Version 3.9 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,,,$685.88,$0.00,1,0,1,20120101,10022,CPT,FINE NEEDLE ASPIRATION WITH IMAGING GUIDANCE,,30,,,"$1,815.32",$0.00,1,0,1,20120101,10040,CPT,ACNE SURGERY,,30,,,$238.23,$0.00,1,0,1,20120101,10060,CPT,INCISION & DRAINAGE ABSCESS SIMPLE/SINGLE,,30,,,$650.02,$0.00,1,0,1,20120101,10061,CPT,INCISION&DRAINAGE ABSCESS COMPLICATED/MULTIPLE,,30,,,$650.02,$0.00,1,0,1,20120101,10080,CPT,INCISION & DRAINAGE PILONIDAL CYST SIMPLE,,30,,,$650.02,$0.00,1,0,1,20120101,10081,CPT,INCISION & DRAINAGE PILONIDAL CYST COMPLICATED,,30,,,"$5,293.97",$0.00,1,0,1,20120101,10120,CPT,INCISION&REMOVAL FOREIGN BODY SUBQ TISS SIMPLE,,30,,,"$1,095.10",$0.00,1,0,1,20120101,10121,CPT,INCISION&REMOVAL FOREIGN BODY SUBQ TISS COMPL,,30,,,"$5,907.48",$0.00,1,0,1,20120101,10140,CPT,I&D HEMATOMA SEROMA/FLUID COLLECTION,,30,,,"$5,293.97",$0.00,1,0,1,20120101,10160,CPT,PUNCTURE ASPIRATION ABSCESS HEMATOMA BULLA/CYST,,30,,,$650.02,$0.00,1,0,1,20120101,10180,CPT,INCISION&DRAINAGE COMPLEX PO WOUND INFECTION,,30,,,"$8,067.87",$0.00,1,0,1,20120101,11000,CPT,DBRDMT EXTENSV ECZEMA/INFECT SKN UP 10% BDY SURF,,30,,,"$1,095.10",$0.00,1,0,1,20120101,11001,CPT,DBRDMT EXTNSVE ECZEMA/INFECT SKN EA 10% BDY SURF,,30,,,$238.23,$0.00,1,0,1,20120101,11010,CPT,DBRDMT W/RMVL FM FX&/DISLC SKN&SUBQ TISS,,30,,,"$1,994.44",$0.00,1,0,1,20120101,11011,CPT,DBRDMT W/RMVL FM FX&/DISLC SKN SUBQ T/M/F MUSC,,30,,,"$1,994.44",$0.00,1,0,1,20120101,11012,CPT,DBRDMT FX&/DISLC SUBQ T/M/F BONE,,30,,,"$1,994.44",$0.00,1,0,1,20120101,11042,CPT,DEBRIDEMENT SUBCUTANEOUS TISSUE 20 SQ CM/<,,30,,,"$1,095.10",$0.00,1,0,1,20120101,11043,CPT,DEBRIDEMENT MUSCLE & FASCIA 20 SQ CM/<,,30,,,"$1,095.10",$0.00,1,0,1,20120101,11044,CPT,DEBRIDEMENT BONE MUSCLE &/FASCIA 20 SQ CM/<,,30,,,"$3,122.57",$0.00,1,0,1,20120101,11045,CPT,DBRDMT SUBCUTANEOUS TISSUE EA ADDL 20 SQ CM<,,30,,,"$1,095.10",$0.00,1,0,1,20120101,11046,CPT,DEBRIDEMENT MUSCLE &/FASCIA EA ADDL 20 SQ CM,,30,,,"$1,095.10",$0.00,1,0,1,20120101,11047,CPT,DEBRIDEMENT BONE EACH ADDITIONAL 20 SQ CM/<,,30,,,"$3,122.57",$0.00,1,0,1,20120101,11055,CPT,PARING/CUTTING BENIGN HYPERKERATOTIC LESION 1,,30,,,$238.23,$0.00,1,0,1,20120101,11056,CPT,PARING/CUTTING BENIGN HYPERKERATOTIC LESION 2-4,,30,,,$238.23,$0.00,1,0,1,20120101,11057,CPT,PARING/CUTTING BENIGN HYPERKERATOTIC LESION >4,,30,,,$372.19,$0.00,1,0,1,20120101,11100,CPT,BX SKIN SUBCUTANEOUS&/MUCOUS MEMBRANE 1 LESION,,30,,,$372.19,$0.00,1,0,1,20120101,11101,CPT,BIOPSY SKIN SUBQ&/MUCOUS MEMBRANE EA ADDL LESION,,30,,,$238.23,$0.00,1,0,1,20120101,11200,CPT,REMOVAL SKN TAGS MLT FIBRQ TAGS ANY AREA UP&W/15,,30,,,$238.23,$0.00,1,0,1,20120101,11201,CPT,REMOVAL SK TGS MLT FIBRQ TAGS ANY AREA EA 10<,,30,,,$238.23,$0.00,1,0,1,20120101,11300,CPT,SHAVING SKIN LES 1 TRUNK/ARM/LEG DIAM 0.5CM/<,,30,,,$238.23,$0.00,1,0,1,20120101,11301,CPT,SHVG SKIN LES 1 TRUNK/ARM/LEG DIAM 0.6-1.0 CM,,30,,,$238.23,$0.00,1,0,1,20120101,11302,CPT,SHVG SKN LESION 1 TRUNK/ARM/LEG DIAM 1.1-2.0 CM,,30,,,$238.23,$0.00,1,0,1,20120101,11303,CPT,SHVG SKIN LESION 1 TRUNK/ARM/LEG DIAM >2.0 CM,,30,,,$372.19,$0.00,1,0,1,20120101,11305,CPT,SHAVING SKIN LESION 1 S/N/H/F/G DIAM 0.5 CM/<,,30,,,$238.23,$0.00,1,0,1,20120101,11306,CPT,SHAVING SKIN LESION 1 S/N/H/F/G DIAM 0.6-1.0 CM,,30,,,$238.23,$0.00,1,0,1,20120101,11307,CPT,SHAVING SKIN LESION 1 S/N/H/F/G DIAM 1.1-2.0 CM,,30,,,$238.23,$0.00,1,0,1,20120101,11308,CPT,SHAVING SKIN LESION 1 S/N/H/F/G DIAM >2.0 CM,,30,,,$372.19,$0.00,1,0,1,20120101,11310,CPT,SHAVING SKIN LESION 1 F/E/E/N/L/M DIAM 0.5 CM/<,,30,,,$238.23,$0.00,1,0,1,20120101,11311,CPT,SHVG SKIN LESION 1 F/E/E/N/L/M DIAM 0.6-1.0 CM,,30,,,$238.23,$0.00,1,0,1,20120101,11312,CPT,SHVG SKIN LESION 1 F/E/E/N/L/M DIAM 1.1-2.0 CM,,30,,,$372.19,$0.00,1,0,1,20120101,11313,CPT,SHAVING SKIN LESION 1 F/E/E/N/L/M DIAM >2.0 CM,,30,,,$372.19,$0.00,1,0,1,20120101,11400,CPT,EXC B9 LES MRGN XCP SK TG T/A/L 0.5 CM/<,,30,,,"$1,994.44",$0.00,1,0,1,20120101,11401,CPT,EXC B9 LES MRGN XCP SK TG T/A/L 0.6-1.0 CM,,30,,,"$1,994.44",$0.00,1,0,1,20120101,11402,CPT,EXC B9 LES MRGN XCP SK TG T/A/L 1.1-2.0 CM,,30,,,"$1,994.44",$0.00,1,0,1,20120101,11403,CPT,EXC B9 LES MRGN XCP SK TG T/A/L 2.1-3.0 CM/>,,30,,,"$3,122.57",$0.00,1,0,1,20120101,11404,CPT,EXC B9 LES MRGN XCP SK TG T/A/L 3.1-4.0 CM,,30,,,"$5,907.48",$0.00,1,0,1,20120101,11406,CPT,EXC B9 LES MRGN XCP SK TG T/A/L > 4.0 CM,,30,,,"$5,907.48",$0.00,1,0,1,20120101,11420,CPT,EXC B9 LES MRGN XCP SK TG S/N/H/F/G 0.5 CM/<,,30,,,"$3,122.57",$0.00,1,0,1,20120101,11421,CPT,EXC B9 LES MRGN XCP SK TG S/N/H/F/G 0.6-1.0CM,,30,,,"$3,122.57",$0.00,1,0,1,20120101,11422,CPT,EXC B9 LES MRGN XCP SK TG S/N/H/F/G 1.1-2.0CM,,30,,,"$3,122.57",$0.00,1,0,1,20120101,11423,CPT,EXC B9 LES MRGN XCP SK TG S/N/H/F/G 2.1-3.0CM,,30,,,"$5,907.48",$0.00,1,0,1,20120101,11424,CPT,EXC B9 LES MRGN XCP SK TG S/N/H/F/G 3.1-4.0CM,,30,,,"$5,907.48",$0.00,1,0,1,20120101,11426,CPT,EXC B9 LES MRGN XCP SK TG S/N/H/F/G > 4.0CM,,30,,,"$9,197.85",$0.00,1,0,1,20120101,11440,CPT,EXC B9 LES MRGN XCP SK TG F/E/E/N/L/M 0.5CM/<,,30,,,"$1,994.44",$0.00,1,0,1,20120101,11441,CPT,EXC B9 LES MRGN XCP SK TG F/E/E/N/L/M 0.6-1.0CM,,30,,,"$1,994.44",$0.00,1,0,1,20120101,11442,CPT,EXC B9 LES MRGN XCP SK TG F/E/E/N/L/M 1.1-2.0CM,,30,,,"$3,122.57",$0.00,1,0,1,20120101,11443,CPT,EXC B9 LES MRGN XCP SK TG F/E/E/N/L/M 2.1-3.0CM,,30,,,"$3,122.57",$0.00,1,0,1,20120101,11444,CPT,EXC B9 LES MRGN XCP SK TG F/E/E/N/L/M 3.1-4.0CM,,30,,,"$3,122.57",$0.00,1,0,1,20120101,11446,CPT,EXC B9 LES MRGN XCP SK TG F/E/E/N/L/M > 4.0CM,,30,,,"$9,197.85",$0.00,1,0,1,20120101,11450,CPT,EXCISION HIDRADENITIS AXILLARY SMPL/INTRM RPR,,30,,,"$9,197.85",$0.00,1,0,1,20120101,11451,CPT,EXCISION HIDRADENITIS AXILLARY COMPLEX REPAIR,,30,,,"$9,197.85",$0.00,1,0,1,20120101,11462,CPT,EXCISION HIDRADENITIS INGUINAL SMPL/INTRM RPR,,30,,,"$9,197.85",$0.00,1,0,1,20120101,11463,CPT,EXCISION HIDRADENITIS INGUINAL COMPLEX REPAIR,,30,,,"$9,197.85",$0.00,1,0,1,20120101,11470,CPT,EXCISION H/P/P/U SIMPLE/INTERMEDIATE REPAIR,,30,,,"$9,197.85",$0.00,1,0,1,20120101,11471,CPT,EXCISION H/P/P/U COMPLEX REPAIR,,30,,,"$9,197.85",$0.00,1,0,1,20120101,11600,CPT,EXCISION MAL LESION TRUNK/ARM/LEG 0.5 CM/<,,30,,,"$3,122.57",$0.00,1,0,1,20120101,11601,CPT,EXCISION MAL LESION TRUNK/ARM/LEG 0.6-1.0 CM,,30,,,"$1,994.44",$0.00,1,0,1,20120101,11602,CPT,EXCISION MAL LESION TRUNK/ARM/LEG 1.1-2.0 CM,,30,,,"$1,994.44",$0.00,1,0,1,20120101,11603,CPT,EXCISION MAL LESION TRUNK/ARM/LEG 2.1-3.0 CM/>,,30,,,"$3,122.57",$0.00,1,0,1,20120101,11604,CPT,EXCISION MAL LESION TRUNK/ARM/LEG 3.1-4.0 CM,,30,,,"$3,122.57",$0.00,1,0,1,20120101,11606,CPT,EXCISION MALIGNANT LESION TRUNK/ARM/LEG >4.0 CM,,30,,,"$5,907.48",$0.00,1,0,1,20120101,11620,CPT,EXCISION MALIGNANT LESION S/N/H/F/G 0.5 CM/<,,30,,,"$3,122.57",$0.00,1,0,1,20120101,11621,CPT,EXCISION MALIGNANT LESION S/N/H/F/G 0.6-1.0 CM,,30,,,"$1,994.44",$0.00,1,0,1,20120101,11622,CPT,EXCISION MALIGNANT LESION S/N/H/F/G 1.1-2.0 CM,,30,,,"$3,122.57",$0.00,1,0,1,20120101,11623,CPT,EXCISION MALIGNANT LESION S/N/H/F/G 2.1-3.0 CM/>,,30,,,"$5,907.48",$0.00,1,0,1,20120101,11624,CPT,EXCISION MALIGNANT LESION S/N/H/F/G 3.1-4.0 CM,,30,,,"$5,907.48",$0.00,1,0,1,20120101,11626,CPT,EXCISION MALIGNANT LESION S/N/H/F/G > 4.0 CM,,30,,,"$9,197.85",$0.00,1,0,1,20120101,11640,CPT,EXCISION MALIGNANT LESION F/E/E/N/L 0.5 CM/<,,30,,,"$1,994.44",$0.00,1,0,1,20120101,11641,CPT,EXCISION MALIGNANT LES F/E/E/N/L 0.6-1.0 CM,,30,,,"$1,994.44",$0.00,1,0,1,20120101,11642,CPT,EXCISION MALIGNANT LES F/E/E/N/L 1.1-2.0 CM,,30,,,"$1,994.44",$0.00,1,0,1,20120101,11643,CPT,EXCISION MALIGNANT LES F/E/E/N/L 2.1-3.0 CM/>,,30,,,"$3,122.57",$0.00,1,0,1,20120101,11644,CPT,EXCISION MALIGNANT LES F/E/E/N/L 3.1-4.0 CM,,30,,,"$5,907.48",$0.00,1,0,1,20120101,11646,CPT,EXCISION MALIGNANT LESION F/E/E/N/L > 4.0 CM,,30,,,"$9,197.85",$0.00,1,0,1,20120101,11719,CPT,TRIMMING NONDYSTROPHIC NAILS ANY NUMBER,,30,,,$131.65,$0.00,1,0,1,20120101,11720,CPT,DEBRIDEMENT NAIL ANY METHOD 1-5,,30,,,$238.23,$0.00,1,0,1,20120101,11721,CPT,DEBRIDEMENT NAIL ANY METHOD 6/>,,30,,,$238.23,$0.00,1,0,1,20120101,11730,CPT,AVULSION NAIL PLATE PARTIAL/COMPLETE SIMPLE 1,,30,,,$238.23,$0.00,1,0,1,20120101,11732,CPT,AVULSION NAIL PLATE PARTIAL/COMP SIMPLE EA ADDL,,30,,,$238.23,$0.00,1,0,1,20120101,11740,CPT,EVACUATION SUBUNGUAL HEMATOMA,,30,,,$131.65,$0.00,1,0,1,20120101,11750,CPT,EXCISION NAIL MATRIX PERMANENT REMOVAL,,30,,,"$1,994.44",$0.00,1,0,1,20120101,11752,CPT,EXC NAIL MATRIX PRM RMVL W/AMP TUFT DSTL PHALANX,,30,,,"$9,197.85",$0.00,1,0,1,20120101,11755,CPT,BIOPSY NAIL UNIT SEPARATE PROCEDURE,,30,,,"$1,994.44",$0.00,1,0,1,20120101,11760,CPT,REPAIR NAIL BED,,30,,,$545.50,$0.00,1,0,1,20120101,11762,CPT,RECONSTRUCTION NAIL BED W/GRAFT,,30,,,"$6,785.22",$0.00,1,0,1,20120101,11765,CPT,WEDGE EXCISION SKIN NAIL FOLD,,30,,,$238.23,$0.00,1,0,1,20120101,11770,CPT,EXCISION PILONIDAL CYST/SINUS SIMPLE,,30,,,"$9,197.85",$0.00,1,0,1,20120101,11771,CPT,EXCISION PILONIDAL CYST/SINUS EXTENSIVE,,30,,,"$9,197.85",$0.00,1,0,1,20120101,11772,CPT,EXCISION PILONIDAL CYST/SINUS COMPLICATED,,30,,,"$9,197.85",$0.00,1,0,1,20120101,11900,CPT,INJECTION INTRALESIONAL UP TO & INCLUD 7 LESIONS,,30,,,$238.23,$0.00,1,0,1,20120101,11901,CPT,INJECTION INTRALESIONAL >7 LESIONS,,30,,,$238.23,$0.00,1,0,1,20120101,11920,CPT,TATTOOING INCL MICROPIGMENTATION 6.0 CM/<,,30,,,"$1,284.52",$0.00,1,0,1,20120101,11921,CPT,TATTOOING INCL MICROPIGMENTATION 6.1-20.0 CM,,30,,,"$1,284.52",$0.00,1,0,1,20120101,11922,CPT,TATTOOING INCL MICROPIGMENTATION EA 20.0 CM,,30,,,"$1,284.52",$0.00,1,0,1,20120101,11950,CPT,SUBCUTANEOUS INJECTION FILLING MATERIAL 1 CC/<,,30,,,"$1,284.52",$0.00,1,0,1,20120101,11951,CPT,SUBCUTANEOUS INJECTION FILLING MATRL 1.1-5.0 CC,,30,,,"$1,284.52",$0.00,1,0,1,20120101,11952,CPT,SUBCUTANEOUS INJECTION FILLING MATRL 5.1-10.0CC,,30,,,"$1,284.52",$0.00,1,0,1,20120101,11954,CPT,SUBCUTANEOUS INJECTION FILLING MATRL > 10.0 CC,,30,,,$545.50,$0.00,1,0,1,20120101,11960,CPT,INSERTION TISSUE EXPANDER INCL SBSQ XPNSJ,,30,,,"$8,564.37",$0.00,1,0,1,20120101,11970,CPT,REPLACEMENT TISS EXPANDER PERMANENT PROSTHESIS,,30,,,"$16,487.66",$0.00,1,0,1,20120101,11971,CPT,REMOVAL TISS EXPANDER W/O INSERTION PROSTHESIS,,30,,,"$9,197.85",$0.00,1,0,1,20120101,11976,CPT,REMOVAL IMPLANTABLE CONTRACEPTIVE CAPSULES,,30,,,"$1,994.44",$0.00,1,0,1,20120101,11980,CPT,SUBCUTANEOUS HORMONE PELLET IMPLANTATION,,30,,,$303.61,$0.00,1,0,1,20120101,11981,CPT,INSJ NON-BIODEGRADABLE DRUG DELIVERY IMPLANT,,30,,,$303.61,$0.00,1,0,1,20120101,11982,CPT,REMOVAL NON-BIODEGRADABLE DRUG DELIVERY IMPLANT,,30,,,$303.61,$0.00,1,0,1,20120101,11983,CPT,RMVL W/RINSJ NON-BIODEGRADABLE DRUG DLVR IMPLT,,30,,,$303.61,$0.00,1,0,1,20120101,12001,CPT,SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.5CM/<,,30,,,$545.50,$0.00,1,0,1,20120101,12002,CPT,SMPL REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.6-7.5CM,,30,,,$545.50,$0.00,1,0,1,20120101,12004,CPT,SIMPLE RPR SCALP/NECK/AX/GENIT/TRUNK 7.6-12.5CM,,30,,,$545.50,$0.00,1,0,1,20120101,12005,CPT,SMPL RPR SCALP/NECK/AX/GENIT/TRUNK 12.6-20.0CM,,30,,,$545.50,$0.00,1,0,1,20120101,12006,CPT,SMPL RPR SCALP/NECK/AX/GENIT/TRUNK 20.1-30.0CM,,30,,,$545.50,$0.00,1,0,1,20120101,12007,CPT,SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK >30.0CM,,30,,,$545.50,$0.00,1,0,1,20120101,12011,CPT,SIMPLE REPAIR F/E/E/N/L/M 2.5CM/<,,30,,,$545.50,$0.00,1,0,1,20120101,12013,CPT,SIMPLE REPAIR F/E/E/N/L/M 2.6CM-5.0CM,,30,,,$545.50,$0.00,1,0,1,20120101,12014,CPT,SIMPLE REPAIR F/E/E/N/L/M 5.1CM-7.5CM,,30,,,$545.50,$0.00,1,0,1,20120101,12015,CPT,SIMPLE REPAIR F/E/E/N/L/M 7.6CM-12.5CM,,30,,,$545.50,$0.00,1,0,1,20120101,12016,CPT,SIMPLE REPAIR F/E/E/N/L/M 12.6CM-20.0CM,,30,,,$545.50,$0.00,1,0,1,20120101,12017,CPT,SIMPLE REPAIR F/E/E/N/L/M 20.1CM-30.0CM,,30,,,$545.50,$0.00,1,0,1,20120101,12018,CPT,SIMPLE REPAIR F/E/E/N/L/M >30.0CM,,30,,,"$1,284.52",$0.00,1,0,1,20120101,12020,CPT,TX SUPERFICIAL WOUND DEHISCENCE SIMPLE CLOSURE,,30,,,"$2,041.45",$0.00,1,0,1,20120101,12021,CPT,TX SUPERFICIAL WOUND DEHISCENCE W/PACKING,,30,,,"$1,284.52",$0.00,1,0,1,20120101,12031,CPT,REPAIR INTERMEDIATE S/A/T/E 2.5 CM/<,,30,,,"$1,284.52",$0.00,1,0,1,20120101,12032,CPT,REPAIR INTERMEDIATE S/A/T/E 2.6-7.5 CM,,30,,,"$1,284.52",$0.00,1,0,1,20120101,12034,CPT,REPAIR INTERMEDIATE S/A/T/E 7.6-12.5 CM,,30,,,"$1,284.52",$0.00,1,0,1,20120101,12035,CPT,REPAIR INTERMEDIATE S/A/T/E 12.6-20.0CM,,30,,,"$1,284.52",$0.00,1,0,1,20120101,12036,CPT,REPAIR