Version 3.7 Update - Outpatient Facility,,,,,,,,,,,,,,,,,,,,,,,,,,Item Code,Code Type,Description,Modifier,Service Category Code,Multiple Surgery Indicator,Primary/Pass-Through Indicator,Unit Charge,Base Charge,Unit Type,Inpatient Indicator,Skilled Nursing Facility Indicator,Start Date,End Date10021,CPT,FINE NEEDLE ASPIRATION W/O IMAGING GUIDANCE,,30,,,$555.94,$0.00,1,0,1,20110101,10022,CPT,FINE NEEDLE ASPIRATION WITH IMAGING GUIDANCE,,30,,,"$1,692.00",$0.00,1,0,1,20110101,10040,CPT,ACNE SURGERY,,30,,,$243.08,$0.00,1,0,1,20110101,10060,CPT,INCISION & DRAINAGE ABSCESS SIMPLE/SINGLE,,30,,,$535.53,$0.00,1,0,1,20110101,10061,CPT,INCISION&DRAINAGE ABSCESS COMPLICATED/MULTIPLE,,30,,,$535.53,$0.00,1,0,1,20110101,10080,CPT,INCISION & DRAINAGE PILONIDAL CYST SIMPLE,,30,,,$535.53,$0.00,1,0,1,20110101,10081,CPT,INCISION & DRAINAGE PILONIDAL CYST COMPLICATED,,30,,,"$4,643.49",$0.00,1,0,1,20110101,10120,CPT,INCISION&REMOVAL FOREIGN BODY SUBQ TISS SMPL,,30,,,"$1,039.20",$0.00,1,0,1,20110101,10121,CPT,INCISION&REMOVAL FOREIGN BODY SUBQ TISS COMP,,30,,,"$6,437.25",$0.00,1,0,1,20110101,10140,CPT,I&D HEMATOMA SEROMA/FLUID COLLECTION,,30,,,"$4,643.49",$0.00,1,0,1,20110101,10160,CPT,PUNCTURE ASPIRATION ABSCESS HEMATOMA BULLA/CYST,,30,,,$535.53,$0.00,1,0,1,20110101,10180,CPT,INCISION&DRAINAGE COMPLEX PO WOUND INFECTION,,30,,,"$7,139.49",$0.00,1,0,1,20110101,11000,CPT,DBRDMT X10SV ECZMT/INFCT SKN UP 10% BDY SURF,,30,,,$984.14,$0.00,1,0,1,20110101,11001,CPT,DBRDMT X10SV ECZMT/INFCT SKN EA 10% BDY SURF,,30,,,$243.08,$0.00,1,0,1,20110101,11005,CPT,DBRDMT SKN SUBQ T/M/F NECRO INFCTJ ABDL WALL,,30,,,"$4,016.35",$0.00,1,0,1,20110101,11008,CPT,REMOVAL PROSTHETIC MATRL ABDL WALL FOR INFECTION,,30,,,"$4,453.57",$0.00,1,0,1,20110101,11010,CPT,DBRDMT W/RMVL FM FX&/DISLC SKN&SUBQ TISS,,30,,,"$1,604.95",$0.00,1,0,1,20110101,11011,CPT,DBRDMT W/RMVL FM FX&/DISLC SKN SUBQ T/M/F MUSC,,30,,,"$1,604.95",$0.00,1,0,1,20110101,11012,CPT,DBRDMT W/RMVL FM FX&/DISLC SKN SUBQ T/M/F MUSC,,30,,,"$1,604.95",$0.00,1,0,1,20110101,11042,CPT,REMOVAL DAMAGED SKIN AND UNDERLYING TISSUE,,30,,,"$1,039.20",$0.00,1,0,1,20110101,11043,CPT,DEBRIDEMENT SUBCUTANEOUS TISSUE&MUSCLE,,30,,,"$1,039.20",$0.00,1,0,1,20110101,11044,CPT,DEBRIDEMENT SUBCUTANEOUS TISSUE&MUSCLE&BONE,,30,,,"$3,017.75",$0.00,1,0,1,20110101,11045,CPT,DEB SUBQ TISSUE ADD-ON,,30,,,"$1,039.20",$0.00,1,0,1,20110101,11046,CPT,DEB MUSC/FASCIA ADD-ON,,30,,,"$1,039.20",$0.00,1,0,1,20110101,11047,CPT,DEB BONE ADD-ON,,30,,,"$3,017.75",$0.00,1,0,1,20110101,11055,CPT,PARING/CUTTING BENIGN HYPERKERATOTIC LESION 1,,30,,,$243.08,$0.00,1,0,1,20110101,11056,CPT,PARING/CUTTING BENIGN HYPERKERATOTIC LESION 2-4<,,30,,,$243.08,$0.00,1,0,1,20110101,11057,CPT,PARING/CUTTING BENIGN HYPERKERATOTIC LESION >4,,30,,,$243.08,$0.00,1,0,1,20110101,11100,CPT,BX SKIN SUBCUTANEOUS&/MUCOUS MEMBRANE 1 LESION,,30,,,$260.09,$0.00,1,0,1,20110101,11101,CPT,BIOPSY SKN SUBQ&/MUC MEMB EA SPX ADDL LESION,,30,,,$243.08,$0.00,1,0,1,20110101,11200,CPT,REMOVAL SK TGS MLT FIBRQ TAGS ANY AREA UP&W/15<,,30,,,$243.08,$0.00,1,0,1,20110101,11201,CPT,REMOVAL SK TGS MLT FIBRQ TAGS ANY AREA EA 10<,,30,,,$243.08,$0.00,1,0,1,20110101,11300,CPT,SHAVING SKIN LES 1 TRUNK/ARM/LEG DIAM 0.5CM/<,,30,,,$243.08,$0.00,1,0,1,20110101,11301,CPT,SHVG SKIN LES 1 TRUNK/ARM/LEG DIAM 0.6-1.0 CM,,30,,,$243.08,$0.00,1,0,1,20110101,11302,CPT,SHVG SKN LESION 1 TRUNK/ARM/LEG DIAM 1.1-2.0 CM,,30,,,$243.08,$0.00,1,0,1,20110101,11303,CPT,SHVG SKIN LESION 1 TRUNK/ARM/LEG DIAM >2.0 CM,,30,,,$260.09,$0.00,1,0,1,20110101,11305,CPT,SHAVING SKIN LESION 1 S/N/H/F/G DIAM 0.5 CM/<,,30,,,$243.08,$0.00,1,0,1,20110101,11306,CPT,SHAVING SKIN LESION 1 S/N/H/F/G DIAM 0.6-1.0 CM,,30,,,$243.08,$0.00,1,0,1,20110101,11307,CPT,SHAVING SKIN LESION 1 S/N/H/F/G DIAM 1.1-2.0 CM,,30,,,$243.08,$0.00,1,0,1,20110101,11308,CPT,SHAVING SKIN LESION 1 S/N/H/F/G DIAM >2.0 CM,,30,,,$243.08,$0.00,1,0,1,20110101,11310,CPT,SHAVING SKIN LESION 1 F/E/E/N/L/M DIAM 0.5 CM/<,,30,,,$243.08,$0.00,1,0,1,20110101,11311,CPT,SHVG SKIN LESION 1 F/E/E/N/L/M DIAM 0.6-1.0 CM,,30,,,$243.08,$0.00,1,0,1,20110101,11312,CPT,SHVG SKIN LESION 1 F/E/E/N/L/M DIAM 1.1-2.0 CM,,30,,,$243.08,$0.00,1,0,1,20110101,11313,CPT,SHAVING SKIN LESION 1 F/E/E/N/L/M DIAM >2.0 CM,,30,,,$243.08,$0.00,1,0,1,20110101,11400,CPT,EXC B9 LES MRGN XCP SK TG T/A/L 0.5 CM/<,,30,,,"$1,604.95",$0.00,1,0,1,20110101,11401,CPT,EXC B9 LES MRGN XCP SK TG T/A/L 0.6-1.0 CM,,30,,,"$1,604.95",$0.00,1,0,1,20110101,11402,CPT,EXC B9 LES MRGN XCP SK TG T/A/L 1.1-2.0 CM,,30,,,"$1,604.95",$0.00,1,0,1,20110101,11403,CPT,EXC B9 LES MRGN XCP SK TG T/A/L 2.1-3.0 CM,,30,,,"$3,017.75",$0.00,1,0,1,20110101,11404,CPT,EXC B9 LES MRGN XCP SK TG T/A/L 3.1-4.0 CM,,30,,,"$6,437.25",$0.00,1,0,1,20110101,11406,CPT,EXC B9 LES MRGN XCP SK TG T/A/L > 4.0 CM,,30,,,"$6,437.25",$0.00,1,0,1,20110101,11420,CPT,EXC B9 LES MRGN XCP SK TG S/N/H/F/G 0.5 CM/<,,30,,,"$3,017.75",$0.00,1,0,1,20110101,11421,CPT,EXC B9 LES MRGN XCP SK TG S/N/H/F/G 0.6-1.0CM,,30,,,"$3,017.75",$0.00,1,0,1,20110101,11422,CPT,EXC B9 LES MRGN XCP SK TG S/N/H/F/G 1.1-2.0CM,,30,,,"$3,017.75",$0.00,1,0,1,20110101,11423,CPT,EXC B9 LES MRGN XCP SK TG S/N/H/F/G 2.1-3.0CM,,30,,,"$6,437.25",$0.00,1,0,1,20110101,11424,CPT,EXC B9 LES MRGN XCP SK TG S/N/H/F/G 3.1-4.0CM,,30,,,"$6,437.25",$0.00,1,0,1,20110101,11426,CPT,EXC B9 LES MRGN XCP SK TG S/N/H/F/G > 4.0CM,,30,,,"$8,604.32",$0.00,1,0,1,20110101,11440,CPT,EXC B9 LES MRGN XCP SK TG F/E/E/N/L/M 0.5CM/<,,30,,,"$1,604.95",$0.00,1,0,1,20110101,11441,CPT,EXC B9 LES MRGN XCP SK TG F/E/E/N/L/M 0.6-1.0CM,,30,,,"$1,604.95",$0.00,1,0,1,20110101,11442,CPT,EXC B9 LES MRGN XCP SK TG F/E/E/N/L/M 1.1-2.0CM,,30,,,"$3,017.75",$0.00,1,0,1,20110101,11443,CPT,EXC B9 LES MRGN XCP SK TG F/E/E/N/L/M 2.1-3.0CM,,30,,,"$3,017.75",$0.00,1,0,1,20110101,11444,CPT,EXC B9 LES MRGN XCP SK TG F/E/E/N/L/M 3.1-4.0CM,,30,,,"$3,017.75",$0.00,1,0,1,20110101,11446,CPT,EXC B9 LES MRGN XCP SK TG F/E/E/N/L/M > 4.0CM,,30,,,"$8,604.32",$0.00,1,0,1,20110101,11450,CPT,EXCISION HIDRADENITIS AXILLARY SMPL/INTRM RPR,,30,,,"$8,604.32",$0.00,1,0,1,20110101,11451,CPT,EXCISION HIDRADENITIS AXILLARY COMPLEX REPAIR,,30,,,"$8,604.32",$0.00,1,0,1,20110101,11462,CPT,EXCISION HIDRADENITIS INGUINAL SMPL/INTRM RPR,,30,,,"$8,604.32",$0.00,1,0,1,20110101,11463,CPT,EXCISION HIDRADENITIS INGUINAL COMPLEX REPAIR,,30,,,"$8,604.32",$0.00,1,0,1,20110101,11470,CPT,EXCISION H/P/P/U SIMPLE/INTERMEDIATE REPAIR,,30,,,"$8,604.32",$0.00,1,0,1,20110101,11471,CPT,EXCISION H/P/P/U COMPLEX REPAIR,,30,,,"$8,604.32",$0.00,1,0,1,20110101,11600,CPT,EXCISION MAL LESION TRUNK/ARM/LEG 0.5 CM/<,,30,,,"$3,017.75",$0.00,1,0,1,20110101,11601,CPT,EXCISION MAL LESION TRUNK/ARM/LEG 0.6-1.0 CM,,30,,,"$1,604.95",$0.00,1,0,1,20110101,11602,CPT,EXCISION MAL LESION TRUNK/ARM/LEG 1.1-2.0 CM,,30,,,"$1,604.95",$0.00,1,0,1,20110101,11603,CPT,EXCISION MAL LESION TRUNK/ARM/LEG 2.1-3.0 CM,,30,,,"$3,017.75",$0.00,1,0,1,20110101,11604,CPT,EXCISION MAL LESION TRUNK/ARM/LEG 3.1-4.0 CM,,30,,,"$3,017.75",$0.00,1,0,1,20110101,11606,CPT,EXCISION MALIGNANT LESION TRUNK/ARM/LEG >4.0 CM,,30,,,"$6,437.25",$0.00,1,0,1,20110101,11620,CPT,EXCISION MALIGNANT LESION S/N/H/F/G 0.5 CM/<,,30,,,"$3,017.75",$0.00,1,0,1,20110101,11621,CPT,EXCISION MALIGNANT LESION S/N/H/F/G 0.6-1.0 CM,,30,,,"$1,604.95",$0.00,1,0,1,20110101,11622,CPT,EXCISION MALIGNANT LESION S/N/H/F/G 1.1-2.0 CM,,30,,,"$3,017.75",$0.00,1,0,1,20110101,11623,CPT,EXCISION MALIGNANT LESION S/N/H/F/G 2.1-3.0 CM,,30,,,"$6,437.25",$0.00,1,0,1,20110101,11624,CPT,EXCISION MALIGNANT LESION S/N/H/F/G 3.1-4.0 CM,,30,,,"$6,437.25",$0.00,1,0,1,20110101,11626,CPT,EXCISION MALIGNANT LESION S/N/H/F/G > 4.0 CM,,30,,,"$8,604.32",$0.00,1,0,1,20110101,11640,CPT,EXCISION MALIGNANT LESION F/E/E/N/L/M 0.5 CM/<,,30,,,"$1,815.94",$0.00,1,0,1,20110101,11641,CPT,EXCISION MALIGNANT LES F/E/E/N/L/M 0.6-1.0 CM,,30,,,"$1,815.94",$0.00,1,0,1,20110101,11642,CPT,EXCISION MALIGNANT LES F/E/E/N/L/M 1.1-2.0 CM,,30,,,"$1,815.94",$0.00,1,0,1,20110101,11643,CPT,EXCISION MALIGNANT LES F/E/E/N/L/M 2.1-3.0 CM,,30,,,"$3,017.75",$0.00,1,0,1,20110101,11644,CPT,EXCISION MALIGNANT LES F/E/E/N/L/M 3.1-4.0 CM,,30,,,"$6,437.25",$0.00,1,0,1,20110101,11646,CPT,EXCISION MALIGNANT LESION F/E/E/N/L/M > 4.0 CM,,30,,,"$8,604.32",$0.00,1,0,1,20110101,11719,CPT,TRIMMING NONDYSTROPHIC NAILS ANY NUMBER,,30,,,$86.10,$0.00,1,0,1,20110101,11720,CPT,DEBRIDEMENT NAIL ANY METHOD 1-5,,30,,,$243.08,$0.00,1,0,1,20110101,11721,CPT,DEBRIDEMENT NAIL ANY METHOD 6/>,,30,,,$243.08,$0.00,1,0,1,20110101,11730,CPT,AVULSION NAIL PLATE PARTIAL/COMPLETE SIMPLE 1,,30,,,$243.08,$0.00,1,0,1,20110101,11732,CPT,AVULSION NAIL PLATE PARTIAL/COMPLETE SMPL EA,,30,,,$243.08,$0.00,1,0,1,20110101,11740,CPT,EVACUATION SUBUNGUAL HEMATOMA,,30,,,$86.10,$0.00,1,0,1,20110101,11750,CPT,EXCISION NAIL MATRIX PERMANENT REMOVAL,,30,,,"$1,604.95",$0.00,1,0,1,20110101,11752,CPT,EXC NAIL MATRIX PRM RMVL W/AMP TUFT DSTL PHALANX,,30,,,"$8,604.32",$0.00,1,0,1,20110101,11755,CPT,BIOPSY NAIL UNIT SPX,,30,,,"$1,604.95",$0.00,1,0,1,20110101,11760,CPT,REPAIR NAIL BED,,30,,,$567.11,$0.00,1,0,1,20110101,11762,CPT,RECONSTRUCTION NAIL BED W/GRAFT,,30,,,"$5,906.26",$0.00,1,0,1,20110101,11765,CPT,WEDGE EXCISION SKIN NAIL FOLD,,30,,,$243.08,$0.00,1,0,1,20110101,11770,CPT,EXCISION PILONIDAL CYST/SINUS SIMPLE,,30,,,"$8,604.32",$0.00,1,0,1,20110101,11771,CPT,EXCISION PILONIDAL CYST/SINUS EXTENSIVE,,30,,,"$8,604.32",$0.00,1,0,1,20110101,11772,CPT,EXCISION PILONIDAL CYST/SINUS COMPLICATED,,30,,,"$8,604.32",$0.00,1,0,1,20110101,11900,CPT,INJECTION INTRALESIONAL UP TO & INCL 7,,30,,,$243.08,$0.00,1,0,1,20110101,11901,CPT,INJECTION INTRALESIONAL >7,,30,,,$243.08,$0.00,1,0,1,20110101,11920,CPT,TATTOOING INCL MICROPIGMENTATION 6.0 CM/<,,30,,,"$1,159.15",$0.00,1,0,1,20110101,11921,CPT,TATTOOING INCL MICROPIGMENTATION 6.1-20.0 CM,,30,,,"$1,159.15",$0.00,1,0,1,20110101,11922,CPT,TATTOOING INCL MICROPIGMENTATION EA 20.0 CM,,30,,,"$1,159.15",$0.00,1,0,1,20110101,11950,CPT,SUBCUTANEOUS INJECTION FILLING MATERIAL 1 CC/<,,30,,,$567.11,$0.00,1,0,1,20110101,11951,CPT,SUBCUTANEOUS INJECTION FILLING MATRL 1.1-5.0 CC,,30,,,$567.11,$0.00,1,0,1,20110101,11952,CPT,SUBCUTANEOUS INJECTION FILLING MATRL 5.1-10.0CC,,30,,,$567.11,$0.00,1,0,1,20110101,11954,CPT,SUBCUTANEOUS INJECTION FILLING MATRL > 10.0 CC,,30,,,$567.11,$0.00,1,0,1,20110101,11960,CPT,INSERTION TISSUE EXPANDER INCL SBSQ XPNSJ,,30,,,"$8,804.35",$0.00,1,0,1,20110101,11970,CPT,REPLACEMENT TISS EXPANDER PERMANENT PROSTHESIS,,30,,,"$15,967.98",$0.00,1,0,1,20110101,11971,CPT,REMOVAL TISS EXPANDER W/O INSERTION PROSTHESIS,,30,,,"$8,604.32",$0.00,1,0,1,20110101,11975,CPT,INSERTION IMPLANTABLE CONTRACEPTIVE CAPSULES,,30,,,$439.62,$0.00,1,0,1,20110101,11976,CPT,REMOVAL IMPLANTABLE CONTRACEPTIVE CAPSULES,,30,,,"$1,604.95",$0.00,1,0,1,20110101,11980,CPT,SUBCUTANEOUS HORMONE PELLET IMPLANTATION,,30,,,$258.46,$0.00,1,0,1,20110101,11981,CPT,INSJ NON-BIODEGRADABLE DRUG DELIVERY IMPLANT,,30,,,$258.46,$0.00,1,0,1,20110101,11982,CPT,REMOVAL NON-BIODEGRADABLE DRUG DELIVERY IMPLANT,,30,,,$258.46,$0.00,1,0,1,20110101,11983,CPT,RMVL W/RINSJ NON-BIODEGRADABLE DRUG DLVR IMPLT,,30,,,$258.46,$0.00,1,0,1,20110101,12001,CPT,SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.5CM/<,,30,,,$567.11,$0.00,1,0,1,20110101,12002,CPT,SMPL REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.6-7.5CM,,30,,,$567.11,$0.00,1,0,1,20110101,12004,CPT,SIMPLE RPR SCALP/NECK/AX/GENIT/TRUNK 7.6-12.5CM,,30,,,$567.11,$0.00,1,0,1,20110101,12005,CPT,SMPL RPR SCALP/NECK/AX/GENIT/TRUNK 12.6-20.0CM,,30,,,$567.11,$0.00,1,0,1,20110101,12006,CPT,SMPL RPR SCALP/NECK/AX/GENIT/TRUNK 20.1-30.0CM,,30,,,$567.11,$0.00,1,0,1,20110101,12007,CPT,SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK >30.0CM,,30,,,$567.11,$0.00,1,0,1,20110101,12011,CPT,SIMPLE REPAIR F/E/E/N/L/M 2.5CM/<,,30,,,$567.11,$0.00,1,0,1,20110101,12013,CPT,SIMPLE REPAIR F/E/E/N/L/M 2.6CM-5.0CM,,30,,,$567.11,$0.00,1,0,1,20110101,12014,CPT,SIMPLE REPAIR F/E/E/N/L/M 5.1CM-7.5CM,,30,,,$567.11,$0.00,1,0,1,20110101,12015,CPT,SIMPLE REPAIR F/E/E/N/L/M 7.6CM-12.5CM,,30,,,$567.11,$0.00,1,0,1,20110101,12016,CPT,SIMPLE REPAIR F/E/E/N/L/M 12.6CM-20.0CM,,30,,,$567.11,$0.00,1,0,1,20110101,12017,CPT,SIMPLE REPAIR F/E/E/N/L/M 20.1CM-30.0CM,,30,,,$567.11,$0.00,1,0,1,20110101,12018,CPT,SIMPLE REPAIR F/E/E/N/L/M >30.0CM,,30,,,$567.11,$0.00,1,0,1,20110101,12020,CPT,TX SUPERFICIAL WOUND DEHISCENCE SIMPLE CLOSURE,,30,,,"$1,632.96",$0.00,1,0,1,20110101,12021,CPT,TX SUPERFICIAL WOUND DEHISCENCE W/PACKING,,30,,,"$1,159.15",$0.00,1,0,1,20110101,12031,CPT,REPAIR INTERMEDIATE S/A/T/E 2.5 CM/<,,30,,,$567.11,$0.00,1,0,1,20110101,12032,CPT,REPAIR INTERMEDIATE S/A/T/E 2.6-7.5 CM,,30,,,"$1,159.15",$0.00,1,0,1,20110101,12034,CPT,REPAIR INTERMEDIATE S/A/T/E 7.6-12.5 CM,,30,,,$567.11,$0.00,1,0,1,20110101,12035,CPT,REPAIR INTERMEDIATE S/A/T/E 12.6-20.0CM,,30,,,$567.11,$0.00,1,0,1,20110101,12036,CPT,REPAIR INTERMEDIATE S/A/T/E 20.1-30.0 CM,,30,,,"$1,159.15",$0.00,1,0,1,20110101,12037,CPT,REPAIR INTERMEDIATE S/A/T/E > 30.0 CM,,30,,,"$1,159.15",$0.00,1,0,1,20110101,12041,CPT,REPAIR INTERMEDIATE N/H/F/XTRNL GENT 2.5CM/<,,30,,,$567.11,$0.00,1,0,1,20110101,12042,CPT,REPAIR INTERMEDIATE N/H/F/XTRNL GENT 2.6-7.5 CM,,30,,,$567.11,$0.00,1,0,1,20110101,12044,CPT,REPAIR INTERMEDIATE N/H/F/XTRNL GENT 7.6-12.5CM,,30,,,$567.11,$0.00,1,0,1,20110101,12045,CPT,REPAIR INTERMEDIATE N/H/F/XTRNL GENT 12.6-20 CM,,30,,,"$1,159.15",$0.00,1,0,1,20110101,12046,CPT,RPR INTERMEDIATE N/H/F/XTRNL GENT 20.1-30.0 CM,,30,,,"$1,159.15",$0.00,1,0,1,20110101,12047,CPT,REPAIR INTERMEDIATE N/H/F/XTRNL GENT >30.0 CM,,30,,,"$1,159.15",$0.00,1,0,1,20110101,12051,CPT,REPAIR INTERMEDIATE F/E/E/N/L/M&/MUC 2.5 CM/<,,30,,,"$1,128.30",$0.00,1,0,1,20110101,12052,CPT,REPAIR INTERMEDIATE F/E/E/N/L/M&/MUC 2.6-5.0 CM,,30,,,$567.11,$0.00,1,0,1,20110101,12053,CPT,REPAIR INTERMEDIATE F/E/E/N/L/M&/MUC 5.1-7.5 CM,,30,,,$567.11,$0.00,1,0,1,20110101,12054,CPT,REPAIR INTERMEDIATE F/E/E/N/L/M&/MUC 7.6-12.5 CM,,30,,,$567.11,$0.00,1,0,1,20110101,12055,CPT,REPAIR INTERMEDIATE F/E/E/N/L/M&/MUC 12.6-20.0CM,,30,,,"$1,159.15",$0.00,1,0,1,20110101,12056,CPT,REPAIR INTERMEDIATE F/E/E/N/L/M&/MUC 20.1-30.0CM,,30,,,"$1,159.15",$0.00,1,0,1,20110101,12057,CPT,REPAIR INTERMEDIATE F/E/E/N/L/M&/MUC > 30.0 CM,,30,,,"$1,159.15",$0.00,1,0,1,20110101,13100,CPT,REPAIR COMPLEX TRUNK 1.1 CM-2.5 CM,,30,,,"$1,632.96",$0.00,1,0,1,20110101,13101,CPT,REPAIR COMPLEX TRUNK 2.6 CM-7.5 CM,,30,,,"$1,632.96",$0.00,1,0,1,20110101,13102,CPT,REPAIR COMPLEX TRUNK EA 5 CM/<,,30,,,"$1,632.96",$0.00,1,0,1,20110101,13120,CPT,REPAIR COMPLEX SCALP/ARM/LEG 1.1 CM-2.5 CM,,30,,,"$1,159.15",$0.00,1,0,1,20110101,13121,CPT,REPAIR COMPLEX SCALP/ARM/LEG 2.6 CM-7.5 CM,,30,,,"$1,159.15",$0.00,1,0,1,20110101,13122,CPT,REPAIR COMPLEX SCALP/ARM/LEG EA 5 CM/<,,30,,,$567.11,$0.00,1,0,1,20110101,13131,CPT,REPAIR COMPLEX F/C/C/M/N/AX/G/H/F 1.1 CM-2.5 CM,,30,,,"$1,159.15",$0.00,1,0,1,20110101,13132,CPT,REPAIR COMPLEX F/C/C/M/N/AX/G/H/F 2.6 CM-7.5 CM,,30,,,"$1,632.96",$0.00,1,0,1,20110101,13133,CPT,REPAIR COMPLEX F/C/C/M/N/AX/G/H/F EA 5 CM/<,,30,,,"$1,159.15",$0.00,1,0,1,20110101,13150,CPT,REPAIR COMPLEX EYELID/NOSE/EAR/LIP 1.0 CM/<,,30,,,"$1,632.96",$0.00,1,0,1,20110101,13151,CPT,REPAIR COMPLEX EYELID/NOSE/EAR/LIP 1.1-2.5 CM,,30,,,"$1,632.96",$0.00,1,0,1,20110101,13152,CPT,REPAIR COMPLEX EYELID/NOSE/EAR/LIP 2.6-7.5 CM,,30,,,"$1,632.96",$0.00,1,0,1,20110101,13153,CPT,REPAIR COMPLEX EYELID/NOSE/EAR/LIP EA 5 CM/<,,30,,,"$1,159.15",$0.00,1,0,1,20110101,13160,CPT,SEC CLSR SURG WOUND/DEHSN EXTENSIVE/COMPLICATED,,30,,,"$8,804.35",$0.00,1,0,1,20110101,14000,CPT,ADJACENT TISSUE TRANSFER/REARGMT TRUNK 10 CM/<,,30,,,"$5,906.26",$0.00,1,0,1,20110101,14001,CPT,ATT/REARRANGEMENT TRUNK 10.1-30.0CM,,30,,,"$5,906.26",$0.00,1,0,1,20110101,14020,CPT,ATT/REARRANGEMENT SCALP/ARM/LEG 10 CM/<,,30,,,"$5,906.26",$0.00,1,0,1,20110101,14021,CPT,ATT/REARRANGEMENT SCALP/ARM/LEG 10.1-30.0 CM,,30,,,"$5,906.26",$0.00,1,0,1,20110101,14040,CPT,ATT/REARRANGEMENT F/C/C/M/N/AX/G/H/F 10 CM/<,,30,,,"$5,906.26",$0.00,1,0,1,20110101,14041,CPT,ATT/REARGMT F/C/C/M/N/AX/G/H/F 10.1-30.0CM,,30,,,"$5,906.26",$0.00,1,0,1,20110101,14060,CPT,ATT/REARGMT E/N/E/L DFCT 10 CM/<,,30,,,"$5,906.26",$0.00,1,0,1,20110101,14061,CPT,ATT/REARGMT EYELID/NOSE/EAR/LIP 10.1-30.0 CM,,30,,,"$5,906.26",$0.00,1,0,1,20110101,14301,CPT,ATT/R ANY AREA DEFECT 30.1-60SQCM,,30,,,"$8,804.35",$0.00,1,0,1,20110101,14302,CPT,ATT/R ANY AREA DEFECT EA ADDL 30SQCM OR PART,,30,,,"$8,804.35",$0.00,1,0,1,20110101,14350,CPT,FILLETED FINGER/TOE FLAP W/PREPJ RECIPIENT SITE,,30,,,"$8,804.35",$0.00,1,0,1,20110101,15002,CPT,PREP SITE TRUNK/ARM/LEG 1ST 100 SQ CM/1PCT,,30,,,"$1,632.96",$0.00,1,0,1,20110101,15003,CPT,PREP SITE T/A/L ADDL 100 SQ CM/1PCT,,30,,,"$1,632.96",$0.00,1,0,1,20110101,15004,CPT,PREP SITE F/S/N/H/F/G/M/D GT 1ST 100 SQ CM/1PCT,,30,,,"$1,632.96",$0.00,1,0,1,20110101,15005,CPT,PREP SITE F/S/N/H/F/G/M/D GT ADDL 100 SQ CM/1PCT,,30,,,"$1,632.96",$0.00,1,0,1,20110101,15040,CPT,HARVEST SKIN TISSUE CLTR SKIN AGRFT 100 CM/<,,30,,,"$1,159.15",$0.00,1,0,1,20110101,15050,CPT,PINCH GRAFT 1/MLT C> SM ULCER TIP/OTH AREA 2CM,,30,,,"$1,632.96",$0.00,1,0,1,20110101,15100,CPT,SPLIT AGRFT T/A/L 1ST 100 CM/</1% BDY INFT/CHLD,,30,,,"$8,804.35",$0.00,1,0,1,20110101,15101,CPT,SPLIT AGRFT T/A/L EA 100 CM/EA 1% BDY INFT/CHLD,,30,,,"$8,804.35",$0.00,1,0,1,20110101,15110,CPT,EPIDRM AGRFT T/A/L 1ST 100 CM/</1% BDY INFT/CHLD,,30,,,"$1,632.96",$0.00,1,0,1,20110101,15111,CPT,EPIDRM AGRFT T/A/L EA 100 CM/EA 1% BDY INFT/CHLD,,30,,,"$1,632.96",$0.00,1,0,1,20110101,15115,CPT,EPIDERMAL AGRFT F/S/N/H/F/G/M/D GT 1ST 100 CM,,30,,,"$1,632.96",$0.00,1,0,1,20110101,15116,CPT,EPIDERMAL AGRFT F/S/N/H/F/G/M/D GT EA 100 CM/EA,,30,,,"$1,632.96",$0.00,1,0,1,20110101,15120,CPT,SPLIT AGRFT F/S/N/H/F/G/M/D GT 1ST 100 CM<1 %,,30,,,"$8,804.35",$0.00,1,0,1,20110101,15121,CPT,SPLIT AGRFT F/S/N/H/F/G/M/D GT EA 100 CM/EA 1 %,,30,,,"$8,804.35",$0.00,1,0,1,20110101,15130,CPT,DERMAL AUTOGRAFT TRUNK/ARM/LEG 1ST 100 CM,,30,,,"$5,906.26",$0.00,1,0,1,20110101,15131,CPT,DERMAL AUTOGRAFT TRUNK/ARM/LEG EA 100 CM/EA,,30,,,"$5,906.26",$0.00,1,0,1,20110101,15135,CPT,DERMAL AUTOGRAFT F/S/N/H/F/G/M/D GT 1ST 100,,30,,,"$5,906.26",$0.00,1,0,1,20110101,15136,CPT,DERMAL AGRFT F/S/N/H/F/G/M/D GT EA 100 CM/EA,,30,,,"$5,906.26",$0.00,1,0,1,20110101,15150,CPT,CLTR EPIDERMAL AUTOGRAFT T/A/L 1ST 25 CM/<,,30,,,"$1,632.96",$0.00,1,0,1,20110101,15151,CPT,CLTR EPIDERMAL AGRFT T/A/L ADDL 1 CM-75 CM,,30,,,"$1,632.96",$0.00,1,0,1,20110101,15152,CPT,CLTR EPIDRM AGRFT T/A/L EA 100 CM/EA 1 % BDY,,30,,,"$1,632.96",$0.00,1,0,1,20110101,15155,CPT,CLTR EPIDRM AGRFT F/S/N/H/F/G/M/D GT 1ST 25CM/<,,30,,,"$1,632.96",$0.00,1,0,1,20110101,15156,CPT,CLTR EPIDRM AGRFT F/S/N/H/F/G/M/D GT ADDL 1-75CM,,30,,,"$1,632.96",$0.00,1,0,1,20110101,15157,CPT,CLTR EPIDRM AGRFT F/S/N/H/F/G/M/D GT EA 100 EA,,30,,,"$1,632.96",$0.00,1,0,1,20110101,15170,CPT,ACLR DRM RPLCMT T/A/L 1ST 100 CM/</1 % BDY,,30,,,"$1,632.96",$0.00,1,0,1,20110101,15171,CPT,ACLR DRM RPLCMT T/A/L EA 100 CM/EA 1 % BDY,,30,,,"$1,159.15",$0.00,1,0,1,20110101,15175,CPT,ACLR DRM RPLCMT F/S/N/H/F/G/M/D GT 1ST 100 CM,,30,,,"$1,632.96",$0.00,1,0,1,20110101,15176,CPT,ACLR DRM RPLCMT F/S/N/H/F/G/M/D GT EA 100 CM/EA,,30,,,"$1,632.96",$0.00,1,0,1,20110101,15200,CPT,FTH/GFT FREE W/DIRECT CLOSURE TRUNK 20 CM/<,,30,,,"$5,906.26",$0.00,1,0,1,20110101,15201,CPT,FTH/GFT FR W/DIR CLSR TRNK EA 20 CM,,30,,,"$5,906.26",$0.00,1,0,1,20110101,15220,CPT,FTH/GFT FREE W/DIRECT CLOSURE S/A/L 20 CM/<,,30,,,"$5,906.26",$0.00,1,0,1,20110101,15221,CPT,FTH/GFT FR W/DIR CLSR S/A/L EA 20 CM,,30,,,"$1,632.96",$0.00,1,0,1,20110101,15240,CPT,FTH/GFT FR W/DIR CLSR F/C/C/M/N/AX/G/H/F 20 CM/<,,30,,,"$5,906.26",$0.00,1,0,1,20110101,15241,CPT,FTH/GFT FR W/DIR CLSR F/C/C/M/N/AX/G/H/F EA 20CM,,30,,,"$1,632.96",$0.00,1,0,1,20110101,15260,CPT,FTH/GFT FREE W/DIRECT CLOSURE N/E/E/L 20 CM/<,,30,,,"$5,906.26",$0.00,1,0,1,20110101,15261,CPT,FTH/GFT FR W/DIR CLSR N/E/E/L EA 20 CM,,30,,,"$5,906.26",$0.00,1,0,1,20110101,15300,CPT,ALGRFT TEMPORARY CLOSURE T/A/L 1ST 100 CM/</1,,30,,,"$1,632.96",$0.00,1,0,1,20110101,15301,CPT,ALGRFT TEMPORARY CLOSURE T/A/L EA 100 CM/EA,,30,,,"$1,632.96",$0.00,1,0,1,20110101,15320,CPT,ALGRFT TEMP CLOSURE F/S/N/H/F/G/M/D 1ST 100CM,,30,,,"$1,632.96",$0.00,1,0,1,20110101,15321,CPT,ALGRFT TEMP CLOSURE F/S/N/H/F/G/M/D EA 100CM,,30,,,"$1,632.96",$0.00,1,0,1,20110101,15330,CPT,ACLR DERMAL ALLOGRAFT TRUNK/ARM/LEG 1ST 100 CM,,30,,,"$1,632.96",$0.00,1,0,1,20110101,15331,CPT,ACLR DERMAL ALLOGRAFT TRUNK/ARM/LEG EA 100CM/EA,,30,,,"$1,632.96",$0.00,1,0,1,20110101,15335,CPT,ACLR DRM ALLOGRAFT F/S/N/H/F/G/M/D GT 1ST 100CM,,30,,,"$1,632.96",$0.00,1,0,1,20110101,15336,CPT,ACLR DRM ALGRFT F/S/N/H/F/G/M/D GT EA 100 CM/EA,,30,,,"$1,632.96",$0.00,1,0,1,20110101,15340,CPT,TISSUE CULTURED ALLOGENEIC SKIN 1ST 25CM/<,,30,,,"$1,159.15",$0.00,1,0,1,20110101,15341,CPT,TISS CLTR ALGC SKN EA 25 CM,,30,,,"$1,159.15",$0.00,1,0,1,20110101,15360,CPT,TISSUE CLTR ALGC DRM TRUNK/ARM/LEG 1ST 100 CM,,30,,,"$1,159.15",$0.00,1,0,1,20110101,15361,CPT,TISSUE CLTR ALGC DERMAL T/A/L EA 100CM/EA 1 PCT,,30,,,"$1,159.15",$0.00,1,0,1,20110101,15365,CPT,TISS CLTR ALGC DRM F/S/N/H/F/G/M/D 1ST 100 CM,,30,,,"$1,159.15",$0.00,1,0,1,20110101,15366,CPT,TISS CLTR ALGC DRM F/S/N/H/F/G/M/D EA 100 CM,,30,,,"$1,159.15",$0.00,1,0,1,20110101,15400,CPT,XENOGRAFT TEMP CLOSURE TRUNK/ARM/LEG 1ST 100CM,,30,,,"$1,632.96",$0.00,1,0,1,20110101,15401,CPT,XENOGRAFT TEMP CLOSURE TRUNK/ARM/LEG EA 100CM,,30,,,"$1,632.96",$0.00,1,0,1,20110101,15420,CPT,XENOGRF TEMP CLOSURE F/S/N/H/F/G/M/D 1ST 100CM,,30,,,"$1,632.96",$0.00,1,0,1,20110101,15421,CPT,XENOGRAFT TEMP CLOSURE F/S/N/H/F/G/M/D EA 100CM,,30,,,"$1,632.96",$0.00,1,0,1,20110101,15430,CPT,ACELLULAR XENOGRAFT IMPLANT 1ST 100 CM/1 PCT,,30,,,"$1,632.96",$0.00,1,0,1,20110101,15431,CPT,ACELLULAR XENOGRAFT IMPLANT EA 100 CM/1 PCT,,30,,,"$1,632.96",$0.00,1,0,1,20110101,15570,CPT,FRMJ DIRECT/TUBED PEDICLE +-TRANSFER TRUNK,,30,,,"$8,804.35",$0.00,1,0,1,20110101,15572,CPT,FRMJ DIRECT/TUBED PEDICLE +-TR SCALP ARMS/LEGS,,30,,,"$8,804.35",$0.00,1,0,1,20110101,15574,CPT,FRMJ DIR/TUBED PEDCL +-TR FT/CH/CH/M/N/AX/G/H/F,,30,,,"$8,804.35",$0.00,1,0,1,20110101,15576,CPT,FRMJ DIRECT/TUBED PEDICLE +-TR E/N/E/L/NTRORAL,,30,,,"$8,804.35",$0.00,1,0,1,20110101,15600,CPT,DELAY FLAP/SECTIONING FLAP TRUNK,,30,,,"$8,804.35",$0.00,1,0,1,20110101,15610,CPT,DELAY FLAP/SECTIONING FLAP SCALP ARMS/LEGS,,30,,,"$8,804.35",$0.00,1,0,1,20110101,15620,CPT,DELAY FLAP/SECTIONING FLAP F/C/C/N/AX/G/H/F,,30,,,"$8,804.35",$0.00,1,0,1,20110101,15630,CPT,DELAY FLAP/SCTJ FLAP EYELIDS NOSE EARS/LIPS,,30,,,"$8,804.35",$0.00,1,0,1,20110101,15650,CPT,TRANSFER ANY PEDICLE FLAP ANY LOCATION,,30,,,"$8,804.35",$0.00,1,0,1,20110101,15731,CPT,FOREHEAD FLAP W/ PRESERVATION VASCULAR PEDICLE,,30,,,"$8,804.35",$0.00,1,0,1,20110101,15732,CPT,MUSC MYOCUTANEOUS/FASCIOCUTANEOUS FLAP HEAD&NCK,,30,,,"$8,804.35",$0.00,1,0,1,20110101,15734,CPT,MUSC MYOCUTANEOUS/FASCIOCUTANEOUS FLAP TRUNK,,30,,,"$8,804.35",$0.00,1,0,1,20110101,15736,CPT,MUSC MYOCUTANEOUS/FASCIOCUTANEOUS FLAP UXTR,,30,,,"$8,804.35",$0.00,1,0,1,20110101,15738,CPT,MUSC MYOCUTANEOUS/FASCIOCUTANEOUS FLAP LXTR,,30,,,"$8,804.35",$0.00,1,0,1,20110101,15740,CPT,FLAP ISLAND PEDICLE,,30,,,"$5,906.26",$0.00,1,0,1,20110101,15750,CPT,FLAP NEUROVASCULAR PEDICLE,,30,,,"$8,804.35",$0.00,1,0,1,20110101,15760,CPT,GRAFT COMPOSITE W/PRIMARY CLOSURE DONOR AREA,,30,,,"$8,804.35",$0.00,1,0,1,20110101,15770,CPT,GRAFT DERMA-FAT-FASCIA,,30,,,"$8,804.35",$0.00,1,0,1,20110101,15775,CPT,PUNCH GRAFT HAIR TRANSPLANT 1-15 PUNCH GRAFTS,,30,,,$567.11,$0.00,1,0,1,20110101,15776,CPT,PUNCH GRAFT HAIR TRANSPLANT >15 PUNCH GRAFTS,,30,,,$567.11,$0.00,1,0,1,20110101,15780,CPT,DERMABRASION TOTAL FACE,,30,,,"$8,604.32",$0.00,1,0,1,20110101,15781,CPT,DERMABRASION SEGMENTAL FACE,,30,,,"$1,604.95",$0.00,1,0,1,20110101,15782,CPT,DERMABRASION REGIONAL OTHER THAN FACE,,30,,,"$1,604.95",$0.00,1,0,1,20110101,15783,CPT,DERMABRASION SUPERFICIAL ANY SITE,,30,,,"$1,039.20",$0.00,1,0,1,20110101,15786,CPT,ABRASION 1 LESION,,30,,,$243.08,$0.00,1,0,1,20110101,15787,CPT,ABRASION EACH ADDITIONAL 4 LESIONS OR LESS,,30,,,$243.08,$0.00,1,0,1,20110101,15788,CPT,CHEMICAL PEEL FACIAL EPIDERMAL,,30,,,$243.08,$0.00,1,0,1,20110101,15789,CPT,CHEMICAL PEEL FACIAL DERMAL,,30,,,$260.09,$0.00,1,0,1,20110101,15792,CPT,CHEMICAL PEEL NONFACIAL EPIDERMAL,,30,,,$260.09,$0.00,1,0,1,20110101,15793,CPT,CHEMICAL PEEL NONFACIAL DERMAL,,30,,,$243.08,$0.00,1,0,1,20110101,15819,CPT,CERVICOPLASTY,,30,,,"$1,159.15",$0.00,1,0,1,20110101,15820,CPT,BLEPHAROPLASTY LOWER EYELID,,30,,,"$8,804.35",$0.00,1,0,1,20110101,15821,CPT,BLEPHAROPLASTY LOWER EYELID HERNIATED FAT PAD,,30,,,"$8,804.35",$0.00,1,0,1,20110101,15822,CPT,BLEPHAROPLASTY UPPER EYELID,,30,,,"$8,804.35",$0.00,1,0,1,20110101,15823,CPT,BLEPHAROPLASTY UPPER EYELID W/EXCESSIVE SKIN,,30,,,"$8,804.35",$0.00,1,0,1,20110101,15824,CPT,RHYTIDECTOMY FOREHEAD,,30,,,"$8,804.35",$0.00,1,0,1,20110101,15825,CPT,RHYTIDECTOMY NECK W/PLATYSMAL TIGHTENING,,30,,,"$8,804.35",$0.00,1,0,1,20110101,15826,CPT,RHYTIDECTOMY GLABELLAR FROWN LINES,,30,,,"$8,804.35",$0.00,1,0,1,20110101,15828,CPT,RHYTIDECTOMY CHEEK CHIN&NECK,,30,,,"$8,804.35",$0.00,1,0,1,20110101,15829,CPT,RHYTIDECTOMY SMAS FLAP,,30,,,"$8,804.35",$0.00,1,0,1,20110101,15830,CPT,EXCISION SKIN ABD INFRAUMBILICAL PANNICULECTOMY,,30,,,"$8,604.32",$0.00,1,0,1,20110101,15832,CPT,EXCISION EXCESSIVE SKIN&SUBQ TISSUE THIGH,,30,,,"$8,604.32",$0.00,1,0,1,20110101,15833,CPT,EXCISION EXCESSIVE SKIN&SUBQ TISSUE LEG,,30,,,"$8,604.32",$0.00,1,0,1,20110101,15834,CPT,EXCISION EXCESSIVE SKIN&SUBQ TISSUE HIP,,30,,,"$8,604.32",$0.00,1,0,1,20110101,15835,CPT,EXCISION EXCESSIVE SKIN&SUBQ TISSUE BUTTOCK,,30,,,"$8,604.32",$0.00,1,0,1,20110101,15836,CPT,EXCISION EXCESSIVE SKIN&SUBQ TISSUE ARM,,30,,,"$6,437.25",$0.00,1,0,1,20110101,15837,CPT,EXC EXCESSIVE SKIN&SUBQ TISSUE FOREARM/HAND,,30,,,"$6,437.25",$0.00,1,0,1,20110101,15838,CPT,EXC EXCSV SKIN&SUBQ TISSUE SUBMENTAL FAT PAD,,30,,,"$6,437.25",$0.00,1,0,1,20110101,15839,CPT,EXCISION EXCESSIVE SKIN&SUBQ TISSUE OTHER AREA,,30,,,"$6,437.25",$0.00,1,0,1,20110101,15840,CPT,GRAFT FACIAL NERVE PARALYSIS FREE FASCIAL GRAFT,,30,,,"$8,804.35",$0.00,1,0,1,20110101,15841,CPT,GRAFT FACIAL NERVE PARALYSIS FREE MUSCLE GRAFT,,30,,,"$8,804.35",$0.00,1,0,1,20110101,15842,CPT,GRF FACIAL NRV PALYSS FR MUSCLE FLAP MICROSURG,,30,,,"$8,804.35",$0.00,1,0,1,20110101,15845,CPT,GRF FACIAL NERVE PARALYSIS REGIONAL MUSCLE TR,,30,,,"$8,804.35",$0.00,1,0,1,20110101,15847,CPT,EXCISION EXCESSIVE SKIN & SUBQ TISSUE ABDOMEN,,30,,,"$8,604.32",$0.00,1,0,1,20110101,15850,CPT,REMOVAL SUTURES UNDER ANESTHESIA SAME SURGEON,,30,,,"$1,039.20",$0.00,1,0,1,20110101,15851,CPT,REMOVAL SUTURES UNDER ANESTHESIA OTHER SURGEON,,30,,,"$1,039.20",$0.00,1,0,1,20110101,15852,CPT,DRESSING CHANGE UNDER ANESTHESIA,,30,,,$258.46,$0.00,1,0,1,20110101,15860,CPT,IV INJECTION TEST VASCULAR FLOW FLAP/GRAFT,,30,,,$258.46,$0.00,1,0,1,20110101,15876,CPT,SUCTION ASSISTED LIPECTOMY HEAD&NECK,,30,,,"$8,804.35",$0.00,1,0,1,20110101,15877,CPT,SUCTION ASSISTED LIPECTOMY TRUNK,,30,,,"$8,804.35",$0.00,1,0,1,20110101,15878,CPT,SUCTION ASSISTED LIPECTOMY UPPER EXTREMITY,,30,,,"$8,804.35",$0.00,1,0,1,20110101,15879,CPT,SUCTION ASSISTED LIPECTOMY LOWER EXTREMITY,,30,,,"$8,804.35",$0.00,1,0,1,20110101,15920,CPT,EXC COCCYGEAL PR ULC W/COCCYGECTOMY W/PRIM SUTR,,30,,,"$1,604.95",$0.00,1,0,1,20110101,15922,CPT,EXC COCCYGEAL PR ULC W/COCCYGECTOMY W/FLAP CLSR,,30,,,"$8,804.35",$0.00,1,0,1,20110101,15931,CPT,EXCISION SACRAL PRESSURE ULCER W/PRIMARY SUTURE,,30,,,"$8,604.32",$0.00,1,0,1,20110101,15933,CPT,EXC SACRAL PRESSURE ULC W/PRIM SUTR W/OSTECTOMY,,30,,,"$8,604.32",$0.00,1,0,1,20110101,15934,CPT,EXCISION SACRAL PRESSURE ULCER W/SKIN FLAP CLSR,,30,,,"$8,804.35",$0.00,1,0,1,20110101,15935,CPT,EXC SACRAL PR ULCER W/SKN FLAP CLSR W/OSTECTOMY,,30,,,"$8,804.35",$0.00,1,0,1,20110101,15936,CPT,EXC SAC PR ULC PREPJ MUSC/MYOQ FLAP/SKN GRF CLSR,,30,,,"$5,906.26",$0.00,1,0,1,20110101,15937,CPT,EXC SAC PR ULC PREPJ MUSC/MYOQ FLAP/SKN GRF OSTC,,30,,,"$8,804.35",$0.00,1,0,1,20110101,15940,CPT,EXC ISCHIAL PRESSURE ULCER W/PRIMARY SUTURE,,30,,,"$8,604.32",$0.00,1,0,1,20110101,15941,CPT,EXC ISCHIAL PR ULC W/PRIM SUTR W/OSTC ISCHIECT,,30,,,"$8,604.32",$0.00,1,0,1,20110101,15944,CPT,EXC ISCHIAL PRESSURE ULCER W/SKIN FLAP CLOSURE,,30,,,"$8,804.35",$0.00,1,0,1,20110101,15945,CPT,EXC ISCHIAL PR ULC W/SKN FLAP CLSR W/OSTECTOMY,,30,,,"$8,804.35",$0.00,1,0,1,20110101,15946,CPT,EXC ISCHIAL PR ULCER W/OSTC MUSC/MYOQ FLAP/SKIN,,30,,,"$8,804.35",$0.00,1,0,1,20110101,15950,CPT,EXC TROCHANTERIC PRESSURE ULCER W/PRIMARY SUTR,,30,,,"$8,604.32",$0.00,1,0,1,20110101,15951,CPT,EXC TRCHNTRIC PR ULCER W/PRIM SUTR W/OSTECTOMY,,30,,,"$8,604.32",$0.00,1,0,1,20110101,15952,CPT,EXC TROCHANTERIC PR ULCER W/SKIN FLAP CLOSURE,,30,,,"$5,906.26",$0.00,1,0,1,20110101,15953,CPT,EXC TRCHNTRIC PR ULC W/SKN FLAP CLSR W/OSTECTOMY,,30,,,"$5,906.26",$0.00,1,0,1,20110101,15956,CPT,EXC TROCHANTERIC PR ULCER MUSC/MYOQ FLAP/SKIN,,30,,,"$5,906.26",$0.00,1,0,1,20110101,15958,CPT,EXC TRCHNTRIC PR ULC MUSC/MYOQ FLAP/SKIN W/OSTC,,30,,,"$5,906.26",$0.00,1,0,1,20110101,15999,CPT,UNLISTED PROCEDURE EXCISION PRESSURE ULCER,,30,,,"$1,604.95",$0.00,1,0,1,20110101,16000,CPT,INITIAL TX 1ST DEGREE BURN LOCAL TX,,30,,,$243.08,$0.00,1,0,1,20110101,16020,CPT,DRS&/DBRDMT PRTL-THKNS BURNS 1ST/SBSQ SMALL,,30,,,$260.09,$0.00,1,0,1,20110101,16025,CPT,DRS&/DBRDMT PRTL-THKNS BURNS 1ST/SBSQ MEDIUM,,30,,,$260.09,$0.00,1,0,1,20110101,16030,CPT,DRS&/DBRDMT PRTL-THKNS BURNS 1ST/SBSQ LARGE,,30,,,$260.09,$0.00,1,0,1,20110101,16035,CPT,ESCHAROTOMY FIRST INCISION,,30,,,$260.09,$0.00,1,0,1,20110101,17000,CPT,DESTRUCTION PREMALIGNANT LESION 1ST,,30,,,$243.08,$0.00,1,0,1,20110101,17003,CPT,DESTRUCTION PREMALIGNANT LESION 2-14 EA,,30,,,$86.10,$0.00,1,0,1,20110101,17004,CPT,DESTRUCTION PREMALIGNANT LESION 15/>,,30,,,"$1,039.20",$0.00,1,0,1,20110101,17106,CPT,DESTRUCTION CUTANEOUS VASC PROLIFERATIVE <10CM,,30,,,"$1,039.20",$0.00,1,0,1,20110101,17107,CPT,DESTRUCTION CUTANEOUS VASCULAR PRLF 10.0-50.0CM,,30,,,"$1,039.20",$0.00,1,0,1,20110101,17108,CPT,DESTRUCTION CUTANEOUS VASCULAR PRLF >50.0CM,,30,,,"$1,039.20",$0.00,1,0,1,20110101,17110,CPT,DESTRUCTION BENIGN LESIONS UP TO 14,,30,,,$243.08,$0.00,1,0,1,20110101,17111,CPT,DESTRUCTION BENIGN LESIONS 15/>,,30,,,$260.09,$0.00,1,0,1,20110101,17250,CPT,CHEMICAL CAUTERIZATION GRANULATION TISSUE,,30,,,$260.09,$0.00,1,0,1,20110101,17260,CPT,DESTRUCTION MALIGNANT LESION T/A/L 0.5 CM/<,,30,,,$260.09,$0.00,1,0,1,20110101,17261,CPT,DESTRUCTION MAL LESION TRUNK/ARM/LEG 0.6-1.0 CM,,30,,,$260.09,$0.00,1,0,1,20110101,17262,CPT,DESTRUCTION MAL LESION TRUNK/ARM/LEG 1.1-2.0CM,,30,,,$260.09,$0.00,1,0,1,20110101,17263,CPT,DESTRUCTION MAL LESION TRUNK/ARM/LEG 2.1-3.0CM,,30,,,$260.09,$0.00,1,0,1,20110101,17264,CPT,DESTRUCTION MAL LESION TRUNK/ARM/LEG 3.1-4.0CM,,30,,,$260.09,$0.00,1,0,1,20110101,17266,CPT,DESTRUCTION MAL LESION TRUNK/ARM/LEG > 4.0 CM,,30,,,"$1,039.20",$0.00,1,0,1,20110101,17270,CPT,DESTRUCTION MALIGNANT LESION S/N/H/F/G 0.5 CM/<,,30,,,$260.09,$0.00,1,0,1,20110101,17271,CPT,DESTRUCTION MALIGNANT LESION S/N/H/F/G 0.6-1.0CM,,30,,,$260.09,$0.00,1,0,1,20110101,17272,CPT,DESTRUCTION MALIGNANT LESION S/N/H/F/G 1.1-2.0CM,,30,,,$260.09,$0.00,1,0,1,20110101,17273,CPT,DESTRUCTION MALIGNANT LESION S/N/H/F/G 2.1-3.0CM,,30,,,"$1,039.20",$0.00,1,0,1,20110101,17274,CPT,DESTRUCTION MALIGNANT LESION S/N/H/F/G 3.1-4.0CM,,30,,,"$1,039.20",$0.00,1,0,1,20110101,17276,CPT,DSTRJ MAL LES S/N/H/F/G LES DIAM > 4.0 CM,,30,,,"$1,039.20",$0.00,1,0,1,20110101,17280,CPT,DESTRUCTION MALIGNANT LESION F/E/E/N/L/M 0.5CM/<,,30,,,$260.09,$0.00,1,0,1,20110101,17281,CPT,DESTRUCTION MAL LESION F/E/E/N/L/M 0.6-1.0CM,,30,,,"$1,039.20",$0.00,1,0,1,20110101,17282,CPT,DESTRUCTION MAL LESION F/E/E/N/L/M 1.1-2.0CM,,30,,,"$1,039.20",$0.00,1,0,1,20110101,17283,CPT,DESTRUCTION MAL LESION F/E/E/N/L/M 2.1-3.0CM,,30,,,"$1,039.20",$0.00,1,0,1,20110101,17284,CPT,DESTRUCTION MAL LESION F/E/E/N/L/M 3.1-4.0CM,,30,,,"$1,039.20",$0.00,1,0,1,20110101,17286,CPT,DESTRUCTION MAL LESION F/E/E/N/L/M > 4.0 CM,,30,,,"$1,039.20",$0.00,1,0,1,20110101,17311,CPT,MOHS MICROGRAPHIC H/N/H/F/G 1ST STAGE 5 BLOCKS,,30,,,"$1,815.10",$0.00,1,0,1,20110101,17312,CPT,MOHS MICROGRAPHIC H/N/H/F/G EACH ADDL STAGE,,30,,,"$1,815.10",$0.00,1,0,1,20110101,17313,CPT,MOHS TRUNK/ARM/LEG 1ST STAGE 5 BLOCKS,,30,,,"$1,815.10",$0.00,1,0,1,20110101,17314,CPT,MOHS TRUNK/ARM/LEG EA STAGE AFTER 1ST STAGE,,30,,,"$1,815.10",$0.00,1,0,1,20110101,17315,CPT,MOHS TRUNK/ARM/LEG EA ADDL BLOCK ANY STAGE,,30,,,"$1,815.10",$0.00,1,0,1,20110101,17340,CPT,CRYOTHERAPY CO2 SLUSH LIQ N2 ACNE,,30,,,$243.08,$0.00,1,0,1,20110101,17360,CPT,CHEMICAL EXFOLIATION ACNE,,30,,,$243.08,$0.00,1,0,1,20110101,17380,CPT,ELECTROLYSIS EPILATION EA 30 MINUTES,,30,,,$243.08,$0.00,1,0,1,20110101,17999,CPT,UNLISTED PX SKIN MUC MEMBRANE &SUBQ TISSUE,,30,,,$86.10,$0.00,1,0,1,20110101,19000,CPT,PUNCTURE ASPIRATION CYST BREAST,,30,,,"$1,692.00",$0.00,1,0,1,20110101,19001,CPT,PUNCTURE ASPIRATION BREAST EA ADDL CYST,,30,,,$555.94,$0.00,1,0,1,20110101,19020,CPT,MASTOTOMY W/EXPL/DRAINAGE ABSCESS DEEP,,30,,,"$7,139.49",$0.00,1,0,1,20110101,19100,CPT,BX BREAST NEEDLE CORE W/O IMAGING GUIDANCE SPX,,30,,,"$1,692.00",$0.00,1,0,1,20110101,19101,CPT,BIOPSY BREAST OPEN INCISIONAL,,30,,,"$9,105.99",$0.00,1,0,1,20110101,19102,CPT,BIOPSY BREAST NEEDLE CORE W/IMAGING GUIDANCE,,30,,,"$2,874.89",$0.00,1,0,1,20110101,19103,CPT,BREAST BIOPSY VACUUM ASSISTED/ROTATING DEVICE,,30,,,"$5,702.51",$0.00,1,0,1,20110101,19105,CPT,ABLTJ CRYOSURGICAL W/ US GID EA FIBROADENOMA,,30,,,"$12,569.32",$0.00,1,0,1,20110101,19110,CPT,NIPPLE EXPLORATION,,30,,,"$9,105.99",$0.00,1,0,1,20110101,19112,CPT,EXCISION LACTIFEROUS DUCT FISTULA,,30,,,"$9,105.99",$0.00,1,0,1,20110101,19120,CPT,EXC CYST/ABERRANT BREAST TISSUE OPEN 1/> LES,,30,,,"$9,105.99",$0.00,1,0,1,20110101,19125,CPT,EXC BRST LES PREOP PLMT RAD MARKER OPN 1 LES,,30,,,"$9,105.99",$0.00,1,0,1,20110101,19126,CPT,EXC BRST LES PREOP PLMT RAD MARKER OPN EA ADDL,,30,,,"$9,105.99",$0.00,1,0,1,20110101,19260,CPT,EXCISION CHEST WALL TUMOR INCLUDING RIBS,,30,,,"$6,437.25",$0.00,1,0,1,20110101,19295,CPT,IMG GID PLMT MTLC LOCLZJ CLIP PRQ BRST BX/ASPIR,,30,,,$956.42,$0.00,1,0,1,20110101,19296,CPT,PLMT EXPANDABLE CATH BRST FOLLOWING PRTL MAST,,30,,,"$18,578.01",$0.00,1,0,1,20110101,19297,CPT,PLMT EXPANDABLE CATH BRST CONCURRENT PRTL MAST,,30,,,"$18,578.01",$0.00,1,0,1,20110101,19298,CPT,PLMT RADTHX BRACHYTX BRST FOLLOWING PRTL MAST,,30,,,"$18,578.01",$0.00,1,0,1,20110101,19300,CPT,MASTECTOMY GYNECOMASTIA,,30,,,"$9,105.99",$0.00,1,0,1,20110101,19301,CPT,MASTECTOMY PARTIAL,,30,,,"$9,105.99",$0.00,1,0,1,20110101,19302,CPT,MASTECTOMY PARTIAL W/AXILLARY LYMPHADENECTOMY,,30,,,"$14,790.51",$0.00,1,0,1,20110101,19303,CPT,MASTECTOMY SIMPLE COMPLETE,,30,,,"$12,569.32",$0.00,1,0,1,20110101,19304,CPT,MASTECTOMY SUBCUTANEOUS,,30,,,"$12,569.32",$0.00,1,0,1,20110101,19305,CPT,MAST RAD W/PECTORAL MUSCLES AXILLARY LYMPH NODES,,30,,,"$8,168.26",$0.00,1,0,1,20110101,19307,CPT,MAST MODF RAD W/AX LYMPH NOD W/WO PECT/ALIS MIN,,30,,,"$14,790.51",$0.00,1,0,1,20110101,19316,CPT,MASTOPEXY,,30,,,"$12,569.32",$0.00,1,0,1,20110101,19318,CPT,REDUCTION MAMMAPLASTY,,30,,,"$14,790.51",$0.00,1,0,1,20110101,19324,CPT,MAMMAPLASTY AUGMENTATION W/O PROSTHETIC IMPLANT,,30,,,"$14,790.51",$0.00,1,0,1,20110101,19325,CPT,MAMMAPLASTY AUGMENTATION W/PROSTHETIC IMPLANT,,30,,,"$18,578.01",$0.00,1,0,1,20110101,19328,CPT,REMOVAL INTACT MAMMARY IMPLANT,,30,,,"$12,569.32",$0.00,1,0,1,20110101,19330,CPT,REMOVAL MAMMARY IMPLANT MATERIAL,,30,,,"$12,569.32",$0.00,1,0,1,20110101,19340,CPT,IMMT INSJ BRST PROSTH FLWG MASTOPEXY MAST/RCNSTJ,,30,,,"$14,790.51",$0.00,1,0,1,20110101,19342,CPT,DLYD INSJ BRST PROSTH FLWG MASTOPEXY MAST/RCNSTJ,,30,,,"$18,578.01",$0.00,1,0,1,20110101,19350,CPT,NIPPLE/AREOLA RECONSTRUCTION,,30,,,"$9,105.99",$0.00,1,0,1,20110101,19355,CPT,CORRECTION INVERTED NIPPLES,,30,,,"$12,569.32",$0.00,1,0,1,20110101,19357,CPT,BRST RCNSTJ IMMT/DLYD W/TISS EXPANDER SBSQ XPNSJ,,30,,,"$18,578.01",$0.00,1,0,1,20110101,19361,CPT,BRST RCNSTJ W/LATSMS D/SI FLAP WO PRSTHC IMPL,,30,,,"$7,907.14",$0.00,1,0,1,20110101,19366,CPT,BREAST RECONSTRUCTION OTHER TECHNIQUE,,30,,,"$12,569.32",$0.00,1,0,1,20110101,19370,CPT,OPEN PERIPROSTHETIC CAPSULOTOMY BREAST,,30,,,"$12,569.32",$0.00,1,0,1,20110101,19371,CPT,PERIPROSTHETIC CAPSULECTOMY BREAST,,30,,,"$12,569.32",$0.00,1,0,1,20110101,19380,CPT,REVISION RECONSTRUCTED BREAST,,30,,,"$14,790.51",$0.00,1,0,1,20110101,19396,CPT,PREPARATION MOULAGE CUSTOM BREAST IMPLANT,,30,,,"$12,569.32",$0.00,1,0,1,20110101,19499,CPT,UNLISTED PROCEDURE BREAST,,30,,,"$9,105.99",$0.00,1,0,1,20110101,20005,CPT,INCISION SOFT TISSUE ABSCESS DEEP/COMPLICATED,,30,,,"$3,030.77",$0.00,1,0,1,20110101,20100,CPT,EXPLORATION PENETRATING WOUND SPX NECK,,30,,,"$2,803.22",$0.00,1,0,1,20110101,20101,CPT,EXPLORATION PENETRATING WOUND SPX CHEST,,30,,,"$8,804.35",$0.00,1,0,1,20110101,20102,CPT,EXPL PENETRATING WOUND SPX ABDOMEN/FLANK/BACK,,30,,,"$8,804.35",$0.00,1,0,1,20110101,20103,CPT,EXPLORATION PENETRATING WOUND SPX EXTREMITY,,30,,,"$4,643.49",$0.00,1,0,1,20110101,20150,CPT,EXCISION EPIPHYSEAL BAR,,30,,,"$15,967.98",$0.00,1,0,1,20110101,20200,CPT,BIOPSY MUSCLE SUPERFICIAL,,30,,,"$6,437.25",$0.00,1,0,1,20110101,20205,CPT,BIOPSY MUSCLE DEEP,,30,,,"$6,437.25",$0.00,1,0,1,20110101,20206,CPT,BIOPSY MUSCLE PERCUTANEOUS NEEDLE,,30,,,"$2,874.89",$0.00,1,0,1,20110101,20220,CPT,BIOPSY BONE TROCAR/NEEDLE SUPERFICIAL,,30,,,"$3,017.75",$0.00,1,0,1,20110101,20225,CPT,BIOPSY BONE TROCAR/NEEDLE DEEP,,30,,,"$6,437.25",$0.00,1,0,1,20110101,20240,CPT,BIOPSY BONE OPEN SUPERFICIAL,,30,,,"$8,604.32",$0.00,1,0,1,20110101,20245,CPT,BIOPSY BONE OPEN DEEP,,30,,,"$8,604.32",$0.00,1,0,1,20110101,20250,CPT,BIOPSY VERTEBRAL BODY OPEN THORACIC,,30,,,"$8,099.16",$0.00,1,0,1,20110101,20251,CPT,BIOPSY VERTEBRAL BODY OPEN LUMBAR/CERVICAL,,30,,,"$8,099.16",$0.00,1,0,1,20110101,20500,CPT,INJECTION SINUS TRACT THERAPEUTIC SPX,,30,,,"$2,803.22",$0.00,1,0,1,20110101,20520,CPT,REMOVAL FOREIGN BODY MUSCLE/TENDON SHEATH SIMPLE,,30,,,"$1,604.95",$0.00,1,0,1,20110101,20525,CPT,RMVL FOREIGN BODY MUSCLE/TENDON SHEATH DEEP/COMP,,30,,,"$8,604.32",$0.00,1,0,1,20110101,20526,CPT,INJECTION THERAPEUTIC CARPAL TUNNEL,,30,,,$822.73,$0.00,1,0,1,20110101,20550,CPT,INJECTION 1 TENDON SHEATH/LIGAMENT APONEUROSIS,,30,,,$822.73,$0.00,1,0,1,20110101,20551,CPT,INJECTION SINGLE TENDON ORIGIN/INSERTION,,30,,,$822.73,$0.00,1,0,1,20110101,20552,CPT,INJECTION SINGLE/MLT TRIGGER POINT 1/2 MUSCLES,,30,,,$822.73,$0.00,1,0,1,20110101,20553,CPT,INJECTION SINGLE/MLT TRIGGER POINT 3/> MUSCLES,,30,,,$822.73,$0.00,1,0,1,20110101,20555,CPT,PLACEMENT NEEDLES MUSCLE SUBSEQUENT RADIOELEMENT,,30,,,"$11,688.66",$0.00,1,0,1,20110101,20600,CPT,ARTHROCENTESIS ASPIR&/INJECTION SMALL JT/BURSA,,30,,,$822.73,$0.00,1,0,1,20110101,20605,CPT,ARTHROCENTESIS ASPIR&/INJECTION INTERM JT/BURSA,,30,,,$822.73,$0.00,1,0,1,20110101,20610,CPT,ARTHROCENTESIS ASPIR&/INJECTION MAJOR JT/BURSA,,30,,,$822.73,$0.00,1,0,1,20110101,20612,CPT,ASPIRATION&/INJECTION GANGLION CYST ANY LOCATION,,30,,,$822.73,$0.00,1,0,1,20110101,20615,CPT,ASPIRATION&INJECTION TREATMENT BONE CYST,,30,,,"$1,692.00",$0.00,1,0,1,20110101,20650,CPT,INSERTION WIRE/PIN W/APPL SKELETAL TRACTION SPX,,30,,,"$8,099.16",$0.00,1,0,1,20110101,20660,CPT,APPLICATION CRANIAL TONG/STRTCTC FRAME W/REMOVAL,,30,,,"$1,763.89",$0.00,1,0,1,20110101,20662,CPT,APPLICATION HALO PELVIC INCLUDING REMOVAL,,30,,,"$8,099.16",$0.00,1,0,1,20110101,20663,CPT,APPLICATION HALO FEMORAL INCLUDING REMOVAL,,30,,,"$8,099.16",$0.00,1,0,1,20110101,20665,CPT,REMOVAL TONG/HALO APPLIED BY ANOTHER PHYSICIAN,,30,,,$258.46,$0.00,1,0,1,20110101,20670,CPT,REMOVAL IMPLANT SUPERFICIAL SPX,,30,,,"$6,437.25",$0.00,1,0,1,20110101,20680,CPT,REMOVAL IMPLANT DEEP,,30,,,"$8,604.32",$0.00,1,0,1,20110101,20690,CPT,APPLICATION UNIPLANE EXTERNAL FIXATION SYSTEM,,30,,,"$11,688.66",$0.00,1,0,1,20110101,20692,CPT,APPLICATION MULTIPLANE EXTERNAL FIXATION SYSTEM,,30,,,"$11,688.66",$0.00,1,0,1,20110101,20693,CPT,ADJUSTMENT/REVJ XTRNL FIXATION SYSTEM REQ ANES,,30,,,"$8,099.16",$0.00,1,0,1,20110101,20694,CPT,REMOVAL EXTERNAL FIXATION SYSTEM UNDER ANES,,30,,,"$8,099.16",$0.00,1,0,1,20110101,20696,CPT,XTRNL FIXJ W/STEREOTACTIC ADJUSTMENT 1ST&SUBQ,,30,,,"$11,688.66",$0.00,1,0,1,20110101,20697,CPT,XTRNL FIXJ W/STRTCTC ADJUSTMENT EXCHANGE STRUT,,30,,,"$6,767.88",$0.00,1,0,1,20110101,20822,CPT,RPLJ DGT EXCLUDING THMB SUBLIMIS TDN COMPL AMP,,30,,,"$10,388.46",$0.00,1,0,1,20110101,20900,CPT,BONE GRAFT ANY DONOR AREA MINOR/SMALL,,30,,,"$11,688.66",$0.00,1,0,1,20110101,20902,CPT,BONE GRAFT ANY DONOR AREA MAJOR/LARGE,,30,,,"$11,688.66",$0.00,1,0,1,20110101,20910,CPT,CARTILAGE GRAFT COSTOCHONDRAL,,30,,,"$8,804.35",$0.00,1,0,1,20110101,20912,CPT,CARTILAGE GRAFT NASAL SEPTUM,,30,,,"$8,804.35",$0.00,1,0,1,20110101,20920,CPT,FASCIA LATA GRAFT BY STRIPPER,,30,,,"$5,906.26",$0.00,1,0,1,20110101,20922,CPT,FASCIA LATA GRAFT INCISION & AREA EXPOSURE,,30,,,"$5,906.26",$0.00,1,0,1,20110101,20924,CPT,TENDON GRAFT FROM A DISTANCE,,30,,,"$11,688.66",$0.00,1,0,1,20110101,20926,CPT,TISSUE GRAFTS OTHER,,30,,,"$1,632.96",$0.00,1,0,1,20110101,20930,CPT,ALLOGRAFT FOR SPINE SURGERY ONLY MORSELIZED,,30,,,"$3,495.90",$0.00,1,0,1,20110101,20931,CPT,ALLOGRAFT FOR SPINE SURGERY ONLY STRUCTURAL,,30,,,"$2,940.70",$0.00,1,0,1,20110101,20936,CPT,AUTOGRAFT SPINE SURGERY LOCAL FROM SAME INCISION,,30,,,"$3,213.29",$0.00,1,0,1,20110101,20937,CPT,AUTOGRAFT SPINE SURGERY MORSELIZED SEP INCISION,,30,,,"$3,336.61",$0.00,1,0,1,20110101,20938,CPT,AUTOGRAFT SPINE SURGERY BICORT/TRICORT SEP INC,,30,,,"$3,381.47",$0.00,1,0,1,20110101,20950,CPT,MNTR INTERSTITIAL FLUID PRESSURE CMPRT SYNDROME,,30,,,$535.53,$0.00,1,0,1,20110101,20972,CPT,FREE OSTQ FLAP W/MVASC ANASTOMOSIS METATARSAL,,30,,,"$17,369.64",$0.00,1,0,1,20110101,20973,CPT,FR OSTQ FLAP W/MVASC ANAST GRT TOE W/WEB SPACE,,30,,,"$17,369.64",$0.00,1,0,1,20110101,20975,CPT,ELECTRICAL STIMULATION BONE HEALING INVASIVE,,30,,,"$7,120.21",$0.00,1,0,1,20110101,20979,CPT,LOW INTENSITY US STIMJ BONE HEALING NONINVASIVE,,30,,,$258.46,$0.00,1,0,1,20110101,20982,CPT,ABLATION BONE TUMOR RF PERCUTANEOUS CT GUIDANCE,,30,,,"$15,967.98",$0.00,1,0,1,20110101,20999,CPT,UNLISTED PROCEDURE MUSCSKELETAL SYSTEM GENERAL,,30,,,"$8,099.16",$0.00,1,0,1,20110101,21010,CPT,ARTHROTOMY TEMPOROMANDIBULAR JOINT,,30,,,"$9,184.01",$0.00,1,0,1,20110101,21011,CPT,EXCISION TUMOR SOFT TISS FACE/SCALP SUBQ < 2CM,,30,,,"$3,017.75",$0.00,1,0,1,20110101,21012,CPT,EXCISION TUMOR SOFT TISS FACE/SCALP SUBQ 2+CM,,30,,,"$3,017.75",$0.00,1,0,1,20110101,21013,CPT,EXC TUMOR SOFT TISS FACE&SCALP SUBFASCIAL < 2CM,,30,,,"$3,017.75",$0.00,1,0,1,20110101,21014,CPT,EXC TUMOR SOFT TISS FACE&SCALP SUBFASCIAL 2+CM,,30,,,"$3,017.75",$0.00,1,0,1,20110101,21015,CPT,RAD RESECTION TUMOR SOFT TISS FACE/SCALP < 2CM,,30,,,"$6,437.25",$0.00,1,0,1,20110101,21016,CPT,RAD RESECTION TUMOR SOFT TISS FACE/SCALP 2+CM,,30,,,"$8,604.32",$0.00,1,0,1,20110101,21025,CPT,EXCISION BONE MANDIBLE,,30,,,"$15,050.51",$0.00,1,0,1,20110101,21026,CPT,EXCISION FACIAL BONE,,30,,,"$15,050.51",$0.00,1,0,1,20110101,21029,CPT,REMOVAL CONTOURING BENIGN TUMOR FACIAL BONE,,30,,,"$15,050.51",$0.00,1,0,1,20110101,21030,CPT,EXC BENIGN TUMOR/CYST MAXL/ZYGOMA ENCL & CURTG,,30,,,"$9,184.01",$0.00,1,0,1,20110101,21031,CPT,EXCISION TORUS MANDIBULARIS,,30,,,"$9,184.01",$0.00,1,0,1,20110101,21032,CPT,EXCISION MAXILLARY TORUS PALATINUS,,30,,,"$9,184.01",$0.00,1,0,1,20110101,21034,CPT,EXCISION MALIGNANT TUMOR MAXILLA/ZYGOMA,,30,,,"$15,050.51",$0.00,1,0,1,20110101,21040,CPT,EXCISION BENIGN TUMOR/CYST MANDIBLE ENCL&/CURTG,,30,,,"$9,184.01",$0.00,1,0,1,20110101,21044,CPT,EXCISION MALIGNANT TUMOR MANDIBLE,,30,,,"$15,050.51",$0.00,1,0,1,20110101,21046,CPT,EXC BENIGN TUMOR/CYST MNDBL INTRA-ORAL OSTEOT,,30,,,"$15,050.51",$0.00,1,0,1,20110101,21047,CPT,EXC B9 TUM/CST MNDBL XTR-ORAL OSTEOT&PRTL MNDBLC,,30,,,"$15,050.51",$0.00,1,0,1,20110101,21048,CPT,EXC BENIGN TUMOR/CYST MAXL INTRA-ORAL OSTEOT,,30,,,"$15,050.51",$0.00,1,0,1,20110101,21049,CPT,EXC B9 TUM/CST MAXL XTR-ORAL OSTEOT&PRTL MAXLCT,,30,,,"$15,050.51",$0.00,1,0,1,20110101,21050,CPT,CONDYLECTOMY TEMPOROMANDIBULAR JOINT SPX,,30,,,"$15,050.51",$0.00,1,0,1,20110101,21060,CPT,MENISCECTOMY PRTL/COMPL TEMPOROMANDIBULAR JT SPX,,30,,,"$15,050.51",$0.00,1,0,1,20110101,21070,CPT,CORONOIDECTOMY SPX,,30,,,"$15,050.51",$0.00,1,0,1,20110101,21073,CPT,MANIPULATION TMJ THERAPEUTIC REQUIRE ANESTHESIA,,30,,,"$2,803.22",$0.00,1,0,1,20110101,21076,CPT,IMPRESSION&PREPARATION SURG OBTURATOR PROSTHESIS,,30,,,"$9,184.01",$0.00,1,0,1,20110101,21077,CPT,IMPRESSION & PREPARATION ORBITAL PROSTHESIS,,30,,,"$15,050.51",$0.00,1,0,1,20110101,21079,CPT,IMPRESSION&PREPARATION INTERIM OBTURATOR PROSTH,,30,,,"$15,050.51",$0.00,1,0,1,20110101,21080,CPT,IMPRESSION&PREPJ DEFINITIVE OBTURATOR PROSTHESIS,,30,,,"$15,050.51",$0.00,1,0,1,20110101,21081,CPT,IMPRESSION&PREPJ MANDIBULAR RESECTION PROSTHESIS,,30,,,"$15,050.51",$0.00,1,0,1,20110101,21082,CPT,IMPRESSION&PREPJ PALATAL AUGMENTATION PROSTHESIS,,30,,,"$15,050.51",$0.00,1,0,1,20110101,21083,CPT,IMPRESSION&PREPARATION PALATAL LIFT PROSTHESIS,,30,,,"$15,050.51",$0.00,1,0,1,20110101,21084,CPT,IMPRESSION&PREPARATION SPEECH AID PROSTHESIS,,30,,,"$15,050.51",$0.00,1,0,1,20110101,21085,CPT,IMPRESSION&PREPARATION ORAL SURGICAL SPLINT,,30,,,"$6,323.34",$0.00,1,0,1,20110101,21086,CPT,IMPRESSION&PREPARATION AURICULAR PROSTHESIS,,30,,,"$15,050.51",$0.00,1,0,1,20110101,21087,CPT,IMPRESSION&PREPARATION NASAL PROSTHESIS,,30,,,"$15,050.51",$0.00,1,0,1,20110101,21088,CPT,IMPRESSION&PREPARATION FACIAL PROSTHESIS,,30,,,"$15,050.51",$0.00,1,0,1,20110101,21089,CPT,UNLISTED MAXILLOFACIAL PROSTHETIC PROCEDURE,,30,,,$423.92,$0.00,1,0,1,20110101,21100,CPT,APPL HALO APPLIANCE MAXILLOFACIAL FIXATION SPX,,30,,,"$15,050.51",$0.00,1,0,1,20110101,21110,CPT,APPL INTERDENTAL FIXATION DEVICE NON-FX/DISLC,,30,,,"$2,803.22",$0.00,1,0,1,20110101,21120,CPT,GENIOPLASTY AUGMENTATION,,30,,,"$9,184.01",$0.00,1,0,1,20110101,21121,CPT,GENIOPLASTY SLIDING OSTEOTOMY SINGLE PIECE,,30,,,"$9,184.01",$0.00,1,0,1,20110101,21122,CPT,GENIOPLASTY 2/> SLIDING OSTEOTOMIES,,30,,,"$9,184.01",$0.00,1,0,1,20110101,21123,CPT,GENIOP SLIDING AGMNTJ W/INTERPOSAL BONE GRAFTS,,30,,,"$9,184.01",$0.00,1,0,1,20110101,21125,CPT,AGMNTJ MNDBLR BODY/ANGLE PROSTHETIC MATERIAL,,30,,,"$9,184.01",$0.00,1,0,1,20110101,21127,CPT,AGMNTJ MNDBLR BDY/ANGL W/B1 GRF ONLAY/INTERPOSAL,,30,,,"$15,050.51",$0.00,1,0,1,20110101,21137,CPT,REDUCTION FOREHEAD CONTOURING ONLY,,30,,,"$9,184.01",$0.00,1,0,1,20110101,21138,CPT,RDCTJ FHD CNTRG&PROSTHETIC MATRL/BONE GRAFT,,30,,,"$15,050.51",$0.00,1,0,1,20110101,21139,CPT,RDCTJ FHD CNTRG&SETBACK ANT FRONTAL SINUS WALL,,30,,,"$15,050.51",$0.00,1,0,1,20110101,21141,CPT,RCNSTJ MIDFACE LEFORT I 1 PIECE W/O BONE GRAFT,,30,,,"$11,280.31",$0.00,1,0,1,20110101,21142,CPT,RCNSTJ MIDFACE LEFORT I 2 PIECES W/O BONE GRAFT,,30,,,"$8,231.63",$0.00,1,0,1,20110101,21143,CPT,RCNSTJ MIDFACE LEFORT I 3/>PIECE W/O BONE GRAFT,,30,,,"$9,870.89",$0.00,1,0,1,20110101,21145,CPT,RCNSTJ MIDFACE LEFORT I 1 PIECE W/BONE GRAFTS,,30,,,"$6,328.42",$0.00,1,0,1,20110101,21147,CPT,RCNSTJ MIDFACE LEFORT I 3/>PIECE W/BONE GRAFTS,,30,,,"$6,955.69",$0.00,1,0,1,20110101,21150,CPT,RCNSTJ MIDFACE LEFORT II ANTERIOR INTRUSION,,30,,,"$15,050.51",$0.00,1,0,1,20110101,21172,CPT,RCNSTJ SUPERIOR-LATERAL ORBITAL RIM&LOWER FHD,,30,,,"$15,050.51",$0.00,1,0,1,20110101,21175,CPT,RCNSTJ BIFRONTAL SUPERIOR-LAT ORB RIMS&LWR FHD,,30,,,"$15,050.51",$0.00,1,0,1,20110101,21181,CPT,RCNSTJ CONTOURING BENIGN TUMOR CRNL BONES XTRC,,30,,,"$9,184.01",$0.00,1,0,1,20110101,21193,CPT,RCNSTJ MNDBLR RAMI HRZNTL/VER/C/L OSTEOT W/O GRF,,30,,,"$8,720.77",$0.00,1,0,1,20110101,21195,CPT,RCNSTJ MNDBLR RAMI&/BODY SGTL SPLT W/O INT RGD,,30,,,"$15,050.51",$0.00,1,0,1,20110101,21196,CPT,RCNSTJ MNDBLR RAMI&/BDY SGTL SPLT W/INT RGD FIXJ,,30,,,"$8,515.81",$0.00,1,0,1,20110101,21198,CPT,OSTEOTOMY MANDIBLE SEGMENTAL,,30,,,"$15,050.51",$0.00,1,0,1,20110101,21199,CPT,OSTEOTOMY MANDIBLE SGMTL W/GENIOGLOSSUS ADVMNT,,30,,,"$15,050.51",$0.00,1,0,1,20110101,21206,CPT,OSTEOTOMY MAXILLA SEGMENTAL,,30,,,"$15,050.51",$0.00,1,0,1,20110101,21208,CPT,OSTEOPLASTY FACIAL BONES AUGMENTATION,,30,,,"$15,050.51",$0.00,1,0,1,20110101,21209,CPT,OSTEOPLASTY FACIAL BONES REDUCTION,,30,,,"$15,050.51",$0.00,1,0,1,20110101,21210,CPT,GRAFT BONE NASAL/MAXILLARY/MALAR AREAS,,30,,,"$15,050.51",$0.00,1,0,1,20110101,21215,CPT,GRAFT BONE MANDIBLE,,30,,,"$15,050.51",$0.00,1,0,1,20110101,21230,CPT,GRAFT RIB CRTLG AUTOGENOUS FACE/CHIN/NOSE/EAR,,30,,,"$15,050.51",$0.00,1,0,1,20110101,21235,CPT,GRAFT EAR CRTLG AUTOGENOUS NOSE/EAR,,30,,,"$9,184.01",$0.00,1,0,1,20110101,21240,CPT,ARTHRP TEMPOROMANDIBULAR JOINT +-AUTOGRAFT,,30,,,"$15,050.51",$0.00,1,0,1,20110101,21242,CPT,ARTHROPLASTY TEMPOROMANDIBULAR JT W/ALLOGRAFT,,30,,,"$15,050.51",$0.00,1,0,1,20110101,21243,CPT,ARTHRP TMPRMAND JOINT W/PROSTHETIC REPLACEMENT,,30,,,"$15,050.51",$0.00,1,0,1,20110101,21244,CPT,RCNSTJ MNDBL XTRORAL W/TRANSOSTEAL BONE PLATE,,30,,,"$15,050.51",$0.00,1,0,1,20110101,21245,CPT,RCNSTJ MNDBL/MAXL SUBPRIOSTEAL IMPLANT PARTIAL,,30,,,"$15,050.51",$0.00,1,0,1,20110101,21246,CPT,RCNSTJ MNDBL/MAXL SUBPRIOSTEAL IMPLANT COMPLETE,,30,,,"$15,050.51",$0.00,1,0,1,20110101,21248,CPT,RCNSTJ MANDIBLE/MAXL ENDOSTEAL IMPLANT PARTIAL,,30,,,"$15,050.51",$0.00,1,0,1,20110101,21249,CPT,RCNSTJ MANDIBLE/MAXL ENDOSTEAL IMPLANT COMPLETE,,30,,,"$15,050.51",$0.00,1,0,1,20110101,21256,CPT,RECONSTRUCTION ORBIT W/OSTEOTOMIES&BONE GRAFTS,,30,,,"$15,050.51",$0.00,1,0,1,20110101,21260,CPT,PERIORBITAL OSTEOTOMIES BONE GRAFTS EXTRACRANIAL,,30,,,"$15,050.51",$0.00,1,0,1,20110101,21261,CPT,PERIORBITAL OSTEOTOMIES W/BONE GRAFTS ICRA&XTRC,,30,,,"$15,050.51",$0.00,1,0,1,20110101,21263,CPT,PERIORBITAL OSTEOTOMIES W/BONE GRAFTS W/FOREHEAD,,30,,,"$15,050.51",$0.00,1,0,1,20110101,21267,CPT,ORBITAL REPOSITIONING W/BONE GRAFTS EXTRACRANIAL,,30,,,"$15,050.51",$0.00,1,0,1,20110101,21270,CPT,MALAR AUGMENTATION PROSTHETIC MATERIAL,,30,,,"$15,050.51",$0.00,1,0,1,20110101,21275,CPT,SECONDARY REVISION ORBITOCRANIOFACIAL RCNSTJ,,30,,,"$15,050.51",$0.00,1,0,1,20110101,21280,CPT,MEDIAL CANTHOPEXY SPX,,30,,,"$15,050.51",$0.00,1,0,1,20110101,21282,CPT,LATERAL CANTHOPEXY,,30,,,"$6,323.34",$0.00,1,0,1,20110101,21295,CPT,REDUCTION MASSETER MUSCLE&BONE EXTRAORAL,,30,,,"$2,803.22",$0.00,1,0,1,20110101,21296,CPT,REDUCTION MASSETER MUSCLE&BONE INTRAORAL,,30,,,"$9,184.01",$0.00,1,0,1,20110101,21299,CPT,UNLISTED CRANIOFACIAL&MAXILLOFACIAL PROCEDURE,,30,,,$423.92,$0.00,1,0,1,20110101,21310,CPT,CLOSED TREATMENT NASAL FRACTURE W/O MANIPULATION,,30,,,$423.92,$0.00,1,0,1,20110101,21315,CPT,CLOSED TX NASAL FRACTURE W/O STABILIZATION,,30,,,"$6,323.34",$0.00,1,0,1,20110101,21320,CPT,CLOSED TREATMENT NASAL FRACTURE W/STABILIZATION,,30,,,"$6,323.34",$0.00,1,0,1,20110101,21325,CPT,OPEN TREATMENT NASAL FRACTURE UNCOMPLICATED,,30,,,"$9,184.01",$0.00,1,0,1,20110101,21330,CPT,OPEN TX NASAL FX COMP W/INT&/XTRNL SKELETAL FIXJ,,30,,,"$9,184.01",$0.00,1,0,1,20110101,21335,CPT,OPEN TX NASAL FX W/CONCOMITANT OPTX FXD SEPTUM,,30,,,"$9,184.01",$0.00,1,0,1,20110101,21336,CPT,OPEN TX NASAL SEPTAL FRACTURE +-STABILIZATION,,30,,,"$9,508.13",$0.00,1,0,1,20110101,21337,CPT,CLOSED TX NASAL SEPTAL FRACTURE +-STABILIZATION,,30,,,"$6,323.34",$0.00,1,0,1,20110101,21338,CPT,OPEN TX NASOETHMOID FX W/O EXTERNAL FIXATION,,30,,,"$9,184.01",$0.00,1,0,1,20110101,21339,CPT,OPEN TX NASOETHMOID FX W/EXTERNAL FIXATION,,30,,,"$9,184.01",$0.00,1,0,1,20110101,21340,CPT,PERCUTANEOUS TX NASOETHMOID COMPLEX FRACTURE,,30,,,"$15,050.51",$0.00,1,0,1,20110101,21345,CPT,CLOSED TX NASOMAXILLARY COMPLEX FRACTURE,,30,,,"$9,184.01",$0.00,1,0,1,20110101,21355,CPT,PERCUTANEOUS TX MALAR AREA FRACTURE,,30,,,"$15,050.51",$0.00,1,0,1,20110101,21356,CPT,OPEN TX DEPRESSED ZYGOMATIC ARCH FRACTURE,,30,,,"$9,184.01",$0.00,1,0,1,20110101,21360,CPT,OPEN TX DEPRESSED MALAR FRACTURE,,30,,,"$9,184.01",$0.00,1,0,1,20110101,21365,CPT,OPEN TX COMP FX MALAR W/INTERNAL FX&MULT SURG,,30,,,"$15,050.51",$0.00,1,0,1,20110101,21385,CPT,OPEN TX ORBITAL FLOOR BLOWOUT FX TRANSANTRAL,,30,,,"$15,050.51",$0.00,1,0,1,20110101,21386,CPT,OPEN TX ORBITAL FLOOR BLOWOUT FX PERIORBITAL,,30,,,"$15,050.51",$0.00,1,0,1,20110101,21387,CPT,OPEN TX ORBITAL FLOOR BLOWOUT FX COMBINED APPR,,30,,,"$15,050.51",$0.00,1,0,1,20110101,21390,CPT,OPTX ORB FLOOR BLWT FX PRI/BITAL APPR W/ALLPLSTC,,30,,,"$15,050.51",$0.00,1,0,1,20110101,21400,CPT,CLSD TX FX ORBIT EXCEPT BLOWOUT W/O MANIPULATION,,30,,,"$2,803.22",$0.00,1,0,1,20110101,21401,CPT,CLOSED TX FX ORBIT EXCEPT BLOWOUT W/MANIPULATION,,30,,,"$6,323.34",$0.00,1,0,1,20110101,21406,CPT,OPEN TX FX ORBIT EXCEPT BLOWOUT W/O IMPLANT,,30,,,"$15,050.51",$0.00,1,0,1,20110101,21407,CPT,OPEN TX FX ORBIT EXCEPT BLOWOUT W/IMPLANT,,30,,,"$15,050.51",$0.00,1,0,1,20110101,21408,CPT,OPEN TX FX ORBIT EXCEPT BLOWOUT W/BONE GRAFT,,30,,,"$15,050.51",$0.00,1,0,1,20110101,21421,CPT,CLOSED TX PALATAL/MAXILLARY FX W/FIXATION/SPLINT,,30,,,"$9,184.01",$0.00,1,0,1,20110101,21422,CPT,OPEN TREATMENT PALATAL/MAXILLARY FRACTURE,,30,,,"$6,609.87",$0.00,1,0,1,20110101,21440,CPT,CLTX MANDIBULAR/MAXILLARY ALVEOLAR RIDGE FX SPX,,30,,,"$9,184.01",$0.00,1,0,1,20110101,21445,CPT,OPTX MANDIBULAR/MAXILLARY ALVEOLAR RIDGE FX SPX,,30,,,"$9,184.01",$0.00,1,0,1,20110101,21450,CPT,CLOSED TX MANDIBULAR FRACTURE W/O MANIPULATION,,30,,,"$1,260.04",$0.00,1,0,1,20110101,21451,CPT,CLOSED TX MANDIBULAR FRACTURE W/MANIPULATION,,30,,,"$2,803.22",$0.00,1,0,1,20110101,21452,CPT,PERCUTANEOUS TX MANDIBULAR FX W/EXTERNAL FIXJ,,30,,,"$6,323.34",$0.00,1,0,1,20110101,21453,CPT,CLOSED TX MANDIBULAR FX W/INTERDENTAL FIXATION,,30,,,"$15,050.51",$0.00,1,0,1,20110101,21454,CPT,OPEN TX MANDIBULAR FX W/EXTERNAL FIXATION,,30,,,"$9,184.01",$0.00,1,0,1,20110101,21461,CPT,OPEN TX MANDIBULAR FX W/O INTERDENTAL FIXATION,,30,,,"$15,050.51",$0.00,1,0,1,20110101,21462,CPT,OPEN TX MANDIBULAR FX W/INTERDENTAL FIXATION,,30,,,"$15,050.51",$0.00,1,0,1,20110101,21465,CPT,OPEN TX MANDIBULAR CONDYLAR FX,,30,,,"$15,050.51",$0.00,1,0,1,20110101,21470,CPT,OPTX COMP MANDIBULAR FX MLT APPR W/INT FIXATION,,30,,,"$15,050.51",$0.00,1,0,1,20110101,21480,CPT,CLOSED TX TEMPOROMANDIBULAR DISLOCATION 1ST/SBSQ,,30,,,$423.92,$0.00,1,0,1,20110101,21485,CPT,CLOSED TX TEMPOROMANDIBULAR DISLC COMP 1ST/SBSQ,,30,,,"$6,323.34",$0.00,1,0,1,20110101,21490,CPT,OPEN TREATMENT TEMPOROMANDIBULAR DISLOCATION,,30,,,"$15,050.51",$0.00,1,0,1,20110101,21495,CPT,OPEN TREATMENT HYOID FRACTURE,,30,,,"$6,323.34",$0.00,1,0,1,20110101,21497,CPT,INTERDENTAL WIRING OTHER THAN FRACTURE,,30,,,"$6,323.34",$0.00,1,0,1,20110101,21499,CPT,UNLISTED MUSCULOSKELETAL PROCEDURE HEAD,,30,,,$423.92,$0.00,1,0,1,20110101,21501,CPT,I&D DEEP ABSC/HMTMA SOFT TISSUE NECK/THORAX,,30,,,"$7,139.49",$0.00,1,0,1,20110101,21502,CPT,I&D DP ABSC/HMTMA SOFT TISS NCK/THORAX PRTL RIB,,30,,,"$8,099.16",$0.00,1,0,1,20110101,21550,CPT,BIOPSY SOFT TISSUE NECK/THORAX,,30,,,"$6,437.25",$0.00,1,0,1,20110101,21552,CPT,EXC TUMOR SOFT TISSUE NECK/ANT THORAX SUBQ 3+CM,,30,,,"$8,604.32",$0.00,1,0,1,20110101,21554,CPT,EXC TUMOR SOFT TISSUE NECK/THORAX SUBFASC 5+CM,,30,,,"$8,604.32",$0.00,1,0,1,20110101,21555,CPT,EXC TUMOR SOFT TISSUE NECK/ANT THORAX SUBQ <3CM,,30,,,"$6,437.25",$0.00,1,0,1,20110101,21556,CPT,EXC TUMOR SOFT TISS NECK/THORAX SUBFASCIAL <5CM,,30,,,"$8,604.32",$0.00,1,0,1,20110101,21557,CPT,RAD RESECT TUMOR SOFT TISS NECK/ANT THORAX <5CM,,30,,,"$6,437.25",$0.00,1,0,1,20110101,21558,CPT,RAD RESECT TUMOR SOFT TISS NECK/ANT THORAX 5+CM,,30,,,"$8,604.32",$0.00,1,0,1,20110101,21600,CPT,EXCISION RIB PARTIAL,,30,,,"$11,688.66",$0.00,1,0,1,20110101,21610,CPT,COSTOTRANSVERSECTOMY SPX,,30,,,"$11,688.66",$0.00,1,0,1,20110101,21685,CPT,HYOID MYOTOMY & SUSPENSION,,30,,,"$2,803.22",$0.00,1,0,1,20110101,21700,CPT,DIVISION SCALENUS ANTICUS W/O RESCJ CERVICAL RIB,,30,,,"$8,099.16",$0.00,1,0,1,20110101,21720,CPT,DIVISION STERNOCLEIDOMASTOID OPEN W/O CAST,,30,,,"$8,099.16",$0.00,1,0,1,20110101,21725,CPT,DIVISION STERNOCLEIDOMASTOID OPEN CAST,,30,,,$535.53,$0.00,1,0,1,20110101,21742,CPT,REPAIR PECTUS EXCAVATM/CARINATM MINLY W/O THRSC,,30,,,"$15,967.98",$0.00,1,0,1,20110101,21743,CPT,REPAIR PECTUS EXCAVATM/CARINATM MINLY W/THRSC,,30,,,"$15,967.98",$0.00,1,0,1,20110101,21800,CPT,CLOSED TX RIB FRACTURE UNCOMPLICATED EACH,,30,,,$609.83,$0.00,1,0,1,20110101,21805,CPT,OPEN TX RIB FRACTURE W/O FIXATION EACH,,30,,,"$9,508.13",$0.00,1,0,1,20110101,21820,CPT,CLOSED TREATMENT STERNUM FRACTURE,,30,,,$609.83,$0.00,1,0,1,20110101,21899,CPT,UNLISTED PROCEDURE NECK/THORAX,,30,,,$423.92,$0.00,1,0,1,20110101,21920,CPT,BIOPSY SOFT TISSUE BACK/FLANK SUPERFICIAL,,30,,,"$3,017.75",$0.00,1,0,1,20110101,21925,CPT,BIOPSY SOFT TISSUE BACK/FLANK DEEP,,30,,,"$8,604.32",$0.00,1,0,1,20110101,21930,CPT,EXCISION TUMOR SOFT TISSUE BACK/FLANK SUBQ <3CM,,30,,,"$6,437.25",$0.00,1,0,1,20110101,21931,CPT,EXCISION TUMOR SOFT TISSUE BACK/FLANK SUBQ 3+CM,,30,,,"$8,604.32",$0.00,1,0,1,20110101,21932,CPT,EXC TUMOR SOFT TISS BACK/FLANK SUBFASCIAL <5CM,,30,,,"$6,437.25",$0.00,1,0,1,20110101,21933,CPT,EXC TUMOR SOFT TISS BACK/FLANK SUBFASCIAL 5+CM,,30,,,"$8,604.32",$0.00,1,0,1,20110101,21935,CPT,RAD RESECTION TUMOR SOFT TISSUE BACK/FLANK <5CM,,30,,,"$6,437.25",$0.00,1,0,1,20110101,21936,CPT,RAD RESECTION TUMOR SOFT TISSUE BACK/FLANK 5+CM,,30,,,"$8,604.32",$0.00,1,0,1,20110101,22100,CPT,PRTL EXC PST VRT INTRNSC B1Y LES 1 VRT SGM CRV,,30,,,"$16,609.66",$0.00,1,0,1,20110101,22101,CPT,PRTL EXC PST VRT INTRNSC B1Y LES 1 VRT SGM THRC,,30,,,"$16,609.66",$0.00,1,0,1,20110101,22102,CPT,PRTL EXC PST VRT INTRNSC B1Y LES 1 VRT SGM LMBR,,30,,,"$16,609.66",$0.00,1,0,1,20110101,22103,CPT,PRTL EXC PST VRT INTRNSC B1Y LES 1 VRT SGM EA,,30,,,"$16,609.66",$0.00,1,0,1,20110101,22222,CPT,OSTEOTOMY SPINE W/DSKC ANT APPR 1 VRT SGM THRC,,30,,,"$16,609.66",$0.00,1,0,1,20110101,22305,CPT,CLOSED TX VERTEBRAL PROCESS FRACTURE,,30,,,$609.83,$0.00,1,0,1,20110101,22310,CPT,CLTX VRT BDY FX W/O MNPJ REQ&W/CSTING/BRACING,,30,,,"$1,763.89",$0.00,1,0,1,20110101,22315,CPT,CLTX VRT FX&/DISLC CSTING/BRACING MNPJ/TRCJ,,30,,,"$6,767.88",$0.00,1,0,1,20110101,22505,CPT,MANIPULATION SPINE REQUIRING ANESTHESIA,,30,,,"$5,625.91",$0.00,1,0,1,20110101,22520,CPT,PERCUTANEOUS VERTEBROPLASTY THORACIC,,30,,,"$11,688.66",$0.00,1,0,1,20110101,22521,CPT,PERCUTANEOUS VERTEBROPLASTY LUMBAR,,30,,,"$11,688.66",$0.00,1,0,1,20110101,22522,CPT,PERCUTANEOUS VERTEBROPLASTY EA ADDL THRC/LMBR,,30,,,"$11,688.66",$0.00,1,0,1,20110101,22523,CPT,PERCUTANEOUS VERTEBRAL AUGMENTATION THORACIC,,30,,,"$22,783.64",$0.00,1,0,1,20110101,22524,CPT,PERCUTANEOUS VERTEBRAL AUGMENTATION LUMBAR,,30,,,"$22,783.64",$0.00,1,0,1,20110101,22525,CPT,PERQ VERTEBRAL AUGMENTATION EA ADDL THRC/LMBR,,30,,,"$22,783.64",$0.00,1,0,1,20110101,22526,CPT,PERQ INTRDSCL ELECTROTHRM ANNULOPLASTY 1 LVL,,30,,,"$2,043.39",$0.00,1,0,1,20110101,22527,CPT,PERQ INTRDSCL ELECTROTHRM ANNULOPLASTY ADDL LVL,,30,,,"$2,043.39",$0.00,1,0,1,20110101,22551,CPT,NECK SPINE FUSE&REMOVE ADDL,,30,,,"$3,993.58",$0.00,1,0,1,20110101,22552,CPT,ADDL NECK SPINE FUSION,,30,,,"$1,772.57",$0.00,1,0,1,20110101,22554,CPT,ARTHRODESIS ANTERIOR INTERBODY CERVICAL BELW C2,,30,,,"$4,991.98",$0.00,1,0,1,20110101,22558,CPT,ARTHRODESIS ANTERIOR INTERBODY LUMBAR,,30,,,"$16,149.26",$0.00,1,0,1,20110101,22585,CPT,ARTHRODESIS ANTERIOR INTERBODY EA ADDL NTRSPC,,30,,,"$2,954.28",$0.00,1,0,1,20110101,22600,CPT,ARTHRODESIS PST/PSTLAT CERVICAL BELW C2 SGM,,30,,,"$6,207.81",$0.00,1,0,1,20110101,22612,CPT,ARTHRODESIS POSTERIOR/POSTEROLATERAL LUMBAR,,30,,,"$16,609.66",$0.00,1,0,1,20110101,22614,CPT,ARTHRODESIS POSTERIOR/POSTEROLATERAL EA ADDL,,30,,,"$16,609.66",$0.00,1,0,1,20110101,22630,CPT,ARTHRODESIS POSTERIOR INTERBODY LUMBAR,,30,,,"$10,453.09",$0.00,1,0,1,20110101,22830,CPT,EXPLORATION SPINAL FUSION,,30,,,"$5,830.97",$0.00,1,0,1,20110101,22840,CPT,POSTERIOR NON-SEGMENTAL INSTRUMENTATION,,30,,,"$5,298.11",$0.00,1,0,1,20110101,22845,CPT,ANTERIOR INSTRUMENTATION 2-3 VERTEBRAL SEGMENTS,,30,,,"$3,782.12",$0.00,1,0,1,20110101,22846,CPT,ANTERIOR INSTRUMENTATION 4-7 VERTEBRAL SEGMENTS,,30,,,"$4,418.35",$0.00,1,0,1,20110101,22850,CPT,REMOVAL POSTERIOR NONSEGMENTAL INSTRUMENTATION,,30,,,"$7,478.80",$0.00,1,0,1,20110101,22851,CPT,APPLICATION INTERVERTEBRAL BIOMECHANICAL DEVICE,,30,,,"$8,099.16",$0.00,1,0,1,20110101,22852,CPT,REMOVAL POSTERIOR SEGMENTAL INSTRUMENTATION,,30,,,"$6,132.94",$0.00,1,0,1,20110101,22855,CPT,REMOVAL ANTERIOR INSTRUMENTATION,,30,,,"$5,182.02",$0.00,1,0,1,20110101,22899,CPT,UNLISTED PROCEDURE SPINE,,30,,,"$8,099.16",$0.00,1,0,1,20110101,22900,CPT,EXC TUMOR SOFT TISSUE ABDL WALL SUBFASCIAL <5CM,,30,,,"$8,604.32",$0.00,1,0,1,20110101,22901,CPT,EXC TUMOR SOFT TISSUE ABDL WALL SUBFASCIAL 5+CM,,30,,,"$8,604.32",$0.00,1,0,1,20110101,22902,CPT,EXC TUMOR SOFT TISSUE ABDOMINAL WALL SUBQ <3CM,,30,,,"$6,437.25",$0.00,1,0,1,20110101,22903,CPT,EXC TUMOR SOFT TISSUE ABDOMINAL WALL SUBQ 3+CM,,30,,,"$8,604.32",$0.00,1,0,1,20110101,22904,CPT,RAD RESECTION TUMOR SOFT TISSUE ABDL WALL <5CM,,30,,,"$6,437.25",$0.00,1,0,1,20110101,22905,CPT,RAD RESECTION TUMOR SOFT TISSUE ABDL WALL 5+CM,,30,,,"$8,604.32",$0.00,1,0,1,20110101,22999,CPT,UNLISTED PX ABDOMEN MUSCULOSKELETAL SYSTEM,,30,,,"$8,099.16",$0.00,1,0,1,20110101,23000,CPT,REMOVAL SUBDELTOID CALCAREOUS DEPOSITS OPEN,,30,,,"$6,437.25",$0.00,1,0,1,20110101,23020,CPT,CAPSULAR CONTRACTURE RELEASE,,30,,,"$15,967.98",$0.00,1,0,1,20110101,23030,CPT,I&D SHOULDER DEEP ABSCESS/HEMATOMA,,30,,,"$7,139.49",$0.00,1,0,1,20110101,23031,CPT,I&D SHOULDER INFECTED BURSA,,30,,,"$7,139.49",$0.00,1,0,1,20110101,23035,CPT,INCISION BONE CORTEX SHOULDER AREA,,30,,,"$8,099.16",$0.00,1,0,1,20110101,23040,CPT,ARTHROTOMY GLENOHUMERAL JT EXPL/DRG/RMVL FB,,30,,,"$11,688.66",$0.00,1,0,1,20110101,23044,CPT,ARTHRT ACROMCLAV STRNCLAV JT EXPL/DRG/RMVL FB,,30,,,"$11,688.66",$0.00,1,0,1,20110101,23065,CPT,BIOPSY SOFT TISSUE SHOULDER SUPERFICIAL,,30,,,"$3,017.75",$0.00,1,0,1,20110101,23066,CPT,BIOPSY SOFT TISSUE SHOULDER DEEP,,30,,,"$8,604.32",$0.00,1,0,1,20110101,23071,CPT,EXCISION TUMOR SOFT TISSUE SHOULDER SUBQ 3+CM,,30,,,"$8,604.32",$0.00,1,0,1,20110101,23073,CPT,EXC TUMOR SOFT TISSUE SHOULDER SUBFASCIAL 5+CM,,30,,,"$8,604.32",$0.00,1,0,1,20110101,23075,CPT,EXCISION TUMOR SOFT TISSUE SHOULDER SUBQ <3CM,,30,,,"$6,437.25",$0.00,1,0,1,20110101,23076,CPT,EXC TUMOR SOFT TISS SHOULDER SUBFASC <5CM,,30,,,"$6,437.25",$0.00,1,0,1,20110101,23077,CPT,RAD RESECTION TUMOR SOFT TISSUE SHOULDER <5CM,,30,,,"$6,437.25",$0.00,1,0,1,20110101,23078,CPT,RAD RESECTION TUMOR SOFT TISSUE SHOULDER 5+CM,,30,,,"$8,604.32",$0.00,1,0,1,20110101,23100,CPT,ARTHROTOMY GLENOHUMERAL JOINT W/BIOPSY,,30,,,"$8,099.16",$0.00,1,0,1,20110101,23101,CPT,ARTHRT ACROMCLAV/STRNCLAV JT W/BX&/EXC CRTLG,,30,,,"$11,688.66",$0.00,1,0,1,20110101,23105,CPT,ARTHRT GLENOHUMRL JT W/SYNOVECTOMY +-BIOPSY,,30,,,"$11,688.66",$0.00,1,0,1,20110101,23106,CPT,ARTHRT GLENOHUMRL JT STRNCLAV JT W/SYNVCT +-BX,,30,,,"$11,688.66",$0.00,1,0,1,20110101,23107,CPT,ARTHRT GLENOHUMRL JT W/JT EXPL +-RMVL LOOSE/FB,,30,,,"$11,688.66",$0.00,1,0,1,20110101,23120,CPT,CLAVICULECTOMY PARTIAL,,30,,,"$11,688.66",$0.00,1,0,1,20110101,23125,CPT,CLAVICULECTOMY TOTAL,,30,,,"$11,688.66",$0.00,1,0,1,20110101,23130,CPT,PARTIAL REPAIR OR REMOVAL OF SHOULDER BONE,,30,,,"$15,967.98",$0.00,1,0,1,20110101,23140,CPT,EXC/CURTG BONE CYST/BENIGN TUMOR CLAV/SCAPULA,,30,,,"$8,099.16",$0.00,1,0,1,20110101,23145,CPT,EXC/CURTG BONE CST/B9 TUM CLAV/SCAPULA W/AGRFT,,30,,,"$11,688.66",$0.00,1,0,1,20110101,23146,CPT,EXC/CURTG BONE CST/B9 TUM CLAV/SCAPULA W/ALGRFT,,30,,,"$11,688.66",$0.00,1,0,1,20110101,23150,CPT,EXC/CURTG BONE CYST/BENIGN TUMOR PROX HUMERUS,,30,,,"$11,688.66",$0.00,1,0,1,20110101,23155,CPT,EXC/CURTG BONE CYST/BENIGN TUM PROX HUM W/AGRFT,,30,,,"$11,688.66",$0.00,1,0,1,20110101,23156,CPT,EXC/CURTG BONE CYST/BENIGN TUM PROX HUM W/ALGRFT,,30,,,"$11,688.66",$0.00,1,0,1,20110101,23170,CPT,SEQUESTRECTOMY CLAVICLE,,30,,,"$11,688.66",$0.00,1,0,1,20110101,23172,CPT,SEQUESTRECTOMY SCAPULA,,30,,,"$11,688.66",$0.00,1,0,1,20110101,23174,CPT,SEQUESTRECTOMY HUMERAL HEAD SURGERY NECK,,30,,,"$11,688.66",$0.00,1,0,1,20110101,23180,CPT,PARTIAL EXCISION BONE CLAVICLE,,30,,,"$11,688.66",$0.00,1,0,1,20110101,23182,CPT,PARTIAL EXCISION BONE SCAPULA,,30,,,"$11,688.66",$0.00,1,0,1,20110101,23184,CPT,PARTIAL EXCISION BONE PROXIMAL HUMERUS,,30,,,"$11,688.66",$0.00,1,0,1,20110101,23190,CPT,OSTECTOMY SCAPULA PARTIAL,,30,,,"$11,688.66",$0.00,1,0,1,20110101,23195,CPT,RESECTION HUMERAL HEAD,,30,,,"$11,688.66",$0.00,1,0,1,20110101,23330,CPT,REMOVAL FOREIGN BODY SHOULDER SUBCUTANEOUS,,30,,,"$3,017.75",$0.00,1,0,1,20110101,23331,CPT,REMOVAL FOREIGN BODY SHOULDER DEEP,,30,,,"$8,604.32",$0.00,1,0,1,20110101,23395,CPT,MUSCLE TRANSFER SHOULDER/UPPER ARM SINGLE,,30,,,"$15,967.98",$0.00,1,0,1,20110101,23397,CPT,MUSCLE TRANSFER SHOULDER/UPPER ARM MULTIPLE,,30,,,"$22,783.64",$0.00,1,0,1,20110101,23400,CPT,SCAPULOPEXY,,30,,,"$11,688.66",$0.00,1,0,1,20110101,23405,CPT,TENOTOMY SHOULDER AREA 1 TENDON,,30,,,"$11,688.66",$0.00,1,0,1,20110101,23406,CPT,TENOTOMY SHOULDER MULTIPLE THRU SAME INCISION,,30,,,"$11,688.66",$0.00,1,0,1,20110101,23410,CPT,OPEN REPAIR OF ROTATOR CUFF ACUTE,,30,,,"$15,967.98",$0.00,1,0,1,20110101,23412,CPT,OPEN REPAIR OF ROTATOR CUFF CHRONIC,,30,,,"$15,967.98",$0.00,1,0,1,20110101,23415,CPT,CORACOACROMIAL LIGAMENT RELEASE +-ACROMIOPLASTY,,30,,,"$15,967.98",$0.00,1,0,1,20110101,23420,CPT,RECONSTRUCTION ROTATOR CUFF AVULSION CHRONIC,,30,,,"$15,967.98",$0.00,1,0,1,20110101,23430,CPT,TENODESIS LONG TENDON BICEPS,,30,,,"$15,967.98",$0.00,1,0,1,20110101,23440,CPT,RESECTION/TRANSPLANTATION LONG TENDON BICEPS,,30,,,"$15,967.98",$0.00,1,0,1,20110101,23450,CPT,CAPSULORRHAPHY ANTERIOR PUTTI-PLATT/MAGNUSON,,30,,,"$22,783.64",$0.00,1,0,1,20110101,23455,CPT,CAPSULORRHAPHY ANTERIOR W/LABRAL REPAIR,,30,,,"$22,783.64",$0.00,1,0,1,20110101,23460,CPT,CAPSULORRHAPHY ANTERIOR WITH BONE BLOCK,,30,,,"$22,783.64",$0.00,1,0,1,20110101,23462,CPT,CAPSULORRHAPHY ANTERIOR W/CORACOID PROCESS TR,,30,,,"$15,967.98",$0.00,1,0,1,20110101,23465,CPT,CAPSULORRHAPHY GLENOHUMERAL JT PST +-BONE BLK,,30,,,"$22,783.64",$0.00,1,0,1,20110101,23466,CPT,CAPSULORRHAPHY GLENOHUMRL JT MULTI-DIRIONAL INS,,30,,,"$15,967.98",$0.00,1,0,1,20110101,23470,CPT,ARTHROPLASTY GLENOHUMRL JT HEMIARTHROPLASTY,,30,,,"$23,227.84",$0.00,1,0,1,20110101,23472,CPT,ARTHROPLASTY GLENOHUMERAL JOINT TOTAL SHOULDER,,30,,,"$12,963.24",$0.00,1,0,1,20110101,23480,CPT,OSTEOTOMY CLAVICLE +-INTERNAL FIXATION,,30,,,"$15,967.98",$0.00,1,0,1,20110101,23485,CPT,OSTEOTOMY CLAV +-INT FIXJ W/B1 GRF NON/MAL,,30,,,"$22,783.64",$0.00,1,0,1,20110101,23490,CPT,PROPH TX +-METHYLMETHACRYLATE CLAVICLE,,30,,,"$22,594.62",$0.00,1,0,1,20110101,23491,CPT,PROPH TX +-METHYLMETHACRYLATE PROXIMAL HUMERUS,,30,,,"$22,783.64",$0.00,1,0,1,20110101,23500,CPT,CLSD TX CLAVICULAR FRACTURE W/O MANIPULATION,,30,,,$609.83,$0.00,1,0,1,20110101,23505,CPT,CLSD TX CLAVICULAR FRACTURE W/MANIPULATION,,30,,,"$6,767.88",$0.00,1,0,1,20110101,23515,CPT,OPEN TX CLAVICULAR FRACTURE INTERNAL FIXATION,,30,,,"$19,922.44",$0.00,1,0,1,20110101,23520,CPT,CLSD TX STERNOCLAVICULAR DISLC W/O MANIPULATION,,30,,,"$1,763.89",$0.00,1,0,1,20110101,23525,CPT,CLOSED TX STERNOCLAVICULAR DISLC W/MANIPULATION,,30,,,"$1,763.89",$0.00,1,0,1,20110101,23530,CPT,OPEN TX STERNOCLAVICULAR DISLC ACUTE/CHRONIC,,30,,,"$15,690.20",$0.00,1,0,1,20110101,23532,CPT,OPTX STRNCLAV DISLC ACUTE/CHRONIC W/FASCIAL GRF,,30,,,"$9,508.13",$0.00,1,0,1,20110101,23540,CPT,CLSD TX ACROMIOCLAVICULAR DISLC W/O MANIPULATION,,30,,,$609.83,$0.00,1,0,1,20110101,23545,CPT,CLSD TX ACROMIOCLAVICULAR DISLC W/MANIPULATION,,30,,,"$1,763.89",$0.00,1,0,1,20110101,23550,CPT,OPEN TX ACROMIOCLAVICULAR DISLC ACUTE/CHRONIC,,30,,,"$15,690.20",$0.00,1,0,1,20110101,23552,CPT,OPTX ACROMCLAV DISLC ACUTE/CHRONIC W/FASCIAL GRF,,30,,,"$15,690.20",$0.00,1,0,1,20110101,23570,CPT,CLOSED TX SCAPULAR FRACTURE W/O MANIPULATION,,30,,,$609.83,$0.00,1,0,1,20110101,23575,CPT,CLTX SCAPULAR FX W/MANIPULATION +-SKEL TRACTION,,30,,,"$1,763.89",$0.00,1,0,1,20110101,23585,CPT,OPEN TX SCAPULAR FX W/INTERNAL FIXATION IF PFRMD,,30,,,"$19,922.44",$0.00,1,0,1,20110101,23600,CPT,CLTX PROXIMAL HUMERAL FRACTURE W/O MANIPULATION,,30,,,$609.83,$0.00,1,0,1,20110101,23605,CPT,CLTX