gp 3 std cap chair,RR,,28 ,,NW,,,,,,$775.29,$0.00,1,1,1,1,1,1,20091001,,K0850,HCPCS,Pwc gp 3 hd seat/back,RR,,28 ,,NW,,,,,,$935.37,$0.00,1,1,1,1,1,1,20091001,,K0851,HCPCS,Pwc gp 3 hd cap chair,RR,,28 ,,NW,,,,,,$899.34,$0.00,1,1,1,1,1,1,20091001,,K0852,HCPCS,Pwc gp 3 vhd seat/back,RR,,28 ,,NW,,,,,,"$1,080.76",$0.00,1,1,1,1,1,1,20091001,,K0853,HCPCS,Pwc gp 3 vhd cap chair,RR,,28 ,,NW,,,,,,"$1,110.21",$0.00,1,1,1,1,1,1,20091001,,K0854,HCPCS,Pwc gp 3 xhd seat/back,RR,,28 ,,NW,,,,,,"$1,470.80",$0.00,1,1,1,1,1,1,20091001,,K0855,HCPCS,Pwc gp 3 xhd cap chair,RR,,28 ,,NW,,,,,,"$1,389.39",$0.00,1,1,1,1,1,1,20091001,,K0856,HCPCS,Pwc gp3 std sing pow opt s/b,RR,,28 ,,NW,,,,,,$865.56,$0.00,1,1,1,1,1,1,20091001,,K0857,HCPCS,Pwc gp3 std sing pow opt cap,RR,,28 ,,NW,,,,,,$882.91,$0.00,1,1,1,1,1,1,20091001,,K0858,HCPCS,Pwc gp3 hd sing pow opt s/b,RR,,28 ,,NW,,,,,,"$1,073.90",$0.00,1,1,1,1,1,1,20091001,,K0859,HCPCS,Pwc gp3 hd sing pow opt cap,RR,,28 ,,NW,,,,,,"$1,024.16",$0.00,1,1,1,1,1,1,20091001,,K0860,HCPCS,Pwc gp3 vhd sing pow opt s/b,RR,,28 ,,NW,,,,,,"$1,534.19",$0.00,1,1,1,1,1,1,20091001,,K0861,HCPCS,Pwc gp3 std mult pow opt s/b,RR,,28 ,,NW,,,,,,$866.95,$0.00,1,1,1,1,1,1,20091001,,K0862,HCPCS,Pwc gp3 hd mult pow opt s/b,RR,,28 ,,NW,,,,,,"$1,073.90",$0.00,1,1,1,1,1,1,20091001,,K0863,HCPCS,Pwc gp3 vhd mult pow opt s/b,RR,,28 ,,NW,,,,,,"$1,534.19",$0.00,1,1,1,1,1,1,20091001,,K0864,HCPCS,Pwc gp3 xhd mult pow opt s/b,RR,,28 ,,NW,,,,,,"$1,825.71",$0.00,1,1,1,1,1,1,20091001,,L0112,HCPCS,Cranial cervical orthosis,,,28 ,,NW,,,,,,"$2,369.84",$0.00,1,1,1,0,1,1,20091001,,L0120,HCPCS,Cerv flexible non-adjustable,,,28 ,,NW,,,,,,$35.19,$0.00,1,1,1,1,1,1,20091001,,L0130,HCPCS,Flex thermoplastic collar mo,,,28 ,,NW,,,,,,$289.14,$0.00,1,1,1,1,1,1,20091001,,L0140,HCPCS,Cervical semi-rigid adjustab,,,28 ,,NW,,,,,,$113.46,$0.00,1,1,1,1,1,1,20091001,,L0150,HCPCS,Cerv semi-rig adj molded chn,,,28 ,,NW,,,,,,$191.53,$0.00,1,1,1,1,1,1,20091001,,L0160,HCPCS,Cerv semi-rig wire occ/mand,,,28 ,,NW,,,,,,$277.58,$0.00,1,1,1,1,1,1,20091001,,L0170,HCPCS,Cervical collar molded to pt,,,28 ,,NW,,,,,,"$1,142.94",$0.00,1,1,1,1,1,1,20091001,,L0172,HCPCS,Cerv col thermplas foam 2 pi,,,28 ,,NW,,,,,,$167.80,$0.00,1,1,1,1,1,1,20091001,,L0174,HCPCS,Cerv col foam 2 piece w thor,,,28 ,,NW,,,,,,$358.56,$0.00,1,1,1,1,1,1,20091001,,L0180,HCPCS,Cer post col occ/man sup adj,,,28 ,,NW,,,,,,$656.68,$0.00,1,1,1,1,1,1,20091001,,L0190,HCPCS,Cerv collar supp adj cerv ba,,,28 ,,NW,,,,,,$877.91,$0.00,1,1,1,1,1,1,20091001,,L0200,HCPCS,Cerv col supp adj bar & thor,,,28 ,,NW,,,,,,$915.21,$0.00,1,1,1,1,1,1,20091001,,L0210,HCPCS,Thoracic rib belt,,,28 ,,NW,,,,,,$55.77,$0.00,1,1,1,1,1,1,20091001,,L0220,HCPCS,Thor rib belt custom fabrica,,,28 ,,NW,,,,,,$217.05,$0.00,1,1,1,1,1,1,20091001,,L0430,HCPCS,Dewall posture protector,,,28 ,,NW,,,,,,"$2,374.69",$0.00,1,1,1,0,1,1,20091001,,L0450,HCPCS,Tlso flex prefab thoracic,,,28 ,,NW,,,,,,$308.02,$0.00,1,1,1,1,1,1,20091001,,L0452,HCPCS,Tlso flex custom fab thoraci,,,28 ,,NW,,,,,,$288.37,$0.00,1,1,1,0,1,1,20091001,,L0454,HCPCS,Tlso flex prefab sacrococ-t9,,,28 ,,NW,,,,,,$587.25,$0.00,1,1,1,1,1,1,20091001,,L0456,HCPCS,Tlso flex prefab,,,28 ,,NW,,,,,,"$1,684.02",$0.00,1,1,1,1,1,1,20091001,,L0458,HCPCS,Tlso 2mod symphis-xipho pre,,,28 ,,NW,,,,,,"$1,510.06",$0.00,1,1,1,1,1,1,20091001,,L0460,HCPCS,Tlso2mod symphysis-stern pre,,,28 ,,NW,,,,,,"$1,699.68",$0.00,1,1,1,1,1,1,20091001,,L0462,HCPCS,Tlso 3mod sacro-scap pre,,,28 ,,NW,,,,,,"$2,114.09",$0.00,1,1,1,0,1,1,20091001,,L0464,HCPCS,Tlso 4mod sacro-scap pre,,,28 ,,NW,,,,,,"$2,516.82",$0.00,1,1,1,1,1,1,20091001,,L0466,HCPCS,Tlso rigid frame pre soft ap,,,28 ,,NW,,,,,,$662.14,$0.00,1,1,1,1,1,1,20091001,,L0468,HCPCS,Tlso rigid frame prefab pelv,,,28 ,,NW,,,,,,$812.37,$0.00,1,1,1,1,1,1,20091001,,L0470,HCPCS,Tlso rigid frame pre subclav,,,28 ,,NW,,,,,,"$1,129.90",$0.00,1,1,1,1,1,1,20091001,,L0472,HCPCS,Tlso rigid frame hyperex pre,,,28 ,,NW,,,,,,$524.70,$0.00,1,1,1,1,1,1,20091001,,L0480,HCPCS,Tlso rigid plastic custom fa,,,28 ,,NW,,,,,,"$2,523.58",$0.00,1,1,1,1,1,1,20091001,,L0482,HCPCS,Tlso rigid lined custom fab,,,28 ,,NW,,,,,,"$2,024.81",$0.00,1,1,1,1,1,1,20091001,,L0484,HCPCS,Tlso rigid plastic cust fab,,,28 ,,NW,,,,,,"$3,149.53",$0.00,1,1,1,1,1,1,20091001,,L0486,HCPCS,Tlso rigidlined cust fab two,,,28 ,,NW,,,,,,"$2,465.75",$0.00,1,1,1,1,1,1,20091001,,L0488,HCPCS,Tlso rigid lined pre one pie,,,28 ,,NW,,,,,,"$1,699.68",$0.00,1,1,1,1,1,1,20091001,,L0490,HCPCS,Tlso rigid plastic pre one,,,28 ,,NW,,,,,,$478.97,$0.00,1,1,1,1,1,1,20091001,,L0491,HCPCS,Tlso 2 piece rigid shell,,,28 ,,NW,,,,,,"$1,733.84",$0.00,1,1,1,0,1,1,20091001,,L0492,HCPCS,Tlso 3 piece rigid shell,,,28 ,,NW,,,,,,"$1,125.83",$0.00,1,1,1,0,1,1,20091001,,L0621,HCPCS,Sio flex pelvisacral prefab,,,28 ,,NW,,,,,,$154.12,$0.00,1,1,1,0,1,1,20091001,,L0622,HCPCS,Sio flex pelvisacral custom,,,28 ,,NW,,,,,,$610.46,$0.00,1,1,1,0,1,1,20091001,,L0623,HCPCS,Sio panel prefab,,,28 ,,NW,,,,,,$270.23,$0.00,1,1,1,0,1,1,20091001,,L0625,HCPCS,Lo flexibl l1-below l5 pre,,,28 ,,NW,,,,,,$108.38,$0.00,1,1,1,0,1,1,20091001,,L0626,HCPCS,Lo sag stays/panels pre-fab,,,28 ,,NW,,,,,,$127.32,$0.00,1,1,1,0,1,1,20091001,,L0627,HCPCS,Lo sagitt rigid panel prefab,,,28 ,,NW,,,,,,$584.12,$0.00,1,1,1,0,1,1,20091001,,L0628,HCPCS,Lo flex w/o rigid stays pre,,,28 ,,NW,,,,,,$140.72,$0.00,1,1,1,0,1,1,20091001,,L0629,HCPCS,Lso flex w/rigid stays cust,,,28 ,,NW,,,,,,$306.47,$0.00,1,1,1,0,1,1,20091001,,L0630,HCPCS,Lso post rigid panel pre,,,28 ,,NW,,,,,,$250.02,$0.00,1,1,1,0,1,1,20091001,,L0631,HCPCS,Lso sag-coro rigid frame pre,,,28 ,,NW,,,,,,"$1,426.62",$0.00,1,1,1,0,1,1,20091001,,L0632,HCPCS,Lso sag rigid frame cust,,,28 ,,NW,,,,,,"$1,876.28",$0.00,1,1,1,0,1,1,20091001,,L0633,HCPCS,Lso flexion control prefab,,,28 ,,NW,,,,,,$470.67,$0.00,1,1,1,0,1,1,20091001,,L0634,HCPCS,Lso flexion control custom,,,28 ,,NW,,,,,,$520.89,$0.00,1,1,1,0,1,1,20091001,,L0635,HCPCS,Lso sagit rigid panel prefab,,,28 ,,NW,,,,,,"$2,261.87",$0.00,1,1,1,0,1,1,20091001,,L0636,HCPCS,Lso sagittal rigid panel cus,,,28 ,,NW,,,,,,"$3,348.38",$0.00,1,1,1,0,1,1,20091001,,L0637,HCPCS,Lso sag-coronal panel prefab,,,28 ,,NW,,,,,,"$1,959.68",$0.00,1,1,1,0,1,1,20091001,,L0638,HCPCS,Lso sag-coronal panel custom,,,28 ,,NW,,,,,,"$2,229.35",$0.00,1,1,1,0,1,1,20091001,,L0639,HCPCS,Lso s/c shell/panel prefab,,,28 ,,NW,,,,,,"$1,933.05",$0.00,1,1,1,0,1,1,20091001,,L0640,HCPCS,Lso s/c shell/panel custom,,,28 ,,NW,,,,,,"$1,742.32",$0.00,1,1,1,0,1,1,20091001,,L0700,HCPCS,Ctlso a-p-l control molded,,,28 ,,NW,,,,,,"$3,582.97",$0.00,1,1,1,1,1,1,20091001,,L0710,HCPCS,Ctlso a-p-l control w/ inter,,,28 ,,NW,,,,,,"$3,701.34",$0.00,1,1,1,1,1,1,20091001,,L0810,HCPCS,Halo cervical into jckt vest,,,28 ,,NW,,,,,,"$4,571.37",$0.00,1,1,1,1,1,1,20091001,,L0820,HCPCS,Halo cervical into body jack,,,28 ,,NW,,,,,,"$3,828.20",$0.00,1,1,1,1,1,1,20091001,,L0830,HCPCS,Halo cerv into milwaukee typ,,,28 ,,NW,,,,,,"$5,557.40",$0.00,1,1,1,1,1,1,20091001,,L0859,HCPCS,Mri compatible system,,,28 ,,NW,,,,,,"$2,878.69",$0.00,1,1,1,0,1,1,20091001,,L0861,HCPCS,Halo repl liner/interface,,,28 ,,NW,,,,,,$364.95,$0.00,1,1,1,0,1,1,20091001,,L0970,HCPCS,Tlso corset front,,,28 ,,NW,,,,,,$202.54,$0.00,1,1,1,1,1,1,20091001,,L0972,HCPCS,Lso corset front,,,28 ,,NW,,,,,,$182.39,$0.00,1,1,1,1,1,1,20091001,,L0974,HCPCS,Tlso full corset,,,28 ,,NW,,,,,,$317.30,$0.00,1,1,1,1,1,1,20091001,,L0976,HCPCS,Lso full corset,,,28 ,,NW,,,,,,$207.77,$0.00,1,1,1,1,1,1,20091001,,L0978,HCPCS,Axillary crutch extension,,,28 ,,NW,,,,,,$341.15,$0.00,1,1,1,1,1,1,20091001,,L0980,HCPCS,Peroneal straps pair,,,28 ,,NW,,,,,,$30.94,$0.00,1,1,1,1,1,1,20091001,,L0982,HCPCS,Stocking supp grips set of f,,,28 ,,NW,,,,,,$28.84,$0.00,1,1,1,1,1,1,20091001,,L0984,HCPCS,Protective body sock each,,,28 ,,NW,,,,,,$77.73,$0.00,1,1,1,1,1,1,20091001,,L0999,HCPCS,Add to spinal orthosis nos,,,28 ,,NW,,,,,,$83.45,$0.00,1,1,1,1,1,1,20091001,,L1000,HCPCS,Ctlso milwauke initial model,,,28 ,,NW,,,,,,"$3,598.08",$0.00,1,1,1,1,1,1,20091001,,L1005,HCPCS,Tension based scoliosis orth,,,28 ,,NW,,,,,,"$5,419.31",$0.00,1,1,1,1,1,1,20091001,,L1010,HCPCS,Ctlso axilla sling,,,28 ,,NW,,,,,,$118.94,$0.00,1,1,1,1,1,1,20091001,,L1020,HCPCS,Kyphosis pad,,,28 ,,NW,,,,,,$153.17,$0.00,1,1,1,1,1,1,20091001,,L1025,HCPCS,Kyphosis pad floating,,,28 ,,NW,,,,,,$221.00,$0.00,1,1,1,1,1,1,20091001,,L1030,HCPCS,Lumbar bolster pad,,,28 ,,NW,,,,,,$112.75,$0.00,1,1,1,1,1,1,20091001,,L1040,HCPCS,Lumbar or lumbar rib pad,,,28 ,,NW,,,,,,$138.27,$0.00,1,1,1,1,1,1,20091001,,L1050,HCPCS,Sternal pad,,,28 ,,NW,,,,,,$147.55,$0.00,1,1,1,1,1,1,20091001,,L1060,HCPCS,Thoracic pad,,,28 ,,NW,,,,,,$123.96,$0.00,1,1,1,1,1,1,20091001,,L1070,HCPCS,Trapezius sling,,,28 ,,NW,,,,,,$159.46,$0.00,1,1,1,1,1,1,20091001,,L1080,HCPCS,Outrigger,,,28 ,,NW,,,,,,$98.08,$0.00,1,1,1,1,1,1,20091001,,L1085,HCPCS,Outrigger bil w/ vert extens,,,28 ,,NW,,,,,,$272.80,$0.00,1,1,1,1,1,1,20091001,,L1090,HCPCS,Lumbar sling,,,28 ,,NW,,,,,,$162.45,$0.00,1,1,1,1,1,1,20091001,,L1100,HCPCS,Ring flange plastic/leather,,,28 ,,NW,,,,,,$281.84,$0.00,1,1,1,1,1,1,20091001,,L1110,HCPCS,Ring flange plas/leather mol,,,28 ,,NW,,,,,,$452.62,$0.00,1,1,1,1,1,1,20091001,,L1120,HCPCS,Covers for upright each,,,28 ,,NW,,,,,,$70.40,$0.00,1,1,1,1,1,1,20091001,,L1200,HCPCS,Furnsh initial orthosis only,,,28 ,,NW,,,,,,"$2,055.43",$0.00,1,1,1,1,1,1,20091001,,L1210,HCPCS,Lateral thoracic extension,,,28 ,,NW,,,,,,$341.19,$0.00,1,1,1,1,1,1,20091001,,L1220,HCPCS,Anterior thoracic extension,,,28 ,,NW,,,,,,$294.96,$0.00,1,1,1,1,1,1,20091001,,L1230,HCPCS,Milwaukee type superstructur,,,28 ,,NW,,,,,,"$1,007.45",$0.00,1,1,1,1,1,1,20091001,,L1240,HCPCS,Lumbar derotation pad,,,28 ,,NW,,,,,,$100.54,$0.00,1,1,1,1,1,1,20091001,,L1250,HCPCS,Anterior asis pad,,,28 ,,NW,,,,,,$128.03,$0.00,1,1,1,1,1,1,20091001,,L1260,HCPCS,Anterior thoracic derotation,,,28 ,,NW,,,,,,$97.43,$0.00,1,1,1,1,1,1,20091001,,L1270,HCPCS,Abdominal pad,,,28 ,,NW,,,,,,$137.31,$0.00,1,1,1,1,1,1,20091001,,L1280,HCPCS,Rib gusset (elastic) each,,,28 ,,NW,,,,,,$112.86,$0.00,1,1,1,1,1,1,20091001,,L1290,HCPCS,Lateral trochanteric pad,,,28 ,,NW,,,,,,$102.94,$0.00,1,1,1,1,1,1,20091001,,L1300,HCPCS,Body jacket mold to patient,,,28 ,,NW,,,,,,"$2,138.20",$0.00,1,1,1,1,1,1,20091001,,L1310,HCPCS,Post-operative body jacket,,,28 ,,NW,,,,,,"$3,046.29",$0.00,1,1,1,1,1,1,20091001,,L1499,HCPCS,Spinal orthosis nos,,,28 ,,NW,,,,,,$132.59,$0.00,1,1,1,1,1,1,20091001,,L1500,HCPCS,Thkao mobility frame,,,28 ,,NW,,,,,,"$3,366.34",$0.00,1,1,1,1,1,1,20091001,,L1510,HCPCS,Thkao standing frame,,,28 ,,NW,,,,,,"$2,129.70",$0.00,1,1,1,1,1,1,20091001,,L1520,HCPCS,Thkao swivel walker,,,28 ,,NW,,,,,,"$4,043.15",$0.00,1,1,1,1,1,1,20091001,,L1600,HCPCS,Abduct hip flex frejka w cvr,,,28 ,,NW,,,,,,$228.37,$0.00,1,1,1,1,1,1,20091001,,L1610,HCPCS,Abduct hip flex frejka covr,,,28 ,,NW,,,,,,$77.81,$0.00,1,1,1,1,1,1,20091001,,L1620,HCPCS,Abduct hip flex pavlik harne,,,28 ,,NW,,,,,,$237.46,$0.00,1,1,1,1,1,1,20091001,,L1630,HCPCS,Abduct control hip semi-flex,,,28 ,,NW,,,,,,$300.32,$0.00,1,1,1,1,1,1,20091001,,L1640,HCPCS,Pelv band/spread bar thigh c,,,28 ,,NW,,,,,,$817.76,$0.00,1,1,1,1,1,1,20091001,,L1650,HCPCS,Ho abduction hip adjustable,,,28 ,,NW,,,,,,$410.32,$0.00,1,1,1,1,1,1,20091001,,L1652,HCPCS,Ho bi thighcuffs w sprdr bar,,,28 ,,NW,,,,,,$603.58,$0.00,1,1,1,1,1,1,20091001,,L1660,HCPCS,Ho abduction static plastic,,,28 ,,NW,,,,,,$303.29,$0.00,1,1,1,1,1,1,20091001,,L1680,HCPCS,Pelvic & hip control thigh c,,,28 ,,NW,,,,,,"$2,159.36",$0.00,1,1,1,1,1,1,20091001,,L1685,HCPCS,Post-op hip abduct custom fa,,,28 ,,NW,,,,,,"$2,108.06",$0.00,1,1,1,1,1,1,20091001,,L1686,HCPCS,Ho post-op hip abduction,,,28 ,,NW,,,,,,"$1,616.64",$0.00,1,1,1,1,1,1,20091001,,L1690,HCPCS,Combination bilateral ho,,,28 ,,NW,,,,,,"$3,274.19",$0.00,1,1,1,1,1,1,20091001,,L1700,HCPCS,Leg perthes orth toronto typ,,,28 ,,NW,,,,,,"$2,706.42",$0.00,1,1,1,1,1,1,20091001,,L1710,HCPCS,Legg perthes orth newington,,,28 ,,NW,,,,,,"$3,168.15",$0.00,1,1,1,1,1,1,20091001,,L1720,HCPCS,Legg perthes orthosis trilat,,,28 ,,NW,,,,,,"$2,335.33",$0.00,1,1,1,1,1,1,20091001,,L1730,HCPCS,Legg perthes orth scottish r,,,28 ,,NW,,,,,,"$2,005.81",$0.00,1,1,1,1,1,1,20091001,,L1755,HCPCS,Legg perthes patten bottom t,,,28 ,,NW,,,,,,"$2,805.91",$0.00,1,1,1,1,1,1,20091001,,L1800,HCPCS,Knee orthoses elas w stays,,,28 ,,NW,,,,,,$84.84,$0.00,1,1,1,1,1,1,20091001,,L1810,HCPCS,Ko elastic with joints,,,28 ,,NW,,,,,,$125.89,$0.00,1,1,1,1,1,1,20091001,,L1815,HCPCS,Elastic with condylar pads,,,28 ,,NW,,,,,,$123.55,$0.00,1,1,1,1,1,1,20091001,,L1820,HCPCS,Ko elas w/ condyle pads & jo,,,28 ,,NW,,,,,,$165.74,$0.00,1,1,1,1,1,1,20091001,,L1825,HCPCS,Ko elastic knee cap,,,28 ,,NW,,,,,,$70.11,$0.00,1,1,1,1,1,1,20091001,,L1830,HCPCS,Ko immobilizer canvas longit,,,28 ,,NW,,,,,,$113.00,$0.00,1,1,1,1,1,1,20091001,,L1831,HCPCS,Knee orth pos locking joint,,,28 ,,NW,,,,,,$357.16,$0.00,1,1,1,0,1,1,20091001,,L1832,HCPCS,Ko adj jnt pos rigid support,,,28 ,,NW,,,,,,$785.44,$0.00,1,1,1,1,1,1,20091001,,L1834,HCPCS,Ko w/0 joint rigid molded to,,,28 ,,NW,,,,,,"$1,375.72",$0.00,1,1,1,1,1,1,20091001,,L1836,HCPCS,Rigid ko wo joints,,,28 ,,NW,,,,,,$225.92,$0.00,1,1,1,1,1,1,20091001,,L1840,HCPCS,Ko derot ant cruciate custom,,,28 ,,NW,,,,,,"$1,629.54",$0.00,1,1,1,1,1,1,20091001,,L1843,HCPCS,Ko single upright custom fit,,,28 ,,NW,,,,,,"$1,106.56",$0.00,1,1,1,1,1,1,20091001,,L1844,HCPCS,Ko w/adj jt rot cntrl molded,,,28 ,,NW,,,,,,"$2,026.32",$0.00,1,1,1,1,1,1,20091001,,L1845,HCPCS,Ko w/ adj flex/ext rotat cus,,,28 ,,NW,,,,,,"$1,052.42",$0.00,1,1,1,1,1,1,20091001,,L1846,HCPCS,Ko w adj flex/ext rotat mold,,,28 ,,NW,,,,,,"$1,373.67",$0.00,1,1,1,1,1,1,20091001,,L1847,HCPCS,Ko adjustable w air chambers,,,28 ,,NW,,,,,,$973.88,$0.00,1,1,1,1,1,1,20091001,,L1850,HCPCS,Ko swedish type,,,28 ,,NW,,,,,,$510.12,$0.00,1,1,1,1,1,1,20091001,,L1860,HCPCS,Ko supracondylar socket mold,,,28 ,,NW,,,,,,"$1,901.73",$0.00,1,1,1,1,1,1,20091001,,L1900,HCPCS,Afo sprng wir drsflx calf bd,,,28 ,,NW,,,,,,$478.10,$0.00,1,1,1,1,1,1,20091001,,L1901,HCPCS,Prefab ankle orthosis,,,28 ,,NW,,,,,,$21.95,$0.00,1,1,1,1,1,1,20091001,,L1902,HCPCS,Afo ankle gauntlet,,,28 ,,NW,,,,,,$101.67,$0.00,1,1,1,1,1,1,20091001,,L1904,HCPCS,Afo molded ankle gauntlet,,,28 ,,NW,,,,,,$595.93,$0.00,1,1,1,1,1,1,20091001,,L1906,HCPCS,Afo multiligamentus ankle su,,,28 ,,NW,,,,,,$152.26,$0.00,1,1,1,1,1,1,20091001,,L1907,HCPCS,Afo supramalleolar custom,,,28 ,,NW,,,,,,$691.66,$0.00,1,1,1,0,1,1,20091001,,L1910,HCPCS,Afo sing bar clasp attach sh,,,28 ,,NW,,,,,,$473.93,$0.00,1,1,1,1,1,1,20091001,,L1920,HCPCS,Afo sing upright w/ adjust s,,,28 ,,NW,,,,,,$619.57,$0.00,1,1,1,1,1,1,20091001,,L1930,HCPCS,Afo plastic,,,28 ,,NW,,,,,,$303.88,$0.00,1,1,1,1,1,1,20091001,,L1932,HCPCS,Afo rig ant tib prefab tcf/=,,,28 ,,NW,,,,,,"$1,225.70",$0.00,1,1,1,0,1,1,20091001,,L1940,HCPCS,Afo molded to patient plasti,,,28 ,,NW,,,,,,$637.04,$0.00,1,1,1,1,1,1,20091001,,L1945,HCPCS,Afo molded plas rig ant tib,,,28 ,,NW,,,,,,"$1,202.16",$0.00,1,1,1,1,1,1,20091001,,L1950,HCPCS,Afo spiral molded to pt plas,,,28 ,,NW,,,,,,"$1,320.06",$0.00,1,1,1,1,1,1,20091001,,L1951,HCPCS,Afo spiral prefabricated,,,28 ,,NW,,,,,,"$1,068.91",$0.00,1,1,1,0,1,1,20091001,,L1960,HCPCS,Afo pos solid ank plastic mo,,,28 ,,NW,,,,,,$716.93,$0.00,1,1,1,1,1,1,20091001,,L1970,HCPCS,Afo plastic molded w/ankle j,,,28 ,,NW,,,,,,$917.20,$0.00,1,1,1,1,1,1,20091001,,L1971,HCPCS,"Afo w/ankle joint, prefab",,,28 ,,NW,,,,,,$573.78,$0.00,1,1,1,0,1,1,20091001,,L1980,HCPCS,Afo sing solid stirrup calf,,,28 ,,NW,,,,,,$650.44,$0.00,1,1,1,1,1,1,20091001,,L1990,HCPCS,Afo doub solid stirrup calf,,,28 ,,NW,,,,,,$579.56,$0.00,1,1,1,1,1,1,20091001,,L2000,HCPCS,Kafo sing fre stirr thi/calf,,,28 ,,NW,,,,,,"$1,797.57",$0.00,1,1,1,1,1,1,20091001,,L2005,HCPCS,Kafo sng/dbl mechanical act,,,28 ,,NW,,,,,,"$3,469.86",$0.00,1,1,1,0,1,1,20091001,,L2010,HCPCS,Kafo sng solid stirrup w/o j,,,28 ,,NW,,,,,,"$1,638.65",$0.00,1,1,1,1,1,1,20091001,,L2020,HCPCS,Kafo dbl solid stirrup band/,,,28 ,,NW,,,,,,"$2,069.38",$0.00,1,1,1,1,1,1,20091001,,L2030,HCPCS,Kafo dbl solid stirrup w/o j,,,28 ,,NW,,,,,,"$1,795.36",$0.00,1,1,1,1,1,1,20091001,,L2035,HCPCS,Kafo plastic pediatric size,,,28 ,,NW,,,,,,$295.16,$0.00,1,1,1,1,1,1,20091001,,L2036,HCPCS,Kafo plas doub free knee mol,,,28 ,,NW,,,,,,"$2,386.12",$0.00,1,1,1,1,1,1,20091001,,L2037,HCPCS,Kafo plas sing free knee mol,,,28 ,,NW,,,,,,"$2,951.86",$0.00,1,1,1,1,1,1,20091001,,L2038,HCPCS,Kafo w/o joint multi-axis an,,,28 ,,NW,,,,,,"$2,533.85",$0.00,1,1,1,1,1,1,20091001,,L2040,HCPCS,Hkafo torsion bil rot straps,,,28 ,,NW,,,,,,$314.66,$0.00,1,1,1,1,1,1,20091001,,L2050,HCPCS,Hkafo torsion cable hip pelv,,,28 ,,NW,,,,,,$844.25,$0.00,1,1,1,1,1,1,20091001,,L2060,HCPCS,Hkafo torsion ball bearing j,,,28 ,,NW,,,,,,"$1,028.95",$0.00,1,1,1,1,1,1,20091001,,L2070,HCPCS,Hkafo torsion unilat rot str,,,28 ,,NW,,,,,,$238.33,$0.00,1,1,1,1,1,1,20091001,,L2080,HCPCS,Hkafo unilat torsion cable,,,28 ,,NW,,,,,,$637.44,$0.00,1,1,1,1,1,1,20091001,,L2090,HCPCS,Hkafo unilat torsion ball br,,,28 ,,NW,,,,,,$777.12,$0.00,1,1,1,1,1,1,20091001,,L2106,HCPCS,Afo tib fx cast plaster mold,,,28 ,,NW,,,,,,"$1,204.98",$0.00,1,1,1,1,1,1,20091001,,L2108,HCPCS,Afo tib fx cast molded to pt,,,28 ,,NW,,,,,,"$1,893.58",$0.00,1,1,1,1,1,1,20091001,,L2112,HCPCS,Afo tibial fracture soft,,,28 ,,NW,,,,,,$609.96,$0.00,1,1,1,1,1,1,20091001,,L2114,HCPCS,Afo tib fx semi-rigid,,,28 ,,NW,,,,,,$755.70,$0.00,1,1,1,1,1,1,20091001,,L2116,HCPCS,Afo tibial fracture rigid,,,28 ,,NW,,,,,,$932.17,$0.00,1,1,1,1,1,1,20091001,,L2126,HCPCS,Kafo fem fx cast thermoplas,,,28 ,,NW,,,,,,"$2,122.19",$0.00,1,1,1,1,1,1,20091001,,L2128,HCPCS,Kafo fem