Version 3.6 Update - Professional Services and Supplies Charge Table,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,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,End Date00100,CPT,Anes-proc salivary glands incl bx,,,3 ,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20101001,00102,CPT,Anes-proc plastic repair cleft lip,,,3 ,,Anesth,,,,,6.0,$1.00,$0.00,3,0,1,1,1,1,20101001,00103,CPT,Anes-reconstructive proc eyelid,,,3 ,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20101001,00104,CPT,Anes-electroculvulsive therapy,,,3 ,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20101001,00120,CPT,Anes-ext mid&innr ear w/bx; nos,,,3 ,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20101001,00124,CPT,Anes-ext mid&innr ear w/bx; otscpy,,,3 ,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20101001,00126,CPT,Anes-ext mid&innr ear w/bx; tympnot,,,3 ,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20101001,00140,CPT,Anesthesia procedures on eye; nos,,,3 ,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20101001,00142,CPT,Anesthesia proc eye; lens surgery,,,3 ,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20101001,00144,CPT,Anes-proc eye; corneal transplant,,,3 ,,Anesth,,,,,6.0,$1.00,$0.00,3,0,1,1,1,1,20101001,00145,CPT,Anes-proc eye; vitreoretinal surg,,,3 ,,Anesth,,,,,6.0,$1.00,$0.00,3,0,1,1,1,1,20101001,00147,CPT,Anesthesia proc eye; iridectomy,,,3 ,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20101001,00148,CPT,Anesthesia proc eye; ophthalmoscopy,,,3 ,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20101001,00160,CPT,Anes-proc nose&access sinuses; nos,,,3 ,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20101001,00162,CPT,Anes-nse&acss sinuses; radl surg,,,3 ,,Anesth,,,,,7.0,$1.00,$0.00,3,0,1,1,1,1,20101001,00164,CPT,Anes-nse&acss sinuses; bx sft tiss,,,3 ,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20101001,00170,CPT,Anes-intraoral including bx; nos,,,3 ,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20101001,00172,CPT,Anes-intraorl w/bx; repr clt palate,,,3 ,,Anesth,,,,,6.0,$1.00,$0.00,3,0,1,1,1,1,20101001,00174,CPT,Anes-intraoral w/bx; exc tumor,,,3 ,,Anesth,,,,,6.0,$1.00,$0.00,3,0,1,1,1,1,20101001,00176,CPT,Anes-intraorl incl bx; radl surgery,,,3 ,,Anesth,,,,,7.0,$1.00,$0.00,3,0,1,1,1,1,20101001,00190,CPT,Anes-proc facial bones/skull; nos,,,3 ,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20101001,00192,CPT,Anes-proc fce bns/skull; radl surg,,,3 ,,Anesth,,,,,7.0,$1.00,$0.00,3,0,1,1,1,1,20101001,00210,CPT,Anes-intracran; nos,,,3 ,,Anesth,,,,,11.0,$1.00,$0.00,3,0,1,1,1,1,20101001,00211,CPT,Anes-intracran; craniotomy/hematoma,,,3 ,,Anesth,,,,,10.0,$1.00,$0.00,3,0,1,1,1,1,20101001,00212,CPT,Anes-intracran; subdural taps,,,3 ,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20101001,00214,CPT,Anes-cran; burr holes-ventricgrph,,,3 ,,Anesth,,,,,9.0,$1.00,$0.00,3,0,1,1,1,1,20101001,00215,CPT,Anes-intracran;elev skl fx-xtradurl,,,3 ,,Anesth,,,,,9.0,$1.00,$0.00,3,0,1,1,1,1,20101001,00216,CPT,Anes-intracran; vascular procedures,,,3 ,,Anesth,,,,,15.0,$1.00,$0.00,3,0,1,1,1,1,20101001,00218,CPT,Anes-intracran; proc sitting pstn,,,3 ,,Anesth,,,,,13.0,$1.00,$0.00,3,0,1,1,1,1,20101001,00220,CPT,Anes-intracran;cerebrosp fl shnting,,,3 ,,Anesth,,,,,10.0,$1.00,$0.00,3,0,1,1,1,1,20101001,00222,CPT,Anes-intracran;elec-coag cran nerv,,,3 ,,Anesth,,,,,6.0,$1.00,$0.00,3,0,1,1,1,1,20101001,00300,CPT,Anes-integ-musc&nerv-head-trunk;nos,,,3 ,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20101001,00320,CPT,Anes-esoph thyrd trachea;nos 1 yr/>,,,3 ,,Anesth,,,,,6.0,$1.00,$0.00,3,0,1,1,1,1,20101001,00322,CPT,Anes-esoph thyroid trach;bx thyroid,,,3 ,,Anesth,,,,,3.0,$1.00,$0.00,3,0,1,1,1,1,20101001,00326,CPT,Anes-larynx&trach chld < 1 yr age,,,3 ,,Anesth,,,,,7.0,$1.00,$0.00,3,0,1,1,1,1,20101001,00350,CPT,Anes-proc major vessels neck; nos,,,3 ,,Anesth,,,,,10.0,$1.00,$0.00,3,0,1,1,1,1,20101001,00352,CPT,Anes-proc maj ves neck; simple lig,,,3 ,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20101001,00400,CPT,Anes-integ extrem trnk perin; nos,,,3 ,,Anesth,,,,,3.0,$1.00,$0.00,3,0,1,1,1,1,20101001,00402,CPT,Anes-integ extrem trnk; brst recon,,,3 ,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20101001,00404,CPT,Anes-integ trunk; radl breast proc,,,3 ,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20101001,00406,CPT,Anes-integ;radl brst w/node dissect,,,3 ,,Anesth,,,,,13.0,$1.00,$0.00,3,0,1,1,1,1,20101001,00410,CPT,Anes-integ extrm trnk;convrt arryth,,,3 ,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20101001,00450,CPT,Anes-proc clavicle&scapula; nos,,,3 ,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20101001,00452,CPT,Anes-proc clav&scapula; radl surg,,,3 ,,Anesth,,,,,6.0,$1.00,$0.00,3,0,1,1,1,1,20101001,00454,CPT,Anes-proc clav&scapula; bx clav,,,3 ,,Anesth,,,,,3.0,$1.00,$0.00,3,0,1,1,1,1,20101001,00470,CPT,Anes-partial rib resection; nos,,,3 ,,Anesth,,,,,6.0,$1.00,$0.00,3,0,1,1,1,1,20101001,00472,CPT,Anes-part rib res; thoracoplasty,,,3 ,,Anesth,,,,,10.0,$1.00,$0.00,3,0,1,1,1,1,20101001,00474,CPT,Anes-part rib resection; radl proc,,,3 ,,Anesth,,,,,13.0,$1.00,$0.00,3,0,1,1,1,1,20101001,00500,CPT,Anes-on esophagus,,,3 ,,Anesth,,,,,15.0,$1.00,$0.00,3,0,1,1,1,1,20101001,00520,CPT,Anes-closed chest; nos,,,3 ,,Anesth,,,,,6.0,$1.00,$0.00,3,0,1,1,1,1,20101001,00522,CPT,Anes-closed chest; needle bx pleura,,,3 ,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20101001,00524,CPT,Anes-closed chest; pneumocentesis,,,3 ,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20101001,00528,CPT,Anes-clo chst;mediastnscp no 1 lung,,,3 ,,Anesth,,,,,8.0,$1.00,$0.00,3,0,1,1,1,1,20101001,00529,CPT,Anes-clos chst; mediastnscpy 1 lung,,,3 ,,Anesth,,,,,11.0,$1.00,$0.00,3,0,1,1,1,1,20101001,00530,CPT,Anes-perm trns pacemkr insertion,,,3 ,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20101001,00532,CPT,Anes-access cntrl venous circ,,,3 ,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20101001,00534,CPT,Anes-trns insrt/repl pacing defib,,,3 ,,Anesth,,,,,7.0,$1.00,$0.00,3,0,1,1,1,1,20101001,00537,CPT,Anes-card eps incl radiofreq ablat,,,3 ,,Anesth,,,,,7.0,$1.00,$0.00,3,0,1,1,1,1,20101001,00539,CPT,Anes-tracheobronchial reconstruct,,,3 ,,Anesth,,,,,18.0,$1.00,$0.00,3,0,1,1,1,1,20101001,00540,CPT,Anes-thoracot; nos,,,3 ,,Anesth,,,,,12.0,$1.00,$0.00,3,0,1,1,1,1,20101001,00541,CPT,Anes-thoracot; util 1 lung vent,,,3 ,,Anesth,,,,,15.0,$1.00,$0.00,3,0,1,1,1,1,20101001,00542,CPT,Anes-thoracot; decortication,,,3 ,,Anesth,,,,,15.0,$1.00,$0.00,3,0,1,1,1,1,20101001,00546,CPT,Anes-thoracot lungs;thoracoplasty,,,3 ,,Anesth,,,,,15.0,$1.00,$0.00,3,0,1,1,1,1,20101001,00548,CPT,Anes-thoracot lungs;intrathor trach,,,3 ,,Anesth,,,,,17.0,$1.00,$0.00,3,0,1,1,1,1,20101001,00550,CPT,Anesthesia for sternal debridement,,,3 ,,Anesth,,,,,10.0,$1.00,$0.00,3,0,1,1,1,1,20101001,00560,CPT,Anes-hrt pericard sac; w/o oxygntr,,,3 ,,Anesth,,,,,15.0,$1.00,$0.00,3,0,1,1,1,1,20101001,00561,CPT,"Anesth, heart surg < age 1",,,3 ,,Anesth,,,,,25.0,$1.00,$0.00,3,0,1,1,1,1,20101001,00562,CPT,Anes-hrt pericard sac; w/oxygntr,,,3 ,,Anesth,,,,,20.0,$1.00,$0.00,3,0,1,1,1,1,20101001,00563,CPT,Anes-hrt pericard sac;oxygntr&arrst,,,3 ,,Anesth,,,,,25.0,$1.00,$0.00,3,0,1,1,1,1,20101001,00566,CPT,Anes-direct cabg w/o pump oxygenatr,,,3 ,,Anesth,,,,,25.0,$1.00,$0.00,3,0,1,1,1,1,20101001,00567,CPT,"Anesth, cabg w/pump",,,3 ,,Anesth,,,,,18.0,$1.00,$0.00,3,0,1,1,1,1,20101001,00580,CPT,Anes-hrt tplnt/hrt/lung tplnt,,,3 ,,Anesth,,,,,20.0,$1.00,$0.00,3,0,1,1,1,1,20101001,00600,CPT,Anesthesia proc c-spine&cord; nos,,,3 ,,Anesth,,,,,10.0,$1.00,$0.00,3,0,1,1,1,1,20101001,00604,CPT,Anes-cerv spine&cord; pt sit pstn,,,3 ,,Anesth,,,,,13.0,$1.00,$0.00,3,0,1,1,1,1,20101001,00620,CPT,Anesthesia proc t-spine&cord; nos,,,3 ,,Anesth,,,,,10.0,$1.00,$0.00,3,0,1,1,1,1,20101001,00622,CPT,Anes-thoracic;thoracolum sympathect,,,3 ,,Anesth,,,,,13.0,$1.00,$0.00,3,0,1,1,1,1,20101001,00625,CPT,Anes spine tranthor w/o vent,,,3 ,,Anesth,,,,,13.0,$1.00,$0.00,3,0,1,1,1,1,20101001,00626,CPT,"Anes, spine transthor w/vent",,,3 ,,Anesth,,,,,15.0,$1.00,$0.00,3,0,1,1,1,1,20101001,00630,CPT,Anesthesia proc lumbar region; nos,,,3 ,,Anesth,,,,,8.0,$1.00,$0.00,3,0,1,1,1,1,20101001,00632,CPT,Anes-proc lumb rgn; lumb sympathect,,,3 ,,Anesth,,,,,7.0,$1.00,$0.00,3,0,1,1,1,1,20101001,00634,CPT,Anes-lumb rgn; chemonucleolysis,,,3 ,,Anesth,,,,,10.0,$1.00,$0.00,3,0,1,1,1,1,20101001,00635,CPT,Anes-lumb rgn; dx/tx lumb punct,,,3 ,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20101001,00640,CPT,Anes-manip spn/clos proc spn,,,3 ,,Anesth,,,,,3.0,$1.00,$0.00,3,0,1,1,1,1,20101001,00670,CPT,Anes-exten spine & spinal cord,,,3 ,,Anesth,,,,,13.0,$1.00,$0.00,3,0,1,1,1,1,20101001,00700,CPT,Anes-proc upper ant abd wall; nos,,,3 ,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20101001,00702,CPT,Anes-up ant abd wall; perq livr bx,,,3 ,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20101001,00730,CPT,Anes-proc upper posterior abd wall,,,3 ,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20101001,00740,CPT,Anes-ugi endoscopy-intro prox duod,,,3 ,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20101001,00750,CPT,Anes-hernia repairs upper abd; nos,,,3 ,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20101001,00752,CPT,Anes-hernia repr up abd; &/dehis,,,3 ,,Anesth,,,,,6.0,$1.00,$0.00,3,0,1,1,1,1,20101001,00754,CPT,Anes-hern repr up abd; omphalocele,,,3 ,,Anesth,,,,,7.0,$1.00,$0.00,3,0,1,1,1,1,20101001,00756,CPT,Anes-hernia repr up abd;transabd,,,3 ,,Anesth,,,,,7.0,$1.00,$0.00,3,0,1,1,1,1,20101001,00770,CPT,Anes-on major abd blood vessels,,,3 ,,Anesth,,,,,15.0,$1.00,$0.00,3,0,1,1,1,1,20101001,00790,CPT,Anes-intraper up abd w/lap;nos,,,3 ,,Anesth,,,,,7.0,$1.00,$0.00,3,0,1,1,1,1,20101001,00792,CPT,Anes-intraper up abd w/lap;hepatec,,,3 ,,Anesth,,,,,13.0,$1.00,$0.00,3,0,1,1,1,1,20101001,00794,CPT,Anes-intraper up w/lap;pancreatect,,,3 ,,Anesth,,,,,8.0,$1.00,$0.00,3,0,1,1,1,1,20101001,00796,CPT,Anes-intraper up w/lap;liver tplnt,,,3 ,,Anesth,,,,,30.0,$1.00,$0.00,3,0,1,1,1,1,20101001,00797,CPT,Anes-intraper w/lap; gastr restirct,,,3 ,,Anesth,,,,,11.0,$1.00,$0.00,3,0,1,1,1,1,20101001,00800,CPT,Anes-proc lower ant abd wall; nos,,,3 ,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20101001,00802,CPT,Anes-lw ant abd wall; panniculect,,,3 ,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20101001,00810,CPT,Anes-low intest endo-dist to duod,,,3 ,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20101001,00820,CPT,Anes-proc lower posterior abd wall,,,3 ,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20101001,00830,CPT,Anes-hernia repairs lower abd; nos,,,3 ,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20101001,00832,CPT,Anes-hern rep ; ventral&inci hern s,,,3 ,,Anesth,,,,,6.0,$1.00,$0.00,3,0,1,1,1,1,20101001,00834,CPT,Anes-hern repr nos under 1 yr age,,,3 ,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20101001,00836,CPT,Anes-hern nos<37wk brth &<50wk surg,,,3 ,,Anesth,,,,,6.0,$1.00,$0.00,3,0,1,1,1,1,20101001,00840,CPT,Anes-intraper w/laparscpy; nos,,,3 ,,Anesth,,,,,6.0,$1.00,$0.00,3,0,1,1,1,1,20101001,00842,CPT,Anes-intraper w/laparscpy; amnio,,,3 ,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20101001,00844,CPT,Anes-intraper;abd-perinl resection,,,3 ,,Anesth,,,,,7.0,$1.00,$0.00,3,0,1,1,1,1,20101001,00846,CPT,Anes-intraper low w/lap;radl hyst,,,3 ,,Anesth,,,,,8.0,$1.00,$0.00,3,0,1,1,1,1,20101001,00848,CPT,Anes-intraper w/lap;pelv exentratn,,,3 ,,Anesth,,,,,8.0,$1.00,$0.00,3,0,1,1,1,1,20101001,00851,CPT,Anes-intraper w/lap; tubal lig,,,3 ,,Anesth,,,,,6.0,$1.00,$0.00,3,0,1,1,1,1,20101001,00860,CPT,Anes-xtraper w/urin tract; nos,,,3 ,,Anesth,,,,,6.0,$1.00,$0.00,3,0,1,1,1,1,20101001,00862,CPT,Anes-xtraper;up 1/3 ureter/nephrect,,,3 ,,Anesth,,,,,7.0,$1.00,$0.00,3,0,1,1,1,1,20101001,00864,CPT,Anes-xtraper low abd;tot cystect,,,3 ,,Anesth,,,,,8.0,$1.00,$0.00,3,0,1,1,1,1,20101001,00865,CPT,Anes-xtraper low;radl prostatect,,,3 ,,Anesth,,,,,7.0,$1.00,$0.00,3,0,1,1,1,1,20101001,00866,CPT,Anes-xtraper low abd;adrenalectomy,,,3 ,,Anesth,,,,,10.0,$1.00,$0.00,3,0,1,1,1,1,20101001,00868,CPT,Anes-xtraper low abd;renal trsplnt,,,3 ,,Anesth,,,,,10.0,$1.00,$0.00,3,0,1,1,1,1,20101001,00870,CPT,Anes-xtraper low abd;cystolithtomy,,,3 ,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20101001,00872,CPT,Anes-lith etracorp;w/water bath,,,3 ,,Anesth,,,,,7.0,$1.00,$0.00,3,0,1,1,1,1,20101001,00873,CPT,Anes-lith xtracorp;w/o water bath,,,3 ,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20101001,00880,CPT,Anes-proc major lower abd ves; nos,,,3 ,,Anesth,,,,,15.0,$1.00,$0.00,3,0,1,1,1,1,20101001,00882,CPT,Anes-maj ves; inf vena cava lig,,,3 ,,Anesth,,,,,10.0,$1.00,$0.00,3,0,1,1,1,1,20101001,00902,CPT,Anesthesia for; anorectal procedure,,,3 ,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20101001,00904,CPT,Anes-for; radical perineal proc,,,3 ,,Anesth,,,,,7.0,$1.00,$0.00,3,0,1,1,1,1,20101001,00906,CPT,Anesthesia for; vulvectomy,,,3 ,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20101001,00908,CPT,Anes-for; perineal prostatectomy,,,3 ,,Anesth,,,,,6.0,$1.00,$0.00,3,0,1,1,1,1,20101001,00910,CPT,Anes-transurethral; nos,,,3 ,,Anesth,,,,,3.0,$1.00,$0.00,3,0,1,1,1,1,20101001,00912,CPT,Anes-trnsureth;resect bladder tumor,,,3 ,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20101001,00914,CPT,Anes-transurethral ; turp,,,3 ,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20101001,00916,CPT,Anes-trnsureth;post resection bleed,,,3 ,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20101001,00918,CPT,Anes-trnsureth;w/manip&/remv calcu,,,3 ,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20101001,00920,CPT,Anesthesia proc male genitalia; nos,,,3 ,,Anesth,,,,,3.0,$1.00,$0.00,3,0,1,1,1,1,20101001,00921,CPT,Anes-male gnt; vasect unilat/bilat,,,3 ,,Anesth,,,,,3.0,$1.00,$0.00,3,0,1,1,1,1,20101001,00922,CPT,Anes-proc male gnt; seminl vesicles,,,3 ,,Anesth,,,,,6.0,$1.00,$0.00,3,0,1,1,1,1,20101001,00924,CPT,Anes-male;undescend testis uni/bil,,,3 ,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20101001,00926,CPT,Anes-male gnt; radl orchect ing,,,3 ,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20101001,00928,CPT,Anes-male gnt; radl orchect abd,,,3 ,,Anesth,,,,,6.0,$1.00,$0.00,3,0,1,1,1,1,20101001,00930,CPT,Anes-male genit;orchiopexy uni/bil,,,3 ,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20101001,00932,CPT,Anes-proc male gnt; cmpl amp penis,,,3 ,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20101001,00934,CPT,Anes-male;radl amp penis-ing lymph,,,3 ,,Anesth,,,,,6.0,$1.00,$0.00,3,0,1,1,1,1,20101001,00936,CPT,Anes male;radl amp penis-ing&iliac,,,3 ,,Anesth,,,,,8.0,$1.00,$0.00,3,0,1,1,1,1,20101001,00938,CPT,Anes-male genit;insrt penile prosth,,,3 ,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20101001,00940,CPT,Anes-vag; not otherwise specified,,,3 ,,Anesth,,,,,3.0,$1.00,$0.00,3,0,1,1,1,1,20101001,00942,CPT,Anes-vag; colpot vaginect&opn ureth,,,3 ,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20101001,00944,CPT,Anes-vag; vaginal hysterectomy,,,3 ,,Anesth,,,,,6.0,$1.00,$0.00,3,0,1,1,1,1,20101001,00948,CPT,Anes-vag; cervical cerclage,,,3 ,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20101001,00950,CPT,Anes-vag ; culdoscopy,,,3 ,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20101001,00952,CPT,Anes-vag;hysteroscopy&/salpingraphy,,,3 ,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20101001,01112,CPT,Anes-bn marrow asp&/bx iliac crest,,,3 ,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20101001,01120,CPT,Anesthesia procedures bony pelvis,,,3 ,,Anesth,,,,,6.0,$1.00,$0.00,3,0,1,1,1,1,20101001,01130,CPT,Anes-body cast application/rev,,,3 ,,Anesth,,,,,3.0,$1.00,$0.00,3,0,1,1,1,1,20101001,01140,CPT,Anesthesia interpelviabd amputation,,,3 ,,Anesth,,,,,15.0,$1.00,$0.00,3,0,1,1,1,1,20101001,01150,CPT,Anes-radl tumor pelv no hndqtr amp,,,3 ,,Anesth,,,,,10.0,$1.00,$0.00,3,0,1,1,1,1,20101001,01160,CPT,Anes-clos proc invlv pubis/si jnt,,,3 ,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20101001,01170,CPT,Anes-open proc invlv pubis/si jnt,,,3 ,,Anesth,,,,,8.0,$1.00,$0.00,3,0,1,1,1,1,20101001,01173,CPT,Anes-opn rep fx pelv/column acetab,,,3 ,,Anesth,,,,,12.0,$1.00,$0.00,3,0,1,1,1,1,20101001,01180,CPT,Anes-obtur neurectomy; extrapelvic,,,3 ,,Anesth,,,,,3.0,$1.00,$0.00,3,0,1,1,1,1,20101001,01190,CPT,Anes-obtur neurectomy; intrapelvic,,,3 ,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20101001,01200,CPT,Anes-all clos proc invlv hip joint,,,3 ,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20101001,01202,CPT,Anes-arthroscopic proc hip joint,,,3 ,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20101001,01210,CPT,Anes-open proc invlv hip joint; nos,,,3 ,,Anesth,,,,,6.0,$1.00,$0.00,3,0,1,1,1,1,20101001,01212,CPT,Anes-open proc invlv hip;disartic,,,3 ,,Anesth,,,,,10.0,$1.00,$0.00,3,0,1,1,1,1,20101001,01214,CPT,Anes-opn hip jnt; tot hip arthplsty,,,3 ,,Anesth,,,,,8.0,$1.00,$0.00,3,0,1,1,1,1,20101001,01215,CPT,Anes-open invlv hip;total hip rev,,,3 ,,Anesth,,,,,10.0,$1.00,$0.00,3,0,1,1,1,1,20101001,01220,CPT,Anes-all clos proc invlv up 2/3 fem,,,3 ,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20101001,01230,CPT,Anes-open invlv upper 2/3 femur;nos,,,3 ,,Anesth,,,,,6.0,$1.00,$0.00,3,0,1,1,1,1,20101001,01232,CPT,Anes-open invlv upper 2/3 femur;amp,,,3 ,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20101001,01234,CPT,Anes-open upper 2/3 femur;radl res,,,3 ,,Anesth,,,,,8.0,$1.00,$0.00,3,0,1,1,1,1,20101001,01250,CPT,Anes-all nerv musc tend fasc up leg,,,3 ,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20101001,01260,CPT,Anes-invlv vns upper leg incl expl,,,3 ,,Anesth,,,,,3.0,$1.00,$0.00,3,0,1,1,1,1,20101001,01270,CPT,Anes-invlv artery up leg w/gft;nos,,,3 ,,Anesth,,,,,8.0,$1.00,$0.00,3,0,1,1,1,1,20101001,01272,CPT,Anes-invlv art up leg w/gft;fem lig,,,3 ,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20101001,01274,CPT,Anes-invlv art up leg w/gft;fem emb,,,3 ,,Anesth,,,,,6.0,$1.00,$0.00,3,0,1,1,1,1,20101001,01320,CPT,Anes-nerv musc fasc burs knee&/pop,,,3 ,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20101001,01340,CPT,Anes-all clos proc lower 1/3 femur,,,3 ,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20101001,01360,CPT,Anes-all open proc lower 1/3 femur,,,3 ,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20101001,01380,CPT,Anes-all closed proc knee joint,,,3 ,,Anesth,,,,,3.0,$1.00,$0.00,3,0,1,1,1,1,20101001,01382,CPT,Anes-dx arthroscopic proc knee jnt,,,3 ,,Anesth,,,,,3.0,$1.00,$0.00,3,0,1,1,1,1,20101001,01390,CPT,Anes-all clos up ends tib fib&/pat,,,3 ,,Anesth,,,,,3.0,$1.00,$0.00,3,0,1,1,1,1,20101001,01392,CPT,Anes-all open up ends tib fib&/pat,,,3 ,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20101001,01400,CPT,Anes-open/scope proc knee jnt; nos,,,3 ,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20101001,01402,CPT,Anes-open/scope knee jnt; tot plsty,,,3 ,,Anesth,,,,,7.0,$1.00,$0.00,3,0,1,1,1,1,20101001,01404,CPT,Anes-open/scope knee jnt; disartic,,,3 ,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20101001,01420,CPT,Anes-all cast applic/repr w/knee,,,3 ,,Anesth,,,,,3.0,$1.00,$0.00,3,0,1,1,1,1,20101001,01430,CPT,Anes-proc veins knee&pop area; nos,,,3 ,,Anesth,,,,,3.0,$1.00,$0.00,3,0,1,1,1,1,20101001,01432,CPT,Anes-vns knee&pop area; av fist,,,3 ,,Anesth,,,,,6.0,$1.00,$0.00,3,0,1,1,1,1,20101001,01440,CPT,Anes-proc art knee&pop area; nos,,,3 ,,Anesth,,,,,8.0,$1.00,$0.00,3,0,1,1,1,1,20101001,01442,CPT,Anes-art knee;pop thrombendartect,,,3 ,,Anesth,,,,,8.0,$1.00,$0.00,3,0,1,1,1,1,20101001,01444,CPT,Anes-art knee;pop exc occl/aneur,,,3 ,,Anesth,,,,,8.0,$1.00,$0.00,3,0,1,1,1,1,20101001,01462,CPT,Anes-all clos proc low leg ank&foot,,,3 ,,Anesth,,,,,3.0,$1.00,$0.00,3,0,1,1,1,1,20101001,01464,CPT,Anes-arthroscopic proc ank &or foot,,,3 ,,Anesth,,,,,3.0,$1.00,$0.00,3,0,1,1,1,1,20101001,01470,CPT,Anes-nerv musc fasc leg ank&ft;nos,,,3 ,,Anesth,,,,,3.0,$1.00,$0.00,3,0,1,1,1,1,20101001,01472,CPT,Anes-nerv musc leg&ft;repr achilles,,,3 ,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20101001,01474,CPT,Anes-nrv musc leg&ft;gastroc recess,,,3 ,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20101001,01480,CPT,Anes-open bones low leg ank&ft;nos,,,3 ,,Anesth,,,,,3.0,$1.00,$0.00,3,0,1,1,1,1,20101001,01482,CPT,Anes-open bones lw leg;radl res/amp,,,3 ,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20101001,01484,CPT,Anes-open bns lw leg;osteot tib fib,,,3 ,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20101001,01486,CPT,Anes-open bones lw leg;tot ank repl,,,3 ,,Anesth,,,,,7.0,$1.00,$0.00,3,0,1,1,1,1,20101001,01490,CPT,Anes-lw leg cast applic removl/repr,,,3 ,,Anesth,,,,,3.0,$1.00,$0.00,3,0,1,1,1,1,20101001,01500,CPT,Anes-art lw leg w/byps gft; nos,,,3 ,,Anesth,,,,,8.0,$1.00,$0.00,3,0,1,1,1,1,20101001,01502,CPT,Anes-art low leg w/gft;embolectomy,,,3 ,,Anesth,,,,,6.0,$1.00,$0.00,3,0,1,1,1,1,20101001,01520,CPT,Anes-proc veins lower leg; nos,,,3 ,,Anesth,,,,,3.0,$1.00,$0.00,3,0,1,1,1,1,20101001,01522,CPT,Anes-veins lw leg;thrombect direct,,,3 ,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20101001,01610,CPT,Anes-nerv musc tend fasc burs shldr,,,3 ,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20101001,01620,CPT,Anes-all clos hum sc ac&shldr jnt,,,3 ,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20101001,01622,CPT,Anes-dx arthroscopic proc shldr jnt,,,3 ,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20101001,01630,CPT,Anes-open/scope hum sc ac&shldr;nos,,,3 ,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20101001,01634,CPT,Anes-opn/scope hum sc&shldr;disartc,,,3 ,,Anesth,,,,,9.0,$1.00,$0.00,3,0,1,1,1,1,20101001,01636,CPT,Anes-opn/scope hum sc ac&shldr; amp,,,3 ,,Anesth,,,,,15.0,$1.00,$0.00,3,0,1,1,1,1,20101001,01638,CPT,Anes-opn/scope hum sc ac&shldr; replc,,,3 ,,Anesth,,,,,10.0,$1.00,$0.00,3,0,1,1,1,1,20101001,01650,CPT,Anes-proc art shoulder&axilla; nos,,,3 ,,Anesth,,,,,6.0,$1.00,$0.00,3,0,1,1,1,1,20101001,01652,CPT,Anes-art shldr&ax; ax-brach aneur,,,3 ,,Anesth,,,,,10.0,$1.00,$0.00,3,0,1,1,1,1,20101001,01654,CPT,Anes-proc art shldr&ax; byps graft,,,3 ,,Anesth,,,,,8.0,$1.00,$0.00,3,0,1,1,1,1,20101001,01656,CPT,Anes-art shldr&ax; ax-fem byps gft,,,3 ,,Anesth,,,,,10.0,$1.00,$0.00,3,0,1,1,1,1,20101001,01670,CPT,Anes-on veins of shoulder&axilla,,,3 ,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20101001,01680,CPT,Anes-shldr cast applc/remv/repr;nos,,,3 ,,Anesth,,,,,3.0,$1.00,$0.00,3,0,1,1,1,1,20101001,01682,CPT,Anes-shldr cast applic/remv;spica,,,3 ,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20101001,01710,CPT,Anes-nrv musc burs up arm&elb;nos,,,3 ,,Anesth,,,,,3.0,$1.00,$0.00,3,0,1,1,1,1,20101001,01712,CPT,Anes-nrv musc burs up arm&elb;tenot,,,3 ,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20101001,01714,CPT,Anes-nrv musc up arm&elb;tenoplasty,,,3 ,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20101001,01716,CPT,Anes-nrv musc up arm&elb;tenodesis,,,3 ,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20101001,01730,CPT,Anes-all closed proc humerus&elbow,,,3 ,,Anesth,,,,,3.0,$1.00,$0.00,3,0,1,1,1,1,20101001,01732,CPT,Anes-dx arthroscopic proc elb joint,,,3 ,,Anesth,,,,,3.0,$1.00,$0.00,3,0,1,1,1,1,20101001,01740,CPT,Anes-open/surg scope proc elb; nos,,,3 ,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20101001,01742,CPT,Anes-open/scope proc elb;osteot hum,,,3 ,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20101001,01744,CPT,Anes-open/scope elb;rep non/mal hum,,,3 ,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20101001,01756,CPT,Anes-open/scope proc elb; radl proc,,,3 ,,Anesth,,,,,6.0,$1.00,$0.00,3,0,1,1,1,1,20101001,01758,CPT,Anes-opn/scope elb;exc cyst/tum hum,,,3 ,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20101001,01760,CPT,Anes-open/scope elb; tot elb repl,,,3 ,,Anesth,,,,,7.0,$1.00,$0.00,3,0,1,1,1,1,20101001,01770,CPT,Anes-proc art upper arm&elbow; nos,,,3 ,,Anesth,,,,,6.0,$1.00,$0.00,3,0,1,1,1,1,20101001,01772,CPT,Anes-proc art upper arm&elb; embo,,,3 ,,Anesth,,,,,6.0,$1.00,$0.00,3,0,1,1,1,1,20101001,01780,CPT,Anes-proc veins upper arm&elb; nos,,,3 ,,Anesth,,,,,3.0,$1.00,$0.00,3,0,1,1,1,1,20101001,01782,CPT,Anes-proc vns up arm&elb; phleborr,,,3 ,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20101001,01810,CPT,Anes-all nerv musc forarm wrst&hnd,,,3 ,,Anesth,,,,,3.0,$1.00,$0.00,3,0,1,1,1,1,20101001,01820,CPT,Anes-clos radius ulna wrst/hnd bone,,,3 ,,Anesth,,,,,3.0,$1.00,$0.00,3,0,1,1,1,1,20101001,01829,CPT,Anes-dx arthroscopic proc wrist,,,3 ,,Anesth,,,,,3.0,$1.00,$0.00,3,0,1,1,1,1,20101001,01830,CPT,Anes-opn/scope/endo wrst/hnd; nos,,,3 ,,Anesth,,,,,3.0,$1.00,$0.00,3,0,1,1,1,1,20101001,01832,CPT,Anes-open/scope/endo wrst/hnd; tot,,,3 ,,Anesth,,,,,6.0,$1.00,$0.00,3,0,1,1,1,1,20101001,01840,CPT,Anes-proc art forarm wrst&hand; nos,,,3 ,,Anesth,,,,,6.0,$1.00,$0.00,3,0,1,1,1,1,20101001,01842,CPT,Anes-proc art forarm wrst&hnd; embo,,,3 ,,Anesth,,,,,6.0,$1.00,$0.00,3,0,1,1,1,1,20101001,01844,CPT,Anes-vasc shnt/shnt rev any type,,,3 ,,Anesth,,,,,6.0,$1.00,$0.00,3,0,1,1,1,1,20101001,01850,CPT,Anes-proc vns forarm wrst&hand; nos,,,3 ,,Anesth,,,,,3.0,$1.00,$0.00,3,0,1,1,1,1,20101001,01852,CPT,Anes-vns forarm wrst&hnd; phleborr,,,3 ,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20101001,01860,CPT,Anes-forarm/hand cast applic/remv,,,3 ,,Anesth,,,,,3.0,$1.00,$0.00,3,0,1,1,1,1,20101001,01916,CPT,Anes-diagnostic artrgrph/venography,,,3 ,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20101001,01920,CPT,Anes-card cath cor angio&ventrcgrph,,,3 ,,Anesth,,,,,7.0,$1.00,$0.00,3,0,1,1,1,1,20101001,01922,CPT,Anes-non-invasive imaging/rad tx,,,3 ,,Anesth,,,,,7.0,$1.00,$0.00,3,0,1,1,1,1,20101001,01924,CPT,Anes-tx intrvn rad art sys; nos,,,3 ,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20101001,01925,CPT,Anes-tx intrvn rad art; carotid/cor,,,3 ,,Anesth,,,,,7.0,$1.00,$0.00,3,0,1,1,1,1,20101001,01926,CPT,Anes-tx rad art;intrcran -card/aort,,,3 ,,Anesth,,,,,8.0,$1.00,$0.00,3,0,1,1,1,1,20101001,01930,CPT,Anes-tx intrvn rad venus/lymph; nos,,,3 ,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20101001,01931,CPT,Anes-tx rad venus; intrahep/portal,,,3 ,,Anesth,,,,,7.0,$1.00,$0.00,3,0,1,1,1,1,20101001,01932,CPT,Anes-tx rad venus; intrathr/jugular,,,3 ,,Anesth,,,,,6.0,$1.00,$0.00,3,0,1,1,1,1,20101001,01933,CPT,Anes-tx rad venus/lymph; intracran,,,3 ,,Anesth,,,,,7.0,$1.00,$0.00,3,0,1,1,1,1,20101001,01935,CPT,Anes-perc img spine/spinalcrd; diag,,,3 ,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20101001,01936,CPT,Anes-perc img spine/spinalcrd; ther,,,3 ,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20101001,01951,CPT,Anes-2&3 deg brn exc/debrid; < 4%,,,3 ,,Anesth,,,,,3.0,$1.00,$0.00,3,0,1,1,1,1,20101001,01952,CPT,Anes-2&3 deg brn exc/debrid; 4-9%,,,3 ,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20101001,01953,CPT,Anes-2-3 deg exc/debrid;ea add 9%,,,3 ,,Anesth,,,,,1.0,$1.00,$0.00,3,0,1,1,1,1,20101001,01958,CPT,Anes-external cephalic version proc,,,3 ,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20101001,01960,CPT,Anesthesia vaginal delivery only,,,3 ,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20101001,01961,CPT,Anesthesia cesarean delivery only,,,3 ,,Anesth,,,,,7.0,$1.00,$0.00,3,0,1,1,1,1,20101001,01962,CPT,Anes-urgent hyst follow deliv,,,3 ,,Anesth,,,,,8.0,$1.00,$0.00,3,0,1,1,1,1,20101001,01963,CPT,Anes-c/s hyst w/o labr analg/anes,,,3 ,,Anesth,,,,,8.0,$1.00,$0.00,3,0,1,1,1,1,20101001,01965,CPT,"Anesth, inc/missed ab proc",,,3 ,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20101001,01966,CPT,"Anesth, induced ab procedure",,,3 ,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20101001,01967,CPT,Neurax labr anlg/anes-plan vag del,,,3 ,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20101001,01968,CPT,Anes-cd flw neurax labr analg/anes,,,3 ,,Anesth,,,,,2.0,$1.00,$0.00,3,0,1,1,1,1,20101001,01969,CPT,Anes-c/s hyst flw neurax labr analg,,,3 ,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20101001,01990,CPT,Physiolog supp-harv org-brain dead,,,3 ,,Anesth,,,,,7.0,$1.00,$0.00,3,0,1,1,1,1,20101001,01991,CPT,Anes-dx/tx nrv blks&inj; not prone,,,3 ,,Anesth,,,,,3.0,$1.00,$0.00,3,0,1,1,1,1,20101001,01992,CPT,Anes-dx/tx nrv blks&inj; prone pstn,,,3 ,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20101001,01996,CPT,Daily hos epidurl/subarach cont rx,,,3 ,,TotalUnits,,,,3.00 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,01999,CPT,Unlisted anesthsia procedure,,,3 ,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20101001,10021,CPT,Fna w/o image,,,21 ,,RBRVS,1.27 ,0.43 ,2.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,10022,CPT,Fna w/image,,,21 ,,RBRVS,1.27 ,0.43 ,2.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,10040,CPT,Acne surgery,,,21 ,,RBRVS,1.19 ,0.95 ,1.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,10060,CPT,Drainage of skin abscess,,,21 ,,RBRVS,1.19 ,1.04 ,1.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,10061,CPT,Drainage of skin abscess,,,21 ,,RBRVS,2.42 ,1.50 ,1.99 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,10080,CPT,Drainage of pilonidal cyst,,,21 ,,RBRVS,1.19 ,1.10 ,2.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,10081,CPT,Drainage of pilonidal cyst,,,21 ,,RBRVS,2.47 ,1.48 ,3.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,10120,CPT,Remove foreign body,,,21 ,,RBRVS,1.23 ,0.95 ,1.98 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,10121,CPT,Remove foreign body,,,21 ,,RBRVS,2.71 ,1.68 ,3.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,10140,CPT,Drainage of hematoma/fluid,,,21 ,,RBRVS,1.55 ,1.28 ,2.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,10160,CPT,Puncture drainage of lesion,,,21 ,,RBRVS,1.22 ,1.07 ,1.76 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,10180,CPT,"Complex drainage, wound",,,21 ,,RBRVS,2.27 ,1.86 ,3.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,11000,CPT,Debride infected skin,,,21 ,,RBRVS,0.60 ,0.18 ,0.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,11001,CPT,Debride infected skin add-on,,,21 ,,RBRVS,0.30 ,0.09 ,0.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,11004,CPT,Debride genitalia & perineum,,,21 ,,RBRVS,10.80 ,3.56 ,3.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,11005,CPT,Debride abdom wall,,,21 ,,RBRVS,14.24 ,4.43 ,4.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,11006,CPT,Debride genit/per/abdom wall,,,21 ,,RBRVS,13.10 ,4.34 ,4.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,11008,CPT,Remove mesh from abd wall,,,21 ,,RBRVS,5.00 ,1.56 ,1.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,11010,CPT,"Debride skin, fx",,,21 ,,RBRVS,4.19 ,2.49 ,6.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,11011,CPT,"Debride skin/muscle, fx",,,21 ,,RBRVS,4.94 ,2.21 ,7.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,11012,CPT,"Debride skin/muscle/bone, fx",,,21 ,,RBRVS,6.87 ,3.44 ,9.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,11040,CPT,"Debride skin, partial",,,21 ,,RBRVS,0.50 ,0.17 ,0.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,11041,CPT,"Debride skin, full",,,21 ,,RBRVS,0.60 ,0.22 ,0.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,11042,CPT,Debride skin/tissue,,,21 ,,RBRVS,0.80 ,0.30 ,0.95 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,11043,CPT,Debride tissue/muscle,,,21 ,,RBRVS,3.04 ,2.59 ,3.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,11044,CPT,Debride tissue/muscle/bone,,,21 ,,RBRVS,4.11 ,3.65 ,4.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,11055,CPT,Trim skin lesion,,,21 ,,RBRVS,0.43 ,0.13 ,0.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,11056,CPT,"Trim skin lesions, 2 to 4",,,21 ,,RBRVS,0.61 ,0.18 ,0.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,11057,CPT,"Trim skin lesions, over 4",,,21 ,,RBRVS,0.79 ,0.23 ,0.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,11100,CPT,"Biopsy, skin lesion",,,21 ,,RBRVS,0.81 ,0.40 ,1.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,11101,CPT,"Biopsy, skin add-on",,,21 ,,RBRVS,0.41 ,0.21 ,0.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,11200,CPT,Removal of skin tags,,,21 ,,RBRVS,0.79 ,0.87 ,1.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,11201,CPT,Remove skin tags add-on,,,21 ,,RBRVS,0.29 ,0.12 ,0.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,11300,CPT,Shave skin lesion,,,21 ,,RBRVS,0.51 ,0.22 ,1.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,11301,CPT,Shave skin lesion,,,21 ,,RBRVS,0.85 ,0.40 ,1.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,11302,CPT,Shave skin lesion,,,21 ,,RBRVS,1.05 ,0.50 ,1.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,11303,CPT,Shave skin lesion,,,21 ,,RBRVS,1.24 ,0.57 ,1.91 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,11305,CPT,Shave skin lesion,,,21 ,,RBRVS,0.67 ,0.23 ,0.99 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,11306,CPT,Shave skin lesion,,,21 ,,RBRVS,0.99 ,0.40 ,1.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,11307,CPT,Shave skin lesion,,,21 ,,RBRVS,1.14 ,0.51 ,1.60 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,11308,CPT,Shave skin lesion,,,21 ,,RBRVS,1.41 ,0.54 ,1.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,11310,CPT,Shave skin lesion,,,21 ,,RBRVS,0.73 ,0.33 ,1.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,11311,CPT,Shave skin lesion,,,21 ,,RBRVS,1.05 ,0.51 ,1.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,11312,CPT,Shave skin lesion,,,21 ,,RBRVS,1.20 ,0.59 ,1.79 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,11313,CPT,Shave skin lesion,,,21 ,,RBRVS,1.62 ,0.76 ,2.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,11400,CPT,Exc tr-ext b9+marg 0.5 < cm,,,21 ,,RBRVS,0.87 ,0.93 ,1.91 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,11401,CPT,Exc tr-ext b9+marg 0.6-1 cm,,,21 ,,RBRVS,1.25 ,1.13 ,2.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,11402,CPT,Exc tr-ext b9+marg 1.1-2 cm,,,21 ,,RBRVS,1.42 ,1.20 ,2.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,11403,CPT,Exc tr-ext b9+marg 2.1-3 cm,,,21 ,,RBRVS,1.81 ,1.52 ,2.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,11404,CPT,Exc tr-ext b9+marg 3.1-4 cm,,,21 ,,RBRVS,2.08 ,1.61 ,2.84 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,11406,CPT,Exc tr-ext b9+marg > 4.0 cm,,,21 ,,RBRVS,3.47 ,2.03 ,3.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,11420,CPT,Exc h-f-nk-sp b9+marg 0.5 <,,,21 ,,RBRVS,1.00 ,0.93 ,1.79 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,11421,CPT,Exc h-f-nk-sp b9+marg 0.6-1,,,21 ,,RBRVS,1.44 ,1.16 ,2.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,11422,CPT,Exc h-f-nk-sp b9+marg 1.1-2,,,21 ,,RBRVS,1.65 ,1.49 ,2.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,11423,CPT,Exc h-f-nk-sp b9+marg 2.1-3,,,21 ,,RBRVS,2.03 ,1.62 ,2.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,11424,CPT,Exc h-f-nk-sp b9+marg 3.1-4,,,21 ,,RBRVS,2.45 ,1.74 ,2.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,11426,CPT,Exc h-f-nk-sp b9+marg > 4 cm,,,21 ,,RBRVS,4.04 ,2.31 ,3.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,11440,CPT,Exc face-mm b9+marg 0.5 < cm,,,21 ,,RBRVS,1.02 ,1.32 ,2.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,11441,CPT,Exc face-mm b9+marg 0.6-1 cm,,,21 ,,RBRVS,1.50 ,1.55 ,2.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,11442,CPT,Exc face-mm b9+marg 1.1-2 cm,,,21 ,,RBRVS,1.74 ,1.65 ,2.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,11443,CPT,Exc face-mm b9+marg 2.1-3 cm,,,21 ,,RBRVS,2.31 ,1.86 ,2.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,11444,CPT,Exc face-mm b9+marg 3.1-4 cm,,,21 ,,RBRVS,3.16 ,2.17 ,3.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,11446,CPT,Exc face-mm b9+marg > 4 cm,,,21 ,,RBRVS,4.75 ,2.78 ,4.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,11450,CPT,"Removal, sweat gland lesion",,,21 ,,RBRVS,3.14 ,2.34 ,5.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,11451,CPT,"Removal, sweat gland lesion",,,21 ,,RBRVS,4.35 ,2.83 ,6.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,11462,CPT,"Removal, sweat gland lesion",,,21 ,,RBRVS,2.92 ,2.36 ,5.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,11463,CPT,"Removal, sweat gland lesion",,,21 ,,RBRVS,4.35 ,2.98 ,6.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,11470,CPT,"Removal, sweat gland lesion",,,21 ,,RBRVS,3.66 ,2.57 ,5.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,11471,CPT,"Removal, sweat gland lesion",,,21 ,,RBRVS,4.81 ,2.97 ,6.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,11600,CPT,Exc tr-ext mlg+marg 0.5 < cm,,,21 ,,RBRVS,1.58 ,1.11 ,2.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,11601,CPT,Exc tr-ext mlg+marg 0.6-1 cm,,,21 ,,RBRVS,2.02 ,1.47 ,3.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,11602,CPT,Exc tr-ext mlg+marg 1.1-2 cm,,,21 ,,RBRVS,2.22 ,1.63 ,3.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,11603,CPT,Exc tr-ext mlg+marg 2.1-3 cm,,,21 ,,RBRVS,2.77 ,1.79 ,3.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,11604,CPT,Exc tr-ext mlg+marg 3.1-4 cm,,,21 ,,RBRVS,3.12 ,1.87 ,4.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,11606,CPT,Exc tr-ext mlg+marg > 4 cm,,,21 ,,RBRVS,4.97 ,2.37 ,5.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,11620,CPT,Exc h-f-nk-sp mlg+marg 0.5 <,,,21 ,,RBRVS,1.59 ,1.15 ,2.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,11621,CPT,Exc h-f-nk-sp mlg+marg 0.6-1,,,21 ,,RBRVS,2.03 ,1.50 ,3.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,11622,CPT,Exc h-f-nk-sp mlg+marg 1.1-2,,,21 ,,RBRVS,2.36 ,1.71 ,3.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,11623,CPT,Exc h-f-nk-sp mlg+marg 2.1-3,,,21 ,,RBRVS,3.06 ,1.93 ,3.95 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,11624,CPT,Exc h-f-nk-sp mlg+marg 3.1-4,,,21 ,,RBRVS,3.57 ,2.07 ,4.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,11626,CPT,Exc h-f-nk-sp mlg+mar > 4 cm,,,21 ,,RBRVS,4.56 ,2.42 ,4.91 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,11640,CPT,Exc face-mm malig+marg 0.5 <,,,21 ,,RBRVS,1.62 ,1.26 ,2.94 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,11641,CPT,Exc face-mm malig+marg 0.6-1,,,21 ,,RBRVS,2.12 ,1.63 ,3.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,11642,CPT,Exc face-mm malig+marg 1.1-2,,,21 ,,RBRVS,2.57 ,1.85 ,3.87 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,11643,CPT,Exc face-mm malig+marg 2.1-3,,,21 ,,RBRVS,3.37 ,2.13 ,4.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,11644,CPT,Exc face-mm malig+marg 3.1-4,,,21 ,,RBRVS,4.29 ,2.53 ,4.98 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,11646,CPT,Exc face-mm mlg+marg > 4 cm,,,21 ,,RBRVS,6.21 ,3.32 ,5.91 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,11719,CPT,Trim nail(s),,,21 ,,RBRVS,0.17 ,0.05 ,0.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,11720,CPT,"Debride nail, 1-5",,,21 ,,RBRVS,0.32 ,0.09 ,0.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,11721,CPT,"Debride nail, 6 or more",,,21 ,,RBRVS,0.54 ,0.16 ,0.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,11730,CPT,Removal of nail plate,,,21 ,,RBRVS,1.10 ,0.32 ,1.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,11732,CPT,"Remove nail plate, add-on",,,21 ,,RBRVS,0.57 ,0.17 ,0.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,11740,CPT,Drain blood from under nail,,,21 ,,RBRVS,0.37 ,0.40 ,0.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,11750,CPT,Removal of nail bed,,,21 ,,RBRVS,2.40 ,1.82 ,2.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,11752,CPT,Remove nail bed/finger tip,,,21 ,,RBRVS,3.48 ,2.82 ,3.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,11755,CPT,"Biopsy, nail unit",,,21 ,,RBRVS,1.31 ,0.76 ,1.87 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,11760,CPT,Repair of nail bed,,,21 ,,RBRVS,1.60 ,1.52 ,3.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,11762,CPT,Reconstruction of nail bed,,,21 ,,RBRVS,2.91 ,1.85 ,3.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,11765,CPT,"Excision of nail fold, toe",,,21 ,,RBRVS,0.71 ,0.92 ,2.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,11770,CPT,Removal of pilonidal lesion,,,21 ,,RBRVS,2.63 ,1.53 ,3.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,11771,CPT,Removal of pilonidal lesion,,,21 ,,RBRVS,5.98 ,3.68 ,6.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,11772,CPT,Removal of pilonidal lesion,,,21 ,,RBRVS,7.23 ,5.45 ,7.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,11900,CPT,Injection into skin lesions,,,21 ,,RBRVS,0.52 ,0.25 ,0.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,11901,CPT,Added skin lesions injection,,,21 ,,RBRVS,0.80 ,0.40 ,0.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,11920,CPT,Correct skin color defects,,,21 ,,RBRVS,1.61 ,1.12 ,2.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,11921,CPT,Correct skin color defects,,,21 ,,RBRVS,1.93 ,1.28 ,2.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,11922,CPT,Correct skin color defects,,,21 ,,RBRVS,0.49 ,0.23 ,0.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,11950,CPT,Therapy for contour defects,,,21 ,,RBRVS,0.84 ,0.40 ,0.98 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,11951,CPT,Therapy for contour defects,,,21 ,,RBRVS,1.19 ,0.52 ,1.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,11952,CPT,Therapy for contour defects,,,21 ,,RBRVS,1.69 ,0.78 ,1.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,11954,CPT,Therapy for contour defects,,,21 ,,RBRVS,1.85 ,0.88 ,1.98 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,11960,CPT,Insert tissue expander(s),,,21 ,,RBRVS,11.01 ,10.66 ,10.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,11970,CPT,Replace tissue expander,,,21 ,,RBRVS,7.86 ,6.22 ,6.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,11971,CPT,Remove tissue expander(s),,,21 ,,RBRVS,3.21 ,3.92 ,7.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,11975,CPT,Insert contraceptive cap,,,21 ,,RBRVS,1.48 ,0.52 ,1.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,11976,CPT,Removal of contraceptive cap,,,21 ,,RBRVS,1.78 ,0.55 ,1.79 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,11977,CPT,Removal/reinsert contra cap,,,21 ,,RBRVS,3.30 ,1.15 ,2.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,11980,CPT,Implant hormone pellet(s),,,21 ,,RBRVS,1.48 ,0.51 ,1.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,11981,CPT,Insert drug implant device,,,21 ,,RBRVS,1.48 ,0.63 ,1.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,11982,CPT,Remove drug implant device,,,21 ,,RBRVS,1.78 ,0.78 ,2.03 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,11983,CPT,Remove/insert drug implant,,,21 ,,RBRVS,3.30 ,1.44 ,2.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,12001,CPT,Repair superficial wound(s),,,21 ,,RBRVS,1.72 ,0.74 ,1.77 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,12002,CPT,Repair superficial wound(s),,,21 ,,RBRVS,1.88 ,0.85 ,1.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,12004,CPT,Repair superficial wound(s),,,21 ,,RBRVS,2.26 ,0.94 ,2.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,12005,CPT,Repair superficial wound(s),,,21 ,,RBRVS,2.88 ,1.10 ,2.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,12006,CPT,Repair superficial wound(s),,,21 ,,RBRVS,3.68 ,1.34 ,3.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,12007,CPT,Repair superficial wound(s),,,21 ,,RBRVS,4.13 ,1.58 ,3.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,12011,CPT,Repair superficial wound(s),,,21 ,,RBRVS,1.78 ,0.76 ,1.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,12013,CPT,Repair superficial wound(s),,,21 ,,RBRVS,2.01 ,0.89 ,2.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,12014,CPT,Repair superficial wound(s),,,21 ,,RBRVS,2.48 ,1.00 ,2.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,12015,CPT,Repair superficial wound(s),,,21 ,,RBRVS,3.21 ,1.15 ,2.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,12016,CPT,Repair superficial wound(s),,,21 ,,RBRVS,3.94 ,1.37 ,3.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,12017,CPT,Repair superficial wound(s),,,21 ,,RBRVS,4.72 ,1.58 ,1.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,12018,CPT,Repair superficial wound(s),,,21 ,,RBRVS,5.54 ,2.23 ,2.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,12020,CPT,Closure of split wound,,,21 ,,RBRVS,2.64 ,1.80 ,3.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,12021,CPT,Closure of split wound,,,21 ,,RBRVS,1.86 ,1.35 ,1.84 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,12031,CPT,Intmd wnd repair s/tr/ext,,,21 ,,RBRVS,2.17 ,1.61 ,3.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,12032,CPT,Intmd wnd repair s/tr/ext,,,21 ,,RBRVS,2.49 ,2.20 ,4.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,12034,CPT,Intmd wnd repair s/tr/ext,,,21 ,,RBRVS,2.94 ,1.89 ,4.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,12035,CPT,Intmd wnd repair s/tr/ext,,,21 ,,RBRVS,3.44 ,2.16 ,5.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,12036,CPT,Intmd wnd repair s/tr/ext,,,21 ,,RBRVS,4.06 ,2.33 ,5.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,12037,CPT,Intmd wnd repair s/tr/ext,,,21 ,,RBRVS,4.68 ,2.75 ,5.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,12041,CPT,Intmd wnd repair n-hf/genit,,,21 ,,RBRVS,2.39 ,1.65 ,3.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,12042,CPT,Intmd wnd repair n-hg/genit,,,21 ,,RBRVS,2.76 ,2.00 ,4.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,12044,CPT,Intmd wnd repair n-hg/genit,,,21 ,,RBRVS,3.16 ,1.90 ,4.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,12045,CPT,Intmd wnd repair n-hg/genit,,,21 ,,RBRVS,3.65 ,2.16 ,5.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,12046,CPT,Intmd wnd repair n-hg/genit,,,21 ,,RBRVS,4.26 ,2.55 ,6.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,12047,CPT,Intmd wnd repair n-hg/genit,,,21 ,,RBRVS,4.66 ,2.80 ,6.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,12051,CPT,Intmd wnd repair face/mm,,,21 ,,RBRVS,2.49 ,1.84 ,3.88 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,12052,CPT,Intmd wnd repair face/mm,,,21 ,,RBRVS,2.81 ,2.32 ,4.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,12053,CPT,Intmd wnd repair face/mm,,,21 ,,RBRVS,3.14 ,2.02 ,4.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,12054,CPT,"Intmd wnd repair, face/mm",,,21 ,,RBRVS,3.47 ,1.97 ,4.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,12055,CPT,Intmd wnd repair face/mm,,,21 ,,RBRVS,4.44 ,2.13 ,5.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,12056,CPT,Intmd wnd repair face/mm,,,21 ,,RBRVS,5.25 ,2.75 ,6.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,12057,CPT,Intmd wnd repair face/mm,,,21 ,,RBRVS,5.97 ,3.27 ,7.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,13100,CPT,Repair of wound or lesion,,,21 ,,RBRVS,3.14 ,2.52 ,4.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,13101,CPT,Repair of wound or lesion,,,21 ,,RBRVS,3.93 ,2.98 ,5.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,13102,CPT,Repair wound/lesion add-on,,,21 ,,RBRVS,1.24 ,0.56 ,1.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,13120,CPT,Repair of wound or lesion,,,21 ,,RBRVS,3.32 ,2.60 ,4.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,13121,CPT,Repair of wound or lesion,,,21 ,,RBRVS,4.36 ,3.51 ,6.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,13122,CPT,Repair wound/lesion add-on,,,21 ,,RBRVS,1.44 ,0.62 ,1.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,13131,CPT,Repair of wound or lesion,,,21 ,,RBRVS,3.80 ,2.90 ,4.87 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,13132,CPT,Repair of wound or lesion,,,21 ,,RBRVS,6.48 ,4.89 ,7.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,13133,CPT,Repair wound/lesion add-on,,,21 ,,RBRVS,2.19 ,1.05 ,1.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,13150,CPT,Repair of wound or lesion,,,21 ,,RBRVS,3.82 ,2.79 ,4.76 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,13151,CPT,Repair of wound or lesion,,,21 ,,RBRVS,4.46 ,3.29 ,5.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,13152,CPT,Repair of wound or lesion,,,21 ,,RBRVS,6.34 ,4.09 ,7.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,13153,CPT,Repair wound/lesion add-on,,,21 ,,RBRVS,2.38 ,1.10 ,2.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,13160,CPT,Late closure of wound,,,21 ,,RBRVS,11.84 ,7.19 ,7.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,14000,CPT,Skin tissue rearrangement,,,21 ,,RBRVS,6.19 ,5.74 ,8.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,14001,CPT,Skin tissue rearrangement,,,21 ,,RBRVS,8.58 ,7.22 ,10.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,14020,CPT,Skin tissue rearrangement,,,21 ,,RBRVS,7.02 ,6.66 ,9.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,14021,CPT,Skin tissue rearrangement,,,21 ,,RBRVS,9.52 ,8.16 ,11.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,14040,CPT,Skin tissue rearrangement,,,21 ,,RBRVS,8.44 ,7.18 ,9.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,14041,CPT,Skin tissue rearrangement,,,21 ,,RBRVS,10.63 ,8.68 ,12.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,14060,CPT,Skin tissue rearrangement,,,21 ,,RBRVS,9.07 ,7.40 ,9.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,14061,CPT,Skin tissue rearrangement,,,21 ,,RBRVS,11.25 ,9.36 ,13.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,14301,CPT,Skin tissue rearrangement,,,21 ,,RBRVS,12.65 ,9.96 ,14.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,14302,CPT,Skin tissue rearrange add-on,,,21 ,,RBRVS,3.73 ,2.08 ,2.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,14350,CPT,Skin tissue rearrangement,,,21 ,,RBRVS,10.82 ,6.93 ,6.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,15002,CPT,"Wound prep, trk/arm/leg",,,21 ,,RBRVS,3.65 ,1.73 ,4.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,15003,CPT,"Wound prep, addl 100 cm",,,21 ,,RBRVS,0.80 ,0.28 ,0.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,15004,CPT,"Wound prep, f/n/hf/g",,,21 ,,RBRVS,4.58 ,2.14 ,4.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,15005,CPT,"Wnd prep, f/n/hf/g, addl cm",,,21 ,,RBRVS,1.60 ,0.54 ,1.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,15040,CPT,Harvest cultured skin graft,,,21 ,,RBRVS,2.00 ,1.05 ,4.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,15050,CPT,Skin pinch graft,,,21 ,,RBRVS,5.37 ,5.05 ,7.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,15100,CPT,"Skin splt grft, trnk/arm/leg",,,21 ,,RBRVS,9.74 ,7.07 ,10.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,15101,CPT,"Skin splt grft t/a/l, add-on",,,21 ,,RBRVS,1.72 ,0.95 ,2.77 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,15110,CPT,Epidrm autogrft trnk/arm/leg,,,21 ,,RBRVS,10.88 ,6.41 ,9.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,15111,CPT,Epidrm autogrft t/a/l add-on,,,21 ,,RBRVS,1.85 ,0.70 ,1.01 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,15115,CPT,Epidrm a-grft face/nck/hf/g,,,21 ,,RBRVS,11.19 ,6.86 ,9.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,15116,CPT,Epidrm a-grft f/n/hf/g addl,,,21 ,,RBRVS,2.50 ,1.04 ,1.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,15120,CPT,Skn splt a-grft fac/nck/hf/g,,,21 ,,RBRVS,10.96 ,7.63 ,11.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,15121,CPT,Skn splt a-grft f/n/hf/g add,,,21 ,,RBRVS,2.67 ,1.42 ,3.65 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,15130,CPT,"Derm autograft, trnk/arm/leg",,,21 ,,RBRVS,7.41 ,5.76 ,8.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,15131,CPT,Derm autograft t/a/l add-on,,,21 ,,RBRVS,1.50 ,0.59 ,0.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,15135,CPT,Derm autograft face/nck/hf/g,,,21 ,,RBRVS,10.91 ,7.24 ,9.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,15136,CPT,"Derm autograft, f/n/hf/g add",,,21 ,,RBRVS,1.50 ,0.48 ,0.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,15150,CPT,Cult epiderm grft t/arm/leg,,,21 ,,RBRVS,9.30 ,5.71 ,7.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,15151,CPT,Cult epiderm grft t/a/l addl,,,21 ,,RBRVS,2.00 ,0.76 ,1.01 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,15152,CPT,Cult epiderm graft t/a/l +%,,,21 ,,RBRVS,2.50 ,1.15 ,1.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,15155,CPT,"Cult epiderm graft, f/n/hf/g",,,21 ,,RBRVS,10.05 ,6.15 ,7.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,15156,CPT,Cult epidrm grft f/n/hfg add,,,21 ,,RBRVS,2.75 ,1.22 ,1.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,15157,CPT,Cult epiderm grft f/n/hfg +%,,,21 ,,RBRVS,3.00 ,1.31 ,1.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,15170,CPT,Acell graft trunk/arms/legs,,,21 ,,RBRVS,5.99 ,2.71 ,4.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,15171,CPT,Acell graft t/arm/leg add-on,,,21 ,,RBRVS,1.55 ,0.56 ,0.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,15175,CPT,"Acellular graft, f/n/hf/g",,,21 ,,RBRVS,7.99 ,3.45 ,4.77 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,15176,CPT,"Acell graft, f/n/hf/g add-on",,,21 ,,RBRVS,2.45 ,0.90 ,1.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,15200,CPT,"Skin full graft, trunk",,,21 ,,RBRVS,8.97 ,6.55 ,9.98 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,15201,CPT,Skin full graft trunk add-on,,,21 ,,RBRVS,1.32 ,0.57 ,2.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,15220,CPT,Skin full graft sclp/arm/leg,,,21 ,,RBRVS,7.95 ,6.80 ,10.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,15221,CPT,Skin full graft add-on,,,21 ,,RBRVS,1.19 ,0.55 ,2.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,15240,CPT,Skin full grft face/genit/hf,,,21 ,,RBRVS,10.15 ,8.80 ,11.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,15241,CPT,Skin full graft add-on,,,21 ,,RBRVS,1.86 ,0.87 ,2.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,15260,CPT,Skin full graft een & lips,,,21 ,,RBRVS,11.39 ,9.35 ,12.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,15261,CPT,Skin full graft add-on,,,21 ,,RBRVS,2.23 ,1.26 ,2.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,15300,CPT,"Apply skinallogrft, t/arm/lg",,,21 ,,RBRVS,4.65 ,2.24 ,3.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,15301,CPT,Apply sknallogrft t/a/l addl,,,21 ,,RBRVS,1.00 ,0.37 ,0.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,15320,CPT,Apply skin allogrft f/n/hf/g,,,21 ,,RBRVS,5.36 ,2.42 ,3.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,15321,CPT,Aply sknallogrft f/n/hfg add,,,21 ,,RBRVS,1.50 ,0.56 ,0.72 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,15330,CPT,Aply acell alogrft t/arm/leg,,,21 ,,RBRVS,3.99 ,2.24 ,3.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,15331,CPT,Aply acell grft t/a/l add-on,,,21 ,,RBRVS,1.00 ,0.38 ,0.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,15335,CPT,"Apply acell graft, f/n/hf/g",,,21 ,,RBRVS,4.50 ,2.13 ,3.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,15336,CPT,Aply acell grft f/n/hf/g add,,,21 ,,RBRVS,1.43 ,0.46 ,0.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,15340,CPT,Apply cult skin substitute,,,21 ,,RBRVS,3.76 ,2.67 ,3.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,15341,CPT,Apply cult skin sub add-on,,,21 ,,RBRVS,0.50 ,0.16 ,0.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,15360,CPT,"Apply cult derm sub, t/a/l",,,21 ,,RBRVS,3.93 ,3.34 ,4.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,15361,CPT,Aply cult derm sub t/a/l add,,,21 ,,RBRVS,1.15 ,0.37 ,0.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,15365,CPT,Apply cult derm sub f/n/hf/g,,,21 ,,RBRVS,4.21 ,3.02 ,4.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,15366,CPT,Apply cult derm f/hf/g add,,,21 ,,RBRVS,1.45 ,0.45 ,0.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,15400,CPT,"Apply skin xenograft, t/a/l",,,21 ,,RBRVS,4.38 ,4.02 ,4.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,15401,CPT,Apply skn xenogrft t/a/l add,,,21 ,,RBRVS,1.00 ,0.36 ,1.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,15420,CPT,"Apply skin xgraft, f/n/hf/g",,,21 ,,RBRVS,4.89 ,4.43 ,5.65 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,15421,CPT,Apply skn xgrft f/n/hf/g add,,,21 ,,RBRVS,1.50 ,0.53 ,1.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,15430,CPT,Apply acellular xenograft,,,21 ,,RBRVS,5.93 ,5.99 ,6.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,15431,CPT,Apply acellular xgraft add,,,21 ,,TotalUnits,,,,4.90 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,15570,CPT,Form skin pedicle flap,,,21 ,,RBRVS,10.00 ,6.76 ,10.65 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,15572,CPT,Form skin pedicle flap,,,21 ,,RBRVS,9.94 ,7.14 ,10.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,15574,CPT,Form skin pedicle flap,,,21 ,,RBRVS,10.52 ,7.57 ,10.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,15576,CPT,Form skin pedicle flap,,,21 ,,RBRVS,9.24 ,6.77 ,9.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,15600,CPT,Skin graft,,,21 ,,RBRVS,1.95 ,2.82 ,5.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,15610,CPT,Skin graft,,,21 ,,RBRVS,2.46 ,3.16 ,5.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,15620,CPT,Skin graft,,,21 ,,RBRVS,3.62 ,3.90 ,6.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,15630,CPT,Skin graft,,,21 ,,RBRVS,3.95 ,4.30 ,7.03 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,15650,CPT,Transfer skin pedicle flap,,,21 ,,RBRVS,4.64 ,4.63 ,7.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,15731,CPT,Forehead flap w/vasc pedicle,,,21 ,,RBRVS,14.12 ,10.17 ,12.79 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,15732,CPT,"Muscle-skin graft, head/neck",,,21 ,,RBRVS,19.70 ,11.66 ,15.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,15734,CPT,"Muscle-skin graft, trunk",,,21 ,,RBRVS,19.62 ,12.17 ,16.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,15736,CPT,"Muscle-skin graft, arm",,,21 ,,RBRVS,16.92 ,10.40 ,14.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,15738,CPT,"Muscle-skin graft, leg",,,21 ,,RBRVS,18.92 ,10.85 ,15.00 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,15740,CPT,Island pedicle flap graft,,,21 ,,RBRVS,11.57 ,9.36 ,12.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,15750,CPT,Neurovascular pedicle graft,,,21 ,,RBRVS,12.73 ,8.93 ,8.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,15756,CPT,Free myo/skin flap microvasc,,,21 ,,RBRVS,36.74 ,19.67 ,19.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,15757,CPT,"Free skin flap, microvasc",,,21 ,,RBRVS,36.95 ,19.34 ,19.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,15758,CPT,"Free fascial flap, microvasc",,,21 ,,RBRVS,36.70 ,19.41 ,19.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,15760,CPT,Composite skin graft,,,21 ,,RBRVS,9.68 ,7.24 ,10.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,15770,CPT,Derma-fat-fascia graft,,,21 ,,RBRVS,8.73 ,6.77 ,6.77 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,15775,CPT,Hair transplant punch grafts,,,21 ,,RBRVS,3.95 ,1.59 ,3.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,15776,CPT,Hair transplant punch grafts,,,21 ,,RBRVS,5.53 ,2.40 ,5.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,15780,CPT,Abrasion treatment of skin,,,21 ,,RBRVS,8.50 ,7.05 ,11.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,15781,CPT,Abrasion treatment of skin,,,21 ,,RBRVS,4.91 ,5.41 ,7.91 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,15782,CPT,Abrasion treatment of skin,,,21 ,,RBRVS,4.36 ,5.55 ,9.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,15783,CPT,Abrasion treatment of skin,,,21 ,,RBRVS,4.33 ,4.62 ,7.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,15786,CPT,"Abrasion, lesion, single",,,21 ,,RBRVS,2.05 ,1.30 ,3.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,15787,CPT,"Abrasion, lesions, add-on",,,21 ,,RBRVS,0.33 ,0.12 ,0.84 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,15788,CPT,"Chemical peel, face, epiderm",,,21 ,,RBRVS,2.09 ,3.66 ,8.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,15789,CPT,"Chemical peel, face, dermal",,,21 ,,RBRVS,4.91 ,5.47 ,8.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,15792,CPT,"Chemical peel, nonfacial",,,21 ,,RBRVS,1.86 ,4.46 ,8.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,15793,CPT,"Chemical peel, nonfacial",,,21 ,,RBRVS,3.82 ,4.78 ,7.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,15819,CPT,"Plastic surgery, neck",,,21 ,,RBRVS,10.45 ,7.11 ,7.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,15820,CPT,Revision of lower eyelid,,,21 ,,RBRVS,6.09 ,5.43 ,6.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,15821,CPT,Revision of lower eyelid,,,21 ,,RBRVS,6.66 ,5.53 ,6.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,15822,CPT,Revision of upper eyelid,,,21 ,,RBRVS,4.51 ,4.27 ,5.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,15823,CPT,Revision of upper eyelid,,,21 ,,RBRVS,8.12 ,6.37 ,7.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,15824,CPT,Removal of forehead wrinkles,,,21 ,,RBRVS,15.41 ,10.15 ,10.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,15825,CPT,Removal of neck wrinkles,,,21 ,,RBRVS,17.33 ,11.42 ,11.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,15826,CPT,Removal of brow wrinkles,,,21 ,,RBRVS,12.51 ,8.25 ,8.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,15828,CPT,Removal of face wrinkles,,,21 ,,RBRVS,32.72 ,21.58 ,21.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,15829,CPT,Removal of skin wrinkles,,,21 ,,RBRVS,36.58 ,24.11 ,24.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,15830,CPT,Exc skin abd,,,21 ,,RBRVS,16.90 ,10.13 ,10.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,15832,CPT,Excise excessive skin tissue,,,21 ,,RBRVS,12.65 ,8.27 ,8.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,15833,CPT,Excise excessive skin tissue,,,21 ,,RBRVS,11.70 ,8.09 ,8.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,15834,CPT,Excise excessive skin tissue,,,21 ,,RBRVS,11.97 ,7.64 ,7.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,15835,CPT,Excise excessive skin tissue,,,21 ,,RBRVS,12.79 ,8.01 ,8.01 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,15836,CPT,Excise excessive skin tissue,,,21 ,,RBRVS,10.41 ,6.93 ,6.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,15837,CPT,Excise excessive skin tissue,,,21 ,,RBRVS,9.37 ,6.35 ,8.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,15838,CPT,Excise excessive skin tissue,,,21 ,,RBRVS,8.07 ,5.77 ,5.77 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,15839,CPT,Excise excessive skin tissue,,,21 ,,RBRVS,10.32 ,6.74 ,9.77 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,15840,CPT,Graft for face nerve palsy,,,21 ,,RBRVS,14.76 ,9.43 ,9.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,15841,CPT,Graft for face nerve palsy,,,21 ,,RBRVS,25.69 ,14.53 ,14.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,15842,CPT,Flap for face nerve palsy,,,21 ,,RBRVS,40.68 ,22.23 ,22.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,15845,CPT,"Skin and muscle repair, face",,,21 ,,RBRVS,14.04 ,8.93 ,8.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,15847,CPT,Exc skin abd add-on,,,21 ,,TotalUnits,,,,8.37 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,15850,CPT,Removal of sutures,,,21 ,,RBRVS,0.78 ,0.27 ,1.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,15851,CPT,Removal of sutures,,,21 ,,RBRVS,0.86 ,0.26 ,1.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,15852,CPT,Dressing change not for burn,,,21 ,,RBRVS,0.86 ,0.29 ,0.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,15860,CPT,Test for blood flow in graft,,,21 ,,RBRVS,1.95 ,0.72 ,0.72 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,15876,CPT,Suction assisted lipectomy,,,21 ,,TotalUnits,,,,28.55 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,15877,CPT,Suction assisted lipectomy,,,21 ,,TotalUnits,,,,13.93 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,15878,CPT,Suction assisted lipectomy,,,21 ,,TotalUnits,,,,13.00 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,15879,CPT,Suction assisted lipectomy,,,21 ,,TotalUnits,,,,3.25 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,15920,CPT,Removal of tail bone ulcer,,,21 ,,RBRVS,8.15 ,5.61 ,5.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,15922,CPT,Removal of tail bone ulcer,,,21 ,,RBRVS,10.23 ,7.19 ,7.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,15931,CPT,Remove sacrum pressure sore,,,21 ,,RBRVS,9.96 ,5.65 ,5.65 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,15933,CPT,Remove sacrum pressure sore,,,21 ,,RBRVS,11.60 ,7.65 ,7.65 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,15934,CPT,Remove sacrum pressure sore,,,21 ,,RBRVS,13.54 ,7.84 ,7.84 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,15935,CPT,Remove sacrum pressure sore,,,21 ,,RBRVS,15.58 ,9.90 ,9.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,15936,CPT,Remove sacrum pressure sore,,,21 ,,RBRVS,13.04 ,7.67 ,7.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,15937,CPT,Remove sacrum pressure sore,,,21 ,,RBRVS,15.00 ,9.22 ,9.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,15940,CPT,Remove hip pressure sore,,,21 ,,RBRVS,10.11 ,5.93 ,5.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,15941,CPT,Remove hip pressure sore,,,21 ,,RBRVS,12.24 ,8.65 ,8.65 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,15944,CPT,Remove hip pressure sore,,,21 ,,RBRVS,12.27 ,8.29 ,8.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,15945,CPT,Remove hip pressure sore,,,21 ,,RBRVS,13.57 ,9.26 ,9.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,15946,CPT,Remove hip pressure sore,,,21 ,,RBRVS,23.80 ,14.30 ,14.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,15950,CPT,Remove thigh pressure sore,,,21 ,,RBRVS,7.91 ,5.42 ,5.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,15951,CPT,Remove thigh pressure sore,,,21 ,,RBRVS,11.41 ,7.59 ,7.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,15952,CPT,Remove thigh pressure sore,,,21 ,,RBRVS,12.14 ,7.81 ,7.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,15953,CPT,Remove thigh pressure sore,,,21 ,,RBRVS,13.39 ,8.82 ,8.82 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,15956,CPT,Remove thigh pressure sore,,,21 ,,RBRVS,16.59 ,10.10 ,10.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,15958,CPT,Remove thigh pressure sore,,,21 ,,RBRVS,16.55 ,10.70 ,10.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,15999,CPT,Removal of pressure sore,,,21 ,,TotalUnits,,,,19.95 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,16000,CPT,Initial treatment of burn(s),,,21 ,,RBRVS,0.89 ,0.24 ,0.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,16020,CPT,"Dress/debrid p-thick burn, s",,,21 ,,RBRVS,0.80 ,0.56 ,1.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,16025,CPT,"Dress/debrid p-thick burn, m",,,21 ,,RBRVS,1.85 ,0.91 ,1.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,16030,CPT,"Dress/debrid p-thick burn, l",,,21 ,,RBRVS,2.08 ,1.04 ,2.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,16035,CPT,"Incision of burn scab, initi",,,21 ,,RBRVS,3.74 ,1.36 ,1.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,16036,CPT,Escharotomy; add'l incision,,,21 ,,RBRVS,1.50 ,0.52 ,0.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,17000,CPT,Destruct premalg lesion,,,21 ,,RBRVS,0.62 ,0.70 ,1.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,17003,CPT,"Destruct premalg les, 2-14",,,21 ,,RBRVS,0.07 ,0.04 ,0.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,17004,CPT,Destroy premlg lesions 15+,,,21 ,,RBRVS,1.82 ,1.47 ,2.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,17106,CPT,Destruction of skin lesions,,,21 ,,RBRVS,3.61 ,3.11 ,4.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,17107,CPT,Destruction of skin lesions,,,21 ,,RBRVS,4.68 ,4.10 ,6.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,17108,CPT,Destruction of skin lesions,,,21 ,,RBRVS,6.37 ,5.26 ,7.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,17110,CPT,"Destruct b9 lesion, 1-14",,,21 ,,RBRVS,0.67 ,0.97 ,1.98 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,17111,CPT,"Destruct lesion, 15 or more",,,21 ,,RBRVS,0.94 ,1.11 ,2.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,17250,CPT,"Chemical cautery, tissue",,,21 ,,RBRVS,0.50 ,0.37 ,1.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,17260,CPT,Destruction of skin lesions,,,21 ,,RBRVS,0.93 ,0.71 ,1.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,17261,CPT,Destruction of skin lesions,,,21 ,,RBRVS,1.19 ,1.03 ,2.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,17262,CPT,Destruction of skin lesions,,,21 ,,RBRVS,1.60 ,1.24 ,2.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,17263,CPT,Destruction of skin lesions,,,21 ,,RBRVS,1.81 ,1.33 ,2.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,17264,CPT,Destruction of skin lesions,,,21 ,,RBRVS,1.96 ,1.39 ,2.98 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,17266,CPT,Destruction of skin lesions,,,21 ,,RBRVS,2.36 ,1.54 ,3.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,17270,CPT,Destruction of skin lesions,,,21 ,,RBRVS,1.34 ,1.06 ,2.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,17271,CPT,Destruction of skin lesions,,,21 ,,RBRVS,1.51 ,1.19 ,2.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,17272,CPT,Destruction of skin lesions,,,21 ,,RBRVS,1.79 ,1.34 ,2.72 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,17273,CPT,Destruction of skin lesions,,,21 ,,RBRVS,2.07 ,1.46 ,2.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,17274,CPT,Destruction of skin lesions,,,21 ,,RBRVS,2.61 ,1.72 ,3.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,17276,CPT,Destruction of skin lesions,,,21 ,,RBRVS,3.22 ,1.96 ,3.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,17280,CPT,Destruction of skin lesions,,,21 ,,RBRVS,1.19 ,0.99 ,2.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,17281,CPT,Destruction of skin lesions,,,21 ,,RBRVS,1.74 ,1.30 ,2.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,17282,CPT,Destruction of skin lesions,,,21 ,,RBRVS,2.06 ,1.47 ,2.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,17283,CPT,Destruction of skin lesions,,,21 ,,RBRVS,2.66 ,1.75 ,3.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,17284,CPT,Destruction of skin lesions,,,21 ,,RBRVS,3.23 ,2.03 ,3.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,17286,CPT,Destruction of skin lesions,,,21 ,,RBRVS,4.45 ,2.58 ,4.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,17311,CPT,"Mohs, 1 stage, h/n/hf/g",,,21 ,,RBRVS,6.20 ,3.26 ,10.65 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,17312,CPT,Mohs addl stage,,,21 ,,RBRVS,3.30 ,1.73 ,6.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,17313,CPT,"Mohs, 1 stage, t/a/l",,,21 ,,RBRVS,5.56 ,2.93 ,9.82 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,17314,CPT,"Mohs, addl stage, t/a/l",,,21 ,,RBRVS,3.06 ,1.61 ,6.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,17315,CPT,"Mohs surg, addl block",,,21 ,,RBRVS,0.87 ,0.46 ,1.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,17340,CPT,Cryotherapy of skin,,,21 ,,RBRVS,0.76 ,0.37 ,0.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,17360,CPT,Skin peel therapy,,,21 ,,RBRVS,1.44 ,1.01 ,1.76 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,17380,CPT,Hair removal by electrolysis,,,21 ,,TotalUnits,,,,0.96 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,17999,CPT,Skin tissue procedure,,,21 ,,TotalUnits,,,,1.04 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,19000,CPT,Drainage of breast lesion,,,21 ,,RBRVS,0.84 ,0.30 ,1.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,19001,CPT,Drain breast lesion add-on,,,21 ,,RBRVS,0.42 ,0.15 ,0.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,19020,CPT,Incision of breast lesion,,,21 ,,RBRVS,3.74 ,2.96 ,6.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,19030,CPT,Injection for breast x-ray,,,21 ,,RBRVS,1.53 ,0.57 ,2.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,19100,CPT,Bx breast percut w/o image,,,21 ,,RBRVS,1.27 ,0.37 ,2.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,19101,CPT,"Biopsy of breast, open",,,21 ,,RBRVS,3.20 ,1.84 ,4.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,19102,CPT,Bx breast percut w/image,,,21 ,,RBRVS,2.00 ,0.73 ,3.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,19103,CPT,Bx breast percut w/device,,,21 ,,RBRVS,3.69 ,1.29 ,10.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,19105,CPT,"Cryosurg ablate fa, each",,,21 ,,RBRVS,3.69 ,1.30 ,51.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,19110,CPT,Nipple exploration,,,21 ,,RBRVS,4.35 ,3.17 ,6.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,19112,CPT,Excise breast duct fistula,,,21 ,,RBRVS,3.72 ,3.06 ,6.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,19120,CPT,Removal of breast lesion,,,21 ,,RBRVS,5.84 ,3.35 ,4.97 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,19125,CPT,"Excision, breast lesion",,,21 ,,RBRVS,6.59 ,3.61 ,5.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,19126,CPT,"Excision, addl breast lesion",,,21 ,,RBRVS,2.93 ,0.85 ,0.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,19260,CPT,Removal of chest wall lesion,,,21 ,,RBRVS,17.60 ,10.58 ,10.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,19271,CPT,Revision of chest wall,,,21 ,,RBRVS,21.86 ,16.64 ,16.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,19272,CPT,Extensive chest wall surgery,,,21 ,,RBRVS,24.82 ,17.77 ,17.77 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,19290,CPT,"Place needle wire, breast",,,21 ,,RBRVS,1.27 ,0.47 ,2.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,19291,CPT,"Place needle wire, breast",,,21 ,,RBRVS,0.63 ,0.23 ,1.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,19295,CPT,"Place breast clip, percut",,,21 ,,RBRVS,,2.35 ,2.35 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,19296,CPT,Place po breast cath for rad,,,21 ,,RBRVS,3.63 ,1.32 ,94.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,19297,CPT,Place breast cath for rad,,,21 ,,RBRVS,1.72 ,0.51 ,0.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,19298,CPT,Place breast rad tube/caths,,,21 ,,RBRVS,6.00 ,2.27 ,27.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,19300,CPT,Removal of breast tissue,,,21 ,,RBRVS,5.20 ,3.75 ,6.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,19301,CPT,Partical mastectomy,,,21 ,,RBRVS,10.00 ,4.43 ,4.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,19302,CPT,P-mastectomy w/ln removal,,,21 ,,RBRVS,13.88 ,6.35 ,6.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,19303,CPT,"Mast, simple, complete",,,21 ,,RBRVS,15.67 ,6.67 ,6.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,19304,CPT,"Mast, subq",,,21 ,,RBRVS,7.81 ,4.93 ,4.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,19305,CPT,"Mast, radical",,,21 ,,RBRVS,17.23 ,8.21 ,8.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,19306,CPT,"Mast, rad, urban type",,,21 ,,RBRVS,17.85 ,8.78 ,8.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,19307,CPT,"Mast, mod rad",,,21 ,,RBRVS,17.95 ,8.81 ,8.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,19316,CPT,Suspension of breast,,,21 ,,RBRVS,10.98 ,7.13 ,7.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,19318,CPT,Reduction of large breast,,,21 ,,RBRVS,15.91 ,10.42 ,10.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,19324,CPT,Enlarge breast,,,21 ,,RBRVS,6.65 ,4.51 ,4.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,19325,CPT,Enlarge breast with implant,,,21 ,,RBRVS,8.52 ,6.52 ,6.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,19328,CPT,Removal of breast implant,,,21 ,,RBRVS,6.35 ,5.06 ,5.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,19330,CPT,Removal of implant material,,,21 ,,RBRVS,8.39 ,6.22 ,6.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,19340,CPT,Immediate breast prosthesis,,,21 ,,RBRVS,6.32 ,2.99 ,2.99 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,19342,CPT,Delayed breast prosthesis,,,21 ,,RBRVS,12.40 ,9.09 ,9.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,19350,CPT,Breast reconstruction,,,21 ,,RBRVS,8.99 ,6.81 ,10.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,19355,CPT,Correct inverted nipple(s),,,21 ,,RBRVS,8.37 ,4.84 ,8.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,19357,CPT,Breast reconstruction,,,21 ,,RBRVS,20.57 ,15.64 ,15.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,19361,CPT,Breast reconstr w/lat flap,,,21 ,,RBRVS,23.17 ,15.86 ,15.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,19364,CPT,Breast reconstruction,,,21 ,,RBRVS,42.40 ,23.36 ,23.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,19366,CPT,Breast reconstruction,,,21 ,,RBRVS,21.70 ,10.62 ,10.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,19367,CPT,Breast reconstruction,,,21 ,,RBRVS,26.59 ,15.96 ,15.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,19368,CPT,Breast reconstruction,,,21 ,,RBRVS,33.61 ,18.76 ,18.76 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,19369,CPT,Breast reconstruction,,,21 ,,RBRVS,31.02 ,17.07 ,17.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,19370,CPT,Surgery of breast capsule,,,21 ,,RBRVS,8.99 ,6.90 ,6.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,19371,CPT,Removal of breast capsule,,,21 ,,RBRVS,10.42 ,7.82 ,7.82 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,19380,CPT,Revise breast reconstruction,,,21 ,,RBRVS,10.21 ,7.73 ,7.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,19396,CPT,Design custom breast implant,,,21 ,,RBRVS,2.17 ,0.98 ,3.02 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,19499,CPT,Breast surgery procedure,,,21 ,,TotalUnits,,,,5.88 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,20000,CPT,Incision of abscess,,,21 ,,RBRVS,2.14 ,1.58 ,2.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,20005,CPT,Incision of deep abscess,,,21 ,,RBRVS,3.55 ,2.10 ,3.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,20100,CPT,"Explore wound, neck",,,21 ,,RBRVS,10.33 ,3.68 ,3.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,20101,CPT,"Explore wound, chest",,,21 ,,RBRVS,3.22 ,1.56 ,6.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,20102,CPT,"Explore wound, abdomen",,,21 ,,RBRVS,3.95 ,1.91 ,7.03 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,20103,CPT,"Explore wound, extremity",,,21 ,,RBRVS,5.31 ,3.01 ,7.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,20150,CPT,Excise epiphyseal bar,,,21 ,,RBRVS,14.60 ,8.12 ,8.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,20200,CPT,Muscle biopsy,,,21 ,,RBRVS,1.46 ,0.73 ,3.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,20205,CPT,Deep muscle biopsy,,,21 ,,RBRVS,2.35 ,1.16 ,3.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,20206,CPT,"Needle biopsy, muscle",,,21 ,,RBRVS,0.99 ,0.61 ,5.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,20220,CPT,"Bone biopsy, trocar/needle",,,21 ,,RBRVS,1.27 ,0.73 ,3.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,20225,CPT,"Bone biopsy, trocar/needle",,,21 ,,RBRVS,1.87 ,1.10 ,15.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,20240,CPT,"Bone biopsy, excisional",,,21 ,,RBRVS,3.25 ,2.19 ,2.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,20245,CPT,"Bone biopsy, excisional",,,21 ,,RBRVS,8.77 ,6.01 ,6.01 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,20250,CPT,Open bone biopsy,,,21 ,,RBRVS,5.16 ,3.58 ,3.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,20251,CPT,Open bone biopsy,,,21 ,,RBRVS,5.69 ,3.99 ,3.99 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,20500,CPT,Injection of sinus tract,,,21 ,,RBRVS,1.25 ,1.06 ,1.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,20501,CPT,Inject sinus tract for x-ray,,,21 ,,RBRVS,0.76 ,0.29 ,2.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,20520,CPT,Removal of foreign body,,,21 ,,RBRVS,1.87 ,1.53 ,2.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,20525,CPT,Removal of foreign body,,,21 ,,RBRVS,3.51 ,2.35 ,7.57 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,20526,CPT,"Ther injection, carp tunnel",,,21 ,,RBRVS,0.94 ,0.45 ,0.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,20550,CPT,Inj tendon sheath/ligament,,,21 ,,RBRVS,0.75 ,0.27 ,0.65 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,20551,CPT,Inj tendon origin/insertion,,,21 ,,RBRVS,0.75 ,0.30 ,0.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,20552,CPT,"Inj trigger point, 1/2 muscl",,,21 ,,RBRVS,0.66 ,0.24 ,0.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,20553,CPT,"Inject trigger points, =/> 3",,,21 ,,RBRVS,0.75 ,0.26 ,0.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,20555,CPT,Place ndl musc/tis for rt,,,21 ,,RBRVS,6.00 ,2.33 ,2.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,20600,CPT,"Drain/inject, joint/bursa",,,21 ,,RBRVS,0.66 ,0.32 ,0.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,20605,CPT,"Drain/inject, joint/bursa",,,21 ,,RBRVS,0.68 ,0.34 ,0.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,20610,CPT,"Drain/inject, joint/bursa",,,21 ,,RBRVS,0.79 ,0.42 ,1.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,20612,CPT,Aspirate/inj ganglion cyst,,,21 ,,RBRVS,0.70 ,0.34 ,0.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,20615,CPT,Treatment of bone cyst,,,21 ,,RBRVS,2.30 ,1.56 ,2.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,20650,CPT,Insert and remove bone pin,,,21 ,,RBRVS,2.25 ,1.48 ,2.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,20660,CPT,"Apply, rem fixation device",,,21 ,,RBRVS,4.00 ,1.60 ,1.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,20661,CPT,Application of head brace,,,21 ,,RBRVS,5.14 ,5.65 ,5.65 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,20662,CPT,Application of pelvis brace,,,21 ,,RBRVS,6.26 ,5.31 ,5.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,20663,CPT,Application of thigh brace,,,21 ,,RBRVS,5.62 ,4.81 ,4.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,20664,CPT,Halo brace application,,,21 ,,RBRVS,9.86 ,7.87 ,7.87 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,20665,CPT,Removal of fixation device,,,21 ,,RBRVS,1.33 ,1.08 ,1.57 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,20670,CPT,Removal of support implant,,,21 ,,RBRVS,1.76 ,1.78 ,7.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,20680,CPT,Removal of support implant,,,21 ,,RBRVS,5.90 ,4.04 ,8.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,20690,CPT,Apply bone fixation device,,,21 ,,RBRVS,8.65 ,4.50 ,4.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,20692,CPT,Apply bone fixation device,,,21 ,,RBRVS,16.00 ,8.64 ,8.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,20693,CPT,Adjust bone fixation device,,,21 ,,RBRVS,5.97 ,4.83 ,4.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,20694,CPT,Remove bone fixation device,,,21 ,,RBRVS,4.20 ,3.70 ,5.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,20696,CPT,Comp multiplane ext fixation,,,21 ,,RBRVS,17.32 ,7.96 ,7.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,20697,CPT,Comp ext fixate strut change,,,21 ,,RBRVS,,33.08 ,33.08 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,20802,CPT,"Replantation, arm, complete",,,21 ,,RBRVS,42.30 ,17.19 ,17.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,20805,CPT,"Replant forearm, complete",,,21 ,,RBRVS,51.14 ,21.66 ,21.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,20808,CPT,"Replantation hand, complete",,,21 ,,RBRVS,62.77 ,35.82 ,35.82 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,20816,CPT,"Replantation digit, complete",,,21 ,,RBRVS,31.74 ,22.39 ,22.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,20822,CPT,"Replantation digit, complete",,,21 ,,RBRVS,26.42 ,19.27 ,19.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,20824,CPT,"Replantation thumb, complete",,,21 ,,RBRVS,31.74 ,22.10 ,22.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,20827,CPT,"Replantation thumb, complete",,,21 ,,RBRVS,27.24 ,20.72 ,20.72 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,20838,CPT,"Replantation foot, complete",,,21 ,,RBRVS,42.56 ,19.38 ,19.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,20900,CPT,Removal of bone for graft,,,21 ,,RBRVS,3.00 ,3.04 ,6.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,20902,CPT,Removal of bone for graft,,,21 ,,RBRVS,4.58 ,3.75 ,3.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,20910,CPT,Remove cartilage for graft,,,21 ,,RBRVS,5.41 ,4.89 ,4.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,20912,CPT,Remove cartilage for graft,,,21 ,,RBRVS,6.42 ,5.20 ,5.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,20920,CPT,Removal of fascia for graft,,,21 ,,RBRVS,5.42 ,4.32 ,4.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,20922,CPT,Removal of fascia for graft,,,21 ,,RBRVS,6.84 ,5.16 ,7.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,20924,CPT,Removal of tendon for graft,,,21 ,,RBRVS,6.59 ,5.32 ,5.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,20926,CPT,Removal of tissue for graft,,,21 ,,RBRVS,5.70 ,4.60 ,4.60 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,20930,CPT,Sp bone algrft morsel add-on,,,21 ,,TotalUnits,,,,4.28 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,20931,CPT,Sp bone algrft struct add-on,,,21 ,,RBRVS,1.81 ,0.78 ,0.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,20936,CPT,Sp bone agrft local add-on,,,21 ,,TotalUnits,,,,5.28 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,20937,CPT,Sp bone agrft morsel add-on,,,21 ,,RBRVS,2.79 ,1.23 ,1.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,20938,CPT,Sp bone agrft struct add-on,,,21 ,,RBRVS,3.02 ,1.31 ,1.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,20950,CPT,"Fluid pressure, muscle",,,21 ,,RBRVS,1.26 ,0.90 ,4.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,20955,CPT,"Fibula bone graft, microvasc",,,21 ,,RBRVS,40.02 ,21.25 ,21.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,20956,CPT,"Iliac bone graft, microvasc",,,21 ,,RBRVS,40.93 ,21.76 ,21.76 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,20957,CPT,"Mt bone graft, microvasc",,,21 ,,RBRVS,42.33 ,17.17 ,17.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,20962,CPT,"Other bone graft, microvasc",,,21 ,,RBRVS,39.21 ,22.45 ,22.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,20969,CPT,"Bone/skin graft, microvasc",,,21 ,,RBRVS,45.11 ,23.15 ,23.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,20970,CPT,"Bone/skin graft, iliac crest",,,21 ,,RBRVS,44.26 ,23.17 ,23.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,20972,CPT,"Bone/skin graft, metatarsal",,,21 ,,RBRVS,44.19 ,17.73 ,17.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,20973,CPT,"Bone/skin graft, great toe",,,21 ,,RBRVS,46.95 ,18.03 ,18.03 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,20974,CPT,Electrical bone stimulation,,,21 ,,RBRVS,0.62 ,0.51 ,0.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,20975,CPT,Electrical bone stimulation,,,21 ,,RBRVS,2.60 ,1.57 ,1.57 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,20979,CPT,Us bone stimulation,,,21 ,,RBRVS,0.62 ,0.24 ,0.65 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,20982,CPT,"Ablate, bone tumor(s) perq",,,21 ,,RBRVS,7.27 ,2.91 ,86.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,20985,CPT,Cptr-asst dir ms px,,,21 ,,RBRVS,2.50 ,1.06 ,1.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,20999,CPT,Musculoskeletal surgery,,,21 ,,TotalUnits,,,,1.81 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,21010,CPT,Incision of jaw joint,,,21 ,,RBRVS,10.90 ,6.53 ,6.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,21012,CPT,Exc face les sc = 2 cm,,,21 ,,RBRVS,4.45 ,4.12 ,4.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,21013,CPT,Exc face tum deep < 2 cm,,,21 ,,RBRVS,5.42 ,4.69 ,7.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,21014,CPT,Exc face tum deep = 2 cm,,,21 ,,RBRVS,7.13 ,6.09 ,6.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,21015,CPT,Resection of facial tumor,,,21 ,,RBRVS,5.59 ,4.56 ,4.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,21016,CPT,Resect face tum = 2 cm,,,21 ,,RBRVS,15.26 ,10.90 ,10.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,21025,CPT,"Excision of bone, lower jaw",,,21 ,,RBRVS,9.87 ,7.88 ,11.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,21026,CPT,Excision of facial bone(s),,,21 ,,RBRVS,5.54 ,6.05 ,8.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,21029,CPT,Contour of face bone lesion,,,21 ,,RBRVS,8.26 ,6.72 ,9.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,21030,CPT,Excise max/zygoma b9 tumor,,,21 ,,RBRVS,4.80 ,4.80 ,6.95 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,21031,CPT,"Remove exostosis, mandible",,,21 ,,RBRVS,3.26 ,3.56 ,5.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,21032,CPT,"Remove exostosis, maxilla",,,21 ,,RBRVS,3.28 ,3.44 ,5.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,21034,CPT,Excise max/zygoma mlg tumor,,,21 ,,RBRVS,17.17 ,11.00 ,14.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,21040,CPT,Excise mandible lesion,,,21 ,,RBRVS,4.80 ,4.74 ,7.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,21044,CPT,Removal of jaw bone lesion,,,21 ,,RBRVS,12.61 ,8.58 ,8.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,21045,CPT,Extensive jaw surgery,,,21 ,,RBRVS,18.13 ,11.43 ,11.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,21046,CPT,Remove mandible cyst complex,,,21 ,,RBRVS,13.97 ,11.88 ,11.88 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,21047,CPT,Excise lwr jaw cyst w/repair,,,21 ,,RBRVS,19.83 ,11.42 ,11.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,21048,CPT,Remove maxilla cyst complex,,,21 ,,RBRVS,14.47 ,11.79 ,11.79 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,21049,CPT,Excis uppr jaw cyst w/repair,,,21 ,,RBRVS,19.08 ,11.46 ,11.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,21050,CPT,Removal of jaw joint,,,21 ,,RBRVS,11.54 ,9.04 ,9.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,21060,CPT,Remove jaw joint cartilage,,,21 ,,RBRVS,10.91 ,7.85 ,7.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,21070,CPT,Remove coronoid process,,,21 ,,RBRVS,8.50 ,6.66 ,6.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,21073,CPT,Mnpj of tmj w/anesth,,,21 ,,RBRVS,3.33 ,2.33 ,5.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,21076,CPT,Prepare face/oral prosthesis,,,21 ,,RBRVS,13.40 ,6.32 ,9.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,21077,CPT,Prepare face/oral prosthesis,,,21 ,,RBRVS,33.70 ,16.48 ,22.65 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,21079,CPT,Prepare face/oral prosthesis,,,21 ,,RBRVS,22.31 ,10.82 ,16.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,21080,CPT,Prepare face/oral prosthesis,,,21 ,,RBRVS,25.06 ,12.08 ,18.60 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,21081,CPT,Prepare face/oral prosthesis,,,21 ,,RBRVS,22.85 ,11.10 ,17.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,21082,CPT,Prepare face/oral prosthesis,,,21 ,,RBRVS,20.84 ,10.53 ,16.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,21083,CPT,Prepare face/oral prosthesis,,,21 ,,RBRVS,19.27 ,9.77 ,16.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,21084,CPT,Prepare face/oral prosthesis,,,21 ,,RBRVS,22.48 ,11.53 ,18.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,21085,CPT,Prepare face/oral prosthesis,,,21 ,,RBRVS,8.99 ,4.48 ,7.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,21086,CPT,Prepare face/oral prosthesis,,,21 ,,RBRVS,24.88 ,11.64 ,15.98 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,21087,CPT,Prepare face/oral prosthesis,,,21 ,,RBRVS,24.88 ,11.68 ,16.00 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,21088,CPT,Prepare face/oral prosthesis,,,21 ,,TotalUnits,,,,62.02 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,21089,CPT,Prepare face/oral prosthesis,,,21 ,,TotalUnits,,,,39.28 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,21100,CPT,Maxillofacial fixation,,,21 ,,RBRVS,4.56 ,5.09 ,12.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,21110,CPT,Interdental fixation,,,21 ,,RBRVS,5.80 ,9.34 ,12.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,21116,CPT,"Injection, jaw joint x-ray",,,21 ,,RBRVS,0.81 ,0.26 ,2.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,21120,CPT,Reconstruction of chin,,,21 ,,RBRVS,4.99 ,6.86 ,9.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,21121,CPT,Reconstruction of chin,,,21 ,,RBRVS,7.70 ,7.91 ,10.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,21122,CPT,Reconstruction of chin,,,21 ,,RBRVS,8.59 ,8.56 ,8.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,21123,CPT,Reconstruction of chin,,,21 ,,RBRVS,11.22 ,9.20 ,9.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,21125,CPT,"Augmentation, lower jaw bone",,,21 ,,RBRVS,10.68 ,7.43 ,63.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,21127,CPT,"Augmentation, lower jaw bone",,,21 ,,RBRVS,12.24 ,8.53 ,75.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,21137,CPT,Reduction of forehead,,,21 ,,RBRVS,10.12 ,6.96 ,6.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,21138,CPT,Reduction of forehead,,,21 ,,RBRVS,12.73 ,8.53 ,8.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,21139,CPT,Reduction of forehead,,,21 ,,RBRVS,14.90 ,9.46 ,9.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,21141,CPT,"Reconstruct midface, lefort",,,21 ,,RBRVS,19.27 ,12.91 ,12.91 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,21142,CPT,"Reconstruct midface, lefort",,,21 ,,RBRVS,19.98 ,11.74 ,11.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,21143,CPT,"Reconstruct midface, lefort",,,21 ,,RBRVS,20.75 ,12.72 ,12.72 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,21145,CPT,"Reconstruct midface, lefort",,,21 ,,RBRVS,23.64 ,13.18 ,13.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,21146,CPT,"Reconstruct midface, lefort",,,21 ,,RBRVS,24.54 ,14.77 ,14.77 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,21147,CPT,"Reconstruct midface, lefort",,,21 ,,RBRVS,26.14 ,15.19 ,15.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,21150,CPT,"Reconstruct midface, lefort",,,21 ,,RBRVS,25.78 ,14.77 ,14.77 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,21151,CPT,"Reconstruct midface, lefort",,,21 ,,RBRVS,28.84 ,20.84 ,20.84 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,21154,CPT,"Reconstruct midface, lefort",,,21 ,,RBRVS,31.05 ,18.93 ,18.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,21155,CPT,"Reconstruct midface, lefort",,,21 ,,RBRVS,34.98 ,19.13 ,19.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,21159,CPT,"Reconstruct midface, lefort",,,21 ,,RBRVS,42.90 ,22.42 ,22.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,21160,CPT,"Reconstruct midface, lefort",,,21 ,,RBRVS,46.95 ,23.04 ,23.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,21172,CPT,Reconstruct orbit/forehead,,,21 ,,RBRVS,28.07 ,14.32 ,14.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,21175,CPT,Reconstruct orbit/forehead,,,21 ,,RBRVS,33.43 ,17.42 ,17.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,21179,CPT,Reconstruct entire forehead,,,21 ,,RBRVS,22.53 ,12.67 ,12.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,21180,CPT,Reconstruct entire forehead,,,21 ,,RBRVS,25.46 ,14.49 ,14.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,21181,CPT,Contour cranial bone lesion,,,21 ,,RBRVS,10.18 ,6.63 ,6.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,21182,CPT,Reconstruct cranial bone,,,21 ,,RBRVS,32.45 ,17.04 ,17.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,21183,CPT,Reconstruct cranial bone,,,21 ,,RBRVS,35.57 ,18.92 ,18.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,21184,CPT,Reconstruct cranial bone,,,21 ,,RBRVS,38.49 ,19.12 ,19.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,21188,CPT,Reconstruction of midface,,,21 ,,RBRVS,22.97 ,16.74 ,16.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,21193,CPT,Reconst lwr jaw w/o graft,,,21 ,,RBRVS,18.65 ,10.99 ,10.99 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,21194,CPT,Reconst lwr jaw w/graft,,,21 ,,RBRVS,21.54 ,12.65 ,12.65 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,21195,CPT,Reconst lwr jaw w/o fixation,,,21 ,,RBRVS,18.88 ,13.49 ,13.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,21196,CPT,Reconst lwr jaw w/fixation,,,21 ,,RBRVS,20.55 ,14.53 ,14.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,21198,CPT,Reconstr lwr jaw segment,,,21 ,,RBRVS,15.48 ,12.27 ,12.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,21199,CPT,Reconstr lwr jaw w/advance,,,21 ,,RBRVS,16.62 ,8.33 ,8.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,21206,CPT,Reconstruct upper jaw bone,,,21 ,,RBRVS,15.36 ,12.03 ,12.03 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,21208,CPT,Augmentation of facial bones,,,21 ,,RBRVS,11.15 ,8.70 ,30.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,21209,CPT,Reduction of facial bones,,,21 ,,RBRVS,7.58 ,7.67 ,11.88 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,21210,CPT,Face bone graft,,,21 ,,RBRVS,11.40 ,8.28 ,38.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,21215,CPT,Lower jaw bone graft,,,21 ,,RBRVS,11.94 ,8.46 ,73.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,21230,CPT,Rib cartilage graft,,,21 ,,RBRVS,11.06 ,7.23 ,7.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,21235,CPT,Ear cartilage graft,,,21 ,,RBRVS,7.31 ,6.34 ,10.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,21240,CPT,Reconstruction of jaw joint,,,21 ,,RBRVS,15.77 ,10.43 ,10.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,21242,CPT,Reconstruction of jaw joint,,,21 ,,RBRVS,14.32 ,9.87 ,9.87 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,21243,CPT,Reconstruction of jaw joint,,,21 ,,RBRVS,24.03 ,15.45 ,15.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,21244,CPT,Reconstruction of lower jaw,,,21 ,,RBRVS,13.35 ,11.82 ,11.82 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,21245,CPT,Reconstruction of jaw,,,21 ,,RBRVS,12.88 ,9.19 ,14.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,21246,CPT,Reconstruction of jaw,,,21 ,,RBRVS,12.78 ,7.65 ,7.65 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,21247,CPT,Reconstruct lower jaw bone,,,21 ,,RBRVS,24.05 ,14.55 ,14.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,21248,CPT,Reconstruction of jaw,,,21 ,,RBRVS,12.54 ,8.35 ,12.84 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,21249,CPT,Reconstruction of jaw,,,21 ,,RBRVS,18.57 ,10.86 ,16.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,21255,CPT,Reconstruct lower jaw bone,,,21 ,,RBRVS,18.14 ,16.23 ,16.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,21256,CPT,Reconstruction of orbit,,,21 ,,RBRVS,17.42 ,10.83 ,10.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,21260,CPT,Revise eye sockets,,,21 ,,RBRVS,17.74 ,14.67 ,14.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,21261,CPT,Revise eye sockets,,,21 ,,RBRVS,33.78 ,20.32 ,20.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,21263,CPT,Revise eye sockets,,,21 ,,RBRVS,30.72 ,18.26 ,18.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,21267,CPT,Revise eye sockets,,,21 ,,RBRVS,20.45 ,17.00 ,17.00 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,21268,CPT,Revise eye sockets,,,21 ,,RBRVS,26.78 ,18.65 ,18.65 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,21270,CPT,"Augmentation, cheek bone",,,21 ,,RBRVS,10.52 ,6.45 ,11.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,21275,CPT,"Revision, orbitofacial bones",,,21 ,,RBRVS,11.65 ,7.62 ,7.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,21280,CPT,Revision of eyelid,,,21 ,,RBRVS,6.92 ,5.81 ,5.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,21282,CPT,Revision of eyelid,,,21 ,,RBRVS,4.11 ,4.33 ,4.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,21295,CPT,Revision of jaw muscle/bone,,,21 ,,RBRVS,1.82 ,2.39 ,2.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,21296,CPT,Revision of jaw muscle/bone,,,21 ,,RBRVS,4.67 ,5.59 ,5.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,21299,CPT,Cranio/maxillofacial surgery,,,21 ,,TotalUnits,,,,24.93 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,21310,CPT,Treatment of nose fracture,,,21 ,,RBRVS,0.58 ,0.12 ,2.00 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,21315,CPT,Treatment of nose fracture,,,21 ,,RBRVS,1.78 ,1.79 ,4.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,21320,CPT,Treatment of nose fracture,,,21 ,,RBRVS,1.86 ,1.44 ,4.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,21325,CPT,Treatment of nose fracture,,,21 ,,RBRVS,4.07 ,7.29 ,7.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,21330,CPT,Treatment of nose fracture,,,21 ,,RBRVS,5.68 ,8.12 ,8.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,21335,CPT,Treatment of nose fracture,,,21 ,,RBRVS,8.91 ,8.87 ,8.87 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,21336,CPT,Treat nasal septal fracture,,,21 ,,RBRVS,6.56 ,8.89 ,8.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,21337,CPT,Treat nasal septal fracture,,,21 ,,RBRVS,3.26 ,3.58 ,6.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,21338,CPT,Treat nasoethmoid fracture,,,21 ,,RBRVS,6.76 ,10.83 ,10.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,21339,CPT,Treat nasoethmoid fracture,,,21 ,,RBRVS,8.39 ,11.16 ,11.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,21340,CPT,Treatment of nose fracture,,,21 ,,RBRVS,11.33 ,7.97 ,7.97 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,21343,CPT,Treatment of sinus fracture,,,21 ,,RBRVS,14.11 ,13.46 ,13.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,21344,CPT,Treatment of sinus fracture,,,21 ,,RBRVS,21.36 ,14.45 ,14.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,21345,CPT,Treat nose/jaw fracture,,,21 ,,RBRVS,8.87 ,6.81 ,10.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,21346,CPT,Treat nose/jaw fracture,,,21 ,,RBRVS,11.29 ,11.56 ,11.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,21347,CPT,Treat nose/jaw fracture,,,21 ,,RBRVS,13.37 ,13.07 ,13.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,21348,CPT,Treat nose/jaw fracture,,,21 ,,RBRVS,17.36 ,9.98 ,9.98 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,21355,CPT,Treat cheek bone fracture,,,21 ,,RBRVS,4.32 ,3.49 ,6.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,21356,CPT,Treat cheek bone fracture,,,21 ,,RBRVS,4.70 ,4.23 ,7.00 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,21360,CPT,Treat cheek bone fracture,,,21 ,,RBRVS,7.03 ,5.61 ,5.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,21365,CPT,Treat cheek bone fracture,,,21 ,,RBRVS,16.52 ,9.83 ,9.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,21366,CPT,Treat cheek bone fracture,,,21 ,,RBRVS,18.44 ,10.43 ,10.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,21385,CPT,Treat eye socket fracture,,,21 ,,RBRVS,9.46 ,7.62 ,7.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,21386,CPT,Treat eye socket fracture,,,21 ,,RBRVS,9.46 ,6.42 ,6.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,21387,CPT,Treat eye socket fracture,,,21 ,,RBRVS,10.00 ,7.77 ,7.77 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,21390,CPT,Treat eye socket fracture,,,21 ,,RBRVS,11.07 ,7.45 ,7.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,21395,CPT,Treat eye socket fracture,,,21 ,,RBRVS,14.62 ,8.52 ,8.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,21400,CPT,Treat eye socket fracture,,,21 ,,RBRVS,1.44 ,2.01 ,2.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,21401,CPT,Treat eye socket fracture,,,21 ,,RBRVS,3.57 ,3.45 ,7.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,21406,CPT,Treat eye socket fracture,,,21 ,,RBRVS,7.31 ,5.60 ,5.60 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,21407,CPT,Treat eye socket fracture,,,21 ,,RBRVS,8.91 ,6.32 ,6.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,21408,CPT,Treat eye socket fracture,,,21 ,,RBRVS,12.67 ,8.17 ,8.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,21421,CPT,Treat mouth roof fracture,,,21 ,,RBRVS,5.80 ,8.92 ,11.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,21422,CPT,Treat mouth roof fracture,,,21 ,,RBRVS,8.62 ,7.34 ,7.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,21423,CPT,Treat mouth roof fracture,,,21 ,,RBRVS,10.71 ,8.18 ,8.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,21431,CPT,Treat craniofacial fracture,,,21 ,,RBRVS,7.74 ,9.99 ,9.99 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,21432,CPT,Treat craniofacial fracture,,,21 ,,RBRVS,8.76 ,7.27 ,7.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,21433,CPT,Treat craniofacial fracture,,,21 ,,RBRVS,26.13 ,14.49 ,14.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,21435,CPT,Treat craniofacial fracture,,,21 ,,RBRVS,20.02 ,12.17 ,12.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,21436,CPT,Treat craniofacial fracture,,,21 ,,RBRVS,30.01 ,17.23 ,17.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,21440,CPT,Treat dental ridge fracture,,,21 ,,RBRVS,3.28 ,7.23 ,9.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,21445,CPT,Treat dental ridge fracture,,,21 ,,RBRVS,6.04 ,8.62 ,11.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,21450,CPT,Treat lower jaw fracture,,,21 ,,RBRVS,3.55 ,7.51 ,9.72 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,21451,CPT,Treat lower jaw fracture,,,21 ,,RBRVS,5.46 ,9.28 ,11.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,21452,CPT,Treat lower jaw fracture,,,21 ,,RBRVS,2.29 ,5.68 ,12.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,21453,CPT,Treat lower jaw fracture,,,21 ,,RBRVS,6.40 ,11.40 ,13.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,21454,CPT,Treat lower jaw fracture,,,21 ,,RBRVS,7.17 ,5.97 ,5.97 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,21461,CPT,Treat lower jaw fracture,,,21 ,,RBRVS,9.07 ,12.86 ,37.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,21462,CPT,Treat lower jaw fracture,,,21 ,,RBRVS,10.77 ,13.39 ,38.91 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,21465,CPT,Treat lower jaw fracture,,,21 ,,RBRVS,12.88 ,8.79 ,8.79 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,21470,CPT,Treat lower jaw fracture,,,21 ,,RBRVS,17.24 ,11.02 ,11.02 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,21480,CPT,Reset dislocated jaw,,,21 ,,RBRVS,0.61 ,0.18 ,1.57 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,21485,CPT,Reset dislocated jaw,,,21 ,,RBRVS,4.58 ,8.68 ,11.00 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,21490,CPT,Repair dislocated jaw,,,21 ,,RBRVS,12.71 ,8.96 ,8.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,21495,CPT,Treat hyoid bone fracture,,,21 ,,RBRVS,6.55 ,9.93 ,9.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,21497,CPT,Interdental wiring,,,21 ,,RBRVS,4.45 ,8.97 ,11.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,21499,CPT,Head surgery procedure,,,21 ,,TotalUnits,,,,18.52 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,21501,CPT,Drain neck/chest lesion,,,21 ,,RBRVS,3.87 ,3.62 ,6.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,21502,CPT,Drain chest lesion,,,21 ,,RBRVS,7.43 ,4.90 ,4.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,21510,CPT,Drainage of bone lesion,,,21 ,,RBRVS,6.06 ,4.89 ,4.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,21550,CPT,Biopsy of neck/chest,,,21 ,,RBRVS,2.08 ,1.77 ,4.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,21552,CPT,Exc neck les sc = 3 cm,,,21 ,,RBRVS,6.49 ,4.74 ,4.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,21554,CPT,Exc neck tum deep = 5 cm,,,21 ,,RBRVS,11.13 ,7.31 ,7.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,21555,CPT,"Remove lesion, neck/chest",,,21 ,,RBRVS,4.40 ,3.42 ,5.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,21556,CPT,"Remove lesion, neck/chest",,,21 ,,RBRVS,5.63 ,4.18 ,4.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,21557,CPT,"Remove tumor, neck/chest",,,21 ,,RBRVS,8.91 ,4.85 ,4.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,21558,CPT,Resect neck tum = 5 cm,,,21 ,,RBRVS,21.58 ,12.92 ,12.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,21600,CPT,Partial removal of rib,,,21 ,,RBRVS,7.14 ,5.92 ,5.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,21610,CPT,Partial removal of rib,,,21 ,,RBRVS,15.76 ,8.83 ,8.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,21615,CPT,Removal of rib,,,21 ,,RBRVS,10.31 ,5.55 ,5.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,21616,CPT,Removal of rib and nerves,,,21 ,,RBRVS,12.54 ,7.71 ,7.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,21620,CPT,Partial removal of sternum,,,21 ,,RBRVS,7.16 ,5.22 ,5.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,21627,CPT,Sternal debridement,,,21 ,,RBRVS,7.18 ,5.84 ,5.84 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,21630,CPT,Extensive sternum surgery,,,21 ,,RBRVS,19.01 ,11.11 ,11.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,21632,CPT,Extensive sternum surgery,,,21 ,,RBRVS,19.51 ,10.20 ,10.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,21685,CPT,Hyoid myotomy & suspension,,,21 ,,RBRVS,14.89 ,9.26 ,9.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,21700,CPT,Revision of neck muscle,,,21 ,,RBRVS,6.23 ,4.12 ,4.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,21705,CPT,Revision of neck muscle/rib,,,21 ,,RBRVS,9.83 ,5.44 ,5.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,21720,CPT,Revision of neck muscle,,,21 ,,RBRVS,5.72 ,3.87 ,3.87 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,21725,CPT,Revision of neck muscle,,,21 ,,RBRVS,7.10 ,5.34 ,5.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,21740,CPT,Reconstruction of sternum,,,21 ,,RBRVS,17.47 ,8.35 ,8.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,21742,CPT,Repair stern/nuss w/o scope,,,21 ,,TotalUnits,,,,30.35 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,21743,CPT,Repair sternum/nuss w/scope,,,21 ,,TotalUnits,,,,39.94 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,21750,CPT,Repair of sternum separation,,,21 ,,RBRVS,11.35 ,5.74 ,5.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,21800,CPT,Treatment of rib fracture,,,21 ,,RBRVS,0.98 ,1.38 ,1.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,21805,CPT,Treatment of rib fracture,,,21 ,,RBRVS,2.80 ,3.32 ,3.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,21810,CPT,Treatment of rib fracture(s),,,21 ,,RBRVS,6.92 ,4.90 ,4.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,21820,CPT,Treat sternum fracture,,,21 ,,RBRVS,1.31 ,1.80 ,1.76 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,21825,CPT,Treat sternum fracture,,,21 ,,RBRVS,7.65 ,5.75 ,5.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,21899,CPT,Neck/chest surgery procedure,,,21 ,,TotalUnits,,,,8.46 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,21920,CPT,Biopsy soft tissue of back,,,21 ,,RBRVS,2.08 ,1.78 ,4.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,21925,CPT,Biopsy soft tissue of back,,,21 ,,RBRVS,4.54 ,3.38 ,5.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,21930,CPT,"Remove lesion, back or flank",,,21 ,,RBRVS,5.06 ,3.72 ,5.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,21931,CPT,Exc back les sc = 3 cm,,,21 ,,RBRVS,6.88 ,4.82 ,4.82 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,21932,CPT,Exc back tum deep < 5 cm,,,21 ,,RBRVS,9.82 ,6.95 ,6.95 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,21933,CPT,Exc back tum deep = 5 cm,,,21 ,,RBRVS,11.13 ,7.31 ,7.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,21935,CPT,"Remove tumor, back",,,21 ,,RBRVS,18.38 ,9.02 ,9.02 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,21936,CPT,Resect back tum = 5 cm,,,21 ,,RBRVS,22.55 ,13.14 ,13.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,22010,CPT,"I&d, p-spine, c/t/cerv-thor",,,21 ,,RBRVS,12.57 ,8.69 ,8.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,22015,CPT,"I&d, p-spine, l/s/ls",,,21 ,,RBRVS,12.46 ,8.69 ,8.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,22100,CPT,Remove part of neck vertebra,,,21 ,,RBRVS,10.80 ,8.03 ,8.03 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,22101,CPT,"Remove part, thorax vertebra",,,21 ,,RBRVS,10.88 ,8.05 ,8.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,22102,CPT,"Remove part, lumbar vertebra",,,21 ,,RBRVS,10.88 ,7.99 ,7.99 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,22103,CPT,Remove extra spine segment,,,21 ,,RBRVS,2.34 ,1.03 ,1.03 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,22110,CPT,Remove part of neck vertebra,,,21 ,,RBRVS,13.80 ,9.51 ,9.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,22112,CPT,"Remove part, thorax vertebra",,,21 ,,RBRVS,13.87 ,8.79 ,8.79 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,22114,CPT,"Remove part, lumbar vertebra",,,21 ,,RBRVS,13.87 ,9.36 ,9.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,22116,CPT,Remove extra spine segment,,,21 ,,RBRVS,2.32 ,0.99 ,0.99 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,22206,CPT,"Cut spine 3 col, thor",,,21 ,,RBRVS,37.00 ,18.64 ,18.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,22207,CPT,"Cut spine 3 col, lumb",,,21 ,,RBRVS,36.50 ,18.47 ,18.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,22208,CPT,"Cut spine 3 col, addl seg",,,21 ,,RBRVS,9.66 ,3.99 ,3.99 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,22210,CPT,Revision of neck spine,,,21 ,,RBRVS,25.13 ,15.20 ,15.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,22212,CPT,Revision of thorax spine,,,21 ,,RBRVS,20.74 ,13.03 ,13.03 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,22214,CPT,Revision of lumbar spine,,,21 ,,RBRVS,20.77 ,13.22 ,13.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,22216,CPT,"Revise, extra spine segment",,,21 ,,RBRVS,6.03 ,2.66 ,2.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,22220,CPT,Revision of neck spine,,,21 ,,RBRVS,22.69 ,13.51 ,13.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,22222,CPT,Revision of thorax spine,,,21 ,,RBRVS,22.84 ,10.47 ,10.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,22224,CPT,Revision of lumbar spine,,,21 ,,RBRVS,22.84 ,13.55 ,13.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,22226,CPT,"Revise, extra spine segment",,,21 ,,RBRVS,6.03 ,2.62 ,2.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,22305,CPT,Treat spine process fracture,,,21 ,,RBRVS,2.08 ,1.85 ,2.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,22310,CPT,Treat spine fracture,,,21 ,,RBRVS,3.69 ,2.52 ,2.99 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,22315,CPT,Treat spine fracture,,,21 ,,RBRVS,9.91 ,7.47 ,9.79 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,22318,CPT,Treat odontoid fx w/o graft,,,21 ,,RBRVS,22.54 ,13.47 ,13.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,22319,CPT,Treat odontoid fx w/graft,,,21 ,,RBRVS,25.15 ,14.26 ,14.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,22325,CPT,Treat spine fracture,,,21 ,,RBRVS,19.62 ,12.44 ,12.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,22326,CPT,Treat neck spine fracture,,,21 ,,RBRVS,20.64 ,12.51 ,12.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,22327,CPT,Treat thorax spine fracture,,,21 ,,RBRVS,20.52 ,12.65 ,12.65 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,22328,CPT,Treat each add spine fx,,,21 ,,RBRVS,4.60 ,1.97 ,1.97 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,22505,CPT,Manipulation of spine,,,21 ,,RBRVS,1.87 ,0.96 ,0.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,22520,CPT,Percut vertebroplasty thor,,,21 ,,RBRVS,9.17 ,4.48 ,47.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,22521,CPT,Percut vertebroplasty lumb,,,21 ,,RBRVS,8.60 ,4.28 ,46.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,22522,CPT,Percut vertebroplasty add'l,,,21 ,,RBRVS,4.30 ,1.67 ,1.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,22523,CPT,"Percut kyphoplasty, thor",,,21 ,,RBRVS,9.21 ,5.14 ,5.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,22524,CPT,"Percut kyphoplasty, lumbar",,,21 ,,RBRVS,8.81 ,4.97 ,4.97 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,22525,CPT,"Percut kyphoplasty, add-on",,,21 ,,RBRVS,4.47 ,1.92 ,1.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,22526,CPT,"Idet, single level",,,21 ,,RBRVS,6.07 ,1.91 ,41.57 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,22527,CPT,"Idet, 1 or more levels",,,21 ,,RBRVS,3.03 ,0.57 ,34.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,22532,CPT,Lat thorax spine fusion,,,21 ,,RBRVS,25.81 ,14.41 ,14.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,22533,CPT,Lat lumbar spine fusion,,,21 ,,RBRVS,24.61 ,13.92 ,13.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,22534,CPT,"Lat thor/lumb, add'l seg",,,21 ,,RBRVS,5.99 ,2.60 ,2.60 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,22548,CPT,Neck spine fusion,,,21 ,,RBRVS,26.86 ,15.31 ,15.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,22554,CPT,Neck spine fusion,,,21 ,,RBRVS,17.54 ,11.26 ,11.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,22556,CPT,Thorax spine fusion,,,21 ,,RBRVS,24.50 ,13.73 ,13.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,22558,CPT,Lumbar spine fusion,,,21 ,,RBRVS,23.33 ,12.36 ,12.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,22585,CPT,Additional spinal fusion,,,21 ,,RBRVS,5.52 ,2.35 ,2.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,22590,CPT,Spine & skull spinal fusion,,,21 ,,RBRVS,21.56 ,13.40 ,13.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,22595,CPT,Neck spinal fusion,,,21 ,,RBRVS,20.44 ,12.85 ,12.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,22600,CPT,Neck spine fusion,,,21 ,,RBRVS,17.20 ,11.38 ,11.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,22610,CPT,Thorax spine fusion,,,21 ,,RBRVS,17.08 ,11.23 ,11.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,22612,CPT,Lumbar spine fusion,,,21 ,,RBRVS,23.38 ,13.32 ,13.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,22614,CPT,"Spine fusion, extra segment",,,21 ,,RBRVS,6.43 ,2.81 ,2.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,22630,CPT,Lumbar spine fusion,,,21 ,,RBRVS,21.89 ,13.12 ,13.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,22632,CPT,"Spine fusion, extra segment",,,21 ,,RBRVS,5.22 ,2.26 ,2.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,22800,CPT,Fusion of spine,,,21 ,,RBRVS,19.30 ,11.92 ,11.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,22802,CPT,Fusion of spine,,,21 ,,RBRVS,31.91 ,17.58 ,17.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,22804,CPT,Fusion of spine,,,21 ,,RBRVS,37.30 ,19.95 ,19.95 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,22808,CPT,Fusion of spine,,,21 ,,RBRVS,27.31 ,15.01 ,15.01 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,22810,CPT,Fusion of spine,,,21 ,,RBRVS,31.30 ,16.12 ,16.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,22812,CPT,Fusion of spine,,,21 ,,RBRVS,34.00 ,18.13 ,18.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,22818,CPT,"Kyphectomy, 1-2 segments",,,21 ,,RBRVS,34.18 ,17.60 ,17.60 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,22819,CPT,"Kyphectomy, 3 or more",,,21 ,,RBRVS,39.18 ,20.33 ,20.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,22830,CPT,Exploration of spinal fusion,,,21 ,,RBRVS,11.13 ,7.45 ,7.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,22840,CPT,Insert spine fixation device,,,21 ,,RBRVS,12.52 ,5.45 ,5.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,22841,CPT,Insert spine fixation device,,,21 ,,TotalUnits,,,,15.43 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,22842,CPT,Insert spine fixation device,,,21 ,,RBRVS,12.56 ,5.48 ,5.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,22843,CPT,Insert spine fixation device,,,21 ,,RBRVS,13.44 ,5.81 ,5.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,22844,CPT,Insert spine fixation device,,,21 ,,RBRVS,16.42 ,7.38 ,7.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,22845,CPT,Insert spine fixation device,,,21 ,,RBRVS,11.94 ,5.12 ,5.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,22846,CPT,Insert spine fixation device,,,21 ,,RBRVS,12.40 ,5.32 ,5.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,22847,CPT,Insert spine fixation device,,,21 ,,RBRVS,13.78 ,5.95 ,5.95 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,22848,CPT,Insert pelv fixation device,,,21 ,,RBRVS,5.99 ,2.69 ,2.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,22849,CPT,Reinsert spinal fixation,,,21 ,,RBRVS,19.08 ,10.92 ,10.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,22850,CPT,Remove spine fixation device,,,21 ,,RBRVS,9.74 ,6.69 ,6.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,22851,CPT,Apply spine prosth device,,,21 ,,RBRVS,6.70 ,2.88 ,2.88 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,22852,CPT,Remove spine fixation device,,,21 ,,RBRVS,9.29 ,6.46 ,6.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,22855,CPT,Remove spine fixation device,,,21 ,,RBRVS,15.77 ,9.49 ,9.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,22856,CPT,Cerv artific diskectomy,,,21 ,,RBRVS,23.90 ,13.63 ,13.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,22857,CPT,Lumbar artif diskectomy,,,21 ,,RBRVS,26.93 ,13.76 ,13.76 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,22861,CPT,Revise cerv artific disc,,,21 ,,RBRVS,33.21 ,13.54 ,13.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,22862,CPT,Revise lumbar artif disc,,,21 ,,RBRVS,32.43 ,13.72 ,13.72 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,22864,CPT,Remove cerv artif disc,,,21 ,,RBRVS,29.25 ,12.22 ,12.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,22865,CPT,Remove lumb artif disc,,,21 ,,RBRVS,31.55 ,18.22 ,18.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,22899,CPT,Spine surgery procedure,,,21 ,,TotalUnits,,,,17.72 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,22900,CPT,Remove abdominal wall lesion,,,21 ,,RBRVS,6.14 ,3.52 ,3.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,22901,CPT,Exc back tum deep = 5 cm,,,21 ,,RBRVS,10.11 ,6.36 ,6.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,22902,CPT,Exc abd les sc < 3 cm,,,21 ,,RBRVS,4.42 ,4.14 ,6.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,22903,CPT,Exc abd les sc > 3 cm,,,21 ,,RBRVS,6.39 ,4.63 ,4.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,22904,CPT,Resect abd tum < 5 cm,,,21 ,,RBRVS,16.69 ,8.91 ,8.91 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,22905,CPT,Resect abd tum > 5 cm,,,21 ,,RBRVS,21.58 ,11.62 ,11.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,22999,CPT,Abdomen surgery procedure,,,21 ,,TotalUnits,,,,9.66 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,23000,CPT,Removal of calcium deposits,,,21 ,,RBRVS,4.40 ,3.99 ,8.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,23020,CPT,Release shoulder joint,,,21 ,,RBRVS,9.24 ,6.90 ,6.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,23030,CPT,Drain shoulder lesion,,,21 ,,RBRVS,3.44 ,2.56 ,6.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,23031,CPT,Drain shoulder bursa,,,21 ,,RBRVS,2.76 ,2.22 ,6.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,23035,CPT,Drain shoulder bone lesion,,,21 ,,RBRVS,9.04 ,7.01 ,7.01 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,23040,CPT,Exploratory shoulder surgery,,,21 ,,RBRVS,9.63 ,7.18 ,7.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,23044,CPT,Exploratory shoulder surgery,,,21 ,,RBRVS,7.48 ,5.87 ,5.87 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,23065,CPT,Biopsy shoulder tissues,,,21 ,,RBRVS,2.28 ,1.72 ,2.82 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,23066,CPT,Biopsy shoulder tissues,,,21 ,,RBRVS,4.21 ,3.73 ,7.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,23071,CPT,Exc shoulder les sc > 3 cm,,,21 ,,RBRVS,5.91 ,4.52 ,4.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,23073,CPT,Exc shoulder tum deep > 5 cm,,,21 ,,RBRVS,10.13 ,7.11 ,7.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,23075,CPT,Removal of shoulder lesion,,,21 ,,RBRVS,2.41 ,1.76 ,3.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,23076,CPT,Removal of shoulder lesion,,,21 ,,RBRVS,7.77 ,5.43 ,5.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,23077,CPT,Remove tumor of shoulder,,,21 ,,RBRVS,18.08 ,9.97 ,9.97 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,23078,CPT,Resect shoulder tum > 5 cm,,,21 ,,RBRVS,22.55 ,11.98 ,11.98 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,23100,CPT,Biopsy of shoulder joint,,,21 ,,RBRVS,6.09 ,5.28 ,5.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,23101,CPT,Shoulder joint surgery,,,21 ,,RBRVS,5.63 ,4.82 ,4.82 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,23105,CPT,Remove shoulder joint lining,,,21 ,,RBRVS,8.36 ,6.50 ,6.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,23106,CPT,Incision of collarbone joint,,,21 ,,RBRVS,6.02 ,5.09 ,5.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,23107,CPT,Explore treat shoulder joint,,,21 ,,RBRVS,8.75 ,6.68 ,6.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,23120,CPT,"Partial removal, collar bone",,,21 ,,RBRVS,7.23 ,6.16 ,6.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,23125,CPT,Removal of collar bone,,,21 ,,RBRVS,9.52 ,6.87 ,6.87 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,23130,CPT,"Remove shoulder bone, part",,,21 ,,RBRVS,7.63 ,6.45 ,6.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,23140,CPT,Removal of bone lesion,,,21 ,,RBRVS,7.01 ,4.99 ,4.99 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,23145,CPT,Removal of bone lesion,,,21 ,,RBRVS,9.28 ,6.88 ,6.88 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,23146,CPT,Removal of bone lesion,,,21 ,,RBRVS,7.96 ,6.04 ,6.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,23150,CPT,Removal of humerus lesion,,,21 ,,RBRVS,8.79 ,6.56 ,6.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,23155,CPT,Removal of humerus lesion,,,21 ,,RBRVS,10.72 ,7.74 ,7.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,23156,CPT,Removal of humerus lesion,,,21 ,,RBRVS,8.99 ,6.72 ,6.72 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,23170,CPT,Remove collar bone lesion,,,21 ,,RBRVS,7.10 ,5.28 ,5.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,23172,CPT,Remove shoulder blade lesion,,,21 ,,RBRVS,7.20 ,5.59 ,5.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,23174,CPT,Remove humerus lesion,,,21 ,,RBRVS,9.90 ,7.69 ,7.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,23180,CPT,Remove collar bone lesion,,,21 ,,RBRVS,8.85 ,7.18 ,7.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,23182,CPT,Remove shoulder blade lesion,,,21 ,,RBRVS,8.47 ,7.03 ,7.03 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,23184,CPT,Remove humerus lesion,,,21 ,,RBRVS,9.76 ,7.68 ,7.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,23190,CPT,Partial removal of scapula,,,21 ,,RBRVS,7.36 ,5.65 ,5.65 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,23195,CPT,Removal of head of humerus,,,21 ,,RBRVS,10.24 ,7.33 ,7.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,23200,CPT,Removal of collar bone,,,21 ,,RBRVS,12.69 ,8.09 ,8.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,23210,CPT,Removal of shoulder blade,,,21 ,,RBRVS,13.16 ,8.58 ,8.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,23220,CPT,Partial removal of humerus,,,21 ,,RBRVS,15.36 ,9.73 ,9.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,23330,CPT,Remove shoulder foreign body,,,21 ,,RBRVS,1.87 ,1.64 ,3.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,23331,CPT,Remove shoulder foreign body,,,21 ,,RBRVS,7.51 ,6.20 ,6.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,23332,CPT,Remove shoulder foreign body,,,21 ,,RBRVS,12.23 ,8.52 ,8.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,23350,CPT,Injection for shoulder x-ray,,,21 ,,RBRVS,1.00 ,0.37 ,2.91 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,23395,CPT,"Muscle transfer,shoulder/arm",,,21 ,,RBRVS,18.29 ,11.95 ,11.95 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,23397,CPT,Muscle transfers,,,21 ,,RBRVS,16.62 ,10.39 ,10.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,23400,CPT,Fixation of shoulder blade,,,21 ,,RBRVS,13.73 ,9.18 ,9.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,23405,CPT,Incision of tendon & muscle,,,21 ,,RBRVS,8.43 ,6.32 ,6.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,23406,CPT,Incise tendon(s) & muscle(s),,,21 ,,RBRVS,10.90 ,7.49 ,7.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,23410,CPT,"Repair rotator cuff, acute",,,21 ,,RBRVS,11.23 ,8.17 ,8.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,23412,CPT,"Repair rotator cuff, chronic",,,21 ,,RBRVS,11.77 ,8.47 ,8.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,23415,CPT,Release of shoulder ligament,,,21 ,,RBRVS,9.07 ,7.13 ,7.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,23420,CPT,Repair of shoulder,,,21 ,,RBRVS,13.35 ,9.52 ,9.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,23430,CPT,Repair biceps tendon,,,21 ,,RBRVS,10.05 ,7.27 ,7.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,23440,CPT,Remove/transplant tendon,,,21 ,,RBRVS,10.53 ,7.31 ,7.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,23450,CPT,Repair shoulder capsule,,,21 ,,RBRVS,13.58 ,8.78 ,8.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,23455,CPT,Repair shoulder capsule,,,21 ,,RBRVS,14.55 ,9.29 ,9.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,23460,CPT,Repair shoulder capsule,,,21 ,,RBRVS,15.68 ,10.15 ,10.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,23462,CPT,Repair shoulder capsule,,,21 ,,RBRVS,15.60 ,9.75 ,9.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,23465,CPT,Repair shoulder capsule,,,21 ,,RBRVS,16.16 ,10.25 ,10.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,23466,CPT,Repair shoulder capsule,,,21 ,,RBRVS,15.55 ,10.66 ,10.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,23470,CPT,Reconstruct shoulder joint,,,21 ,,RBRVS,17.75 ,11.00 ,11.00 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,23472,CPT,Reconstruct shoulder joint,,,21 ,,RBRVS,22.47 ,13.15 ,13.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,23480,CPT,Revision of collar bone,,,21 ,,RBRVS,11.42 ,7.83 ,7.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,23485,CPT,Revision of collar bone,,,21 ,,RBRVS,13.79 ,8.93 ,8.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,23490,CPT,Reinforce clavicle,,,21 ,,RBRVS,12.04 ,7.95 ,7.95 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,23491,CPT,Reinforce shoulder bones,,,21 ,,RBRVS,14.40 ,9.52 ,9.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,23500,CPT,Treat clavicle fracture,,,21 ,,RBRVS,2.13 ,2.66 ,2.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,23505,CPT,Treat clavicle fracture,,,21 ,,RBRVS,3.74 ,3.70 ,4.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,23515,CPT,Treat clavicle fracture,,,21 ,,RBRVS,9.53 ,7.06 ,7.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,23520,CPT,Treat clavicle dislocation,,,21 ,,RBRVS,2.21 ,2.80 ,2.77 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,23525,CPT,Treat clavicle dislocation,,,21 ,,RBRVS,3.67 ,3.60 ,4.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,23530,CPT,Treat clavicle dislocation,,,21 ,,RBRVS,7.37 ,5.19 ,5.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,23532,CPT,Treat clavicle dislocation,,,21 ,,RBRVS,8.08 ,6.38 ,6.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,23540,CPT,Treat clavicle dislocation,,,21 ,,RBRVS,2.28 ,2.60 ,2.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,23545,CPT,Treat clavicle dislocation,,,21 ,,RBRVS,3.32 ,3.30 ,3.88 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,23550,CPT,Treat clavicle dislocation,,,21 ,,RBRVS,7.48 ,5.87 ,5.87 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,23552,CPT,Treat clavicle dislocation,,,21 ,,RBRVS,8.70 ,6.66 ,6.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,23570,CPT,Treat shoulder blade fx,,,21 ,,RBRVS,2.28 ,2.92 ,2.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,23575,CPT,Treat shoulder blade fx,,,21 ,,RBRVS,4.12 ,4.14 ,4.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,23585,CPT,Treat scapula fracture,,,21 ,,RBRVS,14.07 ,8.56 ,8.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,23600,CPT,Treat humerus fracture,,,21 ,,RBRVS,3.00 ,3.63 ,4.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,23605,CPT,Treat humerus fracture,,,21 ,,RBRVS,4.94 ,4.76 ,5.60 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,23615,CPT,Treat humerus fracture,,,21 ,,RBRVS,12.12 ,8.47 ,8.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,23616,CPT,Treat humerus fracture,,,21 ,,RBRVS,18.19 ,11.72 ,11.72 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,23620,CPT,Treat humerus fracture,,,21 ,,RBRVS,2.46 ,3.11 ,3.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,23625,CPT,Treat humerus fracture,,,21 ,,RBRVS,3.99 ,4.02 ,4.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,23630,CPT,Treat humerus fracture,,,21 ,,RBRVS,10.39 ,7.37 ,7.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,23650,CPT,Treat shoulder dislocation,,,21 ,,RBRVS,3.44 ,2.76 ,3.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,23655,CPT,Treat shoulder dislocation,,,21 ,,RBRVS,4.64 ,4.20 ,4.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,23660,CPT,Treat shoulder dislocation,,,21 ,,RBRVS,7.55 ,5.97 ,5.97 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,23665,CPT,Treat dislocation/fracture,,,21 ,,RBRVS,4.54 ,4.42 ,5.00 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,23670,CPT,Treat dislocation/fracture,,,21 ,,RBRVS,12.12 ,7.87 ,7.87 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,23675,CPT,Treat dislocation/fracture,,,21 ,,RBRVS,6.13 ,5.32 ,6.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,23680,CPT,Treat dislocation/fracture,,,21 ,,RBRVS,12.99 ,8.47 ,8.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,23700,CPT,Fixation of shoulder,,,21 ,,RBRVS,2.54 ,2.00 ,2.00 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,23800,CPT,Fusion of shoulder joint,,,21 ,,RBRVS,14.59 ,9.56 ,9.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,23802,CPT,Fusion of shoulder joint,,,21 ,,RBRVS,18.17 ,11.26 ,11.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,23900,CPT,Amputation of arm & girdle,,,21 ,,RBRVS,20.57 ,10.64 ,10.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,23920,CPT,Amputation at shoulder joint,,,21 ,,RBRVS,16.03 ,9.33 ,9.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,23921,CPT,Amputation follow-up surgery,,,21 ,,RBRVS,5.61 ,3.65 ,3.65 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,23929,CPT,Shoulder surgery procedure,,,21 ,,TotalUnits,,,,13.39 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,23930,CPT,Drainage of arm lesion,,,21 ,,RBRVS,2.96 ,2.11 ,5.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,23931,CPT,Drainage of arm bursa,,,21 ,,RBRVS,1.81 ,1.87 ,4.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,23935,CPT,Drain arm/elbow bone lesion,,,21 ,,RBRVS,6.27 ,5.29 ,5.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,24000,CPT,Exploratory elbow surgery,,,21 ,,RBRVS,5.99 ,5.02 ,5.02 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,24006,CPT,Release elbow joint,,,21 ,,RBRVS,9.62 ,7.03 ,7.03 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,24065,CPT,Biopsy arm/elbow soft tissue,,,21 ,,RBRVS,2.10 ,1.90 ,3.91 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,24066,CPT,Biopsy arm/elbow soft tissue,,,21 ,,RBRVS,5.26 ,4.02 ,8.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,24071,CPT,Exc arm/elbow les sc = 3 cm,,,21 ,,RBRVS,5.70 ,4.44 ,4.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,24073,CPT,Ex arm/elbow tum deep > 5 cm,,,21 ,,RBRVS,10.13 ,7.23 ,7.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,24075,CPT,Remove arm/elbow lesion,,,21 ,,RBRVS,3.96 ,3.34 ,7.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,24076,CPT,Remove arm/elbow lesion,,,21 ,,RBRVS,6.36 ,4.72 ,4.72 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,24077,CPT,Remove tumor of arm/elbow,,,21 ,,RBRVS,11.95 ,7.17 ,7.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,24079,CPT,Resect arm/elbow tum > 5 cm,,,21 ,,RBRVS,20.61 ,11.26 ,11.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,24100,CPT,Biopsy elbow joint lining,,,21 ,,RBRVS,4.98 ,4.40 ,4.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,24101,CPT,Explore/treat elbow joint,,,21 ,,RBRVS,6.19 ,5.38 ,5.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,24102,CPT,Remove elbow joint lining,,,21 ,,RBRVS,8.15 ,6.18 ,6.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,24105,CPT,Removal of elbow bursa,,,21 ,,RBRVS,3.67 ,4.15 ,4.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,24110,CPT,Remove humerus lesion,,,21 ,,RBRVS,7.46 ,6.08 ,6.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,24115,CPT,Remove/graft bone lesion,,,21 ,,RBRVS,10.00 ,7.06 ,7.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,24116,CPT,Remove/graft bone lesion,,,21 ,,RBRVS,12.11 ,8.11 ,8.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,24120,CPT,Remove elbow lesion,,,21 ,,RBRVS,6.71 ,5.44 ,5.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,24125,CPT,Remove/graft bone lesion,,,21 ,,RBRVS,8.02 ,6.16 ,6.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,24126,CPT,Remove/graft bone lesion,,,21 ,,RBRVS,8.50 ,6.53 ,6.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,24130,CPT,Removal of head of radius,,,21 ,,RBRVS,6.31 ,5.44 ,5.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,24134,CPT,Removal of arm bone lesion,,,21 ,,RBRVS,10.10 ,7.52 ,7.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,24136,CPT,Remove radius bone lesion,,,21 ,,RBRVS,8.29 ,5.58 ,5.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,24138,CPT,Remove elbow bone lesion,,,21 ,,RBRVS,8.33 ,7.13 ,7.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,24140,CPT,Partial removal of arm bone,,,21 ,,RBRVS,9.43 ,7.39 ,7.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,24145,CPT,Partial removal of radius,,,21 ,,RBRVS,7.70 ,6.41 ,6.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,24147,CPT,Partial removal of elbow,,,21 ,,RBRVS,7.69 ,6.97 ,6.97 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,24149,CPT,Radical resection of elbow,,,21 ,,RBRVS,15.92 ,11.25 ,11.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,24150,CPT,Extensive humerus surgery,,,21 ,,RBRVS,13.70 ,9.10 ,9.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,24152,CPT,Extensive radius surgery,,,21 ,,RBRVS,10.24 ,7.08 ,7.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,24155,CPT,Removal of elbow joint,,,21 ,,RBRVS,11.97 ,7.94 ,7.94 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,24160,CPT,Remove elbow joint implant,,,21 ,,RBRVS,7.89 ,6.22 ,6.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,24164,CPT,Remove radius head implant,,,21 ,,RBRVS,6.34 ,5.21 ,5.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,24200,CPT,Removal of arm foreign body,,,21 ,,RBRVS,1.78 ,1.42 ,2.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,24201,CPT,Removal of arm foreign body,,,21 ,,RBRVS,4.61 ,3.86 ,8.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,24220,CPT,Injection for elbow x-ray,,,21 ,,RBRVS,1.31 ,0.50 ,2.97 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,24300,CPT,Manipulate elbow w/anesth,,,21 ,,RBRVS,3.86 ,5.28 ,5.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,24301,CPT,Muscle/tendon transfer,,,21 ,,RBRVS,10.26 ,7.38 ,7.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,24305,CPT,Arm tendon lengthening,,,21 ,,RBRVS,7.51 ,6.03 ,6.03 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,24310,CPT,Revision of arm tendon,,,21 ,,RBRVS,6.03 ,5.04 ,5.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,24320,CPT,Repair of arm tendon,,,21 ,,RBRVS,10.74 ,7.41 ,7.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,24330,CPT,Revision of arm muscles,,,21 ,,RBRVS,9.67 ,7.08 ,7.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,24331,CPT,Revision of arm muscles,,,21 ,,RBRVS,10.83 ,7.69 ,7.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,24332,CPT,"Tenolysis, triceps",,,21 ,,RBRVS,7.77 ,6.34 ,6.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,24340,CPT,Repair of biceps tendon,,,21 ,,RBRVS,7.96 ,6.32 ,6.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,24341,CPT,Repair arm tendon/muscle,,,21 ,,RBRVS,9.24 ,7.73 ,7.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,24342,CPT,Repair of ruptured tendon,,,21 ,,RBRVS,10.74 ,7.61 ,7.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,24343,CPT,Repr elbow lat ligmnt w/tiss,,,21 ,,RBRVS,8.99 ,7.43 ,7.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,24344,CPT,Reconstruct elbow lat ligmnt,,,21 ,,RBRVS,14.97 ,10.56 ,10.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,24345,CPT,Repr elbw med ligmnt w/tissu,,,21 ,,RBRVS,8.99 ,7.31 ,7.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,24346,CPT,Reconstruct elbow med ligmnt,,,21 ,,RBRVS,14.97 ,10.64 ,10.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,24357,CPT,"Repair elbow, perc",,,21 ,,RBRVS,5.32 ,4.98 ,4.98 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,24358,CPT,"Repair elbow w/deb, open",,,21 ,,RBRVS,6.54 ,5.59 ,5.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,24359,CPT,Repair elbow deb/attch open,,,21 ,,RBRVS,8.86 ,6.37 ,6.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,24360,CPT,Reconstruct elbow joint,,,21 ,,RBRVS,12.53 ,8.62 ,8.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,24361,CPT,Reconstruct elbow joint,,,21 ,,RBRVS,14.27 ,9.53 ,9.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,24362,CPT,Reconstruct elbow joint,,,21 ,,RBRVS,15.18 ,9.80 ,9.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,24363,CPT,Replace elbow joint,,,21 ,,RBRVS,22.47 ,12.99 ,12.99 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,24365,CPT,Reconstruct head of radius,,,21 ,,RBRVS,8.51 ,6.44 ,6.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,24366,CPT,Reconstruct head of radius,,,21 ,,RBRVS,9.25 ,6.76 ,6.76 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,24400,CPT,Revision of humerus,,,21 ,,RBRVS,11.19 ,8.08 ,8.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,24410,CPT,Revision of humerus,,,21 ,,RBRVS,14.96 ,9.59 ,9.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,24420,CPT,Revision of humerus,,,21 ,,RBRVS,13.58 ,9.64 ,9.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,24430,CPT,Repair of humerus,,,21 ,,RBRVS,15.07 ,9.65 ,9.65 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,24435,CPT,Repair humerus with graft,,,21 ,,RBRVS,14.74 ,10.33 ,10.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,24470,CPT,Revision of elbow joint,,,21 ,,RBRVS,8.81 ,5.86 ,5.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,24495,CPT,Decompression of forearm,,,21 ,,RBRVS,8.30 ,7.22 ,7.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,24498,CPT,Reinforce humerus,,,21 ,,RBRVS,12.16 ,8.30 ,8.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,24500,CPT,Treat humerus fracture,,,21 ,,RBRVS,3.29 ,3.79 ,4.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,24505,CPT,Treat humerus fracture,,,21 ,,RBRVS,5.25 ,5.04 ,6.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,24515,CPT,Treat humerus fracture,,,21 ,,RBRVS,11.97 ,8.57 ,8.57 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,24516,CPT,Treat humerus fracture,,,21 ,,RBRVS,12.07 ,8.23 ,8.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,24530,CPT,Treat humerus fracture,,,21 ,,RBRVS,3.57 ,4.03 ,4.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,24535,CPT,Treat humerus fracture,,,21 ,,RBRVS,6.96 ,6.12 ,7.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,24538,CPT,Treat humerus fracture,,,21 ,,RBRVS,9.63 ,7.74 ,7.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,24545,CPT,Treat humerus fracture,,,21 ,,RBRVS,12.99 ,8.56 ,8.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,24546,CPT,Treat humerus fracture,,,21 ,,RBRVS,14.73 ,9.92 ,9.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,24560,CPT,Treat humerus fracture,,,21 ,,RBRVS,2.87 ,3.36 ,4.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,24565,CPT,Treat humerus fracture,,,21 ,,RBRVS,5.64 ,5.07 ,5.97 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,24566,CPT,Treat humerus fracture,,,21 ,,RBRVS,8.86 ,7.56 ,7.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,24575,CPT,Treat humerus fracture,,,21 ,,RBRVS,9.53 ,7.55 ,7.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,24576,CPT,Treat humerus fracture,,,21 ,,RBRVS,2.94 ,3.70 ,4.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,24577,CPT,Treat humerus fracture,,,21 ,,RBRVS,5.87 ,5.25 ,6.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,24579,CPT,Treat humerus fracture,,,21 ,,RBRVS,11.26 ,8.21 ,8.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,24582,CPT,Treat humerus fracture,,,21 ,,RBRVS,9.89 ,8.41 ,8.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,24586,CPT,Treat elbow fracture,,,21 ,,RBRVS,15.64 ,10.12 ,10.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,24587,CPT,Treat elbow fracture,,,21 ,,RBRVS,15.65 ,10.07 ,10.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,24600,CPT,Treat elbow dislocation,,,21 ,,RBRVS,4.28 ,3.25 ,4.01 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,24605,CPT,Treat elbow dislocation,,,21 ,,RBRVS,5.50 ,5.09 ,5.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,24615,CPT,Treat elbow dislocation,,,21 ,,RBRVS,9.72 ,7.04 ,7.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,24620,CPT,Treat elbow fracture,,,21 ,,RBRVS,7.07 ,5.73 ,5.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,24635,CPT,Treat elbow fracture,,,21 ,,RBRVS,8.64 ,8.58 ,8.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,24640,CPT,Treat elbow dislocation,,,21 ,,RBRVS,1.22 ,0.79 ,1.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,24650,CPT,Treat radius fracture,,,21 ,,RBRVS,2.22 ,2.94 ,3.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,24655,CPT,Treat radius fracture,,,21 ,,RBRVS,4.48 ,4.51 ,5.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,24665,CPT,Treat radius fracture,,,21 ,,RBRVS,8.22 ,6.88 ,6.88 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,24666,CPT,Treat radius fracture,,,21 ,,RBRVS,9.74 ,7.40 ,7.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,24670,CPT,Treat ulnar fracture,,,21 ,,RBRVS,2.60 ,3.15 ,3.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,24675,CPT,Treat ulnar fracture,,,21 ,,RBRVS,4.79 ,4.71 ,5.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,24685,CPT,Treat ulnar fracture,,,21 ,,RBRVS,8.21 ,6.89 ,6.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,24800,CPT,Fusion of elbow joint,,,21 ,,RBRVS,11.27 ,7.42 ,7.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,24802,CPT,Fusion/graft of elbow joint,,,21 ,,RBRVS,14.18 ,9.30 ,9.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,24900,CPT,Amputation of upper arm,,,21 ,,RBRVS,10.04 ,6.81 ,6.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,24920,CPT,Amputation of upper arm,,,21 ,,RBRVS,10.02 ,6.66 ,6.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,24925,CPT,Amputation follow-up surgery,,,21 ,,RBRVS,7.19 ,5.83 ,5.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,24930,CPT,Amputation follow-up surgery,,,21 ,,RBRVS,10.72 ,6.99 ,6.99 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,24931,CPT,Amputate upper arm & implant,,,21 ,,RBRVS,13.32 ,6.45 ,6.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,24935,CPT,Revision of amputation,,,21 ,,RBRVS,16.30 ,7.80 ,7.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,24940,CPT,Revision of upper arm,,,21 ,,RBRVS,14.99 ,9.88 ,9.88 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,24999,CPT,Upper arm/elbow surgery,,,21 ,,TotalUnits,,,,11.07 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,25000,CPT,Incision of tendon sheath,,,21 ,,RBRVS,3.44 ,4.74 ,4.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,25001,CPT,Incise flexor carpi radialis,,,21 ,,RBRVS,3.68 ,4.04 ,4.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,25020,CPT,Decompress forearm 1 space,,,21 ,,RBRVS,5.97 ,7.57 ,7.57 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,25023,CPT,Decompress forearm 1 space,,,21 ,,RBRVS,13.69 ,12.19 ,12.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,25024,CPT,Decompress forearm 2 spaces,,,21 ,,RBRVS,10.62 ,7.51 ,7.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,25025,CPT,Decompress forearm 2 spaces,,,21 ,,RBRVS,17.77 ,10.36 ,10.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,25028,CPT,Drainage of forearm lesion,,,21 ,,RBRVS,5.30 ,6.77 ,6.77 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,25031,CPT,Drainage of forearm bursa,,,21 ,,RBRVS,4.18 ,4.67 ,4.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,25035,CPT,Treat forearm bone lesion,,,21 ,,RBRVS,7.54 ,7.67 ,7.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,25040,CPT,Explore/treat wrist joint,,,21 ,,RBRVS,7.41 ,6.00 ,6.00 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,25065,CPT,Biopsy forearm soft tissues,,,21 ,,RBRVS,2.01 ,1.95 ,3.97 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,25066,CPT,Biopsy forearm soft tissues,,,21 ,,RBRVS,4.18 ,4.68 ,4.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,25071,CPT,Exc forearm les sc > 3 cm,,,21 ,,RBRVS,5.91 ,4.74 ,4.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,25073,CPT,Exc forearm tum deep = 3 cm,,,21 ,,RBRVS,7.13 ,6.20 ,6.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,25075,CPT,Removal forearm lesion subcu,,,21 ,,RBRVS,3.78 ,3.98 ,3.98 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,25076,CPT,Removal forearm lesion deep,,,21 ,,RBRVS,4.97 ,5.52 ,5.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,25077,CPT,"Remove tumor, forearm/wrist",,,21 ,,RBRVS,9.90 ,7.76 ,7.76 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,25078,CPT,Resect forearm/wrist tum=3cm,,,21 ,,RBRVS,17.69 ,10.18 ,10.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,25085,CPT,Incision of wrist capsule,,,21 ,,RBRVS,5.55 ,5.31 ,5.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,25100,CPT,Biopsy of wrist joint,,,21 ,,RBRVS,3.94 ,4.15 ,4.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,25101,CPT,Explore/treat wrist joint,,,21 ,,RBRVS,4.74 ,4.76 ,4.76 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,25105,CPT,Remove wrist joint lining,,,21 ,,RBRVS,5.91 ,5.63 ,5.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,25107,CPT,Remove wrist joint cartilage,,,21 ,,RBRVS,7.50 ,6.95 ,6.95 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,25109,CPT,Excise tendon forearm/wrist,,,21 ,,RBRVS,6.81 ,5.45 ,5.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,25110,CPT,Remove wrist tendon lesion,,,21 ,,RBRVS,3.96 ,4.52 ,4.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,25111,CPT,Remove wrist tendon lesion,,,21 ,,RBRVS,3.44 ,3.92 ,3.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,25112,CPT,Reremove wrist tendon lesion,,,21 ,,RBRVS,4.58 ,4.38 ,4.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,25115,CPT,Remove wrist/forearm lesion,,,21 ,,RBRVS,9.89 ,9.16 ,9.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,25116,CPT,Remove wrist/forearm lesion,,,21 ,,RBRVS,7.38 ,8.00 ,8.00 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,25118,CPT,Excise wrist tendon sheath,,,21 ,,RBRVS,4.42 ,4.58 ,4.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,25119,CPT,Partial removal of ulna,,,21 ,,RBRVS,6.10 ,5.78 ,5.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,25120,CPT,Removal of forearm lesion,,,21 ,,RBRVS,6.16 ,6.93 ,6.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,25125,CPT,Remove/graft forearm lesion,,,21 ,,RBRVS,7.55 ,7.75 ,7.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,25126,CPT,Remove/graft forearm lesion,,,21 ,,RBRVS,7.62 ,7.70 ,7.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,25130,CPT,Removal of wrist lesion,,,21 ,,RBRVS,5.32 ,5.24 ,5.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,25135,CPT,Remove & graft wrist lesion,,,21 ,,RBRVS,6.96 ,6.21 ,6.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,25136,CPT,Remove & graft wrist lesion,,,21 ,,RBRVS,6.03 ,5.53 ,5.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,25145,CPT,Remove forearm bone lesion,,,21 ,,RBRVS,6.43 ,7.02 ,7.02 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,25150,CPT,Partial removal of ulna,,,21 ,,RBRVS,7.27 ,6.33 ,6.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,25151,CPT,Partial removal of radius,,,21 ,,RBRVS,7.57 ,7.54 ,7.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,25170,CPT,Extensive forearm surgery,,,21 ,,RBRVS,11.34 ,9.59 ,9.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,25210,CPT,Removal of wrist bone,,,21 ,,RBRVS,6.01 ,5.56 ,5.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,25215,CPT,Removal of wrist bones,,,21 ,,RBRVS,8.02 ,6.85 ,6.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,25230,CPT,Partial removal of radius,,,21 ,,RBRVS,5.28 ,4.96 ,4.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,25240,CPT,Partial removal of ulna,,,21 ,,RBRVS,5.22 ,5.16 ,5.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,25246,CPT,Injection for wrist x-ray,,,21 ,,RBRVS,1.45 ,0.54 ,2.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,25248,CPT,Remove forearm foreign body,,,21 ,,RBRVS,5.20 ,5.19 ,5.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,25250,CPT,Removal of wrist prosthesis,,,21 ,,RBRVS,6.66 ,5.59 ,5.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,25251,CPT,Removal of wrist prosthesis,,,21 ,,RBRVS,9.70 ,7.11 ,7.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,25259,CPT,Manipulate wrist w/anesthes,,,21 ,,RBRVS,3.86 ,5.33 ,5.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,25260,CPT,Repair forearm tendon/muscle,,,21 ,,RBRVS,7.89 ,8.18 ,8.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,25263,CPT,Repair forearm tendon/muscle,,,21 ,,RBRVS,7.90 ,8.15 ,8.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,25265,CPT,Repair forearm tendon/muscle,,,21 ,,RBRVS,9.96 ,9.04 ,9.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,25270,CPT,Repair forearm tendon/muscle,,,21 ,,RBRVS,6.06 ,6.85 ,6.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,25272,CPT,Repair forearm tendon/muscle,,,21 ,,RBRVS,7.10 ,7.40 ,7.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,25274,CPT,Repair forearm tendon/muscle,,,21 ,,RBRVS,8.82 ,8.33 ,8.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,25275,CPT,Repair forearm tendon sheath,,,21 ,,RBRVS,8.82 ,6.93 ,6.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,25280,CPT,Revise wrist/forearm tendon,,,21 ,,RBRVS,7.28 ,7.44 ,7.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,25290,CPT,Incise wrist/forearm tendon,,,21 ,,RBRVS,5.34 ,7.21 ,7.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,25295,CPT,Release wrist/forearm tendon,,,21 ,,RBRVS,6.61 ,7.10 ,7.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,25300,CPT,Fusion of tendons at wrist,,,21 ,,RBRVS,8.88 ,7.22 ,7.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,25301,CPT,Fusion of tendons at wrist,,,21 ,,RBRVS,8.47 ,6.80 ,6.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,25310,CPT,Transplant forearm tendon,,,21 ,,RBRVS,7.94 ,7.97 ,7.97 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,25312,CPT,Transplant forearm tendon,,,21 ,,RBRVS,9.70 ,8.71 ,8.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,25315,CPT,Revise palsy hand tendon(s),,,21 ,,RBRVS,10.56 ,9.13 ,9.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,25316,CPT,Revise palsy hand tendon(s),,,21 ,,RBRVS,12.76 ,10.06 ,10.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,25320,CPT,Repair/revise wrist joint,,,21 ,,RBRVS,12.38 ,10.40 ,10.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,25332,CPT,Revise wrist joint,,,21 ,,RBRVS,11.60 ,8.23 ,8.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,25335,CPT,Realignment of hand,,,21 ,,RBRVS,13.25 ,9.37 ,9.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,25337,CPT,Reconstruct ulna/radioulnar,,,21 ,,RBRVS,11.44 ,9.44 ,9.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,25350,CPT,Revision of radius,,,21 ,,RBRVS,8.97 ,8.46 ,8.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,25355,CPT,Revision of radius,,,21 ,,RBRVS,10.41 ,9.12 ,9.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,25360,CPT,Revision of ulna,,,21 ,,RBRVS,8.62 ,8.30 ,8.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,25365,CPT,Revise radius & ulna,,,21 ,,RBRVS,12.77 ,10.09 ,10.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,25370,CPT,Revise radius or ulna,,,21 ,,RBRVS,13.93 ,11.03 ,11.03 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,25375,CPT,Revise radius & ulna,,,21 ,,RBRVS,13.41 ,10.64 ,10.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,25390,CPT,Shorten radius or ulna,,,21 ,,RBRVS,10.58 ,9.13 ,9.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,25391,CPT,Lengthen radius or ulna,,,21 ,,RBRVS,14.14 ,10.82 ,10.82 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,25392,CPT,Shorten radius & ulna,,,21 ,,RBRVS,14.44 ,10.99 ,10.99 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,25393,CPT,Lengthen radius & ulna,,,21 ,,RBRVS,16.42 ,11.89 ,11.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,25394,CPT,"Repair carpal bone, shorten",,,21 ,,RBRVS,10.71 ,7.57 ,7.57 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,25400,CPT,Repair radius or ulna,,,21 ,,RBRVS,11.16 ,9.45 ,9.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,25405,CPT,Repair/graft radius or ulna,,,21 ,,RBRVS,14.87 ,11.32 ,11.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,25415,CPT,Repair radius & ulna,,,21 ,,RBRVS,13.66 ,10.96 ,10.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,25420,CPT,Repair/graft radius & ulna,,,21 ,,RBRVS,16.89 ,12.39 ,12.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,25425,CPT,Repair/graft radius or ulna,,,21 ,,RBRVS,13.58 ,11.87 ,11.87 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,25426,CPT,Repair/graft radius & ulna,,,21 ,,RBRVS,16.31 ,10.06 ,10.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,25430,CPT,Vasc graft into carpal bone,,,21 ,,RBRVS,9.57 ,7.22 ,7.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,25431,CPT,Repair nonunion carpal bone,,,21 ,,RBRVS,10.75 ,7.51 ,7.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,25440,CPT,Repair/graft wrist bone,,,21 ,,RBRVS,10.56 ,7.77 ,7.77 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,25441,CPT,Reconstruct wrist joint,,,21 ,,RBRVS,13.15 ,8.99 ,8.99 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,25442,CPT,Reconstruct wrist joint,,,21 ,,RBRVS,10.98 ,8.05 ,8.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,25443,CPT,Reconstruct wrist joint,,,21 ,,RBRVS,10.52 ,7.80 ,7.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,25444,CPT,Reconstruct wrist joint,,,21 ,,RBRVS,11.28 ,8.09 ,8.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,25445,CPT,Reconstruct wrist joint,,,21 ,,RBRVS,9.76 ,7.17 ,7.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,25446,CPT,Wrist replacement,,,21 ,,RBRVS,17.16 ,10.76 ,10.76 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,25447,CPT,Repair wrist joint(s),,,21 ,,RBRVS,10.95 ,8.25 ,8.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,25449,CPT,Remove wrist joint implant,,,21 ,,RBRVS,14.80 ,9.63 ,9.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,25450,CPT,Revision of wrist joint,,,21 ,,RBRVS,7.94 ,6.21 ,6.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,25455,CPT,Revision of wrist joint,,,21 ,,RBRVS,9.57 ,6.94 ,6.94 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,25490,CPT,Reinforce radius,,,21 ,,RBRVS,9.61 ,8.37 ,8.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,25491,CPT,Reinforce ulna,,,21 ,,RBRVS,10.03 ,8.89 ,8.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,25492,CPT,Reinforce radius and ulna,,,21 ,,RBRVS,12.52 ,10.13 ,10.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,25500,CPT,Treat fracture of radius,,,21 ,,RBRVS,2.51 ,2.83 ,3.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,25505,CPT,Treat fracture of radius,,,21 ,,RBRVS,5.30 ,5.14 ,6.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,25515,CPT,Treat fracture of radius,,,21 ,,RBRVS,8.64 ,6.87 ,6.87 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,25520,CPT,Treat fracture of radius,,,21 ,,RBRVS,6.35 ,5.49 ,6.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,25525,CPT,Treat fracture of radius,,,21 ,,RBRVS,10.37 ,8.24 ,8.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,25526,CPT,Treat fracture of radius,,,21 ,,RBRVS,12.96 ,10.16 ,10.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,25530,CPT,Treat fracture of ulna,,,21 ,,RBRVS,2.15 ,2.95 ,3.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,25535,CPT,Treat fracture of ulna,,,21 ,,RBRVS,5.22 ,5.04 ,5.76 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,25545,CPT,Treat fracture of ulna,,,21 ,,RBRVS,7.78 ,6.71 ,6.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,25560,CPT,Treat fracture radius & ulna,,,21 ,,RBRVS,2.50 ,2.81 ,3.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,25565,CPT,Treat fracture radius & ulna,,,21 ,,RBRVS,5.71 ,5.13 ,6.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,25574,CPT,Treat fracture radius & ulna,,,21 ,,RBRVS,8.64 ,6.85 ,6.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,25575,CPT,Treat fracture radius/ulna,,,21 ,,RBRVS,12.10 ,8.86 ,8.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,25600,CPT,Treat fracture radius/ulna,,,21 ,,RBRVS,2.69 ,3.13 ,3.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,25605,CPT,Treat fracture radius/ulna,,,21 ,,RBRVS,7.02 ,6.22 ,7.00 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,25606,CPT,Treat fx distal radial,,,21 ,,RBRVS,8.10 ,7.38 ,7.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,25607,CPT,Treat fx rad extra-articul,,,21 ,,RBRVS,9.35 ,7.37 ,7.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,25608,CPT,Treat fx rad intra-articul,,,21 ,,RBRVS,10.86 ,8.02 ,8.02 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,25609,CPT,Treat fx radial 3+ frag,,,21 ,,RBRVS,14.12 ,9.96 ,9.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,25622,CPT,Treat wrist bone fracture,,,21 ,,RBRVS,2.68 ,3.28 ,3.97 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,25624,CPT,Treat wrist bone fracture,,,21 ,,RBRVS,4.62 ,4.89 ,5.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,25628,CPT,Treat wrist bone fracture,,,21 ,,RBRVS,9.51 ,7.28 ,7.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,25630,CPT,Treat wrist bone fracture,,,21 ,,RBRVS,2.94 ,3.17 ,3.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,25635,CPT,Treat wrist bone fracture,,,21 ,,RBRVS,4.47 ,4.30 ,5.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,25645,CPT,Treat wrist bone fracture,,,21 ,,RBRVS,7.31 ,5.86 ,5.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,25650,CPT,Treat wrist bone fracture,,,21 ,,RBRVS,3.12 ,3.39 ,3.97 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,25651,CPT,Pin ulnar styloid fracture,,,21 ,,RBRVS,5.68 ,5.31 ,5.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,25652,CPT,Treat fracture ulnar styloid,,,21 ,,RBRVS,7.92 ,6.50 ,6.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,25660,CPT,Treat wrist dislocation,,,21 ,,RBRVS,4.84 ,4.43 ,4.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,25670,CPT,Treat wrist dislocation,,,21 ,,RBRVS,7.98 ,6.24 ,6.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,25671,CPT,Pin radioulnar dislocation,,,21 ,,RBRVS,6.32 ,5.74 ,5.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,25675,CPT,Treat wrist dislocation,,,21 ,,RBRVS,4.75 ,4.25 ,5.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,25676,CPT,Treat wrist dislocation,,,21 ,,RBRVS,8.17 ,6.55 ,6.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,25680,CPT,Treat wrist fracture,,,21 ,,RBRVS,6.08 ,4.55 ,4.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,25685,CPT,Treat wrist fracture,,,21 ,,RBRVS,9.97 ,7.12 ,7.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,25690,CPT,Treat wrist dislocation,,,21 ,,RBRVS,5.58 ,5.11 ,5.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,25695,CPT,Treat wrist dislocation,,,21 ,,RBRVS,8.40 ,6.38 ,6.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,25800,CPT,Fusion of wrist joint,,,21 ,,RBRVS,9.95 ,7.53 ,7.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,25805,CPT,Fusion/graft of wrist joint,,,21 ,,RBRVS,11.59 ,8.56 ,8.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,25810,CPT,Fusion/graft of wrist joint,,,21 ,,RBRVS,11.75 ,8.69 ,8.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,25820,CPT,Fusion of hand bones,,,21 ,,RBRVS,7.52 ,6.82 ,6.82 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,25825,CPT,Fuse hand bones with graft,,,21 ,,RBRVS,9.54 ,8.19 ,8.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,25830,CPT,"Fusion, radioulnar jnt/ulna",,,21 ,,RBRVS,10.69 ,11.63 ,11.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,25900,CPT,Amputation of forearm,,,21 ,,RBRVS,9.46 ,8.28 ,8.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,25905,CPT,Amputation of forearm,,,21 ,,RBRVS,9.48 ,7.98 ,7.98 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,25907,CPT,Amputation follow-up surgery,,,21 ,,RBRVS,7.98 ,7.35 ,7.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,25909,CPT,Amputation follow-up surgery,,,21 ,,RBRVS,9.20 ,7.93 ,7.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,25915,CPT,Amputation of forearm,,,21 ,,RBRVS,17.38 ,12.30 ,12.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,25920,CPT,Amputate hand at wrist,,,21 ,,RBRVS,8.92 ,7.18 ,7.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,25922,CPT,Amputate hand at wrist,,,21 ,,RBRVS,7.54 ,6.08 ,6.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,25924,CPT,Amputation follow-up surgery,,,21 ,,RBRVS,8.70 ,7.02 ,7.02 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,25927,CPT,Amputation of hand,,,21 ,,RBRVS,8.98 ,9.49 ,9.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,25929,CPT,Amputation follow-up surgery,,,21 ,,RBRVS,7.71 ,5.42 ,5.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,25931,CPT,Amputation follow-up surgery,,,21 ,,RBRVS,7.93 ,8.91 ,8.91 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,25999,CPT,Forearm or wrist surgery,,,21 ,,TotalUnits,,,,13.49 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,26010,CPT,Drainage of finger abscess,,,21 ,,RBRVS,1.56 ,1.55 ,4.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,26011,CPT,Drainage of finger abscess,,,21 ,,RBRVS,2.21 ,2.08 ,6.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,26020,CPT,Drain hand tendon sheath,,,21 ,,RBRVS,4.97 ,4.95 ,4.95 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,26025,CPT,Drainage of palm bursa,,,21 ,,RBRVS,4.99 ,4.67 ,4.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,26030,CPT,Drainage of palm bursa(s),,,21 ,,RBRVS,6.16 ,5.24 ,5.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,26034,CPT,Treat hand bone lesion,,,21 ,,RBRVS,6.49 ,5.86 ,5.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,26035,CPT,Decompress fingers/hand,,,21 ,,RBRVS,11.14 ,8.16 ,8.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,26037,CPT,Decompress fingers/hand,,,21 ,,RBRVS,7.48 ,5.79 ,5.79 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,26040,CPT,Release palm contracture,,,21 ,,RBRVS,3.38 ,3.73 ,3.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,26045,CPT,Release palm contracture,,,21 ,,RBRVS,5.62 ,5.14 ,5.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,26055,CPT,Incise finger tendon sheath,,,21 ,,RBRVS,3.00 ,3.87 ,10.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,26060,CPT,Incision of finger tendon,,,21 ,,RBRVS,2.85 ,3.24 ,3.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,26070,CPT,Explore/treat hand joint,,,21 ,,RBRVS,3.73 ,3.22 ,3.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,26075,CPT,Explore/treat finger joint,,,21 ,,RBRVS,3.83 ,3.52 ,3.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,26080,CPT,Explore/treat finger joint,,,21 ,,RBRVS,4.36 ,4.50 ,4.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,26100,CPT,Biopsy hand joint lining,,,21 ,,RBRVS,3.71 ,3.74 ,3.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,26105,CPT,Biopsy finger joint lining,,,21 ,,RBRVS,3.75 ,3.85 ,3.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,26110,CPT,Biopsy finger joint lining,,,21 ,,RBRVS,3.57 ,3.75 ,3.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,26111,CPT,Exc hand les sc > 1.5 cm,,,21 ,,RBRVS,5.42 ,5.01 ,5.01 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,26113,CPT,Exc hand tum deep > 1.5 cm,,,21 ,,RBRVS,7.13 ,6.61 ,6.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,26115,CPT,Removal hand lesion subcut,,,21 ,,RBRVS,3.92 ,4.39 ,10.57 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,26116,CPT,"Removal hand lesion, deep",,,21 ,,RBRVS,5.61 ,5.54 ,5.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,26117,CPT,"Remove tumor, hand/finger",,,21 ,,RBRVS,8.62 ,6.52 ,6.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,26118,CPT,Exc hand tum ra > 3 cm,,,21 ,,RBRVS,14.81 ,11.83 ,11.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,26121,CPT,Release palm contracture,,,21 ,,RBRVS,7.61 ,6.30 ,6.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,26123,CPT,Release palm contracture,,,21 ,,RBRVS,10.63 ,8.52 ,8.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,26125,CPT,Release palm contracture,,,21 ,,RBRVS,4.60 ,2.12 ,2.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,26130,CPT,Remove wrist joint lining,,,21 ,,RBRVS,5.48 ,5.02 ,5.02 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,26135,CPT,"Revise finger joint, each",,,21 ,,RBRVS,7.02 ,5.81 ,5.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,26140,CPT,"Revise finger joint, each",,,21 ,,RBRVS,6.23 ,5.47 ,5.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,26145,CPT,"Tendon excision, palm/finger",,,21 ,,RBRVS,6.38 ,5.49 ,5.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,26160,CPT,Remove tendon sheath lesion,,,21 ,,RBRVS,3.46 ,4.01 ,9.79 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,26170,CPT,"Removal of palm tendon, each",,,21 ,,RBRVS,4.82 ,4.56 ,4.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,26180,CPT,Removal of finger tendon,,,21 ,,RBRVS,5.24 ,5.00 ,5.00 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,26185,CPT,Remove finger bone,,,21 ,,RBRVS,6.32 ,6.00 ,6.00 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,26200,CPT,Remove hand bone lesion,,,21 ,,RBRVS,5.56 ,4.90 ,4.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,26205,CPT,Remove/graft bone lesion,,,21 ,,RBRVS,7.82 ,6.22 ,6.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,26210,CPT,Removal of finger lesion,,,21 ,,RBRVS,5.21 ,4.97 ,4.97 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,26215,CPT,Remove/graft finger lesion,,,21 ,,RBRVS,7.16 ,5.79 ,5.79 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,26230,CPT,Partial removal of hand bone,,,21 ,,RBRVS,6.38 ,5.31 ,5.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,26235,CPT,"Partial removal, finger bone",,,21 ,,RBRVS,6.24 ,5.27 ,5.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,26236,CPT,"Partial removal, finger bone",,,21 ,,RBRVS,5.37 ,4.85 ,4.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,26250,CPT,Extensive hand surgery,,,21 ,,RBRVS,7.61 ,6.02 ,6.02 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,26260,CPT,Extensive finger surgery,,,21 ,,RBRVS,7.09 ,5.67 ,5.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,26262,CPT,Partial removal of finger,,,21 ,,RBRVS,5.72 ,4.91 ,4.91 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,26320,CPT,Removal of implant from hand,,,21 ,,RBRVS,4.02 ,3.96 ,3.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,26340,CPT,Manipulate finger w/anesth,,,21 ,,RBRVS,2.62 ,4.65 ,4.65 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,26350,CPT,Repair finger/hand tendon,,,21 ,,RBRVS,6.07 ,10.76 ,10.76 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,26352,CPT,Repair/graft hand tendon,,,21 ,,RBRVS,7.75 ,11.33 ,11.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,26356,CPT,Repair finger/hand tendon,,,21 ,,RBRVS,10.22 ,14.89 ,14.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,26357,CPT,Repair finger/hand tendon,,,21 ,,RBRVS,8.65 ,11.76 ,11.76 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,26358,CPT,Repair/graft hand tendon,,,21 ,,RBRVS,9.22 ,12.38 ,12.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,26370,CPT,Repair finger/hand tendon,,,21 ,,RBRVS,7.17 ,10.97 ,10.97 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,26372,CPT,Repair/graft hand tendon,,,21 ,,RBRVS,8.89 ,12.07 ,12.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,26373,CPT,Repair finger/hand tendon,,,21 ,,RBRVS,8.29 ,11.70 ,11.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,26390,CPT,Revise hand/finger tendon,,,21 ,,RBRVS,9.31 ,10.17 ,10.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,26392,CPT,Repair/graft hand tendon,,,21 ,,RBRVS,10.38 ,12.45 ,12.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,26410,CPT,Repair hand tendon,,,21 ,,RBRVS,4.68 ,8.71 ,8.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,26412,CPT,Repair/graft hand tendon,,,21 ,,RBRVS,6.37 ,9.83 ,9.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,26415,CPT,"Excision, hand/finger tendon",,,21 ,,RBRVS,8.40 ,8.65 ,8.65 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,26416,CPT,Graft hand or finger tendon,,,21 ,,RBRVS,9.44 ,8.99 ,8.99 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,26418,CPT,Repair finger tendon,,,21 ,,RBRVS,4.33 ,9.16 ,9.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,26420,CPT,Repair/graft finger tendon,,,21 ,,RBRVS,6.83 ,9.96 ,9.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,26426,CPT,Repair finger/hand tendon,,,21 ,,RBRVS,6.21 ,7.24 ,7.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,26428,CPT,Repair/graft finger tendon,,,21 ,,RBRVS,7.28 ,10.39 ,10.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,26432,CPT,Repair finger tendon,,,21 ,,RBRVS,4.07 ,7.64 ,7.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,26433,CPT,Repair finger tendon,,,21 ,,RBRVS,4.61 ,7.93 ,7.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,26434,CPT,Repair/graft finger tendon,,,21 ,,RBRVS,6.15 ,8.85 ,8.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,26437,CPT,Realignment of tendons,,,21 ,,RBRVS,5.88 ,8.75 ,8.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,26440,CPT,Release palm/finger tendon,,,21 ,,RBRVS,5.07 ,9.73 ,9.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,26442,CPT,Release palm & finger tendon,,,21 ,,RBRVS,9.50 ,12.86 ,12.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,26445,CPT,Release hand/finger tendon,,,21 ,,RBRVS,4.36 ,9.41 ,9.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,26449,CPT,Release forearm/hand tendon,,,21 ,,RBRVS,8.34 ,9.54 ,9.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,26450,CPT,Incision of palm tendon,,,21 ,,RBRVS,3.71 ,5.72 ,5.72 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,26455,CPT,Incision of finger tendon,,,21 ,,RBRVS,3.68 ,5.69 ,5.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,26460,CPT,Incise hand/finger tendon,,,21 ,,RBRVS,3.50 ,5.62 ,5.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,26471,CPT,Fusion of finger tendons,,,21 ,,RBRVS,5.79 ,8.62 ,8.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,26474,CPT,Fusion of finger tendons,,,21 ,,RBRVS,5.38 ,8.50 ,8.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,26476,CPT,Tendon lengthening,,,21 ,,RBRVS,5.24 ,8.24 ,8.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,26477,CPT,Tendon shortening,,,21 ,,RBRVS,5.21 ,8.38 ,8.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,26478,CPT,Lengthening of hand tendon,,,21 ,,RBRVS,5.86 ,8.88 ,8.88 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,26479,CPT,Shortening of hand tendon,,,21 ,,RBRVS,5.80 ,8.76 ,8.76 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,26480,CPT,Transplant hand tendon,,,21 ,,RBRVS,6.76 ,11.02 ,11.02 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,26483,CPT,Transplant/graft hand tendon,,,21 ,,RBRVS,8.36 ,11.64 ,11.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,26485,CPT,Transplant palm tendon,,,21 ,,RBRVS,7.77 ,11.43 ,11.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,26489,CPT,Transplant/graft palm tendon,,,21 ,,RBRVS,9.74 ,11.00 ,11.00 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,26490,CPT,Revise thumb tendon,,,21 ,,RBRVS,8.48 ,10.00 ,10.00 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,26492,CPT,Tendon transfer with graft,,,21 ,,RBRVS,9.70 ,10.86 ,10.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,26494,CPT,Hand tendon/muscle transfer,,,21 ,,RBRVS,8.54 ,10.13 ,10.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,26496,CPT,Revise thumb tendon,,,21 ,,RBRVS,9.66 ,10.55 ,10.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,26497,CPT,Finger tendon transfer,,,21 ,,RBRVS,9.64 ,10.61 ,10.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,26498,CPT,Finger tendon transfer,,,21 ,,RBRVS,14.07 ,12.83 ,12.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,26499,CPT,Revision of finger,,,21 ,,RBRVS,9.05 ,10.30 ,10.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,26500,CPT,Hand tendon reconstruction,,,21 ,,RBRVS,6.02 ,8.69 ,8.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,26502,CPT,Hand tendon reconstruction,,,21 ,,RBRVS,7.20 ,9.33 ,9.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,26508,CPT,Release thumb contracture,,,21 ,,RBRVS,6.07 ,8.67 ,8.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,26510,CPT,Thumb tendon transfer,,,21 ,,RBRVS,5.49 ,8.58 ,8.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,26516,CPT,Fusion of knuckle joint,,,21 ,,RBRVS,7.21 ,9.29 ,9.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,26517,CPT,Fusion of knuckle joints,,,21 ,,RBRVS,8.96 ,10.39 ,10.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,26518,CPT,Fusion of knuckle joints,,,21 ,,RBRVS,9.15 ,10.43 ,10.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,26520,CPT,Release knuckle contracture,,,21 ,,RBRVS,5.36 ,10.10 ,10.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,26525,CPT,Release finger contracture,,,21 ,,RBRVS,5.39 ,10.13 ,10.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,26530,CPT,Revise knuckle joint,,,21 ,,RBRVS,6.76 ,5.68 ,5.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,26531,CPT,Revise knuckle with implant,,,21 ,,RBRVS,7.99 ,6.52 ,6.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,26535,CPT,Revise finger joint,,,21 ,,RBRVS,5.30 ,4.07 ,4.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,26536,CPT,Revise/implant finger joint,,,21 ,,RBRVS,6.44 ,9.35 ,9.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,26540,CPT,Repair hand joint,,,21 ,,RBRVS,6.49 ,9.03 ,9.03 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,26541,CPT,Repair hand joint with graft,,,21 ,,RBRVS,8.69 ,10.23 ,10.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,26542,CPT,Repair hand joint with graft,,,21 ,,RBRVS,6.84 ,9.21 ,9.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,26545,CPT,Reconstruct finger joint,,,21 ,,RBRVS,6.99 ,9.34 ,9.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,26546,CPT,Repair nonunion hand,,,21 ,,RBRVS,10.53 ,12.42 ,12.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,26548,CPT,Reconstruct finger joint,,,21 ,,RBRVS,8.10 ,9.85 ,9.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,26550,CPT,Construct thumb replacement,,,21 ,,RBRVS,21.54 ,13.71 ,13.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,26551,CPT,Great toe-hand transfer,,,21 ,,RBRVS,48.23 ,26.80 ,26.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,26553,CPT,"Single transfer, toe-hand",,,21 ,,RBRVS,47.92 ,20.70 ,20.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,26554,CPT,"Double transfer, toe-hand",,,21 ,,RBRVS,56.73 ,28.90 ,28.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,26555,CPT,Positional change of finger,,,21 ,,RBRVS,16.94 ,15.32 ,15.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,26556,CPT,Toe joint transfer,,,21 ,,RBRVS,49.43 ,21.41 ,21.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,26560,CPT,Repair of web finger,,,21 ,,RBRVS,5.43 ,7.94 ,7.94 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,26561,CPT,Repair of web finger,,,21 ,,RBRVS,10.98 ,10.39 ,10.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,26562,CPT,Repair of web finger,,,21 ,,RBRVS,16.40 ,14.62 ,14.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,26565,CPT,Correct metacarpal flaw,,,21 ,,RBRVS,6.80 ,9.11 ,9.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,26567,CPT,Correct finger deformity,,,21 ,,RBRVS,6.88 ,9.17 ,9.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,26568,CPT,Lengthen metacarpal/finger,,,21 ,,RBRVS,9.15 ,11.90 ,11.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,26580,CPT,Repair hand deformity,,,21 ,,RBRVS,19.50 ,13.50 ,13.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,26587,CPT,Reconstruct extra finger,,,21 ,,RBRVS,14.36 ,8.25 ,8.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,26590,CPT,Repair finger deformity,,,21 ,,RBRVS,18.51 ,11.06 ,11.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,26591,CPT,Repair muscles of hand,,,21 ,,RBRVS,3.30 ,7.05 ,7.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,26593,CPT,Release muscles of hand,,,21 ,,RBRVS,5.38 ,8.66 ,8.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,26596,CPT,Excision constricting tissue,,,21 ,,RBRVS,9.02 ,8.07 ,8.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,26600,CPT,Treat metacarpal fracture,,,21 ,,RBRVS,2.48 ,3.28 ,3.77 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,26605,CPT,Treat metacarpal fracture,,,21 ,,RBRVS,2.92 ,3.55 ,4.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,26607,CPT,Treat metacarpal fracture,,,21 ,,RBRVS,5.40 ,4.70 ,4.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,26608,CPT,Treat metacarpal fracture,,,21 ,,RBRVS,5.43 ,5.55 ,5.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,26615,CPT,Treat metacarpal fracture,,,21 ,,RBRVS,6.91 ,5.93 ,5.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,26641,CPT,Treat thumb dislocation,,,21 ,,RBRVS,4.01 ,3.55 ,4.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,26645,CPT,Treat thumb fracture,,,21 ,,RBRVS,4.47 ,4.10 ,4.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,26650,CPT,Treat thumb fracture,,,21 ,,RBRVS,5.19 ,5.76 ,5.76 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,26665,CPT,Treat thumb fracture,,,21 ,,RBRVS,7.78 ,6.51 ,6.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,26670,CPT,Treat hand dislocation,,,21 ,,RBRVS,3.74 ,2.97 ,3.72 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,26675,CPT,Treat hand dislocation,,,21 ,,RBRVS,4.71 ,4.42 ,5.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,26676,CPT,Pin hand dislocation,,,21 ,,RBRVS,5.60 ,5.92 ,5.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,26685,CPT,Treat hand dislocation,,,21 ,,RBRVS,6.91 ,6.13 ,6.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,26686,CPT,Treat hand dislocation,,,21 ,,RBRVS,8.06 ,6.37 ,6.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,26700,CPT,Treat knuckle dislocation,,,21 ,,RBRVS,3.74 ,2.89 ,3.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,26705,CPT,Treat knuckle dislocation,,,21 ,,RBRVS,4.26 ,4.09 ,4.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,26706,CPT,Pin knuckle dislocation,,,21 ,,RBRVS,5.19 ,4.78 ,4.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,26715,CPT,Treat knuckle dislocation,,,21 ,,RBRVS,6.87 ,5.96 ,5.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,26720,CPT,"Treat finger fracture, each",,,21 ,,RBRVS,1.70 ,2.23 ,2.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,26725,CPT,"Treat finger fracture, each",,,21 ,,RBRVS,3.39 ,3.44 ,4.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,26727,CPT,"Treat finger fracture, each",,,21 ,,RBRVS,5.30 ,5.51 ,5.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,26735,CPT,"Treat finger fracture, each",,,21 ,,RBRVS,7.26 ,6.10 ,6.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,26740,CPT,"Treat finger fracture, each",,,21 ,,RBRVS,1.99 ,2.69 ,3.01 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,26742,CPT,"Treat finger fracture, each",,,21 ,,RBRVS,3.90 ,3.68 ,4.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,26746,CPT,"Treat finger fracture, each",,,21 ,,RBRVS,9.59 ,6.93 ,6.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,26750,CPT,"Treat finger fracture, each",,,21 ,,RBRVS,1.74 ,2.18 ,2.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,26755,CPT,"Treat finger fracture, each",,,21 ,,RBRVS,3.15 ,2.97 ,3.91 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,26756,CPT,"Pin finger fracture, each",,,21 ,,RBRVS,4.46 ,5.09 ,5.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,26765,CPT,"Treat finger fracture, each",,,21 ,,RBRVS,5.70 ,5.24 ,5.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,26770,CPT,Treat finger dislocation,,,21 ,,RBRVS,3.07 ,2.47 ,3.00 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,26775,CPT,Treat finger dislocation,,,21 ,,RBRVS,3.78 ,3.88 ,4.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,26776,CPT,Pin finger dislocation,,,21 ,,RBRVS,4.87 ,5.28 ,5.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,26785,CPT,Treat finger dislocation,,,21 ,,RBRVS,6.44 ,5.52 ,5.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,26820,CPT,Thumb fusion with graft,,,21 ,,RBRVS,8.33 ,10.13 ,10.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,26841,CPT,Fusion of thumb,,,21 ,,RBRVS,7.21 ,9.90 ,9.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,26842,CPT,Thumb fusion with graft,,,21 ,,RBRVS,8.37 ,10.19 ,10.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,26843,CPT,Fusion of hand joint,,,21 ,,RBRVS,7.67 ,9.56 ,9.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,26844,CPT,Fusion/graft of hand joint,,,21 ,,RBRVS,8.86 ,10.33 ,10.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,26850,CPT,Fusion of knuckle,,,21 ,,RBRVS,7.03 ,9.32 ,9.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,26852,CPT,Fusion of knuckle with graft,,,21 ,,RBRVS,8.59 ,10.15 ,10.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,26860,CPT,Fusion of finger joint,,,21 ,,RBRVS,4.76 ,8.44 ,8.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,26861,CPT,"Fusion of finger jnt, add-on",,,21 ,,RBRVS,1.74 ,0.79 ,0.79 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,26862,CPT,Fusion/graft of finger joint,,,21 ,,RBRVS,7.44 ,9.61 ,9.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,26863,CPT,Fuse/graft added joint,,,21 ,,RBRVS,3.89 ,1.78 ,1.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,26910,CPT,Amputate metacarpal bone,,,21 ,,RBRVS,7.67 ,9.06 ,9.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,26951,CPT,Amputation of finger/thumb,,,21 ,,RBRVS,5.85 ,8.81 ,8.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,26952,CPT,Amputation of finger/thumb,,,21 ,,RBRVS,6.37 ,8.86 ,8.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,26989,CPT,Hand/finger surgery,,,21 ,,TotalUnits,,,,9.92 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,26990,CPT,Drainage of pelvis lesion,,,21 ,,RBRVS,7.84 ,6.58 ,6.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,26991,CPT,Drainage of pelvis bursa,,,21 ,,RBRVS,6.97 ,5.15 ,9.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,26992,CPT,Drainage of bone lesion,,,21 ,,RBRVS,13.37 ,9.19 ,9.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27000,CPT,Incision of hip tendon,,,21 ,,RBRVS,5.66 ,4.75 ,4.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27001,CPT,Incision of hip tendon,,,21 ,,RBRVS,7.05 ,5.54 ,5.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27003,CPT,Incision of hip tendon,,,21 ,,RBRVS,7.70 ,5.96 ,5.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27005,CPT,Incision of hip tendon,,,21 ,,RBRVS,9.96 ,7.08 ,7.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27006,CPT,Incision of hip tendons,,,21 ,,RBRVS,9.99 ,7.26 ,7.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27025,CPT,Incision of hip/thigh fascia,,,21 ,,RBRVS,12.66 ,8.37 ,8.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27027,CPT,Buttock fasciotomy,,,21 ,,RBRVS,12.90 ,7.57 ,7.57 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27030,CPT,Drainage of hip joint,,,21 ,,RBRVS,13.54 ,8.70 ,8.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27033,CPT,Exploration of hip joint,,,21 ,,RBRVS,13.99 ,9.05 ,9.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27035,CPT,Denervation of hip joint,,,21 ,,RBRVS,17.23 ,8.84 ,8.84 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27036,CPT,Excision of hip joint/muscle,,,21 ,,RBRVS,14.18 ,9.45 ,9.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27040,CPT,Biopsy of soft tissues,,,21 ,,RBRVS,2.89 ,1.98 ,5.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27041,CPT,Biopsy of soft tissues,,,21 ,,RBRVS,10.07 ,6.21 ,6.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27043,CPT,Exc hip pelvis les sc > 3 cm,,,21 ,,RBRVS,6.88 ,4.80 ,4.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27045,CPT,Exc hip/pelv tum deep > 5 cm,,,21 ,,RBRVS,11.13 ,7.42 ,7.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27047,CPT,Remove hip/pelvis lesion,,,21 ,,RBRVS,7.51 ,4.62 ,7.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27048,CPT,Remove hip/pelvis lesion,,,21 ,,RBRVS,6.44 ,4.73 ,4.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27049,CPT,"Remove tumor, hip/pelvis",,,21 ,,RBRVS,15.20 ,8.40 ,8.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27050,CPT,Biopsy of sacroiliac joint,,,21 ,,RBRVS,4.65 ,3.57 ,3.57 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27052,CPT,Biopsy of hip joint,,,21 ,,RBRVS,7.27 ,5.77 ,5.77 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27054,CPT,Removal of hip joint lining,,,21 ,,RBRVS,9.09 ,6.83 ,6.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27057,CPT,Buttock fasciotomy w/dbrdmt,,,21 ,,RBRVS,14.77 ,8.32 ,8.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27059,CPT,Resect hip/pelv tum > 5 cm,,,21 ,,RBRVS,29.35 ,15.95 ,15.95 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27060,CPT,Removal of ischial bursa,,,21 ,,RBRVS,5.78 ,4.32 ,4.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27062,CPT,Remove femur lesion/bursa,,,21 ,,RBRVS,5.66 ,4.83 ,4.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27065,CPT,Removal of hip bone lesion,,,21 ,,RBRVS,6.44 ,5.28 ,5.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27066,CPT,Removal of hip bone lesion,,,21 ,,RBRVS,11.06 ,7.89 ,7.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27067,CPT,Remove/graft hip bone lesion,,,21 ,,RBRVS,14.57 ,9.76 ,9.76 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27070,CPT,Partial removal of hip bone,,,21 ,,RBRVS,11.44 ,8.50 ,8.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27071,CPT,Partial removal of hip bone,,,21 ,,RBRVS,12.25 ,9.12 ,9.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27075,CPT,Extensive hip surgery,,,21 ,,RBRVS,36.77 ,17.81 ,17.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27076,CPT,Extensive hip surgery,,,21 ,,RBRVS,24.25 ,13.54 ,13.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27077,CPT,Extensive hip surgery,,,21 ,,RBRVS,42.54 ,20.81 ,20.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27078,CPT,Extensive hip surgery,,,21 ,,RBRVS,14.54 ,9.42 ,9.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27080,CPT,Removal of tail bone,,,21 ,,RBRVS,6.80 ,4.80 ,4.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27086,CPT,Remove hip foreign body,,,21 ,,RBRVS,1.89 ,1.61 ,3.91 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27087,CPT,Remove hip foreign body,,,21 ,,RBRVS,8.72 ,6.11 ,6.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27090,CPT,Removal of hip prosthesis,,,21 ,,RBRVS,11.57 ,7.96 ,7.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27091,CPT,Removal of hip prosthesis,,,21 ,,RBRVS,24.15 ,13.64 ,13.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27093,CPT,Injection for hip x-ray,,,21 ,,RBRVS,1.30 ,0.50 ,3.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27095,CPT,Injection for hip x-ray,,,21 ,,RBRVS,1.50 ,0.56 ,4.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27096,CPT,Inject sacroiliac joint,,,21 ,,RBRVS,1.40 ,0.35 ,3.00 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27097,CPT,Revision of hip tendon,,,21 ,,RBRVS,9.16 ,6.40 ,6.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27098,CPT,Transfer tendon to pelvis,,,21 ,,RBRVS,9.20 ,5.66 ,5.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27100,CPT,Transfer of abdominal muscle,,,21 ,,RBRVS,11.21 ,8.03 ,8.03 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27105,CPT,Transfer of spinal muscle,,,21 ,,RBRVS,11.90 ,8.39 ,8.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27110,CPT,Transfer of iliopsoas muscle,,,21 ,,RBRVS,13.63 ,8.86 ,8.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27111,CPT,Transfer of iliopsoas muscle,,,21 ,,RBRVS,12.46 ,7.60 ,7.60 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27120,CPT,Reconstruction of hip socket,,,21 ,,RBRVS,19.10 ,11.32 ,11.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27122,CPT,Reconstruction of hip socket,,,21 ,,RBRVS,15.95 ,10.12 ,10.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27125,CPT,Partial hip replacement,,,21 ,,RBRVS,16.46 ,10.16 ,10.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27130,CPT,Total hip arthroplasty,,,21 ,,RBRVS,21.61 ,12.58 ,12.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27132,CPT,Total hip arthroplasty,,,21 ,,RBRVS,25.49 ,14.50 ,14.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27134,CPT,Revise hip joint replacement,,,21 ,,RBRVS,30.13 ,16.10 ,16.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27137,CPT,Revise hip joint replacement,,,21 ,,RBRVS,22.55 ,12.74 ,12.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27138,CPT,Revise hip joint replacement,,,21 ,,RBRVS,23.55 ,13.17 ,13.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27140,CPT,Transplant femur ridge,,,21 ,,RBRVS,12.66 ,8.50 ,8.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27146,CPT,Incision of hip bone,,,21 ,,RBRVS,18.72 ,11.14 ,11.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27147,CPT,Revision of hip bone,,,21 ,,RBRVS,21.87 ,12.85 ,12.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27151,CPT,Incision of hip bones,,,21 ,,RBRVS,23.92 ,12.12 ,12.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27156,CPT,Revision of hip bones,,,21 ,,RBRVS,26.03 ,14.45 ,14.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27158,CPT,Revision of pelvis,,,21 ,,RBRVS,20.89 ,11.79 ,11.79 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27161,CPT,Incision of neck of femur,,,21 ,,RBRVS,17.74 ,11.09 ,11.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27165,CPT,Incision/fixation of femur,,,21 ,,RBRVS,20.06 ,12.27 ,12.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27170,CPT,Repair/graft femur head/neck,,,21 ,,RBRVS,17.46 ,10.46 ,10.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27175,CPT,Treat slipped epiphysis,,,21 ,,RBRVS,9.29 ,6.30 ,6.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27176,CPT,Treat slipped epiphysis,,,21 ,,RBRVS,12.78 ,8.63 ,8.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27177,CPT,Treat slipped epiphysis,,,21 ,,RBRVS,15.94 ,10.25 ,10.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27178,CPT,Treat slipped epiphysis,,,21 ,,RBRVS,12.78 ,8.48 ,8.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27179,CPT,Revise head/neck of femur,,,21 ,,RBRVS,13.83 ,9.07 ,9.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27181,CPT,Treat slipped epiphysis,,,21 ,,RBRVS,15.98 ,10.15 ,10.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27185,CPT,Revision of femur epiphysis,,,21 ,,RBRVS,9.67 ,5.98 ,5.98 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27187,CPT,Reinforce hip bones,,,21 ,,RBRVS,14.09 ,9.35 ,9.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27193,CPT,Treat pelvic ring fracture,,,21 ,,RBRVS,5.98 ,4.93 ,4.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27194,CPT,Treat pelvic ring fracture,,,21 ,,RBRVS,10.08 ,6.67 ,6.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27200,CPT,Treat tail bone fracture,,,21 ,,RBRVS,1.87 ,2.19 ,2.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27202,CPT,Treat tail bone fracture,,,21 ,,RBRVS,7.25 ,7.93 ,7.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27215,CPT,Treat pelvic fracture(s),,,21 ,,RBRVS,10.45 ,6.71 ,6.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27216,CPT,Treat pelvic ring fracture,,,21 ,,RBRVS,15.73 ,9.53 ,9.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27217,CPT,Treat pelvic ring fracture,,,21 ,,RBRVS,14.65 ,9.31 ,9.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27218,CPT,Treat pelvic ring fracture,,,21 ,,RBRVS,20.93 ,11.68 ,11.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27220,CPT,Treat hip socket fracture,,,21 ,,RBRVS,6.72 ,5.38 ,5.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27222,CPT,Treat hip socket fracture,,,21 ,,RBRVS,13.97 ,9.09 ,9.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27226,CPT,Treat hip wall fracture,,,21 ,,RBRVS,15.45 ,8.99 ,8.99 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27227,CPT,Treat hip fracture(s),,,21 ,,RBRVS,25.21 ,14.37 ,14.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27228,CPT,Treat hip fracture(s),,,21 ,,RBRVS,29.13 ,16.19 ,16.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27230,CPT,Treat thigh fracture,,,21 ,,RBRVS,5.69 ,5.01 ,5.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27232,CPT,Treat thigh fracture,,,21 ,,RBRVS,11.66 ,6.58 ,6.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27235,CPT,Treat thigh fracture,,,21 ,,RBRVS,12.88 ,8.59 ,8.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27236,CPT,Treat thigh fracture,,,21 ,,RBRVS,17.43 ,10.70 ,10.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27238,CPT,Treat thigh fracture,,,21 ,,RBRVS,5.64 ,4.87 ,4.87 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27240,CPT,Treat thigh fracture,,,21 ,,RBRVS,13.66 ,8.83 ,8.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27244,CPT,Treat thigh fracture,,,21 ,,RBRVS,18.00 ,10.95 ,10.95 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27245,CPT,Treat thigh fracture,,,21 ,,RBRVS,18.00 ,11.58 ,11.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27246,CPT,Treat thigh fracture,,,21 ,,RBRVS,4.75 ,4.13 ,4.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27248,CPT,Treat thigh fracture,,,21 ,,RBRVS,10.64 ,7.05 ,7.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27250,CPT,Treat hip dislocation,,,21 ,,RBRVS,3.82 ,1.72 ,1.72 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27252,CPT,Treat hip dislocation,,,21 ,,RBRVS,10.92 ,6.88 ,6.88 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27253,CPT,Treat hip dislocation,,,21 ,,RBRVS,13.46 ,8.82 ,8.82 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27254,CPT,Treat hip dislocation,,,21 ,,RBRVS,18.80 ,11.23 ,11.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27256,CPT,Treat hip dislocation,,,21 ,,RBRVS,4.25 ,1.58 ,2.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27257,CPT,Treat hip dislocation,,,21 ,,RBRVS,5.35 ,2.62 ,2.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27258,CPT,Treat hip dislocation,,,21 ,,RBRVS,16.04 ,10.08 ,10.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27259,CPT,Treat hip dislocation,,,21 ,,RBRVS,23.03 ,13.59 ,13.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27265,CPT,Treat hip dislocation,,,21 ,,RBRVS,5.12 ,4.08 ,4.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27266,CPT,Treat hip dislocation,,,21 ,,RBRVS,7.67 ,5.84 ,5.84 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27267,CPT,Cltx thigh fx,,,21 ,,RBRVS,5.38 ,4.28 ,4.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27268,CPT,Cltx thigh fx w/mnpj,,,21 ,,RBRVS,7.00 ,4.93 ,4.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27269,CPT,Optx thigh fx,,,21 ,,RBRVS,18.75 ,9.89 ,9.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27275,CPT,Manipulation of hip joint,,,21 ,,RBRVS,2.29 ,1.91 ,1.91 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27280,CPT,Fusion of sacroiliac joint,,,21 ,,RBRVS,14.49 ,9.62 ,9.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27282,CPT,Fusion of pubic bones,,,21 ,,RBRVS,11.71 ,7.26 ,7.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27284,CPT,Fusion of hip joint,,,21 ,,RBRVS,24.91 ,11.73 ,11.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27286,CPT,Fusion of hip joint,,,21 ,,RBRVS,24.97 ,14.43 ,14.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27290,CPT,Amputation of leg at hip,,,21 ,,RBRVS,24.38 ,12.94 ,12.94 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27295,CPT,Amputation of leg at hip,,,21 ,,RBRVS,19.54 ,10.48 ,10.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27299,CPT,Pelvis/hip joint surgery,,,21 ,,TotalUnits,,,,3.30 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,27301,CPT,Drain thigh/knee lesion,,,21 ,,RBRVS,6.67 ,4.88 ,8.72 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27303,CPT,Drainage of bone lesion,,,21 ,,RBRVS,8.52 ,6.39 ,6.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27305,CPT,Incise thigh tendon & fascia,,,21 ,,RBRVS,6.09 ,4.80 ,4.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27306,CPT,Incision of thigh tendon,,,21 ,,RBRVS,4.66 ,4.13 ,4.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27307,CPT,Incision of thigh tendons,,,21 ,,RBRVS,5.97 ,4.86 ,4.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27310,CPT,Exploration of knee joint,,,21 ,,RBRVS,9.88 ,7.14 ,7.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27323,CPT,"Biopsy, thigh soft tissues",,,21 ,,RBRVS,2.30 ,1.95 ,4.01 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27324,CPT,"Biopsy, thigh soft tissues",,,21 ,,RBRVS,4.95 ,3.97 ,3.97 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27325,CPT,"Neurectomy, hamstring",,,21 ,,RBRVS,7.09 ,5.24 ,5.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27326,CPT,"Neurectomy, popliteal",,,21 ,,RBRVS,6.36 ,4.98 ,4.98 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27327,CPT,Removal of thigh lesion,,,21 ,,RBRVS,4.52 ,3.66 ,6.02 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27328,CPT,Removal of thigh lesion,,,21 ,,RBRVS,5.62 ,4.21 ,4.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27329,CPT,"Remove tumor, thigh/knee",,,21 ,,RBRVS,15.68 ,8.84 ,8.84 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27330,CPT,"Biopsy, knee joint lining",,,21 ,,RBRVS,5.02 ,4.28 ,4.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27331,CPT,Explore/treat knee joint,,,21 ,,RBRVS,5.93 ,5.06 ,5.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27332,CPT,Removal of knee cartilage,,,21 ,,RBRVS,8.34 ,6.55 ,6.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27333,CPT,Removal of knee cartilage,,,21 ,,RBRVS,7.43 ,6.08 ,6.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27334,CPT,Remove knee joint lining,,,21 ,,RBRVS,9.07 ,6.79 ,6.79 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27335,CPT,Remove knee joint lining,,,21 ,,RBRVS,10.43 ,7.49 ,7.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27337,CPT,Exc thigh/knee les sc > 3 cm,,,21 ,,RBRVS,5.91 ,4.55 ,4.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27339,CPT,Exc thigh/knee tum deep >5cm,,,21 ,,RBRVS,11.13 ,7.63 ,7.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27340,CPT,Removal of kneecap bursa,,,21 ,,RBRVS,4.23 ,4.22 ,4.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27345,CPT,Removal of knee cyst,,,21 ,,RBRVS,5.98 ,5.17 ,5.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27347,CPT,Remove knee cyst,,,21 ,,RBRVS,6.58 ,5.44 ,5.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27350,CPT,Removal of kneecap,,,21 ,,RBRVS,8.54 ,6.64 ,6.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27355,CPT,Remove femur lesion,,,21 ,,RBRVS,7.89 ,6.17 ,6.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27356,CPT,Remove femur lesion/graft,,,21 ,,RBRVS,9.97 ,7.26 ,7.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27357,CPT,Remove femur lesion/graft,,,21 ,,RBRVS,11.02 ,8.00 ,8.00 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27358,CPT,Remove femur lesion/fixation,,,21 ,,RBRVS,4.73 ,2.14 ,2.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27360,CPT,"Partial removal, leg bone(s)",,,21 ,,RBRVS,11.34 ,8.59 ,8.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27364,CPT,Resect thigh/knee tum >5 cm,,,21 ,,RBRVS,24.49 ,14.54 ,14.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27365,CPT,Extensive leg surgery,,,21 ,,RBRVS,17.93 ,11.05 ,11.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27370,CPT,Injection for knee x-ray,,,21 ,,RBRVS,0.96 ,0.36 ,3.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27372,CPT,Removal of foreign body,,,21 ,,RBRVS,5.12 ,4.28 ,8.77 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27380,CPT,Repair of kneecap tendon,,,21 ,,RBRVS,7.34 ,6.46 ,6.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27381,CPT,Repair/graft kneecap tendon,,,21 ,,RBRVS,10.64 ,8.12 ,8.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27385,CPT,Repair of thigh muscle,,,21 ,,RBRVS,8.00 ,6.76 ,6.76 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27386,CPT,Repair/graft of thigh muscle,,,21 ,,RBRVS,10.99 ,8.47 ,8.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27390,CPT,Incision of thigh tendon,,,21 ,,RBRVS,5.44 ,4.79 ,4.79 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27391,CPT,Incision of thigh tendons,,,21 ,,RBRVS,7.38 ,5.94 ,5.94 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27392,CPT,Incision of thigh tendons,,,21 ,,RBRVS,9.51 ,6.88 ,6.88 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27393,CPT,Lengthening of thigh tendon,,,21 ,,RBRVS,6.50 ,5.30 ,5.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27394,CPT,Lengthening of thigh tendons,,,21 ,,RBRVS,8.68 ,6.55 ,6.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27395,CPT,Lengthening of thigh tendons,,,21 ,,RBRVS,12.10 ,8.50 ,8.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27396,CPT,Transplant of thigh tendon,,,21 ,,RBRVS,8.04 ,6.30 ,6.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27397,CPT,Transplants of thigh tendons,,,21 ,,RBRVS,12.46 ,8.77 ,8.77 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27400,CPT,Revise thigh muscles/tendons,,,21 ,,RBRVS,9.21 ,6.89 ,6.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27403,CPT,Repair of knee cartilage,,,21 ,,RBRVS,8.51 ,6.48 ,6.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27405,CPT,Repair of knee ligament,,,21 ,,RBRVS,8.96 ,6.84 ,6.84 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27407,CPT,Repair of knee ligament,,,21 ,,RBRVS,10.71 ,7.30 ,7.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27409,CPT,Repair of knee ligaments,,,21 ,,RBRVS,13.57 ,9.09 ,9.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27412,CPT,Autochondrocyte implant knee,,,21 ,,RBRVS,24.53 ,14.43 ,14.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27415,CPT,Osteochondral knee allograft,,,21 ,,RBRVS,19.79 ,12.35 ,12.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27416,CPT,Osteochondral knee autograft,,,21 ,,RBRVS,14.00 ,8.67 ,8.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27418,CPT,Repair degenerated kneecap,,,21 ,,RBRVS,11.46 ,8.12 ,8.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27420,CPT,Revision of unstable kneecap,,,21 ,,RBRVS,10.14 ,7.37 ,7.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27422,CPT,Revision of unstable kneecap,,,21 ,,RBRVS,10.09 ,7.35 ,7.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27424,CPT,Revision/removal of kneecap,,,21 ,,RBRVS,10.12 ,7.37 ,7.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27425,CPT,Lat retinacular release open,,,21 ,,RBRVS,5.28 ,4.97 ,4.97 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27427,CPT,"Reconstruction, knee",,,21 ,,RBRVS,9.67 ,7.13 ,7.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27428,CPT,"Reconstruction, knee",,,21 ,,RBRVS,15.33 ,10.61 ,10.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27429,CPT,"Reconstruction, knee",,,21 ,,RBRVS,17.24 ,11.82 ,11.82 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27430,CPT,Revision of thigh muscles,,,21 ,,RBRVS,10.04 ,7.29 ,7.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27435,CPT,Incision of knee joint,,,21 ,,RBRVS,10.68 ,7.99 ,7.99 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27437,CPT,Revise kneecap,,,21 ,,RBRVS,8.82 ,6.60 ,6.60 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27438,CPT,Revise kneecap with implant,,,21 ,,RBRVS,11.77 ,7.97 ,7.97 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27440,CPT,Revision of knee joint,,,21 ,,RBRVS,10.97 ,7.04 ,7.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27441,CPT,Revision of knee joint,,,21 ,,RBRVS,11.42 ,7.17 ,7.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27442,CPT,Revision of knee joint,,,21 ,,RBRVS,12.25 ,8.15 ,8.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27443,CPT,Revision of knee joint,,,21 ,,RBRVS,11.29 ,7.85 ,7.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27445,CPT,Revision of knee joint,,,21 ,,RBRVS,18.52 ,11.25 ,11.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27446,CPT,Revision of knee joint,,,21 ,,RBRVS,16.26 ,10.09 ,10.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27447,CPT,Total knee arthroplasty,,,21 ,,RBRVS,23.04 ,13.54 ,13.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27448,CPT,Incision of thigh,,,21 ,,RBRVS,11.48 ,7.78 ,7.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27450,CPT,Incision of thigh,,,21 ,,RBRVS,14.47 ,9.54 ,9.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27454,CPT,Realignment of thigh bone,,,21 ,,RBRVS,18.97 ,11.29 ,11.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27455,CPT,Realignment of knee,,,21 ,,RBRVS,13.24 ,8.94 ,8.94 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27457,CPT,Realignment of knee,,,21 ,,RBRVS,13.92 ,8.91 ,8.91 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27465,CPT,Shortening of thigh bone,,,21 ,,RBRVS,18.44 ,10.64 ,10.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27466,CPT,Lengthening of thigh bone,,,21 ,,RBRVS,17.13 ,10.83 ,10.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27468,CPT,Shorten/lengthen thighs,,,21 ,,RBRVS,19.82 ,11.75 ,11.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27470,CPT,Repair of thigh,,,21 ,,RBRVS,16.97 ,10.89 ,10.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27472,CPT,Repair/graft of thigh,,,21 ,,RBRVS,18.57 ,11.52 ,11.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27475,CPT,Surgery to stop leg growth,,,21 ,,RBRVS,8.82 ,6.60 ,6.60 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27477,CPT,Surgery to stop leg growth,,,21 ,,RBRVS,10.03 ,7.12 ,7.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27479,CPT,Surgery to stop leg growth,,,21 ,,RBRVS,13.04 ,8.69 ,8.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27485,CPT,Surgery to stop leg growth,,,21 ,,RBRVS,9.02 ,6.67 ,6.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27486,CPT,Revise/replace knee joint,,,21 ,,RBRVS,20.92 ,12.51 ,12.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27487,CPT,Revise/replace knee joint,,,21 ,,RBRVS,26.91 ,15.18 ,15.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27488,CPT,Removal of knee prosthesis,,,21 ,,RBRVS,17.40 ,10.94 ,10.94 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27495,CPT,Reinforce thigh,,,21 ,,RBRVS,16.40 ,10.37 ,10.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27496,CPT,Decompression of thigh/knee,,,21 ,,RBRVS,6.66 ,5.13 ,5.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27497,CPT,Decompression of thigh/knee,,,21 ,,RBRVS,7.70 ,5.06 ,5.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27498,CPT,Decompression of thigh/knee,,,21 ,,RBRVS,8.54 ,5.38 ,5.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27499,CPT,Decompression of thigh/knee,,,21 ,,RBRVS,9.31 ,6.07 ,6.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27500,CPT,Treatment of thigh fracture,,,21 ,,RBRVS,6.21 ,4.79 ,5.65 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27501,CPT,Treatment of thigh fracture,,,21 ,,RBRVS,6.34 ,5.13 ,5.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27502,CPT,Treatment of thigh fracture,,,21 ,,RBRVS,11.24 ,7.26 ,7.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27503,CPT,Treatment of thigh fracture,,,21 ,,RBRVS,11.13 ,7.68 ,7.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27506,CPT,Treatment of thigh fracture,,,21 ,,RBRVS,19.42 ,12.09 ,12.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27507,CPT,Treatment of thigh fracture,,,21 ,,RBRVS,14.39 ,8.84 ,8.84 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27508,CPT,Treatment of thigh fracture,,,21 ,,RBRVS,6.08 ,5.22 ,5.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27509,CPT,Treatment of thigh fracture,,,21 ,,RBRVS,8.02 ,7.02 ,7.02 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27510,CPT,Treatment of thigh fracture,,,21 ,,RBRVS,9.68 ,6.70 ,6.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27511,CPT,Treatment of thigh fracture,,,21 ,,RBRVS,14.97 ,9.18 ,9.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27513,CPT,Treatment of thigh fracture,,,21 ,,RBRVS,19.11 ,11.18 ,11.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27514,CPT,Treatment of thigh fracture,,,21 ,,RBRVS,14.46 ,9.55 ,9.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27516,CPT,Treat thigh fx growth plate,,,21 ,,RBRVS,5.45 ,5.18 ,5.84 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27517,CPT,Treat thigh fx growth plate,,,21 ,,RBRVS,8.98 ,6.90 ,6.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27519,CPT,Treat thigh fx growth plate,,,21 ,,RBRVS,13.11 ,8.71 ,8.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27520,CPT,Treat kneecap fracture,,,21 ,,RBRVS,2.93 ,3.51 ,4.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27524,CPT,Treat kneecap fracture,,,21 ,,RBRVS,10.25 ,7.43 ,7.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27530,CPT,Treat knee fracture,,,21 ,,RBRVS,3.97 ,4.32 ,4.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27532,CPT,Treat knee fracture,,,21 ,,RBRVS,7.43 ,5.94 ,6.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27535,CPT,Treat knee fracture,,,21 ,,RBRVS,13.27 ,8.36 ,8.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27536,CPT,Treat knee fracture,,,21 ,,RBRVS,17.19 ,10.87 ,10.87 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27538,CPT,Treat knee fracture(s),,,21 ,,RBRVS,4.95 ,5.01 ,5.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27540,CPT,Treat knee fracture,,,21 ,,RBRVS,11.16 ,8.16 ,8.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27550,CPT,Treat knee dislocation,,,21 ,,RBRVS,5.84 ,4.71 ,5.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27552,CPT,Treat knee dislocation,,,21 ,,RBRVS,8.04 ,6.42 ,6.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27556,CPT,Treat knee dislocation,,,21 ,,RBRVS,12.86 ,8.60 ,8.60 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27557,CPT,Treat knee dislocation,,,21 ,,RBRVS,15.76 ,9.94 ,9.94 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27558,CPT,Treat knee dislocation,,,21 ,,RBRVS,18.25 ,10.76 ,10.76 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27560,CPT,Treat kneecap dislocation,,,21 ,,RBRVS,3.88 ,3.73 ,4.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27562,CPT,Treat kneecap dislocation,,,21 ,,RBRVS,5.86 ,4.85 ,4.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27566,CPT,Treat kneecap dislocation,,,21 ,,RBRVS,12.59 ,8.44 ,8.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27570,CPT,Fixation of knee joint,,,21 ,,RBRVS,1.76 ,1.68 ,1.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27580,CPT,Fusion of knee,,,21 ,,RBRVS,20.90 ,13.25 ,13.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27590,CPT,Amputate leg at thigh,,,21 ,,RBRVS,13.35 ,6.32 ,6.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27591,CPT,Amputate leg at thigh,,,21 ,,RBRVS,13.82 ,7.91 ,7.91 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27592,CPT,Amputate leg at thigh,,,21 ,,RBRVS,10.86 ,5.85 ,5.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27594,CPT,Amputation follow-up surgery,,,21 ,,RBRVS,7.17 ,4.93 ,4.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27596,CPT,Amputation follow-up surgery,,,21 ,,RBRVS,11.15 ,6.32 ,6.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27598,CPT,Amputate lower leg at knee,,,21 ,,RBRVS,11.08 ,6.64 ,6.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27599,CPT,Leg surgery procedure,,,21 ,,TotalUnits,,,,26.35 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,27600,CPT,Decompression of lower leg,,,21 ,,RBRVS,5.94 ,4.10 ,4.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27601,CPT,Decompression of lower leg,,,21 ,,RBRVS,5.94 ,4.53 ,4.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27602,CPT,Decompression of lower leg,,,21 ,,RBRVS,7.71 ,4.57 ,4.57 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27603,CPT,Drain lower leg lesion,,,21 ,,RBRVS,5.12 ,4.00 ,7.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27604,CPT,Drain lower leg bursa,,,21 ,,RBRVS,4.51 ,3.50 ,6.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27605,CPT,Incision of achilles tendon,,,21 ,,RBRVS,2.89 ,1.91 ,5.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27606,CPT,Incision of achilles tendon,,,21 ,,RBRVS,4.15 ,2.85 ,2.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27607,CPT,Treat lower leg bone lesion,,,21 ,,RBRVS,8.51 ,5.98 ,5.98 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27610,CPT,Explore/treat ankle joint,,,21 ,,RBRVS,9.01 ,6.46 ,6.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27612,CPT,Exploration of ankle joint,,,21 ,,RBRVS,8.01 ,5.55 ,5.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27613,CPT,Biopsy lower leg soft tissue,,,21 ,,RBRVS,2.19 ,1.82 ,3.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27614,CPT,Biopsy lower leg soft tissue,,,21 ,,RBRVS,5.71 ,4.04 ,7.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27615,CPT,"Remove tumor, lower leg",,,21 ,,RBRVS,12.93 ,7.93 ,7.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27616,CPT,Resect leg/ankle tum > 5 cm,,,21 ,,RBRVS,19.63 ,12.32 ,12.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27618,CPT,Remove lower leg lesion,,,21 ,,RBRVS,5.14 ,3.90 ,6.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27619,CPT,Remove lower leg lesion,,,21 ,,RBRVS,8.47 ,5.46 ,9.76 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27620,CPT,Explore/treat ankle joint,,,21 ,,RBRVS,6.04 ,4.85 ,4.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27625,CPT,Remove ankle joint lining,,,21 ,,RBRVS,8.37 ,5.71 ,5.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27626,CPT,Remove ankle joint lining,,,21 ,,RBRVS,8.98 ,6.16 ,6.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27630,CPT,Removal of tendon lesion,,,21 ,,RBRVS,4.85 ,3.94 ,7.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27632,CPT,Exc leg/ankle les sc > 3 cm,,,21 ,,RBRVS,5.91 ,4.47 ,4.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27634,CPT,Exc leg/ankle tum deep >5 cm,,,21 ,,RBRVS,10.13 ,6.81 ,6.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27635,CPT,Remove lower leg bone lesion,,,21 ,,RBRVS,7.91 ,6.06 ,6.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27637,CPT,Remove/graft leg bone lesion,,,21 ,,RBRVS,10.17 ,7.55 ,7.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27638,CPT,Remove/graft leg bone lesion,,,21 ,,RBRVS,10.87 ,7.52 ,7.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27640,CPT,Partial removal of tibia,,,21 ,,RBRVS,12.10 ,8.38 ,8.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27641,CPT,Partial removal of fibula,,,21 ,,RBRVS,9.73 ,6.72 ,6.72 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27645,CPT,Extensive lower leg surgery,,,21 ,,RBRVS,14.78 ,9.98 ,9.98 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27646,CPT,Extensive lower leg surgery,,,21 ,,RBRVS,13.21 ,8.74 ,8.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27647,CPT,Extensive ankle/heel surgery,,,21 ,,RBRVS,12.85 ,6.61 ,6.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27648,CPT,Injection for ankle x-ray,,,21 ,,RBRVS,0.96 ,0.35 ,2.99 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27650,CPT,Repair achilles tendon,,,21 ,,RBRVS,9.00 ,6.90 ,6.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27652,CPT,Repair/graft achilles tendon,,,21 ,,RBRVS,10.64 ,6.89 ,6.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27654,CPT,Repair of achilles tendon,,,21 ,,RBRVS,10.32 ,6.86 ,6.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27656,CPT,Repair leg fascia defect,,,21 ,,RBRVS,4.62 ,3.69 ,8.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27658,CPT,"Repair of leg tendon, each",,,21 ,,RBRVS,5.03 ,4.06 ,4.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27659,CPT,"Repair of leg tendon, each",,,21 ,,RBRVS,6.99 ,4.92 ,4.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27664,CPT,"Repair of leg tendon, each",,,21 ,,RBRVS,4.64 ,4.02 ,4.02 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27665,CPT,"Repair of leg tendon, each",,,21 ,,RBRVS,5.46 ,4.45 ,4.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27675,CPT,Repair lower leg tendons,,,21 ,,RBRVS,7.24 ,4.90 ,4.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27676,CPT,Repair lower leg tendons,,,21 ,,RBRVS,8.61 ,6.11 ,6.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27680,CPT,Release of lower leg tendon,,,21 ,,RBRVS,5.79 ,4.49 ,4.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27681,CPT,Release of lower leg tendons,,,21 ,,RBRVS,6.94 ,5.28 ,5.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27685,CPT,Revision of lower leg tendon,,,21 ,,RBRVS,6.57 ,4.81 ,8.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27686,CPT,Revise lower leg tendons,,,21 ,,RBRVS,7.64 ,5.71 ,5.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27687,CPT,Revision of calf tendon,,,21 ,,RBRVS,6.30 ,4.70 ,4.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27690,CPT,Revise lower leg tendon,,,21 ,,RBRVS,8.96 ,6.22 ,6.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27691,CPT,Revise lower leg tendon,,,21 ,,RBRVS,10.28 ,7.48 ,7.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27692,CPT,Revise additional leg tendon,,,21 ,,RBRVS,1.87 ,0.79 ,0.79 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27695,CPT,Repair of ankle ligament,,,21 ,,RBRVS,6.58 ,5.14 ,5.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27696,CPT,Repair of ankle ligaments,,,21 ,,RBRVS,8.46 ,5.52 ,5.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27698,CPT,Repair of ankle ligament,,,21 ,,RBRVS,9.49 ,6.19 ,6.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27700,CPT,Revision of ankle joint,,,21 ,,RBRVS,9.54 ,5.35 ,5.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27702,CPT,Reconstruct ankle joint,,,21 ,,RBRVS,14.28 ,9.31 ,9.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27703,CPT,"Reconstruction, ankle joint",,,21 ,,RBRVS,16.79 ,10.50 ,10.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27704,CPT,Removal of ankle implant,,,21 ,,RBRVS,7.69 ,5.72 ,5.72 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27705,CPT,Incision of tibia,,,21 ,,RBRVS,10.74 ,7.37 ,7.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27707,CPT,Incision of fibula,,,21 ,,RBRVS,4.67 ,4.63 ,4.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27709,CPT,Incision of tibia & fibula,,,21 ,,RBRVS,17.32 ,9.72 ,9.72 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27712,CPT,Realignment of lower leg,,,21 ,,RBRVS,15.67 ,10.22 ,10.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27715,CPT,Revision of lower leg,,,21 ,,RBRVS,15.36 ,9.87 ,9.87 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27720,CPT,Repair of tibia,,,21 ,,RBRVS,12.22 ,8.52 ,8.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27722,CPT,Repair/graft of tibia,,,21 ,,RBRVS,12.31 ,8.37 ,8.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27724,CPT,Repair/graft of tibia,,,21 ,,RBRVS,19.18 ,11.19 ,11.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27725,CPT,Repair of lower leg,,,21 ,,RBRVS,17.15 ,11.25 ,11.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27726,CPT,Repair fibula nonunion,,,21 ,,RBRVS,14.20 ,7.87 ,7.87 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27727,CPT,Repair of lower leg,,,21 ,,RBRVS,14.69 ,8.21 ,8.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27730,CPT,Repair of tibia epiphysis,,,21 ,,RBRVS,7.59 ,5.97 ,5.97 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27732,CPT,Repair of fibula epiphysis,,,21 ,,RBRVS,5.37 ,4.11 ,4.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27734,CPT,Repair lower leg epiphyses,,,21 ,,RBRVS,8.72 ,5.37 ,5.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27740,CPT,Repair of leg epiphyses,,,21 ,,RBRVS,9.49 ,6.07 ,6.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27742,CPT,Repair of leg epiphyses,,,21 ,,RBRVS,10.49 ,5.83 ,5.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27745,CPT,Reinforce tibia,,,21 ,,RBRVS,10.37 ,7.42 ,7.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27750,CPT,Treatment of tibia fracture,,,21 ,,RBRVS,3.26 ,3.77 ,4.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27752,CPT,Treatment of tibia fracture,,,21 ,,RBRVS,6.15 ,5.31 ,6.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27756,CPT,Treatment of tibia fracture,,,21 ,,RBRVS,7.33 ,5.99 ,5.99 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27758,CPT,Treatment of tibia fracture,,,21 ,,RBRVS,12.40 ,8.52 ,8.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27759,CPT,Treatment of tibia fracture,,,21 ,,RBRVS,14.31 ,9.35 ,9.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27760,CPT,Cltx medial ankle fx,,,21 ,,RBRVS,3.09 ,3.64 ,4.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27762,CPT,Cltx med ankle fx w/mnpj,,,21 ,,RBRVS,5.33 ,4.86 ,5.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27766,CPT,Optx medial ankle fx,,,21 ,,RBRVS,7.73 ,6.49 ,6.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27767,CPT,Cltx post ankle fx,,,21 ,,RBRVS,2.50 ,3.49 ,3.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27768,CPT,Cltx post ankle fx w/mnpj,,,21 ,,RBRVS,5.00 ,4.41 ,4.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27769,CPT,Optx post ankle fx,,,21 ,,RBRVS,10.00 ,6.34 ,6.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27780,CPT,Treatment of fibula fracture,,,21 ,,RBRVS,2.72 ,3.30 ,3.95 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27781,CPT,Treatment of fibula fracture,,,21 ,,RBRVS,4.47 ,4.44 ,5.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27784,CPT,Treatment of fibula fracture,,,21 ,,RBRVS,9.51 ,6.89 ,6.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27786,CPT,Treatment of ankle fracture,,,21 ,,RBRVS,2.91 ,3.41 ,4.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27788,CPT,Treatment of ankle fracture,,,21 ,,RBRVS,4.52 ,4.36 ,5.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27792,CPT,Treatment of ankle fracture,,,21 ,,RBRVS,9.55 ,6.98 ,6.98 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27808,CPT,Treatment of ankle fracture,,,21 ,,RBRVS,2.91 ,3.70 ,4.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27810,CPT,Treatment of ankle fracture,,,21 ,,RBRVS,5.20 ,4.74 ,5.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27814,CPT,Treatment of ankle fracture,,,21 ,,RBRVS,10.46 ,7.74 ,7.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27816,CPT,Treatment of ankle fracture,,,21 ,,RBRVS,2.96 ,3.32 ,4.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27818,CPT,Treatment of ankle fracture,,,21 ,,RBRVS,5.57 ,4.60 ,5.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27822,CPT,Treatment of ankle fracture,,,21 ,,RBRVS,11.03 ,8.98 ,8.98 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27823,CPT,Treatment of ankle fracture,,,21 ,,RBRVS,12.98 ,9.77 ,9.77 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27824,CPT,Treat lower leg fracture,,,21 ,,RBRVS,3.20 ,3.55 ,3.82 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27825,CPT,Treat lower leg fracture,,,21 ,,RBRVS,6.60 ,5.02 ,6.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27826,CPT,Treat lower leg fracture,,,21 ,,RBRVS,10.92 ,8.52 ,8.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27827,CPT,Treat lower leg fracture,,,21 ,,RBRVS,14.56 ,11.05 ,11.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27828,CPT,Treat lower leg fracture,,,21 ,,RBRVS,18.20 ,12.49 ,12.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27829,CPT,Treat lower leg joint,,,21 ,,RBRVS,8.64 ,7.04 ,7.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27830,CPT,Treat lower leg dislocation,,,21 ,,RBRVS,3.85 ,3.77 ,4.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27831,CPT,Treat lower leg dislocation,,,21 ,,RBRVS,4.62 ,4.19 ,4.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27832,CPT,Treat lower leg dislocation,,,21 ,,RBRVS,10.01 ,6.86 ,6.