PROX HUMRL FX W/MANIPULATION +-SKEL TRACJ,,30,,,"$6,767.88",$0.00,1,0,1,20110101,23615,CPT,OPEN TREATMENT PROXIMAL HUMERAL FRACTURE,,30,,,"$19,922.44",$0.00,1,0,1,20110101,23616,CPT,OPEN PROX HUMERAL FRACTURE PROSTHETIC RPLCMT,,30,,,"$19,922.44",$0.00,1,0,1,20110101,23620,CPT,CLTX GREATER HUMERAL TUBEROSITY FX W/O MNPJ,,30,,,$609.83,$0.00,1,0,1,20110101,23625,CPT,CLTX GRTER HUMERAL TUBEROSITY FX W/MANIPULATION,,30,,,"$6,767.88",$0.00,1,0,1,20110101,23630,CPT,OPEN TREATMENT GRTER HUMERAL TUBEROSITY FRACTURE,,30,,,"$19,922.44",$0.00,1,0,1,20110101,23650,CPT,CLSD TX SHOULDER DISLC W/MANIPULATION W/O ANES,,30,,,$609.83,$0.00,1,0,1,20110101,23655,CPT,CLSD TX SHOULDER DISLC W/MANIPULATION REQ ANES,,30,,,"$5,625.91",$0.00,1,0,1,20110101,23660,CPT,OPEN TX ACUTE SHOULDER DISLOCATION,,30,,,"$15,690.20",$0.00,1,0,1,20110101,23665,CPT,CLTX SHOULDER DISLC W/FX HUMERAL TUBRST W/MNPJ,,30,,,"$1,763.89",$0.00,1,0,1,20110101,23670,CPT,OPEN TX SHOULDER DISLC W/HUMERAL TUBEROSITY FX,,30,,,"$19,922.44",$0.00,1,0,1,20110101,23675,CPT,CLTX SHOULDER DISLC W/SURG/ANTMCL NCK FX W/MNPJ,,30,,,$609.83,$0.00,1,0,1,20110101,23680,CPT,OPEN TX SHOULDER DISLOCATION W/NECK FRACTURE,,30,,,"$15,690.20",$0.00,1,0,1,20110101,23700,CPT,MNPJ W/ANES SHOULDER JOINT W/FIXATION APPARATUS,,30,,,"$5,625.91",$0.00,1,0,1,20110101,23800,CPT,ARTHRODESIS GLENOHUMERAL JOINT,,30,,,"$22,783.64",$0.00,1,0,1,20110101,23802,CPT,ARTHRODESIS GLENOHUMERAL JT W/AUTOGENOUS GRAFT,,30,,,"$22,594.62",$0.00,1,0,1,20110101,23921,CPT,DISRTCJ SHOULDER SECONDARY CLSR/SCAR REVISION,,30,,,"$5,906.26",$0.00,1,0,1,20110101,23929,CPT,UNLISTED PROCEDURE SHOULDER,,30,,,$609.83,$0.00,1,0,1,20110101,23930,CPT,I&D UPPER ARM/ELBOW DEEP ABSCESS/HEMATOMA,,30,,,"$7,139.49",$0.00,1,0,1,20110101,23931,CPT,INCISION&DRAINAGE UPPER ARM/ELBOW BURSA,,30,,,"$7,139.49",$0.00,1,0,1,20110101,23935,CPT,INC DEEP W/OPENING BONE CORTEX HUMERUS/ELBOW,,30,,,"$8,099.16",$0.00,1,0,1,20110101,24000,CPT,ARTHRT ELBOW W/EXPLORATION DRAINAGE/REMOVAL FB,,30,,,"$11,688.66",$0.00,1,0,1,20110101,24006,CPT,ARTHRT ELBOW CAPSULAR EXCISION CAPSULAR RLS SPX,,30,,,"$11,688.66",$0.00,1,0,1,20110101,24065,CPT,BIOPSY SOFT TISSUE UPPER ARM/ELBOW SUPERFICIAL,,30,,,"$6,437.25",$0.00,1,0,1,20110101,24066,CPT,BIOPSY SOFT TISSUE UPPER ARM/ELBOW AREA DEEP,,30,,,"$6,437.25",$0.00,1,0,1,20110101,24071,CPT,EXC TUMOR SOFT TISSUE UPPER ARM/ELBOW SUBQ 3+CM,,30,,,"$8,604.32",$0.00,1,0,1,20110101,24073,CPT,EXC TUMOR SOFT TISS UPPER ARM/ELBW SUBFASC 5+CM,,30,,,"$8,604.32",$0.00,1,0,1,20110101,24075,CPT,EXC TUMOR SOFT TISS UPPER ARM/ELBOW SUBQ <3CM,,30,,,"$6,437.25",$0.00,1,0,1,20110101,24076,CPT,EXC TUMOR SOFT TISS UPR ARM/ELBOW SUBFASC <5CM,,30,,,"$6,437.25",$0.00,1,0,1,20110101,24077,CPT,RAD RESECT TUMOR SOFT TISS UPPER ARM/ELBOW <5CM,,30,,,"$6,437.25",$0.00,1,0,1,20110101,24079,CPT,RAD RESECT TUMOR SOFT TISS UPPER ARM/ELBOW 5+CM,,30,,,"$8,604.32",$0.00,1,0,1,20110101,24100,CPT,ARTHROTOMY ELBOW W/SYNOVIAL BIOPSY ONLY,,30,,,"$8,099.16",$0.00,1,0,1,20110101,24101,CPT,ARTHRT ELBOW W/JOINT EXPL +-BX +-RMVL LOOSE/FB,,30,,,"$11,688.66",$0.00,1,0,1,20110101,24102,CPT,ARTHROTOMY ELBOW W/SYNOVECTOMY,,30,,,"$11,688.66",$0.00,1,0,1,20110101,24105,CPT,EXCISION OLECRANON BURSA,,30,,,"$8,099.16",$0.00,1,0,1,20110101,24110,CPT,EXCISION/CURTG BONE CYST/BENIGN TUMOR HUMERUS,,30,,,"$8,099.16",$0.00,1,0,1,20110101,24115,CPT,EXC/CURTG BONE CYST/BENIGN TUMOR HUMERUS W/AGRFT,,30,,,"$11,688.66",$0.00,1,0,1,20110101,24116,CPT,EXC/CURTG BONE CYST/BENIGN TUM HUMERUS W/ALGRFT,,30,,,"$11,688.66",$0.00,1,0,1,20110101,24120,CPT,EXC/CURTG BONE CYST/BENIGN TUMOR H/N RDS/OLECRN,,30,,,"$8,099.16",$0.00,1,0,1,20110101,24125,CPT,EXC/CURTG BONE CST/B9 TUM H/N RDS/OLECRN W/AGRFT,,30,,,"$11,688.66",$0.00,1,0,1,20110101,24126,CPT,EXC/CURTG B1 CST/B9 TUM H/N RDS/OLECRN W/ALGRFT,,30,,,"$11,688.66",$0.00,1,0,1,20110101,24130,CPT,EXCISION RADIAL HEAD,,30,,,"$11,688.66",$0.00,1,0,1,20110101,24134,CPT,SEQUESTRECTOMY SHAFT/DISTAL HUMERUS,,30,,,"$11,688.66",$0.00,1,0,1,20110101,24136,CPT,SEQUESTRECTOMY RADIAL HEAD OR NECK,,30,,,"$11,688.66",$0.00,1,0,1,20110101,24138,CPT,SEQUESTRECTOMY OLECRANON PROCESS,,30,,,"$11,688.66",$0.00,1,0,1,20110101,24140,CPT,PARTIAL EXCISION BONE HUMERUS,,30,,,"$11,688.66",$0.00,1,0,1,20110101,24145,CPT,PARTIAL EXCISION BONE RADIAL HEAD/NECK,,30,,,"$11,688.66",$0.00,1,0,1,20110101,24147,CPT,PARTIAL EXCISION BONE OLECRANON PROCESS,,30,,,"$11,688.66",$0.00,1,0,1,20110101,24149,CPT,RAD RESCJ CAPSL TISS&HTRTPC BONE ELBW CONTRCT,,30,,,"$11,688.66",$0.00,1,0,1,20110101,24150,CPT,RADICAL RESECTION TUMOR SHAFT/DISTAL HUMERUS,,30,,,"$15,967.98",$0.00,1,0,1,20110101,24152,CPT,RADICAL RESECTION TUMOR RADIAL HEAD/NECK,,30,,,"$15,967.98",$0.00,1,0,1,20110101,24155,CPT,RESECTION ELBOW JOINT ARTHRECTOMY,,30,,,"$15,967.98",$0.00,1,0,1,20110101,24160,CPT,IMPLANT REMOVAL ELBOW JOINT,,30,,,"$11,688.66",$0.00,1,0,1,20110101,24164,CPT,IMPLANT REMOVAL RADIAL HEAD,,30,,,"$11,688.66",$0.00,1,0,1,20110101,24200,CPT,RMVL FOREIGN BODY UPPER ARM/ELBOW SUBCUTANEOUS,,30,,,"$1,604.95",$0.00,1,0,1,20110101,24201,CPT,REMOVAL FOREIGN BODY UPPER ARM/ELBOW DEEP,,30,,,"$6,437.25",$0.00,1,0,1,20110101,24300,CPT,MANIPULATION ELBOW UNDER ANESTHESIA,,30,,,"$5,625.91",$0.00,1,0,1,20110101,24301,CPT,MUSCLE/TENDON TRANSFER UPPER ARM/ELBOW SINGLE,,30,,,"$11,688.66",$0.00,1,0,1,20110101,24305,CPT,TENDON LENGTHENING UPPER ARM/ELBOW EA TENDON,,30,,,"$11,688.66",$0.00,1,0,1,20110101,24310,CPT,TENOTOMY OPEN ELBOW TO SHOULDER EACH TENDON,,30,,,"$8,099.16",$0.00,1,0,1,20110101,24320,CPT,TENOPLASTY ELBOW TO SHOULDER SINGLE,,30,,,"$15,967.98",$0.00,1,0,1,20110101,24330,CPT,FLEXOR-PLASTY ELBOW,,30,,,"$22,783.64",$0.00,1,0,1,20110101,24331,CPT,FLEXOR-PLASTY ELBOW W/EXTENSOR ADVANCEMENT,,30,,,"$15,967.98",$0.00,1,0,1,20110101,24332,CPT,TENOLYSIS TRICEPS,,30,,,"$8,099.16",$0.00,1,0,1,20110101,24340,CPT,TENODESIS BICEPS TENDON ELBOW SPX,,30,,,"$15,967.98",$0.00,1,0,1,20110101,24341,CPT,REPAIR TENDON/MUSCLE UPPER ARM/ELBOW EA,,30,,,"$15,967.98",$0.00,1,0,1,20110101,24342,CPT,RINSJ RPTD BICEPS/TRICEPS TDN DSTL +-TDN GRF,,30,,,"$15,967.98",$0.00,1,0,1,20110101,24343,CPT,REPAIR LATERAL COLLATERAL LIGAMENT ELBOW,,30,,,"$11,688.66",$0.00,1,0,1,20110101,24344,CPT,RCNSTJ LAT COLTRL LIGM ELBOW W/TENDON GRAFT,,30,,,"$22,783.64",$0.00,1,0,1,20110101,24345,CPT,REPAIR MEDIAL COLLATERAL LIGAMENT ELBOW,,30,,,"$11,688.66",$0.00,1,0,1,20110101,24346,CPT,RCNSTJ MEDIAL COLTRL LIGM ELBW W/TDN GRF,,30,,,"$22,594.62",$0.00,1,0,1,20110101,24357,CPT,TENOTOMY ELBOW LATERAL/MEDIAL PERCUTANEOUS,,30,,,"$11,688.66",$0.00,1,0,1,20110101,24358,CPT,TNOT ELBOW LATERAL/MEDIAL DEBRIDE OPEN,,30,,,"$11,688.66",$0.00,1,0,1,20110101,24359,CPT,TNOT ELBOW LATERAL/MEDIAL DEBRIDE OPEN TDN RPR,,30,,,"$11,688.66",$0.00,1,0,1,20110101,24360,CPT,ARTHROPLASTY ELBOW W/MEMBRANE,,30,,,"$14,218.60",$0.00,1,0,1,20110101,24361,CPT,ARTHROPLASTY ELBOW W/DISTAL HUMRL PROSTC RPLCMT,,30,,,"$23,227.84",$0.00,1,0,1,20110101,24362,CPT,ARTHRP ELBOW W/IMPLT&FSCA LATA LIGAMENT RCNSTJ,,30,,,"$18,549.10",$0.00,1,0,1,20110101,24363,CPT,ARTHRP ELBOW W/DISTAL HUM&PROX UR PROSTC RPLCMT,,30,,,"$23,227.84",$0.00,1,0,1,20110101,24365,CPT,ARTHROPLASTY RADIAL HEAD,,30,,,"$14,218.60",$0.00,1,0,1,20110101,24366,CPT,ARTHROPLASTY RADIAL HEAD W/IMPLANT,,30,,,"$23,227.84",$0.00,1,0,1,20110101,24400,CPT,OSTEOTOMY HUMERUS +-INTERNAL FIXATION,,30,,,"$22,594.62",$0.00,1,0,1,20110101,24410,CPT,MLT OSTEOT W/RELIGNMT IMED ROD HUMERAL SHAFT,,30,,,"$15,967.98",$0.00,1,0,1,20110101,24420,CPT,OSTEOPLASTY HUMERUS,,30,,,"$15,967.98",$0.00,1,0,1,20110101,24430,CPT,REPAIR NON/MALUNION HUMERUS W/O GRAFT,,30,,,"$22,783.64",$0.00,1,0,1,20110101,24435,CPT,REPAIR NON/MALUNION HUMERUS W/ILIAC/OTH AGRFT,,30,,,"$22,783.64",$0.00,1,0,1,20110101,24470,CPT,HEMIEPIPHYSEAL ARREST,,30,,,"$15,967.98",$0.00,1,0,1,20110101,24495,CPT,DECOMPRESSION FASCT F/ARM W/BRACH ART EXPL,,30,,,"$11,688.66",$0.00,1,0,1,20110101,24498,CPT,PROPHYLACTIC TX +-METHYLMETHACRYLATE HUMRL SHFT,,30,,,"$22,783.64",$0.00,1,0,1,20110101,24500,CPT,CLSD TX HUMERAL SHAFT FRACTURE W/O MANIPULATION,,30,,,$609.83,$0.00,1,0,1,20110101,24505,CPT,CLTX HUMERAL SHFT FX W/MANIPULATION +-SKEL TRACJ,,30,,,$609.83,$0.00,1,0,1,20110101,24515,CPT,OPTX HUMERAL SHFT FX W/PLATE/SCREWS +-CERCLAGE,,30,,,"$19,922.44",$0.00,1,0,1,20110101,24516,CPT,TX HUMERAL SHAFT FX W/INSJ IMED IMPLT +-CERCLAGE,,30,,,"$19,922.44",$0.00,1,0,1,20110101,24530,CPT,CLTX SPRCNDYLR/TRANSCNDYLR HUMERAL FX+-MNPJ,,30,,,$609.83,$0.00,1,0,1,20110101,24535,CPT,CLTX SPRCNDYLR/TRANSCNDYLR HUMERAL FX W/MNPJ,,30,,,"$1,763.89",$0.00,1,0,1,20110101,24538,CPT,PRQ SKEL FIXJ SPRCNDYLR/TRANSCNDYLR HUMERAL FX,,30,,,"$9,508.13",$0.00,1,0,1,20110101,24545,CPT,OPEN TX HUMERAL SUPRACONDYLAR FRACTURE W/O XTN,,30,,,"$19,922.44",$0.00,1,0,1,20110101,24546,CPT,OPEN TX HUMERAL SUPRACONDYLAR FRACTURE W/XTN,,30,,,"$19,922.44",$0.00,1,0,1,20110101,24560,CPT,CLTX HUMERAL EPICONDYLAR FX MEDIAL/LAT W/O MNPJ,,30,,,$609.83,$0.00,1,0,1,20110101,24565,CPT,CLTX HUMERAL EPICONDYLAR FX MEDIAL/LAT W/MNPJ,,30,,,$609.83,$0.00,1,0,1,20110101,24566,CPT,PRQ SKEL FIXJ HUMRL EPCNDYLR FX MEDIAL/LAT MNPJ,,30,,,"$9,508.13",$0.00,1,0,1,20110101,24575,CPT,OPEN TX HUMERAL EPICONDYLAR FRACTURE,,30,,,"$19,922.44",$0.00,1,0,1,20110101,24576,CPT,CLTX HUMERAL CONDYLAR FX MEDIAL/LAT W/O MNPJ,,30,,,$609.83,$0.00,1,0,1,20110101,24577,CPT,CLTX HUMERAL CONDYLAR FX MEDIAL/LATERAL W/MNPJ,,30,,,$563.35,$0.00,1,0,1,20110101,24579,CPT,OPEN TREATMENT HUMERAL CONDYLAR FRACTURE,,30,,,"$19,922.44",$0.00,1,0,1,20110101,24582,CPT,PRQ SKEL FIXJ HUMRL CNDYLR FX MEDIAL/LAT W/MNPJ,,30,,,"$9,508.13",$0.00,1,0,1,20110101,24586,CPT,OPTX PERIARTICULAR FRACTURE &/DISLOCATION ELBOW,,30,,,"$19,922.44",$0.00,1,0,1,20110101,24587,CPT,OPTX PRIARTICULAR FX&/DISLC ELBW W/IMPLT ARTHRP,,30,,,"$19,922.44",$0.00,1,0,1,20110101,24600,CPT,TREATMENT CLOSED ELBOW DISLOCATION W/O ANES,,30,,,$609.83,$0.00,1,0,1,20110101,24605,CPT,TREATMENT CLOSED ELBOW DISLOCATION REQ ANES,,30,,,"$5,625.91",$0.00,1,0,1,20110101,24615,CPT,OPEN TX ACUTE/CHRONIC ELBOW DISLOCATION,,30,,,"$19,922.44",$0.00,1,0,1,20110101,24620,CPT,CLOSED TX MONTEGGIA FX DISLOCATION ELBOW W/MNPJ,,30,,,"$6,767.88",$0.00,1,0,1,20110101,24635,CPT,OPEN TX MONTEGGIA FRACTURE DISLOCATION ELBOW,,30,,,"$19,922.44",$0.00,1,0,1,20110101,24640,CPT,CLTX RDL HEAD SUBLXTJ CHLD NURSEMAID ELBW W/MNPJ,,30,,,$609.83,$0.00,1,0,1,20110101,24650,CPT,CLOSED TX RADIAL HEAD/NECK FX W/O MANIPULATION,,30,,,$609.83,$0.00,1,0,1,20110101,24655,CPT,CLOSED TX RADIAL HEAD/NECK FX W/MANIPULATION,,30,,,"$1,763.89",$0.00,1,0,1,20110101,24665,CPT,OPEN TX RADIAL HEAD/NECK FRACTURE,,30,,,"$15,690.20",$0.00,1,0,1,20110101,24666,CPT,OPEN TX RADIAL HEAD/NECK FRACTURE PROSTHETIC,,30,,,"$19,922.44",$0.00,1,0,1,20110101,24670,CPT,CLOSED TX ULNAR FRACTURE PROXIMAL END W/O MNPJ,,30,,,$609.83,$0.00,1,0,1,20110101,24675,CPT,CLOSED TX ULNAR FRACTURE PROXIMAL END W MNPJ,,30,,,$609.83,$0.00,1,0,1,20110101,24685,CPT,OPEN TREATMENT ULNAR FRACTURE PROXIMAL END,,30,,,"$15,690.20",$0.00,1,0,1,20110101,24800,CPT,ARTHRODESIS ELBOW JOINT LOCAL,,30,,,"$15,967.98",$0.00,1,0,1,20110101,24802,CPT,ARTHRODESIS ELBOW JOINT W/AUTOGENOUS GRAFT,,30,,,"$22,594.62",$0.00,1,0,1,20110101,24925,CPT,AMP ARM THRU HUMERUS SECONDARY CLSR/SCAR REVJ,,30,,,"$8,099.16",$0.00,1,0,1,20110101,24935,CPT,STUMP ELONGATION UPPER EXTREMITY,,30,,,"$22,783.64",$0.00,1,0,1,20110101,24999,CPT,UNLISTED PROCEDURE HUMERUS/ELBOW,,30,,,$609.83,$0.00,1,0,1,20110101,25000,CPT,INCISION EXTENSOR TENDON SHEATH WRIST,,30,,,"$8,099.16",$0.00,1,0,1,20110101,25001,CPT,INCISION FLEXOR TENDON SHEATH WRIST,,30,,,"$8,099.16",$0.00,1,0,1,20110101,25020,CPT,DCMPRN FASCT F/ARM&WRST FLXR/XTNSR W/O DBRDMT,,30,,,"$11,688.66",$0.00,1,0,1,20110101,25023,CPT,DCMPRN FASCT F/ARM&/WRST FLXR/XTNSR W/DBRDMT,,30,,,"$11,688.66",$0.00,1,0,1,20110101,25024,CPT,DCMPRN FASCT F/ARM&/WRST FLXR&XTNSR W/O DBRDMT,,30,,,"$11,688.66",$0.00,1,0,1,20110101,25025,CPT,DCMPRN FASCT F/ARM&/WRST FLXR&XTNSR DBRDMT NV,,30,,,"$11,688.66",$0.00,1,0,1,20110101,25028,CPT,I&D FOREARM&/WRIST DEEP ABSCESS/HEMATOMA,,30,,,"$8,099.16",$0.00,1,0,1,20110101,25031,CPT,INCISION & DRAINAGE FOREARM&/WRIST BURSA,,30,,,"$8,099.16",$0.00,1,0,1,20110101,25035,CPT,INCISION DEEP BONE CORTEX FOREARM&/WRIST,,30,,,"$8,099.16",$0.00,1,0,1,20110101,25040,CPT,ARTHRT RDCRPL/MIDCARPL JT W/EXPL DRG/RMVL FB,,30,,,"$11,688.66",$0.00,1,0,1,20110101,25065,CPT,BIOPSY SOFT TISSUE FOREARM&/WRIST SUPERFICIAL,,30,,,"$3,017.75",$0.00,1,0,1,20110101,25066,CPT,BIOPSY SOFT TISSUE FOREARM&/WRIST DEEP,,30,,,"$8,604.32",$0.00,1,0,1,20110101,25071,CPT,EXC TUMOR SOFT TISS FOREARM AND/WRIST SUBQ 3+CM,,30,,,"$8,604.32",$0.00,1,0,1,20110101,25073,CPT,EXC TUMOR SFT TISS FOREARM&//WRIST SUBFASC 3+CM,,30,,,"$8,604.32",$0.00,1,0,1,20110101,25075,CPT,EXC TUMOR SOFT TISSUE FOREARM &/WRIST SUBQ <3CM,,30,,,"$6,437.25",$0.00,1,0,1,20110101,25076,CPT,EXC TUMOR SOFT TISS FOREARM&/WRIST SUBFASC <3CM,,30,,,"$6,437.25",$0.00,1,0,1,20110101,25077,CPT,RAD RESECT TUMOR SOFT TISS FOREARM&/WRIST <3CM,,30,,,"$6,437.25",$0.00,1,0,1,20110101,25078,CPT,RAD RESCJ TUM SOFT TISSUE FOREARM&/WRIST 3+CM,,30,,,"$8,604.32",$0.00,1,0,1,20110101,25085,CPT,CAPSULOTOMY WRIST,,30,,,"$8,099.16",$0.00,1,0,1,20110101,25100,CPT,ARTHROTOMY WRIST JOINT WITH BIOPSY,,30,,,"$8,099.16",$0.00,1,0,1,20110101,25101,CPT,ARTHRT WRST JT W/JT EXPL +-BX +-RMVL LOOSE/FB,,30,,,"$11,688.66",$0.00,1,0,1,20110101,25105,CPT,ARTHROTOMY WRIST JOINT WITH SYNOVECTOMY,,30,,,"$11,688.66",$0.00,1,0,1,20110101,25107,CPT,ARTHROTOMY DSTL RADIOULNAR JOINT RPR CARTILAGE,,30,,,"$11,688.66",$0.00,1,0,1,20110101,25109,CPT,EXC TENDON FOREARM&/WRIST FLEXOR/EXTENSOR EA,,30,,,"$8,099.16",$0.00,1,0,1,20110101,25110,CPT,EXCISION LESION TENDON SHEATH FOREARM&/WRIST,,30,,,"$8,099.16",$0.00,1,0,1,20110101,25111,CPT,EXCISION GANGLION WRIST DORSAL/VOLAR PRIMARY,,30,,,"$8,099.16",$0.00,1,0,1,20110101,25112,CPT,EXCISION GANGLION WRIST DORSAL/VOLAR RECURRENT,,30,,,"$8,099.16",$0.00,1,0,1,20110101,25115,CPT,RAD EXC BURSA SYNVA WRST/F/ARM TDN SHTHS FLXRS,,30,,,"$8,099.16",$0.00,1,0,1,20110101,25116,CPT,RAD EXC BURSA SYNVA WRST/F/ARM TDN SHTHS XTNSRS,,30,,,"$8,099.16",$0.00,1,0,1,20110101,25118,CPT,SYNOVECTOMY EXTENSOR TENDON SHTH WRIST 1 CMPRT,,30,,,"$11,688.66",$0.00,1,0,1,20110101,25119,CPT,SYNVCT XTNSR TDN SHTH WRST 1 RESCJ DSTL ULNA,,30,,,"$11,688.66",$0.00,1,0,1,20110101,25120,CPT,EXCISION/CURETTAGE CYST/TUMOR RADIUS/ULNA,,30,,,"$11,688.66",$0.00,1,0,1,20110101,25125,CPT,EXC/CURTG CYST/TUMOR RADIUS/ULNA W/AUTOGRAFT,,30,,,"$11,688.66",$0.00,1,0,1,20110101,25126,CPT,EXC/CURTG CYST/TUMOR RADIUS/ULNA W/ALLOGRAFT,,30,,,"$11,688.66",$0.00,1,0,1,20110101,25130,CPT,EXCISION/CURETTAGE CYST/TUMOR CARPAL BONES,,30,,,"$11,688.66",$0.00,1,0,1,20110101,25135,CPT,EXC/CURTG CYST/TUMOR CARPAL BONES W/AUTOGRAFT,,30,,,"$11,688.66",$0.00,1,0,1,20110101,25136,CPT,EXC/CURTG CYST/TUMOR CARPAL BONES W/ALLOGRAFT,,30,,,"$11,688.66",$0.00,1,0,1,20110101,25145,CPT,SEQUESTRECTOMY FOREARM &/WRIST,,30,,,"$11,688.66",$0.00,1,0,1,20110101,25150,CPT,PARTIAL EXCISION BONE ULNA,,30,,,"$11,688.66",$0.00,1,0,1,20110101,25151,CPT,PARTIAL EXCISION BONE RADIUS,,30,,,"$11,688.66",$0.00,1,0,1,20110101,25170,CPT,RADICAL RESECTION TUMOR RADIUS OR ULNA,,30,,,"$15,967.98",$0.00,1,0,1,20110101,25210,CPT,CARPECTOMY 1 BONE,,30,,,"$11,688.66",$0.00,1,0,1,20110101,25215,CPT,CARPECTOMY ALL BONES PROXIMAL ROW,,30,,,"$11,688.66",$0.00,1,0,1,20110101,25230,CPT,RADICAL STYLOIDECTOMY SPX,,30,,,"$11,688.66",$0.00,1,0,1,20110101,25240,CPT,EXCISION DISTAL ULNA PARTIAL/COMPLETE,,30,,,"$11,688.66",$0.00,1,0,1,20110101,25248,CPT,EXPL W/REMOVAL DEEP FOREIGN BODY FOREARM/WRIST,,30,,,"$8,099.16",$0.00,1,0,1,20110101,25250,CPT,REMOVAL WRIST PROSTHESIS SPX,,30,,,"$11,688.66",$0.00,1,0,1,20110101,25251,CPT,REMOVAL WRIST PROSTH COMPLICATED W/TOTAL WRIST,,30,,,"$11,688.66",$0.00,1,0,1,20110101,25259,CPT,MANIPULATION WRIST UNDER ANESTHESIA,,30,,,"$6,767.88",$0.00,1,0,1,20110101,25260,CPT,RPR TDN/MUSC FLXR F/ARM&/WRST PRIM 1 EA TDN/MUSC,,30,,,"$11,688.66",$0.00,1,0,1,20110101,25263,CPT,RPR TDN/MUSC FLXR F/ARM&/WRST SEC 1 EA TDN/MUSC,,30,,,"$11,688.66",$0.00,1,0,1,20110101,25265,CPT,RPR TDN/MUSC FLXR F/ARM&/WRST SEC FR GRF EA,,30,,,"$11,688.66",$0.00,1,0,1,20110101,25270,CPT,RPR TDN/MUSC XTNSR F/ARM&/WRST PRIM 1 EA TDN,,30,,,"$11,688.66",$0.00,1,0,1,20110101,25272,CPT,RPR TDN/MUSC XTNSR F/ARM&/WRST SEC 1 EA TDN/MUSC,,30,,,"$11,688.66",$0.00,1,0,1,20110101,25274,CPT,RPR TDN/MUSC XTNSR F/ARM&/WRST SEC FR GRF EA TDN,,30,,,"$11,688.66",$0.00,1,0,1,20110101,25275,CPT,RPR TENDON SHEATH EXTENSOR F/ARM&/WRST W/GRAFT,,30,,,"$11,688.66",$0.00,1,0,1,20110101,25280,CPT,LNGTH/SHRT FLXR/XTNSR TDN F/ARM&/WRST 1 EA TDN,,30,,,"$11,688.66",$0.00,1,0,1,20110101,25290,CPT,TNOT FLXR/XTNSR TENDON FOREARM&/WRIST 1 EA,,30,,,"$11,688.66",$0.00,1,0,1,20110101,25295,CPT,TNOLS FLXR/XTNSR TENDON FOREARM&/WRIST 1 EA,,30,,,"$8,099.16",$0.00,1,0,1,20110101,25300,CPT,TENODESIS WRIST FLEXORS FINGERS,,30,,,"$11,688.66",$0.00,1,0,1,20110101,25301,CPT,TENODESIS WRIST EXTENSORS FINGERS,,30,,,"$11,688.66",$0.00,1,0,1,20110101,25310,CPT,TDN TRNSPLJ/TR FLXR/XTNSR F/ARM&/WRST 1 EA TDN,,30,,,"$15,967.98",$0.00,1,0,1,20110101,25312,CPT,TDN TRNSPLJ/TR FLXR/XTNSR F/ARM&/WRST 1/TDN GRF,,30,,,"$15,967.98",$0.00,1,0,1,20110101,25315,CPT,FLEXOR ORIGIN SLIDE FOREARM &/WRIST,,30,,,"$15,967.98",$0.00,1,0,1,20110101,25316,CPT,FLEXOR ORIGIN SLIDE F/ARM&/WRST TENDON TRANSFER,,30,,,"$22,783.64",$0.00,1,0,1,20110101,25320,CPT,CAPSL-RHPHY/RCNSTJ WRST OPN CARPL INS,,30,,,"$15,967.98",$0.00,1,0,1,20110101,25332,CPT,ARTHRP WRST +-INTERPOS +-XTRNL/INT FIXJ,,30,,,"$14,218.60",$0.00,1,0,1,20110101,25335,CPT,CENTRALIZATION WRST ULNA,,30,,,"$15,967.98",$0.00,1,0,1,20110101,25337,CPT,RCNSTJ STABLJ DSTL U/DSTL JT 2 SOFT TISS STABLJ,,30,,,"$15,967.98",$0.00,1,0,1,20110101,25350,CPT,OSTEOTOMY RADIUS DISTAL THIRD,,30,,,"$15,967.98",$0.00,1,0,1,20110101,25355,CPT,OSTEOTOMY RADIUS MIDDLE/PROXIMAL THIRD,,30,,,"$15,967.98",$0.00,1,0,1,20110101,25360,CPT,OSTEOTOMY ULNA,,30,,,"$15,967.98",$0.00,1,0,1,20110101,25365,CPT,OSTEOTOMY RADIUS & ULNA,,30,,,"$22,594.62",$0.00,1,0,1,20110101,25370,CPT,MLT OSTEOTOMIES W/RELIGNMT IMED ROD RADIUS/ULNA,,30,,,"$15,967.98",$0.00,1,0,1,20110101,25375,CPT,MLT OSTEOTOMIES W/RELIGNMT IMED ROD RADIUS&ULNA,,30,,,"$15,967.98",$0.00,1,0,1,20110101,25390,CPT,OSTEOPLASTY RADIUS/ULNA SHORTENING,,30,,,"$15,967.98",$0.00,1,0,1,20110101,25391,CPT,OSTEOPLASTY RADIUS/ULNA LENGTHENING W/AUTOGRAFT,,30,,,"$22,594.62",$0.00,1,0,1,20110101,25392,CPT,OSTEOPLASTY RADIUS & ULNA SHORTENING,,30,,,"$11,688.66",$0.00,1,0,1,20110101,25393,CPT,OSTEOPLASTY RADIUS&ULNA LENGTHENING W/AUTOGRAFT,,30,,,"$15,967.98",$0.00,1,0,1,20110101,25394,CPT,OSTEOPLASTY CARPAL BONE SHORTENING,,30,,,"$15,967.98",$0.00,1,0,1,20110101,25400,CPT,RPIR NONUNION/MALUNION RADIUS/ULNA W/O AUTOGRAFT,,30,,,"$22,594.62",$0.00,1,0,1,20110101,25405,CPT,RPR NONUNION/MALUNION RADIUS/ULNA W/AUTOGRAFT,,30,,,"$22,783.64",$0.00,1,0,1,20110101,25415,CPT,RPR NONUNION/MALUNION RADIUS&ULNA W/O AUTOGRAFT,,30,,,"$22,783.64",$0.00,1,0,1,20110101,25420,CPT,RPR NONUNION/MALUNION RADIUS&ULNA W/AUTOGRAFT,,30,,,"$22,783.64",$0.00,1,0,1,20110101,25425,CPT,REPAIR DEFECT W/AUTOGRAFT RADIUS/ULNA,,30,,,"$22,594.62",$0.00,1,0,1,20110101,25426,CPT,REPAIR DEFECT W/AUTOGRAFT RADIUS&ULNA,,30,,,"$15,967.98",$0.00,1,0,1,20110101,25430,CPT,INSERTION VASCULAR PEDICLE CARPAL BONE,,30,,,"$15,967.98",$0.00,1,0,1,20110101,25431,CPT,REPAIR NONUNION CARPAL BONE EACH BONE,,30,,,"$15,967.98",$0.00,1,0,1,20110101,25440,CPT,RPR NONUNION SCAPHOID CARPAL BONE +-RDL STYLODC,,30,,,"$22,783.64",$0.00,1,0,1,20110101,25441,CPT,ARTHROPLASTY W/PROSTHETIC RPLCMT DISTAL RADIUS,,30,,,"$23,227.84",$0.00,1,0,1,20110101,25442,CPT,ARTHROPLASTY W/PROSTHETIC RPLCMT DISTAL ULNA,,30,,,"$23,227.84",$0.00,1,0,1,20110101,25443,CPT,ARTHROPLASTY W/PROSTHETIC RPLCMT SCAPHOID CARPAL,,30,,,"$18,549.10",$0.00,1,0,1,20110101,25444,CPT,ARTHROPLASTY W/PROSTHETIC REPLACEMENT LUNATE,,30,,,"$18,549.10",$0.00,1,0,1,20110101,25445,CPT,ARTHROPLASTY W/PROSTHETIC REPLACEMENT TRAPEZIUM,,30,,,"$18,549.10",$0.00,1,0,1,20110101,25446,CPT,ARTHRP W/PROSTC RPLCMT DSTL RDS&PRTL/CARPUS,,30,,,"$23,227.84",$0.00,1,0,1,20110101,25447,CPT,ARTHRP INTERPOS INTERCARPAL/METACARPAL JOINTS,,30,,,"$14,218.60",$0.00,1,0,1,20110101,25449,CPT,REVJ ARTHRP W/RMVL IMPLT WRST JT,,30,,,"$14,218.60",$0.00,1,0,1,20110101,25450,CPT,EPIPHYSL ARRST EPIPHYSIOD/STAPLING DSTL RDS/U,,30,,,"$15,967.98",$0.00,1,0,1,20110101,25455,CPT,EPIPHYSL ARRST EPIPHYSIOD/STAPLING DSTL RDS&U,,30,,,"$15,967.98",$0.00,1,0,1,20110101,25490,CPT,PROPH TX N/P/PLTWR +-MMA RDS,,30,,,"$15,967.98",$0.00,1,0,1,20110101,25491,CPT,PROPH TX N/P/PLTWR +-MMA U,,30,,,"$15,967.98",$0.00,1,0,1,20110101,25492,CPT,PROPH TX N/P/PLTWR +-MMA RDS&U,,30,,,"$15,967.98",$0.00,1,0,1,20110101,25500,CPT,CLOSED TX RADIAL SHAFT FRACTURE W/O MANIPULATION,,30,,,$609.83,$0.00,1,0,1,20110101,25505,CPT,CLOSED TX RADIAL SHAFT FRACTURE W/MANIPULATION,,30,,,"$1,763.89",$0.00,1,0,1,20110101,25515,CPT,OPEN TREATMENT RADIAL SHAFT FRACTURE,,30,,,"$15,690.20",$0.00,1,0,1,20110101,25520,CPT,CLTX RDL SHFT FX&CLTX DISLC DSTL RAD/ULN JT,,30,,,"$1,763.89",$0.00,1,0,1,20110101,25525,CPT,OPEN RDL SHAFT FX CLOSED RAD/ULN JT DISLOCATE,,30,,,"$15,690.20",$0.00,1,0,1,20110101,25526,CPT,OPEN RDL SHAFT FX OPEN RAD/ULN JT DISLOCATE,,30,,,"$15,690.20",$0.00,1,0,1,20110101,25530,CPT,CLOSED TX ULNAR SHAFT FRACTURE W/O MANIPULATION,,30,,,$609.83,$0.00,1,0,1,20110101,25535,CPT,CLOSED TX ULNAR SHAFT FRACTURE W/MANIPULATION,,30,,,$609.83,$0.00,1,0,1,20110101,25545,CPT,OPEN TREATMENT OF ULNAR SHAFT FRACTURE,,30,,,"$15,690.20",$0.00,1,0,1,20110101,25560,CPT,CLOSED TX RADIAL&ULNAR SHAFT FRACTURES W/O MNPJ,,30,,,$609.83,$0.00,1,0,1,20110101,25565,CPT,CLOSED TX RADIAL&ULNAR SHAFT FRACTURES W/MNPJ,,30,,,"$1,763.89",$0.00,1,0,1,20110101,25574,CPT,OPEN TX RADIAL & ULNAR SHAFT FX FIXJ RADIUS/ULNA,,30,,,"$19,922.44",$0.00,1,0,1,20110101,25575,CPT,OPEN TX RDL& ULNAR SHAFT FX FIXJ RADIUS &ULNA,,30,,,"$19,922.44",$0.00,1,0,1,20110101,25600,CPT,CLTX DSTL RADIAL FX/EPIPHYSL SEP W/O MNPJ,,30,,,$609.83,$0.00,1,0,1,20110101,25605,CPT,CLTX DSTL RDL FX/EPIPHYSL SEP +-W/MNPJ,,30,,,"$1,763.89",$0.00,1,0,1,20110101,25606,CPT,PERQ SKEL FIXJ DISTAL RADIAL FX/EPIPHYSL SEP,,30,,,"$9,508.13",$0.00,1,0,1,20110101,25607,CPT,OPTX DSTL RADL X-ARTIC FX/EPIPHYSL SEP,,30,,,"$19,922.44",$0.00,1,0,1,20110101,25608,CPT,OPTX DSTL RADL I-ARTIC FX/EPIPHYSL SEP 2 FRAG,,30,,,"$19,922.44",$0.00,1,0,1,20110101,25609,CPT,OPTX DSTL RADL I-ARTIC FX/EPIPHYSL SEP 3 FRAG,,30,,,"$19,922.44",$0.00,1,0,1,20110101,25622,CPT,CLOSED TX CARPAL SCAPHOID FRACTURE W/O MNPJ,,30,,,$609.83,$0.00,1,0,1,20110101,25624,CPT,CLOSED TX CARPAL SCAPHOID FRACTURE W/MNPJ,,30,,,"$1,763.89",$0.00,1,0,1,20110101,25628,CPT,OPEN TX CARPAL SCAPHOID NAVICULAR FRACTURE,,30,,,"$15,690.20",$0.00,1,0,1,20110101,25630,CPT,CLTX CARPL B1 FX W/O MNPJ EA B1,,30,,,$609.83,$0.00,1,0,1,20110101,25635,CPT,CLTX CARPL B1 FX W/MNPJ EA B1,,30,,,$563.35,$0.00,1,0,1,20110101,25645,CPT,OPEN TX CARPAL BONE FRACTURE OTH/THN SCAPHOID EA,,30,,,"$15,690.20",$0.00,1,0,1,20110101,25650,CPT,CLOSED TREATMENT ULNAR STYLOID FRACTURE,,30,,,$609.83,$0.00,1,0,1,20110101,25651,CPT,PRQ SKELETAL FIXATION ULNAR STYLOID FRACTURE,,30,,,"$9,508.13",$0.00,1,0,1,20110101,25652,CPT,OPEN TREATMENT ULNAR STYLOID FRACTURE,,30,,,"$15,690.20",$0.00,1,0,1,20110101,25660,CPT,CLTX RDCRPL/INTERCARPL DISLC 1+ B1S W/MNPJ,,30,,,$609.83,$0.00,1,0,1,20110101,25670,CPT,OPEN TX RADIOCARPAL/INTERCARPAL DISLC 1+ BONES,,30,,,"$9,508.13",$0.00,1,0,1,20110101,25671,CPT,PRQ SKELETAL FIXJ DISTAL RADIOULNAR DISLOCATION,,30,,,"$9,508.13",$0.00,1,0,1,20110101,25675,CPT,CLOSED TX DISTAL RADIOULNAR DISLOCATION W/MNPJ,,30,,,$609.83,$0.00,1,0,1,20110101,25676,CPT,OPEN TX DISTAL RADIOULNAR DISLC ACUTE/CHRONIC,,30,,,"$9,508.13",$0.00,1,0,1,20110101,25680,CPT,CLTX TRANS-SCAPHOPRILUNAR TYP FX DISLC W/MNPJ,,30,,,$609.83,$0.00,1,0,1,20110101,25685,CPT,OPEN TX TRANS-SCAPHOPERILUNAR FRACTURE DISLC,,30,,,"$9,508.13",$0.00,1,0,1,20110101,25690,CPT,CLOSED TX LUNATE DISLOCATION W/MANIPULATION,,30,,,"$6,767.88",$0.00,1,0,1,20110101,25695,CPT,OPEN TREATMENT LUNATE DISLOCATION,,30,,,"$9,508.13",$0.00,1,0,1,20110101,25800,CPT,ARTHRD WRST COMPL W/O B1 GRF,,30,,,"$22,783.64",$0.00,1,0,1,20110101,25805,CPT,ARTHRD WRST W/SLIDING GRF,,30,,,"$22,594.62",$0.00,1,0,1,20110101,25810,CPT,ARTHRD WRST W/ILIAC/OTH AGRFT,,30,,,"$22,783.64",$0.00,1,0,1,20110101,25820,CPT,ARTHRODESIS WRIST LIMITED W/O BONE GRAFT,,30,,,"$15,967.98",$0.00,1,0,1,20110101,25825,CPT,ARTHRODESIS WRIST LIMITED W/AUTOGRAFT,,30,,,"$22,783.64",$0.00,1,0,1,20110101,25830,CPT,ARTHRD DSTL RAD/ULN JT SGMTL RESCJ U +-B1 GRF,,30,,,"$22,783.64",$0.00,1,0,1,20110101,25907,CPT,AMP F/ARM THRU RADIUS&ULNA SEC CLOSURE/SCAR REVJ,,30,,,"$8,099.16",$0.00,1,0,1,20110101,25922,CPT,DISARTICULATION THRU WRIST SEC CLOSURE/SCAR REVJ,,30,,,"$8,099.16",$0.00,1,0,1,20110101,25929,CPT,TRANSMETACARPAL AMPUTATION SEC CLOSURE/SCAR REVJ,,30,,,"$5,906.26",$0.00,1,0,1,20110101,25931,CPT,TRANSMETACARPAL AMPUTATION RE-AMPUTATION,,30,,,"$8,099.16",$0.00,1,0,1,20110101,25999,CPT,UNLISTED PROCEDURE FOREARM/WRIST,,30,,,$609.83,$0.00,1,0,1,20110101,26010,CPT,DRAINAGE FINGER ABSCESS SIMPLE,,30,,,$535.53,$0.00,1,0,1,20110101,26011,CPT,DRAINAGE FINGER ABSCESS COMPLICATED,,30,,,"$4,643.49",$0.00,1,0,1,20110101,26020,CPT,DRAINAGE TENDON SHEATH DIGIT&/PALM EACH,,30,,,"$6,269.67",$0.00,1,0,1,20110101,26025,CPT,DRAINAGE OF PALMAR BURSA SINGLE BURSA,,30,,,"$6,269.67",$0.00,1,0,1,20110101,26030,CPT,DRAINAGE OF PALMAR BURSA MULTIPLE BURSA,,30,,,"$6,269.67",$0.00,1,0,1,20110101,26034,CPT,INCISION BONE CORTEX HAND/FINGER,,30,,,"$6,269.67",$0.00,1,0,1,20110101,26035,CPT,DECOMPRESSION FINGERS&/HAND INJECTION INJURY,,30,,,"$6,269.67",$0.00,1,0,1,20110101,26037,CPT,DECOMPRESSIVE FASCIOTOMY HAND,,30,,,"$6,269.67",$0.00,1,0,1,20110101,26040,CPT,FASCIOTOMY PALMAR PERCUTANEOUS,,30,,,"$6,125.16",$0.00,1,0,1,20110101,26045,CPT,FASCIOTOMY PALMAR OPEN PARTIAL,,30,,,"$10,388.46",$0.00,1,0,1,20110101,26055,CPT,TENDON SHEATH INCISION,,30,,,"$6,269.67",$0.00,1,0,1,20110101,26060,CPT,TENOTOMY PERCUTANEOUS SINGLE EACH DIGIT,,30,,,"$6,269.67",$0.00,1,0,1,20110101,26070,CPT,ARTHRT EXPL DRG/RMVL LOOSE/FB CARP/MTCRPL JT,,30,,,"$6,269.67",$0.00,1,0,1,20110101,26075,CPT,ARTHRT EXPL DRG/RMVL LOOSE/FB MTCARPHLNGL JT EA,,30,,,"$6,269.67",$0.00,1,0,1,20110101,26080,CPT,ARTHRT EXPL DRG/RMVL LOOSE/FB IPHAL JT EA,,30,,,"$6,269.67",$0.00,1,0,1,20110101,26100,CPT,ARTHROTOMY BIOPSY CARP/MTCRPL JOINT EACH,,30,,,"$6,269.67",$0.00,1,0,1,20110101,26105,CPT,ARTHROTOMY BIOPSY MTCARPHLNGL JOINT EACH,,30,,,"$6,269.67",$0.00,1,0,1,20110101,26110,CPT,ARTHROTOMY BIOPSY INTERPHALANGEAL JOINT EACH,,30,,,"$6,269.67",$0.00,1,0,1,20110101,26111,CPT,EX TUM/VASC MALF SFT TISS HAND/FNGR SUBQ 1.5+CM,,30,,,"$8,604.32",$0.00,1,0,1,20110101,26113,CPT,EX TUM/VASC MAL SFT TIS HAND/FNGR SUBFSC 1.5+CM,,30,,,"$8,604.32",$0.00,1,0,1,20110101,26115,CPT,EXC TUM/VASC MAL SFT TISS HAND/FNGR SUBQ <1.5CM,,30,,,"$6,437.25",$0.00,1,0,1,20110101,26116,CPT,EXC TUM/VAS MAL SFT TIS HAND/FNGR SUBFASC<1.5CM,,30,,,"$6,437.25",$0.00,1,0,1,20110101,26117,CPT,RAD RESECT TUMOR SOFT TISSUE HAND/FINGER <3CM,,30,,,"$6,437.25",$0.00,1,0,1,20110101,26118,CPT,RAD RESCJ TUM SOFT TISSUE HAND/FINGER 3+CM,,30,,,"$8,604.32",$0.00,1,0,1,20110101,26121,CPT,FASCT PALM +-Z-PLASTY TISS REARGMT/SKN GRF,,30,,,"$10,388.46",$0.00,1,0,1,20110101,26123,CPT,FASCT PRTL PLMR 1 DGT PROX IPHAL JT +-TISS,,30,,,"$10,388.46",$0.00,1,0,1,20110101,26125,CPT,FASCT PRTL PLMR 1 DGT PROX IPHAL JT +-Z-PLASTY,,30,,,"$6,269.67",$0.00,1,0,1,20110101,26130,CPT,SYNOVECTOMY CARPOMETACARPAL JOINT,,30,,,"$6,269.67",$0.00,1,0,1,20110101,26135,CPT,SYNVCT MTCARPHLNGL JT W/INTRNSC RLS&XTNSR HOOD,,30,,,"$10,388.46",$0.00,1,0,1,20110101,26140,CPT,SYNVCT PROX IPHAL JT W/XTNSR RCNSTJ EA IPHAL JT,,30,,,"$6,269.67",$0.00,1,0,1,20110101,26145,CPT,SYNVCT TDN SHTH RAD FLXR TDN PALM&/FNGR EA TDN,,30,,,"$6,269.67",$0.00,1,0,1,20110101,26160,CPT,EXC LES TDN SHTH/JT CAPSL HAND/FNGR,,30,,,"$6,269.67",$0.00,1,0,1,20110101,26170,CPT,EXCISION TENDON PALM FLEXOR/EXTENSOR SINGLE EACH,,30,,,"$6,269.67",$0.00,1,0,1,20110101,26180,CPT,EXCISION TENDON FINGER FLEXOR/EXTENSOR EACH,,30,,,"$6,269.67",$0.00,1,0,1,20110101,26185,CPT,SESAMOIDECTOMY THUMB/FINGER SPX,,30,,,"$6,269.67",$0.00,1,0,1,20110101,26200,CPT,EXCISION/CURETTAGE CYST/TUMOR METACARPAL,,30,,,"$6,269.67",$0.00,1,0,1,20110101,26205,CPT,EXC/CURETTAGE CYST/TUMOR METACARPAL W/AUTOGRAFT,,30,,,"$10,388.46",$0.00,1,0,1,20110101,26210,CPT,EXCISION/CURETTAGE CYST/TUMOR PHALANX FINGER,,30,,,"$6,269.67",$0.00,1,0,1,20110101,26215,CPT,EXC/CURETTAGE CYST/TUMOR PHALANX FINGER W/AGRAFT,,30,,,"$6,269.67",$0.00,1,0,1,20110101,26230,CPT,PARTIAL EXCISION BONE METACARPAL,,30,,,"$6,269.67",$0.00,1,0,1,20110101,26235,CPT,PARTIAL EXCISION PROXIMAL/MIDDLE PHALANX FINGER,,30,,,"$6,269.67",$0.00,1,0,1,20110101,26236,CPT,PARTIAL EXCISION DISTAL PHALANX FINGER,,30,,,"$6,269.67",$0.00,1,0,1,20110101,26250,CPT,RADICAL RESECTION TUMOR METACARPAL,,30,,,"$6,269.67",$0.00,1,0,1,20110101,26260,CPT,RAD RESECTION TUMOR PROX/MIDDLE PHALANX FINGER,,30,,,"$6,269.67",$0.00,1,0,1,20110101,26262,CPT,RADICAL RESECTION TUMOR DISTAL PHALANX FINGER,,30,,,"$6,269.67",$0.00,1,0,1,20110101,26320,CPT,REMOVAL IMPLANT FROM FINGER/HAND,,30,,,"$6,437.25",$0.00,1,0,1,20110101,26340,CPT,MANIPULATION FINGER JOINT UNDER ANES EACH JOINT,,30,,,"$1,763.89",$0.00,1,0,1,20110101,26350,CPT,RPR/ADVMNT FLXR TDN N/Z/2 1/2 W/O FR GRF EA TDN,,30,,,"$10,388.46",$0.00,1,0,1,20110101,26352,CPT,RPR/ADVMNT FLXR TDN N/Z/2 2W/FR GRF EA TDN,,30,,,"$10,388.46",$0.00,1,0,1,20110101,26356,CPT,RPR/ADVMNT FLXR TDN ZONE 2 1W/O FR GRF EA TDN,,30,,,"$10,388.46",$0.00,1,0,1,20110101,26357,CPT,RPR/ADVMNT FLXR TDN ZONE 2 2W/O FR GRF EA TDN,,30,,,"$10,388.46",$0.00,1,0,1,20110101,26358,CPT,RPR/ADVMNT FLXR TDN ZONE 2 2W/FR GRF EA TDN,,30,,,"$10,388.46",$0.00,1,0,1,20110101,26370,CPT,RPR/ADVMNT TDN W/NTC SUPFCIS TDN PRIM EA TDN,,30,,,"$10,388.46",$0.00,1,0,1,20110101,26372,CPT,RPR/ADVMNT TDN W/NTC SUPFCIS TDN 2 W/FR GRF EA,,30,,,"$10,388.46",$0.00,1,0,1,20110101,26373,CPT,RPR/ADVMNT TDN W/NTC SUPFCIS TDN 2 W/O FR GRF EA,,30,,,"$10,388.46",$0.00,1,0,1,20110101,26390,CPT,EXC FLXR TDN W/IMPLTJ SYNTH ROD DLYD TDN GRF H/F,,30,,,"$10,388.46",$0.00,1,0,1,20110101,26392,CPT,RMVL SYNTH ROD&INSJ FLXR TDN GRF H/F EA ROD,,30,,,"$10,388.46",$0.00,1,0,1,20110101,26410,CPT,REPAIR EXTENSOR TENDON HAND W/O GRAFT EACH,,30,,,"$6,269.67",$0.00,1,0,1,20110101,26412,CPT,REPAIR EXTENSOR TENDON HAND W/GRAFT EACH,,30,,,"$10,388.46",$0.00,1,0,1,20110101,26415,CPT,EXC XTNSR TDN W/IMPLTJ SYNTH ROD DLYD GRF H/F EA,,30,,,"$10,388.46",$0.00,1,0,1,20110101,26416,CPT,RMVL SYNTH ROD&INSJ XTNSR TDN GRF H/F EA ROD,,30,,,"$10,388.46",$0.00,1,0,1,20110101,26418,CPT,REPAIR EXTENSOR TENDON FINGER W/O GRAFT EACH,,30,,,"$6,269.67",$0.00,1,0,1,20110101,26420,CPT,REPAIR EXTENSOR TENDON FINGER W/GRAFT EACH,,30,,,"$10,388.46",$0.00,1,0,1,20110101,26426,CPT,RPR XTNSR TDN CTR SLIP 2 TISS W/LAT BAND EA FNGR,,30,,,"$10,388.46",$0.00,1,0,1,20110101,26428,CPT,RPR XTNSR TDN CTR SLIP SEC W/FR GRF EA FNGR,,30,,,"$10,388.46",$0.00,1,0,1,20110101,26432,CPT,CLTX DSTL XTNSR TDN INSJ +-PRQ PINNING,,30,,,"$6,269.67",$0.00,1,0,1,20110101,26433,CPT,REPAIR EXTENSOR TENDON DISTAL INSERTION W/O GRF,,30,,,"$6,269.67",$0.00,1,0,1,20110101,26434,CPT,REPAIR EXTENSOR TENDON DISTAL INSERTION W/GRAFT,,30,,,"$10,388.46",$0.00,1,0,1,20110101,26437,CPT,REALIGNMENT EXTENSOR TENDON HAND EACH TENDON,,30,,,"$6,269.67",$0.00,1,0,1,20110101,26440,CPT,TENOLYSIS FLEXOR TENDON PALM/FINGER EACH TENDON,,30,,,"$6,269.67",$0.00,1,0,1,20110101,26442,CPT,TENOLYSIS FLEXOR TENDON PALM&FINGER EACH TENDON,,30,,,"$10,388.46",$0.00,1,0,1,20110101,26445,CPT,TENOLYSIS EXTENSOR TENDON HAND/FINGER EACH,,30,,,"$6,269.67",$0.00,1,0,1,20110101,26449,CPT,TENOLYSIS CPLX XTNSR TENDON FINGER W/FOREARM EA,,30,,,"$10,388.46",$0.00,1,0,1,20110101,26450,CPT,TENOTOMY FLEXOR PALM OPEN EACH TENDON,,30,,,"$6,269.67",$0.00,1,0,1,20110101,26455,CPT,TENOTOMY FLEXOR FINGER OPEN EACH TENDON,,30,,,"$6,269.67",$0.00,1,0,1,20110101,26460,CPT,TENOTOMY EXTENSOR HAND/FINGER OPEN EACH TENDON,,30,,,"$6,269.67",$0.00,1,0,1,20110101,26471,CPT,TENODESIS PROXIMAL INTERPHALANGEAL JOINT EACH,,30,,,"$6,269.67",$0.00,1,0,1,20110101,26474,CPT,TENODESIS DISTAL JOINT EACH,,30,,,"$6,269.67",$0.00,1,0,1,20110101,26476,CPT,LENGTHENING TENDON EXTENSOR HAND/FINGER EACH,,30,,,"$6,269.67",$0.00,1,0,1,20110101,26477,CPT,SHORTENING TENDON EXTENSOR HAND/FINGER EACH,,30,,,"$6,269.67",$0.00,1,0,1,20110101,26478,CPT,LENGTHENING TENDON FLEXOR HAND/FINGER EACH,,30,,,"$6,269.67",$0.00,1,0,1,20110101,26479,CPT,SHORTENING TENDON FLEXOR HAND/FINGER EACH,,30,,,"$6,269.67",$0.00,1,0,1,20110101,26480,CPT,TR/TRNSPL TDN CARP/MTCRPL HAND W/O FR GRF EA TDN,,30,,,"$10,388.46",$0.00,1,0,1,20110101,26483,CPT,TR/TRNSPL TDN CARP/MTCRPL AND W/FR TDN GRF EA,,30,,,"$10,388.46",$0.00,1,0,1,20110101,26485,CPT,TRANSFER/TRANSPLANT TENDON PALMAR W/O GRAFT EACH,,30,,,"$10,388.46",$0.00,1,0,1,20110101,26489,CPT,TRANSFER/TRANSPLANT TENDON PALMAR W/GRAFT EACH,,30,,,"$10,388.46",$0.00,1,0,1,20110101,26490,CPT,OPPONENSPLASTY SUPFCIS TDN TR TYP EA TDN,,30,,,"$10,388.46",$0.00,1,0,1,20110101,26492,CPT,OPPONENSPLASTY TDN TR W/GRF EA TDN,,30,,,"$10,388.46",$0.00,1,0,1,20110101,26494,CPT,OPPONENSPLASTY HYPOTHENAR MUSC TR,,30,,,"$10,388.46",$0.00,1,0,1,20110101,26496,CPT,OPPONENSPLASTY OTH METHS,,30,,,"$10,388.46",$0.00,1,0,1,20110101,26497,CPT,TR TDN RESTORE INTRNSC FUNCJ RING&SM FNGR,,30,,,"$10,388.46",$0.00,1,0,1,20110101,26498,CPT,TR TDN RESTORE INTRNSC FUNCJ ALL 4 FNGRS,,30,,,"$10,388.46",$0.00,1,0,1,20110101,26499,CPT,CORRECTION CLAW FINGER OTHER METHODS,,30,,,"$10,388.46",$0.00,1,0,1,20110101,26500,CPT,RCNSTJ TENDON PULLEY EACH W/LOCAL TISSUES SPX,,30,,,"$6,269.67",$0.00,1,0,1,20110101,26502,CPT,RCNSTJ TDN PULLEY EA TDN W/TDN/FSCAL GRF SPX,,30,,,"$10,388.46",$0.00,1,0,1,20110101,26508,CPT,RELEASE THENAR MUSCLE,,30,,,"$6,269.67",$0.00,1,0,1,20110101,26510,CPT,CROSS INTRINSIC TRANSFER EACH TENDON,,30,,,"$10,388.46",$0.00,1,0,1,20110101,26516,CPT,CAPSULODESIS MTCARPHLNGL JOINT SINGLE DIGIT,,30,,,"$10,388.46",$0.00,1,0,1,20110101,26517,CPT,CAPSULODESIS MTCARPHLNGL JOINT 2 DIGITS,,30,,,"$10,388.46",$0.00,1,0,1,20110101,26518,CPT,CAPSULODESIS MTCARPHLNGL JOINT 3/4 DIGITS,,30,,,"$10,388.46",$0.00,1,0,1,20110101,26520,CPT,CAPSULECTOMY/CAPSULOTOMY MTCARPHLNGL JOINT EACH,,30,,,"$6,269.67",$0.00,1,0,1,20110101,26525,CPT,CAPSULECTOMY/CAPSULOTOMY IPHAL JOINT EACH,,30,,,"$6,269.67",$0.00,1,0,1,20110101,26530,CPT,ARTHROPLASTY METACARPOPHALANGEAL JOINT EACH,,30,,,"$14,218.60",$0.00,1,0,1,20110101,26531,CPT,ARTHRP MTCARPHLNGL JT W/PROSTC IMPLT EA JT,,30,,,"$18,549.10",$0.00,1,0,1,20110101,26535,CPT,ARTHROPLASTY INTERPHALANGEAL JOINT EACH,,30,,,"$14,218.60",$0.00,1,0,1,20110101,26536,CPT,ARTHROPLASTY INTERPHALANGEAL JT W/PROSTHETIC EA,,30,,,"$18,549.10",$0.00,1,0,1,20110101,26540,CPT,RPR COLTRL LIGM MTCARPHLNGL/IPHAL JT,,30,,,"$6,269.67",$0.00,1,0,1,20110101,26541,CPT,RCNSTJ COLTRL LIGM MTCARPHLNGL 1 W/TDN/FSCAL GRF,,30,,,"$10,388.46",$0.00,1,0,1,20110101,26542,CPT,RCNSTJ COLTRL LIGM MTCARPHLNGL 1 W/LOCAL TISS,,30,,,"$6,269.67",$0.00,1,0,1,20110101,26545,CPT,RCNSTJ COLTRL LIGM IPHAL JT 1 W/GRF EA JT,,30,,,"$10,388.46",$0.00,1,0,1,20110101,26546,CPT,RPR NON-UNION MTCRPL/PHALANX,,30,,,"$10,388.46",$0.00,1,0,1,20110101,26548,CPT,RPR&RCNSTJ FINGER VOLAR PLATE INTERPHALANGEAL JT,,30,,,"$10,388.46",$0.00,1,0,1,20110101,26550,CPT,POLLICIZATION DIGIT,,30,,,"$10,388.46",$0.00,1,0,1,20110101,26555,CPT,TR FNGR AXH POS W/O MVASC ANAST,,30,,,"$10,388.46",$0.00,1,0,1,20110101,26560,CPT,REPAIR SYNDACTYLY EACH SPACE W/SKIN FLAPS,,30,,,"$6,269.67",$0.00,1,0,1,20110101,26561,CPT,REPAIR SYNDACTYLY EACH SPACE W/SKIN FLAPS&GRAFTS,,30,,,"$10,388.46",$0.00,1,0,1,20110101,26562,CPT,REPAIR SYNDACTYLY EACH SPACE COMPLEX,,30,,,"$10,388.46",$0.00,1,0,1,20110101,26565,CPT,OSTEOTOMY METACARPAL EACH,,30,,,"$10,388.46",$0.00,1,0,1,20110101,26567,CPT,OSTEOTOMY PHALANX FINGER EACH,,30,,,"$10,388.46",$0.00,1,0,1,20110101,26568,CPT,OSTEOPLASTY LENGTHENING METACARPAL/PHALANX,,30,,,"$10,388.46",$0.00,1,0,1,20110101,26580,CPT,REPAIR CLEFT HAND,,30,,,"$6,269.67",$0.00,1,0,1,20110101,26587,CPT,RCNSTJ POLYDACTYLOUS DGT SOFT TISS&B1,,30,,,"$6,269.67",$0.00,1,0,1,20110101,26590,CPT,REPAIR MACRODACTYLIA EACH DIGIT,,30,,,"$6,269.67",$0.00,1,0,1,20110101,26591,CPT,REPAIR INTRINSIC MUSCLES HAND EACH MUSCLE,,30,,,"$10,388.46",$0.00,1,0,1,20110101,26593,CPT,RELEASE INTRINSIC MUSCLES HAND EACH MUSCLE,,30,,,"$6,269.67",$0.00,1,0,1,20110101,26596,CPT,EXC CONSTRICTING RING FNGR W/MLT Z-PLASTIES,,30,,,"$6,269.67",$0.00,1,0,1,20110101,26600,CPT,CLTX MTCRPL FX 1 W/O MNPJ EA B1,,30,,,$609.83,$0.00,1,0,1,20110101,26605,CPT,CLTX MTCRPL FX 1 W/MNPJ EA B1,,30,,,$609.83,$0.00,1,0,1,20110101,26607,CPT,CLTX MTCRPL FX W/MNPJ W/XTRNL FIXJ EA B1,,30,,,"$6,767.88",$0.00,1,0,1,20110101,26608,CPT,PRQ SKEL FIXJ MTCRPL FX EA B1,,30,,,"$9,508.13",$0.00,1,0,1,20110101,26615,CPT,OPEN TX METACARPAL FRACTURE SINGLE EA BONE,,30,,,"$15,690.20",$0.00,1,0,1,20110101,26641,CPT,CLTX CARP/MTCRPL DISLC THMB W/MNPJ,,30,,,$609.83,$0.00,1,0,1,20110101,26645,CPT,CLTX CARP/MTCRPL FX DISLC THMB W/MNPJ,,30,,,"$1,763.89",$0.00,1,0,1,20110101,26650,CPT,PRQ SKEL FIXATION CARP/MTCRPL FX DISLOCATE THUMB,,30,,,"$9,508.13",$0.00,1,0,1,20110101,26665,CPT,OPEN TX CARPOMETACARPAL FRACTURE DISLOCATE THUMB,,30,,,"$15,690.20",$0.00,1,0,1,20110101,26670,CPT,CLTX CARP/MTCRPL DISLC THMB MNPJ EA W/O ANES,,30,,,$609.83,$0.00,1,0,1,20110101,26675,CPT,CLTX CARP/MTCRPL DISLC THMB MNPJ EA JT REQ ANES,,30,,,$563.35,$0.00,1,0,1,20110101,26676,CPT,PRQ SKEL FIXJ CARP/MTCRPL DISLC THMB MNPJ EA JT,,30,,,"$9,508.13",$0.00,1,0,1,20110101,26685,CPT,OPEN TX CARPOMETACARPAL DISLOCATE NOT THUMB,,30,,,"$9,508.13",$0.00,1,0,1,20110101,26686,CPT,OPTX CARP/MTCRPL DISLC THMB CPLX MLT/DLYD RDCTJ,,30,,,"$19,922.44",$0.00,1,0,1,20110101,26700,CPT,CLTX MTCARPHLNGL DISLC 1 W/MNPJ W/O ANES,,30,,,$609.83,$0.00,1,0,1,20110101,26705,CPT,CLTX MTCARPHLNGL DISLC 1 W/MNPJ REQ ANES,,30,,,$609.83,$0.00,1,0,1,20110101,26706,CPT,PRQ SKEL FIXJ MTCARPHLNGL DISLC 1 W/MNPJ,,30,,,"$6,767.88",$0.00,1,0,1,20110101,26715,CPT,OPEN TREATMENT METACARPOPHALANGEAL DISLOCATION 1,,30,,,"$9,508.13",$0.00,1,0,1,20110101,26720,CPT,CLTX PHLNGL FX PROX/MIDDLE PX/F/T W/O MNPJ EA,,30,,,$609.83,$0.00,1,0,1,20110101,26725,CPT,CLTX PHLNGL FX PROX/MIDDLE PX/F/T W/MNPJ EA,,30,,,$609.83,$0.00,1,0,1,20110101,26727,CPT,PRQ SKEL FIXJ PHLNGL SHFT FX PROX/MIDDLE PX/F/T,,30,,,"$9,508.13",$0.00,1,0,1,20110101,26735,CPT,OPEN TX PHALANGEAL SHAFT FRACTURE PROX/MIDDLE EA,,30,,,"$9,508.13",$0.00,1,0,1,20110101,26740,CPT,CLTX ARTICULAR FX INVG MTCARPHLNGL/IPHAL JT W/O,,30,,,$609.83,$0.00,1,0,1,20110101,26742,CPT,CLTX ARTICULAR FX INVG MTCARPHLNGL/IPHAL JT W/,,30,,,$609.83,$0.00,1,0,1,20110101,26746,CPT,OPEN TX ARTICULAR FRACTURE MCP/IP JOINT EA,,30,,,"$9,508.13",$0.00,1,0,1,20110101,26750,CPT,CLTX DSTL PHLNGL FX FNGR/THMB W/O MNPJ EA,,30,,,$609.83,$0.00,1,0,1,20110101,26755,CPT,CLTX DSTL PHLNGL FX FNGR/THMB W/MNPJ EA,,30,,,$609.83,$0.00,1,0,1,20110101,26756,CPT,PRQ SKEL FIXJ DSTL PHLNGL FX FNGR/THMB EA,,30,,,"$9,508.13",$0.00,1,0,1,20110101,26765,CPT,OPEN TX DISTAL PHALANGEAL FRACTURE EACH,,30,,,"$9,508.13",$0.00,1,0,1,20110101,26770,CPT,CLTX IPHAL JT DISLC 1 W/MNPJ W/O ANES,,30,,,$609.83,$0.00,1,0,1,20110101,26775,CPT,CLTX IPHAL JT DISLC 1 W/MNPJ REQ ANES,,30,,,"$5,625.91",$0.00,1,0,1,20110101,26776,CPT,PRQ SKEL FIXJ IPHAL JT DISLC 1 W/MNPJ,,30,,,"$9,508.13",$0.00,1,0,1,20110101,26785,CPT,OPEN TX INTERPHALANGEAL JOINT DISLOCATION 1,,30,,,"$9,508.13",$0.00,1,0,1,20110101,26820,CPT,FUSION OPPOSITION THUMB W/AUTOGENOUS GRAFT,,30,,,"$10,388.46",$0.00,1,0,1,20110101,26841,CPT,ARTHRD CARP/MTCRPL JT THMB +-INT FIXJ,,30,,,"$10,388.46",$0.00,1,0,1,20110101,26842,CPT,ARTHRD CARP/MTCRPL JT THMB +-INT FIXJ W/AGRFT,,30,,,"$10,388.46",$0.00,1,0,1,20110101,26843,CPT,ARTHRD CARP/MTCRPL JT DGT OTHER THAN THUMB EACH,,30,,,"$10,388.46",$0.00,1,0,1,20110101,26844,CPT,ARTHRD CARP/MTCRPL JT DGT OTH/THN THMB W/AGRFT,,30,,,"$10,388.46",$0.00,1,0,1,20110101,26850,CPT,ARTHRD MTCARPHLNGL JT +-INT FIXJ,,30,,,"$10,388.46",$0.00,1,0,1,20110101,26852,CPT,ARTHRD MTCARPHLNGL JT +-INT FIXJ W/AGRFT,,30,,,"$10,388.46",$0.00,1,0,1,20110101,26860,CPT,ARTHRD IPHAL JT +-INT FIXJ,,30,,,"$10,388.46",$0.00,1,0,1,20110101,26861,CPT,ARTHRD IPHAL JT +-INT FIXJ EA IPHAL JT,,30,,,"$10,388.46",$0.00,1,0,1,20110101,26862,CPT,ARTHRD IPHAL JT +-INT FIXJ W/AGRFT,,30,,,"$10,388.46",$0.00,1,0,1,20110101,26863,CPT,ARTHRD IPHAL JT +-INT FIXJ W/AGRFT EA JT,,30,,,"$10,388.46",$0.00,1,0,1,20110101,26910,CPT,AMP MTCRPL W/FNGR/THMB 1 +-INTEROSS TR,,30,,,"$10,388.46",$0.00,1,0,1,20110101,26951,CPT,AMP F/TH 1/2 JT/PHALANX 1 W/NEURECT W/DIR CLSR,,30,,,"$6,269.67",$0.00,1,0,1,20110101,26952,CPT,AMP F/TH 1/2 JT/PHALANX 1 W/NEURECT LOCAL FLAP,,30,,,"$6,269.67",$0.00,1,0,1,20110101,26989,CPT,UNLIS PX HANDS/FNGRS,,30,,,$609.83,$0.00,1,0,1,20110101,26990,CPT,I&D PELVIS/HIP JT AREA DP ABSC/HMTMA,,30,,,"$8,099.16",$0.00,1,0,1,20110101,26991,CPT,I&D PELVIS/HIP JT AREA INFCT BURSA,,30,,,"$8,099.16",$0.00,1,0,1,20110101,27000,CPT,TENOTOMY ADDUCTOR HIP PERCUTANEOUS SPX,,30,,,"$8,099.16",$0.00,1,0,1,20110101,27001,CPT,TENOTOMY ADDUCTOR HIP OPEN,,30,,,"$11,688.66",$0.00,1,0,1,20110101,27003,CPT,TX ADDUXOR SUBQ OPN W/OBTURATOR NEURECTOMY,,30,,,"$11,688.66",$0.00,1,0,1,20110101,27006,CPT,TENOTOMY ABDUCTORS&/EXTENSOR HIP OPEN SPX,,30,,,"$11,688.66",$0.00,1,0,1,20110101,27027,CPT,DECOMPRESSION FASCIOTOMY PELVIC COMPARTMENT UNI,,30,,,"$8,099.16",$0.00,1,0,1,20110101,27033,CPT,ARTHROTOMY HIP EXPLORATION/REMOVAL FOREIGN BODY,,30,,,"$15,967.98",$0.00,1,0,1,20110101,27035,CPT,DNRVTJ HIP JT INTRAPEL/XTRPEL INTRA-ARTCLR BRNCH,,30,,,"$15,967.98",$0.00,1,0,1,20110101,27040,CPT,BIOPSY SOFT TISSUE PELVIS&HIP AREA SUPERFICIAL,,30,,,"$3,017.75",$0.00,1,0,1,20110101,27041,CPT,BIOPSY SOFT TISSUE PELVIS&HIP DEEP/SUBFSCAL/IM,,30,,,"$3,017.75",$0.00,1,0,1,20110101,27043,CPT,EXCISION TUMOR SOFT TISSUE PELVIS&HIP SUBQ 3+CM,,30,,,"$8,604.32",$0.00,1,0,1,20110101,27045,CPT,EXC TUMOR SOFT TISSUE PELVIS & HIP SUBFASC 5+CM,,30,,,"$8,604.32",$0.00,1,0,1,20110101,27047,CPT,EXC TUMOR SOFT TISSUE PELVIS & HIP SUBQ <3CM,,30,,,"$6,437.25",$0.00,1,0,1,20110101,27048,CPT,EXC TUMOR SOFT TISSUE PELVIS & HIP SUBFASC <5CM,,30,,,"$6,437.25",$0.00,1,0,1,20110101,27049,CPT,RAD RESECT TUMOR SOFT TISSUE PELVIS & HIP <5CM,,30,,,"$6,437.25",$0.00,1,0,1,20110101,27050,CPT,ARTHROTOMY W/BIOPSY SACROILIAC JOINT,,30,,,"$8,099.16",$0.00,1,0,1,20110101,27052,CPT,ARTHROTOMY W/BIOPSY HIP JOINT,,30,,,"$8,099.16",$0.00,1,0,1,20110101,27057,CPT,DCMPRN FASCIOTOMY PELVIC CMPRT DBRDMT MUSCLE UNI,,30,,,"$8,099.16",$0.00,1,0,1,20110101,27059,CPT,RAD RESECTION TUMOR SOFT TISS PELVIS&HIP 5+CM,,30,,,"$8,604.32",$0.00,1,0,1,20110101,27060,CPT,EXCISION ISCHIAL BURSA,,30,,,"$8,099.16",$0.00,1,0,1,20110101,27062,CPT,EXCISION TROCHANTERIC BURSA/CALCIFICATION,,30,,,"$8,099.16",$0.00,1,0,1,20110101,27065,CPT,EXC B1 CST/B9 TUM SUPFC +-AGRFT,,30,,,"$8,099.16",$0.00,1,0,1,20110101,27066,CPT,EXC B1 CST/B9 TUM DP +-AGRFT,,30,,,"$11,688.66",$0.00,1,0,1,20110101,27067,CPT,EXC B1 CST/B9 TUM W/AGRFT REQ SEP INC,,30,,,"$11,688.66",$0.00,1,0,1,20110101,27080,CPT,COCCYGECTOMY PRIMARY,,30,,,"$11,688.66",$0.00,1,0,1,20110101,27086,CPT,RMVL FOREIGN BODY PELVIS/HIP SUBCUTANEOUS TISS,,30,,,"$3,017.75",$0.00,1,0,1,20110101,27087,CPT,REMOVAL FOREIGN BODY PELVIS/HIP DEEP,,30,,,"$8,099.16",$0.00,1,0,1,20110101,27096,CPT,INJECTION SI JOINT ARTHROGRAPHY&/ANES/STEROID,,30,,,"$1,528.82",$0.00,1,0,1,20110101,27097,CPT,RELEASE/RECESSION HAMSTRING PROXIMAL,,30,,,"$11,688.66",$0.00,1,0,1,20110101,27098,CPT,TRANSFER ADDUCTOR ISCHIUM,,30,,,"$11,688.66",$0.00,1,0,1,20110101,27100,CPT,TR XTRNL OBLQ MUSC TRCHNTR W/FSCAL/TDN XTN GRF,,30,,,"$15,967.98",$0.00,1,0,1,20110101,27105,CPT,TR PARASPI MUSC HIP FASC/TDN XTN GRF,,30,,,"$15,967.98",$0.00,1,0,1,20110101,27110,CPT,TRANSFER ILIOPSOAS GREATER TROCHANTER FEMUR,,30,,,"$15,967.98",$0.00,1,0,1,20110101,27111,CPT,TRANSFER ILIOPSOAS FEMORAL NECK,,30,,,"$15,967.98",$0.00,1,0,1,20110101,27130,CPT,ARTHRP ACETBLR/PROX FEM PROSTC AGRFT/ALGRFT,,30,,,"$19,335.55",$0.00,1,0,1,20110101,27176,CPT,TX SLP FEM EPIPHYSIS 1/MLT PINNING SITU,,30,,,"$5,105.80",$0.00,1,0,1,20110101,27179,CPT,OPTX SLP FEM EPIPHYSIS OSTPL FEM NCK HEYMAN PX,,30,,,"$22,783.64",$0.00,1,0,1,20110101,27187,CPT,PROPH TX N/P/PLTWR +-MMA FEM NCK&PROX FEMUR,,30,,,$221.01,$0.00,1,0,1,20110101,27193,CPT,CLTX PEL RING FX DISLC DIAST/SUBLXTJ W/O MNPJ,,30,,,$609.83,$0.00,1,0,1,20110101,27194,CPT,CLTX PEL RING FX DISLC DIAST/SUBLXTJ W/MNPJ ANES,,30,,,"$5,625.91",$0.00,1,0,1,20110101,27200,CPT,CLOSED TREATMENT COCCYGEAL FRACTURE,,30,,,$609.83,$0.00,1,0,1,20110101,27202,CPT,OPEN TREATMENT COCCYGEAL FRACTURE,,30,,,"$15,690.20",$0.00,1,0,1,20110101,27216,CPT,PERQ SKELETAL FIXATION PST PELVIC BONE FX&/DISLC,,30,,,"$18,345.84",$0.00,1,0,1,20110101,27220,CPT,CLTX ACETABULUM HIP/SOCKT FX W/O MNPJ,,30,,,$609.83,$0.00,1,0,1,20110101,27230,CPT,CLTX FEM FX PROX END NCK W/O MNPJ,,30,,,$609.83,$0.00,1,0,1,20110101,27235,CPT,PRQ SKEL FIXJ FEM FX PROX END NCK,,30,,,"$11,688.66",$0.00,1,0,1,20110101,27238,CPT,CLTX INTER/PERI/SUBTROCHANTERIC FEM FX W/O MNPJ,,30,,,"$1,763.89",$0.00,1,0,1,20110101,27246,CPT,CLTX GRTER TRCHNTRIC FX W/O MNPJ,,30,,,"$1,763.89",$0.00,1,0,1,20110101,27250,CPT,CLTX HIP DISLC TRAUMTC W/O ANES,,30,,,$609.83,$0.00,1,0,1,20110101,27252,CPT,CLTX HIP DISLC TRAUMTC REQ ANES,,30,,,"$5,625.91",$0.00,1,0,1,20110101,27256,CPT,TX SPON HIP DISLC ABDCT SPLNT/TRCJ W/O ANES,,30,,,$609.83,$0.00,1,0,1,20110101,27257,CPT,TX SPON HIP DISLC ABDCT SPLNT/TRCJ W/MNPJ ANES,,30,,,"$5,625.91",$0.00,1,0,1,20110101,27265,CPT,CLTX POST HIP ARTHRP DISLC W/O ANES,,30,,,$609.83,$0.00,1,0,1,20110101,27266,CPT,CLTX POST HIP ARTHRP DISLC REQ ANES,,30,,,"$5,625.91",$0.00,1,0,1,20110101,27267,CPT,CLOSED TX FEMORAL FRACTURE PROX HEAD W/O MNPJ,,30,,,$609.83,$0.00,1,0,1,20110101,27275,CPT,MANIPULATION HIP JOINT GENERAL ANESTHESIA,,30,,,"$5,625.91",$0.00,1,0,1,20110101,27299,CPT,UNLISTED PROCEDURE PELVIS/HIP JOINT,,30,,,$609.83,$0.00,1,0,1,20110101,27301,CPT,I&D DP ABSC BURSA/HMTMA THI/KNE REGION,,30,,,"$7,139.49",$0.00,1,0,1,20110101,27305,CPT,FASCIOTOMY ILIOTIBIAL OPEN,,30,,,"$8,099.16",$0.00,1,0,1,20110101,27306,CPT,TENOTOMY PRQ ADDUCTOR/HAMSTRING 1 TENDON SPX,,30,,,"$8,099.16",$0.00,1,0,1,20110101,27307,CPT,TENOTOMY PRQ ADDUCTOR/HAMSTRING MULTIPLE TENDON,,30,,,"$8,099.16",$0.00,1,0,1,20110101,27310,CPT,ARTHRT KNE W/EXPL DRG/RMVL FB,,30,,,"$11,688.66",$0.00,1,0,1,20110101,27323,CPT,BIOPSY SOFT TISSUE THIGH/KNEE AREA SUPERFICIAL,,30,,,"$3,017.75",$0.00,1,0,1,20110101,27324,CPT,BIOPSY SOFT TISSUE THIGH/KNEE AREA DEEP,,30,,,"$8,604.32",$0.00,1,0,1,20110101,27325,CPT,NEURECTOMY HAMSTRING MUSCLE,,30,,,"$6,886.99",$0.00,1,0,1,20110101,27326,CPT,NEURECTOMY POPLITEAL,,30,,,"$6,886.99",$0.00,1,0,1,20110101,27327,CPT,EXCISION TUMOR SOFT TISSUE THIGH/KNEE SUBQ <3CM,,30,,,"$8,604.32",$0.00,1,0,1,20110101,27328,CPT,EXC TUMOR SOFT TISSUE THIGH/KNEE SUBFASC <5CM,,30,,,"$6,437.25",$0.00,1,0,1,20110101,27329,CPT,RAD RESECT TUMOR SOFT TISSUE THIGH/KNEE <5CM,,30,,,"$6,437.25",$0.00,1,0,1,20110101,27330,CPT,ARTHROTOMY KNEE W/SYNOVIAL BIOPSY ONLY,,30,,,"$11,688.66",$0.00,1,0,1,20110101,27331,CPT,ARTHRT KNE W/JT EXPL BX/RMVL LOOSE/FB,,30,,,"$11,688.66",$0.00,1,0,1,20110101,27332,CPT,ARTHRT W/EXC SEMILUNAR CRTLG KNE MEDIAL/LAT,,30,,,"$11,688.66",$0.00,1,0,1,20110101,27333,CPT,ARTHRT W/EXC SEMILUNAR CRTLG KNE MEDIAL&LAT,,30,,,"$11,688.66",$0.00,1,0,1,20110101,27334,CPT,ARTHROTOMY W/SYNOVECTOMY KNEE ANTERIOR/POSTERIOR,,30,,,"$11,688.66",$0.00,1,0,1,20110101,27335,CPT,ARTHRT W/SYNVCT KNE ANT&PST W/POP AREA,,30,,,"$11,688.66",$0.00,1,0,1,20110101,27337,CPT,EXCISON TUMOR SOFT TISSUE THIGH/KNEE SUBQ 3+CM,,30,,,"$8,604.32",$0.00,1,0,1,20110101,27339,CPT,EXC TUMOR SOFT TISSUE THIGH/KNEE SUBFASC 5+CM,,30,,,"$8,604.32",$0.00,1,0,1,20110101,27340,CPT,EXCISION PREPATELLAR BURSA,,30,,,"$8,099.16",$0.00,1,0,1,20110101,27345,CPT,EXCISION SYNOVIAL CYST POPLITEAL SPACE,,30,,,"$8,099.16",$0.00,1,0,1,20110101,27347,CPT,EXCISION LESION MENISCUS/CAPSULE KNEE,,30,,,"$8,099.16",$0.00,1,0,1,20110101,27350,CPT,PATELLECTOMY/HEMIPATELLECTOMY,,30,,,"$11,688.66",$0.00,1,0,1,20110101,27355,CPT,EXCISION/CURETTAGE CYST/TUMOR FEMUR,,30,,,"$11,688.66",$0.00,1,0,1,20110101,27356,CPT,EXCISION/CURETTAGE CYST/TUMOR FEMUR W/ALLOGRAFT,,30,,,"$11,688.66",$0.00,1,0,1,20110101,27357,CPT,EXCISION/CURETTAGE CYST/TUMOR FEMUR W/AUTOGRAFT,,30,,,"$11,688.66",$0.00,1,0,1,20110101,27358,CPT,EXCISION/CURETTAGE CYST/TUMOR FEMUR INT FIXATION,,30,,,"$11,688.66",$0.00,1,0,1,20110101,27360,CPT,PRTL EXC B1 FEMUR PROX TIBIA&/FIBULA,,30,,,"$11,688.66",$0.00,1,0,1,20110101,27364,CPT,RAD RESECTION TUMOR SOFT TISSUE THIGH/KNEE 5+CM,,30,,,"$8,604.32",$0.00,1,0,1,20110101,27365,CPT,RADICAL RESECTION TUMOR FEMOR OR KNEE,,30,,,"$2,723.75",$0.00,1,0,1,20110101,27372,CPT,REMOVAL FOREIGN BODY DEEP THIGH/KNEE,,30,,,"$8,604.32",$0.00,1,0,1,20110101,27380,CPT,SUTURE INFRAPATELLAR TENDON PRIMARY,,30,,,"$8,099.16",$0.00,1,0,1,20110101,27381,CPT,SUTR INFRAPATELLAR TDN 2 RCNSTJ W/FSCAL/TDN GRF,,30,,,"$8,099.16",$0.00,1,0,1,20110101,27385,CPT,SUTURE QUADRICEPS/HAMSTRING RUPTURE PRIMARY,,30,,,"$8,099.16",$0.00,1,0,1,20110101,27386,CPT,SUTR QUADRICEPS/HAMSTRING MUSC RPT 2 RCNSTJ,,30,,,"$8,099.16",$0.00,1,0,1,20110101,27390,CPT,TENOTOMY OPEN HAMSTRING KNEE HIP SINGLE TENDON,,30,,,"$8,099.16",$0.00,1,0,1,20110101,27391,CPT,TENOTOMY OPN HAMSTRING KNEE HIP MULTIPLE 1 LEG,,30,,,"$8,099.16",$0.00,1,0,1,20110101,27392,CPT,TENOTOMY OPEN HAMSTRING KNEE HIP MULTIPLE BI,,30,,,"$8,099.16",$0.00,1,0,1,20110101,27393,CPT,LENGTHENING HAMSTRING TENDON SINGLE,,30,,,"$11,688.66",$0.00,1,0,1,20110101,27394,CPT,LENGTHENING HAMSTRING TENDON MULTIPLE 1 LEG,,30,,,"$11,688.66",$0.00,1,0,1,20110101,27395,CPT,LENGTHENING HAMSTRING TENDON MULTIPLE BILATERAL,,30,,,"$15,967.98",$0.00,1,0,1,20110101,27396,CPT,TRANSPLANT/TRANSFER THIGH XTNSR TO FLXR 1 TENDON,,30,,,"$11,688.66",$0.00,1,0,1,20110101,27397,CPT,TRANSPLANT/TRANSFER THIGH XTNSR TO FLXR MULT TDN,,30,,,"$15,967.98",$0.00,1,0,1,20110101,27400,CPT,TRANSFER TENDON/MUSCLE HAMSTRINGS FEMUR,,30,,,"$15,967.98",$0.00,1,0,1,20110101,27403,CPT,ARTHROTOMY W/MENISCUS REPAIR KNEE,,30,,,"$11,688.66",$0.00,1,0,1,20110101,27405,CPT,RPR PRIMARY TORN LIGM&/CAPSULE KNEE COLLATERAL,,30,,,"$15,967.98",$0.00,1,0,1,20110101,27407,CPT,REPAIR PRIMARY TORN LIGM&/CAPSULE KNEE CRUCIATE,,30,,,"$22,783.64",$0.00,1,0,1,20110101,27409,CPT,RPR 1 TORN LIGM&/CAPSL KNE COLTRL&CRUCIATE LIGMS,,30,,,"$22,594.62",$0.00,1,0,1,20110101,27412,CPT,AUTOLOGOUS CHONDROCYTE IMPLANTATION KNEE,,30,,,"$22,783.64",$0.00,1,0,1,20110101,27415,CPT,OSTEOCHONDRAL ALLOGRAFT KNEE OPEN,,30,,,"$22,783.64",$0.00,1,0,1,20110101,27416,CPT,OSTEOCHONDRAL AUTOGRAFT KNEE OPEN MOSAICPLASTY,,30,,,"$15,967.98",$0.00,1,0,1,20110101,27418,CPT,ANTERIOR TIBIAL TUBERCLEPLASTY,,30,,,"$15,967.98",$0.00,1,0,1,20110101,27420,CPT,RCNSTJ DISLOCATING PATELLA,,30,,,"$15,967.98",$0.00,1,0,1,20110101,27422,CPT,RCNSTJ DISLC PATELLA W/XTNSR RELIGNMT&/MUSC RLS,,30,,,"$15,967.98",$0.00,1,0,1,20110101,27424,CPT,RCNSTJ DISLC PATELLA W/PATELLECTOMY,,30,,,"$15,967.98",$0.00,1,0,1,20110101,27425,CPT,LATERAL RETINACULAR RELEASE OPEN,,30,,,"$11,688.66",$0.00,1,0,1,20110101,27427,CPT,LIGAMENTOUS RECONSTRUCTION KNEE EXTRA-ARTICULAR,,30,,,"$22,594.62",$0.00,1,0,1,20110101,27428,CPT,LIGAMENTOUS RECONSTRUCTION KNEE INTRA-ARTICULAR,,30,,,"$22,783.64",$0.00,1,0,1,20110101,27429,CPT,LIGMOUS RCNSTJ AGMNTJ KNE INTRA-ARTICULAR XTR,,30,,,"$22,783.64",$0.00,1,0,1,20110101,27430,CPT,QUADRICEPSPLASTY,,30,,,"$15,967.98",$0.00,1,0,1,20110101,27435,CPT,CAPSULOTOMY POSTERIOR CAPSULAR RELEASE KNEE,,30,,,"$15,967.98",$0.00,1,0,1,20110101,27437,CPT,ARTHROPLASTY PATELLA W/O PROSTHESIS,,30,,,"$14,218.60",$0.00,1,0,1,20110101,27438,CPT,ARTHROPLASTY PATELLA W/PROSTHESIS,,30,,,"$18,549.10",$0.00,1,0,1,20110101,27440,CPT,ARTHROPLASTY KNEE TIBIAL PLATEAU,,30,,,"$14,218.60",$0.00,1,0,1,20110101,27441,CPT,ARTHRP KNEE TIBIAL PLATEAU DBRDMT&PRTL SYNVCT,,30,,,"$14,218.60",$0.00,1,0,1,20110101,27442,CPT,ARTHROPLASTY FEM CONDYLES/TIBIAL PLATEAU KNEE,,30,,,"$14,218.60",$0.00,1,0,1,20110101,27443,CPT,ARTHRP FEM CONDYLES/TIBL PLATU KNE DBRDMT&PRTL,,30,,,"$14,218.60",$0.00,1,0,1,20110101,27446,CPT,ARTHRP KNEE CONDYLE&PLATEAU MEDIAL/LAT CMPRT,,30,,,"$23,227.84",$0.00,1,0,1,20110101,27447,CPT,ARTHRP KNE CONDYLE&PLATU MEDIAL&LAT CMPRTS,,30,,,"$13,254.81",$0.00,1,0,1,20110101,27457,CPT,OSTEOT PROX TIBIA FIB EXC/OSTEOT AFTER EPIPHYSL,,30,,,"$3,797.41",$0.00,1,0,1,20110101,27475,CPT,ARREST EPIPHYSEAL DISTAL FEMUR,,30,,,"$11,688.66",$0.00,1,0,1,20110101,27477,CPT,ARREST EPIPHYSEAL TIBIA&FIBULA PROXIMAL,,30,,,"$2,862.29",$0.00,1,0,1,20110101,27479,CPT,ARRST EPIPHYSL CMBN DSTL FEMUR PROX TIBFIB,,30,,,"$11,688.66",$0.00,1,0,1,20110101,27485,CPT,ARRST HEMIEPIPHYSL DSTL FEMUR/PROX TIBIA/FIBULA,,30,,,"$7,648.31",$0.00,1,0,1,20110101,27496,CPT,DCMPRN FASCT THI&/KNE 1 CMPRT,,30,,,"$11,688.66",$0.00,1,0,1,20110101,27497,CPT,DCMPRN FASCT THI&/KNE 1 DBRDMT NV MUSC&/NRV,,30,,,"$8,099.16",$0.00,1,0,1,20110101,27498,CPT,DCMPRN FASCT THI&/KNE MLT CMPRTS,,30,,,"$11,688.66",$0.00,1,0,1,20110101,27499,CPT,DCMPRN FASCT THI&/KNE MLT DBRDMT NV MUSC&/NRV,,30,,,"$11,688.66",$0.00,1,0,1,20110101,27500,CPT,CLOSED TX FEMORAL SHAFT FX W/O MANIPULATION,,30,,,"$1,763.89",$0.00,1,0,1,20110101,27501,CPT,CLTX SPRCNDYLR/TRNSCNDYLR FEM FX W/O MNPJ,,30,,,$609.83,$0.00,1,0,1,20110101,27502,CPT,CLTX FEM SHFT FX W/MNPJ +-SKN/SKEL TRACJ,,30,,,"$6,767.88",$0.00,1,0,1,20110101,27503,CPT,CLTX SPRCNDYLR/TRNSCNDYLR FEM FX W/MNPJ,,30,,,$609.83,$0.00,1,0,1,20110101,27508,CPT,CLTX FEM FX DSTL END MEDIAL/LAT CONDYLE W/O MNPJ,,30,,,$609.83,$0.00,1,0,1,20110101,27509,CPT,PRQ SKEL FIXJ FEM FX DSTL END,,30,,,"$9,508.13",$0.00,1,0,1,20110101,27510,CPT,CLTX FEM FX DSTL END MEDIAL/LAT CONDYLE W/MNPJ,,30,,,"$1,763.89",$0.00,1,0,1,20110101,27514,CPT,OPEN TX FEMORAL FRACTURE DISTAL MED/LAT CONDYLE,,30,,,"$7,629.94",$0.00,1,0,1,20110101,27516,CPT,CLTX DSTL FEM EPIPHYSL SEP W/O MNPJ,,30,,,$609.83,$0.00,1,0,1,20110101,27517,CPT,CLTX DSTL FEM EPIPHYSL SEP W/MNPJ +-SKN/SKEL,,30,,,$609.83,$0.00,1,0,1,20110101,27520,CPT,CLOSED TX PATELLAR FRACTURE W/O MANIPULATION,,30,,,$609.83,$0.00,1,0,1,20110101,27524,CPT,OPTX PATLLR FX W/INT FIXJ/PATLLC&SOFT TISS RPR,,30,,,"$15,690.20",$0.00,1,0,1,20110101,27530,CPT,CLTX TIBL FX PROX W/O MNPJ,,30,,,$609.83,$0.00,1,0,1,20110101,27532,CPT,CLTX TIBL FX PROX +-MNPJ W/SKEL TRACJ,,30,,,"$6,767.88",$0.00,1,0,1,20110101,27535,CPT,OPEN TX TIBIAL FRACTURE PROXIMAL UNICONDYLAR,,30,,,"$8,147.36",$0.00,1,0,1,20110101,27538,CPT,CLTX INTERCONDYLAR SPI&/TUBRST FX KNE +-MNPJ,,30,,,$609.83,$0.00,1,0,1,20110101,27540,CPT,OPEN TX INTERCONDYLAR SPINE/TUBRST FRACTURE KNEE,,30,,,"$9,222.61",$0.00,1,0,1,20110101,27550,CPT,CLOSED TX KNEE DISLOCATION W/O ANESTHESIA,,30,,,$609.83,$0.00,1,0,1,20110101,27552,CPT,CLOSED TX KNEE DISLOCATION W/ANESTHESIA,,30,,,"$5,625.91",$0.00,1,0,1,20110101,27560,CPT,CLOSED TX PATELLAR DISLOCATION W/O ANESTHESIA,,30,,,$609.83,$0.00,1,0,1,20110101,27562,CPT,CLOSED TX PATELLAR DISLOCATION W/ANESTHESIA,,30,,,"$5,625.91",$0.00,1,0,1,20110101,27566,CPT,OPTX PATELLAR DISLC +-PRTL/TOT PATELLECTOMY,,30,,,"$15,690.20",$0.00,1,0,1,20110101,27570,CPT,MANIPULATION KNEE JOINT UNDER GENERAL ANESTHESIA,,30,,,"$5,625.91",$0.00,1,0,1,20110101,27594,CPT,AMP THIGH THRU FEMUR SEC CLOSURE/SCAR REVISION,,30,,,"$8,099.16",$0.00,1,0,1,20110101,27599,CPT,UNLISTED PROCEDURE FEMUR/KNEE,,30,,,$609.83,$0.00,1,0,1,20110101,27600,CPT,DCMPRN FASCT LEG ANT&/LAT CMPRTS ONLY,,30,,,"$8,099.16",$0.00,1,0,1,20110101,27601,CPT,DCMPRN FASCT LEG PST CMPRT ONLY,,30,,,"$8,099.16",$0.00,1,0,1,20110101,27602,CPT,DCMPRN FASCT LEG ANT&/LAT&PST CMPRT,,30,,,"$8,099.16",$0.00,1,0,1,20110101,27603,CPT,INCISION&DRAINAGE LEG/ANKLE ABSCESS/HEMATOMA,,30,,,"$7,139.49",$0.00,1,0,1,20110101,27604,CPT,INCISION&DRAINAGE LEG/ANKLE INFECTED BURSA,,30,,,"$8,099.16",$0.00,1,0,1,20110101,27605,CPT,TENOTOMY PRQ ACHILLES TENDON SPX LOCAL ANES,,30,,,"$8,036.29",$0.00,1,0,1,20110101,27606,CPT,TENOTOMY PRQ ACHILLES TENDON SPX GENERAL ANES,,30,,,"$8,099.16",$0.00,1,0,1,20110101,27607,CPT,INCISION LEG/ANKLE,,30,,,"$8,099.16",$0.00,1,0,1,20110101,27610,CPT,ARTHROTOMY ANKLE W/EXPL DRAINAGE/REMOVAL FB,,30,,,"$11,688.66",$0.00,1,0,1,20110101,27612,CPT,ARTHRT PST CAPSULAR RLS ANKLE +-ACHLL TDN LNGTH,,30,,,"$11,688.66",$0.00,1,0,1,20110101,27613,CPT,BIOPSY SOFT TISSUE LEG/ANKLE AREA SUPERFICIAL,,30,,,"$3,017.75",$0.00,1,0,1,20110101,27614,CPT,BIOPSY SOFT TISSUE LEG/ANKLE AREA DEEP,,30,,,"$8,604.32",$0.00,1,0,1,20110101,27615,CPT,RAD RESECTION TUMOR SOFT TISSUE LEG/ANKLE <5CM,,30,,,"$6,437.25",$0.00,1,0,1,20110101,27616,CPT,RAD RESCJ TUM SOFT TISSUE LEG/ANKLE 5+CM,,30,,,"$8,604.32",$0.00,1,0,1,20110101,27618,CPT,EXC TUMOR SOFT TISSUE LEG/ANKLE SUBQ <3CM,,30,,,"$6,437.25",$0.00,1,0,1,20110101,27619,CPT,EXC TUMOR SOFT TISSUE LEG/ANKLE SUBFASCIAL <3CM,,30,,,"$6,437.25",$0.00,1,0,1,20110101,27620,CPT,ARTHRT ANKLE W/JT EXPL +-BX +-RMVL LOOSE/FB,,30,,,"$11,688.66",$0.00,1,0,1,20110101,27625,CPT,ARTHROTOMY W/SYNOVECTOMY ANKLE,,30,,,"$11,688.66",$0.00,1,0,1,20110101,27626,CPT,ARTHROTOMY W/SYNOVECTOMY ANKLE TENOSYNOVECTOMY,,30,,,"$11,688.66",$0.00,1,0,1,20110101,27630,CPT,EXCISION LESION TENDON SHEATH/CAPSULE LEG&/ANKLE,,30,,,"$8,099.16",$0.00,1,0,1,20110101,27632,CPT,EXCISION TUMOR SOFT TISSUE LEG/ANKLE SUBQ 5+CM,,30,,,"$8,604.32",$0.00,1,0,1,20110101,27634,CPT,EXC TUMOR SOFT TISSUE LEG/ANKLE SUBFASC 5+CM,,30,,,"$8,604.32",$0.00,1,0,1,20110101,27635,CPT,EXCISION/CURETTAGE BONE CYST/TUMOR TIBIA/FIBULA,,30,,,"$11,688.66",$0.00,1,0,1,20110101,27637,CPT,EXC/CURETTAGE CYST/TUMOR TIBIA/FIBULA W/AGRAFT,,30,,,"$11,688.66",$0.00,1,0,1,20110101,27638,CPT,EXC/CURETTAGE CYST/TUMOR TIBIA/FIBULA W/ALGRAFT,,30,,,"$11,688.66",$0.00,1,0,1,20110101,27640,CPT,PARTIAL EXCISION BONE TIBIA,,30,,,"$15,967.98",$0.00,1,0,1,20110101,27641,CPT,PARTIAL EXCISION BONE FIBULA,,30,,,"$11,688.66",$0.00,1,0,1,20110101,27647,CPT,RADICAL RESECTION OF TUMOR TALUS OR CALCANEUS,,30,,,"$15,967.98",$0.00,1,0,1,20110101,27650,CPT,REPAIR PRIMARY OPEN/PRQ RUPTURED ACHILLES TENDON,,30,,,"$15,967.98",$0.00,1,0,1,20110101,27652,CPT,RPR PRIMARY OPEN/PRQ RUPTURED ACHILLES W/GRAFT,,30,,,"$22,783.64",$0.00,1,0,1,20110101,27654,CPT,REPAIR SECONDARY ACHILLES TENDON +-GRAFT,,30,,,"$15,967.98",$0.00,1,0,1,20110101,27656,CPT,REPAIR FASCIAL DEFECT LEG,,30,,,"$8,099.16",$0.00,1,0,1,20110101,27658,CPT,REPAIR FLEXOR TENDON LEG PRIMARY W/O GRAFT EACH,,30,,,"$8,099.16",$0.00,1,0,1,20110101,27659,CPT,RPR FLEXOR TENDON LEG SECONDARY W/O GRAFT EACH,,30,,,"$8,099.16",$0.00,1,0,1,20110101,27664,CPT,RPR EXTENSOR TENDON LEG PRIMARY W/O GRAFT EACH,,30,,,"$11,688.66",$0.00,1,0,1,20110101,27665,CPT,RPR EXTENSOR TENDON LEG SECONDARY +/-GRAFT EACH,,30,,,"$11,688.66",$0.00,1,0,1,20110101,27675,CPT,RPR DISLOCATING PERONEAL TENDON W/O FIB OSTEOT,,30,,,"$8,099.16",$0.00,1,0,1,20110101,27676,CPT,REPAIR DISLOCATING PERONEAL TENDON W/FIB OSTEOT,,30,,,"$11,688.66",$0.00,1,0,1,20110101,27680,CPT,TENOLYSIS FLXR/XTNSR TENDON LEG&/ANKLE 1 EACH,,30,,,"$11,688.66",$0.00,1,0,1,20110101,27681,CPT,TNOLS FLXR/XTNSR TDN LEG&/ANKLE MLT TDN,,30,,,"$11,688.66",$0.00,1,0,1,20110101,27685,CPT,LNGTH/SHRT TDN LEG/ANKLE 1 TDN SPX,,30,,,"$11,688.66",$0.00,1,0,1,20110101,27686,CPT,LNGTH/SHRT TDN LEG/ANKLE MLT TDN SAME INC EA,,30,,,"$11,688.66",$0.00,1,0,1,20110101,27687,CPT,GASTROCNEMIUS RECESSION,,30,,,"$11,688.66",$0.00,1,0,1,20110101,27690,CPT,TR/TRNSPL 1 TDN W/MUSC REDIRION/REROUTING SUPFC,,30,,,"$15,967.98",$0.00,1,0,1,20110101,27691,CPT,TR/TRNSPL 1 TDN W/MUSC REDIRION/REROUTING DP,,30,,,"$15,967.98",$0.00,1,0,1,20110101,27692,CPT,TR/TRNSPL 1 TDN W/MUSC REDIRION/REROUTING EA TDN,,30,,,"$15,967.98",$0.00,1,0,1,20110101,27695,CPT,RPR PRIMARY DISRUPTED LIGAMENT ANKLE COLLATERAL,,30,,,"$11,688.66",$0.00,1,0,1,20110101,27696,CPT,RPR PRIM DISRUPTED LIGM ANKLE BTH COLTRL LIGMS,,30,,,"$11,688.66",$0.00,1,0,1,20110101,27698,CPT,REPAIR SECONDARY DISRUPTED LIGAMENT ANKLE COLTRL,,30,,,"$11,688.66",$0.00,1,0,1,20110101,27700,CPT,ARTHROPLASTY ANKLE,,30,,,"$14,218.60",$0.00,1,0,1,20110101,27704,CPT,REMOVAL ANKLE IMPLANT,,30,,,"$8,099.16",$0.00,1,0,1,20110101,27705,CPT,OSTEOTOMY TIBIA,,30,,,"$15,967.98",$0.00,1,0,1,20110101,27707,CPT,OSTEOTOMY FIBULA,,30,,,"$8,099.16",$0.00,1,0,1,20110101,27709,CPT,OSTEOTOMY TIBIA&FIBULA,,30,,,"$11,688.66",$0.00,1,0,1,20110101,27720,CPT,REPAIR NONUNION/MALUNION TIBIA W/O GRAFT,,30,,,"$15,690.20",$0.00,1,0,1,20110101,27722,CPT,REPAIR NONUNION/MALUNION TIBIA W/SLIDING GRAFT,,30,,,"$19,922.44",$0.00,1,0,1,20110101,27724,CPT,RPR NON/MAL TIBIA W/ILIAC/OTH AGRFT,,30,,,"$10,637.78",$0.00,1,0,1,20110101,27726,CPT,REPAIR FIBULA NONUNION/MALUNION W INT FIXATION,,30,,,"$15,690.20",$0.00,1,0,1,20110101,27730,CPT,ARREST EPIPHYSEAL OPEN DISTAL TIBIA,,30,,,"$11,688.66",$0.00,1,0,1,20110101,27732,CPT,ARREST EPIPHYSEAL OPEN DISTAL FIBULA,,30,,,"$11,688.66",$0.00,1,0,1,20110101,27734,CPT,ARREST EPIPHYSEAL OPEN DISTAL TIBIA&FIBULA,,30,,,"$11,688.66",$0.00,1,0,1,20110101,27740,CPT,ARRST EPIPHYSL ANY METH TIBFIB,,30,,,"$11,688.66",$0.00,1,0,1,20110101,27742,CPT,ARRST EPIPHYSL ANY METH TIBFIB&DSTL FEMUR,,30,,,"$15,967.98",$0.00,1,0,1,20110101,27745,CPT,PROPH TX N/P/PLTWR +-MMA TIBIA,,30,,,"$22,783.64",$0.00,1,0,1,20110101,27750,CPT,CLTX TIBL SHFT FX W/O MNPJ,,30,,,$609.83,$0.00,1,0,1,20110101,27752,CPT,CLTX TIBL SHFT FX W/MNPJ +-SKEL TRACJ,,30,,,"$6,767.88",$0.00,1,0,1,20110101,27756,CPT,PRQ SKEL FIXJ TIBL SHFT FX,,30,,,"$9,508.13",$0.00,1,0,1,20110101,27758,CPT,OPTX TIBL SHFT FX W/PLATE/SCREWS +-CERCLAGE,,30,,,"$15,690.20",$0.00,1,0,1,20110101,27759,CPT,TX TIBL SHFT FX IMED IMPLT +-SCREWS&/CERCLAGE,,30,,,"$19,922.44",$0.00,1,0,1,20110101,27760,CPT,CLTX MEDIAL MALLS FX W/O MNPJ,,30,,,$609.83,$0.00,1,0,1,20110101,27762,CPT,CLTX MEDIAL MALLS FX W/MNPJ +-SKN/SKEL TRACJ,,30,,,"$6,767.88",$0.00,1,0,1,20110101,27766,CPT,OPEN TREATMENT MEDIAL MALLEOLUS FRACTURE,,30,,,"$15,690.20",$0.00,1,0,1,20110101,27767,CPT,CLOSED TREATMENT PST MALLEOLUS FRACTURE W/O MNPJ,,30,,,$609.83,$0.00,1,0,1,20110101,27768,CPT,CLOSED TREATMENT PST MALLEOLUS FRACTURE W MNPJ,,30,,,$609.83,$0.00,1,0,1,20110101,27769,CPT,OPEN TREATMENT POSTERIOR MALLEOLUS FRACTURE,,30,,,"$15,690.20",$0.00,1,0,1,20110101,27780,CPT,CLTX PROX FIBULA/SHFT FX W/O MNPJ,,30,,,$609.83,$0.00,1,0,1,20110101,27781,CPT,CLTX PROX FIBULA/SHFT FX W/MNPJ,,30,,,"$6,767.88",$0.00,1,0,1,20110101,27784,CPT,OPEN TREATMENT PROXIMAL FIBULA/SHAFT FRACTURE,,30,,,"$15,690.20",$0.00,1,0,1,20110101,27786,CPT,CLTX DSTL FIBULAR FX LAT MALLS W/O MNPJ,,30,,,$609.83,$0.00,1,0,1,20110101,27788,CPT,CLTX DSTL FIBULAR FX LAT MALLS W/MNPJ,,30,,,$609.83,$0.00,1,0,1,20110101,27792,CPT,OPEN TX DISTAL FIBULAR FRACTURE LAT MALLEOLUS,,30,,,"$15,690.20",$0.00,1,0,1,20110101,27808,CPT,CLOSED TX BIMALLEOLAR ANKLE FRACTURE W/O MNPJ,,30,,,$609.83,$0.00,1,0,1,20110101,27810,CPT,CLOSED TX BIMALLEOLAR ANKLE FRACTURE W MNPJ,,30,,,$563.35,$0.00,1,0,1,20110101,27814,CPT,OPEN TREATMENT BIMALLEOLAR ANKLE FRACTURE,,30,,,"$15,690.20",$0.00,1,0,1,20110101,27816,CPT,CLTX TRIMAL ANKLE FX W/O MNPJ,,30,,,$609.83,$0.00,1,0,1,20110101,27818,CPT,CLTX TRIMAL ANKLE FX W/MNPJ,,30,,,"$1,763.89",$0.00,1,0,1,20110101,27822,CPT,OPEN TX TRIMALLEOLAR ANKLE FX W/O FIXJ PST LIP,,30,,,"$15,690.20",$0.00,1,0,1,20110101,27823,CPT,OPEN TX TRIMALLEOLAR ANKLE FX W FIXJ PST LIP,,30,,,"$19,922.44",$0.00,1,0,1,20110101,27824,CPT,CLTX FX W8 BRG ARTCLR PRTN DSTL TIBIA W/O MNPJ,,30,,,$609.83,$0.00,1,0,1,20110101,27825,CPT,CLTX FX W8 BRG ARTCLR PRTN DSTL TIB W/SKEL TRACJ,,30,,,"$6,767.88",$0.00,1,0,1,20110101,27826,CPT,OPEN TREATMENT FRACTURE DISTAL TIBIA FIBULA,,30,,,"$15,690.20",$0.00,1,0,1,20110101,27827,CPT,OPEN TREATMENT FRACTURE DISTAL TIBIA ONLY,,30,,,"$19,922.44",$0.00,1,0,1,20110101,27828,CPT,OPEN TREATMENT FRACTURE DISTAL TIBIA & FIBULA,,30,,,"$19,922.44",$0.00,1,0,1,20110101,27829,CPT,OPEN TX DISTAL TIBIOFIBULAR JOINT DISRUPTION,,30,,,"$15,690.20",$0.00,1,0,1,20110101,27830,CPT,CLTX PROX TIBFIB JT DISLC W/O ANES,,30,,,$609.83,$0.00,1,0,1,20110101,27831,CPT,CLTX PROX TIBFIB JT DISLC REQ ANES,,30,,,"$6,767.88",$0.00,1,0,1,20110101,27832,CPT,OPEN TX PROX TIBFIB JOINT DISLOCATE EXC PROX FIB,,30,,,"$15,690.20",$0.00,1,0,1,20110101,27840,CPT,CLOSED TX ANKLE DISLOCATION W/O ANESTHESIA,,30,,,$563.35,$0.00,1,0,1,20110101,27842,CPT,CLTX ANKLE DISLC REQ ANES +-PRQ SKEL FIXJ,,30,,,"$5,625.91",$0.00,1,0,1,20110101,27846,CPT,OPTX ANKLE DISLC W/O RPR/INT FIXJ,,30,,,"$15,690.20",$0.00,1,0,1,20110101,27848,CPT,OPTX ANKLE DISLC W/RPR/INT/XTRNL FIXJ,,30,,,"$15,690.20",$0.00,1,0,1,20110101,27860,CPT,MNPJ ANKLE UNDER GENERAL ANES,,30,,,"$5,625.91",$0.00,1,0,1,20110101,27870,CPT,ARTHRODESIS ANKLE OPEN,,30,,,"$22,783.64",$0.00,1,0,1,20110101,27871,CPT,ARTHRODESIS TIBIOFIBULAR JOINT PROXIMAL/DISTAL,,30,,,"$22,783.64",$0.00,1,0,1,20110101,27884,CPT,AMP LEG THRU TIBIA&FIBULA SEC CLOSURE/SCAR REVJ,,30,,,"$8,099.16",$0.00,1,0,1,20110101,27889,CPT,ANKLE DISARTICULATION,,30,,,"$11,688.66",$0.00,1,0,1,20110101,27892,CPT,DCMPRN FASCT LEG ANT&/LAT W/DBRDMT MUSC&/NRV,,30,,,"$11,688.66",$0.00,1,0,1,20110101,27893,CPT,DCMPRN FASCT LEG PST W/DBRDMT MUSC&/NRV,,30,,,"$11,688.66",$0.00,1,0,1,20110101,27894,CPT,DCMPRN FASCT LEG ANT&/LAT&PST W/DBRDMT MUSC&/NRV,,30,,,"$11,688.66",$0.00,1,0,1,20110101,27899,CPT,UNLISTED PROCEDURE LEG/ANKLE,,30,,,$609.83,$0.00,1,0,1,20110101,28001,CPT,INCISION&DRAINAGE BURSA FOOT,,30,,,"$4,643.49",$0.00,1,0,1,20110101,28002,CPT,I&D BELW FSCA FOOT 1 BURSAL SPACE,,30,,,"$8,099.16",$0.00,1,0,1,20110101,28003,CPT,I&D BELW FSCA FOOT MLT AREAS,,30,,,"$8,099.16",$0.00,1,0,1,20110101,28005,CPT,INCISION BONE CORTEX FOOT,,30,,,"$8,036.29",$0.00,1,0,1,20110101,28008,CPT,FASCIOTOMY FOOT&/TOE,,30,,,"$8,036.29",$0.00,1,0,1,20110101,28010,CPT,TENOTOMY PERCUTANEOUS TOE SINGLE TENDON,,30,,,"$8,036.29",$0.00,1,0,1,20110101,28011,CPT,TENOTOMY PERCUTANEOUS TOE MULTIPLE TENDON,,30,,,"$8,036.29",$0.00,1,0,1,20110101,28020,CPT,ARTHRT W/EXPL DRG/RMVL LOOSE/FB NTRTRSL/TARS JT,,30,,,"$8,036.29",$0.00,1,0,1,20110101,28022,CPT,ARTHRT W/EXPL DRG/RMVL LOOSE/FB MTTARPHLNGL JT,,30,,,"$8,036.29",$0.00,1,0,1,20110101,28024,CPT,ARTHRT W/EXPL DRG/RMVL LOOSE/FB IPHAL JT,,30,,,"$8,036.29",$0.00,1,0,1,20110101,28035,CPT,RELEASE TARSAL TUNNEL,,30,,,"$6,886.99",$0.00,1,0,1,20110101,28039,CPT,EXCISION TUMOR SOFT TISSUE FOOT/TOE SUBQ 1.5+CM,,30,,,"$8,604.32",$0.00,1,0,1,20110101,28041,CPT,EXC TUMOR SOFT TISSUE FOOT/TOE SUBFASC 1.5+CM,,30,,,"$8,604.32",$0.00,1,0,1,20110101,28043,CPT,EXCISION TUMOR SOFT TISSUE FOOT/TOE SUBQ <1.5CM,,30,,,"$6,437.25",$0.00,1,0,1,20110101,28045,CPT,EXC TUMOR SOFT TISSUE FOOT/TOE SUBFASC <1.5CM,,30,,,"$6,437.25",$0.00,1,0,1,20110101,28046,CPT,RAD RESECTION TUMOR SOFT TISSUE FOOT/TOE <3CM,,30,,,"$6,437.25",$0.00,1,0,1,20110101,28047,CPT,RAD RESECTION TUMOR SOFT TISSUE FOOT/TOE 3+CM,,30,,,"$8,604.32",$0.00,1,0,1,20110101,28050,CPT,ARTHRT W/BX INTERTARSAL/TARS JT,,30,,,"$8,036.29",$0.00,1,0,1,20110101,28052,CPT,ARTHRT W/BX METATARSOPHALANGEAL JT,,30,,,"$8,036.29",$0.00,1,0,1,20110101,28054,CPT,ARTHRT W/BX IPHAL JT,,30,,,"$8,036.29",$0.00,1,0,1,20110101,28055,CPT,NEURECTOMY INTRINSIC MUSCULATURE OF FOOT,,30,,,"$6,886.99",$0.00,1,0,1,20110101,28060,CPT,FASCIECTOMY PLANTAR FASCIA PARTIAL SPX,,30,,,"$8,036.29",$0.00,1,0,1,20110101,28062,CPT,FASCIOTOMY PLANTAR FASCIA RADICAL SPX,,30,,,"$8,036.29",$0.00,1,0,1,20110101,28070,CPT,SYNVCT INTERTARSAL/TARSOMETATARSAL JT EA SPX,,30,,,"$8,036.29",$0.00,1,0,1,20110101,28072,CPT,SYNOVECTOMY METATARSOPHALANGEAL JOINT EACH,,30,,,"$8,036.29",$0.00,1,0,1,20110101,28080,CPT,EXCISION INTERDIGITAL MORTON NEUROMA SINGLE EACH,,30,,,"$8,036.29",$0.00,1,0,1,20110101,28086,CPT,SYNOVECTOMY TENDON SHEATH FOOT FLEXOR,,30,,,"$8,036.29",$0.00,1,0,1,20110101,28088,CPT,SYNOVECTOMY TENDON SHEATH FOOT EXTENSOR,,30,,,"$8,036.29",$0.00,1,0,1,20110101,28090,CPT,EXC LESION TENDON SHEATH/CAPSULE W/SYNVCT FOOT,,30,,,"$8,036.29",$0.00,1,0,1,20110101,28092,CPT,EXC LESION TENDON SHEATH/CAPSULE W/SYNVCT TOE EA,,30,,,"$8,036.29",$0.00,1,0,1,20110101,28100,CPT,EXCISION/CURETTAGE CYST/TUMOR