INTERMEDIATE S/A/T/E 20.1-30.0 CM,,30,,,"$1,284.52",$0.00,1,0,1,20120101,12037,CPT,REPAIR INTERMEDIATE S/A/T/E > 30.0 CM,,30,,,"$1,284.52",$0.00,1,0,1,20120101,12041,CPT,REPAIR INTERMEDIATE N/H/F/XTRNL GENT 2.5CM/<,,30,,,$545.50,$0.00,1,0,1,20120101,12042,CPT,REPAIR INTERMEDIATE N/H/F/XTRNL GENT 2.6-7.5 CM,,30,,,"$1,284.52",$0.00,1,0,1,20120101,12044,CPT,REPAIR INTERMEDIATE N/H/F/XTRNL GENT 7.6-12.5CM,,30,,,"$1,284.52",$0.00,1,0,1,20120101,12045,CPT,REPAIR INTERMEDIATE N/H/F/XTRNL GENT 12.6-20 CM,,30,,,"$1,284.52",$0.00,1,0,1,20120101,12046,CPT,RPR INTERMEDIATE N/H/F/XTRNL GENT 20.1-30.0 CM,,30,,,"$1,284.52",$0.00,1,0,1,20120101,12047,CPT,REPAIR INTERMEDIATE N/H/F/XTRNL GENT >30.0 CM,,30,,,"$1,284.52",$0.00,1,0,1,20120101,12051,CPT,REPAIR INTERMEDIATE F/E/E/N/L&/MUC 2.5 CM/<,,30,,,"$1,284.52",$0.00,1,0,1,20120101,12052,CPT,REPAIR INTERMEDIATE F/E/E/N/L&/MUC 2.6-53.0 CM/>,,30,,,"$1,284.52",$0.00,1,0,1,20120101,12053,CPT,REPAIR INTERMEDIATE F/E/E/N/L&/MUC 5.1-7.5 CM,,30,,,"$1,284.52",$0.00,1,0,1,20120101,12054,CPT,REPAIR INTERMEDIATE F/E/E/N/L&/MUC 7.6-12.5 CM,,30,,,$545.50,$0.00,1,0,1,20120101,12055,CPT,REPAIR INTERMEDIATE F/E/E/N/L&/MUC 12.6-20.0CM,,30,,,"$1,284.52",$0.00,1,0,1,20120101,12056,CPT,REPAIR INTERMEDIATE F/E/E/N/L&/MUC 20.1-30.0CM,,30,,,"$1,284.52",$0.00,1,0,1,20120101,12057,CPT,REPAIR INTERMEDIATE F/E/E/N/L&/MUC > 30.0 CM,,30,,,"$1,284.52",$0.00,1,0,1,20120101,13100,CPT,REPAIR COMPLEX TRUNK 1.1 CM-2.5 CM,,30,,,"$2,041.45",$0.00,1,0,1,20120101,13101,CPT,REPAIR COMPLEX TRUNK 2.6 CM-7.5 CM,,30,,,"$2,041.45",$0.00,1,0,1,20120101,13102,CPT,REPAIR COMPLEX TRUNK EACH ADDITIONAL 5 CM/<,,30,,,"$1,284.52",$0.00,1,0,1,20120101,13120,CPT,REPAIR COMPLEX SCALP/ARM/LEG 1.1 CM-2.5 CM,,30,,,"$1,284.52",$0.00,1,0,1,20120101,13121,CPT,REPAIR COMPLEX SCALP/ARM/LEG 2.6 CM-7.5 CM,,30,,,"$1,284.52",$0.00,1,0,1,20120101,13122,CPT,REPAIR COMPLEX SCALP/ARM/LEG EA ADDL 5 CM/<,,30,,,$545.50,$0.00,1,0,1,20120101,13131,CPT,REPAIR COMPLEX F/C/C/M/N/AX/G/H/F 1.1 CM-2.5 CM,,30,,,"$1,284.52",$0.00,1,0,1,20120101,13132,CPT,REPAIR COMPLEX F/C/C/M/N/AX/G/H/F 2.6 CM-7.5 CM,,30,,,"$2,041.45",$0.00,1,0,1,20120101,13133,CPT,REPAIR COMPLEX F/C/C/M/N/AX/G/H/F EA ADDL 5 CM/<,,30,,,"$1,284.52",$0.00,1,0,1,20120101,13150,CPT,REPAIR COMPLEX EYELID/NOSE/EAR/LIP 1.0 CM/<,,30,,,"$2,041.45",$0.00,1,0,1,20120101,13151,CPT,REPAIR COMPLEX EYELID/NOSE/EAR/LIP 1.1-2.5 CM,,30,,,"$2,041.45",$0.00,1,0,1,20120101,13152,CPT,REPAIR COMPLEX EYELID/NOSE/EAR/LIP 2.6-7.5 CM,,30,,,"$2,041.45",$0.00,1,0,1,20120101,13153,CPT,REPAIR COMPLX EYELID/NOSE/EAR/LIP EA ADDL 5 CM/<,,30,,,"$1,284.52",$0.00,1,0,1,20120101,13160,CPT,SECONDARY CLOSURE SURG WOUND/DEHSN EXTSV/COMPLIC,,30,,,"$8,564.37",$0.00,1,0,1,20120101,14000,CPT,ADJACENT TISSUE TRANSFER/REARGMT TRUNK 10 CM/<,,30,,,"$6,785.22",$0.00,1,0,1,20120101,14001,CPT,ADJNT TIS TRANSFR/REARRANGE TRUNK 10.1-30.0 SQCM,,30,,,"$6,785.22",$0.00,1,0,1,20120101,14020,CPT,ADJT TIS TRNSFR/REARGMT SCALP/ARM/LEG 10 SQ CM/<,,30,,,"$6,785.22",$0.00,1,0,1,20120101,14021,CPT,ADJT/REARRGMT SCALP/ARM/LEG 10.1-30.0 SQ CM,,30,,,"$6,785.22",$0.00,1,0,1,20120101,14040,CPT,ADJT TIS TRNS/REARGMT F/C/C/M/N/A/G/H/F 10SQCM/<,,30,,,"$6,785.22",$0.00,1,0,1,20120101,14041,CPT,ADJT/REARGMT F/C/C/M/N/AX/G/H/F 10.1-30.0 SQ CM,,30,,,"$6,785.22",$0.00,1,0,1,20120101,14060,CPT,ADJT TIS TRNSFR/REARRGMT E/N/E/L DFCT 10 SQ CM/<,,30,,,"$6,785.22",$0.00,1,0,1,20120101,14061,CPT,ADJT TIS REARGMT EYE/NOSE/EAR/LIP 10.1-30.0 SQCM,,30,,,"$6,785.22",$0.00,1,0,1,20120101,14301,CPT,ADJNT TIS TRNSFR/REARGMT ANY AREA 30.1-60 SQ CM,,30,,,"$8,564.37",$0.00,1,0,1,20120101,14302,CPT,ADJT TIS TRNSFR/REARGMT DEFEC EA ADDL 30 SQCM/<,,30,,,"$8,564.37",$0.00,1,0,1,20120101,14350,CPT,FILLETED FINGER/TOE FLAP W/PREPJ RECIPIENT SITE,,30,,,"$8,564.37",$0.00,1,0,1,20120101,15002,CPT,PREP SITE TRUNK/ARM/LEG 1ST 100 SQ CM/1PCT,,30,,,"$2,041.45",$0.00,1,0,1,20120101,15003,CPT,PREP SITE T/A/L ADDL 100 SQ CM/1PCT,,30,,,"$2,041.45",$0.00,1,0,1,20120101,15004,CPT,PREP SITE F/S/N/H/F/G/M/D GT 1ST 100 SQ CM/1PCT,,30,,,"$1,284.52",$0.00,1,0,1,20120101,15005,CPT,PREP SITE F/S/N/H/F/G/M/D GT ADDL 100 SQ CM/1PCT,,30,,,"$2,041.45",$0.00,1,0,1,20120101,15040,CPT,HARVEST SKIN TISSUE CLTR SKIN AGRFT 100 CM/<,,30,,,"$1,284.52",$0.00,1,0,1,20120101,15050,CPT,PINCH GRAFT 1/MLT C> SM ULCER TIP/OTH AREA 2CM,,30,,,"$1,284.52",$0.00,1,0,1,20120101,15100,CPT,SPLIT AGRFT T/A/L 1ST 100 CM/</1% BDY INFT/CHLD,,30,,,"$8,564.37",$0.00,1,0,1,20120101,15101,CPT,SPLIT AGRFT T/A/L EA 100 CM/EA 1% BDY INFT/CHLD,,30,,,"$8,564.37",$0.00,1,0,1,20120101,15110,CPT,EPIDRM AGRFT T/A/L 1ST 100 CM/</1% BDY INFT/CHLD,,30,,,"$2,041.45",$0.00,1,0,1,20120101,15111,CPT,EPIDRM AGRFT T/A/L EA 100 CM/EA 1% BDY INFT/CHLD,,30,,,"$2,041.45",$0.00,1,0,1,20120101,15115,CPT,EPIDERMAL AGRFT F/S/N/H/F/G/M/D GT 1ST 100 CM/<,,30,,,"$2,041.45",$0.00,1,0,1,20120101,15116,CPT,EPIDERMAL AGRFT F/S/N/H/F/G/M/D GT EA 100 CM/<,,30,,,"$1,284.52",$0.00,1,0,1,20120101,15120,CPT,SPLIT AGRFT F/S/N/H/F/G/M/D GT 1ST 100 CM/</1 %,,30,,,"$8,564.37",$0.00,1,0,1,20120101,15121,CPT,SPLIT AGRFT F/S/N/H/F/G/M/D GT EA 100 CM/EA 1 %,,30,,,"$8,564.37",$0.00,1,0,1,20120101,15130,CPT,DERMAL AUTOGRAFT TRUNK/ARM/LEG 1ST 100 CM,,30,,,"$6,785.22",$0.00,1,0,1,20120101,15131,CPT,DERMAL AUTOGRAFT TRUNK/ARM/LEG EA 100 CM/EA,,30,,,"$6,785.22",$0.00,1,0,1,20120101,15135,CPT,DERMAL AUTOGRAFT F/S/N/H/F/G/M/D GT 1ST 100,,30,,,"$6,785.22",$0.00,1,0,1,20120101,15136,CPT,DERMAL AGRFT F/S/N/H/F/G/M/D GT EA 100 CM/EA,,30,,,"$6,785.22",$0.00,1,0,1,20120101,15150,CPT,CLTR SKIN AUTOGRAFT T/A/L 1ST 25 CM/<,,30,,,"$1,284.52",$0.00,1,0,1,20120101,15151,CPT,CLTR SKIN AGRFT T/A/L ADDL 1 CM-75 CM,,30,,,"$1,284.52",$0.00,1,0,1,20120101,15152,CPT,CLTR SKIN AGRFT T/A/L EA 100 CM/EA 1%BODY AREA,,30,,,"$1,284.52",$0.00,1,0,1,20120101,15155,CPT,CLTR SKIN AGRFT F/S/N/H/F/G/M/D GT 1ST 25CM/<,,30,,,"$1,284.52",$0.00,1,0,1,20120101,15156,CPT,CLTR SKIN AGRFT F/S/N/H/F/G/M/D GT ADDL 1-75CM,,30,,,"$1,284.52",$0.00,1,0,1,20120101,15157,CPT,CLTR SKIN AGRFT F/S/N/H/F/G/M/D GT EA 100 EA,,30,,,"$1,284.52",$0.00,1,0,1,20120101,15200,CPT,FTH/GFT FREE W/DIRECT CLOSURE TRUNK 20 CM/<,,30,,,"$6,785.22",$0.00,1,0,1,20120101,15201,CPT,FTH/GFT FR W/DIR CLSR TRNK EA ADDL 20 CM<,,30,,,"$6,785.22",$0.00,1,0,1,20120101,15220,CPT,FTH/GFT FREE W/DIRECT CLOSURE S/A/L 20 CM/<,,30,,,"$6,785.22",$0.00,1,0,1,20120101,15221,CPT,FTH/GFT FR W/DIR CLSR S/A/L EA ADDL 20 CM<,,30,,,"$2,041.45",$0.00,1,0,1,20120101,15240,CPT,FTH/GFT FR W/DIR CLSR F/C/C/M/N/AX/G/H/F 20 CM/<,,30,,,"$6,785.22",$0.00,1,0,1,20120101,15241,CPT,FTH/GT FR W/DIR CLSR F/C/C/M/N/AX/G/H/F EA20CM/<,,30,,,"$1,284.52",$0.00,1,0,1,20120101,15260,CPT,FTH/GFT FREE W/DIRECT CLOSURE N/E/E/L 20 SQ CM/<,,30,,,"$6,785.22",$0.00,1,0,1,20120101,15261,CPT,FTH/GFT FREE W/DIR CLSR N/E/E/L EA 20 SQ CM/<,,30,,,"$6,785.22",$0.00,1,0,1,20120101,15271,CPT,APP SKN SUB GRFT T/A/L AREA/<100SCM /<1ST 25 SCM,,30,,,"$1,284.52",$0.00,1,0,1,20120101,15272,CPT,APP SKN SUB GRFT T/A/L AREA/<100SCM EA ADL 25SCM,,30,,,$545.50,$0.00,1,0,1,20120101,15273,CPT,APP SKN SUB GRFT T/A/L AREA/>100SCM 1ST 100SCM,,30,,,"$2,041.45",$0.00,1,0,1,20120101,15274,CPT,APP SKN SUB GRFT T/A/L AREA/>100SCM ADL 100SCM,,30,,,"$1,284.52",$0.00,1,0,1,20120101,15275,CPT,SUB GRFT F/S/N/H/F/G/M/D /<100SCM /<1ST 25 SCM,,30,,,"$1,284.52",$0.00,1,0,1,20120101,15276,CPT,SUB GRFT F/S/N/H/F/G/M/D /<100SCM EA ADL 25SCM,,30,,,$545.50,$0.00,1,0,1,20120101,15277,CPT,SUB GRFT F/S/N/H/F/G/M/D />100SCM 1ST 100SCM,,30,,,"$2,041.45",$0.00,1,0,1,20120101,15278,CPT,SUB GRFT F/S/N/H/F/G/M/D />100SCM ADL 100SCM,,30,,,"$1,284.52",$0.00,1,0,1,20120101,15570,CPT,FRMJ DIRECT/TUBED PEDICLE W/WO TRANSFER TRUNK,,30,,,"$8,564.37",$0.00,1,0,1,20120101,15572,CPT,FRMJ DIRECT/TUBE PEDICLE W/WO TR SCALP ARMS/LEGS,,30,,,"$8,564.37",$0.00,1,0,1,20120101,15574,CPT,FRMJ DIR/TUBE PEDCL W/WOTR FT/CH/CH/M/N/AX/G/H/F,,30,,,"$8,564.37",$0.00,1,0,1,20120101,15576,CPT,FRMJ DIRECT/TUBED PEDICLE W/WOTR E/N/E/L/NTRORAL,,30,,,"$8,564.37",$0.00,1,0,1,20120101,15600,CPT,DELAY FLAP/SECTIONING FLAP TRUNK,,30,,,"$8,564.37",$0.00,1,0,1,20120101,15610,CPT,DELAY FLAP/SECTIONING FLAP SCALP ARMS/LEGS,,30,,,"$8,564.37",$0.00,1,0,1,20120101,15620,CPT,DELAY FLAP/SECTIONING FLAP F/C/C/N/AX/G/H/F,,30,,,"$8,564.37",$0.00,1,0,1,20120101,15630,CPT,DELAY FLAP/SCTJ FLAP EYELIDS NOSE EARS/LIPS,,30,,,"$8,564.37",$0.00,1,0,1,20120101,15650,CPT,TRANSFER ANY PEDICLE FLAP ANY LOCATION,,30,,,"$8,564.37",$0.00,1,0,1,20120101,15731,CPT,FOREHEAD FLAP W/PRESERVATION VASCULAR PEDICLE,,30,,,"$8,564.37",$0.00,1,0,1,20120101,15732,CPT,MUSC MYOCUTANEOUS/FASCIOCUTANEOUS FLAP HEAD&NCK,,30,,,"$8,564.37",$0.00,1,0,1,20120101,15734,CPT,MUSC MYOCUTANEOUS/FASCIOCUTANEOUS FLAP TRUNK,,30,,,"$8,564.37",$0.00,1,0,1,20120101,15736,CPT,MUSC MYOCUTANEOUS/FASCIOCUTANEOUS FLAP UXTR,,30,,,"$8,564.37",$0.00,1,0,1,20120101,15738,CPT,MUSC MYOCUTANEOUS/FASCIOCUTANEOUS FLAP LXTR,,30,,,"$8,564.37",$0.00,1,0,1,20120101,15740,CPT,FLAP ISLAND PEDICLE,,30,,,"$6,785.22",$0.00,1,0,1,20120101,15750,CPT,FLAP NEUROVASCULAR PEDICLE,,30,,,"$8,564.37",$0.00,1,0,1,20120101,15760,CPT,GRAFT COMPOSITE W/PRIMARY CLOSURE DONOR AREA,,30,,,"$8,564.37",$0.00,1,0,1,20120101,15770,CPT,GRAFT DERMA-FAT-FASCIA,,30,,,"$8,564.37",$0.00,1,0,1,20120101,15775,CPT,PUNCH GRAFT HAIR TRANSPLANT 1-15 PUNCH GRAFTS,,30,,,$545.50,$0.00,1,0,1,20120101,15776,CPT,PUNCH GRAFT HAIR TRANSPLANT >15 PUNCH GRAFTS,,30,,,$545.50,$0.00,1,0,1,20120101,15777,CPT,IMPLNT BIO IMPLNT FOR SOFT TISSUE REINFORCEMENT,,30,,,"$6,785.22",$0.00,1,0,1,20120101,15780,CPT,DERMABRASION TOTAL FACE,,30,,,"$9,197.85",$0.00,1,0,1,20120101,15781,CPT,DERMABRASION SEGMENTAL FACE,,30,,,"$1,994.44",$0.00,1,0,1,20120101,15782,CPT,DERMABRASION REGIONAL OTHER THAN FACE,,30,,,"$1,994.44",$0.00,1,0,1,20120101,15783,CPT,DERMABRASION SUPERFICIAL ANY SITE,,30,,,"$1,095.10",$0.00,1,0,1,20120101,15786,CPT,ABRASION 1 LESION,,30,,,$238.23,$0.00,1,0,1,20120101,15787,CPT,ABRASION EACH ADDITIONAL 4 LESIONS OR LESS,,30,,,$238.23,$0.00,1,0,1,20120101,15788,CPT,CHEMICAL PEEL FACIAL EPIDERMAL,,30,,,$238.23,$0.00,1,0,1,20120101,15789,CPT,CHEMICAL PEEL FACIAL DERMAL,,30,,,$372.19,$0.00,1,0,1,20120101,15792,CPT,CHEMICAL PEEL NONFACIAL EPIDERMAL,,30,,,$372.19,$0.00,1,0,1,20120101,15793,CPT,CHEMICAL PEEL NONFACIAL DERMAL,,30,,,$238.23,$0.00,1,0,1,20120101,15819,CPT,CERVICOPLASTY,,30,,,"$1,284.52",$0.00,1,0,1,20120101,15820,CPT,BLEPHAROPLASTY LOWER EYELID,,30,,,"$8,564.37",$0.00,1,0,1,20120101,15821,CPT,BLEPHAROPLASTY LOWER EYELID HERNIATED FAT PAD,,30,,,"$8,564.37",$0.00,1,0,1,20120101,15822,CPT,BLEPHAROPLASTY UPPER EYELID,,30,,,"$8,564.37",$0.00,1,0,1,20120101,15823,CPT,BLEPHAROPLASTY UPPER EYELID W/EXCESSIVE SKIN,,30,,,"$8,564.37",$0.00,1,0,1,20120101,15824,CPT,RHYTIDECTOMY FOREHEAD,,30,,,"$8,564.37",$0.00,1,0,1,20120101,15825,CPT,RHYTIDECTOMY NECK W/PLATYSMAL TIGHTENING,,30,,,"$8,564.37",$0.00,1,0,1,20120101,15826,CPT,RHYTIDECTOMY GLABELLAR FROWN LINES,,30,,,"$8,564.37",$0.00,1,0,1,20120101,15828,CPT,RHYTIDECTOMY CHEEK CHIN&NECK,,30,,,"$8,564.37",$0.00,1,0,1,20120101,15829,CPT,RHYTIDECTOMY SMAS FLAP,,30,,,"$8,564.37",$0.00,1,0,1,20120101,15830,CPT,EXCISION SKIN ABD INFRAUMBILICAL PANNICULECTOMY,,30,,,"$9,197.85",$0.00,1,0,1,20120101,15832,CPT,EXCISION EXCESSIVE SKIN&SUBQ TISSUE THIGH,,30,,,"$9,197.85",$0.00,1,0,1,20120101,15833,CPT,EXCISION EXCESSIVE SKIN&SUBQ TISSUE LEG,,30,,,"$9,197.85",$0.00,1,0,1,20120101,15834,CPT,EXCISION EXCESSIVE SKIN&SUBQ TISSUE HIP,,30,,,"$9,197.85",$0.00,1,0,1,20120101,15835,CPT,EXCISION EXCESSIVE SKIN&SUBQ TISSUE BUTTOCK,,30,,,"$9,197.85",$0.00,1,0,1,20120101,15836,CPT,EXCISION EXCESSIVE SKIN&SUBQ TISSUE ARM,,30,,,"$5,907.48",$0.00,1,0,1,20120101,15837,CPT,EXC EXCESSIVE SKIN&SUBQ TISSUE FOREARM/HAND,,30,,,"$5,907.48",$0.00,1,0,1,20120101,15838,CPT,EXC EXCSV SKIN&SUBQ TISSUE SUBMENTAL FAT PAD,,30,,,"$5,907.48",$0.00,1,0,1,20120101,15839,CPT,EXCISION EXCESSIVE SKIN&SUBQ TISSUE OTHER AREA,,30,,,"$5,907.48",$0.00,1,0,1,20120101,15840,CPT,GRAFT FACIAL NERVE PARALYSIS FREE FASCIAL GRAFT,,30,,,"$8,564.37",$0.00,1,0,1,20120101,15841,CPT,GRAFT FACIAL NERVE PARALYSIS FREE MUSCLE GRAFT,,30,,,"$8,564.37",$0.00,1,0,1,20120101,15842,CPT,GRF FACIAL NRV PALYSS FR MUSCLE FLAP MICROSURG,,30,,,"$8,564.37",$0.00,1,0,1,20120101,15845,CPT,GRF FACIAL NERVE PARALYSIS REGIONAL MUSCLE TR,,30,,,"$8,564.37",$0.00,1,0,1,20120101,15847,CPT,EXCISION EXCESSIVE SKIN & SUBQ TISSUE ABDOMEN,,30,,,"$9,197.85",$0.00,1,0,1,20120101,15850,CPT,REMOVAL