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27840,CPT,Treat ankle dislocation,,,21 ,,RBRVS,4.65 ,3.61 ,3.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27842,CPT,Treat ankle dislocation,,,21 ,,RBRVS,6.34 ,4.99 ,4.99 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27846,CPT,Treat ankle dislocation,,,21 ,,RBRVS,10.16 ,7.25 ,7.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27848,CPT,Treat ankle dislocation,,,21 ,,RBRVS,11.56 ,8.14 ,8.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27860,CPT,Fixation of ankle joint,,,21 ,,RBRVS,2.36 ,1.86 ,1.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27870,CPT,"Fusion of ankle joint, open",,,21 ,,RBRVS,15.21 ,9.69 ,9.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27871,CPT,Fusion of tibiofibular joint,,,21 ,,RBRVS,9.42 ,6.91 ,6.91 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27880,CPT,Amputation of lower leg,,,21 ,,RBRVS,15.24 ,6.98 ,6.98 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27881,CPT,Amputation of lower leg,,,21 ,,RBRVS,13.32 ,7.92 ,7.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27882,CPT,Amputation of lower leg,,,21 ,,RBRVS,9.67 ,5.37 ,5.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27884,CPT,Amputation follow-up surgery,,,21 ,,RBRVS,8.64 ,5.33 ,5.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27886,CPT,Amputation follow-up surgery,,,21 ,,RBRVS,9.88 ,6.05 ,6.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27888,CPT,Amputation of foot at ankle,,,21 ,,RBRVS,10.23 ,6.60 ,6.60 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27889,CPT,Amputation of foot at ankle,,,21 ,,RBRVS,10.72 ,5.72 ,5.72 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27892,CPT,Decompression of leg,,,21 ,,RBRVS,7.82 ,5.13 ,5.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27893,CPT,Decompression of leg,,,21 ,,RBRVS,7.78 ,5.34 ,5.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27894,CPT,Decompression of leg,,,21 ,,RBRVS,12.42 ,7.75 ,7.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,27899,CPT,Leg/ankle surgery procedure,,,21 ,,TotalUnits,,,,15.68 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,28001,CPT,Drainage of bursa of foot,,,21 ,,RBRVS,2.75 ,1.68 ,3.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,28002,CPT,Treatment of foot infection,,,21 ,,RBRVS,5.78 ,3.62 ,6.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,28003,CPT,Treatment of foot infection,,,21 ,,RBRVS,8.95 ,4.75 ,7.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,28005,CPT,Treat foot bone lesion,,,21 ,,RBRVS,9.30 ,5.67 ,5.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,28008,CPT,Incision of foot fascia,,,21 ,,RBRVS,4.50 ,2.99 ,5.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,28010,CPT,Incision of toe tendon,,,21 ,,RBRVS,2.89 ,2.32 ,2.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,28011,CPT,Incision of toe tendons,,,21 ,,RBRVS,4.19 ,3.10 ,3.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,28020,CPT,Exploration of foot joint,,,21 ,,RBRVS,5.06 ,3.70 ,6.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,28022,CPT,Exploration of foot joint,,,21 ,,RBRVS,4.72 ,3.42 ,6.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,28024,CPT,Exploration of toe joint,,,21 ,,RBRVS,4.43 ,3.29 ,6.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,28035,CPT,Decompression of tibia nerve,,,21 ,,RBRVS,5.14 ,3.72 ,6.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,28039,CPT,Exc foot/toe tum sc > 1.5 cm,,,21 ,,RBRVS,5.42 ,3.38 ,7.03 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,28041,CPT,Exc foot/toe tum deep >1.5cm,,,21 ,,RBRVS,7.13 ,4.43 ,4.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,28043,CPT,Excision of foot lesion,,,21 ,,RBRVS,3.58 ,2.81 ,4.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,28045,CPT,Excision of foot lesion,,,21 ,,RBRVS,4.77 ,3.32 ,6.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,28046,CPT,"Resection of tumor, foot",,,21 ,,RBRVS,10.55 ,5.94 ,9.82 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,28047,CPT,Resect foot/toe tumor > 3 cm,,,21 ,,RBRVS,17.45 ,7.06 ,7.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,28050,CPT,Biopsy of foot joint lining,,,21 ,,RBRVS,4.30 ,3.34 ,6.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,28052,CPT,Biopsy of foot joint lining,,,21 ,,RBRVS,3.98 ,2.98 ,5.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,28054,CPT,Biopsy of toe joint lining,,,21 ,,RBRVS,3.49 ,2.87 ,5.72 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,28055,CPT,"Neurectomy, foot",,,21 ,,RBRVS,6.20 ,3.53 ,3.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,28060,CPT,"Partial removal, foot fascia",,,21 ,,RBRVS,5.29 ,3.61 ,6.57 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,28062,CPT,Removal of foot fascia,,,21 ,,RBRVS,6.58 ,3.85 ,7.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,28070,CPT,Removal of foot joint lining,,,21 ,,RBRVS,5.15 ,3.53 ,6.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,28072,CPT,Removal of foot joint lining,,,21 ,,RBRVS,4.63 ,3.79 ,6.97 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,28080,CPT,Removal of foot lesion,,,21 ,,RBRVS,4.65 ,4.00 ,6.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,28086,CPT,Excise foot tendon sheath,,,21 ,,RBRVS,4.83 ,3.93 ,7.60 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,28088,CPT,Excise foot tendon sheath,,,21 ,,RBRVS,3.90 ,3.41 ,6.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,28090,CPT,Removal of foot lesion,,,21 ,,RBRVS,4.46 ,3.22 ,6.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,28092,CPT,Removal of toe lesions,,,21 ,,RBRVS,3.69 ,3.07 ,5.99 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,28100,CPT,Removal of ankle/heel lesion,,,21 ,,RBRVS,5.72 ,4.22 ,8.03 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,28102,CPT,Remove/graft foot lesion,,,21 ,,RBRVS,7.80 ,5.75 ,5.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,28103,CPT,Remove/graft foot lesion,,,21 ,,RBRVS,6.56 ,4.39 ,4.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,28104,CPT,Removal of foot lesion,,,21 ,,RBRVS,5.17 ,3.54 ,6.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,28106,CPT,Remove/graft foot lesion,,,21 ,,RBRVS,7.23 ,4.33 ,4.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,28107,CPT,Remove/graft foot lesion,,,21 ,,RBRVS,5.62 ,3.90 ,7.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,28108,CPT,Removal of toe lesions,,,21 ,,RBRVS,4.21 ,3.01 ,5.76 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,28110,CPT,Part removal of metatarsal,,,21 ,,RBRVS,4.13 ,3.07 ,6.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,28111,CPT,Part removal of metatarsal,,,21 ,,RBRVS,5.06 ,3.33 ,6.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,28112,CPT,Part removal of metatarsal,,,21 ,,RBRVS,4.54 ,3.32 ,6.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,28113,CPT,Part removal of metatarsal,,,21 ,,RBRVS,5.88 ,4.50 ,7.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,28114,CPT,Removal of metatarsal heads,,,21 ,,RBRVS,11.61 ,8.33 ,12.82 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,28116,CPT,Revision of foot,,,21 ,,RBRVS,8.94 ,5.19 ,8.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,28118,CPT,Removal of heel bone,,,21 ,,RBRVS,6.02 ,4.15 ,7.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,28119,CPT,Removal of heel spur,,,21 ,,RBRVS,5.45 ,3.57 ,6.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,28120,CPT,Part removal of ankle/heel,,,21 ,,RBRVS,5.64 ,4.06 ,7.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,28122,CPT,Partial removal of foot bone,,,21 ,,RBRVS,7.56 ,4.89 ,7.95 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,28124,CPT,Partial removal of toe,,,21 ,,RBRVS,4.88 ,3.47 ,6.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,28126,CPT,Partial removal of toe,,,21 ,,RBRVS,3.56 ,2.72 ,5.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,28130,CPT,Removal of ankle bone,,,21 ,,RBRVS,9.30 ,6.15 ,6.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,28140,CPT,Removal of metatarsal,,,21 ,,RBRVS,7.03 ,4.28 ,7.57 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,28150,CPT,Removal of toe,,,21 ,,RBRVS,4.14 ,3.02 ,5.84 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,28153,CPT,Partial removal of toe,,,21 ,,RBRVS,3.71 ,2.81 ,5.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,28160,CPT,Partial removal of toe,,,21 ,,RBRVS,3.79 ,3.01 ,5.77 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,28171,CPT,Extensive foot surgery,,,21 ,,RBRVS,9.85 ,5.22 ,5.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,28173,CPT,Extensive foot surgery,,,21 ,,RBRVS,9.05 ,4.76 ,8.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,28175,CPT,Extensive foot surgery,,,21 ,,RBRVS,6.17 ,3.61 ,6.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,28190,CPT,Removal of foot foreign body,,,21 ,,RBRVS,1.98 ,1.36 ,3.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,28192,CPT,Removal of foot foreign body,,,21 ,,RBRVS,4.69 ,3.26 ,6.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,28193,CPT,Removal of foot foreign body,,,21 ,,RBRVS,5.79 ,3.66 ,6.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,28200,CPT,Repair of foot tendon,,,21 ,,RBRVS,4.65 ,3.28 ,6.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,28202,CPT,Repair/graft of foot tendon,,,21 ,,RBRVS,6.96 ,4.07 ,7.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,28208,CPT,Repair of foot tendon,,,21 ,,RBRVS,4.42 ,3.20 ,6.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,28210,CPT,Repair/graft of foot tendon,,,21 ,,RBRVS,6.41 ,3.92 ,7.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,28220,CPT,Release of foot tendon,,,21 ,,RBRVS,4.58 ,3.12 ,5.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,28222,CPT,Release of foot tendons,,,21 ,,RBRVS,5.67 ,3.49 ,6.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,28225,CPT,Release of foot tendon,,,21 ,,RBRVS,3.70 ,2.69 ,5.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,28226,CPT,Release of foot tendons,,,21 ,,RBRVS,4.58 ,3.39 ,6.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,28230,CPT,Incision of foot tendon(s),,,21 ,,RBRVS,4.28 ,3.04 ,5.72 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,28232,CPT,Incision of toe tendon,,,21 ,,RBRVS,3.43 ,2.81 ,5.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,28234,CPT,Incision of foot tendon,,,21 ,,RBRVS,3.43 ,3.12 ,5.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,28238,CPT,Revision of foot tendon,,,21 ,,RBRVS,7.85 ,4.51 ,7.99 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,28240,CPT,Release of big toe,,,21 ,,RBRVS,4.40 ,3.10 ,5.88 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,28250,CPT,Revision of foot fascia,,,21 ,,RBRVS,5.97 ,3.95 ,7.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,28260,CPT,Release of midfoot joint,,,21 ,,RBRVS,8.08 ,4.67 ,7.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,28261,CPT,Revision of foot tendon,,,21 ,,RBRVS,12.91 ,6.61 ,10.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,28262,CPT,Revision of foot and ankle,,,21 ,,RBRVS,17.01 ,10.09 ,14.87 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,28264,CPT,Release of midfoot joint,,,21 ,,RBRVS,10.53 ,6.57 ,9.95 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,28270,CPT,Release of foot contracture,,,21 ,,RBRVS,4.82 ,3.50 ,6.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,28272,CPT,"Release of toe joint, each",,,21 ,,RBRVS,3.84 ,2.66 ,5.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,28280,CPT,Fusion of toes,,,21 ,,RBRVS,5.24 ,3.77 ,6.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,28285,CPT,Repair of hammertoe,,,21 ,,RBRVS,4.65 ,3.34 ,6.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,28286,CPT,Repair of hammertoe,,,21 ,,RBRVS,4.61 ,3.06 ,5.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,28288,CPT,Partial removal of foot bone,,,21 ,,RBRVS,5.81 ,4.68 ,7.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,28289,CPT,Repair hallux rigidus,,,21 ,,RBRVS,8.11 ,5.41 ,8.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,28290,CPT,Correction of bunion,,,21 ,,RBRVS,5.72 ,4.12 ,7.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,28292,CPT,Correction of bunion,,,21 ,,RBRVS,8.72 ,5.96 ,9.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,28293,CPT,Correction of bunion,,,21 ,,RBRVS,11.10 ,6.64 ,13.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,28294,CPT,Correction of bunion,,,21 ,,RBRVS,8.63 ,4.75 ,8.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,28296,CPT,Correction of bunion,,,21 ,,RBRVS,8.16 ,5.08 ,8.87 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,28297,CPT,Correction of bunion,,,21 ,,RBRVS,9.31 ,5.57 ,9.94 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,28298,CPT,Correction of bunion,,,21 ,,RBRVS,8.01 ,4.71 ,8.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,28299,CPT,Correction of bunion,,,21 ,,RBRVS,11.39 ,5.85 ,10.02 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,28300,CPT,Incision of heel bone,,,21 ,,RBRVS,9.61 ,6.38 ,6.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,28302,CPT,Incision of ankle bone,,,21 ,,RBRVS,9.62 ,6.29 ,6.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,28304,CPT,Incision of midfoot bones,,,21 ,,RBRVS,9.29 ,5.35 ,9.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,28305,CPT,Incise/graft midfoot bones,,,21 ,,RBRVS,10.63 ,6.33 ,6.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,28306,CPT,Incision of metatarsal,,,21 ,,RBRVS,5.91 ,4.02 ,8.00 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,28307,CPT,Incision of metatarsal,,,21 ,,RBRVS,6.39 ,4.84 ,10.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,28308,CPT,Incision of metatarsal,,,21 ,,RBRVS,5.36 ,3.79 ,7.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,28309,CPT,Incision of metatarsals,,,21 ,,RBRVS,13.96 ,7.63 ,7.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,28310,CPT,Revision of big toe,,,21 ,,RBRVS,5.48 ,3.43 ,6.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,28312,CPT,Revision of toe,,,21 ,,RBRVS,4.60 ,3.34 ,6.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,28313,CPT,Repair deformity of toe,,,21 ,,RBRVS,5.06 ,4.03 ,6.87 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,28315,CPT,Removal of sesamoid bone,,,21 ,,RBRVS,4.91 ,3.21 ,6.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,28320,CPT,Repair of foot bones,,,21 ,,RBRVS,9.25 ,5.89 ,5.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,28322,CPT,Repair of metatarsals,,,21 ,,RBRVS,8.41 ,5.60 ,9.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,28340,CPT,Resect enlarged toe tissue,,,21 ,,RBRVS,7.04 ,3.98 ,7.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,28341,CPT,Resect enlarged toe,,,21 ,,RBRVS,8.60 ,4.43 ,7.95 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,28344,CPT,Repair extra toe(s),,,21 ,,RBRVS,4.31 ,3.48 ,6.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,28345,CPT,Repair webbed toe(s),,,21 ,,RBRVS,5.98 ,4.11 ,7.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,28360,CPT,Reconstruct cleft foot,,,21 ,,RBRVS,14.67 ,8.57 ,8.57 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,28400,CPT,Treatment of heel fracture,,,21 ,,RBRVS,2.22 ,2.92 ,3.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,28405,CPT,Treatment of heel fracture,,,21 ,,RBRVS,4.63 ,3.84 ,4.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,28406,CPT,Treatment of heel fracture,,,21 ,,RBRVS,6.44 ,5.93 ,5.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,28415,CPT,Treat heel fracture,,,21 ,,RBRVS,15.96 ,11.09 ,11.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,28420,CPT,Treat/graft heel fracture,,,21 ,,RBRVS,17.29 ,11.19 ,11.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,28430,CPT,Treatment of ankle fracture,,,21 ,,RBRVS,2.14 ,2.53 ,3.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,28435,CPT,Treatment of ankle fracture,,,21 ,,RBRVS,3.45 ,3.35 ,3.91 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,28436,CPT,Treatment of ankle fracture,,,21 ,,RBRVS,4.78 ,5.19 ,5.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,28445,CPT,Treat ankle fracture,,,21 ,,RBRVS,15.53 ,9.93 ,9.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,28446,CPT,Osteochondral talus autogrft,,,21 ,,RBRVS,17.50 ,10.65 ,10.65 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,28450,CPT,"Treat midfoot fracture, each",,,21 ,,RBRVS,1.95 ,2.40 ,2.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,28455,CPT,"Treat midfoot fracture, each",,,21 ,,RBRVS,3.15 ,3.12 ,3.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,28456,CPT,Treat midfoot fracture,,,21 ,,RBRVS,2.75 ,3.70 ,3.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,28465,CPT,"Treat midfoot fracture, each",,,21 ,,RBRVS,8.64 ,6.09 ,6.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,28470,CPT,Treat metatarsal fracture,,,21 ,,RBRVS,1.99 ,2.37 ,2.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,28475,CPT,Treat metatarsal fracture,,,21 ,,RBRVS,2.97 ,2.67 ,3.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,28476,CPT,Treat metatarsal fracture,,,21 ,,RBRVS,3.46 ,4.53 ,4.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,28485,CPT,Treat metatarsal fracture,,,21 ,,RBRVS,7.28 ,5.51 ,5.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,28490,CPT,Treat big toe fracture,,,21 ,,RBRVS,1.12 ,1.64 ,2.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,28495,CPT,Treat big toe fracture,,,21 ,,RBRVS,1.62 ,1.90 ,2.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,28496,CPT,Treat big toe fracture,,,21 ,,RBRVS,2.39 ,2.97 ,7.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,28505,CPT,Treat big toe fracture,,,21 ,,RBRVS,7.28 ,4.60 ,8.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,28510,CPT,Treatment of toe fracture,,,21 ,,RBRVS,1.12 ,1.56 ,1.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,28515,CPT,Treatment of toe fracture,,,21 ,,RBRVS,1.50 ,1.81 ,2.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,28525,CPT,Treat toe fracture,,,21 ,,RBRVS,5.46 ,3.96 ,7.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,28530,CPT,Treat sesamoid bone fracture,,,21 ,,RBRVS,1.08 ,1.35 ,1.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,28531,CPT,Treat sesamoid bone fracture,,,21 ,,RBRVS,2.51 ,2.10 ,6.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,28540,CPT,Treat foot dislocation,,,21 ,,RBRVS,2.10 ,2.25 ,2.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,28545,CPT,Treat foot dislocation,,,21 ,,RBRVS,2.51 ,2.73 ,3.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,28546,CPT,Treat foot dislocation,,,21 ,,RBRVS,3.28 ,3.78 ,7.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,28555,CPT,Repair foot dislocation,,,21 ,,RBRVS,9.49 ,6.29 ,10.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,28570,CPT,Treat foot dislocation,,,21 ,,RBRVS,1.70 ,1.91 ,2.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,28575,CPT,Treat foot dislocation,,,21 ,,RBRVS,3.38 ,3.73 ,4.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,28576,CPT,Treat foot dislocation,,,21 ,,RBRVS,4.48 ,3.84 ,3.84 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,28585,CPT,Repair foot dislocation,,,21 ,,RBRVS,10.92 ,6.77 ,10.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,28600,CPT,Treat foot dislocation,,,21 ,,RBRVS,1.94 ,2.42 ,2.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,28605,CPT,Treat foot dislocation,,,21 ,,RBRVS,2.78 ,3.05 ,3.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,28606,CPT,Treat foot dislocation,,,21 ,,RBRVS,4.97 ,4.20 ,4.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,28615,CPT,Repair foot dislocation,,,21 ,,RBRVS,10.46 ,8.14 ,8.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,28630,CPT,Treat toe dislocation,,,21 ,,RBRVS,1.72 ,0.93 ,1.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,28635,CPT,Treat toe dislocation,,,21 ,,RBRVS,1.93 ,1.38 ,2.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,28636,CPT,Treat toe dislocation,,,21 ,,RBRVS,2.77 ,2.11 ,4.02 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,28645,CPT,Repair toe dislocation,,,21 ,,RBRVS,7.28 ,4.30 ,7.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,28660,CPT,Treat toe dislocation,,,21 ,,RBRVS,1.25 ,0.79 ,1.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,28665,CPT,Treat toe dislocation,,,21 ,,RBRVS,1.94 ,1.35 ,1.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,28666,CPT,Treat toe dislocation,,,21 ,,RBRVS,2.66 ,2.00 ,2.00 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,28675,CPT,Repair of toe dislocation,,,21 ,,RBRVS,5.46 ,4.23 ,7.97 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,28705,CPT,Fusion of foot bones,,,21 ,,RBRVS,20.12 ,11.34 ,11.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,28715,CPT,Fusion of foot bones,,,21 ,,RBRVS,14.40 ,8.97 ,8.97 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,28725,CPT,Fusion of foot bones,,,21 ,,RBRVS,11.97 ,7.21 ,7.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,28730,CPT,Fusion of foot bones,,,21 ,,RBRVS,12.21 ,8.02 ,8.02 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,28735,CPT,Fusion of foot bones,,,21 ,,RBRVS,12.03 ,7.28 ,7.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,28737,CPT,Revision of foot bones,,,21 ,,RBRVS,10.83 ,6.31 ,6.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,28740,CPT,Fusion of foot bones,,,21 ,,RBRVS,9.09 ,6.12 ,10.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,28750,CPT,Fusion of big toe joint,,,21 ,,RBRVS,8.37 ,6.13 ,10.98 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,28755,CPT,Fusion of big toe joint,,,21 ,,RBRVS,4.79 ,3.45 ,6.88 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,28760,CPT,Fusion of big toe joint,,,21 ,,RBRVS,8.94 ,5.39 ,9.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,28800,CPT,Amputation of midfoot,,,21 ,,RBRVS,8.65 ,5.22 ,5.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,28805,CPT,Amputation thru metatarsal,,,21 ,,RBRVS,12.55 ,5.92 ,5.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,28810,CPT,Amputation toe & metatarsal,,,21 ,,RBRVS,6.52 ,4.18 ,4.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,28820,CPT,Amputation of toe,,,21 ,,RBRVS,4.89 ,3.60 ,7.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,28825,CPT,Partial amputation of toe,,,21 ,,RBRVS,5.85 ,3.95 ,7.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,28890,CPT,"High energy eswt, plantar f",,,21 ,,RBRVS,3.36 ,2.16 ,4.79 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,28899,CPT,Foot/toes surgery procedure,,,21 ,,TotalUnits,,,,9.28 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,29000,CPT,Application of body cast,,,21 ,,RBRVS,2.25 ,1.76 ,3.98 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,29010,CPT,Application of body cast,,,21 ,,RBRVS,2.06 ,1.59 ,3.57 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,29015,CPT,Application of body cast,,,21 ,,RBRVS,2.41 ,1.45 ,3.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,29020,CPT,Application of body cast,,,21 ,,RBRVS,2.11 ,1.34 ,3.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,29025,CPT,Application of body cast,,,21 ,,RBRVS,2.40 ,1.74 ,3.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,29035,CPT,Application of body cast,,,21 ,,RBRVS,1.77 ,1.55 ,3.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,29040,CPT,Application of body cast,,,21 ,,RBRVS,2.22 ,1.46 ,3.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,29044,CPT,Application of body cast,,,21 ,,RBRVS,2.12 ,1.73 ,3.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,29046,CPT,Application of body cast,,,21 ,,RBRVS,2.41 ,1.99 ,4.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,29049,CPT,Application of figure eight,,,21 ,,RBRVS,0.89 ,0.55 ,1.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,29055,CPT,Application of shoulder cast,,,21 ,,RBRVS,1.78 ,1.39 ,2.99 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,29058,CPT,Application of shoulder cast,,,21 ,,RBRVS,1.31 ,0.66 ,1.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,29065,CPT,Application of long arm cast,,,21 ,,RBRVS,0.87 ,0.72 ,1.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,29075,CPT,Application of forearm cast,,,21 ,,RBRVS,0.77 ,0.67 ,1.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,29085,CPT,Apply hand/wrist cast,,,21 ,,RBRVS,0.87 ,0.68 ,1.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,29086,CPT,Apply finger cast,,,21 ,,RBRVS,0.62 ,0.54 ,1.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,29105,CPT,Apply long arm splint,,,21 ,,RBRVS,0.87 ,0.53 ,1.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,29125,CPT,Apply forearm splint,,,21 ,,RBRVS,0.59 ,0.42 ,0.97 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,29126,CPT,Apply forearm splint,,,21 ,,RBRVS,0.77 ,0.48 ,1.03 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,29130,CPT,Application of finger splint,,,21 ,,RBRVS,0.50 ,0.19 ,0.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,29131,CPT,Application of finger splint,,,21 ,,RBRVS,0.55 ,0.25 ,0.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,29200,CPT,Strapping of chest,,,21 ,,RBRVS,0.65 ,0.34 ,0.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,29240,CPT,Strapping of shoulder,,,21 ,,RBRVS,0.71 ,0.38 ,0.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,29260,CPT,Strapping of elbow or wrist,,,21 ,,RBRVS,0.55 ,0.35 ,0.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,29280,CPT,Strapping of hand or finger,,,21 ,,RBRVS,0.51 ,0.35 ,0.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,29305,CPT,Application of hip cast,,,21 ,,RBRVS,2.03 ,1.67 ,3.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,29325,CPT,Application of hip casts,,,21 ,,RBRVS,2.32 ,1.86 ,3.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,29345,CPT,Application of long leg cast,,,21 ,,RBRVS,1.40 ,0.99 ,1.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,29355,CPT,Application of long leg cast,,,21 ,,RBRVS,1.53 ,1.01 ,1.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,29358,CPT,Apply long leg cast brace,,,21 ,,RBRVS,1.43 ,1.00 ,2.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,29365,CPT,Application of long leg cast,,,21 ,,RBRVS,1.18 ,0.90 ,1.60 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,29405,CPT,Apply short leg cast,,,21 ,,RBRVS,0.86 ,0.67 ,1.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,29425,CPT,Apply short leg cast,,,21 ,,RBRVS,1.01 ,0.68 ,1.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,29435,CPT,Apply short leg cast,,,21 ,,RBRVS,1.18 ,0.85 ,1.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,29440,CPT,Addition of walker to cast,,,21 ,,RBRVS,0.57 ,0.26 ,0.65 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,29445,CPT,Apply rigid leg cast,,,21 ,,RBRVS,1.78 ,0.91 ,1.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,29450,CPT,Application of leg cast,,,21 ,,RBRVS,2.08 ,0.93 ,1.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,29505,CPT,"Application, long leg splint",,,21 ,,RBRVS,0.69 ,0.45 ,1.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,29515,CPT,Application lower leg splint,,,21 ,,RBRVS,0.73 ,0.46 ,0.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,29520,CPT,Strapping of hip,,,21 ,,RBRVS,0.54 ,0.37 ,0.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,29530,CPT,Strapping of knee,,,21 ,,RBRVS,0.57 ,0.35 ,0.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,29540,CPT,Strapping of ankle and/or ft,,,21 ,,RBRVS,0.51 ,0.30 ,0.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,29550,CPT,Strapping of toes,,,21 ,,RBRVS,0.47 ,0.29 ,0.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,29580,CPT,Application of paste boot,,,21 ,,RBRVS,0.55 ,0.34 ,0.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,29581,CPT,Apply multlay comprs lwr leg,,,21 ,,RBRVS,0.60 ,0.23 ,1.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,29590,CPT,Application of foot splint,,,21 ,,RBRVS,0.76 ,0.27 ,0.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,29700,CPT,Removal/revision of cast,,,21 ,,RBRVS,0.57 ,0.27 ,0.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,29705,CPT,Removal/revision of cast,,,21 ,,RBRVS,0.76 ,0.38 ,0.79 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,29710,CPT,Removal/revision of cast,,,21 ,,RBRVS,1.34 ,0.63 ,1.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,29715,CPT,Removal/revision of cast,,,21 ,,RBRVS,0.94 ,0.44 ,1.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,29720,CPT,Repair of body cast,,,21 ,,RBRVS,0.68 ,0.37 ,1.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,29730,CPT,Windowing of cast,,,21 ,,RBRVS,0.75 ,0.35 ,0.76 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,29740,CPT,Wedging of cast,,,21 ,,RBRVS,1.12 ,0.48 ,1.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,29750,CPT,Wedging of clubfoot cast,,,21 ,,RBRVS,1.26 ,0.57 ,1.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,29799,CPT,Casting/strapping procedure,,,21 ,,TotalUnits,,,,1.22 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,29800,CPT,Jaw arthroscopy/surgery,,,21 ,,RBRVS,6.73 ,5.49 ,5.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,29804,CPT,Jaw arthroscopy/surgery,,,21 ,,RBRVS,8.71 ,6.36 ,6.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,29805,CPT,"Shoulder arthroscopy, dx",,,21 ,,RBRVS,5.94 ,5.04 ,5.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,29806,CPT,Shoulder arthroscopy/surgery,,,21 ,,RBRVS,14.95 ,10.09 ,10.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,29807,CPT,Shoulder arthroscopy/surgery,,,21 ,,RBRVS,14.48 ,9.92 ,9.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,29819,CPT,Shoulder arthroscopy/surgery,,,21 ,,RBRVS,7.68 ,6.06 ,6.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,29820,CPT,Shoulder arthroscopy/surgery,,,21 ,,RBRVS,7.12 ,5.56 ,5.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,29821,CPT,Shoulder arthroscopy/surgery,,,21 ,,RBRVS,7.78 ,6.07 ,6.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,29822,CPT,Shoulder arthroscopy/surgery,,,21 ,,RBRVS,7.49 ,5.97 ,5.97 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,29823,CPT,Shoulder arthroscopy/surgery,,,21 ,,RBRVS,8.24 ,6.48 ,6.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,29824,CPT,Shoulder arthroscopy/surgery,,,21 ,,RBRVS,8.82 ,6.92 ,6.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,29825,CPT,Shoulder arthroscopy/surgery,,,21 ,,RBRVS,7.68 ,6.04 ,6.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,29826,CPT,Shoulder arthroscopy/surgery,,,21 ,,RBRVS,9.05 ,6.67 ,6.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,29827,CPT,Arthroscop rotator cuff repr,,,21 ,,RBRVS,15.44 ,10.16 ,10.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,29828,CPT,Arthroscopy biceps tenodesis,,,21 ,,RBRVS,13.00 ,8.46 ,8.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,29830,CPT,Elbow arthroscopy,,,21 ,,RBRVS,5.80 ,4.79 ,4.79 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,29834,CPT,Elbow arthroscopy/surgery,,,21 ,,RBRVS,6.33 ,5.21 ,5.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,29835,CPT,Elbow arthroscopy/surgery,,,21 ,,RBRVS,6.53 ,5.30 ,5.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,29836,CPT,Elbow arthroscopy/surgery,,,21 ,,RBRVS,7.61 ,6.04 ,6.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,29837,CPT,Elbow arthroscopy/surgery,,,21 ,,RBRVS,6.92 ,5.48 ,5.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,29838,CPT,Elbow arthroscopy/surgery,,,21 ,,RBRVS,7.77 ,6.11 ,6.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,29840,CPT,Wrist arthroscopy,,,21 ,,RBRVS,5.59 ,4.88 ,4.88 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,29843,CPT,Wrist arthroscopy/surgery,,,21 ,,RBRVS,6.06 ,5.18 ,5.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,29844,CPT,Wrist arthroscopy/surgery,,,21 ,,RBRVS,6.42 ,5.20 ,5.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,29845,CPT,Wrist arthroscopy/surgery,,,21 ,,RBRVS,7.58 ,5.82 ,5.82 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,29846,CPT,Wrist arthroscopy/surgery,,,21 ,,RBRVS,6.80 ,5.44 ,5.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,29847,CPT,Wrist arthroscopy/surgery,,,21 ,,RBRVS,7.13 ,5.60 ,5.60 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,29848,CPT,Wrist endoscopy/surgery,,,21 ,,RBRVS,6.24 ,5.44 ,5.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,29850,CPT,Knee arthroscopy/surgery,,,21 ,,RBRVS,8.18 ,5.24 ,5.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,29851,CPT,Knee arthroscopy/surgery,,,21 ,,RBRVS,13.08 ,8.85 ,8.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,29855,CPT,Tibial arthroscopy/surgery,,,21 ,,RBRVS,10.60 ,7.84 ,7.84 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,29856,CPT,Tibial arthroscopy/surgery,,,21 ,,RBRVS,14.12 ,9.46 ,9.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,29860,CPT,"Hip arthroscopy, dx",,,21 ,,RBRVS,8.85 ,6.44 ,6.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,29861,CPT,Hip arthroscopy/surgery,,,21 ,,RBRVS,9.95 ,6.96 ,6.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,29862,CPT,Hip arthroscopy/surgery,,,21 ,,RBRVS,10.97 ,8.02 ,8.02 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,29863,CPT,Hip arthroscopy/surgery,,,21 ,,RBRVS,10.97 ,7.94 ,7.94 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,29866,CPT,"Autgrft implnt, knee w/scope",,,21 ,,RBRVS,14.48 ,10.10 ,10.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,29867,CPT,"Allgrft implnt, knee w/scope",,,21 ,,RBRVS,18.18 ,11.69 ,11.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,29868,CPT,"Meniscal trnspl, knee w/scpe",,,21 ,,RBRVS,24.89 ,14.65 ,14.65 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,29870,CPT,"Knee arthroscopy, dx",,,21 ,,RBRVS,5.11 ,4.44 ,4.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,29871,CPT,Knee arthroscopy/drainage,,,21 ,,RBRVS,6.60 ,5.36 ,5.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,29873,CPT,Knee arthroscopy/surgery,,,21 ,,RBRVS,6.09 ,5.92 ,5.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,29874,CPT,Knee arthroscopy/surgery,,,21 ,,RBRVS,7.10 ,5.50 ,5.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,29875,CPT,Knee arthroscopy/surgery,,,21 ,,RBRVS,6.36 ,5.22 ,5.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,29876,CPT,Knee arthroscopy/surgery,,,21 ,,RBRVS,8.72 ,6.54 ,6.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,29877,CPT,Knee arthroscopy/surgery,,,21 ,,RBRVS,8.15 ,6.30 ,6.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,29879,CPT,Knee arthroscopy/surgery,,,21 ,,RBRVS,8.84 ,6.61 ,6.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,29880,CPT,Knee arthroscopy/surgery,,,21 ,,RBRVS,9.30 ,6.82 ,6.82 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,29881,CPT,Knee arthroscopy/surgery,,,21 ,,RBRVS,8.56 ,6.48 ,6.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,29882,CPT,Knee arthroscopy/surgery,,,21 ,,RBRVS,9.45 ,6.81 ,6.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,29883,CPT,Knee arthroscopy/surgery,,,21 ,,RBRVS,11.61 ,8.18 ,8.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,29884,CPT,Knee arthroscopy/surgery,,,21 ,,RBRVS,8.13 ,6.28 ,6.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,29885,CPT,Knee arthroscopy/surgery,,,21 ,,RBRVS,10.03 ,7.43 ,7.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,29886,CPT,Knee arthroscopy/surgery,,,21 ,,RBRVS,8.34 ,6.40 ,6.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,29887,CPT,Knee arthroscopy/surgery,,,21 ,,RBRVS,9.98 ,7.38 ,7.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,29888,CPT,Knee arthroscopy/surgery,,,21 ,,RBRVS,14.14 ,9.23 ,9.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,29889,CPT,Knee arthroscopy/surgery,,,21 ,,RBRVS,17.15 ,11.51 ,11.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,29891,CPT,Ankle arthroscopy/surgery,,,21 ,,RBRVS,9.47 ,6.96 ,6.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,29892,CPT,Ankle arthroscopy/surgery,,,21 ,,RBRVS,10.07 ,6.73 ,6.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,29893,CPT,"Scope, plantar fasciotomy",,,21 ,,RBRVS,6.08 ,4.41 ,7.98 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,29894,CPT,Ankle arthroscopy/surgery,,,21 ,,RBRVS,7.26 ,5.00 ,5.00 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,29895,CPT,Ankle arthroscopy/surgery,,,21 ,,RBRVS,7.04 ,4.82 ,4.82 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,29897,CPT,Ankle arthroscopy/surgery,,,21 ,,RBRVS,7.23 ,5.19 ,5.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,29898,CPT,Ankle arthroscopy/surgery,,,21 ,,RBRVS,8.38 ,5.52 ,5.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,29899,CPT,Ankle arthroscopy/surgery,,,21 ,,RBRVS,15.21 ,9.72 ,9.72 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,29900,CPT,"Mcp joint arthroscopy, dx",,,21 ,,RBRVS,5.74 ,4.97 ,4.97 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,29901,CPT,"Mcp joint arthroscopy, surg",,,21 ,,RBRVS,6.45 ,5.27 ,5.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,29902,CPT,"Mcp joint arthroscopy, surg",,,21 ,,RBRVS,7.02 ,5.52 ,5.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,29904,CPT,Subtalar arthro w/fb rmvl,,,21 ,,RBRVS,8.50 ,6.08 ,6.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,29905,CPT,Subtalar arthro w/exc,,,21 ,,RBRVS,9.00 ,6.71 ,6.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,29906,CPT,Subtalar arthro w/deb,,,21 ,,RBRVS,9.47 ,7.08 ,7.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,29907,CPT,Subtalar arthro w/fusion,,,21 ,,RBRVS,12.00 ,8.15 ,8.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,29999,CPT,Arthroscopy of joint,,,21 ,,TotalUnits,,,,15.04 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,30000,CPT,Drainage of nose lesion,,,21 ,,RBRVS,1.45 ,1.38 ,4.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,30020,CPT,Drainage of nose lesion,,,21 ,,RBRVS,1.45 ,1.40 ,3.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,30100,CPT,Intranasal biopsy,,,21 ,,RBRVS,0.94 ,0.78 ,2.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,30110,CPT,Removal of nose polyp(s),,,21 ,,RBRVS,1.65 ,1.50 ,3.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,30115,CPT,Removal of nose polyp(s),,,21 ,,RBRVS,4.38 ,5.93 ,5.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,30117,CPT,Removal of intranasal lesion,,,21 ,,RBRVS,3.20 ,4.83 ,16.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,30118,CPT,Removal of intranasal lesion,,,21 ,,RBRVS,9.81 ,8.78 ,8.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,30120,CPT,Revision of nose,,,21 ,,RBRVS,5.31 ,5.47 ,7.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,30124,CPT,Removal of nose lesion,,,21 ,,RBRVS,3.14 ,3.39 ,3.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,30125,CPT,Removal of nose lesion,,,21 ,,RBRVS,7.21 ,7.61 ,7.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,30130,CPT,Excise inferior turbinate,,,21 ,,RBRVS,3.41 ,5.62 ,5.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,30140,CPT,Resect inferior turbinate,,,21 ,,RBRVS,3.48 ,6.84 ,6.84 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,30150,CPT,Partial removal of nose,,,21 ,,RBRVS,9.44 ,9.51 ,9.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,30160,CPT,Removal of nose,,,21 ,,RBRVS,9.88 ,9.20 ,9.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,30200,CPT,Injection treatment of nose,,,21 ,,RBRVS,0.78 ,0.69 ,1.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,30210,CPT,Nasal sinus therapy,,,21 ,,RBRVS,1.10 ,1.29 ,2.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,30220,CPT,Insert nasal septal button,,,21 ,,RBRVS,1.56 ,1.47 ,5.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,30300,CPT,Remove nasal foreign body,,,21 ,,RBRVS,1.06 ,1.87 ,4.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,30310,CPT,Remove nasal foreign body,,,21 ,,RBRVS,1.98 ,2.95 ,2.95 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,30320,CPT,Remove nasal foreign body,,,21 ,,RBRVS,4.56 ,6.29 ,6.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,30400,CPT,Reconstruction of nose,,,21 ,,RBRVS,10.58 ,14.32 ,14.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,30410,CPT,Reconstruction of nose,,,21 ,,RBRVS,13.72 ,15.67 ,15.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,30420,CPT,Reconstruction of nose,,,21 ,,RBRVS,16.62 ,16.50 ,16.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,30430,CPT,Revision of nose,,,21 ,,RBRVS,7.96 ,13.91 ,13.91 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,30435,CPT,Revision of nose,,,21 ,,RBRVS,12.45 ,16.28 ,16.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,30450,CPT,Revision of nose,,,21 ,,RBRVS,19.38 ,18.54 ,18.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,30460,CPT,Revision of nose,,,21 ,,RBRVS,10.24 ,8.06 ,8.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,30462,CPT,Revision of nose,,,21 ,,RBRVS,20.12 ,16.38 ,16.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,30465,CPT,Repair nasal stenosis,,,21 ,,RBRVS,12.20 ,11.41 ,11.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,30520,CPT,Repair of nasal septum,,,21 ,,RBRVS,6.85 ,7.72 ,7.72 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,30540,CPT,Repair nasal defect,,,21 ,,RBRVS,7.81 ,8.35 ,8.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,30545,CPT,Repair nasal defect,,,21 ,,RBRVS,11.50 ,11.38 ,11.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,30560,CPT,Release of nasal adhesions,,,21 ,,RBRVS,1.28 ,2.05 ,5.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,30580,CPT,Repair upper jaw fistula,,,21 ,,RBRVS,6.76 ,5.10 ,8.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,30600,CPT,Repair mouth/nose fistula,,,21 ,,RBRVS,6.07 ,4.51 ,7.72 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,30620,CPT,Intranasal reconstruction,,,21 ,,RBRVS,6.04 ,8.76 ,8.76 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,30630,CPT,Repair nasal septum defect,,,21 ,,RBRVS,7.18 ,7.83 ,7.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,30801,CPT,"Ablate inf turbinate, superf",,,21 ,,RBRVS,1.11 ,2.08 ,4.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,30802,CPT,"Cauterization, inner nose",,,21 ,,RBRVS,2.05 ,2.48 ,4.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,30901,CPT,Control of nosebleed,,,21 ,,RBRVS,1.21 ,0.32 ,1.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,30903,CPT,Control of nosebleed,,,21 ,,RBRVS,1.54 ,0.46 ,3.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,30905,CPT,Control of nosebleed,,,21 ,,RBRVS,1.97 ,0.60 ,3.79 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,30906,CPT,Repeat control of nosebleed,,,21 ,,RBRVS,2.45 ,0.92 ,4.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,30915,CPT,"Ligation, nasal sinus artery",,,21 ,,RBRVS,7.36 ,6.57 ,6.57 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,30920,CPT,"Ligation, upper jaw artery",,,21 ,,RBRVS,11.03 ,9.05 ,9.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,30930,CPT,"Ther fx, nasal inf turbinate",,,21 ,,RBRVS,1.28 ,1.64 ,1.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,30999,CPT,Nasal surgery procedure,,,21 ,,TotalUnits,,,,10.32 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,31000,CPT,"Irrigation, maxillary sinus",,,21 ,,RBRVS,1.17 ,1.36 ,3.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,31002,CPT,"Irrigation, sphenoid sinus",,,21 ,,RBRVS,1.93 ,2.92 ,2.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,31020,CPT,"Exploration, maxillary sinus",,,21 ,,RBRVS,2.99 ,5.44 ,8.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,31030,CPT,"Exploration, maxillary sinus",,,21 ,,RBRVS,5.95 ,6.57 ,10.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,31032,CPT,"Explore sinus, remove polyps",,,21 ,,RBRVS,6.61 ,7.11 ,7.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,31040,CPT,Exploration behind upper jaw,,,21 ,,RBRVS,9.66 ,8.35 ,8.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,31050,CPT,"Exploration, sphenoid sinus",,,21 ,,RBRVS,5.31 ,6.55 ,6.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,31051,CPT,Sphenoid sinus surgery,,,21 ,,RBRVS,7.16 ,8.35 ,8.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,31070,CPT,Exploration of frontal sinus,,,21 ,,RBRVS,4.32 ,6.13 ,6.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,31075,CPT,Exploration of frontal sinus,,,21 ,,RBRVS,9.40 ,9.54 ,9.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,31080,CPT,Removal of frontal sinus,,,21 ,,RBRVS,12.54 ,11.75 ,11.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,31081,CPT,Removal of frontal sinus,,,21 ,,RBRVS,13.99 ,15.05 ,15.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,31084,CPT,Removal of frontal sinus,,,21 ,,RBRVS,14.75 ,13.78 ,13.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,31085,CPT,Removal of frontal sinus,,,21 ,,RBRVS,15.44 ,14.42 ,14.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,31086,CPT,Removal of frontal sinus,,,21 ,,RBRVS,14.16 ,12.88 ,12.88 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,31087,CPT,Removal of frontal sinus,,,21 ,,RBRVS,14.39 ,12.15 ,12.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,31090,CPT,Exploration of sinuses,,,21 ,,RBRVS,10.88 ,13.21 ,13.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,31200,CPT,Removal of ethmoid sinus,,,21 ,,RBRVS,5.03 ,7.94 ,7.94 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,31201,CPT,Removal of ethmoid sinus,,,21 ,,RBRVS,8.49 ,9.08 ,9.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,31205,CPT,Removal of ethmoid sinus,,,21 ,,RBRVS,10.47 ,10.33 ,10.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,31225,CPT,Removal of upper jaw,,,21 ,,RBRVS,26.44 ,18.27 ,18.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,31230,CPT,Removal of upper jaw,,,21 ,,RBRVS,30.56 ,19.56 ,19.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,31231,CPT,"Nasal endoscopy, dx",,,21 ,,RBRVS,1.10 ,0.81 ,3.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,31233,CPT,"Nasal/sinus endoscopy, dx",,,21 ,,RBRVS,2.18 ,1.24 ,4.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,31235,CPT,"Nasal/sinus endoscopy, dx",,,21 ,,RBRVS,2.64 ,1.43 ,4.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,31237,CPT,"Nasal/sinus endoscopy, surg",,,21 ,,RBRVS,2.98 ,1.56 ,4.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,31238,CPT,"Nasal/sinus endoscopy, surg",,,21 ,,RBRVS,3.26 ,1.69 ,4.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,31239,CPT,"Nasal/sinus endoscopy, surg",,,21 ,,RBRVS,9.23 ,7.00 ,7.00 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,31240,CPT,"Nasal/sinus endoscopy, surg",,,21 ,,RBRVS,2.61 ,1.43 ,1.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,31254,CPT,Revision of ethmoid sinus,,,21 ,,RBRVS,4.64 ,2.25 ,2.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,31255,CPT,Removal of ethmoid sinus,,,21 ,,RBRVS,6.95 ,3.18 ,3.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,31256,CPT,Exploration maxillary sinus,,,21 ,,RBRVS,3.29 ,1.70 ,1.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,31267,CPT,"Endoscopy, maxillary sinus",,,21 ,,RBRVS,5.45 ,2.57 ,2.57 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,31276,CPT,"Sinus endoscopy, surgical",,,21 ,,RBRVS,8.84 ,3.93 ,3.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,31287,CPT,"Nasal/sinus endoscopy, surg",,,21 ,,RBRVS,3.91 ,1.95 ,1.95 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,31288,CPT,"Nasal/sinus endoscopy, surg",,,21 ,,RBRVS,4.57 ,2.22 ,2.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,31290,CPT,"Nasal/sinus endoscopy, surg",,,21 ,,RBRVS,18.50 ,10.12 ,10.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,31291,CPT,"Nasal/sinus endoscopy, surg",,,21 ,,RBRVS,19.45 ,10.57 ,10.57 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,31292,CPT,"Nasal/sinus endoscopy, surg",,,21 ,,RBRVS,15.79 ,8.98 ,8.98 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,31293,CPT,"Nasal/sinus endoscopy, surg",,,21 ,,RBRVS,17.36 ,9.65 ,9.65 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,31294,CPT,"Nasal/sinus endoscopy, surg",,,21 ,,RBRVS,20.20 ,10.77 ,10.77 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,31299,CPT,Sinus surgery procedure,,,21 ,,TotalUnits,,,,4.51 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,31300,CPT,Removal of larynx lesion,,,21 ,,RBRVS,15.71 ,14.89 ,14.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,31320,CPT,"Diagnostic incision, larynx",,,21 ,,RBRVS,5.62 ,10.06 ,10.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,31360,CPT,Removal of larynx,,,21 ,,RBRVS,29.57 ,19.60 ,19.60 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,31365,CPT,Removal of larynx,,,21 ,,RBRVS,38.47 ,22.90 ,22.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,31367,CPT,Partial removal of larynx,,,21 ,,RBRVS,30.23 ,22.72 ,22.72 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,31368,CPT,Partial removal of larynx,,,21 ,,RBRVS,33.85 ,25.17 ,25.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,31370,CPT,Partial removal of larynx,,,21 ,,RBRVS,27.23 ,22.54 ,22.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,31375,CPT,Partial removal of larynx,,,21 ,,RBRVS,25.73 ,21.36 ,21.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,31380,CPT,Partial removal of larynx,,,21 ,,RBRVS,25.23 ,21.11 ,21.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,31382,CPT,Partial removal of larynx,,,21 ,,RBRVS,28.23 ,22.65 ,22.65 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,31390,CPT,Removal of larynx & pharynx,,,21 ,,RBRVS,42.17 ,26.19 ,26.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,31395,CPT,Reconstruct larynx & pharynx,,,21 ,,RBRVS,43.46 ,29.00 ,29.00 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,31400,CPT,Revision of larynx,,,21 ,,RBRVS,11.48 ,12.92 ,12.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,31420,CPT,Removal of epiglottis,,,21 ,,RBRVS,11.32 ,9.05 ,9.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,31500,CPT,Insert emergency airway,,,21 ,,RBRVS,2.33 ,0.46 ,0.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,31502,CPT,Change of windpipe airway,,,21 ,,RBRVS,0.65 ,0.24 ,0.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,31505,CPT,Diagnostic laryngoscopy,,,21 ,,RBRVS,0.61 ,0.60 ,1.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,31510,CPT,Laryngoscopy with biopsy,,,21 ,,RBRVS,1.92 ,1.10 ,3.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,31511,CPT,"Remove foreign body, larynx",,,21 ,,RBRVS,2.16 ,1.07 ,2.99 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,31512,CPT,Removal of larynx lesion,,,21 ,,RBRVS,2.07 ,1.18 ,3.02 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,31513,CPT,Injection into vocal cord,,,21 ,,RBRVS,2.10 ,1.22 ,1.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,31515,CPT,Laryngoscopy for aspiration,,,21 ,,RBRVS,1.80 ,0.96 ,3.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,31520,CPT,"Dx laryngoscopy, newborn",,,21 ,,RBRVS,2.56 ,1.30 ,1.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,31525,CPT,Dx laryngoscopy excl nb,,,21 ,,RBRVS,2.63 ,1.38 ,3.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,31526,CPT,Dx laryngoscopy w/oper scope,,,21 ,,RBRVS,2.57 ,1.41 ,1.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,31527,CPT,Laryngoscopy for treatment,,,21 ,,RBRVS,3.27 ,1.59 ,1.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,31528,CPT,Laryngoscopy and dilation,,,21 ,,RBRVS,2.37 ,1.26 ,1.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,31529,CPT,Laryngoscopy and dilation,,,21 ,,RBRVS,2.68 ,1.41 ,1.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,31530,CPT,Laryngoscopy w/fb removal,,,21 ,,RBRVS,3.38 ,1.61 ,1.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,31531,CPT,Laryngoscopy w/fb & op scope,,,21 ,,RBRVS,3.58 ,1.81 ,1.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,31535,CPT,Laryngoscopy w/biopsy,,,21 ,,RBRVS,3.16 ,1.63 ,1.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,31536,CPT,Laryngoscopy w/bx & op scope,,,21 ,,RBRVS,3.55 ,1.80 ,1.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,31540,CPT,Laryngoscopy w/exc of tumor,,,21 ,,RBRVS,4.12 ,2.03 ,2.03 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,31541,CPT,Larynscop w/tumr exc + scope,,,21 ,,RBRVS,4.52 ,2.20 ,2.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,31545,CPT,Remove vc lesion w/scope,,,21 ,,RBRVS,6.30 ,2.88 ,2.88 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,31546,CPT,Remove vc lesion scope/graft,,,21 ,,RBRVS,9.73 ,4.11 ,4.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,31560,CPT,Laryngoscop w/arytenoidectom,,,21 ,,RBRVS,5.45 ,2.51 ,2.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,31561,CPT,"Larynscop, remve cart + scop",,,21 ,,RBRVS,5.99 ,2.72 ,2.72 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,31570,CPT,Laryngoscope w/vc inj,,,21 ,,RBRVS,3.86 ,1.90 ,4.65 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,31571,CPT,Laryngoscop w/vc inj + scope,,,21 ,,RBRVS,4.26 ,2.08 ,2.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,31575,CPT,Diagnostic laryngoscopy,,,21 ,,RBRVS,1.10 ,0.81 ,1.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,31576,CPT,Laryngoscopy with biopsy,,,21 ,,RBRVS,1.97 ,1.14 ,3.57 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,31577,CPT,"Remove foreign body, larynx",,,21 ,,RBRVS,2.47 ,1.28 ,3.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,31578,CPT,Removal of larynx lesion,,,21 ,,RBRVS,2.84 ,1.43 ,4.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,31579,CPT,Diagnostic laryngoscopy,,,21 ,,RBRVS,2.26 ,1.27 ,3.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,31580,CPT,Revision of larynx,,,21 ,,RBRVS,14.46 ,14.83 ,14.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,31582,CPT,Revision of larynx,,,21 ,,RBRVS,22.87 ,23.59 ,23.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,31584,CPT,Treat larynx fracture,,,21 ,,RBRVS,20.35 ,16.61 ,16.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,31587,CPT,Revision of larynx,,,21 ,,RBRVS,15.12 ,9.12 ,9.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,31588,CPT,Revision of larynx,,,21 ,,RBRVS,14.62 ,12.93 ,12.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,31590,CPT,Reinnervate larynx,,,21 ,,RBRVS,7.63 ,13.93 ,13.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,31595,CPT,Larynx nerve surgery,,,21 ,,RBRVS,8.75 ,9.91 ,9.91 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,31599,CPT,Larynx surgery procedure,,,21 ,,TotalUnits,,,,2.79 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,31600,CPT,Incision of windpipe,,,21 ,,RBRVS,7.17 ,2.62 ,2.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,31601,CPT,Incision of windpipe,,,21 ,,RBRVS,4.44 ,2.12 ,2.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,31603,CPT,Incision of windpipe,,,21 ,,RBRVS,4.14 ,1.39 ,1.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,31605,CPT,Incision of windpipe,,,21 ,,RBRVS,3.57 ,0.96 ,0.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,31610,CPT,Incision of windpipe,,,21 ,,RBRVS,9.29 ,7.94 ,7.94 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,31611,CPT,Surgery/speech prosthesis,,,21 ,,RBRVS,5.92 ,7.09 ,7.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,31612,CPT,Puncture/clear windpipe,,,21 ,,RBRVS,0.91 ,0.29 ,1.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,31613,CPT,Repair windpipe opening,,,21 ,,RBRVS,4.63 ,6.11 ,6.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,31614,CPT,Repair windpipe opening,,,21 ,,RBRVS,8.47 ,9.42 ,9.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,31615,CPT,Visualization of windpipe,,,21 ,,RBRVS,2.09 ,1.11 ,2.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,31620,CPT,Endobronchial us add-on,,,21 ,,RBRVS,1.40 ,0.40 ,5.79 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,31622,CPT,Dx bronchoscope/wash,,,21 ,,RBRVS,2.78 ,0.96 ,5.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,31623,CPT,Dx bronchoscope/brush,,,21 ,,RBRVS,2.88 ,0.94 ,5.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,31624,CPT,Dx bronchoscope/lavage,,,21 ,,RBRVS,2.88 ,0.95 ,5.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,31625,CPT,Bronchoscopy w/biopsy(s),,,21 ,,RBRVS,3.36 ,1.08 ,5.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,31628,CPT,"Bronchoscopy/lung bx, each",,,21 ,,RBRVS,3.80 ,1.17 ,6.82 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,31629,CPT,"Bronchoscopy/needle bx, each",,,21 ,,RBRVS,4.09 ,1.25 ,12.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,31630,CPT,Bronchoscopy dilate/fx repr,,,21 ,,RBRVS,3.81 ,1.42 ,1.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,31631,CPT,"Bronchoscopy, dilate w/stent",,,21 ,,RBRVS,4.36 ,1.55 ,1.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,31632,CPT,"Bronchoscopy/lung bx, add'l",,,21 ,,RBRVS,1.03 ,0.26 ,0.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,31633,CPT,Bronchoscopy/needle bx add'l,,,21 ,,RBRVS,1.32 ,0.34 ,0.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,31635,CPT,Bronchoscopy w/fb removal,,,21 ,,RBRVS,3.67 ,1.23 ,5.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,31636,CPT,"Bronchoscopy, bronch stents",,,21 ,,RBRVS,4.30 ,1.49 ,1.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,31637,CPT,"Bronchoscopy, stent add-on",,,21 ,,RBRVS,1.58 ,0.46 ,0.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,31638,CPT,"Bronchoscopy, revise stent",,,21 ,,RBRVS,4.88 ,1.70 ,1.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,31640,CPT,Bronchoscopy w/tumor excise,,,21 ,,RBRVS,4.93 ,1.73 ,1.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,31641,CPT,"Bronchoscopy, treat blockage",,,21 ,,RBRVS,5.02 ,1.63 ,1.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,31643,CPT,Diag bronchoscope/catheter,,,21 ,,RBRVS,3.49 ,1.10 ,1.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,31645,CPT,"Bronchoscopy, clear airways",,,21 ,,RBRVS,3.16 ,1.02 ,4.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,31646,CPT,"Bronchoscopy, reclear airway",,,21 ,,RBRVS,2.72 ,0.90 ,4.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,31656,CPT,"Bronchoscopy, inj for x-ray",,,21 ,,RBRVS,2.17 ,0.74 ,6.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,31715,CPT,Injection for bronchus x-ray,,,21 ,,RBRVS,1.11 ,0.33 ,0.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,31717,CPT,Bronchial brush biopsy,,,21 ,,RBRVS,2.12 ,0.74 ,5.60 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,31720,CPT,Clearance of airways,,,21 ,,RBRVS,1.06 ,0.29 ,0.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,31725,CPT,Clearance of airways,,,21 ,,RBRVS,1.96 ,0.46 ,0.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,31730,CPT,"Intro, windpipe wire/tube",,,21 ,,RBRVS,2.85 ,0.86 ,19.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,31750,CPT,Repair of windpipe,,,21 ,,RBRVS,15.19 ,17.56 ,17.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,31755,CPT,Repair of windpipe,,,21 ,,RBRVS,17.19 ,24.36 ,24.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,31760,CPT,Repair of windpipe,,,21 ,,RBRVS,23.36 ,10.76 ,10.76 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,31766,CPT,Reconstruction of windpipe,,,21 ,,RBRVS,31.58 ,12.50 ,12.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,31770,CPT,Repair/graft of bronchus,,,21 ,,RBRVS,23.48 ,9.52 ,9.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,31775,CPT,Reconstruct bronchus,,,21 ,,RBRVS,24.51 ,9.55 ,9.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,31780,CPT,Reconstruct windpipe,,,21 ,,RBRVS,19.70 ,9.71 ,9.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,31781,CPT,Reconstruct windpipe,,,21 ,,RBRVS,24.77 ,10.71 ,10.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,31785,CPT,Remove windpipe lesion,,,21 ,,RBRVS,18.29 ,8.58 ,8.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,31786,CPT,Remove windpipe lesion,,,21 ,,RBRVS,25.34 ,11.32 ,11.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,31800,CPT,Repair of windpipe injury,,,21 ,,RBRVS,8.10 ,8.89 ,8.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,31805,CPT,Repair of windpipe injury,,,21 ,,RBRVS,13.34 ,6.86 ,6.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,31820,CPT,Closure of windpipe lesion,,,21 ,,RBRVS,4.58 ,3.41 ,5.82 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,31825,CPT,Repair of windpipe defect,,,21 ,,RBRVS,6.98 ,4.82 ,7.57 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,31830,CPT,Revise windpipe scar,,,21 ,,RBRVS,4.54 ,3.71 ,5.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,31899,CPT,Airways surgical procedure,,,21 ,,TotalUnits,,,,3.92 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,32035,CPT,Exploration of chest,,,21 ,,RBRVS,11.20 ,6.20 ,6.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,32036,CPT,Exploration of chest,,,21 ,,RBRVS,12.21 ,6.62 ,6.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,32095,CPT,Biopsy through chest wall,,,21 ,,RBRVS,10.06 ,5.36 ,5.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,32100,CPT,Exploration/biopsy of chest,,,21 ,,RBRVS,16.08 ,7.51 ,7.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,32110,CPT,Explore/repair chest,,,21 ,,RBRVS,25.15 ,10.49 ,10.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,32120,CPT,Re-exploration of chest,,,21 ,,RBRVS,14.27 ,7.13 ,7.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,32124,CPT,Explore chest free adhesions,,,21 ,,RBRVS,15.33 ,7.31 ,7.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,32140,CPT,Removal of lung lesion(s),,,21 ,,RBRVS,16.54 ,7.72 ,7.72 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,32141,CPT,Remove/treat lung lesions,,,21 ,,RBRVS,27.10 ,10.16 ,10.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,32150,CPT,Removal of lung lesion(s),,,21 ,,RBRVS,16.70 ,7.73 ,7.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,32151,CPT,Remove lung foreign body,,,21 ,,RBRVS,16.82 ,8.18 ,8.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,32160,CPT,Open chest heart massage,,,21 ,,RBRVS,13.02 ,5.89 ,5.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,32200,CPT,"Drain, open, lung lesion",,,21 ,,RBRVS,18.48 ,9.02 ,9.02 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,32201,CPT,"Drain, percut, lung lesion",,,21 ,,RBRVS,3.99 ,1.50 ,20.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,32215,CPT,Treat chest lining,,,21 ,,RBRVS,12.93 ,6.70 ,6.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,32220,CPT,Release of lung,,,21 ,,RBRVS,26.41 ,12.69 ,12.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,32225,CPT,Partial release of lung,,,21 ,,RBRVS,16.63 ,7.79 ,7.79 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,32310,CPT,Removal of chest lining,,,21 ,,RBRVS,15.16 ,7.31 ,7.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,32320,CPT,Free/remove chest lining,,,21 ,,RBRVS,27.04 ,12.17 ,12.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,32400,CPT,Needle biopsy chest lining,,,21 ,,RBRVS,1.76 ,0.60 ,2.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,32402,CPT,Open biopsy chest lining,,,21 ,,RBRVS,8.89 ,5.02 ,5.02 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,32405,CPT,"Biopsy, lung or mediastinum",,,21 ,,RBRVS,1.93 ,0.73 ,0.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,32420,CPT,Puncture/clear lung,,,21 ,,RBRVS,2.18 ,0.76 ,0.76 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,32421,CPT,Thoracentesis for aspiration,,,21 ,,RBRVS,1.54 ,0.50 ,2.57 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,32422,CPT,Thoracentesis w/tube insert,,,21 ,,RBRVS,2.19 ,1.09 ,2.98 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,32440,CPT,Removal of lung,,,21 ,,RBRVS,27.17 ,11.92 ,11.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,32442,CPT,Sleeve pneumonectomy,,,21 ,,RBRVS,56.37 ,18.19 ,18.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,32445,CPT,Removal of lung,,,21 ,,RBRVS,63.60 ,21.57 ,21.57 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,32480,CPT,Partial removal of lung,,,21 ,,RBRVS,25.71 ,11.17 ,11.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,32482,CPT,Bilobectomy,,,21 ,,RBRVS,27.28 ,12.10 ,12.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,32484,CPT,Segmentectomy,,,21 ,,RBRVS,25.30 ,10.49 ,10.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,32486,CPT,Sleeve lobectomy,,,21 ,,RBRVS,42.80 ,15.15 ,15.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,32488,CPT,Completion pneumonectomy,,,21 ,,RBRVS,42.83 ,15.73 ,15.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,32491,CPT,Lung volume reduction,,,21 ,,RBRVS,25.09 ,11.86 ,11.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,32500,CPT,Partial removal of lung,,,21 ,,RBRVS,24.48 ,11.26 ,11.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,32501,CPT,Repair bronchus add-on,,,21 ,,RBRVS,4.68 ,1.50 ,1.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,32503,CPT,Resect apical lung tumor,,,21 ,,RBRVS,31.61 ,13.33 ,13.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,32504,CPT,Resect apical lung tum/chest,,,21 ,,RBRVS,36.41 ,15.17 ,15.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,32540,CPT,Removal of lung lesion,,,21 ,,RBRVS,30.22 ,11.87 ,11.87 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,32550,CPT,Insert pleural cath,,,21 ,,RBRVS,4.17 ,1.64 ,16.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,32551,CPT,Insertion of chest tube,,,21 ,,RBRVS,3.29 ,1.13 ,1.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,32552,CPT,Remove lung catheter,,,21 ,,RBRVS,2.53 ,1.49 ,2.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,32553,CPT,Ins mark thor for rt perq,,,21 ,,RBRVS,3.80 ,1.29 ,11.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,32560,CPT,Treat lung lining chemically,,,21 ,,RBRVS,2.19 ,0.65 ,5.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,32561,CPT,Lyse chest fibrin init day,,,21 ,,RBRVS,1.39 ,0.43 ,1.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,32562,CPT,Lyse chest fibrin subq day,,,21 ,,RBRVS,1.24 ,0.39 ,0.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,32601,CPT,"Thoracoscopy, diagnostic",,,21 ,,RBRVS,5.45 ,2.25 ,2.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,32602,CPT,"Thoracoscopy, diagnostic",,,21 ,,RBRVS,5.95 ,2.40 ,2.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,32603,CPT,"Thoracoscopy, diagnostic",,,21 ,,RBRVS,7.80 ,3.01 ,3.01 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,32604,CPT,"Thoracoscopy, diagnostic",,,21 ,,RBRVS,8.77 ,3.39 ,3.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,32605,CPT,"Thoracoscopy, diagnostic",,,21 ,,RBRVS,6.92 ,2.67 ,2.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,32606,CPT,"Thoracoscopy, diagnostic",,,21 ,,RBRVS,8.39 ,3.21 ,3.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,32650,CPT,"Thoracoscopy, surgical",,,21 ,,RBRVS,10.77 ,5.81 ,5.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,32651,CPT,"Thoracoscopy, surgical",,,21 ,,RBRVS,18.70 ,7.87 ,7.87 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,32652,CPT,"Thoracoscopy, surgical",,,21 ,,RBRVS,29.00 ,11.41 ,11.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,32653,CPT,"Thoracoscopy, surgical",,,21 ,,RBRVS,18.09 ,7.61 ,7.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,32654,CPT,"Thoracoscopy, surgical",,,21 ,,RBRVS,20.44 ,8.26 ,8.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,32655,CPT,"Thoracoscopy, surgical",,,21 ,,RBRVS,16.09 ,7.26 ,7.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,32656,CPT,"Thoracoscopy, surgical",,,21 ,,RBRVS,13.18 ,6.66 ,6.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,32657,CPT,"Thoracoscopy, surgical",,,21 ,,RBRVS,12.85 ,6.64 ,6.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,32658,CPT,"Thoracoscopy, surgical",,,21 ,,RBRVS,11.65 ,6.25 ,6.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,32659,CPT,"Thoracoscopy, surgical",,,21 ,,RBRVS,11.86 ,6.40 ,6.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,32660,CPT,"Thoracoscopy, surgical",,,21 ,,RBRVS,17.69 ,8.20 ,8.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,32661,CPT,"Thoracoscopy, surgical",,,21 ,,RBRVS,13.27 ,6.70 ,6.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,32662,CPT,"Thoracoscopy, surgical",,,21 ,,RBRVS,14.91 ,7.43 ,7.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,32663,CPT,"Thoracoscopy, surgical",,,21 ,,RBRVS,24.56 ,10.23 ,10.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,32664,CPT,"Thoracoscopy, surgical",,,21 ,,RBRVS,14.22 ,6.83 ,6.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,32665,CPT,"Thoracoscopy, surgical",,,21 ,,RBRVS,21.45 ,8.80 ,8.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,32800,CPT,Repair lung hernia,,,21 ,,RBRVS,15.59 ,7.38 ,7.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,32810,CPT,Close chest after drainage,,,21 ,,RBRVS,14.83 ,7.39 ,7.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,32815,CPT,Close bronchial fistula,,,21 ,,RBRVS,49.79 ,17.52 ,17.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,32820,CPT,Reconstruct injured chest,,,21 ,,RBRVS,22.33 ,11.01 ,11.01 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,32851,CPT,"Lung transplant, single",,,21 ,,RBRVS,40.94 ,23.12 ,23.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,32852,CPT,Lung transplant with bypass,,,21 ,,RBRVS,44.65 ,26.38 ,26.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,32853,CPT,"Lung transplant, double",,,21 ,,RBRVS,50.11 ,26.15 ,26.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,32854,CPT,Lung transplant with bypass,,,21 ,,RBRVS,53.88 ,29.50 ,29.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,32855,CPT,"Prepare donor lung, single",,,21 ,,TotalUnits,,,,11.48 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,32900,CPT,Removal of rib(s),,,21 ,,RBRVS,23.69 ,10.07 ,10.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,32905,CPT,Revise & repair chest wall,,,21 ,,RBRVS,23.17 ,9.96 ,9.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,32906,CPT,Revise & repair chest wall,,,21 ,,RBRVS,29.18 ,11.92 ,11.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,32940,CPT,Revision of lung,,,21 ,,RBRVS,21.22 ,9.14 ,9.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,32960,CPT,Therapeutic pneumothorax,,,21 ,,RBRVS,1.84 ,0.72 ,1.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,32997,CPT,Total lung lavage,,,21 ,,RBRVS,7.31 ,1.86 ,1.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,32998,CPT,"Perq rf ablate tx, pul tumor",,,21 ,,RBRVS,5.68 ,2.35 ,68.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,32999,CPT,Chest surgery procedure,,,21 ,,TotalUnits,,,,2.66 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,33010,CPT,Drainage of heart sac,,,21 ,,RBRVS,2.24 ,1.00 ,1.00 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33011,CPT,Repeat drainage of heart sac,,,21 ,,RBRVS,2.24 ,0.92 ,0.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33015,CPT,Incision of heart sac,,,21 ,,RBRVS,8.44 ,5.29 ,5.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33020,CPT,Incision of heart sac,,,21 ,,RBRVS,14.87 ,6.79 ,6.79 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33025,CPT,Incision of heart sac,,,21 ,,RBRVS,13.65 ,6.25 ,6.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33030,CPT,Partial removal of heart sac,,,21 ,,RBRVS,22.27 ,9.61 ,9.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33031,CPT,Partial removal of heart sac,,,21 ,,RBRVS,25.30 ,10.31 ,10.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33050,CPT,Removal of heart sac lesion,,,21 ,,RBRVS,16.85 ,7.83 ,7.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33120,CPT,Removal of heart lesion,,,21 ,,RBRVS,27.33 ,11.44 ,11.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33130,CPT,Removal of heart lesion,,,21 ,,RBRVS,24.05 ,10.26 ,10.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33140,CPT,Heart revascularize (tmr),,,21 ,,RBRVS,28.26 ,11.26 ,11.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33141,CPT,Heart tmr w/other procedure,,,21 ,,RBRVS,2.54 ,1.03 ,1.03 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33202,CPT,"Insert epicard eltrd, open",,,21 ,,RBRVS,13.15 ,6.31 ,6.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33203,CPT,"Insert epicard eltrd, endo",,,21 ,,RBRVS,13.92 ,6.87 ,6.87 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33206,CPT,Insertion of heart pacemaker,,,21 ,,RBRVS,7.31 ,4.97 ,4.97 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33207,CPT,Insertion of heart pacemaker,,,21 ,,RBRVS,8.00 ,5.12 ,5.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33208,CPT,Insertion of heart pacemaker,,,21 ,,RBRVS,8.72 ,5.47 ,5.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33210,CPT,Insertion of heart electrode,,,21 ,,RBRVS,3.30 ,1.58 ,1.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33211,CPT,Insertion of heart electrode,,,21 ,,RBRVS,3.39 ,1.49 ,1.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33212,CPT,Insertion of pulse generator,,,21 ,,RBRVS,5.51 ,3.64 ,3.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33213,CPT,Insertion of pulse generator,,,21 ,,RBRVS,6.36 ,4.11 ,4.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33214,CPT,Upgrade of pacemaker system,,,21 ,,RBRVS,7.78 ,5.19 ,5.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33215,CPT,Reposition pacing-defib lead,,,21 ,,RBRVS,4.89 ,3.40 ,3.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33216,CPT,"Insert lead pace-defib, one",,,21 ,,RBRVS,5.81 ,4.47 ,4.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33217,CPT,"Insert lead pace-defib, dual",,,21 ,,RBRVS,5.78 ,4.39 ,4.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33218,CPT,"Repair lead pace-defib, one",,,21 ,,RBRVS,5.97 ,4.66 ,4.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33220,CPT,"Repair lead pace-defib, dual",,,21 ,,RBRVS,6.05 ,4.68 ,4.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33222,CPT,"Revise pocket, pacemaker",,,21 ,,RBRVS,5.01 ,4.29 ,4.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33223,CPT,"Revise pocket, pacing-defib",,,21 ,,RBRVS,6.49 ,4.80 ,4.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33224,CPT,Insert pacing lead & connect,,,21 ,,RBRVS,9.04 ,4.73 ,4.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33225,CPT,L ventric pacing lead add-on,,,21 ,,RBRVS,8.33 ,4.11 ,4.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33226,CPT,Reposition l ventric lead,,,21 ,,RBRVS,8.68 ,4.58 ,4.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33233,CPT,Removal of pacemaker system,,,21 ,,RBRVS,3.33 ,3.23 ,3.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33234,CPT,Removal of pacemaker system,,,21 ,,RBRVS,7.85 ,5.34 ,5.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33235,CPT,Removal pacemaker electrode,,,21 ,,RBRVS,9.93 ,7.12 ,7.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33236,CPT,Remove electrode/thoracotomy,,,21 ,,RBRVS,12.64 ,6.91 ,6.91 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33237,CPT,Remove electrode/thoracotomy,,,21 ,,RBRVS,13.75 ,8.04 ,8.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33238,CPT,Remove electrode/thoracotomy,,,21 ,,RBRVS,15.28 ,8.01 ,8.01 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33240,CPT,Insert pulse generator,,,21 ,,RBRVS,7.61 ,5.08 ,5.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33241,CPT,Remove pulse generator,,,21 ,,RBRVS,3.26 ,2.96 ,2.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33243,CPT,Remove eltrd/thoracotomy,,,21 ,,RBRVS,23.42 ,11.42 ,11.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33244,CPT,"Remove eltrd, transven",,,21 ,,RBRVS,13.84 ,9.33 ,9.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33249,CPT,Eltrd/insert pace-defib,,,21 ,,RBRVS,15.02 ,9.68 ,9.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33250,CPT,Ablate heart dysrhythm focus,,,21 ,,RBRVS,25.78 ,10.89 ,10.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33251,CPT,Ablate heart dysrhythm focus,,,21 ,,RBRVS,28.80 ,11.79 ,11.79 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33254,CPT,"Ablate atria, lmtd",,,21 ,,RBRVS,23.58 ,10.38 ,10.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33255,CPT,"Ablate atria w/o bypass, ext",,,21 ,,RBRVS,28.91 ,12.74 ,12.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33256,CPT,"Ablate atria w/bypass, exten",,,21 ,,RBRVS,34.77 ,14.73 ,14.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33257,CPT,"Ablate atria, lmtd, add-on",,,21 ,,RBRVS,9.63 ,5.05 ,5.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33258,CPT,"Ablate atria, x10sv, add-on",,,21 ,,RBRVS,11.00 ,5.52 ,5.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33259,CPT,Ablate atria w/bypass add-on,,,21 ,,RBRVS,14.14 ,7.18 ,7.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33261,CPT,Ablate heart dysrhythm focus,,,21 ,,RBRVS,28.80 ,11.67 ,11.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33265,CPT,"Ablate atria, lmtd, endo",,,21 ,,RBRVS,23.58 ,10.30 ,10.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33266,CPT,"Ablate atria, x10sv, endo",,,21 ,,RBRVS,32.91 ,13.44 ,13.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33282,CPT,Implant pat-active ht record,,,21 ,,RBRVS,4.70 ,4.15 ,4.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33284,CPT,Remove pat-active ht record,,,21 ,,RBRVS,3.04 ,3.36 ,3.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33300,CPT,Repair of heart wound,,,21 ,,RBRVS,44.89 ,14.59 ,14.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33305,CPT,Repair of heart wound,,,21 ,,RBRVS,76.85 ,23.25 ,23.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33310,CPT,Exploratory heart surgery,,,21 ,,RBRVS,20.22 ,9.00 ,9.00 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33315,CPT,Exploratory heart surgery,,,21 ,,RBRVS,26.05 ,11.11 ,11.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33320,CPT,Repair major blood vessel(s),,,21 ,,RBRVS,18.46 ,8.21 ,8.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33321,CPT,Repair major vessel,,,21 ,,RBRVS,20.71 ,8.99 ,8.99 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33322,CPT,Repair major blood vessel(s),,,21 ,,RBRVS,24.30 ,10.53 ,10.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33330,CPT,Insert major vessel graft,,,21 ,,RBRVS,25.17 ,10.02 ,10.02 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33332,CPT,Insert major vessel graft,,,21 ,,RBRVS,24.46 ,10.56 ,10.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33335,CPT,Insert major vessel graft,,,21 ,,RBRVS,33.79 ,13.37 ,13.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33400,CPT,Repair of aortic valve,,,21 ,,RBRVS,41.37 ,16.14 ,16.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33401,CPT,"Valvuloplasty, open",,,21 ,,RBRVS,24.41 ,13.08 ,13.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33403,CPT,"Valvuloplasty, w/cp bypass",,,21 ,,RBRVS,25.39 ,12.30 ,12.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33404,CPT,Prepare heart-aorta conduit,,,21 ,,RBRVS,31.25 ,13.31 ,13.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33405,CPT,Replacement of aortic valve,,,21 ,,RBRVS,41.19 ,16.75 ,16.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33406,CPT,Replacement of aortic valve,,,21 ,,RBRVS,52.55 ,19.68 ,19.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33410,CPT,Replacement of aortic valve,,,21 ,,RBRVS,46.28 ,17.54 ,17.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33411,CPT,Replacement of aortic valve,,,21 ,,RBRVS,61.94 ,21.81 ,21.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33412,CPT,Replacement of aortic valve,,,21 ,,RBRVS,43.77 ,18.35 ,18.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33413,CPT,Replacement of aortic valve,,,21 ,,RBRVS,59.74 ,22.08 ,22.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33414,CPT,Repair of aortic valve,,,21 ,,RBRVS,39.29 ,15.27 ,15.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33415,CPT,"Revision, subvalvular tissue",,,21 ,,RBRVS,37.19 ,13.43 ,13.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33416,CPT,Revise ventricle muscle,,,21 ,,RBRVS,36.43 ,14.16 ,14.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33417,CPT,Repair of aortic valve,,,21 ,,RBRVS,29.17 ,12.84 ,12.84 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33420,CPT,Revision of mitral valve,,,21 ,,RBRVS,25.67 ,9.40 ,9.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33422,CPT,Revision of mitral valve,,,21 ,,RBRVS,29.61 ,12.68 ,12.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33425,CPT,Repair of mitral valve,,,21 ,,RBRVS,49.83 ,17.42 ,17.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33426,CPT,Repair of mitral valve,,,21 ,,RBRVS,43.15 ,17.01 ,17.01 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33427,CPT,Repair of mitral valve,,,21 ,,RBRVS,44.70 ,17.52 ,17.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33430,CPT,Replacement of mitral valve,,,21 ,,RBRVS,50.75 ,19.31 ,19.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33460,CPT,Revision of tricuspid valve,,,21 ,,RBRVS,44.62 ,15.33 ,15.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33463,CPT,"Valvuloplasty, tricuspid",,,21 ,,RBRVS,56.95 ,19.12 ,19.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33464,CPT,"Valvuloplasty, tricuspid",,,21 ,,RBRVS,44.49 ,16.12 ,16.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33465,CPT,Replace tricuspid valve,,,21 ,,RBRVS,50.59 ,17.41 ,17.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33468,CPT,Revision of tricuspid valve,,,21 ,,RBRVS,32.82 ,14.52 ,14.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33470,CPT,Revision of pulmonary valve,,,21 ,,RBRVS,21.32 ,9.60 ,9.60 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33471,CPT,"Valvotomy, pulmonary valve",,,21 ,,RBRVS,22.83 ,10.17 ,10.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33472,CPT,Revision of pulmonary valve,,,21 ,,RBRVS,22.90 ,10.34 ,10.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33474,CPT,Revision of pulmonary valve,,,21 ,,RBRVS,39.27 ,13.18 ,13.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33475,CPT,"Replacement, pulmonary valve",,,21 ,,RBRVS,42.27 ,15.96 ,15.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33476,CPT,Revision of heart chamber,,,21 ,,RBRVS,26.41 ,10.92 ,10.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33478,CPT,Revision of heart chamber,,,21 ,,RBRVS,27.38 ,11.92 ,11.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33496,CPT,"Repair, prosth valve clot",,,21 ,,RBRVS,29.71 ,12.34 ,12.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33500,CPT,Repair heart vessel fistula,,,21 ,,RBRVS,27.82 ,11.64 ,11.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33501,CPT,Repair heart vessel fistula,,,21 ,,RBRVS,19.43 ,8.47 ,8.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33502,CPT,Coronary artery correction,,,21 ,,RBRVS,21.69 ,10.03 ,10.03 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33503,CPT,Coronary artery graft,,,21 ,,RBRVS,22.29 ,12.68 ,12.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33504,CPT,Coronary artery graft,,,21 ,,RBRVS,25.30 ,10.95 ,10.95 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33505,CPT,Repair artery w/tunnel,,,21 ,,RBRVS,38.35 ,13.07 ,13.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33506,CPT,"Repair artery, translocation",,,21 ,,RBRVS,37.80 ,13.94 ,13.94 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33507,CPT,"Repair art, intramural",,,21 ,,RBRVS,31.35 ,12.35 ,12.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33508,CPT,Endoscopic vein harvest,,,21 ,,RBRVS,0.31 ,0.10 ,0.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33510,CPT,"Cabg, vein, single",,,21 ,,RBRVS,34.87 ,14.49 ,14.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33511,CPT,"Cabg, vein, two",,,21 ,,RBRVS,38.34 ,15.70 ,15.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33512,CPT,"Cabg, vein, three",,,21 ,,RBRVS,43.87 ,17.29 ,17.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33513,CPT,"Cabg, vein, four",,,21 ,,RBRVS,45.26 ,17.13 ,17.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33514,CPT,"Cabg, vein, five",,,21 ,,RBRVS,47.97 ,18.42 ,18.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33516,CPT,"Cabg, vein, six or more",,,21 ,,RBRVS,49.65 ,19.27 ,19.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33517,CPT,"Cabg, artery-vein, single",,,21 ,,RBRVS,3.61 ,1.10 ,1.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33518,CPT,"Cabg, artery-vein, two",,,21 ,,RBRVS,7.93 ,2.34 ,2.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33519,CPT,"Cabg, artery-vein, three",,,21 ,,RBRVS,10.49 ,3.17 ,3.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33521,CPT,"Cabg, artery-vein, four",,,21 ,,RBRVS,12.59 ,3.87 ,3.87 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33522,CPT,"Cabg, artery-vein, five",,,21 ,,RBRVS,14.14 ,4.44 ,4.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33523,CPT,"Cabg, art-vein, six or more",,,21 ,,RBRVS,16.08 ,5.06 ,5.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33530,CPT,"Coronary artery, bypass/reop",,,21 ,,RBRVS,10.13 ,2.96 ,2.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33533,CPT,"Cabg, arterial, single",,,21 ,,RBRVS,33.64 ,14.26 ,14.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33534,CPT,"Cabg, arterial, two",,,21 ,,RBRVS,39.77 ,16.31 ,16.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33535,CPT,"Cabg, arterial, three",,,21 ,,RBRVS,44.64 ,17.74 ,17.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33536,CPT,"Cabg, arterial, four or more",,,21 ,,RBRVS,48.32 ,18.47 ,18.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33542,CPT,Removal of heart lesion,,,21 ,,RBRVS,48.08 ,16.82 ,16.82 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33545,CPT,Repair of heart damage,,,21 ,,RBRVS,56.93 ,19.61 ,19.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33548,CPT,"Restore/remodel, ventricle",,,21 ,,RBRVS,53.96 ,20.91 ,20.91 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33572,CPT,Open coronary endarterectomy,,,21 ,,RBRVS,4.44 ,1.44 ,1.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33600,CPT,Closure of valve,,,21 ,,RBRVS,30.15 ,12.50 ,12.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33602,CPT,Closure of valve,,,21 ,,RBRVS,29.18 ,11.70 ,11.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33606,CPT,Anastomosis/artery-aorta,,,21 ,,RBRVS,31.37 ,13.01 ,13.01 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33608,CPT,Repair anomaly w/conduit,,,21 ,,RBRVS,31.72 ,13.72 ,13.72 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33610,CPT,Repair by enlargement,,,21 ,,RBRVS,31.24 ,13.13 ,13.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33611,CPT,Repair double ventricle,,,21 ,,RBRVS,35.49 ,13.68 ,13.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33612,CPT,Repair double ventricle,,,21 ,,RBRVS,36.49 ,13.76 ,13.76 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33615,CPT,"Repair, modified fontan",,,21 ,,RBRVS,35.76 ,14.99 ,14.99 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33617,CPT,Repair single ventricle,,,21 ,,RBRVS,38.96 ,14.78 ,14.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33619,CPT,Repair single ventricle,,,21 ,,RBRVS,48.60 ,17.54 ,17.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33641,CPT,Repair heart septum defect,,,21 ,,RBRVS,29.50 ,11.15 ,11.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33645,CPT,Revision of heart veins,,,21 ,,RBRVS,27.98 ,11.68 ,11.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33647,CPT,Repair heart septum defects,,,21 ,,RBRVS,29.37 ,13.31 ,13.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33660,CPT,Repair of heart defects,,,21 ,,RBRVS,31.75 ,12.25 ,12.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33665,CPT,Repair of heart defects,,,21 ,,RBRVS,34.77 ,13.41 ,13.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33670,CPT,Repair of heart chambers,,,21 ,,RBRVS,36.58 ,13.18 ,13.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33675,CPT,Close mult vsd,,,21 ,,RBRVS,35.87 ,13.60 ,13.60 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33676,CPT,Close mult vsd w/resection,,,21 ,,RBRVS,36.87 ,14.44 ,14.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33677,CPT,Cl mult vsd w/rem pul band,,,21 ,,RBRVS,38.37 ,14.94 ,14.94 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33681,CPT,Repair heart septum defect,,,21 ,,RBRVS,32.16 ,13.71 ,13.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33684,CPT,Repair heart septum defect,,,21 ,,RBRVS,34.29 ,13.26 ,13.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33688,CPT,Repair heart septum defect,,,21 ,,RBRVS,34.67 ,12.18 ,12.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33690,CPT,Reinforce pulmonary artery,,,21 ,,RBRVS,20.20 ,9.26 ,9.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33692,CPT,Repair of heart defects,,,21 ,,RBRVS,31.38 ,12.68 ,12.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33694,CPT,Repair of heart defects,,,21 ,,RBRVS,35.49 ,14.05 ,14.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33697,CPT,Repair of heart defects,,,21 ,,RBRVS,37.49 ,16.97 ,16.97 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33702,CPT,Repair of heart defects,,,21 ,,RBRVS,27.11 ,11.31 ,11.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33710,CPT,Repair of heart defects,,,21 ,,RBRVS,30.28 ,16.33 ,16.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33720,CPT,Repair of heart defect,,,21 ,,RBRVS,27.13 ,11.74 ,11.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33722,CPT,Repair of heart defect,,,21 ,,RBRVS,29.05 ,11.27 ,11.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33724,CPT,Repair venous anomaly,,,21 ,,RBRVS,27.55 ,11.83 ,11.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33726,CPT,Repair pul venous stenosis,,,21 ,,RBRVS,37.04 ,14.50 ,14.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33730,CPT,Repair heart-vein defect(s),,,21 ,,RBRVS,36.01 ,12.92 ,12.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33732,CPT,Repair heart-vein defect,,,21 ,,RBRVS,28.80 ,12.44 ,12.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33735,CPT,Revision of heart chamber,,,21 ,,RBRVS,22.04 ,9.96 ,9.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33736,CPT,Revision of heart chamber,,,21 ,,RBRVS,24.16 ,10.90 ,10.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33737,CPT,Revision of heart chamber,,,21 ,,RBRVS,22.34 ,10.12 ,10.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33750,CPT,Major vessel shunt,,,21 ,,RBRVS,22.06 ,12.07 ,12.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33755,CPT,Major vessel shunt,,,21 ,,RBRVS,22.44 ,9.80 ,9.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33762,CPT,Major vessel shunt,,,21 ,,RBRVS,22.44 ,9.82 ,9.82 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33764,CPT,Major vessel shunt & graft,,,21 ,,RBRVS,22.44 ,9.39 ,9.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33766,CPT,Major vessel shunt,,,21 ,,RBRVS,23.41 ,11.43 ,11.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33767,CPT,Major vessel shunt,,,21 ,,RBRVS,25.14 ,9.99 ,9.99 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33768,CPT,Cavopulmonary shunting,,,21 ,,RBRVS,8.00 ,2.68 ,2.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33770,CPT,Repair great vessels defect,,,21 ,,RBRVS,39.02 ,14.41 ,14.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33771,CPT,Repair great vessels defect,,,21 ,,RBRVS,40.58 ,14.30 ,14.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33774,CPT,Repair great vessels defect,,,21 ,,RBRVS,31.54 ,13.58 ,13.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33775,CPT,Repair great vessels defect,,,21 ,,RBRVS,32.83 ,14.12 ,14.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33776,CPT,Repair great vessels defect,,,21 ,,RBRVS,34.53 ,14.98 ,14.98 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33777,CPT,Repair great vessels defect,,,21 ,,RBRVS,33.95 ,14.20 ,14.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33778,CPT,Repair great vessels defect,,,21 ,,RBRVS,42.62 ,16.87 ,16.87 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33779,CPT,Repair great vessels defect,,,21 ,,RBRVS,43.15 ,15.88 ,15.88 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33780,CPT,Repair great vessels defect,,,21 ,,RBRVS,43.85 ,17.12 ,17.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33781,CPT,Repair great vessels defect,,,21 ,,RBRVS,43.16 ,15.19 ,15.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33786,CPT,Repair arterial trunk,,,21 ,,RBRVS,41.74 ,15.77 ,15.77 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33788,CPT,Revision of pulmonary artery,,,21 ,,RBRVS,27.26 ,11.48 ,11.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33800,CPT,Aortic suspension,,,21 ,,RBRVS,17.23 ,7.11 ,7.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33802,CPT,Repair vessel defect,,,21 ,,RBRVS,18.24 ,8.20 ,8.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33803,CPT,Repair vessel defect,,,21 ,,RBRVS,20.18 ,8.08 ,8.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33813,CPT,Repair septal defect,,,21 ,,RBRVS,21.23 ,11.22 ,11.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33814,CPT,Repair septal defect,,,21 ,,RBRVS,26.41 ,11.67 ,11.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33820,CPT,Revise major vessel,,,21 ,,RBRVS,16.61 ,7.86 ,7.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33822,CPT,Revise major vessel,,,21 ,,RBRVS,17.63 ,8.23 ,8.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33824,CPT,Revise major vessel,,,21 ,,RBRVS,20.10 ,9.23 ,9.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33840,CPT,Remove aorta constriction,,,21 ,,RBRVS,21.21 ,8.92 ,8.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33845,CPT,Remove aorta constriction,,,21 ,,RBRVS,22.77 ,11.57 ,11.57 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33851,CPT,Remove aorta constriction,,,21 ,,RBRVS,21.85 ,9.54 ,9.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33852,CPT,Repair septal defect,,,21 ,,RBRVS,24.28 ,10.67 ,10.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33853,CPT,Repair septal defect,,,21 ,,RBRVS,32.35 ,14.89 ,14.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33860,CPT,Ascending aortic graft,,,21 ,,RBRVS,59.33 ,20.54 ,20.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33861,CPT,Ascending aortic graft,,,21 ,,RBRVS,43.94 ,17.08 ,17.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33863,CPT,Ascending aortic graft,,,21 ,,RBRVS,58.71 ,20.55 ,20.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33864,CPT,Ascending aortic graft,,,21 ,,RBRVS,60.00 ,21.50 ,21.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33870,CPT,Transverse aortic arch graft,,,21 ,,RBRVS,45.93 ,17.78 ,17.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33875,CPT,Thoracic aortic graft,,,21 ,,RBRVS,35.68 ,13.93 ,13.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33877,CPT,Thoracoabdominal graft,,,21 ,,RBRVS,68.85 ,21.08 ,21.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33880,CPT,Endovasc taa repr incl subcl,,,21 ,,RBRVS,34.48 ,12.32 ,12.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33881,CPT,Endovasc taa repr w/o subcl,,,21 ,,RBRVS,29.48 ,10.72 ,10.72 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33883,CPT,"Insert endovasc prosth, taa",,,21 ,,RBRVS,20.99 ,8.11 ,8.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33884,CPT,"Endovasc prosth, taa, add-on",,,21 ,,RBRVS,8.20 ,2.37 ,2.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33886,CPT,"Endovasc prosth, delayed",,,21 ,,RBRVS,17.99 ,7.02 ,7.02 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33889,CPT,Artery transpose/endovas taa,,,21 ,,RBRVS,15.92 ,4.51 ,4.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33891,CPT,Car-car bp grft/endovas taa,,,21 ,,RBRVS,20.00 ,5.55 ,5.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33910,CPT,Remove lung artery emboli,,,21 ,,RBRVS,29.59 ,12.20 ,12.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33915,CPT,Remove lung artery emboli,,,21 ,,RBRVS,24.83 ,9.57 ,9.57 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33916,CPT,Surgery of great vessel,,,21 ,,RBRVS,28.30 ,13.61 ,13.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33917,CPT,Repair pulmonary artery,,,21 ,,RBRVS,25.14 ,12.55 ,12.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33920,CPT,Repair pulmonary atresia,,,21 ,,RBRVS,32.58 ,12.93 ,12.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33922,CPT,Transect pulmonary artery,,,21 ,,RBRVS,24.09 ,10.49 ,10.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33924,CPT,Remove pulmonary shunt,,,21 ,,RBRVS,5.49 ,1.70 ,1.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33925,CPT,Rpr pul art unifocal w/o cpb,,,21 ,,RBRVS,31.25 ,12.82 ,12.82 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33926,CPT,"Repr pul art, unifocal w/cpb",,,21 ,,RBRVS,44.68 ,13.82 ,13.82 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33935,CPT,"Transplantation, heart/lung",,,21 ,,RBRVS,61.68 ,25.04 ,25.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33940,CPT,Removal of donor heart,,,21 ,,TotalUnits,,,,39.56 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,33944,CPT,Prepare donor heart,,,14 ,,TotalUnits,,,,27.63 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,33945,CPT,Transplantation of heart,,,21 ,,RBRVS,89.08 ,29.97 ,29.97 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33960,CPT,External circulation assist,,,21 ,,RBRVS,19.33 ,5.77 ,5.77 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33961,CPT,External circulation assist,,,21 ,,RBRVS,10.91 ,3.48 ,3.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33967,CPT,Insert ia percut device,,,21 ,,RBRVS,4.84 ,2.31 ,2.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33968,CPT,Remove aortic assist device,,,21 ,,RBRVS,0.64 ,0.26 ,0.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33970,CPT,Aortic circulation assist,,,21 ,,RBRVS,6.74 ,2.62 ,2.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33971,CPT,Aortic circulation assist,,,21 ,,RBRVS,11.91 ,6.31 ,6.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33973,CPT,Insert balloon device,,,21 ,,RBRVS,9.75 ,3.85 ,3.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33974,CPT,Remove intra-aortic balloon,,,21 ,,RBRVS,14.93 ,8.19 ,8.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33975,CPT,Implant ventricular device,,,21 ,,RBRVS,20.97 ,6.84 ,6.84 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33976,CPT,Implant ventricular device,,,21 ,,RBRVS,22.97 ,8.04 ,8.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33977,CPT,Remove ventricular device,,,21 ,,RBRVS,20.07 ,10.21 ,10.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33978,CPT,Remove ventricular device,,,21 ,,RBRVS,22.51 ,10.68 ,10.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33979,CPT,Insert intracorporeal device,,,21 ,,RBRVS,45.93 ,14.90 ,14.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33980,CPT,Remove intracorporeal device,,,21 ,,RBRVS,64.86 ,25.70 ,25.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,33999,CPT,Cardiac surgery procedure,,,21 ,,TotalUnits,,,,12.44 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,34001,CPT,Removal of artery clot,,,21 ,,RBRVS,17.78 ,6.84 ,6.84 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,34051,CPT,Removal of artery clot,,,21 ,,RBRVS,16.91 ,7.56 ,7.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,34101,CPT,Removal of artery clot,,,21 ,,RBRVS,10.85 ,4.68 ,4.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,34111,CPT,Removal of arm artery clot,,,21 ,,RBRVS,10.85 ,4.68 ,4.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,34151,CPT,Removal of artery clot,,,21 ,,RBRVS,26.41 ,9.32 ,9.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,34201,CPT,Removal of artery clot,,,21 ,,RBRVS,19.38 ,6.49 ,6.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,34203,CPT,Removal of leg artery clot,,,21 ,,RBRVS,17.73 ,7.03 ,7.03 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,34401,CPT,Removal of vein clot,,,21 ,,RBRVS,26.41 ,10.83 ,10.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,34421,CPT,Removal of vein clot,,,21 ,,RBRVS,13.29 ,5.63 ,5.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,34451,CPT,Removal of vein clot,,,21 ,,RBRVS,28.41 ,10.18 ,10.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,34471,CPT,Removal of vein clot,,,21 ,,RBRVS,21.00 ,7.01 ,7.01 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,34490,CPT,Removal of vein clot,,,21 ,,RBRVS,10.83 ,4.79 ,4.79 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,34501,CPT,"Repair valve, femoral vein",,,21 ,,RBRVS,16.74 ,7.37 ,7.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,34502,CPT,Reconstruct vena cava,,,21 ,,RBRVS,27.86 ,11.27 ,11.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,34510,CPT,Transposition of vein valve,,,21 ,,RBRVS,19.80 ,7.79 ,7.79 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,34520,CPT,Cross-over vein graft,,,21 ,,RBRVS,19.05 ,7.41 ,7.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,34530,CPT,Leg vein fusion,,,21 ,,RBRVS,17.77 ,7.38 ,7.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,34800,CPT,Endovas aaa repr w/sm tube,,,21 ,,RBRVS,21.46 ,8.21 ,8.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,34802,CPT,Endovas aaa repr w/2-p part,,,21 ,,RBRVS,23.71 ,8.92 ,8.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,34803,CPT,Endovas aaa repr w/3-p part,,,21 ,,RBRVS,24.74 ,8.89 ,8.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,34804,CPT,Endovas aaa repr w/1-p part,,,21 ,,RBRVS,23.71 ,8.92 ,8.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,34805,CPT,Endovas aaa repr w/long tube,,,21 ,,RBRVS,22.59 ,8.15 ,8.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,34806,CPT,Aneurysm press sensor add-on,,,21 ,,RBRVS,2.06 ,0.64 ,0.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,34808,CPT,Endovas iliac a device addon,,,21 ,,RBRVS,4.12 ,1.19 ,1.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,34812,CPT,"Xpose for endoprosth, femorl",,,21 ,,RBRVS,6.74 ,1.91 ,1.91 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,34813,CPT,Femoral endovas graft add-on,,,21 ,,RBRVS,4.79 ,1.32 ,1.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,34820,CPT,"Xpose for endoprosth, iliac",,,21 ,,RBRVS,9.74 ,2.81 ,2.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,34825,CPT,"Endovasc extend prosth, init",,,21 ,,RBRVS,12.72 ,5.58 ,5.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,34826,CPT,"Endovasc exten prosth, add'l",,,21 ,,RBRVS,4.12 ,1.25 ,1.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,34830,CPT,Open aortic tube prosth repr,,,21 ,,RBRVS,35.10 ,11.87 ,11.87 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,34831,CPT,Open aortoiliac prosth repr,,,21 ,,RBRVS,37.85 ,11.86 ,11.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,34832,CPT,Open aortofemor prosth repr,,,21 ,,RBRVS,37.85 ,12.64 ,12.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,34833,CPT,"Xpose for endoprosth, iliac",,,21 ,,RBRVS,11.98 ,3.75 ,3.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,34834,CPT,"Xpose, endoprosth, brachial",,,21 ,,RBRVS,5.34 ,1.80 ,1.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,34900,CPT,Endovasc iliac repr w/graft,,,21 ,,RBRVS,16.77 ,6.76 ,6.76 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,35001,CPT,Repair defect of artery,,,21 ,,RBRVS,20.70 ,8.44 ,8.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,35002,CPT,"Repair artery rupture, neck",,,21 ,,RBRVS,22.12 ,8.62 ,8.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,35005,CPT,Repair defect of artery,,,21 ,,RBRVS,19.18 ,8.13 ,8.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,35011,CPT,Repair defect of artery,,,21 ,,RBRVS,18.50 ,7.01 ,7.01 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,35013,CPT,"Repair artery rupture, arm",,,21 ,,RBRVS,23.10 ,8.59 ,8.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,35021,CPT,Repair defect of artery,,,21 ,,RBRVS,22.09 ,9.12 ,9.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,35022,CPT,"Repair artery rupture, chest",,,21 ,,RBRVS,25.62 ,9.70 ,9.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,35045,CPT,Repair defect of arm artery,,,21 ,,RBRVS,17.94 ,6.89 ,6.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,35081,CPT,Repair defect of artery,,,21 ,,RBRVS,33.37 ,11.36 ,11.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,35082,CPT,"Repair artery rupture, aorta",,,21 ,,RBRVS,41.93 ,13.98 ,13.98 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,35091,CPT,Repair defect of artery,,,21 ,,RBRVS,35.35 ,11.37 ,11.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,35092,CPT,"Repair artery rupture, aorta",,,21 ,,RBRVS,50.81 ,16.02 ,16.02 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,35102,CPT,Repair defect of artery,,,21 ,,RBRVS,36.37 ,12.07 ,12.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,35103,CPT,"Repair artery rupture, groin",,,21 ,,RBRVS,43.49 ,14.19 ,14.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,35111,CPT,Repair defect of artery,,,21 ,,RBRVS,26.17 ,9.43 ,9.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,35112,CPT,"Repair artery rupture,spleen",,,21 ,,RBRVS,32.44 ,11.29 ,11.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,35121,CPT,Repair defect of artery,,,21 ,,RBRVS,31.41 ,10.73 ,10.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,35122,CPT,"Repair artery rupture, belly",,,21 ,,RBRVS,37.76 ,12.95 ,12.95 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,35131,CPT,Repair defect of artery,,,21 ,,RBRVS,26.29 ,9.57 ,9.57 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,35132,CPT,"Repair artery rupture, groin",,,21 ,,RBRVS,32.44 ,11.08 ,11.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,35141,CPT,Repair defect of artery,,,21 ,,RBRVS,20.83 ,7.69 ,7.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,35142,CPT,"Repair artery rupture, thigh",,,21 ,,RBRVS,25.03 ,9.16 ,9.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,35151,CPT,Repair defect of artery,,,21 ,,RBRVS,23.61 ,8.57 ,8.57 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,35152,CPT,"Repair artery rupture, knee",,,21 ,,RBRVS,27.53 ,9.94 ,9.94 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,35180,CPT,Repair blood vessel lesion,,,21 ,,RBRVS,15.01 ,7.17 ,7.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,35182,CPT,Repair blood vessel lesion,,,21 ,,RBRVS,31.58 ,12.41 ,12.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,35184,CPT,Repair blood vessel lesion,,,21 ,,RBRVS,18.72 ,7.22 ,7.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,35188,CPT,Repair blood vessel lesion,,,21 ,,RBRVS,15.05 ,6.69 ,6.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,35189,CPT,Repair blood vessel lesion,,,21 ,,RBRVS,29.85 ,10.73 ,10.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,35190,CPT,Repair blood vessel lesion,,,21 ,,RBRVS,13.33 ,5.71 ,5.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,35201,CPT,Repair blood vessel lesion,,,21 ,,RBRVS,16.84 ,6.99 ,6.99 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,35206,CPT,Repair blood vessel lesion,,,21 ,,RBRVS,13.76 ,5.74 ,5.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,35207,CPT,Repair blood vessel lesion,,,21 ,,RBRVS,10.85 ,6.96 ,6.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,35211,CPT,Repair blood vessel lesion,,,21 ,,RBRVS,24.50 ,10.23 ,10.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,35216,CPT,Repair blood vessel lesion,,,21 ,,RBRVS,36.47 ,13.03 ,13.03 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,35221,CPT,Repair blood vessel lesion,,,21 ,,RBRVS,26.54 ,9.15 ,9.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,35226,CPT,Repair blood vessel lesion,,,21 ,,RBRVS,15.22 ,6.34 ,6.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,35231,CPT,Repair blood vessel lesion,,,21 ,,RBRVS,21.08 ,8.83 ,8.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,35236,CPT,Repair blood vessel lesion,,,21 ,,RBRVS,17.94 ,6.98 ,6.98 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,35241,CPT,Repair blood vessel lesion,,,21 ,,RBRVS,25.50 ,10.65 ,10.65 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,35246,CPT,Repair blood vessel lesion,,,21 ,,RBRVS,28.15 ,11.13 ,11.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,35251,CPT,Repair blood vessel lesion,,,21 ,,RBRVS,31.83 ,10.52 ,10.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,35256,CPT,Repair blood vessel lesion,,,21 ,,RBRVS,18.98 ,7.17 ,7.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,35261,CPT,Repair blood vessel lesion,,,21 ,,RBRVS,18.88 ,7.59 ,7.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,35266,CPT,Repair blood vessel lesion,,,21 ,,RBRVS,15.75 ,6.23 ,6.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,35271,CPT,Repair blood vessel lesion,,,21 ,,RBRVS,24.50 ,10.20 ,10.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,35276,CPT,Repair blood vessel lesion,,,21 ,,RBRVS,25.72 ,10.59 ,10.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,35281,CPT,Repair blood vessel lesion,,,21 ,,RBRVS,29.93 ,10.53 ,10.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,35286,CPT,Repair blood vessel lesion,,,21 ,,RBRVS,17.06 ,6.98 ,6.98 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,35301,CPT,Rechanneling of artery,,,21 ,,RBRVS,19.53 ,7.40 ,7.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,35302,CPT,Rechanneling of artery,,,21 ,,RBRVS,21.27 ,7.28 ,7.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,35303,CPT,Rechanneling of artery,,,21 ,,RBRVS,23.52 ,7.91 ,7.91 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,35304,CPT,Rechanneling of artery,,,21 ,,RBRVS,24.52 ,8.15 ,8.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,35305,CPT,Rechanneling of artery,,,21 ,,RBRVS,23.52 ,7.87 ,7.87 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,35306,CPT,Rechanneling of artery,,,21 ,,RBRVS,9.25 ,2.41 ,2.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,35311,CPT,Rechanneling of artery,,,21 ,,RBRVS,28.52 ,10.36 ,10.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,35321,CPT,Rechanneling of artery,,,21 ,,RBRVS,16.51 ,6.41 ,6.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,35331,CPT,Rechanneling of artery,,,21 ,,RBRVS,27.61 ,10.15 ,10.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,35341,CPT,Rechanneling of artery,,,21 ,,RBRVS,26.10 ,9.32 ,9.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,35351,CPT,Rechanneling of artery,,,21 ,,RBRVS,24.53 ,8.50 ,8.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,35355,CPT,Rechanneling of artery,,,21 ,,RBRVS,19.78 ,7.08 ,7.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,35361,CPT,Rechanneling of artery,,,21 ,,RBRVS,30.11 ,10.53 ,10.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,35363,CPT,Rechanneling of artery,,,21 ,,RBRVS,32.22 ,12.17 ,12.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,35371,CPT,Rechanneling of artery,,,21 ,,RBRVS,15.23 ,5.92 ,5.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,35372,CPT,Rechanneling of artery,,,21 ,,RBRVS,18.50 ,6.84 ,6.84 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,35390,CPT,"Reoperation, carotid add-on",,,21 ,,RBRVS,3.19 ,0.93 ,0.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,35400,CPT,Angioscopy,,,21 ,,RBRVS,3.00 ,0.90 ,0.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,35450,CPT,Repair arterial blockage,,,21 ,,RBRVS,10.05 ,3.29 ,3.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,35452,CPT,Repair arterial blockage,,,21 ,,RBRVS,6.90 ,2.31 ,2.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,35454,CPT,Repair arterial blockage,,,21 ,,RBRVS,6.03 ,2.02 ,2.02 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,35456,CPT,Repair arterial blockage,,,21 ,,RBRVS,7.34 ,2.41 ,2.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,35458,CPT,Repair arterial blockage,,,21 ,,RBRVS,9.48 ,3.08 ,3.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,35459,CPT,Repair arterial blockage,,,21 ,,RBRVS,8.62 ,2.88 ,2.88 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,35460,CPT,Repair venous blockage,,,21 ,,RBRVS,6.03 ,1.97 ,1.97 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,35470,CPT,Repair arterial blockage,,,21 ,,RBRVS,8.62 ,3.53 ,66.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,35471,CPT,Repair arterial blockage,,,21 ,,RBRVS,10.05 ,4.58 ,72.99 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,35472,CPT,Repair arterial blockage,,,21 ,,RBRVS,6.90 ,2.79 ,50.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,35473,CPT,Repair arterial blockage,,,21 ,,RBRVS,6.03 ,2.55 ,48.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,35474,CPT,Repair arterial blockage,,,21 ,,RBRVS,7.35 ,3.05 ,66.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,35475,CPT,Repair arterial blockage,,,21 ,,RBRVS,9.48 ,3.60 ,49.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,35476,CPT,Repair venous blockage,,,21 ,,RBRVS,6.03 ,2.36 ,38.77 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,35480,CPT,"Atherectomy, open",,,21 ,,RBRVS,11.06 ,3.46 ,3.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,35481,CPT,"Atherectomy, open",,,21 ,,RBRVS,7.60 ,2.73 ,2.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,35482,CPT,"Atherectomy, open",,,21 ,,RBRVS,6.64 ,2.46 ,2.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,35483,CPT,"Atherectomy, open",,,21 ,,RBRVS,8.09 ,2.84 ,2.84 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,35484,CPT,"Atherectomy, open",,,21 ,,RBRVS,10.42 ,3.30 ,3.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,35485,CPT,"Atherectomy, open",,,21 ,,RBRVS,9.48 ,3.18 ,3.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,35490,CPT,"Atherectomy, percutaneous",,,21 ,,RBRVS,11.06 ,5.29 ,5.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,35491,CPT,"Atherectomy, percutaneous",,,21 ,,RBRVS,7.60 ,3.19 ,3.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,35492,CPT,"Atherectomy, percutaneous",,,21 ,,RBRVS,6.64 ,3.31 ,3.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,35493,CPT,"Atherectomy, percutaneous",,,21 ,,RBRVS,8.09 ,4.01 ,4.01 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,35494,CPT,"Atherectomy, percutaneous",,,21 ,,RBRVS,10.42 ,5.00 ,5.00 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,35495,CPT,"Atherectomy, percutaneous",,,21 ,,RBRVS,9.48 ,4.51 ,4.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,35500,CPT,Harvest vein for bypass,,,21 ,,RBRVS,6.44 ,1.80 ,1.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,35501,CPT,Artery bypass graft,,,21 ,,RBRVS,28.99 ,11.06 ,11.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,35506,CPT,Artery bypass graft,,,21 ,,RBRVS,25.23 ,9.25 ,9.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,35508,CPT,Artery bypass graft,,,21 ,,RBRVS,25.99 ,9.76 ,9.76 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,35509,CPT,Artery bypass graft,,,21 ,,RBRVS,27.99 ,10.52 ,10.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,35510,CPT,Artery bypass graft,,,21 ,,RBRVS,24.29 ,8.79 ,8.79 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,35511,CPT,Artery bypass graft,,,21 ,,RBRVS,22.12 ,8.40 ,8.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,35512,CPT,Artery bypass graft,,,21 ,,RBRVS,23.79 ,8.42 ,8.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,35515,CPT,Artery bypass graft,,,21 ,,RBRVS,25.99 ,8.44 ,8.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,35516,CPT,Artery bypass graft,,,21 ,,RBRVS,24.11 ,7.55 ,7.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,35518,CPT,Artery bypass graft,,,21 ,,RBRVS,22.57 ,8.45 ,8.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,35521,CPT,Artery bypass graft,,,21 ,,RBRVS,24.00 ,8.67 ,8.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,35522,CPT,Artery bypass graft,,,21 ,,RBRVS,23.05 ,8.39 ,8.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,35523,CPT,Artery bypass graft,,,21 ,,RBRVS,24.00 ,9.37 ,9.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,35525,CPT,Artery bypass graft,,,21 ,,RBRVS,21.59 ,7.83 ,7.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,35526,CPT,Artery bypass graft,,,21 ,,RBRVS,31.47 ,11.62 ,11.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,35531,CPT,Artery bypass graft,,,21 ,,RBRVS,38.98 ,13.05 ,13.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,35533,CPT,Artery bypass graft,,,21 ,,RBRVS,29.79 ,10.61 ,10.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,35535,CPT,Artery bypass graft,,,21 ,,RBRVS,38.00 ,13.58 ,13.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,35536,CPT,Artery bypass graft,,,21 ,,RBRVS,33.60 ,11.16 ,11.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,35537,CPT,Artery bypass graft,,,21 ,,RBRVS,41.75 ,13.77 ,13.77 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,35538,CPT,Artery bypass graft,,,21 ,,RBRVS,46.82 ,15.52 ,15.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,35539,CPT,Artery bypass graft,,,21 ,,RBRVS,43.98 ,13.75 ,13.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,35540,CPT,Artery bypass graft,,,21 ,,RBRVS,49.20 ,15.46 ,15.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,35548,CPT,Artery bypass graft,,,21 ,,RBRVS,22.57 ,8.41 ,8.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,35549,CPT,Artery bypass graft,,,21 ,,RBRVS,24.34 ,9.29 ,9.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,35551,CPT,Artery bypass graft,,,21 ,,RBRVS,27.72 ,10.61 ,10.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,35556,CPT,Artery bypass graft,,,21 ,,RBRVS,26.62 ,9.23 ,9.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,35558,CPT,Artery bypass graft,,,21 ,,RBRVS,23.00 ,8.59 ,8.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,35560,CPT,Artery bypass graft,,,21 ,,RBRVS,33.90 ,11.79 ,11.79 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,35563,CPT,Artery bypass graft,,,21 ,,RBRVS,25.99 ,9.11 ,9.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,35565,CPT,Artery bypass graft,,,21 ,,RBRVS,25.00 ,9.08 ,9.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,35566,CPT,Artery bypass graft,,,21 ,,RBRVS,32.22 ,10.72 ,10.72 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,35570,CPT,Artery bypass graft,,,21 ,,RBRVS,29.00 ,10.95 ,10.95 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,35571,CPT,Artery bypass graft,,,21 ,,RBRVS,25.39 ,9.13 ,9.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,35572,CPT,Harvest femoropopliteal vein,,,21 ,,RBRVS,6.81 ,2.13 ,2.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,35583,CPT,Vein bypass graft,,,21 ,,RBRVS,27.62 ,9.42 ,9.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,35585,CPT,Vein bypass graft,,,21 ,,RBRVS,32.22 ,10.95 ,10.95 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,35587,CPT,Vein bypass graft,,,21 ,,RBRVS,26.08 ,9.53 ,9.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,35600,CPT,Harvest art for cabg add-on,,,21 ,,RBRVS,4.94 ,1.64 ,1.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,35601,CPT,Artery bypass graft,,,21 ,,RBRVS,26.99 ,10.07 ,10.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,35606,CPT,Artery bypass graft,,,21 ,,RBRVS,22.36 ,8.02 ,8.02 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,35612,CPT,Artery bypass graft,,,21 ,,RBRVS,16.71 ,7.10 ,7.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,35616,CPT,Artery bypass graft,,,21 ,,RBRVS,21.74 ,7.59 ,7.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,35621,CPT,Artery bypass graft,,,21 ,,RBRVS,20.95 ,7.51 ,7.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,35623,CPT,"Bypass graft, not vein",,,21 ,,RBRVS,25.79 ,9.22 ,9.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,35626,CPT,Artery bypass graft,,,21 ,,RBRVS,29.06 ,11.08 ,11.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,35631,CPT,Artery bypass graft,,,21 ,,RBRVS,35.90 ,11.84 ,11.84 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,35632,CPT,Artery bypass graft,,,21 ,,RBRVS,36.00 ,12.97 ,12.97 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,35633,CPT,Artery bypass graft,,,21 ,,RBRVS,38.98 ,13.88 ,13.88 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,35634,CPT,Artery bypass graft,,,21 ,,RBRVS,35.20 ,12.73 ,12.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,35636,CPT,Artery bypass graft,,,21 ,,RBRVS,31.62 ,10.97 ,10.97 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,35637,CPT,Artery bypass graft,,,21 ,,RBRVS,32.92 ,11.00 ,11.00 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,35638,CPT,Artery bypass graft,,,21 ,,RBRVS,33.47 ,11.42 ,11.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,35642,CPT,Artery bypass graft,,,21 ,,RBRVS,18.85 ,8.04 ,8.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,35645,CPT,Artery bypass graft,,,21 ,,RBRVS,18.34 ,6.91 ,6.91 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,35646,CPT,Artery bypass graft,,,21 ,,RBRVS,32.84 ,11.51 ,11.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,35647,CPT,Artery bypass graft,,,21 ,,RBRVS,29.62 ,10.55 ,10.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,35650,CPT,Artery bypass graft,,,21 ,,RBRVS,20.08 ,7.40 ,7.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,35651,CPT,Artery bypass graft,,,21 ,,RBRVS,25.97 ,9.72 ,9.72 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,35654,CPT,Artery bypass graft,,,21 ,,RBRVS,26.17 ,9.28 ,9.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,35656,CPT,Artery bypass graft,,,21 ,,RBRVS,20.39 ,7.54 ,7.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,35661,CPT,Artery bypass graft,,,21 ,,RBRVS,20.22 ,7.80 ,7.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,35663,CPT,Artery bypass graft,,,21 ,,RBRVS,23.80 ,8.71 ,8.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,35665,CPT,Artery bypass graft,,,21 ,,RBRVS,22.22 ,8.17 ,8.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,35666,CPT,Artery bypass graft,,,21 ,,RBRVS,23.53 ,9.31 ,9.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,35671,CPT,Artery bypass graft,,,21 ,,RBRVS,20.64 ,8.30 ,8.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,35681,CPT,Composite bypass graft,,,21 ,,RBRVS,1.60 ,0.46 ,0.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,35682,CPT,Composite bypass graft,,,21 ,,RBRVS,7.19 ,2.00 ,2.00 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,35683,CPT,Composite bypass graft,,,21 ,,RBRVS,8.49 ,2.36 ,2.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,35685,CPT,Bypass graft patency/patch,,,21 ,,RBRVS,4.04 ,1.12 ,1.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,35686,CPT,Bypass graft/av fist patency,,,21 ,,RBRVS,3.34 ,0.99 ,0.99 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,35691,CPT,Arterial transposition,,,21 ,,RBRVS,18.32 ,7.09 ,7.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,35693,CPT,Arterial transposition,,,21 ,,RBRVS,15.64 ,6.96 ,6.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,35694,CPT,Arterial transposition,,,21 ,,RBRVS,19.19 ,7.06 ,7.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,35695,CPT,Arterial transposition,,,21 ,,RBRVS,19.97 ,7.42 ,7.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,35697,CPT,Reimplant artery each,,,21 ,,RBRVS,3.00 ,0.86 ,0.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,35700,CPT,"Reoperation, bypass graft",,,21 ,,RBRVS,3.08 ,0.88 ,0.88 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,35701,CPT,"Exploration, carotid artery",,,21 ,,RBRVS,9.11 ,4.70 ,4.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,35721,CPT,"Exploration, femoral artery",,,21 ,,RBRVS,7.66 ,4.02 ,4.02 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,35741,CPT,Exploration popliteal artery,,,21 ,,RBRVS,8.61 ,4.18 ,4.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,35761,CPT,Exploration of artery/vein,,,21 ,,RBRVS,5.84 ,3.67 ,3.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,35800,CPT,Explore neck vessels,,,21 ,,RBRVS,7.99 ,4.24 ,4.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,35820,CPT,Explore chest vessels,,,21 ,,RBRVS,36.81 ,12.20 ,12.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,35840,CPT,Explore abdominal vessels,,,21 ,,RBRVS,10.87 ,5.04 ,5.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,35860,CPT,Explore limb vessels,,,21 ,,RBRVS,6.72 ,3.63 ,3.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,35870,CPT,Repair vessel graft defect,,,21 ,,RBRVS,24.39 ,8.73 ,8.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,35875,CPT,Removal of clot in graft,,,21 ,,RBRVS,10.64 ,4.62 ,4.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,35876,CPT,Removal of clot in graft,,,21 ,,RBRVS,17.74 ,6.59 ,6.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,35879,CPT,Revise graft w/vein,,,21 ,,RBRVS,17.28 ,6.58 ,6.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,35881,CPT,Revise graft w/vein,,,21 ,,RBRVS,19.22 ,7.29 ,7.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,35883,CPT,Revise graft w/nonauto graft,,,21 ,,RBRVS,23.07 ,7.69 ,7.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,35884,CPT,Revise graft w/vein,,,21 ,,RBRVS,24.57 ,7.84 ,7.84 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,35901,CPT,"Excision, graft, neck",,,21 ,,RBRVS,8.26 ,4.58 ,4.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,35903,CPT,"Excision, graft, extremity",,,21 ,,RBRVS,9.44 ,5.08 ,5.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,35905,CPT,"Excision, graft, thorax",,,21 ,,RBRVS,33.39 ,11.43 ,11.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,35907,CPT,"Excision, graft, abdomen",,,21 ,,RBRVS,37.14 ,12.21 ,12.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,36000,CPT,Place needle in vein,,,21 ,,RBRVS,0.18 ,0.07 ,0.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,36002,CPT,Pseudoaneurysm injection trt,,,21 ,,RBRVS,1.96 ,0.93 ,2.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,36005,CPT,Injection ext venography,,,21 ,,RBRVS,0.95 ,0.37 ,8.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,36010,CPT,Place catheter in vein,,,21 ,,RBRVS,2.43 ,0.84 ,13.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,36011,CPT,Place catheter in vein,,,21 ,,RBRVS,3.14 ,1.08 ,21.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,36012,CPT,Place catheter in vein,,,21 ,,RBRVS,3.51 ,1.30 ,19.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,36013,CPT,Place catheter in artery,,,21 ,,RBRVS,2.52 ,0.88 ,18.79 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,36014,CPT,Place catheter in artery,,,21 ,,RBRVS,3.02 ,1.17 ,19.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,36015,CPT,Place catheter in artery,,,21 ,,RBRVS,3.51 ,1.34 ,20.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,36100,CPT,Establish access to artery,,,21 ,,RBRVS,3.02 ,1.18 ,11.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,36120,CPT,Establish access to artery,,,21 ,,RBRVS,2.01 ,0.65 ,9.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,36140,CPT,Establish access to artery,,,21 ,,RBRVS,2.01 ,0.72 ,10.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,36147,CPT,Access av dial grft for eval,,,21 ,,RBRVS,3.72 ,1.20 ,17.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,36148,CPT,Access av dial grft for proc,,,21 ,,RBRVS,1.00 ,0.31 ,5.60 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,36160,CPT,Establish access to aorta,,,21 ,,RBRVS,2.52 ,1.00 ,11.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,36200,CPT,Place catheter in aorta,,,21 ,,RBRVS,3.02 ,1.06 ,14.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,36215,CPT,Place catheter in artery,,,21 ,,RBRVS,4.67 ,1.88 ,25.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,36216,CPT,Place catheter in artery,,,21 ,,RBRVS,5.27 ,2.11 ,28.02 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,36217,CPT,Place catheter in artery,,,21 ,,RBRVS,6.29 ,2.50 ,48.00 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,36218,CPT,Place catheter in artery,,,21 ,,RBRVS,1.01 ,0.39 ,4.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,36245,CPT,Place catheter in artery,,,21 ,,RBRVS,4.67 ,2.06 ,28.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,36246,CPT,Place catheter in artery,,,21 ,,RBRVS,5.27 ,2.04 ,27.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,36247,CPT,Place catheter in artery,,,21 ,,RBRVS,6.29 ,2.40 ,45.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,36248,CPT,Place catheter in artery,,,21 ,,RBRVS,1.01 ,0.39 ,3.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,36260,CPT,Insertion of infusion pump,,,21 ,,RBRVS,9.82 ,4.78 ,4.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,36261,CPT,Revision of infusion pump,,,21 ,,RBRVS,5.55 ,3.41 ,3.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,36262,CPT,Removal of infusion pump,,,21 ,,RBRVS,4.05 ,2.77 ,2.77 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,36299,CPT,Vessel injection procedure,,,21 ,,TotalUnits,,,,0.62 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,36400,CPT,Bl draw < 3 yrs fem/jugular,,,21 ,,RBRVS,0.38 ,0.08 ,0.28 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,36405,CPT,Bl draw < 3 yrs scalp vein,,,21 ,,RBRVS,0.31 ,0.09 ,0.29 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,36406,CPT,Bl draw < 3 yrs other vein,,,21 ,,RBRVS,0.18 ,0.06 ,0.26 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,36410,CPT,Non-routine bl draw > 3 yrs,,,21 ,,RBRVS,0.18 ,0.05 ,0.31 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,36415,CPT,Routine venipuncture,,,17 ,,TotalUnits,,,,0.08 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,36416,CPT,Capillary blood draw,,,14 ,,TotalUnits,,,,0.12 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,36420,CPT,Vein access cutdown < 1 yr,,,21 ,,RBRVS,1.01 ,0.25 ,0.25 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,36425,CPT,Vein access cutdown > 1 yr,,,21 ,,RBRVS,0.76 ,0.23 ,0.23 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,36430,CPT,Blood transfusion service,,,21 ,,RBRVS,,0.94 ,0.94 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,36440,CPT,"Bl push transfuse, 2 yr or <",,,21 ,,RBRVS,1.03 ,0.28 ,0.28 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,36450,CPT,"Bl exchange/transfuse, nb",,,21 ,,RBRVS,2.23 ,0.80 ,0.80 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,36455,CPT,Bl exchange/transfuse non-nb,,,21 ,,RBRVS,2.43 ,0.93 ,0.93 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,36460,CPT,"Transfusion service, fetal",,,21 ,,RBRVS,6.58 ,1.92 ,1.92 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,36468,CPT,"Injection(s), spider veins",,,21 ,,TotalUnits,,,,1.91 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,36469,CPT,"Injection(s), spider veins",,,21 ,,TotalUnits,,,,0.40 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,36470,CPT,Injection therapy of vein,,,21 ,,RBRVS,1.09 ,0.67 ,2.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,36471,CPT,Injection therapy of veins,,,21 ,,RBRVS,1.60 ,0.86 ,2.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,36475,CPT,"Endovenous rf, 1st vein",,,21 ,,RBRVS,6.72 ,2.20 ,40.01 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,36476,CPT,"Endovenous rf, vein add-on",,,21 ,,RBRVS,3.38 ,0.98 ,6.57 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,36478,CPT,"Endovenous laser, 1st vein",,,21 ,,RBRVS,6.72 ,2.29 ,31.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,36479,CPT,Endovenous laser vein addon,,,21 ,,RBRVS,3.38 ,1.01 ,7.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,36481,CPT,"Insertion of catheter, vein",,,21 ,,RBRVS,6.98 ,3.83 ,3.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,36500,CPT,"Insertion of catheter, vein",,,21 ,,RBRVS,3.51 ,1.32 ,1.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,36510,CPT,"Insertion of catheter, vein",,,21 ,,RBRVS,1.09 ,0.38 ,1.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,36511,CPT,Apheresis wbc,,,21 ,,RBRVS,1.74 ,0.62 ,0.62 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,36512,CPT,Apheresis rbc,,,21 ,,RBRVS,1.74 ,0.66 ,0.66 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,36513,CPT,Apheresis platelets,,,21 ,,RBRVS,1.74 ,0.68 ,0.68 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,36514,CPT,Apheresis plasma,,,21 ,,RBRVS,1.74 ,0.60 ,11.91 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,36515,CPT,"Apheresis, adsorp/reinfuse",,,21 ,,RBRVS,1.74 ,0.55 ,49.35 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,36516,CPT,"Apheresis, selective",,,21 ,,RBRVS,1.22 ,0.41 ,56.63 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,36522,CPT,Photopheresis,,,21 ,,RBRVS,1.67 ,0.97 ,34.35 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,36555,CPT,Insert non-tunnel cv cath,,,21 ,,RBRVS,2.68 ,0.67 ,4.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,36556,CPT,Insert non-tunnel cv cath,,,21 ,,RBRVS,2.50 ,0.62 ,3.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,36557,CPT,Insert tunneled cv cath,,,21 ,,RBRVS,5.11 ,2.56 ,16.77 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,36558,CPT,Insert tunneled cv cath,,,21 ,,RBRVS,4.81 ,2.51 ,16.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,36560,CPT,Insert tunneled cv cath,,,21 ,,RBRVS,6.26 ,2.88 ,23.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,36561,CPT,Insert tunneled cv cath,,,21 ,,RBRVS,6.01 ,2.82 ,23.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,36563,CPT,Insert tunneled cv cath,,,21 ,,RBRVS,6.21 ,2.79 ,23.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,36565,CPT,Insert tunneled cv cath,,,21 ,,RBRVS,6.01 ,2.68 ,19.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,36566,CPT,Insert tunneled cv cath,,,21 ,,RBRVS,6.51 ,2.82 ,88.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,36568,CPT,Insert picc cath,,,21 ,,RBRVS,1.92 ,0.64 ,6.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,36569,CPT,Insert picc cath,,,21 ,,RBRVS,1.82 ,0.69 ,5.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,36570,CPT,Insert picvad cath,,,21 ,,RBRVS,5.33 ,2.80 ,25.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,36571,CPT,Insert picvad cath,,,21 ,,RBRVS,5.31 ,2.58 ,26.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,36575,CPT,Repair tunneled cv cath,,,21 ,,RBRVS,0.67 ,0.25 ,3.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,36576,CPT,Repair tunneled cv cath,,,21 ,,RBRVS,3.21 ,1.68 ,6.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,36578,CPT,Replace tunneled cv cath,,,21 ,,RBRVS,3.51 ,2.11 ,9.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,36580,CPT,Replace cvad cath,,,21 ,,RBRVS,1.31 ,0.46 ,4.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,36581,CPT,Replace tunneled cv cath,,,21 ,,RBRVS,3.45 ,1.86 ,16.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,36582,CPT,Replace tunneled cv cath,,,21 ,,RBRVS,5.21 ,2.64 ,22.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,36583,CPT,Replace tunneled cv cath,,,21 ,,RBRVS,5.26 ,2.60 ,22.60 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,36584,CPT,Replace picc cath,,,21 ,,RBRVS,1.20 ,0.63 ,4.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,36585,CPT,Replace picvad cath,,,21 ,,RBRVS,4.81 ,2.56 ,23.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,36589,CPT,Removal tunneled cv cath,,,21 ,,RBRVS,2.27 ,1.31 ,1.99 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,36590,CPT,Removal tunneled cv cath,,,21 ,,RBRVS,3.32 ,1.68 ,3.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,36591,CPT,Draw blood off venous device,,,21 ,,RBRVS,,0.60 ,0.60 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,36592,CPT,Collect blood from picc,,,21 ,,RBRVS,,0.66 ,0.66 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,36593,CPT,Declot vascular device,,,21 ,,RBRVS,,0.71 ,0.71 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,36595,CPT,Mech remov tunneled cv cath,,,21 ,,RBRVS,3.59 ,1.51 ,12.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,36596,CPT,Mech remov tunneled cv cath,,,21 ,,RBRVS,0.75 ,0.46 ,2.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,36597,CPT,Reposition venous catheter,,,21 ,,RBRVS,1.21 ,0.49 ,2.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,36598,CPT,"Inj w/fluor, eval cv device",,,21 ,,RBRVS,0.74 ,0.88 ,2.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,36600,CPT,Withdrawal of arterial blood,,,21 ,,RBRVS,0.32 ,0.08 ,0.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,36620,CPT,"Insertion catheter, artery",,,21 ,,RBRVS,1.15 ,0.17 ,0.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,36625,CPT,"Insertion catheter, artery",,,21 ,,RBRVS,2.11 ,0.56 ,0.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,36640,CPT,"Insertion catheter, artery",,,21 ,,RBRVS,2.10 ,0.96 ,0.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,36660,CPT,"Insertion catheter, artery",,,21 ,,RBRVS,1.40 ,0.31 ,0.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,36680,CPT,"Insert needle, bone cavity",,,21 ,,RBRVS,1.20 ,0.32 ,0.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,36800,CPT,Insertion of cannula,,,21 ,,RBRVS,2.43 ,1.62 ,1.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,36810,CPT,Insertion of cannula,,,21 ,,RBRVS,3.96 ,1.37 ,1.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,36815,CPT,Insertion of cannula,,,21 ,,RBRVS,2.62 ,1.13 ,1.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,36818,CPT,"Av fuse, uppr arm, cephalic",,,21 ,,RBRVS,11.81 ,5.04 ,5.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,36819,CPT,"Av fuse, uppr arm, basilic",,,21 ,,RBRVS,14.39 ,5.63 ,5.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,36820,CPT,Av fusion/forearm vein,,,21 ,,RBRVS,14.39 ,5.71 ,5.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,36821,CPT,Av fusion direct any site,,,21 ,,RBRVS,12.00 ,4.96 ,4.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,36822,CPT,Insertion of cannula(s),,,21 ,,RBRVS,5.51 ,3.99 ,3.99 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,36823,CPT,Insertion of cannula(s),,,21 ,,RBRVS,22.82 ,9.31 ,9.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,36825,CPT,Artery-vein autograft,,,21 ,,RBRVS,10.00 ,4.56 ,4.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,36830,CPT,Artery-vein nonautograft,,,21 ,,RBRVS,12.00 ,4.56 ,4.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,36831,CPT,Open thrombect av fistula,,,21 ,,RBRVS,8.01 ,3.47 ,3.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,36832,CPT,"Av fistula revision, open",,,21 ,,RBRVS,10.50 ,4.12 ,4.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,36833,CPT,Av fistula revision,,,21 ,,RBRVS,11.95 ,4.55 ,4.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,36835,CPT,Artery to vein shunt,,,21 ,,RBRVS,7.43 ,4.15 ,4.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,36838,CPT,"Dist revas ligation, hemo",,,21 ,,RBRVS,21.59 ,7.84 ,7.84 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,36860,CPT,External cannula declotting,,,21 ,,RBRVS,2.01 ,0.68 ,2.97 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,36861,CPT,Cannula declotting,,,21 ,,RBRVS,2.52 ,1.33 ,1.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,36870,CPT,Percut thrombect av fistula,,,21 ,,RBRVS,5.17 ,2.94 ,43.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,37140,CPT,Revision of circulation,,,21 ,,RBRVS,25.12 ,9.48 ,9.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,37145,CPT,Revision of circulation,,,21 ,,RBRVS,26.13 ,10.51 ,10.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,37160,CPT,Revision of circulation,,,21 ,,RBRVS,23.13 ,8.73 ,8.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,37180,CPT,Revision of circulation,,,21 ,,RBRVS,26.13 ,9.43 ,9.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,37181,CPT,Splice spleen/kidney veins,,,21 ,,RBRVS,28.26 ,10.32 ,10.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,37182,CPT,Insert hepatic shunt (tips),,,21 ,,RBRVS,16.97 ,6.81 ,6.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,37183,CPT,Remove hepatic shunt (tips),,,21 ,,RBRVS,7.99 ,3.32 ,3.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,37184,CPT,Prim art mech thrombectomy,,,21 ,,RBRVS,8.66 ,3.48 ,55.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,37185,CPT,Prim art m-thrombect add-on,,,21 ,,RBRVS,3.28 ,1.18 ,17.87 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,37186,CPT,Sec art m-thrombect add-on,,,21 ,,RBRVS,4.92 ,1.94 ,38.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,37187,CPT,Venous mech thrombectomy,,,21 ,,RBRVS,8.03 ,3.25 ,53.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,37188,CPT,Venous m-thrombectomy add-on,,,21 ,,RBRVS,5.71 ,2.46 ,46.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,37195,CPT,"Thrombolytic therapy, stroke",,,21 ,,TotalUnits,,,,8.13 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,37200,CPT,Transcatheter biopsy,,,21 ,,RBRVS,4.55 ,1.76 ,1.76 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,37201,CPT,Transcatheter therapy infuse,,,21 ,,RBRVS,4.99 ,2.48 ,2.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,37202,CPT,Transcatheter therapy infuse,,,21 ,,RBRVS,5.67 ,3.30 ,3.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,37203,CPT,Transcatheter retrieval,,,21 ,,RBRVS,5.02 ,2.17 ,30.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,37204,CPT,Transcatheter occlusion,,,21 ,,RBRVS,18.11 ,6.68 ,6.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,37205,CPT,"Transcath iv stent, percut",,,21 ,,RBRVS,8.27 ,3.46 ,105.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,37206,CPT,Transcath iv stent/perc addl,,,21 ,,RBRVS,4.12 ,1.58 ,64.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,37207,CPT,"Transcath iv stent, open",,,21 ,,RBRVS,8.27 ,2.70 ,2.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,37208,CPT,Transcath iv stent/open addl,,,21 ,,RBRVS,4.12 ,1.17 ,1.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,37209,CPT,Change iv cath at thromb tx,,,21 ,,RBRVS,2.27 ,0.81 ,0.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,37210,CPT,Embolization uterine fibroid,,,21 ,,RBRVS,10.60 ,4.37 ,83.03 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,37215,CPT,"Transcath stent, cca w/eps",,,21 ,,RBRVS,19.58 ,9.87 ,9.87 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,37216,CPT,"Transcath stent, cca w/o eps",,,21 ,,RBRVS,18.85 ,8.12 ,8.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,37250,CPT,Iv us first vessel add-on,,,21 ,,RBRVS,2.10 ,0.78 ,0.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,37251,CPT,Iv us each add vessel add-on,,,21 ,,RBRVS,1.60 ,0.52 ,0.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,37500,CPT,Endoscopy ligate perf veins,,,21 ,,RBRVS,11.54 ,5.86 ,5.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,37501,CPT,Vascular endoscopy procedure,,,21 ,,TotalUnits,,,,17.40 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,37565,CPT,Ligation of neck vein,,,21 ,,RBRVS,11.97 ,5.44 ,5.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,37600,CPT,Ligation of neck artery,,,21 ,,RBRVS,12.34 ,5.43 ,5.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,37605,CPT,Ligation of neck artery,,,21 ,,RBRVS,14.20 ,5.88 ,5.88 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,37606,CPT,Ligation of neck artery,,,21 ,,RBRVS,8.72 ,4.43 ,4.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,37607,CPT,Ligation of a-v fistula,,,21 ,,RBRVS,6.19 ,3.22 ,3.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,37609,CPT,Temporal artery procedure,,,21 ,,RBRVS,3.02 ,1.89 ,4.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,37615,CPT,Ligation of neck artery,,,21 ,,RBRVS,7.72 ,4.19 ,4.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,37616,CPT,Ligation of chest artery,,,21 ,,RBRVS,18.89 ,8.29 ,8.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,37617,CPT,Ligation of abdomen artery,,,21 ,,RBRVS,23.71 ,8.48 ,8.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,37618,CPT,Ligation of extremity artery,,,21 ,,RBRVS,5.95 ,3.49 ,3.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,37620,CPT,Revision of major vein,,,21 ,,RBRVS,11.49 ,5.78 ,5.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,37650,CPT,Revision of major vein,,,21 ,,RBRVS,8.41 ,4.41 ,4.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,37660,CPT,Revision of major vein,,,21 ,,RBRVS,22.20 ,8.14 ,8.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,37700,CPT,Revise leg vein,,,21 ,,RBRVS,3.76 ,2.52 ,2.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,37718,CPT,Ligate/strip short leg vein,,,21 ,,RBRVS,7.05 ,3.76 ,3.76 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,37722,CPT,Ligate/strip long leg vein,,,21 ,,RBRVS,8.08 ,3.96 ,3.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,37735,CPT,Removal of leg veins/lesion,,,21 ,,RBRVS,10.81 ,4.98 ,4.98 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,37760,CPT,"Ligation, leg veins, open",,,21 ,,RBRVS,10.69 ,4.87 ,4.87 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,37761,CPT,Ligate leg veins open,,,21 ,,RBRVS,9.13 ,5.37 ,5.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,37765,CPT,Phleb veins - extrem - to 20,,,21 ,,RBRVS,7.63 ,3.93 ,3.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,37766,CPT,Phleb veins - extrem 20+,,,21 ,,RBRVS,9.58 ,4.54 ,4.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,37780,CPT,Revision of leg vein,,,21 ,,RBRVS,3.87 ,2.62 ,2.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,37785,CPT,Ligate/divide/excise vein,,,21 ,,RBRVS,3.87 ,2.63 ,4.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,37788,CPT,"Revascularization, penis",,,21 ,,RBRVS,23.21 ,11.91 ,11.91 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,37790,CPT,Penile venous occlusion,,,21 ,,RBRVS,8.37 ,4.52 ,4.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,37799,CPT,Vascular surgery procedure,,,21 ,,TotalUnits,,,,0.08 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,38100,CPT,"Removal of spleen, total",,,21 ,,RBRVS,19.47 ,6.93 ,6.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,38101,CPT,"Removal of spleen, partial",,,21 ,,RBRVS,19.47 ,6.99 ,6.99 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,38102,CPT,"Removal of spleen, total",,,21 ,,RBRVS,4.79 ,1.41 ,1.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,38115,CPT,Repair of ruptured spleen,,,21 ,,RBRVS,21.80 ,7.59 ,7.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,38120,CPT,"Laparoscopy, splenectomy",,,21 ,,RBRVS,16.97 ,7.21 ,7.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,38129,CPT,"Laparoscope proc, spleen",,,21 ,,TotalUnits,,,,24.18 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,38200,CPT,Injection for spleen x-ray,,,21 ,,RBRVS,2.64 ,0.98 ,0.98 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,38204,CPT,Bl donor search management,,,21 ,,RBRVS,2.00 ,0.67 ,0.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,38205,CPT,Harvest allogenic stem cells,,,21 ,,RBRVS,1.50 ,0.60 ,0.60 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,38206,CPT,Harvest auto stem cells,,,21 ,,RBRVS,1.50 ,0.60 ,0.60 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,38207,CPT,Cryopreserve stem cells,,,21 ,,RBRVS,0.89 ,0.44 ,0.44 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,38208,CPT,Thaw preserved stem cells,,,21 ,,RBRVS,0.56 ,0.28 ,0.28 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,38209,CPT,Wash harvest stem cells,,,21 ,,RBRVS,0.24 ,0.12 ,0.12 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,38210,CPT,T-cell depletion of harvest,,,21 ,,RBRVS,1.57 ,0.78 ,0.78 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,38211,CPT,Tumor cell deplete of harvst,,,21 ,,RBRVS,1.42 ,0.71 ,0.71 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,38212,CPT,Rbc depletion of harvest,,,21 ,,RBRVS,0.94 ,0.47 ,0.47 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,38213,CPT,Platelet deplete of harvest,,,21 ,,RBRVS,0.24 ,0.12 ,0.12 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,38214,CPT,Volume deplete of harvest,,,21 ,,RBRVS,0.81 ,0.40 ,0.40 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,38215,CPT,Harvest stem cell concentrte,,,21 ,,RBRVS,0.94 ,0.47 ,0.47 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,38220,CPT,Bone marrow aspiration,,,21 ,,RBRVS,1.08 ,0.50 ,2.95 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,38221,CPT,Bone marrow biopsy,,,21 ,,RBRVS,1.37 ,0.63 ,3.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,38230,CPT,Bone marrow collection,,,21 ,,RBRVS,4.80 ,3.15 ,3.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,38240,CPT,Bone marrow/stem transplant,,,21 ,,RBRVS,2.24 ,1.01 ,1.01 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,38241,CPT,Bone marrow/stem transplant,,,21 ,,RBRVS,2.24 ,1.03 ,1.03 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,38242,CPT,Lymphocyte infuse transplant,,,21 ,,RBRVS,1.71 ,0.77 ,0.77 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,38300,CPT,"Drainage, lymph node lesion",,,21 ,,RBRVS,2.28 ,2.06 ,4.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,38305,CPT,"Drainage, lymph node lesion",,,21 ,,RBRVS,6.55 ,4.28 ,4.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,38308,CPT,Incision of lymph channels,,,21 ,,RBRVS,6.73 ,3.65 ,3.65 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,38380,CPT,Thoracic duct procedure,,,21 ,,RBRVS,8.34 ,5.28 ,5.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,38381,CPT,Thoracic duct procedure,,,21 ,,RBRVS,13.32 ,6.46 ,6.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,38382,CPT,Thoracic duct procedure,,,21 ,,RBRVS,10.51 ,5.56 ,5.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,38500,CPT,"Biopsy/removal, lymph nodes",,,21 ,,RBRVS,3.76 ,2.08 ,3.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,38505,CPT,"Needle biopsy, lymph nodes",,,21 ,,RBRVS,1.14 ,0.77 ,2.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,38510,CPT,"Biopsy/removal, lymph nodes",,,21 ,,RBRVS,6.69 ,3.28 ,5.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,38520,CPT,"Biopsy/removal, lymph nodes",,,21 ,,RBRVS,6.95 ,3.93 ,3.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,38525,CPT,"Biopsy/removal, lymph nodes",,,21 ,,RBRVS,6.35 ,3.48 ,3.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,38530,CPT,"Biopsy/removal, lymph nodes",,,21 ,,RBRVS,8.26 ,4.32 ,4.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,38542,CPT,"Explore deep node(s), neck",,,21 ,,RBRVS,7.85 ,4.49 ,4.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,38550,CPT,"Removal, neck/armpit lesion",,,21 ,,RBRVS,6.99 ,4.23 ,4.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,38555,CPT,"Removal, neck/armpit lesion",,,21 ,,RBRVS,15.42 ,7.95 ,7.95 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,38562,CPT,"Removal, pelvic lymph nodes",,,21 ,,RBRVS,10.92 ,5.92 ,5.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,38564,CPT,"Removal, abdomen lymph nodes",,,21 ,,RBRVS,11.29 ,5.32 ,5.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,38570,CPT,"Laparoscopy, lymph node biop",,,21 ,,RBRVS,9.28 ,4.23 ,4.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,38571,CPT,"Laparoscopy, lymphadenectomy",,,21 ,,RBRVS,14.70 ,6.97 ,6.97 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,38572,CPT,"Laparoscopy, lymphadenectomy",,,21 ,,RBRVS,16.86 ,6.49 ,6.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,38589,CPT,"Laparoscope proc, lymphatic",,,21 ,,TotalUnits,,,,21.67 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,38700,CPT,"Removal of lymph nodes, neck",,,21 ,,RBRVS,12.68 ,6.63 ,6.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,38720,CPT,"Removal of lymph nodes, neck",,,21 ,,RBRVS,21.72 ,10.33 ,10.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,38724,CPT,"Removal of lymph nodes, neck",,,21 ,,RBRVS,23.72 ,11.05 ,11.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,38740,CPT,Remove armpit lymph nodes,,,21 ,,RBRVS,10.57 ,5.12 ,5.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,38745,CPT,Remove armpit lymph nodes,,,21 ,,RBRVS,13.71 ,6.21 ,6.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,38746,CPT,Remove thoracic lymph nodes,,,21 ,,RBRVS,4.88 ,1.57 ,1.57 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,38747,CPT,Remove abdominal lymph nodes,,,21 ,,RBRVS,4.88 ,1.44 ,1.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,38760,CPT,Remove groin lymph nodes,,,21 ,,RBRVS,13.49 ,6.16 ,6.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,38765,CPT,Remove groin lymph nodes,,,21 ,,RBRVS,21.78 ,8.88 ,8.88 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,38770,CPT,Remove pelvis lymph nodes,,,21 ,,RBRVS,13.98 ,6.78 ,6.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,38780,CPT,Remove abdomen lymph nodes,,,21 ,,RBRVS,17.56 ,8.50 ,8.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,38790,CPT,Inject for lymphatic x-ray,,,21 ,,RBRVS,1.29 ,0.76 ,0.76 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,38792,CPT,Identify sentinel node,,,21 ,,RBRVS,0.52 ,0.48 ,0.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,38794,CPT,Access thoracic lymph duct,,,21 ,,RBRVS,4.51 ,3.40 ,3.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,38999,CPT,Blood/lymph system procedure,,,21 ,,TotalUnits,,,,3.24 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,39000,CPT,Exploration of chest,,,21 ,,RBRVS,7.49 ,4.55 ,4.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,39010,CPT,Exploration of chest,,,21 ,,RBRVS,13.11 ,6.64 ,6.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,39200,CPT,Removal chest lesion,,,21 ,,RBRVS,15.04 ,6.78 ,6.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,39220,CPT,Removal chest lesion,,,21 ,,RBRVS,19.47 ,8.73 ,8.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,39400,CPT,Visualization of chest,,,21 ,,RBRVS,8.00 ,4.46 ,4.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,39499,CPT,Chest procedure,,,21 ,,TotalUnits,,,,12.46 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,39501,CPT,Repair diaphragm laceration,,,21 ,,RBRVS,13.89 ,6.16 ,6.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,39502,CPT,Repair paraesophageal hernia,,,21 ,,RBRVS,17.09 ,6.93 ,6.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,39503,CPT,Repair of diaphragm hernia,,,21 ,,RBRVS,108.67 ,32.22 ,32.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,39520,CPT,Repair of diaphragm hernia,,,21 ,,RBRVS,16.63 ,7.33 ,7.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,39530,CPT,Repair of diaphragm hernia,,,21 ,,RBRVS,16.22 ,6.73 ,6.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,39531,CPT,Repair of diaphragm hernia,,,21 ,,RBRVS,17.23 ,6.73 ,6.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,39540,CPT,Repair of diaphragm hernia,,,21 ,,RBRVS,14.51 ,5.98 ,5.98 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,39541,CPT,Repair of diaphragm hernia,,,21 ,,RBRVS,15.67 ,6.44 ,6.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,39545,CPT,Revision of diaphragm,,,21 ,,RBRVS,14.58 ,7.27 ,7.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,39560,CPT,"Resect diaphragm, simple",,,21 ,,RBRVS,12.97 ,5.89 ,5.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,39561,CPT,"Resect diaphragm, complex",,,21 ,,RBRVS,19.75 ,9.61 ,9.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,39599,CPT,Diaphragm surgery procedure,,,21 ,,TotalUnits,,,,23.96 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,40490,CPT,Biopsy of lip,,,21 ,,RBRVS,1.22 ,0.62 ,1.97 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,40500,CPT,Partial excision of lip,,,21 ,,RBRVS,4.35 ,4.36 ,7.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,40510,CPT,Partial excision of lip,,,21 ,,RBRVS,4.74 ,3.80 ,6.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,40520,CPT,Partial excision of lip,,,21 ,,RBRVS,4.71 ,3.91 ,7.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,40525,CPT,Reconstruct lip with flap,,,21 ,,RBRVS,7.61 ,5.75 ,5.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,40527,CPT,Reconstruct lip with flap,,,21 ,,RBRVS,9.20 ,6.60 ,6.60 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,40530,CPT,Partial removal of lip,,,21 ,,RBRVS,5.45 ,4.35 ,7.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,40650,CPT,Repair lip,,,21 ,,RBRVS,3.69 ,3.20 ,6.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,40652,CPT,Repair lip,,,21 ,,RBRVS,4.32 ,4.05 ,7.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,40654,CPT,Repair lip,,,21 ,,RBRVS,5.37 ,4.81 ,8.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,40700,CPT,Repair cleft lip/nasal,,,21 ,,RBRVS,13.97 ,8.69 ,8.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,40701,CPT,Repair cleft lip/nasal,,,21 ,,RBRVS,17.03 ,10.79 ,10.79 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,40702,CPT,Repair cleft lip/nasal,,,21 ,,RBRVS,14.09 ,7.51 ,7.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,40720,CPT,Repair cleft lip/nasal,,,21 ,,RBRVS,14.54 ,9.01 ,9.01 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,40761,CPT,Repair cleft lip/nasal,,,21 ,,RBRVS,15.69 ,9.82 ,9.82 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,40799,CPT,Lip surgery procedure,,,21 ,,TotalUnits,,,,3.16 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,40800,CPT,Drainage of mouth lesion,,,21 ,,RBRVS,1.19 ,1.86 ,3.60 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,40801,CPT,Drainage of mouth lesion,,,21 ,,RBRVS,2.57 ,2.67 ,4.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,40804,CPT,"Removal, foreign body, mouth",,,21 ,,RBRVS,1.26 ,1.84 ,3.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,40805,CPT,"Removal, foreign body, mouth",,,21 ,,RBRVS,2.73 ,2.70 ,4.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,40806,CPT,Incision of lip fold,,,21 ,,RBRVS,0.31 ,0.51 ,2.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,40808,CPT,Biopsy of mouth lesion,,,21 ,,RBRVS,0.98 ,1.59 ,3.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,40810,CPT,Excision of mouth lesion,,,21 ,,RBRVS,1.33 ,1.71 ,3.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,40812,CPT,Excise/repair mouth lesion,,,21 ,,RBRVS,2.33 ,2.34 ,4.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,40814,CPT,Excise/repair mouth lesion,,,21 ,,RBRVS,3.45 ,3.78 ,5.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,40816,CPT,Excision of mouth lesion,,,21 ,,RBRVS,3.70 ,3.88 ,5.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,40818,CPT,Excise oral mucosa for graft,,,21 ,,RBRVS,2.72 ,3.86 ,5.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,40819,CPT,Excise lip or cheek fold,,,21 ,,RBRVS,2.45 ,3.12 ,4.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,40820,CPT,Treatment of mouth lesion,,,21 ,,RBRVS,1.30 ,2.85 ,4.99 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,40830,CPT,Repair mouth laceration,,,21 ,,RBRVS,1.78 ,2.02 ,3.95 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,40831,CPT,Repair mouth laceration,,,21 ,,RBRVS,2.50 ,2.82 ,5.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,40840,CPT,Reconstruction of mouth,,,21 ,,RBRVS,9.03 ,6.13 ,10.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,40842,CPT,Reconstruction of mouth,,,21 ,,RBRVS,9.03 ,5.79 ,9.82 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,40843,CPT,Reconstruction of mouth,,,21 ,,RBRVS,12.62 ,6.63 ,11.98 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,40844,CPT,Reconstruction of mouth,,,21 ,,RBRVS,16.57 ,10.33 ,15.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,40845,CPT,Reconstruction of mouth,,,21 ,,RBRVS,19.13 ,11.15 ,16.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,40899,CPT,Mouth surgery procedure,,,21 ,,TotalUnits,,,,4.22 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,41000,CPT,Drainage of mouth lesion,,,21 ,,RBRVS,1.32 ,1.36 ,2.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,41005,CPT,Drainage of mouth lesion,,,21 ,,RBRVS,1.28 ,1.79 ,4.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,41006,CPT,Drainage of mouth lesion,,,21 ,,RBRVS,3.28 ,2.93 ,5.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,41007,CPT,Drainage of mouth lesion,,,21 ,,RBRVS,3.14 ,2.91 ,5.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,41008,CPT,Drainage of mouth lesion,,,21 ,,RBRVS,3.40 ,3.00 ,5.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,41009,CPT,Drainage of mouth lesion,,,21 ,,RBRVS,3.63 ,3.31 ,5.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,41010,CPT,Incision of tongue fold,,,21 ,,RBRVS,1.08 ,1.58 ,3.77 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,41015,CPT,Drainage of mouth lesion,,,21 ,,RBRVS,4.00 ,4.02 ,6.00 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,41016,CPT,Drainage of mouth lesion,,,21 ,,RBRVS,4.11 ,4.18 ,6.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,41017,CPT,Drainage of mouth lesion,,,21 ,,RBRVS,4.11 ,4.22 ,6.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,41018,CPT,Drainage of mouth lesion,,,21 ,,RBRVS,5.14 ,4.56 ,6.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,41019,CPT,Place needles h&n for rt,,,21 ,,RBRVS,8.84 ,3.53 ,3.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,41100,CPT,Biopsy of tongue,,,21 ,,RBRVS,1.39 ,1.25 ,2.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,41105,CPT,Biopsy of tongue,,,21 ,,RBRVS,1.44 ,1.25 ,2.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,41108,CPT,Biopsy of floor of mouth,,,21 ,,RBRVS,1.07 ,1.10 ,2.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,41110,CPT,Excision of tongue lesion,,,21 ,,RBRVS,1.53 ,1.65 ,3.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,41112,CPT,Excision of tongue lesion,,,21 ,,RBRVS,2.77 ,3.25 ,5.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,41113,CPT,Excision of tongue lesion,,,21 ,,RBRVS,3.23 ,3.44 ,5.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,41114,CPT,Excision of tongue lesion,,,21 ,,RBRVS,8.71 ,6.68 ,6.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,41115,CPT,Excision of tongue fold,,,21 ,,RBRVS,1.76 ,1.81 ,4.03 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,41116,CPT,Excision of mouth lesion,,,21 ,,RBRVS,2.47 ,2.81 ,5.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,41120,CPT,Partial removal of tongue,,,21 ,,RBRVS,10.91 ,14.66 ,14.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,41130,CPT,Partial removal of tongue,,,21 ,,RBRVS,15.51 ,16.06 ,16.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,41135,CPT,Tongue and neck surgery,,,21 ,,RBRVS,29.83 ,22.55 ,22.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,41140,CPT,Removal of tongue,,,21 ,,RBRVS,28.81 ,24.86 ,24.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,41145,CPT,"Tongue removal, neck surgery",,,21 ,,RBRVS,37.59 ,29.80 ,29.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,41150,CPT,"Tongue, mouth, jaw surgery",,,21 ,,RBRVS,29.52 ,23.82 ,23.82 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,41153,CPT,"Tongue, mouth, neck surgery",,,21 ,,RBRVS,33.28 ,24.62 ,24.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,41155,CPT,"Tongue, jaw, & neck surgery",,,21 ,,RBRVS,43.96 ,28.11 ,28.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,41250,CPT,Repair tongue laceration,,,21 ,,RBRVS,1.93 ,1.47 ,3.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,41251,CPT,Repair tongue laceration,,,21 ,,RBRVS,2.29 ,1.66 ,3.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,41252,CPT,Repair tongue laceration,,,21 ,,RBRVS,2.99 ,2.12 ,4.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,41500,CPT,Fixation of tongue,,,21 ,,RBRVS,3.74 ,7.12 ,7.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,41510,CPT,Tongue to lip surgery,,,21 ,,RBRVS,3.45 ,6.57 ,6.57 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,41512,CPT,Tongue suspension,,,21 ,,RBRVS,6.75 ,8.46 ,8.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,41520,CPT,"Reconstruction, tongue fold",,,21 ,,RBRVS,2.77 ,3.34 ,5.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,41530,CPT,Tongue base vol reduction,,,21 ,,RBRVS,4.38 ,5.57 ,73.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,41599,CPT,Tongue and mouth surgery,,,21 ,,TotalUnits,,,,3.90 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,41800,CPT,Drainage of gum lesion,,,21 ,,RBRVS,1.21 ,1.89 ,4.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,41805,CPT,"Removal foreign body, gum",,,21 ,,RBRVS,1.28 ,2.68 ,4.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,41806,CPT,"Removal foreign body,jawbone",,,21 ,,RBRVS,2.73 ,3.32 ,5.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,41820,CPT,"Excision, gum, each quadrant",,,21 ,,TotalUnits,,,,5.26 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,41821,CPT,Excision of gum flap,,,21 ,,TotalUnits,,,,1.18 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,41822,CPT,Excision of gum lesion,,,21 ,,RBRVS,2.35 ,1.81 ,4.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,41823,CPT,Excision of gum lesion,,,21 ,,RBRVS,3.63 ,3.95 ,6.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,41825,CPT,Excision of gum lesion,,,21 ,,RBRVS,1.35 ,1.68 ,3.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,41826,CPT,Excision of gum lesion,,,21 ,,RBRVS,2.35 ,2.49 ,4.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,41827,CPT,Excision of gum lesion,,,21 ,,RBRVS,3.72 ,3.52 ,6.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,41828,CPT,Excision of gum lesion,,,21 ,,RBRVS,3.11 ,2.01 ,4.00 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,41830,CPT,Removal of gum tissue,,,21 ,,RBRVS,3.38 ,3.25 ,5.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,41850,CPT,Treatment of gum lesion,,,21 ,,RBRVS,1.75 ,1.16 ,1.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,41870,CPT,Gum graft,,,21 ,,TotalUnits,,,,6.58 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,41872,CPT,Repair gum,,,21 ,,RBRVS,2.90 ,3.34 ,5.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,41874,CPT,Repair tooth socket,,,21 ,,RBRVS,3.13 ,2.89 ,5.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,41899,CPT,Dental surgery procedure,,,21 ,,TotalUnits,,,,8.42 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,42000,CPT,Drainage mouth roof lesion,,,21 ,,RBRVS,1.25 ,1.23 ,2.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,42100,CPT,Biopsy roof of mouth,,,21 ,,RBRVS,1.33 ,1.30 ,2.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,42104,CPT,"Excision lesion, mouth roof",,,21 ,,RBRVS,1.66 ,1.65 ,3.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,42106,CPT,"Excision lesion, mouth roof",,,21 ,,RBRVS,2.12 ,2.19 ,4.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,42107,CPT,"Excision lesion, mouth roof",,,21 ,,RBRVS,4.48 ,3.84 ,6.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,42120,CPT,Remove palate/lesion,,,21 ,,RBRVS,11.70 ,12.20 ,12.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,42140,CPT,Excision of uvula,,,21 ,,RBRVS,1.65 ,2.11 ,4.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,42145,CPT,"Repair palate, pharynx/uvula",,,21 ,,RBRVS,9.63 ,7.55 ,7.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,42160,CPT,Treatment mouth roof lesion,,,21 ,,RBRVS,1.82 ,1.88 ,3.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,42180,CPT,Repair palate,,,21 ,,RBRVS,2.52 ,1.96 ,3.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,42182,CPT,Repair palate,,,21 ,,RBRVS,3.84 ,2.63 ,4.02 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,42200,CPT,Reconstruct cleft palate,,,21 ,,RBRVS,12.41 ,9.07 ,9.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,42205,CPT,Reconstruct cleft palate,,,21 ,,RBRVS,13.57 ,9.17 ,9.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,42210,CPT,Reconstruct cleft palate,,,21 ,,RBRVS,14.91 ,10.50 ,10.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,42215,CPT,Reconstruct cleft palate,,,21 ,,RBRVS,8.88 ,7.88 ,7.88 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,42220,CPT,Reconstruct cleft palate,,,21 ,,RBRVS,7.07 ,6.14 ,6.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,42225,CPT,Reconstruct cleft palate,,,21 ,,RBRVS,9.66 ,13.35 ,13.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,42226,CPT,Lengthening of palate,,,21 ,,RBRVS,10.24 ,12.50 ,12.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,42227,CPT,Lengthening of palate,,,21 ,,RBRVS,9.81 ,12.30 ,12.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,42235,CPT,Repair palate,,,21 ,,RBRVS,7.92 ,10.19 ,10.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,42260,CPT,Repair nose to lip fistula,,,21 ,,RBRVS,10.10 ,6.29 ,9.77 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,42280,CPT,"Preparation, palate mold",,,21 ,,RBRVS,1.56 ,0.93 ,2.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,42281,CPT,"Insertion, palate prosthesis",,,21 ,,RBRVS,1.95 ,1.75 ,2.91 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,42299,CPT,Palate/uvula surgery,,,21 ,,TotalUnits,,,,9.41 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,42300,CPT,Drainage of salivary gland,,,21 ,,RBRVS,1.95 ,1.76 ,3.03 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,42305,CPT,Drainage of salivary gland,,,21 ,,RBRVS,6.23 ,4.31 ,4.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,42310,CPT,Drainage of salivary gland,,,21 ,,RBRVS,1.58 ,1.45 ,2.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,42320,CPT,Drainage of salivary gland,,,21 ,,RBRVS,2.37 ,1.96 ,3.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,42330,CPT,Removal of salivary stone,,,21 ,,RBRVS,2.23 ,1.79 ,3.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,42335,CPT,Removal of salivary stone,,,21 ,,RBRVS,3.35 ,2.96 ,5.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,42340,CPT,Removal of salivary stone,,,21 ,,RBRVS,4.64 ,3.63 ,6.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,42400,CPT,Biopsy of salivary gland,,,21 ,,RBRVS,0.78 ,0.67 ,1.88 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,42405,CPT,Biopsy of salivary gland,,,21 ,,RBRVS,3.31 ,2.28 ,4.00 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,42408,CPT,Excision of salivary cyst,,,21 ,,RBRVS,4.58 ,3.41 ,6.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,42409,CPT,Drainage of salivary cyst,,,21 ,,RBRVS,2.85 ,2.60 ,5.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,42410,CPT,Excise parotid gland/lesion,,,21 ,,RBRVS,9.46 ,5.70 ,5.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,42415,CPT,Excise parotid gland/lesion,,,21 ,,RBRVS,17.99 ,9.50 ,9.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,42420,CPT,Excise parotid gland/lesion,,,21 ,,RBRVS,20.87 ,10.63 ,10.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,42425,CPT,Excise parotid gland/lesion,,,21 ,,RBRVS,13.31 ,7.46 ,7.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,42426,CPT,Excise parotid gland/lesion,,,21 ,,RBRVS,22.54 ,11.13 ,11.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,42440,CPT,Excise submaxillary gland,,,21 ,,RBRVS,7.05 ,4.42 ,4.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,42450,CPT,Excise sublingual gland,,,21 ,,RBRVS,4.66 ,4.10 ,6.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,42500,CPT,Repair salivary duct,,,21 ,,RBRVS,4.34 ,3.99 ,6.03 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,42505,CPT,Repair salivary duct,,,21 ,,RBRVS,6.23 ,4.91 ,7.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,42507,CPT,Parotid duct diversion,,,21 ,,RBRVS,6.16 ,6.46 ,6.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,42508,CPT,Parotid duct diversion,,,21 ,,RBRVS,9.22 ,8.50 ,8.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,42509,CPT,Parotid duct diversion,,,21 ,,RBRVS,11.65 ,8.80 ,8.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,42510,CPT,Parotid duct diversion,,,21 ,,RBRVS,8.26 ,7.24 ,7.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,42550,CPT,Injection for salivary x-ray,,,21 ,,RBRVS,1.25 ,0.47 ,2.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,42600,CPT,Closure of salivary fistula,,,21 ,,RBRVS,4.86 ,3.81 ,6.82 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,42650,CPT,Dilation of salivary duct,,,21 ,,RBRVS,0.77 ,0.68 ,1.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,42660,CPT,Dilation of salivary duct,,,21 ,,RBRVS,1.13 ,0.80 ,1.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,42665,CPT,Ligation of salivary duct,,,21 ,,RBRVS,2.57 ,2.49 ,4.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,42699,CPT,Salivary surgery procedure,,,21 ,,TotalUnits,,,,14.97 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,42700,CPT,Drainage of tonsil abscess,,,21 ,,RBRVS,1.64 ,1.68 ,2.88 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,42720,CPT,Drainage of throat abscess,,,21 ,,RBRVS,6.31 ,3.47 ,4.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,42725,CPT,Drainage of throat abscess,,,21 ,,RBRVS,12.28 ,7.67 ,7.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,42800,CPT,Biopsy of throat,,,21 ,,RBRVS,1.41 ,1.33 ,2.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,42802,CPT,Biopsy of throat,,,21 ,,RBRVS,1.56 ,1.78 ,4.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,42804,CPT,Biopsy of upper nose/throat,,,21 ,,RBRVS,1.26 ,1.57 ,3.60 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,42806,CPT,Biopsy of upper nose/throat,,,21 ,,RBRVS,1.60 ,1.71 ,3.87 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,42808,CPT,Excise pharynx lesion,,,21 ,,RBRVS,2.32 ,1.72 ,3.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,42809,CPT,Remove pharynx foreign body,,,21 ,,RBRVS,1.83 ,1.33 ,2.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,42810,CPT,Excision of neck cyst,,,21 ,,RBRVS,3.30 ,3.66 ,6.00 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,42815,CPT,Excision of neck cyst,,,21 ,,RBRVS,7.23 ,6.36 ,6.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,42820,CPT,Remove tonsils and adenoids,,,21 ,,RBRVS,4.17 ,3.01 ,3.01 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,42821,CPT,Remove tonsils and adenoids,,,21 ,,RBRVS,4.31 ,3.17 ,3.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,42825,CPT,Removal of tonsils,,,21 ,,RBRVS,3.45 ,3.00 ,3.00 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,42826,CPT,Removal of tonsils,,,21 ,,RBRVS,3.40 ,2.81 ,2.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,42830,CPT,Removal of adenoids,,,21 ,,RBRVS,2.60 ,2.48 ,2.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,42831,CPT,Removal of adenoids,,,21 ,,RBRVS,2.75 ,2.73 ,2.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,42835,CPT,Removal of adenoids,,,21 ,,RBRVS,2.33 ,2.23 ,2.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,42836,CPT,Removal of adenoids,,,21 ,,RBRVS,3.21 ,2.75 ,2.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,42842,CPT,Extensive surgery of throat,,,21 ,,RBRVS,12.02 ,11.86 ,11.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,42844,CPT,Extensive surgery of throat,,,21 ,,RBRVS,17.57 ,15.88 ,15.88 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,42845,CPT,Extensive surgery of throat,,,21 ,,RBRVS,32.35 ,22.25 ,22.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,42860,CPT,Excision of tonsil tags,,,21 ,,RBRVS,2.25 ,2.35 ,2.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,42870,CPT,Excision of lingual tonsil,,,21 ,,RBRVS,5.44 ,8.67 ,8.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,42890,CPT,Partial removal of pharynx,,,21 ,,RBRVS,18.92 ,15.18 ,15.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,42892,CPT,Revision of pharyngeal walls,,,21 ,,RBRVS,25.77 ,19.01 ,19.01 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,42894,CPT,Revision of pharyngeal walls,,,21 ,,RBRVS,33.61 ,23.60 ,23.60 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,42900,CPT,Repair throat wound,,,21 ,,RBRVS,5.26 ,3.20 ,3.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,42950,CPT,Reconstruction of throat,,,21 ,,RBRVS,8.16 ,11.28 ,11.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,42953,CPT,"Repair throat, esophagus",,,21 ,,RBRVS,9.33 ,14.60 ,14.60 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,42955,CPT,Surgical opening of throat,,,21 ,,RBRVS,7.92 ,10.30 ,10.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,42960,CPT,Control throat bleeding,,,21 ,,RBRVS,2.35 ,1.81 ,1.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,42961,CPT,Control throat bleeding,,,21 ,,RBRVS,5.69 ,4.65 ,4.65 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,42962,CPT,Control throat bleeding,,,21 ,,RBRVS,7.31 ,5.48 ,5.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,42970,CPT,Control nose/throat bleeding,,,21 ,,RBRVS,5.76 ,3.83 ,3.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,42971,CPT,Control nose/throat bleeding,,,21 ,,RBRVS,6.54 ,4.73 ,4.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,42972,CPT,Control nose/throat bleeding,,,21 ,,RBRVS,7.53 ,5.10 ,5.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,42999,CPT,Throat surgery procedure,,,21 ,,TotalUnits,,,,6.21 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,43020,CPT,Incision of esophagus,,,21 ,,RBRVS,8.14 ,4.68 ,4.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,43030,CPT,Throat muscle surgery,,,21 ,,RBRVS,7.91 ,4.90 ,4.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,43045,CPT,Incision of esophagus,,,21 ,,RBRVS,21.70 ,10.24 ,10.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,43100,CPT,Excision of esophagus lesion,,,21 ,,RBRVS,9.55 ,5.70 ,5.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,43101,CPT,Excision of esophagus lesion,,,21 ,,RBRVS,16.99 ,7.76 ,7.76 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,43107,CPT,Removal of esophagus,,,21 ,,RBRVS,43.97 ,17.54 ,17.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,43108,CPT,Removal of esophagus,,,21 ,,RBRVS,82.66 ,23.95 ,23.95 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,43112,CPT,Removal of esophagus,,,21 ,,RBRVS,47.27 ,18.33 ,18.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,43113,CPT,Removal of esophagus,,,21 ,,RBRVS,79.85 ,26.49 ,26.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,43116,CPT,Partial removal of esophagus,,,21 ,,RBRVS,92.78 ,29.47 ,29.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,43117,CPT,Partial removal of esophagus,,,21 ,,RBRVS,43.52 ,16.56 ,16.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,43118,CPT,Partial removal of esophagus,,,21 ,,RBRVS,66.86 ,20.42 ,20.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,43121,CPT,Partial removal of esophagus,,,21 ,,RBRVS,51.22 ,17.72 ,17.72 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,43122,CPT,Partial removal of esophagus,,,21 ,,RBRVS,43.97 ,16.67 ,16.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,43123,CPT,Partial removal of esophagus,,,21 ,,RBRVS,82.91 ,24.23 ,24.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,43124,CPT,Removal of esophagus,,,21 ,,RBRVS,68.83 ,22.66 ,22.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,43130,CPT,Removal of esophagus pouch,,,21 ,,RBRVS,12.41 ,6.91 ,6.91 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,43135,CPT,Removal of esophagus pouch,,,21 ,,RBRVS,26.09 ,9.87 ,9.87 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,43200,CPT,Esophagus endoscopy,,,21 ,,RBRVS,1.59 ,1.02 ,3.77 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,43201,CPT,Esoph scope w/submucous inj,,,21 ,,RBRVS,2.09 ,1.20 ,5.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,43202,CPT,"Esophagus endoscopy, biopsy",,,21 ,,RBRVS,1.89 ,1.00 ,5.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,43204,CPT,Esoph scope w/sclerosis inj,,,21 ,,RBRVS,3.76 ,1.93 ,1.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,43205,CPT,Esophagus endoscopy/ligation,,,21 ,,RBRVS,3.78 ,1.94 ,1.94 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,43215,CPT,Esophagus endoscopy,,,21 ,,RBRVS,2.60 ,1.29 ,1.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,43216,CPT,Esophagus endoscopy/lesion,,,21 ,,RBRVS,2.40 ,1.23 ,2.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,43217,CPT,Esophagus endoscopy,,,21 ,,RBRVS,2.90 ,1.36 ,6.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,43219,CPT,Esophagus endoscopy,,,21 ,,RBRVS,2.80 ,1.53 ,1.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,43220,CPT,"Esoph endoscopy, dilation",,,21 ,,RBRVS,2.10 ,1.11 ,1.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,43226,CPT,"Esoph endoscopy, dilation",,,21 ,,RBRVS,2.34 ,1.24 ,1.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,43227,CPT,"Esoph endoscopy, repair",,,21 ,,RBRVS,3.59 ,1.74 ,1.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,43228,CPT,"Esoph endoscopy, ablation",,,21 ,,RBRVS,3.76 ,1.90 ,1.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,43231,CPT,Esoph endoscopy w/us exam,,,21 ,,RBRVS,3.19 ,1.67 ,1.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,43232,CPT,Esoph endoscopy w/us fn bx,,,21 ,,RBRVS,4.47 ,2.21 ,2.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,43234,CPT,"Upper gi endoscopy, exam",,,21 ,,RBRVS,2.01 ,1.00 ,4.98 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,43235,CPT,"Uppr gi endoscopy, diagnosis",,,21 ,,RBRVS,2.39 ,1.30 ,5.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,43236,CPT,Uppr gi scope w/submuc inj,,,21 ,,RBRVS,2.92 ,1.58 ,6.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,43237,CPT,"Endoscopic us exam, esoph",,,21 ,,RBRVS,3.98 ,2.05 ,2.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,43238,CPT,Uppr gi endoscopy w/us fn bx,,,21 ,,RBRVS,5.02 ,2.52 ,2.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,43239,CPT,"Upper gi endoscopy, biopsy",,,21 ,,RBRVS,2.87 ,1.50 ,5.87 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,43240,CPT,Esoph endoscope w/drain cyst,,,21 ,,RBRVS,6.85 ,3.28 ,3.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,43241,CPT,Upper gi endoscopy with tube,,,21 ,,RBRVS,2.59 ,1.37 ,1.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,43242,CPT,Uppr gi endoscopy w/us fn bx,,,21 ,,RBRVS,7.30 ,3.55 ,3.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,43243,CPT,Upper gi endoscopy & inject,,,21 ,,RBRVS,4.56 ,2.28 ,2.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,43244,CPT,Upper gi endoscopy/ligation,,,21 ,,RBRVS,5.04 ,2.54 ,2.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,43245,CPT,Uppr gi scope dilate strictr,,,21 ,,RBRVS,3.18 ,1.58 ,1.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,43246,CPT,Place gastrostomy tube,,,21 ,,RBRVS,4.32 ,2.06 ,2.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,43247,CPT,Operative upper gi endoscopy,,,21 ,,RBRVS,3.38 ,1.72 ,1.72 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,43248,CPT,Uppr gi endoscopy/guide wire,,,21 ,,RBRVS,3.15 ,1.69 ,1.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,43249,CPT,"Esoph endoscopy, dilation",,,21 ,,RBRVS,2.90 ,1.55 ,1.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,43250,CPT,Upper gi endoscopy/tumor,,,21 ,,RBRVS,3.20 ,1.56 ,1.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,43251,CPT,Operative upper gi endoscopy,,,21 ,,RBRVS,3.69 ,1.86 ,1.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,43255,CPT,Operative upper gi endoscopy,,,21 ,,RBRVS,4.81 ,2.43 ,2.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,43256,CPT,Uppr gi endoscopy w/stent,,,21 ,,RBRVS,4.34 ,2.16 ,2.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,43257,CPT,Uppr gi scope w/thrml txmnt,,,21 ,,RBRVS,5.50 ,2.50 ,2.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,43258,CPT,Operative upper gi endoscopy,,,21 ,,RBRVS,4.54 ,2.28 ,2.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,43259,CPT,Endoscopic ultrasound exam,,,21 ,,RBRVS,5.19 ,2.60 ,2.60 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,43260,CPT,Endo cholangiopancreatograph,,,21 ,,RBRVS,5.95 ,2.95 ,2.95 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,43261,CPT,Endo cholangiopancreatograph,,,21 ,,RBRVS,6.26 ,3.09 ,3.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,43262,CPT,Endo cholangiopancreatograph,,,21 ,,RBRVS,7.38 ,3.60 ,3.60 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,43263,CPT,Endo cholangiopancreatograph,,,21 ,,RBRVS,7.28 ,3.58 ,3.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,43264,CPT,Endo cholangiopancreatograph,,,21 ,,RBRVS,8.89 ,4.29 ,4.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,43265,CPT,Endo cholangiopancreatograph,,,21 ,,RBRVS,10.00 ,4.79 ,4.79 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,43267,CPT,Endo cholangiopancreatograph,,,21 ,,RBRVS,7.38 ,3.55 ,3.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,43268,CPT,Endo cholangiopancreatograph,,,21 ,,RBRVS,7.38 ,3.74 ,3.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,43269,CPT,Endo cholangiopancreatograph,,,21 ,,RBRVS,8.20 ,3.97 ,3.97 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,43271,CPT,Endo cholangiopancreatograph,,,21 ,,RBRVS,7.38 ,3.59 ,3.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,43272,CPT,Endo cholangiopancreatograph,,,21 ,,RBRVS,7.38 ,3.57 ,3.57 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,43273,CPT,Endoscopic pancreatoscopy,,,21 ,,RBRVS,2.24 ,1.08 ,1.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,43279,CPT,"Lap myotomy, heller",,,21 ,,RBRVS,22.00 ,8.07 ,8.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,43280,CPT,"Laparoscopy, fundoplasty",,,21 ,,RBRVS,18.00 ,7.04 ,7.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,43281,CPT,Lap paraesophag hern repair,,,21 ,,RBRVS,26.60 ,12.03 ,12.03 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,43282,CPT,Lap paraesoph her rpr w/mesh,,,21 ,,RBRVS,30.10 ,13.32 ,13.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,43289,CPT,"Laparoscope proc, esoph",,,21 ,,TotalUnits,,,,25.04 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,43300,CPT,Repair of esophagus,,,21 ,,RBRVS,9.21 ,5.81 ,5.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,43305,CPT,Repair esophagus and fistula,,,21 ,,RBRVS,17.98 ,9.20 ,9.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,43310,CPT,Repair of esophagus,,,21 ,,RBRVS,26.18 ,10.73 ,10.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,43312,CPT,Repair esophagus and fistula,,,21 ,,RBRVS,29.23 ,11.50 ,11.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,43313,CPT,Esophagoplasty congenital,,,21 ,,RBRVS,48.17 ,17.22 ,17.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,43314,CPT,Tracheo-esophagoplasty cong,,,21 ,,RBRVS,53.15 ,21.62 ,21.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,43320,CPT,Fuse esophagus & stomach,,,21 ,,RBRVS,23.18 ,9.53 ,9.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,43324,CPT,Revise esophagus & stomach,,,21 ,,RBRVS,22.86 ,8.78 ,8.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,43325,CPT,Revise esophagus & stomach,,,21 ,,RBRVS,22.47 ,8.75 ,8.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,43326,CPT,Revise esophagus & stomach,,,21 ,,RBRVS,22.15 ,9.56 ,9.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,43330,CPT,Repair of esophagus,,,21 ,,RBRVS,22.06 ,8.51 ,8.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,43331,CPT,Repair of esophagus,,,21 ,,RBRVS,22.93 ,10.18 ,10.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,43340,CPT,Fuse esophagus & intestine,,,21 ,,RBRVS,22.86 ,9.06 ,9.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,43341,CPT,Fuse esophagus & intestine,,,21 ,,RBRVS,24.10 ,10.94 ,10.94 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,43350,CPT,"Surgical opening, esophagus",,,21 ,,RBRVS,19.31 ,8.39 ,8.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,43351,CPT,"Surgical opening, esophagus",,,21 ,,RBRVS,21.87 ,10.14 ,10.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,43352,CPT,"Surgical opening, esophagus",,,21 ,,RBRVS,17.68 ,8.48 ,8.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,43360,CPT,Gastrointestinal repair,,,21 ,,RBRVS,39.90 ,15.68 ,15.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,43361,CPT,Gastrointestinal repair,,,21 ,,RBRVS,45.50 ,17.26 ,17.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,43400,CPT,Ligate esophagus veins,,,21 ,,RBRVS,25.47 ,13.81 ,13.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,43401,CPT,Esophagus surgery for veins,,,21 ,,RBRVS,26.36 ,9.92 ,9.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,43405,CPT,Ligate/staple esophagus,,,21 ,,RBRVS,24.55 ,10.71 ,10.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,43410,CPT,Repair esophagus wound,,,21 ,,RBRVS,16.28 ,8.02 ,8.02 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,43415,CPT,Repair esophagus wound,,,21 ,,RBRVS,28.70 ,12.25 ,12.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,43420,CPT,Repair esophagus opening,,,21 ,,RBRVS,16.65 ,7.85 ,7.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,43425,CPT,Repair esophagus opening,,,21 ,,RBRVS,24.91 ,11.13 ,11.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,43450,CPT,Dilate esophagus,,,21 ,,RBRVS,1.38 ,0.88 ,2.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,43453,CPT,Dilate esophagus,,,21 ,,RBRVS,1.51 ,0.95 ,6.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,43456,CPT,Dilate esophagus,,,21 ,,RBRVS,2.57 ,1.38 ,12.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,43458,CPT,Dilate esophagus,,,21 ,,RBRVS,3.06 ,1.55 ,6.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,43460,CPT,Pressure treatment esophagus,,,21 ,,RBRVS,3.79 ,1.79 ,1.79 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,43496,CPT,"Free jejunum flap, microvasc",,,21 ,,TotalUnits,,,,3.93 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,43499,CPT,Esophagus surgery procedure,,,21 ,,TotalUnits,,,,4.71 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,43500,CPT,Surgical opening of stomach,,,21 ,,RBRVS,12.71 ,5.32 ,5.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,43501,CPT,Surgical repair of stomach,,,21 ,,RBRVS,22.47 ,8.42 ,8.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,43502,CPT,Surgical repair of stomach,,,21 ,,RBRVS,25.56 ,9.35 ,9.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,43510,CPT,Surgical opening of stomach,,,21 ,,RBRVS,15.01 ,7.51 ,7.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,43520,CPT,Incision of pyloric muscle,,,21 ,,RBRVS,11.21 ,5.08 ,5.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,43600,CPT,Biopsy of stomach,,,21 ,,RBRVS,1.91 ,0.80 ,0.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,43605,CPT,Biopsy of stomach,,,21 ,,RBRVS,13.64 ,5.47 ,5.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,43610,CPT,Excision of stomach lesion,,,21 ,,RBRVS,16.26 ,6.26 ,6.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,43611,CPT,Excision of stomach lesion,,,21 ,,RBRVS,20.25 ,7.81 ,7.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,43620,CPT,Removal of stomach,,,21 ,,RBRVS,33.91 ,11.72 ,11.72 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,43621,CPT,Removal of stomach,,,21 ,,RBRVS,39.40 ,12.84 ,12.84 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,43622,CPT,Removal of stomach,,,21 ,,RBRVS,39.90 ,12.98 ,12.98 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,43631,CPT,"Removal of stomach, partial",,,21 ,,RBRVS,24.38 ,9.04 ,9.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,43632,CPT,"Removal of stomach, partial",,,21 ,,RBRVS,35.01 ,11.19 ,11.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,43633,CPT,"Removal of stomach, partial",,,21 ,,RBRVS,33.01 ,10.82 ,10.82 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,43634,CPT,"Removal of stomach, partial",,,21 ,,RBRVS,36.51 ,11.93 ,11.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,43635,CPT,"Removal of stomach, partial",,,21 ,,RBRVS,2.06 ,0.59 ,0.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,43640,CPT,Vagotomy & pylorus repair,,,21 ,,RBRVS,19.43 ,7.54 ,7.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,43641,CPT,Vagotomy & pylorus repair,,,21 ,,RBRVS,19.68 ,7.54 ,7.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,43644,CPT,Lap gastric bypass/roux-en-y,,,21 ,,RBRVS,29.24 ,10.79 ,10.79 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,43645,CPT,Lap gastr bypass incl smll i,,,21 ,,RBRVS,31.37 ,11.35 ,11.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,43651,CPT,"Laparoscopy, vagus nerve",,,21 ,,RBRVS,10.13 ,4.82 ,4.82 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,43652,CPT,"Laparoscopy, vagus nerve",,,21 ,,RBRVS,12.13 ,5.37 ,5.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,43653,CPT,"Laparoscopy, gastrostomy",,,21 ,,RBRVS,8.38 ,4.47 ,4.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,43659,CPT,"Laparoscope proc, stom",,,21 ,,TotalUnits,,,,40.03 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,43752,CPT,Nasal/orogastric w/stent,,,21 ,,RBRVS,0.81 ,0.28 ,0.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,43760,CPT,Change gastrostomy tube,,,21 ,,RBRVS,0.90 ,0.37 ,7.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,43761,CPT,Reposition gastrostomy tube,,,21 ,,RBRVS,2.01 ,0.75 ,1.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,43770,CPT,Lap place gastr adj device,,,21 ,,RBRVS,17.85 ,7.72 ,7.72 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,43771,CPT,Lap revise gastr adj device,,,21 ,,RBRVS,20.64 ,8.48 ,8.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,43772,CPT,Lap rmvl gastr adj device,,,21 ,,RBRVS,15.62 ,6.40 ,6.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,43773,CPT,Lap replace gastr adj device,,,21 ,,RBRVS,20.64 ,8.50 ,8.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,43774,CPT,Lap rmvl gastr adj all parts,,,21 ,,RBRVS,15.66 ,6.44 ,6.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,43775,CPT,Lap sleeve gastrectomy,,,21 ,,RBRVS,21.56 ,10.99 ,10.99 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,43800,CPT,Reconstruction of pylorus,,,21 ,,RBRVS,15.35 ,6.04 ,6.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,43810,CPT,Fusion of stomach and bowel,,,21 ,,RBRVS,16.80 ,6.40 ,6.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,43820,CPT,Fusion of stomach and bowel,,,21 ,,RBRVS,22.40 ,7.95 ,7.95 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,43825,CPT,Fusion of stomach and bowel,,,21 ,,RBRVS,21.63 ,8.19 ,8.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,43830,CPT,Place gastrostomy tube,,,21 ,,RBRVS,10.75 ,5.21 ,5.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,43831,CPT,Place gastrostomy tube,,,21 ,,RBRVS,8.38 ,4.99 ,4.99 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,43832,CPT,Place gastrostomy tube,,,21 ,,RBRVS,17.26 ,7.25 ,7.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,43840,CPT,Repair of stomach lesion,,,21 ,,RBRVS,22.70 ,8.09 ,8.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,43842,CPT,V-band gastroplasty,,,21 ,,RBRVS,20.90 ,8.81 ,8.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,43843,CPT,Gastroplasty w/o v-band,,,21 ,,RBRVS,21.08 ,8.00 ,8.00 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,43845,CPT,Gastroplasty duodenal switch,,,21 ,,RBRVS,33.12 ,11.72 ,11.72 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,43846,CPT,Gastric bypass for obesity,,,21 ,,RBRVS,27.23 ,10.26 ,10.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,43847,CPT,Gastric bypass incl small i,,,21 ,,RBRVS,30.10 ,10.80 ,10.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,43848,CPT,Revision gastroplasty,,,21 ,,RBRVS,32.57 ,11.81 ,11.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,43850,CPT,Revise stomach-bowel fusion,,,21 ,,RBRVS,27.45 ,9.69 ,9.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,43855,CPT,Revise stomach-bowel fusion,,,21 ,,RBRVS,28.56 ,10.23 ,10.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,43860,CPT,Revise stomach-bowel fusion,,,21 ,,RBRVS,27.76 ,9.97 ,9.97 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,43865,CPT,Revise stomach-bowel fusion,,,21 ,,RBRVS,28.92 ,10.28 ,10.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,43870,CPT,Repair stomach opening,,,21 ,,RBRVS,11.36 ,4.92 ,4.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,43880,CPT,Repair stomach-bowel fistula,,,21 ,,RBRVS,27.05 ,9.79 ,9.79 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,43886,CPT,"Revise gastric port, open",,,21 ,,RBRVS,4.54 ,3.40 ,3.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,43887,CPT,"Remove gastric port, open",,,21 ,,RBRVS,4.24 ,3.03 ,3.03 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,43888,CPT,"Change gastric port, open",,,21 ,,RBRVS,6.34 ,3.93 ,3.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,43999,CPT,Stomach surgery procedure,,,21 ,,TotalUnits,,,,3.23 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,44005,CPT,Freeing of bowel adhesion,,,21 ,,RBRVS,18.38 ,6.85 ,6.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,44010,CPT,Incision of small bowel,,,21 ,,RBRVS,14.18 ,5.70 ,5.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,44015,CPT,Insert needle cath bowel,,,21 ,,RBRVS,2.62 ,0.78 ,0.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,44020,CPT,Explore small intestine,,,21 ,,RBRVS,16.14 ,6.19 ,6.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,44021,CPT,Decompress small bowel,,,21 ,,RBRVS,16.23 ,6.37 ,6.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,44025,CPT,Incision of large bowel,,,21 ,,RBRVS,16.43 ,6.30 ,6.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,44050,CPT,Reduce bowel obstruction,,,21 ,,RBRVS,15.44 ,6.04 ,6.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,44055,CPT,Correct malrotation of bowel,,,21 ,,RBRVS,25.53 ,8.90 ,8.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,44100,CPT,Biopsy of bowel,,,21 ,,RBRVS,2.01 ,0.90 ,0.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,44110,CPT,Excise intestine lesion(s),,,21 ,,RBRVS,13.96 ,5.57 ,5.57 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,44111,CPT,Excision of bowel lesion(s),,,21 ,,RBRVS,16.44 ,6.25 ,6.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,44120,CPT,Removal of small intestine,,,21 ,,RBRVS,20.74 ,7.40 ,7.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,44121,CPT,Removal of small intestine,,,21 ,,RBRVS,4.44 ,1.28 ,1.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,44125,CPT,Removal of small intestine,,,21 ,,RBRVS,19.93 ,7.34 ,7.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,44126,CPT,"Enterectomy w/o taper, cong",,,21 ,,RBRVS,42.02 ,14.27 ,14.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,44127,CPT,"Enterectomy w/taper, cong",,,21 ,,RBRVS,49.09 ,16.24 ,16.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,44128,CPT,"Enterectomy cong, add-on",,,21 ,,RBRVS,4.44 ,1.29 ,1.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,44130,CPT,Bowel to bowel fusion,,,21 ,,RBRVS,21.98 ,7.80 ,7.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,44139,CPT,Mobilization of colon,,,21 ,,RBRVS,2.23 ,0.64 ,0.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,44140,CPT,Partial removal of colon,,,21 ,,RBRVS,22.46 ,8.50 ,8.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,44141,CPT,Partial removal of colon,,,21 ,,RBRVS,29.75 ,11.72 ,11.72 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,44143,CPT,Partial removal of colon,,,21 ,,RBRVS,27.63 ,10.72 ,10.72 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,44144,CPT,Partial removal of colon,,,21 ,,RBRVS,29.75 ,10.74 ,10.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,44145,CPT,Partial removal of colon,,,21 ,,RBRVS,28.45 ,10.18 ,10.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,44146,CPT,Partial removal of colon,,,21 ,,RBRVS,35.14 ,13.65 ,13.65 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,44147,CPT,Partial removal of colon,,,21 ,,RBRVS,33.56 ,10.71 ,10.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,44150,CPT,Removal of colon,,,21 ,,RBRVS,29.99 ,12.78 ,12.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,44151,CPT,Removal of colon/ileostomy,,,21 ,,RBRVS,34.73 ,14.15 ,14.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,44155,CPT,Removal of colon/ileostomy,,,21 ,,RBRVS,34.23 ,13.75 ,13.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,44156,CPT,Removal of colon/ileostomy,,,21 ,,RBRVS,37.23 ,15.28 ,15.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,44157,CPT,Colectomy w/ileoanal anast,,,21 ,,RBRVS,35.49 ,14.26 ,14.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,44158,CPT,Colectomy w/neo-rectum pouch,,,21 ,,RBRVS,36.49 ,14.48 ,14.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,44160,CPT,Removal of colon,,,21 ,,RBRVS,20.78 ,7.83 ,7.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,44180,CPT,"Lap, enterolysis",,,21 ,,RBRVS,15.19 ,6.09 ,6.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,44186,CPT,"Lap, jejunostomy",,,21 ,,RBRVS,10.30 ,4.75 ,4.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,44187,CPT,"Lap, ileo/jejuno-stomy",,,21 ,,RBRVS,17.27 ,8.22 ,8.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,44188,CPT,"Lap, colostomy",,,21 ,,RBRVS,19.20 ,8.95 ,8.95 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,44202,CPT,"Lap, enterectomy",,,21 ,,RBRVS,23.26 ,8.75 ,8.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,44203,CPT,"Lap resect s/intestine, addl",,,21 ,,RBRVS,4.44 ,1.26 ,1.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,44204,CPT,Laparo partial colectomy,,,21 ,,RBRVS,26.29 ,9.49 ,9.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,44205,CPT,Lap colectomy part w/ileum,,,21 ,,RBRVS,22.86 ,8.36 ,8.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,44206,CPT,Lap part colectomy w/stoma,,,21 ,,RBRVS,29.63 ,11.02 ,11.02 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,44207,CPT,L colectomy/coloproctostomy,,,21 ,,RBRVS,31.79 ,10.87 ,10.87 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,44208,CPT,L colectomy/coloproctostomy,,,21 ,,RBRVS,33.86 ,12.62 ,12.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,44210,CPT,Laparo total proctocolectomy,,,21 ,,RBRVS,29.88 ,11.71 ,11.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,44211,CPT,Lap colectomy w/proctectomy,,,21 ,,RBRVS,36.87 ,14.20 ,14.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,44212,CPT,Laparo total proctocolectomy,,,21 ,,RBRVS,34.37 ,13.63 ,13.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,44213,CPT,"Lap, mobil splenic fl add-on",,,21 ,,RBRVS,3.50 ,1.00 ,1.00 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,44227,CPT,"Lap, close enterostomy",,,21 ,,RBRVS,28.49 ,10.24 ,10.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,44238,CPT,"Laparoscope proc, intestine",,,21 ,,TotalUnits,,,,28.15 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,44300,CPT,Open bowel to skin,,,21 ,,RBRVS,13.65 ,5.70 ,5.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,44310,CPT,Ileostomy/jejunostomy,,,21 ,,RBRVS,17.49 ,6.70 ,6.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,44312,CPT,Revision of ileostomy,,,21 ,,RBRVS,9.33 ,4.59 ,4.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,44314,CPT,Revision of ileostomy,,,21 ,,RBRVS,16.61 ,6.94 ,6.94 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,44316,CPT,Devise bowel pouch,,,21 ,,RBRVS,23.46 ,8.77 ,8.77 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,44320,CPT,Colostomy,,,21 ,,RBRVS,19.75 ,7.85 ,7.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,44322,CPT,Colostomy with biopsies,,,21 ,,RBRVS,13.15 ,9.03 ,9.03 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,44340,CPT,Revision of colostomy,,,21 ,,RBRVS,9.12 ,4.85 ,4.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,44345,CPT,Revision of colostomy,,,21 ,,RBRVS,17.06 ,7.11 ,7.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,44346,CPT,Revision of colostomy,,,21 ,,RBRVS,19.47 ,7.71 ,7.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,44360,CPT,Small bowel endoscopy,,,21 ,,RBRVS,2.59 ,1.44 ,1.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,44361,CPT,Small bowel endoscopy/biopsy,,,21 ,,RBRVS,2.87 ,1.57 ,1.57 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,44363,CPT,Small bowel endoscopy,,,21 ,,RBRVS,3.49 ,1.75 ,1.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,44364,CPT,Small bowel endoscopy,,,21 ,,RBRVS,3.73 ,1.93 ,1.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,44365,CPT,Small bowel endoscopy,,,21 ,,RBRVS,3.31 ,1.73 ,1.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,44366,CPT,Small bowel endoscopy,,,21 ,,RBRVS,4.40 ,2.27 ,2.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,44369,CPT,Small bowel endoscopy,,,21 ,,RBRVS,4.51 ,2.30 ,2.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,44370,CPT,Small bowel endoscopy/stent,,,21 ,,RBRVS,4.79 ,2.54 ,2.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,44372,CPT,Small bowel endoscopy,,,21 ,,RBRVS,4.40 ,2.06 ,2.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,44373,CPT,Small bowel endoscopy,,,21 ,,RBRVS,3.49 ,1.75 ,1.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,44376,CPT,Small bowel endoscopy,,,21 ,,RBRVS,5.25 ,2.48 ,2.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,44377,CPT,Small bowel endoscopy/biopsy,,,21 ,,RBRVS,5.52 ,2.71 ,2.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,44378,CPT,Small bowel endoscopy,,,21 ,,RBRVS,7.12 ,3.43 ,3.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,44379,CPT,S bowel endoscope w/stent,,,21 ,,RBRVS,7.46 ,3.68 ,3.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,44380,CPT,Small bowel endoscopy,,,21 ,,RBRVS,1.05 ,0.71 ,0.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,44382,CPT,Small bowel endoscopy,,,21 ,,RBRVS,1.27 ,0.83 ,0.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,44383,CPT,Ileoscopy w/stent,,,21 ,,RBRVS,2.94 ,1.59 ,1.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,44385,CPT,Endoscopy of bowel pouch,,,21 ,,RBRVS,1.82 ,0.86 ,4.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,44386,CPT,"Endoscopy, bowel pouch/biop",,,21 ,,RBRVS,2.12 ,1.01 ,6.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,44388,CPT,Colonoscopy,,,21 ,,RBRVS,2.82 ,1.34 ,5.76 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,44389,CPT,Colonoscopy with biopsy,,,21 ,,RBRVS,3.13 ,1.53 ,6.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,44390,CPT,Colonoscopy for foreign body,,,21 ,,RBRVS,3.82 ,1.77 ,7.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,44391,CPT,Colonoscopy for bleeding,,,21 ,,RBRVS,4.31 ,2.08 ,8.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,44392,CPT,Colonoscopy & polypectomy,,,21 ,,RBRVS,3.81 ,1.67 ,6.98 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,44393,CPT,"Colonoscopy, lesion removal",,,21 ,,RBRVS,4.83 ,2.16 ,7.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,44394,CPT,Colonoscopy w/snare,,,21 ,,RBRVS,4.42 ,2.06 ,8.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,44397,CPT,Colonoscopy w/stent,,,21 ,,RBRVS,4.70 ,2.31 ,2.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,44500,CPT,"Intro, gastrointestinal tube",,,21 ,,RBRVS,0.49 ,0.18 ,0.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,44602,CPT,"Suture, small intestine",,,21 ,,RBRVS,24.64 ,7.56 ,7.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,44603,CPT,"Suture, small intestine",,,21 ,,RBRVS,28.03 ,8.89 ,8.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,44604,CPT,"Suture, large intestine",,,21 ,,RBRVS,18.06 ,6.39 ,6.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,44605,CPT,Repair of bowel lesion,,,21 ,,RBRVS,22.00 ,8.22 ,8.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,44615,CPT,Intestinal stricturoplasty,,,21 ,,RBRVS,18.08 ,6.82 ,6.82 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,44620,CPT,Repair bowel opening,,,21 ,,RBRVS,14.35 ,5.63 ,5.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,44625,CPT,Repair bowel opening,,,21 ,,RBRVS,17.20 ,6.41 ,6.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,44626,CPT,Repair bowel opening,,,21 ,,RBRVS,27.82 ,9.50 ,9.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,44640,CPT,Repair bowel-skin fistula,,,21 ,,RBRVS,24.12 ,8.49 ,8.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,44650,CPT,Repair bowel fistula,,,21 ,,RBRVS,25.04 ,8.85 ,8.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,44660,CPT,Repair bowel-bladder fistula,,,21 ,,RBRVS,23.83 ,9.52 ,9.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,44661,CPT,Repair bowel-bladder fistula,,,21 ,,RBRVS,27.27 ,9.82 ,9.82 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,44680,CPT,"Surgical revision, intestine",,,21 ,,RBRVS,17.88 ,6.74 ,6.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,44700,CPT,Suspend bowel w/prosthesis,,,21 ,,RBRVS,17.40 ,6.50 ,6.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,44701,CPT,Intraop colon lavage add-on,,,21 ,,RBRVS,3.10 ,0.88 ,0.88 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,44720,CPT,Prep donor intestine/venous,,,21 ,,RBRVS,5.00 ,1.69 ,1.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,44721,CPT,Prep donor intestine/artery,,,21 ,,RBRVS,7.00 ,2.08 ,2.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,44799,CPT,Unlisted procedure intestine,,,21 ,,TotalUnits,,,,7.73 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,44800,CPT,Excision of bowel pouch,,,21 ,,RBRVS,11.94 ,5.58 ,5.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,44820,CPT,Excision of mesentery lesion,,,21 ,,RBRVS,13.63 ,5.73 ,5.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,44850,CPT,Repair of mesentery,,,21 ,,RBRVS,12.03 ,5.06 ,5.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,44899,CPT,Bowel surgery procedure,,,21 ,,TotalUnits,,,,19.36 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,44900,CPT,"Drain app abscess, open",,,21 ,,RBRVS,12.44 ,5.13 ,5.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,44901,CPT,"Drain app abscess, percut",,,21 ,,RBRVS,3.37 ,1.24 ,21.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,44950,CPT,Appendectomy,,,21 ,,RBRVS,10.52 ,4.24 ,4.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,44955,CPT,Appendectomy add-on,,,21 ,,RBRVS,1.53 ,0.46 ,0.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,44960,CPT,Appendectomy,,,21 ,,RBRVS,14.39 ,5.57 ,5.57 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,44970,CPT,"Laparoscopy, appendectomy",,,21 ,,RBRVS,9.35 ,4.27 ,4.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,44979,CPT,"Laparoscope proc, app",,,21 ,,TotalUnits,,,,13.62 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,45000,CPT,Drainage of pelvic abscess,,,21 ,,RBRVS,6.20 ,3.51 ,3.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,45005,CPT,Drainage of rectal abscess,,,21 ,,RBRVS,2.00 ,1.58 ,3.94 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,45020,CPT,Drainage of rectal abscess,,,21 ,,RBRVS,8.43 ,4.32 ,4.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,45100,CPT,Biopsy of rectum,,,21 ,,RBRVS,3.96 ,2.74 ,2.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,45108,CPT,Removal of anorectal lesion,,,21 ,,RBRVS,5.04 ,3.07 ,3.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,45110,CPT,Removal of rectum,,,21 ,,RBRVS,30.57 ,12.34 ,12.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,45111,CPT,Partial removal of rectum,,,21 ,,RBRVS,17.89 ,7.25 ,7.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,45112,CPT,Removal of rectum,,,21 ,,RBRVS,33.05 ,11.17 ,11.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,45113,CPT,Partial proctectomy,,,21 ,,RBRVS,33.09 ,12.29 ,12.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,45114,CPT,Partial removal of rectum,,,21 ,,RBRVS,30.63 ,10.69 ,10.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,45116,CPT,Partial removal of rectum,,,21 ,,RBRVS,27.56 ,9.66 ,9.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,45119,CPT,Remove rectum w/reservoir,,,21 ,,RBRVS,33.35 ,12.18 ,12.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,45120,CPT,Removal of rectum,,,21 ,,RBRVS,26.25 ,10.00 ,10.00 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,45121,CPT,Removal of rectum and colon,,,21 ,,RBRVS,28.93 ,10.68 ,10.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,45123,CPT,Partial proctectomy,,,21 ,,RBRVS,18.70 ,7.14 ,7.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,45126,CPT,Pelvic exenteration,,,21 ,,RBRVS,48.89 ,18.83 ,18.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,45130,CPT,Excision of rectal prolapse,,,21 ,,RBRVS,18.37 ,6.91 ,6.91 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,45135,CPT,Excision of rectal prolapse,,,21 ,,RBRVS,22.15 ,8.71 ,8.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,45136,CPT,Excise ileoanal reservior,,,21 ,,RBRVS,30.63 ,12.40 ,12.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,45150,CPT,Excision of rectal stricture,,,21 ,,RBRVS,5.77 ,3.50 ,3.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,45160,CPT,Excision of rectal lesion,,,21 ,,RBRVS,16.17 ,6.82 ,6.82 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,45171,CPT,Exc rect tum transanal part,,,21 ,,RBRVS,8.13 ,6.90 ,6.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,45172,CPT,Exc rect tum transanal full,,,21 ,,RBRVS,12.13 ,8.37 ,8.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,45190,CPT,"Destruction, rectal tumor",,,21 ,,RBRVS,10.29 ,5.37 ,5.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,45300,CPT,Proctosigmoidoscopy dx,,,21 ,,RBRVS,0.80 ,0.42 ,1.84 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,45303,CPT,Proctosigmoidoscopy dilate,,,21 ,,RBRVS,1.50 ,0.59 ,19.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,45305,CPT,Proctosigmoidoscopy w/bx,,,21 ,,RBRVS,1.25 ,0.59 ,3.02 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,45307,CPT,Proctosigmoidoscopy fb,,,21 ,,RBRVS,1.70 ,0.64 ,3.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,45308,CPT,Proctosigmoidoscopy removal,,,21 ,,RBRVS,1.40 ,0.59 ,2.97 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,45309,CPT,Proctosigmoidoscopy removal,,,21 ,,RBRVS,1.50 ,0.74 ,3.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,45315,CPT,Proctosigmoidoscopy removal,,,21 ,,RBRVS,1.80 ,0.81 ,3.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,45317,CPT,Proctosigmoidoscopy bleed,,,21 ,,RBRVS,2.00 ,0.75 ,3.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,45320,CPT,Proctosigmoidoscopy ablate,,,21 ,,RBRVS,1.78 ,0.83 ,3.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,45321,CPT,Proctosigmoidoscopy volvul,,,21 ,,RBRVS,1.75 ,0.79 ,0.79 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,45327,CPT,Proctosigmoidoscopy w/stent,,,21 ,,RBRVS,2.00 ,0.96 ,0.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,45330,CPT,Diagnostic sigmoidoscopy,,,21 ,,RBRVS,0.96 ,0.60 ,2.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,45331,CPT,Sigmoidoscopy and biopsy,,,21 ,,RBRVS,1.15 ,0.75 ,3.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,45332,CPT,Sigmoidoscopy w/fb removal,,,21 ,,RBRVS,1.79 ,0.97 ,5.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,45333,CPT,Sigmoidoscopy & polypectomy,,,21 ,,RBRVS,1.79 ,0.96 ,5.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,45334,CPT,Sigmoidoscopy for bleeding,,,21 ,,RBRVS,2.73 ,1.46 ,1.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,45335,CPT,Sigmoidoscopy w/submuc inj,,,21 ,,RBRVS,1.46 ,0.85 ,4.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,45337,CPT,Sigmoidoscopy & decompress,,,21 ,,RBRVS,2.36 ,1.20 ,1.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,45338,CPT,Sigmoidoscopy w/tumr remove,,,21 ,,RBRVS,2.34 ,1.24 ,5.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,45339,CPT,Sigmoidoscopy w/ablate tumr,,,21 ,,RBRVS,3.14 ,1.59 ,5.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,45340,CPT,Sig w/balloon dilation,,,21 ,,RBRVS,1.89 ,1.01 ,9.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,45341,CPT,Sigmoidoscopy w/ultrasound,,,21 ,,RBRVS,2.60 ,1.40 ,1.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,45342,CPT,Sigmoidoscopy w/us guide bx,,,21 ,,RBRVS,4.05 ,2.06 ,2.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,45345,CPT,Sigmoidoscopy w/stent,,,21 ,,RBRVS,2.92 ,1.51 ,1.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,45355,CPT,Surgical colonoscopy,,,21 ,,RBRVS,3.51 ,1.52 ,1.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,45378,CPT,Diagnostic colonoscopy,,,21 ,,RBRVS,3.69 ,1.78 ,6.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,45379,CPT,Colonoscopy w/fb removal,,,21 ,,RBRVS,4.68 ,2.16 ,7.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,45380,CPT,Colonoscopy and biopsy,,,21 ,,RBRVS,4.43 ,2.17 ,7.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,45381,CPT,"Colonoscopy, submucous inj",,,21 ,,RBRVS,4.19 ,2.08 ,7.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,45382,CPT,Colonoscopy/control bleeding,,,21 ,,RBRVS,5.68 ,2.78 ,10.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,45383,CPT,Lesion removal colonoscopy,,,21 ,,RBRVS,5.86 ,2.60 ,8.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,45384,CPT,Lesion remove colonoscopy,,,21 ,,RBRVS,4.69 ,2.15 ,7.00 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,45385,CPT,Lesion removal colonoscopy,,,21 ,,RBRVS,5.30 ,2.53 ,8.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,45386,CPT,Colonoscopy dilate stricture,,,21 ,,RBRVS,4.57 ,2.14 ,12.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,45387,CPT,Colonoscopy w/stent,,,21 ,,RBRVS,5.90 ,2.87 ,2.87 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,45391,CPT,Colonoscopy w/endoscope us,,,21 ,,RBRVS,5.09 ,2.48 ,2.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,45392,CPT,Colonoscopy w/endoscopic fnb,,,21 ,,RBRVS,6.54 ,3.11 ,3.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,45395,CPT,"Lap, removal of rectum",,,21 ,,RBRVS,32.79 ,13.60 ,13.60 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,45397,CPT,"Lap, remove rectum w/pouch",,,21 ,,RBRVS,36.29 ,14.12 ,14.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,45400,CPT,Laparoscopic proc,,,21 ,,RBRVS,19.31 ,7.50 ,7.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,45402,CPT,Lap proctopexy w/sig resect,,,21 ,,RBRVS,26.38 ,9.40 ,9.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,45499,CPT,"Laparoscope proc, rectum",,,21 ,,TotalUnits,,,,46.39 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,45500,CPT,Repair of rectum,,,21 ,,RBRVS,7.64 ,4.27 ,4.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,45505,CPT,Repair of rectum,,,21 ,,RBRVS,8.20 ,4.84 ,4.84 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,45520,CPT,Treatment of rectal prolapse,,,21 ,,RBRVS,0.55 ,0.38 ,2.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,45540,CPT,Correct rectal prolapse,,,21 ,,RBRVS,18.02 ,6.73 ,6.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,45541,CPT,Correct rectal prolapse,,,21 ,,RBRVS,14.72 ,6.59 ,6.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,45550,CPT,Repair rectum/remove sigmoid,,,21 ,,RBRVS,24.67 ,9.32 ,9.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,45560,CPT,Repair of rectocele,,,21 ,,RBRVS,11.42 ,5.52 ,5.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,45562,CPT,Exploration/repair of rectum,,,21 ,,RBRVS,17.82 ,8.07 ,8.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,45563,CPT,Exploration/repair of rectum,,,21 ,,RBRVS,26.22 ,10.97 ,10.97 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,45800,CPT,Repair rect/bladder fistula,,,21 ,,RBRVS,20.18 ,9.03 ,9.03 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,45805,CPT,Repair fistula w/colostomy,,,21 ,,RBRVS,23.19 ,9.85 ,9.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,45820,CPT,Repair rectourethral fistula,,,21 ,,RBRVS,20.24 ,8.94 ,8.94 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,45825,CPT,Repair fistula w/colostomy,,,21 ,,RBRVS,24.01 ,10.84 ,10.84 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,45900,CPT,Reduction of rectal prolapse,,,21 ,,RBRVS,2.96 ,1.64 ,1.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,45905,CPT,Dilation of anal sphincter,,,21 ,,RBRVS,2.32 ,1.58 ,1.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,45910,CPT,Dilation of rectal narrowing,,,21 ,,RBRVS,2.82 ,1.81 ,1.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,45915,CPT,Remove rectal obstruction,,,21 ,,RBRVS,3.16 ,2.05 ,4.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,45990,CPT,"Surg dx exam, anorectal",,,21 ,,RBRVS,1.80 ,0.77 ,0.77 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,45999,CPT,Rectum surgery procedure,,,21 ,,TotalUnits,,,,7.01 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,46020,CPT,Placement of seton,,,21 ,,RBRVS,2.94 ,2.20 ,2.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,46030,CPT,Removal of rectal marker,,,21 ,,RBRVS,1.24 ,0.79 ,1.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,46040,CPT,Incision of rectal abscess,,,21 ,,RBRVS,5.26 ,3.91 ,6.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,46045,CPT,Incision of rectal abscess,,,21 ,,RBRVS,5.79 ,3.71 ,3.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,46050,CPT,Incision of anal abscess,,,21 ,,RBRVS,1.21 ,0.94 ,2.98 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,46060,CPT,Incision of rectal abscess,,,21 ,,RBRVS,6.24 ,4.17 ,4.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,46070,CPT,Incision of anal septum,,,21 ,,RBRVS,2.74 ,2.57 ,2.57 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,46080,CPT,Incision of anal sphincter,,,21 ,,RBRVS,2.50 ,1.15 ,2.88 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,46083,CPT,Incise external hemorrhoid,,,21 ,,RBRVS,1.42 ,1.07 ,2.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,46200,CPT,Removal of anal fissure,,,21 ,,RBRVS,3.48 ,3.51 ,5.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,46220,CPT,Removal of anal tag,,,21 ,,RBRVS,1.58 ,1.08 ,2.82 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,46221,CPT,Ligation of hemorrhoid(s),,,21 ,,RBRVS,2.31 ,1.94 ,3.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,46230,CPT,Removal of anal tags,,,21 ,,RBRVS,2.59 ,1.35 ,3.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,46250,CPT,Hemorrhoidectomy,,,21 ,,RBRVS,4.17 ,2.82 ,5.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,46255,CPT,Hemorrhoidectomy,,,21 ,,RBRVS,4.88 ,3.05 ,6.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,46257,CPT,Remove hemorrhoids & fissure,,,21 ,,RBRVS,5.68 ,3.62 ,3.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,46258,CPT,Remove hemorrhoids & fistula,,,21 ,,RBRVS,6.28 ,3.90 ,3.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,46260,CPT,Hemorrhoidectomy,,,21 ,,RBRVS,6.65 ,3.89 ,3.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,46261,CPT,Remove hemorrhoids & fissure,,,21 ,,RBRVS,7.63 ,4.19 ,4.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,46262,CPT,Remove hemorrhoids & fistula,,,21 ,,RBRVS,7.80 ,4.54 ,4.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,46270,CPT,Removal of anal fistula,,,21 ,,RBRVS,4.81 ,3.66 ,6.00 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,46275,CPT,Removal of anal fistula,,,21 ,,RBRVS,5.31 ,3.75 ,6.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,46280,CPT,Removal of anal fistula,,,21 ,,RBRVS,6.28 ,4.05 ,4.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,46285,CPT,Removal of anal fistula,,,21 ,,RBRVS,5.31 ,3.68 ,5.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,46288,CPT,Repair anal fistula,,,21 ,,RBRVS,7.68 ,4.52 ,4.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,46320,CPT,Removal of hemorrhoid clot,,,21 ,,RBRVS,1.62 ,0.89 ,2.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,46500,CPT,Injection into hemorrhoid(s),,,21 ,,RBRVS,1.64 ,1.24 ,3.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,46505,CPT,Chemodenervation anal musc,,,21 ,,RBRVS,3.13 ,2.23 ,3.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,46600,CPT,Diagnostic anoscopy,,,21 ,,RBRVS,0.55 ,0.37 ,1.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,46604,CPT,Anoscopy and dilation,,,21 ,,RBRVS,1.03 ,0.54 ,11.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,46606,CPT,Anoscopy and biopsy,,,21 ,,RBRVS,1.20 ,0.56 ,3.84 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,46608,CPT,"Anoscopy, remove for body",,,21 ,,RBRVS,1.30 ,0.60 ,3.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,46610,CPT,"Anoscopy, remove lesion",,,21 ,,RBRVS,1.28 ,0.61 ,3.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,46611,CPT,Anoscopy,,,21 ,,RBRVS,1.30 ,0.63 ,2.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,46612,CPT,"Anoscopy, remove lesions",,,21 ,,RBRVS,1.50 ,0.75 ,4.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,46614,CPT,"Anoscopy, control bleeding",,,21 ,,RBRVS,1.00 ,0.61 ,2.02 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,46615,CPT,Anoscopy,,,21 ,,RBRVS,1.50 ,0.76 ,1.91 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,46700,CPT,Repair of anal stricture,,,21 ,,RBRVS,9.68 ,5.01 ,5.01 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,46705,CPT,Repair of anal stricture,,,21 ,,RBRVS,7.32 ,4.72 ,4.72 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,46706,CPT,Repr of anal fistula w/glue,,,21 ,,RBRVS,2.41 ,1.46 ,1.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,46707,CPT,Repair anorectal fist w/plug,,,21 ,,RBRVS,6.39 ,5.27 ,5.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,46710,CPT,Repr per/vag pouch sngl proc,,,21 ,,RBRVS,17.01 ,8.14 ,8.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,46712,CPT,Repr per/vag pouch dbl proc,,,21 ,,RBRVS,36.32 ,14.40 ,14.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,46715,CPT,Rep perf anoper fistu,,,21 ,,RBRVS,7.54 ,4.34 ,4.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,46716,CPT,Rep perf anoper/vestib fistu,,,21 ,,RBRVS,17.14 ,12.40 ,12.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,46730,CPT,Construction of absent anus,,,21 ,,RBRVS,30.17 ,14.42 ,14.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,46735,CPT,Construction of absent anus,,,21 ,,RBRVS,35.66 ,16.19 ,16.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,46740,CPT,Construction of absent anus,,,21 ,,RBRVS,33.42 ,14.56 ,14.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,46742,CPT,Repair of imperforated anus,,,21 ,,RBRVS,39.66 ,16.82 ,16.82 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,46744,CPT,Repair of cloacal anomaly,,,21 ,,RBRVS,58.46 ,20.85 ,20.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,46746,CPT,Repair of cloacal anomaly,,,21 ,,RBRVS,64.93 ,26.55 ,26.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,46748,CPT,Repair of cloacal anomaly,,,21 ,,RBRVS,70.91 ,27.68 ,27.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,46750,CPT,Repair of anal sphincter,,,21 ,,RBRVS,12.02 ,5.76 ,5.76 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,46751,CPT,Repair of anal sphincter,,,21 ,,RBRVS,9.19 ,5.58 ,5.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,46753,CPT,Reconstruction of anus,,,21 ,,RBRVS,8.81 ,4.55 ,4.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,46754,CPT,Removal of suture from anus,,,21 ,,RBRVS,2.88 ,2.14 ,3.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,46760,CPT,Repair of anal sphincter,,,21 ,,RBRVS,17.21 ,7.92 ,7.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,46761,CPT,Repair of anal sphincter,,,21 ,,RBRVS,15.16 ,6.53 ,6.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,46762,CPT,Implant artificial sphincter,,,21 ,,RBRVS,14.66 ,6.84 ,6.84 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,46900,CPT,"Destruction, anal lesion(s)",,,21 ,,RBRVS,1.91 ,1.33 ,3.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,46910,CPT,"Destruction, anal lesion(s)",,,21 ,,RBRVS,1.88 ,1.20 ,3.65 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,46916,CPT,"Cryosurgery, anal lesion(s)",,,21 ,,RBRVS,1.88 ,1.58 ,3.65 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,46917,CPT,"Laser surgery, anal lesions",,,21 ,,RBRVS,1.88 ,1.21 ,8.79 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,46922,CPT,Excision of anal lesion(s),,,21 ,,RBRVS,1.88 ,1.18 ,3.87 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,46924,CPT,"Destruction, anal lesion(s)",,,21 ,,RBRVS,2.78 ,1.52 ,9.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,46930,CPT,Destroy internal hemorrhoids,,,21 ,,RBRVS,1.56 ,2.09 ,3.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,46940,CPT,Treatment of anal fissure,,,21 ,,RBRVS,2.33 ,1.08 ,2.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,46942,CPT,Treatment of anal fissure,,,21 ,,RBRVS,2.05 ,0.99 ,2.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,46945,CPT,Ligation of hemorrhoids,,,21 ,,RBRVS,2.13 ,2.82 ,4.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,46946,CPT,Ligation of hemorrhoids,,,21 ,,RBRVS,2.60 ,2.58 ,4.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,46947,CPT,Hemorrhoidopexy by stapling,,,21 ,,RBRVS,5.49 ,3.06 ,3.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,46999,CPT,Anus surgery procedure,,,21 ,,TotalUnits,,,,5.27 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,47000,CPT,Needle biopsy of liver,,,21 ,,RBRVS,1.90 ,0.73 ,6.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,47001,CPT,"Needle biopsy, liver add-on",,,21 ,,RBRVS,1.90 ,0.55 ,0.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,47010,CPT,"Open drainage, liver lesion",,,21 ,,RBRVS,19.27 ,8.54 ,8.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,47011,CPT,"Percut drain, liver lesion",,,21 ,,RBRVS,3.69 ,1.41 ,1.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,47015,CPT,Inject/aspirate liver cyst,,,21 ,,RBRVS,18.37 ,7.93 ,7.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,47100,CPT,Wedge biopsy of liver,,,21 ,,RBRVS,12.78 ,6.38 ,6.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,47120,CPT,Partial removal of liver,,,21 ,,RBRVS,38.82 ,14.82 ,14.82 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,47122,CPT,Extensive removal of liver,,,21 ,,RBRVS,59.35 ,20.26 ,20.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,47125,CPT,Partial removal of liver,,,21 ,,RBRVS,52.91 ,18.39 ,18.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,47130,CPT,Partial removal of liver,,,21 ,,RBRVS,57.06 ,19.60 ,19.60 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,47135,CPT,Transplantation of liver,,,21 ,,RBRVS,83.29 ,29.74 ,29.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,47136,CPT,Transplantation of liver,,,21 ,,RBRVS,70.39 ,26.06 ,26.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,47140,CPT,"Partial removal, donor liver",,,21 ,,RBRVS,59.22 ,22.51 ,22.