TALUS/CALCANEUS,,30,,,"$8,036.29",$0.00,1,0,1,20110101,28102,CPT,EXC/CURTG CST/B9 TUM TALUS/CLCNS W/ILIAC/AGRFT,,30,,,"$17,369.64",$0.00,1,0,1,20110101,28103,CPT,EXC/CURETTAGE CYST/TUMOR TALUS/CALCANEUS ALGRFT,,30,,,"$17,369.64",$0.00,1,0,1,20110101,28104,CPT,EXC/CURTG CST/B9 TUM TARSAL/METAR,,30,,,"$8,036.29",$0.00,1,0,1,20110101,28106,CPT,EXC/CURTG CST/B9 TUM TARSAL/METAR W/ILIAC/AGRFT,,30,,,"$17,369.64",$0.00,1,0,1,20110101,28107,CPT,EXC/CURTG CST/B9 TUM TARSAL/METAR W/ALGRFT,,30,,,"$17,369.64",$0.00,1,0,1,20110101,28108,CPT,EXC/CURTG CST/B9 TUM PHALANGES FOOT,,30,,,"$8,036.29",$0.00,1,0,1,20110101,28110,CPT,OSTECTOMY PRTL 5TH METAR HEAD SPX,,30,,,"$8,036.29",$0.00,1,0,1,20110101,28111,CPT,OSTECTOMY COMPLETE 1ST METATARSAL HEAD,,30,,,"$8,036.29",$0.00,1,0,1,20110101,28112,CPT,OSTECTOMY COMPLETE OTHER METATARSAL HEAD 2/3/4,,30,,,"$8,036.29",$0.00,1,0,1,20110101,28113,CPT,OSTECTOMY COMPLETE 5TH METATARSAL HEAD,,30,,,"$8,036.29",$0.00,1,0,1,20110101,28114,CPT,OSTC COMPL ALL METAR HEADS W/PRTL PROX PHALANGC,,30,,,"$8,036.29",$0.00,1,0,1,20110101,28116,CPT,OSTECTOMY TARSAL COALITION,,30,,,"$8,036.29",$0.00,1,0,1,20110101,28118,CPT,OSTECTOMY CALCANEUS,,30,,,"$8,036.29",$0.00,1,0,1,20110101,28119,CPT,OSTECTOMY CALCANEUS SPUR +-PLNTAR FSCAL RLS,,30,,,"$8,036.29",$0.00,1,0,1,20110101,28120,CPT,PRTL EXC B1 TALUS/CALCANEUS,,30,,,"$8,036.29",$0.00,1,0,1,20110101,28122,CPT,PRTL EXC B1 TARSAL/METAR B1 XCP TALUS/CALCANEUS,,30,,,"$8,036.29",$0.00,1,0,1,20110101,28124,CPT,PRTL EXC B1 PHALANX TOE,,30,,,"$8,036.29",$0.00,1,0,1,20110101,28126,CPT,RESECTION PARTIAL/COMPLETE PHALANGEAL BASE EACH,,30,,,"$8,036.29",$0.00,1,0,1,20110101,28130,CPT,TALECTOMY ASTRAGALECTOMY,,30,,,"$8,036.29",$0.00,1,0,1,20110101,28140,CPT,METATARSECTOMY,,30,,,"$8,036.29",$0.00,1,0,1,20110101,28150,CPT,PHALANGECTOMY TOE EA TOE,,30,,,"$8,036.29",$0.00,1,0,1,20110101,28153,CPT,RESECTION CONDYLE DISTAL END PHALANX EACH TOE,,30,,,"$8,036.29",$0.00,1,0,1,20110101,28160,CPT,HEMIPHALANGC/IPHAL JT EXC TOE,,30,,,"$8,036.29",$0.00,1,0,1,20110101,28171,CPT,RAD RESCJ TUMOR TARSAL EXCEPT TALUS/CALCANEUS,,30,,,"$8,036.29",$0.00,1,0,1,20110101,28173,CPT,RADICAL RESECTION TUMOR METATARSAL,,30,,,"$8,036.29",$0.00,1,0,1,20110101,28175,CPT,RADICAL RESECTION TUMOR PHALANX OR TOE,,30,,,"$8,036.29",$0.00,1,0,1,20110101,28190,CPT,REMOVAL FOREIGN BODY FOOT SUBCUTANEOUS,,30,,,"$3,017.75",$0.00,1,0,1,20110101,28192,CPT,REMOVAL FOREIGN BODY FOOT DEEP,,30,,,"$6,437.25",$0.00,1,0,1,20110101,28193,CPT,REMOVAL FOREIGN BODY FOOT COMPLICATED,,30,,,"$3,017.75",$0.00,1,0,1,20110101,28200,CPT,RPR TDN FLXR FOOT 1/2 W/O FR GRF EA TDN,,30,,,"$8,036.29",$0.00,1,0,1,20110101,28202,CPT,RPR TDN FLXR FOOT SEC W/FR GRF EA TDN,,30,,,"$8,036.29",$0.00,1,0,1,20110101,28208,CPT,RPR TDN XTNSR FOOT 1/2 EA TDN,,30,,,"$8,036.29",$0.00,1,0,1,20110101,28210,CPT,RPR TDN XTNSR FOOT SEC W/FR GRF EA TDN,,30,,,"$17,369.64",$0.00,1,0,1,20110101,28220,CPT,TENOLYSIS FLEXOR FOOT SINGLE TENDON,,30,,,"$8,036.29",$0.00,1,0,1,20110101,28222,CPT,TENOLYSIS FLEXOR FOOT MULTIPLE TENDONS,,30,,,"$8,036.29",$0.00,1,0,1,20110101,28225,CPT,TENOLYSIS EXTENSOR FOOT SINGLE TENDON,,30,,,"$8,036.29",$0.00,1,0,1,20110101,28226,CPT,TENOLYSIS EXTENSOR FOOT MULTIPLE TENDON,,30,,,"$8,036.29",$0.00,1,0,1,20110101,28230,CPT,TX OPN TDN FLXR FOOT 1/MLT TDN SPX,,30,,,"$8,036.29",$0.00,1,0,1,20110101,28232,CPT,TX OPN TDN FLXR TOE 1 TDN SPX,,30,,,"$8,036.29",$0.00,1,0,1,20110101,28234,CPT,TENOTOMY OPEN EXTENSOR FOOT/TOE EACH TENDON,,30,,,"$8,036.29",$0.00,1,0,1,20110101,28238,CPT,RCNSTJ PST TIBL TDN W/EXC ACCESSORY TARSL NAVCLR,,30,,,"$17,369.64",$0.00,1,0,1,20110101,28240,CPT,TENOTOMY LENGTHENING/RLS ABDUCTOR HALLUCIS MUSC,,30,,,"$8,036.29",$0.00,1,0,1,20110101,28250,CPT,DIVISION PLANTAR FASCIA&MUSCLE SPX,,30,,,"$8,036.29",$0.00,1,0,1,20110101,28260,CPT,CAPSULOTOMY MIDFOOT MEDIAL RELEASE ONLY SPX,,30,,,"$8,036.29",$0.00,1,0,1,20110101,28261,CPT,CAPSULOTOMY MIDFOOT W/TENDON LENGTHENING,,30,,,"$8,036.29",$0.00,1,0,1,20110101,28262,CPT,CAPSUL MIDFOOT W/PST TALOTIBL CAPSUL&TDN LNGTH,,30,,,"$8,036.29",$0.00,1,0,1,20110101,28264,CPT,CAPSULOTOMY MIDTARSAL,,30,,,"$17,369.64",$0.00,1,0,1,20110101,28270,CPT,CAPSUL MTTARPHLNGL JT +-TENORRHAPHY EA JT SPX,,30,,,"$8,036.29",$0.00,1,0,1,20110101,28272,CPT,CAPSUL IPHAL JT EA JT SPX,,30,,,"$8,036.29",$0.00,1,0,1,20110101,28280,CPT,SYNDACTYLIZATION TOES,,30,,,"$8,036.29",$0.00,1,0,1,20110101,28285,CPT,CORRECTION HAMMERTOE,,30,,,"$8,036.29",$0.00,1,0,1,20110101,28286,CPT,CORRECTION COCK-UP 5TH TOE W/PLASTIC CLOSURE,,30,,,"$8,036.29",$0.00,1,0,1,20110101,28288,CPT,OSTC PRTL EXOSTC/CONDYLC METAR HEAD,,30,,,"$8,036.29",$0.00,1,0,1,20110101,28289,CPT,HALLUX RGDUS CORRJ W/CHEILC,,30,,,"$8,036.29",$0.00,1,0,1,20110101,28290,CPT,CORRJ HALLUX VALGUS +-SESMDC SMPL EXOSTECTOMY,,30,,,"$11,608.34",$0.00,1,0,1,20110101,28292,CPT,KELLER/MCBRIDE/MAYO PROCEDURE,,30,,,"$11,608.34",$0.00,1,0,1,20110101,28293,CPT,CORRJ HALLUX VALGUS +-SESMDC RESCJ JT W/IMPLT,,30,,,"$11,608.34",$0.00,1,0,1,20110101,28294,CPT,CORRJ HALLUX VALGUS +-SESMDC W/TDN TRNSPLS,,30,,,"$11,608.34",$0.00,1,0,1,20110101,28296,CPT,CORRJ HALLUX VALGUS +-SESMDC W/METAR OSTEOT,,30,,,"$11,608.34",$0.00,1,0,1,20110101,28297,CPT,CORRJ HALLUX VALGUS +-SESMDC LAPIDUS-TYP PX,,30,,,"$11,608.34",$0.00,1,0,1,20110101,28298,CPT,CORRJ HALLUX VALGUS +-SESMDC PHALANX OSTEOT,,30,,,"$11,608.34",$0.00,1,0,1,20110101,28299,CPT,CORRJ HALLUX VALGUS +-SESMDC 2 OSTEOT,,30,,,"$11,608.34",$0.00,1,0,1,20110101,28300,CPT,OSTEOTOMY CALCANEUS +-INTERNAL FIXATION,,30,,,"$17,369.64",$0.00,1,0,1,20110101,28302,CPT,OSTEOTOMY TALUS,,30,,,"$8,036.29",$0.00,1,0,1,20110101,28304,CPT,OSTEOTOMY TARSAL BONES OTH/THN CALCANEUS/TALUS,,30,,,"$17,369.64",$0.00,1,0,1,20110101,28305,CPT,OSTEOT TARSAL OTH/THN CALCANEUS/TALUS W/AGRFT,,30,,,"$17,369.64",$0.00,1,0,1,20110101,28306,CPT,OSTEOT +-LNGTH SHRT/CORRJ 1ST METAR,,30,,,"$8,036.29",$0.00,1,0,1,20110101,28307,CPT,OSTEOT +-LNGTH SHRT/CORRJ 1ST METAR XCP 1ST TOE,,30,,,"$8,036.29",$0.00,1,0,1,20110101,28308,CPT,OSTEOT +-LNGTH SHRT/CORRJ METAR XCP 1ST EA,,30,,,"$8,036.29",$0.00,1,0,1,20110101,28309,CPT,OSTEOT +-LNGTH SHRT/ANGULAR CORRJ METAR MLT,,30,,,"$17,369.64",$0.00,1,0,1,20110101,28310,CPT,OSTEOT SHRT CORRJ PROX PHALANX 1ST TOE,,30,,,"$8,036.29",$0.00,1,0,1,20110101,28312,CPT,OSTEOT SHRT CORRJ OTH PHALANGES ANY TOE,,30,,,"$8,036.29",$0.00,1,0,1,20110101,28313,CPT,RCNSTJ ANGULAR DFRM TOE SOFT TISS PX ONLY,,30,,,"$8,036.29",$0.00,1,0,1,20110101,28315,CPT,SESAMOIDECTOMY FIRST TOE SPX,,30,,,"$8,036.29",$0.00,1,0,1,20110101,28320,CPT,REPAIR NONUNION/MALUNION TARSAL BONES,,30,,,"$17,369.64",$0.00,1,0,1,20110101,28322,CPT,RPR NON/MAL METAR +-B1 GRF,,30,,,"$17,369.64",$0.00,1,0,1,20110101,28340,CPT,RCNSTJ TOE MACRODACTYLY SOFT TISSUE RESECTION,,30,,,"$8,036.29",$0.00,1,0,1,20110101,28341,CPT,RCNSTJ TOE MACRODACTYLY REQUIRING BONE RESECTION,,30,,,"$8,036.29",$0.00,1,0,1,20110101,28344,CPT,RECONSTRUCTION TOE POLYDACTYLY,,30,,,"$8,036.29",$0.00,1,0,1,20110101,28345,CPT,RCNSTJ TOE SYNDACTYLY +-SKN GRF EA WEB,,30,,,"$8,036.29",$0.00,1,0,1,20110101,28360,CPT,RECONSTRUCTION CLEFT FOOT,,30,,,"$17,369.64",$0.00,1,0,1,20110101,28400,CPT,CLOSED TX CALCANEAL FRACTURE W/O MANIPULATION,,30,,,$609.83,$0.00,1,0,1,20110101,28405,CPT,CLOSED TX CALCANEAL FRACTURE W/MANIPULATION,,30,,,"$6,767.88",$0.00,1,0,1,20110101,28406,CPT,PRQ SKEL FIXJ CALCANEAL FX W/MNPJ,,30,,,"$9,508.13",$0.00,1,0,1,20110101,28415,CPT,OPEN TREATMENT CALCANEAL FRACTURE,,30,,,"$19,922.44",$0.00,1,0,1,20110101,28420,CPT,OPEN TREATMENT CALCANEAL FRACTURE W BONE GRAFT,,30,,,"$15,690.20",$0.00,1,0,1,20110101,28430,CPT,CLOSED TX TALUS FRACTURE W/O MANIPULATION,,30,,,$609.83,$0.00,1,0,1,20110101,28435,CPT,CLOSED TX TALUS FRACTURE W/ MANIPULATION,,30,,,$609.83,$0.00,1,0,1,20110101,28436,CPT,PRQ SKELETAL FIXATION TALUS FRACTURE W/MNPJ,,30,,,"$9,508.13",$0.00,1,0,1,20110101,28445,CPT,OPEN TREATMENT TALUS FRACTURE,,30,,,"$15,690.20",$0.00,1,0,1,20110101,28446,CPT,OPEN OSTEOCHONDRAL AUTOGRAFT TALUS,,30,,,"$17,369.64",$0.00,1,0,1,20110101,28450,CPT,TX TARSAL B1 FX XCP TALUS&CALCN W/O MNPJ,,30,,,$609.83,$0.00,1,0,1,20110101,28455,CPT,TX TARSAL B1 FX XCP TALUS&CALCN W/MNPJ,,30,,,$609.83,$0.00,1,0,1,20110101,28456,CPT,PRQ SKEL FIXJ TARSL FX XCP TALUS&CALCNS W/MNPJ,,30,,,"$9,508.13",$0.00,1,0,1,20110101,28465,CPT,OPEN TX TARSAL FRACTURE XCP TALUS &CALCANEUS EA,,30,,,"$15,690.20",$0.00,1,0,1,20110101,28470,CPT,CLOSED TX METATARSAL FRACTURE W/O MANIPULATION,,30,,,$609.83,$0.00,1,0,1,20110101,28475,CPT,CLTX METAR FX W/MNPJ,,30,,,$609.83,$0.00,1,0,1,20110101,28476,CPT,PRQ SKEL FIXJ METAR FX W/MNPJ,,30,,,"$9,508.13",$0.00,1,0,1,20110101,28485,CPT,OPEN TREATMENT METATARSAL FRACTURE EACH,,30,,,"$15,690.20",$0.00,1,0,1,20110101,28490,CPT,CLTX FX GRT TOE PHLX/PHLG W/O MNPJ,,30,,,$609.83,$0.00,1,0,1,20110101,28495,CPT,CLTX FX GRT TOE PHLX/PHLG W/MNPJ,,30,,,$609.83,$0.00,1,0,1,20110101,28496,CPT,PRQ SKEL FIXJ FX GRT TOE PHLX/PHLG W/MNPJ,,30,,,"$9,508.13",$0.00,1,0,1,20110101,28505,CPT,OPEN TX FRACTURE GREAT TOE/PHALANX/PHALANGES,,30,,,"$9,508.13",$0.00,1,0,1,20110101,28510,CPT,CLTX FX PHLX/PHLG OTH/THN GRT TOE W/O MNPJ,,30,,,$609.83,$0.00,1,0,1,20110101,28515,CPT,CLTX FX PHLX/PHLG OTH/THN GRT TOE W/MNPJ,,30,,,$609.83,$0.00,1,0,1,20110101,28525,CPT,OPEN TX FRACTURE PHALANX/PHALANGES NOT GREAT TOE,,30,,,"$9,508.13",$0.00,1,0,1,20110101,28530,CPT,CLOSED TREATMENT SESAMOID FRACTURE,,30,,,$609.83,$0.00,1,0,1,20110101,28531,CPT,OPEN TX SESAMOID FRACTURE +-INTERNAL FIXATION,,30,,,"$9,508.13",$0.00,1,0,1,20110101,28540,CPT,CLTX TARSAL DISLC OTH/THN TALOTARSAL W/O ANES,,30,,,$609.83,$0.00,1,0,1,20110101,28545,CPT,CLTX TARSAL DISLC OTH/THN TALOTARSAL W/ANES,,30,,,"$9,508.13",$0.00,1,0,1,20110101,28546,CPT,PRQ SKEL FIXJ TARSL DISLC XCP TALOTARSAL W/MNPJ,,30,,,"$9,508.13",$0.00,1,0,1,20110101,28555,CPT,OPEN TREATMENT TARSAL BONE DISLOCATION,,30,,,"$15,690.20",$0.00,1,0,1,20110101,28570,CPT,CLOSED TX TALOTARSAL JOINT DISLC W/O ANES,,30,,,$563.35,$0.00,1,0,1,20110101,28575,CPT,CLOSED TX TALOTARSAL JOINT DISLOCATION W/ANES,,30,,,"$6,767.88",$0.00,1,0,1,20110101,28576,CPT,PRQ SKEL FIXJ TALOTARSAL JT DISLC W/MNPJ,,30,,,"$9,508.13",$0.00,1,0,1,20110101,28585,CPT,OPEN TREATMENT TALOTARSAL JOINT DISLOCATION,,30,,,"$9,508.13",$0.00,1,0,1,20110101,28600,CPT,CLOSED TX TARSOMETATARSAL DISLOCATION W/O ANES,,30,,,$609.83,$0.00,1,0,1,20110101,28605,CPT,CLOSED TX TARSOMETATARSAL DISLOCATION W/ANES,,30,,,$609.83,$0.00,1,0,1,20110101,28606,CPT,PRQ SKEL FIXJ TARS JT DISLC W/MNPJ,,30,,,"$9,508.13",$0.00,1,0,1,20110101,28615,CPT,OPEN TREATMENT TARSOMETATARSAL JOINT DISLOCATION,,30,,,"$15,690.20",$0.00,1,0,1,20110101,28630,CPT,CLTX METATARSOPHLNGL JT DISLC W/O ANES,,30,,,$609.83,$0.00,1,0,1,20110101,28635,CPT,CLTX METATARSOPHLNGL JT DISLC REQ ANES,,30,,,"$5,625.91",$0.00,1,0,1,20110101,28636,CPT,PRQ SKEL FIXJ METATARSOPHLNGL JT DISLC W/MNPJ,,30,,,"$9,508.13",$0.00,1,0,1,20110101,28645,CPT,OPEN TX METATARSOPHALANGEAL JOINT DISLOCATION,,30,,,"$9,508.13",$0.00,1,0,1,20110101,28660,CPT,CLTX IPHAL JT DISLC W/O ANES,,30,,,$609.83,$0.00,1,0,1,20110101,28665,CPT,CLTX IPHAL JT DISLC REQ ANES,,30,,,"$5,625.91",$0.00,1,0,1,20110101,28666,CPT,PRQ SKEL FIXJ IPHAL JT DISLC W/MNPJ,,30,,,"$9,508.13",$0.00,1,0,1,20110101,28675,CPT,OPEN TREATMENT INTERPHALANGEAL JOINT DISLOCATION,,30,,,"$9,508.13",$0.00,1,0,1,20110101,28705,CPT,ARTHRODESIS PANTALAR,,30,,,"$17,369.64",$0.00,1,0,1,20110101,28715,CPT,ARTHRODESIS TRIPLE,,30,,,"$22,783.64",$0.00,1,0,1,20110101,28725,CPT,ARTHRODESIS SUBTALAR,,30,,,"$17,369.64",$0.00,1,0,1,20110101,28730,CPT,ARTHRD MIDTARSL/TARS MLT/TRANSVRS,,30,,,"$17,369.64",$0.00,1,0,1,20110101,28735,CPT,ARTHRD MIDTARSL/TARS MLT/TRANSVRS W/OSTEOT,,30,,,"$17,369.64",$0.00,1,0,1,20110101,28737,CPT,ARTHRD W/TDN LNGTH&ADVMNT TARSL NVCLR-CUNEIFORM,,30,,,"$17,369.64",$0.00,1,0,1,20110101,28740,CPT,ARTHRODESIS MIDTARSOMETATARSAL SINGLE JOINT,,30,,,"$17,369.64",$0.00,1,0,1,20110101,28750,CPT,ARTHRODESIS GREAT TOE METATARSOPHALANGEAL JOINT,,30,,,"$17,369.64",$0.00,1,0,1,20110101,28755,CPT,ARTHRODESIS GREAT TOE INTERPHALANGEAL JOINT,,30,,,"$8,036.29",$0.00,1,0,1,20110101,28760,CPT,ARTHRD W/XTNSR HALLUCIS LONGUS TR 1ST METAR NCK,,30,,,"$17,369.64",$0.00,1,0,1,20110101,28805,CPT,AMPUTATION FOOT TRANSMETARSAL,,30,,,"$8,036.29",$0.00,1,0,1,20110101,28810,CPT,AMPUTATION METATARSAL W/TOE SINGLE,,30,,,"$8,036.29",$0.00,1,0,1,20110101,28820,CPT,AMPUTATION TOE METATARSOPHALANGEAL JOINT,,30,,,"$8,036.29",$0.00,1,0,1,20110101,28825,CPT,AMPUTATION TOE INTERPHALANGEAL JOINT,,30,,,"$8,036.29",$0.00,1,0,1,20110101,28890,CPT,ESWT HI NRG PFRMD PHYS W/US GDN INVG PLNTAR FSCA,,30,,,"$11,688.66",$0.00,1,0,1,20110101,28899,CPT,UNLISTED PROCEDURE FOOT/TOES,,30,,,$609.83,$0.00,1,0,1,20110101,29000,CPT,APPLICATION HALO TYPE BODY CAST,,30,,,$377.35,$0.00,1,0,1,20110101,29010,CPT,APPLICATION RISSER JACKET LOCALIZER BODY ONLY,,30,,,$862.99,$0.00,1,0,1,20110101,29015,CPT,APPLICATION RISSER JACKET LOCALIZER BODY W/HEAD,,30,,,$862.99,$0.00,1,0,1,20110101,29020,CPT,APPLICATION TURNBUCKLE JACKET BODY ONLY,,30,,,$377.35,$0.00,1,0,1,20110101,29025,CPT,APPLICATION TURNBUCKLE JACKET BODY W/HEAD,,30,,,$377.35,$0.00,1,0,1,20110101,29035,CPT,APPLICATION BODY CAST SHOULDER HIPS,,30,,,$862.99,$0.00,1,0,1,20110101,29040,CPT,APPLICATION BODY CAST SHOULDER HIPS HEAD MINERVA,,30,,,$377.35,$0.00,1,0,1,20110101,29044,CPT,APPLICATION BODY CAST SHOULDER HIPS W/ONE THIGH,,30,,,$862.99,$0.00,1,0,1,20110101,29046,CPT,APPLICATION BODY CAST SHOULDER HIPS BOTH THIGHS,,30,,,$862.99,$0.00,1,0,1,20110101,29049,CPT,APPLICATION CAST FIGURE-OF-8,,30,,,$377.35,$0.00,1,0,1,20110101,29055,CPT,APPLICATION CAST SHOULDER SPICA,,30,,,$862.99,$0.00,1,0,1,20110101,29058,CPT,APPLICATION CAST PLASTER VELPEAU,,30,,,$377.35,$0.00,1,0,1,20110101,29065,CPT,APPLICATION CAST SHOULDER HAND LONG ARM,,30,,,$862.99,$0.00,1,0,1,20110101,29075,CPT,APPLICATION CAST ELBOW FINGER SHORT ARM,,30,,,$862.99,$0.00,1,0,1,20110101,29085,CPT,APPLICATION CAST HAND&LOWER FOREARM GAUNTLET,,30,,,$377.35,$0.00,1,0,1,20110101,29086,CPT,APPLICATION CAST FINGER,,30,,,$377.35,$0.00,1,0,1,20110101,29105,CPT,APPLICATION LONG ARM SPLINT SHOULDER HAND,,30,,,$377.35,$0.00,1,0,1,20110101,29125,CPT,APPLICATION SHORT ARM SPLINT FOREARM-HAND STATIC,,30,,,$377.35,$0.00,1,0,1,20110101,29126,CPT,APPLICATION SHORT ARM SPLINT DYNAMIC,,30,,,$377.35,$0.00,1,0,1,20110101,29130,CPT,APPLICATION FINGER SPLINT STATIC,,30,,,$377.35,$0.00,1,0,1,20110101,29131,CPT,APPLICATION FINGER SPLINT DYNAMIC,,30,,,$377.35,$0.00,1,0,1,20110101,29200,CPT,STRAPPING THORAX,,30,,,$377.35,$0.00,1,0,1,20110101,29240,CPT,STRAPPING SHOULDER,,30,,,$377.35,$0.00,1,0,1,20110101,29260,CPT,STRAPPING ELBOW/WRIST,,30,,,$377.35,$0.00,1,0,1,20110101,29280,CPT,STRAPPING HAND/FINGER,,30,,,$377.35,$0.00,1,0,1,20110101,29305,CPT,APPLICATION HIP SPICA CAST 1 LEG,,30,,,$862.99,$0.00,1,0,1,20110101,29325,CPT,APPL HIP SPICA CAST ONE&ONE-HALF SPICA/BOTH LEGS,,30,,,$862.99,$0.00,1,0,1,20110101,29345,CPT,APPLICATION LONG LEG CAST THIGH-TOE,,30,,,$862.99,$0.00,1,0,1,20110101,29355,CPT,APPLICATION LONG LEG CAST WALKER/AMBULATORY TYPE,,30,,,$862.99,$0.00,1,0,1,20110101,29358,CPT,APPLICATION LONG LEG CAST BRACE,,30,,,$862.99,$0.00,1,0,1,20110101,29365,CPT,APPLICATION CYLINDER CAST THIGH ANKLE,,30,,,$862.99,$0.00,1,0,1,20110101,29405,CPT,APPLICATION SHORT LEG CAST BELOW KNEE-TOE,,30,,,$862.99,$0.00,1,0,1,20110101,29425,CPT,APPLICATION SHORT LEG CAST WALKING/AMBULATORY,,30,,,$862.99,$0.00,1,0,1,20110101,29435,CPT,APPLICATION PATELLAR TENDON BEARING CAST,,30,,,$862.99,$0.00,1,0,1,20110101,29440,CPT,ADDING WALKER PREVIOUSLY APPLIED CAST,,30,,,$377.35,$0.00,1,0,1,20110101,29445,CPT,APPLICATION RIGID TOTAL CONTACT LEG CAST,,30,,,$862.99,$0.00,1,0,1,20110101,29450,CPT,APPL CLUBFOOT CAST MOLDING/MNPJ LONG/SHORT LEG,,30,,,$377.35,$0.00,1,0,1,20110101,29505,CPT,APPLICATION LONG LEG SPLINT THIGH ANKLE/TOES,,30,,,$377.35,$0.00,1,0,1,20110101,29515,CPT,APPLICATION SHORT LEG SPLINT CALF FOOT,,30,,,$377.35,$0.00,1,0,1,20110101,29520,CPT,STRAPPING HIP,,30,,,$377.35,$0.00,1,0,1,20110101,29530,CPT,STRAPPING KNEE,,30,,,$377.35,$0.00,1,0,1,20110101,29540,CPT,STRAPPING ANKLE &/FOOT,,30,,,$377.35,$0.00,1,0,1,20110101,29550,CPT,STRAPPING TOES,,30,,,$377.35,$0.00,1,0,1,20110101,29580,CPT,STRAPPING UNNA BOOT,,30,,,$377.35,$0.00,1,0,1,20110101,29581,CPT,APPL MLT-LAYER VENOUS WOUND COMPRESS BELOW KNEE,,30,,,$377.35,$0.00,1,0,1,20110101,29590,CPT,DENIS-BROWNE SPLINT STRAPPING,,30,,,$377.35,$0.00,1,0,1,20110101,29700,CPT,REMOVAL/BIVALVING GAUNTLET BOOT/BODY CAST,,30,,,$377.35,$0.00,1,0,1,20110101,29705,CPT,REMOVAL/BIVALVING FULL ARM/FULL LEG CAST,,30,,,$377.35,$0.00,1,0,1,20110101,29710,CPT,RMVL/BIVALV SHO/HIP SPICA MINERVA/RISSER JACKET,,30,,,$862.99,$0.00,1,0,1,20110101,29715,CPT,REMOVAL/BIVALVING TURNBUCKLE JACKET,,30,,,$377.35,$0.00,1,0,1,20110101,29720,CPT,REPAIR SPICA BODY CAST/JACKET,,30,,,$377.35,$0.00,1,0,1,20110101,29730,CPT,WINDOWING CAST,,30,,,$377.35,$0.00,1,0,1,20110101,29740,CPT,WEDGING CAST EXCEPT CLUBFOOT CASTS,,30,,,$377.35,$0.00,1,0,1,20110101,29750,CPT,WEDGING CLUBFOOT CAST,,30,,,$377.35,$0.00,1,0,1,20110101,29799,CPT,UNLISTED PROCEDURE CASTING/STRAPPING,,30,,,$377.35,$0.00,1,0,1,20110101,29800,CPT,ARTHRS TMPRMAND JT DX +-SYNVAL BX SPX,,30,,,"$11,007.37",$0.00,1,0,1,20110101,29804,CPT,ARTHROSCOPY TEMPOROMANDIBULAR JOINT SURGICAL,,30,,,"$11,007.37",$0.00,1,0,1,20110101,29805,CPT,ARTHROSCOPY SHOULDER DX +-SYNOVIAL BIOPSY SPX,,30,,,"$11,007.37",$0.00,1,0,1,20110101,29806,CPT,ARTHROSCOPY SHOULDER SURGICAL CAPSULORRHAPHY,,30,,,"$16,512.60",$0.00,1,0,1,20110101,29807,CPT,ARTHROSCOPY SHOULDER SURGICAL REPAIR SLAP LESION,,30,,,"$16,512.60",$0.00,1,0,1,20110101,29819,CPT,ARTHROSCOPY SHOULDER SURGICAL REMOVAL LOOSE/FB,,30,,,"$16,512.60",$0.00,1,0,1,20110101,29820,CPT,ARTHROSCOPY SHOULDER SURG SYNOVECTOMY PARTIAL,,30,,,"$16,512.60",$0.00,1,0,1,20110101,29821,CPT,ARTHROSCOPY SHOULDER SURG SYNOVECTOMY COMPLETE,,30,,,"$16,512.60",$0.00,1,0,1,20110101,29822,CPT,ARTHROSCOPY SHOULDER SURG DEBRIDEMENT LIMITED,,30,,,"$11,007.37",$0.00,1,0,1,20110101,29823,CPT,ARTHROSCOPY SHOULDER SURG DEBRIDEMENT EXTENSIVE,,30,,,"$16,512.60",$0.00,1,0,1,20110101,29824,CPT,ARTHROSCOPY SHOULDER DISTAL CLAVICULECTOMY,,30,,,"$11,007.37",$0.00,1,0,1,20110101,29825,CPT,ARTHROSCOPY SHOULDER LYSIS&RESCJ ADHESION +-MNPJ,,30,,,"$16,512.60",$0.00,1,0,1,20110101,29826,CPT,"SHOULDER SCOPE, BONE SHAVING",,30,,,"$16,512.60",$0.00,1,0,1,20110101,29827,CPT,ARTHROSCOPY SHOULDER ROTATOR CUFF REPAIR,,30,,,"$16,512.60",$0.00,1,0,1,20110101,29828,CPT,ARTHROSCOPY SHOULDER BICEPS TENODESIS,,30,,,"$16,512.60",$0.00,1,0,1,20110101,29830,CPT,ARTHROSCOPY ELBOW DIAGNOSTIC +-SYNOVIAL BX SPX,,30,,,"$11,007.37",$0.00,1,0,1,20110101,29834,CPT,ARTHROSCOPY ELBOW SURGICAL W/REMOVAL LOOSE/FB,,30,,,"$11,007.37",$0.00,1,0,1,20110101,29835,CPT,ARTHROSCOPY ELBOW SURGICAL SYNOVECTOMY PARTIAL,,30,,,"$11,007.37",$0.00,1,0,1,20110101,29836,CPT,ARTHROSCOPY ELBOW SURGICAL SYNOVECTOMY COMPLETE,,30,,,"$11,007.37",$0.00,1,0,1,20110101,29837,CPT,ARTHROSCOPY ELBOW SURGICAL DEBRIDEMENT LIMITED,,30,,,"$11,007.37",$0.00,1,0,1,20110101,29838,CPT,ARTHROSCOPY ELBOW SURGICAL DEBRIDEMENT EXTENSIVE,,30,,,"$11,007.37",$0.00,1,0,1,20110101,29840,CPT,ARTHROSCOPY WRIST DIAGNOSTIC +-SYNOVIAL BX SPX,,30,,,"$11,007.37",$0.00,1,0,1,20110101,29843,CPT,ARTHROSCOPY WRIST INFECTION LAVAGE&DRAINAGE,,30,,,"$11,007.37",$0.00,1,0,1,20110101,29844,CPT,ARTHROSCOPY WRIST SURGICAL SYNOVECTOMY PARTIAL,,30,,,"$11,007.37",$0.00,1,0,1,20110101,29845,CPT,ARTHROSCOPY WRIST SURGICAL SYNOVECTOMY COMPLETE,,30,,,"$11,007.37",$0.00,1,0,1,20110101,29846,CPT,ARTHRS WRST EXC&/RPR TRIANG FIBROCART&/JT DBRDMT,,30,,,"$11,007.37",$0.00,1,0,1,20110101,29847,CPT,ARTHRS WRST SURG INT FIXJ F/FX/INS,,30,,,"$16,512.60",$0.00,1,0,1,20110101,29848,CPT,NDSC WRST SURG W/RLS TRANSVRS CARPL LIGM,,30,,,"$11,007.37",$0.00,1,0,1,20110101,29850,CPT,ARTHRS AID TX SPI&/FX KNE W/O FIXJ,,30,,,"$11,007.37",$0.00,1,0,1,20110101,29851,CPT,ARTHRS AID TX SPI&/FX KNE W/FIXJ,,30,,,"$16,512.60",$0.00,1,0,1,20110101,29855,CPT,ARTHRS AID TIBIAL FRACTURE PROXIMAL UNICONDYLAR,,30,,,"$16,512.60",$0.00,1,0,1,20110101,29856,CPT,ARTHRS AID TIBIAL FX PROX UNICONDYLAR BICONDYLAR,,30,,,"$16,512.60",$0.00,1,0,1,20110101,29860,CPT,ARTHROSCOPY HIP DIAGNOSTIC +-SYNOVIAL BIOPSY SPX,,30,,,"$16,512.60",$0.00,1,0,1,20110101,29861,CPT,ARTHROSCOPY HIP SURGICAL W/REMOVAL LOOSE/FB,,30,,,"$16,512.60",$0.00,1,0,1,20110101,29862,CPT,ARTHRS HIP DEBRIDEMENT/SHAVING ARTICULAR CRTLG,,30,,,"$16,512.60",$0.00,1,0,1,20110101,29863,CPT,ARTHROSCOPY HIP SURGICAL W/SYNOVECTOMY,,30,,,"$16,512.60",$0.00,1,0,1,20110101,29866,CPT,ARTHROSCOPY KNEE OSTEOCHONDRAL AGRFT MOSAICPLAST,,30,,,"$16,512.60",$0.00,1,0,1,20110101,29867,CPT,ARTHROSCOPY KNEE OSTEOCHONDRAL ALLOGRAFT,,30,,,"$16,512.60",$0.00,1,0,1,20110101,29868,CPT,ARTHROSCOPY KNEE MENISCAL TRNSPLJ MED/LAT,,30,,,"$16,512.60",$0.00,1,0,1,20110101,29870,CPT,ARTHROSCOPY KNEE DIAGNOSTIC +-SYNOVIAL BX SPX,,30,,,"$11,007.37",$0.00,1,0,1,20110101,29871,CPT,ARTHROSCOPY KNEE INFECTION LAVAGE & DRAINAGE,,30,,,"$11,007.37",$0.00,1,0,1,20110101,29873,CPT,ARTHROSCOPY KNEE LATERAL RELEASE,,30,,,"$11,007.37",$0.00,1,0,1,20110101,29874,CPT,ARTHROSCOPY KNEE REMOVAL LOOSE/FOREIGN BODY,,30,,,"$11,007.37",$0.00,1,0,1,20110101,29875,CPT,ARTHROSCOPY KNEE SYNOVECTOMY LIMITED SPX,,30,,,"$11,007.37",$0.00,1,0,1,20110101,29876,CPT,ARTHROSCOPY KNEE SYNOVECTOMY 2/>COMPARTMENTS,,30,,,"$11,007.37",$0.00,1,0,1,20110101,29877,CPT,ARTHRS KNEE DEBRIDEMENT/SHAVING ARTCLR CRTLG,,30,,,"$11,007.37",$0.00,1,0,1,20110101,29879,CPT,ARTHRS KNEE ABRASION ARTHRP/MLT DRLG/MICROFX,,30,,,"$11,007.37",$0.00,1,0,1,20110101,29880,CPT,ARTHRS KNEE W/MENISCECTOMY MED&LAT W/SHAVING,,30,,,"$11,007.37",$0.00,1,0,1,20110101,29881,CPT,ARTHRS KNE SURG W/MENISCECTOMY MED/LAT W/SHVG,,30,,,"$11,007.37",$0.00,1,0,1,20110101,29882,CPT,ARTHROSCOPY KNEE W/MENISCUS RPR MEDIAL/LATERAL,,30,,,"$11,007.37",$0.00,1,0,1,20110101,29883,CPT,ARTHROSCOPY KNEE W/MENISCUS RPR MEDIAL&LATERAL,,30,,,"$11,007.37",$0.00,1,0,1,20110101,29884,CPT,ARTHROSCOPY KNEE W/LYSIS ADHESIONS+-MNPJ SPX,,30,,,"$11,007.37",$0.00,1,0,1,20110101,29885,CPT,ARTHRS KNE DRLG OSTEO DISS GRFG,,30,,,"$16,512.60",$0.00,1,0,1,20110101,29886,CPT,ARTHRS KNE DRLG OSTEO DISS LES,,30,,,"$11,007.37",$0.00,1,0,1,20110101,29887,CPT,ARTHRS KNE DRLG OSTEO DISS LES INT FIXJ,,30,,,"$11,007.37",$0.00,1,0,1,20110101,29888,CPT,ARTHRS AIDED ANT CRUCIATE LIGM RPR/AGMNTJ/RCNSTJ,,30,,,"$22,783.64",$0.00,1,0,1,20110101,29889,CPT,ARTHRS AIDED PST CRUCIATE LIGM RPR/AGMNTJ/RCNSTJ,,30,,,"$22,783.64",$0.00,1,0,1,20110101,29891,CPT,ARTHRS ANKLE EXC OSTCHNDRL DFCT W/DRLG DFCT,,30,,,"$16,512.60",$0.00,1,0,1,20110101,29892,CPT,ARTHRS AID RPR LES/TALAR DOME FX/TIBL PLAFOND FX,,30,,,"$22,783.64",$0.00,1,0,1,20110101,29893,CPT,ENDOSCOPIC PLANTAR FASCIOTOMY,,30,,,"$8,036.29",$0.00,1,0,1,20110101,29894,CPT,ARTHROSCOPY ANKLE W/REMOVAL LOOSE/FOREIGN BODY,,30,,,"$11,007.37",$0.00,1,0,1,20110101,29895,CPT,ARTHROSCOPY ANKLE SURGICAL SYNOVECTOMY PARTIAL,,30,,,"$11,007.37",$0.00,1,0,1,20110101,29897,CPT,ARTHROSCOPY ANKLE SURGICAL DEBRIDEMENT LIMITED,,30,,,"$11,007.37",$0.00,1,0,1,20110101,29898,CPT,ARTHROSCOPY ANKLE SURGICAL DEBRIDEMENT EXTENSIVE,,30,,,"$11,007.37",$0.00,1,0,1,20110101,29899,CPT,ARTHROSCOPY ANKLE SURGICAL W/ANKLE ARTHRODESIS,,30,,,"$16,512.60",$0.00,1,0,1,20110101,29900,CPT,ARTHROSCOPY METACARPOPHALANGEAL SYNOVIAL BIOPSY,,30,,,"$11,007.37",$0.00,1,0,1,20110101,29901,CPT,ARTHRS METACARPOPHALANGEAL JOINT DEBRIDEMENT,,30,,,"$11,007.37",$0.00,1,0,1,20110101,29902,CPT,ARTHRS MTCARPHLNGL JT W/RDCTJ UR COLTRL LIGM,,30,,,"$11,007.37",$0.00,1,0,1,20110101,29904,CPT,ARTHRS SUBTALAR JOINT REMOVE LOOSE/FOREIGN BODY,,30,,,"$11,007.37",$0.00,1,0,1,20110101,29905,CPT,ARTHROSCOPY SUBTALAR JOINT WITH SYNOVECTOMY,,30,,,"$11,007.37",$0.00,1,0,1,20110101,29906,CPT,ARTHROSCOPY SUBTALAR JOINT WITH DEBRIDEMENT,,30,,,"$11,007.37",$0.00,1,0,1,20110101,29907,CPT,ARTHROSCOPY SUBTALAR JOINT SUBTALAR ARTHRODESIS,,30,,,"$16,512.60",$0.00,1,0,1,20110101,29914,CPT,HIP ARTHRO W/FEMOROPLASTY,,30,,,"$16,512.60",$0.00,1,0,1,20110101,29915,CPT,HIP ARTHRO ACETABULOPLASTY,,30,,,"$16,512.60",$0.00,1,0,1,20110101,29916,CPT,HIP ARTHRO W/LABRAL REPAIR,,30,,,"$16,512.60",$0.00,1,0,1,20110101,29999,CPT,UNLISTED PROCEDURE ARTHROSCOPY,,30,,,"$11,007.37",$0.00,1,0,1,20110101,30000,CPT,DRAINAGE ABSCESS/HEMATOMA NASAL INT APPROACH,,30,,,"$1,260.04",$0.00,1,0,1,20110101,30020,CPT,DRAINAGE ABSCESS/HEMATOMA NASAL SEPTUM,,30,,,"$1,260.04",$0.00,1,0,1,20110101,30100,CPT,BIOPSY INTRANASAL,,30,,,"$2,803.22",$0.00,1,0,1,20110101,30110,CPT,EXCISION NASAL POLYP SIMPLE,,30,,,"$6,323.34",$0.00,1,0,1,20110101,30115,CPT,EXCISION NASAL POLYP EXTENSIVE,,30,,,"$6,323.34",$0.00,1,0,1,20110101,30117,CPT,EXCISION/DESTRUCTION INTRANASAL LESION INT APPR,,30,,,"$6,323.34",$0.00,1,0,1,20110101,30118,CPT,EXCISION/DESTRUCTION INTRANASAL LESION XTRNL,,30,,,"$9,184.01",$0.00,1,0,1,20110101,30120,CPT,EXCISION/SURGICAL PLANING SKIN NOSE RHINOPHYMA,,30,,,"$9,184.01",$0.00,1,0,1,20110101,30124,CPT,EXCISION DERMOID CYST NOSE SIMPLE SUBCUTANEOUS,,30,,,"$2,803.22",$0.00,1,0,1,20110101,30125,CPT,EXC DERMOID CYST NOSE COMPLEX UNDER BONE/CRTLG,,30,,,"$15,050.51",$0.00,1,0,1,20110101,30130,CPT,EXCISION INFERIOR TURBINATE PARTIAL/COMPLETE,,30,,,"$6,323.34",$0.00,1,0,1,20110101,30140,CPT,SUBMUCOUS RESCJ INFERIOR TURBINATE PRTL/COMPL,,30,,,"$9,184.01",$0.00,1,0,1,20110101,30150,CPT,RHINECTOMY PARTIAL,,30,,,"$15,050.51",$0.00,1,0,1,20110101,30160,CPT,RHINECTOMY TOTAL,,30,,,"$15,050.51",$0.00,1,0,1,20110101,30200,CPT,INJECTION TURBINATE THERAPEUTIC,,30,,,"$2,803.22",$0.00,1,0,1,20110101,30210,CPT,DISPLACEMENT THERAPY PROETZ TYPE,,30,,,"$2,803.22",$0.00,1,0,1,20110101,30220,CPT,INSERTION NASAL SEPTAL PROSTHESIS BUTTON,,30,,,"$2,803.22",$0.00,1,0,1,20110101,30300,CPT,REMOVAL FOREIGN BODY INTRANASAL OFFICE PROCEDURE,,30,,,$258.46,$0.00,1,0,1,20110101,30310,CPT,REMOVAL FOREIGN BODY INTRANASAL GENERAL ANES,,30,,,"$6,323.34",$0.00,1,0,1,20110101,30320,CPT,RMVL FOREIGN BODY INTRANASAL LATERAL RHINOTOMY,,30,,,"$6,323.34",$0.00,1,0,1,20110101,30400,CPT,RHINP PRIM LAT&ALAR CRTLGS&/ELVTN NSL TIP,,30,,,"$15,050.51",$0.00,1,0,1,20110101,30410,CPT,RHINP PRIM COMPLETE XTRNL PARTS,,30,,,"$15,050.51",$0.00,1,0,1,20110101,30420,CPT,RHINOPLASTY PRIMARY W/MAJOR SEPTAL REPAIR,,30,,,"$15,050.51",$0.00,1,0,1,20110101,30430,CPT,RHINOPLASTY SECONDARY MINOR REVISION,,30,,,"$9,184.01",$0.00,1,0,1,20110101,30435,CPT,RHINOPLASTY SECONDARY INTERMEDIATE REVISION,,30,,,"$15,050.51",$0.00,1,0,1,20110101,30450,CPT,RHINOPLASTY SECONDARY MAJOR REVISION,,30,,,"$15,050.51",$0.00,1,0,1,20110101,30460,CPT,RHINP DFRM W/COLUM LNGTH TIP ONLY,,30,,,"$15,050.51",$0.00,1,0,1,20110101,30462,CPT,RHINP DFRM COLUM LNGTH TIP SEPTUM OSTEOT,,30,,,"$15,050.51",$0.00,1,0,1,20110101,30465,CPT,REPAIR NASAL VESTIBULAR STENOSIS,,30,,,"$15,050.51",$0.00,1,0,1,20110101,30520,CPT,SEPTOP/SBMCSL RESCJ,,30,,,"$9,184.01",$0.00,1,0,1,20110101,30540,CPT,REPAIR CHOANAL ATRESIA INTRANASAL,,30,,,"$15,050.51",$0.00,1,0,1,20110101,30545,CPT,REPAIR CHOANAL ATRESIA TRANSPALATINE,,30,,,"$15,050.51",$0.00,1,0,1,20110101,30560,CPT,LYSIS INTRANASAL SYNECHIA,,30,,,"$1,260.04",$0.00,1,0,1,20110101,30580,CPT,REPAIR FISTULA OROMAXILLARY,,30,,,"$15,050.51",$0.00,1,0,1,20110101,30600,CPT,REPAIR FISTULA ORONASAL,,30,,,"$15,050.51",$0.00,1,0,1,20110101,30620,CPT,SEPTAL/OTHER INTRANASAL DERMATOPLASTY,,30,,,"$15,050.51",$0.00,1,0,1,20110101,30630,CPT,REPAIR NASAL SEPTAL PERFORATIONS,,30,,,"$9,184.01",$0.00,1,0,1,20110101,30801,CPT,ABLTJ SOF TISS INF TURBS UNI/BI SUPFC,,30,,,"$2,803.22",$0.00,1,0,1,20110101,30802,CPT,ABLTJ SOF TISS INF TURBS UNI/BI SUPFC INTRAMURAL,,30,,,"$6,323.34",$0.00,1,0,1,20110101,30901,CPT,CONTROL NASAL HEMORRHAGE ANTERIOR SIMPLE,,30,,,$423.92,$0.00,1,0,1,20110101,30903,CPT,CONTROL NASAL HEMORRHAGE ANTERIOR COMPLEX,,30,,,$423.92,$0.00,1,0,1,20110101,30905,CPT,CTRL NSL HEMRRG PST PST NSL PACKS&/CAUT 1ST,,30,,,$423.92,$0.00,1,0,1,20110101,30906,CPT,CTRL NSL HEMRRG PST PST NSL PACKS&/CAUT SBSQ,,30,,,$423.92,$0.00,1,0,1,20110101,30915,CPT,LIGATION ARTERIES ETHMOIDAL,,30,,,"$9,775.45",$0.00,1,0,1,20110101,30920,CPT,LIGATION ARTERIES INT MAXILLARY TRANSANTRAL,,30,,,"$9,775.45",$0.00,1,0,1,20110101,30930,CPT,FRACTURE NASAL INFERIOR TURBINATE THERAPEUTIC,,30,,,"$6,323.34",$0.00,1,0,1,20110101,30999,CPT,UNLISTED PROCEDURE NOSE,,30,,,$423.92,$0.00,1,0,1,20110101,31000,CPT,LAVAGE CANNULATION MAXILLARY SINUS,,30,,,"$1,260.04",$0.00,1,0,1,20110101,31002,CPT,LAVAGE CANNULATION SPHENOID SINUS,,30,,,"$2,803.22",$0.00,1,0,1,20110101,31020,CPT,SINUSOTOMY MAXILLARY ANTROTOMY INTRANASAL,,30,,,"$9,184.01",$0.00,1,0,1,20110101,31030,CPT,SINUSOTOMY MAXILLARY RAD W/O RMVL ANTROCH POLYPS,,30,,,"$15,050.51",$0.00,1,0,1,20110101,31032,CPT,SINUSOT MAX ANTRT RAD W/RMVL ANTROCH POLYPS,,30,,,"$15,050.51",$0.00,1,0,1,20110101,31040,CPT,PTERYGOMAXILLARY FOSSA SURGERY ANY APPROACH,,30,,,"$9,184.01",$0.00,1,0,1,20110101,31050,CPT,SINUSOTOMY SPHENOID +-BIOPSY,,30,,,"$15,050.51",$0.00,1,0,1,20110101,31051,CPT,SINUSOT SPHENOID W/MUCOSAL STRIPPING/RMVL POLYP,,30,,,"$15,050.51",$0.00,1,0,1,20110101,31070,CPT,SINUSOTOMY FRONTAL EXTERNAL SIMPLE,,30,,,"$9,184.01",$0.00,1,0,1,20110101,31075,CPT,SINUSOTOMY FRONTAL TRANSORBITAL UNILATERAL,,30,,,"$15,050.51",$0.00,1,0,1,20110101,31080,CPT,SINUSOTOMY FRNT OBLITERATIVE W/O FLAP BROW INC,,30,,,"$15,050.51",$0.00,1,0,1,20110101,31081,CPT,SINUSOT FRNT OBLIT W/O OSTPL FLAP CORONAL INC,,30,,,"$15,050.51",$0.00,1,0,1,20110101,31084,CPT,SINUSOT FRNT OBLIT W/OSTPL FLAP BROW INC,,30,,,"$15,050.51",$0.00,1,0,1,20110101,31085,CPT,SINUSOT FRNT OBLIT W/OSTPL FLAP CORONAL INC,,30,,,"$15,050.51",$0.00,1,0,1,20110101,31086,CPT,SINUSOT FRNT NONOBLIT W/OSTPL FLAP BROW INC,,30,,,"$15,050.51",$0.00,1,0,1,20110101,31087,CPT,SINUSOT FRNT NONOBLIT W/OSTPL FLAP CORONAL INC,,30,,,"$15,050.51",$0.00,1,0,1,20110101,31090,CPT,SINUSOT UNI 3/> PARANSL SINUSES,,30,,,"$15,050.51",$0.00,1,0,1,20110101,31200,CPT,ETHMOIDECTOMY INTRANASAL ANTERIOR,,30,,,"$15,050.51",$0.00,1,0,1,20110101,31201,CPT,ETHMOIDECTOMY INTRANASAL TOTAL,,30,,,"$15,050.51",$0.00,1,0,1,20110101,31205,CPT,ETHMOIDECTOMY EXTRANASAL TOTAL,,30,,,"$15,050.51",$0.00,1,0,1,20110101,31231,CPT,NASAL ENDOSCOPY DIAGNOSTIC UNI/BI SPX,,30,,,$677.84,$0.00,1,0,1,20110101,31233,CPT,NSL/SINUS NDSC DX MAX SINUSC,,30,,,$677.84,$0.00,1,0,1,20110101,31235,CPT,NSL/SINUS NDSC DX SPHENOID SINUSOSCOPY,,30,,,"$7,967.57",$0.00,1,0,1,20110101,31237,CPT,NSL/SINUS NDSC SURG W/BX POLYPC/DBRDMT SPX,,30,,,"$7,967.57",$0.00,1,0,1,20110101,31238,CPT,NSL/SINUS NDSC SURG W/CTRL NSL HEMRRG,,30,,,"$7,967.57",$0.00,1,0,1,20110101,31239,CPT,NSL/SINUS NDSC SURG W/DACRYOCSTORHINOSTOMY,,30,,,"$10,768.99",$0.00,1,0,1,20110101,31240,CPT,NSL/SINUS NDSC SURG W/CONCHA BULLOSA RESCJ,,30,,,"$7,967.57",$0.00,1,0,1,20110101,31254,CPT,NASAL/SINUS ENDOSCOPY W/ETHMOIDECTOMY PARTIAL,,30,,,"$10,768.99",$0.00,1,0,1,20110101,31255,CPT,NASAL/SINUS ENDOSCOPY W/ETHMOIDECTOMY TOTAL,,30,,,"$10,768.99",$0.00,1,0,1,20110101,31256,CPT,NASAL/SINUS ENDOSCOPY W/MAXILLARY ANTROSTOMY,,30,,,"$10,768.99",$0.00,1,0,1,20110101,31267,CPT,NSL/SINUS NDSC MAX ANTROST W/RMVL TISS MAX SINUS,,30,,,"$10,768.99",$0.00,1,0,1,20110101,31276,CPT,NSL/SINUS NDSC W/FRNT SINUS EXPL,,30,,,"$10,768.99",$0.00,1,0,1,20110101,31287,CPT,NASAL/SINUS ENDOSCOPY W/SPHENOIDECTOMY,,30,,,"$10,768.99",$0.00,1,0,1,20110101,31288,CPT,NSL/SINUS NDSC SPHENDT RMVL TISS SPHENOID SINUS,,30,,,"$10,768.99",$0.00,1,0,1,20110101,31292,CPT,NSL/SINUS NDSC SURG W/MEDIAL/INF ORB WALL DCMPRN,,30,,,"$10,768.99",$0.00,1,0,1,20110101,31293,CPT,NSL/SINUS NDSC MEDIAL ORB&INF ORB WALL DCMPRN,,30,,,"$10,768.99",$0.00,1,0,1,20110101,31294,CPT,NSL/SINUS NDSC SURG W/OPTIC NRV DCMPRN,,30,,,"$10,768.99",$0.00,1,0,1,20110101,31295,CPT,SINUS ENDO W/BALLOON DIL,,30,,,"$10,768.99",$0.00,1,0,1,20110101,31296,CPT,SINUS ENDO W/BALLOON DIL,,30,,,"$10,768.99",$0.00,1,0,1,20110101,31297,CPT,SINUS ENDO W/BALLOON DIL,,30,,,"$10,768.99",$0.00,1,0,1,20110101,31299,CPT,UNLISTED PROCEDURE ACCESSORY SINUSES,,30,,,$423.92,$0.00,1,0,1,20110101,31300,CPT,LRYNGOT W/RMVL TUM/LARYNGOCELE CORDECTOMY,,30,,,"$9,184.01",$0.00,1,0,1,20110101,31320,CPT,LARYNGOTOMY THYROTOMY LARYNGOFISSURE DX,,30,,,"$15,050.51",$0.00,1,0,1,20110101,31400,CPT,ARYTENOIDECTOMY/ARYTENOIDOPEXY XTRNL APPR,,30,,,"$15,050.51",$0.00,1,0,1,20110101,31420,CPT,EPIGLOTTIDECTOMY,,30,,,"$15,050.51",$0.00,1,0,1,20110101,31500,CPT,INTUBATION ENDOTRACHEAL EMERGENCY PROCEDURE,,30,,,"$1,062.72",$0.00,1,0,1,20110101,31502,CPT,TRACHEOTOMY TUBE CHANGE PRIOR TO FISTULA TRACT,,30,,,$615.08,$0.00,1,0,1,20110101,31505,CPT,LARYNGOSCOPY INDIRECT DIAGNOSTIC SPX,,30,,,$294.57,$0.00,1,0,1,20110101,31510,CPT,LARYNGOSCOPY INDIRECT W/BIOPSY,,30,,,"$7,967.57",$0.00,1,0,1,20110101,31511,CPT,LARYNGOSCOPY INDIRECT W/REMOVAL FOREIGN BODY,,30,,,$677.84,$0.00,1,0,1,20110101,31512,CPT,LARYNGOSCOPY INDIRECT W/REMOVAL LESION,,30,,,"$7,967.57",$0.00,1,0,1,20110101,31513,CPT,LARYNGOSCOPY INDIRECT W/VOCAL CORD INJECTION,,30,,,$677.84,$0.00,1,0,1,20110101,31515,CPT,LARYNGOSCOPY +-TRACHEOSCOPY ASPIRATION,,30,,,"$7,967.57",$0.00,1,0,1,20110101,31520,CPT,LARYNGOSCOPY +-TRACHEOSCOPY DIAGNOSTIC NEWBORN,,30,,,$677.84,$0.00,1,0,1,20110101,31525,CPT,LARYNGOSCOPY +-TRACHEOSCOPY DX EXCEPT NEWBORN,,30,,,"$7,967.57",$0.00,1,0,1,20110101,31526,CPT,LARYNGOSCOPY +-TRACHEOSCOPY MICROSCOPE/TELESCOPE,,30,,,"$7,967.57",$0.00,1,0,1,20110101,31527,CPT,LARYNGOSCOPY +-TRACHEOSCOPY INSERTION OBTURATOR,,30,,,"$10,768.99",$0.00,1,0,1,20110101,31528,CPT,LARYNGOSCOPY +-TRACHEOSCOPY W/DILATION INITIAL,,30,,,"$7,967.57",$0.00,1,0,1,20110101,31529,CPT,LARYNGOSCOPY +-TRACHEOSCOPY DILATION SUBSEQUENT,,30,,,"$7,967.57",$0.00,1,0,1,20110101,31530,CPT,LARYNGOSCOPY W/FOREIGN BODY REMOVAL,,30,,,"$7,967.57",$0.00,1,0,1,20110101,31531,CPT,LARYNGOSCOPY F BODY RMVL MICROSCOPE/TELESCOPE,,30,,,"$7,967.57",$0.00,1,0,1,20110101,31535,CPT,LARYNGOSCOPY DIRECT OPERATIVE W/BIOPSY,,30,,,"$7,967.57",$0.00,1,0,1,20110101,31536,CPT,LARYNGOSCOPY W/BIOPSY MICROSCOPE/TELESCOPE,,30,,,"$7,967.57",$0.00,1,0,1,20110101,31540,CPT,LARGSC EXC TUM&/STRIPPING CORDS/EPIGL,,30,,,"$7,967.57",$0.00,1,0,1,20110101,31541,CPT,LARGSC EXC TUM&/STRPG CORDS/EPIGL MCRSCP/TLSCP,,30,,,"$7,967.57",$0.00,1,0,1,20110101,31545,CPT,LARGSC MCRSCP/TLSCP RMVL LES VOCAL C/D FLAP,,30,,,"$10,768.99",$0.00,1,0,1,20110101,31546,CPT,LARGSC MCRSCP/TLSCP RMVL LES VOCAL C/D GRF,,30,,,"$10,768.99",$0.00,1,0,1,20110101,31560,CPT,LARYNGOSCOPY DIRECT OPERATIVE W/ARYTENOIDECTOMY,,30,,,"$10,768.99",$0.00,1,0,1,20110101,31561,CPT,LARGSC ARYTENOIDECTOMY MICROSCOPE/TELESCOPE,,30,,,"$10,768.99",$0.00,1,0,1,20110101,31570,CPT,LARYNGOSCOPE INJECTION VOCAL CORD THERAPEUTIC,,30,,,"$7,967.57",$0.00,1,0,1,20110101,31571,CPT,LARGSC W/NJX VOCAL CORD THER W/MCRSCP/TLSCP,,30,,,"$10,768.99",$0.00,1,0,1,20110101,31575,CPT,LARYNGOSCOPY FLEXIBLE FIBEROPTIC DIAGNOSTIC,,30,,,$677.84,$0.00,1,0,1,20110101,31576,CPT,LARYNGOSCOPY FLEXIBLE FIBEROPTIC W/BIOPSY,,30,,,"$7,967.57",$0.00,1,0,1,20110101,31577,CPT,LARYNGOSCOPY FLX FIBEROPTIC RMVL FOREIGN BODY,,30,,,"$1,623.11",$0.00,1,0,1,20110101,31578,CPT,LARYNGOSCOPY FLEXIBLE FIBEROPTIC REMOVAL LESION,,30,,,"$10,768.99",$0.00,1,0,1,20110101,31579,CPT,LARYNGOSCOPY FLX/RGD FIBOPT W/STROBOSCOPY,,30,,,"$1,623.11",$0.00,1,0,1,20110101,31580,CPT,LARYNGOPLASTY LARYN WEB 2 STG W/KEEL INSJ&RMVL,,30,,,"$15,050.51",$0.00,1,0,1,20110101,31582,CPT,LARYNGP LARYN STENOSIS GRF/CORE MOLD W/TRACHT,,30,,,"$15,050.51",$0.00,1,0,1,20110101,31588,CPT,LARYNGOPLASTY NOT OTHERWISE SPECIFIED,,30,,,"$15,050.51",$0.00,1,0,1,20110101,31590,CPT,LARYNGEAL REINNERVATION NEUROMUSCULAR PEDICLE,,30,,,"$15,050.51",$0.00,1,0,1,20110101,31595,CPT,SECTION RECURRENT LARYNGEAL NERVE THER UNI SPX,,30,,,"$15,050.51",$0.00,1,0,1,20110101,31599,CPT,UNLISTED PROCEDURE LARYNX,,30,,,$423.92,$0.00,1,0,1,20110101,31600,CPT,TRACHEOSTOMY PLANNED SPX,,30,,,"$9,184.01",$0.00,1,0,1,20110101,31601,CPT,TRACHEOSTOMY PLANNED UNDER 2 YEARS SPX,,30,,,"$9,184.01",$0.00,1,0,1,20110101,31603,CPT,TRACHEOSTOMY EMERGENCY PROCEDURE TRANSTRACHEAL,,30,,,"$2,803.22",$0.00,1,0,1,20110101,31605,CPT,TRACHEOSTOMY EMERGENCY CRICOTHYROID MEMBRANE,,30,,,"$2,803.22",$0.00,1,0,1,20110101,31610,CPT,TRACHEOSTOMY FENESTRATION W/SKIN FLAPS,,30,,,"$9,184.01",$0.00,1,0,1,20110101,31611,CPT,CONSTJ TRACHEOESOPHGL FSTL&INSJ SP PROSTH,,30,,,"$9,184.01",$0.00,1,0,1,20110101,31612,CPT,TRACHEAL PNXR PRQ W/TRANSTRACHEAL ASPIR&/NJX,,30,,,"$9,184.01",$0.00,1,0,1,20110101,31613,CPT,TRACHEOSTOMA REVJ SMPL W/O FLAP ROTATION,,30,,,"$9,184.01",$0.00,1,0,1,20110101,31614,CPT,TRACHEOSTOMA REVJ CPLX W/FLAP ROTATION,,30,,,"$15,050.51",$0.00,1,0,1,20110101,31615,CPT,TRACHEOBRNCHSC THRU EST TRACHS INC,,30,,,"$2,803.22",$0.00,1,0,1,20110101,31620,CPT,ENDOBRNCL US BRONCHOSCOPIC DX/THER IVNTJ,,30,,,"$2,562.98",$0.00,1,0,1,20110101,31622,CPT,BRNCHSC INCL FLUOR GID DX W/CELL WASHG SPX,,30,,,"$3,815.35",$0.00,1,0,1,20110101,31623,CPT,BRNCHSC BRUSHING/PROTECTED BRUSHINGS,,30,,,"$3,815.35",$0.00,1,0,1,20110101,31624,CPT,BRNCHSC W/BRNCL ALVEOLAR LAVAGE,,30,,,"$3,815.35",$0.00,1,0,1,20110101,31625,CPT,BRNCHSC BRNCL/ENDOBRNCL BX 1+ SITS,,30,,,"$3,815.35",$0.00,1,0,1,20110101,31626,CPT,BRNCHSC W/PLMT FIDUCIAL MARKERS 1/MLT,,30,,,"$3,815.35",$0.00,1,0,1,20110101,31628,CPT,BRNCHSC W/TRANSBRNCL LUNG BX 1 LOBE,,30,,,"$3,815.35",$0.00,1,0,1,20110101,31629,CPT,BRNCHSC NDL BX TRACHEA MAIN STEM&/BRONCHUSI,,30,,,"$3,815.35",$0.00,1,0,1,20110101,31630,CPT,BRNCHSC W/TRACHEAL/BRNCL DILAT/CLSD RDCTJ FX,,30,,,"$9,529.35",$0.00,1,0,1,20110101,31631,CPT,BRNCHSC W/PLACEMENT TRACHEAL STENT,,30,,,"$9,529.35",$0.00,1,0,1,20110101,31632,CPT,BRNCHSC W/TRANSBRNCL LUNG BX EA LOBE,,30,,,"$3,815.35",$0.00,1,0,1,20110101,31633,CPT,BRNCHSC W/TRANSBRNCL NDL ASPIR BX EA LOBE,,30,,,"$3,815.35",$0.00,1,0,1,20110101,31634,CPT,BRONCH W/BALLOON OCCLUSION,,30,,,"$3,815.35",$0.00,1,0,1,20110101,31635,CPT,BRNCHSC W/REMOVAL FOREIGN BODY,,30,,,"$3,815.35",$0.00,1,0,1,20110101,31636,CPT,BRNCHSC W/PLACEMENT BRNCL STENT 1ST BRONCHUS,,30,,,"$9,529.35",$0.00,1,0,1,20110101,31637,CPT,BRNCHSC EA MAJOR BRONCHUS STENTED,,30,,,"$3,815.35",$0.00,1,0,1,20110101,31638,CPT,BRNCHSC REVJ TRACHEAL/BRNCL STENT INS PREV SESS,,30,,,"$9,529.35",$0.00,1,0,1,20110101,31640,CPT,BRNCHSC W/EXCISION TUMOR,,30,,,"$9,529.35",$0.00,1,0,1,20110101,31641,CPT,BRNCHSC W/DSTRJ TUM RELIEF STENOSIS OTH/THN EXC,,30,,,"$9,529.35",$0.00,1,0,1,20110101,31643,CPT,BRNCHSC W/PLMT CATH INTRCV RADIOELMNT APPL,,30,,,"$3,815.35",$0.00,1,0,1,20110101,31645,CPT,BRNCHSC W/THER ASPIR TRACHEOBRNCL TREE 1ST,,30,,,"$3,815.35",$0.00,1,0,1,20110101,31646,CPT,BRNCHSC W/THER ASPIR TRACHEOBRNCL TREE SBSQ,,30,,,"$3,815.35",$0.00,1,0,1,20110101,31656,CPT,BRNCHSC W/NJX CONTRAST SGMTL BRONCHOG,,30,,,"$3,815.35",$0.00,1,0,1,20110101,31717,CPT,CATHETERIZATION W/BRONCHIAL BRUSH BIOPSY,,30,,,"$1,623.11",$0.00,1,0,1,20110101,31720,CPT,CATHETER ASPIRATION NASOTRACHEAL SPX,,30,,,$137.55,$0.00,1,0,1,20110101,31730,CPT,TTRACH INTRO NDL WIRE DIL/STENT/TUBE O2 THER,,30,,,"$1,623.11",$0.00,1,0,1,20110101,31750,CPT,TRACHEOPLASTY CERVICAL,,30,,,"$15,050.51",$0.00,1,0,1,20110101,31755,CPT,TRACHEOPLASTY TRACHEOPHARYNGEAL FSTLJ EA STG,,30,,,"$15,050.51",$0.00,1,0,1,20110101,31785,CPT,EXCISION TRACHEAL TUMOR/CARCINOMA CERVICAL,,30,,,"$9,184.01",$0.00,1,0,1,20110101,31820,CPT,SURG CLSR TRACHS/FSTL W/O PLSTC RPR,,30,,,"$9,184.01",$0.00,1,0,1,20110101,31825,CPT,SURG CLSR TRACHS/FSTL W/PLSTC RPR,,30,,,"$9,184.01",$0.00,1,0,1,20110101,31830,CPT,REVISION TRACHEOSTOMY SCAR,,30,,,"$9,184.01",$0.00,1,0,1,20110101,31899,CPT,UNLISTED PROCEDURE TRACHEA BRONCHI,,30,,,"$3,815.35",$0.00,1,0,1,20110101,32201,CPT,PNEUMONOSTOMY PERCUTANEOUS DRAINAGE ABSCESS/CYST,,30,,,"$2,042.60",$0.00,1,0,1,20110101,32400,CPT,BIOPSY PLEURA PERCUTANEOUS NEEDLE,,30,,,"$3,556.29",$0.00,1,0,1,20110101,32405,CPT,BIOPSY LUNG/MEDIASTINUM PERCUTANEOUS NEEDLE,,30,,,"$3,556.29",$0.00,1,0,1,20110101,32420,CPT,PNEUMOCENTESIS PUNCTURE LUNG ASPIRATION,,30,,,"$2,042.60",$0.00,1,0,1,20110101,32421,CPT,THORACENTESIS PUNCTURE PLEURAL CAVITY ASPIRATION,,30,,,"$2,042.60",$0.00,1,0,1,20110101,32422,CPT,THORACENTESIS WITH INSERTION TUBE WATER SEAL,,30,,,"$2,042.60",$0.00,1,0,1,20110101,32501,CPT,RESCJ&BRONCHOPLASTY PFRMD TM LOBEC/SGMECTOMY,,30,,,$102.74,$0.00,1,0,1,20110101,32550,CPT,INSERTION INDWELLING TUNNELED PLEURAL CATHETER,,30,,,"$11,206.14",$0.00,1,0,1,20110101,32551,CPT,TUBE THORACOSTOMY INCLUDES WATER SEAL,,30,,,"$2,042.60",$0.00,1,0,1,20110101,32552,CPT,RMVL NDWELLG TUN PLEURAL CATH W/CUFF,,30,,,$615.08,$0.00,1,0,1,20110101,32553,CPT,PLMT NTRSTL DEV RADJ THX GID PRQ INTRATHRC 1/MLT,,30,,,"$5,637.33",$0.00,1,0,1,20110101,32560,CPT,INSTLJ VIA CHEST TUBE/CATH AGENT FOR PLEURODESIS,,30,,,"$2,042.60",$0.00,1,0,1,20110101,32561,CPT,INSTLJ VIA CH TUBE/CATH AGENT FBRNLYSIS 1ST DAY,,30,,,"$2,042.60",$0.00,1,0,1,20110101,32562,CPT,INSTLJ CH TUBE/CATH AGENT FBRNLYSIS SBSQ DAY,,30,,,"$2,042.60",$0.00,1,0,1,20110101,32601,CPT,THORACOSCOPY DX LUNGS&PLEURAL SPACE W/O BX SPX,,30,,,"$12,511.54",$0.00,1,0,1,20110101,32602,CPT,THORACOSCOPY DX LUNGS&PLEURAL SPACE W/BX SPX,,30,,,"$12,511.54",$0.00,1,0,1,20110101,32603,CPT,THORACOSCOPY DX PERICARDIAL SAC W/O BIOPSY SPX,,30,,,"$12,511.54",$0.00,1,0,1,20110101,32604,CPT,THORACOSCOPY DX PERICARDIAL SAC W/BIOPSY SPX,,30,,,"$12,511.54",$0.00,1,0,1,20110101,32605,CPT,THORACOSCOPY DX MEDIASTINAL SPACE W/O BIOPSY SPX,,30,,,"$12,511.54",$0.00,1,0,1,20110101,32606,CPT,THORACOSCOPY DX MEDIASTINAL SPACE W/BIOPSY SPX,,30,,,"$12,511.54",$0.00,1,0,1,20110101,32664,CPT,THORACOSCOPY W/THORACIC SYMPATHECTOMY,,30,,,"$6,335.47",$0.00,1,0,1,20110101,32960,CPT,PNEUMOTHORAX THER INTRAPLEURAL NJX AIR,,30,,,"$2,042.60",$0.00,1,0,1,20110101,32998,CPT,ABLATION PULMONARY TUMOR PERQ RF UNI,,30,,,"$17,106.66",$0.00,1,0,1,20110101,32999,CPT,UNLISTED PROCEDURE LUNGS & PLEURA,,30,,,"$2,042.60",$0.00,1,0,1,20110101,33010,CPT,PERICARDIOCENTESIS INITIAL,,30,,,"$2,042.60",$0.00,1,0,1,20110101,33011,CPT,PERICARDIOCENTESIS SUBSEQUENT,,30,,,"$2,042.60",$0.00,1,0,1,20110101,33206,CPT,INSJ/RPLCMT PRM PM W/TRANSVNS ELTRD ATR,,30,,,"$23,222.42",$0.00,1,0,1,20110101,33207,CPT,INSJ/RPLCMT PRM PM W/TRANSVNS ELTRD VENTR,,30,,,"$23,222.42",$0.00,1,0,1,20110101,33208,CPT,INSJ/RPLCMT PRM PM W/TRANSVNS ELTRD ATR&VENTR,,30,,,"$21,019.44",$0.00,1,0,1,20110101,33210,CPT,INSJ/RPLCMT TEMP TRANSVNS 1CHMBR ELTRD/PM CATH,,30,,,"$16,540.86",$0.00,1,0,1,20110101,33211,CPT,INSJ/RPLCMT TEMP TRANSVNS 2CHMBR PACG ELTRDS SPX,,30,,,"$16,540.86",$0.00,1,0,1,20110101,33212,CPT,INSJ/RPLCMT PM PLS GEN ONLY 1CHMBR ATR/VENTR,,30,,,"$23,323.43",$0.00,1,0,1,20110101,33213,CPT,INSJ/RPLCMT PM PLS GEN ONLY 2CHMBR,,30,,,"$23,493.41",$0.00,1,0,1,20110101,33214,CPT,UPG PM SYS CONV 1CHMBR SYS 2CHMBR SYS,,30,,,"$21,019.44",$0.00,1,0,1,20110101,33215,CPT,RPSG PREV IMPLTED PM/CVDFB R ATR/R VENTR ELTRD,,30,,,"$8,439.97",$0.00,1,0,1,20110101,33216,CPT,INSJ 1 TRANSVNS ELTRD PERM PACEMAKER OR CVDFB,,30,,,"$16,540.86",$0.00,1,0,1,20110101,33217,CPT,INSJ 2 TRANSVNS ELTRD PERM PACEMAKER OR CVDFB,,30,,,"$16,540.86",$0.00,1,0,1,20110101,33218,CPT,RPR 1 ELTRD 1CHMBR PRM PM/1CHMBR CVDFB,,30,,,"$8,439.97",$0.00,1,0,1,20110101,33220,CPT,RPR 2 ELTRDS 2 CHMBR PRM PM/2CHMBR CVDFB,,30,,,"$8,439.97",$0.00,1,0,1,20110101,33222,CPT,REVISION/RELOCATION SKIN POCKET PACEMAKER,,30,,,"$5,906.26",$0.00,1,0,1,20110101,33223,CPT,REVJ SKN POCKET FOR CARDIOVERTER-DEFIBRILLATOR,,30,,,"$5,906.26",$0.00,1,0,1,20110101,33224,CPT,INSJ ELTRD CAR VEN SYS ATTCH PM/CVDFB PLS GEN,,30,,,"$20,132.88",$0.00,1,0,1,20110101,33225,CPT,INSJ ELTRD CAR VEN SYS TM INSJ CVDFB/PM PLS GEN,,30,,,"$20,132.88",$0.00,1,0,1,20110101,33226,CPT,RPSG PREV IMPLTED CAR VEN SYS L VENTR ELTRD,,30,,,"$8,439.97",$0.00,1,0,1,20110101,33233,CPT,REMOVAL PERMANENT PACEMAKER PULSE GENERATOR,,30,,,"$8,439.97",$0.00,1,0,1,20110101,33234,CPT,RMVL TRANSVNS PM ELTRD 1 LEAD SYS ATR/VENTR,,30,,,"$8,439.97",$0.00,1,0,1,20110101,33235,CPT,RMVL TRANSVNS PM ELTRD DUAL LEAD SYS,,30,,,"$8,439.97",$0.00,1,0,1,20110101,33240,CPT,INSJ 1/2CHMBR PACG CVDFB PLS GEN,,30,,,"$43,818.10",$0.00,1,0,1,20110101,33241,CPT,SUBQ RMVL 1/2CHMBR PACG CVDFB PLS GEN,,30,,,"$8,439.97",$0.00,1,0,1,20110101,33244,CPT,RMVL 1/2CHMBR PACG CVDFB ELTRD TRANSVNS XTRJ,,30,,,"$8,439.97",$0.00,1,0,1,20110101,33249,CPT,INSJ/RPSG LEAD 1/2CHMBR CVDFB&INSJ PLS GEN,,30,,,"$55,456.64",$0.00,1,0,1,20110101,33282,CPT,IMPLANTATION PT-ACTIVATED CARDIAC EVENT RECORDER,,30,,,"$21,748.65",$0.00,1,0,1,20110101,33284,CPT,RMVL IMPLANTABLE PT-ACTIVATED CAR EVENT RECORDER,,30,,,"$3,017.75",$0.00,1,0,1,20110101,33620,CPT,APPLY R&L PULM ART BANDS,,30,,,"$2,042.60",$0.00,1,0,1,20110101,33621,CPT,TRANSTHOR CATH FOR STENT,,30,,,"$2,042.60",$0.00,1,0,1,20110101,33622,CPT,REDO COMPL CARDIAC ANOMALY,,30,,,"$2,042.60",$0.00,1,0,1,20110101,33967,CPT,INSERTION INTRA-AORTIC BALLOON ASSIST DEV PRQ,,30,,,"$3,786.01",$0.00,1,0,1,20110101,33999,CPT,UNLISTED CARDIAC SURGERY,,30,,,"$2,042.60",$0.00,1,0,1,20110101,34101,CPT,EMBLC/THRMBC AX BRACH INNOMINATE SUBCLA ART,,30,,,"$14,495.09",$0.00,1,0,1,20110101,34111,CPT,EMBLC/THRMBC +-CATH RDL/UR ART ARM INC,,30,,,"$14,495.09",$0.00,1,0,1,20110101,34201,CPT,EMBLC/THRMBC FEMPOP A-ILIAC ART,,30,,,"$14,495.09",$0.00,1,0,1,20110101,34203,CPT,EMBLC/THRMBC POP-TIBIO-PRONEAL ART LEG INC,,30,,,"$14,495.09",$0.00,1,0,1,20110101,34421,CPT,THRMBC DIR/W/CATH V/C ILIAC FEMPOP VEIN LEG INC,,30,,,"$14,495.09",$0.00,1,0,1,20110101,34471,CPT,THRMBC DIR/W/CATH SUBCLA VEIN NCK INC,,30,,,"$14,495.09",$0.00,1,0,1,20110101,34490,CPT,THRMBC DIR/W/CATH AX&SUBCLA VEIN ARM INC,,30,,,"$14,495.09",$0.00,1,0,1,20110101,34501,CPT,VALVULOPLASTY FEMORAL VEIN,,30,,,"$14,495.09",$0.00,1,0,1,20110101,34510,CPT,VENOUS VALVE TRANSPOSITION ANY VEIN DONOR,,30,,,"$14,495.09",$0.00,1,0,1,20110101,34520,CPT,CROSS-OVER VEIN GRAFT VENOUS SYSTEM,,30,,,"$14,495.09",$0.00,1,0,1,20110101,34530,CPT,SAPHENOPOPLITEAL VEIN ANASTOMOSIS,,30,,,"$14,495.09",$0.00,1,0,1,20110101,35011,CPT,DIR RPR ARYSM&GRF INSJ AX-BRACH ART,,30,,,"$15,995.16",$0.00,1,0,1,20110101,35180,CPT,REPAIR CONGENITAL ARTERIOVENOUS FISTULA HEAD&NCK,,30,,,"$13,000.61",$0.00,1,0,1,20110101,35184,CPT,RPR CONGENITAL ARTERIOVENOUS FISTULA EXTREMITIES,,30,,,"$13,000.61",$0.00,1,0,1,20110101,35188,CPT,RPR/TRAUMTC ARVEN FSTL HEAD&NCK,,30,,,"$14,495.09",$0.00,1,0,1,20110101,35190,CPT,RPR/TRAUMTC ARVEN FSTL XTR,,30,,,"$13,000.61",$0.00,1,0,1,20110101,35201,CPT,REPAIR BLOOD VESSEL DIRECT NECK,,30,,,"$13,000.61",$0.00,1,0,1,20110101,35206,CPT,REPAIR BLOOD VESSEL DIRECT UPPER EXTREMITY,,30,,,"$13,000.61",$0.00,1,0,1,20110101,35207,CPT,REPAIR BLOOD VESSEL DIRECT HAND FINGER,,30,,,"$14,495.09",$0.00,1,0,1,20110101,35226,CPT,RPR BLOOD VESSEL DIRECT LOWER EXTREMITY,,30,,,"$3,017.75",$0.00,1,0,1,20110101,35231,CPT,REPAIR BLOOD VESSEL W/VEIN GRAFT NECK,,30,,,"$13,000.61",$0.00,1,0,1,20110101,35236,CPT,REPAIR BLOOD VESSEL W/VEIN GRAFT UPPER EXTREMITY,,30,,,"$13,000.61",$0.00,1,0,1,20110101,35256,CPT,REPAIR BLOOD VESSEL VEIN GRAFT LOWER EXTREMITY,,30,,,"$13,000.61",$0.00,1,0,1,20110101,35261,CPT,REPAIR BLOOD VESSEL W/GRAFT OTHER/THAN VEIN NECK,,30,,,"$15,995.16",$0.00,1,0,1,20110101,35266,CPT,RPR BLOOD VSL GRF OTH/THN VEIN UPPER EXTREMITY,,30,,,"$15,995.16",$0.00,1,0,1,20110101,35286,CPT,RPR BLVSL W/GRF OTH/THN VEIN LXTR,,30,,,"$15,995.16",$0.00,1,0,1,20110101,35301,CPT,TEAEC W/PATCH GRF CRTD VRT SUBCLA NCK INC,,30,,,"$8,574.92",$0.00,1,0,1,20110101,35321,CPT,TEAEC +-PATCH GRF AX-BRACH,,30,,,"$13,000.61",$0.00,1,0,1,20110101,35371,CPT,TEAEC +-PATCH GRF COMMON FEM,,30,,,"$2,132.41",$0.00,1,0,1,20110101,35458,CPT,TRLUML BALO ANGIOP OPN BRCH/CPHLC TRNK/BRNCH EA,,30,,,"$16,950.24",$0.00,1,0,1,20110101,35460,CPT,TRLUML BALO ANGIOP OPN VEN,,30,,,"$16,950.24",$0.00,1,0,1,20110101,35471,CPT,TRLUML BALO ANGIOP PRQ RNL/VISC ART,,30,,,"$16,950.24",$0.00,1,0,1,20110101,35472,CPT,TRLUML BALO ANGIOP PRQ AORTIC,,30,,,"$16,950.24",$0.00,1,0,1,20110101,35475,CPT,TRLUML BALO ANGIOP PRQ BRCH/CPHLC TRNK/BRNCH EA,,30,,,"$16,950.24",$0.00,1,0,1,20110101,35476,CPT,TRLUML BALO ANGIOP PRQ VEN,,30,,,"$16,950.24",$0.00,1,0,1,20110101,35500,CPT,HARVEST UXTR VEIN 1 SGM LXTR/CAB PX,,30,,,"$6,564.57",$0.00,1,0,1,20110101,35685,CPT,PLMT VEIN PATCH/CUFF DSTL ANAST BYP CONDUIT,,30,,,"$13,000.61",$0.00,1,0,1,20110101,35686,CPT,CRTJ DSTL ARVEN FSTL LXTR BYP SURG NON-HEMO,,30,,,"$13,000.61",$0.00,1,0,1,20110101,35761,CPT,EXPL N/FLWD SURG RPR +-LSS ART OTH VSL,,30,,,"$13,000.61",$0.00,1,0,1,20110101,35860,CPT,EXPL PO HEMRRG THROMBOSIS/INFCTJ XTR,,30,,,"$13,000.61",$0.00,1,0,1,20110101,35875,CPT,THRMBC ARTL/VEN GRF OTH/THN HEMO GRF/FSTL,,30,,,"$14,495.09",$0.00,1,0,1,20110101,35876,CPT,THRMBC ARTL/VEN GRF XCP HEMO GRF/FSTL W/REVJ GRF,,30,,,"$14,495.09",$0.00,1,0,1,20110101,35879,CPT,REVJ LXTR ARTL BYP OPN VEIN PATCH ANGIOP,,30,,,"$14,495.09",$0.00,1,0,1,20110101,35881,CPT,REVJ LXTR ARTL BYP OPN W/SGMTL VEIN INTERPOS,,30,,,"$14,495.09",$0.00,1,0,1,20110101,35883,CPT,REVISION FEMORAL ANAST OPEN NONAUTOG GRAFT,,30,,,"$14,495.09",$0.00,1,0,1,20110101,35884,CPT,REVISION FEMORAL ANAST OPEN W/AUTOG GRAFT,,30,,,"$14,495.09",$0.00,1,0,1,20110101,35903,CPT,EXC INFCT GRF XTR,,30,,,"$13,000.61",$0.00,1,0,1,20110101,36002,CPT,NJX PX PRQ TX XTR PSEUDOARYSM,,30,,,$996.43,$0.00,1,0,1,20110101,36147,CPT,INTRO NDL/CATH AV SHUNT IST ACCESS W/ RAD EVAL,,30,,,$881.26,$0.00,1,0,1,20110101,36260,CPT,INSJ IMPLTABLE IA NFS PMP,,30,,,"$11,198.59",$0.00,1,0,1,20110101,36261,CPT,REVJ IMPLTED IA NFS PMP,,30,,,"$8,439.97",$0.00,1,0,1,20110101,36262,CPT,RMVL IMPLTED IA NFS PMP,,30,,,"$8,439.97",$0.00,1,0,1,20110101,36415,CPT,COLLJ VEN BLD VNPNXR,,30,,,$31.23,$0.00,1,0,1,20110101,36420,CPT,VNPNXR CUTDOWN UNDER AGE 1 YR,,30,,,$101.40,$0.00,1,0,1,20110101,36425,CPT,VNPNXR CUTDOWN AGE 1/>,,30,,,$101.40,$0.00,1,0,1,20110101,36430,CPT,TRANSFUSION BLD/BLD COMPONENTS,,30,,,"$1,214.58",$0.00,1,0,1,20110101,36440,CPT,PUSH TRANSFUSION BLD 2 YR/UNDER,,30,,,"$1,214.58",$0.00,1,0,1,20110101,36450,CPT,EXCHNG TRANSFUSION BLD NB,,30,,,"$1,214.58",$0.00,1,0,1,20110101,36455,CPT,EXCHNG TRANSFUSION BLD OTH/THN NB,,30,,,"$1,214.58",$0.00,1,0,1,20110101,36460,CPT,TRANSFUSION INTRAUTERINE FTL,,30,,,"$1,214.58",$0.00,1,0,1,20110101,36468,CPT,1/MLT NJXS SCLRSG SLNS SPIDER VEINS LIMB/TRNK,,30,,,$243.08,$0.00,1,0,1,20110101,36469,CPT,1/MLT NJXS SCLRSG SLNS SPIDER VEINS FACE,,30,,,$243.08,$0.00,1,0,1,20110101,36470,CPT,NJX SCLRSG SLN 1 VEIN,,30,,,$243.08,$0.00,1,0,1,20110101,36471,CPT,NJX SCLRSG SLN MLT VEINS SM LEG,,30,,,$243.08,$0.00,1,0,1,20110101,36475,CPT,ENDOVEN ABLTJ INCMPTNT VEIN XTR RF 1ST VEIN,,30,,,"$15,579.14",$0.00,1,0,1,20110101,36476,CPT,ENDOVEN ABLTJ INCMPTNT VEIN XTR RF 2ND+ VEINS,,30,,,"$9,775.45",$0.00,1,0,1,20110101,36478,CPT,ENDOVEN ABLTJ INCMPTNT VEIN XTR LASER 1ST VEIN,,30,,,"$9,775.45",$0.00,1,0,1,20110101,36479,CPT,ENDOVEN ABLTJ INCMPTNT VEIN XTR LASER 2ND+ VEINS,,30,,,"$9,775.45",$0.00,1,0,1,20110101,36511,CPT,THER APHERESIS WHITE BLD CELLS,,30,,,"$4,393.56",$0.00,1,0,1,20110101,36512,CPT,THER APHERESIS RED BLD CELLS,,30,,,"$4,393.56",$0.00,1,0,1,20110101,36513,CPT,THER APHERESIS PLTLTS,,30,,,"$4,393.56",$0.00,1,0,1,20110101,36514,CPT,THER APHERESIS PLSM PHERESIS,,30,,,"$4,393.56",$0.00,1,0,1,20110101,36515,CPT,THER APHERESIS W/XTRCORP IMMUNODSPTJ&PLSM RENFS,,30,,,"$12,258.49",$0.00,1,0,1,20110101,36516,CPT,THER APHRS XTRCORP SLCTV ADSRPJ/FILTRJ&RENFS,,30,,,"$12,258.49",$0.00,1,0,1,20110101,36522,CPT,PHOTOPHERESIS XTRCORP,,30,,,"$12,258.49",$0.00,1,0,1,20110101,36555,CPT,INSJ NON-TUN CTR CVC UNDER 5 YR,,30,,,"$4,107.90",$0.00,1,0,1,20110101,36556,CPT,INSJ NON-TUN CTR CVC AGE 5 YR/>,,30,,,"$4,107.90",$0.00,1,0,1,20110101,36557,CPT,INSJ TUN CTR CVC W/O SUBQ PORT/PMP UNDER 5 YR,,30,,,"$9,320.41",$0.00,1,0,1,20110101,36558,CPT,INSJ TUN CTR CVC W/O SUBQ PORT/PMP AGE 5 YR/>,,30,,,"$9,320.41",$0.00,1,0,1,20110101,36560,CPT,INSJ TUN CTR CTR VAD W/SUBQ PORT UNDER 5 YR,,30,,,"$11,198.59",$0.00,1,0,1,20110101,36561,CPT,INSJ TUN CTR CTR VAD W/SUBQ PORT AGE 5 YR/>,,30,,,"$11,198.59",$0.00,1,0,1,20110101,36563,CPT,INSJ TUN CTR CTR VAD W/SUBQ PMP,,30,,,"$11,198.59",$0.00,1,0,1,20110101,36565,CPT,INSJ TUN VAD REQ 2 CATH 2 SITS W/O SUBQ PORT/PMP,,30,,,"$11,198.59",$0.00,1,0,1,20110101,36566,CPT,INSJ TUN VAD REQ 2 CATH 2 SITS W/SUBQ PORT,,30,,,"$11,198.59",$0.00,1,0,1,20110101,36568,CPT,INSJ PRPH CVC W/O SUBQ PORT/PMP UNDER 5 YR,,30,,,"$4,107.90",$0.00,1,0,1,20110101,36569,CPT,INSJ PRPH CVC W/O SUBQ PORT/PMP AGE 5 YR/>,,30,,,"$4,107.90",$0.00,1,0,1,20110101,36570,CPT,INSJ PRPH CTR VAD W/SUBQ PORT UNDER 5 YR,,30,,,"$9,320.41",$0.00,1,0,1,20110101,36571,CPT,INSJ PRPH CTR VAD W/SUBQ PORT AGE 5 YR/>,,30,,,"$9,320.41",$0.00,1,0,1,20110101,36575,CPT,RPR TUN/NON-TUN CTR VAD CATH W/O SUBQ PORT/PMP,,30,,,"$2,345.05",$0.00,1,0,1,20110101,36576,CPT,RPR CTR VAD W/SUBQ PORT/PMP CTR/PRPH INSJ SIT,,30,,,"$4,107.90",$0.00,1,0,1,20110101,36578,CPT,RPLCMT CATH CTR VAD SUBQ PORT/PMP,,30,,,"$9,320.41",$0.00,1,0,1,20110101,36580,CPT,RPLCMT COMPL NON-TUN CVC W/O SUBQ PORT/PMP,,30,,,"$4,107.90",$0.00,1,0,1,20110101,36581,CPT,RPLCMT COMPL TUN CVC W/O SUBQ PORT/PMP,,30,,,"$9,320.41",$0.00,1,0,1,20110101,36582,CPT,RPLCMT COMPL TUN CTR VAD W/SUBQ PORT,,30,,,"$11,198.59",$0.00,1,0,1,20110101,36583,CPT,RPLCMT COMPL TUN CTR VAD W/SUBQ PMP,,30,,,"$11,198.59",$0.00,1,0,1,20110101,36584,CPT,RPLCMT COMPL PRPH CVC W/O SUBQ PORT/PMP,,30,,,"$4,107.90",$0.00,1,0,1,20110101,36585,CPT,RPLCMT COMPL PRPH CTR VAD W/SUBQ PORT,,30,,,"$9,320.41",$0.00,1,0,1,20110101,36589,CPT,RMVL TUN CVC W/O SUBQ PORT/PMP,,30,,,"$2,345.05",$0.00,1,0,1,20110101,36590,CPT,RMVL TUN CTR VAD W/SUBQ PORT/PMP CTR/PRPH INSJ,,30,,,"$4,107.90",$0.00,1,0,1,20110101,36591,CPT,COLLECT BLOOD FROM IMPLANT VENOUS ACCESS DEVICE,,30,,,$267.69,$0.00,1,0,1,20110101,36592,CPT,COLLECT BLOOD FROM CATHETER VENOUS NOS,,30,,,$267.69,$0.00,1,0,1,20110101,36593,CPT,DECLOT BY THROMBOLYTIC AGENT IMPLANT DEVICE/CATH,,30,,,$881.26,$0.00,1,0,1,20110101,36595,CPT,MCHNL RMVL PRICATH OBSTR CV DEV VIA VEN ACCESS,,30,,,"$9,320.41",$0.00,1,0,1,20110101,36596,CPT,MCHNL RMVL INTRAL OBSTR CV DEV THRU DEV LUMEN,,30,,,"$4,107.90",$0.00,1,0,1,20110101,36597,CPT,RPSG PREVIOUSLY PLACED CVC UNDER FLUOR GDN,,30,,,"$4,107.90",$0.00,1,0,1,20110101,36598,CPT,CNTRST NJX RAD EVAL CTR VAD FLUOR IMG&REPRT,,30,,,$881.26,$0.00,1,0,1,20110101,36600,CPT,ARTL PNXR W/DRAWAL BLD DX,,30,,,$101.40,$0.00,1,0,1,20110101,36640,CPT,ARTL CATHJ PROLNG NFS THER CHEMOTX CUTDOWN,,30,,,"$11,198.59",$0.00,1,0,1,20110101,36680,CPT,PLMT NDL INTRAOSS NFS,,30,,,$555.94,$0.00,1,0,1,20110101,36800,CPT,INSJ CANNULA HEMO OTH PURPOSE SPX VEIN VEIN,,30,,,"$11,396.82",$0.00,1,0,1,20110101,36810,CPT,INSJ CANNULA HEMO OTH PURPOSE SPX ARVEN XTRNL,,30,,,"$11,396.82",$0.00,1,0,1,20110101,36815,CPT,INSJ CANNULA HEMO OTH SPX ARVEN XTRNL REVJ/CLSR,,30,,,"$11,396.82",$0.00,1,0,1,20110101,36818,CPT,ARVEN ANAST OPN UPR ARM CEPHALIC VEIN TRPOS,,30,,,"$14,495.09",$0.00,1,0,1,20110101,36819,CPT,ARVEN ANAST OPN UPR ARM BASILIC VEIN TRPOS,,30,,,"$14,495.09",$0.00,1,0,1,20110101,36820,CPT,ARVEN ANAST OPN F/ARM VEIN TRPOS,,30,,,"$14,495.09",$0.00,1,0,1,20110101,36821,CPT,HEMODIALYSIS ACCESS BY JOINING ARTERY AND VEIN,,30,,,"$14,495.09",$0.00,1,0,1,20110101,36825,CPT,CRTJ ARVEN FSTL XCP DIR ARVEN ANAST AUTOG GRF,,30,,,"$14,495.09",$0.00,1,0,1,20110101,36830,CPT,CRTJ ARVEN FSTL XCP DIR ARVEN ANAST NONAUTOG GRF,,30,,,"$14,495.09",$0.00,1,0,1,20110101,36831,CPT,THRMBC OPN ARVEN FSTL W/O REVJ DIAL GRF,,30,,,"$14,495.09",$0.00,1,0,1,20110101,36832,CPT,REVJ OPN ARVEN FSTL W/O THRMBC DIAL GRF,,30,,,"$14,495.09",$0.00,1,0,1,20110101,36833,CPT,REVJ OPN ARVEN FSTL W/THRMBC DIAL GRF,,30,,,"$14,495.09",$0.00,1,0,1,20110101,36835,CPT,INSJ THOMAS SHUNT SPX,,30,,,"$11,396.82",$0.00,1,0,1,20110101,36838,CPT,DSTL REVSC&INTERVAL LIG UXTR HEMO ACCESS,,30,,,"$14,495.09",$0.00,1,0,1,20110101,36860,CPT,XTRNL CANNULA DECLTNG SPX W/O BALO CATH,,30,,,$881.26,$0.00,1,0,1,20110101,36861,CPT,XTRNL CANNULA DECLTNG SPX W/BALO CATH,,30,,,"$11,396.82",$0.00,1,0,1,20110101,36870,CPT,THRMBC PRQ ARVEN FSTL AUTOG/NONAUTOG GRF,,30,,,"$15,995.16",$0.00,1,0,1,20110101,37182,CPT,INSJ TRANSVNS INTRAHEPATC PORTOSYSIC SHUNT,,30,,,"$5,580.90",$0.00,1,0,1,20110101,37183,CPT,REVJ TRANSVNS INTRAHEPATIC PORTOSYSTEMIC SHUNT,,30,,,"$23,289.48",$0.00,1,0,1,20110101,37184,CPT,PRIM PRQ TRLUML MCHNL THRMBC 1ST VSL,,30,,,"$14,495.09",$0.00,1,0,1,20110101,37185,CPT,PRIM PRQ TRLUML MCHNL THRMBC SBSQ VSL,,30,,,"$14,495.09",$0.00,1,0,1,20110101,37186,CPT,SEC PRQ TRLUML THRMBC,,30,,,"$14,495.09",$0.00,1,0,1,20110101,37187,CPT,PRQ TRLUML MCHNL THRMBC VEIN,,30,,,"$14,495.09",$0.00,1,0,1,20110101,37188,CPT,PRQ TRLUML MCHNL THRMBC VEIN REPEAT TX,,30,,,"$14,495.09",$0.00,1,0,1,20110101,37195,CPT,THROMBOLSS CERE IV NFS,,30,,,$881.26,$0.00,1,0,1,20110101,37200,CPT,TCAT BX,,30,,,"$11,198.59",$0.00,1,0,1,20110101,37201,CPT,TCAT THER NFS THROMBOLSS OTH/THN C,,30,,,"$6,564.57",$0.00,1,0,1,20110101,37202,CPT,TCAT THER NFS OTH/THN THROMBOLSS ANY TYP,,30,,,"$6,564.57",$0.00,1,0,1,20110101,37203,CPT,TCAT RETRIEVAL PRQ IV FB,,30,,,"$11,198.59",$0.00,1,0,1,20110101,37204,CPT,TCAT OCCLS/EMBOLJ PRQ NON-CNS NON-HEAD/NCK,,30,,,"$23,095.03",$0.00,1,0,1,20110101,37205,CPT,TCAT PLMT IV STENT XCP C CRTD&VRT PRQ 1ST VSL,,30,,,"$23,289.48",$0.00,1,0,1,20110101,37206,CPT,TCAT PLMT AN IV STENT XCP C CRTD&VRT PRQ EA,,30,,,"$23,289.48",$0.00,1,0,1,20110101,37207,CPT,TCAT PLMT AN IV STENT NON-C VSL OPN 1ST VSL,,30,,,"$23,289.48",$0.00,1,0,1,20110101,37208,CPT,TCAT PLMT AN IV STENT NON-C VSL OPN EA VSL,,30,,,"$23,289.48",$0.00,1,0,1,20110101,37209,CPT,EXCHNG PREV PLACED IV CATH THROMBOLYTIC THER,,30,,,"$11,198.59",$0.00,1,0,1,20110101,37210,CPT,UTERINE FIBROID EMBOLIZATION PERQ W/RAD GID,,30,,,"$23,289.48",$0.00,1,0,1,20110101,37215,CPT,TCAT IV STENT CRV CRTD ART EMBOLIC PROTECJ,,30,,,"$9,717.20",$0.00,1,0,1,20110101,37220,CPT,ILIAC REVASC,,30,,,"$16,950.24",$0.00,1,0,1,20110101,37221,CPT,ILIAC REVASC W/STENT,,30,,,"$16,950.24",$0.00,1,0,1,20110101,37222,CPT,ILIAC REVASC ADD-ON,,30,,,"$16,950.24",$0.00,1,0,1,20110101,37223,CPT,ILIAC REVASC W/STENT ADD-ON,,30,,,"$16,950.24",$0.00,1,0,1,20110101,37224,CPT,FEM/POPL REVAS W/TLA,,30,,,"$16,950.24",$0.00,1,0,1,20110101,37225,CPT,FEM/POPL REVAS W/ATHER,,30,,,"$23,289.48",$0.00,1,0,1,20110101,37226,CPT,FEM/POPL REVASC W/STENT,,30,,,"$23,289.48",$0.00,1,0,1,20110101,37227,CPT,FEM/POPL REVASC STNT & ATHER,,30,,,"$26,323.31",$0.00,1,0,1,20110101,37228,CPT,TIB/PER REVASC W/TLA,,30,,,"$16,950.24",$0.00,1,0,1,20110101,37229,CPT,TIB/PER REVASC W/ATHER,,30,,,"$23,289.48",$0.00,1,0,1,20110101,37230,CPT,TIB/PER REVASC W/STENT,,30,,,"$23,289.48",$0.00,1,0,1,20110101,37231,CPT,TIB/PER REVASC STENT & ATHER,,30,,,"$26,323.31",$0.00,1,0,1,20110101,37232,CPT,TIB/PER REVASC ADD-ON,,30,,,"$16,950.24",$0.00,1,0,1,20110101,37233,CPT,TIBPER REVASC W/ATHER ADD-ON,,30,,,"$23,289.48",$0.00,1,0,1,20110101,37234,CPT,REVSC OPN/PRQ TIB/PERO STENT,,30,,,"$16,950.24",$0.00,1,0,1,20110101,37235,CPT,TIB/PER REVASC STNT & ATHER,,30,,,"$16,950.24",$0.00,1,0,1,20110101,37250,CPT,IV US NON-C VSL DX EVAL&/THER IVNTJ 1ST VSL,,30,,,"$11,289.74",$0.00,1,0,1,20110101,37251,CPT,IV US NON-C VSL DX EVAL&/THER IVNTJ EA VSL,,30,,,"$11,289.74",$0.00,1,0,1,20110101,37500,CPT,VASC NDSC SEPS,,30,,,"$15,579.14",$0.00,1,0,1,20110101,37501,CPT,UNLIS VASC NDSC PX,,30,,,"$9,775.45",$0.00,1,0,1,20110101,37565,CPT,LIG INT JUG VEIN,,30,,,"$13,000.61",$0.00,1,0,1,20110101,37600,CPT,LIG XTRNL CRTD ART,,30,,,"$13,000.61",$0.00,1,0,1,20110101,37605,CPT,LIG INT/COMMON CRTD ART,,30,,,"$15,579.14",$0.00,1,0,1,20110101,37606,CPT,LIG INT/COMMON CRTD ART W/GRADUAL OCCLS,,30,,,"$9,775.45",$0.00,1,0,1,20110101,37607,CPT,LIG/BANDING ANGIOACCESS ARVEN FSTL,,30,,,"$9,775.45",$0.00,1,0,1,20110101,37609,CPT,LIG/BX TEMPORAL ART,,30,,,"$6,437.25",$0.00,1,0,1,20110101,37615,CPT,LIG MAJOR ART NCK,,30,,,"$9,775.45",$0.00,1,0,1,20110101,37620,CPT,INTERRUPJ IVC SUTR LIG PLCTJ CLIP XTRVASC IV,,30,,,"$15,579.14",$0.00,1,0,1,20110101,37650,CPT,LIG FEM VEIN,,30,,,"$9,775.45",$0.00,1,0,1,20110101,37700,CPT,LIG&DIV LONG SAPH VEIN SAPHFEM JUNCT/INTERRUPJ,,30,,,"$9,775.45",$0.00,1,0,1,20110101,37718,CPT,LIG DIV&STRIPPING SHORT SAPHENOUS VEIN,,30,,,"$9,775.45",$0.00,1,0,1,20110101,37722,CPT,LIG DIV&STRIP LONG SAPH SAPHFEM JUNCT KNE/BELW,,30,,,"$15,579.14",$0.00,1,0,1,20110101,37735,CPT,LIG&DIV&COMPL STRIP LONG/SHORT SAPH RAD EXC,,30,,,"$15,579.14",$0.00,1,0,1,20110101,37760,CPT,LIG PRFRATR VEIN SUBFSCAL RAD INCL SKN GRF 1 LEG,,30,,,"$9,775.45",$0.00,1,0,1,20110101,37761,CPT,LIG PRFRATR VEIN SUBFSCAL OPEN INCL US GID 1 LEG,,30,,,"$9,775.45",$0.00,1,0,1,20110101,37765,CPT,STAB PHLEBT VARICOSE VEINS 1 XTR 10-20 STAB INCS,,30,,,"$9,775.45",$0.00,1,0,1,20110101,37766,CPT,STAB PHLEBT VARICOSE VEINS 1 XTR > 20 INCS,,30,,,"$9,775.45",$0.00,1,0,1,20110101,37780,CPT,LIG&DIV SHORT SAPH VEIN SAPHENOPOP JUNCT SPX,,30,,,"$9,775.45",$0.00,1,0,1,20110101,37785,CPT,LIG DIV&/EXC VARICOSE VEIN CLUSTER 1 LEG,,30,,,"$9,775.45",$0.00,1,0,1,20110101,37790,CPT,PEN VEN OCCLUSIVE PX,,30,,,"$12,790.87",$0.00,1,0,1,20110101,37799,CPT,UNLIS PX VASC SURG,,30,,,$267.69,$0.00,1,0,1,20110101,38120,CPT,LAPS SURG SPLENC,,30,,,"$16,032.63",$0.00,1,0,1,20110101,38129,CPT,UNLIS LAPS PX SPLEEN,,30,,,"$13,707.28",$0.00,1,0,1,20110101,38204,CPT,MGMT RCP HEMATOP PROGENITOR CELL DON SEARCH&CELL,,30,,,$205.69,$0.00,1,0,1,20110101,38205,CPT,BLD-DRV HEMATOP PROGEN CELL HRVG TRNSPLJ ALGNC,,30,,,"$4,179.67",$0.00,1,0,1,20110101,38206,CPT,BLD-DRV HEMATOP PROGEN CELL HRVG TRNSPLJ AUTOL,,30,,,"$4,393.56",$0.00,1,0,1,20110101,38207,CPT,TRNSPL PREPJ HEMATOP PROGEN CELLS CRYOPRSRV&STRG,,30,,,"$1,214.58",$0.00,1,0,1,20110101,38208,CPT,TRNSPL PREPJ HEMATOP PROGEN THAW PREV HRV,,30,,,"$1,214.58",$0.00,1,0,1,20110101,38209,CPT,TRNSPL PREPJ HEMATOP PROGEN THAW PREV HRV WASHG,,30,,,"$1,214.58",$0.00,1,0,1,20110101,38210,CPT,TRNSPL PREPJ HEMATOP PROGEN DEPLJ IN HRV T-CELL,,30,,,"$2,465.48",$0.00,1,0,1,20110101,38211,CPT,TRNSPL PREPJ HEMATOP PROGEN TUM CELL DEPLJ,,30,,,"$2,465.48",$0.00,1,0,1,20110101,38212,CPT,TRNSPL PREPJ HEMATOP PROGEN RED BLD CELL RMVL,,30,,,"$2,465.48",$0.00,1,0,1,20110101,38213,CPT,TRNSPL PREPJ HEMATOP PROGEN PLTLT DEPLJ,,30,,,"$2,465.48",$0.00,1,0,1,20110101,38214,CPT,TRNSPL PREPJ HEMATOP PROGEN PLSM VOL DEPLJ,,30,,,"$2,465.48",$0.00,1,0,1,20110101,38215,CPT,TRNSPL PREPJ HEMATOP PROGEN CONCENTRATION PLSM,,30,,,"$2,465.48",$0.00,1,0,1,20110101,38220,CPT,MARROW ASPIRATION ONLY,,30,,,"$1,140.38",$0.00,1,0,1,20110101,38221,CPT,MARROW BX NDL/TROCAR,,30,,,"$1,140.38",$0.00,1,0,1,20110101,38230,CPT,MARROW HRVG TRNSPLJ,,30,,,"$12,258.49",$0.00,1,0,1,20110101,38240,CPT,MARROW/BLD-DRV PRPH STEM CELL TRNSPLJ ALLOGENIC,,30,,,"$12,258.49",$0.00,1,0,1,20110101,38241,CPT,MARROW/BLD-DRV PRPH STEM CELL TRNSPLJ AUTOL,,30,,,"$12,258.49",$0.00,1,0,1,20110101,38242,CPT,MARROW/BLD-DRV PRPH STEM CELL TRNSPLJ ALGC DON,,30,,,"$4,393.56",$0.00,1,0,1,20110101,38300,CPT,DRG LYMPH NODE ABSC/LYMPHADENITIS SMPL,,30,,,"$4,643.49",$0.00,1,0,1,20110101,38305,CPT,DRG LYMPH NODE ABSC/LYMPHADENITIS X10SV,,30,,,"$7,139.49",$0.00,1,0,1,20110101,38308,CPT,LYMPHANGIOTOMY/OTH OPRATIONS LYMPHATIC CHANNELS,,30,,,"$9,055.60",$0.00,1,0,1,20110101,38500,CPT,BX/EXC LYMPH NODE OPN SUPFC,,30,,,"$9,055.60",$0.00,1,0,1,20110101,38505,CPT,BX/EXC LYMPH NODE NDL SUPFC,,30,,,"$2,874.89",$0.00,1,0,1,20110101,38510,CPT,BX/EXC LYMPH NODE OPN DP CRV NODE,,30,,,"$9,055.60",$0.00,1,0,1,20110101,38520,CPT,BX/EXC LYMPH NODE OPN DP CRV NODE W/EXC FAT PAD,,30,,,"$9,055.60",$0.00,1,0,1,20110101,38525,CPT,BX/EXC LYMPH NODE OPN DP AX NODE,,30,,,"$9,055.60",$0.00,1,0,1,20110101,38530,CPT,BX/EXC LYMPH NODE OPN INT MAM NODE,,30,,,"$9,055.60",$0.00,1,0,1,20110101,38542,CPT,DSJ DP JUG NODE,,30,,,"$16,497.93",$0.00,1,0,1,20110101,38550,CPT,EXC CSTIC HYGROMA AX/CRV W/O DP NEUROVASC DSJ,,30,,,"$9,055.60",$0.00,1,0,1,20110101,38555,CPT,EXC CSTIC HYGROMA AX/CRV W/DP NEUROVASC DSJ,,30,,,"$9,055.60",$0.00,1,0,1,20110101,38570,CPT,LAPS SURG RPR LYMPH NODE BX 1/MLT,,30,,,"$16,032.63",$0.00,1,0,1,20110101,38571,CPT,LAPS SURG BI TOT PEL LMPHADEC,,30,,,"$21,085.75",$0.00,1,0,1,20110101,38572,CPT,LAPS BI TOT PEL LMPHADEC&PRI-AORTIC LYMPH BX 1/+,,30,,,"$16,032.63",$0.00,1,0,1,20110101,38589,CPT,UNLIS LAPS PX LYMPHATIC SYS,,30,,,"$13,707.28",$0.00,1,0,1,20110101,38700,CPT,SUPRAHYOID LMPHADEC,,30,,,"$9,055.60",$0.00,1,0,1,20110101,38720,CPT,CRV LMPHADEC COMPL,,30,,,"$9,055.60",$0.00,1,0,1,20110101,38724,CPT,CRV LMPHADEC MODF RAD NCK DSJ,,30,,,"$13,253.61",$0.00,1,0,1,20110101,38740,CPT,AX LMPHADEC SUPFC,,30,,,"$16,497.93",$0.00,1,0,1,20110101,38745,CPT,AX LMPHADEC COMPL,,30,,,"$16,497.93",$0.00,1,0,1,20110101,38760,CPT,INGUINOFEM LMPHADEC SUPFC W/CLOQUETS NODE SPX,,30,,,"$9,055.60",$0.00,1,0,1,20110101,38792,CPT,INJECTION FOR IDENTIFICATION OF SENTINEL NODE,,30,,,"$1,159.45",$0.00,1,0,1,20110101,38999,CPT,UNLIS PX HEMIC/LYMPHATIC SYS,,30,,,"$1,214.58",$0.00,1,0,1,20110101,39400,CPT,MEDIASTINOSCOPY +-BX,,30,,,"$12,511.54",$0.00,1,0,1,20110101,40490,CPT,BX LIP,,30,,,"$1,260.04",$0.00,1,0,1,20110101,40500,CPT,VERMILIONECTOMY LIP SHV W/MUCOSAL ADVMNT,,30,,,"$6,323.34",$0.00,1,0,1,20110101,40510,CPT,EXC LIP TRANSVRS WEDGE EXC W/PRIM CLSR,,30,,,"$9,184.01",$0.00,1,0,1,20110101,40520,CPT,EXC LIP V-EXC W/PRIM DIR LINR CLSR,,30,,,"$6,323.34",$0.00,1,0,1,20110101,40525,CPT,EXC LIP FULL THKNS RCNSTJ W/LOCAL FLAP,,30,,,"$9,184.01",$0.00,1,0,1,20110101,40527,CPT,EXC LIP FULL THKNS RCNSTJ W/CROSS LIP FLAP,,30,,,"$9,184.01",$0.00,1,0,1,20110101,40530,CPT,RESCJ LIP > ONE-4TH W/O RCNSTJ,,30,,,"$9,184.01",$0.00,1,0,1,20110101,40650,CPT,RPR LIP FULL THKNS VERMILION ONLY,,30,,,"$2,803.22",$0.00,1,0,1,20110101,40652,CPT,RPR LIP FULL THKNS UP HALF VER H8,,30,,,"$2,803.22",$0.00,1,0,1,20110101,40654,CPT,RPR LIP FULL THKNS > ONE-HALF VER H8/CPLX,,30,,,"$2,803.22",$0.00,1,0,1,20110101,40700,CPT,PLSTC RPR CL LIP/NSL DFRM PRIM PRTL/COMPL UNI,,30,,,"$15,050.51",$0.00,1,0,1,20110101,40701,CPT,PLSTC RPR CL LIP/NSL DFRM PRIM BI 1 STG PX,,30,,,"$15,050.51",$0.00,1,0,1,20110101,40702,CPT,PLSTC RPR CL LIP/NSL DFRM PRIM BI 1 2 STGS,,30,,,"$15,050.51",$0.00,1,0,1,20110101,40720,CPT,PLSTC RPR CL LIP/NSL DFRM SEC RECRTJ DFCT&RECLSR,,30,,,"$15,050.51",$0.00,1,0,1,20110101,40761,CPT,PLSTC RPR CL LIP/NSL DFRM W/CROSS LIP PEDCL FLAP,,30,,,"$15,050.51",$0.00,1,0,1,20110101,40799,CPT,UNLIS PX LIPS,,30,,,$423.92,$0.00,1,0,1,20110101,40800,CPT,DRG ABSC CST HMTMA VESTIBULE MOUTH SMPL,,30,,,$535.53,$0.00,1,0,1,20110101,40801,CPT,DRG ABSC CST HMTMA VESTIBULE MOUTH COMP,,30,,,"$2,803.22",$0.00,1,0,1,20110101,40804,CPT,RMVL EMBEDDED FB VESTIBULE MOUTH SMPL,,30,,,$258.46,$0.00,1,0,1,20110101,40805,CPT,RMVL EMBEDDED FB VESTIBULE MOUTH COMP,,30,,,"$2,803.22",$0.00,1,0,1,20110101,40806,CPT,INC LABIAL FRENUM FREXOMY,,30,,,"$1,260.04",$0.00,1,0,1,20110101,40808,CPT,BX VESTIBULE MOUTH,,30,,,"$1,260.04",$0.00,1,0,1,20110101,40810,CPT,EXC LES MUCOSA&SBMCSL VESTIBULE MOUTH W/O RPR,,30,,,"$6,323.34",$0.00,1,0,1,20110101,40812,CPT,EXC LES MUCOSA&SBMCSL VESTIBULE SMPL RPR,,30,,,"$6,323.34",$0.00,1,0,1,20110101,40814,CPT,EXC LES MUCOSA&SBMCSL VESTIBULE CPLX RPR,,30,,,"$6,323.34",$0.00,1,0,1,20110101,40816,CPT,EXC LES MUCOSA&SBMCSL VESTIBULE CPLX EXC MUSC,,30,,,"$9,184.01",$0.00,1,0,1,20110101,40818,CPT,EXC MUCOSA VESTIBULE MOUTH AS DON GRF,,30,,,"$1,260.04",$0.00,1,0,1,20110101,40819,CPT,EXC FRENUM LABIAL/BUCCAL,,30,,,"$2,803.22",$0.00,1,0,1,20110101,40820,CPT,DSTRJ LES/SCAR VESTIBULE MOUTH PHYSICAL METHS,,30,,,"$6,323.34",$0.00,1,0,1,20110101,40830,CPT,CLSR LAC VESTIBULE MOUTH 2.5 CM/<,,30,,,"$1,260.04",$0.00,1,0,1,20110101,40831,CPT,CLSR LAC VESTIBULE MOUTH > 2.5 CM/CPLX,,30,,,"$2,803.22",$0.00,1,0,1,20110101,40840,CPT,VESTIBULOPLASTY ANT,,30,,,"$9,184.01",$0.00,1,0,1,20110101,40842,CPT,VESTIBULOPLASTY PST UNI,,30,,,"$9,184.01",$0.00,1,0,1,20110101,40843,CPT,VESTIBULOPLASTY PST BI,,30,,,"$9,184.01",$0.00,1,0,1,20110101,40844,CPT,VESTIBULOPLASTY ENTIRE ARCH,,30,,,"$15,050.51",$0.00,1,0,1,20110101,40845,CPT,VESTIBULOPLASTY CPLX W/RIDGE XTN MUSC RPSG,,30,,,"$15,050.51",$0.00,1,0,1,20110101,40899,CPT,UNLIS PX VESTIBULE MOUTH,,30,,,$423.92,$0.00,1,0,1,20110101,41000,CPT,INTRAORAL I&D TONGUE/FLOOR LNGL,,30,,,"$6,323.34",$0.00,1,0,1,20110101,41005,CPT,INTRAORAL I&D TONGUE/FLOOR SUBLNGL SUPFC,,30,,,"$1,260.04",$0.00,1,0,1,20110101,41006,CPT,INTRAORAL I&D TONGUE/FLOOR SUBLNGL DP