fx cast molded to p,,,28 ,,NW,,,,,,"$3,038.92",$0.00,1,1,1,1,1,1,20091001,,L2132,HCPCS,Kafo femoral fx cast soft,,,28 ,,NW,,,,,,"$1,429.63",$0.00,1,1,1,1,1,1,20091001,,L2134,HCPCS,Kafo fem fx cast semi-rigid,,,28 ,,NW,,,,,,"$1,714.08",$0.00,1,1,1,1,1,1,20091001,,L2136,HCPCS,Kafo femoral fx cast rigid,,,28 ,,NW,,,,,,"$2,095.87",$0.00,1,1,1,1,1,1,20091001,,L2180,HCPCS,Plas shoe insert w ank joint,,,28 ,,NW,,,,,,$207.54,$0.00,1,1,1,1,1,1,20091001,,L2182,HCPCS,Drop lock knee,,,28 ,,NW,,,,,,$162.43,$0.00,1,1,1,1,1,1,20091001,,L2184,HCPCS,Limited motion knee joint,,,28 ,,NW,,,,,,$219.54,$0.00,1,1,1,1,1,1,20091001,,L2186,HCPCS,Adj motion knee jnt lerman t,,,28 ,,NW,,,,,,$266.82,$0.00,1,1,1,1,1,1,20091001,,L2188,HCPCS,Quadrilateral brim,,,28 ,,NW,,,,,,$530.76,$0.00,1,1,1,1,1,1,20091001,,L2190,HCPCS,Waist belt,,,28 ,,NW,,,,,,$154.77,$0.00,1,1,1,1,1,1,20091001,,L2192,HCPCS,Pelvic band & belt thigh fla,,,28 ,,NW,,,,,,$631.91,$0.00,1,1,1,1,1,1,20091001,,L2200,HCPCS,Limited ankle motion ea jnt,,,28 ,,NW,,,,,,$61.19,$0.00,1,1,1,1,1,1,20091001,,L2210,HCPCS,Dorsiflexion assist each joi,,,28 ,,NW,,,,,,$87.21,$0.00,1,1,1,1,1,1,20091001,,L2220,HCPCS,Dorsi & plantar flex ass/res,,,28 ,,NW,,,,,,$105.19,$0.00,1,1,1,1,1,1,20091001,,L2230,HCPCS,Split flat caliper stirr & p,,,28 ,,NW,,,,,,$99.53,$0.00,1,1,1,1,1,1,20091001,,L2232,HCPCS,"Rocker bottom, contact afo",,,28 ,,NW,,,,,,$240.62,$0.00,1,1,1,0,1,1,20091001,,L2240,HCPCS,Round caliper and plate atta,,,28 ,,NW,,,,,,$148.21,$0.00,1,1,1,1,1,1,20091001,,L2250,HCPCS,Foot plate molded stirrup at,,,28 ,,NW,,,,,,$458.20,$0.00,1,1,1,1,1,1,20091001,,L2260,HCPCS,Reinforced solid stirrup,,,28 ,,NW,,,,,,$355.27,$0.00,1,1,1,1,1,1,20091001,,L2265,HCPCS,Long tongue stirrup,,,28 ,,NW,,,,,,$150.89,$0.00,1,1,1,1,1,1,20091001,,L2270,HCPCS,Varus/valgus strap padded/li,,,28 ,,NW,,,,,,$69.21,$0.00,1,1,1,1,1,1,20091001,,L2275,HCPCS,Plastic mod low ext pad/line,,,28 ,,NW,,,,,,$161.83,$0.00,1,1,1,1,1,1,20091001,,L2280,HCPCS,Molded inner boot,,,28 ,,NW,,,,,,$587.77,$0.00,1,1,1,1,1,1,20091001,,L2300,HCPCS,Abduction bar jointed adjust,,,28 ,,NW,,,,,,$477.16,$0.00,1,1,1,1,1,1,20091001,,L2310,HCPCS,Abduction bar-straight,,,28 ,,NW,,,,,,$218.01,$0.00,1,1,1,1,1,1,20091001,,L2320,HCPCS,Non-molded lacer,,,28 ,,NW,,,,,,$364.64,$0.00,1,1,1,1,1,1,20091001,,L2330,HCPCS,Lacer molded to patient mode,,,28 ,,NW,,,,,,$512.19,$0.00,1,1,1,1,1,1,20091001,,L2335,HCPCS,Anterior swing band,,,28 ,,NW,,,,,,$402.62,$0.00,1,1,1,1,1,1,20091001,,L2340,HCPCS,Pre-tibial shell molded to p,,,28 ,,NW,,,,,,$577.55,$0.00,1,1,1,1,1,1,20091001,,L2350,HCPCS,Prosthetic type socket molde,,,28 ,,NW,,,,,,"$1,579.16",$0.00,1,1,1,1,1,1,20091001,,L2360,HCPCS,Extended steel shank,,,28 ,,NW,,,,,,$66.45,$0.00,1,1,1,1,1,1,20091001,,L2370,HCPCS,Patten bottom,,,28 ,,NW,,,,,,$454.95,$0.00,1,1,1,1,1,1,20091001,,L2375,HCPCS,Torsion ank & half solid sti,,,28 ,,NW,,,,,,$200.24,$0.00,1,1,1,1,1,1,20091001,,L2380,HCPCS,Torsion straight knee joint,,,28 ,,NW,,,,,,$218.18,$0.00,1,1,1,1,1,1,20091001,,L2385,HCPCS,Straight knee joint heavy du,,,28 ,,NW,,,,,,$168.88,$0.00,1,1,1,1,1,1,20091001,,L2387,HCPCS,Add le poly knee custom kafo,,,28 ,,NW,,,,,,$313.85,$0.00,1,1,1,0,1,1,20091001,,L2390,HCPCS,Offset knee joint each,,,28 ,,NW,,,,,,$149.65,$0.00,1,1,1,1,1,1,20091001,,L2395,HCPCS,Offset knee joint heavy duty,,,28 ,,NW,,,,,,$196.78,$0.00,1,1,1,1,1,1,20091001,,L2397,HCPCS,Suspension sleeve lower ext,,,28 ,,NW,,,,,,$146.61,$0.00,1,1,1,1,1,1,20091001,,L2405,HCPCS,Knee joint drop lock ea jnt,,,28 ,,NW,,,,,,$108.18,$0.00,1,1,1,1,1,1,20091001,,L2415,HCPCS,Knee joint cam lock each joi,,,28 ,,NW,,,,,,$148.98,$0.00,1,1,1,1,1,1,20091001,,L2425,HCPCS,Knee disc/dial lock/adj flex,,,28 ,,NW,,,,,,$176.57,$0.00,1,1,1,1,1,1,20091001,,L2430,HCPCS,Knee jnt ratchet lock ea jnt,,,28 ,,NW,,,,,,$177.23,$0.00,1,1,1,1,1,1,20091001,,L2492,HCPCS,Knee lift loop drop lock rin,,,28 ,,NW,,,,,,$180.72,$0.00,1,1,1,1,1,1,20091001,,L2500,HCPCS,Thi/glut/ischia wgt bearing,,,28 ,,NW,,,,,,$559.09,$0.00,1,1,1,1,1,1,20091001,,L2510,HCPCS,Th/wght bear quad-lat brim m,,,28 ,,NW,,,,,,"$1,287.34",$0.00,1,1,1,1,1,1,20091001,,L2520,HCPCS,Th/wght bear quad-lat brim c,,,28 ,,NW,,,,,,$816.44,$0.00,1,1,1,1,1,1,20091001,,L2525,HCPCS,Th/wght bear nar m-l brim mo,,,28 ,,NW,,,,,,"$2,160.35",$0.00,1,1,1,1,1,1,20091001,,L2526,HCPCS,Th/wght bear nar m-l brim cu,,,28 ,,NW,,,,,,"$1,213.90",$0.00,1,1,1,1,1,1,20091001,,L2530,HCPCS,Thigh/wght bear lacer non-mo,,,28 ,,NW,,,,,,$416.41,$0.00,1,1,1,1,1,1,20091001,,L2540,HCPCS,Thigh/wght bear lacer molded,,,28 ,,NW,,,,,,$749.27,$0.00,1,1,1,1,1,1,20091001,,L2550,HCPCS,Thigh/wght bear high roll cu,,,28 ,,NW,,,,,,$508.99,$0.00,1,1,1,1,1,1,20091001,,L2570,HCPCS,Hip clevis type 2 posit jnt,,,28 ,,NW,,,,,,$844.15,$0.00,1,1,1,1,1,1,20091001,,L2580,HCPCS,Pelvic control pelvic sling,,,28 ,,NW,,,,,,$822.52,$0.00,1,1,1,1,1,1,20091001,,L2600,HCPCS,Hip clevis/thrust bearing fr,,,28 ,,NW,,,,,,$363.98,$0.00,1,1,1,1,1,1,20091001,,L2610,HCPCS,Hip clevis/thrust bearing lo,,,28 ,,NW,,,,,,$430.40,$0.00,1,1,1,1,1,1,20091001,,L2620,HCPCS,Pelvic control hip heavy dut,,,28 ,,NW,,,,,,$473.86,$0.00,1,1,1,1,1,1,20091001,,L2622,HCPCS,Hip joint adjustable flexion,,,28 ,,NW,,,,,,$543.48,$0.00,1,1,1,1,1,1,20091001,,L2624,HCPCS,Hip adj flex ext abduct cont,,,28 ,,NW,,,,,,$586.87,$0.00,1,1,1,1,1,1,20091001,,L2627,HCPCS,Plastic mold recipro hip & c,,,28 ,,NW,,,,,,"$3,038.15",$0.00,1,1,1,1,1,1,20091001,,L2628,HCPCS,Metal frame recipro hip & ca,,,28 ,,NW,,,,,,"$2,969.21",$0.00,1,1,1,1,1,1,20091001,,L2630,HCPCS,Pelvic control band & belt u,,,28 ,,NW,,,,,,$438.85,$0.00,1,1,1,1,1,1,20091001,,L2640,HCPCS,Pelvic control band & belt b,,,28 ,,NW,,,,,,$595.58,$0.00,1,1,1,1,1,1,20091001,,L2650,HCPCS,Pelv & thor control gluteal,,,28 ,,NW,,,,,,$212.69,$0.00,1,1,1,1,1,1,20091001,,L2660,HCPCS,Thoracic control thoracic ba,,,28 ,,NW,,,,,,$330.32,$0.00,1,1,1,1,1,1,20091001,,L2670,HCPCS,Thorac cont paraspinal uprig,,,28 ,,NW,,,,,,$302.32,$0.00,1,1,1,1,1,1,20091001,,L2680,HCPCS,Thorac cont lat support upri,,,28 ,,NW,,,,,,$277.34,$0.00,1,1,1,1,1,1,20091001,,L2750,HCPCS,Plating chrome/nickel pr bar,,,28 ,,NW,,,,,,$148.14,$0.00,1,1,1,1,1,1,20091001,,L2755,HCPCS,Carbon graphite lamination,,,28 ,,NW,,,,,,$161.39,$0.00,1,1,1,1,1,1,20091001,,L2760,HCPCS,Extension per extension per,,,28 ,,NW,,,,,,$78.63,$0.00,1,1,1,1,1,1,20091001,,L2768,HCPCS,Ortho sidebar disconnect,,,28 ,,NW,,,,,,$220.63,$0.00,1,1,1,1,1,1,20091001,,L2770,HCPCS,Low ext orthosis per bar/jnt,,,28 ,,NW,,,,,,$80.19,$0.00,1,1,1,1,1,1,20091001,,L2780,HCPCS,Non-corrosive finish,,,28 ,,NW,,,,,,$88.07,$0.00,1,1,1,1,1,1,20091001,,L2785,HCPCS,Drop lock retainer each,,,28 ,,NW,,,,,,$41.27,$0.00,1,1,1,1,1,1,20091001,,L2795,HCPCS,Knee control full kneecap,,,28 ,,NW,,,,,,$109.63,$0.00,1,1,1,1,1,1,20091001,,L2800,HCPCS,Knee cap medial or lateral p,,,28 ,,NW,,,,,,$136.15,$0.00,1,1,1,1,1,1,20091001,,L2810,HCPCS,Knee control condylar pad,,,28 ,,NW,,,,,,$101.07,$0.00,1,1,1,1,1,1,20091001,,L2820,HCPCS,Soft interface below knee se,,,28 ,,NW,,,,,,$112.11,$0.00,1,1,1,1,1,1,20091001,,L2830,HCPCS,Soft interface above knee se,,,28 ,,NW,,,,,,$122.03,$0.00,1,1,1,1,1,1,20091001,,L2840,HCPCS,Tibial length sock fx or equ,,,28 ,,NW,,,,,,$56.20,$0.00,1,1,1,1,1,1,20091001,,L2850,HCPCS,Femoral lgth sock fx or equa,,,28 ,,NW,,,,,,$78.07,$0.00,1,1,1,1,1,1,20091001,,L2999,HCPCS,Lower extremity orthosis nos,,,28 ,,NW,,,,,,$186.17,$0.00,1,1,1,1,1,1,20091001,,L3000,HCPCS,Ft insert ucb berkeley shell,,,28 ,,NW,,,,,,$338.32,$0.00,1,1,1,1,1,1,20091001,,L3001,HCPCS,Foot insert remov molded spe,,,28 ,,NW,,,,,,$273.10,$0.00,1,1,1,1,1,1,20091001,,L3002,HCPCS,Foot insert plastazote or eq,,,28 ,,NW,,,,,,$166.71,$0.00,1,1,1,1,1,1,20091001,,L3003,HCPCS,Foot insert silicone gel eac,,,28 ,,NW,,,,,,$277.81,$0.00,1,1,1,1,1,1,20091001,,L3010,HCPCS,Foot longitudinal arch suppo,,,28 ,,NW,,,,,,$261.63,$0.00,1,1,1,1,1,1,20091001,,L3020,HCPCS,Foot longitud/metatarsal sup,,,28 ,,NW,,,,,,$326.03,$0.00,1,1,1,1,1,1,20091001,,L3030,HCPCS,Foot arch support remov prem,,,28 ,,NW,,,,,,$331.45,$0.00,1,1,1,1,1,1,20091001,,L3031,HCPCS,Foot lamin/prepreg composite,,,28 ,,NW,,,,,,"$1,747.08",$0.00,1,1,1,0,1,1,20091001,,L3040,HCPCS,Ft arch suprt premold longit,,,28 ,,NW,,,,,,$58.23,$0.00,1,1,1,1,1,1,20091001,,L3050,HCPCS,Foot arch supp premold metat,,,28 ,,NW,,,,,,$53.08,$0.00,1,1,1,1,1,1,20091001,,L3060,HCPCS,Foot arch supp longitud/meta,,,28 ,,NW,,,,,,$106.06,$0.00,1,1,1,1,1,1,20091001,,L3070,HCPCS,Arch suprt att to sho longit,,,28 ,,NW,,,,,,$44.73,$0.00,1,1,1,1,1,1,20091001,,L3080,HCPCS,Arch supp att to shoe metata,,,28 ,,NW,,,,,,$18.25,$0.00,1,1,1,1,1,1,20091001,,L3090,HCPCS,Arch supp att to shoe long/m,,,28 ,,NW,,,,,,$28.25,$0.00,1,1,1,1,1,1,20091001,,L3100,HCPCS,Hallus-valgus nght dynamic s,,,28 ,,NW,,,,,,$34.75,$0.00,1,1,1,1,1,1,20091001,,L3140,HCPCS,Abduction rotation bar shoe,,,28 ,,NW,,,,,,$136.55,$0.00,1,1,1,1,1,1,20091001,,L3150,HCPCS,Abduct rotation bar w/o shoe,,,28 ,,NW,,,,,,$114.19,$0.00,1,1,1,1,1,1,20091001,,L3160,HCPCS,Shoe styled positioning dev,,,28 ,,NW,,,,,,$35.32,$0.00,1,1,1,1,1,1,20091001,,L3170,HCPCS,Foot plastic heel stabilizer,,,28 ,,NW,,,,,,$42.89,$0.00,1,1,1,1,1,1,20091001,,L3201,HCPCS,Oxford w supinat/pronat inf,,,28 ,,NW,,,,,,$135.38,$0.00,1,1,1,1,1,1,20091001,,L3202,HCPCS,Oxford w/ supinat/pronator c,,,28 ,,NW,,,,,,$97.69,$0.00,1,1,1,1,1,1,20091001,,L3203,HCPCS,Oxford w/ supinator/pronator,,,28 ,,NW,,,,,,$129.49,$0.00,1,1,1,1,1,1,20091001,,L3204,HCPCS,Hightop w/ supp/pronator inf,,,28 ,,NW,,,,,,$129.49,$0.00,1,1,1,1,1,1,20091001,,L3206,HCPCS,Hightop w/ supp/pronator chi,,,28 ,,NW,,,,,,$134.79,$0.00,1,1,1,1,1,1,20091001,,L3207,HCPCS,Hightop w/ supp/pronator jun,,,28 ,,NW,,,,,,$137.14,$0.00,1,1,1,1,1,1,20091001,,L3208,HCPCS,Surgical boot each infant,,,28 ,,NW,,,,,,$71.81,$0.00,1,1,1,1,1,1,20091001,,L3209,HCPCS,Surgical boot each child,,,28 ,,NW,,,,,,$101.83,$0.00,1,1,1,1,1,1,20091001,,L3211,HCPCS,Surgical boot each junior,,,28 ,,NW,,,,,,$108.30,$0.00,1,1,1,1,1,1,20091001,,L3212,HCPCS,Benesch boot pair infant,,,28 ,,NW,,,,,,$151.27,$0.00,1,1,1,1,1,1,20091001,,L3213,HCPCS,Benesch boot pair child,,,28 ,,NW,,,,,,$182.46,$0.00,1,1,1,1,1,1,20091001,,L3214,HCPCS,Benesch boot pair junior,,,28 ,,NW,,,,,,$194.23,$0.00,1,1,1,1,1,1,20091001,,L3215,HCPCS,Orthopedic ftwear ladies oxf,,,28 ,,NW,,,,,,$247.21,$0.00,1,1,1,1,1,1,20091001,,L3216,HCPCS,Orthoped ladies shoes dpth i,,,28 ,,NW,,,,,,$216.34,$0.00,1,1,1,1,1,1,20091001,,L3217,HCPCS,Ladies shoes hightop depth i,,,28 ,,NW,,,,,,$324.31,$0.00,1,1,1,1,1,1,20091001,,L3219,HCPCS,Orthopedic mens shoes oxford,,,28 ,,NW,,,,,,$277.81,$0.00,1,1,1,1,1,1,20091001,,L3221,HCPCS,Orthopedic mens shoes dpth i,,,28 ,,NW,,,,,,$243.30,$0.00,1,1,1,1,1,1,20091001,,L3222,HCPCS,Mens shoes hightop depth inl,,,28 ,,NW,,,,,,$367.87,$0.00,1,1,1,1,1,1,20091001,,L3224,HCPCS,Woman's shoe oxford brace,,,28 ,,NW,,,,,,$104.20,$0.00,1,1,1,1,1,1,20091001,,L3225,HCPCS,Man's shoe oxford brace,,,28 ,,NW,,,,,,$119.88,$0.00,1,1,1,1,1,1,20091001,,L3230,HCPCS,Custom shoes depth inlay,,,28 ,,NW,,,,,,$433.20,$0.00,1,1,1,1,1,1,20091001,,L3250,HCPCS,Custom mold shoe remov prost,,,28 ,,NW,,,,,,$842.86,$0.00,1,1,1,1,1,1,20091001,,L3251,HCPCS,Shoe molded to pt silicone s,,,28 ,,NW,,,,,,$115.95,$0.00,1,1,1,1,1,1,20091001,,L3252,HCPCS,Shoe molded plastazote cust,,,28 ,,NW,,,,,,$461.45,$0.00,1,1,1,1,1,1,20091001,,L3253,HCPCS,Shoe molded plastazote cust,,,28 ,,NW,,,,,,$115.36,$0.00,1,1,1,1,1,1,20091001,,L3254,HCPCS,Orth foot non-stndard size/w,,,28 ,,NW,,,,,,$15.34,$0.00,1,1,1,1,1,1,20091001,,L3255,HCPCS,Orth foot non-standard size/,,,28 ,,NW,,,,,,$32.17,$0.00,1,1,1,1,1,1,20091001,,L3257,HCPCS,Orth foot add charge split s,,,28 ,,NW,,,,,,$83.58,$0.00,1,1,1,1,1,1,20091001,,L3260,HCPCS,Ambulatory surgical boot eac,,,28 ,,NW,,,,,,$38.09,$0.00,1,1,1,1,1,1,20091001,,L3265,HCPCS,Plastazote sandal each,,,28 ,,NW,,,,,,$37.85,$0.00,1,1,1,1,1,1,20091001,,L3300,HCPCS,Sho lift taper to metatarsal,,,28 ,,NW,,,,,,$42.33,$0.00,1,1,1,1,1,1,20091001,,L3310,HCPCS,Shoe lift elev heel/sole neo,,,28 ,,NW,,,,,,$87.17,$0.00,1,1,1,1,1,1,20091001,,L3320,HCPCS,Shoe lift elev heel/sole cor,,,28 ,,NW,,,,,,$311.95,$0.00,1,1,1,1,1,1,20091001,,L3330,HCPCS,Lifts elevation metal extens,,,28 ,,NW,,,,,,$504.61,$0.00,1,1,1,1,1,1,20091001,,L3332,HCPCS,Shoe lifts tapered to one-ha,,,28 ,,NW,,,,,,$25.07,$0.00,1,1,1,1,1,1,20091001,,L3334,HCPCS,Shoe lifts elevation heel /i,,,28 ,,NW,,,,,,$25.64,$0.00,1,1,1,1,1,1,20091001,,L3340,HCPCS,Shoe wedge sach,,,28 ,,NW,,,,,,$84.76,$0.00,1,1,1,1,1,1,20091001,,L3350,HCPCS,Shoe heel wedge,,,28 ,,NW,,,,,,$38.97,$0.00,1,1,1,1,1,1,20091001,,L3360,HCPCS,Shoe sole wedge outside sole,,,28 ,,NW,,,,,,$40.02,$0.00,1,1,1,1,1,1,20091001,,L3370,HCPCS,Shoe sole wedge between sole,,,28 ,,NW,,,,,,$48.26,$0.00,1,1,1,1,1,1,20091001,,L3380,HCPCS,Shoe clubfoot wedge,,,28 ,,NW,,,,,,$82.99,$0.00,1,1,1,1,1,1,20091001,,L3390,HCPCS,Shoe outflare wedge,,,28 ,,NW,,,,,,$115.36,$0.00,1,1,1,1,1,1,20091001,,L3400,HCPCS,Shoe metatarsal bar wedge ro,,,28 ,,NW,,,,,,$80.21,$0.00,1,1,1,1,1,1,20091001,,L3410,HCPCS,Shoe metatarsal bar between,,,28 ,,NW,,,,,,$187.17,$0.00,1,1,1,1,1,1,20091001,,L3420,HCPCS,Full sole/heel wedge btween,,,28 ,,NW,,,,,,$60.04,$0.00,1,1,1,1,1,1,20091001,,L3430,HCPCS,Sho heel count plast reinfor,,,28 ,,NW,,,,,,$150.68,$0.00,1,1,1,1,1,1,20091001,,L3440,HCPCS,Heel leather reinforced,,,28 ,,NW,,,,,,$101.24,$0.00,1,1,1,1,1,1,20091001,,L3450,HCPCS,Shoe heel sach cushion type,,,28 ,,NW,,,,,,$82.40,$0.00,1,1,1,1,1,1,20091001,,L3455,HCPCS,Shoe heel new leather standa,,,28 ,,NW,,,,,,$34.54,$0.00,1,1,1,1,1,1,20091001,,L3460,HCPCS,Shoe heel new rubber standar,,,28 ,,NW,,,,,,$42.50,$0.00,1,1,1,1,1,1,20091001,,L3465,HCPCS,Shoe heel thomas with wedge,,,28 ,,NW,,,,,,$42.38,$0.00,1,1,1,1,1,1,20091001,,L3470,HCPCS,Shoe heel thomas extend to b,,,28 ,,NW,,,,,,$103.59,$0.00,1,1,1,1,1,1,20091001,,L3480,HCPCS,Shoe heel pad & depress for,,,28 ,,NW,,,,,,$51.16,$0.00,1,1,1,1,1,1,20091001,,L3485,HCPCS,Shoe heel pad removable for,,,28 ,,NW,,,,,,$33.82,$0.00,1,1,1,1,1,1,20091001,,L3500,HCPCS,Ortho shoe add leather insol,,,28 ,,NW,,,,,,$51.80,$0.00,1,1,1,1,1,1,20091001,,L3510,HCPCS,Orthopedic shoe add rub insl,,,28 ,,NW,,,,,,$48.26,$0.00,1,1,1,1,1,1,20091001,,L3520,HCPCS,O shoe add felt w leath insl,,,28 ,,NW,,,,,,$78.87,$0.00,1,1,1,1,1,1,20091001,,L3530,HCPCS,Ortho shoe add half sole,,,28 ,,NW,,,,,,$23.54,$0.00,1,1,1,1,1,1,20091001,,L3540,HCPCS,Ortho shoe add full sole,,,28 ,,NW,,,,,,$87.11,$0.00,1,1,1,1,1,1,20091001,,L3550,HCPCS,O shoe add standard toe tap,,,28 ,,NW,,,,,,$14.13,$0.00,1,1,1,1,1,1,20091001,,L3560,HCPCS,O shoe add horseshoe toe tap,,,28 ,,NW,,,,,,$18.83,$0.00,1,1,1,1,1,1,20091001,,L3570,HCPCS,O shoe add instep extension,,,28 ,,NW,,,,,,$77.69,$0.00,1,1,1,1,1,1,20091001,,L3580,HCPCS,O shoe add instep velcro clo,,,28 ,,NW,,,,,,$115.36,$0.00,1,1,1,1,1,1,20091001,,L3590,HCPCS,O shoe convert to sof counte,,,28 ,,NW,,,,,,$89.47,$0.00,1,1,1,1,1,1,20091001,,L3595,HCPCS,Ortho shoe add march bar,,,28 ,,NW,,,,,,$25.90,$0.00,1,1,1,1,1,1,20091001,,L3600,HCPCS,Trans shoe calip plate exist,,,28 ,,NW,,,,,,$145.97,$0.00,1,1,1,1,1,1,20091001,,L3610,HCPCS,Trans shoe caliper plate new,,,28 ,,NW,,,,,,$235.44,$0.00,1,1,1,1,1,1,20091001,,L3620,HCPCS,Trans shoe solid stirrup exi,,,28 ,,NW,,,,,,$145.97,$0.00,1,1,1,1,1,1,20091001,,L3630,HCPCS,Trans shoe solid stirrup new,,,28 ,,NW,,,,,,$178.93,$0.00,1,1,1,1,1,1,20091001,,L3640,HCPCS,Shoe dennis browne splint bo,,,28 ,,NW,,,,,,$58.86,$0.00,1,1,1,1,1,1,20091001,,L3649,HCPCS,Orthopedic shoe modifica nos,,,28 ,,NW,,,,,,$22.47,$0.00,1,1,1,1,1,1,20091001,,L3650,HCPCS,Shlder fig 8 abduct restrain,,,28 ,,NW,,,,,,$74.86,$0.00,1,1,1,1,1,1,20091001,,L3651,HCPCS,Prefab shoulder orthosis,,,28 ,,NW,,,,,,$73.65,$0.00,1,1,1,1,1,1,20091001,,L3652,HCPCS,Prefab dbl shoulder orthosis,,,28 ,,NW,,,,,,$229.79,$0.00,1,1,1,1,1,1,20091001,,L3660,HCPCS,Abduct restrainer canvas&web,,,28 ,,NW,,,,,,$129.97,$0.00,1,1,1,1,1,1,20091001,,L3670,HCPCS,Acromio/clavicular canvas&we,,,28 ,,NW,,,,,,$141.98,$0.00,1,1,1,1,1,1,20091001,,L3675,HCPCS,Canvas vest so,,,28 ,,NW,,,,,,$195.24,$0.00,1,1,1,1,1,1,20091001,,L3677,HCPCS,So hard plastic stabilizer,,,28 ,,NW,,,,,,$341.38,$0.00,1,1,1,1,1,1,20091001,,L3700,HCPCS,Elbow orthoses elas w stays,,,28 ,,NW,,,,,,$87.15,$0.00,1,1,1,1,1,1,20091001,,L3701,HCPCS,Prefab elbow orthosis,,,28 ,,NW,,,,,,$22.70,$0.00,1,1,1,1,1,1,20091001,,L3702,HCPCS,Eo w/o joints cf,,,28 ,,NW,,,,,,$148.78,$0.00,1,1,1,0,1,1,20091001,,L3710,HCPCS,Elbow elastic with metal joi,,,28 ,,NW,,,,,,$214.39,$0.00,1,1,1,1,1,1,20091001,,L3720,HCPCS,Forearm/arm cuffs free motio,,,28 ,,NW,,,,,,"$1,134.33",$0.00,1,1,1,1,1,1,20091001,,L3730,HCPCS,Forearm/arm cuffs ext/flex a,,,28 ,,NW,,,,,,"$1,563.34",$0.00,1,1,1,1,1,1,20091001,,L3740,HCPCS,Cuffs adj lock w/ active con,,,28 ,,NW,,,,,,"$1,853.46",$0.00,1,1,1,1,1,1,20091001,,L3760,HCPCS,"Eo withjoint, prefabricated",,,28 ,,NW,,,,,,$565.00,$0.00,1,1,1,1,1,1,20091001,,L3762,HCPCS,Rigid eo wo joints,,,28 ,,NW,,,,,,$118.73,$0.00,1,1,1,1,1,1,20091001,,L3763,HCPCS,Ewho rigid w/o jnts cf,,,28 ,,NW,,,,,,$173.56,$0.00,1,1,1,0,1,1,20091001,,L3765,HCPCS,Ewhfo rigid w/o jnts cf,,,28 ,,NW,,,,,,$313.85,$0.00,1,1,1,0,1,1,20091001,,L3807,HCPCS,"Whfo,no joint, prefabricated",,,28 ,,NW,,,,,,$281.98,$0.00,1,1,1,1,1,1,20091001,,L3900,HCPCS,Hinge extension/flex wrist/f,,,28 ,,NW,,,,,,"$2,244.03",$0.00,1,1,1,1,1,1,20091001,,L3901,HCPCS,Hinge ext/flex wrist finger,,,28 ,,NW,,,,,,"$2,786.96",$0.00,1,1,1,1,1,1,20091001,,L3904,HCPCS,Whfo electric custom fitted,,,28 ,,NW,,,,,,"$5,078.62",$0.00,1,1,1,1,1,1,20091001,,L3905,HCPCS,Who w/nontorsion jnt(s) cf,,,28 ,,NW,,,,,,$519.59,$0.00,1,1,1,0,1,1,20091001,,L3906,HCPCS,Who w/o joints cf,,,28 ,,NW,,,,,,$499.77,$0.00,1,1,1,1,1,1,20091001,,L3908,HCPCS,Wrist cock-up non-molded,,,28 ,,NW,,,,,,$74.44,$0.00,1,1,1,1,1,1,20091001,,L3909,HCPCS,Prefab wrist orthosis,,,28 ,,NW,,,,,,$16.04,$0.00,1,1,1,1,1,1,20091001,,L3911,HCPCS,Prefab hand finger orthosis,,,28 ,,NW,,,,,,$28.39,$0.00,1,1,1,0,1,1,20091001,,L3912,HCPCS,Flex glove w/elastic finger,,,28 ,,NW,,,,,,$118.63,$0.00,1,1,1,1,1,1,20091001,,L3913,HCPCS,Hfo w/o joints cf,,,28 ,,NW,,,,,,$148.58,$0.00,1,1,1,0,1,1,20091001,,L3917,HCPCS,Prefab metacarpl fx orthosis,,,28 ,,NW,,,,,,$115.03,$0.00,1,1,1,0,1,1,20091001,,L3919,HCPCS,Ho w/o joints cf,,,28 ,,NW,,,,,,$148.69,$0.00,1,1,1,0,1,1,20091001,,L3923,HCPCS,Hfo w/o joints pf,,,28 ,,NW,,,,,,$43.34,$0.00,1,1,1,1,1,1,20091001,,L3933,HCPCS,Fo w/o joints cf,,,28 ,,NW,,,,,,$71.10,$0.00,1,1,1,0,1,1,20091001,,L3935,HCPCS,Fo nontorsion joint cf,,,28 ,,NW,,,,,,$83.69,$0.00,1,1,1,0,1,1,20091001,,L3956,HCPCS,Add joint upper ext orthosis,,,28 ,,NW,,,,,,$15.69,$0.00,1,1,1,1,1,1,20091001,,L3960,HCPCS,Sewho airplan desig abdu pos,,,28 ,,NW,,,,,,$969.32,$0.00,1,1,1,1,1,1,20091001,,L3962,HCPCS,Sewho erbs palsey design abd,,,28 ,,NW,,,,,,"$1,244.30",$0.00,1,1,1,1,1,1,20091001,,L3964,HCPCS,Seo mobile arm sup att to wc,,,28 ,,NW,,,,,,$680.63,$0.00,1,1,1,1,1,1,20091001,,L3965,HCPCS,Arm supp att to wc rancho ty,,,28 ,,NW,,,,,,"$1,118.80",$0.00,1,1,1,1,1,1,20091001,,L3966,HCPCS,Mobile arm supports reclinin,,,28 ,,NW,,,,,,"$1,562.20",$0.00,1,1,1,1,1,1,20091001,,L3968,HCPCS,Friction dampening arm supp,,,28 ,,NW,,,,,,"$1,064.03",$0.00,1,1,1,1,1,1,20091001,,L3969,HCPCS,Monosuspension arm/hand supp,,,28 ,,NW,,,,,,$28.77,$0.00,1,1,1,1,1,1,20091001,,L3970,HCPCS,Elevat proximal arm support,,,28 ,,NW,,,,,,$101.75,$0.00,1,1,1,1,1,1,20091001,,L3972,HCPCS,Offset/lat rocker arm w/ ela,,,28 ,,NW,,,,,,$177.05,$0.00,1,1,1,1,1,1,20091001,,L3974,HCPCS,Mobile arm support supinator,,,28 ,,NW,,,,,,$150.62,$0.00,1,1,1,1,1,1,20091001,,L3980,HCPCS,Upp ext fx orthosis humeral,,,28 ,,NW,,,,,,$389.19,$0.00,1,1,1,1,1,1,20091001,,L3982,HCPCS,Upper ext fx orthosis rad/ul,,,28 ,,NW,,,,,,$477.76,$0.00,1,1,1,1,1,1,20091001,,L3984,HCPCS,Upper ext fx orthosis wrist,,,28 ,,NW,,,,,,$441.46,$0.00,1,1,1,1,1,1,20091001,,L3995,HCPCS,Sock fracture or equal each,,,28 ,,NW,,,,,,$40.76,$0.00,1,1,1,1,1,1,20091001,,L3999,HCPCS,Upper limb orthosis nos,,,28 ,,NW,,,,,,$118.17,$0.00,1,1,1,1,1,1,20091001,,L4000,HCPCS,Repl girdle milwaukee orth,,,28 ,,NW,,,,,,"$2,259.71",$0.00,1,1,1,1,1,1,20091001,,L4002,HCPCS,"Replace strap, any orthosis",,,28 ,,NW,,,,,,$92.51,$0.00,1,1,1,0,1,1,20091001,,L4010,HCPCS,Replace trilateral socket br,,,28 ,,NW,,,,,,"$1,189.39",$0.00,1,1,1,1,1,1,20091001,,L4020,HCPCS,Replace quadlat socket brim,,,28 ,,NW,,,,,,"$1,526.49",$0.00,1,1,1,1,1,1,20091001,,L4030,HCPCS,Replace socket brim cust fit,,,28 ,,NW,,,,,,$894.77,$0.00,1,1,1,1,1,1,20091001,,L4040,HCPCS,Replace molded thigh lacer,,,28 ,,NW,,,,,,$723.42,$0.00,1,1,1,1,1,1,20091001,,L4045,HCPCS,Replace non-molded thigh lac,,,28 ,,NW,,,,,,$581.36,$0.00,1,1,1,1,1,1,20091001,,L4050,HCPCS,Replace molded calf lacer,,,28 ,,NW,,,,,,$731.66,$0.00,1,1,1,1,1,1,20091001,,L4055,HCPCS,Replace non-molded calf lace,,,28 ,,NW,,,,,,$473.77,$0.00,1,1,1,1,1,1,20091001,,L4060,HCPCS,Replace high roll cuff,,,28 ,,NW,,,,,,$563.23,$0.00,1,1,1,1,1,1,20091001,,L4070,HCPCS,Replace prox & dist upright,,,28 ,,NW,,,,,,$498.77,$0.00,1,1,1,1,1,1,20091001,,L4080,HCPCS,Repl met band kafo-afo prox,,,28 ,,NW,,,,,,$179.26,$0.00,1,1,1,1,1,1,20091001,,L4090,HCPCS,Repl met band kafo-afo calf/,,,28 ,,NW,,,,,,$160.05,$0.00,1,1,1,1,1,1,20091001,,L4100,HCPCS,Repl leath cuff kafo prox th,,,28 ,,NW,,,,,,$184.84,$0.00,1,1,1,1,1,1,20091001,,L4110,HCPCS,Repl leath cuff kafo-afo cal,,,28 ,,NW,,,,,,$150.30,$0.00,1,1,1,1,1,1,20091001,,L4130,HCPCS,Replace pretibial shell,,,28 ,,NW,,,,,,$879.28,$0.00,1,1,1,1,1,1,20091001,,L4205,HCPCS,Ortho dvc repair per 15 min,,,28 ,,NW,,,,,,$111.92,$0.00,1,1,1,1,1,1,20091001,,L4210,HCPCS,Orth dev repair/repl minor p,,,28 ,,NW,,,,,,$83.36,$0.00,1,1,1,1,1,1,20091001,,L4350,HCPCS,Ankle control orthosi prefab,,,28 ,,NW,,,,,,$113.56,$0.00,1,1,1,1,1,1,20091001,,L4360,HCPCS,Pneumati walking boot prefab,,,28 ,,NW,,,,,,$344.39,$0.00,1,1,1,1,1,1,20091001,,L4370,HCPCS,Pneumatic full leg splint,,,28 ,,NW,,,,,,$240.50,$0.00,1,1,1,1,1,1,20091001,,L4380,HCPCS,Pneumatic knee splint,,,28 ,,NW,,,,,,$140.34,$0.00,1,1,1,1,1,1,20091001,,L4386,HCPCS,Non-pneum walk boot prefab,,,28 ,,NW,,,,,,$224.51,$0.00,1,1,1,1,1,1,20091001,,L4392,HCPCS,Replace afo soft interface,,,28 ,,NW,,,,,,$39.79,$0.00,1,1,1,1,1,1,20091001,,L4394,HCPCS,Replace foot drop spint,,,28 ,,NW,,,,,,$29.03,$0.00,1,1,1,1,1,1,20091001,,L4396,HCPCS,Static afo,,,28 ,,NW,,,,,,$207.63,$0.00,1,1,1,1,1,1,20091001,,L4398,HCPCS,Foot drop splint recumbent,,,28 ,,NW,,,,,,$95.35,$0.00,1,1,1,1,1,1,20091001,,L5000,HCPCS,Sho insert w arch toe filler,,,28 ,,NW,,,,,,$707.51,$0.00,1,1,1,1,1,1,20091001,,L5010,HCPCS,Mold socket ank hgt w/ toe f,,,28 ,,NW,,,,,,"$2,298.67",$0.00,1,1,1,1,1,1,20091001,,L5020,HCPCS,Tibial tubercle hgt w/ toe f,,,28 ,,NW,,,,,,"$3,741.77",$0.00,1,1,1,1,1,1,20091001,,L5050,HCPCS,Ank symes mold sckt sach ft,,,28 ,,NW,,,,,,"$4,333.16",$0.00,1,1,1,1,1,1,20091001,,L5060,HCPCS,Symes met fr leath socket ar,,,28 ,,NW,,,,,,"$5,214.98",$0.00,1,1,1,1,1,1,20091001,,L5100,HCPCS,Molded socket shin sach foot,,,28 ,,NW,,,,,,"$4,388.27",$0.00,1,1,1,1,1,1,20091001,,L5105,HCPCS,Plast socket jts/thgh lacer,,,28 ,,NW,,,,,,"$6,559.22",$0.00,1,1,1,1,1,1,20091001,,L5150,HCPCS,Mold sckt ext knee shin sach,,,28 ,,NW,,,,,,"$6,630.46",$0.00,1,1,1,1,1,1,20091001,,L5160,HCPCS,Mold socket bent knee shin s,,,28 ,,NW,,,,,,"$7,211.82",$0.00,1,1,1,1,1,1,20091001,,L5200,HCPCS,Kne sing axis fric shin sach,,,28 ,,NW,,,,,,"$6,237.33",$0.00,1,1,1,1,1,1,20091001,,L5210,HCPCS,No knee/ankle joints w/ ft b,,,28 ,,NW,,,,,,"$4,581.66",$0.00,1,1,1,1,1,1,20091001,,L5220,HCPCS,No knee joint with artic ali,,,28 ,,NW,,,,,,"$5,207.89",$0.00,1,1,1,1,1,1,20091001,,L5230,HCPCS,Fem focal defic constant fri,,,28 ,,NW,,,,,,"$7,182.72",$0.00,1,1,1,1,1,1,20091001,,L5250,HCPCS,Hip canad sing axi cons fric,,,28 ,,NW,,,,,,"$9,796.57",$0.00,1,1,1,1,1,1,20091001,,L5270,HCPCS,Tilt table locking hip sing,,,28 ,,NW,,,,,,"$9,710.75",$0.00,1,1,1,1,1,1,20091001,,L5280,HCPCS,Hemipelvect canad sing axis,,,28 ,,NW,,,,,,"$9,613.66",$0.00,1,1,1,1,1,1,20091001,,L5301,HCPCS,Bk mold socket sach ft endo,,,28 ,,NW,,,,,,"$3,232.12",$0.00,1,1,1,1,1,1,20091001,,L5311,HCPCS,"Knee disart, sach ft, endo",,,28 ,,NW,,,,,,"$6,227.94",$0.00,1,1,1,1,1,1,20091001,,L5321,HCPCS,Ak open end sach,,,28 ,,NW,,,,,,"$4,624.55",$0.00,1,1,1,1,1,1,20091001,,L5331,HCPCS,Hip disart canadian sach ft,,,28 ,,NW,,,,,,"$8,781.25",$0.00,1,1,1,1,1,1,20091001,,L5341,HCPCS,Hemipelvectomy canadian sach,,,28 ,,NW,,,,,,"$9,542.44",$0.00,1,1,1,1,1,1,20091001,,L5400,HCPCS,Postop dress & 1 cast chg bk,,,28 ,,NW,,,,,,"$2,272.42",$0.00,1,1,1,1,1,1,20091001,,L5410,HCPCS,Postop dsg bk ea add cast ch,,,28 ,,NW,,,,,,$788.90,$0.00,1,1,1,1,1,1,20091001,,L5420,HCPCS,Postop dsg & 1 cast chg ak/d,,,28 ,,NW,,,,,,"$2,869.98",$0.00,1,1,1,1,1,1,20091001,,L5430,HCPCS,Postop dsg ak ea add cast ch,,,28 ,,NW,,,,,,$950.12,$0.00,1,1,1,1,1,1,20091001,,L5450,HCPCS,Postop app non-wgt bear dsg,,,28 ,,NW,,,,,,$769.24,$0.00,1,1,1,1,1,1,20091001,,L5460,HCPCS,Postop app non-wgt bear dsg,,,28 ,,NW,,,,,,"$1,029.56",$0.00,1,1,1,1,1,1,20091001,,L5500,HCPCS,Init bk ptb plaster direct,,,28 ,,NW,,,,,,"$2,424.96",$0.00,1,1,1,1,1,1,20091001,,L5505,HCPCS,Init ak ischal plstr direct,,,28 ,,NW,,,,,,"$3,284.04",$0.00,1,1,1,1,1,1,20091001,,L5510,HCPCS,Prep bk ptb plaster molded,,,28 ,,NW,,,,,,"$2,748.84",$0.00,1,1,1,1,1,1,20091001,,L5520,HCPCS,Perp bk ptb thermopls direct,,,28 ,,NW,,,,,,"$2,715.20",$0.00,1,1,1,1,1,1,20091001,,L5530,HCPCS,Prep bk ptb thermopls molded,,,28 ,,NW,,,,,,"$3,261.22",$0.00,1,1,1,1,1,1,20091001,,L5535,HCPCS,Prep bk ptb open end socket,,,28 ,,NW,,,,,,"$3,201.87",$0.00,1,1,1,1,1,1,20091001,,L5540,HCPCS,Prep bk ptb laminated socket,,,28 ,,NW,,,,,,"$3,417.41",$0.00,1,1,1,1,1,1,20091001,,L5560,HCPCS,Prep ak ischial plast molded,,,28 ,,NW,,,,,,"$3,669.70",$0.00,1,1,1,1,1,1,20091001,,L5570,HCPCS,Prep ak ischial direct form,,,28 ,,NW,,,,,,"$3,815.20",$0.00,1,1,1,1,1,1,20091001,,L5580,HCPCS,Prep ak ischial thermo mold,,,28 ,,NW,,,,,,"$4,453.96",$0.00,1,1,1,1,1,1,20091001,,L5585,HCPCS,Prep ak ischial open end,,,28 ,,NW,,,,,,"$4,830.87",$0.00,1,1,1,1,1,1,20091001,,L5590,HCPCS,Prep ak ischial laminated,,,28 ,,NW,,,,,,"$4,538.90",$0.00,1,1,1,1,1,1,20091001,,L5595,HCPCS,Hip disartic sach thermopls,,,28 ,,NW,,,,,,"$7,602.50",$0.00,1,1,1,1,1,1,20091001,,L5600,HCPCS,Hip disart sach laminat mold,,,28 ,,NW,,,,,,"$8,395.42",$0.00,1,1,1,1,1,1,20091001,,L5610,HCPCS,Above knee hydracadence,,,28 ,,NW,,,,,,"$3,909.14",$0.00,1,1,1,1,1,1,20091001,,L5611,HCPCS,Ak 4 bar link w/fric swing,,,28 ,,NW,,,,,,"$3,042.08",$0.00,1,1,1,1,1,1,20091001,,L5613,HCPCS,Ak 4 bar ling w/hydraul swig,,,28 ,,NW,,,,,,"$4,627.19",$0.00,1,1,1,1,1,1,20091001,,L5614,HCPCS,4-bar link above knee w/swng,,,28 ,,NW,,,,,,"$2,862.77",$0.00,1,1,1,1,1,1,20091001,,L5616,HCPCS,Ak univ multiplex sys frict,,,28 ,,NW,,,,,,"$2,564.36",$0.00,1,1,1,1,1,1,20091001,,L5617,HCPCS,Ak/bk self-aligning unit ea,,,28 ,,NW,,,,,,$955.30,$0.00,1,1,1,1,1,1,20091001,,L5618,HCPCS,Test socket symes,,,28 ,,NW,,,,,,$531.00,$0.00,1,1,1,1,1,1,20091001,,L5620,HCPCS,Test socket below knee,,,28 ,,NW,,,,,,$387.73,$0.00,1,1,1,1,1,1,20091001,,L5622,HCPCS,Test socket knee disarticula,,,28 ,,NW,,,,,,$684.48,$0.00,1,1,1,1,1,1,20091001,,L5624,HCPCS,Test socket above knee,,,28 ,,NW,,,,,,$508.96,$0.00,1,1,1,1,1,1,20091001,,L5626,HCPCS,Test socket hip disarticulat,,,28 ,,NW,,,,,,$900.23,$0.00,1,1,1,1,1,1,20091001,,L5628,HCPCS,Test socket hemipelvectomy,,,28 ,,NW,,,,,,$911.63,$0.00,1,1,1,1,1,1,20091001,,L5629,HCPCS,Below knee acrylic socket,,,28 ,,NW,,,,,,$444.13,$0.00,1,1,1,1,1,1,20091001,,L5630,HCPCS,Syme typ expandabl wall sckt,,,28 ,,NW,,,,,,$847.38,$0.00,1,1,1,1,1,1,20091001,,L5631,HCPCS,Ak/knee disartic acrylic soc,,,28 ,,NW,,,,,,$612.20,$0.00,1,1,1,1,1,1,20091001,,L5632,HCPCS,Symes type ptb brim design s,,,28 ,,NW,,,,,,$419.24,$0.00,1,1,1,1,1,1,20091001,,L5634,HCPCS,Symes type poster opening so,,,28 ,,NW,,,,,,$574.34,$0.00,1,1,1,1,1,1,20091001,,L5636,HCPCS,Symes type medial opening so,,,28 ,,NW,,,,,,$481.09,$0.00,1,1,1,1,1,1,20091001,,L5637,HCPCS,Below knee total contact,,,28 ,,NW,,,,,,$405.86,$0.00,1,1,1,1,1,1,20091001,,L5638,HCPCS,Below knee leather socket,,,28 ,,NW,,,,,,$918.88,$0.00,1,1,1,1,1,1,20091001,,L5639,HCPCS,Below knee wood socket,,,28 ,,NW,,,,,,"$2,116.91",$0.00,1,1,1,1,1,1,20091001,,L5640,HCPCS,Knee disarticulat leather so,,,28 ,,NW,,,,,,"$1,207.33",$0.00,1,1,1,1,1,1,20091001,,L5642,HCPCS,Above knee leather socket,,,28 ,,NW,,,,,,"$1,169.81",$0.00,1,1,1,1,1,1,20091001,,L5643,HCPCS,Hip flex inner socket ext fr,,,28 ,,NW,,,,,,"$2,938.75",$0.00,1,1,1,1,1,1,20091001,,L5644,HCPCS,Above knee wood socket,,,28 ,,NW,,,,,,"$1,115.21",$0.00,1,1,1,1,1,1,20091001,,L5645,HCPCS,Bk flex inner socket ext fra,,,28 ,,NW,,,,,,"$1,127.25",$0.00,1,1,1,1,1,1,20091001,,L5646,HCPCS,Below knee cushion socket,,,28 ,,NW,,,,,,"$1,034.52",$0.00,1,1,1,1,1,1,20091001,,L5647,HCPCS,Below knee suction socket,,,28 ,,NW,,,,,,"$1,114.00",$0.00,1,1,1,1,1,1,20091001,,L5648,HCPCS,Above knee cushion socket,,,28 ,,NW,,,,,,"$1,243.10",$0.00,1,1,1,1,1,1,20091001,,L5649,HCPCS,Isch containmt/narrow m-l so,,,28 ,,NW,,,,,,"$2,677.90",$0.00,1,1,1,1,1,1,20091001,,L5650,HCPCS,Tot contact ak/knee disart s,,,28 ,,NW,,,,,,$683.18,$0.00,1,1,1,1,1,1,20091001,,L5651,HCPCS,Ak flex inner socket ext fra,,,28 ,,NW,,,,,,"$1,682.12",$0.00,1,1,1,1,1,1,20091001,,L5652,HCPCS,Suction susp ak/knee disart,,,28 ,,NW,,,,,,$611.31,$0.00,1,1,1,1,1,1,20091001,,L5653,HCPCS,Knee disart expand wall sock,,,28 ,,NW,,,,,,"$1,098.87",$0.00,1,1,1,1,1,1,20091001,,L5654,HCPCS,Socket insert symes,,,28 ,,NW,,,,,,$626.16,$0.00,1,1,1,1,1,1,20091001,,L5655,HCPCS,Socket insert below knee,,,28 ,,NW,,,,,,$365.83,$0.00,1,1,1,1,1,1,20091001,,L5656,HCPCS,Socket insert knee articulat,,,28 ,,NW,,,,,,$700.40,$0.00,1,1,1,1,1,1,20091001,,L5658,HCPCS,Socket insert above knee,,,28 ,,NW,,,,,,$686.50,$0.00,1,1,1,1,1,1,20091001,,L5661,HCPCS,Multi-durometer symes,,,28 ,,NW,,,,,,"$1,148.99",$0.00,1,1,1,1,1,1,20091001,,L5665,HCPCS,Multi-durometer below knee,,,28 ,,NW,,,,,,$966.77,$0.00,1,1,1,1,1,1,20091001,,L5666,HCPCS,Below knee cuff suspension,,,28 ,,NW,,,,,,$132.17,$0.00,1,1,1,1,1,1,20091001,,L5668,HCPCS,Socket insert w/o lock lower,,,28 ,,NW,,,,,,$140.88,$0.00,1,1,1,1,1,1,20091001,,L5670,HCPCS,Bk molded supracondylar susp,,,28 ,,NW,,,,,,$374.84,$0.00,1,1,1,1,1,1,20091001,,L5671,HCPCS,Bk/ak locking mechanism,,,28 ,,NW,,,,,,$693.78,$0.00,1,1,1,1,1,1,20091001,,L5672,HCPCS,Bk removable medial brim sus,,,28 ,,NW,,,,,,$563.02,$0.00,1,1,1,1,1,1,20091001,,L5673,HCPCS,Socket insert w lock mech,,,28 ,,NW,,,,,,$935.80,$0.00,1,1,1,1,1,1,20091001,,L5676,HCPCS,Bk knee joints single axis p,,,28 ,,NW,,,,,,$684.20,$0.00,1,1,1,1,1,1,20091001,,L5677,HCPCS,Bk knee joints polycentric p,,,28 ,,NW,,,,,,$930.96,$0.00,1,1,1,1,1,1,20091001,,L5678,HCPCS,Bk joint covers pair,,,28 ,,NW,,,,,,$74.96,$0.00,1,1,1,1,1,1,20091001,,L5679,HCPCS,Socket insert w/o lock mech,,,28 ,,NW,,,,,,$788.10,$0.00,1,1,1,1,1,1,20091001,,L5680,HCPCS,Bk thigh lacer non-molded,,,28 ,,NW,,,,,,$574.70,$0.00,1,1,1,1,1,1,20091001,,L5681,HCPCS,Intl custm cong/latyp insert,,,28 ,,NW,,,,,,"$2,232.11",$0.00,1,1,1,1,1,1,20091001,,L5682,HCPCS,Bk thigh lacer glut/ischia m,,,28 ,,NW,,,,,,"$1,180.82",$0.00,1,1,1,1,1,1,20091001,,L5683,HCPCS,Initial custom socket insert,,,28 ,,NW,,,,,,"$2,232.11",$0.00,1,1,1,1,1,1,20091001,,L5684,HCPCS,Bk fork strap,,,28 ,,NW,,,,,,$90.88,$0.00,1,1,1,1,1,1,20091001,,L5685,HCPCS,Below knee sus/seal sleeve,,,28 ,,NW,,,,,,$343.66,$0.00,1,1,1,0,1,1,20091001,,L5686,HCPCS,Bk back check,,,28 ,,NW,,,,,,$96.46,$0.00,1,1,1,1,1,1,20091001,,L5688,HCPCS,Bk waist belt webbing,,,28 ,,NW,,,,,,$115.34,$0.00,1,1,1,1,1,1,20091001,,L5690,HCPCS,Bk waist belt padded and lin,,,28 ,,NW,,,,,,$184.75,$0.00,1,1,1,1,1,1,20091001,,L5692,HCPCS,Ak pelvic control belt light,,,28 ,,NW,,,,,,$250.88,$0.00,1,1,1,1,1,1,20091001,,L5694,HCPCS,Ak pelvic control belt pad/l,,,28 ,,NW,,,,,,$342.53,$0.00,1,1,1,1,1,1,20091001,,L5695,HCPCS,Ak sleeve susp neoprene/equa,,,28 ,,NW,,,,,,$307.93,$0.00,1,1,1,1,1,1,20091001,,L5696,HCPCS,Ak/knee disartic pelvic join,,,28 ,,NW,,,,,,$349.34,$0.00,1,1,1,1,1,1,20091001,,L5697,HCPCS,Ak/knee disartic pelvic band,,,28 ,,NW,,,,,,$151.57,$0.00,1,1,1,1,1,1,20091001,,L5698,HCPCS,Ak/knee disartic silesian ba,,,28 ,,NW,,,,,,$196.94,$0.00,1,1,1,1,1,1,20091001,,L5699,HCPCS,Shoulder harness,,,28 ,,NW,,,,,,$352.05,$0.00,1,1,1,1,1,1,20091001,,L5700,HCPCS,Replace socket below knee,,,28 ,,NW,,,,,,"$3,829.04",$0.00,1,1,1,1,1,1,20091001,,L5701,HCPCS,Replace socket above knee,,,28 ,,NW,,,,,,"$4,751.49",$0.00,1,1,1,1,1,1,20091001,,L5702,HCPCS,Replace socket hip,,,28 ,,NW,,,,,,"$8,203.19",$0.00,1,1,1,1,1,1,20091001,,L5703,HCPCS,Symes ankle w/o (sach) foot,,,28 ,,NW,,,,,,"$3,086.15",$0.00,1,1,1,0,1,1,20091001,,L5704,HCPCS,Custom shape cover bk,,,28 ,,NW,,,,,,$733.96,$0.00,1,1,1,1,1,1,20091001,,L5705,HCPCS,Custom shape cover ak,,,28 ,,NW,,,,,,"$1,290.85",$0.00,1,1,1,1,1,1,20091001,,L5706,HCPCS,Custom shape cvr knee disart,,,28 ,,NW,,,,,,"$1,720.72",$0.00,1,1,1,1,1,1,20091001,,L5707,HCPCS,Custom shape cvr hip disart,,,28 ,,NW,,,,,,"$2,335.68",$0.00,1,1,1,1,1,1,20091001,,L5710,HCPCS,Kne-shin exo sng axi mnl loc,,,28 ,,NW,,,,,,$679.09,$0.00,1,1,1,1,1,1,20091001,,L5711,HCPCS,Knee-shin exo mnl lock ultra,,,28 ,,NW,,,,,,$985.91,$0.00,1,1,1,1,1,1,20091001,,L5712,HCPCS,Knee-shin exo frict swg & st,,,28 ,,NW,,,,,,$813.59,$0.00,1,1,1,1,1,1,20091001,,L5714,HCPCS,Knee-shin exo variable frict,,,28 ,,NW,,,,,,$789.74,$0.00,1,1,1,1,1,1,20091001,,L5716,HCPCS,Knee-shin exo mech stance ph,,,28 ,,NW,,,,,,"$1,376.14",$0.00,1,1,1,1,1,1,20091001,,L5718,HCPCS,Knee-shin exo frct swg & sta,,,28 ,,NW,,,,,,"$1,720.02",$0.00,1,1,1,1,1,1,20091001,,L5722,HCPCS,Knee-shin pneum swg frct exo,,,28 ,,NW,,,,,,"$1,704.74",$0.00,1,1,1,1,1,1,20091001,,L5724,HCPCS,Knee-shin exo fluid swing ph,,,28 ,,NW,,,,,,"$2,849.94",$0.00,1,1,1,1,1,1,20091001,,L5726,HCPCS,Knee-shin ext jnts fld swg e,,,28 ,,NW,,,,,,"$3,284.51",$0.00,1,1,1,1,1,1,20091001,,L5728,HCPCS,Knee-shin fluid swg & stance,,,28 ,,NW,,,,,,"$4,492.76",$0.00,1,1,1,1,1,1,20091001,,L5780,HCPCS,Knee-shin pneum/hydra pneum,,,28 ,,NW,,,,,,"$2,161.72",$0.00,1,1,1,1,1,1,20091001,,L5781,HCPCS,Lower limb pros vacuum pump,,,28 ,,NW,,,,,,"$6,787.99",$0.00,1,1,1,1,1,1,20091001,,L5782,HCPCS,Hd low limb pros vacuum pump,,,28 ,,NW,,,,,,"$7,156.09",$0.00,1,1,1,0,1,1,20091001,,L5785,HCPCS,Exoskeletal bk ultralt mater,,,28 ,,NW,,,,,,$980.96,$0.00,1,1,1,1,1,1,20091001,,L5790,HCPCS,Exoskeletal ak ultra-light m,,,28 ,,NW,,,,,,"$1,357.59",$0.00,1,1,1,1,1,1,20091001,,L5795,HCPCS,Exoskel hip ultra-light mate,,,28 ,,NW,,,,,,"$2,027.26",$0.00,1,1,1,1,1,1,20091001,,L5810,HCPCS,Endoskel knee-shin mnl lock,,,28 ,,NW,,,,,,$919.26,$0.00,1,1,1,1,1,1,20091001,,L5811,HCPCS,Endo knee-shin mnl lck ultra,,,28 ,,NW,,,,,,"$1,377.04",$0.00,1,1,1,1,1,1,20091001,,L5812,HCPCS,Endo knee-shin frct swg & st,,,28 ,,NW,,,,,,"$1,067.34",$0.00,1,1,1,1,1,1,20091001,,L5814,HCPCS,Endo knee-shin hydral swg ph,,,28 ,,NW,,,,,,"$6,300.59",$0.00,1,1,1,1,1,1,20091001,,L5816,HCPCS,Endo knee-shin polyc mch sta,,,28 ,,NW,,,,,,"$1,605.74",$0.00,1,1,1,1,1,1,20091001,,L5818,HCPCS,Endo knee-shin frct swg & st,,,28 ,,NW,,,,,,"$1,813.20",$0.00,1,1,1,1,1,1,20091001,,L5822,HCPCS,Endo