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,47141,CPT,"Partial removal, donor liver",,,21 ,,RBRVS,71.27 ,26.63 ,26.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,47142,CPT,"Partial removal, donor liver",,,21 ,,RBRVS,79.21 ,28.90 ,28.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,47143,CPT,"Prep donor liver, whole",,,14 ,,TotalUnits,,,,15.95 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,47146,CPT,Prep donor liver/venous,,,21 ,,RBRVS,6.00 ,1.74 ,1.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,47147,CPT,Prep donor liver/arterial,,,21 ,,RBRVS,7.00 ,2.03 ,2.03 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,47300,CPT,Surgery for liver lesion,,,21 ,,RBRVS,18.01 ,7.75 ,7.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,47350,CPT,Repair liver wound,,,21 ,,RBRVS,22.36 ,9.15 ,9.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,47360,CPT,Repair liver wound,,,21 ,,RBRVS,31.18 ,11.78 ,11.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,47361,CPT,Repair liver wound,,,21 ,,RBRVS,52.47 ,17.92 ,17.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,47362,CPT,Repair liver wound,,,21 ,,RBRVS,23.41 ,9.40 ,9.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,47370,CPT,Laparo ablate liver tumor rf,,,21 ,,RBRVS,20.67 ,8.01 ,8.01 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,47371,CPT,Laparo ablate liver cryosurg,,,21 ,,RBRVS,20.67 ,8.55 ,8.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,47379,CPT,"Laparoscope procedure, liver",,,21 ,,TotalUnits,,,,28.68 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,47380,CPT,Open ablate liver tumor rf,,,21 ,,RBRVS,24.43 ,9.18 ,9.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,47381,CPT,Open ablate liver tumor cryo,,,21 ,,RBRVS,24.72 ,9.60 ,9.60 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,47382,CPT,Percut ablate liver rf,,,21 ,,RBRVS,15.19 ,6.64 ,6.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,47399,CPT,Liver surgery procedure,,,21 ,,TotalUnits,,,,3.00 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,47400,CPT,Incision of liver duct,,,21 ,,RBRVS,36.23 ,13.29 ,13.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,47420,CPT,Incision of bile duct,,,21 ,,RBRVS,21.92 ,8.87 ,8.87 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,47425,CPT,Incision of bile duct,,,21 ,,RBRVS,22.20 ,8.92 ,8.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,47460,CPT,Incise bile duct sphincter,,,21 ,,RBRVS,20.41 ,9.16 ,9.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,47480,CPT,Incision of gallbladder,,,21 ,,RBRVS,13.12 ,6.61 ,6.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,47490,CPT,Incision of gallbladder,,,21 ,,RBRVS,8.05 ,5.59 ,5.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,47500,CPT,Injection for liver x-rays,,,21 ,,RBRVS,1.96 ,0.75 ,0.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,47505,CPT,Injection for liver x-rays,,,21 ,,RBRVS,0.76 ,0.29 ,0.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,47510,CPT,"Insert catheter, bile duct",,,21 ,,RBRVS,7.94 ,4.94 ,4.94 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,47511,CPT,Insert bile duct drain,,,21 ,,RBRVS,10.74 ,5.40 ,5.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,47525,CPT,Change bile duct catheter,,,21 ,,RBRVS,1.54 ,1.35 ,11.98 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,47530,CPT,Revise/reinsert bile tube,,,21 ,,RBRVS,5.96 ,3.70 ,31.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,47550,CPT,Bile duct endoscopy add-on,,,21 ,,RBRVS,3.02 ,0.90 ,0.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,47552,CPT,Biliary endoscopy thru skin,,,21 ,,RBRVS,6.03 ,2.67 ,2.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,47553,CPT,Biliary endoscopy thru skin,,,21 ,,RBRVS,6.34 ,2.39 ,2.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,47554,CPT,Biliary endoscopy thru skin,,,21 ,,RBRVS,9.05 ,3.46 ,3.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,47555,CPT,Biliary endoscopy thru skin,,,21 ,,RBRVS,7.55 ,2.92 ,2.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,47556,CPT,Biliary endoscopy thru skin,,,21 ,,RBRVS,8.55 ,3.30 ,3.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,47560,CPT,Laparoscopy w/cholangio,,,21 ,,RBRVS,4.88 ,1.45 ,1.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,47561,CPT,Laparo w/cholangio/biopsy,,,21 ,,RBRVS,5.17 ,1.73 ,1.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,47562,CPT,Laparoscopic cholecystectomy,,,21 ,,RBRVS,11.63 ,5.32 ,5.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,47563,CPT,Laparo cholecystectomy/graph,,,21 ,,RBRVS,12.03 ,5.26 ,5.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,47564,CPT,Laparo cholecystectomy/explr,,,21 ,,RBRVS,14.21 ,5.72 ,5.72 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,47570,CPT,Laparo cholecystoenterostomy,,,21 ,,RBRVS,12.56 ,5.26 ,5.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,47579,CPT,"Laparoscope proc, biliary",,,21 ,,TotalUnits,,,,16.95 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,47600,CPT,Removal of gallbladder,,,21 ,,RBRVS,17.35 ,7.14 ,7.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,47605,CPT,Removal of gallbladder,,,21 ,,RBRVS,15.90 ,6.58 ,6.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,47610,CPT,Removal of gallbladder,,,21 ,,RBRVS,20.84 ,7.98 ,7.98 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,47612,CPT,Removal of gallbladder,,,21 ,,RBRVS,21.13 ,8.01 ,8.01 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,47620,CPT,Removal of gallbladder,,,21 ,,RBRVS,22.99 ,8.61 ,8.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,47630,CPT,Remove bile duct stone,,,21 ,,RBRVS,9.57 ,5.02 ,5.02 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,47700,CPT,Exploration of bile ducts,,,21 ,,RBRVS,16.39 ,7.62 ,7.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,47701,CPT,Bile duct revision,,,21 ,,RBRVS,28.62 ,12.60 ,12.60 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,47711,CPT,Excision of bile duct tumor,,,21 ,,RBRVS,25.77 ,10.04 ,10.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,47712,CPT,Excision of bile duct tumor,,,21 ,,RBRVS,33.59 ,12.24 ,12.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,47715,CPT,Excision of bile duct cyst,,,21 ,,RBRVS,21.42 ,8.73 ,8.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,47720,CPT,Fuse gallbladder & bowel,,,21 ,,RBRVS,18.21 ,7.87 ,7.87 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,47721,CPT,Fuse upper gi structures,,,21 ,,RBRVS,21.86 ,8.88 ,8.88 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,47740,CPT,Fuse gallbladder & bowel,,,21 ,,RBRVS,21.10 ,8.62 ,8.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,47741,CPT,Fuse gallbladder & bowel,,,21 ,,RBRVS,24.08 ,9.53 ,9.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,47760,CPT,Fuse bile ducts and bowel,,,21 ,,RBRVS,38.14 ,12.99 ,12.99 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,47765,CPT,Fuse liver ducts & bowel,,,21 ,,RBRVS,52.01 ,16.25 ,16.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,47780,CPT,Fuse bile ducts and bowel,,,21 ,,RBRVS,42.14 ,13.92 ,13.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,47785,CPT,Fuse bile ducts and bowel,,,21 ,,RBRVS,56.01 ,17.36 ,17.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,47800,CPT,Reconstruction of bile ducts,,,21 ,,RBRVS,26.04 ,10.12 ,10.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,47801,CPT,"Placement, bile duct support",,,21 ,,RBRVS,17.47 ,8.80 ,8.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,47802,CPT,Fuse liver duct & intestine,,,21 ,,RBRVS,24.80 ,9.98 ,9.98 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,47900,CPT,Suture bile duct injury,,,21 ,,RBRVS,22.31 ,8.99 ,8.99 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,47999,CPT,Bile tract surgery procedure,,,21 ,,TotalUnits,,,,16.95 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,48000,CPT,Drainage of abdomen,,,21 ,,RBRVS,31.82 ,11.68 ,11.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,48001,CPT,"Placement of drain, pancreas",,,21 ,,RBRVS,39.56 ,13.63 ,13.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,48020,CPT,Removal of pancreatic stone,,,21 ,,RBRVS,18.96 ,7.89 ,7.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,48100,CPT,"Biopsy of pancreas, open",,,21 ,,RBRVS,14.38 ,6.00 ,6.00 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,48102,CPT,"Needle biopsy, pancreas",,,21 ,,RBRVS,4.68 ,2.06 ,9.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,48105,CPT,Resect/debride pancreas,,,21 ,,RBRVS,49.05 ,16.65 ,16.65 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,48120,CPT,Removal of pancreas lesion,,,21 ,,RBRVS,18.33 ,7.07 ,7.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,48140,CPT,Partial removal of pancreas,,,21 ,,RBRVS,26.19 ,9.73 ,9.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,48145,CPT,Partial removal of pancreas,,,21 ,,RBRVS,27.26 ,10.02 ,10.02 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,48146,CPT,Pancreatectomy,,,21 ,,RBRVS,30.42 ,12.22 ,12.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,48148,CPT,Removal of pancreatic duct,,,21 ,,RBRVS,20.26 ,8.07 ,8.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,48150,CPT,Partial removal of pancreas,,,21 ,,RBRVS,52.63 ,19.06 ,19.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,48152,CPT,Pancreatectomy,,,21 ,,RBRVS,48.47 ,17.85 ,17.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,48153,CPT,Pancreatectomy,,,21 ,,RBRVS,52.61 ,18.98 ,18.98 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,48154,CPT,Pancreatectomy,,,21 ,,RBRVS,48.70 ,17.77 ,17.77 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,48155,CPT,Removal of pancreas,,,21 ,,RBRVS,29.27 ,12.18 ,12.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,48160,CPT,Pancreas removal/transplant,,,21 ,,RBRVS,43.83 ,28.91 ,28.91 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,48400,CPT,"Injection, intraop add-on",,,21 ,,RBRVS,1.95 ,0.71 ,0.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,48500,CPT,Surgery of pancreatic cyst,,,21 ,,RBRVS,18.03 ,7.96 ,7.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,48510,CPT,Drain pancreatic pseudocyst,,,21 ,,RBRVS,17.06 ,7.69 ,7.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,48511,CPT,Drain pancreatic pseudocyst,,,21 ,,RBRVS,3.99 ,1.53 ,20.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,48520,CPT,Fuse pancreas cyst and bowel,,,21 ,,RBRVS,18.07 ,7.05 ,7.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,48540,CPT,Fuse pancreas cyst and bowel,,,21 ,,RBRVS,21.86 ,8.06 ,8.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,48545,CPT,Pancreatorrhaphy,,,21 ,,RBRVS,22.10 ,8.37 ,8.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,48547,CPT,Duodenal exclusion,,,21 ,,RBRVS,30.25 ,10.70 ,10.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,48548,CPT,Fuse pancreas and bowel,,,21 ,,RBRVS,27.96 ,10.35 ,10.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,48552,CPT,Prep donor pancreas/venous,,,21 ,,RBRVS,4.30 ,1.29 ,1.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,48554,CPT,Transpl allograft pancreas,,,21 ,,RBRVS,37.03 ,20.39 ,20.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,48556,CPT,"Removal, allograft pancreas",,,21 ,,RBRVS,19.24 ,9.37 ,9.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,48999,CPT,Pancreas surgery procedure,,,21 ,,TotalUnits,,,,7.19 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,49000,CPT,Exploration of abdomen,,,21 ,,RBRVS,12.44 ,5.41 ,5.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,49002,CPT,Reopening of abdomen,,,21 ,,RBRVS,17.55 ,6.26 ,6.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,49010,CPT,Exploration behind abdomen,,,21 ,,RBRVS,15.98 ,6.38 ,6.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,49020,CPT,Drain abdominal abscess,,,21 ,,RBRVS,26.46 ,10.30 ,10.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,49021,CPT,Drain abdominal abscess,,,21 ,,RBRVS,3.37 ,1.29 ,19.99 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,49040,CPT,"Drain, open, abdom abscess",,,21 ,,RBRVS,16.41 ,6.69 ,6.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,49041,CPT,"Drain, percut, abdom abscess",,,21 ,,RBRVS,3.99 ,1.52 ,19.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,49060,CPT,"Drain, open, retrop abscess",,,21 ,,RBRVS,18.42 ,7.54 ,7.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,49061,CPT,"Drain, percut, retroper absc",,,21 ,,RBRVS,3.69 ,1.41 ,19.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,49062,CPT,Drain to peritoneal cavity,,,21 ,,RBRVS,12.12 ,5.40 ,5.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,49080,CPT,"Puncture, peritoneal cavity",,,21 ,,RBRVS,1.35 ,0.51 ,3.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,49081,CPT,Removal of abdominal fluid,,,21 ,,RBRVS,1.26 ,0.48 ,2.84 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,49180,CPT,"Biopsy, abdominal mass",,,21 ,,RBRVS,1.73 ,0.66 ,2.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,49203,CPT,Exc abd tum 5 cm or less,,,21 ,,RBRVS,20.00 ,8.03 ,8.03 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,49204,CPT,Exc abd tum over 5 cm,,,21 ,,RBRVS,26.00 ,9.76 ,9.76 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,49205,CPT,Exc abd tum over 10 cm,,,21 ,,RBRVS,30.00 ,10.92 ,10.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,49215,CPT,Excise sacral spine tumor,,,21 ,,RBRVS,37.66 ,13.57 ,13.57 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,49220,CPT,"Multiple surgery, abdomen",,,21 ,,RBRVS,15.70 ,6.61 ,6.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,49250,CPT,Excision of umbilicus,,,21 ,,RBRVS,8.93 ,4.44 ,4.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,49255,CPT,Removal of omentum,,,21 ,,RBRVS,12.41 ,5.76 ,5.76 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,49320,CPT,Diag laparo separate proc,,,21 ,,RBRVS,5.09 ,2.55 ,2.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,49321,CPT,"Laparoscopy, biopsy",,,21 ,,RBRVS,5.39 ,2.64 ,2.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,49322,CPT,"Laparoscopy, aspiration",,,21 ,,RBRVS,5.96 ,2.80 ,2.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,49323,CPT,Laparo drain lymphocele,,,21 ,,RBRVS,10.13 ,4.75 ,4.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,49324,CPT,Lap insertion perm ip cath,,,21 ,,RBRVS,6.27 ,2.85 ,2.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,49325,CPT,Lap revision perm ip cath,,,21 ,,RBRVS,6.77 ,2.97 ,2.97 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,49326,CPT,Lap w/omentopexy add-on,,,21 ,,RBRVS,3.50 ,0.95 ,0.95 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,49329,CPT,"Laparo proc, abdm/per/oment",,,21 ,,TotalUnits,,,,7.64 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,49400,CPT,Air injection into abdomen,,,21 ,,RBRVS,1.88 ,0.68 ,2.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,49402,CPT,"Remove foreign body, adbomen",,,21 ,,RBRVS,14.01 ,5.72 ,5.72 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,49411,CPT,Ins mark abd/pel for rt perq,,,21 ,,RBRVS,3.82 ,1.42 ,9.91 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,49419,CPT,Insrt abdom cath for chemotx,,,21 ,,RBRVS,7.03 ,3.58 ,3.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,49420,CPT,"Insert abdom drain, temp",,,21 ,,RBRVS,2.22 ,1.18 ,1.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,49421,CPT,"Insert abdom drain, perm",,,21 ,,RBRVS,5.87 ,3.20 ,3.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,49422,CPT,Remove perm cannula/catheter,,,21 ,,RBRVS,6.26 ,2.77 ,2.77 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,49423,CPT,Exchange drainage catheter,,,21 ,,RBRVS,1.46 ,0.60 ,13.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,49424,CPT,"Assess cyst, contrast inject",,,21 ,,RBRVS,0.76 ,0.32 ,3.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,49425,CPT,Insert abdomen-venous drain,,,21 ,,RBRVS,12.13 ,5.56 ,5.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,49426,CPT,Revise abdomen-venous shunt,,,21 ,,RBRVS,10.33 ,4.76 ,4.76 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,49427,CPT,"Injection, abdominal shunt",,,21 ,,RBRVS,0.89 ,0.34 ,0.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,49428,CPT,Ligation of shunt,,,21 ,,RBRVS,6.79 ,3.41 ,3.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,49429,CPT,Removal of shunt,,,21 ,,RBRVS,7.41 ,3.24 ,3.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,49435,CPT,Insert subq exten to ip cath,,,21 ,,RBRVS,2.25 ,0.60 ,0.60 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,49436,CPT,Embedded ip cath exit-site,,,21 ,,RBRVS,2.69 ,1.61 ,1.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,49440,CPT,Place gastrostomy tube perc,,,21 ,,RBRVS,4.18 ,1.91 ,24.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,49441,CPT,Place duod/jej tube perc,,,21 ,,RBRVS,4.77 ,2.12 ,26.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,49442,CPT,Place cecostomy tube perc,,,21 ,,RBRVS,4.00 ,1.69 ,23.99 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,49446,CPT,Change g-tube to g-j perc,,,21 ,,RBRVS,3.31 ,1.28 ,22.87 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,49450,CPT,Replace g/c tube perc,,,21 ,,RBRVS,1.36 ,0.47 ,18.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,49451,CPT,Replace duod/jej tube perc,,,21 ,,RBRVS,1.84 ,0.71 ,16.82 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,49452,CPT,Replace g-j tube perc,,,21 ,,RBRVS,2.86 ,1.11 ,20.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,49460,CPT,Fix g/colon tube w/device,,,21 ,,RBRVS,0.96 ,0.35 ,20.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,49465,CPT,Fluoro exam of g/colon tube,,,21 ,,RBRVS,0.62 ,0.24 ,3.87 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,49491,CPT,Rpr hern preemie reduc,,,21 ,,RBRVS,12.42 ,5.46 ,5.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,49492,CPT,"Rpr ing hern premie, blocked",,,21 ,,RBRVS,15.32 ,6.45 ,6.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,49495,CPT,"Rpr ing hernia baby, reduc",,,21 ,,RBRVS,6.15 ,2.93 ,2.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,49496,CPT,"Rpr ing hernia baby, blocked",,,21 ,,RBRVS,9.32 ,4.49 ,4.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,49500,CPT,"Rpr ing hernia, init, reduce",,,21 ,,RBRVS,5.76 ,3.30 ,3.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,49501,CPT,"Rpr ing hernia, init blocked",,,21 ,,RBRVS,9.28 ,4.39 ,4.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,49505,CPT,Prp i/hern init reduc >5 yr,,,21 ,,RBRVS,7.88 ,3.93 ,3.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,49507,CPT,Prp i/hern init block >5 yr,,,21 ,,RBRVS,9.97 ,4.56 ,4.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,49520,CPT,"Rerepair ing hernia, reduce",,,21 ,,RBRVS,9.91 ,4.50 ,4.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,49521,CPT,"Rerepair ing hernia, blocked",,,21 ,,RBRVS,12.36 ,5.19 ,5.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,49525,CPT,"Repair ing hernia, sliding",,,21 ,,RBRVS,8.85 ,4.20 ,4.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,49540,CPT,Repair lumbar hernia,,,21 ,,RBRVS,10.66 ,4.75 ,4.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,49550,CPT,"Rpr rem hernia, init, reduce",,,21 ,,RBRVS,8.91 ,4.20 ,4.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,49553,CPT,"Rpr fem hernia, init blocked",,,21 ,,RBRVS,9.84 ,4.51 ,4.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,49555,CPT,"Rerepair fem hernia, reduce",,,21 ,,RBRVS,9.31 ,4.33 ,4.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,49557,CPT,"Rerepair fem hernia, blocked",,,21 ,,RBRVS,11.54 ,5.01 ,5.01 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,49560,CPT,"Rpr ventral hern init, reduc",,,21 ,,RBRVS,11.84 ,5.07 ,5.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,49561,CPT,"Rpr ventral hern init, block",,,21 ,,RBRVS,15.30 ,6.04 ,6.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,49565,CPT,"Rerepair ventrl hern, reduce",,,21 ,,RBRVS,12.29 ,5.28 ,5.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,49566,CPT,"Rerepair ventrl hern, block",,,21 ,,RBRVS,15.45 ,6.11 ,6.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,49568,CPT,Hernia repair w/mesh,,,21 ,,RBRVS,4.88 ,1.42 ,1.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,49570,CPT,"Rpr epigastric hern, reduce",,,21 ,,RBRVS,5.97 ,3.37 ,3.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,49572,CPT,"Rpr epigastric hern, blocked",,,21 ,,RBRVS,7.79 ,3.81 ,3.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,49580,CPT,"Rpr umbil hern, reduc < 5 yr",,,21 ,,RBRVS,4.39 ,2.92 ,2.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,49582,CPT,"Rpr umbil hern, block < 5 yr",,,21 ,,RBRVS,7.05 ,3.74 ,3.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,49585,CPT,"Rpr umbil hern, reduc > 5 yr",,,21 ,,RBRVS,6.51 ,3.52 ,3.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,49587,CPT,"Rpr umbil hern, block > 5 yr",,,21 ,,RBRVS,7.96 ,3.91 ,3.91 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,49590,CPT,Repair spigelian hernia,,,21 ,,RBRVS,8.82 ,4.18 ,4.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,49600,CPT,Repair umbilical lesion,,,21 ,,RBRVS,11.47 ,5.40 ,5.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,49605,CPT,Repair umbilical lesion,,,21 ,,RBRVS,86.85 ,29.33 ,29.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,49606,CPT,Repair umbilical lesion,,,21 ,,RBRVS,18.92 ,7.18 ,7.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,49610,CPT,Repair umbilical lesion,,,21 ,,RBRVS,10.83 ,4.96 ,4.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,49611,CPT,Repair umbilical lesion,,,21 ,,RBRVS,9.26 ,5.10 ,5.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,49650,CPT,Lap ing hernia repair init,,,21 ,,RBRVS,6.30 ,3.37 ,3.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,49651,CPT,Lap ing hernia repair recur,,,21 ,,RBRVS,8.29 ,4.25 ,4.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,49652,CPT,Lap vent/abd hernia repair,,,21 ,,RBRVS,12.80 ,5.43 ,5.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,49653,CPT,Lap vent/abd hern proc comp,,,21 ,,RBRVS,16.10 ,6.71 ,6.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,49654,CPT,Lap inc hernia repair,,,21 ,,RBRVS,14.95 ,6.02 ,6.02 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,49655,CPT,Lap inc hern repair comp,,,21 ,,RBRVS,18.00 ,7.23 ,7.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,49656,CPT,Lap inc hernia repair recur,,,21 ,,RBRVS,15.00 ,6.03 ,6.03 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,49657,CPT,Lap inc hern recur comp,,,21 ,,RBRVS,22.00 ,8.32 ,8.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,49659,CPT,"Laparo proc, hernia repair",,,21 ,,TotalUnits,,,,9.67 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,49900,CPT,Repair of abdominal wall,,,21 ,,RBRVS,12.26 ,6.41 ,6.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,49904,CPT,"Omental flap, extra-abdom",,,21 ,,RBRVS,22.16 ,12.87 ,12.87 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,49905,CPT,"Omental flap, intra-abdom",,,21 ,,RBRVS,6.54 ,1.94 ,1.94 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,49999,CPT,Abdomen surgery procedure,,,21 ,,TotalUnits,,,,11.81 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,50010,CPT,Exploration of kidney,,,21 ,,RBRVS,12.13 ,6.59 ,6.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,50020,CPT,"Renal abscess, open drain",,,21 ,,RBRVS,17.88 ,8.80 ,8.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,50021,CPT,"Renal abscess, percut drain",,,21 ,,RBRVS,3.37 ,1.28 ,21.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,50040,CPT,Drainage of kidney,,,21 ,,RBRVS,16.48 ,8.83 ,8.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,50045,CPT,Exploration of kidney,,,21 ,,RBRVS,16.67 ,8.75 ,8.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,50060,CPT,Removal of kidney stone,,,21 ,,RBRVS,20.80 ,10.61 ,10.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,50065,CPT,Incision of kidney,,,21 ,,RBRVS,22.17 ,10.73 ,10.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,50070,CPT,Incision of kidney,,,21 ,,RBRVS,21.70 ,11.11 ,11.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,50075,CPT,Removal of kidney stone,,,21 ,,RBRVS,26.91 ,13.39 ,13.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,50080,CPT,Removal of kidney stone,,,21 ,,RBRVS,15.61 ,8.39 ,8.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,50081,CPT,Removal of kidney stone,,,21 ,,RBRVS,23.32 ,11.91 ,11.91 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,50100,CPT,Revise kidney blood vessels,,,21 ,,RBRVS,17.30 ,7.72 ,7.72 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,50120,CPT,Exploration of kidney,,,21 ,,RBRVS,17.06 ,8.89 ,8.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,50125,CPT,Explore and drain kidney,,,21 ,,RBRVS,17.67 ,9.04 ,9.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,50130,CPT,Removal of kidney stone,,,21 ,,RBRVS,18.67 ,9.80 ,9.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,50135,CPT,Exploration of kidney,,,21 ,,RBRVS,20.44 ,10.38 ,10.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,50200,CPT,Biopsy of kidney,,,21 ,,RBRVS,2.63 ,1.27 ,1.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,50205,CPT,Biopsy of kidney,,,21 ,,RBRVS,12.19 ,5.54 ,5.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,50220,CPT,"Remove kidney, open",,,21 ,,RBRVS,18.53 ,9.39 ,9.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,50225,CPT,"Removal kidney open, complex",,,21 ,,RBRVS,21.73 ,10.65 ,10.65 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,50230,CPT,"Removal kidney open, radical",,,21 ,,RBRVS,23.68 ,11.48 ,11.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,50234,CPT,Removal of kidney & ureter,,,21 ,,RBRVS,23.90 ,11.79 ,11.79 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,50236,CPT,Removal of kidney & ureter,,,21 ,,RBRVS,26.74 ,13.68 ,13.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,50240,CPT,Partial removal of kidney,,,21 ,,RBRVS,24.01 ,12.32 ,12.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,50250,CPT,Cryoablate renal mass open,,,21 ,,RBRVS,22.06 ,11.69 ,11.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,50280,CPT,Removal of kidney lesion,,,21 ,,RBRVS,16.94 ,8.91 ,8.91 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,50290,CPT,Removal of kidney lesion,,,21 ,,RBRVS,16.00 ,7.63 ,7.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,50300,CPT,Remove cadaver donor kidney,,,21 ,,TotalUnits,,,,23.05 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,50320,CPT,"Remove kidney, living donor",,,21 ,,RBRVS,22.28 ,12.45 ,12.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,50323,CPT,Prep cadaver renal allograft,,,14 ,,TotalUnits,,,,10.19 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,50325,CPT,Prep donor renal graft,,,14 ,,TotalUnits,,,,12.70 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,50327,CPT,Prep renal graft/venous,,,21 ,,RBRVS,4.00 ,1.23 ,1.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,50328,CPT,Prep renal graft/arterial,,,21 ,,RBRVS,3.50 ,1.09 ,1.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,50329,CPT,Prep renal graft/ureteral,,,21 ,,RBRVS,3.34 ,1.20 ,1.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,50340,CPT,Removal of kidney,,,21 ,,RBRVS,13.86 ,7.42 ,7.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,50360,CPT,Transplantation of kidney,,,21 ,,RBRVS,40.45 ,18.34 ,18.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,50365,CPT,Transplantation of kidney,,,21 ,,RBRVS,45.68 ,20.46 ,20.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,50370,CPT,Remove transplanted kidney,,,21 ,,RBRVS,18.68 ,8.88 ,8.88 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,50380,CPT,Reimplantation of kidney,,,21 ,,RBRVS,29.66 ,17.22 ,17.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,50382,CPT,"Change ureter stent, percut",,,21 ,,RBRVS,5.50 ,2.19 ,29.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,50384,CPT,"Remove ureter stent, percut",,,21 ,,RBRVS,5.00 ,2.00 ,24.72 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,50385,CPT,Change stent via transureth,,,21 ,,RBRVS,4.44 ,2.15 ,29.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,50386,CPT,Remove stent via transureth,,,21 ,,RBRVS,3.30 ,1.68 ,18.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,50387,CPT,Change ext/int ureter stent,,,21 ,,RBRVS,2.00 ,0.79 ,14.03 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,50389,CPT,Remove renal tube w/fluoro,,,21 ,,RBRVS,1.10 ,0.43 ,8.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,50390,CPT,Drainage of kidney lesion,,,21 ,,RBRVS,1.96 ,0.75 ,0.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,50391,CPT,Instll rx agnt into rnal tub,,,21 ,,RBRVS,1.96 ,0.79 ,1.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,50392,CPT,Insert kidney drain,,,21 ,,RBRVS,3.37 ,1.62 ,1.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,50393,CPT,Insert ureteral tube,,,21 ,,RBRVS,4.15 ,1.93 ,1.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,50394,CPT,Injection for kidney x-ray,,,21 ,,RBRVS,0.76 ,0.62 ,2.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,50395,CPT,Create passage to kidney,,,21 ,,RBRVS,3.37 ,1.65 ,1.65 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,50396,CPT,Measure kidney pressure,,,21 ,,RBRVS,2.09 ,1.16 ,1.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,50398,CPT,Change kidney tube,,,21 ,,RBRVS,1.46 ,0.60 ,12.94 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,50400,CPT,Revision of kidney/ureter,,,21 ,,RBRVS,21.12 ,10.59 ,10.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,50405,CPT,Revision of kidney/ureter,,,21 ,,RBRVS,25.68 ,12.71 ,12.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,50500,CPT,Repair of kidney wound,,,21 ,,RBRVS,21.07 ,9.16 ,9.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,50520,CPT,Close kidney-skin fistula,,,21 ,,RBRVS,18.73 ,9.54 ,9.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,50525,CPT,Repair renal-abdomen fistula,,,21 ,,RBRVS,24.21 ,11.12 ,11.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,50526,CPT,Repair renal-abdomen fistula,,,21 ,,RBRVS,26.13 ,10.81 ,10.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,50540,CPT,Revision of horseshoe kidney,,,21 ,,RBRVS,20.95 ,10.10 ,10.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,50541,CPT,Laparo ablate renal cyst,,,21 ,,RBRVS,16.76 ,8.54 ,8.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,50542,CPT,Laparo ablate renal mass,,,21 ,,RBRVS,21.18 ,10.95 ,10.95 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,50543,CPT,Laparo partial nephrectomy,,,21 ,,RBRVS,27.18 ,13.79 ,13.79 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,50544,CPT,"Laparoscopy, pyeloplasty",,,21 ,,RBRVS,23.27 ,11.22 ,11.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,50545,CPT,Laparo radical nephrectomy,,,21 ,,RBRVS,24.93 ,12.08 ,12.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,50546,CPT,Laparoscopic nephrectomy,,,21 ,,RBRVS,21.69 ,11.10 ,11.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,50547,CPT,Laparo removal donor kidney,,,21 ,,RBRVS,26.24 ,12.53 ,12.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,50548,CPT,Laparo remove w/ureter,,,21 ,,RBRVS,25.26 ,12.05 ,12.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,50549,CPT,"Laparoscope proc, renal",,,21 ,,TotalUnits,,,,37.01 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,50551,CPT,Kidney endoscopy,,,21 ,,RBRVS,5.59 ,2.62 ,4.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,50553,CPT,Kidney endoscopy,,,21 ,,RBRVS,5.98 ,2.71 ,4.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,50555,CPT,Kidney endoscopy & biopsy,,,21 ,,RBRVS,6.52 ,2.98 ,5.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,50557,CPT,Kidney endoscopy & treatment,,,21 ,,RBRVS,6.61 ,3.03 ,5.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,50561,CPT,Kidney endoscopy & treatment,,,21 ,,RBRVS,7.58 ,3.43 ,5.82 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,50562,CPT,Renal scope w/tumor resect,,,21 ,,RBRVS,10.90 ,5.36 ,5.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,50570,CPT,Kidney endoscopy,,,21 ,,RBRVS,9.53 ,4.21 ,4.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,50572,CPT,Kidney endoscopy,,,21 ,,RBRVS,10.33 ,4.55 ,4.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,50574,CPT,Kidney endoscopy & biopsy,,,21 ,,RBRVS,11.00 ,4.80 ,4.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,50575,CPT,Kidney endoscopy,,,21 ,,RBRVS,13.96 ,6.01 ,6.01 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,50576,CPT,Kidney endoscopy & treatment,,,21 ,,RBRVS,10.97 ,4.80 ,4.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,50580,CPT,Kidney endoscopy & treatment,,,21 ,,RBRVS,11.84 ,5.05 ,5.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,50590,CPT,Fragmenting of kidney stone,,,21 ,,RBRVS,9.64 ,5.85 ,15.98 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,50592,CPT,Perc rf ablate renal tumor,,,21 ,,RBRVS,6.77 ,3.24 ,91.82 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,50593,CPT,Perc cryo ablate renal tum,,,21 ,,RBRVS,9.08 ,3.59 ,118.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,50600,CPT,Exploration of ureter,,,21 ,,RBRVS,17.04 ,8.65 ,8.65 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,50605,CPT,Insert ureteral support,,,21 ,,RBRVS,16.66 ,7.84 ,7.84 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,50610,CPT,Removal of ureter stone,,,21 ,,RBRVS,17.12 ,8.92 ,8.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,50620,CPT,Removal of ureter stone,,,21 ,,RBRVS,16.30 ,8.59 ,8.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,50630,CPT,Removal of ureter stone,,,21 ,,RBRVS,16.08 ,8.15 ,8.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,50650,CPT,Removal of ureter,,,21 ,,RBRVS,18.67 ,9.70 ,9.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,50660,CPT,Removal of ureter,,,21 ,,RBRVS,20.87 ,10.48 ,10.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,50684,CPT,Injection for ureter x-ray,,,21 ,,RBRVS,0.76 ,0.61 ,4.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,50686,CPT,Measure ureter pressure,,,21 ,,RBRVS,1.51 ,0.98 ,0.98 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,50688,CPT,Change of ureter tube/stent,,,21 ,,RBRVS,1.18 ,1.01 ,1.01 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,50690,CPT,Injection for ureter x-ray,,,21 ,,RBRVS,1.16 ,0.77 ,1.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,50700,CPT,Revision of ureter,,,21 ,,RBRVS,16.54 ,8.76 ,8.76 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,50715,CPT,Release of ureter,,,21 ,,RBRVS,20.49 ,8.94 ,8.94 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,50722,CPT,Release of ureter,,,21 ,,RBRVS,17.80 ,7.77 ,7.77 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,50725,CPT,Release/revise ureter,,,21 ,,RBRVS,20.05 ,9.66 ,9.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,50727,CPT,Revise ureter,,,21 ,,RBRVS,8.17 ,5.55 ,5.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,50728,CPT,Revise ureter,,,21 ,,RBRVS,12.00 ,6.77 ,6.77 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,50740,CPT,Fusion of ureter & kidney,,,21 ,,RBRVS,19.92 ,8.99 ,8.99 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,50750,CPT,Fusion of ureter & kidney,,,21 ,,RBRVS,21.07 ,10.85 ,10.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,50760,CPT,Fusion of ureters,,,21 ,,RBRVS,19.92 ,9.67 ,9.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,50770,CPT,Splicing of ureters,,,21 ,,RBRVS,21.07 ,9.74 ,9.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,50780,CPT,Reimplant ureter in bladder,,,21 ,,RBRVS,19.80 ,9.91 ,9.91 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,50782,CPT,Reimplant ureter in bladder,,,21 ,,RBRVS,19.51 ,9.57 ,9.57 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,50783,CPT,Reimplant ureter in bladder,,,21 ,,RBRVS,20.52 ,9.42 ,9.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,50785,CPT,Reimplant ureter in bladder,,,21 ,,RBRVS,22.08 ,11.04 ,11.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,50800,CPT,Implant ureter in bowel,,,21 ,,RBRVS,16.23 ,8.88 ,8.88 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,50810,CPT,Fusion of ureter & bowel,,,21 ,,RBRVS,22.38 ,10.11 ,10.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,50815,CPT,Urine shunt to intestine,,,21 ,,RBRVS,22.06 ,11.45 ,11.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,50820,CPT,Construct bowel bladder,,,21 ,,RBRVS,23.89 ,11.61 ,11.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,50825,CPT,Construct bowel bladder,,,21 ,,RBRVS,30.48 ,14.79 ,14.79 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,50830,CPT,Revise urine flow,,,21 ,,RBRVS,33.57 ,15.48 ,15.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,50840,CPT,Replace ureter by bowel,,,21 ,,RBRVS,22.19 ,11.59 ,11.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,50845,CPT,Appendico-vesicostomy,,,21 ,,RBRVS,22.21 ,12.01 ,12.01 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,50860,CPT,Transplant ureter to skin,,,21 ,,RBRVS,16.93 ,8.92 ,8.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,50900,CPT,Repair of ureter,,,21 ,,RBRVS,14.89 ,7.85 ,7.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,50920,CPT,Closure ureter/skin fistula,,,21 ,,RBRVS,15.66 ,8.52 ,8.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,50930,CPT,Closure ureter/bowel fistula,,,21 ,,RBRVS,20.04 ,9.16 ,9.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,50940,CPT,Release of ureter,,,21 ,,RBRVS,15.78 ,8.38 ,8.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,50945,CPT,Laparoscopy ureterolithotomy,,,21 ,,RBRVS,17.87 ,8.96 ,8.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,50947,CPT,Laparo new ureter/bladder,,,21 ,,RBRVS,25.63 ,12.24 ,12.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,50948,CPT,Laparo new ureter/bladder,,,21 ,,RBRVS,23.69 ,11.67 ,11.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,50949,CPT,"Laparoscope proc, ureter",,,21 ,,TotalUnits,,,,37.87 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,50951,CPT,Endoscopy of ureter,,,21 ,,RBRVS,5.83 ,2.74 ,4.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,50953,CPT,Endoscopy of ureter,,,21 ,,RBRVS,6.23 ,3.22 ,5.00 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,50955,CPT,Ureter endoscopy & biopsy,,,21 ,,RBRVS,6.74 ,3.46 ,5.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,50957,CPT,Ureter endoscopy & treatment,,,21 ,,RBRVS,6.78 ,3.10 ,5.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,50961,CPT,Ureter endoscopy & treatment,,,21 ,,RBRVS,6.04 ,2.82 ,4.87 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,50970,CPT,Ureter endoscopy,,,21 ,,RBRVS,7.13 ,3.23 ,3.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,50972,CPT,Ureter endoscopy & catheter,,,21 ,,RBRVS,6.88 ,3.10 ,3.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,50974,CPT,Ureter endoscopy & biopsy,,,21 ,,RBRVS,9.16 ,4.06 ,4.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,50976,CPT,Ureter endoscopy & treatment,,,21 ,,RBRVS,9.03 ,3.97 ,3.97 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,50980,CPT,Ureter endoscopy & treatment,,,21 ,,RBRVS,6.84 ,3.12 ,3.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,51020,CPT,Incise & treat bladder,,,21 ,,RBRVS,7.56 ,5.22 ,5.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,51030,CPT,Incise & treat bladder,,,21 ,,RBRVS,7.68 ,4.90 ,4.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,51040,CPT,Incise & drain bladder,,,21 ,,RBRVS,4.43 ,3.55 ,3.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,51045,CPT,Incise bladder/drain ureter,,,21 ,,RBRVS,7.68 ,5.02 ,5.02 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,51050,CPT,Removal of bladder stone,,,21 ,,RBRVS,7.87 ,5.09 ,5.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,51060,CPT,Removal of ureter stone,,,21 ,,RBRVS,9.82 ,6.13 ,6.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,51065,CPT,Remove ureter calculus,,,21 ,,RBRVS,9.82 ,6.01 ,6.01 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,51080,CPT,Drainage of bladder abscess,,,21 ,,RBRVS,6.61 ,4.49 ,4.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,51100,CPT,Drain bladder by needle,,,21 ,,RBRVS,0.78 ,0.28 ,0.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,51101,CPT,Drain bladder by trocar/cath,,,21 ,,RBRVS,1.02 ,0.38 ,2.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,51102,CPT,Drain bl w/cath insertion,,,21 ,,RBRVS,2.70 ,1.38 ,3.72 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,51500,CPT,Removal of bladder cyst,,,21 ,,RBRVS,10.92 ,5.88 ,5.88 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,51520,CPT,Removal of bladder lesion,,,21 ,,RBRVS,10.08 ,5.94 ,5.94 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,51525,CPT,Removal of bladder lesion,,,21 ,,RBRVS,15.29 ,8.28 ,8.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,51530,CPT,Removal of bladder lesion,,,21 ,,RBRVS,13.58 ,7.31 ,7.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,51535,CPT,Repair of ureter lesion,,,21 ,,RBRVS,13.77 ,7.34 ,7.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,51550,CPT,Partial removal of bladder,,,21 ,,RBRVS,17.10 ,8.66 ,8.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,51555,CPT,Partial removal of bladder,,,21 ,,RBRVS,23.03 ,11.25 ,11.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,51565,CPT,Revise bladder & ureter(s),,,21 ,,RBRVS,23.50 ,11.62 ,11.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,51570,CPT,Removal of bladder,,,21 ,,RBRVS,27.31 ,12.88 ,12.88 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,51575,CPT,Removal of bladder & nodes,,,21 ,,RBRVS,34.00 ,16.24 ,16.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,51580,CPT,Remove bladder/revise tract,,,21 ,,RBRVS,35.14 ,17.23 ,17.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,51585,CPT,Removal of bladder & nodes,,,21 ,,RBRVS,39.41 ,18.93 ,18.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,51590,CPT,Remove bladder/revise tract,,,21 ,,RBRVS,36.15 ,16.98 ,16.98 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,51595,CPT,Remove bladder/revise tract,,,21 ,,RBRVS,41.12 ,19.26 ,19.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,51596,CPT,Remove bladder/create pouch,,,21 ,,RBRVS,44.01 ,20.91 ,20.91 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,51597,CPT,Removal of pelvic structures,,,21 ,,RBRVS,42.61 ,19.90 ,19.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,51600,CPT,Injection for bladder x-ray,,,21 ,,RBRVS,0.88 ,0.34 ,4.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,51605,CPT,Preparation for bladder xray,,,21 ,,RBRVS,0.64 ,0.42 ,0.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,51610,CPT,Injection for bladder x-ray,,,21 ,,RBRVS,1.05 ,0.70 ,2.01 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,51700,CPT,Irrigation of bladder,,,21 ,,RBRVS,0.88 ,0.34 ,1.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,51701,CPT,Insert bladder catheter,,,21 ,,RBRVS,0.50 ,0.24 ,1.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,51702,CPT,Insert temp bladder cath,,,21 ,,RBRVS,0.50 ,0.32 ,1.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,51703,CPT,"Insert bladder cath, complex",,,21 ,,RBRVS,1.47 ,0.78 ,2.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,51705,CPT,Change of bladder tube,,,21 ,,RBRVS,1.03 ,0.81 ,2.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,51710,CPT,Change of bladder tube,,,21 ,,RBRVS,1.50 ,1.11 ,2.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,51715,CPT,Endoscopic injection/implant,,,21 ,,RBRVS,3.73 ,1.72 ,4.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,51720,CPT,Treatment of bladder lesion,,,21 ,,RBRVS,1.50 ,0.77 ,1.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,51725,CPT,Simple cystometrogram,26,,21 ,,RBRVS,1.51 ,0.57 ,0.57 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,51725,CPT,Simple cystometrogram,,,21 ,,RBRVS,1.51 ,4.54 ,4.54 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,51725,CPT,Simple cystometrogram,TC,,21 ,,RBRVS,,3.97 ,3.97 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,51726,CPT,Complex cystometrogram,26,,21 ,,RBRVS,1.71 ,0.66 ,0.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,51726,CPT,Complex cystometrogram,,,21 ,,RBRVS,1.71 ,7.13 ,7.13 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,51726,CPT,Complex cystometrogram,TC,,21 ,,RBRVS,,6.47 ,6.47 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,51727,CPT,Cystometrogram w/up,26,,21 ,,RBRVS,2.11 ,0.75 ,0.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,51727,CPT,Cystometrogram w/up,,,21 ,,RBRVS,2.11 ,5.81 ,5.81 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,51727,CPT,Cystometrogram w/up,TC,,21 ,,RBRVS,,5.06 ,5.06 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,51728,CPT,Cystometrogram w/vp,26,,21 ,,RBRVS,2.11 ,0.73 ,0.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,51728,CPT,Cystometrogram w/vp,,,21 ,,RBRVS,2.11 ,5.82 ,5.82 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,51728,CPT,Cystometrogram w/vp,TC,,21 ,,RBRVS,,5.09 ,5.09 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,51729,CPT,Cystometrogram w/vp&up,26,,21 ,,RBRVS,2.51 ,0.88 ,0.88 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,51729,CPT,Cystometrogram w/vp&up,,,21 ,,RBRVS,2.51 ,6.03 ,6.03 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,51729,CPT,Cystometrogram w/vp&up,TC,,21 ,,RBRVS,,5.15 ,5.15 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,51736,CPT,Urine flow measurement,26,,21 ,,RBRVS,0.61 ,0.24 ,0.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,51736,CPT,Urine flow measurement,,,21 ,,RBRVS,0.61 ,0.85 ,0.85 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,51736,CPT,Urine flow measurement,TC,,21 ,,RBRVS,,0.61 ,0.61 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,51741,CPT,"Electro-uroflowmetry, first",26,,21 ,,RBRVS,1.14 ,0.45 ,0.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,51741,CPT,"Electro-uroflowmetry, first",,,21 ,,RBRVS,1.14 ,1.16 ,1.16 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,51741,CPT,"Electro-uroflowmetry, first",TC,,21 ,,RBRVS,,0.71 ,0.71 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,51784,CPT,Anal/urinary muscle study,26,,21 ,,RBRVS,1.53 ,0.57 ,0.57 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,51784,CPT,Anal/urinary muscle study,,,21 ,,RBRVS,1.53 ,4.01 ,4.01 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,51784,CPT,Anal/urinary muscle study,TC,,21 ,,RBRVS,,3.44 ,3.44 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,51785,CPT,Anal/urinary muscle study,26,,21 ,,RBRVS,1.53 ,0.58 ,0.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,51785,CPT,Anal/urinary muscle study,,,21 ,,RBRVS,1.53 ,4.50 ,4.50 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,51785,CPT,Anal/urinary muscle study,TC,,21 ,,RBRVS,,3.92 ,3.92 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,51792,CPT,Urinary reflex study,26,,21 ,,RBRVS,1.10 ,0.42 ,0.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,51792,CPT,Urinary reflex study,,,21 ,,RBRVS,1.10 ,5.20 ,5.20 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,51792,CPT,Urinary reflex study,TC,,21 ,,RBRVS,,4.78 ,4.78 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,51797,CPT,Intraabdominal pressure test,26,,21 ,,RBRVS,0.80 ,0.37 ,0.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,51797,CPT,Intraabdominal pressure test,,,21 ,,RBRVS,0.80 ,3.26 ,3.26 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,51797,CPT,Intraabdominal pressure test,TC,,21 ,,RBRVS,,2.89 ,2.89 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,51798,CPT,Us urine capacity measure,,,21 ,,RBRVS,,0.52 ,0.52 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,51800,CPT,Revision of bladder/urethra,,,21 ,,RBRVS,18.74 ,9.82 ,9.82 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,51820,CPT,Revision of urinary tract,,,21 ,,RBRVS,19.41 ,9.41 ,9.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,51840,CPT,Attach bladder/urethra,,,21 ,,RBRVS,11.28 ,5.93 ,5.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,51841,CPT,Attach bladder/urethra,,,21 ,,RBRVS,13.60 ,6.83 ,6.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,51845,CPT,Repair bladder neck,,,21 ,,RBRVS,10.07 ,5.74 ,5.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,51860,CPT,Repair of bladder wound,,,21 ,,RBRVS,12.49 ,6.70 ,6.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,51865,CPT,Repair of bladder wound,,,21 ,,RBRVS,15.69 ,8.22 ,8.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,51880,CPT,Repair of bladder opening,,,21 ,,RBRVS,7.81 ,4.67 ,4.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,51900,CPT,Repair bladder/vagina lesion,,,21 ,,RBRVS,14.48 ,7.65 ,7.65 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,51920,CPT,Close bladder-uterus fistula,,,21 ,,RBRVS,13.26 ,7.16 ,7.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,51925,CPT,Hysterectomy/bladder repair,,,21 ,,RBRVS,17.35 ,8.93 ,8.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,51940,CPT,Correction of bladder defect,,,21 ,,RBRVS,30.48 ,13.37 ,13.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,51960,CPT,Revision of bladder & bowel,,,21 ,,RBRVS,25.20 ,12.84 ,12.84 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,51980,CPT,Construct bladder opening,,,21 ,,RBRVS,12.44 ,7.04 ,7.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,51990,CPT,Laparo urethral suspension,,,21 ,,RBRVS,13.26 ,6.41 ,6.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,51992,CPT,Laparo sling operation,,,21 ,,RBRVS,14.77 ,6.75 ,6.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,51999,CPT,"Laparoscope proc, bla",,,21 ,,TotalUnits,,,,21.52 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,52000,CPT,Cystoscopy,,,21 ,,RBRVS,2.23 ,1.23 ,3.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,52001,CPT,"Cystoscopy, removal of clots",,,21 ,,RBRVS,5.44 ,2.54 ,5.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,52005,CPT,Cystoscopy & ureter catheter,,,21 ,,RBRVS,2.37 ,1.31 ,5.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,52007,CPT,Cystoscopy and biopsy,,,21 ,,RBRVS,3.02 ,1.58 ,12.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,52010,CPT,Cystoscopy & duct catheter,,,21 ,,RBRVS,3.02 ,1.44 ,8.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,52204,CPT,Cystoscopy w/biopsy(s),,,21 ,,RBRVS,2.59 ,1.32 ,9.82 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,52214,CPT,Cystoscopy and treatment,,,21 ,,RBRVS,3.70 ,2.36 ,12.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,52224,CPT,Cystoscopy and treatment,,,21 ,,RBRVS,3.14 ,1.57 ,20.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,52234,CPT,Cystoscopy and treatment,,,21 ,,RBRVS,4.62 ,2.24 ,2.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,52235,CPT,Cystoscopy and treatment,,,21 ,,RBRVS,5.44 ,2.60 ,2.60 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,52240,CPT,Cystoscopy and treatment,,,21 ,,RBRVS,9.71 ,4.34 ,4.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,52250,CPT,Cystoscopy and radiotracer,,,21 ,,RBRVS,4.49 ,2.25 ,2.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,52260,CPT,Cystoscopy and treatment,,,21 ,,RBRVS,3.91 ,1.90 ,1.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,52265,CPT,Cystoscopy and treatment,,,21 ,,RBRVS,2.94 ,1.43 ,8.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,52270,CPT,Cystoscopy & revise urethra,,,21 ,,RBRVS,3.36 ,1.70 ,8.03 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,52275,CPT,Cystoscopy & revise urethra,,,21 ,,RBRVS,4.69 ,2.24 ,10.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,52276,CPT,Cystoscopy and treatment,,,21 ,,RBRVS,4.99 ,2.41 ,2.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,52277,CPT,Cystoscopy and treatment,,,21 ,,RBRVS,6.16 ,2.87 ,2.87 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,52281,CPT,Cystoscopy and treatment,,,21 ,,RBRVS,2.80 ,1.49 ,5.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,52282,CPT,"Cystoscopy, implant stent",,,21 ,,RBRVS,6.39 ,2.93 ,2.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,52283,CPT,Cystoscopy and treatment,,,21 ,,RBRVS,3.73 ,1.84 ,4.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,52285,CPT,Cystoscopy and treatment,,,21 ,,RBRVS,3.60 ,1.79 ,4.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,52290,CPT,Cystoscopy and treatment,,,21 ,,RBRVS,4.58 ,2.23 ,2.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,52300,CPT,Cystoscopy and treatment,,,21 ,,RBRVS,5.30 ,2.51 ,2.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,52301,CPT,Cystoscopy and treatment,,,21 ,,RBRVS,5.50 ,2.67 ,2.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,52305,CPT,Cystoscopy and treatment,,,21 ,,RBRVS,5.30 ,2.46 ,2.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,52310,CPT,Cystoscopy and treatment,,,21 ,,RBRVS,2.81 ,1.40 ,4.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,52315,CPT,Cystoscopy and treatment,,,21 ,,RBRVS,5.20 ,2.45 ,7.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,52317,CPT,Remove bladder stone,,,21 ,,RBRVS,6.71 ,2.99 ,20.02 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,52318,CPT,Remove bladder stone,,,21 ,,RBRVS,9.18 ,4.04 ,4.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,52320,CPT,Cystoscopy and treatment,,,21 ,,RBRVS,4.69 ,2.18 ,2.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,52325,CPT,"Cystoscopy, stone removal",,,21 ,,RBRVS,6.15 ,2.78 ,2.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,52327,CPT,"Cystoscopy, inject material",,,21 ,,RBRVS,5.18 ,2.12 ,9.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,52330,CPT,Cystoscopy and treatment,,,21 ,,RBRVS,5.03 ,2.32 ,16.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,52332,CPT,Cystoscopy and treatment,,,21 ,,RBRVS,2.83 ,1.50 ,10.65 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,52334,CPT,Create passage to kidney,,,21 ,,RBRVS,4.82 ,2.32 ,2.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,52341,CPT,Cysto w/ureter stricture tx,,,21 ,,RBRVS,5.35 ,2.75 ,2.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,52342,CPT,Cysto w/up stricture tx,,,21 ,,RBRVS,5.85 ,2.96 ,2.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,52343,CPT,Cysto w/renal stricture tx,,,21 ,,RBRVS,6.55 ,3.25 ,3.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,52344,CPT,"Cysto/uretero, stricture tx",,,21 ,,RBRVS,7.05 ,3.58 ,3.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,52345,CPT,Cysto/uretero w/up stricture,,,21 ,,RBRVS,7.55 ,3.79 ,3.79 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,52346,CPT,Cystouretero w/renal strict,,,21 ,,RBRVS,8.58 ,4.22 ,4.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,52351,CPT,Cystouretero & or pyeloscope,,,21 ,,RBRVS,5.85 ,2.90 ,2.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,52352,CPT,Cystouretero w/stone remove,,,21 ,,RBRVS,6.87 ,3.40 ,3.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,52353,CPT,Cystouretero w/lithotripsy,,,21 ,,RBRVS,7.96 ,3.85 ,3.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,52354,CPT,Cystouretero w/biopsy,,,21 ,,RBRVS,7.33 ,3.59 ,3.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,52355,CPT,Cystouretero w/excise tumor,,,21 ,,RBRVS,8.81 ,4.20 ,4.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,52400,CPT,Cystouretero w/congen repr,,,21 ,,RBRVS,8.66 ,4.69 ,4.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,52402,CPT,Cystourethro cut ejacul duct,,,21 ,,RBRVS,5.27 ,2.19 ,2.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,52450,CPT,Incision of prostate,,,21 ,,RBRVS,7.63 ,5.19 ,5.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,52500,CPT,Revision of bladder neck,,,21 ,,RBRVS,7.99 ,5.38 ,5.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,52601,CPT,Prostatectomy (turp),,,21 ,,RBRVS,15.13 ,7.63 ,7.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,52630,CPT,Remove prostate regrowth,,,21 ,,RBRVS,7.65 ,4.52 ,4.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,52640,CPT,Relieve bladder contracture,,,21 ,,RBRVS,4.73 ,3.51 ,3.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,52647,CPT,Laser surgery of prostate,,,21 ,,RBRVS,11.15 ,6.57 ,49.72 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,52648,CPT,Laser surgery of prostate,,,21 ,,RBRVS,12.00 ,6.90 ,50.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,52649,CPT,Prostate laser enucleation,,,21 ,,RBRVS,17.16 ,9.87 ,9.87 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,52700,CPT,Drainage of prostate abscess,,,21 ,,RBRVS,7.39 ,4.51 ,4.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,53000,CPT,Incision of urethra,,,21 ,,RBRVS,2.30 ,1.78 ,1.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,53010,CPT,Incision of urethra,,,21 ,,RBRVS,4.35 ,3.70 ,3.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,53020,CPT,Incision of urethra,,,21 ,,RBRVS,1.77 ,0.92 ,0.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,53025,CPT,Incision of urethra,,,21 ,,RBRVS,1.13 ,0.64 ,0.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,53040,CPT,Drainage of urethra abscess,,,21 ,,RBRVS,6.49 ,4.26 ,4.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,53060,CPT,Drainage of urethra abscess,,,21 ,,RBRVS,2.65 ,1.47 ,2.03 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,53080,CPT,Drainage of urinary leakage,,,21 ,,RBRVS,6.82 ,5.09 ,5.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,53085,CPT,Drainage of urinary leakage,,,21 ,,RBRVS,11.05 ,5.67 ,5.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,53200,CPT,Biopsy of urethra,,,21 ,,RBRVS,2.59 ,1.27 ,1.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,53210,CPT,Removal of urethra,,,21 ,,RBRVS,13.59 ,7.53 ,7.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,53215,CPT,Removal of urethra,,,21 ,,RBRVS,16.72 ,8.92 ,8.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,53220,CPT,Treatment of urethra lesion,,,21 ,,RBRVS,7.53 ,4.83 ,4.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,53230,CPT,Removal of urethra lesion,,,21 ,,RBRVS,10.31 ,6.11 ,6.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,53235,CPT,Removal of urethra lesion,,,21 ,,RBRVS,10.86 ,6.65 ,6.65 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,53240,CPT,Surgery for urethra pouch,,,21 ,,RBRVS,6.98 ,4.76 ,4.76 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,53250,CPT,Removal of urethra gland,,,21 ,,RBRVS,6.42 ,4.47 ,4.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,53260,CPT,Treatment of urethra lesion,,,21 ,,RBRVS,3.00 ,1.77 ,2.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,53265,CPT,Treatment of urethra lesion,,,21 ,,RBRVS,3.14 ,1.89 ,2.91 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,53270,CPT,Removal of urethra gland,,,21 ,,RBRVS,3.11 ,1.77 ,2.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,53275,CPT,Repair of urethra defect,,,21 ,,RBRVS,4.54 ,2.74 ,2.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,53400,CPT,"Revise urethra, stage 1",,,21 ,,RBRVS,13.98 ,7.95 ,7.95 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,53405,CPT,"Revise urethra, stage 2",,,21 ,,RBRVS,15.51 ,8.63 ,8.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,53410,CPT,Reconstruction of urethra,,,21 ,,RBRVS,17.53 ,9.45 ,9.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,53415,CPT,Reconstruction of urethra,,,21 ,,RBRVS,20.55 ,10.54 ,10.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,53420,CPT,"Reconstruct urethra, stage 1",,,21 ,,RBRVS,15.04 ,7.05 ,7.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,53425,CPT,"Reconstruct urethra, stage 2",,,21 ,,RBRVS,16.94 ,9.04 ,9.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,53430,CPT,Reconstruction of urethra,,,21 ,,RBRVS,17.30 ,8.59 ,8.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,53431,CPT,Reconstruct urethra/bladder,,,21 ,,RBRVS,21.03 ,10.74 ,10.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,53440,CPT,Male sling procedure,,,21 ,,RBRVS,15.34 ,8.79 ,8.79 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,53442,CPT,Remove/revise male sling,,,21 ,,RBRVS,13.29 ,7.98 ,7.98 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,53444,CPT,Insert tandem cuff,,,21 ,,RBRVS,14.06 ,7.84 ,7.84 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,53445,CPT,Insert uro/ves nck sphincter,,,21 ,,RBRVS,15.21 ,9.01 ,9.01 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,53446,CPT,Remove uro sphincter,,,21 ,,RBRVS,10.89 ,6.82 ,6.82 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,53447,CPT,Remove/replace ur sphincter,,,21 ,,RBRVS,14.15 ,8.22 ,8.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,53448,CPT,Remov/replc ur sphinctr comp,,,21 ,,RBRVS,23.26 ,12.08 ,12.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,53449,CPT,Repair uro sphincter,,,21 ,,RBRVS,10.43 ,6.41 ,6.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,53450,CPT,Revision of urethra,,,21 ,,RBRVS,6.67 ,4.55 ,4.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,53460,CPT,Revision of urethra,,,21 ,,RBRVS,7.65 ,4.94 ,4.94 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,53500,CPT,"Urethrlys, transvag w/ scope",,,21 ,,RBRVS,12.87 ,7.30 ,7.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,53502,CPT,Repair of urethra injury,,,21 ,,RBRVS,8.16 ,5.09 ,5.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,53505,CPT,Repair of urethra injury,,,21 ,,RBRVS,8.16 ,5.21 ,5.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,53510,CPT,Repair of urethra injury,,,21 ,,RBRVS,10.83 ,6.54 ,6.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,53515,CPT,Repair of urethra injury,,,21 ,,RBRVS,14.09 ,7.73 ,7.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,53520,CPT,Repair of urethra defect,,,21 ,,RBRVS,9.35 ,5.92 ,5.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,53600,CPT,Dilate urethra stricture,,,21 ,,RBRVS,1.21 ,0.57 ,1.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,53601,CPT,Dilate urethra stricture,,,21 ,,RBRVS,0.98 ,0.51 ,1.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,53605,CPT,Dilate urethra stricture,,,21 ,,RBRVS,1.28 ,0.51 ,0.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,53620,CPT,Dilate urethra stricture,,,21 ,,RBRVS,1.62 ,0.81 ,1.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,53621,CPT,Dilate urethra stricture,,,21 ,,RBRVS,1.35 ,0.66 ,1.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,53660,CPT,Dilation of urethra,,,21 ,,RBRVS,0.71 ,0.43 ,1.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,53661,CPT,Dilation of urethra,,,21 ,,RBRVS,0.72 ,0.40 ,1.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,53665,CPT,Dilation of urethra,,,21 ,,RBRVS,0.76 ,0.28 ,0.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,53850,CPT,Prostatic microwave thermotx,,,21 ,,RBRVS,9.98 ,5.63 ,60.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,53852,CPT,Prostatic rf thermotx,,,21 ,,RBRVS,10.68 ,6.34 ,56.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,53855,CPT,Insert prost urethral stent,,,21 ,,RBRVS,1.64 ,0.54 ,16.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,53899,CPT,Urology surgery procedure,,,21 ,,TotalUnits,,,,3.13 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,54000,CPT,Slitting of prepuce,,,21 ,,RBRVS,1.56 ,1.38 ,2.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,54001,CPT,Slitting of prepuce,,,21 ,,RBRVS,2.21 ,1.57 ,3.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,54015,CPT,Drain penis lesion,,,21 ,,RBRVS,5.33 ,3.17 ,3.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,54050,CPT,"Destruction, penis lesion(s)",,,21 ,,RBRVS,1.26 ,1.33 ,2.01 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,54055,CPT,"Destruction, penis lesion(s)",,,21 ,,RBRVS,1.23 ,1.15 ,1.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,54056,CPT,"Cryosurgery, penis lesion(s)",,,21 ,,RBRVS,1.26 ,1.43 ,2.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,54057,CPT,"Laser surg, penis lesion(s)",,,21 ,,RBRVS,1.26 ,1.24 ,2.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,54060,CPT,Excision of penis lesion(s),,,21 ,,RBRVS,1.95 ,1.53 ,3.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,54065,CPT,"Destruction, penis lesion(s)",,,21 ,,RBRVS,2.44 ,1.83 ,3.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,54100,CPT,Biopsy of penis,,,21 ,,RBRVS,1.90 ,1.27 ,3.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,54105,CPT,Biopsy of penis,,,21 ,,RBRVS,3.51 ,2.40 ,4.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,54110,CPT,Treatment of penis lesion,,,21 ,,RBRVS,10.79 ,6.33 ,6.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,54111,CPT,"Treat penis lesion, graft",,,21 ,,RBRVS,14.29 ,7.81 ,7.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,54112,CPT,"Treat penis lesion, graft",,,21 ,,RBRVS,16.83 ,9.12 ,9.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,54115,CPT,Treatment of penis lesion,,,21 ,,RBRVS,6.82 ,4.74 ,5.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,54120,CPT,Partial removal of penis,,,21 ,,RBRVS,10.88 ,6.47 ,6.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,54125,CPT,Removal of penis,,,21 ,,RBRVS,14.43 ,7.88 ,7.88 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,54130,CPT,Remove penis & nodes,,,21 ,,RBRVS,21.66 ,11.28 ,11.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,54135,CPT,Remove penis & nodes,,,21 ,,RBRVS,27.99 ,13.85 ,13.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,54150,CPT,Circumcision w/regionl block,,,21 ,,RBRVS,1.90 ,0.75 ,2.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,54160,CPT,"Circumcision, neonate",,,21 ,,RBRVS,2.50 ,1.47 ,3.94 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,54161,CPT,Circum 28 days or older,,,21 ,,RBRVS,3.29 ,2.12 ,2.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,54162,CPT,Lysis penil circumic lesion,,,21 ,,RBRVS,3.27 ,2.12 ,4.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,54163,CPT,Repair of circumcision,,,21 ,,RBRVS,3.27 ,2.72 ,2.72 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,54164,CPT,Frenulotomy of penis,,,21 ,,RBRVS,2.77 ,2.51 ,2.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,54200,CPT,Treatment of penis lesion,,,21 ,,RBRVS,1.08 ,1.24 ,1.97 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,54205,CPT,Treatment of penis lesion,,,21 ,,RBRVS,8.84 ,5.92 ,5.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,54220,CPT,Treatment of penis lesion,,,21 ,,RBRVS,2.42 ,1.29 ,3.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,54230,CPT,Prepare penis study,,,21 ,,RBRVS,1.34 ,0.87 ,1.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,54231,CPT,Dynamic cavernosometry,,,21 ,,RBRVS,2.04 ,1.20 ,1.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,54235,CPT,Penile injection,,,21 ,,RBRVS,1.19 ,0.84 ,1.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,54240,CPT,Penis study,26,,21 ,,RBRVS,1.31 ,0.52 ,0.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,54240,CPT,Penis study,,,21 ,,RBRVS,1.31 ,1.45 ,1.45 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,54240,CPT,Penis study,TC,,21 ,,RBRVS,,0.93 ,0.93 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,54250,CPT,Penis study,26,,21 ,,RBRVS,2.22 ,0.90 ,0.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,54250,CPT,Penis study,,,21 ,,RBRVS,2.22 ,1.23 ,1.23 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,54250,CPT,Penis study,TC,,21 ,,RBRVS,,0.33 ,0.33 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,54300,CPT,Revision of penis,,,21 ,,RBRVS,11.07 ,6.77 ,6.77 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,54304,CPT,Revision of penis,,,21 ,,RBRVS,13.15 ,7.75 ,7.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,54308,CPT,Reconstruction of urethra,,,21 ,,RBRVS,12.49 ,7.41 ,7.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,54312,CPT,Reconstruction of urethra,,,21 ,,RBRVS,14.36 ,8.46 ,8.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,54316,CPT,Reconstruction of urethra,,,21 ,,RBRVS,17.90 ,9.89 ,9.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,54318,CPT,Reconstruction of urethra,,,21 ,,RBRVS,12.28 ,7.42 ,7.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,54322,CPT,Reconstruction of urethra,,,21 ,,RBRVS,13.85 ,7.91 ,7.91 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,54324,CPT,Reconstruction of urethra,,,21 ,,RBRVS,17.40 ,9.64 ,9.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,54326,CPT,Reconstruction of urethra,,,21 ,,RBRVS,16.87 ,8.50 ,8.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,54328,CPT,Revise penis/urethra,,,21 ,,RBRVS,16.74 ,9.10 ,9.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,54332,CPT,Revise penis/urethra,,,21 ,,RBRVS,18.22 ,9.94 ,9.94 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,54336,CPT,Revise penis/urethra,,,21 ,,RBRVS,21.44 ,9.93 ,9.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,54340,CPT,Secondary urethral surgery,,,21 ,,RBRVS,9.58 ,5.93 ,5.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,54344,CPT,Secondary urethral surgery,,,21 ,,RBRVS,16.91 ,9.51 ,9.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,54348,CPT,Secondary urethral surgery,,,21 ,,RBRVS,18.17 ,10.14 ,10.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,54352,CPT,Reconstruct urethra/penis,,,21 ,,RBRVS,25.95 ,13.61 ,13.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,54360,CPT,Penis plastic surgery,,,21 ,,RBRVS,12.65 ,7.41 ,7.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,54380,CPT,Repair penis,,,21 ,,RBRVS,14.03 ,8.20 ,8.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,54385,CPT,Repair penis,,,21 ,,RBRVS,16.38 ,10.68 ,10.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,54390,CPT,Repair penis and bladder,,,21 ,,RBRVS,22.59 ,9.87 ,9.87 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,54400,CPT,Insert semi-rigid prosthesis,,,21 ,,RBRVS,9.09 ,5.59 ,5.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,54401,CPT,Insert self-contd prosthesis,,,21 ,,RBRVS,10.26 ,7.75 ,7.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,54405,CPT,Insert multi-comp penis pros,,,21 ,,RBRVS,14.39 ,7.93 ,7.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,54406,CPT,Remove muti-comp penis pros,,,21 ,,RBRVS,12.76 ,7.36 ,7.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,54408,CPT,Repair multi-comp penis pros,,,21 ,,RBRVS,13.73 ,7.95 ,7.95 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,54410,CPT,Remove/replace penis prosth,,,21 ,,RBRVS,15.00 ,8.72 ,8.72 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,54411,CPT,"Remov/replc penis pros, comp",,,21 ,,RBRVS,18.14 ,10.03 ,10.03 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,54415,CPT,Remove self-contd penis pros,,,21 ,,RBRVS,8.75 ,5.74 ,5.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,54416,CPT,Remv/repl penis contain pros,,,21 ,,RBRVS,11.87 ,7.55 ,7.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,54417,CPT,"Remv/replc penis pros, compl",,,21 ,,RBRVS,15.94 ,8.77 ,8.77 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,54420,CPT,Revision of penis,,,21 ,,RBRVS,12.26 ,7.26 ,7.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,54430,CPT,Revision of penis,,,21 ,,RBRVS,10.93 ,6.77 ,6.77 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,54435,CPT,Revision of penis,,,21 ,,RBRVS,6.71 ,4.78 ,4.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,54440,CPT,Repair of penis,,,21 ,,TotalUnits,,,,17.17 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,54450,CPT,Preputial stretching,,,21 ,,RBRVS,1.12 ,0.50 ,0.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,54500,CPT,Biopsy of testis,,,21 ,,RBRVS,1.31 ,0.77 ,0.77 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,54505,CPT,Biopsy of testis,,,21 ,,RBRVS,3.47 ,2.38 ,2.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,54512,CPT,Excise lesion testis,,,21 ,,RBRVS,9.23 ,5.45 ,5.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,54520,CPT,Removal of testis,,,21 ,,RBRVS,5.25 ,3.59 ,3.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,54522,CPT,"Orchiectomy, partial",,,21 ,,RBRVS,10.15 ,5.67 ,5.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,54530,CPT,Removal of testis,,,21 ,,RBRVS,8.35 ,5.52 ,5.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,54535,CPT,Extensive testis surgery,,,21 ,,RBRVS,13.06 ,7.06 ,7.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,54550,CPT,Exploration for testis,,,21 ,,RBRVS,8.31 ,5.09 ,5.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,54560,CPT,Exploration for testis,,,21 ,,RBRVS,11.97 ,6.22 ,6.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,54600,CPT,Reduce testis torsion,,,21 ,,RBRVS,7.54 ,4.88 ,4.88 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,54620,CPT,Suspension of testis,,,21 ,,RBRVS,5.16 ,3.16 ,3.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,54640,CPT,Suspension of testis,,,21 ,,RBRVS,7.57 ,5.13 ,5.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,54650,CPT,Orchiopexy (fowler-stephens),,,21 ,,RBRVS,12.24 ,7.05 ,7.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,54660,CPT,Revision of testis,,,21 ,,RBRVS,5.64 ,4.08 ,4.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,54670,CPT,Repair testis injury,,,21 ,,RBRVS,6.57 ,4.52 ,4.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,54680,CPT,Relocation of testis(es),,,21 ,,RBRVS,13.91 ,7.46 ,7.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,54690,CPT,"Laparoscopy, orchiectomy",,,21 ,,RBRVS,11.60 ,5.59 ,5.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,54692,CPT,"Laparoscopy, orchiopexy",,,21 ,,RBRVS,13.64 ,7.37 ,7.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,54699,CPT,"Laparoscope proc, testis",,,21 ,,TotalUnits,,,,17.19 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,54700,CPT,Drainage of scrotum,,,21 ,,RBRVS,3.44 ,2.32 ,2.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,54800,CPT,Biopsy of epididymis,,,21 ,,RBRVS,2.33 ,1.27 ,1.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,54830,CPT,Remove epididymis lesion,,,21 ,,RBRVS,5.91 ,4.20 ,4.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,54840,CPT,Remove epididymis lesion,,,21 ,,RBRVS,5.22 ,3.65 ,3.65 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,54860,CPT,Removal of epididymis,,,21 ,,RBRVS,6.85 ,4.62 ,4.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,54861,CPT,Removal of epididymis,,,21 ,,RBRVS,9.57 ,5.92 ,5.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,54865,CPT,Explore epididymis,,,21 ,,RBRVS,5.67 ,4.09 ,4.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,54900,CPT,Fusion of spermatic ducts,,,21 ,,RBRVS,14.05 ,6.64 ,6.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,54901,CPT,Fusion of spermatic ducts,,,21 ,,RBRVS,18.92 ,10.24 ,10.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,55000,CPT,Drainage of hydrocele,,,21 ,,RBRVS,1.43 ,0.88 ,1.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,55040,CPT,Removal of hydrocele,,,21 ,,RBRVS,5.39 ,3.80 ,3.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,55041,CPT,Removal of hydroceles,,,21 ,,RBRVS,8.41 ,5.44 ,5.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,55060,CPT,Repair of hydrocele,,,21 ,,RBRVS,6.05 ,4.24 ,4.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,55100,CPT,Drainage of scrotum abscess,,,21 ,,RBRVS,2.40 ,1.99 ,3.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,55110,CPT,Explore scrotum,,,21 ,,RBRVS,6.23 ,4.26 ,4.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,55120,CPT,Removal of scrotum lesion,,,21 ,,RBRVS,5.62 ,4.01 ,4.01 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,55150,CPT,Removal of scrotum,,,21 ,,RBRVS,8.01 ,5.27 ,5.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,55175,CPT,Revision of scrotum,,,21 ,,RBRVS,5.77 ,4.13 ,4.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,55180,CPT,Revision of scrotum,,,21 ,,RBRVS,11.63 ,7.05 ,7.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,55200,CPT,Incision of sperm duct,,,21 ,,RBRVS,4.50 ,3.05 ,9.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,55250,CPT,Removal of sperm duct(s),,,21 ,,RBRVS,3.32 ,2.89 ,8.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,55300,CPT,"Prepare, sperm duct x-ray",,,21 ,,RBRVS,3.50 ,1.45 ,1.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,55400,CPT,Repair of sperm duct,,,21 ,,RBRVS,8.53 ,5.29 ,5.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,55450,CPT,Ligation of sperm duct,,,21 ,,RBRVS,4.38 ,2.61 ,6.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,55500,CPT,Removal of hydrocele,,,21 ,,RBRVS,6.12 ,4.02 ,4.02 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,55520,CPT,Removal of sperm cord lesion,,,21 ,,RBRVS,6.56 ,3.74 ,3.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,55530,CPT,Revise spermatic cord veins,,,21 ,,RBRVS,5.69 ,3.95 ,3.95 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,55535,CPT,Revise spermatic cord veins,,,21 ,,RBRVS,7.09 ,4.61 ,4.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,55540,CPT,Revise hernia & sperm veins,,,21 ,,RBRVS,8.20 ,4.26 ,4.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,55550,CPT,Laparo ligate spermatic vein,,,21 ,,RBRVS,7.10 ,4.41 ,4.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,55559,CPT,"Laparo proc, spermatic cord",,,21 ,,TotalUnits,,,,11.51 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,55600,CPT,Incise sperm duct pouch,,,21 ,,RBRVS,6.91 ,4.67 ,4.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,55605,CPT,Incise sperm duct pouch,,,21 ,,RBRVS,8.63 ,5.10 ,5.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,55650,CPT,Remove sperm duct pouch,,,21 ,,RBRVS,12.52 ,7.01 ,7.01 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,55680,CPT,Remove sperm pouch lesion,,,21 ,,RBRVS,5.59 ,3.64 ,3.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,55700,CPT,Biopsy of prostate,,,21 ,,RBRVS,2.58 ,1.22 ,3.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,55705,CPT,Biopsy of prostate,,,21 ,,RBRVS,4.58 ,2.83 ,2.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,55706,CPT,Prostate saturation sampling,,,21 ,,RBRVS,6.15 ,4.39 ,4.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,55720,CPT,Drainage of prostate abscess,,,21 ,,RBRVS,7.67 ,4.75 ,4.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,55725,CPT,Drainage of prostate abscess,,,21 ,,RBRVS,9.90 ,6.20 ,6.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,55801,CPT,Removal of prostate,,,21 ,,RBRVS,19.62 ,10.25 ,10.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,55810,CPT,Extensive prostate surgery,,,21 ,,RBRVS,24.14 ,12.00 ,12.00 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,55812,CPT,Extensive prostate surgery,,,21 ,,RBRVS,29.69 ,14.67 ,14.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,55815,CPT,Extensive prostate surgery,,,21 ,,RBRVS,32.75 ,15.96 ,15.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,55821,CPT,Removal of prostate,,,21 ,,RBRVS,15.63 ,8.45 ,8.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,55831,CPT,Removal of prostate,,,21 ,,RBRVS,17.06 ,9.03 ,9.03 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,55840,CPT,Extensive prostate surgery,,,21 ,,RBRVS,24.45 ,12.45 ,12.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,55842,CPT,Extensive prostate surgery,,,21 ,,RBRVS,26.31 ,13.23 ,13.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,55845,CPT,Extensive prostate surgery,,,21 ,,RBRVS,30.52 ,14.67 ,14.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,55860,CPT,"Surgical exposure, prostate",,,21 ,,RBRVS,15.71 ,8.44 ,8.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,55862,CPT,Extensive prostate surgery,,,21 ,,RBRVS,19.89 ,10.49 ,10.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,55865,CPT,Extensive prostate surgery,,,21 ,,RBRVS,24.39 ,12.53 ,12.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,55866,CPT,Laparo radical prostatectomy,,,21 ,,RBRVS,32.25 ,15.76 ,15.76 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,55870,CPT,Electroejaculation,,,21 ,,RBRVS,2.58 ,1.41 ,2.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,55873,CPT,Cryoablate prostate,,,21 ,,RBRVS,20.25 ,11.20 ,11.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,55875,CPT,"Transperi needle place, pros",,,21 ,,RBRVS,13.31 ,7.65 ,7.65 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,55876,CPT,"Place rt device/marker, pros",,,21 ,,RBRVS,1.73 ,1.10 ,2.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,55899,CPT,Genital surgery procedure,,,21 ,,TotalUnits,,,,5.91 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,55920,CPT,Place needles pelvic for rt,,,21 ,,RBRVS,8.31 ,3.42 ,3.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,56405,CPT,I & d of vulva/perineum,,,21 ,,RBRVS,1.46 ,1.16 ,1.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,56420,CPT,Drainage of gland abscess,,,21 ,,RBRVS,1.41 ,0.85 ,1.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,56440,CPT,Surgery for vulva lesion,,,21 ,,RBRVS,2.86 ,1.63 ,1.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,56441,CPT,Lysis of labial lesion(s),,,21 ,,RBRVS,1.99 ,1.54 ,1.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,56442,CPT,Hymenotomy,,,21 ,,RBRVS,0.68 ,0.53 ,0.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,56501,CPT,"Destroy, vulva lesions, sim",,,21 ,,RBRVS,1.55 ,1.24 ,1.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,56515,CPT,Destroy vulva lesion/s compl,,,21 ,,RBRVS,3.03 ,1.80 ,2.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,56605,CPT,Biopsy of vulva/perineum,,,21 ,,RBRVS,1.10 ,0.39 ,0.97 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,56606,CPT,Biopsy of vulva/perineum,,,21 ,,RBRVS,0.55 ,0.18 ,0.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,56620,CPT,Partial removal of vulva,,,21 ,,RBRVS,7.35 ,4.74 ,4.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,56625,CPT,Complete removal of vulva,,,21 ,,RBRVS,9.55 ,5.03 ,5.03 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,56630,CPT,Extensive vulva surgery,,,21 ,,RBRVS,14.67 ,6.64 ,6.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,56631,CPT,Extensive vulva surgery,,,21 ,,RBRVS,18.81 ,8.26 ,8.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,56632,CPT,Extensive vulva surgery,,,21 ,,RBRVS,21.61 ,9.66 ,9.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,56633,CPT,Extensive vulva surgery,,,21 ,,RBRVS,19.47 ,8.30 ,8.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,56634,CPT,Extensive vulva surgery,,,21 ,,RBRVS,20.48 ,8.81 ,8.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,56637,CPT,Extensive vulva surgery,,,21 ,,RBRVS,24.57 ,10.01 ,10.01 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,56640,CPT,Extensive vulva surgery,,,21 ,,RBRVS,24.65 ,9.64 ,9.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,56700,CPT,Partial removal of hymen,,,21 ,,RBRVS,2.79 ,1.79 ,1.79 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,56740,CPT,Remove vagina gland lesion,,,21 ,,RBRVS,4.83 ,2.43 ,2.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,56800,CPT,Repair of vagina,,,21 ,,RBRVS,3.90 ,2.09 ,2.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,56805,CPT,Repair clitoris,,,21 ,,RBRVS,19.75 ,8.39 ,8.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,56810,CPT,Repair of perineum,,,21 ,,RBRVS,4.26 ,2.16 ,2.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,56820,CPT,Exam of vulva w/scope,,,21 ,,RBRVS,1.50 ,0.58 ,1.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,56821,CPT,Exam/biopsy of vulva w/scope,,,21 ,,RBRVS,2.05 ,0.77 ,1.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,57000,CPT,Exploration of vagina,,,21 ,,RBRVS,2.99 ,1.72 ,1.72 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,57010,CPT,Drainage of pelvic abscess,,,21 ,,RBRVS,6.74 ,3.84 ,3.84 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,57020,CPT,Drainage of pelvic fluid,,,21 ,,RBRVS,1.50 ,0.50 ,0.82 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,57022,CPT,"I & d vaginal hematoma, pp",,,21 ,,RBRVS,2.70 ,1.41 ,1.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,57023,CPT,"I & d vag hematoma, non-ob",,,21 ,,RBRVS,5.13 ,2.51 ,2.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,57061,CPT,"Destroy vag lesions, simple",,,21 ,,RBRVS,1.27 ,1.12 ,1.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,57065,CPT,"Destroy vag lesions, complex",,,21 ,,RBRVS,2.63 ,1.56 ,2.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,57100,CPT,Biopsy of vagina,,,21 ,,RBRVS,1.20 ,0.41 ,0.99 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,57105,CPT,Biopsy of vagina,,,21 ,,RBRVS,1.71 ,1.37 ,1.65 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,57106,CPT,"Remove vagina wall, partial",,,21 ,,RBRVS,7.35 ,4.35 ,4.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,57107,CPT,"Remove vagina tissue, part",,,21 ,,RBRVS,24.43 ,9.80 ,9.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,57109,CPT,Vaginectomy partial w/nodes,,,21 ,,RBRVS,28.25 ,10.80 ,10.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,57110,CPT,"Remove vagina wall, complete",,,21 ,,RBRVS,15.38 ,6.67 ,6.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,57111,CPT,"Remove vagina tissue, compl",,,21 ,,RBRVS,28.25 ,11.27 ,11.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,57112,CPT,"Vaginectomy w/nodes, compl",,,21 ,,RBRVS,30.37 ,11.78 ,11.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,57120,CPT,Closure of vagina,,,21 ,,RBRVS,8.18 ,4.40 ,4.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,57130,CPT,Remove vagina lesion,,,21 ,,RBRVS,2.44 ,1.52 ,2.03 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,57135,CPT,Remove vagina lesion,,,21 ,,RBRVS,2.68 ,1.59 ,2.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,57150,CPT,Treat vagina infection,,,21 ,,RBRVS,0.55 ,0.18 ,0.72 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,57155,CPT,Insert uteri tandems/ovoids,,,21 ,,RBRVS,6.79 ,3.84 ,3.84 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,57160,CPT,Insert pessary/other device,,,21 ,,RBRVS,0.89 ,0.29 ,1.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,57170,CPT,Fitting of diaphragm/cap,,,21 ,,RBRVS,0.91 ,0.28 ,0.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,57180,CPT,Treat vaginal bleeding,,,21 ,,RBRVS,1.60 ,1.03 ,1.94 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,57200,CPT,Repair of vagina,,,21 ,,RBRVS,4.34 ,2.98 ,2.98 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,57210,CPT,Repair vagina/perineum,,,21 ,,RBRVS,5.63 ,3.41 ,3.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,57220,CPT,Revision of urethra,,,21 ,,RBRVS,4.77 ,3.11 ,3.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,57230,CPT,Repair of urethral lesion,,,21 ,,RBRVS,6.22 ,3.70 ,3.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,57240,CPT,Repair bladder & vagina,,,21 ,,RBRVS,11.42 ,5.25 ,5.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,57250,CPT,Repair rectum & vagina,,,21 ,,RBRVS,11.42 ,4.85 ,4.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,57260,CPT,Repair of vagina,,,21 ,,RBRVS,14.36 ,5.81 ,5.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,57265,CPT,Extensive repair of vagina,,,21 ,,RBRVS,15.86 ,6.52 ,6.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,57267,CPT,Insert mesh/pelvic flr addon,,,21 ,,RBRVS,4.88 ,1.71 ,1.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,57268,CPT,Repair of bowel bulge,,,21 ,,RBRVS,7.47 ,4.39 ,4.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,57270,CPT,Repair of bowel pouch,,,21 ,,RBRVS,13.57 ,6.04 ,6.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,57280,CPT,Suspension of vagina,,,21 ,,RBRVS,16.62 ,7.26 ,7.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,57282,CPT,"Colpopexy, extraperitoneal",,,21 ,,RBRVS,7.84 ,4.62 ,4.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,57283,CPT,"Colpopexy, intraperitoneal",,,21 ,,RBRVS,11.58 ,5.47 ,5.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,57284,CPT,"Repair paravag defect, open",,,21 ,,RBRVS,14.25 ,6.48 ,6.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,57285,CPT,"Repair paravag defect, vag",,,21 ,,RBRVS,11.52 ,5.36 ,5.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,57287,CPT,Revise/remove sling repair,,,21 ,,RBRVS,10.97 ,6.66 ,6.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,57288,CPT,Repair bladder defect,,,21 ,,RBRVS,12.00 ,6.41 ,6.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,57289,CPT,Repair bladder & vagina,,,21 ,,RBRVS,12.69 ,6.63 ,6.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,57291,CPT,Construction of vagina,,,21 ,,RBRVS,8.54 ,4.82 ,4.82 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,57292,CPT,Construct vagina with graft,,,21 ,,RBRVS,13.91 ,6.43 ,6.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,57295,CPT,Revise vag graft via vagina,,,21 ,,RBRVS,7.74 ,4.38 ,4.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,57296,CPT,"Revise vag graft, open abd",,,21 ,,RBRVS,16.46 ,6.88 ,6.88 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,57300,CPT,Repair rectum-vagina fistula,,,21 ,,RBRVS,8.58 ,4.51 ,4.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,57305,CPT,Repair rectum-vagina fistula,,,21 ,,RBRVS,15.24 ,6.43 ,6.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,57307,CPT,Fistula repair & colostomy,,,21 ,,RBRVS,17.02 ,7.17 ,7.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,57308,CPT,"Fistula repair, transperine",,,21 ,,RBRVS,10.48 ,5.07 ,5.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,57310,CPT,Repair urethrovaginal lesion,,,21 ,,RBRVS,7.55 ,4.86 ,4.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,57311,CPT,Repair urethrovaginal lesion,,,21 ,,RBRVS,8.81 ,5.33 ,5.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,57320,CPT,Repair bladder-vagina lesion,,,21 ,,RBRVS,8.78 ,5.28 ,5.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,57330,CPT,Repair bladder-vagina lesion,,,21 ,,RBRVS,13.11 ,6.79 ,6.79 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,57335,CPT,Repair vagina,,,21 ,,RBRVS,19.87 ,8.88 ,8.88 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,57400,CPT,Dilation of vagina,,,21 ,,RBRVS,2.27 ,1.07 ,1.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,57410,CPT,Pelvic examination,,,21 ,,RBRVS,1.75 ,0.89 ,0.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,57415,CPT,Remove vaginal foreign body,,,21 ,,RBRVS,2.44 ,1.52 ,1.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,57420,CPT,Exam of vagina w/scope,,,21 ,,RBRVS,1.60 ,0.61 ,1.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,57421,CPT,Exam/biopsy of vag w/scope,,,21 ,,RBRVS,2.20 ,0.81 ,1.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,57423,CPT,"Repair paravag defect, lap",,,21 ,,RBRVS,16.00 ,6.81 ,6.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,57425,CPT,"Laparoscopy, surg, colpopexy",,,21 ,,RBRVS,16.93 ,7.11 ,7.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,57426,CPT,Revise prosth vag graft lap,,,21 ,,RBRVS,14.30 ,7.61 ,7.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,57452,CPT,Exam of cervix w/scope,,,21 ,,RBRVS,1.50 ,0.76 ,1.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,57454,CPT,Bx/curett of cervix w/scope,,,21 ,,RBRVS,2.33 ,1.03 ,1.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,57455,CPT,Biopsy of cervix w/scope,,,21 ,,RBRVS,1.99 ,0.74 ,1.57 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,57456,CPT,Endocerv curettage w/scope,,,21 ,,RBRVS,1.85 ,0.70 ,1.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,57460,CPT,"Bx of cervix w/scope, leep",,,21 ,,RBRVS,2.83 ,1.20 ,4.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,57461,CPT,"Conz of cervix w/scope, leep",,,21 ,,RBRVS,3.43 ,1.21 ,4.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,57500,CPT,Biopsy of cervix,,,21 ,,RBRVS,1.20 ,0.65 ,2.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,57505,CPT,Endocervical curettage,,,21 ,,RBRVS,1.16 ,1.08 ,1.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,57510,CPT,Cauterization of cervix,,,21 ,,RBRVS,1.90 ,0.95 ,1.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,57511,CPT,Cryocautery of cervix,,,21 ,,RBRVS,1.92 ,1.31 ,1.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,57513,CPT,Laser surgery of cervix,,,21 ,,RBRVS,1.92 ,1.33 ,1.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,57520,CPT,Conization of cervix,,,21 ,,RBRVS,4.06 ,2.64 ,3.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,57522,CPT,Conization of cervix,,,21 ,,RBRVS,3.62 ,2.34 ,2.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,57530,CPT,Removal of cervix,,,21 ,,RBRVS,5.19 ,3.26 ,3.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,57531,CPT,"Removal of cervix, radical",,,21 ,,RBRVS,29.77 ,11.75 ,11.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,57540,CPT,Removal of residual cervix,,,21 ,,RBRVS,13.19 ,5.86 ,5.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,57545,CPT,Remove cervix/repair pelvis,,,21 ,,RBRVS,14.00 ,6.13 ,6.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,57550,CPT,Removal of residual cervix,,,21 ,,RBRVS,6.24 ,3.76 ,3.76 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,57555,CPT,Remove cervix/repair vagina,,,21 ,,RBRVS,9.84 ,4.85 ,4.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,57556,CPT,"Remove cervix, repair bowel",,,21 ,,RBRVS,9.26 ,4.85 ,4.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,57558,CPT,D&c of cervical stump,,,21 ,,RBRVS,1.69 ,1.09 ,1.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,57700,CPT,Revision of cervix,,,21 ,,RBRVS,4.22 ,3.37 ,3.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,57720,CPT,Revision of cervix,,,21 ,,RBRVS,4.53 ,3.01 ,3.01 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,57800,CPT,Dilation of cervical canal,,,21 ,,RBRVS,0.77 ,0.43 ,0.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,58100,CPT,Biopsy of uterus lining,,,21 ,,RBRVS,1.53 ,0.63 ,1.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,58110,CPT,Bx done w/colposcopy add-on,,,21 ,,RBRVS,0.77 ,0.25 ,0.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,58120,CPT,Dilation and curettage,,,21 ,,RBRVS,3.54 ,1.75 ,2.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,58140,CPT,Myomectomy abdom method,,,21 ,,RBRVS,15.69 ,6.59 ,6.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,58145,CPT,Myomectomy vag method,,,21 ,,RBRVS,8.81 ,4.48 ,4.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,58146,CPT,Myomectomy abdom complex,,,21 ,,RBRVS,20.24 ,8.13 ,8.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,58150,CPT,Total hysterectomy,,,21 ,,RBRVS,17.21 ,7.01 ,7.01 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,58152,CPT,Total hysterectomy,,,21 ,,RBRVS,21.73 ,8.75 ,8.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,58180,CPT,Partial hysterectomy,,,21 ,,RBRVS,16.50 ,6.85 ,6.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,58200,CPT,Extensive hysterectomy,,,21 ,,RBRVS,23.00 ,8.95 ,8.95 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,58210,CPT,Extensive hysterectomy,,,21 ,,RBRVS,30.76 ,11.81 ,11.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,58240,CPT,Removal of pelvis contents,,,21 ,,RBRVS,49.02 ,18.61 ,18.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,58260,CPT,Vaginal hysterectomy,,,21 ,,RBRVS,14.02 ,6.20 ,6.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,58262,CPT,Vag hyst including t/o,,,21 ,,RBRVS,15.81 ,6.75 ,6.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,58263,CPT,Vag hyst w/t/o & vag repair,,,21 ,,RBRVS,17.10 ,7.20 ,7.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,58267,CPT,Vag hyst w/urinary repair,,,21 ,,RBRVS,18.23 ,7.59 ,7.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,58270,CPT,Vag hyst w/enterocele repair,,,21 ,,RBRVS,15.20 ,6.42 ,6.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,58275,CPT,Hysterectomy/revise vagina,,,21 ,,RBRVS,16.90 ,7.17 ,7.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,58280,CPT,Hysterectomy/revise vagina,,,21 ,,RBRVS,18.20 ,7.54 ,7.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,58285,CPT,Extensive hysterectomy,,,21 ,,RBRVS,23.30 ,8.91 ,8.91 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,58290,CPT,Vag hyst complex,,,21 ,,RBRVS,20.17 ,8.08 ,8.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,58291,CPT,"Vag hyst incl t/o, complex",,,21 ,,RBRVS,21.96 ,8.72 ,8.72 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,58292,CPT,"Vag hyst t/o & repair, compl",,,21 ,,RBRVS,23.25 ,9.07 ,9.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,58293,CPT,"Vag hyst w/uro repair, compl",,,21 ,,RBRVS,24.23 ,9.32 ,9.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,58294,CPT,"Vag hyst w/enterocele, compl",,,21 ,,RBRVS,21.45 ,8.41 ,8.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,58300,CPT,Insert intrauterine device,,,21 ,,RBRVS,1.01 ,0.35 ,0.94 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,58301,CPT,Remove intrauterine device,,,21 ,,RBRVS,1.27 ,0.40 ,1.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,58321,CPT,Artificial insemination,,,21 ,,RBRVS,0.92 ,0.31 ,1.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,58322,CPT,Artificial insemination,,,21 ,,RBRVS,1.10 ,0.35 ,1.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,58323,CPT,Sperm washing,,,21 ,,RBRVS,0.23 ,0.08 ,0.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,58340,CPT,Catheter for hysterography,,,21 ,,RBRVS,0.88 ,0.60 ,2.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,58345,CPT,Reopen fallopian tube,,,21 ,,RBRVS,4.67 ,2.24 ,2.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,58346,CPT,Insert heyman uteri capsule,,,21 ,,RBRVS,7.48 ,3.88 ,3.88 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,58350,CPT,Reopen fallopian tube,,,21 ,,RBRVS,1.03 ,0.90 ,1.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,58353,CPT,"Endometr ablate, thermal",,,21 ,,RBRVS,3.57 ,1.84 ,25.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,58356,CPT,Endometrial cryoablation,,,21 ,,RBRVS,6.36 ,2.16 ,47.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,58400,CPT,Suspension of uterus,,,21 ,,RBRVS,7.06 ,3.97 ,3.97 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,58410,CPT,Suspension of uterus,,,21 ,,RBRVS,13.70 ,5.96 ,5.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,58520,CPT,Repair of ruptured uterus,,,21 ,,RBRVS,13.38 ,5.78 ,5.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,58540,CPT,Revision of uterus,,,21 ,,RBRVS,15.61 ,6.58 ,6.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,58541,CPT,"Lsh, uterus 250 g or less",,,21 ,,RBRVS,14.57 ,6.37 ,6.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,58542,CPT,Lsh w/t/o ut 250 g or less,,,21 ,,RBRVS,16.43 ,6.94 ,6.94 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,58543,CPT,Lsh uterus above 250 g,,,21 ,,RBRVS,16.74 ,7.01 ,7.01 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,58544,CPT,Lsh w/t/o uterus above 250 g,,,21 ,,RBRVS,18.24 ,7.41 ,7.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,58545,CPT,Laparoscopic myomectomy,,,21 ,,RBRVS,15.45 ,6.39 ,6.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,58546,CPT,"Laparo-myomectomy, complex",,,21 ,,RBRVS,19.84 ,7.80 ,7.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,58548,CPT,Lap radical hyst,,,21 ,,RBRVS,31.45 ,11.70 ,11.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,58550,CPT,Laparo-asst vag hysterectomy,,,21 ,,RBRVS,14.97 ,6.62 ,6.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,58552,CPT,Laparo-vag hyst incl t/o,,,21 ,,RBRVS,16.78 ,7.16 ,7.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,58553,CPT,"Laparo-vag hyst, complex",,,21 ,,RBRVS,19.96 ,7.83 ,7.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,58554,CPT,"Laparo-vag hyst w/t/o, compl",,,21 ,,RBRVS,22.98 ,9.11 ,9.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,58555,CPT,"Hysteroscopy, dx, sep proc",,,21 ,,RBRVS,3.33 ,1.35 ,2.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,58558,CPT,"Hysteroscopy, biopsy",,,21 ,,RBRVS,4.74 ,1.85 ,3.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,58559,CPT,"Hysteroscopy, lysis",,,21 ,,RBRVS,6.16 ,2.31 ,2.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,58560,CPT,"Hysteroscopy, resect septum",,,21 ,,RBRVS,6.99 ,2.58 ,2.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,58561,CPT,"Hysteroscopy, remove myoma",,,21 ,,RBRVS,9.99 ,3.54 ,3.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,58562,CPT,"Hysteroscopy, remove fb",,,21 ,,RBRVS,5.20 ,1.98 ,3.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,58563,CPT,"Hysteroscopy, ablation",,,21 ,,RBRVS,6.16 ,2.31 ,41.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,58565,CPT,"Hysteroscopy, sterilization",,,21 ,,RBRVS,7.06 ,3.59 ,43.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,58570,CPT,"Tlh, uterus 250 g or less",,,21 ,,RBRVS,15.75 ,6.72 ,6.72 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,58571,CPT,Tlh w/t/o 250 g or less,,,21 ,,RBRVS,17.56 ,7.25 ,7.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,58572,CPT,"Tlh, uterus over 250 g",,,21 ,,RBRVS,19.96 ,7.94 ,7.94 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,58573,CPT,Tlh w/t/o uterus over 250 g,,,21 ,,RBRVS,22.98 ,8.82 ,8.82 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,58578,CPT,"Laparo proc, uterus",,,21 ,,TotalUnits,,,,23.94 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,58579,CPT,Hysteroscope procedure,,,21 ,,TotalUnits,,,,6.76 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,58600,CPT,Division of fallopian tube,,,21 ,,RBRVS,5.86 ,3.04 ,3.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,58605,CPT,Division of fallopian tube,,,21 ,,RBRVS,5.25 ,2.85 ,2.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,58611,CPT,Ligate oviduct(s) add-on,,,21 ,,RBRVS,1.45 ,0.46 ,0.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,58615,CPT,Occlude fallopian tube(s),,,21 ,,RBRVS,3.91 ,2.20 ,2.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,58660,CPT,"Laparoscopy, lysis",,,21 ,,RBRVS,11.54 ,4.84 ,4.84 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,58661,CPT,"Laparoscopy, remove adnexa",,,21 ,,RBRVS,11.30 ,4.44 ,4.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,58662,CPT,"Laparoscopy, excise lesions",,,21 ,,RBRVS,12.08 ,5.17 ,5.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,58670,CPT,"Laparoscopy, tubal cautery",,,21 ,,RBRVS,5.86 ,3.10 ,3.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,58671,CPT,"Laparoscopy, tubal block",,,21 ,,RBRVS,5.86 ,3.09 ,3.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,58672,CPT,"Laparoscopy, fimbrioplasty",,,21 ,,RBRVS,12.88 ,5.21 ,5.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,58673,CPT,"Laparoscopy, salpingostomy",,,21 ,,RBRVS,13.99 ,5.71 ,5.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,58679,CPT,"Laparo proc, oviduct-ovary",,,21 ,,TotalUnits,,,,15.74 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,58700,CPT,Removal of fallopian tube,,,21 ,,RBRVS,12.84 ,5.76 ,5.76 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,58720,CPT,Removal of ovary/tube(s),,,21 ,,RBRVS,12.08 ,5.42 ,5.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,58740,CPT,"Adhesiolysis tube, ovary",,,21 ,,RBRVS,14.79 ,6.53 ,6.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,58750,CPT,Repair oviduct,,,21 ,,RBRVS,15.56 ,6.59 ,6.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,58752,CPT,Revise ovarian tube(s),,,21 ,,RBRVS,15.56 ,6.79 ,6.79 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,58760,CPT,Fimbrioplasty,,,21 ,,RBRVS,13.85 ,6.12 ,6.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,58770,CPT,Create new tubal opening,,,21 ,,RBRVS,14.69 ,5.85 ,5.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,58800,CPT,Drainage of ovarian cyst(s),,,21 ,,RBRVS,4.54 ,2.83 ,3.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,58805,CPT,Drainage of ovarian cyst(s),,,21 ,,RBRVS,6.34 ,3.60 ,3.60 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,58820,CPT,"Drain ovary abscess, open",,,21 ,,RBRVS,4.62 ,3.07 ,3.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,58822,CPT,"Drain ovary abscess, percut",,,21 ,,RBRVS,11.71 ,5.64 ,5.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,58823,CPT,"Drain pelvic abscess, percut",,,21 ,,RBRVS,3.37 ,1.25 ,20.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,58825,CPT,"Transposition, ovary(s)",,,21 ,,RBRVS,11.70 ,5.33 ,5.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,58900,CPT,Biopsy of ovary(s),,,21 ,,RBRVS,6.51 ,3.64 ,3.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,58920,CPT,Partial removal of ovary(s),,,21 ,,RBRVS,11.87 ,5.21 ,5.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,58925,CPT,Removal of ovarian cyst(s),,,21 ,,RBRVS,12.33 ,5.53 ,5.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,58940,CPT,Removal of ovary(s),,,21 ,,RBRVS,8.12 ,4.15 ,4.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,58943,CPT,Removal of ovary(s),,,21 ,,RBRVS,19.42 ,7.82 ,7.82 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,58950,CPT,Resect ovarian malignancy,,,21 ,,RBRVS,18.24 ,7.79 ,7.79 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,58951,CPT,Resect ovarian malignancy,,,21 ,,RBRVS,24.15 ,9.42 ,9.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,58952,CPT,Resect ovarian malignancy,,,21 ,,RBRVS,27.15 ,10.68 ,10.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,58953,CPT,"Tah, rad dissect for debulk",,,21 ,,RBRVS,33.97 ,12.90 ,12.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,58954,CPT,Tah rad debulk/lymph remove,,,21 ,,RBRVS,36.97 ,13.90 ,13.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,58956,CPT,"Bso, omentectomy w/tah",,,21 ,,RBRVS,22.65 ,9.34 ,9.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,58957,CPT,Resect recurrent gyn mal,,,21 ,,RBRVS,26.06 ,10.02 ,10.02 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,58958,CPT,Resect recur gyn mal w/lym,,,21 ,,RBRVS,29.06 ,11.03 ,11.03 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,58960,CPT,Exploration of abdomen,,,21 ,,RBRVS,15.68 ,6.80 ,6.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,58970,CPT,Retrieval of oocyte,,,21 ,,RBRVS,3.52 ,1.37 ,2.00 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,58974,CPT,Transfer of embryo,,,21 ,,TotalUnits,,,,4.46 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,58976,CPT,Transfer of embryo,,,21 ,,RBRVS,3.82 ,1.68 ,2.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,58999,CPT,Genital surgery procedure,,,21 ,,TotalUnits,,,,2.72 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,59000,CPT,"Amniocentesis, diagnostic",,,12 ,,RBRVS,1.30 ,0.59 ,1.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,59001,CPT,"Amniocentesis, therapeutic",,,12 ,,RBRVS,3.00 ,1.32 ,1.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,59012,CPT,"Fetal cord puncture,prenatal",,,12 ,,RBRVS,3.44 ,1.29 ,1.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,59015,CPT,Chorion biopsy,,,12 ,,RBRVS,2.20 ,0.89 ,1.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,59020,CPT,Fetal contract stress test,26,,12 ,,RBRVS,0.66 ,0.21 ,0.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,59020,CPT,Fetal contract stress test,,,12 ,,RBRVS,0.66 ,0.99 ,0.99 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,59020,CPT,Fetal contract stress test,TC,,12 ,,RBRVS,,0.78 ,0.78 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,59025,CPT,Fetal non-stress test,26,,12 ,,RBRVS,0.53 ,0.17 ,0.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,59025,CPT,Fetal non-stress test,,,12 ,,RBRVS,0.53 ,0.58 ,0.58 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,59025,CPT,Fetal non-stress test,TC,,12 ,,RBRVS,,0.41 ,0.41 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,59030,CPT,Fetal scalp blood sample,,,12 ,,RBRVS,1.99 ,0.63 ,0.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,59050,CPT,Fetal monitor w/report,,,12 ,,RBRVS,0.89 ,0.28 ,0.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,59051,CPT,Fetal monitor/interpret only,,,12 ,,RBRVS,0.74 ,0.23 ,0.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,59070,CPT,Transabdom amnioinfus w/us,,,12 ,,RBRVS,5.24 ,2.11 ,4.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,59072,CPT,Umbilical cord occlud w/us,,,12 ,,RBRVS,8.99 ,3.31 ,3.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,59074,CPT,Fetal fluid drainage w/us,,,12 ,,RBRVS,5.24 ,2.04 ,4.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,59076,CPT,"Fetal shunt placement, w/us",,,12 ,,RBRVS,8.99 ,3.03 ,3.03 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,59100,CPT,Remove uterus lesion,,,12 ,,RBRVS,13.26 ,5.88 ,5.88 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,59120,CPT,Treat ectopic pregnancy,,,12 ,,RBRVS,12.56 ,5.79 ,5.79 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,59121,CPT,Treat ectopic pregnancy,,,12 ,,RBRVS,12.64 ,5.76 ,5.76 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,59130,CPT,Treat ectopic pregnancy,,,12 ,,RBRVS,14.98 ,6.40 ,6.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,59135,CPT,Treat ectopic pregnancy,,,12 ,,RBRVS,14.82 ,6.92 ,6.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,59136,CPT,Treat ectopic pregnancy,,,12 ,,RBRVS,14.15 ,6.12 ,6.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,59140,CPT,Treat ectopic pregnancy,,,12 ,,RBRVS,5.86 ,3.32 ,3.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,59150,CPT,Treat ectopic pregnancy,,,12 ,,RBRVS,12.19 ,5.56 ,5.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,59151,CPT,Treat ectopic pregnancy,,,12 ,,RBRVS,12.01 ,5.32 ,5.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,59160,CPT,D & c after delivery,,,12 ,,RBRVS,2.73 ,1.46 ,2.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,59200,CPT,Insert cervical dilator,,,12 ,,RBRVS,0.79 ,0.25 ,1.00 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,59300,CPT,Episiotomy or vaginal repair,,,12 ,,RBRVS,2.41 ,0.99 ,2.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,59320,CPT,Revision of cervix,,,12 ,,RBRVS,2.48 ,1.09 ,1.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,59325,CPT,Revision of cervix,,,12 ,,RBRVS,4.06 ,1.60 ,1.60 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,59350,CPT,Repair of uterus,,,12 ,,RBRVS,4.94 ,1.46 ,1.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,59400,CPT,Obstetrical care,,,13 ,,RBRVS,26.80 ,14.71 ,14.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,59409,CPT,Obstetrical care,,,13 ,,RBRVS,13.48 ,4.29 ,4.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,59410,CPT,Obstetrical care,,,13 ,,RBRVS,15.29 ,5.49 ,5.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,59412,CPT,Antepartum manipulation,,,13 ,,RBRVS,1.71 ,0.70 ,0.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,59414,CPT,Deliver placenta,,,13 ,,RBRVS,1.61 ,0.51 ,0.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,59425,CPT,Antepartum care only,,,13 ,,RBRVS,6.22 ,1.82 ,4.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,59426,CPT,Antepartum care only,,,13 ,,RBRVS,11.04 ,3.21 ,7.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,59430,CPT,Care after delivery,,,13 ,,RBRVS,2.13 ,0.79 ,1.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,59510,CPT,Cesarean delivery,,,11 ,,RBRVS,30.34 ,16.65 ,16.65 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,59514,CPT,Cesarean delivery only,,,11 ,,RBRVS,15.95 ,5.10 ,5.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,59515,CPT,Cesarean delivery,,,11 ,,RBRVS,18.26 ,6.84 ,6.84 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,59525,CPT,Remove uterus after cesarean,,,21 ,,RBRVS,8.53 ,2.72 ,2.72 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,59610,CPT,Vbac delivery,,,13 ,,RBRVS,28.21 ,15.45 ,15.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,59612,CPT,Vbac delivery only,,,13 ,,RBRVS,15.04 ,4.88 ,4.88 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,59614,CPT,Vbac care after delivery,,,13 ,,RBRVS,16.59 ,5.82 ,5.82 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,59618,CPT,Attempted vbac delivery,,,11 ,,RBRVS,31.78 ,17.33 ,17.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,59620,CPT,Attempted vbac delivery only,,,11 ,,RBRVS,17.50 ,5.61 ,5.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,59622,CPT,Attempted vbac after care,,,11 ,,RBRVS,19.70 ,7.50 ,7.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,59812,CPT,Treatment of miscarriage,,,12 ,,RBRVS,4.39 ,2.45 ,3.00 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,59820,CPT,Care of miscarriage,,,12 ,,RBRVS,4.68 ,3.52 ,4.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,59821,CPT,Treatment of miscarriage,,,12 ,,RBRVS,4.97 ,3.28 ,3.99 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,59830,CPT,Treat uterus infection,,,12 ,,RBRVS,6.51 ,3.65 ,3.65 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,59840,CPT,Abortion,,,12 ,,RBRVS,3.01 ,1.90 ,2.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,59841,CPT,Abortion,,,12 ,,RBRVS,5.57 ,2.72 ,3.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,59850,CPT,Abortion,,,12 ,,RBRVS,5.90 ,3.20 ,3.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,59851,CPT,Abortion,,,12 ,,RBRVS,5.92 ,3.45 ,3.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,59852,CPT,Abortion,,,12 ,,RBRVS,8.23 ,4.92 ,4.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,59855,CPT,Abortion,,,12 ,,RBRVS,6.38 ,3.27 ,3.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,59856,CPT,Abortion,,,12 ,,RBRVS,7.74 ,3.60 ,3.60 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,59857,CPT,Abortion,,,12 ,,RBRVS,9.30 ,4.35 ,4.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,59866,CPT,Abortion (mpr),,,12 ,,RBRVS,3.99 ,1.62 ,1.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,59870,CPT,Evacuate mole of uterus,,,12 ,,RBRVS,6.40 ,4.63 ,4.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,59871,CPT,Remove cerclage suture,,,12 ,,RBRVS,2.13 ,1.00 ,1.00 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,59897,CPT,Fetal invas px w/us,,,12 ,,TotalUnits,,,,2.77 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,59898,CPT,"Laparo proc, ob care/deliver",,,12 ,,TotalUnits,,,,17.33 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,59899,CPT,Maternity care procedure,,,12 ,,TotalUnits,,,,11.03 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,60000,CPT,Drain thyroid/tongue cyst,,,21 ,,RBRVS,1.78 ,1.78 ,2.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,60100,CPT,Biopsy of thyroid,,,21 ,,RBRVS,1.56 ,0.56 ,1.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,60200,CPT,Remove thyroid lesion,,,21 ,,RBRVS,9.91 ,5.75 ,5.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,60210,CPT,Partial thyroid excision,,,21 ,,RBRVS,11.15 ,5.49 ,5.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,60212,CPT,Partial thyroid excision,,,21 ,,RBRVS,16.32 ,7.45 ,7.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,60220,CPT,Partial removal of thyroid,,,21 ,,RBRVS,12.29 ,5.97 ,5.97 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,60225,CPT,Partial removal of thyroid,,,21 ,,RBRVS,14.67 ,7.24 ,7.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,60240,CPT,Removal of thyroid,,,21 ,,RBRVS,16.18 ,6.93 ,6.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,60252,CPT,Removal of thyroid,,,21 ,,RBRVS,21.88 ,9.47 ,9.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,60254,CPT,Extensive thyroid surgery,,,21 ,,RBRVS,28.29 ,12.35 ,12.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,60260,CPT,Repeat thyroid surgery,,,21 ,,RBRVS,18.18 ,7.99 ,7.99 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,60270,CPT,Removal of thyroid,,,21 ,,RBRVS,23.07 ,9.98 ,9.98 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,60271,CPT,Removal of thyroid,,,21 ,,RBRVS,17.54 ,7.83 ,7.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,60280,CPT,Remove thyroid duct lesion,,,21 ,,RBRVS,6.05 ,4.59 ,4.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,60281,CPT,Remove thyroid duct lesion,,,21 ,,RBRVS,8.71 ,5.48 ,5.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,60300,CPT,Aspir/inj thyroid cyst,,,21 ,,RBRVS,0.97 ,0.33 ,1.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,60500,CPT,Explore parathyroid glands,,,21 ,,RBRVS,16.69 ,7.22 ,7.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,60502,CPT,Re-explore parathyroids,,,21 ,,RBRVS,21.01 ,8.99 ,8.99 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,60505,CPT,Explore parathyroid glands,,,21 ,,RBRVS,22.91 ,10.14 ,10.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,60512,CPT,Autotransplant parathyroid,,,21 ,,RBRVS,4.44 ,1.38 ,1.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,60520,CPT,Removal of thymus gland,,,21 ,,RBRVS,17.07 ,7.48 ,7.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,60521,CPT,Removal of thymus gland,,,21 ,,RBRVS,19.11 ,8.89 ,8.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,60522,CPT,Removal of thymus gland,,,21 ,,RBRVS,23.37 ,10.48 ,10.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,60540,CPT,Explore adrenal gland,,,21 ,,RBRVS,17.91 ,8.37 ,8.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,60545,CPT,Explore adrenal gland,,,21 ,,RBRVS,20.82 ,9.01 ,9.01 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,60600,CPT,Remove carotid body lesion,,,21 ,,RBRVS,24.99 ,9.80 ,9.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,60605,CPT,Remove carotid body lesion,,,21 ,,RBRVS,31.86 ,12.07 ,12.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,60650,CPT,Laparoscopy adrenalectomy,,,21 ,,RBRVS,20.63 ,8.40 ,8.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,60659,CPT,"Laparo proc, endocrine",,,21 ,,TotalUnits,,,,29.03 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,60699,CPT,Endocrine surgery procedure,,,21 ,,TotalUnits,,,,2.41 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,61000,CPT,Remove cranial cavity fluid,,,21 ,,RBRVS,1.58 ,1.13 ,1.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,61001,CPT,Remove cranial cavity fluid,,,21 ,,RBRVS,1.49 ,1.14 ,1.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,61020,CPT,Remove brain cavity fluid,,,21 ,,RBRVS,1.51 ,1.53 ,1.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,61026,CPT,Injection into brain canal,,,21 ,,RBRVS,1.69 ,1.35 ,1.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,61050,CPT,Remove brain canal fluid,,,21 ,,RBRVS,1.51 ,1.20 ,1.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,61055,CPT,Injection into brain canal,,,21 ,,RBRVS,2.10 ,1.37 ,1.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,61070,CPT,Brain canal shunt procedure,,,21 ,,RBRVS,0.89 ,1.08 ,1.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,61105,CPT,Twist drill hole,,,21 ,,RBRVS,5.40 ,4.45 ,4.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,61107,CPT,Drill skull for implantation,,,21 ,,RBRVS,4.99 ,2.09 ,2.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,61108,CPT,Drill skull for drainage,,,21 ,,RBRVS,11.51 ,8.03 ,8.03 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,61120,CPT,Burr hole for puncture,,,21 ,,RBRVS,9.52 ,6.54 ,6.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,61140,CPT,Pierce skull for biopsy,,,21 ,,RBRVS,17.10 ,10.43 ,10.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,61150,CPT,Pierce skull for drainage,,,21 ,,RBRVS,18.80 ,10.71 ,10.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,61151,CPT,Pierce skull for drainage,,,21 ,,RBRVS,13.41 ,8.04 ,8.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,61154,CPT,Pierce skull & remove clot,,,21 ,,RBRVS,16.92 ,10.61 ,10.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,61156,CPT,Pierce skull for drainage,,,21 ,,RBRVS,17.37 ,10.04 ,10.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,61210,CPT,"Pierce skull, implant device",,,21 ,,RBRVS,5.83 ,2.44 ,2.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,61215,CPT,Insert brain-fluid device,,,21 ,,RBRVS,5.77 ,5.06 ,5.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,61250,CPT,Pierce skull & explore,,,21 ,,RBRVS,11.41 ,7.17 ,7.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,61253,CPT,Pierce skull & explore,,,21 ,,RBRVS,13.41 ,7.33 ,7.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,61304,CPT,Open skull for exploration,,,21 ,,RBRVS,23.31 ,12.83 ,12.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,61305,CPT,Open skull for exploration,,,21 ,,RBRVS,28.51 ,15.53 ,15.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,61312,CPT,Open skull for drainage,,,21 ,,RBRVS,30.07 ,15.58 ,15.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,61313,CPT,Open skull for drainage,,,21 ,,RBRVS,27.94 ,15.46 ,15.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,61314,CPT,Open skull for drainage,,,21 ,,RBRVS,25.77 ,14.19 ,14.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,61315,CPT,Open skull for drainage,,,21 ,,RBRVS,29.52 ,15.96 ,15.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,61316,CPT,Implt cran bone flap to abdo,,,21 ,,RBRVS,1.39 ,0.56 ,0.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,61320,CPT,Open skull for drainage,,,21 ,,RBRVS,27.32 ,14.74 ,14.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,61321,CPT,Open skull for drainage,,,21 ,,RBRVS,30.40 ,15.77 ,15.77 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,61322,CPT,Decompressive craniotomy,,,21 ,,RBRVS,34.08 ,17.37 ,17.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,61323,CPT,Decompressive lobectomy,,,21 ,,RBRVS,34.93 ,17.23 ,17.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,61330,CPT,Decompress eye socket,,,21 ,,RBRVS,25.17 ,12.72 ,12.72 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,61332,CPT,Explore/biopsy eye socket,,,21 ,,RBRVS,28.50 ,13.97 ,13.97 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,61333,CPT,Explore orbit/remove lesion,,,21 ,,RBRVS,29.17 ,14.38 ,14.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,61334,CPT,Explore orbit/remove object,,,21 ,,RBRVS,19.50 ,9.29 ,9.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,61340,CPT,Subtemporal decompression,,,21 ,,RBRVS,20.01 ,11.38 ,11.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,61343,CPT,Incise skull (press relief),,,21 ,,RBRVS,31.73 ,16.65 ,16.65 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,61345,CPT,Relieve cranial pressure,,,21 ,,RBRVS,29.10 ,15.70 ,15.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,61440,CPT,Incise skull for surgery,,,21 ,,RBRVS,28.53 ,15.32 ,15.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,61450,CPT,Incise skull for surgery,,,21 ,,RBRVS,27.59 ,14.44 ,14.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,61458,CPT,Incise skull for brain wound,,,21 ,,RBRVS,28.71 ,15.54 ,15.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,61460,CPT,Incise skull for surgery,,,21 ,,RBRVS,30.11 ,15.46 ,15.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,61470,CPT,Incise skull for surgery,,,21 ,,RBRVS,27.52 ,14.58 ,14.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,61480,CPT,Incise skull for surgery,,,21 ,,RBRVS,27.95 ,12.27 ,12.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,61490,CPT,Incise skull for surgery,,,21 ,,RBRVS,27.12 ,14.58 ,14.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,61500,CPT,Removal of skull lesion,,,21 ,,RBRVS,19.05 ,10.96 ,10.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,61501,CPT,Remove infected skull bone,,,21 ,,RBRVS,16.22 ,9.71 ,9.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,61510,CPT,Removal of brain lesion,,,21 ,,RBRVS,30.63 ,17.26 ,17.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,61512,CPT,Remove brain lining lesion,,,21 ,,RBRVS,36.99 ,19.26 ,19.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,61514,CPT,Removal of brain abscess,,,21 ,,RBRVS,27.10 ,14.79 ,14.79 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,61516,CPT,Removal of brain lesion,,,21 ,,RBRVS,26.45 ,14.44 ,14.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,61517,CPT,Implt brain chemotx add-on,,,21 ,,RBRVS,1.38 ,0.57 ,0.57 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,61518,CPT,Removal of brain lesion,,,21 ,,RBRVS,39.69 ,20.92 ,20.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,61519,CPT,Remove brain lining lesion,,,21 ,,RBRVS,43.28 ,21.82 ,21.82 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,61520,CPT,Removal of brain lesion,,,21 ,,RBRVS,56.89 ,27.91 ,27.91 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,61521,CPT,Removal of brain lesion,,,21 ,,RBRVS,46.84 ,23.13 ,23.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,61522,CPT,Removal of brain abscess,,,21 ,,RBRVS,31.41 ,16.73 ,16.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,61524,CPT,Removal of brain lesion,,,21 ,,RBRVS,29.76 ,15.71 ,15.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,61526,CPT,Removal of brain lesion,,,21 ,,RBRVS,53.90 ,25.16 ,25.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,61530,CPT,Removal of brain lesion,,,21 ,,RBRVS,45.43 ,21.63 ,21.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,61531,CPT,Implant brain electrodes,,,21 ,,RBRVS,16.28 ,10.33 ,10.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,61533,CPT,Implant brain electrodes,,,21 ,,RBRVS,21.36 ,12.00 ,12.00 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,61534,CPT,Removal of brain lesion,,,21 ,,RBRVS,22.88 ,13.11 ,13.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,61535,CPT,Remove brain electrodes,,,21 ,,RBRVS,13.05 ,8.66 ,8.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,61536,CPT,Removal of brain lesion,,,21 ,,RBRVS,37.59 ,19.41 ,19.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,61537,CPT,Removal of brain tissue,,,21 ,,RBRVS,36.35 ,17.16 ,17.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,61538,CPT,Removal of brain tissue,,,21 ,,RBRVS,39.35 ,18.35 ,18.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,61539,CPT,Removal of brain tissue,,,21 ,,RBRVS,34.15 ,17.46 ,17.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,61540,CPT,Removal of brain tissue,,,21 ,,RBRVS,31.30 ,16.78 ,16.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,61541,CPT,Incision of brain tissue,,,21 ,,RBRVS,30.81 ,16.27 ,16.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,61542,CPT,Removal of brain tissue,,,21 ,,RBRVS,33.03 ,17.47 ,17.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,61543,CPT,Removal of brain tissue,,,21 ,,RBRVS,31.18 ,15.95 ,15.95 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,61544,CPT,Remove & treat brain lesion,,,21 ,,RBRVS,27.26 ,11.79 ,11.79 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,61545,CPT,Excision of brain tumor,,,21 ,,RBRVS,46.23 ,23.54 ,23.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,61546,CPT,Removal of pituitary gland,,,21 ,,RBRVS,33.31 ,17.28 ,17.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,61548,CPT,Removal of pituitary gland,,,21 ,,RBRVS,23.27 ,12.24 ,12.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,61550,CPT,Release of skull seams,,,21 ,,RBRVS,15.44 ,8.69 ,8.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,61552,CPT,Release of skull seams,,,21 ,,RBRVS,20.27 ,11.58 ,11.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,61556,CPT,Incise skull/sutures,,,21 ,,RBRVS,24.00 ,12.63 ,12.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,61557,CPT,Incise skull/sutures,,,21 ,,RBRVS,23.16 ,13.87 ,13.87 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,61558,CPT,Excision of skull/sutures,,,21 ,,RBRVS,26.35 ,14.86 ,14.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,61559,CPT,Excision of skull/sutures,,,21 ,,RBRVS,33.82 ,19.01 ,19.01 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,61563,CPT,Excision of skull tumor,,,21 ,,RBRVS,28.35 ,15.23 ,15.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,61564,CPT,Excision of skull tumor,,,21 ,,RBRVS,34.59 ,18.44 ,18.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,61566,CPT,Removal of brain tissue,,,21 ,,RBRVS,32.32 ,17.40 ,17.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,61567,CPT,Incision of brain tissue,,,21 ,,RBRVS,36.84 ,19.94 ,19.94 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,61570,CPT,"Remove foreign body, brain",,,21 ,,RBRVS,26.38 ,14.16 ,14.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,61571,CPT,Incise skull for brain wound,,,21 ,,RBRVS,28.29 ,15.48 ,15.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,61575,CPT,Skull base/brainstem surgery,,,21 ,,RBRVS,36.43 ,17.54 ,17.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,61576,CPT,Skull base/brainstem surgery,,,21 ,,RBRVS,55.11 ,33.21 ,33.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,61580,CPT,"Craniofacial approach, skull",,,21 ,,RBRVS,34.34 ,23.93 ,23.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,61581,CPT,"Craniofacial approach, skull",,,21 ,,RBRVS,38.88 ,26.44 ,26.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,61582,CPT,"Craniofacial approach, skull",,,21 ,,RBRVS,34.93 ,29.97 ,29.97 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,61583,CPT,"Craniofacial approach, skull",,,21 ,,RBRVS,38.41 ,25.91 ,25.91 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,61584,CPT,Orbitocranial approach/skull,,,21 ,,RBRVS,37.61 ,25.56 ,25.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,61585,CPT,Orbitocranial approach/skull,,,21 ,,RBRVS,42.46 ,25.57 ,25.57 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,61586,CPT,"Resect nasopharynx, skull",,,21 ,,RBRVS,27.28 ,22.23 ,22.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,61590,CPT,Infratemporal approach/skull,,,21 ,,RBRVS,46.87 ,26.59 ,26.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,61591,CPT,Infratemporal approach/skull,,,21 ,,RBRVS,46.87 ,26.90 ,26.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,61592,CPT,Orbitocranial approach/skull,,,21 ,,RBRVS,42.98 ,27.54 ,27.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,61595,CPT,Transtemporal approach/skull,,,21 ,,RBRVS,33.57 ,22.05 ,22.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,61596,CPT,Transcochlear approach/skull,,,21 ,,RBRVS,39.31 ,22.47 ,22.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,61597,CPT,Transcondylar approach/skull,,,21 ,,RBRVS,40.73 ,23.39 ,23.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,61598,CPT,Transpetrosal approach/skull,,,21 ,,RBRVS,36.41 ,21.91 ,21.91 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,61600,CPT,Resect/excise cranial lesion,,,21 ,,RBRVS,29.84 ,20.11 ,20.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,61601,CPT,Resect/excise cranial lesion,,,21 ,,RBRVS,31.04 ,21.85 ,21.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,61605,CPT,Resect/excise cranial lesion,,,21 ,,RBRVS,32.40 ,20.64 ,20.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,61606,CPT,Resect/excise cranial lesion,,,21 ,,RBRVS,41.94 ,25.57 ,25.57 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,61607,CPT,Resect/excise cranial lesion,,,21 ,,RBRVS,40.82 ,22.73 ,22.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,61608,CPT,Resect/excise cranial lesion,,,21 ,,RBRVS,45.45 ,26.64 ,26.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,61609,CPT,"Transect artery, sinus",,,21 ,,RBRVS,9.88 ,3.70 ,3.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,61610,CPT,"Transect artery, sinus",,,21 ,,RBRVS,29.63 ,12.11 ,12.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,61611,CPT,"Transect artery, sinus",,,21 ,,RBRVS,7.41 ,3.16 ,3.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,61612,CPT,"Transect artery, sinus",,,21 ,,RBRVS,27.84 ,10.94 ,10.94 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,61613,CPT,"Remove aneurysm, sinus",,,21 ,,RBRVS,44.94 ,26.48 ,26.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,61615,CPT,"Resect/excise lesion, skull",,,21 ,,RBRVS,35.63 ,22.18 ,22.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,61616,CPT,"Resect/excise lesion, skull",,,21 ,,RBRVS,46.60 ,27.91 ,27.91 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,61618,CPT,Repair dura,,,21 ,,RBRVS,18.58 ,10.55 ,10.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,61619,CPT,Repair dura,,,21 ,,RBRVS,22.01 ,11.80 ,11.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,61623,CPT,Endovasc tempory vessel occl,,,21 ,,RBRVS,9.95 ,4.00 ,4.00 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,61624,CPT,"Transcath occlusion, cns",,,21 ,,RBRVS,20.12 ,7.73 ,7.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,61626,CPT,"Transcath occlusion, non-cns",,,21 ,,RBRVS,16.60 ,6.33 ,6.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,61630,CPT,Intracranial angioplasty,,,21 ,,RBRVS,22.07 ,9.81 ,9.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,61635,CPT,Intracran angioplsty w/stent,,,21 ,,RBRVS,24.28 ,10.63 ,10.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,61640,CPT,"Dilate ic vasospasm, init",,,21 ,,RBRVS,12.32 ,4.13 ,4.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,61641,CPT,Dilate ic vasospasm add-on,,,21 ,,RBRVS,4.33 ,1.45 ,1.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,61642,CPT,Dilate ic vasospasm add-on,,,21 ,,RBRVS,8.66 ,2.90 ,2.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,61680,CPT,Intracranial vessel surgery,,,21 ,,RBRVS,32.40 ,17.43 ,17.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,61682,CPT,Intracranial vessel surgery,,,21 ,,RBRVS,63.31 ,29.66 ,29.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,61684,CPT,Intracranial vessel surgery,,,21 ,,RBRVS,41.49 ,20.59 ,20.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,61686,CPT,Intracranial vessel surgery,,,21 ,,RBRVS,67.32 ,32.43 ,32.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,61690,CPT,Intracranial vessel surgery,,,21 ,,RBRVS,31.18 ,16.65 ,16.65 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,61692,CPT,Intracranial vessel surgery,,,21 ,,RBRVS,54.43 ,26.18 ,26.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,61697,CPT,"Brain aneurysm repr, complx",,,21 ,,RBRVS,63.22 ,29.50 ,29.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,61698,CPT,"Brain aneurysm repr, complx",,,21 ,,RBRVS,69.45 ,31.19 ,31.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,61700,CPT,"Brain aneurysm repr, simple",,,21 ,,RBRVS,50.44 ,25.55 ,25.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,61702,CPT,Inner skull vessel surgery,,,21 ,,RBRVS,59.86 ,27.81 ,27.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,61703,CPT,Clamp neck artery,,,21 ,,RBRVS,18.70 ,11.11 ,11.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,61705,CPT,Revise circulation to head,,,21 ,,RBRVS,37.97 ,18.46 ,18.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,61708,CPT,Revise circulation to head,,,21 ,,RBRVS,37.07 ,15.21 ,15.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,61710,CPT,Revise circulation to head,,,21 ,,RBRVS,31.19 ,14.86 ,14.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,61711,CPT,Fusion of skull arteries,,,21 ,,RBRVS,38.10 ,19.15 ,19.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,61720,CPT,Incise skull/brain surgery,,,21 ,,RBRVS,17.52 ,8.99 ,8.99 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,61735,CPT,Incise skull/brain surgery,,,21 ,,RBRVS,22.22 ,10.80 ,10.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,61750,CPT,Incise skull/brain biopsy,,,21 ,,RBRVS,19.73 ,11.12 ,11.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,61751,CPT,Brain biopsy w/ct/mr guide,,,21 ,,RBRVS,18.64 ,11.46 ,11.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,61760,CPT,Implant brain electrodes,,,21 ,,RBRVS,22.24 ,11.55 ,11.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,61770,CPT,Incise skull for treatment,,,21 ,,RBRVS,23.09 ,11.47 ,11.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,61790,CPT,Treat trigeminal nerve,,,21 ,,RBRVS,11.50 ,7.21 ,7.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,61791,CPT,Treat trigeminal tract,,,21 ,,RBRVS,15.31 ,9.08 ,9.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,61795,CPT,Brain surgery using computer,,,21 ,,RBRVS,4.03 ,1.65 ,1.65 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,61796,CPT,"Srs, cranial lesion simple",,,21 ,,RBRVS,10.79 ,6.85 ,6.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,61797,CPT,"Srs, cran les simple, addl",,,21 ,,RBRVS,3.48 ,1.34 ,1.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,61798,CPT,"Srs, cranial lesion complex",,,21 ,,RBRVS,10.79 ,6.85 ,6.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,61799,CPT,"Srs, cran les complex, addl",,,21 ,,RBRVS,4.81 ,1.85 ,1.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,61800,CPT,Apply srs headframe add-on,,,21 ,,RBRVS,2.25 ,1.11 ,1.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,61850,CPT,Implant neuroelectrodes,,,21 ,,RBRVS,13.26 ,8.26 ,8.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,61860,CPT,Implant neuroelectrodes,,,21 ,,RBRVS,22.16 ,12.24 ,12.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,61863,CPT,Implant neuroelectrode,,,21 ,,RBRVS,20.56 ,12.41 ,12.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,61864,CPT,"Implant neuroelectrde, addl",,,21 ,,RBRVS,4.49 ,1.90 ,1.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,61867,CPT,Implant neuroelectrode,,,21 ,,RBRVS,32.88 ,17.43 ,17.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,61868,CPT,"Implant neuroelectrde, add'l",,,21 ,,RBRVS,7.91 ,3.34 ,3.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,61870,CPT,Implant neuroelectrodes,,,21 ,,RBRVS,16.24 ,9.85 ,9.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,61875,CPT,Implant neuroelectrodes,,,21 ,,RBRVS,16.36 ,9.60 ,9.60 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,61880,CPT,Revise/remove neuroelectrode,,,21 ,,RBRVS,6.87 ,5.24 ,5.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,61885,CPT,Insrt/redo neurostim 1 array,,,21 ,,RBRVS,7.37 ,6.87 ,6.87 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,61886,CPT,Implant neurostim arrays,,,21 ,,RBRVS,9.73 ,8.25 ,8.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,61888,CPT,Revise/remove neuroreceiver,,,21 ,,RBRVS,5.20 ,3.57 ,3.57 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,62000,CPT,Treat skull fracture,,,21 ,,RBRVS,13.83 ,6.76 ,6.76 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,62005,CPT,Treat skull fracture,,,21 ,,RBRVS,17.53 ,9.91 ,9.91 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,62010,CPT,Treatment of head injury,,,21 ,,RBRVS,21.30 ,11.94 ,11.94 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,62100,CPT,Repair brain fluid leakage,,,21 ,,RBRVS,23.40 ,12.41 ,12.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,62115,CPT,Reduction of skull defect,,,21 ,,RBRVS,22.71 ,8.30 ,8.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,62116,CPT,Reduction of skull defect,,,21 ,,RBRVS,24.90 ,14.03 ,14.03 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,62117,CPT,Reduction of skull defect,,,21 ,,RBRVS,28.26 ,15.14 ,15.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,62120,CPT,Repair skull cavity lesion,,,21 ,,RBRVS,24.39 ,17.81 ,17.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,62121,CPT,Incise skull repair,,,21 ,,RBRVS,22.93 ,14.62 ,14.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,62140,CPT,Repair of skull defect,,,21 ,,RBRVS,14.45 ,8.62 ,8.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,62141,CPT,Repair of skull defect,,,21 ,,RBRVS,15.97 ,9.40 ,9.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,62142,CPT,Remove skull plate/flap,,,21 ,,RBRVS,11.73 ,7.70 ,7.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,62143,CPT,Replace skull plate/flap,,,21 ,,RBRVS,14.05 ,8.59 ,8.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,62145,CPT,Repair of skull & brain,,,21 ,,RBRVS,19.99 ,11.11 ,11.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,62146,CPT,Repair of skull with graft,,,21 ,,RBRVS,17.18 ,9.67 ,9.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,62147,CPT,Repair of skull with graft,,,21 ,,RBRVS,20.57 ,11.30 ,11.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,62148,CPT,Retr bone flap to fix skull,,,21 ,,RBRVS,2.00 ,0.80 ,0.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,62160,CPT,Neuroendoscopy add-on,,,21 ,,RBRVS,3.00 ,1.27 ,1.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,62161,CPT,Dissect brain w/scope,,,21 ,,RBRVS,21.10 ,12.12 ,12.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,62162,CPT,Remove colloid cyst w/scope,,,21 ,,RBRVS,26.67 ,15.00 ,15.00 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,62163,CPT,Neuroendoscopy w/fb removal,,,21 ,,RBRVS,16.40 ,10.47 ,10.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,62164,CPT,Remove brain tumor w/scope,,,21 ,,RBRVS,29.27 ,15.77 ,15.77 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,62165,CPT,Remove pituit tumor w/scope,,,21 ,,RBRVS,23.10 ,12.63 ,12.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,62180,CPT,Establish brain cavity shunt,,,21 ,,RBRVS,22.45 ,12.66 ,12.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,62190,CPT,Establish brain cavity shunt,,,21 ,,RBRVS,12.07 ,7.94 ,7.94 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,62192,CPT,Establish brain cavity shunt,,,21 ,,RBRVS,13.25 ,8.05 ,8.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,62194,CPT,Replace/irrigate catheter,,,21 ,,RBRVS,5.68 ,3.22 ,3.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,62200,CPT,Establish brain cavity shunt,,,21 ,,RBRVS,19.19 ,10.95 ,10.95 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,62201,CPT,Brain cavity shunt w/scope,,,21 ,,RBRVS,15.89 ,10.20 ,10.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,62220,CPT,Establish brain cavity shunt,,,21 ,,RBRVS,14.00 ,8.26 ,8.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,62223,CPT,Establish brain cavity shunt,,,21 ,,RBRVS,13.90 ,9.16 ,9.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,62225,CPT,Replace/irrigate catheter,,,21 ,,RBRVS,6.11 ,4.97 ,4.97 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,62230,CPT,Replace/revise brain shunt,,,21 ,,RBRVS,11.35 ,7.09 ,7.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,62252,CPT,Csf shunt reprogram,26,,21 ,,RBRVS,0.74 ,0.31 ,0.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,62252,CPT,Csf shunt reprogram,,,21 ,,RBRVS,0.74 ,1.65 ,1.65 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,62252,CPT,Csf shunt reprogram,TC,,21 ,,RBRVS,,1.34 ,1.34 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,62256,CPT,Remove brain cavity shunt,,,21 ,,RBRVS,7.30 ,5.62 ,5.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,62258,CPT,Replace brain cavity shunt,,,21 ,,RBRVS,15.54 ,9.19 ,9.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,62263,CPT,Epidural lysis mult sessions,,,21 ,,RBRVS,6.41 ,2.96 ,9.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,62264,CPT,Epidural lysis on single day,,,21 ,,RBRVS,4.42 ,1.29 ,5.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,62267,CPT,"Interdiscal perq aspir, dx",,,21 ,,RBRVS,3.00 ,1.15 ,3.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,62268,CPT,Drain spinal cord cyst,,,21 ,,RBRVS,4.73 ,1.94 ,6.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,62269,CPT,"Needle biopsy, spinal cord",,,21 ,,RBRVS,5.01 ,1.82 ,7.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,62270,CPT,"Spinal fluid tap, diagnostic",,,21 ,,RBRVS,1.37 ,0.59 ,2.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,62272,CPT,Drain cerebro spinal fluid,,,21 ,,RBRVS,1.35 ,0.66 ,3.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,62273,CPT,Inject epidural patch,,,21 ,,RBRVS,2.15 ,0.63 ,1.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,62280,CPT,Treat spinal cord lesion,,,21 ,,RBRVS,2.63 ,1.10 ,4.94 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,62281,CPT,Treat spinal cord lesion,,,21 ,,RBRVS,2.66 ,1.00 ,4.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,62282,CPT,Treat spinal canal lesion,,,21 ,,RBRVS,2.33 ,1.05 ,5.02 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,62284,CPT,Injection for myelogram,,,21 ,,RBRVS,1.54 ,0.74 ,4.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,62287,CPT,Percutaneous diskectomy,,,21 ,,RBRVS,8.88 ,4.70 ,4.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,62290,CPT,Inject for spine disk x-ray,,,21 ,,RBRVS,3.00 ,1.25 ,5.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,62291,CPT,Inject for spine disk x-ray,,,21 ,,RBRVS,2.91 ,1.17 ,4.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,62292,CPT,Injection into disk lesion,,,21 ,,RBRVS,9.14 ,2.87 ,2.87 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,62294,CPT,Injection into spinal artery,,,21 ,,RBRVS,12.77 ,6.59 ,6.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,62310,CPT,Inject spine c/t,,,21 ,,RBRVS,1.91 ,0.61 ,3.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,62311,CPT,Inject spine l/s (cd),,,21 ,,RBRVS,1.54 ,0.56 ,3.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,62318,CPT,"Inject spine w/cath, c/t",,,21 ,,RBRVS,2.04 ,0.49 ,3.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,62319,CPT,Inject spine w/cath l/s (cd),,,21 ,,RBRVS,1.87 ,0.50 ,3.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,62350,CPT,Implant spinal canal cath,,,21 ,,RBRVS,6.00 ,3.09 ,3.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,62351,CPT,Implant spinal canal cath,,,21 ,,RBRVS,11.54 ,7.56 ,7.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,62355,CPT,Remove spinal canal catheter,,,21 ,,RBRVS,4.30 ,2.56 ,2.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,62360,CPT,Insert spine infusion device,,,21 ,,RBRVS,4.28 ,2.55 ,2.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,62361,CPT,Implant spine infusion pump,,,21 ,,RBRVS,5.60 ,3.60 ,3.60 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,62362,CPT,Implant spine infusion pump,,,21 ,,RBRVS,6.05 ,3.43 ,3.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,62365,CPT,Remove spine infusion device,,,21 ,,RBRVS,4.60 ,2.94 ,2.94 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,62367,CPT,Analyze spine infusion pump,,,21 ,,RBRVS,0.48 ,0.12 ,0.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,62368,CPT,Analyze spine infusion pump,,,21 ,,RBRVS,0.75 ,0.18 ,0.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,63001,CPT,Removal of spinal lamina,,,21 ,,RBRVS,17.51 ,9.92 ,9.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,63003,CPT,Removal of spinal lamina,,,21 ,,RBRVS,17.64 ,10.00 ,10.00 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,63005,CPT,Removal of spinal lamina,,,21 ,,RBRVS,16.28 ,10.10 ,10.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,63011,CPT,Removal of spinal lamina,,,21 ,,RBRVS,15.78 ,9.00 ,9.00 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,63012,CPT,Removal of spinal lamina,,,21 ,,RBRVS,16.72 ,10.06 ,10.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,63015,CPT,Removal of spinal lamina,,,21 ,,RBRVS,20.70 ,12.10 ,12.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,63016,CPT,Removal of spinal lamina,,,21 ,,RBRVS,21.90 ,12.03 ,12.03 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,63017,CPT,Removal of spinal lamina,,,21 ,,RBRVS,17.18 ,10.57 ,10.57 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,63020,CPT,Neck spine disk surgery,,,21 ,,RBRVS,16.05 ,10.02 ,10.02 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,63030,CPT,Low back disk surgery,,,21 ,,RBRVS,13.03 ,8.69 ,8.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,63035,CPT,Spinal disk surgery add-on,,,21 ,,RBRVS,3.15 ,1.36 ,1.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,63040,CPT,"Laminotomy, single cervical",,,21 ,,RBRVS,20.18 ,11.37 ,11.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,63042,CPT,"Laminotomy, single lumbar",,,21 ,,RBRVS,18.61 ,11.02 ,11.02 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,63043,CPT,"Laminotomy, add'l cervical",,,21 ,,TotalUnits,,,,17.38 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,63044,CPT,"Laminotomy, add'l lumbar",,,21 ,,TotalUnits,,,,16.51 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,63045,CPT,Removal of spinal lamina,,,21 ,,RBRVS,17.82 ,10.53 ,10.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,63046,CPT,Removal of spinal lamina,,,21 ,,RBRVS,17.12 ,10.15 ,10.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,63047,CPT,Removal of spinal lamina,,,21 ,,RBRVS,15.22 ,9.68 ,9.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,63048,CPT,Remove spinal lamina add-on,,,21 ,,RBRVS,3.47 ,1.47 ,1.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,63050,CPT,Cervical laminoplasty,,,21 ,,RBRVS,21.88 ,12.27 ,12.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,63051,CPT,C-laminoplasty w/graft/plate,,,21 ,,RBRVS,25.38 ,13.59 ,13.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,63055,CPT,Decompress spinal cord,,,21 ,,RBRVS,23.42 ,12.95 ,12.95 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,63056,CPT,Decompress spinal cord,,,21 ,,RBRVS,21.73 ,11.94 ,11.94 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,63057,CPT,Decompress spine cord add-on,,,21 ,,RBRVS,5.25 ,2.24 ,2.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,63064,CPT,Decompress spinal cord,,,21 ,,RBRVS,26.09 ,13.73 ,13.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,63066,CPT,Decompress spine cord add-on,,,21 ,,RBRVS,3.26 ,1.40 ,1.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,63075,CPT,Neck spine disk surgery,,,21 ,,RBRVS,19.47 ,11.51 ,11.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,63076,CPT,Neck spine disk surgery,,,21 ,,RBRVS,4.04 ,1.73 ,1.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,63077,CPT,"Spine disk surgery, thorax",,,21 ,,RBRVS,22.75 ,11.94 ,11.94 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,63078,CPT,"Spine disk surgery, thorax",,,21 ,,RBRVS,3.28 ,1.38 ,1.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,63081,CPT,Removal of vertebral body,,,21 ,,RBRVS,25.97 ,14.07 ,14.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,63082,CPT,Remove vertebral body add-on,,,21 ,,RBRVS,4.36 ,1.88 ,1.88 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,63085,CPT,Removal of vertebral body,,,21 ,,RBRVS,29.34 ,14.43 ,14.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,63086,CPT,Remove vertebral body add-on,,,21 ,,RBRVS,3.19 ,1.33 ,1.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,63087,CPT,Removal of vertebral body,,,21 ,,RBRVS,37.38 ,18.18 ,18.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,63088,CPT,Remove vertebral body add-on,,,21 ,,RBRVS,4.32 ,1.86 ,1.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,63090,CPT,Removal of vertebral body,,,21 ,,RBRVS,30.78 ,15.28 ,15.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,63091,CPT,Remove vertebral body add-on,,,21 ,,RBRVS,3.03 ,1.27 ,1.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,63101,CPT,Removal of vertebral body,,,21 ,,RBRVS,33.92 ,18.25 ,18.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,63102,CPT,Removal of vertebral body,,,21 ,,RBRVS,33.92 ,18.01 ,18.01 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,63103,CPT,Remove vertebral body add-on,,,21 ,,RBRVS,4.82 ,2.10 ,2.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,63170,CPT,Incise spinal cord tract(s),,,21 ,,RBRVS,22.08 ,12.17 ,12.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,63172,CPT,Drainage of spinal cyst,,,21 ,,RBRVS,19.66 ,11.11 ,11.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,63173,CPT,Drainage of spinal cyst,,,21 ,,RBRVS,24.18 ,13.64 ,13.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,63180,CPT,Revise spinal cord ligaments,,,21 ,,RBRVS,20.40 ,10.88 ,10.88 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,63182,CPT,Revise spinal cord ligaments,,,21 ,,RBRVS,22.69 ,10.07 ,10.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,63185,CPT,Incise spinal column/nerves,,,21 ,,RBRVS,16.36 ,9.39 ,9.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,63190,CPT,Incise spinal column/nerves,,,21 ,,RBRVS,18.76 ,10.82 ,10.82 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,63191,CPT,Incise spinal column/nerves,,,21 ,,RBRVS,18.79 ,7.20 ,7.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,63194,CPT,Incise spinal column & cord,,,21 ,,RBRVS,21.97 ,11.93 ,11.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,63195,CPT,Incise spinal column & cord,,,21 ,,RBRVS,21.54 ,11.72 ,11.72 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,63196,CPT,Incise spinal column & cord,,,21 ,,RBRVS,25.14 ,13.97 ,13.97 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,63197,CPT,Incise spinal column & cord,,,21 ,,RBRVS,23.95 ,13.42 ,13.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,63198,CPT,Incise spinal column & cord,,,21 ,,RBRVS,29.75 ,11.31 ,11.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,63199,CPT,Incise spinal column & cord,,,21 ,,RBRVS,31.32 ,15.89 ,15.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,63200,CPT,Release of spinal cord,,,21 ,,RBRVS,21.31 ,12.01 ,12.01 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,63250,CPT,Revise spinal cord vessels,,,21 ,,RBRVS,43.73 ,21.27 ,21.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,63251,CPT,Revise spinal cord vessels,,,21 ,,RBRVS,44.49 ,22.27 ,22.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,63252,CPT,Revise spinal cord vessels,,,21 ,,RBRVS,44.48 ,22.18 ,22.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,63265,CPT,Excise intraspinal lesion,,,21 ,,RBRVS,23.69 ,13.24 ,13.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,63266,CPT,Excise intraspinal lesion,,,21 ,,RBRVS,24.55 ,13.44 ,13.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,63267,CPT,Excise intraspinal lesion,,,21 ,,RBRVS,19.32 ,11.36 ,11.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,63268,CPT,Excise intraspinal lesion,,,21 ,,RBRVS,19.89 ,11.37 ,11.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,63270,CPT,Excise intraspinal lesion,,,21 ,,RBRVS,29.67 ,15.68 ,15.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,63271,CPT,Excise intraspinal lesion,,,21 ,,RBRVS,29.79 ,15.81 ,15.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,63272,CPT,Excise intraspinal lesion,,,21 ,,RBRVS,27.37 ,14.76 ,14.76 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,63273,CPT,Excise intraspinal lesion,,,21 ,,RBRVS,26.34 ,13.50 ,13.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,63275,CPT,Biopsy/excise spinal tumor,,,21 ,,RBRVS,25.73 ,13.95 ,13.95 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,63276,CPT,Biopsy/excise spinal tumor,,,21 ,,RBRVS,25.56 ,13.94 ,13.94 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,63277,CPT,Biopsy/excise spinal tumor,,,21 ,,RBRVS,22.26 ,12.49 ,12.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,63278,CPT,Biopsy/excise spinal tumor,,,21 ,,RBRVS,21.99 ,12.27 ,12.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,63280,CPT,Biopsy/excise spinal tumor,,,21 ,,RBRVS,30.14 ,16.51 ,16.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,63281,CPT,Biopsy/excise spinal tumor,,,21 ,,RBRVS,29.84 ,16.29 ,16.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,63282,CPT,Biopsy/excise spinal tumor,,,21 ,,RBRVS,28.00 ,15.54 ,15.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,63283,CPT,Biopsy/excise spinal tumor,,,21 ,,RBRVS,26.61 ,14.74 ,14.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,63285,CPT,Biopsy/excise spinal tumor,,,21 ,,RBRVS,37.90 ,19.16 ,19.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,63286,CPT,Biopsy/excise spinal tumor,,,21 ,,RBRVS,37.47 ,19.36 ,19.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,63287,CPT,Biopsy/excise spinal tumor,,,21 ,,RBRVS,39.93 ,20.24 ,20.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,63290,CPT,Biopsy/excise spinal tumor,,,21 ,,RBRVS,40.67 ,20.53 ,20.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,63295,CPT,Repair of laminectomy defect,,,21 ,,RBRVS,5.25 ,2.06 ,2.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,63300,CPT,Removal of vertebral body,,,21 ,,RBRVS,26.67 ,14.25 ,14.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,63301,CPT,Removal of vertebral body,,,21 ,,RBRVS,31.42 ,15.32 ,15.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,63302,CPT,Removal of vertebral body,,,21 ,,RBRVS,31.00 ,15.34 ,15.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,63303,CPT,Removal of vertebral body,,,21 ,,RBRVS,33.42 ,15.75 ,15.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,63304,CPT,Removal of vertebral body,,,21 ,,RBRVS,33.70 ,17.56 ,17.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,63305,CPT,Removal of vertebral body,,,21 ,,RBRVS,36.09 ,16.75 ,16.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,63306,CPT,Removal of vertebral body,,,21 ,,RBRVS,35.40 ,18.55 ,18.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,63307,CPT,Removal of vertebral body,,,21 ,,RBRVS,34.81 ,17.35 ,17.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,63308,CPT,Remove vertebral body add-on,,,21 ,,RBRVS,5.24 ,2.22 ,2.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,63600,CPT,Remove spinal cord lesion,,,21 ,,RBRVS,15.02 ,4.77 ,4.77 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,63610,CPT,Stimulation of spinal cord,,,21 ,,RBRVS,8.72 ,1.83 ,24.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,63615,CPT,Remove lesion of spinal cord,,,21 ,,RBRVS,17.22 ,8.91 ,8.91 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,63620,CPT,"Srs, spinal lesion",,,21 ,,RBRVS,10.79 ,6.85 ,6.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,63621,CPT,"Srs, spinal lesion, addl",,,21 ,,RBRVS,4.00 ,1.54 ,1.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,63650,CPT,Implant neuroelectrodes,,,21 ,,RBRVS,7.15 ,2.83 ,2.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,63655,CPT,Implant neuroelectrodes,,,21 ,,RBRVS,11.43 ,7.58 ,7.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,63661,CPT,Remove spine eltrd perq aray,,,21 ,,RBRVS,5.08 ,3.19 ,9.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,63662,CPT,Remove spine eltrd plate,,,21 ,,RBRVS,11.00 ,6.94 ,6.94 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,63663,CPT,Revise spine eltrd perq aray,,,21 ,,RBRVS,7.75 ,4.27 ,13.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,63664,CPT,Revise spine eltrd plate,,,21 ,,RBRVS,11.52 ,7.15 ,7.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,63685,CPT,Insrt/redo spine n generator,,,21 ,,RBRVS,6.00 ,3.22 ,3.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,63688,CPT,Revise/remove neuroreceiver,,,21 ,,RBRVS,5.25 ,3.05 ,3.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,63700,CPT,Repair of spinal herniation,,,21 ,,RBRVS,17.32 ,10.29 ,10.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,63702,CPT,Repair of spinal herniation,,,21 ,,RBRVS,19.26 ,11.69 ,11.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,63704,CPT,Repair of spinal herniation,,,21 ,,RBRVS,22.23 ,12.25 ,12.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,63706,CPT,Repair of spinal herniation,,,21 ,,RBRVS,25.15 ,14.42 ,14.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,63707,CPT,Repair spinal fluid leakage,,,21 ,,RBRVS,12.52 ,7.94 ,7.94 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,63709,CPT,Repair spinal fluid leakage,,,21 ,,RBRVS,15.52 ,9.31 ,9.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,63710,CPT,Graft repair of spine defect,,,21 ,,RBRVS,15.27 ,9.33 ,9.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,63740,CPT,Install spinal shunt,,,21 ,,RBRVS,12.50 ,8.35 ,8.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,63741,CPT,Install spinal shunt,,,21 ,,RBRVS,9.02 ,4.68 ,4.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,63744,CPT,Revision of spinal shunt,,,21 ,,RBRVS,8.86 ,5.43 ,5.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,63746,CPT,Removal of spinal shunt,,,21 ,,RBRVS,7.25 ,5.32 ,5.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,64400,CPT,"N block inj, trigeminal",,,21 ,,RBRVS,1.11 ,0.45 ,1.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,64402,CPT,"N block inj, facial",,,21 ,,RBRVS,1.25 ,0.52 ,1.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,64405,CPT,"N block inj, occipital",,,21 ,,RBRVS,1.32 ,0.50 ,1.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,64408,CPT,"N block inj, vagus",,,21 ,,RBRVS,1.41 ,0.79 ,1.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,64410,CPT,"N block inj, phrenic",,,21 ,,RBRVS,1.43 ,0.52 ,2.01 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,64412,CPT,"N block inj, spinal accessor",,,21 ,,RBRVS,1.18 ,0.56 ,2.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,64413,CPT,"N block inj, cervical plexus",,,21 ,,RBRVS,1.40 ,0.50 ,1.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,64415,CPT,"N block inj, brachial plexus",,,21 ,,RBRVS,1.48 ,0.35 ,1.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,64416,CPT,"N block cont infuse, b plex",,,21 ,,RBRVS,1.81 ,0.36 ,0.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,64417,CPT,"N block inj, axillary",,,21 ,,RBRVS,1.44 ,0.36 ,1.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,64418,CPT,"N block inj, suprascapular",,,21 ,,RBRVS,1.32 ,0.50 ,2.02 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,64420,CPT,"N block inj, intercost, sng",,,21 ,,RBRVS,1.18 ,0.45 ,2.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,64421,CPT,"N block inj, intercost, mlt",,,21 ,,RBRVS,1.68 ,0.55 ,4.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,64425,CPT,"N block inj, ilio-ing/hypogi",,,21 ,,RBRVS,1.75 ,0.55 ,1.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,64430,CPT,"N block inj, pudendal",,,21 ,,RBRVS,1.46 ,0.74 ,2.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,64435,CPT,"N block inj, paracervical",,,21 ,,RBRVS,1.45 ,0.61 ,2.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,64445,CPT,"N block inj, sciatic, sng",,,21 ,,RBRVS,1.48 ,0.51 ,1.87 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,64446,CPT,"N blk inj, sciatic, cont inf",,,21 ,,RBRVS,1.81 ,0.43 ,0.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,64447,CPT,"N block inj fem, single",,,21 ,,RBRVS,1.50 ,0.24 ,0.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,64448,CPT,"N block inj fem, cont inf",,,21 ,,RBRVS,1.63 ,0.35 ,0.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,64449,CPT,"N block inj, lumbar plexus",,,21 ,,RBRVS,1.81 ,0.44 ,0.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,64450,CPT,"N block, other peripheral",,,21 ,,RBRVS,1.27 ,0.49 ,1.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,64455,CPT,"N block inj, plantar digit",,,21 ,,RBRVS,0.75 ,0.24 ,0.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,64479,CPT,Inj foramen epidural c/t,,,21 ,,RBRVS,2.20 ,0.86 ,4.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,64480,CPT,Inj foramen epidural add-on,,,21 ,,RBRVS,1.54 ,0.44 ,1.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,64483,CPT,Inj foramen epidural l/s,,,21 ,,RBRVS,1.90 ,0.79 ,4.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,64484,CPT,Inj foramen epidural add-on,,,21 ,,RBRVS,1.33 ,0.36 ,2.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,64490,CPT,Inj paravert f jnt c/t 1 lev,,,21 ,,RBRVS,1.82 ,1.02 ,2.57 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,64491,CPT,Inj paravert f jnt c/t 2 lev,,,21 ,,RBRVS,1.16 ,0.46 ,0.98 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,64492,CPT,Inj paravert f jnt c/t 3 lev,,,21 ,,RBRVS,1.16 ,0.49 ,1.01 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,64493,CPT,Inj paravert f jnt l/s 1 lev,,,21 ,,RBRVS,1.52 ,0.90 ,2.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,64494,CPT,Inj paravert f jnt l/s 2 lev,,,21 ,,RBRVS,1.00 ,0.39 ,0.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,64495,CPT,Inj paravert f jnt l/s 3 lev,,,21 ,,RBRVS,1.00 ,0.42 ,0.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,64505,CPT,"N block, spenopalatine gangl",,,21 ,,RBRVS,1.36 ,0.72 ,1.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,64508,CPT,"N block, carotid sinus s/p",,,21 ,,RBRVS,1.12 ,0.61 ,2.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,64510,CPT,"N block, stellate ganglion",,,21 ,,RBRVS,1.22 ,0.46 ,2.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,64517,CPT,"N block inj, hypogas plxs",,,21 ,,RBRVS,2.20 ,0.76 ,2.01 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,64520,CPT,"N block, lumbar/thoracic",,,21 ,,RBRVS,1.35 ,0.55 ,3.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,64530,CPT,"N block inj, celiac pelus",,,21 ,,RBRVS,1.58 ,0.66 ,3.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,64550,CPT,Apply neurostimulator,,,21 ,,RBRVS,0.18 ,0.05 ,0.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,64553,CPT,Implant neuroelectrodes,,,21 ,,RBRVS,2.33 ,1.56 ,2.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,64555,CPT,Implant neuroelectrodes,,,21 ,,RBRVS,2.29 ,1.53 ,3.01 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,64560,CPT,Implant neuroelectrodes,,,21 ,,RBRVS,2.38 ,1.54 ,2.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,64561,CPT,Implant neuroelectrodes,,,21 ,,RBRVS,7.07 ,3.64 ,22.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,64565,CPT,Implant neuroelectrodes,,,21 ,,RBRVS,1.78 ,1.15 ,2.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,64573,CPT,Implant neuroelectrodes,,,21 ,,RBRVS,8.15 ,5.31 ,5.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,64575,CPT,Implant neuroelectrodes,,,21 ,,RBRVS,4.37 ,2.38 ,2.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,64577,CPT,Implant neuroelectrodes,,,21 ,,RBRVS,4.64 ,3.54 ,3.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,64580,CPT,Implant neuroelectrodes,,,21 ,,RBRVS,4.14 ,3.03 ,3.03 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,64581,CPT,Implant neuroelectrodes,,,21 ,,RBRVS,14.15 ,6.59 ,6.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,64585,CPT,Revise/remove neuroelectrode,,,21 ,,RBRVS,2.08 ,1.88 ,6.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,64590,CPT,Insrt/redo pn/gastr stimul,,,21 ,,RBRVS,2.42 ,2.03 ,5.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,64595,CPT,Revise/rmv pn/gastr stimul,,,21 ,,RBRVS,1.75 ,1.74 ,6.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,64600,CPT,Injection treatment of nerve,,,21 ,,RBRVS,3.46 ,1.71 ,6.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,64605,CPT,Injection treatment of nerve,,,21 ,,RBRVS,5.62 ,2.44 ,8.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,64610,CPT,Injection treatment of nerve,,,21 ,,RBRVS,7.17 ,3.85 ,9.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,64612,CPT,"Destroy nerve, face muscle",,,21 ,,RBRVS,1.98 ,1.36 ,1.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,64613,CPT,"Destroy nerve, neck muscle",,,21 ,,RBRVS,1.98 ,1.17 ,1.77 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,64614,CPT,"Destroy nerve, extrem musc",,,21 ,,RBRVS,2.20 ,1.32 ,2.02 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,64620,CPT,Injection treatment of nerve,,,21 ,,RBRVS,2.86 ,1.22 ,3.82 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,64622,CPT,Destr paravertebrl nerve l/s,,,21 ,,RBRVS,3.02 ,1.33 ,5.02 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,64623,CPT,Destr paravertebral n add-on,,,21 ,,RBRVS,0.99 ,0.23 ,2.00 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,64626,CPT,Destr paravertebrl nerve c/t,,,21 ,,RBRVS,3.82 ,1.95 ,5.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,64627,CPT,Destr paravertebral n add-on,,,21 ,,RBRVS,1.16 ,0.27 ,2.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,64630,CPT,Injection treatment of nerve,,,21 ,,RBRVS,3.02 ,1.74 ,2.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,64632,CPT,"N block inj, common digit",,,21 ,,RBRVS,1.20 ,0.63 ,0.95 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,64640,CPT,Injection treatment of nerve,,,21 ,,RBRVS,2.78 ,1.52 ,2.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,64650,CPT,Chemodenerv eccrine glands,,,21 ,,RBRVS,0.70 ,0.27 ,0.95 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,64653,CPT,Chemodenerv eccrine glands,,,21 ,,RBRVS,0.88 ,0.33 ,1.03 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,64680,CPT,Injection treatment of nerve,,,21 ,,RBRVS,2.64 ,1.33 ,4.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,64681,CPT,Injection treatment of nerve,,,21 ,,RBRVS,3.78 ,1.53 ,6.00 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,64702,CPT,Revise finger/toe nerve,,,21 ,,RBRVS,6.10 ,4.91 ,4.91 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,64704,CPT,Revise hand/foot nerve,,,21 ,,RBRVS,4.61 ,3.38 ,3.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,64708,CPT,Revise arm/leg nerve,,,21 ,,RBRVS,6.22 ,5.00 ,5.00 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,64712,CPT,Revision of sciatic nerve,,,21 ,,RBRVS,7.98 ,5.01 ,5.01 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,64713,CPT,Revision of arm nerve(s),,,21 ,,RBRVS,11.29 ,6.54 ,6.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,64714,CPT,Revise low back nerve(s),,,21 ,,RBRVS,10.44 ,5.03 ,5.03 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,64716,CPT,Revision of cranial nerve,,,21 ,,RBRVS,6.86 ,5.69 ,5.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,64718,CPT,Revise ulnar nerve at elbow,,,21 ,,RBRVS,7.06 ,6.23 ,6.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,64719,CPT,Revise ulnar nerve at wrist,,,21 ,,RBRVS,4.89 ,4.30 ,4.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,64721,CPT,Carpal tunnel surgery,,,21 ,,RBRVS,4.84 ,4.88 ,4.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,64722,CPT,Relieve pressure on nerve(s),,,21 ,,RBRVS,4.74 ,3.24 ,3.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,64726,CPT,Release foot/toe nerve,,,21 ,,RBRVS,4.21 ,2.74 ,2.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,64727,CPT,Internal nerve revision,,,21 ,,RBRVS,3.10 ,1.34 ,1.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,64732,CPT,Incision of brow nerve,,,21 ,,RBRVS,4.81 ,4.03 ,4.03 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,64734,CPT,Incision of cheek nerve,,,21 ,,RBRVS,5.45 ,4.21 ,4.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,64736,CPT,Incision of chin nerve,,,21 ,,RBRVS,5.13 ,4.21 ,4.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,64738,CPT,Incision of jaw nerve,,,21 ,,RBRVS,6.26 ,4.46 ,4.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,64740,CPT,Incision of tongue nerve,,,21 ,,RBRVS,6.12 ,4.84 ,4.84 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,64742,CPT,Incision of facial nerve,,,21 ,,RBRVS,6.75 ,4.44 ,4.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,64744,CPT,"Incise nerve, back of head",,,21 ,,RBRVS,5.64 ,3.84 ,3.84 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,64746,CPT,Incise diaphragm nerve,,,21 ,,RBRVS,6.46 ,4.05 ,4.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,64752,CPT,Incision of vagus nerve,,,21 ,,RBRVS,7.59 ,4.30 ,4.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,64755,CPT,Incision of stomach nerves,,,21 ,,RBRVS,14.97 ,6.03 ,6.03 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,64760,CPT,Incision of vagus nerve,,,21 ,,RBRVS,7.49 ,3.78 ,3.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,64761,CPT,Incision of pelvis nerve,,,21 ,,RBRVS,6.94 ,3.89 ,3.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,64763,CPT,Incise hip/thigh nerve,,,21 ,,RBRVS,7.46 ,5.47 ,5.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,64766,CPT,Incise hip/thigh nerve,,,21 ,,RBRVS,9.34 ,5.56 ,5.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,64771,CPT,Sever cranial nerve,,,21 ,,RBRVS,8.02 ,5.82 ,5.82 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,64772,CPT,Incision of spinal nerve,,,21 ,,RBRVS,7.74 ,5.42 ,5.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,64774,CPT,Remove skin nerve lesion,,,21 ,,RBRVS,5.70 ,3.98 ,3.98 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,64776,CPT,Remove digit nerve lesion,,,21 ,,RBRVS,5.52 ,3.75 ,3.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,64778,CPT,Digit nerve surgery add-on,,,21 ,,RBRVS,3.11 ,1.31 ,1.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,64782,CPT,Remove limb nerve lesion,,,21 ,,RBRVS,6.76 ,4.18 ,4.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,64783,CPT,Limb nerve surgery add-on,,,21 ,,RBRVS,3.71 ,1.60 ,1.60 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,64784,CPT,Remove nerve lesion,,,21 ,,RBRVS,10.49 ,6.51 ,6.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,64786,CPT,Remove sciatic nerve lesion,,,21 ,,RBRVS,16.12 ,9.03 ,9.03 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,64787,CPT,Implant nerve end,,,21 ,,RBRVS,4.29 ,1.81 ,1.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,64788,CPT,Remove skin nerve lesion,,,21 ,,RBRVS,5.14 ,3.93 ,3.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,64790,CPT,Removal of nerve lesion,,,21 ,,RBRVS,11.97 ,7.12 ,7.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,64792,CPT,Removal of nerve lesion,,,21 ,,RBRVS,15.71 ,9.21 ,9.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,64795,CPT,Biopsy of nerve,,,21 ,,RBRVS,3.01 ,1.50 ,1.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,64802,CPT,Remove sympathetic nerves,,,21 ,,RBRVS,10.24 ,3.96 ,3.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,64804,CPT,Remove sympathetic nerves,,,21 ,,RBRVS,15.78 ,5.73 ,5.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,64809,CPT,Remove sympathetic nerves,,,21 ,,RBRVS,14.61 ,5.94 ,5.94 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,64818,CPT,Remove sympathetic nerves,,,21 ,,RBRVS,11.24 ,4.60 ,4.60 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,64820,CPT,Remove sympathetic nerves,,,21 ,,RBRVS,10.64 ,7.14 ,7.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,64821,CPT,Remove sympathetic nerves,,,21 ,,RBRVS,9.19 ,6.93 ,6.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,64822,CPT,Remove sympathetic nerves,,,21 ,,RBRVS,9.19 ,6.68 ,6.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,64823,CPT,Remove sympathetic nerves,,,21 ,,RBRVS,10.80 ,7.16 ,7.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,64831,CPT,Repair of digit nerve,,,21 ,,RBRVS,9.00 ,6.86 ,6.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,64832,CPT,Repair nerve add-on,,,21 ,,RBRVS,5.65 ,2.57 ,2.57 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,64834,CPT,Repair of hand or foot nerve,,,21 ,,RBRVS,10.71 ,6.83 ,6.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,64835,CPT,Repair of hand or foot nerve,,,21 ,,RBRVS,11.60 ,7.37 ,7.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,64836,CPT,Repair of hand or foot nerve,,,21 ,,RBRVS,11.60 ,7.40 ,7.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,64837,CPT,Repair nerve add-on,,,21 ,,RBRVS,6.25 ,2.86 ,2.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,64840,CPT,Repair of leg nerve,,,21 ,,RBRVS,13.87 ,8.10 ,8.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,64856,CPT,Repair/transpose nerve,,,21 ,,RBRVS,14.94 ,8.95 ,8.95 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,64857,CPT,Repair arm/leg nerve,,,21 ,,RBRVS,15.69 ,9.29 ,9.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,64858,CPT,Repair sciatic nerve,,,21 ,,RBRVS,17.69 ,10.60 ,10.60 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,64859,CPT,Nerve surgery,,,21 ,,RBRVS,4.25 ,1.92 ,1.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,64861,CPT,Repair of arm nerves,,,21 ,,RBRVS,20.74 ,10.94 ,10.94 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,64862,CPT,Repair of low back nerves,,,21 ,,RBRVS,20.94 ,9.87 ,9.87 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,64864,CPT,Repair of facial nerve,,,21 ,,RBRVS,13.31 ,7.78 ,7.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,64865,CPT,Repair of facial nerve,,,21 ,,RBRVS,15.96 ,12.08 ,12.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,64866,CPT,Fusion of facial/other nerve,,,21 ,,RBRVS,16.70 ,12.12 ,12.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,64868,CPT,Fusion of facial/other nerve,,,21 ,,RBRVS,14.80 ,10.65 ,10.65 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,64870,CPT,Fusion of facial/other nerve,,,21 ,,RBRVS,16.95 ,7.92 ,7.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,64872,CPT,Subsequent repair of nerve,,,21 ,,RBRVS,1.99 ,0.92 ,0.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,64874,CPT,Repair & revise nerve add-on,,,21 ,,RBRVS,2.98 ,1.30 ,1.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,64876,CPT,Repair nerve/shorten bone,,,21 ,,RBRVS,3.37 ,1.29 ,1.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,64885,CPT,"Nerve graft, head or neck",,,21 ,,RBRVS,17.50 ,9.97 ,9.97 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,64886,CPT,"Nerve graft, head or neck",,,21 ,,RBRVS,20.72 ,11.77 ,11.77 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,64890,CPT,"Nerve graft, hand or foot",,,21 ,,RBRVS,16.11 ,9.62 ,9.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,64891,CPT,"Nerve graft, hand or foot",,,21 ,,RBRVS,17.22 ,9.82 ,9.82 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,64892,CPT,"Nerve graft, arm or leg",,,21 ,,RBRVS,15.61 ,9.26 ,9.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,64893,CPT,"Nerve graft, arm or leg",,,21 ,,RBRVS,16.74 ,9.43 ,9.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,64895,CPT,"Nerve graft, hand or foot",,,21 ,,RBRVS,20.26 ,10.75 ,10.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,64896,CPT,"Nerve graft, hand or foot",,,21 ,,RBRVS,21.81 ,12.20 ,12.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,64897,CPT,"Nerve graft, arm or leg",,,21 ,,RBRVS,19.25 ,10.74 ,10.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,64898,CPT,"Nerve graft, arm or leg",,,21 ,,RBRVS,20.82 ,11.89 ,11.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,64901,CPT,Nerve graft add-on,,,21 ,,RBRVS,10.20 ,4.40 ,4.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,64902,CPT,Nerve graft add-on,,,21 ,,RBRVS,11.81 ,4.98 ,4.98 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,64905,CPT,Nerve pedicle transfer,,,21 ,,RBRVS,14.98 ,9.04 ,9.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,64907,CPT,Nerve pedicle transfer,,,21 ,,RBRVS,19.90 ,11.31 ,11.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,64910,CPT,Nerve repair w/allograft,,,21 ,,RBRVS,11.21 ,8.04 ,8.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,64911,CPT,Neurorraphy w/vein autograft,,,21 ,,RBRVS,14.21 ,9.13 ,9.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,64999,CPT,Nervous system surgery,,,21 ,,TotalUnits,,,,2.96 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,65091,CPT,Revise eye,,,21 ,,RBRVS,7.13 ,7.26 ,7.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,65093,CPT,Revise eye with implant,,,21 ,,RBRVS,6.93 ,7.42 ,7.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,65101,CPT,Removal of eye,,,21 ,,RBRVS,8.10 ,8.50 ,8.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,65103,CPT,Remove eye/insert implant,,,21 ,,RBRVS,8.64 ,8.69 ,8.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,65105,CPT,Remove eye/attach implant,,,21 ,,RBRVS,9.70 ,9.41 ,9.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,65110,CPT,Removal of eye,,,21 ,,RBRVS,15.42 ,12.29 ,12.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,65112,CPT,Remove eye/revise socket,,,21 ,,RBRVS,18.18 ,14.22 ,14.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,65114,CPT,Remove eye/revise socket,,,21 ,,RBRVS,19.32 ,14.58 ,14.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,65125,CPT,Revise ocular implant,,,21 ,,RBRVS,3.18 ,3.32 ,7.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,65130,CPT,Insert ocular implant,,,21 ,,RBRVS,8.22 ,8.20 ,8.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,65135,CPT,Insert ocular implant,,,21 ,,RBRVS,8.40 ,8.32 ,8.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,65140,CPT,Attach ocular implant,,,21 ,,RBRVS,9.23 ,8.98 ,8.98 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,65150,CPT,Revise ocular implant,,,21 ,,RBRVS,6.32 ,6.87 ,6.87 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,65155,CPT,Reinsert ocular implant,,,21 ,,RBRVS,9.87 ,9.29 ,9.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,65175,CPT,Removal of ocular implant,,,21 ,,RBRVS,7.22 ,7.58 ,7.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,65205,CPT,Remove foreign body from eye,,,21 ,,RBRVS,0.71 ,0.32 ,0.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,65210,CPT,Remove foreign body from eye,,,21 ,,RBRVS,0.84 ,0.40 ,0.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,65220,CPT,Remove foreign body from eye,,,21 ,,RBRVS,0.71 ,0.29 ,0.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,65222,CPT,Remove foreign body from eye,,,21 ,,RBRVS,0.93 ,0.43 ,0.82 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,65235,CPT,Remove foreign body from eye,,,21 ,,RBRVS,8.78 ,6.96 ,6.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,65260,CPT,Remove foreign body from eye,,,21 ,,RBRVS,12.29 ,9.25 ,9.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,65265,CPT,Remove foreign body from eye,,,21 ,,RBRVS,14.06 ,10.20 ,10.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,65270,CPT,Repair of eye wound,,,21 ,,RBRVS,1.92 ,1.28 ,4.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,65272,CPT,Repair of eye wound,,,21 ,,RBRVS,4.49 ,3.31 ,6.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,65273,CPT,Repair of eye wound,,,21 ,,RBRVS,5.03 ,3.53 ,3.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,65275,CPT,Repair of eye wound,,,21 ,,RBRVS,6.14 ,4.04 ,6.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,65280,CPT,Repair of eye wound,,,21 ,,RBRVS,8.87 ,6.15 ,6.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,65285,CPT,Repair of eye wound,,,21 ,,RBRVS,14.43 ,8.96 ,8.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,65286,CPT,Repair of eye wound,,,21 ,,RBRVS,6.45 ,4.60 ,9.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,65290,CPT,Repair of eye socket wound,,,21 ,,RBRVS,6.35 ,4.66 ,4.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,65400,CPT,Removal of eye lesion,,,21 ,,RBRVS,7.27 ,6.08 ,7.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,65410,CPT,Biopsy of cornea,,,21 ,,RBRVS,1.47 ,0.92 ,1.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,65420,CPT,Removal of eye lesion,,,21 ,,RBRVS,4.24 ,4.17 ,7.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,65426,CPT,Removal of eye lesion,,,21 ,,RBRVS,5.93 ,4.79 ,8.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,65430,CPT,Corneal smear,,,21 ,,RBRVS,1.47 ,0.92 ,1.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,65435,CPT,Curette/treat cornea,,,21 ,,RBRVS,0.92 ,0.68 ,0.91 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,65436,CPT,Curette/treat cornea,,,21 ,,RBRVS,4.72 ,3.60 ,3.95 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,65450,CPT,Treatment of corneal lesion,,,21 ,,RBRVS,3.35 ,3.75 ,3.84 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,65600,CPT,Revision of cornea,,,21 ,,RBRVS,4.07 ,3.48 ,4.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,65710,CPT,Corneal transplant,,,21 ,,RBRVS,14.09 ,10.74 ,10.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,65730,CPT,Corneal transplant,,,21 ,,RBRVS,15.99 ,11.61 ,11.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,65750,CPT,Corneal transplant,,,21 ,,RBRVS,16.60 ,11.36 ,11.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,65755,CPT,Corneal transplant,,,21 ,,RBRVS,16.49 ,11.31 ,11.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,65756,CPT,"Corneal trnspl, endothelial",,,21 ,,RBRVS,16.60 ,10.14 ,10.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,65760,CPT,Revision of cornea,,,21 ,,TotalUnits,,,,23.69 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,65765,CPT,Revision of cornea,,,21 ,,RBRVS,22.04 ,14.54 ,14.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,65767,CPT,Corneal tissue transplant,,,21 ,,RBRVS,20.53 ,13.53 ,13.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,65770,CPT,Revise cornea with implant,,,21 ,,RBRVS,19.41 ,12.53 ,12.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,65771,CPT,Radial keratotomy,,,21 ,,TotalUnits,,,,13.39 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,65772,CPT,Correction of astigmatism,,,21 ,,RBRVS,4.96 ,4.08 ,5.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,65775,CPT,Correction of astigmatism,,,21 ,,RBRVS,6.73 ,5.63 ,5.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,65780,CPT,"Ocular reconst, transplant",,,21 ,,RBRVS,10.43 ,9.49 ,9.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,65781,CPT,"Ocular reconst, transplant",,,21 ,,RBRVS,17.84 ,12.54 ,12.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,65782,CPT,"Ocular reconst, transplant",,,21 ,,RBRVS,15.16 ,11.01 ,11.01 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,65800,CPT,Drainage of eye,,,21 ,,RBRVS,1.91 ,1.11 ,1.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,65805,CPT,Drainage of eye,,,21 ,,RBRVS,1.91 ,1.11 ,1.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,65810,CPT,Drainage of eye,,,21 ,,RBRVS,5.67 ,4.81 ,4.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,65815,CPT,Drainage of eye,,,21 ,,RBRVS,5.85 ,4.77 ,8.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,65820,CPT,Relieve inner eye pressure,,,21 ,,RBRVS,8.72 ,8.15 ,8.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,65850,CPT,Incision of eye,,,21 ,,RBRVS,11.24 ,7.88 ,7.88 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,65855,CPT,Laser surgery of eye,,,21 ,,RBRVS,3.90 ,2.84 ,3.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,65860,CPT,Incise inner eye adhesions,,,21 ,,RBRVS,3.56 ,2.27 ,3.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,65865,CPT,Incise inner eye adhesions,,,21 ,,RBRVS,5.66 ,5.05 ,5.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,65870,CPT,Incise inner eye adhesions,,,21 ,,RBRVS,7.21 ,6.04 ,6.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,65875,CPT,Incise inner eye adhesions,,,21 ,,RBRVS,7.61 ,6.47 ,6.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,65880,CPT,Incise inner eye adhesions,,,21 ,,RBRVS,8.16 ,6.67 ,6.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,65900,CPT,Remove eye lesion,,,21 ,,RBRVS,12.26 ,9.48 ,9.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,65920,CPT,Remove implant of eye,,,21 ,,RBRVS,9.74 ,7.87 ,7.87 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,65930,CPT,Remove blood clot from eye,,,21 ,,RBRVS,8.24 ,6.23 ,6.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,66020,CPT,Injection treatment of eye,,,21 ,,RBRVS,1.61 ,1.35 ,2.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,66030,CPT,Injection treatment of eye,,,21 ,,RBRVS,1.27 ,1.21 ,2.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,66130,CPT,Remove eye lesion,,,21 ,,RBRVS,7.74 ,5.25 ,8.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,66150,CPT,Glaucoma surgery,,,21 ,,RBRVS,10.18 ,9.19 ,9.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,66155,CPT,Glaucoma surgery,,,21 ,,RBRVS,10.17 ,9.17 ,9.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,66160,CPT,Glaucoma surgery,,,21 ,,RBRVS,12.04 ,9.94 ,9.94 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,66165,CPT,Glaucoma surgery,,,21 ,,RBRVS,9.89 ,9.06 ,9.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,66170,CPT,Glaucoma surgery,,,21 ,,RBRVS,14.57 ,12.05 ,12.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,66172,CPT,Incision of eye,,,21 ,,RBRVS,18.26 ,15.20 ,15.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,66180,CPT,Implant eye shunt,,,21 ,,RBRVS,16.02 ,10.36 ,10.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,66185,CPT,Revise eye shunt,,,21 ,,RBRVS,9.35 ,7.35 ,7.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,66220,CPT,Repair eye lesion,,,21 ,,RBRVS,8.98 ,7.33 ,7.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,66225,CPT,Repair/graft eye lesion,,,21 ,,RBRVS,12.38 ,8.57 ,8.57 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,66250,CPT,Follow-up surgery of eye,,,21 ,,RBRVS,6.92 ,5.47 ,9.98 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,66500,CPT,Incision of iris,,,21 ,,RBRVS,3.75 ,4.19 ,4.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,66505,CPT,Incision of iris,,,21 ,,RBRVS,4.13 ,4.56 ,4.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,66600,CPT,Remove iris and lesion,,,21 ,,RBRVS,9.89 ,8.49 ,8.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,66605,CPT,Removal of iris,,,21 ,,RBRVS,13.99 ,9.74 ,9.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,66625,CPT,Removal of iris,,,21 ,,RBRVS,5.19 ,4.45 ,4.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,66630,CPT,Removal of iris,,,21 ,,RBRVS,7.10 ,5.60 ,5.60 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,66635,CPT,Removal of iris,,,21 ,,RBRVS,7.19 ,5.64 ,5.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,66680,CPT,Repair iris & ciliary body,,,21 ,,RBRVS,6.24 ,5.25 ,5.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,66682,CPT,Repair iris & ciliary body,,,21 ,,RBRVS,7.15 ,6.84 ,6.84 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,66700,CPT,"Destruction, ciliary body",,,21 ,,RBRVS,5.06 ,3.80 ,5.02 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,66710,CPT,Ciliary transsleral therapy,,,21 ,,RBRVS,5.06 ,3.78 ,4.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,66711,CPT,Ciliary endoscopic ablation,,,21 ,,RBRVS,7.70 ,6.52 ,6.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,66720,CPT,"Destruction, ciliary body",,,21 ,,RBRVS,4.86 ,4.49 ,5.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,66740,CPT,"Destruction, ciliary body",,,21 ,,RBRVS,5.06 ,3.82 ,4.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,66761,CPT,Revision of iris,,,21 ,,RBRVS,4.87 ,4.33 ,5.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,66762,CPT,Revision of iris,,,21 ,,RBRVS,5.25 ,4.24 ,5.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,66770,CPT,Removal of inner eye lesion,,,21 ,,RBRVS,5.98 ,4.78 ,5.79 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,66820,CPT,"Incision, secondary cataract",,,21 ,,RBRVS,3.93 ,5.00 ,5.00 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,66821,CPT,After cataract laser surgery,,,21 ,,RBRVS,3.32 ,3.54 ,3.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,66825,CPT,Reposition intraocular lens,,,21 ,,RBRVS,8.82 ,8.29 ,8.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,66830,CPT,Removal of lens lesion,,,21 ,,RBRVS,9.27 ,6.74 ,6.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,66840,CPT,Removal of lens material,,,21 ,,RBRVS,8.98 ,6.60 ,6.60 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,66850,CPT,Removal of lens material,,,21 ,,RBRVS,10.32 ,7.46 ,7.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,66852,CPT,Removal of lens material,,,21 ,,RBRVS,11.18 ,7.84 ,7.84 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,66920,CPT,Extraction of lens,,,21 ,,RBRVS,9.93 ,7.04 ,7.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,66930,CPT,Extraction of lens,,,21 ,,RBRVS,11.38 ,7.91 ,7.91 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,66940,CPT,Extraction of lens,,,21 ,,RBRVS,10.14 ,7.39 ,7.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,66982,CPT,"Cataract surgery, complex",,,21 ,,RBRVS,14.83 ,9.26 ,9.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,66983,CPT,"Cataract surg w/iol, 1 stage",,,21 ,,RBRVS,10.20 ,6.61 ,6.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,66984,CPT,"Cataract surg w/iol, 1 stage",,,21 ,,RBRVS,10.36 ,6.96 ,6.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,66985,CPT,Insert lens prosthesis,,,21 ,,RBRVS,9.73 ,7.43 ,7.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,66986,CPT,Exchange lens prosthesis,,,21 ,,RBRVS,12.26 ,8.63 ,8.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,66990,CPT,Ophthalmic endoscope add-on,,,21 ,,RBRVS,1.51 ,0.62 ,0.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,66999,CPT,Eye surgery procedure,,,21 ,,TotalUnits,,,,17.32 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,67005,CPT,Partial removal of eye fluid,,,21 ,,RBRVS,5.77 ,4.78 ,4.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,67010,CPT,Partial removal of eye fluid,,,21 ,,RBRVS,6.94 ,5.26 ,5.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,67015,CPT,Release of eye fluid,,,21 ,,RBRVS,7.00 ,6.04 ,6.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,67025,CPT,Replace eye fluid,,,21 ,,RBRVS,7.91 ,6.17 ,8.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,67027,CPT,Implant eye drug system,,,21 ,,RBRVS,11.43 ,7.80 ,7.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,67028,CPT,Injection eye drug,,,21 ,,RBRVS,2.52 ,1.36 ,2.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,67030,CPT,Incise inner eye strands,,,21 ,,RBRVS,5.91 ,5.79 ,5.79 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,67031,CPT,"Laser surgery, eye strands",,,21 ,,RBRVS,4.34 ,3.58 ,4.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,67036,CPT,Removal of inner eye fluid,,,21 ,,RBRVS,13.09 ,8.65 ,8.65 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,67039,CPT,Laser treatment of retina,,,21 ,,RBRVS,16.39 ,11.48 ,11.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,67040,CPT,Laser treatment of retina,,,21 ,,RBRVS,19.23 ,12.90 ,12.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,67041,CPT,Vit for macular pucker,,,21 ,,RBRVS,19.00 ,10.99 ,10.99 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,67042,CPT,Vit for macular hole,,,21 ,,RBRVS,22.13 ,12.21 ,12.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,67043,CPT,Vit for membrane dissect,,,21 ,,RBRVS,22.94 ,13.10 ,13.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,67101,CPT,Repair detached retina,,,21 ,,RBRVS,8.60 ,6.46 ,8.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,67105,CPT,Repair detached retina,,,21 ,,RBRVS,8.35 ,6.08 ,7.76 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,67107,CPT,Repair detached retina,,,21 ,,RBRVS,16.35 ,10.99 ,10.99 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,67108,CPT,Repair detached retina,,,21 ,,RBRVS,22.49 ,13.87 ,13.87 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,67110,CPT,Repair detached retina,,,21 ,,RBRVS,10.02 ,7.31 ,9.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,67112,CPT,Rerepair detached retina,,,21 ,,RBRVS,18.45 ,11.56 ,11.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,67113,CPT,"Repair retinal detach, cplx",,,21 ,,RBRVS,25.00 ,14.47 ,14.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,67115,CPT,Release encircling material,,,21 ,,RBRVS,5.93 ,5.11 ,5.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,67120,CPT,Remove eye implant material,,,21 ,,RBRVS,6.92 ,5.51 ,7.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,67121,CPT,Remove eye implant material,,,21 ,,RBRVS,12.00 ,8.39 ,8.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,67141,CPT,Treatment of retina,,,21 ,,RBRVS,6.00 ,4.84 ,5.65 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,67145,CPT,Treatment of retina,,,21 ,,RBRVS,6.17 ,4.91 ,5.57 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,67208,CPT,Treatment of retinal lesion,,,21 ,,RBRVS,7.50 ,5.46 ,5.94 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,67210,CPT,Treatment of retinal lesion,,,21 ,,RBRVS,9.35 ,5.78 ,6.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,67218,CPT,Treatment of retinal lesion,,,21 ,,RBRVS,20.22 ,11.52 ,11.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,67220,CPT,Treatment of choroid lesion,,,21 ,,RBRVS,14.19 ,8.73 ,9.87 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,67221,CPT,Ocular photodynamic ther,,,21 ,,RBRVS,3.45 ,1.58 ,3.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,67225,CPT,Eye photodynamic ther add-on,,,21 ,,RBRVS,0.47 ,0.19 ,0.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,67227,CPT,Treatment of retinal lesion,,,21 ,,RBRVS,7.38 ,5.42 ,6.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,67228,CPT,Treatment of retinal lesion,,,21 ,,RBRVS,13.67 ,10.10 ,13.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,67229,CPT,Tr retinal les preterm inf,,,21 ,,RBRVS,16.00 ,10.00 ,10.00 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,67250,CPT,Reinforce eye wall,,,21 ,,RBRVS,9.46 ,8.26 ,8.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,67255,CPT,Reinforce/graft eye wall,,,21 ,,RBRVS,9.97 ,9.02 ,9.02 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,67299,CPT,Eye surgery procedure,,,21 ,,TotalUnits,,,,15.62 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,67311,CPT,Revise eye muscle,,,21 ,,RBRVS,7.59 ,5.82 ,5.82 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,67312,CPT,Revise two eye muscles,,,21 ,,RBRVS,9.48 ,6.56 ,6.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,67314,CPT,Revise eye muscle,,,21 ,,RBRVS,8.59 ,6.46 ,6.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,67316,CPT,Revise two eye muscles,,,21 ,,RBRVS,10.73 ,7.27 ,7.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,67318,CPT,Revise eye muscle(s),,,21 ,,RBRVS,8.92 ,6.83 ,6.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,67320,CPT,Revise eye muscle(s) add-on,,,21 ,,RBRVS,5.40 ,2.08 ,2.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,67331,CPT,Eye surgery follow-up add-on,,,21 ,,RBRVS,5.13 ,1.95 ,1.95 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,67332,CPT,Rerevise eye muscles add-on,,,21 ,,RBRVS,5.56 ,2.14 ,2.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,67334,CPT,Revise eye muscle w/suture,,,21 ,,RBRVS,5.05 ,1.94 ,1.94 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,67335,CPT,Eye suture during surgery,,,21 ,,RBRVS,2.49 ,1.01 ,1.01 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,67340,CPT,Revise eye muscle add-on,,,21 ,,RBRVS,6.00 ,2.32 ,2.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,67343,CPT,Release eye tissue,,,21 ,,RBRVS,8.29 ,6.34 ,6.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,67345,CPT,Destroy nerve of eye muscle,,,21 ,,RBRVS,2.98 ,1.84 ,2.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,67346,CPT,"Biopsy, eye muscle",,,21 ,,RBRVS,2.87 ,1.76 ,1.76 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,67399,CPT,Eye muscle surgery procedure,,,21 ,,TotalUnits,,,,13.41 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,67400,CPT,Explore/biopsy eye socket,,,21 ,,RBRVS,10.97 ,10.11 ,10.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,67405,CPT,Explore/drain eye socket,,,21 ,,RBRVS,9.00 ,8.97 ,8.97 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,67412,CPT,Explore/treat eye socket,,,21 ,,RBRVS,10.17 ,9.37 ,9.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,67413,CPT,Explore/treat eye socket,,,21 ,,RBRVS,10.09 ,9.45 ,9.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,67414,CPT,Explr/decompress eye socket,,,21 ,,RBRVS,17.78 ,12.19 ,12.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,67415,CPT,"Aspiration, orbital contents",,,21 ,,RBRVS,1.76 ,0.69 ,0.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,67420,CPT,Explore/treat eye socket,,,21 ,,RBRVS,21.62 ,15.52 ,15.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,67430,CPT,Explore/treat eye socket,,,21 ,,RBRVS,14.99 ,13.27 ,13.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,67440,CPT,Explore/drain eye socket,,,21 ,,RBRVS,14.56 ,12.77 ,12.77 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,67445,CPT,Explr/decompress eye socket,,,21 ,,RBRVS,18.96 ,13.07 ,13.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,67450,CPT,Explore/biopsy eye socket,,,21 ,,RBRVS,15.11 ,13.28 ,13.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,67500,CPT,Inject/treat eye socket,,,21 ,,RBRVS,1.44 ,0.43 ,0.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,67505,CPT,Inject/treat eye socket,,,21 ,,RBRVS,1.27 ,0.54 ,0.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,67515,CPT,Inject/treat eye socket,,,21 ,,RBRVS,1.40 ,0.59 ,0.76 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,67550,CPT,Insert eye socket implant,,,21 ,,RBRVS,11.52 ,10.36 ,10.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,67560,CPT,Revise eye socket implant,,,21 ,,RBRVS,11.93 ,10.43 ,10.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,67570,CPT,Decompress optic nerve,,,21 ,,RBRVS,14.21 ,12.08 ,12.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,67599,CPT,Orbit surgery procedure,,,21 ,,TotalUnits,,,,2.14 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,67700,CPT,Drainage of eyelid abscess,,,21 ,,RBRVS,1.37 ,1.22 ,4.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,67710,CPT,Incision of eyelid,,,21 ,,RBRVS,1.04 ,1.13 ,4.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,67715,CPT,Incision of eyelid fold,,,21 ,,RBRVS,1.24 ,1.21 ,4.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,67800,CPT,Remove eyelid lesion,,,21 ,,RBRVS,1.39 ,0.97 ,1.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,67801,CPT,Remove eyelid lesions,,,21 ,,RBRVS,1.89 ,1.17 ,1.79 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,67805,CPT,Remove eyelid lesions,,,21 ,,RBRVS,2.24 ,1.52 ,2.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,67808,CPT,Remove eyelid lesion(s),,,21 ,,RBRVS,4.47 ,3.73 ,3.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,67810,CPT,Biopsy of eyelid,,,21 ,,RBRVS,1.48 ,0.72 ,3.77 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,67820,CPT,Revise eyelashes,,,21 ,,RBRVS,0.71 ,0.53 ,0.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,67825,CPT,Revise eyelashes,,,21 ,,RBRVS,1.40 ,1.33 ,1.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,67830,CPT,Revise eyelashes,,,21 ,,RBRVS,1.72 ,1.40 ,4.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,67835,CPT,Revise eyelashes,,,21 ,,RBRVS,5.61 ,4.33 ,4.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,67840,CPT,Remove eyelid lesion,,,21 ,,RBRVS,2.06 ,1.55 ,4.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,67850,CPT,Treat eyelid lesion,,,21 ,,RBRVS,1.71 ,1.54 ,3.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,67875,CPT,Closure of eyelid by suture,,,21 ,,RBRVS,1.35 ,0.89 ,2.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,67880,CPT,Revision of eyelid,,,21 ,,RBRVS,4.47 ,3.73 ,5.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,67882,CPT,Revision of eyelid,,,21 ,,RBRVS,5.87 ,4.69 ,6.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,67900,CPT,Repair brow defect,,,21 ,,RBRVS,6.69 ,4.91 ,7.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,67901,CPT,Repair eyelid defect,,,21 ,,RBRVS,7.47 ,5.47 ,8.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,67902,CPT,Repair eyelid defect,,,21 ,,RBRVS,9.68 ,6.38 ,6.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,67903,CPT,Repair eyelid defect,,,21 ,,RBRVS,6.42 ,4.76 ,7.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,67904,CPT,Repair eyelid defect,,,21 ,,RBRVS,7.83 ,5.52 ,8.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,67906,CPT,Repair eyelid defect,,,21 ,,RBRVS,6.84 ,4.76 ,4.76 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,67908,CPT,Repair eyelid defect,,,21 ,,RBRVS,5.19 ,4.55 ,5.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,67909,CPT,Revise eyelid defect,,,21 ,,RBRVS,5.46 ,4.49 ,6.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,67911,CPT,Revise eyelid defect,,,21 ,,RBRVS,7.38 ,5.15 ,5.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,67912,CPT,Correction eyelid w/implant,,,21 ,,RBRVS,6.23 ,5.05 ,14.60 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,67914,CPT,Repair eyelid defect,,,21 ,,RBRVS,3.70 ,2.86 ,5.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,67915,CPT,Repair eyelid defect,,,21 ,,RBRVS,3.21 ,2.59 ,4.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,67916,CPT,Repair eyelid defect,,,21 ,,RBRVS,5.37 ,4.42 ,6.88 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,67917,CPT,Repair eyelid defect,,,21 ,,RBRVS,6.08 ,4.71 ,7.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,67921,CPT,Repair eyelid defect,,,21 ,,RBRVS,3.42 ,2.72 ,5.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,67922,CPT,Repair eyelid defect,,,21 ,,RBRVS,3.09 ,2.50 ,4.65 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,67923,CPT,Repair eyelid defect,,,21 ,,RBRVS,5.94 ,4.62 ,6.97 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,67924,CPT,Repair eyelid defect,,,21 ,,RBRVS,5.84 ,4.36 ,7.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,67930,CPT,Repair eyelid wound,,,21 ,,RBRVS,3.62 ,1.98 ,4.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,67935,CPT,Repair eyelid wound,,,21 ,,RBRVS,6.27 ,3.94 ,7.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,67938,CPT,Remove eyelid foreign body,,,21 ,,RBRVS,1.35 ,1.26 ,4.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,67950,CPT,Revision of eyelid,,,21 ,,RBRVS,5.88 ,4.71 ,7.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,67961,CPT,Revision of eyelid,,,21 ,,RBRVS,5.75 ,4.61 ,7.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,67966,CPT,Revision of eyelid,,,21 ,,RBRVS,8.83 ,5.90 ,8.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,67971,CPT,Reconstruction of eyelid,,,21 ,,RBRVS,9.87 ,6.69 ,6.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,67973,CPT,Reconstruction of eyelid,,,21 ,,RBRVS,12.96 ,8.45 ,8.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,67974,CPT,Reconstruction of eyelid,,,21 ,,RBRVS,12.93 ,8.39 ,8.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,67975,CPT,Reconstruction of eyelid,,,21 ,,RBRVS,9.21 ,6.43 ,6.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,67999,CPT,Revision of eyelid,,,21 ,,TotalUnits,,,,5.16 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,68020,CPT,Incise/drain eyelid lining,,,21 ,,RBRVS,1.39 ,1.12 ,1.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,68040,CPT,Treatment of eyelid lesions,,,21 ,,RBRVS,0.85 ,0.39 ,0.65 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,68100,CPT,Biopsy of eyelid lining,,,21 ,,RBRVS,1.35 ,0.91 ,2.60 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,68110,CPT,Remove eyelid lining lesion,,,21 ,,RBRVS,1.79 ,1.56 ,3.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,68115,CPT,Remove eyelid lining lesion,,,21 ,,RBRVS,2.38 ,1.79 ,4.76 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,68130,CPT,Remove eyelid lining lesion,,,21 ,,RBRVS,4.99 ,4.29 ,7.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,68135,CPT,Remove eyelid lining lesion,,,21 ,,RBRVS,1.86 ,1.56 ,1.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,68200,CPT,Treat eyelid by injection,,,21 ,,RBRVS,0.49 ,0.31 ,0.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,68320,CPT,Revise/graft eyelid lining,,,21 ,,RBRVS,6.44 ,5.51 ,9.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,68325,CPT,Revise/graft eyelid lining,,,21 ,,RBRVS,8.43 ,6.36 ,6.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,68326,CPT,Revise/graft eyelid lining,,,21 ,,RBRVS,8.22 ,6.23 ,6.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,68328,CPT,Revise/graft eyelid lining,,,21 ,,RBRVS,9.25 ,6.79 ,6.79 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,68330,CPT,Revise eyelid lining,,,21 ,,RBRVS,5.63 ,4.64 ,8.01 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,68335,CPT,Revise/graft eyelid lining,,,21 ,,RBRVS,8.26 ,6.23 ,6.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,68340,CPT,Separate eyelid adhesions,,,21 ,,RBRVS,4.84 ,4.03 ,7.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,68360,CPT,Revise eyelid lining,,,21 ,,RBRVS,5.04 ,4.13 ,6.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,68362,CPT,Revise eyelid lining,,,21 ,,RBRVS,8.41 ,6.28 ,6.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,68371,CPT,"Harvest eye tissue, alograft",,,21 ,,RBRVS,4.97 ,4.34 ,4.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,68399,CPT,Eyelid lining surgery,,,21 ,,TotalUnits,,,,2.70 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,68400,CPT,Incise/drain tear gland,,,21 ,,RBRVS,1.71 ,1.39 ,4.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,68420,CPT,Incise/drain tear sac,,,21 ,,RBRVS,2.32 ,1.65 ,5.02 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,68440,CPT,Incise tear duct opening,,,21 ,,RBRVS,0.96 ,1.22 ,1.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,68500,CPT,Removal of tear gland,,,21 ,,RBRVS,12.49 ,9.39 ,9.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,68505,CPT,"Partial removal, tear gland",,,21 ,,RBRVS,12.41 ,9.61 ,9.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,68510,CPT,Biopsy of tear gland,,,21 ,,RBRVS,4.60 ,2.16 ,5.82 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,68520,CPT,Removal of tear sac,,,21 ,,RBRVS,8.58 ,6.93 ,6.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,68525,CPT,Biopsy of tear sac,,,21 ,,RBRVS,4.42 ,1.79 ,1.79 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,68530,CPT,Clearance of tear duct,,,21 ,,RBRVS,3.67 ,2.31 ,6.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,68540,CPT,Remove tear gland lesion,,,21 ,,RBRVS,11.93 ,9.00 ,9.00 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,68550,CPT,Remove tear gland lesion,,,21 ,,RBRVS,14.86 ,10.76 ,10.76 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,68700,CPT,Repair tear ducts,,,21 ,,RBRVS,7.67 ,5.85 ,5.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,68705,CPT,Revise tear duct opening,,,21 ,,RBRVS,2.08 ,1.68 ,3.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,68720,CPT,Create tear sac drain,,,21 ,,RBRVS,9.78 ,7.36 ,7.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,68745,CPT,Create tear duct drain,,,21 ,,RBRVS,9.70 ,7.46 ,7.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,68750,CPT,Create tear duct drain,,,21 ,,RBRVS,9.87 ,7.84 ,7.84 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,68760,CPT,Close tear duct opening,,,21 ,,RBRVS,1.75 ,1.54 ,2.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,68761,CPT,Close tear duct opening,,,21 ,,RBRVS,1.38 ,1.30 ,1.97 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,68770,CPT,Close tear system fistula,,,21 ,,RBRVS,8.09 ,5.25 ,5.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,68801,CPT,Dilate tear duct opening,,,21 ,,RBRVS,0.96 ,1.44 ,1.82 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,68810,CPT,Probe nasolacrimal duct,,,21 ,,RBRVS,2.09 ,2.20 ,3.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,68811,CPT,Probe nasolacrimal duct,,,21 ,,RBRVS,2.39 ,2.25 ,2.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,68815,CPT,Probe nasolacrimal duct,,,21 ,,RBRVS,3.24 ,2.60 ,6.91 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,68816,CPT,Probe nl duct w/balloon,,,21 ,,RBRVS,3.00 ,2.60 ,12.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,68840,CPT,Explore/irrigate tear ducts,,,21 ,,RBRVS,1.27 ,1.26 ,1.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,68850,CPT,Injection for tear sac x-ray,,,21 ,,RBRVS,0.80 ,0.64 ,0.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,68899,CPT,Tear duct system surgery,,,21 ,,TotalUnits,,,,3.35 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,69000,CPT,Drain external ear lesion,,,21 ,,RBRVS,1.47 ,1.35 ,2.87 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,69005,CPT,Drain external ear lesion,,,21 ,,RBRVS,2.13 ,1.70 ,2.99 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,69020,CPT,Drain outer ear canal lesion,,,21 ,,RBRVS,1.50 ,1.96 ,4.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,69090,CPT,Pierce earlobes,,,21 ,,TotalUnits,,,,0.80 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,69100,CPT,Biopsy of external ear,,,21 ,,RBRVS,0.81 ,0.41 ,1.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,69105,CPT,Biopsy of external ear canal,,,21 ,,RBRVS,0.85 ,0.73 ,2.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,69110,CPT,"Remove external ear, partial",,,21 ,,RBRVS,3.47 ,4.49 ,7.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,69120,CPT,Removal of external ear,,,21 ,,RBRVS,4.08 ,5.59 ,5.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,69140,CPT,Remove ear canal lesion(s),,,21 ,,RBRVS,8.03 ,13.23 ,13.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,69145,CPT,Remove ear canal lesion(s),,,21 ,,RBRVS,2.65 ,3.36 ,6.65 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,69150,CPT,Extensive ear canal surgery,,,21 ,,RBRVS,13.49 ,12.15 ,12.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,69155,CPT,Extensive ear/neck surgery,,,21 ,,RBRVS,23.06 ,18.10 ,18.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,69200,CPT,Clear outer ear canal,,,21 ,,RBRVS,0.77 ,0.60 ,2.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,69205,CPT,Clear outer ear canal,,,21 ,,RBRVS,1.20 ,1.27 ,1.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,69210,CPT,Remove impacted ear wax,,,21 ,,RBRVS,0.61 ,0.19 ,0.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,69220,CPT,Clean out mastoid cavity,,,21 ,,RBRVS,0.83 ,0.70 ,2.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,69222,CPT,Clean out mastoid cavity,,,21 ,,RBRVS,1.42 ,1.94 ,3.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,69300,CPT,Revise external ear,,,21 ,,RBRVS,6.69 ,4.96 ,8.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,69310,CPT,Rebuild outer ear canal,,,21 ,,RBRVS,10.85 ,15.66 ,15.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,69320,CPT,Rebuild outer ear canal,,,21 ,,RBRVS,17.03 ,20.64 ,20.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,69399,CPT,Outer ear surgery procedure,,,21 ,,TotalUnits,,,,1.19 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,69400,CPT,Inflate middle ear canal,,,21 ,,RBRVS,0.83 ,0.69 ,2.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,69401,CPT,Inflate middle ear canal,,,21 ,,RBRVS,0.63 ,0.59 ,1.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,69405,CPT,Catheterize middle ear canal,,,21 ,,RBRVS,2.65 ,2.09 ,3.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,69420,CPT,Incision of eardrum,,,21 ,,RBRVS,1.35 ,1.57 ,3.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,69421,CPT,Incision of eardrum,,,21 ,,RBRVS,1.75 ,1.94 ,1.94 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,69424,CPT,Remove ventilating tube,,,21 ,,RBRVS,0.85 ,0.68 ,2.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,69433,CPT,Create eardrum opening,,,21 ,,RBRVS,1.54 ,1.61 ,3.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,69436,CPT,Create eardrum opening,,,21 ,,RBRVS,1.98 ,2.01 ,2.01 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,69440,CPT,Exploration of middle ear,,,21 ,,RBRVS,7.62 ,9.04 ,9.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,69450,CPT,Eardrum revision,,,21 ,,RBRVS,5.61 ,7.49 ,7.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,69501,CPT,Mastoidectomy,,,21 ,,RBRVS,9.12 ,8.71 ,8.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,69502,CPT,Mastoidectomy,,,21 ,,RBRVS,12.44 ,11.26 ,11.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,69505,CPT,Remove mastoid structures,,,21 ,,RBRVS,13.05 ,16.39 ,16.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,69511,CPT,Extensive mastoid surgery,,,21 ,,RBRVS,13.58 ,16.68 ,16.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,69530,CPT,Extensive mastoid surgery,,,21 ,,RBRVS,20.24 ,20.45 ,20.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,69535,CPT,Remove part of temporal bone,,,21 ,,RBRVS,37.27 ,28.55 ,28.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,69540,CPT,Remove ear lesion,,,21 ,,RBRVS,1.22 ,1.88 ,3.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,69550,CPT,Remove ear lesion,,,21 ,,RBRVS,11.04 ,14.42 ,14.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,69552,CPT,Remove ear lesion,,,21 ,,RBRVS,19.69 ,18.97 ,18.97 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,69554,CPT,Remove ear lesion,,,21 ,,RBRVS,35.71 ,25.32 ,25.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,69601,CPT,Mastoid surgery revision,,,21 ,,RBRVS,13.31 ,12.25 ,12.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,69602,CPT,Mastoid surgery revision,,,21 ,,RBRVS,13.64 ,12.96 ,12.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,69603,CPT,Mastoid surgery revision,,,21 ,,RBRVS,14.08 ,17.03 ,17.03 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,69604,CPT,Mastoid surgery revision,,,21 ,,RBRVS,14.08 ,13.36 ,13.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,69605,CPT,Mastoid surgery revision,,,21 ,,RBRVS,18.55 ,19.83 ,19.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,69610,CPT,Repair of eardrum,,,21 ,,RBRVS,4.44 ,2.83 ,5.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,69620,CPT,Repair of eardrum,,,21 ,,RBRVS,5.94 ,5.99 ,10.91 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,69631,CPT,Repair eardrum structures,,,21 ,,RBRVS,9.93 ,11.49 ,11.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,69632,CPT,Rebuild eardrum structures,,,21 ,,RBRVS,12.82 ,13.45 ,13.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,69633,CPT,Rebuild eardrum structures,,,21 ,,RBRVS,12.17 ,13.15 ,13.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,69635,CPT,Repair eardrum structures,,,21 ,,RBRVS,13.39 ,16.46 ,16.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,69636,CPT,Rebuild eardrum structures,,,21 ,,RBRVS,15.29 ,18.53 ,18.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,69637,CPT,Rebuild eardrum structures,,,21 ,,RBRVS,15.18 ,18.49 ,18.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,69641,CPT,Revise middle ear & mastoid,,,21 ,,RBRVS,12.77 ,12.65 ,12.65 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,69642,CPT,Revise middle ear & mastoid,,,21 ,,RBRVS,16.91 ,15.85 ,15.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,69643,CPT,Revise middle ear & mastoid,,,21 ,,RBRVS,15.45 ,14.47 ,14.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,69644,CPT,Revise middle ear & mastoid,,,21 ,,RBRVS,17.09 ,19.27 ,19.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,69645,CPT,Revise middle ear & mastoid,,,21 ,,RBRVS,16.57 ,19.06 ,19.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,69646,CPT,Revise middle ear & mastoid,,,21 ,,RBRVS,18.23 ,19.61 ,19.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,69650,CPT,Release middle ear bone,,,21 ,,RBRVS,9.71 ,9.65 ,9.65 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,69660,CPT,Revise middle ear bone,,,21 ,,RBRVS,11.94 ,10.80 ,10.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,69661,CPT,Revise middle ear bone,,,21 ,,RBRVS,15.80 ,13.93 ,13.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,69662,CPT,Revise middle ear bone,,,21 ,,RBRVS,15.49 ,12.98 ,12.98 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,69666,CPT,Repair middle ear structures,,,21 ,,RBRVS,9.80 ,9.85 ,9.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,69667,CPT,Repair middle ear structures,,,21 ,,RBRVS,9.81 ,9.91 ,9.91 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,69670,CPT,Remove mastoid air cells,,,21 ,,RBRVS,11.62 ,11.37 ,11.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,69676,CPT,Remove middle ear nerve,,,21 ,,RBRVS,9.58 ,10.70 ,10.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,69700,CPT,Close mastoid fistula,,,21 ,,RBRVS,8.28 ,8.63 ,8.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,69710,CPT,Implant/replace hearing aid,,,21 ,,TotalUnits,,,,19.59 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,69711,CPT,Remove/repair hearing aid,,,21 ,,RBRVS,10.50 ,10.66 ,10.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,69714,CPT,Implant temple bone w/stimul,,,21 ,,RBRVS,14.31 ,12.09 ,12.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,69715,CPT,Temple bne implnt w/stimulat,,,21 ,,RBRVS,18.80 ,13.99 ,13.99 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,69717,CPT,Temple bone implant revision,,,21 ,,RBRVS,15.29 ,12.81 ,12.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,69718,CPT,Revise temple bone implant,,,21 ,,RBRVS,19.05 ,14.13 ,14.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,69720,CPT,Release facial nerve,,,21 ,,RBRVS,14.57 ,14.13 ,14.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,69725,CPT,Release facial nerve,,,21 ,,RBRVS,27.44 ,18.93 ,18.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,69740,CPT,Repair facial nerve,,,21 ,,RBRVS,16.18 ,12.64 ,12.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,69745,CPT,Repair facial nerve,,,21 ,,RBRVS,16.91 ,13.84 ,13.84 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,69799,CPT,Middle ear surgery procedure,,,21 ,,TotalUnits,,,,4.69 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,69801,CPT,Incise inner ear,,,21 ,,RBRVS,8.61 ,9.62 ,9.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,69802,CPT,Incise inner ear,,,21 ,,RBRVS,13.39 ,12.11 ,12.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,69805,CPT,Explore inner ear,,,21 ,,RBRVS,14.55 ,11.27 ,11.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,69806,CPT,Explore inner ear,,,21 ,,RBRVS,12.52 ,10.68 ,10.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,69820,CPT,Establish inner ear window,,,21 ,,RBRVS,10.40 ,10.66 ,10.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,69840,CPT,Revise inner ear window,,,21 ,,RBRVS,10.32 ,11.92 ,11.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,69905,CPT,Remove inner ear,,,21 ,,RBRVS,11.15 ,11.33 ,11.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,69910,CPT,Remove inner ear & mastoid,,,21 ,,RBRVS,13.80 ,11.29 ,11.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,69915,CPT,Incise inner ear nerve,,,21 ,,RBRVS,22.65 ,15.29 ,15.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,69930,CPT,Implant cochlear device,,,21 ,,RBRVS,17.60 ,12.90 ,12.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,69949,CPT,Inner ear surgery procedure,,,21 ,,TotalUnits,,,,30.50 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,69950,CPT,Incise inner ear nerve,,,21 ,,RBRVS,27.44 ,17.30 ,17.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,69955,CPT,Release facial nerve,,,21 ,,RBRVS,29.22 ,19.73 ,19.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,69960,CPT,Release inner ear canal,,,21 ,,RBRVS,29.22 ,18.38 ,18.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,69970,CPT,Remove inner ear lesion,,,21 ,,RBRVS,32.21 ,20.96 ,20.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,69979,CPT,Temporal bone surgery,,,21 ,,TotalUnits,,,,48.95 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,69990,CPT,Microsurgery add-on,,,21 ,,RBRVS,3.46 ,1.46 ,1.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,70010,CPT,Contrast x-ray of brain,26,,20 ,,RBRVS,1.19 ,0.43 ,0.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,70010,CPT,Contrast x-ray of brain,,,20 ,,RBRVS,1.19 ,3.28 ,3.28 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,70010,CPT,Contrast x-ray of brain,TC,,20 ,,RBRVS,,2.85 ,2.85 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,70015,CPT,Contrast x-ray of brain,26,,20 ,,RBRVS,1.19 ,0.45 ,0.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,70015,CPT,Contrast x-ray of brain,,,20 ,,RBRVS,1.19 ,2.59 ,2.59 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,70015,CPT,Contrast x-ray of brain,TC,,20 ,,RBRVS,,2.14 ,2.14 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,70030,CPT,X-ray eye for foreign body,26,,20 ,,RBRVS,0.17 ,0.06 ,0.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,70030,CPT,X-ray eye for foreign body,,,20 ,,RBRVS,0.17 ,0.57 ,0.57 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,70030,CPT,X-ray eye for foreign body,TC,,20 ,,RBRVS,,0.51 ,0.51 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,70100,CPT,X-ray exam of jaw,26,,20 ,,RBRVS,0.18 ,0.06 ,0.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,70100,CPT,X-ray exam of jaw,,,20 ,,RBRVS,0.18 ,0.62 ,0.62 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,70100,CPT,X-ray exam of jaw,TC,,20 ,,RBRVS,,0.56 ,0.56 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,70110,CPT,X-ray exam of jaw,26,,20 ,,RBRVS,0.25 ,0.09 ,0.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,70110,CPT,X-ray exam of jaw,,,20 ,,RBRVS,0.25 ,0.78 ,0.78 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,70110,CPT,X-ray exam of jaw,TC,,20 ,,RBRVS,,0.69 ,0.69 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,70120,CPT,X-ray exam of mastoids,26,,20 ,,RBRVS,0.18 ,0.06 ,0.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,70120,CPT,X-ray exam of mastoids,,,20 ,,RBRVS,0.18 ,0.68 ,0.68 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,70120,CPT,X-ray exam of mastoids,TC,,20 ,,RBRVS,,0.62 ,0.62 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,70130,CPT,X-ray exam of mastoids,26,,20 ,,RBRVS,0.34 ,0.12 ,0.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,70130,CPT,X-ray exam of mastoids,,,20 ,,RBRVS,0.34 ,1.09 ,1.09 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,70130,CPT,X-ray exam of mastoids,TC,,20 ,,RBRVS,,0.97 ,0.97 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,70134,CPT,X-ray exam of middle ear,26,,20 ,,RBRVS,0.34 ,0.12 ,0.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,70134,CPT,X-ray exam of middle ear,,,20 ,,RBRVS,0.34 ,0.88 ,0.88 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,70134,CPT,X-ray exam of middle ear,TC,,20 ,,RBRVS,,0.76 ,0.76 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,70140,CPT,X-ray exam of facial bones,26,,20 ,,RBRVS,0.19 ,0.06 ,0.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,70140,CPT,X-ray exam of facial bones,,,20 ,,RBRVS,0.19 ,0.58 ,0.58 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,70140,CPT,X-ray exam of facial bones,TC,,20 ,,RBRVS,,0.52 ,0.52 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,70150,CPT,X-ray exam of facial bones,26,,20 ,,RBRVS,0.26 ,0.09 ,0.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,70150,CPT,X-ray exam of facial bones,,,20 ,,RBRVS,0.26 ,0.85 ,0.85 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,70150,CPT,X-ray exam of facial bones,TC,,20 ,,RBRVS,,0.76 ,0.76 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,70160,CPT,X-ray exam of nasal bones,26,,20 ,,RBRVS,0.17 ,0.06 ,0.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,70160,CPT,X-ray exam of nasal bones,,,20 ,,RBRVS,0.17 ,0.67 ,0.67 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,70160,CPT,X-ray exam of nasal bones,TC,,20 ,,RBRVS,,0.61 ,0.61 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,70170,CPT,X-ray exam of tear duct,26,,20 ,,TotalUnits,,,,0.41 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,70170,CPT,X-ray exam of tear duct,,,20 ,,TotalUnits,,,,1.07 ,,$0.00,$0.00,1,0,0,0,0,1,20101001,70170,CPT,X-ray exam of tear duct,TC,,20 ,,TotalUnits,,,,0.66 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,70190,CPT,X-ray exam of eye sockets,26,,20 ,,RBRVS,0.21 ,0.07 ,0.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,70190,CPT,X-ray exam of eye sockets,,,20 ,,RBRVS,0.21 ,0.71 ,0.71 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,70190,CPT,X-ray exam of eye sockets,TC,,20 ,,RBRVS,,0.64 ,0.64 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,70200,CPT,X-ray exam of eye sockets,26,,20 ,,RBRVS,0.28 ,0.10 ,0.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,70200,CPT,X-ray exam of eye sockets,,,20 ,,RBRVS,0.28 ,0.87 ,0.87 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,70200,CPT,X-ray exam of eye sockets,TC,,20 ,,RBRVS,,0.77 ,0.77 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,70210,CPT,X-ray exam of sinuses,26,,20 ,,RBRVS,0.17 ,0.06 ,0.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,70210,CPT,X-ray exam of sinuses,,,20 ,,RBRVS,0.17 ,0.60 ,0.60 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,70210,CPT,X-ray exam of sinuses,TC,,20 ,,RBRVS,,0.54 ,0.54 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,70220,CPT,X-ray exam of sinuses,26,,20 ,,RBRVS,0.25 ,0.08 ,0.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,70220,CPT,X-ray exam of sinuses,,,20 ,,RBRVS,0.25 ,0.76 ,0.76 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,70220,CPT,X-ray exam of sinuses,TC,,20 ,,RBRVS,,0.68 ,0.68 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,70240,CPT,"X-ray exam, pituitary saddle",26,,20 ,,RBRVS,0.19 ,0.07 ,0.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,70240,CPT,"X-ray exam, pituitary saddle",,,20 ,,RBRVS,0.19 ,0.58 ,0.58 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,70240,CPT,"X-ray exam, pituitary saddle",TC,,20 ,,RBRVS,,0.51 ,0.51 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,70250,CPT,X-ray exam of skull,26,,20 ,,RBRVS,0.24 ,0.08 ,0.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,70250,CPT,X-ray exam of skull,,,20 ,,RBRVS,0.24 ,0.70 ,0.70 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,70250,CPT,X-ray exam of skull,TC,,20 ,,RBRVS,,0.62 ,0.62 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,70260,CPT,X-ray exam of skull,26,,20 ,,RBRVS,0.34 ,0.11 ,0.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,70260,CPT,X-ray exam of skull,,,20 ,,RBRVS,0.34 ,0.90 ,0.90 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,70260,CPT,X-ray exam of skull,TC,,20 ,,RBRVS,,0.79 ,0.79 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,70300,CPT,X-ray exam of teeth,26,,20 ,,RBRVS,0.10 ,0.04 ,0.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,70300,CPT,X-ray exam of teeth,,,20 ,,RBRVS,0.10 ,0.26 ,0.26 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,70300,CPT,X-ray exam of teeth,TC,,20 ,,RBRVS,,0.22 ,0.22 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,70310,CPT,X-ray exam of teeth,26,,20 ,,RBRVS,0.16 ,0.06 ,0.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,70310,CPT,X-ray exam of teeth,,,20 ,,RBRVS,0.16 ,0.73 ,0.73 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,70310,CPT,X-ray exam of teeth,TC,,20 ,,RBRVS,,0.67 ,0.67 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,70320,CPT,Full mouth x-ray of teeth,26,,20 ,,RBRVS,0.22 ,0.08 ,0.