SPRMLHYD,,30,,,"$9,184.01",$0.00,1,0,1,20110101,41007,CPT,INTRAORAL I&D TONGUE/FLOOR SUBMENTAL SPACE,,30,,,"$6,323.34",$0.00,1,0,1,20110101,41008,CPT,INTRAORAL I&D TONGUE/FLOOR SUBMNDBLR SPACE,,30,,,"$6,323.34",$0.00,1,0,1,20110101,41009,CPT,INTRAORAL I&D TONGUE/FLOOR MASTICATOR SPACE,,30,,,"$1,260.04",$0.00,1,0,1,20110101,41010,CPT,INC LNGL FRENUM FREXOMY,,30,,,"$2,803.22",$0.00,1,0,1,20110101,41015,CPT,XTRORAL I&D ABSC CST/HMTMA FLOOR MOUTH SUBLNGL,,30,,,"$1,260.04",$0.00,1,0,1,20110101,41016,CPT,XTRORAL I&D ABSC CST/HMTMA FLOOR MOUTH SUBMENTAL,,30,,,"$2,803.22",$0.00,1,0,1,20110101,41017,CPT,XTRORAL I&D ABSC CST/HMTMA FLOOR MOUTH SUBMNDBLR,,30,,,"$2,803.22",$0.00,1,0,1,20110101,41018,CPT,XTRORAL I&D FLOOR MASTICATOR SPACE,,30,,,"$2,803.22",$0.00,1,0,1,20110101,41019,CPT,PLACEMENT NEEDLE HEAD/NECK RADIOELEMENT APPLICAT,,30,,,"$9,184.01",$0.00,1,0,1,20110101,41100,CPT,BX TONGUE ANT 2-3RD,,30,,,"$2,803.22",$0.00,1,0,1,20110101,41105,CPT,BX TONGUE PST ONE-3RD,,30,,,"$6,323.34",$0.00,1,0,1,20110101,41108,CPT,BX FLOOR MOUTH,,30,,,"$1,604.95",$0.00,1,0,1,20110101,41110,CPT,EXC LES TONGUE W/O CLSR,,30,,,"$6,323.34",$0.00,1,0,1,20110101,41112,CPT,EXC LES TONGUE W/CLSR ANT 2-3RD,,30,,,"$6,323.34",$0.00,1,0,1,20110101,41113,CPT,EXC LES TONGUE W/CLSR PST ONE-3RD,,30,,,"$6,323.34",$0.00,1,0,1,20110101,41114,CPT,EXC LES TONGUE W/CLSR W/LOCAL TONGUE FLAP,,30,,,"$9,184.01",$0.00,1,0,1,20110101,41115,CPT,EXC LNGL FRENUM FRENECTOMY,,30,,,"$2,803.22",$0.00,1,0,1,20110101,41116,CPT,EXC LES FLOOR MOUTH,,30,,,"$6,323.34",$0.00,1,0,1,20110101,41120,CPT,GLSSC < ONE-HALF TONGUE,,30,,,"$9,184.01",$0.00,1,0,1,20110101,41250,CPT,RPR LAC 2.5 CM/< FLOOR MOUTH&/ANT 2-3RD TONGUE,,30,,,$423.92,$0.00,1,0,1,20110101,41251,CPT,RPR LAC 2.5 CM/< PST ONE-3RD TONGUE,,30,,,"$1,260.04",$0.00,1,0,1,20110101,41252,CPT,RPR LAC TONGUE FLOOR MOUTH > 2.6 CM/CPLX,,30,,,"$2,803.22",$0.00,1,0,1,20110101,41500,CPT,FIXJ TONGUE MCHNL OTH/THN SUTR,,30,,,"$9,184.01",$0.00,1,0,1,20110101,41510,CPT,SUTR TONGUE LIP MICROGNATHIA,,30,,,"$6,323.34",$0.00,1,0,1,20110101,41512,CPT,TONGUE BASE SUSPENSION PERMANENT SUTURE TQ,,30,,,"$2,803.22",$0.00,1,0,1,20110101,41520,CPT,FRENOPLASTY SURG REVJ FRENUM EG W/Z-PLASTY,,30,,,"$2,803.22",$0.00,1,0,1,20110101,41530,CPT,SUBMUCOSAL ABLTJ TONGUE RF 1/> SITES PR SESSION,,30,,,"$9,184.01",$0.00,1,0,1,20110101,41599,CPT,UNLIS PX TONGUE FLOOR MOUTH,,30,,,$423.92,$0.00,1,0,1,20110101,41800,CPT,DRG ABSC CST HMTMA FROM DENTOALVEOLAR STRUXS,,30,,,$535.53,$0.00,1,0,1,20110101,41805,CPT,RMVL EMBEDDED FB FROM DENTALVLR STRUXS SOFT TISS,,30,,,"$9,184.01",$0.00,1,0,1,20110101,41806,CPT,RMVL EMBEDDED FB FROM DENTOALVEOLAR STRUXS B1,,30,,,"$6,323.34",$0.00,1,0,1,20110101,41820,CPT,GINGIVECTOMY EXC GINGIVA EA QUADRANT,,30,,,"$2,803.22",$0.00,1,0,1,20110101,41821,CPT,OPRCULECTOMY EXC PRICORONAL TISS,,30,,,"$2,803.22",$0.00,1,0,1,20110101,41822,CPT,EXC FIBROUS TUBEROSITIES DENTOALVEOLAR STRUXS,,30,,,"$6,323.34",$0.00,1,0,1,20110101,41823,CPT,EXC OSS TUBEROSITIES DENTOALVEOLAR STRUXS,,30,,,"$9,184.01",$0.00,1,0,1,20110101,41825,CPT,EXC LES/TUM XCP LISTED ABOVE DENTALVLR,,30,,,"$6,323.34",$0.00,1,0,1,20110101,41826,CPT,EXC LES/TUM XCP LISTED ABOVE DENTALVLR SMPL RPR,,30,,,"$9,184.01",$0.00,1,0,1,20110101,41827,CPT,EXC LES/TUM XCP LISTED ABOVE DENTALVLR CPLX RPR,,30,,,"$9,184.01",$0.00,1,0,1,20110101,41828,CPT,EXC HYPRPLSTC ALVEOLAR MUCOSA EA QUADRANT SPEC,,30,,,"$6,323.34",$0.00,1,0,1,20110101,41830,CPT,ALVEOLECTOMY W/CURTG OSTEITIS/SEQUESTRECTOMY,,30,,,"$6,323.34",$0.00,1,0,1,20110101,41850,CPT,DSTRJ LES XCP EXC DENTOALVEOLAR STRUXS,,30,,,"$6,323.34",$0.00,1,0,1,20110101,41870,CPT,PDONTAL MUCOSAL GRFG,,30,,,"$9,184.01",$0.00,1,0,1,20110101,41872,CPT,GINGIVOPLASTY EA QUADRANT SPEC,,30,,,"$6,323.34",$0.00,1,0,1,20110101,41874,CPT,ALVEOLOPLASTY EA QUADRANT SPEC,,30,,,"$9,184.01",$0.00,1,0,1,20110101,41899,CPT,UNLIS PX DENTOALVEOLAR STRUXS,,30,,,$423.92,$0.00,1,0,1,20110101,42000,CPT,DRG ABSC PALATE UVULA,,30,,,"$1,260.04",$0.00,1,0,1,20110101,42100,CPT,BX PALATE UVULA,,30,,,"$2,803.22",$0.00,1,0,1,20110101,42104,CPT,EXC LES PALATE UVULA W/O CLSR,,30,,,"$6,323.34",$0.00,1,0,1,20110101,42106,CPT,EXC LES PALATE UVULA W/SMPL PRIM CLSR,,30,,,"$6,323.34",$0.00,1,0,1,20110101,42107,CPT,EXC LES PALATE UVULA W/LOCAL FLAP CLSR,,30,,,"$9,184.01",$0.00,1,0,1,20110101,42120,CPT,RESCJ PALATE/X10SV RESCJ LES,,30,,,"$15,050.51",$0.00,1,0,1,20110101,42140,CPT,UVULECTOMY EXC UVULA,,30,,,"$2,803.22",$0.00,1,0,1,20110101,42145,CPT,PALATOPHARYNGOPLASTY,,30,,,"$9,184.01",$0.00,1,0,1,20110101,42160,CPT,DSTRJ LES PALATE/UVULA THERMAL CRYO/CHEM,,30,,,"$6,323.34",$0.00,1,0,1,20110101,42180,CPT,RPR LAC PALATE UP 2 CM,,30,,,"$1,260.04",$0.00,1,0,1,20110101,42182,CPT,RPR LAC PALATE > 2 CM/CPLX,,30,,,"$15,050.51",$0.00,1,0,1,20110101,42200,CPT,PALATOP CL PALATE SOFT&/HARD PALATE ONLY,,30,,,"$15,050.51",$0.00,1,0,1,20110101,42205,CPT,PALATOP W/CLSR ALVEOLAR RIDGE SOFT TISS,,30,,,"$15,050.51",$0.00,1,0,1,20110101,42210,CPT,PALATOP CLSR ALVEOLAR RIDGE GRF ALVEOLAR RIDGE,,30,,,"$15,050.51",$0.00,1,0,1,20110101,42215,CPT,PALATOP CL PALATE MAJOR REVJ,,30,,,"$15,050.51",$0.00,1,0,1,20110101,42220,CPT,PALATOP CL PALATE SEC LNGTH PX,,30,,,"$15,050.51",$0.00,1,0,1,20110101,42225,CPT,PALATOP CL PALATE ATTACHMENT PHARYNGEAL FLAP,,30,,,"$15,050.51",$0.00,1,0,1,20110101,42226,CPT,LNGTH PALATE&PHARYNGEAL FLAP,,30,,,"$15,050.51",$0.00,1,0,1,20110101,42227,CPT,LNGTH PALATE W/ISLAND FLAP,,30,,,"$15,050.51",$0.00,1,0,1,20110101,42235,CPT,RPR ANT PALATE W/VOMER FLAP,,30,,,"$6,323.34",$0.00,1,0,1,20110101,42260,CPT,RPR NASOLABIAL FSTL,,30,,,"$9,184.01",$0.00,1,0,1,20110101,42280,CPT,MAX IMPRESJ PALATAL PROSTH,,30,,,"$1,260.04",$0.00,1,0,1,20110101,42281,CPT,INSJ PIN-RETAINED PALATAL PROSTH,,30,,,"$6,323.34",$0.00,1,0,1,20110101,42299,CPT,UNLIS PX PALATE UVULA,,30,,,$423.92,$0.00,1,0,1,20110101,42300,CPT,DRG ABSC PRTD SMPL,,30,,,"$6,323.34",$0.00,1,0,1,20110101,42305,CPT,DRG ABSC PRTD COMP,,30,,,"$6,323.34",$0.00,1,0,1,20110101,42310,CPT,DRG ABSC SUBMAX/SUBLNGL INTRAORAL,,30,,,"$1,260.04",$0.00,1,0,1,20110101,42320,CPT,DRG ABSC SUBMAX XTRNL,,30,,,"$1,260.04",$0.00,1,0,1,20110101,42330,CPT,SIALOT SUBMNDBLR SUBLNGL/PRTD UNCOMP INTRAORAL,,30,,,"$6,323.34",$0.00,1,0,1,20110101,42335,CPT,SIALOLITHOTOMY SUBMNDBLR SUBMAX COMP INTRAORAL,,30,,,"$6,323.34",$0.00,1,0,1,20110101,42340,CPT,SIALOLITHOTOMY PRTD XTRORAL/COMP INTRAORAL,,30,,,"$6,323.34",$0.00,1,0,1,20110101,42400,CPT,BX SALIVARY GLND NDL,,30,,,"$2,874.89",$0.00,1,0,1,20110101,42405,CPT,BX SALIVARY GLND INCAL,,30,,,"$9,184.01",$0.00,1,0,1,20110101,42408,CPT,EXC SUBLNGL SALIVARY CST RANULA,,30,,,"$6,323.34",$0.00,1,0,1,20110101,42409,CPT,MARSUPIALIZATION SUBLNGL SALIVARY CST RANULA,,30,,,"$6,323.34",$0.00,1,0,1,20110101,42410,CPT,EXC PRTD TUM/PRTD GLND LAT LOBE W/O NRV DSJ,,30,,,"$15,050.51",$0.00,1,0,1,20110101,42415,CPT,EXC PRTD TUM/PRTD GLND LAT DSJ&PRSRV FACIAL NRV,,30,,,"$15,050.51",$0.00,1,0,1,20110101,42420,CPT,EXC PRTD TUM/PRTD GLND TOT DSJ&PRSRV FACIAL NRV,,30,,,"$15,050.51",$0.00,1,0,1,20110101,42425,CPT,EXC PRTD TUM/PRTD GLND TOT EN BLOC RMVL,,30,,,"$15,050.51",$0.00,1,0,1,20110101,42440,CPT,EXC SUBMNDBLR SUBMAX GLND,,30,,,"$15,050.51",$0.00,1,0,1,20110101,42450,CPT,EXC SUBLNGL GLND,,30,,,"$9,184.01",$0.00,1,0,1,20110101,42500,CPT,PLSTC RPR SALIVARY DUX SIALODOCHOPLASTY PRIM,,30,,,"$9,184.01",$0.00,1,0,1,20110101,42505,CPT,PLSTC RPR SALIVARY DUX SIALODOCHOPLASTY SEC/COMP,,30,,,"$15,050.51",$0.00,1,0,1,20110101,42507,CPT,PRTD DUX DVRJ BI,,30,,,"$15,050.51",$0.00,1,0,1,20110101,42508,CPT,PRTD DUX DVRJ BI W/EXC 1 SUBMNDBLR GLND,,30,,,"$15,050.51",$0.00,1,0,1,20110101,42509,CPT,PRTD DUX DVRJ BI W/EXC BTH SUBMNDBLR GLNDS,,30,,,"$15,050.51",$0.00,1,0,1,20110101,42510,CPT,PAROTID DUCT DVRJ BILATERAL WITH LIG BOTH DUCTS,,30,,,"$15,050.51",$0.00,1,0,1,20110101,42600,CPT,CLSR SALIVARY FSTL,,30,,,"$6,323.34",$0.00,1,0,1,20110101,42650,CPT,DILAT SALIVARY DUX,,30,,,"$2,803.22",$0.00,1,0,1,20110101,42660,CPT,DILAT&CATHJ SALIVARY DUX +-NJX,,30,,,"$1,260.04",$0.00,1,0,1,20110101,42665,CPT,LIG SALIVARY DUX INTRAORAL,,30,,,"$9,184.01",$0.00,1,0,1,20110101,42699,CPT,UNLIS PX SALIVARY GLNDS/DUXS,,30,,,$423.92,$0.00,1,0,1,20110101,42700,CPT,I&D ABSC PRITONSILLAR,,30,,,"$1,260.04",$0.00,1,0,1,20110101,42720,CPT,I&D ABSC RTRPHRNGL/PARAPHARYNGEAL INTRAORAL,,30,,,"$6,323.34",$0.00,1,0,1,20110101,42725,CPT,I&D ABSC RTRPHRNGL/PARAPHARYNGEAL XTRNL APPR,,30,,,"$15,050.51",$0.00,1,0,1,20110101,42800,CPT,BX OROPHARYNX,,30,,,"$2,826.11",$0.00,1,0,1,20110101,42802,CPT,BX HYPOPHARYNX,,30,,,"$6,323.34",$0.00,1,0,1,20110101,42804,CPT,BX NASOPHARYNX VISIBLE LES SMPL,,30,,,"$6,323.34",$0.00,1,0,1,20110101,42806,CPT,BX NASOPHARYNX SURV UNKNOWN PRIM LES,,30,,,"$9,184.01",$0.00,1,0,1,20110101,42808,CPT,EXC/DSTRJ LES PHARYNX ANY METH,,30,,,"$9,184.01",$0.00,1,0,1,20110101,42809,CPT,RMVL FB FROM PHARYNX,,30,,,$258.46,$0.00,1,0,1,20110101,42810,CPT,EXC BRANCHIAL CL CST CONFINED SKN&SUBQ TISS,,30,,,"$9,184.01",$0.00,1,0,1,20110101,42815,CPT,EXC BRANCHIAL CL CST EXTG BELW SUBQ TISS&/PHRNX,,30,,,"$15,050.51",$0.00,1,0,1,20110101,42820,CPT,TONSILLECTOMY&ADENOIDECTOMY UNDER AGE 12,,30,,,"$9,184.01",$0.00,1,0,1,20110101,42821,CPT,TONSILLECTOMY&ADENOIDECTOMY AGE 12/>,,30,,,"$9,184.01",$0.00,1,0,1,20110101,42825,CPT,TONSILLECTOMY 1/2 UNDER AGE 12,,30,,,"$9,184.01",$0.00,1,0,1,20110101,42826,CPT,TONSILLECTOMY 1/2 AGE 12/>,,30,,,"$9,184.01",$0.00,1,0,1,20110101,42830,CPT,ADENOIDECTOMY PRIM UNDER AGE 12,,30,,,"$9,184.01",$0.00,1,0,1,20110101,42831,CPT,ADENOIDECTOMY PRIM AGE 12/>,,30,,,"$9,184.01",$0.00,1,0,1,20110101,42835,CPT,ADENOIDECTOMY SEC UNDER AGE 12,,30,,,"$9,184.01",$0.00,1,0,1,20110101,42836,CPT,ADENOIDECTOMY SEC AGE 12/>,,30,,,"$9,184.01",$0.00,1,0,1,20110101,42842,CPT,RAD RESCJ TONSIL W/O CLSR,,30,,,"$9,184.01",$0.00,1,0,1,20110101,42844,CPT,RAD RESCJ TONSIL CLSR W/LOCAL FLAP,,30,,,"$15,050.51",$0.00,1,0,1,20110101,42860,CPT,EXC TONSIL TAGS,,30,,,"$9,184.01",$0.00,1,0,1,20110101,42870,CPT,EXC/DSTRJ LNGL TONSIL ANY METH SPX,,30,,,"$9,184.01",$0.00,1,0,1,20110101,42890,CPT,LMTD PHARYNGECTOMY,,30,,,"$15,050.51",$0.00,1,0,1,20110101,42892,CPT,RESCJ LAT PHRNGL WALL/PYRIFORM SINUS DIR CLSR,,30,,,"$15,050.51",$0.00,1,0,1,20110101,42900,CPT,SUTR PHARYNX WND/INJ,,30,,,"$2,803.22",$0.00,1,0,1,20110101,42950,CPT,PHARYNGOPLASTY PLSTC/RCNSTV OPRATION PHARYNX,,30,,,"$9,184.01",$0.00,1,0,1,20110101,42955,CPT,PHARYNGOSTOMY FSTLJ PHARYNX XTRNL FEEDING,,30,,,"$9,184.01",$0.00,1,0,1,20110101,42960,CPT,CTRL OROPHARYNGEAL HEMRRG 1/2 SMPL,,30,,,$423.92,$0.00,1,0,1,20110101,42961,CPT,CTRL OROPHARYNGEAL HEMRRG 1/2 COMP REQ HOSPITJ,,30,,,"$3,797.86",$0.00,1,0,1,20110101,42962,CPT,CTRL OROPHARYNGEAL HEMRRG 1/2 W/SEC SURG IVNTJ,,30,,,"$15,050.51",$0.00,1,0,1,20110101,42970,CPT,CTRL NASPHRYNGL HEMRRG 1/2 SMPL W/PST NSL PACKS,,30,,,$423.92,$0.00,1,0,1,20110101,42972,CPT,CTRL NASPHRYNGL HEMRRG 1/2 W/SEC SURG IVNTJ,,30,,,"$6,323.34",$0.00,1,0,1,20110101,42999,CPT,UNLIS PX PHARYNX ADENOIDS/TONSILS,,30,,,$423.92,$0.00,1,0,1,20110101,43020,CPT,ESOPHAGOTOMY CRV APPR W/RMVL FB,,30,,,"$2,803.22",$0.00,1,0,1,20110101,43030,CPT,CRICOPHARYNGEAL MYOTOMY,,30,,,"$6,323.34",$0.00,1,0,1,20110101,43130,CPT,DIVERTICULECTOMY HYPOPHARYNX/ESOPH CRV APPR,,30,,,"$15,050.51",$0.00,1,0,1,20110101,43200,CPT,ESPHGSC RGD/FLX DX +-COLLJ SPEC BR/WA SPX,,30,,,"$3,248.46",$0.00,1,0,1,20110101,43201,CPT,ESPHGSC RGD/FLX DIRED SBMCSL NJX ANY SBST,,30,,,"$3,248.46",$0.00,1,0,1,20110101,43202,CPT,ESPHGSC RGD/FLX W/BX 1/MLT,,30,,,"$3,248.46",$0.00,1,0,1,20110101,43204,CPT,ESPHGSC RGD/FLX W/NJX SCLEROSIS ESOPHGL VARC,,30,,,"$3,248.46",$0.00,1,0,1,20110101,43205,CPT,ESPHGSC RGD/FLX W/BAND LIG ESOPHGL VARC,,30,,,"$3,248.46",$0.00,1,0,1,20110101,43215,CPT,ESPHGSC RGD/FLX W/RMVL FB,,30,,,"$3,248.46",$0.00,1,0,1,20110101,43216,CPT,ESPHGSC RGD/FLX RMVL TUM HOT BX FORCEPS/CAUT,,30,,,"$5,951.85",$0.00,1,0,1,20110101,43217,CPT,ESPHGSC RGD/FLX W/RMVL TUM SNARE TQ,,30,,,"$3,248.46",$0.00,1,0,1,20110101,43219,CPT,ESPHGSC RGD/FLX W/INSJ PLSTC TUBE/STENT,,30,,,"$9,746.02",$0.00,1,0,1,20110101,43220,CPT,ESPHGSC RGD/FLX W/BALO DILAT < 30 MM DIAM,,30,,,"$3,248.46",$0.00,1,0,1,20110101,43226,CPT,ESPHGSC RGD/FLX W/INSJ GD WIRE DILAT,,30,,,"$3,248.46",$0.00,1,0,1,20110101,43227,CPT,ESPHGSC RGD/FLX W/CTRL BLD,,30,,,"$3,248.46",$0.00,1,0,1,20110101,43228,CPT,ESPHGSC RGD/FLX ABLTJ TUM XCP HOT BX/CAUT/SNARE,,30,,,"$5,951.85",$0.00,1,0,1,20110101,43231,CPT,ESPHGSC RGD/FLX W/NDSC US XM,,30,,,"$3,248.46",$0.00,1,0,1,20110101,43232,CPT,ESPHGSC RGD/FLX W/TNDSC US-GID FINE NDL ASPIR/BX,,30,,,"$3,248.46",$0.00,1,0,1,20110101,43234,CPT,"UPPER STOMACH-INTESTINE SCOPE, SIMPLE",,30,,,"$3,248.46",$0.00,1,0,1,20110101,43235,CPT,UPPER STOMACH-INTESTINE SCOPE FOR DIAGNOSIS,,30,,,"$3,248.46",$0.00,1,0,1,20110101,43236,CPT,"STOMACH-INTESTINE SCOPE, INJECT INTESTINE WALL",,30,,,"$3,248.46",$0.00,1,0,1,20110101,43237,CPT,UPR GI NDSC NDSC US XM LMTD ESOPH,,30,,,"$3,248.46",$0.00,1,0,1,20110101,43238,CPT,UPR GI NDSC TNDSC US FINE NDL ASPIR/BX ESOPH,,30,,,"$3,248.46",$0.00,1,0,1,20110101,43239,CPT,UPPER STOMACH-INTESTINE SCOPE FOR BIOPSY,,30,,,"$3,248.46",$0.00,1,0,1,20110101,43240,CPT,UPR GI NDSC TRANSMURAL DRG PSEUDOCST,,30,,,"$3,248.46",$0.00,1,0,1,20110101,43241,CPT,UPR GI NDSC TNDSC INTRAL TUBE/CATH PLMT,,30,,,"$3,248.46",$0.00,1,0,1,20110101,43242,CPT,STOMACH-INTESTINE SCOPE ULTRASOUND GUIDED BIOPSY,,30,,,"$5,951.85",$0.00,1,0,1,20110101,43243,CPT,UPR GI NDSC NJX SCLEROSIS ESOPHGL&/GSTR VARC,,30,,,"$3,248.46",$0.00,1,0,1,20110101,43244,CPT,UPR GI NDSC BAND LIG ESOPHGL&/GSTR VARC,,30,,,"$3,248.46",$0.00,1,0,1,20110101,43245,CPT,UPR GI NDSC DILAT GSTR OUTLET FOR OBSTRCJ,,30,,,"$3,248.46",$0.00,1,0,1,20110101,43246,CPT,UPR GI NDSC DIRED PLMT PRQ GASTROSTOMY TUBE,,30,,,"$3,248.46",$0.00,1,0,1,20110101,43247,CPT,STOMACH-INTESTINE SCOPE FOR FOREIGN BODY REMOVAL,,30,,,"$3,248.46",$0.00,1,0,1,20110101,43248,CPT,UPR GI NDSC INSJ GD WIRE DILAT ESOPH > GD WIRE,,30,,,"$3,248.46",$0.00,1,0,1,20110101,43249,CPT,UPR GI NDSC BALO DILAT ESOPH < 30 MM DIAM,,30,,,"$3,248.46",$0.00,1,0,1,20110101,43250,CPT,UPR GI NDSC RMVL LES HOT BX/BIPOLAR CAUT,,30,,,"$3,248.46",$0.00,1,0,1,20110101,43251,CPT,UPR GI NDSC RMVL TUM POLYP/OTH LES SNARE TQ,,30,,,"$3,248.46",$0.00,1,0,1,20110101,43255,CPT,UPR GI NDSC CTRL BLD ANY METH,,30,,,"$3,248.46",$0.00,1,0,1,20110101,43256,CPT,UPR GI NDSC TNDSC STENT PLMT W/PREDILAT,,30,,,"$9,746.02",$0.00,1,0,1,20110101,43257,CPT,UPR GI NDSC DLVR THERMAL NRG SPHNCTR/CARDIA,,30,,,"$5,951.85",$0.00,1,0,1,20110101,43258,CPT,UPR GI NDSC ABLTJ LES X RMVL FORCEPS/CAUT/SNARE,,30,,,"$3,248.46",$0.00,1,0,1,20110101,43259,CPT,STOMACH-INTESTINE SCOPE WITH ULTRASOUND EXAM,,30,,,"$3,248.46",$0.00,1,0,1,20110101,43260,CPT,ERCP DX COLLJ SPEC BR/WA SPX,,30,,,"$8,318.50",$0.00,1,0,1,20110101,43261,CPT,ERCP W/BX 1/MLT,,30,,,"$8,318.50",$0.00,1,0,1,20110101,43262,CPT,ERCP W/SPHNCTROTOMY/PAPILLOTOMY,,30,,,"$8,318.50",$0.00,1,0,1,20110101,43263,CPT,ERCP W/PRESS MEAS SPHNCTR ODDI,,30,,,"$8,318.50",$0.00,1,0,1,20110101,43264,CPT,ERCP W/RMVL ST1/CALCULI BILIARY&/PNCRTC DUXS,,30,,,"$8,318.50",$0.00,1,0,1,20110101,43265,CPT,ERCP W/DSTRJ LITHOTRP ST1/CALCULI ANY METH,,30,,,"$8,318.50",$0.00,1,0,1,20110101,43267,CPT,ERCP W/INSJ NASOBILIARY/NASOPNCRTC DRG TUBE,,30,,,"$8,318.50",$0.00,1,0,1,20110101,43268,CPT,ERCP W/INSJ TUBE/STENT BILE/PNCRTC DUX,,30,,,"$9,746.02",$0.00,1,0,1,20110101,43269,CPT,ERCP W/RTRGR RMVL FB&/CHNG TUBE/STENT,,30,,,"$9,746.02",$0.00,1,0,1,20110101,43271,CPT,ERCP W/BALO DILAT AMPULLA BILIARY&/PNCRTC DUX,,30,,,"$8,318.50",$0.00,1,0,1,20110101,43272,CPT,ERCP W/ABLTJ LES X RMVL FORCEPS/CAUT/SNARE,,30,,,"$8,318.50",$0.00,1,0,1,20110101,43273,CPT,NDSC CANNULATION PAPILLA VIS BILE &/ PNCRTC DUX,,30,,,"$8,318.50",$0.00,1,0,1,20110101,43279,CPT,LAPS ESOPHAGOMYOTOMY W/FUNDOPLASTY IF PERFORMED,,30,,,"$8,159.82",$0.00,1,0,1,20110101,43280,CPT,LAPS SURG ESOPG/GSTR FUNDOPLASTY,,30,,,"$21,085.75",$0.00,1,0,1,20110101,43281,CPT,LAPS RPR PARAESPHGL HRNA INCL FUNDPLSTY W/O MESH,,30,,,"$21,085.75",$0.00,1,0,1,20110101,43282,CPT,LAPS RPR PARAESPHGL HRNA INCL FUNDPLSTY W/MESH,,30,,,"$21,085.75",$0.00,1,0,1,20110101,43283,CPT,LAP ESOPH LENGTHENING,,30,,,"$1,096.58",$0.00,1,0,1,20110101,43289,CPT,UNLIS LAPS PX ESOPH,,30,,,"$13,707.28",$0.00,1,0,1,20110101,43332,CPT,TRANSAB ESOPH HIAT HERN RPR,,30,,,"$11,176.37",$0.00,1,0,1,20110101,43333,CPT,TRANSAB ESOPH HIAT HERN RPR,,30,,,"$2,794.09",$0.00,1,0,1,20110101,43338,CPT,ESOPH LENGTHENING,,30,,,$357.33,$0.00,1,0,1,20110101,43420,CPT,CLSR ESOPHAGOSTOMY/FSTL CRV APPR,,30,,,"$9,184.01",$0.00,1,0,1,20110101,43450,CPT,OPENING OF ESOPHAGUS,,30,,,"$2,193.44",$0.00,1,0,1,20110101,43453,CPT,DILAT ESOPH > GD WIRE,,30,,,"$2,193.44",$0.00,1,0,1,20110101,43456,CPT,DILAT ESOPH BALO/DILATOR RTRGR,,30,,,"$2,193.44",$0.00,1,0,1,20110101,43458,CPT,DILAT ESOPH BALO 30 MM DIAM/LGR ACHALASIA,,30,,,"$3,248.46",$0.00,1,0,1,20110101,43499,CPT,UNLIS PX ESOPH,,30,,,"$3,248.46",$0.00,1,0,1,20110101,43510,CPT,GSTRT W/ESOPHGL DILAT&INSJ PRM INTRAL TUBE,,30,,,"$5,951.85",$0.00,1,0,1,20110101,43644,CPT,LAPS GSTR RSTCV PX W/BYP ROUX-EN-Y <150 CM,,30,,,"$32,082.77",$0.00,1,0,1,20110101,43647,CPT,LAPS IMPLTJ/RPLCMT GASTRIC NSTIM ELTRD ANTRUM,,30,,,"$22,611.70",$0.00,1,0,1,20110101,43648,CPT,LAPS REVISION/RMVL GASTRIC NSTIM ELTRD ANTRUM,,30,,,"$13,707.28",$0.00,1,0,1,20110101,43651,CPT,LAPS SURG TRNSXJ VAGUS NRV TRUNCAL,,30,,,"$21,085.75",$0.00,1,0,1,20110101,43652,CPT,LAPS SURG TRNSXJ VAGUS NRV SLCTV/HILY SLCTV,,30,,,"$21,085.75",$0.00,1,0,1,20110101,43653,CPT,LAPS SURG GASTROSTOMY W/O CONSTJ GSTR TUBE SPX,,30,,,"$16,032.63",$0.00,1,0,1,20110101,43659,CPT,UNLIS LAPS PX STOMACH,,30,,,"$13,707.28",$0.00,1,0,1,20110101,43752,CPT,NASO/ORO-GASTRIC TUBE PLMT REQ PHYS&FLUOR GDN,,30,,,$552.45,$0.00,1,0,1,20110101,43753,CPT,TX GASTRO INTUB W/ASP,,30,,,$258.46,$0.00,1,0,1,20110101,43754,CPT,DX GASTR INTUB W/ASP SPEC,,30,,,$258.46,$0.00,1,0,1,20110101,43755,CPT,DX GASTR INTUB W/ASP SPECS,,30,,,$429.20,$0.00,1,0,1,20110101,43756,CPT,DX DUOD INTUB W/ASP SPEC,,30,,,$552.45,$0.00,1,0,1,20110101,43757,CPT,DX DUOD INTUB W/ASP SPECS,,30,,,$552.45,$0.00,1,0,1,20110101,43760,CPT,CHANGE GASTROSTOMY TUBE PERCUTANEOUS W/O GUIDE,,30,,,$881.26,$0.00,1,0,1,20110101,43761,CPT,REPOS NASO/ORO GASTRIC FEEDING TUBE THRU DUO,,30,,,"$3,248.46",$0.00,1,0,1,20110101,43770,CPT,LAPS GASTRIC RESTRICTIVE PROCEDURE PLACE DEVICE,,30,,,"$9,563.54",$0.00,1,0,1,20110101,43771,CPT,LAPS GASTRIC RESTRICTIVE PX REVISION DEVICE,,30,,,"$5,796.99",$0.00,1,0,1,20110101,43773,CPT,LAPS GASTRIC RESTRICTIVE PX REMOVE&RPLCMT DEVICE,,30,,,"$9,798.33",$0.00,1,0,1,20110101,43774,CPT,LAPS GASTRIC RESTRICTIVE PX REMOVE DEVICE &PORT,,30,,,"$8,023.28",$0.00,1,0,1,20110101,43830,CPT,GASTROSTOMY OPN W/O CONSTJ GSTR TUBE SPX,,30,,,"$5,951.85",$0.00,1,0,1,20110101,43831,CPT,GASTROSTOMY OPN NEONATAL FEEDING,,30,,,"$3,248.46",$0.00,1,0,1,20110101,43870,CPT,CLSR GASTROSTOMY SURG,,30,,,"$5,951.85",$0.00,1,0,1,20110101,43886,CPT,GSTR RSTCV PX OPN REVJ SUBQ PORT COMPONENT ONLY,,30,,,"$8,804.35",$0.00,1,0,1,20110101,43887,CPT,GSTR RSTCV PX OPN RMVL SUBQ PORT COMPONENT ONLY,,30,,,"$1,632.96",$0.00,1,0,1,20110101,43888,CPT,GSTR RSTCV OPN RMVL&RPLCMT SUBQ PORT,,30,,,"$8,804.35",$0.00,1,0,1,20110101,43999,CPT,UNLIS PX STOMACH,,30,,,"$3,248.46",$0.00,1,0,1,20110101,44005,CPT,ENTEROLSS FRING INTSTINAL ADHESION SPX,,30,,,"$6,047.00",$0.00,1,0,1,20110101,44100,CPT,BX INT CAPSL TUBE PRORAL 1+ SPECS,,30,,,"$3,248.46",$0.00,1,0,1,20110101,44180,CPT,LAPS ENTEROLSS FRING INTSTINAL ADHESION SPX,,30,,,"$16,032.63",$0.00,1,0,1,20110101,44186,CPT,LAPS JEJUNOSTOMY,,30,,,"$16,032.63",$0.00,1,0,1,20110101,44206,CPT,LAPS COLCT PRTL W/END CLST&CLSR DSTL SGM,,30,,,"$21,085.75",$0.00,1,0,1,20110101,44207,CPT,LAPS COLCT PRTL W/COLOPXTSTMY LW ANAST,,30,,,"$21,085.75",$0.00,1,0,1,20110101,44208,CPT,LAPS COLCT PRTL W/COLOPXTSTMY LW ANAST W/CLST,,30,,,"$21,085.75",$0.00,1,0,1,20110101,44213,CPT,LAPS MOBLJ SPLENIC FLXR PFRMD W/PRTL COLCT,,30,,,"$13,707.28",$0.00,1,0,1,20110101,44238,CPT,UNLIS LAPS PX INT XCP RECTUM,,30,,,"$13,707.28",$0.00,1,0,1,20110101,44312,CPT,REVJ ILEOST SMPL RLS SUPFC SCAR SPX,,30,,,"$8,804.35",$0.00,1,0,1,20110101,44340,CPT,REVJ CLST SMPL RLS SUPFC SCAR SPX,,30,,,"$8,804.35",$0.00,1,0,1,20110101,44360,CPT,SCOPE OF UPPER SMALL INTESTINE,,30,,,"$3,623.86",$0.00,1,0,1,20110101,44361,CPT,SCOPE OF UPPER SMALL INTESTINE WITH BIOPSY,,30,,,"$3,623.86",$0.00,1,0,1,20110101,44363,CPT,ENTEROSCOPY > 2ND PRTN X ILE RMVL FB,,30,,,"$3,623.86",$0.00,1,0,1,20110101,44364,CPT,ENTEROSCOPY > 2ND PRTN X ILE RMVL LES SNARE,,30,,,"$3,623.86",$0.00,1,0,1,20110101,44365,CPT,ENTEROSCOPY > 2ND PRTN X ILE RMVL LES CAUT,,30,,,"$3,623.86",$0.00,1,0,1,20110101,44366,CPT,ENTEROSCOPY > 2ND PRTN X ILE CTRL BLD,,30,,,"$3,623.86",$0.00,1,0,1,20110101,44369,CPT,ENTEROSCOPY > 2ND PRTN X ILE ABLTJ LES,,30,,,"$3,623.86",$0.00,1,0,1,20110101,44370,CPT,ENTEROSCOPY > 2ND PRTN X ILE TNDSC STENT PLMT,,30,,,"$9,746.02",$0.00,1,0,1,20110101,44372,CPT,ENTEROSCOPY > 2ND PRTN X ILE W/PLMT PRQ TUBE,,30,,,"$3,623.86",$0.00,1,0,1,20110101,44373,CPT,ENTEROSCOPY > 2ND PRTN X ILE CONV GSTRST TUBE,,30,,,"$3,623.86",$0.00,1,0,1,20110101,44376,CPT,ENTEROSCOPY > 2ND PRTN W/ILE +-COLLJ SPEC SPX,,30,,,"$3,623.86",$0.00,1,0,1,20110101,44377,CPT,ENTEROSCOPY > 2ND PRTN W/ILE W/BX 1/MLT,,30,,,"$3,623.86",$0.00,1,0,1,20110101,44378,CPT,ENTEROSCOPY > 2ND PRTN ILE CTRL BLD,,30,,,"$3,623.86",$0.00,1,0,1,20110101,44379,CPT,ENTEROSCOPY > 2ND PRTN W/ILE W/STENT PLMT,,30,,,"$9,746.02",$0.00,1,0,1,20110101,44380,CPT,ILESC THRU STOMA DX +-COLLJ SPEC BR/WA SPX,,30,,,"$3,623.86",$0.00,1,0,1,20110101,44382,CPT,ILESC THRU STOMA W/BX 1/MLT,,30,,,"$3,623.86",$0.00,1,0,1,20110101,44383,CPT,ILESC THRU STOMA W/TNDSC STENT PLMT,,30,,,"$9,746.02",$0.00,1,0,1,20110101,44385,CPT,NDSC EVAL INTSTINAL POUCH DX +-COLLJ SPEC SPX,,30,,,"$3,481.10",$0.00,1,0,1,20110101,44386,CPT,NDSC EVAL INTSTINAL POUCH W/BX 1/MLT,,30,,,"$3,481.10",$0.00,1,0,1,20110101,44388,CPT,SCOPE OF COLON THRU OSTOMY FOR DIAGNOSIS,,30,,,"$3,481.10",$0.00,1,0,1,20110101,44389,CPT,SCOPE OF COLON WITH BIOPSY THRU OSTOMY,,30,,,"$3,481.10",$0.00,1,0,1,20110101,44390,CPT,COLSC THRU STOMA W/RMVL FB,,30,,,"$3,481.10",$0.00,1,0,1,20110101,44391,CPT,COLSC THRU STOMA CTRL BLD,,30,,,"$3,481.10",$0.00,1,0,1,20110101,44392,CPT,COLSC THRU STOMA RMVL LES CAUT,,30,,,"$3,481.10",$0.00,1,0,1,20110101,44393,CPT,COLSC THRU STOMA ABLTJ LES,,30,,,"$3,481.10",$0.00,1,0,1,20110101,44394,CPT,COLSC THRU STOMA W/RMVL TUM POLYP/OTH LES SNARE,,30,,,"$3,481.10",$0.00,1,0,1,20110101,44397,CPT,COLSC THRU STOMA W/TNDSC STENT PLMT,,30,,,"$9,746.02",$0.00,1,0,1,20110101,44500,CPT,INTRO LONG GI TUBE SPX,,30,,,"$2,345.05",$0.00,1,0,1,20110101,44799,CPT,UNLIS PX INT,,30,,,"$10,001.42",$0.00,1,0,1,20110101,44901,CPT,I&D APPENDICEAL ABSC PRQ,,30,,,"$5,702.51",$0.00,1,0,1,20110101,44950,CPT,APPENDEC,,30,,,"$10,001.42",$0.00,1,0,1,20110101,44955,CPT,APPENDEC INDICATED PURPOSE OTH MAJOR PX X SPX,,30,,,"$10,001.42",$0.00,1,0,1,20110101,44960,CPT,APPENDEC RPTD APPENDIX ABSC/PRITONITIS,,30,,,"$4,489.12",$0.00,1,0,1,20110101,44970,CPT,LAPS SURG APPENDEC,,30,,,"$16,032.63",$0.00,1,0,1,20110101,44979,CPT,UNLIS LAPS PX APPENDIX,,30,,,"$13,707.28",$0.00,1,0,1,20110101,45000,CPT,TRANSRCT DRG PEL ABSC,,30,,,"$5,192.48",$0.00,1,0,1,20110101,45005,CPT,I&D SBMCSL ABSC RECTUM,,30,,,"$5,192.48",$0.00,1,0,1,20110101,45020,CPT,I&D DP SUPRALEVATOR PELVIRCT/RETRORCT ABSC,,30,,,"$5,192.48",$0.00,1,0,1,20110101,45100,CPT,BX ANRCT WALL ANAL APPR,,30,,,"$8,818.58",$0.00,1,0,1,20110101,45108,CPT,ANRCT MYOMECTOMY,,30,,,"$8,818.58",$0.00,1,0,1,20110101,45150,CPT,DIV STRIX RECTUM,,30,,,"$8,818.58",$0.00,1,0,1,20110101,45160,CPT,EXC RCT TUM PROCTOTOMY TRANSSAC/TRANSCOCCYGEAL,,30,,,"$8,818.58",$0.00,1,0,1,20110101,45171,CPT,EXC RCT TUM NOT INCL MUSCULARIS PROPRIA,,30,,,"$5,192.48",$0.00,1,0,1,20110101,45172,CPT,EXC RCT TUM INCL MUSCULARIS PROPRIA,,30,,,"$8,818.58",$0.00,1,0,1,20110101,45190,CPT,DSTRJ RCT TUM TRANSANAL APPR,,30,,,"$8,818.58",$0.00,1,0,1,20110101,45300,CPT,PROCTOSGMDSC RGD DX +-COLLJ SPEC BR/WA SPX,,30,,,"$2,124.50",$0.00,1,0,1,20110101,45303,CPT,PROCTOSGMDSC RGD W/DILAT,,30,,,"$3,401.18",$0.00,1,0,1,20110101,45305,CPT,PROCTOSGMDSC RGD W/BX 1/MLT,,30,,,"$3,401.18",$0.00,1,0,1,20110101,45307,CPT,PROCTOSGMDSC RGD W/RMVL FB,,30,,,"$8,395.65",$0.00,1,0,1,20110101,45308,CPT,PROCTOSGMDSC RGD RMVL 1 LES CAUT,,30,,,"$3,401.18",$0.00,1,0,1,20110101,45309,CPT,PROCTOSGMDSC RGD RMVL 1 LES SNARE TQ,,30,,,"$3,401.18",$0.00,1,0,1,20110101,45315,CPT,PROCTOSGMDSC RGD RMVL MLT TUM < CAUT/SNARE,,30,,,"$3,401.18",$0.00,1,0,1,20110101,45317,CPT,PROCTOSGMDSC RGD CTRL BLD,,30,,,"$3,401.18",$0.00,1,0,1,20110101,45320,CPT,PROCTOSGMDSC RGD ABLTJ LES,,30,,,"$8,395.65",$0.00,1,0,1,20110101,45321,CPT,PROCTOSGMDSC RGD DCMPRN VOLVULUS,,30,,,"$8,395.65",$0.00,1,0,1,20110101,45327,CPT,PROCTOSGMDSC RGD TNDSC STENT PLMT,,30,,,"$9,746.02",$0.00,1,0,1,20110101,45330,CPT,SCOPE OF SIGMOID COLON ONLY FOR DIAGNOSIS,,30,,,"$2,124.50",$0.00,1,0,1,20110101,45331,CPT,SCOPE OF SIGMOID COLON ONLY WITH BIOPSY,,30,,,"$2,124.50",$0.00,1,0,1,20110101,45332,CPT,SGMDSC FLX RMVL FB,,30,,,"$2,124.50",$0.00,1,0,1,20110101,45333,CPT,SGMDSC FLX RMVL LES CAUT,,30,,,"$3,401.18",$0.00,1,0,1,20110101,45334,CPT,SGMDSC FLX CTRL BLD,,30,,,"$3,401.18",$0.00,1,0,1,20110101,45335,CPT,SGMDSC FLX DIRED SBMCSL NJX ANY SBST,,30,,,"$2,124.50",$0.00,1,0,1,20110101,45337,CPT,SGMDSC FLX DCMPRN VOLVULUS ANY METH,,30,,,"$2,124.50",$0.00,1,0,1,20110101,45338,CPT,SGMDSC FLX RMVL TUM POLYP/OTH LES SNARE TQ,,30,,,"$3,401.18",$0.00,1,0,1,20110101,45339,CPT,SGMDSC FLX ABLTJ LES,,30,,,"$3,401.18",$0.00,1,0,1,20110101,45340,CPT,SGMDSC FLX DILAT BALO 1/MORE STRIXS,,30,,,"$3,401.18",$0.00,1,0,1,20110101,45341,CPT,SGMDSC FLX NDSC US XM,,30,,,"$3,401.18",$0.00,1,0,1,20110101,45342,CPT,SGMDSC FLX TNDSC US GID NDL ASPIR/BX,,30,,,"$3,401.18",$0.00,1,0,1,20110101,45345,CPT,SGMDSC FLX TNDSC STENT PLMT,,30,,,"$9,746.02",$0.00,1,0,1,20110101,45355,CPT,COLSC RGD/FLX TABDL VIA COLOTOMY 1/MLT,,30,,,"$3,481.10",$0.00,1,0,1,20110101,45378,CPT,SCOPE OF COLON FOR DIAGNOSIS,,30,,,"$3,481.10",$0.00,1,0,1,20110101,45379,CPT,COLSC FLX PROX SPLENIC FLXR RMVL FB,,30,,,"$3,481.10",$0.00,1,0,1,20110101,45380,CPT,SCOPE OF COLON WITH BIOPSY,,30,,,"$3,481.10",$0.00,1,0,1,20110101,45381,CPT,COLSC FLX PROX SPLENIC FLXR SBMCSL NJX,,30,,,"$3,481.10",$0.00,1,0,1,20110101,45382,CPT,COLSC FLX PROX SPLENIC FLXR CTRL BLD,,30,,,"$3,481.10",$0.00,1,0,1,20110101,45383,CPT,COLSC FLX PROX SPLENIC FLXR ABLTJ LES,,30,,,"$3,481.10",$0.00,1,0,1,20110101,45384,CPT,COLSC FLX PROX SPLENIC FLXR RMVL LES CAUT,,30,,,"$3,481.10",$0.00,1,0,1,20110101,45385,CPT,COLSC FLX PROX SPLENIC FLXR RMVL LES SNARE TQ,,30,,,"$3,481.10",$0.00,1,0,1,20110101,45386,CPT,COLSC FLX PROX SPLENIC FLXR DILAT BALO 1+ STRIXS,,30,,,"$3,481.10",$0.00,1,0,1,20110101,45387,CPT,COLSC FLX PROX SPLENIC FLXR TNDSC STENT PLMT,,30,,,"$9,746.02",$0.00,1,0,1,20110101,45391,CPT,COLSC FLX PROX SPLENIC FLXR NDSC US XM,,30,,,"$3,481.10",$0.00,1,0,1,20110101,45392,CPT,COLSC FLX PROX SPLENIC FLXR US GID NDL ASPIR/BX,,30,,,"$3,481.10",$0.00,1,0,1,20110101,45499,CPT,UNLIS LAPS PX RECTUM,,30,,,"$13,707.28",$0.00,1,0,1,20110101,45500,CPT,PROCTOPLASTY STENOSIS,,30,,,"$8,818.58",$0.00,1,0,1,20110101,45505,CPT,PROCTOPLASTY PROLAPSE MUC MEMB,,30,,,"$11,839.34",$0.00,1,0,1,20110101,45520,CPT,PRIRCT NJX SCLRSG SLN PROLAPSE,,30,,,$243.08,$0.00,1,0,1,20110101,45541,CPT,PROCTOPEXY PRNL APPR,,30,,,"$11,839.34",$0.00,1,0,1,20110101,45560,CPT,RPR RECTOCELE SPX,,30,,,"$11,839.34",$0.00,1,0,1,20110101,45900,CPT,RDCTJ PROCIDENTIA SPX UNDER ANES,,30,,,"$1,973.77",$0.00,1,0,1,20110101,45905,CPT,DILAT ANAL SPHNCTR SPX UNDER ANES OTH/THN LOCAL,,30,,,"$8,818.58",$0.00,1,0,1,20110101,45910,CPT,DILAT RCT STRIX SPX UNDER ANES OTH/THN LOCAL,,30,,,"$8,818.58",$0.00,1,0,1,20110101,45915,CPT,RMVL FECAL IMPACTION/FB SPX UNDER ANES,,30,,,"$5,192.48",$0.00,1,0,1,20110101,45990,CPT,ANRCT XM SURG REQ ANES GENERAL SPI/EDRL DX,,30,,,"$8,818.58",$0.00,1,0,1,20110101,45999,CPT,UNLIS PX RECTUM,,30,,,"$1,973.77",$0.00,1,0,1,20110101,46020,CPT,PLMT SETON,,30,,,"$8,818.58",$0.00,1,0,1,20110101,46030,CPT,RMVL ANAL SETON OTH MARKER,,30,,,"$1,973.77",$0.00,1,0,1,20110101,46040,CPT,I&D ISCHIORCT&/PRIRCT ABSC SPX,,30,,,"$8,818.58",$0.00,1,0,1,20110101,46045,CPT,I&D INTRAMURAL IM/ABSC TRANSANAL ANES,,30,,,"$8,818.58",$0.00,1,0,1,20110101,46050,CPT,I&D PRIANAL ABSC SUPFC,,30,,,"$5,192.48",$0.00,1,0,1,20110101,46060,CPT,I&D ISCHIORCT/INTRAMURAL ABSC +-SETON,,30,,,"$8,818.58",$0.00,1,0,1,20110101,46070,CPT,INC ANAL SEPTUM INFT,,30,,,"$5,192.48",$0.00,1,0,1,20110101,46080,CPT,SPHNCTROTOMY ANAL DIV SPHNCTR SPX,,30,,,"$8,818.58",$0.00,1,0,1,20110101,46083,CPT,INC THROMBOSED HEMORRHOID XTRNL,,30,,,$742.95,$0.00,1,0,1,20110101,46200,CPT,FISSURECTOMY INCL SPHINCTEROTOMY WHEN PERFORMED,,30,,,"$8,818.58",$0.00,1,0,1,20110101,46220,CPT,EXCISION SINGLE EXTERNAL PAPILLA OR TAG ANUS,,30,,,"$5,192.48",$0.00,1,0,1,20110101,46221,CPT,HEMORRHOIDECTOMY INTERNAL RUBBER BAND LIGATIONS,,30,,,"$1,973.77",$0.00,1,0,1,20110101,46230,CPT,EXCISION MULTIPLE EXTERNAL PAPILLAE/TAGS ANUS,,30,,,"$8,818.58",$0.00,1,0,1,20110101,46250,CPT,HEMORRHOIDECTOMY XTRNL 2+ COLUMN/GROUP,,30,,,"$8,818.58",$0.00,1,0,1,20110101,46255,CPT,HEMORRHOIDECTOMY NTRNL & XTRNL 1 COLUMN/GROUP,,30,,,"$8,818.58",$0.00,1,0,1,20110101,46257,CPT,HRHC SMPL W/FISSURECTOMY,,30,,,"$8,818.58",$0.00,1,0,1,20110101,46258,CPT,HRHC 1 COL/GRP W/FSTULECTMY INCL FSSRECTOMY,,30,,,"$8,818.58",$0.00,1,0,1,20110101,46260,CPT,HEMORRHOIDECTOMY INT & XTRNL 2+ COLUMN/GROUP,,30,,,"$8,818.58",$0.00,1,0,1,20110101,46261,CPT,HRHC CPLX/X10SV W/FISSURECTOMY,,30,,,"$8,818.58",$0.00,1,0,1,20110101,46262,CPT,HRHC 2+ COL/GRP W/FSTULECTMY INCL FSSRECTMY,,30,,,"$8,818.58",$0.00,1,0,1,20110101,46270,CPT,SURG TX ANAL FSTL SUBQ,,30,,,"$8,818.58",$0.00,1,0,1,20110101,46275,CPT,SURG TX ANAL FISTULA INTERSPHINCTERIC,,30,,,"$8,818.58",$0.00,1,0,1,20110101,46280,CPT,TX ANAL FSTL TRANS/SUPRA/XTRASPHNCTRC INCL SETON,,30,,,"$8,818.58",$0.00,1,0,1,20110101,46285,CPT,SURG TX ANAL FSTL 2ND STG,,30,,,"$8,818.58",$0.00,1,0,1,20110101,46288,CPT,CLSR ANAL FSTL W/RCT ADVMNT FLAP,,30,,,"$8,818.58",$0.00,1,0,1,20110101,46320,CPT,EXC THROMBOSED HEMORRHOID XTRNL,,30,,,"$8,818.58",$0.00,1,0,1,20110101,46500,CPT,NJX SCLRSG SLN HEMORRHOIDS,,30,,,"$5,192.48",$0.00,1,0,1,20110101,46505,CPT,CHEMODNRVTJ INT ANAL SPHNCTR,,30,,,"$8,818.58",$0.00,1,0,1,20110101,46600,CPT,ANOSC DX +-COLLJ SPEC BR/WA SPX,,30,,,$258.46,$0.00,1,0,1,20110101,46604,CPT,ANOSC DILAT,,30,,,"$3,401.18",$0.00,1,0,1,20110101,46606,CPT,ANOSC BX 1/MLT,,30,,,"$2,124.50",$0.00,1,0,1,20110101,46608,CPT,ANOSC RMVL FB,,30,,,"$3,401.18",$0.00,1,0,1,20110101,46610,CPT,ANOSC RMVL 1 LES CAUT,,30,,,"$8,395.65",$0.00,1,0,1,20110101,46611,CPT,ANOSC RMVL 1 TUM POLYP/OTH LES SNARE TQ,,30,,,"$3,401.18",$0.00,1,0,1,20110101,46612,CPT,ANOSC RMVL MLT TUMS CAUT/SNARE,,30,,,"$8,395.65",$0.00,1,0,1,20110101,46614,CPT,ANOSC CTRL BLD,,30,,,"$2,124.50",$0.00,1,0,1,20110101,46615,CPT,ANOSC ABLTJ LES,,30,,,"$8,395.65",$0.00,1,0,1,20110101,46700,CPT,ANOPLASTY PLSTC OPRATION STRIX ADLT,,30,,,"$8,818.58",$0.00,1,0,1,20110101,46706,CPT,RPR ANAL FSTL W/FIBRIN GLUE,,30,,,"$11,839.34",$0.00,1,0,1,20110101,46707,CPT,RPR ANORECTAL FISTULA W/ PLUG,,30,,,"$11,839.34",$0.00,1,0,1,20110101,46750,CPT,SPHNCTROP ANAL INCONT/PROLAPSE ADLT,,30,,,"$11,839.34",$0.00,1,0,1,20110101,46753,CPT,GRF THIERSCH RCT INCONT&/PROLAPSE,,30,,,"$8,818.58",$0.00,1,0,1,20110101,46754,CPT,RMVL THIERSCH WIRE/SUTR ANAL CANAL,,30,,,"$8,818.58",$0.00,1,0,1,20110101,46760,CPT,SPHNCTROP ANAL MUSC TRNSPL,,30,,,"$11,839.34",$0.00,1,0,1,20110101,46761,CPT,SPHNCTROP ANAL LEVATOR MUSC IMBRCJ,,30,,,"$11,839.34",$0.00,1,0,1,20110101,46762,CPT,SPHNCTROP ANAL IMPLTJ ARTIF SPHNCTR,,30,,,"$11,839.34",$0.00,1,0,1,20110101,46900,CPT,DSTRJ LES ANUS SMPL CHEM,,30,,,"$1,039.20",$0.00,1,0,1,20110101,46910,CPT,DSTRJ LES ANUS SMPL ELTRDSICCATION,,30,,,"$7,823.40",$0.00,1,0,1,20110101,46916,CPT,DSTRJ LES ANUS SMPL CRYOSURG,,30,,,$260.09,$0.00,1,0,1,20110101,46917,CPT,DSTRJ LES ANUS SMPL LASER SURG,,30,,,"$7,823.40",$0.00,1,0,1,20110101,46922,CPT,DSTRJ LES ANUS SMPL SURG EXC,,30,,,"$7,823.40",$0.00,1,0,1,20110101,46924,CPT,DSTRJ LES ANUS X10SV,,30,,,"$7,823.40",$0.00,1,0,1,20110101,46930,CPT,DESTRUCTION INTERNAL HEMORRHOID THERMAL ENERGY,,30,,,"$1,973.77",$0.00,1,0,1,20110101,46940,CPT,CURTG/CAUT ANAL FISSURE W/DILAT SPHNCTR SPX 1ST,,30,,,"$8,818.58",$0.00,1,0,1,20110101,46942,CPT,CURTG/CAUT ANAL FISSURE W/DILAT SPHNCTR SPX SBSQ,,30,,,"$1,973.77",$0.00,1,0,1,20110101,46945,CPT,HRHC NTRNL LIG OTH THAN RBBR BAND 1 COL/GRP,,30,,,"$5,192.48",$0.00,1,0,1,20110101,46946,CPT,HRHC NTRNL LIG OTH THAN RBBR BAND 2+ COL/GRP,,30,,,"$5,192.48",$0.00,1,0,1,20110101,46947,CPT,HEMORRHOIDOPEXY STAPLING,,30,,,"$11,839.34",$0.00,1,0,1,20110101,46999,CPT,UNLIS PX ANUS,,30,,,"$1,973.77",$0.00,1,0,1,20110101,47000,CPT,BX LVR NDL PRQ,,30,,,"$3,556.29",$0.00,1,0,1,20110101,47011,CPT,HEPATOTOMY PRQ DRG ABSC/CST 1/2 STGS,,30,,,"$5,702.51",$0.00,1,0,1,20110101,47100,CPT,BX LVR WEDGE,,30,,,"$6,140.89",$0.00,1,0,1,20110101,47370,CPT,LAPS SURG ABLTJ 1+ LVR TUM RF,,30,,,"$23,481.09",$0.00,1,0,1,20110101,47371,CPT,LAPS SURG ABLTJ 1+ LVR TUM CRYOSURG,,30,,,"$23,481.09",$0.00,1,0,1,20110101,47379,CPT,UNLIS LAPAROSCOPIC PX LVR,,30,,,"$13,707.28",$0.00,1,0,1,20110101,47382,CPT,ABLTJ 1+ LVR TUM PRQ RF,,30,,,"$17,106.66",$0.00,1,0,1,20110101,47399,CPT,UNLIS PX LVR,,30,,,"$1,692.00",$0.00,1,0,1,20110101,47490,CPT,PRQ CHOLECSTOST,,30,,,"$11,310.21",$0.00,1,0,1,20110101,47510,CPT,INTRO PRQ TRANSHEPATC CATH BILIARY DRG,,30,,,"$11,310.21",$0.00,1,0,1,20110101,47511,CPT,INTRO PRQ TRANSHEPATC STENT BILIARY DRG,,30,,,"$11,310.21",$0.00,1,0,1,20110101,47525,CPT,CHNG PRQ BILIARY DRG CATH,,30,,,"$5,632.59",$0.00,1,0,1,20110101,47530,CPT,REVJ&/RINSJ TRANSHEPATC TUBE,,30,,,"$5,632.59",$0.00,1,0,1,20110101,47552,CPT,BILIARY NDSC PRQ T-TUBE DX +-COLLJ SPEC SPX,,30,,,"$11,310.21",$0.00,1,0,1,20110101,47553,CPT,BILIARY NDSC PRQ T-TUBE W/BX 1/MLT,,30,,,"$11,310.21",$0.00,1,0,1,20110101,47554,CPT,BILIARY NDSC PRQ T-TUBE RMVL ST1,,30,,,"$11,310.21",$0.00,1,0,1,20110101,47555,CPT,BILIARY NDSC PRQ T-TUBE DILAT STRIX W/O STENT,,30,,,"$11,310.21",$0.00,1,0,1,20110101,47556,CPT,BILIARY NDSC PRQ T-TUBE DILAT STRIX W/STENT,,30,,,"$11,310.21",$0.00,1,0,1,20110101,47560,CPT,LAPS SURG W/GID TRANSHEPATC CHOLANGRPH W/O BX,,30,,,"$13,707.28",$0.00,1,0,1,20110101,47561,CPT,LAPS SURG W/GID TRANSHEPATC CHOLANGRPH W/BX,,30,,,"$13,707.28",$0.00,1,0,1,20110101,47562,CPT,LAPS SURG CHOLECSTC,,30,,,"$16,032.63",$0.00,1,0,1,20110101,47563,CPT,LAPS SURG CHOLECSTC W/CHOLANGRPH,,30,,,"$16,032.63",$0.00,1,0,1,20110101,47564,CPT,LAPS SURG CHOLECSTC W/EXPL COMMON DUX,,30,,,"$16,032.63",$0.00,1,0,1,20110101,47579,CPT,UNLIS LAPS PX BILIARY TRC,,30,,,"$13,707.28",$0.00,1,0,1,20110101,47600,CPT,CHOLECSTC,,30,,,"$6,425.53",$0.00,1,0,1,20110101,47605,CPT,CHOLECSTC CHOLANGRPH,,30,,,"$10,051.44",$0.00,1,0,1,20110101,47630,CPT,BILIARY DUX STONE XTRJ PRQ VIA BASKET/SNARE,,30,,,"$11,310.21",$0.00,1,0,1,20110101,47999,CPT,UNLIS PX BILIARY TRC,,30,,,"$11,310.21",$0.00,1,0,1,20110101,48102,CPT,BX PNCRS PRQ NDL,,30,,,"$3,556.29",$0.00,1,0,1,20110101,48511,CPT,XTRNL DRG PSEUDOCST PNCRS PRQ,,30,,,"$5,702.51",$0.00,1,0,1,20110101,48999,CPT,UNLIS PX PNCRS,,30,,,"$1,692.00",$0.00,1,0,1,20110101,49000,CPT,EXPL LAPT EXPL CELIOTOMY +-BX SPX,,30,,,"$4,897.33",$0.00,1,0,1,20110101,49020,CPT,DRG PRTL ABSC/LOCLZD PRITONITIS OPN,,30,,,"$3,691.71",$0.00,1,0,1,20110101,49021,CPT,DRG PRTL ABSC/LOCLZD PRITONITIS PRQ,,30,,,"$5,702.51",$0.00,1,0,1,20110101,49041,CPT,DRG SUBDIPHRG/SUBPHRENIC ABSC PRQ,,30,,,"$5,702.51",$0.00,1,0,1,20110101,49061,CPT,DRG RPR ABSC PRQ,,30,,,"$5,702.51",$0.00,1,0,1,20110101,49080,CPT,PRITONEOCNTS ABDL PCNTS/PRTL LVG 1ST,,30,,,"$2,042.60",$0.00,1,0,1,20110101,49081,CPT,PRITONEOCNTS ABDL PCNTS/PRTL LVG SBSQ,,30,,,"$2,042.60",$0.00,1,0,1,20110101,49180,CPT,BX ABDL/RPR MASS PRQ NDL,,30,,,"$3,556.29",$0.00,1,0,1,20110101,49203,CPT,EXCISION/DESTRUCTION OPEN ABDOMINAL TUMORS 5 CM,,30,,,"$4,521.66",$0.00,1,0,1,20110101,49250,CPT,UMBILECTOMY OMPHALECTOMY EXC UMBILICUS SPX,,30,,,"$10,001.42",$0.00,1,0,1,20110101,49255,CPT,OMNTC EPIPLOECTOMY RESCJ OMENTUM SPX,,30,,,"$4,116.11",$0.00,1,0,1,20110101,49320,CPT,LAPS ABD PRTM&OMENTUM DX +-SPEC BR/WA SPX,,30,,,"$13,707.28",$0.00,1,0,1,20110101,49321,CPT,LAPS SURG W/BX 1/MLT,,30,,,"$13,707.28",$0.00,1,0,1,20110101,49322,CPT,LAPS SURG W/ASPIR CAVITY/CST 1/MLT,,30,,,"$13,707.28",$0.00,1,0,1,20110101,49323,CPT,LAPS SURG W/DRG LYMPHOCELE PRTL CAVITY,,30,,,"$13,707.28",$0.00,1,0,1,20110101,49324,CPT,LAPS W/INSERTION PERM INTRAPERITONEAL CATHETER,,30,,,"$13,707.28",$0.00,1,0,1,20110101,49325,CPT,LAPS W/REVISION INTRAPERITONEAL CATHETER,,30,,,"$13,707.28",$0.00,1,0,1,20110101,49326,CPT,LAPS W/OMENTOPEXY,,30,,,"$13,707.28",$0.00,1,0,1,20110101,49327,CPT,LAP INS DEVICE FOR RT,,30,,,"$13,707.28",$0.00,1,0,1,20110101,49329,CPT,UNLIS LAPS PX ABD PRTM&OMENTUM,,30,,,"$13,707.28",$0.00,1,0,1,20110101,49402,CPT,REMOVAL PERITONEAL FOREIGN BODY FROM CAVITY,,30,,,"$10,001.42",$0.00,1,0,1,20110101,49411,CPT,PLMT NTRSTL DEV PRQ IABDL IPELVC &/ RPER 1/MLT,,30,,,"$5,637.33",$0.00,1,0,1,20110101,49412,CPT,INS DEVICE FOR RT GUIDE OPEN,,30,,,"$1,900.27",$0.00,1,0,1,20110101,49418,CPT,INSERT TUN IP CATH PERC,,30,,,"$11,206.14",$0.00,1,0,1,20110101,49419,CPT,INSJ IPR CANNULA/CATH W/SUBQ RSVR PRM,,30,,,"$11,396.82",$0.00,1,0,1,20110101,49421,CPT,INSJ IPR CANNULA/CATH F/DRG/DIAL PRM,,30,,,"$11,206.14",$0.00,1,0,1,20110101,49422,CPT,RMVL PRM IPR CANNULA/CATH,,30,,,"$8,439.97",$0.00,1,0,1,20110101,49423,CPT,EXCHNG ABSC/CST DRG CATH RAD GID SPX,,30,,,"$5,632.59",$0.00,1,0,1,20110101,49426,CPT,REVJ PRTL-VEN SHUNT,,30,,,"$10,001.42",$0.00,1,0,1,20110101,49429,CPT,RMVL PRTL-VEN SHUNT,,30,,,"$8,439.97",$0.00,1,0,1,20110101,49435,CPT,INSJ SUBQ EXTENSION INTRAPERITONEAL CATHETER,,30,,,"$5,632.59",$0.00,1,0,1,20110101,49436,CPT,DELAYED CREATION EXIT SITE EMBEDDED CATHETER,,30,,,"$5,632.59",$0.00,1,0,1,20110101,49440,CPT,INSERT GASTROSTOMY TUBE PERCUTANEOUS,,30,,,"$3,248.46",$0.00,1,0,1,20110101,49441,CPT,INSERT DUODENOSTOMY/JEJUNOSTOMY TUBE PERQ,,30,,,"$3,248.46",$0.00,1,0,1,20110101,49442,CPT,INSERT CECOSTOMY/OTHER COLONIC TUBE PERCUTANEOUS,,30,,,"$5,192.48",$0.00,1,0,1,20110101,49446,CPT,CONVERT GASTROSTOMY-GASTRO-JEJUNOSTOMY TUBE PERQ,,30,,,"$3,248.46",$0.00,1,0,1,20110101,49450,CPT,REPLACE GASTROSTOMY/CECOSTOMY TUBE PERCUTANEOUS,,30,,,"$2,345.05",$0.00,1,0,1,20110101,49451,CPT,REPLACE DUODENOSTOMY/JEJUNOSTOMY TUBE PERQ,,30,,,"$2,345.05",$0.00,1,0,1,20110101,49452,CPT,REPLACEMENT GASTRO-JEJUNOSTOMY TUBE PERCUTANEOUS,,30,,,"$2,345.05",$0.00,1,0,1,20110101,49460,CPT,OBSTRUCTIVE MATERIAL REMOVAL FROM GI TUBE,,30,,,"$2,345.05",$0.00,1,0,1,20110101,49465,CPT,CONTRAST INJECTION PERQ RADIOLOGIC EVAL GI TUBE,,30,,,$867.29,$0.00,1,0,1,20110101,49491,CPT,RPR 1ST INGUN HRNA PRETERM INFT RDC,,30,,,"$11,760.93",$0.00,1,0,1,20110101,49492,CPT,RPR 1ST INGUN HRNA PRETERM INFT NCRC8,,30,,,"$11,760.93",$0.00,1,0,1,20110101,49495,CPT,RPR 1ST INGUN HRNA FULL TERM INFT<6 MO RDC,,30,,,"$11,760.93",$0.00,1,0,1,20110101,49496,CPT,RPR 1ST INGUN HRNA FULL TERM INFT<6 MO NCRC8,,30,,,"$11,760.93",$0.00,1,0,1,20110101,49500,CPT,RPR 1ST INGUN HRNA AGE 6 MO-5 YRS RDC,,30,,,"$11,760.93",$0.00,1,0,1,20110101,49501,CPT,RPR 1ST INGUN HRNA AGE 6 MO-5 YRS NCRC8,,30,,,"$11,760.93",$0.00,1,0,1,20110101,49505,CPT,RPR 1ST INGUN HRNA AGE 5 YRS/> REDUCIBLE,,30,,,"$11,760.93",$0.00,1,0,1,20110101,49507,CPT,RPR 1ST INGUN HRNA AGE 5 YRS/> NCRC8,,30,,,"$11,760.93",$0.00,1,0,1,20110101,49520,CPT,RPR RECRT INGUN HRNA ANY AGE RDC,,30,,,"$11,760.93",$0.00,1,0,1,20110101,49521,CPT,RPR RECRT INGUN HRNA ANY AGE NCRC8,,30,,,"$11,760.93",$0.00,1,0,1,20110101,49525,CPT,RPR INGUN HRNA SLIDING ANY AGE,,30,,,"$11,760.93",$0.00,1,0,1,20110101,49540,CPT,RPR LMBR HRNA,,30,,,"$11,760.93",$0.00,1,0,1,20110101,49550,CPT,RPR 1ST FEM HRNA ANY AGE RDC,,30,,,"$11,760.93",$0.00,1,0,1,20110101,49553,CPT,RPR 1ST FEM HRNA ANY AGE NCRC8,,30,,,"$11,760.93",$0.00,1,0,1,20110101,49555,CPT,RPR RECRT FEM HRNA RDC,,30,,,"$11,760.93",$0.00,1,0,1,20110101,49557,CPT,RPR RECRT FEM HRNA NCRC8,,30,,,"$11,760.93",$0.00,1,0,1,20110101,49560,CPT,REPAIR FIRST ABDOMINAL WALL HERNIA,,30,,,"$11,760.93",$0.00,1,0,1,20110101,49561,CPT,RPR 1ST INCAL/VNT HRNA NCRC8,,30,,,"$11,760.93",$0.00,1,0,1,20110101,49565,CPT,RPR RECRT INCAL/VNT HRNA RDC,,30,,,"$11,760.93",$0.00,1,0,1,20110101,49566,CPT,RPR RECRT INCAL/VNT HRNA NCRC8,,30,,,"$11,760.93",$0.00,1,0,1,20110101,49568,CPT,IMPLANT MESH OPN HERNIA RPR/DEBRIDEMENT CLOSURE,,30,,,"$11,760.93",$0.00,1,0,1,20110101,49570,CPT,RPR EPIGSTR HRNA RDC SPX,,30,,,"$11,760.93",$0.00,1,0,1,20110101,49572,CPT,RPR EPIGSTR HRNA NCRC8,,30,,,"$11,760.93",$0.00,1,0,1,20110101,49580,CPT,RPR UMBILICAL HRNA < 5 YRS RDC,,30,,,"$11,760.93",$0.00,1,0,1,20110101,49582,CPT,RPR UMBILICAL HRNA <5 YRS NCRC8,,30,,,"$11,760.93",$0.00,1,0,1,20110101,49585,CPT,RPR UMBILICAL HRNA 5 YRS/> RDC,,30,,,"$11,760.93",$0.00,1,0,1,20110101,49587,CPT,RPR UMBILICAL HRNA AGE 5 YRS/> NCRC8,,30,,,"$11,760.93",$0.00,1,0,1,20110101,49590,CPT,RPR SPIGELIAN HRNA,,30,,,"$11,760.93",$0.00,1,0,1,20110101,49600,CPT,RPR SM OMPHALOCELE W/PRIM CLSR,,30,,,"$11,760.93",$0.00,1,0,1,20110101,49650,CPT,LAPS SURG RPR 1ST INGUN HRNA,,30,,,"$16,032.63",$0.00,1,0,1,20110101,49651,CPT,LAPS SURG RPR RECRT INGUN HRNA,,30,,,"$16,032.63",$0.00,1,0,1,20110101,49652,CPT,LAPS REPAIR HERNIA EXCEPT INCAL/INGUN REDUCIBLE,,30,,,"$21,085.75",$0.00,1,0,1,20110101,49653,CPT,LAP RPR HRNA XCPT INCAL/INGUN NCRC8/STRANGULATED,,30,,,"$21,085.75",$0.00,1,0,1,20110101,49654,CPT,LAPAROSCOPY REPAIR INCISIONAL HERNIA REDUCIBLE,,30,,,"$21,085.75",$0.00,1,0,1,20110101,49655,CPT,LAPS RPR INCISIONAL HERNIA NCRC8/STRANGULATED,,30,,,"$21,085.75",$0.00,1,0,1,20110101,49656,CPT,LAPS RPR RECURRENT INCISIONAL HERNIA REDUCIBLE,,30,,,"$21,085.75",$0.00,1,0,1,20110101,49657,CPT,LAPS RPR RECURRENT INCAL HRNA NCRC8/STRANGULATED,,30,,,"$21,085.75",$0.00,1,0,1,20110101,49659,CPT,UNLIS LAPS PX HRNAP HERNIORRHAPHY HERNIOTOMY,,30,,,"$13,707.28",$0.00,1,0,1,20110101,49999,CPT,UNLIS PX ABD PRTM&OMENTUM,,30,,,"$10,001.42",$0.00,1,0,1,20110101,50020,CPT,DRG PRIRNL/RNL ABSC OPN,,30,,,"$8,101.23",$0.00,1,0,1,20110101,50021,CPT,DRG PRIRNL/RNL ABSC PRQ,,30,,,"$5,702.51",$0.00,1,0,1,20110101,50080,CPT,PRQ NEPHROSTOLITHOTOMY/PYELOSTOLITHOTOMY UP 2 CM,,30,,,"$15,993.10",$0.00,1,0,1,20110101,50081,CPT,PRQ NEPHROSTOLITHOTOMY/PYELOSTOLITHOTOMY > 2 CM,,30,,,"$15,993.10",$0.00,1,0,1,20110101,50200,CPT,RNL BX PRQ TROCAR/NDL,,30,,,"$3,556.29",$0.00,1,0,1,20110101,50382,CPT,RMVL&RPLCMT INTLY DWELLING URTRL STENT,,30,,,"$8,101.23",$0.00,1,0,1,20110101,50384,CPT,RMVL INTLY DWELLING URTRL STENT,,30,,,"$6,266.88",$0.00,1,0,1,20110101,50385,CPT,REMOVE & REPLACE INT DWELL URETERAL STENT TRURL,,30,,,"$8,101.23",$0.00,1,0,1,20110101,50386,CPT,REMOVE INT DWELL URETERAL STENT TRANSURETHRAL,,30,,,"$2,624.63",$0.00,1,0,1,20110101,50387,CPT,RMVL&RPLCMT XTRNLLY ACCESSIBLE URTRL STENT,,30,,,"$5,632.59",$0.00,1,0,1,20110101,50389,CPT,RMVL NFROS TUBE REQ FLUOR GID,,30,,,"$2,624.63",$0.00,1,0,1,20110101,50390,CPT,ASPIR&/NJX RNL CST/PELVIS NDL PRQ,,30,,,"$3,556.29",$0.00,1,0,1,20110101,50391,CPT,INSTLJ AGT RNL PELVIS&/URTR THRU TUBE,,30,,,$403.13,$0.00,1,0,1,20110101,50392,CPT,INTRO INTRACATH/CATH IN RNL PELVIS DRG&/NJX PRQ,,30,,,"$6,266.88",$0.00,1,0,1,20110101,50393,CPT,INTRO URTRL CATH/STENT THRU PELVIS DRG&/NJX PRQ,,30,,,"$8,101.23",$0.00,1,0,1,20110101,50395,CPT,INTRO GD PELVIS&/URTR W/DILAT NFROS TRC,,30,,,"$8,101.23",$0.00,1,0,1,20110101,50396,CPT,MANOMETRIC STDS THRU TUBE/NDWELLG URTRL CATH,,30,,,$742.95,$0.00,1,0,1,20110101,50398,CPT,CHNG NFROS/PYELOSTOMY TUBE,,30,,,"$5,632.59",$0.00,1,0,1,20110101,50541,CPT,LAPS ABLTJ RNL CSTS,,30,,,"$13,707.28",$0.00,1,0,1,20110101,50542,CPT,LAPS ABLTJ RNL MASS LES,,30,,,"$23,481.09",$0.00,1,0,1,20110101,50543,CPT,LAPS PRTL NFRCT,,30,,,"$16,032.63",$0.00,1,0,1,20110101,50544,CPT,LAPS PLOP,,30,,,"$13,707.28",$0.00,1,0,1,20110101,50545,CPT,LAPS RADICAL NFRCT,,30,,,"$11,245.44",$0.00,1,0,1,20110101,50549,CPT,UNLIS LAPS PX RNL,,30,,,"$13,707.28",$0.00,1,0,1,20110101,50551,CPT,RNL NDSC NFROS/PYELOSTOMY,,30,,,"$2,624.63",$0.00,1,0,1,20110101,50553,CPT,RNL NDSC NFROS/PYELOSTOMY URTRL CATHJ,,30,,,"$8,101.23",$0.00,1,0,1,20110101,50555,CPT,RNL NDSC NFROS/PYELOSTOMY BX,,30,,,"$2,624.63",$0.00,1,0,1,20110101,50557,CPT,RNL NDSC NFROS/PYELOSTOMY FULG&/INC +-BX,,30,,,"$8,101.23",$0.00,1,0,1,20110101,50561,CPT,RNL NDSC NFROS/PYELOSTOMY RMVL FB/ST1,,30,,,"$8,101.23",$0.00,1,0,1,20110101,50562,CPT,RNL NDSC NFROS/PYELOSTOMY RESCJ TUM,,30,,,"$2,624.63",$0.00,1,0,1,20110101,50570,CPT,RNL NDSC NFROT/PLOT,,30,,,"$2,624.63",$0.00,1,0,1,20110101,50572,CPT,RNL NDSC NFROT/PLOT W/URTRL CATHJ +-DILAT URTR,,30,,,"$2,624.63",$0.00,1,0,1,20110101,50574,CPT,RNL NDSC NFROT/PLOT BX,,30,,,"$2,624.63",$0.00,1,0,1,20110101,50575,CPT,RNL NDSC NFROT/PLOT W/ENDOPLOT,,30,,,"$13,176.59",$0.00,1,0,1,20110101,50576,CPT,RNL NDSC NFROT FULGURATION&/INC +-BX,,30,,,"$6,266.88",$0.00,1,0,1,20110101,50580,CPT,RNL NDSC NFROT/PLOT W/RMVL FB/ST1,,30,,,"$6,266.88",$0.00,1,0,1,20110101,50590,CPT,LITHOTRP XTRCORP SHOCK WAVE,,30,,,"$14,619.90",$0.00,1,0,1,20110101,50592,CPT,ABLTJ 1+ RNL TUM PRQ UNI RF,,30,,,"$17,106.66",$0.00,1,0,1,20110101,50593,CPT,ABLATION RENAL TUMOR UNILATERAL PERQ CRYOTHERAPY,,30,,,"$17,106.66",$0.00,1,0,1,20110101,50686,CPT,MANOMETRIC STDS THRU URTROST/NDWELLG URTRL CATH,,30,,,$403.13,$0.00,1,0,1,20110101,50688,CPT,CHNG URTROST TUBE/XTRNLLY ACCESSIBLE STENT ILEAL,,30,,,"$5,632.59",$0.00,1,0,1,20110101,50727,CPT,REVJ UR-CUTAN ANAST,,30,,,"$7,366.83",$0.00,1,0,1,20110101,50780,CPT,URTRONEOCSTOST ANAST 1 URTR BLDR,,30,,,"$4,979.61",$0.00,1,0,1,20110101,50945,CPT,LAPS URTROLITHOTOMY,,30,,,"$16,032.63",$0.00,1,0,1,20110101,50947,CPT,LAPS URTRONEOCSTOST W/CSTSC&URTRL STENT PLMT,,30,,,"$16,032.63",$0.00,1,0,1,20110101,50948,CPT,LAPS URTRONEOCSTOST W/O CSTSC&URTRL STENT PLMT,,30,,,"$16,032.63",$0.00,1,0,1,20110101,50949,CPT,UNLIS LAPS PX URTR,,30,,,"$13,707.28",$0.00,1,0,1,20110101,50951,CPT,NDSC THRU URTROST,,30,,,"$2,624.63",$0.00,1,0,1,20110101,50953,CPT,NDSC URTROST W/URTRL CATHJ,,30,,,"$2,624.63",$0.00,1,0,1,20110101,50955,CPT,NDSC THRU URTROST BX,,30,,,"$8,101.23",$0.00,1,0,1,20110101,50957,CPT,NDSC THRU URTROST FULG&/INC +-BX,,30,,,"$8,101.23",$0.00,1,0,1,20110101,50961,CPT,NDSC THRU URTROST RMVL FB/ST1,,30,,,"$8,101.23",$0.00,1,0,1,20110101,50970,CPT,NDSC THRU URTROTOMY,,30,,,"$2,624.63",$0.00,1,0,1,20110101,50972,CPT,NDSC THRU URTROTOMY URTRL CATHJ +-DILAT,,30,,,"$2,624.63",$0.00,1,0,1,20110101,50974,CPT,NDSC THRU URTROTOMY BX,,30,,,"$6,266.88",$0.00,1,0,1,20110101,50976,CPT,NDSC THRU URTROTOMY FULG&/INC +-BX,,30,,,"$6,266.88",$0.00,1,0,1,20110101,50980,CPT,NDSC THRU URTROTOMY RMVL FB/ST1,,30,,,"$8,101.23",$0.00,1,0,1,20110101,51020,CPT,CSTOTOMY/CSTOST FULG&/INSJ RADACT MATRL,,30,,,"$8,101.23",$0.00,1,0,1,20110101,51030,CPT,CSTOTOMY/CSTOST CRYOSURG DSTRJ INTRAVESICAL LES,,30,,,"$8,101.23",$0.00,1,0,1,20110101,51040,CPT,CSTOST CSTOTOMY W/DRG,,30,,,"$8,101.23",$0.00,1,0,1,20110101,51045,CPT,CSTOTOMY W/INSJ URTRL CATH/STENT SPX,,30,,,"$2,624.63",$0.00,1,0,1,20110101,51050,CPT,CSTOLITHOTOMY CSTOTOMY W/RMVL ST1,,30,,,"$8,101.23",$0.00,1,0,1,20110101,51060,CPT,TRANSVESICAL URTROLITHOTOMY,,30,,,"$13,176.59",$0.00,1,0,1,20110101,51065,CPT,CSTOTOMY W/ST1 BASKET XTRJ&/FRAGMENTATION,,30,,,"$8,101.23",$0.00,1,0,1,20110101,51080,CPT,DRG PRIVESICAL/PREVESICAL SPACE ABSC,,30,,,"$7,139.49",$0.00,1,0,1,20110101,51100,CPT,ASPIRATION BLADDER NEEDLE,,30,,,$742.95,$0.00,1,0,1,20110101,51101,CPT,ASPIRATION BLADDER TROCAR/INTRACATHETER,,30,,,$403.13,$0.00,1,0,1,20110101,51102,CPT,ASPIRATION BLADDER INSERT SUPRAPUBIC CATHETER,,30,,,"$7,366.83",$0.00,1,0,1,20110101,51500,CPT,EXC URACHAL CST/SINUS +-UMBILICAL HRNA RPR,,30,,,"$11,760.93",$0.00,1,0,1,20110101,51520,CPT,CSTOTOMY F/SMPL EXC VESICAL NCK SPX,,30,,,"$8,101.23",$0.00,1,0,1,20110101,51535,CPT,CSTOTOMY F/EXC INC/RPR URTROCELE,,30,,,"$8,101.23",$0.00,1,0,1,20110101,51700,CPT,BLDR IRRIGATION SMPL LVG&/INSTLJ,,30,,,$742.95,$0.00,1,0,1,20110101,51701,CPT,INSJ NON-NDWELLG BLDR CATH,,30,,,$258.46,$0.00,1,0,1,20110101,51702,CPT,INSJ TEMP NDWELLG BLDR CATH SMPL,,30,,,$258.46,$0.00,1,0,1,20110101,51703,CPT,INSJ TEMP NDWELLG BLDR CATH COMP,,30,,,$403.13,$0.00,1,0,1,20110101,51705,CPT,CHNG CSTOST TUBE SMPL,,30,,,$742.95,$0.00,1,0,1,20110101,51710,CPT,CHNG CSTOST TUBE COMP,,30,,,"$2,345.05",$0.00,1,0,1,20110101,51715,CPT,NDSC NJX IMPLT MATRL URT&/BLDR NCK,,30,,,"$11,543.45",$0.00,1,0,1,20110101,51720,CPT,BLDR INSTLJ ANTICARCINOGENIC AGT,,30,,,"$1,111.55",$0.00,1,0,1,20110101,51725,CPT,SMPL CSTOMETROGRAM,,30,,,"$1,111.55",$0.00,1,0,1,20110101,51726,CPT,BLADDER PRESSURE MEASUREMENT DURING FILLING,,30,,,"$1,111.55",$0.00,1,0,1,20110101,51727,CPT,COMPLEX CYSTOMETROGRAM URETHRAL PRESS PROFILE,,30,,,"$1,111.55",$0.00,1,0,1,20110101,51728,CPT,COMPLEX CYSTOMETROGRAM VOIDING PRESSURE STUDIES,,30,,,"$1,111.55",$0.00,1,0,1,20110101,51729,CPT,COMPLX CYSTOMETRO W/VOID PRESS&URETHRAL PROFILE,,30,,,"$1,111.55",$0.00,1,0,1,20110101,51736,CPT,SMPL UROFLOMETRY,,30,,,$251.45,$0.00,1,0,1,20110101,51741,CPT,CPLX UROFLOMETRY,,30,,,$403.13,$0.00,1,0,1,20110101,51784,CPT,EMG STDS ANAL/URTL SPHNCTR OTH/THN NDL,,30,,,$403.13,$0.00,1,0,1,20110101,51785,CPT,NDL EMG STDS EMG ANAL/URTL SPHNCTR ANY TQ,,30,,,$742.95,$0.00,1,0,1,20110101,51792,CPT,STIMULUS EVOKED RSPSE,,30,,,$403.13,$0.00,1,0,1,20110101,51797,CPT,VOID PRESSURE STUDIES INTRAABDOMINAL,,30,,,$742.95,$0.00,1,0,1,20110101,51798,CPT,MEAS POST-VOIDING RESIDUAL URINE&/BLDR CAP,,30,,,$258.46,$0.00,1,0,1,20110101,51840,CPT,ANT VESICOURETHROPEXY/URETHROPEXY SMPL,,30,,,"$3,833.59",$0.00,1,0,1,20110101,51845,CPT,ABDOMINO-VAG VESICAL NCK SSP +-NDSC CTRL,,30,,,"$15,569.01",$0.00,1,0,1,20110101,51860,CPT,CSTORR SUTR BLDR WND INJ/RPT SMPL,,30,,,"$8,101.23",$0.00,1,0,1,20110101,51880,CPT,CLSR CSTOST SPX,,30,,,"$8,101.23",$0.00,1,0,1,20110101,51990,CPT,LAPS SURG URTL SSP F/STRS INCONT,,30,,,"$16,032.63",$0.00,1,0,1,20110101,51992,CPT,LAPS SURG SLING OPRATION F/STRS INCONT,,30,,,"$16,032.63",$0.00,1,0,1,20110101,51999,CPT,UNLIS LAPS PX BLDR,,30,,,"$13,707.28",$0.00,1,0,1,20110101,52000,CPT,"SCOPE OF BLADDER AND URETHRA, FOR DIAGNOSIS",,30,,,"$2,624.63",$0.00,1,0,1,20110101,52001,CPT,CSTO W/IRRG&EVAC MLT OBSTRUCTING CLOTS,,30,,,"$6,266.88",$0.00,1,0,1,20110101,52005,CPT,"SCOPE BLADDER, INSERT TUBE FOR INJECTION",,30,,,"$8,101.23",$0.00,1,0,1,20110101,52007,CPT,CSTO W/URTRL CATHJ BRUSH BX URTR&/RNL PELVIS,,30,,,"$8,101.23",$0.00,1,0,1,20110101,52010,CPT,CSTO W/EJACULATORY DUX CATHJ,,30,,,"$2,624.63",$0.00,1,0,1,20110101,52204,CPT,"SCOPE BLADDER AND URETHRA, WITH BIOPSY",,30,,,"$8,101.23",$0.00,1,0,1,20110101,52214,CPT,"SCOPE BLADDER, DESTRUCTION OF LESIONS",,30,,,"$8,101.23",$0.00,1,0,1,20110101,52224,CPT,"SCOPE BLADDER, REMOVAL OF LESIONS, SMALL",,30,,,"$8,101.23",$0.00,1,0,1,20110101,52234,CPT,"SCOPE BLADDER, REMOVAL OF TUMORS,SMALL",,30,,,"$8,101.23",$0.00,1,0,1,20110101,52235,CPT,"SCOPE BLADDER, REMOVAL OF TUMORS, MEDIUM",,30,,,"$8,101.23",$0.00,1,0,1,20110101,52240,CPT,"SCOPE BLADDER, REMOVAL OF TUMORS, LARGE",,30,,,"$8,101.23",$0.00,1,0,1,20110101,52250,CPT,CSTO INSJ RADACT SBST +-BX/FULG,,30,,,"$8,101.23",$0.00,1,0,1,20110101,52260,CPT,"SCOPE BLADDER, OPENING OF BLADDER",,30,,,"$6,266.88",$0.00,1,0,1,20110101,52265,CPT,CSTO DILAT BLDR F/NTRSTL CSTITIS LOCAL ANES,,30,,,"$2,624.63",$0.00,1,0,1,20110101,52270,CPT,CSTO INT URETHROTOMY FEMALE,,30,,,"$6,266.88",$0.00,1,0,1,20110101,52275,CPT,CSTO INT URETHROTOMY MALE,,30,,,"$8,101.23",$0.00,1,0,1,20110101,52276,CPT,CSTO DIR VIS INT URETHROTOMY,,30,,,"$8,101.23",$0.00,1,0,1,20110101,52277,CPT,CSTO RESCJ XTRNL SPHNCTR,,30,,,"$8,101.23",$0.00,1,0,1,20110101,52281,CPT,CSTO CALIBRATION DILAT URTL STRIX/STENOSIS,,30,,,"$6,266.88",$0.00,1,0,1,20110101,52282,CPT,CYSTOURETHROSCOPY INSERTION PERM URETHRAL STENT,,30,,,"$13,176.59",$0.00,1,0,1,20110101,52283,CPT,CSTO STRD NJX IN STRIX,,30,,,"$8,101.23",$0.00,1,0,1,20110101,52285,CPT,"SCOPE BLADDER, OPEN NARROWED FEMALE URETHRA",,30,,,"$6,266.88",$0.00,1,0,1,20110101,52290,CPT,CSTO URTRL MEATOTOMY UNI/BI,,30,,,"$8,101.23",$0.00,1,0,1,20110101,52300,CPT,CSTO ORTHOTOPIC URTROCELE UNI/BI,,30,,,"$8,101.23",$0.00,1,0,1,20110101,52301,CPT,CSTO ECTOPIC URTROCELE UNI/BI,,30,,,"$8,101.23",$0.00,1,0,1,20110101,52305,CPT,CSTO INC/RESCJ ORIFICE BLDR DIVERTICULUM 1/MLT,,30,,,"$8,101.23",$0.00,1,0,1,20110101,52310,CPT,"SCOPE BLADDER, SIMPLE REMOVAL STONE, STENT",,30,,,"$6,266.88",$0.00,1,0,1,20110101,52315,CPT,"SCOPE BLADDER, COMPLEX REMOVAL STONE, STENT",,30,,,"$8,101.23",$0.00,1,0,1,20110101,52317,CPT,LITHOLAPAXY SMPL/SM < 2.5 CM,,30,,,"$8,101.23",$0.00,1,0,1,20110101,52318,CPT,LITHOLAPAXY COMP/LG > 2.5 CM,,30,,,"$8,101.23",$0.00,1,0,1,20110101,52320,CPT,CSTO RMVL URTRL ST1,,30,,,"$8,101.23",$0.00,1,0,1,20110101,52325,CPT,CSTO FRAGMENTATION URTRL ST1,,30,,,"$8,101.23",$0.00,1,0,1,20110101,52327,CPT,CSTO W/SUBURTRIC NJX IMPLT MATRL,,30,,,"$13,176.59",$0.00,1,0,1,20110101,52330,CPT,CSTO MNPJ W/O RMVL URTRL ST1,,30,,,"$8,101.23",$0.00,1,0,1,20110101,52332,CPT,"SCOPE BLADDER & URETER, INSERT STENT INTO URETER",,30,,,"$8,101.23",$0.00,1,0,1,20110101,52334,CPT,CSTO INSJ URTRL GD WIRE PRQ NFROS RTRGR,,30,,,"$8,101.23",$0.00,1,0,1,20110101,52341,CPT,CSTO W/TX URTRL STRIX,,30,,,"$8,101.23",$0.00,1,0,1,20110101,52342,CPT,CSTO W/TX URTROPEL JUNCT STRIX,,30,,,"$8,101.23",$0.00,1,0,1,20110101,52343,CPT,CSTO W/TX INTRA-RNL STRIX,,30,,,"$8,101.23",$0.00,1,0,1,20110101,52344,CPT,CSTO W/URTROSCOPY W/TX URTRL STRIX,,30,,,"$8,101.23",$0.00,1,0,1,20110101,52345,CPT,CSTO W/URTROSCOPY W/TX URTROPEL JUNCT STRIX,,30,,,"$8,101.23",$0.00,1,0,1,20110101,52346,CPT,CSTO W/URTROSCOPY W/TX INTRA-RNL STRIX,,30,,,"$8,101.23",$0.00,1,0,1,20110101,52351,CPT,CSTO W/URTROSCOPY&/PYELOSCOPY DX,,30,,,"$8,101.23",$0.00,1,0,1,20110101,52352,CPT,"SCOPE BLADDER & URETER, REMOVE OR MOVE STONES",,30,,,"$8,101.23",$0.00,1,0,1,20110101,52353,CPT,"SCOPE BLADDER & URETER, BREAK UP KIDNEY STONE",,30,,,"$13,176.59",$0.00,1,0,1,20110101,52354,CPT,CSTO/PYELOSCOPY BX&/FULG PEL LES,,30,,,"$8,101.23",$0.00,1,0,1,20110101,52355,CPT,CSTO/PYELOSCOPY RESCJ PEL TUM,,30,,,"$8,101.23",$0.00,1,0,1,20110101,52400,CPT,CSTO INC FULG/RESCJ URTL VALVES/FOLDS,,30,,,"$8,101.23",$0.00,1,0,1,20110101,52402,CPT,CSTO W/TRURL RESCJ/INC EJACULATORY DUXS,,30,,,"$8,101.23",$0.00,1,0,1,20110101,52450,CPT,TRURL INC PRST8,,30,,,"$8,101.23",$0.00,1,0,1,20110101,52500,CPT,SURGERY ON BLADDER NECK THROUGH URETHRA,,30,,,"$8,101.23",$0.00,1,0,1,20110101,52601,CPT,TRURL ELECTROSURG RESCJ PRST8 CTRL BLD COMPL,,30,,,"$13,176.59",$0.00,1,0,1,20110101,52630,CPT,TRURL RESCJ RESIDUAL/REGROWTH OBSTR PRST8 TISSUE,,30,,,"$13,176.59",$0.00,1,0,1,20110101,52640,CPT,OPENING OF POSTOPERATIVE BLADDER NECK NARROWING,,30,,,"$8,101.23",$0.00,1,0,1,20110101,52647,CPT,LASER COAGULATION OF PROSTATE FOR URINE FLOW,,30,,,"$15,993.10",$0.00,1,0,1,20110101,52648,CPT,LASER VAPORIZATION OF PROSTATE FOR URINE FLOW,,30,,,"$15,993.10",$0.00,1,0,1,20110101,52649,CPT,LASER ENUCLEATION PROSTATE W MORCELLATION,,30,,,"$15,993.10",$0.00,1,0,1,20110101,52700,CPT,TRURL DRG PROSTATIC ABSC,,30,,,"$8,101.23",$0.00,1,0,1,20110101,53000,CPT,URTT/URTS XTRNL SPX PENDULOUS URT,,30,,,"$7,482.05",$0.00,1,0,1,20110101,53010,CPT,URTT/URTS XTRNL SPX PRNL URT XTRNL,,30,,,"$7,482.05",$0.00,1,0,1,20110101,53020,CPT,MEATOTOMY CUTTING MEATUS SPX XCP INFT,,30,,,"$7,482.05",$0.00,1,0,1,20110101,53025,CPT,MEATOTOMY CUTTING MEATUS SPX INFT,,30,,,"$7,482.05",$0.00,1,0,1,20110101,53040,CPT,DRG DP PRIURTL ABSC,,30,,,"$7,482.05",$0.00,1,0,1,20110101,53060,CPT,DRG OF SKENE'S GLAND ABSC OR CYST,,30,,,"$7,482.05",$0.00,1,0,1,20110101,53080,CPT,DRG PRNL UR XTRVASATION UNCOMP SPX,,30,,,"$7,482.05",$0.00,1,0,1,20110101,53085,CPT,DRG PRNL UR XTRVASATION COMP,,30,,,"$7,482.05",$0.00,1,0,1,20110101,53200,CPT,BX URT,,30,,,"$7,482.05",$0.00,1,0,1,20110101,53210,CPT,URETHRECTOMY TOT W/CSTOST FEMALE,,30,,,"$11,543.45",$0.00,1,0,1,20110101,53215,CPT,URETHRECTOMY TOT W/CSTOST MALE,,30,,,"$7,482.05",$0.00,1,0,1,20110101,53220,CPT,EXC/FULGURATION CARC URT,,30,,,"$11,543.45",$0.00,1,0,1,20110101,53230,CPT,EXC URTL DIVERTICULUM SPX FEMALE,,30,,,"$11,543.45",$0.00,1,0,1,20110101,53235,CPT,EXC URTL DIVERTICULUM SPX MALE,,30,,,"$7,482.05",$0.00,1,0,1,20110101,53240,CPT,MARSUPIALIZATION URTL DIVERTICULUM MALE/FEMALE,,30,,,"$11,543.45",$0.00,1,0,1,20110101,53250,CPT,EXC OF BULBOURTL GLAND,,30,,,"$7,482.05",$0.00,1,0,1,20110101,53260,CPT,EXC/FULGURATION URTL POLYP DSTL URT,,30,,,"$7,482.05",$0.00,1,0,1,20110101,53265,CPT,EXC/FULGURATION URTL CARUNCLE,,30,,,"$7,482.05",$0.00,1,0,1,20110101,53270,CPT,EXC OR FULGURATION SKENE'S GLANDS,,30,,,"$7,482.05",$0.00,1,0,1,20110101,53275,CPT,EXC/FULGURATION URTL PROLAPSE,,30,,,"$7,482.05",$0.00,1,0,1,20110101,53400,CPT,URTP 1ST STG F/FSTL DIVERTICULUM/STRIX,,30,,,"$11,543.45",$0.00,1,0,1,20110101,53405,CPT,URTP 2ND STG W/UR DVRJ,,30,,,"$11,543.45",$0.00,1,0,1,20110101,53410,CPT,URTP ONE-STG RCNSTJ MALE ANT URT,,30,,,"$11,543.45",$0.00,1,0,1,20110101,53420,CPT,URTP 2-STG RCNSTJ/RPR URT 1ST STG,,30,,,"$11,543.45",$0.00,1,0,1,20110101,53425,CPT,URTP 2-STG RCNSTJ/RPR URT 2ND STG,,30,,,"$11,543.45",$0.00,1,0,1,20110101,53430,CPT,URTP RCNSTJ FEMALE URT,,30,,,"$11,543.45",$0.00,1,0,1,20110101,53431,CPT,URTP W/TUBULARIZATION POST URT&/LWR BLDR,,30,,,"$11,543.45",$0.00,1,0,1,20110101,53440,CPT,SLING OPRATION CORRJ MALE UR INCONT,,30,,,"$23,320.77",$0.00,1,0,1,20110101,53442,CPT,RMVL/REVJ SLING MALE UR INCONT,,30,,,"$11,543.45",$0.00,1,0,1,20110101,53444,CPT,INSJ TANDEM CUFF,,30,,,"$23,320.77",$0.00,1,0,1,20110101,53445,CPT,INSJ NFLTBL URTL/BLDR NCK SPHNCTR,,30,,,"$22,098.08",$0.00,1,0,1,20110101,53446,CPT,RMVL NFLTBL URTL/BLDR NCK SPHNCTR,,30,,,"$11,543.45",$0.00,1,0,1,20110101,53447,CPT,RMVL&RPLCMT NFLTBL NCK SPHNCTR SM SESS,,30,,,"$22,098.08",$0.00,1,0,1,20110101,53449,CPT,RPR NFLTBL URTL/BLDR NCK SPHNCTR,,30,,,"$11,543.45",$0.00,1,0,1,20110101,53450,CPT,URETHROMEATOPLASTY W/MUCOSAL ADVMNT,,30,,,"$11,543.45",$0.00,1,0,1,20110101,53460,CPT,URETHROMEATOPLASTY W/PRTL EXC DSTL URTL SGM,,30,,,"$7,482.05",$0.00,1,0,1,20110101,53500,CPT,URETHROLSS TRVG SEC OPN W/CSTO,,30,,,"$11,543.45",$0.00,1,0,1,20110101,53502,CPT,URTORR SUTR URTL WND/INJ FEMALE,,30,,,"$7,482.05",$0.00,1,0,1,20110101,53505,CPT,URTORR SUTR URTL WND/INJ PEN,,30,,,"$11,543.45",$0.00,1,0,1,20110101,53510,CPT,URTORR SUTR URTL WND/INJ PRNL,,30,,,"$7,482.05",$0.00,1,0,1,20110101,53515,CPT,URTORR SUTR URTL WND/INJ PROSTATOMEMBRANOUS,,30,,,"$11,543.45",$0.00,1,0,1,20110101,53520,CPT,CLSR URETHROSTOMY/URETHROQ FSTL MALE SPX,,30,,,"$11,543.45",$0.00,1,0,1,20110101,53600,CPT,DILAT URTL STRIX DILATOR MALE 1ST,,30,,,"$1,111.55",$0.00,1,0,1,20110101,53601,CPT,DILAT URTL STRIX DILATOR MALE SBSQ,,30,,,$403.13,$0.00,1,0,1,20110101,53605,CPT,DILAT URTL STRIX/VESICAL NCK DILATOR MALE ANES,,30,,,"$6,266.88",$0.00,1,0,1,20110101,53620,CPT,DILAT URTL STRIX FILIFORM&FOLLWR MALE 1ST,,30,,,"$7,366.83",$0.00,1,0,1,20110101,53621,CPT,DILAT URTL STRIX FILIFORM&FOLLWR MALE SBSQ,,30,,,$742.95,$0.00,1,0,1,20110101,53660,CPT,DILAT FEMALE URT W/SUPPOSITORY&/INSTLJ 1ST,,30,,,$403.13,$0.00,1,0,1,20110101,53661,CPT,DILAT FEMALE URT W/SUPPOSITORY&/INSTLJ SBSQ,,30,,,$403.13,$0.00,1,0,1,20110101,53665,CPT,DILAT FEMALE URT GENERAL/CNDJ SPI ANES,,30,,,"$7,482.05",$0.00,1,0,1,20110101,53850,CPT,TRURL DSTRJ PRST8 TISS MICROWAVE THERMOTH,,30,,,"$15,993.10",$0.00,1,0,1,20110101,53852,CPT,TRURL DSTRJ PRST8 TISS RF THERMOTH,,30,,,"$15,993.10",$0.00,1,0,1,20110101,53855,CPT,INSERT TEMP PROSTATIC URETH STENT W/MEASUREMENT,,30,,,$742.95,$0.00,1,0,1,20110101,53860,CPT,TRANSURETHRAL RF TREATMENT,,30,,,"$7,366.83",$0.00,1,0,1,20110101,53899,CPT,UNLIS PX UR SYS,,30,,,$403.13,$0.00,1,0,1,20110101,54000,CPT,SLITTING PREPUCE DORSAL/LAT SPX NB,,30,,,"$7,482.05",$0.00,1,0,1,20110101,54001,CPT,SLITTING PREPUCE DORSAL/LAT SPX XCP NB,,30,,,"$7,482.05",$0.00,1,0,1,20110101,54015,CPT,I&D PNS DP,,30,,,"$7,139.49",$0.00,1,0,1,20110101,54050,CPT,DSTRJ LES PNS SMPL CHEM,,30,,,$243.08,$0.00,1,0,1,20110101,54055,CPT,DSTRJ LES PNS SMPL ELTRDSICCATION,,30,,,"$7,823.40",$0.00,1,0,1,20110101,54056,CPT,DSTRJ LES PNS SMPL CRYOSURG,,30,,,$243.08,$0.00,1,0,1,20110101,54057,CPT,DSTRJ LES PNS SMPL LASER SURG,,30,,,"$7,823.40",$0.00,1,0,1,20110101,54060,CPT,DSTRJ LES PNS SMPL SURG EXC,,30,,,"$7,823.40",$0.00,1,0,1,20110101,54065,CPT,DSTRJ LES PNS X10SV,,30,,,"$7,823.40",$0.00,1,0,1,20110101,54100,CPT,BX PNS SPX,,30,,,"$6,437.25",$0.00,1,0,1,20110101,54105,CPT,BX PNS DP STRUXS,,30,,,"$8,604.32",$0.00,1,0,1,20110101,54110,CPT,EXC PEN PLAQUE,,30,,,"$12,790.87",$0.00,1,0,1,20110101,54111,CPT,EXC PEN PLAQUE GRF 5 CM LENGTH,,30,,,"$12,790.87",$0.00,1,0,1,20110101,54112,CPT,EXC PEN PLAQUE GRF > 5 CM LENGTH,,30,,,"$12,790.87",$0.00,1,0,1,20110101,54115,CPT,RMVL FB FROM DP PEN TISS,,30,,,"$7,139.49",$0.00,1,0,1,20110101,54120,CPT,AMP PNS PRTL,,30,,,"$12,790.87",$0.00,1,0,1,20110101,54150,CPT,CIRCUMCISION W/CLAMP/OTH DEV W/BLOCK,,30,,,"$8,566.02",$0.00,1,0,1,20110101,54160,CPT,CIRCUMCISION NEONATE,,30,,,"$8,566.02",$0.00,1,0,1,20110101,54161,CPT,CIRCUMCISION >28 DAYS,,30,,,"$8,566.02",$0.00,1,0,1,20110101,54162,CPT,LSS/EXC PEN POST-CIRCUMCISION ADS,,30,,,"$8,566.02",$0.00,1,0,1,20110101,54163,CPT,RPR INCOMPL CIRCUMCISION,,30,,,"$8,566.02",$0.00,1,0,1,20110101,54164,CPT,FRENULOTOMY PNS,,30,,,"$8,566.02",$0.00,1,0,1,20110101,54200,CPT,NJX PEYRONIE,,30,,,$742.95,$0.00,1,0,1,20110101,54205,CPT,NJX PEYRONIE EXPOS PLAQUE,,30,,,"$12,790.87",$0.00,1,0,1,20110101,54220,CPT,IRRG C/P/A CAVERNOSA F/PRIAPISM,,30,,,$742.95,$0.00,1,0,1,20110101,54231,CPT,DYNAMIC CAVERNOSOMETRY NJX VASOACTIVE DRUGS,,30,,,"$7,366.83",$0.00,1,0,1,20110101,54235,CPT,NJX C/P/A CAVERNOSA W/PHARMACOLOGIC AGT,,30,,,"$1,146.07",$0.00,1,0,1,20110101,54240,CPT,PEN PLETHYSMOGRAPY,,30,,,$403.13,$0.00,1,0,1,20110101,54250,CPT,NOCTURNAL PEN TUMESCENCE&/RGDITY TST,,30,,,$742.95,$0.00,1,0,1,20110101,54300,CPT,PNS STRAIGHTENING CHORDEE,,30,,,"$12,790.87",$0.00,1,0,1,20110101,54304,CPT,PNS CORRJ CHORDEE 1ST STG HYPSPAD RPR,,30,,,"$12,790.87",$0.00,1,0,1,20110101,54308,CPT,URTP 2ND STG HYPSPAD RPR < 3 CM,,30,,,"$12,790.87",$0.00,1,0,1,20110101,54312,CPT,URTP 2ND STG HYPSPAD RPR > 3 CM,,30,,,"$12,790.87",$0.00,1,0,1,20110101,54316,CPT,URTP 2ND STG HYPSPAD RPR SKN GRF,,30,,,"$12,790.87",$0.00,1,0,1,20110101,54318,CPT,URTP 3RD STG HYPSPAD RPR RLS PNS,,30,,,"$12,790.87",$0.00,1,0,1,20110101,54322,CPT,1 STG DSTL HYPSPAD RPR W/SMPL MEATAL ADVMNT,,30,,,"$12,790.87",$0.00,1,0,1,20110101,54324,CPT,1 STG DSTL HYPSPAD RPR W/URTP SKN FLAPS,,30,,,"$12,790.87",$0.00,1,0,1,20110101,54326,CPT,1 STG DSTL HYPSPAD RPR URTP SKN FLAPS&MOBLJ,,30,,,"$12,790.87",$0.00,1,0,1,20110101,54328,CPT,1 STG DSTL HYPSPAD RPR W/X10SV DSJ,,30,,,"$12,790.87",$0.00,1,0,1,20110101,54332,CPT,1 STG PROX PEN/PENOSCROTAL HYPSPAD RPR,,30,,,"$12,790.87",$0.00,1,0,1,20110101,54336,CPT,1 STG PRNL HYPSPAD RPR REQ X10SV DSJ SKN GRF,,30,,,"$12,790.87",$0.00,1,0,1,20110101,54340,CPT,RPR HYPSPAD COMPLCTJS CLSR INC/EXC SMPL,,30,,,"$12,790.87",$0.00,1,0,1,20110101,54344,CPT,RPR HYPSPAD COMPLCTJS MOBLJ FLAPS&URTP,,30,,,"$12,790.87",$0.00,1,0,1,20110101,54348,CPT,RPR HYPSPAD COMPLCTJS X10SV DSJ&URTP FLAP/GRF,,30,,,"$12,790.87",$0.00,1,0,1,20110101,54352,CPT,RPR HYPSPAD CRIPPLE REQ X10SV DSJ&EXC,,30,,,"$12,790.87",$0.00,1,0,1,20110101,54360,CPT,PLSTC PNS CORRECT ANGULATION,,30,,,"$12,790.87",$0.00,1,0,1,20110101,54380,CPT,PLSTC PNS EPSPAD DSTL SPHNCTR,,30,,,"$12,790.87",$0.00,1,0,1,20110101,54385,CPT,PLSTC PNS EPSPAD DSTL SPHNCTR W/INCONT,,30,,,"$12,790.87",$0.00,1,0,1,20110101,54400,CPT,INSJ PEN PROSTH NON-NFLTBL SEMI-RGD,,30,,,"$23,320.77",$0.00,1,0,1,20110101,54401,CPT,INSJ PEN PROSTH NFLTBL SELF-CONTAINED,,30,,,"$22,098.08",$0.00,1,0,1,20110101,54405,CPT,INSJ MULTI-COMPONENT NFLTBL PEN PROSTH,,30,,,"$22,098.08",$0.00,1,0,1,20110101,54406,CPT,RMVL NFLTBL PEN PROSTH W/O RPLCMT PROSTH,,30,,,"$12,790.87",$0.00,1,0,1,20110101,54408,CPT,RPR COMPONENT MULTI-COMPONENT NFLTBL PEN PROSTH,,30,,,"$12,790.87",$0.00,1,0,1,20110101,54410,CPT,RMVL&RPLCMT NFLTBL PEN PROSTH SM SESS,,30,,,"$22,098.08",$0.00,1,0,1,20110101,54415,CPT,RMVL NON-NFLTBL/NFLTBL PEN PROSTH W/O RPLCMT,,30,,,"$12,790.87",$0.00,1,0,1,20110101,54416,CPT,RMVL&RPLCMT NON-NFLTBL/NFLTBL PROSTH SM SESS,,30,,,"$22,098.08",$0.00,1,0,1,20110101,54420,CPT,C/P/A CAVERNOSA-SAPHENOUS VEIN SHUNT UNI/BI,,30,,,"$12,790.87",$0.00,1,0,1,20110101,54435,CPT,C/P/A CAVERNOSA-GLANS PNS FSTLJ F/PRIAPISM,,30,,,"$12,790.87",$0.00,1,0,1,20110101,54440,CPT,PLSTC OPRATION PNS F/INJ,,30,,,"$12,790.87",$0.00,1,0,1,20110101,54450,CPT,FORESKN MNPJ W/LSS PREPUTIAL ADS&STRETCHING,,30,,,"$1,111.55",$0.00,1,0,1,20110101,54500,CPT,BX TSTIS NDL SPX,,30,,,"$5,702.51",$0.00,1,0,1,20110101,54505,CPT,BX TSTIS INCAL SPX,,30,,,"$8,566.02",$0.00,1,0,1,20110101,54512,CPT,EXC XTRPARENCHYMAL LES TSTIS,,30,,,"$8,566.02",$0.00,1,0,1,20110101,54520,CPT,ORCHIECTOMY SMPL SCROTAL/INGUN APPR,,30,,,"$8,566.02",$0.00,1,0,1,20110101,54522,CPT,ORCHIECTOMY PRTL,,30,,,"$8,566.02",$0.00,1,0,1,20110101,54530,CPT,ORCHIECTOMY RAD TUM INGUN APPR,,30,,,"$11,760.93",$0.00,1,0,1,20110101,54535,CPT,ORCHIECTOMY RAD TUM W/ABDL EXPL,,30,,,"$12,790.87",$0.00,1,0,1,20110101,54550,CPT,EXPL UNDESCENDED TSTIS INGUN/SCROTAL AREA,,30,,,"$11,760.93",$0.00,1,0,1,20110101,54560,CPT,EXPL UNDESCENDED TSTIS W/ABDL EXPL,,30,,,"$8,566.02",$0.00,1,0,1,20110101,54600,CPT,RDCTJ TORSION TSTIS +-FIXJ CLAT TSTIS,,30,,,"$8,566.02",$0.00,1,0,1,20110101,54620,CPT,FIXJ CLAT TSTIS SPX,,30,,,"$8,566.02",$0.00,1,0,1,20110101,54640,CPT,ORCHIOPEXY INGUN APPR +-HRNA RPR,,30,,,"$11,760.93",$0.00,1,0,1,20110101,54650,CPT,ORCHIOPEXY ABDL APPR INTRA-ABDL TSTIS,,30,,,"$5,489.87",$0.00,1,0,1,20110101,54660,CPT,INSJ TSTICULAR PROSTH SPX,,30,,,"$8,566.02",$0.00,1,0,1,20110101,54670,CPT,SUTR/RPR TSTICULAR INJ,,30,,,"$8,566.02",$0.00,1,0,1,20110101,54680,CPT,TRNSPLJ TSTIS THI,,30,,,"$8,566.02",$0.00,1,0,1,20110101,54690,CPT,LAPS ORCHIECTOMY,,30,,,"$16,032.63",$0.00,1,0,1,20110101,54692,CPT,LAPS ORCHIOPEXY F/INTRA-ABDL TSTIS,,30,,,"$21,085.75",$0.00,1,0,1,20110101,54699,CPT,UNLIS LAPS PX TSTIS,,30,,,"$13,707.28",$0.00,1,0,1,20110101,54700,CPT,I&D EPIDIDYMIS TSTIS&/SCROTAL SPACE,,30,,,"$8,566.02",$0.00,1,0,1,20110101,54800,CPT,BX EPIDIDYMIS NDL,,30,,,"$1,692.00",$0.00,1,0,1,20110101,54830,CPT,EXC LOCAL LES EPIDIDYMIS,,30,,,"$8,566.02",$0.00,1,0,1,20110101,54840,CPT,EXC SPRMATOCELE +-EPIDIDYMECTOMY,,30,,,"$8,566.02",$0.00,1,0,1,20110101,54860,CPT,EPIDIDYMECTOMY UNI,,30,,,"$8,566.02",$0.00,1,0,1,20110101,54861,CPT,EPIDIDYMECTOMY BI,,30,,,"$8,566.02",$0.00,1,0,1,20110101,54865,CPT,EXPLORATION EPIDIDYMIS W/WO BIOPSY,,30,,,"$8,566.02",$0.00,1,0,1,20110101,54900,CPT,EPIDIDYMOVASOSTOMY ANAST EPIDIDYMIS UNI,,30,,,"$8,566.02",$0.00,1,0,1,20110101,54901,CPT,EPIDIDYMOVASOSTOMY ANAST EPIDIDYMIS BI,,30,,,"$8,566.02",$0.00,1,0,1,20110101,55000,CPT,PNXR ASPIR HYDROCELE TUNICA VAGIS +-NJX MED,,30,,,"$1,692.00",$0.00,1,0,1,20110101,55040,CPT,EXC HYDROCELE UNI,,30,,,"$11,760.93",$0.00,1,0,1,20110101,55041,CPT,EXC HYDROCELE BI,,30,,,"$11,760.93",$0.00,1,0,1,20110101,55060,CPT,RPR TUNICA VAGIS HYDROCELE BOTTLE TYP,,30,,,"$8,566.02",$0.00,1,0,1,20110101,55100,CPT,DRG SCROTAL WALL ABSC,,30,,,"$4,643.49",$0.00,1,0,1,20110101,55110,CPT,SCROTAL EXPL,,30,,,"$8,566.02",$0.00,1,0,1,20110101,55120,CPT,RMVL FB SCROTUM,,30,,,"$8,566.02",$0.00,1,0,1,20110101,55150,CPT,RESCJ SCROTUM,,30,,,"$8,566.02",$0.00,1,0,1,20110101,55175,CPT,SCROTOPLASTY SMPL,,30,,,"$8,566.02",$0.00,1,0,1,20110101,55180,CPT,SCROTOPLASTY COMP,,30,,,"$8,566.02",$0.00,1,0,1,20110101,55200,CPT,VASOTOMY CANNULIZATION +-INC VAS UNI/BI SPX,,30,,,"$8,566.02",$0.00,1,0,1,20110101,55250,CPT,VASECT UNI/BI SPX W/PO SEMEN XM,,30,,,"$8,566.02",$0.00,1,0,1,20110101,55300,CPT,VASOTOMY VASOGRAMS UNI/BI,,30,,,"$8,445.41",$0.00,1,0,1,20110101,55400,CPT,VASOVASOSTOMY VASOVASORRHAPHY,,30,,,"$8,566.02",$0.00,1,0,1,20110101,55450,CPT,LIG PRQ VAS DEFERENS UNI/BI SPX,,30,,,"$8,566.02",$0.00,1,0,1,20110101,55500,CPT,EXC HYDROCELE SPRMATIC CORD UNI SPX,,30,,,"$8,566.02",$0.00,1,0,1,20110101,55520,CPT,EXC LES SPRMATIC CORD SPX,,30,,,"$8,566.02",$0.00,1,0,1,20110101,55530,CPT,EXC