knee-shin pneum swg frc,,,28 ,,NW,,,,,,"$3,215.27",$0.00,1,1,1,1,1,1,20091001,,L5824,HCPCS,Endo knee-shin fluid swing p,,,28 ,,NW,,,,,,"$2,895.54",$0.00,1,1,1,1,1,1,20091001,,L5826,HCPCS,Miniature knee joint,,,28 ,,NW,,,,,,"$5,331.24",$0.00,1,1,1,1,1,1,20091001,,L5828,HCPCS,Endo knee-shin fluid swg/sta,,,28 ,,NW,,,,,,"$3,973.13",$0.00,1,1,1,1,1,1,20091001,,L5830,HCPCS,Endo knee-shin pneum/swg pha,,,28 ,,NW,,,,,,"$3,582.76",$0.00,1,1,1,1,1,1,20091001,,L5840,HCPCS,Multi-axial knee/shin system,,,28 ,,NW,,,,,,"$6,399.57",$0.00,1,1,1,1,1,1,20091001,,L5845,HCPCS,Knee-shin sys stance flexion,,,28 ,,NW,,,,,,"$2,252.56",$0.00,1,1,1,1,1,1,20091001,,L5848,HCPCS,Knee-shin sys hydraul stance,,,28 ,,NW,,,,,,"$1,824.27",$0.00,1,1,1,1,1,1,20091001,,L5850,HCPCS,Endo ak/hip knee extens assi,,,28 ,,NW,,,,,,$177.88,$0.00,1,1,1,1,1,1,20091001,,L5855,HCPCS,Mech hip extension assist,,,28 ,,NW,,,,,,$583.10,$0.00,1,1,1,1,1,1,20091001,,L5856,HCPCS,Elec knee-shin swing/stance,,,28 ,,NW,,,,,,"$28,232.56",$0.00,1,1,1,0,1,1,20091001,,L5857,HCPCS,Elec knee-shin swing only,,,28 ,,NW,,,,,,"$10,044.30",$0.00,1,1,1,0,1,1,20091001,,L5858,HCPCS,Stance phase only,,,28 ,,NW,,,,,,"$42,039.74",$0.00,1,1,1,0,1,1,20091001,,L5910,HCPCS,Endo below knee alignable sy,,,28 ,,NW,,,,,,$506.67,$0.00,1,1,1,1,1,1,20091001,,L5920,HCPCS,Endo ak/hip alignable system,,,28 ,,NW,,,,,,$741.70,$0.00,1,1,1,1,1,1,20091001,,L5925,HCPCS,Above knee manual lock,,,28 ,,NW,,,,,,$634.43,$0.00,1,1,1,1,1,1,20091001,,L5930,HCPCS,High activity knee frame,,,28 ,,NW,,,,,,"$4,261.34",$0.00,1,1,1,1,1,1,20091001,,L5940,HCPCS,Endo bk ultra-light material,,,28 ,,NW,,,,,,$699.74,$0.00,1,1,1,1,1,1,20091001,,L5950,HCPCS,Endo ak ultra-light material,,,28 ,,NW,,,,,,"$1,085.92",$0.00,1,1,1,1,1,1,20091001,,L5960,HCPCS,Endo hip ultra-light materia,,,28 ,,NW,,,,,,"$1,820.22",$0.00,1,1,1,1,1,1,20091001,,L5962,HCPCS,Below knee flex cover system,,,28 ,,NW,,,,,,$822.19,$0.00,1,1,1,1,1,1,20091001,,L5964,HCPCS,Above knee flex cover system,,,28 ,,NW,,,,,,"$1,768.26",$0.00,1,1,1,1,1,1,20091001,,L5966,HCPCS,Hip flexible cover system,,,28 ,,NW,,,,,,"$2,253.18",$0.00,1,1,1,1,1,1,20091001,,L5968,HCPCS,Multiaxial ankle w dorsiflex,,,28 ,,NW,,,,,,"$6,164.94",$0.00,1,1,1,1,1,1,20091001,,L5970,HCPCS,Foot external keel sach foot,,,28 ,,NW,,,,,,$383.48,$0.00,1,1,1,1,1,1,20091001,,L5972,HCPCS,Flexible keel foot,,,28 ,,NW,,,,,,$496.55,$0.00,1,1,1,1,1,1,20091001,,L5974,HCPCS,Foot single axis ankle/foot,,,28 ,,NW,,,,,,$439.98,$0.00,1,1,1,1,1,1,20091001,,L5975,HCPCS,Combo ankle/foot prosthesis,,,28 ,,NW,,,,,,$786.49,$0.00,1,1,1,1,1,1,20091001,,L5976,HCPCS,Energy storing foot,,,28 ,,NW,,,,,,"$1,057.39",$0.00,1,1,1,1,1,1,20091001,,L5978,HCPCS,Ft prosth multiaxial ankl/ft,,,28 ,,NW,,,,,,$551.01,$0.00,1,1,1,1,1,1,20091001,,L5979,HCPCS,Multi-axial ankle/ft prosth,,,28 ,,NW,,,,,,"$4,308.23",$0.00,1,1,1,1,1,1,20091001,,L5980,HCPCS,Flex foot system,,,28 ,,NW,,,,,,"$5,199.90",$0.00,1,1,1,1,1,1,20091001,,L5981,HCPCS,Flex-walk sys low ext prosth,,,28 ,,NW,,,,,,"$4,036.74",$0.00,1,1,1,1,1,1,20091001,,L5982,HCPCS,Exoskeletal axial rotation u,,,28 ,,NW,,,,,,"$1,091.55",$0.00,1,1,1,1,1,1,20091001,,L5984,HCPCS,Endoskeletal axial rotation,,,28 ,,NW,,,,,,$792.51,$0.00,1,1,1,1,1,1,20091001,,L5985,HCPCS,Lwr ext dynamic prosth pylon,,,28 ,,NW,,,,,,$482.12,$0.00,1,1,1,1,1,1,20091001,,L5986,HCPCS,Multi-axial rotation unit,,,28 ,,NW,,,,,,$888.42,$0.00,1,1,1,1,1,1,20091001,,L5987,HCPCS,Shank ft w vert load pylon,,,28 ,,NW,,,,,,"$9,103.24",$0.00,1,1,1,1,1,1,20091001,,L5988,HCPCS,Vertical shock reducing pylo,,,28 ,,NW,,,,,,"$3,389.09",$0.00,1,1,1,1,1,1,20091001,,L5990,HCPCS,User adjustable heel height,,,28 ,,NW,,,,,,"$3,077.79",$0.00,1,1,1,1,1,1,20091001,,L5999,HCPCS,Lowr extremity prosthes nos,,,28 ,,NW,,,,,,$128.68,$0.00,1,1,1,1,1,1,20091001,,L6000,HCPCS,Par hand robin-aids thum rem,,,28 ,,NW,,,,,,"$2,508.72",$0.00,1,1,1,1,1,1,20091001,,L6010,HCPCS,Hand robin-aids little/ring,,,28 ,,NW,,,,,,"$2,791.79",$0.00,1,1,1,1,1,1,20091001,,L6020,HCPCS,Part hand robin-aids no fing,,,28 ,,NW,,,,,,"$2,602.90",$0.00,1,1,1,1,1,1,20091001,,L6025,HCPCS,Part hand disart myoelectric,,,28 ,,NW,,,,,,"$13,576.03",$0.00,1,1,1,1,1,1,20091001,,L6050,HCPCS,Wrst mld sck flx hng tri pad,,,28 ,,NW,,,,,,"$3,586.71",$0.00,1,1,1,1,1,1,20091001,,L6055,HCPCS,Wrst mold sock w/exp interfa,,,28 ,,NW,,,,,,"$4,998.94",$0.00,1,1,1,1,1,1,20091001,,L6100,HCPCS,Elb mold sock flex hinge pad,,,28 ,,NW,,,,,,"$3,633.87",$0.00,1,1,1,1,1,1,20091001,,L6110,HCPCS,Elbow mold sock suspension t,,,28 ,,NW,,,,,,"$3,854.35",$0.00,1,1,1,1,1,1,20091001,,L6120,HCPCS,Elbow mold doub splt soc ste,,,28 ,,NW,,,,,,"$4,491.68",$0.00,1,1,1,1,1,1,20091001,,L6130,HCPCS,Elbow stump activated lock h,,,28 ,,NW,,,,,,"$4,887.80",$0.00,1,1,1,1,1,1,20091001,,L6200,HCPCS,Elbow mold outsid lock hinge,,,28 ,,NW,,,,,,"$5,150.94",$0.00,1,1,1,1,1,1,20091001,,L6205,HCPCS,Elbow molded w/ expand inter,,,28 ,,NW,,,,,,"$6,875.69",$0.00,1,1,1,1,1,1,20091001,,L6250,HCPCS,Elbow inter loc elbow forarm,,,28 ,,NW,,,,,,"$5,070.23",$0.00,1,1,1,1,1,1,20091001,,L6300,HCPCS,Shlder disart int lock elbow,,,28 ,,NW,,,,,,"$7,034.40",$0.00,1,1,1,1,1,1,20091001,,L6310,HCPCS,Shoulder passive restor comp,,,28 ,,NW,,,,,,"$5,729.66",$0.00,1,1,1,1,1,1,20091001,,L6320,HCPCS,Shoulder passive restor cap,,,28 ,,NW,,,,,,"$3,226.66",$0.00,1,1,1,1,1,1,20091001,,L6350,HCPCS,Thoracic intern lock elbow,,,28 ,,NW,,,,,,"$7,395.60",$0.00,1,1,1,1,1,1,20091001,,L6360,HCPCS,Thoracic passive restor comp,,,28 ,,NW,,,,,,"$6,013.98",$0.00,1,1,1,1,1,1,20091001,,L6370,HCPCS,Thoracic passive restor cap,,,28 ,,NW,,,,,,"$3,834.91",$0.00,1,1,1,1,1,1,20091001,,L6380,HCPCS,Postop dsg cast chg wrst/elb,,,28 ,,NW,,,,,,"$2,171.84",$0.00,1,1,1,1,1,1,20091001,,L6382,HCPCS,Postop dsg cast chg elb dis/,,,28 ,,NW,,,,,,"$2,795.67",$0.00,1,1,1,1,1,1,20091001,,L6384,HCPCS,Postop dsg cast chg shlder/t,,,28 ,,NW,,,,,,"$3,599.90",$0.00,1,1,1,1,1,1,20091001,,L6386,HCPCS,Postop ea cast chg & realign,,,28 ,,NW,,,,,,$758.24,$0.00,1,1,1,1,1,1,20091001,,L6388,HCPCS,Postop applicat rigid dsg on,,,28 ,,NW,,,,,,$830.05,$0.00,1,1,1,1,1,1,20091001,,L6400,HCPCS,Below elbow prosth tiss shap,,,28 ,,NW,,,,,,"$4,381.16",$0.00,1,1,1,1,1,1,20091001,,L6450,HCPCS,Elb disart prosth tiss shap,,,28 ,,NW,,,,,,"$5,821.22",$0.00,1,1,1,1,1,1,20091001,,L6500,HCPCS,Above elbow prosth tiss shap,,,28 ,,NW,,,,,,"$5,825.98",$0.00,1,1,1,1,1,1,20091001,,L6550,HCPCS,Shldr disar prosth tiss shap,,,28 ,,NW,,,,,,"$7,199.86",$0.00,1,1,1,1,1,1,20091001,,L6570,HCPCS,Scap thorac prosth tiss shap,,,28 ,,NW,,,,,,"$8,264.03",$0.00,1,1,1,1,1,1,20091001,,L6580,HCPCS,Wrist/elbow bowden cable mol,,,28 ,,NW,,,,,,"$2,951.41",$0.00,1,1,1,1,1,1,20091001,,L6582,HCPCS,Wrist/elbow bowden cbl dir f,,,28 ,,NW,,,,,,"$2,598.61",$0.00,1,1,1,1,1,1,20091001,,L6584,HCPCS,Elbow fair lead cable molded,,,28 ,,NW,,,,,,"$3,864.59",$0.00,1,1,1,1,1,1,20091001,,L6586,HCPCS,Elbow fair lead cable dir fo,,,28 ,,NW,,,,,,"$3,556.13",$0.00,1,1,1,1,1,1,20091001,,L6588,HCPCS,Shdr fair lead cable molded,,,28 ,,NW,,,,,,"$5,336.79",$0.00,1,1,1,1,1,1,20091001,,L6590,HCPCS,Shdr fair lead cable direct,,,28 ,,NW,,,,,,"$4,967.47",$0.00,1,1,1,1,1,1,20091001,,L6600,HCPCS,Polycentric hinge pair,,,28 ,,NW,,,,,,$354.16,$0.00,1,1,1,1,1,1,20091001,,L6605,HCPCS,Single pivot hinge pair,,,28 ,,NW,,,,,,$349.69,$0.00,1,1,1,1,1,1,20091001,,L6610,HCPCS,Flexible metal hinge pair,,,28 ,,NW,,,,,,$314.35,$0.00,1,1,1,1,1,1,20091001,,L6615,HCPCS,Disconnect locking wrist uni,,,28 ,,NW,,,,,,$327.98,$0.00,1,1,1,1,1,1,20091001,,L6616,HCPCS,Disconnect insert locking wr,,,28 ,,NW,,,,,,$122.47,$0.00,1,1,1,1,1,1,20091001,,L6620,HCPCS,Flexion/extension wrist unit,,,28 ,,NW,,,,,,$572.48,$0.00,1,1,1,1,1,1,20091001,,L6623,HCPCS,Spring-ass rot wrst w/ latch,,,28 ,,NW,,,,,,"$1,211.15",$0.00,1,1,1,1,1,1,20091001,,L6625,HCPCS,Rotation wrst w/ cable lock,,,28 ,,NW,,,,,,"$1,004.20",$0.00,1,1,1,1,1,1,20091001,,L6628,HCPCS,Quick disconn hook adapter o,,,28 ,,NW,,,,,,$904.49,$0.00,1,1,1,1,1,1,20091001,,L6629,HCPCS,Lamination collar w/ couplin,,,28 ,,NW,,,,,,$276.24,$0.00,1,1,1,1,1,1,20091001,,L6630,HCPCS,Stainless steel any wrist,,,28 ,,NW,,,,,,$406.93,$0.00,1,1,1,1,1,1,20091001,,L6632,HCPCS,Latex suspension sleeve each,,,28 ,,NW,,,,,,$122.66,$0.00,1,1,1,1,1,1,20091001,,L6635,HCPCS,Lift assist for elbow,,,28 ,,NW,,,,,,$332.55,$0.00,1,1,1,1,1,1,20091001,,L6637,HCPCS,Nudge control elbow lock,,,28 ,,NW,,,,,,$693.29,$0.00,1,1,1,1,1,1,20091001,,L6638,HCPCS,Elec lock on manual pw elbow,,,28 ,,NW,,,,,,"$4,242.49",$0.00,1,1,1,1,1,1,20091001,,L6640,HCPCS,Shoulder abduction joint pai,,,28 ,,NW,,,,,,$528.88,$0.00,1,1,1,1,1,1,20091001,,L6641,HCPCS,Excursion amplifier pulley t,,,28 ,,NW,,,,,,$302.89,$0.00,1,1,1,1,1,1,20091001,,L6642,HCPCS,Excursion amplifier lever ty,,,28 ,,NW,,,,,,$410.55,$0.00,1,1,1,1,1,1,20091001,,L6645,HCPCS,Shoulder flexion-abduction j,,,28 ,,NW,,,,,,$602.74,$0.00,1,1,1,1,1,1,20091001,,L6646,HCPCS,Multipo locking shoulder jnt,,,28 ,,NW,,,,,,"$5,350.73",$0.00,1,1,1,1,1,1,20091001,,L6647,HCPCS,Shoulder lock actuator,,,28 ,,NW,,,,,,$880.90,$0.00,1,1,1,1,1,1,20091001,,L6648,HCPCS,Ext pwrd shlder lock/unlock,,,28 ,,NW,,,,,,"$5,518.55",$0.00,1,1,1,1,1,1,20091001,,L6650,HCPCS,Shoulder universal joint,,,28 ,,NW,,,,,,$639.11,$0.00,1,1,1,1,1,1,20091001,,L6655,HCPCS,Standard control cable extra,,,28 ,,NW,,,,,,$141.83,$0.00,1,1,1,1,1,1,20091001,,L6660,HCPCS,Heavy duty control cable,,,28 ,,NW,,,,,,$173.30,$0.00,1,1,1,1,1,1,20091001,,L6665,HCPCS,Teflon or equal cable lining,,,28 ,,NW,,,,,,$86.97,$0.00,1,1,1,1,1,1,20091001,,L6670,HCPCS,Hook to hand cable adapter,,,28 ,,NW,,,,,,$90.55,$0.00,1,1,1,1,1,1,20091001,,L6672,HCPCS,Harness chest/shlder saddle,,,28 ,,NW,,,,,,$318.36,$0.00,1,1,1,1,1,1,20091001,,L6675,HCPCS,Harness figure of 8 sing con,,,28 ,,NW,,,,,,$226.75,$0.00,1,1,1,1,1,1,20091001,,L6676,HCPCS,Harness figure of 8 dual con,,,28 ,,NW,,,,,,$228.98,$0.00,1,1,1,1,1,1,20091001,,L6680,HCPCS,Test sock wrist disart/bel e,,,28 ,,NW,,,,,,$438.07,$0.00,1,1,1,1,1,1,20091001,,L6682,HCPCS,Test sock elbw disart/above,,,28 ,,NW,,,,,,$484.34,$0.00,1,1,1,1,1,1,20091001,,L6684,HCPCS,Test socket shldr disart/tho,,,28 ,,NW,,,,,,$658.13,$0.00,1,1,1,1,1,1,20091001,,L6686,HCPCS,Suction socket,,,28 ,,NW,,,,,,"$1,114.67",$0.00,1,1,1,1,1,1,20091001,,L6687,HCPCS,Frame typ socket bel elbow/w,,,28 ,,NW,,,,,,"$1,089.08",$0.00,1,1,1,1,1,1,20091001,,L6688,HCPCS,Frame typ sock above elb/dis,,,28 ,,NW,,,,,,"$1,000.22",$0.00,1,1,1,1,1,1,20091001,,L6689,HCPCS,Frame typ socket shoulder di,,,28 ,,NW,,,,,,"$1,272.22",$0.00,1,1,1,1,1,1,20091001,,L6690,HCPCS,Frame typ sock interscap-tho,,,28 ,,NW,,,,,,"$1,298.28",$0.00,1,1,1,1,1,1,20091001,,L6691,HCPCS,Removable insert each,,,28 ,,NW,,,,,,$651.75,$0.00,1,1,1,1,1,1,20091001,,L6692,HCPCS,Silicone gel insert or equal,,,28 ,,NW,,,,,,"$1,055.90",$0.00,1,1,1,1,1,1,20091001,,L6693,HCPCS,Lockingelbow forearm cntrbal,,,28 ,,NW,,,,,,"$4,816.36",$0.00,1,1,1,1,1,1,20091001,,L6805,HCPCS,Term dev modifier wrist unit,,,28 ,,NW,,,,,,$642.41,$0.00,1,1,1,1,1,1,20091001,,L6810,HCPCS,Term dev precision pinch dev,,,28 ,,NW,,,,,,$352.19,$0.00,1,1,1,1,1,1,20091001,,L6881,HCPCS,Term dev auto grasp feature,,,28 ,,NW,,,,,,"$6,935.70",$0.00,1,1,1,1,1,1,20091001,,L6882,HCPCS,Microprocessor control uplmb,,,28 ,,NW,,,,,,"$5,261.08",$0.00,1,1,1,1,1,1,20091001,,L6890,HCPCS,Prefab glove for term device,,,28 ,,NW,,,,,,$321.13,$0.00,1,1,1,1,1,1,20091001,,L6895,HCPCS,Custom glove for term device,,,28 ,,NW,,,,,,"$1,054.30",$0.00,1,1,1,1,1,1,20091001,,L6900,HCPCS,Hand restorat thumb/1 finger,,,28 ,,NW,,,,,,"$2,851.92",$0.00,1,1,1,1,1,1,20091001,,L6905,HCPCS,Hand restoration multiple fi,,,28 ,,NW,,,,,,"$2,772.15",$0.00,1,1,1,1,1,1,20091001,,L6910,HCPCS,Hand restoration no fingers,,,28 ,,NW,,,,,,"$2,700.63",$0.00,1,1,1,1,1,1,20091001,,L6915,HCPCS,Hand restoration replacmnt g,,,28 ,,NW,,,,,,"$1,182.00",$0.00,1,1,1,1,1,1,20091001,,L6920,HCPCS,Wrist disarticul switch ctrl,,,28 ,,NW,,,,,,"$12,600.76",$0.00,1,1,1,1,1,1,20091001,,L6925,HCPCS,Wrist disart myoelectronic c,,,28 ,,NW,,,,,,"$14,547.39",$0.00,1,1,1,1,1,1,20091001,,L6930,HCPCS,Below elbow switch control,,,28 ,,NW,,,,,,"$12,678.90",$0.00,1,1,1,1,1,1,20091001,,L6935,HCPCS,Below elbow myoelectronic ct,,,28 ,,NW,,,,,,"$14,819.74",$0.00,1,1,1,1,1,1,20091001,,L6940,HCPCS,Elbow disarticulation switch,,,28 ,,NW,,,,,,"$16,565.82",$0.00,1,1,1,1,1,1,20091001,,L6945,HCPCS,Elbow disart myoelectronic c,,,28 ,,NW,,,,,,"$19,272.38",$0.00,1,1,1,1,1,1,20091001,,L6950,HCPCS,Above elbow switch control,,,28 ,,NW,,,,,,"$18,829.36",$0.00,1,1,1,1,1,1,20091001,,L6955,HCPCS,Above elbow myoelectronic ct,,,28 ,,NW,,,,,,"$22,550.74",$0.00,1,1,1,1,1,1,20091001,,L6960,HCPCS,Shldr disartic switch contro,,,28 ,,NW,,,,,,"$22,744.13",$0.00,1,1,1,1,1,1,20091001,,L6965,HCPCS,Shldr disartic myoelectronic,,,28 ,,NW,,,,,,"$26,759.52",$0.00,1,1,1,1,1,1,20091001,,L6970,HCPCS,Interscapular-thor switch ct,,,28 ,,NW,,,,,,"$27,538.01",$0.00,1,1,1,1,1,1,20091001,,L6975,HCPCS,Interscap-thor myoelectronic,,,28 ,,NW,,,,,,"$30,172.93",$0.00,1,1,1,1,1,1,20091001,,L7040,HCPCS,Prehensile actuator,,,28 ,,NW,,,,,,"$5,322.93",$0.00,1,1,1,1,1,1,20091001,,L7045,HCPCS,Pediatric electric hook,,,28 ,,NW,,,,,,"$3,051.83",$0.00,1,1,1,1,1,1,20091001,,L7170,HCPCS,Electronic elbow hosmer swit,,,28 ,,NW,,,,,,"$11,070.98",$0.00,1,1,1,1,1,1,20091001,,L7180,HCPCS,Electronic elbow sequential,,,28 ,,NW,,,,,,"$61,679.21",$0.00,1,1,1,1,1,1,20091001,,L7185,HCPCS,Electron elbow adolescent sw,,,28 ,,NW,,,,,,"$11,210.85",$0.00,1,1,1,1,1,1,20091001,,L7186,HCPCS,Electron elbow child switch,,,28 ,,NW,,,,,,"$16,701.41",$0.00,1,1,1,1,1,1,20091001,,L7190,HCPCS,Elbow adolescent myoelectron,,,28 ,,NW,,,,,,"$14,263.66",$0.00,1,1,1,1,1,1,20091001,,L7191,HCPCS,Elbow child myoelectronic ct,,,28 ,,NW,,,,,,"$17,452.00",$0.00,1,1,1,1,1,1,20091001,,L7260,HCPCS,Electron wrist rotator otto,,,28 ,,NW,,,,,,"$3,715.87",$0.00,1,1,1,1,1,1,20091001,,L7261,HCPCS,Electron wrist rotator utah,,,28 ,,NW,,,,,,"$6,764.28",$0.00,1,1,1,1,1,1,20091001,,L7266,HCPCS,Servo control steeper or equ,,,28 ,,NW,,,,,,"$1,869.38",$0.00,1,1,1,1,1,1,20091001,,L7272,HCPCS,Analogue control unb or equa,,,28 ,,NW,,,,,,"$3,811.65",$0.00,1,1,1,1,1,1,20091001,,L7274,HCPCS,Proportional ctl 12 volt uta,,,28 ,,NW,,,,,,"$10,844.56",$0.00,1,1,1,1,1,1,20091001,,L7360,HCPCS,Six volt bat otto bock/eq ea,,,28 ,,NW,,,,,,$429.36,$0.00,1,1,1,1,1,1,20091001,,L7362,HCPCS,Battery chrgr six volt otto,,,28 ,,NW,,,,,,$473.06,$0.00,1,1,1,1,1,1,20091001,,L7364,HCPCS,Twelve volt battery utah/equ,,,28 ,,NW,,,,,,$752.38,$0.00,1,1,1,1,1,1,20091001,,L7366,HCPCS,Battery chrgr 12 volt utah/e,,,28 ,,NW,,,,,,"$1,013.48",$0.00,1,1,1,1,1,1,20091001,,L7367,HCPCS,Replacemnt lithium ionbatter,,,28 ,,NW,,,,,,$660.49,$0.00,1,1,1,1,1,1,20091001,,L7368,HCPCS,Lithium ion battery charger,,,28 ,,NW,,,,,,$856.21,$0.00,1,1,1,1,1,1,20091001,,L7499,HCPCS,Upper extremity prosthes nos,,,28 ,,NW,,,,,,"$3,970.15",$0.00,1,1,1,1,1,1,20091001,,L7500,HCPCS,Prosthetic dvc repair hourly,,,28 ,,NW,,,,,,$128.62,$0.00,1,1,1,1,1,1,20091001,,L7510,HCPCS,Prosthetic device repair rep,,,28 ,,NW,,,,,,$134.09,$0.00,1,1,1,1,1,1,20091001,,L7520,HCPCS,Repair prosthesis per 15 min,,,28 ,,NW,,,,,,$189.45,$0.00,1,1,1,1,1,1,20091001,,L7900,HCPCS,Male vacuum erection system,,,28 ,,NW,,,,,,$632.74,$0.00,1,1,1,1,1,1,20091001,,L8000,HCPCS,Mastectomy bra,,,28 ,,NW,,,,,,$109.10,$0.00,1,1,1,1,1,1,20091001,,L8001,HCPCS,Breast prosthesis bra & form,,,28 ,,NW,,,,,,$212.79,$0.00,1,1,1,1,1,1,20091001,,L8002,HCPCS,Brst prsth bra & bilat form,,,28 ,,NW,,,,,,$279.89,$0.00,1,1,1,1,1,1,20091001,,L8010,HCPCS,Mastectomy sleeve,,,28 ,,NW,,,,,,$78.15,$0.00,1,1,1,1,1,1,20091001,,L8015,HCPCS,Ext breastprosthesis garment,,,28 ,,NW,,,,,,$73.87,$0.00,1,1,1,1,1,1,20091001,,L8020,HCPCS,Mastectomy form,,,28 ,,NW,,,,,,$275.11,$0.00,1,1,1,1,1,1,20091001,,L8030,HCPCS,Breast prosthesis silicone/e,,,28 ,,NW,,,,,,$432.59,$0.00,1,1,1,1,1,1,20091001,,L8035,HCPCS,Custom breast prosthesis,,,28 ,,NW,,,,,,"$6,215.34",$0.00,1,1,1,1,1,1,20091001,,L8039,HCPCS,Breast prosthesis nos,,,28 ,,NW,,,,,,$154.83,$0.00,1,1,1,1,1,1,20091001,,L8040,HCPCS,Nasal prosthesis,KM,,28 ,,NW,,,,,,"$3,514.21",$0.00,1,1,1,1,1,1,20091001,,L8040,HCPCS,Nasal prosthesis,KN,,28 ,,NW,,,,,,"$1,447.98",$0.00,1,1,1,1,1,1,20091001,,L8041,HCPCS,Midfacial prosthesis,KM,,28 ,,NW,,,,,,"$4,247.04",$0.00,1,1,1,1,1,1,20091001,,L8041,HCPCS,Midfacial prosthesis,KN,,28 ,,NW,,,,,,"$1,756.54",$0.00,1,1,1,1,1,1,20091001,,L8042,HCPCS,Orbital prosthesis,KM,,28 ,,NW,,,,,,"$4,778.69",$0.00,1,1,1,1,1,1,20091001,,L8042,HCPCS,Orbital prosthesis,KN,,28 ,,NW,,,,,,"$1,980.39",$0.00,1,1,1,1,1,1,20091001,,L8043,HCPCS,Upper facial prosthesis,KM,,28 ,,NW,,,,,,"$5,358.73",$0.00,1,1,1,1,1,1,20091001,,L8043,HCPCS,Upper facial prosthesis,KN,,28 ,,NW,,,,,,"$2,224.60",$0.00,1,1,1,1,1,1,20091001,,L8044,HCPCS,Hemi-facial prosthesis,KM,,28 ,,NW,,,,,,"$5,938.76",$0.00,1,1,1,1,1,1,20091001,,L8044,HCPCS,Hemi-facial prosthesis,KN,,28 ,,NW,,,,,,"$2,468.82",$0.00,1,1,1,1,1,1,20091001,,L8045,HCPCS,Auricular prosthesis,KM,,28 ,,NW,,,,,,"$3,888.98",$0.00,1,1,1,1,1,1,20091001,,L8045,HCPCS,Auricular prosthesis,KN,,28 ,,NW,,,,,,"$2,092.31",$0.00,1,1,1,1,1,1,20091001,,L8046,HCPCS,Partial facial prosthesis,KM,,28 ,,NW,,,,,,"$3,812.03",$0.00,1,1,1,1,1,1,20091001,,L8046,HCPCS,Partial facial prosthesis,KN,,28 ,,NW,,,,,,"$1,573.38",$0.00,1,1,1,1,1,1,20091001,,L8047,HCPCS,Nasal septal prosthesis,KM,,28 ,,NW,,,,,,"$1,926.99",$0.00,1,1,1,1,1,1,20091001,,L8047,HCPCS,Nasal septal prosthesis,KN,,28 ,,NW,,,,,,$779.68,$0.00,1,1,1,1,1,1,20091001,,L8048,HCPCS,Unspec maxillofacial prosth,,,28 ,,NW,,,,,,$37.68,$0.00,1,1,1,0,1,1,20091001,,L8049,HCPCS,Repair maxillofacial prosth,,,28 ,,NW,,,,,,$37.66,$0.00,1,1,1,1,1,1,20091001,,L8300,HCPCS,Truss single w/ standard pad,,,28 ,,NW,,,,,,$159.27,$0.00,1,1,1,1,1,1,20091001,,L8310,HCPCS,Truss double w/ standard pad,,,28 ,,NW,,,,,,$251.44,$0.00,1,1,1,1,1,1,20091001,,L8320,HCPCS,Truss addition to std pad wa,,,28 ,,NW,,,,,,$100.93,$0.00,1,1,1,1,1,1,20091001,,L8330,HCPCS,Truss add to std pad scrotal,,,28 ,,NW,,,,,,$93.21,$0.00,1,1,1,1,1,1,20091001,,L8400,HCPCS,Sheath below knee,,,28 ,,NW,,,,,,$22.07,$0.00,1,1,1,1,1,1,20091001,,L8410,HCPCS,Sheath above knee,,,28 ,,NW,,,,,,$28.82,$0.00,1,1,1,1,1,1,20091001,,L8415,HCPCS,Sheath upper limb,,,28 ,,NW,,,,,,$40.47,$0.00,1,1,1,1,1,1,20091001,,L8417,HCPCS,Pros sheath/sock w gel cushn,,,28 ,,NW,,,,,,$96.15,$0.00,1,1,1,1,1,1,20091001,,L8420,HCPCS,Prosthetic sock multi ply bk,,,28 ,,NW,,,,,,$27.27,$0.00,1,1,1,1,1,1,20091001,,L8430,HCPCS,Prosthetic sock multi ply ak,,,28 ,,NW,,,,,,$31.03,$0.00,1,1,1,1,1,1,20091001,,L8435,HCPCS,Pros sock multi ply upper lm,,,28 ,,NW,,,,,,$29.00,$0.00,1,1,1,1,1,1,20091001,,L8440,HCPCS,Shrinker below knee,,,28 ,,NW,,,,,,$58.65,$0.00,1,1,1,1,1,1,20091001,,L8460,HCPCS,Shrinker above knee,,,28 ,,NW,,,,,,$93.30,$0.00,1,1,1,1,1,1,20091001,,L8465,HCPCS,Shrinker upper limb,,,28 ,,NW,,,,,,$92.10,$0.00,1,1,1,1,1,1,20091001,,L8470,HCPCS,Pros sock single ply bk,,,28 ,,NW,,,,,,$9.39,$0.00,1,1,1,1,1,1,20091001,,L8480,HCPCS,Pros sock single ply ak,,,28 ,,NW,,,,,,$12.85,$0.00,1,1,1,1,1,1,20091001,,L8485,HCPCS,Pros sock single ply upper l,,,28 ,,NW,,,,,,$15.74,$0.00,1,1,1,1,1,1,20091001,,L8499,HCPCS,Unlisted misc prosthetic ser,,,28 ,,NW,,,,,,"$1,323.58",$0.00,1,1,1,1,1,1,20091001,,L8500,HCPCS,Artificial larynx,,,28 ,,NW,,,,,,"$1,246.09",$0.00,1,1,1,1,1,1,20091001,,L8501,HCPCS,Tracheostomy speaking valve,,,28 ,,NW,,,,,,$169.42,$0.00,1,1,1,1,1,1,20091001,,L8505,HCPCS,"Artificial larynx, accessory",,,28 ,,NW,,,,,,$50.50,$0.00,1,1,1,1,1,1,20091001,,L8507,HCPCS,Trach-esoph voice pros pt in,,,28 ,,NW,,,,,,$77.47,$0.00,1,1,1,1,1,1,20091001,,L8509,HCPCS,Trach-esoph voice pros md in,,,28 ,,NW,,,,,,$185.26,$0.00,1,1,1,1,1,1,20091001,,L8510,HCPCS,Voice amplifier,,,28 ,,NW,,,,,,$428.70,$0.00,1,1,1,1,1,1,20091001,,L8511,HCPCS,Indwelling trach insert,,,28 ,,NW,,,,,,$123.39,$0.00,1,1,1,0,1,1,20091001,,L8512,HCPCS,Gel cap for trach voice pros,,,28 ,,NW,,,,,,$3.67,$0.00,1,1,1,0,1,1,20091001,,L8513,HCPCS,Trach pros cleaning device,,,28 ,,NW,,,,,,$8.81,$0.00,1,1,1,0,1,1,20091001,,L8514,HCPCS,Repl trach puncture dilator,,,28 ,,NW,,,,,,$160.00,$0.00,1,1,1,0,1,1,20091001,,L8515,HCPCS,Gel cap app device for trach,,,28 ,,NW,,,,,,$57.43,$0.00,1,1,1,0,1,1,20091001,,L8600,HCPCS,Implant breast silicone/eq,,,28 ,,NW,,,,,,"$1,179.03",$0.00,1,1,1,1,1,1,20091001,,L8603,HCPCS,Collagen imp urinary 2.5 ml,,,28 ,,NW,,,,,,$552.72,$0.00,1,1,1,1,1,1,20091001,,L8606,HCPCS,Synthetic implnt urinary 1ml,,,28 ,,NW,,,,,,$373.35,$0.00,1,1,1,1,1,1,20091001,,L8610,HCPCS,Ocular implant,,,28 ,,NW,,,,,,"$1,105.13",$0.00,1,1,1,1,1,1,20091001,,L8612,HCPCS,Aqueous shunt prosthesis,,,28 ,,NW,,,,,,"$1,148.05",$0.00,1,1,1,1,1,1,20091001,,L8613,HCPCS,Ossicular implant,,,28 ,,NW,,,,,,$485.51,$0.00,1,1,1,1,1,1,20091001,,L8614,HCPCS,Cochlear device,,,28 ,,NW,,,,,,"$32,814.29",$0.00,1,1,1,1,1,1,20091001,,L8615,HCPCS,Coch implant headset replace,,,28 ,,NW,,,,,,$878.77,$0.00,1,1,1,0,1,1,20091001,,L8616,HCPCS,Coch implant microphone repl,,,28 ,,NW,,,,,,$123.40,$0.00,1,1,1,0,1,1,20091001,,L8617,HCPCS,Coch implant trans coil repl,,,28 ,,NW,,,,,,$107.78,$0.00,1,1,1,0,1,1,20091001,,L8618,HCPCS,Coch implant tran cable repl,,,28 ,,NW,,,,,,$140.60,$0.00,1,1,1,0,1,1,20091001,,L8619,HCPCS,Replace cochlear processor,,,28 ,,NW,,,,,,"$14,085.18",$0.00,1,1,1,1,1,1,20091001,,L8621,HCPCS,Repl zinc air battery,,,28 ,,NW,,,,,,$0.74,$0.00,1,1,1,0,1,1,20091001,,L8622,HCPCS,Repl alkaline battery,,,28 ,,NW,,,,,,$0.41,$0.00,1,1,1,0,1,1,20091001,,L8623,HCPCS,"Lith ion batt cid,non-earlvl",,,28 ,,NW,,,,,,$692.97,$0.00,1,1,1,0,1,1,20091001,,L8624,HCPCS,"Lith ion batt cid, ear level",,,28 ,,NW,,,,,,$156.92,$0.00,1,1,1,0,1,1,20091001,,L8630,HCPCS,Metacarpophalangeal implant,,,28 ,,NW,,,,,,$636.12,$0.00,1,1,1,1,1,1,20091001,,L8631,HCPCS,Mcp joint repl 2 pc or more,,,28 ,,NW,,,,,,"$3,733.39",$0.00,1,1,1,1,1,1,20091001,,L8641,HCPCS,Metatarsal joint implant,,,28 ,,NW,,,,,,$660.91,$0.00,1,1,1,1,1,1,20091001,,L8642,HCPCS,Hallux implant,,,28 ,,NW,,,,,,$536.09,$0.00,1,1,1,1,1,1,20091001,,L8658,HCPCS,Interphalangeal joint spacer,,,28 ,,NW,,,,,,$576.25,$0.00,1,1,1,1,1,1,20091001,,L8659,HCPCS,Interphalangeal joint repl,,,28 ,,NW,,,,,,"$3,274.55",$0.00,1,1,1,1,1,1,20091001,,L8670,HCPCS,"Vascular graft, synthetic",,,28 ,,NW,,,,,,$945.91,$0.00,1,1,1,1,1,1,20091001,,L8680,HCPCS,Implt neurostim elctr each,,,28 ,,NW,,,,,,"$6,695.38",$0.00,1,1,1,0,1,1,20091001,,L8681,HCPCS,Pt prgrm for implt neurostim,,,28 ,,NW,,,,,,"$1,556.15",$0.00,1,1,1,0,1,1,20091001,,L8687,HCPCS,Implt nrostm pls gen dua rec,,,28 ,,NW,,,,,,"$1,255.38",$0.00,1,1,1,0,1,1,20091001,,L8689,HCPCS,External recharg sys intern,,,28 ,,NW,,,,,,"$1,255.38",$0.00,1,1,1,0,1,1,20091001,,L8690,HCPCS,"Aud osseo dev, int/ext comp",,,28 ,,NW,,,,,,"$7,276.14",$0.00,1,1,1,0,1,1,20091001,,L8699,HCPCS,Prosthetic implant nos,,,28 ,,NW,,,,,,$390.82,$0.00,1,1,1,1,1,1,20091001,,L9900,HCPCS,O&p supply/accessory/service,,,28 ,,NW,,,,,,$65.57,$0.00,1,1,1,1,1,1,20091001,,M0064,HCPCS,Visit for drug monitoring,,,16 ,,RBRVS,0.37 ,0.07 ,0.91 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,M0076,HCPCS,Prolotherapy,,,14 ,,TotalUnits,,,,1.68 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,M0300,HCPCS,Iv chelationtherapy,,,4 ,,TotalUnits,,,,0.31 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,P2038,HCPCS,Blood mucoprotein,,,17 ,,TotalUnits,,,,0.30 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,P3000,HCPCS,Screen pap by tech w md supv,,,17 ,,TotalUnits,,,,0.46 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,P3001,HCPCS,Screening pap smear by phys,,,17 ,,RBRVS,0.42 ,0.38 ,0.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,P7001,HCPCS,Culture bacterial urine,,,17 ,,TotalUnits,,,,0.22 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,P9010,HCPCS,Whole blood for transfusion,,,14 ,,TotalUnits,,,,13.20 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,P9011,HCPCS,Blood split unit,,,14 ,,TotalUnits,,,,4.39 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,P9016,HCPCS,Rbc leukocytes reduced,,,14 ,,TotalUnits,,,,6.73 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,P9019,HCPCS,"Platelets, each unit",,,14 ,,TotalUnits,,,,7.06 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,P9020,HCPCS,Plaelet rich plasma unit,,,14 ,,TotalUnits,,,,13.68 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,P9021,HCPCS,Red blood cells unit,,,14 ,,TotalUnits,,,,5.88 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,P9022,HCPCS,Washed red blood cells unit,,,14 ,,TotalUnits,,,,8.75 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,P9041,HCPCS,"Albumin (human),5%, 50ml",,,14 ,,TotalUnits,,,,22.75 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,P9043,HCPCS,"Plasma protein fract,5%,50ml",,,14 ,,TotalUnits,,,,0.43 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,P9045,HCPCS,"Albumin (human), 5%, 250 ml",,,14 ,,TotalUnits,,,,28.94 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,P9046,HCPCS,"Albumin (human), 25%, 20 ml",,,14 ,,TotalUnits,,,,4.66 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,P9047,HCPCS,"Albumin (human), 25%, 50ml",,,14 ,,TotalUnits,,,,8.29 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,P9048,HCPCS,"Plasmaprotein fract,5%,250ml",,,14 ,,TotalUnits,,,,1.84 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,P9603,HCPCS,One-way allow prorated miles,,,14 ,,TotalUnits,,,,0.09 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,P9604,HCPCS,One-way allow prorated trip,,,14 ,,TotalUnits,,,,0.09 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,P9612,HCPCS,Catheterize for urine spec,,,17 ,,TotalUnits,,,,0.35 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,P9615,HCPCS,Urine specimen collect mult,,,17 ,,TotalUnits,,,,0.05 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,Q0035,HCPCS,Cardiokymography,26,,20 ,,RBRVS,0.17 ,0.05 ,0.05 ,,,$0.00,$0.00,1,0,1,1,1,0,20091001,,Q0035,HCPCS,Cardiokymography,TC,,20 ,,RBRVS,0.00 ,0.25 ,0.25 ,,,$0.00,$0.00,1,1,1,0,1,0,20091001,,Q0035,HCPCS,Cardiokymography,,,20 ,,RBRVS,0.17 ,0.30 ,0.30 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,Q0081,HCPCS,Infusion ther other than che,,,28 ,,NW,,,,,,$89.08,$0.00,1,1,1,0,1,1,20091001,,Q0083,HCPCS,Chemo by other than infusion,,,29 ,,NW,,,,,,$195.41,$0.00,1,1,1,0,1,1,20091001,,Q0084,HCPCS,Chemotherapy by infusion,,,29 ,,NW,,,,,,$333.14,$0.00,1,1,1,0,1,1,20091001,,Q0085,HCPCS,Chemo by both infusion and o,,,29 ,,NW,,,,,,$560.88,$0.00,1,1,1,0,1,1,20091001,,Q0091,HCPCS,Obtaining screen pap smear,,,17 ,,RBRVS,0.37 ,0.10 ,0.75 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,Q0092,HCPCS,Set up port xray equipment,,,20 ,,RBRVS,0.00 ,0.47 ,0.47 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,Q0111,HCPCS,Wet mounts/ w preparations,,,17 ,,TotalUnits,,,,0.22 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,Q0112,HCPCS,Potassium hydroxide preps,,,17 ,,TotalUnits,,,,0.20 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,Q0113,HCPCS,Pinworm examinations,,,17 ,,TotalUnits,,,,0.32 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,Q0114,HCPCS,Fern test,,,17 ,,TotalUnits,,,,0.42 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,Q0115,HCPCS,Post-coital mucous exam,,,17 ,,TotalUnits,,,,0.58 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,Q0144,HCPCS,"Azithromycin dihydrate, oral",,,29 ,,NW,,,,,,$45.98,$0.00,1,1,1,0,0,1,20091001,,Q0163,HCPCS,Diphenhydramine hcl 50mg,,,29 ,,NW,,,,,,$0.89,$0.00,1,1,1,0,0,1,20091001,,Q0164,HCPCS,Prochlorperazine maleate 5mg,,,29 ,,NW,,,,,,$1.72,$0.00,1,1,1,0,0,1,20091001,,Q0165,HCPCS,Prochlorperazine maleate10mg,,,29 ,,NW,,,,,,$1.17,$0.00,1,1,1,0,0,1,20091001,,Q0166,HCPCS,Granisetron hcl 1 mg oral,,,29 ,,NW,,,,,,$80.58,$0.00,1,1,1,0,0,1,20091001,,Q0167,HCPCS,Dronabinol 2.5mg oral,,,29 ,,NW,,,,,,$14.24,$0.00,1,1,1,0,0,1,20091001,,Q0168,HCPCS,Dronabinol 5mg oral,,,29 ,,NW,,,,,,$26.86,$0.00,1,1,1,0,0,1,20091001,,Q0169,HCPCS,Promethazine hcl 12.5mg oral,,,29 ,,NW,,,,,,$6.64,$0.00,1,1,1,0,0,1,20091001,,Q0170,HCPCS,Promethazine hcl 25 mg oral,,,29 ,,NW,,,,,,$2.40,$0.00,1,1,1,0,0,1,20091001,,Q0171,HCPCS,Chlorpromazine hcl 10mg oral,,,29 ,,NW,,,,,,$0.64,$0.00,1,1,1,0,0,1,20091001,,Q0172,HCPCS,Chlorpromazine hcl 25mg oral,,,29 ,,NW,,,,,,$0.80,$0.00,1,1,1,0,0,1,20091001,,Q0173,HCPCS,Trimethobenzamide hcl 250mg,,,29 ,,NW,,,,,,$2.14,$0.00,1,1,1,0,0,1,20091001,,Q0174,HCPCS,Thiethylperazine maleate10mg,,,29 ,,NW,,,,,,$1.95,$0.00,1,1,1,0,0,1,20091001,,Q0175,HCPCS,Perphenazine 4mg oral,,,29 ,,NW,,,,,,$1.91,$0.00,1,1,1,0,0,1,20091001,,Q0176,HCPCS,Perphenazine 8mg oral,,,29 ,,NW,,,,,,$2.38,$0.00,1,1,1,0,0,1,20091001,,Q0177,HCPCS,Hydroxyzine pamoate 25mg,,,29 ,,NW,,,,,,$1.41,$0.00,1,1,1,0,0,1,20091001,,Q0178,HCPCS,Hydroxyzine pamoate 50mg,,,29 ,,NW,,,,,,$2.31,$0.00,1,1,1,0,0,1,20091001,,Q0179,HCPCS,Ondansetron hcl 8 mg oral,,,29 ,,NW,,,,,,$284.10,$0.00,1,1,1,0,0,1,20091001,,Q0180,HCPCS,Dolasetron mesylate oral,,,29 ,,NW,,,,,,$179.50,$0.00,1,1,1,0,0,1,20091001,,Q0181,HCPCS,Unspecified oral anti-emetic,,,29 ,,NW,,,,,,$41.28,$0.00,1,1,1,0,0,1,20091001,,Q0480,HCPCS,"Driver pneumatic vad, rep",,,28 ,,NW,,,,,,"$152,832.75",$0.00,1,1,1,0,1,1,20091001,,Q0481,HCPCS,"Microprcsr cu elec vad, rep",,,28 ,,NW,,,,,,"$24,657.79",$0.00,1,1,1,0,1,1,20091001,,Q0482,HCPCS,"Microprcsr cu combo vad, rep",,,28 ,,NW,,,,,,"$7,723.28",$0.00,1,1,1,0,1,1,20091001,,Q0483,HCPCS,"Monitor elec vad, rep",,,28 ,,NW,,,,,,"$31,816.45",$0.00,1,1,1,0,1,1,20091001,,Q0484,HCPCS,Monitor elec or comb vad rep,,,28 ,,NW,,,,,,"$6,178.64",$0.00,1,1,1,0,1,1,20091001,,Q0485,HCPCS,"Monitor cable elec vad, rep",,,28 ,,NW,,,,,,$596.55,$0.00,1,1,1,0,1,1,20091001,,Q0486,HCPCS,Mon cable elec/pneum vad rep,,,28 ,,NW,,,,,,$496.49,$0.00,1,1,1,0,1,1,20091001,,Q0487,HCPCS,"Leads any type vad, rep only",,,28 ,,NW,,,,,,$579.24,$0.00,1,1,1,0,1,1,20091001,,Q0488,HCPCS,"Pwr pack base elec vad, rep",,,28 ,,NW,,,,,,"$19,093.90",$0.00,1,1,1,0,1,1,20091001,,Q0489,HCPCS,"Pwr pck base combo vad, rep",,,28 ,,NW,,,,,,"$27,583.16",$0.00,1,1,1,0,1,1,20091001,,Q0490,HCPCS,"Emr pwr source elec vad, rep",,,28 ,,NW,,,,,,"$1,193.11",$0.00,1,1,1,0,1,1,20091001,,Q0491,HCPCS,Emr pwr source combo vad rep,,,28 ,,NW,,,,,,"$1,875.69",$0.00,1,1,1,0,1,1,20091001,,Q0492,HCPCS,"Emr pwr cbl elec vad, rep",,,28 ,,NW,,,,,,$151.13,$0.00,1,1,1,0,1,1,20091001,,Q0493,HCPCS,"Emr pwr cbl combo vad, rep",,,28 ,,NW,,,,,,$430.28,$0.00,1,1,1,0,1,1,20091001,,Q0494,HCPCS,"Emr hd pmp elec/combo, rep",,,28 ,,NW,,,,,,$364.10,$0.00,1,1,1,0,1,1,20091001,,Q0495,HCPCS,"Charger elec/combo vad, rep",,,28 ,,NW,,,,,,"$7,088.17",$0.00,1,1,1,0,1,1,20091001,,Q0496,HCPCS,"Battery elec/combo vad, rep",,,28 ,,NW,,,,,,"$2,544.06",$0.00,1,1,1,0,1,1,20091001,,Q0497,HCPCS,"Bat clps elec/comb vad, rep",,,28 ,,NW,,,,,,$794.40,$0.00,1,1,1,0,1,1,20091001,,Q0498,HCPCS,"Holster elec/combo vad, rep",,,28 ,,NW,,,,,,$871.63,$0.00,1,1,1,0,1,1,20091001,,Q0499,HCPCS,Belt/vest elec/combo vad rep,,,28 ,,NW,,,,,,$283.18,$0.00,1,1,1,0,1,1,20091001,,Q0500,HCPCS,"Filters elec/combo vad, rep",,,28 ,,NW,,,,,,$51.82,$0.00,1,1,1,0,1,1,20091001,,Q0501,HCPCS,"Shwr cov elec/combo vad, rep",,,28 ,,NW,,,,,,$866.61,$0.00,1,1,1,0,1,1,20091001,,Q0502,HCPCS,"Mobility cart pneum vad, rep",,,28 ,,NW,,,,,,"$1,103.30",$0.00,1,1,1,0,1,1,20091001,,Q0503,HCPCS,Battery pneum vad replacemnt,,,28 ,,NW,,,,,,"$2,206.66",$0.00,1,1,1,0,1,1,20091001,,Q0504,HCPCS,"Pwr adpt pneum vad, rep veh",,,28 ,,NW,,,,,,"$1,164.39",$0.00,1,1,1,0,1,1,20091001,,Q0513,HCPCS,Disp fee inhal drugs/30 days,,,28 ,,NW,,,,,,$77.20,$0.00,1,1,1,0,0,1,20091001,,Q0514,HCPCS,Disp fee inhal drugs/90 days,,,28 ,,NW,,,,,,$117.91,$0.00,1,1,1,0,0,1,20091001,,Q0515,HCPCS,Sermorelin acetate injection,,,29 ,,NW,,,,,,$4.03,$0.00,1,1,1,0,1,1,20091001,,Q2004,HCPCS,Bladder calculi irrig sol,,,29 ,,NW,,,,,,$50.81,$0.00,1,1,1,0,0,1,20091001,,Q2009,HCPCS,"Fosphenytoin, 50 mg",,,29 ,,NW,,,,,,$26.58,$0.00,1,1,1,0,0,1,20091001,,Q2017,HCPCS,"Teniposide, 50 mg",,,29 ,,NW,,,,,,$775.05,$0.00,1,1,1,0,0,1,20091001,,Q3001,HCPCS,Brachytherapy radioelements,,,28 ,,NW,,,,,,$88.03,$0.00,1,1,1,0,0,1,20091001,,Q3014,HCPCS,Telehealth facility fee,,,28 ,,NW,,,,,,$45.52,$0.00,1,1,1,0,0,1,20091001,,Q3025,HCPCS,Im inj interferon beta 1-a,,,29 ,,NW,,,,,,$214.73,$0.00,1,1,1,0,0,1,20091001,,Q3026,HCPCS,Subc inj interferon beta-1a,,,29 ,,NW,,,,,,$110.57,$0.00,1,1,1,0,0,1,20091001,,Q3031,HCPCS,Collagen skin test,,,2 ,,TotalUnits,,,,0.65 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,Q4001,HCPCS,Cast sup body cast plaster,,,28 ,,NW,,,,,,$323.72,$0.00,1,1,1,0,0,1,20091001,,Q4002,HCPCS,Cast sup body cast fiberglas,,,28 ,,NW,,,,,,$688.65,$0.00,1,1,1,0,0,1,20091001,,Q4003,HCPCS,Cast sup shoulder cast plstr,,,28 ,,NW,,,,,,$175.40,$0.00,1,1,1,0,0,1,20091001,,Q4004,HCPCS,Cast sup shoulder cast fbrgl,,,28 ,,NW,,,,,,$373.16,$0.00,1,1,1,0,0,1,20091001,,Q4005,HCPCS,Cast sup long arm adult plst,,,28 ,,NW,,,,,,$96.53,$0.00,1,1,1,0,0,1,20091001,,Q4006,HCPCS,Cast sup long arm adult fbrg,,,28 ,,NW,,,,,,$124.31,$0.00,1,1,1,0,0,1,20091001,,Q4007,HCPCS,Cast sup long arm ped plster,,,28 ,,NW,,,,,,$48.26,$0.00,1,1,1,0,0,1,20091001,,Q4008,HCPCS,Cast sup long arm ped fbrgls,,,28 ,,NW,,,,,,$65.44,$0.00,1,1,1,0,0,1,20091001,,Q4009,HCPCS,Cast sup sht arm adult plstr,,,28 ,,NW,,,,,,$47.40,$0.00,1,1,1,0,0,1,20091001,,Q4010,HCPCS,Cast sup sht arm adult fbrgl,,,28 ,,NW,,,,,,$96.13,$0.00,1,1,1,0,0,1,20091001,,Q4011,HCPCS,Cast sup sht arm ped plaster,,,28 ,,NW,,,,,,$37.08,$0.00,1,1,1,0,0,1,20091001,,Q4012,HCPCS,Cast sup sht arm ped fbrglas,,,28 ,,NW,,,,,,$50.40,$0.00,1,1,1,0,0,1,20091001,,Q4013,HCPCS,Cast sup gauntlet plaster,,,28 ,,NW,,,,,,$70.04,$0.00,1,1,1,0,0,1,20091001,,Q4014,HCPCS,Cast sup gauntlet fiberglass,,,28 ,,NW,,,,,,$97.38,$0.00,1,1,1,0,0,1,20091001,,Q4015,HCPCS,Cast sup gauntlet ped plster,,,28 ,,NW,,,,,,$35.32,$0.00,1,1,1,0,0,1,20091001,,Q4016,HCPCS,Cast sup gauntlet ped fbrgls,,,28 ,,NW,,,,,,$74.75,$0.00,1,1,1,0,0,1,20091001,,Q4017,HCPCS,Cast sup lng arm splint plst,,,28 ,,NW,,,,,,$40.96,$0.00,1,1,1,0,0,1,20091001,,Q4018,HCPCS,Cast sup lng arm splint fbrg,,,28 ,,NW,,,,,,$82.81,$0.00,1,1,1,0,0,1,20091001,,Q4019,HCPCS,Cast sup lng arm splnt ped p,,,28 ,,NW,,,,,,$30.61,$0.00,1,1,1,0,0,1,20091001,,Q4020,HCPCS,Cast sup lng arm splnt ped f,,,28 ,,NW,,,,,,$40.66,$0.00,1,1,1,0,0,1,20091001,,Q4021,HCPCS,Cast sup sht arm splint plst,,,28 ,,NW,,,,,,$38.89,$0.00,1,1,1,0,0,1,20091001,,Q4022,HCPCS,Cast sup sht arm splint fbrg,,,28 ,,NW,,,,,,$78.49,$0.00,1,1,1,0,0,1,20091001,,Q4023,HCPCS,Cast sup sht arm splnt ped p,,,28 ,,NW,,,,,,$30.61,$0.00,1,1,1,0,0,1,20091001,,Q4024,HCPCS,Cast sup sht arm splnt ped f,,,28 ,,NW,,,,,,$41.56,$0.00,1,1,1,0,0,1,20091001,,Q4025,HCPCS,Cast sup hip spica plaster,,,28 ,,NW,,,,,,$271.93,$0.00,1,1,1,0,0,1,20091001,,Q4026,HCPCS,Cast sup hip spica fiberglas,,,28 ,,NW,,,,,,$578.58,$0.00,1,1,1,0,0,1,20091001,,Q4027,HCPCS,Cast sup hip spica ped plstr,,,28 ,,NW,,,,,,$135.96,$0.00,1,1,1,0,0,1,20091001,,Q4028,HCPCS,Cast sup hip spica ped fbrgl,,,28 ,,NW,,,,,,$289.59,$0.00,1,1,1,0,0,1,20091001,,Q4029,HCPCS,Cast sup long leg plaster,,,28 ,,NW,,,,,,$134.20,$0.00,1,1,1,0,0,1,20091001,,Q4030,HCPCS,Cast sup long leg fiberglass,,,28 ,,NW,,,,,,$177.90,$0.00,1,1,1,0,0,1,20091001,,Q4031,HCPCS,Cast