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,70320,CPT,Full mouth x-ray of teeth,,,20 ,,RBRVS,0.22 ,1.02 ,1.02 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,70320,CPT,Full mouth x-ray of teeth,TC,,20 ,,RBRVS,,0.94 ,0.94 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,70328,CPT,X-ray exam of jaw joint,26,,20 ,,RBRVS,0.18 ,0.06 ,0.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,70328,CPT,X-ray exam of jaw joint,,,20 ,,RBRVS,0.18 ,0.60 ,0.60 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,70328,CPT,X-ray exam of jaw joint,TC,,20 ,,RBRVS,,0.54 ,0.54 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,70330,CPT,X-ray exam of jaw joints,26,,20 ,,RBRVS,0.24 ,0.09 ,0.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,70330,CPT,X-ray exam of jaw joints,,,20 ,,RBRVS,0.24 ,0.99 ,0.99 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,70330,CPT,X-ray exam of jaw joints,TC,,20 ,,RBRVS,,0.90 ,0.90 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,70332,CPT,X-ray exam of jaw joint,26,,20 ,,RBRVS,0.54 ,0.18 ,0.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,70332,CPT,X-ray exam of jaw joint,,,20 ,,RBRVS,0.54 ,1.65 ,1.65 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,70332,CPT,X-ray exam of jaw joint,TC,,20 ,,RBRVS,,1.47 ,1.47 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,70336,CPT,"Magnetic image, jaw joint",26,,20 ,,RBRVS,1.48 ,0.54 ,0.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,70336,CPT,"Magnetic image, jaw joint",,,20 ,,RBRVS,1.48 ,12.00 ,12.00 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,70336,CPT,"Magnetic image, jaw joint",TC,,20 ,,RBRVS,,11.46 ,11.46 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,70350,CPT,X-ray head for orthodontia,26,,20 ,,RBRVS,0.17 ,0.06 ,0.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,70350,CPT,X-ray head for orthodontia,,,20 ,,RBRVS,0.17 ,0.36 ,0.36 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,70350,CPT,X-ray head for orthodontia,TC,,20 ,,RBRVS,,0.30 ,0.30 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,70355,CPT,Panoramic x-ray of jaws,26,,20 ,,RBRVS,0.20 ,0.07 ,0.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,70355,CPT,Panoramic x-ray of jaws,,,20 ,,RBRVS,0.20 ,0.38 ,0.38 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,70355,CPT,Panoramic x-ray of jaws,TC,,20 ,,RBRVS,,0.31 ,0.31 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,70360,CPT,X-ray exam of neck,26,,20 ,,RBRVS,0.17 ,0.06 ,0.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,70360,CPT,X-ray exam of neck,,,20 ,,RBRVS,0.17 ,0.54 ,0.54 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,70360,CPT,X-ray exam of neck,TC,,20 ,,RBRVS,,0.48 ,0.48 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,70370,CPT,Throat x-ray & fluoroscopy,26,,20 ,,RBRVS,0.32 ,0.11 ,0.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,70370,CPT,Throat x-ray & fluoroscopy,,,20 ,,RBRVS,0.32 ,1.63 ,1.63 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,70370,CPT,Throat x-ray & fluoroscopy,TC,,20 ,,RBRVS,,1.52 ,1.52 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,70371,CPT,"Speech evaluation, complex",26,,20 ,,RBRVS,0.84 ,0.27 ,0.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,70371,CPT,"Speech evaluation, complex",,,20 ,,RBRVS,0.84 ,1.69 ,1.69 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,70371,CPT,"Speech evaluation, complex",TC,,20 ,,RBRVS,,1.42 ,1.42 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,70373,CPT,Contrast x-ray of larynx,26,,20 ,,RBRVS,0.44 ,0.12 ,0.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,70373,CPT,Contrast x-ray of larynx,,,20 ,,RBRVS,0.44 ,1.64 ,1.64 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,70373,CPT,Contrast x-ray of larynx,TC,,20 ,,RBRVS,,1.52 ,1.52 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,70380,CPT,X-ray exam of salivary gland,26,,20 ,,RBRVS,0.17 ,0.06 ,0.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,70380,CPT,X-ray exam of salivary gland,,,20 ,,RBRVS,0.17 ,0.79 ,0.79 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,70380,CPT,X-ray exam of salivary gland,TC,,20 ,,RBRVS,,0.73 ,0.73 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,70390,CPT,X-ray exam of salivary duct,26,,20 ,,RBRVS,0.38 ,0.14 ,0.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,70390,CPT,X-ray exam of salivary duct,,,20 ,,RBRVS,0.38 ,2.22 ,2.22 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,70390,CPT,X-ray exam of salivary duct,TC,,20 ,,RBRVS,,2.08 ,2.08 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,70450,CPT,Ct head/brain w/o dye,26,,20 ,,RBRVS,0.85 ,0.32 ,0.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,70450,CPT,Ct head/brain w/o dye,,,20 ,,RBRVS,0.85 ,4.92 ,4.92 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,70450,CPT,Ct head/brain w/o dye,TC,,20 ,,RBRVS,,4.60 ,4.60 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,70460,CPT,Ct head/brain w/dye,26,,20 ,,RBRVS,1.13 ,0.42 ,0.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,70460,CPT,Ct head/brain w/dye,,,20 ,,RBRVS,1.13 ,6.35 ,6.35 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,70460,CPT,Ct head/brain w/dye,TC,,20 ,,RBRVS,,5.93 ,5.93 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,70470,CPT,Ct head/brain w/o & w/dye,26,,20 ,,RBRVS,1.27 ,0.47 ,0.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,70470,CPT,Ct head/brain w/o & w/dye,,,20 ,,RBRVS,1.27 ,7.78 ,7.78 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,70470,CPT,Ct head/brain w/o & w/dye,TC,,20 ,,RBRVS,,7.31 ,7.31 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,70480,CPT,Ct orbit/ear/fossa w/o dye,26,,20 ,,RBRVS,1.28 ,0.47 ,0.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,70480,CPT,Ct orbit/ear/fossa w/o dye,,,20 ,,RBRVS,1.28 ,7.60 ,7.60 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,70480,CPT,Ct orbit/ear/fossa w/o dye,TC,,20 ,,RBRVS,,7.13 ,7.13 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,70481,CPT,Ct orbit/ear/fossa w/dye,26,,20 ,,RBRVS,1.38 ,0.51 ,0.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,70481,CPT,Ct orbit/ear/fossa w/dye,,,20 ,,RBRVS,1.38 ,8.95 ,8.95 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,70481,CPT,Ct orbit/ear/fossa w/dye,TC,,20 ,,RBRVS,,8.44 ,8.44 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,70482,CPT,Ct orbit/ear/fossa w/o&w/dye,26,,20 ,,RBRVS,1.45 ,0.53 ,0.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,70482,CPT,Ct orbit/ear/fossa w/o&w/dye,,,20 ,,RBRVS,1.45 ,10.37 ,10.37 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,70482,CPT,Ct orbit/ear/fossa w/o&w/dye,TC,,20 ,,RBRVS,,9.84 ,9.84 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,70486,CPT,Ct maxillofacial w/o dye,26,,20 ,,RBRVS,1.14 ,0.42 ,0.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,70486,CPT,Ct maxillofacial w/o dye,,,20 ,,RBRVS,1.14 ,6.34 ,6.34 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,70486,CPT,Ct maxillofacial w/o dye,TC,,20 ,,RBRVS,,5.92 ,5.92 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,70487,CPT,Ct maxillofacial w/dye,26,,20 ,,RBRVS,1.30 ,0.49 ,0.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,70487,CPT,Ct maxillofacial w/dye,,,20 ,,RBRVS,1.30 ,7.75 ,7.75 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,70487,CPT,Ct maxillofacial w/dye,TC,,20 ,,RBRVS,,7.26 ,7.26 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,70488,CPT,Ct maxillofacial w/o & w/dye,26,,20 ,,RBRVS,1.42 ,0.52 ,0.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,70488,CPT,Ct maxillofacial w/o & w/dye,,,20 ,,RBRVS,1.42 ,9.60 ,9.60 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,70488,CPT,Ct maxillofacial w/o & w/dye,TC,,20 ,,RBRVS,,9.08 ,9.08 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,70490,CPT,Ct soft tissue neck w/o dye,26,,20 ,,RBRVS,1.28 ,0.48 ,0.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,70490,CPT,Ct soft tissue neck w/o dye,,,20 ,,RBRVS,1.28 ,6.12 ,6.12 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,70490,CPT,Ct soft tissue neck w/o dye,TC,,20 ,,RBRVS,,5.64 ,5.64 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,70491,CPT,Ct soft tissue neck w/dye,26,,20 ,,RBRVS,1.38 ,0.51 ,0.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,70491,CPT,Ct soft tissue neck w/dye,,,20 ,,RBRVS,1.38 ,7.51 ,7.51 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,70491,CPT,Ct soft tissue neck w/dye,TC,,20 ,,RBRVS,,7.00 ,7.00 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,70492,CPT,Ct sft tsue nck w/o & w/dye,26,,20 ,,RBRVS,1.45 ,0.53 ,0.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,70492,CPT,Ct sft tsue nck w/o & w/dye,,,20 ,,RBRVS,1.45 ,9.35 ,9.35 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,70492,CPT,Ct sft tsue nck w/o & w/dye,TC,,20 ,,RBRVS,,8.82 ,8.82 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,70496,CPT,"Ct angiography, head",26,,20 ,,RBRVS,1.75 ,0.66 ,0.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,70496,CPT,"Ct angiography, head",,,20 ,,RBRVS,1.75 ,15.49 ,15.49 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,70496,CPT,"Ct angiography, head",TC,,20 ,,RBRVS,,14.83 ,14.83 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,70498,CPT,"Ct angiography, neck",26,,20 ,,RBRVS,1.75 ,0.67 ,0.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,70498,CPT,"Ct angiography, neck",,,20 ,,RBRVS,1.75 ,15.57 ,15.57 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,70498,CPT,"Ct angiography, neck",TC,,20 ,,RBRVS,,14.90 ,14.90 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,70540,CPT,Mri orbit/face/neck w/o dye,26,,20 ,,RBRVS,1.35 ,0.49 ,0.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,70540,CPT,Mri orbit/face/neck w/o dye,,,20 ,,RBRVS,1.35 ,13.44 ,13.44 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,70540,CPT,Mri orbit/face/neck w/o dye,TC,,20 ,,RBRVS,,12.95 ,12.95 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,70542,CPT,Mri orbit/face/neck w/dye,26,,20 ,,RBRVS,1.62 ,0.59 ,0.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,70542,CPT,Mri orbit/face/neck w/dye,,,20 ,,RBRVS,1.62 ,14.78 ,14.78 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,70542,CPT,Mri orbit/face/neck w/dye,TC,,20 ,,RBRVS,,14.19 ,14.19 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,70543,CPT,Mri orbt/fac/nck w/o & w/dye,26,,20 ,,RBRVS,2.15 ,0.78 ,0.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,70543,CPT,Mri orbt/fac/nck w/o & w/dye,,,20 ,,RBRVS,2.15 ,20.32 ,20.32 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,70543,CPT,Mri orbt/fac/nck w/o & w/dye,TC,,20 ,,RBRVS,,19.54 ,19.54 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,70544,CPT,Mr angiography head w/o dye,26,,20 ,,RBRVS,1.20 ,0.44 ,0.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,70544,CPT,Mr angiography head w/o dye,,,20 ,,RBRVS,1.20 ,14.65 ,14.65 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,70544,CPT,Mr angiography head w/o dye,TC,,20 ,,RBRVS,,14.21 ,14.21 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,70545,CPT,Mr angiography head w/dye,26,,20 ,,RBRVS,1.20 ,0.44 ,0.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,70545,CPT,Mr angiography head w/dye,,,20 ,,RBRVS,1.20 ,14.58 ,14.58 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,70545,CPT,Mr angiography head w/dye,TC,,20 ,,RBRVS,,14.14 ,14.14 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,70546,CPT,Mr angiograph head w/o&w/dye,26,,20 ,,RBRVS,1.80 ,0.66 ,0.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,70546,CPT,Mr angiograph head w/o&w/dye,,,20 ,,RBRVS,1.80 ,23.57 ,23.57 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,70546,CPT,Mr angiograph head w/o&w/dye,TC,,20 ,,RBRVS,,22.91 ,22.91 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,70547,CPT,Mr angiography neck w/o dye,26,,20 ,,RBRVS,1.20 ,0.44 ,0.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,70547,CPT,Mr angiography neck w/o dye,,,20 ,,RBRVS,1.20 ,14.61 ,14.61 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,70547,CPT,Mr angiography neck w/o dye,TC,,20 ,,RBRVS,,14.17 ,14.17 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,70548,CPT,Mr angiography neck w/dye,26,,20 ,,RBRVS,1.20 ,0.44 ,0.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,70548,CPT,Mr angiography neck w/dye,,,20 ,,RBRVS,1.20 ,15.25 ,15.25 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,70548,CPT,Mr angiography neck w/dye,TC,,20 ,,RBRVS,,14.81 ,14.81 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,70549,CPT,Mr angiograph neck w/o&w/dye,26,,20 ,,RBRVS,1.80 ,0.66 ,0.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,70549,CPT,Mr angiograph neck w/o&w/dye,,,20 ,,RBRVS,1.80 ,23.59 ,23.59 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,70549,CPT,Mr angiograph neck w/o&w/dye,TC,,20 ,,RBRVS,,22.93 ,22.93 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,70551,CPT,Mri brain w/o dye,26,,20 ,,RBRVS,1.48 ,0.54 ,0.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,70551,CPT,Mri brain w/o dye,,,20 ,,RBRVS,1.48 ,13.66 ,13.66 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,70551,CPT,Mri brain w/o dye,TC,,20 ,,RBRVS,,13.12 ,13.12 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,70552,CPT,Mri brain w/dye,26,,20 ,,RBRVS,1.78 ,0.66 ,0.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,70552,CPT,Mri brain w/dye,,,20 ,,RBRVS,1.78 ,15.11 ,15.11 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,70552,CPT,Mri brain w/dye,TC,,20 ,,RBRVS,,14.45 ,14.45 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,70553,CPT,Mri brain w/o & w/dye,26,,20 ,,RBRVS,2.36 ,0.87 ,0.87 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,70553,CPT,Mri brain w/o & w/dye,,,20 ,,RBRVS,2.36 ,19.87 ,19.87 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,70553,CPT,Mri brain w/o & w/dye,TC,,20 ,,RBRVS,,19.00 ,19.00 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,70554,CPT,Fmri brain by tech,26,,20 ,,RBRVS,2.11 ,0.80 ,0.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,70554,CPT,Fmri brain by tech,,,20 ,,RBRVS,2.11 ,14.14 ,14.14 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,70554,CPT,Fmri brain by tech,TC,,20 ,,RBRVS,,13.34 ,13.34 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,70555,CPT,Fmri brain by phys/psych,26,,20 ,,TotalUnits,,,,3.52 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,70555,CPT,Fmri brain by phys/psych,,,20 ,,TotalUnits,,,,21.79 ,,$0.00,$0.00,1,0,0,0,0,1,20101001,70555,CPT,Fmri brain by phys/psych,TC,,20 ,,TotalUnits,,,,18.27 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,70557,CPT,Mri brain w/o dye,26,,20 ,,TotalUnits,,,,4.03 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,70557,CPT,Mri brain w/o dye,,,20 ,,TotalUnits,,,,40.39 ,,$0.00,$0.00,1,0,0,0,0,1,20101001,70557,CPT,Mri brain w/o dye,TC,,20 ,,TotalUnits,,,,36.36 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,70558,CPT,Mri brain w/dye,26,,20 ,,RBRVS,3.20 ,1.19 ,1.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,70558,CPT,Mri brain w/dye,,,20 ,,RBRVS,3.20 ,35.70 ,35.70 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,70558,CPT,Mri brain w/dye,TC,,20 ,,RBRVS,,34.51 ,34.51 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,70559,CPT,Mri brain w/o & w/dye,26,,20 ,,TotalUnits,,,,4.45 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,70559,CPT,Mri brain w/o & w/dye,,,20 ,,TotalUnits,,,,53.17 ,,$0.00,$0.00,1,0,0,0,0,1,20101001,70559,CPT,Mri brain w/o & w/dye,TC,,20 ,,TotalUnits,,,,48.72 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,71010,CPT,Chest x-ray,26,,20 ,,RBRVS,0.18 ,0.06 ,0.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,71010,CPT,Chest x-ray,,,20 ,,RBRVS,0.18 ,0.45 ,0.45 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,71010,CPT,Chest x-ray,TC,,20 ,,RBRVS,,0.39 ,0.39 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,71015,CPT,Chest x-ray,26,,20 ,,RBRVS,0.21 ,0.07 ,0.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,71015,CPT,Chest x-ray,,,20 ,,RBRVS,0.21 ,0.57 ,0.57 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,71015,CPT,Chest x-ray,TC,,20 ,,RBRVS,,0.50 ,0.50 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,71020,CPT,Chest x-ray,26,,20 ,,RBRVS,0.22 ,0.08 ,0.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,71020,CPT,Chest x-ray,,,20 ,,RBRVS,0.22 ,0.61 ,0.61 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,71020,CPT,Chest x-ray,TC,,20 ,,RBRVS,,0.53 ,0.53 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,71021,CPT,Chest x-ray,26,,20 ,,RBRVS,0.27 ,0.09 ,0.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,71021,CPT,Chest x-ray,,,20 ,,RBRVS,0.27 ,0.73 ,0.73 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,71021,CPT,Chest x-ray,TC,,20 ,,RBRVS,,0.64 ,0.64 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,71022,CPT,Chest x-ray,26,,20 ,,RBRVS,0.31 ,0.11 ,0.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,71022,CPT,Chest x-ray,,,20 ,,RBRVS,0.31 ,0.90 ,0.90 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,71022,CPT,Chest x-ray,TC,,20 ,,RBRVS,,0.79 ,0.79 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,71023,CPT,Chest x-ray and fluoroscopy,26,,20 ,,RBRVS,0.38 ,0.15 ,0.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,71023,CPT,Chest x-ray and fluoroscopy,,,20 ,,RBRVS,0.38 ,1.39 ,1.39 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,71023,CPT,Chest x-ray and fluoroscopy,TC,,20 ,,RBRVS,,1.24 ,1.24 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,71030,CPT,Chest x-ray,26,,20 ,,RBRVS,0.31 ,0.11 ,0.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,71030,CPT,Chest x-ray,,,20 ,,RBRVS,0.31 ,0.91 ,0.91 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,71030,CPT,Chest x-ray,TC,,20 ,,RBRVS,,0.80 ,0.80 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,71034,CPT,Chest x-ray and fluoroscopy,26,,20 ,,RBRVS,0.46 ,0.21 ,0.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,71034,CPT,Chest x-ray and fluoroscopy,,,20 ,,RBRVS,0.46 ,1.96 ,1.96 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,71034,CPT,Chest x-ray and fluoroscopy,TC,,20 ,,RBRVS,,1.75 ,1.75 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,71035,CPT,Chest x-ray,26,,20 ,,RBRVS,0.18 ,0.07 ,0.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,71035,CPT,Chest x-ray,,,20 ,,RBRVS,0.18 ,0.73 ,0.73 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,71035,CPT,Chest x-ray,TC,,20 ,,RBRVS,,0.66 ,0.66 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,71040,CPT,Contrast x-ray of bronchi,26,,20 ,,RBRVS,0.58 ,0.21 ,0.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,71040,CPT,Contrast x-ray of bronchi,,,20 ,,RBRVS,0.58 ,1.94 ,1.94 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,71040,CPT,Contrast x-ray of bronchi,TC,,20 ,,RBRVS,,1.73 ,1.73 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,71060,CPT,Contrast x-ray of bronchi,26,,20 ,,RBRVS,0.74 ,0.27 ,0.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,71060,CPT,Contrast x-ray of bronchi,,,20 ,,RBRVS,0.74 ,2.93 ,2.93 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,71060,CPT,Contrast x-ray of bronchi,TC,,20 ,,RBRVS,,2.66 ,2.66 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,71090,CPT,X-ray & pacemaker insertion,26,,20 ,,TotalUnits,,,,0.80 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,71090,CPT,X-ray & pacemaker insertion,,,20 ,,TotalUnits,,,,1.83 ,,$0.00,$0.00,1,0,0,0,0,1,20101001,71090,CPT,X-ray & pacemaker insertion,TC,,20 ,,TotalUnits,,,,1.03 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,71100,CPT,X-ray exam of ribs,26,,20 ,,RBRVS,0.22 ,0.08 ,0.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,71100,CPT,X-ray exam of ribs,,,20 ,,RBRVS,0.22 ,0.63 ,0.63 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,71100,CPT,X-ray exam of ribs,TC,,20 ,,RBRVS,,0.55 ,0.55 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,71101,CPT,X-ray exam of ribs/chest,26,,20 ,,RBRVS,0.27 ,0.09 ,0.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,71101,CPT,X-ray exam of ribs/chest,,,20 ,,RBRVS,0.27 ,0.76 ,0.76 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,71101,CPT,X-ray exam of ribs/chest,TC,,20 ,,RBRVS,,0.67 ,0.67 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,71110,CPT,X-ray exam of ribs,26,,20 ,,RBRVS,0.27 ,0.09 ,0.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,71110,CPT,X-ray exam of ribs,,,20 ,,RBRVS,0.27 ,0.79 ,0.79 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,71110,CPT,X-ray exam of ribs,TC,,20 ,,RBRVS,,0.70 ,0.70 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,71111,CPT,X-ray exam of ribs/chest,26,,20 ,,RBRVS,0.32 ,0.11 ,0.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,71111,CPT,X-ray exam of ribs/chest,,,20 ,,RBRVS,0.32 ,1.04 ,1.04 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,71111,CPT,X-ray exam of ribs/chest,TC,,20 ,,RBRVS,,0.93 ,0.93 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,71120,CPT,X-ray exam of breastbone,26,,20 ,,RBRVS,0.20 ,0.07 ,0.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,71120,CPT,X-ray exam of breastbone,,,20 ,,RBRVS,0.20 ,0.65 ,0.65 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,71120,CPT,X-ray exam of breastbone,TC,,20 ,,RBRVS,,0.58 ,0.58 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,71130,CPT,X-ray exam of breastbone,26,,20 ,,RBRVS,0.22 ,0.08 ,0.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,71130,CPT,X-ray exam of breastbone,,,20 ,,RBRVS,0.22 ,0.76 ,0.76 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,71130,CPT,X-ray exam of breastbone,TC,,20 ,,RBRVS,,0.68 ,0.68 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,71250,CPT,Ct thorax w/o dye,26,,20 ,,RBRVS,1.16 ,0.43 ,0.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,71250,CPT,Ct thorax w/o dye,,,20 ,,RBRVS,1.16 ,6.38 ,6.38 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,71250,CPT,Ct thorax w/o dye,TC,,20 ,,RBRVS,,5.95 ,5.95 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,71260,CPT,Ct thorax w/dye,26,,20 ,,RBRVS,1.24 ,0.46 ,0.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,71260,CPT,Ct thorax w/dye,,,20 ,,RBRVS,1.24 ,7.82 ,7.82 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,71260,CPT,Ct thorax w/dye,TC,,20 ,,RBRVS,,7.36 ,7.36 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,71270,CPT,Ct thorax w/o & w/dye,26,,20 ,,RBRVS,1.38 ,0.51 ,0.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,71270,CPT,Ct thorax w/o & w/dye,,,20 ,,RBRVS,1.38 ,9.81 ,9.81 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,71270,CPT,Ct thorax w/o & w/dye,TC,,20 ,,RBRVS,,9.30 ,9.30 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,71275,CPT,"Ct angiography, chest",26,,20 ,,RBRVS,1.92 ,0.72 ,0.72 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,71275,CPT,"Ct angiography, chest",,,20 ,,RBRVS,1.92 ,11.99 ,11.99 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,71275,CPT,"Ct angiography, chest",TC,,20 ,,RBRVS,,11.27 ,11.27 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,71550,CPT,Mri chest w/o dye,26,,20 ,,RBRVS,1.46 ,0.53 ,0.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,71550,CPT,Mri chest w/o dye,,,20 ,,RBRVS,1.46 ,15.05 ,15.05 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,71550,CPT,Mri chest w/o dye,TC,,20 ,,RBRVS,,14.52 ,14.52 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,71551,CPT,Mri chest w/dye,26,,20 ,,RBRVS,1.73 ,0.62 ,0.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,71551,CPT,Mri chest w/dye,,,20 ,,RBRVS,1.73 ,16.77 ,16.77 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,71551,CPT,Mri chest w/dye,TC,,20 ,,RBRVS,,16.15 ,16.15 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,71552,CPT,Mri chest w/o & w/dye,26,,20 ,,RBRVS,2.26 ,0.85 ,0.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,71552,CPT,Mri chest w/o & w/dye,,,20 ,,RBRVS,2.26 ,23.15 ,23.15 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,71552,CPT,Mri chest w/o & w/dye,TC,,20 ,,RBRVS,,22.30 ,22.30 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,71555,CPT,Mri angio chest w or w/o dye,26,,20 ,,RBRVS,1.81 ,0.69 ,0.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,71555,CPT,Mri angio chest w or w/o dye,,,20 ,,RBRVS,1.81 ,14.30 ,14.30 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,71555,CPT,Mri angio chest w or w/o dye,TC,,20 ,,RBRVS,,13.61 ,13.61 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,72010,CPT,X-ray exam of spine,26,,20 ,,RBRVS,0.45 ,0.14 ,0.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,72010,CPT,X-ray exam of spine,,,20 ,,RBRVS,0.45 ,1.36 ,1.36 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,72010,CPT,X-ray exam of spine,TC,,20 ,,RBRVS,,1.22 ,1.22 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,72020,CPT,X-ray exam of spine,26,,20 ,,RBRVS,0.15 ,0.06 ,0.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,72020,CPT,X-ray exam of spine,,,20 ,,RBRVS,0.15 ,0.47 ,0.47 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,72020,CPT,X-ray exam of spine,TC,,20 ,,RBRVS,,0.41 ,0.41 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,72040,CPT,X-ray exam of neck spine,26,,20 ,,RBRVS,0.22 ,0.08 ,0.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,72040,CPT,X-ray exam of neck spine,,,20 ,,RBRVS,0.22 ,0.74 ,0.74 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,72040,CPT,X-ray exam of neck spine,TC,,20 ,,RBRVS,,0.66 ,0.66 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,72050,CPT,X-ray exam of neck spine,26,,20 ,,RBRVS,0.31 ,0.11 ,0.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,72050,CPT,X-ray exam of neck spine,,,20 ,,RBRVS,0.31 ,1.05 ,1.05 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,72050,CPT,X-ray exam of neck spine,TC,,20 ,,RBRVS,,0.94 ,0.94 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,72052,CPT,X-ray exam of neck spine,26,,20 ,,RBRVS,0.36 ,0.13 ,0.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,72052,CPT,X-ray exam of neck spine,,,20 ,,RBRVS,0.36 ,1.35 ,1.35 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,72052,CPT,X-ray exam of neck spine,TC,,20 ,,RBRVS,,1.22 ,1.22 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,72069,CPT,X-ray exam of trunk spine,26,,20 ,,RBRVS,0.22 ,0.08 ,0.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,72069,CPT,X-ray exam of trunk spine,,,20 ,,RBRVS,0.22 ,0.70 ,0.70 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,72069,CPT,X-ray exam of trunk spine,TC,,20 ,,RBRVS,,0.62 ,0.62 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,72070,CPT,X-ray exam of thoracic spine,26,,20 ,,RBRVS,0.22 ,0.08 ,0.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,72070,CPT,X-ray exam of thoracic spine,,,20 ,,RBRVS,0.22 ,0.66 ,0.66 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,72070,CPT,X-ray exam of thoracic spine,TC,,20 ,,RBRVS,,0.58 ,0.58 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,72072,CPT,X-ray exam of thoracic spine,26,,20 ,,RBRVS,0.22 ,0.08 ,0.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,72072,CPT,X-ray exam of thoracic spine,,,20 ,,RBRVS,0.22 ,0.78 ,0.78 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,72072,CPT,X-ray exam of thoracic spine,TC,,20 ,,RBRVS,,0.70 ,0.70 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,72074,CPT,X-ray exam of thoracic spine,26,,20 ,,RBRVS,0.22 ,0.08 ,0.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,72074,CPT,X-ray exam of thoracic spine,,,20 ,,RBRVS,0.22 ,0.95 ,0.95 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,72074,CPT,X-ray exam of thoracic spine,TC,,20 ,,RBRVS,,0.87 ,0.87 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,72080,CPT,X-ray exam of trunk spine,26,,20 ,,RBRVS,0.22 ,0.08 ,0.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,72080,CPT,X-ray exam of trunk spine,,,20 ,,RBRVS,0.22 ,0.70 ,0.70 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,72080,CPT,X-ray exam of trunk spine,TC,,20 ,,RBRVS,,0.62 ,0.62 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,72090,CPT,X-ray exam of trunk spine,26,,20 ,,RBRVS,0.28 ,0.11 ,0.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,72090,CPT,X-ray exam of trunk spine,,,20 ,,RBRVS,0.28 ,0.94 ,0.94 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,72090,CPT,X-ray exam of trunk spine,TC,,20 ,,RBRVS,,0.83 ,0.83 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,72100,CPT,X-ray exam of lower spine,26,,20 ,,RBRVS,0.22 ,0.08 ,0.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,72100,CPT,X-ray exam of lower spine,,,20 ,,RBRVS,0.22 ,0.79 ,0.79 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,72100,CPT,X-ray exam of lower spine,TC,,20 ,,RBRVS,,0.71 ,0.71 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,72110,CPT,X-ray exam of lower spine,26,,20 ,,RBRVS,0.31 ,0.11 ,0.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,72110,CPT,X-ray exam of lower spine,,,20 ,,RBRVS,0.31 ,1.10 ,1.10 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,72110,CPT,X-ray exam of lower spine,TC,,20 ,,RBRVS,,0.99 ,0.99 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,72114,CPT,X-ray exam of lower spine,26,,20 ,,RBRVS,0.36 ,0.13 ,0.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,72114,CPT,X-ray exam of lower spine,,,20 ,,RBRVS,0.36 ,1.49 ,1.49 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,72114,CPT,X-ray exam of lower spine,TC,,20 ,,RBRVS,,1.36 ,1.36 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,72120,CPT,X-ray exam of lower spine,26,,20 ,,RBRVS,0.22 ,0.08 ,0.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,72120,CPT,X-ray exam of lower spine,,,20 ,,RBRVS,0.22 ,1.04 ,1.04 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,72120,CPT,X-ray exam of lower spine,TC,,20 ,,RBRVS,,0.96 ,0.96 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,72125,CPT,Ct neck spine w/o dye,26,,20 ,,RBRVS,1.16 ,0.43 ,0.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,72125,CPT,Ct neck spine w/o dye,,,20 ,,RBRVS,1.16 ,6.40 ,6.40 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,72125,CPT,Ct neck spine w/o dye,TC,,20 ,,RBRVS,,5.97 ,5.97 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,72126,CPT,Ct neck spine w/dye,26,,20 ,,RBRVS,1.22 ,0.45 ,0.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,72126,CPT,Ct neck spine w/dye,,,20 ,,RBRVS,1.22 ,7.82 ,7.82 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,72126,CPT,Ct neck spine w/dye,TC,,20 ,,RBRVS,,7.37 ,7.37 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,72127,CPT,Ct neck spine w/o & w/dye,26,,20 ,,RBRVS,1.27 ,0.46 ,0.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,72127,CPT,Ct neck spine w/o & w/dye,,,20 ,,RBRVS,1.27 ,9.74 ,9.74 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,72127,CPT,Ct neck spine w/o & w/dye,TC,,20 ,,RBRVS,,9.28 ,9.28 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,72128,CPT,Ct chest spine w/o dye,26,,20 ,,RBRVS,1.16 ,0.43 ,0.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,72128,CPT,Ct chest spine w/o dye,,,20 ,,RBRVS,1.16 ,6.38 ,6.38 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,72128,CPT,Ct chest spine w/o dye,TC,,20 ,,RBRVS,,5.95 ,5.95 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,72129,CPT,Ct chest spine w/dye,26,,20 ,,RBRVS,1.22 ,0.46 ,0.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,72129,CPT,Ct chest spine w/dye,,,20 ,,RBRVS,1.22 ,7.83 ,7.83 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,72129,CPT,Ct chest spine w/dye,TC,,20 ,,RBRVS,,7.37 ,7.37 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,72130,CPT,Ct chest spine w/o & w/dye,26,,20 ,,RBRVS,1.27 ,0.47 ,0.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,72130,CPT,Ct chest spine w/o & w/dye,,,20 ,,RBRVS,1.27 ,9.77 ,9.77 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,72130,CPT,Ct chest spine w/o & w/dye,TC,,20 ,,RBRVS,,9.30 ,9.30 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,72131,CPT,Ct lumbar spine w/o dye,26,,20 ,,RBRVS,1.16 ,0.43 ,0.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,72131,CPT,Ct lumbar spine w/o dye,,,20 ,,RBRVS,1.16 ,6.37 ,6.37 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,72131,CPT,Ct lumbar spine w/o dye,TC,,20 ,,RBRVS,,5.94 ,5.94 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,72132,CPT,Ct lumbar spine w/dye,26,,20 ,,RBRVS,1.22 ,0.46 ,0.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,72132,CPT,Ct lumbar spine w/dye,,,20 ,,RBRVS,1.22 ,7.82 ,7.82 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,72132,CPT,Ct lumbar spine w/dye,TC,,20 ,,RBRVS,,7.36 ,7.36 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,72133,CPT,Ct lumbar spine w/o & w/dye,26,,20 ,,RBRVS,1.27 ,0.47 ,0.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,72133,CPT,Ct lumbar spine w/o & w/dye,,,20 ,,RBRVS,1.27 ,9.76 ,9.76 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,72133,CPT,Ct lumbar spine w/o & w/dye,TC,,20 ,,RBRVS,,9.29 ,9.29 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,72141,CPT,Mri neck spine w/o dye,26,,20 ,,RBRVS,1.60 ,0.58 ,0.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,72141,CPT,Mri neck spine w/o dye,,,20 ,,RBRVS,1.60 ,12.20 ,12.20 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,72141,CPT,Mri neck spine w/o dye,TC,,20 ,,RBRVS,,11.62 ,11.62 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,72142,CPT,Mri neck spine w/dye,26,,20 ,,RBRVS,1.92 ,0.70 ,0.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,72142,CPT,Mri neck spine w/dye,,,20 ,,RBRVS,1.92 ,15.13 ,15.13 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,72142,CPT,Mri neck spine w/dye,TC,,20 ,,RBRVS,,14.43 ,14.43 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,72146,CPT,Mri chest spine w/o dye,26,,20 ,,RBRVS,1.60 ,0.59 ,0.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,72146,CPT,Mri chest spine w/o dye,,,20 ,,RBRVS,1.60 ,12.53 ,12.53 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,72146,CPT,Mri chest spine w/o dye,TC,,20 ,,RBRVS,,11.94 ,11.94 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,72147,CPT,Mri chest spine w/dye,26,,20 ,,RBRVS,1.92 ,0.71 ,0.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,72147,CPT,Mri chest spine w/dye,,,20 ,,RBRVS,1.92 ,13.62 ,13.62 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,72147,CPT,Mri chest spine w/dye,TC,,20 ,,RBRVS,,12.91 ,12.91 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,72148,CPT,Mri lumbar spine w/o dye,26,,20 ,,RBRVS,1.48 ,0.54 ,0.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,72148,CPT,Mri lumbar spine w/o dye,,,20 ,,RBRVS,1.48 ,12.47 ,12.47 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,72148,CPT,Mri lumbar spine w/o dye,TC,,20 ,,RBRVS,,11.93 ,11.93 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,72149,CPT,Mri lumbar spine w/dye,26,,20 ,,RBRVS,1.78 ,0.66 ,0.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,72149,CPT,Mri lumbar spine w/dye,,,20 ,,RBRVS,1.78 ,15.08 ,15.08 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,72149,CPT,Mri lumbar spine w/dye,TC,,20 ,,RBRVS,,14.42 ,14.42 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,72156,CPT,Mri neck spine w/o & w/dye,26,,20 ,,RBRVS,2.57 ,0.94 ,0.94 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,72156,CPT,Mri neck spine w/o & w/dye,,,20 ,,RBRVS,2.57 ,19.66 ,19.66 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,72156,CPT,Mri neck spine w/o & w/dye,TC,,20 ,,RBRVS,,18.72 ,18.72 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,72157,CPT,Mri chest spine w/o & w/dye,26,,20 ,,RBRVS,2.57 ,0.95 ,0.95 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,72157,CPT,Mri chest spine w/o & w/dye,,,20 ,,RBRVS,2.57 ,18.50 ,18.50 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,72157,CPT,Mri chest spine w/o & w/dye,TC,,20 ,,RBRVS,,17.55 ,17.55 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,72158,CPT,Mri lumbar spine w/o & w/dye,26,,20 ,,RBRVS,2.36 ,0.86 ,0.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,72158,CPT,Mri lumbar spine w/o & w/dye,,,20 ,,RBRVS,2.36 ,19.57 ,19.57 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,72158,CPT,Mri lumbar spine w/o & w/dye,TC,,20 ,,RBRVS,,18.71 ,18.71 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,72159,CPT,Mr angio spine w/o&w/dye,26,,20 ,,RBRVS,1.80 ,0.63 ,0.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,72159,CPT,Mr angio spine w/o&w/dye,,,20 ,,RBRVS,1.80 ,15.46 ,15.46 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,72159,CPT,Mr angio spine w/o&w/dye,TC,,20 ,,RBRVS,,14.83 ,14.83 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,72170,CPT,X-ray exam of pelvis,26,,20 ,,RBRVS,0.17 ,0.06 ,0.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,72170,CPT,X-ray exam of pelvis,,,20 ,,RBRVS,0.17 ,0.51 ,0.51 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,72170,CPT,X-ray exam of pelvis,TC,,20 ,,RBRVS,,0.45 ,0.45 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,72190,CPT,X-ray exam of pelvis,26,,20 ,,RBRVS,0.21 ,0.08 ,0.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,72190,CPT,X-ray exam of pelvis,,,20 ,,RBRVS,0.21 ,0.82 ,0.82 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,72190,CPT,X-ray exam of pelvis,TC,,20 ,,RBRVS,,0.74 ,0.74 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,72191,CPT,Ct angiograph pelv w/o&w/dye,26,,20 ,,RBRVS,1.81 ,0.68 ,0.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,72191,CPT,Ct angiograph pelv w/o&w/dye,,,20 ,,RBRVS,1.81 ,11.59 ,11.59 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,72191,CPT,Ct angiograph pelv w/o&w/dye,TC,,20 ,,RBRVS,,10.91 ,10.91 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,72192,CPT,Ct pelvis w/o dye,26,,20 ,,RBRVS,1.09 ,0.41 ,0.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,72192,CPT,Ct pelvis w/o dye,,,20 ,,RBRVS,1.09 ,6.07 ,6.07 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,72192,CPT,Ct pelvis w/o dye,TC,,20 ,,RBRVS,,5.66 ,5.66 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,72193,CPT,Ct pelvis w/dye,26,,20 ,,RBRVS,1.16 ,0.43 ,0.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,72193,CPT,Ct pelvis w/dye,,,20 ,,RBRVS,1.16 ,7.43 ,7.43 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,72193,CPT,Ct pelvis w/dye,TC,,20 ,,RBRVS,,7.00 ,7.00 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,72194,CPT,Ct pelvis w/o & w/dye,26,,20 ,,RBRVS,1.22 ,0.45 ,0.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,72194,CPT,Ct pelvis w/o & w/dye,,,20 ,,RBRVS,1.22 ,9.77 ,9.77 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,72194,CPT,Ct pelvis w/o & w/dye,TC,,20 ,,RBRVS,,9.32 ,9.32 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,72195,CPT,Mri pelvis w/o dye,26,,20 ,,RBRVS,1.46 ,0.53 ,0.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,72195,CPT,Mri pelvis w/o dye,,,20 ,,RBRVS,1.46 ,13.63 ,13.63 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,72195,CPT,Mri pelvis w/o dye,TC,,20 ,,RBRVS,,13.10 ,13.10 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,72196,CPT,Mri pelvis w/dye,26,,20 ,,RBRVS,1.73 ,0.64 ,0.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,72196,CPT,Mri pelvis w/dye,,,20 ,,RBRVS,1.73 ,14.97 ,14.97 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,72196,CPT,Mri pelvis w/dye,TC,,20 ,,RBRVS,,14.33 ,14.33 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,72197,CPT,Mri pelvis w/o & w/dye,26,,20 ,,RBRVS,2.26 ,0.83 ,0.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,72197,CPT,Mri pelvis w/o & w/dye,,,20 ,,RBRVS,2.26 ,20.49 ,20.49 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,72197,CPT,Mri pelvis w/o & w/dye,TC,,20 ,,RBRVS,,19.66 ,19.66 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,72198,CPT,Mr angio pelvis w/o & w/dye,26,,20 ,,RBRVS,1.80 ,0.67 ,0.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,72198,CPT,Mr angio pelvis w/o & w/dye,,,20 ,,RBRVS,1.80 ,14.21 ,14.21 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,72198,CPT,Mr angio pelvis w/o & w/dye,TC,,20 ,,RBRVS,,13.54 ,13.54 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,72200,CPT,X-ray exam sacroiliac joints,26,,20 ,,RBRVS,0.17 ,0.06 ,0.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,72200,CPT,X-ray exam sacroiliac joints,,,20 ,,RBRVS,0.17 ,0.59 ,0.59 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,72200,CPT,X-ray exam sacroiliac joints,TC,,20 ,,RBRVS,,0.53 ,0.53 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,72202,CPT,X-ray exam sacroiliac joints,26,,20 ,,RBRVS,0.19 ,0.07 ,0.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,72202,CPT,X-ray exam sacroiliac joints,,,20 ,,RBRVS,0.19 ,0.72 ,0.72 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,72202,CPT,X-ray exam sacroiliac joints,TC,,20 ,,RBRVS,,0.65 ,0.65 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,72220,CPT,X-ray exam of tailbone,26,,20 ,,RBRVS,0.17 ,0.06 ,0.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,72220,CPT,X-ray exam of tailbone,,,20 ,,RBRVS,0.17 ,0.59 ,0.59 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,72220,CPT,X-ray exam of tailbone,TC,,20 ,,RBRVS,,0.53 ,0.53 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,72240,CPT,Contrast x-ray of neck spine,26,,20 ,,RBRVS,0.91 ,0.33 ,0.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,72240,CPT,Contrast x-ray of neck spine,,,20 ,,RBRVS,0.91 ,3.19 ,3.19 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,72240,CPT,Contrast x-ray of neck spine,TC,,20 ,,RBRVS,,2.86 ,2.86 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,72255,CPT,"Contrast x-ray, thorax spine",26,,20 ,,RBRVS,0.91 ,0.30 ,0.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,72255,CPT,"Contrast x-ray, thorax spine",,,20 ,,RBRVS,0.91 ,2.84 ,2.84 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,72255,CPT,"Contrast x-ray, thorax spine",TC,,20 ,,RBRVS,,2.54 ,2.54 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,72265,CPT,"Contrast x-ray, lower spine",26,,20 ,,RBRVS,0.83 ,0.30 ,0.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,72265,CPT,"Contrast x-ray, lower spine",,,20 ,,RBRVS,0.83 ,2.99 ,2.99 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,72265,CPT,"Contrast x-ray, lower spine",TC,,20 ,,RBRVS,,2.69 ,2.69 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,72270,CPT,"Contrast x-ray, spine",26,,20 ,,RBRVS,1.33 ,0.49 ,0.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,72270,CPT,"Contrast x-ray, spine",,,20 ,,RBRVS,1.33 ,4.64 ,4.64 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,72270,CPT,"Contrast x-ray, spine",TC,,20 ,,RBRVS,,4.15 ,4.15 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,72275,CPT,Epidurography,26,,20 ,,RBRVS,0.76 ,0.21 ,0.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,72275,CPT,Epidurography,,,20 ,,RBRVS,0.76 ,1.88 ,1.88 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,72275,CPT,Epidurography,TC,,20 ,,RBRVS,,1.67 ,1.67 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,72285,CPT,X-ray c/t spine disk,26,,20 ,,RBRVS,1.16 ,0.34 ,0.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,72285,CPT,X-ray c/t spine disk,,,20 ,,RBRVS,1.16 ,3.30 ,3.30 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,72285,CPT,X-ray c/t spine disk,TC,,20 ,,RBRVS,,2.96 ,2.96 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,72291,CPT,"Perq vertebroplasty, fluor",26,,20 ,,TotalUnits,,,,1.82 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,72291,CPT,"Perq vertebroplasty, fluor",,,20 ,,TotalUnits,,,,8.91 ,,$0.00,$0.00,1,0,0,0,0,1,20101001,72291,CPT,"Perq vertebroplasty, fluor",TC,,20 ,,TotalUnits,,,,7.09 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,72292,CPT,"Perq vertebroplasty, ct",26,,20 ,,TotalUnits,,,,1.92 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,72292,CPT,"Perq vertebroplasty, ct",,,20 ,,TotalUnits,,,,9.11 ,,$0.00,$0.00,1,0,0,0,0,1,20101001,72292,CPT,"Perq vertebroplasty, ct",TC,,20 ,,TotalUnits,,,,7.19 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,72295,CPT,X-ray of lower spine disk,26,,20 ,,RBRVS,0.83 ,0.26 ,0.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,72295,CPT,X-ray of lower spine disk,,,20 ,,RBRVS,0.83 ,3.13 ,3.13 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,72295,CPT,X-ray of lower spine disk,TC,,20 ,,RBRVS,,2.87 ,2.87 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,73000,CPT,X-ray exam of collar bone,26,,20 ,,RBRVS,0.16 ,0.06 ,0.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,73000,CPT,X-ray exam of collar bone,,,20 ,,RBRVS,0.16 ,0.56 ,0.56 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,73000,CPT,X-ray exam of collar bone,TC,,20 ,,RBRVS,,0.50 ,0.50 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,73010,CPT,X-ray exam of shoulder blade,26,,20 ,,RBRVS,0.17 ,0.06 ,0.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,73010,CPT,X-ray exam of shoulder blade,,,20 ,,RBRVS,0.17 ,0.57 ,0.57 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,73010,CPT,X-ray exam of shoulder blade,TC,,20 ,,RBRVS,,0.51 ,0.51 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,73020,CPT,X-ray exam of shoulder,26,,20 ,,RBRVS,0.15 ,0.05 ,0.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,73020,CPT,X-ray exam of shoulder,,,20 ,,RBRVS,0.15 ,0.46 ,0.46 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,73020,CPT,X-ray exam of shoulder,TC,,20 ,,RBRVS,,0.41 ,0.41 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,73030,CPT,X-ray exam of shoulder,26,,20 ,,RBRVS,0.18 ,0.07 ,0.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,73030,CPT,X-ray exam of shoulder,,,20 ,,RBRVS,0.18 ,0.59 ,0.59 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,73030,CPT,X-ray exam of shoulder,TC,,20 ,,RBRVS,,0.52 ,0.52 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,73040,CPT,Contrast x-ray of shoulder,26,,20 ,,RBRVS,0.54 ,0.20 ,0.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,73040,CPT,Contrast x-ray of shoulder,,,20 ,,RBRVS,0.54 ,2.25 ,2.25 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,73040,CPT,Contrast x-ray of shoulder,TC,,20 ,,RBRVS,,2.05 ,2.05 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,73050,CPT,X-ray exam of shoulders,26,,20 ,,RBRVS,0.20 ,0.08 ,0.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,73050,CPT,X-ray exam of shoulders,,,20 ,,RBRVS,0.20 ,0.73 ,0.73 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,73050,CPT,X-ray exam of shoulders,TC,,20 ,,RBRVS,,0.65 ,0.65 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,73060,CPT,X-ray exam of humerus,26,,20 ,,RBRVS,0.17 ,0.06 ,0.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,73060,CPT,X-ray exam of humerus,,,20 ,,RBRVS,0.17 ,0.58 ,0.58 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,73060,CPT,X-ray exam of humerus,TC,,20 ,,RBRVS,,0.52 ,0.52 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,73070,CPT,X-ray exam of elbow,26,,20 ,,RBRVS,0.15 ,0.05 ,0.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,73070,CPT,X-ray exam of elbow,,,20 ,,RBRVS,0.15 ,0.55 ,0.55 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,73070,CPT,X-ray exam of elbow,TC,,20 ,,RBRVS,,0.50 ,0.50 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,73080,CPT,X-ray exam of elbow,26,,20 ,,RBRVS,0.17 ,0.06 ,0.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,73080,CPT,X-ray exam of elbow,,,20 ,,RBRVS,0.17 ,0.72 ,0.72 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,73080,CPT,X-ray exam of elbow,TC,,20 ,,RBRVS,,0.66 ,0.66 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,73085,CPT,Contrast x-ray of elbow,26,,20 ,,RBRVS,0.54 ,0.19 ,0.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,73085,CPT,Contrast x-ray of elbow,,,20 ,,RBRVS,0.54 ,1.97 ,1.97 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,73085,CPT,Contrast x-ray of elbow,TC,,20 ,,RBRVS,,1.78 ,1.78 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,73090,CPT,X-ray exam of forearm,26,,20 ,,RBRVS,0.16 ,0.05 ,0.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,73090,CPT,X-ray exam of forearm,,,20 ,,RBRVS,0.16 ,0.55 ,0.55 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,73090,CPT,X-ray exam of forearm,TC,,20 ,,RBRVS,,0.50 ,0.50 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,73092,CPT,"X-ray exam of arm, infant",26,,20 ,,RBRVS,0.16 ,0.05 ,0.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,73092,CPT,"X-ray exam of arm, infant",,,20 ,,RBRVS,0.16 ,0.57 ,0.57 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,73092,CPT,"X-ray exam of arm, infant",TC,,20 ,,RBRVS,,0.52 ,0.52 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,73100,CPT,X-ray exam of wrist,26,,20 ,,RBRVS,0.16 ,0.06 ,0.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,73100,CPT,X-ray exam of wrist,,,20 ,,RBRVS,0.16 ,0.58 ,0.58 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,73100,CPT,X-ray exam of wrist,TC,,20 ,,RBRVS,,0.52 ,0.52 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,73110,CPT,X-ray exam of wrist,26,,20 ,,RBRVS,0.17 ,0.06 ,0.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,73110,CPT,X-ray exam of wrist,,,20 ,,RBRVS,0.17 ,0.72 ,0.72 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,73110,CPT,X-ray exam of wrist,TC,,20 ,,RBRVS,,0.66 ,0.66 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,73115,CPT,Contrast x-ray of wrist,26,,20 ,,RBRVS,0.54 ,0.20 ,0.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,73115,CPT,Contrast x-ray of wrist,,,20 ,,RBRVS,0.54 ,2.14 ,2.14 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,73115,CPT,Contrast x-ray of wrist,TC,,20 ,,RBRVS,,1.94 ,1.94 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,73120,CPT,X-ray exam of hand,26,,20 ,,RBRVS,0.16 ,0.05 ,0.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,73120,CPT,X-ray exam of hand,,,20 ,,RBRVS,0.16 ,0.54 ,0.54 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,73120,CPT,X-ray exam of hand,TC,,20 ,,RBRVS,,0.49 ,0.49 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,73130,CPT,X-ray exam of hand,26,,20 ,,RBRVS,0.17 ,0.06 ,0.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,73130,CPT,X-ray exam of hand,,,20 ,,RBRVS,0.17 ,0.64 ,0.64 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,73130,CPT,X-ray exam of hand,TC,,20 ,,RBRVS,,0.58 ,0.58 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,73140,CPT,X-ray exam of finger(s),26,,20 ,,RBRVS,0.13 ,0.05 ,0.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,73140,CPT,X-ray exam of finger(s),,,20 ,,RBRVS,0.13 ,0.62 ,0.62 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,73140,CPT,X-ray exam of finger(s),TC,,20 ,,RBRVS,,0.57 ,0.57 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,73200,CPT,Ct upper extremity w/o dye,26,,20 ,,RBRVS,1.09 ,0.40 ,0.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,73200,CPT,Ct upper extremity w/o dye,,,20 ,,RBRVS,1.09 ,6.09 ,6.09 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,73200,CPT,Ct upper extremity w/o dye,TC,,20 ,,RBRVS,,5.69 ,5.69 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,73201,CPT,Ct upper extremity w/dye,26,,20 ,,RBRVS,1.16 ,0.43 ,0.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,73201,CPT,Ct upper extremity w/dye,,,20 ,,RBRVS,1.16 ,7.46 ,7.46 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,73201,CPT,Ct upper extremity w/dye,TC,,20 ,,RBRVS,,7.03 ,7.03 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,73202,CPT,Ct uppr extremity w/o&w/dye,26,,20 ,,RBRVS,1.22 ,0.45 ,0.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,73202,CPT,Ct uppr extremity w/o&w/dye,,,20 ,,RBRVS,1.22 ,9.83 ,9.83 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,73202,CPT,Ct uppr extremity w/o&w/dye,TC,,20 ,,RBRVS,,9.38 ,9.38 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,73206,CPT,Ct angio upr extrm w/o&w/dye,26,,20 ,,RBRVS,1.81 ,0.70 ,0.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,73206,CPT,Ct angio upr extrm w/o&w/dye,,,20 ,,RBRVS,1.81 ,11.01 ,11.01 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,73206,CPT,Ct angio upr extrm w/o&w/dye,TC,,20 ,,RBRVS,,10.31 ,10.31 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,73218,CPT,Mri upper extremity w/o dye,26,,20 ,,RBRVS,1.35 ,0.48 ,0.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,73218,CPT,Mri upper extremity w/o dye,,,20 ,,RBRVS,1.35 ,13.79 ,13.79 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,73218,CPT,Mri upper extremity w/o dye,TC,,20 ,,RBRVS,,13.31 ,13.31 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,73219,CPT,Mri upper extremity w/dye,26,,20 ,,RBRVS,1.62 ,0.59 ,0.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,73219,CPT,Mri upper extremity w/dye,,,20 ,,RBRVS,1.62 ,14.97 ,14.97 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,73219,CPT,Mri upper extremity w/dye,TC,,20 ,,RBRVS,,14.38 ,14.38 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,73220,CPT,Mri uppr extremity w/o&w/dye,26,,20 ,,RBRVS,2.15 ,0.79 ,0.79 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,73220,CPT,Mri uppr extremity w/o&w/dye,,,20 ,,RBRVS,2.15 ,20.53 ,20.53 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,73220,CPT,Mri uppr extremity w/o&w/dye,TC,,20 ,,RBRVS,,19.74 ,19.74 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,73221,CPT,Mri joint upr extrem w/o dye,26,,20 ,,RBRVS,1.35 ,0.49 ,0.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,73221,CPT,Mri joint upr extrem w/o dye,,,20 ,,RBRVS,1.35 ,12.96 ,12.96 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,73221,CPT,Mri joint upr extrem w/o dye,TC,,20 ,,RBRVS,,12.47 ,12.47 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,73222,CPT,Mri joint upr extrem w/dye,26,,20 ,,RBRVS,1.62 ,0.59 ,0.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,73222,CPT,Mri joint upr extrem w/dye,,,20 ,,RBRVS,1.62 ,14.13 ,14.13 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,73222,CPT,Mri joint upr extrem w/dye,TC,,20 ,,RBRVS,,13.54 ,13.54 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,73223,CPT,Mri joint upr extr w/o&w/dye,26,,20 ,,RBRVS,2.15 ,0.78 ,0.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,73223,CPT,Mri joint upr extr w/o&w/dye,,,20 ,,RBRVS,2.15 ,19.51 ,19.51 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,73223,CPT,Mri joint upr extr w/o&w/dye,TC,,20 ,,RBRVS,,18.73 ,18.73 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,73225,CPT,Mr angio upr extr w/o&w/dye,26,,20 ,,RBRVS,1.73 ,0.60 ,0.60 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,73225,CPT,Mr angio upr extr w/o&w/dye,,,20 ,,RBRVS,1.73 ,15.12 ,15.12 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,73225,CPT,Mr angio upr extr w/o&w/dye,TC,,20 ,,RBRVS,,14.52 ,14.52 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,73500,CPT,X-ray exam of hip,26,,20 ,,RBRVS,0.17 ,0.06 ,0.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,73500,CPT,X-ray exam of hip,,,20 ,,RBRVS,0.17 ,0.49 ,0.49 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,73500,CPT,X-ray exam of hip,TC,,20 ,,RBRVS,,0.43 ,0.43 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,73510,CPT,X-ray exam of hip,26,,20 ,,RBRVS,0.21 ,0.08 ,0.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,73510,CPT,X-ray exam of hip,,,20 ,,RBRVS,0.21 ,0.74 ,0.74 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,73510,CPT,X-ray exam of hip,TC,,20 ,,RBRVS,,0.66 ,0.66 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,73520,CPT,X-ray exam of hips,26,,20 ,,RBRVS,0.26 ,0.09 ,0.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,73520,CPT,X-ray exam of hips,,,20 ,,RBRVS,0.26 ,0.77 ,0.77 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,73520,CPT,X-ray exam of hips,TC,,20 ,,RBRVS,,0.68 ,0.68 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,73525,CPT,Contrast x-ray of hip,26,,20 ,,RBRVS,0.54 ,0.20 ,0.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,73525,CPT,Contrast x-ray of hip,,,20 ,,RBRVS,0.54 ,1.96 ,1.96 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,73525,CPT,Contrast x-ray of hip,TC,,20 ,,RBRVS,,1.76 ,1.76 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,73530,CPT,X-ray exam of hip,26,,20 ,,TotalUnits,,,,0.40 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,73530,CPT,X-ray exam of hip,,,20 ,,TotalUnits,,,,0.86 ,,$0.00,$0.00,1,0,0,0,0,1,20101001,73530,CPT,X-ray exam of hip,TC,,20 ,,TotalUnits,,,,0.46 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,73540,CPT,X-ray exam of pelvis & hips,26,,20 ,,RBRVS,0.20 ,0.07 ,0.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,73540,CPT,X-ray exam of pelvis & hips,,,20 ,,RBRVS,0.20 ,0.75 ,0.75 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,73540,CPT,X-ray exam of pelvis & hips,TC,,20 ,,RBRVS,,0.68 ,0.68 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,73542,CPT,"X-ray exam, sacroiliac joint",26,,20 ,,RBRVS,0.59 ,0.16 ,0.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,73542,CPT,"X-ray exam, sacroiliac joint",,,20 ,,RBRVS,0.59 ,1.44 ,1.44 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,73542,CPT,"X-ray exam, sacroiliac joint",TC,,20 ,,RBRVS,,1.28 ,1.28 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,73550,CPT,X-ray exam of thigh,26,,20 ,,RBRVS,0.17 ,0.06 ,0.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,73550,CPT,X-ray exam of thigh,,,20 ,,RBRVS,0.17 ,0.56 ,0.56 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,73550,CPT,X-ray exam of thigh,TC,,20 ,,RBRVS,,0.50 ,0.50 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,73560,CPT,"X-ray exam of knee, 1 or 2",26,,20 ,,RBRVS,0.17 ,0.06 ,0.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,73560,CPT,"X-ray exam of knee, 1 or 2",,,20 ,,RBRVS,0.17 ,0.57 ,0.57 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,73560,CPT,"X-ray exam of knee, 1 or 2",TC,,20 ,,RBRVS,,0.51 ,0.51 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,73562,CPT,"X-ray exam of knee, 3",26,,20 ,,RBRVS,0.18 ,0.07 ,0.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,73562,CPT,"X-ray exam of knee, 3",,,20 ,,RBRVS,0.18 ,0.70 ,0.70 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,73562,CPT,"X-ray exam of knee, 3",TC,,20 ,,RBRVS,,0.63 ,0.63 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,73564,CPT,"X-ray exam, knee, 4 or more",26,,20 ,,RBRVS,0.22 ,0.08 ,0.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,73564,CPT,"X-ray exam, knee, 4 or more",,,20 ,,RBRVS,0.22 ,0.81 ,0.81 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,73564,CPT,"X-ray exam, knee, 4 or more",TC,,20 ,,RBRVS,,0.73 ,0.73 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,73565,CPT,X-ray exam of knees,26,,20 ,,RBRVS,0.17 ,0.07 ,0.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,73565,CPT,X-ray exam of knees,,,20 ,,RBRVS,0.17 ,0.62 ,0.62 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,73565,CPT,X-ray exam of knees,TC,,20 ,,RBRVS,,0.55 ,0.55 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,73580,CPT,Contrast x-ray of knee joint,26,,20 ,,RBRVS,0.54 ,0.20 ,0.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,73580,CPT,Contrast x-ray of knee joint,,,20 ,,RBRVS,0.54 ,2.59 ,2.59 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,73580,CPT,Contrast x-ray of knee joint,TC,,20 ,,RBRVS,,2.39 ,2.39 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,73590,CPT,X-ray exam of lower leg,26,,20 ,,RBRVS,0.17 ,0.06 ,0.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,73590,CPT,X-ray exam of lower leg,,,20 ,,RBRVS,0.17 ,0.54 ,0.54 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,73590,CPT,X-ray exam of lower leg,TC,,20 ,,RBRVS,,0.48 ,0.48 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,73592,CPT,"X-ray exam of leg, infant",26,,20 ,,RBRVS,0.16 ,0.05 ,0.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,73592,CPT,"X-ray exam of leg, infant",,,20 ,,RBRVS,0.16 ,0.57 ,0.57 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,73592,CPT,"X-ray exam of leg, infant",TC,,20 ,,RBRVS,,0.52 ,0.52 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,73600,CPT,X-ray exam of ankle,26,,20 ,,RBRVS,0.16 ,0.05 ,0.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,73600,CPT,X-ray exam of ankle,,,20 ,,RBRVS,0.16 ,0.54 ,0.54 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,73600,CPT,X-ray exam of ankle,TC,,20 ,,RBRVS,,0.49 ,0.49 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,73610,CPT,X-ray exam of ankle,26,,20 ,,RBRVS,0.17 ,0.06 ,0.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,73610,CPT,X-ray exam of ankle,,,20 ,,RBRVS,0.17 ,0.64 ,0.64 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,73610,CPT,X-ray exam of ankle,TC,,20 ,,RBRVS,,0.58 ,0.58 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,73615,CPT,Contrast x-ray of ankle,26,,20 ,,RBRVS,0.54 ,0.19 ,0.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,73615,CPT,Contrast x-ray of ankle,,,20 ,,RBRVS,0.54 ,2.03 ,2.03 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,73615,CPT,Contrast x-ray of ankle,TC,,20 ,,RBRVS,,1.84 ,1.84 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,73620,CPT,X-ray exam of foot,26,,20 ,,RBRVS,0.16 ,0.05 ,0.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,73620,CPT,X-ray exam of foot,,,20 ,,RBRVS,0.16 ,0.52 ,0.52 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,73620,CPT,X-ray exam of foot,TC,,20 ,,RBRVS,,0.47 ,0.47 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,73630,CPT,X-ray exam of foot,26,,20 ,,RBRVS,0.17 ,0.06 ,0.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,73630,CPT,X-ray exam of foot,,,20 ,,RBRVS,0.17 ,0.63 ,0.63 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,73630,CPT,X-ray exam of foot,TC,,20 ,,RBRVS,,0.57 ,0.57 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,73650,CPT,X-ray exam of heel,26,,20 ,,RBRVS,0.16 ,0.05 ,0.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,73650,CPT,X-ray exam of heel,,,20 ,,RBRVS,0.16 ,0.53 ,0.53 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,73650,CPT,X-ray exam of heel,TC,,20 ,,RBRVS,,0.48 ,0.48 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,73660,CPT,X-ray exam of toe(s),26,,20 ,,RBRVS,0.13 ,0.04 ,0.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,73660,CPT,X-ray exam of toe(s),,,20 ,,RBRVS,0.13 ,0.58 ,0.58 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,73660,CPT,X-ray exam of toe(s),TC,,20 ,,RBRVS,,0.54 ,0.54 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,73700,CPT,Ct lower extremity w/o dye,26,,20 ,,RBRVS,1.09 ,0.40 ,0.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,73700,CPT,Ct lower extremity w/o dye,,,20 ,,RBRVS,1.09 ,6.10 ,6.10 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,73700,CPT,Ct lower extremity w/o dye,TC,,20 ,,RBRVS,,5.70 ,5.70 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,73701,CPT,Ct lower extremity w/dye,26,,20 ,,RBRVS,1.16 ,0.44 ,0.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,73701,CPT,Ct lower extremity w/dye,,,20 ,,RBRVS,1.16 ,7.52 ,7.52 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,73701,CPT,Ct lower extremity w/dye,TC,,20 ,,RBRVS,,7.08 ,7.08 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,73702,CPT,Ct lwr extremity w/o&w/dye,26,,20 ,,RBRVS,1.22 ,0.46 ,0.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,73702,CPT,Ct lwr extremity w/o&w/dye,,,20 ,,RBRVS,1.22 ,9.86 ,9.86 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,73702,CPT,Ct lwr extremity w/o&w/dye,TC,,20 ,,RBRVS,,9.40 ,9.40 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,73706,CPT,Ct angio lwr extr w/o&w/dye,26,,20 ,,RBRVS,1.90 ,0.74 ,0.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,73706,CPT,Ct angio lwr extr w/o&w/dye,,,20 ,,RBRVS,1.90 ,12.06 ,12.06 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,73706,CPT,Ct angio lwr extr w/o&w/dye,TC,,20 ,,RBRVS,,11.32 ,11.32 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,73718,CPT,Mri lower extremity w/o dye,26,,20 ,,RBRVS,1.35 ,0.49 ,0.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,73718,CPT,Mri lower extremity w/o dye,,,20 ,,RBRVS,1.35 ,13.52 ,13.52 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,73718,CPT,Mri lower extremity w/o dye,TC,,20 ,,RBRVS,,13.03 ,13.03 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,73719,CPT,Mri lower extremity w/dye,26,,20 ,,RBRVS,1.62 ,0.59 ,0.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,73719,CPT,Mri lower extremity w/dye,,,20 ,,RBRVS,1.62 ,14.79 ,14.79 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,73719,CPT,Mri lower extremity w/dye,TC,,20 ,,RBRVS,,14.20 ,14.20 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,73720,CPT,Mri lwr extremity w/o&w/dye,26,,20 ,,RBRVS,2.15 ,0.79 ,0.79 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,73720,CPT,Mri lwr extremity w/o&w/dye,,,20 ,,RBRVS,2.15 ,20.52 ,20.52 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,73720,CPT,Mri lwr extremity w/o&w/dye,TC,,20 ,,RBRVS,,19.73 ,19.73 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,73721,CPT,Mri jnt of lwr extre w/o dye,26,,20 ,,RBRVS,1.35 ,0.49 ,0.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,73721,CPT,Mri jnt of lwr extre w/o dye,,,20 ,,RBRVS,1.35 ,13.21 ,13.21 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,73721,CPT,Mri jnt of lwr extre w/o dye,TC,,20 ,,RBRVS,,12.72 ,12.72 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,73722,CPT,Mri joint of lwr extr w/dye,26,,20 ,,RBRVS,1.62 ,0.60 ,0.60 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,73722,CPT,Mri joint of lwr extr w/dye,,,20 ,,RBRVS,1.62 ,14.26 ,14.26 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,73722,CPT,Mri joint of lwr extr w/dye,TC,,20 ,,RBRVS,,13.66 ,13.66 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,73723,CPT,Mri joint lwr extr w/o&w/dye,26,,20 ,,RBRVS,2.15 ,0.79 ,0.79 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,73723,CPT,Mri joint lwr extr w/o&w/dye,,,20 ,,RBRVS,2.15 ,19.46 ,19.46 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,73723,CPT,Mri joint lwr extr w/o&w/dye,TC,,20 ,,RBRVS,,18.67 ,18.67 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,73725,CPT,Mr ang lwr ext w or w/o dye,26,,20 ,,RBRVS,1.82 ,0.68 ,0.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,73725,CPT,Mr ang lwr ext w or w/o dye,,,20 ,,RBRVS,1.82 ,14.21 ,14.21 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,73725,CPT,Mr ang lwr ext w or w/o dye,TC,,20 ,,RBRVS,,13.53 ,13.53 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,74000,CPT,X-ray exam of abdomen,26,,20 ,,RBRVS,0.18 ,0.06 ,0.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,74000,CPT,X-ray exam of abdomen,,,20 ,,RBRVS,0.18 ,0.49 ,0.49 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,74000,CPT,X-ray exam of abdomen,TC,,20 ,,RBRVS,,0.43 ,0.43 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,74010,CPT,X-ray exam of abdomen,26,,20 ,,RBRVS,0.23 ,0.08 ,0.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,74010,CPT,X-ray exam of abdomen,,,20 ,,RBRVS,0.23 ,0.75 ,0.75 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,74010,CPT,X-ray exam of abdomen,TC,,20 ,,RBRVS,,0.67 ,0.67 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,74020,CPT,X-ray exam of abdomen,26,,20 ,,RBRVS,0.27 ,0.10 ,0.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,74020,CPT,X-ray exam of abdomen,,,20 ,,RBRVS,0.27 ,0.78 ,0.78 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,74020,CPT,X-ray exam of abdomen,TC,,20 ,,RBRVS,,0.68 ,0.68 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,74022,CPT,"X-ray exam series, abdomen",26,,20 ,,RBRVS,0.32 ,0.12 ,0.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,74022,CPT,"X-ray exam series, abdomen",,,20 ,,RBRVS,0.32 ,0.95 ,0.95 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,74022,CPT,"X-ray exam series, abdomen",TC,,20 ,,RBRVS,,0.83 ,0.83 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,74150,CPT,Ct abdomen w/o dye,26,,20 ,,RBRVS,1.19 ,0.44 ,0.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,74150,CPT,Ct abdomen w/o dye,,,20 ,,RBRVS,1.19 ,6.04 ,6.04 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,74150,CPT,Ct abdomen w/o dye,TC,,20 ,,RBRVS,,5.60 ,5.60 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,74160,CPT,Ct abdomen w/dye,26,,20 ,,RBRVS,1.27 ,0.48 ,0.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,74160,CPT,Ct abdomen w/dye,,,20 ,,RBRVS,1.27 ,8.39 ,8.39 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,74160,CPT,Ct abdomen w/dye,TC,,20 ,,RBRVS,,7.91 ,7.91 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,74170,CPT,Ct abdomen w/o & w/dye,26,,20 ,,RBRVS,1.40 ,0.52 ,0.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,74170,CPT,Ct abdomen w/o & w/dye,,,20 ,,RBRVS,1.40 ,11.30 ,11.30 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,74170,CPT,Ct abdomen w/o & w/dye,TC,,20 ,,RBRVS,,10.78 ,10.78 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,74175,CPT,Ct angio abdom w/o & w/dye,26,,20 ,,RBRVS,1.90 ,0.72 ,0.72 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,74175,CPT,Ct angio abdom w/o & w/dye,,,20 ,,RBRVS,1.90 ,12.30 ,12.30 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,74175,CPT,Ct angio abdom w/o & w/dye,TC,,20 ,,RBRVS,,11.58 ,11.58 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,74181,CPT,Mri abdomen w/o dye,26,,20 ,,RBRVS,1.46 ,0.54 ,0.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,74181,CPT,Mri abdomen w/o dye,,,20 ,,RBRVS,1.46 ,12.18 ,12.18 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,74181,CPT,Mri abdomen w/o dye,TC,,20 ,,RBRVS,,11.64 ,11.64 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,74182,CPT,Mri abdomen w/dye,26,,20 ,,RBRVS,1.73 ,0.64 ,0.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,74182,CPT,Mri abdomen w/dye,,,20 ,,RBRVS,1.73 ,16.43 ,16.43 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,74182,CPT,Mri abdomen w/dye,TC,,20 ,,RBRVS,,15.79 ,15.79 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,74183,CPT,Mri abdomen w/o & w/dye,26,,20 ,,RBRVS,2.26 ,0.83 ,0.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,74183,CPT,Mri abdomen w/o & w/dye,,,20 ,,RBRVS,2.26 ,20.51 ,20.51 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,74183,CPT,Mri abdomen w/o & w/dye,TC,,20 ,,RBRVS,,19.68 ,19.68 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,74185,CPT,"Mri angio, abdom w orw/o dye",26,,20 ,,RBRVS,1.80 ,0.67 ,0.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,74185,CPT,"Mri angio, abdom w orw/o dye",,,20 ,,RBRVS,1.80 ,14.17 ,14.17 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,74185,CPT,"Mri angio, abdom w orw/o dye",TC,,20 ,,RBRVS,,13.50 ,13.50 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,74190,CPT,X-ray exam of peritoneum,26,,20 ,,TotalUnits,,,,0.66 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,74190,CPT,X-ray exam of peritoneum,,,20 ,,TotalUnits,,,,1.29 ,,$0.00,$0.00,1,0,0,0,0,1,20101001,74190,CPT,X-ray exam of peritoneum,TC,,20 ,,TotalUnits,,,,0.63 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,74210,CPT,Contrst x-ray exam of throat,26,,20 ,,RBRVS,0.36 ,0.14 ,0.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,74210,CPT,Contrst x-ray exam of throat,,,20 ,,RBRVS,0.36 ,1.66 ,1.66 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,74210,CPT,Contrst x-ray exam of throat,TC,,20 ,,RBRVS,,1.52 ,1.52 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,74220,CPT,"Contrast x-ray, esophagus",26,,20 ,,RBRVS,0.46 ,0.17 ,0.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,74220,CPT,"Contrast x-ray, esophagus",,,20 ,,RBRVS,0.46 ,1.84 ,1.84 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,74220,CPT,"Contrast x-ray, esophagus",TC,,20 ,,RBRVS,,1.67 ,1.67 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,74230,CPT,"Cine/vid x-ray, throat/esoph",26,,20 ,,RBRVS,0.53 ,0.20 ,0.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,74230,CPT,"Cine/vid x-ray, throat/esoph",,,20 ,,RBRVS,0.53 ,1.83 ,1.83 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,74230,CPT,"Cine/vid x-ray, throat/esoph",TC,,20 ,,RBRVS,,1.63 ,1.63 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,74235,CPT,Remove esophagus obstruction,26,,20 ,,RBRVS,1.19 ,0.48 ,0.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,74235,CPT,Remove esophagus obstruction,,,20 ,,RBRVS,1.19 ,3.51 ,3.51 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,74235,CPT,Remove esophagus obstruction,TC,,20 ,,RBRVS,,3.03 ,3.03 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,74240,CPT,"X-ray exam, upper gi tract",26,,20 ,,RBRVS,0.69 ,0.26 ,0.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,74240,CPT,"X-ray exam, upper gi tract",,,20 ,,RBRVS,0.69 ,2.15 ,2.15 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,74240,CPT,"X-ray exam, upper gi tract",TC,,20 ,,RBRVS,,1.89 ,1.89 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,74241,CPT,"X-ray exam, upper gi tract",26,,20 ,,RBRVS,0.69 ,0.25 ,0.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,74241,CPT,"X-ray exam, upper gi tract",,,20 ,,RBRVS,0.69 ,2.34 ,2.34 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,74241,CPT,"X-ray exam, upper gi tract",TC,,20 ,,RBRVS,,2.09 ,2.09 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,74245,CPT,"X-ray exam, upper gi tract",26,,20 ,,RBRVS,0.91 ,0.34 ,0.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,74245,CPT,"X-ray exam, upper gi tract",,,20 ,,RBRVS,0.91 ,3.63 ,3.63 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,74245,CPT,"X-ray exam, upper gi tract",TC,,20 ,,RBRVS,,3.29 ,3.29 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,74246,CPT,Contrst x-ray uppr gi tract,26,,20 ,,RBRVS,0.69 ,0.26 ,0.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,74246,CPT,Contrst x-ray uppr gi tract,,,20 ,,RBRVS,0.69 ,2.56 ,2.56 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,74246,CPT,Contrst x-ray uppr gi tract,TC,,20 ,,RBRVS,,2.30 ,2.30 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,74247,CPT,Contrst x-ray uppr gi tract,26,,20 ,,RBRVS,0.69 ,0.26 ,0.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,74247,CPT,Contrst x-ray uppr gi tract,,,20 ,,RBRVS,0.69 ,2.88 ,2.88 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,74247,CPT,Contrst x-ray uppr gi tract,TC,,20 ,,RBRVS,,2.62 ,2.62 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,74249,CPT,Contrst x-ray uppr gi tract,26,,20 ,,RBRVS,0.91 ,0.34 ,0.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,74249,CPT,Contrst x-ray uppr gi tract,,,20 ,,RBRVS,0.91 ,3.96 ,3.96 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,74249,CPT,Contrst x-ray uppr gi tract,TC,,20 ,,RBRVS,,3.62 ,3.62 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,74250,CPT,X-ray exam of small bowel,26,,20 ,,RBRVS,0.47 ,0.17 ,0.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,74250,CPT,X-ray exam of small bowel,,,20 ,,RBRVS,0.47 ,2.21 ,2.21 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,74250,CPT,X-ray exam of small bowel,TC,,20 ,,RBRVS,,2.04 ,2.04 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,74251,CPT,X-ray exam of small bowel,26,,20 ,,RBRVS,0.69 ,0.26 ,0.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,74251,CPT,X-ray exam of small bowel,,,20 ,,RBRVS,0.69 ,7.82 ,7.82 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,74251,CPT,X-ray exam of small bowel,TC,,20 ,,RBRVS,,7.56 ,7.56 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,74260,CPT,X-ray exam of small bowel,26,,20 ,,RBRVS,0.50 ,0.18 ,0.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,74260,CPT,X-ray exam of small bowel,,,20 ,,RBRVS,0.50 ,6.58 ,6.58 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,74260,CPT,X-ray exam of small bowel,TC,,20 ,,RBRVS,,6.40 ,6.40 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,74261,CPT,"Ct colonography, w/o dye",26,,20 ,,RBRVS,2.28 ,0.69 ,0.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,74261,CPT,"Ct colonography, w/o dye",,,20 ,,RBRVS,2.28 ,8.95 ,8.95 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,74261,CPT,"Ct colonography, w/o dye",TC,,20 ,,RBRVS,,8.26 ,8.26 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,74262,CPT,"Ct colonography, w/dye",26,,20 ,,RBRVS,2.50 ,0.76 ,0.76 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,74262,CPT,"Ct colonography, w/dye",,,20 ,,RBRVS,2.50 ,10.12 ,10.12 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,74262,CPT,"Ct colonography, w/dye",TC,,20 ,,RBRVS,,9.36 ,9.36 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,74263,CPT,"Ct colonography, screen",26,,20 ,,RBRVS,2.28 ,0.83 ,0.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,74263,CPT,"Ct colonography, screen",,,20 ,,RBRVS,2.28 ,17.17 ,17.17 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,74263,CPT,"Ct colonography, screen",TC,,20 ,,RBRVS,,16.34 ,16.34 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,74270,CPT,Contrast x-ray exam of colon,26,,20 ,,RBRVS,0.69 ,0.26 ,0.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,74270,CPT,Contrast x-ray exam of colon,,,20 ,,RBRVS,0.69 ,3.15 ,3.15 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,74270,CPT,Contrast x-ray exam of colon,TC,,20 ,,RBRVS,,2.89 ,2.89 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,74280,CPT,Contrast x-ray exam of colon,26,,20 ,,RBRVS,0.99 ,0.37 ,0.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,74280,CPT,Contrast x-ray exam of colon,,,20 ,,RBRVS,0.99 ,4.34 ,4.34 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,74280,CPT,Contrast x-ray exam of colon,TC,,20 ,,RBRVS,,3.97 ,3.97 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,74283,CPT,Contrast x-ray exam of colon,26,,20 ,,RBRVS,2.02 ,0.74 ,0.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,74283,CPT,Contrast x-ray exam of colon,,,20 ,,RBRVS,2.02 ,3.45 ,3.45 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,74283,CPT,Contrast x-ray exam of colon,TC,,20 ,,RBRVS,,2.71 ,2.71 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,74290,CPT,"Contrast x-ray, gallbladder",26,,20 ,,RBRVS,0.32 ,0.12 ,0.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,74290,CPT,"Contrast x-ray, gallbladder",,,20 ,,RBRVS,0.32 ,1.39 ,1.39 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,74290,CPT,"Contrast x-ray, gallbladder",TC,,20 ,,RBRVS,,1.27 ,1.27 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,74291,CPT,"Contrast x-rays, gallbladder",26,,20 ,,RBRVS,0.20 ,0.07 ,0.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,74291,CPT,"Contrast x-rays, gallbladder",,,20 ,,RBRVS,0.20 ,1.29 ,1.29 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,74291,CPT,"Contrast x-rays, gallbladder",TC,,20 ,,RBRVS,,1.22 ,1.22 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,74300,CPT,X-ray bile ducts/pancreas,26,,20 ,,TotalUnits,,,,0.49 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,74300,CPT,X-ray bile ducts/pancreas,,,20 ,,TotalUnits,,,,1.43 ,,$0.00,$0.00,1,0,0,0,0,1,20101001,74300,CPT,X-ray bile ducts/pancreas,TC,,20 ,,TotalUnits,,,,0.94 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,74301,CPT,X-rays at surgery add-on,26,,20 ,,TotalUnits,,,,0.29 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,74301,CPT,X-rays at surgery add-on,,,20 ,,TotalUnits,,,,0.84 ,,$0.00,$0.00,1,0,0,0,0,1,20101001,74301,CPT,X-rays at surgery add-on,TC,,20 ,,TotalUnits,,,,0.55 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,74305,CPT,X-ray bile ducts/pancreas,26,,20 ,,TotalUnits,,,,0.58 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,74305,CPT,X-ray bile ducts/pancreas,,,20 ,,TotalUnits,,,,1.43 ,,$0.00,$0.00,1,0,0,0,0,1,20101001,74305,CPT,X-ray bile ducts/pancreas,TC,,20 ,,TotalUnits,,,,0.85 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,74320,CPT,Contrast x-ray of bile ducts,26,,20 ,,RBRVS,0.54 ,0.21 ,0.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,74320,CPT,Contrast x-ray of bile ducts,,,20 ,,RBRVS,0.54 ,2.44 ,2.44 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,74320,CPT,Contrast x-ray of bile ducts,TC,,20 ,,RBRVS,,2.23 ,2.23 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,74327,CPT,X-ray bile stone removal,26,,20 ,,RBRVS,0.70 ,0.27 ,0.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,74327,CPT,X-ray bile stone removal,,,20 ,,RBRVS,0.70 ,2.74 ,2.74 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,74327,CPT,X-ray bile stone removal,TC,,20 ,,RBRVS,,2.47 ,2.47 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,74328,CPT,X-ray bile duct endoscopy,26,,20 ,,TotalUnits,,,,0.97 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,74328,CPT,X-ray bile duct endoscopy,,,20 ,,TotalUnits,,,,3.87 ,,$0.00,$0.00,1,0,0,0,0,1,20101001,74328,CPT,X-ray bile duct endoscopy,TC,,20 ,,TotalUnits,,,,2.90 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,74329,CPT,X-ray for pancreas endoscopy,26,,20 ,,TotalUnits,,,,0.97 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,74329,CPT,X-ray for pancreas endoscopy,,,20 ,,TotalUnits,,,,2.74 ,,$0.00,$0.00,1,0,0,0,0,1,20101001,74329,CPT,X-ray for pancreas endoscopy,TC,,20 ,,TotalUnits,,,,1.77 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,74330,CPT,X-ray bile/panc endoscopy,26,,20 ,,TotalUnits,,,,1.24 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,74330,CPT,X-ray bile/panc endoscopy,,,20 ,,TotalUnits,,,,4.12 ,,$0.00,$0.00,1,0,0,0,0,1,20101001,74330,CPT,X-ray bile/panc endoscopy,TC,,20 ,,TotalUnits,,,,2.88 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,74340,CPT,X-ray guide for gi tube,26,,20 ,,TotalUnits,,,,0.74 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,74340,CPT,X-ray guide for gi tube,,,20 ,,TotalUnits,,,,2.02 ,,$0.00,$0.00,1,0,0,0,0,1,20101001,74340,CPT,X-ray guide for gi tube,TC,,20 ,,TotalUnits,,,,1.28 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,74355,CPT,"X-ray guide, intestinal tube",26,,20 ,,TotalUnits,,,,1.05 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,74355,CPT,"X-ray guide, intestinal tube",,,20 ,,TotalUnits,,,,3.03 ,,$0.00,$0.00,1,0,0,0,0,1,20101001,74355,CPT,"X-ray guide, intestinal tube",TC,,20 ,,TotalUnits,,,,1.98 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,74360,CPT,"X-ray guide, gi dilation",26,,20 ,,TotalUnits,,,,0.77 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,74360,CPT,"X-ray guide, gi dilation",,,20 ,,TotalUnits,,,,3.70 ,,$0.00,$0.00,1,0,0,0,0,1,20101001,74360,CPT,"X-ray guide, gi dilation",TC,,20 ,,TotalUnits,,,,2.93 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,74363,CPT,"X-ray, bile duct dilation",26,,20 ,,TotalUnits,,,,1.22 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,74363,CPT,"X-ray, bile duct dilation",,,20 ,,TotalUnits,,,,3.03 ,,$0.00,$0.00,1,0,0,0,0,1,20101001,74363,CPT,"X-ray, bile duct dilation",TC,,20 ,,TotalUnits,,,,1.81 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,74400,CPT,"Contrst x-ray, urinary tract",26,,20 ,,RBRVS,0.49 ,0.18 ,0.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,74400,CPT,"Contrst x-ray, urinary tract",,,20 ,,RBRVS,0.49 ,2.39 ,2.39 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,74400,CPT,"Contrst x-ray, urinary tract",TC,,20 ,,RBRVS,,2.21 ,2.21 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,74410,CPT,"Contrst x-ray, urinary tract",26,,20 ,,RBRVS,0.49 ,0.19 ,0.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,74410,CPT,"Contrst x-ray, urinary tract",,,20 ,,RBRVS,0.49 ,2.55 ,2.55 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,74410,CPT,"Contrst x-ray, urinary tract",TC,,20 ,,RBRVS,,2.36 ,2.36 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,74415,CPT,"Contrst x-ray, urinary tract",26,,20 ,,RBRVS,0.49 ,0.18 ,0.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,74415,CPT,"Contrst x-ray, urinary tract",,,20 ,,RBRVS,0.49 ,3.00 ,3.00 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,74415,CPT,"Contrst x-ray, urinary tract",TC,,20 ,,RBRVS,,2.82 ,2.82 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,74420,CPT,"Contrst x-ray, urinary tract",26,,20 ,,TotalUnits,,,,0.50 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,74420,CPT,"Contrst x-ray, urinary tract",,,20 ,,TotalUnits,,,,2.07 ,,$0.00,$0.00,1,0,0,0,0,1,20101001,74420,CPT,"Contrst x-ray, urinary tract",TC,,20 ,,TotalUnits,,,,1.57 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,74425,CPT,"Contrst x-ray, urinary tract",26,,20 ,,TotalUnits,,,,0.50 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,74425,CPT,"Contrst x-ray, urinary tract",,,20 ,,TotalUnits,,,,2.07 ,,$0.00,$0.00,1,0,0,0,0,1,20101001,74425,CPT,"Contrst x-ray, urinary tract",TC,,20 ,,TotalUnits,,,,1.57 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,74430,CPT,"Contrast x-ray, bladder",26,,20 ,,RBRVS,0.32 ,0.12 ,0.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,74430,CPT,"Contrast x-ray, bladder",,,20 ,,RBRVS,0.32 ,1.75 ,1.75 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,74430,CPT,"Contrast x-ray, bladder",TC,,20 ,,RBRVS,,1.63 ,1.63 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,74440,CPT,"X-ray, male genital tract",26,,20 ,,RBRVS,0.38 ,0.14 ,0.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,74440,CPT,"X-ray, male genital tract",,,20 ,,RBRVS,0.38 ,1.85 ,1.85 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,74440,CPT,"X-ray, male genital tract",TC,,20 ,,RBRVS,,1.71 ,1.71 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,74445,CPT,X-ray exam of penis,26,,20 ,,TotalUnits,,,,1.59 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,74445,CPT,X-ray exam of penis,,,20 ,,TotalUnits,,,,3.31 ,,$0.00,$0.00,1,0,0,0,0,1,20101001,74445,CPT,X-ray exam of penis,TC,,20 ,,TotalUnits,,,,1.72 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,74450,CPT,"X-ray, urethra/bladder",26,,20 ,,TotalUnits,,,,0.46 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,74450,CPT,"X-ray, urethra/bladder",,,20 ,,TotalUnits,,,,2.44 ,,$0.00,$0.00,1,0,0,0,0,1,20101001,74450,CPT,"X-ray, urethra/bladder",TC,,20 ,,TotalUnits,,,,1.98 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,74455,CPT,"X-ray, urethra/bladder",26,,20 ,,RBRVS,0.33 ,0.13 ,0.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,74455,CPT,"X-ray, urethra/bladder",,,20 ,,RBRVS,0.33 ,2.05 ,2.05 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,74455,CPT,"X-ray, urethra/bladder",TC,,20 ,,RBRVS,,1.92 ,1.92 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,74470,CPT,X-ray exam of kidney lesion,26,,20 ,,TotalUnits,,,,0.75 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,74470,CPT,X-ray exam of kidney lesion,,,20 ,,TotalUnits,,,,2.48 ,,$0.00,$0.00,1,0,0,0,0,1,20101001,74470,CPT,X-ray exam of kidney lesion,TC,,20 ,,TotalUnits,,,,1.73 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,74475,CPT,"X-ray control, cath insert",26,,20 ,,RBRVS,0.54 ,0.21 ,0.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,74475,CPT,"X-ray control, cath insert",,,20 ,,RBRVS,0.54 ,2.66 ,2.66 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,74475,CPT,"X-ray control, cath insert",TC,,20 ,,RBRVS,,2.45 ,2.45 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,74480,CPT,"X-ray control, cath insert",26,,20 ,,RBRVS,0.54 ,0.21 ,0.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,74480,CPT,"X-ray control, cath insert",,,20 ,,RBRVS,0.54 ,2.67 ,2.67 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,74480,CPT,"X-ray control, cath insert",TC,,20 ,,RBRVS,,2.46 ,2.46 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,74485,CPT,"X-ray guide, gu dilation",26,,20 ,,RBRVS,0.54 ,0.21 ,0.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,74485,CPT,"X-ray guide, gu dilation",,,20 ,,RBRVS,0.54 ,2.54 ,2.54 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,74485,CPT,"X-ray guide, gu dilation",TC,,20 ,,RBRVS,,2.33 ,2.33 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,74710,CPT,X-ray measurement of pelvis,26,,20 ,,RBRVS,0.34 ,0.13 ,0.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,74710,CPT,X-ray measurement of pelvis,,,20 ,,RBRVS,0.34 ,0.79 ,0.79 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,74710,CPT,X-ray measurement of pelvis,TC,,20 ,,RBRVS,,0.66 ,0.66 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,74740,CPT,"X-ray, female genital tract",26,,20 ,,RBRVS,0.38 ,0.14 ,0.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,74740,CPT,"X-ray, female genital tract",,,20 ,,RBRVS,0.38 ,1.67 ,1.67 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,74740,CPT,"X-ray, female genital tract",TC,,20 ,,RBRVS,,1.53 ,1.53 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,74742,CPT,"X-ray, fallopian tube",26,,20 ,,TotalUnits,,,,0.83 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,74742,CPT,"X-ray, fallopian tube",,,20 ,,TotalUnits,,,,2.79 ,,$0.00,$0.00,1,0,0,0,0,1,20101001,74742,CPT,"X-ray, fallopian tube",TC,,20 ,,TotalUnits,,,,1.96 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,74775,CPT,X-ray exam of perineum,26,,20 ,,TotalUnits,,,,0.85 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,74775,CPT,X-ray exam of perineum,,,20 ,,TotalUnits,,,,3.21 ,,$0.00,$0.00,1,0,0,0,0,1,20101001,74775,CPT,X-ray exam of perineum,TC,,20 ,,TotalUnits,,,,2.36 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,75557,CPT,Cardiac mri for morph,26,,20 ,,RBRVS,2.35 ,1.00 ,1.00 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,75557,CPT,Cardiac mri for morph,,,20 ,,RBRVS,2.35 ,11.04 ,11.04 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,75557,CPT,Cardiac mri for morph,TC,,20 ,,RBRVS,,10.04 ,10.04 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,75559,CPT,Cardiac mri w/stress img,26,,20 ,,RBRVS,2.95 ,1.35 ,1.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,75559,CPT,Cardiac mri w/stress img,,,20 ,,RBRVS,2.95 ,16.82 ,16.82 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,75559,CPT,Cardiac mri w/stress img,TC,,20 ,,RBRVS,,15.47 ,15.47 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,75561,CPT,Cardiac mri for morph w/dye,26,,20 ,,RBRVS,2.60 ,1.10 ,1.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,75561,CPT,Cardiac mri for morph w/dye,,,20 ,,RBRVS,2.60 ,15.63 ,15.63 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,75561,CPT,Cardiac mri for morph w/dye,TC,,20 ,,RBRVS,,14.53 ,14.53 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,75563,CPT,Card mri w/stress img & dye,26,,20 ,,RBRVS,3.00 ,1.44 ,1.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,75563,CPT,Card mri w/stress img & dye,,,20 ,,RBRVS,3.00 ,19.59 ,19.59 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,75563,CPT,Card mri w/stress img & dye,TC,,20 ,,RBRVS,,18.15 ,18.15 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,75565,CPT,Card mri vel flw map add-on,26,,20 ,,RBRVS,0.25 ,0.09 ,0.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,75565,CPT,Card mri vel flw map add-on,,,20 ,,RBRVS,0.25 ,2.27 ,2.27 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,75565,CPT,Card mri vel flw map add-on,TC,,20 ,,RBRVS,,2.18 ,2.18 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,75571,CPT,Ct hrt w/o dye w/ca test,26,,20 ,,RBRVS,0.58 ,0.18 ,0.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,75571,CPT,Ct hrt w/o dye w/ca test,,,20 ,,RBRVS,0.58 ,1.88 ,1.88 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,75571,CPT,Ct hrt w/o dye w/ca test,TC,,20 ,,RBRVS,,1.70 ,1.70 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,75572,CPT,Ct hrt w/3d image,26,,20 ,,RBRVS,1.75 ,0.57 ,0.57 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,75572,CPT,Ct hrt w/3d image,,,20 ,,RBRVS,1.75 ,5.49 ,5.49 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,75572,CPT,Ct hrt w/3d image,TC,,20 ,,RBRVS,,4.92 ,4.92 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,75573,CPT,"Ct hrt w/3d image, congen",26,,20 ,,RBRVS,2.55 ,0.77 ,0.77 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,75573,CPT,"Ct hrt w/3d image, congen",,,20 ,,RBRVS,2.55 ,7.74 ,7.74 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,75573,CPT,"Ct hrt w/3d image, congen",TC,,20 ,,RBRVS,,6.97 ,6.97 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,75574,CPT,Ct angio hrt w/3d image,26,,20 ,,RBRVS,2.40 ,0.77 ,0.77 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,75574,CPT,Ct angio hrt w/3d image,,,20 ,,RBRVS,2.40 ,13.62 ,13.62 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,75574,CPT,Ct angio hrt w/3d image,TC,,20 ,,RBRVS,,12.85 ,12.85 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,75600,CPT,Contrast x-ray exam of aorta,26,,20 ,,RBRVS,0.49 ,0.23 ,0.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,75600,CPT,Contrast x-ray exam of aorta,,,20 ,,RBRVS,0.49 ,7.79 ,7.79 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,75600,CPT,Contrast x-ray exam of aorta,TC,,20 ,,RBRVS,,7.56 ,7.56 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,75605,CPT,Contrast x-ray exam of aorta,26,,20 ,,RBRVS,1.14 ,0.48 ,0.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,75605,CPT,Contrast x-ray exam of aorta,,,20 ,,RBRVS,1.14 ,5.84 ,5.84 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,75605,CPT,Contrast x-ray exam of aorta,TC,,20 ,,RBRVS,,5.36 ,5.36 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,75625,CPT,Contrast x-ray exam of aorta,26,,20 ,,RBRVS,1.14 ,0.43 ,0.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,75625,CPT,Contrast x-ray exam of aorta,,,20 ,,RBRVS,1.14 ,5.73 ,5.73 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,75625,CPT,Contrast x-ray exam of aorta,TC,,20 ,,RBRVS,,5.30 ,5.30 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,75630,CPT,"X-ray aorta, leg arteries",26,,20 ,,RBRVS,1.79 ,0.71 ,0.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,75630,CPT,"X-ray aorta, leg arteries",,,20 ,,RBRVS,1.79 ,6.20 ,6.20 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,75630,CPT,"X-ray aorta, leg arteries",TC,,20 ,,RBRVS,,5.49 ,5.49 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,75635,CPT,Ct angio abdominal arteries,26,,20 ,,RBRVS,2.40 ,0.95 ,0.95 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,75635,CPT,Ct angio abdominal arteries,,,20 ,,RBRVS,2.40 ,13.78 ,13.78 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,75635,CPT,Ct angio abdominal arteries,TC,,20 ,,RBRVS,,12.83 ,12.83 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,75650,CPT,"Artery x-rays, head & neck",26,,20 ,,RBRVS,1.49 ,0.58 ,0.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,75650,CPT,"Artery x-rays, head & neck",,,20 ,,RBRVS,1.49 ,5.91 ,5.91 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,75650,CPT,"Artery x-rays, head & neck",TC,,20 ,,RBRVS,,5.33 ,5.33 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,75658,CPT,"Artery x-rays, arm",26,,20 ,,RBRVS,1.31 ,0.46 ,0.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,75658,CPT,"Artery x-rays, arm",,,20 ,,RBRVS,1.31 ,6.00 ,6.00 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,75658,CPT,"Artery x-rays, arm",TC,,20 ,,RBRVS,,5.54 ,5.54 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,75660,CPT,"Artery x-rays, head & neck",26,,20 ,,RBRVS,1.31 ,0.51 ,0.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,75660,CPT,"Artery x-rays, head & neck",,,20 ,,RBRVS,1.31 ,6.15 ,6.15 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,75660,CPT,"Artery x-rays, head & neck",TC,,20 ,,RBRVS,,5.64 ,5.64 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,75662,CPT,"Artery x-rays, head & neck",26,,20 ,,RBRVS,1.66 ,0.69 ,0.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,75662,CPT,"Artery x-rays, head & neck",,,20 ,,RBRVS,1.66 ,6.98 ,6.98 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,75662,CPT,"Artery x-rays, head & neck",TC,,20 ,,RBRVS,,6.29 ,6.29 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,75665,CPT,"Artery x-rays, head & neck",26,,20 ,,RBRVS,1.31 ,0.50 ,0.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,75665,CPT,"Artery x-rays, head & neck",,,20 ,,RBRVS,1.31 ,6.34 ,6.34 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,75665,CPT,"Artery x-rays, head & neck",TC,,20 ,,RBRVS,,5.84 ,5.84 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,75671,CPT,"Artery x-rays, head & neck",26,,20 ,,RBRVS,1.66 ,0.65 ,0.65 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,75671,CPT,"Artery x-rays, head & neck",,,20 ,,RBRVS,1.66 ,7.09 ,7.09 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,75671,CPT,"Artery x-rays, head & neck",TC,,20 ,,RBRVS,,6.44 ,6.44 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,75676,CPT,"Artery x-rays, neck",26,,20 ,,RBRVS,1.31 ,0.50 ,0.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,75676,CPT,"Artery x-rays, neck",,,20 ,,RBRVS,1.31 ,6.15 ,6.15 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,75676,CPT,"Artery x-rays, neck",TC,,20 ,,RBRVS,,5.65 ,5.65 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,75680,CPT,"Artery x-rays, neck",26,,20 ,,RBRVS,1.66 ,0.66 ,0.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,75680,CPT,"Artery x-rays, neck",,,20 ,,RBRVS,1.66 ,6.72 ,6.72 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,75680,CPT,"Artery x-rays, neck",TC,,20 ,,RBRVS,,6.06 ,6.06 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,75685,CPT,"Artery x-rays, spine",26,,20 ,,RBRVS,1.31 ,0.51 ,0.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,75685,CPT,"Artery x-rays, spine",,,20 ,,RBRVS,1.31 ,6.17 ,6.17 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,75685,CPT,"Artery x-rays, spine",TC,,20 ,,RBRVS,,5.66 ,5.66 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,75705,CPT,"Artery x-rays, spine",26,,20 ,,RBRVS,2.18 ,0.84 ,0.84 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,75705,CPT,"Artery x-rays, spine",,,20 ,,RBRVS,2.18 ,6.46 ,6.46 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,75705,CPT,"Artery x-rays, spine",TC,,20 ,,RBRVS,,5.62 ,5.62 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,75710,CPT,"Artery x-rays, arm/leg",26,,20 ,,RBRVS,1.14 ,0.43 ,0.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,75710,CPT,"Artery x-rays, arm/leg",,,20 ,,RBRVS,1.14 ,6.15 ,6.15 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,75710,CPT,"Artery x-rays, arm/leg",TC,,20 ,,RBRVS,,5.72 ,5.72 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,75716,CPT,"Artery x-rays, arms/legs",26,,20 ,,RBRVS,1.31 ,0.50 ,0.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,75716,CPT,"Artery x-rays, arms/legs",,,20 ,,RBRVS,1.31 ,6.88 ,6.88 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,75716,CPT,"Artery x-rays, arms/legs",TC,,20 ,,RBRVS,,6.38 ,6.38 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,75722,CPT,"Artery x-rays, kidney",26,,20 ,,RBRVS,1.14 ,0.47 ,0.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,75722,CPT,"Artery x-rays, kidney",,,20 ,,RBRVS,1.14 ,6.07 ,6.07 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,75722,CPT,"Artery x-rays, kidney",TC,,20 ,,RBRVS,,5.60 ,5.60 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,75724,CPT,"Artery x-rays, kidneys",26,,20 ,,RBRVS,1.49 ,0.71 ,0.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,75724,CPT,"Artery x-rays, kidneys",,,20 ,,RBRVS,1.49 ,6.99 ,6.99 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,75724,CPT,"Artery x-rays, kidneys",TC,,20 ,,RBRVS,,6.28 ,6.28 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,75726,CPT,"Artery x-rays, abdomen",26,,20 ,,RBRVS,1.14 ,0.44 ,0.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,75726,CPT,"Artery x-rays, abdomen",,,20 ,,RBRVS,1.14 ,6.08 ,6.08 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,75726,CPT,"Artery x-rays, abdomen",TC,,20 ,,RBRVS,,5.64 ,5.64 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,75731,CPT,"Artery x-rays, adrenal gland",26,,20 ,,RBRVS,1.14 ,0.52 ,0.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,75731,CPT,"Artery x-rays, adrenal gland",,,20 ,,RBRVS,1.14 ,6.34 ,6.34 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,75731,CPT,"Artery x-rays, adrenal gland",TC,,20 ,,RBRVS,,5.82 ,5.82 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,75733,CPT,"Artery x-rays, adrenals",26,,20 ,,RBRVS,1.31 ,0.63 ,0.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,75733,CPT,"Artery x-rays, adrenals",,,20 ,,RBRVS,1.31 ,7.23 ,7.23 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,75733,CPT,"Artery x-rays, adrenals",TC,,20 ,,RBRVS,,6.60 ,6.60 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,75736,CPT,"Artery x-rays, pelvis",26,,20 ,,RBRVS,1.14 ,0.45 ,0.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,75736,CPT,"Artery x-rays, pelvis",,,20 ,,RBRVS,1.14 ,6.14 ,6.14 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,75736,CPT,"Artery x-rays, pelvis",TC,,20 ,,RBRVS,,5.69 ,5.69 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,75741,CPT,"Artery x-rays, lung",26,,20 ,,RBRVS,1.31 ,0.51 ,0.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,75741,CPT,"Artery x-rays, lung",,,20 ,,RBRVS,1.31 ,5.66 ,5.66 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,75741,CPT,"Artery x-rays, lung",TC,,20 ,,RBRVS,,5.15 ,5.15 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,75743,CPT,"Artery x-rays, lungs",26,,20 ,,RBRVS,1.66 ,0.66 ,0.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,75743,CPT,"Artery x-rays, lungs",,,20 ,,RBRVS,1.66 ,6.01 ,6.01 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,75743,CPT,"Artery x-rays, lungs",TC,,20 ,,RBRVS,,5.35 ,5.35 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,75746,CPT,"Artery x-rays, lung",26,,20 ,,RBRVS,1.14 ,0.43 ,0.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,75746,CPT,"Artery x-rays, lung",,,20 ,,RBRVS,1.14 ,5.91 ,5.91 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,75746,CPT,"Artery x-rays, lung",TC,,20 ,,RBRVS,,5.48 ,5.48 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,75756,CPT,"Artery x-rays, chest",26,,20 ,,RBRVS,1.14 ,0.55 ,0.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,75756,CPT,"Artery x-rays, chest",,,20 ,,RBRVS,1.14 ,6.38 ,6.38 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,75756,CPT,"Artery x-rays, chest",TC,,20 ,,RBRVS,,5.83 ,5.83 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,75774,CPT,"Artery x-ray, each vessel",26,,20 ,,RBRVS,0.36 ,0.14 ,0.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,75774,CPT,"Artery x-ray, each vessel",,,20 ,,RBRVS,0.36 ,5.03 ,5.03 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,75774,CPT,"Artery x-ray, each vessel",TC,,20 ,,RBRVS,,4.89 ,4.89 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,75791,CPT,Av dialysis shunt imaging,26,,20 ,,RBRVS,1.71 ,0.53 ,0.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,75791,CPT,Av dialysis shunt imaging,,,20 ,,RBRVS,1.71 ,6.69 ,6.69 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,75791,CPT,Av dialysis shunt imaging,TC,,20 ,,RBRVS,,6.16 ,6.16 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,75801,CPT,"Lymph vessel x-ray, arm/leg",26,,20 ,,TotalUnits,,,,1.06 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,75801,CPT,"Lymph vessel x-ray, arm/leg",,,20 ,,TotalUnits,,,,6.38 ,,$0.00,$0.00,1,0,0,0,0,1,20101001,75801,CPT,"Lymph vessel x-ray, arm/leg",TC,,20 ,,TotalUnits,,,,5.32 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,75803,CPT,"Lymph vessel x-ray,arms/legs",26,,20 ,,RBRVS,1.17 ,0.45 ,0.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,75803,CPT,"Lymph vessel x-ray,arms/legs",,,20 ,,RBRVS,1.17 ,6.07 ,6.07 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,75803,CPT,"Lymph vessel x-ray,arms/legs",TC,,20 ,,RBRVS,,5.62 ,5.62 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,75805,CPT,"Lymph vessel x-ray, trunk",26,,20 ,,RBRVS,0.81 ,0.31 ,0.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,75805,CPT,"Lymph vessel x-ray, trunk",,,20 ,,RBRVS,0.81 ,6.61 ,6.61 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,75805,CPT,"Lymph vessel x-ray, trunk",TC,,20 ,,RBRVS,,6.30 ,6.30 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,75807,CPT,"Lymph vessel x-ray, trunk",26,,20 ,,RBRVS,1.17 ,0.45 ,0.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,75807,CPT,"Lymph vessel x-ray, trunk",,,20 ,,RBRVS,1.17 ,6.80 ,6.80 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,75807,CPT,"Lymph vessel x-ray, trunk",TC,,20 ,,RBRVS,,6.35 ,6.35 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,75809,CPT,"Nonvascular shunt, x-ray",26,,20 ,,RBRVS,0.47 ,0.17 ,0.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,75809,CPT,"Nonvascular shunt, x-ray",,,20 ,,RBRVS,0.47 ,1.85 ,1.85 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,75809,CPT,"Nonvascular shunt, x-ray",TC,,20 ,,RBRVS,,1.68 ,1.68 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,75810,CPT,"Vein x-ray, spleen/liver",26,,20 ,,RBRVS,1.14 ,0.45 ,0.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,75810,CPT,"Vein x-ray, spleen/liver",,,20 ,,RBRVS,1.14 ,13.06 ,13.06 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,75810,CPT,"Vein x-ray, spleen/liver",TC,,20 ,,RBRVS,,12.61 ,12.61 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,75820,CPT,"Vein x-ray, arm/leg",26,,20 ,,RBRVS,0.70 ,0.28 ,0.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,75820,CPT,"Vein x-ray, arm/leg",,,20 ,,RBRVS,0.70 ,2.49 ,2.49 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,75820,CPT,"Vein x-ray, arm/leg",TC,,20 ,,RBRVS,,2.21 ,2.21 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,75822,CPT,"Vein x-ray, arms/legs",26,,20 ,,RBRVS,1.06 ,0.39 ,0.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,75822,CPT,"Vein x-ray, arms/legs",,,20 ,,RBRVS,1.06 ,2.83 ,2.83 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,75822,CPT,"Vein x-ray, arms/legs",TC,,20 ,,RBRVS,,2.44 ,2.44 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,75825,CPT,"Vein x-ray, trunk",26,,20 ,,RBRVS,1.14 ,0.41 ,0.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,75825,CPT,"Vein x-ray, trunk",,,20 ,,RBRVS,1.14 ,5.46 ,5.46 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,75825,CPT,"Vein x-ray, trunk",TC,,20 ,,RBRVS,,5.05 ,5.05 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,75827,CPT,"Vein x-ray, chest",26,,20 ,,RBRVS,1.14 ,0.39 ,0.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,75827,CPT,"Vein x-ray, chest",,,20 ,,RBRVS,1.14 ,5.46 ,5.46 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,75827,CPT,"Vein x-ray, chest",TC,,20 ,,RBRVS,,5.07 ,5.07 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,75831,CPT,"Vein x-ray, kidney",26,,20 ,,RBRVS,1.14 ,0.42 ,0.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,75831,CPT,"Vein x-ray, kidney",,,20 ,,RBRVS,1.14 ,5.55 ,5.55 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,75831,CPT,"Vein x-ray, kidney",TC,,20 ,,RBRVS,,5.13 ,5.13 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,75833,CPT,"Vein x-ray, kidneys",26,,20 ,,RBRVS,1.49 ,0.52 ,0.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,75833,CPT,"Vein x-ray, kidneys",,,20 ,,RBRVS,1.49 ,6.01 ,6.01 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,75833,CPT,"Vein x-ray, kidneys",TC,,20 ,,RBRVS,,5.49 ,5.49 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,75840,CPT,"Vein x-ray, adrenal gland",26,,20 ,,RBRVS,1.14 ,0.39 ,0.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,75840,CPT,"Vein x-ray, adrenal gland",,,20 ,,RBRVS,1.14 ,5.48 ,5.48 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,75840,CPT,"Vein x-ray, adrenal gland",TC,,20 ,,RBRVS,,5.09 ,5.09 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,75842,CPT,"Vein x-ray, adrenal glands",26,,20 ,,RBRVS,1.49 ,0.56 ,0.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,75842,CPT,"Vein x-ray, adrenal glands",,,20 ,,RBRVS,1.49 ,6.07 ,6.07 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,75842,CPT,"Vein x-ray, adrenal glands",TC,,20 ,,RBRVS,,5.51 ,5.51 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,75860,CPT,"Vein x-ray, neck",26,,20 ,,RBRVS,1.14 ,0.47 ,0.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,75860,CPT,"Vein x-ray, neck",,,20 ,,RBRVS,1.14 ,5.71 ,5.71 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,75860,CPT,"Vein x-ray, neck",TC,,20 ,,RBRVS,,5.24 ,5.24 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,75870,CPT,"Vein x-ray, skull",26,,20 ,,RBRVS,1.14 ,0.42 ,0.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,75870,CPT,"Vein x-ray, skull",,,20 ,,RBRVS,1.14 ,5.64 ,5.64 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,75870,CPT,"Vein x-ray, skull",TC,,20 ,,RBRVS,,5.22 ,5.22 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,75872,CPT,"Vein x-ray, skull",26,,20 ,,RBRVS,1.14 ,0.45 ,0.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,75872,CPT,"Vein x-ray, skull",,,20 ,,RBRVS,1.14 ,6.24 ,6.24 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,75872,CPT,"Vein x-ray, skull",TC,,20 ,,RBRVS,,5.79 ,5.79 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,75880,CPT,"Vein x-ray, eye socket",26,,20 ,,RBRVS,0.70 ,0.24 ,0.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,75880,CPT,"Vein x-ray, eye socket",,,20 ,,RBRVS,0.70 ,2.52 ,2.52 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,75880,CPT,"Vein x-ray, eye socket",TC,,20 ,,RBRVS,,2.28 ,2.28 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,75885,CPT,"Vein x-ray, liver",26,,20 ,,RBRVS,1.44 ,0.56 ,0.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,75885,CPT,"Vein x-ray, liver",,,20 ,,RBRVS,1.44 ,5.71 ,5.71 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,75885,CPT,"Vein x-ray, liver",TC,,20 ,,RBRVS,,5.15 ,5.15 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,75887,CPT,"Vein x-ray, liver",26,,20 ,,RBRVS,1.44 ,0.56 ,0.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,75887,CPT,"Vein x-ray, liver",,,20 ,,RBRVS,1.44 ,5.77 ,5.77 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,75887,CPT,"Vein x-ray, liver",TC,,20 ,,RBRVS,,5.21 ,5.21 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,75889,CPT,"Vein x-ray, liver",26,,20 ,,RBRVS,1.14 ,0.44 ,0.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,75889,CPT,"Vein x-ray, liver",,,20 ,,RBRVS,1.14 ,5.58 ,5.58 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,75889,CPT,"Vein x-ray, liver",TC,,20 ,,RBRVS,,5.14 ,5.14 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,75891,CPT,"Vein x-ray, liver",26,,20 ,,RBRVS,1.14 ,0.44 ,0.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,75891,CPT,"Vein x-ray, liver",,,20 ,,RBRVS,1.14 ,5.58 ,5.58 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,75891,CPT,"Vein x-ray, liver",TC,,20 ,,RBRVS,,5.14 ,5.14 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,75893,CPT,Venous sampling by catheter,26,,20 ,,RBRVS,0.54 ,0.20 ,0.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,75893,CPT,Venous sampling by catheter,,,20 ,,RBRVS,0.54 ,5.33 ,5.33 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,75893,CPT,Venous sampling by catheter,TC,,20 ,,RBRVS,,5.13 ,5.13 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,75894,CPT,"X-rays, transcath therapy",26,,20 ,,TotalUnits,,,,1.80 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,75894,CPT,"X-rays, transcath therapy",,,20 ,,TotalUnits,,,,24.55 ,,$0.00,$0.00,1,0,0,0,0,1,20101001,75894,CPT,"X-rays, transcath therapy",TC,,20 ,,TotalUnits,,,,22.75 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,75896,CPT,"X-rays, transcath therapy",26,,20 ,,TotalUnits,,,,1.83 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,75896,CPT,"X-rays, transcath therapy",,,20 ,,TotalUnits,,,,23.90 ,,$0.00,$0.00,1,0,0,0,0,1,20101001,75896,CPT,"X-rays, transcath therapy",TC,,20 ,,TotalUnits,,,,22.07 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,75898,CPT,Follow-up angiography,26,,20 ,,TotalUnits,,,,2.30 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,75898,CPT,Follow-up angiography,,,20 ,,TotalUnits,,,,4.44 ,,$0.00,$0.00,1,0,0,0,0,1,20101001,75898,CPT,Follow-up angiography,TC,,20 ,,TotalUnits,,,,2.14 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,75900,CPT,Intravascular cath exchange,26,,20 ,,TotalUnits,,,,0.67 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,75900,CPT,Intravascular cath exchange,,,20 ,,TotalUnits,,,,9.04 ,,$0.00,$0.00,1,0,0,0,0,1,20101001,75900,CPT,Intravascular cath exchange,TC,,20 ,,TotalUnits,,,,8.37 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,75901,CPT,Remove cva device obstruct,26,,20 ,,RBRVS,0.49 ,0.18 ,0.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,75901,CPT,Remove cva device obstruct,,,20 ,,RBRVS,0.49 ,3.48 ,3.48 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,75901,CPT,Remove cva device obstruct,TC,,20 ,,RBRVS,,3.30 ,3.30 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,75902,CPT,Remove cva lumen obstruct,26,,20 ,,RBRVS,0.39 ,0.14 ,0.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,75902,CPT,Remove cva lumen obstruct,,,20 ,,RBRVS,0.39 ,1.58 ,1.58 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,75902,CPT,Remove cva lumen obstruct,TC,,20 ,,RBRVS,,1.44 ,1.44 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,75940,CPT,"X-ray placement, vein filter",26,,20 ,,TotalUnits,,,,0.73 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,75940,CPT,"X-ray placement, vein filter",,,20 ,,TotalUnits,,,,13.16 ,,$0.00,$0.00,1,0,0,0,0,1,20101001,75940,CPT,"X-ray placement, vein filter",TC,,20 ,,TotalUnits,,,,12.43 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,75945,CPT,Intravascular us,26,,20 ,,TotalUnits,,,,0.55 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,75945,CPT,Intravascular us,,,20 ,,TotalUnits,,,,7.27 ,,$0.00,$0.00,1,0,0,0,0,1,20101001,75945,CPT,Intravascular us,TC,,20 ,,TotalUnits,,,,6.72 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,75946,CPT,Intravascular us add-on,26,,20 ,,TotalUnits,,,,0.53 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,75946,CPT,Intravascular us add-on,,,20 ,,TotalUnits,,,,3.96 ,,$0.00,$0.00,1,0,0,0,0,1,20101001,75946,CPT,Intravascular us add-on,TC,,20 ,,TotalUnits,,,,3.43 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,75952,CPT,Endovasc repair abdom aorta,26,,20 ,,TotalUnits,,,,1.79 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,75952,CPT,Endovasc repair abdom aorta,,,20 ,,TotalUnits,,,,11.42 ,,$0.00,$0.00,1,0,0,0,0,1,20101001,75952,CPT,Endovasc repair abdom aorta,TC,,20 ,,TotalUnits,,,,9.63 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,75953,CPT,Abdom aneurysm endovas rpr,26,,20 ,,TotalUnits,,,,2.96 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,75953,CPT,Abdom aneurysm endovas rpr,,,20 ,,TotalUnits,,,,5.32 ,,$0.00,$0.00,1,0,0,0,0,1,20101001,75953,CPT,Abdom aneurysm endovas rpr,TC,,20 ,,TotalUnits,,,,2.36 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,75954,CPT,Iliac aneurysm endovas rpr,26,,20 ,,TotalUnits,,,,9.25 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,75954,CPT,Iliac aneurysm endovas rpr,,,20 ,,TotalUnits,,,,13.57 ,,$0.00,$0.00,1,0,0,0,0,1,20101001,75954,CPT,Iliac aneurysm endovas rpr,TC,,20 ,,TotalUnits,,,,4.32 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,75956,CPT,"Xray, endovasc thor ao repr",26,,20 ,,RBRVS,7.00 ,2.25 ,2.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,75956,CPT,"Xray, endovasc thor ao repr",,,20 ,,RBRVS,7.00 ,2.25 ,2.25 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,75957,CPT,"Xray, endovasc thor ao repr",26,,20 ,,RBRVS,6.00 ,1.92 ,1.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,75957,CPT,"Xray, endovasc thor ao repr",,,20 ,,RBRVS,6.00 ,1.92 ,1.92 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,75958,CPT,"Xray, place prox ext thor ao",26,,20 ,,RBRVS,4.00 ,1.23 ,1.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,75958,CPT,"Xray, place prox ext thor ao",,,20 ,,RBRVS,4.00 ,1.23 ,1.23 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,75959,CPT,"Xray, place dist ext thor ao",26,,20 ,,RBRVS,3.50 ,1.10 ,1.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,75959,CPT,"Xray, place dist ext thor ao",,,20 ,,RBRVS,3.50 ,1.10 ,1.10 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,75960,CPT,Transcath iv stent rs&i,26,,20 ,,RBRVS,0.82 ,0.32 ,0.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,75960,CPT,Transcath iv stent rs&i,,,20 ,,RBRVS,0.82 ,5.79 ,5.79 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,75960,CPT,Transcath iv stent rs&i,TC,,20 ,,RBRVS,,5.47 ,5.47 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,75961,CPT,"Retrieval, broken catheter",26,,20 ,,RBRVS,4.24 ,1.59 ,1.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,75961,CPT,"Retrieval, broken catheter",,,20 ,,RBRVS,4.24 ,6.57 ,6.57 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,75961,CPT,"Retrieval, broken catheter",TC,,20 ,,RBRVS,,4.98 ,4.98 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,75962,CPT,Repair arterial blockage,26,,20 ,,RBRVS,0.54 ,0.20 ,0.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,75962,CPT,Repair arterial blockage,,,20 ,,RBRVS,0.54 ,6.54 ,6.54 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,75962,CPT,Repair arterial blockage,TC,,20 ,,RBRVS,,6.34 ,6.34 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,75964,CPT,"Repair artery blockage, each",26,,20 ,,RBRVS,0.36 ,0.13 ,0.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,75964,CPT,"Repair artery blockage, each",,,20 ,,RBRVS,0.36 ,3.85 ,3.85 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,75964,CPT,"Repair artery blockage, each",TC,,20 ,,RBRVS,,3.72 ,3.72 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,75966,CPT,Repair arterial blockage,26,,20 ,,RBRVS,1.31 ,0.55 ,0.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,75966,CPT,Repair arterial blockage,,,20 ,,RBRVS,1.31 ,7.08 ,7.08 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,75966,CPT,Repair arterial blockage,TC,,20 ,,RBRVS,,6.53 ,6.53 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,75968,CPT,"Repair artery blockage, each",26,,20 ,,RBRVS,0.36 ,0.15 ,0.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,75968,CPT,"Repair artery blockage, each",,,20 ,,RBRVS,0.36 ,3.87 ,3.87 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,75968,CPT,"Repair artery blockage, each",TC,,20 ,,RBRVS,,3.72 ,3.72 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,75970,CPT,Vascular biopsy,26,,20 ,,TotalUnits,,,,1.15 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,75970,CPT,Vascular biopsy,,,20 ,,TotalUnits,,,,13.08 ,,$0.00,$0.00,1,0,0,0,0,1,20101001,75970,CPT,Vascular biopsy,TC,,20 ,,TotalUnits,,,,11.93 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,75978,CPT,Repair venous blockage,26,,20 ,,RBRVS,0.54 ,0.19 ,0.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,75978,CPT,Repair venous blockage,,,20 ,,RBRVS,0.54 ,6.42 ,6.42 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,75978,CPT,Repair venous blockage,TC,,20 ,,RBRVS,,6.23 ,6.23 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,75980,CPT,Contrast xray exam bile duct,26,,20 ,,TotalUnits,,,,1.99 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,75980,CPT,Contrast xray exam bile duct,,,20 ,,TotalUnits,,,,8.40 ,,$0.00,$0.00,1,0,0,0,0,1,20101001,75980,CPT,Contrast xray exam bile duct,TC,,20 ,,TotalUnits,,,,6.41 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,75982,CPT,Contrast xray exam bile duct,26,,20 ,,TotalUnits,,,,1.99 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,75982,CPT,Contrast xray exam bile duct,,,20 ,,TotalUnits,,,,8.88 ,,$0.00,$0.00,1,0,0,0,0,1,20101001,75982,CPT,Contrast xray exam bile duct,TC,,20 ,,TotalUnits,,,,6.89 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,75984,CPT,Xray control catheter change,26,,20 ,,RBRVS,0.72 ,0.28 ,0.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,75984,CPT,Xray control catheter change,,,20 ,,RBRVS,0.72 ,2.30 ,2.30 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,75984,CPT,Xray control catheter change,TC,,20 ,,RBRVS,,2.02 ,2.02 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,75989,CPT,Abscess drainage under x-ray,26,,20 ,,RBRVS,1.19 ,0.45 ,0.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,75989,CPT,Abscess drainage under x-ray,,,20 ,,RBRVS,1.19 ,2.59 ,2.59 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,75989,CPT,Abscess drainage under x-ray,TC,,20 ,,RBRVS,,2.14 ,2.14 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,75992,CPT,"Atherectomy, x-ray exam",26,,20 ,,TotalUnits,,,,0.76 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,75992,CPT,"Atherectomy, x-ray exam",,,20 ,,TotalUnits,,,,25.91 ,,$0.00,$0.00,1,0,0,0,0,1,20101001,75992,CPT,"Atherectomy, x-ray exam",TC,,20 ,,TotalUnits,,,,25.15 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,75993,CPT,"Atherectomy, x-ray exam",26,,20 ,,TotalUnits,,,,0.50 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,75993,CPT,"Atherectomy, x-ray exam",,,20 ,,TotalUnits,,,,17.36 ,,$0.00,$0.00,1,0,0,0,0,1,20101001,75993,CPT,"Atherectomy, x-ray exam",TC,,20 ,,TotalUnits,,,,16.86 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,75994,CPT,"Atherectomy, x-ray exam",26,,20 ,,TotalUnits,,,,1.67 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,75994,CPT,"Atherectomy, x-ray exam",,,20 ,,TotalUnits,,,,24.23 ,,$0.00,$0.00,1,0,0,0,0,1,20101001,75994,CPT,"Atherectomy, x-ray exam",TC,,20 ,,TotalUnits,,,,22.56 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,75995,CPT,"Atherectomy, x-ray exam",26,,20 ,,RBRVS,1.31 ,0.48 ,0.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,75995,CPT,"Atherectomy, x-ray exam",,,20 ,,RBRVS,1.31 ,16.21 ,16.21 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,75995,CPT,"Atherectomy, x-ray exam",TC,,20 ,,RBRVS,,15.73 ,15.73 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,75996,CPT,"Atherectomy, x-ray exam",26,,20 ,,RBRVS,0.36 ,0.13 ,0.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,75996,CPT,"Atherectomy, x-ray exam",,,20 ,,RBRVS,0.36 ,4.49 ,4.49 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,75996,CPT,"Atherectomy, x-ray exam",TC,,20 ,,RBRVS,,4.36 ,4.36 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,76000,CPT,Fluoroscope examination,26,,20 ,,RBRVS,0.17 ,0.06 ,0.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,76000,CPT,Fluoroscope examination,,,20 ,,RBRVS,0.17 ,2.39 ,2.39 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,76000,CPT,Fluoroscope examination,TC,,20 ,,RBRVS,,2.33 ,2.33 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,76001,CPT,"Fluoroscope exam, extensive",26,,20 ,,RBRVS,0.67 ,0.25 ,0.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,76001,CPT,"Fluoroscope exam, extensive",,,20 ,,RBRVS,0.67 ,3.01 ,3.01 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,76001,CPT,"Fluoroscope exam, extensive",TC,,20 ,,RBRVS,,2.76 ,2.76 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,76010,CPT,"X-ray, nose to rectum",,,20 ,,RBRVS,0.18 ,0.56 ,0.56 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,76010,CPT,"X-ray, nose to rectum",,PC,20 ,,RBRVS,0.18 ,0.07 ,0.07 ,,,$0.00,$0.00,1,0,1,1,1,0,20101001,76010,CPT,"X-ray, nose to rectum",,TC,20 ,,RBRVS,,0.49 ,0.49 ,,,$0.00,$0.00,1,1,1,0,1,0,20101001,76080,CPT,X-ray exam of fistula,,,20 ,,RBRVS,0.54 ,1.14 ,1.14 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,76080,CPT,X-ray exam of fistula,,PC,20 ,,RBRVS,0.54 ,0.21 ,0.21 ,,,$0.00,$0.00,1,0,1,1,1,0,20101001,76080,CPT,X-ray exam of fistula,,TC,20 ,,RBRVS,,0.93 ,0.93 ,,,$0.00,$0.00,1,1,1,0,1,0,20101001,76098,CPT,"X-ray exam, breast specimen",,,20 ,,RBRVS,0.16 ,0.36 ,0.36 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,76098,CPT,"X-ray exam, breast specimen",,PC,20 ,,RBRVS,0.16 ,0.06 ,0.06 ,,,$0.00,$0.00,1,0,1,1,1,0,20101001,76098,CPT,"X-ray exam, breast specimen",,TC,20 ,,RBRVS,,0.30 ,0.30 ,,,$0.00,$0.00,1,1,1,0,1,0,20101001,76100,CPT,X-ray exam of body section,,,20 ,,RBRVS,0.58 ,3.01 ,3.01 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,76100,CPT,X-ray exam of body section,,PC,20 ,,RBRVS,0.58 ,0.21 ,0.21 ,,,$0.00,$0.00,1,0,1,1,1,0,20101001,76100,CPT,X-ray exam of body section,,TC,20 ,,RBRVS,,2.80 ,2.80 ,,,$0.00,$0.00,1,1,1,0,1,0,20101001,76101,CPT,Complex body section x-ray,,,20 ,,RBRVS,0.58 ,4.41 ,4.41 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,76101,CPT,Complex body section x-ray,,PC,20 ,,RBRVS,0.58 ,0.20 ,0.20 ,,,$0.00,$0.00,1,0,1,1,1,0,20101001,76101,CPT,Complex body section x-ray,,TC,20 ,,RBRVS,,4.21 ,4.21 ,,,$0.00,$0.00,1,1,1,0,1,0,20101001,76102,CPT,Complex body section x-rays,,,20 ,,RBRVS,0.58 ,6.12 ,6.12 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,76102,CPT,Complex body section x-rays,,PC,20 ,,RBRVS,0.58 ,0.19 ,0.19 ,,,$0.00,$0.00,1,0,1,1,1,0,20101001,76102,CPT,Complex body section x-rays,,TC,20 ,,RBRVS,,5.93 ,5.93 ,,,$0.00,$0.00,1,1,1,0,1,0,20101001,76120,CPT,Cine/video x-rays,,,20 ,,RBRVS,0.38 ,1.62 ,1.62 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,76120,CPT,Cine/video x-rays,,PC,20 ,,RBRVS,0.38 ,0.13 ,0.13 ,,,$0.00,$0.00,1,0,1,1,1,0,20101001,76120,CPT,Cine/video x-rays,,TC,20 ,,RBRVS,,1.49 ,1.49 ,,,$0.00,$0.00,1,1,1,0,1,0,20101001,76125,CPT,Cine/video x-rays add-on,,,20 ,,TotalUnits,,,,1.14 ,,$0.00,$0.00,1,0,0,0,0,1,20101001,76125,CPT,Cine/video x-rays add-on,,PC,20 ,,TotalUnits,,,,0.39 ,,$0.00,$0.00,1,0,1,1,1,0,20101001,76125,CPT,Cine/video x-rays add-on,,TC,20 ,,TotalUnits,,,,0.75 ,,$0.00,$0.00,1,1,1,0,1,0,20101001,76140,CPT,X-ray consultation,,,20 ,,TotalUnits,,,,0.45 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,76150,CPT,"X-ray exam, dry process",,TC,20 ,,RBRVS,,0.49 ,0.49 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,76350,CPT,Special x-ray contrast study,,TC,20 ,,TotalUnits,,,,0.88 ,,$0.00,$0.00,1,1,1,1,1,1,20101001,76376,CPT,3d render w/o postprocess,26,,20 ,,RBRVS,0.20 ,0.08 ,0.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,76376,CPT,3d render w/o postprocess,,,20 ,,RBRVS,0.20 ,1.92 ,1.92 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,76376,CPT,3d render w/o postprocess,TC,,20 ,,RBRVS,,1.84 ,1.84 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,76377,CPT,3d rendering w/postprocess,26,,20 ,,RBRVS,0.79 ,0.29 ,0.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,76377,CPT,3d rendering w/postprocess,,,20 ,,RBRVS,0.79 ,1.98 ,1.98 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,76377,CPT,3d rendering w/postprocess,TC,,20 ,,RBRVS,,1.69 ,1.69 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,76380,CPT,Cat scan follow-up study,26,,20 ,,RBRVS,0.98 ,0.36 ,0.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,76380,CPT,Cat scan follow-up study,,,20 ,,RBRVS,0.98 ,4.48 ,4.48 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,76380,CPT,Cat scan follow-up study,TC,,20 ,,RBRVS,,4.12 ,4.12 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,76390,CPT,Mr spectroscopy,26,,20 ,,RBRVS,1.40 ,0.47 ,0.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,76390,CPT,Mr spectroscopy,,,20 ,,RBRVS,1.40 ,10.74 ,10.74 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,76390,CPT,Mr spectroscopy,TC,,20 ,,RBRVS,,10.27 ,10.27 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,76496,CPT,Fluoroscopic procedure,26,,20 ,,TotalUnits,,,,0.16 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,76496,CPT,Fluoroscopic procedure,,,20 ,,TotalUnits,,,,1.81 ,,$0.00,$0.00,1,0,0,0,0,1,20101001,76496,CPT,Fluoroscopic procedure,TC,,20 ,,TotalUnits,,,,1.65 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,76497,CPT,Ct procedure,26,,20 ,,TotalUnits,,,,1.20 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,76497,CPT,Ct procedure,,,20 ,,TotalUnits,,,,5.69 ,,$0.00,$0.00,1,0,0,0,0,1,20101001,76497,CPT,Ct procedure,TC,,20 ,,TotalUnits,,,,4.49 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,76498,CPT,Mri procedure,26,,20 ,,TotalUnits,,,,1.13 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,76498,CPT,Mri procedure,,,20 ,,TotalUnits,,,,8.10 ,,$0.00,$0.00,1,0,0,0,0,1,20101001,76498,CPT,Mri procedure,TC,,20 ,,TotalUnits,,,,6.97 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,76499,CPT,Radiographic procedure,26,,20 ,,TotalUnits,,,,0.52 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,76499,CPT,Radiographic procedure,,,20 ,,TotalUnits,,,,1.93 ,,$0.00,$0.00,1,0,0,0,0,1,20101001,76499,CPT,Radiographic procedure,TC,,20 ,,TotalUnits,,,,1.41 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,76506,CPT,Echo exam of head,26,,20 ,,RBRVS,0.63 ,0.23 ,0.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,76506,CPT,Echo exam of head,,,20 ,,RBRVS,0.63 ,2.43 ,2.43 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,76506,CPT,Echo exam of head,TC,,20 ,,RBRVS,,2.20 ,2.20 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,76510,CPT,"Ophth us, b & quant a",26,,20 ,,RBRVS,1.55 ,0.63 ,0.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,76510,CPT,"Ophth us, b & quant a",,,20 ,,RBRVS,1.55 ,2.43 ,2.43 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,76510,CPT,"Ophth us, b & quant a",TC,,20 ,,RBRVS,,1.80 ,1.80 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,76511,CPT,"Ophth us, quant a only",26,,20 ,,RBRVS,0.94 ,0.37 ,0.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,76511,CPT,"Ophth us, quant a only",,,20 ,,RBRVS,0.94 ,1.63 ,1.63 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,76511,CPT,"Ophth us, quant a only",TC,,20 ,,RBRVS,,1.26 ,1.26 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,76512,CPT,"Ophth us, b w/non-quant a",26,,20 ,,RBRVS,0.94 ,0.38 ,0.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,76512,CPT,"Ophth us, b w/non-quant a",,,20 ,,RBRVS,0.94 ,1.45 ,1.45 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,76512,CPT,"Ophth us, b w/non-quant a",TC,,20 ,,RBRVS,,1.07 ,1.07 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,76513,CPT,"Echo exam of eye, water bath",26,,20 ,,RBRVS,0.66 ,0.24 ,0.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,76513,CPT,"Echo exam of eye, water bath",,,20 ,,RBRVS,0.66 ,1.54 ,1.54 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,76513,CPT,"Echo exam of eye, water bath",TC,,20 ,,RBRVS,,1.30 ,1.30 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,76514,CPT,"Echo exam of eye, thickness",26,,20 ,,RBRVS,0.17 ,0.07 ,0.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,76514,CPT,"Echo exam of eye, thickness",,,20 ,,RBRVS,0.17 ,0.16 ,0.16 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,76514,CPT,"Echo exam of eye, thickness",TC,,20 ,,RBRVS,,0.09 ,0.09 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,76516,CPT,Echo exam of eye,26,,20 ,,RBRVS,0.54 ,0.21 ,0.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,76516,CPT,Echo exam of eye,,,20 ,,RBRVS,0.54 ,1.23 ,1.23 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,76516,CPT,Echo exam of eye,TC,,20 ,,RBRVS,,1.02 ,1.02 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,76519,CPT,Echo exam of eye,26,,20 ,,RBRVS,0.54 ,0.22 ,0.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,76519,CPT,Echo exam of eye,,,20 ,,RBRVS,0.54 ,1.36 ,1.36 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,76519,CPT,Echo exam of eye,TC,,20 ,,RBRVS,,1.14 ,1.14 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,76529,CPT,Echo exam of eye,26,,20 ,,RBRVS,0.57 ,0.22 ,0.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,76529,CPT,Echo exam of eye,,,20 ,,RBRVS,0.57 ,1.21 ,1.21 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,76529,CPT,Echo exam of eye,TC,,20 ,,RBRVS,,0.99 ,0.99 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,76536,CPT,Us exam of head and neck,26,,20 ,,RBRVS,0.56 ,0.19 ,0.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,76536,CPT,Us exam of head and neck,,,20 ,,RBRVS,0.56 ,2.38 ,2.38 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,76536,CPT,Us exam of head and neck,TC,,20 ,,RBRVS,,2.19 ,2.19 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,76604,CPT,"Us exam, chest",26,,20 ,,RBRVS,0.55 ,0.20 ,0.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,76604,CPT,"Us exam, chest",,,20 ,,RBRVS,0.55 ,1.74 ,1.74 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,76604,CPT,"Us exam, chest",TC,,20 ,,RBRVS,,1.54 ,1.54 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,76645,CPT,"Us exam, breast(s)",26,,20 ,,RBRVS,0.54 ,0.20 ,0.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,76645,CPT,"Us exam, breast(s)",,,20 ,,RBRVS,0.54 ,1.89 ,1.89 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,76645,CPT,"Us exam, breast(s)",TC,,20 ,,RBRVS,,1.69 ,1.69 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,76700,CPT,"Us exam, abdom, complete",26,,20 ,,RBRVS,0.81 ,0.29 ,0.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,76700,CPT,"Us exam, abdom, complete",,,20 ,,RBRVS,0.81 ,2.81 ,2.81 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,76700,CPT,"Us exam, abdom, complete",TC,,20 ,,RBRVS,,2.52 ,2.52 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,76705,CPT,Echo exam of abdomen,26,,20 ,,RBRVS,0.59 ,0.22 ,0.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,76705,CPT,Echo exam of abdomen,,,20 ,,RBRVS,0.59 ,2.16 ,2.16 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,76705,CPT,Echo exam of abdomen,TC,,20 ,,RBRVS,,1.94 ,1.94 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,76770,CPT,"Us exam abdo back wall, comp",26,,20 ,,RBRVS,0.74 ,0.27 ,0.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,76770,CPT,"Us exam abdo back wall, comp",,,20 ,,RBRVS,0.74 ,2.73 ,2.73 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,76770,CPT,"Us exam abdo back wall, comp",TC,,20 ,,RBRVS,,2.46 ,2.46 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,76775,CPT,"Us exam abdo back wall, lim",26,,20 ,,RBRVS,0.58 ,0.23 ,0.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,76775,CPT,"Us exam abdo back wall, lim",,,20 ,,RBRVS,0.58 ,2.39 ,2.39 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,76775,CPT,"Us exam abdo back wall, lim",TC,,20 ,,RBRVS,,2.16 ,2.16 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,76776,CPT,Us exam k transpl w/doppler,26,,20 ,,RBRVS,0.76 ,0.28 ,0.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,76776,CPT,Us exam k transpl w/doppler,,,20 ,,RBRVS,0.76 ,3.11 ,3.11 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,76776,CPT,Us exam k transpl w/doppler,TC,,20 ,,RBRVS,,2.83 ,2.83 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,76800,CPT,"Us exam, spinal canal",26,,20 ,,RBRVS,1.13 ,0.32 ,0.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,76800,CPT,"Us exam, spinal canal",,,20 ,,RBRVS,1.13 ,2.13 ,2.13 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,76800,CPT,"Us exam, spinal canal",TC,,20 ,,RBRVS,,1.81 ,1.81 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,76801,CPT,"Ob us < 14 wks, single fetus",26,,20 ,,RBRVS,0.99 ,0.35 ,0.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,76801,CPT,"Ob us < 14 wks, single fetus",,,20 ,,RBRVS,0.99 ,2.47 ,2.47 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,76801,CPT,"Ob us < 14 wks, single fetus",TC,,20 ,,RBRVS,,2.12 ,2.12 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,76802,CPT,"Ob us < 14 wks, add'l fetus",26,,20 ,,RBRVS,0.83 ,0.28 ,0.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,76802,CPT,"Ob us < 14 wks, add'l fetus",,,20 ,,RBRVS,0.83 ,1.07 ,1.07 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,76802,CPT,"Ob us < 14 wks, add'l fetus",TC,,20 ,,RBRVS,,0.79 ,0.79 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,76805,CPT,"Ob us >/= 14 wks, sngl fetus",26,,20 ,,RBRVS,0.99 ,0.34 ,0.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,76805,CPT,"Ob us >/= 14 wks, sngl fetus",,,20 ,,RBRVS,0.99 ,2.88 ,2.88 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,76805,CPT,"Ob us >/= 14 wks, sngl fetus",TC,,20 ,,RBRVS,,2.54 ,2.54 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,76810,CPT,"Ob us >/= 14 wks, addl fetus",26,,20 ,,RBRVS,0.98 ,0.33 ,0.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,76810,CPT,"Ob us >/= 14 wks, addl fetus",,,20 ,,RBRVS,0.98 ,1.58 ,1.58 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,76810,CPT,"Ob us >/= 14 wks, addl fetus",TC,,20 ,,RBRVS,,1.25 ,1.25 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,76811,CPT,"Ob us, detailed, sngl fetus",26,,20 ,,RBRVS,1.90 ,0.61 ,0.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,76811,CPT,"Ob us, detailed, sngl fetus",,,20 ,,RBRVS,1.90 ,3.33 ,3.33 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,76811,CPT,"Ob us, detailed, sngl fetus",TC,,20 ,,RBRVS,,2.72 ,2.72 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,76812,CPT,"Ob us, detailed, addl fetus",26,,20 ,,RBRVS,1.78 ,0.57 ,0.57 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,76812,CPT,"Ob us, detailed, addl fetus",,,20 ,,RBRVS,1.78 ,3.36 ,3.36 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,76812,CPT,"Ob us, detailed, addl fetus",TC,,20 ,,RBRVS,,2.79 ,2.79 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,76813,CPT,"Ob us nuchal meas, 1 gest",26,,20 ,,RBRVS,1.18 ,0.36 ,0.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,76813,CPT,"Ob us nuchal meas, 1 gest",,,20 ,,RBRVS,1.18 ,2.17 ,2.17 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,76813,CPT,"Ob us nuchal meas, 1 gest",TC,,20 ,,RBRVS,,1.81 ,1.81 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,76814,CPT,"Ob us nuchal meas, add-on",26,,20 ,,RBRVS,0.99 ,0.30 ,0.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,76814,CPT,"Ob us nuchal meas, add-on",,,20 ,,RBRVS,0.99 ,1.14 ,1.14 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,76814,CPT,"Ob us nuchal meas, add-on",TC,,20 ,,RBRVS,,0.84 ,0.84 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,76815,CPT,"Ob us, limited, fetus(s)",26,,20 ,,RBRVS,0.65 ,0.22 ,0.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,76815,CPT,"Ob us, limited, fetus(s)",,,20 ,,RBRVS,0.65 ,1.75 ,1.75 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,76815,CPT,"Ob us, limited, fetus(s)",TC,,20 ,,RBRVS,,1.53 ,1.53 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,76816,CPT,"Ob us, follow-up, per fetus",26,,20 ,,RBRVS,0.85 ,0.28 ,0.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,76816,CPT,"Ob us, follow-up, per fetus",,,20 ,,RBRVS,0.85 ,2.12 ,2.12 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,76816,CPT,"Ob us, follow-up, per fetus",TC,,20 ,,RBRVS,,1.84 ,1.84 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,76817,CPT,"Transvaginal us, obstetric",26,,20 ,,RBRVS,0.75 ,0.25 ,0.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,76817,CPT,"Transvaginal us, obstetric",,,20 ,,RBRVS,0.75 ,1.95 ,1.95 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,76817,CPT,"Transvaginal us, obstetric",TC,,20 ,,RBRVS,,1.70 ,1.70 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,76818,CPT,Fetal biophys profile w/nst,26,,20 ,,RBRVS,1.05 ,0.34 ,0.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,76818,CPT,Fetal biophys profile w/nst,,,20 ,,RBRVS,1.05 ,2.14 ,2.14 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,76818,CPT,Fetal biophys profile w/nst,TC,,20 ,,RBRVS,,1.80 ,1.80 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,76819,CPT,Fetal biophys profil w/o nst,26,,20 ,,RBRVS,0.77 ,0.26 ,0.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,76819,CPT,Fetal biophys profil w/o nst,,,20 ,,RBRVS,0.77 ,1.69 ,1.69 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,76819,CPT,Fetal biophys profil w/o nst,TC,,20 ,,RBRVS,,1.43 ,1.43 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,76820,CPT,Umbilical artery echo,26,,20 ,,RBRVS,0.50 ,0.16 ,0.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,76820,CPT,Umbilical artery echo,,,20 ,,RBRVS,0.50 ,0.87 ,0.87 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,76820,CPT,Umbilical artery echo,TC,,20 ,,RBRVS,,0.71 ,0.71 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,76821,CPT,Middle cerebral artery echo,26,,20 ,,RBRVS,0.70 ,0.23 ,0.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,76821,CPT,Middle cerebral artery echo,,,20 ,,RBRVS,0.70 ,1.85 ,1.85 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,76821,CPT,Middle cerebral artery echo,TC,,20 ,,RBRVS,,1.62 ,1.62 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,76825,CPT,Echo exam of fetal heart,26,,20 ,,RBRVS,1.67 ,0.55 ,0.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,76825,CPT,Echo exam of fetal heart,,,20 ,,RBRVS,1.67 ,3.89 ,3.89 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,76825,CPT,Echo exam of fetal heart,TC,,20 ,,RBRVS,,3.34 ,3.34 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,76826,CPT,Echo exam of fetal heart,26,,20 ,,RBRVS,0.83 ,0.26 ,0.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,76826,CPT,Echo exam of fetal heart,,,20 ,,RBRVS,0.83 ,2.25 ,2.25 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,76826,CPT,Echo exam of fetal heart,TC,,20 ,,RBRVS,,1.99 ,1.99 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,76827,CPT,Echo exam of fetal heart,26,,20 ,,RBRVS,0.58 ,0.19 ,0.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,76827,CPT,Echo exam of fetal heart,,,20 ,,RBRVS,0.58 ,1.28 ,1.28 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,76827,CPT,Echo exam of fetal heart,TC,,20 ,,RBRVS,,1.09 ,1.09 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,76828,CPT,Echo exam of fetal heart,26,,20 ,,RBRVS,0.56 ,0.18 ,0.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,76828,CPT,Echo exam of fetal heart,,,20 ,,RBRVS,0.56 ,0.81 ,0.81 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,76828,CPT,Echo exam of fetal heart,TC,,20 ,,RBRVS,,0.63 ,0.63 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,76830,CPT,"Transvaginal us, non-ob",26,,20 ,,RBRVS,0.69 ,0.24 ,0.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,76830,CPT,"Transvaginal us, non-ob",,,20 ,,RBRVS,0.69 ,2.49 ,2.49 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,76830,CPT,"Transvaginal us, non-ob",TC,,20 ,,RBRVS,,2.25 ,2.25 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,76831,CPT,"Echo exam, uterus",26,,20 ,,RBRVS,0.72 ,0.23 ,0.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,76831,CPT,"Echo exam, uterus",,,20 ,,RBRVS,0.72 ,2.46 ,2.46 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,76831,CPT,"Echo exam, uterus",TC,,20 ,,RBRVS,,2.23 ,2.23 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,76856,CPT,"Us exam, pelvic, complete",26,,20 ,,RBRVS,0.69 ,0.25 ,0.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,76856,CPT,"Us exam, pelvic, complete",,,20 ,,RBRVS,0.69 ,2.51 ,2.51 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,76856,CPT,"Us exam, pelvic, complete",TC,,20 ,,RBRVS,,2.26 ,2.26 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,76857,CPT,"Us exam, pelvic, limited",26,,20 ,,RBRVS,0.38 ,0.15 ,0.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,76857,CPT,"Us exam, pelvic, limited",,,20 ,,RBRVS,0.38 ,2.31 ,2.31 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,76857,CPT,"Us exam, pelvic, limited",TC,,20 ,,RBRVS,,2.16 ,2.16 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,76870,CPT,"Us exam, scrotum",26,,20 ,,RBRVS,0.64 ,0.24 ,0.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,76870,CPT,"Us exam, scrotum",,,20 ,,RBRVS,0.64 ,2.53 ,2.53 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,76870,CPT,"Us exam, scrotum",TC,,20 ,,RBRVS,,2.29 ,2.29 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,76872,CPT,"Us, transrectal",26,,20 ,,RBRVS,0.69 ,0.28 ,0.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,76872,CPT,"Us, transrectal",,,20 ,,RBRVS,0.69 ,3.10 ,3.10 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,76872,CPT,"Us, transrectal",TC,,20 ,,RBRVS,,2.82 ,2.82 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,76873,CPT,"Echograp trans r, pros study",26,,20 ,,RBRVS,1.55 ,0.56 ,0.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,76873,CPT,"Echograp trans r, pros study",,,20 ,,RBRVS,1.55 ,3.16 ,3.16 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,76873,CPT,"Echograp trans r, pros study",TC,,20 ,,RBRVS,,2.60 ,2.60 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,76880,CPT,"Us exam, extremity",26,,20 ,,RBRVS,0.59 ,0.19 ,0.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,76880,CPT,"Us exam, extremity",,,20 ,,RBRVS,0.59 ,2.75 ,2.75 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,76880,CPT,"Us exam, extremity",TC,,20 ,,RBRVS,,2.56 ,2.56 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,76885,CPT,"Us exam infant hips, dynamic",26,,20 ,,RBRVS,0.74 ,0.27 ,0.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,76885,CPT,"Us exam infant hips, dynamic",,,20 ,,RBRVS,0.74 ,2.88 ,2.88 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,76885,CPT,"Us exam infant hips, dynamic",TC,,20 ,,RBRVS,,2.61 ,2.61 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,76886,CPT,"Us exam infant hips, static",26,,20 ,,RBRVS,0.62 ,0.21 ,0.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,76886,CPT,"Us exam infant hips, static",,,20 ,,RBRVS,0.62 ,2.04 ,2.04 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,76886,CPT,"Us exam infant hips, static",TC,,20 ,,RBRVS,,1.83 ,1.83 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,76930,CPT,"Echo guide, cardiocentesis",26,,20 ,,RBRVS,0.67 ,0.32 ,0.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,76930,CPT,"Echo guide, cardiocentesis",,,20 ,,RBRVS,0.67 ,1.93 ,1.93 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,76930,CPT,"Echo guide, cardiocentesis",TC,,20 ,,RBRVS,,1.61 ,1.61 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,76932,CPT,Echo guide for heart biopsy,26,,20 ,,TotalUnits,,,,0.99 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,76932,CPT,Echo guide for heart biopsy,,,20 ,,TotalUnits,,,,2.53 ,,$0.00,$0.00,1,0,0,0,0,1,20101001,76932,CPT,Echo guide for heart biopsy,TC,,20 ,,TotalUnits,,,,1.54 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,76936,CPT,Echo guide for artery repair,26,,20 ,,RBRVS,1.99 ,0.73 ,0.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,76936,CPT,Echo guide for artery repair,,,20 ,,RBRVS,1.99 ,6.26 ,6.26 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,76936,CPT,Echo guide for artery repair,TC,,20 ,,RBRVS,,5.53 ,5.53 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,76937,CPT,"Us guide, vascular access",26,,20 ,,RBRVS,0.30 ,0.11 ,0.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,76937,CPT,"Us guide, vascular access",,,20 ,,RBRVS,0.30 ,0.59 ,0.59 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,76937,CPT,"Us guide, vascular access",TC,,20 ,,RBRVS,,0.48 ,0.48 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,76940,CPT,"Us guide, tissue ablation",26,,20 ,,TotalUnits,,,,2.69 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,76940,CPT,"Us guide, tissue ablation",,,20 ,,TotalUnits,,,,4.64 ,,$0.00,$0.00,1,0,0,0,0,1,20101001,76940,CPT,"Us guide, tissue ablation",TC,,20 ,,TotalUnits,,,,1.95 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,76941,CPT,Echo guide for transfusion,26,,20 ,,TotalUnits,,,,1.78 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,76941,CPT,Echo guide for transfusion,,,20 ,,TotalUnits,,,,2.59 ,,$0.00,$0.00,1,0,0,0,0,1,20101001,76941,CPT,Echo guide for transfusion,TC,,20 ,,TotalUnits,,,,0.81 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,76942,CPT,Echo guide for biopsy,26,,20 ,,RBRVS,0.67 ,0.25 ,0.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,76942,CPT,Echo guide for biopsy,,,20 ,,RBRVS,0.67 ,4.30 ,4.30 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,76942,CPT,Echo guide for biopsy,TC,,20 ,,RBRVS,,4.05 ,4.05 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,76945,CPT,"Echo guide, villus sampling",26,,20 ,,TotalUnits,,,,0.89 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,76945,CPT,"Echo guide, villus sampling",,,20 ,,TotalUnits,,,,2.50 ,,$0.00,$0.00,1,0,0,0,0,1,20101001,76945,CPT,"Echo guide, villus sampling",TC,,20 ,,TotalUnits,,,,1.61 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,76946,CPT,Echo guide for amniocentesis,26,,20 ,,RBRVS,0.38 ,0.12 ,0.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,76946,CPT,Echo guide for amniocentesis,,,20 ,,RBRVS,0.38 ,0.75 ,0.75 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,76946,CPT,Echo guide for amniocentesis,TC,,20 ,,RBRVS,,0.63 ,0.63 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,76948,CPT,"Echo guide, ova aspiration",26,,20 ,,RBRVS,0.38 ,0.12 ,0.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,76948,CPT,"Echo guide, ova aspiration",,,20 ,,RBRVS,0.38 ,0.75 ,0.75 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,76948,CPT,"Echo guide, ova aspiration",TC,,20 ,,RBRVS,,0.63 ,0.63 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,76950,CPT,Echo guidance radiotherapy,26,,20 ,,RBRVS,0.58 ,0.20 ,0.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,76950,CPT,Echo guidance radiotherapy,,,20 ,,RBRVS,0.58 ,1.28 ,1.28 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,76950,CPT,Echo guidance radiotherapy,TC,,20 ,,RBRVS,,1.08 ,1.08 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,76965,CPT,Echo guidance radiotherapy,26,,20 ,,RBRVS,1.34 ,0.51 ,0.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,76965,CPT,Echo guidance radiotherapy,,,20 ,,RBRVS,1.34 ,2.42 ,2.42 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,76965,CPT,Echo guidance radiotherapy,TC,,20 ,,RBRVS,,1.91 ,1.91 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,76970,CPT,Ultrasound exam follow-up,26,,20 ,,RBRVS,0.40 ,0.12 ,0.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,76970,CPT,Ultrasound exam follow-up,,,20 ,,RBRVS,0.40 ,1.81 ,1.81 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,76970,CPT,Ultrasound exam follow-up,TC,,20 ,,RBRVS,,1.69 ,1.69 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,76975,CPT,Gi endoscopic ultrasound,26,,20 ,,TotalUnits,,,,1.12 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,76975,CPT,Gi endoscopic ultrasound,,,20 ,,TotalUnits,,,,4.19 ,,$0.00,$0.00,1,0,0,0,0,1,20101001,76975,CPT,Gi endoscopic ultrasound,TC,,20 ,,TotalUnits,,,,3.07 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,76977,CPT,Us bone density measure,26,,20 ,,RBRVS,0.05 ,0.02 ,0.02 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,76977,CPT,Us bone density measure,,,20 ,,RBRVS,0.05 ,0.29 ,0.29 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,76977,CPT,Us bone density measure,TC,,20 ,,RBRVS,,0.27 ,0.27 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,76998,CPT,"Us guide, intraop",26,,20 ,,RBRVS,1.20 ,0.39 ,0.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,76998,CPT,"Us guide, intraop",,,20 ,,RBRVS,1.20 ,0.39 ,0.39 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,76999,CPT,Echo examination procedure,,,20 ,,TotalUnits,,,,1.99 ,,$0.00,$0.00,1,0,0,0,0,1,20101001,76999,CPT,Echo examination procedure,,PC,20 ,,TotalUnits,,,,0.54 ,,$0.00,$0.00,1,0,1,1,1,0,20101001,76999,CPT,Echo examination procedure,,TC,20 ,,TotalUnits,,,,1.45 ,,$0.00,$0.00,1,1,1,0,1,0,20101001,77001,CPT,Fluoroguide for vein device,26,,20 ,,RBRVS,0.38 ,0.14 ,0.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,77001,CPT,Fluoroguide for vein device,,,20 ,,RBRVS,0.38 ,2.39 ,2.39 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,77001,CPT,Fluoroguide for vein device,TC,,20 ,,RBRVS,,2.25 ,2.25 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,77002,CPT,Needle localization by xray,26,,20 ,,RBRVS,0.54 ,0.18 ,0.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,77002,CPT,Needle localization by xray,,,20 ,,RBRVS,0.54 ,1.33 ,1.33 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,77002,CPT,Needle localization by xray,TC,,20 ,,RBRVS,,1.15 ,1.15 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,77003,CPT,Fluoroguide for spine inject,26,,20 ,,RBRVS,0.60 ,0.15 ,0.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,77003,CPT,Fluoroguide for spine inject,,,20 ,,RBRVS,0.60 ,0.94 ,0.94 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,77003,CPT,Fluoroguide for spine inject,TC,,20 ,,RBRVS,,0.79 ,0.79 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,77011,CPT,Ct scan for localization,,,20 ,,RBRVS,1.21 ,17.03 ,17.03 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,77011,CPT,Ct scan for localization,,PC,20 ,,RBRVS,1.21 ,0.43 ,0.43 ,,,$0.00,$0.00,1,0,1,1,1,0,20101001,77011,CPT,Ct scan for localization,,TC,20 ,,RBRVS,,16.60 ,16.60 ,,,$0.00,$0.00,1,1,1,0,1,0,20101001,77012,CPT,Ct scan for needle biopsy,,,20 ,,RBRVS,1.16 ,3.93 ,3.93 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,77012,CPT,Ct scan for needle biopsy,,PC,20 ,,RBRVS,1.16 ,0.44 ,0.44 ,,,$0.00,$0.00,1,0,1,1,1,0,20101001,77012,CPT,Ct scan for needle biopsy,,TC,20 ,,RBRVS,,3.49 ,3.49 ,,,$0.00,$0.00,1,1,1,0,1,0,20101001,77013,CPT,Ct guide for tissue ablation,,,20 ,,TotalUnits,,,,20.53 ,,$0.00,$0.00,1,0,0,0,0,1,20101001,77013,CPT,Ct guide for tissue ablation,,PC,20 ,,TotalUnits,,,,5.51 ,,$0.00,$0.00,1,0,1,1,1,0,20101001,77013,CPT,Ct guide for tissue ablation,,TC,20 ,,TotalUnits,,,,15.02 ,,$0.00,$0.00,1,1,1,0,1,0,20101001,77014,CPT,Ct scan for therapy guide,,,20 ,,RBRVS,0.85 ,4.08 ,4.08 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,77014,CPT,Ct scan for therapy guide,,PC,20 ,,RBRVS,0.85 ,0.29 ,0.29 ,,,$0.00,$0.00,1,0,1,1,1,0,20101001,77014,CPT,Ct scan for therapy guide,,TC,20 ,,RBRVS,,3.79 ,3.79 ,,,$0.00,$0.00,1,1,1,0,1,0,20101001,77021,CPT,Mr guidance for needle place,26,,20 ,,RBRVS,1.50 ,0.56 ,0.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,77021,CPT,Mr guidance for needle place,,,20 ,,RBRVS,1.50 ,10.28 ,10.28 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,77021,CPT,Mr guidance for needle place,TC,,20 ,,RBRVS,,9.72 ,9.72 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,77022,CPT,Mri for tissue ablation,26,,20 ,,TotalUnits,,,,5.73 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,77022,CPT,Mri for tissue ablation,,,20 ,,TotalUnits,,,,24.85 ,,$0.00,$0.00,1,0,0,0,0,1,20101001,77022,CPT,Mri for tissue ablation,TC,,20 ,,TotalUnits,,,,19.12 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,77031,CPT,Stereotact guide for brst bx,26,,20 ,,RBRVS,1.59 ,0.57 ,0.57 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,77031,CPT,Stereotact guide for brst bx,,,20 ,,RBRVS,1.59 ,3.35 ,3.35 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,77031,CPT,Stereotact guide for brst bx,TC,,20 ,,RBRVS,,2.78 ,2.78 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,77032,CPT,"Guidance for needle, breast",26,,20 ,,RBRVS,0.56 ,0.21 ,0.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,77032,CPT,"Guidance for needle, breast",,,20 ,,RBRVS,0.56 ,1.01 ,1.01 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,77032,CPT,"Guidance for needle, breast",TC,,20 ,,RBRVS,,0.80 ,0.80 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,77051,CPT,Computer dx mammogram add-on,26,,20 ,,RBRVS,0.06 ,0.02 ,0.02 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,77051,CPT,Computer dx mammogram add-on,,,20 ,,RBRVS,0.06 ,0.26 ,0.26 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,77051,CPT,Computer dx mammogram add-on,TC,,20 ,,RBRVS,,0.24 ,0.24 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,77052,CPT,Comp screen mammogram add-on,26,,20 ,,RBRVS,0.06 ,0.02 ,0.02 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,77052,CPT,Comp screen mammogram add-on,,,20 ,,RBRVS,0.06 ,0.26 ,0.26 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,77052,CPT,Comp screen mammogram add-on,TC,,20 ,,RBRVS,,0.24 ,0.24 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,77053,CPT,X-ray of mammary duct,26,,20 ,,RBRVS,0.36 ,0.13 ,0.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,77053,CPT,X-ray of mammary duct,,,20 ,,RBRVS,0.36 ,1.61 ,1.61 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,77053,CPT,X-ray of mammary duct,TC,,20 ,,RBRVS,,1.48 ,1.48 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,77054,CPT,X-ray of mammary ducts,26,,20 ,,RBRVS,0.45 ,0.17 ,0.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,77054,CPT,X-ray of mammary ducts,,,20 ,,RBRVS,0.45 ,2.21 ,2.21 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,77054,CPT,X-ray of mammary ducts,TC,,20 ,,RBRVS,,2.04 ,2.04 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,77055,CPT,"Mammogram, one breast",26,,20 ,,RBRVS,0.70 ,0.26 ,0.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,77055,CPT,"Mammogram, one breast",,,20 ,,RBRVS,0.70 ,1.56 ,1.56 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,77055,CPT,"Mammogram, one breast",TC,,20 ,,RBRVS,,1.30 ,1.30 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,77056,CPT,"Mammogram, both breasts",26,,20 ,,RBRVS,0.87 ,0.32 ,0.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,77056,CPT,"Mammogram, both breasts",,,20 ,,RBRVS,0.87 ,2.00 ,2.00 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,77056,CPT,"Mammogram, both breasts",TC,,20 ,,RBRVS,,1.68 ,1.68 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,77057,CPT,"Mammogram, screening",26,,20 ,,RBRVS,0.70 ,0.26 ,0.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,77057,CPT,"Mammogram, screening",,,20 ,,RBRVS,0.70 ,1.46 ,1.46 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,77057,CPT,"Mammogram, screening",TC,,20 ,,RBRVS,,1.20 ,1.20 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,77058,CPT,"Mri, one breast",26,,20 ,,RBRVS,1.63 ,0.60 ,0.60 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,77058,CPT,"Mri, one breast",,,20 ,,RBRVS,1.63 ,20.67 ,20.67 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,77058,CPT,"Mri, one breast",TC,,20 ,,RBRVS,,20.07 ,20.07 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,77059,CPT,"Mri, both breasts",26,,20 ,,RBRVS,1.63 ,0.60 ,0.60 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,77059,CPT,"Mri, both breasts",,,20 ,,RBRVS,1.63 ,22.15 ,22.15 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,77059,CPT,"Mri, both breasts",TC,,20 ,,RBRVS,,21.55 ,21.55 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,77071,CPT,X-ray stress view,,PC,20 ,,RBRVS,0.41 ,0.62 ,0.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,77072,CPT,X-rays for bone age,26,,20 ,,RBRVS,0.19 ,0.07 ,0.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,77072,CPT,X-rays for bone age,,,20 ,,RBRVS,0.19 ,0.43 ,0.43 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,77072,CPT,X-rays for bone age,TC,,20 ,,RBRVS,,0.36 ,0.36 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,77073,CPT,"X-rays, bone length studies",26,,20 ,,RBRVS,0.27 ,0.10 ,0.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,77073,CPT,"X-rays, bone length studies",,,20 ,,RBRVS,0.27 ,0.71 ,0.71 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,77073,CPT,"X-rays, bone length studies",TC,,20 ,,RBRVS,,0.61 ,0.61 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,77074,CPT,"X-rays, bone survey, limited",26,,20 ,,RBRVS,0.45 ,0.17 ,0.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,77074,CPT,"X-rays, bone survey, limited",,,20 ,,RBRVS,0.45 ,1.37 ,1.37 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,77074,CPT,"X-rays, bone survey, limited",TC,,20 ,,RBRVS,,1.20 ,1.20 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,77075,CPT,"X-rays, bone survey complete",26,,20 ,,RBRVS,0.54 ,0.20 ,0.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,77075,CPT,"X-rays, bone survey complete",,,20 ,,RBRVS,0.54 ,2.11 ,2.11 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,77075,CPT,"X-rays, bone survey complete",TC,,20 ,,RBRVS,,1.91 ,1.91 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,77076,CPT,"X-rays, bone survey, infant",26,,20 ,,RBRVS,0.70 ,0.22 ,0.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,77076,CPT,"X-rays, bone survey, infant",,,20 ,,RBRVS,0.70 ,1.78 ,1.78 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,77076,CPT,"X-rays, bone survey, infant",TC,,20 ,,RBRVS,,1.56 ,1.56 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,77077,CPT,"Joint survey, single view",26,,20 ,,RBRVS,0.31 ,0.11 ,0.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,77077,CPT,"Joint survey, single view",,,20 ,,RBRVS,0.31 ,0.79 ,0.79 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,77077,CPT,"Joint survey, single view",TC,,20 ,,RBRVS,,0.68 ,0.68 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,77078,CPT,"Ct bone density, axial",26,,20 ,,RBRVS,0.25 ,0.09 ,0.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,77078,CPT,"Ct bone density, axial",,,20 ,,RBRVS,0.25 ,4.30 ,4.30 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,77078,CPT,"Ct bone density, axial",TC,,20 ,,RBRVS,,4.21 ,4.21 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,77079,CPT,"Ct bone density, peripheral",26,,20 ,,RBRVS,0.22 ,0.06 ,0.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,77079,CPT,"Ct bone density, peripheral",,,20 ,,RBRVS,0.22 ,1.31 ,1.31 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,77079,CPT,"Ct bone density, peripheral",TC,,20 ,,RBRVS,,1.25 ,1.25 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,77080,CPT,"Dxa bone density, axial",26,,20 ,,RBRVS,0.20 ,0.07 ,0.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,77080,CPT,"Dxa bone density, axial",,,20 ,,RBRVS,0.20 ,1.61 ,1.61 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,77080,CPT,"Dxa bone density, axial",TC,,20 ,,RBRVS,,1.54 ,1.54 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,77081,CPT,Dxa bone density/peripheral,26,,20 ,,RBRVS,0.22 ,0.07 ,0.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,77081,CPT,Dxa bone density/peripheral,,,20 ,,RBRVS,0.22 ,0.56 ,0.56 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,77081,CPT,Dxa bone density/peripheral,TC,,20 ,,RBRVS,,0.49 ,0.49 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,77082,CPT,"Dxa bone density, vert fx",26,,20 ,,RBRVS,0.17 ,0.05 ,0.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,77082,CPT,"Dxa bone density, vert fx",,,20 ,,RBRVS,0.17 ,0.58 ,0.58 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,77082,CPT,"Dxa bone density, vert fx",TC,,20 ,,RBRVS,,0.53 ,0.53 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,77083,CPT,Radiographic absorptiometry,26,,20 ,,RBRVS,0.20 ,0.06 ,0.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,77083,CPT,Radiographic absorptiometry,,,20 ,,RBRVS,0.20 ,0.48 ,0.48 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,77083,CPT,Radiographic absorptiometry,TC,,20 ,,RBRVS,,0.42 ,0.42 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,77084,CPT,"Magnetic image, bone marrow",26,,20 ,,RBRVS,1.60 ,0.60 ,0.60 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,77084,CPT,"Magnetic image, bone marrow",,,20 ,,RBRVS,1.60 ,13.79 ,13.79 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,77084,CPT,"Magnetic image, bone marrow",TC,,20 ,,RBRVS,,13.19 ,13.19 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,77261,CPT,Radiation therapy planning,,PC,20 ,,RBRVS,1.39 ,0.51 ,0.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,77262,CPT,Radiation therapy planning,,PC,20 ,,RBRVS,2.11 ,0.74 ,0.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,77263,CPT,Radiation therapy planning,,PC,20 ,,RBRVS,3.14 ,1.09 ,1.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,77280,CPT,Set radiation therapy field,26,,20 ,,RBRVS,0.70 ,0.24 ,0.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,77280,CPT,Set radiation therapy field,,,20 ,,RBRVS,0.70 ,4.19 ,4.19 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,77280,CPT,Set radiation therapy field,TC,,20 ,,RBRVS,,3.95 ,3.95 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,77285,CPT,Set radiation therapy field,26,,20 ,,RBRVS,1.05 ,0.36 ,0.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,77285,CPT,Set radiation therapy field,,,20 ,,RBRVS,1.05 ,7.40 ,7.40 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,77285,CPT,Set radiation therapy field,TC,,20 ,,RBRVS,,7.04 ,7.04 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,77290,CPT,Set radiation therapy field,26,,20 ,,RBRVS,1.56 ,0.53 ,0.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,77290,CPT,Set radiation therapy field,,,20 ,,RBRVS,1.56 ,11.64 ,11.64 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,77290,CPT,Set radiation therapy field,TC,,20 ,,RBRVS,,11.11 ,11.11 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,77295,CPT,Set radiation therapy field,26,,20 ,,RBRVS,4.56 ,1.55 ,1.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,77295,CPT,Set radiation therapy field,,,20 ,,RBRVS,4.56 ,12.90 ,12.90 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,77295,CPT,Set radiation therapy field,TC,,20 ,,RBRVS,,11.35 ,11.35 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,77299,CPT,Radiation therapy planning,26,,20 ,,TotalUnits,,,,1.48 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,77299,CPT,Radiation therapy planning,,,20 ,,TotalUnits,,,,9.36 ,,$0.00,$0.00,1,0,0,0,0,1,20101001,77299,CPT,Radiation therapy planning,TC,,20 ,,TotalUnits,,,,7.88 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,77300,CPT,Radiation therapy dose plan,26,,20 ,,RBRVS,0.62 ,0.21 ,0.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,77300,CPT,Radiation therapy dose plan,,,20 ,,RBRVS,0.62 ,1.26 ,1.26 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,77300,CPT,Radiation therapy dose plan,TC,,20 ,,RBRVS,,1.05 ,1.05 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,77301,CPT,"Radiotherapy dose plan, imrt",26,,20 ,,RBRVS,7.99 ,2.72 ,2.72 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,77301,CPT,"Radiotherapy dose plan, imrt",,,20 ,,RBRVS,7.99 ,49.93 ,49.93 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,77301,CPT,"Radiotherapy dose plan, imrt",TC,,20 ,,RBRVS,,47.21 ,47.21 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,77305,CPT,Teletx isodose plan simple,26,,20 ,,RBRVS,0.70 ,0.24 ,0.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,77305,CPT,Teletx isodose plan simple,,,20 ,,RBRVS,0.70 ,1.20 ,1.20 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,77305,CPT,Teletx isodose plan simple,TC,,20 ,,RBRVS,,0.96 ,0.96 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,77310,CPT,Teletx isodose plan intermed,26,,20 ,,RBRVS,1.05 ,0.36 ,0.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,77310,CPT,Teletx isodose plan intermed,,,20 ,,RBRVS,1.05 ,1.61 ,1.61 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,77310,CPT,Teletx isodose plan intermed,TC,,20 ,,RBRVS,,1.25 ,1.25 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,77315,CPT,Teletx isodose plan complex,26,,20 ,,RBRVS,1.56 ,0.53 ,0.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,77315,CPT,Teletx isodose plan complex,,,20 ,,RBRVS,1.56 ,2.35 ,2.35 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,77315,CPT,Teletx isodose plan complex,TC,,20 ,,RBRVS,,1.82 ,1.82 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,77321,CPT,Special teletx port plan,26,,20 ,,RBRVS,0.95 ,0.32 ,0.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,77321,CPT,Special teletx port plan,,,20 ,,RBRVS,0.95 ,2.21 ,2.21 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,77321,CPT,Special teletx port plan,TC,,20 ,,RBRVS,,1.89 ,1.89 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,77326,CPT,Brachytx isodose calc simp,26,,20 ,,RBRVS,0.93 ,0.31 ,0.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,77326,CPT,Brachytx isodose calc simp,,,20 ,,RBRVS,0.93 ,2.85 ,2.85 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,77326,CPT,Brachytx isodose calc simp,TC,,20 ,,RBRVS,,2.54 ,2.54 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,77327,CPT,Brachytx isodose calc interm,26,,20 ,,RBRVS,1.39 ,0.47 ,0.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,77327,CPT,Brachytx isodose calc interm,,,20 ,,RBRVS,1.39 ,4.00 ,4.00 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,77327,CPT,Brachytx isodose calc interm,TC,,20 ,,RBRVS,,3.53 ,3.53 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,77328,CPT,Brachytx isodose plan compl,26,,20 ,,RBRVS,2.09 ,0.71 ,0.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,77328,CPT,Brachytx isodose plan compl,,,20 ,,RBRVS,2.09 ,5.28 ,5.28 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,77328,CPT,Brachytx isodose plan compl,TC,,20 ,,RBRVS,,4.57 ,4.57 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,77331,CPT,Special radiation dosimetry,26,,20 ,,RBRVS,0.87 ,0.30 ,0.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,77331,CPT,Special radiation dosimetry,,,20 ,,RBRVS,0.87 ,0.80 ,0.80 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,77331,CPT,Special radiation dosimetry,TC,,20 ,,RBRVS,,0.50 ,0.50 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,77332,CPT,Radiation treatment aid(s),26,,20 ,,RBRVS,0.54 ,0.18 ,0.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,77332,CPT,Radiation treatment aid(s),,,20 ,,RBRVS,0.54 ,1.52 ,1.52 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,77332,CPT,Radiation treatment aid(s),TC,,20 ,,RBRVS,,1.34 ,1.34 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,77333,CPT,Radiation treatment aid(s),26,,20 ,,RBRVS,0.84 ,0.29 ,0.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,77333,CPT,Radiation treatment aid(s),,,20 ,,RBRVS,0.84 ,0.94 ,0.94 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,77333,CPT,Radiation treatment aid(s),TC,,20 ,,RBRVS,,0.65 ,0.65 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,77334,CPT,Radiation treatment aid(s),26,,20 ,,RBRVS,1.24 ,0.42 ,0.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,77334,CPT,Radiation treatment aid(s),,,20 ,,RBRVS,1.24 ,2.93 ,2.93 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,77334,CPT,Radiation treatment aid(s),TC,,20 ,,RBRVS,,2.51 ,2.51 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,77336,CPT,Radiation physics consult,,TC,20 ,,RBRVS,,1.58 ,1.58 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,77338,CPT,Design mlc device for imrt,,PC,20 ,,RBRVS,4.29 ,1.81 ,1.81 ,,,$0.00,$0.00,1,0,1,1,1,0,20101001,77338,CPT,Design mlc device for imrt,,,20 ,,RBRVS,4.29 ,8.79 ,8.79 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,77338,CPT,Design mlc device for imrt,,TC,20 ,,RBRVS,,6.98 ,6.98 ,,,$0.00,$0.00,1,1,1,0,1,0,20101001,77370,CPT,Radiation physics consult,,TC,20 ,,RBRVS,,3.09 ,3.09 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,77371,CPT,"Srs, multisource",,TC,20 ,,RBRVS,5.91 ,29.22 ,29.22 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,77372,CPT,"Srs, linear based",,TC,20 ,,RBRVS,,22.30 ,22.30 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,77373,CPT,Sbrt delivery,,TC,20 ,,RBRVS,,41.38 ,41.38 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,77399,CPT,External radiation dosimetry,,,20 ,,TotalUnits,,,,7.83 ,,$0.00,$0.00,1,0,0,0,0,1,20101001,77399,CPT,External radiation dosimetry,,PC,20 ,,TotalUnits,,,,3.73 ,,$0.00,$0.00,1,0,1,1,1,0,20101001,77399,CPT,External radiation dosimetry,,TC,20 ,,TotalUnits,,,,4.10 ,,$0.00,$0.00,1,1,1,0,1,0,20101001,77401,CPT,Radiation treatment delivery,,TC,20 ,,RBRVS,,0.79 ,0.79 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,77402,CPT,Radiation treatment delivery,,TC,20 ,,RBRVS,,3.65 ,3.65 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,77403,CPT,Radiation treatment delivery,,TC,20 ,,RBRVS,,3.20 ,3.20 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,77404,CPT,Radiation treatment delivery,,TC,20 ,,RBRVS,,3.53 ,3.53 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,77406,CPT,Radiation treatment delivery,,TC,20 ,,RBRVS,,3.56 ,3.56 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,77407,CPT,Radiation treatment delivery,,TC,20 ,,RBRVS,,5.76 ,5.76 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,77408,CPT,Radiation treatment delivery,,TC,20 ,,RBRVS,,4.31 ,4.31 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,77409,CPT,Radiation treatment delivery,,TC,20 ,,RBRVS,,4.76 ,4.76 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,77411,CPT,Radiation treatment delivery,,TC,20 ,,RBRVS,,4.73 ,4.73 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,77412,CPT,Radiation treatment delivery,,TC,20 ,,RBRVS,,5.57 ,5.57 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,77413,CPT,Radiation treatment delivery,,TC,20 ,,RBRVS,,5.61 ,5.61 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,77414,CPT,Radiation treatment delivery,,TC,20 ,,RBRVS,,6.24 ,6.24 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,77416,CPT,Radiation treatment delivery,,TC,20 ,,RBRVS,,6.27 ,6.27 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,77417,CPT,Radiology port film(s),,TC,20 ,,RBRVS,,0.41 ,0.41 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,77418,CPT,"Radiation tx delivery, imrt",,TC,20 ,,RBRVS,,14.20 ,14.20 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,77421,CPT,Stereoscopic x-ray guidance,26,,20 ,,RBRVS,0.39 ,0.13 ,0.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,77421,CPT,Stereoscopic x-ray guidance,,,20 ,,RBRVS,0.39 ,2.63 ,2.63 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,77421,CPT,Stereoscopic x-ray guidance,TC,,20 ,,RBRVS,,2.50 ,2.50 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,77422,CPT,"Neutron beam tx, simple",,TC,20 ,,RBRVS,,5.24 ,5.24 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,77423,CPT,"Neutron beam tx, complex",,TC,20 ,,RBRVS,,6.03 ,6.03 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,77427,CPT,"Radiation tx management, x5",,PC,20 ,,RBRVS,3.70 ,1.35 ,1.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,77431,CPT,Radiation therapy management,,PC,20 ,,RBRVS,1.81 ,0.77 ,0.77 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,77432,CPT,Stereotactic radiation trmt,,PC,20 ,,RBRVS,7.92 ,2.78 ,2.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,77435,CPT,Sbrt management,,PC,20 ,,RBRVS,13.00 ,4.76 ,4.76 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,77470,CPT,Special radiation treatment,26,,20 ,,RBRVS,2.09 ,0.71 ,0.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,77470,CPT,Special radiation treatment,,,20 ,,RBRVS,2.09 ,4.41 ,4.41 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,77470,CPT,Special radiation treatment,TC,,20 ,,RBRVS,,3.70 ,3.70 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,77499,CPT,Radiation therapy management,,,20 ,,TotalUnits,,,,6.24 ,,$0.00,$0.00,1,0,0,0,0,1,20101001,77499,CPT,Radiation therapy management,,PC,20 ,,TotalUnits,,,,1.07 ,,$0.00,$0.00,1,0,1,1,1,0,20101001,77499,CPT,Radiation therapy management,,TC,20 ,,TotalUnits,,,,5.17 ,,$0.00,$0.00,1,1,1,0,1,0,20101001,77520,CPT,"Proton trmt, simple w/o comp",,TC,20 ,,TotalUnits,,,,18.77 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,77522,CPT,"Proton trmt, simple w/comp",,TC,20 ,,TotalUnits,,,,17.10 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,77523,CPT,"Proton trmt, intermediate",,TC,20 ,,TotalUnits,,,,20.47 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,77525,CPT,"Proton treatment, complex",,TC,20 ,,TotalUnits,,,,19.85 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,77600,CPT,Hyperthermia treatment,26,,20 ,,RBRVS,1.56 ,0.53 ,0.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,77600,CPT,Hyperthermia treatment,,,20 ,,RBRVS,1.56 ,8.42 ,8.42 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,77600,CPT,Hyperthermia treatment,TC,,20 ,,RBRVS,,7.89 ,7.89 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,77605,CPT,Hyperthermia treatment,26,,20 ,,RBRVS,2.09 ,0.60 ,0.60 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,77605,CPT,Hyperthermia treatment,,,20 ,,RBRVS,2.09 ,15.80 ,15.80 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,77605,CPT,Hyperthermia treatment,TC,,20 ,,RBRVS,,15.20 ,15.20 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,77610,CPT,Hyperthermia treatment,26,,20 ,,RBRVS,1.56 ,0.47 ,0.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,77610,CPT,Hyperthermia treatment,,,20 ,,RBRVS,1.56 ,15.24 ,15.24 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,77610,CPT,Hyperthermia treatment,TC,,20 ,,RBRVS,,14.77 ,14.77 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,77615,CPT,Hyperthermia treatment,26,,20 ,,RBRVS,2.09 ,0.70 ,0.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,77615,CPT,Hyperthermia treatment,,,20 ,,RBRVS,2.09 ,21.68 ,21.68 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,77615,CPT,Hyperthermia treatment,TC,,20 ,,RBRVS,,20.98 ,20.98 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,77620,CPT,Hyperthermia treatment,26,,20 ,,RBRVS,1.56 ,0.46 ,0.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,77620,CPT,Hyperthermia treatment,,,20 ,,RBRVS,1.56 ,8.82 ,8.82 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,77620,CPT,Hyperthermia treatment,TC,,20 ,,RBRVS,,8.36 ,8.36 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,77750,CPT,Infuse radioactive materials,26,,20 ,,RBRVS,4.94 ,1.68 ,1.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,77750,CPT,Infuse radioactive materials,,,20 ,,RBRVS,4.94 ,4.14 ,4.14 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,77750,CPT,Infuse radioactive materials,TC,,20 ,,RBRVS,,2.46 ,2.46 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,77761,CPT,Apply intrcav radiat simple,26,,20 ,,RBRVS,3.82 ,1.26 ,1.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,77761,CPT,Apply intrcav radiat simple,,,20 ,,RBRVS,3.82 ,5.59 ,5.59 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,77761,CPT,Apply intrcav radiat simple,TC,,20 ,,RBRVS,,4.33 ,4.33 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,77762,CPT,Apply intrcav radiat interm,26,,20 ,,RBRVS,5.73 ,1.95 ,1.95 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,77762,CPT,Apply intrcav radiat interm,,,20 ,,RBRVS,5.73 ,7.08 ,7.08 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,77762,CPT,Apply intrcav radiat interm,TC,,20 ,,RBRVS,,5.13 ,5.13 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,77763,CPT,Apply intrcav radiat compl,26,,20 ,,RBRVS,8.60 ,2.93 ,2.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,77763,CPT,Apply intrcav radiat compl,,,20 ,,RBRVS,8.60 ,9.54 ,9.54 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,77763,CPT,Apply intrcav radiat compl,TC,,20 ,,RBRVS,,6.61 ,6.61 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,77776,CPT,Apply interstit radiat simpl,26,,20 ,,RBRVS,4.67 ,1.56 ,1.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,77776,CPT,Apply interstit radiat simpl,,,20 ,,RBRVS,4.67 ,6.25 ,6.25 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,77776,CPT,Apply interstit radiat simpl,TC,,20 ,,RBRVS,,4.69 ,4.69 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,77777,CPT,Apply interstit radiat inter,26,,20 ,,RBRVS,7.49 ,2.67 ,2.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,77777,CPT,Apply interstit radiat inter,,,20 ,,RBRVS,7.49 ,7.82 ,7.82 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,77777,CPT,Apply interstit radiat inter,TC,,20 ,,RBRVS,,5.15 ,5.15 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,77778,CPT,Apply interstit radiat compl,26,,20 ,,RBRVS,11.23 ,3.84 ,3.84 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,77778,CPT,Apply interstit radiat compl,,,20 ,,RBRVS,11.23 ,10.70 ,10.70 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,77778,CPT,Apply interstit radiat compl,TC,,20 ,,RBRVS,,6.86 ,6.86 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,77785,CPT,"Hdr brachytx, 1 channel",26,,20 ,,RBRVS,1.42 ,0.49 ,0.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,77785,CPT,"Hdr brachytx, 1 channel",,,20 ,,RBRVS,1.42 ,3.54 ,3.54 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,77785,CPT,"Hdr brachytx, 1 channel",TC,,20 ,,RBRVS,,3.05 ,3.05 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,77786,CPT,"Hdr brachytx, 2-12 channel",26,,20 ,,RBRVS,3.25 ,1.04 ,1.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,77786,CPT,"Hdr brachytx, 2-12 channel",,,20 ,,RBRVS,3.25 ,11.76 ,11.76 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,77786,CPT,"Hdr brachytx, 2-12 channel",TC,,20 ,,RBRVS,,10.72 ,10.72 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,77787,CPT,Hdr brachytx over 12 chan,26,,20 ,,RBRVS,4.89 ,1.71 ,1.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,77787,CPT,Hdr brachytx over 12 chan,,,20 ,,RBRVS,4.89 ,17.41 ,17.41 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,77787,CPT,Hdr brachytx over 12 chan,TC,,20 ,,RBRVS,,15.70 ,15.70 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,77789,CPT,Apply surface radiation,26,,20 ,,RBRVS,1.14 ,0.39 ,0.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,77789,CPT,Apply surface radiation,,,20 ,,RBRVS,1.14 ,1.67 ,1.67 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,77789,CPT,Apply surface radiation,TC,,20 ,,RBRVS,,1.28 ,1.28 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,77790,CPT,Radiation handling,26,,20 ,,RBRVS,1.05 ,0.36 ,0.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,77790,CPT,Radiation handling,,,20 ,,RBRVS,1.05 ,1.30 ,1.30 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,77790,CPT,Radiation handling,TC,,20 ,,RBRVS,,0.94 ,0.94 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,77799,CPT,Radium/radioisotope therapy,26,,20 ,,TotalUnits,,,,4.93 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,77799,CPT,Radium/radioisotope therapy,,,20 ,,TotalUnits,,,,7.18 ,,$0.00,$0.00,1,0,0,0,0,1,20101001,77799,CPT,Radium/radioisotope therapy,TC,,20 ,,TotalUnits,,,,2.25 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,78000,CPT,"Thyroid, single uptake",26,,20 ,,RBRVS,0.19 ,0.07 ,0.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,78000,CPT,"Thyroid, single uptake",,,20 ,,RBRVS,0.19 ,1.64 ,1.64 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,78000,CPT,"Thyroid, single uptake",TC,,20 ,,RBRVS,,1.57 ,1.57 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,78001,CPT,"Thyroid, multiple uptakes",26,,20 ,,RBRVS,0.26 ,0.10 ,0.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,78001,CPT,"Thyroid, multiple uptakes",,,20 ,,RBRVS,0.26 ,2.07 ,2.07 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,78001,CPT,"Thyroid, multiple uptakes",TC,,20 ,,RBRVS,,1.97 ,1.97 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,78003,CPT,Thyroid suppress/stimul,26,,20 ,,RBRVS,0.33 ,0.12 ,0.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,78003,CPT,Thyroid suppress/stimul,,,20 ,,RBRVS,0.33 ,1.70 ,1.70 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,78003,CPT,Thyroid suppress/stimul,TC,,20 ,,RBRVS,,1.58 ,1.58 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,78006,CPT,Thyroid imaging with uptake,26,,20 ,,RBRVS,0.49 ,0.18 ,0.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,78006,CPT,Thyroid imaging with uptake,,,20 ,,RBRVS,0.49 ,5.28 ,5.28 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,78006,CPT,Thyroid imaging with uptake,TC,,20 ,,RBRVS,,5.10 ,5.10 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,78007,CPT,"Thyroid image, mult uptakes",26,,20 ,,RBRVS,0.50 ,0.19 ,0.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,78007,CPT,"Thyroid image, mult uptakes",,,20 ,,RBRVS,0.50 ,2.97 ,2.97 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,78007,CPT,"Thyroid image, mult uptakes",TC,,20 ,,RBRVS,,2.78 ,2.78 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,78010,CPT,Thyroid imaging,26,,20 ,,RBRVS,0.39 ,0.14 ,0.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,78010,CPT,Thyroid imaging,,,20 ,,RBRVS,0.39 ,3.61 ,3.61 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,78010,CPT,Thyroid imaging,TC,,20 ,,RBRVS,,3.47 ,3.47 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,78011,CPT,Thyroid imaging with flow,26,,20 ,,RBRVS,0.45 ,0.17 ,0.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,78011,CPT,Thyroid imaging with flow,,,20 ,,RBRVS,0.45 ,4.10 ,4.10 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,78011,CPT,Thyroid imaging with flow,TC,,20 ,,RBRVS,,3.93 ,3.93 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,78015,CPT,Thyroid met imaging,26,,20 ,,RBRVS,0.67 ,0.25 ,0.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,78015,CPT,Thyroid met imaging,,,20 ,,RBRVS,0.67 ,4.74 ,4.74 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,78015,CPT,Thyroid met imaging,TC,,20 ,,RBRVS,,4.49 ,4.49 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,78016,CPT,Thyroid met imaging/studies,26,,20 ,,RBRVS,0.82 ,0.31 ,0.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,78016,CPT,Thyroid met imaging/studies,,,20 ,,RBRVS,0.82 ,7.43 ,7.43 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,78016,CPT,Thyroid met imaging/studies,TC,,20 ,,RBRVS,,7.12 ,7.12 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,78018,CPT,"Thyroid met imaging, body",26,,20 ,,RBRVS,0.86 ,0.32 ,0.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,78018,CPT,"Thyroid met imaging, body",,,20 ,,RBRVS,0.86 ,7.38 ,7.38 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,78018,CPT,"Thyroid met imaging, body",TC,,20 ,,RBRVS,,7.06 ,7.06 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,78020,CPT,Thyroid met uptake,26,,20 ,,RBRVS,0.60 ,0.23 ,0.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,78020,CPT,Thyroid met uptake,,,20 ,,RBRVS,0.60 ,1.76 ,1.76 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,78020,CPT,Thyroid met uptake,TC,,20 ,,RBRVS,,1.53 ,1.53 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,78070,CPT,Parathyroid nuclear imaging,26,,20 ,,RBRVS,0.82 ,0.31 ,0.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,78070,CPT,Parathyroid nuclear imaging,,,20 ,,RBRVS,0.82 ,3.76 ,3.76 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,78070,CPT,Parathyroid nuclear imaging,TC,,20 ,,RBRVS,,3.45 ,3.45 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,78075,CPT,Adrenal nuclear imaging,26,,20 ,,RBRVS,0.74 ,0.28 ,0.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,78075,CPT,Adrenal nuclear imaging,,,20 ,,RBRVS,0.74 ,10.05 ,10.05 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,78075,CPT,Adrenal nuclear imaging,TC,,20 ,,RBRVS,,9.77 ,9.77 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,78099,CPT,Endocrine nuclear procedure,26,,20 ,,TotalUnits,,,,0.30 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,78099,CPT,Endocrine nuclear procedure,,,20 ,,TotalUnits,,,,1.83 ,,$0.00,$0.00,1,0,0,0,0,1,20101001,78099,CPT,Endocrine nuclear procedure,TC,,20 ,,TotalUnits,,,,1.53 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,78102,CPT,"Bone marrow imaging, ltd",26,,20 ,,RBRVS,0.55 ,0.21 ,0.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,78102,CPT,"Bone marrow imaging, ltd",,,20 ,,RBRVS,0.55 ,3.70 ,3.70 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,78102,CPT,"Bone marrow imaging, ltd",TC,,20 ,,RBRVS,,3.49 ,3.49 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,78103,CPT,"Bone marrow imaging, mult",26,,20 ,,RBRVS,0.75 ,0.28 ,0.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,78103,CPT,"Bone marrow imaging, mult",,,20 ,,RBRVS,0.75 ,4.95 ,4.95 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,78103,CPT,"Bone marrow imaging, mult",TC,,20 ,,RBRVS,,4.67 ,4.67 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,78104,CPT,"Bone marrow imaging, body",26,,20 ,,RBRVS,0.80 ,0.31 ,0.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,78104,CPT,"Bone marrow imaging, body",,,20 ,,RBRVS,0.80 ,5.72 ,5.72 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,78104,CPT,"Bone marrow imaging, body",TC,,20 ,,RBRVS,,5.41 ,5.41 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,78110,CPT,"Plasma volume, single",26,,20 ,,RBRVS,0.19 ,0.07 ,0.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,78110,CPT,"Plasma volume, single",,,20 ,,RBRVS,0.19 ,1.84 ,1.84 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,78110,CPT,"Plasma volume, single",TC,,20 ,,RBRVS,,1.77 ,1.77 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,78111,CPT,"Plasma volume, multiple",26,,20 ,,RBRVS,0.22 ,0.09 ,0.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,78111,CPT,"Plasma volume, multiple",,,20 ,,RBRVS,0.22 ,2.33 ,2.33 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,78111,CPT,"Plasma volume, multiple",TC,,20 ,,RBRVS,,2.24 ,2.24 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,78120,CPT,"Red cell mass, single",26,,20 ,,RBRVS,0.23 ,0.09 ,0.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,78120,CPT,"Red cell mass, single",,,20 ,,RBRVS,0.23 ,2.05 ,2.05 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,78120,CPT,"Red cell mass, single",TC,,20 ,,RBRVS,,1.96 ,1.96 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,78121,CPT,"Red cell mass, multiple",26,,20 ,,RBRVS,0.32 ,0.12 ,0.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,78121,CPT,"Red cell mass, multiple",,,20 ,,RBRVS,0.32 ,2.44 ,2.44 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,78121,CPT,"Red cell mass, multiple",TC,,20 ,,RBRVS,,2.32 ,2.32 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,78122,CPT,Blood volume,26,,20 ,,RBRVS,0.45 ,0.17 ,0.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,78122,CPT,Blood volume,,,20 ,,RBRVS,0.45 ,2.92 ,2.92 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,78122,CPT,Blood volume,TC,,20 ,,RBRVS,,2.75 ,2.75 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,78130,CPT,Red cell survival study,26,,20 ,,RBRVS,0.61 ,0.23 ,0.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,78130,CPT,Red cell survival study,,,20 ,,RBRVS,0.61 ,3.42 ,3.42 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,78130,CPT,Red cell survival study,TC,,20 ,,RBRVS,,3.19 ,3.19 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,78135,CPT,Red cell survival kinetics,26,,20 ,,RBRVS,0.64 ,0.24 ,0.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,78135,CPT,Red cell survival kinetics,,,20 ,,RBRVS,0.64 ,7.82 ,7.82 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,78135,CPT,Red cell survival kinetics,TC,,20 ,,RBRVS,,7.58 ,7.58 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,78140,CPT,Red cell sequestration,26,,20 ,,RBRVS,0.61 ,0.23 ,0.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,78140,CPT,Red cell sequestration,,,20 ,,RBRVS,0.61 ,3.24 ,3.24 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,78140,CPT,Red cell sequestration,TC,,20 ,,RBRVS,,3.01 ,3.01 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,78185,CPT,Spleen imaging,26,,20 ,,RBRVS,0.40 ,0.15 ,0.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,78185,CPT,Spleen imaging,,,20 ,,RBRVS,0.40 ,4.54 ,4.54 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,78185,CPT,Spleen imaging,TC,,20 ,,RBRVS,,4.39 ,4.39 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,78190,CPT,"Platelet survival, kinetics",26,,20 ,,RBRVS,1.09 ,0.37 ,0.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,78190,CPT,"Platelet survival, kinetics",,,20 ,,RBRVS,1.09 ,8.55 ,8.55 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,78190,CPT,"Platelet survival, kinetics",TC,,20 ,,RBRVS,,8.18 ,8.18 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,78191,CPT,Platelet survival,26,,20 ,,RBRVS,0.61 ,0.22 ,0.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,78191,CPT,Platelet survival,,,20 ,,RBRVS,0.61 ,4.50 ,4.50 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,78191,CPT,Platelet survival,TC,,20 ,,RBRVS,,4.28 ,4.28 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,78195,CPT,Lymph system imaging,26,,20 ,,RBRVS,1.20 ,0.45 ,0.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,78195,CPT,Lymph system imaging,,,20 ,,RBRVS,1.20 ,7.62 ,7.62 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,78195,CPT,Lymph system imaging,TC,,20 ,,RBRVS,,7.17 ,7.17 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,78199,CPT,Blood/lymph nuclear exam,26,,20 ,,TotalUnits,,,,0.38 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,78199,CPT,Blood/lymph nuclear exam,,,20 ,,TotalUnits,,,,2.03 ,,$0.00,$0.00,1,0,0,0,0,1,20101001,78199,CPT,Blood/lymph nuclear exam,TC,,20 ,,TotalUnits,,,,1.65 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,78201,CPT,Liver imaging,26,,20 ,,RBRVS,0.44 ,0.15 ,0.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,78201,CPT,Liver imaging,,,20 ,,RBRVS,0.44 ,4.11 ,4.11 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,78201,CPT,Liver imaging,TC,,20 ,,RBRVS,,3.96 ,3.96 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,78202,CPT,Liver imaging with flow,26,,20 ,,RBRVS,0.51 ,0.18 ,0.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,78202,CPT,Liver imaging with flow,,,20 ,,RBRVS,0.51 ,4.75 ,4.75 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,78202,CPT,Liver imaging with flow,TC,,20 ,,RBRVS,,4.57 ,4.57 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,78205,CPT,Liver imaging (3d),26,,20 ,,RBRVS,0.71 ,0.27 ,0.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,78205,CPT,Liver imaging (3d),,,20 ,,RBRVS,0.71 ,5.48 ,5.48 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,78205,CPT,Liver imaging (3d),TC,,20 ,,RBRVS,,5.21 ,5.21 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,78206,CPT,Liver image (3d) with flow,26,,20 ,,RBRVS,0.96 ,0.36 ,0.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,78206,CPT,Liver image (3d) with flow,,,20 ,,RBRVS,0.96 ,7.97 ,7.97 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,78206,CPT,Liver image (3d) with flow,TC,,20 ,,RBRVS,,7.61 ,7.61 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,78215,CPT,Liver and spleen imaging,26,,20 ,,RBRVS,0.49 ,0.18 ,0.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,78215,CPT,Liver and spleen imaging,,,20 ,,RBRVS,0.49 ,4.37 ,4.37 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,78215,CPT,Liver and spleen imaging,TC,,20 ,,RBRVS,,4.19 ,4.19 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,78216,CPT,Liver & spleen image/flow,26,,20 ,,RBRVS,0.57 ,0.21 ,0.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,78216,CPT,Liver & spleen image/flow,,,20 ,,RBRVS,0.57 ,3.05 ,3.05 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,78216,CPT,Liver & spleen image/flow,TC,,20 ,,RBRVS,,2.84 ,2.84 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,78220,CPT,Liver function study,26,,20 ,,RBRVS,0.49 ,0.18 ,0.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,78220,CPT,Liver function study,,,20 ,,RBRVS,0.49 ,3.28 ,3.28 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,78220,CPT,Liver function study,TC,,20 ,,RBRVS,,3.10 ,3.10 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,78223,CPT,Hepatobiliary imaging,26,,20 ,,RBRVS,0.84 ,0.31 ,0.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,78223,CPT,Hepatobiliary imaging,,,20 ,,RBRVS,0.84 ,7.32 ,7.32 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,78223,CPT,Hepatobiliary imaging,TC,,20 ,,RBRVS,,7.01 ,7.01 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,78230,CPT,Salivary gland imaging,26,,20 ,,RBRVS,0.45 ,0.16 ,0.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,78230,CPT,Salivary gland imaging,,,20 ,,RBRVS,0.45 ,3.68 ,3.68 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,78230,CPT,Salivary gland imaging,TC,,20 ,,RBRVS,,3.52 ,3.52 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,78231,CPT,Serial salivary imaging,26,,20 ,,RBRVS,0.52 ,0.19 ,0.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,78231,CPT,Serial salivary imaging,,,20 ,,RBRVS,0.52 ,2.96 ,2.96 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,78231,CPT,Serial salivary imaging,TC,,20 ,,RBRVS,,2.77 ,2.77 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,78232,CPT,Salivary gland function exam,26,,20 ,,RBRVS,0.47 ,0.18 ,0.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,78232,CPT,Salivary gland function exam,,,20 ,,RBRVS,0.47 ,3.07 ,3.07 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,78232,CPT,Salivary gland function exam,TC,,20 ,,RBRVS,,2.89 ,2.89 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,78258,CPT,Esophageal motility study,26,,20 ,,RBRVS,0.74 ,0.29 ,0.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,78258,CPT,Esophageal motility study,,,20 ,,RBRVS,0.74 ,5.04 ,5.04 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,78258,CPT,Esophageal motility study,TC,,20 ,,RBRVS,,4.75 ,4.75 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,78261,CPT,Gastric mucosa imaging,26,,20 ,,RBRVS,0.69 ,0.26 ,0.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,78261,CPT,Gastric mucosa imaging,,,20 ,,RBRVS,0.69 ,5.65 ,5.65 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,78261,CPT,Gastric mucosa imaging,TC,,20 ,,RBRVS,,5.39 ,5.39 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,78262,CPT,Gastroesophageal reflux exam,26,,20 ,,RBRVS,0.68 ,0.24 ,0.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,78262,CPT,Gastroesophageal reflux exam,,,20 ,,RBRVS,0.68 ,5.57 ,5.57 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,78262,CPT,Gastroesophageal reflux exam,TC,,20 ,,RBRVS,,5.33 ,5.33 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,78264,CPT,Gastric emptying study,26,,20 ,,RBRVS,0.78 ,0.29 ,0.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,78264,CPT,Gastric emptying study,,,20 ,,RBRVS,0.78 ,6.44 ,6.44 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,78264,CPT,Gastric emptying study,TC,,20 ,,RBRVS,,6.15 ,6.15 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,78267,CPT,Breath tst attain/anal c-14,,,17 ,,TotalUnits,,,,0.32 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,78268,CPT,"Breath test analysis, c-14",,,17 ,,TotalUnits,,,,2.73 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,78270,CPT,Vit b-12 absorption exam,26,,20 ,,RBRVS,0.20 ,0.07 ,0.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,78270,CPT,Vit b-12 absorption exam,,,20 ,,RBRVS,0.20 ,1.87 ,1.87 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,78270,CPT,Vit b-12 absorption exam,TC,,20 ,,RBRVS,,1.80 ,1.80 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,78271,CPT,"Vit b-12 absrp exam, int fac",26,,20 ,,RBRVS,0.20 ,0.06 ,0.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,78271,CPT,"Vit b-12 absrp exam, int fac",,,20 ,,RBRVS,0.20 ,1.89 ,1.89 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,78271,CPT,"Vit b-12 absrp exam, int fac",TC,,20 ,,RBRVS,,1.83 ,1.83 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,78272,CPT,"Vit b-12 absorp, combined",26,,20 ,,RBRVS,0.27 ,0.08 ,0.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,78272,CPT,"Vit b-12 absorp, combined",,,20 ,,RBRVS,0.27 ,2.09 ,2.09 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,78272,CPT,"Vit b-12 absorp, combined",TC,,20 ,,RBRVS,,2.01 ,2.01 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,78278,CPT,Acute gi blood loss imaging,26,,20 ,,RBRVS,0.99 ,0.37 ,0.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,78278,CPT,Acute gi blood loss imaging,,,20 ,,RBRVS,0.99 ,7.72 ,7.72 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,78278,CPT,Acute gi blood loss imaging,TC,,20 ,,RBRVS,,7.35 ,7.35 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,78282,CPT,Gi protein loss exam,26,,20 ,,RBRVS,0.38 ,0.14 ,0.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,78282,CPT,Gi protein loss exam,,,20 ,,RBRVS,0.38 ,1.68 ,1.68 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,78282,CPT,Gi protein loss exam,TC,,20 ,,RBRVS,,1.54 ,1.54 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,78290,CPT,Meckel's divert exam,26,,20 ,,RBRVS,0.68 ,0.26 ,0.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,78290,CPT,Meckel's divert exam,,,20 ,,RBRVS,0.68 ,7.16 ,7.16 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,78290,CPT,Meckel's divert exam,TC,,20 ,,RBRVS,,6.90 ,6.90 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,78291,CPT,Leveen/shunt patency exam,26,,20 ,,RBRVS,0.88 ,0.33 ,0.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,78291,CPT,Leveen/shunt patency exam,,,20 ,,RBRVS,0.88 ,5.47 ,5.47 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,78291,CPT,Leveen/shunt patency exam,TC,,20 ,,RBRVS,,5.14 ,5.14 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,78299,CPT,Gi nuclear procedure,26,,20 ,,TotalUnits,,,,0.11 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,78299,CPT,Gi nuclear procedure,,,20 ,,TotalUnits,,,,0.74 ,,$0.00,$0.00,1,0,0,0,0,1,20101001,78299,CPT,Gi nuclear procedure,TC,,20 ,,TotalUnits,,,,0.63 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,78300,CPT,"Bone imaging, limited area",26,,20 ,,RBRVS,0.62 ,0.23 ,0.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,78300,CPT,"Bone imaging, limited area",,,20 ,,RBRVS,0.62 ,3.82 ,3.82 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,78300,CPT,"Bone imaging, limited area",TC,,20 ,,RBRVS,,3.59 ,3.59 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,78305,CPT,"Bone imaging, multiple areas",26,,20 ,,RBRVS,0.83 ,0.30 ,0.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,78305,CPT,"Bone imaging, multiple areas",,,20 ,,RBRVS,0.83 ,5.07 ,5.07 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,78305,CPT,"Bone imaging, multiple areas",TC,,20 ,,RBRVS,,4.77 ,4.77 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,78306,CPT,"Bone imaging, whole body",26,,20 ,,RBRVS,0.86 ,0.32 ,0.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,78306,CPT,"Bone imaging, whole body",,,20 ,,RBRVS,0.86 ,5.67 ,5.67 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,78306,CPT,"Bone imaging, whole body",TC,,20 ,,RBRVS,,5.35 ,5.35 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,78315,CPT,"Bone imaging, 3 phase",26,,20 ,,RBRVS,1.02 ,0.38 ,0.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,78315,CPT,"Bone imaging, 3 phase",,,20 ,,RBRVS,1.02 ,7.70 ,7.70 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,78315,CPT,"Bone imaging, 3 phase",TC,,20 ,,RBRVS,,7.32 ,7.32 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,78320,CPT,Bone imaging (3d),26,,20 ,,RBRVS,1.04 ,0.39 ,0.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,78320,CPT,Bone imaging (3d),,,20 ,,RBRVS,1.04 ,5.60 ,5.60 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,78320,CPT,Bone imaging (3d),TC,,20 ,,RBRVS,,5.21 ,5.21 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,78350,CPT,"Bone mineral, single photon",26,,20 ,,RBRVS,0.22 ,0.07 ,0.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,78350,CPT,"Bone mineral, single photon",,,20 ,,RBRVS,0.22 ,0.65 ,0.65 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,78350,CPT,"Bone mineral, single photon",TC,,20 ,,RBRVS,,0.58 ,0.58 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,78351,CPT,"Bone mineral, dual photon",,,20 ,,RBRVS,0.30 ,0.11 ,0.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,78399,CPT,Musculoskeletal nuclear exam,,,20 ,,TotalUnits,,,,8.91 ,,$0.00,$0.00,1,0,0,0,0,1,20101001,78399,CPT,Musculoskeletal nuclear exam,,PC,20 ,,TotalUnits,,,,1.61 ,,$0.00,$0.00,1,0,1,1,1,0,20101001,78399,CPT,Musculoskeletal nuclear exam,,TC,20 ,,TotalUnits,,,,7.30 ,,$0.00,$0.00,1,1,1,0,1,0,20101001,78414,CPT,Non-imaging heart function,26,,20 ,,RBRVS,0.45 ,0.13 ,0.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,78414,CPT,Non-imaging heart function,,,20 ,,RBRVS,0.45 ,1.46 ,1.46 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,78414,CPT,Non-imaging heart function,TC,,20 ,,RBRVS,,1.33 ,1.33 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,78428,CPT,Cardiac shunt imaging,26,,20 ,,RBRVS,0.78 ,0.34 ,0.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,78428,CPT,Cardiac shunt imaging,,,20 ,,RBRVS,0.78 ,4.40 ,4.40 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,78428,CPT,Cardiac shunt imaging,TC,,20 ,,RBRVS,,4.06 ,4.06 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,78445,CPT,Vascular flow imaging,26,,20 ,,RBRVS,0.49 ,0.18 ,0.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,78445,CPT,Vascular flow imaging,,,20 ,,RBRVS,0.49 ,3.86 ,3.86 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,78445,CPT,Vascular flow imaging,TC,,20 ,,RBRVS,,3.68 ,3.68 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,78451,CPT,"Ht muscle image spect, sing",26,,20 ,,RBRVS,1.38 ,0.43 ,0.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,78451,CPT,"Ht muscle image spect, sing",,,20 ,,RBRVS,1.38 ,4.73 ,4.73 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,78451,CPT,"Ht muscle image spect, sing",TC,,20 ,,RBRVS,,4.30 ,4.30 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,78452,CPT,"Ht muscle image spect, mult",26,,20 ,,RBRVS,1.62 ,0.52 ,0.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,78452,CPT,"Ht muscle image spect, mult",,,20 ,,RBRVS,1.62 ,8.84 ,8.84 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,78452,CPT,"Ht muscle image spect, mult",TC,,20 ,,RBRVS,,8.32 ,8.32 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,78453,CPT,"Ht muscle image,planar,sing",26,,20 ,,RBRVS,1.00 ,0.31 ,0.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,78453,CPT,"Ht muscle image,planar,sing",,,20 ,,RBRVS,1.00 ,4.32 ,4.32 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,78453,CPT,"Ht muscle image,planar,sing",TC,,20 ,,RBRVS,,4.01 ,4.01 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,78454,CPT,"Ht musc image, planar, mult",26,,20 ,,RBRVS,1.34 ,0.40 ,0.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,78454,CPT,"Ht musc image, planar, mult",,,20 ,,RBRVS,1.34 ,3.77 ,3.77 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,78454,CPT,"Ht musc image, planar, mult",TC,,20 ,,RBRVS,,3.37 ,3.37 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,78456,CPT,Acute venous thrombus image,26,,20 ,,RBRVS,1.00 ,0.46 ,0.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,78456,CPT,Acute venous thrombus image,,,20 ,,RBRVS,1.00 ,8.16 ,8.16 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,78456,CPT,Acute venous thrombus image,TC,,20 ,,RBRVS,,7.70 ,7.70 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,78457,CPT,Venous thrombosis imaging,26,,20 ,,RBRVS,0.77 ,0.28 ,0.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,78457,CPT,Venous thrombosis imaging,,,20 ,,RBRVS,0.77 ,4.21 ,4.21 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,78457,CPT,Venous thrombosis imaging,TC,,20 ,,RBRVS,,3.93 ,3.93 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,78458,CPT,"Ven thrombosis images, bilat",26,,20 ,,RBRVS,0.90 ,0.34 ,0.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,78458,CPT,"Ven thrombosis images, bilat",,,20 ,,RBRVS,0.90 ,4.55 ,4.55 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,78458,CPT,"Ven thrombosis images, bilat",TC,,20 ,,RBRVS,,4.21 ,4.21 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,78459,CPT,Heart muscle imaging (pet),26,,20 ,,TotalUnits,,,,2.15 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,78459,CPT,Heart muscle imaging (pet),,,20 ,,TotalUnits,,,,9.18 ,,$0.00,$0.00,1,0,0,0,0,1,20101001,78459,CPT,Heart muscle imaging (pet),TC,,20 ,,TotalUnits,,,,7.03 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,78466,CPT,Heart infarct image,26,,20 ,,RBRVS,0.69 ,0.29 ,0.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,78466,CPT,Heart infarct image,,,20 ,,RBRVS,0.69 ,4.06 ,4.06 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,78466,CPT,Heart infarct image,TC,,20 ,,RBRVS,,3.77 ,3.77 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,78468,CPT,Heart infarct image (ef),26,,20 ,,RBRVS,0.80 ,0.37 ,0.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,78468,CPT,Heart infarct image (ef),,,20 ,,RBRVS,0.80 ,5.19 ,5.19 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,78468,CPT,Heart infarct image (ef),TC,,20 ,,RBRVS,,4.82 ,4.82 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,78469,CPT,Heart infarct image (3d),26,,20 ,,RBRVS,0.92 ,0.40 ,0.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,78469,CPT,Heart infarct image (3d),,,20 ,,RBRVS,0.92 ,5.85 ,5.85 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,78469,CPT,Heart infarct image (3d),TC,,20 ,,RBRVS,,5.45 ,5.45 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,78472,CPT,"Gated heart, planar, single",26,,20 ,,RBRVS,0.98 ,0.41 ,0.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,78472,CPT,"Gated heart, planar, single",,,20 ,,RBRVS,0.98 ,5.89 ,5.89 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,78472,CPT,"Gated heart, planar, single",TC,,20 ,,RBRVS,,5.48 ,5.48 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,78473,CPT,"Gated heart, multiple",26,,20 ,,RBRVS,1.47 ,0.65 ,0.65 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,78473,CPT,"Gated heart, multiple",,,20 ,,RBRVS,1.47 ,7.91 ,7.91 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,78473,CPT,"Gated heart, multiple",TC,,20 ,,RBRVS,,7.26 ,7.26 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,78481,CPT,"Heart first pass, single",26,,20 ,,RBRVS,0.98 ,0.47 ,0.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,78481,CPT,"Heart first pass, single",,,20 ,,RBRVS,0.98 ,5.04 ,5.04 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,78481,CPT,"Heart first pass, single",TC,,20 ,,RBRVS,,4.57 ,4.57 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,78483,CPT,"Heart first pass, multiple",26,,20 ,,RBRVS,1.47 ,0.73 ,0.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,78483,CPT,"Heart first pass, multiple",,,20 ,,RBRVS,1.47 ,7.02 ,7.02 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,78483,CPT,"Heart first pass, multiple",TC,,20 ,,RBRVS,,6.29 ,6.29 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,78491,CPT,"Heart image (pet), single",26,,20 ,,TotalUnits,,,,2.17 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,78491,CPT,"Heart image (pet), single",,,20 ,,TotalUnits,,,,9.31 ,,$0.00,$0.00,1,0,0,0,0,1,20101001,78491,CPT,"Heart image (pet), single",TC,,20 ,,TotalUnits,,,,7.14 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,78492,CPT,"Heart image (pet), multiple",26,,20 ,,TotalUnits,,,,2.74 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,78492,CPT,"Heart image (pet), multiple",,,20 ,,TotalUnits,,,,11.74 ,,$0.00,$0.00,1,0,0,0,0,1,20101001,78492,CPT,"Heart image (pet), multiple",TC,,20 ,,TotalUnits,,,,9.00 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,78494,CPT,"Heart image, spect",26,,20 ,,RBRVS,1.19 ,0.51 ,0.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,78494,CPT,"Heart image, spect",,,20 ,,RBRVS,1.19 ,6.32 ,6.32 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,78494,CPT,"Heart image, spect",TC,,20 ,,RBRVS,,5.81 ,5.81 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,78496,CPT,Heart first pass add-on,26,,20 ,,RBRVS,0.50 ,0.23 ,0.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,78496,CPT,Heart first pass add-on,,,20 ,,RBRVS,0.50 ,2.47 ,2.47 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,78496,CPT,Heart first pass add-on,TC,,20 ,,RBRVS,,2.24 ,2.24 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,78499,CPT,Cardiovascular nuclear exam,26,,20 ,,TotalUnits,,,,2.30 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,78499,CPT,Cardiovascular nuclear exam,,,20 ,,TotalUnits,,,,4.75 ,,$0.00,$0.00,1,0,0,0,0,1,20101001,78499,CPT,Cardiovascular nuclear exam,TC,,20 ,,TotalUnits,,,,2.45 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,78580,CPT,Lung perfusion imaging,26,,20 ,,RBRVS,0.74 ,0.28 ,0.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,78580,CPT,Lung perfusion imaging,,,20 ,,RBRVS,0.74 ,4.74 ,4.74 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,78580,CPT,Lung perfusion imaging,TC,,20 ,,RBRVS,,4.46 ,4.46 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,78584,CPT,Lung v/q image single breath,26,,20 ,,RBRVS,0.99 ,0.37 ,0.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,78584,CPT,Lung v/q image single breath,,,20 ,,RBRVS,0.99 ,3.14 ,3.14 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,78584,CPT,Lung v/q image single breath,TC,,20 ,,RBRVS,,2.77 ,2.77 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,78585,CPT,Lung v/q imaging,26,,20 ,,RBRVS,1.09 ,0.41 ,0.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,78585,CPT,Lung v/q imaging,,,20 ,,RBRVS,1.09 ,7.95 ,7.95 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,78585,CPT,Lung v/q imaging,TC,,20 ,,RBRVS,,7.54 ,7.54 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,78586,CPT,"Aerosol lung image, single",26,,20 ,,RBRVS,0.40 ,0.15 ,0.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,78586,CPT,"Aerosol lung image, single",,,20 ,,RBRVS,0.40 ,3.78 ,3.78 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,78586,CPT,"Aerosol lung image, single",TC,,20 ,,RBRVS,,3.63 ,3.63 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,78587,CPT,"Aerosol lung image, multiple",26,,20 ,,RBRVS,0.49 ,0.19 ,0.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,78587,CPT,"Aerosol lung image, multiple",,,20 ,,RBRVS,0.49 ,4.80 ,4.80 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,78587,CPT,"Aerosol lung image, multiple",TC,,20 ,,RBRVS,,4.61 ,4.61 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,78588,CPT,Perfusion lung image,26,,20 ,,RBRVS,1.09 ,0.41 ,0.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,78588,CPT,Perfusion lung image,,,20 ,,RBRVS,1.09 ,7.36 ,7.36 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,78588,CPT,Perfusion lung image,TC,,20 ,,RBRVS,,6.95 ,6.95 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,78591,CPT,"Vent image, 1 breath, 1 proj",26,,20 ,,RBRVS,0.40 ,0.15 ,0.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,78591,CPT,"Vent image, 1 breath, 1 proj",,,20 ,,RBRVS,0.40 ,3.84 ,3.84 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,78591,CPT,"Vent image, 1 breath, 1 proj",TC,,20 ,,RBRVS,,3.69 ,3.69 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,78593,CPT,"Vent image, 1 proj, gas",26,,20 ,,RBRVS,0.49 ,0.18 ,0.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,78593,CPT,"Vent image, 1 proj, gas",,,20 ,,RBRVS,0.49 ,4.50 ,4.50 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,78593,CPT,"Vent image, 1 proj, gas",TC,,20 ,,RBRVS,,4.32 ,4.32 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,78594,CPT,"Vent image, mult proj, gas",26,,20 ,,RBRVS,0.53 ,0.20 ,0.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,78594,CPT,"Vent image, mult proj, gas",,,20 ,,RBRVS,0.53 ,5.28 ,5.28 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,78594,CPT,"Vent image, mult proj, gas",TC,,20 ,,RBRVS,,5.08 ,5.08 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,78596,CPT,Lung differential function,26,,20 ,,RBRVS,1.27 ,0.44 ,0.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,78596,CPT,Lung differential function,,,20 ,,RBRVS,1.27 ,8.41 ,8.41 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,78596,CPT,Lung differential function,TC,,20 ,,RBRVS,,7.97 ,7.97 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,78599,CPT,Respiratory nuclear exam,26,,20 ,,TotalUnits,,,,0.73 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,78599,CPT,Respiratory nuclear exam,,,20 ,,TotalUnits,,,,4.13 ,,$0.00,$0.00,1,0,0,0,0,1,20101001,78599,CPT,Respiratory nuclear exam,TC,,20 ,,TotalUnits,,,,3.40 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,78600,CPT,Brain image < 4 views,26,,20 ,,RBRVS,0.44 ,0.17 ,0.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,78600,CPT,Brain image < 4 views,,,20 ,,RBRVS,0.44 ,4.12 ,4.12 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,78600,CPT,Brain image < 4 views,TC,,20 ,,RBRVS,,3.95 ,3.95 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,78601,CPT,Brain image w/flow < 4 views,26,,20 ,,RBRVS,0.51 ,0.19 ,0.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,78601,CPT,Brain image w/flow < 4 views,,,20 ,,RBRVS,0.51 ,4.91 ,4.91 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,78601,CPT,Brain image w/flow < 4 views,TC,,20 ,,RBRVS,,4.72 ,4.72 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,78605,CPT,Brain image 4+ views,26,,20 ,,RBRVS,0.53 ,0.21 ,0.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,78605,CPT,Brain image 4+ views,,,20 ,,RBRVS,0.53 ,4.53 ,4.53 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,78605,CPT,Brain image 4+ views,TC,,20 ,,RBRVS,,4.32 ,4.32 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,78606,CPT,Brain image w/flow 4 + views,26,,20 ,,RBRVS,0.64 ,0.24 ,0.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,78606,CPT,Brain image w/flow 4 + views,,,20 ,,RBRVS,0.64 ,7.34 ,7.34 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,78606,CPT,Brain image w/flow 4 + views,TC,,20 ,,RBRVS,,7.10 ,7.10 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,78607,CPT,Brain imaging (3d),26,,20 ,,RBRVS,1.23 ,0.46 ,0.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,78607,CPT,Brain imaging (3d),,,20 ,,RBRVS,1.23 ,8.26 ,8.26 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,78607,CPT,Brain imaging (3d),TC,,20 ,,RBRVS,,7.80 ,7.80 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,78608,CPT,Brain imaging (pet),,,20 ,,TotalUnits,,,,13.20 ,,$0.00,$0.00,1,0,0,0,0,1,20101001,78608,CPT,Brain imaging (pet),,PC,20 ,,TotalUnits,,,,2.06 ,,$0.00,$0.00,1,0,1,1,1,0,20101001,78608,CPT,Brain imaging (pet),,TC,20 ,,TotalUnits,,,,11.14 ,,$0.00,$0.00,1,1,1,0,1,0,20101001,78609,CPT,Brain imaging (pet),,,20 ,,TotalUnits,,,,7.96 ,,$0.00,$0.00,1,0,0,0,0,1,20101001,78609,CPT,Brain imaging (pet),,PC,20 ,,TotalUnits,,,,1.99 ,,$0.00,$0.00,1,0,1,1,1,0,20101001,78609,CPT,Brain imaging (pet),,TC,20 ,,TotalUnits,,,,5.97 ,,$0.00,$0.00,1,1,1,0,1,0,20101001,78610,CPT,Brain flow imaging only,26,,20 ,,RBRVS,0.30 ,0.13 ,0.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,78610,CPT,Brain flow imaging only,,,20 ,,RBRVS,0.30 ,4.34 ,4.34 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,78610,CPT,Brain flow imaging only,TC,,20 ,,RBRVS,,4.21 ,4.21 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,78630,CPT,Cerebrospinal fluid scan,26,,20 ,,RBRVS,0.68 ,0.26 ,0.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,78630,CPT,Cerebrospinal fluid scan,,,20 ,,RBRVS,0.68 ,7.76 ,7.76 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,78630,CPT,Cerebrospinal fluid scan,TC,,20 ,,RBRVS,,7.50 ,7.50 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,78635,CPT,Csf ventriculography,26,,20 ,,RBRVS,0.61 ,0.24 ,0.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,78635,CPT,Csf ventriculography,,,20 ,,RBRVS,0.61 ,7.15 ,7.15 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,78635,CPT,Csf ventriculography,TC,,20 ,,RBRVS,,6.91 ,6.91 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,78645,CPT,Csf shunt evaluation,26,,20 ,,RBRVS,0.57 ,0.22 ,0.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,78645,CPT,Csf shunt evaluation,,,20 ,,RBRVS,0.57 ,7.26 ,7.26 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,78645,CPT,Csf shunt evaluation,TC,,20 ,,RBRVS,,7.04 ,7.04 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,78647,CPT,Cerebrospinal fluid scan,26,,20 ,,RBRVS,0.90 ,0.33 ,0.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,78647,CPT,Cerebrospinal fluid scan,,,20 ,,RBRVS,0.90 ,7.98 ,7.98 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,78647,CPT,Cerebrospinal fluid scan,TC,,20 ,,RBRVS,,7.65 ,7.65 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,78650,CPT,Csf leakage imaging,26,,20 ,,RBRVS,0.61 ,0.23 ,0.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,78650,CPT,Csf leakage imaging,,,20 ,,RBRVS,0.61 ,7.64 ,7.64 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,78650,CPT,Csf leakage imaging,TC,,20 ,,RBRVS,,7.41 ,7.41 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,78660,CPT,Nuclear exam of tear flow,26,,20 ,,RBRVS,0.53 ,0.20 ,0.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,78660,CPT,Nuclear exam of tear flow,,,20 ,,RBRVS,0.53 ,3.77 ,3.77 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,78660,CPT,Nuclear exam of tear flow,TC,,20 ,,RBRVS,,3.57 ,3.57 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,78699,CPT,Nervous system nuclear exam,26,,20 ,,TotalUnits,,,,0.29 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,78699,CPT,Nervous system nuclear exam,,,20 ,,TotalUnits,,,,1.99 ,,$0.00,$0.00,1,0,0,0,0,1,20101001,78699,CPT,Nervous system nuclear exam,TC,,20 ,,TotalUnits,,,,1.70 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,78700,CPT,"Kidney imaging, morphol",26,,20 ,,RBRVS,0.45 ,0.17 ,0.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,78700,CPT,"Kidney imaging, morphol",,,20 ,,RBRVS,0.45 ,4.06 ,4.06 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,78700,CPT,"Kidney imaging, morphol",TC,,20 ,,RBRVS,,3.89 ,3.89 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,78701,CPT,Kidney imaging with flow,26,,20 ,,RBRVS,0.49 ,0.18 ,0.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,78701,CPT,Kidney imaging with flow,,,20 ,,RBRVS,0.49 ,4.92 ,4.92 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,78701,CPT,Kidney imaging with flow,TC,,20 ,,RBRVS,,4.74 ,4.74 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,78707,CPT,K flow/funct image w/o drug,26,,20 ,,RBRVS,0.96 ,0.36 ,0.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,78707,CPT,K flow/funct image w/o drug,,,20 ,,RBRVS,0.96 ,5.31 ,5.31 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,78707,CPT,K flow/funct image w/o drug,TC,,20 ,,RBRVS,,4.95 ,4.95 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,78708,CPT,K flow/funct image w/drug,26,,20 ,,RBRVS,1.21 ,0.46 ,0.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,78708,CPT,K flow/funct image w/drug,,,20 ,,RBRVS,1.21 ,3.85 ,3.85 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,78708,CPT,K flow/funct image w/drug,TC,,20 ,,RBRVS,,3.39 ,3.39 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,78709,CPT,"K flow/funct image, multiple",26,,20 ,,RBRVS,1.41 ,0.53 ,0.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,78709,CPT,"K flow/funct image, multiple",,,20 ,,RBRVS,1.41 ,7.90 ,7.90 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,78709,CPT,"K flow/funct image, multiple",TC,,20 ,,RBRVS,,7.37 ,7.37 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,78710,CPT,Kidney imaging (3d),26,,20 ,,RBRVS,0.66 ,0.25 ,0.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,78710,CPT,Kidney imaging (3d),,,20 ,,RBRVS,0.66 ,5.48 ,5.48 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,78710,CPT,Kidney imaging (3d),TC,,20 ,,RBRVS,,5.23 ,5.23 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,78725,CPT,Kidney function study,26,,20 ,,RBRVS,0.38 ,0.13 ,0.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,78725,CPT,Kidney function study,,,20 ,,RBRVS,0.38 ,2.22 ,2.22 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,78725,CPT,Kidney function study,TC,,20 ,,RBRVS,,2.09 ,2.09 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,78730,CPT,Urinary bladder retention,26,,20 ,,RBRVS,0.15 ,0.08 ,0.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,78730,CPT,Urinary bladder retention,,,20 ,,RBRVS,0.15 ,1.85 ,1.85 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,78730,CPT,Urinary bladder retention,TC,,20 ,,RBRVS,,1.77 ,1.77 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,78740,CPT,Ureteral reflux study,26,,20 ,,RBRVS,0.57 ,0.22 ,0.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,78740,CPT,Ureteral reflux study,,,20 ,,RBRVS,0.57 ,4.84 ,4.84 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,78740,CPT,Ureteral reflux study,TC,,20 ,,RBRVS,,4.62 ,4.62 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,78761,CPT,Testicular imaging w/flow,26,,20 ,,RBRVS,0.71 ,0.27 ,0.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,78761,CPT,Testicular imaging w/flow,,,20 ,,RBRVS,0.71 ,4.68 ,4.68 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,78761,CPT,Testicular imaging w/flow,TC,,20 ,,RBRVS,,4.41 ,4.41 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,78799,CPT,Genitourinary nuclear exam,26,,20 ,,TotalUnits,,,,2.26 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,78799,CPT,Genitourinary nuclear exam,,,20 ,,TotalUnits,,,,8.08 ,,$0.00,$0.00,1,0,0,0,0,1,20101001,78799,CPT,Genitourinary nuclear exam,TC,,20 ,,TotalUnits,,,,5.82 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,78800,CPT,"Tumor imaging, limited area",26,,20 ,,RBRVS,0.66 ,0.23 ,0.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,78800,CPT,"Tumor imaging, limited area",,,20 ,,RBRVS,0.66 ,4.13 ,4.13 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,78800,CPT,"Tumor imaging, limited area",TC,,20 ,,RBRVS,,3.90 ,3.90 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,78801,CPT,"Tumor imaging, mult areas",26,,20 ,,RBRVS,0.79 ,0.29 ,0.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,78801,CPT,"Tumor imaging, mult areas",,,20 ,,RBRVS,0.79 ,5.64 ,5.64 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,78801,CPT,"Tumor imaging, mult areas",TC,,20 ,,RBRVS,,5.35 ,5.35 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,78802,CPT,"Tumor imaging, whole body",26,,20 ,,RBRVS,0.86 ,0.32 ,0.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,78802,CPT,"Tumor imaging, whole body",,,20 ,,RBRVS,0.86 ,7.57 ,7.57 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,78802,CPT,"Tumor imaging, whole body",TC,,20 ,,RBRVS,,7.25 ,7.25 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,78803,CPT,Tumor imaging (3d),26,,20 ,,RBRVS,1.09 ,0.41 ,0.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,78803,CPT,Tumor imaging (3d),,,20 ,,RBRVS,1.09 ,8.18 ,8.18 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,78803,CPT,Tumor imaging (3d),TC,,20 ,,RBRVS,,7.77 ,7.77 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,78804,CPT,"Tumor imaging, whole body",26,,20 ,,RBRVS,1.07 ,0.41 ,0.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,78804,CPT,"Tumor imaging, whole body",,,20 ,,RBRVS,1.07 ,13.97 ,13.97 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,78804,CPT,"Tumor imaging, whole body",TC,,20 ,,RBRVS,,13.56 ,13.56 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,78805,CPT,"Abscess imaging, ltd area",26,,20 ,,RBRVS,0.73 ,0.27 ,0.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,78805,CPT,"Abscess imaging, ltd area",,,20 ,,RBRVS,0.73 ,4.08 ,4.08 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,78805,CPT,"Abscess imaging, ltd area",TC,,20 ,,RBRVS,,3.81 ,3.81 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,78806,CPT,"Abscess imaging, whole body",26,,20 ,,RBRVS,0.86 ,0.32 ,0.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,78806,CPT,"Abscess imaging, whole body",,,20 ,,RBRVS,0.86 ,7.94 ,7.94 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,78806,CPT,"Abscess imaging, whole body",TC,,20 ,,RBRVS,,7.62 ,7.62 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,78807,CPT,Nuclear localization/abscess,26,,20 ,,RBRVS,1.09 ,0.42 ,0.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,78807,CPT,Nuclear localization/abscess,,,20 ,,RBRVS,1.09 ,8.20 ,8.20 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,78807,CPT,Nuclear localization/abscess,TC,,20 ,,RBRVS,,7.78 ,7.78 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,78808,CPT,Iv inj ra drug dx study,,,20 ,,RBRVS,0.18 ,1.01 ,1.01 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,78811,CPT,"Pet image, ltd area",26,,20 ,,TotalUnits,,,,2.12 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,78811,CPT,"Pet image, ltd area",,,20 ,,TotalUnits,,,,16.35 ,,$0.00,$0.00,1,0,0,0,0,1,20101001,78811,CPT,"Pet image, ltd area",TC,,20 ,,TotalUnits,,,,14.23 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,78812,CPT,"Pet image, skull-thigh",26,,20 ,,TotalUnits,,,,2.66 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,78812,CPT,"Pet image, skull-thigh",,,20 ,,TotalUnits,,,,20.25 ,,$0.00,$0.00,1,0,0,0,0,1,20101001,78812,CPT,"Pet image, skull-thigh",TC,,20 ,,TotalUnits,,,,17.59 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,78813,CPT,"Pet image, full body",26,,20 ,,TotalUnits,,,,2.76 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,78813,CPT,"Pet image, full body",,,20 ,,TotalUnits,,,,20.99 ,,$0.00,$0.00,1,0,0,0,0,1,20101001,78813,CPT,"Pet image, full body",TC,,20 ,,TotalUnits,,,,18.23 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,78814,CPT,"Pet image w/ct, lmtd",26,,20 ,,TotalUnits,,,,3.03 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,78814,CPT,"Pet image w/ct, lmtd",,,20 ,,TotalUnits,,,,22.94 ,,$0.00,$0.00,1,0,0,0,0,1,20101001,78814,CPT,"Pet image w/ct, lmtd",TC,,20 ,,TotalUnits,,,,19.91 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,78815,CPT,"Pet image w/ct, skull-thigh",26,,20 ,,TotalUnits,,,,3.36 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,78815,CPT,"Pet image w/ct, skull-thigh",,,20 ,,TotalUnits,,,,25.26 ,,$0.00,$0.00,1,0,0,0,0,1,20101001,78815,CPT,"Pet image w/ct, skull-thigh",TC,,20 ,,TotalUnits,,,,21.90 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,78816,CPT,"Pet image w/ct, full body",26,,20 ,,TotalUnits,,,,3.45 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,78816,CPT,"Pet image w/ct, full body",,,20 ,,TotalUnits,,,,25.94 ,,$0.00,$0.00,1,0,0,0,0,1,20101001,78816,CPT,"Pet image w/ct, full body",TC,,20 ,,TotalUnits,,,,22.49 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,78999,CPT,Nuclear diagnostic exam,26,,20 ,,TotalUnits,,,,0.46 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,78999,CPT,Nuclear diagnostic exam,,,20 ,,TotalUnits,,,,3.49 ,,$0.00,$0.00,1,0,0,0,0,1,20101001,78999,CPT,Nuclear diagnostic exam,TC,,20 ,,TotalUnits,,,,3.03 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,79005,CPT,"Nuclear rx, oral admin",26,,20 ,,RBRVS,1.80 ,0.64 ,0.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,79005,CPT,"Nuclear rx, oral admin",,,20 ,,RBRVS,1.80 ,2.24 ,2.24 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,79005,CPT,"Nuclear rx, oral admin",TC,,20 ,,RBRVS,,1.60 ,1.60 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,79101,CPT,"Nuclear rx, iv admin",26,,20 ,,RBRVS,1.96 ,0.86 ,0.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,79101,CPT,"Nuclear rx, iv admin",,,20 ,,RBRVS,1.96 ,2.61 ,2.61 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,79101,CPT,"Nuclear rx, iv admin",TC,,20 ,,RBRVS,,1.75 ,1.75 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,79200,CPT,"Nuclear rx, intracav admin",26,,20 ,,RBRVS,1.99 ,0.75 ,0.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,79200,CPT,"Nuclear rx, intracav admin",,,20 ,,RBRVS,1.99 ,2.64 ,2.64 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,79200,CPT,"Nuclear rx, intracav admin",TC,,20 ,,RBRVS,,1.89 ,1.89 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,79300,CPT,"Nuclr rx, interstit colloid",26,,20 ,,RBRVS,1.60 ,0.58 ,0.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,79300,CPT,"Nuclr rx, interstit colloid",,,20 ,,RBRVS,1.60 ,2.04 ,2.04 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,79300,CPT,"Nuclr rx, interstit colloid",TC,,20 ,,RBRVS,,1.46 ,1.46 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,79403,CPT,Hematopoietic nuclear tx,26,,20 ,,RBRVS,2.25 ,0.87 ,0.87 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,79403,CPT,Hematopoietic nuclear tx,,,20 ,,RBRVS,2.25 ,3.58 ,3.58 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,79403,CPT,Hematopoietic nuclear tx,TC,,20 ,,RBRVS,,2.71 ,2.71 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,79440,CPT,"Nuclear rx, intra-articular",26,,20 ,,RBRVS,1.99 ,0.75 ,0.