VARICOCELE/LIG SPRMATIC VEINS SPX,,30,,,"$8,566.02",$0.00,1,0,1,20110101,55535,CPT,EXC VARICOCELE/LIG SPRMATIC VEINS ABDL,,30,,,"$11,760.93",$0.00,1,0,1,20110101,55540,CPT,EXC VARICOCELE/LIG VEINS W/HRNA RPR,,30,,,"$11,760.93",$0.00,1,0,1,20110101,55550,CPT,LAPS LIG SPRMATIC VEINS VARICOCELE,,30,,,"$16,032.63",$0.00,1,0,1,20110101,55559,CPT,UNLIS LAPS SPRMATIC CORD,,30,,,"$13,707.28",$0.00,1,0,1,20110101,55600,CPT,VESICULOTOMY,,30,,,"$8,566.02",$0.00,1,0,1,20110101,55680,CPT,EXC MULLERIAN DUX CST,,30,,,"$8,566.02",$0.00,1,0,1,20110101,55700,CPT,"PROSTATE NEEDLE BIOPSY, ANY APPROACH",,30,,,"$4,573.40",$0.00,1,0,1,20110101,55705,CPT,BX PRST8 INCAL ANY APPR,,30,,,"$4,573.40",$0.00,1,0,1,20110101,55706,CPT,BX PROSTATE STRTCTC SATURATION SAMPLING IMG GID,,30,,,"$4,573.40",$0.00,1,0,1,20110101,55720,CPT,PROSTATOTOMY XTRNL DRG ABSC SMPL,,30,,,"$8,101.23",$0.00,1,0,1,20110101,55725,CPT,PROSTATOTOMY XTRNL DRG ABSC COMP,,30,,,"$8,101.23",$0.00,1,0,1,20110101,55860,CPT,EXPOS PRST8 ANY APPR INSJ RADACT SBST,,30,,,"$7,366.83",$0.00,1,0,1,20110101,55866,CPT,LAPS PRST8ECT RETROPUBIC RAD W/NRV SPARING,,30,,,"$12,748.47",$0.00,1,0,1,20110101,55870,CPT,ELECTROEJACULATION,,30,,,"$1,253.97",$0.00,1,0,1,20110101,55873,CPT,CRYOSURG ABLATION PROSTATE US & MONITORING,,30,,,"$23,407.69",$0.00,1,0,1,20110101,55875,CPT,TPRNL PLMT NDL/CATHS INTO PRST8 RADJ INSJ,,30,,,"$13,176.59",$0.00,1,0,1,20110101,55876,CPT,PLACE INTSTITL DEV RADIATN TX PERQ PROSTATE 1+,,30,,,"$5,637.33",$0.00,1,0,1,20110101,55899,CPT,UNLIS MALE GEN SYS,,30,,,$403.13,$0.00,1,0,1,20110101,55920,CPT,PLACEMENT NEEDLE PELVIC ORGAN RADIOELEMENT APPL,,30,,,"$10,001.42",$0.00,1,0,1,20110101,56405,CPT,I&D VULVA/PRNL ABSC,,30,,,$562.01,$0.00,1,0,1,20110101,56420,CPT,I&D OF BARTHOLIN'S GLAND ABSC,,30,,,$562.01,$0.00,1,0,1,20110101,56440,CPT,MARSUPIALIZATION BARTHOLIN'S GLAND CYST,,30,,,"$7,374.54",$0.00,1,0,1,20110101,56441,CPT,LSS LABIAL ADS,,30,,,"$7,374.54",$0.00,1,0,1,20110101,56442,CPT,HYMENOTOMY SIMPLE INCISION,,30,,,"$7,374.54",$0.00,1,0,1,20110101,56501,CPT,DSTRJ LES VULVA SMPL,,30,,,"$7,823.40",$0.00,1,0,1,20110101,56515,CPT,DSTRJ LES VULVA X10SV,,30,,,"$7,823.40",$0.00,1,0,1,20110101,56605,CPT,BX VULVA/PR SPX 1 LES,,30,,,"$1,253.97",$0.00,1,0,1,20110101,56606,CPT,BX VULVA/PR SPX EA SEP ADDL LES,,30,,,$562.01,$0.00,1,0,1,20110101,56620,CPT,VULVECTOMY SMPL PRTL,,30,,,"$7,374.54",$0.00,1,0,1,20110101,56625,CPT,VULVECTOMY SMPL COMPL,,30,,,"$7,374.54",$0.00,1,0,1,20110101,56700,CPT,PRTL HYMENECTOMY/REVJ HYMENAL RING,,30,,,"$7,374.54",$0.00,1,0,1,20110101,56740,CPT,EXC BARTHOLIN'S GLAND OR CYST,,30,,,"$7,374.54",$0.00,1,0,1,20110101,56800,CPT,PLSTC RPR INTROITUS,,30,,,"$7,374.54",$0.00,1,0,1,20110101,56805,CPT,CLITOROPLASTY F/INTERSEX STATE,,30,,,"$7,374.54",$0.00,1,0,1,20110101,56810,CPT,PRINEOPLASTY RPR PR NONOBAL SPX,,30,,,"$7,374.54",$0.00,1,0,1,20110101,56820,CPT,COLPOSCOPY VULVA,,30,,,$562.01,$0.00,1,0,1,20110101,56821,CPT,COLPOSCOPY VULVA W/BX,,30,,,$562.01,$0.00,1,0,1,20110101,57000,CPT,COLPOTOMY W/EXPL,,30,,,"$7,374.54",$0.00,1,0,1,20110101,57010,CPT,COLPOTOMY W/DRG PEL ABSC,,30,,,"$7,374.54",$0.00,1,0,1,20110101,57020,CPT,COLPOCNTS SPX,,30,,,"$2,499.83",$0.00,1,0,1,20110101,57022,CPT,I&D VAG HMTMA OBAL/POSTPARTUM,,30,,,"$4,643.49",$0.00,1,0,1,20110101,57023,CPT,I&D VAG HMTMA NON-OBAL,,30,,,"$7,139.49",$0.00,1,0,1,20110101,57061,CPT,DSTRJ VAG LES SMPL,,30,,,"$7,374.54",$0.00,1,0,1,20110101,57065,CPT,DSTRJ VAG LES X10SV,,30,,,"$7,374.54",$0.00,1,0,1,20110101,57100,CPT,BX VAG MUCOSA SMPL SPX,,30,,,"$2,499.83",$0.00,1,0,1,20110101,57105,CPT,BX VAG MUCOSA X10SV REQ SUTR,,30,,,"$7,374.54",$0.00,1,0,1,20110101,57106,CPT,VAGNC PRTL RMVL VAG WALL,,30,,,"$7,374.54",$0.00,1,0,1,20110101,57107,CPT,VAGNC PRTL RMVL VAG WALL PARAVAG TISS,,30,,,"$12,903.74",$0.00,1,0,1,20110101,57109,CPT,VAGNC PRTL RMVL VAG WALL W/BI TOT PEL LMPHADEC,,30,,,"$12,903.74",$0.00,1,0,1,20110101,57120,CPT,COLPOCLEISIS LE FORT TYP,,30,,,"$12,903.74",$0.00,1,0,1,20110101,57130,CPT,EXC VAG SEPTUM,,30,,,"$7,374.54",$0.00,1,0,1,20110101,57135,CPT,EXC VAG CST/TUM,,30,,,"$7,374.54",$0.00,1,0,1,20110101,57150,CPT,IRRG VAG&/APPL MEDICAMENT DISEASE,,30,,,$562.01,$0.00,1,0,1,20110101,57155,CPT,INSJ UTERINE TANDEMS&/VAG OVOIDS,,30,,,"$2,499.83",$0.00,1,0,1,20110101,57156,CPT,INS VAG BRACHYTX DEVICE,,30,,,"$1,253.97",$0.00,1,0,1,20110101,57160,CPT,FITG&INSJ PESSARY/OTH INTRAVAG SUPPORT DEV,,30,,,$562.01,$0.00,1,0,1,20110101,57170,CPT,DPHRM/CRV CAP FITG W/INSTRUCTIONS,,30,,,$48.48,$0.00,1,0,1,20110101,57180,CPT,INTRO ANY HEMOSTATIC AGT/PACK VAG HEMRRG SPX,,30,,,$562.01,$0.00,1,0,1,20110101,57200,CPT,COLPORRHAPHY SUTR INJ VAG,,30,,,"$7,374.54",$0.00,1,0,1,20110101,57210,CPT,COLPOPRINEORRHAPHY SUTR INJ VAG&/PR,,30,,,"$7,374.54",$0.00,1,0,1,20110101,57220,CPT,PLSTC URTL SPHNCTR VAG APPR,,30,,,"$15,569.01",$0.00,1,0,1,20110101,57230,CPT,PLSTC RPR URETHROCELE,,30,,,"$12,903.74",$0.00,1,0,1,20110101,57240,CPT,ANT COLPORRHAPHY RPR CSTOCELE +-RPR URETHROCELE,,30,,,"$12,903.74",$0.00,1,0,1,20110101,57250,CPT,POST COLPORRHAPHY RPR RECTOCELE +-PRINEORRHAPHY,,30,,,"$12,903.74",$0.00,1,0,1,20110101,57260,CPT,CMBN ANTEROPOST COLPORRHAPHY,,30,,,"$12,903.74",$0.00,1,0,1,20110101,57265,CPT,CMBN ANTEROPOST COLPORRHAPHY W/NTRCL RPR,,30,,,"$15,569.01",$0.00,1,0,1,20110101,57267,CPT,INSJ MESH/PROSTH PEL FLOOR DFCT EA SIT,,30,,,"$12,903.74",$0.00,1,0,1,20110101,57268,CPT,RPR NTRCL VAG APPR SPX,,30,,,"$12,903.74",$0.00,1,0,1,20110101,57282,CPT,COLPOPEXY VAG XTR-PRTL APPR,,30,,,"$15,569.01",$0.00,1,0,1,20110101,57283,CPT,COLPOPEXY VAG INTRA-PRTL APPR,,30,,,"$15,569.01",$0.00,1,0,1,20110101,57284,CPT,PARAVAGINAL DEFECT REPAIR OPEN ABDOMINAL APPR,,30,,,"$15,569.01",$0.00,1,0,1,20110101,57285,CPT,PARAVAGINAL DEFECT REPAIR VAGINAL APPROACH,,30,,,"$15,569.01",$0.00,1,0,1,20110101,57287,CPT,RMVL/REVJ SLING F/STRS INCONT,,30,,,"$12,903.74",$0.00,1,0,1,20110101,57288,CPT,SLING OPRATION F/STRS INCONT,,30,,,"$15,569.01",$0.00,1,0,1,20110101,57289,CPT,PREYRA PX W/ANT COLPORRHAPHY,,30,,,"$12,903.74",$0.00,1,0,1,20110101,57291,CPT,CONSTJ ARTIF VAG W/O GRF,,30,,,"$12,903.74",$0.00,1,0,1,20110101,57292,CPT,CONSTJ ARTIF VAG W/GRF,,30,,,"$12,903.74",$0.00,1,0,1,20110101,57295,CPT,REVJ RMVL PROSTC VAG GRF VAG APPR,,30,,,"$7,374.54",$0.00,1,0,1,20110101,57300,CPT,CLSR RECTOVAG FSTL VAG/TRANSANAL APPR,,30,,,"$12,903.74",$0.00,1,0,1,20110101,57310,CPT,CLSR URETHROVAG FSTL,,30,,,"$15,569.01",$0.00,1,0,1,20110101,57320,CPT,CLSR VESICOVAG FSTL VAG APPR,,30,,,"$12,903.74",$0.00,1,0,1,20110101,57330,CPT,CLSR VESICOVAG FSTL TRANSVESICAL&VAG APPR,,30,,,"$12,903.74",$0.00,1,0,1,20110101,57335,CPT,VAGINOPLASTY F/INTERSEX STATE,,30,,,"$12,903.74",$0.00,1,0,1,20110101,57400,CPT,DILATION VAGINA W/ANESTHESIA OTHER THAN LOCAL,,30,,,"$7,374.54",$0.00,1,0,1,20110101,57410,CPT,PELVIC EXAMINATION W/ANESTHESIA OTHER THAN LOCAL,,30,,,"$7,374.54",$0.00,1,0,1,20110101,57415,CPT,REMOVAL IMPACTED VAG FB SPX W/ANES OTH/THN LOCAL,,30,,,"$7,374.54",$0.00,1,0,1,20110101,57420,CPT,COLPOSCOPY ENTIRE VAG W/CERVIX IF PRESENT,,30,,,"$1,253.97",$0.00,1,0,1,20110101,57421,CPT,COLPOSCOPY ENTIRE VAG W/CERVIX BX,,30,,,"$1,253.97",$0.00,1,0,1,20110101,57423,CPT,PARAVAGINAL DEFECT REPAIR LAPAROSCOPIC APPROACH,,30,,,"$15,569.01",$0.00,1,0,1,20110101,57425,CPT,LAPS SURG COLPOPEXY SSP VAG APEX,,30,,,"$13,707.28",$0.00,1,0,1,20110101,57426,CPT,REVISION PROSTHETIC VAGINAL GRAFT LAPAROSCOPIC,,30,,,"$7,374.54",$0.00,1,0,1,20110101,57452,CPT,COLPOSCOPY CERVIX UPR/ADJ VAG,,30,,,$562.01,$0.00,1,0,1,20110101,57454,CPT,COLPOSCOPY CERVIX BX CERVIX&ENDOCRV CURTG,,30,,,"$1,253.97",$0.00,1,0,1,20110101,57455,CPT,COLPOSCOPY CERVIX VAG BX CERVIX,,30,,,"$1,253.97",$0.00,1,0,1,20110101,57456,CPT,COLPOSCOPY CERVIX VAG ENDOCRV CURTG,,30,,,"$1,253.97",$0.00,1,0,1,20110101,57460,CPT,COLPOSCOPY CERVIX VAG LOOP ELTRD BX CERVIX,,30,,,"$7,374.54",$0.00,1,0,1,20110101,57461,CPT,COLPOSCOPY CERVIX VAG ELTRD CONIZATION CERVIX,,30,,,"$7,374.54",$0.00,1,0,1,20110101,57500,CPT,BIOPSY CERVIX 1/MLT OR EXCISION OF LESION,,30,,,"$2,499.83",$0.00,1,0,1,20110101,57505,CPT,ENDOCRV CURTG X DONE AS PART DILAT&CURTG,,30,,,"$2,499.83",$0.00,1,0,1,20110101,57510,CPT,CAUT CERVIX ELECTRO/THERMAL,,30,,,"$7,374.54",$0.00,1,0,1,20110101,57511,CPT,CAUT CERVIX CRYOCAUT 1ST/REPEAT,,30,,,$562.01,$0.00,1,0,1,20110101,57513,CPT,CAUT CERVIX LASER ABLTJ,,30,,,"$7,374.54",$0.00,1,0,1,20110101,57520,CPT,CONIZATION CERVIX +-D&C RPR KNIFE/LASER,,30,,,"$7,374.54",$0.00,1,0,1,20110101,57522,CPT,CONIZATION CERVIX +-D&C RPR ELTRD EXC,,30,,,"$7,374.54",$0.00,1,0,1,20110101,57530,CPT,TRACHELECTOMY CERVICECTOMY AMP CERVIX SPX,,30,,,"$12,903.74",$0.00,1,0,1,20110101,57550,CPT,EXC CRV STUMP VAG APPR,,30,,,"$12,903.74",$0.00,1,0,1,20110101,57555,CPT,EXC CRV STUMP VAG APPR W/ANT&/POST RPR,,30,,,"$12,903.74",$0.00,1,0,1,20110101,57556,CPT,EXC CRV STUMP VAG APPR W/RPR NTRCL,,30,,,"$15,569.01",$0.00,1,0,1,20110101,57558,CPT,DILATION & CURETTAGE CERVICAL STUMP,,30,,,"$7,374.54",$0.00,1,0,1,20110101,57700,CPT,CERCLAGE UTERINE CERVIX NONOBAL,,30,,,"$7,374.54",$0.00,1,0,1,20110101,57720,CPT,TRACHELORRHAPHY PLSTC RPR UTERINE CERVIX VAG,,30,,,"$7,374.54",$0.00,1,0,1,20110101,57800,CPT,DILAT CRV CANAL INSTRUMENTAL SPX,,30,,,"$7,374.54",$0.00,1,0,1,20110101,58100,CPT,ENDOMETRIAL BX +-ENDOCRV BX W/O DILAT SPX,,30,,,$562.01,$0.00,1,0,1,20110101,58110,CPT,ENDOMETRIAL BX CONJUNCT W/COLPOSCOPY,,30,,,$670.30,$0.00,1,0,1,20110101,58120,CPT,D&C DX&/THER,,30,,,"$7,374.54",$0.00,1,0,1,20110101,58140,CPT,MYOMECTOMY 1-4 250 GM ABDL,,30,,,"$9,838.57",$0.00,1,0,1,20110101,58145,CPT,MYOMECTOMY 1-4 250 GM/< VAG,,30,,,"$12,903.74",$0.00,1,0,1,20110101,58150,CPT,TAH +-RMVL TUBE +-RMVL OVARY,,30,,,"$11,713.37",$0.00,1,0,1,20110101,58180,CPT,SUPRACRV ABDL HYST +-RMVL TUBE OVARY,,30,,,"$8,612.75",$0.00,1,0,1,20110101,58260,CPT,VAG HYST 250 GM/<,,30,,,"$12,903.74",$0.00,1,0,1,20110101,58262,CPT,VAG HYST 250 GM/< W/RMVL TUBE&/OVARY,,30,,,"$12,903.74",$0.00,1,0,1,20110101,58263,CPT,VAG HYST 250 GM/< W/RMVL TUBE OVARY W/RPR NTRCL,,30,,,"$12,903.74",$0.00,1,0,1,20110101,58270,CPT,VAG HYST 250 GM/< W/RPR NTRCL,,30,,,"$12,903.74",$0.00,1,0,1,20110101,58290,CPT,VAG HYST F/UTER > 250 GM,,30,,,"$15,569.01",$0.00,1,0,1,20110101,58291,CPT,VAG HYST > 250 GM RMVL TUBE&/OVARY,,30,,,"$15,569.01",$0.00,1,0,1,20110101,58292,CPT,VAG HYST > 250 GM RMVL TUBE&/OVARY W/RPR NTRCL,,30,,,"$15,569.01",$0.00,1,0,1,20110101,58294,CPT,VAG HYST > 250 GM RPR NTRCL,,30,,,"$15,569.01",$0.00,1,0,1,20110101,58300,CPT,INSJ INTRAUTERINE DEV,,30,,,"$1,424.40",$0.00,1,0,1,20110101,58301,CPT,RMVL INTRAUTERINE DEV,,30,,,$562.01,$0.00,1,0,1,20110101,58321,CPT,ARTIF INSEMINATION INTRA-CRV,,30,,,"$1,253.97",$0.00,1,0,1,20110101,58322,CPT,ARTIF INSEMINATION INTRA-UTERINE,,30,,,"$1,253.97",$0.00,1,0,1,20110101,58323,CPT,SPRM WASHG ARTIF INSEMINATION,,30,,,"$1,253.97",$0.00,1,0,1,20110101,58345,CPT,TRANSCRV INTRO FLP TUBE CATH +-HSG,,30,,,"$7,374.54",$0.00,1,0,1,20110101,58346,CPT,INSJ HEYMAN CAPSLS CLINICAL BRACHYTX,,30,,,"$7,374.54",$0.00,1,0,1,20110101,58350,CPT,CHROMOTUBATION OVIDUX MATRLS,,30,,,"$12,903.74",$0.00,1,0,1,20110101,58353,CPT,ENDOMETRIAL ABLTJ THERMAL W/O HYSTEROSCOPIC GID,,30,,,"$12,903.74",$0.00,1,0,1,20110101,58356,CPT,ENDOMETRIAL CRYOABLTJ US CURTG,,30,,,"$15,569.01",$0.00,1,0,1,20110101,58400,CPT,UTERINE SSP SPX,,30,,,"$5,764.27",$0.00,1,0,1,20110101,58541,CPT,LAPS SUPRACRV HYST 250 G/<,,30,,,"$21,085.75",$0.00,1,0,1,20110101,58542,CPT,LAPS SUPRACRV HYST 250 G/< RMVL TUBE/OVARY,,30,,,"$21,085.75",$0.00,1,0,1,20110101,58543,CPT,LAPS SUPRACRV HYST >250 G,,30,,,"$21,085.75",$0.00,1,0,1,20110101,58544,CPT,LAPS SUPRACRV HYST >250 G RMVL TUBE/OVARY,,30,,,"$21,085.75",$0.00,1,0,1,20110101,58545,CPT,LAPS MYOMECTOMY EXC 1-4 250 GM/<,,30,,,"$13,707.28",$0.00,1,0,1,20110101,58546,CPT,LAPS MYOMECTOMY EXC 5+ > 250 GRAMS,,30,,,"$16,032.63",$0.00,1,0,1,20110101,58550,CPT,LAPS W/VAG HYST 250 GM/<,,30,,,"$21,085.75",$0.00,1,0,1,20110101,58552,CPT,LAPS W/VAG HYST 250 GM/< RMVL TUBE&/OVARY,,30,,,"$16,032.63",$0.00,1,0,1,20110101,58553,CPT,LAPS W/VAG HYST > 250 GRAMS,,30,,,"$16,032.63",$0.00,1,0,1,20110101,58554,CPT,LAPS VAG HYST > 250 GM RMVL TUBE&/OVARY,,30,,,"$16,032.63",$0.00,1,0,1,20110101,58555,CPT,HYSTSC DX SPX,,30,,,"$8,311.72",$0.00,1,0,1,20110101,58558,CPT,HYSTSC BX ENDOMETRIUM&/POLYPC +-D&C,,30,,,"$8,311.72",$0.00,1,0,1,20110101,58559,CPT,HYSTSC LSS INTRAUTERINE ADS,,30,,,"$8,311.72",$0.00,1,0,1,20110101,58560,CPT,HYSTSC DIV/RESCJ INTRAUTERINE SEPTUM,,30,,,"$13,470.13",$0.00,1,0,1,20110101,58561,CPT,HYSTSC RMVL LEIOMYOMATA,,30,,,"$13,470.13",$0.00,1,0,1,20110101,58562,CPT,HYSTSC RMVL IMPACTED FB,,30,,,"$8,311.72",$0.00,1,0,1,20110101,58563,CPT,HYSTSC ENDOMETRIAL ABLTJ,,30,,,"$13,470.13",$0.00,1,0,1,20110101,58565,CPT,HYSTSC OCCLUSION PLMT PRM,,30,,,"$15,569.01",$0.00,1,0,1,20110101,58570,CPT,LAPAROSCOPY W TOTAL HYSTERECTOMY UTERUS 250 G/<,,30,,,"$16,032.63",$0.00,1,0,1,20110101,58571,CPT,LAPS TOTAL HYSTERECTOMY 250 G/<W TUBE/OVARY,,30,,,"$16,032.63",$0.00,1,0,1,20110101,58572,CPT,LAPAROSCOPY TOTAL HYSTERECTOMY UTERUS>250 G,,30,,,"$16,032.63",$0.00,1,0,1,20110101,58573,CPT,LAPAROSCOPY TOT HYSTERECTOMY >250 G W TUBE/OVARY,,30,,,"$16,032.63",$0.00,1,0,1,20110101,58578,CPT,UNLIS LAPS UTER,,30,,,"$13,707.28",$0.00,1,0,1,20110101,58579,CPT,UNLIS HYSTSC UTER,,30,,,"$8,311.72",$0.00,1,0,1,20110101,58600,CPT,LIG/TRNSXJ FLP TUBE ABDL/VAG APPR UNI/BI,,30,,,"$12,903.74",$0.00,1,0,1,20110101,58615,CPT,OCCLUSION FLP TUBE DEV VAG/SUPRAPUBIC APPR,,30,,,"$7,374.54",$0.00,1,0,1,20110101,58660,CPT,LAPS LSS ADS SPX,,30,,,"$16,032.63",$0.00,1,0,1,20110101,58661,CPT,LAPS RMVL ADNEXAL STRUXS,,30,,,"$16,032.63",$0.00,1,0,1,20110101,58662,CPT,LAPS FULG/EXC OVARY VISCERA/PRTL SURF,,30,,,"$16,032.63",$0.00,1,0,1,20110101,58670,CPT,LAPS FULG OVIDUXS,,30,,,"$16,032.63",$0.00,1,0,1,20110101,58671,CPT,LAPS OCCLUSION OVIDUXS DEV,,30,,,"$16,032.63",$0.00,1,0,1,20110101,58672,CPT,LAPS FIMBRIOPLASTY,,30,,,"$16,032.63",$0.00,1,0,1,20110101,58673,CPT,LAPS SALPINGOSTOMY,,30,,,"$16,032.63",$0.00,1,0,1,20110101,58679,CPT,UNLIS LAPS PX OVIDUX OVARY,,30,,,"$13,707.28",$0.00,1,0,1,20110101,58700,CPT,SALPINGECTOMY COMPL/PRTL UNI/BI SPX,,30,,,"$5,738.92",$0.00,1,0,1,20110101,58720,CPT,SALPINGO-OOPHORECTOMY COMPL/PRTL UNI/BI SPX,,30,,,"$7,076.90",$0.00,1,0,1,20110101,58740,CPT,LSS ADS,,30,,,"$7,537.92",$0.00,1,0,1,20110101,58750,CPT,TUBOTUBAL ANAST,,30,,,"$12,391.09",$0.00,1,0,1,20110101,58770,CPT,SALPINGOSTOMY,,30,,,"$12,903.74",$0.00,1,0,1,20110101,58800,CPT,DRG OVARIAN CST UNI/BI SPX VAG,,30,,,"$7,374.54",$0.00,1,0,1,20110101,58805,CPT,DRG OVARIAN CST UNI/BI SPX ABDL,,30,,,"$12,903.74",$0.00,1,0,1,20110101,58820,CPT,DRG OVARIAN ABSC VAG OPN,,30,,,"$12,903.74",$0.00,1,0,1,20110101,58823,CPT,DRG PEL ABSC TRVG/TRANSRCT PRQ,,30,,,"$7,374.54",$0.00,1,0,1,20110101,58900,CPT,BX OVARY UNI/BI SPX,,30,,,"$7,374.54",$0.00,1,0,1,20110101,58920,CPT,WEDGE RESCJ/BISCTJ OVARY UNI/BI,,30,,,"$12,903.74",$0.00,1,0,1,20110101,58925,CPT,OVARIAN CSTC UNI/BI,,30,,,"$12,903.74",$0.00,1,0,1,20110101,58940,CPT,OOPHORECTOMY PRTL/TOT UNI/BI,,30,,,"$4,120.11",$0.00,1,0,1,20110101,58970,CPT,FOLLICLE PNXR OOCYTE RETRIEVAL ANY METH,,30,,,"$1,253.97",$0.00,1,0,1,20110101,58974,CPT,EMBRYO TR INTRAUTERINE,,30,,,"$1,253.97",$0.00,1,0,1,20110101,58976,CPT,GAMETE ZYGOTE/EMBRYO INTRAFLP TR ANY METH,,30,,,"$1,253.97",$0.00,1,0,1,20110101,58999,CPT,UNLIS PX FEMALE GEN SYS,,30,,,$48.48,$0.00,1,0,1,20110101,59000,CPT,AMNIOCNTS DX,,30,,,"$1,253.97",$0.00,1,0,1,20110101,59001,CPT,AMNIOCNTS THER AMNIOTIC FLU RDCTJ US GID,,30,,,"$2,499.83",$0.00,1,0,1,20110101,59012,CPT,CORDOCNTS INTRAUTERINE,,30,,,"$1,253.97",$0.00,1,0,1,20110101,59015,CPT,CHORNC VILLUS SAMPLING,,30,,,"$1,253.97",$0.00,1,0,1,20110101,59020,CPT,FTL CONTRCJ STRS TST,,30,,,$562.01,$0.00,1,0,1,20110101,59025,CPT,FTL NON-STRS TST,,30,,,$562.01,$0.00,1,0,1,20110101,59030,CPT,FTL SCALP BLD SAMPLING,,30,,,"$1,253.97",$0.00,1,0,1,20110101,59050,CPT,FTL MNTR LABOR PHYS WRTTN REPRT S&I,,30,,,$570.10,$0.00,1,0,1,20110101,59051,CPT,FTL MNTR LABOR PHYS WRTTN REPRT INTERPJ ONLY,,30,,,$622.29,$0.00,1,0,1,20110101,59070,CPT,TABDL AMNIONFS US GID,,30,,,$562.01,$0.00,1,0,1,20110101,59072,CPT,FTL UMBILICAL CORD OCCLUSION W/US GID,,30,,,"$1,253.97",$0.00,1,0,1,20110101,59074,CPT,FTL FLU DRG US GID,,30,,,"$1,253.97",$0.00,1,0,1,20110101,59076,CPT,FTL SHUNT PLMT US GID,,30,,,"$1,253.97",$0.00,1,0,1,20110101,59100,CPT,HYSTOT ABDL,,30,,,"$12,903.74",$0.00,1,0,1,20110101,59120,CPT,TX ECTOPIC PREGNANCY REQ SO,,30,,,"$4,194.30",$0.00,1,0,1,20110101,59150,CPT,LAPS TX ECTOPIC PREGNANCY W/O SO,,30,,,"$16,032.63",$0.00,1,0,1,20110101,59151,CPT,LAPS TX ECTOPIC PREGNANCY W/SO,,30,,,"$16,032.63",$0.00,1,0,1,20110101,59160,CPT,CURTG POSTPARTUM,,30,,,"$7,374.54",$0.00,1,0,1,20110101,59200,CPT,INSJ CRV DILATOR SPX,,30,,,$562.01,$0.00,1,0,1,20110101,59300,CPT,EPISIOTOMY/VAG RPR OTH/THN ATTENDING PHYS,,30,,,"$7,374.54",$0.00,1,0,1,20110101,59320,CPT,CERCLAGE CERVIX PREGNANCY VAG,,30,,,"$7,374.54",$0.00,1,0,1,20110101,59400,CPT,OB CARE ANTEPARTUM VAG DLVR&POSTPARTUM,,30,,,"$2,940.10",$0.00,1,0,1,20110101,59409,CPT,VAG DLVR ONLY,,30,,,"$7,374.54",$0.00,1,0,1,20110101,59410,CPT,VAG DLVR ONLY POSTPARTUM CARE,,30,,,"$3,150.26",$0.00,1,0,1,20110101,59412,CPT,XTRNL CEPHALIC VERSION +-TOCOLSS,,30,,,"$7,374.54",$0.00,1,0,1,20110101,59414,CPT,DLVR PLACENTA SPX,,30,,,"$7,374.54",$0.00,1,0,1,20110101,59425,CPT,ANTEPARTUM CARE ONLY 4-6 VSTS,,30,,,$629.83,$0.00,1,0,1,20110101,59426,CPT,ANTEPARTUM CARE ONLY 7+ VSTS,,30,,,$188.04,$0.00,1,0,1,20110101,59430,CPT,POSTPARTUM CARE ONLY SPX,,30,,,$226.36,$0.00,1,0,1,20110101,59612,CPT,VAG DLVR AFTER C DLVR,,30,,,"$7,374.54",$0.00,1,0,1,20110101,59812,CPT,TX INCOMPL AB ANY TRI COMPLD SURGLY,,30,,,"$7,374.54",$0.00,1,0,1,20110101,59820,CPT,TX MISSED AB COMPLD SURGLY 1ST TRI,,30,,,"$7,374.54",$0.00,1,0,1,20110101,59821,CPT,TX MISSED AB COMPLD SURGLY 2ND TRI,,30,,,"$7,374.54",$0.00,1,0,1,20110101,59840,CPT,INDUCED AB DILAT&CURTG,,30,,,"$7,374.54",$0.00,1,0,1,20110101,59841,CPT,INDUCED AB DILAT&EVAC,,30,,,"$7,374.54",$0.00,1,0,1,20110101,59856,CPT,INDUCED AB 1+ VAG SUPP DLVR FETUS D&C&/EVAC,,30,,,"$2,867.10",$0.00,1,0,1,20110101,59866,CPT,MULTIFTL PREGNANCY RDCTJ,,30,,,"$1,253.97",$0.00,1,0,1,20110101,59870,CPT,UTERINE EVAC&CURTG HYDATIDIFORM MOLE,,30,,,"$7,374.54",$0.00,1,0,1,20110101,59871,CPT,RMVL CERCLAGE SUTR UNDER ANES,,30,,,"$7,374.54",$0.00,1,0,1,20110101,59897,CPT,UNLIS FTL INVASIVE W/US GID,,30,,,$48.48,$0.00,1,0,1,20110101,59898,CPT,UNLIS LAPS MATERNITY CARE&DLVR,,30,,,"$13,707.28",$0.00,1,0,1,20110101,59899,CPT,UNLIS MATERNITY CARE&DLVR,,30,,,$48.48,$0.00,1,0,1,20110101,60000,CPT,I&D THYROGLOSSAL DUX CST INFCT,,30,,,"$2,803.22",$0.00,1,0,1,20110101,60100,CPT,BX THYR PRQ CORE NDL,,30,,,"$1,692.00",$0.00,1,0,1,20110101,60200,CPT,EXC CST/ADENOMA THYR/TRNSXJ ISTHMUS,,30,,,"$16,497.93",$0.00,1,0,1,20110101,60210,CPT,PRTL THYR LOBEC UNI +-ISTHMUSECTOMY,,30,,,"$16,497.93",$0.00,1,0,1,20110101,60212,CPT,PRTL THYR LOBEC UNI W/CLAT STOT LOBEC,,30,,,"$16,497.93",$0.00,1,0,1,20110101,60220,CPT,TOT THYR LOBEC UNI +-ISTHMUSECTOMY,,30,,,"$16,497.93",$0.00,1,0,1,20110101,60225,CPT,TOT THYR LOBEC UNI W/CLAT STOT LOBEC,,30,,,"$16,497.93",$0.00,1,0,1,20110101,60240,CPT,TRDEC TOT/COMPL,,30,,,"$16,497.93",$0.00,1,0,1,20110101,60252,CPT,TRDEC TOT/STOT F/MAL W/LMTD NCK DSJ,,30,,,"$15,050.51",$0.00,1,0,1,20110101,60254,CPT,TRDEC TOT/STOT F/MAL W/RAD NCK DSJ,,30,,,"$15,802.52",$0.00,1,0,1,20110101,60260,CPT,TRDEC RMVL REMAINING TISS FLWG RMVL PRTN,,30,,,"$15,050.51",$0.00,1,0,1,20110101,60271,CPT,TRDEC W/SUBSTERNAL THYR CRV APPR,,30,,,"$15,050.51",$0.00,1,0,1,20110101,60280,CPT,EXC THYROGLOSSAL DUX CST/SINUS,,30,,,"$16,497.93",$0.00,1,0,1,20110101,60281,CPT,EXC THYROGLOSSAL DUX CST/SINUS RECRT,,30,,,"$16,497.93",$0.00,1,0,1,20110101,60300,CPT,ASPIRATION AND/OR INJECTION THYROID CYST,,30,,,"$1,692.00",$0.00,1,0,1,20110101,60500,CPT,PARATRDEC/EXPL PARATHYR,,30,,,"$15,050.51",$0.00,1,0,1,20110101,60502,CPT,PARATRDEC/EXPL PARATHYR RE-EXPL,,30,,,"$15,050.51",$0.00,1,0,1,20110101,60512,CPT,PARATHYR AUTOTRNSPLJ,,30,,,"$8,604.32",$0.00,1,0,1,20110101,60520,CPT,THYMECTOMY PRTL/TOT TRANSCRV APPR SPX,,30,,,"$15,050.51",$0.00,1,0,1,20110101,60650,CPT,LAPS ADRNLECTOMY PRTL/COMPL TABDL,,30,,,"$15,390.62",$0.00,1,0,1,20110101,60659,CPT,UNLIS LAPS ENDOC SYS,,30,,,"$13,707.28",$0.00,1,0,1,20110101,60699,CPT,UNLIS ENDOC SYS,,30,,,"$16,497.93",$0.00,1,0,1,20110101,61000,CPT,SDRL TAP THRU FONTANELLE/SUTR INFT UNI/BI 1ST,,30,,,"$2,765.18",$0.00,1,0,1,20110101,61001,CPT,SDRL TAP THRU FONTANELLE/SUTR INFT UNI/BI SBSQ,,30,,,"$2,765.18",$0.00,1,0,1,20110101,61020,CPT,VENTR PNXR PREVIOUS BURR HOLE W/O NJX,,30,,,"$2,765.18",$0.00,1,0,1,20110101,61026,CPT,VENTR PNXR PREVIOUS BURR HOLE W/NJX,,30,,,"$2,765.18",$0.00,1,0,1,20110101,61050,CPT,CISTERNAL/LAT CRV C1-C2 PNXR W/O NJX SPX,,30,,,"$2,765.18",$0.00,1,0,1,20110101,61055,CPT,CISTERNAL/LAT CRV C1-C2 PNXR W/NJX,,30,,,"$2,765.18",$0.00,1,0,1,20110101,61070,CPT,PNXR SHUNT TUBING/RSVR ASPIR/NJX,,30,,,"$2,345.05",$0.00,1,0,1,20110101,61215,CPT,INSJ SUBQ RSVR PMP/NFS SYS VENTR CATH,,30,,,"$14,529.87",$0.00,1,0,1,20110101,61330,CPT,DCMPRN ORBIT ONLY TRANSCRNL,,30,,,"$15,050.51",$0.00,1,0,1,20110101,61334,CPT,EXPL ORBIT TRANSCRNL W/RMVL FB,,30,,,"$15,050.51",$0.00,1,0,1,20110101,61500,CPT,CRNEC EXC TUM/OTH B1 LES SKL,,30,,,"$6,317.41",$0.00,1,0,1,20110101,61623,CPT,EVASC TEMP BALO ARTL OCCLUSION,,30,,,"$23,095.03",$0.00,1,0,1,20110101,61624,CPT,TCAT PRM OCCLUSION/EMBOLIZATION PRQ CNS,,30,,,"$4,856.44",$0.00,1,0,1,20110101,61626,CPT,TCAT PRM OCCLUSION/EMBOLIZATION PRQ NON-CNS,,30,,,"$23,095.03",$0.00,1,0,1,20110101,61720,CPT,CRTJ LES STRTCTC BURR GLOBUS PALLIDUS/THALAMUS,,30,,,"$13,487.48",$0.00,1,0,1,20110101,61770,CPT,STRTCTC LOCLZJ INSJ CATH/PRB PLMT RADJ SRC,,30,,,"$13,487.48",$0.00,1,0,1,20110101,61790,CPT,CRTJ LES STRTCTC PRQ NULYT GASSERIAN,,30,,,"$6,886.99",$0.00,1,0,1,20110101,61791,CPT,CRTJ LES STRTCTC PRQ NULYT TRIGEMINAL TRC,,30,,,"$4,872.35",$0.00,1,0,1,20110101,61796,CPT,STEREOTACTIC RADIOSURGERY 1 SIMPLE CRANIAL LES,,30,,,"$19,061.01",$0.00,1,0,1,20110101,61797,CPT,STRTCTC RADIOSURGERY EA ADDL CRANIAL LES SIMPLE,,30,,,"$6,353.67",$0.00,1,0,1,20110101,61798,CPT,STEREOTACTIC RADIOSURGERY 1 COMPLEX CRANIAL LES,,30,,,"$20,649.42",$0.00,1,0,1,20110101,61799,CPT,STRTCTC RADIOSURGERY EA ADDL CRANIAL LES COMPLEX,,30,,,"$7,942.09",$0.00,1,0,1,20110101,61800,CPT,APPL STRTCTC HEADFRAME STEREOTACTIC RADIOSURGERY,,30,,,"$3,971.04",$0.00,1,0,1,20110101,61880,CPT,REVJ/RMVL ICRA NSTIM ELTRDS,,30,,,"$7,224.79",$0.00,1,0,1,20110101,61885,CPT,INSJ/RPLCMT CRNL NPGR 1 ELTRD RA,,30,,,"$27,716.88",$0.00,1,0,1,20110101,61886,CPT,INSJ/RPLCMT CRNL NPGR 2+ ELTRD RA,,30,,,"$36,947.54",$0.00,1,0,1,20110101,61888,CPT,REVJ/RMVL CRNL NPGR,,30,,,"$10,545.21",$0.00,1,0,1,20110101,62000,CPT,ELVTN DEPRS SKL FX SMPL XDRL,,30,,,"$9,184.01",$0.00,1,0,1,20110101,62140,CPT,CRNOP F/SKL DFCT UP 5 CM DIAM,,30,,,"$12,877.28",$0.00,1,0,1,20110101,62142,CPT,RMVL B1 FLAP/PROSTC PLATE SKL,,30,,,"$3,892.39",$0.00,1,0,1,20110101,62194,CPT,RPLCMT/IRRG SARACH/SDRL CATH,,30,,,"$2,765.18",$0.00,1,0,1,20110101,62223,CPT,CRTJ SHUNT VENTRICULO-PRTL-PLEURAL OTH,,30,,,"$4,569.45",$0.00,1,0,1,20110101,62225,CPT,RPLCMT/IRRIGATION VENTR CATH,,30,,,"$5,632.59",$0.00,1,0,1,20110101,62230,CPT,RPLCMT/REVJ CSF SHUNT VALVE/CATH SHUNT SYS,,30,,,"$14,529.87",$0.00,1,0,1,20110101,62252,CPT,REPRGRMG PRGRBL CEREBSP SHUNT,,30,,,$934.66,$0.00,1,0,1,20110101,62263,CPT,PRQ LSS EDRL ADS SLN NJX/MCHNL LOCLZJ 2+ D,,30,,,"$2,765.18",$0.00,1,0,1,20110101,62264,CPT,PRQ LSS EDRL ADS SLN NJX/MCHNL LOCLZJ 1 D,,30,,,"$4,872.35",$0.00,1,0,1,20110101,62267,CPT,PRQ ASPIR PULPOSUS/INTERVERTEBRAL DISC/PVRT TISS,,30,,,"$1,692.00",$0.00,1,0,1,20110101,62268,CPT,PRQ ASPIR SPI CORD CST/SYRINX,,30,,,"$2,765.18",$0.00,1,0,1,20110101,62269,CPT,BX SPI CORD PRQ NDL,,30,,,"$3,556.29",$0.00,1,0,1,20110101,62270,CPT,SPI PNXR LMBR DX,,30,,,"$1,369.36",$0.00,1,0,1,20110101,62272,CPT,SPI PNXR THER F/DRG CEREBSP FLU,,30,,,"$1,369.36",$0.00,1,0,1,20110101,62273,CPT,NJX EDRL BLD/CLOT PATCH,,30,,,"$2,826.88",$0.00,1,0,1,20110101,62280,CPT,NJX/NFS NULYT SBST SBST SARACH,,30,,,"$2,765.18",$0.00,1,0,1,20110101,62281,CPT,NJX/NFS NULYT SBST EDRL CRV/THRC,,30,,,"$2,765.18",$0.00,1,0,1,20110101,62282,CPT,NJX/NFS NULYT SBST EDRL LMBR SAC,,30,,,"$2,765.18",$0.00,1,0,1,20110101,62287,CPT,DCMPRN PERQ NUCLEUS PULPOSUS 1/> LEVELS LUMBAR,,30,,,"$13,487.48",$0.00,1,0,1,20110101,62291,CPT,NJX DISKOGRAPY EA LVL CRV/THRC,,30,,,"$2,700.31",$0.00,1,0,1,20110101,62292,CPT,NJX CHEMONUCLEOLSS DISKOGRAPY 1+ LMBR,,30,,,"$2,765.18",$0.00,1,0,1,20110101,62294,CPT,NJX ARTL OCCLUSION ARVEN MALFRMJ SPI,,30,,,"$2,765.18",$0.00,1,0,1,20110101,62310,CPT,NJX C+-DX/THER SBST EDRL/SARACH CRV/THRC,,30,,,"$2,765.18",$0.00,1,0,1,20110101,62311,CPT,NJX C+-DX/THER SBST EDRL/SARACH LMBR SAC,,30,,,"$2,765.18",$0.00,1,0,1,20110101,62318,CPT,NJX NFS/BOLUS DX/SBST EDRL/SARACH CRV/THRC,,30,,,"$2,765.18",$0.00,1,0,1,20110101,62319,CPT,NJX NFS/BOLUS DX/SBST EDRL/SARACH LMBR SAC,,30,,,"$4,566.04",$0.00,1,0,1,20110101,62350,CPT,IMPLTJ REVJ/RPSG ITHCL/EDRL CATH PMP W/O LAM,,30,,,"$14,529.87",$0.00,1,0,1,20110101,62351,CPT,IMPLTJ REVJ/RPSG ITHCL/EDRL CATH W/LAM,,30,,,"$16,609.66",$0.00,1,0,1,20110101,62355,CPT,RMVL PREVIOUSLY IMPLTED ITHCL/EDRL CATH,,30,,,"$4,872.35",$0.00,1,0,1,20110101,62360,CPT,IMPLTJ/RPLCMT ITHCL/EDRL DRUG NFS SUBQ RSVR,,30,,,"$14,529.87",$0.00,1,0,1,20110101,62361,CPT,IMPLTJ/RPLCMT ITHCL/EDRL NFS NON-PRGRBL PMP,,30,,,"$26,715.82",$0.00,1,0,1,20110101,62362,CPT,IMPLTJ/RPLCMT ITHCL/EDRL DRUG NFS PRGRBL PMP,,30,,,"$26,715.82",$0.00,1,0,1,20110101,62365,CPT,RMVL SUBQ RSVR/PMP,,30,,,"$13,487.48",$0.00,1,0,1,20110101,62367,CPT,ELEC ALYS PRGRBL PMP W/O REPRGRMG,,30,,,$934.66,$0.00,1,0,1,20110101,62368,CPT,ELEC ALYS PRGRBL PMP REPRGRMG,,30,,,$934.66,$0.00,1,0,1,20110101,63001,CPT,LAM W/O FACETEC FORAMOT/DSKC 1/2 VRT SEG CRV,,30,,,"$16,609.66",$0.00,1,0,1,20110101,63003,CPT,LAM W/O FFD 1/2 VRT SEG THRC,,30,,,"$16,609.66",$0.00,1,0,1,20110101,63005,CPT,LAM W/O FFD 1/2 VRT SEG LMBR,,30,,,"$16,609.66",$0.00,1,0,1,20110101,63011,CPT,LAM W/O FFD 1/2 VRT SEG SAC,,30,,,"$16,609.66",$0.00,1,0,1,20110101,63012,CPT,LAM W/RMVL ABNORMAL FACETS LMBR,,30,,,"$16,609.66",$0.00,1,0,1,20110101,63015,CPT,LAM W/O FFD > 2 VRT SEG CRV,,30,,,"$16,609.66",$0.00,1,0,1,20110101,63016,CPT,LAM W/O FFD > 2 VRT SEG THRC,,30,,,"$16,609.66",$0.00,1,0,1,20110101,63017,CPT,LAM W/O FFD > 2 VRT SEG LMBR,,30,,,"$16,609.66",$0.00,1,0,1,20110101,63020,CPT,LAMINOTOMY INCL OPN & NDSC 1 INTERSPACE CERVICAL,,30,,,"$16,609.66",$0.00,1,0,1,20110101,63030,CPT,LAMINOTOMY INCL OPEN & NDSC 1 INTERSPACE LUMBAR,,30,,,"$16,609.66",$0.00,1,0,1,20110101,63035,CPT,LAMOT INCL OPEN&NDSC EA ADDL INTERSPACE CRV/LMBR,,30,,,"$16,609.66",$0.00,1,0,1,20110101,63040,CPT,LAMOT PRTL FFD HRNA8 REEXPL 1 NTRSPC CRV,,30,,,"$16,609.66",$0.00,1,0,1,20110101,63042,CPT,LAMOT PRTL FFD HRNA8 REEXPL 1 NTRSPC LMBR,,30,,,"$16,609.66",$0.00,1,0,1,20110101,63044,CPT,LAMOT W/PRTL FFD HRNA8 REEXPL 1 NTRSPC EA LMBR,,30,,,"$4,847.16",$0.00,1,0,1,20110101,63045,CPT,LAM FACETEC&FORAMOT 1 SGM CRV,,30,,,"$16,609.66",$0.00,1,0,1,20110101,63046,CPT,LAM FACETEC&FORAMOT 1 SGM THRC,,30,,,"$16,609.66",$0.00,1,0,1,20110101,63047,CPT,LAM FACETEC&FORAMOT 1 SGM LMBR,,30,,,"$16,609.66",$0.00,1,0,1,20110101,63048,CPT,LAM FACETEC&FORAMOT 1 SGM EA CRV THRC/LMBR,,30,,,"$16,609.66",$0.00,1,0,1,20110101,63055,CPT,TRANSPEDICULAR DCMPRN SPI CORD 1 SGM THRC,,30,,,"$16,609.66",$0.00,1,0,1,20110101,63056,CPT,TRANSPEDICULAR DCMPRN SPI CORD 1 SGM LMBR,,30,,,"$16,609.66",$0.00,1,0,1,20110101,63057,CPT,TRANSPEDICULAR DCMPRN 1 SGM EA THRC/LMBR,,30,,,"$16,609.66",$0.00,1,0,1,20110101,63064,CPT,COSTOVRT DCMPRN THRC 1 SGM,,30,,,"$16,609.66",$0.00,1,0,1,20110101,63066,CPT,COSTOVRT DCMPRN THRC EA SGM,,30,,,"$16,609.66",$0.00,1,0,1,20110101,63075,CPT,DSKC ANT DCMPRN CRV 1 NTRSPC,,30,,,"$16,609.66",$0.00,1,0,1,20110101,63076,CPT,DSKC ANT DCMPRN CRV EA NTRSPC,,30,,,"$16,609.66",$0.00,1,0,1,20110101,63081,CPT,VCRPEC ANT DCMPRN CRV 1 SGM,,30,,,"$11,315.44",$0.00,1,0,1,20110101,63082,CPT,VCRPEC ANT DCMPRN CRV EA SGM,,30,,,"$10,655.75",$0.00,1,0,1,20110101,63267,CPT,LAM EXC/EVAC ISPI LES OTH/THN NEO XDRL LMBR,,30,,,"$7,552.34",$0.00,1,0,1,20110101,63600,CPT,CRTJ LES SPI CORD STRTCTC PRQ,,30,,,"$6,886.99",$0.00,1,0,1,20110101,63610,CPT,STRTCTC STIMJ SPI CORD PRQ SPX N/FLWD OTH SURG,,30,,,"$6,886.99",$0.00,1,0,1,20110101,63615,CPT,STRTCTC BX ASPIR/EXC LES SPI CORD,,30,,,"$6,886.99",$0.00,1,0,1,20110101,63620,CPT,STEREOTACTIC RADIOSURGERY 1 SPINAL LESION,,30,,,"$17,154.91",$0.00,1,0,1,20110101,63621,CPT,STEREOTACTIC RADIOSURGERY EA ADDL SPINAL LESION,,30,,,"$4,765.25",$0.00,1,0,1,20110101,63650,CPT,PRQ IMPLTJ NSTIM ELTRD RA EDRL,,30,,,"$19,962.32",$0.00,1,0,1,20110101,63655,CPT,LAM IMPLTJ NSTIM ELTRDS PLATE/PADDLE EDRL,,30,,,"$22,611.70",$0.00,1,0,1,20110101,63661,CPT,RMVL SPINAL NSTIM ELTRD PRQ ARRAY INCL FLUOR,,30,,,"$7,224.79",$0.00,1,0,1,20110101,63662,CPT,RMVL SPINAL NSTIM ELTRD PLATE/PADDLE INCL FLUOR,,30,,,"$7,224.79",$0.00,1,0,1,20110101,63663,CPT,REVJ INCL RPLCMT NSTIM ELTRD PRQ RA INCL FLUOR,,30,,,"$7,224.79",$0.00,1,0,1,20110101,63664,CPT,REVJ INCL RPLCMT NSTIM ELTRD PLT/PDLE INCL FLUOR,,30,,,"$7,224.79",$0.00,1,0,1,20110101,63685,CPT,INSJ/RPLCMT SPI NPGR DIR/INDUXIVE COUPLING,,30,,,"$27,716.88",$0.00,1,0,1,20110101,63688,CPT,REVJ/RMVL IMPLTED SPI NPGR,,30,,,"$10,545.21",$0.00,1,0,1,20110101,63710,CPT,DURAL GRF SPI,,30,,,"$7,613.13",$0.00,1,0,1,20110101,63741,CPT,CRTJ SHUNT LMBR SARACH-PRTL-PLEURAL PRQ X LAM,,30,,,"$14,529.87",$0.00,1,0,1,20110101,63744,CPT,RPLCMT IRRIGATION/REVJ LUMBOSARACH SHUNT,,30,,,"$14,529.87",$0.00,1,0,1,20110101,63746,CPT,RMVL ENTIRE LUMBOSARACH SHUNT SYS W/O RPLCMT,,30,,,"$4,872.35",$0.00,1,0,1,20110101,64400,CPT,NJX ANES TRIGEMINAL NRV ANY DIV/BRANCH,,30,,,$822.73,$0.00,1,0,1,20110101,64402,CPT,NJX ANES FACIAL NRV,,30,,,$822.73,$0.00,1,0,1,20110101,64405,CPT,NJX ANES GRTER OCCIPITAL NRV,,30,,,"$1,369.36",$0.00,1,0,1,20110101,64408,CPT,NJX ANES VAGUS NRV,,30,,,"$2,765.18",$0.00,1,0,1,20110101,64410,CPT,NJX ANES PHRENIC NRV,,30,,,"$2,765.18",$0.00,1,0,1,20110101,64412,CPT,NJX ANES SPI ACCESSORY NRV,,30,,,"$2,765.18",$0.00,1,0,1,20110101,64413,CPT,NJX ANES CRV PLEXUS,,30,,,"$1,369.36",$0.00,1,0,1,20110101,64415,CPT,"SINGLE NERVE BLOCK INJECTION, ARM NERVE",,30,,,"$1,369.36",$0.00,1,0,1,20110101,64416,CPT,INJECTION ANES BRACHIAL PLEXUS CONT NFS CATH,,30,,,"$2,765.18",$0.00,1,0,1,20110101,64417,CPT,NJX ANES AX NRV,,30,,,"$1,369.36",$0.00,1,0,1,20110101,64418,CPT,NJX ANES SUPRASCAPULAR NRV,,30,,,"$1,369.36",$0.00,1,0,1,20110101,64420,CPT,NJX ANES INTERCOSTAL NRV 1,,30,,,"$1,369.36",$0.00,1,0,1,20110101,64421,CPT,"MULTIPLE NERVE BLOCK INJECTIONS, RIB NERVES",,30,,,"$2,765.18",$0.00,1,0,1,20110101,64425,CPT,NJX ANES ILIOINGUN ILIOHYPOGSTR NRV,,30,,,"$1,369.36",$0.00,1,0,1,20110101,64430,CPT,NJX ANES PUDENDAL NRV,,30,,,"$2,765.18",$0.00,1,0,1,20110101,64435,CPT,NJX ANES PARACRV NRV,,30,,,"$1,369.36",$0.00,1,0,1,20110101,64445,CPT,NJX ANES SCIATIC NRV 1,,30,,,"$2,765.18",$0.00,1,0,1,20110101,64446,CPT,INJECTION ANES SCIATIC NERVE CONT INFUSION CATH,,30,,,"$2,765.18",$0.00,1,0,1,20110101,64447,CPT,NJX ANES FEM NRV 1,,30,,,"$1,369.36",$0.00,1,0,1,20110101,64448,CPT,INJECTION ANES FEMORAL NERVE CONT INFUSION CATH,,30,,,"$2,765.18",$0.00,1,0,1,20110101,64449,CPT,INJECTION ANES LUMBAR PLEXUS POST CONT NFS CATH,,30,,,"$2,765.18",$0.00,1,0,1,20110101,64450,CPT,NJX ANES OTH PRPH NRV/BRANCH,,30,,,"$1,369.36",$0.00,1,0,1,20110101,64455,CPT,NJX ANES&/STEROID PLANTAR COMMON DIGITAL NERVE,,30,,,$822.73,$0.00,1,0,1,20110101,64479,CPT,NJX ANES&/STRD TFRML EDRL CRV/THRC 1 LVL,,30,,,"$2,765.18",$0.00,1,0,1,20110101,64480,CPT,NJX ANES&/STRD TFRML EDRL CRV/THRC EA LVL,,30,,,"$1,369.36",$0.00,1,0,1,20110101,64483,CPT,NJX ANES&/STRD TFRML EDRL LMBR/SAC 1 LVL,,30,,,"$2,765.18",$0.00,1,0,1,20110101,64484,CPT,NJX ANES&/STRD TFRML EDRL LMBR/SAC EA LVL,,30,,,"$1,369.36",$0.00,1,0,1,20110101,64490,CPT,NJX DX/THER AGT PVRT FACET JT CRV/THRC 1 LEVEL,,30,,,"$2,765.18",$0.00,1,0,1,20110101,64491,CPT,NJX DX/THER AGT PVRT FACET JT CRV/THRC 2ND LEVEL,,30,,,$822.73,$0.00,1,0,1,20110101,64492,CPT,NJX DX/THER AGT PVRT FACET JT CRV/THRC 3+ LEVEL,,30,,,$822.73,$0.00,1,0,1,20110101,64493,CPT,NJX DX/THER AGT PVRT FACET JT LMBR/SAC 1 LEVEL,,30,,,"$2,765.18",$0.00,1,0,1,20110101,64494,CPT,NJX DX/THER AGT PVRT FACET JT LMBR/SAC 2ND LEVEL,,30,,,$822.73,$0.00,1,0,1,20110101,64495,CPT,NJX DX/THER AGT PVRT FACET JT LMBR/SAC 3+ LEVEL,,30,,,$822.73,$0.00,1,0,1,20110101,64505,CPT,NJX ANES SPHENOPALATINE GANGLION,,30,,,$822.73,$0.00,1,0,1,20110101,64508,CPT,NJX ANES CRTD SINUS SPX,,30,,,$822.73,$0.00,1,0,1,20110101,64510,CPT,NJX ANES STELLATE GANGLION CRV SYMPATHETIC,,30,,,"$2,765.18",$0.00,1,0,1,20110101,64517,CPT,NJX ANES SUPRIOR HYPOGSTR PLEXUS,,30,,,"$2,765.18",$0.00,1,0,1,20110101,64520,CPT,NJX ANES LMBR/THRC PVRT SYMPATHETIC,,30,,,"$2,765.18",$0.00,1,0,1,20110101,64530,CPT,NJX ANES CELIAC PLEXUS +-RAD MNTR,,30,,,"$2,765.18",$0.00,1,0,1,20110101,64550,CPT,APPL SURF TC NSTIM,,30,,,$555.95,$0.00,1,0,1,20110101,64553,CPT,PRQ IMPLTJ NSTIM ELTRDS CRNL NRV,,30,,,"$19,962.32",$0.00,1,0,1,20110101,64555,CPT,PRQ IMPLTJ NSTIM ELTRDS PRPH NRV,,30,,,"$19,962.32",$0.00,1,0,1,20110101,64560,CPT,PRQ IMPLTJ NSTIM ELTRDS AUTONOMIC NRV,,30,,,"$19,962.32",$0.00,1,0,1,20110101,64561,CPT,PRQ IMPLTJ NSTIM ELTRDS SAC NRV,,30,,,"$19,962.32",$0.00,1,0,1,20110101,64565,CPT,PRQ IMPLTJ NSTIM ELTRDS NEUROMUSCULAR,,30,,,"$19,962.32",$0.00,1,0,1,20110101,64566,CPT,NEUROELTRD STIM POST TIBIAL,,30,,,$822.73,$0.00,1,0,1,20110101,64568,CPT,INC FOR VAGUS N ELECT IMPL,,30,,,"$43,190.19",$0.00,1,0,1,20110101,64569,CPT,REVISE/REPL VAGUS N ELTRD,,30,,,"$7,224.79",$0.00,1,0,1,20110101,64570,CPT,REMOVE VAGUS N ELTRD,,30,,,"$13,487.48",$0.00,1,0,1,20110101,64575,CPT,INC IMPLTJ NSTIM ELTRDS PRPH NRV,,30,,,"$22,611.70",$0.00,1,0,1,20110101,64577,CPT,INC IMPLTJ NSTIM ELTRDS AUTONOMIC NRV,,30,,,"$22,611.70",$0.00,1,0,1,20110101,64580,CPT,INC IMPLTJ NSTIM ELTRDS NEUROMUSCULAR,,30,,,"$22,611.70",$0.00,1,0,1,20110101,64581,CPT,INC IMPLTJ NSTIM ELTRDS SAC NRV,,30,,,"$22,611.70",$0.00,1,0,1,20110101,64585,CPT,REVJ/RMVL PRPH NSTIM ELTRDS,,30,,,"$7,224.79",$0.00,1,0,1,20110101,64590,CPT,INSERTION/RPLCMT PERIPHERAL/GASTRIC NPGR,,30,,,"$27,716.88",$0.00,1,0,1,20110101,64595,CPT,REVISION/RMVL PERIPHERAL/GASTRIC NPGR,,30,,,"$10,545.21",$0.00,1,0,1,20110101,64600,CPT,DSTRJ TRIGEMINAL NRV SUPRAORB INFRAORB BRANCH,,30,,,"$4,872.35",$0.00,1,0,1,20110101,64605,CPT,DSTRJ NULYT TRIGEMINAL NRV 2/3 DIV,,30,,,"$6,886.99",$0.00,1,0,1,20110101,64610,CPT,DSTRJ NULYT TRIGEMINAL NRV 2/3 DIV RAD MNTR,,30,,,"$6,886.99",$0.00,1,0,1,20110101,64611,CPT,CHEMODENERV SALIV GLANDS,,30,,,$822.73,$0.00,1,0,1,20110101,64612,CPT,CHEMODNRVTJ MUSC MUSC INNERVATED FACIAL NRV,,30,,,$822.73,$0.00,1,0,1,20110101,64613,CPT,CHEMODNRVTJ MUSC NCK MUSC,,30,,,"$1,369.36",$0.00,1,0,1,20110101,64614,CPT,CHEMODNRVTJ MUSC XTR&/TRNK MUSC,,30,,,"$1,369.36",$0.00,1,0,1,20110101,64620,CPT,DSTRJ NULYT INTERCOSTAL NRV,,30,,,"$2,765.18",$0.00,1,0,1,20110101,64622,CPT,DSTRJ NULYT PVRT FACET JT NRV LMBR/SAC 1 LVL,,30,,,"$4,872.35",$0.00,1,0,1,20110101,64623,CPT,DSTRJ NULYT PVRT FACET JT NRV LMBR/SAC EA LVL,,30,,,"$2,765.18",$0.00,1,0,1,20110101,64626,CPT,DSTRJ NULYT PVRT FACET JT NRV CRV/THRC 1 LVL,,30,,,"$2,765.18",$0.00,1,0,1,20110101,64627,CPT,DSTRJ NULYT PVRT FACET JT NRV CRV/THRC EA LVL,,30,,,$822.73,$0.00,1,0,1,20110101,64630,CPT,DSTRJ NULYT PUDENDAL NRV,,30,,,"$2,765.18",$0.00,1,0,1,20110101,64632,CPT,DSTRJ NEUROLYTIC PLANTAR COMMON DIGITAL NERVE,,30,,,$822.73,$0.00,1,0,1,20110101,64640,CPT,DSTRJ NULYT OTH PRPH NRV/BRANCH,,30,,,"$2,765.18",$0.00,1,0,1,20110101,64650,CPT,CHEMODNRVTJ ECCRINE GLNDS BTH AX,,30,,,$822.73,$0.00,1,0,1,20110101,64653,CPT,CHEMODNRVTJ ECCRINE GLNDS OTH AREA PR D,,30,,,$822.73,$0.00,1,0,1,20110101,64680,CPT,DSTRJ NULYT +-RAD MNTR CELIAC PLEXUS,,30,,,"$2,765.18",$0.00,1,0,1,20110101,64681,CPT,DSTRJ NULYT +-RAD MNTR SUPRIOR HYPOGSTR PLEXUS,,30,,,"$4,872.35",$0.00,1,0,1,20110101,64702,CPT,NEURP DGTAL 1/BTH SM DGT,,30,,,"$6,886.99",$0.00,1,0,1,20110101,64704,CPT,NEURP NRV HAND/FOOT,,30,,,"$6,886.99",$0.00,1,0,1,20110101,64708,CPT,NEURP MAJOR PRPH NRV ARM/LEG OTH/THN SPECIFIED,,30,,,"$6,886.99",$0.00,1,0,1,20110101,64712,CPT,NEURP MAJOR PRPH NRV ARM/LEG SCIATIC NRV,,30,,,"$6,886.99",$0.00,1,0,1,20110101,64713,CPT,NEURP MAJOR PRPH NRV ARM/LEG BRACH PLEXUS,,30,,,"$6,886.99",$0.00,1,0,1,20110101,64714,CPT,NEURP MAJOR PRPH NRV ARM/LEG LMBR PLEXUS,,30,,,"$6,886.99",$0.00,1,0,1,20110101,64716,CPT,NEURP&/TRPOS CRNL NRV,,30,,,"$6,886.99",$0.00,1,0,1,20110101,64718,CPT,NEURP&/TRPOS UR NRV ELBW,,30,,,"$6,886.99",$0.00,1,0,1,20110101,64719,CPT,NEURP&/TRPOS UR NRV WRST,,30,,,"$6,886.99",$0.00,1,0,1,20110101,64721,CPT,NEURP&/TRPOS MEDIAN NRV CARPL TUNNEL,,30,,,"$6,886.99",$0.00,1,0,1,20110101,64722,CPT,DCMPRN UNSPECIFIED NRV,,30,,,"$6,886.99",$0.00,1,0,1,20110101,64726,CPT,DCMPRN PLNTAR DGTAL NRV,,30,,,"$6,886.99",$0.00,1,0,1,20110101,64727,CPT,INT NEUROLSS REQ MCRSCP,,30,,,"$6,886.99",$0.00,1,0,1,20110101,64732,CPT,TRNSXJ/AVLSN SUPRAORB NRV,,30,,,"$6,886.99",$0.00,1,0,1,20110101,64734,CPT,TRNSXJ/AVLSN INFRAORB NRV,,30,,,"$6,886.99",$0.00,1,0,1,20110101,64736,CPT,TRNSXJ/AVLSN MENTAL NRV,,30,,,"$6,886.99",$0.00,1,0,1,20110101,64738,CPT,TRNSXJ/AVLSN INF ALVEOLAR NRV OSTEOM,,30,,,"$6,886.99",$0.00,1,0,1,20110101,64740,CPT,TRNSXJ/AVLSN LNGL NRV,,30,,,"$6,886.99",$0.00,1,0,1,20110101,64742,CPT,TRNSXJ/AVLSN FACIAL NRV DIFFIAL/COMPL,,30,,,"$6,886.99",$0.00,1,0,1,20110101,64744,CPT,TRNSXJ/AVLSN GRTER OCCIPITAL NRV,,30,,,"$6,886.99",$0.00,1,0,1,20110101,64746,CPT,TRNSXJ/AVLSN PHRENIC NRV,,30,,,"$6,886.99",$0.00,1,0,1,20110101,64761,CPT,TRNSXJ/AVLSN PUDENDAL NRV,,30,,,"$6,886.99",$0.00,1,0,1,20110101,64763,CPT,TRNSXJ/AVLSN OBTURATOR NRV XTRPEL,,30,,,"$6,886.99",$0.00,1,0,1,20110101,64766,CPT,TRNSXJ/AVLSN OBTURATOR NRV INTRAPEL,,30,,,"$13,487.48",$0.00,1,0,1,20110101,64771,CPT,TRNSXJ/AVLSN OTH CRNL NRV XDRL,,30,,,"$6,886.99",$0.00,1,0,1,20110101,64772,CPT,TRNSXJ/AVLSN OTH SPI NRV XDRL,,30,,,"$6,886.99",$0.00,1,0,1,20110101,64774,CPT,EXC NEUROMA CUTAN NRV SURGLY IDENTIFIABLE,,30,,,"$6,886.99",$0.00,1,0,1,20110101,64776,CPT,EXC NEUROMA DGTAL NRV 1/BTH SM DGT,,30,,,"$6,886.99",$0.00,1,0,1,20110101,64778,CPT,EXC NEUROMA DGTAL NRV EA DGT,,30,,,"$6,886.99",$0.00,1,0,1,20110101,64782,CPT,EXC NEUROMA HAND/FOOT XCP DGTAL NRV,,30,,,"$6,886.99",$0.00,1,0,1,20110101,64783,CPT,EXC NEUROMA HAND/FOOT EA NRV XCP SM DGT,,30,,,"$6,886.99",$0.00,1,0,1,20110101,64784,CPT,EXC NEUROMA MAJOR PRPH NRV XCP SCIATIC,,30,,,"$6,886.99",$0.00,1,0,1,20110101,64786,CPT,EXC NEUROMA SCIATIC NRV,,30,,,"$13,487.48",$0.00,1,0,1,20110101,64787,CPT,IMPLTJ NRV END IN B1/MUSC,,30,,,"$6,886.99",$0.00,1,0,1,20110101,64788,CPT,EXC NEUROFIBROMA/NEUROLEMMOMA CUTAN NRV,,30,,,"$6,886.99",$0.00,1,0,1,20110101,64790,CPT,EXC NEUROFIBROMA/NEUROLEMMOMA MAJOR PRPH NRV,,30,,,"$6,886.99",$0.00,1,0,1,20110101,64792,CPT,EXC NEUROFIBROMA/NEUROLEMMOMA X10SV,,30,,,"$13,487.48",$0.00,1,0,1,20110101,64795,CPT,BX NRV,,30,,,"$6,886.99",$0.00,1,0,1,20110101,64802,CPT,SYMPTH CRV,,30,,,"$6,886.99",$0.00,1,0,1,20110101,64804,CPT,SYMPTH CERVICOTHRC,,30,,,"$6,886.99",$0.00,1,0,1,20110101,64820,CPT,SYMPTH DGTAL ARTS EA DGT,,30,,,"$6,886.99",$0.00,1,0,1,20110101,64821,CPT,SYMPTH RDL ART,,30,,,"$10,388.46",$0.00,1,0,1,20110101,64822,CPT,SYMPTH UR ART,,30,,,"$10,388.46",$0.00,1,0,1,20110101,64823,CPT,SYMPTH SUPFC PLMR ARCH,,30,,,"$10,388.46",$0.00,1,0,1,20110101,64831,CPT,SUTR DGTAL NRV HAND/FOOT 1 NRV,,30,,,"$13,487.48",$0.00,1,0,1,20110101,64832,CPT,SUTR DGTAL NRV HAND/FOOT EA DGTAL NRV,,30,,,"$13,487.48",$0.00,1,0,1,20110101,64834,CPT,SUTURE 1 NERVE HAND/FOOT COMMON SENSORY NERVE,,30,,,"$13,487.48",$0.00,1,0,1,20110101,64835,CPT,SUTURE 1 NERVE MEDIAN MOTOR THENAR,,30,,,"$13,487.48",$0.00,1,0,1,20110101,64836,CPT,SUTURE 1 NERVE ULNAR MOTOR,,30,,,"$13,487.48",$0.00,1,0,1,20110101,64837,CPT,SUTR EA NRV HAND/FOOT,,30,,,"$13,487.48",$0.00,1,0,1,20110101,64840,CPT,SUTR POST TIBL NRV,,30,,,"$13,487.48",$0.00,1,0,1,20110101,64856,CPT,SUTR PRPH NRV ARM/LEG XCP SCIATIC W/TRPOS,,30,,,"$13,487.48",$0.00,1,0,1,20110101,64857,CPT,SUTR PRPH NRV ARM/LEG XCP SCIATIC W/O TRPOS,,30,,,"$13,487.48",$0.00,1,0,1,20110101,64858,CPT,SUTR SCIATIC NRV,,30,,,"$13,487.48",$0.00,1,0,1,20110101,64859,CPT,SUTR EA MAJOR PRPH NRV,,30,,,"$13,487.48",$0.00,1,0,1,20110101,64861,CPT,SUTR BRACH PLEXUS,,30,,,"$13,487.48",$0.00,1,0,1,20110101,64862,CPT,SUTR LMBR PLEXUS,,30,,,"$13,487.48",$0.00,1,0,1,20110101,64864,CPT,SUTR FACIAL NRV XTRC,,30,,,"$13,487.48",$0.00,1,0,1,20110101,64865,CPT,SUTR FACIAL NRV ITPRL +-GRFG,,30,,,"$13,487.48",$0.00,1,0,1,20110101,64870,CPT,ANAST FACIAL-PHRENIC,,30,,,"$13,487.48",$0.00,1,0,1,20110101,64872,CPT,SUTR NRV REQ SEC/DLYD SUTR,,30,,,"$13,487.48",$0.00,1,0,1,20110101,64874,CPT,SUTR NRV REQ X10SV MOBLJ/TRPOS NRV,,30,,,"$13,487.48",$0.00,1,0,1,20110101,64876,CPT,SUTR NRV REQ SHRT B1 XTR,,30,,,"$13,487.48",$0.00,1,0,1,20110101,64885,CPT,NRV GRF HEAD/NCK <4 CM,,30,,,"$13,487.48",$0.00,1,0,1,20110101,64886,CPT,NRV GRF HEAD/NCK >4 CM,,30,,,"$13,487.48",$0.00,1,0,1,20110101,64890,CPT,NRV GRF 1 STRAND HAND/FOOT <4 CM,,30,,,"$13,487.48",$0.00,1,0,1,20110101,64891,CPT,NRV GRF 1 STRAND HAND/FOOT >4 CM,,30,,,"$13,487.48",$0.00,1,0,1,20110101,64892,CPT,NRV GRF 1 STRAND ARM/LEG <4 CM,,30,,,"$13,487.48",$0.00,1,0,1,20110101,64893,CPT,NRV GRF 1 STRAND ARM/LEG >4 CM,,30,,,"$13,487.48",$0.00,1,0,1,20110101,64895,CPT,NRV GRF MLT STRANDS HAND/FOOT <4 CM,,30,,,"$13,487.48",$0.00,1,0,1,20110101,64896,CPT,NRV GRF MLT STRANDS HAND/FOOT > 4 CM,,30,,,"$13,487.48",$0.00,1,0,1,20110101,64897,CPT,NRV GRF MLT STRANDS ARM/LEG <4 CM,,30,,,"$13,487.48",$0.00,1,0,1,20110101,64898,CPT,NRV GRF MLT STRANDS ARM/LEG >4 CM,,30,,,"$13,487.48",$0.00,1,0,1,20110101,64901,CPT,NRV GRF EA NRV 1 STRAND,,30,,,"$13,487.48",$0.00,1,0,1,20110101,64902,CPT,NRV GRF EA NRV MLT STRANDS,,30,,,"$13,487.48",$0.00,1,0,1,20110101,64905,CPT,NRV PEDCL TR 1ST STG,,30,,,"$13,487.48",$0.00,1,0,1,20110101,64907,CPT,NRV PEDCL TR 2ND STG,,30,,,"$13,487.48",$0.00,1,0,1,20110101,64910,CPT,NERVE REPAIR W/CONDUIT EA NERVE,,30,,,"$13,487.48",$0.00,1,0,1,20110101,64911,CPT,NERVE REPAIR W/AUTOGENOUS VEIN GRAFT EA NERVE,,30,,,"$13,487.48",$0.00,1,0,1,20110101,64999,CPT,UNLIS PX NRVS SYS,,30,,,$822.73,$0.00,1,0,1,20110101,65091,CPT,EVSC OC CNTS W/O IMPLT,,30,,,"$13,975.97",$0.00,1,0,1,20110101,65093,CPT,EVSC OC CNTS W/IMPLT,,30,,,"$13,975.97",$0.00,1,0,1,20110101,65101,CPT,ENCL EYE W/O IMPLT,,30,,,"$13,975.97",$0.00,1,0,1,20110101,65103,CPT,ENCL EYE IMPLT MUSC X ATTACHED IMPLT,,30,,,"$13,975.97",$0.00,1,0,1,20110101,65105,CPT,ENCL EYE IMPLT MUSC ATTACHED IMPLT,,30,,,"$13,975.97",$0.00,1,0,1,20110101,65110,CPT,EXNTJ ORBIT RMVL ORB CNTS ONLY,,30,,,"$13,975.97",$0.00,1,0,1,20110101,65112,CPT,EXNTJ ORBIT RMVL ORB CNTS W/THER RMVL B1,,30,,,"$13,975.97",$0.00,1,0,1,20110101,65114,CPT,EXNTJ ORBIT RMVL ORB CNTS W/MUSC/MYOQ FLAP,,30,,,"$13,975.97",$0.00,1,0,1,20110101,65125,CPT,MODIFICAJ OC IMPLT W/PLMT/RPLCMT PEGS SPX,,30,,,"$9,874.16",$0.00,1,0,1,20110101,65130,CPT,INSJ OC IMPLT SEC AFTER EVSC SCLL SHELL,,30,,,"$9,874.16",$0.00,1,0,1,20110101,65135,CPT,INSJ OC IMPLT AFTER ENCL MUSC X ATTACHED,,30,,,"$9,874.16",$0.00,1,0,1,20110101,65140,CPT,INSJ OC IMPLT AFTER ENCL MUSC ATTACHED,,30,,,"$13,975.97",$0.00,1,0,1,20110101,65150,CPT,RINSJ OC IMPLT +-CJNCL GRF,,30,,,"$9,874.16",$0.00,1,0,1,20110101,65155,CPT,RINSJ OC IMPLT RNFCMT&/ATTACHMENT MUSC,,30,,,"$13,975.97",$0.00,1,0,1,20110101,65175,CPT,RMVL OC IMPLT,,30,,,"$6,680.23",$0.00,1,0,1,20110101,65205,CPT,RMVL FB XTRNL EYE CJNCL SUPFC,,30,,,$350.70,$0.00,1,0,1,20110101,65210,CPT,RMVL FB XTRNL EYE EMBEDDED SCJNCL/SCLL NONPRF8,,30,,,$350.70,$0.00,1,0,1,20110101,65220,CPT,RMVL FB XTRNL EYE CRNL W/O SLIT LAMP,,30,,,$350.70,$0.00,1,0,1,20110101,65222,CPT,RMVL FB XTRNL EYE CRNL W/SLIT LAMP,,30,,,$350.70,$0.00,1,0,1,20110101,65235,CPT,RMVL FB IO FROM ANT CHAMBER EYE/LENS,,30,,,"$5,977.77",$0.00,1,0,1,20110101,65260,CPT,RMVL FB IO FROM POST SGM MAG XTRJ ANT/POST ROUTE,,30,,,"$2,152.13",$0.00,1,0,1,20110101,65265,CPT,RMVL FB IO FROM POST SGM NONMAG XTRJ,,30,,,"$7,620.75",$0.00,1,0,1,20110101,65270,CPT,RPR LAC CJNC +-NONPRF8 LAC SCL DIR CLSR,,30,,,"$6,680.23",$0.00,1,0,1,20110101,65272,CPT,RPR LAC CJNC MOBLJ&REARGMT W/O HOSPIZATION,,30,,,"$8,977.41",$0.00,1,0,1,20110101,65275,CPT,RPR LAC CRN NONPRF8 +-RMVL FB,,30,,,"$8,977.41",$0.00,1,0,1,20110101,65280,CPT,RPR LAC CRN&/SCL PRF8 X INVG UVEAL TISS,,30,,,"$7,620.75",$0.00,1,0,1,20110101,65285,CPT,RPR LAC CRN&/SCL PRF8 W/REPOS/RESCJ UVEAL TISS,,30,,,"$14,239.66",$0.00,1,0,1,20110101,65286,CPT,RPR LAC APPL TISS GLUE WND CRN&/SCL,,30,,,"$2,688.60",$0.00,1,0,1,20110101,65290,CPT,RPR WND EO MUSCLE TENDON&/TENON'S CAPSULE,,30,,,"$8,634.31",$0.00,1,0,1,20110101,65400,CPT,EXC LES CRN XCP PTERYGIUM,,30,,,"$5,977.77",$0.00,1,0,1,20110101,65410,CPT,BX CRN,,30,,,"$5,977.77",$0.00,1,0,1,20110101,65420,CPT,EXC/TRPOS PTERYGIUM W/O GRF,,30,,,"$5,977.77",$0.00,1,0,1,20110101,65426,CPT,EXC/TRPOS PTERYGIUM W/GRF,,30,,,"$8,977.41",$0.00,1,0,1,20110101,65430,CPT,SCRAPING CRN DX F/SMR&/CULTURE,,30,,,$350.70,$0.00,1,0,1,20110101,65435,CPT,RMVL CRNL EPITHE +-CHEMOCAUT,,30,,,"$2,811.48",$0.00,1,0,1,20110101,65436,CPT,RMVL CRNL EPITHE W/APPL CHELATING AGT,,30,,,"$5,977.77",$0.00,1,0,1,20110101,65450,CPT,DSTRJ LES CRN CRTX PC/THERMOCAUT,,30,,,$720.13,$0.00,1,0,1,20110101,65600,CPT,MLT PNXRS ANT CRN,,30,,,"$6,680.23",$0.00,1,0,1,20110101,65710,CPT,KERATOPLASTY ANTERIOR LAMELLAR,,30,,,"$13,561.16",$0.00,1,0,1,20110101,65730,CPT,KERATOPLASTY PENTRG EXCEPT APHAKIA/PSEUDOPHAKIA,,30,,,"$13,561.16",$0.00,1,0,1,20110101,65750,CPT,KERATOPLASTY PENTRG APHK,,30,,,"$13,561.16",$0.00,1,0,1,20110101,65755,CPT,KERATOPLASTY PENTRG PSEUDOPHAKIA,,30,,,"$13,561.16",$0.00,1,0,1,20110101,65756,CPT,KERATOPLASTY ENDOTHELIAL,,30,,,"$13,561.16",$0.00,1,0,1,20110101,65760,CPT,KERATOMILEUSIS,,30,,,"$9,963.89",$0.00,1,0,1,20110101,65765,CPT,KERATOPHAKIA,,30,,,"$9,963.89",$0.00,1,0,1,20110101,65767,CPT,EPIKERATOPLASTY,,30,,,"$9,963.89",$0.00,1,0,1,20110101,65770,CPT,KERATOPROSTH,,30,,,"$23,413.67",$0.00,1,0,1,20110101,65771,CPT,RDL KERATOTOMY,,30,,,"$3,623.23",$0.00,1,0,1,20110101,65772,CPT,CRNL RELAXING INC CORRJ INDUCED ASTIGMATISM,,30,,,"$5,977.77",$0.00,1,0,1,20110101,65775,CPT,CRNL WEDGE RESCJ CORRJ INDUCED ASTIGMATISM,,30,,,"$5,977.77",$0.00,1,0,1,20110101,65778,CPT,COVER EYE W/MEMBRANE,,30,,,"$2,811.48",$0.00,1,0,1,20110101,65779,CPT,COVER EYE W/MEMBRANE STENT,,30,,,"$2,839.16",$0.00,1,0,1,20110101,65780,CPT,OC SURF RCNSTJ AMNIOTIC MEMB TRNSPLJ,,30,,,"$13,561.16",$0.00,1,0,1,20110101,65781,CPT,OC SURF RCNSTJ LIMBAL STEM CELL ALGRFT,,30,,,"$13,561.16",$0.00,1,0,1,20110101,65782,CPT,OC SURF RCNSTJ LIMBAL CJNCL AGRFT,,30,,,"$13,561.16",$0.00,1,0,1,20110101,65800,CPT,PCNTS EYE SPX DX ASPIR AQUEOUS,,30,,,"$2,688.60",$0.00,1,0,1,20110101,65805,CPT,PCNTS EYE SPX THER RLS AQUEOUS,,30,,,"$5,977.77",$0.00,1,0,1,20110101,65810,CPT,PCNTS EYE SPX RMVL VTS&/DSCJ MEMB,,30,,,"$8,977.41",$0.00,1,0,1,20110101,65815,CPT,PCNTS EYE SPX RMVL BLD,,30,,,"$8,977.41",$0.00,1,0,1,20110101,65820,CPT,GONIOTOMY,,30,,,"$8,712.62",$0.00,1,0,1,20110101,65850,CPT,TRABECULOTOMY AB EXTERNO,,30,,,"$8,977.41",$0.00,1,0,1,20110101,65855,CPT,TRABECULOPLASTY LASER SURG 1+ SESS,,30,,,"$1,950.35",$0.00,1,0,1,20110101,65860,CPT,SEVERING ADS ANT SGM LASER TQ SPX,,30,,,"$1,950.35",$0.00,1,0,1,20110101,65865,CPT,SEVERING ADS ANT SGM INCAL TQ SPX GONIOSYNECHIAE,,30,,,"$5,977.77",$0.00,1,0,1,20110101,65870,CPT,SEVERING ADS ANT SGM INCAL SPX ANT SYNECHIAE,,30,,,"$8,977.41",$0.00,1,0,1,20110101,65875,CPT,SEVERING ADS ANT SGM INCAL SPX POST SYNECHIAE,,30,,,"$8,977.41",$0.00,1,0,1,20110101,65880,CPT,SEVERING ADS ANT SGM INCAL SPX CORNEOVITREAL,,30,,,"$5,977.77",$0.00,1,0,1,20110101,65900,CPT,RMVL EPITHELIAL DOWNGROWTH ANT CHAMBER EYE,,30,,,$909.29,$0.00,1,0,1,20110101,65920,CPT,RMVL IMPLTED MATRL ANT SGM EYE,,30,,,"$8,977.41",$0.00,1,0,1,20110101,65930,CPT,RMVL BLD CLOT ANT SGM EYE,,30,,,"$8,977.41",$0.00,1,0,1,20110101,66020,CPT,NJX ANT CHAMBER EYE SPX AIR/LIQ,,30,,,"$5,977.77",$0.00,1,0,1,20110101,66030,CPT,NJX ANT CHAMBER EYE SPX MED,,30,,,"$6,388.51",$0.00,1,0,1,20110101,66130,CPT,EXC LES SCL,,30,,,"$8,977.41",$0.00,1,0,1,20110101,66150,CPT,FSTLJ SCL GLC TREPH IRDEC,,30,,,"$8,977.41",$0.00,1,0,1,20110101,66155,CPT,FSTLJ SCL GLC THERMOCAUT IRDEC,,30,,,"$8,977.41",$0.00,1,0,1,20110101,66160,CPT,FSTLJ SCL GLC SCLERCOMY PUNCH/SCISSORS IRDEC,,30,,,"$8,977.41",$0.00,1,0,1,20110101,66165,CPT,FSTLJ SCL GLC IRIDENCLEISIS/IRIDOTASIS,,30,,,"$8,977.41",$0.00,1,0,1,20110101,66170,CPT,FSTLJ SCL GLC TRBEC AB EXTERNO,,30,,,"$8,977.41",$0.00,1,0,1,20110101,66172,CPT,FSTLJ SCL GLC TRBEC AB EXTERNO SCARRING,,30,,,"$8,977.41",$0.00,1,0,1,20110101,66174,CPT,TRANSLUM DIL EYE CANAL,,30,,,"$14,759.65",$0.00,1,0,1,20110101,66175,CPT,TRNSLUM DIL EYE CANAL W/STNT,,30,,,"$14,759.65",$0.00,1,0,1,20110101,66180,CPT,AQUEOUS SHUNT EO RSVR,,30,,,"$14,759.65",$0.00,1,0,1,20110101,66185,CPT,REVJ AQUEOUS SHUNT EO RSVR,,30,,,"$8,977.41",$0.00,1,0,1,20110101,66220,CPT,RPR SCLL STAPHYLOMA W/O GRF,,30,,,"$14,239.66",$0.00,1,0,1,20110101,66225,CPT,RPR SCLL STAPHYLOMA W/GRF,,30,,,"$14,759.65",$0.00,1,0,1,20110101,66250,CPT,REVJ/RPR OPRATIVE WND ANT SGM,,30,,,"$5,977.77",$0.00,1,0,1,20110101,66500,CPT,IRIDOTOMY STAB INC SPX XCP TRANSFIXION,,30,,,$909.29,$0.00,1,0,1,20110101,66505,CPT,IRIDOTOMY STAB INC SPX TRANSFIXION,,30,,,"$2,688.60",$0.00,1,0,1,20110101,66600,CPT,IRDEC CRNLSCLRL/CRNL SCTJ RMVL LES,,30,,,"$8,977.41",$0.00,1,0,1,20110101,66605,CPT,IRDEC CRNLSCLRL/CRNL SCTJ CYCLECTOMY,,30,,,"$8,977.41",$0.00,1,0,1,20110101,66625,CPT,IRDEC CRNLSCLRL/CRNL SCTJ PRPH GLC SPX,,30,,,"$2,688.60",$0.00,1,0,1,20110101,66630,CPT,IRDEC CRNLSCLRL/CRNL SCTJ SECTOR GLC SPX,,30,,,"$8,977.41",$0.00,1,0,1,20110101,66635,CPT,IRDEC CRNLSCLRL/CRNL SCTJ OPTICAL SPX,,30,,,"$8,977.41",$0.00,1,0,1,20110101,66680,CPT,RPR IRIS CILIARY BDY,,30,,,"$8,977.41",$0.00,1,0,1,20110101,66682,CPT,SUTR IRIS CILIARY BDY SPX RETRIEVAL SUTR,,30,,,"$8,977.41",$0.00,1,0,1,20110101,66700,CPT,CILIARY BDY DSTRJ DTHRM,,30,,,"$5,977.77",$0.00,1,0,1,20110101,66710,CPT,CILIARY BDY DSTRJ CYCLOPC TRANSSCLL,,30,,,"$5,977.77",$0.00,1,0,1,20110101,66711,CPT,CILIARY BDY DSTRJ CYCLOPC NDSC,,30,,,"$5,977.77",$0.00,1,0,1,20110101,66720,CPT,CILIARY BDY DSTRJ CRTX,,30,,,"$5,977.77",$0.00,1,0,1,20110101,66740,CPT,CILIARY BDY DSTRJ CYCLODIAL,,30,,,"$8,977.41",$0.00,1,0,1,20110101,66761,CPT,IRIDOTOMY/IRDEC LASER SURG 1+ SESS,,30,,,"$1,950.35",$0.00,1,0,1,20110101,66762,CPT,IRIDOPLASTY PC 1+ SESS,,30,,,"$1,950.35",$0.00,1,0,1,20110101,66770,CPT,DSTRJ CST/LES IRIS/CILIARY BDY,,30,,,"$1,950.35",$0.00,1,0,1,20110101,66820,CPT,DSCJ SEC MEMBRANOUS CTRC STAB INC,,30,,,"$2,688.60",$0.00,1,0,1,20110101,66821,CPT,POST-CATARACT LASER SURGERY,,30,,,"$1,950.35",$0.00,1,0,1,20110101,66825,CPT,RPSG IO LENS PROSTH REQ INC SPX,,30,,,"$8,977.41",$0.00,1,0,1,20110101,66830,CPT,RMVL SEC MEMBRANOUS CTRC CORNEO-SCLL SCTJ,,30,,,"$2,688.60",$0.00,1,0,1,20110101,66840,CPT,RMVL LENS MATRL ASPIR TQ 1+ STGS,,30,,,"$5,815.88",$0.00,1,0,1,20110101,66850,CPT,RMVL LENS MATRL PHACOFRAGMENTATION ASPIR,,30,,,"$11,158.00",$0.00,1,0,1,20110101,66852,CPT,RMVL LENS MATRL PARS PLNA APPR +-VTRC,,30,,,"$11,158.00",$0.00,1,0,1,20110101,66920,CPT,RMVL LENS MATRL ICAPSL,,30,,,"$11,158.00",$0.00,1,0,1,20110101,66930,CPT,RMVL LENS MATRL ICAPSL F/DISLC LENS,,30,,,"$11,158.00",$0.00,1,0,1,20110101,66940,CPT,RMVL LENS MATRL XCAPSL,,30,,,"$5,815.88",$0.00,1,0,1,20110101,66982,CPT,XCAPSL CTRC RMVL INSJ LENS PROSTH 1 STG,,30,,,"$8,204.26",$0.00,1,0,1,20110101,66983,CPT,ICAPSL CTRC XTRJ INSJ IO LENS PROSTH 1 STG,,30,,,"$8,204.26",$0.00,1,0,1,20110101,66984,CPT,"CATARACT REMOVAL, INSERTION OF LENS",,30,,,"$8,204.26",$0.00,1,0,1,20110101,66985,CPT,INSJ IO LENS PROSTH X W/CNCRNT RMVL,,30,,,"$8,204.26",$0.00,1,0,1,20110101,66986,CPT,EXCHNG IO LENS,,30,,,"$8,204.26",$0.00,1,0,1,20110101,66999,CPT,UNLIS ANT SGM EYE,,30,,,$909.29,$0.00,1,0,1,20110101,67005,CPT,RMVL VTS ANT APPR PRTL RMVL,,30,,,"$7,620.75",$0.00,1,0,1,20110101,67010,CPT,RMVL VTS ANT APPR STOT RMVL VTRC,,30,,,"$14,239.66",$0.00,1,0,1,20110101,67015,CPT,ASPIR/RLS FLU PARS PLNA,,30,,,"$14,239.66",$0.00,1,0,1,20110101,67025,CPT,NJX VTS SUB PARS PLNA/LIMBAL SPX,,30,,,"$14,174.54",$0.00,1,0,1,20110101,67027,CPT,IMPLTJ INTRAVITREAL DRUG DLVR SYS RMVL VTS,,30,,,"$14,239.66",$0.00,1,0,1,20110101,67028,CPT,INTRAVITREAL NJX PHARMACOLOGIC AGT SPX,,30,,,"$1,187.11",$0.00,1,0,1,20110101,67030,CPT,DSCJ VTS STRANDS PARS PLNA,,30,,,"$7,620.75",$0.00,1,0,1,20110101,67031,CPT,SEVERING VTS STRANDS LASER 1+ STGS,,30,,,"$1,950.35",$0.00,1,0,1,20110101,67036,CPT,VTRC MCHNL PARS PLNA,,30,,,"$14,239.66",$0.00,1,0,1,20110101,67039,CPT,VTRC MCHNL PARS PLNA FOCAL ENDOLASER PC,,30,,,"$14,239.66",$0.00,1,0,1,20110101,67040,CPT,VTRC MCHNL PARS PLNA ENDOLASER PANRTA PC,,30,,,"$14,239.66",$0.00,1,0,1,20110101,67041,CPT,VITRECTOMY PARS PLANA REMOVE PRERETINAL MEMBRANE,,30,,,"$14,239.66",$0.00,1,0,1,20110101,67042,CPT,VITRECTOMY PARS PLANA REMOVE INT MEMB RETINA,,30,,,"$14,239.66",$0.00,1,0,1,20110101,67043,CPT,VITRECTOMY PARS PLANA REMOVE SUBRETINAL MEMBRANE,,30,,,"$14,239.66",$0.00,1,0,1,20110101,67101,CPT,RPR RTA DTCHMNT 1+ SESS CRTX/DTHRM +-DRG,,30,,,"$7,620.75",$0.00,1,0,1,20110101,67105,CPT,RPR RTA DTCHMNT 1+ SESS PC +-DRG SUBRTA,,30,,,"$1,950.35",$0.00,1,0,1,20110101,67107,CPT,RPR RTA DTCHMNT SCLL BUCKLING +-IMPLT,,30,,,"$14,239.66",$0.00,1,0,1,20110101,67108,CPT,RPR RTA DTCHMNT W/VTRC ANY METH,,30,,,"$14,239.66",$0.00,1,0,1,20110101,67110,CPT,RPR RTA DTCHMNT NJX AIR/OTH GAS,,30,,,"$7,620.75",$0.00,1,0,1,20110101,67112,CPT,RPR RTA DTCHMNT SCLL BUCKLING/VTRC PT,,30,,,"$14,239.66",$0.00,1,0,1,20110101,67113,CPT,RPR COMPLEX RETINA DETACH VITRECTOMY & MEMB PEEL,,30,,,"$14,239.66",$0.00,1,0,1,20110101,67115,CPT,RLS ENCIRCLING MATRL,,30,,,"$7,620.75",$0.00,1,0,1,20110101,67120,CPT,RMVL IMPLTED MATRL POST SGM EO,,30,,,"$7,620.75",$0.00,1,0,1,20110101,67121,CPT,RMVL IMPLTED MATRL POST SGM IO,,30,,,"$14,174.54",$0.00,1,0,1,20110101,67141,CPT,PROPH RTA DTCHMNT W/O DRG 1+ SESS CRTX DTHRM,,30,,,"$2,152.13",$0.00,1,0,1,20110101,67145,CPT,PROPH RTA DTCHMNT W/O DRG 1+ SESS,,30,,,"$1,950.35",$0.00,1,0,1,20110101,67208,CPT,DSTRJ LOCLZD LES RETINA 1+ SESS CRTX DTHRM,,30,,,"$2,152.13",$0.00,1,0,1,20110101,67210,CPT,DSTRJ LOCLZD LES RETINA 1+ SESS PC,,30,,,"$1,950.35",$0.00,1,0,1,20110101,67218,CPT,DSTRJ LES RETINA 1+ SESS RADJ IMPLTJ,,30,,,"$7,620.75",$0.00,1,0,1,20110101,67220,CPT,DSTRJ LES CHOROID PC 1+ SESS,,30,,,"$2,152.13",$0.00,1,0,1,20110101,67221,CPT,DSTRJ LES CHOROID PDT,,30,,,"$2,152.13",$0.00,1,0,1,20110101,67225,CPT,DSTRJ LES CHOROID PDT 2ND EYE 1 SESS,,30,,,"$2,152.13",$0.00,1,0,1,20110101,67227,CPT,DESTRUCTION RETINOPATHY 1+ SESS DIATHERMY,,30,,,"$7,620.75",$0.00,1,0,1,20110101,67228,CPT,EXTENSIVE RETINOPATHY 1+ SESS PHOTOCOAGULATION,,30,,,"$1,950.35",$0.00,1,0,1,20110101,67229,CPT,EXTENSIVE RETINOPATHY 1+ SESS PRETERM INFANT,,30,,,"$1,950.35",$0.00,1,0,1,20110101,67250,CPT,SCLL RNFCMT SPX W/O GRF,,30,,,"$6,680.23",$0.00,1,0,1,20110101,67255,CPT,SCLL RNFCMT SPX W/GRF,,30,,,"$7,620.75",$0.00,1,0,1,20110101,67299,CPT,UNLIS POST SGM,,30,,,"$2,152.13",$0.00,1,0,1,20110101,67311,CPT,STRABISMUS RECESSION/RESCJ 1 HRZNTL MUSC,,30,,,"$8,634.31",$0.00,1,0,1,20110101,67312,CPT,STRABISMUS RECESSION/RESCJ 2 HRZNTL MUSC,,30,,,"$8,634.31",$0.00,1,0,1,20110101,67314,CPT,STRABISMUS RECESSION/RESCJ 1 VER MUSC,,30,,,"$8,634.31",$0.00,1,0,1,20110101,67316,CPT,STRABISMUS RECESSION/RESCJ 2/MORE VER MUSC,,30,,,"$8,634.31",$0.00,1,0,1,20110101,67318,CPT,STRABISMUS ANY SUPRIOR OBLQ MUSC,,30,,,"$8,634.31",$0.00,1,0,1,20110101,67320,CPT,TRPOS ANY EO MUSC,,30,,,"$8,634.31",$0.00,1,0,1,20110101,67331,CPT,STRABISMUS PREVIOUS EYE X INVOLVE EO MUSC,,30,,,"$8,634.31",$0.00,1,0,1,20110101,67332,CPT,STRABISMUS SCARRING EO MUSC/RSTCV MYOPATHY,,30,,,"$8,634.31",$0.00,1,0,1,20110101,67334,CPT,STRABISMUS POST FIXJ SUTR TQ +-MUSC RECESSION,,30,,,"$8,634.31",$0.00,1,0,1,20110101,67335,CPT,PLMT ADJUSTABLE SUTR STRABISMUS,,30,,,"$8,634.31",$0.00,1,0,1,20110101,67340,CPT,STRABISMUS EXPL&/RPR DETACHED EO MUSC,,30,,,"$8,634.31",$0.00,1,0,1,20110101,67343,CPT,RLS X10SV SCAR TISS W/O DETACHING EO MUSC SPX,,30,,,"$8,634.31",$0.00,1,0,1,20110101,67345,CPT,CHEMODNRVTJ EO MUSC,,30,,,"$1,187.11",$0.00,1,0,1,20110101,67346,CPT,BIOPSY EXTRAOCULAR MUSCLE,,30,,,"$5,717.34",$0.00,1,0,1,20110101,67399,CPT,UNLIS OC MUSC,,30,,,"$8,634.31",$0.00,1,0,1,20110101,67400,CPT,ORBT W/O B1 FLAP EXPL +-BX,,30,,,"$6,680.23",$0.00,1,0,1,20110101,67405,CPT,ORBT W/O B1 FLAP DRG ONLY,,30,,,"$9,874.16",$0.00,1,0,1,20110101,67412,CPT,ORBT W/O B1 FLAP RMVL LES,,30,,,"$6,680.23",$0.00,1,0,1,20110101,67413,CPT,ORBT W/O B1 FLAP RMVL FB,,30,,,"$9,874.16",$0.00,1,0,1,20110101,67414,CPT,ORBT W/O B1 FLAP RMVL B1 DCMPRN,,30,,,"$13,975.97",$0.00,1,0,1,20110101,67415,CPT,FINE NDL ASPIR ORB CNTS,,30,,,"$6,680.23",$0.00,1,0,1,20110101,67420,CPT,ORBT B1 FLAP/WINDOW LAT RMVL LES,,30,,,"$13,975.97",$0.00,1,0,1,20110101,67430,CPT,ORBT B1 FLAP/WINDOW LAT RMVL FB,,30,,,"$13,975.97",$0.00,1,0,1,20110101,67440,CPT,ORBT B1 FLAP/WINDOW LAT DRG,,30,,,"$13,975.97",$0.00,1,0,1,20110101,67445,CPT,ORBT B1 FLAP/WINDOW LAT RMVL B1 DCMPRN,,30,,,"$13,975.97",$0.00,1,0,1,20110101,67450,CPT,ORBT B1 FLAP/WINDOW LAT EXPL +-BX,,30,,,"$13,975.97",$0.00,1,0,1,20110101,67500,CPT,RETROBULBAR NJX MED SPX,,30,,,$720.13,$0.00,1,0,1,20110101,67505,CPT,RETROBULBAR NJX ALCOHOL,,30,,,"$1,187.11",$0.00,1,0,1,20110101,67515,CPT,NJX MED/OTHER SBST TENON'S CAPSULE,,30,,,"$1,187.11",$0.00,1,0,1,20110101,67550,CPT,ORB IMPLT INSJ,,30,,,"$13,975.97",$0.00,1,0,1,20110101,67560,CPT,ORB IMPLT RMVL/REVJ,,30,,,"$9,874.16",$0.00,1,0,1,20110101,67570,CPT,OPTIC NRV DCMPRN,,30,,,"$13,975.97",$0.00,1,0,1,20110101,67599,CPT,UNLIS ORBIT,,30,,,"$1,187.11",$0.00,1,0,1,20110101,67700,CPT,BLEPHAROTOMY DRG ABSC EYELID,,30,,,"$1,187.11",$0.00,1,0,1,20110101,67710,CPT,SEVERING TARSORRHAPHY,,30,,,"$2,811.48",$0.00,1,0,1,20110101,67715,CPT,CANTHOTOMY SPX,,30,,,"$6,680.23",$0.00,1,0,1,20110101,67800,CPT,EXC CHALAZION 1,,30,,,"$1,187.11",$0.00,1,0,1,20110101,67801,CPT,EXC CHALAZION MLT SM LID,,30,,,"$2,811.48",$0.00,1,0,1,20110101,67805,CPT,EXC CHALAZION MLT DIFF LIDS,,30,,,"$1,187.11",$0.00,1,0,1,20110101,67808,CPT,EXC CHALAZION ANES REQ HOSPIZATION 1/MLT,,30,,,"$6,680.23",$0.00,1,0,1,20110101,67810,CPT,BX EYELID,,30,,,"$1,187.11",$0.00,1,0,1,20110101,67820,CPT,CORRJ TRICHIASIS EPILATION FORCEPS ONLY,,30,,,$350.70,$0.00,1,0,1,20110101,67825,CPT,CORRJ TRICHIASIS EPILATION OTH/THN FORCEPS,,30,,,"$1,187.11",$0.00,1,0,1,20110101,67830,CPT,CORRJ TRICHIASIS INC LID MRGN,,30,,,"$2,811.48",$0.00,1,0,1,20110101,67835,CPT,CORRJ TRICHIASIS INC LID MRGN W/FR MUC MEMB GRF,,30,,,"$6,680.23",$0.00,1,0,1,20110101,67840,CPT,EXC LES EYELID W/O CLSR/W/SMPL DIR CLSR,,30,,,"$2,811.48",$0.00,1,0,1,20110101,67850,CPT,DSTRJ LES LID MRGN <1 CM,,30,,,"$2,811.48",$0.00,1,0,1,20110101,67875,CPT,TEMP CLSR EYELIDS SUTR,,30,,,"$2,811.48",$0.00,1,0,1,20110101,67880,CPT,CONSTJ ADS MEDIAN TRPH/CTRPH,,30,,,"$5,977.77",$0.00,1,0,1,20110101,67882,CPT,CONSTJ ADS MEDIAN TRPH/CTRPH TRPOS PLATE,,30,,,"$6,680.23",$0.00,1,0,1,20110101,67900,CPT,RPR BROW PTOSIS,,30,,,"$9,874.16",$0.00,1,0,1,20110101,67901,CPT,RPR BLPOS FRNTIS MUSC SUTR/OTH MATRL,,30,,,"$6,680.23",$0.00,1,0,1,20110101,67902,CPT,RPR BLPOS FRNTIS MUSC AUTOL FSCAL SLING,,30,,,"$9,874.16",$0.00,1,0,1,20110101,67903,CPT,RPR BLPOS LEVATOR RESCJ/ADVMNT INT,,30,,,"$6,680.23",$0.00,1,0,1,20110101,67904,CPT,RPR BLPOS LEVATOR RESCJ/ADVMNT XTRNL,,30,,,"$6,680.23",$0.00,1,0,1,20110101,67906,CPT,RPR BLPOS SUPRIOR RECTUS FSCAL SLING,,30,,,"$6,680.23",$0.00,1,0,1,20110101,67908,CPT,RPR BLPOS CONJUNCTIVO-TARSO-MUSC-LEVATOR RESCJ,,30,,,"$6,680.23",$0.00,1,0,1,20110101,67909,CPT,RDCTJ >CORRJ PTOSIS,,30,,,"$6,680.23",$0.00,1,0,1,20110101,67911,CPT,CORRJ LID RETRCJ,,30,,,"$6,680.23",$0.00,1,0,1,20110101,67912,CPT,CORRJ LAGOPHTHALMOS IMPLTJ UPR EYELID LID LOAD,,30,,,"$6,680.23",$0.00,1,0,1,20110101,67914,CPT,RPR ECTROPION SUTR,,30,,,"$6,680.23",$0.00,1,0,1,20110101,67915,CPT,RPR ECTROPION THERMOCAUT,,30,,,"$6,680.23",$0.00,1,0,1,20110101,67916,CPT,RPR ECTROPION EXC TARSAL WEDGE,,30,,,"$6,680.23",$0.00,1,0,1,20110101,67917,CPT,RPR ECTROPION X10SV,,30,,,"$6,680.23",$0.00,1,0,1,20110101,67921,CPT,RPR ENTROPION SUTR,,30,,,"$6,680.23",$0.00,1,0,1,20110101,67922,CPT,RPR ENTROPION THERMOCAUT,,30,,,"$6,680.23",$0.00,1,0,1,20110101,67923,CPT,RPR ENTROPION EXC TARSAL WEDGE,,30,,,"$6,680.23",$0.00,1,0,1,20110101,67924,CPT,RPR ENTROPION X10SV,,30,,,"$6,680.23",$0.00,1,0,1,20110101,67930,CPT,SUTR RECENT WND EYELID PRTL THKNS,,30,,,"$6,680.23",$0.00,1,0,1,20110101,67935,CPT,SUTR RECENT WND EYELID FULL THKNS,,30,,,"$6,680.23",$0.00,1,0,1,20110101,67938,CPT,RMVL EMBEDDED FB EYELID,,30,,,$720.13,$0.00,1,0,1,20110101,67950,CPT,CANTHOPLASTY,,30,,,"$6,680.23",$0.00,1,0,1,20110101,67961,CPT,EXC&RPR EYELID < ONE-4TH LID MRGN,,30,,,"$6,680.23",$0.00,1,0,1,20110101,67966,CPT,EXC&RPR EYELID > ONE-4TH LID MRGN,,30,,,"$6,680.23",$0.00,1,0,1,20110101,67971,CPT,RCNSTJ EYELID FULL THKNS < 2-3RD 1 STG,,30,,,"$6,680.23",$0.00,1,0,1,20110101,67973,CPT,RCNSTJ EYELID FULL THKNS TOT LWR 1 STG,,30,,,"$9,874.16",$0.00,1,0,1,20110101,67974,CPT,RCNSTJ EYELID FULL THKNS TOT UPR 1 STG,,30,,,"$6,680.23",$0.00,1,0,1,20110101,67975,CPT,RCNSTJ EYELID FULL THKNS 2ND STG,,30,,,"$6,680.23",$0.00,1,0,1,20110101,67999,CPT,UNLIS EYELIDS,,30,,,"$1,187.11",$0.00,1,0,1,20110101,68020,CPT,INC CJNC DRG CST,,30,,,"$1,187.11",$0.00,1,0,1,20110101,68040,CPT,EXPRESSION CJNCL FOLLICLES,,30,,,$350.70,$0.00,1,0,1,20110101,68100,CPT,BX CJNC,,30,,,"$2,688.60",$0.00,1,0,1,20110101,68110,CPT,EXC LES CJNC UP 1 CM,,30,,,"$5,717.34",$0.00,1,0,1,20110101,68115,CPT,EXC LES CJNC > 1 CM,,30,,,"$6,680.23",$0.00,1,0,1,20110101,68130,CPT,EXC LES CJNC W/ADJ SCL,,30,,,"$5,977.77",$0.00,1,0,1,20110101,68135,CPT,DSTRJ LES CJNC,,30,,,"$2,811.48",$0.00,1,0,1,20110101,68200,CPT,SCJNCL NJX,,30,,,$350.70,$0.00,1,0,1,20110101,68320,CPT,CJP CJNCL GRF/X10SV REARGMT,,30,,,"$9,874.16",$0.00,1,0,1,20110101,68325,CPT,CJP BUCCAL MUC MEMB GRF,,30,,,"$9,874.16",$0.00,1,0,1,20110101,68326,CPT,CJP RCNSTJ CUL-DE-SAC CJNCL GRF/REARGMT,,30,,,"$6,680.23",$0.00,1,0,1,20110101,68328,CPT,CJP RCNSTJ CUL-DE-SAC BUCCAL MUC MEMB GRF,,30,,,"$9,874.16",$0.00,1,0,1,20110101,68330,CPT,RPR SYMBLEPHARON CJP W/O GRF,,30,,,"$8,977.41",$0.00,1,0,1,20110101,68335,CPT,RPR SYMBLEPHARON FR GRF CJNC/BUCCAL MUC MEMB,,30,,,"$9,874.16",$0.00,1,0,1,20110101,68340,CPT,RPR SYMBLEPHARON DIV,,30,,,"$6,680.23",$0.00,1,0,1,20110101,68360,CPT,CJNCL FLAP BRIDGE/PRTL SPX,,30,,,"$8,977.41",$0.00,1,0,1,20110101,68362,CPT,CJNCL FLAP TOT,,30,,,"$8,977.41",$0.00,1,0,1,20110101,68371,CPT,HRVG CJNCL ALGRFT LIV DON,,30,,,"$5,977.77",$0.00,1,0,1,20110101,68399,CPT,UNLIS CJNC,,30,,,"$1,187.11",$0.00,1,0,1,20110101,68400,CPT,INC DRG LACRIMAL GLND,,30,,,"$1,187.11",$0.00,1,0,1,20110101,68420,CPT,INC DRG LACRIMAL SAC,,30,,,"$6,680.23",$0.00,1,0,1,20110101,68440,CPT,SNIP INC LACRIMAL PUNCTUM,,30,,,"$1,187.11",$0.00,1,0,1,20110101,68500,CPT,EXC LACRIMAL GLND XCP TUM TOT,,30,,,"$9,874.16",$0.00,1,0,1,20110101,68505,CPT,EXC LACRIMAL GLND XCP TUM PRTL,,30,,,"$9,874.16",$0.00,1,0,1,20110101,68510,CPT,BX LACRIMAL GLND,,30,,,"$6,680.23",$0.00,1,0,1,20110101,68520,CPT,EXC LACRIMAL SAC,,30,,,"$9,874.16",$0.00,1,0,1,20110101,68525,CPT,BX LACRIMAL SAC,,30,,,"$6,680.23",$0.00,1,0,1,20110101,68530,CPT,RMVL FB/DACRYOLITH LACRIMAL PSAGES,,30,,,"$1,187.11",$0.00,1,0,1,20110101,68540,CPT,EXC LACRIMAL GLND TUM FRNT APPR,,30,,,"$6,680.23",$0.00,1,0,1,20110101,68550,CPT,EXC LACRIMAL GLND TUM INVG OSTEOM,,30,,,"$9,874.16",$0.00,1,0,1,20110101,68700,CPT,PLSTC RPR CANALICULI,,30,,,"$6,680.23",$0.00,1,0,1,20110101,68705,CPT,CORRJ EVERTED PUNCTUM CAUT,,30,,,"$1,187.11",$0.00,1,0,1,20110101,68720,CPT,DACRYOCSTORHINOSTOMY,,30,,,"$9,874.16",$0.00,1,0,1,20110101,68745,CPT,CONJUNCTIVORHINOSTOMY W/O TUBE,,30,,,"$9,874.16",$0.00,1,0,1,20110101,68750,CPT,CONJUNCTIVORHINOSTOMY INSJ TUBE/STENT,,30,,,"$9,874.16",$0.00,1,0,1,20110101,68760,CPT,CLSR LACRIMAL PUNCTUM THERMOCAUT LIG/LASER,,30,,,"$1,187.11",$0.00,1,0,1,20110101,68761,CPT,CLSR LACRIMAL PUNCTUM PLUG EA,,30,,,"$1,187.11",$0.00,1,0,1,20110101,68770,CPT,CLSR LACRIMAL FSTL SPX,,30,,,"$9,874.16",$0.00,1,0,1,20110101,68801,CPT,DILAT LACRIMAL PUNCTUM +-IRRG,,30,,,$350.70,$0.00,1,0,1,20110101,68810,CPT,PROBE NASOLACRIMAL DUX +-IRRG,,30,,,"$1,187.11",$0.00,1,0,1,20110101,68811,CPT,PROBE NASOLACRIMAL DUX +-IRRG ANES,,30,,,"$6,680.23",$0.00,1,0,1,20110101,68815,CPT,PROBE NASOLACRIMAL DUX +-IRRG INSJ TUBE/STENT,,30,,,"$6,680.23",$0.00,1,0,1,20110101,68816,CPT,PROBE NASOLACRIMAL DUCT WITH CATHETER DILATION,,30,,,"$6,680.23",$0.00,1,0,1,20110101,68840,CPT,PROBE LACRIMAL CANALICULI +-IRRG,,30,,,$720.13,$0.00,1,0,1,20110101,68850,CPT,NJX CNTRST MEDIUM DACRYOCSTOGRAPY,,30,,,$666.90,$0.00,1,0,1,20110101,68899,CPT,UNLIS LACRIMAL SYS,,30,,,"$1,187.11",$0.00,1,0,1,20110101,69000,CPT,DRG XTRNL EAR ABSC/HMTMA SMPL,,30,,,$535.53,$0.00,1,0,1,20110101,69005,CPT,DRG XTRNL EAR ABSC/HMTMA COMP,,30,,,"$7,139.49",$0.00,1,0,1,20110101,69020,CPT,DRG XTRNL AUD CANAL ABSC,,30,,,$535.53,$0.00,1,0,1,20110101,69100,CPT,BX XTRNL EAR,,30,,,"$1,260.04",$0.00,1,0,1,20110101,69105,CPT,BX XTRNL AUD CANAL,,30,,,"$6,323.34",$0.00,1,0,1,20110101,69110,CPT,EXC XTRNL EAR PRTL SMPL RPR,,30,,,"$6,437.25",$0.00,1,0,1,20110101,69120,CPT,EXC XTRNL EAR COMPL AMP,,30,,,"$9,184.01",$0.00,1,0,1,20110101,69140,CPT,EXC EXOSTOSIS XTRNL AUD CANAL,,30,,,"$9,184.01",$0.00,1,0,1,20110101,69145,CPT,EXC SOFT TISS LES XTRNL AUD CANAL,,30,,,"$6,437.25",$0.00,1,0,1,20110101,69150,CPT,RAD EXC XTRNL AUD CANAL LES W/O NCK DSJ,,30,,,"$2,803.22",$0.00,1,0,1,20110101,69200,CPT,RMVL FB XTRNL AUD CANAL W/O ANES,,30,,,$258.46,$0.00,1,0,1,20110101,69205,CPT,RMVL FB XTRNL AUD CANAL ANES,,30,,,"$8,604.32",$0.00,1,0,1,20110101,69210,CPT,RMVL IMPACTED CERUMEN SPX 1/BTH EARS,,30,,,$258.46,$0.00,1,0,1,20110101,69220,CPT,DBRDMT MSTDC CAVITY SMPL,,30,,,$243.08,$0.00,1,0,1,20110101,69222,CPT,DBRDMT MSTDC CAVITY CPLX,,30,,,"$6,323.34",$0.00,1,0,1,20110101,69300,CPT,OTOPLASTY PROTRUDING EAR +-SIZE RDCTJ,,30,,,"$9,184.01",$0.00,1,0,1,20110101,69310,CPT,RCNSTJ XTRNL AUD CANAL SPX,,30,,,"$15,050.51",$0.00,1,0,1,20110101,69320,CPT,RCNSTJ XTRNL AUD CANAL CGEN ATRESIA 1 STG,,30,,,"$15,050.51",$0.00,1,0,1,20110101,69399,CPT,UNLIS XTRNL EAR,,30,,,$423.92,$0.00,1,0,1,20110101,69400,CPT,EUSTACHIAN TUBE NFLTJ TRANSNSL CATHJ,,30,,,"$1,260.04",$0.00,1,0,1,20110101,69401,CPT,EUSTACHIAN TUBE NFLTJ TRANSNSL W/O CATHJ,,30,,,"$1,260.04",$0.00,1,0,1,20110101,69405,CPT,EUSTACHIAN TUBE CATHJ TRANSTYMPANIC,,30,,,"$2,803.22",$0.00,1,0,1,20110101,69420,CPT,MRGT ASPIR&/EUSTACHIAN TUBE NFLTJ,,30,,,"$1,260.04",$0.00,1,0,1,20110101,69421,CPT,MRGT ASPIR&/EUSTACHIAN TUBE NFLTJ ANES,,30,,,"$6,323.34",$0.00,1,0,1,20110101,69424,CPT,VENTILATING TUBE RMVL ANES,,30,,,"$6,323.34",$0.00,1,0,1,20110101,69433,CPT,TMPST LOCAL/TOPICAL ANES,,30,,,"$2,803.22",$0.00,1,0,1,20110101,69436,CPT,TMPST ANES,,30,,,"$6,323.34",$0.00,1,0,1,20110101,69440,CPT,MIDDLE EAR EXPL THRU POSTAUR/EAR CANAL INC,,30,,,"$9,184.01",$0.00,1,0,1,20110101,69450,CPT,TYMPANOLSS TRANSCANAL,,30,,,"$15,050.51",$0.00,1,0,1,20110101,69501,CPT,TRANSMASTOID ANTRT,,30,,,"$15,050.51",$0.00,1,0,1,20110101,69502,CPT,MSTDC COMPL,,30,,,"$9,184.01",$0.00,1,0,1,20110101,69505,CPT,MSTDC MODF RAD,,30,,,"$15,050.51",$0.00,1,0,1,20110101,69511,CPT,MSTDC RAD,,30,,,"$15,050.51",$0.00,1,0,1,20110101,69530,CPT,PETROUS APICECTOMY RAD MSTDC,,30,,,"$15,050.51",$0.00,1,0,1,20110101,69540,CPT,EXC AURAL POLYP,,30,,,"$6,323.34",$0.00,1,0,1,20110101,69550,CPT,EXC AURAL GLOMUS TUM TRANSCANAL,,30,,,"$15,050.51",$0.00,1,0,1,20110101,69552,CPT,EXC AURAL GLOMUS TUM TRANSMASTOID,,30,,,"$15,050.51",$0.00,1,0,1,20110101,69601,CPT,REVJ MSTDC RSLTG COMPL MSTDC,,30,,,"$15,050.51",$0.00,1,0,1,20110101,69602,CPT,REVJ MSTDC RSLTG MODF RAD MSTDC,,30,,,"$15,050.51",$0.00,1,0,1,20110101,69603,CPT,REVJ MSTDC RSLTG RAD MSTDC,,30,,,"$15,050.51",$0.00,1,0,1,20110101,69604,CPT,REVJ MSTDC RSLTG