SUTURES UNDER ANESTHESIA SAME SURGEON,,30,,,"$1,095.10",$0.00,1,0,1,20120101,15851,CPT,REMOVAL SUTURES UNDER ANESTHESIA OTHER SURGEON,,30,,,"$1,095.10",$0.00,1,0,1,20120101,15852,CPT,DRESSING CHANGE UNDER ANESTHESIA,,30,,,$303.61,$0.00,1,0,1,20120101,15860,CPT,IV INJECTION TEST VASCULAR FLOW FLAP/GRAFT,,30,,,$303.61,$0.00,1,0,1,20120101,15876,CPT,SUCTION ASSISTED LIPECTOMY HEAD&NECK,,30,,,"$8,564.37",$0.00,1,0,1,20120101,15877,CPT,SUCTION ASSISTED LIPECTOMY TRUNK,,30,,,"$8,564.37",$0.00,1,0,1,20120101,15878,CPT,SUCTION ASSISTED LIPECTOMY UPPER EXTREMITY,,30,,,"$8,564.37",$0.00,1,0,1,20120101,15879,CPT,SUCTION ASSISTED LIPECTOMY LOWER EXTREMITY,,30,,,"$8,564.37",$0.00,1,0,1,20120101,15920,CPT,EXC COCCYGEAL PR ULC W/COCCYGECTOMY W/PRIM SUTR,,30,,,"$1,994.44",$0.00,1,0,1,20120101,15922,CPT,EXC COCCYGEAL PR ULC W/COCCYGECTOMY W/FLAP CLSR,,30,,,"$8,564.37",$0.00,1,0,1,20120101,15931,CPT,EXCISION SACRAL PRESSURE ULCER W/PRIMARY SUTURE,,30,,,"$9,197.85",$0.00,1,0,1,20120101,15933,CPT,EXC SACRAL PRESSURE ULC W/PRIM SUTR W/OSTECTOMY,,30,,,"$9,197.85",$0.00,1,0,1,20120101,15934,CPT,EXCISION SACRAL PRESSURE ULCER W/SKIN FLAP CLSR,,30,,,"$8,564.37",$0.00,1,0,1,20120101,15935,CPT,EXC SACRAL PR ULCER W/SKN FLAP CLSR W/OSTECTOMY,,30,,,"$8,564.37",$0.00,1,0,1,20120101,15936,CPT,EXC SAC PR ULC PREPJ MUSC/MYOQ FLAP/SKN GRF CLSR,,30,,,"$6,785.22",$0.00,1,0,1,20120101,15937,CPT,EXC SAC PR ULC PREPJ MUSC/MYOQ FLAP/SKN GRF OSTC,,30,,,"$8,564.37",$0.00,1,0,1,20120101,15940,CPT,EXC ISCHIAL PRESSURE ULCER W/PRIMARY SUTURE,,30,,,"$9,197.85",$0.00,1,0,1,20120101,15941,CPT,EXC ISCHIAL PR ULC W/PRIM SUTR W/OSTC ISCHIECT,,30,,,"$9,197.85",$0.00,1,0,1,20120101,15944,CPT,EXC ISCHIAL PRESSURE ULCER W/SKIN FLAP CLOSURE,,30,,,"$8,564.37",$0.00,1,0,1,20120101,15945,CPT,EXC ISCHIAL PR ULC W/SKN FLAP CLSR W/OSTECTOMY,,30,,,"$8,564.37",$0.00,1,0,1,20120101,15946,CPT,EXC ISCHIAL PR ULCER W/OSTC MUSC/MYOQ FLAP/SKIN,,30,,,"$8,564.37",$0.00,1,0,1,20120101,15950,CPT,EXC TROCHANTERIC PRESSURE ULCER W/PRIMARY SUTR,,30,,,"$9,197.85",$0.00,1,0,1,20120101,15951,CPT,EXC TRCHNTRIC PR ULCER W/PRIM SUTR W/OSTECTOMY,,30,,,"$9,197.85",$0.00,1,0,1,20120101,15952,CPT,EXC TROCHANTERIC PR ULCER W/SKIN FLAP CLOSURE,,30,,,"$6,785.22",$0.00,1,0,1,20120101,15953,CPT,EXC TRCHNTRIC PR ULC W/SKN FLAP CLSR W/OSTECTOMY,,30,,,"$6,785.22",$0.00,1,0,1,20120101,15956,CPT,EXC TROCHANTERIC PR ULCER MUSC/MYOQ FLAP/SKIN,,30,,,"$6,785.22",$0.00,1,0,1,20120101,15958,CPT,EXC TRCHNTRIC PR ULC MUSC/MYOQ FLAP/SKIN W/OSTC,,30,,,"$6,785.22",$0.00,1,0,1,20120101,15999,CPT,UNLISTED PROCEDURE EXCISION PRESSURE ULCER,,30,,,"$1,994.44",$0.00,1,0,1,20120101,16000,CPT,INITIAL TX 1ST DEGREE BURN LOCAL TX,,30,,,$238.23,$0.00,1,0,1,20120101,16020,CPT,DRS&/DBRDMT PRTL-THKNS BURNS 1ST/SBSQ SMALL,,30,,,$372.19,$0.00,1,0,1,20120101,16025,CPT,DRS&/DBRDMT PRTL-THKNS BURNS 1ST/SBSQ MEDIUM,,30,,,$372.19,$0.00,1,0,1,20120101,16030,CPT,DRS&/DBRDMT PRTL-THKNS BURNS 1ST/SBSQ LARGE,,30,,,$372.19,$0.00,1,0,1,20120101,16035,CPT,ESCHAROTOMY FIRST INCISION,,30,,,$372.19,$0.00,1,0,1,20120101,17000,CPT,DESTRUCTION PREMALIGNANT LESION 1ST,,30,,,$238.23,$0.00,1,0,1,20120101,17003,CPT,DESTRUCTION PREMALIGNANT LESION 2-14 EA,,30,,,$131.65,$0.00,1,0,1,20120101,17004,CPT,DESTRUCTION PREMALIGNANT LESION 15/>,,30,,,"$1,095.10",$0.00,1,0,1,20120101,17106,CPT,DESTRUCTION CUTANEOUS VASC PROLIFERATIVE <10CM,,30,,,"$1,095.10",$0.00,1,0,1,20120101,17107,CPT,DSTRJ CUTANEOUS VASCULAR LESIONS 10.0-50.0 SQ CM,,30,,,"$1,095.10",$0.00,1,0,1,20120101,17108,CPT,DSTRJ CUTANEOUS VASCULAR LESIONS >50.0 SQ CM,,30,,,"$1,095.10",$0.00,1,0,1,20120101,17110,CPT,DESTRUCTION BENIGN LESIONS UP TO 14,,30,,,$238.23,$0.00,1,0,1,20120101,17111,CPT,DESTRUCTION BENIGN LESIONS 15/>,,30,,,$372.19,$0.00,1,0,1,20120101,17250,CPT,CHEMICAL CAUTERIZATION GRANULATION TISSUE,,30,,,$372.19,$0.00,1,0,1,20120101,17260,CPT,DESTRUCTION MALIGNANT LESION T/A/L 0.5 CM/<,,30,,,$372.19,$0.00,1,0,1,20120101,17261,CPT,DESTRUCTION MAL LESION TRUNK/ARM/LEG 0.6-1.0 CM,,30,,,$372.19,$0.00,1,0,1,20120101,17262,CPT,DESTRUCTION MAL LESION TRUNK/ARM/LEG 1.1-2.0CM,,30,,,$372.19,$0.00,1,0,1,20120101,17263,CPT,DESTRUCTION MAL LESION TRUNK/ARM/LEG 2.1-3.0CM,,30,,,$372.19,$0.00,1,0,1,20120101,17264,CPT,DESTRUCTION MAL LESION TRUNK/ARM/LEG 3.1-4.0CM,,30,,,$372.19,$0.00,1,0,1,20120101,17266,CPT,DESTRUCTION MAL LESION TRUNK/ARM/LEG > 4.0 CM,,30,,,"$1,095.10",$0.00,1,0,1,20120101,17270,CPT,DESTRUCTION MALIGNANT LESION S/N/H/F/G 0.5 CM/<,,30,,,$372.19,$0.00,1,0,1,20120101,17271,CPT,DESTRUCTION MALIGNANT LESION S/N/H/F/G 0.6-1.0CM,,30,,,$372.19,$0.00,1,0,1,20120101,17272,CPT,DESTRUCTION MALIGNANT LESION S/N/H/F/G 1.1-2.0CM,,30,,,$372.19,$0.00,1,0,1,20120101,17273,CPT,DESTRUCTION MALIGNANT LESION S/N/H/F/G 2.1-3.0CM,,30,,,"$1,095.10",$0.00,1,0,1,20120101,17274,CPT,DESTRUCTION MALIGNANT LESION S/N/H/F/G 3.1-4.0CM,,30,,,"$1,095.10",$0.00,1,0,1,20120101,17276,CPT,DSTRJ MAL LES S/N/H/F/G LES DIAM > 4.0 CM,,30,,,"$1,095.10",$0.00,1,0,1,20120101,17280,CPT,DESTRUCTION MALIGNANT LESION F/E/E/N/L/M 0.5CM/<,,30,,,$372.19,$0.00,1,0,1,20120101,17281,CPT,DESTRUCTION MAL LESION F/E/E/N/L/M 0.6-1.0CM,,30,,,"$1,095.10",$0.00,1,0,1,20120101,17282,CPT,DESTRUCTION MAL LESION F/E/E/N/L/M 1.1-2.0CM,,30,,,"$1,095.10",$0.00,1,0,1,20120101,17283,CPT,DESTRUCTION MAL LESION F/E/E/N/L/M 2.1-3.0CM,,30,,,"$1,095.10",$0.00,1,0,1,20120101,17284,CPT,DESTRUCTION MAL LESION F/E/E/N/L/M 3.1-4.0CM,,30,,,"$1,095.10",$0.00,1,0,1,20120101,17286,CPT,DESTRUCTION MAL LESION F/E/E/N/L/M > 4.0 CM,,30,,,"$1,095.10",$0.00,1,0,1,20120101,17311,CPT,MOHS MICROGRAPHIC H/N/H/F/G 1ST STAGE 5 BLOCKS,,30,,,"$2,108.84",$0.00,1,0,1,20120101,17312,CPT,MOHS MICROGRAPHIC H/N/H/F/G EACH ADDL STAGE,,30,,,"$2,108.84",$0.00,1,0,1,20120101,17313,CPT,MOHS TRUNK/ARM/LEG 1ST STAGE 5 BLOCKS,,30,,,"$2,108.84",$0.00,1,0,1,20120101,17314,CPT,MOHS TRUNK/ARM/LEG EA STAGE AFTER 1ST STAGE,,30,,,"$2,108.84",$0.00,1,0,1,20120101,17315,CPT,MOHS TRUNK/ARM/LEG EA ADDL BLOCK ANY STAGE,,30,,,"$2,108.84",$0.00,1,0,1,20120101,17340,CPT,CRYOTHERAPY CO2 SLUSH LIQUID N2 ACNE,,30,,,$238.23,$0.00,1,0,1,20120101,17360,CPT,CHEMICAL EXFOLIATION ACNE,,30,,,$372.19,$0.00,1,0,1,20120101,17380,CPT,ELECTROLYSIS EPILATION EACH 30 MINUTES,,30,,,$372.19,$0.00,1,0,1,20120101,17999,CPT,UNLISTED PX SKIN MUC MEMBRANE &SUBQ TISSUE,,30,,,$131.65,$0.00,1,0,1,20120101,19000,CPT,PUNCTURE ASPIRATION CYST BREAST,,30,,,"$1,815.32",$0.00,1,0,1,20120101,19001,CPT,PUNCTURE ASPIRATION BREAST EACH ADDITIONAL CYST,,30,,,$685.88,$0.00,1,0,1,20120101,19020,CPT,MASTOTOMY W/EXPLORATION/DRAINAGE ABSCESS DEEP,,30,,,"$8,067.87",$0.00,1,0,1,20120101,19100,CPT,BX BREAST NEEDLE CORE W/O IMAGING GUIDANCE SPX,,30,,,"$1,815.32",$0.00,1,0,1,20120101,19101,CPT,BIOPSY BREAST OPEN INCISIONAL,,30,,,"$8,824.32",$0.00,1,0,1,20120101,19102,CPT,BIOPSY BREAST NEEDLE CORE W/IMAGING GUIDANCE,,30,,,"$3,197.86",$0.00,1,0,1,20120101,19103,CPT,BREAST BIOPSY VACUUM ASSISTED/ROTATING DEVICE,,30,,,"$6,032.98",$0.00,1,0,1,20120101,19105,CPT,ABLTJ CRYOSURGICAL W/US GID EA FIBROADENOMA,,30,,,"$12,807.03",$0.00,1,0,1,20120101,19110,CPT,NIPPLE EXPLORATION,,30,,,"$8,824.32",$0.00,1,0,1,20120101,19112,CPT,EXCISION LACTIFEROUS DUCT FISTULA,,30,,,"$8,824.32",$0.00,1,0,1,20120101,19120,CPT,EXC CYST/ABERRANT BREAST TISSUE OPEN 1/> LESIONS,,30,,,"$8,824.32",$0.00,1,0,1,20120101,19125,CPT,EXC BREAST LES PREOP PLMT RAD MARKER OPEN 1 LES,,30,,,"$8,824.32",$0.00,1,0,1,20120101,19126,CPT,EXC BRST LES PREOP PLMT RAD MARKER OPN EA ADDL,,30,,,"$8,824.32",$0.00,1,0,1,20120101,19260,CPT,EXCISION CHEST WALL TUMOR INCLUDING RIBS,,30,,,"$5,907.48",$0.00,1,0,1,20120101,19295,CPT,IMG GID PLMT MTLC LOCLZJ CLIP PRQ BRST BX/ASPIR,,30,,,$303.61,$0.00,1,0,1,20120101,19296,CPT,PLMT EXPANDABLE CATH BRST FOLLOWING PRTL MAST,,30,,,"$19,607.14",$0.00,1,0,1,20120101,19297,CPT,PLMT EXPANDABLE CATH BRST CONCURRENT PRTL MAST,,30,,,"$19,607.14",$0.00,1,0,1,20120101,19298,CPT,PLMT RADTHX BRACHYTX BRST FOLLOWING PRTL MAST,,30,,,"$19,607.14",$0.00,1,0,1,20120101,19300,CPT,MASTECTOMY GYNECOMASTIA,,30,,,"$8,824.32",$0.00,1,0,1,20120101,19301,CPT,MASTECTOMY PARTIAL,,30,,,"$8,824.32",$0.00,1,0,1,20120101,19302,CPT,MASTECTOMY PARTIAL W/AXILLARY LYMPHADENECTOMY,,30,,,"$15,963.04",$0.00,1,0,1,20120101,19303,CPT,MASTECTOMY SIMPLE COMPLETE,,30,,,"$12,807.03",$0.00,1,0,1,20120101,19304,CPT,MASTECTOMY SUBCUTANEOUS,,30,,,"$12,807.03",$0.00,1,0,1,20120101,19307,CPT,MAST MODF RAD W/AX LYMPH NOD W/WO PECT/ALIS MIN,,30,,,"$15,963.04",$0.00,1,0,1,20120101,19316,CPT,MASTOPEXY,,30,,,"$12,807.03",$0.00,1,0,1,20120101,19318,CPT,REDUCTION MAMMAPLASTY,,30,,,"$15,963.04",$0.00,1,0,1,20120101,19324,CPT,MAMMAPLASTY AUGMENTATION W/O PROSTHETIC IMPLANT,,30,,,"$15,963.04",$0.00,1,0,1,20120101,19325,CPT,MAMMAPLASTY AUGMENTATION W/PROSTHETIC IMPLANT,,30,,,"$19,607.14",$0.00,1,0,1,20120101,19328,CPT,REMOVAL INTACT MAMMARY IMPLANT,,30,,,"$12,807.03",$0.00,1,0,1,20120101,19330,CPT,REMOVAL MAMMARY IMPLANT MATERIAL,,30,,,"$12,807.03",$0.00,1,0,1,20120101,19340,CPT,IMMT INSJ BRST PROSTH FLWG MASTOPEXY MAST/RCNSTJ,,30,,,"$15,963.04",$0.00,1,0,1,20120101,19342,CPT,DLYD INSJ BRST PROSTH FLWG MASTOPEXY MAST/RCNSTJ,,30,,,"$19,607.14",$0.00,1,0,1,20120101,19350,CPT,NIPPLE/AREOLA RECONSTRUCTION,,30,,,"$8,824.32",$0.00,1,0,1,20120101,19355,CPT,CORRECTION INVERTED NIPPLES,,30,,,"$12,807.03",$0.00,1,0,1,20120101,19357,CPT,BRST RCNSTJ IMMT/DLYD W/TISS EXPANDER SBSQ XPNSJ,,30,,,"$19,607.14",$0.00,1,0,1,20120101,19366,CPT,BREAST RECONSTRUCTION OTHER TECHNIQUE,,30,,,"$12,807.03",$0.00,1,0,1,20120101,19370,CPT,OPEN PERIPROSTHETIC CAPSULOTOMY BREAST,,30,,,"$12,807.03",$0.00,1,0,1,20120101,19371,CPT,PERIPROSTHETIC CAPSULECTOMY BREAST,,30,,,"$12,807.03",$0.00,1,0,1,20120101,19380,CPT,REVISION RECONSTRUCTED BREAST,,30,,,"$15,963.04",$0.00,1,0,1,20120101,19396,CPT,PREPARATION MOULAGE CUSTOM BREAST IMPLANT,,30,,,"$12,807.03",$0.00,1,0,1,20120101,19499,CPT,UNLISTED PROCEDURE BREAST,,30,,,"$8,824.32",$0.00,1,0,1,20120101,20005,CPT,I&D SOFT TISSUE ABSCESS SUBFASC,,30,,,"$3,122.57",$0.00,1,0,1,20120101,20100,CPT,EXPLORATION PENETRATING WOUND SPX NECK,,30,,,"$3,156.16",$0.00,1,0,1,20120101,20101,CPT,EXPLORATION PENETRATING WOUND SPX CHEST,,30,,,"$8,564.37",$0.00,1,0,1,20120101,20102,CPT,EXPL PENETRATING WOUND SPX ABDOMEN/FLANK/BACK,,30,,,"$8,564.37",$0.00,1,0,1,20120101,20103,CPT,EXPLORATION PENETRATING WOUND SPX EXTREMITY,,30,,,"$5,293.97",$0.00,1,0,1,20120101,20150,CPT,EXCISION EPIPHYSEAL BAR,,30,,,"$16,487.66",$0.00,1,0,1,20120101,20200,CPT,BIOPSY MUSCLE SUPERFICIAL,,30,,,"$5,907.48",$0.00,1,0,1,20120101,20205,CPT,BIOPSY MUSCLE DEEP,,30,,,"$5,907.48",$0.00,1,0,1,20120101,20206,CPT,BIOPSY MUSCLE PERCUTANEOUS NEEDLE,,30,,,"$3,197.86",$0.00,1,0,1,20120101,20220,CPT,BIOPSY BONE TROCAR/NEEDLE SUPERFICIAL,,30,,,"$3,122.57",$0.00,1,0,1,20120101,20225,CPT,BIOPSY BONE TROCAR/NEEDLE DEEP,,30,,,"$5,907.48",$0.00,1,0,1,20120101,20240,CPT,BIOPSY BONE OPEN SUPERFICIAL,,30,,,"$9,197.85",$0.00,1,0,1,20120101,20245,CPT,BIOPSY BONE OPEN DEEP,,30,,,"$9,197.85",$0.00,1,0,1,20120101,20250,CPT,BIOPSY VERTEBRAL BODY OPEN THORACIC,,30,,,"$12,366.14",$0.00,1,0,1,20120101,20251,CPT,BIOPSY VERTEBRAL BODY OPEN LUMBAR/CERVICAL,,30,,,"$12,366.14",$0.00,1,0,1,20120101,20500,CPT,INJECTION SINUS TRACT THERAPEUTIC SEPARATE PROC,,30,,,"$3,156.16",$0.00,1,0,1,20120101,20520,CPT,REMOVAL FOREIGN BODY MUSCLE/TENDON SHEATH SIMPLE,,30,,,"$1,994.44",$0.00,1,0,1,20120101,20525,CPT,RMVL FOREIGN BODY MUSCLE/TENDON SHEATH DEEP/COMP,,30,,,"$9,197.85",$0.00,1,0,1,20120101,20526,CPT,INJECTION THERAPEUTIC CARPAL TUNNEL,,30,,,$875.36,$0.00,1,0,1,20120101,20527,CPT,INJECTION ENZYME PALMAR FASCIAL CORD,,30,,,$875.36,$0.00,1,0,1,20120101,20550,CPT,INJECTION 1 TENDON SHEATH/LIGAMENT APONEUROSIS,,30,,,$875.36,$0.00,1,0,1,20120101,20551,CPT,INJECTION SINGLE TENDON ORIGIN/INSERTION,,30,,,$875.36,$0.00,1,0,1,20120101,20552,CPT,INJECTION SINGLE/MLT TRIGGER POINT 1/2 MUSCLES,,30,,,$875.36,$0.00,1,0,1,20120101,20553,CPT,INJECTION SINGLE/MLT TRIGGER POINT 3/> MUSCLES,,30,,,$875.36,$0.00,1,0,1,20120101,20555,CPT,PLACEMENT NEEDLES MUSCLE SUBSEQUENT RADIOELEMENT,,30,,,"$12,366.14",$0.00,1,0,1,20120101,20600,CPT,ARTHROCENTESIS ASPIR&/INJECTION SMALL JT/BURSA,,30,,,$875.36,$0.00,1,0,1,20120101,20605,CPT,ARTHROCENTESIS ASPIR&/INJECTION INTERM JT/BURSA,,30,,,$875.36,$0.00,1,0,1,20120101,20610,CPT,ARTHROCENTESIS ASPIR&/INJECTION MAJOR JT/BURSA,,30,,,$875.36,$0.00,1,0,1,20120101,20612,CPT,ASPIRATION&/INJECTION