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,79440,CPT,"Nuclear rx, intra-articular",,,20 ,,RBRVS,1.99 ,2.28 ,2.28 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,79440,CPT,"Nuclear rx, intra-articular",TC,,20 ,,RBRVS,,1.53 ,1.53 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,79445,CPT,"Nuclear rx, intra-arterial",26,,20 ,,TotalUnits,,,,3.31 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,79445,CPT,"Nuclear rx, intra-arterial",,,20 ,,TotalUnits,,,,9.47 ,,$0.00,$0.00,1,0,0,0,0,1,20101001,79445,CPT,"Nuclear rx, intra-arterial",TC,,20 ,,TotalUnits,,,,6.16 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,79999,CPT,Nuclear medicine therapy,,,20 ,,TotalUnits,,,,3.64 ,,$0.00,$0.00,1,0,0,0,0,1,20101001,79999,CPT,Nuclear medicine therapy,,PC,20 ,,TotalUnits,,,,2.20 ,,$0.00,$0.00,1,0,1,1,1,0,20101001,79999,CPT,Nuclear medicine therapy,,TC,20 ,,TotalUnits,,,,1.44 ,,$0.00,$0.00,1,1,1,0,1,0,20101001,80047,CPT,Metabolic panel ionized ca,,,17 ,,TotalUnits,,,,0.34 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,80048,CPT,Metabolic panel total ca,,,17 ,,TotalUnits,,,,0.34 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,80050,CPT,General health panel,,,17 ,,TotalUnits,,,,0.98 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,80051,CPT,Electrolyte panel,,,17 ,,TotalUnits,,,,0.28 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,80053,CPT,Comprehen metabolic panel,,,17 ,,TotalUnits,,,,0.43 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,80055,CPT,Obstetric panel,,,17 ,,TotalUnits,,,,1.42 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,80061,CPT,Lipid panel,,,17 ,,TotalUnits,,,,0.54 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,80069,CPT,Renal function panel,,,17 ,,TotalUnits,,,,0.35 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,80074,CPT,Acute hepatitis panel,,,17 ,,TotalUnits,,,,1.93 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,80076,CPT,Hepatic function panel,,,17 ,,TotalUnits,,,,0.33 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,80100,CPT,"Drug screen, qualitate/multi",,,17 ,,TotalUnits,,,,0.59 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,80101,CPT,"Drug screen, single",,,17 ,,TotalUnits,,,,0.56 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,80102,CPT,Drug confirmation,,,17 ,,TotalUnits,,,,0.54 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,80103,CPT,"Drug analysis, tissue prep",,,17 ,,TotalUnits,,,,0.33 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,80150,CPT,Assay of amikacin,,,17 ,,TotalUnits,,,,0.61 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,80152,CPT,Assay of amitriptyline,,,17 ,,TotalUnits,,,,0.72 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,80154,CPT,Assay of benzodiazepines,,,17 ,,TotalUnits,,,,0.75 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,80156,CPT,"Assay, carbamazepine, total",,,17 ,,TotalUnits,,,,0.59 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,80157,CPT,"Assay, carbamazepine, free",,,17 ,,TotalUnits,,,,0.54 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,80158,CPT,Assay of cyclosporine,,,17 ,,TotalUnits,,,,0.73 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,80160,CPT,Assay of desipramine,,,17 ,,TotalUnits,,,,0.70 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,80162,CPT,Assay of digoxin,,,17 ,,TotalUnits,,,,0.54 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,80164,CPT,"Assay, dipropylacetic acid",,,17 ,,TotalUnits,,,,0.55 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,80166,CPT,Assay of doxepin,,,17 ,,TotalUnits,,,,0.63 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,80168,CPT,Assay of ethosuximide,,,17 ,,TotalUnits,,,,0.66 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,80170,CPT,Assay of gentamicin,,,17 ,,TotalUnits,,,,0.66 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,80172,CPT,Assay of gold,,,17 ,,TotalUnits,,,,0.66 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,80173,CPT,Assay of haloperidol,,,17 ,,TotalUnits,,,,0.59 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,80174,CPT,Assay of imipramine,,,17 ,,TotalUnits,,,,0.70 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,80176,CPT,Assay of lidocaine,,,17 ,,TotalUnits,,,,0.59 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,80178,CPT,Assay of lithium,,,17 ,,TotalUnits,,,,0.27 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,80182,CPT,Assay of nortriptyline,,,17 ,,TotalUnits,,,,0.55 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,80184,CPT,Assay of phenobarbital,,,17 ,,TotalUnits,,,,0.46 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,80185,CPT,"Assay of phenytoin, total",,,17 ,,TotalUnits,,,,0.54 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,80186,CPT,"Assay of phenytoin, free",,,17 ,,TotalUnits,,,,0.56 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,80188,CPT,Assay of primidone,,,17 ,,TotalUnits,,,,0.67 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,80190,CPT,Assay of procainamide,,,17 ,,TotalUnits,,,,0.68 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,80192,CPT,Assay of procainamide,,,17 ,,TotalUnits,,,,0.68 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,80194,CPT,Assay of quinidine,,,17 ,,TotalUnits,,,,0.59 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,80195,CPT,Assay of sirolimus,,,17 ,,TotalUnits,,,,0.56 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,80196,CPT,Assay of salicylate,,,17 ,,TotalUnits,,,,0.29 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,80197,CPT,Assay of tacrolimus,,,17 ,,TotalUnits,,,,0.56 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,80198,CPT,Assay of theophylline,,,17 ,,TotalUnits,,,,0.57 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,80200,CPT,Assay of tobramycin,,,17 ,,TotalUnits,,,,0.65 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,80201,CPT,Assay of topiramate,,,17 ,,TotalUnits,,,,0.48 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,80202,CPT,Assay of vancomycin,,,17 ,,TotalUnits,,,,0.55 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,80299,CPT,"Quantitative assay, drug",,,17 ,,TotalUnits,,,,0.55 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,80400,CPT,Acth stimulation panel,,,17 ,,TotalUnits,,,,1.32 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,80402,CPT,Acth stimulation panel,,,17 ,,TotalUnits,,,,3.52 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,80406,CPT,Acth stimulation panel,,,17 ,,TotalUnits,,,,3.17 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,80408,CPT,Aldosterone suppression eval,,,17 ,,TotalUnits,,,,5.08 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,80410,CPT,Calcitonin stimul panel,,,17 ,,TotalUnits,,,,3.25 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,80412,CPT,Crh stimulation panel,,,17 ,,TotalUnits,,,,13.34 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,80414,CPT,Testosterone response,,,17 ,,TotalUnits,,,,2.09 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,80415,CPT,Estradiol response panel,,,17 ,,TotalUnits,,,,2.26 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,80416,CPT,Renin stimulation panel,,,17 ,,TotalUnits,,,,5.34 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,80417,CPT,Renin stimulation panel,,,17 ,,TotalUnits,,,,1.78 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,80418,CPT,Pituitary evaluation panel,,,17 ,,TotalUnits,,,,23.46 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,80420,CPT,Dexamethasone panel,,,17 ,,TotalUnits,,,,2.92 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,80422,CPT,Glucagon tolerance panel,,,17 ,,TotalUnits,,,,1.86 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,80424,CPT,Glucagon tolerance panel,,,17 ,,TotalUnits,,,,2.04 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,80426,CPT,Gonadotropin hormone panel,,,17 ,,TotalUnits,,,,6.01 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,80428,CPT,Growth hormone panel,,,17 ,,TotalUnits,,,,2.70 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,80430,CPT,Growth hormone panel,,,17 ,,TotalUnits,,,,3.18 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,80432,CPT,Insulin suppression panel,,,17 ,,TotalUnits,,,,5.47 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,80434,CPT,Insulin tolerance panel,,,17 ,,TotalUnits,,,,4.10 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,80435,CPT,Insulin tolerance panel,,,17 ,,TotalUnits,,,,4.17 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,80436,CPT,Metyrapone panel,,,17 ,,TotalUnits,,,,3.69 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,80438,CPT,Trh stimulation panel,,,17 ,,TotalUnits,,,,2.04 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,80439,CPT,Trh stimulation panel,,,17 ,,TotalUnits,,,,2.72 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,80440,CPT,Trh stimulation panel,,,17 ,,TotalUnits,,,,2.35 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,80500,CPT,Lab pathology consultation,,,17 ,,RBRVS,0.37 ,0.12 ,0.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,80502,CPT,Lab pathology consultation,,,17 ,,RBRVS,1.33 ,0.37 ,0.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,81000,CPT,"Urinalysis, nonauto w/scope",,,17 ,,TotalUnits,,,,0.13 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,81001,CPT,"Urinalysis, auto w/scope",,,17 ,,TotalUnits,,,,0.13 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,81002,CPT,Urinalysis nonauto w/o scope,,,17 ,,TotalUnits,,,,0.10 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,81003,CPT,"Urinalysis, auto, w/o scope",,,17 ,,TotalUnits,,,,0.09 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,81005,CPT,Urinalysis,,,17 ,,TotalUnits,,,,0.09 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,81007,CPT,Urine screen for bacteria,,,17 ,,TotalUnits,,,,0.10 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,81015,CPT,Microscopic exam of urine,,,17 ,,TotalUnits,,,,0.12 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,81020,CPT,"Urinalysis, glass test",,,17 ,,TotalUnits,,,,0.15 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,81025,CPT,Urine pregnancy test,,,17 ,,TotalUnits,,,,0.26 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,81050,CPT,"Urinalysis, volume measure",,,17 ,,TotalUnits,,,,0.12 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,81099,CPT,Urinalysis test procedure,,,17 ,,TotalUnits,,,,0.10 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,82000,CPT,Assay of blood acetaldehyde,,,17 ,,TotalUnits,,,,0.50 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,82003,CPT,Assay of acetaminophen,,,17 ,,TotalUnits,,,,0.82 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,82009,CPT,Test for acetone/ketones,,,17 ,,TotalUnits,,,,0.18 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,82010,CPT,Acetone assay,,,17 ,,TotalUnits,,,,0.33 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,82013,CPT,Acetylcholinesterase assay,,,17 ,,TotalUnits,,,,0.45 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,82016,CPT,"Acylcarnitines, qual",,,17 ,,TotalUnits,,,,0.56 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,82017,CPT,"Acylcarnitines, quant",,,17 ,,TotalUnits,,,,0.68 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,82024,CPT,Assay of acth,,,17 ,,TotalUnits,,,,1.56 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,82030,CPT,Assay of adp & amp,,,17 ,,TotalUnits,,,,1.04 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,82040,CPT,Assay of serum albumin,,,17 ,,TotalUnits,,,,0.20 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,82042,CPT,Assay of urine albumin,,,17 ,,TotalUnits,,,,0.21 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,82043,CPT,"Microalbumin, quantitative",,,17 ,,TotalUnits,,,,0.23 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,82044,CPT,"Microalbumin, semiquant",,,17 ,,TotalUnits,,,,0.19 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,82045,CPT,"Albumin, ischemia modified",,,17 ,,TotalUnits,,,,1.37 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,82055,CPT,Assay of ethanol,,,17 ,,TotalUnits,,,,0.44 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,82075,CPT,Assay of breath ethanol,,,17 ,,TotalUnits,,,,0.49 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,82085,CPT,Assay of aldolase,,,17 ,,TotalUnits,,,,0.39 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,82088,CPT,Assay of aldosterone,,,17 ,,TotalUnits,,,,1.65 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,82101,CPT,Assay of urine alkaloids,,,17 ,,TotalUnits,,,,1.22 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,82103,CPT,"Alpha-1-antitrypsin, total",,,17 ,,TotalUnits,,,,0.54 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,82104,CPT,"Alpha-1-antitrypsin, pheno",,,17 ,,TotalUnits,,,,0.59 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,82105,CPT,"Alpha-fetoprotein, serum",,,17 ,,TotalUnits,,,,0.68 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,82106,CPT,"Alpha-fetoprotein, amniotic",,,17 ,,TotalUnits,,,,0.68 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,82107,CPT,Alpha-fetoprotein l3,,,17 ,,TotalUnits,,,,2.61 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,82108,CPT,Assay of aluminum,,,17 ,,TotalUnits,,,,1.03 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,82120,CPT,"Amines, vaginal fluid qual",,,17 ,,TotalUnits,,,,0.15 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,82127,CPT,"Amino acid, single qual",,,17 ,,TotalUnits,,,,0.56 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,82128,CPT,"Amino acids, mult qual",,,17 ,,TotalUnits,,,,0.56 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,82131,CPT,"Amino acids, single quant",,,17 ,,TotalUnits,,,,0.68 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,82135,CPT,"Assay, aminolevulinic acid",,,17 ,,TotalUnits,,,,0.67 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,82136,CPT,"Amino acids, quant, 2-5",,,17 ,,TotalUnits,,,,0.68 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,82139,CPT,"Amino acids, quan, 6 or more",,,17 ,,TotalUnits,,,,0.68 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,82140,CPT,Assay of ammonia,,,17 ,,TotalUnits,,,,0.59 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,82143,CPT,Amniotic fluid scan,,,17 ,,TotalUnits,,,,0.28 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,82145,CPT,Assay of amphetamines,,,17 ,,TotalUnits,,,,0.63 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,82150,CPT,Assay of amylase,,,17 ,,TotalUnits,,,,0.26 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,82154,CPT,Androstanediol glucuronide,,,17 ,,TotalUnits,,,,1.17 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,82157,CPT,Assay of androstenedione,,,17 ,,TotalUnits,,,,1.19 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,82160,CPT,Assay of androsterone,,,17 ,,TotalUnits,,,,1.01 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,82163,CPT,Assay of angiotensin ii,,,17 ,,TotalUnits,,,,0.83 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,82164,CPT,Angiotensin i enzyme test,,,17 ,,TotalUnits,,,,0.59 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,82172,CPT,Assay of apolipoprotein,,,17 ,,TotalUnits,,,,0.63 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,82175,CPT,Assay of arsenic,,,17 ,,TotalUnits,,,,0.77 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,82180,CPT,Assay of ascorbic acid,,,17 ,,TotalUnits,,,,0.40 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,82190,CPT,Atomic absorption,,,17 ,,TotalUnits,,,,0.60 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,82205,CPT,Assay of barbiturates,,,17 ,,TotalUnits,,,,0.46 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,82232,CPT,Assay of beta-2 protein,,,17 ,,TotalUnits,,,,0.65 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,82239,CPT,"Bile acids, total",,,17 ,,TotalUnits,,,,0.69 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,82240,CPT,"Bile acids, cholylglycine",,,17 ,,TotalUnits,,,,1.08 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,82247,CPT,"Bilirubin, total",,,17 ,,TotalUnits,,,,0.20 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,82248,CPT,"Bilirubin, direct",,,17 ,,TotalUnits,,,,0.20 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,82252,CPT,Fecal bilirubin test,,,17 ,,TotalUnits,,,,0.18 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,82261,CPT,Assay of biotinidase,,,17 ,,TotalUnits,,,,0.68 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,82270,CPT,"Occult blood, feces",,,17 ,,TotalUnits,,,,0.13 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,82271,CPT,"Occult blood, other sources",,,17 ,,TotalUnits,,,,0.13 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,82272,CPT,"Occult bld feces, 1-3 tests",,,17 ,,TotalUnits,,,,0.13 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,82274,CPT,"Assay test for blood, fecal",,,17 ,,TotalUnits,,,,0.64 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,82286,CPT,Assay of bradykinin,,,17 ,,TotalUnits,,,,0.28 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,82300,CPT,Assay of cadmium,,,17 ,,TotalUnits,,,,0.94 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,82306,CPT,Assay of vitamin d,,,17 ,,TotalUnits,,,,1.20 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,82308,CPT,Assay of calcitonin,,,17 ,,TotalUnits,,,,1.08 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,82310,CPT,Assay of calcium,,,17 ,,TotalUnits,,,,0.21 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,82330,CPT,Assay of calcium,,,17 ,,TotalUnits,,,,0.55 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,82331,CPT,Calcium infusion test,,,17 ,,TotalUnits,,,,0.21 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,82340,CPT,Assay of calcium in urine,,,17 ,,TotalUnits,,,,0.24 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,82355,CPT,"Calculus analysis, qual",,,17 ,,TotalUnits,,,,0.47 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,82360,CPT,"Calculus assay, quant",,,17 ,,TotalUnits,,,,0.52 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,82365,CPT,Calculus spectroscopy,,,17 ,,TotalUnits,,,,0.52 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,82370,CPT,"X-ray assay, calculus",,,17 ,,TotalUnits,,,,0.51 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,82373,CPT,"Assay, c-d transfer measure",,,17 ,,TotalUnits,,,,0.73 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,82374,CPT,"Assay, blood carbon dioxide",,,17 ,,TotalUnits,,,,0.20 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,82375,CPT,"Assay, carboxyhb, quant",,,17 ,,TotalUnits,,,,0.50 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,82376,CPT,"Assay, carboxyhb, qual",,,17 ,,TotalUnits,,,,0.24 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,82378,CPT,Carcinoembryonic antigen,,,17 ,,TotalUnits,,,,0.77 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,82379,CPT,Assay of carnitine,,,17 ,,TotalUnits,,,,0.68 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,82380,CPT,Assay of carotene,,,17 ,,TotalUnits,,,,0.37 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,82382,CPT,"Assay, urine catecholamines",,,17 ,,TotalUnits,,,,0.70 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,82383,CPT,"Assay, blood catecholamines",,,17 ,,TotalUnits,,,,1.01 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,82384,CPT,"Assay, three catecholamines",,,17 ,,TotalUnits,,,,1.02 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,82387,CPT,Assay of cathepsin-d,,,17 ,,TotalUnits,,,,0.84 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,82390,CPT,Assay of ceruloplasmin,,,17 ,,TotalUnits,,,,0.43 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,82397,CPT,Chemiluminescent assay,,,17 ,,TotalUnits,,,,0.57 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,82415,CPT,Assay of chloramphenicol,,,17 ,,TotalUnits,,,,0.51 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,82435,CPT,Assay of blood chloride,,,17 ,,TotalUnits,,,,0.19 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,82436,CPT,Assay of urine chloride,,,17 ,,TotalUnits,,,,0.20 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,82438,CPT,"Assay, other fluid chlorides",,,17 ,,TotalUnits,,,,0.20 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,82441,CPT,Test for chlorohydrocarbons,,,17 ,,TotalUnits,,,,0.24 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,82465,CPT,"Assay, bld/serum cholesterol",,,17 ,,TotalUnits,,,,0.18 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,82480,CPT,"Assay, serum cholinesterase",,,17 ,,TotalUnits,,,,0.32 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,82482,CPT,"Assay, rbc cholinesterase",,,17 ,,TotalUnits,,,,0.31 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,82485,CPT,"Assay, chondroitin sulfate",,,17 ,,TotalUnits,,,,0.84 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,82486,CPT,Gas/liquid chromatography,,,17 ,,TotalUnits,,,,0.73 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,82487,CPT,Paper chromatography,,,17 ,,TotalUnits,,,,0.65 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,82488,CPT,Paper chromatography,,,17 ,,TotalUnits,,,,0.87 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,82489,CPT,Thin layer chromatography,,,17 ,,TotalUnits,,,,0.75 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,82491,CPT,"Chromotography, quant, sing",,,17 ,,TotalUnits,,,,0.73 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,82492,CPT,"Chromotography, quant, mult",,,17 ,,TotalUnits,,,,0.73 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,82495,CPT,Assay of chromium,,,17 ,,TotalUnits,,,,0.82 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,82507,CPT,Assay of citrate,,,17 ,,TotalUnits,,,,1.13 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,82520,CPT,Assay of cocaine,,,17 ,,TotalUnits,,,,0.61 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,82523,CPT,Collagen crosslinks,,,17 ,,TotalUnits,,,,0.76 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,82525,CPT,Assay of copper,,,17 ,,TotalUnits,,,,0.50 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,82528,CPT,Assay of corticosterone,,,17 ,,TotalUnits,,,,0.91 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,82530,CPT,"Cortisol, free",,,17 ,,TotalUnits,,,,0.68 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,82533,CPT,Total cortisol,,,17 ,,TotalUnits,,,,0.66 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,82540,CPT,Assay of creatine,,,17 ,,TotalUnits,,,,0.19 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,82541,CPT,"Column chromotography, qual",,,17 ,,TotalUnits,,,,0.73 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,82542,CPT,"Column chromotography, quant",,,17 ,,TotalUnits,,,,0.73 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,82543,CPT,Column chromotograph/isotope,,,17 ,,TotalUnits,,,,0.73 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,82544,CPT,Column chromotograph/isotope,,,17 ,,TotalUnits,,,,0.73 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,82550,CPT,Assay of ck (cpk),,,17 ,,TotalUnits,,,,0.26 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,82552,CPT,Assay of cpk in blood,,,17 ,,TotalUnits,,,,0.54 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,82553,CPT,"Creatine, mb fraction",,,17 ,,TotalUnits,,,,0.47 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,82554,CPT,"Creatine, isoforms",,,17 ,,TotalUnits,,,,0.48 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,82565,CPT,Assay of creatinine,,,17 ,,TotalUnits,,,,0.21 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,82570,CPT,Assay of urine creatinine,,,17 ,,TotalUnits,,,,0.21 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,82575,CPT,Creatinine clearance test,,,17 ,,TotalUnits,,,,0.38 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,82585,CPT,Assay of cryofibrinogen,,,17 ,,TotalUnits,,,,0.35 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,82595,CPT,Assay of cryoglobulin,,,17 ,,TotalUnits,,,,0.26 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,82600,CPT,Assay of cyanide,,,17 ,,TotalUnits,,,,0.79 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,82607,CPT,Vitamin b-12,,,17 ,,TotalUnits,,,,0.61 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,82608,CPT,B-12 binding capacity,,,17 ,,TotalUnits,,,,0.58 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,82610,CPT,Cystatin c,,,17 ,,TotalUnits,,,,0.55 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,82615,CPT,Test for urine cystines,,,17 ,,TotalUnits,,,,0.33 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,82626,CPT,Dehydroepiandrosterone,,,17 ,,TotalUnits,,,,1.02 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,82627,CPT,Dehydroepiandrosterone,,,17 ,,TotalUnits,,,,0.90 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,82633,CPT,Desoxycorticosterone,,,17 ,,TotalUnits,,,,1.25 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,82634,CPT,Deoxycortisol,,,17 ,,TotalUnits,,,,1.19 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,82638,CPT,Assay of dibucaine number,,,17 ,,TotalUnits,,,,0.50 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,82646,CPT,Assay of dihydrocodeinone,,,17 ,,TotalUnits,,,,0.84 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,82649,CPT,Assay of dihydromorphinone,,,17 ,,TotalUnits,,,,1.04 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,82651,CPT,Assay of dihydrotestosterone,,,17 ,,TotalUnits,,,,1.05 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,82652,CPT,Assay of dihydroxyvitamin d,,,17 ,,TotalUnits,,,,1.56 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,82654,CPT,Assay of dimethadione,,,17 ,,TotalUnits,,,,0.56 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,82656,CPT,"Pancreatic elastase, fecal",,,17 ,,TotalUnits,,,,0.47 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,82657,CPT,Enzyme cell activity,,,17 ,,TotalUnits,,,,0.73 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,82658,CPT,"Enzyme cell activity, ra",,,17 ,,TotalUnits,,,,0.73 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,82664,CPT,Electrophoretic test,,,17 ,,TotalUnits,,,,1.39 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,82666,CPT,Assay of epiandrosterone,,,17 ,,TotalUnits,,,,0.87 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,82668,CPT,Assay of erythropoietin,,,17 ,,TotalUnits,,,,0.76 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,82670,CPT,Assay of estradiol,,,17 ,,TotalUnits,,,,1.13 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,82671,CPT,Assay of estrogens,,,17 ,,TotalUnits,,,,1.31 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,82672,CPT,Assay of estrogen,,,17 ,,TotalUnits,,,,0.88 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,82677,CPT,Assay of estriol,,,17 ,,TotalUnits,,,,0.98 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,82679,CPT,Assay of estrone,,,17 ,,TotalUnits,,,,1.01 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,82690,CPT,Assay of ethchlorvynol,,,17 ,,TotalUnits,,,,0.70 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,82693,CPT,Assay of ethylene glycol,,,17 ,,TotalUnits,,,,0.60 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,82696,CPT,Assay of etiocholanolone,,,17 ,,TotalUnits,,,,0.95 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,82705,CPT,"Fats/lipids, feces, qual",,,17 ,,TotalUnits,,,,0.21 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,82710,CPT,"Fats/lipids, feces, quant",,,17 ,,TotalUnits,,,,0.68 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,82715,CPT,Assay of fecal fat,,,17 ,,TotalUnits,,,,0.70 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,82725,CPT,Assay of blood fatty acids,,,17 ,,TotalUnits,,,,0.54 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,82726,CPT,Long chain fatty acids,,,17 ,,TotalUnits,,,,0.73 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,82728,CPT,Assay of ferritin,,,17 ,,TotalUnits,,,,0.55 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,82731,CPT,Assay of fetal fibronectin,,,17 ,,TotalUnits,,,,2.61 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,82735,CPT,Assay of fluoride,,,17 ,,TotalUnits,,,,0.75 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,82742,CPT,Assay of flurazepam,,,17 ,,TotalUnits,,,,0.80 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,82746,CPT,Blood folic acid serum,,,17 ,,TotalUnits,,,,0.60 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,82747,CPT,"Assay of folic acid, rbc",,,17 ,,TotalUnits,,,,0.70 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,82757,CPT,Assay of semen fructose,,,17 ,,TotalUnits,,,,0.70 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,82759,CPT,Assay of rbc galactokinase,,,17 ,,TotalUnits,,,,0.87 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,82760,CPT,Assay of galactose,,,17 ,,TotalUnits,,,,0.45 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,82775,CPT,Assay galactose transferase,,,17 ,,TotalUnits,,,,0.85 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,82776,CPT,Galactose transferase test,,,17 ,,TotalUnits,,,,0.34 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,82784,CPT,Assay of gammaglobulin igm,,,17 ,,TotalUnits,,,,0.38 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,82785,CPT,Assay of gammaglobulin ige,,,17 ,,TotalUnits,,,,0.67 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,82787,CPT,"Igg 1, 2, 3 or 4, each",,,17 ,,TotalUnits,,,,0.32 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,82800,CPT,Blood ph,,,17 ,,TotalUnits,,,,0.34 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,82803,CPT,"Blood gases: ph, po2 & pco2",,,17 ,,TotalUnits,,,,0.78 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,82805,CPT,Blood gases w/02 saturation,,,17 ,,TotalUnits,,,,1.15 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,82810,CPT,"Blood gases, o2 sat only",,,17 ,,TotalUnits,,,,0.35 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,82820,CPT,Hemoglobin-oxygen affinity,,,17 ,,TotalUnits,,,,0.40 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,82926,CPT,Assay of gastric acid,,,17 ,,TotalUnits,,,,0.22 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,82928,CPT,Assay of gastric acid,,,17 ,,TotalUnits,,,,0.27 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,82938,CPT,Gastrin test,,,17 ,,TotalUnits,,,,0.72 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,82941,CPT,Assay of gastrin,,,17 ,,TotalUnits,,,,0.71 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,82943,CPT,Assay of glucagon,,,17 ,,TotalUnits,,,,0.58 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,82945,CPT,Glucose other fluid,,,17 ,,TotalUnits,,,,0.16 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,82946,CPT,Glucagon tolerance test,,,17 ,,TotalUnits,,,,0.61 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,82947,CPT,"Assay, glucose, blood quant",,,17 ,,TotalUnits,,,,0.16 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,82948,CPT,Reagent strip/blood glucose,,,17 ,,TotalUnits,,,,0.13 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,82950,CPT,Glucose test,,,17 ,,TotalUnits,,,,0.19 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,82951,CPT,Glucose tolerance test (gtt),,,17 ,,TotalUnits,,,,0.52 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,82952,CPT,Gtt-added samples,,,17 ,,TotalUnits,,,,0.16 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,82953,CPT,Glucose-tolbutamide test,,,17 ,,TotalUnits,,,,0.61 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,82955,CPT,Assay of g6pd enzyme,,,17 ,,TotalUnits,,,,0.39 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,82960,CPT,Test for g6pd enzyme,,,17 ,,TotalUnits,,,,0.25 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,82962,CPT,Glucose blood test,,,17 ,,TotalUnits,,,,0.09 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,82963,CPT,Assay of glucosidase,,,17 ,,TotalUnits,,,,0.87 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,82965,CPT,Assay of gdh enzyme,,,17 ,,TotalUnits,,,,0.31 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,82975,CPT,Assay of glutamine,,,17 ,,TotalUnits,,,,0.64 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,82977,CPT,Assay of ggt,,,17 ,,TotalUnits,,,,0.29 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,82978,CPT,Assay of glutathione,,,17 ,,TotalUnits,,,,0.58 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,82979,CPT,"Assay, rbc glutathione",,,17 ,,TotalUnits,,,,0.28 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,82980,CPT,Assay of glutethimide,,,17 ,,TotalUnits,,,,0.74 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,82985,CPT,Glycated protein,,,17 ,,TotalUnits,,,,0.61 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,83001,CPT,Gonadotropin (fsh),,,17 ,,TotalUnits,,,,0.75 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,83002,CPT,Gonadotropin (lh),,,17 ,,TotalUnits,,,,0.75 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,83003,CPT,"Assay, growth hormone (hgh)",,,17 ,,TotalUnits,,,,0.67 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,83008,CPT,Assay of guanosine,,,17 ,,TotalUnits,,,,0.68 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,83009,CPT,"H pylori (c-13), blood",,,17 ,,TotalUnits,,,,2.73 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,83010,CPT,"Assay of haptoglobin, quant",,,17 ,,TotalUnits,,,,0.51 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,83012,CPT,Assay of haptoglobins,,,17 ,,TotalUnits,,,,0.70 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,83013,CPT,"H pylori (c-13), breath",,,17 ,,TotalUnits,,,,2.73 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,83014,CPT,H pylori drug admin,,,17 ,,TotalUnits,,,,0.32 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,83015,CPT,Heavy metal screen,,,17 ,,TotalUnits,,,,0.76 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,83018,CPT,"Quantitative screen, metals",,,17 ,,TotalUnits,,,,0.89 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,83020,CPT,Hemoglobin electrophoresis,26,,17 ,,RBRVS,0.37 ,0.13 ,0.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,83020,CPT,Hemoglobin electrophoresis,,,17 ,,TotalUnits,,,,0.52 ,,$0.00,$0.00,1,0,0,0,0,1,20101001,83021,CPT,Hemoglobin chromotography,,,17 ,,TotalUnits,,,,0.73 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,83026,CPT,"Hemoglobin, copper sulfate",,,17 ,,TotalUnits,,,,0.10 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,83030,CPT,"Fetal hemoglobin, chemical",,,17 ,,TotalUnits,,,,0.33 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,83033,CPT,"Fetal hemoglobin assay, qual",,,17 ,,TotalUnits,,,,0.24 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,83036,CPT,Glycosylated hemoglobin test,,,17 ,,TotalUnits,,,,0.39 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,83037,CPT,"Glycosylated hb, home device",,,17 ,,TotalUnits,,,,0.39 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,83045,CPT,Blood methemoglobin test,,,17 ,,TotalUnits,,,,0.20 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,83050,CPT,Blood methemoglobin assay,,,17 ,,TotalUnits,,,,0.30 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,83051,CPT,Assay of plasma hemoglobin,,,17 ,,TotalUnits,,,,0.30 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,83055,CPT,Blood sulfhemoglobin test,,,17 ,,TotalUnits,,,,0.20 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,83060,CPT,Blood sulfhemoglobin assay,,,17 ,,TotalUnits,,,,0.33 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,83065,CPT,Assay of hemoglobin heat,,,17 ,,TotalUnits,,,,0.28 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,83068,CPT,Hemoglobin stability screen,,,17 ,,TotalUnits,,,,0.34 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,83069,CPT,Assay of urine hemoglobin,,,17 ,,TotalUnits,,,,0.16 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,83070,CPT,"Assay of hemosiderin, qual",,,17 ,,TotalUnits,,,,0.19 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,83071,CPT,"Assay of hemosiderin, quant",,,17 ,,TotalUnits,,,,0.28 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,83080,CPT,Assay of b hexosaminidase,,,17 ,,TotalUnits,,,,0.68 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,83088,CPT,Assay of histamine,,,17 ,,TotalUnits,,,,1.20 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,83090,CPT,Assay of homocystine,,,17 ,,TotalUnits,,,,0.68 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,83150,CPT,Assay of for hva,,,17 ,,TotalUnits,,,,0.78 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,83491,CPT,Assay of corticosteroids,,,17 ,,TotalUnits,,,,0.71 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,83497,CPT,Assay of 5-hiaa,,,17 ,,TotalUnits,,,,0.52 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,83498,CPT,Assay of progesterone,,,17 ,,TotalUnits,,,,1.10 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,83499,CPT,Assay of progesterone,,,17 ,,TotalUnits,,,,1.02 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,83500,CPT,"Assay, free hydroxyproline",,,17 ,,TotalUnits,,,,0.92 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,83505,CPT,"Assay, total hydroxyproline",,,17 ,,TotalUnits,,,,0.98 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,83516,CPT,"Immunoassay, nonantibody",,,17 ,,TotalUnits,,,,0.47 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,83518,CPT,"Immunoassay, dipstick",,,17 ,,TotalUnits,,,,0.34 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,83519,CPT,"Immunoassay, nonantibody",,,17 ,,TotalUnits,,,,0.55 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,83520,CPT,"Immunoassay, ria",,,17 ,,TotalUnits,,,,0.52 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,83525,CPT,Assay of insulin,,,17 ,,TotalUnits,,,,0.46 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,83527,CPT,Assay of insulin,,,17 ,,TotalUnits,,,,0.52 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,83528,CPT,Assay of intrinsic factor,,,17 ,,TotalUnits,,,,0.64 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,83540,CPT,Assay of iron,,,17 ,,TotalUnits,,,,0.26 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,83550,CPT,Iron binding test,,,17 ,,TotalUnits,,,,0.35 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,83570,CPT,Assay of idh enzyme,,,17 ,,TotalUnits,,,,0.36 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,83582,CPT,Assay of ketogenic steroids,,,17 ,,TotalUnits,,,,0.57 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,83586,CPT,Assay 17- ketosteroids,,,17 ,,TotalUnits,,,,0.52 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,83593,CPT,"Fractionation, ketosteroids",,,17 ,,TotalUnits,,,,1.06 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,83605,CPT,Assay of lactic acid,,,17 ,,TotalUnits,,,,0.43 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,83615,CPT,Lactate (ld) (ldh) enzyme,,,17 ,,TotalUnits,,,,0.24 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,83625,CPT,Assay of ldh enzymes,,,17 ,,TotalUnits,,,,0.52 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,83630,CPT,"Lactoferrin, fecal (qual)",,,17 ,,TotalUnits,,,,0.79 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,83631,CPT,"Lactoferrin, fecal (quant)",,,17 ,,TotalUnits,,,,0.79 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,83632,CPT,Placental lactogen,,,17 ,,TotalUnits,,,,0.82 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,83633,CPT,Test urine for lactose,,,17 ,,TotalUnits,,,,0.22 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,83634,CPT,Assay of urine for lactose,,,17 ,,TotalUnits,,,,0.47 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,83655,CPT,Assay of lead,,,17 ,,TotalUnits,,,,0.49 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,83661,CPT,"L/s ratio, fetal lung",,,17 ,,TotalUnits,,,,0.89 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,83662,CPT,"Foam stability, fetal lung",,,17 ,,TotalUnits,,,,0.77 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,83663,CPT,"Fluoro polarize, fetal lung",,,17 ,,TotalUnits,,,,0.77 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,83664,CPT,"Lamellar bdy, fetal lung",,,17 ,,TotalUnits,,,,0.77 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,83670,CPT,Assay of lap enzyme,,,17 ,,TotalUnits,,,,0.37 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,83690,CPT,Assay of lipase,,,17 ,,TotalUnits,,,,0.28 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,83695,CPT,Assay of lipoprotein(a),,,17 ,,TotalUnits,,,,0.52 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,83698,CPT,Assay lipoprotein pla2,,,17 ,,TotalUnits,,,,1.37 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,83700,CPT,"Lipopro bld, electrophoretic",,,17 ,,TotalUnits,,,,0.46 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,83701,CPT,"Lipoprotein bld, hr fraction",,,17 ,,TotalUnits,,,,1.00 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,83704,CPT,"Lipoprotein, bld, by nmr",,,17 ,,TotalUnits,,,,1.28 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,83718,CPT,Assay of lipoprotein,,,17 ,,TotalUnits,,,,0.33 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,83719,CPT,Assay of blood lipoprotein,,,17 ,,TotalUnits,,,,0.47 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,83721,CPT,Assay of blood lipoprotein,,,17 ,,TotalUnits,,,,0.39 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,83727,CPT,Assay of lrh hormone,,,17 ,,TotalUnits,,,,0.70 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,83735,CPT,Assay of magnesium,,,17 ,,TotalUnits,,,,0.27 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,83775,CPT,Assay of md enzyme,,,17 ,,TotalUnits,,,,0.30 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,83785,CPT,Assay of manganese,,,17 ,,TotalUnits,,,,1.00 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,83788,CPT,Mass spectrometry qual,,,17 ,,TotalUnits,,,,0.73 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,83789,CPT,Mass spectrometry quant,,,17 ,,TotalUnits,,,,0.73 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,83805,CPT,Assay of meprobamate,,,17 ,,TotalUnits,,,,0.71 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,83825,CPT,Assay of mercury,,,17 ,,TotalUnits,,,,0.66 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,83835,CPT,Assay of metanephrines,,,17 ,,TotalUnits,,,,0.69 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,83840,CPT,Assay of methadone,,,17 ,,TotalUnits,,,,0.66 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,83857,CPT,Assay of methemalbumin,,,17 ,,TotalUnits,,,,0.43 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,83858,CPT,Assay of methsuximide,,,17 ,,TotalUnits,,,,0.60 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,83864,CPT,Mucopolysaccharides,,,17 ,,TotalUnits,,,,0.81 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,83866,CPT,Mucopolysaccharides screen,,,17 ,,TotalUnits,,,,0.40 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,83872,CPT,Assay synovial fluid mucin,,,17 ,,TotalUnits,,,,0.24 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,83873,CPT,Assay of csf protein,,,17 ,,TotalUnits,,,,0.70 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,83874,CPT,Assay of myoglobin,,,17 ,,TotalUnits,,,,0.52 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,83876,CPT,"Assay, myeloperoxidase",,,17 ,,TotalUnits,,,,0.52 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,83880,CPT,Natriuretic peptide,,,17 ,,TotalUnits,,,,1.37 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,83883,CPT,"Assay, nephelometry not spec",,,17 ,,TotalUnits,,,,0.55 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,83885,CPT,Assay of nickel,,,17 ,,TotalUnits,,,,0.99 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,83887,CPT,Assay of nicotine,,,17 ,,TotalUnits,,,,0.96 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,83890,CPT,Molecule isolate,,,17 ,,TotalUnits,,,,0.16 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,83891,CPT,Molecule isolate nucleic,,,17 ,,TotalUnits,,,,0.16 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,83892,CPT,Molecular diagnostics,,,17 ,,TotalUnits,,,,0.16 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,83893,CPT,Molecule dot/slot/blot,,,17 ,,TotalUnits,,,,0.16 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,83894,CPT,Molecule gel electrophor,,,17 ,,TotalUnits,,,,0.16 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,83896,CPT,Molecular diagnostics,,,17 ,,TotalUnits,,,,0.16 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,83897,CPT,Molecule nucleic transfer,,,17 ,,TotalUnits,,,,0.16 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,83898,CPT,"Molecule nucleic ampli, each",,,17 ,,TotalUnits,,,,0.68 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,83900,CPT,Molecule nucleic ampli 2 seq,,,17 ,,TotalUnits,,,,1.36 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,83901,CPT,Molecule nucleic ampli addon,,,17 ,,TotalUnits,,,,0.68 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,83902,CPT,Molecular diagnostics,,,17 ,,TotalUnits,,,,0.57 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,83903,CPT,Molecule mutation scan,,,17 ,,TotalUnits,,,,0.68 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,83904,CPT,Molecule mutation identify,,,17 ,,TotalUnits,,,,0.68 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,83905,CPT,Molecule mutation identify,,,17 ,,TotalUnits,,,,0.68 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,83906,CPT,Molecule mutation identify,,,17 ,,TotalUnits,,,,0.68 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,83907,CPT,Lyse cells for nucleic ext,,,17 ,,TotalUnits,,,,0.54 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,83908,CPT,"Nucleic acid, signal ampli",,,17 ,,TotalUnits,,,,0.68 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,83909,CPT,"Nucleic acid, high resolute",,,17 ,,TotalUnits,,,,0.68 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,83912,CPT,Genetic examination,26,,17 ,,RBRVS,0.37 ,0.11 ,0.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,83912,CPT,Genetic examination,,,17 ,,TotalUnits,,,,0.16 ,,$0.00,$0.00,1,0,0,0,0,1,20101001,83913,CPT,"Molecular, rna stabilization",,,17 ,,TotalUnits,,,,0.54 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,83914,CPT,Mutation ident ola/sbce/aspe,,,17 ,,TotalUnits,,,,0.68 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,83915,CPT,Assay of nucleotidase,,,17 ,,TotalUnits,,,,0.45 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,83916,CPT,Oligoclonal bands,,,17 ,,TotalUnits,,,,0.81 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,83918,CPT,"Organic acids, total, quant",,,17 ,,TotalUnits,,,,0.67 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,83919,CPT,"Organic acids, qual, each",,,17 ,,TotalUnits,,,,0.67 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,83921,CPT,"Organic acid, single, quant",,,17 ,,TotalUnits,,,,0.67 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,83925,CPT,Assay of opiates,,,17 ,,TotalUnits,,,,0.79 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,83930,CPT,Assay of blood osmolality,,,17 ,,TotalUnits,,,,0.27 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,83935,CPT,Assay of urine osmolality,,,17 ,,TotalUnits,,,,0.28 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,83937,CPT,Assay of osteocalcin,,,17 ,,TotalUnits,,,,1.21 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,83945,CPT,Assay of oxalate,,,17 ,,TotalUnits,,,,0.52 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,83950,CPT,"Oncoprotein, her-2/neu",,,17 ,,TotalUnits,,,,2.61 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,83951,CPT,"Oncoprotein, dcp",,,17 ,,TotalUnits,,,,2.61 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,83970,CPT,Assay of parathormone,,,17 ,,TotalUnits,,,,1.67 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,83986,CPT,Assay of body fluid acidity,,,17 ,,TotalUnits,,,,0.14 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,83987,CPT,Exhaled breath condensate,,,17 ,,TotalUnits,,,,0.61 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,83992,CPT,Assay for phencyclidine,,,17 ,,TotalUnits,,,,0.60 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,83993,CPT,Assay for calprotectin fecal,,,17 ,,TotalUnits,,,,0.79 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,84022,CPT,Assay of phenothiazine,,,17 ,,TotalUnits,,,,0.63 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,84030,CPT,Assay of blood pku,,,17 ,,TotalUnits,,,,0.22 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,84035,CPT,Assay of phenylketones,,,17 ,,TotalUnits,,,,0.15 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,84060,CPT,Assay acid phosphatase,,,17 ,,TotalUnits,,,,0.30 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,84061,CPT,"Phosphatase, forensic exam",,,17 ,,TotalUnits,,,,0.32 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,84066,CPT,Assay prostate phosphatase,,,17 ,,TotalUnits,,,,0.39 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,84075,CPT,Assay alkaline phosphatase,,,17 ,,TotalUnits,,,,0.21 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,84078,CPT,Assay alkaline phosphatase,,,17 ,,TotalUnits,,,,0.30 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,84080,CPT,Assay alkaline phosphatases,,,17 ,,TotalUnits,,,,0.60 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,84081,CPT,Amniotic fluid enzyme test,,,17 ,,TotalUnits,,,,0.67 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,84085,CPT,Assay of rbc pg6d enzyme,,,17 ,,TotalUnits,,,,0.27 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,84087,CPT,Assay phosphohexose enzymes,,,17 ,,TotalUnits,,,,0.42 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,84100,CPT,Assay of phosphorus,,,17 ,,TotalUnits,,,,0.19 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,84105,CPT,Assay of urine phosphorus,,,17 ,,TotalUnits,,,,0.21 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,84106,CPT,Test for porphobilinogen,,,17 ,,TotalUnits,,,,0.17 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,84110,CPT,Assay of porphobilinogen,,,17 ,,TotalUnits,,,,0.34 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,84119,CPT,Test urine for porphyrins,,,17 ,,TotalUnits,,,,0.35 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,84120,CPT,Assay of urine porphyrins,,,17 ,,TotalUnits,,,,0.60 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,84126,CPT,Assay of feces porphyrins,,,17 ,,TotalUnits,,,,1.03 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,84127,CPT,Assay of feces porphyrins,,,17 ,,TotalUnits,,,,0.47 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,84132,CPT,Assay of serum potassium,,,17 ,,TotalUnits,,,,0.19 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,84133,CPT,Assay of urine potassium,,,17 ,,TotalUnits,,,,0.17 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,84134,CPT,Assay of prealbumin,,,17 ,,TotalUnits,,,,0.59 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,84135,CPT,Assay of pregnanediol,,,17 ,,TotalUnits,,,,0.77 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,84138,CPT,Assay of pregnanetriol,,,17 ,,TotalUnits,,,,0.77 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,84140,CPT,Assay of pregnenolone,,,17 ,,TotalUnits,,,,0.84 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,84143,CPT,Assay of 17-hydroxypregneno,,,17 ,,TotalUnits,,,,0.92 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,84144,CPT,Assay of progesterone,,,17 ,,TotalUnits,,,,0.84 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,84145,CPT,Procalcitonin (pct),,,17 ,,TotalUnits,,,,0.78 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,84146,CPT,Assay of prolactin,,,17 ,,TotalUnits,,,,0.78 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,84150,CPT,Assay of prostaglandin,,,17 ,,TotalUnits,,,,1.01 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,84152,CPT,"Assay of psa, complexed",,,17 ,,TotalUnits,,,,0.74 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,84153,CPT,"Assay of psa, total",,,17 ,,TotalUnits,,,,0.74 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,84154,CPT,"Assay of psa, free",,,17 ,,TotalUnits,,,,0.74 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,84155,CPT,"Assay of protein, serum",,,17 ,,TotalUnits,,,,0.15 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,84156,CPT,"Assay of protein, urine",,,17 ,,TotalUnits,,,,0.15 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,84157,CPT,"Assay of protein, other",,,17 ,,TotalUnits,,,,0.15 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,84160,CPT,"Assay of protein, any source",,,17 ,,TotalUnits,,,,0.21 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,84163,CPT,"Pappa, serum",,,17 ,,TotalUnits,,,,0.61 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,84165,CPT,"Protein e-phoresis, serum",26,,17 ,,RBRVS,0.37 ,0.12 ,0.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,84165,CPT,"Protein e-phoresis, serum",,,17 ,,TotalUnits,,,,0.43 ,,$0.00,$0.00,1,0,0,0,0,1,20101001,84166,CPT,Protein e-phoresis/urine/csf,26,,17 ,,RBRVS,0.37 ,0.12 ,0.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,84166,CPT,Protein e-phoresis/urine/csf,,,17 ,,TotalUnits,,,,0.72 ,,$0.00,$0.00,1,0,0,0,0,1,20101001,84166,CPT,Protein e-phoresis/urine/csf,TC,,17 ,,RBRVS,,0.72 ,0.72 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,84181,CPT,Western blot test,26,,17 ,,RBRVS,0.37 ,0.12 ,0.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,84181,CPT,Western blot test,,,17 ,,TotalUnits,,,,0.69 ,,$0.00,$0.00,1,0,0,0,0,1,20101001,84182,CPT,"Protein, western blot test",26,,17 ,,RBRVS,0.37 ,0.13 ,0.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,84182,CPT,"Protein, western blot test",,,17 ,,TotalUnits,,,,0.73 ,,$0.00,$0.00,1,0,0,0,0,1,20101001,84202,CPT,Assay rbc protoporphyrin,,,17 ,,TotalUnits,,,,0.58 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,84203,CPT,Test rbc protoporphyrin,,,17 ,,TotalUnits,,,,0.35 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,84206,CPT,Assay of proinsulin,,,17 ,,TotalUnits,,,,0.72 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,84207,CPT,Assay of vitamin b-6,,,17 ,,TotalUnits,,,,1.14 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,84210,CPT,Assay of pyruvate,,,17 ,,TotalUnits,,,,0.44 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,84220,CPT,Assay of pyruvate kinase,,,17 ,,TotalUnits,,,,0.38 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,84228,CPT,Assay of quinine,,,17 ,,TotalUnits,,,,0.47 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,84233,CPT,Assay of estrogen,,,17 ,,TotalUnits,,,,2.61 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,84234,CPT,Assay of progesterone,,,17 ,,TotalUnits,,,,2.63 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,84235,CPT,Assay of endocrine hormone,,,17 ,,TotalUnits,,,,2.12 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,84238,CPT,"Assay, nonendocrine receptor",,,17 ,,TotalUnits,,,,1.48 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,84244,CPT,Assay of renin,,,17 ,,TotalUnits,,,,0.89 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,84252,CPT,Assay of vitamin b-2,,,17 ,,TotalUnits,,,,0.82 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,84255,CPT,Assay of selenium,,,17 ,,TotalUnits,,,,1.03 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,84260,CPT,Assay of serotonin,,,17 ,,TotalUnits,,,,1.25 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,84270,CPT,Assay of sex hormone globul,,,17 ,,TotalUnits,,,,0.88 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,84275,CPT,Assay of sialic acid,,,17 ,,TotalUnits,,,,0.54 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,84285,CPT,Assay of silica,,,17 ,,TotalUnits,,,,0.95 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,84295,CPT,Assay of serum sodium,,,17 ,,TotalUnits,,,,0.19 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,84300,CPT,Assay of urine sodium,,,17 ,,TotalUnits,,,,0.20 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,84302,CPT,Assay of sweat sodium,,,17 ,,TotalUnits,,,,0.20 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,84305,CPT,Assay of somatomedin,,,17 ,,TotalUnits,,,,0.86 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,84307,CPT,Assay of somatostatin,,,17 ,,TotalUnits,,,,0.74 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,84311,CPT,Spectrophotometry,,,17 ,,TotalUnits,,,,0.28 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,84315,CPT,Body fluid specific gravity,,,17 ,,TotalUnits,,,,0.10 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,84375,CPT,"Chromatogram assay, sugars",,,17 ,,TotalUnits,,,,0.79 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,84376,CPT,"Sugars, single, qual",,,17 ,,TotalUnits,,,,0.22 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,84377,CPT,"Sugars, multiple, qual",,,17 ,,TotalUnits,,,,0.22 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,84378,CPT,"Sugars, single, quant",,,17 ,,TotalUnits,,,,0.47 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,84379,CPT,Sugars multiple quant,,,17 ,,TotalUnits,,,,0.47 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,84392,CPT,Assay of urine sulfate,,,17 ,,TotalUnits,,,,0.19 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,84402,CPT,Assay of testosterone,,,17 ,,TotalUnits,,,,1.03 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,84403,CPT,Assay of total testosterone,,,17 ,,TotalUnits,,,,1.05 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,84425,CPT,Assay of vitamin b-1,,,17 ,,TotalUnits,,,,0.86 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,84430,CPT,Assay of thiocyanate,,,17 ,,TotalUnits,,,,0.47 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,84431,CPT,"Thromboxane, urine",,,17 ,,TotalUnits,,,,0.52 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,84432,CPT,Assay of thyroglobulin,,,17 ,,TotalUnits,,,,0.65 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,84436,CPT,Assay of total thyroxine,,,17 ,,TotalUnits,,,,0.28 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,84437,CPT,Assay of neonatal thyroxine,,,17 ,,TotalUnits,,,,0.26 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,84439,CPT,Assay of free thyroxine,,,17 ,,TotalUnits,,,,0.37 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,84442,CPT,Assay of thyroid activity,,,17 ,,TotalUnits,,,,0.60 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,84443,CPT,Assay thyroid stim hormone,,,17 ,,TotalUnits,,,,0.68 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,84445,CPT,Assay of tsi,,,17 ,,TotalUnits,,,,2.06 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,84446,CPT,Assay of vitamin e,,,17 ,,TotalUnits,,,,0.57 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,84449,CPT,Assay of transcortin,,,17 ,,TotalUnits,,,,0.73 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,84450,CPT,Transferase (ast) (sgot),,,17 ,,TotalUnits,,,,0.21 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,84460,CPT,Alanine amino (alt) (sgpt),,,17 ,,TotalUnits,,,,0.21 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,84466,CPT,Assay of transferrin,,,17 ,,TotalUnits,,,,0.52 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,84478,CPT,Assay of triglycerides,,,17 ,,TotalUnits,,,,0.23 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,84479,CPT,Assay of thyroid (t3 or t4),,,17 ,,TotalUnits,,,,0.26 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,84480,CPT,"Assay, triiodothyronine (t3)",,,17 ,,TotalUnits,,,,0.57 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,84481,CPT,Free assay (ft-3),,,17 ,,TotalUnits,,,,0.69 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,84482,CPT,T3 reverse,,,17 ,,TotalUnits,,,,0.64 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,84484,CPT,"Assay of troponin, quant",,,17 ,,TotalUnits,,,,0.40 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,84485,CPT,Assay duodenal fluid trypsin,,,17 ,,TotalUnits,,,,0.30 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,84488,CPT,Test feces for trypsin,,,17 ,,TotalUnits,,,,0.30 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,84490,CPT,Assay of feces for trypsin,,,17 ,,TotalUnits,,,,0.31 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,84510,CPT,Assay of tyrosine,,,17 ,,TotalUnits,,,,0.42 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,84512,CPT,"Assay of troponin, qual",,,17 ,,TotalUnits,,,,0.31 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,84520,CPT,Assay of urea nitrogen,,,17 ,,TotalUnits,,,,0.16 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,84525,CPT,Urea nitrogen semi-quant,,,17 ,,TotalUnits,,,,0.15 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,84540,CPT,Assay of urine/urea-n,,,17 ,,TotalUnits,,,,0.19 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,84545,CPT,Urea-n clearance test,,,17 ,,TotalUnits,,,,0.27 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,84550,CPT,Assay of blood/uric acid,,,17 ,,TotalUnits,,,,0.18 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,84560,CPT,Assay of urine/uric acid,,,17 ,,TotalUnits,,,,0.19 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,84577,CPT,Assay of feces/urobilinogen,,,17 ,,TotalUnits,,,,0.51 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,84578,CPT,Test urine urobilinogen,,,17 ,,TotalUnits,,,,0.13 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,84580,CPT,Assay of urine urobilinogen,,,17 ,,TotalUnits,,,,0.29 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,84583,CPT,Assay of urine urobilinogen,,,17 ,,TotalUnits,,,,0.20 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,84585,CPT,Assay of urine vma,,,17 ,,TotalUnits,,,,0.63 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,84586,CPT,Assay of vip,,,17 ,,TotalUnits,,,,1.43 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,84588,CPT,Assay of vasopressin,,,17 ,,TotalUnits,,,,1.37 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,84590,CPT,Assay of vitamin a,,,17 ,,TotalUnits,,,,0.47 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,84591,CPT,Assay of nos vitamin,,,17 ,,TotalUnits,,,,0.47 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,84597,CPT,Assay of vitamin k,,,17 ,,TotalUnits,,,,0.55 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,84600,CPT,Assay of volatiles,,,17 ,,TotalUnits,,,,0.65 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,84620,CPT,Xylose tolerance test,,,17 ,,TotalUnits,,,,0.48 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,84630,CPT,Assay of zinc,,,17 ,,TotalUnits,,,,0.46 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,84681,CPT,Assay of c-peptide,,,17 ,,TotalUnits,,,,0.84 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,84702,CPT,Chorionic gonadotropin test,,,17 ,,TotalUnits,,,,0.61 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,84703,CPT,Chorionic gonadotropin assay,,,17 ,,TotalUnits,,,,0.30 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,84704,CPT,"Hcg, free betachain test",,,17 ,,TotalUnits,,,,0.61 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,84830,CPT,Ovulation tests,,,17 ,,TotalUnits,,,,0.41 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,84999,CPT,Clinical chemistry test,,,17 ,,TotalUnits,,,,0.23 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,85002,CPT,Bleeding time test,,,17 ,,TotalUnits,,,,0.18 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,85004,CPT,Automated diff wbc count,,,17 ,,TotalUnits,,,,0.26 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,85007,CPT,Bl smear w/diff wbc count,,,17 ,,TotalUnits,,,,0.14 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,85008,CPT,Bl smear w/o diff wbc count,,,17 ,,TotalUnits,,,,0.14 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,85009,CPT,Manual diff wbc count b-coat,,,17 ,,TotalUnits,,,,0.15 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,85013,CPT,Spun microhematocrit,,,17 ,,TotalUnits,,,,0.10 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,85014,CPT,Hematocrit,,,17 ,,TotalUnits,,,,0.10 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,85018,CPT,Hemoglobin,,,17 ,,TotalUnits,,,,0.10 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,85025,CPT,Complete cbc w/auto diff wbc,,,17 ,,TotalUnits,,,,0.31 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,85027,CPT,"Complete cbc, automated",,,17 ,,TotalUnits,,,,0.26 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,85032,CPT,"Manual cell count, each",,,17 ,,TotalUnits,,,,0.17 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,85041,CPT,Automated rbc count,,,17 ,,TotalUnits,,,,0.12 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,85044,CPT,Manual reticulocyte count,,,17 ,,TotalUnits,,,,0.17 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,85045,CPT,Automated reticulocyte count,,,17 ,,TotalUnits,,,,0.16 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,85046,CPT,Reticyte/hgb concentrate,,,17 ,,TotalUnits,,,,0.23 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,85048,CPT,Automated leukocyte count,,,17 ,,TotalUnits,,,,0.10 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,85049,CPT,Automated platelet count,,,17 ,,TotalUnits,,,,0.18 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,85055,CPT,Reticulated platelet assay,,,17 ,,TotalUnits,,,,1.08 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,85060,CPT,Blood smear interpretation,,,17 ,,RBRVS,0.45 ,0.15 ,0.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,85097,CPT,Bone marrow interpretation,,,17 ,,RBRVS,0.94 ,0.31 ,1.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,85130,CPT,Chromogenic substrate assay,,,17 ,,TotalUnits,,,,0.48 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,85170,CPT,Blood clot retraction,,,17 ,,TotalUnits,,,,0.15 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,85175,CPT,Blood clot lysis time,,,17 ,,TotalUnits,,,,0.18 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,85210,CPT,Blood clot factor ii test,,,17 ,,TotalUnits,,,,0.53 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,85220,CPT,Blood clot factor v test,,,17 ,,TotalUnits,,,,0.71 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,85230,CPT,Blood clot factor vii test,,,17 ,,TotalUnits,,,,0.72 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,85240,CPT,Blood clot factor viii test,,,17 ,,TotalUnits,,,,0.72 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,85244,CPT,Blood clot factor viii test,,,17 ,,TotalUnits,,,,0.83 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,85245,CPT,Blood clot factor viii test,,,17 ,,TotalUnits,,,,0.93 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,85246,CPT,Blood clot factor viii test,,,17 ,,TotalUnits,,,,0.93 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,85247,CPT,Blood clot factor viii test,,,17 ,,TotalUnits,,,,0.93 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,85250,CPT,Blood clot factor ix test,,,17 ,,TotalUnits,,,,0.77 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,85260,CPT,Blood clot factor x test,,,17 ,,TotalUnits,,,,0.72 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,85270,CPT,Blood clot factor xi test,,,17 ,,TotalUnits,,,,0.72 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,85280,CPT,Blood clot factor xii test,,,17 ,,TotalUnits,,,,0.78 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,85290,CPT,Blood clot factor xiii test,,,17 ,,TotalUnits,,,,0.66 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,85291,CPT,Blood clot factor xiii test,,,17 ,,TotalUnits,,,,0.36 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,85292,CPT,Blood clot factor assay,,,17 ,,TotalUnits,,,,0.77 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,85293,CPT,Blood clot factor assay,,,17 ,,TotalUnits,,,,0.77 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,85300,CPT,Antithrombin iii test,,,17 ,,TotalUnits,,,,0.48 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,85301,CPT,Antithrombin iii test,,,17 ,,TotalUnits,,,,0.44 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,85302,CPT,Blood clot inhibitor antigen,,,17 ,,TotalUnits,,,,0.49 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,85303,CPT,Blood clot inhibitor test,,,17 ,,TotalUnits,,,,0.56 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,85305,CPT,Blood clot inhibitor assay,,,17 ,,TotalUnits,,,,0.47 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,85306,CPT,Blood clot inhibitor test,,,17 ,,TotalUnits,,,,0.62 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,85307,CPT,Assay activated protein c,,,17 ,,TotalUnits,,,,0.62 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,85335,CPT,Factor inhibitor test,,,17 ,,TotalUnits,,,,0.52 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,85337,CPT,Thrombomodulin,,,17 ,,TotalUnits,,,,0.42 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,85345,CPT,Coagulation time,,,17 ,,TotalUnits,,,,0.17 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,85347,CPT,Coagulation time,,,17 ,,TotalUnits,,,,0.17 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,85348,CPT,Coagulation time,,,17 ,,TotalUnits,,,,0.15 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,85360,CPT,Euglobulin lysis,,,17 ,,TotalUnits,,,,0.34 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,85362,CPT,Fibrin degradation products,,,17 ,,TotalUnits,,,,0.28 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,85366,CPT,Fibrinogen test,,,17 ,,TotalUnits,,,,0.35 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,85370,CPT,Fibrinogen test,,,17 ,,TotalUnits,,,,0.46 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,85378,CPT,"Fibrin degrade, semiquant",,,17 ,,TotalUnits,,,,0.29 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,85379,CPT,"Fibrin degradation, quant",,,17 ,,TotalUnits,,,,0.41 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,85380,CPT,"Fibrin degradation, vte",,,17 ,,TotalUnits,,,,0.41 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,85384,CPT,Fibrinogen,,,17 ,,TotalUnits,,,,0.34 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,85385,CPT,Fibrinogen,,,17 ,,TotalUnits,,,,0.34 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,85390,CPT,Fibrinolysins screen,26,,17 ,,RBRVS,0.37 ,0.13 ,0.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,85390,CPT,Fibrinolysins screen,,,17 ,,TotalUnits,,,,0.21 ,,$0.00,$0.00,1,0,0,0,0,1,20101001,85396,CPT,"Clotting assay, whole blood",,,17 ,,RBRVS,0.37 ,0.12 ,0.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,85397,CPT,Clotting funct activity,,,17 ,,TotalUnits,,,,0.93 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,85400,CPT,Fibrinolytic plasmin,,,17 ,,TotalUnits,,,,0.36 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,85410,CPT,Fibrinolytic antiplasmin,,,17 ,,TotalUnits,,,,0.31 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,85415,CPT,Fibrinolytic plasminogen,,,17 ,,TotalUnits,,,,0.70 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,85420,CPT,Fibrinolytic plasminogen,,,17 ,,TotalUnits,,,,0.26 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,85421,CPT,Fibrinolytic plasminogen,,,17 ,,TotalUnits,,,,0.41 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,85441,CPT,"Heinz bodies, direct",,,17 ,,TotalUnits,,,,0.17 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,85445,CPT,"Heinz bodies, induced",,,17 ,,TotalUnits,,,,0.28 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,85460,CPT,"Hemoglobin, fetal",,,17 ,,TotalUnits,,,,0.31 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,85461,CPT,"Hemoglobin, fetal",,,17 ,,TotalUnits,,,,0.27 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,85475,CPT,Hemolysin,,,17 ,,TotalUnits,,,,0.36 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,85520,CPT,Heparin assay,,,17 ,,TotalUnits,,,,0.53 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,85525,CPT,Heparin neutralization,,,17 ,,TotalUnits,,,,0.48 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,85530,CPT,Heparin-protamine tolerance,,,17 ,,TotalUnits,,,,0.57 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,85536,CPT,Iron stain peripheral blood,,,17 ,,TotalUnits,,,,0.26 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,85540,CPT,Wbc alkaline phosphatase,,,17 ,,TotalUnits,,,,0.35 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,85547,CPT,Rbc mechanical fragility,,,17 ,,TotalUnits,,,,0.35 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,85549,CPT,Muramidase,,,17 ,,TotalUnits,,,,0.76 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,85555,CPT,Rbc osmotic fragility,,,17 ,,TotalUnits,,,,0.27 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,85557,CPT,Rbc osmotic fragility,,,17 ,,TotalUnits,,,,0.54 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,85576,CPT,Blood platelet aggregation,26,,17 ,,RBRVS,0.37 ,0.13 ,0.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,85576,CPT,Blood platelet aggregation,,,17 ,,TotalUnits,,,,0.87 ,,$0.00,$0.00,1,0,0,0,0,1,20101001,85597,CPT,Platelet neutralization,,,17 ,,TotalUnits,,,,0.73 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,85610,CPT,Prothrombin time,,,17 ,,TotalUnits,,,,0.16 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,85611,CPT,Prothrombin test,,,17 ,,TotalUnits,,,,0.16 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,85612,CPT,Viper venom prothrombin time,,,17 ,,TotalUnits,,,,0.39 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,85613,CPT,"Russell viper venom, diluted",,,17 ,,TotalUnits,,,,0.39 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,85635,CPT,Reptilase test,,,17 ,,TotalUnits,,,,0.40 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,85651,CPT,"Rbc sed rate, nonautomated",,,17 ,,TotalUnits,,,,0.14 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,85652,CPT,"Rbc sed rate, automated",,,17 ,,TotalUnits,,,,0.11 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,85660,CPT,Rbc sickle cell test,,,17 ,,TotalUnits,,,,0.22 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,85670,CPT,"Thrombin time, plasma",,,17 ,,TotalUnits,,,,0.23 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,85675,CPT,"Thrombin time, titer",,,17 ,,TotalUnits,,,,0.28 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,85705,CPT,Thromboplastin inhibition,,,17 ,,TotalUnits,,,,0.39 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,85730,CPT,"Thromboplastin time, partial",,,17 ,,TotalUnits,,,,0.24 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,85732,CPT,"Thromboplastin time, partial",,,17 ,,TotalUnits,,,,0.26 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,85810,CPT,Blood viscosity examination,,,17 ,,TotalUnits,,,,0.47 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,85999,CPT,Hematology procedure,,,17 ,,TotalUnits,,,,0.26 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86000,CPT,"Agglutinins, febrile",,,17 ,,TotalUnits,,,,0.28 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86001,CPT,Allergen specific igg,,,17 ,,TotalUnits,,,,0.21 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86003,CPT,Allergen specific ige,,,17 ,,TotalUnits,,,,0.21 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86005,CPT,Allergen specific ige,,,17 ,,TotalUnits,,,,0.32 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86021,CPT,Wbc antibody identification,,,17 ,,TotalUnits,,,,0.61 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86022,CPT,Platelet antibodies,,,17 ,,TotalUnits,,,,0.74 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86023,CPT,Immunoglobulin assay,,,17 ,,TotalUnits,,,,0.50 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86038,CPT,Antinuclear antibodies,,,17 ,,TotalUnits,,,,0.49 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86039,CPT,Antinuclear antibodies (ana),,,17 ,,TotalUnits,,,,0.45 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86060,CPT,"Antistreptolysin o, titer",,,17 ,,TotalUnits,,,,0.30 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86063,CPT,"Antistreptolysin o, screen",,,17 ,,TotalUnits,,,,0.23 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86077,CPT,Physician blood bank service,,,17 ,,RBRVS,0.94 ,0.32 ,0.38 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,86078,CPT,Physician blood bank service,,,17 ,,RBRVS,0.94 ,0.32 ,0.40 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,86079,CPT,Physician blood bank service,,,17 ,,RBRVS,0.94 ,0.33 ,0.41 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,86140,CPT,C-reactive protein,,,17 ,,TotalUnits,,,,0.21 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86141,CPT,"C-reactive protein, hs",,,17 ,,TotalUnits,,,,0.52 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86146,CPT,Glycoprotein antibody,,,17 ,,TotalUnits,,,,1.03 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86147,CPT,Cardiolipin antibody,,,17 ,,TotalUnits,,,,1.03 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86148,CPT,Phospholipid antibody,,,17 ,,TotalUnits,,,,0.65 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86155,CPT,Chemotaxis assay,,,17 ,,TotalUnits,,,,0.65 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86156,CPT,"Cold agglutinin, screen",,,17 ,,TotalUnits,,,,0.27 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86157,CPT,"Cold agglutinin, titer",,,17 ,,TotalUnits,,,,0.33 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86160,CPT,"Complement, antigen",,,17 ,,TotalUnits,,,,0.49 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86161,CPT,Complement/function activity,,,17 ,,TotalUnits,,,,0.49 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86162,CPT,"Complement, total (ch50)",,,17 ,,TotalUnits,,,,0.82 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86171,CPT,"Complement fixation, each",,,17 ,,TotalUnits,,,,0.41 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86185,CPT,Counterimmunoelectrophoresis,,,17 ,,TotalUnits,,,,0.36 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86200,CPT,Ccp antibody,,,17 ,,TotalUnits,,,,0.52 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86215,CPT,"Deoxyribonuclease, antibody",,,17 ,,TotalUnits,,,,0.54 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86225,CPT,Dna antibody,,,17 ,,TotalUnits,,,,0.56 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86226,CPT,"Dna antibody, single strand",,,17 ,,TotalUnits,,,,0.49 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86235,CPT,Nuclear antigen antibody,,,17 ,,TotalUnits,,,,0.73 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86243,CPT,Fc receptor,,,17 ,,TotalUnits,,,,0.83 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86255,CPT,"Fluorescent antibody, screen",26,,17 ,,RBRVS,0.37 ,0.13 ,0.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,86255,CPT,"Fluorescent antibody, screen",,,17 ,,TotalUnits,,,,0.49 ,,$0.00,$0.00,1,0,0,0,0,1,20101001,86256,CPT,"Fluorescent antibody, titer",26,,17 ,,RBRVS,0.37 ,0.13 ,0.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,86256,CPT,"Fluorescent antibody, titer",,,17 ,,TotalUnits,,,,0.49 ,,$0.00,$0.00,1,0,0,0,0,1,20101001,86277,CPT,Growth hormone antibody,,,17 ,,TotalUnits,,,,0.64 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86280,CPT,Hemagglutination inhibition,,,17 ,,TotalUnits,,,,0.33 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86294,CPT,"Immunoassay, tumor, qual",,,17 ,,TotalUnits,,,,0.79 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86300,CPT,"Immunoassay, tumor, ca 15-3",,,17 ,,TotalUnits,,,,0.84 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86301,CPT,"Immunoassay, tumor, ca 19-9",,,17 ,,TotalUnits,,,,0.84 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86304,CPT,"Immunoassay, tumor, ca 125",,,17 ,,TotalUnits,,,,0.84 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86308,CPT,Heterophile antibodies,,,17 ,,TotalUnits,,,,0.21 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86309,CPT,Heterophile antibodies,,,17 ,,TotalUnits,,,,0.26 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86310,CPT,Heterophile antibodies,,,17 ,,TotalUnits,,,,0.30 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86316,CPT,"Immunoassay, tumor other",,,17 ,,TotalUnits,,,,0.84 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86317,CPT,"Immunoassay,infectious agent",,,17 ,,TotalUnits,,,,0.61 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86318,CPT,"Immunoassay,infectious agent",,,17 ,,TotalUnits,,,,0.52 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86320,CPT,Serum immunoelectrophoresis,26,,17 ,,RBRVS,0.37 ,0.13 ,0.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,86320,CPT,Serum immunoelectrophoresis,,,17 ,,TotalUnits,,,,0.91 ,,$0.00,$0.00,1,0,0,0,0,1,20101001,86325,CPT,Other immunoelectrophoresis,26,,17 ,,RBRVS,0.37 ,0.12 ,0.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,86325,CPT,Other immunoelectrophoresis,,,17 ,,TotalUnits,,,,0.91 ,,$0.00,$0.00,1,0,0,0,0,1,20101001,86327,CPT,Immunoelectrophoresis assay,26,,17 ,,RBRVS,0.42 ,0.15 ,0.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,86327,CPT,Immunoelectrophoresis assay,,,17 ,,TotalUnits,,,,0.92 ,,$0.00,$0.00,1,0,0,0,0,1,20101001,86329,CPT,Immunodiffusion,,,17 ,,TotalUnits,,,,0.57 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86331,CPT,Immunodiffusion ouchterlony,,,17 ,,TotalUnits,,,,0.49 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86332,CPT,Immune complex assay,,,17 ,,TotalUnits,,,,0.99 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86334,CPT,"Immunofix e-phoresis, serum",26,,17 ,,RBRVS,0.37 ,0.13 ,0.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,86334,CPT,"Immunofix e-phoresis, serum",,,17 ,,TotalUnits,,,,0.90 ,,$0.00,$0.00,1,0,0,0,0,1,20101001,86335,CPT,Immunfix e-phorsis/urine/csf,26,,17 ,,RBRVS,0.37 ,0.12 ,0.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,86335,CPT,Immunfix e-phorsis/urine/csf,,,17 ,,TotalUnits,,,,1.19 ,,$0.00,$0.00,1,0,0,0,0,1,20101001,86336,CPT,Inhibin a,,,17 ,,TotalUnits,,,,0.63 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86337,CPT,Insulin antibodies,,,17 ,,TotalUnits,,,,0.87 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86340,CPT,Intrinsic factor antibody,,,17 ,,TotalUnits,,,,0.61 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86341,CPT,Islet cell antibody,,,17 ,,TotalUnits,,,,0.80 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86343,CPT,Leukocyte histamine release,,,17 ,,TotalUnits,,,,0.50 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86344,CPT,Leukocyte phagocytosis,,,17 ,,TotalUnits,,,,0.32 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86352,CPT,Cell function assay w/stim,,,17 ,,TotalUnits,,,,2.55 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86353,CPT,Lymphocyte transformation,,,17 ,,TotalUnits,,,,1.98 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86355,CPT,"B cells, total count",,,17 ,,TotalUnits,,,,1.53 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86356,CPT,Mononuclear cell antigen,,,17 ,,TotalUnits,,,,1.08 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86357,CPT,"Nk cells, total count",,,17 ,,TotalUnits,,,,1.53 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86359,CPT,"T cells, total count",,,17 ,,TotalUnits,,,,1.53 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86360,CPT,"T cell, absolute count/ratio",,,17 ,,TotalUnits,,,,1.90 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86361,CPT,"T cell, absolute count",,,17 ,,TotalUnits,,,,1.08 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86367,CPT,"Stem cells, total count",,,17 ,,TotalUnits,,,,1.53 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86376,CPT,Microsomal antibody,,,17 ,,TotalUnits,,,,0.59 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86378,CPT,Migration inhibitory factor,,,17 ,,TotalUnits,,,,0.80 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86382,CPT,"Neutralization test, viral",,,17 ,,TotalUnits,,,,0.68 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86384,CPT,Nitroblue tetrazolium dye,,,17 ,,TotalUnits,,,,0.46 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86403,CPT,Particle agglutination test,,,17 ,,TotalUnits,,,,0.41 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86406,CPT,Particle agglutination test,,,17 ,,TotalUnits,,,,0.43 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86430,CPT,Rheumatoid factor test,,,17 ,,TotalUnits,,,,0.23 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86431,CPT,"Rheumatoid factor, quant",,,17 ,,TotalUnits,,,,0.23 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86480,CPT,"Tb test, cell immun measure",,,17 ,,TotalUnits,,,,2.51 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86485,CPT,"Skin test, candida",,TC,17 ,,TotalUnits,,,,0.24 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86486,CPT,"Skin test, nos antigen",,TC,17 ,,RBRVS,,0.12 ,0.12 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,86490,CPT,Coccidioidomycosis skin test,,TC,17 ,,RBRVS,,0.17 ,0.17 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,86510,CPT,Histoplasmosis skin test,,TC,17 ,,RBRVS,,0.17 ,0.17 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,86580,CPT,Tb intradermal test,,TC,17 ,,RBRVS,,0.18 ,0.18 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,86590,CPT,"Streptokinase, antibody",,,17 ,,TotalUnits,,,,0.45 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86592,CPT,"Blood serology, qualitative",,,17 ,,TotalUnits,,,,0.17 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86593,CPT,"Blood serology, quantitative",,,17 ,,TotalUnits,,,,0.18 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86602,CPT,Antinomyces antibody,,,17 ,,TotalUnits,,,,0.41 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86603,CPT,Adenovirus antibody,,,17 ,,TotalUnits,,,,0.52 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86606,CPT,Aspergillus antibody,,,17 ,,TotalUnits,,,,0.61 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86609,CPT,Bacterium antibody,,,17 ,,TotalUnits,,,,0.52 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86611,CPT,Bartonella antibody,,,17 ,,TotalUnits,,,,0.41 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86612,CPT,Blastomyces antibody,,,17 ,,TotalUnits,,,,0.52 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86615,CPT,Bordetella antibody,,,17 ,,TotalUnits,,,,0.53 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86617,CPT,Lyme disease antibody,,,17 ,,TotalUnits,,,,0.63 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86618,CPT,Lyme disease antibody,,,17 ,,TotalUnits,,,,0.69 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86619,CPT,Borrelia antibody,,,17 ,,TotalUnits,,,,0.54 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86622,CPT,Brucella antibody,,,17 ,,TotalUnits,,,,0.36 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86625,CPT,Campylobacter antibody,,,17 ,,TotalUnits,,,,0.53 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86628,CPT,Candida antibody,,,17 ,,TotalUnits,,,,0.49 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86631,CPT,Chlamydia antibody,,,17 ,,TotalUnits,,,,0.48 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86632,CPT,Chlamydia igm antibody,,,17 ,,TotalUnits,,,,0.51 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86635,CPT,Coccidioides antibody,,,17 ,,TotalUnits,,,,0.46 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86638,CPT,Q fever antibody,,,17 ,,TotalUnits,,,,0.49 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86641,CPT,Cryptococcus antibody,,,17 ,,TotalUnits,,,,0.58 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86644,CPT,Cmv antibody,,,17 ,,TotalUnits,,,,0.58 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86645,CPT,"Cmv antibody, igm",,,17 ,,TotalUnits,,,,0.68 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86648,CPT,Diphtheria antibody,,,17 ,,TotalUnits,,,,0.62 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86651,CPT,Encephalitis antibody,,,17 ,,TotalUnits,,,,0.53 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86652,CPT,Encephalitis antibody,,,17 ,,TotalUnits,,,,0.53 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86653,CPT,Encephalitis antibody,,,17 ,,TotalUnits,,,,0.53 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86654,CPT,Encephalitis antibody,,,17 ,,TotalUnits,,,,0.53 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86658,CPT,Enterovirus antibody,,,17 ,,TotalUnits,,,,0.53 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86663,CPT,Epstein-barr antibody,,,17 ,,TotalUnits,,,,0.53 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86664,CPT,Epstein-barr antibody,,,17 ,,TotalUnits,,,,0.62 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86665,CPT,Epstein-barr antibody,,,17 ,,TotalUnits,,,,0.73 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86666,CPT,Ehrlichia antibody,,,17 ,,TotalUnits,,,,0.41 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86668,CPT,Francisella tularensis,,,17 ,,TotalUnits,,,,0.42 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86671,CPT,Fungus antibody,,,17 ,,TotalUnits,,,,0.50 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86674,CPT,Giardia lamblia antibody,,,17 ,,TotalUnits,,,,0.60 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86677,CPT,Helicobacter pylori,,,17 ,,TotalUnits,,,,0.59 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86682,CPT,Helminth antibody,,,17 ,,TotalUnits,,,,0.53 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86684,CPT,Hemophilus influenza,,,17 ,,TotalUnits,,,,0.64 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86687,CPT,Htlv-i antibody,,,17 ,,TotalUnits,,,,0.34 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86688,CPT,Htlv-ii antibody,,,17 ,,TotalUnits,,,,0.57 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86689,CPT,Htlv/hiv confirmatory test,,,17 ,,TotalUnits,,,,0.78 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86692,CPT,"Hepatitis, delta agent",,,17 ,,TotalUnits,,,,0.69 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86694,CPT,Herpes simplex test,,,17 ,,TotalUnits,,,,0.58 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86695,CPT,Herpes simplex test,,,17 ,,TotalUnits,,,,0.53 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86696,CPT,Herpes simplex type 2,,,17 ,,TotalUnits,,,,0.78 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86698,CPT,Histoplasma,,,17 ,,TotalUnits,,,,0.51 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86701,CPT,Hiv-1,,,17 ,,TotalUnits,,,,0.36 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86702,CPT,Hiv-2,,,17 ,,TotalUnits,,,,0.55 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86703,CPT,"Hiv-1/hiv-2, single assay",,,17 ,,TotalUnits,,,,0.56 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86704,CPT,"Hep b core antibody, total",,,17 ,,TotalUnits,,,,0.49 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86705,CPT,"Hep b core antibody, igm",,,17 ,,TotalUnits,,,,0.48 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86706,CPT,Hep b surface antibody,,,17 ,,TotalUnits,,,,0.43 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86707,CPT,Hep be antibody,,,17 ,,TotalUnits,,,,0.47 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86708,CPT,"Hep a antibody, total",,,17 ,,TotalUnits,,,,0.50 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86709,CPT,"Hep a antibody, igm",,,17 ,,TotalUnits,,,,0.46 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86710,CPT,Influenza virus antibody,,,17 ,,TotalUnits,,,,0.55 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86713,CPT,Legionella antibody,,,17 ,,TotalUnits,,,,0.62 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86717,CPT,Leishmania antibody,,,17 ,,TotalUnits,,,,0.50 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86720,CPT,Leptospira antibody,,,17 ,,TotalUnits,,,,0.53 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86723,CPT,Listeria monocytogenes ab,,,17 ,,TotalUnits,,,,0.53 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86727,CPT,Lymph choriomeningitis ab,,,17 ,,TotalUnits,,,,0.52 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86729,CPT,Lympho venereum antibody,,,17 ,,TotalUnits,,,,0.48 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86732,CPT,Mucormycosis antibody,,,17 ,,TotalUnits,,,,0.53 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86735,CPT,Mumps antibody,,,17 ,,TotalUnits,,,,0.53 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86738,CPT,Mycoplasma antibody,,,17 ,,TotalUnits,,,,0.54 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86741,CPT,Neisseria meningitidis,,,17 ,,TotalUnits,,,,0.53 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86744,CPT,Nocardia antibody,,,17 ,,TotalUnits,,,,0.53 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86747,CPT,Parvovirus antibody,,,17 ,,TotalUnits,,,,0.61 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86750,CPT,Malaria antibody,,,17 ,,TotalUnits,,,,0.53 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86753,CPT,Protozoa antibody nos,,,17 ,,TotalUnits,,,,0.50 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86756,CPT,Respiratory virus antibody,,,17 ,,TotalUnits,,,,0.52 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86757,CPT,Rickettsia antibody,,,17 ,,TotalUnits,,,,0.78 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86759,CPT,Rotavirus antibody,,,17 ,,TotalUnits,,,,0.53 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86762,CPT,Rubella antibody,,,17 ,,TotalUnits,,,,0.58 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86765,CPT,Rubeola antibody,,,17 ,,TotalUnits,,,,0.52 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86768,CPT,Salmonella antibody,,,17 ,,TotalUnits,,,,0.53 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86771,CPT,Shigella antibody,,,17 ,,TotalUnits,,,,0.53 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86774,CPT,Tetanus antibody,,,17 ,,TotalUnits,,,,0.60 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86777,CPT,Toxoplasma antibody,,,17 ,,TotalUnits,,,,0.58 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86778,CPT,"Toxoplasma antibody, igm",,,17 ,,TotalUnits,,,,0.58 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86780,CPT,Treponema pallidum,,,17 ,,TotalUnits,,,,0.54 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86784,CPT,Trichinella antibody,,,17 ,,TotalUnits,,,,0.51 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86787,CPT,Varicella-zoster antibody,,,17 ,,TotalUnits,,,,0.52 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86788,CPT,"West nile virus ab, igm",,,17 ,,TotalUnits,,,,0.68 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86789,CPT,West nile virus antibody,,,17 ,,TotalUnits,,,,0.58 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86790,CPT,Virus antibody nos,,,17 ,,TotalUnits,,,,0.52 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86793,CPT,Yersinia antibody,,,17 ,,TotalUnits,,,,0.53 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86800,CPT,Thyroglobulin antibody,,,17 ,,TotalUnits,,,,0.64 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86803,CPT,Hepatitis c ab test,,,17 ,,TotalUnits,,,,0.58 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86804,CPT,"Hep c ab test, confirm",,,17 ,,TotalUnits,,,,0.63 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86805,CPT,Lymphocytotoxicity assay,,,17 ,,TotalUnits,,,,2.12 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86806,CPT,Lymphocytotoxicity assay,,,17 ,,TotalUnits,,,,1.93 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86807,CPT,Cytotoxic antibody screening,,,17 ,,TotalUnits,,,,1.60 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86808,CPT,Cytotoxic antibody screening,,,17 ,,TotalUnits,,,,1.20 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86812,CPT,"Hla typing, a, b, or c",,,17 ,,TotalUnits,,,,1.04 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86813,CPT,"Hla typing, a, b, or c",,,17 ,,TotalUnits,,,,2.35 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86816,CPT,"Hla typing, dr/dq",,,17 ,,TotalUnits,,,,1.13 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86817,CPT,"Hla typing, dr/dq",,,17 ,,TotalUnits,,,,2.61 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86821,CPT,"Lymphocyte culture, mixed",,,17 ,,TotalUnits,,,,2.29 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86822,CPT,"Lymphocyte culture, primed",,,17 ,,TotalUnits,,,,1.48 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86825,CPT,"Hla x-match, non-cytotoxic",,,17 ,,TotalUnits,,,,3.24 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86826,CPT,"Hla x-match, non-cyt add-on",,,17 ,,TotalUnits,,,,1.08 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86849,CPT,Immunology procedure,,,17 ,,TotalUnits,,,,0.49 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86850,CPT,Rbc antibody screen,,,17 ,,TotalUnits,,,,0.33 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86860,CPT,Rbc antibody elution,,,17 ,,TotalUnits,,,,0.40 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86870,CPT,Rbc antibody identification,,,17 ,,TotalUnits,,,,0.61 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86880,CPT,"Coombs test, direct",,,17 ,,TotalUnits,,,,0.22 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86885,CPT,"Coombs test, indirect, qual",,,17 ,,TotalUnits,,,,0.23 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86886,CPT,"Coombs test, indirect, titer",,,17 ,,TotalUnits,,,,0.21 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86890,CPT,Autologous blood process,,,17 ,,TotalUnits,,,,1.32 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86891,CPT,"Autologous blood, op salvage",,,17 ,,TotalUnits,,,,2.07 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86900,CPT,"Blood typing, abo",,,17 ,,TotalUnits,,,,0.12 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86901,CPT,"Blood typing, rh (d)",,,17 ,,TotalUnits,,,,0.12 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86903,CPT,"Blood typing, antigen screen",,,17 ,,TotalUnits,,,,0.38 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86904,CPT,"Blood typing, patient serum",,,17 ,,TotalUnits,,,,0.38 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86905,CPT,"Blood typing, rbc antigens",,,17 ,,TotalUnits,,,,0.15 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86906,CPT,"Blood typing, rh phenotype",,,17 ,,TotalUnits,,,,0.31 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86910,CPT,"Blood typing, paternity test",,,17 ,,TotalUnits,,,,0.46 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86911,CPT,"Blood typing, antigen system",,,17 ,,TotalUnits,,,,0.40 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86920,CPT,"Compatibility test, spin",,,17 ,,TotalUnits,,,,0.55 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86921,CPT,"Compatibility test, incubate",,,17 ,,TotalUnits,,,,0.45 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86922,CPT,"Compatibility test, antiglob",,,17 ,,TotalUnits,,,,0.50 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86923,CPT,"Compatibility test, electric",,,17 ,,TotalUnits,,,,0.40 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86927,CPT,"Plasma, fresh frozen",,,17 ,,TotalUnits,,,,0.22 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86930,CPT,Frozen blood prep,,,17 ,,TotalUnits,,,,2.09 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86931,CPT,Frozen blood thaw,,,17 ,,TotalUnits,,,,1.57 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86932,CPT,Frozen blood freeze/thaw,,,17 ,,TotalUnits,,,,2.09 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86940,CPT,"Hemolysins/agglutinins, auto",,,17 ,,TotalUnits,,,,0.33 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86941,CPT,Hemolysins/agglutinins,,,17 ,,TotalUnits,,,,0.49 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86945,CPT,Blood product/irradiation,,,17 ,,TotalUnits,,,,0.46 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86950,CPT,Leukacyte transfusion,,,17 ,,TotalUnits,,,,1.30 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86960,CPT,Vol reduction of blood/prod,,,17 ,,TotalUnits,,,,0.59 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86965,CPT,Pooling blood platelets,,,17 ,,TotalUnits,,,,0.41 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86970,CPT,Rbc pretreatment,,,17 ,,TotalUnits,,,,0.33 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86971,CPT,Rbc pretreatment,,,17 ,,TotalUnits,,,,0.42 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86972,CPT,Rbc pretreatment,,,17 ,,TotalUnits,,,,0.67 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86975,CPT,"Rbc pretreatment, serum",,,17 ,,TotalUnits,,,,0.56 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86976,CPT,"Rbc pretreatment, serum",,,17 ,,TotalUnits,,,,0.63 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86977,CPT,"Rbc pretreatment, serum",,,17 ,,TotalUnits,,,,0.56 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86978,CPT,"Rbc pretreatment, serum",,,17 ,,TotalUnits,,,,0.45 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86985,CPT,Split blood or products,,,17 ,,TotalUnits,,,,0.33 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,86999,CPT,Transfusion procedure,,,17 ,,TotalUnits,,,,0.12 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,87001,CPT,Small animal inoculation,,,17 ,,TotalUnits,,,,0.54 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,87003,CPT,Small animal inoculation,,,17 ,,TotalUnits,,,,0.68 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,87015,CPT,Specimen concentration,,,17 ,,TotalUnits,,,,0.27 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,87040,CPT,Blood culture for bacteria,,,17 ,,TotalUnits,,,,0.42 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,87045,CPT,"Feces culture, bacteria",,,17 ,,TotalUnits,,,,0.38 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,87046,CPT,"Stool cultr, bacteria, each",,,17 ,,TotalUnits,,,,0.38 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,87070,CPT,"Culture, bacteria, other",,,17 ,,TotalUnits,,,,0.35 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,87071,CPT,Culture bacteri aerobic othr,,,17 ,,TotalUnits,,,,0.38 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,87073,CPT,Culture bacteria anaerobic,,,17 ,,TotalUnits,,,,0.38 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,87075,CPT,"Cultr bacteria, except blood",,,17 ,,TotalUnits,,,,0.38 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,87076,CPT,"Culture anaerobe ident, each",,,17 ,,TotalUnits,,,,0.33 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,87077,CPT,Culture aerobic identify,,,17 ,,TotalUnits,,,,0.33 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,87081,CPT,Culture screen only,,,17 ,,TotalUnits,,,,0.27 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,87084,CPT,Culture of specimen by kit,,,17 ,,TotalUnits,,,,0.35 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,87086,CPT,Urine culture/colony count,,,17 ,,TotalUnits,,,,0.33 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,87088,CPT,Urine bacteria culture,,,17 ,,TotalUnits,,,,0.33 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,87101,CPT,Skin fungi culture,,,17 ,,TotalUnits,,,,0.31 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,87102,CPT,Fungus isolation culture,,,17 ,,TotalUnits,,,,0.34 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,87103,CPT,Blood fungus culture,,,17 ,,TotalUnits,,,,0.37 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,87106,CPT,"Fungi identification, yeast",,,17 ,,TotalUnits,,,,0.42 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,87107,CPT,"Fungi identification, mold",,,17 ,,TotalUnits,,,,0.42 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,87109,CPT,Mycoplasma,,,17 ,,TotalUnits,,,,0.62 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,87110,CPT,Chlamydia culture,,,17 ,,TotalUnits,,,,0.79 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,87116,CPT,Mycobacteria culture,,,17 ,,TotalUnits,,,,0.44 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,87118,CPT,Mycobacteric identification,,,17 ,,TotalUnits,,,,0.44 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,87140,CPT,Culture type immunofluoresc,,,17 ,,TotalUnits,,,,0.23 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,87143,CPT,"Culture typing, glc/hplc",,,17 ,,TotalUnits,,,,0.51 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,87147,CPT,"Culture type, immunologic",,,17 ,,TotalUnits,,,,0.21 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,87149,CPT,"Culture type, nucleic acid",,,17 ,,TotalUnits,,,,0.81 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,87150,CPT,"Dna/rna, amplified probe",,,17 ,,TotalUnits,,,,1.42 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,87152,CPT,Culture type pulse field gel,,,17 ,,TotalUnits,,,,0.21 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,87153,CPT,Dna/rna sequencing,,,17 ,,TotalUnits,,,,0.16 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,87158,CPT,"Culture typing, added method",,,17 ,,TotalUnits,,,,0.21 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,87164,CPT,Dark field examination,26,,17 ,,RBRVS,0.37 ,0.12 ,0.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,87164,CPT,Dark field examination,,,17 ,,TotalUnits,,,,0.43 ,,$0.00,$0.00,1,0,0,0,0,1,20101001,87166,CPT,Dark field examination,,,17 ,,TotalUnits,,,,0.46 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,87168,CPT,Macroscopic exam arthropod,,,17 ,,TotalUnits,,,,0.17 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,87169,CPT,Macroscopic exam parasite,,,17 ,,TotalUnits,,,,0.17 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,87172,CPT,Pinworm exam,,,17 ,,TotalUnits,,,,0.17 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,87176,CPT,"Tissue homogenization, cultr",,,17 ,,TotalUnits,,,,0.24 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,87177,CPT,Ova and parasites smears,,,17 ,,TotalUnits,,,,0.36 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,87181,CPT,"Microbe susceptible, diffuse",,,17 ,,TotalUnits,,,,0.19 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,87184,CPT,"Microbe susceptible, disk",,,17 ,,TotalUnits,,,,0.28 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,87185,CPT,"Microbe susceptible, enzyme",,,17 ,,TotalUnits,,,,0.19 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,87186,CPT,"Microbe susceptible, mic",,,17 ,,TotalUnits,,,,0.35 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,87187,CPT,"Microbe susceptible, mlc",,,17 ,,TotalUnits,,,,0.42 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,87188,CPT,"Microbe suscept, macrobroth",,,17 ,,TotalUnits,,,,0.27 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,87190,CPT,"Microbe suscept, mycobacteri",,,17 ,,TotalUnits,,,,0.23 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,87197,CPT,"Bactericidal level, serum",,,17 ,,TotalUnits,,,,0.61 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,87205,CPT,"Smear, gram stain",,,17 ,,TotalUnits,,,,0.17 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,87206,CPT,"Smear, fluorescent/acid stai",,,17 ,,TotalUnits,,,,0.22 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,87207,CPT,"Smear, special stain",26,,17 ,,RBRVS,0.37 ,0.13 ,0.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,87207,CPT,"Smear, special stain",,,17 ,,TotalUnits,,,,0.24 ,,$0.00,$0.00,1,0,0,0,0,1,20101001,87209,CPT,"Smear, complex stain",,,17 ,,TotalUnits,,,,0.73 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,87210,CPT,"Smear, wet mount, saline/ink",,,17 ,,TotalUnits,,,,0.17 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,87220,CPT,Tissue exam for fungi,,,17 ,,TotalUnits,,,,0.17 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,87230,CPT,"Assay, toxin or antitoxin",,,17 ,,TotalUnits,,,,0.80 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,87250,CPT,"Virus inoculate, eggs/animal",,,17 ,,TotalUnits,,,,0.79 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,87252,CPT,"Virus inoculation, tissue",,,17 ,,TotalUnits,,,,1.06 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,87253,CPT,"Virus inoculate tissue, addl",,,17 ,,TotalUnits,,,,0.82 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,87254,CPT,"Virus inoculation, shell via",,,17 ,,TotalUnits,,,,0.79 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,87255,CPT,"Genet virus isolate, hsv",,,17 ,,TotalUnits,,,,1.37 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,87260,CPT,"Adenovirus ag, if",,,17 ,,TotalUnits,,,,0.49 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,87265,CPT,"Pertussis ag, if",,,17 ,,TotalUnits,,,,0.49 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,87267,CPT,"Enterovirus antibody, dfa",,,17 ,,TotalUnits,,,,0.49 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,87269,CPT,"Giardia ag, if",,,17 ,,TotalUnits,,,,0.49 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,87270,CPT,"Chlamydia trachomatis ag, if",,,17 ,,TotalUnits,,,,0.49 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,87271,CPT,Cytomegalovirus dfa,,,17 ,,TotalUnits,,,,0.49 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,87272,CPT,"Cryptosporidium ag, if",,,17 ,,TotalUnits,,,,0.49 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,87273,CPT,"Herpes simplex 2, ag, if",,,17 ,,TotalUnits,,,,0.49 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,87274,CPT,"Herpes simplex 1, ag, if",,,17 ,,TotalUnits,,,,0.49 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,87275,CPT,"Influenza b, ag, if",,,17 ,,TotalUnits,,,,0.49 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,87276,CPT,"Influenza a, ag, if",,,17 ,,TotalUnits,,,,0.49 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,87277,CPT,"Legionella micdadei, ag, if",,,17 ,,TotalUnits,,,,0.49 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,87278,CPT,"Legion pneumophilia ag, if",,,17 ,,TotalUnits,,,,0.49 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,87279,CPT,"Parainfluenza, ag, if",,,17 ,,TotalUnits,,,,0.49 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,87280,CPT,"Respiratory syncytial ag, if",,,17 ,,TotalUnits,,,,0.49 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,87281,CPT,"Pneumocystis carinii, ag, if",,,17 ,,TotalUnits,,,,0.49 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,87283,CPT,"Rubeola, ag, if",,,17 ,,TotalUnits,,,,0.49 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,87285,CPT,"Treponema pallidum, ag, if",,,17 ,,TotalUnits,,,,0.49 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,87290,CPT,"Varicella zoster, ag, if",,,17 ,,TotalUnits,,,,0.49 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,87299,CPT,"Antibody detection, nos, if",,,17 ,,TotalUnits,,,,0.49 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,87300,CPT,"Ag detection, polyval, if",,,17 ,,TotalUnits,,,,0.49 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,87301,CPT,"Adenovirus ag, eia",,,17 ,,TotalUnits,,,,0.49 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,87305,CPT,"Aspergillus ag, eia",,,17 ,,TotalUnits,,,,0.49 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,87320,CPT,"Chylmd trach ag, eia",,,17 ,,TotalUnits,,,,0.49 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,87324,CPT,"Clostridium ag, eia",,,17 ,,TotalUnits,,,,0.49 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,87327,CPT,"Cryptococcus neoform ag, eia",,,17 ,,TotalUnits,,,,0.49 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,87328,CPT,"Cryptosporidium ag, eia",,,17 ,,TotalUnits,,,,0.49 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,87329,CPT,"Giardia ag, eia",,,17 ,,TotalUnits,,,,0.49 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,87332,CPT,"Cytomegalovirus ag, eia",,,17 ,,TotalUnits,,,,0.49 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,87335,CPT,"E coli 0157 ag, eia",,,17 ,,TotalUnits,,,,0.49 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,87336,CPT,"Entamoeb hist dispr, ag, eia",,,17 ,,TotalUnits,,,,0.49 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,87337,CPT,"Entamoeb hist group, ag, eia",,,17 ,,TotalUnits,,,,0.49 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,87338,CPT,"Hpylori, stool, eia",,,17 ,,TotalUnits,,,,0.58 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,87339,CPT,"H pylori ag, eia",,,17 ,,TotalUnits,,,,0.49 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,87340,CPT,"Hepatitis b surface ag, eia",,,17 ,,TotalUnits,,,,0.42 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,87341,CPT,"Hepatitis b surface, ag, eia",,,17 ,,TotalUnits,,,,0.42 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,87350,CPT,"Hepatitis be ag, eia",,,17 ,,TotalUnits,,,,0.47 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,87380,CPT,"Hepatitis delta ag, eia",,,17 ,,TotalUnits,,,,0.66 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,87385,CPT,"Histoplasma capsul ag, eia",,,17 ,,TotalUnits,,,,0.49 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,87390,CPT,"Hiv-1 ag, eia",,,17 ,,TotalUnits,,,,0.71 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,87391,CPT,"Hiv-2 ag, eia",,,17 ,,TotalUnits,,,,0.71 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,87400,CPT,"Influenza a/b, ag, eia",,,17 ,,TotalUnits,,,,0.49 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,87420,CPT,"Resp syncytial ag, eia",,,17 ,,TotalUnits,,,,0.49 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,87425,CPT,"Rotavirus ag, eia",,,17 ,,TotalUnits,,,,0.49 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,87427,CPT,"Shiga-like toxin ag, eia",,,17 ,,TotalUnits,,,,0.49 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,87430,CPT,"Strep a ag, eia",,,17 ,,TotalUnits,,,,0.49 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,87449,CPT,"Ag detect nos, eia, mult",,,17 ,,TotalUnits,,,,0.49 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,87450,CPT,"Ag detect nos, eia, single",,,17 ,,TotalUnits,,,,0.39 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,87451,CPT,"Ag detect polyval, eia, mult",,,17 ,,TotalUnits,,,,0.39 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,87470,CPT,"Bartonella, dna, dir probe",,,17 ,,TotalUnits,,,,0.81 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,87471,CPT,"Bartonella, dna, amp probe",,,17 ,,TotalUnits,,,,1.42 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,87472,CPT,"Bartonella, dna, quant",,,17 ,,TotalUnits,,,,1.73 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,87475,CPT,"Lyme dis, dna, dir probe",,,17 ,,TotalUnits,,,,0.81 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,87476,CPT,"Lyme dis, dna, amp probe",,,17 ,,TotalUnits,,,,1.42 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,87477,CPT,"Lyme dis, dna, quant",,,17 ,,TotalUnits,,,,1.73 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,87480,CPT,"Candida, dna, dir probe",,,17 ,,TotalUnits,,,,0.81 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,87481,CPT,"Candida, dna, amp probe",,,17 ,,TotalUnits,,,,1.42 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,87482,CPT,"Candida, dna, quant",,,17 ,,TotalUnits,,,,1.69 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,87485,CPT,"Chylmd pneum, dna, dir probe",,,17 ,,TotalUnits,,,,0.81 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,87486,CPT,"Chylmd pneum, dna, amp probe",,,17 ,,TotalUnits,,,,1.42 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,87487,CPT,"Chylmd pneum, dna, quant",,,17 ,,TotalUnits,,,,1.73 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,87490,CPT,"Chylmd trach, dna, dir probe",,,17 ,,TotalUnits,,,,0.81 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,87491,CPT,"Chylmd trach, dna, amp probe",,,17 ,,TotalUnits,,,,1.42 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,87492,CPT,"Chylmd trach, dna, quant",,,17 ,,TotalUnits,,,,1.42 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,87493,CPT,C diff amplified probe,,,17 ,,TotalUnits,,,,1.42 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,87495,CPT,"Cytomeg, dna, dir probe",,,17 ,,TotalUnits,,,,0.81 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,87496,CPT,"Cytomeg, dna, amp probe",,,17 ,,TotalUnits,,,,1.42 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,87497,CPT,"Cytomeg, dna, quant",,,17 ,,TotalUnits,,,,1.73 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,87498,CPT,"Enterovirus, dna, amp probe",,,17 ,,TotalUnits,,,,1.42 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,87500,CPT,"Vanomycin, dna, amp probe",,,17 ,,TotalUnits,,,,1.42 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,87510,CPT,"Gardner vag, dna, dir probe",,,17 ,,TotalUnits,,,,0.81 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,87511,CPT,"Gardner vag, dna, amp probe",,,17 ,,TotalUnits,,,,1.42 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,87512,CPT,"Gardner vag, dna, quant",,,17 ,,TotalUnits,,,,1.69 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,87515,CPT,"Hepatitis b, dna, dir probe",,,17 ,,TotalUnits,,,,0.81 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,87516,CPT,"Hepatitis b, dna, amp probe",,,17 ,,TotalUnits,,,,1.42 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,87517,CPT,"Hepatitis b, dna, quant",,,17 ,,TotalUnits,,,,1.73 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,87520,CPT,"Hepatitis c, rna, dir probe",,,17 ,,TotalUnits,,,,0.81 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,87521,CPT,"Hepatitis c, rna, amp probe",,,17 ,,TotalUnits,,,,1.42 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,87522,CPT,"Hepatitis c, rna, quant",,,17 ,,TotalUnits,,,,1.73 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,87525,CPT,"Hepatitis g, dna, dir probe",,,17 ,,TotalUnits,,,,0.81 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,87526,CPT,"Hepatitis g, dna, amp probe",,,17 ,,TotalUnits,,,,1.42 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,87527,CPT,"Hepatitis g, dna, quant",,,17 ,,TotalUnits,,,,1.69 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,87528,CPT,"Hsv, dna, dir probe",,,17 ,,TotalUnits,,,,0.81 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,87529,CPT,"Hsv, dna, amp probe",,,17 ,,TotalUnits,,,,1.42 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,87530,CPT,"Hsv, dna, quant",,,17 ,,TotalUnits,,,,1.73 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,87531,CPT,"Hhv-6, dna, dir probe",,,17 ,,TotalUnits,,,,0.81 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,87532,CPT,"Hhv-6, dna, amp probe",,,17 ,,TotalUnits,,,,1.42 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,87533,CPT,"Hhv-6, dna, quant",,,17 ,,TotalUnits,,,,1.69 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,87534,CPT,"Hiv-1, dna, dir probe",,,17 ,,TotalUnits,,,,0.81 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,87535,CPT,"Hiv-1, dna, amp probe",,,17 ,,TotalUnits,,,,1.42 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,87536,CPT,"Hiv-1, dna, quant",,,17 ,,TotalUnits,,,,3.44 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,87537,CPT,"Hiv-2, dna, dir probe",,,17 ,,TotalUnits,,,,0.81 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,87538,CPT,"Hiv-2, dna, amp probe",,,17 ,,TotalUnits,,,,1.42 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,87539,CPT,"Hiv-2, dna, quant",,,17 ,,TotalUnits,,,,1.73 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,87540,CPT,"Legion pneumo, dna, dir prob",,,17 ,,TotalUnits,,,,0.81 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,87541,CPT,"Legion pneumo, dna, amp prob",,,17 ,,TotalUnits,,,,1.42 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,87542,CPT,"Legion pneumo, dna, quant",,,17 ,,TotalUnits,,,,1.69 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,87550,CPT,"Mycobacteria, dna, dir probe",,,17 ,,TotalUnits,,,,0.81 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,87551,CPT,"Mycobacteria, dna, amp probe",,,17 ,,TotalUnits,,,,1.42 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,87552,CPT,"Mycobacteria, dna, quant",,,17 ,,TotalUnits,,,,1.73 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,87555,CPT,"M.tuberculo, dna, dir probe",,,17 ,,TotalUnits,,,,0.81 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,87556,CPT,"M.tuberculo, dna, amp probe",,,17 ,,TotalUnits,,,,1.42 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,87557,CPT,"M.tuberculo, dna, quant",,,17 ,,TotalUnits,,,,1.73 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,87560,CPT,"M.avium-intra, dna, dir prob",,,17 ,,TotalUnits,,,,0.81 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,87561,CPT,"M.avium-intra, dna, amp prob",,,17 ,,TotalUnits,,,,1.42 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,87562,CPT,"M.avium-intra, dna, quant",,,17 ,,TotalUnits,,,,1.73 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,87580,CPT,"M.pneumon, dna, dir probe",,,17 ,,TotalUnits,,,,0.81 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,87581,CPT,"M.pneumon, dna, amp probe",,,17 ,,TotalUnits,,,,1.42 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,87582,CPT,"M.pneumon, dna, quant",,,17 ,,TotalUnits,,,,1.69 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,87590,CPT,"N.gonorrhoeae, dna, dir prob",,,17 ,,TotalUnits,,,,0.81 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,87591,CPT,"N.gonorrhoeae, dna, amp prob",,,17 ,,TotalUnits,,,,1.42 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,87592,CPT,"N.gonorrhoeae, dna, quant",,,17 ,,TotalUnits,,,,1.73 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,87620,CPT,"Hpv, dna, dir probe",,,17 ,,TotalUnits,,,,0.81 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,87621,CPT,"Hpv, dna, amp probe",,,17 ,,TotalUnits,,,,1.42 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,87622,CPT,"Hpv, dna, quant",,,17 ,,TotalUnits,,,,1.69 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,87640,CPT,"Staph a, dna, amp probe",,,17 ,,TotalUnits,,,,1.42 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,87641,CPT,"Mr-staph, dna, amp probe",,,17 ,,TotalUnits,,,,1.42 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,87650,CPT,"Strep a, dna, dir probe",,,17 ,,TotalUnits,,,,0.81 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,87651,CPT,"Strep a, dna, amp probe",,,17 ,,TotalUnits,,,,1.42 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,87652,CPT,"Strep a, dna, quant",,,17 ,,TotalUnits,,,,1.69 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,87653,CPT,"Strep b, dna, amp probe",,,17 ,,TotalUnits,,,,1.42 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,87660,CPT,"Trichomonas vagin, dir probe",,,17 ,,TotalUnits,,,,0.81 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,87797,CPT,"Detect agent nos, dna, dir",,,17 ,,TotalUnits,,,,0.81 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,87798,CPT,"Detect agent nos, dna, amp",,,17 ,,TotalUnits,,,,1.42 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,87799,CPT,"Detect agent nos, dna, quant",,,17 ,,TotalUnits,,,,1.73 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,87800,CPT,"Detect agnt mult, dna, direc",,,17 ,,TotalUnits,,,,1.62 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,87801,CPT,"Detect agnt mult, dna, ampli",,,17 ,,TotalUnits,,,,2.84 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,87802,CPT,Strep b assay w/optic,,,17 ,,TotalUnits,,,,0.49 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,87803,CPT,Clostridium toxin a w/optic,,,17 ,,TotalUnits,,,,0.49 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,87804,CPT,Influenza assay w/optic,,,17 ,,TotalUnits,,,,0.49 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,87807,CPT,Rsv assay w/optic,,,17 ,,TotalUnits,,,,0.49 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,87808,CPT,Trichomonas assay w/optic,,,17 ,,TotalUnits,,,,0.49 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,87809,CPT,Adenovirus assay w/optic,,,17 ,,TotalUnits,,,,0.49 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,87810,CPT,Chylmd trach assay w/optic,,,17 ,,TotalUnits,,,,0.49 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,87850,CPT,N. gonorrhoeae assay w/optic,,,17 ,,TotalUnits,,,,0.49 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,87880,CPT,Strep a assay w/optic,,,17 ,,TotalUnits,,,,0.49 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,87899,CPT,Agent nos assay w/optic,,,17 ,,TotalUnits,,,,0.49 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,87900,CPT,"Phenotype, infect agent drug",,,17 ,,TotalUnits,,,,5.28 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,87901,CPT,"Genotype, dna, hiv reverse t",,,17 ,,TotalUnits,,,,10.42 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,87902,CPT,"Genotype, dna, hepatitis c",,,17 ,,TotalUnits,,,,10.42 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,87903,CPT,"Phenotype, dna hiv w/culture",,,17 ,,TotalUnits,,,,19.78 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,87904,CPT,"Phenotype, dna hiv w/clt add",,,17 ,,TotalUnits,,,,1.06 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,87905,CPT,Sialidase enzyme assay,,,17 ,,TotalUnits,,,,0.49 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,87999,CPT,Microbiology procedure,,,17 ,,TotalUnits,,,,0.38 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,88000,CPT,"Autopsy (necropsy), gross",,,17 ,,TotalUnits,,,,5.46 ,,$0.00,$0.00,1,0,1,0,1,1,20101001,88005,CPT,"Autopsy (necropsy), gross",,,17 ,,TotalUnits,,,,6.28 ,,$0.00,$0.00,1,0,1,0,1,1,20101001,88007,CPT,"Autopsy (necropsy), gross",,,17 ,,TotalUnits,,,,6.83 ,,$0.00,$0.00,1,0,1,0,1,1,20101001,88012,CPT,"Autopsy (necropsy), gross",,,17 ,,TotalUnits,,,,4.91 ,,$0.00,$0.00,1,0,1,0,1,1,20101001,88014,CPT,"Autopsy (necropsy), gross",,,17 ,,TotalUnits,,,,4.91 ,,$0.00,$0.00,1,0,1,0,1,1,20101001,88016,CPT,"Autopsy (necropsy), gross",,,17 ,,TotalUnits,,,,6.28 ,,$0.00,$0.00,1,0,1,0,1,1,20101001,88020,CPT,"Autopsy (necropsy), complete",,,17 ,,TotalUnits,,,,8.46 ,,$0.00,$0.00,1,0,1,0,1,1,20101001,88025,CPT,"Autopsy (necropsy), complete",,,17 ,,TotalUnits,,,,9.28 ,,$0.00,$0.00,1,0,1,0,1,1,20101001,88027,CPT,"Autopsy (necropsy), complete",,,17 ,,TotalUnits,,,,10.10 ,,$0.00,$0.00,1,0,1,0,1,1,20101001,88028,CPT,"Autopsy (necropsy), complete",,,17 ,,TotalUnits,,,,4.91 ,,$0.00,$0.00,1,0,1,0,1,1,20101001,88029,CPT,"Autopsy (necropsy), complete",,,17 ,,TotalUnits,,,,4.91 ,,$0.00,$0.00,1,0,1,0,1,1,20101001,88036,CPT,Limited autopsy,,,17 ,,TotalUnits,,,,2.73 ,,$0.00,$0.00,1,0,1,0,1,1,20101001,88037,CPT,Limited autopsy,,,17 ,,TotalUnits,,,,2.18 ,,$0.00,$0.00,1,0,1,0,1,1,20101001,88040,CPT,Forensic autopsy (necropsy),,,17 ,,TotalUnits,,,,13.65 ,,$0.00,$0.00,1,0,1,0,1,1,20101001,88045,CPT,Coroner's autopsy (necropsy),,,17 ,,TotalUnits,,,,1.37 ,,$0.00,$0.00,1,0,1,0,1,1,20101001,88099,CPT,Necropsy (autopsy) procedure,,,17 ,,TotalUnits,,,,8.46 ,,$0.00,$0.00,1,0,1,0,1,1,20101001,88104,CPT,"Cytopath fl nongyn, smears",26,,17 ,,RBRVS,0.56 ,0.18 ,0.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,88104,CPT,"Cytopath fl nongyn, smears",,,17 ,,RBRVS,0.56 ,1.08 ,1.08 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,88104,CPT,"Cytopath fl nongyn, smears",TC,,17 ,,RBRVS,,0.90 ,0.90 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,88106,CPT,"Cytopath fl nongyn, filter",26,,17 ,,RBRVS,0.56 ,0.18 ,0.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,88106,CPT,"Cytopath fl nongyn, filter",,,17 ,,RBRVS,0.56 ,1.49 ,1.49 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,88106,CPT,"Cytopath fl nongyn, filter",TC,,17 ,,RBRVS,,1.31 ,1.31 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,88107,CPT,"Cytopath fl nongyn, sm/fltr",26,,17 ,,RBRVS,0.76 ,0.26 ,0.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,88107,CPT,"Cytopath fl nongyn, sm/fltr",,,17 ,,RBRVS,0.76 ,1.82 ,1.82 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,88107,CPT,"Cytopath fl nongyn, sm/fltr",TC,,17 ,,RBRVS,,1.56 ,1.56 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,88108,CPT,"Cytopath, concentrate tech",26,,17 ,,RBRVS,0.56 ,0.18 ,0.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,88108,CPT,"Cytopath, concentrate tech",,,17 ,,RBRVS,0.56 ,1.38 ,1.38 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,88108,CPT,"Cytopath, concentrate tech",TC,,17 ,,RBRVS,,1.20 ,1.20 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,88112,CPT,"Cytopath, cell enhance tech",26,,17 ,,RBRVS,1.18 ,0.35 ,0.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,88112,CPT,"Cytopath, cell enhance tech",,,17 ,,RBRVS,1.18 ,1.57 ,1.57 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,88112,CPT,"Cytopath, cell enhance tech",TC,,17 ,,RBRVS,,1.22 ,1.22 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,88125,CPT,Forensic cytopathology,26,,17 ,,RBRVS,0.26 ,0.09 ,0.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,88125,CPT,Forensic cytopathology,,,17 ,,RBRVS,0.26 ,0.31 ,0.31 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,88125,CPT,Forensic cytopathology,TC,,17 ,,RBRVS,,0.22 ,0.22 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,88130,CPT,Sex chromatin identification,,,17 ,,TotalUnits,,,,0.61 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,88140,CPT,Sex chromatin identification,,,17 ,,TotalUnits,,,,0.32 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,88141,CPT,"Cytopath, c/v, interpret",,PC,17 ,,RBRVS,0.42 ,0.31 ,0.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,88142,CPT,"Cytopath, c/v, thin layer",,,17 ,,TotalUnits,,,,0.82 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,88143,CPT,Cytopath c/v thin layer redo,,,17 ,,TotalUnits,,,,0.82 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,88147,CPT,"Cytopath, c/v, automated",,,17 ,,TotalUnits,,,,0.43 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,88148,CPT,"Cytopath, c/v, auto rescreen",,,17 ,,TotalUnits,,,,0.62 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,88150,CPT,"Cytopath, c/v, manual",,,17 ,,TotalUnits,,,,0.43 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,88152,CPT,"Cytopath, c/v, auto redo",,,17 ,,TotalUnits,,,,0.43 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,88153,CPT,"Cytopath, c/v, redo",,,17 ,,TotalUnits,,,,0.43 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,88154,CPT,"Cytopath, c/v, select",,,17 ,,TotalUnits,,,,0.43 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,88155,CPT,"Cytopath, c/v, index add-on",,,17 ,,TotalUnits,,,,0.24 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,88160,CPT,"Cytopath smear, other source",26,,17 ,,RBRVS,0.50 ,0.16 ,0.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,88160,CPT,"Cytopath smear, other source",,,17 ,,RBRVS,0.50 ,0.88 ,0.88 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,88160,CPT,"Cytopath smear, other source",TC,,17 ,,RBRVS,,0.72 ,0.72 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,88161,CPT,"Cytopath smear, other source",26,,17 ,,RBRVS,0.50 ,0.15 ,0.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,88161,CPT,"Cytopath smear, other source",,,17 ,,RBRVS,0.50 ,0.94 ,0.94 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,88161,CPT,"Cytopath smear, other source",TC,,17 ,,RBRVS,,0.79 ,0.79 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,88162,CPT,"Cytopath smear, other source",26,,17 ,,RBRVS,0.76 ,0.25 ,0.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,88162,CPT,"Cytopath smear, other source",,,17 ,,RBRVS,0.76 ,1.33 ,1.33 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,88162,CPT,"Cytopath smear, other source",TC,,17 ,,RBRVS,,1.08 ,1.08 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,88164,CPT,"Cytopath tbs, c/v, manual",,,17 ,,TotalUnits,,,,0.43 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,88165,CPT,"Cytopath tbs, c/v, redo",,,17 ,,TotalUnits,,,,0.43 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,88166,CPT,"Cytopath tbs, c/v, auto redo",,,17 ,,TotalUnits,,,,0.43 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,88167,CPT,"Cytopath tbs, c/v, select",,,17 ,,TotalUnits,,,,0.43 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,88172,CPT,Cytopathology eval of fna,26,,17 ,,RBRVS,0.60 ,0.20 ,0.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,88172,CPT,Cytopathology eval of fna,,,17 ,,RBRVS,0.60 ,0.80 ,0.80 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,88172,CPT,Cytopathology eval of fna,TC,,17 ,,RBRVS,,0.60 ,0.60 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,88173,CPT,"Cytopath eval, fna, report",26,,17 ,,RBRVS,1.39 ,0.45 ,0.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,88173,CPT,"Cytopath eval, fna, report",,,17 ,,RBRVS,1.39 ,2.19 ,2.19 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,88173,CPT,"Cytopath eval, fna, report",TC,,17 ,,RBRVS,,1.74 ,1.74 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,88174,CPT,"Cytopath, c/v auto, in fluid",,,17 ,,TotalUnits,,,,0.86 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,88175,CPT,Cytopath c/v auto fluid redo,,,17 ,,TotalUnits,,,,1.07 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,88182,CPT,Cell marker study,26,,17 ,,RBRVS,0.77 ,0.18 ,0.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,88182,CPT,Cell marker study,,,17 ,,RBRVS,0.77 ,1.96 ,1.96 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,88182,CPT,Cell marker study,TC,,17 ,,RBRVS,,1.78 ,1.78 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,88184,CPT,"Flowcytometry/ tc, 1 marker",,TC,17 ,,RBRVS,,2.15 ,2.15 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,88185,CPT,"Flowcytometry/tc, add-on",,TC,17 ,,RBRVS,,1.27 ,1.27 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,88187,CPT,"Flowcytometry/read, 2-8",,PC,17 ,,RBRVS,1.36 ,0.41 ,0.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,88188,CPT,"Flowcytometry/read, 9-15",,PC,17 ,,RBRVS,1.69 ,0.49 ,0.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,88189,CPT,"Flowcytometry/read, 16 & >",,PC,17 ,,RBRVS,2.23 ,0.55 ,0.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,88199,CPT,Cytopathology procedure,,,17 ,,TotalUnits,,,,2.17 ,,$0.00,$0.00,1,0,0,0,0,1,20101001,88199,CPT,Cytopathology procedure,,PC,17 ,,TotalUnits,,,,0.95 ,,$0.00,$0.00,1,0,1,1,1,0,20101001,88199,CPT,Cytopathology procedure,,TC,17 ,,TotalUnits,,,,1.22 ,,$0.00,$0.00,1,1,1,0,1,0,20101001,88230,CPT,"Tissue culture, lymphocyte",,,17 ,,TotalUnits,,,,4.72 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,88233,CPT,"Tissue culture, skin/biopsy",,,17 ,,TotalUnits,,,,5.70 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,88235,CPT,"Tissue culture, placenta",,,17 ,,TotalUnits,,,,5.96 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,88237,CPT,"Tissue culture, bone marrow",,,17 ,,TotalUnits,,,,5.11 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,88239,CPT,"Tissue culture, tumor",,,17 ,,TotalUnits,,,,5.97 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,88240,CPT,Cell cryopreserve/storage,,,17 ,,TotalUnits,,,,0.41 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,88241,CPT,Frozen cell preparation,,,17 ,,TotalUnits,,,,0.41 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,88245,CPT,"Chromosome analysis, 20-25",,,17 ,,TotalUnits,,,,6.03 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,88248,CPT,"Chromosome analysis, 50-100",,,17 ,,TotalUnits,,,,7.01 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,88249,CPT,"Chromosome analysis, 100",,,17 ,,TotalUnits,,,,7.01 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,88261,CPT,"Chromosome analysis, 5",,,17 ,,TotalUnits,,,,7.15 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,88262,CPT,"Chromosome analysis, 15-20",,,17 ,,TotalUnits,,,,5.05 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,88263,CPT,"Chromosome analysis, 45",,,17 ,,TotalUnits,,,,6.08 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,88264,CPT,"Chromosome analysis, 20-25",,,17 ,,TotalUnits,,,,5.05 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,88267,CPT,"Chromosome analys, placenta",,,17 ,,TotalUnits,,,,7.28 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,88269,CPT,"Chromosome analys, amniotic",,,17 ,,TotalUnits,,,,6.73 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,88271,CPT,"Cytogenetics, dna probe",,,17 ,,TotalUnits,,,,0.87 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,88272,CPT,"Cytogenetics, 3-5",,,17 ,,TotalUnits,,,,1.08 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,88273,CPT,"Cytogenetics, 10-30",,,17 ,,TotalUnits,,,,1.30 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,88274,CPT,"Cytogenetics, 25-99",,,17 ,,TotalUnits,,,,1.41 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,88275,CPT,"Cytogenetics, 100-300",,,17 ,,TotalUnits,,,,1.63 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,88280,CPT,Chromosome karyotype study,,,17 ,,TotalUnits,,,,1.02 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,88283,CPT,Chromosome banding study,,,17 ,,TotalUnits,,,,2.78 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,88285,CPT,"Chromosome count, additional",,,17 ,,TotalUnits,,,,0.77 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,88289,CPT,"Chromosome study, additional",,,17 ,,TotalUnits,,,,1.39 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,88291,CPT,Cyto/molecular report,,PC,17 ,,RBRVS,0.52 ,0.25 ,0.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,88299,CPT,Cytogenetic study,,,17 ,,TotalUnits,,,,1.02 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,88300,CPT,"Surgical path, gross",26,,17 ,,RBRVS,0.08 ,0.03 ,0.03 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,88300,CPT,"Surgical path, gross",,,17 ,,RBRVS,0.08 ,0.54 ,0.54 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,88300,CPT,"Surgical path, gross",TC,,17 ,,RBRVS,,0.51 ,0.51 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,88302,CPT,Tissue exam by pathologist,26,,17 ,,RBRVS,0.13 ,0.04 ,0.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,88302,CPT,Tissue exam by pathologist,,,17 ,,RBRVS,0.13 ,1.18 ,1.18 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,88302,CPT,Tissue exam by pathologist,TC,,17 ,,RBRVS,,1.14 ,1.14 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,88304,CPT,Tissue exam by pathologist,26,,17 ,,RBRVS,0.22 ,0.07 ,0.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,88304,CPT,Tissue exam by pathologist,,,17 ,,RBRVS,0.22 ,1.45 ,1.45 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,88304,CPT,Tissue exam by pathologist,TC,,17 ,,RBRVS,,1.38 ,1.38 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,88305,CPT,Tissue exam by pathologist,26,,17 ,,RBRVS,0.75 ,0.25 ,0.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,88305,CPT,Tissue exam by pathologist,,,17 ,,RBRVS,0.75 ,2.06 ,2.06 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,88305,CPT,Tissue exam by pathologist,TC,,17 ,,RBRVS,,1.81 ,1.81 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,88307,CPT,Tissue exam by pathologist,26,,17 ,,RBRVS,1.59 ,0.54 ,0.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,88307,CPT,Tissue exam by pathologist,,,17 ,,RBRVS,1.59 ,4.05 ,4.05 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,88307,CPT,Tissue exam by pathologist,TC,,17 ,,RBRVS,,3.51 ,3.51 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,88309,CPT,Tissue exam by pathologist,26,,17 ,,RBRVS,2.80 ,0.89 ,0.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,88309,CPT,Tissue exam by pathologist,,,17 ,,RBRVS,2.80 ,5.72 ,5.72 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,88309,CPT,Tissue exam by pathologist,TC,,17 ,,RBRVS,,4.83 ,4.83 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,88311,CPT,Decalcify tissue,26,,17 ,,RBRVS,0.24 ,0.08 ,0.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,88311,CPT,Decalcify tissue,,,17 ,,RBRVS,0.24 ,0.24 ,0.24 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,88311,CPT,Decalcify tissue,TC,,17 ,,RBRVS,,0.16 ,0.16 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,88312,CPT,Special stains,26,,17 ,,RBRVS,0.54 ,0.17 ,0.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,88312,CPT,Special stains,,,17 ,,RBRVS,0.54 ,2.14 ,2.14 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,88312,CPT,Special stains,TC,,17 ,,RBRVS,,1.97 ,1.97 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,88313,CPT,Special stains,26,,17 ,,RBRVS,0.24 ,0.07 ,0.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,88313,CPT,Special stains,,,17 ,,RBRVS,0.24 ,1.72 ,1.72 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,88313,CPT,Special stains,TC,,17 ,,RBRVS,,1.65 ,1.65 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,88314,CPT,Histochemical stain,26,,17 ,,RBRVS,0.45 ,0.15 ,0.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,88314,CPT,Histochemical stain,,,17 ,,RBRVS,0.45 ,1.93 ,1.93 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,88314,CPT,Histochemical stain,TC,,17 ,,RBRVS,,1.78 ,1.78 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,88318,CPT,Chemical histochemistry,26,,17 ,,RBRVS,0.42 ,0.13 ,0.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,88318,CPT,Chemical histochemistry,,,17 ,,RBRVS,0.42 ,2.27 ,2.27 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,88318,CPT,Chemical histochemistry,TC,,17 ,,RBRVS,,2.14 ,2.14 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,88319,CPT,Enzyme histochemistry,26,,17 ,,RBRVS,0.53 ,0.17 ,0.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,88319,CPT,Enzyme histochemistry,,,17 ,,RBRVS,0.53 ,3.21 ,3.21 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,88319,CPT,Enzyme histochemistry,TC,,17 ,,RBRVS,,3.04 ,3.04 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,88321,CPT,Microslide consultation,,,17 ,,RBRVS,1.63 ,0.50 ,0.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,88323,CPT,Microslide consultation,26,,17 ,,RBRVS,1.83 ,0.48 ,0.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,88323,CPT,Microslide consultation,,,17 ,,RBRVS,1.83 ,2.02 ,2.02 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,88323,CPT,Microslide consultation,TC,,17 ,,RBRVS,,1.54 ,1.54 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,88325,CPT,Comprehensive review of data,,,17 ,,RBRVS,2.50 ,0.82 ,2.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,88329,CPT,Path consult introp,,,17 ,,RBRVS,0.67 ,0.23 ,0.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,88331,CPT,"Path consult intraop, 1 bloc",26,,17 ,,RBRVS,1.19 ,0.42 ,0.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,88331,CPT,"Path consult intraop, 1 bloc",,,17 ,,RBRVS,1.19 ,1.19 ,1.19 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,88331,CPT,"Path consult intraop, 1 bloc",TC,,17 ,,RBRVS,,0.77 ,0.77 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,88332,CPT,"Path consult intraop, add'l",26,,17 ,,RBRVS,0.59 ,0.20 ,0.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,88332,CPT,"Path consult intraop, add'l",,,17 ,,RBRVS,0.59 ,0.47 ,0.47 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,88332,CPT,"Path consult intraop, add'l",TC,,17 ,,RBRVS,,0.27 ,0.27 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,88333,CPT,"Intraop cyto path consult, 1",26,,17 ,,RBRVS,1.20 ,0.41 ,0.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,88333,CPT,"Intraop cyto path consult, 1",,,17 ,,RBRVS,1.20 ,1.24 ,1.24 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,88333,CPT,"Intraop cyto path consult, 1",TC,,17 ,,RBRVS,,0.83 ,0.83 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,88334,CPT,"Intraop cyto path consult, 2",26,,17 ,,RBRVS,0.73 ,0.24 ,0.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,88334,CPT,"Intraop cyto path consult, 2",,,17 ,,RBRVS,0.73 ,0.75 ,0.75 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,88334,CPT,"Intraop cyto path consult, 2",TC,,17 ,,RBRVS,,0.51 ,0.51 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,88342,CPT,Immunohistochemistry,26,,17 ,,RBRVS,0.85 ,0.26 ,0.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,88342,CPT,Immunohistochemistry,,,17 ,,RBRVS,0.85 ,1.82 ,1.82 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,88342,CPT,Immunohistochemistry,TC,,17 ,,RBRVS,,1.56 ,1.56 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,88346,CPT,Immunofluorescent study,26,,17 ,,RBRVS,0.86 ,0.27 ,0.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,88346,CPT,Immunofluorescent study,,,17 ,,RBRVS,0.86 ,1.82 ,1.82 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,88346,CPT,Immunofluorescent study,TC,,17 ,,RBRVS,,1.55 ,1.55 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,88347,CPT,Immunofluorescent study,26,,17 ,,RBRVS,0.86 ,0.22 ,0.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,88347,CPT,Immunofluorescent study,,,17 ,,RBRVS,0.86 ,1.25 ,1.25 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,88347,CPT,Immunofluorescent study,TC,,17 ,,RBRVS,,1.03 ,1.03 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,88348,CPT,Electron microscopy,26,,17 ,,RBRVS,1.51 ,0.48 ,0.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,88348,CPT,Electron microscopy,,,17 ,,RBRVS,1.51 ,15.48 ,15.48 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,88348,CPT,Electron microscopy,TC,,17 ,,RBRVS,,15.00 ,15.00 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,88349,CPT,Scanning electron microscopy,26,,17 ,,RBRVS,0.76 ,0.26 ,0.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,88349,CPT,Scanning electron microscopy,,,17 ,,RBRVS,0.76 ,7.30 ,7.30 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,88349,CPT,Scanning electron microscopy,TC,,17 ,,RBRVS,,7.04 ,7.04 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,88355,CPT,"Analysis, skeletal muscle",26,,17 ,,RBRVS,1.85 ,0.48 ,0.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,88355,CPT,"Analysis, skeletal muscle",,,17 ,,RBRVS,1.85 ,4.57 ,4.57 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,88355,CPT,"Analysis, skeletal muscle",TC,,17 ,,RBRVS,,4.09 ,4.09 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,88356,CPT,"Analysis, nerve",26,,17 ,,RBRVS,3.02 ,0.69 ,0.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,88356,CPT,"Analysis, nerve",,,17 ,,RBRVS,3.02 ,4.73 ,4.73 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,88356,CPT,"Analysis, nerve",TC,,17 ,,RBRVS,,4.04 ,4.04 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,88358,CPT,"Analysis, tumor",26,,17 ,,RBRVS,0.95 ,0.22 ,0.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,88358,CPT,"Analysis, tumor",,,17 ,,RBRVS,0.95 ,1.03 ,1.03 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,88358,CPT,"Analysis, tumor",TC,,17 ,,RBRVS,,0.81 ,0.81 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,88360,CPT,Tumor immunohistochem/manual,26,,17 ,,RBRVS,1.10 ,0.33 ,0.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,88360,CPT,Tumor immunohistochem/manual,,,17 ,,RBRVS,1.10 ,2.11 ,2.11 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,88360,CPT,Tumor immunohistochem/manual,TC,,17 ,,RBRVS,,1.78 ,1.78 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,88361,CPT,Tumor immunohistochem/comput,26,,17 ,,RBRVS,1.18 ,0.33 ,0.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,88361,CPT,Tumor immunohistochem/comput,,,17 ,,RBRVS,1.18 ,2.82 ,2.82 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,88361,CPT,Tumor immunohistochem/comput,TC,,17 ,,RBRVS,,2.49 ,2.49 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,88362,CPT,Nerve teasing preparations,26,,17 ,,RBRVS,2.17 ,0.68 ,0.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,88362,CPT,Nerve teasing preparations,,,17 ,,RBRVS,2.17 ,4.87 ,4.87 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,88362,CPT,Nerve teasing preparations,TC,,17 ,,RBRVS,,4.19 ,4.19 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,88365,CPT,Insitu hybridization (fish),26,,17 ,,RBRVS,1.20 ,0.36 ,0.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,88365,CPT,Insitu hybridization (fish),,,17 ,,RBRVS,1.20 ,3.03 ,3.03 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,88365,CPT,Insitu hybridization (fish),TC,,17 ,,RBRVS,,2.67 ,2.67 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,88367,CPT,"Insitu hybridization, auto",26,,17 ,,RBRVS,1.30 ,0.35 ,0.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,88367,CPT,"Insitu hybridization, auto",,,17 ,,RBRVS,1.30 ,5.16 ,5.16 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,88367,CPT,"Insitu hybridization, auto",TC,,17 ,,RBRVS,,4.81 ,4.81 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,88368,CPT,"Insitu hybridization, manual",26,,17 ,,RBRVS,1.40 ,0.34 ,0.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,88368,CPT,"Insitu hybridization, manual",,,17 ,,RBRVS,1.40 ,4.27 ,4.27 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,88368,CPT,"Insitu hybridization, manual",TC,,17 ,,RBRVS,,3.93 ,3.93 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,88371,CPT,"Protein, western blot tissue",26,,17 ,,RBRVS,0.37 ,0.12 ,0.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,88371,CPT,"Protein, western blot tissue",,,17 ,,TotalUnits,,,,0.90 ,,$0.00,$0.00,1,0,0,0,0,1,20101001,88372,CPT,Protein analysis w/probe,26,,17 ,,RBRVS,0.37 ,0.12 ,0.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,88372,CPT,Protein analysis w/probe,,,17 ,,TotalUnits,,,,0.92 ,,$0.00,$0.00,1,0,0,0,0,1,20101001,88380,CPT,"Microdissection, laser",26,,17 ,,RBRVS,1.56 ,0.50 ,0.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,88380,CPT,"Microdissection, laser",,,17 ,,RBRVS,1.56 ,3.69 ,3.69 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,88380,CPT,"Microdissection, laser",TC,,17 ,,RBRVS,,3.19 ,3.19 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,88381,CPT,"Microdissection, manual",26,,17 ,,RBRVS,1.18 ,0.38 ,0.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,88381,CPT,"Microdissection, manual",,,17 ,,RBRVS,1.18 ,4.61 ,4.61 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,88381,CPT,"Microdissection, manual",TC,,17 ,,RBRVS,,4.23 ,4.23 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,88384,CPT,"Eval molecular probes, 11-50",,,17 ,,TotalUnits,,,,7.58 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,88385,CPT,"Eval molecul probes, 51-250",26,,17 ,,RBRVS,1.50 ,0.34 ,0.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,88385,CPT,"Eval molecul probes, 51-250",,,17 ,,RBRVS,1.50 ,12.74 ,12.74 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,88385,CPT,"Eval molecul probes, 51-250",TC,,17 ,,RBRVS,,12.40 ,12.40 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,88386,CPT,"Eval molecul probes, 251-500",26,,17 ,,RBRVS,1.88 ,0.72 ,0.72 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,88386,CPT,"Eval molecul probes, 251-500",,,17 ,,RBRVS,1.88 ,16.35 ,16.35 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,88386,CPT,"Eval molecul probes, 251-500",TC,,17 ,,RBRVS,,15.63 ,15.63 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,88387,CPT,Tiss exam molecular study,,PC,17 ,,RBRVS,0.62 ,0.24 ,0.24 ,,,$0.00,$0.00,1,0,1,1,1,0,20101001,88387,CPT,Tiss exam molecular study,,,17 ,,RBRVS,0.62 ,0.45 ,0.45 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,88387,CPT,Tiss exam molecular study,,TC,17 ,,RBRVS,,0.21 ,0.21 ,,,$0.00,$0.00,1,1,1,0,1,0,20101001,88388,CPT,Tiss ex molecul study add-on,,PC,17 ,,RBRVS,0.45 ,0.08 ,0.08 ,,,$0.00,$0.00,1,0,1,1,1,0,20101001,88388,CPT,Tiss ex molecul study add-on,,,17 ,,RBRVS,0.45 ,0.18 ,0.18 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,88388,CPT,Tiss ex molecul study add-on,,TC,17 ,,RBRVS,,0.10 ,0.10 ,,,$0.00,$0.00,1,1,1,0,1,0,20101001,88399,CPT,Surgical pathology procedure,,,17 ,,TotalUnits,,,,4.40 ,,$0.00,$0.00,1,0,0,0,0,1,20101001,88399,CPT,Surgical pathology procedure,,PC,17 ,,TotalUnits,,,,1.56 ,,$0.00,$0.00,1,0,1,1,1,0,20101001,88399,CPT,Surgical pathology procedure,,TC,17 ,,TotalUnits,,,,2.83 ,,$0.00,$0.00,1,1,1,0,1,0,20101001,88720,CPT,Bilirubin total transcut,,,17 ,,TotalUnits,,,,0.20 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,88738,CPT,Hgb quant transcutaneous,,,17 ,,TotalUnits,,,,0.20 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,88740,CPT,Transcutaneous carboxyhb,,,17 ,,TotalUnits,,,,0.20 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,88741,CPT,Transcutaneous methb,,,17 ,,TotalUnits,,,,0.20 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,89049,CPT,Chct for mal hyperthermia,,,17 ,,RBRVS,1.40 ,0.42 ,5.07 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,89050,CPT,Body fluid cell count,,,17 ,,TotalUnits,,,,0.19 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,89051,CPT,Body fluid cell count,,,17 ,,TotalUnits,,,,0.22 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,89055,CPT,"Leukocyte assessment, fecal",,,17 ,,TotalUnits,,,,0.17 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,89060,CPT,"Exam,synovial fluid crystals",26,,17 ,,RBRVS,0.37 ,0.13 ,0.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,89060,CPT,"Exam,synovial fluid crystals",,,17 ,,TotalUnits,,,,0.29 ,,$0.00,$0.00,1,0,0,0,0,1,20101001,89100,CPT,Sample intestinal contents,,,17 ,,RBRVS,0.60 ,0.44 ,5.99 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,89105,CPT,Sample intestinal contents,,,17 ,,RBRVS,0.50 ,0.39 ,6.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,89125,CPT,Specimen fat stain,,,17 ,,TotalUnits,,,,0.17 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,89130,CPT,Sample stomach contents,,,17 ,,RBRVS,0.45 ,0.32 ,5.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,89132,CPT,Sample stomach contents,,,17 ,,RBRVS,0.19 ,0.30 ,6.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,89135,CPT,Sample stomach contents,,,17 ,,RBRVS,0.79 ,0.58 ,7.01 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,89136,CPT,Sample stomach contents,,,17 ,,RBRVS,0.21 ,0.25 ,5.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,89140,CPT,Sample stomach contents,,,17 ,,RBRVS,0.94 ,0.45 ,5.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,89141,CPT,Sample stomach contents,,,17 ,,RBRVS,0.85 ,0.47 ,5.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,89160,CPT,Exam feces for meat fibers,,,17 ,,TotalUnits,,,,0.15 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,89190,CPT,Nasal smear for eosinophils,,,17 ,,TotalUnits,,,,0.19 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,89220,CPT,Sputum specimen collection,,TC,17 ,,RBRVS,,0.39 ,0.39 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,89225,CPT,"Starch granules, feces",,,17 ,,TotalUnits,,,,0.14 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,89230,CPT,Collect sweat for test,,TC,17 ,,RBRVS,,0.09 ,0.09 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,89235,CPT,Water load test,,,17 ,,TotalUnits,,,,0.22 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,89240,CPT,Pathology lab procedure,,,17 ,,TotalUnits,,,,0.19 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,89250,CPT,Cultr oocyte/embryo <4 days,,,17 ,,TotalUnits,,,,12.08 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,89251,CPT,Cultr oocyte/embryo <4 days,,,17 ,,TotalUnits,,,,12.57 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,89253,CPT,Embryo hatching,,,17 ,,TotalUnits,,,,5.87 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,89254,CPT,Oocyte identification,,,17 ,,TotalUnits,,,,6.42 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,89255,CPT,Prepare embryo for transfer,,,17 ,,TotalUnits,,,,4.55 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,89257,CPT,Sperm identification,,,17 ,,TotalUnits,,,,5.92 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,89258,CPT,Cryopreservation; embryo(s),,,17 ,,TotalUnits,,,,6.07 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,89259,CPT,"Cryopreservation, sperm",,,17 ,,TotalUnits,,,,1.92 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,89260,CPT,"Sperm isolation, simple",,,17 ,,TotalUnits,,,,1.41 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,89261,CPT,"Sperm isolation, complex",,,17 ,,TotalUnits,,,,2.12 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,89264,CPT,Identify sperm tissue,,,17 ,,TotalUnits,,,,5.30 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,89268,CPT,Insemination of oocytes,,,17 ,,TotalUnits,,,,5.24 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,89272,CPT,Extended culture of oocytes,,,17 ,,TotalUnits,,,,8.79 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,89280,CPT,Assist oocyte fertilization,,,17 ,,TotalUnits,,,,13.62 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,89281,CPT,Assist oocyte fertilization,,,17 ,,TotalUnits,,,,15.67 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,89290,CPT,"Biopsy, oocyte polar body",,,17 ,,TotalUnits,,,,23.37 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,89291,CPT,"Biopsy, oocyte polar body",,,17 ,,TotalUnits,,,,15.40 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,89300,CPT,Semen analysis w/huhner,,,17 ,,TotalUnits,,,,0.36 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,89310,CPT,Semen analysis w/count,,,17 ,,TotalUnits,,,,0.35 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,89320,CPT,Semen anal vol/count/mot,,,17 ,,TotalUnits,,,,0.49 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,89321,CPT,"Semen anal, sperm detection",,,17 ,,TotalUnits,,,,0.49 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,89322,CPT,"Semen anal, strict criteria",,,17 ,,TotalUnits,,,,0.63 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,89325,CPT,Sperm antibody test,,,17 ,,TotalUnits,,,,0.43 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,89329,CPT,Sperm evaluation test,,,17 ,,TotalUnits,,,,0.85 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,89330,CPT,"Evaluation, cervical mucus",,,17 ,,TotalUnits,,,,0.40 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,89331,CPT,Retrograde ejaculation anal,,,17 ,,TotalUnits,,,,0.79 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,89342,CPT,Storage/year; embryo(s),,,17 ,,TotalUnits,,,,2.80 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,89343,CPT,Storage/year; sperm/semen,,,17 ,,TotalUnits,,,,1.22 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,89352,CPT,Thawing cryopresrved; embryo,,,17 ,,TotalUnits,,,,5.38 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,89353,CPT,Thawing cryopresrved; sperm,,,17 ,,TotalUnits,,,,0.82 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,89398,CPT,Unlisted reprod med lab proc,,,17 ,,TotalUnits,,,,0.49 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,90281,CPT,"Human ig, im",,,22 ,,TotalUnits,,,,0.65 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,90283,CPT,"Human ig, iv",,,22 ,,TotalUnits,,,,0.97 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,90284,CPT,"Human ig, sc",,,22 ,,TotalUnits,,,,0.28 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,90287,CPT,Botulinum antitoxin,,,22 ,,TotalUnits,,,,0.16 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,90296,CPT,Diphtheria antitoxin,,,22 ,,TotalUnits,,,,0.45 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,90371,CPT,"Hep b ig, im",,,22 ,,TotalUnits,,,,2.20 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,90375,CPT,"Rabies ig, im/sc",,,22 ,,TotalUnits,,,,2.55 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,90376,CPT,"Rabies ig, heat treated",,,22 ,,TotalUnits,,,,2.55 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,90378,CPT,"Rsv ig, im, 50mg",,,22 ,,TotalUnits,,,,0.57 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,90384,CPT,"Rh ig, full-dose, im",,,22 ,,TotalUnits,,,,1.62 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,90385,CPT,"Rh ig, minidose, im",,,22 ,,TotalUnits,,,,0.74 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,90386,CPT,"Rh ig, iv",,,22 ,,TotalUnits,,,,0.59 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,90389,CPT,"Tetanus ig, im",,,22 ,,TotalUnits,,,,1.51 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,90396,CPT,"Varicella-zoster ig, im",,,22 ,,TotalUnits,,,,1.85 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,90399,CPT,Immune globulin,,,22 ,,TotalUnits,,,,0.97 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,90465,CPT,"Immune admin 1 inj, < 8 yrs",,,9 ,,RBRVS,0.17 ,0.40 ,0.40 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,90466,CPT,"Immune admin addl inj, < 8 y",,,9 ,,RBRVS,0.15 ,0.06 ,0.13 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,90467,CPT,"Immune admin o or n, < 8 yrs",,,9 ,,RBRVS,0.17 ,0.08 ,0.20 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,90468,CPT,"Immune admin o/n, addl < 8 y",,,9 ,,RBRVS,0.15 ,0.05 ,0.12 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,90470,CPT,Immune admin H1N1 im/nasal,,,9 ,,TotalUnits,,,,0.44 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,90471,CPT,Immunization admin,,,9 ,,RBRVS,0.17 ,0.40 ,0.40 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,90472,CPT,"Immunization admin, each add",,,9 ,,RBRVS,0.15 ,0.06 ,0.13 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,90473,CPT,Immune admin oral/nasal,,,9 ,,RBRVS,0.17 ,0.05 ,0.20 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,90474,CPT,Immune admin oral/nasal addl,,,9 ,,RBRVS,0.15 ,0.05 ,0.09 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,90476,CPT,"Adenovirus vaccine, type 4",,,9 ,,TotalUnits,,,,0.46 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,90477,CPT,"Adenovirus vaccine, type 7",,,9 ,,TotalUnits,,,,0.32 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,90581,CPT,"Anthrax vaccine, sc",,,9 ,,RBRVS,,2.78 ,2.78 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,90585,CPT,"Bcg vaccine, percut",,,9 ,,TotalUnits,,,,4.61 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,90586,CPT,"Bcg vaccine, intravesical",,,9 ,,TotalUnits,,,,7.07 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,90632,CPT,"Hep a vaccine, adult im",,,9 ,,TotalUnits,,,,2.52 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,90633,CPT,"Hep a vacc, ped/adol, 2 dose",,,9 ,,TotalUnits,,,,1.35 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,90634,CPT,"Hep a vacc, ped/adol, 3 dose",,,9 ,,TotalUnits,,,,1.41 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,90636,CPT,"Hep a/hep b vacc, adult im",,,9 ,,TotalUnits,,,,3.57 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,90645,CPT,"Hib vaccine, hboc, im",,,9 ,,TotalUnits,,,,1.04 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,90646,CPT,"Hib vaccine, prp-d, im",,,9 ,,TotalUnits,,,,2.54 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,90647,CPT,"Hib vaccine, prp-omp, im",,,9 ,,TotalUnits,,,,1.08 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,90648,CPT,"Hib vaccine, prp-t, im",,,9 ,,TotalUnits,,,,1.04 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,90649,CPT,"Hpv vaccine 4 valent, im",,,9 ,,TotalUnits,,,,4.67 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,90650,CPT,"Hpv vaccine 2 valent, im",,,9 ,,TotalUnits,,,,2.79 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,90655,CPT,Flu vaccine no preserv 6-35m,,,9 ,,TotalUnits,,,,0.55 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,90656,CPT,Flu vaccine no preserv 3 & >,,,9 ,,TotalUnits,,,,0.55 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,90657,CPT,"Flu vaccine, 3 yrs, im",,,9 ,,TotalUnits,,,,0.57 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,90658,CPT,"Flu vaccine, 3 yrs & >, im",,,9 ,,TotalUnits,,,,0.57 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,90660,CPT,"Flu vaccine, nasal",,,9 ,,TotalUnits,,,,0.74 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,90661,CPT,Flu vacc cell cult prsv free,,,9 ,,TotalUnits,,,,0.56 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,90662,CPT,Flu vacc prsv free inc antig,,,9 ,,TotalUnits,,,,0.65 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,90665,CPT,"Lyme disease vaccine, im",,,9 ,,TotalUnits,,,,0.49 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,90669,CPT,"Pneumococcal vacc, ped <5",,,9 ,,TotalUnits,,,,2.92 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,90675,CPT,"Rabies vaccine, im",,,9 ,,TotalUnits,,,,7.01 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,90676,CPT,"Rabies vaccine, id",,,9 ,,TotalUnits,,,,3.83 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,90680,CPT,"Rotovirus vacc 3 dose, oral",,,9 ,,TotalUnits,,,,2.77 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,90681,CPT,Rotavirus vacc 2 dose oral,,,9 ,,TotalUnits,,,,2.77 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,90690,CPT,"Typhoid vaccine, oral",,,9 ,,TotalUnits,,,,1.41 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,90691,CPT,"Typhoid vaccine, im",,,9 ,,TotalUnits,,,,2.01 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,90692,CPT,"Typhoid vaccine, h-p, sc/id",,,9 ,,TotalUnits,,,,1.44 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,90693,CPT,"Typhoid vaccine, akd, sc",,,9 ,,TotalUnits,,,,1.28 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,90696,CPT,Dtap-ipv vacc 4-6 yr im,,,9 ,,TotalUnits,,,,1.81 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,90698,CPT,"Dtap-hib-ip vaccine, im",,,9 ,,TotalUnits,,,,2.77 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,90700,CPT,"Dtap vaccine, < 7 yrs, im",,,9 ,,TotalUnits,,,,0.92 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,90701,CPT,"Dtp vaccine, im",,,9 ,,TotalUnits,,,,1.00 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,90702,CPT,"Dt vaccine < 7, im",,,9 ,,TotalUnits,,,,0.75 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,90703,CPT,"Tetanus vaccine, im",,,9 ,,TotalUnits,,,,0.80 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,90704,CPT,"Mumps vaccine, sc",,,9 ,,TotalUnits,,,,0.95 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,90705,CPT,"Measles vaccine, sc",,,9 ,,TotalUnits,,,,0.98 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,90706,CPT,"Rubella vaccine, sc",,,9 ,,TotalUnits,,,,0.98 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,90707,CPT,"Mmr vaccine, sc",,,9 ,,TotalUnits,,,,1.84 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,90708,CPT,"Measles-rubella vaccine, sc",,,9 ,,TotalUnits,,,,1.45 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,90710,CPT,"Mmrv vaccine, sc",,,9 ,,TotalUnits,,,,4.92 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,90712,CPT,Oral poliovirus vaccine,,,9 ,,TotalUnits,,,,0.97 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,90713,CPT,"Poliovirus, ipv, sc/im",,,9 ,,TotalUnits,,,,1.04 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,90714,CPT,Td vaccine no prsrv >/= 7 im,,,9 ,,TotalUnits,,,,0.68 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,90715,CPT,Tdap vaccine >7 im,,,9 ,,TotalUnits,,,,0.83 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,90716,CPT,"Chicken pox vaccine, sc",,,9 ,,TotalUnits,,,,2.70 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,90717,CPT,"Yellow fever vaccine, sc",,,9 ,,TotalUnits,,,,3.13 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,90718,CPT,"Td vaccine > 7, im",,,9 ,,TotalUnits,,,,0.74 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,90719,CPT,"Diphtheria vaccine, im",,,9 ,,TotalUnits,,,,0.57 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,90720,CPT,"Dtp/hib vaccine, im",,,9 ,,TotalUnits,,,,1.29 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,90721,CPT,"Dtap/hib vaccine, im",,,9 ,,TotalUnits,,,,0.89 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,90723,CPT,"Dtap-hep b-ipv vaccine, im",,,9 ,,TotalUnits,,,,2.70 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,90725,CPT,"Cholera vaccine, injectable",,,9 ,,TotalUnits,,,,0.15 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,90727,CPT,"Plague vaccine, im",,,9 ,,TotalUnits,,,,0.41 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,90732,CPT,Pneumococcal vaccine,,,9 ,,TotalUnits,,,,1.20 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,90733,CPT,"Meningococcal vaccine, sc",,,9 ,,TotalUnits,,,,3.69 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,90734,CPT,"Meningococcal vaccine, im",,,9 ,,TotalUnits,,,,3.50 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,90735,CPT,"Encephalitis vaccine, sc",,,9 ,,TotalUnits,,,,3.81 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,90736,CPT,"Zoster vacc, sc",,,9 ,,TotalUnits,,,,5.90 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,90738,CPT,Inactivated je vacc im,,,9 ,,RBRVS,,1.32 ,1.32 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,90740,CPT,"Hepb vacc, ill pat 3 dose im",,,9 ,,TotalUnits,,,,7.07 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,90743,CPT,"Hep b vacc, adol, 2 dose, im",,,9 ,,TotalUnits,,,,1.84 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,90744,CPT,Hepb vacc ped/adol 3 dose im,,,9 ,,TotalUnits,,,,1.28 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,90746,CPT,"Hep b vaccine, adult, im",,,9 ,,TotalUnits,,,,2.49 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,90747,CPT,"Hepb vacc, ill pat 4 dose im",,,9 ,,TotalUnits,,,,7.96 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,90748,CPT,"Hep b/hib vaccine, im",,,9 ,,TotalUnits,,,,2.06 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,90749,CPT,Vaccine toxoid,,,9 ,,TotalUnits,,,,0.57 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,90801,CPT,Psy dx interview,,,16 ,,RBRVS,2.80 ,0.69 ,1.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,90802,CPT,Intac psy dx interview,,,16 ,,RBRVS,3.01 ,0.74 ,1.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,90804,CPT,"Psytx, office, 20-30 min",,,16 ,,RBRVS,1.21 ,0.26 ,0.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,90805,CPT,"Psytx, off, 20-30 min w/e&m",,,16 ,,RBRVS,1.37 ,0.29 ,0.57 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,90806,CPT,"Psytx, off, 45-50 min",,,16 ,,RBRVS,1.86 ,0.40 ,0.57 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,90807,CPT,"Psytx, off, 45-50 min w/e&m",,,16 ,,RBRVS,2.02 ,0.43 ,0.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,90808,CPT,"Psytx, office, 75-80 min",,,16 ,,RBRVS,2.79 ,0.61 ,0.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,90809,CPT,"Psytx, off, 75-80, w/e&m",,,16 ,,RBRVS,2.95 ,0.64 ,0.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,90810,CPT,"Intac psytx, off, 20-30 min",,,16 ,,RBRVS,1.32 ,0.28 ,0.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,90811,CPT,"Intac psytx, 20-30, w/e&m",,,16 ,,RBRVS,1.48 ,0.32 ,0.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,90812,CPT,"Intac psytx, off, 45-50 min",,,16 ,,RBRVS,1.97 ,0.43 ,0.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,90813,CPT,"Intac psytx, 45-50 min w/e&m",,,16 ,,RBRVS,2.13 ,0.46 ,0.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,90814,CPT,"Intac psytx, off, 75-80 min",,,16 ,,RBRVS,2.90 ,0.70 ,0.94 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,90815,CPT,"Intac psytx, 75-80 w/e&m",,,16 ,,RBRVS,3.06 ,0.66 ,1.01 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,90816,CPT,"Psytx, hosp, 20-30 min",,,16 ,,RBRVS,1.25 ,0.36 ,0.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,90817,CPT,"Psytx, hosp, 20-30 min w/e&m",,,16 ,,RBRVS,1.41 ,0.38 ,0.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,90818,CPT,"Psytx, hosp, 45-50 min",,,16 ,,RBRVS,1.89 ,0.51 ,0.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,90819,CPT,"Psytx, hosp, 45-50 min w/e&m",,,16 ,,RBRVS,2.05 ,0.52 ,0.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,90821,CPT,"Psytx, hosp, 75-80 min",,,16 ,,RBRVS,2.83 ,0.71 ,0.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,90822,CPT,"Psytx, hosp, 75-80 min w/e&m",,,16 ,,RBRVS,2.99 ,0.72 ,0.72 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,90823,CPT,"Intac psytx, hosp, 20-30 min",,,16 ,,RBRVS,1.36 ,0.38 ,0.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,90824,CPT,"Intac psytx, hsp 20-30 w/e&m",,,16 ,,RBRVS,1.52 ,0.41 ,0.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,90826,CPT,"Intac psytx, hosp, 45-50 min",,,16 ,,RBRVS,2.01 ,0.53 ,0.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,90827,CPT,"Intac psytx, hsp 45-50 w/e&m",,,16 ,,RBRVS,2.16 ,0.54 ,0.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,90828,CPT,"Intac psytx, hosp, 75-80 min",,,16 ,,RBRVS,2.94 ,0.74 ,0.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,90829,CPT,"Intac psytx, hsp 75-80 w/e&m",,,16 ,,RBRVS,3.10 ,0.74 ,0.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,90845,CPT,Psychoanalysis,,,16 ,,RBRVS,1.79 ,0.39 ,0.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,90846,CPT,Family psytx w/o patient,,,16 ,,RBRVS,1.83 ,0.49 ,0.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,90847,CPT,Family psytx w/patient,,,16 ,,RBRVS,2.21 ,0.57 ,0.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,90849,CPT,Multiple family group psytx,,,16 ,,RBRVS,0.59 ,0.22 ,0.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,90853,CPT,Group psychotherapy,,,16 ,,RBRVS,0.59 ,0.21 ,0.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,90857,CPT,Intac group psytx,,,16 ,,RBRVS,0.63 ,0.22 ,0.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,90862,CPT,Medication management,,,16 ,,RBRVS,0.95 ,0.28 ,0.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,90865,CPT,Narcosynthesis,,,16 ,,RBRVS,2.84 ,0.73 ,1.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,90870,CPT,Electroconvulsive therapy,,,16 ,,RBRVS,1.88 ,0.44 ,1.87 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,90875,CPT,Psychophysiological therapy,,,16 ,,RBRVS,1.20 ,0.42 ,0.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,90876,CPT,Psychophysiological therapy,,,16 ,,RBRVS,1.90 ,0.66 ,0.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,90880,CPT,Hypnotherapy,,,16 ,,RBRVS,2.19 ,0.48 ,0.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,90882,CPT,Environmental manipulation,,,16 ,,TotalUnits,,,,2.55 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,90885,CPT,Psy evaluation of records,,,16 ,,RBRVS,0.97 ,0.34 ,0.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,90887,CPT,Consultation with family,,,16 ,,RBRVS,1.48 ,0.51 ,0.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,90889,CPT,Preparation of report,,,16 ,,TotalUnits,,,,2.20 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,90899,CPT,Psychiatric service/therapy,,,16 ,,TotalUnits,,,,1.48 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,90901,CPT,"Biofeedback train, any meth",,,14 ,,RBRVS,0.41 ,0.12 ,0.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,90911,CPT,Biofeedback peri/uro/rectal,,,14 ,,RBRVS,0.89 ,0.32 ,1.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,90935,CPT,"Hemodialysis, one evaluation",,,14 ,,RBRVS,1.22 ,0.58 ,0.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,90937,CPT,"Hemodialysis, repeated eval",,,14 ,,RBRVS,2.11 ,0.84 ,0.84 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,90940,CPT,Hemodialysis access study,,,14 ,,TotalUnits,,,,1.27 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,90945,CPT,"Dialysis, one evaluation",,,14 ,,RBRVS,1.28 ,0.59 ,0.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,90947,CPT,"Dialysis, repeated eval",,,14 ,,RBRVS,2.16 ,0.86 ,0.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,90951,CPT,"Esrd serv, 4 visits p mo, <2",,,14 ,,RBRVS,18.46 ,7.60 ,7.60 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,90952,CPT,"Esrd serv, 2-3 vsts p mo, <2",,,14 ,,RBRVS,6.87 ,12.08 ,12.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,90953,CPT,"Esrd serv, 1 visit p mo, <2",,,14 ,,RBRVS,4.58 ,8.05 ,8.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,90954,CPT,"Esrd serv, 4 vsts p mo, 2-11",,,14 ,,RBRVS,15.98 ,5.31 ,5.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,90955,CPT,"Esrd srv 2-3 vsts p mo, 2-11",,,14 ,,RBRVS,8.79 ,3.29 ,3.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,90956,CPT,"Esrd srv, 1 visit p mo, 2-11",,,14 ,,RBRVS,5.95 ,2.24 ,2.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,90957,CPT,"Esrd srv, 4 vsts p mo, 12-19",,,14 ,,RBRVS,12.52 ,4.62 ,4.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,90958,CPT,Esrd srv 2-3 vsts p mo 12-19,,,14 ,,RBRVS,8.34 ,3.23 ,3.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,90959,CPT,"Esrd serv, 1 vst p mo, 12-19",,,14 ,,RBRVS,5.50 ,2.10 ,2.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,90960,CPT,"Esrd srv, 4 visits p mo, 20+",,,14 ,,RBRVS,5.18 ,2.46 ,2.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,90961,CPT,"Esrd srv, 2-3 vsts p mo, 20+",,,14 ,,RBRVS,4.26 ,1.90 ,1.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,90962,CPT,"Esrd serv, 1 visit p mo, 20+",,,14 ,,RBRVS,3.15 ,1.30 ,1.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,90963,CPT,"Esrd home pt, serv p mo, <2",,,14 ,,RBRVS,10.56 ,4.14 ,4.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,90964,CPT,"Esrd home pt serv p mo, 2-11",,,14 ,,RBRVS,9.14 ,3.08 ,3.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,90965,CPT,Esrd home pt serv p mo 12-19,,,14 ,,RBRVS,8.69 ,2.95 ,2.95 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,90966,CPT,"Esrd home pt, serv p mo, 20+",,,14 ,,RBRVS,4.26 ,1.83 ,1.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,90967,CPT,"Esrd home pt serv p day, <2",,,14 ,,RBRVS,0.35 ,0.18 ,0.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,90968,CPT,"Esrd home pt srv p day, 2-11",,,14 ,,RBRVS,0.30 ,0.11 ,0.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,90969,CPT,Esrd home pt srv p day 12-19,,,14 ,,RBRVS,0.29 ,0.11 ,0.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,90970,CPT,"Esrd home pt serv p day, 20+",,,14 ,,RBRVS,0.14 ,0.07 ,0.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,90989,CPT,"Dialysis training, complete",,,14 ,,TotalUnits,,,,7.92 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,90993,CPT,"Dialysis training, incompl",,,14 ,,TotalUnits,,,,1.72 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,90997,CPT,Hemoperfusion,,,14 ,,RBRVS,1.84 ,0.56 ,0.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,90999,CPT,Dialysis procedure,,,14 ,,TotalUnits,,,,1.80 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,91000,CPT,Esophageal intubation,26,,14 ,,RBRVS,0.73 ,0.24 ,0.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,91000,CPT,Esophageal intubation,,,14 ,,RBRVS,0.73 ,1.65 ,1.65 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,91000,CPT,Esophageal intubation,TC,,14 ,,RBRVS,,1.41 ,1.41 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,91010,CPT,Esophagus motility study,26,,14 ,,RBRVS,1.25 ,0.54 ,0.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,91010,CPT,Esophagus motility study,,,14 ,,RBRVS,1.25 ,3.76 ,3.76 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,91010,CPT,Esophagus motility study,TC,,14 ,,RBRVS,,3.22 ,3.22 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,91011,CPT,Esophagus motility study,26,,14 ,,RBRVS,1.50 ,0.70 ,0.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,91011,CPT,Esophagus motility study,,,14 ,,RBRVS,1.50 ,5.23 ,5.23 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,91011,CPT,Esophagus motility study,TC,,14 ,,RBRVS,,4.53 ,4.53 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,91012,CPT,Esophagus motility study,26,,14 ,,RBRVS,1.46 ,0.66 ,0.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,91012,CPT,Esophagus motility study,,,14 ,,RBRVS,1.46 ,5.38 ,5.38 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,91012,CPT,Esophagus motility study,TC,,14 ,,RBRVS,,4.72 ,4.72 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,91020,CPT,Gastric motility studies,26,,14 ,,RBRVS,1.44 ,0.61 ,0.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,91020,CPT,Gastric motility studies,,,14 ,,RBRVS,1.44 ,4.66 ,4.66 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,91020,CPT,Gastric motility studies,TC,,14 ,,RBRVS,,4.05 ,4.05 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,91022,CPT,Duodenal motility study,26,,14 ,,RBRVS,1.44 ,0.67 ,0.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,91022,CPT,Duodenal motility study,,,14 ,,RBRVS,1.44 ,3.56 ,3.56 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,91022,CPT,Duodenal motility study,TC,,14 ,,RBRVS,,2.89 ,2.89 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,91030,CPT,Acid perfusion of esophagus,26,,14 ,,RBRVS,0.91 ,0.42 ,0.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,91030,CPT,Acid perfusion of esophagus,,,14 ,,RBRVS,0.91 ,2.76 ,2.76 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,91030,CPT,Acid perfusion of esophagus,TC,,14 ,,RBRVS,,2.34 ,2.34 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,91034,CPT,Gastroesophageal reflux test,26,,14 ,,RBRVS,0.97 ,0.41 ,0.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,91034,CPT,Gastroesophageal reflux test,,,14 ,,RBRVS,0.97 ,4.29 ,4.29 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,91034,CPT,Gastroesophageal reflux test,TC,,14 ,,RBRVS,,3.88 ,3.88 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,91035,CPT,G-esoph reflx tst w/electrod,26,,14 ,,RBRVS,1.59 ,0.69 ,0.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,91035,CPT,G-esoph reflx tst w/electrod,,,14 ,,RBRVS,1.59 ,10.92 ,10.92 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,91035,CPT,G-esoph reflx tst w/electrod,TC,,14 ,,RBRVS,,10.23 ,10.23 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,91037,CPT,Esoph imped function test,26,,14 ,,RBRVS,0.97 ,0.43 ,0.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,91037,CPT,Esoph imped function test,,,14 ,,RBRVS,0.97 ,3.23 ,3.23 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,91037,CPT,Esoph imped function test,TC,,14 ,,RBRVS,,2.80 ,2.80 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,91038,CPT,Esoph imped funct test > 1h,26,,14 ,,RBRVS,1.10 ,0.49 ,0.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,91038,CPT,Esoph imped funct test > 1h,,,14 ,,RBRVS,1.10 ,2.59 ,2.59 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,91038,CPT,Esoph imped funct test > 1h,TC,,14 ,,RBRVS,,2.10 ,2.10 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,91040,CPT,Esoph balloon distension tst,26,,14 ,,RBRVS,0.97 ,0.47 ,0.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,91040,CPT,Esoph balloon distension tst,,,14 ,,RBRVS,0.97 ,9.14 ,9.14 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,91040,CPT,Esoph balloon distension tst,TC,,14 ,,RBRVS,,8.67 ,8.67 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,91052,CPT,Gastric analysis test,26,,14 ,,RBRVS,0.79 ,0.30 ,0.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,91052,CPT,Gastric analysis test,,,14 ,,RBRVS,0.79 ,2.48 ,2.48 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,91052,CPT,Gastric analysis test,TC,,14 ,,RBRVS,,2.18 ,2.18 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,91055,CPT,Gastric intubation for smear,26,,14 ,,RBRVS,0.94 ,0.29 ,0.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,91055,CPT,Gastric intubation for smear,,,14 ,,RBRVS,0.94 ,2.58 ,2.58 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,91055,CPT,Gastric intubation for smear,TC,,14 ,,RBRVS,,2.29 ,2.29 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,91065,CPT,Breath hydrogen test,26,,14 ,,RBRVS,0.20 ,0.08 ,0.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,91065,CPT,Breath hydrogen test,,,14 ,,RBRVS,0.20 ,1.54 ,1.54 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,91065,CPT,Breath hydrogen test,TC,,14 ,,RBRVS,,1.46 ,1.46 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,91105,CPT,Gastric intubation treatment,,,14 ,,RBRVS,0.37 ,0.07 ,1.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,91110,CPT,Gi tract capsule endoscopy,26,,14 ,,RBRVS,3.64 ,1.63 ,1.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,91110,CPT,Gi tract capsule endoscopy,,,14 ,,RBRVS,3.64 ,20.50 ,20.50 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,91110,CPT,Gi tract capsule endoscopy,TC,,14 ,,RBRVS,,18.87 ,18.87 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,91111,CPT,Esophageal capsule endoscopy,26,,21 ,,RBRVS,1.00 ,0.47 ,0.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,91111,CPT,Esophageal capsule endoscopy,,,21 ,,RBRVS,1.00 ,17.92 ,17.92 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,91111,CPT,Esophageal capsule endoscopy,TC,,21 ,,RBRVS,,17.45 ,17.45 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,91120,CPT,Rectal sensation test,26,,14 ,,RBRVS,0.97 ,0.32 ,0.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,91120,CPT,Rectal sensation test,,,14 ,,RBRVS,0.97 ,9.40 ,9.40 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,91120,CPT,Rectal sensation test,TC,,14 ,,RBRVS,,9.08 ,9.08 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,91122,CPT,Anal pressure record,26,,14 ,,RBRVS,1.77 ,0.62 ,0.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,91122,CPT,Anal pressure record,,,14 ,,RBRVS,1.77 ,4.31 ,4.31 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,91122,CPT,Anal pressure record,TC,,14 ,,RBRVS,,3.69 ,3.69 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,91123,CPT,Irrigate fecal impaction,,,14 ,,TotalUnits,,,,0.72 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,91132,CPT,Electrogastrography,26,,14 ,,RBRVS,0.52 ,0.24 ,0.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,91132,CPT,Electrogastrography,,,14 ,,RBRVS,0.52 ,0.64 ,0.64 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,91132,CPT,Electrogastrography,TC,,14 ,,RBRVS,,0.40 ,0.40 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,91133,CPT,Electrogastrography w/test,26,,14 ,,TotalUnits,,,,0.97 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,91133,CPT,Electrogastrography w/test,,,14 ,,TotalUnits,,,,1.87 ,,$0.00,$0.00,1,0,0,0,0,1,20101001,91133,CPT,Electrogastrography w/test,TC,,14 ,,TotalUnits,,,,0.90 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,91299,CPT,Gastroenterology procedure,,,14 ,,TotalUnits,,,,21.26 ,,$0.00,$0.00,1,0,0,0,0,1,20101001,91299,CPT,Gastroenterology procedure,,PC,14 ,,TotalUnits,,,,10.63 ,,$0.00,$0.00,1,0,1,1,1,0,20101001,91299,CPT,Gastroenterology procedure,,TC,14 ,,TotalUnits,,,,10.63 ,,$0.00,$0.00,1,1,1,0,1,0,20101001,92002,CPT,"Eye exam, new patient",,,23 ,,RBRVS,0.88 ,0.30 ,0.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,92004,CPT,"Eye exam, new patient",,,23 ,,RBRVS,1.82 ,0.63 ,1.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,92012,CPT,Eye exam established pat,,,23 ,,RBRVS,0.92 ,0.33 ,1.02 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,92014,CPT,Eye exam & treatment,,,23 ,,RBRVS,1.42 ,0.50 ,1.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,92015,CPT,Refraction,,,23 ,,RBRVS,0.38 ,0.13 ,0.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,92018,CPT,New eye exam & treatment,,,14 ,,RBRVS,2.50 ,0.97 ,0.97 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,92019,CPT,Eye exam & treatment,,,14 ,,RBRVS,1.31 ,0.42 ,0.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,92020,CPT,Special eye evaluation,,,14 ,,RBRVS,0.37 ,0.14 ,0.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,92025,CPT,Corneal topography,26,,14 ,,RBRVS,0.35 ,0.13 ,0.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,92025,CPT,Corneal topography,,,14 ,,RBRVS,0.35 ,0.49 ,0.49 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,92025,CPT,Corneal topography,TC,,14 ,,RBRVS,,0.36 ,0.36 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,92060,CPT,Special eye evaluation,26,,14 ,,RBRVS,0.69 ,0.26 ,0.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,92060,CPT,Special eye evaluation,,,14 ,,RBRVS,0.69 ,0.77 ,0.77 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,92060,CPT,Special eye evaluation,TC,,14 ,,RBRVS,,0.51 ,0.51 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,92065,CPT,Orthoptic/pleoptic training,26,,14 ,,RBRVS,0.37 ,0.11 ,0.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,92065,CPT,Orthoptic/pleoptic training,,,14 ,,RBRVS,0.37 ,0.78 ,0.78 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,92065,CPT,Orthoptic/pleoptic training,TC,,14 ,,RBRVS,,0.67 ,0.67 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,92070,CPT,Fitting of contact lens,,,14 ,,RBRVS,0.70 ,0.26 ,0.95 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,92081,CPT,Visual field examination(s),26,,14 ,,RBRVS,0.36 ,0.13 ,0.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,92081,CPT,Visual field examination(s),,,14 ,,RBRVS,0.36 ,0.95 ,0.95 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,92081,CPT,Visual field examination(s),TC,,14 ,,RBRVS,,0.82 ,0.82 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,92082,CPT,Visual field examination(s),26,,14 ,,RBRVS,0.44 ,0.16 ,0.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,92082,CPT,Visual field examination(s),,,14 ,,RBRVS,0.44 ,1.30 ,1.30 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,92082,CPT,Visual field examination(s),TC,,14 ,,RBRVS,,1.14 ,1.14 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,92083,CPT,Visual field examination(s),26,,14 ,,RBRVS,0.50 ,0.19 ,0.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,92083,CPT,Visual field examination(s),,,14 ,,RBRVS,0.50 ,1.49 ,1.49 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,92083,CPT,Visual field examination(s),TC,,14 ,,RBRVS,,1.30 ,1.30 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,92100,CPT,Serial tonometry exam(s),,,14 ,,RBRVS,0.92 ,0.32 ,1.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,92120,CPT,Tonography & eye evaluation,,,14 ,,RBRVS,0.81 ,0.29 ,1.01 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,92130,CPT,Water provocation tonography,,,14 ,,RBRVS,0.81 ,0.31 ,1.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,92135,CPT,Ophth dx imaging post seg,26,,14 ,,RBRVS,0.35 ,0.14 ,0.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,92135,CPT,Ophth dx imaging post seg,,,14 ,,RBRVS,0.35 ,0.80 ,0.80 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,92135,CPT,Ophth dx imaging post seg,TC,,14 ,,RBRVS,,0.66 ,0.66 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,92136,CPT,Ophthalmic biometry,26,,14 ,,RBRVS,0.54 ,0.22 ,0.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,92136,CPT,Ophthalmic biometry,,,14 ,,RBRVS,0.54 ,1.48 ,1.48 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,92136,CPT,Ophthalmic biometry,TC,,14 ,,RBRVS,,1.26 ,1.26 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,92140,CPT,Glaucoma provocative tests,,,14 ,,RBRVS,0.50 ,0.17 ,0.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,92225,CPT,"Special eye exam, initial",,,14 ,,RBRVS,0.38 ,0.14 ,0.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,92226,CPT,"Special eye exam, subsequent",,,14 ,,RBRVS,0.33 ,0.13 ,0.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,92230,CPT,Eye exam with photos,,,14 ,,RBRVS,0.60 ,0.21 ,0.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,92235,CPT,Eye exam with photos,26,,14 ,,RBRVS,0.81 ,0.33 ,0.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,92235,CPT,Eye exam with photos,,,14 ,,RBRVS,0.81 ,2.35 ,2.35 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,92235,CPT,Eye exam with photos,TC,,14 ,,RBRVS,,2.02 ,2.02 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,92240,CPT,Icg angiography,26,,14 ,,RBRVS,1.10 ,0.45 ,0.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,92240,CPT,Icg angiography,,,14 ,,RBRVS,1.10 ,4.81 ,4.81 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,92240,CPT,Icg angiography,TC,,14 ,,RBRVS,,4.36 ,4.36 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,92250,CPT,Eye exam with photos,26,,14 ,,RBRVS,0.44 ,0.16 ,0.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,92250,CPT,Eye exam with photos,,,14 ,,RBRVS,0.44 ,1.35 ,1.35 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,92250,CPT,Eye exam with photos,TC,,14 ,,RBRVS,,1.19 ,1.19 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,92260,CPT,Ophthalmoscopy/dynamometry,,,14 ,,RBRVS,0.20 ,0.08 ,0.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,92265,CPT,Eye muscle evaluation,26,,14 ,,RBRVS,0.81 ,0.25 ,0.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,92265,CPT,Eye muscle evaluation,,,14 ,,RBRVS,0.81 ,1.10 ,1.10 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,92265,CPT,Eye muscle evaluation,TC,,14 ,,RBRVS,,0.85 ,0.85 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,92270,CPT,Electro-oculography,26,,14 ,,RBRVS,0.81 ,0.27 ,0.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,92270,CPT,Electro-oculography,,,14 ,,RBRVS,0.81 ,1.40 ,1.40 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,92270,CPT,Electro-oculography,TC,,14 ,,RBRVS,,1.13 ,1.13 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,92275,CPT,Electroretinography,26,,14 ,,RBRVS,1.01 ,0.40 ,0.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,92275,CPT,Electroretinography,,,14 ,,RBRVS,1.01 ,2.31 ,2.31 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,92275,CPT,Electroretinography,TC,,14 ,,RBRVS,,1.91 ,1.91 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,92283,CPT,Color vision examination,26,,14 ,,RBRVS,0.17 ,0.06 ,0.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,92283,CPT,Color vision examination,,,14 ,,RBRVS,0.17 ,0.96 ,0.96 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,92283,CPT,Color vision examination,TC,,14 ,,RBRVS,,0.90 ,0.90 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,92284,CPT,Dark adaptation eye exam,26,,14 ,,RBRVS,0.24 ,0.07 ,0.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,92284,CPT,Dark adaptation eye exam,,,14 ,,RBRVS,0.24 ,1.28 ,1.28 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,92284,CPT,Dark adaptation eye exam,TC,,14 ,,RBRVS,,1.21 ,1.21 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,92285,CPT,Eye photography,26,,14 ,,RBRVS,0.20 ,0.08 ,0.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,92285,CPT,Eye photography,,,14 ,,RBRVS,0.20 ,0.84 ,0.84 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,92285,CPT,Eye photography,TC,,14 ,,RBRVS,,0.76 ,0.76 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,92286,CPT,Internal eye photography,26,,14 ,,RBRVS,0.66 ,0.25 ,0.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,92286,CPT,Internal eye photography,,,14 ,,RBRVS,0.66 ,2.32 ,2.32 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,92286,CPT,Internal eye photography,TC,,14 ,,RBRVS,,2.07 ,2.07 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,92287,CPT,Internal eye photography,,,14 ,,RBRVS,0.81 ,0.31 ,2.03 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,92310,CPT,Contact lens fitting,,,23 ,,RBRVS,1.17 ,0.41 ,1.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,92311,CPT,Contact lens fitting,,,14 ,,RBRVS,1.08 ,0.34 ,1.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,92312,CPT,Contact lens fitting,,,14 ,,RBRVS,1.26 ,0.41 ,1.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,92313,CPT,Contact lens fitting,,,14 ,,RBRVS,0.92 ,0.32 ,1.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,92314,CPT,Prescription of contact lens,,,23 ,,RBRVS,0.69 ,0.24 ,1.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,92315,CPT,Prescription of contact lens,,,14 ,,RBRVS,0.45 ,0.14 ,1.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,92316,CPT,Prescription of contact lens,,,14 ,,RBRVS,0.68 ,0.25 ,1.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,92317,CPT,Prescription of contact lens,,,14 ,,RBRVS,0.45 ,0.13 ,1.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,92325,CPT,Modification of contact lens,,,14 ,,RBRVS,,0.72 ,0.72 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,92326,CPT,Replacement of contact lens,,,14 ,,RBRVS,,0.95 ,0.95 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,92340,CPT,Fitting of spectacles,,,14 ,,RBRVS,0.37 ,0.13 ,0.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,92341,CPT,Fitting of spectacles,,,14 ,,RBRVS,0.47 ,0.16 ,0.60 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,92342,CPT,Fitting of spectacles,,,14 ,,RBRVS,0.53 ,0.19 ,0.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,92352,CPT,Special spectacles fitting,,,14 ,,RBRVS,0.37 ,0.13 ,0.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,92353,CPT,Special spectacles fitting,,,14 ,,RBRVS,0.50 ,0.17 ,0.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,92354,CPT,Special spectacles fitting,,,14 ,,RBRVS,,2.46 ,2.46 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,92355,CPT,Special spectacles fitting,,,14 ,,RBRVS,,1.46 ,1.46 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,92358,CPT,Eye prosthesis service,,,14 ,,RBRVS,,0.44 ,0.44 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,92370,CPT,Repair & adjust spectacles,,,14 ,,RBRVS,0.32 ,0.11 ,0.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,92371,CPT,Repair & adjust spectacles,,,14 ,,RBRVS,,0.36 ,0.36 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,92499,CPT,Eye service or procedure,,,14 ,,TotalUnits,,,,0.75 ,,$0.00,$0.00,1,0,0,0,0,1,20101001,92499,CPT,Eye service or procedure,,PC,14 ,,TotalUnits,,,,0.25 ,,$0.00,$0.00,1,0,1,1,1,0,20101001,92499,CPT,Eye service or procedure,,TC,14 ,,TotalUnits,,,,0.50 ,,$0.00,$0.00,1,1,1,0,1,0,20101001,92502,CPT,Ear and throat examination,,,14 ,,RBRVS,1.51 ,0.97 ,0.97 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,92504,CPT,Ear microscopy examination,,,14 ,,RBRVS,0.18 ,0.07 ,0.57 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,92506,CPT,Speech/hearing evaluation,,,8 ,,RBRVS,0.86 ,0.32 ,3.19 ,,,$0.00,$0.00,1,1,1,0,0,1,20101001,92507,CPT,Speech/hearing therapy,,,8 ,,RBRVS,0.52 ,0.18 ,1.16 ,,,$0.00,$0.00,1,1,1,0,0,1,20101001,92508,CPT,Speech/hearing therapy,,,8 ,,RBRVS,0.26 ,0.10 ,0.54 ,,,$0.00,$0.00,1,1,1,0,0,1,20101001,92511,CPT,Nasopharyngoscopy,,,14 ,,RBRVS,0.84 ,0.70 ,3.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,92512,CPT,Nasal function studies,,,14 ,,RBRVS,0.55 ,0.19 ,1.02 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,92516,CPT,Facial nerve function test,,,14 ,,RBRVS,0.43 ,0.17 ,1.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,92520,CPT,Laryngeal function studies,,,14 ,,RBRVS,0.75 ,0.29 ,0.84 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,92526,CPT,Oral function therapy,,,14 ,,RBRVS,0.55 ,0.18 ,1.60 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,92531,CPT,Spontaneous nystagmus study,,,14 ,,TotalUnits,,,,0.61 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,92532,CPT,Positional nystagmus test,,,14 ,,TotalUnits,,,,0.55 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,92533,CPT,Caloric vestibular test,,,14 ,,TotalUnits,,,,0.88 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,92534,CPT,Optokinetic nystagmus test,,,14 ,,TotalUnits,,,,0.47 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,92540,CPT,Basic vestibular evaluation,,PC,14 ,,RBRVS,1.50 ,0.64 ,0.64 ,,,$0.00,$0.00,1,0,1,1,1,0,20101001,92540,CPT,Basic vestibular evaluation,,,14 ,,RBRVS,1.50 ,1.09 ,1.09 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,92540,CPT,Basic vestibular evaluation,,TC,14 ,,RBRVS,,0.45 ,0.45 ,,,$0.00,$0.00,1,1,1,0,1,0,20101001,92541,CPT,Spontaneous nystagmus test,26,,14 ,,RBRVS,0.40 ,0.14 ,0.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,92541,CPT,Spontaneous nystagmus test,,,14 ,,RBRVS,0.40 ,1.14 ,1.14 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,92541,CPT,Spontaneous nystagmus test,TC,,14 ,,RBRVS,,1.00 ,1.00 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,92542,CPT,Positional nystagmus test,26,,14 ,,RBRVS,0.33 ,0.12 ,0.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,92542,CPT,Positional nystagmus test,,,14 ,,RBRVS,0.33 ,1.28 ,1.28 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,92542,CPT,Positional nystagmus test,TC,,14 ,,RBRVS,,1.16 ,1.16 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,92543,CPT,Caloric vestibular test,26,,14 ,,RBRVS,0.10 ,0.04 ,0.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,92543,CPT,Caloric vestibular test,,,14 ,,RBRVS,0.10 ,0.64 ,0.64 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,92543,CPT,Caloric vestibular test,TC,,14 ,,RBRVS,,0.60 ,0.60 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,92544,CPT,Optokinetic nystagmus test,26,,14 ,,RBRVS,0.26 ,0.09 ,0.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,92544,CPT,Optokinetic nystagmus test,,,14 ,,RBRVS,0.26 ,1.03 ,1.03 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,92544,CPT,Optokinetic nystagmus test,TC,,14 ,,RBRVS,,0.94 ,0.94 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,92545,CPT,Oscillating tracking test,26,,14 ,,RBRVS,0.23 ,0.08 ,0.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,92545,CPT,Oscillating tracking test,,,14 ,,RBRVS,0.23 ,0.98 ,0.98 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,92545,CPT,Oscillating tracking test,TC,,14 ,,RBRVS,,0.90 ,0.90 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,92546,CPT,Sinusoidal rotational test,26,,14 ,,RBRVS,0.29 ,0.10 ,0.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,92546,CPT,Sinusoidal rotational test,,,14 ,,RBRVS,0.29 ,1.90 ,1.90 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,92546,CPT,Sinusoidal rotational test,TC,,14 ,,RBRVS,,1.80 ,1.80 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,92547,CPT,Supplemental electrical test,,TC,14 ,,RBRVS,,0.10 ,0.10 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,92548,CPT,Posturography,26,,14 ,,RBRVS,0.50 ,0.18 ,0.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,92548,CPT,Posturography,,,14 ,,RBRVS,0.50 ,1.90 ,1.90 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,92548,CPT,Posturography,TC,,14 ,,RBRVS,,1.72 ,1.72 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,92550,CPT,Tympanometry & reflex thresh,,,8 ,,RBRVS,0.35 ,0.21 ,0.21 ,,,$0.00,$0.00,1,1,1,0,0,1,20101001,92551,CPT,"Pure tone hearing test, air",,,8 ,,RBRVS,,0.28 ,0.28 ,,,$0.00,$0.00,1,1,1,0,0,1,20101001,92552,CPT,"Pure tone audiometry, air",,TC,8 ,,RBRVS,,0.55 ,0.55 ,,,$0.00,$0.00,1,1,1,0,0,1,20101001,92553,CPT,"Audiometry, air & bone",,TC,8 ,,RBRVS,,0.73 ,0.73 ,,,$0.00,$0.00,1,1,1,0,0,1,20101001,92555,CPT,Speech threshold audiometry,,TC,8 ,,RBRVS,,0.40 ,0.40 ,,,$0.00,$0.00,1,1,1,0,0,1,20101001,92556,CPT,"Speech audiometry, complete",,TC,8 ,,RBRVS,,0.62 ,0.62 ,,,$0.00,$0.00,1,1,1,0,0,1,20101001,92557,CPT,Comprehensive hearing test,,,8 ,,RBRVS,0.60 ,0.46 ,0.53 ,,,$0.00,$0.00,1,1,1,0,0,1,20101001,92559,CPT,Group audiometric testing,,,8 ,,TotalUnits,,,,0.72 ,,$0.00,$0.00,1,1,1,0,0,1,20101001,92560,CPT,"Bekesy audiometry, screen",,,8 ,,TotalUnits,,,,0.43 ,,$0.00,$0.00,1,1,1,0,0,1,20101001,92561,CPT,"Bekesy audiometry, diagnosis",,TC,8 ,,RBRVS,,0.71 ,0.71 ,,,$0.00,$0.00,1,1,1,0,0,1,20101001,92562,CPT,Loudness balance test,,TC,8 ,,RBRVS,,0.58 ,0.58 ,,,$0.00,$0.00,1,1,1,0,0,1,20101001,92563,CPT,Tone decay hearing test,,TC,8 ,,RBRVS,,0.52 ,0.52 ,,,$0.00,$0.00,1,1,1,0,0,1,20101001,92564,CPT,Sisi hearing test,,TC,8 ,,RBRVS,,0.49 ,0.49 ,,,$0.00,$0.00,1,1,1,0,0,1,20101001,92565,CPT,"Stenger test, pure tone",,TC,8 ,,RBRVS,,0.31 ,0.31 ,,,$0.00,$0.00,1,1,1,0,0,1,20101001,92567,CPT,Tympanometry,,,8 ,,RBRVS,0.20 ,0.18 ,0.23 ,,,$0.00,$0.00,1,1,1,0,0,1,20101001,92568,CPT,Acoustic refl threshold tst,,,8 ,,RBRVS,0.29 ,0.17 ,0.17 ,,,$0.00,$0.00,1,1,1,0,0,1,20101001,92570,CPT,Acoustic immittance testing,,,8 ,,RBRVS,0.55 ,0.25 ,0.30 ,,,$0.00,$0.00,1,1,1,0,0,1,20101001,92571,CPT,Filtered speech hearing test,,TC,8 ,,RBRVS,,0.41 ,0.41 ,,,$0.00,$0.00,1,1,1,0,0,1,20101001,92572,CPT,Staggered spondaic word test,,TC,8 ,,RBRVS,,0.46 ,0.46 ,,,$0.00,$0.00,1,1,1,0,0,1,20101001,92575,CPT,Sensorineural acuity test,,TC,8 ,,RBRVS,,0.93 ,0.93 ,,,$0.00,$0.00,1,1,1,0,0,1,20101001,92576,CPT,Synthetic sentence test,,TC,8 ,,RBRVS,,0.53 ,0.53 ,,,$0.00,$0.00,1,1,1,0,0,1,20101001,92577,CPT,"Stenger test, speech",,TC,8 ,,RBRVS,,0.41 ,0.41 ,,,$0.00,$0.00,1,1,1,0,0,1,20101001,92579,CPT,Visual audiometry (vra),,,8 ,,RBRVS,0.70 ,0.37 ,0.45 ,,,$0.00,$0.00,1,1,1,0,0,1,20101001,92582,CPT,Conditioning play audiometry,,TC,8 ,,RBRVS,,1.06 ,1.06 ,,,$0.00,$0.00,1,1,1,0,0,1,20101001,92583,CPT,Select picture audiometry,,TC,8 ,,RBRVS,,0.83 ,0.83 ,,,$0.00,$0.00,1,1,1,0,0,1,20101001,92584,CPT,Electrocochleography,,TC,8 ,,RBRVS,,1.65 ,1.65 ,,,$0.00,$0.00,1,1,1,0,0,1,20101001,92585,CPT,"Auditor evoke potent, compre",26,,8 ,,RBRVS,0.50 ,0.18 ,0.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,92585,CPT,"Auditor evoke potent, compre",,,8 ,,RBRVS,0.50 ,2.09 ,2.09 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,92585,CPT,"Auditor evoke potent, compre",TC,,8 ,,RBRVS,,1.91 ,1.91 ,,,$0.00,$0.00,1,1,1,0,0,1,20101001,92586,CPT,"Auditor evoke potent, limit",,TC,8 ,,RBRVS,,1.57 ,1.57 ,,,$0.00,$0.00,1,1,1,0,0,1,20101001,92587,CPT,Evoked auditory test,26,,8 ,,RBRVS,0.13 ,0.05 ,0.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,92587,CPT,Evoked auditory test,,,8 ,,RBRVS,0.13 ,0.82 ,0.82 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,92587,CPT,Evoked auditory test,TC,,8 ,,RBRVS,,0.77 ,0.77 ,,,$0.00,$0.00,1,1,1,0,0,1,20101001,92588,CPT,Evoked auditory test,26,,8 ,,RBRVS,0.36 ,0.13 ,0.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,92588,CPT,Evoked auditory test,,,8 ,,RBRVS,0.36 ,1.24 ,1.24 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,92588,CPT,Evoked auditory test,TC,,8 ,,RBRVS,,1.11 ,1.11 ,,,$0.00,$0.00,1,1,1,0,0,1,20101001,92590,CPT,"Hearing aid exam, one ear",,,8 ,,TotalUnits,,,,1.32 ,,$0.00,$0.00,1,1,1,0,0,1,20101001,92591,CPT,"Hearing aid exam, both ears",,,8 ,,TotalUnits,,,,1.69 ,,$0.00,$0.00,1,1,1,0,0,1,20101001,92592,CPT,"Hearing aid check, one ear",,,8 ,,TotalUnits,,,,0.53 ,,$0.00,$0.00,1,1,1,0,0,1,20101001,92593,CPT,"Hearing aid check, both ears",,,8 ,,TotalUnits,,,,0.87 ,,$0.00,$0.00,1,1,1,0,0,1,20101001,92594,CPT,"Electro hearng aid test, one",,,8 ,,TotalUnits,,,,0.51 ,,$0.00,$0.00,1,1,1,0,0,1,20101001,92595,CPT,"Electro hearng aid tst, both",,,8 ,,TotalUnits,,,,1.08 ,,$0.00,$0.00,1,1,1,0,0,1,20101001,92596,CPT,Ear protector evaluation,,TC,8 ,,RBRVS,,0.89 ,0.89 ,,,$0.00,$0.00,1,1,1,0,0,1,20101001,92597,CPT,Oral speech device eval,,,8 ,,RBRVS,0.86 ,0.34 ,1.89 ,,,$0.00,$0.00,1,1,1,0,0,1,20101001,92601,CPT,Cochlear implt f/up exam < 7,,,14 ,,RBRVS,2.30 ,1.48 ,1.84 ,,,$0.00,$0.00,1,1,1,0,0,1,20101001,92602,CPT,Reprogram cochlear implt < 7,,,14 ,,RBRVS,1.30 ,0.94 ,1.27 ,,,$0.00,$0.00,1,1,1,0,0,1,20101001,92603,CPT,Cochlear implt f/up exam 7 >,,,14 ,,RBRVS,2.25 ,1.14 ,1.47 ,,,$0.00,$0.00,1,1,1,0,0,1,20101001,92604,CPT,Reprogram cochlear implt 7 >,,,14 ,,RBRVS,1.25 ,0.67 ,0.94 ,,,$0.00,$0.00,1,1,1,0,0,1,20101001,92606,CPT,Non-speech device service,,,14 ,,TotalUnits,,,,0.31 ,,$0.00,$0.00,1,1,1,0,0,1,20101001,92607,CPT,"Ex for speech device rx, 1hr",,,14 ,,RBRVS,,4.12 ,4.12 ,,,$0.00,$0.00,1,1,1,0,0,1,20101001,92608,CPT,Ex for speech device rx addl,,,14 ,,RBRVS,,0.76 ,0.76 ,,,$0.00,$0.00,1,1,1,0,0,1,20101001,92609,CPT,Use of speech device service,,,14 ,,RBRVS,,2.18 ,2.18 ,,,$0.00,$0.00,1,1,1,0,0,1,20101001,92610,CPT,Evaluate swallowing function,,,14 ,,RBRVS,,2.08 ,2.08 ,,,$0.00,$0.00,1,1,1,0,0,1,20101001,92611,CPT,Motion fluoroscopy/swallow,,,14 ,,RBRVS,,2.27 ,2.27 ,,,$0.00,$0.00,1,1,1,0,0,1,20101001,92612,CPT,Endoscopy swallow tst (fees),,,14 ,,RBRVS,1.27 ,0.50 ,2.89 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,92613,CPT,Endoscopy swallow tst (fees),,,14 ,,RBRVS,0.71 ,0.29 ,0.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,92614,CPT,Laryngoscopic sensory test,,,14 ,,RBRVS,1.27 ,0.50 ,2.43 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,92615,CPT,Eval laryngoscopy sense tst,,,14 ,,RBRVS,0.63 ,0.26 ,0.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,92616,CPT,Fees w/laryngeal sense test,,,14 ,,RBRVS,1.88 ,0.73 ,3.20 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,92617,CPT,Interprt fees/laryngeal test,,,14 ,,RBRVS,0.79 ,0.31 ,0.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,92620,CPT,"Auditory function, 60 min",,,14 ,,RBRVS,1.50 ,0.44 ,0.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,92621,CPT,"Auditory function, + 15 min",,,14 ,,RBRVS,0.35 ,0.10 ,0.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,92625,CPT,Tinnitus assessment,,,14 ,,RBRVS,1.15 ,0.39 ,0.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,92626,CPT,Eval aud rehab status,,,14 ,,RBRVS,1.40 ,0.73 ,0.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,92627,CPT,Eval aud status rehab add-on,,,14 ,,RBRVS,0.33 ,0.19 ,0.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,92630,CPT,Aud rehab pre-ling hear loss,,,14 ,,TotalUnits,,,,1.02 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,92633,CPT,Aud rehab postling hear loss,,,14 ,,TotalUnits,,,,1.03 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,92640,CPT,Aud brainstem implt programg,,,14 ,,RBRVS,1.76 ,0.26 ,0.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,92700,CPT,Ent procedure/service,,,14 ,,TotalUnits,,,,0.59 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,92950,CPT,Heart/lung resuscitation cpr,,,4 ,,RBRVS,3.79 ,0.84 ,3.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,92953,CPT,Temporary external pacing,,,4 ,,RBRVS,0.23 ,0.08 ,0.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,92960,CPT,"Cardioversion electric, ext",,,4 ,,RBRVS,2.25 ,1.38 ,4.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,92961,CPT,"Cardioversion, electric, int",,,4 ,,RBRVS,4.59 ,2.39 ,2.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,92970,CPT,"Cardioassist, internal",,,4 ,,RBRVS,3.51 ,1.37 ,1.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,92971,CPT,"Cardioassist, external",,,4 ,,RBRVS,1.77 ,1.04 ,1.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,92973,CPT,Percut coronary thrombectomy,,,21 ,,RBRVS,3.28 ,1.65 ,1.65 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,92974,CPT,"Cath place, cardio brachytx",,,21 ,,RBRVS,3.00 ,1.52 ,1.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,92975,CPT,"Dissolve clot, heart vessel",,,4 ,,RBRVS,7.24 ,3.59 ,3.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,92977,CPT,"Dissolve clot, heart vessel",,,4 ,,RBRVS,,3.26 ,3.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,92978,CPT,"Intravasc us, heart add-on",26,,4 ,,TotalUnits,,,,2.70 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,92978,CPT,"Intravasc us, heart add-on",,,4 ,,TotalUnits,,,,7.57 ,,$0.00,$0.00,1,0,0,0,0,1,20101001,92978,CPT,"Intravasc us, heart add-on",TC,,4 ,,TotalUnits,,,,4.87 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,92979,CPT,"Intravasc us, heart add-on",26,,4 ,,TotalUnits,,,,2.17 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,92979,CPT,"Intravasc us, heart add-on",,,4 ,,TotalUnits,,,,4.05 ,,$0.00,$0.00,1,0,0,0,0,1,20101001,92979,CPT,"Intravasc us, heart add-on",TC,,4 ,,TotalUnits,,,,1.88 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,92980,CPT,Insert intracoronary stent,,,21 ,,RBRVS,14.82 ,7.66 ,7.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,92981,CPT,Insert intracoronary stent,,,21 ,,RBRVS,4.16 ,2.09 ,2.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,92982,CPT,Coronary artery dilation,,,21 ,,RBRVS,10.96 ,5.71 ,5.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,92984,CPT,Coronary artery dilation,,,21 ,,RBRVS,2.97 ,1.49 ,1.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,92986,CPT,Revision of aortic valve,,,21 ,,RBRVS,22.70 ,14.36 ,14.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,92987,CPT,Revision of mitral valve,,,21 ,,RBRVS,23.48 ,14.86 ,14.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,92990,CPT,Revision of pulmonary valve,,,21 ,,RBRVS,18.12 ,11.40 ,11.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,92992,CPT,Revision of heart chamber,,,21 ,,TotalUnits,,,,30.54 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,92993,CPT,Revision of heart chamber,,,21 ,,RBRVS,7.79 ,13.68 ,13.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,92995,CPT,Coronary atherectomy,,,21 ,,RBRVS,12.07 ,6.30 ,6.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,92996,CPT,Coronary atherectomy add-on,,,21 ,,RBRVS,3.26 ,1.64 ,1.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,92997,CPT,"Pul art balloon repr, percut",,,21 ,,RBRVS,11.98 ,5.25 ,5.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,92998,CPT,"Pul art balloon repr, percut",,,21 ,,RBRVS,5.99 ,2.79 ,2.79 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,93000,CPT,"Electrocardiogram, complete",,,4 ,,RBRVS,0.17 ,0.38 ,0.38 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,93005,CPT,"Electrocardiogram, tracing",,TC,4 ,,RBRVS,,0.31 ,0.31 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,93010,CPT,Electrocardiogram report,,PC,4 ,,RBRVS,0.17 ,0.07 ,0.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,93012,CPT,Transmission of ecg,,TC,4 ,,RBRVS,,4.87 ,4.87 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,93014,CPT,Report on transmitted ecg,,PC,4 ,,RBRVS,0.52 ,0.23 ,0.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,93015,CPT,Cardiovascular stress test,,,4 ,,RBRVS,0.75 ,1.89 ,1.89 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,93016,CPT,Cardiovascular stress test,,PC,4 ,,RBRVS,0.45 ,0.21 ,0.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,93017,CPT,Cardiovascular stress test,,TC,4 ,,RBRVS,,1.54 ,1.54 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,93018,CPT,Cardiovascular stress test,,PC,4 ,,RBRVS,0.30 ,0.14 ,0.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,93024,CPT,Cardiac drug stress test,26,,4 ,,RBRVS,1.17 ,0.54 ,0.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,93024,CPT,Cardiac drug stress test,,,4 ,,RBRVS,1.17 ,2.09 ,2.09 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,93024,CPT,Cardiac drug stress test,TC,,4 ,,RBRVS,,1.55 ,1.55 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,93025,CPT,Microvolt t-wave assess,26,,4 ,,RBRVS,0.75 ,0.36 ,0.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,93025,CPT,Microvolt t-wave assess,,,4 ,,RBRVS,0.75 ,5.02 ,5.02 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,93025,CPT,Microvolt t-wave assess,TC,,4 ,,RBRVS,,4.66 ,4.66 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,93040,CPT,Rhythm ecg with report,,,4 ,,RBRVS,0.16 ,0.19 ,0.19 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,93041,CPT,"Rhythm ecg, tracing",,TC,4 ,,RBRVS,,0.14 ,0.14 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,93042,CPT,"Rhythm ecg, report",,PC,4 ,,RBRVS,0.16 ,0.05 ,0.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,93224,CPT,"Ecg monitor/report, 24 hrs",,,4 ,,RBRVS,0.52 ,2.55 ,2.55 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,93225,CPT,"Ecg monitor/record, 24 hrs",,TC,4 ,,RBRVS,,0.91 ,0.91 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,93226,CPT,"Ecg monitor/report, 24 hrs",,TC,4 ,,RBRVS,,1.39 ,1.39 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,93227,CPT,"Ecg monitor/review, 24 hrs",,PC,4 ,,RBRVS,0.52 ,0.25 ,0.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,93228,CPT,Remote 30 day ecg rev/report,,PC,4 ,,RBRVS,0.52 ,0.17 ,0.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,93229,CPT,Remote 30 day ecg tech supp,,TC,4 ,,TotalUnits,,,,22.80 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,93230,CPT,"Ecg monitor/report, 24 hrs",,,4 ,,RBRVS,0.52 ,2.61 ,2.61 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,93231,CPT,"Ecg monitor/record, 24 hrs",,TC,4 ,,RBRVS,,0.89 ,0.89 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,93232,CPT,"Ecg monitor/report, 24 hrs",,TC,4 ,,RBRVS,,1.50 ,1.50 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,93233,CPT,"Ecg monitor/review, 24 hrs",,PC,4 ,,RBRVS,0.52 ,0.22 ,0.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,93235,CPT,"Ecg monitor/report, 24 hrs",,,4 ,,TotalUnits,,,,1.90 ,,$0.00,$0.00,1,0,0,0,0,1,20101001,93236,CPT,"Ecg monitor/report, 24 hrs",,TC,4 ,,TotalUnits,,,,1.36 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,93237,CPT,"Ecg monitor/review, 24 hrs",,PC,4 ,,RBRVS,0.45 ,0.21 ,0.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,93268,CPT,Ecg record/review,,,4 ,,RBRVS,0.52 ,6.56 ,6.56 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,93270,CPT,Ecg recording,,TC,4 ,,RBRVS,,0.52 ,0.52 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,93271,CPT,Ecg/monitoring and analysis,,TC,4 ,,RBRVS,,5.82 ,5.82 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,93272,CPT,"Ecg/review, interpret only",,PC,4 ,,RBRVS,0.52 ,0.22 ,0.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,93278,CPT,Ecg/signal-averaged,26,,4 ,,RBRVS,0.25 ,0.10 ,0.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,93278,CPT,Ecg/signal-averaged,,,4 ,,RBRVS,0.25 ,0.76 ,0.76 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,93278,CPT,Ecg/signal-averaged,TC,,4 ,,RBRVS,,0.66 ,0.66 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,93279,CPT,"Pm device progr eval, sngl",26,,4 ,,RBRVS,0.65 ,0.33 ,0.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,93279,CPT,"Pm device progr eval, sngl",,,4 ,,RBRVS,0.65 ,0.84 ,0.84 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,93279,CPT,"Pm device progr eval, sngl",TC,,4 ,,RBRVS,,0.51 ,0.51 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,93280,CPT,"Pm device progr eval, dual",26,,4 ,,RBRVS,0.77 ,0.41 ,0.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,93280,CPT,"Pm device progr eval, dual",,,4 ,,RBRVS,0.77 ,1.01 ,1.01 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,93280,CPT,"Pm device progr eval, dual",TC,,4 ,,RBRVS,,0.60 ,0.60 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,93281,CPT,"Pm device progr eval, multi",26,,4 ,,RBRVS,0.90 ,0.48 ,0.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,93281,CPT,"Pm device progr eval, multi",,,4 ,,RBRVS,0.90 ,1.18 ,1.18 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,93281,CPT,"Pm device progr eval, multi",TC,,4 ,,RBRVS,,0.70 ,0.70 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,93282,CPT,"Icd device prog eval, 1 sngl",26,,4 ,,RBRVS,0.85 ,0.43 ,0.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,93282,CPT,"Icd device prog eval, 1 sngl",,,4 ,,RBRVS,0.85 ,1.06 ,1.06 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,93282,CPT,"Icd device prog eval, 1 sngl",TC,,4 ,,RBRVS,,0.63 ,0.63 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,93283,CPT,"Icd device progr eval, dual",26,,4 ,,RBRVS,1.05 ,0.56 ,0.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,93283,CPT,"Icd device progr eval, dual",,,4 ,,RBRVS,1.05 ,1.28 ,1.28 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,93283,CPT,"Icd device progr eval, dual",TC,,4 ,,RBRVS,,0.72 ,0.72 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,93284,CPT,"Icd device progr eval, mult",26,,4 ,,RBRVS,1.25 ,0.67 ,0.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,93284,CPT,"Icd device progr eval, mult",,,4 ,,RBRVS,1.25 ,1.49 ,1.49 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,93284,CPT,"Icd device progr eval, mult",TC,,4 ,,RBRVS,,0.82 ,0.82 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,93285,CPT,Ilr device eval progr,26,,4 ,,RBRVS,0.52 ,0.28 ,0.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,93285,CPT,Ilr device eval progr,,,4 ,,RBRVS,0.52 ,0.76 ,0.76 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,93285,CPT,Ilr device eval progr,TC,,4 ,,RBRVS,,0.48 ,0.48 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,93286,CPT,Pre-op pm device eval,26,,4 ,,RBRVS,0.30 ,0.10 ,0.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,93286,CPT,Pre-op pm device eval,,,4 ,,RBRVS,0.30 ,0.42 ,0.42 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,93286,CPT,Pre-op pm device eval,TC,,4 ,,RBRVS,,0.32 ,0.32 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,93287,CPT,Pre-op icd device eval,26,,4 ,,RBRVS,0.45 ,0.15 ,0.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,93287,CPT,Pre-op icd device eval,,,4 ,,RBRVS,0.45 ,0.50 ,0.50 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,93287,CPT,Pre-op icd device eval,TC,,4 ,,RBRVS,,0.35 ,0.35 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,93288,CPT,Pm device eval in person,26,,4 ,,RBRVS,0.43 ,0.23 ,0.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,93288,CPT,Pm device eval in person,,,4 ,,RBRVS,0.43 ,0.72 ,0.72 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,93288,CPT,Pm device eval in person,TC,,4 ,,RBRVS,,0.49 ,0.49 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,93289,CPT,Icd device interrogate,26,,4 ,,RBRVS,0.78 ,0.41 ,0.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,93289,CPT,Icd device interrogate,,,4 ,,RBRVS,0.78 ,1.01 ,1.01 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,93289,CPT,Icd device interrogate,TC,,4 ,,RBRVS,,0.60 ,0.60 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,93290,CPT,Icm device eval,26,,4 ,,RBRVS,0.43 ,0.14 ,0.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,93290,CPT,Icm device eval,,,4 ,,RBRVS,0.43 ,0.40 ,0.40 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,93290,CPT,Icm device eval,TC,,4 ,,RBRVS,,0.26 ,0.26 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,93291,CPT,Ilr device interrogate,26,,4 ,,RBRVS,0.43 ,0.23 ,0.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,93291,CPT,Ilr device interrogate,,,4 ,,RBRVS,0.43 ,0.67 ,0.67 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,93291,CPT,Ilr device interrogate,TC,,4 ,,RBRVS,,0.44 ,0.44 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,93292,CPT,Wcd device interrogate,26,,4 ,,RBRVS,0.43 ,0.23 ,0.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,93292,CPT,Wcd device interrogate,,,4 ,,RBRVS,0.43 ,0.56 ,0.56 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,93292,CPT,Wcd device interrogate,TC,,4 ,,RBRVS,,0.33 ,0.33 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,93293,CPT,Pm phone r-strip device eval,26,,4 ,,RBRVS,0.32 ,0.13 ,0.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,93293,CPT,Pm phone r-strip device eval,,,4 ,,RBRVS,0.32 ,1.21 ,1.21 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,93293,CPT,Pm phone r-strip device eval,TC,,4 ,,RBRVS,,1.08 ,1.08 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,93294,CPT,Pm device interrogate remote,,PC,4 ,,RBRVS,0.65 ,0.34 ,0.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,93295,CPT,Icd device interrogat remote,,PC,4 ,,RBRVS,1.17 ,0.63 ,0.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,93296,CPT,Pm/icd remote tech serv,,TC,4 ,,RBRVS,,1.00 ,1.00 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,93297,CPT,Icm device interrogat remote,,PC,4 ,,RBRVS,0.52 ,0.17 ,0.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,93298,CPT,Ilr device interrogat remote,,PC,4 ,,RBRVS,0.52 ,0.28 ,0.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,93299,CPT,Icm/ilr remote tech serv,,TC,4 ,,TotalUnits,,,,1.92 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,93303,CPT,Echo transthoracic,26,,4 ,,RBRVS,1.30 ,0.57 ,0.57 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,93303,CPT,Echo transthoracic,,,4 ,,RBRVS,1.30 ,4.48 ,4.48 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,93303,CPT,Echo transthoracic,TC,,4 ,,RBRVS,,3.91 ,3.91 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,93304,CPT,Echo transthoracic,26,,4 ,,RBRVS,0.75 ,0.31 ,0.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,93304,CPT,Echo transthoracic,,,4 ,,RBRVS,0.75 ,2.84 ,2.84 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,93304,CPT,Echo transthoracic,TC,,4 ,,RBRVS,,2.53 ,2.53 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,93306,CPT,"Tte w/doppler, complete",26,,4 ,,RBRVS,1.30 ,0.65 ,0.65 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,93306,CPT,"Tte w/doppler, complete",,,4 ,,RBRVS,1.30 ,5.75 ,5.75 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,93306,CPT,"Tte w/doppler, complete",TC,,4 ,,RBRVS,,5.10 ,5.10 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,93307,CPT,"Tte w/o doppler, complete",26,,4 ,,RBRVS,0.92 ,0.43 ,0.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,93307,CPT,"Tte w/o doppler, complete",,,4 ,,RBRVS,0.92 ,3.73 ,3.73 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,93307,CPT,"Tte w/o doppler, complete",TC,,4 ,,RBRVS,,3.30 ,3.30 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,93308,CPT,"Tte, f-up or lmtd",26,,4 ,,RBRVS,0.53 ,0.26 ,0.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,93308,CPT,"Tte, f-up or lmtd",,,4 ,,RBRVS,0.53 ,2.42 ,2.42 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,93308,CPT,"Tte, f-up or lmtd",TC,,4 ,,RBRVS,,2.16 ,2.16 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,93312,CPT,Echo transesophageal,26,,4 ,,RBRVS,2.20 ,0.94 ,0.94 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,93312,CPT,Echo transesophageal,,,4 ,,RBRVS,2.20 ,6.46 ,6.46 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,93312,CPT,Echo transesophageal,TC,,4 ,,RBRVS,,5.52 ,5.52 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,93313,CPT,Echo transesophageal,,,4 ,,RBRVS,0.95 ,0.14 ,0.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,93314,CPT,Echo transesophageal,26,,4 ,,RBRVS,1.25 ,0.53 ,0.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,93314,CPT,Echo transesophageal,,,4 ,,RBRVS,1.25 ,6.19 ,6.19 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,93314,CPT,Echo transesophageal,TC,,4 ,,RBRVS,,5.66 ,5.66 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,93315,CPT,Echo transesophageal,26,,4 ,,TotalUnits,,,,4.03 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,93315,CPT,Echo transesophageal,,,4 ,,TotalUnits,,,,5.71 ,,$0.00,$0.00,1,0,0,0,0,1,20101001,93315,CPT,Echo transesophageal,TC,,4 ,,TotalUnits,,,,1.68 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,93316,CPT,Echo transesophageal,,,4 ,,RBRVS,0.95 ,0.26 ,0.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,93317,CPT,Echo transesophageal,26,,4 ,,TotalUnits,,,,2.48 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,93317,CPT,Echo transesophageal,,,4 ,,TotalUnits,,,,3.68 ,,$0.00,$0.00,1,0,0,0,0,1,20101001,93317,CPT,Echo transesophageal,TC,,4 ,,TotalUnits,,,,1.20 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,93318,CPT,Echo transesophageal intraop,26,,4 ,,TotalUnits,,,,2.99 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,93318,CPT,Echo transesophageal intraop,,,4 ,,TotalUnits,,,,4.31 ,,$0.00,$0.00,1,0,0,0,0,1,20101001,93318,CPT,Echo transesophageal intraop,TC,,4 ,,TotalUnits,,,,1.32 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,93320,CPT,"Doppler echo exam, heart",26,,4 ,,RBRVS,0.38 ,0.18 ,0.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,93320,CPT,"Doppler echo exam, heart",,,4 ,,RBRVS,0.38 ,1.66 ,1.66 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,93320,CPT,"Doppler echo exam, heart",TC,,4 ,,RBRVS,,1.48 ,1.48 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,93321,CPT,"Doppler echo exam, heart",26,,4 ,,RBRVS,0.15 ,0.07 ,0.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,93321,CPT,"Doppler echo exam, heart",,,4 ,,RBRVS,0.15 ,0.73 ,0.73 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,93321,CPT,"Doppler echo exam, heart",TC,,4 ,,RBRVS,,0.66 ,0.66 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,93325,CPT,Doppler color flow add-on,26,,4 ,,RBRVS,0.07 ,0.03 ,0.03 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,93325,CPT,Doppler color flow add-on,,,4 ,,RBRVS,0.07 ,1.21 ,1.21 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,93325,CPT,Doppler color flow add-on,TC,,4 ,,RBRVS,,1.18 ,1.18 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,93350,CPT,Stress tte only,26,,4 ,,RBRVS,1.46 ,0.72 ,0.72 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,93350,CPT,Stress tte only,,,4 ,,RBRVS,1.46 ,4.23 ,4.23 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,93350,CPT,Stress tte only,TC,,4 ,,RBRVS,,3.51 ,3.51 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,93351,CPT,Stress tte complete,26,,4 ,,RBRVS,1.75 ,0.92 ,0.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,93351,CPT,Stress tte complete,,,4 ,,RBRVS,1.75 ,5.07 ,5.07 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,93351,CPT,Stress tte complete,TC,,4 ,,RBRVS,,4.15 ,4.15 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,93352,CPT,Admin ecg contrast agent,,,4 ,,RBRVS,0.19 ,0.84 ,0.84 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,93501,CPT,Right heart catheterization,26,,21 ,,RBRVS,3.02 ,1.48 ,1.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,93501,CPT,Right heart catheterization,,,21 ,,RBRVS,3.02 ,18.00 ,18.00 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,93501,CPT,Right heart catheterization,TC,,21 ,,RBRVS,,16.52 ,16.52 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,93503,CPT,Insert/place heart catheter,,,21 ,,RBRVS,2.91 ,0.75 ,0.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,93505,CPT,Biopsy of heart lining,26,,21 ,,RBRVS,4.37 ,2.14 ,2.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,93505,CPT,Biopsy of heart lining,,,21 ,,RBRVS,4.37 ,15.87 ,15.87 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,93505,CPT,Biopsy of heart lining,TC,,21 ,,RBRVS,,13.73 ,13.73 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,93508,CPT,"Cath placement, angiography",26,,21 ,,RBRVS,4.09 ,2.17 ,2.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,93508,CPT,"Cath placement, angiography",,,21 ,,RBRVS,4.09 ,24.39 ,24.39 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,93508,CPT,"Cath placement, angiography",TC,,21 ,,RBRVS,,22.22 ,22.22 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,93510,CPT,Left heart catheterization,26,,21 ,,RBRVS,4.32 ,2.28 ,2.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,93510,CPT,Left heart catheterization,,,21 ,,RBRVS,4.32 ,30.05 ,30.05 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,93510,CPT,Left heart catheterization,TC,,21 ,,RBRVS,,27.77 ,27.77 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,93511,CPT,Left heart catheterization,26,,21 ,,TotalUnits,,,,7.65 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,93511,CPT,Left heart catheterization,,,21 ,,TotalUnits,,,,62.59 ,,$0.00,$0.00,1,0,0,0,0,1,20101001,93511,CPT,Left heart catheterization,TC,,21 ,,TotalUnits,,,,54.94 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,93514,CPT,Left heart catheterization,26,,21 ,,RBRVS,7.04 ,3.48 ,3.