TMPP,,30,,,"$15,050.51",$0.00,1,0,1,20110101,69605,CPT,REVJ MSTDC W/APICECTOMY,,30,,,"$15,050.51",$0.00,1,0,1,20110101,69610,CPT,TYMPANIC MEMB RPR +-SIT PREPJ PRF8J PATCH,,30,,,"$9,184.01",$0.00,1,0,1,20110101,69620,CPT,MYRINGOPLASTY,,30,,,"$9,184.01",$0.00,1,0,1,20110101,69631,CPT,TMPP W/O MSTDC 1ST/REVJ W/O OCR,,30,,,"$15,050.51",$0.00,1,0,1,20110101,69632,CPT,TMPP W/O MSTDC 1ST/REVJ OCR,,30,,,"$15,050.51",$0.00,1,0,1,20110101,69633,CPT,TMPP W/O MSTDC 1ST/REVJ PROSTH TORP,,30,,,"$15,050.51",$0.00,1,0,1,20110101,69635,CPT,TMPP ANTRT/MASTOIDOTOMY W/O OCR,,30,,,"$15,050.51",$0.00,1,0,1,20110101,69636,CPT,TMPP ANTRT/MASTOIDOTOMY OCR,,30,,,"$15,050.51",$0.00,1,0,1,20110101,69637,CPT,TMPP ANTRT/MASTOIDOTOMY PROSTH TORP,,30,,,"$15,050.51",$0.00,1,0,1,20110101,69641,CPT,TMPP MSTDC W/O OCR,,30,,,"$15,050.51",$0.00,1,0,1,20110101,69642,CPT,TMPP MSTDC OCR,,30,,,"$15,050.51",$0.00,1,0,1,20110101,69643,CPT,TMPP MSTDC NTC/RCNSTED WALL W/O OCR,,30,,,"$15,050.51",$0.00,1,0,1,20110101,69644,CPT,TMPP MSTDC NTC/RCNSTED CANAL WALL OCR,,30,,,"$15,050.51",$0.00,1,0,1,20110101,69645,CPT,TMPP MSTDC RAD/COMPL W/O OCR,,30,,,"$15,050.51",$0.00,1,0,1,20110101,69646,CPT,TMPP MSTDC RAD/COMPL OCR,,30,,,"$15,050.51",$0.00,1,0,1,20110101,69650,CPT,STAPES MOBLJ,,30,,,"$9,184.01",$0.00,1,0,1,20110101,69660,CPT,STAPEDECTOMY/STAPEDOTOMY,,30,,,"$15,050.51",$0.00,1,0,1,20110101,69661,CPT,STAPEDECTOMY/STAPEDOTOMY W/FOOTPLATE DRILL OUT,,30,,,"$15,050.51",$0.00,1,0,1,20110101,69662,CPT,REVJ STAPEDECTOMY/STAPEDOTOMY,,30,,,"$15,050.51",$0.00,1,0,1,20110101,69666,CPT,RPR OVAL WINDOW FSTL,,30,,,"$15,050.51",$0.00,1,0,1,20110101,69667,CPT,RPR ROUND WINDOW FSTL,,30,,,"$15,050.51",$0.00,1,0,1,20110101,69670,CPT,MASTOID OBLTRJ SPX,,30,,,"$15,050.51",$0.00,1,0,1,20110101,69676,CPT,TYMPANIC NEURECTOMY,,30,,,"$15,050.51",$0.00,1,0,1,20110101,69700,CPT,CLSR POSTAUR FSTL MASTOID SPX,,30,,,"$15,050.51",$0.00,1,0,1,20110101,69710,CPT,IMPLTJ/RPLCMT EMGNT B1 CNDJ DEV TEMPORAL B1,,30,,,"$8,458.86",$0.00,1,0,1,20110101,69711,CPT,RMVL/RPR EMGNT B1 CNDJ DEV TEMPORAL B1,,30,,,"$15,050.51",$0.00,1,0,1,20110101,69714,CPT,IMPLTJ OI IMPLT B1 W/O MSTDC,,30,,,"$23,227.84",$0.00,1,0,1,20110101,69715,CPT,IMPLTJ OI IMPLT B1 MSTDC,,30,,,"$23,227.84",$0.00,1,0,1,20110101,69717,CPT,RPLCMT OI IMPLT B1 W/O MSTDC,,30,,,"$23,227.84",$0.00,1,0,1,20110101,69718,CPT,RPLCMT OI IMPLT B1 MSTDC,,30,,,"$23,227.84",$0.00,1,0,1,20110101,69720,CPT,DCMPRN NRV ITPRL LAT GENICULATE,,30,,,"$15,050.51",$0.00,1,0,1,20110101,69725,CPT,DCMPRN NRV ITPRL MEDIAL GENICULATE,,30,,,"$15,050.51",$0.00,1,0,1,20110101,69740,CPT,SUTR NRV ITPRL +-GRF/DCMPRN LAT GENICULATE,,30,,,"$15,050.51",$0.00,1,0,1,20110101,69745,CPT,SUTR NRV ITPRL +-GRF/DCMPRN MEDIAL GENICULATE,,30,,,"$15,050.51",$0.00,1,0,1,20110101,69799,CPT,UNLIS MIDDLE EAR,,30,,,$423.92,$0.00,1,0,1,20110101,69801,CPT,LABYRINTHOTOMY TRANSCANAL,,30,,,"$6,187.49",$0.00,1,0,1,20110101,69802,CPT,LABYRINTHOTOMY MSTDC,,30,,,"$9,184.01",$0.00,1,0,1,20110101,69805,CPT,ENDOLYMPHATIC SAC W/O SHUNT,,30,,,"$15,050.51",$0.00,1,0,1,20110101,69806,CPT,ENDOLYMPHATIC SAC SHUNT,,30,,,"$15,050.51",$0.00,1,0,1,20110101,69820,CPT,FENESTRATION SEMICIRCULAR CANAL,,30,,,"$15,050.51",$0.00,1,0,1,20110101,69840,CPT,REVJ FENESTRATION OPRATION,,30,,,"$15,050.51",$0.00,1,0,1,20110101,69905,CPT,LABYRINTHECTOMY TRANSCANAL,,30,,,"$15,050.51",$0.00,1,0,1,20110101,69910,CPT,LABYRINTHECTOMY MSTDC,,30,,,"$15,050.51",$0.00,1,0,1,20110101,69915,CPT,VSTBLR NRV SCTJ TRANSLABYRINTHINE APPR,,30,,,"$15,050.51",$0.00,1,0,1,20110101,69930,CPT,COCHLEAR DEV IMPLTJ +-MSTDC,,30,,,"$57,670.76",$0.00,1,0,1,20110101,69949,CPT,UNLIS INNER EAR,,30,,,$423.92,$0.00,1,0,1,20110101,69955,CPT,TOT FACIAL NRV DCMPRN&/RPR,,30,,,"$15,050.51",$0.00,1,0,1,20110101,69960,CPT,DCMPRN INT AUD CANAL,,30,,,"$15,050.51",$0.00,1,0,1,20110101,69970,CPT,RMVL TUM TEMPORAL B1,,30,,,"$15,050.51",$0.00,1,0,1,20110101,69979,CPT,UNLIS TEMPORAL B1 MIDDLE FOSSA,,30,,,$423.92,$0.00,1,0,1,20110101,70010,CPT,MYELOGRAPY POST FOSSA RS&I,,30,,,"$3,057.20",$0.00,1,0,1,20110101,70015,CPT,CISTRNG POSITIVE CNTRST RS&I,,30,,,"$3,057.20",$0.00,1,0,1,20110101,70030,CPT,RADEX EYE DETCJ FB,,30,,,$290.74,$0.00,1,0,1,20110101,70100,CPT,RADEX MNDBL PRTL < 4 VIEWS,,30,,,$290.74,$0.00,1,0,1,20110101,70110,CPT,RADEX MNDBL COMPL MINIMUM 4 VIEWS,,30,,,$290.74,$0.00,1,0,1,20110101,70120,CPT,RADEX MASTOIDS < 3 VIEWS PR SIDE,,30,,,$290.74,$0.00,1,0,1,20110101,70130,CPT,RADEX MASTOIDS COMPL MINIMUM 3 VIEWS PR SIDE,,30,,,$290.74,$0.00,1,0,1,20110101,70134,CPT,RADEX INT AUD MEATI COMPL,,30,,,$486.13,$0.00,1,0,1,20110101,70140,CPT,RADEX FACIAL B1S < 3 VIEWS,,30,,,$290.74,$0.00,1,0,1,20110101,70150,CPT,RADEX FACIAL B1S COMPL MINIMUM 3 VIEWS,,30,,,$290.74,$0.00,1,0,1,20110101,70160,CPT,RADEX NSL B1S COMPL MINIMUM 3 VIEWS,,30,,,$290.74,$0.00,1,0,1,20110101,70170,CPT,DACRYOCSTOGRAPY NASOLACRIMAL DUX RS&I,,30,,,"$1,345.83",$0.00,1,0,1,20110101,70190,CPT,RADEX OPTIC FORAMINA,,30,,,$290.74,$0.00,1,0,1,20110101,70200,CPT,RADEX ORBITS COMPL MINIMUM 4 VIEWS,,30,,,$290.74,$0.00,1,0,1,20110101,70210,CPT,RADEX SINUSES PARANSL < 3 VIEWS,,30,,,$290.74,$0.00,1,0,1,20110101,70220,CPT,RADEX SINUSES PARANSL COMPL MINIMUM 3 VIEWS,,30,,,$290.74,$0.00,1,0,1,20110101,70240,CPT,RADEX SELLA TURCICA,,30,,,$290.74,$0.00,1,0,1,20110101,70250,CPT,RADEX SKL < 4 VIEWS,,30,,,$290.74,$0.00,1,0,1,20110101,70260,CPT,RADEX SKL COMPL MINIMUM 4 VIEWS,,30,,,$486.13,$0.00,1,0,1,20110101,70300,CPT,RADEX TEETH 1 VIEW,,30,,,$195.26,$0.00,1,0,1,20110101,70310,CPT,RADEX TEETH PRTL XM < FULL MOUTH,,30,,,$195.26,$0.00,1,0,1,20110101,70320,CPT,RADEX TEETH COMPL FULL MOUTH,,30,,,$195.26,$0.00,1,0,1,20110101,70328,CPT,RADEX TMPRMAND JT OPN&CLSD MOUTH UNI,,30,,,$290.74,$0.00,1,0,1,20110101,70330,CPT,RADEX TMPRMAND JT OPN&CLSD MOUTH BI,,30,,,$290.74,$0.00,1,0,1,20110101,70332,CPT,TMPRMAND JT ARTHG RS&I,,30,,,"$1,691.74",$0.00,1,0,1,20110101,70336,CPT,MRI TMPRMAND JT,,30,,,"$2,215.51",$0.00,1,0,1,20110101,70350,CPT,CEPHALOGRAM ORTHODONTIC,,30,,,$290.74,$0.00,1,0,1,20110101,70355,CPT,ORTHOPANTOGRAM,,30,,,$187.56,$0.00,1,0,1,20110101,70360,CPT,RADEX NCK SOFT TISS,,30,,,$290.74,$0.00,1,0,1,20110101,70370,CPT,RADEX PHARYNX/LARX W/FLUOR&/MAGNIFICATION TQ,,30,,,$552.45,$0.00,1,0,1,20110101,70371,CPT,CPLX DYNAMIC PHARYNGEAL&SP EVAL C/V REC,,30,,,$552.45,$0.00,1,0,1,20110101,70373,CPT,LARYNGOGRAPY CNTRST RS&I,,30,,,"$1,345.83",$0.00,1,0,1,20110101,70380,CPT,RADEX SALIVARY GLND F/ST1,,30,,,$290.74,$0.00,1,0,1,20110101,70390,CPT,SIALOGRAPY RS&I,,30,,,"$1,345.83",$0.00,1,0,1,20110101,70450,CPT,CT HEAD/BRN C-MATRL,,30,,,"$1,250.01",$0.00,1,0,1,20110101,70460,CPT,CT HEAD/BRN C+ MATRL,,30,,,"$1,889.69",$0.00,1,0,1,20110101,70470,CPT,CT HEAD/BRN C-/C+,,30,,,"$2,116.37",$0.00,1,0,1,20110101,70480,CPT,CT ORBIT SELLA/POST FOSSA/EAR C-MATRL,,30,,,"$1,250.01",$0.00,1,0,1,20110101,70481,CPT,CT ORBIT SELLA/POST FOSSA/EAR C+ MATRL,,30,,,"$1,889.69",$0.00,1,0,1,20110101,70482,CPT,CT ORBIT SELLA/POST FOSSA/EAR C-/C+,,30,,,"$2,116.37",$0.00,1,0,1,20110101,70486,CPT,CT MAXLFCL AREA C-MATRL,,30,,,"$1,250.01",$0.00,1,0,1,20110101,70487,CPT,CT MAXLFCL AREA C+ MATRL,,30,,,"$1,889.69",$0.00,1,0,1,20110101,70488,CPT,CT MAXLFCL AREA C-/C+,,30,,,"$2,116.37",$0.00,1,0,1,20110101,70490,CPT,CT SOFT TISS NCK C-MATRL,,30,,,"$1,250.01",$0.00,1,0,1,20110101,70491,CPT,CT SOFT TISS NCK C+ MATRL,,30,,,"$1,889.69",$0.00,1,0,1,20110101,70492,CPT,CT SOFT TISS NCK C-/C+,,30,,,"$2,116.37",$0.00,1,0,1,20110101,70496,CPT,CT ANGIOGRAPHY HEAD W/CONTRAST/NONCONTRAST,,30,,,"$2,159.45",$0.00,1,0,1,20110101,70498,CPT,CT ANGIOGRAPHY NECK W/CONTRAST/NONCONTRAST,,30,,,"$2,159.45",$0.00,1,0,1,20110101,70540,CPT,MRI ORBIT FACE &/NECK W/O CONTRAST,,30,,,"$2,215.51",$0.00,1,0,1,20110101,70542,CPT,MRI ORBIT FACE&NCK C+ MATRL,,30,,,"$2,673.24",$0.00,1,0,1,20110101,70543,CPT,MRI ORBIT FACE&NCK C-/C+,,30,,,"$3,349.04",$0.00,1,0,1,20110101,70544,CPT,MRA HEAD C-MATRL,,30,,,"$2,215.51",$0.00,1,0,1,20110101,70545,CPT,MRA HEAD C+ MATRL,,30,,,"$2,673.24",$0.00,1,0,1,20110101,70546,CPT,MRA HEAD C-/C+,,30,,,"$3,349.04",$0.00,1,0,1,20110101,70547,CPT,MRA NCK C-MATRL,,30,,,"$2,215.51",$0.00,1,0,1,20110101,70548,CPT,MRA NCK C+ MATRL,,30,,,"$2,673.24",$0.00,1,0,1,20110101,70549,CPT,MRA NCK C-/C+,,30,,,"$3,349.04",$0.00,1,0,1,20110101,70551,CPT,MRI BRN BRN STEM C-MATRL,,30,,,"$2,215.51",$0.00,1,0,1,20110101,70552,CPT,MRI BRN BRN STEM C+ MATRL,,30,,,"$2,673.24",$0.00,1,0,1,20110101,70553,CPT,MRI BRN BRN STEM C-/C+,,30,,,"$3,349.04",$0.00,1,0,1,20110101,70554,CPT,MRI BRAIN FUNCTIONAL W/O PHYSICIAN ADMNISTRATION,,30,,,"$2,215.51",$0.00,1,0,1,20110101,70555,CPT,MRI BRAIN FUNCTIONAL W/PHYSICIAN ADMNISTRATION,,30,,,"$2,215.51",$0.00,1,0,1,20110101,70557,CPT,MRI BRN OPN ICRA PX C-MATRL,,30,,,"$2,215.51",$0.00,1,0,1,20110101,70558,CPT,MRI BRN OPN ICRA PX C+ MATRL,,30,,,"$2,673.24",$0.00,1,0,1,20110101,70559,CPT,MRI BRN OPN ICRA PX C-/C+,,30,,,"$3,349.04",$0.00,1,0,1,20110101,71010,CPT,RADEX CH 1 VIEW FRNT,,30,,,$290.74,$0.00,1,0,1,20110101,71015,CPT,RADEX CH STEREO FRNT,,30,,,$290.74,$0.00,1,0,1,20110101,71020,CPT,RADEX CH 2 VIEWS FRNT&LAT,,30,,,$290.74,$0.00,1,0,1,20110101,71021,CPT,RADEX CH 2 VIEWS FRNT&LAT APICAL LORDOTIC PX,,30,,,$290.74,$0.00,1,0,1,20110101,71022,CPT,RADEX CH 2 VIEWS FRNT&LAT OBLQ PRJCJ,,30,,,$290.74,$0.00,1,0,1,20110101,71023,CPT,RADEX CH 2 VIEWS FRNT&LAT FLUOR,,30,,,$552.45,$0.00,1,0,1,20110101,71030,CPT,RADEX CH COMPL MINIMUM 4 VIEWS,,30,,,$290.74,$0.00,1,0,1,20110101,71034,CPT,RADEX CH COMPL MINIMUM 4 VIEWS W/FLUOR,,30,,,$552.45,$0.00,1,0,1,20110101,71035,CPT,RADEX CH SPEC VIEWS,,30,,,$290.74,$0.00,1,0,1,20110101,71040,CPT,BRONCHOGRAPY UNI RS&I,,30,,,"$1,345.83",$0.00,1,0,1,20110101,71060,CPT,BRONCHOGRAPY BI RS&I,,30,,,"$1,345.83",$0.00,1,0,1,20110101,71090,CPT,INSJ PM FLUOR&RADIOGRAPY RS&I,,30,,,$887.81,$0.00,1,0,1,20110101,71100,CPT,RADEX RIBS UNI 2 VIEWS,,30,,,$290.74,$0.00,1,0,1,20110101,71101,CPT,RADEX RIBS UNI W/POSTEROANT CH MINIMUM 3 VIEWS,,30,,,$290.74,$0.00,1,0,1,20110101,71110,CPT,RADEX RIBS BI 3 VIEWS,,30,,,$290.74,$0.00,1,0,1,20110101,71111,CPT,RADEX RIBS BI W/POSTEROANT CH MINIMUM 4 VIEWS,,30,,,$486.13,$0.00,1,0,1,20110101,71120,CPT,RADEX STERNUM MINIMUM 2 VIEWS,,30,,,$290.74,$0.00,1,0,1,20110101,71130,CPT,RADEX STRNCLAV JT/JTS MINIMUM 3 VIEWS,,30,,,$290.74,$0.00,1,0,1,20110101,71250,CPT,CT THORAX C-MATRL,,30,,,"$1,250.01",$0.00,1,0,1,20110101,71260,CPT,CT THORAX C+ MATRL,,30,,,"$1,889.69",$0.00,1,0,1,20110101,71270,CPT,CT THORAX C-/C+,,30,,,"$2,116.37",$0.00,1,0,1,20110101,71275,CPT,CT ANGIOGRAPHY CHEST W/CONTRAST/NONCONTRAST,,30,,,"$2,159.45",$0.00,1,0,1,20110101,71550,CPT,MRI CH C-MATRL,,30,,,"$2,215.51",$0.00,1,0,1,20110101,71551,CPT,MRI CH C+ MATRL,,30,,,"$2,673.24",$0.00,1,0,1,20110101,71552,CPT,MRI CH C-/C+,,30,,,"$3,349.04",$0.00,1,0,1,20110101,71555,CPT,MRA CH C+-MATRL,,30,,,"$5,201.92",$0.00,1,0,1,20110101,72010,CPT,RADEX SPI ENTIRE SURV STD ANTEROPOST&LAT,,30,,,$486.13,$0.00,1,0,1,20110101,72020,CPT,RADEX SPI 1 VIEW SPEC LVL,,30,,,$290.74,$0.00,1,0,1,20110101,72040,CPT,RADEX SPI CRV 2/3 VIEWS,,30,,,$290.74,$0.00,1,0,1,20110101,72050,CPT,RADEX SPI CRV MINIMUM 4 VIEWS,,30,,,$486.13,$0.00,1,0,1,20110101,72052,CPT,RADEX SPI CRV COMPL W/OBLQ&FLEXION&/XTN STDS,,30,,,$486.13,$0.00,1,0,1,20110101,72069,CPT,RADEX SPI THORACOLMBR STANDING SCOLIOSIS,,30,,,$290.74,$0.00,1,0,1,20110101,72070,CPT,RADEX SPI THRC 2 VIEWS,,30,,,$290.74,$0.00,1,0,1,20110101,72072,CPT,RADEX SPI THRC 3 VIEWS,,30,,,$290.74,$0.00,1,0,1,20110101,72074,CPT,RADEX SPI THRC MINIMUM 4 VIEWS,,30,,,$290.74,$0.00,1,0,1,20110101,72080,CPT,RADEX SPI THORACOLMBR 2 VIEWS,,30,,,$290.74,$0.00,1,0,1,20110101,72090,CPT,RADEX SPI SCOLIOSIS STD W/SUP&ERC STDS,,30,,,$486.13,$0.00,1,0,1,20110101,72100,CPT,RADEX SPI LUMBOSAC 2/3 VIEWS,,30,,,$290.74,$0.00,1,0,1,20110101,72110,CPT,RADEX SPI LUMBOSAC MINIMUM 4 VIEWS,,30,,,$486.13,$0.00,1,0,1,20110101,72114,CPT,RADEX SPI LUMBOSAC COMPL W/BENDING VIEWS,,30,,,$486.13,$0.00,1,0,1,20110101,72120,CPT,RADEX SPI LUMBOSAC BENDING MINIMUM 4 VIEWS,,30,,,$276.90,$0.00,1,0,1,20110101,72125,CPT,CT CRV SPI C-MATRL,,30,,,"$1,250.01",$0.00,1,0,1,20110101,72126,CPT,CT CRV SPI C+ MATRL,,30,,,"$1,889.69",$0.00,1,0,1,20110101,72127,CPT,CT CRV SPI C-/C+,,30,,,"$2,116.37",$0.00,1,0,1,20110101,72128,CPT,CT THRC SPI C-MATRL,,30,,,"$1,250.01",$0.00,1,0,1,20110101,72129,CPT,CT THRC SPI C+ MATRL,,30,,,"$1,889.69",$0.00,1,0,1,20110101,72130,CPT,CT THRC SPI C-/C+,,30,,,"$2,116.37",$0.00,1,0,1,20110101,72131,CPT,CT LMBR SPI C-MATRL,,30,,,"$1,250.01",$0.00,1,0,1,20110101,72132,CPT,CT LMBR SPI C+ MATRL,,30,,,"$1,889.69",$0.00,1,0,1,20110101,72133,CPT,CT LMBR SPI C-/C+,,30,,,"$2,116.37",$0.00,1,0,1,20110101,72141,CPT,MRI SPI CANAL&CNTS CRV C-MATRL,,30,,,"$2,215.51",$0.00,1,0,1,20110101,72142,CPT,MRI SPI CANAL&CNTS CRV C+ MATRL,,30,,,"$2,673.24",$0.00,1,0,1,20110101,72146,CPT,MRI SPI CANAL&CNTS THRC C-MATRL,,30,,,"$2,215.51",$0.00,1,0,1,20110101,72147,CPT,MRI SPI CANAL&CNTS THRC C+ MATRL,,30,,,"$2,673.24",$0.00,1,0,1,20110101,72148,CPT,MRI SPI CANAL&CNTS LMBR C-MATRL,,30,,,"$2,215.51",$0.00,1,0,1,20110101,72149,CPT,MRI SPI CANAL&CNTS LMBR C+ MATRL,,30,,,"$2,673.24",$0.00,1,0,1,20110101,72156,CPT,MRI SPI CANAL&CNTS C-/C+ CRV,,30,,,"$3,349.04",$0.00,1,0,1,20110101,72157,CPT,MRI SPI CANAL&CNTS C-/C+,,30,,,"$3,349.04",$0.00,1,0,1,20110101,72158,CPT,MRI SPI CANAL&CNTS C-/C+ LMBR,,30,,,"$3,349.04",$0.00,1,0,1,20110101,72159,CPT,MRA SPI CANAL&CNTS C+-MATRL,,30,,,"$5,261.25",$0.00,1,0,1,20110101,72170,CPT,RADEX PELVIS 1/2 VIEWS,,30,,,$290.74,$0.00,1,0,1,20110101,72190,CPT,RADEX PELVIS COMPL MINIMUM 3 VIEWS,,30,,,$290.74,$0.00,1,0,1,20110101,72191,CPT,CT ANGIOGRAPHY PELVIS W/CONTRAST/NONCONTRAST,,30,,,"$2,159.45",$0.00,1,0,1,20110101,72192,CPT,CT PELVIS C-MATRL,,30,,,"$1,250.01",$0.00,1,0,1,20110101,72193,CPT,CT PELVIS C+ MATRL,,30,,,"$1,889.69",$0.00,1,0,1,20110101,72194,CPT,CT PELVIS C-/C+,,30,,,"$2,116.37",$0.00,1,0,1,20110101,72195,CPT,MRI PELVIS C-MATRL,,30,,,"$2,215.51",$0.00,1,0,1,20110101,72196,CPT,MRI PELVIS C+ MATRL,,30,,,"$2,673.24",$0.00,1,0,1,20110101,72197,CPT,MRI PELVIS C-/C+,,30,,,"$3,349.04",$0.00,1,0,1,20110101,72198,CPT,MRA PELVIS C+-MATRL,,30,,,"$4,954.60",$0.00,1,0,1,20110101,72200,CPT,RADEX SI JTS < 3 VIEWS,,30,,,$290.74,$0.00,1,0,1,20110101,72202,CPT,RADEX SI JTS 3/MORE VIEWS,,30,,,$290.74,$0.00,1,0,1,20110101,72220,CPT,RADEX SACRUM&COCCYX MINIMUM 2 VIEWS,,30,,,$290.74,$0.00,1,0,1,20110101,72240,CPT,MYELOGRAPY CRV RS&I,,30,,,"$3,057.20",$0.00,1,0,1,20110101,72255,CPT,MYELOGRAPY THRC RS&I,,30,,,"$3,057.20",$0.00,1,0,1,20110101,72265,CPT,MYELOGRAPY LUMBOSAC RS&I,,30,,,"$3,057.20",$0.00,1,0,1,20110101,72270,CPT,MYELOGRAPY 2/MORE REGIONS RS&I,,30,,,"$3,057.20",$0.00,1,0,1,20110101,72275,CPT,EPIDUROGRAPY RS&I,,30,,,"$1,394.55",$0.00,1,0,1,20110101,72285,CPT,DISKOGRAPY CRV/THRC RS&I,,30,,,"$9,958.25",$0.00,1,0,1,20110101,72291,CPT,RAD S&I PERQ VRTPLS/SACRPLSTY PR VRT BODY FLUOR,,30,,,"$2,526.92",$0.00,1,0,1,20110101,72292,CPT,RAD S&I PERQ VRTPLS/SACRPLSTY PER VRT BODY CT,,30,,,"$2,582.71",$0.00,1,0,1,20110101,72295,CPT,DISKOGRAPY LMBR RS&I,,30,,,"$9,958.25",$0.00,1,0,1,20110101,73000,CPT,RADEX CLAV COMPL,,30,,,$290.74,$0.00,1,0,1,20110101,73010,CPT,RADEX SCAPULA COMPL,,30,,,$290.74,$0.00,1,0,1,20110101,73020,CPT,RADEX SHO 1 VIEW,,30,,,$290.74,$0.00,1,0,1,20110101,73030,CPT,RADEX SHO COMPL MINIMUM 2 VIEWS,,30,,,$290.74,$0.00,1,0,1,20110101,73040,CPT,RADEX SHO ARTHG RS&I,,30,,,"$1,691.74",$0.00,1,0,1,20110101,73050,CPT,RADEX ACROMCLAV JTS BI +-W8ED DISTRCJ,,30,,,$290.74,$0.00,1,0,1,20110101,73060,CPT,RADEX HUM MINIMUM 2 VIEWS,,30,,,$290.74,$0.00,1,0,1,20110101,73070,CPT,RADEX ELBW 2 VIEWS,,30,,,$290.74,$0.00,1,0,1,20110101,73080,CPT,RADEX ELBW COMPL MINIMUM 3 VIEWS,,30,,,$290.74,$0.00,1,0,1,20110101,73085,CPT,RADEX ELBW ARTHG RS&I,,30,,,"$1,691.74",$0.00,1,0,1,20110101,73090,CPT,RADEX F/ARM 2 VIEWS,,30,,,$290.74,$0.00,1,0,1,20110101,73092,CPT,RADEX UXTR INFT MINIMUM 2 VIEWS,,30,,,$290.74,$0.00,1,0,1,20110101,73100,CPT,RADEX WRST 2 VIEWS,,30,,,$290.74,$0.00,1,0,1,20110101,73110,CPT,RADEX WRST COMPL MINIMUM 3 VIEWS,,30,,,$290.74,$0.00,1,0,1,20110101,73115,CPT,RADEX WRST ARTHG RS&I,,30,,,"$1,691.74",$0.00,1,0,1,20110101,73120,CPT,RADEX HAND 2 VIEWS,,30,,,$290.74,$0.00,1,0,1,20110101,73130,CPT,RADEX HAND MINIMUM 3 VIEWS,,30,,,$290.74,$0.00,1,0,1,20110101,73140,CPT,RADEX FNGR MINIMUM 2 VIEWS,,30,,,$290.74,$0.00,1,0,1,20110101,73200,CPT,CT UXTR C-MATRL,,30,,,"$1,250.01",$0.00,1,0,1,20110101,73201,CPT,CT UXTR C+ MATRL,,30,,,"$1,889.69",$0.00,1,0,1,20110101,73202,CPT,CT UXTR C-/C+,,30,,,"$2,116.37",$0.00,1,0,1,20110101,73206,CPT,CT ANGIOGRAPHY UPPER EXTREMITY,,30,,,"$2,159.45",$0.00,1,0,1,20110101,73218,CPT,MRI UXTR OTH/THN JT C-MATRL,,30,,,"$2,215.51",$0.00,1,0,1,20110101,73219,CPT,MRI UXTR OTH/THN JT C+ MATRL,,30,,,"$2,673.24",$0.00,1,0,1,20110101,73220,CPT,MRI UXTR OTH/THN JT C-/C+,,30,,,"$3,349.04",$0.00,1,0,1,20110101,73221,CPT,MRI ANY JT UXTR C-MATRL,,30,,,"$2,215.51",$0.00,1,0,1,20110101,73222,CPT,MRI ANY JT UXTR C+ MATRL,,30,,,"$2,673.24",$0.00,1,0,1,20110101,73223,CPT,MRI ANY JT UXTR C-/C+,,30,,,"$3,349.04",$0.00,1,0,1,20110101,73225,CPT,MRA UXTR C+-MATRL,,30,,,"$3,404.92",$0.00,1,0,1,20110101,73500,CPT,RADEX HIP UNI 1 VIEW,,30,,,$290.74,$0.00,1,0,1,20110101,73510,CPT,RADEX HIP UNI COMPL MINIMUM 2 VIEWS,,30,,,$290.74,$0.00,1,0,1,20110101,73520,CPT,RADEX HIPS BI 2 VIEWS ANTEROPOST PELVIS,,30,,,$276.90,$0.00,1,0,1,20110101,73525,CPT,RADEX HIP ARTHG RS&I,,30,,,"$1,691.74",$0.00,1,0,1,20110101,73530,CPT,RADEX HIP OPRATIVE PX,,30,,,$386.57,$0.00,1,0,1,20110101,73540,CPT,RADEX PELVIS&HIPS INFT/CHLD MINIMUM 2 VIEWS,,30,,,$290.74,$0.00,1,0,1,20110101,73542,CPT,RAD XM SI JT ARTHG RS&I,,30,,,"$1,691.74",$0.00,1,0,1,20110101,73550,CPT,RADEX FEMUR 2 VIEWS,,30,,,$290.74,$0.00,1,0,1,20110101,73560,CPT,RADEX KNE 1/2 VIEWS,,30,,,$290.74,$0.00,1,0,1,20110101,73562,CPT,RADEX KNE 3 VIEWS,,30,,,$290.74,$0.00,1,0,1,20110101,73564,CPT,RADEX KNE COMPL 4/MORE VIEWS,,30,,,$290.74,$0.00,1,0,1,20110101,73565,CPT,RADEX KNE BTH KNES STANDING ANTEROPOST,,30,,,$290.74,$0.00,1,0,1,20110101,73580,CPT,RADEX KNE ARTHG RS&I,,30,,,"$1,691.74",$0.00,1,0,1,20110101,73590,CPT,RADEX TIBFIB 2 VIEWS,,30,,,$290.74,$0.00,1,0,1,20110101,73592,CPT,RADEX LXTR INFT MINIMUM 2 VIEWS,,30,,,$290.74,$0.00,1,0,1,20110101,73600,CPT,RADEX ANKLE 2 VIEWS,,30,,,$290.74,$0.00,1,0,1,20110101,73610,CPT,RADEX ANKLE COMPL MINIMUM 3 VIEWS,,30,,,$290.74,$0.00,1,0,1,20110101,73615,CPT,RADEX ANKLE ARTHG RS&I,,30,,,"$1,691.74",$0.00,1,0,1,20110101,73620,CPT,RADEX FOOT 2 VIEWS,,30,,,$290.74,$0.00,1,0,1,20110101,73630,CPT,RADEX FOOT COMPL MINIMUM 3 VIEWS,,30,,,$290.74,$0.00,1,0,1,20110101,73650,CPT,RADEX CALCANEUS MINIMUM 2 VIEWS,,30,,,$290.74,$0.00,1,0,1,20110101,73660,CPT,RADEX TOE MINIMUM 2 VIEWS,,30,,,$290.74,$0.00,1,0,1,20110101,73700,CPT,CT LXTR C-MATRL,,30,,,"$1,250.01",$0.00,1,0,1,20110101,73701,CPT,CT LXTR C+ MATRL,,30,,,"$1,889.69",$0.00,1,0,1,20110101,73702,CPT,CT LXTR C-/C+,,30,,,"$2,116.37",$0.00,1,0,1,20110101,73706,CPT,CT ANGIOGRAPHY LOWER EXTREMITY,,30,,,"$2,159.45",$0.00,1,0,1,20110101,73718,CPT,MRI LXTR OTH/THN JT C-MATRL,,30,,,"$2,215.51",$0.00,1,0,1,20110101,73719,CPT,MRI IMG LXTR OTH/THN JT C+ MATRL,,30,,,"$2,673.24",$0.00,1,0,1,20110101,73720,CPT,MRI LXTR OTH/THN JT C-/C+,,30,,,"$3,349.04",$0.00,1,0,1,20110101,73721,CPT,MRI ANY JT LXTR C-MATRL,,30,,,"$2,215.51",$0.00,1,0,1,20110101,73722,CPT,MRI ANY JT LXTR C+ MATRL,,30,,,"$2,673.24",$0.00,1,0,1,20110101,73723,CPT,MRI ANY JT LXTR C-/C+,,30,,,"$3,349.04",$0.00,1,0,1,20110101,73725,CPT,MRA LXTR C+-MATRL,,30,,,"$3,707.36",$0.00,1,0,1,20110101,74000,CPT,RADEX ABD 1 ANTEROPOST VIEW,,30,,,$290.74,$0.00,1,0,1,20110101,74010,CPT,RADEX ABD ANTEROPOST&ADDL OBLQ&CONE VIEWS,,30,,,$290.74,$0.00,1,0,1,20110101,74020,CPT,RADEX ABD COMPL W/DCBTS&/ERC VIEWS,,30,,,$290.74,$0.00,1,0,1,20110101,74022,CPT,RADEX ABD COMPL AQT ABD W/S/E/D VIEWS 1 VIEW CH,,30,,,$486.13,$0.00,1,0,1,20110101,74150,CPT,CT ABD C-MATRL,,30,,,"$1,250.01",$0.00,1,0,1,20110101,74160,CPT,CT ABD C+ MATRL,,30,,,"$1,889.69",$0.00,1,0,1,20110101,74170,CPT,CT ABD C-/C+,,30,,,"$2,116.37",$0.00,1,0,1,20110101,74175,CPT,CT ANGIOGRAPHY ABDOMEN W/CONTRAST/NONCONTRAST,,30,,,"$2,159.45",$0.00,1,0,1,20110101,74176,CPT,CT ABD & PELVIS W/O CONTRAST,,30,,,"$1,250.01",$0.00,1,0,1,20110101,74177,CPT,CT ABDOMEN&PELVIS W/CONTRAST,,30,,,"$1,889.69",$0.00,1,0,1,20110101,74178,CPT,CT ABD&PELV 1+ SECTION/REGNS,,30,,,"$2,116.37",$0.00,1,0,1,20110101,74181,CPT,MRI ABD C-MATRL,,30,,,"$2,215.51",$0.00,1,0,1,20110101,74182,CPT,MRI ABD C+ MATRL,,30,,,"$2,673.24",$0.00,1,0,1,20110101,74183,CPT,MRI ABD C-/C+,,30,,,"$3,349.04",$0.00,1,0,1,20110101,74185,CPT,MRA ABD C+-MATRL,,30,,,"$6,497.09",$0.00,1,0,1,20110101,74190,CPT,PRITONEOGRAM RS&I,,30,,,"$1,345.83",$0.00,1,0,1,20110101,74210,CPT,RADEX PHARYNX&/CRV ESOPH,,30,,,$565.06,$0.00,1,0,1,20110101,74220,CPT,RADEX ESOPH,,30,,,$565.06,$0.00,1,0,1,20110101,74230,CPT,SWLNG FUNCJ W/CINERADIOGRAPY/VIDRADIOGRAPY,,30,,,$565.06,$0.00,1,0,1,20110101,74235,CPT,RMVL FB ESOPHGL W/USE BALO CATH RS&I,,30,,,"$1,234.67",$0.00,1,0,1,20110101,74240,CPT,RADEX GI TRC UPR +-DLYD FLMS W/O KUB,,30,,,$565.06,$0.00,1,0,1,20110101,74241,CPT,RADEX GI TRC UPR +-DLYD FLMS W/KUB,,30,,,$565.06,$0.00,1,0,1,20110101,74245,CPT,RADEX GI TRC UPR W/SM INT W/MLT SRL FLMS,,30,,,$910.46,$0.00,1,0,1,20110101,74246,CPT,RADEX GI UPR C+ +-GLUC/DLYD FLMS W/O KUB,,30,,,$565.06,$0.00,1,0,1,20110101,74247,CPT,RADEX GI UPR C+ +-GLUC +-DLYD FLMS W/KUB,,30,,,$565.06,$0.00,1,0,1,20110101,74249,CPT,RADEX GI UPR C+ +-GLUC W/SM INT FOLLW-THRU,,30,,,$910.46,$0.00,1,0,1,20110101,74250,CPT,RADEX SM INT W/MLT SRL FLMS,,30,,,$565.06,$0.00,1,0,1,20110101,74251,CPT,RADEX SM INT W/MLT SRL FLMS VIA ENTEROCLSS TUBE,,30,,,$910.46,$0.00,1,0,1,20110101,74260,CPT,DUODENOGRAPY HYPOTONIC,,30,,,$565.06,$0.00,1,0,1,20110101,74261,CPT,CT COLONOGRPHY DX IMAGE POSTPROCESS NO CONTRAST,,30,,,"$1,250.01",$0.00,1,0,1,20110101,74262,CPT,CT COLONOGRPHY DX IMAGE POSTPROCESS W/CONTRAST,,30,,,"$1,889.69",$0.00,1,0,1,20110101,74263,CPT,CT COLONOGRAPHY SCREENING IMAGE POSTPROCESSING,,30,,,$565.06,$0.00,1,0,1,20110101,74270,CPT,RADEX COLON BARIUM ENEMA +-KUB,,30,,,$565.06,$0.00,1,0,1,20110101,74280,CPT,RADEX COLON C+ W/SPEC HI DNS BARIUM +-GLUC,,30,,,$910.46,$0.00,1,0,1,20110101,74283,CPT,THER ENEMA C+ RDCTJ INTUSSUSCEPTION/OBSTRCJ,,30,,,$565.06,$0.00,1,0,1,20110101,74290,CPT,CCG ORAL CNTRST,,30,,,$565.06,$0.00,1,0,1,20110101,74291,CPT,CCG ORAL CNTRST ADDL/REPEAT XM/MLT D XM,,30,,,$565.06,$0.00,1,0,1,20110101,74300,CPT,CHOLANGRPH&/PCG INTRAOP RS&I,,30,,,$552.35,$0.00,1,0,1,20110101,74301,CPT,CHOLANGRPH&/PCG ADDL SET INTRAOP RS&I,,30,,,$389.90,$0.00,1,0,1,20110101,74305,CPT,CHOLANGRPH&/PCG THRU CATH RS&I,,30,,,"$1,345.83",$0.00,1,0,1,20110101,74320,CPT,CHOLANGRPH PRQ TRANSHEPATC RS&I,,30,,,"$2,388.35",$0.00,1,0,1,20110101,74327,CPT,PO BILIARY ST1 RMVL PRQ RS&I,,30,,,"$1,348.64",$0.00,1,0,1,20110101,74329,CPT,NDSC CATHJ PNCRTC DUX SYS RS&I,,30,,,"$1,059.22",$0.00,1,0,1,20110101,74340,CPT,INTRO LONG GI TUBE W/MLT FLUOR&FLMS RS&I,,30,,,$899.76,$0.00,1,0,1,20110101,74355,CPT,PRQ PLMT ENTEROCLSS TUBE RS&I,,30,,,"$1,313.65",$0.00,1,0,1,20110101,74360,CPT,INTRAL DILAT STRIXS&/OBSTRCJS RS&I,,30,,,"$1,443.62",$0.00,1,0,1,20110101,74363,CPT,PRQ TRANSHEPATC DILAT BILIARY DUX STRIX RS&I,,30,,,"$1,169.69",$0.00,1,0,1,20110101,74400,CPT,UROGRAPY PLOG IV +-KUB +-TOMOG,,30,,,"$1,101.51",$0.00,1,0,1,20110101,74410,CPT,UROGRAPY NFS DRIP TQ&/BOLUS TQ,,30,,,"$1,101.51",$0.00,1,0,1,20110101,74415,CPT,UROGRAPY NFS DRIP TQ&/BOLUS TQ W/NEPHROTOMOG,,30,,,"$1,101.51",$0.00,1,0,1,20110101,74420,CPT,"X-RAY, URINARY TRACT EXAM WITH CONTRAST MATERIAL",,30,,,"$1,101.51",$0.00,1,0,1,20110101,74425,CPT,UROGRAPY ANTEGRADE RS&I,,30,,,"$1,101.51",$0.00,1,0,1,20110101,74430,CPT,CSTOGRAPY MINIMUM 3 VIEWS RS&I,,30,,,"$1,101.51",$0.00,1,0,1,20110101,74440,CPT,VASOGRAPY VESICULOGRAPY/EPIDIDYMOGRAPY RS&I,,30,,,"$1,101.51",$0.00,1,0,1,20110101,74445,CPT,C/P/A CAVERNOSOGRAPY RS&I,,30,,,"$1,101.51",$0.00,1,0,1,20110101,74450,CPT,URETHROCSTOGRAPY RTRGR RS&I,,30,,,"$1,101.51",$0.00,1,0,1,20110101,74455,CPT,URETHROCSTOGRAPY VOIDING RS&I,,30,,,"$1,101.51",$0.00,1,0,1,20110101,74470,CPT,RADEX RNL CST STD TRANSLMBR C+ RS&I,,30,,,"$1,345.83",$0.00,1,0,1,20110101,74475,CPT,INTRO CATH IN RNL PELVIS DRG&/NJX PRQ RS&I,,30,,,"$6,266.88",$0.00,1,0,1,20110101,74480,CPT,INTRO URTRL CATH/STENT PRQ RS&I,,30,,,"$6,266.88",$0.00,1,0,1,20110101,74485,CPT,DILAT NFROS URTRS/URT RS&I,,30,,,"$6,266.88",$0.00,1,0,1,20110101,74710,CPT,PELVIMETRY +-PLACENTAL LOCLZJ,,30,,,$486.13,$0.00,1,0,1,20110101,74740,CPT,HSG RS&I,,30,,,"$1,345.83",$0.00,1,0,1,20110101,74742,CPT,TRANSCRV CATHJ FLP TUBE RS&I,,30,,,$961.23,$0.00,1,0,1,20110101,74775,CPT,PRINEOGRAM,,30,,,"$1,101.51",$0.00,1,0,1,20110101,75557,CPT,CARDIAC MRI MORPHOLOGY & FUNCTION W/O CONTRAST,,30,,,"$2,215.51",$0.00,1,0,1,20110101,75559,CPT,CARDIAC MRI W/O CONTRAST W STRESS IMAGING,,30,,,"$2,215.51",$0.00,1,0,1,20110101,75561,CPT,CARDIAC MRI W/W/O CONTRAST & FURTHER SEQ,,30,,,"$3,349.04",$0.00,1,0,1,20110101,75563,CPT,CARDIAC MRI W/W/O CONTRAST W STRESS,,30,,,"$3,349.04",$0.00,1,0,1,20110101,75571,CPT,CT HEART NO CONTRAST QUANT EVAL CORONRY CALCIUM,,30,,,$258.46,$0.00,1,0,1,20110101,75572,CPT,CT HEART CONTRAST EVAL CARDIAC STRUCTURE&MORPH,,30,,,"$1,715.69",$0.00,1,0,1,20110101,75573,CPT,CT HRT CONTRST CARDIAC STRUCT&MORPH CONG HRT DX,,30,,,"$1,715.69",$0.00,1,0,1,20110101,75574,CPT,CTA HRT CORNRY ART/BYPASS GRFTS CONTRST 3D POST,,30,,,"$1,715.69",$0.00,1,0,1,20110101,75600,CPT,AORTOGRAPY THRC W/O SRLOGRAPY RS&I,,30,,,"$11,017.48",$0.00,1,0,1,20110101,75605,CPT,AORTOGRAPY THRC SRLOGRAPY RS&I,,30,,,"$11,017.48",$0.00,1,0,1,20110101,75625,CPT,AORTOGRAPY ABDL SRLOGRAPY RS&I,,30,,,"$11,017.48",$0.00,1,0,1,20110101,75630,CPT,AORTOGRAPY ABDL BI ILIOFEM LXTR CATH RS&I,,30,,,"$11,017.48",$0.00,1,0,1,20110101,75635,CPT,CTA AA&BI ILIOFEM LXTR RS&I C-/C+ POST-PXESSING,,30,,,"$2,159.45",$0.00,1,0,1,20110101,75650,CPT,ANGRPH CERVICOCERE CATH W/VSL ORIGIN RS&I,,30,,,"$15,793.70",$0.00,1,0,1,20110101,75658,CPT,ANGRPH BRACH RTRGR RS&I,,30,,,"$11,017.48",$0.00,1,0,1,20110101,75660,CPT,ANGRPH XTRNL CRTD UNI SLCTV RS&I,,30,,,"$15,793.70",$0.00,1,0,1,20110101,75662,CPT,ANGRPH XTRNL CRTD BI SLCTV RS&I,,30,,,"$15,793.70",$0.00,1,0,1,20110101,75665,CPT,ANGRPH CRTD CERE UNI RS&I,,30,,,"$11,017.48",$0.00,1,0,1,20110101,75671,CPT,ANGRPH CRTD CERE BI RS&I,,30,,,"$15,793.70",$0.00,1,0,1,20110101,75676,CPT,ANGRPH CRTD CRV UNI RS&I,,30,,,"$11,017.48",$0.00,1,0,1,20110101,75680,CPT,ANGRPH CRTD CRV BI RS&I,,30,,,"$11,017.48",$0.00,1,0,1,20110101,75685,CPT,ANGRPH VRT CRV&/ICRA RS&I,,30,,,"$11,017.48",$0.00,1,0,1,20110101,75705,CPT,ANGRPH SPI SLCTV RS&I,,30,,,"$11,017.48",$0.00,1,0,1,20110101,75710,CPT,ANGRPH XTR UNI RS&I,,30,,,"$11,017.48",$0.00,1,0,1,20110101,75716,CPT,ANGRPH XTR BI RS&I,,30,,,"$11,017.48",$0.00,1,0,1,20110101,75722,CPT,ANGRPH RNL UNI SLCTV W/FLUSH AORTOGRAM RS&I,,30,,,"$11,017.48",$0.00,1,0,1,20110101,75724,CPT,ANGRPH RNL BI SLCTV W/FLUSH AORTOGRAM RS&I,,30,,,"$11,017.48",$0.00,1,0,1,20110101,75726,CPT,ANGRPH VISC SLCTV/SUPRASLCTV RS&I,,30,,,"$11,017.48",$0.00,1,0,1,20110101,75731,CPT,ANGRPH ADRNL UNI SLCTV RS&I,,30,,,"$11,017.48",$0.00,1,0,1,20110101,75733,CPT,ANGRPH ADRNL BI SLCTV RS&I,,30,,,"$11,017.48",$0.00,1,0,1,20110101,75736,CPT,ANGRPH PEL SLCTV/SUPRASLCTV RS&I,,30,,,"$11,017.48",$0.00,1,0,1,20110101,75741,CPT,ANGRPH PULM UNI SLCTV RS&I,,30,,,"$11,017.48",$0.00,1,0,1,20110101,75743,CPT,ANGRPH PULM BI SLCTV RS&I,,30,,,"$11,017.48",$0.00,1,0,1,20110101,75746,CPT,ANGRPH PULM NONSLCTV CATH/VEN NJX RS&I,,30,,,"$4,292.31",$0.00,1,0,1,20110101,75756,CPT,ANGRPH INT MAM RS&I,,30,,,"$4,292.31",$0.00,1,0,1,20110101,75774,CPT,ANGRPH SLCTV EA VSL STUDIED AFTER BASIC XM RS&I,,30,,,"$2,737.21",$0.00,1,0,1,20110101,75791,CPT,ANGIOGRPHY AV SHUNT COMPLETE EVAL FLUOR S&I,,30,,,$881.26,$0.00,1,0,1,20110101,75801,CPT,LYMPHANGRPH XTR ONLY UNI RS&I,,30,,,"$2,388.35",$0.00,1,0,1,20110101,75803,CPT,LYMPHANGRPH XTR ONLY BI RS&I,,30,,,"$2,388.35",$0.00,1,0,1,20110101,75805,CPT,LYMPHANGRPH PEL/ABDL UNI RS&I,,30,,,"$2,388.35",$0.00,1,0,1,20110101,75807,CPT,LYMPHANGRPH PEL/ABDL BI RS&I,,30,,,"$2,388.35",$0.00,1,0,1,20110101,75809,CPT,SHUNTOGRAM NDWELLG NONVASC SHUNT RS&I,,30,,,$486.13,$0.00,1,0,1,20110101,75810,CPT,SPLENOPORTOGRAPY RS&I,,30,,,"$11,017.48",$0.00,1,0,1,20110101,75820,CPT,VNGRPH XTR UNI RS&I,,30,,,"$4,292.31",$0.00,1,0,1,20110101,75822,CPT,VNGRPH XTR BI RS&I,,30,,,"$4,292.31",$0.00,1,0,1,20110101,75825,CPT,VNGRPH CAVAL INF SRLOGRAPY RS&I,,30,,,"$11,017.48",$0.00,1,0,1,20110101,75827,CPT,VNGRPH CAVAL SUPRIOR SRLOGRAPY RS&I,,30,,,"$4,292.31",$0.00,1,0,1,20110101,75831,CPT,VNGRPH RNL UNI SLCTV RS&I,,30,,,"$11,017.48",$0.00,1,0,1,20110101,75833,CPT,VNGRPH RNL BI SLCTV RS&I,,30,,,"$11,017.48",$0.00,1,0,1,20110101,75840,CPT,VNGRPH ADRNL UNI SLCTV RS&I,,30,,,"$11,017.48",$0.00,1,0,1,20110101,75842,CPT,VNGRPH ADRNL BI SLCTV RS&I,,30,,,"$11,017.48",$0.00,1,0,1,20110101,75860,CPT,VNGRPH VEN SINUS/JUG CATH RS&I,,30,,,"$4,292.31",$0.00,1,0,1,20110101,75870,CPT,VNGRPH SUPRIOR SGTL SINUS RS&I,,30,,,"$4,292.31",$0.00,1,0,1,20110101,75872,CPT,VNGRPH EDRL RS&I,,30,,,"$4,292.31",$0.00,1,0,1,20110101,75880,CPT,VNGRPH ORB RS&I,,30,,,"$4,292.31",$0.00,1,0,1,20110101,75885,CPT,PRQ TRANSHEPATC PORTOGRAPY HEMODYN EVAL RS&I,,30,,,"$11,017.48",$0.00,1,0,1,20110101,75887,CPT,PRQ TRANSHEPATC PORTOGRAPY W/O HEMODYN EVAL RS&I,,30,,,"$4,292.31",$0.00,1,0,1,20110101,75889,CPT,HEPATC VNGRPH WDG/FR HEMODYN EVAL RS&I,,30,,,"$11,017.48",$0.00,1,0,1,20110101,75891,CPT,HEPATC VNGRPH WDG/FR W/O HEMODYN EVAL RS&I,,30,,,"$11,017.48",$0.00,1,0,1,20110101,75893,CPT,VEN SAMPLING THRU CATH +-ANGRPH RS&I,,30,,,"$11,017.48",$0.00,1,0,1,20110101,75894,CPT,TCAT THER EMBOLIZATION ANY METH RS&I,,30,,,"$10,868.89",$0.00,1,0,1,20110101,75896,CPT,TCAT THER NFS ANY METH RS&I,,30,,,"$10,469.07",$0.00,1,0,1,20110101,75898,CPT,ANGRPH CATH F-UP STD TCAT THER EMBOLIZATION/NFS,,30,,,$486.13,$0.00,1,0,1,20110101,75900,CPT,EXCHNG CATH THROMBOLYTIC THER C+ MNTR RS&I,,30,,,"$3,659.87",$0.00,1,0,1,20110101,75901,CPT,MCHNL RMVL PRICATH OBSTR MATRL RS&I,,30,,,"$1,373.22",$0.00,1,0,1,20110101,75902,CPT,MCHNL RMVL INTRAL OBSTR MATRL RS&I,,30,,,"$1,230.21",$0.00,1,0,1,20110101,75940,CPT,PRQ PLMT IVC FILTER RS&I,,30,,,"$5,953.05",$0.00,1,0,1,20110101,75945,CPT,IV US RS&I 1ST VSL,,30,,,$996.43,$0.00,1,0,1,20110101,75946,CPT,IV US RS&I EA NON-C VSL,,30,,,"$1,676.54",$0.00,1,0,1,20110101,75960,CPT,TCAT INTRO IV STENT PRQ&/OPN RS&I EA VSL,,30,,,"$8,473.44",$0.00,1,0,1,20110101,75961,CPT,TCAT RETRIEVAL PRQ IV FB RS&I,,30,,,"$6,038.78",$0.00,1,0,1,20110101,75962,CPT,TRLUML BALO ANGIOP PRPH ART RS&I,,30,,,"$16,950.24",$0.00,1,0,1,20110101,75964,CPT,TRLUML BALO ANGIOP EA PRPH ART RS&I,,30,,,"$4,820.88",$0.00,1,0,1,20110101,75966,CPT,TRLUML BALO ANGIOP RNL/OTH VISC ART RS&I,,30,,,"$16,950.24",$0.00,1,0,1,20110101,75968,CPT,TRLUML BALO ANGIOP EA VISC ART RS&I,,30,,,"$4,820.88",$0.00,1,0,1,20110101,75970,CPT,TCAT BX RS&I,,30,,,"$5,667.41",$0.00,1,0,1,20110101,75978,CPT,TRLUML BALO ANGIOP VEN RS&I,,30,,,"$13,000.61",$0.00,1,0,1,20110101,75980,CPT,PRQ TRANSHEPATC BILIARY DRG C+ MNTR RS&I,,30,,,"$2,958.65",$0.00,1,0,1,20110101,75982,CPT,PRQ BILIARY DRG/DRG STENT RS&I,,30,,,"$3,256.21",$0.00,1,0,1,20110101,75984,CPT,CHNG PRQ TUBE/DRAINAGE CATH W CONTRAST RS&I,,30,,,"$1,307.10",$0.00,1,0,1,20110101,76000,CPT,FLUOR SPX <1 HR PHYS TM OTH/THN 71023/71034,,30,,,$552.45,$0.00,1,0,1,20110101,76010,CPT,RADEX FROM NOSE RECTUM FB 1 VIEW CHLD,,30,,,$290.74,$0.00,1,0,1,20110101,76080,CPT,RAD XM ABSC/FSTL/SINUS TRC RAD S&I,,30,,,"$1,345.83",$0.00,1,0,1,20110101,76098,CPT,RAD XM SURG SPEC,,30,,,"$2,388.35",$0.00,1,0,1,20110101,76100,CPT,RADEX 1 PLNE BDY SCTJ OTH/THN UROGRAPY,,30,,,$486.13,$0.00,1,0,1,20110101,76101,CPT,RADEX CPLX MOTION BDY SCTJ OTH/THN UROGRAPY UNI,,30,,,"$1,345.83",$0.00,1,0,1,20110101,76102,CPT,RADEX CPLX MOTION BDY SCTJ OTH/THN UROGRAPY BI,,30,,,"$1,345.83",$0.00,1,0,1,20110101,76120,CPT,CINERADIOGRAPY/VIDRADIOGRAPY XCPT WHERE SPEC,,30,,,$552.45,$0.00,1,0,1,20110101,76125,CPT,CINERADIOGRAPY/VIDRADIOGRAPY ROUTINE XM,,30,,,$399.47,$0.00,1,0,1,20110101,76140,CPT,CONSLTJ X-RAY XM MADE ELSEWHERE WRTTN REPRT,,30,,,$82.86,$0.00,1,0,1,20110101,76376,CPT,3D RNDR I&R CT MRI US/OTH X REQ POSTPCX,,30,,,"$1,548.17",$0.00,1,0,1,20110101,76377,CPT,3D RNDR I&R CT MRI US/OTH REQ POSTPCX,,30,,,"$1,604.83",$0.00,1,0,1,20110101,76380,CPT,CT LMTD/LOCLZD F-UP STD,,30,,,$707.83,$0.00,1,0,1,20110101,76390,CPT,MRI SPECTROSCOPY,,30,,,"$5,078.50",$0.00,1,0,1,20110101,76496,CPT,UNLIS FLUOR PX,,30,,,$552.45,$0.00,1,0,1,20110101,76497,CPT,UNLIS CT PX,,30,,,$707.83,$0.00,1,0,1,20110101,76498,CPT,UNLIS MRI PX,,30,,,"$2,215.51",$0.00,1,0,1,20110101,76499,CPT,UNLIS DX RADIOGRAPIC PX,,30,,,$290.74,$0.00,1,0,1,20110101,76506,CPT,ECHOENCEPHALOGRAPY REAL TIME IMAGING,,30,,,$403.97,$0.00,1,0,1,20110101,76510,CPT,OPH US DX B-SCAN&QUAN A-SCAN SM PT ENCTR,,30,,,$909.29,$0.00,1,0,1,20110101,76511,CPT,OPH US DX QUAN A-SCAN ONLY,,30,,,$627.73,$0.00,1,0,1,20110101,76512,CPT,OPH US DX B-SCAN +-A-SCAN,,30,,,$627.73,$0.00,1,0,1,20110101,76513,CPT,OPH US DX ANT SGM US IMMERSION B-SCAN/HR BIOM,,30,,,$627.73,$0.00,1,0,1,20110101,76514,CPT,OPH US DX CRNL PACHYMETRY UNI/BI,,30,,,$101.40,$0.00,1,0,1,20110101,76516,CPT,OPH BMTRY US ECHOGRAPY A-SCAN,,30,,,$403.97,$0.00,1,0,1,20110101,76519,CPT,OPH BMTRY US ECHOGRAPY A-SCAN IO LENS PWR CAL,,30,,,$627.73,$0.00,1,0,1,20110101,76529,CPT,OPH ULTRASONIC FB LOCLZJ,,30,,,$403.97,$0.00,1,0,1,20110101,76536,CPT,US SOFT TISS HEAD&NCK R-T IMG,,30,,,$627.73,$0.00,1,0,1,20110101,76604,CPT,US CHEST R-T W/IMAGE DOCUMENTATION,,30,,,$403.97,$0.00,1,0,1,20110101,76645,CPT,US BREAST R-T W/IMAGE DOCUMENTATION,,30,,,$403.97,$0.00,1,0,1,20110101,76700,CPT,US ABDOMINAL R-T W/IMAGE DOCUMENTATION,,30,,,$627.73,$0.00,1,0,1,20110101,76705,CPT,ULTRASOUND ABDOMINAL R-T W/IMAGE LIMITED,,30,,,$627.73,$0.00,1,0,1,20110101,76770,CPT,US RETROPERITONEAL R-T W/IMAGE COMPL,,30,,,$627.73,$0.00,1,0,1,20110101,76775,CPT,US RPR B-SCAN&/R-T IMG LMTD,,30,,,$627.73,$0.00,1,0,1,20110101,76776,CPT,US TRNSPL KDN R-T IMG +- DUPLEX DOP STD,,30,,,$627.73,$0.00,1,0,1,20110101,76800,CPT,US SPI CANAL&CNTS,,30,,,$627.73,$0.00,1,0,1,20110101,76801,CPT,US PG UTER IMG F&MAT 14 WK TABDL 1/1ST GESTATION,,30,,,$627.73,$0.00,1,0,1,20110101,76802,CPT,US PG UTER F&MAT 14 WK TABDL EA GESTATION,,30,,,$403.97,$0.00,1,0,1,20110101,76805,CPT,US PG UTER F&MAT AFTER 1ST TRI 1/1ST GESTATION,,30,,,$627.73,$0.00,1,0,1,20110101,76810,CPT,US PG UTER F&MAT AFTER 1ST TRI ABDL EA GESTATION,,30,,,$627.73,$0.00,1,0,1,20110101,76811,CPT,US PG UTER F&MAT DETAILED FTL XM 1ST GESTATION,,30,,,$996.43,$0.00,1,0,1,20110101,76812,CPT,US PG UTER F&MAT DETAILED FTL ANTMC XM EA,,30,,,$403.97,$0.00,1,0,1,20110101,76813,CPT,US FETAL NUCHAL TRANSLUCENCY 1ST GESTATION,,30,,,$403.97,$0.00,1,0,1,20110101,76814,CPT,US FETAL NUCHAL TRANSLUCENCY EA ADDL GESTATION,,30,,,$403.97,$0.00,1,0,1,20110101,76815,CPT,US PG UTER R-T IMG LMTD 1+ FETUSES,,30,,,$403.97,$0.00,1,0,1,20110101,76816,CPT,US PG UTER R-T IMG F-UP TABDL APPR PR FETUS,,30,,,$403.97,$0.00,1,0,1,20110101,76817,CPT,US PG UTER R-T IMG TRVG,,30,,,$403.97,$0.00,1,0,1,20110101,76818,CPT,FTL BIOPHYSICAL PROFILE NON-STRS TSTG,,30,,,$627.73,$0.00,1,0,1,20110101,76819,CPT,FTL BIOPHYSICAL PROFILE W/O NON-STRS TSTG,,30,,,$627.73,$0.00,1,0,1,20110101,76820,CPT,DOP VELOCIMETRY FTL UMBILICAL ART,,30,,,$403.97,$0.00,1,0,1,20110101,76821,CPT,DOP VELOCIMETRY FTL MIDDLE CERE ART,,30,,,$403.97,$0.00,1,0,1,20110101,76825,CPT,ECHO FTL CV SYS R-T REC,,30,,,"$3,711.99",$0.00,1,0,1,20110101,76826,CPT,ECHO FTL CV SYS R-T REC REPEAT STD,,30,,,"$2,837.87",$0.00,1,0,1,20110101,76827,CPT,DOP ECHO FTL SPECTRAL DISPLAY COMPL,,30,,,$403.97,$0.00,1,0,1,20110101,76828,CPT,DOP ECHO FTL PLSD SPECTRAL DISPLAY REPEAT STD,,30,,,$403.97,$0.00,1,0,1,20110101,76830,CPT,US TRVG,,30,,,$627.73,$0.00,1,0,1,20110101,76831,CPT,SALINE NFS SHG SIS COL FLO DOP PFRMD,,30,,,$996.43,$0.00,1,0,1,20110101,76856,CPT,US PELVIC NONOB REAL-TIME IMG COMPLETE,,30,,,$627.73,$0.00,1,0,1,20110101,76857,CPT,US PEL NONOB B-SCAN&/R-T IMG LMTD/F-UP+C97,,30,,,$403.97,$0.00,1,0,1,20110101,76870,CPT,US SCROTUM&CNTS,,30,,,$627.73,$0.00,1,0,1,20110101,76872,CPT,US TRANSRCT,,30,,,$627.73,$0.00,1,0,1,20110101,76873,CPT,US TRANSRCT PRST8 VOL STD BRACHYTX PLNNING SPX,,30,,,$627.73,$0.00,1,0,1,20110101,76881,CPT,US XTR NON-VASC COMPLETE,,30,,,$627.73,$0.00,1,0,1,20110101,76882,CPT,US XTR NON-VASC LMTD,,30,,,$403.97,$0.00,1,0,1,20110101,76885,CPT,US INFT HIPS R-T IMG DYNAMIC REQ PHYS MNPJ,,30,,,$403.97,$0.00,1,0,1,20110101,76886,CPT,US INFT HIPS R-T IMG LMTD STATIC X PHYS MNPJ,,30,,,$403.97,$0.00,1,0,1,20110101,76930,CPT,US PRICARDIOCNTS IMG S&I,,30,,,$597.10,$0.00,1,0,1,20110101,76932,CPT,US ENDOMYOCRD BX IMG S&I,,30,,,$592.93,$0.00,1,0,1,20110101,76936,CPT,US CMPRN RPR ARTL PSEUDOARYSM/ARVEN FSTL,,30,,,$698.53,$0.00,1,0,1,20110101,76940,CPT,US &MNTR PARENCHYMAL TISSUE ABLATION,,30,,,$654.83,$0.00,1,0,1,20110101,76941,CPT,US INTRAUTERINE FTL TFUJ/CORDOCNTS IMG S&I,,30,,,$442.08,$0.00,1,0,1,20110101,76942,CPT,US NDL PLMT IMG S&I,,30,,,$982.25,$0.00,1,0,1,20110101,76945,CPT,US CHORNC VILLUS SAMPLING IMG S&I,,30,,,$593.86,$0.00,1,0,1,20110101,76946,CPT,US AMNIOCNTS IMG S&I,,30,,,$646.22,$0.00,1,0,1,20110101,76948,CPT,US ASPIR OVA IMG S&I,,30,,,$621.36,$0.00,1,0,1,20110101,76950,CPT,US PLMT RADJ THER FLDS,,30,,,$563.70,$0.00,1,0,1,20110101,76965,CPT,US NTRSTL RADIOELMNT APPL,,30,,,"$2,014.87",$0.00,1,0,1,20110101,76970,CPT,US STD F-UP SPEC,,30,,,$403.97,$0.00,1,0,1,20110101,76975,CPT,GI NDSC US S&I,,30,,,$996.43,$0.00,1,0,1,20110101,76977,CPT,US B1 DNS MEAS&INTERPJ PRPH SIT ANY METH,,30,,,$258.46,$0.00,1,0,1,20110101,76998,CPT,ULTRASONIC GUIDANCE INTRAOPERATIVE,,30,,,$126.91,$0.00,1,0,1,20110101,76999,CPT,UNLIS US PX,,30,,,$403.97,$0.00,1,0,1,20110101,77011,CPT,CT GUIDANCE STEREOTACTIC LOCALIZATION,,30,,,"$2,895.05",$0.00,1,0,1,20110101,77012,CPT,CT GUIDANCE NEEDLE PLACEMENT,,30,,,"$2,901.35",$0.00,1,0,1,20110101,77013,CPT,CT GUIDANCE &MONITORING VISC TISS ABLATION,,30,,,"$3,766.75",$0.00,1,0,1,20110101,77014,CPT,CT GUIDANCE RADIATION THERAPY FLDS PLACEMENT,,30,,,"$1,209.59",$0.00,1,0,1,20110101,77021,CPT,MR GUIDANCE NEEDLE PLACEMENT,,30,,,"$4,398.25",$0.00,1,0,1,20110101,77022,CPT,MR GUIDANCE &MONITORING TISSUE ABLATION,,30,,,"$4,916.22",$0.00,1,0,1,20110101,77031,CPT,STRTCTC LOCLZJ GID BREAST BX/NEEDLE PLACEMENT,,30,,,"$2,551.73",$0.00,1,0,1,20110101,77032,CPT,MAMMOGRAPHIC GID NEEDLE PLACEMENTT BREAST,,30,,,$530.23,$0.00,1,0,1,20110101,77053,CPT,MAMMARY DUCTOGRAM OR GALACTOGRAM SINGLE,,30,,,"$1,345.83",$0.00,1,0,1,20110101,77054,CPT,MAMMARY DUCTOGRAM OR GALACTOGRAM MULTIPLE,,30,,,"$1,345.83",$0.00,1,0,1,20110101,77058,CPT,MRI BREAST UNILATERAL,,30,,,"$7,167.04",$0.00,1,0,1,20110101,77059,CPT,MRI BREAST BILATERAL,,30,,,"$9,756.22",$0.00,1,0,1,20110101,77071,CPT,MANUAL APPL STRESS PFRMD PHYS JOINT RADIOGRAPHY,,30,,,$290.74,$0.00,1,0,1,20110101,77072,CPT,BONE AGE STUDIES,,30,,,$290.74,$0.00,1,0,1,20110101,77073,CPT,BONE LENGTH STUDIES,,30,,,$290.74,$0.00,1,0,1,20110101,77074,CPT,RADIOLOGIC EXAMINATION OSSEOUS SURVEY LIMITED,,30,,,$486.13,$0.00,1,0,1,20110101,77075,CPT,RADIOLOGIC EXAMINATION OSSEOUS SURVEY COMPL,,30,,,$486.13,$0.00,1,0,1,20110101,77076,CPT,RADIOLOGIC EXAMINATION OSSEOUS SURVEY INFANT,,30,,,$486.13,$0.00,1,0,1,20110101,77077,CPT,JOINT SURVEY SINGLE VIEW 2 OR MORE JOINTS,,30,,,$290.74,$0.00,1,0,1,20110101,77078,CPT,CT BONE MINERAL DENSITY STUDY 1+ SITS AXIAL SKEL,,30,,,$468.54,$0.00,1,0,1,20110101,77079,CPT,CT BONE MINERAL DENSITY STUDY 1+ SITS APPND,,30,,,$707.83,$0.00,1,0,1,20110101,77080,CPT,DXA BONE DENSITY STUDY 1+ SITS AXIAL SKEL,,30,,,$468.54,$0.00,1,0,1,20110101,77081,CPT,DXA BONE DENSITY STUDY 1+ SITS APPENDICULAR SKEL,,30,,,$188.64,$0.00,1,0,1,20110101,77082,CPT,DXA BONE DENSITY STUDY VERTEBRAL FRACTURE,,30,,,$290.74,$0.00,1,0,1,20110101,77083,CPT,RADIOGRAPHIC ABSORPTIOMETRY 1+ SITS,,30,,,$486.13,$0.00,1,0,1,20110101,77084,CPT,BONE MARROW BLOOD SUPPLY,,30,,,"$2,215.51",$0.00,1,0,1,20110101,77280,CPT,THER RAD SIMULAJ-AIDED FLD SETTING SMPL,,30,,,$663.82,$0.00,1,0,1,20110101,77285,CPT,THER RAD SIMULAJ-AIDED FLD SETTING INTRM,,30,,,"$1,698.01",$0.00,1,0,1,20110101,77290,CPT,THER RAD SIMULAJ-AIDED FLD SETTING CPLX,,30,,,"$1,698.01",$0.00,1,0,1,20110101,77295,CPT,THER RAD SIMULAJ-AIDED FLD SETTING 3-DIMENSIONAL,,30,,,"$5,637.33",$0.00,1,0,1,20110101,77299,CPT,UNLIS PX THER RAD CLINICAL TX PLNNING,,30,,,$663.82,$0.00,1,0,1,20110101,77300,CPT,BASIC RADJ DOSIM CAL,,30,,,$663.82,$0.00,1,0,1,20110101,77301,CPT,NTSTY MODUL RADTHX PLN DOSE-VOL HISTOS,,30,,,"$5,637.33",$0.00,1,0,1,20110101,77305,CPT,TELETHX ISODOSE PLN SMPL,,30,,,$663.82,$0.00,1,0,1,20110101,77310,CPT,TELETHX ISODOSE PLN INTRM,,30,,,$663.82,$0.00,1,0,1,20110101,77315,CPT,TELETHX ISODOSE PLN CPLX,,30,,,"$1,698.01",$0.00,1,0,1,20110101,77321,CPT,SPEC TELETHX PORT PLN PARTS HEMIBDY TOT BDY,,30,,,"$1,698.01",$0.00,1,0,1,20110101,77326,CPT,BRACHYTX ISODOSE PLN SMPL,,30,,,$663.82,$0.00,1,0,1,20110101,77327,CPT,BRACHYTX ISODOSE PLN INTRM,,30,,,"$1,698.01",$0.00,1,0,1,20110101,77328,CPT,BRACHYTX ISODOSE PLN CPLX,,30,,,"$1,698.01",$0.00,1,0,1,20110101,77331,CPT,SPEC DOSIM ONLY PRESCRIBED TREATING PHYS,,30,,,$663.82,$0.00,1,0,1,20110101,77332,CPT,TX DEV DESIGN&CONSTJ SMPL SMPL BLK SMPL BOLUS,,30,,,"$1,221.81",$0.00,1,0,1,20110101,77333,CPT,TX DEV DESIGN&CONSTJ INTRM,,30,,,"$1,221.81",$0.00,1,0,1,20110101,77334,CPT,TX DEV DESIGN&CONSTJ CPLX,,30,,,"$1,221.81",$0.00,1,0,1,20110101,77336,CPT,CONTINUING MEDICAL PHYSICS CONSLTJ PR WK,,30,,,$663.82,$0.00,1,0,1,20110101,77338,CPT,MLC IMRT DESIGN & CONSTRUCTION PER IMRT PLAN,,30,,,"$5,366.82",$0.00,1,0,1,20110101,77370,CPT,SPEC MEDICAL RADJ PHYSICS CONSLTJ,,30,,,$663.82,$0.00,1,0,1,20110101,77371,CPT,RADIATION DELIVERY STEREOTACTIC CRANIAL COBALT,,30,,,"$23,489.44",$0.00,1,0,1,20110101,77372,CPT,RADIATION DELIVERY STEREOTACTIC CRANIAL LINEAR,,30,,,"$11,412.72",$0.00,1,0,1,20110101,77373,CPT,STEREOTACTIC BODY RADIATION DELIVERY,,30,,,"$21,283.31",$0.00,1,0,1,20110101,77399,CPT,UNLIS MEDICAL RADJ DOSIM TX DEV SPEC SVCS,,30,,,$663.82,$0.00,1,0,1,20110101,77401,CPT,RADJ DLVR SUPFC&/ORTHO VOLTAGE,,30,,,$598.75,$0.00,1,0,1,20110101,77402,CPT,RADJ DLVR 1 AREA 1/PRLL OPSD PORTS SMPL <5MEV,,30,,,$598.75,$0.00,1,0,1,20110101,77403,CPT,RADJ DLVR 1 AREA 1/PRLL OPSD PORTS SMPL 6-10MEV,,30,,,$598.75,$0.00,1,0,1,20110101,77404,CPT,RADJ DLVR 1 AREA 1/PRLL OPSD PORTS SMPL 11-19MEV,,30,,,$598.75,$0.00,1,0,1,20110101,77406,CPT,RADJ DLVR 1 AREA 1/PRLL OPSD PORTS SMPL 20MEV/<,,30,,,$599.29,$0.00,1,0,1,20110101,77407,CPT,RADJ DLVR 2 AREAS 3/>PORTS 1 MLT BLKS <5MEV,,30,,,$598.75,$0.00,1,0,1,20110101,77408,CPT,RADJ DLVR 2 AREAS 3/>PORTS 1 MLT BLKS 6-1MEV,,30,,,$598.75,$0.00,1,0,1,20110101,77409,CPT,RADJ DLVR 2 AREAS 3/>PORTS 1 MLT BLKS 11-19MEV,,30,,,$598.75,$0.00,1,0,1,20110101,77411,CPT,RADJ DLVR 2 AREAS 3/> PORTS 1 TX AREA 20 MEV/<,,30,,,$981.16,$0.00,1,0,1,20110101,77412,CPT,RADJ DLVR 3/> AREAS CUSTOM BLKING <5MEV,,30,,,$981.16,$0.00,1,0,1,20110101,77413,CPT,RADJ DLVR 3/> AREAS CUSTOM BLKING 6-10MEV,,30,,,$981.16,$0.00,1,0,1,20110101,77414,CPT,RADJ DLVR 3/> AREAS CUSTOM BLKING 11-19MEV,,30,,,$981.16,$0.00,1,0,1,20110101,77416,CPT,RADJ DLVR 3/> AREAS CUSTOM BLKING 20MEV/<,,30,,,$981.16,$0.00,1,0,1,20110101,77417,CPT,THER RAD PORT FLM,,30,,,$301.82,$0.00,1,0,1,20110101,77418,CPT,NTSTY MODUL DLVR 1/MLT FLDS/ARCS PR TX SESSION,,30,,,"$2,656.32",$0.00,1,0,1,20110101,77421,CPT,STRSC X-RAY GDN LOCLZJ TARGET VOL DLVR RADJ THER,,30,,,"$1,523.27",$0.00,1,0,1,20110101,77422,CPT,HI NRG NEUTRON RADJ TX DLVR 1 TX AREA,,30,,,$981.16,$0.00,1,0,1,20110101,77423,CPT,HI NRG NEUTRON RADJ TX DLVR 1/> ISOCENTER,,30,,,$981.16,$0.00,1,0,1,20110101,77470,CPT,SPEC TX PX,,30,,,"$2,406.98",$0.00,1,0,1,20110101,77520,CPT,PROTON TX DLVR SMPL W/O COMPENSATION,,30,,,"$5,721.98",$0.00,1,0,1,20110101,77522,CPT,PROTON TX DLVR SMPL COMPENSATION,,30,,,"$5,721.98",$0.00,1,0,1,20110101,77523,CPT,PROTON TX DLVR INTRM,,30,,,"$7,324.52",$0.00,1,0,1,20110101,77525,CPT,PROTON TX DLVR CPLX,,30,,,"$7,324.52",$0.00,1,0,1,20110101,77600,CPT,HYPRTHM XTRNLLY GEN SUPFC,,30,,,"$2,406.98",$0.00,1,0,1,20110101,77605,CPT,HYPRTHM XTRNLLY GEN DP,,30,,,"$2,406.98",$0.00,1,0,1,20110101,77610,CPT,HYPRTHM GEN NTRSTL PRB 5/FEWER,,30,,,"$2,406.98",$0.00,1,0,1,20110101,77615,CPT,HYPRTHM GEN NTRSTL PRB > 5,,30,,,"$2,406.98",$0.00,1,0,1,20110101,77620,CPT,HYPRTHM GEN INTRCV PRB,,30,,,"$2,406.98",$0.00,1,0,1,20110101,77750,CPT,NFS/INSTLJ RADIOELMNT SLN 3 MO F-UP CARE,,30,,,$981.16,$0.00,1,0,1,20110101,77761,CPT,INTRCV RADJ SRC APPL SMPL,,30,,,"$1,922.45",$0.00,1,0,1,20110101,77762,CPT,INTRCV RADJ SRC APPL INTRM,,30,,,"$1,922.45",$0.00,1,0,1,20110101,77763,CPT,INTRCV RADJ SRC APPL CPLX,,30,,,"$1,922.45",$0.00,1,0,1,20110101,77776,CPT,NTRSTL RADJ SRC APPL SMPL,,30,,,"$1,922.45",$0.00,1,0,1,20110101,77777,CPT,NTRSTL RADJ SRC APPL INTRM,,30,,,"$1,922.45",$0.00,1,0,1,20110101,77778,CPT,NTRSTL RADJ SRC APPL CPLX,,30,,,"$5,445.18",$0.00,1,0,1,20110101,77785,CPT,REMOTE AFTLD RADIONUCLIDE BRACHYTX 1 CHANNEL,,30,,,"$4,779.06",$0.00,1,0,1,20110101,77786,CPT,REMOTE AFTLD RADIONUCLIDE BRACHYTX 2-12 CHANNEL,,30,,,"$4,779.06",$0.00,1,0,1,20110101,77787,CPT,REMOTE AFTLD RADIONUCLIDE BRACHYTX > 12 CHANNEL,,30,,,"$4,779.06",$0.00,1,0,1,20110101,77789,CPT,SURF APPL RADJ SRC,,30,,,$598.75,$0.00,1,0,1,20110101,77799,CPT,UNLIS CLINICAL BRACHYTX,,30,,,"$1,922.45",$0.00,1,0,1,20110101,78000,CPT,THYR UPTK 1 DETER,,30,,,$725.27,$0.00,1,0,1,20110101,78001,CPT,THYR UPTK MLT DETERS,,30,,,$725.27,$0.00,1,0,1,20110101,78003,CPT,THYR UPTK STIMJ SUPRJ/DSCHRG X 1ST UPTK STD,,30,,,$725.27,$0.00,1,0,1,20110101,78006,CPT,THYR IMG UPTK 1 DETER,,30,,,"$1,418.10",$0.00,1,0,1,20110101,78007,CPT,THYR IMG UPTK MLT DETERS,,30,,,"$1,418.10",$0.00,1,0,1,20110101,78010,CPT,THYR IMG ONLY,,30,,,$935.99,$0.00,1,0,1,20110101,78011,CPT,THYR IMG VASC FLO,,30,,,$935.99,$0.00,1,0,1,20110101,78015,CPT,THYR CARC METASTASES IMG LMTD AREA,,30,,,"$1,846.33",$0.00,1,0,1,20110101,78016,CPT,THYR CARC METASTASES IMG ADDL STD,,30,,,"$1,846.33",$0.00,1,0,1,20110101,78018,CPT,THYR CARC METASTASES IMG WHBDY,,30,,,"$1,846.33",$0.00,1,0,1,20110101,78020,CPT,THYR CARC METASTASES UPTK,,30,,,$613.66,$0.00,1,0,1,20110101,78070,CPT,PARATHYR IMG,,30,,,"$1,418.10",$0.00,1,0,1,20110101,78075,CPT,ADRNL IMG CORTEX&/MEDULLA,,30,,,"$5,839.02",$0.00,1,0,1,20110101,78099,CPT,UNLIS ENDOC PX DX NUC MED,,30,,,$935.99,$0.00,1,0,1,20110101,78102,CPT,B1 MARROW IMG LMTD AREA,,30,,,"$1,648.75",$0.00,1,0,1,20110101,78103,CPT,B1 MARROW IMG MLT AREAS,,30,,,"$1,648.75",$0.00,1,0,1,20110101,78104,CPT,B1 MARROW IMG WHBDY,,30,,,"$1,648.75",$0.00,1,0,1,20110101,78110,CPT,PLSM VOL RP VOL-DIL TQ SPX 1 SAMPLING,,30,,,"$2,465.48",$0.00,1,0,1,20110101,78111,CPT,PLSM VOL RP VOL-DIL TQ SPX MLT SAMPLINGS,,30,,,"$2,465.48",$0.00,1,0,1,20110101,78120,CPT,RBC VOL DETER SPX 1 SAMPLING,,30,,,"$2,465.48",$0.00,1,0,1,20110101,78121,CPT,RBC VOL DETER SPX MLT SAMPLINGS,,30,,,"$2,465.48",$0.00,1,0,1,20110101,78122,CPT,WHL BLD VOL DETER RP VOL-DIL TQ,,30,,,"$2,465.48",$0.00,1,0,1,20110101,78130,CPT,RBC SURV STD,,30,,,"$2,465.48",$0.00,1,0,1,20110101,78135,CPT,RBC SURV STD DIFFIAL ORGAN/TISS KIN,,30,,,"$2,465.48",$0.00,1,0,1,20110101,78140,CPT,LBLD RBC SQSJ DIFFIAL ORGAN/TISS,,30,,,"$2,465.48",$0.00,1,0,1,20110101,78185,CPT,SPLEEN IMG ONLY +-VASC FLO,,30,,,"$1,648.75",$0.00,1,0,1,20110101,78190,CPT,KIN STD PLTLT SURV +-DIFFIAL ORGAN/TISS LOCLZJ,,30,,,"$1,159.45",$0.00,1,0,1,20110101,78191,CPT,PLTLT SURV STD,,30,,,"$1,159.45",$0.00,1,0,1,20110101,78195,CPT,LYMPHATICS&LYMPH NOD IMG,,30,,,"$1,648.75",$0.00,1,0,1,20110101,78199,CPT,UNLIS HEMATOP RET/ENDO&LYMPHATIC DX NUC MED,,30,,,"$1,648.75",$0.00,1,0,1,20110101,78201,CPT,LVR IMG STATIC ONLY,,30,,,"$1,850.77",$0.00,1,0,1,20110101,78202,CPT,LVR IMG VASC FLO,,30,,,"$1,850.77",$0.00,1,0,1,20110101,78205,CPT,LVR IMG SPECT,,30,,,"$1,850.77",$0.00,1,0,1,20110101,78206,CPT,LVR IMG SPECT VASC FLO,,30,,,"$1,850.77",$0.00,1,0,1,20110101,78215,CPT,LVR&SPLEEN IMG STATIC ONLY,,30,,,"$1,850.77",$0.00,1,0,1,20110101,78216,CPT,LVR&SPLEEN IMG VASC FLO,,30,,,"$1,850.77",$0.00,1,0,1,20110101,78220,CPT,LVR FUNCJ STD HEPATBL AGT SRL IMAGES,,30,,,"$1,850.77",$0.00,1,0,1,20110101,78223,CPT,HEPATBL DUX SYS IMG GLBLDR,,30,,,"$1,850.77",$0.00,1,0,1,20110101,78230,CPT,SALIVARY GLND IMG,,30,,,"$1,579.44",$0.00,1,0,1,20110101,78231,CPT,SALIVARY GLND IMG SRL IMAGES,,30,,,"$1,579.44",$0.00,1,0,1,20110101,78232,CPT,SALIVARY GLND FUNCJ STD,,30,,,"$1,579.44",$0.00,1,0,1,20110101,78258,CPT,ESOPHGL MOTILITY,,30,,,"$1,579.44",$0.00,1,0,1,20110101,78261,CPT,GSTR MUCOSA IMG,,30,,,"$1,579.44",$0.00,1,0,1,20110101,78262,CPT,G-ESOP RFLX STD,,30,,,"$1,579.44",$0.00,1,0,1,20110101,78264,CPT,GSTR EMPTYING STD,,30,,,"$1,579.44",$0.00,1,0,1,20110101,78270,CPT,VIT B-12 ABSRPJ STD W/O INTRNSC FACTOR,,30,,,"$1,159.45",$0.00,1,0,1,20110101,78271,CPT,VIT B-12 ABSRPJ STD INTRNSC FACTOR,,30,,,"$1,159.45",$0.00,1,0,1,20110101,78272,CPT,VIT B-12 ABSRPJ STD CMBN W/&W/O INTRNSC FACTOR,,30,,,"$1,159.45",$0.00,1,0,1,20110101,78278,CPT,AQT GI BLD LOSS IMG,,30,,,"$1,579.44",$0.00,1,0,1,20110101,78282,CPT,GI PROTEIN LOSS,,30,,,"$1,579.44",$0.00,1,0,1,20110101,78290,CPT,INT IMG,,30,,,"$1,579.44",$0.00,1,0,1,20110101,78291,CPT,PRTL-VEN SHUNT PATENCY TST,,30,,,"$1,579.44",$0.00,1,0,1,20110101,78299,CPT,UNLIS GI PX DX NUC MED,,30,,,"$1,579.44",$0.00,1,0,1,20110101,78300,CPT,B1&/JT IMG LMTD AREA,,30,,,"$1,579.63",$0.00,1,0,1,20110101,78305,CPT,B1&/JT IMG MLT AREAS,,30,,,"$1,579.63",$0.00,1,0,1,20110101,78306,CPT,B1&/JT IMG WHBDY,,30,,,"$1,579.63",$0.00,1,0,1,20110101,78315,CPT,B1&/JT IMG 3 PHASE STD,,30,,,"$1,579.63",$0.00,1,0,1,20110101,78320,CPT,B1&/JT IMG TOMOG SPECT,,30,,,"$1,579.63",$0.00,1,0,1,20110101,78350,CPT,B1 DNS STD 1+ SITS 1 PHTN ABSRPTM,,30,,,$614.88,$0.00,1,0,1,20110101,78351,CPT,B1 DNS STD 1+ SITS DUAL PHTN ABSRPTM 1+ SITS,,30,,,$673.84,$0.00,1,0,1,20110101,78399,CPT,UNLIS MUSCSKEL PX DX NUC MED,,30,,,"$1,579.63",$0.00,1,0,1,20110101,78414,CPT,DETER CTR C-V HEMODYN NON-IMG +-RX 1/MLT,,30,,,"$1,944.29",$0.00,1,0,1,20110101,78428,CPT,CAR SHUNT DETCJ,,30,,,"$1,944.29",$0.00,1,0,1,20110101,78445,CPT,NON-CAR VASC FLO IMG,,30,,,"$1,281.42",$0.00,1,0,1,20110101,78451,CPT,MYOCARDIAL SPECT SINGLE STUDY AT REST OR STRESS,,30,,,"$4,764.82",$0.00,1,0,1,20110101,78452,CPT,MYOCARDIAL SPECT MULTIPLE STUDIES,,30,,,"$4,764.82",$0.00,1,0,1,20110101,78453,CPT,MYOCARDIAL PERFUSION PLANAR 1 STUDY REST/STRESS,,30,,,"$4,764.82",$0.00,1,0,1,20110101,78454,CPT,MYOCARDIAL PERFUSION PLANAR MULTIPLE STUDIES,,30,,,"$4,764.82",$0.00,1,0,1,20110101,78456,CPT,AQT VEN THROMBOSIS IMG PEPTIDE,,30,,,"$1,281.42",$0.00,1,0,1,20110101,78457,CPT,VEN THROMBOSIS IMG VENOGRAM UNI,,30,,,"$1,281.42",$0.00,1,0,1,20110101,78458,CPT,VEN THROMBOSIS IMG VENOGRAM BI,,30,,,"$1,281.42",$0.00,1,0,1,20110101,78459,CPT,MYOCRD IMG P+ EMIJ TOMOG METAB EVAL,,30,,,"$6,331.89",$0.00,1,0,1,20110101,78466,CPT,MYOCRD IMG INFARCT AVID PLNR QUAL/QUAN,,30,,,"$1,944.29",$0.00,1,0,1,20110101,78468,CPT,MYOCRD IMG INFARCT AVID PLNR EJEC FXJ 1ST PS TQ,,30,,,"$1,944.29",$0.00,1,0,1,20110101,78469,CPT,MYOCRD IMG INFARCT AVID PLNR TOMOG SPECT +-QUAN,,30,,,"$1,944.29",$0.00,1,0,1,20110101,78472,CPT,CARD BPI GTD =BRM PLNR 1 STD REST/STRS,,30,,,"$1,944.29",$0.00,1,0,1,20110101,78473,CPT,CARD BPI GTD =BRM MLT STD WALL MOTION STD,,30,,,"$1,944.29",$0.00,1,0,1,20110101,78481,CPT,CARD BPI PLNR 1ST PS 1 STD PLUS EJEC FXJ,,30,,,"$1,944.29",$0.00,1,0,1,20110101,78483,CPT,CARD BPI PLNR 1ST PS MLT STD PLUS EJEC FXJ,,30,,,"$1,944.29",$0.00,1,0,1,20110101,78491,CPT,MYOCRD IMG P+ EMIJ TOMOG PRFUJ 1 STD,,30,,,"$6,331.89",$0.00,1,0,1,20110101,78492,CPT,MYOCRD IMG P+ EMIJ TOMOG PRFUJ MLT STD,,30,,,"$6,331.89",$0.00,1,0,1,20110101,78494,CPT,CARD BPI GTD =BRM SPECT REST WALL MOTION,,30,,,"$1,944.29",$0.00,1,0,1,20110101,78496,CPT,CARD BPI GTD =BRM 1 STD REST R VENTR EJEC FXJ,,30,,,"$1,267.48",$0.00,1,0,1,20110101,78499,CPT,UNLIS CV DX NUC MED,,30,,,"$1,944.29",$0.00,1,0,1,20110101,78580,CPT,PULM PI PART,,30,,,"$1,321.74",$0.00,1,0,1,20110101,78584,CPT,PULM PI PART VNTJ 1 BRTH,,30,,,"$2,055.89",$0.00,1,0,1,20110101,78585,CPT,PULM PI PART VNTJ RBRTHING&WSHOT +-1 BRTH,,30,,,"$2,055.89",$0.00,1,0,1,20110101,78586,CPT,PULM VI AERSL 1 PROJECTION,,30,,,"$1,321.74",$0.00,1,0,1,20110101,78587,CPT,PULM VI AERSL MLT PRJCJ,,30,,,"$1,321.74",$0.00,1,0,1,20110101,78588,CPT,PULM PI PART VNTJ IMG AERSL 1/MLT PRJCJ,,30,,,"$2,055.89",$0.00,1,0,1,20110101,78591,CPT,PULM VI GASEOUS 1 PRJCJ,,30,,,"$1,321.74",$0.00,1,0,1,20110101,78593,CPT,PULM VI GASEOUS RBRTHING&WSHOT 1 PRJCJ,,30,,,"$1,321.74",$0.00,1,0,1,20110101,78594,CPT,PULM VI GASEOUS RBRTHING&WSHOT MLT PRJCJ,,30,,,"$1,321.74",$0.00,1,0,1,20110101,78596,CPT,PULM QUAN DIFFIAL FUNCJ VNTJ/PRFUJ STD,,30,,,"$2,055.89",$0.00,1,0,1,20110101,78599,CPT,UNLIS RESPIR PX DX NUC MED,,30,,,"$1,321.74",$0.00,1,0,1,20110101,78600,CPT,BRAIN IMAGING <4 STATIC VIEWS,,30,,,"$1,260.27",$0.00,1,0,1,20110101,78601,CPT,BRAIN IMAGING >4 STATIC VIEWS W VASCULAR FLOW,,30,,,"$3,608.19",$0.00,1,0,1,20110101,78605,CPT,BRAIN IMAGING MIN 4 STATIC VIEWS,,30,,,"$1,260.27",$0.00,1,0,1,20110101,78606,CPT,BRAIN IMAGING MIN 4 STATIC VIEWS W VASCULAR FLOW,,30,,,"$3,608.19",$0.00,1,0,1,20110101,78607,CPT,BRAIN IMAGING TOMOGRAPHIC SPECT,,30,,,"$3,608.19",$0.00,1,0,1,20110101,78608,CPT,BRN IMG P+ EMIJ TOMOG METAB EVAL,,30,,,"$6,254.85",$0.00,1,0,1,20110101,78609,CPT,BRN IMG P+ EMIJ TOMOG PRFUJ EVAL,,30,,,"$4,206.19",$0.00,1,0,1,20110101,78610,CPT,BRN IMG VASC FLO ONLY,,30,,,"$1,260.27",$0.00,1,0,1,20110101,78630,CPT,CEREBSP FLU FLO IMG X INTRO MATRL CISTRNG,,30,,,"$3,608.19",$0.00,1,0,1,20110101,78635,CPT,CEREBSP FLU FLO IMG X INTRO MATRL VENTRG,,30,,,"$3,608.19",$0.00,1,0,1,20110101,78645,CPT,CEREBSP FLU FLO IMG X INTRO MATRL SHUNT EVAL,,30,,,"$1,260.27",$0.00,1,0,1,20110101,78647,CPT,CEREBSP FLU FLO IMG X INTRO MATRL TOMOG SPECT,,30,,,"$3,608.19",$0.00,1,0,1,20110101,78650,CPT,CEREBSP FLU LEAKAGE DETCJ&LOCLZJ,,30,,,"$3,608.19",$0.00,1,0,1,20110101,78660,CPT,RP DACRYOCSTOGRAPY,,30,,,"$1,260.27",$0.00,1,0,1,20110101,78699,CPT,UNLIS NRVS SYS PX DX NUC MED,,30,,,"$1,260.27",$0.00,1,0,1,20110101,78700,CPT,KIDNEY IMAGING MORPHOLOGY,,30,,,"$2,063.79",$0.00,1,0,1,20110101,78701,CPT,KDN IMG VASC FLO,,30,,,"$2,063.79",$0.00,1,0,1,20110101,78707,CPT,KIDNEY IMG MORPHOLOGY VASCULAR FLOW 1 W/O RX,,30,,,"$2,063.79",$0.00,1,0,1,20110101,78708,CPT,KIDNEY IMG MORPHOLOGY VASCULAR FLOW 1 W RX,,30,,,"$2,063.79",$0.00,1,0,1,20110101,78709,CPT,KIDNEY IMG MORPHOLOGY VASCULAR FLOW MULTIPLE,,30,,,"$2,063.79",$0.00,1,0,1,20110101,78710,CPT,KIDNEY IMAGING MORPHOLOGY TOMOGRAPHIC,,30,,,"$2,063.79",$0.00,1,0,1,20110101,78725,CPT,KDN FUNCJ STD NON-IMG RADIOISOTOPIC STD,,30,,,"$1,159.45",$0.00,1,0,1,20110101,78730,CPT,URINARY BLADDER RESIDUAL STUDY,,30,,,$725.27,$0.00,1,0,1,20110101,78740,CPT,URTRL RFLX STD RP VOIDING CSTOGRAM,,30,,,"$2,063.79",$0.00,1,0,1,20110101,78761,CPT,TESTICULAR IMAGING WITH VASCULAR FLOW,,30,,,"$2,063.79",$0.00,1,0,1,20110101,78799,CPT,UNLIS GENITOUR DX NUC MED,,30,,,"$2,063.79",$0.00,1,0,1,20110101,78800,CPT,RP LOCLZJ TUM/DSTRBJ AGT LMTD AREA,,30,,,"$1,846.33",$0.00,1,0,1,20110101,78801,CPT,RP LOCLZJ TUM/DSTRBJ AGT MLT AREAS,,30,,,"$3,198.33",$0.00,1,0,1,20110101,78802,CPT,RP LOCLZJ TUM/DSTRBJ AGT WHBDY 1 D IMG,,30,,,"$3,198.33",$0.00,1,0,1,20110101,78803,CPT,RP LOCLZJ TUM/DSTRBJ AGT TOMOG SPECT,,30,,,"$3,198.33",$0.00,1,0,1,20110101,78804,CPT,RP LOCLZJ TUM/DSTRBJ AGT WHBDY REQ 2/> D IMG,,30,,,"$5,839.02",$0.00,1,0,1,20110101,78805,CPT,RP LOCLZJ INFLAMMATORY PROCESS LMTD AREA,,30,,,"$3,198.33",$0.00,1,0,1,20110101,78806,CPT,RP LOCLZJ INFLAMMATORY PROCESS WHBDY,,30,,,"$3,198.33",$0.00,1,0,1,20110101,78807,CPT,RP LOCLZJ INFLAMMATORY PROCESS TOMOG SPECT,,30,,,"$2,837.45",$0.00,1,0,1,20110101,78808,CPT,NJX RP LOCLZJ NON-IMG PROBE STUDY INTRAVENOUS,,30,,,"$1,159.45",$0.00,1,0,1,20110101,78811,CPT,PET IMAGING LIMITED AREA CHEST HEAD/NECK,,30,,,"$6,254.85",$0.00,1,0,1,20110101,78812,CPT,PET IMAGING SKULL BASE TO MID-THIGH,,30,,,"$6,254.85",$0.00,1,0,1,20110101,78813,CPT,PET IMAGING WHOLE BODY,,30,,,"$6,254.85",$0.00,1,0,1,20110101,78814,CPT,PET IMAGING CT FOR ATTENUATION LIMITED AREA,,30,,,"$6,254.85",$0.00,1,0,1,20110101,78815,CPT,PET IMAGING CT ATTENUATION SKULL BASE MID-THIGH,,30,,,"$6,254.85",$0.00,1,0,1,20110101,78816,CPT,PET IMAGING FOR CT ATTENUATION WHOLE BODY,,30,,,"$6,254.85",$0.00,1,0,1,20110101,78999,CPT,UNLIS MISC DX NUC MED,,30,,,$725.27,$0.00,1,0,1,20110101,79005,CPT,RP THER ORAL ADMN,,30,,,"$1,395.24",$0.00,1,0,1,20110101,79101,CPT,RP THER IV ADMN,,30,,,"$1,395.24",$0.00,1,0,1,20110101,79200,CPT,RP THER INTRCV ADMN,,30,,,"$2,221.83",$0.00,1,0,1,20110101,79300,CPT,RP THER NTRSTL RADACT COL ADMN,,30,,,"$1,395.24",$0.00,1,0,1,20110101,79403,CPT,RP THER RADIOLBLD MONOCLONAL ANTB IV NFS,,30,,,"$2,221.83",$0.00,1,0,1,20110101,79440,CPT,RP THER INTRA-ARTICULAR ADMN,,30,,,"$2,221.83",$0.00,1,0,1,20110101,79445,CPT,RP THER IA PART ADMN,,30,,,"$1,395.24",$0.00,1,0,1,20110101,79999,CPT,RP THER UNLIS PX,,30,,,"$1,395.24",$0.00,1,0,1,20110101,80047,CPT,BASIC METABOLIC PANEL CALCIUM IONIZED,,30,,,$218.53,$0.00,1,0,1,20110101,80050,CPT,GENERAL HLTH PANEL,,30,,,$500.79,$0.00,1,0,1,20110101,80055,CPT,OB PANEL,,30,,,$728.42,$0.00,1,0,1,20110101,80101,CPT,DRUG SCR QUAL 1 DRUG CLASS METH EA DRUG CLASS,,30,,,$291.37,$0.00,1,0,1,20110101,80104,CPT,DRUG SCRN 1+ CLASS NONCHROMO,,30,,,$291.37,$0.00,1,0,1,20110101,80500,CPT,CLIN PATH CONSLTJ LIMITED,,30,,,$108.49,$0.00,1,0,1,20110101,80502,CPT,CLIN PATH CONSLTJ COMPRE,,30,,,$67.60,$0.00,1,0,1,20110101,84181,CPT,PROTEIN WSTRN BLOT I&R BLD/OTH FLU,,30,,,$332.01,$0.00,1,0,1,20110101,84182,CPT,PROTEIN WSTRN BLOT BLD/OTH FLU IMMUNOLOGICAL,,30,,,$536.33,$0.00,1,0,1,20110101,84704,CPT,GONADOTROPIN CHORIONIC HCG FREE BETA CHAIN,,30,,,$242.62,$0.00,1,0,1,20110101,85060,CPT,BLD SMR PRPH INTERPJ PHYS WRTTN REPRT,,30,,,$125.63,$0.00,1,0,1,20110101,85097,CPT,B1 MARROW SMR INTERPJ,,30,,,$231.49,$0.00,1,0,1,20110101,85390,CPT,FIBRINOLYSINS/COAGULOPATHY SCR I&R,,30,,,$61.01,$0.00,1,0,1,20110101,86077,CPT,BLD BANK PHYS SVCS DIFFC CROSS MATCH&/EVAL REPRT,,30,,,$108.49,$0.00,1,0,1,20110101,86078,CPT,BLD BANK PHYS SVCS INVSTGJ TFUJ RXN REPRT,,30,,,$231.49,$0.00,1,0,1,20110101,86079,CPT,BLD BANK PHYS SVCS AUTHJ DEVIJ STANDARD REPRT,,30,,,$108.49,$0.00,1,0,1,20110101,86255,CPT,FLUORESCENT NONNFCT AGT ANTB SCR EA ANTB,,30,,,$104.95,$0.00,1,0,1,20110101,86256,CPT,FLUORESCENT NONNFCT AGT ANTB TITER EA ANTB,,30,,,$95.95,$0.00,1,0,1,20110101,86335,CPT,IMMUNOFIXJ ELECTROPHORESIS OTH FLU,,30,,,$287.86,$0.00,1,0,1,20110101,86485,CPT,SKN TST CANDIDA,,30,,,$34.91,$0.00,1,0,1,20110101,86486,CPT,SKIN TEST UNLISTED ANTIGEN EACH,,30,,,$34.91,$0.00,1,0,1,20110101,86490,CPT,SKN TST COCCIDIOIDOMYCOSIS,,30,,,$34.91,$0.00,1,0,1,20110101,86510,CPT,SKN TST HISTOPLASMOSIS,,30,,,$34.91,$0.00,1,0,1,20110101,86580,CPT,SKN TST TUBERCULOSIS ID,,30,,,$34.91,$0.00,1,0,1,20110101,86850,CPT,ANTB SCR RBC EA SERUM TQ,,30,,,$95.94,$0.00,1,0,1,20110101,86860,CPT,ANTB ELUTION EA ELUTION,,30,,,$163.21,$0.00,1,0,1,20110101,86870,CPT,ANTB ID RBC ANTIBODIES EA PANEL EA SERUM TQ,,30,,,$163.21,$0.00,1,0,1,20110101,86880,CPT,ANTIHUMAN GLOBULIN DIR EA ANTISERUM,,30,,,$50.77,$0.00,1,0,1,20110101,86885,CPT,ANTIHUMAN GLOBULIN INDIR QUAL EA REAGENT CELL,,30,,,$50.77,$0.00,1,0,1,20110101,86886,CPT,ANTIHUMAN GLOBULIN INDIRECT EA ANTIBODY TITER,,30,,,$50.77,$0.00,1,0,1,20110101,86890,CPT,AUTOL BLD/COMPONENT COLLJ STORAGE PREDEPOSITED,,30,,,$322.17,$0.00,1,0,1,20110101,86891,CPT,AUTOL BLD/COMPONENT COLLJ STORAGE SALVAGE,,30,,,$95.94,$0.00,1,0,1,20110101,86900,CPT,BLD TYPING ABO,,30,,,$50.77,$0.00,1,0,1,20110101,86901,CPT,BLD TYPING RH D,,30,,,$50.77,$0.00,1,0,1,20110101,86902,CPT,BLOOD TYPE ANTIGEN DONOR EA,,30,,,$95.94,$0.00,1,0,1,20110101,86904,CPT,BLD TYPING AG SCR UNIT PT SERUM SCR,,30,,,$95.94,$0.00,1,0,1,20110101,86905,CPT,BLD TYPING RBC AGS OTH/THN ABO/RH D EA,,30,,,$95.94,$0.00,1,0,1,20110101,86906,CPT,BLD TYPING RH PHEXYPING COMPL,,30,,,$95.94,$0.00,1,0,1,20110101,86910,CPT,BLD TYPING PATERNITY PR INDIV ABO RH&MN,,30,,,$146.60,$0.00,1,0,1,20110101,86911,CPT,BLD TYPING PATERNITY PR INDIV EA AG SYS,,30,,,$126.61,$0.00,1,0,1,20110101,86920,CPT,COMPATIBILITY EA UNIT IMMT SPIN,,30,,,$95.94,$0.00,1,0,1,20110101,86921,CPT,COMPATIBILITY EA UNIT INCUBATION,,30,,,$95.94,$0.00,1,0,1,20110101,86922,CPT,COMPATIBILITY EA UNIT ANTIGLOBULIN,,30,,,$163.21,$0.00,1,0,1,20110101,86923,CPT,COMPATIBILITY EA UNIT ELEC,,30,,,$95.94,$0.00,1,0,1,20110101,86927,CPT,FRSH FROZEN PLSM THAWING EA UNIT,,30,,,$95.94,$0.00,1,0,1,20110101,86930,CPT,FROZEN BLD EA UNIT FRZING PREPJ,,30,,,$322.17,$0.00,1,0,1,20110101,86931,CPT,FROZEN BLD EA UNIT THAWING,,30,,,$322.17,$0.00,1,0,1,20110101,86932,CPT,FROZEN BLD EA UNIT FRZING PREPJ&THAWING,,30,,,$322.17,$0.00,1,0,1,20110101,86945,CPT,IRRADJ BLD PRODUX EA UNIT,,30,,,$95.94,$0.00,1,0,1,20110101,86950,CPT,WBC TRANSFUSION,,30,,,$95.94,$0.00,1,0,1,20110101,86960,CPT,VOL RDCTJ BLD/BLD PRODUX EA UNIT,,30,,,$95.94,$0.00,1,0,1,20110101,86965,CPT,PLING PLTLTS/OTH BLD PRODUXS,,30,,,$163.21,$0.00,1,0,1,20110101,86970,CPT,PRTX RBC ANTB CHEM AGT/DRUGS,,30,,,$95.94,$0.00,1,0,1,20110101,86971,CPT,PRTX RBC ANTB INCUBATION NZM EA,,30,,,$95.94,$0.00,1,0,1,20110101,86972,CPT,PRTX RBC ANTB DNS GRADIENT SEP,,30,,,$95.94,$0.00,1,0,1,20110101,86975,CPT,PRTX SRM INCUBATION DRUGS EA,,30,,,$163.21,$0.00,1,0,1,20110101,86976,CPT,PRTX SRM ANTB ID DIL,,30,,,$95.94,$0.00,1,0,1,20110101,86977,CPT,PRTX SRM ANTB ID INCUBATION NHBTORS EA,,30,,,$322.17,$0.00,1,0,1,20110101,86978,CPT,PRTX SRM ANTB ID DIFFIAL RBC ABSRPJ,,30,,,$163.21,$0.00,1,0,1,20110101,86985,CPT,SPLTTING BLD/BLD PRODUXS EA UNIT,,30,,,$95.94,$0.00,1,0,1,20110101,86999,CPT,UNLIS TRANSFUSION MED,,30,,,$95.94,$0.00,1,0,1,20110101,87207,CPT,SMR PRIM SRC SPEC STAIN BODIES/PARASITS,,30,,,$186.29,$0.00,1,0,1,20110101,87500,CPT,INFECTIOUS AGENT DNA/RNA VANCOMYCIN RESISTANCE,,30,,,$731.84,$0.00,1,0,1,20110101,87809,CPT,INFECTIOUS AGENT IMMUNOASSAY OPTICAL ADENOVIRUS,,30,,,$266.12,$0.00,1,0,1,20110101,88104,CPT,CYTP FLU WASHGS/BRUSHINGS XCPT C/V SMRS INTERPJ,,30,,,$108.49,$0.00,1,0,1,20110101,88106,CPT,CYTP FLU BR/WA XCPT C/V FILTER METH ONLY INTERPJ,,30,,,$108.49,$0.00,1,0,1,20110101,88107,CPT,CYTP FLU BR/WA XCPT C/V SMRS&FILTER INTERPJ,,30,,,$231.49,$0.00,1,0,1,20110101,88108,CPT,CYTP CONCENTRATION SMRS&INTERPJ,,30,,,$108.49,$0.00,1,0,1,20110101,88112,CPT,CYTP SLCTV CELL ENHANCEMENT INTERPJ XCPT C/V,,30,,,$231.49,$0.00,1,0,1,20110101,88120,CPT,CYTP URNE 3-5 PROBES EA SPEC,,30,,,$350.16,$0.00,1,0,1,20110101,88121,CPT,CYTP URINE 3-5 PROBES CMPTR,,30,,,$350.16,$0.00,1,0,1,20110101,88125,CPT,CYTP FORENSIC,,30,,,$108.49,$0.00,1,0,1,20110101,88160,CPT,CYTP SMRS ANY OTH SRC SCR&INTERPJ,,30,,,$108.49,$0.00,1,0,1,20110101,88161,CPT,CYTP SMRS ANY OTH SRC PREPJ SCR&INTERPJ,,30,,,$108.49,$0.00,1,0,1,20110101,88162,CPT,CYTP SMRS ANY OTH SRC EXTND STD > 5 SLIDES,,30,,,$231.49,$0.00,1,0,1,20110101,88172,CPT,CYTP FINE NDL ASPIRATE IMMT CYTOHISTOLOGIC STD,,30,,,$105.07,$0.00,1,0,1,20110101,88173,CPT,CYTP FINE NDL ASPIRATE I&R,,30,,,$231.49,$0.00,1,0,1,20110101,88177,CPT,CYTP C/V AUTO THIN LYR ADDL,,30,,,$67.60,$0.00,1,0,1,20110101,88182,CPT,FLO CYTOMETRY CELL CYCLE/DNA ALYS,,30,,,$231.49,$0.00,1,0,1,20110101,88184,CPT,FLO CYTOMETRY CELL SURF MARKER TECHL ONLY 1ST,,30,,,$108.49,$0.00,1,0,1,20110101,88185,CPT,FLO CYTOMETRY CELL SURF MARKER TECHL ONLY EA,,30,,,$108.49,$0.00,1,0,1,20110101,88187,CPT,FLO CYTOMETRY INTERPJ 2-8 MARKERS,,30,,,$67.60,$0.00,1,0,1,20110101,88188,CPT,FLO CYTOMETRY INTERPJ 9-15 MARKERS,,30,,,$231.49,$0.00,1,0,1,20110101,88189,CPT,FLO CYTOMETRY INTERPJ 16/> MARKERS,,30,,,$231.49,$0.00,1,0,1,20110101,88199,CPT,UNLIS CYTP,,30,,,$67.60,$0.00,1,0,1,20110101,88299,CPT,UNLIS CYTOGENETIC STD,,30,,,$67.60,$0.00,1,0,1,20110101,88300,CPT,LVL I-SURG PATH GROSS XM ONLY,,30,,,$108.49,$0.00,1,0,1,20110101,88302,CPT,LVL II-SURG PATH GROSS&MCRSCP XM,,30,,,$108.49,$0.00,1,0,1,20110101,88304,CPT,LEVEL III-SURG PATH GROSS&MICROSCOPIC XM,,30,,,$231.49,$0.00,1,0,1,20110101,88305,CPT,LVL IV-SURG PATH GROSS&MCRSCP XM,,30,,,$231.49,$0.00,1,0,1,20110101,88307,CPT,LVL V-SURG PATH GROSS&MCRSCP XM,,30,,,$350.16,$0.00,1,0,1,20110101,88309,CPT,LVL VI-SURG PATH GROSS&MCRSCP XM,,30,,,$350.16,$0.00,1,0,1,20110101,88311,CPT,DECALCIFICATION PX,,30,,,$67.60,$0.00,1,0,1,20110101,88312,CPT,SPECIAL STAINS GROUP 1 MICROORGANISMS I&R EACH,,30,,,$108.49,$0.00,1,0,1,20110101,88313,CPT,SPECIAL STAINS GROUP II ALL OTHER I&R EACH,,30,,,$108.49,$0.00,1,0,1,20110101,88314,CPT,SPECIAL STAINS HISTOCHEMICAL W/FROZEN SECTION,,30,,,$108.49,$0.00,1,0,1,20110101,88318,CPT,DETERMINATIVE HISTOCHEMISTRY ID CHEM COMPONENTS,,30,,,$108.49,$0.00,1,0,1,20110101,88319,CPT,DETERMINATIVE HCHEM/CCHEM ID NZM EA,,30,,,$224.40,$0.00,1,0,1,20110101,88321,CPT,CONSLTJ&REPRT SLIDES PREPARED ELSEWHERE,,30,,,$108.49,$0.00,1,0,1,20110101,88323,CPT,CONSLTJ&REPRT MATRL REQ PREPJ SLIDES,,30,,,$231.49,$0.00,1,0,1,20110101,88325,CPT,CONSLTJ COMPRE REVIEW REPRT REFERRED MATRL,,30,,,$350.16,$0.00,1,0,1,20110101,88329,CPT,PATH CONSLTJ SURG,,30,,,$108.49,$0.00,1,0,1,20110101,88331,CPT,PATH CONSLTJ SURG 1ST BLK FROZEN SCTJ 1 SPEC,,30,,,$231.49,$0.00,1,0,1,20110101,88332,CPT,PATH CONSLTJ SURG EA BLK FROZEN SCTJ,,30,,,$108.49,$0.00,1,0,1,20110101,88333,CPT,PATH CONSLTJ SURG CYTOLOGIC XM 1ST SIT,,30,,,$108.49,$0.00,1,0,1,20110101,88334,CPT,PATH CONSLTJ SURG CYTOLOGIC XM EA SIT,,30,,,$108.49,$0.00,1,0,1,20110101,88342,CPT,IMCYTCHM TISS IMMUNOPROXIDASE EA ANTB,,30,,,$231.49,$0.00,1,0,1,20110101,88346,CPT,IMFLUOR STD EA ANTB DIR METH,,30,,,$231.49,$0.00,1,0,1,20110101,88347,CPT,IMFLUOR STD EA ANTB INDIR METH,,30,,,$231.49,$0.00,1,0,1,20110101,88348,CPT,ELECTRON MIC DX,,30,,,"$1,058.26",$0.00,1,0,1,20110101,88349,CPT,ELECTRON MIC SCANNING,,30,,,"$1,058.26",$0.00,1,0,1,20110101,88355,CPT,M/PHMTRC ALYS SKEL MUSC,,30,,,$231.49,$0.00,1,0,1,20110101,88356,CPT,M/PHMTRC ALYS NRV,,30,,,$350.16,$0.00,1,0,1,20110101,88358,CPT,M/PHMTRC ALYS TUM,,30,,,$231.49,$0.00,1,0,1,20110101,88360,CPT,M/PHMTRC ALYS TUM IMHCHEM EA ANTB MNL,,30,,,$231.49,$0.00,1,0,1,20110101,88361,CPT,M/PHMTRC ALYS TUM IMHCHEM EA ANTB CPTR,,30,,,$350.16,$0.00,1,0,1,20110101,88362,CPT,NRV TEASING PREPJS,,30,,,$350.16,$0.00,1,0,1,20110101,88363,CPT,XM ARCHIVE TISSUE MOLEC ANAL,,30,,,$67.60,$0.00,1,0,1,20110101,88365,CPT,SITU HYBRIDIZATION EA PRB,,30,,,$350.16,$0.00,1,0,1,20110101,88367,CPT,M/PHMTRC ALYS ISH EA PRB CPTR-ASST TECHNOLOGY,,30,,,$224.40,$0.00,1,0,1,20110101,88368,CPT,M/PHMTRC ALYS ISH EA PRB MNL,,30,,,$350.16,$0.00,1,0,1,20110101,88371,CPT,PROTEIN ALYS WSTRN BLOT I&R,,30,,,$462.05,$0.00,1,0,1,20110101,88372,CPT,PROTEIN ALYS WSTRN BLOT I&R IMMUNOLOGICAL EA,,30,,,$451.43,$0.00,1,0,1,20110101,88384,CPT,RA-BASED EVAL MLT MOLEC PRBS 11 THRU 50 PRBS,,30,,,$108.49,$0.00,1,0,1,20110101,88385,CPT,RA-BASED EVAL MLT MOLEC PRBS 51 THRU 250 PRBS,,30,,,$231.49,$0.00,1,0,1,20110101,88386,CPT,RA-BASED EVAL MLT MOLEC PRBS 251 THRU 500 PRBS,,30,,,$350.16,$0.00,1,0,1,20110101,88399,CPT,UNLIS SURG PATH PX,,30,,,$67.60,$0.00,1,0,1,20110101,89049,CPT,CAFFEINE HALOTHANE CONTRCURE,,30,,,$67.60,$0.00,1,0,1,20110101,89060,CPT,CRYSTAL ID LIGHT MIC ALYS TISSUE/ANY FLU,,30,,,$46.47,$0.00,1,0,1,20110101,89220,CPT,SPTM OBTG SPEC AERSL INDUCED SPX,,30,,,$108.49,$0.00,1,0,1,20110101,89230,CPT,SWEAT COLLJ IONTOPHORESIS,,30,,,$231.49,$0.00,1,0,1,20110101,89240,CPT,UNLIS MISC PATH,,30,,,$67.60,$0.00,1,0,1,20110101,89250,CPT,CUL OOCYTE/EMBRYO < 4 D,,30,,,$350.16,$0.00,1,0,1,20110101,89251,CPT,CUL OOCYTE/EMBRYO < 4 D CO-CULT OCYTE/EMBRY,,30,,,$350.16,$0.00,1,0,1,20110101,89253,CPT,ASSTD EMBRYO HATCHING MICROTQS ANY METH,,30,,,$350.16,$0.00,1,0,1,20110101,89254,CPT,OOCYTE ID FROM FOLLICULAR FLU,,30,,,$350.16,$0.00,1,0,1,20110101,89255,CPT,PREPJ EMBRYO TR,,30,,,$350.16,$0.00,1,0,1,20110101,89257,CPT,SPRM ID FROM ASPIR OTH/THN SEMINAL,,30,,,$224.40,$0.00,1,0,1,20110101,89258,CPT,CRYOPRSRV EMBRYO,,30,,,$350.16,$0.00,1,0,1,20110101,89259,CPT,CRYOPRSRV SPRM,,30,,,$224.40,$0.00,1,0,1,20110101,89260,CPT,SPRM ISOL SMPL PREP INSEMINATION/DX SEMEN ALYS,,30,,,$224.40,$0.00,1,0,1,20110101,89261,CPT,SPRM ISOL CPLX PREP INSEMINATION/DX SEMEN