GANGLION CYST ANY LOCATION,,30,,,$875.36,$0.00,1,0,1,20120101,20615,CPT,ASPIRATION&INJECTION TREATMENT BONE CYST,,30,,,"$1,815.32",$0.00,1,0,1,20120101,20650,CPT,INSERTION WIRE/PIN W/APPL SKELETAL TRACTION SPX,,30,,,"$12,366.14",$0.00,1,0,1,20120101,20660,CPT,APPL CRANIAL TONG/STRTCTC FRAME W/REMOVAL SPX,,30,,,"$1,959.01",$0.00,1,0,1,20120101,20662,CPT,APPLICATION HALO PELVIC INCLUDING REMOVAL,,30,,,"$8,707.06",$0.00,1,0,1,20120101,20663,CPT,APPLICATION HALO FEMORAL INCLUDING REMOVAL,,30,,,"$12,366.14",$0.00,1,0,1,20120101,20665,CPT,REMOVAL TONG/HALO APPLIED BY ANOTHER PHYSICIAN,,30,,,$303.61,$0.00,1,0,1,20120101,20670,CPT,REMOVAL IMPLANT SUPERFICIAL SEPARATE PROCEDURE,,30,,,"$5,907.48",$0.00,1,0,1,20120101,20680,CPT,REMOVAL IMPLANT DEEP,,30,,,"$9,197.85",$0.00,1,0,1,20120101,20690,CPT,APPLICATION UNIPLANE EXTERNAL FIXATION SYSTEM,,30,,,"$12,366.14",$0.00,1,0,1,20120101,20692,CPT,APPLICATION MULTIPLANE EXTERNAL FIXATION SYSTEM,,30,,,"$12,366.14",$0.00,1,0,1,20120101,20693,CPT,ADJUSTMENT/REVJ XTRNL FIXATION SYSTEM REQ ANES,,30,,,"$12,366.14",$0.00,1,0,1,20120101,20694,CPT,REMOVAL EXTERNAL FIXATION SYSTEM UNDER ANES,,30,,,"$8,707.06",$0.00,1,0,1,20120101,20696,CPT,XTRNL FIXJ W/STEREOTACTIC ADJUSTMENT 1ST&SUBQ,,30,,,"$12,366.14",$0.00,1,0,1,20120101,20697,CPT,XTRNL FIXJ W/STRTCTC ADJUSTMENT EXCHANGE STRUT,,30,,,"$7,342.04",$0.00,1,0,1,20120101,20822,CPT,RPLJ DGT EXCLUDING THMB SUBLIMIS TDN COMPL AMP,,30,,,"$11,285.92",$0.00,1,0,1,20120101,20900,CPT,BONE GRAFT ANY DONOR AREA MINOR/SMALL,,30,,,"$12,366.14",$0.00,1,0,1,20120101,20902,CPT,BONE GRAFT ANY DONOR AREA MAJOR/LARGE,,30,,,"$12,366.14",$0.00,1,0,1,20120101,20910,CPT,CARTILAGE GRAFT COSTOCHONDRAL,,30,,,"$8,564.37",$0.00,1,0,1,20120101,20912,CPT,CARTILAGE GRAFT NASAL SEPTUM,,30,,,"$8,564.37",$0.00,1,0,1,20120101,20920,CPT,FASCIA LATA GRAFT BY STRIPPER,,30,,,"$6,785.22",$0.00,1,0,1,20120101,20922,CPT,FASCIA LATA GRAFT INCISION & AREA EXPOSURE,,30,,,"$6,785.22",$0.00,1,0,1,20120101,20924,CPT,TENDON GRAFT FROM A DISTANCE,,30,,,"$12,366.14",$0.00,1,0,1,20120101,20926,CPT,TISSUE GRAFTS OTHER,,30,,,"$2,041.45",$0.00,1,0,1,20120101,20950,CPT,MNTR INTERSTITIAL FLUID PRESSURE CMPRT SYNDROME,,30,,,$650.02,$0.00,1,0,1,20120101,20972,CPT,FREE OSTQ FLAP W/MVASC ANASTOMOSIS METATARSAL,,30,,,"$18,744.02",$0.00,1,0,1,20120101,20973,CPT,FR OSTQ FLAP W/MVASC ANAST GRT TOE W/WEB SPACE,,30,,,"$18,744.02",$0.00,1,0,1,20120101,20979,CPT,LOW INTENSITY US STIMJ BONE HEALING NONINVASIVE,,30,,,$303.61,$0.00,1,0,1,20120101,20982,CPT,ABLATION BONE TUMOR RF PERCUTANEOUS CT GUIDANCE,,30,,,"$16,487.66",$0.00,1,0,1,20120101,20999,CPT,UNLISTED PROCEDURE MUSCSKELETAL SYSTEM GENERAL,,30,,,"$8,707.06",$0.00,1,0,1,20120101,21010,CPT,ARTHROTOMY TEMPOROMANDIBULAR JOINT,,30,,,"$9,873.83",$0.00,1,0,1,20120101,21011,CPT,EXCISION TUMOR SOFT TISS FACE/SCALP SUBQ < 2CM,,30,,,"$3,122.57",$0.00,1,0,1,20120101,21012,CPT,EXCISION TUMOR SOFT TISS FACE/SCALP SUBQ 2 CM/>,,30,,,"$3,122.57",$0.00,1,0,1,20120101,21013,CPT,EXC TUMOR SOFT TISS FACE&SCALP SUBFASCIAL < 2CM,,30,,,"$3,122.57",$0.00,1,0,1,20120101,21014,CPT,EXC TUMOR SOFT TISS FACE&SCALP SUBFASCIAL 2 CM/>,,30,,,"$3,122.57",$0.00,1,0,1,20120101,21015,CPT,RAD RESECTION TUMOR SOFT TISS FACE/SCALP < 2CM,,30,,,"$5,907.48",$0.00,1,0,1,20120101,21016,CPT,RAD RESECTION TUMOR SOFT TISS FACE/SCALP 2 CM/>,,30,,,"$9,197.85",$0.00,1,0,1,20120101,21025,CPT,EXCISION BONE MANDIBLE,,30,,,"$15,971.08",$0.00,1,0,1,20120101,21026,CPT,EXCISION FACIAL BONE,,30,,,"$15,971.08",$0.00,1,0,1,20120101,21029,CPT,REMOVAL CONTOURING BENIGN TUMOR FACIAL BONE,,30,,,"$15,971.08",$0.00,1,0,1,20120101,21030,CPT,EXC BENIGN TUMOR/CYST MAXL/ZYGOMA ENCL & CURTG,,30,,,"$9,873.83",$0.00,1,0,1,20120101,21031,CPT,EXCISION TORUS MANDIBULARIS,,30,,,"$9,873.83",$0.00,1,0,1,20120101,21032,CPT,EXCISION MAXILLARY TORUS PALATINUS,,30,,,"$9,873.83",$0.00,1,0,1,20120101,21034,CPT,EXCISION MALIGNANT TUMOR MAXILLA/ZYGOMA,,30,,,"$15,971.08",$0.00,1,0,1,20120101,21040,CPT,EXCISION BENIGN TUMOR/CYST MANDIBLE ENCL&/CURTG,,30,,,"$9,873.83",$0.00,1,0,1,20120101,21044,CPT,EXCISION MALIGNANT TUMOR MANDIBLE,,30,,,"$15,971.08",$0.00,1,0,1,20120101,21046,CPT,EXC BENIGN TUMOR/CYST MNDBL INTRA-ORAL OSTEOT,,30,,,"$15,971.08",$0.00,1,0,1,20120101,21047,CPT,EXC B9 TUM/CST MNDBL XTR-ORAL OSTEOT&PRTL MNDBLC,,30,,,"$15,971.08",$0.00,1,0,1,20120101,21048,CPT,EXC BENIGN TUMOR/CYST MAXL INTRA-ORAL OSTEOT,,30,,,"$15,971.08",$0.00,1,0,1,20120101,21049,CPT,EXC B9 TUM/CST MAXL XTR-ORAL OSTEOT&PRTL MAXLCT,,30,,,"$15,971.08",$0.00,1,0,1,20120101,21050,CPT,CONDYLECTOMY TEMPOROMANDIBULAR JOINT SPX,,30,,,"$15,971.08",$0.00,1,0,1,20120101,21060,CPT,MENISCECTOMY PRTL/COMPL TEMPOROMANDIBULAR JT SPX,,30,,,"$15,971.08",$0.00,1,0,1,20120101,21070,CPT,CORONOIDECTOMY SPX,,30,,,"$15,971.08",$0.00,1,0,1,20120101,21073,CPT,MANIPULATION TMJ THERAPEUTIC REQUIRE ANESTHESIA,,30,,,"$3,156.16",$0.00,1,0,1,20120101,21076,CPT,IMPRESSION&PREPARATION SURG OBTURATOR PROSTHESIS,,30,,,"$9,873.83",$0.00,1,0,1,20120101,21077,CPT,IMPRESSION & PREPARATION ORBITAL PROSTHESIS,,30,,,"$15,971.08",$0.00,1,0,1,20120101,21079,CPT,IMPRESSION&PREPARATION INTERIM OBTURATOR PROSTH,,30,,,"$15,971.08",$0.00,1,0,1,20120101,21080,CPT,IMPRESSION&PREPJ DEFINITIVE OBTURATOR PROSTHESIS,,30,,,"$15,971.08",$0.00,1,0,1,20120101,21081,CPT,IMPRESSION&PREPJ MANDIBULAR RESECTION PROSTHESIS,,30,,,"$15,971.08",$0.00,1,0,1,20120101,21082,CPT,IMPRESSION&PREPJ PALATAL AUGMENTATION PROSTHESIS,,30,,,"$15,971.08",$0.00,1,0,1,20120101,21083,CPT,IMPRESSION&PREPARATION PALATAL LIFT PROSTHESIS,,30,,,"$15,971.08",$0.00,1,0,1,20120101,21084,CPT,IMPRESSION&PREPARATION SPEECH AID PROSTHESIS,,30,,,"$15,971.08",$0.00,1,0,1,20120101,21085,CPT,IMPRESSION&PREPARATION ORAL SURGICAL SPLINT,,30,,,"$6,645.19",$0.00,1,0,1,20120101,21086,CPT,IMPRESSION&PREPARATION AURICULAR PROSTHESIS,,30,,,"$15,971.08",$0.00,1,0,1,20120101,21087,CPT,IMPRESSION&PREPARATION NASAL PROSTHESIS,,30,,,"$15,971.08",$0.00,1,0,1,20120101,21088,CPT,IMPRESSION&PREPARATION FACIAL PROSTHESIS,,30,,,"$15,971.08",$0.00,1,0,1,20120101,21089,CPT,UNLISTED MAXILLOFACIAL PROSTHETIC PROCEDURE,,30,,,$488.97,$0.00,1,0,1,20120101,21100,CPT,APPL HALO APPLIANCE MAXILLOFACIAL FIXATION SPX,,30,,,"$15,971.08",$0.00,1,0,1,20120101,21110,CPT,APPL INTERDENTAL FIXATION DEVICE NON-FX/DISLC,,30,,,"$3,156.16",$0.00,1,0,1,20120101,21120,CPT,GENIOPLASTY AUGMENTATION,,30,,,"$9,873.83",$0.00,1,0,1,20120101,21121,CPT,GENIOPLASTY SLIDING OSTEOTOMY SINGLE PIECE,,30,,,"$9,873.83",$0.00,1,0,1,20120101,21122,CPT,GENIOPLASTY 2/> SLIDING OSTEOTOMIES,,30,,,"$9,873.83",$0.00,1,0,1,20120101,21123,CPT,GENIOP SLIDING AGMNTJ W/INTERPOSAL BONE GRAFTS,,30,,,"$9,873.83",$0.00,1,0,1,20120101,21125,CPT,AGMNTJ MNDBLR BODY/ANGLE PROSTHETIC MATERIAL,,30,,,"$9,873.83",$0.00,1,0,1,20120101,21127,CPT,AGMNTJ MNDBLR BDY/ANGL W/B1 GRF ONLAY/INTERPOSAL,,30,,,"$15,971.08",$0.00,1,0,1,20120101,21137,CPT,REDUCTION FOREHEAD CONTOURING ONLY,,30,,,"$9,873.83",$0.00,1,0,1,20120101,21138,CPT,RDCTJ FHD CNTRG&PROSTHETIC MATRL/BONE GRAFT,,30,,,"$15,971.08",$0.00,1,0,1,20120101,21139,CPT,RDCTJ FHD CNTRG&SETBACK ANT FRONTAL SINUS WALL,,30,,,"$15,971.08",$0.00,1,0,1,20120101,21150,CPT,RCNSTJ MIDFACE LEFORT II ANTERIOR INTRUSION,,30,,,"$15,971.08",$0.00,1,0,1,20120101,21172,CPT,RCNSTJ SUPERIOR-LATERAL ORBITAL RIM&LOWER FHD,,30,,,"$15,971.08",$0.00,1,0,1,20120101,21175,CPT,RCNSTJ BIFRONTAL SUPERIOR-LAT ORB RIMS&LWR FHD,,30,,,"$15,971.08",$0.00,1,0,1,20120101,21181,CPT,RCNSTJ CONTOURING BENIGN TUMOR CRNL BONES XTRC,,30,,,"$9,873.83",$0.00,1,0,1,20120101,21193,CPT,RCNSTJ MNDBLR RAMI HRZNTL/VER/C/L OSTEOT W/O GRF,,30,,,"$15,971.08",$0.00,1,0,1,20120101,21195,CPT,RCNSTJ MNDBLR RAMI&/BODY SGTL SPLT W/O INT RGD,,30,,,"$15,971.08",$0.00,1,0,1,20120101,21198,CPT,OSTEOTOMY MANDIBLE SEGMENTAL,,30,,,"$15,971.08",$0.00,1,0,1,20120101,21199,CPT,OSTEOTOMY MANDIBLE SGMTL W/GENIOGLOSSUS ADVMNT,,30,,,"$15,971.08",$0.00,1,0,1,20120101,21206,CPT,OSTEOTOMY MAXILLA SEGMENTAL,,30,,,"$15,971.08",$0.00,1,0,1,20120101,21208,CPT,OSTEOPLASTY FACIAL BONES AUGMENTATION,,30,,,"$15,971.08",$0.00,1,0,1,20120101,21209,CPT,OSTEOPLASTY FACIAL BONES REDUCTION,,30,,,"$15,971.08",$0.00,1,0,1,20120101,21210,CPT,GRAFT BONE NASAL/MAXILLARY/MALAR AREAS,,30,,,"$15,971.08",$0.00,1,0,1,20120101,21215,CPT,GRAFT BONE MANDIBLE,,30,,,"$15,971.08",$0.00,1,0,1,20120101,21230,CPT,GRAFT RIB CRTLG AUTOGENOUS FACE/CHIN/NOSE/EAR,,30,,,"$15,971.08",$0.00,1,0,1,20120101,21235,CPT,GRAFT EAR CRTLG AUTOGENOUS NOSE/EAR,,30,,,"$9,873.83",$0.00,1,0,1,20120101,21240,CPT,ARTHRP TEMPOROMANDIBULAR JOINT W/WO AUTOGRAFT,,30,,,"$15,971.08",$0.00,1,0,1,20120101,21242,CPT,ARTHROPLASTY TEMPOROMANDIBULAR JT W/ALLOGRAFT,,30,,,"$15,971.08",$0.00,1,0,1,20120101,21243,CPT,ARTHRP TMPRMAND JOINT W/PROSTHETIC REPLACEMENT,,30,,,"$15,971.08",$0.00,1,0,1,20120101,21244,CPT,RCNSTJ MNDBL XTRORAL W/TRANSOSTEAL BONE PLATE,,30,,,"$15,971.08",$0.00,1,0,1,20120101,21245,CPT,RCNSTJ MNDBL/MAXL SUBPRIOSTEAL IMPLANT PARTIAL,,30,,,"$15,971.08",$0.00,1,0,1,20120101,21246,CPT,RCNSTJ MNDBL/MAXL SUBPRIOSTEAL IMPLANT COMPLETE,,30,,,"$15,971.08",$0.00,1,0,1,20120101,21248,CPT,RCNSTJ MANDIBLE/MAXL ENDOSTEAL IMPLANT PARTIAL,,30,,,"$15,971.08",$0.00,1,0,1,20120101,21249,CPT,RCNSTJ MANDIBLE/MAXL ENDOSTEAL IMPLANT COMPLETE,,30,,,"$15,971.08",$0.00,1,0,1,20120101,21256,CPT,RECONSTRUCTION ORBIT W/OSTEOTOMIES&BONE GRAFTS,,30,,,"$15,971.08",$0.00,1,0,1,20120101,21260,CPT,PERIORBITAL OSTEOTOMIES BONE GRAFTS EXTRACRANIAL,,30,,,"$15,971.08",$0.00,1,0,1,20120101,21261,CPT,PERIORBITAL OSTEOTOMIES W/BONE GRAFTS ICRA&XTRC,,30,,,"$15,971.08",$0.00,1,0,1,20120101,21263,CPT,PERIORBITAL OSTEOTOMIES W/BONE GRAFTS W/FOREHEAD,,30,,,"$15,971.08",$0.00,1,0,1,20120101,21267,CPT,ORBITAL REPOSITIONING W/BONE GRAFTS EXTRACRANIAL,,30,,,"$15,971.08",$0.00,1,0,1,20120101,21270,CPT,MALAR AUGMENTATION PROSTHETIC MATERIAL,,30,,,"$15,971.08",$0.00,1,0,1,20120101,21275,CPT,SECONDARY REVISION ORBITOCRANIOFACIAL RCNSTJ,,30,,,"$15,971.08",$0.00,1,0,1,20120101,21280,CPT,MEDIAL CANTHOPEXY SEPARATE PROCEDURE,,30,,,"$15,971.08",$0.00,1,0,1,20120101,21282,CPT,LATERAL CANTHOPEXY,,30,,,"$6,645.19",$0.00,1,0,1,20120101,21295,CPT,REDUCTION MASSETER MUSCLE&BONE EXTRAORAL,,30,,,"$3,156.16",$0.00,1,0,1,20120101,21296,CPT,REDUCTION MASSETER MUSCLE&BONE INTRAORAL,,30,,,"$9,873.83",$0.00,1,0,1,20120101,21299,CPT,UNLISTED CRANIOFACIAL&MAXILLOFACIAL PROCEDURE,,30,,,$488.97,$0.00,1,0,1,20120101,21310,CPT,CLOSED TREATMENT NASAL FRACTURE W/O MANIPULATION,,30,,,$488.97,$0.00,1,0,1,20120101,21315,CPT,CLOSED TX NASAL FRACTURE W/O STABILIZATION,,30,,,"$6,645.19",$0.00,1,0,1,20120101,21320,CPT,CLOSED TREATMENT NASAL FRACTURE W/STABILIZATION,,30,,,"$6,645.19",$0.00,1,0,1,20120101,21325,CPT,OPEN TREATMENT NASAL FRACTURE UNCOMPLICATED,,30,,,"$9,873.83",$0.00,1,0,1,20120101,21330,CPT,OPEN TX NASAL FX COMP W/INT&/XTRNL SKELETAL FIXJ,,30,,,"$9,873.83",$0.00,1,0,1,20120101,21335,CPT,OPEN TX NASAL FX W/CONCOMITANT OPTX FXD SEPTUM,,30,,,"$9,873.83",$0.00,1,0,1,20120101,21336,CPT,OPEN TX NASAL SEPTAL FRACTURE W/WO STABILIZATION,,30,,,"$10,305.77",$0.00,1,0,1,20120101,21337,CPT,CLOSED TX NASAL SEPTAL FRACT W/WO STABILIZATION,,30,,,"$6,645.19",$0.00,1,0,1,20120101,21338,CPT,OPEN TX NASOETHMOID FX W/O EXTERNAL FIXATION,,30,,,"$9,873.83",$0.00,1,0,1,20120101,21339,CPT,OPEN TX NASOETHMOID FX W/EXTERNAL FIXATION,,30,,,"$9,873.83",$0.00,1,0,1,20120101,21340,CPT,PERCUTANEOUS TX NASOETHMOID COMPLEX FRACTURE,,30,,,"$15,971.08",$0.00,1,0,1,20120101,21345,CPT,CLOSED TX NASOMAXILLARY COMPLEX FRACTURE,,30,,,"$9,873.83",$0.00,1,0,1,20120101,21346,CPT,OPTX NASOMAX CPLX FX LEFT II TYPE W/WIRG&FIXJ,,30,,,"$9,873.83",$0.00,1,0,1,20120101,21355,CPT,PERCUTANEOUS TX MALAR AREA FRACTURE,,30,,,"$15,971.08",$0.00,1,0,1,20120101,21356,CPT,OPEN TX DEPRESSED ZYGOMATIC ARCH FRACTURE,,30,,,"$9,873.83",$0.00,1,0,1,20120101,21360,CPT,OPEN TX DEPRESSED MALAR FRACTURE,,30,,,"$9,873.83",$0.00,1,0,1,20120101,21365,CPT,OPEN TX COMP FX MALAR W/INTERNAL FX&MULT SURG,,30,,,"$15,971.08",$0.00,1,0,1,20120101,21385,CPT,OPEN TX ORBITAL FLOOR BLOWOUT FX TRANSANTRAL,,30,,,"$15,971.08",$0.00,1,0,1,20120101,21386,CPT,OPEN TX ORBITAL FLOOR BLOWOUT FX PERIORBITAL,,30,,,"$15,971.08",$0.00,1,0,1,20120101,21387,CPT,OPEN TX ORBITAL FLOOR BLOWOUT FX COMBINED APPR,,30,,,"$15,971.08",$0.00,1,0,1,20120101,21390,CPT,OPTX ORB FLOOR BLWT FX PRI/BITAL APPR W/ALLPLSTC,,30,,,"$15,971.08",$0.00,1,0,1,20120101,21395,CPT,OPTX ORB FLOOR