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,93514,CPT,Left heart catheterization,,,21 ,,RBRVS,7.04 ,40.57 ,40.57 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,93514,CPT,Left heart catheterization,TC,,21 ,,RBRVS,,37.09 ,37.09 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,93524,CPT,Left heart catheterization,26,,21 ,,TotalUnits,,,,10.55 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,93524,CPT,Left heart catheterization,,,21 ,,TotalUnits,,,,80.84 ,,$0.00,$0.00,1,0,0,0,0,1,20101001,93524,CPT,Left heart catheterization,TC,,21 ,,TotalUnits,,,,70.29 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,93526,CPT,Rt & lt heart catheters,26,,21 ,,RBRVS,5.98 ,3.11 ,3.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,93526,CPT,Rt & lt heart catheters,,,21 ,,RBRVS,5.98 ,38.02 ,38.02 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,93526,CPT,Rt & lt heart catheters,TC,,21 ,,RBRVS,,34.91 ,34.91 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,93527,CPT,Rt & lt heart catheters,26,,21 ,,TotalUnits,,,,11.01 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,93527,CPT,Rt & lt heart catheters,,,21 ,,TotalUnits,,,,82.93 ,,$0.00,$0.00,1,0,0,0,0,1,20101001,93527,CPT,Rt & lt heart catheters,TC,,21 ,,TotalUnits,,,,71.92 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,93528,CPT,Rt & lt heart catheters,26,,21 ,,RBRVS,8.99 ,4.07 ,4.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,93528,CPT,Rt & lt heart catheters,,,21 ,,RBRVS,8.99 ,52.96 ,52.96 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,93528,CPT,Rt & lt heart catheters,TC,,21 ,,RBRVS,,48.89 ,48.89 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,93529,CPT,"Rt, lt heart catheterization",26,,21 ,,TotalUnits,,,,7.30 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,93529,CPT,"Rt, lt heart catheterization",,,21 ,,TotalUnits,,,,75.63 ,,$0.00,$0.00,1,0,0,0,0,1,20101001,93529,CPT,"Rt, lt heart catheterization",TC,,21 ,,TotalUnits,,,,68.33 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,93530,CPT,"Rt heart cath, congenital",26,,21 ,,TotalUnits,,,,6.21 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,93530,CPT,"Rt heart cath, congenital",,,21 ,,TotalUnits,,,,33.69 ,,$0.00,$0.00,1,0,0,0,0,1,20101001,93530,CPT,"Rt heart cath, congenital",TC,,21 ,,TotalUnits,,,,27.48 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,93531,CPT,"R & l heart cath, congenital",26,,21 ,,TotalUnits,,,,12.15 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,93531,CPT,"R & l heart cath, congenital",,,21 ,,TotalUnits,,,,88.14 ,,$0.00,$0.00,1,0,0,0,0,1,20101001,93531,CPT,"R & l heart cath, congenital",TC,,21 ,,TotalUnits,,,,75.99 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,93532,CPT,"R & l heart cath, congenital",26,,21 ,,TotalUnits,,,,14.40 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,93532,CPT,"R & l heart cath, congenital",,,21 ,,TotalUnits,,,,93.88 ,,$0.00,$0.00,1,0,0,0,0,1,20101001,93532,CPT,"R & l heart cath, congenital",TC,,21 ,,TotalUnits,,,,79.48 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,93533,CPT,"R & l heart cath, congenital",26,,21 ,,TotalUnits,,,,9.69 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,93533,CPT,"R & l heart cath, congenital",,,21 ,,TotalUnits,,,,88.66 ,,$0.00,$0.00,1,0,0,0,0,1,20101001,93533,CPT,"R & l heart cath, congenital",TC,,21 ,,TotalUnits,,,,78.97 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,93539,CPT,"Injection, cardiac cath",,,4 ,,RBRVS,0.40 ,0.20 ,1.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,93540,CPT,"Injection, cardiac cath",,,4 ,,RBRVS,0.43 ,0.22 ,6.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,93541,CPT,Injection for lung angiogram,,,4 ,,RBRVS,0.29 ,0.14 ,0.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,93542,CPT,Injection for heart x-rays,,,4 ,,RBRVS,0.29 ,0.14 ,3.72 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,93543,CPT,Injection for heart x-rays,,,4 ,,RBRVS,0.29 ,0.14 ,1.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,93544,CPT,Injection for aortography,,,4 ,,RBRVS,0.25 ,0.13 ,1.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,93545,CPT,Inject for coronary x-rays,,,4 ,,RBRVS,0.40 ,0.20 ,4.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,93555,CPT,"Imaging, cardiac cath",26,,4 ,,RBRVS,0.81 ,0.40 ,0.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,93555,CPT,"Imaging, cardiac cath",,,4 ,,RBRVS,0.81 ,2.09 ,2.09 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,93555,CPT,"Imaging, cardiac cath",TC,,4 ,,RBRVS,,1.69 ,1.69 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,93556,CPT,"Imaging, cardiac cath",26,,4 ,,RBRVS,0.83 ,0.41 ,0.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,93556,CPT,"Imaging, cardiac cath",,,4 ,,RBRVS,0.83 ,3.20 ,3.20 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,93556,CPT,"Imaging, cardiac cath",TC,,4 ,,RBRVS,,2.79 ,2.79 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,93561,CPT,Cardiac output measurement,26,,21 ,,TotalUnits,,,,0.64 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,93561,CPT,Cardiac output measurement,,,21 ,,TotalUnits,,,,2.61 ,,$0.00,$0.00,1,0,0,0,0,1,20101001,93561,CPT,Cardiac output measurement,TC,,21 ,,TotalUnits,,,,1.97 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,93562,CPT,Cardiac output measurement,26,,21 ,,TotalUnits,,,,0.20 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,93562,CPT,Cardiac output measurement,,,21 ,,TotalUnits,,,,1.25 ,,$0.00,$0.00,1,0,0,0,0,1,20101001,93562,CPT,Cardiac output measurement,TC,,21 ,,TotalUnits,,,,1.05 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,93571,CPT,Heart flow reserve measure,26,,21 ,,TotalUnits,,,,2.69 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,93571,CPT,Heart flow reserve measure,,,21 ,,TotalUnits,,,,10.12 ,,$0.00,$0.00,1,0,0,0,0,1,20101001,93571,CPT,Heart flow reserve measure,TC,,21 ,,TotalUnits,,,,7.43 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,93572,CPT,Heart flow reserve measure,26,,21 ,,TotalUnits,,,,2.12 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,93572,CPT,Heart flow reserve measure,,,21 ,,TotalUnits,,,,6.21 ,,$0.00,$0.00,1,0,0,0,0,1,20101001,93572,CPT,Heart flow reserve measure,TC,,21 ,,TotalUnits,,,,4.09 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,93580,CPT,Transcath closure of asd,,,21 ,,RBRVS,17.97 ,9.03 ,9.03 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,93581,CPT,Transcath closure of vsd,,,21 ,,RBRVS,24.39 ,10.89 ,10.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,93600,CPT,Bundle of his recording,26,,4 ,,TotalUnits,,,,3.15 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,93600,CPT,Bundle of his recording,,,4 ,,TotalUnits,,,,4.24 ,,$0.00,$0.00,1,0,0,0,0,1,20101001,93600,CPT,Bundle of his recording,TC,,4 ,,TotalUnits,,,,1.09 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,93602,CPT,Intra-atrial recording,26,,4 ,,TotalUnits,,,,3.13 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,93602,CPT,Intra-atrial recording,,,4 ,,TotalUnits,,,,4.35 ,,$0.00,$0.00,1,0,0,0,0,1,20101001,93602,CPT,Intra-atrial recording,TC,,4 ,,TotalUnits,,,,1.22 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,93603,CPT,Right ventricular recording,26,,4 ,,TotalUnits,,,,3.13 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,93603,CPT,Right ventricular recording,,,4 ,,TotalUnits,,,,4.97 ,,$0.00,$0.00,1,0,0,0,0,1,20101001,93603,CPT,Right ventricular recording,TC,,4 ,,TotalUnits,,,,1.84 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,93609,CPT,"Map tachycardia, add-on",26,,4 ,,TotalUnits,,,,7.45 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,93609,CPT,"Map tachycardia, add-on",,,4 ,,TotalUnits,,,,9.52 ,,$0.00,$0.00,1,0,0,0,0,1,20101001,93609,CPT,"Map tachycardia, add-on",TC,,4 ,,TotalUnits,,,,2.07 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,93610,CPT,Intra-atrial pacing,26,,4 ,,TotalUnits,,,,4.45 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,93610,CPT,Intra-atrial pacing,,,4 ,,TotalUnits,,,,4.51 ,,$0.00,$0.00,1,0,0,0,0,1,20101001,93610,CPT,Intra-atrial pacing,TC,,4 ,,TotalUnits,,,,0.06 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,93612,CPT,Intraventricular pacing,26,,4 ,,TotalUnits,,,,4.42 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,93612,CPT,Intraventricular pacing,,,4 ,,TotalUnits,,,,6.14 ,,$0.00,$0.00,1,0,0,0,0,1,20101001,93612,CPT,Intraventricular pacing,TC,,4 ,,TotalUnits,,,,1.72 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,93613,CPT,"Electrophys map 3d, add-on",,,4 ,,RBRVS,6.99 ,3.48 ,3.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,93615,CPT,Esophageal recording,26,,4 ,,TotalUnits,,,,1.46 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,93615,CPT,Esophageal recording,,,4 ,,TotalUnits,,,,1.85 ,,$0.00,$0.00,1,0,0,0,0,1,20101001,93615,CPT,Esophageal recording,TC,,4 ,,TotalUnits,,,,0.39 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,93616,CPT,Esophageal recording,26,,4 ,,TotalUnits,,,,1.84 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,93616,CPT,Esophageal recording,,,4 ,,TotalUnits,,,,2.45 ,,$0.00,$0.00,1,0,0,0,0,1,20101001,93616,CPT,Esophageal recording,TC,,4 ,,TotalUnits,,,,0.61 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,93618,CPT,Heart rhythm pacing,26,,4 ,,TotalUnits,,,,6.40 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,93618,CPT,Heart rhythm pacing,,,4 ,,TotalUnits,,,,10.14 ,,$0.00,$0.00,1,0,0,0,0,1,20101001,93618,CPT,Heart rhythm pacing,TC,,4 ,,TotalUnits,,,,3.74 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,93619,CPT,Electrophysiology evaluation,26,,4 ,,TotalUnits,,,,11.06 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,93619,CPT,Electrophysiology evaluation,,,4 ,,TotalUnits,,,,16.52 ,,$0.00,$0.00,1,0,0,0,0,1,20101001,93619,CPT,Electrophysiology evaluation,TC,,4 ,,TotalUnits,,,,5.46 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,93620,CPT,Electrophysiology evaluation,26,,4 ,,TotalUnits,,,,17.38 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,93620,CPT,Electrophysiology evaluation,,,4 ,,TotalUnits,,,,19.53 ,,$0.00,$0.00,1,0,0,0,0,1,20101001,93620,CPT,Electrophysiology evaluation,TC,,4 ,,TotalUnits,,,,2.15 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,93621,CPT,Electrophysiology evaluation,26,,4 ,,TotalUnits,,,,3.14 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,93621,CPT,Electrophysiology evaluation,,,4 ,,TotalUnits,,,,4.80 ,,$0.00,$0.00,1,0,0,0,0,1,20101001,93621,CPT,Electrophysiology evaluation,TC,,4 ,,TotalUnits,,,,1.66 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,93622,CPT,Electrophysiology evaluation,26,,4 ,,TotalUnits,,,,4.59 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,93622,CPT,Electrophysiology evaluation,,,4 ,,TotalUnits,,,,6.12 ,,$0.00,$0.00,1,0,0,0,0,1,20101001,93622,CPT,Electrophysiology evaluation,TC,,4 ,,TotalUnits,,,,1.53 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,93623,CPT,"Stimulation, pacing heart",26,,4 ,,TotalUnits,,,,4.26 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,93623,CPT,"Stimulation, pacing heart",,,4 ,,TotalUnits,,,,5.68 ,,$0.00,$0.00,1,0,0,0,0,1,20101001,93623,CPT,"Stimulation, pacing heart",TC,,4 ,,TotalUnits,,,,1.42 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,93624,CPT,Electrophysiologic study,26,,4 ,,TotalUnits,,,,7.27 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,93624,CPT,Electrophysiologic study,,,4 ,,TotalUnits,,,,9.02 ,,$0.00,$0.00,1,0,0,0,0,1,20101001,93624,CPT,Electrophysiologic study,TC,,4 ,,TotalUnits,,,,1.75 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,93631,CPT,"Heart pacing, mapping",26,,4 ,,TotalUnits,,,,10.35 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,93631,CPT,"Heart pacing, mapping",,,4 ,,TotalUnits,,,,14.27 ,,$0.00,$0.00,1,0,0,0,0,1,20101001,93631,CPT,"Heart pacing, mapping",TC,,4 ,,TotalUnits,,,,3.92 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,93640,CPT,Evaluation heart device,26,,4 ,,TotalUnits,,,,5.23 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,93640,CPT,Evaluation heart device,,,4 ,,TotalUnits,,,,12.00 ,,$0.00,$0.00,1,0,0,0,0,1,20101001,93640,CPT,Evaluation heart device,TC,,4 ,,TotalUnits,,,,6.77 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,93641,CPT,Electrophysiology evaluation,26,,4 ,,TotalUnits,,,,8.85 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,93641,CPT,Electrophysiology evaluation,,,4 ,,TotalUnits,,,,13.81 ,,$0.00,$0.00,1,0,0,0,0,1,20101001,93641,CPT,Electrophysiology evaluation,TC,,4 ,,TotalUnits,,,,4.96 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,93642,CPT,Electrophysiology evaluation,26,,4 ,,RBRVS,4.88 ,2.51 ,2.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,93642,CPT,Electrophysiology evaluation,,,4 ,,RBRVS,4.88 ,7.66 ,7.66 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,93642,CPT,Electrophysiology evaluation,TC,,4 ,,RBRVS,,5.15 ,5.15 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,93650,CPT,Ablate heart dysrhythm focus,,,4 ,,RBRVS,10.49 ,5.47 ,5.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,93651,CPT,Ablate heart dysrhythm focus,,,4 ,,RBRVS,16.23 ,8.03 ,8.03 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,93652,CPT,Ablate heart dysrhythm focus,,,4 ,,RBRVS,17.65 ,8.75 ,8.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,93660,CPT,Tilt table evaluation,26,,4 ,,RBRVS,1.89 ,0.93 ,0.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,93660,CPT,Tilt table evaluation,,,4 ,,RBRVS,1.89 ,2.78 ,2.78 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,93660,CPT,Tilt table evaluation,TC,,4 ,,RBRVS,,1.85 ,1.85 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,93662,CPT,Intracardiac ecg (ice),26,,4 ,,TotalUnits,,,,4.18 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,93662,CPT,Intracardiac ecg (ice),,,4 ,,TotalUnits,,,,6.01 ,,$0.00,$0.00,1,0,0,0,0,1,20101001,93662,CPT,Intracardiac ecg (ice),TC,,4 ,,TotalUnits,,,,1.83 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,93668,CPT,Peripheral vascular rehab,,,4 ,,RBRVS,,0.46 ,0.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,93701,CPT,"Bioimpedance, thoracic",26,,4 ,,RBRVS,0.17 ,0.07 ,0.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,93701,CPT,"Bioimpedance, thoracic",,,4 ,,RBRVS,0.17 ,0.75 ,0.75 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,93701,CPT,"Bioimpedance, thoracic",TC,,4 ,,RBRVS,,0.68 ,0.68 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,93720,CPT,Total body plethysmography,,,14 ,,RBRVS,0.17 ,1.04 ,1.04 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,93721,CPT,Plethysmography tracing,,TC,14 ,,RBRVS,,0.99 ,0.99 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,93722,CPT,Plethysmography report,,PC,14 ,,RBRVS,0.17 ,0.05 ,0.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,93724,CPT,Analyze pacemaker system,26,,4 ,,RBRVS,4.88 ,2.38 ,2.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,93724,CPT,Analyze pacemaker system,,,4 ,,RBRVS,4.88 ,4.01 ,4.01 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,93724,CPT,Analyze pacemaker system,TC,,4 ,,RBRVS,,1.63 ,1.63 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,93740,CPT,Temperature gradient studies,26,,4 ,,RBRVS,0.16 ,0.05 ,0.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,93740,CPT,Temperature gradient studies,,,4 ,,RBRVS,0.16 ,0.09 ,0.09 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,93740,CPT,Temperature gradient studies,TC,,4 ,,RBRVS,,0.04 ,0.04 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,93750,CPT,"Interrogation vad, in person",,,4 ,,RBRVS,0.92 ,0.30 ,0.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,93770,CPT,Measure venous pressure,26,,4 ,,RBRVS,0.16 ,0.05 ,0.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,93770,CPT,Measure venous pressure,,,4 ,,RBRVS,0.16 ,0.06 ,0.06 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,93770,CPT,Measure venous pressure,TC,,4 ,,RBRVS,,0.01 ,0.01 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,93784,CPT,Ambulatory bp monitoring,,,4 ,,RBRVS,0.38 ,1.40 ,1.40 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,93786,CPT,Ambulatory bp recording,,TC,4 ,,RBRVS,,0.81 ,0.81 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,93788,CPT,Ambulatory bp analysis,,TC,4 ,,RBRVS,,0.45 ,0.45 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,93790,CPT,Review/report bp recording,,PC,4 ,,RBRVS,0.38 ,0.14 ,0.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,93797,CPT,Cardiac rehab,,,4 ,,RBRVS,0.18 ,0.08 ,0.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,93798,CPT,Cardiac rehab/monitor,,,4 ,,RBRVS,0.28 ,0.13 ,0.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,93799,CPT,Cardiovascular procedure,,,4 ,,TotalUnits,,,,0.55 ,,$0.00,$0.00,1,0,0,0,0,1,20101001,93799,CPT,Cardiovascular procedure,,PC,4 ,,TotalUnits,,,,0.15 ,,$0.00,$0.00,1,0,1,1,1,0,20101001,93799,CPT,Cardiovascular procedure,,TC,4 ,,TotalUnits,,,,0.40 ,,$0.00,$0.00,1,1,1,0,1,0,20101001,93875,CPT,Extracranial study,26,,14 ,,RBRVS,0.22 ,0.08 ,0.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,93875,CPT,Extracranial study,,,14 ,,RBRVS,0.22 ,2.47 ,2.47 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,93875,CPT,Extracranial study,TC,,14 ,,RBRVS,,2.39 ,2.39 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,93880,CPT,Extracranial study,26,,14 ,,RBRVS,0.60 ,0.22 ,0.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,93880,CPT,Extracranial study,,,14 ,,RBRVS,0.60 ,5.90 ,5.90 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,93880,CPT,Extracranial study,TC,,14 ,,RBRVS,,5.68 ,5.68 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,93882,CPT,Extracranial study,26,,14 ,,RBRVS,0.40 ,0.13 ,0.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,93882,CPT,Extracranial study,,,14 ,,RBRVS,0.40 ,3.88 ,3.88 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,93882,CPT,Extracranial study,TC,,14 ,,RBRVS,,3.75 ,3.75 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,93886,CPT,Intracranial study,26,,14 ,,RBRVS,0.94 ,0.31 ,0.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,93886,CPT,Intracranial study,,,14 ,,RBRVS,0.94 ,6.87 ,6.87 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,93886,CPT,Intracranial study,TC,,14 ,,RBRVS,,6.56 ,6.56 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,93888,CPT,Intracranial study,26,,14 ,,RBRVS,0.62 ,0.22 ,0.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,93888,CPT,Intracranial study,,,14 ,,RBRVS,0.62 ,4.69 ,4.69 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,93888,CPT,Intracranial study,TC,,14 ,,RBRVS,,4.47 ,4.47 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,93890,CPT,"Tcd, vasoreactivity study",26,,14 ,,RBRVS,1.00 ,0.33 ,0.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,93890,CPT,"Tcd, vasoreactivity study",,,14 ,,RBRVS,1.00 ,5.81 ,5.81 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,93890,CPT,"Tcd, vasoreactivity study",TC,,14 ,,RBRVS,,5.48 ,5.48 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,93892,CPT,"Tcd, emboli detect w/o inj",26,,14 ,,RBRVS,1.15 ,0.37 ,0.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,93892,CPT,"Tcd, emboli detect w/o inj",,,14 ,,RBRVS,1.15 ,6.35 ,6.35 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,93892,CPT,"Tcd, emboli detect w/o inj",TC,,14 ,,RBRVS,,5.98 ,5.98 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,93893,CPT,"Tcd, emboli detect w/inj",26,,14 ,,RBRVS,1.15 ,0.38 ,0.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,93893,CPT,"Tcd, emboli detect w/inj",,,14 ,,RBRVS,1.15 ,6.33 ,6.33 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,93893,CPT,"Tcd, emboli detect w/inj",TC,,14 ,,RBRVS,,5.95 ,5.95 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,93922,CPT,Extremity study,26,,14 ,,RBRVS,0.25 ,0.08 ,0.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,93922,CPT,Extremity study,,,14 ,,RBRVS,0.25 ,2.94 ,2.94 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,93922,CPT,Extremity study,TC,,14 ,,RBRVS,,2.86 ,2.86 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,93923,CPT,Extremity study,26,,14 ,,RBRVS,0.45 ,0.15 ,0.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,93923,CPT,Extremity study,,,14 ,,RBRVS,0.45 ,4.45 ,4.45 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,93923,CPT,Extremity study,TC,,14 ,,RBRVS,,4.30 ,4.30 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,93924,CPT,Extremity study,26,,14 ,,RBRVS,0.50 ,0.18 ,0.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,93924,CPT,Extremity study,,,14 ,,RBRVS,0.50 ,5.55 ,5.55 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,93924,CPT,Extremity study,TC,,14 ,,RBRVS,,5.37 ,5.37 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,93925,CPT,Lower extremity study,26,,14 ,,RBRVS,0.58 ,0.20 ,0.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,93925,CPT,Lower extremity study,,,14 ,,RBRVS,0.58 ,7.58 ,7.58 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,93925,CPT,Lower extremity study,TC,,14 ,,RBRVS,,7.38 ,7.38 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,93926,CPT,Lower extremity study,26,,14 ,,RBRVS,0.39 ,0.13 ,0.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,93926,CPT,Lower extremity study,,,14 ,,RBRVS,0.39 ,4.80 ,4.80 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,93926,CPT,Lower extremity study,TC,,14 ,,RBRVS,,4.67 ,4.67 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,93930,CPT,Upper extremity study,26,,14 ,,RBRVS,0.46 ,0.16 ,0.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,93930,CPT,Upper extremity study,,,14 ,,RBRVS,0.46 ,5.90 ,5.90 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,93930,CPT,Upper extremity study,TC,,14 ,,RBRVS,,5.74 ,5.74 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,93931,CPT,Upper extremity study,26,,14 ,,RBRVS,0.31 ,0.10 ,0.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,93931,CPT,Upper extremity study,,,14 ,,RBRVS,0.31 ,3.95 ,3.95 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,93931,CPT,Upper extremity study,TC,,14 ,,RBRVS,,3.85 ,3.85 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,93965,CPT,Extremity study,26,,14 ,,RBRVS,0.35 ,0.12 ,0.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,93965,CPT,Extremity study,,,14 ,,RBRVS,0.35 ,2.92 ,2.92 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,93965,CPT,Extremity study,TC,,14 ,,RBRVS,,2.80 ,2.80 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,93970,CPT,Extremity study,26,,14 ,,RBRVS,0.68 ,0.23 ,0.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,93970,CPT,Extremity study,,,14 ,,RBRVS,0.68 ,5.90 ,5.90 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,93970,CPT,Extremity study,TC,,14 ,,RBRVS,,5.67 ,5.67 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,93971,CPT,Extremity study,26,,14 ,,RBRVS,0.45 ,0.16 ,0.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,93971,CPT,Extremity study,,,14 ,,RBRVS,0.45 ,3.91 ,3.91 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,93971,CPT,Extremity study,TC,,14 ,,RBRVS,,3.75 ,3.75 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,93975,CPT,Vascular study,26,,14 ,,RBRVS,1.80 ,0.65 ,0.65 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,93975,CPT,Vascular study,,,14 ,,RBRVS,1.80 ,8.13 ,8.13 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,93975,CPT,Vascular study,TC,,14 ,,RBRVS,,7.48 ,7.48 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,93976,CPT,Vascular study,26,,14 ,,RBRVS,1.21 ,0.44 ,0.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,93976,CPT,Vascular study,,,14 ,,RBRVS,1.21 ,4.49 ,4.49 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,93976,CPT,Vascular study,TC,,14 ,,RBRVS,,4.05 ,4.05 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,93978,CPT,Vascular study,26,,14 ,,RBRVS,0.65 ,0.22 ,0.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,93978,CPT,Vascular study,,,14 ,,RBRVS,0.65 ,5.54 ,5.54 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,93978,CPT,Vascular study,TC,,14 ,,RBRVS,,5.32 ,5.32 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,93979,CPT,Vascular study,26,,14 ,,RBRVS,0.44 ,0.15 ,0.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,93979,CPT,Vascular study,,,14 ,,RBRVS,0.44 ,3.86 ,3.86 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,93979,CPT,Vascular study,TC,,14 ,,RBRVS,,3.71 ,3.71 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,93980,CPT,Penile vascular study,26,,14 ,,RBRVS,1.25 ,0.49 ,0.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,93980,CPT,Penile vascular study,,,14 ,,RBRVS,1.25 ,3.46 ,3.46 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,93980,CPT,Penile vascular study,TC,,14 ,,RBRVS,,2.97 ,2.97 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,93981,CPT,Penile vascular study,26,,14 ,,RBRVS,0.44 ,0.16 ,0.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,93981,CPT,Penile vascular study,,,14 ,,RBRVS,0.44 ,2.84 ,2.84 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,93981,CPT,Penile vascular study,TC,,14 ,,RBRVS,,2.68 ,2.68 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,93982,CPT,Aneurysm pressure sens study,,,14 ,,RBRVS,0.30 ,0.79 ,0.79 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,93990,CPT,Doppler flow testing,26,,14 ,,RBRVS,0.25 ,0.07 ,0.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,93990,CPT,Doppler flow testing,,,14 ,,RBRVS,0.25 ,4.84 ,4.84 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,93990,CPT,Doppler flow testing,TC,,14 ,,RBRVS,,4.77 ,4.77 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,94002,CPT,"Vent mgmt inpat, init day",,,14 ,,RBRVS,1.99 ,0.35 ,0.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,94003,CPT,"Vent mgmt inpat, subq day",,,14 ,,RBRVS,1.37 ,0.33 ,0.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,94004,CPT,Vent mgmt nf per day,,,14 ,,RBRVS,1.00 ,0.24 ,0.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,94005,CPT,Home vent mgmt supervision,,,14 ,,RBRVS,1.50 ,0.89 ,0.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,94010,CPT,Breathing capacity test,26,,14 ,,RBRVS,0.17 ,0.05 ,0.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,94010,CPT,Breathing capacity test,,,14 ,,RBRVS,0.17 ,0.71 ,0.71 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,94010,CPT,Breathing capacity test,TC,,14 ,,RBRVS,,0.66 ,0.66 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,94011,CPT,"Up to 2 yrs old, spirometry",,,14 ,,RBRVS,2.00 ,0.62 ,0.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,94012,CPT,"= 2 yrs, spiromtry w/dilator",,,14 ,,RBRVS,3.10 ,0.93 ,0.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,94013,CPT,"= 2 yrs, lung volumes",,,14 ,,RBRVS,0.66 ,0.18 ,0.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,94014,CPT,Patient recorded spirometry,,,14 ,,RBRVS,0.52 ,0.79 ,0.79 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,94015,CPT,Patient recorded spirometry,,TC,14 ,,RBRVS,,0.64 ,0.64 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,94016,CPT,Review patient spirometry,,PC,14 ,,RBRVS,0.52 ,0.15 ,0.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,94060,CPT,Evaluation of wheezing,26,,14 ,,RBRVS,0.31 ,0.08 ,0.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,94060,CPT,Evaluation of wheezing,,,14 ,,RBRVS,0.31 ,1.22 ,1.22 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,94060,CPT,Evaluation of wheezing,TC,,14 ,,RBRVS,,1.14 ,1.14 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,94070,CPT,Evaluation of wheezing,26,,14 ,,RBRVS,0.60 ,0.16 ,0.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,94070,CPT,Evaluation of wheezing,,,14 ,,RBRVS,0.60 ,0.94 ,0.94 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,94070,CPT,Evaluation of wheezing,TC,,14 ,,RBRVS,,0.78 ,0.78 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,94150,CPT,Vital capacity test,26,,14 ,,RBRVS,0.07 ,0.03 ,0.03 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,94150,CPT,Vital capacity test,,,14 ,,RBRVS,0.07 ,0.53 ,0.53 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,94150,CPT,Vital capacity test,TC,,14 ,,RBRVS,,0.50 ,0.50 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,94200,CPT,Lung function test (mbc/mvv),26,,14 ,,RBRVS,0.11 ,0.03 ,0.03 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,94200,CPT,Lung function test (mbc/mvv),,,14 ,,RBRVS,0.11 ,0.48 ,0.48 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,94200,CPT,Lung function test (mbc/mvv),TC,,14 ,,RBRVS,,0.45 ,0.45 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,94240,CPT,Residual lung capacity,26,,14 ,,RBRVS,0.26 ,0.07 ,0.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,94240,CPT,Residual lung capacity,,,14 ,,RBRVS,0.26 ,0.76 ,0.76 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,94240,CPT,Residual lung capacity,TC,,14 ,,RBRVS,,0.69 ,0.69 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,94250,CPT,Expired gas collection,26,,14 ,,RBRVS,0.11 ,0.03 ,0.03 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,94250,CPT,Expired gas collection,,,14 ,,RBRVS,0.11 ,0.54 ,0.54 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,94250,CPT,Expired gas collection,TC,,14 ,,RBRVS,,0.51 ,0.51 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,94260,CPT,Thoracic gas volume,26,,14 ,,RBRVS,0.13 ,0.03 ,0.03 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,94260,CPT,Thoracic gas volume,,,14 ,,RBRVS,0.13 ,0.69 ,0.69 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,94260,CPT,Thoracic gas volume,TC,,14 ,,RBRVS,,0.66 ,0.66 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,94350,CPT,Lung nitrogen washout curve,26,,14 ,,RBRVS,0.26 ,0.07 ,0.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,94350,CPT,Lung nitrogen washout curve,,,14 ,,RBRVS,0.26 ,0.65 ,0.65 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,94350,CPT,Lung nitrogen washout curve,TC,,14 ,,RBRVS,,0.58 ,0.58 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,94360,CPT,Measure airflow resistance,26,,14 ,,RBRVS,0.26 ,0.07 ,0.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,94360,CPT,Measure airflow resistance,,,14 ,,RBRVS,0.26 ,0.87 ,0.87 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,94360,CPT,Measure airflow resistance,TC,,14 ,,RBRVS,,0.80 ,0.80 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,94370,CPT,Breath airway closing volume,26,,14 ,,RBRVS,0.26 ,0.07 ,0.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,94370,CPT,Breath airway closing volume,,,14 ,,RBRVS,0.26 ,0.63 ,0.63 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,94370,CPT,Breath airway closing volume,TC,,14 ,,RBRVS,,0.56 ,0.56 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,94375,CPT,Respiratory flow volume loop,26,,14 ,,RBRVS,0.31 ,0.08 ,0.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,94375,CPT,Respiratory flow volume loop,,,14 ,,RBRVS,0.31 ,0.68 ,0.68 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,94375,CPT,Respiratory flow volume loop,TC,,14 ,,RBRVS,,0.60 ,0.60 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,94400,CPT,Co2 breathing response curve,26,,14 ,,RBRVS,0.40 ,0.11 ,0.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,94400,CPT,Co2 breathing response curve,,,14 ,,RBRVS,0.40 ,0.97 ,0.97 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,94400,CPT,Co2 breathing response curve,TC,,14 ,,RBRVS,,0.86 ,0.86 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,94450,CPT,Hypoxia response curve,26,,14 ,,RBRVS,0.40 ,0.10 ,0.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,94450,CPT,Hypoxia response curve,,,14 ,,RBRVS,0.40 ,0.95 ,0.95 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,94450,CPT,Hypoxia response curve,TC,,14 ,,RBRVS,,0.85 ,0.85 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,94452,CPT,Hast w/report,26,,14 ,,RBRVS,0.31 ,0.08 ,0.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,94452,CPT,Hast w/report,,,14 ,,RBRVS,0.31 ,1.18 ,1.18 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,94452,CPT,Hast w/report,TC,,14 ,,RBRVS,,1.10 ,1.10 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,94453,CPT,Hast w/oxygen titrate,26,,14 ,,RBRVS,0.40 ,0.11 ,0.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,94453,CPT,Hast w/oxygen titrate,,,14 ,,RBRVS,0.40 ,1.60 ,1.60 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,94453,CPT,Hast w/oxygen titrate,TC,,14 ,,RBRVS,,1.49 ,1.49 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,94610,CPT,Surfactant admin thru tube,,,14 ,,RBRVS,1.16 ,0.37 ,0.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,94620,CPT,Pulmonary stress test/simple,26,,14 ,,RBRVS,0.64 ,0.18 ,0.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,94620,CPT,Pulmonary stress test/simple,,,14 ,,RBRVS,0.64 ,1.22 ,1.22 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,94620,CPT,Pulmonary stress test/simple,TC,,14 ,,RBRVS,,1.04 ,1.04 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,94621,CPT,Pulm stress test/complex,26,,14 ,,RBRVS,1.42 ,0.47 ,0.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,94621,CPT,Pulm stress test/complex,,,14 ,,RBRVS,1.42 ,2.88 ,2.88 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,94621,CPT,Pulm stress test/complex,TC,,14 ,,RBRVS,,2.41 ,2.41 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,94640,CPT,Airway inhalation treatment,,,14 ,,RBRVS,,0.35 ,0.35 ,,,$0.00,$0.00,1,1,1,0,0,1,20101001,94642,CPT,Aerosol inhalation treatment,,,14 ,,TotalUnits,,,,1.10 ,,$0.00,$0.00,1,1,1,0,0,1,20101001,94644,CPT,"Cbt, 1st hour",,,14 ,,RBRVS,,0.92 ,0.92 ,,,$0.00,$0.00,1,1,1,0,0,1,20101001,94645,CPT,"Cbt, each addl hour",,,14 ,,RBRVS,,0.35 ,0.35 ,,,$0.00,$0.00,1,1,1,0,0,1,20101001,94660,CPT,"Pos airway pressure, cpap",,,14 ,,RBRVS,0.76 ,0.20 ,0.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,94662,CPT,"Neg press ventilation, cnp",,,14 ,,RBRVS,0.76 ,0.20 ,0.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,94664,CPT,Evaluate pt use of inhaler,,,14 ,,RBRVS,,0.37 ,0.37 ,,,$0.00,$0.00,1,1,1,0,0,1,20101001,94667,CPT,Chest wall manipulation,,,14 ,,RBRVS,,0.52 ,0.52 ,,,$0.00,$0.00,1,1,1,0,0,1,20101001,94668,CPT,Chest wall manipulation,,,14 ,,RBRVS,,0.51 ,0.51 ,,,$0.00,$0.00,1,1,1,0,0,1,20101001,94680,CPT,"Exhaled air analysis, o2",26,,14 ,,RBRVS,0.26 ,0.07 ,0.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,94680,CPT,"Exhaled air analysis, o2",,,14 ,,RBRVS,0.26 ,1.26 ,1.26 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,94680,CPT,"Exhaled air analysis, o2",TC,,14 ,,RBRVS,,1.19 ,1.19 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,94681,CPT,"Exhaled air analysis, o2/co2",26,,14 ,,RBRVS,0.20 ,0.05 ,0.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,94681,CPT,"Exhaled air analysis, o2/co2",,,14 ,,RBRVS,0.20 ,1.41 ,1.41 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,94681,CPT,"Exhaled air analysis, o2/co2",TC,,14 ,,RBRVS,,1.36 ,1.36 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,94690,CPT,Exhaled air analysis,26,,14 ,,RBRVS,0.07 ,0.02 ,0.02 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,94690,CPT,Exhaled air analysis,,,14 ,,RBRVS,0.07 ,1.27 ,1.27 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,94690,CPT,Exhaled air analysis,TC,,14 ,,RBRVS,,1.25 ,1.25 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,94720,CPT,Monoxide diffusing capacity,26,,14 ,,RBRVS,0.26 ,0.07 ,0.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,94720,CPT,Monoxide diffusing capacity,,,14 ,,RBRVS,0.26 ,1.09 ,1.09 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,94720,CPT,Monoxide diffusing capacity,TC,,14 ,,RBRVS,,1.02 ,1.02 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,94725,CPT,Membrane diffusion capacity,26,,14 ,,RBRVS,0.26 ,0.07 ,0.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,94725,CPT,Membrane diffusion capacity,,,14 ,,RBRVS,0.26 ,1.46 ,1.46 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,94725,CPT,Membrane diffusion capacity,TC,,14 ,,RBRVS,,1.39 ,1.39 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,94750,CPT,Pulmonary compliance study,26,,14 ,,RBRVS,0.23 ,0.06 ,0.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,94750,CPT,Pulmonary compliance study,,,14 ,,RBRVS,0.23 ,1.67 ,1.67 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,94750,CPT,Pulmonary compliance study,TC,,14 ,,RBRVS,,1.61 ,1.61 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,94760,CPT,Measure blood oxygen level,,TC,14 ,,RBRVS,,0.06 ,0.06 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,94761,CPT,Measure blood oxygen level,,TC,14 ,,RBRVS,,0.10 ,0.10 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,94762,CPT,Measure blood oxygen level,,TC,14 ,,RBRVS,,0.72 ,0.72 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,94770,CPT,Exhaled carbon dioxide test,26,,14 ,,RBRVS,0.15 ,0.04 ,0.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,94770,CPT,Exhaled carbon dioxide test,,,14 ,,RBRVS,0.15 ,0.78 ,0.78 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,94770,CPT,Exhaled carbon dioxide test,TC,,14 ,,RBRVS,,0.74 ,0.74 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,94772,CPT,"Breath recording, infant",26,,14 ,,TotalUnits,,,,1.18 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,94772,CPT,"Breath recording, infant",,,14 ,,TotalUnits,,,,2.96 ,,$0.00,$0.00,1,0,0,0,0,1,20101001,94772,CPT,"Breath recording, infant",TC,,14 ,,TotalUnits,,,,1.78 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,94774,CPT,"Ped home apnea rec, compl",,,14 ,,TotalUnits,,,,2.33 ,,$0.00,$0.00,1,0,0,0,0,1,20101001,94776,CPT,"Ped home apnea rec, downld",,TC,14 ,,TotalUnits,,,,1.48 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,94777,CPT,"Ped home apnea rec, report",,PC,14 ,,TotalUnits,,,,1.30 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,94799,CPT,Pulmonary service/procedure,,,14 ,,TotalUnits,,,,1.16 ,,$0.00,$0.00,1,0,0,0,0,1,20101001,94799,CPT,Pulmonary service/procedure,,PC,14 ,,TotalUnits,,,,0.38 ,,$0.00,$0.00,1,0,1,1,1,0,20101001,94799,CPT,Pulmonary service/procedure,,TC,14 ,,TotalUnits,,,,0.78 ,,$0.00,$0.00,1,1,1,0,1,0,20101001,95004,CPT,Percut allergy skin tests,,,2 ,,RBRVS,0.01 ,0.14 ,0.14 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,95010,CPT,Percut allergy titrate test,,,2 ,,RBRVS,0.15 ,0.31 ,0.31 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,95012,CPT,Exhaled nitric oxide meas,,,2 ,,RBRVS,,0.53 ,0.53 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,95015,CPT,Id allergy titrate-drug/bug,,,2 ,,RBRVS,0.15 ,0.19 ,0.19 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,95024,CPT,"Id allergy test, drug/bug",,,2 ,,RBRVS,0.01 ,0.17 ,0.17 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,95027,CPT,Id allergy titrate-airborne,,,2 ,,RBRVS,0.01 ,0.11 ,0.11 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,95028,CPT,Id allergy test-delayed type,,TC,2 ,,RBRVS,,0.29 ,0.29 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,95044,CPT,Allergy patch tests,,,2 ,,RBRVS,,0.16 ,0.16 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,95052,CPT,Photo patch test,,,2 ,,RBRVS,,0.18 ,0.18 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,95056,CPT,Photosensitivity tests,,,2 ,,RBRVS,,0.94 ,0.94 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,95060,CPT,Eye allergy tests,,TC,2 ,,RBRVS,,0.62 ,0.62 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,95065,CPT,Nose allergy test,,TC,2 ,,RBRVS,,0.57 ,0.57 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,95070,CPT,Bronchial allergy tests,,TC,2 ,,RBRVS,,1.16 ,1.16 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,95071,CPT,Bronchial allergy tests,,TC,2 ,,RBRVS,,1.44 ,1.44 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,95075,CPT,Ingestion challenge test,,,2 ,,RBRVS,0.95 ,0.32 ,0.74 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,95115,CPT,"Immunotherapy, one injection",,,1 ,,RBRVS,,0.27 ,0.27 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,95117,CPT,Immunotherapy injections,,,1 ,,RBRVS,,0.33 ,0.33 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,95120,CPT,"Immunotherapy, one injection",,,1 ,,TotalUnits,,,,0.33 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,95125,CPT,"Immunotherapy, many antigens",,,1 ,,TotalUnits,,,,0.41 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,95130,CPT,"Immunotherapy, insect venom",,,1 ,,TotalUnits,,,,0.58 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,95131,CPT,"Immunotherapy, insect venoms",,,1 ,,TotalUnits,,,,0.73 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,95132,CPT,"Immunotherapy, insect venoms",,,1 ,,TotalUnits,,,,0.88 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,95133,CPT,"Immunotherapy, insect venoms",,,1 ,,TotalUnits,,,,1.06 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,95134,CPT,"Immunotherapy, insect venoms",,,1 ,,TotalUnits,,,,1.27 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,95144,CPT,Antigen therapy services,,,1 ,,RBRVS,0.06 ,0.02 ,0.25 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,95145,CPT,Antigen therapy services,,,1 ,,RBRVS,0.06 ,0.02 ,0.35 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,95146,CPT,Antigen therapy services,,,1 ,,RBRVS,0.06 ,0.02 ,0.62 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,95147,CPT,Antigen therapy services,,,1 ,,RBRVS,0.06 ,0.02 ,0.60 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,95148,CPT,Antigen therapy services,,,1 ,,RBRVS,0.06 ,0.02 ,0.87 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,95149,CPT,Antigen therapy services,,,1 ,,RBRVS,0.06 ,0.02 ,1.16 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,95165,CPT,Antigen therapy services,,,1 ,,RBRVS,0.06 ,0.02 ,0.25 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,95170,CPT,Antigen therapy services,,,1 ,,RBRVS,0.06 ,0.02 ,0.18 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,95180,CPT,Rapid desensitization,,,1 ,,RBRVS,2.01 ,0.86 ,1.80 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,95199,CPT,Allergy immunology services,,,1 ,,TotalUnits,,,,0.27 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,95250,CPT,"Glucose monitoring, cont",,TC,14 ,,RBRVS,,3.55 ,3.55 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,95251,CPT,"Gluc monitor, cont, phys i&r",,PC,14 ,,RBRVS,0.85 ,0.23 ,0.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,95805,CPT,Multiple sleep latency test,26,,14 ,,RBRVS,1.88 ,0.56 ,0.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,95805,CPT,Multiple sleep latency test,,,14 ,,RBRVS,1.88 ,9.38 ,9.38 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,95805,CPT,Multiple sleep latency test,TC,,14 ,,RBRVS,,8.82 ,8.82 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,95806,CPT,"Sleep study, unattended",26,,14 ,,RBRVS,1.66 ,0.50 ,0.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,95806,CPT,"Sleep study, unattended",,,14 ,,RBRVS,1.66 ,3.75 ,3.75 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,95806,CPT,"Sleep study, unattended",TC,,14 ,,RBRVS,,3.25 ,3.25 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,95807,CPT,"Sleep study, attended",26,,14 ,,RBRVS,1.66 ,0.48 ,0.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,95807,CPT,"Sleep study, attended",,,14 ,,RBRVS,1.66 ,11.52 ,11.52 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,95807,CPT,"Sleep study, attended",TC,,14 ,,RBRVS,,11.04 ,11.04 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,95808,CPT,"Polysomnography, 1-3",26,,14 ,,RBRVS,2.65 ,0.78 ,0.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,95808,CPT,"Polysomnography, 1-3",,,14 ,,RBRVS,2.65 ,14.69 ,14.69 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,95808,CPT,"Polysomnography, 1-3",TC,,14 ,,RBRVS,,13.91 ,13.91 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,95810,CPT,"Polysomnography, 4 or more",26,,14 ,,RBRVS,3.52 ,1.00 ,1.00 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,95810,CPT,"Polysomnography, 4 or more",,,14 ,,RBRVS,3.52 ,17.17 ,17.17 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,95810,CPT,"Polysomnography, 4 or more",TC,,14 ,,RBRVS,,16.17 ,16.17 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,95811,CPT,Polysomnography w/cpap,26,,14 ,,RBRVS,3.79 ,1.07 ,1.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,95811,CPT,Polysomnography w/cpap,,,14 ,,RBRVS,3.79 ,19.04 ,19.04 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,95811,CPT,Polysomnography w/cpap,TC,,14 ,,RBRVS,,17.97 ,17.97 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,95812,CPT,"Eeg, 41-60 minutes",26,,14 ,,RBRVS,1.08 ,0.35 ,0.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,95812,CPT,"Eeg, 41-60 minutes",,,14 ,,RBRVS,1.08 ,5.27 ,5.27 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,95812,CPT,"Eeg, 41-60 minutes",TC,,14 ,,RBRVS,,4.92 ,4.92 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,95813,CPT,"Eeg, over 1 hour",26,,14 ,,RBRVS,1.73 ,0.55 ,0.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,95813,CPT,"Eeg, over 1 hour",,,14 ,,RBRVS,1.73 ,6.06 ,6.06 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,95813,CPT,"Eeg, over 1 hour",TC,,14 ,,RBRVS,,5.51 ,5.51 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,95816,CPT,"Eeg, awake and drowsy",26,,14 ,,RBRVS,1.08 ,0.35 ,0.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,95816,CPT,"Eeg, awake and drowsy",,,14 ,,RBRVS,1.08 ,4.74 ,4.74 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,95816,CPT,"Eeg, awake and drowsy",TC,,14 ,,RBRVS,,4.39 ,4.39 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,95819,CPT,"Eeg, awake and asleep",26,,14 ,,RBRVS,1.08 ,0.35 ,0.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,95819,CPT,"Eeg, awake and asleep",,,14 ,,RBRVS,1.08 ,5.18 ,5.18 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,95819,CPT,"Eeg, awake and asleep",TC,,14 ,,RBRVS,,4.83 ,4.83 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,95822,CPT,"Eeg, coma or sleep only",26,,14 ,,RBRVS,1.08 ,0.35 ,0.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,95822,CPT,"Eeg, coma or sleep only",,,14 ,,RBRVS,1.08 ,5.13 ,5.13 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,95822,CPT,"Eeg, coma or sleep only",TC,,14 ,,RBRVS,,4.78 ,4.78 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,95824,CPT,"Eeg, cerebral death only",26,,14 ,,TotalUnits,,,,0.98 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,95824,CPT,"Eeg, cerebral death only",,,14 ,,TotalUnits,,,,5.10 ,,$0.00,$0.00,1,0,0,0,0,1,20101001,95824,CPT,"Eeg, cerebral death only",TC,,14 ,,TotalUnits,,,,4.12 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,95827,CPT,"Eeg, all night recording",26,,14 ,,RBRVS,1.08 ,0.34 ,0.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,95827,CPT,"Eeg, all night recording",,,14 ,,RBRVS,1.08 ,9.06 ,9.06 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,95827,CPT,"Eeg, all night recording",TC,,14 ,,RBRVS,,8.72 ,8.72 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,95829,CPT,Surgery electrocorticogram,26,,14 ,,RBRVS,6.20 ,2.01 ,2.01 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,95829,CPT,Surgery electrocorticogram,,,14 ,,RBRVS,6.20 ,26.50 ,26.50 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,95829,CPT,Surgery electrocorticogram,TC,,14 ,,RBRVS,,24.49 ,24.49 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,95830,CPT,Insert electrodes for eeg,,,14 ,,RBRVS,1.70 ,0.54 ,3.02 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,95831,CPT,"Limb muscle testing, manual",,,14 ,,RBRVS,0.28 ,0.10 ,0.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,95832,CPT,"Hand muscle testing, manual",,,14 ,,RBRVS,0.29 ,0.10 ,0.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,95833,CPT,"Body muscle testing, manual",,,14 ,,RBRVS,0.47 ,0.16 ,0.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,95834,CPT,"Body muscle testing, manual",,,14 ,,RBRVS,0.60 ,0.19 ,0.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,95851,CPT,Range of motion measurements,,,14 ,,RBRVS,0.16 ,0.05 ,0.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,95852,CPT,Range of motion measurements,,,14 ,,RBRVS,0.11 ,0.04 ,0.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,95857,CPT,Tensilon test,,,14 ,,RBRVS,0.53 ,0.19 ,0.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,95860,CPT,"Muscle test, one limb",26,,14 ,,RBRVS,0.96 ,0.35 ,0.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,95860,CPT,"Muscle test, one limb",,,14 ,,RBRVS,0.96 ,1.20 ,1.20 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,95860,CPT,"Muscle test, one limb",TC,,14 ,,RBRVS,,0.85 ,0.85 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,95861,CPT,"Muscle test, 2 limbs",26,,14 ,,RBRVS,1.54 ,0.56 ,0.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,95861,CPT,"Muscle test, 2 limbs",,,14 ,,RBRVS,1.54 ,1.57 ,1.57 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,95861,CPT,"Muscle test, 2 limbs",TC,,14 ,,RBRVS,,1.01 ,1.01 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,95863,CPT,"Muscle test, 3 limbs",26,,14 ,,RBRVS,1.87 ,0.64 ,0.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,95863,CPT,"Muscle test, 3 limbs",,,14 ,,RBRVS,1.87 ,1.84 ,1.84 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,95863,CPT,"Muscle test, 3 limbs",TC,,14 ,,RBRVS,,1.20 ,1.20 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,95864,CPT,"Muscle test, 4 limbs",26,,14 ,,RBRVS,1.99 ,0.70 ,0.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,95864,CPT,"Muscle test, 4 limbs",,,14 ,,RBRVS,1.99 ,2.24 ,2.24 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,95864,CPT,"Muscle test, 4 limbs",TC,,14 ,,RBRVS,,1.54 ,1.54 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,95865,CPT,"Muscle test, larynx",26,,14 ,,RBRVS,1.57 ,0.59 ,0.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,95865,CPT,"Muscle test, larynx",,,14 ,,RBRVS,1.57 ,1.42 ,1.42 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,95865,CPT,"Muscle test, larynx",TC,,14 ,,RBRVS,,0.83 ,0.83 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,95866,CPT,"Muscle test, hemidiaphragm",26,,14 ,,RBRVS,1.25 ,0.46 ,0.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,95866,CPT,"Muscle test, hemidiaphragm",,,14 ,,RBRVS,1.25 ,1.19 ,1.19 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,95866,CPT,"Muscle test, hemidiaphragm",TC,,14 ,,RBRVS,,0.73 ,0.73 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,95867,CPT,Muscle test cran nerv unilat,26,,14 ,,RBRVS,0.79 ,0.28 ,0.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,95867,CPT,Muscle test cran nerv unilat,,,14 ,,RBRVS,0.79 ,1.08 ,1.08 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,95867,CPT,Muscle test cran nerv unilat,TC,,14 ,,RBRVS,,0.80 ,0.80 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,95868,CPT,Muscle test cran nerve bilat,26,,14 ,,RBRVS,1.18 ,0.41 ,0.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,95868,CPT,Muscle test cran nerve bilat,,,14 ,,RBRVS,1.18 ,1.38 ,1.38 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,95868,CPT,Muscle test cran nerve bilat,TC,,14 ,,RBRVS,,0.97 ,0.97 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,95869,CPT,"Muscle test, thor paraspinal",26,,14 ,,RBRVS,0.37 ,0.13 ,0.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,95869,CPT,"Muscle test, thor paraspinal",,,14 ,,RBRVS,0.37 ,0.83 ,0.83 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,95869,CPT,"Muscle test, thor paraspinal",TC,,14 ,,RBRVS,,0.70 ,0.70 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,95870,CPT,"Muscle test, nonparaspinal",26,,14 ,,RBRVS,0.37 ,0.13 ,0.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,95870,CPT,"Muscle test, nonparaspinal",,,14 ,,RBRVS,0.37 ,0.80 ,0.80 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,95870,CPT,"Muscle test, nonparaspinal",TC,,14 ,,RBRVS,,0.67 ,0.67 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,95872,CPT,"Muscle test, one fiber",26,,14 ,,RBRVS,2.88 ,0.85 ,0.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,95872,CPT,"Muscle test, one fiber",,,14 ,,RBRVS,2.88 ,1.54 ,1.54 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,95872,CPT,"Muscle test, one fiber",TC,,14 ,,RBRVS,,0.69 ,0.69 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,95873,CPT,"Guide nerv destr, elec stim",26,,14 ,,RBRVS,0.37 ,0.16 ,0.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,95873,CPT,"Guide nerv destr, elec stim",,,14 ,,RBRVS,0.37 ,0.85 ,0.85 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,95873,CPT,"Guide nerv destr, elec stim",TC,,14 ,,RBRVS,,0.69 ,0.69 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,95874,CPT,"Guide nerv destr, needle emg",26,,14 ,,RBRVS,0.37 ,0.14 ,0.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,95874,CPT,"Guide nerv destr, needle emg",,,14 ,,RBRVS,0.37 ,0.78 ,0.78 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,95874,CPT,"Guide nerv destr, needle emg",TC,,14 ,,RBRVS,,0.64 ,0.64 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,95875,CPT,Limb exercise test,26,,14 ,,RBRVS,1.10 ,0.37 ,0.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,95875,CPT,Limb exercise test,,,14 ,,RBRVS,1.10 ,1.34 ,1.34 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,95875,CPT,Limb exercise test,TC,,14 ,,RBRVS,,0.97 ,0.97 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,95900,CPT,Motor nerve conduction test,26,,14 ,,RBRVS,0.42 ,0.15 ,0.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,95900,CPT,Motor nerve conduction test,,,14 ,,RBRVS,0.42 ,0.99 ,0.99 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,95900,CPT,Motor nerve conduction test,TC,,14 ,,RBRVS,,0.84 ,0.84 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,95903,CPT,Motor nerve conduction test,26,,14 ,,RBRVS,0.60 ,0.20 ,0.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,95903,CPT,Motor nerve conduction test,,,14 ,,RBRVS,0.60 ,1.05 ,1.05 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,95903,CPT,Motor nerve conduction test,TC,,14 ,,RBRVS,,0.85 ,0.85 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,95904,CPT,Sense nerve conduction test,26,,14 ,,RBRVS,0.34 ,0.12 ,0.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,95904,CPT,Sense nerve conduction test,,,14 ,,RBRVS,0.34 ,0.90 ,0.90 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,95904,CPT,Sense nerve conduction test,TC,,14 ,,RBRVS,,0.78 ,0.78 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,95905,CPT,Motor/sens nrve conduct test,26,,14 ,,RBRVS,0.05 ,0.02 ,0.02 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,95905,CPT,Motor/sens nrve conduct test,,,14 ,,RBRVS,0.05 ,2.04 ,2.04 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,95905,CPT,Motor/sens nrve conduct test,TC,,14 ,,RBRVS,,2.02 ,2.02 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,95920,CPT,Intraop nerve test add-on,26,,14 ,,RBRVS,2.11 ,0.71 ,0.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,95920,CPT,Intraop nerve test add-on,,,14 ,,RBRVS,2.11 ,1.82 ,1.82 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,95920,CPT,Intraop nerve test add-on,TC,,14 ,,RBRVS,,1.11 ,1.11 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,95921,CPT,Autonomic nerv function test,26,,14 ,,RBRVS,0.90 ,0.29 ,0.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,95921,CPT,Autonomic nerv function test,,,14 ,,RBRVS,0.90 ,1.05 ,1.05 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,95921,CPT,Autonomic nerv function test,TC,,14 ,,RBRVS,,0.76 ,0.76 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,95922,CPT,Autonomic nerv function test,26,,14 ,,RBRVS,0.96 ,0.31 ,0.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,95922,CPT,Autonomic nerv function test,,,14 ,,RBRVS,0.96 ,1.38 ,1.38 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,95922,CPT,Autonomic nerv function test,TC,,14 ,,RBRVS,,1.07 ,1.07 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,95923,CPT,Autonomic nerv function test,26,,14 ,,RBRVS,0.90 ,0.30 ,0.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,95923,CPT,Autonomic nerv function test,,,14 ,,RBRVS,0.90 ,2.19 ,2.19 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,95923,CPT,Autonomic nerv function test,TC,,14 ,,RBRVS,,1.89 ,1.89 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,95925,CPT,Somatosensory testing,26,,14 ,,RBRVS,0.54 ,0.18 ,0.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,95925,CPT,Somatosensory testing,,,14 ,,RBRVS,0.54 ,2.58 ,2.58 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,95925,CPT,Somatosensory testing,TC,,14 ,,RBRVS,,2.40 ,2.40 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,95926,CPT,Somatosensory testing,26,,14 ,,RBRVS,0.54 ,0.18 ,0.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,95926,CPT,Somatosensory testing,,,14 ,,RBRVS,0.54 ,2.53 ,2.53 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,95926,CPT,Somatosensory testing,TC,,14 ,,RBRVS,,2.35 ,2.35 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,95927,CPT,Somatosensory testing,26,,14 ,,RBRVS,0.54 ,0.19 ,0.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,95927,CPT,Somatosensory testing,,,14 ,,RBRVS,0.54 ,2.60 ,2.60 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,95927,CPT,Somatosensory testing,TC,,14 ,,RBRVS,,2.41 ,2.41 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,95928,CPT,"C motor evoked, uppr limbs",26,,14 ,,RBRVS,1.50 ,0.49 ,0.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,95928,CPT,"C motor evoked, uppr limbs",,,14 ,,RBRVS,1.50 ,3.54 ,3.54 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,95928,CPT,"C motor evoked, uppr limbs",TC,,14 ,,RBRVS,,3.05 ,3.05 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,95929,CPT,"C motor evoked, lwr limbs",26,,14 ,,RBRVS,1.50 ,0.50 ,0.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,95929,CPT,"C motor evoked, lwr limbs",,,14 ,,RBRVS,1.50 ,3.82 ,3.82 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,95929,CPT,"C motor evoked, lwr limbs",TC,,14 ,,RBRVS,,3.32 ,3.32 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,95930,CPT,Visual evoked potential test,26,,14 ,,RBRVS,0.35 ,0.12 ,0.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,95930,CPT,Visual evoked potential test,,,14 ,,RBRVS,0.35 ,2.46 ,2.46 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,95930,CPT,Visual evoked potential test,TC,,14 ,,RBRVS,,2.34 ,2.34 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,95933,CPT,Blink reflex test,26,,14 ,,RBRVS,0.59 ,0.20 ,0.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,95933,CPT,Blink reflex test,,,14 ,,RBRVS,0.59 ,1.07 ,1.07 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,95933,CPT,Blink reflex test,TC,,14 ,,RBRVS,,0.87 ,0.87 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,95934,CPT,H-reflex test,26,,14 ,,RBRVS,0.51 ,0.18 ,0.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,95934,CPT,H-reflex test,,,14 ,,RBRVS,0.51 ,0.76 ,0.76 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,95934,CPT,H-reflex test,TC,,14 ,,RBRVS,,0.58 ,0.58 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,95936,CPT,H-reflex test,26,,14 ,,RBRVS,0.55 ,0.19 ,0.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,95936,CPT,H-reflex test,,,14 ,,RBRVS,0.55 ,0.56 ,0.56 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,95936,CPT,H-reflex test,TC,,14 ,,RBRVS,,0.37 ,0.37 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,95937,CPT,Neuromuscular junction test,26,,14 ,,RBRVS,0.65 ,0.22 ,0.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,95937,CPT,Neuromuscular junction test,,,14 ,,RBRVS,0.65 ,0.82 ,0.82 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,95937,CPT,Neuromuscular junction test,TC,,14 ,,RBRVS,,0.60 ,0.60 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,95950,CPT,Ambulatory eeg monitoring,26,,14 ,,RBRVS,1.51 ,0.49 ,0.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,95950,CPT,Ambulatory eeg monitoring,,,14 ,,RBRVS,1.51 ,4.56 ,4.56 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,95950,CPT,Ambulatory eeg monitoring,TC,,14 ,,RBRVS,,4.07 ,4.07 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,95951,CPT,Eeg monitoring/videorecord,26,,14 ,,TotalUnits,,,,7.95 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,95951,CPT,Eeg monitoring/videorecord,,,14 ,,TotalUnits,,,,11.42 ,,$0.00,$0.00,1,0,0,0,0,1,20101001,95951,CPT,Eeg monitoring/videorecord,TC,,14 ,,TotalUnits,,,,3.47 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,95953,CPT,Eeg monitoring/computer,26,,14 ,,RBRVS,3.30 ,1.05 ,1.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,95953,CPT,Eeg monitoring/computer,,,14 ,,RBRVS,3.30 ,7.16 ,7.16 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,95953,CPT,Eeg monitoring/computer,TC,,14 ,,RBRVS,,6.11 ,6.11 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,95954,CPT,Eeg monitoring/giving drugs,26,,14 ,,RBRVS,2.45 ,0.56 ,0.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,95954,CPT,Eeg monitoring/giving drugs,,,14 ,,RBRVS,2.45 ,4.11 ,4.11 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,95954,CPT,Eeg monitoring/giving drugs,TC,,14 ,,RBRVS,,3.55 ,3.55 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,95955,CPT,Eeg during surgery,26,,14 ,,RBRVS,1.01 ,0.31 ,0.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,95955,CPT,Eeg during surgery,,,14 ,,RBRVS,1.01 ,2.56 ,2.56 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,95955,CPT,Eeg during surgery,TC,,14 ,,RBRVS,,2.25 ,2.25 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,95956,CPT,"Eeg monitoring, cable/radio",26,,14 ,,RBRVS,3.08 ,1.01 ,1.01 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,95956,CPT,"Eeg monitoring, cable/radio",,,14 ,,RBRVS,3.08 ,15.75 ,15.75 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,95956,CPT,"Eeg monitoring, cable/radio",TC,,14 ,,RBRVS,,14.74 ,14.74 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,95957,CPT,Eeg digital analysis,26,,14 ,,RBRVS,1.98 ,0.65 ,0.65 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,95957,CPT,Eeg digital analysis,,,14 ,,RBRVS,1.98 ,4.90 ,4.90 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,95957,CPT,Eeg digital analysis,TC,,14 ,,RBRVS,,4.25 ,4.25 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,95958,CPT,Eeg monitoring/function test,26,,14 ,,RBRVS,4.24 ,1.40 ,1.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,95958,CPT,Eeg monitoring/function test,,,14 ,,RBRVS,4.24 ,5.89 ,5.89 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,95958,CPT,Eeg monitoring/function test,TC,,14 ,,RBRVS,,4.49 ,4.49 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,95961,CPT,"Electrode stimulation, brain",26,,14 ,,RBRVS,2.97 ,1.02 ,1.02 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,95961,CPT,"Electrode stimulation, brain",,,14 ,,RBRVS,2.97 ,2.90 ,2.90 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,95961,CPT,"Electrode stimulation, brain",TC,,14 ,,RBRVS,,1.88 ,1.88 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,95962,CPT,"Electrode stim, brain add-on",26,,14 ,,RBRVS,3.21 ,1.05 ,1.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,95962,CPT,"Electrode stim, brain add-on",,,14 ,,RBRVS,3.21 ,2.29 ,2.29 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,95962,CPT,"Electrode stim, brain add-on",TC,,14 ,,RBRVS,,1.24 ,1.24 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,95965,CPT,"Meg, spontaneous",26,,14 ,,TotalUnits,,,,10.85 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,95965,CPT,"Meg, spontaneous",,,14 ,,TotalUnits,,,,54.25 ,,$0.00,$0.00,1,0,0,0,0,1,20101001,95965,CPT,"Meg, spontaneous",TC,,14 ,,TotalUnits,,,,43.40 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,95966,CPT,"Meg, evoked, single",26,,14 ,,RBRVS,3.99 ,1.44 ,1.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,95966,CPT,"Meg, evoked, single",,,14 ,,RBRVS,3.99 ,22.80 ,22.80 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,95966,CPT,"Meg, evoked, single",TC,,14 ,,RBRVS,,21.36 ,21.36 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,95967,CPT,"Meg, evoked, each add'l",26,,14 ,,TotalUnits,,,,4.65 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,95967,CPT,"Meg, evoked, each add'l",,,14 ,,TotalUnits,,,,23.25 ,,$0.00,$0.00,1,0,0,0,0,1,20101001,95967,CPT,"Meg, evoked, each add'l",TC,,14 ,,TotalUnits,,,,18.60 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,95970,CPT,"Analyze neurostim, no prog",,,14 ,,RBRVS,0.45 ,0.13 ,0.88 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,95971,CPT,"Analyze neurostim, simple",,,14 ,,RBRVS,0.78 ,0.26 ,0.72 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,95972,CPT,"Analyze neurostim, complex",,,14 ,,RBRVS,1.50 ,0.47 ,1.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,95973,CPT,"Analyze neurostim, complex",,,14 ,,RBRVS,0.92 ,0.26 ,0.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,95974,CPT,"Cranial neurostim, complex",,,14 ,,RBRVS,3.00 ,0.94 ,1.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,95975,CPT,"Cranial neurostim, complex",,,14 ,,RBRVS,1.70 ,0.55 ,0.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,95978,CPT,Analyze neurostim brain/1h,,,14 ,,RBRVS,3.50 ,1.13 ,1.88 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,95979,CPT,Analyz neurostim brain addon,,,14 ,,RBRVS,1.64 ,0.54 ,0.77 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,95980,CPT,Io anal gast n-stim init,,,14 ,,RBRVS,0.80 ,0.25 ,0.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,95981,CPT,Io anal gast n-stim subsq,,,14 ,,RBRVS,0.30 ,0.12 ,0.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,95982,CPT,Io ga n-stim subsq w/reprog,,,14 ,,RBRVS,0.65 ,0.20 ,0.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,95990,CPT,Spin/brain pump refil & main,,,14 ,,RBRVS,,1.56 ,1.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,95991,CPT,Spin/brain pump refil & main,,,14 ,,RBRVS,0.77 ,0.18 ,1.57 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,95992,CPT,Canalith repositioning proc,,,14 ,,RBRVS,0.75 ,0.25 ,0.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,95999,CPT,Neurological procedure,,,14 ,,TotalUnits,,,,0.44 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,96000,CPT,"Motion analysis, video/3d",,,14 ,,RBRVS,1.80 ,0.49 ,0.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,96001,CPT,Motion test w/ft press meas,,,14 ,,RBRVS,2.15 ,0.58 ,0.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,96002,CPT,Dynamic surface emg,,,14 ,,RBRVS,0.41 ,0.13 ,0.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,96003,CPT,Dynamic fine wire emg,,,14 ,,RBRVS,0.37 ,0.10 ,0.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,96004,CPT,Phys review of motion tests,,PC,14 ,,RBRVS,2.14 ,0.79 ,0.79 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,96020,CPT,Functional brain mapping,26,,14 ,,RBRVS,3.43 ,1.33 ,1.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,96040,CPT,"Genetic counseling, 30 min",,,15 ,,RBRVS,,1.10 ,1.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,96101,CPT,Psycho testing by psych/phys,,,16 ,,RBRVS,1.86 ,0.42 ,0.43 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,96102,CPT,Psycho testing by technician,,,16 ,,RBRVS,0.50 ,0.12 ,0.91 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,96103,CPT,Psycho testing admin by comp,,,16 ,,RBRVS,0.51 ,0.13 ,0.75 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,96105,CPT,Assessment of aphasia,,,16 ,,RBRVS,,1.86 ,1.86 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,96110,CPT,"Developmental test, lim",,,16 ,,RBRVS,,0.18 ,0.18 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,96111,CPT,"Developmental test, extend",,,16 ,,RBRVS,2.60 ,0.75 ,0.83 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,96116,CPT,Neurobehavioral status exam,,,16 ,,RBRVS,1.86 ,0.47 ,0.61 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,96118,CPT,Neuropsych tst by psych/phys,,,16 ,,RBRVS,1.86 ,0.41 ,0.96 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,96119,CPT,Neuropsych testing by tec,,,16 ,,RBRVS,0.55 ,0.13 ,1.33 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,96120,CPT,Neuropsych tst admin w/comp,,,16 ,,RBRVS,0.51 ,0.13 ,1.37 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,96125,CPT,Cognitive test by hc pro,,,16 ,,RBRVS,1.70 ,0.38 ,0.77 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,96150,CPT,"Assess hlth/behave, init",,,16 ,,RBRVS,0.50 ,0.11 ,0.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,96151,CPT,"Assess hlth/behave, subseq",,,16 ,,RBRVS,0.48 ,0.11 ,0.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,96152,CPT,"Intervene hlth/behave, indiv",,,16 ,,RBRVS,0.46 ,0.10 ,0.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,96153,CPT,"Intervene hlth/behave, group",,,16 ,,RBRVS,0.10 ,0.02 ,0.03 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,96154,CPT,"Interv hlth/behav, fam w/pt",,,16 ,,RBRVS,0.45 ,0.10 ,0.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,96155,CPT,Interv hlth/behav fam no pt,,,16 ,,RBRVS,0.44 ,0.15 ,0.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,96360,CPT,"Hydration iv infusion, init",,,22 ,,RBRVS,0.17 ,1.33 ,1.33 ,,,$0.00,$0.00,1,1,1,0,0,1,20101001,96361,CPT,"Hydrate iv infusion, add-on",,,22 ,,RBRVS,0.09 ,0.33 ,0.33 ,,,$0.00,$0.00,1,1,1,0,0,1,20101001,96365,CPT,"Ther/proph/diag iv inf, init",,,22 ,,RBRVS,0.21 ,1.63 ,1.63 ,,,$0.00,$0.00,1,1,1,0,0,1,20101001,96366,CPT,Ther/proph/diag iv inf addon,,,22 ,,RBRVS,0.18 ,0.39 ,0.39 ,,,$0.00,$0.00,1,1,1,0,0,1,20101001,96367,CPT,Tx/proph/dg addl seq iv inf,,,22 ,,RBRVS,0.19 ,0.73 ,0.73 ,,,$0.00,$0.00,1,1,1,0,0,1,20101001,96368,CPT,Ther/diag concurrent inf,,,22 ,,RBRVS,0.17 ,0.36 ,0.36 ,,,$0.00,$0.00,1,1,1,0,0,1,20101001,96369,CPT,"Sc ther infusion, up to 1 hr",,,22 ,,RBRVS,0.21 ,3.88 ,3.88 ,,,$0.00,$0.00,1,1,1,0,0,1,20101001,96370,CPT,"Sc ther infusion, addl hr",,,22 ,,RBRVS,0.18 ,0.22 ,0.22 ,,,$0.00,$0.00,1,1,1,0,0,1,20101001,96371,CPT,"Sc ther infusion, reset pump",,,22 ,,RBRVS,,2.00 ,2.00 ,,,$0.00,$0.00,1,1,1,0,0,1,20101001,96372,CPT,"Ther/proph/diag inj, sc/im",,,22 ,,RBRVS,0.17 ,0.40 ,0.40 ,,,$0.00,$0.00,1,1,1,0,0,1,20101001,96373,CPT,"Ther/proph/diag inj, ia",,,22 ,,RBRVS,0.17 ,0.31 ,0.31 ,,,$0.00,$0.00,1,1,1,0,0,1,20101001,96374,CPT,"Ther/proph/diag inj, iv push",,,22 ,,RBRVS,0.18 ,1.29 ,1.29 ,,,$0.00,$0.00,1,1,1,0,0,1,20101001,96375,CPT,Tx/pro/dx inj new drug addon,,,22 ,,RBRVS,0.10 ,0.52 ,0.52 ,,,$0.00,$0.00,1,1,1,0,0,1,20101001,96376,CPT,Tx/pro/dx inj new drug adon,,,22 ,,TotalUnits,,,,0.32 ,,$0.00,$0.00,1,1,1,0,0,1,20101001,96379,CPT,Ther/prop/diag inj/inf proc,,,22 ,,TotalUnits,,,,0.32 ,,$0.00,$0.00,1,1,1,0,0,1,20101001,96401,CPT,"Chemo, anti-neopl, sq/im",,,14 ,,RBRVS,0.21 ,1.65 ,1.65 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,96402,CPT,Chemo hormon antineopl sq/im,,,14 ,,RBRVS,0.19 ,0.82 ,0.82 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,96405,CPT,"Chemo intralesional, up to 7",,,14 ,,RBRVS,0.52 ,0.25 ,1.79 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,96406,CPT,Chemo intralesional over 7,,,14 ,,RBRVS,0.80 ,0.33 ,2.40 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,96409,CPT,"Chemo, iv push, sngl drug",,,14 ,,RBRVS,0.24 ,2.80 ,2.80 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,96411,CPT,"Chemo, iv push, addl drug",,,14 ,,RBRVS,0.20 ,1.51 ,1.51 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,96413,CPT,"Chemo, iv infusion, 1 hr",,,14 ,,RBRVS,0.28 ,3.73 ,3.73 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,96415,CPT,"Chemo, iv infusion, addl hr",,,14 ,,RBRVS,0.19 ,0.67 ,0.67 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,96416,CPT,Chemo prolong infuse w/pump,,,14 ,,RBRVS,0.21 ,4.17 ,4.17 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,96417,CPT,Chemo iv infus each addl seq,,,14 ,,RBRVS,0.21 ,1.76 ,1.76 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,96420,CPT,"Chemo, ia, push tecnique",,,14 ,,RBRVS,0.17 ,2.74 ,2.74 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,96422,CPT,Chemo ia infusion up to 1 hr,,,14 ,,RBRVS,0.17 ,4.57 ,4.57 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,96423,CPT,Chemo ia infuse each addl hr,,,14 ,,RBRVS,0.17 ,1.96 ,1.96 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,96425,CPT,"Chemotherapy,infusion method",,,14 ,,RBRVS,0.17 ,4.50 ,4.50 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,96440,CPT,"Chemotherapy, intracavitary",,,14 ,,RBRVS,2.37 ,1.13 ,14.04 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,96445,CPT,"Chemotherapy, intracavitary",,,14 ,,RBRVS,2.20 ,0.90 ,5.57 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,96450,CPT,"Chemotherapy, into cns",,,14 ,,RBRVS,1.53 ,0.82 ,4.15 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,96521,CPT,"Refill/maint, portable pump",,,14 ,,RBRVS,0.21 ,3.25 ,3.25 ,,,$0.00,$0.00,1,1,1,1,1,1,20101001,96522,CPT,Refill/maint pump/resvr syst,,,14 ,,RBRVS,0.21 ,2.72 ,2.72 ,,,$0.00,$0.00,1,1,1,1,1,1,20101001,96523,CPT,Irrig drug delivery device,,,14 ,,RBRVS,0.04 ,0.65 ,0.65 ,,,$0.00,$0.00,1,1,1,1,1,1,20101001,96542,CPT,Chemotherapy injection,,,14 ,,RBRVS,0.75 ,0.44 ,2.90 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,96549,CPT,"Chemotherapy, unspecified",,,14 ,,TotalUnits,,,,0.69 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,96567,CPT,"Photodynamic tx, skin",,,14 ,,RBRVS,,3.20 ,3.20 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,96570,CPT,"Photodynamic tx, 30 min",,,14 ,,RBRVS,1.10 ,0.40 ,0.40 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,96571,CPT,"Photodynamic tx, addl 15 min",,,14 ,,RBRVS,0.55 ,0.19 ,0.19 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,96900,CPT,Ultraviolet light therapy,,,14 ,,RBRVS,,0.52 ,0.52 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,96902,CPT,Trichogram,,,14 ,,RBRVS,0.41 ,0.14 ,0.16 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,96904,CPT,Whole body photography,,,14 ,,RBRVS,,1.77 ,1.77 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,96910,CPT,Photochemotherapy with uv-b,,,14 ,,RBRVS,,1.70 ,1.70 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,96912,CPT,Photochemotherapy with uv-a,,,14 ,,RBRVS,,2.18 ,2.18 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,96913,CPT,"Photochemotherapy, uv-a or b",,,14 ,,RBRVS,,3.00 ,3.00 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,96920,CPT,"Laser tx, skin < 250 sq cm",,,14 ,,RBRVS,1.15 ,0.59 ,3.27 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,96921,CPT,"Laser tx, skin 250-500 sq cm",,,14 ,,RBRVS,1.17 ,0.55 ,3.15 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,96922,CPT,"Laser tx, skin > 500 sq cm",,,14 ,,RBRVS,2.10 ,0.98 ,4.30 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,96999,CPT,Dermatological procedure,,,14 ,,TotalUnits,,,,1.70 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,97001,CPT,Pt evaluation,,,19 ,,RBRVS,1.20 ,0.69 ,0.69 ,,,$0.00,$0.00,1,1,1,0,0,1,20101001,97002,CPT,Pt re-evaluation,,,19 ,,RBRVS,0.60 ,0.42 ,0.42 ,,,$0.00,$0.00,1,1,1,0,0,1,20101001,97003,CPT,Ot evaluation,,,19 ,,RBRVS,1.20 ,0.80 ,0.80 ,,,$0.00,$0.00,1,1,1,0,0,1,20101001,97004,CPT,Ot re-evaluation,,,19 ,,RBRVS,0.60 ,0.57 ,0.57 ,,,$0.00,$0.00,1,1,1,0,0,1,20101001,97005,CPT,Athletic train eval,,,19 ,,TotalUnits,,,,1.44 ,,$0.00,$0.00,1,1,1,0,0,1,20101001,97006,CPT,Athletic train reeval,,,19 ,,TotalUnits,,,,0.72 ,,$0.00,$0.00,1,1,1,0,0,1,20101001,97010,CPT,Hot or cold packs therapy,,,19 ,,RBRVS,0.06 ,0.06 ,0.06 ,,,$0.00,$0.00,1,1,1,0,0,1,20101001,97012,CPT,Mechanical traction therapy,,,19 ,,RBRVS,0.25 ,0.14 ,0.14 ,,,$0.00,$0.00,1,1,1,0,0,1,20101001,97014,CPT,Electric stimulation therapy,,,19 ,,RBRVS,0.18 ,0.18 ,0.18 ,,,$0.00,$0.00,1,1,1,0,0,1,20101001,97016,CPT,Vasopneumatic device therapy,,,19 ,,RBRVS,0.18 ,0.23 ,0.23 ,,,$0.00,$0.00,1,1,1,0,0,1,20101001,97018,CPT,Paraffin bath therapy,,,19 ,,RBRVS,0.06 ,0.15 ,0.15 ,,,$0.00,$0.00,1,1,1,0,0,1,20101001,97022,CPT,Whirlpool therapy,,,19 ,,RBRVS,0.17 ,0.30 ,0.30 ,,,$0.00,$0.00,1,1,1,0,0,1,20101001,97024,CPT,"Diathermy eg, microwave",,,19 ,,RBRVS,0.06 ,0.08 ,0.08 ,,,$0.00,$0.00,1,1,1,0,0,1,20101001,97026,CPT,Infrared therapy,,,19 ,,RBRVS,0.06 ,0.07 ,0.07 ,,,$0.00,$0.00,1,1,1,0,0,1,20101001,97028,CPT,Ultraviolet therapy,,,19 ,,RBRVS,0.08 ,0.08 ,0.08 ,,,$0.00,$0.00,1,1,1,0,0,1,20101001,97032,CPT,Electrical stimulation,,,19 ,,RBRVS,0.25 ,0.19 ,0.19 ,,,$0.00,$0.00,1,1,1,0,0,1,20101001,97033,CPT,Electric current therapy,,,19 ,,RBRVS,0.26 ,0.40 ,0.40 ,,,$0.00,$0.00,1,1,1,0,0,1,20101001,97034,CPT,Contrast bath therapy,,,19 ,,RBRVS,0.21 ,0.19 ,0.19 ,,,$0.00,$0.00,1,1,1,0,0,1,20101001,97035,CPT,Ultrasound therapy,,,19 ,,RBRVS,0.21 ,0.10 ,0.10 ,,,$0.00,$0.00,1,1,1,0,0,1,20101001,97036,CPT,Hydrotherapy,,,19 ,,RBRVS,0.28 ,0.41 ,0.41 ,,,$0.00,$0.00,1,1,1,0,0,1,20101001,97039,CPT,Physical therapy treatment,,,19 ,,TotalUnits,,,,0.31 ,,$0.00,$0.00,1,1,1,0,0,1,20101001,97110,CPT,Therapeutic exercises,,,19 ,,RBRVS,0.45 ,0.31 ,0.31 ,,,$0.00,$0.00,1,1,1,0,0,1,20101001,97112,CPT,Neuromuscular reeducation,,,19 ,,RBRVS,0.45 ,0.34 ,0.34 ,,,$0.00,$0.00,1,1,1,0,0,1,20101001,97113,CPT,Aquatic therapy/exercises,,,19 ,,RBRVS,0.44 ,0.50 ,0.50 ,,,$0.00,$0.00,1,1,1,0,0,1,20101001,97116,CPT,Gait training therapy,,,19 ,,RBRVS,0.40 ,0.27 ,0.27 ,,,$0.00,$0.00,1,1,1,0,0,1,20101001,97124,CPT,Massage therapy,,,19 ,,RBRVS,0.35 ,0.26 ,0.26 ,,,$0.00,$0.00,1,1,1,0,0,1,20101001,97139,CPT,Physical medicine procedure,,,19 ,,TotalUnits,,,,0.76 ,,$0.00,$0.00,1,1,1,0,0,1,20101001,97140,CPT,Manual therapy,,,19 ,,RBRVS,0.43 ,0.28 ,0.28 ,,,$0.00,$0.00,1,1,1,0,0,1,20101001,97150,CPT,Group therapeutic procedures,,,19 ,,RBRVS,0.27 ,0.21 ,0.21 ,,,$0.00,$0.00,1,1,1,0,0,1,20101001,97530,CPT,Therapeutic activities,,,19 ,,RBRVS,0.44 ,0.37 ,0.37 ,,,$0.00,$0.00,1,1,1,0,0,1,20101001,97532,CPT,Cognitive skills development,,,19 ,,RBRVS,0.44 ,0.22 ,0.22 ,,,$0.00,$0.00,1,1,1,0,0,1,20101001,97533,CPT,Sensory integration,,,19 ,,RBRVS,0.44 ,0.27 ,0.27 ,,,$0.00,$0.00,1,1,1,0,0,1,20101001,97535,CPT,Self care mngment training,,,19 ,,RBRVS,0.45 ,0.36 ,0.36 ,,,$0.00,$0.00,1,1,1,0,0,1,20101001,97537,CPT,Community/work reintegration,,,19 ,,RBRVS,0.45 ,0.28 ,0.28 ,,,$0.00,$0.00,1,1,1,0,0,1,20101001,97542,CPT,Wheelchair mngment training,,,19 ,,RBRVS,0.45 ,0.29 ,0.29 ,,,$0.00,$0.00,1,1,1,0,0,1,20101001,97545,CPT,Work hardening,,,19 ,,TotalUnits,,,,2.72 ,,$0.00,$0.00,1,1,1,0,0,1,20101001,97546,CPT,Work hardening add-on,,,19 ,,TotalUnits,,,,1.09 ,,$0.00,$0.00,1,1,1,0,0,1,20101001,97597,CPT,Active wound care/20 cm or <,,,14 ,,RBRVS,0.58 ,0.26 ,0.99 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,97598,CPT,Active wound care > 20 cm,,,14 ,,RBRVS,0.80 ,0.33 ,1.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,97602,CPT,Wound(s) care non-selective,,,14 ,,TotalUnits,,,,0.57 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,97605,CPT,"Neg press wound tx, < 50 cm",,,14 ,,RBRVS,0.55 ,0.15 ,0.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,97606,CPT,"Neg press wound tx, > 50 cm",,,14 ,,RBRVS,0.60 ,0.16 ,0.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,97750,CPT,Physical performance test,,,19 ,,RBRVS,0.45 ,0.33 ,0.33 ,,,$0.00,$0.00,1,1,1,0,0,1,20101001,97755,CPT,Assistive technology assess,,,19 ,,RBRVS,0.62 ,0.28 ,0.28 ,,,$0.00,$0.00,1,1,1,0,0,1,20101001,97760,CPT,Orthotic mgmt and training,,,19 ,,RBRVS,0.45 ,0.41 ,0.41 ,,,$0.00,$0.00,1,1,1,0,0,1,20101001,97761,CPT,Prosthetic training,,,19 ,,RBRVS,0.45 ,0.32 ,0.32 ,,,$0.00,$0.00,1,1,1,0,0,1,20101001,97762,CPT,C/o for orthotic/prosth use,,,19 ,,RBRVS,0.25 ,0.65 ,0.65 ,,,$0.00,$0.00,1,1,1,0,0,1,20101001,97799,CPT,Physical medicine procedure,,,19 ,,TotalUnits,,,,0.76 ,,$0.00,$0.00,1,1,1,0,0,1,20101001,97802,CPT,"Medical nutrition, indiv, in",,,14 ,,RBRVS,0.53 ,0.22 ,0.27 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,97803,CPT,"Med nutrition, indiv, subseq",,,14 ,,RBRVS,0.45 ,0.20 ,0.25 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,97804,CPT,"Medical nutrition, group",,,14 ,,RBRVS,0.25 ,0.10 ,0.10 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,97810,CPT,Acupunct w/o stimul 15 min,,,14 ,,RBRVS,0.60 ,0.21 ,0.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,97811,CPT,Acupunct w/o stimul addl 15m,,,14 ,,RBRVS,0.50 ,0.17 ,0.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,97813,CPT,Acupunct w/stimul 15 min,,,14 ,,RBRVS,0.65 ,0.23 ,0.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,97814,CPT,Acupunct w/stimul addl 15m,,,14 ,,RBRVS,0.55 ,0.19 ,0.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,98925,CPT,Osteopathic manipulation,,,19 ,,RBRVS,0.45 ,0.13 ,0.30 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,98926,CPT,Osteopathic manipulation,,,19 ,,RBRVS,0.65 ,0.20 ,0.38 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,98927,CPT,Osteopathic manipulation,,,19 ,,RBRVS,0.87 ,0.25 ,0.47 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,98928,CPT,Osteopathic manipulation,,,19 ,,RBRVS,1.03 ,0.29 ,0.54 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,98929,CPT,Osteopathic manipulation,,,19 ,,RBRVS,1.19 ,0.34 ,0.61 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,98940,CPT,Chiropractic manipulation,,,5 ,,RBRVS,0.45 ,0.12 ,0.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,98941,CPT,Chiropractic manipulation,,,5 ,,RBRVS,0.65 ,0.18 ,0.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,98942,CPT,Chiropractic manipulation,,,5 ,,RBRVS,0.87 ,0.24 ,0.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,98943,CPT,Chiropractic manipulation,,,5 ,,RBRVS,0.40 ,0.14 ,0.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,98960,CPT,"Self-mgmt educ & train, 1 pt",,,14 ,,RBRVS,,0.65 ,0.65 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,98961,CPT,"Self-mgmt educ/train, 2-4 pt",,,14 ,,RBRVS,,0.31 ,0.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,98962,CPT,"Self-mgmt educ/train, 5-8 pt",,,14 ,,RBRVS,,0.23 ,0.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,98969,CPT,Online service by hc pro,,,14 ,,RBRVS,0.25 ,0.08 ,0.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,99000,CPT,Specimen handling,,,14 ,,TotalUnits,,,,0.15 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,99001,CPT,Specimen handling,,,14 ,,TotalUnits,,,,0.17 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,99002,CPT,Device handling,,,14 ,,TotalUnits,,,,0.20 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,99024,CPT,Postop follow-up visit,,,15 ,,TotalUnits,,,,1.12 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,99026,CPT,In-hospital on call service,,,14 ,,TotalUnits,,,,1.26 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,99027,CPT,Out-of-hosp on call service,,,14 ,,TotalUnits,,,,0.17 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,99050,CPT,Medical services after hrs,,,15 ,,TotalUnits,,,,1.01 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,99051,CPT,"Med serv, eve/wkend/holiday",,,15 ,,TotalUnits,,,,0.92 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,99053,CPT,"Med serv 10pm-8am, 24 hr fac",,,15 ,,TotalUnits,,,,1.05 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,99056,CPT,Med service out of office,,,15 ,,TotalUnits,,,,0.96 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,99058,CPT,Office emergency care,,,15 ,,TotalUnits,,,,1.20 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,99060,CPT,Out of office emerg med serv,,,15 ,,TotalUnits,,,,1.35 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,99070,CPT,Special supplies,,,14 ,,TotalUnits,,,,0.33 ,,$0.00,$0.00,1,1,1,0,0,1,20101001,99071,CPT,Patient education materials,,,14 ,,TotalUnits,,,,0.17 ,,$0.00,$0.00,1,1,1,0,0,1,20101001,99075,CPT,Medical testimony,,,14 ,,TotalUnits,,,,1.45 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,99078,CPT,Group health education,,,14 ,,TotalUnits,,,,0.68 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,99080,CPT,Special reports or forms,,,14 ,,TotalUnits,,,,0.34 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,99082,CPT,Unusual physician travel,,,14 ,,TotalUnits,,,,0.01 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,99090,CPT,Computer data analysis,,,14 ,,TotalUnits,,,,0.68 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,99091,CPT,Collect/review data from pt,,,14 ,,RBRVS,1.10 ,0.37 ,0.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,99100,CPT,Special anesthesia service,,,14 ,,TotalUnits,,,,0.71 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,99116,CPT,Anesthesia with hypothermia,,,14 ,,TotalUnits,,,,0.58 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,99135,CPT,Special anesthesia procedure,,,14 ,,TotalUnits,,,,3.40 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,99140,CPT,Emergency anesthesia,,,14 ,,TotalUnits,,,,1.15 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,99143,CPT,"Mod cs by same phys, < 5 yrs",,,14 ,,TotalUnits,,,,1.23 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,99144,CPT,"Mod cs by same phys, 5 yrs +",,,14 ,,TotalUnits,,,,1.03 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,99145,CPT,Mod cs by same phys add-on,,,14 ,,TotalUnits,,,,0.41 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,99148,CPT,Mod cs diff phys < 5 yrs,,,14 ,,TotalUnits,,,,1.13 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,99149,CPT,Mod cs diff phys 5 yrs +,,,14 ,,TotalUnits,,,,0.92 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,99150,CPT,Mod cs diff phys add-on,,,14 ,,TotalUnits,,,,0.41 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,99170,CPT,"Anogenital exam, child",,,14 ,,RBRVS,1.75 ,0.78 ,2.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,99172,CPT,Ocular function screen,,,23 ,,TotalUnits,,,,1.05 ,,$0.00,$0.00,1,0,0,0,0,1,20101001,99173,CPT,Visual acuity screen,,,23 ,,RBRVS,,0.06 ,0.06 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,99174,CPT,Ocular photoscreening,,,23 ,,RBRVS,,0.69 ,0.69 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,99175,CPT,Induction of vomiting,,,14 ,,RBRVS,,0.62 ,0.62 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,99183,CPT,Hyperbaric oxygen therapy,,,14 ,,RBRVS,2.34 ,0.64 ,2.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,99190,CPT,Special pump services,,,14 ,,TotalUnits,,,,10.26 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,99191,CPT,Special pump services,,,14 ,,TotalUnits,,,,7.18 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,99192,CPT,Special pump services,,,14 ,,TotalUnits,,,,5.13 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,99195,CPT,Phlebotomy,,,14 ,,RBRVS,,1.93 ,1.93 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,99199,CPT,Special service/proc/report,,,14 ,,TotalUnits,,,,1.93 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,99201,CPT,"Office/outpatient visit, new",,,15 ,,RBRVS,0.45 ,0.17 ,0.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,99202,CPT,"Office/outpatient visit, new",,,15 ,,RBRVS,0.88 ,0.32 ,0.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,99203,CPT,"Office/outpatient visit, new",,,15 ,,RBRVS,1.34 ,0.46 ,1.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,99204,CPT,"Office/outpatient visit, new",,,15 ,,RBRVS,2.30 ,0.74 ,1.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,99205,CPT,"Office/outpatient visit, new",,,15 ,,RBRVS,3.00 ,0.96 ,1.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,99211,CPT,"Office/outpatient visit, est",,,15 ,,RBRVS,0.17 ,0.06 ,0.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,99212,CPT,"Office/outpatient visit, est",,,15 ,,RBRVS,0.45 ,0.16 ,0.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,99213,CPT,"Office/outpatient visit, est",,,15 ,,RBRVS,0.92 ,0.29 ,0.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,99214,CPT,"Office/outpatient visit, est",,,15 ,,RBRVS,1.42 ,0.45 ,1.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,99215,CPT,"Office/outpatient visit, est",,,15 ,,RBRVS,2.00 ,0.65 ,1.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,99217,CPT,Observation care discharge,,,10 ,,RBRVS,1.28 ,0.51 ,0.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,99218,CPT,Observation care,,,10 ,,RBRVS,1.28 ,0.40 ,0.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,99219,CPT,Observation care,,,10 ,,RBRVS,2.14 ,0.64 ,0.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,99220,CPT,Observation care,,,10 ,,RBRVS,2.99 ,0.91 ,0.91 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,99221,CPT,Initial hospital care,,,10 ,,RBRVS,1.88 ,0.54 ,0.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,99222,CPT,Initial hospital care,,,10 ,,RBRVS,2.56 ,0.74 ,0.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,99223,CPT,Initial hospital care,,,10 ,,RBRVS,3.78 ,1.09 ,1.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,99231,CPT,Subsequent hospital care,,,10 ,,RBRVS,0.76 ,0.24 ,0.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,99232,CPT,Subsequent hospital care,,,10 ,,RBRVS,1.39 ,0.42 ,0.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,99233,CPT,Subsequent hospital care,,,10 ,,RBRVS,2.00 ,0.59 ,0.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,99234,CPT,Observ/hosp same date,,,10 ,,RBRVS,2.56 ,0.84 ,0.84 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,99235,CPT,Observ/hosp same date,,,10 ,,RBRVS,3.41 ,1.06 ,1.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,99236,CPT,Observ/hosp same date,,,10 ,,RBRVS,4.26 ,1.30 ,1.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,99238,CPT,Hospital discharge day,,,10 ,,RBRVS,1.28 ,0.51 ,0.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,99239,CPT,Hospital discharge day,,,10 ,,RBRVS,1.90 ,0.70 ,0.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,99241,CPT,Office consultation,,,6 ,,RBRVS,0.64 ,0.23 ,0.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,99242,CPT,Office consultation,,,6 ,,RBRVS,1.34 ,0.50 ,1.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,99243,CPT,Office consultation,,,6 ,,RBRVS,1.88 ,0.69 ,1.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,99244,CPT,Office consultation,,,6 ,,RBRVS,3.02 ,1.09 ,1.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,99245,CPT,Office consultation,,,6 ,,RBRVS,3.77 ,1.35 ,2.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,99251,CPT,Inpatient consultation,,,6 ,,RBRVS,1.00 ,0.30 ,0.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,99252,CPT,Inpatient consultation,,,6 ,,RBRVS,1.50 ,0.51 ,0.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,99253,CPT,Inpatient consultation,,,6 ,,RBRVS,2.27 ,0.80 ,0.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,99254,CPT,Inpatient consultation,,,6 ,,RBRVS,3.29 ,1.17 ,1.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,99255,CPT,Inpatient consultation,,,6 ,,RBRVS,4.00 ,1.42 ,1.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,99281,CPT,Emergency dept visit,,,7 ,,RBRVS,0.45 ,0.09 ,0.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,99282,CPT,Emergency dept visit,,,7 ,,RBRVS,0.88 ,0.17 ,0.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,99283,CPT,Emergency dept visit,,,7 ,,RBRVS,1.34 ,0.27 ,0.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,99284,CPT,Emergency dept visit,,,7 ,,RBRVS,2.56 ,0.47 ,0.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,99285,CPT,Emergency dept visit,,,7 ,,RBRVS,3.80 ,0.69 ,0.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,99288,CPT,Direct advanced life support,,,7 ,,TotalUnits,,,,1.56 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,99291,CPT,"Critical care, first hour",,,10 ,,RBRVS,4.50 ,1.17 ,2.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,99292,CPT,"Critical care, add'l 30 min",,,10 ,,RBRVS,2.25 ,0.58 ,0.82 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,99304,CPT,"Nursing facility care, init",,,15 ,,RBRVS,1.61 ,0.56 ,0.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,99305,CPT,"Nursing facility care, init",,,15 ,,RBRVS,2.30 ,0.73 ,0.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,99306,CPT,"Nursing facility care, init",,,15 ,,RBRVS,3.00 ,0.89 ,0.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,99307,CPT,"Nursing fac care, subseq",,,15 ,,RBRVS,0.76 ,0.31 ,0.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,99308,CPT,"Nursing fac care, subseq",,,15 ,,RBRVS,1.16 ,0.48 ,0.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,99309,CPT,"Nursing fac care, subseq",,,15 ,,RBRVS,1.55 ,0.62 ,0.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,99310,CPT,"Nursing fac care, subseq",,,15 ,,RBRVS,2.35 ,0.86 ,0.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,99315,CPT,Nursing fac discharge day,,,10 ,,RBRVS,1.13 ,0.43 ,0.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,99316,CPT,Nursing fac discharge day,,,10 ,,RBRVS,1.50 ,0.54 ,0.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,99318,CPT,Annual nursing fac assessmnt,,,15 ,,RBRVS,1.71 ,0.56 ,0.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,99324,CPT,Domicil/r-home visit new pat,,,15 ,,RBRVS,1.01 ,0.44 ,0.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,99325,CPT,Domicil/r-home visit new pat,,,15 ,,RBRVS,1.52 ,0.59 ,0.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,99326,CPT,Domicil/r-home visit new pat,,,15 ,,RBRVS,2.63 ,0.86 ,0.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,99327,CPT,Domicil/r-home visit new pat,,,15 ,,RBRVS,3.46 ,1.09 ,1.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,99328,CPT,Domicil/r-home visit new pat,,,15 ,,RBRVS,4.09 ,1.26 ,1.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,99334,CPT,Domicil/r-home visit est pat,,,15 ,,RBRVS,1.07 ,0.43 ,0.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,99335,CPT,Domicil/r-home visit est pat,,,15 ,,RBRVS,1.72 ,0.60 ,0.60 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,99336,CPT,Domicil/r-home visit est pat,,,15 ,,RBRVS,2.46 ,0.80 ,0.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,99337,CPT,Domicil/r-home visit est pat,,,15 ,,RBRVS,3.58 ,1.10 ,1.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,99339,CPT,Domicil/r-home care supervis,,,15 ,,RBRVS,1.25 ,0.74 ,0.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,99340,CPT,Domicil/r-home care supervis,,,15 ,,RBRVS,1.80 ,0.99 ,0.99 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,99341,CPT,"Home visit, new patient",,,15 ,,RBRVS,1.01 ,0.44 ,0.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,99342,CPT,"Home visit, new patient",,,15 ,,RBRVS,1.52 ,0.59 ,0.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,99343,CPT,"Home visit, new patient",,,15 ,,RBRVS,2.53 ,0.87 ,0.87 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,99344,CPT,"Home visit, new patient",,,15 ,,RBRVS,3.38 ,1.08 ,1.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,99345,CPT,"Home visit, new patient",,,15 ,,RBRVS,4.09 ,1.27 ,1.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,99347,CPT,"Home visit, est patient",,,15 ,,RBRVS,1.00 ,0.42 ,0.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,99348,CPT,"Home visit, est patient",,,15 ,,RBRVS,1.56 ,0.58 ,0.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,99349,CPT,"Home visit, est patient",,,15 ,,RBRVS,2.33 ,0.78 ,0.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,99350,CPT,"Home visit, est patient",,,15 ,,RBRVS,3.28 ,1.05 ,1.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,99354,CPT,"Prolonged service, office",,,15 ,,RBRVS,1.77 ,0.56 ,0.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,99355,CPT,"Prolonged service, office",,,15 ,,RBRVS,1.77 ,0.54 ,0.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,99356,CPT,"Prolonged service, inpatient",,,10 ,,RBRVS,1.71 ,0.54 ,0.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,99357,CPT,"Prolonged service, inpatient",,,10 ,,RBRVS,1.71 ,0.55 ,0.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,99358,CPT,"Prolonged serv, w/o contact",,,15 ,,RBRVS,2.10 ,0.74 ,0.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,99359,CPT,"Prolonged serv, w/o contact",,,15 ,,RBRVS,1.00 ,0.37 ,0.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,99360,CPT,Physician standby services,,,14 ,,RBRVS,1.20 ,0.40 ,0.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,99363,CPT,"Anticoag mgmt, init",,,14 ,,RBRVS,1.65 ,0.55 ,1.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,99364,CPT,"Anticoag mgmt, subseq",,,14 ,,RBRVS,0.63 ,0.21 ,0.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,99366,CPT,Team conf w/pat by hc pro,,,15 ,,RBRVS,0.82 ,0.27 ,0.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,99367,CPT,Team conf w/o pat by phys,,,15 ,,RBRVS,1.10 ,0.37 ,0.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,99368,CPT,Team conf w/o pat by hc pro,,,15 ,,RBRVS,0.72 ,0.24 ,0.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,99374,CPT,Home health care supervision,,,15 ,,RBRVS,1.10 ,0.38 ,0.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,99375,CPT,Home health care supervision,,,15 ,,RBRVS,1.73 ,0.82 ,1.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,99377,CPT,Hospice care supervision,,,15 ,,RBRVS,1.10 ,0.38 ,0.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,99378,CPT,Hospice care supervision,,,15 ,,RBRVS,1.73 ,0.92 ,1.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,99379,CPT,Nursing fac care supervision,,,15 ,,RBRVS,1.10 ,0.38 ,0.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,99380,CPT,Nursing fac care supervision,,,15 ,,RBRVS,1.73 ,0.60 ,0.97 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,99381,CPT,"Init pm e/m, new pat, inf",,,24 ,,RBRVS,1.19 ,0.41 ,1.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,99382,CPT,"Init pm e/m, new pat 1-4 yrs",,,18 ,,RBRVS,1.36 ,0.47 ,1.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,99383,CPT,"Prev visit, new, age 5-11",,,18 ,,RBRVS,1.36 ,0.47 ,1.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,99384,CPT,"Prev visit, new, age 12-17",,,18 ,,RBRVS,1.53 ,0.53 ,1.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,99385,CPT,"Prev visit, new, age 18-39",,,18 ,,RBRVS,1.53 ,0.53 ,1.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,99386,CPT,"Prev visit, new, age 40-64",,,18 ,,RBRVS,1.88 ,0.65 ,1.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,99387,CPT,"Init pm e/m, new pat 65+ yrs",,,18 ,,RBRVS,2.06 ,0.72 ,1.65 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,99391,CPT,"Per pm reeval, est pat, inf",,,24 ,,RBRVS,1.02 ,0.35 ,1.03 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,99392,CPT,"Prev visit, est, age 1-4",,,18 ,,RBRVS,1.19 ,0.41 ,1.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,99393,CPT,"Prev visit, est, age 5-11",,,18 ,,RBRVS,1.19 ,0.41 ,1.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,99394,CPT,"Prev visit, est, age 12-17",,,18 ,,RBRVS,1.36 ,0.47 ,1.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,99395,CPT,"Prev visit, est, age 18-39",,,18 ,,RBRVS,1.36 ,0.47 ,1.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,99396,CPT,"Prev visit, est, age 40-64",,,18 ,,RBRVS,1.53 ,0.53 ,1.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,99397,CPT,Per pm reeval est pat 65+ yr,,,18 ,,RBRVS,1.71 ,0.60 ,1.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,99401,CPT,"Preventive counseling, indiv",,,18 ,,RBRVS,0.48 ,0.17 ,0.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,99402,CPT,"Preventive counseling, indiv",,,18 ,,RBRVS,0.98 ,0.34 ,0.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,99403,CPT,"Preventive counseling, indiv",,,18 ,,RBRVS,1.46 ,0.51 ,0.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,99404,CPT,"Preventive counseling, indiv",,,18 ,,RBRVS,1.95 ,0.68 ,1.03 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,99406,CPT,Behav chng smoking 3-10 min,,,14 ,,RBRVS,0.24 ,0.07 ,0.11 ,,,$0.00,$0.00,1,1,1,0,0,1,20101001,99407,CPT,Behav chng smoking > 10 min,,,14 ,,RBRVS,0.50 ,0.15 ,0.18 ,,,$0.00,$0.00,1,1,1,0,0,1,20101001,99408,CPT,"Audit/dast, 15-30 min",,,16 ,,RBRVS,0.65 ,0.22 ,0.26 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,99409,CPT,"Audit/dast, over 30 min",,,16 ,,RBRVS,1.30 ,0.44 ,0.48 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,99411,CPT,"Preventive counseling, group",,,18 ,,RBRVS,0.15 ,0.05 ,0.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,99412,CPT,"Preventive counseling, group",,,18 ,,RBRVS,0.25 ,0.09 ,0.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,99420,CPT,Health risk assessment test,,,18 ,,RBRVS,,0.25 ,0.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,99429,CPT,Unlisted preventive service,,,18 ,,TotalUnits,,,,0.93 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,99444,CPT,Online e/m by phys,,,15 ,,TotalUnits,,,,0.55 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,99450,CPT,Basic life disability exam,,,14 ,,TotalUnits,,,,0.81 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,99455,CPT,Work related disability exam,,,14 ,,TotalUnits,,,,1.53 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,99456,CPT,Disability examination,,,14 ,,TotalUnits,,,,4.33 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,99460,CPT,"Init nb em per day, hosp",,,10 ,,RBRVS,1.17 ,0.34 ,0.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,99461,CPT,"Init nb em per day, non-fac",,,24 ,,RBRVS,1.26 ,0.42 ,1.01 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,99462,CPT,"Sbsq nb em per day, hosp",,,10 ,,RBRVS,0.62 ,0.19 ,0.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,99463,CPT,Same day nb discharge,,,10 ,,RBRVS,1.50 ,0.53 ,0.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,99464,CPT,Attendance at delivery,,,10 ,,RBRVS,1.50 ,0.40 ,0.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,99465,CPT,Nb resuscitation,,,10 ,,RBRVS,2.93 ,0.97 ,0.97 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,99466,CPT,Ped crit care transport,,,10 ,,RBRVS,4.79 ,1.40 ,1.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,99467,CPT,Ped crit care transport addl,,,10 ,,RBRVS,2.40 ,0.69 ,0.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,99468,CPT,"Neonate crit care, initial",,,10 ,,RBRVS,18.46 ,4.52 ,4.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,99469,CPT,"Neonate crit care, subsq",,,10 ,,RBRVS,7.99 ,2.21 ,2.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,99471,CPT,"Ped critical care, initial",,,10 ,,RBRVS,15.98 ,4.47 ,4.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,99472,CPT,"Ped critical care, subsq",,,10 ,,RBRVS,7.99 ,2.21 ,2.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,99475,CPT,"Ped crit care age 2-5, init",,,10 ,,RBRVS,11.25 ,2.83 ,2.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,99476,CPT,"Ped crit care age 2-5, subsq",,,10 ,,RBRVS,6.75 ,1.70 ,1.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,99477,CPT,Init day hosp neonate care,,,10 ,,RBRVS,7.00 ,2.05 ,2.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,99478,CPT,"Ic, lbw inf < 1500 gm subsq",,,10 ,,RBRVS,2.75 ,0.91 ,0.91 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,99479,CPT,Ic lbw inf 1500-2500 g subsq,,,10 ,,RBRVS,2.50 ,0.71 ,0.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,99480,CPT,Ic inf pbw 2501-5000 g subsq,,,10 ,,RBRVS,2.40 ,0.69 ,0.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,99499,CPT,Unlisted e&m service,,,15 ,,TotalUnits,,,,1.67 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,99500,CPT,"Home visit, prenatal",,,14 ,,TotalUnits,,,,1.43 ,,$0.00,$0.00,1,1,1,1,1,1,20101001,99501,CPT,"Home visit, postnatal",,,14 ,,TotalUnits,,,,1.05 ,,$0.00,$0.00,1,1,1,1,1,1,20101001,99502,CPT,"Home visit, nb care",,,14 ,,TotalUnits,,,,1.04 ,,$0.00,$0.00,1,1,1,1,1,1,20101001,99503,CPT,"Home visit, resp therapy",,,14 ,,TotalUnits,,,,0.81 ,,$0.00,$0.00,1,1,1,1,1,1,20101001,99504,CPT,Home visit mech ventilator,,,14 ,,TotalUnits,,,,0.45 ,,$0.00,$0.00,1,1,1,1,1,1,20101001,99505,CPT,"Home visit, stoma care",,,14 ,,TotalUnits,,,,0.63 ,,$0.00,$0.00,1,1,1,1,1,1,20101001,99506,CPT,"Home visit, im injection",,,14 ,,TotalUnits,,,,1.02 ,,$0.00,$0.00,1,1,1,1,1,1,20101001,99507,CPT,"Home visit, cath maintain",,,14 ,,TotalUnits,,,,0.76 ,,$0.00,$0.00,1,1,1,1,1,1,20101001,99509,CPT,Home visit day life activity,,,14 ,,TotalUnits,,,,0.14 ,,$0.00,$0.00,1,1,1,1,1,1,20101001,99510,CPT,"Home visit, sing/m/fam couns",,,14 ,,TotalUnits,,,,1.09 ,,$0.00,$0.00,1,1,1,1,1,1,20101001,99511,CPT,"Home visit, fecal/enema mgmt",,,14 ,,TotalUnits,,,,0.85 ,,$0.00,$0.00,1,1,1,1,1,1,20101001,99512,CPT,Home visit for hemodialysis,,,14 ,,TotalUnits,,,,5.35 ,,$0.00,$0.00,1,1,1,1,1,1,20101001,99600,CPT,Home visit nos,,,14 ,,TotalUnits,,,,0.14 ,,$0.00,$0.00,1,1,1,1,1,1,20101001,99601,CPT,"Home infusion/visit, 2 hrs",,,14 ,,TotalUnits,,,,2.38 ,,$0.00,$0.00,1,1,1,1,1,1,20101001,99602,CPT,"Home infusion, each addtl hr",,,14 ,,TotalUnits,,,,0.80 ,,$0.00,$0.00,1,1,1,1,1,1,20101001,99605,CPT,"Mtms by pharm, np, 15 min",,,14 ,,TotalUnits,,,,0.37 ,,$0.00,$0.00,1,1,1,0,0,1,20101001,99606,CPT,"Mtms by pharm, est, 15 min",,,14 ,,TotalUnits,,,,0.38 ,,$0.00,$0.00,1,1,1,0,0,1,20101001,99607,CPT,"Mtms by pharm, addl 15 min",,,14 ,,TotalUnits,,,,0.29 ,,$0.00,$0.00,1,1,1,0,0,1,20101001,0017T,CPT,Photocoagulat macular drusen,,,21 ,,RBRVS,6.00 ,4.65 ,5.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,0019T,CPT,"Extracorp shock wv tx,ms nos",,,21 ,,TotalUnits,,,,3.87 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,0030T,CPT,Antiprothrombin antibody,,,17 ,,TotalUnits,,,,0.81 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,0042T,CPT,"Ct perfusion w/contrast, cbf",,,20 ,,TotalUnits,,,,2.41 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,0048T,CPT,Implant ventricular device,,,21 ,,TotalUnits,,,,13.44 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,0073T,CPT,"Delivery, comp imrt",,TC,20 ,,RBRVS,,14.20 ,14.20 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,0075T,CPT,Perq stent/chest vert art,,,21 ,,TotalUnits,,,,14.77 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,0078T,CPT,Endovasc aort repr w/device,,,21 ,,TotalUnits,,,,26.80 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,0079T,CPT,Endovasc visc extnsn repr,,,21 ,,TotalUnits,,,,38.75 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,0080T,CPT,Endovasc aort repr rad s&i,,,21 ,,TotalUnits,,,,4.20 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,0081T,CPT,Endovasc visc extnsn s&i,,,21 ,,TotalUnits,,,,6.43 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,0092T,CPT,Artific disc addl,,,21 ,,RBRVS,4.04 ,1.52 ,1.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,0095T,CPT,Artific diskectomy addl,,,21 ,,RBRVS,4.04 ,1.52 ,1.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,0098T,CPT,Rev artific disc addl,,,21 ,,RBRVS,4.04 ,1.52 ,1.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,0099T,CPT,Implant corneal ring,,,21 ,,TotalUnits,,,,5.14 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,0100T,CPT,Prosth retina receive&gen,,,21 ,,TotalUnits,,,,12.92 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,0101T,CPT,"Extracorp shockwv tx,hi enrg",,,21 ,,TotalUnits,,,,5.00 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,0102T,CPT,"Extracorp shockwv tx,anesth",,,21 ,,TotalUnits,,,,5.00 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,0104T,CPT,At rest cardio gas rebreathe,,,4 ,,RBRVS,1.47 ,0.64 ,0.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,0105T,CPT,Exerc cardio gas rebreathe,,,4 ,,TotalUnits,,,,1.18 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,0106T,CPT,Touch quant sensory test,,,14 ,,TotalUnits,,,,0.71 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,0107T,CPT,Vibrate quant sensory test,,,14 ,,TotalUnits,,,,2.14 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,0108T,CPT,Cool quant sensory test,,,14 ,,TotalUnits,,,,2.14 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,0109T,CPT,Heat quant sensory test,,,14 ,,TotalUnits,,,,0.05 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,0110T,CPT,Nos quant sensory test,,,14 ,,TotalUnits,,,,0.05 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,0126T,CPT,Chd risk imt study,,,4 ,,TotalUnits,,,,1.31 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,0155T,CPT,Lap impl gast curve electrd,,,21 ,,TotalUnits,,,,22.57 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,0156T,CPT,Lap remv gast curve electrd,,,21 ,,TotalUnits,,,,22.57 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,0157T,CPT,Open impl gast curve electrd,,,21 ,,TotalUnits,,,,1.86 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,0158T,CPT,Open remv gast curve electrd,,,21 ,,TotalUnits,,,,1.86 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,0159T,CPT,Cad breast mri,,,20 ,,TotalUnits,,,,2.13 ,,$0.00,$0.00,1,0,0,0,0,1,20101001,0159T,CPT,Cad breast mri,,PC,20 ,,TotalUnits,,,,0.68 ,,$0.00,$0.00,1,0,1,1,1,0,20101001,0159T,CPT,Cad breast mri,,TC,20 ,,TotalUnits,,,,1.45 ,,$0.00,$0.00,1,1,1,0,1,0,20101001,0160T,CPT,Tcranial magn stim tx plan,,,14 ,,TotalUnits,,,,0.27 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,0161T,CPT,Tcranial magn stim tx deliv,,,14 ,,TotalUnits,,,,0.27 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,0171T,CPT,Lumbar spine proces distract,,,21 ,,TotalUnits,,,,31.80 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,0172T,CPT,Lumbar spine process addl,,,21 ,,TotalUnits,,,,19.08 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,0174T,CPT,Cad cxr with interp,,,20 ,,TotalUnits,,,,0.31 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,0181T,CPT,Corneal hysteresis,,,14 ,,TotalUnits,,,,1.36 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,1055F,CPT,Visual funct status assess,,,14 ,,TotalUnits,,,,0.01 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,1090F,CPT,Pres/absn urine incon assess,,,14 ,,TotalUnits,,,,0.01 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,1100F,CPT,Ptfalls assess-docÆd ge2+/yr,,,14 ,,TotalUnits,,,,0.03 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,1101F,CPT,Pt falls assess-docÆd le1/yr,,,14 ,,TotalUnits,,,,0.01 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,2010F,CPT,Vital signs recorded,,,14 ,,TotalUnits,,,,0.07 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,2019F,CPT,Dilated macul exam done,,,14 ,,TotalUnits,,,,0.01 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,2020F,CPT,Dilated fundus eval done,,,14 ,,TotalUnits,,,,0.01 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,2021F,CPT,Dilat macul+ exam done,,,14 ,,TotalUnits,,,,0.01 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,2027F,CPT,Optic nerve head eval done,,,14 ,,TotalUnits,,,,0.01 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,3021F,CPT,Lvef mod/sever deprs syst,,,14 ,,TotalUnits,,,,0.03 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,3022F,CPT,Lvef =40% systolic,,,14 ,,TotalUnits,,,,0.01 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,3023F,CPT,Spirom doc rev,,,14 ,,TotalUnits,,,,0.01 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,3025F,CPT,Spirom fev/fvc<70% w copd,,,14 ,,TotalUnits,,,,0.01 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,3044F,CPT,Hg a1c level lt 7.0%,,,14 ,,TotalUnits,,,,0.01 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,3045F,CPT,Hg a1c level 7.0û9.0%,,,14 ,,TotalUnits,,,,0.07 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,3048F,CPT,Ldl-c <100 mg/dl,,,14 ,,TotalUnits,,,,0.01 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,3049F,CPT,Ldl-c 100-129 mg/dl,,,14 ,,TotalUnits,,,,0.01 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,3073F,CPT,Pre-surg eye measures docÆd,,,14 ,,TotalUnits,,,,0.01 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,3074F,CPT,Syst bp lt 130 mm hg,,,14 ,,TotalUnits,,,,0.01 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,3075F,CPT,Syst bp ge 130 - 139mm hg,,,14 ,,TotalUnits,,,,0.01 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,3077F,CPT,Syst bp = 140 mm hg6 it,,,14 ,,TotalUnits,,,,0.01 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,3078F,CPT,Diast bp < 80 mm hg,,,14 ,,TotalUnits,,,,0.01 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,3079F,CPT,Diast bp 80-89 mm hg,,,14 ,,TotalUnits,,,,0.01 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,3110F,CPT,Pres/absn hmrhg/lesion docÆd,,,14 ,,TotalUnits,,,,0.01 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,3111F,CPT,Ct/mri brain done w/in 24hrs,,,14 ,,TotalUnits,,,,0.01 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,4006F,CPT,Beta-blocker therapy rx,,,14 ,,TotalUnits,,,,0.01 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,4009F,CPT,Ace/arb inhibitor therapy rx,,,14 ,,TotalUnits,,,,0.68 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,4011F,CPT,Oral antiplatelet therapy rx,,,14 ,,TotalUnits,,,,0.01 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,4025F,CPT,Inhaled bronchodilator rx,,,14 ,,TotalUnits,,,,0.01 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,4041F,CPT,Doc order cefazolin/cefurox,,,14 ,,TotalUnits,,,,0.01 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,4044F,CPT,Doc order given vte prophylx,,,14 ,,TotalUnits,,,,0.01 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,4046F,CPT,Doc antibio given b/4 surg,,,14 ,,TotalUnits,,,,0.01 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,4047F,CPT,Doc antibio given b/4 surg,,,14 ,,TotalUnits,,,,0.01 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,4048F,CPT,Doc antibio given b/4 surg,,,14 ,,TotalUnits,,,,0.01 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,4049F,CPT,Doc order given stop antibio,,,14 ,,TotalUnits,,,,0.01 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,5010F,CPT,Macul+ fndngs to dr mng dm,,,14 ,,TotalUnits,,,,0.01 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,A4206,HCPCS,1 cc sterile syringe&needle,,,28 ,,NW,,,,,,$0.91,$0.00,1,1,1,0,0,1,20101001,A4207,HCPCS,2 cc sterile syringe&needle,,,28 ,,NW,,,,,,$0.91,$0.00,1,1,1,0,0,1,20101001,A4208,HCPCS,3 cc sterile syringe&needle,,,28 ,,NW,,,,,,$0.91,$0.00,1,1,1,0,0,1,20101001,A4209,HCPCS,5+ cc sterile syringe&needle,,,28 ,,NW,,,,,,$0.91,$0.00,1,1,1,0,0,1,20101001,A4210,HCPCS,Nonneedle injection device,,,28 ,,NW,,,,,,$849.38,$0.00,1,1,1,0,0,1,20101001,A4211,HCPCS,Supp for self-adm injections,,,28 ,,NW,,,,,,$2.25,$0.00,1,1,1,0,0,1,20101001,A4212,HCPCS,Non coring needle or stylet,,,28 ,,NW,,,,,,$16.04,$0.00,1,1,1,0,0,1,20101001,A4213,HCPCS,20+ cc syringe only,,,28 ,,NW,,,,,,$1.83,$0.00,1,1,1,0,0,1,20101001,A4215,HCPCS,Sterile needle,,,28 ,,NW,,,,,,$0.90,$0.00,1,1,1,0,0,1,20101001,A4216,HCPCS,"Sterile water/saline, 10 ml",,,28 ,,NW,,,,,,$0.71,$0.00,1,1,1,0,0,1,20101001,A4217,HCPCS,"Sterile water/saline, 500 ml",,,28 ,,NW,,,,,,$5.00,$0.00,1,1,1,0,0,1,20101001,A4217,HCPCS,"Sterile water/saline, 500 ml",AU,,28 ,,NW,,,,,,$5.00,$0.00,1,1,1,0,0,1,20101001,A4218,HCPCS,Sterile saline or water,,,28 ,,NW,,,,,,$9.17,$0.00,1,1,1,0,0,1,20101001,A4220,HCPCS,Infusion pump refill kit,,,28 ,,NW,,,,,,$80.39,$0.00,1,1,1,0,0,1,20101001,A4221,HCPCS,Maint drug infus cath per wk,,,28 ,,NW,,,,,,$43.31,$0.00,1,1,1,0,0,1,20101001,A4222,HCPCS,Infusion supplies with pump,,,28 ,,NW,,,,,,$82.55,$0.00,1,1,1,0,0,1,20101001,A4223,HCPCS,Infusion supplies w/o pump,,,28 ,,NW,,,,,,$113.43,$0.00,1,1,1,0,0,1,20101001,A4230,HCPCS,Infus insulin pump non needl,,,28 ,,NW,,,,,,$26.21,$0.00,1,1,1,0,0,1,20101001,A4231,HCPCS,Infusion insulin pump needle,,,28 ,,NW,,,,,,$12.04,$0.00,1,1,1,0,0,1,20101001,A4232,HCPCS,Syringe w/needle insulin 3cc,,,28 ,,NW,,,,,,$4.85,$0.00,1,1,1,0,0,1,20101001,A4233,HCPCS,Alkalin Batt For Glucose Mon,,,28 ,,NW,,,,,,$4.06,$0.00,1,1,1,1,1,1,20101001,A4233,HCPCS,Alkalin Batt For Glucose Mon,NU,,28 ,,NW,,,,,,$4.06,$0.00,1,1,1,1,1,1,20101001,A4234,HCPCS,J-Cell Batt For Glucose Mon,,,28 ,,NW,,,,,,$16.42,$0.00,1,1,1,1,1,1,20101001,A4234,HCPCS,J-Cell Batt For Glucose Mon,NU,,28 ,,NW,,,,,,$16.42,$0.00,1,1,1,1,1,1,20101001,A4235,HCPCS,Lithium batt for glucose mon,,,28 ,,NW,,,,,,$11.92,$0.00,1,1,1,1,1,1,20101001,A4235,HCPCS,Lithium batt for glucose mon,NU,,28 ,,NW,,,,,,$11.92,$0.00,1,1,1,1,1,1,20101001,A4236,HCPCS,Silvr Oxide Batt Glucose Mon,,,28 ,,NW,,,,,,$8.53,$0.00,1,1,1,1,1,1,20101001,A4236,HCPCS,Silvr Oxide Batt Glucose Mon,NU,,28 ,,NW,,,,,,$8.53,$0.00,1,1,1,1,1,1,20101001,A4244,HCPCS,Alcohol or peroxide per pint,,,28 ,,NW,,,,,,$1.83,$0.00,1,1,1,0,0,1,20101001,A4245,HCPCS,Alcohol wipes per box,,,28 ,,NW,,,,,,$5.62,$0.00,1,1,1,0,0,1,20101001,A4246,HCPCS,Betadine/phisohex solution,,,28 ,,NW,,,,,,$5.62,$0.00,1,1,1,0,0,1,20101001,A4247,HCPCS,Betadine/iodine swabs/wipes,,,28 ,,NW,,,,,,$9.41,$0.00,1,1,1,0,0,1,20101001,A4248,HCPCS,Chlorhexidine antisept,,,28 ,,NW,,,,,,$3.63,$0.00,1,1,1,0,0,1,20101001,A4250,HCPCS,Urine reagent strips/tablets,,,28 ,,NW,,,,,,$24.86,$0.00,1,1,1,0,0,1,20101001,A4252,HCPCS,Blood Ketone Test Or Strip,,,28 ,,NW,,,,,,$18.02,$0.00,1,1,1,0,0,1,20101001,A4253,HCPCS,Blood glucose/reagent strips,,,28 ,,NW,,,,,,$40.24,$0.00,1,1,1,0,0,1,20101001,A4253,HCPCS,Blood glucose/reagent strips,NU,,28 ,,NW,,,,,,$66.89,$0.00,1,1,1,0,0,1,20101001,A4255,HCPCS,Glucose monitor platforms,,,28 ,,NW,,,,,,$10.98,$0.00,1,1,1,0,0,1,20101001,A4256,HCPCS,Calibrator solution/chips,,,28 ,,NW,,,,,,$22.96,$0.00,1,1,1,0,0,1,20101001,A4256,HCPCS,Calibrator solution/chips,KL,,28 ,,NW,,,,,,$20.46,$0.00,1,1,1,0,0,1,20101001,A4257,HCPCS,Replace lensshield cartridge,,,28 ,,NW,,,,,,$26.62,$0.00,1,1,1,0,0,1,20101001,A4258,HCPCS,Lancet device each,,,28 ,,NW,,,,,,$35.53,$0.00,1,1,1,0,0,1,20101001,A4258,HCPCS,Lancet device each,KL,,28 ,,NW,,,,,,$31.31,$0.00,1,1,1,0,0,1,20101001,A4259,HCPCS,Lancets per box,,,28 ,,NW,,,,,,$24.98,$0.00,1,1,1,0,0,1,20101001,A4259,HCPCS,Lancets per box,KL,,28 ,,NW,,,,,,$22.20,$0.00,1,1,1,0,0,1,20101001,A4261,HCPCS,Cervical cap contraceptive,,,28 ,,NW,,,,,,$38.58,$0.00,1,1,1,1,1,1,20101001,A4262,HCPCS,Temporary tear duct plug,,,28 ,,NW,,,,,,$0.91,$0.00,1,1,1,0,0,1,20101001,A4263,HCPCS,Permanent tear duct plug,,,28 ,,NW,,,,,,$46.96,$0.00,1,1,1,0,0,1,20101001,A4264,HCPCS,Intratubal occlusion device,,,28 ,,NW,,,,,,"$3,691.42",$0.00,1,1,1,1,1,1,20101001,A4265,HCPCS,Paraffin,,,28 ,,NW,,,,,,$5.79,$0.00,1,1,1,0,0,1,20101001,A4266,HCPCS,Diaphragm,,,28 ,,NW,,,,,,$36.20,$0.00,1,1,1,1,1,1,20101001,A4267,HCPCS,Male condom,,,28 ,,NW,,,,,,$0.91,$0.00,1,1,1,1,1,1,20101001,A4268,HCPCS,Female Condom,,,28 ,,NW,,,,,,$1.81,$0.00,1,1,1,1,1,1,20101001,A4269,HCPCS,Spermicide,,,28 ,,NW,,,,,,$1.83,$0.00,1,1,1,1,1,1,20101001,A4270,HCPCS,Disposable endoscope sheath,,,28 ,,NW,,,,,,$36.58,$0.00,1,1,1,0,0,1,20101001,A4280,HCPCS,Brst prsths adhsv attchmnt,,,28 ,,NW,,,,,,$11.24,$0.00,1,1,1,0,0,1,20101001,A4284,HCPCS,Replcmnt breast pump shield,,,28 ,,NW,,,,,,$25.34,$0.00,1,1,1,1,1,1,20101001,A4285,HCPCS,Replcmnt breast pump bottle,,,28 ,,NW,,,,,,$8.83,$0.00,1,1,1,1,1,1,20101001,A4290,HCPCS,Sacral nerve stim test lead,,,28 ,,NW,,,,,,$604.96,$0.00,1,1,1,0,0,1,20101001,A4300,HCPCS,Cath impl vasc access portal,,,28 ,,NW,,,,,,$26.76,$0.00,1,1,1,0,0,1,20101001,A4301,HCPCS,Implantable access syst perc,,,28 ,,NW,,,,,,$94.47,$0.00,1,1,1,0,0,1,20101001,A4305,HCPCS,Drug delivery system >=50 ml,,,28 ,,NW,,,,,,$21.02,$0.00,1,1,1,0,0,1,20101001,A4306,HCPCS,Drug delivery system <=50 ml,,,28 ,,NW,,,,,,$25.82,$0.00,1,1,1,0,0,1,20101001,A4310,HCPCS,Insert tray w/o bag/cath,,,28 ,,NW,,,,,,$12.64,$0.00,1,1,1,0,0,1,20101001,A4311,HCPCS,Catheter w/o bag 2-way latex,,,28 ,,NW,,,,,,$20.31,$0.00,1,1,1,0,0,1,20101001,A4312,HCPCS,Cath w/o bag 2-way silicone,,,28 ,,NW,,,,,,$23.11,$0.00,1,1,1,0,0,1,20101001,A4313,HCPCS,Catheter w/bag 3-way,,,28 ,,NW,,,,,,$23.64,$0.00,1,1,1,0,0,1,20101001,A4314,HCPCS,Cath w/drainage 2-way latex,,,28 ,,NW,,,,,,$29.29,$0.00,1,1,1,0,0,1,20101001,A4315,HCPCS,Cath w/drainage 2-way silcne,,,28 ,,NW,,,,,,$30.30,$0.00,1,1,1,0,0,1,20101001,A4316,HCPCS,Cath w/drainage 3-way,,,28 ,,NW,,,,,,$32.13,$0.00,1,1,1,0,0,1,20101001,A4320,HCPCS,Irrigation tray,,,28 ,,NW,,,,,,$8.52,$0.00,1,1,1,0,0,1,20101001,A4321,HCPCS,Cath therapeutic irrig agent,,,28 ,,NW,,,,,,$7.84,$0.00,1,1,1,0,0,1,20101001,A4322,HCPCS,Irrigation syringe,,,28 ,,NW,,,,,,$5.06,$0.00,1,1,1,0,0,1,20101001,A4326,HCPCS,Male external catheter,,,28 ,,NW,,,,,,$17.03,$0.00,1,1,1,0,0,1,20101001,A4327,HCPCS,Fem urinary collect dev cup,,,28 ,,NW,,,,,,$46.38,$0.00,1,1,1,0,0,1,20101001,A4328,HCPCS,Fem urinary collect pouch,,,28 ,,NW,,,,,,$16.89,$0.00,1,1,1,0,0,1,20101001,A4330,HCPCS,Stool collection pouch,,,28 ,,NW,,,,,,$11.76,$0.00,1,1,1,0,0,1,20101001,A4331,HCPCS,Extension drainage tubing,,,28 ,,NW,,,,,,$5.43,$0.00,1,1,1,0,0,1,20101001,A4332,HCPCS,Lube sterile packet,,,28 ,,NW,,,,,,$0.20,$0.00,1,1,1,0,0,1,20101001,A4333,HCPCS,Urinary cath anchor device,,,28 ,,NW,,,,,,$4.69,$0.00,1,1,1,0,0,1,20101001,A4334,HCPCS,Urinary cath leg strap,,,28 ,,NW,,,,,,$10.46,$0.00,1,1,1,0,0,1,20101001,A4335,HCPCS,Incontinence supply,,,28 ,,NW,,,,,,$5.43,$0.00,1,1,1,0,0,1,20101001,A4336,HCPCS,Urethral insert,,,28 ,,NW,,,,,,$46.22,$0.00,1,1,1,0,0,1,20101001,A4338,HCPCS,Indwelling catheter latex,,,28 ,,NW,,,,,,$18.40,$0.00,1,1,1,0,0,1,20101001,A4340,HCPCS,Indwelling catheter special,,,28 ,,NW,,,,,,$34.11,$0.00,1,1,1,0,0,1,20101001,A4344,HCPCS,Cath indw foley 2 way silicn,,,28 ,,NW,,,,,,$21.37,$0.00,1,1,1,0,0,1,20101001,A4346,HCPCS,Cath indw foley 3 way,,,28 ,,NW,,,,,,$24.25,$0.00,1,1,1,0,0,1,20101001,A4349,HCPCS,Disposable male external cat,,,28 ,,NW,,,,,,$3.42,$0.00,1,1,1,0,0,1,20101001,A4351,HCPCS,Straight tip urine catheter,,,28 ,,NW,,,,,,$2.87,$0.00,1,1,1,0,0,1,20101001,A4352,HCPCS,Coude tip urinary catheter,,,28 ,,NW,,,,,,$10.48,$0.00,1,1,1,0,0,1,20101001,A4353,HCPCS,Intermittent urinary cath,,,28 ,,NW,,,,,,$12.02,$0.00,1,1,1,0,0,1,20101001,A4354,HCPCS,Cath insertion tray w/bag,,,28 ,,NW,,,,,,$17.95,$0.00,1,1,1,0,0,1,20101001,A4355,HCPCS,Bladder irrigation tubing,,,28 ,,NW,,,,,,$14.90,$0.00,1,1,1,0,0,1,20101001,A4356,HCPCS,Ext ureth clmp or compr dvc,,,28 ,,NW,,,,,,$46.22,$0.00,1,1,1,0,0,1,20101001,A4357,HCPCS,Bedside drainage bag,,,28 ,,NW,,,,,,$16.01,$0.00,1,1,1,0,0,1,20101001,A4358,HCPCS,Urinary leg or abdomen bag,,,28 ,,NW,,,,,,$10.87,$0.00,1,1,1,0,0,1,20101001,A4361,HCPCS,Ostomy face plate,,,28 ,,NW,,,,,,$23.63,$0.00,1,1,1,0,0,1,20101001,A4362,HCPCS,Solid skin barrier,,,28 ,,NW,,,,,,$5.60,$0.00,1,1,1,0,0,1,20101001,A4363,HCPCS,"Ostomy clamp, replacement",,,28 ,,NW,,,,,,$3.85,$0.00,1,1,1,0,0,1,20101001,A4364,HCPCS,"Adhesive, liquid or equal",,,28 ,,NW,,,,,,$5.81,$0.00,1,1,1,0,0,1,20101001,A4366,HCPCS,Ostomy vent,,,28 ,,NW,,,,,,$2.77,$0.00,1,1,1,0,0,1,20101001,A4367,HCPCS,Ostomy belt,,,28 ,,NW,,,,,,$12.07,$0.00,1,1,1,0,0,1,20101001,A4368,HCPCS,Ostomy filter,,,28 ,,NW,,,,,,$0.43,$0.00,1,1,1,0,0,1,20101001,A4369,HCPCS,Skin barrier liquid per oz,,,28 ,,NW,,,,,,$3.94,$0.00,1,1,1,0,0,1,20101001,A4371,HCPCS,Skin barrier powder per oz,,,28 ,,NW,,,,,,$6.21,$0.00,1,1,1,0,0,1,20101001,A4372,HCPCS,Skin barrier solid 4x4 equiv,,,28 ,,NW,,,,,,$7.16,$0.00,1,1,1,0,0,1,20101001,A4373,HCPCS,Skin barrier with flange,,,28 ,,NW,,,,,,$10.78,$0.00,1,1,1,0,0,1,20101001,A4375,HCPCS,Drainable plastic pch w fcpl,,,28 ,,NW,,,,,,$23.10,$0.00,1,1,1,0,0,1,20101001,A4376,HCPCS,Drainable rubber pch w fcplt,,,28 ,,NW,,,,,,$49.73,$0.00,1,1,1,0,0,1,20101001,A4377,HCPCS,Drainable plstic pch w/o fp,,,28 ,,NW,,,,,,$7.34,$0.00,1,1,1,0,0,1,20101001,A4378,HCPCS,Drainable rubber pch w/o fp,,,28 ,,NW,,,,,,$34.99,$0.00,1,1,1,0,0,1,20101001,A4379,HCPCS,Urinary plastic pouch w fcpl,,,28 ,,NW,,,,,,$21.20,$0.00,1,1,1,0,0,1,20101001,A4380,HCPCS,Urinary rubber pouch w fcplt,,,28 ,,NW,,,,,,$40.75,$0.00,1,1,1,0,0,1,20101001,A4381,HCPCS,Urinary plastic pouch w/o fp,,,28 ,,NW,,,,,,$7.90,$0.00,1,1,1,0,0,1,20101001,A4382,HCPCS,Urinary hvy plstc pch w/o fp,,,28 ,,NW,,,,,,$29.61,$0.00,1,1,1,0,0,1,20101001,A4383,HCPCS,Urinary rubber pouch w/o fp,,,28 ,,NW,,,,,,$32.74,$0.00,1,1,1,0,0,1,20101001,A4384,HCPCS,Ostomy faceplt/silicone ring,,,28 ,,NW,,,,,,$16.47,$0.00,1,1,1,0,0,1,20101001,A4385,HCPCS,Ost skn barrier sld ext wear,,,28 ,,NW,,,,,,$8.75,$0.00,1,1,1,0,0,1,20101001,A4387,HCPCS,Ost clsd pouch w att st barr,,,28 ,,NW,,,,,,$5.73,$0.00,1,1,1,0,0,1,20101001,A4388,HCPCS,Drainable pch w ex wear barr,,,28 ,,NW,,,,,,$7.47,$0.00,1,1,1,0,0,1,20101001,A4389,HCPCS,Drainable pch w st wear barr,,,28 ,,NW,,,,,,$10.68,$0.00,1,1,1,0,0,1,20101001,A4390,HCPCS,Drainable pch ex wear convex,,,28 ,,NW,,,,,,$16.46,$0.00,1,1,1,0,0,1,20101001,A4391,HCPCS,Urinary pouch w ex wear barr,,,28 ,,NW,,,,,,$12.14,$0.00,1,1,1,0,0,1,20101001,A4392,HCPCS,Urinary pouch w st wear barr,,,28 ,,NW,,,,,,$14.06,$0.00,1,1,1,0,0,1,20101001,A4393,HCPCS,Urine pch w ex wear bar conv,,,28 ,,NW,,,,,,$15.55,$0.00,1,1,1,0,0,1,20101001,A4394,HCPCS,Ostomy pouch liq deodorant,,,28 ,,NW,,,,,,$4.39,$0.00,1,1,1,0,0,1,20101001,A4395,HCPCS,Ostomy pouch solid deodorant,,,28 ,,NW,,,,,,$0.08,$0.00,1,1,1,0,0,1,20101001,A4396,HCPCS,Peristomal hernia supprt blt,,,28 ,,NW,,,,,,$43.50,$0.00,1,1,1,0,0,1,20101001,A4397,HCPCS,Irrigation supply sleeve,,,28 ,,NW,,,,,,$7.58,$0.00,1,1,1,0,0,1,20101001,A4398,HCPCS,Ostomy irrigation bag,,,28 ,,NW,,,,,,$19.90,$0.00,1,1,1,0,0,1,20101001,A4399,HCPCS,Ostomy irrig cone/cath w brs,,,28 ,,NW,,,,,,$18.16,$0.00,1,1,1,0,0,1,20101001,A4400,HCPCS,Ostomy irrigation set,,,28 ,,NW,,,,,,$48.18,$0.00,1,1,1,0,0,1,20101001,A4402,HCPCS,Lubricant per ounce,,,28 ,,NW,,,,,,$2.58,$0.00,1,1,1,0,0,1,20101001,A4404,HCPCS,Ostomy ring each,,,28 ,,NW,,,,,,$2.76,$0.00,1,1,1,0,0,1,20101001,A4405,HCPCS,Nonpectin based ostomy paste,,,28 ,,NW,,,,,,$5.80,$0.00,1,1,1,0,0,1,20101001,A4406,HCPCS,Pectin based ostomy paste,,,28 ,,NW,,,,,,$9.85,$0.00,1,1,1,0,0,1,20101001,A4407,HCPCS,"Ext wear ost skn barr <=4sq""",,,28 ,,NW,,,,,,$15.07,$0.00,1,1,1,0,0,1,20101001,A4408,HCPCS,"Ext wear ost skn barr >4sq""",,,28 ,,NW,,,,,,$16.68,$0.00,1,1,1,0,0,1,20101001,A4409,HCPCS,Ost skn barr convex <=4 sq i,,,28 ,,NW,,,,,,$10.67,$0.00,1,1,1,0,0,1,20101001,A4410,HCPCS,Ost skn barr extnd >4 sq,,,28 ,,NW,,,,,,$15.55,$0.00,1,1,1,0,0,1,20101001,A4411,HCPCS,Ost skn barr extnd =4sq,,,28 ,,NW,,,,,,$8.75,$0.00,1,1,1,0,0,1,20101001,A4412,HCPCS,Ost pouch drain high output,,,28 ,,NW,,,,,,$4.60,$0.00,1,1,1,0,0,1,20101001,A4413,HCPCS,2 pc drainable ost pouch,,,28 ,,NW,,,,,,$9.44,$0.00,1,1,1,0,0,1,20101001,A4414,HCPCS,Ost sknbar w/o conv<=4 sq in,,,28 ,,NW,,,,,,$8.45,$0.00,1,1,1,0,0,1,20101001,A4415,HCPCS,Ost skn barr w/o conv >4 sqi,,,28 ,,NW,,,,,,$10.30,$0.00,1,1,1,0,0,1,20101001,A4416,HCPCS,Ost pch clsd w barrier/filtr,,,28 ,,NW,,,,,,$5.85,$0.00,1,1,1,0,0,1,20101001,A4417,HCPCS,Ost pch w bar/bltinconv/fltr,,,28 ,,NW,,,,,,$7.91,$0.00,1,1,1,0,0,1,20101001,A4418,HCPCS,Ost pch clsd w/o bar w filtr,,,28 ,,NW,,,,,,$3.85,$0.00,1,1,1,0,0,1,20101001,A4419,HCPCS,Ost pch for bar w flange/flt,,,28 ,,NW,,,,,,$3.70,$0.00,1,1,1,0,0,1,20101001,A4420,HCPCS,Ost pch clsd for bar w lk fl,,,28 ,,NW,,,,,,$3.06,$0.00,1,1,1,0,0,1,20101001,A4421,HCPCS,Ostomy supply misc,,,28 ,,NW,,,,,,$5.81,$0.00,1,1,1,0,0,1,20101001,A4422,HCPCS,Ost pouch absorbent material,,,28 ,,NW,,,,,,$0.20,$0.00,1,1,1,0,0,1,20101001,A4423,HCPCS,Ost pch for bar w lk fl/fltr,,,28 ,,NW,,,,,,$3.95,$0.00,1,1,1,0,0,1,20101001,A4424,HCPCS,Ost pch drain w bar & filter,,,28 ,,NW,,,,,,$10.10,$0.00,1,1,1,0,0,1,20101001,A4425,HCPCS,Ost pch drain for barrier fl,,,28 ,,NW,,,,,,$7.61,$0.00,1,1,1,0,0,1,20101001,A4426,HCPCS,Ost pch drain 2 piece system,,,28 ,,NW,,,,,,$5.81,$0.00,1,1,1,0,0,1,20101001,A4427,HCPCS,Ost pch drain/barr lk flng/f,,,28 ,,NW,,,,,,$5.91,$0.00,1,1,1,0,0,1,20101001,A4428,HCPCS,Urine ost pouch w faucet/tap,,,28 ,,NW,,,,,,$13.85,$0.00,1,1,1,0,0,1,20101001,A4429,HCPCS,Urine ost pouch w bltinconv,,,28 ,,NW,,,,,,$16.94,$0.00,1,1,1,0,0,1,20101001,A4430,HCPCS,Ost urine pch w b/bltin conv,,,28 ,,NW,,,,,,$17.27,$0.00,1,1,1,0,0,1,20101001,A4431,HCPCS,Ost pch urine w barrier/tapv,,,28 ,,NW,,,,,,$13.22,$0.00,1,1,1,0,0,1,20101001,A4432,HCPCS,Os pch urine w bar/fange/tap,,,28 ,,NW,,,,,,$7.63,$0.00,1,1,1,0,0,1,20101001,A4433,HCPCS,Urine ost pch bar w lock fln,,,28 ,,NW,,,,,,$7.11,$0.00,1,1,1,0,0,1,20101001,A4434,HCPCS,Ost pch urine w lock flng/ft,,,28 ,,NW,,,,,,$8.00,$0.00,1,1,1,0,0,1,20101001,A4450,HCPCS,Non-waterproof tape,,,28 ,,NW,,,,,,$0.91,$0.00,1,1,1,0,0,1,20101001,A4450,HCPCS,Non-waterproof tape,AU,,28 ,,NW,,,,,,$0.14,$0.00,1,1,1,0,0,1,20101001,A4450,HCPCS,Non-waterproof tape,AV,,28 ,,NW,,,,,,$0.14,$0.00,1,1,1,0,0,1,20101001,A4450,HCPCS,Non-waterproof tape,AW,,28 ,,NW,,,,,,$0.19,$0.00,1,1,1,0,0,1,20101001,A4452,HCPCS,Waterproof tape,,,28 ,,NW,,,,,,$0.91,$0.00,1,1,1,0,0,1,20101001,A4452,HCPCS,Waterproof tape,AU,,28 ,,NW,,,,,,$0.60,$0.00,1,1,1,0,0,1,20101001,A4452,HCPCS,Waterproof tape,AV,,28 ,,NW,,,,,,$0.60,$0.00,1,1,1,0,0,1,20101001,A4452,HCPCS,Waterproof tape,AW,,28 ,,NW,,,,,,$0.66,$0.00,1,1,1,0,0,1,20101001,A4455,HCPCS,Adhesive remover per ounce,,,28 ,,NW,,,,,,$2.25,$0.00,1,1,1,0,0,1,20101001,A4456,HCPCS,"Adhesive remover, wipes",,,28 ,,NW,,,,,,$2.25,$0.00,1,1,1,0,0,1,20101001,A4458,HCPCS,Reusable enema bag,,,28 ,,NW,,,,,,$19.30,$0.00,1,1,1,0,0,1,20101001,A4461,HCPCS,Surgicl Dress Hold Non-Reuse,,,28 ,,NW,,,,,,$5.61,$0.00,1,1,1,0,0,1,20101001,A4463,HCPCS,Surgical Dress Holder Reuse,,,28 ,,NW,,,,,,$19.70,$0.00,1,1,1,0,0,1,20101001,A4465,HCPCS,Non-elastic extremity binder,,,28 ,,NW,,,,,,$17.17,$0.00,1,1,1,0,0,1,20101001,A4466,HCPCS,Elastic garment/covering,,,28 ,,NW,,,,,,$17.17,$0.00,1,1,1,0,0,1,20101001,A4470,HCPCS,Gravlee jet washer,,,28 ,,NW,,,,,,$12.25,$0.00,1,1,1,0,0,1,20101001,A4480,HCPCS,Vabra aspirator,,,28 ,,NW,,,,,,$9.41,$0.00,1,1,1,0,0,1,20101001,A4481,HCPCS,Tracheostoma filter,,,28 ,,NW,,,,,,$1.03,$0.00,1,1,1,0,0,1,20101001,A4483,HCPCS,Moisture exchanger,,,28 ,,NW,,,,,,$10.53,$0.00,1,1,1,0,0,1,20101001,A4490,HCPCS,Above knee surgical stocking,,,28 ,,NW,,,,,,$13.20,$0.00,1,1,1,0,0,1,20101001,A4495,HCPCS,Thigh length surg stocking,,,28 ,,NW,,,,,,$13.20,$0.00,1,1,1,0,0,1,20101001,A4500,HCPCS,Below knee surgical stocking,,,28 ,,NW,,,,,,$9.41,$0.00,1,1,1,0,0,1,20101001,A4510,HCPCS,Full length surg stocking,,,28 ,,NW,,,,,,$20.05,$0.00,1,1,1,0,0,1,20101001,A4520,HCPCS,Incontinence garment anytype,,,28 ,,NW,,,,,,$1.39,$0.00,1,1,1,0,0,1,20101001,A4550,HCPCS,Surgical trays,,,28 ,,NW,,,,,,$36.87,$0.00,1,1,1,0,0,1,20101001,A4554,HCPCS,Disposable underpads,,,28 ,,NW,,,,,,$5.62,$0.00,1,1,1,0,0,1,20101001,A4556,HCPCS,"Electrodes, pair",,,28 ,,NW,,,,,,$24.09,$0.00,1,1,1,0,0,1,20101001,A4557,HCPCS,"Lead wires, pair",,,28 ,,NW,,,,,,$37.96,$0.00,1,1,1,0,0,1,20101001,A4558,HCPCS,Conductive gel or paste,,,28 ,,NW,,,,,,$13.65,$0.00,1,1,1,0,0,1,20101001,A4559,HCPCS,Coupling Gel Or Paste,,,28 ,,NW,,,,,,$0.29,$0.00,1,1,1,0,0,1,20101001,A4561,HCPCS,"Pessary rubber, any type",,,28 ,,NW,,,,,,$25.70,$0.00,1,1,1,0,0,1,20101001,A4562,HCPCS,"Pessary, non rubber,any type",,,28 ,,NW,,,,,,$51.96,$0.00,1,1,1,0,0,1,20101001,A4565,HCPCS,Slings,,,28 ,,NW,,,,,,$13.20,$0.00,1,1,1,0,0,1,20101001,A4570,HCPCS,Splint,,,28 ,,NW,,,,,,$24.86,$0.00,1,1,1,0,0,1,20101001,A4575,HCPCS,Hyperbaric o2 chamber disps,,,28 ,,NW,,,,,,"$1,002.09",$0.00,1,1,1,0,0,1,20101001,A4580,HCPCS,Cast supplies (plaster),,,28 ,,NW,,,,,,$65.12,$0.00,1,1,1,0,0,1,20101001,A4590,HCPCS,Special casting material,,,28 ,,NW,,,,,,$46.00,$0.00,1,1,1,0,0,1,20101001,A4595,HCPCS,Tens suppl 2 lead per month,,,28 ,,NW,,,,,,$53.81,$0.00,1,1,1,0,0,1,20101001,A4600,HCPCS,"Sleeve, Inter Limb Comp Dev",,,28 ,,NW,,,,,,$110.89,$0.00,1,1,1,1,1,1,20101001,A4601,HCPCS,"Lith Ion Batt, Non-Pros Use",,,28 ,,NW,,,,,,$1.26,$0.00,1,1,1,1,1,1,20101001,A4604,HCPCS,Tubing With Heating Element,,,28 ,,NW,,,,,,$111.28,$0.00,1,1,1,1,1,1,20101001,A4604,HCPCS,Tubing With Heating Element,NU,,28 ,,NW,,,,,,$111.28,$0.00,1,1,1,1,1,1,20101001,A4605,HCPCS,Trach suction cath close sys,,,28 ,,NW,,,,,,$32.84,$0.00,1,1,1,1,1,1,20101001,A4605,HCPCS,Trach suction cath close sys,NU,,28 ,,NW,,,,,,$32.84,$0.00,1,1,1,1,1,1,20101001,A4606,HCPCS,Oxygen probe used w oximeter,,,28 ,,NW,,,,,,$49.84,$0.00,1,1,1,1,1,1,20101001,A4608,HCPCS,Transtracheal oxygen cath,,,28 ,,NW,,,,,,$93.43,$0.00,1,1,1,1,1,1,20101001,A4611,HCPCS,Heavy duty battery,,,28 ,,NW,,,,,,$407.08,$0.00,1,1,1,1,1,1,20101001,A4611,HCPCS,Heavy duty battery,NU,,28 ,,NW,,,,,,$407.08,$0.00,1,1,1,1,1,1,20101001,A4611,HCPCS,Heavy duty battery,RR,,28 ,,NW,,,,,,$36.83,$0.00,1,1,1,1,1,1,20101001,A4611,HCPCS,Heavy duty battery,UE,,28 ,,NW,,,,,,$298.67,$0.00,1,1,1,1,1,1,20101001,A4612,HCPCS,Battery cables,,,28 ,,NW,,,,,,$153.99,$0.00,1,1,1,1,1,1,20101001,A4612,HCPCS,Battery cables,NU,,28 ,,NW,,,,,,$153.99,$0.00,1,1,1,1,1,1,20101001,A4612,HCPCS,Battery cables,RR,,28 ,,NW,,,,,,$17.95,$0.00,1,1,1,1,1,1,20101001,A4612,HCPCS,Battery cables,UE,,28 ,,NW,,,,,,$110.72,$0.00,1,1,1,1,1,1,20101001,A4613,HCPCS,Battery charger,,,28 ,,NW,,,,,,$293.98,$0.00,1,1,1,1,1,1,20101001,A4613,HCPCS,Battery charger,NU,,28 ,,NW,,,,,,$293.98,$0.00,1,1,1,1,1,1,20101001,A4613,HCPCS,Battery charger,RR,,28 ,,NW,,,,,,$27.72,$0.00,1,1,1,1,1,1,20101001,A4613,HCPCS,Battery charger,UE,,28 ,,NW,,,,,,$205.40,$0.00,1,1,1,1,1,1,20101001,A4614,HCPCS,Hand-held pefr meter,,,28 ,,NW,,,,,,$28.87,$0.00,1,1,1,1,1,1,20101001,A4615,HCPCS,Cannula nasal,,,28 ,,NW,,,,,,$2.20,$0.00,1,1,1,1,1,1,20101001,A4616,HCPCS,Tubing (oxygen) per foot,,,28 ,,NW,,,,,,$1.92,$0.00,1,1,1,1,1,1,20101001,A4617,HCPCS,Mouth piece,,,28 ,,NW,,,,,,$3.23,$0.00,1,1,1,1,1,1,20101001,A4618,HCPCS,Breathing circuits,,,28 ,,NW,,,,,,$14.50,$0.00,1,1,1,1,1,1,20101001,A4618,HCPCS,Breathing circuits,NU,,28 ,,NW,,,,,,$14.50,$0.00,1,1,1,1,1,1,20101001,A4618,HCPCS,Breathing circuits,RR,,28 ,,NW,,,,,,$1.58,$0.00,1,1,1,1,1,1,20101001,A4618,HCPCS,Breathing circuits,UE,,28 ,,NW,,,,,,$10.86,$0.00,1,1,1,1,1,1,20101001,A4619,HCPCS,Face tent,,,28 ,,NW,,,,,,$2.41,$0.00,1,1,1,1,1,1,20101001,A4620,HCPCS,Variable concentration mask,,,28 ,,NW,,,,,,$2.15,$0.00,1,1,1,1,1,1,20101001,A4623,HCPCS,Tracheostomy inner cannula,,,28 ,,NW,,,,,,$10.34,$0.00,1,1,1,1,1,1,20101001,A4624,HCPCS,Tracheal suction tube,,,28 ,,NW,,,,,,$6.81,$0.00,1,1,1,1,1,1,20101001,A4624,HCPCS,Tracheal suction tube,NU,,28 ,,NW,,,,,,$6.81,$0.00,1,1,1,1,1,1,20101001,A4625,HCPCS,Trach care kit for new trach,,,28 ,,NW,,,,,,$11.34,$0.00,1,1,1,1,1,1,20101001,A4626,HCPCS,Tracheostomy cleaning brush,,,28 ,,NW,,,,,,$4.99,$0.00,1,1,1,1,1,1,20101001,A4627,HCPCS,Spacer bag/reservoir,,,28 ,,NW,,,,,,$31.20,$0.00,1,1,1,1,1,1,20101001,A4628,HCPCS,Oropharyngeal suction cath,,,28 ,,NW,,,,,,$6.32,$0.00,1,1,1,1,1,1,20101001,A4628,HCPCS,Oropharyngeal suction cath,NU,,28 ,,NW,,,,,,$6.32,$0.00,1,1,1,1,1,1,20101001,A4629,HCPCS,Tracheostomy care kit,,,28 ,,NW,,,,,,$7.92,$0.00,1,1,1,1,1,1,20101001,A4630,HCPCS,Repl bat t.e.n.s. own by pt,,,28 ,,NW,,,,,,$14.70,$0.00,1,1,1,1,1,1,20101001,A4630,HCPCS,Repl bat t.e.n.s. own by pt,NU,,28 ,,NW,,,,,,$14.70,$0.00,1,1,1,1,1,1,20101001,A4633,HCPCS,Uvl replacement bulb,,,28 ,,NW,,,,,,$74.81,$0.00,1,1,1,1,1,1,20101001,A4633,HCPCS,Uvl replacement bulb,NU,,28 ,,NW,,,,,,$74.81,$0.00,1,1,1,1,1,1,20101001,A4634,HCPCS,Replacement Bulb Th Lightbox,,,28 ,,NW,,,,,,$4.68,$0.00,1,1,1,1,1,1,20101001,A4635,HCPCS,Underarm crutch pad,,,28 ,,NW,,,,,,$13.01,$0.00,1,1,1,1,1,1,20101001,A4635,HCPCS,Underarm crutch pad,NU,,28 ,,NW,,,,,,$13.01,$0.00,1,1,1,1,1,1,20101001,A4635,HCPCS,Underarm crutch pad,RR,,28 ,,NW,,,,,,$1.75,$0.00,1,1,1,1,1,1,20101001,A4635,HCPCS,Underarm crutch pad,UE,,28 ,,NW,,,,,,$8.69,$0.00,1,1,1,1,1,1,20101001,A4636,HCPCS,Handgrip for cane etc,,,28 ,,NW,,,,,,$17.30,$0.00,1,1,1,1,1,1,20101001,A4636,HCPCS,Handgrip for cane etc,NU,,28 ,,NW,,,,,,$17.30,$0.00,1,1,1,1,1,1,20101001,A4636,HCPCS,Handgrip for cane etc,RR,,28 ,,NW,,,,,,$2.01,$0.00,1,1,1,1,1,1,20101001,A4636,HCPCS,Handgrip for cane etc,UE,,28 ,,NW,,,,,,$13.96,$0.00,1,1,1,1,1,1,20101001,A4637,HCPCS,Repl tip cane/crutch/walker,,,28 ,,NW,,,,,,$10.19,$0.00,1,1,1,1,1,1,20101001,A4637,HCPCS,Repl tip cane/crutch/walker,NU,,28 ,,NW,,,,,,$10.19,$0.00,1,1,1,1,1,1,20101001,A4637,HCPCS,Repl tip cane/crutch/walker,RR,,28 ,,NW,,,,,,$1.43,$0.00,1,1,1,1,1,1,20101001,A4637,HCPCS,Repl tip cane/crutch/walker,UE,,28 ,,NW,,,,,,$7.70,$0.00,1,1,1,1,1,1,20101001,A4639,HCPCS,Infrared ht sys replcmnt pad,,,28 ,,NW,,,,,,$661.06,$0.00,1,1,1,1,1,1,20101001,A4639,HCPCS,Infrared ht sys replcmnt pad,NU,,28 ,,NW,,,,,,$661.06,$0.00,1,1,1,1,1,1,20101001,A4640,HCPCS,Alternating pressure pad,,,28 ,,NW,,,,,,$112.16,$0.00,1,1,1,1,1,1,20101001,A4640,HCPCS,Alternating pressure pad,NU,,28 ,,NW,,,,,,$112.16,$0.00,1,1,1,1,1,1,20101001,A4640,HCPCS,Alternating pressure pad,RR,,28 ,,NW,,,,,,$14.92,$0.00,1,1,1,1,1,1,20101001,A4640,HCPCS,Alternating pressure pad,UE,,28 ,,NW,,,,,,$76.06,$0.00,1,1,1,1,1,1,20101001,A4641,HCPCS,Radiopharm dx agent noc,,,28 ,,NW,,,,,,$32.33,$0.00,1,1,1,0,0,1,20101001,A4642,HCPCS,In111 satumomab,,,28 ,,NW,,,,,,$23.78,$0.00,1,1,1,0,0,1,20101001,A4648,HCPCS,Implantable Tissue Marker,,,28 ,,NW,,,,,,$253.01,$0.00,1,1,1,0,0,1,20101001,A4649,HCPCS,Surgical supplies,,,28 ,,NW,,,,,,$0.79,$0.00,1,1,1,0,0,1,20101001,A4651,HCPCS,Calibrated microcap tube,,,28 ,,NW,,,,,,$3.46,$0.00,1,1,1,0,0,1,20101001,A4652,HCPCS,Microcapillary tube sealant,,,28 ,,NW,,,,,,$1.30,$0.00,1,1,1,0,0,1,20101001,A4653,HCPCS,Pd Catheter Anchor Belt,,,28 ,,NW,,,,,,$53.32,$0.00,1,1,1,0,0,1,20101001,A4657,HCPCS,Syringe w/wo needle,,,28 ,,NW,,,,,,$1.29,$0.00,1,1,1,0,0,1,20101001,A4660,HCPCS,Sphyg/bp app w cuff and stet,,,28 ,,NW,,,,,,$36.51,$0.00,1,1,1,0,0,1,20101001,A4663,HCPCS,Dialysis blood pressure cuff,,,28 ,,NW,,,,,,$46.92,$0.00,1,1,1,0,0,1,20101001,A4670,HCPCS,"Automatic bp monitor, dial",,,28 ,,NW,,,,,,$120.55,$0.00,1,1,1,0,0,1,20101001,A4671,HCPCS,Disposable Cycler Set,,,28 ,,NW,,,,,,$40.81,$0.00,1,1,1,0,0,1,20101001,A4672,HCPCS,"Drainage Ext Line, Dialysis",,,28 ,,NW,,,,,,$18.91,$0.00,1,1,1,0,0,1,20101001,A4673,HCPCS,Ext Line W Easy Lock Connect,,,28 ,,NW,,,,,,$12.30,$0.00,1,1,1,0,0,1,20101001,A4674,HCPCS,"Chem/Antisept Solution, 8Oz",,,28 ,,NW,,,,,,$2.59,$0.00,1,1,1,0,0,1,20101001,A4680,HCPCS,"Activated carbon filter, ea",,,28 ,,NW,,,,,,$112.30,$0.00,1,1,1,0,0,1,20101001,A4690,HCPCS,"Dialyzer, each",,,28 ,,NW,,,,,,"$1,092.10",$0.00,1,1,1,0,0,1,20101001,A4706,HCPCS,Bicarbonate conc sol per gal,,,28 ,,NW,,,,,,$18.35,$0.00,1,1,1,0,0,1,20101001,A4707,HCPCS,Bicarbonate conc pow per pac,,,28 ,,NW,,,,,,$14.32,$0.00,1,1,1,0,0,1,20101001,A4708,HCPCS,Acetate conc sol per gallon,,,28 ,,NW,,,,,,$18.65,$0.00,1,1,1,0,0,1,20101001,A4709,HCPCS,Acid conc sol per gallon,,,28 ,,NW,,,,,,$28.21,$0.00,1,1,1,0,0,1,20101001,A4714,HCPCS,Treated water per gallon,,,28 ,,NW,,,,,,$6.49,$0.00,1,1,1,0,0,1,20101001,A4719,HCPCS,"""y set"" tubing",,,28 ,,NW,,,,,,$23.69,$0.00,1,1,1,0,0,1,20101001,A4720,HCPCS,Dialysat sol fld vol > 249cc,,,28 ,,NW,,,,,,$26.45,$0.00,1,1,1,0,0,1,20101001,A4721,HCPCS,Dialysat sol fld vol > 999cc,,,28 ,,NW,,,,,,$55.14,$0.00,1,1,1,0,0,1,20101001,A4722,HCPCS,Dialys sol fld vol > 1999cc,,,28 ,,NW,,,,,,$66.21,$0.00,1,1,1,0,0,1,20101001,A4723,HCPCS,Dialys sol fld vol > 2999cc,,,28 ,,NW,,,,,,$33.50,$0.00,1,1,1,0,0,1,20101001,A4724,HCPCS,Dialys sol fld vol > 3999cc,,,28 ,,NW,,,,,,$155.66,$0.00,1,1,1,0,0,1,20101001,A4725,HCPCS,Dialys sol fld vol > 4999cc,,,28 ,,NW,,,,,,$57.03,$0.00,1,1,1,0,0,1,20101001,A4726,HCPCS,Dialys sol fld vol > 5999cc,,,28 ,,NW,,,,,,$44.52,$0.00,1,1,1,0,0,1,20101001,A4728,HCPCS,"Dialysate solution, non-dex",,,28 ,,NW,,,,,,$16.36,$0.00,1,1,1,0,0,1,20101001,A4730,HCPCS,"Fistula cannulation set, ea",,,28 ,,NW,,,,,,$4.15,$0.00,1,1,1,0,0,1,20101001,A4736,HCPCS,"Topical anesthetic, per gram",,,28 ,,NW,,,,,,$35.25,$0.00,1,1,1,0,0,1,20101001,A4737,HCPCS,Inj anesthetic per 10 ml,,,28 ,,NW,,,,,,$5.88,$0.00,1,1,1,0,0,1,20101001,A4740,HCPCS,Shunt accessory,,,28 ,,NW,,,,,,$23.35,$0.00,1,1,1,0,0,1,20101001,A4750,HCPCS,Art or venous blood tubing,,,28 ,,NW,,,,,,$27.81,$0.00,1,1,1,0,0,1,20101001,A4755,HCPCS,Comb art/venous blood tubing,,,28 ,,NW,,,,,,$23.98,$0.00,1,1,1,0,0,1,20101001,A4760,HCPCS,"Dialysate sol test kit, each",,,28 ,,NW,,,,,,$155.13,$0.00,1,1,1,0,0,1,20101001,A4765,HCPCS,Dialysate conc pow per pack,,,28 ,,NW,,,,,,$9.34,$0.00,1,1,1,0,0,1,20101001,A4766,HCPCS,Dialysate conc sol add 10 ml,,,28 ,,NW,,,,,,$9.34,$0.00,1,1,1,0,0,1,20101001,A4770,HCPCS,Blood collection tube/vacuum,,,28 ,,NW,,,,,,$13.13,$0.00,1,1,1,0,0,1,20101001,A4771,HCPCS,Serum Clotting Time Tube,,,28 ,,NW,,,,,,$15.52,$0.00,1,1,1,0,0,1,20101001,A4772,HCPCS,Blood glucose test strips,,,28 ,,NW,,,,,,$37.98,$0.00,1,1,1,0,0,1,20101001,A4773,HCPCS,Occult blood test strips,,,28 ,,NW,,,,,,$30.00,$0.00,1,1,1,0,0,1,20101001,A4774,HCPCS,Ammonia test strips,,,28 ,,NW,,,,,,$12.97,$0.00,1,1,1,0,0,1,20101001,A4802,HCPCS,Protamine sulfate per 50 mg,,,28 ,,NW,,,,,,$8.53,$0.00,1,1,1,0,0,1,20101001,A4860,HCPCS,Disposable catheter tips,,,28 ,,NW,,,,,,$7.46,$0.00,1,1,1,0,0,1,20101001,A4870,HCPCS,Plumb/elec wk hm hemo equip,,,28 ,,NW,,,,,,$204.30,$0.00,1,1,1,0,0,1,20101001,A4890,HCPCS,Repair/maint cont hemo equip,,,28 ,,NW,,,,,,$25.94,$0.00,1,1,1,0,0,1,20101001,A4911,HCPCS,Drain bag/bottle,,,28 ,,NW,,,,,,$15.02,$0.00,1,1,1,0,0,1,20101001,A4913,HCPCS,Misc dialysis supplies noc,,,28 ,,NW,,,,,,$120.55,$0.00,1,1,1,0,0,1,20101001,A4918,HCPCS,Venous pressure clamp,,,28 ,,NW,,,,,,$6.49,$0.00,1,1,1,0,0,1,20101001,A4927,HCPCS,Non-sterile gloves,,,28 ,,NW,,,,,,$8.16,$0.00,1,1,1,0,0,1,20101001,A4928,HCPCS,Surgical mask,,,28 ,,NW,,,,,,$0.99,$0.00,1,1,1,0,0,1,20101001,A4929,HCPCS,"Tourniquet for dialysis, ea",,,28 ,,NW,,,,,,$0.25,$0.00,1,1,1,0,0,1,20101001,A4930,HCPCS,"Sterile, gloves per pair",,,28 ,,NW,,,,,,$1.48,$0.00,1,1,1,0,0,1,20101001,A4931,HCPCS,Reusable Oral Thermometer,,,28 ,,NW,,,,,,$15.32,$0.00,1,1,1,0,0,1,20101001,A5051,HCPCS,Pouch clsd w barr attached,,,28 ,,NW,,,,,,$3.50,$0.00,1,1,1,0,0,1,20101001,A5052,HCPCS,Clsd ostomy pouch w/o barr,,,28 ,,NW,,,,,,$2.50,$0.00,1,1,1,0,0,1,20101001,A5053,HCPCS,Clsd ostomy pouch faceplate,,,28 ,,NW,,,,,,$2.79,$0.00,1,1,1,0,0,1,20101001,A5054,HCPCS,Clsd ostomy pouch w/flange,,,28 ,,NW,,,,,,$3.02,$0.00,1,1,1,0,0,1,20101001,A5055,HCPCS,Stoma cap,,,28 ,,NW,,,,,,$2.35,$0.00,1,1,1,0,0,1,20101001,A5061,HCPCS,Pouch drainable w barrier at,,,28 ,,NW,,,,,,$6.02,$0.00,1,1,1,0,0,1,20101001,A5062,HCPCS,Drnble ostomy pouch w/o barr,,,28 ,,NW,,,,,,$3.65,$0.00,1,1,1,0,0,1,20101001,A5063,HCPCS,Drain ostomy pouch w/flange,,,28 ,,NW,,,,,,$4.60,$0.00,1,1,1,0,0,1,20101001,A5071,HCPCS,Urinary pouch w/barrier,,,28 ,,NW,,,,,,$10.31,$0.00,1,1,1,0,0,1,20101001,A5072,HCPCS,Urinary pouch w/o barrier,,,28 ,,NW,,,,,,$5.81,$0.00,1,1,1,0,0,1,20101001,A5073,HCPCS,Urinary pouch on barr w/flng,,,28 ,,NW,,,,,,$5.31,$0.00,1,1,1,0,0,1,20101001,A5081,HCPCS,Continent stoma plug,,,28 ,,NW,,,,,,$5.32,$0.00,1,1,1,0,0,1,20101001,A5082,HCPCS,Continent stoma catheter,,,28 ,,NW,,,,,,$17.71,$0.00,1,1,1,0,0,1,20101001,A5083,HCPCS,Stoma Absorptive Cover,,,28 ,,NW,,,,,,$1.04,$0.00,1,1,1,0,0,1,20101001,A5093,HCPCS,Ostomy accessory convex inse,,,28 ,,NW,,,,,,$3.18,$0.00,1,1,1,0,0,1,20101001,A5102,HCPCS,Bedside drain btl w/wo tube,,,28 ,,NW,,,,,,$27.70,$0.00,1,1,1,0,0,1,20101001,A5105,HCPCS,Urinary suspensory,,,28 ,,NW,,,,,,$42.67,$0.00,1,1,1,0,0,1,20101001,A5112,HCPCS,Urinary leg bag,,,28 ,,NW,,,,,,$36.98,$0.00,1,1,1,0,0,1,20101001,A5113,HCPCS,Latex leg strap,,,28 ,,NW,,,,,,$7.52,$0.00,1,1,1,0,0,1,20101001,A5114,HCPCS,Foam/fabric leg strap,,,28 ,,NW,,,,,,$14.54,$0.00,1,1,1,0,0,1,20101001,A5120,HCPCS,"Skin barrier, wipe or swab",,,28 ,,NW,,,,,,$32.18,$0.00,1,1,1,0,0,1,20101001,A5120,HCPCS,"Skin barrier, wipe or swab",AU,,28 ,,NW,,,,,,$0.40,$0.00,1,1,1,0,0,1,20101001,A5120,HCPCS,"Skin barrier, wipe or swab",AV,,28 ,,NW,,,,,,$0.39,$0.00,1,1,1,0,0,1,20101001,A5121,HCPCS,Solid skin barrier 6x6,,,28 ,,NW,,,,,,$12.15,$0.00,1,1,1,0,0,1,20101001,A5122,HCPCS,Solid skin barrier 8x8,,,28 ,,NW,,,,,,$18.72,$0.00,1,1,1,0,0,1,20101001,A5126,HCPCS,Disk/foam pad +or- adhesive,,,28 ,,NW,,,,,,$2.02,$0.00,1,1,1,0,0,1,20101001,A5131,HCPCS,Appliance cleaner,,,28 ,,NW,,,,,,$21.12,$0.00,1,1,1,0,0,1,20101001,A5200,HCPCS,Percutaneous catheter anchor,,,28 ,,NW,,,,,,$17.94,$0.00,1,1,1,0,0,1,20101001,A5500,HCPCS,Diab shoe for density insert,,,28 ,,NW,,,,,,$82.93,$0.00,1,1,1,0,0,1,20101001,A5501,HCPCS,Diabetic custom molded shoe,,,28 ,,NW,,,,,,$246.38,$0.00,1,1,1,0,0,1,20101001,A5503,HCPCS,Diabetic shoe w/roller/rockr,,,28 ,,NW,,,,,,$40.83,$0.00,1,1,1,0,0,1,20101001,A5504,HCPCS,Diabetic shoe with wedge,,,28 ,,NW,,,,,,$40.83,$0.00,1,1,1,0,0,1,20101001,A5505,HCPCS,Diab shoe w/metatarsal bar,,,28 ,,NW,,,,,,$40.83,$0.00,1,1,1,0,0,1,20101001,A5506,HCPCS,Diabetic shoe w/off set heel,,,28 ,,NW,,,,,,$40.83,$0.00,1,1,1,0,0,1,20101001,A5507,HCPCS,Modification diabetic shoe,,,28 ,,NW,,,,,,$82.93,$0.00,1,1,1,0,0,1,20101001,A5508,HCPCS,Diabetic deluxe shoe,,,28 ,,NW,,,,,,$38.91,$0.00,1,1,1,0,0,1,20101001,A5510,HCPCS,Compression form shoe insert,,,28 ,,NW,,,,,,$56.35,$0.00,1,1,1,0,0,1,20101001,A5512,HCPCS,Multi den insert direct form,,,28 ,,NW,,,,,,$38.04,$0.00,1,1,1,0,0,1,20101001,A5513,HCPCS,Multi den insert custom mold,,,28 ,,NW,,,,,,$53.27,$0.00,1,1,1,0,0,1,20101001,A6000,HCPCS,Wound warming wound cover,,,28 ,,NW,,,,,,$90.81,$0.00,1,1,1,0,0,1,20101001,A6010,HCPCS,Collagen based wound filler,,,28 ,,NW,,,,,,$35.16,$0.00,1,1,1,0,0,1,20101001,A6011,HCPCS,Collagen gel/paste wound fil,,,28 ,,NW,,,,,,$3.86,$0.00,1,1,1,0,0,1,20101001,A6021,HCPCS,Collagen dressing <=16 sq in,,,28 ,,NW,,,,,,$26.45,$0.00,1,1,1,0,0,1,20101001,A6022,HCPCS,Collagen drsg>6<=48 sq in,,,28 ,,NW,,,,,,$26.45,$0.00,1,1,1,0,0,1,20101001,A6023,HCPCS,Collagen dressing >48 sq in,,,28 ,,NW,,,,,,$174.73,$0.00,1,1,1,0,0,1,20101001,A6024,HCPCS,Collagen dsg wound filler,,,28 ,,NW,,,,,,$10.63,$0.00,1,1,1,0,0,1,20101001,A6025,HCPCS,"Silicone gel sheet, each",,,28 ,,NW,,,,,,$31.59,$0.00,1,1,1,0,0,1,20101001,A6154,HCPCS,Wound pouch each,,,28 ,,NW,,,,,,$20.53,$0.00,1,1,1,0,0,1,20101001,A6196,HCPCS,Alginate dressing <=16 sq in,,,28 ,,NW,,,,,,$12.64,$0.00,1,1,1,0,0,1,20101001,A6197,HCPCS,Alginate drsg >16 <=48 sq in,,,28 ,,NW,,,,,,$22.45,$0.00,1,1,1,0,0,1,20101001,A6198,HCPCS,Alginate dressing > 48 sq in,,,28 ,,NW,,,,,,$37.38,$0.00,1,1,1,0,0,1,20101001,A6199,HCPCS,Alginate drsg wound filler,,,28 ,,NW,,,,,,$9.07,$0.00,1,1,1,0,0,1,20101001,A6203,HCPCS,Composite drsg <= 16 sq in,,,28 ,,NW,,,,,,$5.73,$0.00,1,1,1,0,0,1,20101001,A6204,HCPCS,Composite drsg >16<=48 sq in,,,28 ,,NW,,,,,,$10.70,$0.00,1,1,1,0,0,1,20101001,A6205,HCPCS,Composite drsg > 48 sq in,,,28 ,,NW,,,,,,$25.16,$0.00,1,1,1,0,0,1,20101001,A6206,HCPCS,Contact layer <= 16 sq in,,,28 ,,NW,,,,,,$8.46,$0.00,1,1,1,0,0,1,20101001,A6207,HCPCS,Contact layer >16<= 48 sq in,,,28 ,,NW,,,,,,$12.62,$0.00,1,1,1,0,0,1,20101001,A6208,HCPCS,Contact layer > 48 sq in,,,28 ,,NW,,,,,,$69.61,$0.00,1,1,1,0,0,1,20101001,A6209,HCPCS,Foam drsg <=16 sq in w/o bdr,,,28 ,,NW,,,,,,$12.85,$0.00,1,1,1,0,0,1,20101001,A6210,HCPCS,Foam drg >16<=48 sq in w/o b,,,28 ,,NW,,,,,,$25.50,$0.00,1,1,1,0,0,1,20101001,A6211,HCPCS,Foam drg > 48 sq in w/o brdr,,,28 ,,NW,,,,,,$33.78,$0.00,1,1,1,0,0,1,20101001,A6212,HCPCS,Foam drg <=16 sq in w/border,,,28 ,,NW,,,,,,$16.55,$0.00,1,1,1,0,0,1,20101001,A6213,HCPCS,Foam drg >16<=48 sq in w/bdr,,,28 ,,NW,,,,,,$28.70,$0.00,1,1,1,0,0,1,20101001,A6214,HCPCS,Foam drg > 48 sq in w/border,,,28 ,,NW,,,,,,$17.06,$0.00,1,1,1,0,0,1,20101001,A6215,HCPCS,Foam Dressing Wound Filler,,,28 ,,NW,,,,,,$4.19,$0.00,1,1,1,0,0,1,20101001,A6216,HCPCS,Non-sterile gauze<=16 sq in,,,28 ,,NW,,,,,,$0.08,$0.00,1,1,1,0,0,1,20101001,A6217,HCPCS,Non-sterile gauze>16<=48 sq,,,28 ,,NW,,,,,,$1.87,$0.00,1,1,1,0,0,1,20101001,A6218,HCPCS,Non-sterile gauze > 48 sq in,,,28 ,,NW,,,,,,$0.91,$0.00,1,1,1,0,0,1,20101001,A6219,HCPCS,Gauze <= 16 sq in w/border,,,28 ,,NW,,,,,,$1.58,$0.00,1,1,1,0,0,1,20101001,A6220,HCPCS,Gauze >16 <=48 sq in w/bordr,,,28 ,,NW,,,,,,$4.39,$0.00,1,1,1,0,0,1,20101001,A6221,HCPCS,Gauze > 48 sq in w/border,,,28 ,,NW,,,,,,$11.23,$0.00,1,1,1,0,0,1,20101001,A6222,HCPCS,Gauze <=16 in no w/sal w/o b,,,28 ,,NW,,,,,,$3.62,$0.00,1,1,1,0,0,1,20101001,A6223,HCPCS,Gauze >16<=48 no w/sal w/o b,,,28 ,,NW,,,,,,$4.11,$0.00,1,1,1,0,0,1,20101001,A6224,HCPCS,Gauze > 48 in no w/sal w/o b,,,28 ,,NW,,,,,,$6.17,$0.00,1,1,1,0,0,1,20101001,A6228,HCPCS,Gauze <= 16 sq in water/sal,,,28 ,,NW,,,,,,$3.72,$0.00,1,1,1,0,0,1,20101001,A6229,HCPCS,Gauze >16<=48 sq in watr/sal,,,28 ,,NW,,,,,,$6.17,$0.00,1,1,1,0,0,1,20101001,A6230,HCPCS,Gauze > 48 sq in water/salne,,,28 ,,NW,,,,,,$5.62,$0.00,1,1,1,0,0,1,20101001,A6231,HCPCS,Hydrogel dsg<=16 sq in,,,28 ,,NW,,,,,,$7.99,$0.00,1,1,1,0,0,1,20101001,A6232,HCPCS,Hydrogel dsg>16<=48 sq in,,,28 ,,NW,,,,,,$11.81,$0.00,1,1,1,0,0,1,20101001,A6233,HCPCS,Hydrogel dressing >48 sq in,,,28 ,,NW,,,,,,$24.85,$0.00,1,1,1,0,0,1,20101001,A6234,HCPCS,Hydrocolld drg <=16 w/o bdr,,,28 ,,NW,,,,,,$11.24,$0.00,1,1,1,0,0,1,20101001,A6235,HCPCS,Hydrocolld drg >16<=48 w/o b,,,28 ,,NW,,,,,,$22.78,$0.00,1,1,1,0,0,1,20101001,A6236,HCPCS,Hydrocolld drg > 48 in w/o b,,,28 ,,NW,,,,,,$31.92,$0.00,1,1,1,0,0,1,20101001,A6237,HCPCS,Hydrocolld drg <=16 in w/bdr,,,28 ,,NW,,,,,,$13.61,$0.00,1,1,1,0,0,1,20101001,A6238,HCPCS,Hydrocolld drg >16<=48 w/bdr,,,28 ,,NW,,,,,,$28.01,$0.00,1,1,1,0,0,1,20101001,A6239,HCPCS,Hydrocolld drg > 48 in w/bdr,,,28 ,,NW,,,,,,$37.50,$0.00,1,1,1,0,0,1,20101001,A6240,HCPCS,Hydrocolld drg filler paste,,,28 ,,NW,,,,,,$18.77,$0.00,1,1,1,0,0,1,20101001,A6241,HCPCS,Hydrocolloid drg filler dry,,,28 ,,NW,,,,,,$4.37,$0.00,1,1,1,0,0,1,20101001,A6242,HCPCS,Hydrogel drg <=16 in w/o bdr,,,28 ,,NW,,,,,,$10.42,$0.00,1,1,1,0,0,1,20101001,A6243,HCPCS,Hydrogel drg >16<=48 w/o bdr,,,28 ,,NW,,,,,,$18.83,$0.00,1,1,1,0,0,1,20101001,A6244,HCPCS,Hydrogel drg >48 in w/o bdr,,,28 ,,NW,,,,,,$42.46,$0.00,1,1,1,0,0,1,20101001,A6245,HCPCS,Hydrogel drg <= 16 in w/bdr,,,28 ,,NW,,,,,,$12.49,$0.00,1,1,1,0,0,1,20101001,A6246,HCPCS,Hydrogel drg >16<=48 in w/b,,,28 ,,NW,,,,,,$16.74,$0.00,1,1,1,0,0,1,20101001,A6247,HCPCS,Hydrogel drg > 48 sq in w/b,,,28 ,,NW,,,,,,$28.88,$0.00,1,1,1,0,0,1,20101001,A6248,HCPCS,Hydrogel drsg gel filler,,,28 ,,NW,,,,,,$22.27,$0.00,1,1,1,0,0,1,20101001,A6250,HCPCS,Skin seal protect moisturizr,,,28 ,,NW,,,,,,$2.94,$0.00,1,1,1,0,0,1,20101001,A6251,HCPCS,Absorpt drg <=16 sq in w/o b,,,28 ,,NW,,,,,,$3.37,$0.00,1,1,1,0,0,1,20101001,A6252,HCPCS,Absorpt drg >16 <=48 w/o bdr,,,28 ,,NW,,,,,,$5.55,$0.00,1,1,1,0,0,1,20101001,A6253,HCPCS,Absorpt drg > 48 sq in w/o b,,,28 ,,NW,,,,,,$10.91,$0.00,1,1,1,0,0,1,20101001,A6254,HCPCS,Absorpt drg <=16 sq in w/bdr,,,28 ,,NW,,,,,,$2.02,$0.00,1,1,1,0,0,1,20101001,A6255,HCPCS,Absorpt drg >16<=48 in w/bdr,,,28 ,,NW,,,,,,$5.16,$0.00,1,1,1,0,0,1,20101001,A6256,HCPCS,Absorpt drg > 48 sq in w/bdr,,,28 ,,NW,,,,,,$17.39,$0.00,1,1,1,0,0,1,20101001,A6257,HCPCS,Transparent film <= 16 sq in,,,28 ,,NW,,,,,,$2.58,$0.00,1,1,1,0,0,1,20101001,A6258,HCPCS,Transparent film >16<=48 in,,,28 ,,NW,,,,,,$7.37,$0.00,1,1,1,0,0,1,20101001,A6259,HCPCS,Transparent film > 48 sq in,,,28 ,,NW,,,,,,$17.63,$0.00,1,1,1,0,0,1,20101001,A6260,HCPCS,Wound cleanser any type/size,,,28 ,,NW,,,,,,$1.83,$0.00,1,1,1,0,0,1,20101001,A6261,HCPCS,Wound filler gel/paste /oz,,,28 ,,NW,,,,,,$7.51,$0.00,1,1,1,0,0,1,20101001,A6262,HCPCS,Wound filler dry form / gram,,,28 ,,NW,,,,,,$1.83,$0.00,1,1,1,0,0,1,20101001,A6266,HCPCS,Impreg gauze no h20/sal/yard,,,28 ,,NW,,,,,,$3.26,$0.00,1,1,1,0,0,1,20101001,A6402,HCPCS,Sterile gauze <= 16 sq in,,,28 ,,NW,,,,,,$0.20,$0.00,1,1,1,0,0,1,20101001,A6403,HCPCS,Sterile gauze>16 <= 48 sq in,,,28 ,,NW,,,,,,$0.71,$0.00,1,1,1,0,0,1,20101001,A6404,HCPCS,Sterile gauze > 48 sq in,,,28 ,,NW,,,,,,$0.91,$0.00,1,1,1,0,0,1,20101001,A6407,HCPCS,"Packing strips, non-impreg",,,28 ,,NW,,,,,,$3.17,$0.00,1,1,1,0,0,1,20101001,A6410,HCPCS,Sterile eye pad,,,28 ,,NW,,,,,,$0.65,$0.00,1,1,1,0,0,1,20101001,A6411,HCPCS,Non-sterile eye pad,,,28 ,,NW,,,,,,$0.65,$0.00,1,1,1,0,0,1,20101001,A6412,HCPCS,Occlusive eye patch,,,28 ,,NW,,,,,,$0.91,$0.00,1,1,1,0,0,1,20101001,A6413,HCPCS,"Adhesive Bandage, First-Aid",,,28 ,,NW,,,,,,$1.59,$0.00,1,1,1,0,0,1,20101001,A6441,HCPCS,"Pad band w>=3"" <5""/yd",,,28 ,,NW,,,,,,$1.10,$0.00,1,1,1,0,0,1,20101001,A6442,HCPCS,"Conform band n/s w<3""/yd",,,28 ,,NW,,,,,,$0.28,$0.00,1,1,1,0,0,1,20101001,A6443,HCPCS,"Conform band n/s w>=3""<5""/yd",,,28 ,,NW,,,,,,$0.47,$0.00,1,1,1,0,0,1,20101001,A6444,HCPCS,"Conform band n/s w>=5""/yd",,,28 ,,NW,,,,,,$0.93,$0.00,1,1,1,0,0,1,20101001,A6445,HCPCS,"Conform band s w <3""/yd",,,28 ,,NW,,,,,,$0.54,$0.00,1,1,1,0,0,1,20101001,A6446,HCPCS,"Conform band s w>=3"" <5""/yd",,,28 ,,NW,,,,,,$0.68,$0.00,1,1,1,0,0,1,20101001,A6447,HCPCS,"Conform band s w >=5""/yd",,,28 ,,NW,,,,,,$1.10,$0.00,1,1,1,0,0,1,20101001,A6448,HCPCS,"Lt compres band <3""/yd",,,28 ,,NW,,,,,,$1.94,$0.00,1,1,1,0,0,1,20101001,A6449,HCPCS,"Lt compres band >=3"" <5""/yd",,,28 ,,NW,,,,,,$2.96,$0.00,1,1,1,0,0,1,20101001,A6450,HCPCS,"Lt compres band >=5""/yd",,,28 ,,NW,,,,,,$7.62,$0.00,1,1,1,0,0,1,20101001,A6451,HCPCS,"Mod compres band w>=3""<5""/yd",,,28 ,,NW,,,,,,$9.24,$0.00,1,1,1,0,0,1,20101001,A6452,HCPCS,"High compres band w>=3""<5""yd",,,28 ,,NW,,,,,,$10.15,$0.00,1,1,1,0,0,1,20101001,A6453,HCPCS,"Self-adher band w <3""/yd",,,28 ,,NW,,,,,,$1.01,$0.00,1,1,1,0,0,1,20101001,A6454,HCPCS,"Self-adher band w>=3"" <5""/yd",,,28 ,,NW,,,,,,$1.28,$0.00,1,1,1,0,0,1,20101001,A6455,HCPCS,"Self-adher band >=5""/yd",,,28 ,,NW,,,,,,$2.33,$0.00,1,1,1,0,0,1,20101001,A6456,HCPCS,"Zinc paste band w >=3""<5""/yd",,,28 ,,NW,,,,,,$2.14,$0.00,1,1,1,0,0,1,20101001,A6457,HCPCS,Tubular dressing,,,28 ,,NW,,,,,,$1.90,$0.00,1,1,1,0,0,1,20101001,A6504,HCPCS,Cmprsburngarment Glove-Wrist,,,28 ,,NW,,,,,,$248.89,$0.00,1,1,1,0,0,1,20101001,A6505,HCPCS,Cmprsburngarment glove-elbow,,,28 ,,NW,,,,,,$173.05,$0.00,1,1,1,0,0,1,20101001,A6506,HCPCS,Cmprsburngrmnt glove-axilla,,,28 ,,NW,,,,,,$58.19,$0.00,1,1,1,0,0,1,20101001,A6507,HCPCS,Cmprs Burngarment Foot-Knee,,,28 ,,NW,,,,,,$191.64,$0.00,1,1,1,0,0,1,20101001,A6509,HCPCS,Compres Burn Garment Jacket,,,28 ,,NW,,,,,,$738.31,$0.00,1,1,1,0,0,1,20101001,A6510,HCPCS,Compres burn garment leotard,,,28 ,,NW,,,,,,$218.22,$0.00,1,1,1,0,0,1,20101001,A6511,HCPCS,Compres Burn Garment Panty,,,28 ,,NW,,,,,,$588.32,$0.00,1,1,1,0,0,1,20101001,A6512,HCPCS,"Compres burn garment, noc",,,28 ,,NW,,,,,,$15.78,$0.00,1,1,1,0,0,1,20101001,A6530,HCPCS,Compression stocking bk18-30,,,28 ,,NW,,,,,,$46.47,$0.00,1,1,1,0,0,1,20101001,A6531,HCPCS,Compression stocking bk30-40,,,28 ,,NW,,,,,,$50.81,$0.00,1,1,1,0,0,1,20101001,A6531,HCPCS,Compression stocking bk30-40,AW,,28 ,,NW,,,,,,$45.94,$0.00,1,1,1,0,0,1,20101001,A6532,HCPCS,Compression stocking bk40-50,,,28 ,,NW,,,,,,$68.58,$0.00,1,1,1,0,0,1,20101001,A6532,HCPCS,Compression stocking bk40-50,AW,,28 ,,NW,,,,,,$61.44,$0.00,1,1,1,0,0,1,20101001,A6533,HCPCS,Gc stocking thighlngth 18-30,,,28 ,,NW,,,,,,$63.58,$0.00,1,1,1,0,0,1,20101001,A6534,HCPCS,Gc stocking thighlngth 30-40,,,28 ,,NW,,,,,,$81.01,$0.00,1,1,1,0,0,1,20101001,A6535,HCPCS,Gc stocking thighlngth 40-50,,,28 ,,NW,,,,,,$108.38,$0.00,1,1,1,0,0,1,20101001,A6536,HCPCS,Gc stocking full lngth 18-30,,,28 ,,NW,,,,,,$77.04,$0.00,1,1,1,0,0,1,20101001,A6537,HCPCS,Gc stocking full lngth 30-40,,,28 ,,NW,,,,,,$93.19,$0.00,1,1,1,0,0,1,20101001,A6538,HCPCS,Gc stocking full lngth 40-50,,,28 ,,NW,,,,,,$90.51,$0.00,1,1,1,0,0,1,20101001,A6539,HCPCS,Gc stocking waistlngth 18-30,,,28 ,,NW,,,,,,$124.07,$0.00,1,1,1,0,0,1,20101001,A6540,HCPCS,Gc stocking waistlngth 30-40,,,28 ,,NW,,,,,,$125.83,$0.00,1,1,1,0,0,1,20101001,A6541,HCPCS,Gc stocking waistlngth 40-50,,,28 ,,NW,,,,,,$188.27,$0.00,1,1,1,0,0,1,20101001,A6544,HCPCS,Gc stocking garter belt,,,28 ,,NW,,,,,,$44.57,$0.00,1,1,1,0,0,1,20101001,A6545,HCPCS,Grad Comp Non-Elastic Bk,,,28 ,,NW,,,,,,$82.66,$0.00,1,1,1,0,0,1,20101001,A6545,HCPCS,Grad Comp Non-Elastic Bk,AW,,28 ,,NW,,,,,,$82.66,$0.00,1,1,1,0,0,1,20101001,A6549,HCPCS,G compression stocking,,,28 ,,NW,,,,,,$128.49,$0.00,1,1,1,0,0,1,20101001,A6550,HCPCS,Neg pres wound ther drsg set,,,28 ,,NW,,,,,,$45.17,$0.00,1,1,1,0,0,1,20101001,A7000,HCPCS,Disposable canister for pump,,,28 ,,NW,,,,,,$33.68,$0.00,1,1,1,0,0,1,20101001,A7000,HCPCS,Disposable canister for pump,NU,,28 ,,NW,,,,,,$33.68,$0.00,1,1,1,0,0,1,20101001,A7001,HCPCS,Nondisposable pump canister,,,28 ,,NW,,,,,,$57.94,$0.00,1,1,1,0,0,1,20101001,A7001,HCPCS,Nondisposable pump canister,NU,,28 ,,NW,,,,,,$57.94,$0.00,1,1,1,0,0,1,20101001,A7002,HCPCS,Tubing used w suction pump,,,28 ,,NW,,,,,,$9.77,$0.00,1,1,1,0,0,1,20101001,A7002,HCPCS,Tubing used w suction pump,NU,,28 ,,NW,,,,,,$9.77,$0.00,1,1,1,0,0,1,20101001,A7003,HCPCS,Nebulizer administration set,,,28 ,,NW,,,,,,$7.17,$0.00,1,1,1,0,0,1,20101001,A7003,HCPCS,Nebulizer administration set,NU,,28 ,,NW,,,,,,$7.17,$0.00,1,1,1,0,0,1,20101001,A7004,HCPCS,Disposable nebulizer sml vol,,,28 ,,NW,,,,,,$4.54,$0.00,1,1,1,0,0,1,20101001,A7004,HCPCS,Disposable nebulizer sml vol,NU,,28 ,,NW,,,,,,$4.54,$0.00,1,1,1,0,0,1,20101001,A7005,HCPCS,Nondisposable nebulizer set,,,28 ,,NW,,,,,,$53.94,$0.00,1,1,1,0,0,1,20101001,A7005,HCPCS,Nondisposable nebulizer set,NU,,28 ,,NW,,,,,,$53.94,$0.00,1,1,1,0,0,1,20101001,A7006,HCPCS,Filtered nebulizer admin set,,,28 ,,NW,,,,,,$20.78,$0.00,1,1,1,0,0,1,20101001,A7006,HCPCS,Filtered nebulizer admin set,NU,,28 ,,NW,,,,,,$20.78,$0.00,1,1,1,0,0,1,20101001,A7007,HCPCS,Lg vol nebulizer disposable,,,28 ,,NW,,,,,,$12.01,$0.00,1,1,1,0,0,1,20101001,A7007,HCPCS,Lg vol nebulizer disposable,NU,,28 ,,NW,,,,,,$12.01,$0.00,1,1,1,0,0,1,20101001,A7008,HCPCS,Disposable nebulizer prefill,,,28 ,,NW,,,,,,$22.72,$0.00,1,1,1,0,0,1,20101001,A7008,HCPCS,Disposable nebulizer prefill,NU,,28 ,,NW,,,,,,$22.72,$0.00,1,1,1,0,0,1,20101001,A7009,HCPCS,Nebulizer reservoir bottle,,,28 ,,NW,,,,,,$74.35,$0.00,1,1,1,0,0,1,20101001,A7009,HCPCS,Nebulizer reservoir bottle,NU,,28 ,,NW,,,,,,$74.35,$0.00,1,1,1,0,0,1,20101001,A7010,HCPCS,Disposable corrugated tubing,,,28 ,,NW,,,,,,$43.00,$0.00,1,1,1,0,0,1,20101001,A7010,HCPCS,Disposable corrugated tubing,NU,,28 ,,NW,,,,,,$43.00,$0.00,1,1,1,0,0,1,20101001,A7011,HCPCS,Nondispos corrugated tubing,,,28 ,,NW,,,,,,$35.91,$0.00,1,1,1,0,0,1,20101001,A7012,HCPCS,Nebulizer water collec devic,,,28 ,,NW,,,,,,$9.81,$0.00,1,1,1,0,0,1,20101001,A7012,HCPCS,Nebulizer water collec devic,NU,,28 ,,NW,,,,,,$9.81,$0.00,1,1,1,0,0,1,20101001,A7013,HCPCS,Disposable compressor filter,,,28 ,,NW,,,,,,$2.12,$0.00,1,1,1,0,0,1,20101001,A7013,HCPCS,Disposable compressor filter,NU,,28 ,,NW,,,,,,$2.12,$0.00,1,1,1,0,0,1,20101001,A7014,HCPCS,Compressor nondispos filter,,,28 ,,NW,,,,,,$11.99,$0.00,1,1,1,0,0,1,20101001,A7014,HCPCS,Compressor nondispos filter,NU,,28 ,,NW,,,,,,$11.99,$0.00,1,1,1,0,0,1,20101001,A7015,HCPCS,Aerosol mask used w nebulize,,,28 ,,NW,,,,,,$4.88,$0.00,1,1,1,0,0,1,20101001,A7015,HCPCS,Aerosol mask used w nebulize,NU,,28 ,,NW,,,,,,$4.88,$0.00,1,1,1,0,0,1,20101001,A7016,HCPCS,Nebulizer dome & mouthpiece,,,28 ,,NW,,,,,,$16.80,$0.00,1,1,1,0,0,1,20101001,A7016,HCPCS,Nebulizer dome & mouthpiece,NU,,28 ,,NW,,,,,,$16.80,$0.00,1,1,1,0,0,1,20101001,A7017,HCPCS,Nebulizer not used w oxygen,,,28 ,,NW,,,,,,$294.34,$0.00,1,1,1,0,0,1,20101001,A7017,HCPCS,Nebulizer not used w oxygen,NU,,28 ,,NW,,,,,,$294.34,$0.00,1,1,1,0,0,1,20101001,A7017,HCPCS,Nebulizer not used w oxygen,RR,,28 ,,NW,,,,,,$27.73,$0.00,1,1,1,0,0,1,20101001,A7017,HCPCS,Nebulizer not used w oxygen,UE,,28 ,,NW,,,,,,$214.10,$0.00,1,1,1,0,0,1,20101001,A7018,HCPCS,Water distilled w/nebulizer,,,28 ,,NW,,,,,,$0.99,$0.00,1,1,1,0,0,1,20101001,A7025,HCPCS,Replace chest compress vest,,,28 ,,NW,,,,,,"$1,014.76",$0.00,1,1,1,0,0,1,20101001,A7025,HCPCS,Replace chest compress vest,NU,,28 ,,NW,,,,,,"$1,014.76",$0.00,1,1,1,0,0,1,20101001,A7026,HCPCS,Replace chst cmprss sys hose,,,28 ,,NW,,,,,,$53.88,$0.00,1,1,1,0,0,1,20101001,A7026,HCPCS,Replace chst cmprss sys hose,NU,,28 ,,NW,,,,,,$53.88,$0.00,1,1,1,0,0,1,20101001,A7027,HCPCS,Combination Oral/Nasal Mask,,,28 ,,NW,,,,,,$412.44,$0.00,1,1,1,0,0,1,20101001,A7027,HCPCS,Combination Oral/Nasal Mask,NU,,28 ,,NW,,,,,,$412.44,$0.00,1,1,1,0,0,1,20101001,A7028,HCPCS,Repl Oral Cushion Combo Mask,,,28 ,,NW,,,,,,$92.04,$0.00,1,1,1,0,0,1,20101001,A7028,HCPCS,Repl Oral Cushion Combo Mask,NU,,28 ,,NW,,,,,,$92.04,$0.00,1,1,1,0,0,1,20101001,A7029,HCPCS,Repl Nasal Pillow Comb Mask,,,28 ,,NW,,,,,,$39.38,$0.00,1,1,1,0,0,1,20101001,A7029,HCPCS,Repl Nasal Pillow Comb Mask,NU,,28 ,,NW,,,,,,$39.38,$0.00,1,1,1,0,0,1,20101001,A7030,HCPCS,Cpap full face mask,,,28 ,,NW,,,,,,$332.26,$0.00,1,1,1,0,0,1,20101001,A7030,HCPCS,Cpap full face mask,NU,,28 ,,NW,,,,,,$362.70,$0.00,1,1,1,0,0,1,20101001,A7031,HCPCS,Replacement facemask interfa,,,28 ,,NW,,,,,,$117.39,$0.00,1,1,1,0,0,1,20101001,A7031,HCPCS,Replacement facemask interfa,NU,,28 ,,NW,,,,,,$117.39,$0.00,1,1,1,0,0,1,20101001,A7032,HCPCS,Replacement nasal cushion,,,28 ,,NW,,,,,,$64.41,$0.00,1,1,1,0,0,1,20101001,A7032,HCPCS,Replacement nasal cushion,NU,,28 ,,NW,,,,,,$64.41,$0.00,1,1,1,0,0,1,20101001,A7033,HCPCS,Replacement nasal pillows,,,28 ,,NW,,,,,,$46.61,$0.00,1,1,1,0,0,1,20101001,A7033,HCPCS,Replacement nasal pillows,NU,,28 ,,NW,,,,,,$46.61,$0.00,1,1,1,0,0,1,20101001,A7034,HCPCS,Nasal application device,,,28 ,,NW,,,,,,$216.17,$0.00,1,1,1,0,0,1,20101001,A7034,HCPCS,Nasal application device,NU,,28 ,,NW,,,,,,$216.17,$0.00,1,1,1,0,0,1,20101001,A7035,HCPCS,Pos airway press headgear,,,28 ,,NW,,,,,,$60.30,$0.00,1,1,1,0,0,1,20101001,A7035,HCPCS,Pos airway press headgear,NU,,28 ,,NW,,,,,,$60.30,$0.00,1,1,1,0,0,1,20101001,A7036,HCPCS,Pos airway press chinstrap,,,28 ,,NW,,,,,,$29.42,$0.00,1,1,1,0,0,1,20101001,A7036,HCPCS,Pos airway press chinstrap,NU,,28 ,,NW,,,,,,$29.42,$0.00,1,1,1,0,0,1,20101001,A7037,HCPCS,Pos airway pressure tubing,,,28 ,,NW,,,,,,$63.96,$0.00,1,1,1,0,0,1,20101001,A7037,HCPCS,Pos airway pressure tubing,NU,,28 ,,NW,,,,,,$63.96,$0.00,1,1,1,0,0,1,20101001,A7038,HCPCS,Pos airway pressure filter,,,28 ,,NW,,,,,,$11.79,$0.00,1,1,1,0,0,1,20101001,A7038,HCPCS,Pos airway pressure filter,NU,,28 ,,NW,,,,,,$11.79,$0.00,1,1,1,0,0,1,20101001,A7039,HCPCS,"Filter, non disposable w pap",,,28 ,,NW,,,,,,$25.91,$0.00,1,1,1,0,0,1,20101001,A7039,HCPCS,"Filter, non disposable w pap",NU,,28 ,,NW,,,,,,$25.91,$0.00,1,1,1,0,0,1,20101001,A7040,HCPCS,One way chest drain valve,,,28 ,,NW,,,,,,$42.94,$0.00,1,1,1,0,0,1,20101001,A7041,HCPCS,Water seal drain container,,,28 ,,NW,,,,,,$73.63,$0.00,1,1,1,0,0,1,20101001,A7042,HCPCS,Implanted pleural catheter,,,28 ,,NW,,,,,,$165.93,$0.00,1,1,1,0,0,1,20101001,A7043,HCPCS,Vacuum drainagebottle/tubing,,,28 ,,NW,,,,,,$33.05,$0.00,1,1,1,0,0,1,20101001,A7044,HCPCS,Pap oral interface,,,28 ,,NW,,,,,,$222.92,$0.00,1,1,1,0,0,1,20101001,A7044,HCPCS,Pap oral interface,NU,,28 ,,NW,,,,,,$222.92,$0.00,1,1,1,0,0,1,20101001,A7045,HCPCS,Repl exhalation port for pap,,,28 ,,NW,,,,,,$33.49,$0.00,1,1,1,0,0,1,20101001,A7045,HCPCS,Repl exhalation port for pap,NU,,28 ,,NW,,,,,,$33.49,$0.00,1,1,1,0,0,1,20101001,A7045,HCPCS,Repl exhalation port for pap,RR,,28 ,,NW,,,,,,$4.58,$0.00,1,1,1,0,0,1,20101001,A7045,HCPCS,Repl exhalation port for pap,UE,,28 ,,NW,,,,,,$26.33,$0.00,1,1,1,0,0,1,20101001,A7046,HCPCS,"Repl water chamber, pap dev",,,28 ,,NW,,,,,,$33.55,$0.00,1,1,1,0,0,1,20101001,A7046,HCPCS,"Repl water chamber, pap dev",NU,,28 ,,NW,,,,,,$33.55,$0.00,1,1,1,0,0,1,20101001,A7501,HCPCS,Tracheostoma valve w diaphra,,,28 ,,NW,,,,,,$100.04,$0.00,1,1,1,0,0,1,20101001,A7502,HCPCS,Replacement diaphragm/fplate,,,28 ,,NW,,,,,,$51.76,$0.00,1,1,1,0,0,1,20101001,A7503,HCPCS,Hmes filter holder or cap,,,28 ,,NW,,,,,,$17.97,$0.00,1,1,1,0,0,1,20101001,A7504,HCPCS,Tracheostoma hmes filter,,,28 ,,NW,,,,,,$1.10,$0.00,1,1,1,0,0,1,20101001,A7505,HCPCS,Hmes or trach valve housing,,,28 ,,NW,,,,,,$8.01,$0.00,1,1,1,0,0,1,20101001,A7506,HCPCS,Hmes/trachvalve adhesivedisk,,,28 ,,NW,,,,,,$0.55,$0.00,1,1,1,0,0,1,20101001,A7507,HCPCS,Integrated filter & holder,,,28 ,,NW,,,,,,$4.22,$0.00,1,1,1,0,0,1,20101001,A7508,HCPCS,Housing & integrated adhesiv,,,28 ,,NW,,,,,,$4.88,$0.00,1,1,1,0,0,1,20101001,A7509,HCPCS,Heat & moisture exchange sys,,,28 ,,NW,,,,,,$2.37,$0.00,1,1,1,0,0,1,20101001,A7520,HCPCS,Trach/laryn tube non-cuffed,,,28 ,,NW,,,,,,$63.72,$0.00,1,1,1,0,0,1,20101001,A7521,HCPCS,Trach/laryn tube cuffed,,,28 ,,NW,,,,,,$63.21,$0.00,1,1,1,0,0,1,20101001,A7522,HCPCS,Trach/laryn tube stainless,,,28 ,,NW,,,,,,$60.96,$0.00,1,1,1,0,0,1,20101001,A7523,HCPCS,Tracheostomy shower protect,,,28 ,,NW,,,,,,$8.55,$0.00,1,1,1,0,0,1,20101001,A7524,HCPCS,Tracheostoma stent/stud/bttn,,,28 ,,NW,,,,,,$99.41,$0.00,1,1,1,0,0,1,20101001,A7525,HCPCS,Tracheostomy mask,,,28 ,,NW,,,,,,$4.39,$0.00,1,1,1,0,0,1,20101001,A7526,HCPCS,Tracheostomy tube collar,,,28 ,,NW,,,,,,$7.17,$0.00,1,1,1,0,0,1,20101001,A7527,HCPCS,Trach/laryn tube plug/stop,,,28 ,,NW,,,,,,$7.61,$0.00,1,1,1,0,0,1,20101001,A8000,HCPCS,Soft protect helmet prefab,,,28 ,,NW,,,,,,$340.58,$0.00,1,1,1,1,1,1,20101001,A8000,HCPCS,Soft protect helmet prefab,NU,,28 ,,NW,,,,,,$340.58,$0.00,1,1,1,1,1,1,20101001,A8000,HCPCS,Soft protect helmet prefab,RR,,28 ,,NW,,,,,,$31.02,$0.00,1,1,1,1,1,1,20101001,A8000,HCPCS,Soft protect helmet prefab,UE,,28 ,,NW,,,,,,$248.83,$0.00,1,1,1,1,1,1,20101001,A8001,HCPCS,Hard protect helmet prefab,,,28 ,,NW,,,,,,$340.58,$0.00,1,1,1,1,1,1,20101001,A8001,HCPCS,Hard protect helmet prefab,NU,,28 ,,NW,,,,,,$340.58,$0.00,1,1,1,1,1,1,20101001,A8001,HCPCS,Hard protect helmet prefab,RR,,28 ,,NW,,,,,,$31.02,$0.00,1,1,1,1,1,1,20101001,A8001,HCPCS,Hard protect helmet prefab,UE,,28 ,,NW,,,,,,$248.83,$0.00,1,1,1,1,1,1,20101001,A8002,HCPCS,Soft Protect Helmet Custom,,,28 ,,NW,,,,,,$932.99,$0.00,1,1,1,1,1,1,20101001,A8002,HCPCS,Soft Protect Helmet Custom,NU,,28 ,,NW,,,,,,$932.99,$0.00,1,1,1,1,1,1,20101001,A8002,HCPCS,Soft Protect Helmet Custom,RR,,28 ,,NW,,,,,,$102.11,$0.00,1,1,1,1,1,1,20101001,A8002,HCPCS,Soft Protect Helmet Custom,UE,,28 ,,NW,,,,,,$702.60,$0.00,1,1,1,1,1,1,20101001,A8003,HCPCS,Hard Protect Helmet Custom,,,28 ,,NW,,,,,,$951.92,$0.00,1,1,1,1,1,1,20101001,A8003,HCPCS,Hard Protect Helmet Custom,NU,,28 ,,NW,,,,,,$951.92,$0.00,1,1,1,1,1,1,20101001,A8003,HCPCS,Hard Protect Helmet Custom,RR,,28 ,,NW,,,,,,$104.18,$0.00,1,1,1,1,1,1,20101001,A8003,HCPCS,Hard Protect Helmet Custom,UE,,28 ,,NW,,,,,,$716.86,$0.00,1,1,1,1,1,1,20101001,A9150,HCPCS,Misc/exper non-prescript dru,,,29 ,,NW,,,,,,$12.83,$0.00,1,1,1,0,0,1,20101001,A9152,HCPCS,Single Vitamin Nos,,,29 ,,NW,,,,,,$35.80,$0.00,1,1,1,0,0,1,20101001,A9153,HCPCS,Multi-Vitamin Nos,,,29 ,,NW,,,,,,$31.28,$0.00,1,1,1,0,0,1,20101001,A9180,HCPCS,"Lice Treatment, Topical",,,29 ,,NW,,,,,,$155.38,$0.00,1,1,1,0,0,1,20101001,A9270,HCPCS,Non-covered item or service,,,28 ,,NW,,,,,,$53.38,$0.00,1,1,1,0,0,1,20101001,A9274,HCPCS,Ext Amb Insulin Delivery Sys,,,28 ,,NW,,,,,,$50.91,$0.00,1,1,1,1,1,1,20101001,A9275,HCPCS,Disp home glucose monitor,,,28 ,,NW,,,,,,$16.12,$0.00,1,1,1,1,1,1,20101001,A9276,HCPCS,"Disposable Sensor, Cgm Sys",,,28 ,,NW,,,,,,$16.79,$0.00,1,1,1,1,1,1,20101001,A9277,HCPCS,"External Transmitter, Cgm",,,28 ,,NW,,,,,,$824.25,$0.00,1,1,1,1,1,1,20101001,A9278,HCPCS,"External Receiver, Cgm Sys",,,28 ,,NW,,,,,,"$1,314.00",$0.00,1,1,1,1,1,1,20101001,A9279,HCPCS,Monitoring Feature/Devicenoc,,,28 ,,NW,,,,,,$74.51,$0.00,1,1,1,1,1,1,20101001,A9280,HCPCS,"Alert device, noc",,,28 ,,NW,,,,,,$74.51,$0.00,1,1,1,1,1,1,20101001,A9281,HCPCS,Reaching/grabbing device,,,28 ,,NW,,,,,,$21.70,$0.00,1,1,1,1,1,1,20101001,A9282,HCPCS,Wig any type,,,28 ,,NW,,,,,,$396.88,$0.00,1,1,1,1,1,1,20101001,A9300,HCPCS,Exercise equipment,,,28 ,,NW,,,,,,$12.60,$0.00,1,1,1,1,1,1,20101001,A9500,HCPCS,Tc99m sestamibi,,,28 ,,NW,,,,,,$209.38,$0.00,1,1,1,0,0,1,20101001,A9501,HCPCS,Technetium Tc-99M Teboroxime,,,28 ,,NW,,,,,,$216.53,$0.00,1,1,1,0,0,1,20101001,A9502,HCPCS,Tc99m tetrofosmin,,,28 ,,NW,,,,,,$221.03,$0.00,1,1,1,0,0,1,20101001,A9503,HCPCS,Tc99m medronate,,,28 ,,NW,,,,,,$49.49,$0.00,1,1,1,0,0,1,20101001,A9504,HCPCS,Tc99m apcitide,,,28 ,,NW,,,,,,$267.67,$0.00,1,1,1,0,0,1,20101001,A9505,HCPCS,Tl201 thallium,,,28 ,,NW,,,,,,$99.92,$0.00,1,1,1,0,0,1,20101001,A9507,HCPCS,In111 capromab,,,28 ,,NW,,,,,,"$5,672.67",$0.00,1,1,1,0,0,1,20101001,A9508,HCPCS,"I131 iodobenguate, dx",,,28 ,,NW,,,,,,$40.31,$0.00,1,1,1,0,0,1,20101001,A9509,HCPCS,Iodine i-123 sod iodide mil,,,28 ,,NW,,,,,,$92.38,$0.00,1,1,1,0,0,1,20101001,A9510,HCPCS,Tc99m disofenin,,,28 ,,NW,,,,,,$160.81,$0.00,1,1,1,0,0,1,20101001,A9512,HCPCS,Tc99m pertechnetate,,,28 ,,NW,,,,,,$4.51,$0.00,1,1,1,0,0,1,20101001,A9516,HCPCS,Iodine i-123 sod iodide mic,,,28 ,,NW,,,,,,$1.66,$0.00,1,1,1,0,0,1,20101001,A9517,HCPCS,"I131 iodide cap, rx",,,28 ,,NW,,,,,,$44.26,$0.00,1,1,1,0,0,1,20101001,A9521,HCPCS,Tc99m exametazime,,,28 ,,NW,,,,,,"$1,027.64",$0.00,1,1,1,0,0,1,20101001,A9524,HCPCS,"I131 serum albumin, dx",,,28 ,,NW,,,,,,$73.70,$0.00,1,1,1,0,0,1,20101001,A9526,HCPCS,Nitrogen n-13 ammonia,,,28 ,,NW,,,,,,$262.15,$0.00,1,1,1,0,0,1,20101001,A9527,HCPCS,Iodine i-125 sodium iodide,,,28 ,,NW,,,,,,$129.31,$0.00,1,1,1,0,0,1,20101001,A9528,HCPCS,"Iodine i-131 iodide cap, dx",,,28 ,,NW,,,,,,$202.22,$0.00,1,1,1,0,0,1,20101001,A9529,HCPCS,"I131 iodide sol, dx",,,28 ,,NW,,,,,,$56.10,$0.00,1,1,1,0,0,1,20101001,A9530,HCPCS,"I131 iodide sol, rx",,,28 ,,NW,,,,,,$53.77,$0.00,1,1,1,0,0,1,20101001,A9531,HCPCS,I131 Max 100Uci,,,28 ,,NW,,,,,,$13.42,$0.00,1,1,1,0,0,1,20101001,A9532,HCPCS,"I125 serum albumin, dx",,,28 ,,NW,,,,,,$590.03,$0.00,1,1,1,0,0,1,20101001,A9537,HCPCS,Tc99m mebrofenin,,,28 ,,NW,,,,,,$78.35,$0.00,1,1,1,0,0,1,20101001,A9538,HCPCS,Tc99m pyrophosphate,,,28 ,,NW,,,,,,$59.22,$0.00,1,1,1,0,0,1,20101001,A9539,HCPCS,Tc99m pentetate,,,28 ,,NW,,,,,,$52.29,$0.00,1,1,1,0,0,1,20101001,A9540,HCPCS,Tc99m maa,,,28 ,,NW,,,,,,$67.78,$0.00,1,1,1,0,0,1,20101001,A9541,HCPCS,Tc99m sulfur colloid,,,28 ,,NW,,,,,,$81.97,$0.00,1,1,1,0,0,1,20101001,A9546,HCPCS,Co57/58,,,28 ,,NW,,,,,,$25.86,$0.00,1,1,1,0,0,1,20101001,A9547,HCPCS,In111 oxyquinoline,,,28 ,,NW,,,,,,$822.81,$0.00,1,1,1,0,0,1,20101001,A9548,HCPCS,In111 pentetate,,,28 ,,NW,,,,,,$534.42,$0.00,1,1,1,0,0,1,20101001,A9550,HCPCS,Tc99M Gluceptate,,,28 ,,NW,,,,,,$48.03,$0.00,1,1,1,0,0,1,20101001,A9552,HCPCS,F18 fdg,,,28 ,,NW,,,,,,$673.97,$0.00,1,1,1,0,0,1,20101001,A9554,HCPCS,"I125 iothalamate, dx",,,28 ,,NW,,,,,,$748.51,$0.00,1,1,1,0,0,1,20101001,A9555,HCPCS,Rb82 rubidium,,,28 ,,NW,,,,,,$632.29,$0.00,1,1,1,0,0,1,20101001,A9556,HCPCS,Ga67 gallium,,,28 ,,NW,,,,,,$62.03,$0.00,1,1,1,0,0,1,20101001,A9557,HCPCS,Tc99m bicisate,,,28 ,,NW,,,,,,$697.91,$0.00,1,1,1,0,0,1,20101001,A9558,HCPCS,Xe133 xenon 10mci,,,28 ,,NW,,,,,,$128.61,$0.00,1,1,1,0,0,1,20101001,A9560,HCPCS,Tc99m labeled rbc,,,28 ,,NW,,,,,,$128.42,$0.00,1,1,1,0,0,1,20101001,A9561,HCPCS,Tc99m oxidronate,,,28 ,,NW,,,,,,$47.91,$0.00,1,1,1,0,0,1,20101001,A9562,HCPCS,Tc99m mertiatide,,,28 ,,NW,,,,,,$329.38,$0.00,1,1,1,0,0,1,20101001,A9564,HCPCS,P32 chromic phosphate,,,28 ,,NW,,,,,,$417.76,$0.00,1,1,1,0,0,1,20101001,A9567,HCPCS,Technetium tc-99m aerosol,,,28 ,,NW,,,,,,$81.17,$0.00,1,1,1,0,0,1,20101001,A9569,HCPCS,Technetium Tc-99M Auto Wbc,,,28 ,,NW,,,,,,$2.59,$0.00,1,1,1,0,0,1,20101001,A9570,HCPCS,Indium in-111 auto wbc,,,28 ,,NW,,,,,,$289.14,$0.00,1,1,1,0,0,1,20101001,A9571,HCPCS,Indium In-111 Auto Platelet,,,28 ,,NW,,,,,,$12.93,$0.00,1,1,1,0,0,1,20101001,A9572,HCPCS,Indium In-111 Pentetreotide,,,28 ,,NW,,,,,,$311.75,$0.00,1,1,1,0,0,1,20101001,A9576,HCPCS,Inj Prohance Multipack,,,28 ,,NW,,,,,,$10.30,$0.00,1,1,1,0,0,1,20101001,A9577,HCPCS,Inj Multihance,,,28 ,,NW,,,,,,$8.87,$0.00,1,1,1,0,0,1,20101001,A9578,HCPCS,Inj Multihance Multipack,,,28 ,,NW,,,,,,$8.82,$0.00,1,1,1,0,0,1,20101001,A9579,HCPCS,"Gad-base mr contrast nos,1ml",,,28 ,,NW,,,,,,$2.66,$0.00,1,1,1,0,0,1,20101001,A9580,HCPCS,Sodium Fluoride F-18,,,28 ,,NW,,,,,,$477.90,$0.00,1,1,1,0,0,1,20101001,A9581,HCPCS,Gadoxetate disodium inj,,,29 ,,NW,,,,,,$21.56,$0.00,1,1,1,0,0,1,20101001,A9582,HCPCS,Iodine I-123 iobenguane,,,28 ,,NW,,,,,,$92.38,$0.00,1,1,1,0,0,1,20101001,A9583,HCPCS,Gadofosveset trisodium inj,,,29 ,,NW,,,,,,$85.79,$0.00,1,1,1,0,0,1,20101001,A9600,HCPCS,Sr89 strontium,,,28 ,,NW,,,,,,"$1,055.82",$0.00,1,1,1,0,0,1,20101001,A9604,HCPCS,Sm 153 lexidronam,,,28 ,,NW,,,,,,"$4,897.95",$0.00,1,1,1,0,0,1,20101001,A9698,HCPCS,Non-Rad Contrast Materialnoc,,,28 ,,NW,,,,,,$74.51,$0.00,1,1,1,0,0,1,20101001,A9699,HCPCS,Radiopharm Rx Agent Noc,,,28 ,,NW,,,,,,$74.51,$0.00,1,1,1,0,0,1,20101001,A9700,HCPCS,Echocardiography contrast,,,28 ,,NW,,,,,,$214.19,$0.00,1,1,1,0,0,1,20101001,A9900,HCPCS,Supply/accessory/service,,,28 ,,NW,,,,,,$52.89,$0.00,1,1,1,0,0,1,20101001,A9901,HCPCS,Delivery/set up/dispensing,,,28 ,,NW,,,,,,$74.51,$0.00,1,1,1,0,0,1,20101001,A9999,HCPCS,"Dme supply or accessory, nos",,,28 ,,NW,,,,,,$74.51,$0.00,1,1,1,0,0,1,20101001,B4034,HCPCS,Enter feed supkit syr by day,,,28 ,,NW,,,,,,$9.92,$0.00,1,1,1,0,0,1,20101001,B4035,HCPCS,Enteral feed supp pump per d,,,28 ,,NW,,,,,,$21.71,$0.00,1,1,1,0,0,1,20101001,B4036,HCPCS,Enteral feed sup kit grav by,,,28 ,,NW,,,,,,$13.94,$0.00,1,1,1,0,0,1,20101001,B4081,HCPCS,Enteral ng tubing w/ stylet,,,28 ,,NW,,,,,,$42.90,$0.00,1,1,1,0,0,1,20101001,B4082,HCPCS,Enteral ng tubing w/o stylet,,,28 ,,NW,,,,,,$31.12,$0.00,1,1,1,0,0,1,20101001,B4083,HCPCS,Enteral stomach tube levine,,,28 ,,NW,,,,,,$3.86,$0.00,1,1,1,0,0,1,20101001,B4087,HCPCS,"Gastro/jejuno tube, std",,,28 ,,NW,,,,,,$72.81,$0.00,1,1,1,0,0,1,20101001,B4088,HCPCS,"Gastro/jejuno tube, low-pro",,,28 ,,NW,,,,,,$72.81,$0.00,1,1,1,0,0,1,20101001,B4100,HCPCS,Food thickener oral,,,28 ,,NW,,,,,,$1.16,$0.00,1,1,1,0,0,1,20101001,B4102,HCPCS,Ef adult fluids and electro,,,28 ,,NW,,,,,,$7.28,$0.00,1,1,1,0,0,1,20101001,B4103,HCPCS,Ef ped fluid and electrolyte,,,28 ,,NW,,,,,,$9.15,$0.00,1,1,1,0,0,1,20101001,B4104,HCPCS,Additive for enteral formula,,,28 ,,NW,,,,,,$1.20,$0.00,1,1,1,0,0,1,20101001,B4149,HCPCS,Ef blenderized foods,,,28 ,,NW,,,,,,$2.51,$0.00,1,1,1,0,0,1,20101001,B4150,HCPCS,Ef complet w/intact nutrient,,,28 ,,NW,,,,,,$1.17,$0.00,1,1,1,0,0,1,20101001,B4152,HCPCS,Ef calorie dense>/=1.5kcal,,,28 ,,NW,,,,,,$1.00,$0.00,1,1,1,0,0,1,20101001,B4153,HCPCS,Ef hydrolyzed/amino acids,,,28 ,,NW,,,,,,$3.02,$0.00,1,1,1,0,0,1,20101001,B4154,HCPCS,Ef spec metabolic noninherit,,,28 ,,NW,,,,,,$1.99,$0.00,1,1,1,0,0,1,20101001,B4155,HCPCS,Ef incomplete/modular,,,28 ,,NW,,,,,,$1.59,$0.00,1,1,1,0,0,1,20101001,B4157,HCPCS,Ef Special Metabolic Inherit,,,28 ,,NW,,,,,,$9.68,$0.00,1,1,1,0,0,1,20101001,B4158,HCPCS,Ef Ped Complete Intact Nut,,,28 ,,NW,,,,,,$2.81,$0.00,1,1,1,0,0,1,20101001,B4159,HCPCS,Ef ped complete soy based,,,28 ,,NW,,,,,,$3.45,$0.00,1,1,1,0,0,1,20101001,B4160,HCPCS,Ef ped caloric dense>/=0.7kc,,,28 ,,NW,,,,,,$2.93,$0.00,1,1,1,0,0,1,20101001,B4161,HCPCS,Ef ped hydrolyzed/amino acid,,,28 ,,NW,,,,,,$6.81,$0.00,1,1,1,0,0,1,20101001,B4162,HCPCS,Ef Ped Specmetabolic Inherit,,,28 ,,NW,,,,,,$8.40,$0.00,1,1,1,0,0,1,20101001,B4164,HCPCS,Parenteral 50% dextrose solu,,,28 ,,NW,,,,,,$37.57,$0.00,1,1,1,0,0,1,20101001,B4168,HCPCS,Parenteral sol amino acid 3.,,,28 ,,NW,,,,,,$56.17,$0.00,1,1,1,0,0,1,20101001,B4172,HCPCS,Parenteral sol amino acid 5.,,,28 ,,NW,,,,,,$106.80,$0.00,1,1,1,0,0,1,20101001,B4176,HCPCS,Parenteral sol amino acid 7-,,,28 ,,NW,,,,,,$111.58,$0.00,1,1,1,0,0,1,20101001,B4178,HCPCS,Parenteral sol amino acid >,,,28 ,,NW,,,,,,$134.57,$0.00,1,1,1,0,0,1,20101001,B4180,HCPCS,Parenteral sol carb > 50%,,,28 ,,NW,,,,,,$55.25,$0.00,1,1,1,0,0,1,20101001,B4185,HCPCS,Parenteral sol 10 gm lipids,,,28 ,,NW,,,,,,$23.79,$0.00,1,1,1,0,0,1,20101001,B4189,HCPCS,Parenteral sol amino acid &,,,28 ,,NW,,,,,,$422.13,$0.00,1,1,1,0,0,1,20101001,B4193,HCPCS,Parenteral sol 52-73 gm prot,,,28 ,,NW,,,,,,$546.41,$0.00,1,1,1,0,0,1,20101001,B4197,HCPCS,Parenteral sol 74-100 gm pro,,,28 ,,NW,,,,,,$665.88,$0.00,1,1,1,0,0,1,20101001,B4199,HCPCS,Parenteral sol > 100gm prote,,,28 ,,NW,,,,,,$761.34,$0.00,1,1,1,0,0,1,20101001,B4216,HCPCS,Parenteral nutrition additiv,,,28 ,,NW,,,,,,$15.39,$0.00,1,1,1,0,0,1,20101001,B4220,HCPCS,Parenteral supply kit premix,,,28 ,,NW,,,,,,$16.07,$0.00,1,1,1,0,0,1,20101001,B4222,HCPCS,Parenteral supply kit homemi,,,28 ,,NW,,,,,,$20.52,$0.00,1,1,1,0,0,1,20101001,B4224,HCPCS,Parenteral administration ki,,,28 ,,NW,,,,,,$56.75,$0.00,1,1,1,0,0,1,20101001,B5000,HCPCS,Parenteral sol renal-amirosy,,,28 ,,NW,,,,,,$25.35,$0.00,1,1,1,0,0,1,20101001,B5100,HCPCS,Parenteral sol hepatic-fream,,,28 ,,NW,,,,,,$8.04,$0.00,1,1,1,0,0,1,20101001,B5200,HCPCS,Parenteral sol stres-brnch c,,,28 ,,NW,,,,,,$504.95,$0.00,1,1,1,0,0,1,20101001,B9000,HCPCS,Enter infusion pump w/o alrm,,,28 ,,NW,,,,,,"$2,605.16",$0.00,1,1,1,0,0,1,20101001,B9000,HCPCS,Enter infusion pump w/o alrm,NU,,28 ,,NW,,,,,,"$2,605.16",$0.00,1,1,1,0,0,1,20101001,B9000,HCPCS,Enter infusion pump w/o alrm,RR,,28 ,,NW,,,,,,$236.58,$0.00,1,1,1,0,0,1,20101001,B9000,HCPCS,Enter infusion pump w/o alrm,UE,,28 ,,NW,,,,,,"$1,953.08",$0.00,1,1,1,0,0,1,20101001,B9002,HCPCS,Enteral infusion pump w/ ala,,,28 ,,NW,,,,,,"$2,605.16",$0.00,1,1,1,0,0,1,20101001,B9002,HCPCS,Enteral infusion pump w/ ala,NU,,28 ,,NW,,,,,,"$2,605.16",$0.00,1,1,1,0,0,1,20101001,B9002,HCPCS,Enteral infusion pump w/ ala,RR,,28 ,,NW,,,,,,$249.52,$0.00,1,1,1,0,0,1,20101001,B9002,HCPCS,Enteral infusion pump w/ ala,UE,,28 ,,NW,,,,,,"$1,953.08",$0.00,1,1,1,0,0,1,20101001,B9004,HCPCS,Parenteral infus pump portab,,,28 ,,NW,,,,,,"$6,033.19",$0.00,1,1,1,0,0,1,20101001,B9004,HCPCS,Parenteral infus pump portab,NU,,28 ,,NW,,,,,,"$6,033.19",$0.00,1,1,1,0,0,1,20101001,B9004,HCPCS,Parenteral infus pump portab,RR,,28 ,,NW,,,,,,$952.50,$0.00,1,1,1,0,0,1,20101001,B9004,HCPCS,Parenteral infus pump portab,UE,,28 ,,NW,,,,,,"$4,524.10",$0.00,1,1,1,0,0,1,20101001,B9006,HCPCS,Parenteral infus pump statio,,,28 ,,NW,,,,,,"$6,033.19",$0.00,1,1,1,0,0,1,20101001,B9006,HCPCS,Parenteral infus pump statio,NU,,28 ,,NW,,,,,,"$6,033.19",$0.00,1,1,1,0,0,1,20101001,B9006,HCPCS,Parenteral infus pump statio,RR,,28 ,,NW,,,,,,$952.50,$0.00,1,1,1,0,0,1,20101001,B9006,HCPCS,Parenteral infus pump statio,UE,,28 ,,NW,,,,,,"$4,524.10",$0.00,1,1,1,0,0,1,20101001,B9998,HCPCS,Enteral supp not otherwise c,,,28 ,,NW,,,,,,"$2,605.16",$0.00,1,1,1,0,0,1,20101001,B9999,HCPCS,Parenteral supp not othrws c,,,28 ,,NW,,,,,,"$2,605.16",$0.00,1,1,1,0,0,1,20101001,C1300,HCPCS,Hyperbaric oxygen,,,28 ,,NW,,,,,,$491.69,$0.00,1,1,1,1,1,1,20101001,C1713,HCPCS,"Anchor/screw bn/bn,tis/bn",,,28 ,,NW,,,,,,"$1,166.57",$0.00,1,1,1,1,1,1,20101001,C1714,HCPCS,"Cath, Trans Atherectomy, Dir",,,28 ,,NW,,,,,,$711.10,$0.00,1,1,1,1,1,1,20101001,C1715,HCPCS,Brachytherapy Needle,,,28 ,,NW,,,,,,$38.79,$0.00,1,1,1,1,1,1,20101001,C1721,HCPCS,"Aicd, dual chamber",,,28 ,,NW,,,,,,"$78,960.38",$0.00,1,1,1,1,1,1,20101001,C1722,HCPCS,"Aicd, single chamber",,,28 ,,NW,,,,,,"$57,151.37",$0.00,1,1,1,1,1,1,20101001,C1724,HCPCS,"Cath, Trans Atherec,Rotation",,,28 ,,NW,,,,,,"$2,563.17",$0.00,1,1,1,1,1,1,20101001,C1725,HCPCS,"Cath, Translumin Non-Laser",,,28 ,,NW,,,,,,"$1,318.99",$0.00,1,1,1,1,1,1,20101001,C1726,HCPCS,"Cath, Bal Dil, Non-Vascular",,,28 ,,NW,,,,,,$289.70,$0.00,1,1,1,1,1,1,20101001,C1727,HCPCS,"Cath, Bal Tis Dis, Non-Vas",,,28 ,,NW,,,,,,$990.01,$0.00,1,1,1,1,1,1,20101001,C1729,HCPCS,"Cath, Drainage",,,28 ,,NW,,,,,,$285.82,$0.00,1,1,1,1,1,1,20101001,C1730,HCPCS,"Cath, Ep, 19 Or Few Elect",,,28 ,,NW,,,,,,"$1,562.58",$0.00,1,1,1,1,1,1,20101001,C1731,HCPCS,"Cath, Ep, 20 Or More Elec",,,28 ,,NW,,,,,,"$4,309.63",$0.00,1,1,1,1,1,1,20101001,C1750,HCPCS,"Cath, hemodialysis,long-term",,,28 ,,NW,,,,,,$530.14,$0.00,1,1,1,1,1,1,20101001,C1751,HCPCS,"Cath, Inf, Per/Cent/Midline",,,28 ,,NW,,,,,,$32.70,$0.00,1,1,1,1,1,1,20101001,C1752,HCPCS,"Cath,hemodialysis,short-term",,,28 ,,NW,,,,,,$597.37,$0.00,1,1,1,1,1,1,20101001,C1753,HCPCS,"Cath, intravas ultrasound",,,28 ,,NW,,,,,,"$1,212.03",$0.00,1,1,1,1,1,1,20101001,C1754,HCPCS,"Catheter, Intradiscal",,,28 ,,NW,,,,,,$184.66,$0.00,1,1,1,1,1,1,20101001,C1755,HCPCS,"Catheter, intraspinal",,,28 ,,NW,,,,,,"$2,915.13",$0.00,1,1,1,1,1,1,20101001,C1756,HCPCS,"Cath, pacing, transesoph",,,28 ,,NW,,,,,,"$1,030.94",$0.00,1,1,1,1,1,1,20101001,C1757,HCPCS,"Cath, Thrombectomy/Embolect",,,28 ,,NW,,,,,,"$2,549.48",$0.00,1,1,1,1,1,1,20101001,C1758,HCPCS,"Catheter, ureteral",,,28 ,,NW,,,,,,$112.24,$0.00,1,1,1,1,1,1,20101001,C1759,HCPCS,"Cath, Intra Echocardiography",,,28 ,,NW,,,,,,"$3,421.23",$0.00,1,1,1,1,1,1,20101001,C1760,HCPCS,"Closure dev, vasc",,,28 ,,NW,,,,,,"$1,260.22",$0.00,1,1,1,1,1,1,20101001,C1762,HCPCS,"Conn Tiss, Human(Inc Fascia)",,,28 ,,NW,,,,,,"$2,151.69",$0.00,1,1,1,1,1,1,20101001,C1763,HCPCS,"Conn tiss, non-human",,,28 ,,NW,,,,,,$819.56,$0.00,1,1,1,1,1,1,20101001,C1764,HCPCS,"Event recorder, cardiac",,,28 ,,NW,,,,,,"$3,484.35",$0.00,1,1,1,1,1,1,20101001,C1765,HCPCS,Adhesion Barrier,,,28 ,,NW,,,,,,$857.85,$0.00,1,1,1,1,1,1,20101001,C1767,HCPCS,"Generator, neuro non-recharg",,,28 ,,NW,,,,,,"$13,122.36",$0.00,1,1,1,1,1,1,20101001,C1768,HCPCS,"Graft, vascular",,,28 ,,NW,,,,,,"$1,800.69",$0.00,1,1,1,1,1,1,20101001,C1769,HCPCS,Guide wire,,,28 ,,NW,,,,,,$326.90,$0.00,1,1,1,1,1,1,20101001,C1770,HCPCS,"Imaging Coil, Mr, Insertable",,,28 ,,NW,,,,,,$297.39,$0.00,1,1,1,1,1,1,20101001,C1771,HCPCS,"Rep Dev, Urinary, W/Sling",,,28 ,,NW,,,,,,"$3,990.69",$0.00,1,1,1,1,1,1,20101001,C1772,HCPCS,"Infusion pump, programmable",,,28 ,,NW,,,,,,$371.90,$0.00,1,1,1,1,1,1,20101001,C1776,HCPCS,Joint Device (Implantable),,,28 ,,NW,,,,,,"$9,580.71",$0.00,1,1,1,1,1,1,20101001,C1777,HCPCS,"Lead, aicd, endo single coil",,,28 ,,NW,,,,,,"$4,165.70",$0.00,1,1,1,1,1,1,20101001,C1778,HCPCS,"Lead, neurostimulator",,,28 ,,NW,,,,,,"$3,677.17",$0.00,1,1,1,1,1,1,20101001,C1779,HCPCS,"Lead, pmkr, transvenous vdd",,,28 ,,NW,,,,,,"$2,754.89",$0.00,1,1,1,1,1,1,20101001,C1781,HCPCS,Mesh (implantable),,,28 ,,NW,,,,,,$974.56,$0.00,1,1,1,1,1,1,20101001,C1782,HCPCS,Morcellator,,,28 ,,NW,,,,,,$333.60,$0.00,1,1,1,1,1,1,20101001,C1783,HCPCS,"Ocular imp, aqueous drain de",,,28 ,,NW,,,,,,$805.00,$0.00,1,1,1,1,1,1,20101001,C1784,HCPCS,"Ocular dev, intraop, det ret",,,28 ,,NW,,,,,,$840.02,$0.00,1,1,1,1,1,1,20101001,C1785,HCPCS,"Pmkr, dual, rate-resp",,,28 ,,NW,,,,,,"$9,992.05",$0.00,1,1,1,1,1,1,20101001,C1786,HCPCS,"Pmkr, single, rate-resp",,,28 ,,NW,,,,,,"$8,457.67",$0.00,1,1,1,1,1,1,20101001,C1787,HCPCS,"Patient progr, neurostim",,,28 ,,NW,,,,,,"$6,304.30",$0.00,1,1,1,1,1,1,20101001,C1788,HCPCS,"Port, indwelling, imp",,,28 ,,NW,,,,,,$714.21,$0.00,1,1,1,1,1,1,20101001,C1789,HCPCS,"Prosthesis, breast, imp",,,28 ,,NW,,,,,,"$3,025.66",$0.00,1,1,1,1,1,1,20101001,C1813,HCPCS,"Prosthesis, penile, inflatab",,,28 ,,NW,,,,,,"$3,755.47",$0.00,1,1,1,1,1,1,20101001,C1815,HCPCS,"Pros, urinary sph, imp",,,28 ,,NW,,,,,,"$3,430.59",$0.00,1,1,1,1,1,1,20101001,C1816,HCPCS,"Receiver/Transmitter, Neuro",,,28 ,,NW,,,,,,"$1,163.50",$0.00,1,1,1,1,1,1,20101001,C1817,HCPCS,Septal Defect Imp Sys,,,28 ,,NW,,,,,,"$6,171.45",$0.00,1,1,1,1,1,1,20101001,C1820,HCPCS,Generator Neuro Rechg Bat Sy,,,28 ,,NW,,,,,,"$14,218.13",$0.00,1,1,1,1,1,1,20101001,C1821,HCPCS,Interspinous Implant,,,28 ,,NW,,,,,,"$4,760.67",$0.00,1,1,1,1,1,1,20101001,C1874,HCPCS,"Stent, coated/cov w/del sys",,,28 ,,NW,,,,,,"$8,355.06",$0.00,1,1,1,1,1,1,20101001,C1875,HCPCS,"Stent, coated/cov w/o del sy",,,28 ,,NW,,,,,,"$3,093.10",$0.00,1,1,1,1,1,1,20101001,C1876,HCPCS,"Stent, non-coa/non-cov w/del",,,28 ,,NW,,,,,,"$5,862.50",$0.00,1,1,1,1,1,1,20101001,C1877,HCPCS,"Stent, non-coat/cov w/o del",,,28 ,,NW,,,,,,"$2,715.78",$0.00,1,1,1,1,1,1,20101001,C1878,HCPCS,Matrl for vocal cord,,,28 ,,NW,,,,,,$745.45,$0.00,1,1,1,1,1,1,20101001,C1879,HCPCS,"Tissue marker, implantable",,,28 ,,NW,,,,,,$129.10,$0.00,1,1,1,1,1,1,20101001,C1880,HCPCS,Vena cava filter,,,28 ,,NW,,,,,,"$5,536.70",$0.00,1,1,1,1,1,1,20101001,C1881,HCPCS,Dialysis Access System,,,28 ,,NW,,,,,,$336.31,$0.00,1,1,1,1,1,1,20101001,C1882,HCPCS,"Aicd, other than sing/dual",,,28 ,,NW,,,,,,"$41,149.07",$0.00,1,1,1,1,1,1,20101001,C1883,HCPCS,"Adapt/Ext, Pacing/Neuro Lead",,,28 ,,NW,,,,,,"$2,205.88",$0.00,1,1,1,1,1,1,20101001,C1884,HCPCS,Embolization Protect Syst,,,28 ,,NW,,,,,,$249.59,$0.00,1,1,1,1,1,1,20101001,C1885,HCPCS,"Cath, Translumin Angio Laser",,,28 ,,NW,,,,,,$284.46,$0.00,1,1,1,1,1,1,20101001,C1887,HCPCS,"Catheter, guiding",,,28 ,,NW,,,,,,$231.48,$0.00,1,1,1,1,1,1,20101001,C1888,HCPCS,Endovas Non-Cardiac Abl Cath,,,28 ,,NW,,,,,,$980.50,$0.00,1,1,1,1,1,1,20101001,C1891,HCPCS,"Infusion pump,non-prog, perm",,,28 ,,NW,,,,,,"$10,115.63",$0.00,1,1,1,1,1,1,20101001,C1892,HCPCS,"Intro/Sheath,Fixed,Peel-Away",,,28 ,,NW,,,,,,$986.18,$0.00,1,1,1,1,1,1,20101001,C1893,HCPCS,"Intro/Sheath, Fixed,Non-Peel",,,28 ,,NW,,,,,,$526.65,$0.00,1,1,1,1,1,1,20101001,C1894,HCPCS,"Intro/Sheath, Non-Laser",,,28 ,,NW,,,,,,$137.04,$0.00,1,1,1,1,1,1,20101001,C1895,HCPCS,"Lead, aicd, endo dual coil",,,28 ,,NW,,,,,,"$13,841.60",$0.00,1,1,1,1,1,1,20101001,C1896,HCPCS,"Lead, aicd, non sing/dual",,,28 ,,NW,,,,,,"$2,539.53",$0.00,1,1,1,1,1,1,20101001,C1897,HCPCS,"Lead, neurostim test kit",,,28 ,,NW,,,,,,"$2,667.39",$0.00,1,1,1,1,1,1,20101001,C1898,HCPCS,"Lead, pmkr, other than trans",,,28 ,,NW,,,,,,"$2,138.95",$0.00,1,1,1,1,1,1,20101001,C1899,HCPCS,"Lead, pmkr/aicd combination",,,28 ,,NW,,,,,,"$4,132.37",$0.00,1,1,1,1,1,1,20101001,C1900,HCPCS,"Lead, coronary venous",,,28 ,,NW,,,,,,"$4,439.64",$0.00,1,1,1,1,1,1,20101001,C2615,HCPCS,"Sealant, Pulmonary, Liquid",,,28 ,,NW,,,,,,$774.90,$0.00,1,1,1,1,1,1,20101001,C2617,HCPCS,"Stent, non-cor, tem w/o del",,,28 ,,NW,,,,,,$431.53,$0.00,1,1,1,1,1,1,20101001,C2618,HCPCS,"Probe, Cryoablation",,,28 ,,NW,,,,,,"$2,176.37",$0.00,1,1,1,1,1,1,20101001,C2619,HCPCS,"Pmkr, dual, non rate-resp",,,28 ,,NW,,,,,,"$11,985.08",$0.00,1,1,1,1,1,1,20101001,C2620,HCPCS,"Pmkr, single, non rate-resp",,,28 ,,NW,,,,,,"$12,462.74",$0.00,1,1,1,1,1,1,20101001,C2621,HCPCS,"Pmkr, other than sing/dual",,,28 ,,NW,,,,,,"$14,392.08",$0.00,1,1,1,1,1,1,20101001,C2622,HCPCS,"Prosthesis, penile, non-inf",,,28 ,,NW,,,,,,"$3,584.35",$0.00,1,1,1,1,1,1,20101001,C2625,HCPCS,"Stent, non-cor, tem w/del sy",,,28 ,,NW,,,,,,$411.18,$0.00,1,1,1,1,1,1,20101001,C2626,HCPCS,"Infusion Pump, Non-Prog,Temp",,,28 ,,NW,,,,,,$386.76,$0.00,1,1,1,1,1,1,20101001,C2627,HCPCS,"Cath, Suprapubic/Cystoscopic",,,28 ,,NW,,,,,,$88.56,$0.00,1,1,1,1,1,1,20101001,C2628,HCPCS,"Catheter, occlusion",,,28 ,,NW,,,,,,"$3,691.42",$0.00,1,1,1,1,1,1,20101001,C2631,HCPCS,"Rep Dev, Urinary, W/O Sling",,,28 ,,NW,,,,,,"$2,748.95",$0.00,1,1,1,1,1,1,20101001,C2638,HCPCS,"Brachytx, stranded, i-125",,,28 ,,NW,,,,,,$58.91,$0.00,1,1,1,1,1,1,20101001,C2639,HCPCS,"Brachytx, non-stranded,i-125",,,28 ,,NW,,,,,,$70.89,$0.00,1,1,1,1,1,1,20101001,C2698,HCPCS,"Brachytx, stranded, nos",,,28 ,,NW,,,,,,"$2,138.95",$0.00,1,1,1,1,1,1,20101001,C2699,HCPCS,"Brachytx, non-stranded, nos",,,28 ,,NW,,,,,,"$2,138.95",$0.00,1,1,1,1,1,1,20101001,C8908,HCPCS,"Mri w/o fol w/cont, breast,",,,20 ,,TotalUnits,,,,16.38 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,C9113,HCPCS,"Inj pantoprazole sodium, via",,,29 ,,NW,,,,,,$140.16,$0.00,1,1,1,0,0,1,20101001,C9121,HCPCS,"Injection, argatroban",,,29 ,,NW,,,,,,$181.82,$0.00,1,1,1,0,0,1,20101001,C9245,HCPCS,"Injection, romiplostim",,,29 ,,NW,,,,,,$70.48,$0.00,1,1,1,0,0,1,20101001,C9246,HCPCS,"Inj, gadoxetate disodium",,,29 ,,NW,,,,,,$21.56,$0.00,1,1,1,0,0,1,20101001,C9248,HCPCS,"Inj, clevidipine butyrate",,,29 ,,NW,,,,,,$9.63,$0.00,1,1,1,0,0,1,20101001,C9256,HCPCS,Dexamethasone intravitreal,,,29 ,,NW,,,,,,$1.07,$0.00,1,1,1,0,0,1,20101001,C9257,HCPCS,Bevacizumab injection,,,29 ,,NW,,,,,,$137.83,$0.00,1,1,1,0,0,1,20101001,C9359,HCPCS,"Implnt,Bon Void Filler-Putty",,,28 ,,NW,,,,,,"$2,964.89",$0.00,1,1,1,1,1,1,20101001,D0120,HCPCS,Periodic oral evaluation est pt,,,25 ,,NW,,,,,,$49.87,$0.00,1,0,1,1,1,1,20101001,D0140,HCPCS,Ltd oral evaluation - problem focus,,,25 ,,NW,,,,,,$77.82,$0.00,1,0,1,1,1,1,20101001,D0145,HCPCS,Orl eval pt<3 yr cnsl prim caregivr,,,25 ,,NW,,,,,,$71.85,$0.00,1,0,1,1,1,1,20101001,D0150,HCPCS,Comp oral evaluation - new/est pt,,,25 ,,NW,,,,,,$84.09,$0.00,1,0,1,1,1,1,20101001,D0160,HCPCS,Dtl&ext oral eval - prob focus rpt,,,25 ,,NW,,,,,,$165.31,$0.00,1,0,1,1,1,1,20101001,D0170,HCPCS,Re-evaluation - ltd problem focused,,,25 ,,NW,,,,,,$68.02,$0.00,1,0,1,1,1,1,20101001,D0180,HCPCS,Comp periodontal eval - new/est pt,,,25 ,,NW,,,,,,$100.76,$0.00,1,0,1,1,1,1,20101001,D0210,HCPCS,Intraoral-complete series,,,25 ,,NW,,,,,,$132.10,$0.00,1,0,1,1,1,1,20101001,D0220,HCPCS,Intraoral periapical first film,,,25 ,,NW,,,,,,$28.34,$0.00,1,0,1,1,1,1,20101001,D0230,HCPCS,Intraorl periapical ea add film,,,25 ,,NW,,,,,,$23.94,$0.00,1,0,1,1,1,1,20101001,D0240,HCPCS,Intraoral - occlusal film,,,25 ,,NW,,,,,,$41.27,$0.00,1,0,1,1,1,1,20101001,D0250,HCPCS,Extraoral - first film,,,25 ,,NW,,,,,,$62.08,$0.00,1,0,1,1,1,1,20101001,D0260,HCPCS,Extraoral - each additional film,,,25 ,,NW,,,,,,$53.79,$0.00,1,0,1,1,1,1,20101001,D0270,HCPCS,Bitewing - single film,,,25 ,,NW,,,,,,$27.81,$0.00,1,0,1,1,1,1,20101001,D0272,HCPCS,Bitewings - two films,,,25 ,,NW,,,,,,$44.34,$0.00,1,0,1,1,1,1,20101001,D0273,HCPCS,Bitewings - three films,,,25 ,,NW,,,,,,$53.79,$0.00,1,0,1,1,1,1,20101001,D0274,HCPCS,Bitewings - four films,,,25 ,,NW,,,,,,$63.15,$0.00,1,0,1,1,1,1,20101001,D0277,HCPCS,Vertical bitewings - 7 to 8 films,,,25 ,,NW,,,,,,$95.06,$0.00,1,0,1,1,1,1,20101001,D0290,HCPCS,Post-ant/lat skull&face bone film,,,25 ,,NW,,,,,,$126.76,$0.00,1,0,1,1,1,1,20101001,D0310,HCPCS,Sialography,,,25 ,,NW,,,,,,$313.70,$0.00,1,0,1,1,1,1,20101001,D0320,HCPCS,Tmj arthrogram including inj,,,25 ,,NW,,,,,,$636.13,$0.00,1,0,1,1,1,1,20101001,D0321,HCPCS,Oth tmj films by report,,,25 ,,NW,,,,,,$209.86,$0.00,1,0,1,1,1,1,20101001,D0322,HCPCS,Tomographic survey,,,25 ,,NW,,,,,,$483.89,$0.00,1,0,1,1,1,1,20101001,D0330,HCPCS,Panoramic film,,,25 ,,NW,,,,,,$110.08,$0.00,1,0,1,1,1,1,20101001,D0340,HCPCS,Cephalometric film,,,25 ,,NW,,,,,,$121.45,$0.00,1,0,1,1,1,1,20101001,D0350,HCPCS,Oral/facial photographic images,,,25 ,,NW,,,,,,$65.47,$0.00,1,0,1,1,1,1,20101001,D0360,HCPCS,Cone beam ct craniofacial data,,,25 ,,NW,,,,,,$576.38,$0.00,1,0,1,1,1,1,20101001,D0362,HCPCS,Cone beam 2-d reconst exist data mx,,,25 ,,NW,,,,,,$393.21,$0.00,1,0,1,1,1,1,20101001,D0363,HCPCS,Cone beam 3-d reconst exist data m,,,25 ,,NW,,,,,,$461.52,$0.00,1,0,1,1,1,1,20101001,D0415,HCPCS,Collect microoragnisms cult & sens,,,25 ,,NW,,,,,,$42.16,$0.00,1,0,1,1,1,1,20101001,D0416,HCPCS,Viral culture,,,25 ,,NW,,,,,,$58.03,$0.00,1,0,1,1,1,1,20101001,D0417,HCPCS,Collect & prep saliva sample,,,25 ,,NW,,,,,,$75.30,$0.00,1,0,1,1,1,1,20101001,D0418,HCPCS,Analysis of saliva sample,,,25 ,,NW,,,,,,$88.37,$0.00,1,0,1,1,1,1,20101001,D0421,HCPCS,Gen tst suscept oral disease,,,25 ,,NW,,,,,,$61.16,$0.00,1,0,1,1,1,1,20101001,D0425,HCPCS,Caries susceptibility tests,,,25 ,,NW,,,,,,$34.04,$0.00,1,0,1,1,1,1,20101001,D0431,HCPCS,Adjunct predx tst no cytol/bx proc,,,25 ,,NW,,,,,,$69.09,$0.00,1,0,1,1,1,1,20101001,D0460,HCPCS,Pulp vitality tests,,,25 ,,NW,,,,,,$57.96,$0.00,1,0,1,1,1,1,20101001,D0470,HCPCS,Diagnostic casts,,,25 ,,NW,,,,,,$118.40,$0.00,1,0,1,1,1,1,20101001,D0472,HCPCS,Access tiss-gross exam-prep & reprt,,,25 ,,NW,,,,,,$113.89,$0.00,1,0,1,1,1,1,20101001,D0473,HCPCS,Access tiss-gross/micro-prep/reprt,,,25 ,,NW,,,,,,$177.43,$0.00,1,0,1,1,1,1,20101001,D0474,HCPCS,Acss tiss gr&mic surg marg prep/rpt,,,25 ,,NW,,,,,,$215.31,$0.00,1,0,1,1,1,1,20101001,D0475,HCPCS,Decalcification procedure,,,25 ,,NW,,,,,,$86.07,$0.00,1,0,1,1,1,1,20101001,D0476,HCPCS,Special stains for microorganisms,,,25 ,,NW,,,,,,$81.50,$0.00,1,0,1,1,1,1,20101001,D0477,HCPCS,Special stains not microorganisms,,,25 ,,NW,,,,,,$214.94,$0.00,1,0,1,1,1,1,20101001,D0478,HCPCS,Immunohistochemical stains,,,25 ,,NW,,,,,,$143.50,$0.00,1,0,1,1,1,1,20101001,D0479,HCPCS,Tiss insitu hybridization w/intepr,,,25 ,,NW,,,,,,$227.69,$0.00,1,0,1,1,1,1,20101001,D0480,HCPCS,Acess exfoliative cyt smer mic exam,,,25 ,,NW,,,,,,$131.17,$0.00,1,0,1,1,1,1,20101001,D0481,HCPCS,Electron microscopy diagnostic,,,25 ,,NW,,,,,,$198.83,$0.00,1,0,1,1,1,1,20101001,D0482,HCPCS,Direct immunofluorescence,,,25 ,,NW,,,,,,$129.67,$0.00,1,0,1,1,1,1,20101001,D0483,HCPCS,Indirect immunofluorescence,,,25 ,,NW,,,,,,$132.13,$0.00,1,0,1,1,1,1,20101001,D0484,HCPCS,Consultation slides prepared elsw,,,25 ,,NW,,,,,,$178.57,$0.00,1,0,1,1,1,1,20101001,D0485,HCPCS,Cnslt w/prep slides bx spl ref src,,,25 ,,NW,,,,,,$298.37,$0.00,1,0,1,1,1,1,20101001,D0486,HCPCS,Lab access brush bx sample mic exam,,,25 ,,NW,,,,,,$168.70,$0.00,1,0,1,1,1,1,20101001,D0502,HCPCS,Other oral pathology proc report,,,25 ,,NW,,,,,,$163.87,$0.00,1,0,1,1,1,1,20101001,D0999,HCPCS,Unspec diagnostic procedure report,,,25 ,,NW,,,,,,$49.87,$0.00,1,0,1,1,1,1,20101001,D1110,HCPCS,Prophylaxis - adult,,,25 ,,NW,,,,,,$91.77,$0.00,1,0,1,1,1,1,20101001,D1120,HCPCS,Prophylaxis - child,,,25 ,,NW,,,,,,$67.64,$0.00,1,0,1,1,1,1,20101001,D1203,HCPCS,Topical applic of fluoride - child,,,25 ,,NW,,,,,,$36.46,$0.00,1,0,1,1,1,1,20101001,D1204,HCPCS,Topical applic of fluoride - adult,,,25 ,,NW,,,,,,$36.85,$0.00,1,0,1,1,1,1,20101001,D1206,HCPCS,Top fluoride; tx appl mod-hi risk,,,25 ,,NW,,,,,,$48.75,$0.00,1,0,1,1,1,1,20101001,D1310,HCPCS,Nutrit cnsl control dental disease,,,25 ,,NW,,,,,,$62.70,$0.00,1,0,1,1,1,1,20101001,D1320,HCPCS,Tobacco cnsl cntrl&previon orl dz,,,25 ,,NW,,,,,,$67.94,$0.00,1,0,1,1,1,1,20101001,D1330,HCPCS,Oral hygiene instructions,,,25 ,,NW,,,,,,$56.15,$0.00,1,0,1,1,1,1,20101001,D1351,HCPCS,Sealant - per tooth,,,25 ,,NW,,,,,,$53.56,$0.00,1,0,1,1,1,1,20101001,D1510,HCPCS,Space maintainer - fixed-unilateral,,,26 ,,NW,,,,,,$333.15,$0.00,1,0,1,1,1,1,20101001,D1515,HCPCS,Space maintainer - fixed-bilateral,,,26 ,,NW,,,,,,$481.04,$0.00,1,0,1,1,1,1,20101001,D1520,HCPCS,Space maintainer - removable-uni,,,26 ,,NW,,,,,,$387.55,$0.00,1,0,1,1,1,1,20101001,D1525,HCPCS,Space maintainer - removable-bil,,,26 ,,NW,,,,,,$553.33,$0.00,1,0,1,1,1,1,20101001,D1550,HCPCS,Recementation of space maintainer,,,26 ,,NW,,,,,,$77.64,$0.00,1,0,1,1,1,1,20101001,D1555,HCPCS,Removal of fixed space maintainer,,,26 ,,NW,,,,,,$77.05,$0.00,1,0,1,1,1,1,20101001,D2140,HCPCS,Amalgam-one surface primary/perm,,,26 ,,NW,,,,,,$144.79,$0.00,1,0,1,1,1,1,20101001,D2150,HCPCS,Amalgam-two surfaces primary/perm,,,26 ,,NW,,,,,,$180.14,$0.00,1,0,1,1,1,1,20101001,D2160,HCPCS,Amalgam-3 surfaces primary/perm,,,26 ,,NW,,,,,,$218.79,$0.00,1,0,1,1,1,1,20101001,D2161,HCPCS,Amalgam-four/more surf prim/perm,,,26 ,,NW,,,,,,$262.98,$0.00,1,0,1,1,1,1,20101001,D2330,HCPCS,Resin-one surface anterior,,,26 ,,NW,,,,,,$158.65,$0.00,1,0,1,1,1,1,20101001,D2331,HCPCS,Resin-two surfaces anterior,,,26 ,,NW,,,,,,$193.32,$0.00,1,0,1,1,1,1,20101001,D2332,HCPCS,Resin-three surfaces anterior,,,26 ,,NW,,,,,,$237.83,$0.00,1,0,1,1,1,1,20101001,D2335,HCPCS,Resin-4 /> surfaces incisal angle,,,26 ,,NW,,,,,,$285.14,$0.00,1,0,1,1,1,1,20101001,D2390,HCPCS,Resin compos crown anterior,,,26 ,,NW,,,,,,$375.98,$0.00,1,0,1,1,1,1,20101001,D2391,HCPCS,Resin compos - 1 surface posterior,,,26 ,,NW,,,,,,$174.75,$0.00,1,0,1,1,1,1,20101001,D2392,HCPCS,Resin compos - 2 surfaces posterior,,,26 ,,NW,,,,,,$225.19,$0.00,1,0,1,1,1,1,20101001,D2393,HCPCS,Resin compos - 3 surfaces posterior,,,26 ,,NW,,,,,,$280.86,$0.00,1,0,1,1,1,1,20101001,D2394,HCPCS,Resin compos - 4/more surfaces post,,,26 ,,NW,,,,,,$334.31,$0.00,1,0,1,1,1,1,20101001,D2410,HCPCS,Gold foil - one surface,,,27 ,,NW,,,,,,$291.37,$0.00,1,0,1,1,1,1,20101001,D2420,HCPCS,Gold foil - two surfaces,,,27 ,,NW,,,,,,$573.27,$0.00,1,0,1,1,1,1,20101001,D2430,HCPCS,Gold foil - three surfaces,,,27 ,,NW,,,,,,$900.45,$0.00,1,0,1,1,1,1,20101001,D2510,HCPCS,Inlay - metallic - one surface,,,27 ,,NW,,,,,,$856.49,$0.00,1,0,1,1,1,1,20101001,D2520,HCPCS,Inlay - metallic - two surfaces,,,27 ,,NW,,,,,,$937.28,$0.00,1,0,1,1,1,1,20101001,D2530,HCPCS,Inlay - metallic - 3/more surfaces,,,27 ,,NW,,,,,,"$1,025.23",$0.00,1,0,1,1,1,1,20101001,D2542,HCPCS,Onlay - metallic - two surfaces,,,27 ,,NW,,,,,,"$1,080.77",$0.00,1,0,1,1,1,1,20101001,D2543,HCPCS,Onlay metallic three surfaces,,,27 ,,NW,,,,,,"$1,083.54",$0.00,1,0,1,1,1,1,20101001,D2544,HCPCS,Onlay metallic four or more surf,,,27 ,,NW,,,,,,"$1,131.58",$0.00,1,0,1,1,1,1,20101001,D2610,HCPCS,Inlay - porceln/ceramic - 1 surface,,,27 ,,NW,,,,,,$955.50,$0.00,1,0,1,1,1,1,20101001,D2620,HCPCS,Inlay - porceln/ceramic - 2 surf,,,27 ,,NW,,,,,,"$1,000.42",$0.00,1,0,1,1,1,1,20101001,D2630,HCPCS,Inlay - porceln/ceram - 3/more surf,,,27 ,,NW,,,,,,"$1,060.08",$0.00,1,0,1,1,1,1,20101001,D2642,HCPCS,Onlay - porceln/ceramic - 2 surf,,,27 ,,NW,,,,,,"$1,095.28",$0.00,1,0,1,1,1,1,20101001,D2643,HCPCS,Onlay - porceln/ceramic - 3 surf,,,27 ,,NW,,,,,,"$1,113.98",$0.00,1,0,1,1,1,1,20101001,D2644,HCPCS,Onlay - porceln/ceram - 4/more surf,,,27 ,,NW,,,,,,"$1,159.14",$0.00,1,0,1,1,1,1,20101001,D2650,HCPCS,Inlay resin composite one surface,,,27 ,,NW,,,,,,$779.14,$0.00,1,0,1,1,1,1,20101001,D2651,HCPCS,Inlay resin composite two surfaces,,,27 ,,NW,,,,,,$839.74,$0.00,1,0,1,1,1,1,20101001,D2652,HCPCS,Inlay resin composite 3/> surfaces,,,27 ,,NW,,,,,,$907.60,$0.00,1,0,1,1,1,1,20101001,D2662,HCPCS,Onlay-rsn compos compos/rsn-2 surf,,,27 ,,NW,,,,,,$879.68,$0.00,1,0,1,1,1,1,20101001,D2663,HCPCS,Onlay-rsn compos compos/rsn-3 surf,,,27 ,,NW,,,,,,$945.10,$0.00,1,0,1,1,1,1,20101001,D2664,HCPCS,Onlay resin composite 4/> surfaces,,,27 ,,NW,,,,,,$982.90,$0.00,1,0,1,1,1,1,20101001,D2710,HCPCS,Crown resinbased composite indirect,,,27 ,,NW,,,,,,$623.24,$0.00,1,0,1,1,1,1,20101001,D2712,HCPCS,Crown 3/4 resnbased compos indirect,,,27 ,,NW,,,,,,$700.20,$0.00,1,0,1,1,1,1,20101001,D2720,HCPCS,Crown - resin with high noble metal,,,27 ,,NW,,,,,,"$1,071.12",$0.00,1,0,1,1,1,1,20101001,D2721,HCPCS,Crown - resin w/predom base metal,,,27 ,,NW,,,,,,$977.77,$0.00,1,0,1,1,1,1,20101001,D2722,HCPCS,Crown - resin with noble metal,,,27 ,,NW,,,,,,"$1,018.83",$0.00,1,0,1,1,1,1,20101001,D2740,HCPCS,Crown - porcelain/ceramic substrate,,,27 ,,NW,,,,,,"$1,147.87",$0.00,1,0,1,1,1,1,20101001,D2750,HCPCS,Crown - porceln fused hi noble metl,,,27 ,,NW,,,,,,"$1,092.33",$0.00,1,0,1,1,1,1,20101001,D2751,HCPCS,Crown-porceln fusd predom base metl,,,27 ,,NW,,,,,,"$1,003.61",$0.00,1,0,1,1,1,1,20101001,D2752,HCPCS,Crown - porcelain fused noble metal,,,27 ,,NW,,,,,,"$1,033.80",$0.00,1,0,1,1,1,1,20101001,D2780,HCPCS,Crown - 3/4 cast high noble metal,,,27 ,,NW,,,,,,"$1,105.12",$0.00,1,0,1,1,1,1,20101001,D2781,HCPCS,Crown - 3/4 cast predom base metl,,,27 ,,NW,,,,,,"$1,048.98",$0.00,1,0,1,1,1,1,20101001,D2782,HCPCS,Crown - 3/4 cast noble metal,,,27 ,,NW,,,,,,"$1,078.45",$0.00,1,0,1,1,1,1,20101001,D2783,HCPCS,Crown - 3/4 porcelain/ceramic,,,27 ,,NW,,,,,,"$1,124.42",$0.00,1,0,1,1,1,1,20101001,D2790,HCPCS,Crown - full cast high noble metal,,,27 ,,NW,,,,,,"$1,076.97",$0.00,1,0,1,1,1,1,20101001,D2791,HCPCS,Crown - full cast predom base metl,,,27 ,,NW,,,,,,"$1,006.25",$0.00,1,0,1,1,1,1,20101001,D2792,HCPCS,Crown - full cast noble metal,,,27 ,,NW,,,,,,"$1,042.75",$0.00,1,0,1,1,1,1,20101001,D2794,HCPCS,Crown titanium,,,27 ,,NW,,,,,,"$1,076.33",$0.00,1,0,1,1,1,1,20101001,D2799,HCPCS,Provisional crown,,,27 ,,NW,,,,,,$422.88,$0.00,1,0,1,1,1,1,20101001,D2910,HCPCS,Recement inlay onlay/part cov rest,,,27 ,,NW,,,,,,$103.75,$0.00,1,0,1,1,1,1,20101001,D2915,HCPCS,Recement cast/prefab post & core,,,27 ,,NW,,,,,,$105.18,$0.00,1,0,1,1,1,1,20101001,D2920,HCPCS,Recement crown,,,27 ,,NW,,,,,,$103.19,$0.00,1,0,1,1,1,1,20101001,D2930,HCPCS,Prfabr stainless steel crown-prim,,,27 ,,NW,,,,,,$267.93,$0.00,1,0,1,1,1,1,20101001,D2931,HCPCS,Prfabr stainless steel crown-perm,,,27 ,,NW,,,,,,$313.73,$0.00,1,0,1,1,1,1,20101001,D2932,HCPCS,Prefabricated resin crown,,,27 ,,NW,,,,,,$336.56,$0.00,1,0,1,1,1,1,20101001,D2933,HCPCS,Prfabr stnlss steel crown rsn wndow,,,27 ,,NW,,,,,,$360.07,$0.00,1,0,1,1,1,1,20101001,D2934,HCPCS,Prefb esthet coat stnlss steel crwn,,,27 ,,NW,,,,,,$370.49,$0.00,1,0,1,1,1,1,20101001,D2940,HCPCS,Sedative filling,,,27 ,,NW,,,,,,$111.17,$0.00,1,0,1,1,1,1,20101001,D2950,HCPCS,Core buildup including any pins,,,27 ,,NW,,,,,,$268.07,$0.00,1,0,1,1,1,1,20101001,D2951,HCPCS,Pin retn - per tooth addition rest,,,27 ,,NW,,,,,,$64.33,$0.00,1,0,1,1,1,1,20101001,D2952,HCPCS,Post & core add crown indirect fab,,,27 ,,NW,,,,,,$419.54,$0.00,1,0,1,1,1,1,20101001,D2953,HCPCS,Ea add indirect fab post same tooth,,,27 ,,NW,,,,,,$257.93,$0.00,1,0,1,1,1,1,20101001,D2954,HCPCS,Prefabr post&core addition crown,,,27 ,,NW,,,,,,$337.83,$0.00,1,0,1,1,1,1,20101001,D2955,HCPCS,Post removal,,,27 ,,NW,,,,,,$289.53,$0.00,1,0,1,1,1,1,20101001,D2957,HCPCS,Ea add prefabr post - same tooth,,,27 ,,NW,,,,,,$183.56,$0.00,1,0,1,1,1,1,20101001,D2960,HCPCS,Labial veneer - chairside,,,27 ,,NW,,,,,,$695.32,$0.00,1,0,1,1,1,1,20101001,D2961,HCPCS,Labial veneer - laboratory,,,27 ,,NW,,,,,,$964.08,$0.00,1,0,1,1,1,1,20101001,D2962,HCPCS,Labial veneer - laboratory,,,27 ,,NW,,,,,,"$1,120.83",$0.00,1,0,1,1,1,1,20101001,D2970,HCPCS,Temporary crown fractured tooth,,,27 ,,NW,,,,,,$314.56,$0.00,1,0,1,1,1,1,20101001,D2971,HCPCS,Add proc new crown xst part denture,,,27 ,,NW,,,,,,$155.58,$0.00,1,0,1,1,1,1,20101001,D2975,HCPCS,Coping,,,27 ,,NW,,,,,,$543.69,$0.00,1,0,1,1,1,1,20101001,D2980,HCPCS,Crown repair by report,,,27 ,,NW,,,,,,$276.50,$0.00,1,0,1,1,1,1,20101001,D2999,HCPCS,Unspec restorative procedure report,,,27 ,,NW,,,,,,$218.79,$0.00,1,0,1,1,1,1,20101001,D3110,HCPCS,Pulp cap - direct,,,26 ,,NW,,,,,,$83.09,$0.00,1,0,1,1,1,1,20101001,D3120,HCPCS,Pulp cap - indirect,,,26 ,,NW,,,,,,$76.53,$0.00,1,0,1,1,1,1,20101001,D3220,HCPCS,Tx pulpot-coronl dentnocementl junc,,,26 ,,NW,,,,,,$190.56,$0.00,1,0,1,1,1,1,20101001,D3221,HCPCS,Pulpal debrid primary&perm teeth,,,26 ,,NW,,,,,,$215.51,$0.00,1,0,1,1,1,1,20101001,D3222,HCPCS,Part pulp for apexogenesis,,,26 ,,NW,,,,,,$255.74,$0.00,1,0,1,1,1,1,20101001,D3230,HCPCS,Pulpal therapy - ant primary tooth,,,26 ,,NW,,,,,,$238.67,$0.00,1,0,1,1,1,1,20101001,D3240,HCPCS,Pulpal therapy - post primary tooth,,,26 ,,NW,,,,,,$273.75,$0.00,1,0,1,1,1,1,20101001,D3310,HCPCS,Endodontic therapy anterior tooth,,,26 ,,NW,,,,,,$757.22,$0.00,1,0,1,1,1,1,20101001,D3320,HCPCS,Endodontic therapy bicuspid tooth,,,26 ,,NW,,,,,,$891.65,$0.00,1,0,1,1,1,1,20101001,D3330,HCPCS,Enododontic therapy molar,,,26 ,,NW,,,,,,"$1,091.07",$0.00,1,0,1,1,1,1,20101001,D3331,HCPCS,Tx rc obstruction; non-surg access,,,26 ,,NW,,,,,,$416.80,$0.00,1,0,1,1,1,1,20101001,D3332,HCPCS,Incmpl endo tx;inop unrstr/fx tooth,,,26 ,,NW,,,,,,$475.04,$0.00,1,0,1,1,1,1,20101001,D3333,HCPCS,Intrl root repair perforation defec,,,26 ,,NW,,,,,,$314.66,$0.00,1,0,1,1,1,1,20101001,D3346,HCPCS,Retx previous rc therapy - anterior,,,26 ,,NW,,,,,,$955.83,$0.00,1,0,1,1,1,1,20101001,D3347,HCPCS,Retx previous rc therapy - bicuspid,,,26 ,,NW,,,,,,"$1,097.35",$0.00,1,0,1,1,1,1,20101001,D3348,HCPCS,Retx previous rc therapy - molar,,,26 ,,NW,,,,,,"$1,313.42",$0.00,1,0,1,1,1,1,20101001,D3351,HCPCS,Apexificat/recalcificat - init vst,,,26 ,,NW,,,,,,$386.37,$0.00,1,0,1,1,1,1,20101001,D3352,HCPCS,Apexificat/recalcificat-interim,,,26 ,,NW,,,,,,$224.28,$0.00,1,0,1,1,1,1,20101001,D3353,HCPCS,Apexificat/recalcificat-final visit,,,26 ,,NW,,,,,,$586.64,$0.00,1,0,1,1,1,1,20101001,D3410,HCPCS,Apicoect/periradicular surg - ant,,,26 ,,NW,,,,,,$826.96,$0.00,1,0,1,1,1,1,20101001,D3421,HCPCS,Apicoect/periradiculr surg-bicuspid,,,26 ,,NW,,,,,,$910.99,$0.00,1,0,1,1,1,1,20101001,D3425,HCPCS,Apicoect/periradicular surg - molar,,,26 ,,NW,,,,,,"$1,013.53",$0.00,1,0,1,1,1,1,20101001,D3426,HCPCS,Apicoectomy/periradicular surgery,,,26 ,,NW,,,,,,$378.80,$0.00,1,0,1,1,1,1,20101001,D3430,HCPCS,Retrograde filling - per root,,,26 ,,NW,,,,,,$270.46,$0.00,1,0,1,1,1,1,20101001,D3450,HCPCS,Root amputation - per root,,,26 ,,NW,,,,,,$562.69,$0.00,1,0,1,1,1,1,20101001,D3460,HCPCS,Endodontic endosseous implant,,,26 ,,NW,,,,,,"$1,929.47",$0.00,1,0,1,1,1,1,20101001,D3470,HCPCS,Intentional replantation,,,26 ,,NW,,,,,,$889.41,$0.00,1,0,1,1,1,1,20101001,D3910,HCPCS,Surg proc isolat tooth w/rubber dam,,,26 ,,NW,,,,,,$183.51,$0.00,1,0,1,1,1,1,20101001,D3920,HCPCS,Hemisection not incl rc therapy,,,26 ,,NW,,,,,,$443.36,$0.00,1,0,1,1,1,1,20101001,D3950,HCPCS,Canal prep&fit preformed dowel/post,,,26 ,,NW,,,,,,$209.90,$0.00,1,0,1,1,1,1,20101001,D3999,HCPCS,Unspec endodontic procedure report,,,26 ,,NW,,,,,,$891.65,$0.00,1,0,1,1,1,1,20101001,D4210,HCPCS,Gingivect/plsty 4/>cntig teeth quad,,,26 ,,NW,,,,,,$650.94,$0.00,1,0,1,1,1,1,20101001,D4211,HCPCS,Gingivect/plsty 1-3cntig teeth quad,,,26 ,,NW,,,,,,$287.47,$0.00,1,0,1,1,1,1,20101001,D4230,HCPCS,Anat crown exp 4/> cont teeth quad,,,26 ,,NW,,,,,,$926.92,$0.00,1,0,1,1,1,1,20101001,D4231,HCPCS,Anat crown exp 1- 3 teeth per quad,,,26 ,,NW,,,,,,$490.68,$0.00,1,0,1,1,1,1,20101001,D4240,HCPCS,Gingl flp 4/>cntig/tooth bound quad,,,26 ,,NW,,,,,,$817.19,$0.00,1,0,1,1,1,1,20101001,D4241,HCPCS,Gingl flp 1-3 cntig/tooth bnd quad,,,26 ,,NW,,,,,,$600.64,$0.00,1,0,1,1,1,1,20101001,D4245,HCPCS,Apically positioned flap,,,26 ,,NW,,,,,,$721.62,$0.00,1,0,1,1,1,1,20101001,D4249,HCPCS,Clin crown len - hard tissue,,,26 ,,NW,,,,,,$887.96,$0.00,1,0,1,1,1,1,20101001,D4260,HCPCS,Osseous surg 4/> cntig teeth quad,,,26 ,,NW,,,,,,"$1,265.69",$0.00,1,0,1,1,1,1,20101001,D4261,HCPCS,Osseous surg 1-3 cntig teeth quad,,,26 ,,NW,,,,,,$905.91,$0.00,1,0,1,1,1,1,20101001,D4263,HCPCS,Bone replcmt graft - 1 site quad,,,26 ,,NW,,,,,,$624.02,$0.00,1,0,1,1,1,1,20101001,D4264,HCPCS,Bn replcmt graft - ea add site quad,,,26 ,,NW,,,,,,$476.20,$0.00,1,0,1,1,1,1,20101001,D4265,HCPCS,Bio matl aid sft&osseous tiss regen,,,26 ,,NW,,,,,,$521.49,$0.00,1,0,1,1,1,1,20101001,D4266,HCPCS,Guid tiss regen-resorb barrier-site,,,26 ,,NW,,,,,,$660.74,$0.00,1,0,1,1,1,1,20101001,D4267,HCPCS,Guid tiss regen-nonresorb barrier,,,26 ,,NW,,,,,,$771.96,$0.00,1,0,1,1,1,1,20101001,D4268,HCPCS,Surgical revision proc per tooth,,,26 ,,NW,,,,,,$722.17,$0.00,1,0,1,1,1,1,20101001,D4270,HCPCS,Pedicle soft tissue graft procedure,,,26 ,,NW,,,,,,$955.36,$0.00,1,0,1,1,1,1,20101001,D4271,HCPCS,Free soft tissue graft procedure,,,26 ,,NW,,,,,,$997.78,$0.00,1,0,1,1,1,1,20101001,D4273,HCPCS,Subepith conective tiss grft tooth,,,26 ,,NW,,,,,,"$1,186.85",$0.00,1,0,1,1,1,1,20101001,D4274,HCPCS,Distal or proximal wedge procedure,,,26 ,,NW,,,,,,$694.49,$0.00,1,0,1,1,1,1,20101001,D4275,HCPCS,Soft tissue allograft,,,26 ,,NW,,,,,,"$1,041.23",$0.00,1,0,1,1,1,1,20101001,D4276,HCPCS,Comb cnctiv tiss&dbl ped grft tooth,,,26 ,,NW,,,,,,"$1,417.53",$0.00,1,0,1,1,1,1,20101001,D4320,HCPCS,Provisional splinting-intracoronal,,,26 ,,NW,,,,,,$450.58,$0.00,1,0,1,1,1,1,20101001,D4321,HCPCS,Provisional splinting extracoronal,,,26 ,,NW,,,,,,$414.38,$0.00,1,0,1,1,1,1,20101001,D4341,HCPCS,Prdntl scal&root plan 4/>teeth-quad,,,26 ,,NW,,,,,,$252.79,$0.00,1,0,1,1,1,1,20101001,D4342,HCPCS,Prdontal scal&root plan 1-3 teeth,,,26 ,,NW,,,,,,$168.42,$0.00,1,0,1,1,1,1,20101001,D4355,HCPCS,Full mouth debrid comp eval&dx,,,26 ,,NW,,,,,,$174.80,$0.00,1,0,1,1,1,1,20101001,D4381,HCPCS,Loc del antimicrobial agt tooth br,,,26 ,,NW,,,,,,$123.07,$0.00,1,0,1,1,1,1,20101001,D4910,HCPCS,Periodontal maintenance,,,26 ,,NW,,,,,,$141.33,$0.00,1,0,1,1,1,1,20101001,D4920,HCPCS,Unscheduled dressing change,,,26 ,,NW,,,,,,$101.87,$0.00,1,0,1,1,1,1,20101001,D4999,HCPCS,Unspec periodontal procedure report,,,26 ,,NW,,,,,,$168.42,$0.00,1,0,1,1,1,1,20101001,D5110,HCPCS,Complete denture - maxillary,,,27 ,,NW,,,,,,"$1,564.41",$0.00,1,0,1,1,1,1,20101001,D5120,HCPCS,Complete denture - mandibular,,,27 ,,NW,,,,,,"$1,559.36",$0.00,1,0,1,1,1,1,20101001,D5130,HCPCS,Immediate denture - maxillary,,,27 ,,NW,,,,,,"$1,680.55",$0.00,1,0,1,1,1,1,20101001,D5140,HCPCS,Immediate denture - mandibular,,,27 ,,NW,,,,,,"$1,678.92",$0.00,1,0,1,1,1,1,20101001,D5211,HCPCS,Upper partial denture - resin base,,,27 ,,NW,,,,,,"$1,244.12",$0.00,1,0,1,1,1,1,20101001,D5212,HCPCS,Lower partial denture - resin base,,,27 ,,NW,,,,,,"$1,349.41",$0.00,1,0,1,1,1,1,20101001,D5213,HCPCS,Max part dentur-cast metl w/rsn,,,27 ,,NW,,,,,,"$1,675.81",$0.00,1,0,1,1,1,1,20101001,D5214,HCPCS,Mand part dentur- cast metl w/rsn,,,27 ,,NW,,,,,,"$1,678.20",$0.00,1,0,1,1,1,1,20101001,D5225,HCPCS,Maxillary partial denture flex base,,,27 ,,NW,,,,,,"$1,439.31",$0.00,1,0,1,1,1,1,20101001,D5226,HCPCS,Mandibular part denture flex base,,,27 ,,NW,,,,,,"$1,518.88",$0.00,1,0,1,1,1,1,20101001,D5281,HCPCS,Remv uni part dentur-1 pc cast metl,,,27 ,,NW,,,,,,$958.67,$0.00,1,0,1,1,1,1,20101001,D5410,HCPCS,Adjust complete denture - maxillary,,,27 ,,NW,,,,,,$84.81,$0.00,1,0,1,1,1,1,20101001,D5411,HCPCS,Adjust complete dentur - mandibular,,,27 ,,NW,,,,,,$84.81,$0.00,1,0,1,1,1,1,20101001,D5421,HCPCS,Adjust partial denture - maxillary,,,27 ,,NW,,,,,,$86.52,$0.00,1,0,1,1,1,1,20101001,D5422,HCPCS,Adjust partial denture - mandibular,,,27 ,,NW,,,,,,$86.19,$0.00,1,0,1,1,1,1,20101001,D5510,HCPCS,Repair broken complete denture base,,,27 ,,NW,,,,,,$188.34,$0.00,1,0,1,1,1,1,20101001,D5520,HCPCS,Repl miss/broken teeth-cmpl dentur,,,27 ,,NW,,,,,,$162.65,$0.00,1,0,1,1,1,1,20101001,D5610,HCPCS,Repair resin denture base,,,27 ,,NW,,,,,,$190.49,$0.00,1,0,1,1,1,1,20101001,D5620,HCPCS,Repair cast framework,,,27 ,,NW,,,,,,$241.59,$0.00,1,0,1,1,1,1,20101001,D5630,HCPCS,Repair or replace broken clasp,,,27 ,,NW,,,,,,$246.14,$0.00,1,0,1,1,1,1,20101001,D5640,HCPCS,Replace broken teeth - per tooth,,,27 ,,NW,,,,,,$168.57,$0.00,1,0,1,1,1,1,20101001,D5650,HCPCS,Add tooth existing partial denture,,,27 ,,NW,,,,,,$213.81,$0.00,1,0,1,1,1,1,20101001,D5660,HCPCS,Add clasp existing partial denture,,,27 ,,NW,,,,,,$252.78,$0.00,1,0,1,1,1,1,20101001,D5670,HCPCS,Repl all teeth&acrylc frmewrk max,,,27 ,,NW,,,,,,$639.86,$0.00,1,0,1,1,1,1,20101001,D5671,HCPCS,Repl all teeth&acrylc frmewrk mand,,,27 ,,NW,,,,,,$674.46,$0.00,1,0,1,1,1,1,20101001,D5710,HCPCS,Rebase complete maxillary denture,,,27 ,,NW,,,,,,$574.62,$0.00,1,0,1,1,1,1,20101001,D5711,HCPCS,Rebase complete mandibular denture,,,27 ,,NW,,,,,,$562.44,$0.00,1,0,1,1,1,1,20101001,D5720,HCPCS,Rebase maxillary partial denture,,,27 ,,NW,,,,,,$549.43,$0.00,1,0,1,1,1,1,20101001,D5721,HCPCS,Rebase mandibular partial denture,,,27 ,,NW,,,,,,$553.16,$0.00,1,0,1,1,1,1,20101001,D5730,HCPCS,Reline cmpl maxil denture chairside,,,27 ,,NW,,,,,,$353.66,$0.00,1,0,1,1,1,1,20101001,D5731,HCPCS,Reline lowr cmpl mandibular denture,,,27 ,,NW,,,,,,$353.31,$0.00,1,0,1,1,1,1,20101001,D5740,HCPCS,Reline maxil part denture chairside,,,27 ,,NW,,,,,,$335.16,$0.00,1,0,1,1,1,1,20101001,D5741,HCPCS,Reline mand part denture chairside,,,27 ,,NW,,,,,,$339.28,$0.00,1,0,1,1,1,1,20101001,D5750,HCPCS,Reline cmpl maxil denture lab,,,27 ,,NW,,,,,,$454.56,$0.00,1,0,1,1,1,1,20101001,D5751,HCPCS,Reline cmpl mand dentrue laboratory,,,27 ,,NW,,,,,,$455.96,$0.00,1,0,1,1,1,1,20101001,D5760,HCPCS,Reline maxil part denture lab,,,27 ,,NW,,,,,,$454.66,$0.00,1,0,1,1,1,1,20101001,D5761,HCPCS,Reline mand part denture laboratory,,,27 ,,NW,,,,,,$454.66,$0.00,1,0,1,1,1,1,20101001,D5810,HCPCS,Interim complete denture maxillary,,,27 ,,NW,,,,,,$784.62,$0.00,1,0,1,1,1,1,20101001,D5811,HCPCS,Interim complete denture mandibular,,,27 ,,NW,,,,,,$811.69,$0.00,1,0,1,1,1,1,20101001,D5820,HCPCS,Interim partial denture maxillary,,,27 ,,NW,,,,,,$623.99,$0.00,1,0,1,1,1,1,20101001,D5821,HCPCS,Interim partial denture mandibular,,,27 ,,NW,,,,,,$641.84,$0.00,1,0,1,1,1,1,20101001,D5850,HCPCS,Tissue conditioning maxillary,,,27 ,,NW,,,,,,$173.98,$0.00,1,0,1,1,1,1,20101001,D5851,HCPCS,Tissue conditioning mandibular,,,27 ,,NW,,,,,,$175.01,$0.00,1,0,1,1,1,1,20101001,D5860,HCPCS,Overdenture - complete by report,,,27 ,,NW,,,,,,"$2,292.45",$0.00,1,0,1,1,1,1,20101001,D5861,HCPCS,Overdenture - partial by report,,,27 ,,NW,,,,,,"$2,054.57",$0.00,1,0,1,1,1,1,20101001,D5862,HCPCS,Precision attachment by report,,,27 ,,NW,,,,,,$648.51,$0.00,1,0,1,1,1,1,20101001,D5867,HCPCS,Repl part semi-prcisn/prcisn attch,,,27 ,,NW,,,,,,$276.60,$0.00,1,0,1,1,1,1,20101001,D5875,HCPCS,Mod remv prosth follow impl surg,,,27 ,,NW,,,,,,$461.48,$0.00,1,0,1,1,1,1,20101001,D5899,HCPCS,Uns remv prosthodontic proc rpt,,,27 ,,NW,,,,,,$623.99,$0.00,1,0,1,1,1,1,20101001,D5911,HCPCS,Facial moulage sectional,,,27 ,,NW,,,,,,$379.57,$0.00,1,0,1,1,1,1,20101001,D5912,HCPCS,Facial moulage complete,,,27 ,,NW,,,,,,$379.57,$0.00,1,0,1,1,1,1,20101001,D5913,HCPCS,Nasal prosthesis,,,27 ,,NW,,,,,,"$7,604.56",$0.00,1,0,1,1,1,1,20101001,D5914,HCPCS,Auricular prosthesis,,,27 ,,NW,,,,,,"$7,604.56",$0.00,1,0,1,1,1,1,20101001,D5915,HCPCS,Orbital prosthesis,,,27 ,,NW,,,,,,"$10,290.97",$0.00,1,0,1,1,1,1,20101001,D5916,HCPCS,Ocular prosthesis,,,27 ,,NW,,,,,,"$2,744.87",$0.00,1,0,1,1,1,1,20101001,D5919,HCPCS,Facial prosthesis,,,27 ,,NW,,,,,,"$1,282.76",$0.00,1,0,1,1,1,1,20101001,D5922,HCPCS,Nasal septal prosthesis,,,27 ,,NW,,,,,,"$1,282.76",$0.00,1,0,1,1,1,1,20101001,D5923,HCPCS,Ocular prosthesis interim,,,27 ,,NW,,,,,,"$1,282.76",$0.00,1,0,1,1,1,1,20101001,D5924,HCPCS,Cranial prosthesis,,,27 ,,NW,,,,,,"$1,491.75",$0.00,1,0,1,1,1,1,20101001,D5925,HCPCS,Facial augmentation implant prosth,,,27 ,,NW,,,,,,$314.33,$0.00,1,0,1,1,1,1,20101001,D5926,HCPCS,Nasal prosthesis replacement,,,27 ,,NW,,,,,,"$1,282.76",$0.00,1,0,1,1,1,1,20101001,D5927,HCPCS,Auricular prosthesis replacement,,,27 ,,NW,,,,,,"$1,282.76",$0.00,1,0,1,1,1,1,20101001,D5928,HCPCS,Orbital prosthesis replacement,,,27 ,,NW,,,,,,"$1,282.76",$0.00,1,0,1,1,1,1,20101001,D5929,HCPCS,Facial prosthesis replacement,,,27 ,,NW,,,,,,"$1,282.76",$0.00,1,0,1,1,1,1,20101001,D5931,HCPCS,Obturator prosthesis surgical,,,27 ,,NW,,,,,,"$3,638.26",$0.00,1,0,1,1,1,1,20101001,D5932,HCPCS,Obturator prosthesis definitive,,,27 ,,NW,,,,,,"$6,695.26",$0.00,1,0,1,1,1,1,20101001,D5933,HCPCS,Obturator prosthesis modification,,,27 ,,NW,,,,,,$246.54,$0.00,1,0,1,1,1,1,20101001,D5934,HCPCS,Mandib resect prosth w/guide flange,,,27 ,,NW,,,,,,"$6,979.73",$0.00,1,0,1,1,1,1,20101001,D5935,HCPCS,Mandib res prosth w/o guide flange,,,27 ,,NW,,,,,,"$6,383.03",$0.00,1,0,1,1,1,1,20101001,D5936,HCPCS,Obturator/prosthesis interim,,,27 ,,NW,,,,,,"$7,169.48",$0.00,1,0,1,1,1,1,20101001,D5937,HCPCS,Trismus appliance not for tm tx,,,27 ,,NW,,,,,,$799.77,$0.00,1,0,1,1,1,1,20101001,D5951,HCPCS,Feeding aid,,,27 ,,NW,,,,,,$864.98,$0.00,1,0,1,1,1,1,20101001,D5952,HCPCS,Speech aid prosthesis pediatric,,,27 ,,NW,,,,,,"$3,803.88",$0.00,1,0,1,1,1,1,20101001,D5953,HCPCS,Speech aid prosthesis adult,,,27 ,,NW,,,,,,"$7,224.09",$0.00,1,0,1,1,1,1,20101001,D5954,HCPCS,Palatal augmentation prosthesis,,,27 ,,NW,,,,,,"$6,369.18",$0.00,1,0,1,1,1,1,20101001,D5955,HCPCS,Palatal lift prosthesis definitive,,,27 ,,NW,,,,,,"$6,191.88",$0.00,1,0,1,1,1,1,20101001,D5958,HCPCS,Palatal lift prosthesis interim,,,27 ,,NW,,,,,,"$1,282.76",$0.00,1,0,1,1,1,1,20101001,D5959,HCPCS,Palatal lift prosth modification,,,27 ,,NW,,,,,,"$1,282.76",$0.00,1,0,1,1,1,1,20101001,D5960,HCPCS,Speech aid prosthesis modification,,,27 ,,NW,,,,,,$462.69,$0.00,1,0,1,1,1,1,20101001,D5982,HCPCS,Surgical stent,,,27 ,,NW,,,,,,$498.44,$0.00,1,0,1,1,1,1,20101001,D5983,HCPCS,Radiation carrier,,,27 ,,NW,,,,,,"$1,082.28",$0.00,1,0,1,1,1,1,20101001,D5984,HCPCS,Radiation shield,,,27 ,,NW,,,,,,"$1,119.27",$0.00,1,0,1,1,1,1,20101001,D5985,HCPCS,Radiation cone locator,,,27 ,,NW,,,,,,"$1,299.04",$0.00,1,0,1,1,1,1,20101001,D5986,HCPCS,Fluoride gel carrier,,,27 ,,NW,,,,,,$179.66,$0.00,1,0,1,1,1,1,20101001,D5987,HCPCS,Commissure splint,,,27 ,,NW,,,,,,"$1,409.24",$0.00,1,0,1,1,1,1,20101001,D5988,HCPCS,Surgical splint,,,27 ,,NW,,,,,,$581.01,$0.00,1,0,1,1,1,1,20101001,D5991,HCPCS,Topical medicament carrier,,,27 ,,NW,,,,,,$188.19,$0.00,1,0,1,1,1,1,20101001,D5999,HCPCS,Uns maxillofacial prosth by report,,,27 ,,NW,,,,,,$498.44,$0.00,1,0,1,1,1,1,20101001,D6010,HCPCS,Surg plcmt impl body: endosteal,,,27 ,,NW,,,,,,"$2,247.69",$0.00,1,0,1,1,1,1,20101001,D6012,HCPCS,Surg plcmt interim impl pros: endos,,,27 ,,NW,,,,,,"$1,926.12",$0.00,1,0,1,1,1,1,20101001,D6040,HCPCS,Surg placement: eposteal implant,,,27 ,,NW,,,,,,"$8,538.75",$0.00,1,0,1,1,1,1,20101001,D6050,HCPCS,Surg placement: transosteal implant,,,27 ,,NW,,,,,,"$6,109.46",$0.00,1,0,1,1,1,1,20101001,D6053,HCPCS,Impl/abut dentur cmpl edntuls arch,,,27 ,,NW,,,,,,"$2,426.29",$0.00,1,0,1,1,1,1,20101001,D6054,HCPCS,Impl/abut dentur part edntuls arch,,,27 ,,NW,,,,,,"$2,325.25",$0.00,1,0,1,1,1,1,20101001,D6055,HCPCS,Dental implant supp connecting bar,,,27 ,,NW,,,,,,$883.97,$0.00,1,0,1,1,1,1,20101001,D6056,HCPCS,Prefabricated abutment incl plcmnt,,,27 ,,NW,,,,,,$673.30,$0.00,1,0,1,1,1,1,20101001,D6057,HCPCS,Custom abutment includes placement,,,27 ,,NW,,,,,,$858.35,$0.00,1,0,1,1,1,1,20101001,D6058,HCPCS,Abut supp porceln/ceramic crown,,,27 ,,NW,,,,,,"$1,501.66",$0.00,1,0,1,1,1,1,20101001,D6059,HCPCS,Abut porcln to mtl crwn hi nobl mtl,,,27 ,,NW,,,,,,"$1,499.14",$0.00,1,0,1,1,1,1,20101001,D6060,HCPCS,Abut porcln to metl crown base metl,,,27 ,,NW,,,,,,"$1,377.34",$0.00,1,0,1,1,1,1,20101001,D6061,HCPCS,Abut porcln to mtl crown noble mtl,,,27 ,,NW,,,,,,"$1,412.70",$0.00,1,0,1,1,1,1,20101001,D6062,HCPCS,Abut supp cast mtl crwn hi nobl mtl,,,27 ,,NW,,,,,,"$1,447.07",$0.00,1,0,1,1,1,1,20101001,D6063,HCPCS,Abut supp cast metl crown base metl,,,27 ,,NW,,,,,,"$1,334.32",$0.00,1,0,1,1,1,1,20101001,D6064,HCPCS,Abut supp cast metl crown nobl metl,,,27 ,,NW,,,,,,"$1,409.14",$0.00,1,0,1,1,1,1,20101001,D6065,HCPCS,Implant supp porceln/ceramic crown,,,27 ,,NW,,,,,,"$1,569.13",$0.00,1,0,1,1,1,1,20101001,D6066,HCPCS,Impl supp porceln fused metal crown,,,27 ,,NW,,,,,,"$1,553.00",$0.00,1,0,1,1,1,1,20101001,D6067,HCPCS,Implant supported metal crown,,,27 ,,NW,,,,,,"$1,521.77",$0.00,1,0,1,1,1,1,20101001,D6068,HCPCS,Abut supp retain porceln/ceram fpd,,,27 ,,NW,,,,,,"$1,473.83",$0.00,1,0,1,1,1,1,20101001,D6069,HCPCS,Abut retn porcln mtl fpd hi nobl mt,,,27 ,,NW,,,,,,"$1,499.14",$0.00,1,0,1,1,1,1,20101001,D6070,HCPCS,Abut retn porcln metl fpd base metl,,,27 ,,NW,,,,,,"$1,337.81",$0.00,1,0,1,1,1,1,20101001,D6071,HCPCS,Abut supp retn porcln fusd metl fpd,,,27 ,,NW,,,,,,"$1,425.62",$0.00,1,0,1,1,1,1,20101001,D6072,HCPCS,Abut supp retain cast metal fpd,,,27 ,,NW,,,,,,"$1,438.47",$0.00,1,0,1,1,1,1,20101001,D6073,HCPCS,Abut retn cast metl fpd base metl,,,27 ,,NW,,,,,,"$1,395.90",$0.00,1,0,1,1,1,1,20101001,D6074,HCPCS,Abut retn cast metl fpd nobl metl,,,27 ,,NW,,,,,,"$1,423.70",$0.00,1,0,1,1,1,1,20101001,D6075,HCPCS,Implant supp retain ceramic fpd,,,27 ,,NW,,,,,,"$1,515.28",$0.00,1,0,1,1,1,1,20101001,D6076,HCPCS,Impl supp retn porcln fusd metl fpd,,,27 ,,NW,,,,,,"$1,502.99",$0.00,1,0,1,1,1,1,20101001,D6077,HCPCS,Implant supp retain cast metal fpd,,,27 ,,NW,,,,,,"$1,493.89",$0.00,1,0,1,1,1,1,20101001,D6078,HCPCS,Implnt/abut dentur cmpl edent arch,,,27 ,,NW,,,,,,"$6,850.30",$0.00,1,0,1,1,1,1,20101001,D6079,HCPCS,Impl/abut dentur part edntuls arch,,,27 ,,NW,,,,,,"$4,428.94",$0.00,1,0,1,1,1,1,20101001,D6080,HCPCS,Impl maint proc remv cleans prosth,,,27 ,,NW,,,,,,$122.91,$0.00,1,0,1,1,1,1,20101001,D6090,HCPCS,Repair impl supp prosth by report,,,27 ,,NW,,,,,,$583.32,$0.00,1,0,1,1,1,1,20101001,D6091,HCPCS,Repl impl/abut pros per attachment,,,27 ,,NW,,,,,,$526.64,$0.00,1,0,1,1,1,1,20101001,D6092,HCPCS,Recement impl/abut supported crown,,,27 ,,NW,,,,,,$134.63,$0.00,1,0,1,1,1,1,20101001,D6093,HCPCS,Recement impl/abut fix part denture,,,27 ,,NW,,,,,,$171.83,$0.00,1,0,1,1,1,1,20101001,D6094,HCPCS,Abutment supported crown titanium,,,27 ,,NW,,,,,,"$1,364.11",$0.00,1,0,1,1,1,1,20101001,D6095,HCPCS,Repair implant abutment by report,,,27 ,,NW,,,,,,$557.87,$0.00,1,0,1,1,1,1,20101001,D6100,HCPCS,Implant removal by report,,,27 ,,NW,,,,,,$707.09,$0.00,1,0,1,1,1,1,20101001,D6190,HCPCS,Radiographic/surg implant indx rpt,,,27 ,,NW,,,,,,$299.39,$0.00,1,0,1,1,1,1,20101001,D6194,HCPCS,Abutment supp retainr crown for fpd,,,27 ,,NW,,,,,,"$1,238.40",$0.00,1,0,1,1,1,1,20101001,D6199,HCPCS,Unspec implant procedure by report,,,27 ,,NW,,,,,,"$1,501.66",$0.00,1,0,1,1,1,1,20101001,D6205,HCPCS,Pontic indirect resin based compos,,,27 ,,NW,,,,,,$854.45,$0.00,1,0,1,1,1,1,20101001,D6210,HCPCS,Pontic - cast high noble metal,,,27 ,,NW,,,,,,"$1,068.07",$0.00,1,0,1,1,1,1,20101001,D6211,HCPCS,Pontic - cast predom base metal,,,27 ,,NW,,,,,,"$1,005.62",$0.00,1,0,1,1,1,1,20101001,D6212,HCPCS,Pontic - cast noble metal,,,27 ,,NW,,,,,,"$1,052.60",$0.00,1,0,1,1,1,1,20101001,D6214,HCPCS,Pontic titanium,,,27 ,,NW,,,,,,"$1,157.30",$0.00,1,0,1,1,1,1,20101001,D6240,HCPCS,Pontic-porceln fused hi noble metl,,,27 ,,NW,,,,,,"$1,088.48",$0.00,1,0,1,1,1,1,20101001,D6241,HCPCS,Pontic-porcln fusd predom base metl,,,27 ,,NW,,,,,,$997.47,$0.00,1,0,1,1,1,1,20101001,D6242,HCPCS,Pontic - porceln fused noble metal,,,27 ,,NW,,,,,,"$1,032.77",$0.00,1,0,1,1,1,1,20101001,D6245,HCPCS,Pontic - porcelain/ceramic,,,27 ,,NW,,,,,,"$1,139.45",$0.00,1,0,1,1,1,1,20101001,D6250,HCPCS,Pontic - resin w/high noble metal,,,27 ,,NW,,,,,,"$1,055.57",$0.00,1,0,1,1,1,1,20101001,D6251,HCPCS,Pontic resin w/predom base metal,,,27 ,,NW,,,,,,"$1,000.57",$0.00,1,0,1,1,1,1,20101001,D6252,HCPCS,Pontic resin w/noble metal,,,27 ,,NW,,,,,,"$1,015.94",$0.00,1,0,1,1,1,1,20101001,D6253,HCPCS,Provisional pontic,,,27 ,,NW,,,,,,$564.34,$0.00,1,0,1,1,1,1,20101001,D6545,HCPCS,Retn-cast metl rsn bond fix prosth,,,27 ,,NW,,,,,,$592.98,$0.00,1,0,1,1,1,1,20101001,D6548,HCPCS,Retn-porceln/ceram rsn bond prosth,,,27 ,,NW,,,,,,$691.77,$0.00,1,0,1,1,1,1,20101001,D6600,HCPCS,Inlay-porcelain/ceramic 2 surfaces,,,27 ,,NW,,,,,,$915.99,$0.00,1,0,1,1,1,1,20101001,D6601,HCPCS,Inlay - porceln/ceramic 3/more surf,,,27 ,,NW,,,,,,"$1,010.31",$0.00,1,0,1,1,1,1,20101001,D6602,HCPCS,Inlay - cast hi noble metal 2 surf,,,27 ,,NW,,,,,,$911.76,$0.00,1,0,1,1,1,1,20101001,D6603,HCPCS,Inlay-cast hi noble metl 3/> surf,,,27 ,,NW,,,,,,"$1,012.39",$0.00,1,0,1,1,1,1,20101001,D6604,HCPCS,Inlay-cast predom base metl 2 surf,,,27 ,,NW,,,,,,$900.50,$0.00,1,0,1,1,1,1,20101001,D6605,HCPCS,Inlay-cast predom base metl 3/>surf,,,27 ,,NW,,,,,,$893.59,$0.00,1,0,1,1,1,1,20101001,D6606,HCPCS,Inlay - cast noble metal 2 surfaces,,,27 ,,NW,,,,,,$931.38,$0.00,1,0,1,1,1,1,20101001,D6607,HCPCS,Inlay - cast noble metl 3/more surf,,,27 ,,NW,,,,,,$961.79,$0.00,1,0,1,1,1,1,20101001,D6608,HCPCS,Onlay - porceln/ceramic 2 surfaces,,,27 ,,NW,,,,,,$993.15,$0.00,1,0,1,1,1,1,20101001,D6609,HCPCS,Onlay - porceln/ceramic 3/more surf,,,27 ,,NW,,,,,,"$1,074.02",$0.00,1,0,1,1,1,1,20101001,D6610,HCPCS,Onlay - cast hi noble metal 2 surf,,,27 ,,NW,,,,,,"$1,008.33",$0.00,1,0,1,1,1,1,20101001,D6611,HCPCS,Onlay-cast hi noble metl 3/> surf,,,27 ,,NW,,,,,,"$1,125.11",$0.00,1,0,1,1,1,1,20101001,D6612,HCPCS,Onlay-cast predom base metl 2 surf,,,27 ,,NW,,,,,,$976.03,$0.00,1,0,1,1,1,1,20101001,D6613,HCPCS,Onlay-cast predom base metl 3/>surf,,,27 ,,NW,,,,,,"$1,034.62",$0.00,1,0,1,1,1,1,20101001,D6614,HCPCS,Onlay - cast noble metal 2 surfaces,,,27 ,,NW,,,,,,$968.83,$0.00,1,0,1,1,1,1,20101001,D6615,HCPCS,Onlay - cast noble metl 3/more surf,,,27 ,,NW,,,,,,"$1,061.31",$0.00,1,0,1,1,1,1,20101001,D6624,HCPCS,Inlay titanium,,,27 ,,NW,,,,,,$966.06,$0.00,1,0,1,1,1,1,20101001,D6634,HCPCS,Onlay titanium,,,27 ,,NW,,,,,,"$1,002.05",$0.00,1,0,1,1,1,1,20101001,D6710,HCPCS,Crown indirect resin based compos,,,27 ,,NW,,,,,,$932.11,$0.00,1,0,1,1,1,1,20101001,D6720,HCPCS,Crown - resin with high noble metal,,,27 ,,NW,,,,,,"$1,047.80",$0.00,1,0,1,1,1,1,20101001,D6721,HCPCS,Crown resin predom base metl-dentur,,,27 ,,NW,,,,,,$982.45,$0.00,1,0,1,1,1,1,20101001,D6722,HCPCS,Crown - resin with noble metal,,,27 ,,NW,,,,,,"$1,029.60",$0.00,1,0,1,1,1,1,20101001,D6740,HCPCS,Crown - porcelain/ceramic,,,27 ,,NW,,,,,,"$1,146.09",$0.00,1,0,1,1,1,1,20101001,D6750,HCPCS,Crwn porcln fusd hi nobl mtl-dentur,,,27 ,,NW,,,,,,"$1,084.93",$0.00,1,0,1,1,1,1,20101001,D6751,HCPCS,Crown-porceln fusd predom base metl,,,27 ,,NW,,,,,,$998.61,$0.00,1,0,1,1,1,1,20101001,D6752,HCPCS,Crown - porcelain fused noble metal,,,27 ,,NW,,,,,,"$1,030.68",$0.00,1,0,1,1,1,1,20101001,D6780,HCPCS,Crown - 3/4 cast high noble metal,,,27 ,,NW,,,,,,"$1,050.76",$0.00,1,0,1,1,1,1,20101001,D6781,HCPCS,Crown-3/4 cast predom based metal,,,27 ,,NW,,,,,,"$1,047.76",$0.00,1,0,1,1,1,1,20101001,D6782,HCPCS,Crown 3/4 cast noble metal-denture,,,27 ,,NW,,,,,,"$1,003.63",$0.00,1,0,1,1,1,1,20101001,D6783,HCPCS,Crown 3/4 porcelain/ceramic-denture,,,27 ,,NW,,,,,,"$1,095.91",$0.00,1,0,1,1,1,1,20101001,D6790,HCPCS,Crown full cast hi nobl metl-dentur,,,27 ,,NW,,,,,,"$1,056.70",$0.00,1,0,1,1,1,1,20101001,D6791,HCPCS,Crown full cast base metal-denture,,,27 ,,NW,,,,,,$988.35,$0.00,1,0,1,1,1,1,20101001,D6792,HCPCS,Crown full cast noble metal-denture,,,27 ,,NW,,,,,,"$1,040.94",$0.00,1,0,1,1,1,1,20101001,D6793,HCPCS,Provisional retainer crown,,,27 ,,NW,,,,,,$457.72,$0.00,1,0,1,1,1,1,20101001,D6794,HCPCS,Crown titanium,,,27 ,,NW,,,,,,"$1,239.64",$0.00,1,0,1,1,1,1,20101001,D6920,HCPCS,Connector bar,,,27 ,,NW,,,,,,$238.62,$0.00,1,0,1,1,1,1,20101001,D6930,HCPCS,Recement bridge,,,27 ,,NW,,,,,,$159.03,$0.00,1,0,1,1,1,1,20101001,D6940,HCPCS,Stress breaker,,,27 ,,NW,,,,,,$374.97,$0.00,1,0,1,1,1,1,20101001,D6950,HCPCS,Precision attachment,,,27 ,,NW,,,,,,$641.94,$0.00,1,0,1,1,1,1,20101001,D6970,HCPCS,Post&core add fix part denture ret,,,27 ,,NW,,,,,,$422.08,$0.00,1,0,1,1,1,1,20101001,D6972,HCPCS,Prfab post&cor add part dentur retn,,,27 ,,NW,,,,,,$337.71,$0.00,1,0,1,1,1,1,20101001,D6973,HCPCS,Core build up retain incl any pins,,,27 ,,NW,,,,,,$268.88,$0.00,1,0,1,1,1,1,20101001,D6975,HCPCS,Coping - metal,,,27 ,,NW,,,,,,$731.60,$0.00,1,0,1,1,1,1,20101001,D6976,HCPCS,Ea add indirect fab post same tooth,,,27 ,,NW,,,,,,$226.95,$0.00,1,0,1,1,1,1,20101001,D6977,HCPCS,Each add prfab post same tooth,,,27 ,,NW,,,,,,$186.85,$0.00,1,0,1,1,1,1,20101001,D6980,HCPCS,Bridge repair by report,,,27 ,,NW,,,,,,$359.95,$0.00,1,0,1,1,1,1,20101001,D6985,HCPCS,Pediatric partial denture fixed,,,27 ,,NW,,,,,,$727.96,$0.00,1,0,1,1,1,1,20101001,D6999,HCPCS,Unspec fix prosthodontic proc br,,,27 ,,NW,,,,,,"$1,084.93",$0.00,1,0,1,1,1,1,20101001,D7111,HCPCS,Xtrct coronl rmnnts deciduous tooth,,,26 ,,NW,,,,,,$127.73,$0.00,1,0,1,1,1,1,20101001,D7140,HCPCS,Extrac erupted tooth/exposed root,,,26 ,,NW,,,,,,$162.53,$0.00,1,0,1,1,1,1,20101001,D7210,HCPCS,Surg removal erupted tooth,,,26 ,,NW,,,,,,$281.65,$0.00,1,0,1,1,1,1,20101001,D7220,HCPCS,Removal impact tooth - soft tissue,,,26 ,,NW,,,,,,$329.75,$0.00,1,0,1,1,1,1,20101001,D7230,HCPCS,Removal impact tooth - partly bony,,,26 ,,NW,,,,,,$418.59,$0.00,1,0,1,1,1,1,20101001,D7240,HCPCS,Removal impacted tooth - cmpl bony,,,26 ,,NW,,,,,,$497.72,$0.00,1,0,1,1,1,1,20101001,D7241,HCPCS,Remv imp tooth-cmpl bny w/surg comp,,,26 ,,NW,,,,,,$611.17,$0.00,1,0,1,1,1,1,20101001,D7250,HCPCS,Surg removal residual tooth roots,,,26 ,,NW,,,,,,$299.11,$0.00,1,0,1,1,1,1,20101001,D7260,HCPCS,Oral antral fistula closure,,,26 ,,NW,,,,,,"$1,426.26",$0.00,1,0,1,1,1,1,20101001,D7261,HCPCS,Primary closure sinus perforation,,,26 ,,NW,,,,,,$762.88,$0.00,1,0,1,1,1,1,20101001,D7270,HCPCS,Tooth reimpl&/stbl acc displcd,,,26 ,,NW,,,,,,$541.28,$0.00,1,0,1,1,1,1,20101001,D7272,HCPCS,Tooth transplantation,,,26 ,,NW,,,,,,$725.30,$0.00,1,0,1,1,1,1,20101001,D7280,HCPCS,Surgical access an unerupted tooth,,,26 ,,NW,,,,,,$527.88,$0.00,1,0,1,1,1,1,20101001,D7282,HCPCS,Mobilz erupt/malpstn tooth aid erup,,,26 ,,NW,,,,,,$374.19,$0.00,1,0,1,1,1,1,20101001,D7283,HCPCS,Plcmt devc facl erupt impact tooth,,,26 ,,NW,,,,,,$212.53,$0.00,1,0,1,1,1,1,20101001,D7285,HCPCS,Biopsy of oral tissue hard,,,26 ,,NW,,,,,,$711.16,$0.00,1,0,1,1,1,1,20101001,D7286,HCPCS,Biopsy of oral tissue soft,,,26 ,,NW,,,,,,$394.06,$0.00,1,0,1,1,1,1,20101001,D7287,HCPCS,Exfoliative cytolog sample clction,,,26 ,,NW,,,,,,$183.95,$0.00,1,0,1,1,1,1,20101001,D7288,HCPCS,Brush bx transepith sample clction,,,26 ,,NW,,,,,,$187.45,$0.00,1,0,1,1,1,1,20101001,D7290,HCPCS,Surgical repositioning of teeth,,,26 ,,NW,,,,,,$503.86,$0.00,1,0,1,1,1,1,20101001,D7291,HCPCS,Trnsseptl/supra crestal fiberot br,,,26 ,,NW,,,,,,$247.77,$0.00,1,0,1,1,1,1,20101001,D7292,HCPCS,Surg plcmt: temp scrw ret plate flp,,,26 ,,NW,,,,,,$710.91,$0.00,1,0,1,1,1,1,20101001,D7293,HCPCS,Surg plcmt: temp anchorage rqr flap,,,26 ,,NW,,,,,,$450.74,$0.00,1,0,1,1,1,1,20101001,D7294,HCPCS,Surg plcmt: temp anchorage w/o flap,,,26 ,,NW,,,,,,$375.62,$0.00,1,0,1,1,1,1,20101001,D7310,HCPCS,Alveoloplasty w/ext 4/> teeth/space,,,26 ,,NW,,,,,,$304.43,$0.00,1,0,1,1,1,1,20101001,D7311,HCPCS,Alveoloplsty conjnc xtrct 1-3 teeth,,,26 ,,NW,,,,,,$290.59,$0.00,1,0,1,1,1,1,20101001,D7320,HCPCS,Alveoloplasty no ext 4/> teeth/spac,,,26 ,,NW,,,,,,$473.44,$0.00,1,0,1,1,1,1,20101001,D7321,HCPCS,Alveoloplsty not w/xtrct 1-3 teeth,,,26 ,,NW,,,,,,$421.01,$0.00,1,0,1,1,1,1,20101001,D7340,HCPCS,Vestibuloplasty-ridge ext 2nd epith,,,26 ,,NW,,,,,,"$1,511.60",$0.00,1,0,1,1,1,1,20101001,D7350,HCPCS,Vestbulplsty-ridge ext sft tiss gft,,,26 ,,NW,,,,,,"$2,560.34",$0.00,1,0,1,1,1,1,20101001,D7410,HCPCS,Excision benign lesion to 1.25 cm,,,26 ,,NW,,,,,,$464.01,$0.00,1,0,1,1,1,1,20101001,D7411,HCPCS,Excision of benign lesion > 1.25 cm,,,26 ,,NW,,,,,,$737.07,$0.00,1,0,1,1,1,1,20101001,D7412,HCPCS,Excision benign lesion complicated,,,26 ,,NW,,,,,,"$1,275.49",$0.00,1,0,1,1,1,1,20101001,D7413,HCPCS,Excision malig lesion up 1.25 cm,,,26 ,,NW,,,,,,$904.70,$0.00,1,0,1,1,1,1,20101001,D7414,HCPCS,Excision malignant lesion > 1.25 cm,,,26 ,,NW,,,,,,"$1,480.41",$0.00,1,0,1,1,1,1,20101001,D7415,HCPCS,Excision malig lesion complicated,,,26 ,,NW,,,,,,"$1,641.45",$0.00,1,0,1,1,1,1,20101001,D7440,HCPCS,Exc malig tumr - up 1.25 cm see cpt,,,26 ,,NW,,,,,,$716.81,$0.00,1,0,1,1,1,1,20101001,D7441,HCPCS,Exc malig tumor/les > 1.25cm,,,26 ,,NW,,,,,,"$1,541.19",$0.00,1,0,1,1,1,1,20101001,D7450,HCPCS,Remv ben odontognic tumr-t0 1.25 cm,,,26 ,,NW,,,,,,$732.46,$0.00,1,0,1,1,1,1,20101001,D7451,HCPCS,Remv ben odontognic tumr >1.25 cm,,,26 ,,NW,,,,,,"$1,066.77",$0.00,1,0,1,1,1,1,20101001,D7460,HCPCS,Remv ben nonodontgn tumr-to 1.25 cm,,,26 ,,NW,,,,,,$730.43,$0.00,1,0,1,1,1,1,20101001,D7461,HCPCS,Remv ben nonodontognic tumr>1.25 cm,,,26 ,,NW,,,,,,"$1,119.22",$0.00,1,0,1,1,1,1,20101001,D7465,HCPCS,Destruc les phys/chem meth by rpt,,,26 ,,NW,,,,,,$450.75,$0.00,1,0,1,1,1,1,20101001,D7471,HCPCS,Removal of lateral exostosis,,,26 ,,NW,,,,,,$877.57,$0.00,1,0,1,1,1,1,20101001,D7472,HCPCS,Removal of torus palatinus,,,26 ,,NW,,,,,,"$1,060.10",$0.00,1,0,1,1,1,1,20101001,D7473,HCPCS,Removal of torus mandibularis,,,26 ,,NW,,,,,,"$1,004.80",$0.00,1,0,1,1,1,1,20101001,D7485,HCPCS,Surgical rduc osseous tuberosity,,,26 ,,NW,,,,,,$900.45,$0.00,1,0,1,1,1,1,20101001,D7490,HCPCS,Radical resection maxla or mandible,,,26 ,,NW,,,,,,"$9,004.74",$0.00,1,0,1,1,1,1,20101001,D7510,HCPCS,I&d abscess-intraoral soft tiss,,,26 ,,NW,,,,,,$283.34,$0.00,1,0,1,1,1,1,20101001,D7511,HCPCS,I & d absc intraoral soft tiss comp,,,26 ,,NW,,,,,,$433.36,$0.00,1,0,1,1,1,1,20101001,D7520,HCPCS,I&d absc extraoral soft tiss,,,26 ,,NW,,,,,,$719.01,$0.00,1,0,1,1,1,1,20101001,D7521,HCPCS,I & d absc xtraoral soft tiss comp,,,26 ,,NW,,,,,,$682.27,$0.00,1,0,1,1,1,1,20101001,D7530,HCPCS,Remv fb mucos skn/subq alveol tiss,,,26 ,,NW,,,,,,$444.43,$0.00,1,0,1,1,1,1,20101001,D7540,HCPCS,Remv react-produc fb muscloskel sys,,,26 ,,NW,,,,,,$682.63,$0.00,1,0,1,1,1,1,20101001,D7550,HCPCS,Part ostec/seqect remv non-vital bn,,,26 ,,NW,,,,,,$482.66,$0.00,1,0,1,1,1,1,20101001,D7560,HCPCS,Maxil sinusot remv tooth frag/fb,,,26 ,,NW,,,,,,"$2,311.85",$0.00,1,0,1,1,1,1,20101001,D7610,HCPCS,Maxilla-open reduction,,,26 ,,NW,,,,,,"$5,039.71",$0.00,1,0,1,1,1,1,20101001,D7620,HCPCS,Maxilla-closed reduction,,,26 ,,NW,,,,,,"$3,242.11",$0.00,1,0,1,1,1,1,20101001,D7630,HCPCS,Mandible-open reduction,,,26 ,,NW,,,,,,"$5,232.35",$0.00,1,0,1,1,1,1,20101001,D7640,HCPCS,Mandible-closed reduction,,,26 ,,NW,,,,,,"$3,787.04",$0.00,1,0,1,1,1,1,20101001,D7650,HCPCS,Malar&/zygo arch-open reduction,,,26 ,,NW,,,,,,"$3,148.32",$0.00,1,0,1,1,1,1,20101001,D7660,HCPCS,Malar&/zygo arch-closed reduction,,,26 ,,NW,,,,,,"$2,691.64",$0.00,1,0,1,1,1,1,20101001,D7670,HCPCS,Alveol-closed rduc may w/stbl teeth,,,26 ,,NW,,,,,,"$1,608.07",$0.00,1,0,1,1,1,1,20101001,D7671,HCPCS,Alveol-open rduc may w/stbl teeth,,,26 ,,NW,,,,,,"$2,056.63",$0.00,1,0,1,1,1,1,20101001,D7680,HCPCS,Fce bns-comp rduc fix&mx apprch,,,26 ,,NW,,,,,,"$8,652.66",$0.00,1,0,1,1,1,1,20101001,D7710,HCPCS,Maxilla open reduction,,,26 ,,NW,,,,,,"$5,578.95",$0.00,1,0,1,1,1,1,20101001,D7720,HCPCS,Maxilla closed reduction,,,26 ,,NW,,,,,,"$3,625.50",$0.00,1,0,1,1,1,1,20101001,D7730,HCPCS,Mandible open reduction,,,26 ,,NW,,,,,,"$6,598.03",$0.00,1,0,1,1,1,1,20101001,D7740,HCPCS,Mandible closed reduction,,,26 ,,NW,,,,,,"$3,926.65",$0.00,1,0,1,1,1,1,20101001,D7750,HCPCS,Malr&/zygomatic arch-open rduc,,,26 ,,NW,,,,,,"$5,138.23",$0.00,1,0,1,1,1,1,20101001,D7760,HCPCS,Malar&/zygo arch closed reduction,,,26 ,,NW,,,,,,"$2,143.58",$0.00,1,0,1,1,1,1,20101001,D7770,HCPCS,Alveol - open rduc stbl teeth,,,26 ,,NW,,,,,,"$3,021.55",$0.00,1,0,1,1,1,1,20101001,D7771,HCPCS,Alveol clos rduc stbl teeth,,,26 ,,NW,,,,,,"$1,933.05",$0.00,1,0,1,1,1,1,20101001,D7780,HCPCS,Fce bns-comp rduc fix & mx apprches,,,26 ,,NW,,,,,,"$11,480.44",$0.00,1,0,1,1,1,1,20101001,D7810,HCPCS,Open reduction of dislocation,,,26 ,,NW,,,,,,"$5,207.07",$0.00,1,0,1,1,1,1,20101001,D7820,HCPCS,Closed reduction of dislocation,,,26 ,,NW,,,,,,$719.37,$0.00,1,0,1,1,1,1,20101001,D7830,HCPCS,Manipulation under anesthesia,,,26 ,,NW,,,,,,$522.95,$0.00,1,0,1,1,1,1,20101001,D7840,HCPCS,Condylectomy,,,26 ,,NW,,,,,,"$6,959.43",$0.00,1,0,1,1,1,1,20101001,D7850,HCPCS,Surgical discectomy w/wo implant,,,26 ,,NW,,,,,,"$6,209.12",$0.00,1,0,1,1,1,1,20101001,D7852,HCPCS,Disc repair,,,26 ,,NW,,,,,,"$6,885.26",$0.00,1,0,1,1,1,1,20101001,D7854,HCPCS,Synovectomy,,,26 ,,NW,,,,,,"$6,952.54",$0.00,1,0,1,1,1,1,20101001,D7856,HCPCS,Myotomy,,,26 ,,NW,,,,,,"$4,820.76",$0.00,1,0,1,1,1,1,20101001,D7858,HCPCS,Joint reconstruction,,,26 ,,NW,,,,,,"$16,572.65",$0.00,1,0,1,1,1,1,20101001,D7860,HCPCS,Arthrotomy,,,26 ,,NW,,,,,,"$6,100.07",$0.00,1,0,1,1,1,1,20101001,D7865,HCPCS,Arthroplasty,,,26 ,,NW,,,,,,"$8,848.89",$0.00,1,0,1,1,1,1,20101001,D7870,HCPCS,Arthrocentesis,,,26 ,,NW,,,,,,$445.03,$0.00,1,0,1,1,1,1,20101001,D7871,HCPCS,Non-arthroscopic lysis and lavage,,,26 ,,NW,,,,,,$710.03,$0.00,1,0,1,1,1,1,20101001,D7872,HCPCS,Arthroscopy diagnosis w/wo biopsy,,,26 ,,NW,,,,,,"$3,742.87",$0.00,1,0,1,1,1,1,20101001,D7873,HCPCS,Arthroscopy-surg:lavage&lysis adhes,,,26 ,,NW,,,,,,"$4,834.58",$0.00,1,0,1,1,1,1,20101001,D7874,HCPCS,Arthroscopy-surg: disc repstn&stbl,,,26 ,,NW,,,,,,"$6,464.27",$0.00,1,0,1,1,1,1,20101001,D7875,HCPCS,Arthroscopy-surgical: synovectomy,,,26 ,,NW,,,,,,"$7,081.73",$0.00,1,0,1,1,1,1,20101001,D7876,HCPCS,Arthroscopy surgical: discectomy,,,26 ,,NW,,,,,,"$7,635.16",$0.00,1,0,1,1,1,1,20101001,D7877,HCPCS,Arthroscopy surgical: debridement,,,26 ,,NW,,,,,,"$6,738.70",$0.00,1,0,1,1,1,1,20101001,D7880,HCPCS,Occlusal orthotic appliance,,,26 ,,NW,,,,,,$937.75,$0.00,1,0,1,1,1,1,20101001,D7899,HCPCS,Unspecified tmd therapy by report,,,26 ,,NW,,,,,,$937.75,$0.00,1,0,1,1,1,1,20101001,D7910,HCPCS,Suture recent small wounds up 5 cm,,,26 ,,NW,,,,,,$379.06,$0.00,1,0,1,1,1,1,20101001,D7911,HCPCS,Complicated suture up to 5cm,,,26 ,,NW,,,,,,$545.07,$0.00,1,0,1,1,1,1,20101001,D7912,HCPCS,Complicated suture > 5 cm,,,26 ,,NW,,,,,,"$1,076.01",$0.00,1,0,1,1,1,1,20101001,D7920,HCPCS,Skin graft,,,26 ,,NW,,,,,,"$2,969.79",$0.00,1,0,1,1,1,1,20101001,D7940,HCPCS,Osteoplasty - orthognathic deform,,,26 ,,NW,,,,,,"$3,038.42",$0.00,1,0,1,1,1,1,20101001,D7941,HCPCS,Osteotomy - mandibular rami,,,26 ,,NW,,,,,,"$9,326.30",$0.00,1,0,1,1,1,1,20101001,D7943,HCPCS,Osteot-mand rami bn gft; obtain gft,,,26 ,,NW,,,,,,"$7,801.91",$0.00,1,0,1,1,1,1,20101001,D7944,HCPCS,Osteotomy segmented or subapical,,,26 ,,NW,,,,,,"$6,381.46",$0.00,1,0,1,1,1,1,20101001,D7945,HCPCS,Osteotomy-body of mandible,,,26 ,,NW,,,,,,"$8,435.12",$0.00,1,0,1,1,1,1,20101001,D7946,HCPCS,Lefort i maxilla total,,,26 ,,NW,,,,,,"$10,051.24",$0.00,1,0,1,1,1,1,20101001,D7947,HCPCS,Lefort i maxilla segmented,,,26 ,,NW,,,,,,"$8,306.24",$0.00,1,0,1,1,1,1,20101001,D7948,HCPCS,Lefort ii/lefort iii - w/o bone gft,,,26 ,,NW,,,,,,"$12,527.94",$0.00,1,0,1,1,1,1,20101001,D7949,HCPCS,Lefort ii/lefort iii - w/bone graft,,,26 ,,NW,,,,,,"$15,917.60",$0.00,1,0,1,1,1,1,20101001,D7950,HCPCS,Oss osteoperiostl cart gft mand/max,,,26 ,,NW,,,,,,"$2,532.33",$0.00,1,0,1,1,1,1,20101001,D7951,HCPCS,Sinus aug w bone/bone sup,,,26 ,,NW,,,,,,"$2,988.79",$0.00,1,0,1,1,1,1,20101001,D7953,HCPCS,Bone replcmt graft ridge pres -site,,,26 ,,NW,,,,,,$341.90,$0.00,1,0,1,1,1,1,20101001,D7955,HCPCS,Repr maxlofacl soft&/hard tiss dfct,,,26 ,,NW,,,,,,"$2,816.74",$0.00,1,0,1,1,1,1,20101001,D7960,HCPCS,Frenulectomy separate procedure,,,26 ,,NW,,,,,,$464.59,$0.00,1,0,1,1,1,1,20101001,D7963,HCPCS,Frenuloplasty,,,26 ,,NW,,,,,,$605.90,$0.00,1,0,1,1,1,1,20101001,D7970,HCPCS,Exc hyperplastic tissue-per arch,,,26 ,,NW,,,,,,$557.52,$0.00,1,0,1,1,1,1,20101001,D7971,HCPCS,Excision of pericoronal gingiva,,,26 ,,NW,,,,,,$256.69,$0.00,1,0,1,1,1,1,20101001,D7972,HCPCS,Surgical rduc fibrous tuberosity,,,26 ,,NW,,,,,,$747.20,$0.00,1,0,1,1,1,1,20101001,D7980,HCPCS,Sialolithotomy,,,26 ,,NW,,,,,,$884.55,$0.00,1,0,1,1,1,1,20101001,D7981,HCPCS,Excision salivary gland by report,,,26 ,,NW,,,,,,$487.95,$0.00,1,0,1,1,1,1,20101001,D7982,HCPCS,Sialodochoplasty,,,26 ,,NW,,,,,,"$2,050.15",$0.00,1,0,1,1,1,1,20101001,D7983,HCPCS,Closure of salivary fistula,,,26 ,,NW,,,,,,"$1,664.34",$0.00,1,0,1,1,1,1,20101001,D7990,HCPCS,Emergency tracheotomy,,,26 ,,NW,,,,,,"$1,773.07",$0.00,1,0,1,1,1,1,20101001,D7991,HCPCS,Coronoidectomy,,,26 ,,NW,,,,,,"$4,675.14",$0.00,1,0,1,1,1,1,20101001,D7995,HCPCS,Synth gft-mand/face bones by rpt,,,26 ,,NW,,,,,,$403.72,$0.00,1,0,1,1,1,1,20101001,D7996,HCPCS,Implnt-mandib-augmentation br,,,26 ,,NW,,,,,,"$1,849.08",$0.00,1,0,1,1,1,1,20101001,D7997,HCPCS,Appliance remv incl remv archbar,,,26 ,,NW,,,,,,$339.71,$0.00,1,0,1,1,1,1,20101001,D7998,HCPCS,Intraoral plcmt fix devc not w/fx,,,26 ,,NW,,,,,,"$1,952.94",$0.00,1,0,1,1,1,1,20101001,D7999,HCPCS,Uns oral surg proc by report,,,26 ,,NW,,,,,,$341.90,$0.00,1,0,1,1,1,1,20101001,D8010,HCPCS,Ltd orthodont tx primary dentition,,,27 ,,NW,,,,,,"$2,174.08",$0.00,1,0,1,1,1,1,20101001,D8020,HCPCS,Ltd orthodont tx trnsitionl dentitn,,,27 ,,NW,,,,,,"$2,490.22",$0.00,1,0,1,1,1,1,20101001,D8030,HCPCS,Ltd orthodontic tx adoles dentition,,,27 ,,NW,,,,,,"$3,019.56",$0.00,1,0,1,1,1,1,20101001,D8040,HCPCS,Ltd orthodontic tx adult dentition,,,27 ,,NW,,,,,,"$3,390.31",$0.00,1,0,1,1,1,1,20101001,D8050,HCPCS,Intrcptv orthodont tx prim dentitn,,,27 ,,NW,,,,,,"$2,786.40",$0.00,1,0,1,1,1,1,20101001,D8060,HCPCS,Intrcptv orthodont tx trnsitnl dent,,,27 ,,NW,,,,,,"$3,018.51",$0.00,1,0,1,1,1,1,20101001,D8070,HCPCS,Comp orthodont tx trnsitnl dentitn,,,27 ,,NW,,,,,,"$5,440.46",$0.00,1,0,1,1,1,1,20101001,D8080,HCPCS,Comp orthodont tx adoles dentition,,,27 ,,NW,,,,,,"$5,561.24",$0.00,1,0,1,1,1,1,20101001,D8090,HCPCS,Comp orthodontic tx adult dentition,,,27 ,,NW,,,,,,"$5,817.51",$0.00,1,0,1,1,1,1,20101001,D8210,HCPCS,Removable appliance therapy,,,27 ,,NW,,,,,,$942.10,$0.00,1,0,1,1,1,1,20101001,D8220,HCPCS,Fixed appliance therapy,,,27 ,,NW,,,,,,"$1,059.73",$0.00,1,0,1,1,1,1,20101001,D8660,HCPCS,Orthodontic treatment,,,27 ,,NW,,,,,,$400.16,$0.00,1,0,1,1,1,1,20101001,D8670,HCPCS,Periodic orthodontic tx visit,,,27 ,,NW,,,,,,$274.12,$0.00,1,0,1,1,1,1,20101001,D8680,HCPCS,Orthodontic retention,,,27 ,,NW,,,,,,$613.36,$0.00,1,0,1,1,1,1,20101001,D8690,HCPCS,Orthodontic treatment,,,27 ,,NW,,,,,,$290.93,$0.00,1,0,1,1,1,1,20101001,D8691,HCPCS,Repair of orthodontic appliance,,,27 ,,NW,,,,,,$217.41,$0.00,1,0,1,1,1,1,20101001,D8692,HCPCS,Replacement lost or broken retainer,,,27 ,,NW,,,,,,$350.79,$0.00,1,0,1,1,1,1,20101001,D8693,HCPCS,Rebond/cement/repair retain,,,27 ,,NW,,,,,,$379.15,$0.00,1,0,1,1,1,1,20101001,D8999,HCPCS,Uns orthodontic procedure by report,,,27 ,,NW,,,,,,$379.15,$0.00,1,0,1,1,1,1,20101001,D9110,HCPCS,Palliatve tx dental pain-minor proc,,,26 ,,NW,,,,,,$122.33,$0.00,1,0,1,1,1,1,20101001,D9120,HCPCS,Fixed partial denture sectioning,,,27 ,,NW,,,,,,$185.85,$0.00,1,0,1,1,1,1,20101001,D9210,HCPCS,Loc anes-not conjunc w/op/surg proc,,,26 ,,NW,,,,,,$58.30,$0.00,1,0,1,1,1,1,20101001,D9211,HCPCS,Regional block anesthesia,,,26 ,,NW,,,,,,$43.07,$0.00,1,0,1,1,1,1,20101001,D9212,HCPCS,Trigeminal division block anes,,,26 ,,NW,,,,,,$71.95,$0.00,1,0,1,1,1,1,20101001,D9215,HCPCS,Local anesthesia,,,26 ,,NW,,,,,,$46.61,$0.00,1,0,1,1,1,1,20101001,D9220,HCPCS,Dp sedation/gen anes-1st 30 min,,,26 ,,NW,,,,,,$415.86,$0.00,1,0,1,1,1,1,20101001,D9221,HCPCS,Dp sedat/gen anes-ea add 15 min,,,26 ,,NW,,,,,,$179.14,$0.00,1,0,1,1,1,1,20101001,D9230,HCPCS,Analg anxiolysis inhal nitrous oxid,,,26 ,,NW,,,,,,$71.93,$0.00,1,0,1,1,1,1,20101001,D9241,HCPCS,Iv consc sedat/analg -1st 30 min,,,26 ,,NW,,,,,,$375.02,$0.00,1,0,1,1,1,1,20101001,D9242,HCPCS,Iv consc sedat/analg-ea add 15 min,,,26 ,,NW,,,,,,$156.70,$0.00,1,0,1,1,1,1,20101001,D9248,HCPCS,Non-intravenous conscious sedation,,,26 ,,NW,,,,,,$117.16,$0.00,1,0,1,1,1,1,20101001,D9310,HCPCS,Cnslt dx dent/phy not req dent/phy,,,25 ,,NW,,,,,,$135.09,$0.00,1,0,1,1,1,1,20101001,D9410,HCPCS,House/extended care facility call,,,25 ,,NW,,,,,,$111.73,$0.00,1,0,1,1,1,1,20101001,D9420,HCPCS,Hospital call,,,25 ,,NW,,,,,,$288.68,$0.00,1,0,1,1,1,1,20101001,D9430,HCPCS,Ov obs - no oth services performed,,,25 ,,NW,,,,,,$77.72,$0.00,1,0,1,1,1,1,20101001,D9440,HCPCS,Ov-after regularly scheduled hours,,,25 ,,NW,,,,,,$139.40,$0.00,1,0,1,1,1,1,20101001,D9450,HCPCS,Case prsation dtl&ext tx planning,,,25 ,,NW,,,,,,$61.70,$0.00,1,0,1,1,1,1,20101001,D9610,HCPCS,Tx parentral drug 1 administration,,,27 ,,NW,,,,,,$91.13,$0.00,1,0,1,1,1,1,20101001,D9612,HCPCS,Thera par drugs 2 or > admin,,,27 ,,NW,,,,,,$143.96,$0.00,1,0,1,1,1,1,20101001,D9630,HCPCS,Other drugs &/ medicaments by rpt,,,27 ,,NW,,,,,,$46.80,$0.00,1,0,1,1,1,1,20101001,D9910,HCPCS,Application desenzt medicament,,,27 ,,NW,,,,,,$58.62,$0.00,1,0,1,1,1,1,20101001,D9911,HCPCS,Applic desenzt rsn cerv&/root-tooth,,,27 ,,NW,,,,,,$75.42,$0.00,1,0,1,1,1,1,20101001,D9920,HCPCS,Behavior management by report,,,27 ,,NW,,,,,,$145.04,$0.00,1,0,1,1,1,1,20101001,D9930,HCPCS,Tx comps - unusul circumstances rpt,,,27 ,,NW,,,,,,$122.78,$0.00,1,0,1,1,1,1,20101001,D9940,HCPCS,Occlusal guard by report,,,27 ,,NW,,,,,,$555.29,$0.00,1,0,1,1,1,1,20101001,D9941,HCPCS,Fabrication of athletic mouthguard,,,27 ,,NW,,,,,,$201.68,$0.00,1,0,1,1,1,1,20101001,D9942,HCPCS,Repair &/ reline of occlusal guard,,,27 ,,NW,,,,,,$213.78,$0.00,1,0,1,1,1,1,20101001,D9950,HCPCS,Occlusion analysis - mounted case,,,27 ,,NW,,,,,,$332.07,$0.00,1,0,1,1,1,1,20101001,D9951,HCPCS,Occlusal adjustment - limited,,,27 ,,NW,,,,,,$157.16,$0.00,1,0,1,1,1,1,20101001,D9952,HCPCS,Occlusal adjustment - complete,,,27 ,,NW,,,,,,$660.63,$0.00,1,0,1,1,1,1,20101001,D9970,HCPCS,Enamel microabrasion,,,27 ,,NW,,,,,,$76.02,$0.00,1,0,1,1,1,1,20101001,D9971,HCPCS,Odontplsty 1-2 teeth;remv enaml prj,,,27 ,,NW,,,,,,$93.02,$0.00,1,0,1,1,1,1,20101001,D9972,HCPCS,External bleaching - per arch,,,27 ,,NW,,,,,,$335.66,$0.00,1,0,1,1,1,1,20101001,D9973,HCPCS,External bleaching - per tooth,,,27 ,,NW,,,,,,$58.32,$0.00,1,0,1,1,1,1,20101001,D9974,HCPCS,Internal bleaching - per tooth,,,27 ,,NW,,,,,,$287.07,$0.00,1,0,1,1,1,1,20101001,D9999,HCPCS,Uns adjunctive procedure report,,,27 ,,NW,,,,,,$122.33,$0.00,1,0,1,1,1,1,20101001,E0100,HCPCS,Cane adjust/fixed with tip,,,28 ,,NW,,,,,,$39.26,$0.00,1,1,1,1,1,1,20101001,E0100,HCPCS,Cane adjust/fixed with tip,NU,,28 ,,NW,,,,,,$39.26,$0.00,1,1,1,1,1,1,20101001,E0100,HCPCS,Cane adjust/fixed with tip,RR,,28 ,,NW,,,,,,$14.52,$0.00,1,1,1,1,1,1,20101001,E0100,HCPCS,Cane adjust/fixed with tip,UE,,28 ,,NW,,,,,,$31.81,$0.00,1,1,1,1,1,1,20101001,E0105,HCPCS,Cane adjust/fixed quad/3 pro,,,28 ,,NW,,,,,,$88.79,$0.00,1,1,1,1,1,1,20101001,E0105,HCPCS,Cane adjust/fixed quad/3 pro,NU,,28 ,,NW,,,,,,$88.79,$0.00,1,1,1,1,1,1,20101001,E0105,HCPCS,Cane adjust/fixed quad/3 pro,RR,,28 ,,NW,,,,,,$19.15,$0.00,1,1,1,1,1,1,20101001,E0105,HCPCS,Cane adjust/fixed quad/3 pro,UE,,28 ,,NW,,,,,,$67.25,$0.00,1,1,1,1,1,1,20101001,E0110,HCPCS,Crutch forearm pair,,,28 ,,NW,,,,,,$149.24,$0.00,1,1,1,1,1,1,20101001,E0110,HCPCS,Crutch forearm pair,NU,,28 ,,NW,,,,,,$149.24,$0.00,1,1,1,1,1,1,20101001,E0110,HCPCS,Crutch forearm pair,RR,,28 ,,NW,,,,,,$30.52,$0.00,1,1,1,1,1,1,20101001,E0110,HCPCS,Crutch forearm pair,UE,,28 ,,NW,,,,,,$105.19,$0.00,1,1,1,1,1,1,20101001,E0111,HCPCS,Crutch forearm each,,,28 ,,NW,,,,,,$93.67,$0.00,1,1,1,1,1,1,20101001,E0111,HCPCS,Crutch forearm each,NU,,28 ,,NW,,,,,,$93.67,$0.00,1,1,1,1,1,1,20101001,E0111,HCPCS,Crutch forearm each,RR,,28 ,,NW,,,,,,$18.34,$0.00,1,1,1,1,1,1,20101001,E0111,HCPCS,Crutch forearm each,UE,,28 ,,NW,,,,,,$70.58,$0.00,1,1,1,1,1,1,20101001,E0112,HCPCS,Crutch underarm pair wood,,,28 ,,NW,,,,,,$64.71,$0.00,1,1,1,1,1,1,20101001,E0112,HCPCS,Crutch underarm pair wood,NU,,28 ,,NW,,,,,,$64.71,$0.00,1,1,1,1,1,1,20101001,E0112,HCPCS,Crutch underarm pair wood,RR,,28 ,,NW,,,,,,$20.71,$0.00,1,1,1,1,1,1,20101001,E0112,HCPCS,Crutch underarm pair wood,UE,,28 ,,NW,,,,,,$50.76,$0.00,1,1,1,1,1,1,20101001,E0113,HCPCS,Crutch underarm each wood,,,28 ,,NW,,,,,,$38.79,$0.00,1,1,1,1,1,1,20101001,E0113,HCPCS,Crutch underarm each wood,NU,,28 ,,NW,,,,,,$38.79,$0.00,1,1,1,1,1,1,20101001,E0113,HCPCS,Crutch underarm each wood,RR,,28 ,,NW,,,,,,$13.17,$0.00,1,1,1,1,1,1,20101001,E0113,HCPCS,Crutch underarm each wood,UE,,28 ,,NW,,,,,,$30.32,$0.00,1,1,1,1,1,1,20101001,E0114,HCPCS,Crutch underarm pair no wood,,,28 ,,NW,,,,,,$80.41,$0.00,1,1,1,1,1,1,20101001,E0114,HCPCS,Crutch underarm pair no wood,NU,,28 ,,NW,,,,,,$80.41,$0.00,1,1,1,1,1,1,20101001,E0114,HCPCS,Crutch underarm pair no wood,RR,,28 ,,NW,,,,,,$18.57,$0.00,1,1,1,1,1,1,20101001,E0114,HCPCS,Crutch underarm pair no wood,UE,,28 ,,NW,,,,,,$61.86,$0.00,1,1,1,1,1,1,20101001,E0116,HCPCS,Crutch underarm each no wood,,,28 ,,NW,,,,,,$47.62,$0.00,1,1,1,1,1,1,20101001,E0116,HCPCS,Crutch underarm each no wood,NU,,28 ,,NW,,,,,,$47.62,$0.00,1,1,1,1,1,1,20101001,E0116,HCPCS,Crutch underarm each no wood,RR,,28 ,,NW,,,,,,$13.38,$0.00,1,1,1,1,1,1,20101001,E0116,HCPCS,Crutch underarm each no wood,UE,,28 ,,NW,,,,,,$37.05,$0.00,1,1,1,1,1,1,20101001,E0117,HCPCS,Underarm springassist crutch,,,28 ,,NW,,,,,,$434.82,$0.00,1,1,1,1,1,1,20101001,E0117,HCPCS,Underarm springassist crutch,NU,,28 ,,NW,,,,,,$434.82,$0.00,1,1,1,1,1,1,20101001,E0117,HCPCS,Underarm springassist crutch,RR,,28 ,,NW,,,,,,$37.70,$0.00,1,1,1,1,1,1,20101001,E0117,HCPCS,Underarm springassist crutch,UE,,28 ,,NW,,,,,,$319.51,$0.00,1,1,1,1,1,1,20101001,E0118,HCPCS,Crutch Substitute,,,28 ,,NW,,,,,,$46.44,$0.00,1,1,1,1,1,1,20101001,E0118,HCPCS,Crutch Substitute,RR,,28 ,,NW,,,,,,$5.08,$0.00,1,1,1,1,1,1,20101001,E0130,HCPCS,Walker rigid adjust/fixed ht,,,28 ,,NW,,,,,,$113.06,$0.00,1,1,1,1,1,1,20101001,E0130,HCPCS,Walker rigid adjust/fixed ht,NU,,28 ,,NW,,,,,,$113.06,$0.00,1,1,1,1,1,1,20101001,E0130,HCPCS,Walker rigid adjust/fixed ht,RR,,28 ,,NW,,,,,,$28.36,$0.00,1,1,1,1,1,1,20101001,E0130,HCPCS,Walker rigid adjust/fixed ht,UE,,28 ,,NW,,,,,,$82.56,$0.00,1,1,1,1,1,1,20101001,E0135,HCPCS,Walker folding adjust/fixed,,,28 ,,NW,,,,,,$141.70,$0.00,1,1,1,1,1,1,20101001,E0135,HCPCS,Walker folding adjust/fixed,NU,,28 ,,NW,,,,,,$141.70,$0.00,1,1,1,1,1,1,20101001,E0135,HCPCS,Walker folding adjust/fixed,RR,,28 ,,NW,,,,,,$29.33,$0.00,1,1,1,1,1,1,20101001,E0135,HCPCS,Walker folding adjust/fixed,UE,,28 ,,NW,,,,,,$100.61,$0.00,1,1,1,1,1,1,20101001,E0140,HCPCS,Walker w trunk support,,,28 ,,NW,,,,,,$717.77,$0.00,1,1,1,1,1,1,20101001,E0140,HCPCS,Walker w trunk support,NU,,28 ,,NW,,,,,,$717.77,$0.00,1,1,1,1,1,1,20101001,E0140,HCPCS,Walker w trunk support,RR,,28 ,,NW,,,,,,$57.87,$0.00,1,1,1,1,1,1,20101001,E0140,HCPCS,Walker w trunk support,UE,,28 ,,NW,,,,,,$531.71,$0.00,1,1,1,1,1,1,20101001,E0141,HCPCS,Rigid wheeled walker adj/fix,,,28 ,,NW,,,,,,$204.12,$0.00,1,1,1,1,1,1,20101001,E0141,HCPCS,Rigid wheeled walker adj/fix,NU,,28 ,,NW,,,,,,$204.12,$0.00,1,1,1,1,1,1,20101001,E0141,HCPCS,Rigid wheeled walker adj/fix,RR,,28 ,,NW,,,,,,$35.70,$0.00,1,1,1,1,1,1,20101001,E0141,HCPCS,Rigid wheeled walker adj/fix,UE,,28 ,,NW,,,,,,$144.73,$0.00,1,1,1,1,1,1,20101001,E0143,HCPCS,Walker folding wheeled w/o s,,,28 ,,NW,,,,,,$211.69,$0.00,1,1,1,1,1,1,20101001,E0143,HCPCS,Walker folding wheeled w/o s,NU,,28 ,,NW,,,,,,$211.69,$0.00,1,1,1,1,1,1,20101001,E0143,HCPCS,Walker folding wheeled w/o s,RR,,28 ,,NW,,,,,,$35.12,$0.00,1,1,1,1,1,1,20101001,E0143,HCPCS,Walker folding wheeled w/o s,UE,,28 ,,NW,,,,,,$148.94,$0.00,1,1,1,1,1,1,20101001,E0144,HCPCS,Enclosed walker w rear seat,,,28 ,,NW,,,,,,$630.57,$0.00,1,1,1,1,1,1,20101001,E0144,HCPCS,Enclosed walker w rear seat,NU,,28 ,,NW,,,,,,$630.57,$0.00,1,1,1,1,1,1,20101001,E0144,HCPCS,Enclosed walker w rear seat,RR,,28 ,,NW,,,,,,$50.39,$0.00,1,1,1,1,1,1,20101001,E0144,HCPCS,Enclosed walker w rear seat,UE,,28 ,,NW,,,,,,$452.76,$0.00,1,1,1,1,1,1,20101001,E0147,HCPCS,Walker variable wheel resist,,,28 ,,NW,,,,,,"$1,159.58",$0.00,1,1,1,1,1,1,20101001,E0147,HCPCS,Walker variable wheel resist,NU,,28 ,,NW,,,,,,"$1,159.58",$0.00,1,1,1,1,1,1,20101001,E0147,HCPCS,Walker variable wheel resist,RR,,28 ,,NW,,,,,,$92.04,$0.00,1,1,1,1,1,1,20101001,E0147,HCPCS,Walker variable wheel resist,UE,,28 ,,NW,,,,,,$863.09,$0.00,1,1,1,1,1,1,20101001,E0148,HCPCS,Heavyduty walker no wheels,,,28 ,,NW,,,,,,$235.60,$0.00,1,1,1,1,1,1,20101001,E0148,HCPCS,Heavyduty walker no wheels,NU,,28 ,,NW,,,,,,$235.60,$0.00,1,1,1,1,1,1,20101001,E0148,HCPCS,Heavyduty walker no wheels,RR,,28 ,,NW,,,,,,$23.57,$0.00,1,1,1,1,1,1,20101001,E0148,HCPCS,Heavyduty walker no wheels,UE,,28 ,,NW,,,,,,$170.04,$0.00,1,1,1,1,1,1,20101001,E0149,HCPCS,Heavy duty wheeled walker,,,28 ,,NW,,,,,,$434.02,$0.00,1,1,1,1,1,1,20101001,E0149,HCPCS,Heavy duty wheeled walker,NU,,28 ,,NW,,,,,,$434.02,$0.00,1,1,1,1,1,1,20101001,E0149,HCPCS,Heavy duty wheeled walker,RR,,28 ,,NW,,,,,,$37.67,$0.00,1,1,1,1,1,1,20101001,E0149,HCPCS,Heavy duty wheeled walker,UE,,28 ,,NW,,,,,,$318.85,$0.00,1,1,1,1,1,1,20101001,E0153,HCPCS,Forearm crutch platform atta,,,28 ,,NW,,,,,,$130.93,$0.00,1,1,1,1,1,1,20101001,E0153,HCPCS,Forearm crutch platform atta,NU,,28 ,,NW,,,,,,$130.93,$0.00,1,1,1,1,1,1,20101001,E0153,HCPCS,Forearm crutch platform atta,RR,,28 ,,NW,,,,,,$17.74,$0.00,1,1,1,1,1,1,20101001,E0153,HCPCS,Forearm crutch platform atta,UE,,28 ,,NW,,,,,,$91.54,$0.00,1,1,1,1,1,1,20101001,E0154,HCPCS,Walker platform attachment,,,28 ,,NW,,,,,,$112.33,$0.00,1,1,1,1,1,1,20101001,E0154,HCPCS,Walker platform attachment,NU,,28 ,,NW,,,,,,$112.33,$0.00,1,1,1,1,1,1,20101001,E0154,HCPCS,Walker platform attachment,RR,,28 ,,NW,,,,,,$16.86,$0.00,1,1,1,1,1,1,20101001,E0154,HCPCS,Walker platform attachment,UE,,28 ,,NW,,,,,,$79.80,$0.00,1,1,1,1,1,1,20101001,E0155,HCPCS,"Walker wheel attachment,pair",,,28 ,,NW,,,,,,$48.72,$0.00,1,1,1,1,1,1,20101001,E0155,HCPCS,"Walker wheel attachment,pair",NU,,28 ,,NW,,,,,,$48.72,$0.00,1,1,1,1,1,1,20101001,E0155,HCPCS,"Walker wheel attachment,pair",RR,,28 ,,NW,,,,,,$8.57,$0.00,1,1,1,1,1,1,20101001,E0155,HCPCS,"Walker wheel attachment,pair",UE,,28 ,,NW,,,,,,$38.22,$0.00,1,1,1,1,1,1,20101001,E0156,HCPCS,Walker seat attachment,,,28 ,,NW,,,,,,$41.57,$0.00,1,1,1,1,1,1,20101001,E0156,HCPCS,Walker seat attachment,NU,,28 ,,NW,,,,,,$41.57,$0.00,1,1,1,1,1,1,20101001,E0156,HCPCS,Walker seat attachment,RR,,28 ,,NW,,,,,,$7.30,$0.00,1,1,1,1,1,1,20101001,E0156,HCPCS,Walker seat attachment,UE,,28 ,,NW,,,,,,$32.43,$0.00,1,1,1,1,1,1,20101001,E0157,HCPCS,Walker crutch attachment,,,28 ,,NW,,,,,,$127.18,$0.00,1,1,1,1,1,1,20101001,E0157,HCPCS,Walker crutch attachment,NU,,28 ,,NW,,,,,,$127.18,$0.00,1,1,1,1,1,1,20101001,E0157,HCPCS,Walker crutch attachment,RR,,28 ,,NW,,,,,,$16.97,$0.00,1,1,1,1,1,1,20101001,E0157,HCPCS,Walker crutch attachment,UE,,28 ,,NW,,,,,,$88.75,$0.00,1,1,1,1,1,1,20101001,E0158,HCPCS,Walker leg extenders set of4,,,28 ,,NW,,,,,,$49.38,$0.00,1,1,1,1,1,1,20101001,E0158,HCPCS,Walker leg extenders set of4,NU,,28 ,,NW,,,,,,$49.38,$0.00,1,1,1,1,1,1,20101001,E0158,HCPCS,Walker leg extenders set of4,RR,,28 ,,NW,,,,,,$7.83,$0.00,1,1,1,1,1,1,20101001,E0158,HCPCS,Walker leg extenders set of4,UE,,28 ,,NW,,,,,,$38.45,$0.00,1,1,1,1,1,1,20101001,E0159,HCPCS,Brake for wheeled walker,,,28 ,,NW,,,,,,$31.13,$0.00,1,1,1,1,1,1,20101001,E0159,HCPCS,Brake for wheeled walker,NU,,28 ,,NW,,,,,,$31.13,$0.00,1,1,1,1,1,1,20101001,E0159,HCPCS,Brake for wheeled walker,RR,,28 ,,NW,,,,,,$4.29,$0.00,1,1,1,1,1,1,20101001,E0159,HCPCS,Brake for wheeled walker,UE,,28 ,,NW,,,,,,$24.58,$0.00,1,1,1,1,1,1,20101001,E0160,HCPCS,Sitz type bath or equipment,,,28 ,,NW,,,,,,$57.34,$0.00,1,1,1,1,1,1,20101001,E0160,HCPCS,Sitz type bath or equipment,NU,,28 ,,NW,,,,,,$57.34,$0.00,1,1,1,1,1,1,20101001,E0160,HCPCS,Sitz type bath or equipment,RR,,28 ,,NW,,,,,,$11.29,$0.00,1,1,1,1,1,1,20101001,E0160,HCPCS,Sitz type bath or equipment,UE,,28 ,,NW,,,,,,$44.58,$0.00,1,1,1,1,1,1,20101001,E0161,HCPCS,Sitz bath/equipment w/faucet,,,28 ,,NW,,,,,,$46.81,$0.00,1,1,1,1,1,1,20101001,E0161,HCPCS,Sitz bath/equipment w/faucet,NU,,28 ,,NW,,,,,,$46.81,$0.00,1,1,1,1,1,1,20101001,E0161,HCPCS,Sitz bath/equipment w/faucet,RR,,28 ,,NW,,,,,,$8.94,$0.00,1,1,1,1,1,1,20101001,E0161,HCPCS,Sitz bath/equipment w/faucet,UE,,28 ,,NW,,,,,,$36.26,$0.00,1,1,1,1,1,1,20101001,E0162,HCPCS,Sitz bath chair,,,28 ,,NW,,,,,,$293.80,$0.00,1,1,1,1,1,1,20101001,E0162,HCPCS,Sitz bath chair,NU,,28 ,,NW,,,,,,$293.80,$0.00,1,1,1,1,1,1,20101001,E0162,HCPCS,Sitz bath chair,RR,,28 ,,NW,,,,,,$28.79,$0.00,1,1,1,1,1,1,20101001,E0162,HCPCS,Sitz bath chair,UE,,28 ,,NW,,,,,,$220.62,$0.00,1,1,1,1,1,1,20101001,E0163,HCPCS,Commode chair with fixed arm,,,28 ,,NW,,,,,,$230.99,$0.00,1,1,1,1,1,1,20101001,E0163,HCPCS,Commode chair with fixed arm,NU,,28 ,,NW,,,,,,$230.99,$0.00,1,1,1,1,1,1,20101001,E0163,HCPCS,Commode chair with fixed arm,RR,,28 ,,NW,,,,,,$44.85,$0.00,1,1,1,1,1,1,20101001,E0163,HCPCS,Commode chair with fixed arm,UE,,28 ,,NW,,,,,,$167.66,$0.00,1,1,1,1,1,1,20101001,E0165,HCPCS,Commode chair with detacharm,,,28 ,,NW,,,,,,$318.32,$0.00,1,1,1,1,1,1,20101001,E0165,HCPCS,Commode chair with detacharm,RR,,28 ,,NW,,,,,,$34.84,$0.00,1,1,1,1,1,1,20101001,E0167,HCPCS,Commode chair pail or pan,,,28 ,,NW,,,,,,$24.50,$0.00,1,1,1,1,1,1,20101001,E0167,HCPCS,Commode chair pail or pan,NU,,28 ,,NW,,,,,,$24.50,$0.00,1,1,1,1,1,1,20101001,E0167,HCPCS,Commode chair pail or pan,RR,,28 ,,NW,,,,,,$3.26,$0.00,1,1,1,1,1,1,20101001,E0167,HCPCS,Commode chair pail or pan,UE,,28 ,,NW,,,,,,$19.82,$0.00,1,1,1,1,1,1,20101001,E0168,HCPCS,Heavyduty/wide commode chair,,,28 ,,NW,,,,,,$334.77,$0.00,1,1,1,1,1,1,20101001,E0168,HCPCS,Heavyduty/wide commode chair,NU,,28 ,,NW,,,,,,$334.77,$0.00,1,1,1,1,1,1,20101001,E0168,HCPCS,Heavyduty/wide commode chair,RR,,28 ,,NW,,,,,,$30.67,$0.00,1,1,1,1,1,1,20101001,E0168,HCPCS,Heavyduty/wide commode chair,UE,,28 ,,NW,,,,,,$244.40,$0.00,1,1,1,1,1,1,20101001,E0170,HCPCS,Commode Chair Electric,,,28 ,,NW,,,,,,"$3,273.28",$0.00,1,1,1,1,1,1,20101001,E0170,HCPCS,Commode Chair Electric,RR,,28 ,,NW,,,,,,$358.23,$0.00,1,1,1,1,1,1,20101001,E0171,HCPCS,Commode Chair Non-Electric,,,28 ,,NW,,,,,,$495.01,$0.00,1,1,1,1,1,1,20101001,E0171,HCPCS,Commode Chair Non-Electric,RR,,28 ,,NW,,,,,,$54.17,$0.00,1,1,1,1,1,1,20101001,E0172,HCPCS,Seat Lift Mechanism Toilet,,,28 ,,NW,,,,,,$353.41,$0.00,1,1,1,1,1,1,20101001,E0175,HCPCS,Commode chair foot rest,,,28 ,,NW,,,,,,$121.98,$0.00,1,1,1,1,1,1,20101001,E0175,HCPCS,Commode chair foot rest,NU,,28 ,,NW,,,,,,$121.98,$0.00,1,1,1,1,1,1,20101001,E0175,HCPCS,Commode chair foot rest,RR,,28 ,,NW,,,,,,$15.43,$0.00,1,1,1,1,1,1,20101001,E0175,HCPCS,Commode chair foot rest,UE,,28 ,,NW,,,,,,$82.67,$0.00,1,1,1,1,1,1,20101001,E0181,HCPCS,Press pad alternating w/ pum,,,28 ,,NW,,,,,,$450.24,$0.00,1,1,1,1,1,1,20101001,E0181,HCPCS,Press pad alternating w/ pum,RR,,28 ,,NW,,,,,,$49.27,$0.00,1,1,1,1,1,1,20101001,E0182,HCPCS,"Replace pump, alt press pad",,,28 ,,NW,,,,,,$422.35,$0.00,1,1,1,1,1,1,20101001,E0182,HCPCS,"Replace pump, alt press pad",RR,,28 ,,NW,,,,,,$46.22,$0.00,1,1,1,1,1,1,20101001,E0184,HCPCS,Dry pressure mattress,,,28 ,,NW,,,,,,$403.19,$0.00,1,1,1,1,1,1,20101001,E0184,HCPCS,Dry pressure mattress,NU,,28 ,,NW,,,,,,$403.19,$0.00,1,1,1,1,1,1,20101001,E0184,HCPCS,Dry pressure mattress,RR,,28 ,,NW,,,,,,$45.49,$0.00,1,1,1,1,1,1,20101001,E0184,HCPCS,Dry pressure mattress,UE,,28 ,,NW,,,,,,$302.96,$0.00,1,1,1,1,1,1,20101001,E0185,HCPCS,Gel pressure mattress pad,,,28 ,,NW,,,,,,$690.90,$0.00,1,1,1,1,1,1,20101001,E0185,HCPCS,Gel pressure mattress pad,NU,,28 ,,NW,,,,,,$690.90,$0.00,1,1,1,1,1,1,20101001,E0185,HCPCS,Gel pressure mattress pad,RR,,28 ,,NW,,,,,,$78.41,$0.00,1,1,1,1,1,1,20101001,E0185,HCPCS,Gel pressure mattress pad,UE,,28 ,,NW,,,,,,$527.21,$0.00,1,1,1,1,1,1,20101001,E0186,HCPCS,Air pressure mattress,,,28 ,,NW,,,,,,$347.64,$0.00,1,1,1,1,1,1,20101001,E0186,HCPCS,Air pressure mattress,RR,,28 ,,NW,,,,,,$38.05,$0.00,1,1,1,1,1,1,20101001,E0187,HCPCS,Water pressure mattress,,,28 ,,NW,,,,,,$388.74,$0.00,1,1,1,1,1,1,20101001,E0187,HCPCS,Water pressure mattress,RR,,28 ,,NW,,,,,,$42.54,$0.00,1,1,1,1,1,1,20101001,E0188,HCPCS,Synthetic sheepskin pad,,,28 ,,NW,,,,,,$47.73,$0.00,1,1,1,1,1,1,20101001,E0188,HCPCS,Synthetic sheepskin pad,NU,,28 ,,NW,,,,,,$47.73,$0.00,1,1,1,1,1,1,20101001,E0188,HCPCS,Synthetic sheepskin pad,RR,,28 ,,NW,,,,,,$8.01,$0.00,1,1,1,1,1,1,20101001,E0188,HCPCS,Synthetic sheepskin pad,UE,,28 ,,NW,,,,,,$37.01,$0.00,1,1,1,1,1,1,20101001,E0189,HCPCS,Lambswool sheepskin pad,,,28 ,,NW,,,,,,$92.12,$0.00,1,1,1,1,1,1,20101001,E0189,HCPCS,Lambswool sheepskin pad,NU,,28 ,,NW,,,,,,$92.12,$0.00,1,1,1,1,1,1,20101001,E0189,HCPCS,Lambswool sheepskin pad,RR,,28 ,,NW,,,,,,$14.15,$0.00,1,1,1,1,1,1,20101001,E0189,HCPCS,Lambswool sheepskin pad,UE,,28 ,,NW,,,,,,$68.26,$0.00,1,1,1,1,1,1,20101001,E0190,HCPCS,Positioning cushion,,,28 ,,NW,,,,,,$63.12,$0.00,1,1,1,1,1,1,20101001,E0191,HCPCS,Protector heel or elbow,,,28 ,,NW,,,,,,$20.68,$0.00,1,1,1,1,1,1,20101001,E0191,HCPCS,Protector heel or elbow,NU,,28 ,,NW,,,,,,$20.68,$0.00,1,1,1,1,1,1,20101001,E0191,HCPCS,Protector heel or elbow,RR,,28 ,,NW,,,,,,$2.55,$0.00,1,1,1,1,1,1,20101001,E0191,HCPCS,Protector heel or elbow,UE,,28 ,,NW,,,,,,$16.70,$0.00,1,1,1,1,1,1,20101001,E0193,HCPCS,Powered air flotation bed,,,28 ,,NW,,,,,,"$10,453.88",$0.00,1,1,1,1,1,1,20101001,E0193,HCPCS,Powered air flotation bed,RR,,28 ,,NW,,,,,,"$1,144.07",$0.00,1,1,1,1,1,1,20101001,E0194,HCPCS,Air fluidized bed,,,28 ,,NW,,,,,,"$39,567.99",$0.00,1,1,1,1,1,1,20101001,E0194,HCPCS,Air fluidized bed,RR,,28 ,,NW,,,,,,"$4,330.33",$0.00,1,1,1,1,1,1,20101001,E0194,HCPCS,Air fluidized bed,UE,,28 ,,NW,,,,,,"$15,236.46",$0.00,1,1,1,1,1,1,20101001,E0196,HCPCS,Gel pressure mattress,,,28 ,,NW,,,,,,$626.25,$0.00,1,1,1,1,1,1,20101001,E0196,HCPCS,Gel pressure mattress,RR,,28 ,,NW,,,,,,$68.54,$0.00,1,1,1,1,1,1,20101001,E0196,HCPCS,Gel pressure mattress,UE,,28 ,,NW,,,,,,$159.57,$0.00,1,1,1,1,1,1,20101001,E0197,HCPCS,Air pressure pad for mattres,,,28 ,,NW,,,,,,$468.14,$0.00,1,1,1,1,1,1,20101001,E0197,HCPCS,Air pressure pad for mattres,NU,,28 ,,NW,,,,,,$468.14,$0.00,1,1,1,1,1,1,20101001,E0197,HCPCS,Air pressure pad for mattres,RR,,28 ,,NW,,,,,,$53.49,$0.00,1,1,1,1,1,1,20101001,E0197,HCPCS,Air pressure pad for mattres,UE,,28 ,,NW,,,,,,$404.64,$0.00,1,1,1,1,1,1,20101001,E0198,HCPCS,Water pressure pad for mattr,,,28 ,,NW,,,,,,$473.09,$0.00,1,1,1,1,1,1,20101001,E0198,HCPCS,Water pressure pad for mattr,NU,,28 ,,NW,,,,,,$473.09,$0.00,1,1,1,1,1,1,20101001,E0198,HCPCS,Water pressure pad for mattr,RR,,28 ,,NW,,,,,,$42.22,$0.00,1,1,1,1,1,1,20101001,E0198,HCPCS,Water pressure pad for mattr,UE,,28 ,,NW,,,,,,$353.63,$0.00,1,1,1,1,1,1,20101001,E0199,HCPCS,Dry pressure pad for mattres,,,28 ,,NW,,,,,,$57.56,$0.00,1,1,1,1,1,1,20101001,E0199,HCPCS,Dry pressure pad for mattres,NU,,28 ,,NW,,,,,,$57.56,$0.00,1,1,1,1,1,1,20101001,E0199,HCPCS,Dry pressure pad for mattres,RR,,28 ,,NW,,,,,,$9.04,$0.00,1,1,1,1,1,1,20101001,E0199,HCPCS,Dry pressure pad for mattres,UE,,28 ,,NW,,,,,,$45.48,$0.00,1,1,1,1,1,1,20101001,E0200,HCPCS,Heat lamp without stand,,,28 ,,NW,,,,,,$155.89,$0.00,1,1,1,1,1,1,20101001,E0200,HCPCS,Heat lamp without stand,NU,,28 ,,NW,,,,,,$155.89,$0.00,1,1,1,1,1,1,20101001,E0200,HCPCS,Heat lamp without stand,RR,,28 ,,NW,,,,,,$22.71,$0.00,1,1,1,1,1,1,20101001,E0200,HCPCS,Heat lamp without stand,UE,,28 ,,NW,,,,,,$110.34,$0.00,1,1,1,1,1,1,20101001,E0202,HCPCS,Phototherapy light w/ photom,,,28 ,,NW,,,,,,"$1,046.10",$0.00,1,1,1,1,1,1,20101001,E0202,HCPCS,Phototherapy light w/ photom,RR,,28 ,,NW,,,,,,$114.49,$0.00,1,1,1,1,1,1,20101001,E0203,HCPCS,Therapeutic lightbox tabletp,,,28 ,,NW,,,,,,$448.35,$0.00,1,1,1,1,1,1,20101001,E0205,HCPCS,Heat lamp with stand,,,28 ,,NW,,,,,,$404.93,$0.00,1,1,1,1,1,1,20101001,E0205,HCPCS,Heat lamp with stand,NU,,28 ,,NW,,,,,,$404.93,$0.00,1,1,1,1,1,1,20101001,E0205,HCPCS,Heat lamp with stand,RR,,28 ,,NW,,,,,,$40.20,$0.00,1,1,1,1,1,1,20101001,E0205,HCPCS,Heat lamp with stand,UE,,28 ,,NW,,,,,,$297.05,$0.00,1,1,1,1,1,1,20101001,E0210,HCPCS,Electric heat pad standard,,,28 ,,NW,,,,,,$57.14,$0.00,1,1,1,1,1,1,20101001,E0210,HCPCS,Electric heat pad standard,NU,,28 ,,NW,,,,,,$57.14,$0.00,1,1,1,1,1,1,20101001,E0210,HCPCS,Electric heat pad standard,RR,,28 ,,NW,,,,,,$8.75,$0.00,1,1,1,1,1,1,20101001,E0210,HCPCS,Electric heat pad standard,UE,,28 ,,NW,,,,,,$44.06,$0.00,1,1,1,1,1,1,20101001,E0215,HCPCS,Electric heat pad moist,,,28 ,,NW,,,,,,$131.88,$0.00,1,1,1,1,1,1,20101001,E0215,HCPCS,Electric heat pad moist,NU,,28 ,,NW,,,,,,$131.88,$0.00,1,1,1,1,1,1,20101001,E0215,HCPCS,Electric heat pad moist,RR,,28 ,,NW,,,,,,$17.28,$0.00,1,1,1,1,1,1,20101001,E0215,HCPCS,Electric heat pad moist,UE,,28 ,,NW,,,,,,$92.48,$0.00,1,1,1,1,1,1,20101001,E0217,HCPCS,Water circ heat pad w pump,,,28 ,,NW,,,,,,"$1,084.37",$0.00,1,1,1,1,1,1,20101001,E0217,HCPCS,Water circ heat pad w pump,NU,,28 ,,NW,,,,,,"$1,084.37",$0.00,1,1,1,1,1,1,20101001,E0217,HCPCS,Water circ heat pad w pump,RR,,28 ,,NW,,,,,,$96.82,$0.00,1,1,1,1,1,1,20101001,E0217,HCPCS,Water circ heat pad w pump,UE,,28 ,,NW,,,,,,$806.58,$0.00,1,1,1,1,1,1,20101001,E0218,HCPCS,Water circ cold pad w pump,,,28 ,,NW,,,,,,$349.60,$0.00,1,1,1,1,1,1,20101001,E0220,HCPCS,Hot water bottle,,,28 ,,NW,,,,,,$18.43,$0.00,1,1,1,1,1,1,20101001,E0220,HCPCS,Hot water bottle,NU,,28 ,,NW,,,,,,$18.43,$0.00,1,1,1,1,1,1,20101001,E0220,HCPCS,Hot water bottle,RR,,28 ,,NW,,,,,,$2.31,$0.00,1,1,1,1,1,1,20101001,E0220,HCPCS,Hot water bottle,UE,,28 ,,NW,,,,,,$15.04,$0.00,1,1,1,1,1,1,20101001,E0221,HCPCS,Infrared heating pad system,,,28 ,,NW,,,,,,$430.13,$0.00,1,1,1,1,1,1,20101001,E0225,HCPCS,Hydrocollator unit,,,28 ,,NW,,,,,,$841.49,$0.00,1,1,1,1,1,1,20101001,E0225,HCPCS,Hydrocollator unit,NU,,28 ,,NW,,,,,,$841.49,$0.00,1,1,1,1,1,1,20101001,E0225,HCPCS,Hydrocollator unit,RR,,28 ,,NW,,,,,,$65.69,$0.00,1,1,1,1,1,1,20101001,E0225,HCPCS,Hydrocollator unit,UE,,28 ,,NW,,,,,,$623.89,$0.00,1,1,1,1,1,1,20101001,E0230,HCPCS,Ice cap or collar,,,28 ,,NW,,,,,,$18.52,$0.00,1,1,1,1,1,1,20101001,E0230,HCPCS,Ice cap or collar,NU,,28 ,,NW,,,,,,$18.52,$0.00,1,1,1,1,1,1,20101001,E0230,HCPCS,Ice cap or collar,RR,,28 ,,NW,,,,,,$2.46,$0.00,1,1,1,1,1,1,20101001,E0230,HCPCS,Ice cap or collar,UE,,28 ,,NW,,,,,,$15.10,$0.00,1,1,1,1,1,1,20101001,E0231,HCPCS,Wound warming device,,,28 ,,NW,,,,,,$409.22,$0.00,1,1,1,1,1,1,20101001,E0231,HCPCS,Wound warming device,RR,,28 ,,NW,,,,,,$44.79,$0.00,1,1,1,1,1,1,20101001,E0232,HCPCS,Warming Card For Nwt,,,28 ,,NW,,,,,,$129.08,$0.00,1,1,1,1,1,1,20101001,E0235,HCPCS,Paraffin bath unit portable,,,28 ,,NW,,,,,,$307.63,$0.00,1,1,1,1,1,1,20101001,E0235,HCPCS,Paraffin bath unit portable,RR,,28 ,,NW,,,,,,$33.67,$0.00,1,1,1,1,1,1,20101001,E0235,HCPCS,Paraffin bath unit portable,UE,,28 ,,NW,,,,,,$109.02,$0.00,1,1,1,1,1,1,20101001,E0236,HCPCS,Pump for water circulating p,,,28 ,,NW,,,,,,$693.27,$0.00,1,1,1,1,1,1,20101001,E0236,HCPCS,Pump for water circulating p,RR,,28 ,,NW,,,,,,$75.87,$0.00,1,1,1,1,1,1,20101001,E0236,HCPCS,Pump for water circulating p,UE,,28 ,,NW,,,,,,$267.20,$0.00,1,1,1,1,1,1,20101001,E0238,HCPCS,Heat pad non-electric moist,,,28 ,,NW,,,,,,$48.80,$0.00,1,1,1,1,1,1,20101001,E0238,HCPCS,Heat pad non-electric moist,NU,,28 ,,NW,,,,,,$48.80,$0.00,1,1,1,1,1,1,20101001,E0238,HCPCS,Heat pad non-electric moist,RR,,28 ,,NW,,,,,,$7.13,$0.00,1,1,1,1,1,1,20101001,E0238,HCPCS,Heat pad non-electric moist,UE,,28 ,,NW,,,,,,$37.14,$0.00,1,1,1,1,1,1,20101001,E0239,HCPCS,Hydrocollator unit portable,,,28 ,,NW,,,,,,"$1,003.85",$0.00,1,1,1,1,1,1,20101001,E0239,HCPCS,Hydrocollator unit portable,NU,,28 ,,NW,,,,,,"$1,003.85",$0.00,1,1,1,1,1,1,20101001,E0239,HCPCS,Hydrocollator unit portable,RR,,28 ,,NW,,,,,,$78.36,$0.00,1,1,1,1,1,1,20101001,E0239,HCPCS,Hydrocollator unit portable,UE,,28 ,,NW,,,,,,$746.29,$0.00,1,1,1,1,1,1,20101001,E0240,HCPCS,Bath/shower chair,,,28 ,,NW,,,,,,$59.76,$0.00,1,1,1,1,1,1,20101001,E0241,HCPCS,Bath tub wall rail,,,28 ,,NW,,,,,,$48.23,$0.00,1,1,1,1,1,1,20101001,E0242,HCPCS,Bath tub rail floor,,,28 ,,NW,,,,,,$110.43,$0.00,1,1,1,1,1,1,20101001,E0243,HCPCS,Toilet rail,,,28 ,,NW,,,,,,$82.27,$0.00,1,1,1,1,1,1,20101001,E0244,HCPCS,Toilet seat raised,,,28 ,,NW,,,,,,$63.70,$0.00,1,1,1,1,1,1,20101001,E0245,HCPCS,Tub stool or bench,,,28 ,,NW,,,,,,$109.35,$0.00,1,1,1,1,1,1,20101001,E0246,HCPCS,Transfer tub rail attachment,,,28 ,,NW,,,,,,$159.37,$0.00,1,1,1,1,1,1,20101001,E0247,HCPCS,Trans bench w/wo comm open,,,28 ,,NW,,,,,,$143.25,$0.00,1,1,1,1,1,1,20101001,E0248,HCPCS,Hdtrans bench w/wo comm open,,,28 ,,NW,,,,,,$192.58,$0.00,1,1,1,1,1,1,20101001,E0249,HCPCS,Pad water circulating heat u,,,28 ,,NW,,,,,,$197.20,$0.00,1,1,1,1,1,1,20101001,E0249,HCPCS,Pad water circulating heat u,NU,,28 ,,NW,,,,,,$197.20,$0.00,1,1,1,1,1,1,20101001,E0249,HCPCS,Pad water circulating heat u,RR,,28 ,,NW,,,,,,$22.38,$0.00,1,1,1,1,1,1,20101001,E0249,HCPCS,Pad water circulating heat u,UE,,28 ,,NW,,,,,,$141.26,$0.00,1,1,1,1,1,1,20101001,E0250,HCPCS,Hosp bed fixed ht w/ mattres,,,28 ,,NW,,,,,,"$1,614.91",$0.00,1,1,1,1,1,1,20101001,E0250,HCPCS,Hosp bed fixed ht w/ mattres,RR,,28 ,,NW,,,,,,$176.74,$0.00,1,1,1,1,1,1,20101001,E0250,HCPCS,Hosp bed fixed ht w/ mattres,UE,,28 ,,NW,,,,,,$464.96,$0.00,1,1,1,1,1,1,20101001,E0251,HCPCS,Hosp bed fixd ht w/o mattres,,,28 ,,NW,,,,,,"$1,236.17",$0.00,1,1,1,1,1,1,20101001,E0251,HCPCS,Hosp bed fixd ht w/o mattres,RR,,28 ,,NW,,,,,,$135.29,$0.00,1,1,1,1,1,1,20101001,E0251,HCPCS,Hosp bed fixd ht w/o mattres,UE,,28 ,,NW,,,,,,$354.08,$0.00,1,1,1,1,1,1,20101001,E0255,HCPCS,Hospital bed var ht w/ mattr,,,28 ,,NW,,,,,,"$1,942.09",$0.00,1,1,1,1,1,1,20101001,E0255,HCPCS,Hospital bed var ht w/ mattr,RR,,28 ,,NW,,,,,,$212.54,$0.00,1,1,1,1,1,1,20101001,E0255,HCPCS,Hospital bed var ht w/ mattr,UE,,28 ,,NW,,,,,,$557.26,$0.00,1,1,1,1,1,1,20101001,E0256,HCPCS,Hospital bed var ht w/o matt,,,28 ,,NW,,,,,,"$1,355.11",$0.00,1,1,1,1,1,1,20101001,E0256,HCPCS,Hospital bed var ht w/o matt,RR,,28 ,,NW,,,,,,$148.30,$0.00,1,1,1,1,1,1,20101001,E0256,HCPCS,Hospital bed var ht w/o matt,UE,,28 ,,NW,,,,,,$397.44,$0.00,1,1,1,1,1,1,20101001,E0260,HCPCS,Hosp bed semi-electr w/ matt,,,28 ,,NW,,,,,,"$2,269.32",$0.00,1,1,1,1,1,1,20101001,E0260,HCPCS,Hosp bed semi-electr w/ matt,RR,,28 ,,NW,,,,,,$248.35,$0.00,1,1,1,1,1,1,20101001,E0260,HCPCS,Hosp bed semi-electr w/ matt,UE,,28 ,,NW,,,,,,"$1,708.94",$0.00,1,1,1,1,1,1,20101001,E0261,HCPCS,Hosp bed semi-electr w/o mat,,,28 ,,NW,,,,,,"$2,133.49",$0.00,1,1,1,1,1,1,20101001,E0261,HCPCS,Hosp bed semi-electr w/o mat,RR,,28 ,,NW,,,,,,$233.49,$0.00,1,1,1,1,1,1,20101001,E0261,HCPCS,Hosp bed semi-electr w/o mat,UE,,28 ,,NW,,,,,,$648.32,$0.00,1,1,1,1,1,1,20101001,E0265,HCPCS,Hosp bed total electr w/ mat,,,28 ,,NW,,,,,,"$2,843.28",$0.00,1,1,1,1,1,1,20101001,E0265,HCPCS,Hosp bed total electr w/ mat,RR,,28 ,,NW,,,,,,$311.17,$0.00,1,1,1,1,1,1,20101001,E0265,HCPCS,Hosp bed total electr w/ mat,UE,,28 ,,NW,,,,,,$942.87,$0.00,1,1,1,1,1,1,20101001,E0266,HCPCS,Hosp bed total elec w/o matt,,,28 ,,NW,,,,,,"$2,611.93",$0.00,1,1,1,1,1,1,20101001,E0266,HCPCS,Hosp bed total elec w/o matt,RR,,28 ,,NW,,,,,,$285.85,$0.00,1,1,1,1,1,1,20101001,E0266,HCPCS,Hosp bed total elec w/o matt,UE,,28 ,,NW,,,,,,$838.49,$0.00,1,1,1,1,1,1,20101001,E0270,HCPCS,Hospital bed institutional t,,,28 ,,NW,,,,,,"$1,367.48",$0.00,1,1,1,1,1,1,20101001,E0270,HCPCS,Hospital bed institutional t,RR,,28 ,,NW,,,,,,$149.66,$0.00,1,1,1,1,1,1,20101001,E0270,HCPCS,Hospital bed institutional t,UE,,28 ,,NW,,,,,,"$1,029.80",$0.00,1,1,1,1,1,1,20101001,E0271,HCPCS,Mattress innerspring,,,28 ,,NW,,,,,,$327.17,$0.00,1,1,1,1,1,1,20101001,E0271,HCPCS,Mattress innerspring,NU,,28 ,,NW,,,,,,$327.17,$0.00,1,1,1,1,1,1,20101001,E0271,HCPCS,Mattress innerspring,RR,,28 ,,NW,,,,,,$40.64,$0.00,1,1,1,1,1,1,20101001,E0271,HCPCS,Mattress innerspring,UE,,28 ,,NW,,,,,,$270.84,$0.00,1,1,1,1,1,1,20101001,E0272,HCPCS,Mattress foam rubber,,,28 ,,NW,,,,,,$312.00,$0.00,1,1,1,1,1,1,20101001,E0272,HCPCS,Mattress foam rubber,NU,,28 ,,NW,,,,,,$312.00,$0.00,1,1,1,1,1,1,20101001,E0272,HCPCS,Mattress foam rubber,RR,,28 ,,NW,,,,,,$37.22,$0.00,1,1,1,1,1,1,20101001,E0272,HCPCS,Mattress foam rubber,UE,,28 ,,NW,,,,,,$249.22,$0.00,1,1,1,1,1,1,20101001,E0273,HCPCS,Bed board,,,28 ,,NW,,,,,,$51.37,$0.00,1,1,1,1,1,1,20101001,E0273,HCPCS,Bed board,RR,,28 ,,NW,,,,,,$19.33,$0.00,1,1,1,1,1,1,20101001,E0273,HCPCS,Bed board,UE,,28 ,,NW,,,,,,$38.68,$0.00,1,1,1,1,1,1,20101001,E0274,HCPCS,Over-bed table,,,28 ,,NW,,,,,,$33.14,$0.00,1,1,1,1,1,1,20101001,E0274,HCPCS,Over-bed table,RR,,28 ,,NW,,,,,,$35.32,$0.00,1,1,1,1,1,1,20101001,E0274,HCPCS,Over-bed table,UE,,28 ,,NW,,,,,,$64.76,$0.00,1,1,1,1,1,1,20101001,E0275,HCPCS,Bed pan standard,,,28 ,,NW,,,,,,$29.67,$0.00,1,1,1,1,1,1,20101001,E0275,HCPCS,Bed pan standard,NU,,28 ,,NW,,,,,,$29.67,$0.00,1,1,1,1,1,1,20101001,E0275,HCPCS,Bed pan standard,RR,,28 ,,NW,,,,,,$4.13,$0.00,1,1,1,1,1,1,20101001,E0275,HCPCS,Bed pan standard,UE,,28 ,,NW,,,,,,$23.47,$0.00,1,1,1,1,1,1,20101001,E0276,HCPCS,Bed pan fracture,,,28 ,,NW,,,,,,$26.45,$0.00,1,1,1,1,1,1,20101001,E0276,HCPCS,Bed pan fracture,NU,,28 ,,NW,,,,,,$26.45,$0.00,1,1,1,1,1,1,20101001,E0276,HCPCS,Bed pan fracture,RR,,28 ,,NW,,,,,,$4.07,$0.00,1,1,1,1,1,1,20101001,E0276,HCPCS,Bed pan fracture,UE,,28 ,,NW,,,,,,$21.91,$0.00,1,1,1,1,1,1,20101001,E0277,HCPCS,Powered pres-redu air mattrs,,,28 ,,NW,,,,,,"$8,378.93",$0.00,1,1,1,1,1,1,20101001,E0277,HCPCS,Powered pres-redu air mattrs,RR,,28 ,,NW,,,,,,$916.99,$0.00,1,1,1,1,1,1,20101001,E0277,HCPCS,Powered pres-redu air mattrs,UE,,28 ,,NW,,,,,,"$6,309.87",$0.00,1,1,1,1,1,1,20101001,E0280,HCPCS,Bed cradle,,,28 ,,NW,,,,,,$69.38,$0.00,1,1,1,1,1,1,20101001,E0280,HCPCS,Bed cradle,NU,,28 ,,NW,,,,,,$69.38,$0.00,1,1,1,1,1,1,20101001,E0280,HCPCS,Bed cradle,RR,,28 ,,NW,,,,,,$6.71,$0.00,1,1,1,1,1,1,20101001,E0280,HCPCS,Bed cradle,UE,,28 ,,NW,,,,,,$51.82,$0.00,1,1,1,1,1,1,20101001,E0290,HCPCS,Hosp bed fx ht w/o rails w/m,,,28 ,,NW,,,,,,"$1,208.83",$0.00,1,1,1,1,1,1,20101001,E0290,HCPCS,Hosp bed fx ht w/o rails w/m,RR,,28 ,,NW,,,,,,$132.29,$0.00,1,1,1,1,1,1,20101001,E0290,HCPCS,Hosp bed fx ht w/o rails w/m,UE,,28 ,,NW,,,,,,$357.18,$0.00,1,1,1,1,1,1,20101001,E0291,HCPCS,Hosp bed fx ht w/o rail w/o,,,28 ,,NW,,,,,,$867.86,$0.00,1,1,1,1,1,1,20101001,E0291,HCPCS,Hosp bed fx ht w/o rail w/o,RR,,28 ,,NW,,,,,,$94.98,$0.00,1,1,1,1,1,1,20101001,E0291,HCPCS,Hosp bed fx ht w/o rail w/o,UE,,28 ,,NW,,,,,,$261.47,$0.00,1,1,1,1,1,1,20101001,E0292,HCPCS,Hosp bed var ht w/o rail w/o,,,28 ,,NW,,,,,,"$1,362.82",$0.00,1,1,1,1,1,1,20101001,E0292,HCPCS,Hosp bed var ht w/o rail w/o,RR,,28 ,,NW,,,,,,$149.15,$0.00,1,1,1,1,1,1,20101001,E0292,HCPCS,Hosp bed var ht w/o rail w/o,UE,,28 ,,NW,,,,,,$400.85,$0.00,1,1,1,1,1,1,20101001,E0293,HCPCS,Hosp bed var ht w/o rail w/,,,28 ,,NW,,,,,,"$1,161.78",$0.00,1,1,1,1,1,1,20101001,E0293,HCPCS,Hosp bed var ht w/o rail w/,RR,,28 ,,NW,,,,,,$127.14,$0.00,1,1,1,1,1,1,20101001,E0293,HCPCS,Hosp bed var ht w/o rail w/,UE,,28 ,,NW,,,,,,$342.00,$0.00,1,1,1,1,1,1,20101001,E0294,HCPCS,Hosp bed semi-elect w/ mattr,,,28 ,,NW,,,,,,"$2,084.11",$0.00,1,1,1,1,1,1,20101001,E0294,HCPCS,Hosp bed semi-elect w/ mattr,RR,,28 ,,NW,,,,,,$228.09,$0.00,1,1,1,1,1,1,20101001,E0294,HCPCS,Hosp bed semi-elect w/ mattr,UE,,28 ,,NW,,,,,,$618.90,$0.00,1,1,1,1,1,1,20101001,E0295,HCPCS,Hosp bed semi-elect w/o matt,,,28 ,,NW,,,,,,"$2,043.77",$0.00,1,1,1,1,1,1,20101001,E0295,HCPCS,Hosp bed semi-elect w/o matt,RR,,28 ,,NW,,,,,,$223.67,$0.00,1,1,1,1,1,1,20101001,E0295,HCPCS,Hosp bed semi-elect w/o matt,UE,,28 ,,NW,,,,,,$603.41,$0.00,1,1,1,1,1,1,20101001,E0296,HCPCS,Hosp bed total elect w/ matt,,,28 ,,NW,,,,,,"$2,398.58",$0.00,1,1,1,1,1,1,20101001,E0296,HCPCS,Hosp bed total elect w/ matt,RR,,28 ,,NW,,,,,,$262.50,$0.00,1,1,1,1,1,1,20101001,E0296,HCPCS,Hosp bed total elect w/ matt,UE,,28 ,,NW,,,,,,$775.93,$0.00,1,1,1,1,1,1,20101001,E0297,HCPCS,Hosp bed total elect w/o mat,,,28 ,,NW,,,,,,"$2,199.11",$0.00,1,1,1,1,1,1,20101001,E0297,HCPCS,Hosp bed total elect w/o mat,RR,,28 ,,NW,,,,,,$240.67,$0.00,1,1,1,1,1,1,20101001,E0297,HCPCS,Hosp bed total elect w/o mat,UE,,28 ,,NW,,,,,,$665.67,$0.00,1,1,1,1,1,1,20101001,E0300,HCPCS,Enclosed ped crib hosp grade,,,28 ,,NW,,,,,,"$3,505.31",$0.00,1,1,1,1,1,1,20101001,E0300,HCPCS,Enclosed ped crib hosp grade,NU,,28 ,,NW,,,,,,"$3,505.31",$0.00,1,1,1,1,1,1,20101001,E0300,HCPCS,Enclosed ped crib hosp grade,RR,,28 ,,NW,,,,,,$421.44,$0.00,1,1,1,1,1,1,20101001,E0300,HCPCS,Enclosed ped crib hosp grade,UE,,28 ,,NW,,,,,,"$2,648.68",$0.00,1,1,1,1,1,1,20101001,E0301,HCPCS,"Hd hosp bed, 350-600 lbs",,,28 ,,NW,,,,,,"$3,619.94",$0.00,1,1,1,1,1,1,20101001,E0301,HCPCS,"Hd hosp bed, 350-600 lbs",RR,,28 ,,NW,,,,,,$396.17,$0.00,1,1,1,1,1,1,20101001,E0302,HCPCS,Ex hd hosp bed > 600 lbs,,,28 ,,NW,,,,,,"$8,600.34",$0.00,1,1,1,1,1,1,20101001,E0302,HCPCS,Ex hd hosp bed > 600 lbs,RR,,28 ,,NW,,,,,,$941.22,$0.00,1,1,1,1,1,1,20101001,E0303,HCPCS,Hosp bed hvy dty xtra wide,,,28 ,,NW,,,,,,"$3,986.41",$0.00,1,1,1,1,1,1,20101001,E0303,HCPCS,Hosp bed hvy dty xtra wide,RR,,28 ,,NW,,,,,,$436.27,$0.00,1,1,1,1,1,1,20101001,E0304,HCPCS,Hosp bed xtra hvy dty x wide,,,28 ,,NW,,,,,,"$9,208.77",$0.00,1,1,1,1,1,1,20101001,E0304,HCPCS,Hosp bed xtra hvy dty x wide,RR,,28 ,,NW,,,,,,"$1,007.81",$0.00,1,1,1,1,1,1,20101001,E0305,HCPCS,Rails bed side half length,,,28 ,,NW,,,,,,$284.47,$0.00,1,1,1,1,1,1,20101001,E0305,HCPCS,Rails bed side half length,RR,,28 ,,NW,,,,,,$31.13,$0.00,1,1,1,1,1,1,20101001,E0305,HCPCS,Rails bed side half length,UE,,28 ,,NW,,,,,,$90.81,$0.00,1,1,1,1,1,1,20101001,E0310,HCPCS,Rails bed side full length,,,28 ,,NW,,,,,,$301.72,$0.00,1,1,1,1,1,1,20101001,E0310,HCPCS,Rails bed side full length,NU,,28 ,,NW,,,,,,$301.72,$0.00,1,1,1,1,1,1,20101001,E0310,HCPCS,Rails bed side full length,RR,,28 ,,NW,,,,,,$40.51,$0.00,1,1,1,1,1,1,20101001,E0310,HCPCS,Rails bed side full length,UE,,28 ,,NW,,,,,,$249.35,$0.00,1,1,1,1,1,1,20101001,E0315,HCPCS,Bed accessory brd/tbl/supprt,,,28 ,,NW,,,,,,$98.25,$0.00,1,1,1,1,1,1,20101001,E0316,HCPCS,Bed safety enclosure,,,28 ,,NW,,,,,,"$2,974.48",$0.00,1,1,1,1,1,1,20101001,E0316,HCPCS,Bed safety enclosure,RR,,28 ,,NW,,,,,,$325.53,$0.00,1,1,1,1,1,1,20101001,E0325,HCPCS,Urinal male jug-type,,,28 ,,NW,,,,,,$20.59,$0.00,1,1,1,1,1,1,20101001,E0325,HCPCS,Urinal male jug-type,NU,,28 ,,NW,,,,,,$20.59,$0.00,1,1,1,1,1,1,20101001,E0325,HCPCS,Urinal male jug-type,RR,,28 ,,NW,,,,,,$3.92,$0.00,1,1,1,1,1,1,20101001,E0325,HCPCS,Urinal male jug-type,UE,,28 ,,NW,,,,,,$15.46,$0.00,1,1,1,1,1,1,20101001,E0326,HCPCS,Urinal female jug-type,,,28 ,,NW,,,,,,$21.94,$0.00,1,1,1,1,1,1,20101001,E0326,HCPCS,Urinal female jug-type,NU,,28 ,,NW,,,,,,$21.94,$0.00,1,1,1,1,1,1,20101001,E0326,HCPCS,Urinal female jug-type,RR,,28 ,,NW,,,,,,$3.16,$0.00,1,1,1,1,1,1,20101001,E0326,HCPCS,Urinal female jug-type,UE,,28 ,,NW,,,,,,$17.67,$0.00,1,1,1,1,1,1,20101001,E0328,HCPCS,"Ped Hospital Bed, Manual",,,28 ,,NW,,,,,,$24.11,$0.00,1,1,1,1,1,1,20101001,E0329,HCPCS,Ped Hospital Bed Semi/Elect,,,28 ,,NW,,,,,,$25.09,$0.00,1,1,1,1,1,1,20101001,E0352,HCPCS,Disposable pack w/bowel syst,,,28 ,,NW,,,,,,$12.60,$0.00,1,1,1,1,1,1,20101001,E0370,HCPCS,Air elevator for heel,,,28 ,,NW,,,,,,$18.90,$0.00,1,1,1,1,1,1,20101001,E0371,HCPCS,Nonpower mattress overlay,,,28 ,,NW,,,,,,"$7,901.65",$0.00,1,1,1,1,1,1,20101001,E0371,HCPCS,Nonpower mattress overlay,RR,,28 ,,NW,,,,,,$864.76,$0.00,1,1,1,1,1,1,20101001,E0372,HCPCS,Powered air mattress overlay,,,28 ,,NW,,,,,,"$9,639.81",$0.00,1,1,1,1,1,1,20101001,E0372,HCPCS,Powered air mattress overlay,RR,,28 ,,NW,,,,,,"$1,054.98",$0.00,1,1,1,1,1,1,20101001,E0373,HCPCS,Nonpowered pressure mattress,,,28 ,,NW,,,,,,"$11,046.34",$0.00,1,1,1,1,1,1,20101001,E0373,HCPCS,Nonpowered pressure mattress,RR,,28 ,,NW,,,,,,"$1,208.91",$0.00,1,1,1,1,1,1,20101001,E0424,HCPCS,Stationary compressed gas 02,,,28 ,,NW,,,,,,"$4,691.44",$0.00,1,1,1,1,1,1,20101001,E0424,HCPCS,Stationary compressed gas 02,RR,,28 ,,NW,,,,,,$513.43,$0.00,1,1,1,1,1,1,20101001,E0425,HCPCS,Gas system stationary compre,,,28 ,,NW,,,,,,"$8,606.23",$0.00,1,1,1,1,1,1,20101001,E0425,HCPCS,Gas system stationary compre,NU,,28 ,,NW,,,,,,"$8,606.23",$0.00,1,1,1,1,1,1,20101001,E0430,HCPCS,Oxygen system gas portable,,,28 ,,NW,,,,,,"$3,891.18",$0.00,1,1,1,1,1,1,20101001,E0430,HCPCS,Oxygen system gas portable,NU,,28 ,,NW,,,,,,"$3,891.18",$0.00,1,1,1,1,1,1,20101001,E0430,HCPCS,Oxygen system gas portable,UE,,28 ,,NW,,,,,,"$2,915.93",$0.00,1,1,1,1,1,1,20101001,E0431,HCPCS,Portable gaseous 02,,,28 ,,NW,,,,,,$684.02,$0.00,1,1,1,1,1,1,20101001,E0431,HCPCS,Portable gaseous 02,RR,,28 ,,NW,,,,,,$74.86,$0.00,1,1,1,1,1,1,20101001,E0433,HCPCS,Portable liquid oxygen sys,,,28 ,,NW,,,,,,"$2,671.26",$0.00,1,1,1,1,1,1,20101001,E0433,HCPCS,Portable liquid oxygen sys,RR,,28 ,,NW,,,,,,$74.86,$0.00,1,1,1,1,1,1,20101001,E0434,HCPCS,Portable liquid 02,,,28 ,,NW,,,,,,$684.02,$0.00,1,1,1,1,1,1,20101001,E0434,HCPCS,Portable liquid 02,RR,,28 ,,NW,,,,,,$74.86,$0.00,1,1,1,1,1,1,20101001,E0435,HCPCS,Oxygen system liquid portabl,,,28 ,,NW,,,,,,"$2,671.26",$0.00,1,1,1,1,1,1,20101001,E0435,HCPCS,Oxygen system liquid portabl,NU,,28 ,,NW,,,,,,"$2,671.26",$0.00,1,1,1,1,1,1,20101001,E0435,HCPCS,Oxygen system liquid portabl,UE,,28 ,,NW,,,,,,"$2,001.28",$0.00,1,1,1,1,1,1,20101001,E0439,HCPCS,Stationary liquid 02,,,28 ,,NW,,,,,,"$4,691.44",$0.00,1,1,1,1,1,1,20101001,E0439,HCPCS,Stationary liquid 02,RR,,28 ,,NW,,,,,,$513.43,$0.00,1,1,1,1,1,1,20101001,E0440,HCPCS,Oxygen system liquid station,,,28 ,,NW,,,,,,"$5,435.81",$0.00,1,1,1,1,1,1,20101001,E0440,HCPCS,Oxygen system liquid station,NU,,28 ,,NW,,,,,,"$5,435.81",$0.00,1,1,1,1,1,1,20101001,E0440,HCPCS,Oxygen system liquid station,UE,,28 ,,NW,,,,,,"$4,074.11",$0.00,1,1,1,1,1,1,20101001,E0441,HCPCS,"Oxygen contents, gaseous",,,28 ,,NW,,,,,,$220.08,$0.00,1,1,1,1,1,1,20101001,E0442,HCPCS,"Oxygen contents, liquid",,,28 ,,NW,,,,,,$220.08,$0.00,1,1,1,1,1,1,20101001,E0443,HCPCS,"Portable 02 contents, gas",,,28 ,,NW,,,,,,$220.08,$0.00,1,1,1,1,1,1,20101001,E0444,HCPCS,"Portable 02 contents, liquid",,,28 ,,NW,,,,,,$220.08,$0.00,1,1,1,1,1,1,20101001,E0445,HCPCS,Oximeter non-invasive,,,28 ,,NW,,,,,,$340.06,$0.00,1,1,1,1,1,1,20101001,E0450,HCPCS,Vol control vent invasiv int,,,28 ,,NW,,,,,,"$7,462.58",$0.00,1,1,1,1,1,1,20101001,E0450,HCPCS,Vol control vent invasiv int,NU,,28 ,,NW,,,,,,"$7,462.58",$0.00,1,1,1,1,1,1,20101001,E0450,HCPCS,Vol control vent invasiv int,RR,,28 ,,NW,,,,,,"$2,150.35",$0.00,1,1,1,1,1,1,20101001,E0450,HCPCS,Vol control vent invasiv int,UE,,28 ,,NW,,,,,,"$5,598.99",$0.00,1,1,1,1,1,1,20101001,E0455,HCPCS,Oxygen Tent Excl Croup/Ped T,,,28 ,,NW,,,,,,$153.50,$0.00,1,1,1,1,1,1,20101001,E0457,HCPCS,Chest shell,,,28 ,,NW,,,,,,"$1,444.69",$0.00,1,1,1,1,1,1,20101001,E0457,HCPCS,Chest shell,NU,,28 ,,NW,,,,,,"$1,444.69",$0.00,1,1,1,1,1,1,20101001,E0457,HCPCS,Chest shell,RR,,28 ,,NW,,,,,,$120.54,$0.00,1,1,1,1,1,1,20101001,E0457,HCPCS,Chest shell,UE,,28 ,,NW,,,,,,"$1,076.79",$0.00,1,1,1,1,1,1,20101001,E0459,HCPCS,Chest wrap,,,28 ,,NW,,,,,,$405.21,$0.00,1,1,1,1,1,1,20101001,E0459,HCPCS,Chest wrap,NU,,28 ,,NW,,,,,,$405.21,$0.00,1,1,1,1,1,1,20101001,E0459,HCPCS,Chest wrap,RR,,28 ,,NW,,,,,,$90.61,$0.00,1,1,1,1,1,1,20101001,E0459,HCPCS,Chest wrap,UE,,28 ,,NW,,,,,,$305.97,$0.00,1,1,1,1,1,1,20101001,E0460,HCPCS,Neg press vent portabl/statn,,,28 ,,NW,,,,,,"$5,737.01",$0.00,1,1,1,1,1,1,20101001,E0460,HCPCS,Neg press vent portabl/statn,NU,,28 ,,NW,,,,,,"$5,737.01",$0.00,1,1,1,1,1,1,20101001,E0460,HCPCS,Neg press vent portabl/statn,RR,,28 ,,NW,,,,,,"$1,613.80",$0.00,1,1,1,1,1,1,20101001,E0460,HCPCS,Neg press vent portabl/statn,UE,,28 ,,NW,,,,,,"$4,304.52",$0.00,1,1,1,1,1,1,20101001,E0461,HCPCS,Vol control vent noninv int,,,28 ,,NW,,,,,,"$19,648.63",$0.00,1,1,1,1,1,1,20101001,E0461,HCPCS,Vol control vent noninv int,RR,,28 ,,NW,,,,,,"$2,150.35",$0.00,1,1,1,1,1,1,20101001,E0462,HCPCS,Rocking bed w/ or w/o side r,,,28 ,,NW,,,,,,"$4,295.16",$0.00,1,1,1,1,1,1,20101001,E0462,HCPCS,Rocking bed w/ or w/o side r,NU,,28 ,,NW,,,,,,"$1,825.59",$0.00,1,1,1,1,1,1,20101001,E0462,HCPCS,Rocking bed w/ or w/o side r,RR,,28 ,,NW,,,,,,$470.06,$0.00,1,1,1,1,1,1,20101001,E0462,HCPCS,Rocking bed w/ or w/o side r,UE,,28 ,,NW,,,,,,"$1,371.22",$0.00,1,1,1,1,1,1,20101001,E0463,HCPCS,Press supp vent invasive int,,,28 ,,NW,,,,,,"$30,524.29",$0.00,1,1,1,1,1,1,20101001,E0463,HCPCS,Press supp vent invasive int,RR,,28 ,,NW,,,,,,"$3,340.58",$0.00,1,1,1,1,1,1,20101001,E0464,HCPCS,Press supp vent noninv int,,,28 ,,NW,,,,,,"$30,524.29",$0.00,1,1,1,1,1,1,20101001,E0464,HCPCS,Press supp vent noninv int,RR,,28 ,,NW,,,,,,"$3,340.58",$0.00,1,1,1,1,1,1,20101001,E0470,HCPCS,Rad w/o backup non-inv intfc,,,28 ,,NW,,,,,,"$4,384.60",$0.00,1,1,1,1,1,1,20101001,E0470,HCPCS,Rad w/o backup non-inv intfc,RR,,28 ,,NW,,,,,,$479.85,$0.00,1,1,1,1,1,1,20101001,E0471,HCPCS,Rad w/backup non inv intrfc,,,28 ,,NW,,,,,,"$11,149.37",$0.00,1,1,1,1,1,1,20101001,E0471,HCPCS,Rad w/backup non inv intrfc,RR,,28 ,,NW,,,,,,"$1,220.19",$0.00,1,1,1,1,1,1,20101001,E0472,HCPCS,Rad w backup invasive intrfc,,,28 ,,NW,,,,,,"$11,149.37",$0.00,1,1,1,1,1,1,20101001,E0472,HCPCS,Rad w backup invasive intrfc,RR,,28 ,,NW,,,,,,"$1,220.19",$0.00,1,1,1,1,1,1,20101001,E0480,HCPCS,Percussor elect/pneum home m,,,28 ,,NW,,,,,,$690.26,$0.00,1,1,1,1,1,1,20101001,E0480,HCPCS,Percussor elect/pneum home m,NU,,28 ,,NW,,,,,,$350.94,$0.00,1,1,1,1,1,1,20101001,E0480,HCPCS,Percussor elect/pneum home m,RR,,28 ,,NW,,,,,,$75.54,$0.00,1,1,1,1,1,1,20101001,E0480,HCPCS,Percussor elect/pneum home m,UE,,28 ,,NW,,,,,,$265.26,$0.00,1,1,1,1,1,1,20101001,E0481,HCPCS,Intrpulmnry percuss vent sys,,,28 ,,NW,,,,,,$969.85,$0.00,1,1,1,1,1,1,20101001,E0482,HCPCS,Cough stimulating device,,,28 ,,NW,,,,,,"$8,896.07",$0.00,1,1,1,1,1,1,20101001,E0482,HCPCS,Cough stimulating device,RR,,28 ,,NW,,,,,,$973.59,$0.00,1,1,1,1,1,1,20101001,E0483,HCPCS,Chest compression gen system,,,28 ,,NW,,,,,,"$23,015.13",$0.00,1,1,1,1,1,1,20101001,E0483,HCPCS,Chest compression gen system,RR,,28 ,,NW,,,,,,"$2,518.78",$0.00,1,1,1,1,1,1,20101001,E0484,HCPCS,Non-elec oscillatory pep dvc,,,28 ,,NW,,,,,,$67.80,$0.00,1,1,1,1,1,1,20101001,E0484,HCPCS,Non-elec oscillatory pep dvc,NU,,28 ,,NW,,,,,,$67.80,$0.00,1,1,1,1,1,1,20101001,E0484,HCPCS,Non-elec oscillatory pep dvc,RR,,28 ,,NW,,,,,,$10.07,$0.00,1,1,1,1,1,1,20101001,E0484,HCPCS,Non-elec oscillatory pep dvc,UE,,28 ,,NW,,,,,,$52.10,$0.00,1,1,1,1,1,1,20101001,E0485,HCPCS,Oral Device/Appliance Prefab,,,28 ,,NW,,,,,,"$2,797.08",$0.00,1,1,1,1,1,1,20101001,E0485,HCPCS,Oral Device/Appliance Prefab,NU,,28 ,,NW,,,,,,"$2,797.08",$0.00,1,1,1,1,1,1,20101001,E0485,HCPCS,Oral Device/Appliance Prefab,RR,,28 ,,NW,,,,,,$306.11,$0.00,1,1,1,1,1,1,20101001,E0485,HCPCS,Oral Device/Appliance Prefab,UE,,28 ,,NW,,,,,,"$2,106.38",$0.00,1,1,1,1,1,1,20101001,E0486,HCPCS,Oral Device/Appliance Cusfab,,,28 ,,NW,,,,,,"$2,932.24",$0.00,1,1,1,1,1,1,20101001,E0486,HCPCS,Oral Device/Appliance Cusfab,NU,,28 ,,NW,,,,,,"$2,932.24",$0.00,1,1,1,1,1,1,20101001,E0486,HCPCS,Oral Device/Appliance Cusfab,RR,,28 ,,NW,,,,,,$320.90,$0.00,1,1,1,1,1,1,20101001,E0486,HCPCS,Oral Device/Appliance Cusfab,UE,,28 ,,NW,,,,,,"$2,208.17",$0.00,1,1,1,1,1,1,20101001,E0500,HCPCS,Ippb all types,,,28 ,,NW,,,,,,$865.00,$0.00,1,1,1,1,1,1,20101001,E0500,HCPCS,Ippb all types,NU,,28 ,,NW,,,,,,$865.00,$0.00,1,1,1,1,1,1,20101001,E0500,HCPCS,Ippb all types,RR,,28 ,,NW,,,,,,$228.21,$0.00,1,1,1,1,1,1,20101001,E0500,HCPCS,Ippb all types,UE,,28 ,,NW,,,,,,$650.62,$0.00,1,1,1,1,1,1,20101001,E0550,HCPCS,Humidif extens supple w ippb,,,28 ,,NW,,,,,,"$1,057.78",$0.00,1,1,1,1,1,1,20101001,E0550,HCPCS,Humidif extens supple w ippb,NU,,28 ,,NW,,,,,,"$1,057.78",$0.00,1,1,1,1,1,1,20101001,E0550,HCPCS,Humidif extens supple w ippb,RR,,28 ,,NW,,,,,,$87.53,$0.00,1,1,1,1,1,1,20101001,E0550,HCPCS,Humidif extens supple w ippb,UE,,28 ,,NW,,,,,,$796.58,$0.00,1,1,1,1,1,1,20101001,E0555,HCPCS,Humidifier for use w/ regula,,,28 ,,NW,,,,,,$8.47,$0.00,1,1,1,1,1,1,20101001,E0555,HCPCS,Humidifier for use w/ regula,NU,,28 ,,NW,,,,,,$8.47,$0.00,1,1,1,1,1,1,20101001,E0555,HCPCS,Humidifier for use w/ regula,RR,,28 ,,NW,,,,,,$3.79,$0.00,1,1,1,1,1,1,20101001,E0555,HCPCS,Humidifier for use w/ regula,UE,,28 ,,NW,,,,,,$5.04,$0.00,1,1,1,1,1,1,20101001,E0560,HCPCS,Humidifier supplemental w/ i,,,28 ,,NW,,,,,,$302.43,$0.00,1,1,1,1,1,1,20101001,E0560,HCPCS,Humidifier supplemental w/ i,NU,,28 ,,NW,,,,,,$302.43,$0.00,1,1,1,1,1,1,20101001,E0560,HCPCS,Humidifier supplemental w/ i,RR,,28 ,,NW,,,,,,$33.00,$0.00,1,1,1,1,1,1,20101001,E0560,HCPCS,Humidifier supplemental w/ i,UE,,28 ,,NW,,,,,,$220.18,$0.00,1,1,1,1,1,1,20101001,E0561,HCPCS,Humidifier nonheated w pap,,,28 ,,NW,,,,,,$194.32,$0.00,1,1,1,1,1,1,20101001,E0561,HCPCS,Humidifier nonheated w pap,NU,,28 ,,NW,,,,,,$194.32,$0.00,1,1,1,1,1,1,20101001,E0561,HCPCS,Humidifier nonheated w pap,RR,,28 ,,NW,,,,,,$20.59,$0.00,1,1,1,1,1,1,20101001,E0561,HCPCS,Humidifier nonheated w pap,UE,,28 ,,NW,,,,,,$139.09,$0.00,1,1,1,1,1,1,20101001,E0562,HCPCS,Humidifier heated used w pap,,,28 ,,NW,,,,,,$595.00,$0.00,1,1,1,1,1,1,20101001,E0562,HCPCS,Humidifier heated used w pap,NU,,28 ,,NW,,,,,,$595.00,$0.00,1,1,1,1,1,1,20101001,E0562,HCPCS,Humidifier heated used w pap,RR,,28 ,,NW,,,,,,$49.11,$0.00,1,1,1,1,1,1,20101001,E0562,HCPCS,Humidifier heated used w pap,UE,,28 ,,NW,,,,,,$439.61,$0.00,1,1,1,1,1,1,20101001,E0565,HCPCS,Compressor air power source,,,28 ,,NW,,,,,,"$1,309.83",$0.00,1,1,1,1,1,1,20101001,E0565,HCPCS,Compressor air power source,NU,,28 ,,NW,,,,,,"$1,309.83",$0.00,1,1,1,1,1,1,20101001,E0565,HCPCS,Compressor air power source,RR,,28 ,,NW,,,,,,$112.00,$0.00,1,1,1,1,1,1,20101001,E0565,HCPCS,Compressor air power source,UE,,28 ,,NW,,,,,,$365.28,$0.00,1,1,1,1,1,1,20101001,E0570,HCPCS,Nebulizer with compression,,,28 ,,NW,,,,,,$295.49,$0.00,1,1,1,1,1,1,20101001,E0570,HCPCS,Nebulizer with compression,NU,,28 ,,NW,,,,,,$295.49,$0.00,1,1,1,1,1,1,20101001,E0570,HCPCS,Nebulizer with compression,RR,,28 ,,NW,,,,,,$32.34,$0.00,1,1,1,1,1,1,20101001,E0570,HCPCS,Nebulizer with compression,UE,,28 ,,NW,,,,,,$222.52,$0.00,1,1,1,1,1,1,20101001,E0571,HCPCS,Aerosol compressor for svneb,,,28 ,,NW,,,,,,$499.33,$0.00,1,1,1,1,1,1,20101001,E0571,HCPCS,Aerosol compressor for svneb,RR,,28 ,,NW,,,,,,$54.65,$0.00,1,1,1,1,1,1,20101001,E0572,HCPCS,Aerosol compressor adjust pr,,,28 ,,NW,,,,,,$962.07,$0.00,1,1,1,1,1,1,20101001,E0572,HCPCS,Aerosol compressor adjust pr,RR,,28 ,,NW,,,,,,$105.29,$0.00,1,1,1,1,1,1,20101001,E0574,HCPCS,Ultrasonic generator w svneb,,,28 ,,NW,,,,,,"$1,022.58",$0.00,1,1,1,1,1,1,20101001,E0574,HCPCS,Ultrasonic generator w svneb,RR,,28 ,,NW,,,,,,$111.91,$0.00,1,1,1,1,1,1,20101001,E0575,HCPCS,Nebulizer ultrasonic,,,28 ,,NW,,,,,,"$2,224.32",$0.00,1,1,1,1,1,1,20101001,E0575,HCPCS,Nebulizer ultrasonic,NU,,28 ,,NW,,,,,,"$2,224.32",$0.00,1,1,1,1,1,1,20101001,E0575,HCPCS,Nebulizer ultrasonic,RR,,28 ,,NW,,,,,,$210.59,$0.00,1,1,1,1,1,1,20101001,E0575,HCPCS,Nebulizer ultrasonic,UE,,28 ,,NW,,,,,,"$1,662.14",$0.00,1,1,1,1,1,1,20101001,E0580,HCPCS,Nebulizer for use w/ regulat,,,28 ,,NW,,,,,,$250.03,$0.00,1,1,1,1,1,1,20101001,E0580,HCPCS,Nebulizer for use w/ regulat,NU,,28 ,,NW,,,,,,$250.03,$0.00,1,1,1,1,1,1,20101001,E0580,HCPCS,Nebulizer for use w/ regulat,RR,,28 ,,NW,,,,,,$24.58,$0.00,1,1,1,1,1,1,20101001,E0580,HCPCS,Nebulizer for use w/ regulat,UE,,28 ,,NW,,,,,,$180.85,$0.00,1,1,1,1,1,1,20101001,E0585,HCPCS,Nebulizer w/ compressor & he,,,28 ,,NW,,,,,,$741.12,$0.00,1,1,1,1,1,1,20101001,E0585,HCPCS,Nebulizer w/ compressor & he,NU,,28 ,,NW,,,,,,$741.12,$0.00,1,1,1,1,1,1,20101001,E0585,HCPCS,Nebulizer w/ compressor & he,RR,,28 ,,NW,,,,,,$61.92,$0.00,1,1,1,1,1,1,20101001,E0585,HCPCS,Nebulizer w/ compressor & he,UE,,28 ,,NW,,,,,,$213.31,$0.00,1,1,1,1,1,1,20101001,E0600,HCPCS,Suction pump portab hom modl,,,28 ,,NW,,,,,,$365.28,$0.00,1,1,1,1,1,1,20101001,E0600,HCPCS,Suction pump portab hom modl,NU,,28 ,,NW,,,,,,$365.28,$0.00,1,1,1,1,1,1,20101001,E0600,HCPCS,Suction pump portab hom modl,RR,,28 ,,NW,,,,,,$79.49,$0.00,1,1,1,1,1,1,20101001,E0600,HCPCS,Suction pump portab hom modl,UE,,28 ,,NW,,,,,,$276.11,$0.00,1,1,1,1,1,1,20101001,E0601,HCPCS,Cont airway pressure device,,,28 ,,NW,,,,,,$880.12,$0.00,1,1,1,1,1,1,20101001,E0601,HCPCS,Cont airway pressure device,NU,,28 ,,NW,,,,,,$880.12,$0.00,1,1,1,1,1,1,20101001,E0601,HCPCS,Cont airway pressure device,RR,,28 ,,NW,,,,,,$192.39,$0.00,1,1,1,1,1,1,20101001,E0601,HCPCS,Cont airway pressure device,UE,,28 ,,NW,,,,,,$662.25,$0.00,1,1,1,1,1,1,20101001,E0602,HCPCS,Manual breast pump,,,28 ,,NW,,,,,,$55.20,$0.00,1,1,1,1,1,1,20101001,E0602,HCPCS,Manual breast pump,NU,,28 ,,NW,,,,,,$55.20,$0.00,1,1,1,1,1,1,20101001,E0602,HCPCS,Manual breast pump,RR,,28 ,,NW,,,,,,$8.09,$0.00,1,1,1,1,1,1,20101001,E0602,HCPCS,Manual breast pump,UE,,28 ,,NW,,,,,,$42.62,$0.00,1,1,1,1,1,1,20101001,E0603,HCPCS,Electric breast pump,,,28 ,,NW,,,,,,$166.98,$0.00,1,1,1,1,1,1,20101001,E0603,HCPCS,Electric breast pump,NU,,28 ,,NW,,,,,,$166.98,$0.00,1,1,1,1,1,1,20101001,E0603,HCPCS,Electric breast pump,RR,,28 ,,NW,,,,,,$50.55,$0.00,1,1,1,1,1,1,20101001,E0603,HCPCS,Electric breast pump,UE,,28 ,,NW,,,,,,$127.83,$0.00,1,1,1,1,1,1,20101001,E0604,HCPCS,Hosp grade elec breast pump,,,28 ,,NW,,,,,,$530.17,$0.00,1,1,1,1,1,1,20101001,E0604,HCPCS,Hosp grade elec breast pump,NU,,28 ,,NW,,,,,,$530.17,$0.00,1,1,1,1,1,1,20101001,E0604,HCPCS,Hosp grade elec breast pump,RR,,28 ,,NW,,,,,,$187.64,$0.00,1,1,1,1,1,1,20101001,E0604,HCPCS,Hosp grade elec breast pump,UE,,28 ,,NW,,,,,,$390.98,$0.00,1,1,1,1,1,1,20101001,E0605,HCPCS,Vaporizer room type,,,28 ,,NW,,,,,,$49.42,$0.00,1,1,1,1,1,1,20101001,E0605,HCPCS,Vaporizer room type,NU,,28 ,,NW,,,,,,$49.42,$0.00,1,1,1,1,1,1,20101001,E0605,HCPCS,Vaporizer room type,RR,,28 ,,NW,,,,,,$8.72,$0.00,1,1,1,1,1,1,20101001,E0605,HCPCS,Vaporizer room type,UE,,28 ,,NW,,,,,,$40.68,$0.00,1,1,1,1,1,1,20101001,E0606,HCPCS,Drainage board postural,,,28 ,,NW,,,,,,$186.95,$0.00,1,1,1,1,1,1,20101001,E0606,HCPCS,Drainage board postural,NU,,28 ,,NW,,,,,,$186.95,$0.00,1,1,1,1,1,1,20101001,E0606,HCPCS,Drainage board postural,RR,,28 ,,NW,,,,,,$41.57,$0.00,1,1,1,1,1,1,20101001,E0606,HCPCS,Drainage board postural,UE,,28 ,,NW,,,,,,$142.36,$0.00,1,1,1,1,1,1,20101001,E0607,HCPCS,Blood glucose monitor home,,,28 ,,NW,,,,,,$133.55,$0.00,1,1,1,1,1,1,20101001,E0607,HCPCS,Blood glucose monitor home,NU,,28 ,,NW,,,,,,$133.55,$0.00,1,1,1,1,1,1,20101001,E0607,HCPCS,Blood glucose monitor home,RR,,28 ,,NW,,,,,,$16.28,$0.00,1,1,1,1,1,1,20101001,E0607,HCPCS,Blood glucose monitor home,UE,,28 ,,NW,,,,,,$93.50,$0.00,1,1,1,1,1,1,20101001,E0610,HCPCS,Pacemaker monitr audible/vis,,,28 ,,NW,,,,,,$527.88,$0.00,1,1,1,1,1,1,20101001,E0610,HCPCS,Pacemaker monitr audible/vis,NU,,28 ,,NW,,,,,,$527.88,$0.00,1,1,1,1,1,1,20101001,E0610,HCPCS,Pacemaker monitr audible/vis,RR,,28 ,,NW,,,,,,$46.38,$0.00,1,1,1,1,1,1,20101001,E0610,HCPCS,Pacemaker monitr audible/vis,UE,,28 ,,NW,,,,,,$389.17,$0.00,1,1,1,1,1,1,20101001,E0615,HCPCS,Pacemaker monitr digital/vis,,,28 ,,NW,,,,,,"$1,065.39",$0.00,1,1,1,1,1,1,20101001,E0615,HCPCS,Pacemaker monitr digital/vis,NU,,28 ,,NW,,,,,,"$1,065.39",$0.00,1,1,1,1,1,1,20101001,E0615,HCPCS,Pacemaker monitr digital/vis,RR,,28 ,,NW,,,,,,$105.13,$0.00,1,1,1,1,1,1,20101001,E0615,HCPCS,Pacemaker monitr digital/vis,UE,,28 ,,NW,,,,,,$790.83,$0.00,1,1,1,1,1,1,20101001,E0616,HCPCS,Cardiac event recorder,,,28 ,,NW,,,,,,"$5,170.23",$0.00,1,1,1,1,1,1,20101001,E0617,HCPCS,Automatic ext defibrillator,,,28 ,,NW,,,,,,"$13,793.74",$0.00,1,1,1,1,1,1,20101001,E0617,HCPCS,Automatic ext defibrillator,RR,,28 ,,NW,,,,,,"$1,509.59",$0.00,1,1,1,1,1,1,20101001,E0618,HCPCS,Apnea monitor,,,28 ,,NW,,,,,,"$5,523.47",$0.00,1,1,1,1,1,1,20101001,E0618,HCPCS,Apnea monitor,RR,,28 ,,NW,,,,,,$604.49,$0.00,1,1,1,1,1,1,20101001,E0619,HCPCS,Apnea Monitor W Recorder,,,28 ,,NW,,,,,,$485.19,$0.00,1,1,1,1,1,1,20101001,E0619,HCPCS,Apnea Monitor W Recorder,RR,,28 ,,NW,,,,,,$53.10,$0.00,1,1,1,1,1,1,20101001,E0620,HCPCS,Cap bld skin piercing laser,,,28 ,,NW,,,,,,"$2,066.89",$0.00,1,1,1,1,1,1,20101001,E0620,HCPCS,Cap bld skin piercing laser,NU,,28 ,,NW,,,,,,"$2,066.89",$0.00,1,1,1,1,1,1,20101001,E0620,HCPCS,Cap bld skin piercing laser,RR,,28 ,,NW,,,,,,$182.75,$0.00,1,1,1,1,1,1,20101001,E0620,HCPCS,Cap bld skin piercing laser,UE,,28 ,,NW,,,,,,"$1,543.52",$0.00,1,1,1,1,1,1,20101001,E0621,HCPCS,Patient lift sling or seat,,,28 ,,NW,,,,,,$187.06,$0.00,1,1,1,1,1,1,20101001,E0621,HCPCS,Patient lift sling or seat,NU,,28 ,,NW,,,,,,$187.06,$0.00,1,1,1,1,1,1,20101001,E0621,HCPCS,Patient lift sling or seat,RR,,28 ,,NW,,,,,,$19.80,$0.00,1,1,1,1,1,1,20101001,E0621,HCPCS,Patient lift sling or seat,UE,,28 ,,NW,,,,,,$134.43,$0.00,1,1,1,1,1,1,20101001,E0625,HCPCS,Patient lift bathroom or toi,,,28 ,,NW,,,,,,"$1,817.21",$0.00,1,1,1,1,1,1,20101001,E0625,HCPCS,Patient lift bathroom or toi,NU,,28 ,,NW,,,,,,"$1,817.21",$0.00,1,1,1,1,1,1,20101001,E0625,HCPCS,Patient lift bathroom or toi,RR,,28 ,,NW,,,,,,$187.37,$0.00,1,1,1,1,1,1,20101001,E0625,HCPCS,Patient lift bathroom or toi,UE,,28 ,,NW,,,,,,"$1,344.73",$0.00,1,1,1,1,1,1,20101001,E0627,HCPCS,Seat lift incorp lift-chair,,,28 ,,NW,,,,,,$770.75,$0.00,1,1,1,1,1,1,20101001,E0627,HCPCS,Seat lift incorp lift-chair,NU,,28 ,,NW,,,,,,$770.75,$0.00,1,1,1,1,1,1,20101001,E0627,HCPCS,Seat lift incorp lift-chair,RR,,28 ,,NW,,,,,,$61.64,$0.00,1,1,1,1,1,1,20101001,E0627,HCPCS,Seat lift incorp lift-chair,UE,,28 ,,NW,,,,,,$571.39,$0.00,1,1,1,1,1,1,20101001,E0628,HCPCS,Seat lift for pt furn-electr,,,28 ,,NW,,,,,,$770.75,$0.00,1,1,1,1,1,1,20101001,E0628,HCPCS,Seat lift for pt furn-electr,NU,,28 ,,NW,,,,,,$770.75,$0.00,1,1,1,1,1,1,20101001,E0628,HCPCS,Seat lift for pt furn-electr,RR,,28 ,,NW,,,,,,$61.64,$0.00,1,1,1,1,1,1,20101001,E0628,HCPCS,Seat lift for pt furn-electr,UE,,28 ,,NW,,,,,,$571.39,$0.00,1,1,1,1,1,1,20101001,E0629,HCPCS,Seat lift for pt furn-non-el,,,28 ,,NW,,,,,,$757.26,$0.00,1,1,1,1,1,1,20101001,E0629,HCPCS,Seat lift for pt furn-non-el,NU,,28 ,,NW,,,,,,$757.26,$0.00,1,1,1,1,1,1,20101001,E0629,HCPCS,Seat lift for pt furn-non-el,RR,,28 ,,NW,,,,,,$60.67,$0.00,1,1,1,1,1,1,20101001,E0629,HCPCS,Seat lift for pt furn-non-el,UE,,28 ,,NW,,,,,,$561.24,$0.00,1,1,1,1,1,1,20101001,E0630,HCPCS,Patient lift hydraulic,,,28 ,,NW,,,,,,$803.75,$0.00,1,1,1,1,1,1,20101001,E0630,HCPCS,Patient lift hydraulic,NU,,28 ,,NW,,,,,,$803.75,$0.00,1,1,1,1,1,1,20101001,E0630,HCPCS,Patient lift hydraulic,RR,,28 ,,NW,,,,,,$205.94,$0.00,1,1,1,1,1,1,20101001,E0630,HCPCS,Patient lift hydraulic,UE,,28 ,,NW,,,,,,$604.87,$0.00,1,1,1,1,1,1,20101001,E0635,HCPCS,Patient lift electric,,,28 ,,NW,,,,,,$963.48,$0.00,1,1,1,1,1,1,20101001,E0635,HCPCS,Patient lift electric,NU,,28 ,,NW,,,,,,$963.48,$0.00,1,1,1,1,1,1,20101001,E0635,HCPCS,Patient lift electric,RR,,28 ,,NW,,,,,,$248.87,$0.00,1,1,1,1,1,1,20101001,E0635,HCPCS,Patient lift electric,UE,,28 ,,NW,,,,,,$724.66,$0.00,1,1,1,1,1,1,20101001,E0636,HCPCS,Pt support & positioning sys,,,28 ,,NW,,,,,,"$22,827.61",$0.00,1,1,1,1,1,1,20101001,E0636,HCPCS,Pt support & positioning sys,RR,,28 ,,NW,,,,,,"$2,498.26",$0.00,1,1,1,1,1,1,20101001,E0637,HCPCS,Combination sit to stand sys,,,28 ,,NW,,,,,,"$1,098.07",$0.00,1,1,1,1,1,1,20101001,E0638,HCPCS,Standing frame sys,,,28 ,,NW,,,,,,"$2,329.15",$0.00,1,1,1,1,1,1,20101001,E0640,HCPCS,Fixed Patient Lift System,,,28 ,,NW,,,,,,"$4,408.14",$0.00,1,1,1,1,1,1,20101001,E0641,HCPCS,Multi-Position Stnd Fram Sys,,,28 ,,NW,,,,,,"$1,307.79",$0.00,1,1,1,1,1,1,20101001,E0642,HCPCS,Dynamic Standing Frame,,,28 ,,NW,,,,,,"$2,091.93",$0.00,1,1,1,1,1,1,20101001,E0650,HCPCS,Pneuma compresor non-segment,,,28 ,,NW,,,,,,"$1,616.09",$0.00,1,1,1,1,1,1,20101001,E0650,HCPCS,Pneuma compresor non-segment,NU,,28 ,,NW,,,,,,"$1,616.09",$0.00,1,1,1,1,1,1,20101001,E0650,HCPCS,Pneuma compresor non-segment,RR,,28 ,,NW,,,,,,$176.38,$0.00,1,1,1,1,1,1,20101001,E0650,HCPCS,Pneuma compresor non-segment,UE,,28 ,,NW,,,,,,"$1,199.10",$0.00,1,1,1,1,1,1,20101001,E0651,HCPCS,Pneum compressor segmental,,,28 ,,NW,,,,,,"$2,048.46",$0.00,1,1,1,1,1,1,20101001,E0651,HCPCS,Pneum compressor segmental,NU,,28 ,,NW,,,,,,"$2,048.46",$0.00,1,1,1,1,1,1,20101001,E0651,HCPCS,Pneum compressor segmental,RR,,28 ,,NW,,,,,,$187.51,$0.00,1,1,1,1,1,1,20101001,E0651,HCPCS,Pneum compressor segmental,UE,,28 ,,NW,,,,,,"$1,529.71",$0.00,1,1,1,1,1,1,20101001,E0652,HCPCS,Pneum compres w/cal pressure,,,28 ,,NW,,,,,,"$12,312.59",$0.00,1,1,1,1,1,1,20101001,E0652,HCPCS,Pneum compres w/cal pressure,NU,,28 ,,NW,,,,,,"$12,312.59",$0.00,1,1,1,1,1,1,20101001,E0652,HCPCS,Pneum compres w/cal pressure,RR,,28 ,,NW,,,,,,"$1,178.12",$0.00,1,1,1,1,1,1,20101001,E0652,HCPCS,Pneum compres w/cal pressure,UE,,28 ,,NW,,,,,,"$9,129.29",$0.00,1,1,1,1,1,1,20101001,E0655,HCPCS,Pneumatic appliance half arm,,,28 ,,NW,,,,,,$220.63,$0.00,1,1,1,1,1,1,20101001,E0655,HCPCS,Pneumatic appliance half arm,NU,,28 ,,NW,,,,,,$220.63,$0.00,1,1,1,1,1,1,20101001,E0655,HCPCS,Pneumatic appliance half arm,RR,,28 ,,NW,,,,,,$24.68,$0.00,1,1,1,1,1,1,20101001,E0655,HCPCS,Pneumatic appliance half arm,UE,,28 ,,NW,,,,,,$159.95,$0.00,1,1,1,1,1,1,20101001,E0656,HCPCS,Segmental Pneumatic Trunk,,,28 ,,NW,,,,,,"$1,356.59",$0.00,1,1,1,1,1,1,20101001,E0656,HCPCS,Segmental Pneumatic Trunk,NU,,28 ,,NW,,,,,,"$1,356.59",$0.00,1,1,1,1,1,1,20101001,E0656,HCPCS,Segmental Pneumatic Trunk,RR,,28 ,,NW,,,,,,$111.58,$0.00,1,1,1,1,1,1,20101001,E0656,HCPCS,Segmental Pneumatic Trunk,UE,,28 ,,NW,,,,,,"$1,010.93",$0.00,1,1,1,1,1,1,20101001,E0657,HCPCS,Segmental Pneumatic Chest,,,28 ,,NW,,,,,,"$1,272.86",$0.00,1,1,1,1,1,1,20101001,E0657,HCPCS,Segmental Pneumatic Chest,NU,,28 ,,NW,,,,,,"$1,272.86",$0.00,1,1,1,1,1,1,20101001,E0657,HCPCS,Segmental Pneumatic Chest,RR,,28 ,,NW,,,,,,$103.14,$0.00,1,1,1,1,1,1,20101001,E0657,HCPCS,Segmental Pneumatic Chest,UE,,28 ,,NW,,,,,,$948.07,$0.00,1,1,1,1,1,1,20101001,E0660,HCPCS,Pneumatic appliance full leg,,,28 ,,NW,,,,,,$335.04,$0.00,1,1,1,1,1,1,20101001,E0660,HCPCS,Pneumatic appliance full leg,NU,,28 ,,NW,,,,,,$335.04,$0.00,1,1,1,1,1,1,20101001,E0660,HCPCS,Pneumatic appliance full leg,RR,,28 ,,NW,,,,,,$31.48,$0.00,1,1,1,1,1,1,20101001,E0660,HCPCS,Pneumatic appliance full leg,UE,,28 ,,NW,,,,,,$244.04,$0.00,1,1,1,1,1,1,20101001,E0665,HCPCS,Pneumatic appliance full arm,,,28 ,,NW,,,,,,$282.62,$0.00,1,1,1,1,1,1,20101001,E0665,HCPCS,Pneumatic appliance full arm,NU,,28 ,,NW,,,,,,$282.62,$0.00,1,1,1,1,1,1,20101001,E0665,HCPCS,Pneumatic appliance full arm,RR,,28 ,,NW,,,,,,$27.58,$0.00,1,1,1,1,1,1,20101001,E0665,HCPCS,Pneumatic appliance full arm,UE,,28 ,,NW,,,,,,$203.74,$0.00,1,1,1,1,1,1,20101001,E0666,HCPCS,Pneumatic appliance half leg,,,28 ,,NW,,,,,,$286.54,$0.00,1,1,1,1,1,1,20101001,E0666,HCPCS,Pneumatic appliance half leg,NU,,28 ,,NW,,,,,,$286.54,$0.00,1,1,1,1,1,1,20101001,E0666,HCPCS,Pneumatic appliance half leg,RR,,28 ,,NW,,,,,,$27.89,$0.00,1,1,1,1,1,1,20101001,E0666,HCPCS,Pneumatic appliance half leg,UE,,28 ,,NW,,,,,,$208.82,$0.00,1,1,1,1,1,1,20101001,E0667,HCPCS,Seg pneumatic appl full leg,,,28 ,,NW,,,,,,$733.85,$0.00,1,1,1,1,1,1,20101001,E0667,HCPCS,Seg pneumatic appl full leg,NU,,28 ,,NW,,,,,,$733.85,$0.00,1,1,1,1,1,1,20101001,E0667,HCPCS,Seg pneumatic appl full leg,RR,,28 ,,NW,,,,,,$65.05,$0.00,1,1,1,1,1,1,20101001,E0667,HCPCS,Seg pneumatic appl full leg,UE,,28 ,,NW,,,,,,$543.74,$0.00,1,1,1,1,1,1,20101001,E0668,HCPCS,Seg pneumatic appl full arm,,,28 ,,NW,,,,,,$974.16,$0.00,1,1,1,1,1,1,20101001,E0668,HCPCS,Seg pneumatic appl full arm,NU,,28 ,,NW,,,,,,$974.16,$0.00,1,1,1,1,1,1,20101001,E0668,HCPCS,Seg pneumatic appl full arm,RR,,28 ,,NW,,,,,,$75.19,$0.00,1,1,1,1,1,1,20101001,E0668,HCPCS,Seg pneumatic appl full arm,UE,,28 ,,NW,,,,,,$724.01,$0.00,1,1,1,1,1,1,20101001,E0669,HCPCS,Seg pneumatic appli half leg,,,28 ,,NW,,,,,,$403.25,$0.00,1,1,1,1,1,1,20101001,E0669,HCPCS,Seg pneumatic appli half leg,NU,,28 ,,NW,,,,,,$403.25,$0.00,1,1,1,1,1,1,20101001,E0669,HCPCS,Seg pneumatic appli half leg,RR,,28 ,,NW,,,,,,$35.49,$0.00,1,1,1,1,1,1,20101001,E0669,HCPCS,Seg pneumatic appli half leg,UE,,28 ,,NW,,,,,,$295.83,$0.00,1,1,1,1,1,1,20101001,E0671,HCPCS,Pressure pneum appl full leg,,,28 ,,NW,,,,,,$968.22,$0.00,1,1,1,1,1,1,20101001,E0671,HCPCS,Pressure pneum appl full leg,NU,,28 ,,NW,,,,,,$968.22,$0.00,1,1,1,1,1,1,20101001,E0671,HCPCS,Pressure pneum appl full leg,RR,,28 ,,NW,,,,,,$75.70,$0.00,1,1,1,1,1,1,20101001,E0671,HCPCS,Pressure pneum appl full leg,UE,,28 ,,NW,,,,,,$719.50,$0.00,1,1,1,1,1,1,20101001,E0672,HCPCS,Pressure pneum appl full arm,,,28 ,,NW,,,,,,$746.39,$0.00,1,1,1,1,1,1,20101001,E0672,HCPCS,Pressure pneum appl full arm,NU,,28 ,,NW,,,,,,$746.39,$0.00,1,1,1,1,1,1,20101001,E0672,HCPCS,Pressure pneum appl full arm,RR,,28 ,,NW,,,,,,$59.90,$0.00,1,1,1,1,1,1,20101001,E0672,HCPCS,Pressure pneum appl full arm,UE,,28 ,,NW,,,,,,$553.17,$0.00,1,1,1,1,1,1,20101001,E0673,HCPCS,Pressure pneum appl half leg,,,28 ,,NW,,,,,,$615.71,$0.00,1,1,1,1,1,1,20101001,E0673,HCPCS,Pressure pneum appl half leg,NU,,28 ,,NW,,,,,,$615.71,$0.00,1,1,1,1,1,1,20101001,E0673,HCPCS,Pressure pneum appl half leg,RR,,28 ,,NW,,,,,,$50.60,$0.00,1,1,1,1,1,1,20101001,E0673,HCPCS,Pressure pneum appl half leg,UE,,28 ,,NW,,,,,,$455.20,$0.00,1,1,1,1,1,1,20101001,E0675,HCPCS,Pneumatic compression device,,,28 ,,NW,,,,,,"$8,169.94",$0.00,1,1,1,1,1,1,20101001,E0675,HCPCS,Pneumatic compression device,RR,,28 ,,NW,,,,,,$894.12,$0.00,1,1,1,1,1,1,20101001,E0676,HCPCS,Inter Limb Compress Dev Nos,,,28 ,,NW,,,,,,$615.71,$0.00,1,1,1,1,1,1,20101001,E0691,HCPCS,Uvl pnl 2 sq ft or less,,,28 ,,NW,,,,,,"$2,124.83",$0.00,1,1,1,1,1,1,20101001,E0691,HCPCS,Uvl pnl 2 sq ft or less,NU,,28 ,,NW,,,,,,"$2,124.83",$0.00,1,1,1,1,1,1,20101001,E0691,HCPCS,Uvl pnl 2 sq ft or less,RR,,28 ,,NW,,,,,,$188.56,$0.00,1,1,1,1,1,1,20101001,E0691,HCPCS,Uvl pnl 2 sq ft or less,UE,,28 ,,NW,,,,,,"$1,586.98",$0.00,1,1,1,1,1,1,20101001,E0692,HCPCS,Uvl sys panel 4 ft,,,28 ,,NW,,,,,,"$2,674.97",$0.00,1,1,1,1,1,1,20101001,E0692,HCPCS,Uvl sys panel 4 ft,NU,,28 ,,NW,,,,,,"$2,674.97",$0.00,1,1,1,1,1,1,20101001,E0692,HCPCS,Uvl sys panel 4 ft,RR,,28 ,,NW,,,,,,$243.50,$0.00,1,1,1,1,1,1,20101001,E0692,HCPCS,Uvl sys panel 4 ft,UE,,28 ,,NW,,,,,,"$1,999.60",$0.00,1,1,1,1,1,1,20101001,E0693,HCPCS,Uvl sys panel 6 ft,,,28 ,,NW,,,,,,"$3,303.71",$0.00,1,1,1,1,1,1,20101001,E0693,HCPCS,Uvl sys panel 6 ft,NU,,28 ,,NW,,,,,,"$3,303.71",$0.00,1,1,1,1,1,1,20101001,E0693,HCPCS,Uvl sys panel 6 ft,RR,,28 ,,NW,,,,,,$306.47,$0.00,1,1,1,1,1,1,20101001,E0693,HCPCS,Uvl sys panel 6 ft,UE,,28 ,,NW,,,,,,"$2,471.15",$0.00,1,1,1,1,1,1,20101001,E0694,HCPCS,Uvl md cabinet sys 6 ft,,,28 ,,NW,,,,,,"$10,573.37",$0.00,1,1,1,1,1,1,20101001,E0694,HCPCS,Uvl md cabinet sys 6 ft,NU,,28 ,,NW,,,,,,"$10,573.37",$0.00,1,1,1,1,1,1,20101001,E0694,HCPCS,Uvl md cabinet sys 6 ft,RR,,28 ,,NW,,,,,,"$1,033.42",$0.00,1,1,1,1,1,1,20101001,E0694,HCPCS,Uvl md cabinet sys 6 ft,UE,,28 ,,NW,,,,,,"$7,923.45",$0.00,1,1,1,1,1,1,20101001,E0700,HCPCS,Safety equipment,,,28 ,,NW,,,,,,$26.65,$0.00,1,1,1,1,1,1,20101001,E0705,HCPCS,Transfer device,,,28 ,,NW,,,,,,$96.37,$0.00,1,1,1,1,1,1,20101001,E0705,HCPCS,Transfer device,NU,,28 ,,NW,,,,,,$96.37,$0.00,1,1,1,1,1,1,20101001,E0705,HCPCS,Transfer device,RR,,28 ,,NW,,,,,,$13.79,$0.00,1,1,1,1,1,1,20101001,E0705,HCPCS,Transfer device,UE,,28 ,,NW,,,,,,$69.30,$0.00,1,1,1,1,1,1,20101001,E0710,HCPCS,Restraints any type,,,28 ,,NW,,,,,,$50.32,$0.00,1,1,1,1,1,1,20101001,E0720,HCPCS,Tens two lead,,,28 ,,NW,,,,,,$804.06,$0.00,1,1,1,1,1,1,20101001,E0720,HCPCS,Tens two lead,NU,,28 ,,NW,,,,,,$804.06,$0.00,1,1,1,1,1,1,20101001,E0720,HCPCS,Tens two lead,RR,,28 ,,NW,,,,,,$36.53,$0.00,1,1,1,1,1,1,20101001,E0720,HCPCS,Tens two lead,UE,,28 ,,NW,,,,,,$223.00,$0.00,1,1,1,1,1,1,20101001,E0730,HCPCS,Tens four lead,,,28 ,,NW,,,,,,$819.02,$0.00,1,1,1,1,1,1,20101001,E0730,HCPCS,Tens four lead,NU,,28 ,,NW,,,,,,$819.02,$0.00,1,1,1,1,1,1,20101001,E0730,HCPCS,Tens four lead,RR,,28 ,,NW,,,,,,$36.91,$0.00,1,1,1,1,1,1,20101001,E0730,HCPCS,Tens four lead,UE,,28 ,,NW,,,,,,$224.94,$0.00,1,1,1,1,1,1,20101001,E0731,HCPCS,Conductive garment for tens/,,,28 ,,NW,,,,,,$755.26,$0.00,1,1,1,1,1,1,20101001,E0731,HCPCS,Conductive garment for tens/,NU,,28 ,,NW,,,,,,$776.19,$0.00,1,1,1,1,1,1,20101001,E0731,HCPCS,Conductive garment for tens/,RR,,28 ,,NW,,,,,,$84.95,$0.00,1,1,1,1,1,1,20101001,E0740,HCPCS,Incontinence treatment systm,,,28 ,,NW,,,,,,"$1,225.27",$0.00,1,1,1,1,1,1,20101001,E0740,HCPCS,Incontinence treatment systm,NU,,28 ,,NW,,,,,,"$1,225.27",$0.00,1,1,1,1,1,1,20101001,E0740,HCPCS,Incontinence treatment systm,RR,,28 ,,NW,,,,,,$98.61,$0.00,1,1,1,1,1,1,20101001,E0740,HCPCS,Incontinence treatment systm,UE,,28 ,,NW,,,,,,$912.38,$0.00,1,1,1,1,1,1,20101001,E0744,HCPCS,Neuromuscular stim for scoli,,,28 ,,NW,,,,,,"$1,641.09",$0.00,1,1,1,1,1,1,20101001,E0744,HCPCS,Neuromuscular stim for scoli,NU,,28 ,,NW,,,,,,"$1,641.09",$0.00,1,1,1,1,1,1,20101001,E0744,HCPCS,Neuromuscular stim for scoli,RR,,28 ,,NW,,,,,,$179.60,$0.00,1,1,1,1,1,1,20101001,E0744,HCPCS,Neuromuscular stim for scoli,UE,,28 ,,NW,,,,,,"$1,477.28",$0.00,1,1,1,1,1,1,20101001,E0745,HCPCS,Neuromuscular stim for shock,,,28 ,,NW,,,,,,"$1,933.99",$0.00,1,1,1,1,1,1,20101001,E0745,HCPCS,Neuromuscular stim for shock,NU,,28 ,,NW,,,,,,"$1,933.99",$0.00,1,1,1,1,1,1,20101001,E0745,HCPCS,Neuromuscular stim for shock,RR,,28 ,,NW,,,,,,$176.76,$0.00,1,1,1,1,1,1,20101001,E0745,HCPCS,Neuromuscular stim for shock,UE,,28 ,,NW,,,,,,"$1,443.57",$0.00,1,1,1,1,1,1,20101001,E0746,HCPCS,Electromyograph biofeedback,,,28 ,,NW,,,,,,$192.12,$0.00,1,1,1,1,1,1,20101001,E0746,HCPCS,Electromyograph biofeedback,NU,,28 ,,NW,,,,,,$192.12,$0.00,1,1,1,1,1,1,20101001,E0746,HCPCS,Electromyograph biofeedback,RR,,28 ,,NW,,,,,,$21.03,$0.00,1,1,1,1,1,1,20101001,E0746,HCPCS,Electromyograph biofeedback,UE,,28 ,,NW,,,,,,$144.68,$0.00,1,1,1,1,1,1,20101001,E0747,HCPCS,Elec osteogen stim not spine,,,28 ,,NW,,,,,,"$8,896.54",$0.00,1,1,1,1,1,1,20101001,E0747,HCPCS,Elec osteogen stim not spine,NU,,28 ,,NW,,,,,,"$8,896.54",$0.00,1,1,1,1,1,1,20101001,E0747,HCPCS,Elec osteogen stim not spine,RR,,28 ,,NW,,,,,,$863.23,$0.00,1,1,1,1,1,1,20101001,E0747,HCPCS,Elec osteogen stim not spine,UE,,28 ,,NW,,,,,,"$6,616.60",$0.00,1,1,1,1,1,1,20101001,E0748,HCPCS,Elec osteogen stim spinal,,,28 ,,NW,,,,,,"$9,291.93",$0.00,1,1,1,1,1,1,20101001,E0748,HCPCS,Elec osteogen stim spinal,NU,,28 ,,NW,,,,,,"$9,291.93",$0.00,1,1,1,1,1,1,20101001,E0748,HCPCS,Elec osteogen stim spinal,RR,,28 ,,NW,,,,,,$905.27,$0.00,1,1,1,1,1,1,20101001,E0748,HCPCS,Elec osteogen stim spinal,UE,,28 ,,NW,,,,,,"$6,962.33",$0.00,1,1,1,1,1,1,20101001,E0749,HCPCS,Elec osteogen stim implanted,,,28 ,,NW,,,,,,"$5,620.77",$0.00,1,1,1,1,1,1,20101001,E0749,HCPCS,Elec osteogen stim implanted,RR,,28 ,,NW,,,,,,$615.14,$0.00,1,1,1,1,1,1,20101001,E0760,HCPCS,Osteogen ultrasound stimltor,,,28 ,,NW,,,,,,"$7,714.13",$0.00,1,1,1,1,1,1,20101001,E0760,HCPCS,Osteogen ultrasound stimltor,NU,,28 ,,NW,,,,,,"$7,714.13",$0.00,1,1,1,1,1,1,20101001,E0760,HCPCS,Osteogen ultrasound stimltor,RR,,28 ,,NW,,,,,,$747.53,$0.00,1,1,1,1,1,1,20101001,E0760,HCPCS,Osteogen ultrasound stimltor,UE,,28 ,,NW,,,,,,"$5,778.95",$0.00,1,1,1,1,1,1,20101001,E0762,HCPCS,Trans elec jt stim dev sys,,,28 ,,NW,,,,,,"$2,439.52",$0.00,1,1,1,1,1,1,20101001,E0762,HCPCS,Trans elec jt stim dev sys,NU,,28 ,,NW,,,,,,"$2,439.52",$0.00,1,1,1,1,1,1,20101001,E0762,HCPCS,Trans elec jt stim dev sys,RR,,28 ,,NW,,,,,,$220.05,$0.00,1,1,1,1,1,1,20101001,E0762,HCPCS,Trans elec jt stim dev sys,UE,,28 ,,NW,,,,,,"$1,822.95",$0.00,1,1,1,1,1,1,20101001,E0764,HCPCS,Functional Neuromuscularstim,,,28 ,,NW,,,,,,"$26,469.62",$0.00,1,1,1,1,1,1,20101001,E0764,HCPCS,Functional Neuromuscularstim,NU,,28 ,,NW,,,,,,"$26,469.62",$0.00,1,1,1,1,1,1,20101001,E0764,HCPCS,Functional Neuromuscularstim,RR,,28 ,,NW,,,,,,"$2,623.01",$0.00,1,1,1,1,1,1,20101001,E0764,HCPCS,Functional Neuromuscularstim,UE,,28 ,,NW,,,,,,"$19,845.59",$0.00,1,1,1,1,1,1,20101001,E0765,HCPCS,Nerve stimulator for tx n&v,,,28 ,,NW,,,,,,$174.86,$0.00,1,1,1,1,1,1,20101001,E0765,HCPCS,Nerve stimulator for tx n&v,NU,,28 ,,NW,,,,,,$174.86,$0.00,1,1,1,1,1,1,20101001,E0765,HCPCS,Nerve stimulator for tx n&v,RR,,28 ,,NW,,,,,,$19.26,$0.00,1,1,1,1,1,1,20101001,E0765,HCPCS,Nerve stimulator for tx n&v,UE,,28 ,,NW,,,,,,$124.55,$0.00,1,1,1,1,1,1,20101001,E0769,HCPCS,Electric Wound Treatment Dev,,,28 ,,NW,,,,,,$224.94,$0.00,1,1,1,1,1,1,20101001,E0770,HCPCS,Functional Electric Stim Nos,,,28 ,,NW,,,,,,$224.94,$0.00,1,1,1,1,1,1,20101001,E0776,HCPCS,Iv pole,,,28 ,,NW,,,,,,$293.34,$0.00,1,1,1,1,1,1,20101001,E0776,HCPCS,Iv pole,NU,,28 ,,NW,,,,,,$293.34,$0.00,1,1,1,1,1,1,20101001,E0776,HCPCS,Iv pole,RR,,28 ,,NW,,,,,,$34.68,$0.00,1,1,1,1,1,1,20101001,E0776,HCPCS,Iv pole,UE,,28 ,,NW,,,,,,$209.34,$0.00,1,1,1,1,1,1,20101001,E0779,HCPCS,Amb infusion pump mechanical,,,28 ,,NW,,,,,,$299.33,$0.00,1,1,1,1,1,1,20101001,E0779,HCPCS,Amb infusion pump mechanical,RR,,28 ,,NW,,,,,,$32.76,$0.00,1,1,1,1,1,1,20101001,E0780,HCPCS,Mech amb infusion pump <8hrs,,,28 ,,NW,,,,,,$21.15,$0.00,1,1,1,1,1,1,20101001,E0780,HCPCS,Mech amb infusion pump <8hrs,NU,,28 ,,NW,,,,,,$22.57,$0.00,1,1,1,1,1,1,20101001,E0781,HCPCS,External ambulatory infus pu,,,28 ,,NW,,,,,,"$5,322.93",$0.00,1,1,1,1,1,1,20101001,E0781,HCPCS,External ambulatory infus pu,RR,,28 ,,NW,,,,,,$582.54,$0.00,1,1,1,1,1,1,20101001,E0782,HCPCS,Non-programble infusion pump,,,28 ,,NW,,,,,,"$9,679.40",$0.00,1,1,1,1,1,1,20101001,E0782,HCPCS,Non-programble infusion pump,NU,,28 ,,NW,,,,,,"$9,679.40",$0.00,1,1,1,1,1,1,20101001,E0782,HCPCS,Non-programble infusion pump,RR,,28 ,,NW,,,,,,$944.06,$0.00,1,1,1,1,1,1,20101001,E0782,HCPCS,Non-programble infusion pump,UE,,28 ,,NW,,,,,,"$7,252.92",$0.00,1,1,1,1,1,1,20101001,E0783,HCPCS,Programmable infusion pump,,,28 ,,NW,,,,,,"$19,100.86",$0.00,1,1,1,1,1,1,20101001,E0783,HCPCS,Programmable infusion pump,NU,,28 ,,NW,,,,,,"$19,100.86",$0.00,1,1,1,1,1,1,20101001,E0783,HCPCS,Programmable infusion pump,RR,,28 ,,NW,,,,,,"$1,886.20",$0.00,1,1,1,1,1,1,20101001,E0783,HCPCS,Programmable infusion pump,UE,,28 ,,NW,,,,,,"$14,319.01",$0.00,1,1,1,1,1,1,20101001,E0784,HCPCS,Ext amb infusn pump insulin,,,28 ,,NW,,,,,,"$8,891.34",$0.00,1,1,1,1,1,1,20101001,E0784,HCPCS,Ext amb infusn pump insulin,RR,,28 ,,NW,,,,,,$973.07,$0.00,1,1,1,1,1,1,20101001,E0785,HCPCS,Replacement impl pump cathet,,,28 ,,NW,,,,,,$956.42,$0.00,1,1,1,1,1,1,20101001,E0785,HCPCS,Replacement impl pump cathet,KF,,28 ,,NW,,,,,,"$1,054.79",$0.00,1,1,1,1,1,1,20101001,E0786,HCPCS,Implantable pump replacement,,,28 ,,NW,,,,,,"$18,605.07",$0.00,1,1,1,1,1,1,20101001,E0786,HCPCS,Implantable pump replacement,NU,,28 ,,NW,,,,,,"$18,605.07",$0.00,1,1,1,1,1,1,20101001,E0786,HCPCS,Implantable pump replacement,RR,,28 ,,NW,,,,,,"$1,836.58",$0.00,1,1,1,1,1,1,20101001,E0786,HCPCS,Implantable pump replacement,UE,,28 ,,NW,,,,,,"$13,947.17",$0.00,1,1,1,1,1,1,20101001,E0791,HCPCS,Parenteral infusion pump sta,,,28 ,,NW,,,,,,"$5,316.98",$0.00,1,1,1,1,1,1,20101001,E0791,HCPCS,Parenteral infusion pump sta,RR,,28 ,,NW,,,,,,$531.25,$0.00,1,1,1,1,1,1,20101001,E0791,HCPCS,Parenteral infusion pump sta,UE,,28 ,,NW,,,,,,"$4,004.03",$0.00,1,1,1,1,1,1,20101001,E0830,HCPCS,Ambulatory traction device,,,28 ,,NW,,,,,,"$2,977.94",$0.00,1,1,1,1,1,1,20101001,E0840,HCPCS,Tract frame attach headboard,,,28 ,,NW,,,,,,$152.75,$0.00,1,1,1,1,1,1,20101001,E0840,HCPCS,Tract frame attach headboard,NU,,28 ,,NW,,,,,,$152.75,$0.00,1,1,1,1,1,1,20101001,E0840,HCPCS,Tract frame attach headboard,RR,,28 ,,NW,,,,,,$34.20,$0.00,1,1,1,1,1,1,20101001,E0840,HCPCS,Tract frame attach headboard,UE,,28 ,,NW,,,,,,$113.94,$0.00,1,1,1,1,1,1,20101001,E0849,HCPCS,Cervical pneum trac equip,,,28 ,,NW,,,,,,"$1,207.19",$0.00,1,1,1,1,1,1,20101001,E0849,HCPCS,Cervical pneum trac equip,NU,,28 ,,NW,,,,,,"$1,207.19",$0.00,1,1,1,1,1,1,20101001,E0849,HCPCS,Cervical pneum trac equip,RR,,28 ,,NW,,,,,,$96.80,$0.00,1,1,1,1,1,1,20101001,E0849,HCPCS,Cervical pneum trac equip,UE,,28 ,,NW,,,,,,$898.68,$0.00,1,1,1,1,1,1,20101001,E0850,HCPCS,Traction stand free standing,,,28 ,,NW,,,,,,$217.57,$0.00,1,1,1,1,1,1,20101001,E0850,HCPCS,Traction stand free standing,NU,,28 ,,NW,,,,,,$217.57,$0.00,1,1,1,1,1,1,20101001,E0850,HCPCS,Traction stand free standing,RR,,28 ,,NW,,,,,,$29.67,$0.00,1,1,1,1,1,1,20101001,E0850,HCPCS,Traction stand free standing,UE,,28 ,,NW,,,,,,$164.83,$0.00,1,1,1,1,1,1,20101001,E0855,HCPCS,Cervical traction equipment,,,28 ,,NW,,,,,,"$1,167.50",$0.00,1,1,1,1,1,1,20101001,E0855,HCPCS,Cervical traction equipment,NU,,28 ,,NW,,,,,,"$1,167.50",$0.00,1,1,1,1,1,1,20101001,E0855,HCPCS,Cervical traction equipment,RR,,28 ,,NW,,,,,,$92.84,$0.00,1,1,1,1,1,1,20101001,E0855,HCPCS,Cervical traction equipment,UE,,28 ,,NW,,,,,,$868.95,$0.00,1,1,1,1,1,1,20101001,E0856,HCPCS,Cervic Collar W Air Bladder,,,28 ,,NW,,,,,,$342.20,$0.00,1,1,1,1,1,1,20101001,E0856,HCPCS,Cervic Collar W Air Bladder,NU,,28 ,,NW,,,,,,$342.20,$0.00,1,1,1,1,1,1,20101001,E0856,HCPCS,Cervic Collar W Air Bladder,RR,,28 ,,NW,,,,,,$31.15,$0.00,1,1,1,1,1,1,20101001,E0856,HCPCS,Cervic Collar W Air Bladder,UE,,28 ,,NW,,,,,,$250.03,$0.00,1,1,1,1,1,1,20101001,E0860,HCPCS,Tract equip cervical tract,,,28 ,,NW,,,,,,$79.12,$0.00,1,1,1,1,1,1,20101001,E0860,HCPCS,Tract equip cervical tract,NU,,28 ,,NW,,,,,,$79.12,$0.00,1,1,1,1,1,1,20101001,E0860,HCPCS,Tract equip cervical tract,RR,,28 ,,NW,,,,,,$12.87,$0.00,1,1,1,1,1,1,20101001,E0860,HCPCS,Tract equip cervical tract,UE,,28 ,,NW,,,,,,$60.79,$0.00,1,1,1,1,1,1,20101001,E0870,HCPCS,Tract frame attach footboard,,,28 ,,NW,,,,,,$230.18,$0.00,1,1,1,1,1,1,20101001,E0870,HCPCS,Tract frame attach footboard,NU,,28 ,,NW,,,,,,$230.18,$0.00,1,1,1,1,1,1,20101001,E0870,HCPCS,Tract frame attach footboard,RR,,28 ,,NW,,,,,,$28.31,$0.00,1,1,1,1,1,1,20101001,E0870,HCPCS,Tract frame attach footboard,UE,,28 ,,NW,,,,,,$179.74,$0.00,1,1,1,1,1,1,20101001,E0880,HCPCS,Trac stand free stand extrem,,,28 ,,NW,,,,,,$240.18,$0.00,1,1,1,1,1,1,20101001,E0880,HCPCS,Trac stand free stand extrem,NU,,28 ,,NW,,,,,,$240.18,$0.00,1,1,1,1,1,1,20101001,E0880,HCPCS,Trac stand free stand extrem,RR,,28 ,,NW,,,,,,$40.41,$0.00,1,1,1,1,1,1,20101001,E0880,HCPCS,Trac stand free stand extrem,UE,,28 ,,NW,,,,,,$192.79,$0.00,1,1,1,1,1,1,20101001,E0890,HCPCS,Traction frame attach pelvic,,,28 ,,NW,,,,,,$234.78,$0.00,1,1,1,1,1,1,20101001,E0890,HCPCS,Traction frame attach pelvic,NU,,28 ,,NW,,,,,,$234.78,$0.00,1,1,1,1,1,1,20101001,E0890,HCPCS,Traction frame attach pelvic,RR,,28 ,,NW,,,,,,$68.75,$0.00,1,1,1,1,1,1,20101001,E0890,HCPCS,Traction frame attach pelvic,UE,,28 ,,NW,,,,,,$196.64,$0.00,1,1,1,1,1,1,20101001,E0900,HCPCS,Trac stand free stand pelvic,,,28 ,,NW,,,,,,$246.45,$0.00,1,1,1,1,1,1,20101001,E0900,HCPCS,Trac stand free stand pelvic,NU,,28 ,,NW,,,,,,$246.45,$0.00,1,1,1,1,1,1,20101001,E0900,HCPCS,Trac stand free stand pelvic,RR,,28 ,,NW,,,,,,$56.63,$0.00,1,1,1,1,1,1,20101001,E0900,HCPCS,Trac stand free stand pelvic,UE,,28 ,,NW,,,,,,$199.36,$0.00,1,1,1,1,1,1,20101001,E0910,HCPCS,Trapeze bar attached to bed,,,28 ,,NW,,,,,,$326.77,$0.00,1,1,1,1,1,1,20101001,E0910,HCPCS,Trapeze bar attached to bed,RR,,28 ,,NW,,,,,,$35.76,$0.00,1,1,1,1,1,1,20101001,E0910,HCPCS,Trapeze bar attached to bed,UE,,28 ,,NW,,,,,,$236.93,$0.00,1,1,1,1,1,1,20101001,E0911,HCPCS,Hd Trapeze Bar Attach To Bed,,,28 ,,NW,,,,,,$862.85,$0.00,1,1,1,1,1,1,20101001,E0911,HCPCS,Hd Trapeze Bar Attach To Bed,RR,,28 ,,NW,,,,,,$94.43,$0.00,1,1,1,1,1,1,20101001,E0912,HCPCS,Hd Trapeze Bar Free Standing,,,28 ,,NW,,,,,,"$1,982.66",$0.00,1,1,1,1,1,1,20101001,E0912,HCPCS,Hd Trapeze Bar Free Standing,RR,,28 ,,NW,,,,,,$216.98,$0.00,1,1,1,1,1,1,20101001,E0920,HCPCS,Fracture frame attached to b,,,28 ,,NW,,,,,,$871.84,$0.00,1,1,1,1,1,1,20101001,E0920,HCPCS,Fracture frame attached to b,RR,,28 ,,NW,,,,,,$95.41,$0.00,1,1,1,1,1,1,20101001,E0920,HCPCS,Fracture frame attached to b,UE,,28 ,,NW,,,,,,$785.98,$0.00,1,1,1,1,1,1,20101001,E0930,HCPCS,Fracture frame free standing,,,28 ,,NW,,,,,,$866.24,$0.00,1,1,1,1,1,1,20101001,E0930,HCPCS,Fracture frame free standing,RR,,28 ,,NW,,,,,,$94.80,$0.00,1,1,1,1,1,1,20101001,E0930,HCPCS,Fracture frame free standing,UE,,28 ,,NW,,,,,,$652.33,$0.00,1,1,1,1,1,1,20101001,E0935,HCPCS,Cont pas motion exercise dev,,,28 ,,NW,,,,,,$376.86,$0.00,1,1,1,1,1,1,20101001,E0935,HCPCS,Cont pas motion exercise dev,RR,,28 ,,NW,,,,,,$41.24,$0.00,1,1,1,1,1,1,20101001,E0936,HCPCS,"Cpm Device, Other Than Knee",,,28 ,,NW,,,,,,$83.82,$0.00,1,1,1,1,1,1,20101001,E0936,HCPCS,"Cpm Device, Other Than Knee",RR,,28 ,,NW,,,,,,$9.17,$0.00,1,1,1,1,1,1,20101001,E0940,HCPCS,Trapeze bar free standing,,,28 ,,NW,,,,,,$569.02,$0.00,1,1,1,1,1,1,20101001,E0940,HCPCS,Trapeze bar free standing,RR,,28 ,,NW,,,,,,$62.27,$0.00,1,1,1,1,1,1,20101001,E0940,HCPCS,Trapeze bar free standing,UE,,28 ,,NW,,,,,,$430.66,$0.00,1,1,1,1,1,1,20101001,E0941,HCPCS,Gravity assisted traction de,,,28 ,,NW,,,,,,$844.02,$0.00,1,1,1,1,1,1,20101001,E0941,HCPCS,Gravity assisted traction de,NU,,28 ,,NW,,,,,,$844.02,$0.00,1,1,1,1,1,1,20101001,E0941,HCPCS,Gravity assisted traction de,RR,,28 ,,NW,,,,,,$92.37,$0.00,1,1,1,1,1,1,20101001,E0941,HCPCS,Gravity assisted traction de,UE,,28 ,,NW,,,,,,$635.60,$0.00,1,1,1,1,1,1,20101001,E0942,HCPCS,Cervical head harness/halter,,,28 ,,NW,,,,,,$41.22,$0.00,1,1,1,1,1,1,20101001,E0942,HCPCS,Cervical head harness/halter,NU,,28 ,,NW,,,,,,$41.22,$0.00,1,1,1,1,1,1,20101001,E0942,HCPCS,Cervical head harness/halter,RR,,28 ,,NW,,,,,,$4.06,$0.00,1,1,1,1,1,1,20101001,E0942,HCPCS,Cervical head harness/halter,UE,,28 ,,NW,,,,,,$30.68,$0.00,1,1,1,1,1,1,20101001,E0944,HCPCS,Pelvic belt/harness/boot,,,28 ,,NW,,,,,,$61.75,$0.00,1,1,1,1,1,1,20101001,E0944,HCPCS,Pelvic belt/harness/boot,NU,,28 ,,NW,,,,,,$61.75,$0.00,1,1,1,1,1,1,20101001,E0944,HCPCS,Pelvic belt/harness/boot,RR,,28 ,,NW,,,,,,$5.44,$0.00,1,1,1,1,1,1,20101001,E0944,HCPCS,Pelvic belt/harness/boot,UE,,28 ,,NW,,,,,,$45.84,$0.00,1,1,1,1,1,1,20101001,E0945,HCPCS,Belt/harness extremity,,,28 ,,NW,,,,,,$61.06,$0.00,1,1,1,1,1,1,20101001,E0945,HCPCS,Belt/harness extremity,NU,,28 ,,NW,,,,,,$61.06,$0.00,1,1,1,1,1,1,20101001,E0945,HCPCS,Belt/harness extremity,RR,,28 ,,NW,,,,,,$5.36,$0.00,1,1,1,1,1,1,20101001,E0945,HCPCS,Belt/harness extremity,UE,,28 ,,NW,,,,,,$46.51,$0.00,1,1,1,1,1,1,20101001,E0946,HCPCS,Fracture frame dual w cross,,,28 ,,NW,,,,,,"$1,099.09",$0.00,1,1,1,1,1,1,20101001,E0946,HCPCS,Fracture frame dual w cross,NU,,28 ,,NW,,,,,,"$1,099.09",$0.00,1,1,1,1,1,1,20101001,E0946,HCPCS,Fracture frame dual w cross,RR,,28 ,,NW,,,,,,$120.28,$0.00,1,1,1,1,1,1,20101001,E0946,HCPCS,Fracture frame dual w cross,UE,,28 ,,NW,,,,,,$827.69,$0.00,1,1,1,1,1,1,20101001,E0947,HCPCS,Fracture frame attachmnts pe,,,28 ,,NW,,,,,,$859.34,$0.00,1,1,1,1,1,1,20101001,E0947,HCPCS,Fracture frame attachmnts pe,NU,,28 ,,NW,,,,,,$859.34,$0.00,1,1,1,1,1,1,20101001,E0947,HCPCS,Fracture frame attachmnts pe,RR,,28 ,,NW,,,,,,$128.47,$0.00,1,1,1,1,1,1,20101001,E0947,HCPCS,Fracture frame attachmnts pe,UE,,28 ,,NW,,,,,,$664.20,$0.00,1,1,1,1,1,1,20101001,E0948,HCPCS,Fracture frame attachmnts ce,,,28 ,,NW,,,,,,$843.40,$0.00,1,1,1,1,1,1,20101001,E0948,HCPCS,Fracture frame attachmnts ce,NU,,28 ,,NW,,,,,,$843.40,$0.00,1,1,1,1,1,1,20101001,E0948,HCPCS,Fracture frame attachmnts ce,RR,,28 ,,NW,,,,,,$120.07,$0.00,1,1,1,1,1,1,20101001,E0948,HCPCS,Fracture frame attachmnts ce,UE,,28 ,,NW,,,,,,$623.03,$0.00,1,1,1,1,1,1,20101001,E0950,HCPCS,Tray,,,28 ,,NW,,,,,,$214.45,$0.00,1,1,1,1,1,1,20101001,E0950,HCPCS,Tray,NU,,28 ,,NW,,,,,,$214.45,$0.00,1,1,1,1,1,1,20101001,E0950,HCPCS,Tray,RR,,28 ,,NW,,,,,,$25.53,$0.00,1,1,1,1,1,1,20101001,E0950,HCPCS,Tray,UE,,28 ,,NW,,,,,,$176.95,$0.00,1,1,1,1,1,1,20101001,E0951,HCPCS,Loop heel,,,28 ,,NW,,,,,,$49.80,$0.00,1,1,1,1,1,1,20101001,E0951,HCPCS,Loop heel,NU,,28 ,,NW,,,,,,$49.80,$0.00,1,1,1,1,1,1,20101001,E0951,HCPCS,Loop heel,RR,,28 ,,NW,,,,,,$4.51,$0.00,1,1,1,1,1,1,20101001,E0951,HCPCS,Loop heel,UE,,28 ,,NW,,,,,,$36.74,$0.00,1,1,1,1,1,1,20101001,E0952,HCPCS,"Toe loop/holder, each",,,28 ,,NW,,,,,,$48.03,$0.00,1,1,1,1,1,1,20101001,E0952,HCPCS,"Toe loop/holder, each",NU,,28 ,,NW,,,,,,$48.03,$0.00,1,1,1,1,1,1,20101001,E0952,HCPCS,"Toe loop/holder, each",RR,,28 ,,NW,,,,,,$4.39,$0.00,1,1,1,1,1,1,20101001,E0952,HCPCS,"Toe loop/holder, each",UE,,28 ,,NW,,,,,,$35.53,$0.00,1,1,1,1,1,1,20101001,E0955,HCPCS,Cushioned headrest,,,28 ,,NW,,,,,,$376.69,$0.00,1,1,1,1,1,1,20101001,E0955,HCPCS,Cushioned headrest,NU,,28 ,,NW,,,,,,$376.69,$0.00,1,1,1,1,1,1,20101001,E0955,HCPCS,Cushioned headrest,RR,,28 ,,NW,,,,,,$55.40,$0.00,1,1,1,1,1,1,20101001,E0955,HCPCS,Cushioned headrest,UE,,28 ,,NW,,,,,,$298.67,$0.00,1,1,1,1,1,1,20101001,E0956,HCPCS,W/c lateral trunk/hip suppor,,,28 ,,NW,,,,,,$216.78,$0.00,1,1,1,1,1,1,20101001,E0956,HCPCS,W/c lateral trunk/hip suppor,NU,,28 ,,NW,,,,,,$216.78,$0.00,1,1,1,1,1,1,20101001,E0956,HCPCS,W/c lateral trunk/hip suppor,RR,,28 ,,NW,,,,,,$25.84,$0.00,1,1,1,1,1,1,20101001,E0956,HCPCS,W/c lateral trunk/hip suppor,UE,,28 ,,NW,,,,,,$178.74,$0.00,1,1,1,1,1,1,20101001,E0957,HCPCS,W/c medial thigh support,,,28 ,,NW,,,,,,$277.52,$0.00,1,1,1,1,1,1,20101001,E0957,HCPCS,W/c medial thigh support,NU,,28 ,,NW,,,,,,$277.52,$0.00,1,1,1,1,1,1,20101001,E0957,HCPCS,W/c medial thigh support,RR,,28 ,,NW,,,,,,$37.03,$0.00,1,1,1,1,1,1,20101001,E0957,HCPCS,W/c medial thigh support,UE,,28 ,,NW,,,,,,$224.29,$0.00,1,1,1,1,1,1,20101001,E0958,HCPCS,Whlchr att- conv 1 arm drive,,,28 ,,NW,,,,,,$560.07,$0.00,1,1,1,1,1,1,20101001,E0958,HCPCS,Whlchr att- conv 1 arm drive,NU,,28 ,,NW,,,,,,$749.07,$0.00,1,1,1,1,1,1,20101001,E0958,HCPCS,Whlchr att- conv 1 arm drive,RR,,28 ,,NW,,,,,,$61.29,$0.00,1,1,1,1,1,1,20101001,E0958,HCPCS,Whlchr att- conv 1 arm drive,UE,,28 ,,NW,,,,,,$555.13,$0.00,1,1,1,1,1,1,20101001,E0959,HCPCS,Amputee adapter,,,28 ,,NW,,,,,,$61.96,$0.00,1,1,1,1,1,1,20101001,E0959,HCPCS,Amputee adapter,NU,,28 ,,NW,,,,,,$61.96,$0.00,1,1,1,1,1,1,20101001,E0959,HCPCS,Amputee adapter,RR,,28 ,,NW,,,,,,$5.44,$0.00,1,1,1,1,1,1,20101001,E0959,HCPCS,Amputee adapter,UE,,28 ,,NW,,,,,,$46.31,$0.00,1,1,1,1,1,1,20101001,E0960,HCPCS,W/c shoulder harness/straps,,,28 ,,NW,,,,,,$205.05,$0.00,1,1,1,1,1,1,20101001,E0960,HCPCS,W/c shoulder harness/straps,NU,,28 ,,NW,,,,,,$205.05,$0.00,1,1,1,1,1,1,20101001,E0960,HCPCS,W/c shoulder harness/straps,RR,,28 ,,NW,,,,,,$23.67,$0.00,1,1,1,1,1,1,20101001,E0960,HCPCS,W/c shoulder harness/straps,UE,,28 ,,NW,,,,,,$169.95,$0.00,1,1,1,1,1,1,20101001,E0961,HCPCS,Wheelchair brake extension,,,28 ,,NW,,,,,,$39.60,$0.00,1,1,1,1,1,1,20101001,E0961,HCPCS,Wheelchair brake extension,NU,,28 ,,NW,,,,,,$39.60,$0.00,1,1,1,1,1,1,20101001,E0961,HCPCS,Wheelchair brake extension,RR,,28 ,,NW,,,,,,$3.73,$0.00,1,1,1,1,1,1,20101001,E0961,HCPCS,Wheelchair brake extension,UE,,28 ,,NW,,,,,,$18.87,$0.00,1,1,1,1,1,1,20101001,E0966,HCPCS,Wheelchair head rest extensi,,,28 ,,NW,,,,,,$103.42,$0.00,1,1,1,1,1,1,20101001,E0966,HCPCS,Wheelchair head rest extensi,NU,,28 ,,NW,,,,,,$103.42,$0.00,1,1,1,1,1,1,20101001,E0966,HCPCS,Wheelchair head rest extensi,RR,,28 ,,NW,,,,,,$8.84,$0.00,1,1,1,1,1,1,20101001,E0966,HCPCS,Wheelchair head rest extensi,UE,,28 ,,NW,,,,,,$76.99,$0.00,1,1,1,1,1,1,20101001,E0967,HCPCS,Manual wc hand rim w project,,,28 ,,NW,,,,,,$97.96,$0.00,1,1,1,1,1,1,20101001,E0967,HCPCS,Manual wc hand rim w project,NU,,28 ,,NW,,,,,,$97.96,$0.00,1,1,1,1,1,1,20101001,E0967,HCPCS,Manual wc hand rim w project,RR,,28 ,,NW,,,,,,$8.44,$0.00,1,1,1,1,1,1,20101001,E0967,HCPCS,Manual wc hand rim w project,UE,,28 ,,NW,,,,,,$72.88,$0.00,1,1,1,1,1,1,20101001,E0968,HCPCS,Wheelchair commode seat,,,28 ,,NW,,,,,,$367.36,$0.00,1,1,1,1,1,1,20101001,E0968,HCPCS,Wheelchair commode seat,NU,,28 ,,NW,,,,,,$367.36,$0.00,1,1,1,1,1,1,20101001,E0968,HCPCS,Wheelchair commode seat,RR,,28 ,,NW,,,,,,$24.29,$0.00,1,1,1,1,1,1,20101001,E0968,HCPCS,Wheelchair commode seat,UE,,28 ,,NW,,,,,,$224.56,$0.00,1,1,1,1,1,1,20101001,E0969,HCPCS,Wheelchair narrowing device,,,28 ,,NW,,,,,,$189.54,$0.00,1,1,1,1,1,1,20101001,E0969,HCPCS,Wheelchair narrowing device,NU,,28 ,,NW,,,,,,$189.54,$0.00,1,1,1,1,1,1,20101001,E0969,HCPCS,Wheelchair narrowing device,RR,,28 ,,NW,,,,,,$20.60,$0.00,1,1,1,1,1,1,20101001,E0969,HCPCS,Wheelchair narrowing device,UE,,28 ,,NW,,,,,,$158.85,$0.00,1,1,1,1,1,1,20101001,E0970,HCPCS,Wheelchair no. 2 footplates,,,28 ,,NW,,,,,,$345.65,$0.00,1,1,1,1,1,1,20101001,E0970,HCPCS,Wheelchair no. 2 footplates,NU,,28 ,,NW,,,,,,$67.43,$0.00,1,1,1,1,1,1,20101001,E0970,HCPCS,Wheelchair no. 2 footplates,RR,,28 ,,NW,,,,,,$5.38,$0.00,1,1,1,1,1,1,20101001,E0970,HCPCS,Wheelchair no. 2 footplates,UE,,28 ,,NW,,,,,,$50.00,$0.00,1,1,1,1,1,1,20101001,E0971,HCPCS,Wheelchair anti-tipping devi,,,28 ,,NW,,,,,,$64.17,$0.00,1,1,1,1,1,1,20101001,E0971,HCPCS,Wheelchair anti-tipping devi,NU,,28 ,,NW,,,,,,$64.17,$0.00,1,1,1,1,1,1,20101001,E0971,HCPCS,Wheelchair anti-tipping devi,RR,,28 ,,NW,,,,,,$5.60,$0.00,1,1,1,1,1,1,20101001,E0971,HCPCS,Wheelchair anti-tipping devi,UE,,28 ,,NW,,,,,,$47.58,$0.00,1,1,1,1,1,1,20101001,E0973,HCPCS,W/ch access det adj armrest,,,28 ,,NW,,,,,,$229.18,$0.00,1,1,1,1,1,1,20101001,E0973,HCPCS,W/ch access det adj armrest,NU,,28 ,,NW,,,,,,$229.18,$0.00,1,1,1,1,1,1,20101001,E0973,HCPCS,W/ch access det adj armrest,RR,,28 ,,NW,,,,,,$26.94,$0.00,1,1,1,1,1,1,20101001,E0973,HCPCS,W/ch access det adj armrest,UE,,28 ,,NW,,,,,,$188.82,$0.00,1,1,1,1,1,1,20101001,E0974,HCPCS,W/ch access anti-rollback,,,28 ,,NW,,,,,,$111.63,$0.00,1,1,1,1,1,1,20101001,E0974,HCPCS,W/ch access anti-rollback,NU,,28 ,,NW,,,,,,$111.63,$0.00,1,1,1,1,1,1,20101001,E0974,HCPCS,W/ch access anti-rollback,RR,,28 ,,NW,,,,,,$10.18,$0.00,1,1,1,1,1,1,20101001,E0974,HCPCS,W/ch access anti-rollback,UE,,28 ,,NW,,,,,,$84.44,$0.00,1,1,1,1,1,1,20101001,E0978,HCPCS,"W/c acc,saf belt pelv strap",,,28 ,,NW,,,,,,$112.71,$0.00,1,1,1,1,1,1,20101001,E0978,HCPCS,"W/c acc,saf belt pelv strap",NU,,28 ,,NW,,,,,,$112.71,$0.00,1,1,1,1,1,1,20101001,E0978,HCPCS,"W/c acc,saf belt pelv strap",RR,,28 ,,NW,,,,,,$9.64,$0.00,1,1,1,1,1,1,20101001,E0978,HCPCS,"W/c acc,saf belt pelv strap",UE,,28 ,,NW,,,,,,$83.35,$0.00,1,1,1,1,1,1,20101001,E0980,HCPCS,Wheelchair safety vest,,,28 ,,NW,,,,,,$44.52,$0.00,1,1,1,1,1,1,20101001,E0980,HCPCS,Wheelchair safety vest,NU,,28 ,,NW,,,,,,$44.52,$0.00,1,1,1,1,1,1,20101001,E0980,HCPCS,Wheelchair safety vest,RR,,28 ,,NW,,,,,,$3.94,$0.00,1,1,1,1,1,1,20101001,E0980,HCPCS,Wheelchair safety vest,UE,,28 ,,NW,,,,,,$32.69,$0.00,1,1,1,1,1,1,20101001,E0981,HCPCS,"Seat upholstery, replacement",,,28 ,,NW,,,,,,$126.67,$0.00,1,1,1,1,1,1,20101001,E0981,HCPCS,"Seat upholstery, replacement",NU,,28 ,,NW,,,,,,$126.67,$0.00,1,1,1,1,1,1,20101001,E0981,HCPCS,"Seat upholstery, replacement",RR,,28 ,,NW,,,,,,$10.95,$0.00,1,1,1,1,1,1,20101001,E0981,HCPCS,"Seat upholstery, replacement",UE,,28 ,,NW,,,,,,$95.11,$0.00,1,1,1,1,1,1,20101001,E0982,HCPCS,"Back upholstery, replacement",,,28 ,,NW,,,,,,$134.21,$0.00,1,1,1,1,1,1,20101001,E0982,HCPCS,"Back upholstery, replacement",NU,,28 ,,NW,,,,,,$134.21,$0.00,1,1,1,1,1,1,20101001,E0982,HCPCS,"Back upholstery, replacement",RR,,28 ,,NW,,,,,,$11.51,$0.00,1,1,1,1,1,1,20101001,E0982,HCPCS,"Back upholstery, replacement",UE,,28 ,,NW,,,,,,$100.24,$0.00,1,1,1,1,1,1,20101001,E0983,HCPCS,Add pwr joystick,,,28 ,,NW,,,,,,"$2,434.91",$0.00,1,1,1,1,1,1,20101001,E0983,HCPCS,Add pwr joystick,RR,,28 ,,NW,,,,,,$266.48,$0.00,1,1,1,1,1,1,20101001,E0984,HCPCS,Add pwr tiller,,,28 ,,NW,,,,,,"$1,533.49",$0.00,1,1,1,1,1,1,20101001,E0984,HCPCS,Add pwr tiller,NU,,28 ,,NW,,,,,,"$1,533.49",$0.00,1,1,1,1,1,1,20101001,E0984,HCPCS,Add pwr tiller,RR,,28 ,,NW,,,,,,$200.35,$0.00,1,1,1,1,1,1,20101001,E0984,HCPCS,Add pwr tiller,UE,,28 ,,NW,,,,,,"$1,194.94",$0.00,1,1,1,1,1,1,20101001,E0985,HCPCS,W/c seat lift mechanism,,,28 ,,NW,,,,,,$232.78,$0.00,1,1,1,1,1,1,20101001,E0985,HCPCS,W/c seat lift mechanism,NU,,28 ,,NW,,,,,,$232.78,$0.00,1,1,1,1,1,1,20101001,E0985,HCPCS,W/c seat lift mechanism,RR,,28 ,,NW,,,,,,$28.80,$0.00,1,1,1,1,1,1,20101001,E0985,HCPCS,W/c seat lift mechanism,UE,,28 ,,NW,,,,,,$190.73,$0.00,1,1,1,1,1,1,20101001,E0986,HCPCS,Man w/c push-rim pow assist,,,28 ,,NW,,,,,,"$4,097.13",$0.00,1,1,1,1,1,1,20101001,E0986,HCPCS,Man w/c push-rim pow assist,NU,,28 ,,NW,,,,,,"$4,097.13",$0.00,1,1,1,1,1,1,20101001,E0986,HCPCS,Man w/c push-rim pow assist,RR,,28 ,,NW,,,,,,$467.87,$0.00,1,1,1,1,1,1,20101001,E0986,HCPCS,Man w/c push-rim pow assist,UE,,28 ,,NW,,,,,,"$3,089.02",$0.00,1,1,1,1,1,1,20101001,E0990,HCPCS,Wheelchair elevating leg res,,,28 ,,NW,,,,,,$235.89,$0.00,1,1,1,1,1,1,20101001,E0990,HCPCS,Wheelchair elevating leg res,NU,,28 ,,NW,,,,,,$235.89,$0.00,1,1,1,1,1,1,20101001,E0990,HCPCS,Wheelchair elevating leg res,RR,,28 ,,NW,,,,,,$33.36,$0.00,1,1,1,1,1,1,20101001,E0990,HCPCS,Wheelchair elevating leg res,UE,,28 ,,NW,,,,,,$195.90,$0.00,1,1,1,1,1,1,20101001,E0992,HCPCS,Wheelchair solid seat insert,,,28 ,,NW,,,,,,$134.55,$0.00,1,1,1,1,1,1,20101001,E0992,HCPCS,Wheelchair solid seat insert,NU,,28 ,,NW,,,,,,$134.55,$0.00,1,1,1,1,1,1,20101001,E0992,HCPCS,Wheelchair solid seat insert,RR,,28 ,,NW,,,,,,$11.22,$0.00,1,1,1,1,1,1,20101001,E0992,HCPCS,Wheelchair solid seat insert,UE,,28 ,,NW,,,,,,$100.35,$0.00,1,1,1,1,1,1,20101001,E0994,HCPCS,Wheelchair arm rest,,,28 ,,NW,,,,,,$23.35,$0.00,1,1,1,1,1,1,20101001,E0994,HCPCS,Wheelchair arm rest,NU,,28 ,,NW,,,,,,$23.35,$0.00,1,1,1,1,1,1,20101001,E0994,HCPCS,Wheelchair arm rest,RR,,28 ,,NW,,,,,,$2.18,$0.00,1,1,1,1,1,1,20101001,E0994,HCPCS,Wheelchair arm rest,UE,,28 ,,NW,,,,,,$16.98,$0.00,1,1,1,1,1,1,20101001,E0995,HCPCS,Wheelchair calf rest,,,28 ,,NW,,,,,,$78.85,$0.00,1,1,1,1,1,1,20101001,E0995,HCPCS,Wheelchair calf rest,NU,,28 ,,NW,,,,,,$78.85,$0.00,1,1,1,1,1,1,20101001,E0995,HCPCS,Wheelchair calf rest,RR,,28 ,,NW,,,,,,$6.86,$0.00,1,1,1,1,1,1,20101001,E0995,HCPCS,Wheelchair calf rest,UE,,28 ,,NW,,,,,,$58.54,$0.00,1,1,1,1,1,1,20101001,E1002,HCPCS,Pwr seat tilt,,,28 ,,NW,,,,,,"$6,320.92",$0.00,1,1,1,1,1,1,20101001,E1002,HCPCS,Pwr seat tilt,NU,,28 ,,NW,,,,,,"$6,320.92",$0.00,1,1,1,1,1,1,20101001,E1002,HCPCS,Pwr seat tilt,RR,,28 ,,NW,,,,,,$690.25,$0.00,1,1,1,1,1,1,20101001,E1002,HCPCS,Pwr seat tilt,UE,,28 ,,NW,,,,,,"$4,756.83",$0.00,1,1,1,1,1,1,20101001,E1003,HCPCS,Pwr seat recline,,,28 ,,NW,,,,,,"$6,842.78",$0.00,1,1,1,1,1,1,20101001,E1003,HCPCS,Pwr seat recline,NU,,28 ,,NW,,,,,,"$6,842.78",$0.00,1,1,1,1,1,1,20101001,E1003,HCPCS,Pwr seat recline,RR,,28 ,,NW,,,,,,$742.45,$0.00,1,1,1,1,1,1,20101001,E1003,HCPCS,Pwr seat recline,UE,,28 ,,NW,,,,,,"$5,148.24",$0.00,1,1,1,1,1,1,20101001,E1004,HCPCS,Pwr seat recline mech,,,28 ,,NW,,,,,,"$7,580.19",$0.00,1,1,1,1,1,1,20101001,E1004,HCPCS,Pwr seat recline mech,NU,,28 ,,NW,,,,,,"$7,580.19",$0.00,1,1,1,1,1,1,20101001,E1004,HCPCS,Pwr seat recline mech,RR,,28 ,,NW,,,,,,$816.17,$0.00,1,1,1,1,1,1,20101001,E1004,HCPCS,Pwr seat recline mech,UE,,28 ,,NW,,,,,,"$5,701.27",$0.00,1,1,1,1,1,1,20101001,E1005,HCPCS,Pwr seat recline pwr,,,28 ,,NW,,,,,,"$8,199.64",$0.00,1,1,1,1,1,1,20101001,E1005,HCPCS,Pwr seat recline pwr,NU,,28 ,,NW,,,,,,"$8,199.64",$0.00,1,1,1,1,1,1,20101001,E1005,HCPCS,Pwr seat recline pwr,RR,,28 ,,NW,,,,,,$878.11,$0.00,1,1,1,1,1,1,20101001,E1005,HCPCS,Pwr seat recline pwr,UE,,28 ,,NW,,,,,,"$6,165.90",$0.00,1,1,1,1,1,1,20101001,E1006,HCPCS,Pwr seat combo w/o shear,,,28 ,,NW,,,,,,"$10,029.26",$0.00,1,1,1,1,1,1,20101001,E1006,HCPCS,Pwr seat combo w/o shear,NU,,28 ,,NW,,,,,,"$10,029.26",$0.00,1,1,1,1,1,1,20101001,E1006,HCPCS,Pwr seat combo w/o shear,RR,,28 ,,NW,,,,,,"$1,061.05",$0.00,1,1,1,1,1,1,20101001,E1006,HCPCS,Pwr seat combo w/o shear,UE,,28 ,,NW,,,,,,"$7,538.10",$0.00,1,1,1,1,1,1,20101001,E1007,HCPCS,Pwr seat combo w/shear,,,28 ,,NW,,,,,,"$13,557.12",$0.00,1,1,1,1,1,1,20101001,E1007,HCPCS,Pwr seat combo w/shear,NU,,28 ,,NW,,,,,,"$13,557.12",$0.00,1,1,1,1,1,1,20101001,E1007,HCPCS,Pwr seat combo w/shear,RR,,28 ,,NW,,,,,,"$1,413.88",$0.00,1,1,1,1,1,1,20101001,E1007,HCPCS,Pwr seat combo w/shear,UE,,28 ,,NW,,,,,,"$10,183.99",$0.00,1,1,1,1,1,1,20101001,E1008,HCPCS,Pwr seat combo pwr shear,,,28 ,,NW,,,,,,"$13,558.33",$0.00,1,1,1,1,1,1,20101001,E1008,HCPCS,Pwr seat combo pwr shear,NU,,28 ,,NW,,,,,,"$13,558.33",$0.00,1,1,1,1,1,1,20101001,E1008,HCPCS,Pwr seat combo pwr shear,RR,,28 ,,NW,,,,,,"$1,413.98",$0.00,1,1,1,1,1,1,20101001,E1008,HCPCS,Pwr seat combo pwr shear,UE,,28 ,,NW,,,,,,"$10,184.92",$0.00,1,1,1,1,1,1,20101001,E1009,HCPCS,Add mech leg elevation,,,28 ,,NW,,,,,,"$3,926.90",$0.00,1,1,1,1,1,1,20101001,E1009,HCPCS,Add mech leg elevation,NU,,28 ,,NW,,,,,,"$3,926.90",$0.00,1,1,1,1,1,1,20101001,E1009,HCPCS,Add mech leg elevation,RR,,28 ,,NW,,,,,,$429.76,$0.00,1,1,1,1,1,1,20101001,E1009,HCPCS,Add mech leg elevation,UE,,28 ,,NW,,,,,,"$2,957.20",$0.00,1,1,1,1,1,1,20101001,E1010,HCPCS,Add pwr leg elevation,,,28 ,,NW,,,,,,"$1,830.10",$0.00,1,1,1,1,1,1,20101001,E1010,HCPCS,Add pwr leg elevation,NU,,28 ,,NW,,,,,,"$1,830.10",$0.00,1,1,1,1,1,1,20101001,E1010,HCPCS,Add pwr leg elevation,RR,,28 ,,NW,,,,,,$241.17,$0.00,1,1,1,1,1,1,20101001,E1010,HCPCS,Add pwr leg elevation,UE,,28 ,,NW,,,,,,"$1,388.75",$0.00,1,1,1,1,1,1,20101001,E1014,HCPCS,Reclining back add ped w/c,,,28 ,,NW,,,,,,$367.33,$0.00,1,1,1,1,1,1,20101001,E1014,HCPCS,Reclining back add ped w/c,NU,,28 ,,NW,,,,,,$367.33,$0.00,1,1,1,1,1,1,20101001,E1014,HCPCS,Reclining back add ped w/c,RR,,28 ,,NW,,,,,,$53.65,$0.00,1,1,1,1,1,1,20101001,E1014,HCPCS,Reclining back add ped w/c,UE,,28 ,,NW,,,,,,$291.64,$0.00,1,1,1,1,1,1,20101001,E1015,HCPCS,Shock absorber for man w/c,,,28 ,,NW,,,,,,$159.71,$0.00,1,1,1,1,1,1,20101001,E1015,HCPCS,Shock absorber for man w/c,NU,,28 ,,NW,,,,,,$159.71,$0.00,1,1,1,1,1,1,20101001,E1015,HCPCS,Shock absorber for man w/c,RR,,28 ,,NW,,,,,,$15.25,$0.00,1,1,1,1,1,1,20101001,E1015,HCPCS,Shock absorber for man w/c,UE,,28 ,,NW,,,,,,$129.48,$0.00,1,1,1,1,1,1,20101001,E1016,HCPCS,Shock absorber for power w/c,,,28 ,,NW,,,,,,$267.31,$0.00,1,1,1,1,1,1,20101001,E1016,HCPCS,Shock absorber for power w/c,NU,,28 ,,NW,,,,,,$267.31,$0.00,1,1,1,1,1,1,20101001,E1016,HCPCS,Shock absorber for power w/c,RR,,28 ,,NW,,,,,,$35.18,$0.00,1,1,1,1,1,1,20101001,E1016,HCPCS,Shock absorber for power w/c,UE,,28 ,,NW,,,,,,$216.62,$0.00,1,1,1,1,1,1,20101001,E1017,HCPCS,Hd Shck Absrbr For Hd Man Wc,,,28 ,,NW,,,,,,"$2,030.33",$0.00,1,1,1,1,1,1,20101001,E1017,HCPCS,Hd Shck Absrbr For Hd Man Wc,NU,,28 ,,NW,,,,,,"$2,030.33",$0.00,1,1,1,1,1,1,20101001,E1017,HCPCS,Hd Shck Absrbr For Hd Man Wc,RR,,28 ,,NW,,,,,,$222.20,$0.00,1,1,1,1,1,1,20101001,E1017,HCPCS,Hd Shck Absrbr For Hd Man Wc,UE,,28 ,,NW,,,,,,"$1,528.97",$0.00,1,1,1,1,1,1,20101001,E1018,HCPCS,Hd Shck Absrber For Hd Powwc,,,28 ,,NW,,,,,,$935.80,$0.00,1,1,1,1,1,1,20101001,E1018,HCPCS,Hd Shck Absrber For Hd Powwc,NU,,28 ,,NW,,,,,,$935.80,$0.00,1,1,1,1,1,1,20101001,E1018,HCPCS,Hd Shck Absrber For Hd Powwc,RR,,28 ,,NW,,,,,,$102.41,$0.00,1,1,1,1,1,1,20101001,E1018,HCPCS,Hd Shck Absrber For Hd Powwc,UE,,28 ,,NW,,,,,,$704.71,$0.00,1,1,1,1,1,1,20101001,E1020,HCPCS,Residual limb support system,,,28 ,,NW,,,,,,$440.33,$0.00,1,1,1,1,1,1,20101001,E1020,HCPCS,Residual limb support system,NU,,28 ,,NW,,,,,,$440.33,$0.00,1,1,1,1,1,1,20101001,E1020,HCPCS,Residual limb support system,RR,,28 ,,NW,,,,,,$67.08,$0.00,1,1,1,1,1,1,20101001,E1020,HCPCS,Residual limb support system,UE,,28 ,,NW,,,,,,$346.39,$0.00,1,1,1,1,1,1,20101001,E1028,HCPCS,W/c manual swingaway,,,28 ,,NW,,,,,,$383.42,$0.00,1,1,1,1,1,1,20101001,E1028,HCPCS,W/c manual swingaway,NU,,28 ,,NW,,,,,,$383.42,$0.00,1,1,1,1,1,1,20101001,E1028,HCPCS,W/c manual swingaway,RR,,28 ,,NW,,,,,,$56.60,$0.00,1,1,1,1,1,1,20101001,E1028,HCPCS,W/c manual swingaway,UE,,28 ,,NW,,,,,,$303.70,$0.00,1,1,1,1,1,1,20101001,E1029,HCPCS,W/c vent tray fixed,,,28 ,,NW,,,,,,$635.02,$0.00,1,1,1,1,1,1,20101001,E1029,HCPCS,W/c vent tray fixed,NU,,28 ,,NW,,,,,,$635.02,$0.00,1,1,1,1,1,1,20101001,E1029,HCPCS,W/c vent tray fixed,RR,,28 ,,NW,,,,,,$103.10,$0.00,1,1,1,1,1,1,20101001,E1029,HCPCS,W/c vent tray fixed,UE,,28 ,,NW,,,,,,$492.41,$0.00,1,1,1,1,1,1,20101001,E1030,HCPCS,W/c vent tray gimbaled,,,28 ,,NW,,,,,,"$1,863.26",$0.00,1,1,1,1,1,1,20101001,E1030,HCPCS,W/c vent tray gimbaled,NU,,28 ,,NW,,,,,,"$1,863.26",$0.00,1,1,1,1,1,1,20101001,E1030,HCPCS,W/c vent tray gimbaled,RR,,28 ,,NW,,,,,,$244.49,$0.00,1,1,1,1,1,1,20101001,E1030,HCPCS,W/c vent tray gimbaled,UE,,28 ,,NW,,,,,,"$1,413.61",$0.00,1,1,1,1,1,1,20101001,E1031,HCPCS,Rollabout chair with casters,,,28 ,,NW,,,,,,$649.76,$0.00,1,1,1,1,1,1,20101001,E1031,HCPCS,Rollabout chair with casters,NU,,28 ,,NW,,,,,,$649.76,$0.00,1,1,1,1,1,1,20101001,E1031,HCPCS,Rollabout chair with casters,RR,,28 ,,NW,,,,,,$71.11,$0.00,1,1,1,1,1,1,20101001,E1031,HCPCS,Rollabout chair with casters,UE,,28 ,,NW,,,,,,$489.31,$0.00,1,1,1,1,1,1,20101001,E1035,HCPCS,Patient transfer system,,,28 ,,NW,,,,,,"$5,235.44",$0.00,1,1,1,1,1,1,20101001,E1035,HCPCS,Patient transfer system,RR,,28 ,,NW,,,,,,$572.97,$0.00,1,1,1,1,1,1,20101001,E1037,HCPCS,"Transport chair, ped size",,,28 ,,NW,,,,,,"$1,412.22",$0.00,1,1,1,1,1,1,20101001,E1037,HCPCS,"Transport chair, ped size",RR,,28 ,,NW,,,,,,$154.55,$0.00,1,1,1,1,1,1,20101001,E1038,HCPCS,Transport chair pt wt<=300lb,,,28 ,,NW,,,,,,$231.33,$0.00,1,1,1,1,1,1,20101001,E1038,HCPCS,Transport chair pt wt<=300lb,RR,,28 ,,NW,,,,,,$25.32,$0.00,1,1,1,1,1,1,20101001,E1039,HCPCS,Transport chair pt wt >300lb,,,28 ,,NW,,,,,,$457.72,$0.00,1,1,1,1,1,1,20101001,E1039,HCPCS,Transport chair pt wt >300lb,RR,,28 ,,NW,,,,,,$50.09,$0.00,1,1,1,1,1,1,20101001,E1050,HCPCS,Whelchr fxd full length arms,,,28 ,,NW,,,,,,"$1,782.22",$0.00,1,1,1,1,1,1,20101001,E1050,HCPCS,Whelchr fxd full length arms,NU,,28 ,,NW,,,,,,"$1,782.22",$0.00,1,1,1,1,1,1,20101001,E1050,HCPCS,Whelchr fxd full length arms,RR,,28 ,,NW,,,,,,$145.67,$0.00,1,1,1,1,1,1,20101001,E1050,HCPCS,Whelchr fxd full length arms,UE,,28 ,,NW,,,,,,"$1,330.88",$0.00,1,1,1,1,1,1,20101001,E1060,HCPCS,Wheelchair detachable arms,,,28 ,,NW,,,,,,"$1,483.09",$0.00,1,1,1,1,1,1,20101001,E1060,HCPCS,Wheelchair detachable arms,NU,,28 ,,NW,,,,,,"$2,213.29",$0.00,1,1,1,1,1,1,20101001,E1060,HCPCS,Wheelchair detachable arms,RR,,28 ,,NW,,,,,,"$2,213.29",$0.00,1,1,1,1,1,1,20101001,E1060,HCPCS,Wheelchair detachable arms,UE,,28 ,,NW,,,,,,"$1,653.52",$0.00,1,1,1,1,1,1,20101001,E1070,HCPCS,Wheelchair detachable foot r,,,28 ,,NW,,,,,,"$1,918.86",$0.00,1,1,1,1,1,1,20101001,E1070,HCPCS,Wheelchair detachable foot r,NU,,28 ,,NW,,,,,,"$1,918.86",$0.00,1,1,1,1,1,1,20101001,E1070,HCPCS,Wheelchair detachable foot r,RR,,28 ,,NW,,,,,,$151.22,$0.00,1,1,1,1,1,1,20101001,E1070,HCPCS,Wheelchair detachable foot r,UE,,28 ,,NW,,,,,,"$1,433.14",$0.00,1,1,1,1,1,1,20101001,E1083,HCPCS,Hemi-wheelchair fixed arms,,,28 ,,NW,,,,,,"$1,372.31",$0.00,1,1,1,1,1,1,20101001,E1083,HCPCS,Hemi-wheelchair fixed arms,NU,,28 ,,NW,,,,,,"$1,372.31",$0.00,1,1,1,1,1,1,20101001,E1083,HCPCS,Hemi-wheelchair fixed arms,RR,,28 ,,NW,,,,,,$109.45,$0.00,1,1,1,1,1,1,20101001,E1083,HCPCS,Hemi-wheelchair fixed arms,UE,,28 ,,NW,,,,,,"$1,023.22",$0.00,1,1,1,1,1,1,20101001,E1084,HCPCS,Hemi-wheelchair detachable a,,,28 ,,NW,,,,,,"$1,716.11",$0.00,1,1,1,1,1,1,20101001,E1084,HCPCS,Hemi-wheelchair detachable a,NU,,28 ,,NW,,,,,,"$1,716.11",$0.00,1,1,1,1,1,1,20101001,E1084,HCPCS,Hemi-wheelchair detachable a,RR,,28 ,,NW,,,,,,$142.08,$0.00,1,1,1,1,1,1,20101001,E1084,HCPCS,Hemi-wheelchair detachable a,UE,,28 ,,NW,,,,,,"$1,280.63",$0.00,1,1,1,1,1,1,20101001,E1085,HCPCS,Hemi-wheelchair fixed arms,,,28 ,,NW,,,,,,$646.05,$0.00,1,1,1,1,1,1,20101001,E1085,HCPCS,Hemi-wheelchair fixed arms,NU,,28 ,,NW,,,,,,$646.05,$0.00,1,1,1,1,1,1,20101001,E1085,HCPCS,Hemi-wheelchair fixed arms,RR,,28 ,,NW,,,,,,$105.21,$0.00,1,1,1,1,1,1,20101001,E1085,HCPCS,Hemi-wheelchair fixed arms,UE,,28 ,,NW,,,,,,$481.90,$0.00,1,1,1,1,1,1,20101001,E1086,HCPCS,Hemi-wheelchair detachable a,,,28 ,,NW,,,,,,$772.77,$0.00,1,1,1,1,1,1,20101001,E1086,HCPCS,Hemi-wheelchair detachable a,NU,,28 ,,NW,,,,,,$772.77,$0.00,1,1,1,1,1,1,20101001,E1086,HCPCS,Hemi-wheelchair detachable a,RR,,28 ,,NW,,,,,,$116.83,$0.00,1,1,1,1,1,1,20101001,E1086,HCPCS,Hemi-wheelchair detachable a,UE,,28 ,,NW,,,,,,$578.75,$0.00,1,1,1,1,1,1,20101001,E1087,HCPCS,Wheelchair lightwt fixed arm,,,28 ,,NW,,,,,,"$2,220.35",$0.00,1,1,1,1,1,1,20101001,E1087,HCPCS,Wheelchair lightwt fixed arm,NU,,28 ,,NW,,,,,,"$2,220.35",$0.00,1,1,1,1,1,1,20101001,E1087,HCPCS,Wheelchair lightwt fixed arm,RR,,28 ,,NW,,,,,,$164.65,$0.00,1,1,1,1,1,1,20101001,E1087,HCPCS,Wheelchair lightwt fixed arm,UE,,28 ,,NW,,,,,,"$1,658.81",$0.00,1,1,1,1,1,1,20101001,E1088,HCPCS,Wheelchair lightweight det a,,,28 ,,NW,,,,,,"$2,651.41",$0.00,1,1,1,1,1,1,20101001,E1088,HCPCS,Wheelchair lightweight det a,NU,,28 ,,NW,,,,,,"$2,651.41",$0.00,1,1,1,1,1,1,20101001,E1088,HCPCS,Wheelchair lightweight det a,RR,,28 ,,NW,,,,,,$181.15,$0.00,1,1,1,1,1,1,20101001,E1088,HCPCS,Wheelchair lightweight det a,UE,,28 ,,NW,,,,,,"$1,982.33",$0.00,1,1,1,1,1,1,20101001,E1089,HCPCS,Wheelchair lightwt fixed arm,,,28 ,,NW,,,,,,"$1,004.52",$0.00,1,1,1,1,1,1,20101001,E1089,HCPCS,Wheelchair lightwt fixed arm,NU,,28 ,,NW,,,,,,"$1,004.52",$0.00,1,1,1,1,1,1,20101001,E1089,HCPCS,Wheelchair lightwt fixed arm,RR,,28 ,,NW,,,,,,$158.64,$0.00,1,1,1,1,1,1,20101001,E1089,HCPCS,Wheelchair lightwt fixed arm,UE,,28 ,,NW,,,,,,$769.31,$0.00,1,1,1,1,1,1,20101001,E1090,HCPCS,Wheelchair lightweight det a,,,28 ,,NW,,,,,,"$1,033.45",$0.00,1,1,1,1,1,1,20101001,E1090,HCPCS,Wheelchair lightweight det a,NU,,28 ,,NW,,,,,,"$1,033.45",$0.00,1,1,1,1,1,1,20101001,E1090,HCPCS,Wheelchair lightweight det a,RR,,28 ,,NW,,,,,,$158.64,$0.00,1,1,1,1,1,1,20101001,E1090,HCPCS,Wheelchair lightweight det a,UE,,28 ,,NW,,,,,,$772.77,$0.00,1,1,1,1,1,1,20101001,E1092,HCPCS,Wheelchair wide w/ leg rests,,,28 ,,NW,,,,,,"$2,256.49",$0.00,1,1,1,1,1,1,20101001,E1092,HCPCS,Wheelchair wide w/ leg rests,NU,,28 ,,NW,,,,,,"$2,256.49",$0.00,1,1,1,1,1,1,20101001,E1092,HCPCS,Wheelchair wide w/ leg rests,RR,,28 ,,NW,,,,,,$164.80,$0.00,1,1,1,1,1,1,20101001,E1092,HCPCS,Wheelchair wide w/ leg rests,UE,,28 ,,NW,,,,,,"$1,686.14",$0.00,1,1,1,1,1,1,20101001,E1093,HCPCS,Wheelchair wide w/ foot rest,,,28 ,,NW,,,,,,"$1,936.49",$0.00,1,1,1,1,1,1,20101001,E1093,HCPCS,Wheelchair wide w/ foot rest,NU,,28 ,,NW,,,,,,"$1,936.49",$0.00,1,1,1,1,1,1,20101001,E1093,HCPCS,Wheelchair wide w/ foot rest,RR,,28 ,,NW,,,,,,$151.39,$0.00,1,1,1,1,1,1,20101001,E1093,HCPCS,Wheelchair wide w/ foot rest,UE,,28 ,,NW,,,,,,"$1,446.36",$0.00,1,1,1,1,1,1,20101001,E1100,HCPCS,Whchr s-recl fxd arm leg res,,,28 ,,NW,,,,,,"$1,817.48",$0.00,1,1,1,1,1,1,20101001,E1100,HCPCS,Whchr s-recl fxd arm leg res,NU,,28 ,,NW,,,,,,"$1,817.48",$0.00,1,1,1,1,1,1,20101001,E1100,HCPCS,Whchr s-recl fxd arm leg res,RR,,28 ,,NW,,,,,,$146.00,$0.00,1,1,1,1,1,1,20101001,E1100,HCPCS,Whchr s-recl fxd arm leg res,UE,,28 ,,NW,,,,,,"$1,289.23",$0.00,1,1,1,1,1,1,20101001,E1110,HCPCS,Wheelchair semi-recl detach,,,28 ,,NW,,,,,,"$1,779.58",$0.00,1,1,1,1,1,1,20101001,E1110,HCPCS,Wheelchair semi-recl detach,NU,,28 ,,NW,,,,,,"$1,779.58",$0.00,1,1,1,1,1,1,20101001,E1110,HCPCS,Wheelchair semi-recl detach,RR,,28 ,,NW,,,,,,$143.68,$0.00,1,1,1,1,1,1,20101001,E1110,HCPCS,Wheelchair semi-recl detach,UE,,28 ,,NW,,,,,,"$1,328.23",$0.00,1,1,1,1,1,1,20101001,E1130,HCPCS,Whlchr stand fxd arm ft rest,,,28 ,,NW,,,,,,$437.25,$0.00,1,1,1,1,1,1,20101001,E1130,HCPCS,Whlchr stand fxd arm ft rest,NU,,28 ,,NW,,,,,,$437.25,$0.00,1,1,1,1,1,1,20101001,E1130,HCPCS,Whlchr stand fxd arm ft rest,RR,,28 ,,NW,,,,,,$66.85,$0.00,1,1,1,1,1,1,20101001,E1130,HCPCS,Whlchr stand fxd arm ft rest,UE,,28 ,,NW,,,,,,$347.94,$0.00,1,1,1,1,1,1,20101001,E1140,HCPCS,Wheelchair standard detach a,,,28 ,,NW,,,,,,$601.08,$0.00,1,1,1,1,1,1,20101001,E1140,HCPCS,Wheelchair standard detach a,NU,,28 ,,NW,,,,,,$601.08,$0.00,1,1,1,1,1,1,20101001,E1140,HCPCS,Wheelchair standard detach a,RR,,28 ,,NW,,,,,,$97.07,$0.00,1,1,1,1,1,1,20101001,E1140,HCPCS,Wheelchair standard detach a,UE,,28 ,,NW,,,,,,$444.80,$0.00,1,1,1,1,1,1,20101001,E1150,HCPCS,Wheelchair standard w/ leg r,,,28 ,,NW,,,,,,"$1,422.56",$0.00,1,1,1,1,1,1,20101001,E1150,HCPCS,Wheelchair standard w/ leg r,NU,,28 ,,NW,,,,,,"$1,422.56",$0.00,1,1,1,1,1,1,20101001,E1150,HCPCS,Wheelchair standard w/ leg r,RR,,28 ,,NW,,,,,,$116.35,$0.00,1,1,1,1,1,1,20101001,E1150,HCPCS,Wheelchair standard w/ leg r,UE,,28 ,,NW,,,,,,"$1,061.13",$0.00,1,1,1,1,1,1,20101001,E1160,HCPCS,Wheelchair fixed arms,,,28 ,,NW,,,,,,"$1,084.05",$0.00,1,1,1,1,1,1,20101001,E1160,HCPCS,Wheelchair fixed arms,NU,,28 ,,NW,,,,,,"$1,084.05",$0.00,1,1,1,1,1,1,20101001,E1160,HCPCS,Wheelchair fixed arms,RR,,28 ,,NW,,,,,,$89.76,$0.00,1,1,1,1,1,1,20101001,E1160,HCPCS,Wheelchair fixed arms,UE,,28 ,,NW,,,,,,$806.37,$0.00,1,1,1,1,1,1,20101001,E1161,HCPCS,Manual adult wc w tiltinspac,,,28 ,,NW,,,,,,"$2,026.13",$0.00,1,1,1,1,1,1,20101001,E1161,HCPCS,Manual adult wc w tiltinspac,NU,,28 ,,NW,,,,,,"$2,026.13",$0.00,1,1,1,1,1,1,20101001,E1161,HCPCS,Manual adult wc w tiltinspac,RR,,28 ,,NW,,,,,,$260.77,$0.00,1,1,1,1,1,1,20101001,E1161,HCPCS,Manual adult wc w tiltinspac,UE,,28 ,,NW,,,,,,"$1,535.77",$0.00,1,1,1,1,1,1,20101001,E1170,HCPCS,Whlchr ampu fxd arm leg rest,,,28 ,,NW,,,,,,"$1,049.72",$0.00,1,1,1,1,1,1,20101001,E1170,HCPCS,Whlchr ampu fxd arm leg rest,NU,,28 ,,NW,,,,,,"$1,049.72",$0.00,1,1,1,1,1,1,20101001,E1170,HCPCS,Whlchr ampu fxd arm leg rest,RR,,28 ,,NW,,,,,,$123.29,$0.00,1,1,1,1,1,1,20101001,E1170,HCPCS,Whlchr ampu fxd arm leg rest,UE,,28 ,,NW,,,,,,$807.14,$0.00,1,1,1,1,1,1,20101001,E1171,HCPCS,Wheelchair amputee w/o leg r,,,28 ,,NW,,,,,,$950.53,$0.00,1,1,1,1,1,1,20101001,E1171,HCPCS,Wheelchair amputee w/o leg r,NU,,28 ,,NW,,,,,,$950.53,$0.00,1,1,1,1,1,1,20101001,E1171,HCPCS,Wheelchair amputee w/o leg r,RR,,28 ,,NW,,,,,,$113.48,$0.00,1,1,1,1,1,1,20101001,E1171,HCPCS,Wheelchair amputee w/o leg r,UE,,28 ,,NW,,,,,,$732.75,$0.00,1,1,1,1,1,1,20101001,E1172,HCPCS,Wheelchair amputee detach ar,,,28 ,,NW,,,,,,"$2,466.72",$0.00,1,1,1,1,1,1,20101001,E1172,HCPCS,Wheelchair amputee detach ar,NU,,28 ,,NW,,,,,,"$2,466.72",$0.00,1,1,1,1,1,1,20101001,E1172,HCPCS,Wheelchair amputee detach ar,RR,,28 ,,NW,,,,,,$140.84,$0.00,1,1,1,1,1,1,20101001,E1172,HCPCS,Wheelchair amputee detach ar,UE,,28 ,,NW,,,,,,"$1,847.46",$0.00,1,1,1,1,1,1,20101001,E1180,HCPCS,Wheelchair amputee w/ foot r,,,28 ,,NW,,,,,,"$2,553.39",$0.00,1,1,1,1,1,1,20101001,E1180,HCPCS,Wheelchair amputee w/ foot r,NU,,28 ,,NW,,,,,,"$2,553.39",$0.00,1,1,1,1,1,1,20101001,E1180,HCPCS,Wheelchair amputee w/ foot r,RR,,28 ,,NW,,,,,,$144.10,$0.00,1,1,1,1,1,1,20101001,E1180,HCPCS,Wheelchair amputee w/ foot r,UE,,28 ,,NW,,,,,,"$1,911.52",$0.00,1,1,1,1,1,1,20101001,E1190,HCPCS,Wheelchair amputee w/ leg re,,,28 ,,NW,,,,,,"$2,950.33",$0.00,1,1,1,1,1,1,20101001,E1190,HCPCS,Wheelchair amputee w/ leg re,NU,,28 ,,NW,,,,,,"$2,950.33",$0.00,1,1,1,1,1,1,20101001,E1190,HCPCS,Wheelchair amputee w/ leg re,RR,,28 ,,NW,,,,,,$155.15,$0.00,1,1,1,1,1,1,20101001,E1190,HCPCS,Wheelchair amputee w/ leg re,UE,,28 ,,NW,,,,,,"$2,210.47",$0.00,1,1,1,1,1,1,20101001,E1195,HCPCS,Wheelchair amputee heavy dut,,,28 ,,NW,,,,,,"$3,167.63",$0.00,1,1,1,1,1,1,20101001,E1195,HCPCS,Wheelchair amputee heavy dut,NU,,28 ,,NW,,,,,,"$3,167.63",$0.00,1,1,1,1,1,1,20101001,E1195,HCPCS,Wheelchair amputee heavy dut,RR,,28 ,,NW,,,,,,$161.82,$0.00,1,1,1,1,1,1,20101001,E1195,HCPCS,Wheelchair amputee heavy dut,UE,,28 ,,NW,,,,,,"$2,372.51",$0.00,1,1,1,1,1,1,20101001,E1200,HCPCS,Wheelchair amputee fixed arm,,,28 ,,NW,,,,,,"$2,190.38",$0.00,1,1,1,1,1,1,20101001,E1200,HCPCS,Wheelchair amputee fixed arm,NU,,28 ,,NW,,,,,,"$2,190.38",$0.00,1,1,1,1,1,1,20101001,E1200,HCPCS,Wheelchair amputee fixed arm,RR,,28 ,,NW,,,,,,$124.68,$0.00,1,1,1,1,1,1,20101001,E1200,HCPCS,Wheelchair amputee fixed arm,UE,,28 ,,NW,,,,,,"$1,640.20",$0.00,1,1,1,1,1,1,20101001,E1220,HCPCS,Whlchr special size/constrc,,,28 ,,NW,,,,,,"$4,382.32",$0.00,1,1,1,1,1,1,20101001,E1221,HCPCS,Wheelchair spec size w foot,,,28 ,,NW,,,,,,$817.83,$0.00,1,1,1,1,1,1,20101001,E1221,HCPCS,Wheelchair spec size w foot,NU,,28 ,,NW,,,,,,$817.83,$0.00,1,1,1,1,1,1,20101001,E1221,HCPCS,Wheelchair spec size w foot,RR,,28 ,,NW,,,,,,$66.63,$0.00,1,1,1,1,1,1,20101001,E1221,HCPCS,Wheelchair spec size w foot,UE,,28 ,,NW,,,,,,$607.14,$0.00,1,1,1,1,1,1,20101001,E1222,HCPCS,Wheelchair spec size w/ leg,,,28 ,,NW,,,,,,"$1,178.37",$0.00,1,1,1,1,1,1,20101001,E1222,HCPCS,Wheelchair spec size w/ leg,NU,,28 ,,NW,,,,,,"$1,178.37",$0.00,1,1,1,1,1,1,20101001,E1222,HCPCS,Wheelchair spec size w/ leg,RR,,28 ,,NW,,,,,,$97.98,$0.00,1,1,1,1,1,1,20101001,E1222,HCPCS,Wheelchair spec size w/ leg,UE,,28 ,,NW,,,,,,$876.89,$0.00,1,1,1,1,1,1,20101001,E1223,HCPCS,Wheelchair spec size w foot,,,28 ,,NW,,,,,,"$1,288.57",$0.00,1,1,1,1,1,1,20101001,E1223,HCPCS,Wheelchair spec size w foot,NU,,28 ,,NW,,,,,,"$1,288.57",$0.00,1,1,1,1,1,1,20101001,E1223,HCPCS,Wheelchair spec size w foot,RR,,28 ,,NW,,,,,,$104.30,$0.00,1,1,1,1,1,1,20101001,E1223,HCPCS,Wheelchair spec size w foot,UE,,28 ,,NW,,,,,,$959.75,$0.00,1,1,1,1,1,1,20101001,E1224,HCPCS,Wheelchair spec size w/ leg,,,28 ,,NW,,,,,,"$1,415.51",$0.00,1,1,1,1,1,1,20101001,E1224,HCPCS,Wheelchair spec size w/ leg,NU,,28 ,,NW,,,,,,"$1,415.51",$0.00,1,1,1,1,1,1,20101001,E1224,HCPCS,Wheelchair spec size w/ leg,RR,,28 ,,NW,,,,,,$114.29,$0.00,1,1,1,1,1,1,20101001,E1224,HCPCS,Wheelchair spec size w/ leg,UE,,28 ,,NW,,,,,,"$1,054.96",$0.00,1,1,1,1,1,1,20101001,E1225,HCPCS,Manual semi-reclining back,,,28 ,,NW,,,,,,$777.28,$0.00,1,1,1,1,1,1,20101001,E1225,HCPCS,Manual semi-reclining back,NU,,28 ,,NW,,,,,,$777.28,$0.00,1,1,1,1,1,1,20101001,E1225,HCPCS,Manual semi-reclining back,RR,,28 ,,NW,,,,,,$62.02,$0.00,1,1,1,1,1,1,20101001,E1225,HCPCS,Manual semi-reclining back,UE,,28 ,,NW,,,,,,$559.93,$0.00,1,1,1,1,1,1,20101001,E1226,HCPCS,Manual fully reclining back,,,28 ,,NW,,,,,,$482.97,$0.00,1,1,1,1,1,1,20101001,E1226,HCPCS,Manual fully reclining back,NU,,28 ,,NW,,,,,,$482.97,$0.00,1,1,1,1,1,1,20101001,E1226,HCPCS,Manual fully reclining back,RR,,28 ,,NW,,,,,,$77.44,$0.00,1,1,1,1,1,1,20101001,E1226,HCPCS,Manual fully reclining back,UE,,28 ,,NW,,,,,,$378.48,$0.00,1,1,1,1,1,1,20101001,E1227,HCPCS,Wheelchair spec sz spec ht a,,,28 ,,NW,,,,,,$280.32,$0.00,1,1,1,1,1,1,20101001,E1227,HCPCS,Wheelchair spec sz spec ht a,NU,,28 ,,NW,,,,,,$280.32,$0.00,1,1,1,1,1,1,20101001,E1227,HCPCS,Wheelchair spec sz spec ht a,RR,,28 ,,NW,,,,,,$37.56,$0.00,1,1,1,1,1,1,20101001,E1227,HCPCS,Wheelchair spec sz spec ht a,UE,,28 ,,NW,,,,,,$226.47,$0.00,1,1,1,1,1,1,20101001,E1228,HCPCS,Wheelchair spec sz spec ht b,,,28 ,,NW,,,,,,$618.44,$0.00,1,1,1,1,1,1,20101001,E1228,HCPCS,Wheelchair spec sz spec ht b,NU,,28 ,,NW,,,,,,$618.44,$0.00,1,1,1,1,1,1,20101001,E1228,HCPCS,Wheelchair spec sz spec ht b,RR,,28 ,,NW,,,,,,$36.97,$0.00,1,1,1,1,1,1,20101001,E1228,HCPCS,Wheelchair spec sz spec ht b,UE,,28 ,,NW,,,,,,$242.60,$0.00,1,1,1,1,1,1,20101001,E1229,HCPCS,Pediatric Wheelchair Nos,,,28 ,,NW,,,,,,"$1,413.89",$0.00,1,1,1,1,1,1,20101001,E1230,HCPCS,Power operated vehicle,,,28 ,,NW,,,,,,"$1,797.85",$0.00,1,1,1,1,1,1,20101001,E1230,HCPCS,Power operated vehicle,NU,,28 ,,NW,,,,,,"$1,797.85",$0.00,1,1,1,1,1,1,20101001,E1230,HCPCS,Power operated vehicle,RR,,28 ,,NW,,,,,,$236.51,$0.00,1,1,1,1,1,1,20101001,E1230,HCPCS,Power operated vehicle,UE,,28 ,,NW,,,,,,"$1,413.89",$0.00,1,1,1,1,1,1,20101001,E1231,HCPCS,Rigid Ped W/C Tilt-In-Space,,,28 ,,NW,,,,,,"$2,709.31",$0.00,1,1,1,1,1,1,20101001,E1231,HCPCS,Rigid Ped W/C Tilt-In-Space,NU,,28 ,,NW,,,,,,"$2,709.31",$0.00,1,1,1,1,1,1,20101001,E1231,HCPCS,Rigid Ped W/C Tilt-In-Space,RR,,28 ,,NW,,,,,,$296.51,$0.00,1,1,1,1,1,1,20101001,E1231,HCPCS,Rigid Ped W/C Tilt-In-Space,UE,,28 ,,NW,,,,,,"$2,040.28",$0.00,1,1,1,1,1,1,20101001,E1232,HCPCS,Folding ped wc tilt-in-space,,,28 ,,NW,,,,,,"$1,837.38",$0.00,1,1,1,1,1,1,20101001,E1232,HCPCS,Folding ped wc tilt-in-space,NU,,28 ,,NW,,,,,,"$1,837.38",$0.00,1,1,1,1,1,1,20101001,E1232,HCPCS,Folding ped wc tilt-in-space,RR,,28 ,,NW,,,,,,$241.90,$0.00,1,1,1,1,1,1,20101001,E1232,HCPCS,Folding ped wc tilt-in-space,UE,,28 ,,NW,,,,,,"$1,394.20",$0.00,1,1,1,1,1,1,20101001,E1233,HCPCS,Rig ped wc tltnspc w/o seat,,,28 ,,NW,,,,,,"$1,901.49",$0.00,1,1,1,1,1,1,20101001,E1233,HCPCS,Rig ped wc tltnspc w/o seat,NU,,28 ,,NW,,,,,,"$1,901.49",$0.00,1,1,1,1,1,1,20101001,E1233,HCPCS,Rig ped wc tltnspc w/o seat,RR,,28 ,,NW,,,,,,$248.30,$0.00,1,1,1,1,1,1,20101001,E1233,HCPCS,Rig ped wc tltnspc w/o seat,UE,,28 ,,NW,,,,,,"$1,442.26",$0.00,1,1,1,1,1,1,20101001,E1234,HCPCS,Fld ped wc tltnspc w/o seat,,,28 ,,NW,,,,,,"$1,663.74",$0.00,1,1,1,1,1,1,20101001,E1234,HCPCS,Fld ped wc tltnspc w/o seat,NU,,28 ,,NW,,,,,,"$1,663.74",$0.00,1,1,1,1,1,1,20101001,E1234,HCPCS,Fld ped wc tltnspc w/o seat,RR,,28 ,,NW,,,,,,$224.54,$0.00,1,1,1,1,1,1,20101001,E1234,HCPCS,Fld ped wc tltnspc w/o seat,UE,,28 ,,NW,,,,,,"$1,263.95",$0.00,1,1,1,1,1,1,20101001,E1235,HCPCS,Rigid ped wc adjustable,,,28 ,,NW,,,,,,"$1,604.45",$0.00,1,1,1,1,1,1,20101001,E1235,HCPCS,Rigid ped wc adjustable,NU,,28 ,,NW,,,,,,"$1,604.45",$0.00,1,1,1,1,1,1,20101001,E1235,HCPCS,Rigid ped wc adjustable,RR,,28 ,,NW,,,,,,$218.61,$0.00,1,1,1,1,1,1,20101001,E1235,HCPCS,Rigid ped wc adjustable,UE,,28 ,,NW,,,,,,"$1,219.49",$0.00,1,1,1,1,1,1,20101001,E1236,HCPCS,Folding ped wc adjustable,,,28 ,,NW,,,,,,"$1,423.15",$0.00,1,1,1,1,1,1,20101001,E1236,HCPCS,Folding ped wc adjustable,NU,,28 ,,NW,,,,,,"$1,423.15",$0.00,1,1,1,1,1,1,20101001,E1236,HCPCS,Folding ped wc adjustable,RR,,28 ,,NW,,,,,,$200.47,$0.00,1,1,1,1,1,1,20101001,E1236,HCPCS,Folding ped wc adjustable,UE,,28 ,,NW,,,,,,"$1,083.51",$0.00,1,1,1,1,1,1,20101001,E1237,HCPCS,Rgd ped wc adjstabl w/o seat,,,28 ,,NW,,,,,,"$1,435.01",$0.00,1,1,1,1,1,1,20101001,E1237,HCPCS,Rgd ped wc adjstabl w/o seat,NU,,28 ,,NW,,,,,,"$1,435.01",$0.00,1,1,1,1,1,1,20101001,E1237,HCPCS,Rgd ped wc adjstabl w/o seat,RR,,28 ,,NW,,,,,,$201.66,$0.00,1,1,1,1,1,1,20101001,E1237,HCPCS,Rgd ped wc adjstabl w/o seat,UE,,28 ,,NW,,,,,,"$1,092.43",$0.00,1,1,1,1,1,1,20101001,E1238,HCPCS,Fld ped wc adjstabl w/o seat,,,28 ,,NW,,,,,,"$1,423.15",$0.00,1,1,1,1,1,1,20101001,E1238,HCPCS,Fld ped wc adjstabl w/o seat,NU,,28 ,,NW,,,,,,"$1,423.15",$0.00,1,1,1,1,1,1,20101001,E1238,HCPCS,Fld ped wc adjstabl w/o seat,RR,,28 ,,NW,,,,,,$200.47,$0.00,1,1,1,1,1,1,20101001,E1238,HCPCS,Fld ped wc adjstabl w/o seat,UE,,28 ,,NW,,,,,,"$1,083.51",$0.00,1,1,1,1,1,1,20101001,E1239,HCPCS,Ped Power Wheelchair Nos,,,28 ,,NW,,,,,,"$1,413.89",$0.00,1,1,1,1,1,1,20101001,E1240,HCPCS,Whchr litwt det arm leg rest,,,28 ,,NW,,,,,,$717.11,$0.00,1,1,1,1,1,1,20101001,E1240,HCPCS,Whchr litwt det arm leg rest,NU,,28 ,,NW,,,,,,$717.11,$0.00,1,1,1,1,1,1,20101001,E1240,HCPCS,Whchr litwt det arm leg rest,RR,,28 ,,NW,,,,,,$144.55,$0.00,1,1,1,1,1,1,20101001,E1240,HCPCS,Whchr litwt det arm leg rest,UE,,28 ,,NW,,,,,,$554.23,$0.00,1,1,1,1,1,1,20101001,E1250,HCPCS,Wheelchair lightwt fixed arm,,,28 ,,NW,,,,,,$638.50,$0.00,1,1,1,1,1,1,20101001,E1250,HCPCS,Wheelchair lightwt fixed arm,NU,,28 ,,NW,,,,,,$638.50,$0.00,1,1,1,1,1,1,20101001,E1250,HCPCS,Wheelchair lightwt fixed arm,RR,,28 ,,NW,,,,,,$94.16,$0.00,1,1,1,1,1,1,20101001,E1250,HCPCS,Wheelchair lightwt fixed arm,UE,,28 ,,NW,,,,,,$519.32,$0.00,1,1,1,1,1,1,20101001,E1260,HCPCS,Wheelchair lightwt foot rest,,,28 ,,NW,,,,,,$735.35,$0.00,1,1,1,1,1,1,20101001,E1260,HCPCS,Wheelchair lightwt foot rest,NU,,28 ,,NW,,,,,,$735.35,$0.00,1,1,1,1,1,1,20101001,E1260,HCPCS,Wheelchair lightwt foot rest,RR,,28 ,,NW,,,,,,$121.48,$0.00,1,1,1,1,1,1,20101001,E1260,HCPCS,Wheelchair lightwt foot rest,UE,,28 ,,NW,,,,,,$593.85,$0.00,1,1,1,1,1,1,20101001,E1270,HCPCS,Wheelchair lightweight leg r,,,28 ,,NW,,,,,,$564.60,$0.00,1,1,1,1,1,1,20101001,E1270,HCPCS,Wheelchair lightweight leg r,NU,,28 ,,NW,,,,,,$564.60,$0.00,1,1,1,1,1,1,20101001,E1270,HCPCS,Wheelchair lightweight leg r,RR,,28 ,,NW,,,,,,$110.84,$0.00,1,1,1,1,1,1,20101001,E1270,HCPCS,Wheelchair lightweight leg r,UE,,28 ,,NW,,,,,,$439.76,$0.00,1,1,1,1,1,1,20101001,E1280,HCPCS,Whchr h-duty det arm leg res,,,28 ,,NW,,,,,,$896.04,$0.00,1,1,1,1,1,1,20101001,E1280,HCPCS,Whchr h-duty det arm leg res,NU,,28 ,,NW,,,,,,$896.04,$0.00,1,1,1,1,1,1,20101001,E1280,HCPCS,Whchr h-duty det arm leg res,RR,,28 ,,NW,,,,,,$166.40,$0.00,1,1,1,1,1,1,20101001,E1280,HCPCS,Whchr h-duty det arm leg res,UE,,28 ,,NW,,,,,,$688.18,$0.00,1,1,1,1,1,1,20101001,E1285,HCPCS,Wheelchair heavy duty fixed,,,28 ,,NW,,,,,,$929.06,$0.00,1,1,1,1,1,1,20101001,E1285,HCPCS,Wheelchair heavy duty fixed,NU,,28 ,,NW,,,,,,$929.06,$0.00,1,1,1,1,1,1,20101001,E1285,HCPCS,Wheelchair heavy duty fixed,RR,,28 ,,NW,,,,,,$151.09,$0.00,1,1,1,1,1,1,20101001,E1285,HCPCS,Wheelchair heavy duty fixed,UE,,28 ,,NW,,,,,,$698.25,$0.00,1,1,1,1,1,1,20101001,E1290,HCPCS,Wheelchair hvy duty detach a,,,28 ,,NW,,,,,,$958.93,$0.00,1,1,1,1,1,1,20101001,E1290,HCPCS,Wheelchair hvy duty detach a,NU,,28 ,,NW,,,,,,$958.93,$0.00,1,1,1,1,1,1,20101001,E1290,HCPCS,Wheelchair hvy duty detach a,RR,,28 ,,NW,,,,,,$153.93,$0.00,1,1,1,1,1,1,20101001,E1290,HCPCS,Wheelchair hvy duty detach a,UE,,28 ,,NW,,,,,,$716.80,$0.00,1,1,1,1,1,1,20101001,E1295,HCPCS,Wheelchair heavy duty fixed,,,28 ,,NW,,,,,,$834.09,$0.00,1,1,1,1,1,1,20101001,E1295,HCPCS,Wheelchair heavy duty fixed,NU,,28 ,,NW,,,,,,$834.09,$0.00,1,1,1,1,1,1,20101001,E1295,HCPCS,Wheelchair heavy duty fixed,RR,,28 ,,NW,,,,,,$160.97,$0.00,1,1,1,1,1,1,20101001,E1295,HCPCS,Wheelchair heavy duty fixed,UE,,28 ,,NW,,,,,,$641.64,$0.00,1,1,1,1,1,1,20101001,E1296,HCPCS,Wheelchair special seat heig,,,28 ,,NW,,,,,,$438.47,$0.00,1,1,1,1,1,1,20101001,E1296,HCPCS,Wheelchair special seat heig,NU,,28 ,,NW,,,,,,$438.47,$0.00,1,1,1,1,1,1,20101001,E1296,HCPCS,Wheelchair special seat heig,RR,,28 ,,NW,,,,,,$68.09,$0.00,1,1,1,1,1,1,20101001,E1296,HCPCS,Wheelchair special seat heig,UE,,28 ,,NW,,,,,,$344.99,$0.00,1,1,1,1,1,1,20101001,E1297,HCPCS,Wheelchair special seat dept,,,28 ,,NW,,,,,,$144.16,$0.00,1,1,1,1,1,1,20101001,E1297,HCPCS,Wheelchair special seat dept,NU,,28 ,,NW,,,,,,$144.16,$0.00,1,1,1,1,1,1,20101001,E1297,HCPCS,Wheelchair special seat dept,RR,,28 ,,NW,,,,,,$14.51,$0.00,1,1,1,1,1,1,20101001,E1297,HCPCS,Wheelchair special seat dept,UE,,28 ,,NW,,,,,,$107.93,$0.00,1,1,1,1,1,1,20101001,E1298,HCPCS,Wheelchair spec seat depth/w,,,28 ,,NW,,,,,,$392.42,$0.00,1,1,1,1,1,1,20101001,E1298,HCPCS,Wheelchair spec seat depth/w,NU,,28 ,,NW,,,,,,$392.42,$0.00,1,1,1,1,1,1,20101001,E1298,HCPCS,Wheelchair spec seat depth/w,RR,,28 ,,NW,,,,,,$59.25,$0.00,1,1,1,1,1,1,20101001,E1298,HCPCS,Wheelchair spec seat depth/w,UE,,28 ,,NW,,,,,,$310.47,$0.00,1,1,1,1,1,1,20101001,E1300,HCPCS,Whirlpool portable,,,28 ,,NW,,,,,,$629.29,$0.00,1,1,1,1,1,1,20101001,E1300,HCPCS,Whirlpool portable,NU,,28 ,,NW,,,,,,$629.29,$0.00,1,1,1,1,1,1,20101001,E1300,HCPCS,Whirlpool portable,RR,,28 ,,NW,,,,,,$68.87,$0.00,1,1,1,1,1,1,20101001,E1300,HCPCS,Whirlpool portable,UE,,28 ,,NW,,,,,,$473.90,$0.00,1,1,1,1,1,1,20101001,E1310,HCPCS,Whirlpool non-portable,,,28 ,,NW,,,,,,"$4,785.64",$0.00,1,1,1,1,1,1,20101001,E1310,HCPCS,Whirlpool non-portable,NU,,28 ,,NW,,,,,,"$4,785.64",$0.00,1,1,1,1,1,1,20101001,E1310,HCPCS,Whirlpool non-portable,RR,,28 ,,NW,,,,,,$387.95,$0.00,1,1,1,1,1,1,20101001,E1310,HCPCS,Whirlpool non-portable,UE,,28 ,,NW,,,,,,"$3,582.60",$0.00,1,1,1,1,1,1,20101001,E1353,HCPCS,Oxygen supplies regulator,,,28 ,,NW,,,,,,$77.78,$0.00,1,1,1,1,1,1,20101001,E1353,HCPCS,Oxygen supplies regulator,NU,,28 ,,NW,,,,,,$77.78,$0.00,1,1,1,1,1,1,20101001,E1353,HCPCS,Oxygen supplies regulator,RR,,28 ,,NW,,,,,,$3.77,$0.00,1,1,1,1,1,1,20101001,E1353,HCPCS,Oxygen supplies regulator,UE,,28 ,,NW,,,,,,$27.57,$0.00,1,1,1,1,1,1,20101001,E1355,HCPCS,Oxygen supplies stand/rack,,,28 ,,NW,,,,,,$55.86,$0.00,1,1,1,1,1,1,20101001,E1355,HCPCS,Oxygen supplies stand/rack,NU,,28 ,,NW,,,,,,$55.86,$0.00,1,1,1,1,1,1,20101001,E1355,HCPCS,Oxygen supplies stand/rack,RR,,28 ,,NW,,,,,,$2.53,$0.00,1,1,1,1,1,1,20101001,E1355,HCPCS,Oxygen supplies stand/rack,UE,,28 ,,NW,,,,,,$18.67,$0.00,1,1,1,1,1,1,20101001,E1356,HCPCS,"Batt Pack/Cart, Port Conc",,,28 ,,NW,,,,,,$96.42,$0.00,1,1,1,1,1,1,20101001,E1372,HCPCS,Oxy suppl heater for nebuliz,,,28 ,,NW,,,,,,$338.54,$0.00,1,1,1,1,1,1,20101001,E1372,HCPCS,Oxy suppl heater for nebuliz,NU,,28 ,,NW,,,,,,$338.54,$0.00,1,1,1,1,1,1,20101001,E1372,HCPCS,Oxy suppl heater for nebuliz,RR,,28 ,,NW,,,,,,$42.88,$0.00,1,1,1,1,1,1,20101001,E1372,HCPCS,Oxy suppl heater for nebuliz,UE,,28 ,,NW,,,,,,$243.05,$0.00,1,1,1,1,1,1,20101001,E1390,HCPCS,Oxygen concentrator,,,28 ,,NW,,,,,,"$4,691.44",$0.00,1,1,1,1,1,1,20101001,E1390,HCPCS,Oxygen concentrator,NU,,28 ,,NW,,,,,,"$4,691.44",$0.00,1,1,1,1,1,1,20101001,E1390,HCPCS,Oxygen concentrator,RR,,28 ,,NW,,,,,,$513.43,$0.00,1,1,1,1,1,1,20101001,E1391,HCPCS,"Oxygen concentrator, dual",,,28 ,,NW,,,,,,"$4,691.44",$0.00,1,1,1,1,1,1,20101001,E1391,HCPCS,"Oxygen concentrator, dual",RR,,28 ,,NW,,,,,,$513.43,$0.00,1,1,1,1,1,1,20101001,E1392,HCPCS,Portable oxygen concentrator,,,28 ,,NW,,,,,,"$1,307.13",$0.00,1,1,1,1,1,1,20101001,E1392,HCPCS,Portable oxygen concentrator,RR,,28 ,,NW,,,,,,$143.05,$0.00,1,1,1,1,1,1,20101001,E1399,HCPCS,Durable medical equipment mi,,,28 ,,NW,,,,,,$141.66,$0.00,1,1,1,1,1,1,20101001,E1405,HCPCS,O2/water vapor enrich w/heat,,,28 ,,NW,,,,,,"$5,649.33",$0.00,1,1,1,1,1,1,20101001,E1405,HCPCS,O2/water vapor enrich w/heat,NU,,28 ,,NW,,,,,,"$5,649.33",$0.00,1,1,1,1,1,1,20101001,E1405,HCPCS,O2/water vapor enrich w/heat,RR,,28 ,,NW,,,,,,$618.26,$0.00,1,1,1,1,1,1,20101001,E1405,HCPCS,O2/water vapor enrich w/heat,UE,,28 ,,NW,,,,,,"$4,254.31",$0.00,1,1,1,1,1,1,20101001,E1406,HCPCS,O2/water vapor enrich w/o he,,,28 ,,NW,,,,,,"$5,152.43",$0.00,1,1,1,1,1,1,20101001,E1406,HCPCS,O2/water vapor enrich w/o he,NU,,28 ,,NW,,,,,,"$5,152.43",$0.00,1,1,1,1,1,1,20101001,E1406,HCPCS,O2/water vapor enrich w/o he,RR,,28 ,,NW,,,,,,$563.88,$0.00,1,1,1,1,1,1,20101001,E1406,HCPCS,O2/water vapor enrich w/o he,UE,,28 ,,NW,,,,,,"$3,880.11",$0.00,1,1,1,1,1,1,20101001,E1500,HCPCS,Centrifuge,,,28 ,,NW,,,,,,$194.58,$0.00,1,1,1,1,1,1,20101001,E1510,HCPCS,Kidney dialysate delivry sys,,,28 ,,NW,,,,,,"$2,257.11",$0.00,1,1,1,1,1,1,20101001,E1510,HCPCS,Kidney dialysate delivry sys,NU,,28 ,,NW,,,,,,"$2,257.11",$0.00,1,1,1,1,1,1,20101001,E1510,HCPCS,Kidney dialysate delivry sys,RR,,28 ,,NW,,,,,,$206.38,$0.00,1,1,1,1,1,1,20101001,E1510,HCPCS,Kidney dialysate delivry sys,UE,,28 ,,NW,,,,,,"$1,699.75",$0.00,1,1,1,1,1,1,20101001,E1520,HCPCS,Heparin infusion pump,,,28 ,,NW,,,,,,"$1,162.99",$0.00,1,1,1,1,1,1,20101001,E1520,HCPCS,Heparin infusion pump,NU,,28 ,,NW,,,,,,"$1,162.99",$0.00,1,1,1,1,1,1,20101001,E1520,HCPCS,Heparin infusion pump,RR,,28 ,,NW,,,,,,$119.91,$0.00,1,1,1,1,1,1,20101001,E1520,HCPCS,Heparin infusion pump,UE,,28 ,,NW,,,,,,$860.61,$0.00,1,1,1,1,1,1,20101001,E1530,HCPCS,Replacement air bubble detec,,,28 ,,NW,,,,,,"$1,654.03",$0.00,1,1,1,1,1,1,20101001,E1530,HCPCS,Replacement air bubble detec,NU,,28 ,,NW,,,,,,"$1,654.03",$0.00,1,1,1,1,1,1,20101001,E1530,HCPCS,Replacement air bubble detec,RR,,28 ,,NW,,,,,,$170.56,$0.00,1,1,1,1,1,1,20101001,E1530,HCPCS,Replacement air bubble detec,UE,,28 ,,NW,,,,,,"$1,240.87",$0.00,1,1,1,1,1,1,20101001,E1540,HCPCS,Replacement pressure alarm,,,28 ,,NW,,,,,,$408.24,$0.00,1,1,1,1,1,1,20101001,E1540,HCPCS,Replacement pressure alarm,NU,,28 ,,NW,,,,,,$408.24,$0.00,1,1,1,1,1,1,20101001,E1540,HCPCS,Replacement pressure alarm,RR,,28 ,,NW,,,,,,$44.68,$0.00,1,1,1,1,1,1,20101001,E1540,HCPCS,Replacement pressure alarm,UE,,28 ,,NW,,,,,,$307.43,$0.00,1,1,1,1,1,1,20101001,E1550,HCPCS,Bath conductivity meter,,,28 ,,NW,,,,,,$467.32,$0.00,1,1,1,1,1,1,20101001,E1550,HCPCS,Bath conductivity meter,NU,,28 ,,NW,,,,,,$467.32,$0.00,1,1,1,1,1,1,20101001,E1550,HCPCS,Bath conductivity meter,RR,,28 ,,NW,,,,,,$51.14,$0.00,1,1,1,1,1,1,20101001,E1550,HCPCS,Bath conductivity meter,UE,,28 ,,NW,,,,,,$351.93,$0.00,1,1,1,1,1,1,20101001,E1560,HCPCS,Replace blood leak detector,NU,,28 ,,NW,,,,,,"$1,913.97",$0.00,1,1,1,1,1,1,20101001,E1560,HCPCS,Replace blood leak detector,RR,,28 ,,NW,,,,,,$197.35,$0.00,1,1,1,1,1,1,20101001,E1560,HCPCS,Replace blood leak detector,UE,,28 ,,NW,,,,,,"$1,416.34",$0.00,1,1,1,1,1,1,20101001,E1570,HCPCS,Adjustable chair for esrd pt,,,28 ,,NW,,,,,,"$1,526.85",$0.00,1,1,1,1,1,1,20101001,E1570,HCPCS,Adjustable chair for esrd pt,NU,,28 ,,NW,,,,,,"$1,526.85",$0.00,1,1,1,1,1,1,20101001,E1570,HCPCS,Adjustable chair for esrd pt,RR,,28 ,,NW,,,,,,$167.10,$0.00,1,1,1,1,1,1,20101001,E1570,HCPCS,Adjustable chair for esrd pt,UE,,28 ,,NW,,,,,,"$1,149.82",$0.00,1,1,1,1,1,1,20101001,E1575,HCPCS,Transducer protect/fld bar,NU,,28 ,,NW,,,,,,$100.40,$0.00,1,1,1,1,1,1,20101001,E1575,HCPCS,Transducer protect/fld bar,RR,,28 ,,NW,,,,,,$10.36,$0.00,1,1,1,1,1,1,20101001,E1575,HCPCS,Transducer protect/fld bar,UE,,28 ,,NW,,,,,,$74.29,$0.00,1,1,1,1,1,1,20101001,E1590,HCPCS,Hemodialysis machine,,,28 ,,NW,,,,,,"$2,553.30",$0.00,1,1,1,1,1,1,20101001,E1590,HCPCS,Hemodialysis machine,NU,,28 ,,NW,,,,,,"$2,553.30",$0.00,1,1,1,1,1,1,20101001,E1590,HCPCS,Hemodialysis machine,RR,,28 ,,NW,,,,,,$279.43,$0.00,1,1,1,1,1,1,20101001,E1590,HCPCS,Hemodialysis machine,UE,,28 ,,NW,,,,,,"$1,922.80",$0.00,1,1,1,1,1,1,20101001,E1592,HCPCS,Auto Interm Peritoneal Dialy,,,28 ,,NW,,,,,,$7.38,$0.00,1,1,1,1,1,1,20101001,E1594,HCPCS,Cycler dialysis machine,,,28 ,,NW,,,,,,"$6,739.95",$0.00,1,1,1,1,1,1,20101001,E1594,HCPCS,Cycler dialysis machine,NU,,28 ,,NW,,,,,,"$6,739.95",$0.00,1,1,1,1,1,1,20101001,E1594,HCPCS,Cycler dialysis machine,RR,,28 ,,NW,,,,,,$737.62,$0.00,1,1,1,1,1,1,20101001,E1594,HCPCS,Cycler dialysis machine,UE,,28 ,,NW,,,,,,"$5,075.61",$0.00,1,1,1,1,1,1,20101001,E1600,HCPCS,Deli/install chrg hemo equip,,,28 ,,NW,,,,,,$314.36,$0.00,1,1,1,1,1,1,20101001,E1610,HCPCS,Reverse osmosis h2o puri sys,,,28 ,,NW,,,,,,"$3,115.11",$0.00,1,1,1,1,1,1,20101001,E1610,HCPCS,Reverse osmosis h2o puri sys,NU,,28 ,,NW,,,,,,"$3,115.11",$0.00,1,1,1,1,1,1,20101001,E1610,HCPCS,Reverse osmosis h2o puri sys,RR,,28 ,,NW,,,,,,$340.92,$0.00,1,1,1,1,1,1,20101001,E1610,HCPCS,Reverse osmosis h2o puri sys,UE,,28 ,,NW,,,,,,"$2,345.88",$0.00,1,1,1,1,1,1,20101001,E1615,HCPCS,Deionizer H2O Puri System,,,28 ,,NW,,,,,,$889.96,$0.00,1,1,1,1,1,1,20101001,E1620,HCPCS,Replacement Blood Pump,,,28 ,,NW,,,,,,$562.45,$0.00,1,1,1,1,1,1,20101001,E1634,HCPCS,Peritoneal Dialysis Clamp,,,28 ,,NW,,,,,,$8.34,$0.00,1,1,1,1,1,1,20101001,E1635,HCPCS,Compact travel hemodialyzer,,,28 ,,NW,,,,,,$423.47,$0.00,1,1,1,1,1,1,20101001,E1636,HCPCS,Sorbent cartridges per 10,,,28 ,,NW,,,,,,$63.92,$0.00,1,1,1,1,1,1,20101001,E1637,HCPCS,"Hemostats for dialysis, each",,,28 ,,NW,,,,,,$37.77,$0.00,1,1,1,1,1,1,20101001,E1639,HCPCS,Dialysis scale,,,28 ,,NW,,,,,,$160.85,$0.00,1,1,1,1,1,1,20101001,E1699,HCPCS,Dialysis equipment noc,,,28 ,,NW,,,,,,$314.36,$0.00,1,1,1,1,1,1,20101001,E1700,HCPCS,Jaw motion rehab system,,,28 ,,NW,,,,,,$751.80,$0.00,1,1,1,1,1,1,20101001,E1700,HCPCS,Jaw motion rehab system,NU,,28 ,,NW,,,,,,$751.80,$0.00,1,1,1,1,1,1,20101001,E1700,HCPCS,Jaw motion rehab system,RR,,28 ,,NW,,,,,,$59.16,$0.00,1,1,1,1,1,1,20101001,E1700,HCPCS,Jaw motion rehab system,UE,,28 ,,NW,,,,,,$556.19,$0.00,1,1,1,1,1,1,20101001,E1701,HCPCS,Repl cushions for jaw motion,,,28 ,,NW,,,,,,$22.43,$0.00,1,1,1,1,1,1,20101001,E1702,HCPCS,Repl measr scales jaw motion,,,28 ,,NW,,,,,,$41.13,$0.00,1,1,1,1,1,1,20101001,E1800,HCPCS,Adjust elbow ext/flex device,,,28 ,,NW,,,,,,"$2,237.53",$0.00,1,1,1,1,1,1,20101001,E1800,HCPCS,Adjust elbow ext/flex device,RR,,28 ,,NW,,,,,,$244.88,$0.00,1,1,1,1,1,1,20101001,E1801,HCPCS,Sps elbow device,,,28 ,,NW,,,,,,"$2,498.90",$0.00,1,1,1,1,1,1,20101001,E1801,HCPCS,Sps elbow device,RR,,28 ,,NW,,,,,,$273.48,$0.00,1,1,1,1,1,1,20101001,E1802,HCPCS,Adjst forearm pro/sup device,,,28 ,,NW,,,,,,"$6,906.50",$0.00,1,1,1,1,1,1,20101001,E1802,HCPCS,Adjst forearm pro/sup device,RR,,28 ,,NW,,,,,,$755.85,$0.00,1,1,1,1,1,1,20101001,E1805,HCPCS,Adjust wrist ext/flex device,,,28 ,,NW,,,,,,"$2,350.53",$0.00,1,1,1,1,1,1,20101001,E1805,HCPCS,Adjust wrist ext/flex device,RR,,28 ,,NW,,,,,,$257.24,$0.00,1,1,1,1,1,1,20101001,E1806,HCPCS,Sps wrist device,,,28 ,,NW,,,,,,"$2,007.90",$0.00,1,1,1,1,1,1,20101001,E1806,HCPCS,Sps wrist device,RR,,28 ,,NW,,,,,,$219.75,$0.00,1,1,1,1,1,1,20101001,E1810,HCPCS,Adjust knee ext/flex device,,,28 ,,NW,,,,,,"$2,307.92",$0.00,1,1,1,1,1,1,20101001,E1810,HCPCS,Adjust knee ext/flex device,RR,,28 ,,NW,,,,,,$252.58,$0.00,1,1,1,1,1,1,20101001,E1811,HCPCS,Sps knee device,,,28 ,,NW,,,,,,"$2,607.76",$0.00,1,1,1,1,1,1,20101001,E1811,HCPCS,Sps knee device,RR,,28 ,,NW,,,,,,$285.39,$0.00,1,1,1,1,1,1,20101001,E1812,HCPCS,Knee Ext/Flex W Act Res Ctrl,,,28 ,,NW,,,,,,"$1,638.36",$0.00,1,1,1,1,1,1,20101001,E1812,HCPCS,Knee Ext/Flex W Act Res Ctrl,RR,,28 ,,NW,,,,,,$179.30,$0.00,1,1,1,1,1,1,20101001,E1815,HCPCS,Adjust ankle ext/flex device,,,28 ,,NW,,,,,,"$2,351.08",$0.00,1,1,1,1,1,1,20101001,E1815,HCPCS,Adjust ankle ext/flex device,RR,,28 ,,NW,,,,,,$257.30,$0.00,1,1,1,1,1,1,20101001,E1816,HCPCS,Sps ankle device,,,28 ,,NW,,,,,,"$2,652.51",$0.00,1,1,1,1,1,1,20101001,E1816,HCPCS,Sps ankle device,RR,,28 ,,NW,,,,,,$290.29,$0.00,1,1,1,1,1,1,20101001,E1818,HCPCS,Sps forearm device,,,28 ,,NW,,,,,,"$2,713.00",$0.00,1,1,1,1,1,1,20101001,E1818,HCPCS,Sps forearm device,RR,,28 ,,NW,,,,,,$296.91,$0.00,1,1,1,1,1,1,20101001,E1820,HCPCS,Soft interface material,,,28 ,,NW,,,,,,$164.84,$0.00,1,1,1,1,1,1,20101001,E1820,HCPCS,Soft interface material,NU,,28 ,,NW,,,,,,$164.84,$0.00,1,1,1,1,1,1,20101001,E1820,HCPCS,Soft interface material,RR,,28 ,,NW,,,,,,$18.53,$0.00,1,1,1,1,1,1,20101001,E1820,HCPCS,Soft interface material,UE,,28 ,,NW,,,,,,$116.99,$0.00,1,1,1,1,1,1,20101001,E1821,HCPCS,Replacement interface spsd,,,28 ,,NW,,,,,,$225.41,$0.00,1,1,1,1,1,1,20101001,E1821,HCPCS,Replacement interface spsd,NU,,28 ,,NW,,,,,,$225.41,$0.00,1,1,1,1,1,1,20101001,E1821,HCPCS,Replacement interface spsd,RR,,28 ,,NW,,,,,,$22.81,$0.00,1,1,1,1,1,1,20101001,E1821,HCPCS,Replacement interface spsd,UE,,28 ,,NW,,,,,,$162.45,$0.00,1,1,1,1,1,1,20101001,E1825,HCPCS,Adjust finger ext/flex devc,,,28 ,,NW,,,,,,"$2,350.53",$0.00,1,1,1,1,1,1,20101001,E1825,HCPCS,Adjust finger ext/flex devc,RR,,28 ,,NW,,,,,,$257.24,$0.00,1,1,1,1,1,1,20101001,E1830,HCPCS,Adjust toe ext/flex device,,,28 ,,NW,,,,,,"$2,350.53",$0.00,1,1,1,1,1,1,20101001,E1830,HCPCS,Adjust toe ext/flex device,RR,,28 ,,NW,,,,,,$257.24,$0.00,1,1,1,1,1,1,20101001,E1840,HCPCS,Adj shoulder ext/flex device,,,28 ,,NW,,,,,,"$7,971.29",$0.00,1,1,1,1,1,1,20101001,E1840,HCPCS,Adj shoulder ext/flex device,RR,,28 ,,NW,,,,,,$872.38,$0.00,1,1,1,1,1,1,20101001,E1841,HCPCS,Static str shldr dev rom adj,,,28 ,,NW,,,,,,"$9,667.36",$0.00,1,1,1,1,1,1,20101001,E1841,HCPCS,Static str shldr dev rom adj,RR,,28 ,,NW,,,,,,"$1,058.00",$0.00,1,1,1,1,1,1,20101001,E1902,HCPCS,Aac non-electronic board,,,28 ,,NW,,,,,,$383.07,$0.00,1,1,1,1,1,1,20101001,E2000,HCPCS,Gastric suction pump hme mdl,,,28 ,,NW,,,,,,$858.46,$0.00,1,1,1,1,1,1,20101001,E2000,HCPCS,Gastric suction pump hme mdl,RR,,28 ,,NW,,,,,,$93.95,$0.00,1,1,1,1,1,1,20101001,E2100,HCPCS,Bld glucose monitor w voice,,,28 ,,NW,,,,,,"$1,382.35",$0.00,1,1,1,1,1,1,20101001,E2100,HCPCS,Bld glucose monitor w voice,NU,,28 ,,NW,,,,,,"$1,382.35",$0.00,1,1,1,1,1,1,20101001,E2100,HCPCS,Bld glucose monitor w voice,RR,,28 ,,NW,,,,,,$115.63,$0.00,1,1,1,1,1,1,20101001,E2100,HCPCS,Bld glucose monitor w voice,UE,,28 ,,NW,,,,,,"$1,033.65",$0.00,1,1,1,1,1,1,20101001,E2101,HCPCS,Bld glucose monitor w lance,,,28 ,,NW,,,,,,$424.88,$0.00,1,1,1,1,1,1,20101001,E2101,HCPCS,Bld glucose monitor w lance,NU,,28 ,,NW,,,,,,$424.88,$0.00,1,1,1,1,1,1,20101001,E2101,HCPCS,Bld glucose monitor w lance,RR,,28 ,,NW,,,,,,$37.02,$0.00,1,1,1,1,1,1,20101001,E2101,HCPCS,Bld glucose monitor w lance,UE,,28 ,,NW,,,,,,$312.01,$0.00,1,1,1,1,1,1,20101001,E2120,HCPCS,Pulse gen sys tx endolymp fl,,,28 ,,NW,,,,,,"$5,959.76",$0.00,1,1,1,1,1,1,20101001,E2120,HCPCS,Pulse gen sys tx endolymp fl,RR,,28 ,,NW,,,,,,$652.24,$0.00,1,1,1,1,1,1,20101001,E2201,HCPCS,"Man w/ch acc seat w>=20""<24""",,,28 ,,NW,,,,,,$373.93,$0.00,1,1,1,1,1,1,20101001,E2201,HCPCS,"Man w/ch acc seat w>=20""<24""",NU,,28 ,,NW,,,,,,$373.93,$0.00,1,1,1,1,1,1,20101001,E2201,HCPCS,"Man w/ch acc seat w>=20""<24""",RR,,28 ,,NW,,,,,,$54.86,$0.00,1,1,1,1,1,1,20101001,E2201,HCPCS,"Man w/ch acc seat w>=20""<24""",UE,,28 ,,NW,,,,,,$296.60,$0.00,1,1,1,1,1,1,20101001,E2202,HCPCS,Seat width 24-27 in,,,28 ,,NW,,,,,,$457.55,$0.00,1,1,1,1,1,1,20101001,E2202,HCPCS,Seat width 24-27 in,NU,,28 ,,NW,,,,,,$457.55,$0.00,1,1,1,1,1,1,20101001,E2202,HCPCS,Seat width 24-27 in,RR,,28 ,,NW,,,,,,$70.32,$0.00,1,1,1,1,1,1,20101001,E2202,HCPCS,Seat width 24-27 in,UE,,28 ,,NW,,,,,,$359.34,$0.00,1,1,1,1,1,1,20101001,E2203,HCPCS,Frame depth less than 22 in,,,28 ,,NW,,,,,,$461.75,$0.00,1,1,1,1,1,1,20101001,E2203,HCPCS,Frame depth less than 22 in,NU,,28 ,,NW,,,,,,$461.75,$0.00,1,1,1,1,1,1,20101001,E2203,HCPCS,Frame depth less than 22 in,RR,,28 ,,NW,,,,,,$71.06,$0.00,1,1,1,1,1,1,20101001,E2203,HCPCS,Frame depth less than 22 in,UE,,28 ,,NW,,,,,,$362.46,$0.00,1,1,1,1,1,1,20101001,E2204,HCPCS,Frame depth 22 to 25 in,,,28 ,,NW,,,,,,$738.94,$0.00,1,1,1,1,1,1,20101001,E2204,HCPCS,Frame depth 22 to 25 in,NU,,28 ,,NW,,,,,,$738.94,$0.00,1,1,1,1,1,1,20101001,E2204,HCPCS,Frame depth 22 to 25 in,RR,,28 ,,NW,,,,,,$122.33,$0.00,1,1,1,1,1,1,20101001,E2204,HCPCS,Frame depth 22 to 25 in,UE,,28 ,,NW,,,,,,$570.35,$0.00,1,1,1,1,1,1,20101001,E2205,HCPCS,"Manual wc accessory, handrim",,,28 ,,NW,,,,,,$47.56,$0.00,1,1,1,1,1,1,20101001,E2205,HCPCS,"Manual wc accessory, handrim",NU,,28 ,,NW,,,,,,$47.56,$0.00,1,1,1,1,1,1,20101001,E2205,HCPCS,"Manual wc accessory, handrim",RR,,28 ,,NW,,,,,,$4.17,$0.00,1,1,1,1,1,1,20101001,E2205,HCPCS,"Manual wc accessory, handrim",UE,,28 ,,NW,,,,,,$35.13,$0.00,1,1,1,1,1,1,20101001,E2206,HCPCS,Complete wheel lock assembly,,,28 ,,NW,,,,,,$59.80,$0.00,1,1,1,1,1,1,20101001,E2206,HCPCS,Complete wheel lock assembly,NU,,28 ,,NW,,,,,,$59.80,$0.00,1,1,1,1,1,1,20101001,E2206,HCPCS,Complete wheel lock assembly,RR,,28 ,,NW,,,,,,$5.22,$0.00,1,1,1,1,1,1,20101001,E2206,HCPCS,Complete wheel lock assembly,UE,,28 ,,NW,,,,,,$44.27,$0.00,1,1,1,1,1,1,20101001,E2207,HCPCS,Crutch and cane holder,,,28 ,,NW,,,,,,$63.88,$0.00,1,1,1,1,1,1,20101001,E2207,HCPCS,Crutch and cane holder,NU,,28 ,,NW,,,,,,$63.88,$0.00,1,1,1,1,1,1,20101001,E2207,HCPCS,Crutch and cane holder,RR,,28 ,,NW,,,,,,$5.58,$0.00,1,1,1,1,1,1,20101001,E2207,HCPCS,Crutch and cane holder,UE,,28 ,,NW,,,,,,$47.33,$0.00,1,1,1,1,1,1,20101001,E2208,HCPCS,Cylinder tank carrier,,,28 ,,NW,,,,,,$247.30,$0.00,1,1,1,1,1,1,20101001,E2208,HCPCS,Cylinder tank carrier,NU,,28 ,,NW,,,,,,$247.30,$0.00,1,1,1,1,1,1,20101001,E2208,HCPCS,Cylinder tank carrier,RR,,28 ,,NW,,,,,,$31.43,$0.00,1,1,1,1,1,1,20101001,E2208,HCPCS,Cylinder tank carrier,UE,,28 ,,NW,,,,,,$201.64,$0.00,1,1,1,1,1,1,20101001,E2209,HCPCS,Arm trough each,,,28 ,,NW,,,,,,$229.44,$0.00,1,1,1,1,1,1,20101001,E2209,HCPCS,Arm trough each,NU,,28 ,,NW,,,,,,$229.44,$0.00,1,1,1,1,1,1,20101001,E2209,HCPCS,Arm trough each,RR,,28 ,,NW,,,,,,$28.20,$0.00,1,1,1,1,1,1,20101001,E2209,HCPCS,Arm trough each,UE,,28 ,,NW,,,,,,$188.25,$0.00,1,1,1,1,1,1,20101001,E2210,HCPCS,Wheelchair bearings,,,28 ,,NW,,,,,,$16.39,$0.00,1,1,1,1,1,1,20101001,E2210,HCPCS,Wheelchair bearings,NU,,28 ,,NW,,,,,,$16.39,$0.00,1,1,1,1,1,1,20101001,E2210,HCPCS,Wheelchair bearings,RR,,28 ,,NW,,,,,,$1.54,$0.00,1,1,1,1,1,1,20101001,E2210,HCPCS,Wheelchair bearings,UE,,28 ,,NW,,,,,,$11.82,$0.00,1,1,1,1,1,1,20101001,E2211,HCPCS,Pneumatic propulsion tire,,,28 ,,NW,,,,,,$56.97,$0.00,1,1,1,1,1,1,20101001,E2211,HCPCS,Pneumatic propulsion tire,NU,,28 ,,NW,,,,,,$56.97,$0.00,1,1,1,1,1,1,20101001,E2211,HCPCS,Pneumatic propulsion tire,RR,,28 ,,NW,,,,,,$4.94,$0.00,1,1,1,1,1,1,20101001,E2211,HCPCS,Pneumatic propulsion tire,UE,,28 ,,NW,,,,,,$40.38,$0.00,1,1,1,1,1,1,20101001,E2212,HCPCS,Pneumatic prop tire tube,,,28 ,,NW,,,,,,$7.56,$0.00,1,1,1,1,1,1,20101001,E2212,HCPCS,Pneumatic prop tire tube,NU,,28 ,,NW,,,,,,$7.56,$0.00,1,1,1,1,1,1,20101001,E2212,HCPCS,Pneumatic prop tire tube,RR,,28 ,,NW,,,,,,$0.79,$0.00,1,1,1,1,1,1,20101001,E2212,HCPCS,Pneumatic prop tire tube,UE,,28 ,,NW,,,,,,$5.68,$0.00,1,1,1,1,1,1,20101001,E2213,HCPCS,Pneumatic prop tire insert,,,28 ,,NW,,,,,,$44.12,$0.00,1,1,1,1,1,1,20101001,E2213,HCPCS,Pneumatic prop tire insert,NU,,28 ,,NW,,,,,,$44.12,$0.00,1,1,1,1,1,1,20101001,E2213,HCPCS,Pneumatic prop tire insert,RR,,28 ,,NW,,,,,,$3.92,$0.00,1,1,1,1,1,1,20101001,E2213,HCPCS,Pneumatic prop tire insert,UE,,28 ,,NW,,,,,,$32.48,$0.00,1,1,1,1,1,1,20101001,E2214,HCPCS,Pneumatic caster tire each,,,28 ,,NW,,,,,,$48.50,$0.00,1,1,1,1,1,1,20101001,E2214,HCPCS,Pneumatic caster tire each,NU,,28 ,,NW,,,,,,$48.50,$0.00,1,1,1,1,1,1,20101001,E2214,HCPCS,Pneumatic caster tire each,RR,,28 ,,NW,,,,,,$4.71,$0.00,1,1,1,1,1,1,20101001,E2214,HCPCS,Pneumatic caster tire each,UE,,28 ,,NW,,,,,,$35.82,$0.00,1,1,1,1,1,1,20101001,E2215,HCPCS,Pneumatic caster tire tube,,,28 ,,NW,,,,,,$12.35,$0.00,1,1,1,1,1,1,20101001,E2215,HCPCS,Pneumatic caster tire tube,NU,,28 ,,NW,,,,,,$12.35,$0.00,1,1,1,1,1,1,20101001,E2215,HCPCS,Pneumatic caster tire tube,RR,,28 ,,NW,,,,,,$1.23,$0.00,1,1,1,1,1,1,20101001,E2215,HCPCS,Pneumatic caster tire tube,UE,,28 ,,NW,,,,,,$9.23,$0.00,1,1,1,1,1,1,20101001,E2216,HCPCS,Foam Filled Propulsion Tire,,,28 ,,NW,,,,,,$31.80,$0.00,1,1,1,1,1,1,20101001,E2216,HCPCS,Foam Filled Propulsion Tire,NU,,28 ,,NW,,,,,,$31.80,$0.00,1,1,1,1,1,1,20101001,E2216,HCPCS,Foam Filled Propulsion Tire,RR,,28 ,,NW,,,,,,$3.48,$0.00,1,1,1,1,1,1,20101001,E2216,HCPCS,Foam Filled Propulsion Tire,UE,,28 ,,NW,,,,,,$23.95,$0.00,1,1,1,1,1,1,20101001,E2217,HCPCS,Foam Filled Caster Tire Each,,,28 ,,NW,,,,,,$52.60,$0.00,1,1,1,1,1,1,20101001,E2217,HCPCS,Foam Filled Caster Tire Each,NU,,28 ,,NW,,,,,,$52.60,$0.00,1,1,1,1,1,1,20101001,E2217,HCPCS,Foam Filled Caster Tire Each,RR,,28 ,,NW,,,,,,$5.76,$0.00,1,1,1,1,1,1,20101001,E2217,HCPCS,Foam Filled Caster Tire Each,UE,,28 ,,NW,,,,,,$39.61,$0.00,1,1,1,1,1,1,20101001,E2218,HCPCS,Foam Propulsion Tire Each,,,28 ,,NW,,,,,,$405.26,$0.00,1,1,1,1,1,1,20101001,E2218,HCPCS,Foam Propulsion Tire Each,NU,,28 ,,NW,,,,,,$405.26,$0.00,1,1,1,1,1,1,20101001,E2218,HCPCS,Foam Propulsion Tire Each,RR,,28 ,,NW,,,,,,$44.35,$0.00,1,1,1,1,1,1,20101001,E2218,HCPCS,Foam Propulsion Tire Each,UE,,28 ,,NW,,,,,,$305.18,$0.00,1,1,1,1,1,1,20101001,E2219,HCPCS,Foam caster tire any size ea,,,28 ,,NW,,,,,,$58.73,$0.00,1,1,1,1,1,1,20101001,E2219,HCPCS,Foam caster tire any size ea,NU,,28 ,,NW,,,,,,$58.73,$0.00,1,1,1,1,1,1,20101001,E2219,HCPCS,Foam caster tire any size ea,RR,,28 ,,NW,,,,,,$5.76,$0.00,1,1,1,1,1,1,20101001,E2219,HCPCS,Foam caster tire any size ea,UE,,28 ,,NW,,,,,,$43.48,$0.00,1,1,1,1,1,1,20101001,E2220,HCPCS,Solid propulsion tire each,,,28 ,,NW,,,,,,$38.95,$0.00,1,1,1,1,1,1,20101001,E2220,HCPCS,Solid propulsion tire each,NU,,28 ,,NW,,,,,,$38.95,$0.00,1,1,1,1,1,1,20101001,E2220,HCPCS,Solid propulsion tire each,RR,,28 ,,NW,,,,,,$3.38,$0.00,1,1,1,1,1,1,20101001,E2220,HCPCS,Solid propulsion tire each,UE,,28 ,,NW,,,,,,$29.28,$0.00,1,1,1,1,1,1,20101001,E2221,HCPCS,Solid caster tire each,,,28 ,,NW,,,,,,$36.70,$0.00,1,1,1,1,1,1,20101001,E2221,HCPCS,Solid caster tire each,NU,,28 ,,NW,,,,,,$36.70,$0.00,1,1,1,1,1,1,20101001,E2221,HCPCS,Solid caster tire each,RR,,28 ,,NW,,,,,,$3.30,$0.00,1,1,1,1,1,1,20101001,E2221,HCPCS,Solid caster tire each,UE,,28 ,,NW,,,,,,$26.97,$0.00,1,1,1,1,1,1,20101001,E2222,HCPCS,Solid Caster Integrated Whl,,,28 ,,NW,,,,,,$29.96,$0.00,1,1,1,1,1,1,20101001,E2222,HCPCS,Solid Caster Integrated Whl,NU,,28 ,,NW,,,,,,$29.96,$0.00,1,1,1,1,1,1,20101001,E2222,HCPCS,Solid Caster Integrated Whl,RR,,28 ,,NW,,,,,,$2.69,$0.00,1,1,1,1,1,1,20101001,E2222,HCPCS,Solid Caster Integrated Whl,UE,,28 ,,NW,,,,,,$21.92,$0.00,1,1,1,1,1,1,20101001,E2224,HCPCS,Propulsion whl excludes tire,,,28 ,,NW,,,,,,$133.85,$0.00,1,1,1,1,1,1,20101001,E2224,HCPCS,Propulsion whl excludes tire,NU,,28 ,,NW,,,,,,$133.85,$0.00,1,1,1,1,1,1,20101001,E2224,HCPCS,Propulsion whl excludes tire,RR,,28 ,,NW,,,,,,$12.03,$0.00,1,1,1,1,1,1,20101001,E2224,HCPCS,Propulsion whl excludes tire,UE,,28 ,,NW,,,,,,$99.66,$0.00,1,1,1,1,1,1,20101001,E2225,HCPCS,Caster Wheel Excludes Tire,,,28 ,,NW,,,,,,$24.35,$0.00,1,1,1,1,1,1,20101001,E2225,HCPCS,Caster Wheel Excludes Tire,NU,,28 ,,NW,,,,,,$24.35,$0.00,1,1,1,1,1,1,20101001,E2225,HCPCS,Caster Wheel Excludes Tire,RR,,28 ,,NW,,,,,,$2.25,$0.00,1,1,1,1,1,1,20101001,E2225,HCPCS,Caster Wheel Excludes Tire,UE,,28 ,,NW,,,,,,$17.67,$0.00,1,1,1,1,1,1,20101001,E2226,HCPCS,Caster Fork Replacement Only,,,28 ,,NW,,,,,,$55.83,$0.00,1,1,1,1,1,1,20101001,E2226,HCPCS,Caster Fork Replacement Only,NU,,28 ,,NW,,,,,,$55.83,$0.00,1,1,1,1,1,1,20101001,E2226,HCPCS,Caster Fork Replacement Only,RR,,28 ,,NW,,,,,,$4.89,$0.00,1,1,1,1,1,1,20101001,E2226,HCPCS,Caster Fork Replacement Only,UE,,28 ,,NW,,,,,,$41.29,$0.00,1,1,1,1,1,1,20101001,E2227,HCPCS,Gear Reduction Drive Wheel,,,28 ,,NW,,,,,,"$1,365.44",$0.00,1,1,1,1,1,1,20101001,E2227,HCPCS,Gear Reduction Drive Wheel,NU,,28 ,,NW,,,,,,"$1,365.44",$0.00,1,1,1,1,1,1,20101001,E2227,HCPCS,Gear Reduction Drive Wheel,RR,,28 ,,NW,,,,,,$194.72,$0.00,1,1,1,1,1,1,20101001,E2227,HCPCS,Gear Reduction Drive Wheel,UE,,28 ,,NW,,,,,,"$1,040.21",$0.00,1,1,1,1,1,1,20101001,E2228,HCPCS,"Mwc Acc, Wheelchair Brake",,,28 ,,NW,,,,,,$840.79,$0.00,1,1,1,1,1,1,20101001,E2228,HCPCS,"Mwc Acc, Wheelchair Brake",NU,,28 ,,NW,,,,,,$840.79,$0.00,1,1,1,1,1,1,20101001,E2228,HCPCS,"Mwc Acc, Wheelchair Brake",RR,,28 ,,NW,,,,,,$141.13,$0.00,1,1,1,1,1,1,20101001,E2228,HCPCS,"Mwc Acc, Wheelchair Brake",UE,,28 ,,NW,,,,,,$646.77,$0.00,1,1,1,1,1,1,20101001,E2231,HCPCS,Solid Seat Support Base,,,28 ,,NW,,,,,,$192.02,$0.00,1,1,1,1,1,1,20101001,E2231,HCPCS,Solid Seat Support Base,NU,,28 ,,NW,,,,,,$192.02,$0.00,1,1,1,1,1,1,20101001,E2231,HCPCS,Solid Seat Support Base,RR,,28 ,,NW,,,,,,$21.25,$0.00,1,1,1,1,1,1,20101001,E2231,HCPCS,Solid Seat Support Base,UE,,28 ,,NW,,,,,,$160.16,$0.00,1,1,1,1,1,1,20101001,E2300,HCPCS,Pwr seat elevation sys,,,28 ,,NW,,,,,,"$2,752.12",$0.00,1,1,1,1,1,1,20101001,E2301,HCPCS,Pwr Standing,,,28 ,,NW,,,,,,"$2,183.67",$0.00,1,1,1,1,1,1,20101001,E2310,HCPCS,Electro connect btw control,,,28 ,,NW,,,,,,"$1,870.93",$0.00,1,1,1,1,1,1,20101001,E2310,HCPCS,Electro connect btw control,NU,,28 ,,NW,,,,,,"$1,870.93",$0.00,1,1,1,1,1,1,20101001,E2310,HCPCS,Electro connect btw control,RR,,28 ,,NW,,,,,,$245.24,$0.00,1,1,1,1,1,1,20101001,E2310,HCPCS,Electro connect btw control,UE,,28 ,,NW,,,,,,"$1,419.35",$0.00,1,1,1,1,1,1,20101001,E2311,HCPCS,Electro connect btw 2 sys,,,28 ,,NW,,,,,,"$3,721.58",$0.00,1,1,1,1,1,1,20101001,E2311,HCPCS,Electro connect btw 2 sys,NU,,28 ,,NW,,,,,,"$3,721.58",$0.00,1,1,1,1,1,1,20101001,E2311,HCPCS,Electro connect btw 2 sys,RR,,28 ,,NW,,,,,,$430.33,$0.00,1,1,1,1,1,1,20101001,E2311,HCPCS,Electro connect btw 2 sys,UE,,28 ,,NW,,,,,,"$2,807.34",$0.00,1,1,1,1,1,1,20101001,E2312,HCPCS,Mini-Prop Remote Joystick,,,28 ,,NW,,,,,,"$3,804.40",$0.00,1,1,1,1,1,1,20101001,E2312,HCPCS,Mini-Prop Remote Joystick,NU,,28 ,,NW,,,,,,"$3,804.40",$0.00,1,1,1,1,1,1,20101001,E2312,HCPCS,Mini-Prop Remote Joystick,RR,,28 ,,NW,,,,,,$438.59,$0.00,1,1,1,1,1,1,20101001,E2312,HCPCS,Mini-Prop Remote Joystick,UE,,28 ,,NW,,,,,,"$2,869.45",$0.00,1,1,1,1,1,1,20101001,E2313,HCPCS,"Pwc Harness, Expand Control",,,28 ,,NW,,,,,,$325.62,$0.00,1,1,1,1,1,1,20101001,E2313,HCPCS,"Pwc Harness, Expand Control",NU,,28 ,,NW,,,,,,$325.62,$0.00,1,1,1,1,1,1,20101001,E2313,HCPCS,"Pwc Harness, Expand Control",RR,,28 ,,NW,,,,,,$45.94,$0.00,1,1,1,1,1,1,20101001,E2313,HCPCS,"Pwc Harness, Expand Control",UE,,28 ,,NW,,,,,,$260.37,$0.00,1,1,1,1,1,1,20101001,E2321,HCPCS,Hand interface joystick,,,28 ,,NW,,,,,,"$4,366.99",$0.00,1,1,1,1,1,1,20101001,E2321,HCPCS,Hand interface joystick,NU,,28 ,,NW,,,,,,"$4,366.99",$0.00,1,1,1,1,1,1,20101001,E2321,HCPCS,Hand interface joystick,RR,,28 ,,NW,,,,,,$494.87,$0.00,1,1,1,1,1,1,20101001,E2321,HCPCS,Hand interface joystick,UE,,28 ,,NW,,,,,,"$3,291.42",$0.00,1,1,1,1,1,1,20101001,E2322,HCPCS,Mult mech switches,,,28 ,,NW,,,,,,"$4,200.19",$0.00,1,1,1,1,1,1,20101001,E2322,HCPCS,Mult mech switches,NU,,28 ,,NW,,,,,,"$4,200.19",$0.00,1,1,1,1,1,1,20101001,E2322,HCPCS,Mult mech switches,RR,,28 ,,NW,,,,,,$478.16,$0.00,1,1,1,1,1,1,20101001,E2322,HCPCS,Mult mech switches,UE,,28 ,,NW,,,,,,"$3,166.31",$0.00,1,1,1,1,1,1,20101001,E2323,HCPCS,Special joystick handle,,,28 ,,NW,,,,,,$171.37,$0.00,1,1,1,1,1,1,20101001,E2323,HCPCS,Special joystick handle,NU,,28 ,,NW,,,,,,$171.37,$0.00,1,1,1,1,1,1,20101001,E2323,HCPCS,Special joystick handle,RR,,28 ,,NW,,,,,,$17.44,$0.00,1,1,1,1,1,1,20101001,E2323,HCPCS,Special joystick handle,UE,,28 ,,NW,,,,,,$144.68,$0.00,1,1,1,1,1,1,20101001,E2324,HCPCS,Chin cup interface,,,28 ,,NW,,,,,,$122.70,$0.00,1,1,1,1,1,1,20101001,E2324,HCPCS,Chin cup interface,NU,,28 ,,NW,,,,,,$122.70,$0.00,1,1,1,1,1,1,20101001,E2324,HCPCS,Chin cup interface,RR,,28 ,,NW,,,,,,$10.49,$0.00,1,1,1,1,1,1,20101001,E2324,HCPCS,Chin cup interface,UE,,28 ,,NW,,,,,,$91.46,$0.00,1,1,1,1,1,1,20101001,E2325,HCPCS,Sip and puff interface,,,28 ,,NW,,,,,,"$2,143.50",$0.00,1,1,1,1,1,1,20101001,E2325,HCPCS,Sip and puff interface,NU,,28 ,,NW,,,,,,"$2,143.50",$0.00,1,1,1,1,1,1,20101001,E2325,HCPCS,Sip and puff interface,RR,,28 ,,NW,,,,,,$272.53,$0.00,1,1,1,1,1,1,20101001,E2325,HCPCS,Sip and puff interface,UE,,28 ,,NW,,,,,,"$1,623.80",$0.00,1,1,1,1,1,1,20101001,E2326,HCPCS,Breath tube kit,,,28 ,,NW,,,,,,$600.44,$0.00,1,1,1,1,1,1,20101001,E2326,HCPCS,Breath tube kit,NU,,28 ,,NW,,,,,,$600.44,$0.00,1,1,1,1,1,1,20101001,E2326,HCPCS,Breath tube kit,RR,,28 ,,NW,,,,,,$96.77,$0.00,1,1,1,1,1,1,20101001,E2326,HCPCS,Breath tube kit,UE,,28 ,,NW,,,,,,$466.47,$0.00,1,1,1,1,1,1,20101001,E2327,HCPCS,Head control interface mech,,,28 ,,NW,,,,,,"$6,932.79",$0.00,1,1,1,1,1,1,20101001,E2327,HCPCS,Head control interface mech,NU,,28 ,,NW,,,,,,"$6,932.79",$0.00,1,1,1,1,1,1,20101001,E2327,HCPCS,Head control interface mech,RR,,28 ,,NW,,,,,,$751.43,$0.00,1,1,1,1,1,1,20101001,E2327,HCPCS,Head control interface mech,UE,,28 ,,NW,,,,,,"$5,215.73",$0.00,1,1,1,1,1,1,20101001,E2328,HCPCS,Head/extremity control inter,,,28 ,,NW,,,,,,"$7,713.36",$0.00,1,1,1,1,1,1,20101001,E2328,HCPCS,Head/extremity control inter,NU,,28 ,,NW,,,,,,"$7,713.36",$0.00,1,1,1,1,1,1,20101001,E2328,HCPCS,Head/extremity control inter,RR,,28 ,,NW,,,,,,$829.48,$0.00,1,1,1,1,1,1,20101001,E2328,HCPCS,Head/extremity control inter,UE,,28 ,,NW,,,,,,"$5,801.19",$0.00,1,1,1,1,1,1,20101001,E2329,HCPCS,Head control nonproportional,,,28 ,,NW,,,,,,"$2,790.72",$0.00,1,1,1,1,1,1,20101001,E2329,HCPCS,Head control nonproportional,NU,,28 ,,NW,,,,,,"$2,790.72",$0.00,1,1,1,1,1,1,20101001,E2329,HCPCS,Head control nonproportional,RR,,28 ,,NW,,,,,,$337.22,$0.00,1,1,1,1,1,1,20101001,E2329,HCPCS,Head control nonproportional,UE,,28 ,,NW,,,,,,"$2,109.19",$0.00,1,1,1,1,1,1,20101001,E2330,HCPCS,Head control proximity switc,,,28 ,,NW,,,,,,"$5,346.75",$0.00,1,1,1,1,1,1,20101001,E2330,HCPCS,Head control proximity switc,NU,,28 ,,NW,,,,,,"$5,346.75",$0.00,1,1,1,1,1,1,20101001,E2330,HCPCS,Head control proximity switc,RR,,28 ,,NW,,,,,,$592.82,$0.00,1,1,1,1,1,1,20101001,E2330,HCPCS,Head control proximity switc,UE,,28 ,,NW,,,,,,"$4,026.24",$0.00,1,1,1,1,1,1,20101001,E2331,HCPCS,Attendant control,,,28 ,,NW,,,,,,$848.31,$0.00,1,1,1,1,1,1,20101001,E2340,HCPCS,W/c wdth 20-23 in seat frame,,,28 ,,NW,,,,,,$361.70,$0.00,1,1,1,1,1,1,20101001,E2340,HCPCS,W/c wdth 20-23 in seat frame,NU,,28 ,,NW,,,,,,$361.70,$0.00,1,1,1,1,1,1,20101001,E2340,HCPCS,W/c wdth 20-23 in seat frame,RR,,28 ,,NW,,,,,,$52.62,$0.00,1,1,1,1,1,1,20101001,E2340,HCPCS,W/c wdth 20-23 in seat frame,UE,,28 ,,NW,,,,,,$287.45,$0.00,1,1,1,1,1,1,20101001,E2341,HCPCS,W/c wdth 24-27 in seat frame,,,28 ,,NW,,,,,,$510.28,$0.00,1,1,1,1,1,1,20101001,E2341,HCPCS,W/c wdth 24-27 in seat frame,NU,,28 ,,NW,,,,,,$510.28,$0.00,1,1,1,1,1,1,20101001,E2341,HCPCS,W/c wdth 24-27 in seat frame,RR,,28 ,,NW,,,,,,$80.06,$0.00,1,1,1,1,1,1,20101001,E2341,HCPCS,W/c wdth 24-27 in seat frame,UE,,28 ,,NW,,,,,,$398.87,$0.00,1,1,1,1,1,1,20101001,E2342,HCPCS,W/c dpth 20-21 in seat frame,,,28 ,,NW,,,,,,$436.00,$0.00,1,1,1,1,1,1,20101001,E2342,HCPCS,W/c dpth 20-21 in seat frame,NU,,28 ,,NW,,,,,,$436.00,$0.00,1,1,1,1,1,1,20101001,E2342,HCPCS,W/c dpth 20-21 in seat frame,RR,,28 ,,NW,,,,,,$66.33,$0.00,1,1,1,1,1,1,20101001,E2342,HCPCS,W/c dpth 20-21 in seat frame,UE,,28 ,,NW,,,,,,$343.16,$0.00,1,1,1,1,1,1,20101001,E2343,HCPCS,W/c dpth 22-25 in seat frame,,,28 ,,NW,,,,,,$658.84,$0.00,1,1,1,1,1,1,20101001,E2343,HCPCS,W/c dpth 22-25 in seat frame,NU,,28 ,,NW,,,,,,$658.84,$0.00,1,1,1,1,1,1,20101001,E2343,HCPCS,W/c dpth 22-25 in seat frame,RR,,28 ,,NW,,,,,,$107.49,$0.00,1,1,1,1,1,1,20101001,E2343,HCPCS,W/c dpth 22-25 in seat frame,UE,,28 ,,NW,,,,,,$510.28,$0.00,1,1,1,1,1,1,20101001,E2351,HCPCS,Electronic sgd interface,,,28 ,,NW,,,,,,"$1,142.98",$0.00,1,1,1,1,1,1,20101001,E2351,HCPCS,Electronic sgd interface,NU,,28 ,,NW,,,,,,"$1,142.98",$0.00,1,1,1,1,1,1,20101001,E2351,HCPCS,Electronic sgd interface,RR,,28 ,,NW,,,,,,$172.48,$0.00,1,1,1,1,1,1,20101001,E2351,HCPCS,Electronic sgd interface,UE,,28 ,,NW,,,,,,$873.37,$0.00,1,1,1,1,1,1,20101001,E2360,HCPCS,22nf nonsealed leadacid,,,28 ,,NW,,,,,,$152.11,$0.00,1,1,1,1,1,1,20101001,E2360,HCPCS,22nf nonsealed leadacid,NU,,28 ,,NW,,,,,,$152.11,$0.00,1,1,1,1,1,1,20101001,E2360,HCPCS,22nf nonsealed leadacid,RR,,28 ,,NW,,,,,,$13.94,$0.00,1,1,1,1,1,1,20101001,E2360,HCPCS,22nf nonsealed leadacid,UE,,28 ,,NW,,,,,,$119.00,$0.00,1,1,1,1,1,1,20101001,E2361,HCPCS,22nf sealed leadacid battery,,,28 ,,NW,,,,,,$279.10,$0.00,1,1,1,1,1,1,20101001,E2361,HCPCS,22nf sealed leadacid battery,NU,,28 ,,NW,,,,,,$279.10,$0.00,1,1,1,1,1,1,20101001,E2361,HCPCS,22nf sealed leadacid battery,RR,,28 ,,NW,,,,,,$37.34,$0.00,1,1,1,1,1,1,20101001,E2361,HCPCS,22nf sealed leadacid battery,UE,,28 ,,NW,,,,,,$225.50,$0.00,1,1,1,1,1,1,20101001,E2362,HCPCS,Gr24 nonsealed leadacid,,,28 ,,NW,,,,,,$138.11,$0.00,1,1,1,1,1,1,20101001,E2362,HCPCS,Gr24 nonsealed leadacid,NU,,28 ,,NW,,,,,,$138.11,$0.00,1,1,1,1,1,1,20101001,E2362,HCPCS,Gr24 nonsealed leadacid,RR,,28 ,,NW,,,,,,$11.83,$0.00,1,1,1,1,1,1,20101001,E2362,HCPCS,Gr24 nonsealed leadacid,UE,,28 ,,NW,,,,,,$103.00,$0.00,1,1,1,1,1,1,20101001,E2363,HCPCS,Gr24 sealed leadacid battery,,,28 ,,NW,,,,,,$350.70,$0.00,1,1,1,1,1,1,20101001,E2363,HCPCS,Gr24 sealed leadacid battery,NU,,28 ,,NW,,,,,,$350.70,$0.00,1,1,1,1,1,1,20101001,E2363,HCPCS,Gr24 sealed leadacid battery,RR,,28 ,,NW,,,,,,$50.59,$0.00,1,1,1,1,1,1,20101001,E2363,HCPCS,Gr24 sealed leadacid battery,UE,,28 ,,NW,,,,,,$279.18,$0.00,1,1,1,1,1,1,20101001,E2364,HCPCS,U1nonsealed leadacid battery,,,28 ,,NW,,,,,,$152.11,$0.00,1,1,1,1,1,1,20101001,E2364,HCPCS,U1nonsealed leadacid battery,NU,,28 ,,NW,,,,,,$152.11,$0.00,1,1,1,1,1,1,20101001,E2364,HCPCS,U1nonsealed leadacid battery,RR,,28 ,,NW,,,,,,$13.94,$0.00,1,1,1,1,1,1,20101001,E2364,HCPCS,U1nonsealed leadacid battery,UE,,28 ,,NW,,,,,,$118.99,$0.00,1,1,1,1,1,1,20101001,E2365,HCPCS,U1 sealed leadacid battery,,,28 ,,NW,,,,,,$237.15,$0.00,1,1,1,1,1,1,20101001,E2365,HCPCS,U1 sealed leadacid battery,NU,,28 ,,NW,,,,,,$237.15,$0.00,1,1,1,1,1,1,20101001,E2365,HCPCS,U1 sealed leadacid battery,RR,,28 ,,NW,,,,,,$29.58,$0.00,1,1,1,1,1,1,20101001,E2365,HCPCS,U1 sealed leadacid battery,UE,,28 ,,NW,,,,,,$194.09,$0.00,1,1,1,1,1,1,20101001,E2366,HCPCS,"Battery charger, single mode",,,28 ,,NW,,,,,,$446.79,$0.00,1,1,1,1,1,1,20101001,E2366,HCPCS,"Battery charger, single mode",NU,,28 ,,NW,,,,,,$446.79,$0.00,1,1,1,1,1,1,20101001,E2366,HCPCS,"Battery charger, single mode",RR,,28 ,,NW,,,,,,$68.52,$0.00,1,1,1,1,1,1,20101001,E2366,HCPCS,"Battery charger, single mode",UE,,28 ,,NW,,,,,,$351.47,$0.00,1,1,1,1,1,1,20101001,E2367,HCPCS,"Battery charger, dual mode",,,28 ,,NW,,,,,,$711.48,$0.00,1,1,1,1,1,1,20101001,E2367,HCPCS,"Battery charger, dual mode",NU,,28 ,,NW,,,,,,$711.48,$0.00,1,1,1,1,1,1,20101001,E2367,HCPCS,"Battery charger, dual mode",RR,,28 ,,NW,,,,,,$117.26,$0.00,1,1,1,1,1,1,20101001,E2367,HCPCS,"Battery charger, dual mode",UE,,28 ,,NW,,,,,,$549.77,$0.00,1,1,1,1,1,1,20101001,E2368,HCPCS,Power wc motor replacement,,,28 ,,NW,,,,,,$861.97,$0.00,1,1,1,1,1,1,20101001,E2368,HCPCS,Power wc motor replacement,NU,,28 ,,NW,,,,,,$861.97,$0.00,1,1,1,1,1,1,20101001,E2368,HCPCS,Power wc motor replacement,RR,,28 ,,NW,,,,,,$144.37,$0.00,1,1,1,1,1,1,20101001,E2368,HCPCS,Power wc motor replacement,UE,,28 ,,NW,,,,,,$662.64,$0.00,1,1,1,1,1,1,20101001,E2369,HCPCS,Pwr wc gear box replacement,,,28 ,,NW,,,,,,$759.12,$0.00,1,1,1,1,1,1,20101001,E2369,HCPCS,Pwr wc gear box replacement,NU,,28 ,,NW,,,,,,$759.12,$0.00,1,1,1,1,1,1,20101001,E2369,HCPCS,Pwr wc gear box replacement,RR,,28 ,,NW,,,,,,$126.07,$0.00,1,1,1,1,1,1,20101001,E2369,HCPCS,Pwr wc gear box replacement,UE,,28 ,,NW,,,,,,$585.48,$0.00,1,1,1,1,1,1,20101001,E2370,HCPCS,Pwr wc motor/gear box combo,,,28 ,,NW,,,,,,"$1,303.83",$0.00,1,1,1,1,1,1,20101001,E2370,HCPCS,Pwr wc motor/gear box combo,NU,,28 ,,NW,,,,,,"$1,303.83",$0.00,1,1,1,1,1,1,20101001,E2370,HCPCS,Pwr wc motor/gear box combo,RR,,28 ,,NW,,,,,,$188.54,$0.00,1,1,1,1,1,1,20101001,E2370,HCPCS,Pwr wc motor/gear box combo,UE,,28 ,,NW,,,,,,$994.02,$0.00,1,1,1,1,1,1,20101001,E2371,HCPCS,Gr27 Sealed Leadacid Battery,,,28 ,,NW,,,,,,$297.29,$0.00,1,1,1,1,1,1,20101001,E2371,HCPCS,Gr27 Sealed Leadacid Battery,NU,,28 ,,NW,,,,,,$297.29,$0.00,1,1,1,1,1,1,20101001,E2371,HCPCS,Gr27 Sealed Leadacid Battery,RR,,28 ,,NW,,,,,,$40.71,$0.00,1,1,1,1,1,1,20101001,E2371,HCPCS,Gr27 Sealed Leadacid Battery,UE,,28 ,,NW,,,,,,$239.13,$0.00,1,1,1,1,1,1,20101001,E2372,HCPCS,Gr27 Non-Sealed Leadacid,,,28 ,,NW,,,,,,"$1,483.40",$0.00,1,1,1,1,1,1,20101001,E2372,HCPCS,Gr27 Non-Sealed Leadacid,NU,,28 ,,NW,,,,,,"$1,483.40",$0.00,1,1,1,1,1,1,20101001,E2372,HCPCS,Gr27 Non-Sealed Leadacid,RR,,28 ,,NW,,,,,,$162.34,$0.00,1,1,1,1,1,1,20101001,E2372,HCPCS,Gr27 Non-Sealed Leadacid,UE,,28 ,,NW,,,,,,"$1,117.09",$0.00,1,1,1,1,1,1,20101001,E2373,HCPCS,Hand/chin ctrl spec joystick,,,28 ,,NW,,,,,,"$2,094.32",$0.00,1,1,1,1,1,1,20101001,E2373,HCPCS,Hand/chin ctrl spec joystick,NU,,28 ,,NW,,,,,,"$2,094.32",$0.00,1,1,1,1,1,1,20101001,E2373,HCPCS,Hand/chin ctrl spec joystick,RR,,28 ,,NW,,,,,,$267.59,$0.00,1,1,1,1,1,1,20101001,E2373,HCPCS,Hand/chin ctrl spec joystick,UE,,28 ,,NW,,,,,,"$1,586.92",$0.00,1,1,1,1,1,1,20101001,E2374,HCPCS,Hand/chin ctrl std joystick,,,28 ,,NW,,,,,,$888.90,$0.00,1,1,1,1,1,1,20101001,E2374,HCPCS,Hand/chin ctrl std joystick,NU,,28 ,,NW,,,,,,$888.90,$0.00,1,1,1,1,1,1,20101001,E2374,HCPCS,Hand/chin ctrl std joystick,RR,,28 ,,NW,,,,,,$147.05,$0.00,1,1,1,1,1,1,20101001,E2374,HCPCS,Hand/chin ctrl std joystick,UE,,28 ,,NW,,,,,,$682.86,$0.00,1,1,1,1,1,1,20101001,E2375,HCPCS,Non-expandable controller,,,28 ,,NW,,,,,,"$1,386.76",$0.00,1,1,1,1,1,1,20101001,E2375,HCPCS,Non-expandable controller,NU,,28 ,,NW,,,,,,"$1,386.76",$0.00,1,1,1,1,1,1,20101001,E2375,HCPCS,Non-expandable controller,RR,,28 ,,NW,,,,,,$196.82,$0.00,1,1,1,1,1,1,20101001,E2375,HCPCS,Non-expandable controller,UE,,28 ,,NW,,,,,,"$1,056.19",$0.00,1,1,1,1,1,1,20101001,E2376,HCPCS,"Expandable controller, repl",,,28 ,,NW,,,,,,"$2,136.46",$0.00,1,1,1,1,1,1,20101001,E2376,HCPCS,"Expandable controller, repl",NU,,28 ,,NW,,,,,,"$2,136.46",$0.00,1,1,1,1,1,1,20101001,E2376,HCPCS,"Expandable controller, repl",RR,,28 ,,NW,,,,,,$271.81,$0.00,1,1,1,1,1,1,20101001,E2376,HCPCS,"Expandable controller, repl",UE,,28 ,,NW,,,,,,"$1,618.53",$0.00,1,1,1,1,1,1,20101001,E2377,HCPCS,"Expandable controller, initl",,,28 ,,NW,,,,,,$814.34,$0.00,1,1,1,1,1,1,20101001,E2377,HCPCS,"Expandable controller, initl",NU,,28 ,,NW,,,,,,$814.34,$0.00,1,1,1,1,1,1,20101001,E2377,HCPCS,"Expandable controller, initl",RR,,28 ,,NW,,,,,,$136.22,$0.00,1,1,1,1,1,1,20101001,E2377,HCPCS,"Expandable controller, initl",UE,,28 ,,NW,,,,,,$626.93,$0.00,1,1,1,1,1,1,20101001,E2381,HCPCS,Pneum drive wheel tire,,,28 ,,NW,,,,,,$181.74,$0.00,1,1,1,1,1,1,20101001,E2381,HCPCS,Pneum drive wheel tire,NU,,28 ,,NW,,,,,,$181.74,$0.00,1,1,1,1,1,1,20101001,E2381,HCPCS,Pneum drive wheel tire,RR,,28 ,,NW,,,,,,$19.36,$0.00,1,1,1,1,1,1,20101001,E2381,HCPCS,Pneum drive wheel tire,UE,,28 ,,NW,,,,,,$152.47,$0.00,1,1,1,1,1,1,20101001,E2382,HCPCS,"Tube, pneum wheel drive tire",,,28 ,,NW,,,,,,$56.73,$0.00,1,1,1,1,1,1,20101001,E2382,HCPCS,"Tube, pneum wheel drive tire",NU,,28 ,,NW,,,,,,$56.73,$0.00,1,1,1,1,1,1,20101001,E2382,HCPCS,"Tube, pneum wheel drive tire",RR,,28 ,,NW,,,,,,$4.94,$0.00,1,1,1,1,1,1,20101001,E2382,HCPCS,"Tube, pneum wheel drive tire",UE,,28 ,,NW,,,,,,$41.96,$0.00,1,1,1,1,1,1,20101001,E2383,HCPCS,"Insert, pneum wheel drive",,,28 ,,NW,,,,,,$298.21,$0.00,1,1,1,1,1,1,20101001,E2383,HCPCS,"Insert, pneum wheel drive",NU,,28 ,,NW,,,,,,$298.21,$0.00,1,1,1,1,1,1,20101001,E2383,HCPCS,"Insert, pneum wheel drive",RR,,28 ,,NW,,,,,,$40.87,$0.00,1,1,1,1,1,1,20101001,E2383,HCPCS,"Insert, pneum wheel drive",UE,,28 ,,NW,,,,,,$239.83,$0.00,1,1,1,1,1,1,20101001,E2384,HCPCS,Pneumatic caster tire,,,28 ,,NW,,,,,,$189.07,$0.00,1,1,1,1,1,1,20101001,E2384,HCPCS,Pneumatic caster tire,NU,,28 ,,NW,,,,,,$189.07,$0.00,1,1,1,1,1,1,20101001,E2384,HCPCS,Pneumatic caster tire,RR,,28 ,,NW,,,,,,$20.74,$0.00,1,1,1,1,1,1,20101001,E2384,HCPCS,Pneumatic caster tire,UE,,28 ,,NW,,,,,,$157.95,$0.00,1,1,1,1,1,1,20101001,E2385,HCPCS,"Tube, pneumatic caster tire",,,28 ,,NW,,,,,,$138.64,$0.00,1,1,1,1,1,1,20101001,E2385,HCPCS,"Tube, pneumatic caster tire",NU,,28 ,,NW,,,,,,$138.64,$0.00,1,1,1,1,1,1,20101001,E2385,HCPCS,"Tube, pneumatic caster tire",RR,,28 ,,NW,,,,,,$11.86,$0.00,1,1,1,1,1,1,20101001,E2385,HCPCS,"Tube, pneumatic caster tire",UE,,28 ,,NW,,,,,,$103.19,$0.00,1,1,1,1,1,1,20101001,E2386,HCPCS,Foam filled drive wheel tire,,,28 ,,NW,,,,,,$296.11,$0.00,1,1,1,1,1,1,20101001,E2386,HCPCS,Foam filled drive wheel tire,NU,,28 ,,NW,,,,,,$296.11,$0.00,1,1,1,1,1,1,20101001,E2386,HCPCS,Foam filled drive wheel tire,RR,,28 ,,NW,,,,,,$40.47,$0.00,1,1,1,1,1,1,20101001,E2386,HCPCS,Foam filled drive wheel tire,UE,,28 ,,NW,,,,,,$238.23,$0.00,1,1,1,1,1,1,20101001,E2387,HCPCS,Foam filled caster tire,,,28 ,,NW,,,,,,$166.46,$0.00,1,1,1,1,1,1,20101001,E2387,HCPCS,Foam filled caster tire,NU,,28 ,,NW,,,,,,$166.46,$0.00,1,1,1,1,1,1,20101001,E2387,HCPCS,Foam filled caster tire,RR,,28 ,,NW,,,,,,$16.53,$0.00,1,1,1,1,1,1,20101001,E2387,HCPCS,Foam filled caster tire,UE,,28 ,,NW,,,,,,$138.91,$0.00,1,1,1,1,1,1,20101001,E2388,HCPCS,Foam drive wheel tire,,,28 ,,NW,,,,,,$141.43,$0.00,1,1,1,1,1,1,20101001,E2388,HCPCS,Foam drive wheel tire,NU,,28 ,,NW,,,,,,$141.43,$0.00,1,1,1,1,1,1,20101001,E2388,HCPCS,Foam drive wheel tire,RR,,28 ,,NW,,,,,,$12.10,$0.00,1,1,1,1,1,1,20101001,E2388,HCPCS,Foam drive wheel tire,UE,,28 ,,NW,,,,,,$105.52,$0.00,1,1,1,1,1,1,20101001,E2389,HCPCS,Foam caster tire,,,28 ,,NW,,,,,,$75.74,$0.00,1,1,1,1,1,1,20101001,E2389,HCPCS,Foam caster tire,NU,,28 ,,NW,,,,,,$75.74,$0.00,1,1,1,1,1,1,20101001,E2389,HCPCS,Foam caster tire,RR,,28 ,,NW,,,,,,$6.59,$0.00,1,1,1,1,1,1,20101001,E2389,HCPCS,Foam caster tire,UE,,28 ,,NW,,,,,,$56.21,$0.00,1,1,1,1,1,1,20101001,E2390,HCPCS,Solid drive wheel tire,,,28 ,,NW,,,,,,$119.75,$0.00,1,1,1,1,1,1,20101001,E2390,HCPCS,Solid drive wheel tire,NU,,28 ,,NW,,,,,,$119.75,$0.00,1,1,1,1,1,1,20101001,E2390,HCPCS,Solid drive wheel tire,RR,,28 ,,NW,,,,,,$10.27,$0.00,1,1,1,1,1,1,20101001,E2390,HCPCS,Solid drive wheel tire,UE,,28 ,,NW,,,,,,$89.17,$0.00,1,1,1,1,1,1,20101001,E2391,HCPCS,Solid caster tire,,,28 ,,NW,,,,,,$56.18,$0.00,1,1,1,1,1,1,20101001,E2391,HCPCS,Solid caster tire,NU,,28 ,,NW,,,,,,$56.18,$0.00,1,1,1,1,1,1,20101001,E2391,HCPCS,Solid caster tire,RR,,28 ,,NW,,,,,,$4.93,$0.00,1,1,1,1,1,1,20101001,E2391,HCPCS,Solid caster tire,UE,,28 ,,NW,,,,,,$41.57,$0.00,1,1,1,1,1,1,20101001,E2392,HCPCS,"Solid caster tire, integrate",,,28 ,,NW,,,,,,$147.78,$0.00,1,1,1,1,1,1,20101001,E2392,HCPCS,"Solid caster tire, integrate",NU,,28 ,,NW,,,,,,$147.78,$0.00,1,1,1,1,1,1,20101001,E2392,HCPCS,"Solid caster tire, integrate",RR,,28 ,,NW,,,,,,$13.10,$0.00,1,1,1,1,1,1,20101001,E2392,HCPCS,"Solid caster tire, integrate",UE,,28 ,,NW,,,,,,$112.97,$0.00,1,1,1,1,1,1,20101001,E2394,HCPCS,Drive wheel excludes tire,,,28 ,,NW,,,,,,$183.09,$0.00,1,1,1,1,1,1,20101001,E2394,HCPCS,Drive wheel excludes tire,NU,,28 ,,NW,,,,,,$183.09,$0.00,1,1,1,1,1,1,20101001,E2394,HCPCS,Drive wheel excludes tire,RR,,28 ,,NW,,,,,,$19.63,$0.00,1,1,1,1,1,1,20101001,E2394,HCPCS,Drive wheel excludes tire,UE,,28 ,,NW,,,,,,$153.48,$0.00,1,1,1,1,1,1,20101001,E2395,HCPCS,Caster wheel excludes tire,,,28 ,,NW,,,,,,$148.82,$0.00,1,1,1,1,1,1,20101001,E2395,HCPCS,Caster wheel excludes tire,NU,,28 ,,NW,,,,,,$148.82,$0.00,1,1,1,1,1,1,20101001,E2395,HCPCS,Caster wheel excludes tire,RR,,28 ,,NW,,,,,,$13.27,$0.00,1,1,1,1,1,1,20101001,E2395,HCPCS,Caster wheel excludes tire,UE,,28 ,,NW,,,,,,$114.45,$0.00,1,1,1,1,1,1,20101001,E2396,HCPCS,Caster fork,,,28 ,,NW,,,,,,$161.82,$0.00,1,1,1,1,1,1,20101001,E2396,HCPCS,Caster fork,NU,,28 ,,NW,,,,,,$161.82,$0.00,1,1,1,1,1,1,20101001,E2396,HCPCS,Caster fork,RR,,28 ,,NW,,,,,,$16.85,$0.00,1,1,1,1,1,1,20101001,E2396,HCPCS,Caster fork,UE,,28 ,,NW,,,,,,$132.43,$0.00,1,1,1,1,1,1,20101001,E2397,HCPCS,"Pwc Acc, Lith-Based Battery",,,28 ,,NW,,,,,,$407.94,$0.00,1,1,1,1,1,1,20101001,E2397,HCPCS,"Pwc Acc, Lith-Based Battery",NU,,28 ,,NW,,,,,,$407.94,$0.00,1,1,1,1,1,1,20101001,E2397,HCPCS,"Pwc Acc, Lith-Based Battery",RR,,28 ,,NW,,,,,,$61.14,$0.00,1,1,1,1,1,1,20101001,E2397,HCPCS,"Pwc Acc, Lith-Based Battery",UE,,28 ,,NW,,,,,,$322.10,$0.00,1,1,1,1,1,1,20101001,E2402,HCPCS,Neg press wound therapy pump,,,28 ,,NW,,,,,,"$32,122.34",$0.00,1,1,1,1,1,1,20101001,E2402,HCPCS,Neg press wound therapy pump,RR,,28 ,,NW,,,,,,"$3,515.47",$0.00,1,1,1,1,1,1,20101001,E2500,HCPCS,Sgd digitized pre-rec <=8min,,,28 ,,NW,,,,,,$909.69,$0.00,1,1,1,1,1,1,20101001,E2500,HCPCS,Sgd digitized pre-rec <=8min,NU,,28 ,,NW,,,,,,$909.69,$0.00,1,1,1,1,1,1,20101001,E2500,HCPCS,Sgd digitized pre-rec <=8min,RR,,28 ,,NW,,,,,,$71.53,$0.00,1,1,1,1,1,1,20101001,E2500,HCPCS,Sgd digitized pre-rec <=8min,UE,,28 ,,NW,,,,,,$675.61,$0.00,1,1,1,1,1,1,20101001,E2502,HCPCS,Sgd prerec msg >8min <=20min,,,28 ,,NW,,,,,,"$2,836.41",$0.00,1,1,1,1,1,1,20101001,E2502,HCPCS,Sgd prerec msg >8min <=20min,NU,,28 ,,NW,,,,,,"$2,836.41",$0.00,1,1,1,1,1,1,20101001,E2502,HCPCS,Sgd prerec msg >8min <=20min,RR,,28 ,,NW,,,,,,$259.75,$0.00,1,1,1,1,1,1,20101001,E2502,HCPCS,Sgd prerec msg >8min <=20min,UE,,28 ,,NW,,,,,,"$2,120.68",$0.00,1,1,1,1,1,1,20101001,E2504,HCPCS,Sgd prerec msg>20min <=40min,,,28 ,,NW,,,,,,"$3,750.08",$0.00,1,1,1,1,1,1,20101001,E2504,HCPCS,Sgd prerec msg>20min <=40min,NU,,28 ,,NW,,,,,,"$3,750.08",$0.00,1,1,1,1,1,1,20101001,E2504,HCPCS,Sgd prerec msg>20min <=40min,RR,,28 ,,NW,,,,,,$351.14,$0.00,1,1,1,1,1,1,20101001,E2504,HCPCS,Sgd prerec msg>20min <=40min,UE,,28 ,,NW,,,,,,"$2,805.88",$0.00,1,1,1,1,1,1,20101001,E2506,HCPCS,Sgd prerec msg > 40 min,,,28 ,,NW,,,,,,"$5,511.12",$0.00,1,1,1,1,1,1,20101001,E2506,HCPCS,Sgd prerec msg > 40 min,NU,,28 ,,NW,,,,,,"$5,511.12",$0.00,1,1,1,1,1,1,20101001,E2506,HCPCS,Sgd prerec msg > 40 min,RR,,28 ,,NW,,,,,,$527.17,$0.00,1,1,1,1,1,1,20101001,E2506,HCPCS,Sgd prerec msg > 40 min,UE,,28 ,,NW,,,,,,"$4,126.61",$0.00,1,1,1,1,1,1,20101001,E2508,HCPCS,Sgd spelling phys contact,,,28 ,,NW,,,,,,"$8,536.55",$0.00,1,1,1,1,1,1,20101001,E2508,HCPCS,Sgd spelling phys contact,NU,,28 ,,NW,,,,,,"$8,536.55",$0.00,1,1,1,1,1,1,20101001,E2508,HCPCS,Sgd spelling phys contact,RR,,28 ,,NW,,,,,,$829.75,$0.00,1,1,1,1,1,1,20101001,E2508,HCPCS,Sgd spelling phys contact,UE,,28 ,,NW,,,,,,"$6,395.79",$0.00,1,1,1,1,1,1,20101001,E2510,HCPCS,Sgd w multi methods msg/accs,,,28 ,,NW,,,,,,"$16,177.97",$0.00,1,1,1,1,1,1,20101001,E2510,HCPCS,Sgd w multi methods msg/accs,NU,,28 ,,NW,,,,,,"$16,177.97",$0.00,1,1,1,1,1,1,20101001,E2510,HCPCS,Sgd w multi methods msg/accs,RR,,28 ,,NW,,,,,,"$1,593.86",$0.00,1,1,1,1,1,1,20101001,E2510,HCPCS,Sgd w multi methods msg/accs,UE,,28 ,,NW,,,,,,"$12,126.82",$0.00,1,1,1,1,1,1,20101001,E2511,HCPCS,Sgd sftwre prgrm for pc/pda,,,28 ,,NW,,,,,,"$2,631.49",$0.00,1,1,1,1,1,1,20101001,E2511,HCPCS,Sgd sftwre prgrm for pc/pda,NU,,28 ,,NW,,,,,,"$2,631.49",$0.00,1,1,1,1,1,1,20101001,E2511,HCPCS,Sgd sftwre prgrm for pc/pda,RR,,28 ,,NW,,,,,,$287.99,$0.00,1,1,1,1,1,1,20101001,E2511,HCPCS,Sgd sftwre prgrm for pc/pda,UE,,28 ,,NW,,,,,,"$1,981.68",$0.00,1,1,1,1,1,1,20101001,E2512,HCPCS,"Sgd accessory, mounting sys",,,28 ,,NW,,,,,,$936.31,$0.00,1,1,1,1,1,1,20101001,E2512,HCPCS,"Sgd accessory, mounting sys",NU,,28 ,,NW,,,,,,$936.31,$0.00,1,1,1,1,1,1,20101001,E2512,HCPCS,"Sgd accessory, mounting sys",RR,,28 ,,NW,,,,,,$121.51,$0.00,1,1,1,1,1,1,20101001,E2512,HCPCS,"Sgd accessory, mounting sys",UE,,28 ,,NW,,,,,,$836.10,$0.00,1,1,1,1,1,1,20101001,E2599,HCPCS,Sgd accessory noc,,,28 ,,NW,,,,,,$237.15,$0.00,1,1,1,1,1,1,20101001,E2601,HCPCS,Gen w/c cushion wdth < 22 in,,,28 ,,NW,,,,,,$159.02,$0.00,1,1,1,1,1,1,20101001,E2601,HCPCS,Gen w/c cushion wdth < 22 in,NU,,28 ,,NW,,,,,,$159.02,$0.00,1,1,1,1,1,1,20101001,E2601,HCPCS,Gen w/c cushion wdth < 22 in,RR,,28 ,,NW,,,,,,$15.19,$0.00,1,1,1,1,1,1,20101001,E2601,HCPCS,Gen w/c cushion wdth < 22 in,UE,,28 ,,NW,,,,,,$128.53,$0.00,1,1,1,1,1,1,20101001,E2602,HCPCS,Gen w/c cushion wdth >=22 in,,,28 ,,NW,,,,,,$248.92,$0.00,1,1,1,1,1,1,20101001,E2602,HCPCS,Gen w/c cushion wdth >=22 in,NU,,28 ,,NW,,,,,,$248.92,$0.00,1,1,1,1,1,1,20101001,E2602,HCPCS,Gen w/c cushion wdth >=22 in,RR,,28 ,,NW,,,,,,$31.77,$0.00,1,1,1,1,1,1,20101001,E2602,HCPCS,Gen w/c cushion wdth >=22 in,UE,,28 ,,NW,,,,,,$202.84,$0.00,1,1,1,1,1,1,20101001,E2603,HCPCS,Skin protect wc cus wd <22in,,,28 ,,NW,,,,,,$298.60,$0.00,1,1,1,1,1,1,20101001,E2603,HCPCS,Skin protect wc cus wd <22in,NU,,28 ,,NW,,,,,,$298.60,$0.00,1,1,1,1,1,1,20101001,E2603,HCPCS,Skin protect wc cus wd <22in,RR,,28 ,,NW,,,,,,$40.97,$0.00,1,1,1,1,1,1,20101001,E2603,HCPCS,Skin protect wc cus wd <22in,UE,,28 ,,NW,,,,,,$240.10,$0.00,1,1,1,1,1,1,20101001,E2604,HCPCS,Skin protect wc cus wd>=22in,,,28 ,,NW,,,,,,$355.43,$0.00,1,1,1,1,1,1,20101001,E2604,HCPCS,Skin protect wc cus wd>=22in,NU,,28 ,,NW,,,,,,$355.43,$0.00,1,1,1,1,1,1,20101001,E2604,HCPCS,Skin protect wc cus wd>=22in,RR,,28 ,,NW,,,,,,$51.41,$0.00,1,1,1,1,1,1,20101001,E2604,HCPCS,Skin protect wc cus wd>=22in,UE,,28 ,,NW,,,,,,$282.77,$0.00,1,1,1,1,1,1,20101001,E2605,HCPCS,Position wc cush wdth <22 in,,,28 ,,NW,,,,,,$480.09,$0.00,1,1,1,1,1,1,20101001,E2605,HCPCS,Position wc cush wdth <22 in,NU,,28 ,,NW,,,,,,$480.09,$0.00,1,1,1,1,1,1,20101001,E2605,HCPCS,Position wc cush wdth <22 in,RR,,28 ,,NW,,,,,,$74.52,$0.00,1,1,1,1,1,1,20101001,E2605,HCPCS,Position wc cush wdth <22 in,UE,,28 ,,NW,,,,,,$376.28,$0.00,1,1,1,1,1,1,20101001,E2606,HCPCS,Position wc cush wdth>=22 in,,,28 ,,NW,,,,,,$712.80,$0.00,1,1,1,1,1,1,20101001,E2606,HCPCS,Position wc cush wdth>=22 in,NU,,28 ,,NW,,,,,,$712.80,$0.00,1,1,1,1,1,1,20101001,E2606,HCPCS,Position wc cush wdth>=22 in,RR,,28 ,,NW,,,,,,$117.53,$0.00,1,1,1,1,1,1,20101001,E2606,HCPCS,Position wc cush wdth>=22 in,UE,,28 ,,NW,,,,,,$550.74,$0.00,1,1,1,1,1,1,20101001,E2607,HCPCS,Skin pro/pos wc cus wd <22in,,,28 ,,NW,,,,,,$512.01,$0.00,1,1,1,1,1,1,20101001,E2607,HCPCS,Skin pro/pos wc cus wd <22in,NU,,28 ,,NW,,,,,,$512.01,$0.00,1,1,1,1,1,1,20101001,E2607,HCPCS,Skin pro/pos wc cus wd <22in,RR,,28 ,,NW,,,,,,$80.40,$0.00,1,1,1,1,1,1,20101001,E2607,HCPCS,Skin pro/pos wc cus wd <22in,UE,,28 ,,NW,,,,,,$400.17,$0.00,1,1,1,1,1,1,20101001,E2608,HCPCS,Skin pro/pos wc cus wd>=22in,,,28 ,,NW,,,,,,$601.90,$0.00,1,1,1,1,1,1,20101001,E2608,HCPCS,Skin pro/pos wc cus wd>=22in,NU,,28 ,,NW,,,,,,$601.90,$0.00,1,1,1,1,1,1,20101001,E2608,HCPCS,Skin pro/pos wc cus wd>=22in,RR,,28 ,,NW,,,,,,$96.96,$0.00,1,1,1,1,1,1,20101001,E2608,HCPCS,Skin pro/pos wc cus wd>=22in,UE,,28 ,,NW,,,,,,$467.59,$0.00,1,1,1,1,1,1,20101001,E2609,HCPCS,Custom Fabricate W/C Cushion,,,28 ,,NW,,,,,,$553.85,$0.00,1,1,1,1,1,1,20101001,E2610,HCPCS,Powered W/C Cushion,,,28 ,,NW,,,,,,$356.08,$0.00,1,1,1,1,1,1,20101001,E2611,HCPCS,Gen use back cush wdth <22in,,,28 ,,NW,,,,,,$546.75,$0.00,1,1,1,1,1,1,20101001,E2611,HCPCS,Gen use back cush wdth <22in,NU,,28 ,,NW,,,,,,$546.75,$0.00,1,1,1,1,1,1,20101001,E2611,HCPCS,Gen use back cush wdth <22in,RR,,28 ,,NW,,,,,,$86.77,$0.00,1,1,1,1,1,1,20101001,E2611,HCPCS,Gen use back cush wdth <22in,UE,,28 ,,NW,,,,,,$426.25,$0.00,1,1,1,1,1,1,20101001,E2612,HCPCS,Gen use back cush wdth>=22in,,,28 ,,NW,,,,,,$716.83,$0.00,1,1,1,1,1,1,20101001,E2612,HCPCS,Gen use back cush wdth>=22in,NU,,28 ,,NW,,,,,,$716.83,$0.00,1,1,1,1,1,1,20101001,E2612,HCPCS,Gen use back cush wdth>=22in,RR,,28 ,,NW,,,,,,$118.22,$0.00,1,1,1,1,1,1,20101001,E2612,HCPCS,Gen use back cush wdth>=22in,UE,,28 ,,NW,,,,,,$553.75,$0.00,1,1,1,1,1,1,20101001,E2613,HCPCS,Position back cush wd <22in,,,28 ,,NW,,,,,,$671.29,$0.00,1,1,1,1,1,1,20101001,E2613,HCPCS,Position back cush wd <22in,NU,,28 ,,NW,,,,,,$671.29,$0.00,1,1,1,1,1,1,20101001,E2613,HCPCS,Position back cush wd <22in,RR,,28 ,,NW,,,,,,$109.84,$0.00,1,1,1,1,1,1,20101001,E2613,HCPCS,Position back cush wd <22in,UE,,28 ,,NW,,,,,,$519.63,$0.00,1,1,1,1,1,1,20101001,E2614,HCPCS,Position back cush wd>=22in,,,28 ,,NW,,,,,,$904.20,$0.00,1,1,1,1,1,1,20101001,E2614,HCPCS,Position back cush wd>=22in,NU,,28 ,,NW,,,,,,$904.20,$0.00,1,1,1,1,1,1,20101001,E2614,HCPCS,Position back cush wd>=22in,RR,,28 ,,NW,,,,,,$148.58,$0.00,1,1,1,1,1,1,20101001,E2614,HCPCS,Position back cush wd>=22in,UE,,28 ,,NW,,,,,,$694.33,$0.00,1,1,1,1,1,1,20101001,E2615,HCPCS,Pos back post/lat wdth <22in,,,28 ,,NW,,,,,,$762.80,$0.00,1,1,1,1,1,1,20101001,E2615,HCPCS,Pos back post/lat wdth <22in,NU,,28 ,,NW,,,,,,$762.80,$0.00,1,1,1,1,1,1,20101001,E2615,HCPCS,Pos back post/lat wdth <22in,RR,,28 ,,NW,,,,,,$126.74,$0.00,1,1,1,1,1,1,20101001,E2615,HCPCS,Pos back post/lat wdth <22in,UE,,28 ,,NW,,,,,,$588.23,$0.00,1,1,1,1,1,1,20101001,E2616,HCPCS,Pos back post/lat wdth>=22in,,,28 ,,NW,,,,,,"$1,003.98",$0.00,1,1,1,1,1,1,20101001,E2616,HCPCS,Pos back post/lat wdth>=22in,NU,,28 ,,NW,,,,,,"$1,003.98",$0.00,1,1,1,1,1,1,20101001,E2616,HCPCS,Pos back post/lat wdth>=22in,RR,,28 ,,NW,,,,,,$158.56,$0.00,1,1,1,1,1,1,20101001,E2616,HCPCS,Pos back post/lat wdth>=22in,UE,,28 ,,NW,,,,,,$769.17,$0.00,1,1,1,1,1,1,20101001,E2617,HCPCS,Custom Fab W/C Back Cushion,,,28 ,,NW,,,,,,$941.53,$0.00,1,1,1,1,1,1,20101001,E2619,HCPCS,Replace cover w/c seat cush,,,28 ,,NW,,,,,,$143.83,$0.00,1,1,1,1,1,1,20101001,E2619,HCPCS,Replace cover w/c seat cush,NU,,28 ,,NW,,,,,,$143.83,$0.00,1,1,1,1,1,1,20101001,E2619,HCPCS,Replace cover w/c seat cush,RR,,28 ,,NW,,,,,,$12.33,$0.00,1,1,1,1,1,1,20101001,E2619,HCPCS,Replace cover w/c seat cush,UE,,28 ,,NW,,,,,,$107.55,$0.00,1,1,1,1,1,1,20101001,E2620,HCPCS,Wc planar back cush wd <22in,,,28 ,,NW,,,,,,$910.02,$0.00,1,1,1,1,1,1,20101001,E2620,HCPCS,Wc planar back cush wd <22in,NU,,28 ,,NW,,,,,,$910.02,$0.00,1,1,1,1,1,1,20101001,E2620,HCPCS,Wc planar back cush wd <22in,RR,,28 ,,NW,,,,,,$149.16,$0.00,1,1,1,1,1,1,20101001,E2620,HCPCS,Wc planar back cush wd <22in,UE,,28 ,,NW,,,,,,$698.69,$0.00,1,1,1,1,1,1,20101001,E2621,HCPCS,Wc planar back cush wd>=22in,,,28 ,,NW,,,,,,$951.79,$0.00,1,1,1,1,1,1,20101001,E2621,HCPCS,Wc planar back cush wd>=22in,NU,,28 ,,NW,,,,,,$951.79,$0.00,1,1,1,1,1,1,20101001,E2621,HCPCS,Wc planar back cush wd>=22in,RR,,28 ,,NW,,,,,,$153.32,$0.00,1,1,1,1,1,1,20101001,E2621,HCPCS,Wc planar back cush wd>=22in,UE,,28 ,,NW,,,,,,$730.01,$0.00,1,1,1,1,1,1,20101001,G0008,HCPCS,Admin influenza virus vac,,,9 ,,TotalUnits,,,,0.44 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,G0009,HCPCS,Admin pneumococcal vaccine,,,9 ,,TotalUnits,,,,0.44 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,G0010,HCPCS,Admin hepatitis b vaccine,,,9 ,,TotalUnits,,,,0.44 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,G0027,HCPCS,Semen analysis,,,17 ,,TotalUnits,,,,0.26 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,G0101,HCPCS,Ca screen;pelvic/breast exam,,,18 ,,RBRVS,0.45 ,0.49 ,0.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,G0102,HCPCS,Prostate ca screening; dre,,,18 ,,RBRVS,0.17 ,0.06 ,0.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,G0103,HCPCS,Psa screening,,,17 ,,TotalUnits,,,,0.74 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,G0104,HCPCS,Ca screen;flexi sigmoidscope,,,21 ,,RBRVS,0.96 ,0.60 ,2.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,G0105,HCPCS,Colorectal scrn; hi risk ind,,,21 ,,RBRVS,3.69 ,1.78 ,6.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,G0106,HCPCS,Colon ca screen;barium enema,26,,20 ,,RBRVS,0.99 ,0.37 ,0.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,G0106,HCPCS,Colon ca screen;barium enema,,,20 ,,RBRVS,0.99 ,4.34 ,4.34 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,G0106,HCPCS,Colon ca screen;barium enema,TC,,20 ,,RBRVS,,3.97 ,3.97 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,G0108,HCPCS,Diab manage trn per indiv,,,14 ,,RBRVS,,0.63 ,0.63 ,,,$0.00,$0.00,1,1,1,1,1,1,20101001,G0109,HCPCS,Diab manage trn ind/group,,,14 ,,RBRVS,,0.35 ,0.35 ,,,$0.00,$0.00,1,1,1,1,1,1,20101001,G0117,HCPCS,Glaucoma scrn hgh risk direc,,,14 ,,RBRVS,0.45 ,0.75 ,0.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,G0118,HCPCS,Glaucoma scrn hgh risk direc,,,14 ,,RBRVS,0.17 ,0.64 ,0.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,G0120,HCPCS,Colon ca scrn; barium enema,26,,20 ,,RBRVS,0.99 ,0.37 ,0.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,G0120,HCPCS,Colon ca scrn; barium enema,,,20 ,,RBRVS,0.99 ,4.34 ,4.34 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,G0120,HCPCS,Colon ca scrn; barium enema,TC,,20 ,,RBRVS,,3.97 ,3.97 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,G0121,HCPCS,Colon ca scrn not hi rsk ind,,,21 ,,RBRVS,3.69 ,1.78 ,6.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,G0122,HCPCS,Colon ca scrn; barium enema,26,,20 ,,RBRVS,0.99 ,0.34 ,0.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,G0122,HCPCS,Colon ca scrn; barium enema,,,20 ,,RBRVS,0.99 ,5.37 ,5.37 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,G0122,HCPCS,Colon ca scrn; barium enema,TC,,20 ,,RBRVS,,5.03 ,5.03 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,G0123,HCPCS,Screen cerv/vag thin layer,,,17 ,,TotalUnits,,,,0.82 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,G0124,HCPCS,Screen c/v thin layer by md,,,17 ,,RBRVS,0.42 ,0.31 ,0.31 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,G0127,HCPCS,Trim nail(s),,,21 ,,RBRVS,0.17 ,0.05 ,0.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,G0128,HCPCS,Corf skilled nursing service,,,14 ,,RBRVS,0.08 ,0.14 ,0.14 ,,,$0.00,$0.00,1,1,1,0,0,1,20101001,G0130,HCPCS,Single energy x-ray study,26,,20 ,,RBRVS,0.22 ,0.06 ,0.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,G0130,HCPCS,Single energy x-ray study,,,20 ,,RBRVS,0.22 ,0.62 ,0.62 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,G0130,HCPCS,Single energy x-ray study,TC,,20 ,,RBRVS,,0.56 ,0.56 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,G0141,HCPCS,"Scr c/v cyto,autosys and md",,,17 ,,RBRVS,0.42 ,0.31 ,0.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,G0143,HCPCS,"Scr c/v cyto,thinlayer,rescr",,,17 ,,TotalUnits,,,,0.82 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,G0144,HCPCS,"Scr c/v cyto,thinlayer,rescr",,,17 ,,TotalUnits,,,,0.86 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,G0145,HCPCS,"Scr c/v cyto,thinlayer,rescr",,,17 ,,TotalUnits,,,,1.07 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,G0147,HCPCS,"Scr c/v cyto, automated sys",,,17 ,,TotalUnits,,,,0.43 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,G0148,HCPCS,"Scr c/v cyto, autosys, rescr",,,17 ,,TotalUnits,,,,0.62 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,G0151,HCPCS,"Hhcp-serv of pt,ea 15 min",,,14 ,,TotalUnits,,,,0.23 ,,$0.00,$0.00,1,1,1,0,0,1,20101001,G0152,HCPCS,"Hhcp-serv of ot,ea 15 min",,,14 ,,TotalUnits,,,,0.21 ,,$0.00,$0.00,1,1,1,0,0,1,20101001,G0153,HCPCS,"Hhcp-svs of s/l path,ea 15mn",,,14 ,,TotalUnits,,,,0.19 ,,$0.00,$0.00,1,1,1,0,0,1,20101001,G0154,HCPCS,"Hhcp-svs of rn,ea 15 min",,,14 ,,TotalUnits,,,,0.21 ,,$0.00,$0.00,1,1,1,1,1,1,20101001,G0155,HCPCS,"Hhcp-svs of csw,ea 15 min",,,14 ,,TotalUnits,,,,0.25 ,,$0.00,$0.00,1,1,1,1,1,1,20101001,G0156,HCPCS,"Hhcp-svs of aide,ea 15 min",,,14 ,,TotalUnits,,,,0.15 ,,$0.00,$0.00,1,1,1,1,1,1,20101001,G0166,HCPCS,"Extrnl counterpulse, per tx",,,14 ,,RBRVS,0.07 ,4.08 ,4.08 ,,,$0.00,$0.00,1,1,1,0,0,1,20101001,G0168,HCPCS,Wound closure by adhesive,,,21 ,,RBRVS,0.45 ,0.21 ,1.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,G0175,HCPCS,"Opps service,sched team conf",,,14 ,,TotalUnits,,,,0.17 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,G0176,HCPCS,OPPS/PHP;activity therapy,,,16 ,,TotalUnits,,,,1.24 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,G0177,HCPCS,OPPS/PHP; train & educ serv,,,16 ,,TotalUnits,,,,1.52 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,G0179,HCPCS,Md recertification hha pt,,,15 ,,RBRVS,0.45 ,0.61 ,0.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,G0180,HCPCS,Md certification hha patient,,,15 ,,RBRVS,0.67 ,0.73 ,0.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,G0181,HCPCS,Home health care supervision,,,15 ,,RBRVS,1.73 ,0.98 ,0.98 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,G0182,HCPCS,Hospice care supervision,,,15 ,,RBRVS,1.73 ,1.04 ,1.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,G0186,HCPCS,"Dstry eye lesn,fdr vssl tech",,,14 ,,TotalUnits,,,,9.21 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,G0202,HCPCS,Screening mammography digital,26,,20 ,,RBRVS,0.70 ,0.24 ,0.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,G0202,HCPCS,Screening mammography digital,,,20 ,,RBRVS,0.70 ,2.80 ,2.80 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,G0202,HCPCS,Screening mammography digital,TC,,20 ,,RBRVS,,2.56 ,2.56 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,G0204,HCPCS,Screening mammography digital,26,,20 ,,RBRVS,0.87 ,0.29 ,0.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,G0204,HCPCS,Screening mammography digital,,,20 ,,RBRVS,0.87 ,3.25 ,3.25 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,G0204,HCPCS,Screening mammography digital,TC,,20 ,,RBRVS,,2.96 ,2.96 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,G0206,HCPCS,Screening mammography digital,26,,20 ,,RBRVS,0.70 ,0.24 ,0.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,G0206,HCPCS,Screening mammography digital,,,20 ,,RBRVS,0.70 ,2.57 ,2.57 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,G0206,HCPCS,Screening mammography digital,TC,,20 ,,RBRVS,,2.33 ,2.33 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,G0219,HCPCS,Pet img wholbod melano nonco,26,,20 ,,TotalUnits,,,,1.96 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,G0219,HCPCS,Pet img wholbod melano nonco,,,20 ,,TotalUnits,,,,28.08 ,,$0.00,$0.00,1,0,0,0,0,1,20101001,G0219,HCPCS,Pet img wholbod melano nonco,TC,,20 ,,TotalUnits,,,,26.12 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,G0235,HCPCS,Pet not otherwise specified,,,20 ,,TotalUnits,,,,26.72 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,G0237,HCPCS,Therapeutic procd strg endur,,,14 ,,RBRVS,,0.27 ,0.27 ,,,$0.00,$0.00,1,1,1,0,0,1,20101001,G0238,HCPCS,"Oth resp proc, indiv",,,14 ,,RBRVS,,0.29 ,0.29 ,,,$0.00,$0.00,1,1,1,0,0,1,20101001,G0239,HCPCS,"Oth resp proc, group",,,14 ,,RBRVS,,0.30 ,0.30 ,,,$0.00,$0.00,1,1,1,0,0,1,20101001,G0245,HCPCS,Initial foot exam pt lops,,,15 ,,RBRVS,0.88 ,0.32 ,0.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,G0246,HCPCS,Followup eval of foot pt lop,,,15 ,,RBRVS,0.45 ,0.16 ,0.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,G0247,HCPCS,Routine footcare pt w lops,,,15 ,,RBRVS,0.50 ,0.17 ,0.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,G0248,HCPCS,Demonstrate use home inr mon,,TC,14 ,,RBRVS,,4.11 ,4.11 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,G0249,HCPCS,Provide inr test mater/equip,,TC,14 ,,RBRVS,,3.49 ,3.49 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,G0250,HCPCS,Md inr test revie inter mgmt,,PC,4 ,,RBRVS,0.18 ,0.08 ,0.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,G0252,HCPCS,PET imaging initial dx,26,,20 ,,RBRVS,1.50 ,0.60 ,0.60 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,G0252,HCPCS,PET imaging initial dx,,,20 ,,RBRVS,1.50 ,0.60 ,0.60 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,G0255,HCPCS,Current percep threshold tst,26,,14 ,,TotalUnits,,,,0.43 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,G0255,HCPCS,Current percep threshold tst,,,14 ,,TotalUnits,,,,1.45 ,,$0.00,$0.00,1,0,0,0,0,1,20101001,G0255,HCPCS,Current percep threshold tst,TC,,14 ,,TotalUnits,,,,1.02 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,G0257,HCPCS,Unsched dialysis esrd pt hos,,,14 ,,TotalUnits,,,,7.20 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,G0259,HCPCS,Inject for sacroiliac joint,,,21 ,,TotalUnits,,,,4.77 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,G0260,HCPCS,Inj for sacroiliac jt anesth,,,21 ,,TotalUnits,,,,12.40 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,G0268,HCPCS,Removal of impacted wax md,,,14 ,,RBRVS,0.61 ,0.22 ,0.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,G0269,HCPCS,Occlusive device in vein art,,,21 ,,TotalUnits,,,,3.18 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,G0270,HCPCS,Mnt subs tx for change dx,,,14 ,,RBRVS,0.45 ,0.20 ,0.25 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,G0271,HCPCS,Group mnt 2 or more 30 mins,,,14 ,,RBRVS,0.25 ,0.10 ,0.10 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,G0275,HCPCS,"Renal angio, cardiac cath",,,20 ,,RBRVS,0.25 ,0.13 ,0.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,G0278,HCPCS,"Iliac art angio,cardiac cath",,,20 ,,RBRVS,0.25 ,0.13 ,0.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,G0281,HCPCS,Elec stim unattend for press,,,19 ,,RBRVS,0.18 ,0.13 ,0.13 ,,,$0.00,$0.00,1,1,1,0,0,1,20101001,G0282,HCPCS,Elect stim wound care not pd,,,19 ,,TotalUnits,,,,0.33 ,,$0.00,$0.00,1,1,1,0,0,1,20101001,G0283,HCPCS,Elec stim other than wound,,,19 ,,RBRVS,0.18 ,0.13 ,0.13 ,,,$0.00,$0.00,1,1,1,0,0,1,20101001,G0288,HCPCS,"Recon, cta for surg plan",,TC,20 ,,RBRVS,,3.40 ,3.40 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,G0289,HCPCS,"Arthro, loose body + chondro",,,21 ,,RBRVS,1.48 ,0.67 ,0.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,G0290,HCPCS,"Drug-eluting stents, single",,,21 ,,TotalUnits,,,,90.75 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,G0293,HCPCS,"Non-cov surg proc,clin trial",,,14 ,,TotalUnits,,,,0.20 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,G0295,HCPCS,Electromagnetic therapy onc,,,19 ,,TotalUnits,,,,0.43 ,,$0.00,$0.00,1,1,1,0,0,1,20101001,G0306,HCPCS,Cbc/diffwbc w/o platelet,,,17 ,,TotalUnits,,,,0.31 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,G0307,HCPCS,Cbc without platelet,,,17 ,,TotalUnits,,,,0.26 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,G0328,HCPCS,Fecal blood scrn immunoassay,,,17 ,,TotalUnits,,,,0.64 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,G0329,HCPCS,Electromagntic tx for ulcers,,,19 ,,RBRVS,0.06 ,0.15 ,0.15 ,,,$0.00,$0.00,1,1,1,0,0,1,20101001,G0333,HCPCS,Dispense Fee Initial 30 Day,,,28 ,,NW,,,,,,$74.31,$0.00,1,1,1,0,0,1,20101001,G0337,HCPCS,Hospice evaluation preelecti,,,15 ,,RBRVS,1.34 ,0.46 ,0.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,G0339,HCPCS,"Robot lin-radsurg com, first",,,21 ,,TotalUnits,,,,138.14 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,G0340,HCPCS,Robt lin-radsurg fractx 2-5,,,21 ,,TotalUnits,,,,127.21 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,G0341,HCPCS,Percutaneous islet celltrans,,,21 ,,RBRVS,6.98 ,3.83 ,3.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,G0342,HCPCS,Laparoscopy islet cell trans,,,21 ,,RBRVS,11.92 ,5.26 ,5.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,G0343,HCPCS,Laparotomy islet cell transp,,,21 ,,RBRVS,19.85 ,8.87 ,8.87 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,G0364,HCPCS,Bone marrow aspirate &biopsy,,,21 ,,RBRVS,0.16 ,0.07 ,0.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,G0365,HCPCS,Vessel mapping hemo access,26,,14 ,,RBRVS,0.25 ,0.07 ,0.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,G0365,HCPCS,Vessel mapping hemo access,,,14 ,,RBRVS,0.25 ,4.84 ,4.84 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,G0365,HCPCS,Vessel mapping hemo access,TC,,14 ,,RBRVS,,4.77 ,4.77 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,G0372,HCPCS,Md service required for pmd,,,14 ,,RBRVS,0.17 ,0.05 ,0.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,G0378,HCPCS,Hospital observation per hr,,,10 ,,TotalUnits,,,,0.62 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,G0382,HCPCS,Lev 3 hosp type b ed visit,,,7 ,,TotalUnits,,,,0.70 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,G0389,HCPCS,Ultrasound exam aaa screen,26,,20 ,,RBRVS,0.58 ,0.23 ,0.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,G0389,HCPCS,Ultrasound exam aaa screen,,,20 ,,RBRVS,0.58 ,2.39 ,2.39 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,G0389,HCPCS,Ultrasound exam aaa screen,TC,,20 ,,RBRVS,,2.16 ,2.16 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,G0396,HCPCS,Alcohol/subs interv 15-30mn,,,16 ,,RBRVS,0.65 ,0.16 ,0.20 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,G0397,HCPCS,Alcohol/subs interv >30 min,,,16 ,,RBRVS,1.30 ,0.31 ,0.35 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,G0399,HCPCS,Home sleep test/type 3 porta,,,14 ,,TotalUnits,,,,0.87 ,,$0.00,$0.00,1,0,0,0,0,1,20101001,G0399,HCPCS,Home sleep test/type 3 porta,,PC,14 ,,TotalUnits,,,,0.26 ,,$0.00,$0.00,1,0,1,1,1,0,20101001,G0399,HCPCS,Home sleep test/type 3 porta,,TC,14 ,,TotalUnits,,,,0.61 ,,$0.00,$0.00,1,1,1,0,1,0,20101001,G0402,HCPCS,Initial preventive exam,,,14 ,,RBRVS,1.34 ,1.13 ,1.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,G0403,HCPCS,Ekg for initial prevent exam,,,4 ,,RBRVS,0.17 ,0.38 ,0.38 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,G0404,HCPCS,Ekg tracing for initial prev,,TC,4 ,,RBRVS,,0.36 ,0.36 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,G0405,HCPCS,Ekg interpret & report preve,,PC,4 ,,RBRVS,0.17 ,0.05 ,0.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,G0406,HCPCS,Telhealth inpt consult 15min,,,6 ,,RBRVS,0.76 ,0.24 ,0.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,G0407,HCPCS,Telheath inpt consult 25min,,,6 ,,RBRVS,1.39 ,0.42 ,0.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,G0408,HCPCS,Telhealth inpt consult 35min,,,6 ,,RBRVS,2.00 ,0.59 ,0.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,G0409,HCPCS,Corf related serv 15 mins ea,,,16 ,,RBRVS,,0.23 ,0.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,G0412,HCPCS,Open tx iliac spine uni/bil,,,21 ,,RBRVS,10.45 ,6.71 ,6.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,G0413,HCPCS,Pelvic ring fracture uni/bil,,,21 ,,RBRVS,15.73 ,9.53 ,9.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,G0414,HCPCS,Pelvic ring fx treat int fix,,,21 ,,RBRVS,14.65 ,9.31 ,9.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,G0415,HCPCS,Open tx post pelvic fracture,,,21 ,,RBRVS,20.93 ,11.68 ,11.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,G0416,HCPCS,Sat biopsy prostate 1-20 spc,,,17 ,,RBRVS,3.09 ,13.96 ,13.96 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,G0416,HCPCS,Sat biopsy prostate 1-20 spc,,PC,17 ,,RBRVS,3.09 ,1.82 ,1.82 ,,,$0.00,$0.00,1,0,1,1,1,0,20101001,G0416,HCPCS,Sat biopsy prostate 1-20 spc,,TC,17 ,,RBRVS,,12.14 ,12.14 ,,,$0.00,$0.00,1,1,1,0,1,0,20101001,G0417,HCPCS,Sat biopsy prostate 21-40,,,17 ,,RBRVS,5.86 ,27.26 ,27.26 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,G0417,HCPCS,Sat biopsy prostate 21-40,,PC,17 ,,RBRVS,5.86 ,3.55 ,3.55 ,,,$0.00,$0.00,1,0,1,1,1,0,20101001,G0417,HCPCS,Sat biopsy prostate 21-40,,TC,17 ,,RBRVS,,23.71 ,23.71 ,,,$0.00,$0.00,1,1,1,0,1,0,20101001,G0418,HCPCS,Sat biopsy prostate 41-60,,,17 ,,RBRVS,10.30 ,46.56 ,46.56 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,G0418,HCPCS,Sat biopsy prostate 41-60,,PC,17 ,,RBRVS,10.30 ,6.06 ,6.06 ,,,$0.00,$0.00,1,0,1,1,1,0,20101001,G0418,HCPCS,Sat biopsy prostate 41-60,,TC,17 ,,RBRVS,,40.50 ,40.50 ,,,$0.00,$0.00,1,1,1,0,1,0,20101001,G0419,HCPCS,Sat biopsy prostate: >60,,,17 ,,RBRVS,11.61 ,55.86 ,55.86 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,G0419,HCPCS,Sat biopsy prostate: >60,,PC,17 ,,RBRVS,11.61 ,7.26 ,7.26 ,,,$0.00,$0.00,1,0,1,1,1,0,20101001,G0419,HCPCS,Sat biopsy prostate: >60,,TC,17 ,,RBRVS,,48.60 ,48.60 ,,,$0.00,$0.00,1,1,1,0,1,0,20101001,G0420,HCPCS,Ed svc CKD ind per session,,,14 ,,RBRVS,2.12 ,0.86 ,0.86 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,G0421,HCPCS,Ed svc CKD grp per session,,,14 ,,RBRVS,0.50 ,0.20 ,0.20 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,G0422,HCPCS,Intens cardiac rehab w/exerc,,,4 ,,RBRVS,0.60 ,0.75 ,0.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,G0423,HCPCS,Intens cardiac rehab no exer,,,4 ,,RBRVS,0.60 ,0.75 ,0.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,G0424,HCPCS,Pulmonary rehab w exer,,,14 ,,RBRVS,0.18 ,0.07 ,0.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,G0425,HCPCS,Inpt telehealth consult 30m,,,14 ,,RBRVS,1.92 ,0.71 ,0.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,G0426,HCPCS,Inpt telehealth consult 50m,,,14 ,,RBRVS,2.61 ,0.99 ,0.99 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,G0427,HCPCS,Inpt telehealth con 70/>m,,,14 ,,RBRVS,3.86 ,1.45 ,1.