ALYS,,30,,,$224.40,$0.00,1,0,1,20110101,89264,CPT,SPRM ID FROM TSTIS TISS FRSH/CRYOPRSRVD,,30,,,$350.16,$0.00,1,0,1,20110101,89268,CPT,INSEMINATION OOCYTES,,30,,,$350.16,$0.00,1,0,1,20110101,89272,CPT,EXTND CUL OOCYTE/EMBRYO 4-7 D,,30,,,$350.16,$0.00,1,0,1,20110101,89280,CPT,ASSTD FERTILIZATION MICROTQ </EQUAL 10 OOCYTES,,30,,,$350.16,$0.00,1,0,1,20110101,89281,CPT,ASSTD FERTILIZATION MICROTQ > 10 OOCYTES,,30,,,$350.16,$0.00,1,0,1,20110101,89290,CPT,BX OOCYTE MICROTQ </EQUAL 5 EMBRY,,30,,,$350.16,$0.00,1,0,1,20110101,89291,CPT,BX OOCYTE MICROTQ > 5 EMBRY,,30,,,$350.16,$0.00,1,0,1,20110101,89322,CPT,SEMEN ANALYSIS STRICT MORPHOLOGIC CRITERIA,,30,,,$464.70,$0.00,1,0,1,20110101,89335,CPT,CRYOPRSRV REPRDTVE TISS TSTICULAR,,30,,,$350.16,$0.00,1,0,1,20110101,89342,CPT,STORAGE PR YR EMBRYO,,30,,,$350.16,$0.00,1,0,1,20110101,89343,CPT,STORAGE PR YR SPRM/SEMEN,,30,,,$350.16,$0.00,1,0,1,20110101,89344,CPT,STORAGE PR YR REPRDTVE TISS TSTICULAR/OVARIAN,,30,,,$350.16,$0.00,1,0,1,20110101,89346,CPT,STORAGE PR YR OOCYTE,,30,,,$350.16,$0.00,1,0,1,20110101,89352,CPT,THAWING CRYOPRSRVD EMBRYO,,30,,,$350.16,$0.00,1,0,1,20110101,89353,CPT,THAWING CRYOPRSRVD SPRM/SEMEN EA ALIQUOT,,30,,,$350.16,$0.00,1,0,1,20110101,89354,CPT,THAWING CRYOPRSRVD TSTICULAR/OVARIAN,,30,,,$350.16,$0.00,1,0,1,20110101,89356,CPT,THAWING CRYOPRSRVD OOCYTES EA ALIQUOT,,30,,,$350.16,$0.00,1,0,1,20110101,89398,CPT,UNLISTED REPRODUCTIVE MEDICINE LAB PROCEDURE,,30,,,$67.60,$0.00,1,0,1,20110101,90291,CPT,CYTOMEGALOVIRUS IMMUNE GLOBULIN HUMAN IV,,30,,,$714.89,$0.00,1,0,1,20110101,90371,CPT,HEPATITIS B IMMUNE GLOBULIN HBIG HUMAN IM,,30,,,$733.73,$0.00,1,0,1,20110101,90375,CPT,RABIES IMMUNE GLOBULIN RIG HUMAN IM/SUBQ,,30,,,"$1,052.85",$0.00,1,0,1,20110101,90376,CPT,RABIES IG HEAT-TREATED HUMAN IM/SUBQ,,30,,,"$1,018.73",$0.00,1,0,1,20110101,90378,CPT,RESPIRATORY SYNCYTIAL VIRUS IG IM 50 MG E,,30,,,$458.04,$0.00,1,0,1,20110101,90384,CPT,RHO(D) IMMUNE GLOBULIN HUMAN FULL-DOSE IM,,30,,,$451.68,$0.00,1,0,1,20110101,90385,CPT,RHO(D) IMMUNE GLOBULIN HUMAN MINI-DOSE IM,,30,,,$395.77,$0.00,1,0,1,20110101,90389,CPT,TETANUS IMMUNE GLOBULIN TIG HUMAN IM,,30,,,$424.47,$0.00,1,0,1,20110101,90393,CPT,VACCINIA IMMUNE GLOBULIN HUMAN IM,,30,,,$342.37,$0.00,1,0,1,20110101,90396,CPT,VARICELLA-ZOSTER IMMUNE GLOBULIN HUMAN IM,,30,,,$951.11,$0.00,1,0,1,20110101,90460,CPT,IMADM ANY ROUTE 1ST VAC/TOX,,30,,,$40.77,$0.00,1,0,1,20110101,90461,CPT,INADM ANY ROUTE ADDL VAC/TOX,,30,,,$40.23,$0.00,1,0,1,20110101,90471,CPT,IMADM PRQ ID SUBQ/IM NJXS 1 VACC,,30,,,$100.07,$0.00,1,0,1,20110101,90472,CPT,IMADM PRQ ID SUBQ/IM NJXS EA VACC,,30,,,$100.07,$0.00,1,0,1,20110101,90473,CPT,IMADM INTRANSL/ORAL 1 VACC,,30,,,$100.07,$0.00,1,0,1,20110101,90474,CPT,IMADM INTRANSL/ORAL EA VACC,,30,,,$100.07,$0.00,1,0,1,20110101,90476,CPT,ADENOVIRUS VACCINE TYPE 4 LIVE ORAL,,30,,,$111.62,$0.00,1,0,1,20110101,90585,CPT,BACILLUS CALMETTE-GUERIN VACC FOR TB LIVE PERQ,,30,,,$557.31,$0.00,1,0,1,20110101,90586,CPT,BCG BLDR CANCER LIVE INTRAVESICAL,,30,,,$487.10,$0.00,1,0,1,20110101,90636,CPT,HEPATITIS A & B VACCINE HEPA-HEPB ADULT IM,,30,,,$185.55,$0.00,1,0,1,20110101,90649,CPT,HUMAN PAPILLOMA VIRUS VACCINE QUADRIV 3 DOSE IM,,30,,,$407.43,$0.00,1,0,1,20110101,90650,CPT,HPV VACCINE BIVALENT 3 DOSE IM,,30,,,$758.59,$0.00,1,0,1,20110101,90654,CPT,"FLU VACCINE NO PRESERV, ID",,30,,,$44.48,$0.00,1,0,1,20110101,90655,CPT,INFLUENZA VIRUS VACC SPLIT PRSRV FREE 6-35 MO IM,,30,,,$34.89,$0.00,1,0,1,20110101,90656,CPT,INFLUENZA VIRUS VACC SPLIT PRSRV FR 3 YEARS + IM,,30,,,$54.92,$0.00,1,0,1,20110101,90657,CPT,INFLUENZA VIRUS VACCINE SPLIT VIRUS 6-35 MO IM,,30,,,$48.72,$0.00,1,0,1,20110101,90658,CPT,INFLUENZA VIRUS VACCINE SPLIT VIRUS 3 YEARS + IM,,30,,,$44.48,$0.00,1,0,1,20110101,90660,CPT,INFLUENZA VIRUS VACCINE LIVE INTRANASAL,,30,,,$58.63,$0.00,1,0,1,20110101,90665,CPT,LYME DISEASE VACCINE ADULT DOSAGE IM,,30,,,$4.72,$0.00,1,0,1,20110101,90669,CPT,PNEUMOCOCCAL CONJ VACCINE 7 VALENT IM,,30,,,$275.74,$0.00,1,0,1,20110101,90670,CPT,PNEUMOCOCCAL CONJ VACCINE 13 VALENT IM,,30,,,$727.31,$0.00,1,0,1,20110101,90675,CPT,RABIES VACCINE INTRAMUSCULAR,,30,,,"$1,008.06",$0.00,1,0,1,20110101,90676,CPT,RABIES VACCINE INTRADERMAL,,30,,,$488.28,$0.00,1,0,1,20110101,90680,CPT,ROTAVIRUS VACCINE PENTAVALENT 3 DOSE LIVE ORAL,,30,,,$468.86,$0.00,1,0,1,20110101,90681,CPT,ROTAVIRUS VACC HUMAN ATTENUATED 2 DOSE LIVE ORAL,,30,,,$650.28,$0.00,1,0,1,20110101,90693,CPT,TYPHOID VACCINE AKD SUBQ U.S. MILITARY,,30,,,$342.37,$0.00,1,0,1,20110101,90714,CPT,TD TOXOIDS ADSORBED PRSRV FR 7 YR + IM,,30,,,$95.92,$0.00,1,0,1,20110101,90716,CPT,VARICELLA VIRUS VACCINE LIVE SUBQ,,30,,,$187.34,$0.00,1,0,1,20110101,90723,CPT,DTAP-HEPB-IPV VACCINE INTRAMUSCULAR,,30,,,$210.73,$0.00,1,0,1,20110101,90725,CPT,CHOLERA VACCINE INJECTABLE,,30,,,$526.98,$0.00,1,0,1,20110101,90732,CPT,PNEUMOCOCCAL POLYSAC VACCINE 23-V 2 YR + SUBQ/IM,,30,,,$120.22,$0.00,1,0,1,20110101,90733,CPT,MENINGOCOCCAL POLYSAC VACCINE SUBCUTANEOUS,,30,,,$514.60,$0.00,1,0,1,20110101,90734,CPT,MENINGOCOCCAL CONJ VACCINE TETRAVALENT IM,,30,,,$477.53,$0.00,1,0,1,20110101,90735,CPT,JAPANESE ENCEPHALITIS VIRUS VACCINE SUBCUTANEOUS,,30,,,$507.96,$0.00,1,0,1,20110101,90736,CPT,ZOSTER SHINGLES VACCINE LIVE SUBCUTANEOUS,,30,,,$352.49,$0.00,1,0,1,20110101,90740,CPT,HEPATITIS B VACCINE DIALYSIS DOSAGE 3 DOSE IM,,30,,,$342.37,$0.00,1,0,1,20110101,90743,CPT,HEPATITIS B VACCINE ADOLESCENT 2 DOSE IM,,30,,,$342.37,$0.00,1,0,1,20110101,90744,CPT,HEPATITIS B VACCINE PEDIATRIC3 DOSE IM,,30,,,$141.11,$0.00,1,0,1,20110101,90746,CPT,HEPATITIS B VACCINE ADULT DOSAGE INTRAMUSCULAR,,30,,,$265.82,$0.00,1,0,1,20110101,90747,CPT,HEPATITIS B VACCINE DIALYSIS DOSAGE 4 DOSE IM,,30,,,$342.37,$0.00,1,0,1,20110101,90748,CPT,HEPB-HIB VACCINE INTRAMUSCULAR,,30,,,$154.69,$0.00,1,0,1,20110101,90801,CPT,PSYC DX INTERVIEW XM,,30,,,$272.42,$0.00,1,0,1,20110101,90802,CPT,IA PSYC DX INTERVIEW XM W/PLAY,,30,,,$272.42,$0.00,1,0,1,20110101,90804,CPT,IPI-OB-M/S OFFICE 20-30 MIN,,30,,,$185.84,$0.00,1,0,1,20110101,90805,CPT,IPI-OB-M/S OFFICE 20-30 MIN MEDICAL E/M,,30,,,$185.84,$0.00,1,0,1,20110101,90806,CPT,IPI-OB-M/S OFFICE 45-50 MIN,,30,,,$272.42,$0.00,1,0,1,20110101,90807,CPT,IPI-OB-M/S OFFICE 45-50 MIN MEDICAL E/M,,30,,,$272.42,$0.00,1,0,1,20110101,90808,CPT,IPI-OB-M/S OFFICE 75-80 MIN,,30,,,$272.42,$0.00,1,0,1,20110101,90809,CPT,IPI-OB-M/S OFFICE 75-80 MIN MEDICAL E/M,,30,,,$272.42,$0.00,1,0,1,20110101,90810,CPT,INDIV PSYCTX IA 20-30 MIN,,30,,,$185.84,$0.00,1,0,1,20110101,90811,CPT,INDIV PSYCTX IA 20-30 MIN MEDICAL E/M,,30,,,$185.84,$0.00,1,0,1,20110101,90812,CPT,INDIV PSYCTX IA 45-50 MIN,,30,,,$272.42,$0.00,1,0,1,20110101,90813,CPT,INDIV PSYCTX IA 45-50 MIN MEDICAL E/M,,30,,,$272.42,$0.00,1,0,1,20110101,90814,CPT,INDIV PSYCTX IA 75-80 MIN,,30,,,$272.42,$0.00,1,0,1,20110101,90815,CPT,INDIV PSYCTX IA 75-80 MIN MEDICAL E/M,,30,,,$272.42,$0.00,1,0,1,20110101,90816,CPT,IPI-OB-M/S I/P 20-30 MIN,,30,,,$394.20,$0.00,1,0,1,20110101,90817,CPT,IPI-OB-M/S I/P 20-30 MIN MEDICAL E/M,,30,,,$229.34,$0.00,1,0,1,20110101,90818,CPT,IPI-OB-M/S I/P 45-50 MIN,,30,,,$450.99,$0.00,1,0,1,20110101,90819,CPT,IPI-OB-M/S I/P 45-50 MIN MEDICAL E/M,,30,,,$290.37,$0.00,1,0,1,20110101,90821,CPT,IPI-OB-M/S I/P 75-80 MIN,,30,,,$452.70,$0.00,1,0,1,20110101,90822,CPT,IPI-OB-M/S I/P 75-80 MIN MEDICAL E/M,,30,,,$589.12,$0.00,1,0,1,20110101,90823,CPT,INDIV PSYCTX IA I/P 20-30 MIN,,30,,,$340.77,$0.00,1,0,1,20110101,90824,CPT,INDIV PSYCTX IA I/P 20-30 MIN MEDICAL E/M,,30,,,$468.63,$0.00,1,0,1,20110101,90826,CPT,INDIV PSYCTX IA I/P 45-50 MIN,,30,,,$202.09,$0.00,1,0,1,20110101,90827,CPT,INDIV PSYCTX IA I/P 45-50 MIN MEDICAL E/M,,30,,,$294.03,$0.00,1,0,1,20110101,90828,CPT,INDIV PSYCTX IA I/P 75-80 MIN,,30,,,$294.03,$0.00,1,0,1,20110101,90829,CPT,INDIV PSYCTX IA I/P 75-80 MIN MEDICAL E/M,,30,,,$294.03,$0.00,1,0,1,20110101,90845,CPT,PSYCHOALYS,,30,,,$272.42,$0.00,1,0,1,20110101,90846,CPT,FAM PSYCTX W/O PT PRESENT,,30,,,$569.81,$0.00,1,0,1,20110101,90847,CPT,FAM PSYCTX W/PT PRESENT,,30,,,$569.81,$0.00,1,0,1,20110101,90849,CPT,MLT-FAM GRP PSYCTX,,30,,,$239.53,$0.00,1,0,1,20110101,90853,CPT,GRP PSYCTX,,30,,,$239.53,$0.00,1,0,1,20110101,90857,CPT,IA GRP PSYCTX,,30,,,$239.53,$0.00,1,0,1,20110101,90862,CPT,PHARMACOLOGIC MGMT MIN MEDICAL PSYCTX,,30,,,$209.78,$0.00,1,0,1,20110101,90865,CPT,NARCOSYNTHESIS PSYC DX&THER PURPOSES,,30,,,$272.42,$0.00,1,0,1,20110101,90867,CPT,TCRANIAL MAGN STIM TX PLAN,,30,,,$984.90,$0.00,1,0,1,20110101,90868,CPT,TCRANIAL MAGN STIM TX DELI,,30,,,$984.90,$0.00,1,0,1,20110101,90870,CPT,ELECTROCONVULSIVE THER,,30,,,"$1,511.25",$0.00,1,0,1,20110101,90875,CPT,INDIV PSYCPHYSTX BFB TRAINJ 20-30 MIN,,30,,,$111.95,$0.00,1,0,1,20110101,90876,CPT,INDIV PSYCPHYSTX BFB TRAINJ 45-50 MIN,,30,,,$463.66,$0.00,1,0,1,20110101,90880,CPT,HYPXH,,30,,,$272.42,$0.00,1,0,1,20110101,90882,CPT,ENVIRONMENTAL IVNTJ MGMT PURPOSES PSYC PT,,30,,,$243.42,$0.00,1,0,1,20110101,90899,CPT,UNLIS PSYC SVC/PX,,30,,,$185.84,$0.00,1,0,1,20110101,90901,CPT,BFB TRAINJ ANY MODALITY,,30,,,$131.29,$0.00,1,0,1,20110101,90911,CPT,BFB TRAINJ PRNL MUSC,,30,,,$403.13,$0.00,1,0,1,20110101,90935,CPT,HEMO PX W/1 PHYS EVAL,,30,,,"$2,503.92",$0.00,1,0,1,20110101,90937,CPT,HEMO REPEATED EVAL +-REVJ DIAL RX,,30,,,"$1,386.39",$0.00,1,0,1,20110101,90945,CPT,DIAL OTH/THN HEMO 1 PHYS EVAL,,30,,,$953.64,$0.00,1,0,1,20110101,90947,CPT,DIAL OTH/THN HEMO REPEATED PHYS EVALS,,30,,,$474.16,$0.00,1,0,1,20110101,90954,CPT,ESRD RELATED SVC MONTHLY 2-11 YR OLD 4/>VISITS,,30,,,$681.84,$0.00,1,0,1,20110101,90955,CPT,ESRD RELATED SVC MONTHLY 2-11 YR OLD 2/3 VISITS,,30,,,$388.17,$0.00,1,0,1,20110101,90989,CPT,DIAL TRAINJ COMPLD COURSE,,30,,,"$1,681.46",$0.00,1,0,1,20110101,90993,CPT,DIAL TRAINJ COURSE X COMPLD PR SESS,,30,,,"$1,662.87",$0.00,1,0,1,20110101,90997,CPT,HEMOPRFJ,,30,,,$41.43,$0.00,1,0,1,20110101,90999,CPT,UNLIS DIAL I/P/O/P,,30,,,$575.46,$0.00,1,0,1,20110101,91010,CPT,ESOPHGL MOTILITY STD,,30,,,"$1,499.16",$0.00,1,0,1,20110101,91013,CPT,ESOPHGL MOTIL W/STIM/PERFUS,,30,,,"$1,499.16",$0.00,1,0,1,20110101,91020,CPT,GSTR MOTILITY STD,,30,,,"$1,499.16",$0.00,1,0,1,20110101,91022,CPT,DUOL MOTILITY STD,,30,,,"$1,499.16",$0.00,1,0,1,20110101,91030,CPT,ESOPH ACID PRFJ TST ESOPHAGITIS,,30,,,"$1,499.16",$0.00,1,0,1,20110101,91034,CPT,ESOPH G-ESOP RFLX NCATH ELTRD PLMT,,30,,,"$1,499.16",$0.00,1,0,1,20110101,91035,CPT,ESOPH G-ESOP RFLX TLMTR ELTRD PLMT,,30,,,"$1,499.16",$0.00,1,0,1,20110101,91037,CPT,ESOPHGL FUNCJ G-ESOP RFLX IMPD ELTRD PLMT,,30,,,$621.04,$0.00,1,0,1,20110101,91038,CPT,ESOPHGL FUNCJ G-ESOP RFLX IMPD ELTRD PROLNG,,30,,,"$1,499.16",$0.00,1,0,1,20110101,91040,CPT,ESOPHGL BALO DISTENSION PROVOCATION STD,,30,,,$558.10,$0.00,1,0,1,20110101,91065,CPT,BRTH HYDROGEN TST,,30,,,$558.10,$0.00,1,0,1,20110101,91110,CPT,GI TRC IMG INTRAL ESOPH THRU ILE PHYS I&R,,30,,,"$3,623.86",$0.00,1,0,1,20110101,91111,CPT,GASTROINTESTINAL TRACT IMAGING ESOPHAGUS,,30,,,"$3,248.46",$0.00,1,0,1,20110101,91117,CPT,COLON MOTILITY 6 HR STUDY,,30,,,"$1,111.55",$0.00,1,0,1,20110101,91120,CPT,RCT SENSATION TONE&COMPLIANCE,,30,,,$403.13,$0.00,1,0,1,20110101,91122,CPT,ANRCT MANO,,30,,,"$1,111.55",$0.00,1,0,1,20110101,91132,CPT,EGG DX TC,,30,,,$558.10,$0.00,1,0,1,20110101,91133,CPT,EGG DX TC PROVOCATIVE TSTG,,30,,,$558.10,$0.00,1,0,1,20110101,91299,CPT,UNLIS DX GASTROENTEROLOGY,,30,,,$558.10,$0.00,1,0,1,20110101,92002,CPT,OPH MEDICAL XM&EVAL INTRM NEW PT,,30,,,$209.78,$0.00,1,0,1,20110101,92004,CPT,OPH MEDICAL XM&EVAL COMPRE NEW PT 1+ VST,,30,,,$209.78,$0.00,1,0,1,20110101,92012,CPT,OPH MEDICAL XM&EVAL INTRM EST PT,,30,,,$137.88,$0.00,1,0,1,20110101,92014,CPT,OPH MEDICAL XM&EVAL COMPRE EST PT 1+ VST,,30,,,$159.41,$0.00,1,0,1,20110101,92015,CPT,DETER REFRACTIVE STATE,,30,,,$60.97,$0.00,1,0,1,20110101,92018,CPT,OPH XM&EVAL ANES +-MNPJ GLOBE COMPL,,30,,,"$5,717.34",$0.00,1,0,1,20110101,92019,CPT,OPH XM&EVAL ANES +-MNPJ GLOBE LMTD,,30,,,"$5,717.34",$0.00,1,0,1,20110101,92020,CPT,GONIOSCOPY SPX,,30,,,$218.20,$0.00,1,0,1,20110101,92025,CPT,COMPUTERIZED CORNEAL TOPOGRAPHY UNI/BI,,30,,,$350.70,$0.00,1,0,1,20110101,92060,CPT,SENSIMOTR XM W/MLT MEAS OC DEVIJ W/I&R SPX,,30,,,$350.70,$0.00,1,0,1,20110101,92065,CPT,ORTHOPTIC&/PLEOPTIC TRAINJ,,30,,,$350.70,$0.00,1,0,1,20110101,92081,CPT,VIS FLD XM UNI/BI I&R LMTD XM,,30,,,$218.20,$0.00,1,0,1,20110101,92082,CPT,VIS FLD XM UNI/BI I&R INTRM XM,,30,,,$350.70,$0.00,1,0,1,20110101,92083,CPT,VIS FLD XM UNI/BI I&R EXTND XM,,30,,,$350.70,$0.00,1,0,1,20110101,92120,CPT,TNGRPHY I&R REC INDENTAJ TNMTR SUCJ,,30,,,$350.70,$0.00,1,0,1,20110101,92130,CPT,TNGRPHY WATER PROVOCATION,,30,,,$218.20,$0.00,1,0,1,20110101,92132,CPT,CMPTR OPHTH DX IMG ANT SEGMT,,30,,,$218.20,$0.00,1,0,1,20110101,92133,CPT,CMPTR OPHTH IMG OPTIC NERVE,,30,,,$218.20,$0.00,1,0,1,20110101,92134,CPT,CPTR OPHTH DX IMG POST SEGMT,,30,,,$218.20,$0.00,1,0,1,20110101,92136,CPT,OPH BMTRY PRTL COHER INTRFRMTRY IO LENS PWR CAL,,30,,,$350.70,$0.00,1,0,1,20110101,92140,CPT,PROVOCATIVE TSTS GLC I&R W/O TNGRPHY,,30,,,$218.20,$0.00,1,0,1,20110101,92225,CPT,OPSCPY EXTND RTA DRAWING I&R 1ST,,30,,,$218.20,$0.00,1,0,1,20110101,92226,CPT,OPSCPY EXTND RTA DRAWING I&R SBSQ,,30,,,$350.70,$0.00,1,0,1,20110101,92227,CPT,REMOTE DX RETINAL IMAGING,,30,,,$101.40,$0.00,1,0,1,20110101,92228,CPT,REMOTE RETINAL IMAGING MGMT,,30,,,$101.40,$0.00,1,0,1,20110101,92230,CPT,FLUORESCEIN ANGIOSCOPY I&R,,30,,,$720.13,$0.00,1,0,1,20110101,92235,CPT,FLUORESCEIN ANGRPH I&R,,30,,,$720.13,$0.00,1,0,1,20110101,92240,CPT,INDOCYA9-GREEN ANGRPH I&R,,30,,,$720.13,$0.00,1,0,1,20110101,92250,CPT,FUNDUS PHTGRPHY I&R,,30,,,$350.70,$0.00,1,0,1,20110101,92260,CPT,OPHTHALMODYNAMOMETRY,,30,,,$218.20,$0.00,1,0,1,20110101,92265,CPT,NDL OCULOEMG 1+ EO MUSC 1/OU I&R,,30,,,$350.70,$0.00,1,0,1,20110101,92270,CPT,ELECTRO-OCULOGRAPY I&R,,30,,,$218.20,$0.00,1,0,1,20110101,92275,CPT,ELECTRORETINOGRAPY I&R,,30,,,$720.13,$0.00,1,0,1,20110101,92283,CPT,COLOR VIS XM EXTND ANOMALOSCOPE/EQUIV,,30,,,$218.20,$0.00,1,0,1,20110101,92284,CPT,DARK ADAPTATION XM I&R,,30,,,$350.70,$0.00,1,0,1,20110101,92285,CPT,XTRNL OC PHTGRPHY I&R PROGRESS,,30,,,$350.70,$0.00,1,0,1,20110101,92286,CPT,SPEC ANT SGM PHTGRPHY I&R SPECLR ENDOTHELIAL,,30,,,$720.13,$0.00,1,0,1,20110101,92287,CPT,SPEC ANT SGM PHTGRPHY I&R FLUORESCEIN ANGRPH,,30,,,$720.13,$0.00,1,0,1,20110101,92310,CPT,RX&FITG C-LENS SUPVJ CRNL LENS OU XCPT APHK,,30,,,$77.09,$0.00,1,0,1,20110101,92311,CPT,RX&FITG C-LENS SUPVJ CRNL LENS APHK 1O,,30,,,$350.70,$0.00,1,0,1,20110101,92312,CPT,RX&FITG C-LENS SUPVJ CRNL LENS APHK OU,,30,,,$350.70,$0.00,1,0,1,20110101,92313,CPT,RX&FITG C-LENS SUPVJ CRNLSCLRL LENS,,30,,,$218.20,$0.00,1,0,1,20110101,92314,CPT,RX C-LENS SUPVJ&DIRION FITG TECH OU XCPT APHK,,30,,,$44.20,$0.00,1,0,1,20110101,92315,CPT,RX C-LENS SUPVJ FITG TECH CRNL APHK 1O,,30,,,$218.20,$0.00,1,0,1,20110101,92316,CPT,RX C-LENS SUPVJ FITG TECH CRNL APHK OU,,30,,,$350.70,$0.00,1,0,1,20110101,92317,CPT,RX C-LENS SUPVJ FITG TECH CRNLSCLRL,,30,,,$218.20,$0.00,1,0,1,20110101,92325,CPT,MODIFICAJ C-LENS SPX SUPVJ ADAPTATION,,30,,,$218.20,$0.00,1,0,1,20110101,92326,CPT,RPLCMT C-LENS,,30,,,$350.70,$0.00,1,0,1,20110101,92340,CPT,FITG SPECTLS XCPT APHK MONOFOCAL,,30,,,$64.88,$0.00,1,0,1,20110101,92341,CPT,FITG SPECTLS XCPT APHK BIFOCAL,,30,,,$84.34,$0.00,1,0,1,20110101,92352,CPT,FITG SPECTL PROSTH APHK MONOFOCAL,,30,,,$350.70,$0.00,1,0,1,20110101,92353,CPT,FITG SPECTL PROSTH APHK MLTFCL,,30,,,$218.20,$0.00,1,0,1,20110101,92354,CPT,FITG SPECTL MOUNTED LW VIS AID 1 ELMNT,,30,,,$218.20,$0.00,1,0,1,20110101,92355,CPT,FITG SPECTL MOUNTED LW VIS AID TLSCP,,30,,,$218.20,$0.00,1,0,1,20110101,92358,CPT,PROSTH APHK TEMP DISPOSABLE/LOAN MATRLS,,30,,,$218.20,$0.00,1,0,1,20110101,92371,CPT,RPR&REFITG SPECTLS SPECTL PROSTH APHK,,30,,,$218.20,$0.00,1,0,1,20110101,92499,CPT,UNLIS OPH SVC,,30,,,$218.20,$0.00,1,0,1,20110101,92502,CPT,OTOLARYNGOLOGIC XM ANES,,30,,,"$1,260.04",$0.00,1,0,1,20110101,92511,CPT,NASOPHARYNGOSCOPY W/ENDOSCOPE SPX,,30,,,$294.57,$0.00,1,0,1,20110101,92512,CPT,NSL FUNCJ STD,,30,,,$332.63,$0.00,1,0,1,20110101,92516,CPT,FACIAL NRV FUNCJ STD,,30,,,$551.33,$0.00,1,0,1,20110101,92520,CPT,LARYN FUNCJ STD,,30,,,$551.33,$0.00,1,0,1,20110101,92526,CPT,TX SWLNG DYSF&/ORAL FUNCJ FEEDING,,30,,,$218.19,$0.00,1,0,1,20110101,92540,CPT,VSTBLR FUNCJ NYSTAG FOVL&PERPH STIMJ OSCIL TRKG,,30,,,$551.33,$0.00,1,0,1,20110101,92541,CPT,SPON NYSTAGMUS TST,,30,,,$332.63,$0.00,1,0,1,20110101,92542,CPT,POSAL NYSTAGMUS TST,,30,,,$332.63,$0.00,1,0,1,20110101,92543,CPT,CALORIC VSTBLR TST EA IRRIGATION REC,,30,,,$551.33,$0.00,1,0,1,20110101,92544,CPT,OKN TST BIDIREC FOVEAL/PRPH STIMJ REC,,30,,,$332.63,$0.00,1,0,1,20110101,92545,CPT,OSCILLATING TRACKING TST W/REC,,30,,,$332.63,$0.00,1,0,1,20110101,92546,CPT,SINUSOIDAL VER AXIS ROTATIONAL TSTG,,30,,,$551.33,$0.00,1,0,1,20110101,92547,CPT,USE VER ELTRDS,,30,,,$129.30,$0.00,1,0,1,20110101,92548,CPT,CPTRIZED DYNAMIC POSTUROGRAPY,,30,,,$551.33,$0.00,1,0,1,20110101,92550,CPT,TYMPANOMETRY AND REFLEX THRESHOLD MEASUREMENTS,,30,,,$172.51,$0.00,1,0,1,20110101,92551,CPT,SCR TST PURE TONE AIR ONLY,,30,,,$137.46,$0.00,1,0,1,20110101,92552,CPT,PURE TONE AUDIOMTRY AIR ONLY,,30,,,$172.51,$0.00,1,0,1,20110101,92553,CPT,PURE TONE AUDIOMTRY AIR&B1,,30,,,$465.29,$0.00,1,0,1,20110101,92555,CPT,SP AUDIOMTRY THRESHOLD,,30,,,$172.51,$0.00,1,0,1,20110101,92556,CPT,SP AUDIOMTRY THRESHOLD SP RECOGNIJ,,30,,,$172.51,$0.00,1,0,1,20110101,92557,CPT,COMPRE AUDIOMTRY THRESHOLD EVAL SP RECOGNIJ,,30,,,$465.29,$0.00,1,0,1,20110101,92561,CPT,BEKESY AUDIOMTRY DX,,30,,,$172.51,$0.00,1,0,1,20110101,92562,CPT,LOUDNESS BALANCE BINAURAL/MONAURAL,,30,,,$172.51,$0.00,1,0,1,20110101,92563,CPT,TONE DECAY,,30,,,$172.51,$0.00,1,0,1,20110101,92564,CPT,SHORT INCREMENT SENSITIVITY INDEX,,30,,,$172.51,$0.00,1,0,1,20110101,92565,CPT,STENGER TST PURE TONE,,30,,,$172.51,$0.00,1,0,1,20110101,92567,CPT,TYMPANOMETRY,,30,,,$172.51,$0.00,1,0,1,20110101,92568,CPT,ACOUS RFLX THRESHOLD,,30,,,$172.51,$0.00,1,0,1,20110101,92570,CPT,ACOUSTIC IMMIT TEST TYMPANOM/ACOUST REFLX/DECAY,,30,,,$172.51,$0.00,1,0,1,20110101,92571,CPT,FILTERED SP,,30,,,$172.51,$0.00,1,0,1,20110101,92572,CPT,STAGGERED SPONDAIC WORD,,30,,,$596.26,$0.00,1,0,1,20110101,92575,CPT,SENSORINEURAL ACUITY LVL,,30,,,$172.51,$0.00,1,0,1,20110101,92576,CPT,SYNTH SENTENCE ID,,30,,,$172.51,$0.00,1,0,1,20110101,92577,CPT,STENGER SP,,30,,,$596.26,$0.00,1,0,1,20110101,92579,CPT,VIS RNFCMT AUDIOMTRY,,30,,,$465.29,$0.00,1,0,1,20110101,92582,CPT,CONDITIONING PLAY AUDIOMTRY,,30,,,$465.29,$0.00,1,0,1,20110101,92583,CPT,SELECT PICTURE AUDIOMTRY,,30,,,$172.51,$0.00,1,0,1,20110101,92584,CPT,ELECTROCOCHLEOGRAPY,,30,,,$984.90,$0.00,1,0,1,20110101,92585,CPT,AEP ERA&/TSTG CNS COMPRE,,30,,,$984.90,$0.00,1,0,1,20110101,92586,CPT,AEP ERA&/TSTG CNS LMTD,,30,,,$439.19,$0.00,1,0,1,20110101,92587,CPT,EVOKED OTOACOUS EMIJS LMTD,,30,,,$332.63,$0.00,1,0,1,20110101,92588,CPT,EVOKED OTOACOUS EMIJS COMPRE/DX EVAL,,30,,,$332.63,$0.00,1,0,1,20110101,92590,CPT,HEARING AID XM&SELECTION MONAURAL,,30,,,$149.09,$0.00,1,0,1,20110101,92591,CPT,HEARING AID XM&SELECTION BINAURAL,,30,,,$248.55,$0.00,1,0,1,20110101,92592,CPT,HEARING AID CHECK MONAURAL,,30,,,$121.26,$0.00,1,0,1,20110101,92593,CPT,HEARING AID CHECK BINAURAL,,30,,,$205.75,$0.00,1,0,1,20110101,92594,CPT,ELECTROACOUS EVAL HEARING AID MONAURAL,,30,,,$61.71,$0.00,1,0,1,20110101,92595,CPT,ELECTROACOUS EVAL HEARING AID BINAURAL,,30,,,$82.25,$0.00,1,0,1,20110101,92596,CPT,EAR PROTECTOR ATTENUATION MEAS,,30,,,$172.51,$0.00,1,0,1,20110101,92601,CPT,ALYS COCHLEAR IMPLT PT <7 YR PRGRMG,,30,,,$596.26,$0.00,1,0,1,20110101,92602,CPT,ALYS COCHLEAR IMPLT PT <7 YR SBSQ REPRGRMG,,30,,,$596.26,$0.00,1,0,1,20110101,92603,CPT,ALYS COCHLEAR IMPLT 7 YR/> PRGRMG,,30,,,$596.26,$0.00,1,0,1,20110101,92604,CPT,ALYS COCHLEAR IMPLT 7 YR/> SBSQ REPRGRMG,,30,,,$596.26,$0.00,1,0,1,20110101,92620,CPT,EVAL CTR AUD FUNCJ W/REPRT 1ST 60 MIN,,30,,,$465.29,$0.00,1,0,1,20110101,92621,CPT,EVAL CTR AUD FUNCJ W/REPRT EA 15 MIN,,30,,,$92.53,$0.00,1,0,1,20110101,92625,CPT,ASSMT TINNITUS,,30,,,$465.29,$0.00,1,0,1,20110101,92626,CPT,EVAL AUD RHAB STATUS 1ST HR,,30,,,$596.26,$0.00,1,0,1,20110101,92630,CPT,AUD RHAB PRELNG HEARING LOSS,,30,,,$390.39,$0.00,1,0,1,20110101,92633,CPT,AUD RHAB POST-LNGL HEARING LOSS,,30,,,$298.01,$0.00,1,0,1,20110101,92640,CPT,ANALYSIS W/PRGRMG AUD BRAINSTEM IMPLANT PR HR,,30,,,$465.29,$0.00,1,0,1,20110101,92700,CPT,UNLIS OTORHINOLARYNGOLOGICAL SVC,,30,,,$172.51,$0.00,1,0,1,20110101,92950,CPT,CARDIOPULM RESUSCITATION,,30,,,"$1,062.72",$0.00,1,0,1,20110101,92953,CPT,TEMP TC PACG,,30,,,"$1,062.72",$0.00,1,0,1,20110101,92960,CPT,CARDIOVERSION ELECTIVE ARRHYT XTRNL,,30,,,"$2,348.28",$0.00,1,0,1,20110101,92961,CPT,CARDIOVERSION ELECTIVE ARRHYT INT SPX,,30,,,"$2,348.28",$0.00,1,0,1,20110101,92971,CPT,CARDIOASSIST-METH CRC ASSIST XTRNL,,30,,,$475.24,$0.00,1,0,1,20110101,92973,CPT,PRQ TRLUML C THRMBC,,30,,,"$14,495.09",$0.00,1,0,1,20110101,92974,CPT,TCAT PLMT RADJ DLVR DEV SBSQ C IV BRACHYTX,,30,,,"$6,564.57",$0.00,1,0,1,20110101,92977,CPT,THROMBOLSS C IV NFS,,30,,,$881.26,$0.00,1,0,1,20110101,92978,CPT,IV US C VSL DX&/THER 1ST VSL,,30,,,"$4,892.65",$0.00,1,0,1,20110101,92979,CPT,IV US C VSL DX&/THER EA VSL,,30,,,"$2,171.69",$0.00,1,0,1,20110101,92980,CPT,TCAT PLMT AN INTRAC STENT PRQ 1 VSL,,30,,,"$22,457.84",$0.00,1,0,1,20110101,92981,CPT,TCAT PLMT INTRAC STENT PRQ EA VSL,,30,,,"$22,457.84",$0.00,1,0,1,20110101,92982,CPT,PRQ TRLUML C BALO ANGIOP 1 VSL,,30,,,"$16,950.24",$0.00,1,0,1,20110101,92984,CPT,PRQ TRLUML C BALO ANGIOP EA VSL,,30,,,"$16,950.24",$0.00,1,0,1,20110101,92986,CPT,PRQ BALO VLVP AORTIC VALVE,,30,,,"$16,950.24",$0.00,1,0,1,20110101,92987,CPT,PRQ BALO VLVP MITRAL VALVE,,30,,,"$16,950.24",$0.00,1,0,1,20110101,92990,CPT,PRQ BALO VLVP PULM VALVE,,30,,,"$16,950.24",$0.00,1,0,1,20110101,92995,CPT,PRQ TRLUML C ATHRC 1 VSL,,30,,,"$23,095.03",$0.00,1,0,1,20110101,92996,CPT,PRQ TRLUML C ATHRC EA VSL,,30,,,"$23,095.03",$0.00,1,0,1,20110101,92997,CPT,PRQ TRLUML P-ART BALO ANGIOP 1 VSL,,30,,,"$16,950.24",$0.00,1,0,1,20110101,92998,CPT,PRQ TRLUML P-ART BALO ANGIOP EA VSL,,30,,,"$16,950.24",$0.00,1,0,1,20110101,93000,CPT,ECG ROUTINE ECG W/LEAST 12 LDS W/I&R,,30,,,$220.73,$0.00,1,0,1,20110101,93005,CPT,ECG ROUTINE ECG W/LEAST 12 LDS TRCG ONLY W/O I&R,,30,,,$172.17,$0.00,1,0,1,20110101,93017,CPT,CV STRS TST XERS&/OR RX CONT ECG TRCG ONLY,,30,,,"$1,130.36",$0.00,1,0,1,20110101,93024,CPT,ERGONOVINE PROVOCATION TST,,30,,,"$1,130.36",$0.00,1,0,1,20110101,93025,CPT,MICROV T-WAVE ALTERNANS F/ASSMT VENTR ARRHYTS,,30,,,"$1,130.36",$0.00,1,0,1,20110101,93041,CPT,RHYTHM ECG 1-3 LDS TRCG ONLY W/O I&R,,30,,,$101.40,$0.00,1,0,1,20110101,93225,CPT,WEARABLE ECG 24 HR W/VISUAL SUPIMPOS SCAN REC,,30,,,$429.20,$0.00,1,0,1,20110101,93226,CPT,WEARABLE ECG 24 HR W/VIS SUPIMPOS SCAN A/R,,30,,,$429.20,$0.00,1,0,1,20110101,93229,CPT,WEARABLE MOBILE CV TELEMETRY W/TECHNICAL SUPPORT,,30,,,"$4,245.24",$0.00,1,0,1,20110101,93270,CPT,WR PT ACTIVATED 24 HR ECG RECORDING,,30,,,$429.20,$0.00,1,0,1,20110101,93271,CPT,WR PT ACTIVATED 24 HR ECGR REC TRANSMISS&ALYS,,30,,,$587.36,$0.00,1,0,1,20110101,93278,CPT,SAECG +-ECG,,30,,,$101.40,$0.00,1,0,1,20110101,93279,CPT,PROGRAM EVAL IMPLANTABLE IN PRSN 1 LD PACEMAKER,,30,,,$215.80,$0.00,1,0,1,20110101,93280,CPT,PROGRAM EVAL IMPLANTABLE IN PERSN DUAL LD PACER,,30,,,$215.80,$0.00,1,0,1,20110101,93281,CPT,PROGRAM EVAL IMPLANTABLE IN PRSN MULTI LD PACER,,30,,,$215.80,$0.00,1,0,1,20110101,93282,CPT,PROGRAM EVAL IMPLANTABLE IN PERSN 1 LD CARD/DFB,,30,,,$248.01,$0.00,1,0,1,20110101,93283,CPT,PROGRM EVAL IMPLANTABLE IN PRSN DUAL L CARD/DFB,,30,,,$248.01,$0.00,1,0,1,20110101,93284,CPT,PROGRM EVAL IMPLANTABLE IN PRSN MLT LD CARD/DFB,,30,,,$248.01,$0.00,1,0,1,20110101,93285,CPT,PROGRAM EVAL IMPLANTABLE DEV IN PRSN ILR SYSTEM,,30,,,$215.80,$0.00,1,0,1,20110101,93288,CPT,INTERROGATION EVAL IN PERSON 1/DUAL/MLT LEAD PM,,30,,,$215.80,$0.00,1,0,1,20110101,93289,CPT,INTERROGATION EVAL F2F 1/DUAL/MLT LEADS CVDFB,,30,,,$248.01,$0.00,1,0,1,20110101,93290,CPT,INTERROGATION EVAL F2F IMPLANTABLE CV MNTR SYS,,30,,,$113.38,$0.00,1,0,1,20110101,93291,CPT,INTERROGATION EVALUATION IN PERSON ILR SYSTEM,,30,,,$215.80,$0.00,1,0,1,20110101,93292,CPT,INTERROGATION EVAL IN PERSON WR DEFIBRILLATOR,,30,,,$248.01,$0.00,1,0,1,20110101,93293,CPT,TRANSTELEPHONIC RHYTHM STRIP PACEMAKER EVAL,,30,,,$248.01,$0.00,1,0,1,20110101,93296,CPT,INTERROGATION REMOTE </90 D TECHNICIAN REVIEW,,30,,,$248.01,$0.00,1,0,1,20110101,93299,CPT,INTERROGATION EVAL REMOTE </30 D TECH REVIEW,,30,,,$864.32,$0.00,1,0,1,20110101,93303,CPT,TTHRC F/CGEN CAR ANOMAL COMPL,,30,,,"$3,711.99",$0.00,1,0,1,20110101,93304,CPT,TTHRC F/CGEN CAR ANOMAL F-UP/LMTD STD,,30,,,"$2,837.87",$0.00,1,0,1,20110101,93306,CPT,ECHO TTHRC R-T 2D -+M-MODE COMPL SPEC&COLOR DOP,,30,,,"$2,837.87",$0.00,1,0,1,20110101,93307,CPT,TTHRC R-T IMG 2D +-M-MODE REC COMPL,,30,,,"$2,415.63",$0.00,1,0,1,20110101,93308,CPT,TTHRC R-T IMG 2D +-M-MODE REC F-UP/LMTD,,30,,,"$1,685.90",$0.00,1,0,1,20110101,93312,CPT,TEE R-T IMG 2D W/PRB IMG ACQUISJ I&R,,30,,,"$3,711.99",$0.00,1,0,1,20110101,93313,CPT,TEE R-T IMG 2D W/PROBE PLMT ONLY,,30,,,"$2,837.87",$0.00,1,0,1,20110101,93315,CPT,TEE CGEN CAR ANOML PRB ACQUISJ I&R,,30,,,"$3,711.99",$0.00,1,0,1,20110101,93316,CPT,TEE CGEN CAR ANOML PLMT PRB ONLY,,30,,,"$3,711.99",$0.00,1,0,1,20110101,93318,CPT,TEE W/PROB F/MNTR PURPOSES W/ASSMT CA PUMP FUNCJ,,30,,,"$3,711.99",$0.00,1,0,1,20110101,93320,CPT,DOP ECHO COMPL,,30,,,"$1,307.78",$0.00,1,0,1,20110101,93321,CPT,DOP ECHO P-W&/OR CONT W/SPECTRAL F-UP/LMTD STD,,30,,,$779.88,$0.00,1,0,1,20110101,93325,CPT,DOP ECHO COLOR FLO VEL MAPG,,30,,,"$1,961.68",$0.00,1,0,1,20110101,93350,CPT,ECHO TTHRC R-T 2D -+M-MODE COMPLETE REST&STRS,,30,,,"$2,837.87",$0.00,1,0,1,20110101,93351,CPT,ECHO TTHRC R-T 2D -+M-MODE REST&STRS CONT ECG,,30,,,"$3,711.99",$0.00,1,0,1,20110101,93352,CPT,USE OF ECHO CONTRAST AGENT DURING STRESS ECHO,,30,,,$456.07,$0.00,1,0,1,20110101,93451,CPT,RIGHT HEART CATH,,30,,,"$14,197.19",$0.00,1,0,1,20110101,93452,CPT,LEFT HRT CATH W/VENTRCLGRPHY,,30,,,"$14,197.19",$0.00,1,0,1,20110101,93453,CPT,R&L HRT CATH W/VENTRICLGRPHY,,30,,,"$14,197.19",$0.00,1,0,1,20110101,93454,CPT,CORONARY ARTERY ANGIO S&I,,30,,,"$14,197.19",$0.00,1,0,1,20110101,93455,CPT,CORONARY ART/GRFT ANGIO S&I,,30,,,"$14,197.19",$0.00,1,0,1,20110101,93456,CPT,R HRT CORONARY ARTERY ANGIO,,30,,,"$14,197.19",$0.00,1,0,1,20110101,93457,CPT,R HRT ART/GRFT ANGIO,,30,,,"$14,197.19",$0.00,1,0,1,20110101,93458,CPT,L HRT ARTERY/VENTRICLE ANGIO,,30,,,"$14,197.19",$0.00,1,0,1,20110101,93459,CPT,L HRT ART/GRFT ANGIO,,30,,,"$14,197.19",$0.00,1,0,1,20110101,93460,CPT,R&L HRT ART/VENTRICLE ANGIO,,30,,,"$14,197.19",$0.00,1,0,1,20110101,93461,CPT,R&L HRT ART/VENTRICLE ANGIO,,30,,,"$14,197.19",$0.00,1,0,1,20110101,93462,CPT,L HRT CATH TRNSPTL PUNCTURE,,30,,,"$14,197.19",$0.00,1,0,1,20110101,93503,CPT,INSJ&PLMT FLO DIRED CATH F/MNTR PURPOSES,,30,,,"$6,564.57",$0.00,1,0,1,20110101,93505,CPT,ENDOMYOCARDIAL BIOPSY,,30,,,"$6,564.57",$0.00,1,0,1,20110101,93530,CPT,R HRT CATHETERIZATION CONGENITAL CARDIAC ANOMALY,,30,,,"$14,197.19",$0.00,1,0,1,20110101,93531,CPT,CMBN R HRT & RETROGRADE L HRT CATHJ CGEN ANOMALY,,30,,,"$14,197.19",$0.00,1,0,1,20110101,93532,CPT,CMBN R HRT T-SEPTAL L HRT CATHJ NTC SEPTUM CGEN,,30,,,"$14,197.19",$0.00,1,0,1,20110101,93533,CPT,CMBN R HRT T-SEPTAL L HRT CATHJ SEPTAL OPNG CGEN,,30,,,"$14,197.19",$0.00,1,0,1,20110101,93571,CPT,IV DOP VEL&/OR PRESS C/FLO RSRV MEAS 1ST VSL,,30,,,"$1,437.76",$0.00,1,0,1,20110101,93572,CPT,IV DOP VEL&/OR PRESS C/FLO RSRV MEAS ADDL VSL,,30,,,$719.11,$0.00,1,0,1,20110101,93580,CPT,PRQ TCAT CLSR CGEN INTRATRL COMUNICAJ W/IMPLT,,30,,,"$20,223.60",$0.00,1,0,1,20110101,93581,CPT,PRQ TCAT CLSR CGEN VENTR SEPTAL DFCT W/IMPLT,,30,,,"$20,223.60",$0.00,1,0,1,20110101,93600,CPT,BUNDLE OF HIS RECORDING,,30,,,"$4,494.91",$0.00,1,0,1,20110101,93602,CPT,INTRA-ATRIAL RECORDING,,30,,,"$4,494.91",$0.00,1,0,1,20110101,93603,CPT,R VENTRICULAR REC,,30,,,"$4,494.91",$0.00,1,0,1,20110101,93609,CPT,INTRA-VNTR MAPG TCHYCAR SIT W/CATH MNPJ,,30,,,"$2,697.66",$0.00,1,0,1,20110101,93610,CPT,INTRA-ATRIAL PACING,,30,,,"$4,494.91",$0.00,1,0,1,20110101,93612,CPT,INTRAVENTRICAL PACING,,30,,,"$4,494.91",$0.00,1,0,1,20110101,93613,CPT,ICAR EPHYS 3-DIMENSIONAL MAPG,,30,,,"$8,469.50",$0.00,1,0,1,20110101,93615,CPT,ESOPHGL REC ATR EGRM +-VENTR EGRM,,30,,,"$4,494.91",$0.00,1,0,1,20110101,93616,CPT,ESOPHGL REC ATR EGRM +-VENTR EGRM W/PACG,,30,,,"$4,494.91",$0.00,1,0,1,20110101,93618,CPT,INDCTJ ARRHYT ELEC PACG,,30,,,"$4,494.91",$0.00,1,0,1,20110101,93619,CPT,COMPRE ELECTROPHYSIOLOGIC W/O ARRHYT INDUCTION,,30,,,"$17,338.81",$0.00,1,0,1,20110101,93620,CPT,COMPRE ELECTROPHYSIOLOGIC W/ ARRHYT HMIA INDUCT,,30,,,"$17,338.81",$0.00,1,0,1,20110101,93621,CPT,COMPRE ELECTROPHYSIOLOGIC W/L ATR PAC/REC,,30,,,"$1,214.29",$0.00,1,0,1,20110101,93622,CPT,COMPRE ELECTROPHYSIOLOGIC W/L VENTR PAC/REC,,30,,,"$1,043.26",$0.00,1,0,1,20110101,93623,CPT,PROGRAMMED STIMJ&PACG AFTER IV DRUG NFS,,30,,,"$1,026.16",$0.00,1,0,1,20110101,93624,CPT,ELECTROPHYSIOLOGIC FOLLOW-UP W/PAC/REC W/ARRHYT,,30,,,"$17,338.81",$0.00,1,0,1,20110101,93631,CPT,INTRAOP EPICAR&ENDOCAR PACG&MAPG,,30,,,"$20,669.66",$0.00,1,0,1,20110101,93640,CPT,EPHYS EVAL PACG CVDFB LDS INITIAL IMPLAN/REPLACE,,30,,,"$7,285.74",$0.00,1,0,1,20110101,93641,CPT,EPHYS EVAL PACG CVDFB LDS W/TSTG OF PULSE GEN,,30,,,"$6,564.57",$0.00,1,0,1,20110101,93642,CPT,EPHYS EVAL PACG CVDFB PRGRMG/REPRGRMG PARAMETERS,,30,,,"$4,494.91",$0.00,1,0,1,20110101,93650,CPT,ICAR CATHETER ABLATION ATRIOVENTR NODE FUNCTION,,30,,,"$17,338.81",$0.00,1,0,1,20110101,93651,CPT,ICAR CATH ABLTJ ARRHYTGNIC FOC SUPVENTR TCHYCAR,,30,,,"$23,494.64",$0.00,1,0,1,20110101,93652,CPT,ICAR CATH ABLATION ARRHYTGNIC FOC VENTR TCHYCAR,,30,,,"$23,494.64",$0.00,1,0,1,20110101,93660,CPT,CARDIOVASCULAR FUNCTION EVAL W/TILT TABLE W/MNTR,,30,,,"$1,874.57",$0.00,1,0,1,20110101,93662,CPT,ICE DURING THER/DX IVNTJ INCL IMG S&I,,30,,,"$1,519.29",$0.00,1,0,1,20110101,93668,CPT,PRPH ARTL DISEASE RHAB PR SESS,,30,,,"$1,282.70",$0.00,1,0,1,20110101,93701,CPT,BIOIMPD THRC ELEC,,30,,,$172.17,$0.00,1,0,1,20110101,93721,CPT,PLETHYSMOGRAPY TOT BDY TRCG ONLY W/O I&R,,30,,,$370.45,$0.00,1,0,1,20110101,93722,CPT,PLETHYSMOGRAPY TOT BDY I&R ONLY,,30,,,$101.54,$0.00,1,0,1,20110101,93724,CPT,ELEC ALYS ANTITACHYCARDIA PM SYSTEM,,30,,,$215.80,$0.00,1,0,1,20110101,93740,CPT,TEMPRATURE GRADIENT STD,,30,,,$370.45,$0.00,1,0,1,20110101,93745,CPT,1ST SET-UP&PRGRMG BY PHYS OF WEARABLE CVDFB,,30,,,$248.01,$0.00,1,0,1,20110101,93750,CPT,INTERROGATION VAD IN PRSON W/PHYSICIAN ANALYSIS,,30,,,$587.36,$0.00,1,0,1,20110101,93786,CPT,AMBL BLD PRESS W/TAPE&/DISK 24+ HR + REC ONLY,,30,,,$429.20,$0.00,1,0,1,20110101,93788,CPT,AMBL BLD PRESS W/TAPE/DISK 24+ HR ALYS W/REPRT,,30,,,$429.20,$0.00,1,0,1,20110101,93797,CPT,PHYS SVCS F/O/P CAR RHAB W/O CONT ECG MNTR,,30,,,$384.98,$0.00,1,0,1,20110101,93798,CPT,PHYS SVCS F/O/P CAR RHAB W/CONT ECG MNTR,,30,,,$384.98,$0.00,1,0,1,20110101,93799,CPT,UNLIS CV SVC/PX,,30,,,$429.20,$0.00,1,0,1,20110101,93875,CPT,N-INVAS PHYSIOLOGIC STD XTRC ART COMPL BI STD,,30,,,$698.53,$0.00,1,0,1,20110101,93880,CPT,DUP-SCAN XTRC ART COMPL BI STD,,30,,,$996.43,$0.00,1,0,1,20110101,93882,CPT,DUP-SCAN XTRC ART UNI/LMTD STD,,30,,,$996.43,$0.00,1,0,1,20110101,93886,CPT,TCD STD ICRA ART COMPL STD,,30,,,$996.43,$0.00,1,0,1,20110101,93888,CPT,TCD STD ICRA ART LMTD STD,,30,,,$403.97,$0.00,1,0,1,20110101,93890,CPT,TCD STD ICRA ART VASOREACTV STD,,30,,,$627.73,$0.00,1,0,1,20110101,93892,CPT,TCD STD ICRA ART EMBOLI DETCJ W/O IV MBUBB NJX,,30,,,$627.73,$0.00,1,0,1,20110101,93893,CPT,TCD STD ICRA ART EMBOLI DETCJ W/IV MBUBB NJX,,30,,,$627.73,$0.00,1,0,1,20110101,93922,CPT,N-INVAS PHYSIOLOGIC STD UPR/LXTR ART 1 LVL BI,,30,,,$429.20,$0.00,1,0,1,20110101,93923,CPT,N-INVAS PHYSIOLOGIC STD UPR/LXTR BLAT MLT LVL BI,,30,,,$698.53,$0.00,1,0,1,20110101,93924,CPT,N-INVAS PHYSIOLOGIC STD LXTR ART REST FLWG STRS,,30,,,$698.53,$0.00,1,0,1,20110101,93925,CPT,DUP-SCAN LXTR ART/ARTL BPGS COMPL BI STD,,30,,,$996.43,$0.00,1,0,1,20110101,93926,CPT,DUP-SCAN LXTR ART/ARTL BPGS UNI/LMTD STD,,30,,,$627.73,$0.00,1,0,1,20110101,93930,CPT,DUP-SCAN UXTR ART/ARTL BPGS COMPL BI STD,,30,,,$996.43,$0.00,1,0,1,20110101,93931,CPT,DUP-SCAN UXTR ART/ARTL BPGS UNI/LMTD STD,,30,,,$627.73,$0.00,1,0,1,20110101,93965,CPT,N-INVAS PHYSIOLOGIC STD XTR VEINS COMPL BI STD,,30,,,$698.53,$0.00,1,0,1,20110101,93970,CPT,DUP-SCAN XTR VEINS COMPL BI STD,,30,,,$996.43,$0.00,1,0,1,20110101,93971,CPT,DUP-SCAN XTR VEINS UNI/LMTD STD,,30,,,$627.73,$0.00,1,0,1,20110101,93975,CPT,DUP-SCAN ARTL FLO ABDL/PEL/SCROT&/RPR ORGN COMPL,,30,,,$996.43,$0.00,1,0,1,20110101,93976,CPT,DUP-SCAN ARTL FLO ABDL/PEL/SCROT&/RPR ORGN LMTD,,30,,,$996.43,$0.00,1,0,1,20110101,93978,CPT,DUP-SCAN AORTA IVC ILIAC VASCL/BPGS COMPL,,30,,,$996.43,$0.00,1,0,1,20110101,93979,CPT,DUP-SCAN AORTA IVC ILIAC VASCL/BPGS UNI/LMTD,,30,,,$627.73,$0.00,1,0,1,20110101,93980,CPT,DUP-SCAN ARTL INFL&VEN O/F PEN VSL COMPL,,30,,,$996.43,$0.00,1,0,1,20110101,93981,CPT,DUP-SCAN ARTL INFL&VEN O/F PEN VSL F-UP/LMTD STD,,30,,,$996.43,$0.00,1,0,1,20110101,93982,CPT,IMPLANT WIRELESS PRESS SENSOR STUDY ANEURYSM SAC,,30,,,$429.20,$0.00,1,0,1,20110101,93990,CPT,DUP-SCAN OF HEMODIALYSIS ACCESS,,30,,,$627.73,$0.00,1,0,1,20110101,94002,CPT,VENTILATION ASSIST & MGMT INPATIENT 1ST DAY,,30,,,"$1,133.01",$0.00,1,0,1,20110101,94003,CPT,VENTILATION ASSIST & MGMT INPATIENT EA SBSQ DAY,,30,,,"$1,133.01",$0.00,1,0,1,20110101,94010,CPT,SPMTRY W/VC EXPIRATORY FLO +-MXML VOL VNTJ,,30,,,$370.45,$0.00,1,0,1,20110101,94011,CPT,MEAS SPIROMTRC FORCD EXPIRATORY FLO INFANT-2 YR,,30,,,$370.45,$0.00,1,0,1,20110101,94012,CPT,MEAS SPIRO FORCD EXP FLO PRE&POST BRONCH INF-2Y,,30,,,$370.45,$0.00,1,0,1,20110101,94013,CPT,MEAS LUNG VOLUMES INFANT OR CHILD THRU 2 YRS,,30,,,$962.79,$0.00,1,0,1,20110101,94014,CPT,PT-INTIT SPIROMETRIC REC 30 D PD PHYS R&I,,30,,,$227.43,$0.00,1,0,1,20110101,94015,CPT,PT-INTIT SPIROMETRIC REC 30 D PD RECORDING,,30,,,$227.43,$0.00,1,0,1,20110101,94060,CPT,BRNCDILAT RSPSE SPMTRY PRE&POST-BRNCDILAT ADMN,,30,,,$615.08,$0.00,1,0,1,20110101,94070,CPT,BRNCSPSM PROVOCATION EVAL MLT SPMTRY W/ADMN AGT,,30,,,$962.79,$0.00,1,0,1,20110101,94150,CPT,VC TOT SPX,,30,,,$227.43,$0.00,1,0,1,20110101,94200,CPT,MAX BRTHING CAP MXML VOL VNTJ,,30,,,$227.43,$0.00,1,0,1,20110101,94240,CPT,FUNCTIONAL RESIDUAL CAPACITY OR RESIDUAL VOLUME,,30,,,$370.45,$0.00,1,0,1,20110101,94250,CPT,EXP GAS COLLJ QUAN 1 PX SPX,,30,,,$217.78,$0.00,1,0,1,20110101,94260,CPT,THRC GAS VOL,,30,,,$370.45,$0.00,1,0,1,20110101,94350,CPT,DETER MALDISTRIBJ OF INSPIRED GAS N WSHOT CURVE,,30,,,$370.45,$0.00,1,0,1,20110101,94360,CPT,DETER RESIST TO AIRFLO OSCILLATORY/PLETHYSMOGRAP,,30,,,$227.43,$0.00,1,0,1,20110101,94370,CPT,DETER AIRWY CLOSING VOL 1 BRTH TSTS,,30,,,$101.40,$0.00,1,0,1,20110101,94375,CPT,RESPIR FLO VOL LOOP,,30,,,$370.45,$0.00,1,0,1,20110101,94400,CPT,BRTHING RSPSE CO2 CO2 RSPSE CURVE,,30,,,$227.43,$0.00,1,0,1,20110101,94450,CPT,BRTHING RSPSE HYPOXIA HYPOXIA RSPSE CURVE,,30,,,$370.45,$0.00,1,0,1,20110101,94452,CPT,HAST W/PHYS I&R,,30,,,$370.45,$0.00,1,0,1,20110101,94453,CPT,HAST W/PHYS I&R W/SUPPL O2 TITRJ,,30,,,$370.45,$0.00,1,0,1,20110101,94610,CPT,INTRAPULMONARY SURFACTANT ADMINISTRATION,,30,,,$137.55,$0.00,1,0,1,20110101,94620,CPT,PULM STRS TSTG SMPL,,30,,,$370.45,$0.00,1,0,1,20110101,94621,CPT,PULM STRS TSTG CPLX,,30,,,$962.79,$0.00,1,0,1,20110101,94640,CPT,PRESS/N-PRESS INHLJ TX F/AAO/SPTM INDCTJ,,30,,,$137.55,$0.00,1,0,1,20110101,94642,CPT,AERSL INHLJ PENTAMIDINE F/PCP TX/PROPH,,30,,,$615.08,$0.00,1,0,1,20110101,94644,CPT,CONTINUOUS INHALATION TREATMENT 1ST HR,,30,,,$258.46,$0.00,1,0,1,20110101,94645,CPT,CONTINUOUS INHALATION TREATMENT EA ADDL HR,,30,,,$258.46,$0.00,1,0,1,20110101,94660,CPT,CPAP VNTJ CPAP INITIATION&MGMT,,30,,,$615.08,$0.00,1,0,1,20110101,94662,CPT,CNP VNTJ CNP INITIATION&MGMT,,30,,,"$1,133.01",$0.00,1,0,1,20110101,94664,CPT,DEMO&/EVAL OF PT UTILIZ AERSL GEN/NEB/INHLR/IPPB,,30,,,$137.55,$0.00,1,0,1,20110101,94667,CPT,MNPJ CH WALL FACILITATE LNG FUNCJ 1 DEMO&/EVAL,,30,,,$137.55,$0.00,1,0,1,20110101,94668,CPT,MNPJ CH FACILITATE LNG FUNCJ SBSQ,,30,,,$137.55,$0.00,1,0,1,20110101,94680,CPT,O2 UPTK EXP GAS ALYS REST&XERS DIR SMPL,,30,,,$366.24,$0.00,1,0,1,20110101,94681,CPT,O2 UPTK EXP GAS ALYS W/CO2 OUTPUT % O2 XTRC,,30,,,$370.45,$0.00,1,0,1,20110101,94690,CPT,O2 UPTK EXP GAS ALYS REST INDIR SPX,,30,,,$227.43,$0.00,1,0,1,20110101,94720,CPT,CARBON MONOXIDE DIFFW/CAP,,30,,,$370.45,$0.00,1,0,1,20110101,94725,CPT,MEMB DIFFUSION CAP,,30,,,$370.45,$0.00,1,0,1,20110101,94750,CPT,PULM COMPLIANCE STD,,30,,,$227.43,$0.00,1,0,1,20110101,94762,CPT,N-INVAS EAR/PLS OXIMTRY F/O2 SAT OVRNIT MNTR,,30,,,$429.20,$0.00,1,0,1,20110101,94770,CPT,CARBON DIOXIDE EXP GAS DETER INFRARED ANALYZER,,30,,,$366.24,$0.00,1,0,1,20110101,94772,CPT,CIRCADIAN RESPIR PATTERN REC 12-24 HR INFT,,30,,,$962.79,$0.00,1,0,1,20110101,94775,CPT,PED APNEA MONITOR ATTACHMENT,,30,,,$429.20,$0.00,1,0,1,20110101,94776,CPT,PED APNEA MONITOR ANALYSES COMPUTER,,30,,,$429.20,$0.00,1,0,1,20110101,94799,CPT,UNLIS PULM SVC/PX,,30,,,$227.43,$0.00,1,0,1,20110101,95004,CPT,PERCUTANEOUS TESTS W/ALLERGENIC EXTRACTS,,30,,,$147.04,$0.00,1,0,1,20110101,95010,CPT,PERQ TSTS SEQL&INCRL RX/BIOLOGIC/VNM IMMT RXN,,30,,,$147.04,$0.00,1,0,1,20110101,95012,CPT,NITRIC OXIDE EXPIRED GAS DETERMINATION,,30,,,$227.43,$0.00,1,0,1,20110101,95015,CPT,IQ TSTS SEQL&INCRL RX/BIOLOGIC/VNM IMMT RXN,,30,,,$147.04,$0.00,1,0,1,20110101,95024,CPT,INTRACUTANEOUS TESTS W/ALLERGENIC EXTRACTS,,30,,,$147.04,$0.00,1,0,1,20110101,95027,CPT,INTRACUTANEOUS TESTS W/ALLERGENIC XTRCS AIRBORNE,,30,,,$147.04,$0.00,1,0,1,20110101,95028,CPT,IQ TSTS W/ALLGIC XTRCS DLYD TYP RXN W/READING,,30,,,$147.04,$0.00,1,0,1,20110101,95044,CPT,PATCH/APPL TST SPEC NUMBER TSTS,,30,,,$147.04,$0.00,1,0,1,20110101,95052,CPT,PHOTO PATCH TST SPEC NUMBER TSTS,,30,,,$147.04,$0.00,1,0,1,20110101,95056,CPT,PHOTO TSTS,,30,,,$497.87,$0.00,1,0,1,20110101,95060,CPT,OPH MUC MEMB TSTS,,30,,,$497.87,$0.00,1,0,1,20110101,95065,CPT,DIR NSL MUC MEMB TST,,30,,,$147.04,$0.00,1,0,1,20110101,95070,CPT,INHLJ BRNCL CHALLENGE TSTG W/HISTAM/METHACHOL,,30,,,$962.79,$0.00,1,0,1,20110101,95071,CPT,INHLJ BRNCL CHALLENGE TSTG W/AGS/GASES,,30,,,$962.79,$0.00,1,0,1,20110101,95075,CPT,INGESTION CHALLENGE TEST,,30,,,"$1,499.16",$0.00,1,0,1,20110101,95115,CPT,PROF SVCS ALLG IMMNTX X W/PRV ALLGIC XTRCS 1 NJX,,30,,,$100.07,$0.00,1,0,1,20110101,95117,CPT,PROF SVCS ALLG IMMNTX X W/PRV ALLGIC XTRCS NJXS,,30,,,$100.07,$0.00,1,0,1,20110101,95120,CPT,PROF SVCS ALLG IMMNTX W/PRV ALLGIC XTRC 1 NJX,,30,,,$51.39,$0.00,1,0,1,20110101,95125,CPT,PROF SVCS ALLG IMMNTX W/PRV ALLGIC XTRC 2/> NJXS,,30,,,$88.00,$0.00,1,0,1,20110101,95132,CPT,PROF SVCS ALLG IMMNTX W/PRV ALLGIC XTRC 3 INSECT,,30,,,$75.74,$0.00,1,0,1,20110101,95133,CPT,PROF SVCS ALLG IMMNTX W/PRV ALLGIC XTRC 4 INSECT,,30,,,$57.34,$0.00,1,0,1,20110101,95144,CPT,SUPVJ OF PREPJ&PRV AGS F/ALLG IMMNTX 1 DOSE VIAL,,30,,,$242.57,$0.00,1,0,1,20110101,95145,CPT,SUPVJ OF PREPJ&PRV AGS F/ALLG IMMNTX 1 INSECT,,30,,,$242.57,$0.00,1,0,1,20110101,95146,CPT,SUPVJ OF PREPJ&PRV AGS F/ALLG IMMNTX 2 INSECT,,30,,,$489.03,$0.00,1,0,1,20110101,95147,CPT,SUPVJ PREPJ&PRV AGS F/ALLG IMMNTX 3 INSECT,,30,,,$489.03,$0.00,1,0,1,20110101,95148,CPT,SUPVJ PREPJ&PRV AGS F/ALLG IMMNTX 4 INSECT,,30,,,$242.57,$0.00,1,0,1,20110101,95149,CPT,SUPVJ PREPJ&PRV AGS F/ALLG IMMNTX 5 INSECT,,30,,,$242.57,$0.00,1,0,1,20110101,95165,CPT,SUPVJ PREPJ&PRV AGS F/ALLG IMMNTX 1/MLT AGS,,30,,,$100.07,$0.00,1,0,1,20110101,95170,CPT,SUPVJ PREPJ&PRV AGS F/ALLG IMMNTX WHL BDY INSECT,,30,,,$242.57,$0.00,1,0,1,20110101,95180,CPT,RAPID DESENSITIZATION PX EA HR,,30,,,$497.87,$0.00,1,0,1,20110101,95199,CPT,UNLIS ALL/CLINICAL IMMUNOLOGIC SVC/PX,,30,,,$147.04,$0.00,1,0,1,20110101,95250,CPT,GLUC MNTR CONT REC FROM INTERSTITIAL TISS FLUID,,30,,,$326.28,$0.00,1,0,1,20110101,95800,CPT,SLP STDY UNATTENDED,,30,,,$882.59,$0.00,1,0,1,20110101,95801,CPT,SLP STDY UNATND W/ANAL,,30,,,$882.59,$0.00,1,0,1,20110101,95803,CPT,ACTIGRAPHY TESTING RECORDING ANALYSIS I&R,,30,,,$439.19,$0.00,1,0,1,20110101,95805,CPT,MLT SLEEP LATENCY/MAINT OF WAKEFULNESS TSTG,,30,,,"$4,245.24",$0.00,1,0,1,20110101,95806,CPT,SLEEP STD AIRFLOW HRT RATE&O2 SAT EFFORT UNATTN,,30,,,$882.59,$0.00,1,0,1,20110101,95807,CPT,SLEEP STD REC VNTJ RESPIR ECG/HRT RATE&O2 ATTN,,30,,,"$4,245.24",$0.00,1,0,1,20110101,95808,CPT,POLYSM SLEEP STAGING 1-3 ADDL PARAM,,30,,,"$4,245.24",$0.00,1,0,1,20110101,95810,CPT,POLYSM SLEEP STAGING 4/> ADDL PARAM,,30,,,"$4,245.24",$0.00,1,0,1,20110101,95811,CPT,POLYSM SLEEP STAGING 4/> ADDL PARAM W/CPAP TX,,30,,,"$4,245.24",$0.00,1,0,1,20110101,95812,CPT,EEG EXTND MNTR 41-60 MIN,,30,,,$882.59,$0.00,1,0,1,20110101,95813,CPT,EEG EXTND MNTR > 1 HR,,30,,,$882.59,$0.00,1,0,1,20110101,95816,CPT,EEG W/REC AWAKE&DROWSY,,30,,,$882.59,$0.00,1,0,1,20110101,95819,CPT,EEG W/REC AWAKE&ASLEEP,,30,,,$882.59,$0.00,1,0,1,20110101,95822,CPT,EEG REC COMA/SLEEP ONLY,,30,,,$882.59,$0.00,1,0,1,20110101,95824,CPT,EEG CERE DEATH EVAL ONLY,,30,,,$984.90,$0.00,1,0,1,20110101,95827,CPT,EEG ALL NIGHT REC,,30,,,$882.59,$0.00,1,0,1,20110101,95829,CPT,ELECTROCORTICOGRAM SURG SPX,,30,,,$914.42,$0.00,1,0,1,20110101,95831,CPT,MUSC TSTG MNL W/REPRT XTR EX HAND/TRNK,,30,,,$126.17,$0.00,1,0,1,20110101,95832,CPT,MUSC TSTG MNL W/REPRT HAND +-CMPRSN NML SIDE,,30,,,$96.17,$0.00,1,0,1,20110101,95833,CPT,MUSC TSTG MNL W/REPRT TOT EVAL BDY EX HANDS,,30,,,$186.85,$0.00,1,0,1,20110101,95834,CPT,MUSC TSTG MNL W/REPRT TOT EVAL BDY W/HANDS,,30,,,$107.63,$0.00,1,0,1,20110101,95851,CPT,ROM MEAS&REPRT EA XTR EX HAND/EA TRNK SCTJ SPINE,,30,,,$68.82,$0.00,1,0,1,20110101,95852,CPT,ROM MEAS&REPRT HAND +-CMPRSN NML SIDE,,30,,,$68.82,$0.00,1,0,1,20110101,95857,CPT,TENSILON TST F/MYASTHENIA GRAVIS,,30,,,$439.19,$0.00,1,0,1,20110101,95860,CPT,NDL EMG 1 XTR +-RELATED PARASPI AREAS,,30,,,$439.19,$0.00,1,0,1,20110101,95861,CPT,NDL EMG 2 XTR +-RELATED PARASPI AREAS,,30,,,$439.19,$0.00,1,0,1,20110101,95863,CPT,NDL EMG 3 XTR +-RELATED PARASPI AREAS,,30,,,$439.19,$0.00,1,0,1,20110101,95864,CPT,NDL EMG 4 XTR +-RELATED PARASPI AREAS,,30,,,$439.19,$0.00,1,0,1,20110101,95865,CPT,NDL EMG LARX,,30,,,$439.19,$0.00,1,0,1,20110101,95866,CPT,NDL EMG HEMIDPHRM,,30,,,$439.19,$0.00,1,0,1,20110101,95867,CPT,NDL EMG CRNL NRV SUPPLIED MUSC UNI,,30,,,$439.19,$0.00,1,0,1,20110101,95868,CPT,NDL EMG CRNL NRV SUPPLIED MUSC BI,,30,,,$439.19,$0.00,1,0,1,20110101,95869,CPT,NDL EMG THRC PARASPI MUSC EXCLUDING T1/T12,,30,,,$241.29,$0.00,1,0,1,20110101,95870,CPT,NDL EMG LMTD STD MUSC 1 XTR/NON-LIMB UNI/BI,,30,,,$241.29,$0.00,1,0,1,20110101,95872,CPT,NDL EMG W/1 FIBER ELTRD QUAN MEAS JITTER,,30,,,$439.19,$0.00,1,0,1,20110101,95873,CPT,ESTIM GDN CONJUNCT CHEMODNRVTJ,,30,,,$196.25,$0.00,1,0,1,20110101,95874,CPT,NDL EMG GDN CONJUNCT CHEMODNRVTJ,,30,,,$192.69,$0.00,1,0,1,20110101,95875,CPT,ISCHEMIC LIMB XERS TST SPEC ACQUISJ METAB,,30,,,$417.61,$0.00,1,0,1,20110101,95900,CPT,NRV CNDJ AMPLT&STD EA NRV MOTOR W/O F-WAVE STD,,30,,,$241.29,$0.00,1,0,1,20110101,95903,CPT,NRV CNDJ AMPLT&STD EA NRV MOTOR W/F-WAVE STD,,30,,,$241.29,$0.00,1,0,1,20110101,95904,CPT,NRV CNDJ AMPLT&STD EA NRV SENS,,30,,,$241.29,$0.00,1,0,1,20110101,95905,CPT,MOTOR &/SENS NRV CNDJ PRECONF ELTRD ARRAY LIMB,,30,,,$241.29,$0.00,1,0,1,20110101,95920,CPT,INTRAOP NEUROPHYSIOLOGY TSTG PR HR,,30,,,"$1,120.26",$0.00,1,0,1,20110101,95921,CPT,TSTG ANS FUNCJ CARDIOVAGAL INNERVAJ PARASYMP,,30,,,$439.19,$0.00,1,0,1,20110101,95922,CPT,TSTG ANS FUNCJ VASOMOTOR ADRENERGIC INNERVAJ,,30,,,$417.61,$0.00,1,0,1,20110101,95923,CPT,TSTG ANS FUNCJ SUDOMOTOR,,30,,,$439.19,$0.00,1,0,1,20110101,95925,CPT,SHORT-LATENCY SOMATOSENS EP STD UPR LIMBS,,30,,,$984.90,$0.00,1,0,1,20110101,95926,CPT,SHORT-LATENCY SOMATOSENS EP STD LWR LIMBS,,30,,,$984.90,$0.00,1,0,1,20110101,95927,CPT,SHORT-LATENCY SOMATOSENS EP STD TRNK/HEAD,,30,,,$984.90,$0.00,1,0,1,20110101,95928,CPT,CTR MOTOR EP STD TRANSCRNL MOTOR STIMJ UPR LIMBS,,30,,,$439.19,$0.00,1,0,1,20110101,95929,CPT,CTR MOTOR EP STD TRANSCRNL MOTOR STIMJ LWR LIMBS,,30,,,$439.19,$0.00,1,0,1,20110101,95930,CPT,VISUAL EP TSTG CNS CHECKERBOARD/FLASH,,30,,,$984.90,$0.00,1,0,1,20110101,95933,CPT,ORBICULARIS OCULI REFLEX ELECTRODX TSTG,,30,,,$241.29,$0.00,1,0,1,20110101,95934,CPT,H-REFLEX AMPLT&LATENCY GASTRCN/SOLEUS MUSC,,30,,,$241.29,$0.00,1,0,1,20110101,95936,CPT,H-REFLEX AMPLT&LATENCY OTH/THN GASTRCN/SOLEUS,,30,,,$241.29,$0.00,1,0,1,20110101,95937,CPT,NEUROMUSCULAR JUNCT TSTG EA NRV ANY 1 METH,,30,,,$439.19,$0.00,1,0,1,20110101,95950,CPT,MNTR F/ID&LATERALIZATION CERE SEIZ FOC EEG,,30,,,"$4,245.24",$0.00,1,0,1,20110101,95951,CPT,MNTR F/LOCLZJ CERE SEIZ FOC CABLE/RADIO EEG/VID,,30,,,"$4,245.24",$0.00,1,0,1,20110101,95953,CPT,MNTR F/LOCLZJ CERE SEIZ FOC CPTR PORTABLE EEG,,30,,,"$4,245.24",$0.00,1,0,1,20110101,95954,CPT,RX/PHYSICAL ACTIVAJ PHYS ATTN DURING EEG ACTIVAJ,,30,,,$439.19,$0.00,1,0,1,20110101,95955,CPT,EEG NONICRA SURG,,30,,,$963.47,$0.00,1,0,1,20110101,95956,CPT,MNTR F/LOCLZJ CERE SEIZ FOC CABLE/RADIO EEG,,30,,,"$4,245.24",$0.00,1,0,1,20110101,95957,CPT,DGTAL ALYS EEG,,30,,,$828.13,$0.00,1,0,1,20110101,95958,CPT,WADA ACTIVJ TST F/HEMISPHERIC FUNCJ W/EEG MNTR,,30,,,$882.59,$0.00,1,0,1,20110101,95961,CPT,FUNCJAL CORT&SUBCORT MAPG ELTRDS 1 HR PHYS ATTN,,30,,,$984.90,$0.00,1,0,1,20110101,95962,CPT,FUNCJAL CORT&SUBCORT MAPG ELTRDS EA HR PHYS ATTN,,30,,,$984.90,$0.00,1,0,1,20110101,95965,CPT,MAGNETOENCEPHALOGRAPY REC&ALYS F/SPON ACTV,,30,,,"$17,472.76",$0.00,1,0,1,20110101,95966,CPT,MAGNETOENCEPHALOGRAPY REC&ALYS F/EVOKED FLD 1,,30,,,"$5,253.87",$0.00,1,0,1,20110101,95967,CPT,MAGNETOENCEPHALOGRAPY REC&ALYS F/EVOKED FLDS EA,,30,,,"$5,253.87",$0.00,1,0,1,20110101,95970,CPT,ELEC ALYS NSTIM PLS GEN BRN/SC/PERPH W/O REPRGRM,,30,,,$439.19,$0.00,1,0,1,20110101,95971,CPT,ELEC ALYS NSTIM PLS GEN SMPL SC/PERPH W/PRGRMG,,30,,,$587.36,$0.00,1,0,1,20110101,95972,CPT,ELEC ALYS NSTIM PLS GEN CPLX SC/PERPH 1ST HR,,30,,,$587.36,$0.00,1,0,1,20110101,95973,CPT,ELEC ALYS NSTIM PLS GEN CPLX SC/PERPH EA 30 MIN,,30,,,$587.36,$0.00,1,0,1,20110101,95974,CPT,ELEC ALYS NSTIM PLS GEN CPLX CRNL NRV 1ST HR,,30,,,$587.36,$0.00,1,0,1,20110101,95975,CPT,ELEC ALYS NSTIM PLS GEN CPLX CRNL NRV EA 30 MIN,,30,,,$587.36,$0.00,1,0,1,20110101,95978,CPT,ELEC ALYS NSTIM PLS GEN CPLX DP BRN 1ST HR,,30,,,$587.36,$0.00,1,0,1,20110101,95979,CPT,ELEC ALYS NSTIM PLS GEN CPLX DP BRN EA 30 MIN,,30,,,$587.36,$0.00,1,0,1,20110101,95981,CPT,ELEC ALYS NSTIM GEN GASTRIC SBSQ W/O REPRGRMG,,30,,,$439.19,$0.00,1,0,1,20110101,95982,CPT,ELEC ALYS NSTIM PLS GEN GASTRIC SBSQ W/REPRGRMG,,30,,,$587.36,$0.00,1,0,1,20110101,95990,CPT,RFL&MAIN IMPLT PMP/RSVR F/DRUG DLVR SPI/BRN,,30,,,$816.27,$0.00,1,0,1,20110101,95991,CPT,RFL&MAIN IMPLT PMP/RSVR RX DLVR SPI/BRN BY PHYS,,30,,,$816.27,$0.00,1,0,1,20110101,95992,CPT,CANALITH REPOSITIONING PROCEDURE,,30,,,$344.10,$0.00,1,0,1,20110101,95999,CPT,UNLIS NEUROLOGICAL/NEUROMUSCULAR DX PX,,30,,,$241.29,$0.00,1,0,1,20110101,96000,CPT,COMPRE CPTR MTN ALYS VIDEO TAPING 3-D KINEMATICS,,30,,,$984.90,$0.00,1,0,1,20110101,96001,CPT,COMPRE CPTR MTN ALYS W/DYN PLNTR PRES MEAS WALKG,,30,,,$984.90,$0.00,1,0,1,20110101,96002,CPT,DYN SURF EMG WALKG/FUNCJAL ACTV 1-12 MUSC,,30,,,$439.19,$0.00,1,0,1,20110101,96003,CPT,DYN FINE WIRE EMG WALKG/FUNCJAL ACTV 1 MUSC,,30,,,$417.61,$0.00,1,0,1,20110101,96020,CPT,TEST SELECTION & ADMN FUNCTIONAL BRAIN MAPPING,,30,,,$143.77,$0.00,1,0,1,20110101,96040,CPT,MEDICAL GENETICS COUNSELING EA 30 MIN,,30,,,$224.22,$0.00,1,0,1,20110101,96101,CPT,PSYCHOLOGICAL TESTING PR HR F2F TIME W/PT,,30,,,$979.49,$0.00,1,0,1,20110101,96102,CPT,PSYCL TSTG PR HR ADMN BY TECH PR HR,,30,,,$979.49,$0.00,1,0,1,20110101,96103,CPT,PSYCL TSTG PR HR ADMN BY CPTR W/PROF I&R,,30,,,$475.04,$0.00,1,0,1,20110101,96105,CPT,ASSMT APHASIA W/I&R PR HR,,30,,,$417.75,$0.00,1,0,1,20110101,96110,CPT,DEVELOPMENTAL TSTG LMTD W/I&R,,30,,,$475.04,$0.00,1,0,1,20110101,96111,CPT,DEVELOPMENTAL TSTG EXTND W/I&R,,30,,,$475.04,$0.00,1,0,1,20110101,96116,CPT,NUBHVL STATUS XM PR HR F2F W/PT INTERPJ&PREPJ,,30,,,$979.49,$0.00,1,0,1,20110101,96118,CPT,NUROPSYC TESTING PR HR F2F W/PT + INTERPJ TIME,,30,,,$979.49,$0.00,1,0,1,20110101,96119,CPT,NUROPSYC TSTG WPROF I&R ADMN BY TECH PR HR,,30,,,$979.49,$0.00,1,0,1,20110101,96120,CPT,NUROPSYC TSTG ADMN BY CPTR W/PROF I&R,,30,,,$979.49,$0.00,1,0,1,20110101,96150,CPT,HLTH&BEHAVIOR ASSMT EA 15 MIN F2F W/PT 1ST ASSMT,,30,,,$220.72,$0.00,1,0,1,20110101,96151,CPT,HLTH&BEHAVIOR ASSMT EA 15 MIN F2F W/PT RE-ASSMT,,30,,,$220.72,$0.00,1,0,1,20110101,96152,CPT,HLTH&BEHAVIOR IVNTJ EA 15 MIN F2F INDIV,,30,,,$220.72,$0.00,1,0,1,20110101,96153,CPT,HLTH&BEHAVIOR IVNTJ EA 15 MIN F2F GRP 2/> PTS,,30,,,$220.72,$0.00,1,0,1,20110101,96154,CPT,HLTH&BEHAVIOR IVNTJ EA 15 MIN F2F FAM W/PT,,30,,,$220.72,$0.00,1,0,1,20110101,96155,CPT,HLTH&BEHAVIOR IVNTJ EA 15 MIN F2F FAM W/O PT,,30,,,$123.73,$0.00,1,0,1,20110101,96360,CPT,IV INFUSION HYDRATION INITIAL 31 MIN-1 HOUR,,30,,,$489.03,$0.00,1,0,1,20110101,96361,CPT,IV INFUSION HYDRATION EACH ADDITIONAL HOUR,,30,,,$100.07,$0.00,1,0,1,20110101,96365,CPT,IV INFUSION THERAPY/PROPHYLAXIS /DX 1ST >1 HOUR,,30,,,$816.27,$0.00,1,0,1,20110101,96366,CPT,IV INFUSION THERAPY PROPHYLAXIS/DX EA HOUR,,30,,,$100.07,$0.00,1,0,1,20110101,96367,CPT,IV NFS THER PROPH/DX ADDL SEQUENTIAL NFS >1 HR,,30,,,$242.57,$0.00,1,0,1,20110101,96369,CPT,SUBCUTANEOUS INFUSION INITIAL 1 HR W/PUMP SET-UP,,30,,,$816.27,$0.00,1,0,1,20110101,96370,CPT,SUBCUTANEOUS INFUSION EACH ADDITIONAL HOUR,,30,,,$242.57,$0.00,1,0,1,20110101,96371,CPT,SUBQ INFUSION ADDITIONAL PUMP INFUSION SITE,,30,,,$100.07,$0.00,1,0,1,20110101,96372,CPT,THERAPEUTIC PROPHYLACTIC/DX INJECTION SUBQ/IM,,30,,,$100.07,$0.00,1,0,1,20110101,96373,CPT,THERAPEUTIC PROPHYLACTIC/DX NJX INTRA-ARTERIAL,,30,,,$242.57,$0.00,1,0,1,20110101,96374,CPT,THER PROPH/DX NJX IV PUSH SINGLE/1ST SBST/DRUG,,30,,,$242.57,$0.00,1,0,1,20110101,96375,CPT,THER PROPH/DX NJX EA SEQL IV PUSH SBST/DRUG,,30,,,$242.57,$0.00,1,0,1,20110101,96379,CPT,UNLISTED THERAPEUTIC PROPH/DX IV/IA NJX/NFS,,30,,,$100.07,$0.00,1,0,1,20110101,96401,CPT,CHEMOTX ADMN SUBQ/IM NON-HORMONAL ANTI-NEO,,30,,,$242.57,$0.00,1,0,1,20110101,96402,CPT,CHEMOTX ADMN SUBQ/IM HORMONAL ANTI-NEO,,30,,,$242.57,$0.00,1,0,1,20110101,96405,CPT,CHEMOTX ADMN ILESN UP&W/7 <,,30,,,$242.57,$0.00,1,0,1,20110101,96406,CPT,CHEMOTX ADMN ILESN > 7,,30,,,$816.27,$0.00,1,0,1,20110101,96409,CPT,CHEMOTX ADMN IV PUSH TQ 1/1ST SBST/DRUG,,30,,,$816.27,$0.00,1,0,1,20110101,96411,CPT,CHEMOTX ADMN IV PUSH TQ EA SBST/DRUG,,30,,,$489.03,$0.00,1,0,1,20110101,96413,CPT,CHEMOTX ADMN IV NFS TQ UP 1 HR 1/1ST SBST/DRUG,,30,,,"$1,016.66",$0.00,1,0,1,20110101,96415,CPT,CHEMOTHERAPY ADMN IV INFUSION TQ EA HR,,30,,,$242.57,$0.00,1,0,1,20110101,96416,CPT,CHEMOTX ADMN TQ INIT PROLNG CHEMOTX NFUS PMP,,30,,,"$1,016.66",$0.00,1,0,1,20110101,96417,CPT,CHEMOTX ADMN IV NFS TQ EA SEQL NFS TO 1 HR,,30,,,$489.03,$0.00,1,0,1,20110101,96420,CPT,CHEMOTX ADMN IA PUSH TQ,,30,,,$489.03,$0.00,1,0,1,20110101,96422,CPT,CHEMOTX ADMN IA NFS TQ UP 1 HR,,30,,,"$1,016.66",$0.00,1,0,1,20110101,96423,CPT,CHEMOTHERAPY ADMN INTRAARTERIAL INFUSION EA HR,,30,,,$489.03,$0.00,1,0,1,20110101,96425,CPT,CHEMOTX ADMN IA NFS > 8 HR PRTBLE IMPLTBL PMP,,30,,,"$1,016.66",$0.00,1,0,1,20110101,96440,CPT,CHEMOTX ADMN PLEURAL CAVITY REQ&W/THORACNTS,,30,,,$816.27,$0.00,1,0,1,20110101,96446,CPT,CHEMOTX ADMN PRTL CAVITY,,30,,,$816.27,$0.00,1,0,1,20110101,96450,CPT,CHEMOTX ADMN CNS REQ&W/SPI PNXR,,30,,,"$1,016.66",$0.00,1,0,1,20110101,96521,CPT,RFL/MAIN PORTABLE PMP,,30,,,$816.27,$0.00,1,0,1,20110101,96522,CPT,RFL/MAIN IMPLTABLE PMP/RSVR F/DRUG DLVR SYSIC,,30,,,$816.27,$0.00,1,0,1,20110101,96523,CPT,IRRIGATION IMPLTED VAD F/DRUG DLVR SYSS,,30,,,$267.69,$0.00,1,0,1,20110101,96542,CPT,CHEMOTX NJX SUBARACHND/INTRAVENTR RSVR 1+ AGENTS,,30,,,$489.03,$0.00,1,0,1,20110101,96549,CPT,UNLIS CHEMOTX PX,,30,,,$100.07,$0.00,1,0,1,20110101,96567,CPT,PDT XTRNL APPL LIGHT DSTR LES SKN BY ACTIVJ RX,,30,,,$245.13,$0.00,1,0,1,20110101,96570,CPT,PDT NDSC ABL ABNOR TISS VIA ACTIVJ RX 30 MIN,,30,,,$260.09,$0.00,1,0,1,20110101,96571,CPT,PDT NDSC ABL ABNOR TISS VIA ACTIVJ RX A 15 MIN,,30,,,$260.09,$0.00,1,0,1,20110101,96900,CPT,ACTIXH ULTRAVIOLET LIGHT,,30,,,$194.62,$0.00,1,0,1,20110101,96910,CPT,PHOTOCHEMOTX TAR&UVB/PETROLATUM/UVB,,30,,,$194.62,$0.00,1,0,1,20110101,96912,CPT,PHOTOCHEMOTX PSORALENS&ULTRAVIOLET PUVA,,30,,,$194.62,$0.00,1,0,1,20110101,96913,CPT,PHOTOCHEMOTX F/PHOTORESPONSIVE DERMATOSES,,30,,,$983.42,$0.00,1,0,1,20110101,96920,CPT,LASER TX F/PSORIASIS TOT AREA < 250 CM,,30,,,$260.09,$0.00,1,0,1,20110101,96921,CPT,LASER TX F/PSORIASIS 250-500 SQ CM,,30,,,$260.09,$0.00,1,0,1,20110101,96922,CPT,LASER TX F/PSORIASIS > 500 SQ CM,,30,,,$260.09,$0.00,1,0,1,20110101,96999,CPT,UNLIS SPEC DERMATOLOGICAL SVC/PX,,30,,,$86.10,$0.00,1,0,1,20110101,97005,CPT,ATHLETIC TRAINJ EVAL,,30,,,$103.24,$0.00,1,0,1,20110101,97006,CPT,ATHLETIC TRAINJ RE-EVAL,,30,,,$68.83,$0.00,1,0,1,20110101,97014,CPT,APPL MODALITY 1+ AREAS ELEC STIMJ UNATTN,,30,,,$68.83,$0.00,1,0,1,20110101,97597,CPT,RMVL DEVITAL TISS SLCTV DBRDMT W/O ANES 20 CM,,30,,,$260.09,$0.00,1,0,1,20110101,97598,CPT,RMVL DEVITAL TISS SLCTV DBRDMT W/O ANES > 20 CM,,30,,,$260.09,$0.00,1,0,1,20110101,97602,CPT,RMVL DEVITAL TISS N-SLCTV DBRDMT W/O ANES 1 SESS,,30,,,$243.08,$0.00,1,0,1,20110101,97605,CPT,NEG PRESS WND THER </EQUAL 50 SQ CM,,30,,,$243.08,$0.00,1,0,1,20110101,97606,CPT,NEG PRESS WND THER > 50 SQ CM,,30,,,$260.09,$0.00,1,0,1,20110101,97810,CPT,ACUP 1/> NDLS W/O ELEC STIMJ 1ST 15 MIN,,30,,,$125.36,$0.00,1,0,1,20110101,97813,CPT,ACUP 1/> NDLS W/ELEC STIMJ 1ST 15 MIN,,30,,,$131.63,$0.00,1,0,1,20110101,97814,CPT,ACUP 1/> NDLS W/ELEC STIMJ EA 15 MIN W/RE-INSJ,,30,,,$89.60,$0.00,1,0,1,20110101,98925,CPT,OSTEOPATHIC MANIPULATIVE TX 1-2 BDY REGIONS,,30,,,$102.00,$0.00,1,0,1,20110101,98926,CPT,OSTEOPATHIC MANIPULATIVE TX 3-4 BDY REGIONS,,30,,,$102.00,$0.00,1,0,1,20110101,98927,CPT,OSTEOPATHIC MANIPULATIVE TX 5-6 BDY REGIONS,,30,,,$102.00,$0.00,1,0,1,20110101,98928,CPT,OSTEOPATHIC MANIPULATIVE TX 7-8 BDY REGIONS,,30,,,$102.00,$0.00,1,0,1,20110101,98929,CPT,OSTEOPATHIC MANIPULATIVE TX 9-10 BDY REGIONS,,30,,,$102.00,$0.00,1,0,1,20110101,98940,CPT,CMT SPI 1-2 REGIONS,,30,,,$102.00,$0.00,1,0,1,20110101,98941,CPT,CMT SPI 3-4 REGIONS,,30,,,$102.00,$0.00,1,0,1,20110101,98942,CPT,CMT SPI 5 REGIONS,,30,,,$102.00,$0.00,1,0,1,20110101,98943,CPT,CMT XTRSPI 1+ REGIONS,,30,,,$81.31,$0.00,1,0,1,20110101,98960,CPT,EDUCAJ&TRAINJ F/PT SELF-MGMT BY NONPHYS 1 PT,,30,,,$70.65,$0.00,1,0,1,20110101,98961,CPT,EDUCAJ&TRAINJ F/PT SELF-MGMT BY NONPHYS 2-4 PT,,30,,,$53.45,$0.00,1,0,1,20110101,98962,CPT,EDUCAJ&TRAINJ F/PT SELF-MGMT BY NONPHYS 5-8 PTS,,30,,,$57.09,$0.00,1,0,1,20110101,99000,CPT,HANDLG&/OR CONVEY OF SPEC FOR TR OFFICE TO LAB,,30,,,$35.85,$0.00,1,0,1,20110101,99001,CPT,HANDLG&/OR CONVEY OF SPEC FOR TR FROM PT TO LAB,,30,,,$43.64,$0.00,1,0,1,20110101,99002,CPT,HANDLING CONVEY/ANY OTH SVC INVG DEV FIT BY PHYS,,30,,,$341.26,$0.00,1,0,1,20110101,99024,CPT,PO F-UP VST RELATED TO ORIGINAL PX,,30,,,$158.31,$0.00,1,0,1,20110101,99026,CPT,HOSP MANDATED CALL SVC IN-HOSP EA HR,,30,,,$73.56,$0.00,1,0,1,20110101,99050,CPT,SVCS PRV OFFICE OTH/THN REG SCHEDD HRS,,30,,,$101.89,$0.00,1,0,1,20110101,99051,CPT,SVC PRV OFFICE REG SCHEDD EVN WKEND/HOLIDAY HRS,,30,,,$140.99,$0.00,1,0,1,20110101,99053,CPT,SVC PRV BTW 10 PM&8 AM AT 24-HR FAC,,30,,,$149.70,$0.00,1,0,1,20110101,99058,CPT,SVC PRV EMER BASIS OFFICE DISRUPTS OFFICE SVCS,,30,,,$24.24,$0.00,1,0,1,20110101,99070,CPT,SUPPLIES&MATERIALS PRV BY PHYS >&ABOVE,,30,,,$453.85,$0.00,1,0,1,20110101,99071,CPT,EDUCATIONAL SUPPLIES PRV BY THE PHYS AT COST,,30,,,$77.39,$0.00,1,0,1,20110101,99090,CPT,ALYS CLINICAL DATA STORED CPTRS,,30,,,$244.16,$0.00,1,0,1,20110101,99100,CPT,ANES F/PT EXTREME AGE UNDER 1 YR&> 70,,30,,,$755.60,$0.00,1,0,1,20110101,99140,CPT,ANES COMP EMER CONDITIONS SPEC,,30,,,$273.67,$0.00,1,0,1,20110101,99143,CPT,M-SEDATJ BY SM PHYS PERFRMG SVC < 5 YR,,30,,,$340.82,$0.00,1,0,1,20110101,99144,CPT,M-SEDAJ BY SM PHYS PERFRMG SVC 5+ YR,,30,,,$458.92,$0.00,1,0,1,20110101,99145,CPT,M-SEDAJ BY SM PHYS PERFRMG SVC EA 15 MIN,,30,,,$186.23,$0.00,1,0,1,20110101,99149,CPT,M-SEDATION BY PHYS OTH/THN HC PROF PERFRMG 5+,,30,,,$429.92,$0.00,1,0,1,20110101,99150,CPT,M-SEDAJ PHYS OTH/THN HC PROF PERFRMG EA 15 MIN,,30,,,$149.41,$0.00,1,0,1,20110101,99170,CPT,COLLJ/INT PHYSIO DATA DIG STRD/TRANS MINIM 30MIN,,30,,,$48.48,$0.00,1,0,1,20110101,99172,CPT,VSL FUNC SCRNG AUTO SEMI-AUTO BI QUAN DETERM,,30,,,$119.56,$0.00,1,0,1,20110101,99173,CPT,SCREENING,,30,,,$78.74,$0.00,1,0,1,20110101,99183,CPT,PHYS ATTN&SUPVJ HYPRBARIC OXYGEN THER PR SESS,,30,,,"$1,715.18",$0.00,1,0,1,20110101,99195,CPT,PHLEBOTOMY THER SPX,,30,,,$267.69,$0.00,1,0,1,20110101,99199,CPT,UNLIS SPEC SVC PX/REPRT,,30,,,$487.75,$0.00,1,0,1,20110101,99201,CPT,OFFICE OUTPT NEW 10 MIN,,30,,,$137.88,$0.00,1,0,1,20110101,99202,CPT,OFFICE OUTPT NEW 20 MINUTES,,30,,,$159.41,$0.00,1,0,1,20110101,99203,CPT,OFFICE OUTPT NEW 30 MIN,,30,,,$209.78,$0.00,1,0,1,20110101,99204,CPT,OFFICE OUTPT NEW 45 MIN,,30,,,$326.28,$0.00,1,0,1,20110101,99205,CPT,OFFICE OUTPT NEW 60 MIN,,30,,,$953.64,$0.00,1,0,1,20110101,99211,CPT,OFFICE O/P EST 5 MIN,,30,,,$137.88,$0.00,1,0,1,20110101,99212,CPT,OFFICE OUTPT EST 10 MIN,,30,,,$159.41,$0.00,1,0,1,20110101,99213,CPT,OFFICE OUTPT EST15 MIN,,30,,,$159.41,$0.00,1,0,1,20110101,99214,CPT,OFFICE OUTPT EST 25 MIN,,30,,,$209.78,$0.00,1,0,1,20110101,99215,CPT,OFFICE OUTPT EST 40 MIN,,30,,,$326.28,$0.00,1,0,1,20110101,99217,CPT,OBS CARE DSCHRG D MGMT,,30,,,$71.46,$343.46,2,1,1,20110101,99218,CPT,1ST OBS CARE PR D LOW SEVERITY,,30,,,$71.46,$343.46,2,1,1,20110101,99219,CPT,1ST OBS CARE PR D MODERATE SEVERITY,,30,,,$71.46,$343.46,2,1,1,20110101,99220,CPT,1ST OBS CARE PR D HIGH SEVERITY,,30,,,$71.46,$343.46,2,1,1,20110101,99221,CPT,1ST HOSP CARE PR D 30 MIN,,30,,,$31.96,$0.00,1,0,1,20110101,99222,CPT,1ST HOSP CARE PR D 50 MIN,,30,,,$323.81,$0.00,1,0,1,20110101,99223,CPT,1ST HOSP CARE PR D 70 MIN,,30,,,$24.82,$0.00,1,0,1,20110101,99224,CPT,SUBSEQUENT OBSERVATION CARE,,30,,,$131.74,$0.00,1,0,1,20110101,99225,CPT,SUBSEQUENT OBSERVATION CARE,,30,,,$92.13,$0.00,1,0,1,20110101,99226,CPT,SUBSEQUENT OBSERVATION CARE,,30,,,$151.03,$0.00,1,0,1,20110101,99231,CPT,SBSQ HOSP CARE PR D 15 MIN,,30,,,$131.74,$0.00,1,0,1,20110101,99232,CPT,SBSQ HOSP CARE PR D 25 MIN,,30,,,$92.13,$0.00,1,0,1,20110101,99233,CPT,SBSQ HOSP CARE PR D 35 MIN,,30,,,$151.03,$0.00,1,0,1,20110101,99234,CPT,OBS/I/P HOSP CARE LOW SEVERITY,,30,,,$71.46,$343.46,2,1,1,20110101,99235,CPT,OBS/I/P HOSP CARE MODERATE SEVERITY,,30,,,$71.46,$343.46,2,1,1,20110101,99236,CPT,OBS/I/P HOSP CARE HIGH SEVERITY,,30,,,$71.46,$343.46,2,1,1,20110101,99238,CPT,HOSP DSCHRG D MGMT 30 MIN/<,,30,,,$350.96,$0.00,1,0,1,20110101,99241,CPT,OFFICE CONSLTJ 15 MIN,,30,,,$167.59,$0.00,1,0,1,20110101,99242,CPT,OFFICE CONSLTJ 30 MIN,,30,,,$172.42,$0.00,1,0,1,20110101,99243,CPT,OFFICE CONSLTJ 40 MIN,,30,,,$246.56,$0.00,1,0,1,20110101,99244,CPT,OFFICE CONSLTJ 60 MIN,,30,,,$289.23,$0.00,1,0,1,20110101,99245,CPT,OFFICE CONSLTJ 80 MIN,,30,,,$378.83,$0.00,1,0,1,20110101,99252,CPT,1ST INPT CONSLTJ 40 MIN,,30,,,$367.35,$0.00,1,0,1,20110101,99253,CPT,1ST INPT CONSLTJ 55 MIN,,30,,,$388.85,$0.00,1,0,1,20110101,99254,CPT,1ST INPT CONSLTJ 80 MIN,,30,,,$505.99,$0.00,1,0,1,20110101,99281,CPT,EMER DEPT SELF LIMITED/MINOR,,30,,,$239.54,$0.00,1,1,1,20110101,99282,CPT,EMER DEPT LOW TO MODERATE SEVERITY,,30,,,$442.42,$0.00,1,1,1,20110101,99283,CPT,EMER DEPT MODERATE SEVERITY,,30,,,$691.44,$0.00,1,1,1,20110101,99284,CPT,EMER DEPT HI SEVERITY&URGENT EVAL,,30,,,"$1,268.28",$0.00,1,1,1,20110101,99285,CPT,EMER DEPT HIGH SEVERITY&THREAT FUNCJ,,30,,,"$2,026.08",$0.00,1,1,1,20110101,99288,CPT,PHYS DIRION EMS ADVD LIFE SUPPORT,,30,,,$181.71,$0.00,1,1,1,20110101,99291,CPT,CC E/M CRITICALLY ILL/INJURED 1ST 30-74 MIN,,30,,,"$1,403.80",$0.00,1,1,1,20110101,99304,CPT,1ST NF CARE PR D E/M LW SEVERITY,,30,,,$178.00,$0.00,1,0,1,20110101,99305,CPT,1ST NF CARE PR D E/M MOD SEVERITY,,30,,,$197.11,$0.00,1,0,1,20110101,99306,CPT,1ST NF CARE PR D E/M HI SEVERITY,,30,,,$439.86,$0.00,1,0,1,20110101,99307,CPT,SBSQ NF CARE PR D E/M STABLE,,30,,,$886.54,$0.00,1,0,1,20110101,99308,CPT,SBSQ NF CARE PR D E/M MINOR COMPLCTJ,,30,,,$112.22,$0.00,1,0,1,20110101,99309,CPT,SBSQ NF CARE PR D E/M NEW PROBLEM,,30,,,$172.27,$0.00,1,0,1,20110101,99310,CPT,SBSQ NF CARE PR D E/M UNSTABLE/NEW PROBLEM,,30,,,$236.54,$0.00,1,0,1,20110101,99315,CPT,NF DSCHRG D MGMT 30 MIN/<,,30,,,$143.95,$0.00,1,0,1,20110101,99316,CPT,NF DSCHRG D MGMT > 30 MIN,,30,,,$179.19,$0.00,1,0,1,20110101,99318,CPT,E/M PT INVG ANNUAL NF ASSMT,,30,,,$192.84,$0.00,1,0,1,20110101,99324,CPT,DOM/R-HOME LW SEVERITY,,30,,,$267.60,$0.00,1,0,1,20110101,99334,CPT,DOM/R-HOME E/M EST PT SELF-LMTD/MINOR,,30,,,$123.05,$0.00,1,0,1,20110101,99335,CPT,DOM/R-HOME E/M EST PT LW MOD SEVERITY,,30,,,$125.44,$0.00,1,0,1,20110101,99336,CPT,DOM/R-HOME E/M EST PT MOD HI SEVERITY,,30,,,$188.75,$0.00,1,0,1,20110101,99341,CPT,HOME VST NEW PT LOW SEVERITY,,30,,,$278.31,$0.00,1,0,1,20110101,99342,CPT,HOME VST NEW PT MOD SEVERITY,,30,,,$171.97,$0.00,1,0,1,20110101,99343,CPT,HOME VST NEW PT MOD TO HI SEVERITY,,30,,,$608.79,$0.00,1,0,1,20110101,99344,CPT,HOME VST NEW PT HI SEVERITY,,30,,,$189.89,$0.00,1,0,1,20110101,99345,CPT,HOME VST NEW PT UNSTABLE/SIGNIFICANT NEW PROBLEM,,30,,,$300.58,$0.00,1,0,1,20110101,99347,CPT,HOME VST EST PT SELF LIMITED/MINOR,,30,,,$510.89,$0.00,1,0,1,20110101,99348,CPT,HOME VST EST PT LOW TO MOD SEVERITY,,30,,,$125.03,$0.00,1,0,1,20110101,99349,CPT,HOME VST EST PT MOD TO HI SEVERITY,,30,,,$207.57,$0.00,1,0,1,20110101,99350,CPT,HOME VST EST PT UNSTABLE/SIGNIFICANT NEW PROBLEM,,30,,,$242.71,$0.00,1,0,1,20110101,99360,CPT,PHYS STANDBY SVC PROLNG PHYS ATTN EA 30 MIN,,30,,,$236.94,$0.00,1,0,1,20110101,99381,CPT,1ST PREVENTIVE MEDICINE NEW PATIENT < 1YR,,30,,,$227.27,$0.00,1,0,1,20110101,99382,CPT,1ST PREVENTIVE MEDICINE NEW PATIENT AGE 1-4 YRS,,30,,,$259.21,$0.00,1,0,1,20110101,99383,CPT,1ST PREVENTIVE MEDICINE NEW PATIENT AGE 5-11 YRS,,30,,,$259.21,$0.00,1,0,1,20110101,99384,CPT,1ST PREVENTIVE MEDICINE NEW PATIENT AGE 12-17 YR,,30,,,$183.81,$0.00,1,0,1,20110101,99385,CPT,1ST PREVENTIVE MEDICINE NEW PATIENT AGE 18-39YRS,,30,,,$303.20,$0.00,1,0,1,20110101,99386,CPT,1ST PREVENTIVE MEDICINE NEW PATIENT AGE 40-64YRS,,30,,,$373.46,$0.00,1,0,1,20110101,99387,CPT,1ST PREVENTIVE MEDICINE NEW PATIENT AGE 65YRS&>,,30,,,$255.29,$0.00,1,0,1,20110101,99391,CPT,PERIODIC PREVENTIVE MED ESTABLISHED PATIENT <1YR,,30,,,$195.33,$0.00,1,0,1,20110101,99392,CPT,PERIODIC PREVENTIVE MED EST PATIENT AGE 1-4YRS,,30,,,$227.27,$0.00,1,0,1,20110101,99393,CPT,PERIODIC PREVENTIVE MED EST PATIENT AGE 5-11YRS,,30,,,$227.27,$0.00,1,0,1,20110101,99394,CPT,PERIODIC PREVENTIVE MED EST PATIENT AGE 12-17YRS,,30,,,$228.22,$0.00,1,0,1,20110101,99395,CPT,PERIODIC PREVENTIVE MED EST PATIENT AGE 18-39YRS,,30,,,$259.21,$0.00,1,0,1,20110101,99396,CPT,PERIODIC PREVENTIVE MED EST PATIENT AGE 40-64YRS,,30,,,$303.38,$0.00,1,0,1,20110101,99397,CPT,PERIODIC PREVENTIVE MED EST PATIENT AGE 65YRS&>,,30,,,$237.73,$0.00,1,0,1,20110101,99401,CPT,PREV MED CNSL INDIV SPX 15 MIN,,30,,,$66.32,$0.00,1,0,1,20110101,99402,CPT,PREV MED CNSL INDIV SPX 30 MIN,,30,,,$173.01,$0.00,1,0,1,20110101,99403,CPT,PREV MED CNSL INDIV SPX 45 MIN,,30,,,$332.17,$0.00,1,0,1,20110101,99404,CPT,PREV MED CNSL INDIV SPX 60 MIN,,30,,,$392.30,$0.00,1,0,1,20110101,99406,CPT,TOBACCO USE CESSATION INTERMEDIATE 3-10 MINUTES,,30,,,$88.87,$0.00,1,0,1,20110101,99407,CPT,TOBACCO USE CESSATION INTENSIVE >10 MINUTES,,30,,,$88.87,$0.00,1,0,1,20110101,99411,CPT,PREV MED CNSL GRP SPX 30 MIN,,30,,,$219.47,$0.00,1,0,1,20110101,99412,CPT,PREV MED CNSL GRP SPX 60 MIN,,30,,,$70.80,$0.00,1,0,1,20110101,99420,CPT,ADMN&INTERPJ HLTH RISK ASSMT INSTRUMENT,,30,,,$58.54,$0.00,1,0,1,20110101,99429,CPT,UNLIS PREV MED SVC,,30,,,$30.03,$0.00,1,0,1,20110101,99456,CPT,WORK RELATED/MED DBLT XM OTH/THN TREATING PHYS,,30,,,$88.23,$0.00,1,0,1,20110101,99460,CPT,1ST HOSP/BIRTHING CENTER CARE PER DAY NML NB,,30,,,$159.41,$0.00,1,0,1,20110101,99463,CPT,1ST HOSP/BIRTHING CENTER NB ADMIT&DSCHG SM DATE,,30,,,$159.41,$0.00,1,0,1,20110101,99465,CPT,DELIVERY/BIRTHING ROOM RESUSCITATION,,30,,,"$1,062.72",$0.00,1,0,1,20110101,99499,CPT,UNLIS E/M SVC,,30,,,$490.79,$0.00,1,0,1,20110101,99500,CPT,HOME VST PRENATAL MNTR&ASSMT,,30,,,$839.82,$0.00,1,0,1,20110101,99501,CPT,HOME VST POSTNATAL ASSMT&F-UP CARE,,30,,,$254.02,$0.00,1,0,1,20110101,99502,CPT,HOME VST NB CARE&ASSMT,,30,,,$247.46,$0.00,1,0,1,20110101,99503,CPT,HOME VST RESPIR THER CARE,,30,,,$231.37,$0.00,1,0,1,20110101,99505,CPT,HOME VST STOMA CARE&MAINT CLST&CSTOST,,30,,,$12.76,$0.00,1,0,1,20110101,99506,CPT,HOME VST IM NJXS,,30,,,$142.10,$0.00,1,0,1,20110101,99507,CPT,HOME VST CARE&MAINT CATH,,30,,,$124.37,$0.00,1,0,1,20110101,99509,CPT,HOME VST ASSISTANCE DAILY LIV&PRSONAL CARE,,30,,,$174.78,$0.00,1,0,1,20110101,99510,CPT,HOME VST INDIV FAM/MARRIAGE CNSL,,30,,,$264.01,$0.00,1,0,1,20110101,99512,CPT,HOME VST HEMO,,30,,,"$1,683.53",$0.00,1,0,1,20110101,99600,CPT,UNLIS HOME VST SVC/PX,,30,,,$203.57,$0.00,1,0,1,20110101,99601,CPT,HOME NFS/SPECTY DRUG ADMN PR VST <2 HR,,30,,,$225.06,$0.00,1,0,1,20110101,99602,CPT,HOME NFS/SPECTY DRUG ADMN PR VST <2 HR EA HR,,30,,,$137.67,$0.00,1,0,1,20110101,99605,CPT,MEDICATION THERAPY 1ST 15 MIN NEW PATIENT,,30,,,$158.31,$0.00,1,0,1,20110101,99606,CPT,MEDICATION THERAPY F2F 1ST 15 MIN ESTABLISHED PT,,30,,,$158.31,$0.00,1,0,1,20110101,99607,CPT,MEDICATION THERAPY F2F EA ADDITIONAL 15 MIN,,30,,,$158.31,$0.00,1,0,1,20110101,0042T,CPT,CERE PRFJ ALYS CT C+,,30,,,"$1,643.47",$0.00,1,0,1,20110101,0058T,CPT,CRYOPRESERVATION OVARY TISS,,30,,,$350.16,$0.00,1,0,1,20110101,0059T,CPT,CRYOPRESERVATION OOCYTE,,30,,,$350.16,$0.00,1,0,1,20110101,0071T,CPT,FOCED US ABLTJ UTERINE LEIOMYOM W/MR GDN <200 CC,,30,,,"$17,472.76",$0.00,1,0,1,20110101,0072T,CPT,FOCED US ABLTJ UTERINE LEIOMYOM W/MR GDN 200 CC+,,30,,,"$17,472.76",$0.00,1,0,1,20110101,0073T,CPT,COMPNSTR-BASED BEAM MODLJ TX DLVR INVERSE 3> FLD,,30,,,"$2,656.32",$0.00,1,0,1,20110101,0085T,CPT,BRTH TST HRT TRNSPL REJEC,,30,,,$59.72,$0.00,1,0,1,20110101,0099T,CPT,IMPLTJ INTRASTROMAL CRNL RING SEG,,30,,,"$5,977.77",$0.00,1,0,1,20110101,0100T,CPT,PLMT SCJNCL RTA PROSTH&PLS&IMPLTJ INTRA-OC RTA,,30,,,"$14,239.66",$0.00,1,0,1,20110101,0101T,CPT,ESWT INVG MUSCSKEL SYS NOS HI NRG,,30,,,"$11,688.66",$0.00,1,0,1,20110101,0102T,CPT,ESWT HI NRG PHYS ANES LAT HUMRL EPICONDYLE,,30,,,"$11,688.66",$0.00,1,0,1,20110101,0106T,CPT,QST&INTERPJ XTR W/TOUCH STIMULI,,30,,,$34.91,$0.00,1,0,1,20110101,0107T,CPT,QST&INTERPJ XTR W/VIBRJ STIMULI,,30,,,$34.91,$0.00,1,0,1,20110101,0108T,CPT,QST&INTERPJ XTR W/COOL STIMULI,,30,,,$34.91,$0.00,1,0,1,20110101,0109T,CPT,QST&INTERPJ XTR W/HT-PN STIMULI,,30,,,$34.91,$0.00,1,0,1,20110101,0110T,CPT,QST&INTERPJ PR XTR OTH STIMULI,,30,,,$34.91,$0.00,1,0,1,20110101,0123T,CPT,FSTLJ SCL GLC THRU CILIARY BDY,,30,,,"$8,977.41",$0.00,1,0,1,20110101,0124T,CPT,CJNCL INC W/PST JUXTASCLL PLMT RX AGT,,30,,,$909.29,$0.00,1,0,1,20110101,0126T,CPT,COMMON CRTD IMT RISK FACTOR ASSMT,,30,,,$258.46,$0.00,1,0,1,20110101,0155T,CPT,LAPS IMPLTJ/ RPLCMT GASTRIC ELTRD < CURVATURE,,30,,,"$13,707.28",$0.00,1,0,1,20110101,0156T,CPT,LAPS REVJ/RMVL GASTRIC ELTRD < CURVATURE,,30,,,"$13,707.28",$0.00,1,0,1,20110101,0159T,CPT,CPTR AID DETCJ BREAST MRI,,30,,,$76.46,$0.00,1,0,1,20110101,0168T,CPT,RHINOPHOTOTHERAPY APPLICATION LIGHT BILATERAL,,30,,,"$1,260.04",$0.00,1,0,1,20110101,0171T,CPT,PST SPINOUS PROCESS DEVICE INSERT LMBR 1 LVL,,30,,,"$22,783.64",$0.00,1,0,1,20110101,0172T,CPT,PST SPINOUS PROCESS DEVICE INSERT LMBR EA LVL,,30,,,"$22,783.64",$0.00,1,0,1,20110101,0179T,CPT,64 LEAD ECG W TRACING & GRAPHICS,,30,,,"$1,130.36",$0.00,1,0,1,20110101,0181T,CPT,CORNEAL HYSTERESIS AIR IMPULSE,,30,,,$218.20,$0.00,1,0,1,20110101,0182T,CPT,HDR ELECTRONIC BRACHYTHERAPY PER FRACTION,,30,,,"$4,779.06",$0.00,1,0,1,20110101,0183T,CPT,LOW FREQUENCY WOUND ULTRASOUND,,30,,,$243.08,$0.00,1,0,1,20110101,0186T,CPT,SUPRACHOROIDAL PHARMACOLOGIC AGENT DELIVERY,,30,,,"$7,620.75",$0.00,1,0,1,20110101,0190T,CPT,INTRAOCULAR RADIATION SRC APPLICATOR PLACEMENT,,30,,,"$7,620.75",$0.00,1,0,1,20110101,0191T,CPT,ANT SEGMENT INSERTION DRAINAGE W/O RESERVOIR INT,,30,,,"$14,774.97",$0.00,1,0,1,20110101,0192T,CPT,ANT