BLWT FX PRI/BITAL APPR W/BONE GRF,,30,,,"$15,971.08",$0.00,1,0,1,20120101,21400,CPT,CLSD TX FX ORBIT EXCEPT BLOWOUT W/O MANIPULATION,,30,,,"$3,156.16",$0.00,1,0,1,20120101,21401,CPT,CLOSED TX FX ORBIT EXCEPT BLOWOUT W/MANIPULATION,,30,,,"$6,645.19",$0.00,1,0,1,20120101,21406,CPT,OPEN TX FX ORBIT EXCEPT BLOWOUT W/O IMPLANT,,30,,,"$15,971.08",$0.00,1,0,1,20120101,21407,CPT,OPEN TX FX ORBIT EXCEPT BLOWOUT W/IMPLANT,,30,,,"$15,971.08",$0.00,1,0,1,20120101,21408,CPT,OPEN TX FX ORBIT EXCEPT BLOWOUT W/BONE GRAFT,,30,,,"$15,971.08",$0.00,1,0,1,20120101,21421,CPT,CLOSED TX PALATAL/MAXILLARY FX W/FIXATION/SPLINT,,30,,,"$9,873.83",$0.00,1,0,1,20120101,21440,CPT,CLTX MANDIBULAR/MAXILLARY ALVEOLAR RIDGE FX SPX,,30,,,"$9,873.83",$0.00,1,0,1,20120101,21445,CPT,OPTX MANDIBULAR/MAXILLARY ALVEOLAR RIDGE FX SPX,,30,,,"$9,873.83",$0.00,1,0,1,20120101,21450,CPT,CLOSED TX MANDIBULAR FRACTURE W/O MANIPULATION,,30,,,"$1,317.04",$0.00,1,0,1,20120101,21451,CPT,CLOSED TX MANDIBULAR FRACTURE W/MANIPULATION,,30,,,"$3,156.16",$0.00,1,0,1,20120101,21452,CPT,PERCUTANEOUS TX MANDIBULAR FX W/EXTERNAL FIXJ,,30,,,"$6,645.19",$0.00,1,0,1,20120101,21453,CPT,CLOSED TX MANDIBULAR FX W/INTERDENTAL FIXATION,,30,,,"$15,971.08",$0.00,1,0,1,20120101,21454,CPT,OPEN TX MANDIBULAR FX W/EXTERNAL FIXATION,,30,,,"$9,873.83",$0.00,1,0,1,20120101,21461,CPT,OPEN TX MANDIBULAR FX W/O INTERDENTAL FIXATION,,30,,,"$15,971.08",$0.00,1,0,1,20120101,21462,CPT,OPEN TX MANDIBULAR FX W/INTERDENTAL FIXATION,,30,,,"$15,971.08",$0.00,1,0,1,20120101,21465,CPT,OPEN TREATMENT MANDIBULAR CONDYLAR FRACTURE,,30,,,"$15,971.08",$0.00,1,0,1,20120101,21470,CPT,OPTX COMP MANDIBULAR FX MLT APPR W/INT FIXATION,,30,,,"$15,971.08",$0.00,1,0,1,20120101,21480,CPT,CLOSED TX TEMPOROMANDIBULAR DISLOCATION 1ST/SBSQ,,30,,,$488.97,$0.00,1,0,1,20120101,21485,CPT,CLOSED TX TEMPOROMANDIBULAR DISLC COMP 1ST/SBSQ,,30,,,"$6,645.19",$0.00,1,0,1,20120101,21490,CPT,OPEN TREATMENT TEMPOROMANDIBULAR DISLOCATION,,30,,,"$15,971.08",$0.00,1,0,1,20120101,21495,CPT,OPEN TREATMENT HYOID FRACTURE,,30,,,"$6,645.19",$0.00,1,0,1,20120101,21497,CPT,INTERDENTAL WIRING OTHER THAN FRACTURE,,30,,,"$6,645.19",$0.00,1,0,1,20120101,21499,CPT,UNLISTED MUSCULOSKELETAL PROCEDURE HEAD,,30,,,$488.97,$0.00,1,0,1,20120101,21501,CPT,I&D DEEP ABSC/HMTMA SOFT TISSUE NECK/THORAX,,30,,,"$8,067.87",$0.00,1,0,1,20120101,21502,CPT,I&D DP ABSC/HMTMA SOFT TISS NCK/THORAX PRTL RIB,,30,,,"$8,707.06",$0.00,1,0,1,20120101,21550,CPT,BIOPSY SOFT TISSUE NECK/THORAX,,30,,,"$5,907.48",$0.00,1,0,1,20120101,21552,CPT,EXC TUMOR SOFT TIS NECK/ANT THORAX SUBQ 3 CM/>,,30,,,"$9,197.85",$0.00,1,0,1,20120101,21554,CPT,EXC TUMOR SOFT TISSUE NECK/THORAX SUBFASC 5 CM/>,,30,,,"$9,197.85",$0.00,1,0,1,20120101,21555,CPT,EXC TUMOR SOFT TISSUE NECK/ANT THORAX SUBQ <3CM,,30,,,"$5,907.48",$0.00,1,0,1,20120101,21556,CPT,EXC TUMOR SOFT TISS NECK/THORAX SUBFASCIAL <5CM,,30,,,"$9,197.85",$0.00,1,0,1,20120101,21557,CPT,RAD RESECT TUMOR SOFT TISS NECK/ANT THORAX <5CM,,30,,,"$5,907.48",$0.00,1,0,1,20120101,21558,CPT,RAD RESECT TUMOR SOFT TISS NECK/ANT THORAX 5CM/>,,30,,,"$9,197.85",$0.00,1,0,1,20120101,21600,CPT,EXCISION RIB PARTIAL,,30,,,"$12,366.14",$0.00,1,0,1,20120101,21610,CPT,COSTOTRANSVERSECTOMY SEPARATE PROCEDURE,,30,,,"$12,366.14",$0.00,1,0,1,20120101,21685,CPT,HYOID MYOTOMY & SUSPENSION,,30,,,"$3,156.16",$0.00,1,0,1,20120101,21700,CPT,DIVISION SCALENUS ANTICUS W/O RESCJ CERVICAL RIB,,30,,,"$8,707.06",$0.00,1,0,1,20120101,21720,CPT,DIVISION STERNOCLEIDOMASTOID OPEN W/O CAST,,30,,,"$8,707.06",$0.00,1,0,1,20120101,21725,CPT,DIVISION STERNOCLEIDOMASTOID OPEN W/CAST,,30,,,$650.02,$0.00,1,0,1,20120101,21742,CPT,REPAIR PECTUS EXCAVATM/CARINATM MINLY W/O THRSC,,30,,,"$16,487.66",$0.00,1,0,1,20120101,21743,CPT,REPAIR PECTUS EXCAVATM/CARINATM MINLY W/THRSC,,30,,,"$16,487.66",$0.00,1,0,1,20120101,21800,CPT,CLOSED TX RIB FRACTURE UNCOMPLICATED EACH,,30,,,$630.94,$0.00,1,0,1,20120101,21805,CPT,OPEN TX RIB FRACTURE W/O FIXATION EACH,,30,,,"$10,305.77",$0.00,1,0,1,20120101,21820,CPT,CLOSED TREATMENT STERNUM FRACTURE,,30,,,$630.94,$0.00,1,0,1,20120101,21899,CPT,UNLISTED PROCEDURE NECK/THORAX,,30,,,$488.97,$0.00,1,0,1,20120101,21920,CPT,BIOPSY SOFT TISSUE BACK/FLANK SUPERFICIAL,,30,,,"$3,122.57",$0.00,1,0,1,20120101,21925,CPT,BIOPSY SOFT TISSUE BACK/FLANK DEEP,,30,,,"$9,197.85",$0.00,1,0,1,20120101,21930,CPT,EXCISION TUMOR SOFT TISSUE BACK/FLANK SUBQ <3CM,,30,,,"$5,907.48",$0.00,1,0,1,20120101,21931,CPT,EXCISION TUMOR SOFT TIS BACK/FLANK SUBQ 3 CM/>,,30,,,"$9,197.85",$0.00,1,0,1,20120101,21932,CPT,EXC TUMOR SOFT TISS BACK/FLANK SUBFASCIAL <5CM,,30,,,"$5,907.48",$0.00,1,0,1,20120101,21933,CPT,EXC TUMOR SOFT TISS BACK/FLANK SUBFASCIAL 5 CM/>,,30,,,"$9,197.85",$0.00,1,0,1,20120101,21935,CPT,RAD RESECTION TUMOR SOFT TISSUE BACK/FLANK <5CM,,30,,,"$5,907.48",$0.00,1,0,1,20120101,21936,CPT,RAD RESECTION TUMOR SOFT TISSUE BACK/FLANK 5CM/>,,30,,,"$9,197.85",$0.00,1,0,1,20120101,22100,CPT,PRTL EXC PST VRT INTRNSC B1Y LES 1 VRT SGM CRV,,30,,,"$17,424.93",$0.00,1,0,1,20120101,22101,CPT,PRTL EXC PST VRT INTRNSC B1Y LES 1 VRT SGM THRC,,30,,,"$17,424.93",$0.00,1,0,1,20120101,22102,CPT,PRTL EXC PST VRT INTRNSC B1Y LES 1 VRT SGM LMBR,,30,,,"$17,424.93",$0.00,1,0,1,20120101,22103,CPT,PRTL EXC PST VRT INTRNSC B1Y LES 1 VRT SGM EA,,30,,,"$17,424.93",$0.00,1,0,1,20120101,22222,CPT,OSTEOTOMY SPINE W/DSKC ANT APPR 1 VRT SGM THRC,,30,,,"$17,424.93",$0.00,1,0,1,20120101,22305,CPT,CLOSED TX VERTEBRAL PROCESS FRACTURE,,30,,,$630.94,$0.00,1,0,1,20120101,22310,CPT,CLTX VRT BDY FX W/O MANJ REQ&W/CSTING/BRACING,,30,,,"$1,959.01",$0.00,1,0,1,20120101,22315,CPT,CLTX VRT FX&/DISLC CSTING/BRACING MANJ/TRCJ,,30,,,"$7,342.04",$0.00,1,0,1,20120101,22505,CPT,MANIPULATION SPINE REQUIRING ANESTHESIA,,30,,,"$6,094.71",$0.00,1,0,1,20120101,22520,CPT,PERCUTANEOUS VERTEBROPLSTY THORACIC W/WO BONE BX,,30,,,"$12,366.14",$0.00,1,0,1,20120101,22521,CPT,PERCUTANEOUS VERTEBROPLASTY LUMBAR W/WO BNE BX,,30,,,"$12,366.14",$0.00,1,0,1,20120101,22522,CPT,PERCUTANEOUS VERTEBROPLASTY EA ADDL THRC/LMBR,,30,,,"$12,366.14",$0.00,1,0,1,20120101,22523,CPT,PERCUTANEOUS VERTEBRAL AUGMENTATION THORACIC,,30,,,"$22,910.88",$0.00,1,0,1,20120101,22524,CPT,PERCUTANEOUS VERTEBRAL AUGMENTATION LUMBAR,,30,,,"$22,910.88",$0.00,1,0,1,20120101,22525,CPT,PERQ VERTEBRAL AUGMENTATION EA ADDL THRC/LMBR,,30,,,"$22,910.88",$0.00,1,0,1,20120101,22526,CPT,PERQ INTRDSCL ELECTROTHRM ANNULOPLASTY 1 LEVEL,,30,,,"$2,157.82",$0.00,1,0,1,20120101,22527,CPT,PERQ INTRDSCL ELECTROTHRM ANNULOPLASTY ADDL LVL,,30,,,"$2,157.82",$0.00,1,0,1,20120101,22551,CPT,ARTHRD ANT INTERBODY DECOMPRESS CERVICAL BELW C2,,30,,,"$17,424.93",$0.00,1,0,1,20120101,22554,CPT,ARTHRD ANT MIN DISCECT INTERBODY CERV BELOW C2,,30,,,"$17,424.93",$0.00,1,0,1,20120101,22612,CPT,ARTHRODESIS POSTERIOR/POSTEROLATERAL LUMBAR,,30,,,"$17,424.93",$0.00,1,0,1,20120101,22614,CPT,ARTHRODESIS POSTERIOR/POSTEROLATERAL EA ADDL,,30,,,"$17,424.93",$0.00,1,0,1,20120101,22851,CPT,APPLICATION INTERVERTEBRAL BIOMECHANICAL DEVICE,,30,,,"$12,366.14",$0.00,1,0,1,20120101,22899,CPT,UNLISTED PROCEDURE SPINE,,30,,,"$12,366.14",$0.00,1,0,1,20120101,22900,CPT,EXC TUMOR SOFT TISSUE ABDL WALL SUBFASCIAL <5CM,,30,,,"$9,197.85",$0.00,1,0,1,20120101,22901,CPT,EXC TUMOR SOFT TISSUE ABDL WALL SUBFASCIAL 5CM/>,,30,,,"$9,197.85",$0.00,1,0,1,20120101,22902,CPT,EXC TUMOR SOFT TISSUE ABDOMINAL WALL SUBQ <3CM,,30,,,"$5,907.48",$0.00,1,0,1,20120101,22903,CPT,EXC TUMOR SOFT TISSUE ABDOMINAL WALL SUBQ 3 CM/>,,30,,,"$9,197.85",$0.00,1,0,1,20120101,22904,CPT,RAD RESECTION TUMOR SOFT TISSUE ABDL WALL <5CM,,30,,,"$5,907.48",$0.00,1,0,1,20120101,22905,CPT,RAD RESECTION TUMOR SOFT TISSUE ABDL WALL 5 CM/>,,30,,,"$9,197.85",$0.00,1,0,1,20120101,22999,CPT,UNLISTED PX ABDOMEN MUSCULOSKELETAL SYSTEM,,30,,,"$8,707.06",$0.00,1,0,1,20120101,23000,CPT,REMOVAL SUBDELTOID CALCAREOUS DEPOSITS OPEN,,30,,,"$5,907.48",$0.00,1,0,1,20120101,23020,CPT,CAPSULAR CONTRACTURE RELEASE,,30,,,"$12,366.14",$0.00,1,0,1,20120101,23030,CPT,I&D SHOULDER DEEP ABSCESS/HEMATOMA,,30,,,"$8,067.87",$0.00,1,0,1,20120101,23031,CPT,I&D SHOULDER INFECTED BURSA,,30,,,"$8,067.87",$0.00,1,0,1,20120101,23035,CPT,INCISION BONE CORTEX SHOULDER AREA,,30,,,"$8,707.06",$0.00,1,0,1,20120101,23040,CPT,ARTHROTOMY GLENOHUMERAL JT EXPL/DRG/RMVL FB,,30,,,"$12,366.14",$0.00,1,0,1,20120101,23044,CPT,ARTHRT ACROMCLAV STRNCLAV JT EXPL/DRG/RMVL FB,,30,,,"$12,366.14",$0.00,1,0,1,20120101,23065,CPT,BIOPSY SOFT TISSUE SHOULDER SUPERFICIAL,,30,,,"$3,122.57",$0.00,1,0,1,20120101,23066,CPT,BIOPSY SOFT TISSUE SHOULDER DEEP,,30,,,"$9,197.85",$0.00,1,0,1,20120101,23071,CPT,EXCISION TUMOR SOFT TISSUE SHOULDER SUBQ 3 CM/>,,30,,,"$9,197.85",$0.00,1,0,1,20120101,23073,CPT,EXC TUMOR SOFT TISSUE SHOULDER SUBFASCIAL 5 CM/>,,30,,,"$9,197.85",$0.00,1,0,1,20120101,23075,CPT,EXCISION TUMOR SOFT TISSUE SHOULDER SUBQ <3CM,,30,,,"$5,907.48",$0.00,1,0,1,20120101,23076,CPT,EXC TUMOR SOFT TISS SHOULDER SUBFASC <5CM,,30,,,"$5,907.48",$0.00,1,0,1,20120101,23077,CPT,RAD RESECTION TUMOR SOFT TISSUE SHOULDER <5CM,,30,,,"$5,907.48",$0.00,1,0,1,20120101,23078,CPT,RAD RESECTION TUMOR SOFT TISSUE SHOULDER 5 CM/>,,30,,,"$9,197.85",$0.00,1,0,1,20120101,23100,CPT,ARTHROTOMY GLENOHUMERAL JOINT W/BIOPSY,,30,,,"$8,707.06",$0.00,1,0,1,20120101,23101,CPT,ARTHRT ACROMCLAV/STRNCLAV JT W/BX&/EXC CRTLG,,30,,,"$12,366.14",$0.00,1,0,1,20120101,23105,CPT,ARTHRT GLENOHUMRL JT W/SYNOVECTOMY W/WO BIOPSY,,30,,,"$12,366.14",$0.00,1,0,1,20120101,23106,CPT,ARTHRT GLENOHUMRL JT STRNCLAV JT W/SYNVCT W/WOBX,,30,,,"$12,366.14",$0.00,1,0,1,20120101,23107,CPT,ARTHRT GLENOHUMRL JT W/JT EXPL W/WORMVL LOOSE/FB,,30,,,"$12,366.14",$0.00,1,0,1,20120101,23120,CPT,CLAVICULECTOMY PARTIAL,,30,,,"$12,366.14",$0.00,1,0,1,20120101,23125,CPT,CLAVICULECTOMY TOTAL,,30,,,"$12,366.14",$0.00,1,0,1,20120101,23130,CPT,PARTIAL REPAIR OR REMOVAL OF SHOULDER BONE,,30,,,"$16,487.66",$0.00,1,0,1,20120101,23140,CPT,EXC/CURTG BONE CYST/BENIGN TUMOR CLAV/SCAPULA,,30,,,"$8,707.06",$0.00,1,0,1,20120101,23145,CPT,EXC/CURTG BONE CST/B9 TUM CLAV/SCAPULA W/AGRFT,,30,,,"$12,366.14",$0.00,1,0,1,20120101,23146,CPT,EXC/CURTG BONE CST/B9 TUM CLAV/SCAPULA W/ALGRFT,,30,,,"$12,366.14",$0.00,1,0,1,20120101,23150,CPT,EXC/CURTG BONE CYST/BENIGN TUMOR PROX HUMERUS,,30,,,"$12,366.14",$0.00,1,0,1,20120101,23155,CPT,EXC/CURTG BONE CYST/BENIGN TUM PROX HUM W/AGRFT,,30,,,"$12,366.14",$0.00,1,0,1,20120101,23156,CPT,EXC/CURTG BONE CYST/BENIGN TUM PROX HUM W/ALGRFT,,30,,,"$12,366.14",$0.00,1,0,1,20120101,23170,CPT,SEQUESTRECTOMY CLAVICLE,,30,,,"$12,366.14",$0.00,1,0,1,20120101,23172,CPT,SEQUESTRECTOMY SCAPULA,,30,,,"$12,366.14",$0.00,1,0,1,20120101,23174,CPT,SEQUESTRECTOMY HUMERAL HEAD SURGERY NECK,,30,,,"$12,366.14",$0.00,1,0,1,20120101,23180,CPT,PARTIAL EXCISION BONE CLAVICLE,,30,,,"$12,366.14",$0.00,1,0,1,20120101,23182,CPT,PARTIAL EXCISION BONE SCAPULA,,30,,,"$12,366.14",$0.00,1,0,1,20120101,23184,CPT,PARTIAL EXCISION BONE PROXIMAL HUMERUS,,30,,,"$12,366.14",$0.00,1,0,1,20120101,23190,CPT,OSTECTOMY SCAPULA PARTIAL,,30,,,"$12,366.14",$0.00,1,0,1,20120101,23195,CPT,RESECTION HUMERAL HEAD,,30,,,"$12,366.14",$0.00,1,0,1,20120101,23330,CPT,REMOVAL FOREIGN BODY SHOULDER SUBCUTANEOUS,,30,,,"$3,122.57",$0.00,1,0,1,20120101,23331,CPT,REMOVAL FOREIGN BODY SHOULDER DEEP,,30,,,"$9,197.85",$0.00,1,0,1,20120101,23395,CPT,MUSCLE TRANSFER SHOULDER/UPPER ARM SINGLE,,30,,,"$16,487.66",$0.00,1,0,1,20120101,23397,CPT,MUSCLE TRANSFER SHOULDER/UPPER ARM MULTIPLE,,30,,,"$22,910.88",$0.00,1,0,1,20120101,23400,CPT,SCAPULOPEXY,,30,,,"$12,366.14",$0.00,1,0,1,20120101,23405,CPT,TENOTOMY SHOULDER AREA 1 TENDON,,30,,,"$12,366.14",$0.00,1,0,1,20120101,23406,CPT,TENOTOMY SHOULDER MULTIPLE THRU SAME INCISION,,30,,,"$12,366.14",$0.00,1,0,1,20120101,23410,CPT,OPEN REPAIR OF ROTATOR CUFF ACUTE,,30,,,"$16,487.66",$0.00,1,0,1,20120101,23412,CPT,OPEN REPAIR OF ROTATOR CUFF CHRONIC,,30,,,"$16,487.66",$0.00,1,0,1,20120101,23415,CPT,CORACOACROMIAL LIGAMENT RELEAS W/WOACROMIOPLASTY,,30,,,"$16,487.66",$0.00,1,0,1,20120101,23420,CPT,RECONSTRUCTION ROTATOR CUFF AVULSION CHRONIC,,30,,,"$16,487.66",$0.00,1,0,1,20120101,23430,CPT,TENODESIS LONG TENDON BICEPS,,30,,,"$16,487.66",$0.00,1,0,1,20120101,23440,CPT,RESECTION/TRANSPLANTATION LONG TENDON BICEPS,,30,,,"$12,366.14",$0.00,1,0,1,20120101,23450,CPT,CAPSULORRHAPHY ANTERIOR PUTTI-PLATT/MAGNUSON,,30,,,"$22,910.88",$0.00,1,0,1,20120101,23455,CPT,CAPSULORRHAPHY ANTERIOR W/LABRAL REPAIR,,30,,,"$22,910.88",$0.00,1,0,1,20120101,23460,CPT,CAPSULORRHAPHY