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,G0430,HCPCS,Drug screen multi class,,,17 ,,TotalUnits,,,,0.59 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,G0431,HCPCS,Drug screen single class,,,17 ,,TotalUnits,,,,0.56 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,G8373,HCPCS,Chemo plan documen prior che,,,14 ,,TotalUnits,,,,0.07 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,G8397,HCPCS,Dil macula/fundus exam/w doc,,,14 ,,TotalUnits,,,,0.01 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,G8420,HCPCS,Calc BMI norm parameters,,,14 ,,TotalUnits,,,,0.03 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,G8427,HCPCS,Doc meds verified w/pt or re,,,14 ,,TotalUnits,,,,0.10 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,G8437,HCPCS,Care plan develop & document,,,14 ,,TotalUnits,,,,0.07 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,G8440,HCPCS,Pain assess f/u pln document,,,14 ,,TotalUnits,,,,0.03 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,G8443,HCPCS,Prescription by E-Prescrib s,,,14 ,,TotalUnits,,,,0.06 ,,$0.00,$0.00,1,1,1,0,0,1,20101001,G8445,HCPCS,Prescrip not gen at encounte,,,14 ,,TotalUnits,,,,0.02 ,,$0.00,$0.00,1,1,1,0,0,1,20101001,G8446,HCPCS,Some prescrib print or call,,,14 ,,TotalUnits,,,,0.04 ,,$0.00,$0.00,1,1,1,0,0,1,20101001,G8447,HCPCS,Pt vis doc use CCHIT cer EHR,,,14 ,,TotalUnits,,,,0.19 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,G8448,HCPCS,Pt vis doc w/non-CCHIT EHR,,,14 ,,TotalUnits,,,,0.13 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,G8457,HCPCS,Cur tobacco non-user,,,14 ,,TotalUnits,,,,0.01 ,,$0.00,$0.00,1,1,1,0,0,1,20101001,G8482,HCPCS,Flu immunize order/admin,,,14 ,,TotalUnits,,,,0.18 ,,$0.00,$0.00,1,1,1,0,0,1,20101001,G8512,HCPCS,Pain sev quant present,,,14 ,,TotalUnits,,,,0.69 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,G9001,HCPCS,"Mccd, initial rate",,,14 ,,TotalUnits,,,,0.70 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,G9002,HCPCS,"Mccd,maintenance rate",,,14 ,,TotalUnits,,,,2.00 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,G9003,HCPCS,"Mccd, risk adj hi, initial",,,14 ,,TotalUnits,,,,2.73 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,G9004,HCPCS,"Mccd, risk adj lo, initial",,,14 ,,TotalUnits,,,,1.22 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,G9005,HCPCS,"Mccd, risk adj, maintenance",,,14 ,,TotalUnits,,,,1.71 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,G9006,HCPCS,"Mccd, home monitoring",,,14 ,,TotalUnits,,,,0.16 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,G9007,HCPCS,"Mccd, sch team conf",,,14 ,,TotalUnits,,,,0.12 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,G9008,HCPCS,"Mccd,phys coor-care ovrsght",,,14 ,,TotalUnits,,,,0.30 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,G9009,HCPCS,"Mccd, risk adj, level 3",,,14 ,,TotalUnits,,,,1.03 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,G9010,HCPCS,"Mccd, risk adj, level 4",,,14 ,,TotalUnits,,,,0.88 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,G9011,HCPCS,"Mccd, risk adj, level 5",,,14 ,,TotalUnits,,,,3.47 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,G9012,HCPCS,Other specified case mgmt,,,14 ,,TotalUnits,,,,2.49 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,G9016,HCPCS,Demo-smoking cessation coun,,,14 ,,TotalUnits,,,,0.57 ,,$0.00,$0.00,1,1,1,0,0,1,20101001,G9017,HCPCS,Amantadine Hcl 100Mg Oral,,,29 ,,NW,,,,,,$3.21,$0.00,1,1,1,0,0,1,20101001,G9018,HCPCS,"Zanamivir,inhalation pwd 10m",,,29 ,,NW,,,,,,$14.97,$0.00,1,1,1,0,0,1,20101001,G9019,HCPCS,Oseltamivir phosphate 75mg,,,29 ,,NW,,,,,,$15.83,$0.00,1,1,1,0,0,1,20101001,G9020,HCPCS,Rimantadine hcl 100mg oral,,,29 ,,NW,,,,,,$5.35,$0.00,1,1,1,0,0,1,20101001,G9033,HCPCS,Amantadine hcl oral brand,,,29 ,,NW,,,,,,$58.75,$0.00,1,1,1,0,0,1,20101001,G9034,HCPCS,"Zanamivir, inh pwdr, brand",,,29 ,,NW,,,,,,$46.89,$0.00,1,1,1,0,0,1,20101001,G9036,HCPCS,"Rimantadine hcl, brand",,,29 ,,NW,,,,,,$181.85,$0.00,1,1,1,0,0,1,20101001,G9041,HCPCS,Low vision rehab occupationa,,,19 ,,RBRVS,0.54 ,0.22 ,0.22 ,,,$0.00,$0.00,1,1,1,0,0,1,20101001,G9042,HCPCS,Low vision rehab orient/mobi,,,19 ,,RBRVS,0.20 ,0.20 ,0.20 ,,,$0.00,$0.00,1,1,1,0,0,1,20101001,G9043,HCPCS,Low vision lowvision therapi,,,19 ,,RBRVS,0.20 ,0.20 ,0.20 ,,,$0.00,$0.00,1,1,1,0,0,1,20101001,G9044,HCPCS,Low vision rehabilate teache,,,19 ,,RBRVS,0.19 ,0.15 ,0.15 ,,,$0.00,$0.00,1,1,1,0,0,1,20101001,G9051,HCPCS,Oncology tx decision-mgmt,,,14 ,,TotalUnits,,,,0.16 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,G9052,HCPCS,Onc surveillance for disease,,,14 ,,TotalUnits,,,,0.16 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,G9056,HCPCS,Onc prac mgmt adheres guide,,,14 ,,TotalUnits,,,,0.16 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,G9064,HCPCS,Onc dx nsclc stg2 no progres,,,14 ,,TotalUnits,,,,0.16 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,G9065,HCPCS,Onc dx nsclc stg3A no progre,,,14 ,,TotalUnits,,,,0.16 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,G9066,HCPCS,Onc dx nsclc stg3B-4 metasta,,,14 ,,TotalUnits,,,,0.16 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,G9069,HCPCS,Onc dx sclc/nsclc ext at dx,,,14 ,,TotalUnits,,,,0.16 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,G9071,HCPCS,"Onc dx brst stg1-2B HR,nopro",,,14 ,,TotalUnits,,,,0.16 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,G9072,HCPCS,Onc dx brst stg1-2 noprogres,,,14 ,,TotalUnits,,,,0.16 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,G9073,HCPCS,"Onc dx brst stg3-HR, no pro",,,14 ,,TotalUnits,,,,0.27 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,G9075,HCPCS,Onc dx brst metastic/ recur,,,14 ,,TotalUnits,,,,0.16 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,G9084,HCPCS,"Onc dx colon t1-3,n1-2,no pr",,,14 ,,TotalUnits,,,,0.10 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,G9086,HCPCS,Onc dx colon T1-4 no dx prog,,,14 ,,TotalUnits,,,,0.16 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,G9087,HCPCS,Onc dx colon metas evid dx,,,14 ,,TotalUnits,,,,0.16 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,G9088,HCPCS,Onc dx colon metas noevid dx,,,14 ,,TotalUnits,,,,0.07 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,G9098,HCPCS,Onc dx esophageal mets recur,,,14 ,,TotalUnits,,,,0.16 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,G9107,HCPCS,Onc dx pancreatic unresectab,,,14 ,,TotalUnits,,,,0.16 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,G9115,HCPCS,Onc dx ovarian stg3/4 noprog,,,14 ,,TotalUnits,,,,0.16 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,G9124,HCPCS,Onc dx CML acceler phase,,,14 ,,TotalUnits,,,,0.09 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,G9129,HCPCS,Onc dx mult myeloma stg2 hig,,,14 ,,TotalUnits,,,,0.12 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,G9130,HCPCS,Onc dx multi myeloma unknown,,,14 ,,TotalUnits,,,,0.16 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,G9135,HCPCS,Onc dx NHL stg 3-4 not relap,,,14 ,,TotalUnits,,,,0.34 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,G9141,HCPCS,"Influenza A H1N1, admin w co",,,9 ,,TotalUnits,,,,0.44 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,H0001,HCPCS,Alcohol and/or drug assess,,,16 ,,TotalUnits,,,,2.06 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,H0002,HCPCS,Bhvrl hlth scrn to determine elg for treatment,,,16 ,,TotalUnits,,,,3.08 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,H0003,HCPCS,Alcohol and/or drug screenin,,,16 ,,TotalUnits,,,,0.83 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,H0004,HCPCS,Behavioral health cnsl&tx-15 min,,,16 ,,TotalUnits,,,,0.38 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,H0005,HCPCS,Al/Drg svc - group counseling by a clinician,,,16 ,,TotalUnits,,,,0.70 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,H0006,HCPCS,Al/Drg svc: case management,,,16 ,,TotalUnits,,,,0.60 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,H0010,HCPCS,Al/Drg svc: sub-acute detoxification - inpatient,,,16 ,,TotalUnits,,,,0.85 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,H0011,HCPCS,Al/Drg svc: acute Detoxification - inpatient,,,16 ,,TotalUnits,,,,7.96 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,H0014,HCPCS,Al/Drg svc: ambulatory detoxification,,,16 ,,TotalUnits,,,,3.33 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,H0015,HCPCS,Al/Drg svc: intensive outpatient,,,16 ,,TotalUnits,,,,1.99 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,H0016,HCPCS,Al/Drg svc: medical/somatic ambulatory setting,,,16 ,,TotalUnits,,,,1.88 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,H0017,HCPCS,Bhvrl hlth : residential treatment program,,,16 ,,TotalUnits,,,,5.65 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,H0018,HCPCS,Bhvrl hlth : short-term non-hospital residential treatment,,,16 ,,TotalUnits,,,,3.89 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,H0019,HCPCS,Bhvrl hlth : long-term residential,,,16 ,,TotalUnits,,,,2.44 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,H0020,HCPCS,Alcohl&/rx srvc;methdone admn&/srvc,,,16 ,,TotalUnits,,,,0.19 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,H0022,HCPCS,Alcohol and/or drug interven,,,16 ,,TotalUnits,,,,1.08 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,H0025,HCPCS,Alcohol and/or drug preventi,,,16 ,,TotalUnits,,,,0.14 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,H0031,HCPCS,MH health assess by non-md,,,16 ,,TotalUnits,,,,1.61 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,H0032,HCPCS,MH svc plan dev by non-md,,,16 ,,TotalUnits,,,,0.62 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,H0033,HCPCS,Oral med adm direct observe,,,16 ,,TotalUnits,,,,3.12 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,H0034,HCPCS,Med trng & support per 15min,,,16 ,,TotalUnits,,,,1.03 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,H0035,HCPCS,MH partial hosp tx under 24h,,,16 ,,TotalUnits,,,,0.17 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,H0036,HCPCS,Comm psy face-face per 15min,,,16 ,,TotalUnits,,,,0.51 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,H0037,HCPCS,Comm psy sup tx pgm per diem,,,16 ,,TotalUnits,,,,2.86 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,H0038,HCPCS,Self-help/peer svc per 15min,,,16 ,,TotalUnits,,,,0.33 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,H0039,HCPCS,Asser com tx face-face/15min,,,16 ,,TotalUnits,,,,1.80 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,H0041,HCPCS,Fos c chld non-ther per diem,,,16 ,,TotalUnits,,,,1.54 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,H0043,HCPCS,"Supported housing, per diem",,,16 ,,TotalUnits,,,,0.56 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,H0044,HCPCS,"Supported housing, per month",,,16 ,,TotalUnits,,,,9.57 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,H0045,HCPCS,Respite not-in-home per diem,,,16 ,,TotalUnits,,,,2.29 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,H0046,HCPCS,"Mental health service, nos",,,16 ,,TotalUnits,,,,0.01 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,H0048,HCPCS,Spec coll non-blood:a/d test,,,16 ,,TotalUnits,,,,0.17 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,H0050,HCPCS,Alcohol/drug service 15 min,,,16 ,,TotalUnits,,,,0.96 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,H1000,HCPCS,Prenatal care atrisk assessm,,,16 ,,TotalUnits,,,,1.06 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,H1001,HCPCS,Antepartum management,,,16 ,,TotalUnits,,,,2.15 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,H1002,HCPCS,Carecoordination prenatal,,,16 ,,TotalUnits,,,,0.76 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,H1003,HCPCS,Prenatal at risk education,,,16 ,,TotalUnits,,,,0.29 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,H1004,HCPCS,Follow up home visit/prental,,,16 ,,TotalUnits,,,,0.85 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,H1005,HCPCS,Prenatalcare enhanced srv pk,,,16 ,,TotalUnits,,,,1.96 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,H2000,HCPCS,Comp multidisipln evaluation,,,16 ,,TotalUnits,,,,1.35 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,H2010,HCPCS,Comprehensive med svc 15 min,,,16 ,,TotalUnits,,,,0.47 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,H2011,HCPCS,"Crisis interven svc, 15 min",,,16 ,,TotalUnits,,,,0.90 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,H2012,HCPCS,"Behav hlth day treat, per hr",,,16 ,,TotalUnits,,,,0.70 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,H2013,HCPCS,"Psych hlth fac svc, per diem",,,16 ,,TotalUnits,,,,2.60 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,H2014,HCPCS,"Skills train and dev, 15 min",,,16 ,,TotalUnits,,,,0.23 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,H2015,HCPCS,"Comp comm supp svc, 15 min",,,16 ,,TotalUnits,,,,0.03 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,H2017,HCPCS,"Psysoc rehab svc, per 15 min",,,16 ,,TotalUnits,,,,0.19 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,H2018,HCPCS,"Psysoc rehab svc, per diem",,,16 ,,TotalUnits,,,,1.76 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,H2019,HCPCS,"Ther behav svc, per 15 min",,,16 ,,TotalUnits,,,,0.16 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,H2020,HCPCS,"Ther behav svc, per diem",,,16 ,,TotalUnits,,,,2.11 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,H2021,HCPCS,"Com wrap-around sv, 15 min",,,16 ,,TotalUnits,,,,0.29 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,H2022,HCPCS,"Com wrap-around sv, per diem",,,16 ,,TotalUnits,,,,2.19 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,H2023,HCPCS,"Supported employ, per 15 min",,,16 ,,TotalUnits,,,,0.08 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,H2024,HCPCS,"Supported employ, per diem",,,16 ,,TotalUnits,,,,0.72 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,H2026,HCPCS,"Supp maint employ, per diem",,,16 ,,TotalUnits,,,,0.63 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,H2032,HCPCS,"Activity therapy, per 15 min",,,16 ,,TotalUnits,,,,0.18 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,H2033,HCPCS,Multisys ther/juvenile 15min,,,16 ,,TotalUnits,,,,0.42 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,H2035,HCPCS,"A/D tx program, per hour",,,16 ,,TotalUnits,,,,1.70 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,H2036,HCPCS,"A/D tx program, per diem",,,16 ,,TotalUnits,,,,0.84 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,J0120,HCPCS,Tetracyclin injection,,,29 ,,NW,,,,,,$46.91,$0.00,1,1,1,0,0,1,20101001,J0128,HCPCS,Abarelix injection,,,29 ,,NW,,,,,,$141.24,$0.00,1,1,1,0,0,1,20101001,J0129,HCPCS,Abatacept injection,,,29 ,,NW,,,,,,$46.54,$0.00,1,1,1,0,0,1,20101001,J0130,HCPCS,Abciximab injection,,,29 ,,NW,,,,,,"$1,105.30",$0.00,1,1,1,0,0,1,20101001,J0132,HCPCS,Acetylcysteine injection,,,29 ,,NW,,,,,,$6.43,$0.00,1,1,1,0,0,1,20101001,J0133,HCPCS,Acyclovir injection,,,29 ,,NW,,,,,,$1.07,$0.00,1,1,1,0,0,1,20101001,J0135,HCPCS,Adalimumab injection,,,29 ,,NW,,,,,,$851.24,$0.00,1,1,1,0,0,1,20101001,J0150,HCPCS,Injection adenosine 6 mg,,,29 ,,NW,,,,,,$24.36,$0.00,1,1,1,0,0,1,20101001,J0152,HCPCS,Adenosine injection,,,29 ,,NW,,,,,,$169.39,$0.00,1,1,1,0,0,1,20101001,J0170,HCPCS,Adrenalin epinephrin inject,,,29 ,,NW,,,,,,$2.14,$0.00,1,1,1,0,0,1,20101001,J0180,HCPCS,Agalsidase beta injection,,,29 ,,NW,,,,,,$311.87,$0.00,1,1,1,0,0,1,20101001,J0190,HCPCS,Inj Biperiden Lactate/5 Mg,,,29 ,,NW,,,,,,$2.59,$0.00,1,1,1,0,0,1,20101001,J0200,HCPCS,Alatrofloxacin mesylate,,,29 ,,NW,,,,,,$32.08,$0.00,1,1,1,0,0,1,20101001,J0205,HCPCS,Alglucerase injection,,,29 ,,NW,,,,,,$97.73,$0.00,1,1,1,0,0,1,20101001,J0207,HCPCS,Amifostine,,,29 ,,NW,,,,,,"$1,023.69",$0.00,1,1,1,0,0,1,20101001,J0210,HCPCS,Methyldopate hcl injection,,,29 ,,NW,,,,,,$32.04,$0.00,1,1,1,0,0,1,20101001,J0215,HCPCS,Alefacept,,,29 ,,NW,,,,,,$69.58,$0.00,1,1,1,0,0,1,20101001,J0220,HCPCS,Alglucosidase alfa injection,,,29 ,,NW,,,,,,$303.34,$0.00,1,1,1,0,0,1,20101001,J0256,HCPCS,Alpha 1 proteinase inhibitor,,,29 ,,NW,,,,,,$10.71,$0.00,1,1,1,0,0,1,20101001,J0270,HCPCS,Alprostadil for injection,,,29 ,,NW,,,,,,$1.07,$0.00,1,1,1,0,0,1,20101001,J0275,HCPCS,Alprostadil urethral suppos,,,29 ,,NW,,,,,,$59.34,$0.00,1,1,1,0,0,1,20101001,J0278,HCPCS,Amikacin sulfate injection,,,29 ,,NW,,,,,,$2.14,$0.00,1,1,1,0,0,1,20101001,J0280,HCPCS,Aminophyllin 250 mg inj,,,29 ,,NW,,,,,,$1.07,$0.00,1,1,1,0,0,1,20101001,J0282,HCPCS,Amiodarone hcl,,,29 ,,NW,,,,,,$1.07,$0.00,1,1,1,0,0,1,20101001,J0285,HCPCS,Amphotericin b,,,29 ,,NW,,,,,,$32.04,$0.00,1,1,1,0,0,1,20101001,J0287,HCPCS,Amphotericin b lipid complex,,,29 ,,NW,,,,,,$26.07,$0.00,1,1,1,0,0,1,20101001,J0288,HCPCS,Ampho b cholesteryl sulfate,,,29 ,,NW,,,,,,$30.33,$0.00,1,1,1,0,0,1,20101001,J0289,HCPCS,Amphotericin b liposome inj,,,29 ,,NW,,,,,,$40.57,$0.00,1,1,1,0,0,1,20101001,J0290,HCPCS,Ampicillin 500 mg inj,,,29 ,,NW,,,,,,$6.43,$0.00,1,1,1,0,0,1,20101001,J0295,HCPCS,Ampicillin sodium per 1.5 gm,,,29 ,,NW,,,,,,$11.56,$0.00,1,1,1,0,0,1,20101001,J0300,HCPCS,Amobarbital 125 mg inj,,,29 ,,NW,,,,,,$28.62,$0.00,1,1,1,0,0,1,20101001,J0330,HCPCS,Succinycholine chloride inj,,,29 ,,NW,,,,,,$1.07,$0.00,1,1,1,0,0,1,20101001,J0348,HCPCS,Anidulafungin injection,,,29 ,,NW,,,,,,$4.28,$0.00,1,1,1,0,0,1,20101001,J0350,HCPCS,Injection anistreplase 30 u,,,29 ,,NW,,,,,,$228.99,$0.00,1,1,1,0,0,1,20101001,J0360,HCPCS,Hydralazine hcl injection,,,29 ,,NW,,,,,,$14.12,$0.00,1,1,1,0,0,1,20101001,J0364,HCPCS,Apomorphine hydrochloride,,,29 ,,NW,,,,,,$10.71,$0.00,1,1,1,0,0,1,20101001,J0365,HCPCS,"Aprotonin, 10,000 kiu",,,29 ,,NW,,,,,,$7.50,$0.00,1,1,1,0,0,1,20101001,J0380,HCPCS,Inj metaraminol bitartrate,,,29 ,,NW,,,,,,$3.21,$0.00,1,1,1,0,0,1,20101001,J0390,HCPCS,Chloroquine injection,,,29 ,,NW,,,,,,$194.06,$0.00,1,1,1,0,0,1,20101001,J0395,HCPCS,Arbutamine hcl injection,,,29 ,,NW,,,,,,$25.87,$0.00,1,1,1,0,0,1,20101001,J0400,HCPCS,Aripiprazole injection,,,29 ,,NW,,,,,,$1.07,$0.00,1,1,1,0,0,1,20101001,J0456,HCPCS,Azithromycin,,,29 ,,NW,,,,,,$27.77,$0.00,1,1,1,0,0,1,20101001,J0461,HCPCS,Atropine sulfate injection,,,29 ,,NW,,,,,,$1.07,$0.00,1,1,1,0,0,1,20101001,J0470,HCPCS,Dimecaprol injection,,,29 ,,NW,,,,,,$65.31,$0.00,1,1,1,0,0,1,20101001,J0475,HCPCS,Baclofen 10 mg injection,,,29 ,,NW,,,,,,$446.67,$0.00,1,1,1,0,0,1,20101001,J0476,HCPCS,Baclofen intrathecal trial,,,29 ,,NW,,,,,,$166.84,$0.00,1,1,1,0,0,1,20101001,J0480,HCPCS,Basiliximab,,,29 ,,NW,,,,,,"$4,125.67",$0.00,1,1,1,0,0,1,20101001,J0500,HCPCS,Dicyclomine injection,,,29 ,,NW,,,,,,$45.69,$0.00,1,1,1,0,0,1,20101001,J0515,HCPCS,Inj benztropine mesylate,,,29 ,,NW,,,,,,$64.46,$0.00,1,1,1,0,0,1,20101001,J0520,HCPCS,Bethanechol chloride inject,,,29 ,,NW,,,,,,$7.24,$0.00,1,1,1,0,0,1,20101001,J0559,HCPCS,PenG benzathine/procaine inj,,,29 ,,NW,,,,,,$78.96,$0.00,1,1,1,0,0,1,20101001,J0560,HCPCS,Penicillin g benzathine inj,,,29 ,,NW,,,,,,$57.63,$0.00,1,1,1,0,0,1,20101001,J0570,HCPCS,Penicillin g benzathine inj,,,29 ,,NW,,,,,,$99.44,$0.00,1,1,1,0,0,1,20101001,J0580,HCPCS,Penicillin g benzathine inj,,,29 ,,NW,,,,,,$113.94,$0.00,1,1,1,0,0,1,20101001,J0583,HCPCS,Bivalirudin,,,29 ,,NW,,,,,,$6.43,$0.00,1,1,1,0,0,1,20101001,J0585,HCPCS,Botulinum toxin a per unit,,,29 ,,NW,,,,,,$14.97,$0.00,1,1,1,0,0,1,20101001,J0586,HCPCS,AbobotulinumtoxintypeA,,,29 ,,NW,,,,,,$14.97,$0.00,1,1,1,0,0,1,20101001,J0587,HCPCS,Botulinum toxin type b,,,29 ,,NW,,,,,,$23.51,$0.00,1,1,1,0,0,1,20101001,J0592,HCPCS,Buprenorphine hydrochloride,,,29 ,,NW,,,,,,$2.14,$0.00,1,1,1,0,0,1,20101001,J0594,HCPCS,Busulfan injection,,,29 ,,NW,,,,,,$31.18,$0.00,1,1,1,0,0,1,20101001,J0595,HCPCS,Butorphanol tartrate 1 mg,,,29 ,,NW,,,,,,$1.07,$0.00,1,1,1,0,0,1,20101001,J0600,HCPCS,Edetate calcium disodium inj,,,29 ,,NW,,,,,,$120.77,$0.00,1,1,1,0,0,1,20101001,J0610,HCPCS,Calcium gluconate injection,,,29 ,,NW,,,,,,$1.07,$0.00,1,1,1,0,0,1,20101001,J0620,HCPCS,Calcium glycer & lact/10 ml,,,29 ,,NW,,,,,,$27.77,$0.00,1,1,1,0,0,1,20101001,J0630,HCPCS,Calcitonin salmon injection,,,29 ,,NW,,,,,,$118.21,$0.00,1,1,1,0,0,1,20101001,J0636,HCPCS,Inj calcitriol per 0.1 mcg,,,29 ,,NW,,,,,,$1.07,$0.00,1,1,1,0,0,1,20101001,J0637,HCPCS,Caspofungin acetate,,,29 ,,NW,,,,,,$37.16,$0.00,1,1,1,0,0,1,20101001,J0640,HCPCS,Leucovorin calcium injection,,,29 ,,NW,,,,,,$2.14,$0.00,1,1,1,0,0,1,20101001,J0641,HCPCS,Levoleucovorin injection,,,29 ,,NW,,,,,,$1.62,$0.00,1,1,1,0,0,1,20101001,J0670,HCPCS,Inj mepivacaine hcl/10 ml,,,29 ,,NW,,,,,,$3.21,$0.00,1,1,1,0,0,1,20101001,J0690,HCPCS,Cefazolin sodium injection,,,29 ,,NW,,,,,,$2.14,$0.00,1,1,1,0,0,1,20101001,J0692,HCPCS,Cefepime hcl for injection,,,29 ,,NW,,,,,,$15.83,$0.00,1,1,1,0,0,1,20101001,J0694,HCPCS,Cefoxitin sodium injection,,,29 ,,NW,,,,,,$18.39,$0.00,1,1,1,0,0,1,20101001,J0696,HCPCS,Ceftriaxone sodium injection,,,29 ,,NW,,,,,,$4.28,$0.00,1,1,1,0,0,1,20101001,J0697,HCPCS,Sterile cefuroxime injection,,,29 ,,NW,,,,,,$11.56,$0.00,1,1,1,0,0,1,20101001,J0698,HCPCS,Cefotaxime sodium injection,,,29 ,,NW,,,,,,$13.27,$0.00,1,1,1,0,0,1,20101001,J0702,HCPCS,Betamethasone acet&sod phosp,,,29 ,,NW,,,,,,$16.68,$0.00,1,1,1,0,0,1,20101001,J0704,HCPCS,Betamethasone sod phosp/4 mg,,,29 ,,NW,,,,,,$3.21,$0.00,1,1,1,0,0,1,20101001,J0706,HCPCS,Caffeine citrate injection,,,29 ,,NW,,,,,,$2.14,$0.00,1,1,1,0,0,1,20101001,J0710,HCPCS,Cephapirin sodium injection,,,29 ,,NW,,,,,,$14.21,$0.00,1,1,1,0,0,1,20101001,J0713,HCPCS,Inj ceftazidime per 500 mg,,,29 ,,NW,,,,,,$10.71,$0.00,1,1,1,0,0,1,20101001,J0715,HCPCS,Ceftizoxime sodium / 500 mg,,,29 ,,NW,,,,,,$14.97,$0.00,1,1,1,0,0,1,20101001,J0720,HCPCS,Chloramphenicol sodium injec,,,29 ,,NW,,,,,,$38.01,$0.00,1,1,1,0,0,1,20101001,J0725,HCPCS,Chorionic gonadotropin/1000u,,,29 ,,NW,,,,,,$9.64,$0.00,1,1,1,0,0,1,20101001,J0735,HCPCS,Clonidine hydrochloride,,,29 ,,NW,,,,,,$154.89,$0.00,1,1,1,0,0,1,20101001,J0740,HCPCS,Cidofovir injection,,,29 ,,NW,,,,,,"$1,943.03",$0.00,1,1,1,0,0,1,20101001,J0743,HCPCS,Cilastatin sodium injection,,,29 ,,NW,,,,,,$35.45,$0.00,1,1,1,0,0,1,20101001,J0744,HCPCS,Ciprofloxacin iv,,,29 ,,NW,,,,,,$6.43,$0.00,1,1,1,0,0,1,20101001,J0745,HCPCS,Inj codeine phosphate /30 mg,,,29 ,,NW,,,,,,$3.21,$0.00,1,1,1,0,0,1,20101001,J0760,HCPCS,Colchicine injection,,,29 ,,NW,,,,,,$17.53,$0.00,1,1,1,0,0,1,20101001,J0770,HCPCS,Colistimethate sodium inj,,,29 ,,NW,,,,,,$46.54,$0.00,1,1,1,0,0,1,20101001,J0780,HCPCS,Prochlorperazine injection,,,29 ,,NW,,,,,,$6.43,$0.00,1,1,1,0,0,1,20101001,J0795,HCPCS,Corticorelin ovine triflutal,,,29 ,,NW,,,,,,$12.41,$0.00,1,1,1,0,0,1,20101001,J0800,HCPCS,Corticotropin injection,,,29 ,,NW,,,,,,"$6,112.81",$0.00,1,1,1,0,0,1,20101001,J0833,HCPCS,Cosyntropin injection NOS,,,29 ,,NW,,,,,,$231.67,$0.00,1,1,1,0,0,1,20101001,J0834,HCPCS,Cosyntropin cortrosyn inj,,,29 ,,NW,,,,,,$231.67,$0.00,1,1,1,0,0,1,20101001,J0850,HCPCS,Cytomegalovirus imm iv /vial,,,29 ,,NW,,,,,,"$2,249.04",$0.00,1,1,1,0,0,1,20101001,J0878,HCPCS,Daptomycin injection,,,29 ,,NW,,,,,,$1.07,$0.00,1,1,1,0,0,1,20101001,J0881,HCPCS,"Darbepoetin alfa, non-esrd",,,29 ,,NW,,,,,,$8.57,$0.00,1,1,1,0,0,1,20101001,J0882,HCPCS,"Darbepoetin alfa, esrd use",,,29 ,,NW,,,,,,$8.57,$0.00,1,1,1,0,0,1,20101001,J0885,HCPCS,"Epoetin alfa, non-esrd",,,29 ,,NW,,,,,,$23.51,$0.00,1,1,1,0,0,1,20101001,J0886,HCPCS,Epoetin alfa 1000 units esrd,,,29 ,,NW,,,,,,$23.51,$0.00,1,1,1,0,0,1,20101001,J0894,HCPCS,Decitabine injection,,,29 ,,NW,,,,,,$67.87,$0.00,1,1,1,0,0,1,20101001,J0895,HCPCS,Deferoxamine mesylate inj,,,29 ,,NW,,,,,,$30.33,$0.00,1,1,1,0,0,1,20101001,J0900,HCPCS,Testosterone enanthate inj,,,29 ,,NW,,,,,,$4.42,$0.00,1,1,1,0,0,1,20101001,J0945,HCPCS,Brompheniramine maleate inj,,,29 ,,NW,,,,,,$2.14,$0.00,1,1,1,0,0,1,20101001,J0970,HCPCS,Estradiol valerate injection,,,29 ,,NW,,,,,,$82.37,$0.00,1,1,1,0,0,1,20101001,J1000,HCPCS,Depo-estradiol cypionate inj,,,29 ,,NW,,,,,,$17.53,$0.00,1,1,1,0,0,1,20101001,J1020,HCPCS,Methylprednisolone 20 mg inj,,,29 ,,NW,,,,,,$6.43,$0.00,1,1,1,0,0,1,20101001,J1030,HCPCS,Methylprednisolone 40 mg inj,,,29 ,,NW,,,,,,$12.41,$0.00,1,1,1,0,0,1,20101001,J1040,HCPCS,Methylprednisolone 80 mg inj,,,29 ,,NW,,,,,,$21.80,$0.00,1,1,1,0,0,1,20101001,J1051,HCPCS,Medroxyprogesterone inj,,,29 ,,NW,,,,,,$18.39,$0.00,1,1,1,0,0,1,20101001,J1055,HCPCS,Medrxyprogester acetate inj,,,29 ,,NW,,,,,,$121.62,$0.00,1,1,1,0,0,1,20101001,J1056,HCPCS,Ma/ec contraceptiveinjection,,,29 ,,NW,,,,,,$59.34,$0.00,1,1,1,0,0,1,20101001,J1060,HCPCS,Testosterone cypionate 1 ml,,,29 ,,NW,,,,,,$11.56,$0.00,1,1,1,0,0,1,20101001,J1070,HCPCS,Testosterone cypionat 100 mg,,,29 ,,NW,,,,,,$12.41,$0.00,1,1,1,0,0,1,20101001,J1080,HCPCS,Testosterone cypionat 200 mg,,,29 ,,NW,,,,,,$15.83,$0.00,1,1,1,0,0,1,20101001,J1094,HCPCS,Inj dexamethasone acetate,,,29 ,,NW,,,,,,$1.07,$0.00,1,1,1,0,0,1,20101001,J1100,HCPCS,Dexamethasone sodium phos,,,29 ,,NW,,,,,,$1.07,$0.00,1,1,1,0,0,1,20101001,J1110,HCPCS,Inj dihydroergotamine mesylt,,,29 ,,NW,,,,,,$50.81,$0.00,1,1,1,0,0,1,20101001,J1120,HCPCS,Acetazolamid sodium injectio,,,29 ,,NW,,,,,,$85.79,$0.00,1,1,1,0,0,1,20101001,J1160,HCPCS,Digoxin injection,,,29 ,,NW,,,,,,$4.28,$0.00,1,1,1,0,0,1,20101001,J1162,HCPCS,Digoxin immune fab (ovine),,,29 ,,NW,,,,,,"$1,241.30",$0.00,1,1,1,0,0,1,20101001,J1165,HCPCS,Phenytoin sodium injection,,,29 ,,NW,,,,,,$2.14,$0.00,1,1,1,0,0,1,20101001,J1170,HCPCS,Hydromorphone injection,,,29 ,,NW,,,,,,$4.28,$0.00,1,1,1,0,0,1,20101001,J1180,HCPCS,Dyphylline injection,,,29 ,,NW,,,,,,$9.88,$0.00,1,1,1,0,0,1,20101001,J1190,HCPCS,Dexrazoxane hcl injection,,,29 ,,NW,,,,,,$651.01,$0.00,1,1,1,0,0,1,20101001,J1200,HCPCS,Diphenhydramine hcl injectio,,,29 ,,NW,,,,,,$2.14,$0.00,1,1,1,0,0,1,20101001,J1205,HCPCS,Chlorothiazide sodium inj,,,29 ,,NW,,,,,,$459.47,$0.00,1,1,1,0,0,1,20101001,J1212,HCPCS,Dimethyl sulfoxide 50% 50 ml,,,29 ,,NW,,,,,,$157.45,$0.00,1,1,1,0,0,1,20101001,J1230,HCPCS,Methadone injection,,,29 ,,NW,,,,,,$9.64,$0.00,1,1,1,0,0,1,20101001,J1240,HCPCS,Dimenhydrinate injection,,,29 ,,NW,,,,,,$9.64,$0.00,1,1,1,0,0,1,20101001,J1245,HCPCS,Dipyridamole injection,,,29 ,,NW,,,,,,$3.21,$0.00,1,1,1,0,0,1,20101001,J1250,HCPCS,Inj dobutamine hcl/250 mg,,,29 ,,NW,,,,,,$15.83,$0.00,1,1,1,0,0,1,20101001,J1260,HCPCS,Dolasetron mesylate,,,29 ,,NW,,,,,,$18.76,$0.00,1,1,1,0,0,1,20101001,J1265,HCPCS,Dopamine injection,,,29 ,,NW,,,,,,$1.07,$0.00,1,1,1,0,0,1,20101001,J1267,HCPCS,Doripenem injection,,,29 ,,NW,,,,,,$2.44,$0.00,1,1,1,0,0,1,20101001,J1270,HCPCS,"Injection, doxercalciferol",,,29 ,,NW,,,,,,$8.57,$0.00,1,1,1,0,0,1,20101001,J1300,HCPCS,Eculizumab injection,,,29 ,,NW,,,,,,$419.37,$0.00,1,1,1,0,0,1,20101001,J1320,HCPCS,Amitriptyline injection,,,29 ,,NW,,,,,,$77.62,$0.00,1,1,1,0,0,1,20101001,J1324,HCPCS,Enfuvirtide injection,,,29 ,,NW,,,,,,$1.07,$0.00,1,1,1,0,0,1,20101001,J1325,HCPCS,Epoprostenol injection,,,29 ,,NW,,,,,,$36.30,$0.00,1,1,1,0,0,1,20101001,J1327,HCPCS,Eptifibatide injection,,,29 ,,NW,,,,,,$44.83,$0.00,1,1,1,0,0,1,20101001,J1330,HCPCS,Ergonovine maleate injection,,,29 ,,NW,,,,,,$8.06,$0.00,1,1,1,0,0,1,20101001,J1335,HCPCS,Ertapenem injection,,,29 ,,NW,,,,,,$61.90,$0.00,1,1,1,0,0,1,20101001,J1364,HCPCS,Erythro lactobionate /500 mg,,,29 ,,NW,,,,,,$18.39,$0.00,1,1,1,0,0,1,20101001,J1380,HCPCS,Estradiol valerate 10 mg inj,,,29 ,,NW,,,,,,$22.65,$0.00,1,1,1,0,0,1,20101001,J1390,HCPCS,Estradiol valerate 20 mg inj,,,29 ,,NW,,,,,,$43.13,$0.00,1,1,1,0,0,1,20101001,J1410,HCPCS,Inj estrogen conjugate 25 mg,,,29 ,,NW,,,,,,$181.34,$0.00,1,1,1,0,0,1,20101001,J1430,HCPCS,Ethanolamine oleate 100 mg,,,29 ,,NW,,,,,,$357.09,$0.00,1,1,1,0,0,1,20101001,J1435,HCPCS,Injection estrone per 1 mg,,,29 ,,NW,,,,,,$1.07,$0.00,1,1,1,0,0,1,20101001,J1436,HCPCS,Etidronate disodium inj,,,29 ,,NW,,,,,,$184.84,$0.00,1,1,1,0,0,1,20101001,J1438,HCPCS,Etanercept injection,,,29 ,,NW,,,,,,$413.40,$0.00,1,1,1,0,0,1,20101001,J1440,HCPCS,Filgrastim 300 mcg injection,,,29 ,,NW,,,,,,$475.68,$0.00,1,1,1,0,0,1,20101001,J1441,HCPCS,Filgrastim 480 mcg injection,,,29 ,,NW,,,,,,$752.07,$0.00,1,1,1,0,0,1,20101001,J1450,HCPCS,Fluconazole,,,29 ,,NW,,,,,,$20.95,$0.00,1,1,1,0,0,1,20101001,J1451,HCPCS,"Fomepizole, 15 mg",,,29 ,,NW,,,,,,$30.33,$0.00,1,1,1,0,0,1,20101001,J1452,HCPCS,Intraocular fomivirsen na,,,29 ,,NW,,,,,,"$2,063.81",$0.00,1,1,1,0,0,1,20101001,J1453,HCPCS,Fosaprepitant injection,,,29 ,,NW,,,,,,$4.16,$0.00,1,1,1,0,0,1,20101001,J1455,HCPCS,Foscarnet sodium injection,,,29 ,,NW,,,,,,$27.77,$0.00,1,1,1,0,0,1,20101001,J1457,HCPCS,Gallium nitrate injection,,,29 ,,NW,,,,,,$4.28,$0.00,1,1,1,0,0,1,20101001,J1458,HCPCS,Galsulfase injection,,,29 ,,NW,,,,,,$817.24,$0.00,1,1,1,0,0,1,20101001,J1459,HCPCS,Inj ivig privigen 500 mg,,,29 ,,NW,,,,,,$52.63,$0.00,1,1,1,0,0,1,20101001,J1460,HCPCS,Gamma globulin 1 cc inj,,,29 ,,NW,,,,,,$31.18,$0.00,1,1,1,0,0,1,20101001,J1470,HCPCS,Gamma globulin 2 cc inj,,,29 ,,NW,,,,,,$59.34,$0.00,1,1,1,0,0,1,20101001,J1480,HCPCS,Gamma globulin 3 cc inj,,,29 ,,NW,,,,,,$88.35,$0.00,1,1,1,0,0,1,20101001,J1490,HCPCS,Gamma globulin 4 cc inj,,,29 ,,NW,,,,,,$116.50,$0.00,1,1,1,0,0,1,20101001,J1500,HCPCS,Gamma globulin 5 cc inj,,,29 ,,NW,,,,,,$145.51,$0.00,1,1,1,0,0,1,20101001,J1510,HCPCS,Gamma globulin 6 cc inj,,,29 ,,NW,,,,,,$173.66,$0.00,1,1,1,0,0,1,20101001,J1520,HCPCS,Gamma globulin 7 cc inj,,,29 ,,NW,,,,,,$202.67,$0.00,1,1,1,0,0,1,20101001,J1530,HCPCS,Gamma globulin 8 cc inj,,,29 ,,NW,,,,,,$230.82,$0.00,1,1,1,0,0,1,20101001,J1540,HCPCS,Gamma globulin 9 cc inj,,,29 ,,NW,,,,,,$259.83,$0.00,1,1,1,0,0,1,20101001,J1550,HCPCS,Gamma globulin 10 cc inj,,,29 ,,NW,,,,,,$287.98,$0.00,1,1,1,0,0,1,20101001,J1560,HCPCS,Gamma globulin > 10 cc inj,,,29 ,,NW,,,,,,$287.98,$0.00,1,1,1,0,0,1,20101001,J1561,HCPCS,Gamunex injection,,,29 ,,NW,,,,,,$84.08,$0.00,1,1,1,0,0,1,20101001,J1562,HCPCS,"Vivaglobin, inj",,,29 ,,NW,,,,,,$19.24,$0.00,1,1,1,0,0,1,20101001,J1566,HCPCS,"Immune globulin, powder",,,29 ,,NW,,,,,,$71.28,$0.00,1,1,1,0,0,1,20101001,J1568,HCPCS,Octagam injection,,,29 ,,NW,,,,,,$86.64,$0.00,1,1,1,0,0,1,20101001,J1569,HCPCS,Gammagard liquid injection,,,29 ,,NW,,,,,,$84.93,$0.00,1,1,1,0,0,1,20101001,J1570,HCPCS,Ganciclovir sodium injection,,,29 ,,NW,,,,,,$112.23,$0.00,1,1,1,0,0,1,20101001,J1571,HCPCS,Hepagam b im injection,,,29 ,,NW,,,,,,$106.26,$0.00,1,1,1,0,0,1,20101001,J1572,HCPCS,Flebogamma injection,,,29 ,,NW,,,,,,$86.64,$0.00,1,1,1,0,0,1,20101001,J1573,HCPCS,"Hepagam b intravenous, inj",,,29 ,,NW,,,,,,$106.26,$0.00,1,1,1,0,0,1,20101001,J1580,HCPCS,Garamycin gentamicin inj,,,29 ,,NW,,,,,,$3.21,$0.00,1,1,1,0,0,1,20101001,J1590,HCPCS,Gatifloxacin injection,,,29 ,,NW,,,,,,$2.14,$0.00,1,1,1,0,0,1,20101001,J1595,HCPCS,Injection glatiramer acetate,,,29 ,,NW,,,,,,$154.89,$0.00,1,1,1,0,0,1,20101001,J1600,HCPCS,Gold sodium thiomaleate inj,,,29 ,,NW,,,,,,$20.09,$0.00,1,1,1,0,0,1,20101001,J1610,HCPCS,Glucagon hydrochloride/1 mg,,,29 ,,NW,,,,,,$174.51,$0.00,1,1,1,0,0,1,20101001,J1620,HCPCS,Gonadorelin hydroch/ 100 mcg,,,29 ,,NW,,,,,,$583.48,$0.00,1,1,1,0,0,1,20101001,J1626,HCPCS,Granisetron hcl injection,,,29 ,,NW,,,,,,$12.41,$0.00,1,1,1,0,0,1,20101001,J1630,HCPCS,Haloperidol injection,,,29 ,,NW,,,,,,$4.28,$0.00,1,1,1,0,0,1,20101001,J1631,HCPCS,Haloperidol decanoate inj,,,29 ,,NW,,,,,,$9.64,$0.00,1,1,1,0,0,1,20101001,J1640,HCPCS,"Hemin, 1 mg",,,29 ,,NW,,,,,,$20.09,$0.00,1,1,1,0,0,1,20101001,J1642,HCPCS,Inj heparin sodium per 10 u,,,29 ,,NW,,,,,,$1.07,$0.00,1,1,1,0,0,1,20101001,J1644,HCPCS,Inj heparin sodium per 1000u,,,29 ,,NW,,,,,,$1.07,$0.00,1,1,1,0,0,1,20101001,J1645,HCPCS,Dalteparin sodium,,,29 ,,NW,,,,,,$28.62,$0.00,1,1,1,0,0,1,20101001,J1650,HCPCS,Inj enoxaparin sodium,,,29 ,,NW,,,,,,$17.53,$0.00,1,1,1,0,0,1,20101001,J1652,HCPCS,Fondaparinux sodium,,,29 ,,NW,,,,,,$16.68,$0.00,1,1,1,0,0,1,20101001,J1655,HCPCS,Tinzaparin sodium injection,,,29 ,,NW,,,,,,$6.43,$0.00,1,1,1,0,0,1,20101001,J1670,HCPCS,Tetanus immune globulin inj,,,29 ,,NW,,,,,,$327.23,$0.00,1,1,1,0,0,1,20101001,J1675,HCPCS,Histrelin Acetate,,,29 ,,NW,,,,,,$3.21,$0.00,1,1,1,0,0,1,20101001,J1700,HCPCS,Hydrocortisone acetate inj,,,29 ,,NW,,,,,,$1.07,$0.00,1,1,1,0,0,1,20101001,J1710,HCPCS,Hydrocortisone sodium ph inj,,,29 ,,NW,,,,,,$15.01,$0.00,1,1,1,0,0,1,20101001,J1720,HCPCS,Hydrocortisone sodium succ i,,,29 ,,NW,,,,,,$6.43,$0.00,1,1,1,0,0,1,20101001,J1730,HCPCS,Diazoxide injection,,,29 ,,NW,,,,,,$234.23,$0.00,1,1,1,0,0,1,20101001,J1740,HCPCS,Ibandronate sodium injection,,,29 ,,NW,,,,,,$330.64,$0.00,1,1,1,0,0,1,20101001,J1742,HCPCS,Ibutilide fumarate injection,,,29 ,,NW,,,,,,$919.24,$0.00,1,1,1,0,0,1,20101001,J1743,HCPCS,Idursulfase injection,,,29 ,,NW,,,,,,"$1,139.30",$0.00,1,1,1,0,0,1,20101001,J1745,HCPCS,Infliximab injection,,,29 ,,NW,,,,,,$136.98,$0.00,1,1,1,0,0,1,20101001,J1750,HCPCS,Inj Iron Dextran,,,29 ,,NW,,,,,,$42.21,$0.00,1,1,1,0,0,1,20101001,J1756,HCPCS,Iron sucrose injection,,,29 ,,NW,,,,,,$1.07,$0.00,1,1,1,0,0,1,20101001,J1785,HCPCS,Injection imiglucerase /unit,,,29 ,,NW,,,,,,$11.56,$0.00,1,1,1,0,0,1,20101001,J1790,HCPCS,Droperidol injection,,,29 ,,NW,,,,,,$4.28,$0.00,1,1,1,0,0,1,20101001,J1800,HCPCS,Propranolol injection,,,29 ,,NW,,,,,,$14.12,$0.00,1,1,1,0,0,1,20101001,J1810,HCPCS,Droperidol/fentanyl inj,,,29 ,,NW,,,,,,$33.94,$0.00,1,1,1,0,0,1,20101001,J1815,HCPCS,Insulin injection,,,29 ,,NW,,,,,,$1.07,$0.00,1,1,1,0,0,1,20101001,J1817,HCPCS,Insulin for insulin pump use,,,29 ,,NW,,,,,,$8.57,$0.00,1,1,1,0,0,1,20101001,J1825,HCPCS,Interferon beta-1a,,,29 ,,NW,,,,,,$776.63,$0.00,1,1,1,0,0,1,20101001,J1830,HCPCS,Interferon beta-1b / .25 mg,,,29 ,,NW,,,,,,$262.39,$0.00,1,1,1,0,0,1,20101001,J1835,HCPCS,Itraconazole injection,,,29 ,,NW,,,,,,$90.90,$0.00,1,1,1,0,0,1,20101001,J1840,HCPCS,Kanamycin sulfate 500 mg inj,,,29 ,,NW,,,,,,$13.27,$0.00,1,1,1,0,0,1,20101001,J1850,HCPCS,Kanamycin sulfate 75 mg inj,,,29 ,,NW,,,,,,$2.14,$0.00,1,1,1,0,0,1,20101001,J1885,HCPCS,Ketorolac tromethamine inj,,,29 ,,NW,,,,,,$1.07,$0.00,1,1,1,0,0,1,20101001,J1890,HCPCS,Cephalothin sodium injection,,,29 ,,NW,,,,,,$21.03,$0.00,1,1,1,0,0,1,20101001,J1930,HCPCS,Lanreotide injection,,,29 ,,NW,,,,,,$41.01,$0.00,1,1,1,0,0,1,20101001,J1931,HCPCS,Laronidase injection,,,29 ,,NW,,,,,,$60.19,$0.00,1,1,1,0,0,1,20101001,J1940,HCPCS,Furosemide injection,,,29 ,,NW,,,,,,$1.07,$0.00,1,1,1,0,0,1,20101001,J1945,HCPCS,Lepirudin,,,29 ,,NW,,,,,,$420.22,$0.00,1,1,1,0,0,1,20101001,J1950,HCPCS,Leuprolide acetate /3.75 mg,,,29 ,,NW,,,,,,"$1,110.02",$0.00,1,1,1,0,0,1,20101001,J1953,HCPCS,Levetiracetam injection,,,29 ,,NW,,,,,,$1.57,$0.00,1,1,1,0,0,1,20101001,J1955,HCPCS,Inj levocarnitine per 1 gm,,,29 ,,NW,,,,,,$18.39,$0.00,1,1,1,0,0,1,20101001,J1956,HCPCS,Levofloxacin injection,,,29 ,,NW,,,,,,$16.68,$0.00,1,1,1,0,0,1,20101001,J1960,HCPCS,Levorphanol tartrate inj,,,29 ,,NW,,,,,,$8.57,$0.00,1,1,1,0,0,1,20101001,J1980,HCPCS,Hyoscyamine sulfate inj,,,29 ,,NW,,,,,,$25.21,$0.00,1,1,1,0,0,1,20101001,J1990,HCPCS,Chlordiazepoxide injection,,,29 ,,NW,,,,,,$51.66,$0.00,1,1,1,0,0,1,20101001,J2001,HCPCS,Lidocaine injection,,,29 ,,NW,,,,,,$1.07,$0.00,1,1,1,0,0,1,20101001,J2010,HCPCS,Lincomycin injection,,,29 ,,NW,,,,,,$13.27,$0.00,1,1,1,0,0,1,20101001,J2020,HCPCS,Linezolid injection,,,29 ,,NW,,,,,,$70.43,$0.00,1,1,1,0,0,1,20101001,J2060,HCPCS,Lorazepam injection,,,29 ,,NW,,,,,,$2.14,$0.00,1,1,1,0,0,1,20101001,J2150,HCPCS,Mannitol injection,,,29 ,,NW,,,,,,$2.14,$0.00,1,1,1,0,0,1,20101001,J2170,HCPCS,Mecasermin injection,,,29 ,,NW,,,,,,$18.39,$0.00,1,1,1,0,0,1,20101001,J2175,HCPCS,Meperidine hydrochl /100 mg,,,29 ,,NW,,,,,,$4.28,$0.00,1,1,1,0,0,1,20101001,J2180,HCPCS,Meperidine/promethazine inj,,,29 ,,NW,,,,,,$20.09,$0.00,1,1,1,0,0,1,20101001,J2185,HCPCS,Meropenem,,,29 ,,NW,,,,,,$11.56,$0.00,1,1,1,0,0,1,20101001,J2210,HCPCS,Methylergonovin maleate inj,,,29 ,,NW,,,,,,$14.97,$0.00,1,1,1,0,0,1,20101001,J2248,HCPCS,Micafungin sodium injection,,,29 ,,NW,,,,,,$3.21,$0.00,1,1,1,0,0,1,20101001,J2250,HCPCS,Inj midazolam hydrochloride,,,29 ,,NW,,,,,,$1.07,$0.00,1,1,1,0,0,1,20101001,J2260,HCPCS,Inj milrinone lactate / 5 mg,,,29 ,,NW,,,,,,$14.12,$0.00,1,1,1,0,0,1,20101001,J2270,HCPCS,Morphine sulfate injection,,,29 ,,NW,,,,,,$5.35,$0.00,1,1,1,0,0,1,20101001,J2271,HCPCS,Morphine so4 injection 100mg,,,29 ,,NW,,,,,,$8.57,$0.00,1,1,1,0,0,1,20101001,J2275,HCPCS,Morphine sulfate injection,,,29 ,,NW,,,,,,$8.57,$0.00,1,1,1,0,0,1,20101001,J2278,HCPCS,Ziconotide injection,,,29 ,,NW,,,,,,$17.53,$0.00,1,1,1,0,0,1,20101001,J2280,HCPCS,"Inj, moxifloxacin 100 mg",,,29 ,,NW,,,,,,$8.57,$0.00,1,1,1,0,0,1,20101001,J2300,HCPCS,Inj nalbuphine hydrochloride,,,29 ,,NW,,,,,,$3.21,$0.00,1,1,1,0,0,1,20101001,J2310,HCPCS,Inj naloxone hydrochloride,,,29 ,,NW,,,,,,$9.64,$0.00,1,1,1,0,0,1,20101001,J2315,HCPCS,"Naltrexone, depot form",,,29 ,,NW,,,,,,$5.35,$0.00,1,1,1,0,0,1,20101001,J2320,HCPCS,Nandrolone decanoate 50 mg,,,29 ,,NW,,,,,,$10.71,$0.00,1,1,1,0,0,1,20101001,J2321,HCPCS,Nandrolone decanoate 100 mg,,,29 ,,NW,,,,,,$19.24,$0.00,1,1,1,0,0,1,20101001,J2322,HCPCS,Nandrolone decanoate 200 mg,,,29 ,,NW,,,,,,$38.01,$0.00,1,1,1,0,0,1,20101001,J2323,HCPCS,Natalizumab injection,,,29 ,,NW,,,,,,$20.09,$0.00,1,1,1,0,0,1,20101001,J2325,HCPCS,Nesiritide injection,,,29 ,,NW,,,,,,$84.08,$0.00,1,1,1,0,0,1,20101001,J2353,HCPCS,"Octreotide injection, depot",,,29 ,,NW,,,,,,$247.88,$0.00,1,1,1,0,0,1,20101001,J2354,HCPCS,"Octreotide inj, non-depot",,,29 ,,NW,,,,,,$5.35,$0.00,1,1,1,0,0,1,20101001,J2355,HCPCS,Oprelvekin injection,,,29 ,,NW,,,,,,$593.40,$0.00,1,1,1,0,0,1,20101001,J2357,HCPCS,Omalizumab injection,,,29 ,,NW,,,,,,$44.83,$0.00,1,1,1,0,0,1,20101001,J2360,HCPCS,Orphenadrine injection,,,29 ,,NW,,,,,,$20.09,$0.00,1,1,1,0,0,1,20101001,J2370,HCPCS,Phenylephrine hcl injection,,,29 ,,NW,,,,,,$2.14,$0.00,1,1,1,0,0,1,20101001,J2400,HCPCS,Chloroprocaine hcl injection,,,29 ,,NW,,,,,,$34.60,$0.00,1,1,1,0,0,1,20101001,J2405,HCPCS,Ondansetron hcl injection,,,29 ,,NW,,,,,,$1.07,$0.00,1,1,1,0,0,1,20101001,J2410,HCPCS,Oxymorphone hcl injection,,,29 ,,NW,,,,,,$7.50,$0.00,1,1,1,0,0,1,20101001,J2425,HCPCS,Palifermin injection,,,29 ,,NW,,,,,,$29.48,$0.00,1,1,1,0,0,1,20101001,J2430,HCPCS,Pamidronate disodium /30 mg,,,29 ,,NW,,,,,,$71.28,$0.00,1,1,1,0,0,1,20101001,J2440,HCPCS,Papaverin hcl injection,,,29 ,,NW,,,,,,$2.14,$0.00,1,1,1,0,0,1,20101001,J2460,HCPCS,Oxytetracycline injection,,,29 ,,NW,,,,,,$1.93,$0.00,1,1,1,0,0,1,20101001,J2469,HCPCS,Palonosetron hcl,,,29 ,,NW,,,,,,$41.42,$0.00,1,1,1,0,0,1,20101001,J2501,HCPCS,Paricalcitol,,,29 ,,NW,,,,,,$10.71,$0.00,1,1,1,0,0,1,20101001,J2503,HCPCS,Pegaptanib sodium injection,,,29 ,,NW,,,,,,"$2,623.99",$0.00,1,1,1,0,0,1,20101001,J2504,HCPCS,"Pegademase bovine, 25 iu",,,29 ,,NW,,,,,,$539.57,$0.00,1,1,1,0,0,1,20101001,J2505,HCPCS,"Injection, pegfilgrastim 6mg",,,29 ,,NW,,,,,,"$5,699.14",$0.00,1,1,1,0,0,1,20101001,J2510,HCPCS,Penicillin g procaine inj,,,29 ,,NW,,,,,,$25.21,$0.00,1,1,1,0,0,1,20101001,J2513,HCPCS,Pentastarch 10% solution,,,29 ,,NW,,,,,,$8.35,$0.00,1,1,1,0,0,1,20101001,J2515,HCPCS,Pentobarbital sodium inj,,,29 ,,NW,,,,,,$20.95,$0.00,1,1,1,0,0,1,20101001,J2540,HCPCS,Penicillin g potassium inj,,,29 ,,NW,,,,,,$2.14,$0.00,1,1,1,0,0,1,20101001,J2543,HCPCS,Piperacillin/tazobactam,,,29 ,,NW,,,,,,$14.97,$0.00,1,1,1,0,0,1,20101001,J2545,HCPCS,Pentamidine non-comp unit,,,29 ,,NW,,,,,,$111.38,$0.00,1,1,1,0,0,1,20101001,J2550,HCPCS,Promethazine hcl injection,,,29 ,,NW,,,,,,$4.28,$0.00,1,1,1,0,0,1,20101001,J2560,HCPCS,Phenobarbital sodium inj,,,29 ,,NW,,,,,,$8.57,$0.00,1,1,1,0,0,1,20101001,J2590,HCPCS,Oxytocin injection,,,29 ,,NW,,,,,,$5.35,$0.00,1,1,1,0,0,1,20101001,J2597,HCPCS,Inj desmopressin acetate,,,29 ,,NW,,,,,,$4.28,$0.00,1,1,1,0,0,1,20101001,J2650,HCPCS,Prednisolone acetate inj,,,29 ,,NW,,,,,,$1.07,$0.00,1,1,1,0,0,1,20101001,J2670,HCPCS,Totazoline hcl injection,,,29 ,,NW,,,,,,$10.65,$0.00,1,1,1,0,0,1,20101001,J2675,HCPCS,Inj progesterone per 50 mg,,,29 ,,NW,,,,,,$4.28,$0.00,1,1,1,0,0,1,20101001,J2680,HCPCS,Fluphenazine decanoate 25 mg,,,29 ,,NW,,,,,,$3.21,$0.00,1,1,1,0,0,1,20101001,J2690,HCPCS,Procainamide hcl injection,,,29 ,,NW,,,,,,$9.64,$0.00,1,1,1,0,0,1,20101001,J2700,HCPCS,Oxacillin sodium injeciton,,,29 ,,NW,,,,,,$5.35,$0.00,1,1,1,0,0,1,20101001,J2710,HCPCS,Neostigmine methylslfte inj,,,29 ,,NW,,,,,,$1.07,$0.00,1,1,1,0,0,1,20101001,J2720,HCPCS,Inj protamine sulfate/10 mg,,,29 ,,NW,,,,,,$1.07,$0.00,1,1,1,0,0,1,20101001,J2724,HCPCS,Protein c concentrate,,,29 ,,NW,,,,,,$31.18,$0.00,1,1,1,0,0,1,20101001,J2725,HCPCS,Inj protirelin per 250 mcg,,,29 ,,NW,,,,,,$81.79,$0.00,1,1,1,0,0,1,20101001,J2730,HCPCS,Pralidoxime chloride inj,,,29 ,,NW,,,,,,$203.52,$0.00,1,1,1,0,0,1,20101001,J2760,HCPCS,Phentolaine mesylate inj,,,29 ,,NW,,,,,,$127.59,$0.00,1,1,1,0,0,1,20101001,J2765,HCPCS,Metoclopramide hcl injection,,,29 ,,NW,,,,,,$1.07,$0.00,1,1,1,0,0,1,20101001,J2770,HCPCS,Quinupristin/dalfopristin,,,29 ,,NW,,,,,,$333.20,$0.00,1,1,1,0,0,1,20101001,J2778,HCPCS,Ranibizumab injection,,,29 ,,NW,,,,,,"$1,009.91",$0.00,1,1,1,0,0,1,20101001,J2780,HCPCS,Ranitidine hydrochloride inj,,,29 ,,NW,,,,,,$2.14,$0.00,1,1,1,0,0,1,20101001,J2783,HCPCS,Rasburicase,,,29 ,,NW,,,,,,$369.03,$0.00,1,1,1,0,0,1,20101001,J2785,HCPCS,Regadenoson injection,,,29 ,,NW,,,,,,$121.55,$0.00,1,1,1,0,0,1,20101001,J2788,HCPCS,Rho d immune globulin 50 mcg,,,29 ,,NW,,,,,,$65.31,$0.00,1,1,1,0,0,1,20101001,J2790,HCPCS,Rho d immune globulin inj,,,29 ,,NW,,,,,,$201.81,$0.00,1,1,1,0,0,1,20101001,J2791,HCPCS,Rhophylac injection,,,29 ,,NW,,,,,,$14.97,$0.00,1,1,1,0,0,1,20101001,J2792,HCPCS,"Rho(d) immune globulin h, sd",,,29 ,,NW,,,,,,$42.28,$0.00,1,1,1,0,0,1,20101001,J2794,HCPCS,"Risperidone, long acting",,,29 ,,NW,,,,,,$14.12,$0.00,1,1,1,0,0,1,20101001,J2795,HCPCS,Ropivacaine hcl injection,,,29 ,,NW,,,,,,$1.07,$0.00,1,1,1,0,0,1,20101001,J2796,HCPCS,Romiplostim injection,,,29 ,,NW,,,,,,$70.48,$0.00,1,1,1,0,0,1,20101001,J2800,HCPCS,Methocarbamol injection,,,29 ,,NW,,,,,,$60.19,$0.00,1,1,1,0,0,1,20101001,J2805,HCPCS,Sincalide injection,,,29 ,,NW,,,,,,$147.21,$0.00,1,1,1,0,0,1,20101001,J2810,HCPCS,Inj theophylline per 40 mg,,,29 ,,NW,,,,,,$1.07,$0.00,1,1,1,0,0,1,20101001,J2820,HCPCS,Sargramostim injection,,,29 ,,NW,,,,,,$64.46,$0.00,1,1,1,0,0,1,20101001,J2850,HCPCS,Inj secretin synthetic human,,,29 ,,NW,,,,,,$49.95,$0.00,1,1,1,0,0,1,20101001,J2910,HCPCS,Aurothioglucose injeciton,,,29 ,,NW,,,,,,$33.15,$0.00,1,1,1,0,0,1,20101001,J2916,HCPCS,Na ferric gluconate complex,,,29 ,,NW,,,,,,$13.27,$0.00,1,1,1,0,0,1,20101001,J2920,HCPCS,Methylprednisolone injection,,,29 ,,NW,,,,,,$6.43,$0.00,1,1,1,0,0,1,20101001,J2930,HCPCS,Methylprednisolone injection,,,29 ,,NW,,,,,,$9.64,$0.00,1,1,1,0,0,1,20101001,J2940,HCPCS,Somatrem injection,,,29 ,,NW,,,,,,$115.93,$0.00,1,1,1,0,0,1,20101001,J2941,HCPCS,Somatropin injection,,,29 ,,NW,,,,,,$122.47,$0.00,1,1,1,0,0,1,20101001,J2950,HCPCS,Promazine hcl injection,,,29 ,,NW,,,,,,$13.00,$0.00,1,1,1,0,0,1,20101001,J2993,HCPCS,Reteplase injection,,,29 ,,NW,,,,,,"$2,158.37",$0.00,1,1,1,0,0,1,20101001,J2995,HCPCS,Inj streptokinase /250000 iu,,,29 ,,NW,,,,,,$170.25,$0.00,1,1,1,0,0,1,20101001,J2997,HCPCS,Alteplase recombinant,,,29 ,,NW,,,,,,$79.81,$0.00,1,1,1,0,0,1,20101001,J3000,HCPCS,Streptomycin injection,,,29 ,,NW,,,,,,$20.09,$0.00,1,1,1,0,0,1,20101001,J3010,HCPCS,Fentanyl citrate injeciton,,,29 ,,NW,,,,,,$1.07,$0.00,1,1,1,0,0,1,20101001,J3030,HCPCS,Sumatriptan succinate / 6 mg,,,29 ,,NW,,,,,,$173.66,$0.00,1,1,1,0,0,1,20101001,J3070,HCPCS,Pentazocine injection,,,29 ,,NW,,,,,,$17.53,$0.00,1,1,1,0,0,1,20101001,J3101,HCPCS,Tenecteplase injection,,,29 ,,NW,,,,,,$123.00,$0.00,1,1,1,0,0,1,20101001,J3105,HCPCS,Terbutaline sulfate inj,,,29 ,,NW,,,,,,$6.43,$0.00,1,1,1,0,0,1,20101001,J3110,HCPCS,Teriparatide injection,,,29 ,,NW,,,,,,$20.09,$0.00,1,1,1,0,0,1,20101001,J3120,HCPCS,Testosterone enanthate inj,,,29 ,,NW,,,,,,$12.41,$0.00,1,1,1,0,0,1,20101001,J3130,HCPCS,Testosterone enanthate inj,,,29 ,,NW,,,,,,$21.80,$0.00,1,1,1,0,0,1,20101001,J3140,HCPCS,Testosterone suspension inj,,,29 ,,NW,,,,,,$24.45,$0.00,1,1,1,0,0,1,20101001,J3150,HCPCS,Testosteron propionate inj,,,29 ,,NW,,,,,,$2.14,$0.00,1,1,1,0,0,1,20101001,J3230,HCPCS,Chlorpromazine hcl injection,,,29 ,,NW,,,,,,$20.09,$0.00,1,1,1,0,0,1,20101001,J3240,HCPCS,Thyrotropin injection,,,29 ,,NW,,,,,,"$2,513.49",$0.00,1,1,1,0,0,1,20101001,J3243,HCPCS,Tigecycline injection,,,29 ,,NW,,,,,,$3.21,$0.00,1,1,1,0,0,1,20101001,J3246,HCPCS,Tirofiban hcl,,,29 ,,NW,,,,,,$19.24,$0.00,1,1,1,0,0,1,20101001,J3250,HCPCS,Trimethobenzamide hcl inj,,,29 ,,NW,,,,,,$14.12,$0.00,1,1,1,0,0,1,20101001,J3260,HCPCS,Tobramycin sulfate injection,,,29 ,,NW,,,,,,$7.50,$0.00,1,1,1,0,0,1,20101001,J3265,HCPCS,Injection torsemide 10 mg/ml,,,29 ,,NW,,,,,,$6.43,$0.00,1,1,1,0,0,1,20101001,J3280,HCPCS,Thiethylperazine maleate inj,,,29 ,,NW,,,,,,$12.41,$0.00,1,1,1,0,0,1,20101001,J3285,HCPCS,Treprostinil injection,,,29 ,,NW,,,,,,$136.98,$0.00,1,1,1,0,0,1,20101001,J3300,HCPCS,Triamcinolone A Inj Prs-Free,,,29 ,,NW,,,,,,$10.27,$0.00,1,1,1,0,0,1,20101001,J3301,HCPCS,Triamcinolone acet inj nos,,,29 ,,NW,,,,,,$4.28,$0.00,1,1,1,0,0,1,20101001,J3302,HCPCS,Triamcinolone diacetate inj,,,29 ,,NW,,,,,,$1.07,$0.00,1,1,1,0,0,1,20101001,J3303,HCPCS,Triamcinolone hexacetonl inj,,,29 ,,NW,,,,,,$4.28,$0.00,1,1,1,0,0,1,20101001,J3305,HCPCS,Inj trimetrexate glucoronate,,,29 ,,NW,,,,,,$97.03,$0.00,1,1,1,0,0,1,20101001,J3310,HCPCS,Perphenazine injeciton,,,29 ,,NW,,,,,,$23.75,$0.00,1,1,1,0,0,1,20101001,J3315,HCPCS,Triptorelin pamoate,,,29 ,,NW,,,,,,$363.06,$0.00,1,1,1,0,0,1,20101001,J3320,HCPCS,Spectinomycn di-hcl inj,,,29 ,,NW,,,,,,$78.25,$0.00,1,1,1,0,0,1,20101001,J3350,HCPCS,Urea injection,,,29 ,,NW,,,,,,$27.17,$0.00,1,1,1,0,0,1,20101001,J3355,HCPCS,"Urofollitropin, 75 iu",,,29 ,,NW,,,,,,$122.47,$0.00,1,1,1,0,0,1,20101001,J3360,HCPCS,Diazepam injection,,,29 ,,NW,,,,,,$3.21,$0.00,1,1,1,0,0,1,20101001,J3364,HCPCS,Urokinase 5000 iu injection,,,29 ,,NW,,,,,,$23.51,$0.00,1,1,1,0,0,1,20101001,J3365,HCPCS,"Urokinase 250,000 iu inj",,,29 ,,NW,,,,,,"$1,145.91",$0.00,1,1,1,0,0,1,20101001,J3370,HCPCS,Vancomycin hcl injection,,,29 ,,NW,,,,,,$9.64,$0.00,1,1,1,0,0,1,20101001,J3396,HCPCS,Verteporfin injection,,,29 ,,NW,,,,,,$24.36,$0.00,1,1,1,0,0,1,20101001,J3400,HCPCS,Triflupromazine hcl inj,,,29 ,,NW,,,,,,$26.62,$0.00,1,1,1,0,0,1,20101001,J3410,HCPCS,Hydroxyzine hcl injection,,,29 ,,NW,,,,,,$1.07,$0.00,1,1,1,0,0,1,20101001,J3411,HCPCS,Thiamine hcl 100 mg,,,29 ,,NW,,,,,,$8.57,$0.00,1,1,1,0,0,1,20101001,J3415,HCPCS,Pyridoxine hcl 100 mg,,,29 ,,NW,,,,,,$14.97,$0.00,1,1,1,0,0,1,20101001,J3420,HCPCS,Vitamin b12 injection,,,29 ,,NW,,,,,,$1.07,$0.00,1,1,1,0,0,1,20101001,J3430,HCPCS,Vitamin k phytonadione inj,,,29 ,,NW,,,,,,$12.41,$0.00,1,1,1,0,0,1,20101001,J3465,HCPCS,"Injection, voriconazole",,,29 ,,NW,,,,,,$14.97,$0.00,1,1,1,0,0,1,20101001,J3470,HCPCS,Hyaluronidase injection,,,29 ,,NW,,,,,,$43.13,$0.00,1,1,1,0,0,1,20101001,J3471,HCPCS,"Ovine, up to 999 usp units",,,29 ,,NW,,,,,,$1.07,$0.00,1,1,1,0,0,1,20101001,J3472,HCPCS,"Ovine, 1000 usp units",,,29 ,,NW,,,,,,$316.99,$0.00,1,1,1,0,0,1,20101001,J3473,HCPCS,Hyaluronidase recombinant,,,29 ,,NW,,,,,,$1.07,$0.00,1,1,1,0,0,1,20101001,J3475,HCPCS,Inj magnesium sulfate,,,29 ,,NW,,,,,,$1.07,$0.00,1,1,1,0,0,1,20101001,J3480,HCPCS,Inj potassium chloride,,,29 ,,NW,,,,,,$1.07,$0.00,1,1,1,0,0,1,20101001,J3485,HCPCS,Zidovudine,,,29 ,,NW,,,,,,$3.21,$0.00,1,1,1,0,0,1,20101001,J3486,HCPCS,Ziprasidone mesylate,,,29 ,,NW,,,,,,$14.12,$0.00,1,1,1,0,0,1,20101001,J3487,HCPCS,Zoledronic acid,,,29 ,,NW,,,,,,$508.95,$0.00,1,1,1,0,0,1,20101001,J3488,HCPCS,Reclast injection,,,29 ,,NW,,,,,,$519.74,$0.00,1,1,1,0,0,1,20101001,J3490,HCPCS,Drugs unclassified injection,,,29 ,,NW,,,,,,$5.90,$0.00,1,1,1,0,0,1,20101001,J3520,HCPCS,Edetate disodium per 150 mg,,,29 ,,NW,,,,,,$1.07,$0.00,1,1,1,0,0,1,20101001,J3530,HCPCS,Nasal vaccine inhalation,,,29 ,,NW,,,,,,$35.27,$0.00,1,1,1,0,1,1,20101001,J3535,HCPCS,Metered dose inhaler drug,,,29 ,,NW,,,,,,$17.63,$0.00,1,1,1,0,0,1,20101001,J3570,HCPCS,Laetrile amygdalin vit b17,,,29 ,,NW,,,,,,$50.01,$0.00,1,1,1,0,0,1,20101001,J3590,HCPCS,Unclassified biologics,,,29 ,,NW,,,,,,"$2,716.87",$0.00,1,1,1,0,0,1,20101001,J7030,HCPCS,Normal saline solution infus,,,29 ,,NW,,,,,,$3.21,$0.00,1,1,1,0,0,1,20101001,J7040,HCPCS,Normal saline solution infus,,,29 ,,NW,,,,,,$2.14,$0.00,1,1,1,0,0,1,20101001,J7042,HCPCS,5% dextrose/normal saline,,,29 ,,NW,,,,,,$1.07,$0.00,1,1,1,0,0,1,20101001,J7050,HCPCS,Normal saline solution infus,,,29 ,,NW,,,,,,$1.07,$0.00,1,1,1,0,0,1,20101001,J7060,HCPCS,5% dextrose/water,,,29 ,,NW,,,,,,$3.21,$0.00,1,1,1,0,0,1,20101001,J7070,HCPCS,D5w infusion,,,29 ,,NW,,,,,,$6.43,$0.00,1,1,1,0,0,1,20101001,J7100,HCPCS,Dextran 40 infusion,,,29 ,,NW,,,,,,$53.37,$0.00,1,1,1,0,0,1,20101001,J7110,HCPCS,Dextran 75 infusion,,,29 ,,NW,,,,,,$26.92,$0.00,1,1,1,0,0,1,20101001,J7120,HCPCS,Ringers lactate infusion,,,29 ,,NW,,,,,,$3.21,$0.00,1,1,1,0,0,1,20101001,J7130,HCPCS,Hypertonic saline solution,,,29 ,,NW,,,,,,$7.16,$0.00,1,1,1,0,0,1,20101001,J7186,HCPCS,Antihemophilic viii/vwf comp,,,29 ,,NW,,,,,,$2.99,$0.00,1,1,1,0,0,1,20101001,J7187,HCPCS,"Humate-p, inj",,,29 ,,NW,,,,,,$2.14,$0.00,1,1,1,0,0,1,20101001,J7189,HCPCS,Factor viia,,,29 ,,NW,,,,,,$3.21,$0.00,1,1,1,0,0,1,20101001,J7190,HCPCS,Factor viii,,,29 ,,NW,,,,,,$2.14,$0.00,1,1,1,0,0,1,20101001,J7191,HCPCS,Factor viii (porcine),,,29 ,,NW,,,,,,$5.67,$0.00,1,1,1,0,0,1,20101001,J7192,HCPCS,Factor viii recombinant,,,29 ,,NW,,,,,,$3.21,$0.00,1,1,1,0,0,1,20101001,J7193,HCPCS,Factor ix non-recombinant,,,29 ,,NW,,,,,,$2.14,$0.00,1,1,1,0,0,1,20101001,J7194,HCPCS,Factor ix complex,,,29 ,,NW,,,,,,$2.14,$0.00,1,1,1,0,0,1,20101001,J7195,HCPCS,Factor ix recombinant,,,29 ,,NW,,,,,,$3.21,$0.00,1,1,1,0,0,1,20101001,J7197,HCPCS,Antithrombin iii injection,,,29 ,,NW,,,,,,$6.43,$0.00,1,1,1,0,0,1,20101001,J7198,HCPCS,Anti-inhibitor,,,29 ,,NW,,,,,,$4.28,$0.00,1,1,1,0,0,1,20101001,J7199,HCPCS,Hemophilia Clot Factor Noc,,,29 ,,NW,,,,,,$1.24,$0.00,1,1,1,0,0,1,20101001,J7300,HCPCS,Intraut copper contraceptive,,,29 ,,NW,,,,,,$889.96,$0.00,1,1,1,1,1,1,20101001,J7302,HCPCS,Levonorgestrel iu contracept,,,29 ,,NW,,,,,,$928.69,$0.00,1,1,1,1,1,1,20101001,J7303,HCPCS,Contraceptive vaginal ring,,,29 ,,NW,,,,,,$84.93,$0.00,1,1,1,1,1,1,20101001,J7304,HCPCS,Contraceptive Hormone Patch,,,29 ,,NW,,,,,,$39.39,$0.00,1,1,1,1,1,1,20101001,J7306,HCPCS,Levonorgestrel implant sys,,,29 ,,NW,,,,,,$928.69,$0.00,1,1,1,1,1,1,20101001,J7307,HCPCS,Etonogestrel Implant System,,,29 ,,NW,,,,,,$994.01,$0.00,1,1,1,1,1,1,20101001,J7308,HCPCS,Aminolevulinic acid hcl top,,,29 ,,NW,,,,,,$280.30,$0.00,1,1,1,0,0,1,20101001,J7310,HCPCS,Ganciclovir long act implant,,,29 ,,NW,,,,,,"$44,359.57",$0.00,1,1,1,0,0,1,20101001,J7311,HCPCS,Fluocinolone acetonide implt,,,29 ,,NW,,,,,,"$50,605.27",$0.00,1,1,1,0,0,1,20101001,J7321,HCPCS,Hyalgan/supartz inj per dose,,,29 ,,NW,,,,,,$235.94,$0.00,1,1,1,0,0,1,20101001,J7323,HCPCS,Euflexxa inj per dose,,,29 ,,NW,,,,,,$261.54,$0.00,1,1,1,0,0,1,20101001,J7324,HCPCS,Orthovisc inj per dose,,,29 ,,NW,,,,,,$427.05,$0.00,1,1,1,0,0,1,20101001,J7325,HCPCS,Synvisc or Synvisc-One,,,29 ,,NW,,,,,,$27.54,$0.00,1,1,1,0,0,1,20101001,J7330,HCPCS,Cultured chondrocytes implnt,,,29 ,,NW,,,,,,"$57,364.76",$0.00,1,1,1,0,0,1,20101001,J7500,HCPCS,Azathioprine oral 50mg,,,29 ,,NW,,,,,,$1.07,$0.00,1,1,1,0,0,1,20101001,J7501,HCPCS,Azathioprine parenteral,,,29 ,,NW,,,,,,$217.17,$0.00,1,1,1,0,0,1,20101001,J7502,HCPCS,Cyclosporine oral 100 mg,,,29 ,,NW,,,,,,$10.71,$0.00,1,1,1,0,0,1,20101001,J7504,HCPCS,Lymphocyte immune globulin,,,29 ,,NW,,,,,,"$1,098.69",$0.00,1,1,1,0,0,1,20101001,J7505,HCPCS,Monoclonal antibodies,,,29 ,,NW,,,,,,"$2,839.32",$0.00,1,1,1,0,0,1,20101001,J7506,HCPCS,Prednisone oral,,,29 ,,NW,,,,,,$1.07,$0.00,1,1,1,0,0,1,20101001,J7507,HCPCS,Tacrolimus oral per 1 mg,,,29 ,,NW,,,,,,$11.56,$0.00,1,1,1,0,0,1,20101001,J7509,HCPCS,Methylprednisolone oral,,,29 ,,NW,,,,,,$1.07,$0.00,1,1,1,0,0,1,20101001,J7510,HCPCS,Prednisolone oral per 5 mg,,,29 ,,NW,,,,,,$1.07,$0.00,1,1,1,0,0,1,20101001,J7511,HCPCS,Antithymocyte globuln rabbit,,,29 ,,NW,,,,,,$922.07,$0.00,1,1,1,0,0,1,20101001,J7513,HCPCS,"Daclizumab, parenteral",,,29 ,,NW,,,,,,$849.35,$0.00,1,1,1,0,0,1,20101001,J7515,HCPCS,Cyclosporine oral 25 mg,,,29 ,,NW,,,,,,$2.14,$0.00,1,1,1,0,0,1,20101001,J7516,HCPCS,Cyclosporin parenteral 250mg,,,29 ,,NW,,,,,,$48.25,$0.00,1,1,1,0,0,1,20101001,J7517,HCPCS,Mycophenolate mofetil oral,,,29 ,,NW,,,,,,$9.64,$0.00,1,1,1,0,0,1,20101001,J7518,HCPCS,Mycophenolic acid,,,29 ,,NW,,,,,,$7.50,$0.00,1,1,1,0,0,1,20101001,J7520,HCPCS,"Sirolimus, oral",,,29 ,,NW,,,,,,$21.80,$0.00,1,1,1,0,0,1,20101001,J7525,HCPCS,Tacrolimus injection,,,29 ,,NW,,,,,,$332.35,$0.00,1,1,1,0,0,1,20101001,J7599,HCPCS,Immunosuppressive drug noc,,,29 ,,NW,,,,,,$1.24,$0.00,1,1,1,0,0,1,20101001,J7604,HCPCS,Acetylcysteine Comp Unit,,,29 ,,NW,,,,,,$349.31,$0.00,1,1,1,0,0,1,20101001,J7605,HCPCS,Arformoterol Non-Comp Unit,,,29 ,,NW,,,,,,$14.12,$0.00,1,1,1,0,0,1,20101001,J7606,HCPCS,"Formoterol Fumarate, Inh",,,29 ,,NW,,,,,,$10.68,$0.00,1,1,1,0,0,1,20101001,J7607,HCPCS,Levalbuterol Comp Con,,,29 ,,NW,,,,,,$12.14,$0.00,1,1,1,0,0,1,20101001,J7608,HCPCS,Acetylcysteine non-comp unit,,,29 ,,NW,,,,,,$5.35,$0.00,1,1,1,0,0,1,20101001,J7609,HCPCS,Albuterol Comp Unit,,,29 ,,NW,,,,,,$4.79,$0.00,1,1,1,0,0,1,20101001,J7610,HCPCS,Albuterol Comp Con,,,29 ,,NW,,,,,,$4.14,$0.00,1,1,1,0,0,1,20101001,J7611,HCPCS,Albuterol non-comp con,,,29 ,,NW,,,,,,$1.07,$0.00,1,1,1,0,0,1,20101001,J7612,HCPCS,Levalbuterol non-comp con,,,29 ,,NW,,,,,,$1.07,$0.00,1,1,1,0,0,1,20101001,J7613,HCPCS,Albuterol non-comp unit,,,29 ,,NW,,,,,,$1.07,$0.00,1,1,1,0,0,1,20101001,J7614,HCPCS,Levalbuterol non-comp unit,,,29 ,,NW,,,,,,$1.07,$0.00,1,1,1,0,0,1,20101001,J7615,HCPCS,Levalbuterol comp unit,,,29 ,,NW,,,,,,$5.35,$0.00,1,1,1,0,0,1,20101001,J7620,HCPCS,Albuterol ipratrop non-comp,,,29 ,,NW,,,,,,$1.07,$0.00,1,1,1,0,0,1,20101001,J7622,HCPCS,Beclomethasone comp unit,,,29 ,,NW,,,,,,$12.94,$0.00,1,1,1,0,0,1,20101001,J7624,HCPCS,Betamethasone comp unit,,,29 ,,NW,,,,,,$3.74,$0.00,1,1,1,0,0,1,20101001,J7626,HCPCS,Budesonide non-comp unit,,,29 ,,NW,,,,,,$14.97,$0.00,1,1,1,0,0,1,20101001,J7627,HCPCS,Budesonide comp unit,,,29 ,,NW,,,,,,$13.27,$0.00,1,1,1,0,0,1,20101001,J7628,HCPCS,Bitolterol mesylate comp con,,,29 ,,NW,,,,,,$0.77,$0.00,1,1,1,0,0,1,20101001,J7629,HCPCS,Bitolterol mesylate comp unt,,,29 ,,NW,,,,,,"$2,495.89",$0.00,1,1,1,0,0,1,20101001,J7631,HCPCS,Cromolyn sodium noncomp unit,,,29 ,,NW,,,,,,$2.14,$0.00,1,1,1,0,0,1,20101001,J7632,HCPCS,Cromolyn Sodium Comp Unit,,,29 ,,NW,,,,,,$1.07,$0.00,1,1,1,0,0,1,20101001,J7633,HCPCS,Budesonide non-comp con,,,29 ,,NW,,,,,,$22.35,$0.00,1,1,1,0,0,1,20101001,J7634,HCPCS,Budesonide Comp Con,,,29 ,,NW,,,,,,$6.47,$0.00,1,1,1,0,0,1,20101001,J7635,HCPCS,Atropine comp con,,,29 ,,NW,,,,,,$15.57,$0.00,1,1,1,0,0,1,20101001,J7636,HCPCS,Atropine comp unit,,,29 ,,NW,,,,,,$16.39,$0.00,1,1,1,0,0,1,20101001,J7637,HCPCS,Dexamethasone comp con,,,29 ,,NW,,,,,,$0.87,$0.00,1,1,1,0,0,1,20101001,J7638,HCPCS,Dexamethasone comp unit,,,29 ,,NW,,,,,,$0.87,$0.00,1,1,1,0,0,1,20101001,J7639,HCPCS,Dornase alfa non-comp unit,,,29 ,,NW,,,,,,$53.37,$0.00,1,1,1,0,0,1,20101001,J7640,HCPCS,Formoterol comp unit,,,29 ,,NW,,,,,,$11.36,$0.00,1,1,1,0,0,1,20101001,J7641,HCPCS,Flunisolide comp unit,,,29 ,,NW,,,,,,$26.07,$0.00,1,1,1,0,0,1,20101001,J7642,HCPCS,Glycopyrrolate comp con,,,29 ,,NW,,,,,,$0.68,$0.00,1,1,1,0,0,1,20101001,J7643,HCPCS,Glycopyrrolate comp unit,,,29 ,,NW,,,,,,$0.68,$0.00,1,1,1,0,0,1,20101001,J7644,HCPCS,Ipratropium bromide non-comp,,,29 ,,NW,,,,,,$1.07,$0.00,1,1,1,0,0,1,20101001,J7645,HCPCS,Ipratropium Bromide Comp,,,29 ,,NW,,,,,,$12.82,$0.00,1,1,1,0,0,1,20101001,J7648,HCPCS,Isoetharine Non-Comp Con,,,29 ,,NW,,,,,,$40.11,$0.00,1,1,1,0,0,1,20101001,J7649,HCPCS,Isoetharine non-comp unit,,,29 ,,NW,,,,,,$1.93,$0.00,1,1,1,0,0,1,20101001,J7650,HCPCS,Isoetharine Comp Unit,,,29 ,,NW,,,,,,$5.71,$0.00,1,1,1,0,0,1,20101001,J7657,HCPCS,Isoproterenol Comp Con,,,29 ,,NW,,,,,,$7.76,$0.00,1,1,1,0,0,1,20101001,J7658,HCPCS,Isoproterenol non-comp con,,,29 ,,NW,,,,,,$10.65,$0.00,1,1,1,0,0,1,20101001,J7659,HCPCS,Isoproterenol non-comp unit,,,29 ,,NW,,,,,,$10.65,$0.00,1,1,1,0,0,1,20101001,J7660,HCPCS,Isoproterenol Comp Unit,,,29 ,,NW,,,,,,$1.29,$0.00,1,1,1,0,0,1,20101001,J7667,HCPCS,Metaproterenol Comp Con,,,29 ,,NW,,,,,,$10.35,$0.00,1,1,1,0,0,1,20101001,J7668,HCPCS,Metaproterenol non-comp con,,,29 ,,NW,,,,,,$0.21,$0.00,1,1,1,0,0,1,20101001,J7669,HCPCS,Metaproterenol non-comp unit,,,29 ,,NW,,,,,,$1.07,$0.00,1,1,1,0,0,1,20101001,J7674,HCPCS,"Methacholine chloride, neb",,,29 ,,NW,,,,,,$1.07,$0.00,1,1,1,0,0,1,20101001,J7680,HCPCS,Terbutaline sulf comp con,,,29 ,,NW,,,,,,$31.18,$0.00,1,1,1,0,0,1,20101001,J7681,HCPCS,Terbutaline sulf comp unit,,,29 ,,NW,,,,,,$31.18,$0.00,1,1,1,0,0,1,20101001,J7682,HCPCS,Tobramycin non-comp unit,,,29 ,,NW,,,,,,$152.33,$0.00,1,1,1,0,0,1,20101001,J7683,HCPCS,Triamcinolone comp con,,,29 ,,NW,,,,,,$12.41,$0.00,1,1,1,0,0,1,20101001,J7684,HCPCS,Triamcinolone comp unit,,,29 ,,NW,,,,,,$12.41,$0.00,1,1,1,0,0,1,20101001,J7685,HCPCS,Tobramycin comp unit,,,29 ,,NW,,,,,,$138.68,$0.00,1,1,1,0,0,1,20101001,J7699,HCPCS,Inhalation solution for dme,,,29 ,,NW,,,,,,$6.96,$0.00,1,1,1,0,0,1,20101001,J7799,HCPCS,Non-inhalation drug for dme,,,29 ,,NW,,,,,,$85.13,$0.00,1,1,1,0,0,1,20101001,J8498,HCPCS,Antiemetic Rectal/Supp Nos,,,29 ,,NW,,,,,,$1.24,$0.00,1,1,1,0,0,1,20101001,J8499,HCPCS,Oral prescrip drug non chemo,,,29 ,,NW,,,,,,$1.55,$0.00,1,1,1,0,0,1,20101001,J8501,HCPCS,Oral aprepitant,,,29 ,,NW,,,,,,$14.97,$0.00,1,1,1,0,0,1,20101001,J8510,HCPCS,Oral busulfan,,,29 ,,NW,,,,,,$11.55,$0.00,1,1,1,0,0,1,20101001,J8515,HCPCS,"Cabergoline, Oral 0.25Mg",,,29 ,,NW,,,,,,$32.04,$0.00,1,1,1,0,0,1,20101001,J8520,HCPCS,"Capecitabine, oral, 150 mg",,,29 ,,NW,,,,,,$20.21,$0.00,1,1,1,0,0,1,20101001,J8521,HCPCS,"Capecitabine, oral, 500 mg",,,29 ,,NW,,,,,,$64.95,$0.00,1,1,1,0,0,1,20101001,J8530,HCPCS,Cyclophosphamide oral 25 mg,,,29 ,,NW,,,,,,$4.33,$0.00,1,1,1,0,0,1,20101001,J8540,HCPCS,Oral dexamethasone,,,29 ,,NW,,,,,,$1.07,$0.00,1,1,1,0,0,1,20101001,J8560,HCPCS,Etoposide oral 50 mg,,,29 ,,NW,,,,,,$98.36,$0.00,1,1,1,0,0,1,20101001,J8565,HCPCS,Gefitinib oral,,,29 ,,NW,,,,,,$124.18,$0.00,1,1,1,0,0,1,20101001,J8597,HCPCS,Antiemetic drug oral nos,,,29 ,,NW,,,,,,$780.14,$0.00,1,1,1,0,0,1,20101001,J8600,HCPCS,Melphalan oral 2 mg,,,29 ,,NW,,,,,,$17.32,$0.00,1,1,1,0,0,1,20101001,J8610,HCPCS,Methotrexate oral 2.5 mg,,,29 ,,NW,,,,,,$1.44,$0.00,1,1,1,0,0,1,20101001,J8650,HCPCS,Nabilone oral,,,29 ,,NW,,,,,,$38.01,$0.00,1,1,1,0,0,1,20101001,J8700,HCPCS,Temozolomide,,,29 ,,NW,,,,,,$33.20,$0.00,1,1,1,0,0,1,20101001,J8705,HCPCS,Topotecan oral,,,29 ,,NW,,,,,,$107.29,$0.00,1,1,1,0,0,1,20101001,J8999,HCPCS,Oral prescription drug chemo,,,29 ,,NW,,,,,,$8.91,$0.00,1,1,1,0,0,1,20101001,J9000,HCPCS,Doxorubicin hcl injection,,,29 ,,NW,,,,,,$18.76,$0.00,1,1,1,0,0,1,20101001,J9001,HCPCS,Doxorubicin hcl liposome inj,,,29 ,,NW,,,,,,"$1,072.24",$0.00,1,1,1,0,0,1,20101001,J9010,HCPCS,Alemtuzumab injection,,,29 ,,NW,,,,,,"$1,390.53",$0.00,1,1,1,0,0,1,20101001,J9015,HCPCS,Aldesleukin injection,,,29 ,,NW,,,,,,"$1,922.83",$0.00,1,1,1,0,0,1,20101001,J9017,HCPCS,Arsenic trioxide injection,,,29 ,,NW,,,,,,$111.04,$0.00,1,1,1,0,0,1,20101001,J9020,HCPCS,Asparaginase injection,,,29 ,,NW,,,,,,$165.97,$0.00,1,1,1,0,0,1,20101001,J9025,HCPCS,Azacitidine injection,,,29 ,,NW,,,,,,$18.76,$0.00,1,1,1,0,0,1,20101001,J9027,HCPCS,Clofarabine injection,,,29 ,,NW,,,,,,$276.04,$0.00,1,1,1,0,0,1,20101001,J9031,HCPCS,Bcg live intravesical vac,,,29 ,,NW,,,,,,$297.79,$0.00,1,1,1,0,0,1,20101001,J9033,HCPCS,Bendamustine injection,,,29 ,,NW,,,,,,$51.79,$0.00,1,1,1,0,0,1,20101001,J9035,HCPCS,Bevacizumab injection,,,29 ,,NW,,,,,,$137.83,$0.00,1,1,1,0,0,1,20101001,J9040,HCPCS,Bleomycin sulfate injection,,,29 ,,NW,,,,,,$111.88,$0.00,1,1,1,0,0,1,20101001,J9041,HCPCS,Bortezomib injection,,,29 ,,NW,,,,,,$85.79,$0.00,1,1,1,0,0,1,20101001,J9045,HCPCS,Carboplatin injection,,,29 ,,NW,,,,,,$38.97,$0.00,1,1,1,0,0,1,20101001,J9050,HCPCS,Carmustine injection,,,29 ,,NW,,,,,,$415.26,$0.00,1,1,1,0,0,1,20101001,J9055,HCPCS,Cetuximab injection,,,29 ,,NW,,,,,,$119.91,$0.00,1,1,1,0,0,1,20101001,J9060,HCPCS,Cisplatin 10 mg injection,,,29 ,,NW,,,,,,$8.66,$0.00,1,1,1,0,0,1,20101001,J9062,HCPCS,Cisplatin 50 mg injection,,,29 ,,NW,,,,,,$46.19,$0.00,1,1,1,0,0,1,20101001,J9065,HCPCS,Inj cladribine per 1 mg,,,29 ,,NW,,,,,,$98.36,$0.00,1,1,1,0,0,1,20101001,J9070,HCPCS,Cyclophosphamide 100 mg inj,,,29 ,,NW,,,,,,$8.66,$0.00,1,1,1,0,0,1,20101001,J9080,HCPCS,Cyclophosphamide 200 mg inj,,,29 ,,NW,,,,,,$17.32,$0.00,1,1,1,0,0,1,20101001,J9090,HCPCS,Cyclophosphamide 500 mg inj,,,29 ,,NW,,,,,,$43.30,$0.00,1,1,1,0,0,1,20101001,J9091,HCPCS,Cyclophosphamide 1.0 grm inj,,,29 ,,NW,,,,,,$80.62,$0.00,1,1,1,0,0,1,20101001,J9092,HCPCS,Cyclophosphamide 2.0 grm inj,,,29 ,,NW,,,,,,$131.32,$0.00,1,1,1,0,0,1,20101001,J9093,HCPCS,Cyclophosphamide lyophilized,,,29 ,,NW,,,,,,$7.22,$0.00,1,1,1,0,0,1,20101001,J9094,HCPCS,Cyclophosphamide lyophilized,,,29 ,,NW,,,,,,$14.43,$0.00,1,1,1,0,0,1,20101001,J9095,HCPCS,Cyclophosphamide lyophilized,,,29 ,,NW,,,,,,$37.53,$0.00,1,1,1,0,0,1,20101001,J9096,HCPCS,Cyclophosphamide lyophilized,,,29 ,,NW,,,,,,$73.86,$0.00,1,1,1,0,0,1,20101001,J9097,HCPCS,Cyclophosphamide lyophilized,,,29 ,,NW,,,,,,$116.95,$0.00,1,1,1,0,0,1,20101001,J9098,HCPCS,Cytarabine liposome inj,,,29 ,,NW,,,,,,"$1,121.35",$0.00,1,1,1,0,0,1,20101001,J9100,HCPCS,Cytarabine hcl 100 mg inj,,,29 ,,NW,,,,,,$7.22,$0.00,1,1,1,0,0,1,20101001,J9110,HCPCS,Cytarabine hcl 500 mg inj,,,29 ,,NW,,,,,,$33.20,$0.00,1,1,1,0,0,1,20101001,J9120,HCPCS,Dactinomycin injection,,,29 ,,NW,,,,,,"$1,191.01",$0.00,1,1,1,0,0,1,20101001,J9130,HCPCS,Dacarbazine 100 mg inj,,,29 ,,NW,,,,,,$17.32,$0.00,1,1,1,0,0,1,20101001,J9140,HCPCS,Dacarbazine 200 mg inj,,,29 ,,NW,,,,,,$34.64,$0.00,1,1,1,0,0,1,20101001,J9150,HCPCS,Daunorubicin injection,,,29 ,,NW,,,,,,$67.84,$0.00,1,1,1,0,0,1,20101001,J9151,HCPCS,Daunorubicin citrate inj,,,29 ,,NW,,,,,,$161.74,$0.00,1,1,1,0,0,1,20101001,J9155,HCPCS,Degarelix injection,,,29 ,,NW,,,,,,$141.24,$0.00,1,1,1,0,0,1,20101001,J9160,HCPCS,Denileukin diftitox inj,,,29 ,,NW,,,,,,"$3,697.84",$0.00,1,1,1,0,0,1,20101001,J9165,HCPCS,Diethylstilbestrol injection,,,29 ,,NW,,,,,,$53.05,$0.00,1,1,1,0,0,1,20101001,J9170,HCPCS,Docetaxel injection,,,29 ,,NW,,,,,,$814.12,$0.00,1,1,1,0,0,1,20101001,J9171,HCPCS,Docetaxel injection,,,29 ,,NW,,,,,,$40.71,$0.00,1,1,1,0,0,1,20101001,J9175,HCPCS,Elliotts b solution per ml,,,29 ,,NW,,,,,,$11.56,$0.00,1,1,1,0,0,1,20101001,J9178,HCPCS,"Inj, epirubicin hcl, 2 mg",,,29 ,,NW,,,,,,$14.97,$0.00,1,1,1,0,0,1,20101001,J9181,HCPCS,Etoposide injection,,,29 ,,NW,,,,,,$1.44,$0.00,1,1,1,0,0,1,20101001,J9185,HCPCS,Fludarabine phosphate inj,,,29 ,,NW,,,,,,$547.93,$0.00,1,1,1,0,0,1,20101001,J9190,HCPCS,Fluorouracil injection,,,29 ,,NW,,,,,,$7.22,$0.00,1,1,1,0,0,1,20101001,J9200,HCPCS,Floxuridine injection,,,29 ,,NW,,,,,,$148.22,$0.00,1,1,1,0,0,1,20101001,J9201,HCPCS,Gemcitabine hcl injection,,,29 ,,NW,,,,,,$346.81,$0.00,1,1,1,0,0,1,20101001,J9202,HCPCS,Goserelin acetate implant,,,29 ,,NW,,,,,,$473.57,$0.00,1,1,1,0,0,1,20101001,J9206,HCPCS,Irinotecan injection,,,29 ,,NW,,,,,,$116.95,$0.00,1,1,1,0,0,1,20101001,J9207,HCPCS,Ixabepilone injection,,,29 ,,NW,,,,,,$157.49,$0.00,1,1,1,0,0,1,20101001,J9208,HCPCS,Ifosfomide injection,,,29 ,,NW,,,,,,$109.35,$0.00,1,1,1,0,0,1,20101001,J9209,HCPCS,Mesna injection,,,29 ,,NW,,,,,,$27.42,$0.00,1,1,1,0,0,1,20101001,J9211,HCPCS,Idarubicin hcl injection,,,29 ,,NW,,,,,,$579.20,$0.00,1,1,1,0,0,1,20101001,J9212,HCPCS,Interferon alfacon-1 inj,,,29 ,,NW,,,,,,$14.12,$0.00,1,1,1,0,0,1,20101001,J9213,HCPCS,Interferon alfa-2a inj,,,29 ,,NW,,,,,,$124.56,$0.00,1,1,1,0,0,1,20101001,J9214,HCPCS,Interferon alfa-2b inj,,,29 ,,NW,,,,,,$59.18,$0.00,1,1,1,0,0,1,20101001,J9215,HCPCS,Interferon alfa-n3 inj,,,29 ,,NW,,,,,,$40.41,$0.00,1,1,1,0,0,1,20101001,J9216,HCPCS,Interferon gamma 1-b inj,,,29 ,,NW,,,,,,$853.84,$0.00,1,1,1,0,0,1,20101001,J9217,HCPCS,Leuprolide acetate suspnsion,,,29 ,,NW,,,,,,$434.69,$0.00,1,1,1,0,0,1,20101001,J9218,HCPCS,Leuprolide acetate injeciton,,,29 ,,NW,,,,,,$27.42,$0.00,1,1,1,0,0,1,20101001,J9219,HCPCS,Leuprolide acetate implant,,,29 ,,NW,,,,,,"$6,646.50",$0.00,1,1,1,0,0,1,20101001,J9225,HCPCS,Vantas implant,,,29 ,,NW,,,,,,"$4,891.12",$0.00,1,1,1,0,0,1,20101001,J9226,HCPCS,Supprelin la implant,,,29 ,,NW,,,,,,"$92,876.86",$0.00,1,1,1,0,0,1,20101001,J9230,HCPCS,Mechlorethamine hcl inj,,,29 ,,NW,,,,,,$368.78,$0.00,1,1,1,0,0,1,20101001,J9245,HCPCS,Inj melphalan hydrochl 50 mg,,,29 ,,NW,,,,,,"$6,186.59",$0.00,1,1,1,0,0,1,20101001,J9250,HCPCS,Methotrexate sodium inj,,,29 ,,NW,,,,,,$1.44,$0.00,1,1,1,0,0,1,20101001,J9260,HCPCS,Methotrexate sodium inj,,,29 ,,NW,,,,,,$10.10,$0.00,1,1,1,0,0,1,20101001,J9261,HCPCS,Nelarabine injection,,,29 ,,NW,,,,,,$229.12,$0.00,1,1,1,0,0,1,20101001,J9263,HCPCS,Oxaliplatin,,,29 ,,NW,,,,,,$38.97,$0.00,1,1,1,0,0,1,20101001,J9264,HCPCS,Paclitaxel protein bound,,,29 ,,NW,,,,,,$22.65,$0.00,1,1,1,0,0,1,20101001,J9265,HCPCS,Paclitaxel injection,,,29 ,,NW,,,,,,$44.74,$0.00,1,1,1,0,0,1,20101001,J9266,HCPCS,Pegaspargase injection,,,29 ,,NW,,,,,,"$12,822.84",$0.00,1,1,1,0,0,1,20101001,J9268,HCPCS,Pentostatin injection,,,29 ,,NW,,,,,,"$6,174.55",$0.00,1,1,1,0,0,1,20101001,J9270,HCPCS,Plicamycin (mithramycin) inj,,,29 ,,NW,,,,,,$284.80,$0.00,1,1,1,0,0,1,20101001,J9280,HCPCS,Mitomycin 5 mg inj,,,29 ,,NW,,,,,,$63.51,$0.00,1,1,1,0,0,1,20101001,J9290,HCPCS,Mitomycin 20 mg inj,,,29 ,,NW,,,,,,$178.64,$0.00,1,1,1,0,0,1,20101001,J9291,HCPCS,Mitomycin 40 mg inj,,,29 ,,NW,,,,,,$327.37,$0.00,1,1,1,0,0,1,20101001,J9293,HCPCS,Mitoxantrone hydrochl / 5 mg,,,29 ,,NW,,,,,,$234.42,$0.00,1,1,1,0,0,1,20101001,J9300,HCPCS,Gemtuzumab ozogamicin inj,,,29 ,,NW,,,,,,"$12,001.74",$0.00,1,1,1,0,0,1,20101001,J9303,HCPCS,Panitumumab injection,,,29 ,,NW,,,,,,$221.74,$0.00,1,1,1,0,0,1,20101001,J9305,HCPCS,Pemetrexed injection,,,29 ,,NW,,,,,,$113.94,$0.00,1,1,1,0,0,1,20101001,J9310,HCPCS,Rituximab injection,,,29 ,,NW,,,,,,"$1,282.28",$0.00,1,1,1,0,0,1,20101001,J9320,HCPCS,Streptozocin injection,,,29 ,,NW,,,,,,$490.47,$0.00,1,1,1,0,0,1,20101001,J9328,HCPCS,Temozolomide injection,,,29 ,,NW,,,,,,$33.20,$0.00,1,1,1,0,0,1,20101001,J9330,HCPCS,Temsirolimus injection,,,29 ,,NW,,,,,,$74.94,$0.00,1,1,1,0,0,1,20101001,J9340,HCPCS,Thiotepa injection,,,29 ,,NW,,,,,,$251.32,$0.00,1,1,1,0,0,1,20101001,J9350,HCPCS,Topotecan injection,,,29 ,,NW,,,,,,"$2,210.14",$0.00,1,1,1,0,0,1,20101001,J9355,HCPCS,Trastuzumab injection,,,29 ,,NW,,,,,,$148.07,$0.00,1,1,1,0,0,1,20101001,J9357,HCPCS,Valrubicin injection,,,29 ,,NW,,,,,,"$1,046.74",$0.00,1,1,1,0,0,1,20101001,J9360,HCPCS,Vinblastine sulfate inj,,,29 ,,NW,,,,,,$4.33,$0.00,1,1,1,0,0,1,20101001,J9370,HCPCS,Vincristine sulfate 1 mg inj,,,29 ,,NW,,,,,,$27.42,$0.00,1,1,1,0,0,1,20101001,J9375,HCPCS,Vincristine sulfate 2 mg inj,,,29 ,,NW,,,,,,$54.85,$0.00,1,1,1,0,0,1,20101001,J9380,HCPCS,Vincristine sulfate 5 mg inj,,,29 ,,NW,,,,,,$109.35,$0.00,1,1,1,0,0,1,20101001,J9390,HCPCS,Vinorelbine tartrate inj,,,29 ,,NW,,,,,,$66.39,$0.00,1,1,1,0,0,1,20101001,J9395,HCPCS,"Injection, fulvestrant",,,29 ,,NW,,,,,,$194.14,$0.00,1,1,1,0,0,1,20101001,J9600,HCPCS,Porfimer sodium injection,,,29 ,,NW,,,,,,"$12,288.28",$0.00,1,1,1,0,0,1,20101001,J9999,HCPCS,Chemotherapy drug,,,29 ,,NW,,,,,,$25.75,$0.00,1,1,1,0,0,1,20101001,K0001,HCPCS,Standard wheelchair,,,28 ,,NW,,,,,,$702.98,$0.00,1,1,1,1,1,1,20101001,K0001,HCPCS,Standard wheelchair,NU,,28 ,,NW,,,,,,$702.98,$0.00,1,1,1,1,1,1,20101001,K0001,HCPCS,Standard wheelchair,RR,,28 ,,NW,,,,,,$76.93,$0.00,1,1,1,1,1,1,20101001,K0001,HCPCS,Standard wheelchair,UE,,28 ,,NW,,,,,,$529.39,$0.00,1,1,1,1,1,1,20101001,K0002,HCPCS,Stnd hemi (low seat) whlchr,,,28 ,,NW,,,,,,"$1,708.05",$0.00,1,1,1,1,1,1,20101001,K0002,HCPCS,Stnd hemi (low seat) whlchr,NU,,28 ,,NW,,,,,,"$1,708.05",$0.00,1,1,1,1,1,1,20101001,K0002,HCPCS,Stnd hemi (low seat) whlchr,RR,,28 ,,NW,,,,,,$116.62,$0.00,1,1,1,1,1,1,20101001,K0002,HCPCS,Stnd hemi (low seat) whlchr,UE,,28 ,,NW,,,,,,"$1,263.96",$0.00,1,1,1,1,1,1,20101001,K0003,HCPCS,Lightweight wheelchair,,,28 ,,NW,,,,,,"$1,869.87",$0.00,1,1,1,1,1,1,20101001,K0003,HCPCS,Lightweight wheelchair,NU,,28 ,,NW,,,,,,"$1,869.87",$0.00,1,1,1,1,1,1,20101001,K0003,HCPCS,Lightweight wheelchair,RR,,28 ,,NW,,,,,,$127.50,$0.00,1,1,1,1,1,1,20101001,K0003,HCPCS,Lightweight wheelchair,UE,,28 ,,NW,,,,,,"$1,383.70",$0.00,1,1,1,1,1,1,20101001,K0004,HCPCS,High strength ltwt whlchr,,,28 ,,NW,,,,,,"$2,789.21",$0.00,1,1,1,1,1,1,20101001,K0004,HCPCS,High strength ltwt whlchr,NU,,28 ,,NW,,,,,,"$2,789.21",$0.00,1,1,1,1,1,1,20101001,K0004,HCPCS,High strength ltwt whlchr,RR,,28 ,,NW,,,,,,$167.66,$0.00,1,1,1,1,1,1,20101001,K0004,HCPCS,High strength ltwt whlchr,UE,,28 ,,NW,,,,,,"$2,064.01",$0.00,1,1,1,1,1,1,20101001,K0005,HCPCS,Ultralightweight wheelchair,,,28 ,,NW,,,,,,$265.76,$0.00,1,1,1,1,1,1,20101001,K0005,HCPCS,Ultralightweight wheelchair,NU,,28 ,,NW,,,,,,"$1,592.36",$0.00,1,1,1,1,1,1,20101001,K0005,HCPCS,Ultralightweight wheelchair,RR,,28 ,,NW,,,,,,$265.76,$0.00,1,1,1,1,1,1,20101001,K0005,HCPCS,Ultralightweight wheelchair,UE,,28 ,,NW,,,,,,"$2,036.38",$0.00,1,1,1,1,1,1,20101001,K0006,HCPCS,Heavy duty wheelchair,,,28 ,,NW,,,,,,"$2,617.57",$0.00,1,1,1,1,1,1,20101001,K0006,HCPCS,Heavy duty wheelchair,NU,,28 ,,NW,,,,,,"$2,617.57",$0.00,1,1,1,1,1,1,20101001,K0006,HCPCS,Heavy duty wheelchair,RR,,28 ,,NW,,,,,,$161.63,$0.00,1,1,1,1,1,1,20101001,K0006,HCPCS,Heavy duty wheelchair,UE,,28 ,,NW,,,,,,"$1,937.00",$0.00,1,1,1,1,1,1,20101001,K0007,HCPCS,Extra heavy duty wheelchair,,,28 ,,NW,,,,,,"$3,725.74",$0.00,1,1,1,1,1,1,20101001,K0007,HCPCS,Extra heavy duty wheelchair,NU,,28 ,,NW,,,,,,"$3,725.74",$0.00,1,1,1,1,1,1,20101001,K0007,HCPCS,Extra heavy duty wheelchair,RR,,28 ,,NW,,,,,,$209.19,$0.00,1,1,1,1,1,1,20101001,K0007,HCPCS,Extra heavy duty wheelchair,UE,,28 ,,NW,,,,,,"$2,757.04",$0.00,1,1,1,1,1,1,20101001,K0009,HCPCS,Other manual wheelchair/base,,,28 ,,NW,,,,,,$971.03,$0.00,1,1,1,1,1,1,20101001,K0010,HCPCS,Stnd wt frame power whlchr,,,28 ,,NW,,,,,,"$3,576.56",$0.00,1,1,1,1,1,1,20101001,K0010,HCPCS,Stnd wt frame power whlchr,NU,,28 ,,NW,,,,,,"$3,576.56",$0.00,1,1,1,1,1,1,20101001,K0010,HCPCS,Stnd wt frame power whlchr,RR,,28 ,,NW,,,,,,$391.42,$0.00,1,1,1,1,1,1,20101001,K0010,HCPCS,Stnd wt frame power whlchr,UE,,28 ,,NW,,,,,,"$2,693.38",$0.00,1,1,1,1,1,1,20101001,K0011,HCPCS,Stnd wt pwr whlchr w control,,,28 ,,NW,,,,,,"$8,685.92",$0.00,1,1,1,1,1,1,20101001,K0011,HCPCS,Stnd wt pwr whlchr w control,NU,,28 ,,NW,,,,,,"$8,685.92",$0.00,1,1,1,1,1,1,20101001,K0011,HCPCS,Stnd wt pwr whlchr w control,RR,,28 ,,NW,,,,,,$950.59,$0.00,1,1,1,1,1,1,20101001,K0012,HCPCS,Ltwt portbl power whlchr,,,28 ,,NW,,,,,,"$2,982.26",$0.00,1,1,1,1,1,1,20101001,K0012,HCPCS,Ltwt portbl power whlchr,RR,,28 ,,NW,,,,,,$326.38,$0.00,1,1,1,1,1,1,20101001,K0014,HCPCS,Other power whlchr base,,,28 ,,NW,,,,,,"$3,613.87",$0.00,1,1,1,1,1,1,20101001,K0015,HCPCS,Detach non-adjus hght armrst,,,28 ,,NW,,,,,,$343.99,$0.00,1,1,1,1,1,1,20101001,K0015,HCPCS,Detach non-adjus hght armrst,NU,,28 ,,NW,,,,,,$343.99,$0.00,1,1,1,1,1,1,20101001,K0015,HCPCS,Detach non-adjus hght armrst,RR,,28 ,,NW,,,,,,$49.31,$0.00,1,1,1,1,1,1,20101001,K0015,HCPCS,Detach non-adjus hght armrst,UE,,28 ,,NW,,,,,,$274.13,$0.00,1,1,1,1,1,1,20101001,K0017,HCPCS,Detach adjust armrest base,,,28 ,,NW,,,,,,$142.97,$0.00,1,1,1,1,1,1,20101001,K0017,HCPCS,Detach adjust armrest base,NU,,28 ,,NW,,,,,,$142.97,$0.00,1,1,1,1,1,1,20101001,K0017,HCPCS,Detach adjust armrest base,RR,,28 ,,NW,,,,,,$12.23,$0.00,1,1,1,1,1,1,20101001,K0017,HCPCS,Detach adjust armrest base,UE,,28 ,,NW,,,,,,$106.64,$0.00,1,1,1,1,1,1,20101001,K0018,HCPCS,Detach adjust armrst upper,,,28 ,,NW,,,,,,$78.86,$0.00,1,1,1,1,1,1,20101001,K0018,HCPCS,Detach adjust armrst upper,NU,,28 ,,NW,,,,,,$78.86,$0.00,1,1,1,1,1,1,20101001,K0018,HCPCS,Detach adjust armrst upper,RR,,28 ,,NW,,,,,,$6.80,$0.00,1,1,1,1,1,1,20101001,K0018,HCPCS,Detach adjust armrst upper,UE,,28 ,,NW,,,,,,$58.59,$0.00,1,1,1,1,1,1,20101001,K0019,HCPCS,Arm pad each,,,28 ,,NW,,,,,,$45.88,$0.00,1,1,1,1,1,1,20101001,K0019,HCPCS,Arm pad each,NU,,28 ,,NW,,,,,,$45.88,$0.00,1,1,1,1,1,1,20101001,K0019,HCPCS,Arm pad each,RR,,28 ,,NW,,,,,,$4.06,$0.00,1,1,1,1,1,1,20101001,K0019,HCPCS,Arm pad each,UE,,28 ,,NW,,,,,,$33.82,$0.00,1,1,1,1,1,1,20101001,K0020,HCPCS,Fixed adjust armrest pair,,,28 ,,NW,,,,,,$129.75,$0.00,1,1,1,1,1,1,20101001,K0020,HCPCS,Fixed adjust armrest pair,NU,,28 ,,NW,,,,,,$129.75,$0.00,1,1,1,1,1,1,20101001,K0020,HCPCS,Fixed adjust armrest pair,RR,,28 ,,NW,,,,,,$11.12,$0.00,1,1,1,1,1,1,20101001,K0020,HCPCS,Fixed adjust armrest pair,UE,,28 ,,NW,,,,,,$96.70,$0.00,1,1,1,1,1,1,20101001,K0037,HCPCS,High mount flip-up footrest,,,28 ,,NW,,,,,,$130.26,$0.00,1,1,1,1,1,1,20101001,K0037,HCPCS,High mount flip-up footrest,NU,,28 ,,NW,,,,,,$130.26,$0.00,1,1,1,1,1,1,20101001,K0037,HCPCS,High mount flip-up footrest,RR,,28 ,,NW,,,,,,$10.03,$0.00,1,1,1,1,1,1,20101001,K0037,HCPCS,High mount flip-up footrest,UE,,28 ,,NW,,,,,,$97.16,$0.00,1,1,1,1,1,1,20101001,K0038,HCPCS,Leg strap each,,,28 ,,NW,,,,,,$66.65,$0.00,1,1,1,1,1,1,20101001,K0038,HCPCS,Leg strap each,NU,,28 ,,NW,,,,,,$66.65,$0.00,1,1,1,1,1,1,20101001,K0038,HCPCS,Leg strap each,RR,,28 ,,NW,,,,,,$5.81,$0.00,1,1,1,1,1,1,20101001,K0038,HCPCS,Leg strap each,UE,,28 ,,NW,,,,,,$49.42,$0.00,1,1,1,1,1,1,20101001,K0039,HCPCS,Leg strap h style each,,,28 ,,NW,,,,,,$147.49,$0.00,1,1,1,1,1,1,20101001,K0039,HCPCS,Leg strap h style each,NU,,28 ,,NW,,,,,,$147.49,$0.00,1,1,1,1,1,1,20101001,K0039,HCPCS,Leg strap h style each,RR,,28 ,,NW,,,,,,$13.05,$0.00,1,1,1,1,1,1,20101001,K0039,HCPCS,Leg strap h style each,UE,,28 ,,NW,,,,,,$112.56,$0.00,1,1,1,1,1,1,20101001,K0040,HCPCS,Adjustable angle footplate,,,28 ,,NW,,,,,,$179.46,$0.00,1,1,1,1,1,1,20101001,K0040,HCPCS,Adjustable angle footplate,NU,,28 ,,NW,,,,,,$179.46,$0.00,1,1,1,1,1,1,20101001,K0040,HCPCS,Adjustable angle footplate,RR,,28 ,,NW,,,,,,$18.88,$0.00,1,1,1,1,1,1,20101001,K0040,HCPCS,Adjustable angle footplate,UE,,28 ,,NW,,,,,,$150.74,$0.00,1,1,1,1,1,1,20101001,K0041,HCPCS,Large size footplate each,,,28 ,,NW,,,,,,$146.02,$0.00,1,1,1,1,1,1,20101001,K0041,HCPCS,Large size footplate each,NU,,28 ,,NW,,,,,,$146.02,$0.00,1,1,1,1,1,1,20101001,K0041,HCPCS,Large size footplate each,RR,,28 ,,NW,,,,,,$12.78,$0.00,1,1,1,1,1,1,20101001,K0041,HCPCS,Large size footplate each,UE,,28 ,,NW,,,,,,$110.50,$0.00,1,1,1,1,1,1,20101001,K0042,HCPCS,Standard size footplate each,,,28 ,,NW,,,,,,$95.77,$0.00,1,1,1,1,1,1,20101001,K0042,HCPCS,Standard size footplate each,NU,,28 ,,NW,,,,,,$95.77,$0.00,1,1,1,1,1,1,20101001,K0042,HCPCS,Standard size footplate each,RR,,28 ,,NW,,,,,,$8.24,$0.00,1,1,1,1,1,1,20101001,K0042,HCPCS,Standard size footplate each,UE,,28 ,,NW,,,,,,$71.25,$0.00,1,1,1,1,1,1,20101001,K0043,HCPCS,Ftrst lower extension tube,,,28 ,,NW,,,,,,$53.21,$0.00,1,1,1,1,1,1,20101001,K0043,HCPCS,Ftrst lower extension tube,NU,,28 ,,NW,,,,,,$53.21,$0.00,1,1,1,1,1,1,20101001,K0043,HCPCS,Ftrst lower extension tube,RR,,28 ,,NW,,,,,,$4.67,$0.00,1,1,1,1,1,1,20101001,K0043,HCPCS,Ftrst lower extension tube,UE,,28 ,,NW,,,,,,$39.35,$0.00,1,1,1,1,1,1,20101001,K0044,HCPCS,Ftrst upper hanger bracket,,,28 ,,NW,,,,,,$45.00,$0.00,1,1,1,1,1,1,20101001,K0044,HCPCS,Ftrst upper hanger bracket,NU,,28 ,,NW,,,,,,$45.00,$0.00,1,1,1,1,1,1,20101001,K0044,HCPCS,Ftrst upper hanger bracket,RR,,28 ,,NW,,,,,,$3.99,$0.00,1,1,1,1,1,1,20101001,K0044,HCPCS,Ftrst upper hanger bracket,UE,,28 ,,NW,,,,,,$33.15,$0.00,1,1,1,1,1,1,20101001,K0045,HCPCS,Footrest complete assembly,,,28 ,,NW,,,,,,$152.01,$0.00,1,1,1,1,1,1,20101001,K0045,HCPCS,Footrest complete assembly,NU,,28 ,,NW,,,,,,$152.01,$0.00,1,1,1,1,1,1,20101001,K0045,HCPCS,Footrest complete assembly,RR,,28 ,,NW,,,,,,$14.18,$0.00,1,1,1,1,1,1,20101001,K0045,HCPCS,Footrest complete assembly,UE,,28 ,,NW,,,,,,$118.85,$0.00,1,1,1,1,1,1,20101001,K0046,HCPCS,Elevat legrst low extension,,,28 ,,NW,,,,,,$53.21,$0.00,1,1,1,1,1,1,20101001,K0046,HCPCS,Elevat legrst low extension,NU,,28 ,,NW,,,,,,$53.21,$0.00,1,1,1,1,1,1,20101001,K0046,HCPCS,Elevat legrst low extension,RR,,28 ,,NW,,,,,,$4.67,$0.00,1,1,1,1,1,1,20101001,K0046,HCPCS,Elevat legrst low extension,UE,,28 ,,NW,,,,,,$39.36,$0.00,1,1,1,1,1,1,20101001,K0047,HCPCS,Elevat legrst up hangr brack,,,28 ,,NW,,,,,,$182.24,$0.00,1,1,1,1,1,1,20101001,K0047,HCPCS,Elevat legrst up hangr brack,NU,,28 ,,NW,,,,,,$182.24,$0.00,1,1,1,1,1,1,20101001,K0047,HCPCS,Elevat legrst up hangr brack,RR,,28 ,,NW,,,,,,$19.48,$0.00,1,1,1,1,1,1,20101001,K0047,HCPCS,Elevat legrst up hangr brack,UE,,28 ,,NW,,,,,,$152.82,$0.00,1,1,1,1,1,1,20101001,K0050,HCPCS,Ratchet assembly,,,28 ,,NW,,,,,,$90.08,$0.00,1,1,1,1,1,1,20101001,K0050,HCPCS,Ratchet assembly,NU,,28 ,,NW,,,,,,$90.08,$0.00,1,1,1,1,1,1,20101001,K0050,HCPCS,Ratchet assembly,RR,,28 ,,NW,,,,,,$7.75,$0.00,1,1,1,1,1,1,20101001,K0050,HCPCS,Ratchet assembly,UE,,28 ,,NW,,,,,,$67.02,$0.00,1,1,1,1,1,1,20101001,K0051,HCPCS,Cam relese assem ftrst/lgrst,,,28 ,,NW,,,,,,$145.53,$0.00,1,1,1,1,1,1,20101001,K0051,HCPCS,Cam relese assem ftrst/lgrst,NU,,28 ,,NW,,,,,,$145.53,$0.00,1,1,1,1,1,1,20101001,K0051,HCPCS,Cam relese assem ftrst/lgrst,RR,,28 ,,NW,,,,,,$12.71,$0.00,1,1,1,1,1,1,20101001,K0051,HCPCS,Cam relese assem ftrst/lgrst,UE,,28 ,,NW,,,,,,$109.80,$0.00,1,1,1,1,1,1,20101001,K0052,HCPCS,Swingaway detach footrest,,,28 ,,NW,,,,,,$206.80,$0.00,1,1,1,1,1,1,20101001,K0052,HCPCS,Swingaway detach footrest,NU,,28 ,,NW,,,,,,$206.80,$0.00,1,1,1,1,1,1,20101001,K0052,HCPCS,Swingaway detach footrest,RR,,28 ,,NW,,,,,,$23.97,$0.00,1,1,1,1,1,1,20101001,K0052,HCPCS,Swingaway detach footrest,UE,,28 ,,NW,,,,,,$171.23,$0.00,1,1,1,1,1,1,20101001,K0053,HCPCS,Elevate footrest articulate,,,28 ,,NW,,,,,,$221.52,$0.00,1,1,1,1,1,1,20101001,K0053,HCPCS,Elevate footrest articulate,NU,,28 ,,NW,,,,,,$221.52,$0.00,1,1,1,1,1,1,20101001,K0053,HCPCS,Elevate footrest articulate,RR,,28 ,,NW,,,,,,$26.67,$0.00,1,1,1,1,1,1,20101001,K0053,HCPCS,Elevate footrest articulate,UE,,28 ,,NW,,,,,,$182.29,$0.00,1,1,1,1,1,1,20101001,K0056,HCPCS,Seat ht <17 or >=21 ltwt wc,,,28 ,,NW,,,,,,$142.83,$0.00,1,1,1,1,1,1,20101001,K0056,HCPCS,Seat ht <17 or >=21 ltwt wc,NU,,28 ,,NW,,,,,,$142.83,$0.00,1,1,1,1,1,1,20101001,K0056,HCPCS,Seat ht <17 or >=21 ltwt wc,RR,,28 ,,NW,,,,,,$12.23,$0.00,1,1,1,1,1,1,20101001,K0056,HCPCS,Seat ht <17 or >=21 ltwt wc,UE,,28 ,,NW,,,,,,$106.57,$0.00,1,1,1,1,1,1,20101001,K0065,HCPCS,Spoke protectors,,,28 ,,NW,,,,,,$65.57,$0.00,1,1,1,1,1,1,20101001,K0065,HCPCS,Spoke protectors,NU,,28 ,,NW,,,,,,$65.57,$0.00,1,1,1,1,1,1,20101001,K0065,HCPCS,Spoke protectors,RR,,28 ,,NW,,,,,,$5.71,$0.00,1,1,1,1,1,1,20101001,K0065,HCPCS,Spoke protectors,UE,,28 ,,NW,,,,,,$48.60,$0.00,1,1,1,1,1,1,20101001,K0069,HCPCS,Rear whl complete solid tire,,,28 ,,NW,,,,,,$147.13,$0.00,1,1,1,1,1,1,20101001,K0069,HCPCS,Rear whl complete solid tire,NU,,28 ,,NW,,,,,,$147.13,$0.00,1,1,1,1,1,1,20101001,K0069,HCPCS,Rear whl complete solid tire,RR,,28 ,,NW,,,,,,$13.25,$0.00,1,1,1,1,1,1,20101001,K0069,HCPCS,Rear whl complete solid tire,UE,,28 ,,NW,,,,,,$112.06,$0.00,1,1,1,1,1,1,20101001,K0070,HCPCS,Rear whl compl pneum tire,,,28 ,,NW,,,,,,$215.87,$0.00,1,1,1,1,1,1,20101001,K0070,HCPCS,Rear whl compl pneum tire,NU,,28 ,,NW,,,,,,$215.87,$0.00,1,1,1,1,1,1,20101001,K0070,HCPCS,Rear whl compl pneum tire,RR,,28 ,,NW,,,,,,$25.66,$0.00,1,1,1,1,1,1,20101001,K0070,HCPCS,Rear whl compl pneum tire,UE,,28 ,,NW,,,,,,$178.02,$0.00,1,1,1,1,1,1,20101001,K0071,HCPCS,Front castr compl pneum tire,,,28 ,,NW,,,,,,$154.86,$0.00,1,1,1,1,1,1,20101001,K0071,HCPCS,Front castr compl pneum tire,NU,,28 ,,NW,,,,,,$154.86,$0.00,1,1,1,1,1,1,20101001,K0071,HCPCS,Front castr compl pneum tire,RR,,28 ,,NW,,,,,,$14.39,$0.00,1,1,1,1,1,1,20101001,K0071,HCPCS,Front castr compl pneum tire,UE,,28 ,,NW,,,,,,$122.77,$0.00,1,1,1,1,1,1,20101001,K0072,HCPCS,Frnt cstr cmpl sem-pneum tir,,,28 ,,NW,,,,,,$97.57,$0.00,1,1,1,1,1,1,20101001,K0072,HCPCS,Frnt cstr cmpl sem-pneum tir,NU,,28 ,,NW,,,,,,$97.57,$0.00,1,1,1,1,1,1,20101001,K0072,HCPCS,Frnt cstr cmpl sem-pneum tir,RR,,28 ,,NW,,,,,,$8.41,$0.00,1,1,1,1,1,1,20101001,K0072,HCPCS,Frnt cstr cmpl sem-pneum tir,UE,,28 ,,NW,,,,,,$72.61,$0.00,1,1,1,1,1,1,20101001,K0073,HCPCS,Caster pin lock each,,,28 ,,NW,,,,,,$49.81,$0.00,1,1,1,1,1,1,20101001,K0073,HCPCS,Caster pin lock each,NU,,28 ,,NW,,,,,,$49.81,$0.00,1,1,1,1,1,1,20101001,K0073,HCPCS,Caster pin lock each,RR,,28 ,,NW,,,,,,$4.39,$0.00,1,1,1,1,1,1,20101001,K0073,HCPCS,Caster pin lock each,UE,,28 ,,NW,,,,,,$36.78,$0.00,1,1,1,1,1,1,20101001,K0077,HCPCS,Front caster assem complete,,,28 ,,NW,,,,,,$87.53,$0.00,1,1,1,1,1,1,20101001,K0077,HCPCS,Front caster assem complete,NU,,28 ,,NW,,,,,,$87.53,$0.00,1,1,1,1,1,1,20101001,K0077,HCPCS,Front caster assem complete,RR,,28 ,,NW,,,,,,$7.56,$0.00,1,1,1,1,1,1,20101001,K0077,HCPCS,Front caster assem complete,UE,,28 ,,NW,,,,,,$65.07,$0.00,1,1,1,1,1,1,20101001,K0098,HCPCS,Drive belt power wheelchair,,,28 ,,NW,,,,,,$73.89,$0.00,1,1,1,1,1,1,20101001,K0098,HCPCS,Drive belt power wheelchair,NU,,28 ,,NW,,,,,,$73.89,$0.00,1,1,1,1,1,1,20101001,K0098,HCPCS,Drive belt power wheelchair,RR,,28 ,,NW,,,,,,$6.43,$0.00,1,1,1,1,1,1,20101001,K0098,HCPCS,Drive belt power wheelchair,UE,,28 ,,NW,,,,,,$54.83,$0.00,1,1,1,1,1,1,20101001,K0105,HCPCS,Iv hanger,,,28 ,,NW,,,,,,$146.75,$0.00,1,1,1,1,1,1,20101001,K0105,HCPCS,Iv hanger,NU,,28 ,,NW,,,,,,$146.75,$0.00,1,1,1,1,1,1,20101001,K0105,HCPCS,Iv hanger,RR,,28 ,,NW,,,,,,$12.86,$0.00,1,1,1,1,1,1,20101001,K0105,HCPCS,Iv hanger,UE,,28 ,,NW,,,,,,$111.54,$0.00,1,1,1,1,1,1,20101001,K0108,HCPCS,W/c component-accessory nos,,,28 ,,NW,,,,,,$243.84,$0.00,1,1,1,1,1,1,20101001,K0195,HCPCS,Elevating whlchair leg rests,,,28 ,,NW,,,,,,$507.85,$0.00,1,1,1,1,1,1,20101001,K0195,HCPCS,Elevating whlchair leg rests,RR,,28 ,,NW,,,,,,$55.58,$0.00,1,1,1,1,1,1,20101001,K0455,HCPCS,Pump uninterrupted infusion,,,28 ,,NW,,,,,,"$5,322.93",$0.00,1,1,1,1,1,1,20101001,K0455,HCPCS,Pump uninterrupted infusion,RR,,28 ,,NW,,,,,,$582.54,$0.00,1,1,1,1,1,1,20101001,K0462,HCPCS,Temporary Replacement Eqpmnt,,,28 ,,NW,,,,,,$630.05,$0.00,1,1,1,1,1,1,20101001,K0552,HCPCS,Supply/ext inf pump syr type,,,28 ,,NW,,,,,,$7.18,$0.00,1,1,1,1,1,1,20101001,K0601,HCPCS,Repl batt silver oxide 1.5 v,,,28 ,,NW,,,,,,$2.48,$0.00,1,1,1,1,1,1,20101001,K0601,HCPCS,Repl batt silver oxide 1.5 v,NU,,28 ,,NW,,,,,,$3.02,$0.00,1,1,1,1,1,1,20101001,K0602,HCPCS,Repl batt silver oxide 3 v,,,28 ,,NW,,,,,,$12.41,$0.00,1,1,1,1,1,1,20101001,K0602,HCPCS,Repl batt silver oxide 3 v,NU,,28 ,,NW,,,,,,$15.74,$0.00,1,1,1,1,1,1,20101001,K0603,HCPCS,Repl batt alkaline 1.5 v,,,28 ,,NW,,,,,,$1.24,$0.00,1,1,1,1,1,1,20101001,K0603,HCPCS,Repl batt alkaline 1.5 v,NU,,28 ,,NW,,,,,,$1.56,$0.00,1,1,1,1,1,1,20101001,K0604,HCPCS,Repl batt lithium 3.6 v,,,28 ,,NW,,,,,,$12.41,$0.00,1,1,1,1,1,1,20101001,K0604,HCPCS,Repl batt lithium 3.6 v,NU,,28 ,,NW,,,,,,$15.26,$0.00,1,1,1,1,1,1,20101001,K0605,HCPCS,Repl batt lithium 4.5 v,,,28 ,,NW,,,,,,$23.47,$0.00,1,1,1,1,1,1,20101001,K0605,HCPCS,Repl batt lithium 4.5 v,NU,,28 ,,NW,,,,,,$29.77,$0.00,1,1,1,1,1,1,20101001,K0606,HCPCS,Aed Garment W Elec Analysis,,,28 ,,NW,,,,,,"$54,848.81",$0.00,1,1,1,1,1,1,20101001,K0606,HCPCS,Aed Garment W Elec Analysis,KF,,28 ,,NW,,,,,,"$54,848.81",$0.00,1,1,1,1,1,1,20101001,K0606,HCPCS,Aed Garment W Elec Analysis,RR,,28 ,,NW,,,,,,"$6,002.66",$0.00,1,1,1,1,1,1,20101001,K0607,HCPCS,Repl batt for aed,,,28 ,,NW,,,,,,$954.73,$0.00,1,1,1,1,1,1,20101001,K0607,HCPCS,Repl batt for aed,NU,,28 ,,NW,,,,,,$954.73,$0.00,1,1,1,1,1,1,20101001,K0607,HCPCS,Repl batt for aed,RR,,28 ,,NW,,,,,,$74.75,$0.00,1,1,1,1,1,1,20101001,K0607,HCPCS,Repl batt for aed,UE,,28 ,,NW,,,,,,$709.40,$0.00,1,1,1,1,1,1,20101001,K0608,HCPCS,Repl garment for aed,,,28 ,,NW,,,,,,$585.84,$0.00,1,1,1,1,1,1,20101001,K0608,HCPCS,Repl garment for aed,NU,,28 ,,NW,,,,,,$585.84,$0.00,1,1,1,1,1,1,20101001,K0608,HCPCS,Repl garment for aed,RR,,28 ,,NW,,,,,,$48.53,$0.00,1,1,1,1,1,1,20101001,K0608,HCPCS,Repl garment for aed,UE,,28 ,,NW,,,,,,$432.75,$0.00,1,1,1,1,1,1,20101001,K0609,HCPCS,Repl electrode for aed,,,28 ,,NW,,,,,,"$1,903.36",$0.00,1,1,1,1,1,1,20101001,K0609,HCPCS,Repl electrode for aed,KF,,28 ,,NW,,,,,,"$2,116.14",$0.00,1,1,1,1,1,1,20101001,K0669,HCPCS,Seat/Back Cus No Sadmerc Ver,,,28 ,,NW,,,,,,$35.47,$0.00,1,1,1,1,1,1,20101001,K0669,HCPCS,Seat/Back Cus No Sadmerc Ver,NU,,28 ,,NW,,,,,,$35.47,$0.00,1,1,1,1,1,1,20101001,K0672,HCPCS,"Remove soft interface, repl",,,28 ,,NW,,,,,,$147.24,$0.00,1,1,1,1,1,1,20101001,K0730,HCPCS,Ctrl dose inh drug deliv sys,,,28 ,,NW,,,,,,"$4,101.07",$0.00,1,1,1,1,1,1,20101001,K0730,HCPCS,Ctrl dose inh drug deliv sys,NU,,28 ,,NW,,,,,,"$4,101.07",$0.00,1,1,1,1,1,1,20101001,K0730,HCPCS,Ctrl dose inh drug deliv sys,RR,,28 ,,NW,,,,,,$386.18,$0.00,1,1,1,1,1,1,20101001,K0730,HCPCS,Ctrl dose inh drug deliv sys,UE,,28 ,,NW,,,,,,"$3,069.15",$0.00,1,1,1,1,1,1,20101001,K0733,HCPCS,12-24hr sealed lead acid,,,28 ,,NW,,,,,,$83.87,$0.00,1,1,1,1,1,1,20101001,K0733,HCPCS,12-24hr sealed lead acid,NU,,28 ,,NW,,,,,,$83.87,$0.00,1,1,1,1,1,1,20101001,K0733,HCPCS,12-24hr sealed lead acid,RR,,28 ,,NW,,,,,,$7.30,$0.00,1,1,1,1,1,1,20101001,K0733,HCPCS,12-24hr sealed lead acid,UE,,28 ,,NW,,,,,,$62.36,$0.00,1,1,1,1,1,1,20101001,K0734,HCPCS,Adj skin pro w/c cus wd<22in,,,28 ,,NW,,,,,,$576.25,$0.00,1,1,1,1,1,1,20101001,K0734,HCPCS,Adj skin pro w/c cus wd<22in,NU,,28 ,,NW,,,,,,$576.25,$0.00,1,1,1,1,1,1,20101001,K0734,HCPCS,Adj skin pro w/c cus wd<22in,RR,,28 ,,NW,,,,,,$92.26,$0.00,1,1,1,1,1,1,20101001,K0734,HCPCS,Adj skin pro w/c cus wd<22in,UE,,28 ,,NW,,,,,,$448.34,$0.00,1,1,1,1,1,1,20101001,K0735,HCPCS,Adj skin pro wc cus wd>=22in,,,28 ,,NW,,,,,,$715.65,$0.00,1,1,1,1,1,1,20101001,K0735,HCPCS,Adj skin pro wc cus wd>=22in,NU,,28 ,,NW,,,,,,$715.65,$0.00,1,1,1,1,1,1,20101001,K0735,HCPCS,Adj skin pro wc cus wd>=22in,RR,,28 ,,NW,,,,,,$118.04,$0.00,1,1,1,1,1,1,20101001,K0735,HCPCS,Adj skin pro wc cus wd>=22in,UE,,28 ,,NW,,,,,,$552.89,$0.00,1,1,1,1,1,1,20101001,K0736,HCPCS,Adj skin pro/pos wc cus<22in,,,28 ,,NW,,,,,,$580.45,$0.00,1,1,1,1,1,1,20101001,K0736,HCPCS,Adj skin pro/pos wc cus<22in,NU,,28 ,,NW,,,,,,$580.45,$0.00,1,1,1,1,1,1,20101001,K0736,HCPCS,Adj skin pro/pos wc cus<22in,RR,,28 ,,NW,,,,,,$93.03,$0.00,1,1,1,1,1,1,20101001,K0736,HCPCS,Adj skin pro/pos wc cus<22in,UE,,28 ,,NW,,,,,,$451.52,$0.00,1,1,1,1,1,1,20101001,K0737,HCPCS,"Adj skin pro/pos wc cus>=22""",,,28 ,,NW,,,,,,$717.63,$0.00,1,1,1,1,1,1,20101001,K0737,HCPCS,"Adj skin pro/pos wc cus>=22""",NU,,28 ,,NW,,,,,,$717.63,$0.00,1,1,1,1,1,1,20101001,K0737,HCPCS,"Adj skin pro/pos wc cus>=22""",RR,,28 ,,NW,,,,,,$118.36,$0.00,1,1,1,1,1,1,20101001,K0737,HCPCS,"Adj skin pro/pos wc cus>=22""",UE,,28 ,,NW,,,,,,$554.37,$0.00,1,1,1,1,1,1,20101001,K0738,HCPCS,Portable Gas Oxygen System,,,28 ,,NW,,,,,,"$1,307.13",$0.00,1,1,1,1,1,1,20101001,K0738,HCPCS,Portable Gas Oxygen System,RR,,28 ,,NW,,,,,,$143.05,$0.00,1,1,1,1,1,1,20101001,K0800,HCPCS,Pov group 1 std up to 300lbs,,,28 ,,NW,,,,,,$988.34,$0.00,1,1,1,1,1,1,20101001,K0800,HCPCS,Pov group 1 std up to 300lbs,NU,,28 ,,NW,,,,,,$988.34,$0.00,1,1,1,1,1,1,20101001,K0800,HCPCS,Pov group 1 std up to 300lbs,RR,,28 ,,NW,,,,,,$156.99,$0.00,1,1,1,1,1,1,20101001,K0800,HCPCS,Pov group 1 std up to 300lbs,UE,,28 ,,NW,,,,,,$757.41,$0.00,1,1,1,1,1,1,20101001,K0801,HCPCS,Pov group 1 hd 301-450 lbs,,,28 ,,NW,,,,,,"$1,553.85",$0.00,1,1,1,1,1,1,20101001,K0801,HCPCS,Pov group 1 hd 301-450 lbs,NU,,28 ,,NW,,,,,,"$1,553.85",$0.00,1,1,1,1,1,1,20101001,K0801,HCPCS,Pov group 1 hd 301-450 lbs,RR,,28 ,,NW,,,,,,$213.52,$0.00,1,1,1,1,1,1,20101001,K0801,HCPCS,Pov group 1 hd 301-450 lbs,UE,,28 ,,NW,,,,,,"$1,181.53",$0.00,1,1,1,1,1,1,20101001,K0802,HCPCS,Pov group 1 vhd 451-600 lbs,,,28 ,,NW,,,,,,"$1,749.95",$0.00,1,1,1,1,1,1,20101001,K0802,HCPCS,Pov group 1 vhd 451-600 lbs,NU,,28 ,,NW,,,,,,"$1,749.95",$0.00,1,1,1,1,1,1,20101001,K0802,HCPCS,Pov group 1 vhd 451-600 lbs,RR,,28 ,,NW,,,,,,$233.14,$0.00,1,1,1,1,1,1,20101001,K0802,HCPCS,Pov group 1 vhd 451-600 lbs,UE,,28 ,,NW,,,,,,"$1,328.62",$0.00,1,1,1,1,1,1,20101001,K0806,HCPCS,Pov group 2 std up to 300lbs,,,28 ,,NW,,,,,,"$1,182.08",$0.00,1,1,1,1,1,1,20101001,K0806,HCPCS,Pov group 2 std up to 300lbs,NU,,28 ,,NW,,,,,,"$1,182.08",$0.00,1,1,1,1,1,1,20101001,K0806,HCPCS,Pov group 2 std up to 300lbs,RR,,28 ,,NW,,,,,,$176.36,$0.00,1,1,1,1,1,1,20101001,K0806,HCPCS,Pov group 2 std up to 300lbs,UE,,28 ,,NW,,,,,,$902.71,$0.00,1,1,1,1,1,1,20101001,K0807,HCPCS,Pov group 2 hd 301-450 lbs,,,28 ,,NW,,,,,,"$1,760.23",$0.00,1,1,1,1,1,1,20101001,K0807,HCPCS,Pov group 2 hd 301-450 lbs,NU,,28 ,,NW,,,,,,"$1,760.23",$0.00,1,1,1,1,1,1,20101001,K0807,HCPCS,Pov group 2 hd 301-450 lbs,RR,,28 ,,NW,,,,,,$234.18,$0.00,1,1,1,1,1,1,20101001,K0807,HCPCS,Pov group 2 hd 301-450 lbs,UE,,28 ,,NW,,,,,,"$1,336.34",$0.00,1,1,1,1,1,1,20101001,K0808,HCPCS,Pov group 2 vhd 451-600 lbs,,,28 ,,NW,,,,,,"$2,688.08",$0.00,1,1,1,1,1,1,20101001,K0808,HCPCS,Pov group 2 vhd 451-600 lbs,NU,,28 ,,NW,,,,,,"$2,688.08",$0.00,1,1,1,1,1,1,20101001,K0808,HCPCS,Pov group 2 vhd 451-600 lbs,RR,,28 ,,NW,,,,,,$326.96,$0.00,1,1,1,1,1,1,20101001,K0808,HCPCS,Pov group 2 vhd 451-600 lbs,UE,,28 ,,NW,,,,,,"$2,032.21",$0.00,1,1,1,1,1,1,20101001,K0812,HCPCS,Power Operated Vehicle Noc,,,28 ,,NW,,,,,,$243.84,$0.00,1,1,1,1,1,1,20101001,K0813,HCPCS,Pwc gp 1 std port seat/back,,,28 ,,NW,,,,,,"$2,165.47",$0.00,1,1,1,1,1,1,20101001,K0813,HCPCS,Pwc gp 1 std port seat/back,RR,,28 ,,NW,,,,,,$236.99,$0.00,1,1,1,1,1,1,20101001,K0814,HCPCS,Pwc gp 1 std port cap chair,,,28 ,,NW,,,,,,"$2,606.48",$0.00,1,1,1,1,1,1,20101001,K0814,HCPCS,Pwc gp 1 std port cap chair,RR,,28 ,,NW,,,,,,$285.25,$0.00,1,1,1,1,1,1,20101001,K0815,HCPCS,Pwc gp 1 std seat/back,,,28 ,,NW,,,,,,"$2,886.25",$0.00,1,1,1,1,1,1,20101001,K0815,HCPCS,Pwc gp 1 std seat/back,RR,,28 ,,NW,,,,,,$315.87,$0.00,1,1,1,1,1,1,20101001,K0816,HCPCS,Pwc gp 1 std cap chair,,,28 ,,NW,,,,,,"$2,789.00",$0.00,1,1,1,1,1,1,20101001,K0816,HCPCS,Pwc gp 1 std cap chair,RR,,28 ,,NW,,,,,,$305.23,$0.00,1,1,1,1,1,1,20101001,K0820,HCPCS,Pwc gp 2 std port seat/back,,,28 ,,NW,,,,,,"$2,272.67",$0.00,1,1,1,1,1,1,20101001,K0820,HCPCS,Pwc gp 2 std port seat/back,RR,,28 ,,NW,,,,,,$248.72,$0.00,1,1,1,1,1,1,20101001,K0821,HCPCS,Pwc gp 2 std port cap chair,,,28 ,,NW,,,,,,"$2,750.04",$0.00,1,1,1,1,1,1,20101001,K0821,HCPCS,Pwc gp 2 std port cap chair,RR,,28 ,,NW,,,,,,$300.96,$0.00,1,1,1,1,1,1,20101001,K0822,HCPCS,Pwc gp 2 std seat/back,,,28 ,,NW,,,,,,"$3,200.36",$0.00,1,1,1,1,1,1,20101001,K0822,HCPCS,Pwc gp 2 std seat/back,RR,,28 ,,NW,,,,,,$350.25,$0.00,1,1,1,1,1,1,20101001,K0823,HCPCS,Pwc gp 2 std cap chair,,,28 ,,NW,,,,,,"$3,217.46",$0.00,1,1,1,1,1,1,20101001,K0823,HCPCS,Pwc gp 2 std cap chair,RR,,28 ,,NW,,,,,,$352.12,$0.00,1,1,1,1,1,1,20101001,K0824,HCPCS,Pwc gp 2 hd seat/back,,,28 ,,NW,,,,,,"$3,752.18",$0.00,1,1,1,1,1,1,20101001,K0824,HCPCS,Pwc gp 2 hd seat/back,RR,,28 ,,NW,,,,,,$410.64,$0.00,1,1,1,1,1,1,20101001,K0825,HCPCS,Pwc gp 2 hd cap chair,,,28 ,,NW,,,,,,"$3,484.82",$0.00,1,1,1,1,1,1,20101001,K0825,HCPCS,Pwc gp 2 hd cap chair,RR,,28 ,,NW,,,,,,$381.38,$0.00,1,1,1,1,1,1,20101001,K0826,HCPCS,Pwc gp 2 vhd seat/back,,,28 ,,NW,,,,,,"$4,683.62",$0.00,1,1,1,1,1,1,20101001,K0826,HCPCS,Pwc gp 2 vhd seat/back,RR,,28 ,,NW,,,,,,$512.58,$0.00,1,1,1,1,1,1,20101001,K0827,HCPCS,Pwc gp vhd cap chair,,,28 ,,NW,,,,,,"$4,070.98",$0.00,1,1,1,1,1,1,20101001,K0827,HCPCS,Pwc gp vhd cap chair,RR,,28 ,,NW,,,,,,$445.53,$0.00,1,1,1,1,1,1,20101001,K0828,HCPCS,Pwc gp 2 xtra hd seat/back,,,28 ,,NW,,,,,,"$5,100.75",$0.00,1,1,1,1,1,1,20101001,K0828,HCPCS,Pwc gp 2 xtra hd seat/back,RR,,28 ,,NW,,,,,,$558.23,$0.00,1,1,1,1,1,1,20101001,K0829,HCPCS,Pwc gp 2 xtra hd cap chair,,,28 ,,NW,,,,,,"$4,732.17",$0.00,1,1,1,1,1,1,20101001,K0829,HCPCS,Pwc gp 2 xtra hd cap chair,RR,,28 ,,NW,,,,,,$517.89,$0.00,1,1,1,1,1,1,20101001,K0831,HCPCS,Pwc Gp2 Std Seat Elevate Cap,,,28 ,,NW,,,,,,"$9,042.09",$0.00,1,1,1,1,1,1,20101001,K0835,HCPCS,Pwc gp2 std sing pow opt s/b,,,28 ,,NW,,,,,,"$3,239.46",$0.00,1,1,1,1,1,1,20101001,K0835,HCPCS,Pwc gp2 std sing pow opt s/b,RR,,28 ,,NW,,,,,,$354.53,$0.00,1,1,1,1,1,1,20101001,K0836,HCPCS,Pwc gp2 std sing pow opt cap,,,28 ,,NW,,,,,,"$3,337.50",$0.00,1,1,1,1,1,1,20101001,K0836,HCPCS,Pwc gp2 std sing pow opt cap,RR,,28 ,,NW,,,,,,$365.26,$0.00,1,1,1,1,1,1,20101001,K0837,HCPCS,Pwc gp 2 hd sing pow opt s/b,,,28 ,,NW,,,,,,"$3,752.18",$0.00,1,1,1,1,1,1,20101001,K0837,HCPCS,Pwc gp 2 hd sing pow opt s/b,RR,,28 ,,NW,,,,,,$410.64,$0.00,1,1,1,1,1,1,20101001,K0838,HCPCS,Pwc gp 2 hd sing pow opt cap,,,28 ,,NW,,,,,,"$3,418.95",$0.00,1,1,1,1,1,1,20101001,K0838,HCPCS,Pwc gp 2 hd sing pow opt cap,RR,,28 ,,NW,,,,,,$374.17,$0.00,1,1,1,1,1,1,20101001,K0839,HCPCS,Pwc gp2 vhd sing pow opt s/b,,,28 ,,NW,,,,,,"$4,683.62",$0.00,1,1,1,1,1,1,20101001,K0839,HCPCS,Pwc gp2 vhd sing pow opt s/b,RR,,28 ,,NW,,,,,,$512.58,$0.00,1,1,1,1,1,1,20101001,K0840,HCPCS,Pwc gp2 xhd sing pow opt s/b,,,28 ,,NW,,,,,,"$6,791.86",$0.00,1,1,1,1,1,1,20101001,K0840,HCPCS,Pwc gp2 xhd sing pow opt s/b,RR,,28 ,,NW,,,,,,$743.30,$0.00,1,1,1,1,1,1,20101001,K0841,HCPCS,Pwc gp2 std mult pow opt s/b,,,28 ,,NW,,,,,,"$3,410.01",$0.00,1,1,1,1,1,1,20101001,K0841,HCPCS,Pwc gp2 std mult pow opt s/b,RR,,28 ,,NW,,,,,,$373.19,$0.00,1,1,1,1,1,1,20101001,K0842,HCPCS,Pwc gp2 std mult pow opt cap,,,28 ,,NW,,,,,,"$3,410.01",$0.00,1,1,1,1,1,1,20101001,K0842,HCPCS,Pwc gp2 std mult pow opt cap,RR,,28 ,,NW,,,,,,$373.19,$0.00,1,1,1,1,1,1,20101001,K0843,HCPCS,Pwc gp2 hd mult pow opt s/b,,,28 ,,NW,,,,,,"$3,985.20",$0.00,1,1,1,1,1,1,20101001,K0843,HCPCS,Pwc gp2 hd mult pow opt s/b,RR,,28 ,,NW,,,,,,$436.14,$0.00,1,1,1,1,1,1,20101001,K0848,HCPCS,Pwc gp 3 std seat/back,,,28 ,,NW,,,,,,"$4,040.61",$0.00,1,1,1,1,1,1,20101001,K0848,HCPCS,Pwc gp 3 std seat/back,RR,,28 ,,NW,,,,,,$442.20,$0.00,1,1,1,1,1,1,20101001,K0849,HCPCS,Pwc gp 3 std cap chair,,,28 ,,NW,,,,,,"$3,907.58",$0.00,1,1,1,1,1,1,20101001,K0849,HCPCS,Pwc gp 3 std cap chair,RR,,28 ,,NW,,,,,,$427.65,$0.00,1,1,1,1,1,1,20101001,K0850,HCPCS,Pwc gp 3 hd seat/back,,,28 ,,NW,,,,,,"$4,592.58",$0.00,1,1,1,1,1,1,20101001,K0850,HCPCS,Pwc gp 3 hd seat/back,RR,,28 ,,NW,,,,,,$502.61,$0.00,1,1,1,1,1,1,20101001,K0851,HCPCS,Pwc gp 3 hd cap chair,,,28 ,,NW,,,,,,"$4,438.41",$0.00,1,1,1,1,1,1,20101001,K0851,HCPCS,Pwc gp 3 hd cap chair,RR,,28 ,,NW,,,,,,$485.74,$0.00,1,1,1,1,1,1,20101001,K0852,HCPCS,Pwc gp 3 vhd seat/back,,,28 ,,NW,,,,,,"$5,214.67",$0.00,1,1,1,1,1,1,20101001,K0852,HCPCS,Pwc gp 3 vhd seat/back,RR,,28 ,,NW,,,,,,$570.69,$0.00,1,1,1,1,1,1,20101001,K0853,HCPCS,Pwc gp 3 vhd cap chair,,,28 ,,NW,,,,,,"$5,340.63",$0.00,1,1,1,1,1,1,20101001,K0853,HCPCS,Pwc gp 3 vhd cap chair,RR,,28 ,,NW,,,,,,$584.48,$0.00,1,1,1,1,1,1,20101001,K0854,HCPCS,Pwc gp 3 xhd seat/back,,,28 ,,NW,,,,,,"$6,883.41",$0.00,1,1,1,1,1,1,20101001,K0854,HCPCS,Pwc gp 3 xhd seat/back,RR,,28 ,,NW,,,,,,$753.32,$0.00,1,1,1,1,1,1,20101001,K0855,HCPCS,Pwc gp 3 xhd cap chair,,,28 ,,NW,,,,,,"$6,535.10",$0.00,1,1,1,1,1,1,20101001,K0855,HCPCS,Pwc gp 3 xhd cap chair,RR,,28 ,,NW,,,,,,$715.20,$0.00,1,1,1,1,1,1,20101001,K0856,HCPCS,Pwc gp3 std sing pow opt s/b,,,28 ,,NW,,,,,,"$4,293.83",$0.00,1,1,1,1,1,1,20101001,K0856,HCPCS,Pwc gp3 std sing pow opt s/b,RR,,28 ,,NW,,,,,,$469.92,$0.00,1,1,1,1,1,1,20101001,K0857,HCPCS,Pwc gp3 std sing pow opt cap,,,28 ,,NW,,,,,,"$4,368.07",$0.00,1,1,1,1,1,1,20101001,K0857,HCPCS,Pwc gp3 std sing pow opt cap,RR,,28 ,,NW,,,,,,$478.04,$0.00,1,1,1,1,1,1,20101001,K0858,HCPCS,Pwc gp3 hd sing pow opt s/b,,,28 ,,NW,,,,,,"$5,185.23",$0.00,1,1,1,1,1,1,20101001,K0858,HCPCS,Pwc gp3 hd sing pow opt s/b,RR,,28 ,,NW,,,,,,$567.47,$0.00,1,1,1,1,1,1,20101001,K0859,HCPCS,Pwc gp3 hd sing pow opt cap,,,28 ,,NW,,,,,,"$4,972.48",$0.00,1,1,1,1,1,1,20101001,K0859,HCPCS,Pwc gp3 hd sing pow opt cap,RR,,28 ,,NW,,,,,,$544.19,$0.00,1,1,1,1,1,1,20101001,K0860,HCPCS,Pwc gp3 vhd sing pow opt s/b,,,28 ,,NW,,,,,,"$7,154.74",$0.00,1,1,1,1,1,1,20101001,K0860,HCPCS,Pwc gp3 vhd sing pow opt s/b,RR,,28 ,,NW,,,,,,$783.02,$0.00,1,1,1,1,1,1,20101001,K0861,HCPCS,Pwc gp3 std mult pow opt s/b,,,28 ,,NW,,,,,,"$9,077.93",$0.00,1,1,1,1,1,1,20101001,K0861,HCPCS,Pwc gp3 std mult pow opt s/b,RR,,28 ,,NW,,,,,,$993.49,$0.00,1,1,1,1,1,1,20101001,K0862,HCPCS,Pwc gp3 hd mult pow opt s/b,,,28 ,,NW,,,,,,"$5,185.23",$0.00,1,1,1,1,1,1,20101001,K0862,HCPCS,Pwc gp3 hd mult pow opt s/b,RR,,28 ,,NW,,,,,,$567.47,$0.00,1,1,1,1,1,1,20101001,K0863,HCPCS,Pwc gp3 vhd mult pow opt s/b,,,28 ,,NW,,,,,,"$7,154.74",$0.00,1,1,1,1,1,1,20101001,K0863,HCPCS,Pwc gp3 vhd mult pow opt s/b,RR,,28 ,,NW,,,,,,$783.02,$0.00,1,1,1,1,1,1,20101001,K0864,HCPCS,Pwc gp3 xhd mult pow opt s/b,,,28 ,,NW,,,,,,"$8,402.02",$0.00,1,1,1,1,1,1,20101001,K0864,HCPCS,Pwc gp3 xhd mult pow opt s/b,RR,,28 ,,NW,,,,,,$919.52,$0.00,1,1,1,1,1,1,20101001,K0898,HCPCS,Power Wheelchair Noc,,,28 ,,NW,,,,,,"$4,040.61",$0.00,1,1,1,1,1,1,20101001,L0112,HCPCS,Cranial cervical orthosis,,,28 ,,NW,,,,,,"$1,977.74",$0.00,1,1,1,1,1,1,20101001,L0113,HCPCS,Cranial Cervical Torticollis,,,28 ,,NW,,,,,,$338.40,$0.00,1,1,1,1,1,1,20101001,L0120,HCPCS,Cerv flexible non-adjustable,,,28 ,,NW,,,,,,$35.87,$0.00,1,1,1,1,1,1,20101001,L0130,HCPCS,Flex thermoplastic collar mo,,,28 ,,NW,,,,,,$185.83,$0.00,1,1,1,1,1,1,20101001,L0140,HCPCS,Cervical semi-rigid adjustab,,,28 ,,NW,,,,,,$73.76,$0.00,1,1,1,1,1,1,20101001,L0150,HCPCS,Cerv semi-rig adj molded chn,,,28 ,,NW,,,,,,$125.72,$0.00,1,1,1,1,1,1,20101001,L0160,HCPCS,Cerv semi-rig wire occ/mand,,,28 ,,NW,,,,,,$176.84,$0.00,1,1,1,1,1,1,20101001,L0170,HCPCS,Cervical collar molded to pt,,,28 ,,NW,,,,,,$965.46,$0.00,1,1,1,1,1,1,20101001,L0172,HCPCS,Cerv col thermplas foam 2 pi,,,28 ,,NW,,,,,,$148.25,$0.00,1,1,1,1,1,1,20101001,L0174,HCPCS,Cerv col foam 2 piece w thor,,,28 ,,NW,,,,,,$336.12,$0.00,1,1,1,1,1,1,20101001,L0180,HCPCS,Cer post col occ/man sup adj,,,28 ,,NW,,,,,,$507.16,$0.00,1,1,1,1,1,1,20101001,L0190,HCPCS,Cerv collar supp adj cerv ba,,,28 ,,NW,,,,,,$706.02,$0.00,1,1,1,1,1,1,20101001,L0200,HCPCS,Cerv col supp adj bar & thor,,,28 ,,NW,,,,,,$743.13,$0.00,1,1,1,1,1,1,20101001,L0220,HCPCS,Thor rib belt custom fabrica,,,28 ,,NW,,,,,,$137.99,$0.00,1,1,1,1,1,1,20101001,L0430,HCPCS,Dewall posture protector,,,28 ,,NW,,,,,,"$2,048.06",$0.00,1,1,1,1,1,1,20101001,L0450,HCPCS,Tlso flex prefab thoracic,,,28 ,,NW,,,,,,$197.19,$0.00,1,1,1,1,1,1,20101001,L0452,HCPCS,Tlso flex custom fab thoraci,,,28 ,,NW,,,,,,$312.84,$0.00,1,1,1,1,1,1,20101001,L0454,HCPCS,Tlso flex prefab sacrococ-t9,,,28 ,,NW,,,,,,$428.49,$0.00,1,1,1,1,1,1,20101001,L0456,HCPCS,Tlso flex prefab,,,28 ,,NW,,,,,,"$1,381.71",$0.00,1,1,1,1,1,1,20101001,L0458,HCPCS,Tlso 2mod symphis-xipho pre,,,28 ,,NW,,,,,,"$1,230.51",$0.00,1,1,1,1,1,1,20101001,L0460,HCPCS,Tlso2mod symphysis-stern pre,,,28 ,,NW,,,,,,"$1,395.31",$0.00,1,1,1,1,1,1,20101001,L0462,HCPCS,Tlso 3mod sacro-scap pre,,,28 ,,NW,,,,,,"$1,755.50",$0.00,1,1,1,1,1,1,20101001,L0464,HCPCS,Tlso 4mod sacro-scap pre,,,28 ,,NW,,,,,,"$2,105.48",$0.00,1,1,1,1,1,1,20101001,L0466,HCPCS,Tlso rigid frame pre soft ap,,,28 ,,NW,,,,,,$503.00,$0.00,1,1,1,1,1,1,20101001,L0468,HCPCS,Tlso rigid frame prefab pelv,,,28 ,,NW,,,,,,$640.27,$0.00,1,1,1,1,1,1,20101001,L0470,HCPCS,Tlso rigid frame pre subclav,,,28 ,,NW,,,,,,$923.33,$0.00,1,1,1,1,1,1,20101001,L0472,HCPCS,Tlso rigid frame hyperex pre,,,28 ,,NW,,,,,,$559.98,$0.00,1,1,1,1,1,1,20101001,L0480,HCPCS,Tlso rigid plastic custom fa,,,28 ,,NW,,,,,,"$2,111.52",$0.00,1,1,1,1,1,1,20101001,L0482,HCPCS,Tlso rigid lined custom fab,,,28 ,,NW,,,,,,"$2,330.63",$0.00,1,1,1,1,1,1,20101001,L0484,HCPCS,Tlso rigid plastic cust fab,,,28 ,,NW,,,,,,"$2,600.10",$0.00,1,1,1,1,1,1,20101001,L0486,HCPCS,Tlso rigidlined cust fab two,,,28 ,,NW,,,,,,"$2,767.46",$0.00,1,1,1,1,1,1,20101001,L0488,HCPCS,Tlso rigid lined pre one pie,,,28 ,,NW,,,,,,"$1,395.31",$0.00,1,1,1,1,1,1,20101001,L0490,HCPCS,Tlso rigid plastic pre one,,,28 ,,NW,,,,,,$334.40,$0.00,1,1,1,1,1,1,20101001,L0491,HCPCS,Tlso 2 piece rigid shell,,,28 ,,NW,,,,,,"$1,048.28",$0.00,1,1,1,1,1,1,20101001,L0492,HCPCS,Tlso 3 piece rigid shell,,,28 ,,NW,,,,,,$659.14,$0.00,1,1,1,1,1,1,20101001,L0621,HCPCS,Sio flex pelvisacral prefab,,,28 ,,NW,,,,,,$106.23,$0.00,1,1,1,1,1,1,20101001,L0622,HCPCS,Sio flex pelvisacral custom,,,28 ,,NW,,,,,,$321.42,$0.00,1,1,1,1,1,1,20101001,L0623,HCPCS,Sio panel prefab,,,28 ,,NW,,,,,,$80.71,$0.00,1,1,1,1,1,1,20101001,L0624,HCPCS,Sio Panel Custom,,,28 ,,NW,,,,,,$47.23,$0.00,1,1,1,1,1,1,20101001,L0625,HCPCS,Lo flexibl l1-below l5 pre,,,28 ,,NW,,,,,,$63.27,$0.00,1,1,1,1,1,1,20101001,L0626,HCPCS,Lo sag stays/panels pre-fab,,,28 ,,NW,,,,,,$86.58,$0.00,1,1,1,1,1,1,20101001,L0627,HCPCS,Lo sagitt rigid panel prefab,,,28 ,,NW,,,,,,$523.04,$0.00,1,1,1,1,1,1,20101001,L0628,HCPCS,Lo flex w/o rigid stays pre,,,28 ,,NW,,,,,,$92.64,$0.00,1,1,1,1,1,1,20101001,L0629,HCPCS,Lso flex w/rigid stays cust,,,28 ,,NW,,,,,,$299.92,$0.00,1,1,1,1,1,1,20101001,L0630,HCPCS,Lso post rigid panel pre,,,28 ,,NW,,,,,,$172.23,$0.00,1,1,1,1,1,1,20101001,L0631,HCPCS,Lso sag-coro rigid frame pre,,,28 ,,NW,,,,,,"$1,428.89",$0.00,1,1,1,1,1,1,20101001,L0632,HCPCS,Lso sag rigid frame cust,,,28 ,,NW,,,,,,"$1,956.89",$0.00,1,1,1,1,1,1,20101001,L0633,HCPCS,Lso flexion control prefab,,,28 ,,NW,,,,,,$340.13,$0.00,1,1,1,1,1,1,20101001,L0634,HCPCS,Lso flexion control custom,,,28 ,,NW,,,,,,$615.20,$0.00,1,1,1,1,1,1,20101001,L0635,HCPCS,Lso sagit rigid panel prefab,,,28 ,,NW,,,,,,"$1,441.33",$0.00,1,1,1,1,1,1,20101001,L0636,HCPCS,Lso sagittal rigid panel cus,,,28 ,,NW,,,,,,"$2,134.93",$0.00,1,1,1,1,1,1,20101001,L0637,HCPCS,Lso sag-coronal panel prefab,,,28 ,,NW,,,,,,"$1,710.94",$0.00,1,1,1,1,1,1,20101001,L0638,HCPCS,Lso sag-coronal panel custom,,,28 ,,NW,,,,,,"$1,858.97",$0.00,1,1,1,1,1,1,20101001,L0639,HCPCS,Lso s/c shell/panel prefab,,,28 ,,NW,,,,,,"$1,710.94",$0.00,1,1,1,1,1,1,20101001,L0640,HCPCS,Lso s/c shell/panel custom,,,28 ,,NW,,,,,,"$1,457.95",$0.00,1,1,1,1,1,1,20101001,L0700,HCPCS,Ctlso a-p-l control molded,,,28 ,,NW,,,,,,"$3,045.79",$0.00,1,1,1,1,1,1,20101001,L0710,HCPCS,Ctlso a-p-l control w/ inter,,,28 ,,NW,,,,,,"$3,229.07",$0.00,1,1,1,1,1,1,20101001,L0810,HCPCS,Halo cervical into jckt vest,,,28 ,,NW,,,,,,"$3,904.10",$0.00,1,1,1,1,1,1,20101001,L0820,HCPCS,Halo cervical into body jack,,,28 ,,NW,,,,,,"$3,200.60",$0.00,1,1,1,1,1,1,20101001,L0830,HCPCS,Halo cerv into milwaukee typ,,,28 ,,NW,,,,,,"$4,792.02",$0.00,1,1,1,1,1,1,20101001,L0859,HCPCS,Mri compatible system,,,28 ,,NW,,,,,,"$1,722.50",$0.00,1,1,1,1,1,1,20101001,L0861,HCPCS,Halo repl liner/interface,,,28 ,,NW,,,,,,$235.30,$0.00,1,1,1,1,1,1,20101001,L0970,HCPCS,Tlso corset front,,,28 ,,NW,,,,,,$130.27,$0.00,1,1,1,1,1,1,20101001,L0972,HCPCS,Lso corset front,,,28 ,,NW,,,,,,$120.84,$0.00,1,1,1,1,1,1,20101001,L0974,HCPCS,Tlso full corset,,,28 ,,NW,,,,,,$205.15,$0.00,1,1,1,1,1,1,20101001,L0976,HCPCS,Lso full corset,,,28 ,,NW,,,,,,$178.57,$0.00,1,1,1,1,1,1,20101001,L0978,HCPCS,Axillary crutch extension,,,28 ,,NW,,,,,,$213.48,$0.00,1,1,1,1,1,1,20101001,L0980,HCPCS,Peroneal straps pair,,,28 ,,NW,,,,,,$25.52,$0.00,1,1,1,1,1,1,20101001,L0982,HCPCS,Stocking supp grips set of f,,,28 ,,NW,,,,,,$24.53,$0.00,1,1,1,1,1,1,20101001,L0984,HCPCS,Protective body sock each,,,28 ,,NW,,,,,,$70.93,$0.00,1,1,1,1,1,1,20101001,L0999,HCPCS,Add to spinal orthosis nos,,,28 ,,NW,,,,,,$130.27,$0.00,1,1,1,1,1,1,20101001,L1000,HCPCS,Ctlso milwauke initial model,,,28 ,,NW,,,,,,"$3,037.77",$0.00,1,1,1,1,1,1,20101001,L1001,HCPCS,Ctlso Infant Immobilizer,,,28 ,,NW,,,,,,$31.17,$0.00,1,1,1,1,1,1,20101001,L1005,HCPCS,Tension based scoliosis orth,,,28 ,,NW,,,,,,"$4,628.04",$0.00,1,1,1,1,1,1,20101001,L1010,HCPCS,Ctlso axilla sling,,,28 ,,NW,,,,,,$81.56,$0.00,1,1,1,1,1,1,20101001,L1020,HCPCS,Kyphosis pad,,,28 ,,NW,,,,,,$107.68,$0.00,1,1,1,1,1,1,20101001,L1025,HCPCS,Kyphosis pad floating,,,28 ,,NW,,,,,,$146.87,$0.00,1,1,1,1,1,1,20101001,L1030,HCPCS,Lumbar bolster pad,,,28 ,,NW,,,,,,$78.57,$0.00,1,1,1,1,1,1,20101001,L1040,HCPCS,Lumbar or lumbar rib pad,,,28 ,,NW,,,,,,$96.08,$0.00,1,1,1,1,1,1,20101001,L1050,HCPCS,Sternal pad,,,28 ,,NW,,,,,,$101.55,$0.00,1,1,1,1,1,1,20101001,L1060,HCPCS,Thoracic pad,,,28 ,,NW,,,,,,$112.40,$0.00,1,1,1,1,1,1,20101001,L1070,HCPCS,Trapezius sling,,,28 ,,NW,,,,,,$109.82,$0.00,1,1,1,1,1,1,20101001,L1080,HCPCS,Outrigger,,,28 ,,NW,,,,,,$66.80,$0.00,1,1,1,1,1,1,20101001,L1085,HCPCS,Outrigger bil w/ vert extens,,,28 ,,NW,,,,,,$181.67,$0.00,1,1,1,1,1,1,20101001,L1090,HCPCS,Lumbar sling,,,28 ,,NW,,,,,,$107.83,$0.00,1,1,1,1,1,1,20101001,L1100,HCPCS,Ring flange plastic/leather,,,28 ,,NW,,,,,,$184.34,$0.00,1,1,1,1,1,1,20101001,L1110,HCPCS,Ring flange plas/leather mol,,,28 ,,NW,,,,,,$327.59,$0.00,1,1,1,1,1,1,20101001,L1120,HCPCS,Covers for upright each,,,28 ,,NW,,,,,,$50.12,$0.00,1,1,1,1,1,1,20101001,L1200,HCPCS,Furnsh initial orthosis only,,,28 ,,NW,,,,,,"$2,462.44",$0.00,1,1,1,1,1,1,20101001,L1210,HCPCS,Lateral thoracic extension,,,28 ,,NW,,,,,,$316.72,$0.00,1,1,1,1,1,1,20101001,L1220,HCPCS,Anterior thoracic extension,,,28 ,,NW,,,,,,$272.78,$0.00,1,1,1,1,1,1,20101001,L1230,HCPCS,Milwaukee type superstructur,,,28 ,,NW,,,,,,$794.74,$0.00,1,1,1,1,1,1,20101001,L1240,HCPCS,Lumbar derotation pad,,,28 ,,NW,,,,,,$95.01,$0.00,1,1,1,1,1,1,20101001,L1250,HCPCS,Anterior asis pad,,,28 ,,NW,,,,,,$87.75,$0.00,1,1,1,1,1,1,20101001,L1260,HCPCS,Anterior thoracic derotation,,,28 ,,NW,,,,,,$93.08,$0.00,1,1,1,1,1,1,20101001,L1270,HCPCS,Abdominal pad,,,28 ,,NW,,,,,,$93.25,$0.00,1,1,1,1,1,1,20101001,L1280,HCPCS,Rib gusset (elastic) each,,,28 ,,NW,,,,,,$99.78,$0.00,1,1,1,1,1,1,20101001,L1290,HCPCS,Lateral trochanteric pad,,,28 ,,NW,,,,,,$92.65,$0.00,1,1,1,1,1,1,20101001,L1300,HCPCS,Body jacket mold to patient,,,28 ,,NW,,,,,,"$2,578.22",$0.00,1,1,1,1,1,1,20101001,L1310,HCPCS,Post-operative body jacket,,,28 ,,NW,,,,,,"$2,603.95",$0.00,1,1,1,1,1,1,20101001,L1499,HCPCS,Spinal orthosis nos,,,28 ,,NW,,,,,,"$2,578.22",$0.00,1,1,1,1,1,1,20101001,L1500,HCPCS,Thkao mobility frame,,,28 ,,NW,,,,,,"$2,864.77",$0.00,1,1,1,1,1,1,20101001,L1510,HCPCS,Thkao standing frame,,,28 ,,NW,,,,,,"$1,803.30",$0.00,1,1,1,1,1,1,20101001,L1520,HCPCS,Thkao swivel walker,,,28 ,,NW,,,,,,"$3,653.58",$0.00,1,1,1,1,1,1,20101001,L1600,HCPCS,Abduct hip flex frejka w cvr,,,28 ,,NW,,,,,,$144.27,$0.00,1,1,1,1,1,1,20101001,L1610,HCPCS,Abduct hip flex frejka covr,,,28 ,,NW,,,,,,$56.27,$0.00,1,1,1,1,1,1,20101001,L1620,HCPCS,Abduct hip flex pavlik harne,,,28 ,,NW,,,,,,$153.82,$0.00,1,1,1,1,1,1,20101001,L1630,HCPCS,Abduct control hip semi-flex,,,28 ,,NW,,,,,,$186.01,$0.00,1,1,1,1,1,1,20101001,L1640,HCPCS,Pelv band/spread bar thigh c,,,28 ,,NW,,,,,,$617.66,$0.00,1,1,1,1,1,1,20101001,L1650,HCPCS,Ho abduction hip adjustable,,,28 ,,NW,,,,,,$272.35,$0.00,1,1,1,1,1,1,20101001,L1652,HCPCS,Ho bi thighcuffs w sprdr bar,,,28 ,,NW,,,,,,$442.68,$0.00,1,1,1,1,1,1,20101001,L1660,HCPCS,Ho abduction static plastic,,,28 ,,NW,,,,,,$184.28,$0.00,1,1,1,1,1,1,20101001,L1680,HCPCS,Pelvic & hip control thigh c,,,28 ,,NW,,,,,,"$1,836.33",$0.00,1,1,1,1,1,1,20101001,L1685,HCPCS,Post-op hip abduct custom fa,,,28 ,,NW,,,,,,"$1,776.49",$0.00,1,1,1,1,1,1,20101001,L1686,HCPCS,Ho post-op hip abduction,,,28 ,,NW,,,,,,"$1,381.15",$0.00,1,1,1,1,1,1,20101001,L1690,HCPCS,Combination bilateral ho,,,28 ,,NW,,,,,,"$2,763.74",$0.00,1,1,1,1,1,1,20101001,L1700,HCPCS,Leg perthes orth toronto typ,,,28 ,,NW,,,,,,"$2,319.57",$0.00,1,1,1,1,1,1,20101001,L1710,HCPCS,Legg perthes orth newington,,,28 ,,NW,,,,,,"$2,804.52",$0.00,1,1,1,1,1,1,20101001,L1720,HCPCS,Legg perthes orthosis trilat,,,28 ,,NW,,,,,,"$2,039.46",$0.00,1,1,1,1,1,1,20101001,L1730,HCPCS,Legg perthes orth scottish r,,,28 ,,NW,,,,,,"$1,686.16",$0.00,1,1,1,1,1,1,20101001,L1755,HCPCS,Legg perthes patten bottom t,,,28 ,,NW,,,,,,"$2,399.72",$0.00,1,1,1,1,1,1,20101001,L1810,HCPCS,Ko elastic with joints,,,28 ,,NW,,,,,,$117.28,$0.00,1,1,1,1,1,1,20101001,L1820,HCPCS,Ko elas w/ condyle pads & jo,,,28 ,,NW,,,,,,$147.36,$0.00,1,1,1,1,1,1,20101001,L1830,HCPCS,Ko immobilizer canvas longit,,,28 ,,NW,,,,,,$103.49,$0.00,1,1,1,1,1,1,20101001,L1831,HCPCS,Knee orth pos locking joint,,,28 ,,NW,,,,,,$351.22,$0.00,1,1,1,1,1,1,20101001,L1832,HCPCS,Ko adj jnt pos rigid support,,,28 ,,NW,,,,,,$924.64,$0.00,1,1,1,1,1,1,20101001,L1834,HCPCS,Ko w/0 joint rigid molded to,,,28 ,,NW,,,,,,"$1,124.73",$0.00,1,1,1,1,1,1,20101001,L1836,HCPCS,Rigid ko wo joints,,,28 ,,NW,,,,,,$143.13,$0.00,1,1,1,1,1,1,20101001,L1840,HCPCS,Ko derot ant cruciate custom,,,28 ,,NW,,,,,,"$1,385.35",$0.00,1,1,1,1,1,1,20101001,L1843,HCPCS,Ko single upright custom fit,,,28 ,,NW,,,,,,"$1,238.49",$0.00,1,1,1,1,1,1,20101001,L1844,HCPCS,Ko w/adj jt rot cntrl molded,,,28 ,,NW,,,,,,"$2,366.80",$0.00,1,1,1,1,1,1,20101001,L1845,HCPCS,Ko w/ adj flex/ext rotat cus,,,28 ,,NW,,,,,,"$1,196.71",$0.00,1,1,1,1,1,1,20101001,L1846,HCPCS,Ko w adj flex/ext rotat mold,,,28 ,,NW,,,,,,"$1,698.27",$0.00,1,1,1,1,1,1,20101001,L1847,HCPCS,Ko adjustable w air chambers,,,28 ,,NW,,,,,,$764.52,$0.00,1,1,1,1,1,1,20101001,L1850,HCPCS,Ko swedish type,,,28 ,,NW,,,,,,$366.06,$0.00,1,1,1,1,1,1,20101001,L1860,HCPCS,Ko supracondylar socket mold,,,28 ,,NW,,,,,,"$1,631.51",$0.00,1,1,1,1,1,1,20101001,L1900,HCPCS,Afo sprng wir drsflx calf bd,,,28 ,,NW,,,,,,$337.15,$0.00,1,1,1,1,1,1,20101001,L1902,HCPCS,Afo ankle gauntlet,,,28 ,,NW,,,,,,$94.11,$0.00,1,1,1,1,1,1,20101001,L1904,HCPCS,Afo molded ankle gauntlet,,,28 ,,NW,,,,,,$635.22,$0.00,1,1,1,1,1,1,20101001,L1906,HCPCS,Afo multiligamentus ankle su,,,28 ,,NW,,,,,,$134.92,$0.00,1,1,1,1,1,1,20101001,L1907,HCPCS,Afo supramalleolar custom,,,28 ,,NW,,,,,,$746.15,$0.00,1,1,1,1,1,1,20101001,L1910,HCPCS,Afo sing bar clasp attach sh,,,28 ,,NW,,,,,,$339.85,$0.00,1,1,1,1,1,1,20101001,L1920,HCPCS,Afo sing upright w/ adjust s,,,28 ,,NW,,,,,,$450.09,$0.00,1,1,1,1,1,1,20101001,L1930,HCPCS,Afo plastic,,,28 ,,NW,,,,,,$293.96,$0.00,1,1,1,1,1,1,20101001,L1932,HCPCS,Afo rig ant tib prefab tcf/=,,,28 ,,NW,,,,,,"$1,231.27",$0.00,1,1,1,1,1,1,20101001,L1940,HCPCS,Afo molded to patient plasti,,,28 ,,NW,,,,,,$693.67,$0.00,1,1,1,1,1,1,20101001,L1945,HCPCS,Afo molded plas rig ant tib,,,28 ,,NW,,,,,,"$1,415.12",$0.00,1,1,1,1,1,1,20101001,L1950,HCPCS,Afo spiral molded to pt plas,,,28 ,,NW,,,,,,"$1,096.66",$0.00,1,1,1,1,1,1,20101001,L1951,HCPCS,Afo spiral prefabricated,,,28 ,,NW,,,,,,"$1,153.98",$0.00,1,1,1,1,1,1,20101001,L1960,HCPCS,Afo pos solid ank plastic mo,,,28 ,,NW,,,,,,$796.16,$0.00,1,1,1,1,1,1,20101001,L1970,HCPCS,Afo plastic molded w/ankle j,,,28 ,,NW,,,,,,"$1,012.31",$0.00,1,1,1,1,1,1,20101001,L1971,HCPCS,"Afo w/ankle joint, prefab",,,28 ,,NW,,,,,,$607.88,$0.00,1,1,1,1,1,1,20101001,L1980,HCPCS,Afo sing solid stirrup calf,,,28 ,,NW,,,,,,$496.93,$0.00,1,1,1,1,1,1,20101001,L1990,HCPCS,Afo doub solid stirrup calf,,,28 ,,NW,,,,,,$621.13,$0.00,1,1,1,1,1,1,20101001,L2000,HCPCS,Kafo sing fre stirr thi/calf,,,28 ,,NW,,,,,,"$1,503.49",$0.00,1,1,1,1,1,1,20101001,L2005,HCPCS,Kafo sng/dbl mechanical act,,,28 ,,NW,,,,,,"$5,948.57",$0.00,1,1,1,1,1,1,20101001,L2010,HCPCS,Kafo sng solid stirrup w/o j,,,28 ,,NW,,,,,,"$1,369.22",$0.00,1,1,1,1,1,1,20101001,L2020,HCPCS,Kafo dbl solid stirrup band/,,,28 ,,NW,,,,,,"$1,703.39",$0.00,1,1,1,1,1,1,20101001,L2030,HCPCS,Kafo dbl solid stirrup w/o j,,,28 ,,NW,,,,,,"$1,525.04",$0.00,1,1,1,1,1,1,20101001,L2034,HCPCS,Kafo Pla Sin Up W/Wo K/A Cus,,,28 ,,NW,,,,,,"$2,931.81",$0.00,1,1,1,1,1,1,20101001,L2035,HCPCS,Kafo plastic pediatric size,,,28 ,,NW,,,,,,$184.63,$0.00,1,1,1,1,1,1,20101001,L2036,HCPCS,Kafo plas doub free knee mol,,,28 ,,NW,,,,,,"$2,788.30",$0.00,1,1,1,1,1,1,20101001,L2037,HCPCS,Kafo plas sing free knee mol,,,28 ,,NW,,,,,,"$2,530.30",$0.00,1,1,1,1,1,1,20101001,L2038,HCPCS,Kafo w/o joint multi-axis an,,,28 ,,NW,,,,,,"$2,101.26",$0.00,1,1,1,1,1,1,20101001,L2040,HCPCS,Hkafo torsion bil rot straps,,,28 ,,NW,,,,,,$194.98,$0.00,1,1,1,1,1,1,20101001,L2050,HCPCS,Hkafo torsion cable hip pelv,,,28 ,,NW,,,,,,$660.02,$0.00,1,1,1,1,1,1,20101001,L2060,HCPCS,Hkafo torsion ball bearing j,,,28 ,,NW,,,,,,$826.98,$0.00,1,1,1,1,1,1,20101001,L2070,HCPCS,Hkafo torsion unilat rot str,,,28 ,,NW,,,,,,$154.83,$0.00,1,1,1,1,1,1,20101001,L2080,HCPCS,Hkafo unilat torsion cable,,,28 ,,NW,,,,,,$480.04,$0.00,1,1,1,1,1,1,20101001,L2090,HCPCS,Hkafo unilat torsion ball br,,,28 ,,NW,,,,,,$611.09,$0.00,1,1,1,1,1,1,20101001,L2106,HCPCS,Afo tib fx cast plaster mold,,,28 ,,NW,,,,,,"$1,021.68",$0.00,1,1,1,1,1,1,20101001,L2108,HCPCS,Afo tib fx cast molded to pt,,,28 ,,NW,,,,,,"$1,590.75",$0.00,1,1,1,1,1,1,20101001,L2112,HCPCS,Afo tibial fracture soft,,,28 ,,NW,,,,,,$669.08,$0.00,1,1,1,1,1,1,20101001,L2114,HCPCS,Afo tib fx semi-rigid,,,28 ,,NW,,,,,,$852.18,$0.00,1,1,1,1,1,1,20101001,L2116,HCPCS,Afo tibial fracture rigid,,,28 ,,NW,,,,,,"$1,055.84",$0.00,1,1,1,1,1,1,20101001,L2126,HCPCS,Kafo fem fx cast thermoplas,,,28 ,,NW,,,,,,"$1,793.45",$0.00,1,1,1,1,1,1,20101001,L2128,HCPCS,Kafo fem fx cast molded to p,,,28 ,,NW,,,,,,"$2,530.42",$0.00,1,1,1,1,1,1,20101001,L2132,HCPCS,Kafo femoral fx cast soft,,,28 ,,NW,,,,,,"$1,192.34",$0.00,1,1,1,1,1,1,20101001,L2134,HCPCS,Kafo fem fx cast semi-rigid,,,28 ,,NW,,,,,,"$1,498.78",$0.00,1,1,1,1,1,1,20101001,L2136,HCPCS,Kafo femoral fx cast rigid,,,28 ,,NW,,,,,,"$1,789.95",$0.00,1,1,1,1,1,1,20101001,L2180,HCPCS,Plas shoe insert w ank joint,,,28 ,,NW,,,,,,$137.04,$0.00,1,1,1,1,1,1,20101001,L2182,HCPCS,Drop lock knee,,,28 ,,NW,,,,,,$109.03,$0.00,1,1,1,1,1,1,20101001,L2184,HCPCS,Limited motion knee joint,,,28 ,,NW,,,,,,$138.37,$0.00,1,1,1,1,1,1,20101001,L2186,HCPCS,Adj motion knee jnt lerman t,,,28 ,,NW,,,,,,$167.32,$0.00,1,1,1,1,1,1,20101001,L2188,HCPCS,Quadrilateral brim,,,28 ,,NW,,,,,,$394.57,$0.00,1,1,1,1,1,1,20101001,L2190,HCPCS,Waist belt,,,28 ,,NW,,,,,,$98.91,$0.00,1,1,1,1,1,1,20101001,L2192,HCPCS,Pelvic band & belt thigh fla,,,28 ,,NW,,,,,,$477.72,$0.00,1,1,1,1,1,1,20101001,L2200,HCPCS,Limited ankle motion ea jnt,,,28 ,,NW,,,,,,$59.75,$0.00,1,1,1,1,1,1,20101001,L2210,HCPCS,Dorsiflexion assist each joi,,,28 ,,NW,,,,,,$78.94,$0.00,1,1,1,1,1,1,20101001,L2220,HCPCS,Dorsi & plantar flex ass/res,,,28 ,,NW,,,,,,$95.53,$0.00,1,1,1,1,1,1,20101001,L2230,HCPCS,Split flat caliper stirr & p,,,28 ,,NW,,,,,,$91.06,$0.00,1,1,1,1,1,1,20101001,L2232,HCPCS,"Rocker bottom, contact afo",,,28 ,,NW,,,,,,$106.99,$0.00,1,1,1,1,1,1,20101001,L2240,HCPCS,Round caliper and plate atta,,,28 ,,NW,,,,,,$97.44,$0.00,1,1,1,1,1,1,20101001,L2250,HCPCS,Foot plate molded stirrup at,,,28 ,,NW,,,,,,$458.76,$0.00,1,1,1,1,1,1,20101001,L2260,HCPCS,Reinforced solid stirrup,,,28 ,,NW,,,,,,$226.47,$0.00,1,1,1,1,1,1,20101001,L2265,HCPCS,Long tongue stirrup,,,28 ,,NW,,,,,,$138.10,$0.00,1,1,1,1,1,1,20101001,L2270,HCPCS,Varus/valgus strap padded/li,,,28 ,,NW,,,,,,$65.28,$0.00,1,1,1,1,1,1,20101001,L2275,HCPCS,Plastic mod low ext pad/line,,,28 ,,NW,,,,,,$140.73,$0.00,1,1,1,1,1,1,20101001,L2280,HCPCS,Molded inner boot,,,28 ,,NW,,,,,,$638.51,$0.00,1,1,1,1,1,1,20101001,L2300,HCPCS,Abduction bar jointed adjust,,,28 ,,NW,,,,,,$348.03,$0.00,1,1,1,1,1,1,20101001,L2310,HCPCS,Abduction bar-straight,,,28 ,,NW,,,,,,$141.08,$0.00,1,1,1,1,1,1,20101001,L2320,HCPCS,Non-molded lacer,,,28 ,,NW,,,,,,$237.26,$0.00,1,1,1,1,1,1,20101001,L2330,HCPCS,Lacer molded to patient mode,,,28 ,,NW,,,,,,$530.79,$0.00,1,1,1,1,1,1,20101001,L2335,HCPCS,Anterior swing band,,,28 ,,NW,,,,,,$285.88,$0.00,1,1,1,1,1,1,20101001,L2340,HCPCS,Pre-tibial shell molded to p,,,28 ,,NW,,,,,,$644.63,$0.00,1,1,1,1,1,1,20101001,L2350,HCPCS,Prosthetic type socket molde,,,28 ,,NW,,,,,,"$1,309.92",$0.00,1,1,1,1,1,1,20101001,L2360,HCPCS,Extended steel shank,,,28 ,,NW,,,,,,$64.55,$0.00,1,1,1,1,1,1,20101001,L2370,HCPCS,Patten bottom,,,28 ,,NW,,,,,,$350.22,$0.00,1,1,1,1,1,1,20101001,L2375,HCPCS,Torsion ank & half solid sti,,,28 ,,NW,,,,,,$132.61,$0.00,1,1,1,1,1,1,20101001,L2380,HCPCS,Torsion straight knee joint,,,28 ,,NW,,,,,,$141.93,$0.00,1,1,1,1,1,1,20101001,L2385,HCPCS,Straight knee joint heavy du,,,28 ,,NW,,,,,,$154.55,$0.00,1,1,1,1,1,1,20101001,L2387,HCPCS,Add le poly knee custom kafo,,,28 ,,NW,,,,,,$190.77,$0.00,1,1,1,1,1,1,20101001,L2390,HCPCS,Offset knee joint each,,,28 ,,NW,,,,,,$122.07,$0.00,1,1,1,1,1,1,20101001,L2395,HCPCS,Offset knee joint heavy duty,,,28 ,,NW,,,,,,$174.86,$0.00,1,1,1,1,1,1,20101001,L2397,HCPCS,Suspension sleeve lower ext,,,28 ,,NW,,,,,,$126.74,$0.00,1,1,1,1,1,1,20101001,L2405,HCPCS,Knee joint drop lock ea jnt,,,28 ,,NW,,,,,,$96.00,$0.00,1,1,1,1,1,1,20101001,L2415,HCPCS,Knee joint cam lock each joi,,,28 ,,NW,,,,,,$130.95,$0.00,1,1,1,1,1,1,20101001,L2425,HCPCS,Knee disc/dial lock/adj flex,,,28 ,,NW,,,,,,$153.24,$0.00,1,1,1,1,1,1,20101001,L2430,HCPCS,Knee jnt ratchet lock ea jnt,,,28 ,,NW,,,,,,$153.24,$0.00,1,1,1,1,1,1,20101001,L2492,HCPCS,Knee lift loop drop lock rin,,,28 ,,NW,,,,,,$119.12,$0.00,1,1,1,1,1,1,20101001,L2500,HCPCS,Thi/glut/ischia wgt bearing,,,28 ,,NW,,,,,,$402.89,$0.00,1,1,1,1,1,1,20101001,L2510,HCPCS,Th/wght bear quad-lat brim m,,,28 ,,NW,,,,,,"$1,093.40",$0.00,1,1,1,1,1,1,20101001,L2520,HCPCS,Th/wght bear quad-lat brim c,,,28 ,,NW,,,,,,$658.75,$0.00,1,1,1,1,1,1,20101001,L2525,HCPCS,Th/wght bear nar m-l brim mo,,,28 ,,NW,,,,,,"$1,853.41",$0.00,1,1,1,1,1,1,20101001,L2526,HCPCS,Th/wght bear nar m-l brim cu,,,28 ,,NW,,,,,,$992.17,$0.00,1,1,1,1,1,1,20101001,L2530,HCPCS,Thigh/wght bear lacer non-mo,,,28 ,,NW,,,,,,$285.57,$0.00,1,1,1,1,1,1,20101001,L2540,HCPCS,Thigh/wght bear lacer molded,,,28 ,,NW,,,,,,$576.74,$0.00,1,1,1,1,1,1,20101001,L2550,HCPCS,Thigh/wght bear high roll cu,,,28 ,,NW,,,,,,$371.56,$0.00,1,1,1,1,1,1,20101001,L2570,HCPCS,Hip clevis type 2 posit jnt,,,28 ,,NW,,,,,,$692.87,$0.00,1,1,1,1,1,1,20101001,L2580,HCPCS,Pelvic control pelvic sling,,,28 ,,NW,,,,,,$658.84,$0.00,1,1,1,1,1,1,20101001,L2600,HCPCS,Hip clevis/thrust bearing fr,,,28 ,,NW,,,,,,$246.17,$0.00,1,1,1,1,1,1,20101001,L2610,HCPCS,Hip clevis/thrust bearing lo,,,28 ,,NW,,,,,,$302.44,$0.00,1,1,1,1,1,1,20101001,L2620,HCPCS,Pelvic control hip heavy dut,,,28 ,,NW,,,,,,$346.75,$0.00,1,1,1,1,1,1,20101001,L2622,HCPCS,Hip joint adjustable flexion,,,28 ,,NW,,,,,,$406.11,$0.00,1,1,1,1,1,1,20101001,L2624,HCPCS,Hip adj flex ext abduct cont,,,28 ,,NW,,,,,,$459.40,$0.00,1,1,1,1,1,1,20101001,L2627,HCPCS,Plastic mold recipro hip & c,,,28 ,,NW,,,,,,"$2,555.40",$0.00,1,1,1,1,1,1,20101001,L2628,HCPCS,Metal frame recipro hip & ca,,,28 ,,NW,,,,,,"$2,486.07",$0.00,1,1,1,1,1,1,20101001,L2630,HCPCS,Pelvic control band & belt u,,,28 ,,NW,,,,,,$304.02,$0.00,1,1,1,1,1,1,20101001,L2640,HCPCS,Pelvic control band & belt b,,,28 ,,NW,,,,,,$446.32,$0.00,1,1,1,1,1,1,20101001,L2650,HCPCS,Pelv & thor control gluteal,,,28 ,,NW,,,,,,$137.31,$0.00,1,1,1,1,1,1,20101001,L2660,HCPCS,Thoracic control thoracic ba,,,28 ,,NW,,,,,,$206.30,$0.00,1,1,1,1,1,1,20101001,L2670,HCPCS,Thorac cont paraspinal uprig,,,28 ,,NW,,,,,,$189.83,$0.00,1,1,1,1,1,1,20101001,L2680,HCPCS,Thorac cont lat support upri,,,28 ,,NW,,,,,,$175.89,$0.00,1,1,1,1,1,1,20101001,L2750,HCPCS,Plating chrome/nickel pr bar,,,28 ,,NW,,,,,,$94.04,$0.00,1,1,1,1,1,1,20101001,L2755,HCPCS,Carbon graphite lamination,,,28 ,,NW,,,,,,$140.37,$0.00,1,1,1,1,1,1,20101001,L2760,HCPCS,Extension per extension per,,,28 ,,NW,,,,,,$73.36,$0.00,1,1,1,1,1,1,20101001,L2768,HCPCS,Ortho sidebar disconnect,,,28 ,,NW,,,,,,$139.94,$0.00,1,1,1,1,1,1,20101001,L2780,HCPCS,Non-corrosive finish,,,28 ,,NW,,,,,,$79.65,$0.00,1,1,1,1,1,1,20101001,L2785,HCPCS,Drop lock retainer each,,,28 ,,NW,,,,,,$42.15,$0.00,1,1,1,1,1,1,20101001,L2795,HCPCS,Knee control full kneecap,,,28 ,,NW,,,,,,$98.50,$0.00,1,1,1,1,1,1,20101001,L2800,HCPCS,Knee cap medial or lateral p,,,28 ,,NW,,,,,,$120.54,$0.00,1,1,1,1,1,1,20101001,L2810,HCPCS,Knee control condylar pad,,,28 ,,NW,,,,,,$92.65,$0.00,1,1,1,1,1,1,20101001,L2820,HCPCS,Soft interface below knee se,,,28 ,,NW,,,,,,$99.16,$0.00,1,1,1,1,1,1,20101001,L2830,HCPCS,Soft interface above knee se,,,28 ,,NW,,,,,,$107.76,$0.00,1,1,1,1,1,1,20101001,L2840,HCPCS,Tibial length sock fx or equ,,,28 ,,NW,,,,,,$55.12,$0.00,1,1,1,1,1,1,20101001,L2850,HCPCS,Femoral lgth sock fx or equa,,,28 ,,NW,,,,,,$72.32,$0.00,1,1,1,1,1,1,20101001,L2861,HCPCS,Torsion mechanism knee/ankle,,,28 ,,NW,,,,,,$141.93,$0.00,1,1,1,1,1,1,20101001,L2999,HCPCS,Lower extremity orthosis nos,,,28 ,,NW,,,,,,$92.65,$0.00,1,1,1,1,1,1,20101001,L3000,HCPCS,Ft insert ucb berkeley shell,,,28 ,,NW,,,,,,$380.38,$0.00,1,1,1,1,1,1,20101001,L3001,HCPCS,Foot insert remov molded spe,,,28 ,,NW,,,,,,$141.95,$0.00,1,1,1,1,1,1,20101001,L3002,HCPCS,Foot insert plastazote or eq,,,28 ,,NW,,,,,,$171.76,$0.00,1,1,1,1,1,1,20101001,L3003,HCPCS,Foot insert silicone gel eac,,,28 ,,NW,,,,,,$184.75,$0.00,1,1,1,1,1,1,20101001,L3010,HCPCS,Foot longitudinal arch suppo,,,28 ,,NW,,,,,,$184.75,$0.00,1,1,1,1,1,1,20101001,L3020,HCPCS,Foot longitud/metatarsal sup,,,28 ,,NW,,,,,,$210.08,$0.00,1,1,1,1,1,1,20101001,L3030,HCPCS,Foot arch support remov prem,,,28 ,,NW,,,,,,$84.91,$0.00,1,1,1,1,1,1,20101001,L3031,HCPCS,Foot lamin/prepreg composite,,,28 ,,NW,,,,,,$147.53,$0.00,1,1,1,1,1,1,20101001,L3040,HCPCS,Ft arch suprt premold longit,,,28 ,,NW,,,,,,$55.08,$0.00,1,1,1,1,1,1,20101001,L3050,HCPCS,Foot arch supp premold metat,,,28 ,,NW,,,,,,$55.08,$0.00,1,1,1,1,1,1,20101001,L3060,HCPCS,Foot arch supp longitud/meta,,,28 ,,NW,,,,,,$82.31,$0.00,1,1,1,1,1,1,20101001,L3070,HCPCS,Arch suprt att to sho longit,,,28 ,,NW,,,,,,$39.51,$0.00,1,1,1,1,1,1,20101001,L3080,HCPCS,Arch supp att to shoe metata,,,28 ,,NW,,,,,,$39.51,$0.00,1,1,1,1,1,1,20101001,L3090,HCPCS,Arch supp att to shoe long/m,,,28 ,,NW,,,,,,$48.62,$0.00,1,1,1,1,1,1,20101001,L3100,HCPCS,Hallus-valgus nght dynamic s,,,28 ,,NW,,,,,,$51.19,$0.00,1,1,1,1,1,1,20101001,L3140,HCPCS,Abduction rotation bar shoe,,,28 ,,NW,,,,,,$97.88,$0.00,1,1,1,1,1,1,20101001,L3150,HCPCS,Abduct rotation bar w/o shoe,,,28 ,,NW,,,,,,$90.09,$0.00,1,1,1,1,1,1,20101001,L3160,HCPCS,Shoe styled positioning dev,,,28 ,,NW,,,,,,$27.58,$0.00,1,1,1,1,1,1,20101001,L3170,HCPCS,Foot plastic heel stabilizer,,,28 ,,NW,,,,,,$58.99,$0.00,1,1,1,1,1,1,20101001,L3201,HCPCS,Oxford w supinat/pronat inf,,,28 ,,NW,,,,,,$84.07,$0.00,1,1,1,1,1,1,20101001,L3202,HCPCS,Oxford w/ supinat/pronator c,,,28 ,,NW,,,,,,$82.65,$0.00,1,1,1,1,1,1,20101001,L3203,HCPCS,Oxford w/ supinator/pronator,,,28 ,,NW,,,,,,$81.24,$0.00,1,1,1,1,1,1,20101001,L3204,HCPCS,Hightop w/ supp/pronator inf,,,28 ,,NW,,,,,,$81.24,$0.00,1,1,1,1,1,1,20101001,L3206,HCPCS,Hightop w/ supp/pronator chi,,,28 ,,NW,,,,,,$84.07,$0.00,1,1,1,1,1,1,20101001,L3207,HCPCS,Hightop w/ supp/pronator jun,,,28 ,,NW,,,,,,$85.48,$0.00,1,1,1,1,1,1,20101001,L3208,HCPCS,Surgical boot each infant,,,28 ,,NW,,,,,,$48.06,$0.00,1,1,1,1,1,1,20101001,L3209,HCPCS,Surgical boot each child,,,28 ,,NW,,,,,,$65.00,$0.00,1,1,1,1,1,1,20101001,L3211,HCPCS,Surgical boot each junior,,,28 ,,NW,,,,,,$68.53,$0.00,1,1,1,1,1,1,20101001,L3212,HCPCS,Benesch boot pair infant,,,28 ,,NW,,,,,,$93.24,$0.00,1,1,1,1,1,1,20101001,L3213,HCPCS,Benesch boot pair child,,,28 ,,NW,,,,,,$110.89,$0.00,1,1,1,1,1,1,20101001,L3214,HCPCS,Benesch boot pair junior,,,28 ,,NW,,,,,,$117.95,$0.00,1,1,1,1,1,1,20101001,L3215,HCPCS,Orthopedic ftwear ladies oxf,,,28 ,,NW,,,,,,$148.31,$0.00,1,1,1,1,1,1,20101001,L3216,HCPCS,Orthoped ladies shoes dpth i,,,28 ,,NW,,,,,,$177.26,$0.00,1,1,1,1,1,1,20101001,L3217,HCPCS,Ladies shoes hightop depth i,,,28 ,,NW,,,,,,$192.09,$0.00,1,1,1,1,1,1,20101001,L3219,HCPCS,Orthopedic mens shoes oxford,,,28 ,,NW,,,,,,$165.26,$0.00,1,1,1,1,1,1,20101001,L3221,HCPCS,Orthopedic mens shoes dpth i,,,28 ,,NW,,,,,,$197.03,$0.00,1,1,1,1,1,1,20101001,L3222,HCPCS,Mens shoes hightop depth inl,,,28 ,,NW,,,,,,$220.79,$0.00,1,1,1,1,1,1,20101001,L3224,HCPCS,Woman's shoe oxford brace,,,28 ,,NW,,,,,,$71.65,$0.00,1,1,1,1,1,1,20101001,L3225,HCPCS,Man's shoe oxford brace,,,28 ,,NW,,,,,,$80.52,$0.00,1,1,1,1,1,1,20101001,L3230,HCPCS,Custom shoes depth inlay,,,28 ,,NW,,,,,,$274.80,$0.00,1,1,1,1,1,1,20101001,L3250,HCPCS,Custom mold shoe remov prost,,,28 ,,NW,,,,,,$611.10,$0.00,1,1,1,1,1,1,20101001,L3251,HCPCS,Shoe molded to pt silicone s,,,28 ,,NW,,,,,,$73.47,$0.00,1,1,1,1,1,1,20101001,L3252,HCPCS,Shoe molded plastazote cust,,,28 ,,NW,,,,,,$297.22,$0.00,1,1,1,1,1,1,20101001,L3253,HCPCS,Shoe molded plastazote cust,,,28 ,,NW,,,,,,$72.77,$0.00,1,1,1,1,1,1,20101001,L3254,HCPCS,Orth foot non-stndard size/w,,,28 ,,NW,,,,,,$20.40,$0.00,1,1,1,1,1,1,20101001,L3255,HCPCS,Orth foot non-standard size/,,,28 ,,NW,,,,,,$62.14,$0.00,1,1,1,1,1,1,20101001,L3257,HCPCS,Orth foot add charge split s,,,28 ,,NW,,,,,,$54.41,$0.00,1,1,1,1,1,1,20101001,L3260,HCPCS,Ambulatory surgical boot eac,,,28 ,,NW,,,,,,$33.94,$0.00,1,1,1,1,1,1,20101001,L3265,HCPCS,Plastazote sandal each,,,28 ,,NW,,,,,,$36.06,$0.00,1,1,1,1,1,1,20101001,L3300,HCPCS,Sho lift taper to metatarsal,,,28 ,,NW,,,,,,$60.26,$0.00,1,1,1,1,1,1,20101001,L3310,HCPCS,Shoe lift elev heel/sole neo,,,28 ,,NW,,,,,,$90.09,$0.00,1,1,1,1,1,1,20101001,L3320,HCPCS,Shoe lift elev heel/sole cor,,,28 ,,NW,,,,,,$185.03,$0.00,1,1,1,1,1,1,20101001,L3330,HCPCS,Lifts elevation metal extens,,,28 ,,NW,,,,,,$750.94,$0.00,1,1,1,1,1,1,20101001,L3332,HCPCS,Shoe lifts tapered to one-ha,,,28 ,,NW,,,,,,$82.31,$0.00,1,1,1,1,1,1,20101001,L3334,HCPCS,Shoe lifts elevation heel /i,,,28 ,,NW,,,,,,$46.00,$0.00,1,1,1,1,1,1,20101001,L3340,HCPCS,Shoe wedge sach,,,28 ,,NW,,,,,,$94.00,$0.00,1,1,1,1,1,1,20101001,L3350,HCPCS,Shoe heel wedge,,,28 ,,NW,,,,,,$30.44,$0.00,1,1,1,1,1,1,20101001,L3360,HCPCS,Shoe sole wedge outside sole,,,28 ,,NW,,,,,,$43.41,$0.00,1,1,1,1,1,1,20101001,L3370,HCPCS,Shoe sole wedge between sole,,,28 ,,NW,,,,,,$57.66,$0.00,1,1,1,1,1,1,20101001,L3380,HCPCS,Shoe clubfoot wedge,,,28 ,,NW,,,,,,$57.66,$0.00,1,1,1,1,1,1,20101001,L3390,HCPCS,Shoe outflare wedge,,,28 ,,NW,,,,,,$57.66,$0.00,1,1,1,1,1,1,20101001,L3400,HCPCS,Shoe metatarsal bar wedge ro,,,28 ,,NW,,,,,,$48.62,$0.00,1,1,1,1,1,1,20101001,L3410,HCPCS,Shoe metatarsal bar between,,,28 ,,NW,,,,,,$101.76,$0.00,1,1,1,1,1,1,20101001,L3420,HCPCS,Full sole/heel wedge btween,,,28 ,,NW,,,,,,$62.86,$0.00,1,1,1,1,1,1,20101001,L3430,HCPCS,Sho heel count plast reinfor,,,28 ,,NW,,,,,,$170.48,$0.00,1,1,1,1,1,1,20101001,L3440,HCPCS,Heel leather reinforced,,,28 ,,NW,,,,,,$84.91,$0.00,1,1,1,1,1,1,20101001,L3450,HCPCS,Shoe heel sach cushion type,,,28 ,,NW,,,,,,$114.72,$0.00,1,1,1,1,1,1,20101001,L3455,HCPCS,Shoe heel new leather standa,,,28 ,,NW,,,,,,$48.62,$0.00,1,1,1,1,1,1,20101001,L3460,HCPCS,Shoe heel new rubber standar,,,28 ,,NW,,,,,,$42.10,$0.00,1,1,1,1,1,1,20101001,L3465,HCPCS,Shoe heel thomas with wedge,,,28 ,,NW,,,,,,$66.76,$0.00,1,1,1,1,1,1,20101001,L3470,HCPCS,Shoe heel thomas extend to b,,,28 ,,NW,,,,,,$70.64,$0.00,1,1,1,1,1,1,20101001,L3480,HCPCS,Shoe heel pad & depress for,,,28 ,,NW,,,,,,$70.64,$0.00,1,1,1,1,1,1,20101001,L3485,HCPCS,Shoe heel pad removable for,,,28 ,,NW,,,,,,$33.94,$0.00,1,1,1,1,1,1,20101001,L3500,HCPCS,Ortho shoe add leather insol,,,28 ,,NW,,,,,,$36.93,$0.00,1,1,1,1,1,1,20101001,L3510,HCPCS,Orthopedic shoe add rub insl,,,28 ,,NW,,,,,,$36.93,$0.00,1,1,1,1,1,1,20101001,L3520,HCPCS,O shoe add felt w leath insl,,,28 ,,NW,,,,,,$39.51,$0.00,1,1,1,1,1,1,20101001,L3530,HCPCS,Ortho shoe add half sole,,,28 ,,NW,,,,,,$39.51,$0.00,1,1,1,1,1,1,20101001,L3540,HCPCS,Ortho shoe add full sole,,,28 ,,NW,,,,,,$58.99,$0.00,1,1,1,1,1,1,20101001,L3550,HCPCS,O shoe add standard toe tap,,,28 ,,NW,,,,,,$16.19,$0.00,1,1,1,1,1,1,20101001,L3560,HCPCS,O shoe add horseshoe toe tap,,,28 ,,NW,,,,,,$30.44,$0.00,1,1,1,1,1,1,20101001,L3570,HCPCS,O shoe add instep extension,,,28 ,,NW,,,,,,$94.00,$0.00,1,1,1,1,1,1,20101001,L3580,HCPCS,O shoe add instep velcro clo,,,28 ,,NW,,,,,,$73.23,$0.00,1,1,1,1,1,1,20101001,L3590,HCPCS,O shoe convert to sof counte,,,28 ,,NW,,,,,,$61.56,$0.00,1,1,1,1,1,1,20101001,L3595,HCPCS,Ortho shoe add march bar,,,28 ,,NW,,,,,,$49.89,$0.00,1,1,1,1,1,1,20101001,L3600,HCPCS,Trans shoe calip plate exist,,,28 ,,NW,,,,,,$84.91,$0.00,1,1,1,1,1,1,20101001,L3610,HCPCS,Trans shoe caliper plate new,,,28 ,,NW,,,,,,$109.54,$0.00,1,1,1,1,1,1,20101001,L3620,HCPCS,Trans shoe solid stirrup exi,,,28 ,,NW,,,,,,$84.91,$0.00,1,1,1,1,1,1,20101001,L3630,HCPCS,Trans shoe solid stirrup new,,,28 ,,NW,,,,,,$109.54,$0.00,1,1,1,1,1,1,20101001,L3640,HCPCS,Shoe dennis browne splint bo,,,28 ,,NW,,,,,,$51.19,$0.00,1,1,1,1,1,1,20101001,L3649,HCPCS,Orthopedic shoe modifica nos,,,28 ,,NW,,,,,,$109.54,$0.00,1,1,1,1,1,1,20101001,L3650,HCPCS,Shlder fig 8 abduct restrain,,,28 ,,NW,,,,,,$71.51,$0.00,1,1,1,1,1,1,20101001,L3660,HCPCS,Abduct restrainer canvas&web,,,28 ,,NW,,,,,,$110.52,$0.00,1,1,1,1,1,1,20101001,L3670,HCPCS,Acromio/clavicular canvas&we,,,28 ,,NW,,,,,,$131.03,$0.00,1,1,1,1,1,1,20101001,L3671,HCPCS,So Cap Design W/O Jnts Cf,,,28 ,,NW,,,,,,"$1,124.87",$0.00,1,1,1,1,1,1,20101001,L3672,HCPCS,So Airplane W/O Jnts Cf,,,28 ,,NW,,,,,,"$1,418.81",$0.00,1,1,1,1,1,1,20101001,L3673,HCPCS,So Airplane W/Joint Cf,,,28 ,,NW,,,,,,"$1,553.70",$0.00,1,1,1,1,1,1,20101001,L3675,HCPCS,Canvas vest so,,,28 ,,NW,,,,,,$169.93,$0.00,1,1,1,1,1,1,20101001,L3677,HCPCS,So hard plastic stabilizer,,,28 ,,NW,,,,,,$201.97,$0.00,1,1,1,1,1,1,20101001,L3702,HCPCS,Eo w/o joints cf,,,28 ,,NW,,,,,,$304.83,$0.00,1,1,1,1,1,1,20101001,L3710,HCPCS,Elbow elastic with metal joi,,,28 ,,NW,,,,,,$140.25,$0.00,1,1,1,1,1,1,20101001,L3720,HCPCS,Forearm/arm cuffs free motio,,,28 ,,NW,,,,,,$941.33,$0.00,1,1,1,1,1,1,20101001,L3730,HCPCS,Forearm/arm cuffs ext/flex a,,,28 ,,NW,,,,,,"$1,329.99",$0.00,1,1,1,1,1,1,20101001,L3740,HCPCS,Cuffs adj lock w/ active con,,,28 ,,NW,,,,,,"$1,572.06",$0.00,1,1,1,1,1,1,20101001,L3760,HCPCS,"Eo withjoint, prefabricated",,,28 ,,NW,,,,,,$587.87,$0.00,1,1,1,1,1,1,20101001,L3762,HCPCS,Rigid eo wo joints,,,28 ,,NW,,,,,,$106.88,$0.00,1,1,1,1,1,1,20101001,L3763,HCPCS,Ewho rigid w/o jnts cf,,,28 ,,NW,,,,,,$933.97,$0.00,1,1,1,1,1,1,20101001,L3764,HCPCS,Ewho W/Joint(S) Cf,,,28 ,,NW,,,,,,"$1,054.98",$0.00,1,1,1,1,1,1,20101001,L3765,HCPCS,Ewhfo rigid w/o jnts cf,,,28 ,,NW,,,,,,"$1,635.36",$0.00,1,1,1,1,1,1,20101001,L3766,HCPCS,Ewhfo W/Joint(S) Cf,,,28 ,,NW,,,,,,"$1,736.55",$0.00,1,1,1,1,1,1,20101001,L3806,HCPCS,Whfo W/Joint(S) Custom Fab,,,28 ,,NW,,,,,,$526.47,$0.00,1,1,1,1,1,1,20101001,L3807,HCPCS,"Whfo,no joint, prefabricated",,,28 ,,NW,,,,,,$253.00,$0.00,1,1,1,1,1,1,20101001,L3808,HCPCS,"Whfo, Rigid W/O Joints",,,28 ,,NW,,,,,,$419.82,$0.00,1,1,1,1,1,1,20101001,L3891,HCPCS,Torsion mechanism wrist/elbo,,,28 ,,NW,,,,,,$132.61,$0.00,1,1,1,1,1,1,20101001,L3900,HCPCS,Hinge extension/flex wrist/f,,,28 ,,NW,,,,,,"$1,930.29",$0.00,1,1,1,1,1,1,20101001,L3901,HCPCS,Hinge ext/flex wrist finger,,,28 ,,NW,,,,,,"$2,401.10",$0.00,1,1,1,1,1,1,20101001,L3904,HCPCS,Whfo electric custom fitted,,,28 ,,NW,,,,,,"$4,445.89",$0.00,1,1,1,1,1,1,20101001,L3905,HCPCS,Who w/nontorsion jnt(s) cf,,,28 ,,NW,,,,,,"$1,246.26",$0.00,1,1,1,1,1,1,20101001,L3906,HCPCS,Who w/o joints cf,,,28 ,,NW,,,,,,$528.79,$0.00,1,1,1,1,1,1,20101001,L3908,HCPCS,Wrist cock-up non-molded,,,28 ,,NW,,,,,,$72.85,$0.00,1,1,1,1,1,1,20101001,L3912,HCPCS,Flex glove w/elastic finger,,,28 ,,NW,,,,,,$110.58,$0.00,1,1,1,1,1,1,20101001,L3913,HCPCS,Hfo w/o joints cf,,,28 ,,NW,,,,,,$280.84,$0.00,1,1,1,1,1,1,20101001,L3915,HCPCS,Who W Nontor Jnt(S) Prefab,,,28 ,,NW,,,,,,$630.03,$0.00,1,1,1,1,1,1,20101001,L3917,HCPCS,Prefab metacarpl fx orthosis,,,28 ,,NW,,,,,,$105.11,$0.00,1,1,1,1,1,1,20101001,L3919,HCPCS,Ho w/o joints cf,,,28 ,,NW,,,,,,$280.84,$0.00,1,1,1,1,1,1,20101001,L3921,HCPCS,Hfo W/Joint(S) Cf,,,28 ,,NW,,,,,,$348.29,$0.00,1,1,1,1,1,1,20101001,L3923,HCPCS,Hfo w/o joints pf,,,28 ,,NW,,,,,,$92.66,$0.00,1,1,1,1,1,1,20101001,L3925,HCPCS,Fo Pip/Dip With Joint/Spring,,,28 ,,NW,,,,,,$60.71,$0.00,1,1,1,1,1,1,20101001,L3927,HCPCS,Fo Pip/Dip W/O Joint/Spring,,,28 ,,NW,,,,,,$39.56,$0.00,1,1,1,1,1,1,20101001,L3929,HCPCS,"Hfo Nontorsion Joint, Prefab",,,28 ,,NW,,,,,,$91.90,$0.00,1,1,1,1,1,1,20101001,L3931,HCPCS,Whfo Nontorsion Joint Prefab,,,28 ,,NW,,,,,,$201.01,$0.00,1,1,1,1,1,1,20101001,L3933,HCPCS,Fo w/o joints cf,,,28 ,,NW,,,,,,$205.08,$0.00,1,1,1,1,1,1,20101001,L3935,HCPCS,Fo nontorsion joint cf,,,28 ,,NW,,,,,,$214.00,$0.00,1,1,1,1,1,1,20101001,L3956,HCPCS,Add joint upper ext orthosis,,,28 ,,NW,,,,,,$89.02,$0.00,1,1,1,1,1,1,20101001,L3960,HCPCS,Sewho airplan desig abdu pos,,,28 ,,NW,,,,,,"$1,055.12",$0.00,1,1,1,1,1,1,20101001,L3961,HCPCS,Sewho Cap Design W/O Jnts Cf,,,28 ,,NW,,,,,,"$2,168.22",$0.00,1,1,1,1,1,1,20101001,L3962,HCPCS,Sewho erbs palsey design abd,,,28 ,,NW,,,,,,"$1,013.92",$0.00,1,1,1,1,1,1,20101001,L3964,HCPCS,Seo mobile arm sup att to wc,,,28 ,,NW,,,,,,$965.46,$0.00,1,1,1,1,1,1,20101001,L3964,HCPCS,Seo mobile arm sup att to wc,NU,,28 ,,NW,,,,,,$965.46,$0.00,1,1,1,1,1,1,20101001,L3964,HCPCS,Seo mobile arm sup att to wc,RR,,28 ,,NW,,,,,,$79.67,$0.00,1,1,1,1,1,1,20101001,L3964,HCPCS,Seo mobile arm sup att to wc,UE,,28 ,,NW,,,,,,$703.58,$0.00,1,1,1,1,1,1,20101001,L3965,HCPCS,Arm supp att to wc rancho ty,,,28 ,,NW,,,,,,"$1,541.67",$0.00,1,1,1,1,1,1,20101001,L3965,HCPCS,Arm supp att to wc rancho ty,NU,,28 ,,NW,,,,,,"$1,541.67",$0.00,1,1,1,1,1,1,20101001,L3965,HCPCS,Arm supp att to wc rancho ty,RR,,28 ,,NW,,,,,,$119.62,$0.00,1,1,1,1,1,1,20101001,L3965,HCPCS,Arm supp att to wc rancho ty,UE,,28 ,,NW,,,,,,"$1,135.78",$0.00,1,1,1,1,1,1,20101001,L3966,HCPCS,Mobile arm supports reclinin,,,28 ,,NW,,,,,,"$1,155.71",$0.00,1,1,1,1,1,1,20101001,L3966,HCPCS,Mobile arm supports reclinin,NU,,28 ,,NW,,,,,,"$1,155.71",$0.00,1,1,1,1,1,1,20101001,L3966,HCPCS,Mobile arm supports reclinin,RR,,28 ,,NW,,,,,,$92.85,$0.00,1,1,1,1,1,1,20101001,L3966,HCPCS,Mobile arm supports reclinin,UE,,28 ,,NW,,,,,,$846.32,$0.00,1,1,1,1,1,1,20101001,L3967,HCPCS,Sewho Airplane W/O Jnts Cf,,,28 ,,NW,,,,,,"$2,574.72",$0.00,1,1,1,1,1,1,20101001,L3968,HCPCS,Friction dampening arm supp,,,28 ,,NW,,,,,,"$1,494.63",$0.00,1,1,1,1,1,1,20101001,L3968,HCPCS,Friction dampening arm supp,NU,,28 ,,NW,,,,,,"$1,494.63",$0.00,1,1,1,1,1,1,20101001,L3968,HCPCS,Friction dampening arm supp,RR,,28 ,,NW,,,,,,$116.32,$0.00,1,1,1,1,1,1,20101001,L3968,HCPCS,Friction dampening arm supp,UE,,28 ,,NW,,,,,,"$1,100.51",$0.00,1,1,1,1,1,1,20101001,L3969,HCPCS,Monosuspension arm/hand supp,,,28 ,,NW,,,,,,"$1,017.63",$0.00,1,1,1,1,1,1,20101001,L3969,HCPCS,Monosuspension arm/hand supp,NU,,28 ,,NW,,,,,,"$1,017.63",$0.00,1,1,1,1,1,1,20101001,L3969,HCPCS,Monosuspension arm/hand supp,RR,,28 ,,NW,,,,,,$83.29,$0.00,1,1,1,1,1,1,20101001,L3969,HCPCS,Monosuspension arm/hand supp,UE,,28 ,,NW,,,,,,$742.73,$0.00,1,1,1,1,1,1,20101001,L3970,HCPCS,Elevat proximal arm support,,,28 ,,NW,,,,,,$359.44,$0.00,1,1,1,1,1,1,20101001,L3970,HCPCS,Elevat proximal arm support,NU,,28 ,,NW,,,,,,$359.44,$0.00,1,1,1,1,1,1,20101001,L3970,HCPCS,Elevat proximal arm support,RR,,28 ,,NW,,,,,,$37.68,$0.00,1,1,1,1,1,1,20101001,L3970,HCPCS,Elevat proximal arm support,UE,,28 ,,NW,,,,,,$249.10,$0.00,1,1,1,1,1,1,20101001,L3971,HCPCS,Sewho Cap Design W/Jnt(S) Cf,,,28 ,,NW,,,,,,"$2,439.84",$0.00,1,1,1,1,1,1,20101001,L3972,HCPCS,Offset/lat rocker arm w/ ela,,,28 ,,NW,,,,,,$201.56,$0.00,1,1,1,1,1,1,20101001,L3972,HCPCS,Offset/lat rocker arm w/ ela,NU,,28 ,,NW,,,,,,$201.56,$0.00,1,1,1,1,1,1,20101001,L3972,HCPCS,Offset/lat rocker arm w/ ela,RR,,28 ,,NW,,,,,,$26.56,$0.00,1,1,1,1,1,1,20101001,L3972,HCPCS,Offset/lat rocker arm w/ ela,UE,,28 ,,NW,,,,,,$152.95,$0.00,1,1,1,1,1,1,20101001,L3973,HCPCS,Sewho Airplane W/Jnt(S) Cf,,,28 ,,NW,,,,,,"$2,574.72",$0.00,1,1,1,1,1,1,20101001,L3974,HCPCS,Mobile arm support supinator,,,28 ,,NW,,,,,,$171.59,$0.00,1,1,1,1,1,1,20101001,L3974,HCPCS,Mobile arm support supinator,NU,,28 ,,NW,,,,,,$171.59,$0.00,1,1,1,1,1,1,20101001,L3974,HCPCS,Mobile arm support supinator,RR,,28 ,,NW,,,,,,$23.56,$0.00,1,1,1,1,1,1,20101001,L3974,HCPCS,Mobile arm support supinator,UE,,28 ,,NW,,,,,,$130.47,$0.00,1,1,1,1,1,1,20101001,L3975,HCPCS,Sewhfo Cap Design W/O Jnt Cf,,,28 ,,NW,,,,,,"$2,168.22",$0.00,1,1,1,1,1,1,20101001,L3976,HCPCS,Sewhfo Airplane W/O Jnts Cf,,,28 ,,NW,,,,,,"$2,168.22",$0.00,1,1,1,1,1,1,20101001,L3977,HCPCS,Sewhfo Cap Desgn W/Jnt(S) Cf,,,28 ,,NW,,,,,,"$2,439.84",$0.00,1,1,1,1,1,1,20101001,L3978,HCPCS,Sewhfo Airplane W/Jnt(S) Cf,,,28 ,,NW,,,,,,"$2,574.72",$0.00,1,1,1,1,1,1,20101001,L3980,HCPCS,Upp ext fx orthosis humeral,,,28 ,,NW,,,,,,$405.96,$0.00,1,1,1,1,1,1,20101001,L3982,HCPCS,Upper ext fx orthosis rad/ul,,,28 ,,NW,,,,,,$489.27,$0.00,1,1,1,1,1,1,20101001,L3984,HCPCS,Upper ext fx orthosis wrist,,,28 ,,NW,,,,,,$446.64,$0.00,1,1,1,1,1,1,20101001,L3995,HCPCS,Sock fracture or equal each,,,28 ,,NW,,,,,,$43.28,$0.00,1,1,1,1,1,1,20101001,L3999,HCPCS,Upper limb orthosis nos,,,28 ,,NW,,,,,,$39.77,$0.00,1,1,1,1,1,1,20101001,L4000,HCPCS,Repl girdle milwaukee orth,,,28 ,,NW,,,,,,"$1,893.66",$0.00,1,1,1,1,1,1,20101001,L4002,HCPCS,"Replace strap, any orthosis",,,28 ,,NW,,,,,,$55.69,$0.00,1,1,1,1,1,1,20101001,L4010,HCPCS,Replace trilateral socket br,,,28 ,,NW,,,,,,$996.01,$0.00,1,1,1,1,1,1,20101001,L4020,HCPCS,Replace quadlat socket brim,,,28 ,,NW,,,,,,"$1,311.70",$0.00,1,1,1,1,1,1,20101001,L4030,HCPCS,Replace socket brim cust fit,,,28 ,,NW,,,,,,$750.48,$0.00,1,1,1,1,1,1,20101001,L4040,HCPCS,Replace molded thigh lacer,,,28 ,,NW,,,,,,$550.86,$0.00,1,1,1,1,1,1,20101001,L4045,HCPCS,Replace non-molded thigh lac,,,28 ,,NW,,,,,,$411.61,$0.00,1,1,1,1,1,1,20101001,L4050,HCPCS,Replace molded calf lacer,,,28 ,,NW,,,,,,$563.05,$0.00,1,1,1,1,1,1,20101001,L4055,HCPCS,Replace non-molded calf lace,,,28 ,,NW,,,,,,$319.15,$0.00,1,1,1,1,1,1,20101001,L4060,HCPCS,Replace high roll cuff,,,28 ,,NW,,,,,,$402.71,$0.00,1,1,1,1,1,1,20101001,L4070,HCPCS,Replace prox & dist upright,,,28 ,,NW,,,,,,$359.18,$0.00,1,1,1,1,1,1,20101001,L4080,HCPCS,Repl met band kafo-afo prox,,,28 ,,NW,,,,,,$113.14,$0.00,1,1,1,1,1,1,20101001,L4090,HCPCS,Repl met band kafo-afo calf/,,,28 ,,NW,,,,,,$105.10,$0.00,1,1,1,1,1,1,20101001,L4100,HCPCS,Repl leath cuff kafo prox th,,,28 ,,NW,,,,,,$121.33,$0.00,1,1,1,1,1,1,20101001,L4110,HCPCS,Repl leath cuff kafo-afo cal,,,28 ,,NW,,,,,,$99.25,$0.00,1,1,1,1,1,1,20101001,L4130,HCPCS,Replace pretibial shell,,,28 ,,NW,,,,,,$701.99,$0.00,1,1,1,1,1,1,20101001,L4205,HCPCS,Ortho dvc repair per 15 min,,,28 ,,NW,,,,,,$36.10,$0.00,1,1,1,1,1,1,20101001,L4210,HCPCS,Orth dev repair/repl minor p,,,28 ,,NW,,,,,,$34.83,$0.00,1,1,1,1,1,1,20101001,L4350,HCPCS,Ankle control orthosi prefab,,,28 ,,NW,,,,,,$105.56,$0.00,1,1,1,1,1,1,20101001,L4360,HCPCS,Pneumati walking boot prefab,,,28 ,,NW,,,,,,$334.96,$0.00,1,1,1,1,1,1,20101001,L4370,HCPCS,Pneumatic full leg splint,,,28 ,,NW,,,,,,$206.10,$0.00,1,1,1,1,1,1,20101001,L4380,HCPCS,Pneumatic knee splint,,,28 ,,NW,,,,,,$120.03,$0.00,1,1,1,1,1,1,20101001,L4386,HCPCS,Non-pneum walk boot prefab,,,28 ,,NW,,,,,,$168.75,$0.00,1,1,1,1,1,1,20101001,L4392,HCPCS,Replace afo soft interface,,,28 ,,NW,,,,,,$31.02,$0.00,1,1,1,1,1,1,20101001,L4394,HCPCS,Replace foot drop spint,,,28 ,,NW,,,,,,$24.56,$0.00,1,1,1,1,1,1,20101001,L4396,HCPCS,Static afo,,,28 ,,NW,,,,,,$177.62,$0.00,1,1,1,1,1,1,20101001,L4398,HCPCS,Foot drop splint recumbent,,,28 ,,NW,,,,,,$85.60,$0.00,1,1,1,1,1,1,20101001,L5000,HCPCS,Sho insert w arch toe filler,,,28 ,,NW,,,,,,$752.28,$0.00,1,1,1,1,1,1,20101001,L5010,HCPCS,Mold socket ank hgt w/ toe f,,,28 ,,NW,,,,,,"$1,987.32",$0.00,1,1,1,1,1,1,20101001,L5020,HCPCS,Tibial tubercle hgt w/ toe f,,,28 ,,NW,,,,,,"$3,297.79",$0.00,1,1,1,1,1,1,20101001,L5050,HCPCS,Ank symes mold sckt sach ft,,,28 ,,NW,,,,,,"$3,739.83",$0.00,1,1,1,1,1,1,20101001,L5060,HCPCS,Symes met fr leath socket ar,,,28 ,,NW,,,,,,"$4,697.91",$0.00,1,1,1,1,1,1,20101001,L5100,HCPCS,Molded socket shin sach foot,,,28 ,,NW,,,,,,"$3,783.10",$0.00,1,1,1,1,1,1,20101001,L5105,HCPCS,Plast socket jts/thgh lacer,,,28 ,,NW,,,,,,"$5,703.06",$0.00,1,1,1,1,1,1,20101001,L5150,HCPCS,Mold sckt ext knee shin sach,,,28 ,,NW,,,,,,"$5,858.85",$0.00,1,1,1,1,1,1,20101001,L5160,HCPCS,Mold socket bent knee shin s,,,28 ,,NW,,,,,,"$6,356.63",$0.00,1,1,1,1,1,1,20101001,L5200,HCPCS,Kne sing axis fric shin sach,,,28 ,,NW,,,,,,"$5,373.89",$0.00,1,1,1,1,1,1,20101001,L5210,HCPCS,No knee/ankle joints w/ ft b,,,28 ,,NW,,,,,,"$4,017.41",$0.00,1,1,1,1,1,1,20101001,L5220,HCPCS,No knee joint with artic ali,,,28 ,,NW,,,,,,"$4,588.04",$0.00,1,1,1,1,1,1,20101001,L5230,HCPCS,Fem focal defic constant fri,,,28 ,,NW,,,,,,"$6,325.81",$0.00,1,1,1,1,1,1,20101001,L5250,HCPCS,Hip canad sing axi cons fric,,,28 ,,NW,,,,,,"$8,469.24",$0.00,1,1,1,1,1,1,20101001,L5270,HCPCS,Tilt table locking hip sing,,,28 ,,NW,,,,,,"$8,544.71",$0.00,1,1,1,1,1,1,20101001,L5280,HCPCS,Hemipelvect canad sing axis,,,28 ,,NW,,,,,,"$8,586.06",$0.00,1,1,1,1,1,1,20101001,L5301,HCPCS,Bk mold socket sach ft endo,,,28 ,,NW,,,,,,"$3,870.81",$0.00,1,1,1,1,1,1,20101001,L5311,HCPCS,"Knee disart, sach ft, endo",,,28 ,,NW,,,,,,"$5,570.18",$0.00,1,1,1,1,1,1,20101001,L5321,HCPCS,Ak open end sach,,,28 ,,NW,,,,,,"$5,498.71",$0.00,1,1,1,1,1,1,20101001,L5331,HCPCS,Hip disart canadian sach ft,,,28 ,,NW,,,,,,"$7,786.02",$0.00,1,1,1,1,1,1,20101001,L5341,HCPCS,Hemipelvectomy canadian sach,,,28 ,,NW,,,,,,"$8,385.21",$0.00,1,1,1,1,1,1,20101001,L5400,HCPCS,Postop dress & 1 cast chg bk,,,28 ,,NW,,,,,,"$1,995.86",$0.00,1,1,1,1,1,1,20101001,L5410,HCPCS,Postop dsg bk ea add cast ch,,,28 ,,NW,,,,,,$596.22,$0.00,1,1,1,1,1,1,20101001,L5420,HCPCS,Postop dsg & 1 cast chg ak/d,,,28 ,,NW,,,,,,"$2,548.56",$0.00,1,1,1,1,1,1,20101001,L5430,HCPCS,Postop dsg ak ea add cast ch,,,28 ,,NW,,,,,,$774.03,$0.00,1,1,1,1,1,1,20101001,L5450,HCPCS,Postop app non-wgt bear dsg,,,28 ,,NW,,,,,,$583.25,$0.00,1,1,1,1,1,1,20101001,L5460,HCPCS,Postop app non-wgt bear dsg,,,28 ,,NW,,,,,,$801.89,$0.00,1,1,1,1,1,1,20101001,L5500,HCPCS,Init bk ptb plaster direct,,,28 ,,NW,,,,,,"$2,055.03",$0.00,1,1,1,1,1,1,20101001,L5505,HCPCS,Init ak ischal plstr direct,,,28 ,,NW,,,,,,"$2,880.28",$0.00,1,1,1,1,1,1,20101001,L5510,HCPCS,Prep bk ptb plaster molded,,,28 ,,NW,,,,,,"$2,330.86",$0.00,1,1,1,1,1,1,20101001,L5520,HCPCS,Perp bk ptb thermopls direct,,,28 ,,NW,,,,,,"$2,380.42",$0.00,1,1,1,1,1,1,20101001,L5530,HCPCS,Prep bk ptb thermopls molded,,,28 ,,NW,,,,,,"$2,818.66",$0.00,1,1,1,1,1,1,20101001,L5535,HCPCS,Prep bk ptb open end socket,,,28 ,,NW,,,,,,"$2,799.69",$0.00,1,1,1,1,1,1,20101001,L5540,HCPCS,Prep bk ptb laminated socket,,,28 ,,NW,,,,,,"$2,952.75",$0.00,1,1,1,1,1,1,20101001,L5560,HCPCS,Prep ak ischial plast molded,,,28 ,,NW,,,,,,"$3,199.77",$0.00,1,1,1,1,1,1,20101001,L5570,HCPCS,Prep ak ischial direct form,,,28 ,,NW,,,,,,"$3,325.42",$0.00,1,1,1,1,1,1,20101001,L5580,HCPCS,Prep ak ischial thermo mold,,,28 ,,NW,,,,,,"$3,890.07",$0.00,1,1,1,1,1,1,20101001,L5585,HCPCS,Prep ak ischial open end,,,28 ,,NW,,,,,,"$4,155.55",$0.00,1,1,1,1,1,1,20101001,L5590,HCPCS,Prep ak ischial laminated,,,28 ,,NW,,,,,,"$4,000.00",$0.00,1,1,1,1,1,1,20101001,L5595,HCPCS,Hip disartic sach thermopls,,,28 ,,NW,,,,,,"$6,614.05",$0.00,1,1,1,1,1,1,20101001,L5600,HCPCS,Hip disart sach laminat mold,,,28 ,,NW,,,,,,"$7,361.39",$0.00,1,1,1,1,1,1,20101001,L5610,HCPCS,Above knee hydracadence,,,28 ,,NW,,,,,,"$3,384.75",$0.00,1,1,1,1,1,1,20101001,L5611,HCPCS,Ak 4 bar link w/fric swing,,,28 ,,NW,,,,,,"$2,479.55",$0.00,1,1,1,1,1,1,20101001,L5613,HCPCS,Ak 4 bar ling w/hydraul swig,,,28 ,,NW,,,,,,"$3,888.27",$0.00,1,1,1,1,1,1,20101001,L5614,HCPCS,4-bar link above knee w/swng,,,28 ,,NW,,,,,,"$2,407.03",$0.00,1,1,1,1,1,1,20101001,L5616,HCPCS,Ak univ multiplex sys frict,,,28 ,,NW,,,,,,"$2,101.50",$0.00,1,1,1,1,1,1,20101001,L5617,HCPCS,Ak/bk self-aligning unit ea,,,28 ,,NW,,,,,,$746.68,$0.00,1,1,1,1,1,1,20101001,L5618,HCPCS,Test socket symes,,,28 ,,NW,,,,,,$375.02,$0.00,1,1,1,1,1,1,20101001,L5620,HCPCS,Test socket below knee,,,28 ,,NW,,,,,,$369.45,$0.00,1,1,1,1,1,1,20101001,L5622,HCPCS,Test socket knee disarticula,,,28 ,,NW,,,,,,$524.94,$0.00,1,1,1,1,1,1,20101001,L5624,HCPCS,Test socket above knee,,,28 ,,NW,,,,,,$522.82,$0.00,1,1,1,1,1,1,20101001,L5626,HCPCS,Test socket hip disarticulat,,,28 ,,NW,,,,,,$714.96,$0.00,1,1,1,1,1,1,20101001,L5628,HCPCS,Test socket hemipelvectomy,,,28 ,,NW,,,,,,$720.23,$0.00,1,1,1,1,1,1,20101001,L5629,HCPCS,Below knee acrylic socket,,,28 ,,NW,,,,,,$441.73,$0.00,1,1,1,1,1,1,20101001,L5630,HCPCS,Syme typ expandabl wall sckt,,,28 ,,NW,,,,,,$663.63,$0.00,1,1,1,1,1,1,20101001,L5631,HCPCS,Ak/knee disartic acrylic soc,,,28 ,,NW,,,,,,$638.44,$0.00,1,1,1,1,1,1,20101001,L5632,HCPCS,Symes type ptb brim design s,,,28 ,,NW,,,,,,$282.61,$0.00,1,1,1,1,1,1,20101001,L5634,HCPCS,Symes type poster opening so,,,28 ,,NW,,,,,,$425.05,$0.00,1,1,1,1,1,1,20101001,L5636,HCPCS,Symes type medial opening so,,,28 ,,NW,,,,,,$321.49,$0.00,1,1,1,1,1,1,20101001,L5637,HCPCS,Below knee total contact,,,28 ,,NW,,,,,,$431.49,$0.00,1,1,1,1,1,1,20101001,L5638,HCPCS,Below knee leather socket,,,28 ,,NW,,,,,,$752.00,$0.00,1,1,1,1,1,1,20101001,L5639,HCPCS,Below knee wood socket,,,28 ,,NW,,,,,,"$1,768.17",$0.00,1,1,1,1,1,1,20101001,L5640,HCPCS,Knee disarticulat leather so,,,28 ,,NW,,,,,,$982.57,$0.00,1,1,1,1,1,1,20101001,L5642,HCPCS,Above knee leather socket,,,28 ,,NW,,,,,,$893.00,$0.00,1,1,1,1,1,1,20101001,L5643,HCPCS,Hip flex inner socket ext fr,,,28 ,,NW,,,,,,"$2,432.95",$0.00,1,1,1,1,1,1,20101001,L5644,HCPCS,Above knee wood socket,,,28 ,,NW,,,,,,$842.12,$0.00,1,1,1,1,1,1,20101001,L5645,HCPCS,Bk flex inner socket ext fra,,,28 ,,NW,,,,,,"$1,190.16",$0.00,1,1,1,1,1,1,20101001,L5646,HCPCS,Below knee cushion socket,,,28 ,,NW,,,,,,$802.98,$0.00,1,1,1,1,1,1,20101001,L5647,HCPCS,Below knee suction socket,,,28 ,,NW,,,,,,"$1,209.24",$0.00,1,1,1,1,1,1,20101001,L5648,HCPCS,Above knee cushion socket,,,28 ,,NW,,,,,,$954.99,$0.00,1,1,1,1,1,1,20101001,L5649,HCPCS,Isch containmt/narrow m-l so,,,28 ,,NW,,,,,,"$3,142.36",$0.00,1,1,1,1,1,1,20101001,L5650,HCPCS,Tot contact ak/knee disart s,,,28 ,,NW,,,,,,$730.11,$0.00,1,1,1,1,1,1,20101001,L5651,HCPCS,Ak flex inner socket ext fra,,,28 ,,NW,,,,,,"$1,871.45",$0.00,1,1,1,1,1,1,20101001,L5652,HCPCS,Suction susp ak/knee disart,,,28 ,,NW,,,,,,$588.36,$0.00,1,1,1,1,1,1,20101001,L5653,HCPCS,Knee disart expand wall sock,,,28 ,,NW,,,,,,$848.14,$0.00,1,1,1,1,1,1,20101001,L5654,HCPCS,Socket insert symes,,,28 ,,NW,,,,,,$469.00,$0.00,1,1,1,1,1,1,20101001,L5655,HCPCS,Socket insert below knee,,,28 ,,NW,,,,,,$369.28,$0.00,1,1,1,1,1,1,20101001,L5656,HCPCS,Socket insert knee articulat,,,28 ,,NW,,,,,,$545.70,$0.00,1,1,1,1,1,1,20101001,L5658,HCPCS,Socket insert above knee,,,28 ,,NW,,,,,,$507.78,$0.00,1,1,1,1,1,1,20101001,L5661,HCPCS,Multi-durometer symes,,,28 ,,NW,,,,,,$892.23,$0.00,1,1,1,1,1,1,20101001,L5665,HCPCS,Multi-durometer below knee,,,28 ,,NW,,,,,,$764.00,$0.00,1,1,1,1,1,1,20101001,L5666,HCPCS,Below knee cuff suspension,,,28 ,,NW,,,,,,$89.34,$0.00,1,1,1,1,1,1,20101001,L5668,HCPCS,Socket insert w/o lock lower,,,28 ,,NW,,,,,,$127.28,$0.00,1,1,1,1,1,1,20101001,L5670,HCPCS,Bk molded supracondylar susp,,,28 ,,NW,,,,,,$371.45,$0.00,1,1,1,1,1,1,20101001,L5671,HCPCS,Bk/ak locking mechanism,,,28 ,,NW,,,,,,$759.57,$0.00,1,1,1,1,1,1,20101001,L5672,HCPCS,Bk removable medial brim sus,,,28 ,,NW,,,,,,$400.53,$0.00,1,1,1,1,1,1,20101001,L5673,HCPCS,Socket insert w lock mech,,,28 ,,NW,,,,,,"$1,015.67",$0.00,1,1,1,1,1,1,20101001,L5676,HCPCS,Bk knee joints single axis p,,,28 ,,NW,,,,,,$518.54,$0.00,1,1,1,1,1,1,20101001,L5677,HCPCS,Bk knee joints polycentric p,,,28 ,,NW,,,,,,$750.15,$0.00,1,1,1,1,1,1,20101001,L5678,HCPCS,Bk joint covers pair,,,28 ,,NW,,,,,,$52.79,$0.00,1,1,1,1,1,1,20101001,L5679,HCPCS,Socket insert w/o lock mech,,,28 ,,NW,,,,,,$832.73,$0.00,1,1,1,1,1,1,20101001,L5680,HCPCS,Bk thigh lacer non-molded,,,28 ,,NW,,,,,,$412.01,$0.00,1,1,1,1,1,1,20101001,L5681,HCPCS,Intl custm cong/latyp insert,,,28 ,,NW,,,,,,"$1,857.71",$0.00,1,1,1,1,1,1,20101001,L5682,HCPCS,Bk thigh lacer glut/ischia m,,,28 ,,NW,,,,,,$917.99,$0.00,1,1,1,1,1,1,20101001,L5683,HCPCS,Initial custom socket insert,,,28 ,,NW,,,,,,"$1,857.71",$0.00,1,1,1,1,1,1,20101001,L5684,HCPCS,Bk fork strap,,,28 ,,NW,,,,,,$61.71,$0.00,1,1,1,1,1,1,20101001,L5685,HCPCS,Below knee sus/seal sleeve,,,28 ,,NW,,,,,,$137.94,$0.00,1,1,1,1,1,1,20101001,L5686,HCPCS,Bk back check,,,28 ,,NW,,,,,,$67.26,$0.00,1,1,1,1,1,1,20101001,L5688,HCPCS,Bk waist belt webbing,,,28 ,,NW,,,,,,$78.51,$0.00,1,1,1,1,1,1,20101001,L5690,HCPCS,Bk waist belt padded and lin,,,28 ,,NW,,,,,,$123.42,$0.00,1,1,1,1,1,1,20101001,L5692,HCPCS,Ak pelvic control belt light,,,28 ,,NW,,,,,,$160.35,$0.00,1,1,1,1,1,1,20101001,L5694,HCPCS,Ak pelvic control belt pad/l,,,28 ,,NW,,,,,,$220.94,$0.00,1,1,1,1,1,1,20101001,L5695,HCPCS,Ak sleeve susp neoprene/equa,,,28 ,,NW,,,,,,$198.28,$0.00,1,1,1,1,1,1,20101001,L5696,HCPCS,Ak/knee disartic pelvic join,,,28 ,,NW,,,,,,$229.94,$0.00,1,1,1,1,1,1,20101001,L5697,HCPCS,Ak/knee disartic pelvic band,,,28 ,,NW,,,,,,$99.24,$0.00,1,1,1,1,1,1,20101001,L5698,HCPCS,Ak/knee disartic silesian ba,,,28 ,,NW,,,,,,$134.15,$0.00,1,1,1,1,1,1,20101001,L5699,HCPCS,Shoulder harness,,,28 ,,NW,,,,,,$236.21,$0.00,1,1,1,1,1,1,20101001,L5700,HCPCS,Replace socket below knee,,,28 ,,NW,,,,,,"$4,464.41",$0.00,1,1,1,1,1,1,20101001,L5701,HCPCS,Replace socket above knee,,,28 ,,NW,,,,,,"$5,503.88",$0.00,1,1,1,1,1,1,20101001,L5702,HCPCS,Replace socket hip,,,28 ,,NW,,,,,,"$7,052.32",$0.00,1,1,1,1,1,1,20101001,L5703,HCPCS,Symes ankle w/o (sach) foot,,,28 ,,NW,,,,,,"$3,430.53",$0.00,1,1,1,1,1,1,20101001,L5704,HCPCS,Custom shape cover bk,,,28 ,,NW,,,,,,$780.62,$0.00,1,1,1,1,1,1,20101001,L5705,HCPCS,Custom shape cover ak,,,28 ,,NW,,,,,,"$1,441.03",$0.00,1,1,1,1,1,1,20101001,L5706,HCPCS,Custom shape cvr knee disart,,,28 ,,NW,,,,,,"$1,411.99",$0.00,1,1,1,1,1,1,20101001,L5707,HCPCS,Custom shape cvr hip disart,,,28 ,,NW,,,,,,"$1,943.15",$0.00,1,1,1,1,1,1,20101001,L5710,HCPCS,Kne-shin exo sng axi mnl loc,,,28 ,,NW,,,,,,$514.48,$0.00,1,1,1,1,1,1,20101001,L5711,HCPCS,Knee-shin exo mnl lock ultra,,,28 ,,NW,,,,,,$786.28,$0.00,1,1,1,1,1,1,20101001,L5712,HCPCS,Knee-shin exo frict swg & st,,,28 ,,NW,,,,,,$641.63,$0.00,1,1,1,1,1,1,20101001,L5714,HCPCS,Knee-shin exo variable frict,,,28 ,,NW,,,,,,$600.15,$0.00,1,1,1,1,1,1,20101001,L5716,HCPCS,Knee-shin exo mech stance ph,,,28 ,,NW,,,,,,"$1,141.11",$0.00,1,1,1,1,1,1,20101001,L5718,HCPCS,Knee-shin exo frct swg & sta,,,28 ,,NW,,,,,,"$1,392.07",$0.00,1,1,1,1,1,1,20101001,L5722,HCPCS,Knee-shin pneum swg frct exo,,,28 ,,NW,,,,,,"$1,410.38",$0.00,1,1,1,1,1,1,20101001,L5724,HCPCS,Knee-shin exo fluid swing ph,,,28 ,,NW,,,,,,"$2,501.50",$0.00,1,1,1,1,1,1,20101001,L5726,HCPCS,Knee-shin ext jnts fld swg e,,,28 ,,NW,,,,,,"$2,835.13",$0.00,1,1,1,1,1,1,20101001,L5728,HCPCS,Knee-shin fluid swg & stance,,,28 ,,NW,,,,,,"$3,811.45",$0.00,1,1,1,1,1,1,20101001,L5780,HCPCS,Knee-shin pneum/hydra pneum,,,28 ,,NW,,,,,,"$1,821.63",$0.00,1,1,1,1,1,1,20101001,L5781,HCPCS,Lower limb pros vacuum pump,,,28 ,,NW,,,,,,"$5,817.57",$0.00,1,1,1,1,1,1,20101001,L5782,HCPCS,Hd low limb pros vacuum pump,,,28 ,,NW,,,,,,"$6,137.48",$0.00,1,1,1,1,1,1,20101001,L5785,HCPCS,Exoskeletal bk ultralt mater,,,28 ,,NW,,,,,,$757.65,$0.00,1,1,1,1,1,1,20101001,L5790,HCPCS,Exoskeletal ak ultra-light m,,,28 ,,NW,,,,,,"$1,091.83",$0.00,1,1,1,1,1,1,20101001,L5795,HCPCS,Exoskel hip ultra-light mate,,,28 ,,NW,,,,,,"$1,708.13",$0.00,1,1,1,1,1,1,20101001,L5810,HCPCS,Endoskel knee-shin mnl lock,,,28 ,,NW,,,,,,$731.86,$0.00,1,1,1,1,1,1,20101001,L5811,HCPCS,Endo knee-shin mnl lck ultra,,,28 ,,NW,,,,,,"$1,115.44",$0.00,1,1,1,1,1,1,20101001,L5812,HCPCS,Endo knee-shin frct swg & st,,,28 ,,NW,,,,,,$840.31,$0.00,1,1,1,1,1,1,20101001,L5814,HCPCS,Endo knee-shin hydral swg ph,,,28 ,,NW,,,,,,"$5,395.92",$0.00,1,1,1,1,1,1,20101001,L5816,HCPCS,Endo knee-shin polyc mch sta,,,28 ,,NW,,,,,,"$1,289.91",$0.00,1,1,1,1,1,1,20101001,L5818,HCPCS,Endo knee-shin frct swg & st,,,28 ,,NW,,,,,,"$1,479.09",$0.00,1,1,1,1,1,1,20101001,L5822,HCPCS,Endo knee-shin pneum swg frc,,,28 ,,NW,,,,,,"$2,577.25",$0.00,1,1,1,1,1,1,20101001,L5824,HCPCS,Endo knee-shin fluid swing p,,,28 ,,NW,,,,,,"$2,498.59",$0.00,1,1,1,1,1,1,20101001,L5826,HCPCS,Miniature knee joint,,,28 ,,NW,,,,,,"$4,546.17",$0.00,1,1,1,1,1,1,20101001,L5828,HCPCS,Endo knee-shin fluid swg/sta,,,28 ,,NW,,,,,,"$4,534.51",$0.00,1,1,1,1,1,1,20101001,L5830,HCPCS,Endo knee-shin pneum/swg pha,,,28 ,,NW,,,,,,"$3,074.00",$0.00,1,1,1,1,1,1,20101001,L5840,HCPCS,Multi-axial knee/shin system,,,28 ,,NW,,,,,,"$5,465.66",$0.00,1,1,1,1,1,1,20101001,L5845,HCPCS,Knee-shin sys stance flexion,,,28 ,,NW,,,,,,"$2,560.85",$0.00,1,1,1,1,1,1,20101001,L5848,HCPCS,Knee-shin sys hydraul stance,,,28 ,,NW,,,,,,"$1,503.60",$0.00,1,1,1,1,1,1,20101001,L5850,HCPCS,Endo ak/hip knee extens assi,,,28 ,,NW,,,,,,$146.04,$0.00,1,1,1,1,1,1,20101001,L5855,HCPCS,Mech hip extension assist,,,28 ,,NW,,,,,,$432.95,$0.00,1,1,1,1,1,1,20101001,L5856,HCPCS,Elec knee-shin swing/stance,,,28 ,,NW,,,,,,"$35,347.97",$0.00,1,1,1,1,1,1,20101001,L5857,HCPCS,Elec knee-shin swing only,,,28 ,,NW,,,,,,"$12,512.49",$0.00,1,1,1,1,1,1,20101001,L5858,HCPCS,Stance phase only,,,28 ,,NW,,,,,,"$27,320.69",$0.00,1,1,1,1,1,1,20101001,L5910,HCPCS,Endo below knee alignable sy,,,28 ,,NW,,,,,,$494.65,$0.00,1,1,1,1,1,1,20101001,L5920,HCPCS,Endo ak/hip alignable system,,,28 ,,NW,,,,,,$755.57,$0.00,1,1,1,1,1,1,20101001,L5925,HCPCS,Above knee manual lock,,,28 ,,NW,,,,,,$509.71,$0.00,1,1,1,1,1,1,20101001,L5930,HCPCS,High activity knee frame,,,28 ,,NW,,,,,,"$4,902.60",$0.00,1,1,1,1,1,1,20101001,L5940,HCPCS,Endo bk ultra-light material,,,28 ,,NW,,,,,,$729.87,$0.00,1,1,1,1,1,1,20101001,L5950,HCPCS,Endo ak ultra-light material,,,28 ,,NW,,,,,,"$1,167.54",$0.00,1,1,1,1,1,1,20101001,L5960,HCPCS,Endo hip ultra-light materia,,,28 ,,NW,,,,,,"$1,520.64",$0.00,1,1,1,1,1,1,20101001,L5962,HCPCS,Below knee flex cover system,,,28 ,,NW,,,,,,$887.27,$0.00,1,1,1,1,1,1,20101001,L5964,HCPCS,Above knee flex cover system,,,28 ,,NW,,,,,,"$1,464.89",$0.00,1,1,1,1,1,1,20101001,L5966,HCPCS,Hip flexible cover system,,,28 ,,NW,,,,,,"$1,906.91",$0.00,1,1,1,1,1,1,20101001,L5968,HCPCS,Multiaxial ankle w dorsiflex,,,28 ,,NW,,,,,,"$5,276.08",$0.00,1,1,1,1,1,1,20101001,L5970,HCPCS,Foot external keel sach foot,,,28 ,,NW,,,,,,$250.55,$0.00,1,1,1,1,1,1,20101001,L5971,HCPCS,"Sach Foot, Replacement",,,28 ,,NW,,,,,,$250.55,$0.00,1,1,1,1,1,1,20101001,L5972,HCPCS,Flexible keel foot,,,28 ,,NW,,,,,,$514.56,$0.00,1,1,1,1,1,1,20101001,L5973,HCPCS,Ank-foot sys dors-plant flex,,,28 ,,NW,,,,,,$95.53,$0.00,1,1,1,1,1,1,20101001,L5974,HCPCS,Foot single axis ankle/foot,,,28 ,,NW,,,,,,$308.05,$0.00,1,1,1,1,1,1,20101001,L5975,HCPCS,Combo ankle/foot prosthesis,,,28 ,,NW,,,,,,$601.67,$0.00,1,1,1,1,1,1,20101001,L5976,HCPCS,Energy storing foot,,,28 ,,NW,,,,,,$848.74,$0.00,1,1,1,1,1,1,20101001,L5978,HCPCS,Ft prosth multiaxial ankl/ft,,,28 ,,NW,,,,,,$403.68,$0.00,1,1,1,1,1,1,20101001,L5979,HCPCS,Multi-axial ankle/ft prosth,,,28 ,,NW,,,,,,"$3,651.59",$0.00,1,1,1,1,1,1,20101001,L5980,HCPCS,Flex foot system,,,28 ,,NW,,,,,,"$5,908.11",$0.00,1,1,1,1,1,1,20101001,L5981,HCPCS,Flex-walk sys low ext prosth,,,28 ,,NW,,,,,,"$4,636.05",$0.00,1,1,1,1,1,1,20101001,L5982,HCPCS,Exoskeletal axial rotation u,,,28 ,,NW,,,,,,$885.04,$0.00,1,1,1,1,1,1,20101001,L5984,HCPCS,Endoskeletal axial rotation,,,28 ,,NW,,,,,,$871.30,$0.00,1,1,1,1,1,1,20101001,L5985,HCPCS,Lwr ext dynamic prosth pylon,,,28 ,,NW,,,,,,$336.29,$0.00,1,1,1,1,1,1,20101001,L5986,HCPCS,Multi-axial rotation unit,,,28 ,,NW,,,,,,$976.39,$0.00,1,1,1,1,1,1,20101001,L5987,HCPCS,Shank ft w vert load pylon,,,28 ,,NW,,,,,,"$10,528.57",$0.00,1,1,1,1,1,1,20101001,L5988,HCPCS,Vertical shock reducing pylo,,,28 ,,NW,,,,,,"$2,863.59",$0.00,1,1,1,1,1,1,20101001,L5990,HCPCS,User adjustable heel height,,,28 ,,NW,,,,,,"$2,593.03",$0.00,1,1,1,1,1,1,20101001,L5999,HCPCS,Lowr extremity prosthes nos,,,28 ,,NW,,,,,,$871.30,$0.00,1,1,1,1,1,1,20101001,L6000,HCPCS,Par hand robin-aids thum rem,,,28 ,,NW,,,,,,"$2,191.54",$0.00,1,1,1,1,1,1,20101001,L6010,HCPCS,Hand robin-aids little/ring,,,28 ,,NW,,,,,,"$2,430.45",$0.00,1,1,1,1,1,1,20101001,L6020,HCPCS,Part hand robin-aids no fing,,,28 ,,NW,,,,,,"$2,267.09",$0.00,1,1,1,1,1,1,20101001,L6025,HCPCS,Part hand disart myoelectric,,,28 ,,NW,,,,,,"$11,717.06",$0.00,1,1,1,1,1,1,20101001,L6050,HCPCS,Wrst mld sck flx hng tri pad,,,28 ,,NW,,,,,,"$3,207.75",$0.00,1,1,1,1,1,1,20101001,L6055,HCPCS,Wrst mold sock w/exp interfa,,,28 ,,NW,,,,,,"$4,332.48",$0.00,1,1,1,1,1,1,20101001,L6100,HCPCS,Elb mold sock flex hinge pad,,,28 ,,NW,,,,,,"$3,197.27",$0.00,1,1,1,1,1,1,20101001,L6110,HCPCS,Elbow mold sock suspension t,,,28 ,,NW,,,,,,"$3,499.45",$0.00,1,1,1,1,1,1,20101001,L6120,HCPCS,Elbow mold doub splt soc ste,,,28 ,,NW,,,,,,"$4,029.75",$0.00,1,1,1,1,1,1,20101001,L6130,HCPCS,Elbow stump activated lock h,,,28 ,,NW,,,,,,"$4,311.81",$0.00,1,1,1,1,1,1,20101001,L6200,HCPCS,Elbow mold outsid lock hinge,,,28 ,,NW,,,,,,"$4,536.14",$0.00,1,1,1,1,1,1,20101001,L6205,HCPCS,Elbow molded w/ expand inter,,,28 ,,NW,,,,,,"$6,037.68",$0.00,1,1,1,1,1,1,20101001,L6250,HCPCS,Elbow inter loc elbow forarm,,,28 ,,NW,,,,,,"$4,501.76",$0.00,1,1,1,1,1,1,20101001,L6300,HCPCS,Shlder disart int lock elbow,,,28 ,,NW,,,,,,"$6,252.50",$0.00,1,1,1,1,1,1,20101001,L6310,HCPCS,Shoulder passive restor comp,,,28 ,,NW,,,,,,"$5,108.20",$0.00,1,1,1,1,1,1,20101001,L6320,HCPCS,Shoulder passive restor cap,,,28 ,,NW,,,,,,"$2,783.18",$0.00,1,1,1,1,1,1,20101001,L6350,HCPCS,Thoracic intern lock elbow,,,28 ,,NW,,,,,,"$6,601.27",$0.00,1,1,1,1,1,1,20101001,L6360,HCPCS,Thoracic passive restor comp,,,28 ,,NW,,,,,,"$5,329.41",$0.00,1,1,1,1,1,1,20101001,L6370,HCPCS,Thoracic passive restor cap,,,28 ,,NW,,,,,,"$3,419.28",$0.00,1,1,1,1,1,1,20101001,L6380,HCPCS,Postop dsg cast chg wrst/elb,,,28 ,,NW,,,,,,"$1,850.95",$0.00,1,1,1,1,1,1,20101001,L6382,HCPCS,Postop dsg cast chg elb dis/,,,28 ,,NW,,,,,,"$2,411.02",$0.00,1,1,1,1,1,1,20101001,L6384,HCPCS,Postop dsg cast chg shlder/t,,,28 ,,NW,,,,,,"$3,143.52",$0.00,1,1,1,1,1,1,20101001,L6386,HCPCS,Postop ea cast chg & realign,,,28 ,,NW,,,,,,$606.56,$0.00,1,1,1,1,1,1,20101001,L6388,HCPCS,Postop applicat rigid dsg on,,,28 ,,NW,,,,,,$644.09,$0.00,1,1,1,1,1,1,20101001,L6400,HCPCS,Below elbow prosth tiss shap,,,28 ,,NW,,,,,,"$3,796.13",$0.00,1,1,1,1,1,1,20101001,L6450,HCPCS,Elb disart prosth tiss shap,,,28 ,,NW,,,,,,"$4,944.62",$0.00,1,1,1,1,1,1,20101001,L6500,HCPCS,Above elbow prosth tiss shap,,,28 ,,NW,,,,,,"$4,883.68",$0.00,1,1,1,1,1,1,20101001,L6550,HCPCS,Shldr disar prosth tiss shap,,,28 ,,NW,,,,,,"$6,233.93",$0.00,1,1,1,1,1,1,20101001,L6570,HCPCS,Scap thorac prosth tiss shap,,,28 ,,NW,,,,,,"$7,185.72",$0.00,1,1,1,1,1,1,20101001,L6580,HCPCS,Wrist/elbow bowden cable mol,,,28 ,,NW,,,,,,"$2,497.27",$0.00,1,1,1,1,1,1,20101001,L6582,HCPCS,Wrist/elbow bowden cbl dir f,,,28 ,,NW,,,,,,"$2,138.40",$0.00,1,1,1,1,1,1,20101001,L6584,HCPCS,Elbow fair lead cable molded,,,28 ,,NW,,,,,,"$3,317.21",$0.00,1,1,1,1,1,1,20101001,L6586,HCPCS,Elbow fair lead cable dir fo,,,28 ,,NW,,,,,,"$3,001.56",$0.00,1,1,1,1,1,1,20101001,L6588,HCPCS,Shdr fair lead cable molded,,,28 ,,NW,,,,,,"$4,611.64",$0.00,1,1,1,1,1,1,20101001,L6590,HCPCS,Shdr fair lead cable direct,,,28 ,,NW,,,,,,"$4,216.10",$0.00,1,1,1,1,1,1,20101001,L6600,HCPCS,Polycentric hinge pair,,,28 ,,NW,,,,,,$243.84,$0.00,1,1,1,1,1,1,20101001,L6605,HCPCS,Single pivot hinge pair,,,28 ,,NW,,,,,,$240.22,$0.00,1,1,1,1,1,1,20101001,L6610,HCPCS,Flexible metal hinge pair,,,28 ,,NW,,,,,,$204.98,$0.00,1,1,1,1,1,1,20101001,L6611,HCPCS,"Additional Switch, Ext Power",,,28 ,,NW,,,,,,$525.17,$0.00,1,1,1,1,1,1,20101001,L6615,HCPCS,Disconnect locking wrist uni,,,28 ,,NW,,,,,,$207.24,$0.00,1,1,1,1,1,1,20101001,L6616,HCPCS,Disconnect insert locking wr,,,28 ,,NW,,,,,,$80.97,$0.00,1,1,1,1,1,1,20101001,L6620,HCPCS,Flexion/extension wrist unit,,,28 ,,NW,,,,,,$423.60,$0.00,1,1,1,1,1,1,20101001,L6621,HCPCS,Flex/Ext Wrist W/Wo Friction,,,28 ,,NW,,,,,,"$3,290.59",$0.00,1,1,1,1,1,1,20101001,L6623,HCPCS,Spring-ass rot wrst w/ latch,,,28 ,,NW,,,,,,$980.03,$0.00,1,1,1,1,1,1,20101001,L6624,HCPCS,Flex/Ext/Rotation Wrist Unit,,,28 ,,NW,,,,,,"$5,470.96",$0.00,1,1,1,1,1,1,20101001,L6625,HCPCS,Rotation wrst w/ cable lock,,,28 ,,NW,,,,,,$820.59,$0.00,1,1,1,1,1,1,20101001,L6628,HCPCS,Quick disconn hook adapter o,,,28 ,,NW,,,,,,$692.99,$0.00,1,1,1,1,1,1,20101001,L6629,HCPCS,Lamination collar w/ couplin,,,28 ,,NW,,,,,,$178.78,$0.00,1,1,1,1,1,1,20101001,L6630,HCPCS,Stainless steel any wrist,,,28 ,,NW,,,,,,$272.85,$0.00,1,1,1,1,1,1,20101001,L6632,HCPCS,Latex suspension sleeve each,,,28 ,,NW,,,,,,$77.54,$0.00,1,1,1,1,1,1,20101001,L6635,HCPCS,Lift assist for elbow,,,28 ,,NW,,,,,,$219.85,$0.00,1,1,1,1,1,1,20101001,L6637,HCPCS,Nudge control elbow lock,,,28 ,,NW,,,,,,$520.39,$0.00,1,1,1,1,1,1,20101001,L6638,HCPCS,Elec lock on manual pw elbow,,,28 ,,NW,,,,,,"$3,605.28",$0.00,1,1,1,1,1,1,20101001,L6640,HCPCS,Shoulder abduction joint pai,,,28 ,,NW,,,,,,$395.08,$0.00,1,1,1,1,1,1,20101001,L6641,HCPCS,Excursion amplifier pulley t,,,28 ,,NW,,,,,,$200.26,$0.00,1,1,1,1,1,1,20101001,L6642,HCPCS,Excursion amplifier lever ty,,,28 ,,NW,,,,,,$295.56,$0.00,1,1,1,1,1,1,20101001,L6645,HCPCS,Shoulder flexion-abduction j,,,28 ,,NW,,,,,,$473.36,$0.00,1,1,1,1,1,1,20101001,L6646,HCPCS,Multipo locking shoulder jnt,,,28 ,,NW,,,,,,"$4,568.46",$0.00,1,1,1,1,1,1,20101001,L6647,HCPCS,Shoulder lock actuator,,,28 ,,NW,,,,,,$683.70,$0.00,1,1,1,1,1,1,20101001,L6648,HCPCS,Ext pwrd shlder lock/unlock,,,28 ,,NW,,,,,,"$4,714.28",$0.00,1,1,1,1,1,1,20101001,L6650,HCPCS,Shoulder universal joint,,,28 ,,NW,,,,,,$507.46,$0.00,1,1,1,1,1,1,20101001,L6655,HCPCS,Standard control cable extra,,,28 ,,NW,,,,,,$94.68,$0.00,1,1,1,1,1,1,20101001,L6660,HCPCS,Heavy duty control cable,,,28 ,,NW,,,,,,$112.75,$0.00,1,1,1,1,1,1,20101001,L6665,HCPCS,Teflon or equal cable lining,,,28 ,,NW,,,,,,$58.73,$0.00,1,1,1,1,1,1,20101001,L6670,HCPCS,Hook to hand cable adapter,,,28 ,,NW,,,,,,$63.63,$0.00,1,1,1,1,1,1,20101001,L6672,HCPCS,Harness chest/shlder saddle,,,28 ,,NW,,,,,,$213.61,$0.00,1,1,1,1,1,1,20101001,L6675,HCPCS,Harness figure of 8 sing con,,,28 ,,NW,,,,,,$139.59,$0.00,1,1,1,1,1,1,20101001,L6676,HCPCS,Harness figure of 8 dual con,,,28 ,,NW,,,,,,$148.50,$0.00,1,1,1,1,1,1,20101001,L6677,HCPCS,Ue Triple Control Harness,,,28 ,,NW,,,,,,$355.51,$0.00,1,1,1,1,1,1,20101001,L6680,HCPCS,Test sock wrist disart/bel e,,,28 ,,NW,,,,,,$323.87,$0.00,1,1,1,1,1,1,20101001,L6682,HCPCS,Test sock elbw disart/above,,,28 ,,NW,,,,,,$353.83,$0.00,1,1,1,1,1,1,20101001,L6684,HCPCS,Test socket shldr disart/tho,,,28 ,,NW,,,,,,$519.19,$0.00,1,1,1,1,1,1,20101001,L6686,HCPCS,Suction socket,,,28 ,,NW,,,,,,$957.57,$0.00,1,1,1,1,1,1,20101001,L6687,HCPCS,Frame typ socket bel elbow/w,,,28 ,,NW,,,,,,$784.14,$0.00,1,1,1,1,1,1,20101001,L6688,HCPCS,Frame typ sock above elb/dis,,,28 ,,NW,,,,,,$813.75,$0.00,1,1,1,1,1,1,20101001,L6689,HCPCS,Frame typ socket shoulder di,,,28 ,,NW,,,,,,"$1,014.53",$0.00,1,1,1,1,1,1,20101001,L6690,HCPCS,Frame typ sock interscap-tho,,,28 ,,NW,,,,,,"$1,092.00",$0.00,1,1,1,1,1,1,20101001,L6691,HCPCS,Removable insert each,,,28 ,,NW,,,,,,$489.82,$0.00,1,1,1,1,1,1,20101001,L6692,HCPCS,Silicone gel insert or equal,,,28 ,,NW,,,,,,$852.39,$0.00,1,1,1,1,1,1,20101001,L6693,HCPCS,Lockingelbow forearm cntrbal,,,28 ,,NW,,,,,,"$4,104.02",$0.00,1,1,1,1,1,1,20101001,L6694,HCPCS,Elbow Socket Ins Use W/Lock,,,28 ,,NW,,,,,,"$1,015.67",$0.00,1,1,1,1,1,1,20101001,L6695,HCPCS,Elbow Socket Ins Use W/O Lck,,,28 ,,NW,,,,,,$832.73,$0.00,1,1,1,1,1,1,20101001,L6696,HCPCS,Cus Elbo Skt In For Con/Atyp,,,28 ,,NW,,,,,,"$1,857.71",$0.00,1,1,1,1,1,1,20101001,L6697,HCPCS,Cus Elbo Skt In Not Con/Atyp,,,28 ,,NW,,,,,,"$1,857.71",$0.00,1,1,1,1,1,1,20101001,L6698,HCPCS,Below/Above Elbow Lock Mech,,,28 ,,NW,,,,,,$759.57,$0.00,1,1,1,1,1,1,20101001,L6703,HCPCS,"Term Dev, Passive Hand Mitt",,,28 ,,NW,,,,,,$452.64,$0.00,1,1,1,1,1,1,20101001,L6704,HCPCS,"Term Dev, Sport/Rec/Work Att",,,28 ,,NW,,,,,,$904.30,$0.00,1,1,1,1,1,1,20101001,L6706,HCPCS,Term Dev Mech Hook Vol Open,,,28 ,,NW,,,,,,$498.03,$0.00,1,1,1,1,1,1,20101001,L6707,HCPCS,Term Dev Mech Hook Vol Close,,,28 ,,NW,,,,,,"$2,059.95",$0.00,1,1,1,1,1,1,20101001,L6708,HCPCS,Term Dev Mech Hand Vol Open,,,28 ,,NW,,,,,,"$1,323.80",$0.00,1,1,1,1,1,1,20101001,L6709,HCPCS,Term Dev Mech Hand Vol Close,,,28 ,,NW,,,,,,"$1,953.98",$0.00,1,1,1,1,1,1,20101001,L6711,HCPCS,"Ped Term Dev, Hook, Vol Open",,,28 ,,NW,,,,,,$909.40,$0.00,1,1,1,1,1,1,20101001,L6712,HCPCS,"Ped Term Dev, Hook, Vol Clos",,,28 ,,NW,,,,,,"$1,743.27",$0.00,1,1,1,1,1,1,20101001,L6713,HCPCS,"Ped Term Dev, Hand, Vol Open",,,28 ,,NW,,,,,,"$2,221.63",$0.00,1,1,1,1,1,1,20101001,L6714,HCPCS,"Ped Term Dev, Hand, Vol Clos",,,28 ,,NW,,,,,,"$1,869.18",$0.00,1,1,1,1,1,1,20101001,L6721,HCPCS,"Hook/Hand, Hvy Dty, Vol Open",,,28 ,,NW,,,,,,"$3,385.93",$0.00,1,1,1,1,1,1,20101001,L6722,HCPCS,"Hook/Hand, Hvy Dty, Vol Clos",,,28 ,,NW,,,,,,"$2,907.63",$0.00,1,1,1,1,1,1,20101001,L6805,HCPCS,Term dev modifier wrist unit,,,28 ,,NW,,,,,,$492.27,$0.00,1,1,1,1,1,1,20101001,L6810,HCPCS,Term dev precision pinch dev,,,28 ,,NW,,,,,,$224.15,$0.00,1,1,1,1,1,1,20101001,L6881,HCPCS,Term dev auto grasp feature,,,28 ,,NW,,,,,,"$5,945.94",$0.00,1,1,1,1,1,1,20101001,L6882,HCPCS,Microprocessor control uplmb,,,28 ,,NW,,,,,,"$4,490.51",$0.00,1,1,1,1,1,1,20101001,L6883,HCPCS,Replc Sockt Below E/W Disa,,,28 ,,NW,,,,,,"$2,587.96",$0.00,1,1,1,1,1,1,20101001,L6884,HCPCS,Replc Sockt Above Elbow Disa,,,28 ,,NW,,,,,,"$3,742.96",$0.00,1,1,1,1,1,1,20101001,L6885,HCPCS,Replc Sockt Shldr Dis/Interc,,,28 ,,NW,,,,,,"$5,329.41",$0.00,1,1,1,1,1,1,20101001,L6890,HCPCS,Prefab glove for term device,,,28 ,,NW,,,,,,$207.80,$0.00,1,1,1,1,1,1,20101001,L6895,HCPCS,Custom glove for term device,,,28 ,,NW,,,,,,$822.50,$0.00,1,1,1,1,1,1,20101001,L6900,HCPCS,Hand restorat thumb/1 finger,,,28 ,,NW,,,,,,"$2,572.09",$0.00,1,1,1,1,1,1,20101001,L6905,HCPCS,Hand restoration multiple fi,,,28 ,,NW,,,,,,"$2,502.83",$0.00,1,1,1,1,1,1,20101001,L6910,HCPCS,Hand restoration no fingers,,,28 ,,NW,,,,,,"$2,416.25",$0.00,1,1,1,1,1,1,20101001,L6915,HCPCS,Hand restoration replacmnt g,,,28 ,,NW,,,,,,$997.39,$0.00,1,1,1,1,1,1,20101001,L6920,HCPCS,Wrist disarticul switch ctrl,,,28 ,,NW,,,,,,"$10,941.50",$0.00,1,1,1,1,1,1,20101001,L6925,HCPCS,Wrist disart myoelectronic c,,,28 ,,NW,,,,,,"$12,526.95",$0.00,1,1,1,1,1,1,20101001,L6930,HCPCS,Below elbow switch control,,,28 ,,NW,,,,,,"$10,836.84",$0.00,1,1,1,1,1,1,20101001,L6935,HCPCS,Below elbow myoelectronic ct,,,28 ,,NW,,,,,,"$12,698.70",$0.00,1,1,1,1,1,1,20101001,L6940,HCPCS,Elbow disarticulation switch,,,28 ,,NW,,,,,,"$13,973.50",$0.00,1,1,1,1,1,1,20101001,L6945,HCPCS,Elbow disart myoelectronic c,,,28 ,,NW,,,,,,"$16,064.30",$0.00,1,1,1,1,1,1,20101001,L6950,HCPCS,Above elbow switch control,,,28 ,,NW,,,,,,"$15,095.09",$0.00,1,1,1,1,1,1,20101001,L6955,HCPCS,Above elbow myoelectronic ct,,,28 ,,NW,,,,,,"$18,097.44",$0.00,1,1,1,1,1,1,20101001,L6960,HCPCS,Shldr disartic switch contro,,,28 ,,NW,,,,,,"$19,181.71",$0.00,1,1,1,1,1,1,20101001,L6965,HCPCS,Shldr disartic myoelectronic,,,28 ,,NW,,,,,,"$22,616.38",$0.00,1,1,1,1,1,1,20101001,L6970,HCPCS,Interscapular-thor switch ct,,,28 ,,NW,,,,,,"$23,667.52",$0.00,1,1,1,1,1,1,20101001,L6975,HCPCS,Interscap-thor myoelectronic,,,28 ,,NW,,,,,,"$26,033.97",$0.00,1,1,1,1,1,1,20101001,L7007,HCPCS,Adult Electric Hand,,,28 ,,NW,,,,,,"$5,379.74",$0.00,1,1,1,1,1,1,20101001,L7008,HCPCS,Pediatric Electric Hand,,,28 ,,NW,,,,,,"$8,727.16",$0.00,1,1,1,1,1,1,20101001,L7009,HCPCS,Adult Electric Hook,,,28 ,,NW,,,,,,"$5,479.57",$0.00,1,1,1,1,1,1,20101001,L7040,HCPCS,Prehensile actuator,,,28 ,,NW,,,,,,"$4,385.42",$0.00,1,1,1,1,1,1,20101001,L7045,HCPCS,Pediatric electric hook,,,28 ,,NW,,,,,,"$2,403.56",$0.00,1,1,1,1,1,1,20101001,L7170,HCPCS,Electronic elbow hosmer swit,,,28 ,,NW,,,,,,"$9,472.55",$0.00,1,1,1,1,1,1,20101001,L7180,HCPCS,Electronic elbow sequential,,,28 ,,NW,,,,,,"$53,928.05",$0.00,1,1,1,1,1,1,20101001,L7181,HCPCS,Electronic Elbo Simultaneous,,,28 ,,NW,,,,,,"$58,995.66",$0.00,1,1,1,1,1,1,20101001,L7185,HCPCS,Electron elbow adolescent sw,,,28 ,,NW,,,,,,"$9,824.00",$0.00,1,1,1,1,1,1,20101001,L7186,HCPCS,Electron elbow child switch,,,28 ,,NW,,,,,,"$14,596.04",$0.00,1,1,1,1,1,1,20101001,L7190,HCPCS,Elbow adolescent myoelectron,,,28 ,,NW,,,,,,"$12,374.12",$0.00,1,1,1,1,1,1,20101001,L7191,HCPCS,Elbow child myoelectronic ct,,,28 ,,NW,,,,,,"$15,274.14",$0.00,1,1,1,1,1,1,20101001,L7260,HCPCS,Electron wrist rotator otto,,,28 ,,NW,,,,,,"$3,308.48",$0.00,1,1,1,1,1,1,20101001,L7261,HCPCS,Electron wrist rotator utah,,,28 ,,NW,,,,,,"$6,214.92",$0.00,1,1,1,1,1,1,20101001,L7266,HCPCS,Servo control steeper or equ,,,28 ,,NW,,,,,,"$1,488.88",$0.00,1,1,1,1,1,1,20101001,L7272,HCPCS,Analogue control unb or equa,,,28 ,,NW,,,,,,"$3,241.27",$0.00,1,1,1,1,1,1,20101001,L7274,HCPCS,Proportional ctl 12 volt uta,,,28 ,,NW,,,,,,"$9,591.08",$0.00,1,1,1,1,1,1,20101001,L7360,HCPCS,Six volt bat otto bock/eq ea,,,28 ,,NW,,,,,,$299.28,$0.00,1,1,1,1,1,1,20101001,L7362,HCPCS,Battery chrgr six volt otto,,,28 ,,NW,,,,,,$321.94,$0.00,1,1,1,1,1,1,20101001,L7364,HCPCS,Twelve volt battery utah/equ,,,28 ,,NW,,,,,,$629.74,$0.00,1,1,1,1,1,1,20101001,L7366,HCPCS,Battery chrgr 12 volt utah/e,,,28 ,,NW,,,,,,$871.11,$0.00,1,1,1,1,1,1,20101001,L7367,HCPCS,Replacemnt lithium ionbatter,,,28 ,,NW,,,,,,$492.15,$0.00,1,1,1,1,1,1,20101001,L7368,HCPCS,Lithium ion battery charger,,,28 ,,NW,,,,,,$662.26,$0.00,1,1,1,1,1,1,20101001,L7400,HCPCS,"Add Ue Prost Be/Wd, Ultlite",,,28 ,,NW,,,,,,$370.02,$0.00,1,1,1,1,1,1,20101001,L7401,HCPCS,Add Ue Prost A/E Ultlite Mat,,,28 ,,NW,,,,,,$424.01,$0.00,1,1,1,1,1,1,20101001,L7402,HCPCS,Add Ue Prost S/D Ultlite Mat,,,28 ,,NW,,,,,,$464.44,$0.00,1,1,1,1,1,1,20101001,L7403,HCPCS,Add Ue Prost B/E Acrylic,,,28 ,,NW,,,,,,$461.11,$0.00,1,1,1,1,1,1,20101001,L7404,HCPCS,Add Ue Prost A/E Acrylic,,,28 ,,NW,,,,,,$737.62,$0.00,1,1,1,1,1,1,20101001,L7405,HCPCS,Add Ue Prost S/D Acrylic,,,28 ,,NW,,,,,,$989.90,$0.00,1,1,1,1,1,1,20101001,L7499,HCPCS,Upper extremity prosthes nos,,,28 ,,NW,,,,,,$662.26,$0.00,1,1,1,1,1,1,20101001,L7500,HCPCS,Prosthetic dvc repair hourly,,,28 ,,NW,,,,,,$186.37,$0.00,1,1,1,1,1,1,20101001,L7510,HCPCS,Prosthetic device repair rep,,,28 ,,NW,,,,,,$40.68,$0.00,1,1,1,1,1,1,20101001,L7520,HCPCS,Repair prosthesis per 15 min,,,28 ,,NW,,,,,,$40.09,$0.00,1,1,1,1,1,1,20101001,L7600,HCPCS,Prosthetic Donning Sleeve,,,28 ,,NW,,,,,,$111.85,$0.00,1,1,1,1,1,1,20101001,L7900,HCPCS,Male vacuum erection system,,,28 ,,NW,,,,,,$707.47,$0.00,1,1,1,1,1,1,20101001,L8000,HCPCS,Mastectomy bra,,,28 ,,NW,,,,,,$49.75,$0.00,1,1,1,1,1,1,20101001,L8001,HCPCS,Breast prosthesis bra & form,,,28 ,,NW,,,,,,$135.23,$0.00,1,1,1,1,1,1,20101001,L8002,HCPCS,Brst prsth bra & bilat form,,,28 ,,NW,,,,,,$175.64,$0.00,1,1,1,1,1,1,20101001,L8010,HCPCS,Mastectomy sleeve,,,28 ,,NW,,,,,,$67.83,$0.00,1,1,1,1,1,1,20101001,L8015,HCPCS,Ext breastprosthesis garment,,,28 ,,NW,,,,,,$68.43,$0.00,1,1,1,1,1,1,20101001,L8020,HCPCS,Mastectomy form,,,28 ,,NW,,,,,,$253.34,$0.00,1,1,1,1,1,1,20101001,L8030,HCPCS,Breast prosthesis silicone/e,,,28 ,,NW,,,,,,$431.44,$0.00,1,1,1,1,1,1,20101001,L8031,HCPCS,Breast prosthesis w adhesive,,,28 ,,NW,,,,,,$431.44,$0.00,1,1,1,1,1,1,20101001,L8032,HCPCS,Reusable nipple prosthesis,,,28 ,,NW,,,,,,$431.44,$0.00,1,1,1,1,1,1,20101001,L8035,HCPCS,Custom breast prosthesis,,,28 ,,NW,,,,,,"$5,319.88",$0.00,1,1,1,1,1,1,20101001,L8039,HCPCS,Breast prosthesis nos,,,28 ,,NW,,,,,,$49.75,$0.00,1,1,1,1,1,1,20101001,L8040,HCPCS,Nasal prosthesis,,,28 ,,NW,,,,,,"$3,616.10",$0.00,1,1,1,1,1,1,20101001,L8040,HCPCS,Nasal prosthesis,KM,,28 ,,NW,,,,,,"$3,431.20",$0.00,1,1,1,1,1,1,20101001,L8040,HCPCS,Nasal prosthesis,KN,,28 ,,NW,,,,,,"$1,397.31",$0.00,1,1,1,1,1,1,20101001,L8041,HCPCS,Midfacial prosthesis,,,28 ,,NW,,,,,,"$4,375.39",$0.00,1,1,1,1,1,1,20101001,L8041,HCPCS,Midfacial prosthesis,KM,,28 ,,NW,,,,,,"$4,152.51",$0.00,1,1,1,1,1,1,20101001,L8041,HCPCS,Midfacial prosthesis,KN,,28 ,,NW,,,,,,"$1,701.04",$0.00,1,1,1,1,1,1,20101001,L8042,HCPCS,Orbital prosthesis,,,28 ,,NW,,,,,,"$4,926.28",$0.00,1,1,1,1,1,1,20101001,L8042,HCPCS,Orbital prosthesis,KM,,28 ,,NW,,,,,,"$4,675.87",$0.00,1,1,1,1,1,1,20101001,L8042,HCPCS,Orbital prosthesis,KN,,28 ,,NW,,,,,,"$1,921.38",$0.00,1,1,1,1,1,1,20101001,L8043,HCPCS,Upper facial prosthesis,,,28 ,,NW,,,,,,"$5,527.28",$0.00,1,1,1,1,1,1,20101001,L8043,HCPCS,Upper facial prosthesis,KM,,28 ,,NW,,,,,,"$5,246.80",$0.00,1,1,1,1,1,1,20101001,L8043,HCPCS,Upper facial prosthesis,KN,,28 ,,NW,,,,,,"$2,161.78",$0.00,1,1,1,1,1,1,20101001,L8044,HCPCS,Hemi-facial prosthesis,,,28 ,,NW,,,,,,"$6,128.24",$0.00,1,1,1,1,1,1,20101001,L8044,HCPCS,Hemi-facial prosthesis,KM,,28 ,,NW,,,,,,"$5,817.74",$0.00,1,1,1,1,1,1,20101001,L8044,HCPCS,Hemi-facial prosthesis,KN,,28 ,,NW,,,,,,"$2,402.17",$0.00,1,1,1,1,1,1,20101001,L8045,HCPCS,Auricular prosthesis,,,28 ,,NW,,,,,,"$4,023.74",$0.00,1,1,1,1,1,1,20101001,L8045,HCPCS,Auricular prosthesis,KM,,28 ,,NW,,,,,,"$3,818.46",$0.00,1,1,1,1,1,1,20101001,L8045,HCPCS,Auricular prosthesis,KN,,28 ,,NW,,,,,,"$1,560.37",$0.00,1,1,1,1,1,1,20101001,L8046,HCPCS,Partial facial prosthesis,,,28 ,,NW,,,,,,"$3,924.65",$0.00,1,1,1,1,1,1,20101001,L8046,HCPCS,Partial facial prosthesis,KM,,28 ,,NW,,,,,,"$3,724.33",$0.00,1,1,1,1,1,1,20101001,L8046,HCPCS,Partial facial prosthesis,KN,,28 ,,NW,,,,,,"$1,520.72",$0.00,1,1,1,1,1,1,20101001,L8047,HCPCS,Nasal septal prosthesis,,,28 ,,NW,,,,,,"$1,971.46",$0.00,1,1,1,1,1,1,20101001,L8047,HCPCS,Nasal septal prosthesis,KM,,28 ,,NW,,,,,,"$1,868.81",$0.00,1,1,1,1,1,1,20101001,L8047,HCPCS,Nasal septal prosthesis,KN,,28 ,,NW,,,,,,$739.46,$0.00,1,1,1,1,1,1,20101001,L8048,HCPCS,Unspec maxillofacial prosth,,,28 ,,NW,,,,,,$561.77,$0.00,1,1,1,1,1,1,20101001,L8049,HCPCS,Repair maxillofacial prosth,,,28 ,,NW,,,,,,$134.42,$0.00,1,1,1,1,1,1,20101001,L8300,HCPCS,Truss single w/ standard pad,,,28 ,,NW,,,,,,$103.88,$0.00,1,1,1,1,1,1,20101001,L8310,HCPCS,Truss double w/ standard pad,,,28 ,,NW,,,,,,$164.43,$0.00,1,1,1,1,1,1,20101001,L8320,HCPCS,Truss addition to std pad wa,,,28 ,,NW,,,,,,$71.31,$0.00,1,1,1,1,1,1,20101001,L8330,HCPCS,Truss add to std pad scrotal,,,28 ,,NW,,,,,,$66.40,$0.00,1,1,1,1,1,1,20101001,L8400,HCPCS,Sheath below knee,,,28 ,,NW,,,,,,$25.75,$0.00,1,1,1,1,1,1,20101001,L8410,HCPCS,Sheath above knee,,,28 ,,NW,,,,,,$31.16,$0.00,1,1,1,1,1,1,20101001,L8415,HCPCS,Sheath upper limb,,,28 ,,NW,,,,,,$30.90,$0.00,1,1,1,1,1,1,20101001,L8417,HCPCS,Pros sheath/sock w gel cushn,,,28 ,,NW,,,,,,$83.93,$0.00,1,1,1,1,1,1,20101001,L8420,HCPCS,Prosthetic sock multi ply bk,,,28 ,,NW,,,,,,$30.24,$0.00,1,1,1,1,1,1,20101001,L8430,HCPCS,Prosthetic sock multi ply ak,,,28 ,,NW,,,,,,$32.88,$0.00,1,1,1,1,1,1,20101001,L8435,HCPCS,Pros sock multi ply upper lm,,,28 ,,NW,,,,,,$31.61,$0.00,1,1,1,1,1,1,20101001,L8440,HCPCS,Shrinker below knee,,,28 ,,NW,,,,,,$57.11,$0.00,1,1,1,1,1,1,20101001,L8460,HCPCS,Shrinker above knee,,,28 ,,NW,,,,,,$83.28,$0.00,1,1,1,1,1,1,20101001,L8465,HCPCS,Shrinker upper limb,,,28 ,,NW,,,,,,$64.38,$0.00,1,1,1,1,1,1,20101001,L8470,HCPCS,Pros sock single ply bk,,,28 ,,NW,,,,,,$13.29,$0.00,1,1,1,1,1,1,20101001,L8480,HCPCS,Pros sock single ply ak,,,28 ,,NW,,,,,,$17.29,$0.00,1,1,1,1,1,1,20101001,L8485,HCPCS,Pros sock single ply upper l,,,28 ,,NW,,,,,,$19.70,$0.00,1,1,1,1,1,1,20101001,L8499,HCPCS,Unlisted misc prosthetic ser,,,28 ,,NW,,,,,,$30.24,$0.00,1,1,1,1,1,1,20101001,L8500,HCPCS,Artificial larynx,,,28 ,,NW,,,,,,$978.47,$0.00,1,1,1,1,1,1,20101001,L8501,HCPCS,Tracheostomy speaking valve,,,28 ,,NW,,,,,,$137.68,$0.00,1,1,1,1,1,1,20101001,L8505,HCPCS,"Artificial larynx, accessory",,,28 ,,NW,,,,,,$27.01,$0.00,1,1,1,1,1,1,20101001,L8507,HCPCS,Trach-esoph voice pros pt in,,,28 ,,NW,,,,,,$49.90,$0.00,1,1,1,1,1,1,20101001,L8509,HCPCS,Trach-esoph voice pros md in,,,28 ,,NW,,,,,,$118.67,$0.00,1,1,1,1,1,1,20101001,L8510,HCPCS,Voice amplifier,,,28 ,,NW,,,,,,$290.70,$0.00,1,1,1,1,1,1,20101001,L8511,HCPCS,Indwelling trach insert,,,28 ,,NW,,,,,,$81.40,$0.00,1,1,1,1,1,1,20101001,L8512,HCPCS,Gel cap for trach voice pros,,,28 ,,NW,,,,,,$3.96,$0.00,1,1,1,1,1,1,20101001,L8513,HCPCS,Trach pros cleaning device,,,28 ,,NW,,,,,,$9.47,$0.00,1,1,1,1,1,1,20101001,L8514,HCPCS,Repl trach puncture dilator,,,28 ,,NW,,,,,,$103.44,$0.00,1,1,1,1,1,1,20101001,L8515,HCPCS,Gel cap app device for trach,,,28 ,,NW,,,,,,$71.59,$0.00,1,1,1,1,1,1,20101001,L8600,HCPCS,Implant breast silicone/eq,,,28 ,,NW,,,,,,$918.04,$0.00,1,1,1,1,1,1,20101001,L8603,HCPCS,Collagen imp urinary 2.5 ml,,,28 ,,NW,,,,,,$561.61,$0.00,1,1,1,1,1,1,20101001,L8606,HCPCS,Synthetic implnt urinary 1ml,,,28 ,,NW,,,,,,$241.44,$0.00,1,1,1,1,1,1,20101001,L8609,HCPCS,Artificial Cornea,,,28 ,,NW,,,,,,"$9,462.85",$0.00,1,1,1,1,1,1,20101001,L8610,HCPCS,Ocular implant,,,28 ,,NW,,,,,,$862.25,$0.00,1,1,1,1,1,1,20101001,L8612,HCPCS,Aqueous shunt prosthesis,,,28 ,,NW,,,,,,$953.27,$0.00,1,1,1,1,1,1,20101001,L8613,HCPCS,Ossicular implant,,,28 ,,NW,,,,,,$371.74,$0.00,1,1,1,1,1,1,20101001,L8614,HCPCS,Cochlear device,,,28 ,,NW,,,,,,"$28,383.20",$0.00,1,1,1,1,1,1,20101001,L8615,HCPCS,Coch implant headset replace,,,28 ,,NW,,,,,,$578.82,$0.00,1,1,1,1,1,1,20101001,L8616,HCPCS,Coch implant microphone repl,,,28 ,,NW,,,,,,$113.72,$0.00,1,1,1,1,1,1,20101001,L8617,HCPCS,Coch implant trans coil repl,,,28 ,,NW,,,,,,$100.23,$0.00,1,1,1,1,1,1,20101001,L8618,HCPCS,Coch implant tran cable repl,,,28 ,,NW,,,,,,$33.72,$0.00,1,1,1,1,1,1,20101001,L8619,HCPCS,Replace cochlear processor,,,28 ,,NW,,,,,,"$12,136.17",$0.00,1,1,1,1,1,1,20101001,L8621,HCPCS,Repl zinc air battery,,,28 ,,NW,,,,,,$1.12,$0.00,1,1,1,1,1,1,20101001,L8622,HCPCS,Repl alkaline battery,,,28 ,,NW,,,,,,$0.59,$0.00,1,1,1,1,1,1,20101001,L8623,HCPCS,"Lith ion batt cid,non-earlvl",,,28 ,,NW,,,,,,$72.76,$0.00,1,1,1,1,1,1,20101001,L8624,HCPCS,"Lith ion batt cid, ear level",,,28 ,,NW,,,,,,$170.77,$0.00,1,1,1,1,1,1,20101001,L8630,HCPCS,Metacarpophalangeal implant,,,28 ,,NW,,,,,,$454.59,$0.00,1,1,1,1,1,1,20101001,L8631,HCPCS,Mcp joint repl 2 pc or more,,,28 ,,NW,,,,,,"$3,158.11",$0.00,1,1,1,1,1,1,20101001,L8641,HCPCS,Metatarsal joint implant,,,28 ,,NW,,,,,,$458.35,$0.00,1,1,1,1,1,1,20101001,L8642,HCPCS,Hallux implant,,,28 ,,NW,,,,,,$380.52,$0.00,1,1,1,1,1,1,20101001,L8658,HCPCS,Interphalangeal joint spacer,,,28 ,,NW,,,,,,$390.29,$0.00,1,1,1,1,1,1,20101001,L8659,HCPCS,Interphalangeal joint repl,,,28 ,,NW,,,,,,"$2,745.00",$0.00,1,1,1,1,1,1,20101001,L8670,HCPCS,"Vascular graft, synthetic",,,28 ,,NW,,,,,,$735.74,$0.00,1,1,1,1,1,1,20101001,L8680,HCPCS,Implt neurostim elctr each,,,28 ,,NW,,,,,,$601.16,$0.00,1,1,1,1,1,1,20101001,L8681,HCPCS,Pt prgrm for implt neurostim,,,28 ,,NW,,,,,,"$1,610.78",$0.00,1,1,1,1,1,1,20101001,L8682,HCPCS,Implt Neurostim Radiofq Rec,,,28 ,,NW,,,,,,"$8,783.00",$0.00,1,1,1,1,1,1,20101001,L8683,HCPCS,Radiofq Trsmtr For Implt Neu,,,28 ,,NW,,,,,,"$7,721.24",$0.00,1,1,1,1,1,1,20101001,L8684,HCPCS,Radiof Trsmtr Implt Scrl Neu,,,28 ,,NW,,,,,,"$1,047.57",$0.00,1,1,1,1,1,1,20101001,L8685,HCPCS,Implt Nrostm Pls Gen Sng Rec,,,28 ,,NW,,,,,,"$19,363.08",$0.00,1,1,1,1,1,1,20101001,L8686,HCPCS,Implt Nrostm Pls Gen Sng Non,,,28 ,,NW,,,,,,"$12,325.57",$0.00,1,1,1,1,1,1,20101001,L8687,HCPCS,Implt nrostm pls gen dua rec,,,28 ,,NW,,,,,,"$25,223.78",$0.00,1,1,1,1,1,1,20101001,L8688,HCPCS,Implt Nrostm Pls Gen Dua Non,,,28 ,,NW,,,,,,"$16,065.18",$0.00,1,1,1,1,1,1,20101001,L8689,HCPCS,External recharg sys intern,,,28 ,,NW,,,,,,"$2,461.61",$0.00,1,1,1,1,1,1,20101001,L8690,HCPCS,"Aud osseo dev, int/ext comp",,,28 ,,NW,,,,,,"$6,932.71",$0.00,1,1,1,1,1,1,20101001,L8691,HCPCS,Aud Osseo Dev Ext Snd Proces,,,28 ,,NW,,,,,,"$3,850.03",$0.00,1,1,1,1,1,1,20101001,L8692,HCPCS,Non-osseointegrated snd proc,,,28 ,,NW,,,,,,"$3,850.03",$0.00,1,1,1,1,1,1,20101001,L8695,HCPCS,External Recharg Sys Extern,,,28 ,,NW,,,,,,$24.02,$0.00,1,1,1,1,1,1,20101001,L8699,HCPCS,Prosthetic implant nos,,,28 ,,NW,,,,,,$325.74,$0.00,1,1,1,1,1,1,20101001,L9900,HCPCS,O&p supply/accessory/service,,,28 ,,NW,,,,,,$93.21,$0.00,1,1,1,1,1,1,20101001,M0064,HCPCS,Visit for drug monitoring,,,16 ,,RBRVS,0.37 ,0.08 ,0.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,M0076,HCPCS,Prolotherapy,,,14 ,,TotalUnits,,,,0.34 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,M0300,HCPCS,Iv chelationtherapy,,,14 ,,TotalUnits,,,,0.95 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,P2031,HCPCS,Hair analysis,,,17 ,,TotalUnits,,,,0.53 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,P2038,HCPCS,Blood mucoprotein,,,17 ,,TotalUnits,,,,0.20 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,P3000,HCPCS,Screen pap by tech w md supv,,,17 ,,TotalUnits,,,,0.43 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,P3001,HCPCS,Screening pap smear by phys,,,17 ,,RBRVS,0.42 ,0.31 ,0.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,P7001,HCPCS,Culture bacterial urine,,,17 ,,TotalUnits,,,,0.29 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,P9010,HCPCS,Whole blood for transfusion,,,17 ,,TotalUnits,,,,0.68 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,P9011,HCPCS,Blood split unit,,,17 ,,TotalUnits,,,,0.98 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,P9012,HCPCS,Cryoprecipitate each unit,,,17 ,,TotalUnits,,,,0.44 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,P9016,HCPCS,Rbc leukocytes reduced,,,17 ,,TotalUnits,,,,2.90 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,P9017,HCPCS,Plasma 1 donor frz w/in 8 hr,,,17 ,,TotalUnits,,,,0.87 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,P9019,HCPCS,"Platelets, each unit",,,17 ,,TotalUnits,,,,0.77 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,P9020,HCPCS,Plaelet rich plasma unit,,,17 ,,TotalUnits,,,,13.15 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,P9021,HCPCS,Red blood cells unit,,,17 ,,TotalUnits,,,,2.22 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,P9022,HCPCS,Washed red blood cells unit,,,17 ,,TotalUnits,,,,1.09 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,P9031,HCPCS,Platelets leukocytes reduced,,,17 ,,TotalUnits,,,,1.57 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,P9032,HCPCS,"Platelets, irradiated",,,17 ,,TotalUnits,,,,1.11 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,P9034,HCPCS,"Platelets, pheresis",,,17 ,,TotalUnits,,,,5.58 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,P9035,HCPCS,Platelet pheres leukoreduced,,,17 ,,TotalUnits,,,,5.53 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,P9037,HCPCS,Plate pheres leukoredu irrad,,,17 ,,TotalUnits,,,,8.14 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,P9040,HCPCS,Rbc leukoreduced irradiated,,,17 ,,TotalUnits,,,,4.51 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,P9041,HCPCS,"Albumin (human),5%, 50ml",,,29 ,,NW,,,,,,$67.02,$0.00,1,1,1,0,1,1,20101001,P9043,HCPCS,"Plasma protein fract,5%,50ml",,,29 ,,NW,,,,,,$55.07,$0.00,1,1,1,0,1,1,20101001,P9045,HCPCS,"Albumin (human), 5%, 250 ml",,,29 ,,NW,,,,,,$131.86,$0.00,1,1,1,0,1,1,20101001,P9046,HCPCS,"Albumin (human), 25%, 20 ml",,,29 ,,NW,,,,,,$62.75,$0.00,1,1,1,0,1,1,20101001,P9047,HCPCS,"Albumin (human), 25%, 50ml",,,29 ,,NW,,,,,,$123.32,$0.00,1,1,1,0,1,1,20101001,P9048,HCPCS,"Plasmaprotein fract,5%,250ml",,,29 ,,NW,,,,,,$99.44,$0.00,1,1,1,0,1,1,20101001,P9053,HCPCS,"Plt, pher, l/r cmv-neg, irr",,,17 ,,TotalUnits,,,,11.31 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,P9058,HCPCS,"Rbc, l/r, cmv-neg, irrad",,,17 ,,TotalUnits,,,,4.00 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,P9059,HCPCS,"Plasma, frz between 8-24hour",,,17 ,,TotalUnits,,,,0.67 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,P9603,HCPCS,One-way allow prorated miles,,,17 ,,TotalUnits,,,,0.01 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,P9604,HCPCS,One-way allow prorated trip,,,17 ,,TotalUnits,,,,0.05 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,P9612,HCPCS,Catheterize for urine spec,,,17 ,,TotalUnits,,,,0.08 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,P9615,HCPCS,Urine specimen collect mult,,,17 ,,TotalUnits,,,,0.08 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,Q0035,HCPCS,Cardiokymography,26,,4 ,,RBRVS,0.17 ,0.05 ,0.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,Q0035,HCPCS,Cardiokymography,,,4 ,,RBRVS,0.17 ,0.33 ,0.33 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,Q0035,HCPCS,Cardiokymography,TC,,4 ,,RBRVS,,0.28 ,0.28 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,Q0081,HCPCS,Infusion ther other than che,,,22 ,,TotalUnits,,,,0.70 ,,$0.00,$0.00,1,1,1,0,0,1,20101001,Q0083,HCPCS,Chemo by other than infusion,,,14 ,,TotalUnits,,,,0.91 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,Q0084,HCPCS,Chemotherapy by infusion,,,14 ,,TotalUnits,,,,1.55 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,Q0085,HCPCS,Chemo by both infusion and o,,,14 ,,TotalUnits,,,,6.14 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,Q0091,HCPCS,Obtaining screen pap smear,,,17 ,,RBRVS,0.37 ,0.11 ,0.72 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,Q0092,HCPCS,Set up port xray equipment,,TC,20 ,,RBRVS,,0.44 ,0.44 ,,,$0.00,$0.00,1,1,1,0,1,1,20101001,Q0111,HCPCS,Wet mounts/ w preparations,,,17 ,,TotalUnits,,,,0.17 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,Q0112,HCPCS,Potassium hydroxide preps,,,17 ,,TotalUnits,,,,0.17 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,Q0113,HCPCS,Pinworm examinations,,,17 ,,TotalUnits,,,,0.22 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,Q0114,HCPCS,Fern test,,,17 ,,TotalUnits,,,,0.29 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,Q0115,HCPCS,Post-coital mucous exam,,,17 ,,TotalUnits,,,,0.40 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,Q0144,HCPCS,"Azithromycin dihydrate, oral",,,29 ,,NW,,,,,,$28.62,$0.00,1,1,1,0,0,1,20101001,Q0163,HCPCS,Diphenhydramine hcl 50mg,,,29 ,,NW,,,,,,$1.44,$0.00,1,1,1,0,0,1,20101001,Q0164,HCPCS,Prochlorperazine maleate 5mg,,,29 ,,NW,,,,,,$1.44,$0.00,1,1,1,0,0,1,20101001,Q0165,HCPCS,Prochlorperazine maleate10mg,,,29 ,,NW,,,,,,$1.44,$0.00,1,1,1,0,0,1,20101001,Q0166,HCPCS,Granisetron hcl 1 mg oral,,,29 ,,NW,,,,,,$72.17,$0.00,1,1,1,0,0,1,20101001,Q0167,HCPCS,Dronabinol 2.5mg oral,,,29 ,,NW,,,,,,$23.09,$0.00,1,1,1,0,0,1,20101001,Q0168,HCPCS,Dronabinol 5mg oral,,,29 ,,NW,,,,,,$47.63,$0.00,1,1,1,0,0,1,20101001,Q0169,HCPCS,Promethazine hcl 12.5mg oral,,,29 ,,NW,,,,,,$1.44,$0.00,1,1,1,0,0,1,20101001,Q0170,HCPCS,Promethazine hcl 25 mg oral,,,29 ,,NW,,,,,,$1.44,$0.00,1,1,1,0,0,1,20101001,Q0171,HCPCS,Chlorpromazine hcl 10mg oral,,,29 ,,NW,,,,,,$1.44,$0.00,1,1,1,0,0,1,20101001,Q0172,HCPCS,Chlorpromazine hcl 25mg oral,,,29 ,,NW,,,,,,$1.44,$0.00,1,1,1,0,0,1,20101001,Q0173,HCPCS,Trimethobenzamide hcl 250mg,,,29 ,,NW,,,,,,$1.44,$0.00,1,1,1,0,0,1,20101001,Q0174,HCPCS,Thiethylperazine maleate10mg,,,29 ,,NW,,,,,,$1.44,$0.00,1,1,1,0,0,1,20101001,Q0175,HCPCS,Perphenazine 4mg oral,,,29 ,,NW,,,,,,$1.44,$0.00,1,1,1,0,0,1,20101001,Q0176,HCPCS,Perphenazine 8mg oral,,,29 ,,NW,,,,,,$1.44,$0.00,1,1,1,0,0,1,20101001,Q0177,HCPCS,Hydroxyzine pamoate 25mg,,,29 ,,NW,,,,,,$1.44,$0.00,1,1,1,0,0,1,20101001,Q0178,HCPCS,Hydroxyzine pamoate 50mg,,,29 ,,NW,,,,,,$1.44,$0.00,1,1,1,0,0,1,20101001,Q0179,HCPCS,Ondansetron hcl 8 mg oral,,,29 ,,NW,,,,,,$15.88,$0.00,1,1,1,0,0,1,20101001,Q0180,HCPCS,Dolasetron mesylate oral,,,29 ,,NW,,,,,,$163.43,$0.00,1,1,1,0,0,1,20101001,Q0181,HCPCS,Unspecified oral anti-emetic,,,29 ,,NW,,,,,,$43.05,$0.00,1,1,1,0,0,1,20101001,Q0480,HCPCS,"Driver pneumatic vad, rep",,,28 ,,NW,,,,,,"$132,721.28",$0.00,1,1,1,1,1,1,20101001,Q0481,HCPCS,"Microprcsr cu elec vad, rep",,,28 ,,NW,,,,,,"$21,344.37",$0.00,1,1,1,1,1,1,20101001,Q0482,HCPCS,"Microprcsr cu combo vad, rep",,,28 ,,NW,,,,,,"$6,629.22",$0.00,1,1,1,1,1,1,20101001,Q0483,HCPCS,"Monitor elec vad, rep",,,28 ,,NW,,,,,,"$27,564.85",$0.00,1,1,1,1,1,1,20101001,Q0484,HCPCS,Monitor elec or comb vad rep,,,28 ,,NW,,,,,,"$5,287.03",$0.00,1,1,1,1,1,1,20101001,Q0485,HCPCS,"Monitor cable elec vad, rep",,,28 ,,NW,,,,,,$436.49,$0.00,1,1,1,1,1,1,20101001,Q0486,HCPCS,Mon cable elec/pneum vad rep,,,28 ,,NW,,,,,,$349.55,$0.00,1,1,1,1,1,1,20101001,Q0487,HCPCS,"Leads any type vad, rep only",,,28 ,,NW,,,,,,$421.46,$0.00,1,1,1,1,1,1,20101001,Q0488,HCPCS,"Pwr pack base elec vad, rep",,,28 ,,NW,,,,,,"$19,914.24",$0.00,1,1,1,1,1,1,20101001,Q0489,HCPCS,"Pwr pck base combo vad, rep",,,28 ,,NW,,,,,,"$23,886.34",$0.00,1,1,1,1,1,1,20101001,Q0490,HCPCS,"Emr pwr source elec vad, rep",,,28 ,,NW,,,,,,$954.87,$0.00,1,1,1,1,1,1,20101001,Q0491,HCPCS,Emr pwr source combo vad rep,,,28 ,,NW,,,,,,"$1,548.00",$0.00,1,1,1,1,1,1,20101001,Q0492,HCPCS,"Emr pwr cbl elec vad, rep",,,28 ,,NW,,,,,,$98.08,$0.00,1,1,1,1,1,1,20101001,Q0493,HCPCS,"Emr pwr cbl combo vad, rep",,,28 ,,NW,,,,,,$292.00,$0.00,1,1,1,1,1,1,20101001,Q0494,HCPCS,"Emr hd pmp elec/combo, rep",,,28 ,,NW,,,,,,$234.50,$0.00,1,1,1,1,1,1,20101001,Q0495,HCPCS,"Charger elec/combo vad, rep",,,28 ,,NW,,,,,,"$6,077.35",$0.00,1,1,1,1,1,1,20101001,Q0496,HCPCS,"Battery elec/combo vad, rep",,,28 ,,NW,,,,,,"$2,128.77",$0.00,1,1,1,1,1,1,20101001,Q0497,HCPCS,"Bat clps elec/comb vad, rep",,,28 ,,NW,,,,,,$608.41,$0.00,1,1,1,1,1,1,20101001,Q0498,HCPCS,"Holster elec/combo vad, rep",,,28 ,,NW,,,,,,$675.52,$0.00,1,1,1,1,1,1,20101001,Q0499,HCPCS,Belt/vest elec/combo vad rep,,,28 ,,NW,,,,,,$177.59,$0.00,1,1,1,1,1,1,20101001,Q0500,HCPCS,"Filters elec/combo vad, rep",,,28 ,,NW,,,,,,$38.30,$0.00,1,1,1,1,1,1,20101001,Q0501,HCPCS,"Shwr cov elec/combo vad, rep",,,28 ,,NW,,,,,,$671.16,$0.00,1,1,1,1,1,1,20101001,Q0502,HCPCS,"Mobility cart pneum vad, rep",,,28 ,,NW,,,,,,$876.84,$0.00,1,1,1,1,1,1,20101001,Q0503,HCPCS,Battery pneum vad replacemnt,,,28 ,,NW,,,,,,"$1,835.57",$0.00,1,1,1,1,1,1,20101001,Q0504,HCPCS,"Pwr adpt pneum vad, rep veh",,,28 ,,NW,,,,,,$929.91,$0.00,1,1,1,1,1,1,20101001,Q0505,HCPCS,Miscl Supply/Accessory Vad,,,28 ,,NW,,,,,,$14.46,$0.00,1,1,1,1,1,1,20101001,Q0506,HCPCS,Lith-ion batt elec/pneum VAD,,,28 ,,NW,,,,,,"$2,128.77",$0.00,1,1,1,1,1,1,20101001,Q0510,HCPCS,Dispens Fee Immunosupressive,,,29 ,,NW,,,,,,$63.73,$0.00,1,1,1,0,0,1,20101001,Q0511,HCPCS,"Sup Fee Antiem,Antica,Immuno",,,29 ,,NW,,,,,,$31.88,$0.00,1,1,1,0,0,1,20101001,Q0512,HCPCS,Px Sup Fee Anti-Can Sub Pres,,,29 ,,NW,,,,,,$21.12,$0.00,1,1,1,0,0,1,20101001,Q0513,HCPCS,Disp fee inhal drugs/30 days,,,29 ,,NW,,,,,,$57.75,$0.00,1,1,1,0,0,1,20101001,Q0514,HCPCS,Disp fee inhal drugs/90 days,,,29 ,,NW,,,,,,$115.11,$0.00,1,1,1,0,0,1,20101001,Q0515,HCPCS,Sermorelin acetate injection,,,29 ,,NW,,,,,,$5.35,$0.00,1,1,1,0,0,1,20101001,Q1003,HCPCS,Ntiol Category 3,,,28 ,,NW,,,,,,$77.36,$0.00,1,1,1,0,1,1,20101001,Q2004,HCPCS,Bladder calculi irrig sol,,,29 ,,NW,,,,,,$32.04,$0.00,1,1,1,0,0,1,20101001,Q2009,HCPCS,"Fosphenytoin, 50 mg",,,29 ,,NW,,,,,,$2.14,$0.00,1,1,1,0,0,1,20101001,Q2017,HCPCS,"Teniposide, 50 mg",,,29 ,,NW,,,,,,$738.91,$0.00,1,1,1,0,0,1,20101001,Q3001,HCPCS,Brachytherapy radioelements,,,28 ,,NW,,,,,,$85.38,$0.00,1,1,1,0,0,1,20101001,Q3014,HCPCS,Telehealth facility fee,,,14 ,,TotalUnits,,,,0.20 ,,$0.00,$0.00,1,1,1,0,0,1,20101001,Q3025,HCPCS,Im inj interferon beta 1-a,,,29 ,,NW,,,,,,$349.41,$0.00,1,1,1,0,0,1,20101001,Q3026,HCPCS,Subc inj interferon beta-1a,,,29 ,,NW,,,,,,$120.72,$0.00,1,1,1,0,0,1,20101001,Q4001,HCPCS,Cast sup body cast plaster,,,28 ,,NW,,,,,,$113.75,$0.00,1,1,1,0,0,1,20101001,Q4002,HCPCS,Cast sup body cast fiberglas,,,28 ,,NW,,,,,,$232.91,$0.00,1,1,1,0,0,1,20101001,Q4003,HCPCS,Cast sup shoulder cast plstr,,,28 ,,NW,,,,,,$65.22,$0.00,1,1,1,0,0,1,20101001,Q4004,HCPCS,Cast sup shoulder cast fbrgl,,,28 ,,NW,,,,,,$130.09,$0.00,1,1,1,0,0,1,20101001,Q4005,HCPCS,Cast sup long arm adult plst,,,28 ,,NW,,,,,,$39.76,$0.00,1,1,1,0,0,1,20101001,Q4006,HCPCS,Cast sup long arm adult fbrg,,,28 ,,NW,,,,,,$75.31,$0.00,1,1,1,0,0,1,20101001,Q4007,HCPCS,Cast sup long arm ped plster,,,28 ,,NW,,,,,,$23.90,$0.00,1,1,1,0,0,1,20101001,Q4008,HCPCS,Cast sup long arm ped fbrgls,,,28 ,,NW,,,,,,$41.68,$0.00,1,1,1,0,0,1,20101001,Q4009,HCPCS,Cast sup sht arm adult plstr,,,28 ,,NW,,,,,,$32.07,$0.00,1,1,1,0,0,1,20101001,Q4010,HCPCS,Cast sup sht arm adult fbrgl,,,28 ,,NW,,,,,,$59.94,$0.00,1,1,1,0,0,1,20101001,Q4011,HCPCS,Cast sup sht arm ped plaster,,,28 ,,NW,,,,,,$20.05,$0.00,1,1,1,0,0,1,20101001,Q4012,HCPCS,Cast sup sht arm ped fbrglas,,,28 ,,NW,,,,,,$33.99,$0.00,1,1,1,0,0,1,20101001,Q4013,HCPCS,Cast sup gauntlet plaster,,,28 ,,NW,,,,,,$31.11,$0.00,1,1,1,0,0,1,20101001,Q4014,HCPCS,Cast sup gauntlet fiberglass,,,28 ,,NW,,,,,,$57.05,$0.00,1,1,1,0,0,1,20101001,Q4015,HCPCS,Cast sup gauntlet ped plster,,,28 ,,NW,,,,,,$19.57,$0.00,1,1,1,0,0,1,20101001,Q4016,HCPCS,Cast sup gauntlet ped fbrgls,,,28 ,,NW,,,,,,$32.55,$0.00,1,1,1,0,0,1,20101001,Q4017,HCPCS,Cast sup lng arm splint plst,,,28 ,,NW,,,,,,$28.22,$0.00,1,1,1,0,0,1,20101001,Q4018,HCPCS,Cast sup lng arm splint fbrg,,,28 ,,NW,,,,,,$50.81,$0.00,1,1,1,0,0,1,20101001,Q4019,HCPCS,Cast sup lng arm splnt ped p,,,28 ,,NW,,,,,,$18.13,$0.00,1,1,1,0,0,1,20101001,Q4020,HCPCS,Cast sup lng arm splnt ped f,,,28 ,,NW,,,,,,$29.18,$0.00,1,1,1,0,0,1,20101001,Q4021,HCPCS,Cast sup sht arm splint plst,,,28 ,,NW,,,,,,$28.22,$0.00,1,1,1,0,0,1,20101001,Q4022,HCPCS,Cast sup sht arm splint fbrg,,,28 ,,NW,,,,,,$50.81,$0.00,1,1,1,0,0,1,20101001,Q4023,HCPCS,Cast sup sht arm splnt ped p,,,28 ,,NW,,,,,,$18.13,$0.00,1,1,1,0,0,1,20101001,Q4024,HCPCS,Cast sup sht arm splnt ped f,,,28 ,,NW,,,,,,$29.18,$0.00,1,1,1,0,0,1,20101001,Q4025,HCPCS,Cast sup hip spica plaster,,,28 ,,NW,,,,,,$96.93,$0.00,1,1,1,0,0,1,20101001,Q4026,HCPCS,Cast sup hip spica fiberglas,,,28 ,,NW,,,,,,$196.88,$0.00,1,1,1,0,0,1,20101001,Q4027,HCPCS,Cast sup hip spica ped plstr,,,28 ,,NW,,,,,,$52.25,$0.00,1,1,1,0,0,1,20101001,Q4028,HCPCS,Cast sup hip spica ped fbrgl,,,28 ,,NW,,,,,,$102.70,$0.00,1,1,1,0,0,1,20101001,Q4029,HCPCS,Cast sup long leg plaster,,,28 ,,NW,,,,,,$51.77,$0.00,1,1,1,0,0,1,20101001,Q4030,HCPCS,Cast sup long leg fiberglass,,,28 ,,NW,,,,,,$101.26,$0.00,1,1,1,0,0,1,20101001,Q4031,HCPCS,Cast sup lng leg ped plaster,,,28 ,,NW,,,,,,$30.15,$0.00,1,1,1,0,0,1,20101001,Q4032,HCPCS,Cast sup lng leg ped fbrgls,,,28 ,,NW,,,,,,$54.65,$0.00,1,1,1,0,0,1,20101001,Q4033,HCPCS,Cast sup lng leg cylinder pl,,,28 ,,NW,,,,,,$45.52,$0.00,1,1,1,0,0,1,20101001,Q4034,HCPCS,Cast sup lng leg cylinder fb,,,28 ,,NW,,,,,,$87.32,$0.00,1,1,1,0,0,1,20101001,Q4035,HCPCS,Cast sup lngleg cylndr ped p,,,28 ,,NW,,,,,,$26.78,$0.00,1,1,1,0,0,1,20101001,Q4036,HCPCS,Cast sup lngleg cylndr ped f,,,28 ,,NW,,,,,,$47.44,$0.00,1,1,1,0,0,1,20101001,Q4037,HCPCS,Cast sup shrt leg plaster,,,28 ,,NW,,,,,,$58.01,$0.00,1,1,1,0,0,1,20101001,Q4038,HCPCS,Cast sup shrt leg fiberglass,,,28 ,,NW,,,,,,$114.71,$0.00,1,1,1,0,0,1,20101001,Q4039,HCPCS,Cast sup shrt leg ped plster,,,28 ,,NW,,,,,,$33.03,$0.00,1,1,1,0,0,1,20101001,Q4040,HCPCS,Cast sup shrt leg ped fbrgls,,,28 ,,NW,,,,,,$61.38,$0.00,1,1,1,0,0,1,20101001,Q4041,HCPCS,Cast sup lng leg splnt plstr,,,28 ,,NW,,,,,,$36.87,$0.00,1,1,1,0,0,1,20101001,Q4042,HCPCS,Cast sup lng leg splnt fbrgl,,,28 ,,NW,,,,,,$69.07,$0.00,1,1,1,0,0,1,20101001,Q4043,HCPCS,Cast sup lng leg splnt ped p,,,28 ,,NW,,,,,,$22.46,$0.00,1,1,1,0,0,1,20101001,Q4044,HCPCS,Cast sup lng leg splnt ped f,,,28 ,,NW,,,,,,$38.79,$0.00,1,1,1,0,0,1,20101001,Q4045,HCPCS,Cast sup sht leg splnt plstr,,,28 ,,NW,,,,,,$26.78,$0.00,1,1,1,0,0,1,20101001,Q4046,HCPCS,Cast sup sht leg splnt fbrgl,,,28 ,,NW,,,,,,$47.44,$0.00,1,1,1,0,0,1,20101001,Q4047,HCPCS,Cast sup sht leg splnt ped p,,,28 ,,NW,,,,,,$17.17,$0.00,1,1,1,0,0,1,20101001,Q4048,HCPCS,Cast sup sht leg splnt ped f,,,28 ,,NW,,,,,,$27.74,$0.00,1,1,1,0,0,1,20101001,Q4049,HCPCS,"Finger splint, static",,,28 ,,NW,,,,,,$32.55,$0.00,1,1,1,0,0,1,20101001,Q4050,HCPCS,Cast supplies unlisted,,,28 ,,NW,,,,,,$28.45,$0.00,1,1,1,0,0,1,20101001,Q4051,HCPCS,Splint supplies misc,,,28 ,,NW,,,,,,$14.46,$0.00,1,1,1,0,0,1,20101001,Q4074,HCPCS,Iloprost non-comp unit dose,,,29 ,,NW,,,,,,$116.50,$0.00,1,1,1,0,0,1,20101001,Q4081,HCPCS,"Epoetin alfa, 100 units esrd",,,29 ,,NW,,,,,,$3.21,$0.00,1,1,1,0,0,1,20101001,Q4082,HCPCS,Drug/Bio Noc Part B Drug Cap,,,29 ,,NW,,,,,,$14.46,$0.00,1,1,1,0,0,1,20101001,Q4100,HCPCS,"Skin Substitute, Nos",,,29 ,,NW,,,,,,$14.46,$0.00,1,1,1,0,0,1,20101001,Q4101,HCPCS,Apligraf skin sub,,,29 ,,NW,,,,,,$53.51,$0.00,1,1,1,0,0,1,20101001,Q4102,HCPCS,Oasis wound matrix skin sub,,,29 ,,NW,,,,,,$6.26,$0.00,1,1,1,0,0,1,20101001,Q4103,HCPCS,Oasis burn matrix skin sub,,,29 ,,NW,,,,,,$6.26,$0.00,1,1,1,0,0,1,20101001,Q4104,HCPCS,Integra bmwd skin sub,,,29 ,,NW,,,,,,$17.42,$0.00,1,1,1,0,0,1,20101001,Q4105,HCPCS,Integra drt skin sub,,,29 ,,NW,,,,,,$17.42,$0.00,1,1,1,0,0,1,20101001,Q4106,HCPCS,Dermagraft skin sub,,,29 ,,NW,,,,,,$74.85,$0.00,1,1,1,0,0,1,20101001,Q4107,HCPCS,Graftjacket skin sub,,,29 ,,NW,,,,,,$176.05,$0.00,1,1,1,0,0,1,20101001,Q4108,HCPCS,Integra matrix skin sub,,,29 ,,NW,,,,,,$26.33,$0.00,1,1,1,0,0,1,20101001,Q4109,HCPCS,Tissuemend Skin Sub,,,29 ,,NW,,,,,,$216.71,$0.00,1,1,1,0,0,1,20101001,Q4110,HCPCS,Primatrix skin sub,,,29 ,,NW,,,,,,$68.26,$0.00,1,1,1,0,0,1,20101001,Q4112,HCPCS,Cymetra allograft,,,29 ,,NW,,,,,,$588.28,$0.00,1,1,1,0,0,1,20101001,Q4113,HCPCS,Graftjacket express allograft,,,29 ,,NW,,,,,,$588.28,$0.00,1,1,1,0,0,1,20101001,Q4114,HCPCS,Integra flowable wound matri,,,29 ,,NW,,,,,,"$1,369.22",$0.00,1,1,1,0,0,1,20101001,Q5001,HCPCS,Hospice in patient home,,,14 ,,TotalUnits,,,,1.13 ,,$0.00,$0.00,1,1,1,1,1,1,20101001,Q5002,HCPCS,Hospice in assisted living,,,10 ,,TotalUnits,,,,1.48 ,,$0.00,$0.00,1,1,1,1,1,1,20101001,Q5003,HCPCS,Hospice in LT/non-skilled NF,,,10 ,,TotalUnits,,,,0.08 ,,$0.00,$0.00,1,1,1,1,1,1,20101001,Q5004,HCPCS,Hospice in SNF,,,10 ,,TotalUnits,,,,2.12 ,,$0.00,$0.00,1,1,1,1,1,1,20101001,Q5005,HCPCS,"Hospice, inpatient hospital",,,10 ,,TotalUnits,,,,7.30 ,,$0.00,$0.00,1,1,1,1,1,1,20101001,Q5006,HCPCS,Hospice in hospice facility,,,10 ,,TotalUnits,,,,7.77 ,,$0.00,$0.00,1,1,1,1,1,1,20101001,Q9951,HCPCS,"Locm >= 400 mg/ml iodine,1ml",,,28 ,,NW,,,,,,$0.40,$0.00,1,1,1,0,0,1,20101001,Q9953,HCPCS,"Inj fe-based mr contrast,1ml",,,28 ,,NW,,,,,,$24.72,$0.00,1,1,1,0,0,1,20101001,Q9954,HCPCS,"Oral mr contrast, 100 ml",,,28 ,,NW,,,,,,$69.48,$0.00,1,1,1,0,0,1,20101001,Q9955,HCPCS,"Inj perflexane lip micros,ml",,,28 ,,NW,,,,,,$2.59,$0.00,1,1,1,0,0,1,20101001,Q9956,HCPCS,"Inj octafluoropropane mic,ml",,,28 ,,NW,,,,,,$52.44,$0.00,1,1,1,0,0,1,20101001,Q9957,HCPCS,"Inj perflutren lip micros,ml",,,28 ,,NW,,,,,,$132.28,$0.00,1,1,1,0,0,1,20101001,Q9958,HCPCS,"Hocm <=149 mg/ml iodine, 1ml",,,28 ,,NW,,,,,,$0.08,$0.00,1,1,1,0,0,1,20101001,Q9959,HCPCS,"Hocm 150-199Mg/Ml Iodine,1Ml",,,28 ,,NW,,,,,,$0.50,$0.00,1,1,1,0,0,1,20101001,Q9960,HCPCS,"Hocm 200-249mg/ml iodine,1ml",,,28 ,,NW,,,,,,$0.99,$0.00,1,1,1,0,0,1,20101001,Q9961,HCPCS,"Hocm 250-299mg/ml iodine,1ml",,,28 ,,NW,,,,,,$1.49,$0.00,1,1,1,0,0,1,20101001,Q9962,HCPCS,"Hocm 300-349mg/ml iodine,1ml",,,28 ,,NW,,,,,,$1.52,$0.00,1,1,1,0,0,1,20101001,Q9963,HCPCS,"Hocm 350-399mg/ml iodine,1ml",,,28 ,,NW,,,,,,$1.56,$0.00,1,1,1,0,0,1,20101001,Q9964,HCPCS,"Hocm>= 400mg/ml iodine, 1ml",,,28 ,,NW,,,,,,$2.33,$0.00,1,1,1,0,0,1,20101001,Q9965,HCPCS,"Locm 100-199Mg/Ml Iodine,1Ml",,,28 ,,NW,,,,,,$3.41,$0.00,1,1,1,0,0,1,20101001,Q9966,HCPCS,"Locm 200-299Mg/Ml Iodine,1Ml",,,28 ,,NW,,,,,,$3.30,$0.00,1,1,1,0,0,1,20101001,Q9967,HCPCS,"Locm 300-399Mg/Ml Iodine,1Ml",,,28 ,,NW,,,,,,$1.71,$0.00,1,1,1,0,0,1,20101001,Q9968,HCPCS,Visualization adjunct,,,28 ,,NW,,,,,,$85.38,$0.00,1,1,1,0,0,1,20101001,R0070,HCPCS,Transport portable x-ray,,TC,20 ,,TotalUnits,,,,1.12 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,R0075,HCPCS,Transport port x-ray multipl,,TC,20 ,,TotalUnits,,,,0.99 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,R0076,HCPCS,Transport portable ekg,,,20 ,,TotalUnits,,,,0.45 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,S0012,HCPCS,Butorphanl tartrat nasl spray 25 mg,,,28 ,,NW,,,,,,$141.81,$0.00,1,1,1,0,0,1,20101001,S0014,HCPCS,Tacrine hydrochloride 10 mg,,,28 ,,NW,,,,,,$4.06,$0.00,1,1,1,0,0,1,20101001,S0017,HCPCS,Injection aminocaproic acid 5 grams,,,28 ,,NW,,,,,,$9.94,$0.00,1,1,1,0,0,1,20101001,S0020,HCPCS,Inj bupivicaine hydrochloride 30 ml,,,28 ,,NW,,,,,,$14.13,$0.00,1,1,1,0,0,1,20101001,S0021,HCPCS,"Injection, Cefoperazone Sod",,,28 ,,NW,,,,,,$6.28,$0.00,1,1,1,0,0,1,20101001,S0023,HCPCS,Inj cimetidine hydrochloride 300 mg,,,28 ,,NW,,,,,,$6.45,$0.00,1,1,1,0,0,1,20101001,S0028,HCPCS,Injection famotidine 20 mg,,,28 ,,NW,,,,,,$5.77,$0.00,1,1,1,0,0,1,20101001,S0030,HCPCS,Injection metronidazole 500 mg,,,28 ,,NW,,,,,,$33.94,$0.00,1,1,1,0,0,1,20101001,S0032,HCPCS,Injection nafcillin sodium 2 grams,,,28 ,,NW,,,,,,$32.48,$0.00,1,1,1,0,0,1,20101001,S0034,HCPCS,Injection ofloxacin 400 mg,,,28 ,,NW,,,,,,$28.18,$0.00,1,1,1,0,0,1,20101001,S0039,HCPCS,Inj sulfmethoxazl&trimethoprm 10 ml,,,28 ,,NW,,,,,,$24.91,$0.00,1,1,1,0,0,1,20101001,S0040,HCPCS,Inj ticarclln & clavulanat k+3.1 gm,,,28 ,,NW,,,,,,$24.32,$0.00,1,1,1,0,0,1,20101001,S0073,HCPCS,Injection aztreonam 500 mg,,,28 ,,NW,,,,,,$28.91,$0.00,1,1,1,0,0,1,20101001,S0074,HCPCS,Injection cefotetan disodium 500 mg,,,28 ,,NW,,,,,,$10.75,$0.00,1,1,1,0,0,1,20101001,S0077,HCPCS,Inj clindamycin phosphate 300 mg,,,28 ,,NW,,,,,,$4.89,$0.00,1,1,1,0,0,1,20101001,S0078,HCPCS,Inj fosphenytoin sodium 750 mg,,,28 ,,NW,,,,,,$272.26,$0.00,1,1,1,0,0,1,20101001,S0080,HCPCS,Inj pentamidine isethionate 300 mg,,,28 ,,NW,,,,,,$98.91,$0.00,1,1,1,0,0,1,20101001,S0081,HCPCS,Inj piperacillin sodium 500 mg,,,28 ,,NW,,,,,,$2.82,$0.00,1,1,1,0,0,1,20101001,S0088,HCPCS,Imatinib 100 mg,,,28 ,,NW,,,,,,$58.68,$0.00,1,1,1,0,0,1,20101001,S0090,HCPCS,Sildenafil citrate 25 mg,,,28 ,,NW,,,,,,$19.14,$0.00,1,1,1,0,0,1,20101001,S0091,HCPCS,Granisetron hydrochloride 1 mg,,,28 ,,NW,,,,,,$84.77,$0.00,1,1,1,0,0,1,20101001,S0092,HCPCS,Inj hydmorphone hydrochlorid 250 mg,,,28 ,,NW,,,,,,$134.50,$0.00,1,1,1,0,0,1,20101001,S0093,HCPCS,Injection morphine sulfate 500 mg,,,28 ,,NW,,,,,,$29.44,$0.00,1,1,1,0,0,1,20101001,S0104,HCPCS,Zidovudine oral 100 mg,,,28 ,,NW,,,,,,$2.81,$0.00,1,1,1,0,0,1,20101001,S0106,HCPCS,Bupropion hci sr tab 150 mg 60 tabs,,,28 ,,NW,,,,,,$197.48,$0.00,1,1,1,0,0,1,20101001,S0108,HCPCS,Mercaptopurine oral 50 mg,,,28 ,,NW,,,,,,$6.58,$0.00,1,1,1,0,0,1,20101001,S0109,HCPCS,Methadone oral 5mg,,,28 ,,NW,,,,,,$0.24,$0.00,1,1,1,0,0,1,20101001,S0122,HCPCS,Injection menotropins 75 iu,,,28 ,,NW,,,,,,$115.13,$0.00,1,1,1,0,0,1,20101001,S0126,HCPCS,Injection follitropin alfa 75 iu,,,28 ,,NW,,,,,,$129.82,$0.00,1,1,1,0,0,1,20101001,S0128,HCPCS,Injection follitropin beta 75 iu,,,28 ,,NW,,,,,,$116.09,$0.00,1,1,1,0,0,1,20101001,S0132,HCPCS,Injection ganirelix acetate 250 mcg,,,28 ,,NW,,,,,,$149.92,$0.00,1,1,1,0,0,1,20101001,S0136,HCPCS,Clozapine 25 mg,,,28 ,,NW,,,,,,$2.00,$0.00,1,1,1,0,0,1,20101001,S0137,HCPCS,Didanosine 25 mg,,,28 ,,NW,,,,,,$136.54,$0.00,1,1,1,0,0,1,20101001,S0138,HCPCS,"Finasteride, 5 Mg",,,28 ,,NW,,,,,,$4.39,$0.00,1,1,1,0,0,1,20101001,S0139,HCPCS,"Minoxidil, 10 Mg",,,28 ,,NW,,,,,,$1.72,$0.00,1,1,1,0,0,1,20101001,S0140,HCPCS,"Saquinavir, 200 Mg",,,28 ,,NW,,,,,,$2.91,$0.00,1,1,1,0,0,1,20101001,S0142,HCPCS,Colistimethate Inh Sol Mg,,,28 ,,NW,,,,,,$17.71,$0.00,1,1,1,0,0,1,20101001,S0145,HCPCS,Inj pegylatd ifn alfa-2a 180 mcg ml,,,28 ,,NW,,,,,,$47.21,$0.00,1,1,1,0,0,1,20101001,S0146,HCPCS,Inj pegyl ifn alfa-2b 10 mcg 0.5 ml,,,28 ,,NW,,,,,,$20.14,$0.00,1,1,1,0,0,1,20101001,S0155,HCPCS,Sterile dilutant epoprostenol 50 ml,,,28 ,,NW,,,,,,$21.14,$0.00,1,1,1,0,0,1,20101001,S0156,HCPCS,Exemestane 25 mg,,,28 ,,NW,,,,,,$18.67,$0.00,1,1,1,0,0,1,20101001,S0157,HCPCS,Becaplermin gel 0.01% 0.5 gm,,,28 ,,NW,,,,,,$39.34,$0.00,1,1,1,0,0,1,20101001,S0160,HCPCS,Dextroamphetamine,,,28 ,,NW,,,,,,$0.61,$0.00,1,1,1,0,0,1,20101001,S0161,HCPCS,Calcitrol 0.25 mg,,,28 ,,NW,,,,,,$92.98,$0.00,1,1,1,0,0,1,20101001,S0164,HCPCS,Injection pantoprazole sodium 40 mg,,,28 ,,NW,,,,,,$22.71,$0.00,1,1,1,0,0,1,20101001,S0166,HCPCS,Injection olanzapine 2.5 mg,,,28 ,,NW,,,,,,$9.10,$0.00,1,1,1,0,0,1,20101001,S0170,HCPCS,Anastrozole oral 1 mg,,,28 ,,NW,,,,,,$12.23,$0.00,1,1,1,0,0,1,20101001,S0171,HCPCS,Injection bumetanide 0.5 mg,,,28 ,,NW,,,,,,$2.57,$0.00,1,1,1,0,0,1,20101001,S0172,HCPCS,Chlorambucil oral 2 mg,,,28 ,,NW,,,,,,$3.42,$0.00,1,1,1,0,0,1,20101001,S0174,HCPCS,Dolasetron mesylate oral 50 mg,,,28 ,,NW,,,,,,$80.00,$0.00,1,1,1,0,0,1,20101001,S0175,HCPCS,Flutamide oral 125 mg,,,28 ,,NW,,,,,,$3.31,$0.00,1,1,1,0,0,1,20101001,S0176,HCPCS,Hydroxyurea oral 500 mg,,,28 ,,NW,,,,,,$1.44,$0.00,1,1,1,0,0,1,20101001,S0177,HCPCS,Levamisole hydrochloride oral 50 mg,,,28 ,,NW,,,,,,$7.69,$0.00,1,1,1,0,0,1,20101001,S0178,HCPCS,Lomustine oral 10 mg,,,28 ,,NW,,,,,,$39.64,$0.00,1,1,1,0,0,1,20101001,S0179,HCPCS,Megestrol acetate oral 20 mg,,,28 ,,NW,,,,,,$1.08,$0.00,1,1,1,0,0,1,20101001,S0181,HCPCS,Ondansetron hydrochloride oral 4 mg,,,28 ,,NW,,,,,,$32.68,$0.00,1,1,1,0,0,1,20101001,S0182,HCPCS,Procarbazine hydrochlord oral 50 mg,,,28 ,,NW,,,,,,$79.76,$0.00,1,1,1,0,0,1,20101001,S0183,HCPCS,Prochlorperazine maleate oral 5 mg,,,28 ,,NW,,,,,,$1.06,$0.00,1,1,1,0,0,1,20101001,S0187,HCPCS,Tamoxifen citrate oral 10 mg,,,28 ,,NW,,,,,,$3.66,$0.00,1,1,1,0,0,1,20101001,S0189,HCPCS,Testosterone Pellet 75 Mg,,,28 ,,NW,,,,,,$61.59,$0.00,1,1,1,0,0,1,20101001,S0190,HCPCS,Mifepristone oral 200 mg,,,28 ,,NW,,,,,,$130.14,$0.00,1,1,1,0,0,1,20101001,S0191,HCPCS,Misoprostol oral 200 mcg,,,28 ,,NW,,,,,,$2.61,$0.00,1,1,1,0,0,1,20101001,S0196,HCPCS,Poly-L-Lactic Acid 1Ml Face,,,28 ,,NW,,,,,,$209.88,$0.00,1,1,1,0,0,1,20101001,S0199,HCPCS,Med abortion inc all ex drug,,,12 ,,TotalUnits,,,,4.51 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,S0201,HCPCS,Part hositalizatn srvc<24 hr-diem,,,14 ,,TotalUnits,,,,0.28 ,,$0.00,$0.00,1,1,1,0,0,1,20101001,S0207,HCPCS,Paramedicintercep nonhospals,,,14 ,,TotalUnits,,,,5.25 ,,$0.00,$0.00,1,1,1,1,1,1,20101001,S0208,HCPCS,Paramed intrcept nonvol,,,14 ,,TotalUnits,,,,4.09 ,,$0.00,$0.00,1,1,1,1,1,1,20101001,S0209,HCPCS,Wheelchair van mileage per mile,,,14 ,,TotalUnits,,,,0.03 ,,$0.00,$0.00,1,1,1,1,1,1,20101001,S0215,HCPCS,Non-emerg transportation; per mile,,,14 ,,TotalUnits,,,,0.02 ,,$0.00,$0.00,1,1,1,1,1,1,20101001,S0220,HCPCS,Med conf md w/team hlth prof;30 min,,,15 ,,TotalUnits,,,,3.98 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,S0221,HCPCS,Med conf md w/team hlth prof;60 min,,,15 ,,RBRVS,1.42 ,0.44 ,1.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,S0255,HCPCS,By nrs socl wrker/oth desnatd staff,,,15 ,,RBRVS,0.48 ,0.11 ,0.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,S0257,HCPCS,Cnsl&discuss ad/eol pt&/surrogate,,,15 ,,TotalUnits,,,,0.30 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,S0260,HCPCS,Hx & phys related to surgical proc,,,15 ,,TotalUnits,,,,1.20 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,S0265,HCPCS,Genetic cnsl phys sup ea 15 mins,,,14 ,,TotalUnits,,,,0.49 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,S0302,HCPCS,Cmpl early prd screen dx&tx srvc,,,18 ,,TotalUnits,,,,0.24 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,S0315,HCPCS,Dz mgmt progm; init assess&init pro,,,14 ,,TotalUnits,,,,1.00 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,S0316,HCPCS,Dz mgmt progm follow-up/reassess,,,14 ,,TotalUnits,,,,0.63 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,S0317,HCPCS,Disease mgmt per diem,,,14 ,,TotalUnits,,,,1.20 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,S0390,HCPCS,Routine foot care; per visit,,,14 ,,TotalUnits,,,,0.48 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,S0395,HCPCS,Impression cast foot-practitioner,,,28 ,,NW,,,,,,$77.50,$0.00,1,1,1,0,1,1,20101001,S0400,HCPCS,Globl fee xtracorp shock wave lith,,,21 ,,RBRVS,9.64 ,6.13 ,17.10 ,,,$0.00,$0.00,1,0,0,0,0,1,20101001,S0500,HCPCS,Disposable contact lens per lens,,,28 ,,NW,,,,,,$55.32,$0.00,1,1,1,1,1,1,20101001,S0504,HCPCS,Single vision prsc lens per lens,,,28 ,,NW,,,,,,$115.08,$0.00,1,1,1,1,1,1,20101001,S0506,HCPCS,Bifocal vision prsc lens per lens,,,28 ,,NW,,,,,,$78.51,$0.00,1,1,1,1,1,1,20101001,S0508,HCPCS,Trifocal vision prsc lens per lens,,,28 ,,NW,,,,,,$155.77,$0.00,1,1,1,1,1,1,20101001,S0510,HCPCS,Non-prescription lens per lens,,,28 ,,NW,,,,,,$40.92,$0.00,1,1,1,1,1,1,20101001,S0512,HCPCS,Daily wear spclty cntc lens-lens,,,28 ,,NW,,,,,,$64.08,$0.00,1,1,1,1,1,1,20101001,S0514,HCPCS,Color contact lens per lens,,,28 ,,NW,,,,,,$69.49,$0.00,1,1,1,1,1,1,20101001,S0515,HCPCS,Scleral lens lqd bandge device-lens,,,28 ,,NW,,,,,,$354.40,$0.00,1,1,1,1,1,1,20101001,S0516,HCPCS,Safety eyeglass frames,,,28 ,,NW,,,,,,$77.22,$0.00,1,1,1,1,1,1,20101001,S0518,HCPCS,Sunglasses frames,,,28 ,,NW,,,,,,$98.95,$0.00,1,1,1,1,1,1,20101001,S0580,HCPCS,Polycarbonate lens,,,28 ,,NW,,,,,,$26.40,$0.00,1,1,1,1,1,1,20101001,S0581,HCPCS,Nonstandard lens,,,28 ,,NW,,,,,,$244.76,$0.00,1,1,1,1,1,1,20101001,S0592,HCPCS,Comp contact lens evaluation,,,23 ,,TotalUnits,,,,1.16 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,S0595,HCPCS,New Lenses In Pts Old Frame,,,28 ,,NW,,,,,,$6.64,$0.00,1,1,1,1,1,1,20101001,S0601,HCPCS,Screening proctoscopy,,,21 ,,RBRVS,0.55 ,0.38 ,1.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,S0605,HCPCS,Digital rectal examination annual,,,18 ,,TotalUnits,,,,0.48 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,S0610,HCPCS,Annual gyn examination new patient,,,18 ,,TotalUnits,,,,2.36 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,S0612,HCPCS,Annual gyn examination est patient,,,18 ,,TotalUnits,,,,1.78 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,S0613,HCPCS,Annual gyn ex clin brst w/o pelv ex,,,18 ,,TotalUnits,,,,0.64 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,S0618,HCPCS,Audiometry for hearing aid eval,,,8 ,,TotalUnits,,,,1.90 ,,$0.00,$0.00,1,1,1,0,0,1,20101001,S0620,HCPCS,Routine ophth ex w/refrac; new pt,,,23 ,,TotalUnits,,,,1.81 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,S0621,HCPCS,Routine ophth ex w/refrac; est pt,,,23 ,,TotalUnits,,,,1.79 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,S0622,HCPCS,Physical exam college new/est pt,,,14 ,,TotalUnits,,,,0.86 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,S0625,HCPCS,Ret telscr digtl imag mx fund areas,,,14 ,,TotalUnits,,,,1.95 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,S0630,HCPCS,Remv suturs; md not md who clos wnd,,,14 ,,TotalUnits,,,,0.57 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,S0800,HCPCS,Laser in situ keratomileusis,,,14 ,,TotalUnits,,,,18.90 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,S0810,HCPCS,Photorefractive keratectomy,,,14 ,,TotalUnits,,,,13.84 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,S0812,HCPCS,Phototherapeutic keratectomy,,,14 ,,RBRVS,0.92 ,0.64 ,0.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,S1001,HCPCS,Deluxe Item,,,28 ,,NW,,,,,,$22.37,$0.00,1,1,1,1,1,1,20101001,S1015,HCPCS,Iv tubing extension set,,,28 ,,NW,,,,,,$29.09,$0.00,1,1,1,0,0,1,20101001,S1016,HCPCS,Non-pvc iv admn set rx not stable,,,28 ,,NW,,,,,,$38.12,$0.00,1,1,1,0,0,1,20101001,S1040,HCPCS,Cranial remold orthos ped cust fab,,,28 ,,NW,,,,,,$483.06,$0.00,1,1,1,1,1,1,20101001,S2053,HCPCS,Tplnt sm intestine&liver allogfts,,,21 ,,RBRVS,83.29 ,27.76 ,27.76 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,S2054,HCPCS,Transplantation multivisceral orgn,,,21 ,,RBRVS,61.68 ,22.96 ,22.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,S2055,HCPCS,Harv donr mx-vscrl orgn; cadvr donr,,,21 ,,RBRVS,61.68 ,22.96 ,22.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,S2060,HCPCS,Lobar lung transplantation,,,21 ,,RBRVS,40.94 ,20.19 ,20.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,S2065,HCPCS,Simultaneous panc kidney tplnt,,,21 ,,RBRVS,61.68 ,22.96 ,22.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,S2068,HCPCS,Breast DIEP or SIEA flap,,,21 ,,TotalUnits,,,,250.40 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,S2070,HCPCS,Cysto; laser tx ureteral calc,,,21 ,,RBRVS,6.87 ,3.46 ,3.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,S2080,HCPCS,Laser-assisted uvulopalatoplasty,,,21 ,,RBRVS,9.63 ,7.49 ,7.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,S2083,HCPCS,Adjustment gastric band,,,21 ,,TotalUnits,,,,2.53 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,S2095,HCPCS,Trnscath occl/emboliz tumr destruc,,,21 ,,RBRVS,18.11 ,6.24 ,6.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,S2102,HCPCS,Islet cell tiss tplnt panc; allogen,,,21 ,,TotalUnits,,,,48.84 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,S2115,HCPCS,Osteot periacetabular w/intrl fix,,,21 ,,RBRVS,21.87 ,12.02 ,12.02 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,S2120,HCPCS,Ldl apheres heparn xtrcrp ldl precp,,,21 ,,TotalUnits,,,,41.06 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,S2140,HCPCS,Cord bld harvest tplnt allogeneic,,,21 ,,TotalUnits,,,,1.62 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,S2142,HCPCS,Cord blood stem-cell tplnt allogen,,,21 ,,TotalUnits,,,,1.62 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,S2150,HCPCS,Bn marrw/stem cell harv tplnt&comp;,,,21 ,,RBRVS,2.24 ,0.94 ,0.94 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,S2202,HCPCS,Echosclerotherapy,,,21 ,,RBRVS,1.09 ,0.64 ,2.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,S2205,HCPCS,Min invas dir cab; art gft 1 cag,,,21 ,,RBRVS,33.64 ,12.57 ,12.57 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,S2206,HCPCS,Min invas dir cab; art gft 2 cag,,,21 ,,RBRVS,39.77 ,14.75 ,14.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,S2207,HCPCS,Min invas dir cab; ven only 1 cvg,,,21 ,,RBRVS,34.87 ,12.92 ,12.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,S2225,HCPCS,Myringotomy laser-assisted,,,21 ,,RBRVS,1.35 ,1.56 ,3.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,S2230,HCPCS,Impl magnt cmpnt semi-impl hear dvc,,,21 ,,TotalUnits,,,,15.48 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,S2235,HCPCS,Impl auditry brain stem implant,,,21 ,,RBRVS,0.73 ,8.52 ,8.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,S2260,HCPCS,Inducd ab 17-24 weeks any surg meth,,,21 ,,RBRVS,5.90 ,2.46 ,2.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,S2265,HCPCS,Induced abortion 25 to 28 weeks,,,21 ,,RBRVS,5.90 ,2.46 ,2.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,S2266,HCPCS,Induced abortion 29 to 31 weeks,,,21 ,,RBRVS,5.90 ,2.46 ,2.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,S2267,HCPCS,Induced abortion 32 weeks/greater,,,21 ,,RBRVS,5.90 ,2.46 ,2.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,S2300,HCPCS,Scope shldr;w/therml-inducd cpslorr,,,21 ,,TotalUnits,,,,12.49 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,S2340,HCPCS,Chemodnervat abductr musc vocl cord,,,21 ,,RBRVS,3.86 ,1.65 ,4.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,S2341,HCPCS,Chemodenervat adduct musc vocal crd,,,21 ,,RBRVS,3.86 ,1.65 ,4.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,S2342,HCPCS,Nasl endo postop debrid uni/bil,,,21 ,,RBRVS,2.98 ,1.39 ,4.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,S2348,HCPCS,Decomp perq disc rf 1/mx lumb,,,21 ,,RBRVS,8.88 ,4.30 ,4.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,S2350,HCPCS,Diskect ant-osteophyt;lumb 1 intrsp,,,21 ,,RBRVS,22.75 ,11.08 ,11.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,S2351,HCPCS,Dskct ant-osteophyt;lumb add intrsp,,,21 ,,RBRVS,3.28 ,1.21 ,1.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,S2361,HCPCS,Each add cervical vertebral body,,,21 ,,RBRVS,4.30 ,1.51 ,1.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,S2900,HCPCS,Robotic surgical system,,,21 ,,TotalUnits,,,,12.04 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,S3005,HCPCS,Prfrm msr eval pt self assess dprss,,,16 ,,TotalUnits,,,,0.90 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,S3600,HCPCS,Stat lab,,,17 ,,TotalUnits,,,,0.17 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,S3601,HCPCS,Stat lab home/nf,,,17 ,,TotalUnits,,,,0.50 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,S3620,HCPCS,Newborn metabolic screening panel,,,17 ,,TotalUnits,,,,0.40 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,S3625,HCPCS,Mtrn triple markr w/afp estriol&hcg,,,17 ,,TotalUnits,,,,0.80 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,S3628,HCPCS,PAMG-1 rapid assay for ROM,,,17 ,,TotalUnits,,,,0.91 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,S3630,HCPCS,Eosinophil count blood direct,,,17 ,,TotalUnits,,,,0.21 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,S3645,HCPCS,Hiv-1 antibod test mucos transudate,,,17 ,,TotalUnits,,,,0.16 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,S3650,HCPCS,Saliva test hormone level;menopause,,,17 ,,TotalUnits,,,,3.09 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,S3652,HCPCS,Sliva tst hormone levl;prterm labor,,,17 ,,TotalUnits,,,,2.51 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,S3655,HCPCS,Antisperm antibodies test,,,17 ,,TotalUnits,,,,0.51 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,S3820,HCPCS,Comp BRCA1/BRCA2,,,17 ,,TotalUnits,,,,21.19 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,S3822,HCPCS,Sing mutation brst/ovar,,,17 ,,TotalUnits,,,,2.99 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,S3823,HCPCS,3 mutation brst/ovar,,,17 ,,TotalUnits,,,,3.63 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,S3830,HCPCS,Gene test HNPCC comp,,,17 ,,TotalUnits,,,,13.92 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,S3833,HCPCS,Comp APC sequence,,,17 ,,TotalUnits,,,,13.04 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,S3835,HCPCS,Gene test cystic fibrosis,,,17 ,,TotalUnits,,,,1.57 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,S3854,HCPCS,Gene profile panel breast,,,17 ,,TotalUnits,,,,25.94 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,S3900,HCPCS,Surface electromyography,,,17 ,,TotalUnits,,,,1.62 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,S4005,HCPCS,Interim labor facility global,,,12 ,,TotalUnits,,,,13.24 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,S4011,HCPCS,IVF package,,,14 ,,TotalUnits,,,,61.79 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,S4015,HCPCS,Complete IVF nos case rate,,,14 ,,TotalUnits,,,,69.15 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,S4016,HCPCS,Frozen IVF case rate,,,14 ,,TotalUnits,,,,18.40 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,S4022,HCPCS,Asst oocyte fert case rate,,,14 ,,TotalUnits,,,,14.53 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,S4040,HCPCS,Monit store cryo embryo 30 d,,,14 ,,TotalUnits,,,,0.88 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,S4042,HCPCS,Ovulation mgmt per cycle,,,14 ,,TotalUnits,,,,2.35 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,S4981,HCPCS,Insrt levonorgestrel intrautrn sys,,,14 ,,TotalUnits,,,,1.40 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,S4989,HCPCS,Contracept Iud,,,28 ,,NW,,,,,,$577.71,$0.00,1,1,1,1,1,1,20101001,S4990,HCPCS,Nicotine Patch Legend,,,28 ,,NW,,,,,,$25.46,$0.00,1,1,1,0,0,1,20101001,S4993,HCPCS,Contraceptive pills birth control,,,28 ,,NW,,,,,,$25.70,$0.00,1,1,1,1,1,1,20101001,S4995,HCPCS,Smoking Cessation Gum,,,28 ,,NW,,,,,,$54.25,$0.00,1,1,1,0,0,1,20101001,S5000,HCPCS,Prescription drug generic,,,28 ,,NW,,,,,,$20.14,$0.00,1,1,1,0,0,1,20101001,S5001,HCPCS,Prescription drug brand name,,,28 ,,NW,,,,,,$86.03,$0.00,1,1,1,0,0,1,20101001,S5010,HCPCS,5% dxtros & 0.45% nl saline 1000 ml,,,28 ,,NW,,,,,,$28.46,$0.00,1,1,1,0,0,1,20101001,S5011,HCPCS,5% dextrose-lactated ringers 1000ml,,,28 ,,NW,,,,,,$24.17,$0.00,1,1,1,0,0,1,20101001,S5012,HCPCS,5% dxtros w/k+ chlorid 1000 ml,,,28 ,,NW,,,,,,$31.93,$0.00,1,1,1,0,0,1,20101001,S5013,HCPCS,5% dxtros/0.45% s kcl&mgso4 1000 ml,,,28 ,,NW,,,,,,$18.82,$0.00,1,1,1,0,0,1,20101001,S5014,HCPCS,5% dxtros/45% n/s kci&mgso4 1500 ml,,,28 ,,NW,,,,,,$12.05,$0.00,1,1,1,0,0,1,20101001,S5035,HCPCS,Home infus tx routine infus devc,,,14 ,,RBRVS,0.18 ,0.37 ,0.37 ,,,$0.00,$0.00,1,1,1,1,1,1,20101001,S5100,HCPCS,Adult daycare services 15min,,,14 ,,TotalUnits,,,,0.02 ,,$0.00,$0.00,1,1,1,1,1,1,20101001,S5102,HCPCS,Adult day care per diem,,,14 ,,TotalUnits,,,,0.46 ,,$0.00,$0.00,1,1,1,1,1,1,20101001,S5105,HCPCS,Centerbased day care perdiem,,,14 ,,TotalUnits,,,,0.55 ,,$0.00,$0.00,1,1,1,1,1,1,20101001,S5108,HCPCS,Hom care trn hom care client 15 min,,,14 ,,RBRVS,0.45 ,0.37 ,0.37 ,,,$0.00,$0.00,1,1,1,1,1,1,20101001,S5109,HCPCS,Home care trn home care client sess,,,14 ,,TotalUnits,,,,1.08 ,,$0.00,$0.00,1,1,1,1,1,1,20101001,S5110,HCPCS,Home care training fam; per 15 min,,,14 ,,TotalUnits,,,,0.06 ,,$0.00,$0.00,1,1,1,1,1,1,20101001,S5111,HCPCS,Home care training fam; per session,,,14 ,,TotalUnits,,,,1.68 ,,$0.00,$0.00,1,1,1,1,1,1,20101001,S5115,HCPCS,Home care trn non-fam; per 15 min,,,14 ,,TotalUnits,,,,1.68 ,,$0.00,$0.00,1,1,1,1,1,1,20101001,S5116,HCPCS,Home care trn non-fam; per session,,,14 ,,TotalUnits,,,,1.68 ,,$0.00,$0.00,1,1,1,1,1,1,20101001,S5120,HCPCS,Chore services per 15 min,,,14 ,,TotalUnits,,,,0.04 ,,$0.00,$0.00,1,1,1,1,1,1,20101001,S5125,HCPCS,Attendant care service /15m,,,14 ,,TotalUnits,,,,0.01 ,,$0.00,$0.00,1,1,1,1,1,1,20101001,S5126,HCPCS,Attendant care service /diem,,,14 ,,TotalUnits,,,,0.27 ,,$0.00,$0.00,1,1,1,1,1,1,20101001,S5135,HCPCS,Adult companioncare per 15m,,,14 ,,TotalUnits,,,,0.03 ,,$0.00,$0.00,1,1,1,1,1,1,20101001,S5136,HCPCS,Adult companioncare per diem,,,14 ,,TotalUnits,,,,0.75 ,,$0.00,$0.00,1,1,1,1,1,1,20101001,S5140,HCPCS,Adult foster care per diem,,,14 ,,TotalUnits,,,,0.29 ,,$0.00,$0.00,1,1,1,1,1,1,20101001,S5145,HCPCS,Child fostercare th per diem,,,14 ,,TotalUnits,,,,0.64 ,,$0.00,$0.00,1,1,1,1,1,1,20101001,S5150,HCPCS,Unskilled respite care /15m,,,14 ,,TotalUnits,,,,0.04 ,,$0.00,$0.00,1,1,1,1,1,1,20101001,S5161,HCPCS,Emer rspns sys serv permonth,,,14 ,,TotalUnits,,,,0.25 ,,$0.00,$0.00,1,1,1,1,1,1,20101001,S5170,HCPCS,Homedelivered prepared meal,,,14 ,,TotalUnits,,,,0.04 ,,$0.00,$0.00,1,1,1,1,1,1,20101001,S5180,HCPCS,Home health resp tx init evaluation,,,14 ,,TotalUnits,,,,1.47 ,,$0.00,$0.00,1,1,1,1,1,1,20101001,S5181,HCPCS,Home health resp tx nos per diem,,,14 ,,TotalUnits,,,,1.47 ,,$0.00,$0.00,1,1,1,1,1,1,20101001,S5190,HCPCS,Wellness assess prfrm non-physician,,,14 ,,TotalUnits,,,,0.42 ,,$0.00,$0.00,1,1,1,0,0,1,20101001,S5199,HCPCS,Personal Care Item Nos Each,,,28 ,,NW,,,,,,$78.51,$0.00,1,1,1,0,0,1,20101001,S5497,HCPCS,Home infus tx cath care noc; diem,,,28 ,,NW,,,,,,$78.51,$0.00,1,1,1,1,1,1,20101001,S5498,HCPCS,Home infus tx cath care simple diem,,,28 ,,NW,,,,,,$24.25,$0.00,1,1,1,1,1,1,20101001,S5501,HCPCS,Home infus tx cath care complx diem,,,28 ,,NW,,,,,,$28.08,$0.00,1,1,1,1,1,1,20101001,S5502,HCPCS,Hit cath care impl access devc diem,,,28 ,,NW,,,,,,$63.45,$0.00,1,1,1,1,1,1,20101001,S5517,HCPCS,Hit Declotting Kit,,,28 ,,NW,,,,,,$66.84,$0.00,1,1,1,1,1,1,20101001,S5520,HCPCS,Hit Picc Insert Kit,,,28 ,,NW,,,,,,$141.33,$0.00,1,1,1,1,1,1,20101001,S5521,HCPCS,Hit Midline Cath Insert Kit,,,28 ,,NW,,,,,,$167.96,$0.00,1,1,1,1,1,1,20101001,S5522,HCPCS,Hom infus tx insrt picc nurse srvc,,,14 ,,TotalUnits,,,,1.45 ,,$0.00,$0.00,1,1,1,1,1,1,20101001,S5523,HCPCS,Hit insert midln cvc nrs srvc only,,,14 ,,TotalUnits,,,,1.16 ,,$0.00,$0.00,1,1,1,1,1,1,20101001,S5550,HCPCS,Insulin rapid onset; 5 units,,,28 ,,NW,,,,,,$0.14,$0.00,1,1,1,0,0,1,20101001,S5551,HCPCS,Insulin most rapid onset; 5 units,,,28 ,,NW,,,,,,$0.14,$0.00,1,1,1,0,0,1,20101001,S5552,HCPCS,Insulin intermed acting; 5 units,,,28 ,,NW,,,,,,$0.14,$0.00,1,1,1,0,0,1,20101001,S5553,HCPCS,Insulin long acting; 5 units,,,28 ,,NW,,,,,,$0.14,$0.00,1,1,1,0,0,1,20101001,S5560,HCPCS,Insulin Reuse Pen 1.5 Ml,,,28 ,,NW,,,,,,$3.32,$0.00,1,1,1,1,1,1,20101001,S8030,HCPCS,Scleral application tantalum ring,,,20 ,,RBRVS,9.46 ,7.66 ,7.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,S8037,HCPCS,Mr cholangiopancreatography,,,20 ,,TotalUnits,,,,8.69 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,S8040,HCPCS,Topographic brain mapping,,,20 ,,RBRVS,2.97 ,3.05 ,3.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,S8049,HCPCS,Intraoperative radiation therapy,,,20 ,,RBRVS,,4.35 ,4.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20101001,S8080,HCPCS,Scintimammo uni w/spl radiopharm,,,20 ,,TotalUnits,,,,3.57 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,S8085,HCPCS,F-18 fdg imag 2-hd coincdenc detct,,,20 ,,TotalUnits,,,,2.91 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,S8092,HCPCS,Electron beam computed tomography,,,20 ,,TotalUnits,,,,2.28 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,S8096,HCPCS,Portable peak flow meter,,,28 ,,NW,,,,,,$40.51,$0.00,1,1,1,1,1,1,20101001,S8097,HCPCS,Asthma Kit,,,28 ,,NW,,,,,,$52.04,$0.00,1,1,1,1,1,1,20101001,S8100,HCPCS,Hold chamb w/inhal/nebulizr;no mask,,,28 ,,NW,,,,,,$26.18,$0.00,1,1,1,1,1,1,20101001,S8101,HCPCS,Hold chamb w/inhal/nebulizr; w/mask,,,28 ,,NW,,,,,,$39.24,$0.00,1,1,1,1,1,1,20101001,S8110,HCPCS,Peak expiratory flow rate,,,14 ,,TotalUnits,,,,0.23 ,,$0.00,$0.00,1,1,1,0,0,1,20101001,S8120,HCPCS,O2 contents gas cubic ft,,,14 ,,TotalUnits,,,,0.01 ,,$0.00,$0.00,1,1,1,1,1,1,20101001,S8121,HCPCS,O2 contents liquid lb,,,14 ,,TotalUnits,,,,0.01 ,,$0.00,$0.00,1,1,1,1,1,1,20101001,S8185,HCPCS,Flutter device,,,28 ,,NW,,,,,,$89.39,$0.00,1,1,1,1,1,1,20101001,S8186,HCPCS,Swivel adaptor,,,28 ,,NW,,,,,,$14.46,$0.00,1,1,1,1,1,1,20101001,S8189,HCPCS,Tracheostomy supply noc,,,28 ,,NW,,,,,,$78.51,$0.00,1,1,1,1,1,1,20101001,S8262,HCPCS,Mandib Ortho Repos Device,,,28 ,,NW,,,,,,"$1,866.10",$0.00,1,1,1,1,1,1,20101001,S8265,HCPCS,Haberman Feeder,,,28 ,,NW,,,,,,$62.15,$0.00,1,1,1,1,1,1,20101001,S8301,HCPCS,Infect Control Supplies Nos,,,28 ,,NW,,,,,,$78.51,$0.00,1,1,1,1,1,1,20101001,S8415,HCPCS,Supplies For Home Delivery,,,28 ,,NW,,,,,,$122.75,$0.00,1,1,1,1,1,1,20101001,S8420,HCPCS,Gradent press aid sleeve&glove cstm,,,28 ,,NW,,,,,,$215.95,$0.00,1,1,1,1,1,1,20101001,S8421,HCPCS,Gradent press aid slv&glov rdy made,,,28 ,,NW,,,,,,$110.71,$0.00,1,1,1,1,1,1,20101001,S8422,HCPCS,Gradent press aid sleev cstm med wt,,,28 ,,NW,,,,,,$179.15,$0.00,1,1,1,1,1,1,20101001,S8423,HCPCS,Gradent press aid sleev cstm hvy wt,,,28 ,,NW,,,,,,$182.67,$0.00,1,1,1,1,1,1,20101001,S8424,HCPCS,Gradent press aid sleeve ready made,,,28 ,,NW,,,,,,$39.15,$0.00,1,1,1,1,1,1,20101001,S8425,HCPCS,Gradent press aid glove cstm med wt,,,28 ,,NW,,,,,,$87.94,$0.00,1,1,1,1,1,1,20101001,S8426,HCPCS,Custom Grad Glove Heavy,,,28 ,,NW,,,,,,$315.52,$0.00,1,1,1,1,1,1,20101001,S8427,HCPCS,Gradent press aid glove ready made,,,28 ,,NW,,,,,,$154.99,$0.00,1,1,1,1,1,1,20101001,S8428,HCPCS,Gradent press aid gauntlet rdy made,,,28 ,,NW,,,,,,$193.74,$0.00,1,1,1,1,1,1,20101001,S8429,HCPCS,Gradient pressure exterior wrap,,,28 ,,NW,,,,,,$221.65,$0.00,1,1,1,1,1,1,20101001,S8430,HCPCS,Padding For Comprssn Bdg,,,28 ,,NW,,,,,,$33.60,$0.00,1,1,1,1,1,1,20101001,S8431,HCPCS,Compression Bandage,,,28 ,,NW,,,,,,$11.51,$0.00,1,1,1,1,1,1,20101001,S8450,HCPCS,Splint prefabricated digit,,,28 ,,NW,,,,,,$16.93,$0.00,1,1,1,1,1,1,20101001,S8451,HCPCS,Splint prefabricated wrist or ankle,,,28 ,,NW,,,,,,$38.53,$0.00,1,1,1,1,1,1,20101001,S8452,HCPCS,Splint prefabricated elbow,,,28 ,,NW,,,,,,$34.32,$0.00,1,1,1,1,1,1,20101001,S8460,HCPCS,Camisole Post-Mast,,,28 ,,NW,,,,,,$173.26,$0.00,1,1,1,1,1,1,20101001,S8490,HCPCS,100 Insulin Syringes,,,28 ,,NW,,,,,,$1.11,$0.00,1,1,1,1,1,1,20101001,S8940,HCPCS,Hippotherapy per session,,,19 ,,TotalUnits,,,,0.25 ,,$0.00,$0.00,1,1,1,0,0,1,20101001,S8948,HCPCS,Low-level laser trmt 15 min,,,14 ,,TotalUnits,,,,0.24 ,,$0.00,$0.00,1,1,1,0,0,1,20101001,S8950,HCPCS,Complex lymphedema tx ea 15 min,,,14 ,,TotalUnits,,,,0.43 ,,$0.00,$0.00,1,1,1,0,0,1,20101001,S8990,HCPCS,Pt or manip for maint,,,19 ,,TotalUnits,,,,0.52 ,,$0.00,$0.00,1,1,1,0,0,1,20101001,S9001,HCPCS,Home uterin mon w/wo assoc nrs srvc,,,14 ,,TotalUnits,,,,1.16 ,,$0.00,$0.00,1,1,1,1,1,1,20101001,S9024,HCPCS,Paranasal sinus ultrasound,,,20 ,,TotalUnits,,,,2.17 ,,$0.00,$0.00,1,1,1,0,0,1,20101001,S9034,HCPCS,Eswl for gall stones,,,21 ,,RBRVS,9.64 ,6.13 ,17.10 ,,,$0.00,$0.00,1,1,1,0,0,1,20101001,S9061,HCPCS,Home admin aerosolized drug tx diem,,,28 ,,NW,,,,,,$69.18,$0.00,1,1,1,1,1,1,20101001,S9075,HCPCS,Smoking cessation treatment,,,14 ,,TotalUnits,,,,0.26 ,,$0.00,$0.00,1,1,1,0,0,1,20101001,S9083,HCPCS,Global fee urgent care centers,,,15 ,,TotalUnits,,,,2.06 ,,$0.00,$0.00,1,1,1,0,0,1,20101001,S9088,HCPCS,Services prov an urgent care center,,,15 ,,TotalUnits,,,,1.18 ,,$0.00,$0.00,1,1,1,0,0,1,20101001,S9090,HCPCS,Vert axial decomprs per session,,,14 ,,TotalUnits,,,,1.20 ,,$0.00,$0.00,1,1,1,0,0,1,20101001,S9097,HCPCS,Home visit for wound care,,,14 ,,TotalUnits,,,,1.13 ,,$0.00,$0.00,1,1,1,1,1,1,20101001,S9098,HCPCS,Home phototherapy visit,,,14 ,,TotalUnits,,,,1.52 ,,$0.00,$0.00,1,1,1,1,1,1,20101001,S9109,HCPCS,CHF telemonitoring month,,,4 ,,TotalUnits,,,,0.13 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,S9117,HCPCS,Back school per visit,,,14 ,,RBRVS,0.17 ,0.06 ,0.32 ,,,$0.00,$0.00,1,1,1,0,0,1,20101001,S9122,HCPCS,Hom hlth aide/cna prov care hom; hr,,,14 ,,TotalUnits,,,,0.21 ,,$0.00,$0.00,1,1,1,1,1,1,20101001,S9123,HCPCS,Nrs care hom; registered nurse-hour,,,14 ,,TotalUnits,,,,0.62 ,,$0.00,$0.00,1,1,1,1,1,1,20101001,S9124,HCPCS,Nursing care the home; lpn per hour,,,14 ,,TotalUnits,,,,0.42 ,,$0.00,$0.00,1,1,1,1,1,1,20101001,S9125,HCPCS,"Respite care, in the home, p",,,14 ,,TotalUnits,,,,0.22 ,,$0.00,$0.00,1,1,1,1,1,1,20101001,S9126,HCPCS,Hospice care in the home per diem,,,14 ,,TotalUnits,,,,1.20 ,,$0.00,$0.00,1,1,1,1,1,1,20101001,S9127,HCPCS,Social work visit the home per diem,,,14 ,,TotalUnits,,,,1.23 ,,$0.00,$0.00,1,1,1,0,0,1,20101001,S9128,HCPCS,Speech therapy in the home per diem,,,14 ,,TotalUnits,,,,0.99 ,,$0.00,$0.00,1,1,1,0,0,1,20101001,S9129,HCPCS,Occupational therapy home per diem,,,14 ,,TotalUnits,,,,1.03 ,,$0.00,$0.00,1,1,1,0,0,1,20101001,S9131,HCPCS,Physical therapy; home per diem,,,14 ,,TotalUnits,,,,0.99 ,,$0.00,$0.00,1,1,1,0,0,1,20101001,S9140,HCPCS,Dm mgmt progm f/u vst non-md prov,,,14 ,,TotalUnits,,,,1.14 ,,$0.00,$0.00,1,1,1,1,1,1,20101001,S9141,HCPCS,Diab mgmt progm f/u visit md prov,,,14 ,,RBRVS,,0.59 ,0.59 ,,,$0.00,$0.00,1,1,1,1,1,1,20101001,S9145,HCPCS,Insulin pump init instruct use pump,,,14 ,,TotalUnits,,,,3.02 ,,$0.00,$0.00,1,1,1,1,1,1,20101001,S9152,HCPCS,"Speech therapy, re-eval",,,8 ,,TotalUnits,,,,2.08 ,,$0.00,$0.00,1,1,1,0,0,1,20101001,S9208,HCPCS,Home mgmt preterm labor per diem,,,28 ,,NW,,,,,,$154.43,$0.00,1,1,1,1,1,1,20101001,S9211,HCPCS,Home mgmt gestational htn; diem,,,28 ,,NW,,,,,,$91.29,$0.00,1,1,1,1,1,1,20101001,S9213,HCPCS,Home management preeclampsia; diem,,,28 ,,NW,,,,,,$116.48,$0.00,1,1,1,1,1,1,20101001,S9214,HCPCS,Home mgmt gestational diabetes;diem,,,28 ,,NW,,,,,,$265.83,$0.00,1,1,1,1,1,1,20101001,S9325,HCPCS,Hit pain management infus; per diem,,,28 ,,NW,,,,,,$123.13,$0.00,1,1,1,1,1,1,20101001,S9326,HCPCS,Hit cont pain mgmt infus; per diem,,,28 ,,NW,,,,,,$170.10,$0.00,1,1,1,1,1,1,20101001,S9327,HCPCS,Hit intermit pain mgmt infus; diem,,,28 ,,NW,,,,,,$203.85,$0.00,1,1,1,1,1,1,20101001,S9328,HCPCS,Hit implanted pump pain mgmt; diem,,,28 ,,NW,,,,,,$98.93,$0.00,1,1,1,1,1,1,20101001,S9329,HCPCS,Hit chemotherapy infusion; per diem,,,28 ,,NW,,,,,,$171.66,$0.00,1,1,1,1,1,1,20101001,S9330,HCPCS,Hit cont chemothapy infus; per diem,,,28 ,,NW,,,,,,$187.29,$0.00,1,1,1,1,1,1,20101001,S9331,HCPCS,Hit intermit chemothapy infus; diem,,,28 ,,NW,,,,,,$219.92,$0.00,1,1,1,1,1,1,20101001,S9335,HCPCS,Hom tx hd; admin spl & eqp per diem,,,28 ,,NW,,,,,,$553.54,$0.00,1,1,1,1,1,1,20101001,S9336,HCPCS,Hit cont anticoagulnt infus tx diem,,,28 ,,NW,,,,,,$250.56,$0.00,1,1,1,1,1,1,20101001,S9338,HCPCS,Home infus tx immuothapy; per diem,,,28 ,,NW,,,,,,$175.89,$0.00,1,1,1,1,1,1,20101001,S9339,HCPCS,Home tx; peritonl dialysis per diem,,,28 ,,NW,,,,,,$442.83,$0.00,1,1,1,1,1,1,20101001,S9340,HCPCS,Home tx; enteral nutrition; diem,,,28 ,,NW,,,,,,$39.87,$0.00,1,1,1,1,1,1,20101001,S9341,HCPCS,Ht; enterl nutrit via gravity; diem,,,28 ,,NW,,,,,,$33.90,$0.00,1,1,1,1,1,1,20101001,S9342,HCPCS,Ht; enteral nutrit via pump; diem,,,28 ,,NW,,,,,,$44.25,$0.00,1,1,1,1,1,1,20101001,S9343,HCPCS,Ht; enteral nutrit via bolus; diem,,,28 ,,NW,,,,,,$26.23,$0.00,1,1,1,1,1,1,20101001,S9345,HCPCS,Hit anti-hemophilic agent; per diem,,,28 ,,NW,,,,,,$60.20,$0.00,1,1,1,1,1,1,20101001,S9346,HCPCS,Hit alpha-1-protenas inhibitr; diem,,,28 ,,NW,,,,,,$105.51,$0.00,1,1,1,1,1,1,20101001,S9347,HCPCS,Hit unintrped lng-term iv/subq;diem,,,28 ,,NW,,,,,,$124.83,$0.00,1,1,1,1,1,1,20101001,S9348,HCPCS,Hit sympathomimetic/inotropic diem,,,28 ,,NW,,,,,,$171.98,$0.00,1,1,1,1,1,1,20101001,S9349,HCPCS,Home infus tx tocolytic; per diem,,,28 ,,NW,,,,,,$490.07,$0.00,1,1,1,1,1,1,20101001,S9351,HCPCS,Hit cont anti-emetic; per diem,,,28 ,,NW,,,,,,$286.04,$0.00,1,1,1,1,1,1,20101001,S9353,HCPCS,Home infus tx cont insulin; diem,,,28 ,,NW,,,,,,$441.44,$0.00,1,1,1,1,1,1,20101001,S9355,HCPCS,Home infus tx chelation; per diem,,,28 ,,NW,,,,,,$108.82,$0.00,1,1,1,1,1,1,20101001,S9357,HCPCS,Hit enzyme repl iv tx; per diem,,,28 ,,NW,,,,,,$148.80,$0.00,1,1,1,1,1,1,20101001,S9359,HCPCS,Hit anti-tumr necros factor iv tx;,,,28 ,,NW,,,,,,$264.11,$0.00,1,1,1,1,1,1,20101001,S9361,HCPCS,Hit diuretic iv tx; per diem,,,28 ,,NW,,,,,,$116.63,$0.00,1,1,1,1,1,1,20101001,S9363,HCPCS,Hit anti-spasmotic tx; per diem,,,28 ,,NW,,,,,,$156.48,$0.00,1,1,1,1,1,1,20101001,S9364,HCPCS,Hit tpn; care coordination diem,,,28 ,,NW,,,,,,$361.57,$0.00,1,1,1,1,1,1,20101001,S9365,HCPCS,Hit tpn; 1 liter per day per diem,,,28 ,,NW,,,,,,$376.21,$0.00,1,1,1,1,1,1,20101001,S9366,HCPCS,Hit tpn; >1 l but not > 2 l-da-diem,,,28 ,,NW,,,,,,$423.21,$0.00,1,1,1,1,1,1,20101001,S9367,HCPCS,Hit tpn; >2 l but not >3 l-day-diem,,,28 ,,NW,,,,,,$534.13,$0.00,1,1,1,1,1,1,20101001,S9368,HCPCS,Hom infus tx tpn; > 3 l-day-diem,,,28 ,,NW,,,,,,$562.94,$0.00,1,1,1,1,1,1,20101001,S9370,HCPCS,Ht intermittent anti-emetic inj tx;,,,28 ,,NW,,,,,,$141.09,$0.00,1,1,1,1,1,1,20101001,S9372,HCPCS,Ht; intermit anticoagulant inj tx;,,,28 ,,NW,,,,,,$67.16,$0.00,1,1,1,1,1,1,20101001,S9373,HCPCS,Hit hydration tx; per diem,,,28 ,,NW,,,,,,$126.86,$0.00,1,1,1,1,1,1,20101001,S9374,HCPCS,Hit hydration tx; 1 liter day,,,28 ,,NW,,,,,,$126.10,$0.00,1,1,1,1,1,1,20101001,S9375,HCPCS,Hit hydrat; >1 litr no>2 litr day,,,28 ,,NW,,,,,,$160.93,$0.00,1,1,1,1,1,1,20101001,S9376,HCPCS,Hit hydrat; >2 litr no>3 litr day,,,28 ,,NW,,,,,,$166.52,$0.00,1,1,1,1,1,1,20101001,S9377,HCPCS,Hit hydration tx; >3 liters day,,,28 ,,NW,,,,,,$260.05,$0.00,1,1,1,1,1,1,20101001,S9379,HCPCS,Home infus tx infusion tx noc; diem,,,28 ,,NW,,,,,,$78.51,$0.00,1,1,1,1,1,1,20101001,S9401,HCPCS,Anticoagulat clin no lab per sess,,,14 ,,TotalUnits,,,,0.26 ,,$0.00,$0.00,1,1,1,0,0,1,20101001,S9430,HCPCS,Pharmacy comp/disp serv,,,14 ,,TotalUnits,,,,0.33 ,,$0.00,$0.00,1,1,1,0,0,1,20101001,S9434,HCPCS,Mod Solid Food Suppl,,,28 ,,NW,,,,,,$19.99,$0.00,1,1,1,0,1,1,20101001,S9435,HCPCS,Medical foods inborn errors metab,,,28 ,,NW,,,,,,$31.10,$0.00,1,1,1,0,1,1,20101001,S9436,HCPCS,Lamaze class,,,14 ,,TotalUnits,,,,0.71 ,,$0.00,$0.00,1,1,1,0,0,1,20101001,S9441,HCPCS,Asthma education,,,14 ,,TotalUnits,,,,0.25 ,,$0.00,$0.00,1,1,1,0,0,1,20101001,S9442,HCPCS,Birthing class,,,14 ,,TotalUnits,,,,0.42 ,,$0.00,$0.00,1,1,1,0,0,1,20101001,S9443,HCPCS,Lactation class,,,14 ,,TotalUnits,,,,0.48 ,,$0.00,$0.00,1,1,1,0,0,1,20101001,S9449,HCPCS,Weight mgmt class,,,14 ,,TotalUnits,,,,0.44 ,,$0.00,$0.00,1,1,1,0,0,1,20101001,S9451,HCPCS,Exercise class,,,14 ,,TotalUnits,,,,0.21 ,,$0.00,$0.00,1,1,1,0,0,1,20101001,S9452,HCPCS,Nutrition classes non-phys per sess,,,14 ,,TotalUnits,,,,0.15 ,,$0.00,$0.00,1,1,1,0,0,1,20101001,S9453,HCPCS,Smoking cessation class non-md sess,,,14 ,,TotalUnits,,,,1.28 ,,$0.00,$0.00,1,1,1,0,0,1,20101001,S9455,HCPCS,Diabetic mgmt progm group session,,,14 ,,TotalUnits,,,,0.68 ,,$0.00,$0.00,1,1,1,1,1,1,20101001,S9460,HCPCS,Diabetic mgmt progm nurse visit,,,14 ,,TotalUnits,,,,0.07 ,,$0.00,$0.00,1,1,1,1,1,1,20101001,S9465,HCPCS,Diabetic mgmt progm dietitian visit,,,14 ,,TotalUnits,,,,1.20 ,,$0.00,$0.00,1,1,1,1,1,1,20101001,S9470,HCPCS,Nutritional cnsl dietitian visit,,,14 ,,TotalUnits,,,,0.65 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,S9474,HCPCS,Entrstml tx rn cert entrstml tx day,,,14 ,,TotalUnits,,,,0.65 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,S9475,HCPCS,Amb set sbstnc abs tx/dtox srvc day,,,16 ,,TotalUnits,,,,1.79 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,S9480,HCPCS,Intensive op psyc services per diem,,,16 ,,TotalUnits,,,,3.29 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,S9484,HCPCS,Crisis interven mentl hlth srvc-hr,,,16 ,,TotalUnits,,,,1.05 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,S9485,HCPCS,Crisis intervent mental health serv,,,16 ,,TotalUnits,,,,5.23 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,S9490,HCPCS,Hit corticosteroid infus; admn srvc,,,28 ,,NW,,,,,,$181.51,$0.00,1,1,1,1,1,1,20101001,S9494,HCPCS,Hit antibiotic/antifungal; diem,,,28 ,,NW,,,,,,$156.90,$0.00,1,1,1,1,1,1,20101001,S9497,HCPCS,Hit antibiotic/antifungal; q3 hrs,,,28 ,,NW,,,,,,$190.56,$0.00,1,1,1,1,1,1,20101001,S9500,HCPCS,Hit antibiotic/antifungal; q24 hrs,,,28 ,,NW,,,,,,$197.32,$0.00,1,1,1,1,1,1,20101001,S9501,HCPCS,Hit antibiotic/antifungal; q12 hrs,,,28 ,,NW,,,,,,$228.55,$0.00,1,1,1,1,1,1,20101001,S9502,HCPCS,Hit abx antivirl/antifungal; q8 hrs,,,28 ,,NW,,,,,,$243.51,$0.00,1,1,1,1,1,1,20101001,S9503,HCPCS,Hit abx antivirl/antifungal; q6 hrs,,,28 ,,NW,,,,,,$244.84,$0.00,1,1,1,1,1,1,20101001,S9504,HCPCS,Hit abx antivirl/antifungal; q4 hrs,,,28 ,,NW,,,,,,$245.14,$0.00,1,1,1,1,1,1,20101001,S9529,HCPCS,Home or snf patient,,,28 ,,NW,,,,,,$70.42,$0.00,1,1,1,0,1,1,20101001,S9537,HCPCS,Hom tx hematopoietic h inj tx;-diem,,,28 ,,NW,,,,,,$61.13,$0.00,1,1,1,1,1,1,20101001,S9538,HCPCS,Hit Blood Products Diem,,,28 ,,NW,,,,,,$301.94,$0.00,1,1,1,1,1,1,20101001,S9542,HCPCS,Home injectable therapy noc-diem,,,28 ,,NW,,,,,,$78.51,$0.00,1,1,1,1,1,1,20101001,S9558,HCPCS,Home infus tx growth hormone-diem,,,28 ,,NW,,,,,,$34.60,$0.00,1,1,1,1,1,1,20101001,S9559,HCPCS,Home infus tx interferon per diem,,,28 ,,NW,,,,,,$119.81,$0.00,1,1,1,1,1,1,20101001,S9560,HCPCS,Home inj tx; hormonal therapy diem,,,28 ,,NW,,,,,,$74.16,$0.00,1,1,1,1,1,1,20101001,S9562,HCPCS,Hom inj tx palivizumab-per diem,,,28 ,,NW,,,,,,$74.16,$0.00,1,1,1,1,1,1,20101001,S9590,HCPCS,Hom tx irrig tx; w/admn-per diem,,,28 ,,NW,,,,,,$78.64,$0.00,1,1,1,1,1,1,20101001,S9900,HCPCS,Christian Sci Pract visit,,,14 ,,TotalUnits,,,,0.08 ,,$0.00,$0.00,1,1,1,0,0,1,20101001,S9970,HCPCS,Health club membership yr,,,14 ,,TotalUnits,,,,1.30 ,,$0.00,$0.00,1,1,1,0,0,1,20101001,S9981,HCPCS,Med record copy admin,,,14 ,,TotalUnits,,,,0.24 ,,$0.00,$0.00,1,1,1,0,0,1,20101001,S9982,HCPCS,Med record copy per page,,,14 ,,TotalUnits,,,,0.01 ,,$0.00,$0.00,1,1,1,0,0,1,20101001,S9986,HCPCS,Not medically necessary svc,,,14 ,,TotalUnits,,,,13.58 ,,$0.00,$0.00,1,1,1,0,0,1,20101001,S9988,HCPCS,Serv part of phase I trial,,,14 ,,TotalUnits,,,,0.06 ,,$0.00,$0.00,1,1,1,0,0,1,20101001,S9990,HCPCS,Services provided as part of,,,14 ,,TotalUnits,,,,1.04 ,,$0.00,$0.00,1,1,1,0,0,1,20101001,T1000,HCPCS,Private duty/independent nsg,,,15 ,,TotalUnits,,,,0.20 ,,$0.00,$0.00,1,1,1,1,1,1,20101001,T1001,HCPCS,Nursing assessment/evaluatn,,,15 ,,TotalUnits,,,,1.14 ,,$0.00,$0.00,1,1,1,1,1,1,20101001,T1002,HCPCS,RN services up to 15 minutes,,,15 ,,TotalUnits,,,,0.23 ,,$0.00,$0.00,1,1,1,1,1,1,20101001,T1003,HCPCS,LPN/LVN services up to 15min,,,15 ,,TotalUnits,,,,0.15 ,,$0.00,$0.00,1,1,1,1,1,1,20101001,T1004,HCPCS,Nsg aide service up to 15min,,,15 ,,TotalUnits,,,,0.33 ,,$0.00,$0.00,1,1,1,1,1,1,20101001,T1005,HCPCS,Respite care service 15 min,,,15 ,,TotalUnits,,,,0.13 ,,$0.00,$0.00,1,1,1,1,1,1,20101001,T1006,HCPCS,Family/Couple Counseling,,,16 ,,TotalUnits,,,,0.69 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,T1007,HCPCS,Treatment Plan Development,,,16 ,,TotalUnits,,,,3.02 ,,$0.00,$0.00,1,1,1,0,1,1,20101001,T1009,HCPCS,Child Sitting Services,,,14 ,,TotalUnits,,,,0.06 ,,$0.00,$0.00,1,1,1,0,0,1,20101001,T1012,HCPCS,Alcohol/Substance Abuse Skil,,,16 ,,TotalUnits,,,,0.13 ,,$0.00,$0.00,1,1,1,0,0,1,20101001,T1013,HCPCS,Sign Lang/Oral Interpreter,,,14 ,,TotalUnits,,,,0.20 ,,$0.00,$0.00,1,1,1,0,0,1,20101001,T1015,HCPCS,Clinic service,,,15 ,,TotalUnits,,,,1.54 ,,$0.00,$0.00,1,1,1,0,0,1,20101001,T1016,HCPCS,Case management,,,15 ,,TotalUnits,,,,0.35 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,T1017,HCPCS,Targeted case management,,,15 ,,TotalUnits,,,,0.03 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,T1019,HCPCS,Personal care ser per 15 min,,,15 ,,TotalUnits,,,,0.09 ,,$0.00,$0.00,1,1,1,1,1,1,20101001,T1020,HCPCS,Personal care ser per diem,,,15 ,,TotalUnits,,,,1.29 ,,$0.00,$0.00,1,1,1,1,1,1,20101001,T1021,HCPCS,HH Aide or cn aide per visit,,,15 ,,TotalUnits,,,,0.73 ,,$0.00,$0.00,1,1,1,1,1,1,20101001,T1023,HCPCS,Program intake assessment,,,15 ,,TotalUnits,,,,0.49 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,T1024,HCPCS,Team evaluation & management,,,15 ,,TotalUnits,,,,0.30 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,T1026,HCPCS,"Ped compr care pkg, per hour",,,15 ,,TotalUnits,,,,0.70 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,T1027,HCPCS,Family training & counseling,,,16 ,,TotalUnits,,,,0.24 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,T1028,HCPCS,Home environment assessment,,,16 ,,TotalUnits,,,,0.35 ,,$0.00,$0.00,1,1,1,1,1,1,20101001,T1030,HCPCS,RN home care per diem,,,15 ,,TotalUnits,,,,1.86 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,T1031,HCPCS,LPN home care per diem,,,15 ,,TotalUnits,,,,0.98 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,T1502,HCPCS,Medication admin visit,,,15 ,,TotalUnits,,,,0.22 ,,$0.00,$0.00,1,1,1,0,0,1,20101001,T2001,HCPCS,N-et; patient attend/escort,,,14 ,,TotalUnits,,,,0.05 ,,$0.00,$0.00,1,1,1,1,1,1,20101001,T2003,HCPCS,N-et; encounter/trip,,,14 ,,TotalUnits,,,,0.23 ,,$0.00,$0.00,1,1,1,1,1,1,20101001,T2004,HCPCS,N-et; commerc carrier pass,,,14 ,,TotalUnits,,,,0.09 ,,$0.00,$0.00,1,1,1,1,1,1,20101001,T2005,HCPCS,N-et; stretcher van,,,14 ,,TotalUnits,,,,0.11 ,,$0.00,$0.00,1,1,1,1,1,1,20101001,T2007,HCPCS,Non-emer transport wait time,,,14 ,,TotalUnits,,,,0.22 ,,$0.00,$0.00,1,1,1,1,1,1,20101001,T2013,HCPCS,Habil ed waiver per hour,,,14 ,,TotalUnits,,,,0.52 ,,$0.00,$0.00,1,1,1,0,0,1,20101001,T2014,HCPCS,"Habil prevoc waiver, per d",,,14 ,,TotalUnits,,,,0.57 ,,$0.00,$0.00,1,1,1,0,0,1,20101001,T2016,HCPCS,Habil res waiver per diem,,,14 ,,TotalUnits,,,,1.57 ,,$0.00,$0.00,1,1,1,0,0,1,20101001,T2017,HCPCS,Habil res waiver 15 min,,,14 ,,TotalUnits,,,,0.07 ,,$0.00,$0.00,1,1,1,0,0,1,20101001,T2018,HCPCS,Habil sup empl waiver/diem,,,14 ,,TotalUnits,,,,1.82 ,,$0.00,$0.00,1,1,1,0,0,1,20101001,T2019,HCPCS,Habil sup empl waiver 15min,,,14 ,,TotalUnits,,,,0.01 ,,$0.00,$0.00,1,1,1,0,0,1,20101001,T2020,HCPCS,Day habil waiver per diem,,,14 ,,TotalUnits,,,,1.14 ,,$0.00,$0.00,1,1,1,0,0,1,20101001,T2021,HCPCS,Day habil waiver per 15 min,,,14 ,,TotalUnits,,,,0.03 ,,$0.00,$0.00,1,1,1,0,0,1,20101001,T2022,HCPCS,"Case management, per month",,,14 ,,TotalUnits,,,,0.67 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,T2023,HCPCS,Targeted case mgmt per month,,,14 ,,TotalUnits,,,,1.16 ,,$0.00,$0.00,1,0,1,1,1,1,20101001,T2025,HCPCS,"Waiver service, nos",,,14 ,,TotalUnits,,,,0.18 ,,$0.00,$0.00,1,1,1,0,0,1,20101001,T2031,HCPCS,Assist living waiver/diem,,,14 ,,TotalUnits,,,,2.47 ,,$0.00,$0.00,1,1,1,1,1,1,20101001,T2032,HCPCS,"Res care, nos waiver/month",,,14 ,,TotalUnits,,,,2.21 ,,$0.00,$0.00,1,1,1,1,1,1,20101001,T2033,HCPCS,"Res, nos waiver per diem",,,14 ,,TotalUnits,,,,2.11 ,,$0.00,$0.00,1,1,1,1,1,1,20101001,T2040,HCPCS,Financial mgt waiver/15min,,,14 ,,TotalUnits,,,,0.09 ,,$0.00,$0.00,1,1,1,1,1,1,20101001,T2042,HCPCS,Hospice routine home care,,,15 ,,TotalUnits,,,,2.37 ,,$0.00,$0.00,1,1,1,1,1,1,20101001,T2043,HCPCS,Hospice continuous home care,,,15 ,,TotalUnits,,,,0.55 ,,$0.00,$0.00,1,1,1,1,1,1,20101001,T2045,HCPCS,Hospice general care,,,15 ,,TotalUnits,,,,9.73 ,,$0.00,$0.00,1,1,1,1,1,1,20101001,T2046,HCPCS,"Hospice long term care, r&b",,,15 ,,TotalUnits,,,,2.56 ,,$0.00,$0.00,1,1,1,1,1,1,20101001,T2049,HCPCS,"N-ET; stretcher van, mileage",,,14 ,,TotalUnits,,,,0.06 ,,$0.00,$0.00,1,1,1,1,1,1,20101001,T4521,HCPCS,Adult Size Brief/Diaper Sm,,,28 ,,NW,,,,,,$1.33,$0.00,1,1,1,1,1,1,20101001,T4522,HCPCS,Adult Size Brief/Diaper Med,,,28 ,,NW,,,,,,$1.38,$0.00,1,1,1,1,1,1,20101001,T4523,HCPCS,Adult Size Brief/Diaper Lg,,,28 ,,NW,,,,,,$1.38,$0.00,1,1,1,1,1,1,20101001,T4524,HCPCS,Adult Size Brief/Diaper Xl,,,28 ,,NW,,,,,,$1.82,$0.00,1,1,1,1,1,1,20101001,T4525,HCPCS,Adult Size Pull-On Sm,,,28 ,,NW,,,,,,$1.70,$0.00,1,1,1,1,1,1,20101001,T4526,HCPCS,Adult Size Pull-On Med,,,28 ,,NW,,,,,,$1.51,$0.00,1,1,1,1,1,1,20101001,T4527,HCPCS,Adult Size Pull-On Lg,,,28 ,,NW,,,,,,$1.73,$0.00,1,1,1,1,1,1,20101001,T4528,HCPCS,Adult Size Pull-On Xl,,,28 ,,NW,,,,,,$1.84,$0.00,1,1,1,1,1,1,20101001,T4529,HCPCS,Ped Size Brief/Diaper Sm/Med,,,28 ,,NW,,,,,,$1.29,$0.00,1,1,1,1,1,1,20101001,T4530,HCPCS,Ped Size Brief/Diaper Lg,,,28 ,,NW,,,,,,$1.55,$0.00,1,1,1,1,1,1,20101001,T4531,HCPCS,Ped Size Pull-On Sm/Med,,,28 ,,NW,,,,,,$1.72,$0.00,1,1,1,1,1,1,20101001,T4532,HCPCS,Ped Size Pull-On Lg,,,28 ,,NW,,,,,,$1.42,$0.00,1,1,1,1,1,1,20101001,T4533,HCPCS,Youth Size Brief/Diaper,,,28 ,,NW,,,,,,$1.28,$0.00,1,1,1,1,1,1,20101001,T4534,HCPCS,Youth Size Pull-On,,,28 ,,NW,,,,,,$1.57,$0.00,1,1,1,1,1,1,20101001,T4535,HCPCS,Disposable Liner/Shield/Pad,,,28 ,,NW,,,,,,$1.19,$0.00,1,1,1,1,1,1,20101001,T4536,HCPCS,Reusable Pull-On Any Size,,,28 ,,NW,,,,,,$1.29,$0.00,1,1,1,1,1,1,20101001,T4537,HCPCS,Reusable Underpad Bed Size,,,28 ,,NW,,,,,,$21.42,$0.00,1,1,1,1,1,1,20101001,T4539,HCPCS,Reuse Diaper/Brief Any Size,,,28 ,,NW,,,,,,$9.05,$0.00,1,1,1,1,1,1,20101001,T4540,HCPCS,Reusable Underpad Chair Size,,,28 ,,NW,,,,,,$12.77,$0.00,1,1,1,1,1,1,20101001,T4541,HCPCS,Large Disposable Underpad,,,28 ,,NW,,,,,,$1.16,$0.00,1,1,1,1,1,1,20101001,T4542,HCPCS,Small Disposable Underpad,,,28 ,,NW,,,,,,$1.29,$0.00,1,1,1,1,1,1,20101001,T4543,HCPCS,Disp Bariatric Brief/Diaper,,,28 ,,NW,,,,,,$1.91,$0.00,1,1,1,1,1,1,20101001,T5999,HCPCS,"Supply, Nos",,,28 ,,NW,,,,,,$38.04,$0.00,1,1,1,1,1,1,20101001,V2020,HCPCS,Vision svcs frames purchases,,,28 ,,NW,,,,,,$92.13,$0.00,1,1,1,1,1,1,20101001,V2025,HCPCS,Eyeglasses delux frames,,,28 ,,NW,,,,,,$137.05,$0.00,1,1,1,1,1,1,20101001,V2100,HCPCS,Lens spher single plano 4.00,,,28 ,,NW,,,,,,$64.17,$0.00,1,1,1,1,1,1,20101001,V2101,HCPCS,Single visn sphere 4.12-7.00,,,28 ,,NW,,,,,,$67.69,$0.00,1,1,1,1,1,1,20101001,V2102,HCPCS,Singl visn sphere 7.12-20.00,,,28 ,,NW,,,,,,$83.07,$0.00,1,1,1,1,1,1,20101001,V2103,HCPCS,Spherocylindr 4.00d/12-2.00d,,,28 ,,NW,,,,,,$59.07,$0.00,1,1,1,1,1,1,20101001,V2104,HCPCS,Spherocylindr 4.00d/2.12-4d,,,28 ,,NW,,,,,,$62.14,$0.00,1,1,1,1,1,1,20101001,V2105,HCPCS,Spherocylinder 4.00d/4.25-6d,,,28 ,,NW,,,,,,$66.29,$0.00,1,1,1,1,1,1,20101001,V2106,HCPCS,Spherocylinder 4.00d/>6.00d,,,28 ,,NW,,,,,,$71.07,$0.00,1,1,1,1,1,1,20101001,V2107,HCPCS,Spherocylinder 4.25d/12-2d,,,28 ,,NW,,,,,,$70.47,$0.00,1,1,1,1,1,1,20101001,V2108,HCPCS,Spherocylinder 4.25d/2.12-4d,,,28 ,,NW,,,,,,$70.39,$0.00,1,1,1,1,1,1,20101001,V2109,HCPCS,Spherocylinder 4.25d/4.25-6d,,,28 ,,NW,,,,,,$76.75,$0.00,1,1,1,1,1,1,20101001,V2110,HCPCS,Spherocylinder 4.25d/over 6d,,,28 ,,NW,,,,,,$74.72,$0.00,1,1,1,1,1,1,20101001,V2111,HCPCS,Spherocylindr 7.25d/.25-2.25,,,28 ,,NW,,,,,,$78.00,$0.00,1,1,1,1,1,1,20101001,V2112,HCPCS,Spherocylindr 7.25d/2.25-4d,,,28 ,,NW,,,,,,$83.25,$0.00,1,1,1,1,1,1,20101001,V2113,HCPCS,Spherocylindr 7.25d/4.25-6d,,,28 ,,NW,,,,,,$89.56,$0.00,1,1,1,1,1,1,20101001,V2114,HCPCS,Spherocylinder over 12.00d,,,28 ,,NW,,,,,,$95.10,$0.00,1,1,1,1,1,1,20101001,V2115,HCPCS,Lens lenticular bifocal,,,28 ,,NW,,,,,,$100.11,$0.00,1,1,1,1,1,1,20101001,V2118,HCPCS,Lens aniseikonic single,,,28 ,,NW,,,,,,$100.87,$0.00,1,1,1,1,1,1,20101001,V2121,HCPCS,"Lenticular lens, single",,,28 ,,NW,,,,,,$102.41,$0.00,1,1,1,1,1,1,20101001,V2199,HCPCS,Lens single vision not oth c,,,28 ,,NW,,,,,,$246.38,$0.00,1,1,1,1,1,1,20101001,V2200,HCPCS,Lens spher bifoc plano 4.00d,,,28 ,,NW,,,,,,$75.96,$0.00,1,1,1,1,1,1,20101001,V2201,HCPCS,Lens sphere bifocal 4.12-7.0,,,28 ,,NW,,,,,,$81.16,$0.00,1,1,1,1,1,1,20101001,V2202,HCPCS,Lens sphere bifocal 7.12-20.,,,28 ,,NW,,,,,,$88.57,$0.00,1,1,1,1,1,1,20101001,V2203,HCPCS,Lens sphcyl bifocal 4.00d/.1,,,28 ,,NW,,,,,,$77.05,$0.00,1,1,1,1,1,1,20101001,V2204,HCPCS,Lens sphcy bifocal 4.00d/2.1,,,28 ,,NW,,,,,,$79.03,$0.00,1,1,1,1,1,1,20101001,V2205,HCPCS,Lens sphcy bifocal 4.00d/4.2,,,28 ,,NW,,,,,,$82.73,$0.00,1,1,1,1,1,1,20101001,V2206,HCPCS,Lens sphcy bifocal 4.00d/ove,,,28 ,,NW,,,,,,$88.64,$0.00,1,1,1,1,1,1,20101001,V2207,HCPCS,Lens sphcy bifocal 4.25-7d/.,,,28 ,,NW,,,,,,$82.34,$0.00,1,1,1,1,1,1,20101001,V2208,HCPCS,Lens sphcy bifocal 4.25-7/2.,,,28 ,,NW,,,,,,$85.05,$0.00,1,1,1,1,1,1,20101001,V2209,HCPCS,Lens sphcy bifocal 4.25-7/4.,,,28 ,,NW,,,,,,$88.60,$0.00,1,1,1,1,1,1,20101001,V2210,HCPCS,Lens sphcy bifocal 4.25-7/ov,,,28 ,,NW,,,,,,$96.23,$0.00,1,1,1,1,1,1,20101001,V2211,HCPCS,Lens sphcy bifo 7.25-12/.25-,,,28 ,,NW,,,,,,$97.17,$0.00,1,1,1,1,1,1,20101001,V2212,HCPCS,Lens sphcyl bifo 7.25-12/2.2,,,28 ,,NW,,,,,,$99.22,$0.00,1,1,1,1,1,1,20101001,V2213,HCPCS,Lens sphcyl bifo 7.25-12/4.2,,,28 ,,NW,,,,,,$99.54,$0.00,1,1,1,1,1,1,20101001,V2214,HCPCS,Lens sphcyl bifocal over 12.,,,28 ,,NW,,,,,,$106.96,$0.00,1,1,1,1,1,1,20101001,V2215,HCPCS,Lens lenticular bifocal,,,28 ,,NW,,,,,,$114.19,$0.00,1,1,1,1,1,1,20101001,V2218,HCPCS,Lens aniseikonic bifocal,,,28 ,,NW,,,,,,$123.90,$0.00,1,1,1,1,1,1,20101001,V2219,HCPCS,Lens bifocal seg width over,,,28 ,,NW,,,,,,$68.78,$0.00,1,1,1,1,1,1,20101001,V2220,HCPCS,Lens bifocal add over 3.25d,,,28 ,,NW,,,,,,$62.77,$0.00,1,1,1,1,1,1,20101001,V2221,HCPCS,"Lenticular lens, bifocal",,,28 ,,NW,,,,,,$112.97,$0.00,1,1,1,1,1,1,20101001,V2299,HCPCS,Lens bifocal speciality,,,28 ,,NW,,,,,,$59.88,$0.00,1,1,1,1,1,1,20101001,V2300,HCPCS,Lens sphere trifocal 4.00d,,,28 ,,NW,,,,,,$90.00,$0.00,1,1,1,1,1,1,20101001,V2301,HCPCS,Lens sphere trifocal 4.12-7.,,,28 ,,NW,,,,,,$102.02,$0.00,1,1,1,1,1,1,20101001,V2302,HCPCS,Lens sphere trifocal 7.12-20,,,28 ,,NW,,,,,,$103.71,$0.00,1,1,1,1,1,1,20101001,V2303,HCPCS,Lens sphcy trifocal 4.0/.12-,,,28 ,,NW,,,,,,$89.57,$0.00,1,1,1,1,1,1,20101001,V2304,HCPCS,Lens sphcy trifocal 4.0/2.25,,,28 ,,NW,,,,,,$92.21,$0.00,1,1,1,1,1,1,20101001,V2305,HCPCS,Lens sphcy trifocal 4.0/4.25,,,28 ,,NW,,,,,,$101.31,$0.00,1,1,1,1,1,1,20101001,V2306,HCPCS,Lens sphcyl trifocal 4.00/>6,,,28 ,,NW,,,,,,$103.71,$0.00,1,1,1,1,1,1,20101001,V2307,HCPCS,Lens sphcy trifocal 4.25-7/.,,,28 ,,NW,,,,,,$99.79,$0.00,1,1,1,1,1,1,20101001,V2308,HCPCS,Lens sphc trifocal 4.25-7/2.,,,28 ,,NW,,,,,,$102.85,$0.00,1,1,1,1,1,1,20101001,V2309,HCPCS,Lens sphc trifocal 4.25-7/4.,,,28 ,,NW,,,,,,$111.41,$0.00,1,1,1,1,1,1,20101001,V2310,HCPCS,Lens sphc trifocal 4.25-7/>6,,,28 ,,NW,,,,,,$110.30,$0.00,1,1,1,1,1,1,20101001,V2311,HCPCS,Lens sphc trifo 7.25-12/.25-,,,28 ,,NW,,,,,,$116.34,$0.00,1,1,1,1,1,1,20101001,V2312,HCPCS,Lens sphc trifo 7.25-12/2.25,,,28 ,,NW,,,,,,$114.58,$0.00,1,1,1,1,1,1,20101001,V2313,HCPCS,Lens sphc trifo 7.25-12/4.25,,,28 ,,NW,,,,,,$127.17,$0.00,1,1,1,1,1,1,20101001,V2314,HCPCS,Lens sphcyl trifocal over 12,,,28 ,,NW,,,,,,$131.82,$0.00,1,1,1,1,1,1,20101001,V2315,HCPCS,Lens lenticular trifocal,,,28 ,,NW,,,,,,$146.45,$0.00,1,1,1,1,1,1,20101001,V2318,HCPCS,Lens aniseikonic trifocal,,,28 ,,NW,,,,,,$172.95,$0.00,1,1,1,1,1,1,20101001,V2319,HCPCS,Lens trifocal seg width > 28,,,28 ,,NW,,,,,,$74.19,$0.00,1,1,1,1,1,1,20101001,V2320,HCPCS,Lens trifocal add over 3.25d,,,28 ,,NW,,,,,,$79.60,$0.00,1,1,1,1,1,1,20101001,V2321,HCPCS,"Lenticular lens, trifocal",,,28 ,,NW,,,,,,$143.99,$0.00,1,1,1,1,1,1,20101001,V2399,HCPCS,Lens trifocal speciality,,,28 ,,NW,,,,,,$145.89,$0.00,1,1,1,1,1,1,20101001,V2410,HCPCS,Lens variab asphericity sing,,,28 ,,NW,,,,,,$117.06,$0.00,1,1,1,1,1,1,20101001,V2430,HCPCS,Lens variable asphericity bi,,,28 ,,NW,,,,,,$133.80,$0.00,1,1,1,1,1,1,20101001,V2499,HCPCS,Variable asphericity lens,,,28 ,,NW,,,,,,$133.80,$0.00,1,1,1,1,1,1,20101001,V2500,HCPCS,Contact lens pmma spherical,,,28 ,,NW,,,,,,$107.75,$0.00,1,1,1,1,1,1,20101001,V2501,HCPCS,Cntct lens pmma-toric/prism,,,28 ,,NW,,,,,,$147.64,$0.00,1,1,1,1,1,1,20101001,V2502,HCPCS,Contact lens pmma bifocal,,,28 ,,NW,,,,,,$182.62,$0.00,1,1,1,1,1,1,20101001,V2503,HCPCS,Cntct lens pmma color vision,,,28 ,,NW,,,,,,$165.26,$0.00,1,1,1,1,1,1,20101001,V2510,HCPCS,Cntct gas permeable sphericl,,,28 ,,NW,,,,,,$136.85,$0.00,1,1,1,1,1,1,20101001,V2511,HCPCS,Cntct toric prism ballast,,,28 ,,NW,,,,,,$188.39,$0.00,1,1,1,1,1,1,20101001,V2512,HCPCS,Cntct lens gas permbl bifocl,,,28 ,,NW,,,,,,$219.15,$0.00,1,1,1,1,1,1,20101001,V2513,HCPCS,Contact lens extended wear,,,28 ,,NW,,,,,,$194.15,$0.00,1,1,1,1,1,1,20101001,V2520,HCPCS,Contact lens hydrophilic,,,28 ,,NW,,,,,,$130.03,$0.00,1,1,1,1,1,1,20101001,V2521,HCPCS,Cntct lens hydrophilic toric,,,28 ,,NW,,,,,,$206.52,$0.00,1,1,1,1,1,1,20101001,V2522,HCPCS,Cntct lens hydrophil bifocl,,,28 ,,NW,,,,,,$207.80,$0.00,1,1,1,1,1,1,20101001,V2523,HCPCS,Cntct lens hydrophil extend,,,28 ,,NW,,,,,,$175.92,$0.00,1,1,1,1,1,1,20101001,V2530,HCPCS,Contact lens gas impermeable,,,28 ,,NW,,,,,,$246.69,$0.00,1,1,1,1,1,1,20101001,V2531,HCPCS,Contact lens gas permeable,,,28 ,,NW,,,,,,$506.26,$0.00,1,1,1,1,1,1,20101001,V2599,HCPCS,Contact lens/es other type,,,28 ,,NW,,,,,,$133.80,$0.00,1,1,1,1,1,1,20101001,V2600,HCPCS,Hand held low vision aids,,,28 ,,NW,,,,,,$179.40,$0.00,1,1,1,1,1,1,20101001,V2610,HCPCS,Single lens spectacle mount,,,28 ,,NW,,,,,,$107.45,$0.00,1,1,1,1,1,1,20101001,V2615,HCPCS,Telescop/othr compound lens,,,28 ,,NW,,,,,,$387.12,$0.00,1,1,1,1,1,1,20101001,V2623,HCPCS,Plastic eye prosth custom,,,28 ,,NW,,,,,,"$2,713.05",$0.00,1,1,1,1,1,1,20101001,V2624,HCPCS,Polishing artifical eye,,,28 ,,NW,,,,,,$104.60,$0.00,1,1,1,1,1,1,20101001,V2625,HCPCS,Enlargemnt of eye prosthesis,,,28 ,,NW,,,,,,$929.32,$0.00,1,1,1,1,1,1,20101001,V2626,HCPCS,Reduction of eye prosthesis,,,28 ,,NW,,,,,,$386.07,$0.00,1,1,1,1,1,1,20101001,V2627,HCPCS,Scleral cover shell,,,28 ,,NW,,,,,,"$3,840.82",$0.00,1,1,1,1,1,1,20101001,V2628,HCPCS,Fabrication & fitting,,,28 ,,NW,,,,,,$666.60,$0.00,1,1,1,1,1,1,20101001,V2629,HCPCS,Prosthetic eye other type,,,28 ,,NW,,,,,,$179.40,$0.00,1,1,1,1,1,1,20101001,V2630,HCPCS,Anter chamber intraocul lens,,,28 ,,NW,,,,,,$487.03,$0.00,1,1,1,0,1,1,20101001,V2631,HCPCS,Iris Support Intraoclr Lens,,,28 ,,NW,,,,,,$390.46,$0.00,1,1,1,0,1,1,20101001,V2632,HCPCS,Post chmbr intraocular lens,,,28 ,,NW,,,,,,$521.89,$0.00,1,1,1,0,1,1,20101001,V2700,HCPCS,Balance lens,,,28 ,,NW,,,,,,$68.99,$0.00,1,1,1,1,1,1,20101001,V2702,HCPCS,Deluxe lens feature,,,28 ,,NW,,,,,,$16.69,$0.00,1,1,1,1,1,1,20101001,V2710,HCPCS,Glass/plastic slab off prism,,,28 ,,NW,,,,,,$90.95,$0.00,1,1,1,1,1,1,20101001,V2715,HCPCS,Prism lens/es,,,28 ,,NW,,,,,,$18.36,$0.00,1,1,1,1,1,1,20101001,V2718,HCPCS,Fresnell prism press-on lens,,,28 ,,NW,,,,,,$53.67,$0.00,1,1,1,1,1,1,20101001,V2730,HCPCS,Special base curve,,,28 ,,NW,,,,,,$46.07,$0.00,1,1,1,1,1,1,20101001,V2744,HCPCS,Tint photochromatic lens/es,,,28 ,,NW,,,,,,$32.83,$0.00,1,1,1,1,1,1,20101001,V2745,HCPCS,"Tint, any color/solid/grad",,,28 ,,NW,,,,,,$12.66,$0.00,1,1,1,1,1,1,20101001,V2750,HCPCS,Anti-reflective coating,,,28 ,,NW,,,,,,$44.87,$0.00,1,1,1,1,1,1,20101001,V2755,HCPCS,Uv lens/es,,,28 ,,NW,,,,,,$31.77,$0.00,1,1,1,1,1,1,20101001,V2756,HCPCS,Eye glass case,,,28 ,,NW,,,,,,$3.44,$0.00,1,1,1,1,1,1,20101001,V2760,HCPCS,Scratch resistant coating,,,28 ,,NW,,,,,,$31.79,$0.00,1,1,1,1,1,1,20101001,V2761,HCPCS,Mirror coating,,,28 ,,NW,,,,,,$32.08,$0.00,1,1,1,1,1,1,20101001,V2762,HCPCS,"Polarization, any lens",,,28 ,,NW,,,,,,$77.66,$0.00,1,1,1,1,1,1,20101001,V2770,HCPCS,Occluder lens/es,,,28 ,,NW,,,,,,$44.42,$0.00,1,1,1,1,1,1,20101001,V2780,HCPCS,Oversize lens/es,,,28 ,,NW,,,,,,$19.94,$0.00,1,1,1,1,1,1,20101001,V2781,HCPCS,Progressive lens per lens,,,28 ,,NW,,,,,,$113.01,$0.00,1,1,1,1,1,1,20101001,V2782,HCPCS,"Lens, 1.54-1.65 p/1.60-1.79g",,,28 ,,NW,,,,,,$81.88,$0.00,1,1,1,1,1,1,20101001,V2783,HCPCS,"Lens, >= 1.66 p/>=1.80 g",,,28 ,,NW,,,,,,$89.15,$0.00,1,1,1,1,1,1,20101001,V2784,HCPCS,Lens polycarb or equal,,,28 ,,NW,,,,,,$66.69,$0.00,1,1,1,1,1,1,20101001,V2785,HCPCS,Corneal tissue processing,,,28 ,,NW,,,,,,"$3,849.24",$0.00,1,1,1,1,1,1,20101001,V2786,HCPCS,Occupational multifocal lens,,,28 ,,NW,,,,,,$101.39,$0.00,1,1,1,1,1,1,20101001,V2787,HCPCS,Astigmatism-Correct Function,,,28 ,,NW,,,,,,$331.34,$0.00,1,1,1,1,1,1,20101001,V2788,HCPCS,Presbyopia-Correct Function,,,28 ,,NW,,,,,,"$1,580.60",$0.00,1,1,1,1,1,1,20101001,V2790,HCPCS,Amniotic membrane,,,28 ,,NW,,,,,,$933.76,$0.00,1,1,1,0,1,1,20101001,V2797,HCPCS,Vis item/svc in other code,,,28 ,,NW,,,,,,$419.63,$0.00,1,1,1,1,1,1,20101001,V2799,HCPCS,Miscellaneous vision service,,,28 ,,NW,,,,,,$113.01,$0.00,1,1,1,0,1,1,20101001,V5008,HCPCS,Hearing screening,,,8 ,,TotalUnits,,,,1.07 ,,$0.00,$0.00,1,1,1,0,0,1,20101001,V5010,HCPCS,Assessment for hearing aid,,,8 ,,TotalUnits,,,,1.41 ,,$0.00,$0.00,1,1,1,0,0,1,20101001,V5011,HCPCS,Hearing aid fitting/checking,,,28 ,,NW,,,,,,$91.75,$0.00,1,1,1,1,1,1,20101001,V5014,HCPCS,Hearing aid repair/modifying,,,28 ,,NW,,,,,,$110.76,$0.00,1,1,1,1,1,1,20101001,V5020,HCPCS,Conformity evaluation,,,28 ,,NW,,,,,,$51.54,$0.00,1,1,1,1,1,1,20101001,V5030,HCPCS,Body-worn hearing aid air,,,28 ,,NW,,,,,,"$2,254.45",$0.00,1,1,1,1,1,1,20101001,V5040,HCPCS,Body-worn hearing aid bone,,,28 ,,NW,,,,,,"$1,613.79",$0.00,1,1,1,1,1,1,20101001,V5050,HCPCS,Hearing aid monaural in ear,,,28 ,,NW,,,,,,"$1,931.13",$0.00,1,1,1,1,1,1,20101001,V5060,HCPCS,Behind ear hearing aid,,,28 ,,NW,,,,,,"$1,545.53",$0.00,1,1,1,1,1,1,20101001,V5070,HCPCS,Glasses air conduction,,,28 ,,NW,,,,,,$673.75,$0.00,1,1,1,1,1,1,20101001,V5080,HCPCS,Glasses bone conduction,,,28 ,,NW,,,,,,"$2,323.91",$0.00,1,1,1,1,1,1,20101001,V5090,HCPCS,Hearing aid dispensing fee,,,28 ,,NW,,,,,,$558.79,$0.00,1,1,1,1,1,1,20101001,V5100,HCPCS,Body-worn bilat hearing aid,,,28 ,,NW,,,,,,"$3,978.86",$0.00,1,1,1,1,1,1,20101001,V5110,HCPCS,Hearing aid dispensing fee,,,28 ,,NW,,,,,,$574.36,$0.00,1,1,1,1,1,1,20101001,V5120,HCPCS,Body-worn binaur hearing aid,,,28 ,,NW,,,,,,"$3,425.61",$0.00,1,1,1,1,1,1,20101001,V5130,HCPCS,In ear binaural hearing aid,,,28 ,,NW,,,,,,"$3,644.52",$0.00,1,1,1,1,1,1,20101001,V5140,HCPCS,Behind ear binaur hearing ai,,,28 ,,NW,,,,,,"$3,833.96",$0.00,1,1,1,1,1,1,20101001,V5150,HCPCS,Glasses binaural hearing aid,,,28 ,,NW,,,,,,"$4,121.36",$0.00,1,1,1,1,1,1,20101001,V5160,HCPCS,Dispensing fee binaural,,,28 ,,NW,,,,,,$769.55,$0.00,1,1,1,1,1,1,20101001,V5170,HCPCS,Within ear cros hearing aid,,,28 ,,NW,,,,,,"$2,740.64",$0.00,1,1,1,1,1,1,20101001,V5180,HCPCS,Behind ear cros hearing aid,,,28 ,,NW,,,,,,"$2,254.45",$0.00,1,1,1,1,1,1,20101001,V5190,HCPCS,Glasses cros hearing aid,,,28 ,,NW,,,,,,"$2,705.91",$0.00,1,1,1,1,1,1,20101001,V5200,HCPCS,Cros hearing aid dispens fee,,,28 ,,NW,,,,,,$565.97,$0.00,1,1,1,1,1,1,20101001,V5210,HCPCS,In ear bicros hearing aid,,,28 ,,NW,,,,,,"$3,013.67",$0.00,1,1,1,1,1,1,20101001,V5220,HCPCS,Behind ear bicros hearing ai,,,28 ,,NW,,,,,,"$2,879.55",$0.00,1,1,1,1,1,1,20101001,V5230,HCPCS,Glasses bicros hearing aid,,,28 ,,NW,,,,,,"$2,990.92",$0.00,1,1,1,1,1,1,20101001,V5240,HCPCS,Dispensing fee bicros,,,28 ,,NW,,,,,,$600.70,$0.00,1,1,1,1,1,1,20101001,V5241,HCPCS,"Dispensing fee, monaural",,,28 ,,NW,,,,,,$147.82,$0.00,1,1,1,1,1,1,20101001,V5242,HCPCS,"Hearing aid, monaural, cic",,,28 ,,NW,,,,,,"$1,675.25",$0.00,1,1,1,1,1,1,20101001,V5243,HCPCS,"Hearing aid, monaural, itc",,,28 ,,NW,,,,,,"$1,764.53",$0.00,1,1,1,1,1,1,20101001,V5244,HCPCS,"Hearing aid, prog, mon, cic",,,28 ,,NW,,,,,,"$2,320.64",$0.00,1,1,1,1,1,1,20101001,V5245,HCPCS,"Hearing aid, prog, mon, itc",,,28 ,,NW,,,,,,"$2,124.37",$0.00,1,1,1,1,1,1,20101001,V5246,HCPCS,"Hearing aid, prog, mon, ite",,,28 ,,NW,,,,,,"$1,959.80",$0.00,1,1,1,1,1,1,20101001,V5247,HCPCS,"Hearing aid, prog, mon, bte",,,28 ,,NW,,,,,,"$2,715.86",$0.00,1,1,1,1,1,1,20101001,V5248,HCPCS,"Hearing aid, binaural, cic",,,28 ,,NW,,,,,,"$2,156.86",$0.00,1,1,1,1,1,1,20101001,V5249,HCPCS,"Hearing aid, binaural, itc",,,28 ,,NW,,,,,,"$1,729.34",$0.00,1,1,1,1,1,1,20101001,V5250,HCPCS,"Hearing aid, prog, bin, cic",,,28 ,,NW,,,,,,"$5,605.18",$0.00,1,1,1,1,1,1,20101001,V5251,HCPCS,"Hearing aid, prog, bin, itc",,,28 ,,NW,,,,,,"$5,012.94",$0.00,1,1,1,1,1,1,20101001,V5252,HCPCS,"Hearing aid, prog, bin, ite",,,28 ,,NW,,,,,,"$7,161.52",$0.00,1,1,1,1,1,1,20101001,V5253,HCPCS,"Hearing aid, prog, bin, bte",,,28 ,,NW,,,,,,"$4,157.63",$0.00,1,1,1,1,1,1,20101001,V5254,HCPCS,"Hearing id, digit, mon, cic",,,28 ,,NW,,,,,,"$3,795.67",$0.00,1,1,1,1,1,1,20101001,V5255,HCPCS,"Hearing aid, digit, mon, itc",,,28 ,,NW,,,,,,"$2,611.05",$0.00,1,1,1,1,1,1,20101001,V5256,HCPCS,"Hearing aid, digit, mon, ite",,,28 ,,NW,,,,,,"$2,403.89",$0.00,1,1,1,1,1,1,20101001,V5257,HCPCS,"Hearing aid, digit, mon, bte",,,28 ,,NW,,,,,,"$3,113.45",$0.00,1,1,1,1,1,1,20101001,V5258,HCPCS,"Hearing aid, digit, bin, cic",,,28 ,,NW,,,,,,"$5,189.43",$0.00,1,1,1,1,1,1,20101001,V5259,HCPCS,"Hearing aid, digit, bin, itc",,,28 ,,NW,,,,,,"$3,895.70",$0.00,1,1,1,1,1,1,20101001,V5260,HCPCS,"Hearing aid, digit, bin, ite",,,28 ,,NW,,,,,,"$3,665.11",$0.00,1,1,1,1,1,1,20101001,V5261,HCPCS,"Hearing aid, digit, bin, bte",,,28 ,,NW,,,,,,"$4,630.03",$0.00,1,1,1,1,1,1,20101001,V5262,HCPCS,"Hearing aid, disp, monaural",,,28 ,,NW,,,,,,$164.74,$0.00,1,1,1,1,1,1,20101001,V5263,HCPCS,"Hearing aid, disp, binaural",,,28 ,,NW,,,,,,$82.37,$0.00,1,1,1,1,1,1,20101001,V5264,HCPCS,Ear mold/insert,,,28 ,,NW,,,,,,$94.91,$0.00,1,1,1,1,1,1,20101001,V5265,HCPCS,"Ear mold/insert, disp",,,28 ,,NW,,,,,,$74.98,$0.00,1,1,1,1,1,1,20101001,V5266,HCPCS,Battery for hearing device,,,28 ,,NW,,,,,,$1.88,$0.00,1,1,1,1,1,1,20101001,V5267,HCPCS,Hearing aid supply/accessory,,,28 ,,NW,,,,,,$16.70,$0.00,1,1,1,1,1,1,20101001,V5268,HCPCS,Ald telephone amplifier,,,28 ,,NW,,,,,,$138.39,$0.00,1,1,1,1,1,1,20101001,V5269,HCPCS,"Alerting device, any type",,,28 ,,NW,,,,,,$148.67,$0.00,1,1,1,1,1,1,20101001,V5270,HCPCS,"Ald, tv amplifier, any type",,,28 ,,NW,,,,,,$219.99,$0.00,1,1,1,1,1,1,20101001,V5271,HCPCS,"Ald, tv caption decoder",,,28 ,,NW,,,,,,$191.51,$0.00,1,1,1,1,1,1,20101001,V5272,HCPCS,Tdd,,,28 ,,NW,,,,,,$310.98,$0.00,1,1,1,1,1,1,20101001,V5273,HCPCS,Ald for cochlear implant,,,28 ,,NW,,,,,,$773.83,$0.00,1,1,1,1,1,1,20101001,V5274,HCPCS,Ald unspecified,,,28 ,,NW,,,,,,$155.25,$0.00,1,1,1,1,1,1,20101001,V5275,HCPCS,Ear impression,,,28 ,,NW,,,,,,$67.15,$0.00,1,1,1,1,1,1,20101001,V5298,HCPCS,Hearing aid noc,,,28 ,,NW,,,,,,"$3,107.95",$0.00,1,1,1,1,1,1,20101001,V5299,HCPCS,Hearing service,,,28 ,,NW,,,,,,$63.71,$0.00,1,1,1,0,0,1,20101001,V5362,HCPCS,Speech screening,,,8 ,,RBRVS,0.86 ,0.28 ,3.50 ,,,$0.00,$0.00,1,1,1,0,0,1,20101001,V5363,HCPCS,Language screening,,,8 ,,RBRVS,0.86 ,0.28 ,3.50 ,,,$0.00,$0.00,1,1,1,0,0,1,20101001,V5364,HCPCS,Dysphagia screening,,,8 ,,RBRVS,,1.70 ,1.70 ,,,$0.00,$0.00,1,1,1,0,0,1,20101001,