sup lng leg ped plaster,,,28 ,,NW,,,,,,$67.10,$0.00,1,1,1,0,0,1,20091001,,Q4032,HCPCS,Cast sup lng leg ped fbrgls,,,28 ,,NW,,,,,,$93.07,$0.00,1,1,1,0,0,1,20091001,,Q4033,HCPCS,Cast sup lng leg cylinder pl,,,28 ,,NW,,,,,,$114.19,$0.00,1,1,1,0,0,1,20091001,,Q4034,HCPCS,Cast sup lng leg cylinder fb,,,28 ,,NW,,,,,,$242.50,$0.00,1,1,1,0,0,1,20091001,,Q4035,HCPCS,Cast sup lngleg cylndr ped p,,,28 ,,NW,,,,,,$57.09,$0.00,1,1,1,0,0,1,20091001,,Q4036,HCPCS,Cast sup lngleg cylndr ped f,,,28 ,,NW,,,,,,$121.25,$0.00,1,1,1,0,0,1,20091001,,Q4037,HCPCS,Cast sup shrt leg plaster,,,28 ,,NW,,,,,,$102.05,$0.00,1,1,1,0,0,1,20091001,,Q4038,HCPCS,Cast sup shrt leg fiberglass,,,28 ,,NW,,,,,,$199.37,$0.00,1,1,1,0,0,1,20091001,,Q4039,HCPCS,Cast sup shrt leg ped plster,,,28 ,,NW,,,,,,$76.52,$0.00,1,1,1,0,0,1,20091001,,Q4040,HCPCS,Cast sup shrt leg ped fbrgls,,,28 ,,NW,,,,,,$100.23,$0.00,1,1,1,0,0,1,20091001,,Q4041,HCPCS,Cast sup lng leg splnt plstr,,,28 ,,NW,,,,,,$87.70,$0.00,1,1,1,0,0,1,20091001,,Q4042,HCPCS,Cast sup lng leg splnt fbrgl,,,28 ,,NW,,,,,,$186.58,$0.00,1,1,1,0,0,1,20091001,,Q4043,HCPCS,Cast sup lng leg splnt ped p,,,28 ,,NW,,,,,,$44.14,$0.00,1,1,1,0,0,1,20091001,,Q4044,HCPCS,Cast sup lng leg splnt ped f,,,28 ,,NW,,,,,,$93.59,$0.00,1,1,1,0,0,1,20091001,,Q4045,HCPCS,Cast sup sht leg splnt plstr,,,28 ,,NW,,,,,,$36.27,$0.00,1,1,1,0,0,1,20091001,,Q4046,HCPCS,Cast sup sht leg splnt fbrgl,,,28 ,,NW,,,,,,$78.69,$0.00,1,1,1,0,0,1,20091001,,Q4047,HCPCS,Cast sup sht leg splnt ped p,,,28 ,,NW,,,,,,$28.25,$0.00,1,1,1,0,0,1,20091001,,Q4048,HCPCS,Cast sup sht leg splnt ped f,,,28 ,,NW,,,,,,$60.62,$0.00,1,1,1,0,0,1,20091001,,Q4049,HCPCS,"Finger splint, static",,,28 ,,NW,,,,,,$44.45,$0.00,1,1,1,0,0,1,20091001,,Q4050,HCPCS,Cast supplies unlisted,,,28 ,,NW,,,,,,$50.83,$0.00,1,1,1,0,0,1,20091001,,Q4051,HCPCS,Splint supplies misc,,,28 ,,NW,,,,,,$59.86,$0.00,1,1,1,0,0,1,20091001,,Q4080,HCPCS,Iloprost non-comp unit dose,,,29 ,,NW,,,,,,$70.54,$0.00,1,1,1,0,1,1,20091001,,Q4081,HCPCS,"Epoetin alfa, 100 units esrd",,,29 ,,NW,,,,,,$1.77,$0.00,1,1,1,0,1,1,20091001,,Q4101,HCPCS,Apligraf skin sub,,,28 ,,NW,,,,,,$46.38,$0.00,1,1,1,0,1,1,20091001,,Q4102,HCPCS,Oasis wound matrix skin sub,,,28 ,,NW,,,,,,$6.00,$0.00,1,1,1,0,1,1,20091001,,Q4103,HCPCS,Oasis burn matrix skin sub,,,28 ,,NW,,,,,,$6.00,$0.00,1,1,1,0,1,1,20091001,,Q4104,HCPCS,Integra bmwd skin sub,,,28 ,,NW,,,,,,$16.70,$0.00,1,1,1,0,1,1,20091001,,Q4105,HCPCS,Integra drt skin sub,,,28 ,,NW,,,,,,$16.70,$0.00,1,1,1,0,1,1,20091001,,Q4106,HCPCS,Dermagraft skin sub,,,28 ,,NW,,,,,,$56.64,$0.00,1,1,1,0,1,1,20091001,,Q4107,HCPCS,Graftjacket skin sub,,,28 ,,NW,,,,,,$129.05,$0.00,1,1,1,0,1,1,20091001,,Q4108,HCPCS,Integra matrix skin sub,,,28 ,,NW,,,,,,$25.25,$0.00,1,1,1,0,1,1,20091001,,Q4110,HCPCS,Primatrix skin sub,,,28 ,,NW,,,,,,$51.62,$0.00,1,1,1,0,1,1,20091001,,Q4112,HCPCS,Cymetra allograft,,,28 ,,NW,,,,,,$564.05,$0.00,1,1,1,0,1,1,20091001,,Q4113,HCPCS,Graftjacket express allograft,,,28 ,,NW,,,,,,$564.05,$0.00,1,1,1,0,1,1,20091001,,Q4114,HCPCS,Integra flowable wound matri,,,28 ,,NW,,,,,,"$1,312.82",$0.00,1,1,1,0,1,1,20091001,,Q9951,HCPCS,"Locm >= 400 mg/ml iodine,1ml",,,28 ,,NW,,,,,,$0.38,$0.00,1,0,0,0,0,1,20091001,,Q9953,HCPCS,"Inj fe-based mr contrast,1ml",,,28 ,,NW,,,,,,$37.17,$0.00,1,0,0,0,0,1,20091001,,Q9954,HCPCS,"Oral mr contrast, 100 ml",,,28 ,,NW,,,,,,$10.96,$0.00,1,0,0,0,0,1,20091001,,Q9955,HCPCS,"Inj perflexane lip micros,ml",,,28 ,,NW,,,,,,$16.21,$0.00,1,0,0,0,0,1,20091001,,Q9956,HCPCS,"Inj octafluoropropane mic,ml",,,28 ,,NW,,,,,,$50.28,$0.00,1,0,0,0,0,1,20091001,,Q9957,HCPCS,"Inj perflutren lip micros,ml",,,28 ,,NW,,,,,,$126.33,$0.00,1,0,0,0,0,1,20091001,,Q9958,HCPCS,"Hocm <=149 mg/ml iodine, 1ml",,,28 ,,NW,,,,,,$0.08,$0.00,1,0,0,0,0,1,20091001,,Q9960,HCPCS,"Hocm 200-249mg/ml iodine,1ml",,,28 ,,NW,,,,,,$0.11,$0.00,1,0,0,0,0,1,20091001,,Q9961,HCPCS,"Hocm 250-299mg/ml iodine,1ml",,,28 ,,NW,,,,,,$0.22,$0.00,1,0,0,0,0,1,20091001,,Q9962,HCPCS,"Hocm 300-349mg/ml iodine,1ml",,,28 ,,NW,,,,,,$0.17,$0.00,1,0,0,0,0,1,20091001,,Q9963,HCPCS,"Hocm 350-399mg/ml iodine,1ml",,,28 ,,NW,,,,,,$0.48,$0.00,1,0,0,0,0,1,20091001,,Q9964,HCPCS,"Hocm>= 400mg/ml iodine, 1ml",,,28 ,,NW,,,,,,$0.23,$0.00,1,0,0,0,0,1,20091001,,R0070,HCPCS,Transport portable x-ray,,,28 ,,NW,,,,,,$111.41,$0.00,1,1,1,0,1,1,20091001,,R0075,HCPCS,Transport port x-ray multipl,,,28 ,,NW,,,,,,$69.77,$0.00,1,1,1,0,1,1,20091001,,R0076,HCPCS,Transport portable ekg,,,28 ,,NW,,,,,,$108.30,$0.00,1,1,1,0,1,1,20091001,,S0012,HCPCS,Butorphanl tartrat nasl spray 25 mg,,,28 ,,NW,,,,,,$200.87,$0.00,1,1,1,0,0,1,20091001,,S0014,HCPCS,Tacrine hydrochloride 10 mg,,,28 ,,NW,,,,,,$6.87,$0.00,1,1,1,0,0,1,20091001,,S0017,HCPCS,Injection aminocaproic acid 5 grams,,,29 ,,NW,,,,,,$16.83,$0.00,1,1,1,0,1,1,20091001,,S0020,HCPCS,Inj bupivicaine hydrochloride 30 ml,,,29 ,,NW,,,,,,$36.62,$0.00,1,1,1,0,0,1,20091001,,S0023,HCPCS,Inj cimetidine hydrochloride 300 mg,,,29 ,,NW,,,,,,$4.58,$0.00,1,1,1,0,0,1,20091001,,S0028,HCPCS,Injection famotidine 20 mg,,,29 ,,NW,,,,,,$6.18,$0.00,1,1,1,0,0,1,20091001,,S0030,HCPCS,Injection metronidazole 500 mg,,,29 ,,NW,,,,,,$36.21,$0.00,1,1,1,0,0,1,20091001,,S0032,HCPCS,Injection nafcillin sodium 2 grams,,,29 ,,NW,,,,,,$31.54,$0.00,1,1,1,0,0,1,20091001,,S0034,HCPCS,Injection ofloxacin 400 mg,,,29 ,,NW,,,,,,$27.02,$0.00,1,1,1,0,0,1,20091001,,S0039,HCPCS,Inj sulfmethoxazl&trimethoprm 10 ml,,,29 ,,NW,,,,,,$24.49,$0.00,1,1,1,0,0,1,20091001,,S0040,HCPCS,Inj ticarclln & clavulanat k+3.1 gm,,,29 ,,NW,,,,,,$26.14,$0.00,1,1,1,0,0,1,20091001,,S0073,HCPCS,Injection aztreonam 500 mg,,,29 ,,NW,,,,,,$27.84,$0.00,1,1,1,0,0,1,20091001,,S0074,HCPCS,Injection cefotetan disodium 500 mg,,,29 ,,NW,,,,,,$15.89,$0.00,1,1,1,0,0,1,20091001,,S0077,HCPCS,Inj clindamycin phosphate 300 mg,,,29 ,,NW,,,,,,$5.25,$0.00,1,1,1,0,0,1,20091001,,S0078,HCPCS,Inj fosphenytoin sodium 750 mg,,,29 ,,NW,,,,,,$460.89,$0.00,1,1,1,0,0,1,20091001,,S0080,HCPCS,Inj pentamidine isethionate 300 mg,,,29 ,,NW,,,,,,$125.82,$0.00,1,1,1,0,0,1,20091001,,S0081,HCPCS,Inj piperacillin sodium 500 mg,,,29 ,,NW,,,,,,$2.94,$0.00,1,1,1,0,0,1,20091001,,S0088,HCPCS,Imatinib 100 mg,,,29 ,,NW,,,,,,$29.07,$0.00,1,1,1,0,0,1,20091001,,S0090,HCPCS,Sildenafil citrate 25 mg,,,29 ,,NW,,,,,,$21.61,$0.00,1,1,1,0,0,1,20091001,,S0091,HCPCS,Granisetron hydrochloride 1 mg,,,29 ,,NW,,,,,,$134.97,$0.00,1,1,1,0,0,1,20091001,,S0092,HCPCS,Inj hydmorphone hydrochlorid 250 mg,,,29 ,,NW,,,,,,$270.28,$0.00,1,1,1,0,0,1,20091001,,S0093,HCPCS,Injection morphine sulfate 500 mg,,,29 ,,NW,,,,,,$73.43,$0.00,1,1,1,0,0,1,20091001,,S0104,HCPCS,Zidovudine oral 100 mg,,,29 ,,NW,,,,,,$4.76,$0.00,1,1,1,0,0,1,20091001,,S0106,HCPCS,Bupropion hci sr tab 150 mg 60 tabs,,,29 ,,NW,,,,,,$334.29,$0.00,1,1,1,0,1,1,20091001,,S0108,HCPCS,Mercaptopurine oral 50 mg,,,29 ,,NW,,,,,,$11.14,$0.00,1,1,1,0,0,1,20091001,,S0109,HCPCS,Methadone oral 5mg,,,29 ,,NW,,,,,,$0.40,$0.00,1,1,1,0,0,1,20091001,,S0122,HCPCS,Injection menotropins 75 iu,,,29 ,,NW,,,,,,$132.14,$0.00,1,1,1,0,0,1,20091001,,S0126,HCPCS,Injection follitropin alfa 75 iu,,,29 ,,NW,,,,,,$154.13,$0.00,1,1,1,0,0,1,20091001,,S0128,HCPCS,Injection follitropin beta 75 iu,,,29 ,,NW,,,,,,$143.78,$0.00,1,1,1,0,0,1,20091001,,S0132,HCPCS,Injection ganirelix acetate 250 mcg,,,29 ,,NW,,,,,,$224.37,$0.00,1,1,1,0,0,1,20091001,,S0136,HCPCS,Clozapine 25 mg,,,29 ,,NW,,,,,,$1.86,$0.00,1,1,1,0,0,1,20091001,,S0137,HCPCS,Didanosine 25 mg,,,29 ,,NW,,,,,,$130.92,$0.00,1,1,1,0,0,1,20091001,,S0145,HCPCS,Inj pegylatd ifn alfa-2a 180 mcg ml,,,29 ,,NW,,,,,,$45.27,$0.00,1,1,1,0,0,1,20091001,,S0146,HCPCS,Inj pegyl ifn alfa-2b 10 mcg 0.5 ml,,,29 ,,NW,,,,,,$19.31,$0.00,1,1,1,0,0,1,20091001,,S0155,HCPCS,Sterile dilutant epoprostenol 50 ml,,,29 ,,NW,,,,,,$27.38,$0.00,1,1,1,0,0,1,20091001,,S0156,HCPCS,Exemestane 25 mg,,,29 ,,NW,,,,,,$21.99,$0.00,1,1,1,0,0,1,20091001,,S0157,HCPCS,Becaplermin gel 0.01% 0.5 gm,,,29 ,,NW,,,,,,$45.98,$0.00,1,1,1,0,0,1,20091001,,S0161,HCPCS,Calcitrol 0.25 mg,,,29 ,,NW,,,,,,$89.15,$0.00,1,1,1,0,0,1,20091001,,S0162,HCPCS,Injection efalizumab 125 mg,,,29 ,,NW,,,,,,"$1,019.32",$0.00,1,1,1,0,1,1,20091001,,S0164,HCPCS,Injection pantoprazole sodium 40 mg,,,29 ,,NW,,,,,,$22.47,$0.00,1,1,1,0,0,1,20091001,,S0166,HCPCS,Injection olanzapine 2.5 mg,,,29 ,,NW,,,,,,$15.40,$0.00,1,1,1,0,1,1,20091001,,S0170,HCPCS,Anastrozole oral 1 mg,,,29 ,,NW,,,,,,$21.14,$0.00,1,1,1,0,0,1,20091001,,S0171,HCPCS,Injection bumetanide 0.5 mg,,,29 ,,NW,,,,,,$3.11,$0.00,1,1,1,0,0,1,20091001,,S0172,HCPCS,Chlorambucil oral 2 mg,,,29 ,,NW,,,,,,$5.79,$0.00,1,1,1,0,0,1,20091001,,S0174,HCPCS,Dolasetron mesylate oral 50 mg,,,29 ,,NW,,,,,,$135.42,$0.00,1,1,1,0,0,1,20091001,,S0175,HCPCS,Flutamide oral 125 mg,,,29 ,,NW,,,,,,$5.60,$0.00,1,1,1,0,0,1,20091001,,S0176,HCPCS,Hydroxyurea oral 500 mg,,,29 ,,NW,,,,,,$2.99,$0.00,1,1,1,0,0,1,20091001,,S0177,HCPCS,Levamisole hydrochloride oral 50 mg,,,29 ,,NW,,,,,,$13.02,$0.00,1,1,1,0,0,1,20091001,,S0178,HCPCS,Lomustine oral 10 mg,,,29 ,,NW,,,,,,$67.10,$0.00,1,1,1,0,0,1,20091001,,S0179,HCPCS,Megestrol acetate oral 20 mg,,,29 ,,NW,,,,,,$1.84,$0.00,1,1,1,0,0,1,20091001,,S0181,HCPCS,Ondansetron hydrochloride oral 4 mg,,,29 ,,NW,,,,,,$58.48,$0.00,1,1,1,0,0,1,20091001,,S0182,HCPCS,Procarbazine hydrochlord oral 50 mg,,,29 ,,NW,,,,,,$135.02,$0.00,1,1,1,0,0,1,20091001,,S0183,HCPCS,Prochlorperazine maleate oral 5 mg,,,29 ,,NW,,,,,,$1.72,$0.00,1,1,1,0,0,1,20091001,,S0187,HCPCS,Tamoxifen citrate oral 10 mg,,,29 ,,NW,,,,,,$5.60,$0.00,1,1,1,0,0,1,20091001,,S0190,HCPCS,Mifepristone oral 200 mg,,,29 ,,NW,,,,,,$134.26,$0.00,1,1,1,0,1,1,20091001,,S0191,HCPCS,Misoprostol oral 200 mcg,,,29 ,,NW,,,,,,$2.63,$0.00,1,1,1,0,1,1,20091001,,S0195,HCPCS,Pneumcoccl vac im 5-9 yr not prev,,,9 ,,TotalUnits,,,,3.11 ,,$0.00,$0.00,1,1,1,0,0,1,20091001,,S0209,HCPCS,Wheelchair van mileage per mile,,,28 ,,NW,,,,,,$1.77,$0.00,1,1,1,1,1,1,20091001,,S0215,HCPCS,Non-emerg transportation; per mile,,,28 ,,NW,,,,,,$1.77,$0.00,1,1,1,1,1,1,20091001,,S0220,HCPCS,Med conf md w/team hlth prof;30 min,,,15 ,,RBRVS,1.42 ,0.44 ,1.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,S0221,HCPCS,Med conf md w/team hlth prof;60 min,,,15 ,,RBRVS,1.42 ,0.44 ,1.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,S0255,HCPCS,By nrs socl wrker/oth desnatd staff,,,15 ,,RBRVS,0.48 ,0.11 ,0.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,S0257,HCPCS,Cnsl&discuss ad/eol pt&/surrogate,,,15 ,,TotalUnits,,,,1.18 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,S0260,HCPCS,Hx & phys related to surgical proc,,,15 ,,RBRVS,0.17 ,0.06 ,0.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,S0265,HCPCS,Genetic cnsl phys sup ea 15 mins,,,15 ,,RBRVS,0.17 ,0.06 ,0.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,S0302,HCPCS,Cmpl early prd screen dx&tx srvc,,,28 ,,NW,,,,,,$82.49,$0.00,1,0,1,1,1,1,20091001,,S0315,HCPCS,Dz mgmt progm; init assess&init pro,,,15 ,,RBRVS,0.17 ,0.06 ,0.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,S0316,HCPCS,Dz mgmt progm follow-up/reassess,,,15 ,,RBRVS,0.17 ,0.06 ,0.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,S0345,HCPCS,Ecg home rec phys rev&interp; 24 hr,,,4 ,,RBRVS,0.17 ,0.35 ,0.35 ,,,$0.00,$0.00,1,0,0,0,0,1,20091001,,S0346,HCPCS,Ecg home rec transm & analy; 24 hr,,,4 ,,RBRVS,0.00 ,0.28 ,0.28 ,,,$0.00,$0.00,1,1,1,0,1,1,20091001,,S0347,HCPCS,Ecg home phys rev & interp; 24-hr,,,4 ,,RBRVS,0.17 ,0.07 ,0.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,S0390,HCPCS,Routine foot care; per visit,,,15 ,,RBRVS,0.50 ,0.16 ,0.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,S0395,HCPCS,Impression cast foot-practitioner,,,28 ,,NW,,,,,,$83.69,$0.00,1,1,1,0,1,1,20091001,,S0400,HCPCS,Globl fee xtracorp shock wave lith,,,21 ,,RBRVS,9.64 ,6.13 ,17.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,S0500,HCPCS,Disposable contact lens per lens,,,28 ,,NW,,,,,,$157.96,$0.00,1,1,1,1,1,1,20091001,,S0504,HCPCS,Single vision prsc lens per lens,,,28 ,,NW,,,,,,$22.16,$0.00,1,1,1,1,1,1,20091001,,S0506,HCPCS,Bifocal vision prsc lens per lens,,,28 ,,NW,,,,,,$38.10,$0.00,1,1,1,1,1,1,20091001,,S0508,HCPCS,Trifocal vision prsc lens per lens,,,28 ,,NW,,,,,,$49.21,$0.00,1,1,1,1,1,1,20091001,,S0510,HCPCS,Non-prescription lens per lens,,,28 ,,NW,,,,,,$31.32,$0.00,1,1,1,1,1,1,20091001,,S0512,HCPCS,Daily wear spclty cntc lens-lens,,,28 ,,NW,,,,,,$281.65,$0.00,1,1,1,1,1,1,20091001,,S0514,HCPCS,Color contact lens per lens,,,28 ,,NW,,,,,,$322.84,$0.00,1,1,1,1,1,1,20091001,,S0515,HCPCS,Scleral lens lqd bandge device-lens,,,28 ,,NW,,,,,,$339.80,$0.00,1,1,1,0,0,1,20091001,,S0516,HCPCS,Safety eyeglass frames,,,28 ,,NW,,,,,,$91.64,$0.00,1,1,1,1,1,1,20091001,,S0518,HCPCS,Sunglasses frames,,,28 ,,NW,,,,,,$52.99,$0.00,1,1,1,1,1,1,20091001,,S0580,HCPCS,Polycarbonate lens,,,28 ,,NW,,,,,,$62.77,$0.00,1,1,1,1,1,1,20091001,,S0581,HCPCS,Nonstandard lens,,,28 ,,NW,,,,,,$339.80,$0.00,1,1,1,0,0,1,20091001,,S0592,HCPCS,Comp contact lens evaluation,,,23 ,,RBRVS,1.08 ,0.31 ,1.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,S0601,HCPCS,Screening proctoscopy,,,21 ,,RBRVS,0.55 ,0.38 ,1.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,S0605,HCPCS,Digital rectal examination annual,,,28 ,,NW,,,,,,$26.32,$0.00,1,0,1,1,1,1,20091001,,S0610,HCPCS,Annual gyn examination new patient,,,28 ,,NW,,,,,,$184.27,$0.00,1,0,1,1,1,1,20091001,,S0612,HCPCS,Annual gyn examination est patient,,,28 ,,NW,,,,,,$140.41,$0.00,1,0,1,1,1,1,20091001,,S0613,HCPCS,Annual gyn ex clin brst w/o pelv ex,,,15 ,,TotalUnits,,,,0.82 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,S0618,HCPCS,Audiometry for hearing aid eval,,,8 ,,TotalUnits,,,,0.59 ,,$0.00,$0.00,1,1,1,0,0,1,20091001,,S0620,HCPCS,Routine ophth ex w/refrac; new pt,,,28 ,,NW,,,,,,$96.51,$0.00,1,0,1,1,1,1,20091001,,S0621,HCPCS,Routine ophth ex w/refrac; est pt,,,28 ,,NW,,,,,,$107.06,$0.00,1,0,1,1,1,1,20091001,,S0622,HCPCS,Physical exam college new/est pt,,,15 ,,RBRVS,0.17 ,0.06 ,0.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,S0625,HCPCS,Ret telscr digtl imag mx fund areas,,,23 ,,TotalUnits,,,,0.32 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,S0630,HCPCS,Remv suturs; md not md who clos wnd,,,28 ,,NW,,,,,,$66.69,$0.00,1,0,1,1,1,1,20091001,,S0800,HCPCS,Laser in situ keratomileusis,,,28 ,,NW,,,,,,"$2,009.40",$0.00,1,0,1,1,1,1,20091001,,S0810,HCPCS,Photorefractive keratectomy,,,23 ,,RBRVS,0.92 ,0.64 ,0.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,S0812,HCPCS,Phototherapeutic keratectomy,,,23 ,,RBRVS,0.92 ,0.64 ,0.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,S1015,HCPCS,Iv tubing extension set,,,28 ,,NW,,,,,,$44.01,$0.00,1,1,1,0,0,1,20091001,,S1016,HCPCS,Non-pvc iv admn set rx not stable,,,28 ,,NW,,,,,,$28.09,$0.00,1,1,1,0,0,1,20091001,,S1040,HCPCS,Cranial remold orthos ped cust fab,,,28 ,,NW,,,,,,$706.35,$0.00,1,1,1,0,0,1,20091001,,S2053,HCPCS,Tplnt sm intestine&liver allogfts,,,21 ,,RBRVS,83.29 ,27.76 ,27.76 ,,,$0.00,$0.00,1,0,0,1,1,1,20091001,,S2054,HCPCS,Transplantation multivisceral orgn,,,21 ,,RBRVS,61.68 ,22.96 ,22.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,S2055,HCPCS,Harv donr mx-vscrl orgn; cadvr donr,,,21 ,,RBRVS,61.68 ,22.96 ,22.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,S2060,HCPCS,Lobar lung transplantation,,,21 ,,RBRVS,40.94 ,20.19 ,20.19 ,,,$0.00,$0.00,1,0,0,1,1,1,20091001,,S2065,HCPCS,Simultaneous panc kidney tplnt,,,21 ,,RBRVS,61.68 ,22.96 ,22.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,S2070,HCPCS,Cysto; laser tx ureteral calc,,,21 ,,RBRVS,6.87 ,3.46 ,3.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,S2080,HCPCS,Laser-assisted uvulopalatoplasty,,,21 ,,RBRVS,9.63 ,7.49 ,7.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,S2095,HCPCS,Trnscath occl/emboliz tumr destruc,,,21 ,,RBRVS,18.11 ,6.24 ,6.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,S2102,HCPCS,Islet cell tiss tplnt panc; allogen,,,21 ,,TotalUnits,,,,48.84 ,,$0.00,$0.00,1,0,0,1,1,1,20091001,,S2115,HCPCS,Osteot periacetabular w/intrl fix,,,21 ,,RBRVS,21.87 ,12.02 ,12.02 ,,,$0.00,$0.00,1,0,0,1,1,1,20091001,,S2120,HCPCS,Ldl apheres heparn xtrcrp ldl precp,,,21 ,,RBRVS,1.22 ,0.39 ,49.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,S2135,HCPCS,Neurolysis inj mt neuroma/interdigt,,,21 ,,RBRVS,1.27 ,0.49 ,1.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,S2140,HCPCS,Cord bld harvest tplnt allogeneic,,,21 ,,RBRVS,1.50 ,0.53 ,0.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,S2142,HCPCS,Cord blood stem-cell tplnt allogen,,,21 ,,RBRVS,2.24 ,0.94 ,0.94 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,S2150,HCPCS,Bn marrw/stem cell harv tplnt&comp;,,,21 ,,RBRVS,2.24 ,0.94 ,0.94 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,S2202,HCPCS,Echosclerotherapy,,,21 ,,RBRVS,1.09 ,0.64 ,2.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,S2205,HCPCS,Min invas dir cab; art gft 1 cag,,,21 ,,RBRVS,33.64 ,12.57 ,12.57 ,,,$0.00,$0.00,1,0,0,1,1,1,20091001,,S2206,HCPCS,Min invas dir cab; art gft 2 cag,,,21 ,,RBRVS,39.77 ,14.75 ,14.75 ,,,$0.00,$0.00,1,0,0,1,1,1,20091001,,S2207,HCPCS,Min invas dir cab; ven only 1 cvg,,,21 ,,RBRVS,34.87 ,12.92 ,12.92 ,,,$0.00,$0.00,1,0,0,1,1,1,20091001,,S2225,HCPCS,Myringotomy laser-assisted,,,21 ,,RBRVS,1.35 ,1.56 ,3.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,S2230,HCPCS,Impl magnt cmpnt semi-impl hear dvc,,,21 ,,TotalUnits,,,,15.48 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,S2235,HCPCS,Impl auditry brain stem implant,,,21 ,,RBRVS,9.73 ,8.52 ,8.