ANTERIOR WITH BONE BLOCK,,30,,,"$22,910.88",$0.00,1,0,1,20120101,23462,CPT,CAPSULORRHAPHY ANTERIOR W/CORACOID PROCESS TR,,30,,,"$16,487.66",$0.00,1,0,1,20120101,23465,CPT,CAPSULORRHAPHY GLENOHUMERAL JT PST W/WO BONE BLK,,30,,,"$22,910.88",$0.00,1,0,1,20120101,23466,CPT,CAPSULORRHAPHY GLENOHUMRL JT MULTI-DIRIONAL INS,,30,,,"$16,487.66",$0.00,1,0,1,20120101,23470,CPT,ARTHROPLASTY GLENOHUMRL JT HEMIARTHROPLASTY,,30,,,"$21,969.18",$0.00,1,0,1,20120101,23480,CPT,OSTEOTOMY CLAVICLE W/WO INTERNAL FIXATION,,30,,,"$16,487.66",$0.00,1,0,1,20120101,23485,CPT,OSTEOTOMY CLAV W/WO INT FIXJ W/B1 GRF NON/MAL,,30,,,"$22,910.88",$0.00,1,0,1,20120101,23490,CPT,PROPH TX W/WO METHYLMETHACRYLATE CLAVICLE,,30,,,"$22,910.88",$0.00,1,0,1,20120101,23491,CPT,PROPH TX W/WO METHYLMETHACRYLATE PROX HUMERUS,,30,,,"$22,910.88",$0.00,1,0,1,20120101,23500,CPT,CLSD TX CLAVICULAR FRACTURE W/O MANIPULATION,,30,,,$630.94,$0.00,1,0,1,20120101,23505,CPT,CLSD TX CLAVICULAR FRACTURE W/MANIPULATION,,30,,,"$7,342.04",$0.00,1,0,1,20120101,23515,CPT,OPEN TX CLAVICULAR FRACTURE INTERNAL FIXATION,,30,,,"$20,535.56",$0.00,1,0,1,20120101,23520,CPT,CLSD TX STERNOCLAVICULAR DISLC W/O MANIPULATION,,30,,,"$1,959.01",$0.00,1,0,1,20120101,23525,CPT,CLOSED TX STERNOCLAVICULAR DISLC W/MANIPULATION,,30,,,"$1,959.01",$0.00,1,0,1,20120101,23530,CPT,OPEN TX STERNOCLAVICULAR DISLC ACUTE/CHRONIC,,30,,,"$17,044.48",$0.00,1,0,1,20120101,23532,CPT,OPTX STRNCLAV DISLC ACUTE/CHRONIC W/FASCIAL GRF,,30,,,"$10,305.77",$0.00,1,0,1,20120101,23540,CPT,CLSD TX ACROMIOCLAVICULAR DISLC W/O MANIPULATION,,30,,,$630.94,$0.00,1,0,1,20120101,23545,CPT,CLSD TX ACROMIOCLAVICULAR DISLC W/MANIPULATION,,30,,,"$1,959.01",$0.00,1,0,1,20120101,23550,CPT,OPEN TX ACROMIOCLAVICULAR DISLC ACUTE/CHRONIC,,30,,,"$17,044.48",$0.00,1,0,1,20120101,23552,CPT,OPTX ACROMCLAV DISLC ACUTE/CHRONIC W/FASCIAL GRF,,30,,,"$17,044.48",$0.00,1,0,1,20120101,23570,CPT,CLOSED TX SCAPULAR FRACTURE W/O MANIPULATION,,30,,,$630.94,$0.00,1,0,1,20120101,23575,CPT,CLTX SCAPULAR FX W/MANJ W/WO SKELETAL TRACTION,,30,,,"$1,959.01",$0.00,1,0,1,20120101,23585,CPT,OPEN TX SCAPULAR FX W/INTERNAL FIXATION IF PFRMD,,30,,,"$20,535.56",$0.00,1,0,1,20120101,23600,CPT,CLTX PROXIMAL HUMERAL FRACTURE W/O MANIPULATION,,30,,,$630.94,$0.00,1,0,1,20120101,23605,CPT,CLTX PROX HUMRL FX W/MANJ W/WO SKELETAL TRACJ,,30,,,"$7,342.04",$0.00,1,0,1,20120101,23615,CPT,OPEN TREATMENT PROXIMAL HUMERAL FRACTURE,,30,,,"$20,535.56",$0.00,1,0,1,20120101,23616,CPT,OPEN PROX HUMERAL FRACTURE PROSTHETIC RPLCMT,,30,,,"$20,535.56",$0.00,1,0,1,20120101,23620,CPT,CLTX GREATER HUMERAL TUBEROSITY FX W/O MANJ,,30,,,$630.94,$0.00,1,0,1,20120101,23625,CPT,CLTX GRTER HUMERAL TUBEROSITY FX W/MANIPULATION,,30,,,"$7,342.04",$0.00,1,0,1,20120101,23630,CPT,OPEN TREATMENT GRTER HUMERAL TUBEROSITY FRACTURE,,30,,,"$20,535.56",$0.00,1,0,1,20120101,23650,CPT,CLSD TX SHOULDER DISLC W/MANIPULATION W/O ANES,,30,,,$630.94,$0.00,1,0,1,20120101,23655,CPT,CLSD TX SHOULDER DISLC W/MANIPULATION REQ ANES,,30,,,"$6,094.71",$0.00,1,0,1,20120101,23660,CPT,OPEN TX ACUTE SHOULDER DISLOCATION,,30,,,"$17,044.48",$0.00,1,0,1,20120101,23665,CPT,CLTX SHOULDER DISLC W/FX HUMERAL TUBRST W/MANJ,,30,,,"$1,959.01",$0.00,1,0,1,20120101,23670,CPT,OPEN TX SHOULDER DISLC W/HUMERAL TUBEROSITY FX,,30,,,"$20,535.56",$0.00,1,0,1,20120101,23675,CPT,CLTX SHOULDER DISLC W/SURG/ANTMCL NECK FX W/MANJ,,30,,,$630.94,$0.00,1,0,1,20120101,23680,CPT,OPEN TX SHOULDER DISLOCATION W/NECK FRACTURE,,30,,,"$17,044.48",$0.00,1,0,1,20120101,23700,CPT,MANJ W/ANES SHOULDER JOINT W/FIXATION APPARATUS,,30,,,"$6,094.71",$0.00,1,0,1,20120101,23800,CPT,ARTHRODESIS GLENOHUMERAL JOINT,,30,,,"$22,910.88",$0.00,1,0,1,20120101,23802,CPT,ARTHRODESIS GLENOHUMERAL JT W/AUTOGENOUS GRAFT,,30,,,"$22,910.88",$0.00,1,0,1,20120101,23921,CPT,DISRTCJ SHOULDER SECONDARY CLSR/SCAR REVISION,,30,,,"$6,785.22",$0.00,1,0,1,20120101,23929,CPT,UNLISTED PROCEDURE SHOULDER,,30,,,$630.94,$0.00,1,0,1,20120101,23930,CPT,I&D UPPER ARM/ELBOW DEEP ABSCESS/HEMATOMA,,30,,,"$8,067.87",$0.00,1,0,1,20120101,23931,CPT,INCISION&DRAINAGE UPPER ARM/ELBOW BURSA,,30,,,"$8,067.87",$0.00,1,0,1,20120101,23935,CPT,INC DEEP W/OPENING BONE CORTEX HUMERUS/ELBOW,,30,,,"$8,707.06",$0.00,1,0,1,20120101,24000,CPT,ARTHRT ELBOW W/EXPLORATION DRAINAGE/REMOVAL FB,,30,,,"$12,366.14",$0.00,1,0,1,20120101,24006,CPT,ARTHRT ELBOW CAPSULAR EXCISION CAPSULAR RLS SPX,,30,,,"$12,366.14",$0.00,1,0,1,20120101,24065,CPT,BIOPSY SOFT TISSUE UPPER ARM/ELBOW SUPERFICIAL,,30,,,"$5,907.48",$0.00,1,0,1,20120101,24066,CPT,BIOPSY SOFT TISSUE UPPER ARM/ELBOW AREA DEEP,,30,,,"$5,907.48",$0.00,1,0,1,20120101,24071,CPT,EXC TUMOR SOFT TISSUE UPPER ARM/ELBOW SUBQ 3CM/>,,30,,,"$9,197.85",$0.00,1,0,1,20120101,24073,CPT,EXC TUMOR SOFT TISS UPPER ARM/ELBW SUBFASC 5CM/>,,30,,,"$9,197.85",$0.00,1,0,1,20120101,24075,CPT,EXC TUMOR SOFT TISS UPPER ARM/ELBOW SUBQ <3CM,,30,,,"$5,907.48",$0.00,1,0,1,20120101,24076,CPT,EXC TUMOR SOFT TISS UPR ARM/ELBOW SUBFASC <5CM,,30,,,"$5,907.48",$0.00,1,0,1,20120101,24077,CPT,RAD RESECT TUMOR SOFT TISS UPPER ARM/ELBOW <5CM,,30,,,"$5,907.48",$0.00,1,0,1,20120101,24079,CPT,RAD RESECT TUMOR SOFT TISS UPPER ARM/ELBOW 5CM/>,,30,,,"$9,197.85",$0.00,1,0,1,20120101,24100,CPT,ARTHROTOMY ELBOW W/SYNOVIAL BIOPSY ONLY,,30,,,"$8,707.06",$0.00,1,0,1,20120101,24101,CPT,ARTHRT ELBOW W/JNT EXPL W/WOBX W/WORMVL LOOSE/FB,,30,,,"$12,366.14",$0.00,1,0,1,20120101,24102,CPT,ARTHROTOMY ELBOW W/SYNOVECTOMY,,30,,,"$12,366.14",$0.00,1,0,1,20120101,24105,CPT,EXCISION OLECRANON BURSA,,30,,,"$8,707.06",$0.00,1,0,1,20120101,24110,CPT,EXCISION/CURTG BONE CYST/BENIGN TUMOR HUMERUS,,30,,,"$8,707.06",$0.00,1,0,1,20120101,24115,CPT,EXC/CURTG BONE CYST/BENIGN TUMOR HUMERUS W/AGRFT,,30,,,"$12,366.14",$0.00,1,0,1,20120101,24116,CPT,EXC/CURTG BONE CYST/BENIGN TUM HUMERUS W/ALGRFT,,30,,,"$12,366.14",$0.00,1,0,1,20120101,24120,CPT,EXC/CURTG BONE CYST/BENIGN TUMOR H/N RDS/OLECRN,,30,,,"$8,707.06",$0.00,1,0,1,20120101,24125,CPT,EXC/CURTG BONE CST/B9 TUM H/N RDS/OLECRN W/AGRFT,,30,,,"$12,366.14",$0.00,1,0,1,20120101,24126,CPT,EXC/CURTG BONE CST/B9 TUM H/N RDS/OLECRN W/ALGRT,,30,,,"$12,366.14",$0.00,1,0,1,20120101,24130,CPT,EXCISION RADIAL HEAD,,30,,,"$12,366.14",$0.00,1,0,1,20120101,24134,CPT,SEQUESTRECTOMY SHAFT/DISTAL HUMERUS,,30,,,"$12,366.14",$0.00,1,0,1,20120101,24136,CPT,SEQUESTRECTOMY RADIAL HEAD OR NECK,,30,,,"$12,366.14",$0.00,1,0,1,20120101,24138,CPT,SEQUESTRECTOMY OLECRANON PROCESS,,30,,,"$12,366.14",$0.00,1,0,1,20120101,24140,CPT,PARTIAL EXCISION BONE HUMERUS,,30,,,"$12,366.14",$0.00,1,0,1,20120101,24145,CPT,PARTIAL EXCISION BONE RADIAL HEAD/NECK,,30,,,"$12,366.14",$0.00,1,0,1,20120101,24147,CPT,PARTIAL EXCISION BONE OLECRANON PROCESS,,30,,,"$12,366.14",$0.00,1,0,1,20120101,24149,CPT,RAD RESCJ CAPSL TISS&HTRTPC BONE ELBW CONTRCT,,30,,,"$12,366.14",$0.00,1,0,1,20120101,24150,CPT,RADICAL RESECTION TUMOR SHAFT/DISTAL HUMERUS,,30,,,"$16,487.66",$0.00,1,0,1,20120101,24152,CPT,RADICAL RESECTION TUMOR RADIAL HEAD/NECK,,30,,,"$16,487.66",$0.00,1,0,1,20120101,24155,CPT,RESECTION ELBOW JOINT ARTHRECTOMY,,30,,,"$12,366.14",$0.00,1,0,1,20120101,24160,CPT,IMPLANT REMOVAL ELBOW JOINT,,30,,,"$12,366.14",$0.00,1,0,1,20120101,24164,CPT,IMPLANT REMOVAL RADIAL HEAD,,30,,,"$12,366.14",$0.00,1,0,1,20120101,24200,CPT,RMVL FOREIGN BODY UPPER ARM/ELBOW SUBCUTANEOUS,,30,,,"$1,994.44",$0.00,1,0,1,20120101,24201,CPT,REMOVAL FOREIGN BODY UPPER ARM/ELBOW DEEP,,30,,,"$5,907.48",$0.00,1,0,1,20120101,24300,CPT,MANIPULATION ELBOW UNDER ANESTHESIA,,30,,,"$6,094.71",$0.00,1,0,1,20120101,24301,CPT,MUSCLE/TENDON TRANSFER UPPER ARM/ELBOW SINGLE,,30,,,"$12,366.14",$0.00,1,0,1,20120101,24305,CPT,TENDON LENGTHENING UPPER ARM/ELBOW EA TENDON,,30,,,"$12,366.14",$0.00,1,0,1,20120101,24310,CPT,TENOTOMY OPEN ELBOW TO SHOULDER EACH TENDON,,30,,,"$8,707.06",$0.00,1,0,1,20120101,24320,CPT,TENOPLASTY ELBOW TO SHOULDER SINGLE,,30,,,"$12,366.14",$0.00,1,0,1,20120101,24330,CPT,FLEXOR-PLASTY ELBOW,,30,,,"$22,910.88",$0.00,1,0,1,20120101,24331,CPT,FLEXOR-PLASTY ELBOW W/EXTENSOR ADVANCEMENT,,30,,,"$16,487.66",$0.00,1,0,1,20120101,24332,CPT,TENOLYSIS TRICEPS,,30,,,"$12,366.14",$0.00,1,0,1,20120101,24340,CPT,TENODESIS BICEPS TENDON ELBOW SEPARATE PROCEDURE,,30,,,"$16,487.66",$0.00,1,0,1,20120101,24341,CPT,REPAIR TENDON/MUSCLE UPPER ARM/ELBOW EA,,30,,,"$16,487.66",$0.00,1,0,1,20120101,24342,CPT,RINSJ RPTD BICEPS/TRICEPS TDN DSTL W/WO TDN GRF,,30,,,"$16,487.66",$0.00,1,0,1,20120101,24343,CPT,REPAIR LATERAL COLLATERAL LIGAMENT ELBOW,,30,,,"$12,366.14",$0.00,1,0,1,20120101,24344,CPT,RCNSTJ LAT COLTRL LIGM ELBOW W/TENDON GRAFT,,30,,,"$22,910.88",$0.00,1,0,1,20120101,24345,CPT,REPAIR MEDIAL COLLATERAL LIGAMENT ELBOW,,30,,,"$12,366.14",$0.00,1,0,1,20120101,24346,CPT,RCNSTJ MEDIAL COLTRL LIGM ELBW W/TDN GRF,,30,,,"$22,910.88",$0.00,1,0,1,20120101,24357,CPT,TENOTOMY ELBOW LATERAL/MEDIAL PERCUTANEOUS,,30,,,"$12,366.14",$0.00,1,0,1,20120101,24358,CPT,TNOT ELBOW LATERAL/MEDIAL DEBRIDE OPEN,,30,,,"$12,366.14",$0.00,1,0,1,20120101,24359,CPT,TNOT ELBOW LATERAL/MEDIAL DEBRIDE OPEN TDN RPR,,30,,,"$12,366.14",$0.00,1,0,1,20120101,24360,CPT,ARTHROPLASTY ELBOW W/MEMBRANE,,30,,,"$14,959.08",$0.00,1,0,1,20120101,24361,CPT,ARTHROPLASTY ELBOW W/DISTAL HUMRL PROSTC RPLCMT,,30,,,"$21,969.18",$0.00,1,0,1,20120101,24362,CPT,ARTHRP ELBOW W/IMPLT&FSCA LATA LIGAMENT RCNSTJ,,30,,,"$19,300.62",$0.00,1,0,1,20120101,24363,CPT,ARTHRP ELBOW W/DISTAL HUM&PROX UR PROSTC RPLCMT,,30,,,"$21,969.18",$0.00,1,0,1,20120101,24365,CPT,ARTHROPLASTY RADIAL HEAD,,30,,,"$14,959.08",$0.00,1,0,1,20120101,24366,CPT,ARTHROPLASTY RADIAL HEAD W/IMPLANT,,30,,,"$21,969.18",$0.00,1,0,1,20120101,24400,CPT,OSTEOTOMY HUMERUS W/WO INTERNAL FIXATION,,30,,,"$22,910.88",$0.00,1,0,1,20120101,24410,CPT,MLT OSTEOT W/RELIGNMT IMED ROD HUMERAL SHAFT,,30,,,"$16,487.66",$0.00,1,0,1,20120101,24420,CPT,OSTEOPLASTY HUMERUS,,30,,,"$16,487.66",$0.00,1,0,1,20120101,24430,CPT,REPAIR NON/MALUNION HUMERUS W/O GRAFT,,30,,,"$22,910.88",$0.00,1,0,1,20120101,24435,CPT,REPAIR NON/MALUNION HUMERUS W/ILIAC/OTH AGRFT,,30,,,"$22,910.88",$0.00,1,0,1,20120101,24470,CPT,HEMIEPIPHYSEAL ARREST,,30,,,"$16,487.66",$0.00,1,0,1,20120101,24495,CPT,DECOMPRESSION FASCT F/ARM W/BRACH ART EXPL,,30,,,"$12,366.14",$0.00,1,0,1,20120101,24498,CPT,PROPH TX W/WO METHYLMETHACRYLATE HUMERAL SHAFT,,30,,,"$22,910.88",$0.00,1,0,1,20120101,24500,CPT,CLSD TX HUMERAL SHAFT FRACTURE W/O MANIPULATION,,30,,,$630.94,$0.00,1,0,1,20120101,24505,CPT,CLTX HUMERAL SHFT FX W/MANJ W/WO SKELETAL TRACJ,,30,,,$630.94,$0.00,1,0,1,20120101,24515,CPT,OPTX HUMERAL SHFT FX W/PLATE/SCREWS W/WOCERCLAGE,,30,,,"$20,535.56",$0.00,1,0,1,20120101,24516,CPT,TX HUMRAL SHAFT FX W/INSJ IMED IMPLT W/W CERCLGE,,30,,,"$20,535.56",$0.00,1,0,1,20120101,24530,CPT,CLTX SPRCNDYLR/TRANSCNDYLR HUMERAL FX W/WO MANJ,,30,,,$630.94,$0.00,1,0,1,20120101,24535,CPT,CLTX SPRCNDYLR/TRANSCNDYLR HUMERAL FX W/MANJ,,30,,,"$1,959.01",$0.00,1,0,1,20120101,24538,CPT,PRQ SKEL FIXJ SPRCNDYLR/TRANSCNDYLR HUMERAL FX,,30,,,"$10,305.77",$0.00,1,0,1,20120101,24545,CPT,OPEN TX HUMERAL SUPRACONDYLAR FRACTURE W/O XTN,,30,,,"$20,535.56",$0.00,1,0,1,20120101,24546,CPT,OPEN TX HUMERAL SUPRACONDYLAR FRACTURE W/XTN,,30,,,"$20,535.56",$0.00,1,0,1,20120101,24560,CPT,CLTX HUMERAL EPICONDYLAR FX MEDIAL/LAT W/O MANJ,,30,,,$630.94,$0.00,1,0,1,20120101,24565,CPT,CLTX HUMERAL EPICONDYLAR FX MEDIAL/LAT W/MANJ,,30,,,$630.94,$0.00,1,0,1,20120101,24566,CPT,PRQ SKEL FIXJ HUMRL EPCNDYLR FX MEDIAL/LAT MANJ,,30,,,"$10,305.77",$0.00,1,0,1,20120101,24575,CPT,OPEN TX HUMERAL EPICONDYLAR FRACTURE,,30,,,"$20,535.56",$0.00,1,0,1,20120101,24576,CPT,CLTX HUMERAL CONDYLAR FX MEDIAL/LAT W/O MANJ,,30,,,$630.94,$0.00,1,0,1,20120101,24577,CPT,CLTX HUMERAL CONDYLAR FX MEDIAL/LATERAL W/MANJ,,30,,,$630.94,$0.00,1,0,1,20120101,24579,CPT,OPEN TREATMENT HUMERAL CONDYLAR FRACTURE,,30,,,"$20,535.56",$0.00,1,0,1,20120101,24582,CPT,PRQ SKEL FIXJ HUMRL CNDYLR FX MEDIAL/LAT W/MANJ,,30,,,"$10,305.77",$0.00,1,0,1,20120101,24586,CPT,OPTX PERIARTICULAR FRACTURE &/DISLOCATION ELBOW,,30,,,"$20,535.56",$0.00,1,0,1,20120101,24587,CPT,OPTX PRIARTICULAR FX&/DISLC ELBW W/IMPLT ARTHRP,,30,,,"$20,535.56",$0.00,1,0,1,20120101,24600,CPT,TREATMENT CLOSED ELBOW DISLOCATION W/O ANES,,30,,,$630.94,$0.00,1,0,1,20120101,24605,CPT,TREATMENT CLOSED ELBOW DISLOCATION REQ ANES,,30,,,"$6,094.71",$0.00,1,0,1,20120101,24615,CPT,OPEN TX ACUTE/CHRONIC ELBOW DISLOCATION,,30,,,"$20,535.56",$0.00,1,0,1,20120101,24620,CPT,CLOSED