SEGMENT INSERTION DRAINAGE W/O RESERVOIR EXT,,30,,,"$14,759.65",$0.00,1,0,1,20110101,0198T,CPT,MEAS OC BLD FLO REP IO PRESS SAMP W/I&R,,30,,,$218.20,$0.00,1,0,1,20110101,0199T,CPT,PHYSIOL REC TRMR W/ACCEL & GYRO FREQ&AMPL & I&O,,30,,,$241.29,$0.00,1,0,1,20110101,0200T,CPT,PERQ SAC AGMNTJ UNI NJX +-BALO/ MCHNL DEV 1+NDL,,30,,,"$8,099.16",$0.00,1,0,1,20110101,0201T,CPT,PERQ SAC AGMNTJ BI NJX +-BALO/ MCHNL DEV 2+NDLS,,30,,,"$11,688.66",$0.00,1,0,1,20110101,0206T,CPT,RMT ALGRTHMC ALYS ECG W/CPTR PRBLTY ASSMT,,30,,,$258.46,$0.00,1,0,1,20110101,0207T,CPT,EVAC MEIBOMIAN GLNDS AUTO HT& INTMT PRESS UNI,,30,,,$218.20,$0.00,1,0,1,20110101,0208T,CPT,AUTOMATED AUDIOMETRY AIR,,30,,,$101.40,$0.00,1,0,1,20110101,0209T,CPT,AUTO AUDIOMETRY AIR/BONE,,30,,,$101.40,$0.00,1,0,1,20110101,0210T,CPT,AUTO AUDIOMETRY SP THRESH,,30,,,$101.40,$0.00,1,0,1,20110101,0211T,CPT,AUTO AUDIOMETRY SP THRESH,,30,,,$101.40,$0.00,1,0,1,20110101,0212T,CPT,COMPREHEN AUTO AUDIOMETRY,,30,,,$172.51,$0.00,1,0,1,20110101,0213T,CPT,US FACET JT INJ CERV/T 1 LEV,,30,,,"$2,765.18",$0.00,1,0,1,20110101,0214T,CPT,US FACET JT INJ CERV/T 2 LEV,,30,,,$822.73,$0.00,1,0,1,20110101,0215T,CPT,US FACET JT INJ CERV/T 3 LEV,,30,,,$822.73,$0.00,1,0,1,20110101,0216T,CPT,US FACET JT INJ LS 1 LEVEL,,30,,,"$2,765.18",$0.00,1,0,1,20110101,0217T,CPT,US FACET JT INJ LS 2 LEVEL,,30,,,$822.73,$0.00,1,0,1,20110101,0218T,CPT,US FACET JT INJ LS 3 LEVEL,,30,,,$822.73,$0.00,1,0,1,20110101,0221T,CPT,FUSE SPINE FACET JT LUMBAR,,30,,,"$11,688.66",$0.00,1,0,1,20110101,0222T,CPT,FUSE SPINE FACET JT ADD SEG,,30,,,"$11,688.66",$0.00,1,0,1,20110101,0223T,CPT,ACOUSTIC/ELECTR CARDGRPHY,,30,,,$172.17,$0.00,1,0,1,20110101,0224T,CPT,ACSTIC/ELEC CARDGRPHY AV/VV,,30,,,$215.80,$0.00,1,0,1,20110101,0225T,CPT,ACSTIC/ELEC CARDGRPHY AV+VV,,30,,,$215.80,$0.00,1,0,1,20110101,0226T,CPT,ANOSC HIGH RESOL DX +-COLL,,30,,,$258.46,$0.00,1,0,1,20110101,0227T,CPT,ANOSC HIGH RESOL DX W/BX,,30,,,"$2,124.50",$0.00,1,0,1,20110101,0228T,CPT,US TFRML EDRL INJ CRV/T 1LVL,,30,,,"$2,765.18",$0.00,1,0,1,20110101,0229T,CPT,US TFRML EDRL INJ CRV/T +LVL,,30,,,"$1,369.36",$0.00,1,0,1,20110101,0230T,CPT,US TFRML EDRL INJ L/S 1LVL,,30,,,"$2,765.18",$0.00,1,0,1,20110101,0231T,CPT,US TFRML EDRL INJ L/S +LVL,,30,,,"$1,369.36",$0.00,1,0,1,20110101,0232T,CPT,INJ PLSM IMG GUID HRVST&PREP ,,30,,,$258.46,$0.00,1,0,1,20110101,0234T,CPT,TRLUML PERIP ATHRC RENAL ART,,30,,,"$23,095.03",$0.00,1,0,1,20110101,0235T,CPT,TRLUML PERIP ATHRC VISCERAL,,30,,,"$11,547.51",$0.00,1,0,1,20110101,0236T,CPT,TRLUML PERIP ATHRC ABD AORTA,,30,,,"$23,095.03",$0.00,1,0,1,20110101,0237T,CPT,TRLUML PERIP ATHRC BRCHIOCPH,,30,,,"$23,095.03",$0.00,1,0,1,20110101,0238T,CPT,TRLUML PERIP ATHRC ILIAC ART,,30,,,"$23,095.03",$0.00,1,0,1,20110101,0239T,CPT,BIOIMPEDANCE SPECTROSCOPY,,30,,,$172.17,$0.00,1,0,1,20110101,0240T,CPT,ESOPH MOTILITY 3D TOPOGRAPHY,,30,,,"$1,499.16",$0.00,1,0,1,20110101,0241T,CPT,ESOPH MOTILITY W/STIM/PERF,,30,,,"$1,499.16",$0.00,1,0,1,20110101,0242T,CPT,GI TRACT TRANSIT & PRES MEAS,,30,,,"$1,499.16",$0.00,1,0,1,20110101,0243T,CPT,INTM MSR BRONCHODIL WHEEZE,,30,,,$615.08,$0.00,1,0,1,20110101,0244T,CPT,CONT MSR BRONCHODIL WHEEZE,,30,,,$962.79,$0.00,1,0,1,20110101,0245T,CPT,OPN TX RIB FX 1-2 RIBS,,30,,,"$9,508.13",$0.00,1,0,1,20110101,0246T,CPT,OPN TX RIB FX 3-4 RIBS,,30,,,"$9,508.13",$0.00,1,0,1,20110101,0247T,CPT,OPN TX RIB FX 5-6 RIBS,,30,,,"$9,508.13",$0.00,1,0,1,20110101,0248T,CPT,OPN TX RIB FX 7+ RIBS,,30,,,"$9,508.13",$0.00,1,0,1,20110101,0249T,CPT,LIGATION HEMORRHOID W/US,,30,,,"$5,192.48",$0.00,1,0,1,20110101,0250T,CPT,INSERT BRONCHIAL VALVE,,30,,,"$9,529.35",$0.00,1,0,1,20110101,0251T,CPT,REMOV BRONCHIAL VALVE ADDL,,30,,,"$3,815.35",$0.00,1,0,1,20110101,0252T,CPT,BRONCHSCPC RMVL BRONCH VALVE,,30,,,"$3,815.35",$0.00,1,0,1,20110101,0253T,CPT,INSERT AQUEOUS DRAIN DEVICE,,30,,,"$8,977.41",$0.00,1,0,1,20110101,0502F,CPT,SBSQ PRENATAL CARE VST,,30,,,$57.89,$0.00,1,0,1,20110101,3011F,CPT,LIPID PANEL RESULTS DOCUMENTED & REVIEWED,,30,,,$148.33,$0.00,1,0,1,20110101,A0380,HCPCS,BASIC LIFE SUPPORT MILEAGE (PER MILE),,30,,,$15.55,$0.00,4,1,1,20110101,A0390,HCPCS,ADVANCED LIFE SUPPORT MILEAGE (PER MILE),,30,,,$15.55,$0.00,4,1,1,20110101,A0425,HCPCS,"GROUND MILEAGE, PER STATUTE MILE",,30,,,$15.55,$0.00,4,1,1,20110101,A0426,HCPCS,"AMBULANCE SERVICE, ADVANCED LIFE SUPPORT, NON-EMERGENCY TRANSPORT, LEVEL 1 (ALS 1)",,30,,,$895.97,$0.00,1,1,1,20110101,A0427,HCPCS,"AMBULANCE SERVICE, ADVANCED LIFE SUPPORT, EMERGENCY TRANSPORT, LEVEL 1 (ALS1-EMERGENCY)",,30,,,"$1,023.80",$0.00,1,1,1,20110101,A0428,HCPCS,"AMBULANCE SERVICE, BASIC LIFE SUPPORT, NON-EMERGENCY TRANSPORT, (BLS)",,30,,,$649.63,$0.00,1,1,1,20110101,A0429,HCPCS,"AMBULANCE SERVICE, BASIC LIFE SUPPORT, EMERGENCY TRANSPORT (BLS-EMERGENCY)",,30,,,$728.72,$0.00,1,1,1,20110101,A0430,HCPCS,"AMBULANCE SERVICE, CONVENTIONAL AIR SERVICES, TRANSPORT, ONE WAY (FIXED WING)",,30,,,"$13,021.43",$0.00,1,1,1,20110101,A0431,HCPCS,"AMBULANCE SERVICE, CONVENTIONAL AIR SERVICES, TRANSPORT, ONE WAY (ROTARY WING)",,30,,,"$12,532.83",$0.00,1,1,1,20110101,A0433,HCPCS,"ADVANCED LIFE SUPPORT, LEVEL 2 (ALS 2)",,30,,,"$1,196.42",$0.00,1,1,1,20110101,A0434,HCPCS,SPECIALTY CARE TRANSPORT (SCT),,30,,,"$2,030.87",$0.00,1,1,1,20110101,A0435,HCPCS,"FIXED WING AIR MILEAGE, PER STATUTE MILE",,30,,,$139.77,$0.00,4,1,1,20110101,A0436,HCPCS,"ROTARY WING AIR MILEAGE, PER STATUTE MILE",,30,,,$137.38,$0.00,4,1,1,20110101,A9150,HCPCS,MISC/EXPER NON-PRESCRIPT DRU,,30,,,$13.24,$0.00,1,0,1,20110101,A9500,HCPCS,TC99M SESTAMIBI,,30,,,$210.88,$0.00,1,0,1,20110101,A9502,HCPCS,TC99M TETROFOSMIN,,30,,,$220.84,$0.00,1,0,1,20110101,A9505,HCPCS,TL201 THALLIUM,,30,,,$95.52,$0.00,1,0,1,20110101,A9507,HCPCS,IN111 CAPROMAB,,30,,,"$5,628.87",$0.00,1,0,1,20110101,A9508,HCPCS,"I131 IODOBENGUATE, DX",,30,,,$41.60,$0.00,1,0,1,20110101,A9509,HCPCS,IODINE I-123 SOD IODIDE MIL,,30,,,$95.34,$0.00,1,0,1,20110101,A9512,HCPCS,TC99M PERTECHNETATE,,30,,,$4.13,$0.00,1,0,1,20110101,A9516,HCPCS,IODINE I-123 SOD IODIDE MIC,,30,,,$1.27,$0.00,1,0,1,20110101,A9517,HCPCS,"I131 IODIDE CAP, RX",,30,,,$86.69,$0.00,1,0,1,20110101,A9521,HCPCS,TC99M EXAMETAZIME,,30,,,"$1,055.38",$0.00,1,0,1,20110101,A9524,HCPCS,"I131 SERUM ALBUMIN, DX",,30,,,$212.52,$0.00,1,0,1,20110101,A9526,HCPCS,NITROGEN N-13 AMMONIA,,30,,,$489.76,$0.00,1,0,1,20110101,A9527,HCPCS,IODINE I-125 SODIUM IODIDE,,30,,,$111.92,$0.00,1,0,1,20110101,A9528,HCPCS,"IODINE I-131 IODIDE CAP, DX",,30,,,$183.96,$0.00,1,0,1,20110101,A9529,HCPCS,"I131 IODIDE SOL, DX",,30,,,$65.69,$0.00,1,0,1,20110101,A9530,HCPCS,"I131 IODIDE SOL, RX",,30,,,$71.63,$0.00,1,0,1,20110101,A9536,HCPCS,TC99M DEPREOTIDE,,30,,,$708.40,$0.00,1,0,1,20110101,A9537,HCPCS,TC99M MEBROFENIN,,30,,,$96.11,$0.00,1,0,1,20110101,A9538,HCPCS,TC99M PYROPHOSPHATE,,30,,,$72.60,$0.00,1,0,1,20110101,A9539,HCPCS,TC99M PENTETATE,,30,,,$61.48,$0.00,1,0,1,20110101,A9540,HCPCS,TC99M MAA,,30,,,$63.60,$0.00,1,0,1,20110101,A9541,HCPCS,TC99M SULFUR COLLOID,,30,,,$85.14,$0.00,1,0,1,20110101,A9542,HCPCS,"IN111 IBRITUMOMAB, DX",,30,,,"$3,381.79",$0.00,1,0,1,20110101,A9543,HCPCS,"Y90 IBRITUMOMAB, RX",,30,,,"$60,850.26",$0.00,1,0,1,20110101,A9544,HCPCS,"I131 TOSITUMOMAB, DX",,30,,,"$3,174.96",$0.00,1,0,1,20110101,A9545,HCPCS,"I131 TOSITUMOMAB, RX",,30,,,"$58,829.12",$0.00,1,0,1,20110101,A9546,HCPCS,CO57/58,,30,,,$26.69,$0.00,1,0,1,20110101,A9547,HCPCS,IN111 OXYQUINOLINE,,30,,,"$1,088.88",$0.00,1,0,1,20110101,A9548,HCPCS,IN111 PENTETATE,,30,,,$490.58,$0.00,1,0,1,20110101,A9551,HCPCS,TC99M SUCCIMER,,30,,,$360.64,$0.00,1,0,1,20110101,A9552,HCPCS,F18 FDG,,30,,,$679.95,$0.00,1,0,1,20110101,A9553,HCPCS,CR51 CHROMATE,,30,,,$418.01,$0.00,1,0,1,20110101,A9554,HCPCS,"I125 IOTHALAMATE, DX",,30,,,$966.00,$0.00,1,0,1,20110101,A9555,HCPCS,RB82 RUBIDIUM,,30,,,$673.09,$0.00,1,0,1,20110101,A9556,HCPCS,GA67 GALLIUM,,30,,,$64.31,$0.00,1,0,1,20110101,A9557,HCPCS,TC99M BICISATE,,30,,,$322.00,$0.00,1,0,1,20110101,A9558,HCPCS,XE133 XENON 10MCI,,30,,,$118.77,$0.00,1,0,1,20110101,A9559,HCPCS,CO57 CYANO,,30,,,$100.37,$0.00,1,0,1,20110101,A9560,HCPCS,TC99M LABELED RBC,,30,,,$135.00,$0.00,1,0,1,20110101,A9561,HCPCS,TC99M OXIDRONATE,,30,,,$62.73,$0.00,1,0,1,20110101,A9562,HCPCS,TC99M MERTIATIDE,,30,,,$436.68,$0.00,1,0,1,20110101,A9563,HCPCS,P32 NA PHOSPHATE,,30,,,"$1,261.98",$0.00,1,0,1,20110101,A9564,HCPCS,P32 CHROMIC PHOSPHATE,,30,,,$940.87,$0.00,1,0,1,20110101,A9567,HCPCS,TECHNETIUM TC-99M AEROSOL,,30,,,$80.14,$0.00,1,0,1,20110101,A9568,HCPCS,TECHNETIUM TC99M ARCITUMOMAB,,30,,,$80.14,$0.00,1,0,1,20110101,A9579,HCPCS,"GAD-BASE MR CONTRAST NOS,1ML",,30,,,$7.38,$0.00,1,0,1,20110101,A9581,HCPCS,GADOXETATE DISODIUM INJ,,30,,,$87.75,$0.00,1,0,1,20110101,A9582,HCPCS,IODINE I-123 IOBENGUANE,,30,,,"$13,005.05",$0.00,1,0,1,20110101,A9583,HCPCS,GADOFOSVESET TRISODIUM INJ,,30,,,$83.33,$0.00,1,0,1,20110101,A9600,HCPCS,SR89 STRONTIUM,,30,,,"$5,303.88",$0.00,1,0,1,20110101,A9604,HCPCS,SM 153 LEXIDRONAM,,30,,,"$23,477.42",$0.00,1,0,0,20110101,A9700,HCPCS,ECHOCARDIOGRAPHY CONTRAST,,30,,,$247.95,$0.00,1,0,1,20110101,B4150,HCPCS,EF COMPLET W/INTACT NUTRIENT,,30,,,$1.25,$0.00,1,0,1,20110101,B4152,HCPCS,EF CALORIE DENSE>/=1.5KCAL,,30,,,$1.07,$0.00,1,0,1,20110101,B4160,HCPCS,EF PED CALORIC DENSE>/=0.7KC,,30,,,$3.69,$0.00,1,0,1,20110101,B4180,HCPCS,PARENTERAL SOL CARB > 50%,,30,,,$57.82,$0.00,1,0,1,20110101,B4185,HCPCS,PARENTERAL SOL 10 GM LIPIDS,,30,,,$24.88,$0.00,1,0,1,20110101,B4189,HCPCS,PARENTERAL SOL AMINO ACID &,,30,,,$441.92,$0.00,1,0,1,20110101,B4193,HCPCS,PARENTERAL SOL 52-73 GM PROT,,30,,,$572.03,$0.00,1,0,1,20110101,B4197,HCPCS,PARENTERAL SOL 74-100 GM PRO,,30,,,$697.11,$0.00,1,0,1,20110101,B4199,HCPCS,PARENTERAL SOL > 100GM PROTE,,30,,,$797.06,$0.00,1,0,1,20110101,C1300,HCPCS,HYPERBARIC OXYGEN,,30,,,$690.13,$0.00,1,0,1,20110101,C1716,HCPCS,"BRACHYTX, NON-STR, GOLD-198",,30,,,$982.87,$0.00,1,0,1,20110101,C1717,HCPCS,"BRACHYTX, NON-STR,HDR IR-192",,30,,,"$1,478.84",$0.00,1,0,1,20110101,C1719,HCPCS,"BRACHYTX, NS, NON-HDRIR-192",,30,,,$145.11,$0.00,1,0,1,20110101,C2616,HCPCS,"BRACHYTX, NON-STR,YTTRIUM-90",,30,,,"$31,481.46",$0.00,1,0,1,20110101,C2634,HCPCS,"BRACHYTX, NON-STR, HA, I-125",,30,,,$325.64,$0.00,1,0,1,20110101,C2635,HCPCS,"BRACHYTX, NON-STR, HA, P-103",,30,,,$155.70,$0.00,1,0,1,20110101,C2636,HCPCS,"BRACHY LINEAR, NON-STR,P-103",,30,,,$192.05,$0.00,1,0,1,20110101,C2638,HCPCS,"BRACHYTX, STRANDED, I-125",,30,,,$218.23,$0.00,1,0,1,20110101,C2639,HCPCS,"BRACHYTX, NON-STRANDED,I-125",,30,,,$216.13,$0.00,1,0,1,20110101,C2640,HCPCS,"BRACHYTX, STRANDED, P-103",,30,,,$328.70,$0.00,1,0,1,20110101,C2641,HCPCS,"BRACHYTX, NON-STRANDED,P-103",,30,,,$327.57,$0.00,1,0,1,20110101,C2642,HCPCS,"BRACHYTX, STRANDED, C-131",,30,,,$598.17,$0.00,1,0,1,20110101,C2643,HCPCS,"BRACHYTX, NON-STRANDED,C-131",,30,,,$359.93,$0.00,1,0,1,20110101,C2698,HCPCS,"BRACHYTX, STRANDED, NOS",,30,,,$231.36,$0.00,1,0,1,20110101,C2699,HCPCS,"BRACHYTX, NON-STRANDED, NOS",,30,,,$155.70,$0.00,1,0,1,20110101,C8900,HCPCS,"MRA W/CONT, ABD",,30,,,"$2,673.24",$0.00,1,0,1,20110101,C8901,HCPCS,"MRA W/O CONT, ABD",,30,,,"$2,215.51",$0.00,1,0,1,20110101,C8902,HCPCS,"MRA W/O FOL W/CONT, ABD",,30,,,"$3,349.04",$0.00,1,0,1,20110101,C8903,HCPCS,"MRI W/CONT, BREAST, UNI",,30,,,"$2,673.24",$0.00,1,0,1,20110101,C8904,HCPCS,"MRI W/O CONT, BREAST, UNI",,30,,,"$2,215.51",$0.00,1,0,1,20110101,C8905,HCPCS,"MRI W/O FOL W/CONT, BRST, UN",,30,,,"$3,349.04",$0.00,1,0,1,20110101,C8906,HCPCS,"MRI W/CONT, BREAST, BI",,30,,,"$2,673.24",$0.00,1,0,1,20110101,C8907,HCPCS,"MRI W/O CONT, BREAST, BI",,30,,,"$2,215.51",$0.00,1,0,1,20110101,C8908,HCPCS,"MRI W/O FOL W/CONT, BREAST,",,30,,,"$3,349.04",$0.00,1,0,1,20110101,C8909,HCPCS,"MRA W/CONT, CHEST",,30,,,"$2,673.24",$0.00,1,0,1,20110101,C8910,HCPCS,"MRA W/O CONT, CHEST",,30,,,"$2,215.51",$0.00,1,0,1,20110101,C8911,HCPCS,"MRA W/O FOL W/CONT, CHEST",,30,,,"$3,349.04",$0.00,1,0,1,20110101,C8912,HCPCS,"MRA W/CONT, LWR EXT",,30,,,"$2,673.24",$0.00,1,0,1,20110101,C8913,HCPCS,"MRA W/O CONT, LWR EXT",,30,,,"$2,215.51",$0.00,1,0,1,20110101,C8914,HCPCS,"MRA W/O FOL W/CONT, LWR EXT",,30,,,"$3,349.04",$0.00,1,0,1,20110101,C8918,HCPCS,"MRA W/CONT, PELVIS",,30,,,"$2,673.24",$0.00,1,0,1,20110101,C8919,HCPCS,"MRA W/O CONT, PELVIS",,30,,,"$2,215.51",$0.00,1,0,1,20110101,C8920,HCPCS,"MRA W/O FOL W/CONT, PELVIS",,30,,,"$3,349.04",$0.00,1,0,1,20110101,C8921,HCPCS,"TTE W OR W/O FOL W/CONT, COM",,30,,,"$2,976.27",$0.00,1,0,1,20110101,C8922,HCPCS,"TTE W OR W/O FOL W/CONT, F/U",,30,,,"$2,976.27",$0.00,1,0,1,20110101,C8923,HCPCS,"2D TTE W OR W/O FOL W/CON,CO",,30,,,"$2,976.27",$0.00,1,0,1,20110101,C8924,HCPCS,"2D TTE W OR W/O FOL W/CON,FU",,30,,,"$2,976.27",$0.00,1,0,1,20110101,C8925,HCPCS,"2D TEE W OR W/O FOL W/CON,IN",,30,,,"$2,976.27",$0.00,1,0,1,20110101,C8926,HCPCS,"TEE W OR W/O FOL W/CONT,CONG",,30,,,"$2,976.27",$0.00,1,0,1,20110101,C8927,HCPCS,"TEE W OR W/O FOL W/CONT, MON",,30,,,"$2,976.27",$0.00,1,0,1,20110101,C8928,HCPCS,"TTE W OR W/O FOL W/CON,STRES",,30,,,"$2,976.27",$0.00,1,0,1,20110101,C8929,HCPCS,"TTE W OR WO FOL WCON,DOPPLER",,30,,,"$2,976.27",$0.00,1,0,1,20110101,C8930,HCPCS,"TTE W OR W/O CONTR, CONT ECG",,30,,,"$2,976.27",$0.00,1,0,1,20110101,C8931,HCPCS,"MRA, W/DYE, SPINAL CANAL",,30,,,"$2,673.24",$0.00,1,0,1,20110101,C8932,HCPCS,"MRA, W/O DYE, SPINAL CANAL",,30,,,"$2,215.51",$0.00,1,0,1,20110101,C8933,HCPCS,"MRA, W/O&W/DYE, SPINAL CANAL",,30,,,"$3,349.04",$0.00,1,0,1,20110101,C8934,HCPCS,"MRA, W/DYE, UPPER EXTREMITY",,30,,,"$2,673.24",$0.00,1,0,1,20110101,C8935,HCPCS,"MRA, W/O DYE, UPPER EXTR",,30,,,"$2,215.51",$0.00,1,0,1,20110101,C8936,HCPCS,"MRA, W/O&W/DYE, UPPER EXTR",,30,,,"$3,349.04",$0.00,1,0,1,20110101,C8957,HCPCS,"PROLONGED IV INF, REQ PUMP",,30,,,"$1,016.66",$0.00,1,0,1,20110101,C9121,HCPCS,"INJECTION, ARGATROBAN",,30,,,$122.53,$0.00,1,0,1,20110101,C9248,HCPCS,"INJ, CLEVIDIPINE BUTYRATE",,30,,,$16.38,$0.00,1,0,1,20110101,C9250,HCPCS,ARTISS FIBRIN SEALANT,,30,,,$666.30,$0.00,1,0,1,20110101,C9254,HCPCS,"INJECTION, LACOSAMIDE",,30,,,$0.87,$0.00,1,0,1,20110101,C9257,HCPCS,BEVACIZUMAB INJECTION,,30,,,$7.81,$0.00,1,0,1,20110101,C9270,HCPCS,GAMMAPLEX IVIG,,30,,,$329.85,$0.00,1,0,1,20110101,C9272,HCPCS,"INJ, DENOSUMAB",,30,,,$79.60,$0.00,1,0,1,20110101,C9273,HCPCS,"SIPULEUCEL-T, PER INFUSION",,30,,,"$65,720.00",$0.00,1,0,1,20110101,C9274,HCPCS,CROTALIDAE POLY IMMUNE FAB,,30,,,"$10,473.85",$0.00,1,0,1,20110101,C9275,HCPCS,HEXAMINOLEVULINATE HCL,,30,,,"$3,757.93",$0.00,1,0,1,20110101,C9276,HCPCS,CABAZITAXEL INJECTION,,30,,,$863.36,$0.00,1,0,1,20110101,C9277,HCPCS,"LUMIZYME, 1 MG",,30,,,$91.34,$0.00,1,0,1,20110101,C9278,HCPCS,INCOBOTULINUMTOXIN A,,30,,,$34.29,$0.00,1,0,1,20110101,C9279,HCPCS,"INJECTION, IBUPROFEN",,30,,,$8.62,$0.00,1,0,1,20110101,C9356,HCPCS,"TENOGLIDE TENDON PROT, CM2",,30,,,$151.60,$0.00,1,0,1,20110101,C9358,HCPCS,"SURGIMEND, FETAL",,30,,,$58.41,$0.00,1,0,1,20110101,C9359,HCPCS,"IMPLNT,BON VOID FILLER-PUTTY",,30,,,$345.40,$0.00,1,0,1,20110101,C9360,HCPCS,"SURGIMEND, NEONATAL",,30,,,$61.47,$0.00,1,0,1,20110101,C9361,HCPCS,NEUROMEND NERVE WRAP,,30,,,"$1,370.70",$0.00,1,0,1,20110101,C9362,HCPCS,"IMPLNT,BON VOID FILLER-STRIP",,30,,,$273.45,$0.00,1,0,1,20110101,C9363,HCPCS,INTEGRA MESHED BIL WOUND MAT,,30,,,$106.78,$0.00,1,0,1,20110101,C9364,HCPCS,"PORCINE IMPLANT, PERMACOL",,30,,,$102.91,$0.00,1,0,1,20110101,C9367,HCPCS,ENDOFORM DERMAL TEMPLATE,,30,,,$23.75,$0.00,1,0,1,20110101,C9716,HCPCS,RADIOFREQUENCY ENERGY TO ANU,,30,,,"$11,839.34",$0.00,1,0,1,20110101,C9724,HCPCS,EPS GAST CARDIA PLIC,,30,,,"$5,951.85",$0.00,1,0,1,20110101,C9725,HCPCS,PLACE ENDORECTAL APP,,30,,,"$1,973.77",$0.00,1,0,1,20110101,C9726,HCPCS,RXT BREAST APPL PLACE/REMOV,,30,,,"$9,105.99",$0.00,1,0,1,20110101,C9727,HCPCS,INSERT PALATE IMPLANTS,,30,,,"$2,803.22",$0.00,1,0,1,20110101,C9728,HCPCS,"PLACE DEVICE/MARKER, NON PRO",,30,,,"$5,637.33",$0.00,1,0,1,20110101,C9800,HCPCS,DERMAL FILLER INJ PX/SUPPL,,30,,,"$1,632.96",$0.00,1,0,1,20110101,G0008,HCPCS,ADMIN INFLUENZA VIRUS VAC,,30,,,$49.13,$0.00,1,0,1,20110101,G0009,HCPCS,ADMIN PNEUMOCOCCAL VACCINE,,30,,,$49.13,$0.00,1,0,1,20110101,G0010,HCPCS,ADMIN HEPATITIS B VACCINE,,30,,,$58.53,$0.00,1,0,1,20110101,G0101,HCPCS,CA SCREEN;PELVIC/BREAST EXAM,,30,,,$137.88,$0.00,1,0,1,20110101,G0104,HCPCS,CA SCREEN;FLEXI SIGMOIDSCOPE,,30,,,"$1,965.73",$0.00,1,0,1,20110101,G0105,HCPCS,COLORECTAL SCRN; HI RISK IND,,30,,,"$2,976.71",$0.00,1,0,1,20110101,G0106,HCPCS,COLON CA SCREEN;BARIUM ENEMA,,30,,,$459.28,$0.00,1,0,1,20110101,G0117,HCPCS,GLAUCOMA SCRN HGH RISK DIREC,,30,,,$350.70,$0.00,1,0,1,20110101,G0118,HCPCS,GLAUCOMA SCRN HGH RISK DIREC,,30,,,$218.20,$0.00,1,0,1,20110101,G0120,HCPCS,COLON CA SCRN; BARIUM ENEMA,,30,,,$459.28,$0.00,1,0,1,20110101,G0121,HCPCS,COLON CA SCRN NOT HI RSK IND,,30,,,"$2,976.71",$0.00,1,0,1,20110101,G0124,HCPCS,SCREEN C/V THIN LAYER BY MD,,30,,,$105.93,$0.00,1,0,1,20110101,G0127,HCPCS,TRIM NAIL(S),,30,,,$86.10,$0.00,1,0,1,20110101,G0128,HCPCS,CORF SKILLED NURSING SERVICE,,30,,,$59.97,$0.00,1,0,1,20110101,G0130,HCPCS,SINGLE ENERGY X-RAY STUDY,,30,,,$290.74,$0.00,1,0,1,20110101,G0141,HCPCS,"SCR C/V CYTO,AUTOSYS AND MD",,30,,,$112.23,$0.00,1,0,1,20110101,G0151,HCPCS,"HHCP-SERV OF PT,EA 15 MIN",,30,,,$55.25,$0.00,1,0,1,20110101,G0152,HCPCS,"HHCP-SERV OF OT,EA 15 MIN",,30,,,$55.25,$0.00,1,0,1,20110101,G0153,HCPCS,"HHCP-SVS OF S/L PATH,EA 15MN",,30,,,$58.24,$0.00,1,0,1,20110101,G0154,HCPCS,"HHCP-SVS OF RN,EA 15 MIN",,30,,,$50.77,$0.00,1,0,1,20110101,G0155,HCPCS,"HHCP-SVS OF CSW,EA 15 MIN",,30,,,$68.00,$0.00,1,0,1,20110101,G0156,HCPCS,"HHCP-SVS OF AIDE,EA 15 MIN",,30,,,$25.68,$0.00,1,0,1,20110101,G0157,HCPCS,HHC PT ASSISTANT EA 15 ,,30,,,$55.25,$0.00,1,0,1,20110101,G0158,HCPCS,HHC OT ASSISTANT EA 15,,30,,,$55.25,$0.00,1,0,1,20110101,G0159,HCPCS,HHC PT MAINT EA 15 MIN,,30,,,$55.25,$0.00,1,0,1,20110101,G0160,HCPCS,HHC OCCUP THERAPY EA 15,,30,,,$55.25,$0.00,1,0,1,20110101,G0161,HCPCS,HHC SLP EA 15 MIN,,30,,,$58.24,$0.00,1,0,1,20110101,G0162,HCPCS,"HHC RN E&M PLAN SVS, 15 MIN",,30,,,$50.77,$0.00,1,0,1,20110101,G0163,HCPCS,HHC LPN/RN OBS/ASSES EA 15,,30,,,$50.77,$0.00,1,0,1,20110101,G0164,HCPCS,HHC LIS NURSE TRAIN EA 15,,30,,,$50.77,$0.00,1,0,1,20110101,G0166,HCPCS,"EXTRNL COUNTERPULSE, PER TX",,30,,,$567.59,$0.00,1,0,1,20110101,G0168,HCPCS,WOUND CLOSURE BY ADHESIVE,,30,,,$206.79,$0.00,1,0,1,20110101,G0173,HCPCS,LINEAR ACC STEREO RADSUR COM,,30,,,"$17,472.76",$0.00,1,0,1,20110101,G0175,HCPCS,"OPPS SERVICE,SCHED TEAM CONF",,30,,,$326.28,$0.00,1,0,1,20110101,G0179,HCPCS,MD RECERTIFICATION HHA PT,,30,,,$149.92,$0.00,1,0,1,20110101,G0180,HCPCS,MD CERTIFICATION HHA PATIENT,,30,,,$149.93,$0.00,1,0,1,20110101,G0186,HCPCS,"DSTRY EYE LESN,FDR VSSL TECH",,30,,,"$2,152.13",$0.00,1,0,1,20110101,G0204,HCPCS,DIAGNOSTICMAMMOGRAPHYDIGITAL,,30,,,$498.02,$0.00,1,0,1,20110101,G0206,HCPCS,DIAGNOSTICMAMMOGRAPHYDIGITAL,,30,,,$375.44,$0.00,1,0,1,20110101,G0219,HCPCS,PET IMG WHOLBOD MELANO NONCO,,30,,,"$1,903.93",$0.00,1,0,1,20110101,G0235,HCPCS,PET NOT OTHERWISE SPECIFIED,,30,,,"$1,903.93",$0.00,1,0,1,20110101,G0237,HCPCS,THERAPEUTIC PROCD STRG ENDUR,,30,,,$137.55,$0.00,1,0,1,20110101,G0238,HCPCS,"OTH RESP PROC, INDIV",,30,,,$137.55,$0.00,1,0,1,20110101,G0239,HCPCS,"OTH RESP PROC, GROUP",,30,,,$137.55,$0.00,1,0,1,20110101,G0245,HCPCS,INITIAL FOOT EXAM PT LOPS,,30,,,$137.88,$0.00,1,0,1,20110101,G0246,HCPCS,FOLLOWUP EVAL OF FOOT PT LOP,,30,,,$159.41,$0.00,1,0,1,20110101,G0247,HCPCS,ROUTINE FOOTCARE PT W LOPS,,30,,,$243.08,$0.00,1,0,1,20110101,G0248,HCPCS,DEMONSTRATE USE HOME INR MON,,30,,,$326.28,$0.00,1,0,1,20110101,G0249,HCPCS,PROVIDE INR TEST MATER/EQUIP,,30,,,$326.28,$0.00,1,0,1,20110101,G0251,HCPCS,LINEAR ACC BASED STERO RADIO,,30,,,"$5,253.87",$0.00,1,0,1,20110101,G0257,HCPCS,UNSCHED DIALYSIS ESRD PT HOS,,30,,,"$2,503.92",$0.00,1,0,1,20110101,G0259,HCPCS,INJECT FOR SACROILIAC JOINT,,30,,,$9.11,$0.00,1,0,1,20110101,G0260,HCPCS,INJ FOR SACROILIAC JT ANESTH,,30,,,"$2,765.18",$0.00,1,0,1,20110101,G0268,HCPCS,REMOVAL OF IMPACTED WAX MD,,30,,,$294.12,$0.00,1,0,1,20110101,G0282,HCPCS,ELECT STIM WOUND CARE NOT PD,,30,,,$138.57,$0.00,1,0,1,20110101,G0288,HCPCS,"RECON, CTA FOR SURG PLAN",,30,,,"$1,891.25",$0.00,1,0,1,20110101,G0290,HCPCS,"DRUG-ELUTING STENTS, SINGLE",,30,,,"$23,470.42",$0.00,1,0,1,20110101,G0291,HCPCS,"DRUG-ELUTING STENTS,EACH ADD",,30,,,"$23,470.42",$0.00,1,0,1,20110101,G0293,HCPCS,"NON-COV SURG PROC,CLIN TRIAL",,30,,,$258.46,$0.00,1,0,1,20110101,G0294,HCPCS,"NON-COV PROC, CLINICAL TRIAL",,30,,,$258.46,$0.00,1,0,1,20110101,G0302,HCPCS,PRE-OP SERVICE LVRS COMPLETE,,30,,,"$4,245.24",$0.00,1,0,1,20110101,G0303,HCPCS,PRE-OP SERVICE LVRS 10-15DOS,,30,,,"$4,245.24",$0.00,1,0,1,20110101,G0304,HCPCS,PRE-OP SERVICE LVRS 1-9 DOS,,30,,,$882.59,$0.00,1,0,1,20110101,G0305,HCPCS,POST OP SERVICE LVRS MIN 6,,30,,,$882.59,$0.00,1,0,1,20110101,G0339,HCPCS,"ROBOT LIN-RADSURG COM, FIRST",,30,,,"$17,472.76",$0.00,1,0,1,20110101,G0340,HCPCS,ROBT LIN-RADSURG FRACTX 2-5,,30,,,"$13,381.86",$0.00,1,0,1,20110101,G0364,HCPCS,BONE MARROW ASPIRATE &BIOPSY,,30,,,$258.46,$0.00,1,0,1,20110101,G0365,HCPCS,VESSEL MAPPING HEMO ACCESS,,30,,,$996.43,$0.00,1,0,1,20110101,G0378,HCPCS,HOSPITAL OBSERVATION PER HR,,30,,,$71.46,$0.00,2,1,1,20110101,G0379,HCPCS,DIRECT REFER HOSPITAL OBSERV,,30,,,$71.46,$0.00,2,1,1,20110101,G0380,HCPCS,LEV 1 HOSP TYPE B ED VISIT,,30,,,$244.37,$0.00,1,1,1,20110101,G0381,HCPCS,LEV 2 HOSP TYPE B ED VISIT,,30,,,$331.85,$0.00,1,1,1,20110101,G0382,HCPCS,LEV 3 HOSP TYPE B ED VISIT,,30,,,$523.92,$0.00,1,1,1,20110101,G0383,HCPCS,LEV 4 HOSP TYPE B ED VISIT,,30,,,$756.53,$0.00,1,1,1,20110101,G0384,HCPCS,LEV 5 HOSP TYPE B ED VISIT,,30,,,"$1,239.22",$0.00,1,1,1,20110101,G0389,HCPCS,ULTRASOUND EXAM AAA SCREEN,,30,,,$627.73,$0.00,1,0,1,20110101,G0390,HCPCS,TRAUMA RESPONS W/HOSP CRITI,,30,,,"$2,363.16",$0.00,1,1,1,20110101,G0396,HCPCS,ALCOHOL/SUBS INTERV 15-30MN,,30,,,$220.72,$0.00,1,0,1,20110101,G0397,HCPCS,ALCOHOL/SUBS INTERV >30 MIN,,30,,,$220.72,$0.00,1,0,1,20110101,G0398,HCPCS,HOME SLEEP TEST/TYPE 2 PORTA,,30,,,$882.59,$0.00,1,0,1,20110101,G0399,HCPCS,HOME SLEEP TEST/TYPE 3 PORTA,,30,,,$882.59,$0.00,1,0,1,20110101,G0400,HCPCS,HOME SLEEP TEST/TYPE 4 PORTA,,30,,,$882.59,$0.00,1,0,1,20110101,G0402,HCPCS,INITIAL PREVENTIVE EXAM,,30,,,$326.28,$0.00,1,0,1,20110101,G0404,HCPCS,EKG TRACING FOR INITIAL PREV,,30,,,$172.17,$0.00,1,0,1,20110101,G0413,HCPCS,PELVIC RING FRACTURE UNI/BIL,,30,,,"$11,688.66",$0.00,1,0,1,20110101,G0416,HCPCS,SAT BIOPSY PROSTATE 1-20 SPC,,30,,,$920.51,$0.00,1,0,1,20110101,G0417,HCPCS,SAT BIOPSY PROSTATE 21-40,,30,,,"$3,009.21",$0.00,1,0,1,20110101,G0418,HCPCS,SAT BIOPSY PROSTATE 41-60,,30,,,"$5,197.73",$0.00,1,0,1,20110101,G0419,HCPCS,SAT BIOPSY PROSTATE: >60,,30,,,"$6,291.99",$0.00,1,0,1,20110101,G0422,HCPCS,INTENS CARDIAC REHAB W/EXERC,,30,,,$384.98,$0.00,1,0,1,20110101,G0423,HCPCS,INTENS CARDIAC REHAB NO EXER,,30,,,$384.98,$0.00,1,0,1,20110101,G0424,HCPCS,PULMONARY REHAB W EXER,,30,,,$274.82,$0.00,1,0,1,20110101,G0436,HCPCS,TOBACCO-USE COUNSEL 3-10 MIN,,30,,,$88.87,$0.00,1,0,1,20110101,G0437,HCPCS,TOBACCO-USE COUNSEL>10MIN,,30,,,$88.87,$0.00,1,0,1,20110101,G0440,HCPCS,SKIN/DERMAL SUBS INIT 25OR<,,30,,,$811.40,$0.00,1,0,1,20110101,G0441,HCPCS,SKIN/DERMAL SUBS EACH ADDITION,,30,,,$811.40,$0.00,1,0,1,20110101,G3001,HCPCS,"ADMIN + SUPPLY, TOSITUMOMAB",,30,,,"$9,927.35",$0.00,1,0,1,20110101,G9016,HCPCS,DEMO-SMOKING CESSATION COUN,,30,,,$41.40,$0.00,1,0,1,20110101,G9141,HCPCS,"INFLUENZA A H1N1,ADMIN W COU",,30,,,$49.13,$0.00,1,0,1,20110101,J0129,HCPCS,ABATACEPT INJECTION,,30,,,$79.29,$0.00,1,0,0,20110101,J0130,HCPCS,ABCIXIMAB INJECTION,,30,,,"$3,030.04",$0.00,1,0,0,20110101,J0132,HCPCS,ACETYLCYSTEINE INJECTION,,30,,,$17.36,$0.00,1,0,0,20110101,J0133,HCPCS,ACYCLOVIR INJECTION,,30,,,$1.10,$0.00,1,0,0,20110101,J0135,HCPCS,ADALIMUMAB INJECTION,,30,,,"$2,415.00",$0.00,1,0,0,20110101,J0150,HCPCS,INJECTION ADENOSINE 6 MG,,30,,,$81.97,$0.00,1,0,0,20110101,J0152,HCPCS,ADENOSINE INJECTION,,30,,,$539.97,$0.00,1,0,0,20110101,J0180,HCPCS,AGALSIDASE BETA INJECTION,,30,,,$861.92,$0.00,1,0,0,20110101,J0205,HCPCS,ALGLUCERASE INJECTION,,30,,,$267.37,$0.00,1,0,0,20110101,J0207,HCPCS,AMIFOSTINE,,30,,,"$1,991.65",$0.00,1,0,0,20110101,J0210,HCPCS,METHYLDOPATE HCL INJECTION,,30,,,$256.23,$0.00,1,0,0,20110101,J0215,HCPCS,ALEFACEPT,,30,,,$212.63,$0.00,1,0,0,20110101,J0220,HCPCS,ALGLUCOSIDASE ALFA INJECTION,,30,,,$855.72,$0.00,1,0,0,20110101,J0256,HCPCS,ALPHA 1 PROTEINASE INHIBITOR,,30,,,$10.13,$0.00,1,0,0,20110101,J0287,HCPCS,AMPHOTERICIN B LIPID COMPLEX,,30,,,$62.66,$0.00,1,0,0,20110101,J0288,HCPCS,AMPHO B CHOLESTERYL SULFATE,,30,,,$76.51,$0.00,1,0,0,20110101,J0289,HCPCS,AMPHOTERICIN B LIPOSOME INJ,,30,,,$99.97,$0.00,1,0,0,20110101,J0348,HCPCS,ANIDULAFUNGIN INJECTION,,30,,,$7.28,$0.00,1,0,0,20110101,J0350,HCPCS,INJECTION ANISTREPLASE 30 U,,30,,,$236.32,$0.00,1,0,0,20110101,J0365,HCPCS,"APROTONIN, 10,000 KIU",,30,,,$16.90,$0.00,1,0,0,20110101,J0395,HCPCS,ARBUTAMINE HCL INJECTION,,30,,,$26.70,$0.00,1,0,0,20110101,J0400,HCPCS,ARIPIPRAZOLE INJECTION,,30,,,$1.10,$0.00,1,0,0,20110101,J0461,HCPCS,ATROPINE SULFATE INJECTION,,30,,,$1.10,$0.00,1,0,0,20110101,J0470,HCPCS,DIMECAPROL INJECTION,,30,,,$178.72,$0.00,1,0,0,20110101,J0475,HCPCS,BACLOFEN 10 MG INJECTION,,30,,,"$1,284.72",$0.00,1,0,0,20110101,J0476,HCPCS,BACLOFEN INTRATHECAL TRIAL,,30,,,$466.41,$0.00,1,0,0,20110101,J0480,HCPCS,BASILIXIMAB,,30,,,"$11,210.04",$0.00,1,0,0,20110101,J0520,HCPCS,BETHANECHOL CHLORIDE INJECT,,30,,,$7.47,$0.00,1,0,0,20110101,J0583,HCPCS,BIVALIRUDIN,,30,,,$16.25,$0.00,1,0,0,20110101,J0585,HCPCS,"INJECTION,ONABOTULINUMTOXINA",,30,,,$24.94,$0.00,1,0,0,20110101,J0586,HCPCS,ABOBOTULINUMTOXINA,,30,,,$49.08,$0.00,1,0,0,20110101,J0587,HCPCS,"INJ, RIMABOTULINUMTOXINB",,30,,,$67.47,$0.00,1,0,0,20110101,J0594,HCPCS,BUSULFAN INJECTION,,30,,,$105.89,$0.00,1,0,0,20110101,J0595,HCPCS,BUTORPHANOL TARTRATE 1 MG,,30,,,$3.31,$0.00,1,0,0,20110101,J0597,HCPCS,"C-1 ESTERASE, BERINERT",,30,,,$150.29,$0.00,1,0,0,20110101,J0598,HCPCS,C1 ESTERASE INHIBITOR INJ,,30,,,$277.53,$0.00,1,0,0,20110101,J0600,HCPCS,EDETATE CALCIUM DISODIUM INJ,,30,,,"$1,239.87",$0.00,1,0,0,20110101,J0630,HCPCS,CALCITONIN SALMON INJECTION,,30,,,$0.45,$0.00,1,0,0,20110101,J0637,HCPCS,CASPOFUNGIN ACETATE,,30,,,$77.16,$0.00,1,0,0,20110101,J0638,HCPCS,CANAKINUMAB INJECTION,,30,,,$543.25,$0.00,1,0,0,20110101,J0641,HCPCS,LEVOLEUCOVORIN INJECTION,,30,,,$7.41,$0.00,1,0,0,20110101,J0718,HCPCS,CERTOLIZUMAB PEGOL INJ,,30,,,$25.74,$0.00,1,0,0,20110101,J0735,HCPCS,CLONIDINE HYDROCHLORIDE,,30,,,$157.82,$0.00,1,0,0,20110101,J0740,HCPCS,CIDOFOVIR INJECTION,,30,,,"$4,611.14",$0.00,1,0,0,20110101,J0775,HCPCS,"COLLAGENASE, CLOST HIST INJ",,30,,,$230.72,$0.00,1,0,0,20110101,J0795,HCPCS,CORTICORELIN OVINE TRIFLUTAL,,30,,,$30.75,$0.00,1,0,0,20110101,J0800,HCPCS,CORTICOTROPIN INJECTION,,30,,,"$13,007.96",$0.00,1,0,0,20110101,J0833,HCPCS,COSYNTROPIN INJECTION NOS,,30,,,$448.10,$0.00,1,0,0,20110101,J0834,HCPCS,COSYNTROPIN CORTROSYN INJ,,30,,,$527.80,$0.00,1,0,0,20110101,J0850,HCPCS,CYTOMEGALOVIRUS IMM IV /VIAL,,30,,,"$5,278.89",$0.00,1,0,0,20110101,J0878,HCPCS,DAPTOMYCIN INJECTION,,30,,,$1.88,$0.00,1,0,0,20110101,J0881,HCPCS,"DARBEPOETIN ALFA, NON-ESRD",,30,,,$18.46,$0.00,1,0,0,20110101,J0885,HCPCS,"EPOETIN ALFA, NON-ESRD",,30,,,$61.75,$0.00,1,0,0,20110101,J0894,HCPCS,DECITABINE INJECTION,,30,,,$111.32,$0.00,1,0,0,20110101,J0945,HCPCS,BROMPHENIRAMINE MALEATE INJ,,30,,,$60.06,$0.00,1,0,0,20110101,J1055,HCPCS,MEDRXYPROGESTER ACETATE INJ,,30,,,$109.66,$0.00,1,0,0,20110101,J1162,HCPCS,DIGOXIN IMMUNE FAB (OVINE),,30,,,"$3,119.46",$0.00,1,0,0,20110101,J1190,HCPCS,DEXRAZOXANE HCL INJECTION,,30,,,"$1,317.43",$0.00,1,0,0,20110101,J1205,HCPCS,CHLOROTHIAZIDE SODIUM INJ,,30,,,"$2,708.48",$0.00,1,0,0,20110101,J1212,HCPCS,DIMETHYL SULFOXIDE 50% 50 ML,,30,,,$452.16,$0.00,1,0,0,20110101,J1245,HCPCS,DIPYRIDAMOLE INJECTION,,30,,,$2.21,$0.00,1,0,0,20110101,J1267,HCPCS,DORIPENEM INJECTION,,30,,,$3.58,$0.00,1,0,0,20110101,J1290,HCPCS,ECALLANTIDE INJECTION,,30,,,"$1,502.81",$0.00,1,0,0,20110101,J1300,HCPCS,ECULIZUMAB INJECTION,,30,,,"$1,170.11",$0.00,1,0,0,20110101,J1324,HCPCS,ENFUVIRTIDE INJECTION,,30,,,$3.19,$0.00,1,0,0,20110101,J1327,HCPCS,EPTIFIBATIDE INJECTION,,30,,,$128.18,$0.00,1,0,0,20110101,J1330,HCPCS,ERGONOVINE MALEATE INJECTION,,30,,,$6.96,$0.00,1,0,0,20110101,J1335,HCPCS,ERTAPENEM INJECTION,,30,,,$59.24,$0.00,1,0,0,20110101,J1410,HCPCS,INJ ESTROGEN CONJUGATE 25 MG,,30,,,$590.91,$0.00,1,0,0,20110101,J1430,HCPCS,ETHANOLAMINE OLEATE 100 MG,,30,,,$948.30,$0.00,1,0,0,20110101,J1436,HCPCS,ETIDRONATE DISODIUM INJ,,30,,,$162.63,$0.00,1,0,0,20110101,J1438,HCPCS,ETANERCEPT INJECTION,,30,,,"$1,223.84",$0.00,1,0,0,20110101,J1440,HCPCS,FILGRASTIM 300 MCG INJECTION,,30,,,"$1,467.55",$0.00,1,0,0,20110101,J1441,HCPCS,FILGRASTIM 480 MCG INJECTION,,30,,,"$2,284.91",$0.00,1,0,0,20110101,J1451,HCPCS,"FOMEPIZOLE, 15 MG",,30,,,$48.23,$0.00,1,0,0,20110101,J1453,HCPCS,FOSAPREPITANT INJECTION,,30,,,$10.99,$0.00,1,0,0,20110101,J1457,HCPCS,GALLIUM NITRATE INJECTION,,30,,,$12.94,$0.00,1,0,0,20110101,J1458,HCPCS,GALSULFASE INJECTION,,30,,,"$2,102.70",$0.00,1,0,0,20110101,J1459,HCPCS,INJ IVIG PRIVIGEN 500 MG,,30,,,$227.93,$0.00,1,0,0,20110101,J1460,HCPCS,GAMMA GLOBULIN 1 CC INJ,,30,,,$120.45,$0.00,1,0,0,20110101,J1559,HCPCS,HIZENTRA INJECTION,,30,,,$81.43,$0.00,1,0,0,20110101,J1560,HCPCS,GAMMA GLOBULIN > 10 CC INJ,,30,,,"$1,190.92",$0.00,1,0,0,20110101,J1561,HCPCS,GAMUNEX INJECTION,,30,,,$196.64,$0.00,1,0,0,20110101,J1562,HCPCS,"VIVAGLOBIN, INJ",,30,,,$45.70,$0.00,1,0,0,20110101,J1566,HCPCS,"IMMUNE GLOBULIN, POWDER",,30,,,$187.47,$0.00,1,0,0,20110101,J1568,HCPCS,OCTAGAM INJECTION,,30,,,$159.44,$0.00,1,0,0,20110101,J1569,HCPCS,GAMMAGARD LIQUID INJECTION,,30,,,$206.53,$0.00,1,0,0,20110101,J1570,HCPCS,GANCICLOVIR SODIUM INJECTION,,30,,,$110.40,$0.00,1,0,0,20110101,J1571,HCPCS,HEPAGAM B IM INJECTION,,30,,,$330.32,$0.00,1,0,0,20110101,J1572,HCPCS,FLEBOGAMMA INJECTION,,30,,,$141.78,$0.00,1,0,0,20110101,J1573,HCPCS,"HEPAGAM B INTRAVENOUS, INJ",,30,,,$330.32,$0.00,1,0,0,20110101,J1595,HCPCS,INJECTION GLATIRAMER ACETATE,,30,,,$597.15,$0.00,1,0,0,20110101,J1610,HCPCS,GLUCAGON HYDROCHLORIDE/1 MG,,30,,,$545.69,$0.00,1,0,0,20110101,J1620,HCPCS,GONADORELIN HYDROCH/ 100 MCG,,30,,,$208.68,$0.00,1,0,0,20110101,J1626,HCPCS,GRANISETRON HCL INJECTION,,30,,,$3.31,$0.00,1,0,0,20110101,J1640,HCPCS,"HEMIN, 1 MG",,30,,,$13.67,$0.00,1,0,0,20110101,J1652,HCPCS,FONDAPARINUX SODIUM,,30,,,$39.98,$0.00,1,0,0,20110101,J1670,HCPCS,TETANUS IMMUNE GLOBULIN INJ,,30,,,"$1,460.55",$0.00,1,0,0,20110101,J1680,HCPCS,HUMAN FIBRINOGEN CONC INJ,,30,,,$472.21,$0.00,1,0,0,20110101,J1730,HCPCS,DIAZOXIDE INJECTION,,30,,,$6.40,$0.00,1,0,0,20110101,J1740,HCPCS,IBANDRONATE SODIUM INJECTION,,30,,,$912.06,$0.00,1,0,0,20110101,J1742,HCPCS,IBUTILIDE FUMARATE INJECTION,,30,,,"$1,199.49",$0.00,1,0,0,20110101,J1743,HCPCS,IDURSULFASE INJECTION,,30,,,"$2,816.98",$0.00,1,0,0,20110101,J1745,HCPCS,INFLIXIMAB INJECTION,,30,,,$295.38,$0.00,1,0,0,20110101,J1750,HCPCS,INJ IRON DEXTRAN,,30,,,$76.51,$0.00,1,0,0,20110101,J1756,HCPCS,IRON SUCROSE INJECTION,,30,,,$2.34,$0.00,1,0,0,20110101,J1786,HCPCS,IMUGLUCERASE INJECTION,,30,,,$255.68,$0.00,1,0,0,20110101,J1810,HCPCS,DROPERIDOL/FENTANYL INJ,,30,,,$21.69,$0.00,1,0,0,20110101,J1817,HCPCS,INSULIN FOR INSULIN PUMP USE,,30,,,$14.63,$0.00,1,0,0,20110101,J1826,HCPCS,INTERFERON BETA-1A INJ,,30,,,$718.66,$0.00,1,0,0,20110101,J1830,HCPCS,INTERFERON BETA-1B / .25 MG,,30,,,"$1,164.33",$0.00,1,0,0,20110101,J1930,HCPCS,LANREOTIDE INJECTION,,30,,,$191.50,$0.00,1,0,0,20110101,J1931,HCPCS,LARONIDASE INJECTION,,30,,,$78.25,$0.00,1,0,0,20110101,J1945,HCPCS,LEPIRUDIN,,30,,,"$1,756.61",$0.00,1,0,0,20110101,J1950,HCPCS,LEUPROLIDE ACETATE /3.75 MG,,30,,,"$3,236.86",$0.00,1,0,0,20110101,J1953,HCPCS,LEVETIRACETAM INJECTION,,30,,,$3.51,$0.00,1,0,0,20110101,J1955,HCPCS,INJ LEVOCARNITINE PER 1 GM,,30,,,$14.00,$0.00,1,0,0,20110101,J2001,HCPCS,LIDOCAINE INJECTION,,30,,,$1.10,$0.00,1,0,0,20110101,J2020,HCPCS,LINEZOLID INJECTION,,30,,,$212.63,$0.00,1,0,0,20110101,J2185,HCPCS,MEROPENEM,,30,,,$11.78,$0.00,1,0,0,20110101,J2248,HCPCS,MICAFUNGIN SODIUM INJECTION,,30,,,$6.83,$0.00,1,0,0,20110101,J2260,HCPCS,INJ MILRINONE LACTATE / 5 MG,,30,,,$9.93,$0.00,1,0,0,20110101,J2278,HCPCS,ZICONOTIDE INJECTION,,30,,,$42.12,$0.00,1,0,0,20110101,J2280,HCPCS,"INJ, MOXIFLOXACIN 100 MG",,30,,,$8.83,$0.00,1,0,0,20110101,J2315,HCPCS,"NALTREXONE, DEPOT FORM",,30,,,$15.21,$0.00,1,0,0,20110101,J2320,HCPCS,NANDROLONE DECANOATE 50 MG,,30,,,$57.06,$0.00,1,0,0,20110101,J2323,HCPCS,NATALIZUMAB INJECTION,,30,,,$26.08,$0.00,1,0,0,20110101,J2325,HCPCS,NESIRITIDE INJECTION,,30,,,$256.62,$0.00,1,0,0,20110101,J2353,HCPCS,"OCTREOTIDE INJECTION, DEPOT",,30,,,$405.41,$0.00,1,0,0,20110101,J2354,HCPCS,"OCTREOTIDE INJ, NON-DEPOT",,30,,,$3.31,$0.00,1,0,0,20110101,J2355,HCPCS,OPRELVEKIN INJECTION,,30,,,"$1,536.60",$0.00,1,0,0,20110101,J2357,HCPCS,OMALIZUMAB INJECTION,,30,,,$100.10,$0.00,1,0,0,20110101,J2358,HCPCS,OLANZAPINE LONG-ACTING INJ,,30,,,$16.80,$0.00,1,0,0,20110101,J2425,HCPCS,PALIFERMIN INJECTION,,30,,,$72.41,$0.00,1,0,0,20110101,J2426,HCPCS,PALIPERIDONE PALMITATE INJ,,30,,,$35.59,$0.00,1,0,0,20110101,J2430,HCPCS,PAMIDRONATE DISODIUM /30 MG,,30,,,$99.71,$0.00,1,0,0,20110101,J2469,HCPCS,PALONOSETRON HCL,,30,,,$117.39,$0.00,1,0,0,20110101,J2503,HCPCS,PEGAPTANIB SODIUM INJECTION,,30,,,"$6,068.62",$0.00,1,0,0,20110101,J2504,HCPCS,"PEGADEMASE BOVINE, 25 IU",,30,,,"$1,553.53",$0.00,1,0,0,20110101,J2505,HCPCS,"INJECTION, PEGFILGRASTIM 6MG",,30,,,"$13,109.68",$0.00,1,0,0,20110101,J2513,HCPCS,PENTASTARCH 10% SOLUTION,,30,,,"$1,022.42",$0.00,1,0,0,20110101,J2545,HCPCS,PENTAMIDINE NON-COMP UNIT,,30,,,$99.28,$0.00,1,0,0,20110101,J2562,HCPCS,PLERIXAFOR INJECTION,,30,,,"$1,798.24",$0.00,1,0,0,20110101,J2670,HCPCS,TOTAZOLINE HCL INJECTION,,30,,,$10.99,$0.00,1,0,0,20110101,J2724,HCPCS,PROTEIN C CONCENTRATE,,30,,,$80.08,$0.00,1,0,0,20110101,J2730,HCPCS,PRALIDOXIME CHLORIDE INJ,,30,,,$575.67,$0.00,1,0,0,20110101,J2770,HCPCS,QUINUPRISTIN/DALFOPRISTIN,,30,,,"$1,010.20",$0.00,1,0,0,20110101,J2778,HCPCS,RANIBIZUMAB INJECTION,,30,,,"$2,517.32",$0.00,1,0,0,20110101,J2783,HCPCS,RASBURICASE,,30,,,"$1,131.25",$0.00,1,0,0,20110101,J2785,HCPCS,REGADENOSON INJECTION,,30,,,$332.78,$0.00,1,0,0,20110101,J2788,HCPCS,RHO D IMMUNE GLOBULIN 50 MCG,,30,,,$144.50,$0.00,1,0,0,20110101,J2790,HCPCS,RHO D IMMUNE GLOBULIN INJ,,30,,,$535.65,$0.00,1,0,0,20110101,J2791,HCPCS,RHOPHYLAC INJECTION,,30,,,$33.02,$0.00,1,0,0,20110101,J2792,HCPCS,"RHO(D) IMMUNE GLOBULIN H, SD",,30,,,$127.21,$0.00,1,0,0,20110101,J2793,HCPCS,RILONACEPT INJECTION,,30,,,$153.66,$0.00,1,0,0,20110101,J2794,HCPCS,"RISPERIDONE, LONG ACTING",,30,,,$12.19,$0.00,1,0,0,20110101,J2796,HCPCS,ROMIPLOSTIM INJECTION,,30,,,$292.94,$0.00,1,0,0,20110101,J2820,HCPCS,SARGRAMOSTIM INJECTION,,30,,,$152.30,$0.00,1,0,0,20110101,J2850,HCPCS,INJ SECRETIN SYNTHETIC HUMAN,,30,,,$175.35,$0.00,1,0,0,20110101,J2940,HCPCS,SOMATREM INJECTION,,30,,,$31.79,$0.00,1,0,0,20110101,J2941,HCPCS,SOMATROPIN INJECTION,,30,,,$369.42,$0.00,1,0,0,20110101,J2993,HCPCS,RETEPLASE INJECTION,,30,,,"$7,636.69",$0.00,1,0,0,20110101,J2995,HCPCS,INJ STREPTOKINASE /250000 IU,,30,,,$292.40,$0.00,1,0,0,20110101,J2997,HCPCS,ALTEPLASE RECOMBINANT,,30,,,$246.65,$0.00,1,0,0,20110101,J3030,HCPCS,SUMATRIPTAN SUCCINATE / 6 MG,,30,,,$343.05,$0.00,1,0,0,20110101,J3095,HCPCS,TELEVANCIN INJECTION,,30,,,$10.21,$0.00,1,0,0,20110101,J3101,HCPCS,TENECTEPLASE INJECTION,,30,,,$303.29,$0.00,1,0,0,20110101,J3110,HCPCS,TERIPARATIDE INJECTION,,30,,,$19.94,$0.00,1,0,0,20110101,J3240,HCPCS,THYROTROPIN INJECTION,,30,,,"$6,245.76",$0.00,1,0,0,20110101,J3243,HCPCS,TIGECYCLINE INJECTION,,30,,,$7.93,$0.00,1,0,0,20110101,J3246,HCPCS,TIROFIBAN HCL,,30,,,$51.29,$0.00,1,0,0,20110101,J3262,HCPCS,TOCILIZUMAB INJECTION,,30,,,$19.00,$0.00,1,0,0,20110101,J3285,HCPCS,TREPROSTINIL INJECTION,,30,,,$384.86,$0.00,1,0,0,20110101,J3300,HCPCS,TRIAMCINOLONE A INJ PRS-FREE,,30,,,$20.54,$0.00,1,0,0,20110101,J3305,HCPCS,INJ TRIMETREXATE GLUCORONATE,,30,,,$378.46,$0.00,1,0,0,20110101,J3315,HCPCS,TRIPTORELIN PAMOATE,,30,,,"$1,147.89",$0.00,1,0,0,20110101,J3320,HCPCS,SPECTINOMYCN DI-HCL INJ,,30,,,$80.75,$0.00,1,0,0,20110101,J3355,HCPCS,"UROFOLLITROPIN, 75 IU",,30,,,$380.72,$0.00,1,0,0,20110101,J3357,HCPCS,USTEKINUMAB INJECTION,,30,,,$584.74,$0.00,1,0,0,20110101,J3365,HCPCS,"UROKINASE 250,000 IU INJ",,30,,,"$2,833.17",$0.00,1,0,0,20110101,J3385,HCPCS,VELAGLUCERASE ALFA,,30,,,"$1,914.00",$0.00,1,0,0,20110101,J3396,HCPCS,VERTEPORFIN INJECTION,,30,,,$61.10,$0.00,1,0,0,20110101,J3411,HCPCS,THIAMINE HCL 100 MG,,30,,,$7.73,$0.00,1,0,0,20110101,J3415,HCPCS,PYRIDOXINE HCL 100 MG,,30,,,$14.00,$0.00,1,0,0,20110101,J3465,HCPCS,"INJECTION, VORICONAZOLE",,30,,,$37.83,$0.00,1,0,0,20110101,J3486,HCPCS,ZIPRASIDONE MESYLATE,,30,,,$16.23,$0.00,1,0,0,20110101,J3487,HCPCS,ZOLEDRONIC ACID,,30,,,"$1,120.49",$0.00,1,0,0,20110101,J3488,HCPCS,RECLAST INJECTION,,30,,,"$1,400.86",$0.00,1,0,0,20110101,J3530,HCPCS,NASAL VACCINE INHALATION,,30,,,$48.60,$0.00,1,0,0,20110101,J3535,HCPCS,METERED DOSE INHALER DRUG,,30,,,$16.56,$0.00,1,0,0,20110101,J7184,HCPCS,WILATE INJECTION,,30,,,$388.64,$0.00,1,0,0,20110101,J7185,HCPCS,XYNTHA INJ,,30,,,$6.76,$0.00,1,0,0,20110101,J7186,HCPCS,ANTIHEMOPHILIC VIII/VWF COMP,,30,,,$5.85,$0.00,1,0,0,20110101,J7187,HCPCS,"HUMATE-P, INJ",,30,,,$2.45,$0.00,1,0,0,20110101,J7189,HCPCS,FACTOR VIIA,,30,,,$1.50,$0.00,1,0,0,20110101,J7190,HCPCS,FACTOR VIII,,30,,,$5.66,$0.00,1,0,0,20110101,J7191,HCPCS,FACTOR VIII (PORCINE),,30,,,$7.20,$0.00,1,0,0,20110101,J7192,HCPCS,FACTOR VIII RECOMBINANT NOS,,30,,,$2.54,$0.00,1,0,0,20110101,J7193,HCPCS,FACTOR IX NON-RECOMBINANT,,30,,,$5.72,$0.00,1,0,0,20110101,J7194,HCPCS,FACTOR IX COMPLEX,,30,,,$5.72,$0.00,1,0,0,20110101,J7195,HCPCS,FACTOR IX RECOMBINANT,,30,,,$3.93,$0.00,1,0,0,20110101,J7196,HCPCS,ANTITHROMBIN RECOMBINANT,,30,,,$18.04,$0.00,1,0,0,20110101,J7197,HCPCS,ANTITHROMBIN III INJECTION,,30,,,$16.19,$0.00,1,0,0,20110101,J7198,HCPCS,ANTI-INHIBITOR,,30,,,$1.80,$0.00,1,0,0,20110101,J7199,HCPCS,HEMOPHILIA CLOT FACTOR NOC,,30,,,$1.28,$0.00,1,0,0,20110101,J7300,HCPCS,INTRAUT COPPER CONTRACEPTIVE,,30,,,$830.38,$0.00,1,0,0,20110101,J7302,HCPCS,LEVONORGESTREL IU CONTRACEPT,,30,,,$868.84,$0.00,1,0,0,20110101,J7306,HCPCS,LEVONORGESTREL IMPLANT SYS,,30,,,$868.84,$0.00,1,0,0,20110101,J7307,HCPCS,ETONOGESTREL IMPLANT SYSTEM,,30,,,"$1,042.68",$0.00,1,0,0,20110101,J7308,HCPCS,AMINOLEVULINIC ACID HCL TOP,,30,,,$879.30,$0.00,1,0,0,20110101,J7309,HCPCS,"METHYL AMINOLEVULINATE, TOP",,30,,,$4.43,$0.00,1,0,0,20110101,J7310,HCPCS,GANCICLOVIR LONG ACT IMPLANT,,30,,,"$33,280.00",$0.00,1,0,0,20110101,J7311,HCPCS,FLUOCINOLONE ACETONIDE IMPLT,,30,,,"$37,960.00",$0.00,1,0,0,20110101,J7312,HCPCS,DEXAMETHASONE INTRA IMPLANT,,30,,,"$1,070.55",$0.00,1,0,0,20110101,J7321,HCPCS,HYALGAN/SUPARTZ INJ PER DOSE,,30,,,$574.71,$0.00,1,0,0,20110101,J7323,HCPCS,EUFLEXXA INJ PER DOSE,,30,,,$805.39,$0.00,1,0,0,20110101,J7324,HCPCS,ORTHOVISC INJ PER DOSE,,30,,,"$1,105.32",$0.00,1,0,0,20110101,J7325,HCPCS,SYNVISC OR SYNVISC-ONE,,30,,,$76.18,$0.00,1,0,0,20110101,J7335,HCPCS,CAPSAICIN 8% PATCH,,30,,,$139.48,$0.00,1,0,0,20110101,J7501,HCPCS,AZATHIOPRINE PARENTERAL,,30,,,$658.56,$0.00,1,0,0,20110101,J7502,HCPCS,CYCLOSPORINE ORAL 100 MG,,30,,,$19.83,$0.00,1,0,0,20110101,J7504,HCPCS,LYMPHOCYTE IMMUNE GLOBULIN,,30,,,"$3,067.46",$0.00,1,0,0,20110101,J7505,HCPCS,MONOCLONAL ANTIBODIES,,30,,,"$6,683.42",$0.00,1,0,0,20110101,J7507,HCPCS,TACROLIMUS ORAL PER 1 MG,,30,,,$6.90,$0.00,1,0,0,20110101,J7511,HCPCS,ANTITHYMOCYTE GLOBULN RABBIT,,30,,,"$2,591.58",$0.00,1,0,0,20110101,J7513,HCPCS,"DACLIZUMAB, PARENTERAL",,30,,,"$3,242.18",$0.00,1,0,0,20110101,J7515,HCPCS,CYCLOSPORINE ORAL 25 MG,,30,,,$5.40,$0.00,1,0,0,20110101,J7516,HCPCS,CYCLOSPORIN PARENTERAL 250MG,,30,,,$136.05,$0.00,1,0,0,20110101,J7517,HCPCS,MYCOPHENOLATE MOFETIL ORAL,,30,,,$8.37,$0.00,1,0,0,20110101,J7518,HCPCS,MYCOPHENOLIC ACID,,30,,,$9.93,$0.00,1,0,0,20110101,J7520,HCPCS,"SIROLIMUS, ORAL",,30,,,$64.68,$0.00,1,0,0,20110101,J7525,HCPCS,TACROLIMUS INJECTION,,30,,,$882.62,$0.00,1,0,0,20110101,J7608,HCPCS,ACETYLCYSTEINE NON-COMP UNIT,,30,,,$5.52,$0.00,1,0,0,20110101,J7609,HCPCS,ALBUTEROL COMP UNIT,,30,,,$11.79,$0.00,1,0,0,20110101,J7610,HCPCS,ALBUTEROL COMP CON,,30,,,$7.91,$0.00,1,0,0,20110101,J7611,HCPCS,ALBUTEROL NON-COMP CON,,30,,,$1.10,$0.00,1,0,0,20110101,J7612,HCPCS,LEVALBUTEROL NON-COMP CON,,30,,,$1.10,$0.00,1,0,0,20110101,J7613,HCPCS,ALBUTEROL NON-COMP UNIT,,30,,,$1.10,$0.00,1,0,0,20110101,J7614,HCPCS,LEVALBUTEROL NON-COMP UNIT,,30,,,$1.10,$0.00,1,0,0,20110101,J7615,HCPCS,LEVALBUTEROL COMP UNIT,,30,,,$5.52,$0.00,1,0,0,20110101,J7620,HCPCS,ALBUTEROL IPRATROP NON-COMP,,30,,,$1.10,$0.00,1,0,0,20110101,J7626,HCPCS,BUDESONIDE NON-COMP UNIT,,30,,,$13.26,$0.00,1,0,0,20110101,J7633,HCPCS,BUDESONIDE NON-COMP CON,,30,,,$24.98,$0.00,1,0,0,20110101,J7638,HCPCS,DEXAMETHASONE COMP UNIT,,30,,,$0.95,$0.00,1,0,0,20110101,J7642,HCPCS,GLYCOPYRROLATE COMP CON,,30,,,$0.70,$0.00,1,0,0,20110101,J7643,HCPCS,GLYCOPYRROLATE COMP UNIT,,30,,,$0.70,$0.00,1,0,0,20110101,J7644,HCPCS,IPRATROPIUM BROMIDE NON-COMP,,30,,,$1.10,$0.00,1,0,0,20110101,J7645,HCPCS,IPRATROPIUM BROMIDE COMP,,30,,,$14.42,$0.00,1,0,0,20110101,J7674,HCPCS,"METHACHOLINE CHLORIDE, NEB",,30,,,$1.10,$0.00,1,0,0,20110101,J7699,HCPCS,INHALATION SOLUTION FOR DME,,30,,,$7.72,$0.00,1,0,0,20110101,J7799,HCPCS,NON-INHALATION DRUG FOR DME,,30,,,$11.93,$0.00,1,0,0,20110101,J8498,HCPCS,ANTIEMETIC RECTAL/SUPP NOS,,30,,,$1.28,$0.00,1,0,0,20110101,J8499,HCPCS,ORAL PRESCRIP DRUG NON CHEMO,,30,,,$1.33,$0.00,1,0,0,20110101,J8501,HCPCS,ORAL APREPITANT,,30,,,$32.89,$0.00,1,0,0,20110101,J8510,HCPCS,ORAL BUSULFAN,,30,,,$15.04,$0.00,1,0,0,20110101,J8520,HCPCS,"CAPECITABINE, ORAL, 150 MG",,30,,,$43.68,$0.00,1,0,0,20110101,J8521,HCPCS,"CAPECITABINE, ORAL, 500 MG",,30,,,$144.04,$0.00,1,0,0,20110101,J8560,HCPCS,ETOPOSIDE ORAL 50 MG,,30,,,$181.64,$0.00,1,0,0,20110101,J8562,HCPCS,ORAL FLUDARABINE PHOSPHATE,,30,,,$491.54,$0.00,1,0,0,20110101,J8565,HCPCS,GEFITINIB ORAL,,30,,,$111.88,$0.00,1,0,0,20110101,J8700,HCPCS,TEMOZOLOMIDE,,30,,,$58.37,$0.00,1,0,0,20110101,J8705,HCPCS,TOPOTECAN ORAL,,30,,,$499.34,$0.00,1,0,0,20110101,J8999,HCPCS,ORAL PRESCRIPTION DRUG CHEMO,,30,,,$8.60,$0.00,1,0,0,20110101,J9000,HCPCS,DOXORUBICIN HCL INJECTION,,30,,,$12.03,$0.00,1,0,0,20110101,J9001,HCPCS,DOXORUBICIN HCL LIPOSOME INJ,,30,,,"$3,007.01",$0.00,1,0,0,20110101,J9010,HCPCS,ALEMTUZUMAB INJECTION,,30,,,"$3,520.03",$0.00,1,0,0,20110101,J9015,HCPCS,ALDESLEUKIN INJECTION,,30,,,"$5,521.40",$0.00,1,0,0,20110101,J9017,HCPCS,ARSENIC TRIOXIDE INJECTION,,30,,,$237.38,$0.00,1,0,0,20110101,J9020,HCPCS,ASPARAGINASE INJECTION,,30,,,$403.77,$0.00,1,0,0,20110101,J9025,HCPCS,AZACITIDINE INJECTION,,30,,,$17.75,$0.00,1,0,0,20110101,J9027,HCPCS,CLOFARABINE INJECTION,,30,,,$731.49,$0.00,1,0,0,20110101,J9031,HCPCS,BCG LIVE INTRAVESICAL VAC,,30,,,$728.48,$0.00,1,0,0,20110101,J9033,HCPCS,BENDAMUSTINE INJECTION,,30,,,$120.25,$0.00,1,0,0,20110101,J9035,HCPCS,BEVACIZUMAB INJECTION,,30,,,$312.62,$0.00,1,0,0,20110101,J9040,HCPCS,BLEOMYCIN SULFATE INJECTION,,30,,,$92.92,$0.00,1,0,0,20110101,J9041,HCPCS,BORTEZOMIB INJECTION,,30,,,$183.38,$0.00,1,0,0,20110101,J9045,HCPCS,CARBOPLATIN INJECTION,,30,,,$16.54,$0.00,1,0,0,20110101,J9050,HCPCS,CARMUSTINE INJECTION,,30,,,"$1,110.15",$0.00,1,0,0,20110101,J9055,HCPCS,CETUXIMAB INJECTION,,30,,,$292.03,$0.00,1,0,0,20110101,J9060,HCPCS,CISPLATIN 10 MG INJECTION,,30,,,$7.52,$0.00,1,0,0,20110101,J9065,HCPCS,INJ CLADRIBINE PER 1 MG,,30,,,$155.16,$0.00,1,0,0,20110101,J9070,HCPCS,CYCLOPHOSPHAMIDE 100 MG INJ,,30,,,$21.05,$0.00,1,0,0,20110101,J9098,HCPCS,CYTARABINE LIPOSOME INJ,,30,,,"$2,909.66",$0.00,1,0,0,20110101,J9100,HCPCS,CYTARABINE HCL 100 MG INJ,,30,,,$6.02,$0.00,1,0,0,20110101,J9120,HCPCS,DACTINOMYCIN INJECTION,,30,,,"$3,632.21",$0.00,1,0,0,20110101,J9130,HCPCS,DACARBAZINE 100 MG INJ,,30,,,$15.04,$0.00,1,0,0,20110101,J9150,HCPCS,DAUNORUBICIN INJECTION,,30,,,$98.80,$0.00,1,0,0,20110101,J9151,HCPCS,DAUNORUBICIN CITRATE INJ,,30,,,$366.96,$0.00,1,0,0,20110101,J9155,HCPCS,DEGARELIX INJECTION,,30,,,$16.38,$0.00,1,0,0,20110101,J9160,HCPCS,DENILEUKIN DIFTITOX INJ,,30,,,"$8,813.19",$0.00,1,0,0,20110101,J9165,HCPCS,DIETHYLSTILBESTROL INJECTION,,30,,,$91.91,$0.00,1,0,0,20110101,J9171,HCPCS,DOCETAXEL INJECTION,,30,,,$114.86,$0.00,1,0,0,20110101,J9178,HCPCS,"INJ, EPIRUBICIN HCL, 2 MG",,30,,,$11.51,$0.00,1,0,0,20110101,J9181,HCPCS,ETOPOSIDE INJECTION,,30,,,$1.50,$0.00,1,0,0,20110101,J9185,HCPCS,FLUDARABINE PHOSPHATE INJ,,30,,,$883.19,$0.00,1,0,0,20110101,J9200,HCPCS,FLOXURIDINE INJECTION,,30,,,$265.75,$0.00,1,0,0,20110101,J9201,HCPCS,GEMCITABINE HCL INJECTION,,30,,,$693.80,$0.00,1,0,0,20110101,J9202,HCPCS,GOSERELIN ACETATE IMPLANT,,30,,,"$1,224.79",$0.00,1,0,0,20110101,J9206,HCPCS,IRINOTECAN INJECTION,,30,,,$39.07,$0.00,1,0,0,20110101,J9207,HCPCS,IXABEPILONE INJECTION,,30,,,$413.20,$0.00,1,0,0,20110101,J9208,HCPCS,IFOSFOMIDE INJECTION,,30,,,$217.62,$0.00,1,0,0,20110101,J9209,HCPCS,MESNA INJECTION,,30,,,$33.87,$0.00,1,0,0,20110101,J9211,HCPCS,IDARUBICIN HCL INJECTION,,30,,,$659.39,$0.00,1,0,0,20110101,J9212,HCPCS,INTERFERON ALFACON-1 INJ,,30,,,$41.73,$0.00,1,0,0,20110101,J9213,HCPCS,INTERFERON ALFA-2A INJ,,30,,,$68.90,$0.00,1,0,0,20110101,J9214,HCPCS,INTERFERON ALFA-2B INJ,,30,,,$47.99,$0.00,1,0,0,20110101,J9215,HCPCS,INTERFERON ALFA-N3 INJ,,30,,,$116.29,$0.00,1,0,0,20110101,J9216,HCPCS,INTERFERON GAMMA 1-B INJ,,30,,,"$2,672.32",$0.00,1,0,0,20110101,J9217,HCPCS,LEUPROLIDE ACETATE SUSPNSION,,30,,,"$1,311.36",$0.00,1,0,0,20110101,J9218,HCPCS,LEUPROLIDE ACETATE INJECITON,,30,,,$30.55,$0.00,1,0,0,20110101,J9219,HCPCS,LEUPROLIDE ACETATE IMPLANT,,30,,,"$20,702.79",$0.00,1,0,0,20110101,J9225,HCPCS,VANTAS IMPLANT,,30,,,"$8,671.72",$0.00,1,0,0,20110101,J9226,HCPCS,SUPPRELIN LA IMPLANT,,30,,,"$30,570.52",$0.00,1,0,0,20110101,J9230,HCPCS,MECHLORETHAMINE HCL INJ,,30,,,$976.49,$0.00,1,0,0,20110101,J9245,HCPCS,INJ MELPHALAN HYDROCHL 50 MG,,30,,,"$8,102.10",$0.00,1,0,0,20110101,J9260,HCPCS,METHOTREXATE SODIUM INJ,,30,,,$7.52,$0.00,1,0,0,20110101,J9261,HCPCS,NELARABINE INJECTION,,30,,,$694.04,$0.00,1,0,0,20110101,J9263,HCPCS,OXALIPLATIN,,30,,,$30.03,$0.00,1,0,0,20110101,J9264,HCPCS,PACLITAXEL PROTEIN BOUND,,30,,,$48.95,$0.00,1,0,0,20110101,J9265,HCPCS,PACLITAXEL INJECTION,,30,,,$46.62,$0.00,1,0,0,20110101,J9266,HCPCS,PEGASPARGASE INJECTION,,30,,,"$13,187.46",$0.00,1,0,0,20110101,J9268,HCPCS,PENTOSTATIN INJECTION,,30,,,"$7,194.40",$0.00,1,0,0,20110101,J9270,HCPCS,PLICAMYCIN (MITHRAMYCIN) INJ,,30,,,$293.91,$0.00,1,0,0,20110101,J9280,HCPCS,MITOMYCIN 5 MG INJ,,30,,,$132.47,$0.00,1,0,0,20110101,J9293,HCPCS,MITOXANTRONE HYDROCHL / 5 MG,,30,,,$260.12,$0.00,1,0,0,20110101,J9300,HCPCS,GEMTUZUMAB OZOGAMICIN INJ,,30,,,"$14,023.61",$0.00,1,0,0,20110101,J9302,HCPCS,OFATUMUMAB INJECTION,,30,,,$248.23,$0.00,1,0,0,20110101,J9303,HCPCS,PANITUMUMAB INJECTION,,30,,,$270.33,$0.00,1,0,0,20110101,J9305,HCPCS,PEMETREXED INJECTION,,30,,,$210.85,$0.00,1,0,0,20110101,J9307,HCPCS,PRALATREXATE INJECTION,,30,,,$904.21,$0.00,1,0,0,20110101,J9310,HCPCS,RITUXIMAB INJECTION,,30,,,"$2,496.83",$0.00,1,0,0,20110101,J9315,HCPCS,ROMIDEPSIN INJECTION,,30,,,"$1,197.21",$0.00,1,0,0,20110101,J9320,HCPCS,STREPTOZOCIN INJECTION,,30,,,"$1,740.64",$0.00,1,0,0,20110101,J9328,HCPCS,TEMOZOLOMIDE INJECTION,,30,,,$31.85,$0.00,1,0,0,20110101,J9330,HCPCS,TEMSIROLIMUS INJECTION,,30,,,$323.60,$0.00,1,0,0,20110101,J9340,HCPCS,THIOTEPA INJECTION,,30,,,$723.22,$0.00,1,0,0,20110101,J9351,HCPCS,TOPOTECAN INJECTION,,30,,,$166.25,$0.00,1,0,0,20110101,J9355,HCPCS,TRASTUZUMAB INJECTION,,30,,,$293.37,$0.00,1,0,0,20110101,J9357,HCPCS,VALRUBICIN INJECTION,,30,,,"$5,750.40",$0.00,1,0,0,20110101,J9390,HCPCS,VINORELBINE TARTRATE INJ,,30,,,$42.11,$0.00,1,0,0,20110101,J9395,HCPCS,"INJECTION, FULVESTRANT",,30,,,$527.35,$0.00,1,0,0,20110101,J9600,HCPCS,PORFIMER SODIUM INJECTION,,30,,,"$15,008.85",$0.00,1,0,0,20110101,M0064,HCPCS,VISIT FOR DRUG MONITORING,,30,,,$326.28,$0.00,1,0,1,20110101,P3001,HCPCS,SCREENING PAP SMEAR BY PHYS,,30,,,$233.87,$0.00,1,0,1,20110101,P7001,HCPCS,CULTURE BACTERIAL URINE,,30,,,$94.51,$0.00,1,0,1,20110101,P9010,HCPCS,WHOLE BLOOD FOR TRANSFUSION,,30,,,"$1,123.18",$0.00,1,0,1,20110101,P9011,HCPCS,BLOOD SPLIT UNIT,,30,,,"$1,093.24",$0.00,1,0,1,20110101,P9012,HCPCS,CRYOPRECIPITATE EACH UNIT,,30,,,$253.64,$0.00,1,0,1,20110101,P9016,HCPCS,RBC LEUKOCYTES REDUCED,,30,,,$647.08,$0.00,1,0,1,20110101,P9017,HCPCS,PLASMA 1 DONOR FRZ W/IN 8 HR,,30,,,$413.97,$0.00,1,0,1,20110101,P9019,HCPCS,"PLATELETS, EACH UNIT",,30,,,$362.76,$0.00,1,0,1,20110101,P9020,HCPCS,PLAELET RICH PLASMA UNIT,,30,,,$744.96,$0.00,1,0,1,20110101,P9021,HCPCS,RED BLOOD CELLS UNIT,,30,,,$771.88,$0.00,1,0,1,20110101,P9022,HCPCS,WASHED RED BLOOD CELLS UNIT,,30,,,"$1,339.69",$0.00,1,0,1,20110101,P9023,HCPCS,"FROZEN PLASMA, POOLED, SD",,30,,,$278.58,$0.00,1,0,1,20110101,P9031,HCPCS,PLATELETS LEUKOCYTES REDUCED,,30,,,$570.49,$0.00,1,0,1,20110101,P9032,HCPCS,"PLATELETS, IRRADIATED",,30,,,$819.32,$0.00,1,0,1,20110101,P9033,HCPCS,PLATELETS LEUKOREDUCED IRRAD,,30,,,$718.60,$0.00,1,0,1,20110101,P9034,HCPCS,"PLATELETS, PHERESIS",,30,,,"$2,554.70",$0.00,1,0,1,20110101,P9035,HCPCS,PLATELET PHERES LEUKOREDUCED,,30,,,"$2,788.90",$0.00,1,0,1,20110101,P9036,HCPCS,PLATELET PHERESIS IRRADIATED,,30,,,"$2,341.10",$0.00,1,0,1,20110101,P9037,HCPCS,PLATE PHERES LEUKOREDU IRRAD,,30,,,"$3,684.53",$0.00,1,0,1,20110101,P9038,HCPCS,RBC IRRADIATED,,30,,,"$1,229.69",$0.00,1,0,1,20110101,P9039,HCPCS,RBC DEGLYCEROLIZED,,30,,,"$1,981.80",$0.00,1,0,1,20110101,P9040,HCPCS,RBC LEUKOREDUCED IRRADIATED,,30,,,"$1,334.34",$0.00,1,0,1,20110101,P9041,HCPCS,"ALBUMIN (HUMAN),5%, 50ML",,30,,,$92.21,$0.00,1,0,1,20110101,P9043,HCPCS,"PLASMA PROTEIN FRACT,5%,50ML",,30,,,$143.10,$0.00,1,0,1,20110101,P9044,HCPCS,CRYOPRECIPITATEREDUCEDPLASMA,,30,,,$515.19,$0.00,1,0,1,20110101,P9045,HCPCS,"ALBUMIN (HUMAN), 5%, 250 ML",,30,,,$330.72,$0.00,1,0,1,20110101,P9046,HCPCS,"ALBUMIN (HUMAN), 25%, 20 ML",,30,,,$140.14,$0.00,1,0,1,20110101,P9047,HCPCS,"ALBUMIN (HUMAN), 25%, 50ML",,30,,,$338.74,$0.00,1,0,1,20110101,P9048,HCPCS,"PLASMAPROTEIN FRACT,5%,250ML",,30,,,$587.96,$0.00,1,0,1,20110101,P9050,HCPCS,"GRANULOCYTES, PHERESIS UNIT",,30,,,"$7,797.06",$0.00,1,0,1,20110101,P9051,HCPCS,"BLOOD, L/R, CMV-NEG",,30,,,$928.84,$0.00,1,0,1,20110101,P9052,HCPCS,"PLATELETS, HLA-M, L/R, UNIT",,30,,,"$4,011.87",$0.00,1,0,1,20110101,P9053,HCPCS,"PLT, PHER, L/R CMV-NEG, IRR",,30,,,"$3,576.44",$0.00,1,0,1,20110101,P9054,HCPCS,"BLOOD, L/R, FROZ/DEGLY/WASH",,30,,,$564.32,$0.00,1,0,1,20110101,P9055,HCPCS,"PLT, APH/PHER, L/R, CMV-NEG",,30,,,"$2,283.10",$0.00,1,0,1,20110101,P9056,HCPCS,"BLOOD, L/R, IRRADIATED",,30,,,$899.41,$0.00,1,0,1,20110101,P9057,HCPCS,"RBC, FRZ/DEG/WSH, L/R, IRRAD",,30,,,"$1,977.06",$0.00,1,0,1,20110101,P9058,HCPCS,"RBC, L/R, CMV-NEG, IRRAD",,30,,,"$1,600.64",$0.00,1,0,1,20110101,P9059,HCPCS,"PLASMA, FRZ BETWEEN 8-24HOUR",,30,,,$421.83,$0.00,1,0,1,20110101,P9060,HCPCS,FR FRZ PLASMA DONOR RETESTED,,30,,,$391.48,$0.00,1,0,1,20110101,PHOSP,PHOSP,PARTIAL HOSPITALIZATION PER DIEM,,30,,,$505.55,$0.00,1,0,0,20110101,Q0035,HCPCS,CARDIOKYMOGRAPHY,,30,,,"$1,130.36",$0.00,1,0,1,20110101,Q0081,HCPCS,INFUSION THER OTHER THAN CHE,,30,,,$257.92,$0.00,1,0,1,20110101,Q0083,HCPCS,CHEMO BY OTHER THAN INFUSION,,30,,,$180.69,$0.00,1,0,1,20110101,Q0084,HCPCS,CHEMOTHERAPY BY INFUSION,,30,,,$794.96,$0.00,1,0,1,20110101,Q0085,HCPCS,CHEMO BY BOTH INFUSION AND O,,30,,,$734.84,$0.00,1,0,1,20110101,Q0091,HCPCS,OBTAINING SCREEN PAP SMEAR,,30,,,$48.48,$0.00,1,0,1,20110101,Q0138,HCPCS,"FERUMOXYTOL, NON-ESRD",,30,,,$5.01,$0.00,1,0,1,20110101,Q0144,HCPCS,"AZITHROMYCIN DIHYDRATE, ORAL",,30,,,$31.06,$0.00,1,0,0,20110101,Q0166,HCPCS,GRANISETRON HCL 1 MG ORAL,,30,,,$15.04,$0.00,1,0,1,20110101,Q0180,HCPCS,DOLASETRON MESYLATE ORAL,,30,,,$172.67,$0.00,1,0,1,20110101,Q0181,HCPCS,UNSPECIFIED ORAL ANTI-EMETIC,,30,,,$44.43,$0.00,1,0,0,20110101,Q0512,HCPCS,PX SUP FEE ANTI-CAN SUB PRES,,30,,,$21.03,$0.00,1,0,1,20110101,Q0515,HCPCS,SERMORELIN ACETATE INJECTION,,30,,,$11.51,$0.00,1,0,0,20110101,Q2004,HCPCS,BLADDER CALCULI IRRIG SOL,,30,,,$33.22,$0.00,1,0,1,20110101,Q2009,HCPCS,FOSPHENYTOIN INJ PE,,30,,,$1.10,$0.00,1,0,0,20110101,Q2017,HCPCS,"TENIPOSIDE, 50 MG",,30,,,"$2,022.17",$0.00,1,0,1,20110101,Q3001,HCPCS,BRACHYTHERAPY RADIOELEMENTS,,30,,,$92.20,$0.00,1,0,1,20110101,Q3025,HCPCS,IM INJ INTERFERON BETA 1-A,,30,,,"$1,349.05",$0.00,1,0,1,20110101,Q4074,HCPCS,ILOPROST NON-COMP UNIT DOSE,,30,,,$135.61,$0.00,1,0,1,20110101,Q4101,HCPCS,APLIGRAF SKIN SUB,,30,,,$217.30,$0.00,1,0,1,20110101,Q4102,HCPCS,OASIS WOUND MATRIX SKIN SUB,,30,,,$28.21,$0.00,1,0,1,20110101,Q4103,HCPCS,OASIS BURN MATRIX SKIN SUB,,30,,,$28.21,$0.00,1,0,1,20110101,Q4104,HCPCS,INTEGRA BMWD SKIN SUB,,30,,,$96.01,$0.00,1,0,1,20110101,Q4105,HCPCS,INTEGRA DRT SKIN SUB,,30,,,$65.20,$0.00,1,0,1,20110101,Q4106,HCPCS,DERMAGRAFT SKIN SUB,,30,,,$255.52,$0.00,1,0,1,20110101,Q4107,HCPCS,GRAFTJACKET SKIN SUB,,30,,,$603.77,$0.00,1,0,1,20110101,Q4108,HCPCS,INTEGRA MATRIX SKIN SUB,,30,,,$122.59,$0.00,1,0,1,20110101,Q4110,HCPCS,PRIMATRIX SKIN SUB,,30,,,$223.32,$0.00,1,0,1,20110101,Q4111,HCPCS,GAMMAGRAFT SKIN SUB,,30,,,$45.31,$0.00,1,0,1,20110101,Q4112,HCPCS,CYMETRA ALLOGRAFT,,30,,,"$2,203.30",$0.00,1,0,1,20110101,Q4113,HCPCS,GRAFTJACKET EXPRESS ALLOGRAF,,30,,,"$2,203.30",$0.00,1,0,1,20110101,Q4114,HCPCS,INTEGRA FLOWABLE WOUND MATRI,,30,,,"$5,821.12",$0.00,1,0,1,20110101,Q4115,HCPCS,ALLOSKIN SKIN SUB,,30,,,$42.71,$0.00,1,0,1,20110101,Q4116,HCPCS,ALLODERM SKIN SUB,,30,,,$207.96,$0.00,1,0,1,20110101,Q4118,HCPCS,MATRISTEM MICROMATRIX,,30,,,$11.08,$0.00,1,0,1,20110101,Q4121,HCPCS,THERASKIN,,30,,,$130.92,$0.00,1,0,1,20110101,Q5001,HCPCS,HOSPICE IN PATIENT HOME,,30,,,$250.23,$0.00,1,0,1,20110101,Q5003,HCPCS,HOSPICE IN LT/NON-SKILLED NF,,30,,,$197.11,$0.00,1,0,1,20110101,Q5004,HCPCS,HOSPICE IN SNF,,30,,,$477.67,$0.00,1,0,1,20110101,Q5005,HCPCS,"HOSPICE, INPATIENT HOSPITAL",,30,,,"$1,091.30",$0.00,1,0,1,20110101,Q5006,HCPCS,HOSPICE IN HOSPICE FACILITY,,30,,,"$1,117.35",$0.00,1,0,1,20110101,Q9951,HCPCS,"LOCM >= 400 MG/ML IODINE,1ML",,30,,,$2.19,$0.00,1,0,1,20110101,Q9953,HCPCS,"INJ FE-BASED MR CONTRAST,1ML",,30,,,$11.13,$0.00,1,0,1,20110101,Q9954,HCPCS,"ORAL MR CONTRAST, 100 ML",,30,,,$56.83,$0.00,1,0,1,20110101,Q9955,HCPCS,"INJ PERFLEXANE LIP MICROS,ML",,30,,,$3.86,$0.00,1,0,1,20110101,Q9956,HCPCS,"INJ OCTAFLUOROPROPANE MIC,ML",,30,,,$54.12,$0.00,1,0,1,20110101,Q9957,HCPCS,"INJ PERFLUTREN LIP MICROS,ML",,30,,,$151.60,$0.00,1,0,1,20110101,Q9958,HCPCS,"HOCM <=149 MG/ML IODINE, 1ML",,30,,,$0.08,$0.00,1,0,1,20110101,Q9960,HCPCS,"HOCM 200-249MG/ML IODINE,1ML",,30,,,$1.02,$0.00,1,0,1,20110101,Q9961,HCPCS,"HOCM 250-299MG/ML IODINE,1ML",,30,,,$1.52,$0.00,1,0,1,20110101,Q9962,HCPCS,"HOCM 300-349MG/ML IODINE,1ML",,30,,,$1.57,$0.00,1,0,1,20110101,Q9963,HCPCS,"HOCM 350-399MG/ML IODINE,1ML",,30,,,$1.47,$0.00,1,0,1,20110101,Q9964,HCPCS,"HOCM>= 400MG/ML IODINE, 1ML",,30,,,$2.40,$0.00,1,0,1,20110101,Q9968,HCPCS,VISUALIZATION ADJUNCT,,30,,,$9.30,$0.00,1,0,1,20110101,R0070,HCPCS,TRANSPORT PORTABLE X-RAY,,30,,,$85.24,$0.00,1,0,1,20110101,R0075,HCPCS,TRANSPORT PORT X-RAY MULTIPL,,30,,,$43.88,$0.00,1,0,1,20110101,S0020,HCPCS,"INJECTION, BUPIVICAINE HYDRO",,30,,,$8.12,$0.00,1,0,1,20110101,S0023,HCPCS,"INJECTION, CIMETIDINE HYDROC",,30,,,$5.62,$0.00,1,0,0,20110101,S0028,HCPCS,"INJECTION, FAMOTIDINE, 20 MG",,30,,,$3.84,$0.00,1,0,0,20110101,S0030,HCPCS,"INJECTION, METRONIDAZOLE",,30,,,$17.56,$0.00,1,0,0,20110101,S0032,HCPCS,"INJECTION, NAFCILLIN SODIUM",,30,,,$41.72,$0.00,1,0,0,20110101,S0034,HCPCS,"INJECTION, OFLOXACIN, 400 MG",,30,,,$29.08,$0.00,1,0,0,20110101,S0040,HCPCS,"INJECTION, TICARCILLIN DISOD",,30,,,$27.95,$0.00,1,0,0,20110101,S0073,HCPCS,"INJECTION, AZTREONAM, 500 MG",,30,,,$32.80,$0.00,1,0,0,20110101,S0074,HCPCS,"INJECTION, CEFOTETAN DISODIU",,30,,,$50.48,$0.00,1,0,0,20110101,S0077,HCPCS,"INJECTION, CLINDAMYCIN PHOSP",,30,,,$6.55,$0.00,1,0,0,20110101,S0078,HCPCS,"INJECTION, FOSPHENYTOIN SODI",,30,,,$306.35,$0.00,1,0,0,20110101,S0080,HCPCS,"INJECTION, PENTAMIDINE ISETH",,30,,,$168.26,$0.00,1,0,0,20110101,S0092,HCPCS,HYDROMORPHONE 250 MG,,30,,,$177.18,$0.00,1,0,0,20110101,S0093,HCPCS,MORPHINE 500 MG,,30,,,$30.38,$0.00,1,0,0,20110101,S0109,HCPCS,METHADONE ORAL 5MG,,30,,,$0.49,$0.00,1,0,0,20110101,S0132,HCPCS,INJ GANIRELIX ACETAT 250 MCG,,30,,,$158.38,$0.00,1,0,0,20110101,S0136,HCPCS,"CLOZAPINE, 25 MG",,30,,,$2.25,$0.00,1,0,0,20110101,S0137,HCPCS,"DIDANOSINE, 25 MG",,30,,,$14.55,$0.00,1,0,0,20110101,S0145,HCPCS,PEG INTERFERON ALFA-2A/180,,30,,,$48.72,$0.00,1,0,1,20110101,S0157,HCPCS,"BECAPLERMIN GEL 1%, 0.5 GM",,30,,,$30.56,$0.00,1,0,0,20110101,S0164,HCPCS,INJECTION PANTROPRAZOLE,,30,,,$27.97,$0.00,1,0,0,20110101,S0181,HCPCS,ONDANSETRON 4 MG,,30,,,$32.27,$0.00,1,0,0,20110101,S0183,HCPCS,PROCHLORPERAZINE 5 MG,,30,,,$1.14,$0.00,1,0,0,20110101,S0191,HCPCS,"MISOPROSTOL, ORAL, 200 MCG",,30,,,$4.10,$0.00,1,0,0,20110101,S0195,HCPCS,PNEUMO VACCINE 5-9 YRS,,30,,,$63.84,$0.00,1,0,1,20110101,S0199,HCPCS,MED ABORTION INC ALL EX DRUG,,30,,,"$2,569.92",$0.00,1,0,1,20110101,S0201,HCPCS,PARTIAL HOSPITALIZATION SERV,,30,,,$701.94,$0.00,1,0,1,20110101,S0208,HCPCS,PARAMED INTRCEPT NONVOL,,30,,,$397.23,$0.00,1,0,1,20110101,S0220,HCPCS,MEDICAL CONFERENCE BY PHYSIC,,30,,,$2.38,$0.00,1,0,1,20110101,S0221,HCPCS,"MEDICAL CONFERENCE, 60 MIN",,30,,,$341.23,$0.00,1,0,1,20110101,S0255,HCPCS,HOSPICE REFER VISIT NONMD,,30,,,$124.15,$0.00,1,0,1,20110101,S0257,HCPCS,END OF LIFE COUNSELING,,30,,,$173.83,$0.00,1,0,1,20110101,S0260,HCPCS,H&P FOR SURGERY,,30,,,$85.22,$0.00,1,0,1,20110101,S0265,HCPCS,GENETIC COUNSEL 15 MINS,,30,,,$85.22,$0.00,1,0,1,20110101,S0315,HCPCS,DISEASE MANAGEMENT PROGRAM,,30,,,$85.22,$0.00,1,0,1,20110101,S0316,HCPCS,FOLLOW-UP/REASSESSMENT,,30,,,$181.49,$0.00,1,0,1,20110101,S0390,HCPCS,ROUT FOOT CARE PER VISIT,,30,,,$29.87,$0.00,1,0,1,20110101,S0400,HCPCS,GLOBAL ESWL KIDNEY,,30,,,"$21,017.20",$0.00,1,0,1,20110101,S0592,HCPCS,COMP CONT LENS EVAL,,30,,,"$1,113.93",$0.00,1,0,1,20110101,S0601,HCPCS,SCREENING PROCTOSCOPY,,30,,,$294.12,$0.00,1,0,1,20110101,S0612,HCPCS,ANNUAL GYNECOLOGICAL EXAMINA,,30,,,$221.01,$0.00,1,0,1,20110101,S0613,HCPCS,ANN BREAST EXAM,,30,,,$85.22,$0.00,1,0,1,20110101,S0618,HCPCS,AUDIOMETRY FOR HEARING AID,,30,,,$52.08,$0.00,1,0,1,20110101,S0622,HCPCS,PHYS EXAM FOR COLLEGE,,30,,,$85.22,$0.00,1,0,1,20110101,S0625,HCPCS,DIGITAL SCREENING RETINA,,30,,,$75.64,$0.00,1,0,1,20110101,S0810,HCPCS,PHOTOREFRACTIVE KERATECTOMY,,30,,,"$2,858.68",$0.00,1,0,1,20110101,S0812,HCPCS,PHOTOTHERAP KERATECT,,30,,,"$2,858.68",$0.00,1,0,1,20110101,S1015,HCPCS,IV TUBING EXTENSION SET,,30,,,$34.85,$0.00,1,0,1,20110101,S1040,HCPCS,CRANIAL REMOLDING ORTHOSIS,,30,,,$498.52,$0.00,1,0,1,20110101,S2070,HCPCS,CYSTO LASER TX URETERAL CALC,,30,,,"$3,431.24",$0.00,1,0,1,20110101,S2080,HCPCS,LAUP,,30,,,"$10,162.09",$0.00,1,0,1,20110101,S2083,HCPCS,ADJUSTMENT GASTRIC BAND,,30,,,$752.17,$0.00,1,0,1,20110101,S2095,HCPCS,TRANSCATH EMBOLIZ MICROSPHER,,30,,,"$11,922.69",$0.00,1,0,1,20110101,S2117,HCPCS,"ARTHROEREISIS, SUBTALAR",,30,,,"$6,635.01",$0.00,1,0,1,20110101,S2120,HCPCS,LOW DENSITY LIPOPROTEIN(LDL),,30,,,"$17,517.65",$0.00,1,0,1,20110101,S2140,HCPCS,CORD BLOOD HARVESTING,,30,,,"$1,200.58",$0.00,1,0,1,20110101,S2142,HCPCS,CORD BLOOD-DERIVED STEM-CELL,,30,,,"$2,866.45",$0.00,1,0,1,20110101,S2150,HCPCS,BMT HARV/TRANSPL 28D PKG,,30,,,"$1,007.14",$0.00,1,0,1,20110101,S2202,HCPCS,ECHOSCLEROTHERAPY,,30,,,$126.65,$0.00,1,0,1,20110101,S2225,HCPCS,MYRINGOTOMY LASER-ASSIST,,30,,,"$7,092.72",$0.00,1,0,1,20110101,S2230,HCPCS,IMPLANT SEMI-IMP HEAR,,30,,,"$4,691.02",$0.00,1,0,1,20110101,S2235,HCPCS,IMPLANT AUDITORY BRAIN IMP,,30,,,"$43,586.06",$0.00,1,0,1,20110101,S2300,HCPCS,"ARTHROSCOPY, SHOULDER, SURGI",,30,,,"$12,741.39",$0.00,1,0,1,20110101,S2340,HCPCS,CHEMODENERVATION OF ABDUCTOR,,30,,,"$6,467.96",$0.00,1,0,1,20110101,S2341,HCPCS,CHEMODENERV ADDUCT VOCAL,,30,,,"$6,467.96",$0.00,1,0,1,20110101,S2342,HCPCS,NASAL ENDOSCOP PO DEBRID,,30,,,"$9,499.91",$0.00,1,0,1,20110101,S2344,HCPCS,ENDOSC BALLOON SINUPLASTY,,30,,,"$7,493.83",$0.00,1,0,1,20110101,S2348,HCPCS,DECOMPRESS DISC RF LUMBAR,,30,,,"$7,710.42",$0.00,1,0,1,20110101,S2360,HCPCS,VERTEBROPLAST CERV 1ST,,30,,,"$11,563.56",$0.00,1,0,1,20110101,S2361,HCPCS,VERTEBROPLAST CERV ADDL,,30,,,"$2,348.92",$0.00,1,0,1,20110101,S2900,HCPCS,ROBOTIC SURGICAL SYSTEM,,30,,,"$5,592.29",$0.00,1,0,1,20110101,S3005,HCPCS,EVAL SELF-ASSESS DEPRESSION,,30,,,$85.22,$0.00,1,0,1,20110101,S3600,HCPCS,STAT LAB,,30,,,$60.32,$0.00,1,0,1,20110101,S3620,HCPCS,NEWBORN METABOLIC SCREENING,,30,,,$157.86,$0.00,1,0,1,20110101,S3628,HCPCS,PAMG-1 RAPID ASSAY FOR ROM,,30,,,$222.50,$0.00,1,0,1,20110101,S3630,HCPCS,EOSINOPHIL BLOOD COUNT,,30,,,$45.13,$0.00,1,0,1,20110101,S3708,HCPCS,GASTROINTESTINAL FAT ABSORPT,,30,,,$375.66,$0.00,1,0,1,20110101,S3900,HCPCS,SURFACE EMG,,30,,,"$1,134.91",$0.00,1,0,1,20110101,S4005,HCPCS,INTERIM LABOR FACILITY GLOBA,,30,,,"$2,077.75",$0.00,1,0,1,20110101,S4011,HCPCS,IVF PACKAGE,,30,,,"$8,717.58",$0.00,1,0,1,20110101,S4015,HCPCS,COMPLETE IVF NOS CASE RATE,,30,,,"$9,418.13",$0.00,1,0,1,20110101,S4021,HCPCS,IVF CANC P ASPIR CASE RATE,,30,,,"$1,075.16",$0.00,1,0,1,20110101,S4981,HCPCS,INSERT LEVONORGESTREL IUS,,30,,,"$1,252.38",$0.00,1,0,1,20110101,S5000,HCPCS,"PRESCRIPTION DRUG, GENERIC",,30,,,$20.78,$0.00,1,0,1,20110101,S5001,HCPCS,"PRESCRIPTION DRUG,BRAND NAME",,30,,,$88.78,$0.00,1,0,1,20110101,S5010,HCPCS,5% DEXTROSE AND 0.45% SALINE,,30,,,$21.28,$0.00,1,0,1,20110101,S5011,HCPCS,5% DEXTROSE IN LACTATED RING,,30,,,$22.89,$0.00,1,0,1,20110101,S5012,HCPCS,5% DEXTROSE WITH POTASSIUM,,30,,,$73.96,$0.00,1,0,1,20110101,S5013,HCPCS,5%DEXTROSE/0.45%SALINE1000ML,,30,,,$20.62,$0.00,1,0,1,20110101,S5014,HCPCS,D5W/0.45NS W KCL AND MGS04,,30,,,$12.44,$0.00,1,0,1,20110101,S5105,HCPCS,CENTERBASED DAY CARE PERDIEM,,30,,,$206.67,$0.00,1,0,1,20110101,S5190,HCPCS,WELLNESS ASSESSMENT BY NONPH,,30,,,$124.15,$0.00,1,0,1,20110101,S5498,HCPCS,HIT SIMPLE CATH CARE,,30,,,$36.01,$0.00,1,0,1,20110101,S5501,HCPCS,HIT COMPLEX CATH CARE,,30,,,$38.84,$0.00,1,0,1,20110101,S5502,HCPCS,HIT INTERIM CATH CARE,,30,,,$68.40,$0.00,1,0,1,20110101,S8030,HCPCS,TANTALUM RING APPLICATION,,30,,,"$8,121.75",$0.00,1,0,1,20110101,S8037,HCPCS,MRCP,,30,,,"$3,292.14",$0.00,1,0,1,20110101,S8040,HCPCS,TOPOGRAPHIC BRAIN MAPPING,,30,,,"$1,177.94",$0.00,1,0,1,20110101,S8049,HCPCS,INTRAOPERATIVE RADIATION THE,,30,,,$651.07,$0.00,1,0,1,20110101,S8055,HCPCS,US GUIDANCE FETAL REDUCT,,30,,,$963.47,$0.00,1,0,1,20110101,S8080,HCPCS,SCINTIMAMMOGRAPHY,,30,,,$819.51,$0.00,1,0,1,20110101,S8092,HCPCS,ELECTRON BEAM COMPUTED TOMOG,,30,,,$237.73,$0.00,1,0,1,20110101,S8120,HCPCS,O2 CONTENTS GAS CUBIC FT,,30,,,$12.54,$0.00,1,0,1,20110101,S8430,HCPCS,PADDING FOR COMPRSSN BDG,,30,,,$21.66,$0.00,1,0,1,20110101,S8431,HCPCS,COMPRESSION BANDAGE,,30,,,$15.35,$0.00,1,0,1,20110101,S8451,HCPCS,SPLINT WRIST OR ANKLE,,30,,,$47.82,$0.00,1,0,1,20110101,S8490,HCPCS,100 INSULIN SYRINGES,,30,,,$1.21,$0.00,1,0,1,20110101,S8948,HCPCS,LOW-LEVEL LASER TRMT 15 MIN,,30,,,$53.76,$0.00,1,0,1,20110101,S9001,HCPCS,HOME UTERINE MONITOR WITH OR,,30,,,$111.42,$0.00,1,0,1,20110101,S9024,HCPCS,PARANASAL SINUS ULTRASOUND,,30,,,$626.22,$0.00,1,0,1,20110101,S9034,HCPCS,ESWL FOR GALLSTONES,,30,,,"$3,922.45",$0.00,1,0,1,20110101,S9083,HCPCS,URGENT CARE CENTER GLOBAL,,30,,,$240.11,$0.00,1,0,1,20110101,S9088,HCPCS,SERVICES PROVIDED IN URGENT,,30,,,$754.33,$0.00,1,0,1,20110101,S9097,HCPCS,HOME VISIT WOUND CARE,,30,,,$144.73,$0.00,1,0,1,20110101,S9098,HCPCS,HOME PHOTOTHERAPY VISIT,,30,,,$318.83,$0.00,1,0,1,20110101,S9117,HCPCS,BACK SCHOOL VISIT,,30,,,$85.22,$0.00,1,0,1,20110101,S9122,HCPCS,HOME HEALTH AIDE OR CERTIFIE,,30,,,$189.15,$0.00,1,0,1,20110101,S9123,HCPCS,NURSING CARE IN HOME RN,,30,,,$227.76,$0.00,1,0,1,20110101,S9124,HCPCS,"NURSING CARE, IN THE HOME; B",,30,,,$561.18,$0.00,1,0,1,20110101,S9126,HCPCS,"HOSPICE CARE, IN THE HOME, P",,30,,,$240.94,$0.00,1,0,1,20110101,S9127,HCPCS,"SOCIAL WORK VISIT, IN THE HO",,30,,,$296.37,$0.00,1,0,1,20110101,S9128,HCPCS,"SPEECH THERAPY, IN THE HOME,",,30,,,$222.37,$0.00,1,0,1,20110101,S9129,HCPCS,"OCCUPATIONAL THERAPY, IN THE",,30,,,$222.37,$0.00,1,0,1,20110101,S9131,HCPCS,PT IN THE HOME PER DIEM,,30,,,$222.37,$0.00,1,0,1,20110101,S9140,HCPCS,"DIABETIC MANAGEMENT PROGRAM,",,30,,,$107.09,$0.00,1,0,1,20110101,S9152,HCPCS,"SPEECH THERAPY, RE-EVAL",,30,,,$597.31,$0.00,1,0,1,20110101,S9208,HCPCS,HOME MGMT PRETERM LABOR,,30,,,$242.13,$0.00,1,0,1,20110101,S9211,HCPCS,HOME MGMT GEST HYPERTENSION,,30,,,$102.62,$0.00,1,0,1,20110101,S9214,HCPCS,HM GEST DM PER DIEM,,30,,,$221.71,$0.00,1,0,1,20110101,S9326,HCPCS,HIT CONT PAIN PER DIEM,,30,,,$175.60,$0.00,1,0,1,20110101,S9327,HCPCS,HIT INT PAIN PER DIEM,,30,,,$174.23,$0.00,1,0,1,20110101,S9329,HCPCS,HIT CHEMO PER DIEM,,30,,,$188.83,$0.00,1,0,1,20110101,S9330,HCPCS,HIT CONT CHEM DIEM,,30,,,$185.70,$0.00,1,0,1,20110101,S9336,HCPCS,HIT CONT ANTICOAG DIEM,,30,,,$177.60,$0.00,1,0,1,20110101,S9338,HCPCS,HIT IMMUNOTHERAPY DIEM,,30,,,$220.04,$0.00,1,0,1,20110101,S9341,HCPCS,HIT ENTERAL GRAV DIEM,,30,,,$50.39,$0.00,1,0,1,20110101,S9342,HCPCS,HIT ENTERAL PUMP DIEM,,30,,,$54.11,$0.00,1,0,1,20110101,S9343,HCPCS,HIT ENTERAL BOLUS NURS,,30,,,$33.57,$0.00,1,0,1,20110101,S9346,HCPCS,HIT ALPHA-1-PROTEINAS DIEM,,30,,,$78.38,$0.00,1,0,1,20110101,S9349,HCPCS,HIT TOCOLYSIS DIEM,,30,,,$279.64,$0.00,1,0,1,20110101,S9351,HCPCS,HIT CONT ANTIEMETIC DIEM,,30,,,$355.74,$0.00,1,0,1,20110101,S9359,HCPCS,HIT ANTI-TNF PER DIEM,,30,,,$288.87,$0.00,1,0,1,20110101,S9365,HCPCS,HIT TPN 1 LITER DIEM,,30,,,$381.07,$0.00,1,0,1,20110101,S9366,HCPCS,HIT TPN 2 LITER DIEM,,30,,,$465.02,$0.00,1,0,1,20110101,S9367,HCPCS,HIT TPN 3 LITER DIEM,,30,,,$517.79,$0.00,1,0,1,20110101,S9370,HCPCS,HT INJ ANTIEMETIC DIEM,,30,,,$134.37,$0.00,1,0,1,20110101,S9374,HCPCS,HIT HYDRA 1 LITER DIEM,,30,,,$147.45,$0.00,1,0,1,20110101,S9375,HCPCS,HIT HYDRA 2 LITER DIEM,,30,,,$188.90,$0.00,1,0,1,20110101,S9376,HCPCS,HIT HYDRA 3 LITER DIEM,,30,,,$177.88,$0.00,1,0,1,20110101,S9379,HCPCS,HIT NOC PER DIEM,,30,,,$47.82,$0.00,1,0,1,20110101,S9401,HCPCS,ANTICOAG CLINIC PER SESSION,,30,,,$139.34,$0.00,1,0,1,20110101,S9436,HCPCS,LAMAZE CLASS,,30,,,$108.11,$0.00,1,0,1,20110101,S9441,HCPCS,ASTHMA EDUCATION,,30,,,$197.11,$0.00,1,0,1,20110101,S9442,HCPCS,BIRTHING CLASS,,30,,,$77.65,$0.00,1,0,1,20110101,S9443,HCPCS,LACTATION CLASS,,30,,,$140.59,$0.00,1,0,1,20110101,S9445,HCPCS,PT EDUCATION NOC INDIVID,,30,,,$120.42,$0.00,1,0,0,20110101,S9452,HCPCS,NUTRITION CLASS,,30,,,$133.07,$0.00,1,0,1,20110101,S9453,HCPCS,SMOKING CESSATION CLASS,,30,,,$200.72,$0.00,1,0,1,20110101,S9455,HCPCS,"DIABETIC MANAGEMENT PROGRAM,",,30,,,$95.55,$0.00,1,0,1,20110101,S9460,HCPCS,"DIABETIC MANAGEMENT PROGRAM,",,30,,,$134.42,$0.00,1,0,1,20110101,S9465,HCPCS,"DIABETIC MANAGEMENT PROGRAM,",,30,,,$235.46,$0.00,1,0,1,20110101,S9470,HCPCS,"NUTRITIONAL COUNSELING, DIET",,30,,,$124.69,$0.00,1,0,1,20110101,S9472,HCPCS,CARDIAC REHABILITATION PROGR,,30,,,$206.10,$0.00,1,0,0,20110101,S9473,HCPCS,PULMONARY REHABILITATION PRO,,30,,,$157.85,$0.00,1,0,0,20110101,S9474,HCPCS,ENTEROSTOMAL THERAPY BY A RE,,30,,,$204.87,$0.00,1,0,1,20110101,S9475,HCPCS,AMBULATORY SETTING SUBSTANCE,,30,,,$165.78,$0.00,1,0,1,20110101,S9480,HCPCS,INTENSIVE OUTPATIENT PSYCHIA,,30,,,$165.94,$0.00,1,0,1,20110101,S9484,HCPCS,CRISIS INTERVENTION PER HOUR,,30,,,$71.94,$0.00,1,0,1,20110101,S9485,HCPCS,CRISIS INTERVENTION MENTAL H,,30,,,$165.94,$0.00,1,0,1,20110101,S9490,HCPCS,HIT CORTICOSTEROID/DIEM,,30,,,$228.59,$0.00,1,0,1,20110101,S9494,HCPCS,HIT ANTIBIOTIC TOTAL DIEM,,30,,,$182.42,$0.00,1,0,1,20110101,S9497,HCPCS,HIT ANTIBIOTIC Q3H DIEM,,30,,,$261.12,$0.00,1,0,1,20110101,S9500,HCPCS,HIT ANTIBIOTIC Q24H DIEM,,30,,,$227.48,$0.00,1,0,1,20110101,S9501,HCPCS,HIT ANTIBIOTIC Q12H DIEM,,30,,,$255.20,$0.00,1,0,1,20110101,S9502,HCPCS,HIT ANTIBIOTIC Q8H DIEM,,30,,,$290.52,$0.00,1,0,1,20110101,S9503,HCPCS,HIT ANTIBIOTIC Q6H DIEM,,30,,,$293.66,$0.00,1,0,1,20110101,S9504,HCPCS,HIT ANTIBIOTIC Q4H DIEM,,30,,,$270.77,$0.00,1,0,1,20110101,S9529,HCPCS,VENIPUNCTURE HOME/SNF,,30,,,$90.97,$0.00,1,0,1,20110101,S9537,HCPCS,HT HEM HORM INJ DIEM,,30,,,$75.73,$0.00,1,0,1,20110101,S9542,HCPCS,HT INJ NOC PER DIEM,,30,,,$47.82,$0.00,1,0,1,20110101,S9560,HCPCS,HT INJ HORMONE DIEM,,30,,,$84.23,$0.00,1,0,1,20110101,S9562,HCPCS,HT INJ PALIVIZUMAB DIEM,,30,,,$84.23,$0.00,1,0,1,20110101,