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,S2260,HCPCS,Inducd ab 17-24 weeks any surg meth,,,21 ,,RBRVS,5.90 ,2.46 ,2.46 ,,,$0.00,$0.00,1,0,0,1,1,1,20091001,,S2265,HCPCS,Induced abortion 25 to 28 weeks,,,21 ,,RBRVS,5.90 ,2.46 ,2.46 ,,,$0.00,$0.00,1,0,0,1,1,1,20091001,,S2266,HCPCS,Induced abortion 29 to 31 weeks,,,21 ,,RBRVS,5.90 ,2.46 ,2.46 ,,,$0.00,$0.00,1,0,0,1,1,1,20091001,,S2267,HCPCS,Induced abortion 32 weeks/greater,,,21 ,,RBRVS,5.90 ,2.46 ,2.46 ,,,$0.00,$0.00,1,0,0,1,1,1,20091001,,S2300,HCPCS,Scope shldr;w/therml-inducd cpslorr,,,21 ,,TotalUnits,,,,12.49 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,S2340,HCPCS,Chemodnervat abductr musc vocl cord,,,21 ,,RBRVS,3.86 ,1.65 ,4.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,S2341,HCPCS,Chemodenervat adduct musc vocal crd,,,21 ,,RBRVS,3.86 ,1.65 ,4.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,S2342,HCPCS,Nasl endo postop debrid uni/bil,,,21 ,,RBRVS,2.98 ,1.39 ,4.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,S2348,HCPCS,Decomp perq disc rf 1/mx lumb,,,21 ,,RBRVS,8.88 ,4.30 ,4.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,S2350,HCPCS,Diskect ant-osteophyt;lumb 1 intrsp,,,21 ,,RBRVS,22.75 ,11.08 ,11.08 ,,,$0.00,$0.00,1,0,0,1,1,1,20091001,,S2351,HCPCS,Dskct ant-osteophyt;lumb add intrsp,,,21 ,,RBRVS,3.28 ,1.21 ,1.21 ,,,$0.00,$0.00,1,0,0,1,1,1,20091001,,S2361,HCPCS,Each add cervical vertebral body,,,21 ,,RBRVS,4.30 ,1.51 ,1.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,S3005,HCPCS,Prfrm msr eval pt self assess dprss,,,15 ,,RBRVS,0.17 ,0.06 ,0.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,S3620,HCPCS,Newborn metabolic screening panel,,,17 ,,TotalUnits,,,,0.42 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,S3625,HCPCS,Mtrn triple markr w/afp estriol&hcg,,,17 ,,TotalUnits,,,,0.80 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,S3630,HCPCS,Eosinophil count blood direct,,,17 ,,TotalUnits,,,,0.21 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,S3645,HCPCS,Hiv-1 antibod test mucos transudate,,,17 ,,TotalUnits,,,,0.42 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,S3650,HCPCS,Saliva test hormone level;menopause,,,17 ,,TotalUnits,,,,3.09 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,S3652,HCPCS,Sliva tst hormone levl;prterm labor,,,17 ,,TotalUnits,,,,2.51 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,S3655,HCPCS,Antisperm antibodies test,,,17 ,,TotalUnits,,,,0.51 ,,$0.00,$0.00,1,1,1,0,1,1,20091001,,S3708,HCPCS,Gastrointestinal fat absorb study,,,20 ,,RBRVS,0.78 ,0.27 ,0.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,S3900,HCPCS,Surface electromyography,,,14 ,,TotalUnits,,,,0.31 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,S4005,HCPCS,Interim labor facility global,,,12 ,,RBRVS,0.53 ,0.15 ,0.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,S4981,HCPCS,Insrt levonorgestrel intrautrn sys,,,21 ,,RBRVS,1.01 ,0.23 ,0.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,S4993,HCPCS,Contraceptive pills birth control,,,28 ,,NW,,,,,,$42.13,$0.00,1,1,1,0,0,1,20091001,,S5000,HCPCS,Prescription drug generic,,,28 ,,NW,,,,,,$19.31,$0.00,1,1,1,0,0,1,20091001,,S5001,HCPCS,Prescription drug brand name,,,28 ,,NW,,,,,,$82.49,$0.00,1,1,1,0,0,1,20091001,,S5010,HCPCS,5% dxtros & 0.45% nl saline 1000 ml,,,28 ,,NW,,,,,,$14.05,$0.00,1,1,1,0,0,1,20091001,,S5011,HCPCS,5% dextrose-lactated ringers 1000ml,,,28 ,,NW,,,,,,$15.22,$0.00,1,1,1,0,0,1,20091001,,S5012,HCPCS,5% dxtros w/k+ chlorid 1000 ml,,,28 ,,NW,,,,,,$11.55,$0.00,1,1,1,0,0,1,20091001,,S5013,HCPCS,5% dxtros/0.45% s kcl&mgso4 1000 ml,,,28 ,,NW,,,,,,$11.55,$0.00,1,1,1,0,0,1,20091001,,S5014,HCPCS,5% dxtros/45% n/s kci&mgso4 1500 ml,,,28 ,,NW,,,,,,$11.55,$0.00,1,1,1,0,0,1,20091001,,S5035,HCPCS,Home infus tx routine infus devc,,,15 ,,RBRVS,0.18 ,0.37 ,0.37 ,,,$0.00,$0.00,1,0,1,0,0,1,20091001,,S5108,HCPCS,Hom care trn hom care client 15 min,,,15 ,,RBRVS,0.45 ,0.37 ,0.37 ,,,$0.00,$0.00,1,0,1,0,0,1,20091001,,S5109,HCPCS,Home care trn home care client sess,,,15 ,,RBRVS,0.45 ,0.37 ,0.37 ,,,$0.00,$0.00,1,0,1,0,0,1,20091001,,S5110,HCPCS,Home care training fam; per 15 min,,,15 ,,RBRVS,0.45 ,0.37 ,0.37 ,,,$0.00,$0.00,1,0,1,0,0,1,20091001,,S5111,HCPCS,Home care training fam; per session,,,15 ,,TotalUnits,,,,1.68 ,,$0.00,$0.00,1,0,1,0,0,1,20091001,,S5115,HCPCS,Home care trn non-fam; per 15 min,,,15 ,,TotalUnits,,,,1.68 ,,$0.00,$0.00,1,0,1,0,0,1,20091001,,S5116,HCPCS,Home care trn non-fam; per session,,,15 ,,TotalUnits,,,,1.68 ,,$0.00,$0.00,1,0,1,0,0,1,20091001,,S5180,HCPCS,Home health resp tx init evaluation,,,15 ,,TotalUnits,,,,1.47 ,,$0.00,$0.00,1,0,1,0,0,1,20091001,,S5181,HCPCS,Home health resp tx nos per diem,,,15 ,,TotalUnits,,,,1.47 ,,$0.00,$0.00,1,0,1,0,0,1,20091001,,S5190,HCPCS,Wellness assess prfrm non-physician,,,18 ,,RBRVS,0.48 ,0.11 ,0.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,S5497,HCPCS,Home infus tx cath care noc; diem,,,28 ,,NW,,,,,,$25.74,$0.00,1,1,1,1,1,1,20091001,,S5498,HCPCS,Home infus tx cath care simple diem,,,28 ,,NW,,,,,,$26.32,$0.00,1,1,1,1,1,1,20091001,,S5501,HCPCS,Home infus tx cath care complx diem,,,28 ,,NW,,,,,,$35.10,$0.00,1,1,1,1,1,1,20091001,,S5502,HCPCS,Hit cath care impl access devc diem,,,28 ,,NW,,,,,,$15.81,$0.00,1,1,1,1,1,1,20091001,,S5522,HCPCS,Hom infus tx insrt picc nurse srvc,,,15 ,,RBRVS,1.82 ,0.67 ,4.47 ,,,$0.00,$0.00,1,0,1,0,0,1,20091001,,S5523,HCPCS,Hit insert midln cvc nrs srvc only,,,21 ,,RBRVS,1.82 ,0.67 ,4.47 ,,,$0.00,$0.00,1,0,1,0,0,1,20091001,,S5550,HCPCS,Insulin rapid onset; 5 units,,,29 ,,NW,,,,,,$0.13,$0.00,1,1,1,0,0,1,20091001,,S5551,HCPCS,Insulin most rapid onset; 5 units,,,29 ,,NW,,,,,,$0.13,$0.00,1,1,1,0,0,1,20091001,,S5552,HCPCS,Insulin intermed acting; 5 units,,,29 ,,NW,,,,,,$0.13,$0.00,1,1,1,0,0,1,20091001,,S5553,HCPCS,Insulin long acting; 5 units,,,29 ,,NW,,,,,,$0.13,$0.00,1,1,1,0,0,1,20091001,,S8030,HCPCS,Scleral application tantalum ring,,,21 ,,RBRVS,9.46 ,7.66 ,7.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,S8037,HCPCS,Mr cholangiopancreatography,,,20 ,,TotalUnits,,,,22.62 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,S8040,HCPCS,Topographic brain mapping,,,20 ,,RBRVS,2.97 ,3.05 ,3.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,S8049,HCPCS,Intraoperative radiation therapy,,,20 ,,RBRVS,0.00 ,4.35 ,4.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,S8080,HCPCS,Scintimammo uni w/spl radiopharm,,,20 ,,TotalUnits,,,,3.57 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,S8085,HCPCS,F-18 fdg imag 2-hd coincdenc detct,,,28 ,,NW,,,,,,$902.04,$0.00,1,1,1,0,1,1,20091001,,S8092,HCPCS,Electron beam computed tomography,,,28 ,,NW,,,,,,$693.20,$0.00,1,1,1,0,1,1,20091001,,S8096,HCPCS,Portable peak flow meter,,,28 ,,NW,,,,,,$35.10,$0.00,1,1,1,0,0,1,20091001,,S8100,HCPCS,Hold chamb w/inhal/nebulizr;no mask,,,28 ,,NW,,,,,,$14.65,$0.00,1,1,1,0,0,1,20091001,,S8101,HCPCS,Hold chamb w/inhal/nebulizr; w/mask,,,28 ,,NW,,,,,,$21.01,$0.00,1,1,1,0,0,1,20091001,,S8110,HCPCS,Peak expiratory flow rate,,,28 ,,NW,,,,,,$33.35,$0.00,1,1,1,0,0,1,20091001,,S8185,HCPCS,Flutter device,,,28 ,,NW,,,,,,$64.14,$0.00,1,1,1,0,0,1,20091001,,S8186,HCPCS,Swivel adaptor,,,28 ,,NW,,,,,,$15.69,$0.00,1,1,1,0,0,1,20091001,,S8189,HCPCS,Tracheostomy supply noc,,,28 ,,NW,,,,,,$31.59,$0.00,1,1,1,0,0,1,20091001,,S8190,HCPCS,Electronic spirometer,,,28 ,,NW,,,,,,$58.74,$0.00,1,1,1,0,0,1,20091001,,S8420,HCPCS,Gradent press aid sleeve&glove cstm,,,28 ,,NW,,,,,,$217.55,$0.00,1,1,1,0,0,1,20091001,,S8421,HCPCS,Gradent press aid slv&glov rdy made,,,28 ,,NW,,,,,,$41.70,$0.00,1,1,1,0,0,1,20091001,,S8422,HCPCS,Gradent press aid sleev cstm med wt,,,28 ,,NW,,,,,,$144.86,$0.00,1,1,1,0,0,1,20091001,,S8423,HCPCS,Gradent press aid sleev cstm hvy wt,,,28 ,,NW,,,,,,$134.91,$0.00,1,1,1,0,0,1,20091001,,S8424,HCPCS,Gradent press aid sleeve ready made,,,28 ,,NW,,,,,,$17.26,$0.00,1,1,1,0,0,1,20091001,,S8425,HCPCS,Gradent press aid glove cstm med wt,,,28 ,,NW,,,,,,$35.12,$0.00,1,1,1,0,0,1,20091001,,S8427,HCPCS,Gradent press aid glove ready made,,,28 ,,NW,,,,,,$11.51,$0.00,1,1,1,0,0,1,20091001,,S8428,HCPCS,Gradent press aid gauntlet rdy made,,,28 ,,NW,,,,,,$56.36,$0.00,1,1,1,0,0,1,20091001,,S8429,HCPCS,Gradient pressure exterior wrap,,,28 ,,NW,,,,,,$268.47,$0.00,1,1,1,0,0,1,20091001,,S8450,HCPCS,Splint prefabricated digit,,,28 ,,NW,,,,,,$12.29,$0.00,1,1,1,0,0,1,20091001,,S8451,HCPCS,Splint prefabricated wrist or ankle,,,28 ,,NW,,,,,,$62.77,$0.00,1,1,1,0,0,1,20091001,,S8452,HCPCS,Splint prefabricated elbow,,,28 ,,NW,,,,,,$95.14,$0.00,1,1,1,0,0,1,20091001,,S8950,HCPCS,Complex lymphedema tx ea 15 min,,,19 ,,RBRVS,0.43 ,0.29 ,0.29 ,,,$0.00,$0.00,1,1,1,0,1,0,20091001,,S9001,HCPCS,Home uterin mon w/wo assoc nrs srvc,,,28 ,,NW,,,,,,$129.87,$0.00,1,1,1,0,0,1,20091001,,S9015,HCPCS,Automated eeg monitoring,,,28 ,,NW,,,,,,$154.45,$0.00,1,1,1,0,0,1,20091001,,S9024,HCPCS,Paranasal sinus ultrasound,,,20 ,,TotalUnits,,,,2.17 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,S9034,HCPCS,Eswl for gall stones,,,21 ,,RBRVS,9.64 ,6.13 ,17.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,S9061,HCPCS,Home admin aerosolized drug tx diem,,,15 ,,RBRVS,0.00 ,0.38 ,0.38 ,,,$0.00,$0.00,1,0,1,0,0,1,20091001,,S9075,HCPCS,Smoking cessation treatment,,,28 ,,NW,,,,,,$307.12,$0.00,1,1,1,0,0,1,20091001,,S9083,HCPCS,Global fee urgent care centers,,,15 ,,TotalUnits,,,,1.00 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,S9088,HCPCS,Services prov an urgent care center,,,28 ,,NW,,,,,,$157.96,$0.00,1,1,1,0,0,1,20091001,,S9090,HCPCS,Vert axial decomprs per session,,,28 ,,NW,,,,,,$114.07,$0.00,1,1,1,0,0,1,20091001,,S9092,HCPCS,Canolith repositioning per visit,,,15 ,,TotalUnits,,,,1.62 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,S9097,HCPCS,Home visit for wound care,,,15 ,,TotalUnits,,,,1.68 ,,$0.00,$0.00,1,0,1,0,0,1,20091001,,S9117,HCPCS,Back school per visit,,,15 ,,RBRVS,0.17 ,0.06 ,0.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,S9122,HCPCS,Hom hlth aide/cna prov care hom; hr,,,28 ,,NW,,,,,,$75.59,$0.00,1,1,1,1,1,1,20091001,,S9123,HCPCS,Nrs care hom; registered nurse-hour,,,28 ,,NW,,,,,,$128.90,$0.00,1,1,1,1,1,1,20091001,,S9124,HCPCS,Nursing care the home; lpn per hour,,,28 ,,NW,,,,,,$68.44,$0.00,1,1,1,1,1,1,20091001,,S9126,HCPCS,Hospice care in the home per diem,,,28 ,,NW,,,,,,$351.00,$0.00,1,1,1,1,1,1,20091001,,S9127,HCPCS,Social work visit the home per diem,,,28 ,,NW,,,,,,$270.97,$0.00,1,1,1,1,1,1,20091001,,S9128,HCPCS,Speech therapy in the home per diem,,,28 ,,NW,,,,,,$224.66,$0.00,1,0,1,0,0,1,20091001,,S9129,HCPCS,Occupational therapy home per diem,,,28 ,,NW,,,,,,$229.79,$0.00,1,1,1,1,1,1,20091001,,S9131,HCPCS,Physical therapy; home per diem,,,28 ,,NW,,,,,,$224.63,$0.00,1,1,1,1,1,1,20091001,,S9140,HCPCS,Dm mgmt progm f/u vst non-md prov,,,28 ,,NW,,,,,,$110.95,$0.00,1,1,1,1,1,1,20091001,,S9141,HCPCS,Diab mgmt progm f/u visit md prov,,,15 ,,RBRVS,0.00 ,0.59 ,0.59 ,,,$0.00,$0.00,1,1,1,0,1,0,20091001,,S9145,HCPCS,Insulin pump init instruct use pump,,,15 ,,RBRVS,0.00 ,0.59 ,0.59 ,,,$0.00,$0.00,1,1,1,0,1,0,20091001,,S9208,HCPCS,Home mgmt preterm labor per diem,,,15 ,,TotalUnits,,,,2.21 ,,$0.00,$0.00,1,0,1,0,0,1,20091001,,S9209,HCPCS,Home mangement pprom diem,,,15 ,,TotalUnits,,,,2.21 ,,$0.00,$0.00,1,0,1,0,0,1,20091001,,S9211,HCPCS,Home mgmt gestational htn; diem,,,15 ,,TotalUnits,,,,2.21 ,,$0.00,$0.00,1,0,1,0,0,1,20091001,,S9212,HCPCS,Home management postpartum htn diem,,,15 ,,TotalUnits,,,,2.21 ,,$0.00,$0.00,1,0,1,0,0,1,20091001,,S9213,HCPCS,Home management preeclampsia; diem,,,15 ,,TotalUnits,,,,2.21 ,,$0.00,$0.00,1,0,1,0,0,1,20091001,,S9214,HCPCS,Home mgmt gestational diabetes;diem,,,15 ,,TotalUnits,,,,2.21 ,,$0.00,$0.00,1,0,1,0,0,1,20091001,,S9325,HCPCS,Hit pain management infus; per diem,,,28 ,,NW,,,,,,$412.40,$0.00,1,1,1,1,1,1,20091001,,S9326,HCPCS,Hit cont pain mgmt infus; per diem,,,28 ,,NW,,,,,,$166.72,$0.00,1,1,1,1,1,1,20091001,,S9327,HCPCS,Hit intermit pain mgmt infus; diem,,,28 ,,NW,,,,,,$438.73,$0.00,1,0,1,0,0,1,20091001,,S9328,HCPCS,Hit implanted pump pain mgmt; diem,,,28 ,,NW,,,,,,$383.65,$0.00,1,0,1,0,0,1,20091001,,S9329,HCPCS,Hit chemotherapy infusion; per diem,,,28 ,,NW,,,,,,$383.65,$0.00,1,0,1,0,0,1,20091001,,S9330,HCPCS,Hit cont chemothapy infus; per diem,,,28 ,,NW,,,,,,$157.96,$0.00,1,1,1,1,1,1,20091001,,S9331,HCPCS,Hit intermit chemothapy infus; diem,,,28 ,,NW,,,,,,$438.73,$0.00,1,1,1,1,1,1,20091001,,S9335,HCPCS,Hom tx hd; admin spl & eqp per diem,,,15 ,,TotalUnits,,,,2.21 ,,$0.00,$0.00,1,0,1,0,0,1,20091001,,S9336,HCPCS,Hit cont anticoagulnt infus tx diem,,,28 ,,NW,,,,,,$166.72,$0.00,1,0,1,0,0,1,20091001,,S9338,HCPCS,Home infus tx immuothapy; per diem,,,28 ,,NW,,,,,,$130.77,$0.00,1,1,1,1,1,1,20091001,,S9339,HCPCS,Home tx; peritonl dialysis per diem,,,15 ,,TotalUnits,,,,2.21 ,,$0.00,$0.00,1,0,1,0,0,1,20091001,,S9340,HCPCS,Home tx; enteral nutrition; diem,,,28 ,,NW,,,,,,$219.38,$0.00,1,1,1,1,1,1,20091001,,S9341,HCPCS,Ht; enterl nutrit via gravity; diem,,,28 ,,NW,,,,,,$219.38,$0.00,1,0,1,0,0,1,20091001,,S9342,HCPCS,Ht; enteral nutrit via pump; diem,,,28 ,,NW,,,,,,$80.73,$0.00,1,1,1,1,1,1,20091001,,S9343,HCPCS,Ht; enteral nutrit via bolus; diem,,,28 ,,NW,,,,,,$219.38,$0.00,1,0,1,0,0,1,20091001,,S9345,HCPCS,Hit anti-hemophilic agent; per diem,,,28 ,,NW,,,,,,$383.65,$0.00,1,0,1,0,0,1,20091001,,S9346,HCPCS,Hit alpha-1-protenas inhibitr; diem,,,28 ,,NW,,,,,,$523.08,$0.00,1,0,1,0,0,1,20091001,,S9347,HCPCS,Hit unintrped lng-term iv/subq;diem,,,28 ,,NW,,,,,,$114.07,$0.00,1,1,1,1,1,1,20091001,,S9348,HCPCS,Hit sympathomimetic/inotropic diem,,,28 ,,NW,,,,,,$15.81,$0.00,1,1,1,1,1,1,20091001,,S9349,HCPCS,Home infus tx tocolytic;  per diem,,,28 ,,NW,,,,,,$351.00,$0.00,1,1,1,1,1,1,20091001,,S9351,HCPCS,Hit cont anti-emetic; per diem,,,28 ,,NW,,,,,,$166.72,$0.00,1,0,1,0,0,1,20091001,,S9353,HCPCS,Home infus tx cont insulin; diem,,,28 ,,NW,,,,,,$166.72,$0.00,1,0,1,0,0,1,20091001,,S9355,HCPCS,Home infus tx chelation;  per diem,,,28 ,,NW,,,,,,$210.58,$0.00,1,0,1,0,0,1,20091001,,S9357,HCPCS,Hit enzyme repl iv tx;  per diem,,,28 ,,NW,,,,,,$383.65,$0.00,1,0,1,0,0,1,20091001,,S9359,HCPCS,Hit anti-tumr necros factor iv tx;,,,28 ,,NW,,,,,,$383.65,$0.00,1,0,1,0,0,1,20091001,,S9361,HCPCS,Hit diuretic iv tx;  per diem,,,28 ,,NW,,,,,,$383.65,$0.00,1,0,1,0,0,1,20091001,,S9363,HCPCS,Hit anti-spasmotic tx; per diem,,,28 ,,NW,,,,,,$210.58,$0.00,1,0,1,0,0,1,20091001,,S9364,HCPCS,Hit tpn; care coordination diem,,,28 ,,NW,,,,,,$755.49,$0.00,1,1,1,1,1,1,20091001,,S9365,HCPCS,Hit tpn; 1 liter per day per diem,,,28 ,,NW,,,,,,$755.49,$0.00,1,1,1,1,1,1,20091001,,S9366,HCPCS,Hit tpn; >1 l but not > 2 l-da-diem,,,28 ,,NW,,,,,,$755.49,$0.00,1,1,1,1,1,1,20091001,,S9367,HCPCS,Hit tpn; >2 l but not >3 l-day-diem,,,28 ,,NW,,,,,,$755.49,$0.00,1,1,1,1,1,1,20091001,,S9368,HCPCS,Hom infus tx tpn; > 3 l-day-diem,,,28 ,,NW,,,,,,"$2,432.31",$0.00,1,1,1,1,1,1,20091001,,S9370,HCPCS,Ht intermittent anti-emetic inj tx;,,,28 ,,NW,,,,,,$87.76,$0.00,1,0,1,0,0,1,20091001,,S9372,HCPCS,Ht; intermit anticoagulant inj tx;,,,28 ,,NW,,,,,,$87.76,$0.00,1,0,1,0,0,1,20091001,,S9373,HCPCS,Hit hydration tx;  per diem,,,28 ,,NW,,,,,,$383.65,$0.00,1,1,1,1,1,1,20091001,,S9374,HCPCS,Hit hydration tx; 1 liter day,,,28 ,,NW,,,,,,$383.65,$0.00,1,1,1,1,1,1,20091001,,S9375,HCPCS,Hit hydrat; >1 litr no>2 litr day,,,28 ,,NW,,,,,,$383.65,$0.00,1,1,1,1,1,1,20091001,,S9376,HCPCS,Hit hydrat;  >2 litr no>3 litr day,,,28 ,,NW,,,,,,$383.65,$0.00,1,1,1,1,1,1,20091001,,S9377,HCPCS,Hit hydration tx; >3 liters day,,,28 ,,NW,,,,,,$383.65,$0.00,1,1,1,1,1,1,20091001,,S9379,HCPCS,Home infus tx infusion tx noc; diem,,,28 ,,NW,,,,,,$383.65,$0.00,1,1,1,1,1,1,20091001,,S9401,HCPCS,Anticoagulat clin no lab per sess,,,15 ,,TotalUnits,,,,0.88 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,S9435,HCPCS,Medical foods inborn errors metab,,,28 ,,NW,,,,,,$17.56,$0.00,1,1,1,0,1,1,20091001,,S9452,HCPCS,Nutrition classes non-phys per sess,,,28 ,,NW,,,,,,$98.27,$0.00,1,0,1,1,1,1,20091001,,S9455,HCPCS,Diabetic mgmt progm group session,,,28 ,,NW,,,,,,$87.76,$0.00,1,1,1,1,1,1,20091001,,S9460,HCPCS,Diabetic mgmt progm nurse visit,,,28 ,,NW,,,,,,$122.85,$0.00,1,1,1,1,1,1,20091001,,S9465,HCPCS,Diabetic mgmt progm dietitian visit,,,28 ,,NW,,,,,,$109.19,$0.00,1,1,1,1,1,1,20091001,,S9470,HCPCS,Nutritional cnsl dietitian visit,,,28 ,,NW,,,,,,$98.23,$0.00,1,1,1,0,1,1,20091001,,S9474,HCPCS,Entrstml tx rn cert entrstml tx day,,,15 ,,TotalUnits,,,,1.51 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,S9475,HCPCS,Amb set sbstnc abs tx/dtox srvc day,,,16 ,,RBRVS,2.79 ,0.49 ,0.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,S9480,HCPCS,Intensive op psyc services per diem,,,16 ,,TotalUnits,,,,4.77 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,S9484,HCPCS,Crisis interven mentl hlth srvc-hr,,,16 ,,TotalUnits,,,,1.63 ,,$0.00,$0.00,1,0,1,1,1,1,20091001,,S9485,HCPCS,Crisis intervent mental health serv,,,16 ,,RBRVS,1.86 ,0.33 ,0.