TX MONTEGGIA FX DISLOCATION ELBOW W/MANJ,,30,,,"$7,342.04",$0.00,1,0,1,20120101,24635,CPT,OPEN TX MONTEGGIA FRACTURE DISLOCATION ELBOW,,30,,,"$20,535.56",$0.00,1,0,1,20120101,24640,CPT,CLTX RDL HEAD SUBLXTJ CHLD NURSEMAID ELBW W/MANJ,,30,,,$630.94,$0.00,1,0,1,20120101,24650,CPT,CLOSED TX RADIAL HEAD/NECK FX W/O MANIPULATION,,30,,,$630.94,$0.00,1,0,1,20120101,24655,CPT,CLOSED TX RADIAL HEAD/NECK FX W/MANIPULATION,,30,,,"$1,959.01",$0.00,1,0,1,20120101,24665,CPT,OPEN TX RADIAL HEAD/NECK FRACTURE,,30,,,"$17,044.48",$0.00,1,0,1,20120101,24666,CPT,OPEN TX RADIAL HEAD/NECK FRACTURE PROSTHETIC,,30,,,"$20,535.56",$0.00,1,0,1,20120101,24670,CPT,CLOSED TX ULNAR FRACTURE PROXIMAL END W/O MANJ,,30,,,$630.94,$0.00,1,0,1,20120101,24675,CPT,CLOSED TX ULNAR FRACTURE PROXIMAL END W MANJ,,30,,,$630.94,$0.00,1,0,1,20120101,24685,CPT,OPEN TREATMENT ULNAR FRACTURE PROXIMAL END,,30,,,"$17,044.48",$0.00,1,0,1,20120101,24800,CPT,ARTHRODESIS ELBOW JOINT LOCAL,,30,,,"$16,487.66",$0.00,1,0,1,20120101,24802,CPT,ARTHRODESIS ELBOW JOINT W/AUTOGENOUS GRAFT,,30,,,"$22,910.88",$0.00,1,0,1,20120101,24925,CPT,AMP ARM THRU HUMERUS SECONDARY CLSR/SCAR REVJ,,30,,,"$8,707.06",$0.00,1,0,1,20120101,24935,CPT,STUMP ELONGATION UPPER EXTREMITY,,30,,,"$22,910.88",$0.00,1,0,1,20120101,24999,CPT,UNLISTED PROCEDURE HUMERUS/ELBOW,,30,,,$630.94,$0.00,1,0,1,20120101,25000,CPT,INCISION EXTENSOR TENDON SHEATH WRIST,,30,,,"$8,707.06",$0.00,1,0,1,20120101,25001,CPT,INCISION FLEXOR TENDON SHEATH WRIST,,30,,,"$8,707.06",$0.00,1,0,1,20120101,25020,CPT,DCMPRN FASCT F/ARM&WRST FLXR/XTNSR W/O DBRDMT,,30,,,"$12,366.14",$0.00,1,0,1,20120101,25023,CPT,DCMPRN FASCT F/ARM&/WRST FLXR/XTNSR W/DBRDMT,,30,,,"$12,366.14",$0.00,1,0,1,20120101,25024,CPT,DCMPRN FASCT F/ARM&/WRST FLXR&XTNSR W/O DBRDMT,,30,,,"$12,366.14",$0.00,1,0,1,20120101,25025,CPT,DCMPRN FASCT F/ARM&/WRST FLXR&XTNSR DBRDMT NV,,30,,,"$12,366.14",$0.00,1,0,1,20120101,25028,CPT,I&D FOREARM&/WRIST DEEP ABSCESS/HEMATOMA,,30,,,"$8,707.06",$0.00,1,0,1,20120101,25031,CPT,INCISION & DRAINAGE FOREARM&/WRIST BURSA,,30,,,"$8,707.06",$0.00,1,0,1,20120101,25035,CPT,INCISION DEEP BONE CORTEX FOREARM&/WRIST,,30,,,"$8,707.06",$0.00,1,0,1,20120101,25040,CPT,ARTHRT RDCRPL/MIDCARPL JT W/EXPL DRG/RMVL FB,,30,,,"$12,366.14",$0.00,1,0,1,20120101,25065,CPT,BIOPSY SOFT TISSUE FOREARM&/WRIST SUPERFICIAL,,30,,,"$3,122.57",$0.00,1,0,1,20120101,25066,CPT,BIOPSY SOFT TISSUE FOREARM&/WRIST DEEP,,30,,,"$9,197.85",$0.00,1,0,1,20120101,25071,CPT,EXC TUMOR SOFT TISS FOREARM AND/WRIST SUBQ 3CM/>,,30,,,"$9,197.85",$0.00,1,0,1,20120101,25073,CPT,EXC TUMOR SFT TISS FOREARM&//WRIST SUBFASC 3CM/>,,30,,,"$9,197.85",$0.00,1,0,1,20120101,25075,CPT,EXC TUMOR SOFT TISSUE FOREARM &/WRIST SUBQ <3CM,,30,,,"$5,907.48",$0.00,1,0,1,20120101,25076,CPT,EXC TUMOR SOFT TISS FOREARM&/WRIST SUBFASC <3CM,,30,,,"$5,907.48",$0.00,1,0,1,20120101,25077,CPT,RAD RESECT TUMOR SOFT TISS FOREARM&/WRIST <3CM,,30,,,"$5,907.48",$0.00,1,0,1,20120101,25078,CPT,RAD RESCJ TUM SOFT TISSUE FOREARM&/WRIST 3 CM/>,,30,,,"$9,197.85",$0.00,1,0,1,20120101,25085,CPT,CAPSULOTOMY WRIST,,30,,,"$8,707.06",$0.00,1,0,1,20120101,25100,CPT,ARTHROTOMY WRIST JOINT WITH BIOPSY,,30,,,"$8,707.06",$0.00,1,0,1,20120101,25101,CPT,ARTHRT WRST W/JT EXPL W/WO BX W/WO RMVL LOOSE/FB,,30,,,"$12,366.14",$0.00,1,0,1,20120101,25105,CPT,ARTHROTOMY WRIST JOINT WITH SYNOVECTOMY,,30,,,"$12,366.14",$0.00,1,0,1,20120101,25107,CPT,ARTHROTOMY DSTL RADIOULNAR JOINT RPR CARTILAGE,,30,,,"$12,366.14",$0.00,1,0,1,20120101,25109,CPT,EXC TENDON FOREARM&/WRIST FLEXOR/EXTENSOR EA,,30,,,"$8,707.06",$0.00,1,0,1,20120101,25110,CPT,EXCISION LESION TENDON SHEATH FOREARM&/WRIST,,30,,,"$8,707.06",$0.00,1,0,1,20120101,25111,CPT,EXCISION GANGLION WRIST DORSAL/VOLAR PRIMARY,,30,,,"$8,707.06",$0.00,1,0,1,20120101,25112,CPT,EXCISION GANGLION WRIST DORSAL/VOLAR RECURRENT,,30,,,"$8,707.06",$0.00,1,0,1,20120101,25115,CPT,RAD EXC BURSA SYNVA WRST/F/ARM TDN SHTHS FLXRS,,30,,,"$8,707.06",$0.00,1,0,1,20120101,25116,CPT,RAD EXC BURSA SYNVA WRST/F/ARM TDN SHTHS XTNSRS,,30,,,"$8,707.06",$0.00,1,0,1,20120101,25118,CPT,SYNOVECTOMY EXTENSOR TENDON SHTH WRIST 1 CMPRT,,30,,,"$12,366.14",$0.00,1,0,1,20120101,25119,CPT,SYNVCT XTNSR TDN SHTH WRST 1 RESCJ DSTL ULNA,,30,,,"$12,366.14",$0.00,1,0,1,20120101,25120,CPT,EXCISION/CURETTAGE CYST/TUMOR RADIUS/ULNA,,30,,,"$12,366.14",$0.00,1,0,1,20120101,25125,CPT,EXC/CURTG CYST/TUMOR RADIUS/ULNA W/AUTOGRAFT,,30,,,"$12,366.14",$0.00,1,0,1,20120101,25126,CPT,EXC/CURTG CYST/TUMOR RADIUS/ULNA W/ALLOGRAFT,,30,,,"$12,366.14",$0.00,1,0,1,20120101,25130,CPT,EXCISION/CURETTAGE CYST/TUMOR CARPAL BONES,,30,,,"$12,366.14",$0.00,1,0,1,20120101,25135,CPT,EXC/CURTG CYST/TUMOR CARPAL BONES W/AUTOGRAFT,,30,,,"$12,366.14",$0.00,1,0,1,20120101,25136,CPT,EXC/CURTG CYST/TUMOR CARPAL BONES W/ALLOGRAFT,,30,,,"$12,366.14",$0.00,1,0,1,20120101,25145,CPT,SEQUESTRECTOMY FOREARM &/WRIST,,30,,,"$12,366.14",$0.00,1,0,1,20120101,25150,CPT,PARTIAL EXCISION BONE ULNA,,30,,,"$12,366.14",$0.00,1,0,1,20120101,25151,CPT,PARTIAL EXCISION BONE RADIUS,,30,,,"$12,366.14",$0.00,1,0,1,20120101,25170,CPT,RADICAL RESECTION TUMOR RADIUS OR ULNA,,30,,,"$12,366.14",$0.00,1,0,1,20120101,25210,CPT,CARPECTOMY 1 BONE,,30,,,"$12,366.14",$0.00,1,0,1,20120101,25215,CPT,CARPECTOMY ALL BONES PROXIMAL ROW,,30,,,"$12,366.14",$0.00,1,0,1,20120101,25230,CPT,RADICAL STYLOIDECTOMY SEPARATE PROCEDURE,,30,,,"$12,366.14",$0.00,1,0,1,20120101,25240,CPT,EXCISION DISTAL ULNA PARTIAL/COMPLETE,,30,,,"$12,366.14",$0.00,1,0,1,20120101,25248,CPT,EXPL W/REMOVAL DEEP FOREIGN BODY FOREARM/WRIST,,30,,,"$8,707.06",$0.00,1,0,1,20120101,25250,CPT,REMOVAL WRIST PROSTHESIS SEPARATE PROCEDURE,,30,,,"$12,366.14",$0.00,1,0,1,20120101,25251,CPT,REMOVAL WRIST PROSTH COMPLICATED W/TOTAL WRIST,,30,,,"$12,366.14",$0.00,1,0,1,20120101,25259,CPT,MANIPULATION WRIST UNDER ANESTHESIA,,30,,,"$7,342.04",$0.00,1,0,1,20120101,25260,CPT,RPR TDN/MUSC FLXR F/ARM&/WRST PRIM 1 EA TDN/MUSC,,30,,,"$12,366.14",$0.00,1,0,1,20120101,25263,CPT,RPR TDN/MUSC FLXR F/ARM&/WRST SEC 1 EA TDN/MUSC,,30,,,"$12,366.14",$0.00,1,0,1,20120101,25265,CPT,RPR TDN/MUSC FLXR F/ARM&/WRST SEC FR GRF EA,,30,,,"$12,366.14",$0.00,1,0,1,20120101,25270,CPT,RPR TDN/MUSC XTNSR F/ARM&/WRST PRIM 1 EA TDN,,30,,,"$12,366.14",$0.00,1,0,1,20120101,25272,CPT,RPR TDN/MUSC XTNSR F/ARM&/WRST SEC 1 EA TDN/MUSC,,30,,,"$12,366.14",$0.00,1,0,1,20120101,25274,CPT,RPR TDN/MUSC XTNSR F/ARM&/WRST SEC FR GRF EA TDN,,30,,,"$12,366.14",$0.00,1,0,1,20120101,25275,CPT,RPR TENDON SHEATH EXTENSOR F/ARM&/WRST W/GRAFT,,30,,,"$12,366.14",$0.00,1,0,1,20120101,25280,CPT,LNGTH/SHRT FLXR/XTNSR TDN F/ARM&/WRST 1 EA TDN,,30,,,"$12,366.14",$0.00,1,0,1,20120101,25290,CPT,TNOT FLXR/XTNSR TENDON FOREARM&/WRIST 1 EA,,30,,,"$12,366.14",$0.00,1,0,1,20120101,25295,CPT,TNOLS FLXR/XTNSR TENDON FOREARM&/WRIST 1 EA,,30,,,"$8,707.06",$0.00,1,0,1,20120101,25300,CPT,TENODESIS WRIST FLEXORS FINGERS,,30,,,"$12,366.14",$0.00,1,0,1,20120101,25301,CPT,TENODESIS WRIST EXTENSORS FINGERS,,30,,,"$12,366.14",$0.00,1,0,1,20120101,25310,CPT,TDN TRNSPLJ/TR FLXR/XTNSR F/ARM&/WRST 1 EA TDN,,30,,,"$12,366.14",$0.00,1,0,1,20120101,25312,CPT,TDN TRNSPLJ/TR FLXR/XTNSR F/ARM&/WRST 1/TDN GRF,,30,,,"$16,487.66",$0.00,1,0,1,20120101,25315,CPT,FLEXOR ORIGIN SLIDE FOREARM &/WRIST,,30,,,"$12,366.14",$0.00,1,0,1,20120101,25316,CPT,FLEXOR ORIGIN SLIDE F/ARM&/WRST TENDON TRANSFER,,30,,,"$22,910.88",$0.00,1,0,1,20120101,25320,CPT,CAPSL-RHPHY/RCNSTJ WRST OPN CARPL INS,,30,,,"$16,487.66",$0.00,1,0,1,20120101,25332,CPT,ARTHRP WRST W/WO INTERPOS W/WO XTRNL/INT FIXJ,,30,,,"$14,959.08",$0.00,1,0,1,20120101,25335,CPT,CENTRALIZATION WRST ULNA,,30,,,"$16,487.66",$0.00,1,0,1,20120101,25337,CPT,RCNSTJ STABLJ DSTL U/DSTL JT 2 SOFT TISS STABLJ,,30,,,"$16,487.66",$0.00,1,0,1,20120101,25350,CPT,OSTEOTOMY RADIUS DISTAL THIRD,,30,,,"$16,487.66",$0.00,1,0,1,20120101,25355,CPT,OSTEOTOMY RADIUS MIDDLE/PROXIMAL THIRD,,30,,,"$16,487.66",$0.00,1,0,1,20120101,25360,CPT,OSTEOTOMY ULNA,,30,,,"$16,487.66",$0.00,1,0,1,20120101,25365,CPT,OSTEOTOMY RADIUS & ULNA,,30,,,"$22,910.88",$0.00,1,0,1,20120101,25370,CPT,MLT OSTEOTOMIES W/RELIGNMT IMED ROD RADIUS/ULNA,,30,,,"$16,487.66",$0.00,1,0,1,20120101,25375,CPT,MLT OSTEOTOMIES W/RELIGNMT IMED ROD RADIUS&ULNA,,30,,,"$16,487.66",$0.00,1,0,1,20120101,25390,CPT,OSTEOPLASTY RADIUS/ULNA SHORTENING,,30,,,"$16,487.66",$0.00,1,0,1,20120101,25391,CPT,OSTEOPLASTY RADIUS/ULNA LENGTHENING W/AUTOGRAFT,,30,,,"$22,910.88",$0.00,1,0,1,20120101,25392,CPT,OSTEOPLASTY RADIUS & ULNA SHORTENING,,30,,,"$12,366.14",$0.00,1,0,1,20120101,25393,CPT,OSTEOPLASTY RADIUS&ULNA LENGTHENING W/AUTOGRAFT,,30,,,"$16,487.66",$0.00,1,0,1,20120101,25394,CPT,OSTEOPLASTY CARPAL BONE SHORTENING,,30,,,"$16,487.66",$0.00,1,0,1,20120101,25400,CPT,RPIR NONUNION/MALUNION RADIUS/ULNA W/O AUTOGRAFT,,30,,,"$22,910.88",$0.00,1,0,1,20120101,25405,CPT,RPR NONUNION/MALUNION RADIUS/ULNA W/AUTOGRAFT,,30,,,"$22,910.88",$0.00,1,0,1,20120101,25415,CPT,RPR NONUNION/MALUNION RADIUS&ULNA W/O AUTOGRAFT,,30,,,"$22,910.88",$0.00,1,0,1,20120101,25420,CPT,RPR NONUNION/MALUNION RADIUS&ULNA W/AUTOGRAFT,,30,,,"$22,910.88",$0.00,1,0,1,20120101,25425,CPT,REPAIR DEFECT W/AUTOGRAFT RADIUS/ULNA,,30,,,"$22,910.88",$0.00,1,0,1,20120101,25426,CPT,REPAIR DEFECT W/AUTOGRAFT RADIUS&ULNA,,30,,,"$16,487.66",$0.00,1,0,1,20120101,25430,CPT,INSERTION VASCULAR PEDICLE CARPAL BONE,,30,,,"$16,487.66",$0.00,1,0,1,20120101,25431,CPT,REPAIR NONUNION CARPAL BONE EACH BONE,,30,,,"$16,487.66",$0.00,1,0,1,20120101,25440,CPT,RPR NONUNION SCAPHOID CARPAL BNE W/WO RDL STYLEC,,30,,,"$22,910.88",$0.00,1,0,1,20120101,25441,CPT,ARTHROPLASTY W/PROSTHETIC RPLCMT DISTAL RADIUS,,30,,,"$21,969.18",$0.00,1,0,1,20120101,25442,CPT,ARTHROPLASTY W/PROSTHETIC RPLCMT DISTAL ULNA,,30,,,"$21,969.18",$0.00,1,0,1,20120101,25443,CPT,ARTHROPLASTY W/PROSTHETIC RPLCMT SCAPHOID CARPAL,,30,,,"$19,300.62",$0.00,1,0,1,20120101,25444,CPT,ARTHROPLASTY W/PROSTHETIC REPLACEMENT LUNATE,,30,,,"$19,300.62",$0.00,1,0,1,20120101,25445,CPT,ARTHROPLASTY W/PROSTHETIC REPLACEMENT TRAPEZIUM,,30,,,"$19,300.62",$0.00,1,0,1,20120101,25446,CPT,ARTHRP W/PROSTC RPLCMT DSTL RDS&PRTL/CARPUS,,30,,,"$21,969.18",$0.00,1,0,1,20120101,25447,CPT,ARTHRP INTERPOS INTERCARPAL/METACARPAL JOINTS,,30,,,"$14,959.08",$0.00,1,0,1,20120101,25449,CPT,REVJ ARTHRP W/REMOVAL IMPLANT WRIST JOINT,,30,,,"$14,959.08",$0.00,1,0,1,20120101,25450,CPT,EPIPHYSL ARRST EPIPHYSIOD/STAPLING DSTL RDS/U,,30,,,"$16,487.66",$0.00,1,0,1,20120101,25455,CPT,EPIPHYSL ARRST EPIPHYSIOD/STAPLING DSTL RDS&U,,30,,,"$16,487.66",$0.00,1,0,1,20120101,25490,CPT,PROPH TX N/P/PLTWR W/WO METHYLACRYLATE RADIUS,,30,,,"$16,487.66",$0.00,1,0,1,20120101,25491,CPT,PROPH TX N/P/PLTWR W/WO METHYLMETHACRYLATE ULNA,,30,,,"$16,487.66",$0.00,1,0,1,20120101,25492,CPT,PROPH TX N/P/PLTWR W/WO METHYLMECRYLATE RAD&ULNA,,30,,,"$16,487.66",$0.00,1,0,1,20120101,25500,CPT,CLOSED TX RADIAL SHAFT FRACTURE W/O MANIPULATION,,30,,,$630.94,$0.00,1,0,1,20120101,25505,CPT,CLOSED TX RADIAL SHAFT FRACTURE W/MANIPULATION,,30,,,"$1,959.01",$0.00,1,0,1,20120101,25515,CPT,OPEN TREATMENT RADIAL SHAFT FRACTURE,,30,,,"$17,044.48",$0.00,1,0,1,20120101,25520,CPT,CLTX RDL SHFT FX&CLTX DISLC DSTL RAD/ULN JT,,30,,,"$1,959.01",$0.00,1,0,1,20120101,25525,CPT,OPEN RDL SHAFT FX CLOSED RAD/ULN JT DISLOCATE,,30,,,"$17,044.48",$0.00,1,0,1,20120101,25526,CPT,OPEN RDL SHAFT FX OPEN RAD/ULN JT DISLOCATE,,30,,,"$17,044.48",$0.00,1,0,1,20120101,25530,CPT,CLOSED TX ULNAR SHAFT FRACTURE W/O MANIPULATION,,30,,,$630.94,$0.00,1,0,1,20120101,25535,CPT,CLOSED TX ULNAR SHAFT FRACTURE W/MANIPULATION,,30,,,$630.94,$0.00,1,0,1,20120101,25545,CPT,OPEN TREATMENT OF ULNAR SHAFT FRACTURE,,30,,,"$17,044.48",$0.00,1,0,1,20120101,25560,CPT,CLOSED TX RADIAL&ULNAR SHAFT FRACTURES W/O MANJ,,30,,,$630.94,$0.00,1,0,1,20120101,25565,CPT,CLOSED TX RADIAL&ULNAR SHAFT FRACTURES W/MANJ,,30,,,"$1,959.01",$0.00,1,0,1,20120101,25574,CPT,OPEN TX RADIAL & ULNAR SHAFT FX FIXJ RADIUS/ULNA,,30,,,"$20,535.56",$0.00,1,0,1,20120101,25575,CPT,OPEN TX RDL& ULNAR SHAFT FX FIXJ RADIUS &ULNA,,30,,,"$20,535.56",$0.00,1,0,1,20120101,25600,CPT,CLTX DSTL RADIAL FX/EPIPHYSL SEP W/O MANJ,,30,,,$630.94,$0.00,1,0,1,20120101,25605,CPT,CLTX DSTL RDL FX/EPIPHYSL SEP W/MANJ WHEN PERF,,30,,,"$1,959.01",$0.00,1,0,1,20120101,25606,CPT,PERQ SKEL FIXJ DISTAL RADIAL FX/EPIPHYSL SEP,,30,,,"$10,305.77",$0.00,1,0,1,20120101,25607,CPT,OPTX DSTL RADL X-ARTIC FX/EPIPHYSL SEP,,30,,,"$20,535.56",$0.00,1,0,1,20120101,25608,CPT,OPTX DSTL