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20091001,,S9490,HCPCS,Hit corticosteroid infus; admn srvc,,,28 ,,NW,,,,,,$383.65,$0.00,1,0,1,0,0,1,20091001,,S9494,HCPCS,Hit antibiotic/antifungal; diem,,,28 ,,NW,,,,,,$5.27,$0.00,1,1,1,1,1,1,20091001,,S9497,HCPCS,Hit antibiotic/antifungal; q3 hrs,,,28 ,,NW,,,,,,$359.77,$0.00,1,1,1,1,1,1,20091001,,S9500,HCPCS,Hit antibiotic/antifungal; q24 hrs,,,28 ,,NW,,,,,,$381.85,$0.00,1,1,1,1,1,1,20091001,,S9501,HCPCS,Hit antibiotic/antifungal; q12 hrs,,,28 ,,NW,,,,,,$284.31,$0.00,1,1,1,1,1,1,20091001,,S9502,HCPCS,Hit abx antivirl/antifungal; q8 hrs,,,28 ,,NW,,,,,,$454.03,$0.00,1,1,1,1,1,1,20091001,,S9503,HCPCS,Hit abx antivirl/antifungal; q6 hrs,,,28 ,,NW,,,,,,$333.44,$0.00,1,1,1,1,1,1,20091001,,S9504,HCPCS,Hit abx antivirl/antifungal; q4 hrs,,,28 ,,NW,,,,,,$359.77,$0.00,1,1,1,1,1,1,20091001,,S9529,HCPCS,Home or snf patient,,,28 ,,NW,,,,,,$210.58,$0.00,1,1,1,0,1,1,20091001,,S9537,HCPCS,Hom tx hematopoietic h inj tx;-diem,,,28 ,,NW,,,,,,$87.76,$0.00,1,1,1,1,1,1,20091001,,S9542,HCPCS,Home injectable therapy noc-diem,,,28 ,,NW,,,,,,$7.02,$0.00,1,0,1,0,0,1,20091001,,S9558,HCPCS,Home infus tx growth hormone-diem,,,28 ,,NW,,,,,,$7.02,$0.00,1,1,1,1,1,1,20091001,,S9559,HCPCS,Home infus tx interferon per diem,,,28 ,,NW,,,,,,$7.02,$0.00,1,0,1,0,0,1,20091001,,S9560,HCPCS,Home inj tx; hormonal therapy diem,,,28 ,,NW,,,,,,$7.02,$0.00,1,0,1,0,0,1,20091001,,S9562,HCPCS,Hom inj tx palivizumab-per diem,,,28 ,,NW,,,,,,$7.02,$0.00,1,0,1,0,0,1,20091001,,S9590,HCPCS,Hom tx irrig tx; w/admn-per diem,,,15 ,,TotalUnits,,,,1.68 ,,$0.00,$0.00,1,0,1,0,0,1,20091001,,V2020,HCPCS,Vision svcs frames purchases,,,28 ,,NW,,,,,,$108.31,$0.00,1,1,1,1,1,1,20091001,,V2025,HCPCS,Eyeglasses delux frames,,,28 ,,NW,,,,,,$114.96,$0.00,1,1,1,1,1,1,20091001,,V2100,HCPCS,Lens spher single plano 4.00,,,28 ,,NW,,,,,,$84.66,$0.00,1,1,1,1,1,1,20091001,,V2101,HCPCS,Single visn sphere 4.12-7.00,,,28 ,,NW,,,,,,$88.63,$0.00,1,1,1,1,1,1,20091001,,V2102,HCPCS,Singl visn sphere 7.12-20.00,,,28 ,,NW,,,,,,$128.56,$0.00,1,1,1,1,1,1,20091001,,V2103,HCPCS,Spherocylindr 4.00d/12-2.00d,,,28 ,,NW,,,,,,$73.07,$0.00,1,1,1,1,1,1,20091001,,V2104,HCPCS,Spherocylindr 4.00d/2.12-4d,,,28 ,,NW,,,,,,$79.11,$0.00,1,1,1,1,1,1,20091001,,V2105,HCPCS,Spherocylinder 4.00d/4.25-6d,,,28 ,,NW,,,,,,$77.43,$0.00,1,1,1,1,1,1,20091001,,V2106,HCPCS,Spherocylinder 4.00d/>6.00d,,,28 ,,NW,,,,,,$85.93,$0.00,1,1,1,1,1,1,20091001,,V2107,HCPCS,Spherocylinder 4.25d/12-2d,,,28 ,,NW,,,,,,$92.61,$0.00,1,1,1,1,1,1,20091001,,V2108,HCPCS,Spherocylinder 4.25d/2.12-4d,,,28 ,,NW,,,,,,$99.55,$0.00,1,1,1,1,1,1,20091001,,V2109,HCPCS,Spherocylinder 4.25d/4.25-6d,,,28 ,,NW,,,,,,$93.61,$0.00,1,1,1,1,1,1,20091001,,V2110,HCPCS,Spherocylinder 4.25d/over 6d,,,28 ,,NW,,,,,,$92.38,$0.00,1,1,1,1,1,1,20091001,,V2111,HCPCS,Spherocylindr 7.25d/.25-2.25,,,28 ,,NW,,,,,,$120.87,$0.00,1,1,1,1,1,1,20091001,,V2112,HCPCS,Spherocylindr 7.25d/2.25-4d,,,28 ,,NW,,,,,,$105.12,$0.00,1,1,1,1,1,1,20091001,,V2113,HCPCS,Spherocylindr 7.25d/4.25-6d,,,28 ,,NW,,,,,,$118.47,$0.00,1,1,1,1,1,1,20091001,,V2114,HCPCS,Spherocylinder over 12.00d,,,28 ,,NW,,,,,,$128.34,$0.00,1,1,1,1,1,1,20091001,,V2115,HCPCS,Lens lenticular bifocal,,,28 ,,NW,,,,,,$139.68,$0.00,1,1,1,1,1,1,20091001,,V2118,HCPCS,Lens aniseikonic single,,,28 ,,NW,,,,,,$138.46,$0.00,1,1,1,1,1,1,20091001,,V2121,HCPCS,"Lenticular lens, single",,,28 ,,NW,,,,,,$164.83,$0.00,1,1,1,1,1,1,20091001,,V2199,HCPCS,Lens single vision not oth c,,,28 ,,NW,,,,,,$52.31,$0.00,1,1,1,1,1,1,20091001,,V2200,HCPCS,Lens spher bifoc plano 4.00d,,,28 ,,NW,,,,,,$111.64,$0.00,1,1,1,1,1,1,20091001,,V2201,HCPCS,Lens sphere bifocal 4.12-7.0,,,28 ,,NW,,,,,,$117.79,$0.00,1,1,1,1,1,1,20091001,,V2202,HCPCS,Lens sphere bifocal 7.12-20.,,,28 ,,NW,,,,,,$138.10,$0.00,1,1,1,1,1,1,20091001,,V2203,HCPCS,Lens sphcyl bifocal 4.00d/.1,,,28 ,,NW,,,,,,$109.76,$0.00,1,1,1,1,1,1,20091001,,V2204,HCPCS,Lens sphcy bifocal 4.00d/2.1,,,28 ,,NW,,,,,,$110.30,$0.00,1,1,1,1,1,1,20091001,,V2205,HCPCS,Lens sphcy bifocal 4.00d/4.2,,,28 ,,NW,,,,,,$110.40,$0.00,1,1,1,1,1,1,20091001,,V2206,HCPCS,Lens sphcy bifocal 4.00d/ove,,,28 ,,NW,,,,,,$118.59,$0.00,1,1,1,1,1,1,20091001,,V2207,HCPCS,Lens sphcy bifocal 4.25-7d/.,,,28 ,,NW,,,,,,$123.33,$0.00,1,1,1,1,1,1,20091001,,V2208,HCPCS,Lens sphcy bifocal 4.25-7/2.,,,28 ,,NW,,,,,,$113.22,$0.00,1,1,1,1,1,1,20091001,,V2209,HCPCS,Lens sphcy bifocal 4.25-7/4.,,,28 ,,NW,,,,,,$121.91,$0.00,1,1,1,1,1,1,20091001,,V2210,HCPCS,Lens sphcy bifocal 4.25-7/ov,,,28 ,,NW,,,,,,$134.46,$0.00,1,1,1,1,1,1,20091001,,V2211,HCPCS,Lens sphcy bifo 7.25-12/.25-,,,28 ,,NW,,,,,,$139.45,$0.00,1,1,1,1,1,1,20091001,,V2212,HCPCS,Lens sphcyl bifo 7.25-12/2.2,,,28 ,,NW,,,,,,$143.99,$0.00,1,1,1,1,1,1,20091001,,V2213,HCPCS,Lens sphcyl bifo 7.25-12/4.2,,,28 ,,NW,,,,,,$145.45,$0.00,1,1,1,1,1,1,20091001,,V2214,HCPCS,Lens sphcyl bifocal over 12.,,,28 ,,NW,,,,,,$158.09,$0.00,1,1,1,1,1,1,20091001,,V2215,HCPCS,Lens lenticular bifocal,,,28 ,,NW,,,,,,$160.50,$0.00,1,1,1,1,1,1,20091001,,V2218,HCPCS,Lens aniseikonic bifocal,,,28 ,,NW,,,,,,$190.98,$0.00,1,1,1,1,1,1,20091001,,V2219,HCPCS,Lens bifocal seg width over,,,28 ,,NW,,,,,,$83.97,$0.00,1,1,1,1,1,1,20091001,,V2220,HCPCS,Lens bifocal add over 3.25d,,,28 ,,NW,,,,,,$68.18,$0.00,1,1,1,1,1,1,20091001,,V2221,HCPCS,"Lenticular lens, bifocal",,,28 ,,NW,,,,,,$166.78,$0.00,1,1,1,1,1,1,20091001,,V2299,HCPCS,Lens bifocal speciality,,,28 ,,NW,,,,,,$233.74,$0.00,1,1,1,1,1,1,20091001,,V2300,HCPCS,Lens sphere trifocal 4.00d,,,28 ,,NW,,,,,,$144.30,$0.00,1,1,1,1,1,1,20091001,,V2301,HCPCS,Lens sphere trifocal 4.12-7.,,,28 ,,NW,,,,,,$168.36,$0.00,1,1,1,1,1,1,20091001,,V2302,HCPCS,Lens sphere trifocal 7.12-20,,,28 ,,NW,,,,,,$176.67,$0.00,1,1,1,1,1,1,20091001,,V2303,HCPCS,Lens sphcy trifocal 4.0/.12-,,,28 ,,NW,,,,,,$145.13,$0.00,1,1,1,1,1,1,20091001,,V2304,HCPCS,Lens sphcy trifocal 4.0/2.25,,,28 ,,NW,,,,,,$143.69,$0.00,1,1,1,1,1,1,20091001,,V2305,HCPCS,Lens sphcy trifocal 4.0/4.25,,,28 ,,NW,,,,,,$147.01,$0.00,1,1,1,1,1,1,20091001,,V2306,HCPCS,Lens sphcyl trifocal 4.00/>6,,,28 ,,NW,,,,,,$151.36,$0.00,1,1,1,1,1,1,20091001,,V2307,HCPCS,Lens sphcy trifocal 4.25-7/.,,,28 ,,NW,,,,,,$169.75,$0.00,1,1,1,1,1,1,20091001,,V2308,HCPCS,Lens sphc trifocal 4.25-7/2.,,,28 ,,NW,,,,,,$150.18,$0.00,1,1,1,1,1,1,20091001,,V2309,HCPCS,Lens sphc trifocal 4.25-7/4.,,,28 ,,NW,,,,,,$163.63,$0.00,1,1,1,1,1,1,20091001,,V2310,HCPCS,Lens sphc trifocal 4.25-7/>6,,,28 ,,NW,,,,,,$161.67,$0.00,1,1,1,1,1,1,20091001,,V2311,HCPCS,Lens sphc trifo 7.25-12/.25-,,,28 ,,NW,,,,,,$168.22,$0.00,1,1,1,1,1,1,20091001,,V2312,HCPCS,Lens sphc trifo 7.25-12/2.25,,,28 ,,NW,,,,,,$169.18,$0.00,1,1,1,1,1,1,20091001,,V2313,HCPCS,Lens sphc trifo 7.25-12/4.25,,,28 ,,NW,,,,,,$188.96,$0.00,1,1,1,1,1,1,20091001,,V2314,HCPCS,Lens sphcyl trifocal over 12,,,28 ,,NW,,,,,,$202.92,$0.00,1,1,1,1,1,1,20091001,,V2315,HCPCS,Lens lenticular trifocal,,,28 ,,NW,,,,,,$225.29,$0.00,1,1,1,1,1,1,20091001,,V2318,HCPCS,Lens aniseikonic trifocal,,,28 ,,NW,,,,,,$276.97,$0.00,1,1,1,1,1,1,20091001,,V2319,HCPCS,Lens trifocal seg width > 28,,,28 ,,NW,,,,,,$89.91,$0.00,1,1,1,1,1,1,20091001,,V2320,HCPCS,Lens trifocal add over 3.25d,,,28 ,,NW,,,,,,$98.93,$0.00,1,1,1,1,1,1,20091001,,V2321,HCPCS,"Lenticular lens, trifocal",,,28 ,,NW,,,,,,$222.06,$0.00,1,1,1,1,1,1,20091001,,V2399,HCPCS,Lens trifocal speciality,,,28 ,,NW,,,,,,$31.04,$0.00,1,1,1,1,1,1,20091001,,V2410,HCPCS,Lens variab asphericity sing,,,28 ,,NW,,,,,,$169.30,$0.00,1,1,1,1,1,1,20091001,,V2430,HCPCS,Lens variable asphericity bi,,,28 ,,NW,,,,,,$234.33,$0.00,1,1,1,1,1,1,20091001,,V2499,HCPCS,Variable asphericity lens,,,28 ,,NW,,,,,,$40.28,$0.00,1,1,1,1,1,1,20091001,,V2500,HCPCS,Contact lens pmma spherical,,,28 ,,NW,,,,,,$173.39,$0.00,1,1,1,1,1,1,20091001,,V2501,HCPCS,Cntct lens pmma-toric/prism,,,28 ,,NW,,,,,,$233.76,$0.00,1,1,1,1,1,1,20091001,,V2502,HCPCS,Contact lens pmma bifocal,,,28 ,,NW,,,,,,$287.96,$0.00,1,1,1,1,1,1,20091001,,V2503,HCPCS,Cntct lens pmma color vision,,,28 ,,NW,,,,,,$265.22,$0.00,1,1,1,1,1,1,20091001,,V2510,HCPCS,Cntct gas permeable sphericl,,,28 ,,NW,,,,,,$238.48,$0.00,1,1,1,1,1,1,20091001,,V2511,HCPCS,Cntct toric prism ballast,,,28 ,,NW,,,,,,$301.00,$0.00,1,1,1,1,1,1,20091001,,V2512,HCPCS,Cntct lens gas permbl bifocl,,,28 ,,NW,,,,,,$355.70,$0.00,1,1,1,1,1,1,20091001,,V2513,HCPCS,Contact lens extended wear,,,28 ,,NW,,,,,,$332.42,$0.00,1,1,1,1,1,1,20091001,,V2520,HCPCS,Contact lens hydrophilic,,,28 ,,NW,,,,,,$219.93,$0.00,1,1,1,1,1,1,20091001,,V2521,HCPCS,Cntct lens hydrophilic toric,,,28 ,,NW,,,,,,$381.90,$0.00,1,1,1,1,1,1,20091001,,V2522,HCPCS,Cntct lens hydrophil bifocl,,,28 ,,NW,,,,,,$359.58,$0.00,1,1,1,1,1,1,20091001,,V2523,HCPCS,Cntct lens hydrophil extend,,,28 ,,NW,,,,,,$310.89,$0.00,1,1,1,1,1,1,20091001,,V2530,HCPCS,Contact lens gas impermeable,,,28 ,,NW,,,,,,$421.10,$0.00,1,1,1,1,1,1,20091001,,V2531,HCPCS,Contact lens gas permeable,,,28 ,,NW,,,,,,$924.48,$0.00,1,1,1,1,1,1,20091001,,V2599,HCPCS,Contact lens/es other type,,,28 ,,NW,,,,,,$140.66,$0.00,1,1,1,1,1,1,20091001,,V2600,HCPCS,Hand held low vision aids,,,28 ,,NW,,,,,,$150.18,$0.00,1,1,1,1,1,1,20091001,,V2610,HCPCS,Single lens spectacle mount,,,28 ,,NW,,,,,,"$2,040.00",$0.00,1,1,1,1,1,1,20091001,,V2615,HCPCS,Telescop/othr compound lens,,,28 ,,NW,,,,,,"$1,644.99",$0.00,1,1,1,1,1,1,20091001,,V2623,HCPCS,Plastic eye prosth custom,,,28 ,,NW,,,,,,"$1,997.24",$0.00,1,1,1,1,1,1,20091001,,V2624,HCPCS,Polishing artifical eye,,,28 ,,NW,,,,,,$125.74,$0.00,1,1,1,1,1,1,20091001,,V2625,HCPCS,Enlargemnt of eye prosthesis,,,28 ,,NW,,,,,,$746.91,$0.00,1,1,1,1,1,1,20091001,,V2626,HCPCS,Reduction of eye prosthesis,,,28 ,,NW,,,,,,$376.70,$0.00,1,1,1,1,1,1,20091001,,V2627,HCPCS,Scleral cover shell,,,28 ,,NW,,,,,,"$2,477.77",$0.00,1,1,1,1,1,1,20091001,,V2628,HCPCS,Fabrication & fitting,,,28 ,,NW,,,,,,$636.45,$0.00,1,1,1,1,1,1,20091001,,V2629,HCPCS,Prosthetic eye other type,,,28 ,,NW,,,,,,$880.62,$0.00,1,1,1,1,1,1,20091001,,V2630,HCPCS,Anter chamber intraocul lens,,,28 ,,NW,,,,,,$339.84,$0.00,1,1,1,0,1,1,20091001,,V2632,HCPCS,Post chmbr intraocular lens,,,28 ,,NW,,,,,,$460.46,$0.00,1,1,1,0,1,1,20091001,,V2700,HCPCS,Balance lens,,,28 ,,NW,,,,,,$101.32,$0.00,1,1,1,1,1,1,20091001,,V2702,HCPCS,Deluxe lens feature,,,28 ,,NW,,,,,,$79.70,$0.00,1,1,1,0,0,1,20091001,,V2710,HCPCS,Glass/plastic slab off prism,,,28 ,,NW,,,,,,$121.06,$0.00,1,1,1,1,1,1,20091001,,V2715,HCPCS,Prism lens/es,,,28 ,,NW,,,,,,$24.12,$0.00,1,1,1,1,1,1,20091001,,V2718,HCPCS,Fresnell prism press-on lens,,,28 ,,NW,,,,,,$53.91,$0.00,1,1,1,1,1,1,20091001,,V2730,HCPCS,Special base curve,,,28 ,,NW,,,,,,$39.81,$0.00,1,1,1,1,1,1,20091001,,V2744,HCPCS,Tint photochromatic lens/es,,,28 ,,NW,,,,,,$37.08,$0.00,1,1,1,1,1,1,20091001,,V2745,HCPCS,"Tint, any color/solid/grad",,,28 ,,NW,,,,,,$21.49,$0.00,1,1,1,1,1,1,20091001,,V2750,HCPCS,Anti-reflective coating,,,28 ,,NW,,,,,,$43.70,$0.00,1,1,1,1,1,1,20091001,,V2755,HCPCS,Uv lens/es,,,28 ,,NW,,,,,,$29.84,$0.00,1,1,1,1,1,1,20091001,,V2756,HCPCS,Eye glass case,,,28 ,,NW,,,,,,$6.05,$0.00,1,1,1,0,1,1,20091001,,V2760,HCPCS,Scratch resistant coating,,,28 ,,NW,,,,,,$30.62,$0.00,1,1,1,1,1,1,20091001,,V2761,HCPCS,Mirror coating,,,28 ,,NW,,,,,,$30.61,$0.00,1,1,1,0,0,1,20091001,,V2762,HCPCS,"Polarization, any lens",,,28 ,,NW,,,,,,$118.67,$0.00,1,1,1,1,1,1,20091001,,V2770,HCPCS,Occluder lens/es,,,28 ,,NW,,,,,,$36.85,$0.00,1,1,1,1,1,1,20091001,,V2780,HCPCS,Oversize lens/es,,,28 ,,NW,,,,,,$23.66,$0.00,1,1,1,1,1,1,20091001,,V2781,HCPCS,Progressive lens per lens,,,28 ,,NW,,,,,,$148.99,$0.00,1,1,1,1,1,1,20091001,,V2782,HCPCS,"Lens, 1.54-1.65 p/1.60-1.79g",,,28 ,,NW,,,,,,$113.56,$0.00,1,1,1,0,1,1,20091001,,V2783,HCPCS,"Lens, >= 1.66 p/>=1.80 g",,,28 ,,NW,,,,,,$146.70,$0.00,1,1,1,0,1,1,20091001,,V2784,HCPCS,Lens polycarb or equal,,,28 ,,NW,,,,,,$86.22,$0.00,1,1,1,0,1,1,20091001,,V2785,HCPCS,Corneal tissue processing,,,28 ,,NW,,,,,,"$3,432.53",$0.00,1,1,1,1,1,1,20091001,,V2786,HCPCS,Occupational multifocal lens,,,28 ,,NW,,,,,,$125.54,$0.00,1,1,1,0,1,1,20091001,,V2790,HCPCS,Amniotic membrane,,,28 ,,NW,,,,,,$61.66,$0.00,1,1,1,0,1,1,20091001,,V2797,HCPCS,Vis item/svc in other code,,,28 ,,NW,,,,,,$11.51,$0.00,1,1,1,0,1,1,20091001,,V2799,HCPCS,Miscellaneous vision service,,,28 ,,NW,,,,,,$96.19,$0.00,1,1,1,0,1,1,20091001,,V5008,HCPCS,Hearing screening,,,28 ,,NW,,,,,,$109.11,$0.00,1,1,1,0,0,1,20091001,,V5010,HCPCS,Assessment for hearing aid,,,28 ,,NW,,,,,,$150.57,$0.00,1,1,1,0,0,1,20091001,,V5011,HCPCS,Hearing aid fitting/checking,,,28 ,,NW,,,,,,$234.97,$0.00,1,1,1,1,1,1,20091001,,V5014,HCPCS,Hearing aid repair/modifying,,,28 ,,NW,,,,,,$276.27,$0.00,1,1,1,1,1,1,20091001,,V5020,HCPCS,Conformity evaluation,,,28 ,,NW,,,,,,$132.15,$0.00,1,1,1,1,1,1,20091001,,V5030,HCPCS,Body-worn hearing aid air,,,28 ,,NW,,,,,,"$1,923.50",$0.00,1,1,1,1,1,1,20091001,,V5040,HCPCS,Body-worn hearing aid bone,,,28 ,,NW,,,,,,"$1,462.05",$0.00,1,1,1,1,1,1,20091001,,V5050,HCPCS,Hearing aid monaural in ear,,,28 ,,NW,,,,,,"$1,940.34",$0.00,1,1,1,1,1,1,20091001,,V5060,HCPCS,Behind ear hearing aid,,,28 ,,NW,,,,,,"$1,412.61",$0.00,1,1,1,1,1,1,20091001,,V5070,HCPCS,Glasses air conduction,,,28 ,,NW,,,,,,$785.18,$0.00,1,1,1,1,1,1,20091001,,V5080,HCPCS,Glasses bone conduction,,,28 ,,NW,,,,,,"$1,972.95",$0.00,1,1,1,1,1,1,20091001,,V5090,HCPCS,Hearing aid dispensing fee,,,28 ,,NW,,,,,,$701.60,$0.00,1,1,1,1,1,1,20091001,,V5100,HCPCS,Body-worn bilat hearing aid,,,28 ,,NW,,,,,,"$3,164.83",$0.00,1,1,1,1,1,1,20091001,,V5110,HCPCS,Hearing aid dispensing fee,,,28 ,,NW,,,,,,$713.37,$0.00,1,1,1,1,1,1,20091001,,V5120,HCPCS,Body-worn binaur hearing aid,,,28 ,,NW,,,,,,"$2,766.36",$0.00,1,1,1,1,1,1,20091001,,V5130,HCPCS,In ear binaural hearing aid,,,28 ,,NW,,,,,,"$3,226.51",$0.00,1,1,1,1,1,1,20091001,,V5140,HCPCS,Behind ear binaur hearing ai,,,28 ,,NW,,,,,,"$3,384.65",$0.00,1,1,1,1,1,1,20091001,,V5150,HCPCS,Glasses binaural hearing aid,,,28 ,,NW,,,,,,"$3,267.84",$0.00,1,1,1,1,1,1,20091001,,V5160,HCPCS,Dispensing fee binaural,,,28 ,,NW,,,,,,$849.06,$0.00,1,1,1,1,1,1,20091001,,V5170,HCPCS,Within ear cros hearing aid,,,28 ,,NW,,,,,,"$2,273.12",$0.00,1,1,1,1,1,1,20091001,,V5180,HCPCS,Behind ear cros hearing aid,,,28 ,,NW,,,,,,"$1,923.50",$0.00,1,1,1,1,1,1,20091001,,V5190,HCPCS,Glasses cros hearing aid,,,28 ,,NW,,,,,,"$2,248.40",$0.00,1,1,1,1,1,1,20091001,,V5200,HCPCS,Cros hearing aid dispens fee,,,28 ,,NW,,,,,,$707.48,$0.00,1,1,1,1,1,1,20091001,,V5210,HCPCS,In ear bicros hearing aid,,,28 ,,NW,,,,,,"$2,469.71",$0.00,1,1,1,1,1,1,20091001,,V5220,HCPCS,Behind ear bicros hearing ai,,,28 ,,NW,,,,,,"$2,373.18",$0.00,1,1,1,1,1,1,20091001,,V5230,HCPCS,Glasses bicros hearing aid,,,28 ,,NW,,,,,,"$2,453.23",$0.00,1,1,1,1,1,1,20091001,,V5240,HCPCS,Dispensing fee bicros,,,28 ,,NW,,,,,,$732.20,$0.00,1,1,1,1,1,1,20091001,,V5241,HCPCS,"Dispensing fee, monaural",,,28 ,,NW,,,,,,$141.73,$0.00,1,1,1,1,1,1,20091001,,V5242,HCPCS,"Hearing aid, monaural, cic",,,28 ,,NW,,,,,,"$1,987.69",$0.00,1,1,1,1,1,1,20091001,,V5243,HCPCS,"Hearing aid, monaural, itc",,,28 ,,NW,,,,,,"$1,721.10",$0.00,1,1,1,1,1,1,20091001,,V5244,HCPCS,"Hearing aid, prog, mon, cic",,,28 ,,NW,,,,,,"$3,847.16",$0.00,1,1,1,1,1,1,20091001,,V5245,HCPCS,"Hearing aid, prog, mon, itc",,,28 ,,NW,,,,,,"$2,036.86",$0.00,1,1,1,1,1,1,20091001,,V5246,HCPCS,"Hearing aid, prog, mon, ite",,,28 ,,NW,,,,,,"$1,879.07",$0.00,1,1,1,1,1,1,20091001,,V5247,HCPCS,"Hearing aid, prog, mon, bte",,,28 ,,NW,,,,,,"$2,603.98",$0.00,1,1,1,1,1,1,20091001,,V5248,HCPCS,"Hearing aid, binaural, cic",,,28 ,,NW,,,,,,"$2,068.01",$0.00,1,1,1,1,1,1,20091001,,V5249,HCPCS,"Hearing aid, binaural, itc",,,28 ,,NW,,,,,,"$2,628.22",$0.00,1,1,1,1,1,1,20091001,,V5250,HCPCS,"Hearing aid, prog, bin, cic",,,28 ,,NW,,,,,,"$7,269.09",$0.00,1,1,1,1,1,1,20091001,,V5251,HCPCS,"Hearing aid, prog, bin, itc",,,28 ,,NW,,,,,,"$6,864.12",$0.00,1,1,1,1,1,1,20091001,,V5252,HCPCS,"Hearing aid, prog, bin, ite",,,28 ,,NW,,,,,,"$6,479.41",$0.00,1,1,1,1,1,1,20091001,,V5253,HCPCS,"Hearing aid, prog, bin, bte",,,28 ,,NW,,,,,,"$2,935.97",$0.00,1,1,1,1,1,1,20091001,,V5254,HCPCS,"Hearing id, digit, mon, cic",,,28 ,,NW,,,,,,"$4,555.83",$0.00,1,1,1,1,1,1,20091001,,V5255,HCPCS,"Hearing aid, digit, mon, itc",,,28 ,,NW,,,,,,"$3,604.19",$0.00,1,1,1,1,1,1,20091001,,V5256,HCPCS,"Hearing aid, digit, mon, ite",,,28 ,,NW,,,,,,"$1,778.46",$0.00,1,1,1,1,1,1,20091001,,V5257,HCPCS,"Hearing aid, digit, mon, bte",,,28 ,,NW,,,,,,"$3,158.71",$0.00,1,1,1,1,1,1,20091001,,V5258,HCPCS,"Hearing aid, digit, bin, cic",,,28 ,,NW,,,,,,"$4,837.76",$0.00,1,1,1,1,1,1,20091001,,V5259,HCPCS,"Hearing aid, digit, bin, itc",,,28 ,,NW,,,,,,"$8,099.28",$0.00,1,1,1,1,1,1,20091001,,V5260,HCPCS,"Hearing aid, digit, bin, ite",,,28 ,,NW,,,,,,"$3,190.77",$0.00,1,1,1,1,1,1,20091001,,V5261,HCPCS,"Hearing aid, digit, bin, bte",,,28 ,,NW,,,,,,"$7,694.30",$0.00,1,1,1,1,1,1,20091001,,V5262,HCPCS,"Hearing aid, disp, monaural",,,28 ,,NW,,,,,,$157.95,$0.00,1,1,1,1,1,1,20091001,,V5263,HCPCS,"Hearing aid, disp, binaural",,,28 ,,NW,,,,,,$78.98,$0.00,1,1,1,1,1,0,20091001,,V5264,HCPCS,Ear mold/insert,,,28 ,,NW,,,,,,$99.83,$0.00,1,1,1,1,1,1,20091001,,V5265,HCPCS,"Ear mold/insert, disp",,,28 ,,NW,,,,,,$14.19,$0.00,1,1,1,1,1,1,20091001,,V5266,HCPCS,Battery for hearing device,,,28 ,,NW,,,,,,$26.84,$0.00,1,1,1,1,1,1,20091001,,V5267,HCPCS,Hearing aid supply/accessory,,,28 ,,NW,,,,,,$30.38,$0.00,1,1,1,1,1,1,20091001,,V5268,HCPCS,Ald telephone amplifier,,,28 ,,NW,,,,,,$429.02,$0.00,1,1,1,1,1,1,20091001,,V5269,HCPCS,"Alerting device, any type",,,28 ,,NW,,,,,,$628.09,$0.00,1,1,1,1,1,1,20091001,,V5270,HCPCS,"Ald, tv amplifier, any type",,,28 ,,NW,,,,,,$766.55,$0.00,1,1,1,1,1,1,20091001,,V5271,HCPCS,"Ald, tv caption decoder",,,28 ,,NW,,,,,,"$3,982.51",$0.00,1,1,1,1,1,1,20091001,,V5272,HCPCS,Tdd,,,28 ,,NW,,,,,,$902.22,$0.00,1,1,1,1,1,1,20091001,,V5273,HCPCS,Ald for cochlear implant,,,28 ,,NW,,,,,,$595.21,$0.00,1,1,1,1,1,1,20091001,,V5274,HCPCS,Ald unspecified,,,28 ,,NW,,,,,,"$1,319.54",$0.00,1,1,1,1,1,1,20091001,,V5275,HCPCS,Ear impression,,,28 ,,NW,,,,,,$60.73,$0.00,1,1,1,1,1,1,20091001,,V5298,HCPCS,Hearing aid noc,,,28 ,,NW,,,,,,"$3,855.14",$0.00,1,1,1,1,1,1,20091001,,V5299,HCPCS,Hearing service,,,28 ,,NW,,,,,,$106.69,$0.00,1,1,1,0,0,1,20091001,,V5336,HCPCS,Repair communication device,,,28 ,,NW,,,,,,$352.22,$0.00,1,1,1,0,0,1,20091001,,V5362,HCPCS,Speech screening,,,8 ,,RBRVS,0.86 ,0.28 ,3.50 ,,,$0.00,$0.00,1,1,1,0,1,0,20091001,,V5363,HCPCS,Language screening,,,8 ,,RBRVS,0.86 ,0.28 ,3.50 ,,,$0.00,$0.00,1,1,1,0,1,0,20091001,,V5364,HCPCS,Dysphagia screening,,,14 ,,RBRVS,0.00 ,1.70 ,1.70 ,,,$0.00,$0.00,1,1,1,0,1,0,20091001,,