RADL I-ARTIC FX/EPIPHYSL SEP 2 FRAG,,30,,,"$20,535.56",$0.00,1,0,1,20120101,25609,CPT,OPTX DSTL RADL I-ARTIC FX/EPIPHYSL SEP 3 FRAG,,30,,,"$20,535.56",$0.00,1,0,1,20120101,25622,CPT,CLOSED TX CARPAL SCAPHOID FRACTURE W/O MANJ,,30,,,$630.94,$0.00,1,0,1,20120101,25624,CPT,CLOSED TX CARPAL SCAPHOID FRACTURE W/MANJ,,30,,,"$1,959.01",$0.00,1,0,1,20120101,25628,CPT,OPEN TX CARPAL SCAPHOID NAVICULAR FRACTURE,,30,,,"$17,044.48",$0.00,1,0,1,20120101,25630,CPT,CLTX CARPAL BONE FX W/O MANJ EACH BONE,,30,,,$630.94,$0.00,1,0,1,20120101,25635,CPT,CLTX CARPAL BONE FX W/MANJ EACH BONE,,30,,,$630.94,$0.00,1,0,1,20120101,25645,CPT,OPEN TX CARPAL BONE FRACTURE OTH/THN SCAPHOID EA,,30,,,"$17,044.48",$0.00,1,0,1,20120101,25650,CPT,CLOSED TREATMENT ULNAR STYLOID FRACTURE,,30,,,$630.94,$0.00,1,0,1,20120101,25651,CPT,PRQ SKELETAL FIXATION ULNAR STYLOID FRACTURE,,30,,,"$10,305.77",$0.00,1,0,1,20120101,25652,CPT,OPEN TREATMENT ULNAR STYLOID FRACTURE,,30,,,"$17,044.48",$0.00,1,0,1,20120101,25660,CPT,CLTX RDCRPL/INTERCARPL DISLC 1/> BONES W/MANJ,,30,,,$630.94,$0.00,1,0,1,20120101,25670,CPT,OPEN TX RADIOCARPAL/INTERCARPAL DISLC 1/> BONES,,30,,,"$10,305.77",$0.00,1,0,1,20120101,25671,CPT,PRQ SKELETAL FIXJ DISTAL RADIOULNAR DISLOCATION,,30,,,"$10,305.77",$0.00,1,0,1,20120101,25675,CPT,CLOSED TX DISTAL RADIOULNAR DISLOCATION W/MANJ,,30,,,$630.94,$0.00,1,0,1,20120101,25676,CPT,OPEN TX DISTAL RADIOULNAR DISLC ACUTE/CHRONIC,,30,,,"$10,305.77",$0.00,1,0,1,20120101,25680,CPT,CLTX TRANS-SCAPHOPRILUNAR TYP FX DISLC W/MANJ,,30,,,$630.94,$0.00,1,0,1,20120101,25685,CPT,OPEN TX TRANS-SCAPHOPERILUNAR FRACTURE DISLC,,30,,,"$10,305.77",$0.00,1,0,1,20120101,25690,CPT,CLOSED TX LUNATE DISLOCATION W/MANIPULATION,,30,,,"$7,342.04",$0.00,1,0,1,20120101,25695,CPT,OPEN TREATMENT LUNATE DISLOCATION,,30,,,"$10,305.77",$0.00,1,0,1,20120101,25800,CPT,ARTHRODESIS WRIST COMPLETE W/O BONE GRAFT,,30,,,"$22,910.88",$0.00,1,0,1,20120101,25805,CPT,ARTHRODESIS WRIST W/SLIDING GRAFT,,30,,,"$22,910.88",$0.00,1,0,1,20120101,25810,CPT,ARTHRODESIS WRIST W/ILIAC/OTHER AUTOGRAFT,,30,,,"$22,910.88",$0.00,1,0,1,20120101,25820,CPT,ARTHRODESIS WRIST LIMITED W/O BONE GRAFT,,30,,,"$16,487.66",$0.00,1,0,1,20120101,25825,CPT,ARTHRODESIS WRIST LIMITED W/AUTOGRAFT,,30,,,"$22,910.88",$0.00,1,0,1,20120101,25830,CPT,ARTHRD DSTL RAD/ULN JT SGMTL RESCJ ULNA W/WOBONE,,30,,,"$22,910.88",$0.00,1,0,1,20120101,25907,CPT,AMP F/ARM THRU RADIUS&ULNA SEC CLOSURE/SCAR REVJ,,30,,,"$8,707.06",$0.00,1,0,1,20120101,25909,CPT,AMP FOREARM THRU RADIUS&ULNA RE-AMPUTATION,,30,,,"$8,707.06",$0.00,1,0,1,20120101,25922,CPT,DISARTICULATION THRU WRIST SEC CLOSURE/SCAR REVJ,,30,,,"$8,707.06",$0.00,1,0,1,20120101,25929,CPT,TRANSMETACARPAL AMPUTATION SEC CLOSURE/SCAR REVJ,,30,,,"$6,785.22",$0.00,1,0,1,20120101,25931,CPT,TRANSMETACARPAL AMPUTATION RE-AMPUTATION,,30,,,"$8,707.06",$0.00,1,0,1,20120101,25999,CPT,UNLISTED PROCEDURE FOREARM/WRIST,,30,,,$630.94,$0.00,1,0,1,20120101,26010,CPT,DRAINAGE FINGER ABSCESS SIMPLE,,30,,,$650.02,$0.00,1,0,1,20120101,26011,CPT,DRAINAGE FINGER ABSCESS COMPLICATED,,30,,,"$5,293.97",$0.00,1,0,1,20120101,26020,CPT,DRAINAGE TENDON SHEATH DIGIT&/PALM EACH,,30,,,"$6,838.24",$0.00,1,0,1,20120101,26025,CPT,DRAINAGE OF PALMAR BURSA SINGLE BURSA,,30,,,"$6,838.24",$0.00,1,0,1,20120101,26030,CPT,DRAINAGE OF PALMAR BURSA MULTIPLE BURSA,,30,,,"$6,838.24",$0.00,1,0,1,20120101,26034,CPT,INCISION BONE CORTEX HAND/FINGER,,30,,,"$6,838.24",$0.00,1,0,1,20120101,26035,CPT,DECOMPRESSION FINGERS&/HAND INJECTION INJURY,,30,,,"$6,838.24",$0.00,1,0,1,20120101,26037,CPT,DECOMPRESSIVE FASCIOTOMY HAND,,30,,,"$6,838.24",$0.00,1,0,1,20120101,26040,CPT,FASCIOTOMY PALMAR PERCUTANEOUS,,30,,,"$6,838.24",$0.00,1,0,1,20120101,26045,CPT,FASCIOTOMY PALMAR OPEN PARTIAL,,30,,,"$11,285.92",$0.00,1,0,1,20120101,26055,CPT,TENDON SHEATH INCISION,,30,,,"$6,838.24",$0.00,1,0,1,20120101,26060,CPT,TENOTOMY PERCUTANEOUS SINGLE EACH DIGIT,,30,,,"$6,838.24",$0.00,1,0,1,20120101,26070,CPT,ARTHRT EXPL DRG/RMVL LOOSE/FB CARP/MTCRPL JT,,30,,,"$6,838.24",$0.00,1,0,1,20120101,26075,CPT,ARTHRT EXPL DRG/RMVL LOOSE/FB MTCARPHLNGL JT EA,,30,,,"$6,838.24",$0.00,1,0,1,20120101,26080,CPT,ARTHRT EXPL DRG/RMVL LOOSE/FB IPHAL JT EA,,30,,,"$6,838.24",$0.00,1,0,1,20120101,26100,CPT,ARTHROTOMY BIOPSY CARP/MTCRPL JOINT EACH,,30,,,"$6,838.24",$0.00,1,0,1,20120101,26105,CPT,ARTHROTOMY BIOPSY MTCARPHLNGL JOINT EACH,,30,,,"$6,838.24",$0.00,1,0,1,20120101,26110,CPT,ARTHROTOMY BIOPSY INTERPHALANGEAL JOINT EACH,,30,,,"$6,838.24",$0.00,1,0,1,20120101,26111,CPT,EX TUM/VASC MALF SFT TISS HAND/FNGR SUBQ 1.5CM/>,,30,,,"$9,197.85",$0.00,1,0,1,20120101,26113,CPT,EX TUM/VASC MAL SFT TIS HAND/FNGR SUBFSC 1.5CM/>,,30,,,"$9,197.85",$0.00,1,0,1,20120101,26115,CPT,EXC TUM/VASC MAL SFT TISS HAND/FNGR SUBQ <1.5CM,,30,,,"$5,907.48",$0.00,1,0,1,20120101,26116,CPT,EXC TUM/VAS MAL SFT TIS HAND/FNGR SUBFASC<1.5CM,,30,,,"$5,907.48",$0.00,1,0,1,20120101,26117,CPT,RAD RESECT TUMOR SOFT TISSUE HAND/FINGER <3CM,,30,,,"$5,907.48",$0.00,1,0,1,20120101,26118,CPT,RAD RESCJ TUM SOFT TISSUE HAND/FINGER 3 CM/>,,30,,,"$9,197.85",$0.00,1,0,1,20120101,26121,CPT,FASCT PALM W/WO Z-PLASTY TISSUE REARGMT/SKN GRFT,,30,,,"$11,285.92",$0.00,1,0,1,20120101,26123,CPT,FASCT PRTL PALMAR 1 DGT PROX IPHAL JT W/WO RPR,,30,,,"$11,285.92",$0.00,1,0,1,20120101,26125,CPT,FASCT PRTL PALMR ADDL DGT PROX IPHAL JT W/WO RPR,,30,,,"$6,838.24",$0.00,1,0,1,20120101,26130,CPT,SYNOVECTOMY CARPOMETACARPAL JOINT,,30,,,"$6,838.24",$0.00,1,0,1,20120101,26135,CPT,SYNVCT MTCARPHLNGL JT W/INTRNSC RLS&XTNSR HOOD,,30,,,"$11,285.92",$0.00,1,0,1,20120101,26140,CPT,SYNVCT PROX IPHAL JT W/XTNSR RCNSTJ EA IPHAL JT,,30,,,"$6,838.24",$0.00,1,0,1,20120101,26145,CPT,SYNVCT TDN SHTH RAD FLXR TDN PALM&/FNGR EA TDN,,30,,,"$6,838.24",$0.00,1,0,1,20120101,26160,CPT,EXC LES TDN SHTH/JT CAPSL HAND/FNGR,,30,,,"$6,838.24",$0.00,1,0,1,20120101,26170,CPT,EXCISION TENDON PALM FLEXOR/EXTENSOR SINGLE EACH,,30,,,"$6,838.24",$0.00,1,0,1,20120101,26180,CPT,EXCISION TENDON FINGER FLEXOR/EXTENSOR EACH,,30,,,"$6,838.24",$0.00,1,0,1,20120101,26185,CPT,SESAMOIDECTOMY THUMB/FINGER SEPARATE PROCEDURE,,30,,,"$6,838.24",$0.00,1,0,1,20120101,26200,CPT,EXCISION/CURETTAGE CYST/TUMOR METACARPAL,,30,,,"$6,838.24",$0.00,1,0,1,20120101,26205,CPT,EXC/CURETTAGE CYST/TUMOR METACARPAL W/AUTOGRAFT,,30,,,"$11,285.92",$0.00,1,0,1,20120101,26210,CPT,EXCISION/CURETTAGE CYST/TUMOR PHALANX FINGER,,30,,,"$6,838.24",$0.00,1,0,1,20120101,26215,CPT,EXC/CURETTAGE CYST/TUMOR PHALANX FINGER W/AGRAFT,,30,,,"$6,838.24",$0.00,1,0,1,20120101,26230,CPT,PARTIAL EXCISION BONE METACARPAL,,30,,,"$6,838.24",$0.00,1,0,1,20120101,26235,CPT,PARTIAL EXCISION PROXIMAL/MIDDLE PHALANX FINGER,,30,,,"$6,838.24",$0.00,1,0,1,20120101,26236,CPT,PARTIAL EXCISION DISTAL PHALANX FINGER,,30,,,"$6,838.24",$0.00,1,0,1,20120101,26250,CPT,RADICAL RESECTION TUMOR METACARPAL,,30,,,"$6,838.24",$0.00,1,0,1,20120101,26260,CPT,RAD RESECTION TUMOR PROX/MIDDLE PHALANX FINGER,,30,,,"$6,838.24",$0.00,1,0,1,20120101,26262,CPT,RADICAL RESECTION TUMOR DISTAL PHALANX FINGER,,30,,,"$6,838.24",$0.00,1,0,1,20120101,26320,CPT,REMOVAL IMPLANT FROM FINGER/HAND,,30,,,"$5,907.48",$0.00,1,0,1,20120101,26340,CPT,MANIPULATION FINGER JOINT UNDER ANES EACH JOINT,,30,,,"$1,959.01",$0.00,1,0,1,20120101,26341,CPT,MANIPLATN PALAR FASCIAL CRD POST INJ SINGLE CORD,,30,,,"$1,959.01",$0.00,1,0,1,20120101,26350,CPT,RPR/ADVMNT FLXR TDN N/Z/2 W/O FR GRAFT EA TENDON,,30,,,"$11,285.92",$0.00,1,0,1,20120101,26352,CPT,RPR/ADVMNT FLXR TDN N/Z/2 W/FR GRAFT EA TENDON,,30,,,"$11,285.92",$0.00,1,0,1,20120101,26356,CPT,RPR/ADVMNT FLXR TDN ZONE 2 W/O FR GRFT EA TENDON,,30,,,"$11,285.92",$0.00,1,0,1,20120101,26357,CPT,RPR/ADVMNT FLXR TDN ZONE 2 W/O FR GRFT EA TENDON,,30,,,"$11,285.92",$0.00,1,0,1,20120101,26358,CPT,RPR/ADVMNT FLXR TDN ZONE 2 W/FR GRAFT EA TENDON,,30,,,"$11,285.92",$0.00,1,0,1,20120101,26370,CPT,RPR/ADVMNT TDN W/NTC SUPFCIS TDN PRIM EA TDN,,30,,,"$11,285.92",$0.00,1,0,1,20120101,26372,CPT,RPR/ADVMNT TDN W/NTC SUPFCIS TDN W/FREE GRAFT EA,,30,,,"$11,285.92",$0.00,1,0,1,20120101,26373,CPT,RPR/ADVMNT TDN W/NTC SUPFCIS TDN W/O FREE GRF EA,,30,,,"$11,285.92",$0.00,1,0,1,20120101,26390,CPT,EXC FLXR TDN W/IMPLTJ SYNTH ROD DLYD TDN GRF H/F,,30,,,"$11,285.92",$0.00,1,0,1,20120101,26392,CPT,RMVL SYNTH ROD&INSJ FLXR TDN GRF H/F EA ROD,,30,,,"$11,285.92",$0.00,1,0,1,20120101,26410,CPT,REPAIR EXTENSOR TENDON HAND W/O GRAFT EACH,,30,,,"$6,838.24",$0.00,1,0,1,20120101,26412,CPT,REPAIR EXTENSOR TENDON HAND W/GRAFT EACH,,30,,,"$11,285.92",$0.00,1,0,1,20120101,26415,CPT,EXC XTNSR TDN W/IMPLTJ SYNTH ROD DLYD GRF H/F EA,,30,,,"$11,285.92",$0.00,1,0,1,20120101,26416,CPT,RMVL SYNTH ROD&INSJ XTNSR TDN GRF H/F EA ROD,,30,,,"$11,285.92",$0.00,1,0,1,20120101,26418,CPT,REPAIR EXTENSOR TENDON FINGER W/O GRAFT EACH,,30,,,"$6,838.24",$0.00,1,0,1,20120101,26420,CPT,REPAIR EXTENSOR TENDON FINGER W/GRAFT EACH,,30,,,"$11,285.92",$0.00,1,0,1,20120101,26426,CPT,RPR XTNSR TDN CNTRL SLIP TISS W/LAT BAND EA FNGR,,30,,,"$11,285.92",$0.00,1,0,1,20120101,26428,CPT,RPR XTNSR TDN CNTRL SLIP SEC W/FR GRFT EA FINGER,,30,,,"$11,285.92",$0.00,1,0,1,20120101,26432,CPT,CLTX DSTL XTNSR TDN INSJ W/WO PERCUTAN PINNING,,30,,,"$6,838.24",$0.00,1,0,1,20120101,26433,CPT,REPAIR EXTENSOR TENDON DISTAL INSERTION W/O GRF,,30,,,"$6,838.24",$0.00,1,0,1,20120101,26434,CPT,REPAIR EXTENSOR TENDON DISTAL INSERTION W/GRAFT,,30,,,"$11,285.92",$0.00,1,0,1,20120101,26437,CPT,REALIGNMENT EXTENSOR TENDON HAND EACH TENDON,,30,,,"$6,838.24",$0.00,1,0,1,20120101,26440,CPT,TENOLYSIS FLEXOR TENDON PALM/FINGER EACH TENDON,,30,,,"$6,838.24",$0.00,1,0,1,20120101,26442,CPT,TENOLYSIS FLEXOR TENDON PALM&FINGER EACH TENDON,,30,,,"$11,285.92",$0.00,1,0,1,20120101,26445,CPT,TENOLYSIS EXTENSOR TENDON HAND/FINGER EACH,,30,,,"$6,838.24",$0.00,1,0,1,20120101,26449,CPT,TENOLYSIS CPLX XTNSR TENDON FINGER W/FOREARM EA,,30,,,"$11,285.92",$0.00,1,0,1,20120101,26450,CPT,TENOTOMY FLEXOR PALM OPEN EACH TENDON,,30,,,"$6,838.24",$0.00,1,0,1,20120101,26455,CPT,TENOTOMY FLEXOR FINGER OPEN EACH TENDON,,30,,,"$6,838.24",$0.00,1,0,1,20120101,26460,CPT,TENOTOMY EXTENSOR HAND/FINGER OPEN EACH TENDON,,30,,,"$6,838.24",$0.00,1,0,1,20120101,26471,CPT,TENODESIS PROXIMAL INTERPHALANGEAL JOINT EACH,,30,,,"$6,838.24",$0.00,1,0,1,20120101,26474,CPT,TENODESIS DISTAL JOINT EACH,,30,,,"$6,838.24",$0.00,1,0,1,20120101,26476,CPT,LENGTHENING TENDON EXTENSOR HAND/FINGER EACH,,30,,,"$6,838.24",$0.00,1,0,1,20120101,26477,CPT,SHORTENING TENDON EXTENSOR HAND/FINGER EACH,,30,,,"$6,838.24",$0.00,1,0,1,20120101,26478,CPT,LENGTHENING TENDON FLEXOR HAND/FINGER EACH,,30,,,"$6,838.24",$0.00,1,0,1,20120101,26479,CPT,SHORTENING TENDON FLEXOR HAND/FINGER EACH,,30,,,"$6,838.24",$0.00,1,0,1,20120101,26480,CPT,TR/TRNSPL TDN CARP/MTCRPL HAND W/O FR GRF EA TDN,,30,,,"$11,285.92",$0.00,1,0,1,20120101,26483,CPT,TENDON TRANSFER TRANSPLANT CARP/MTCRPL GRAFT,,30,,,"$11,285.92",$0.00,1,0,1,20120101,26485,CPT,TRANSFER/TRANSPLANT TENDON PALMAR W/O GRAFT EACH,,30,,,"$11,285.92",$0.00,1,0,1,20120101,26489,CPT,TRANSFER/TRANSPLANT TENDON PALMAR W/GRAFT EACH,,30,,,"$11,285.92",$0.00,1,0,1,20120101,26490,CPT,OPPONENSPLASTY SUPFCIS TDN TR TYP EA TDN,,30,,,"$11,285.92",$0.00,1,0,1,20120101,26492,CPT,OPPONENSPLASTY TDN TR W/GRF EA TDN,,30,,,"$11,285.92",$0.00,1,0,1,20120101,26494,CPT,OPPONENSPLASTY HYPOTHENAR MUSC TR,,30,,,"$11,285.92",$0.00,1,0,1,20120101,26496,CPT,OPPONENSPLASTY OTHER METHODS,,30,,,"$11,285.92",$0.00,1,0,1,20120101,26497,CPT,TR TDN RESTORE INTRNSC FUNCJ RING&SM FNGR,,30,,,"$11,285.92",$0.00,1,0,1,20120101,26498,CPT,TR TDN RESTORE INTRNSC FUNCJ ALL 4 FNGRS,,30,,,"$11,285.92",$0.00,1,0,1,20120101,26499,CPT,CORRECTION CLAW FINGER OTHER METHODS,,30,,,"$11,285.92",$0.00,1,0,1,20120101,26500,CPT,RCNSTJ TENDON PULLEY EACH W/LOCAL TISSUES SPX,,30,,,"$6,838.24",$0.00,1,0,1,20120101,26502,CPT,RCNSTJ TDN PULLEY EA TDN W/TDN/FSCAL GRF SPX,,30,,,"$11,285.92",$0.00,1,0,1,20120101,26508,CPT,RELEASE THENAR MUSCLE,,30,,,"$6,838.24",$0.00,1,0,1,20120101,26510,CPT,CROSS INTRINSIC TRANSFER EACH TENDON,,30,,,"$11,285.92",$0.00,1,0,1,20120101,26516,CPT,CAPSULODESIS MTCARPHLNGL JOINT SINGLE DIGIT,,30,,,"$11,285.92",$0.00,1,0,1,20120101,26517,CPT,CAPSULODESIS MTCARPHLNGL JOINT 2 DIGITS,,30,,,"$11,285.92",$0.00,1,0,1,20120101,26518,CPT,CAPSULODESIS MTCARPHLNGL JOINT 3/4 DIGITS,,30,,,"$11,285.92",$0.00,1,0,1,20120101,26520,CPT,CAPSULECTOMY/CAPSULOTOMY MTCARPHLNGL JOINT EACH,,30,,,"$6,838.24",$0.00,1,0,1,20120101,26525,CPT,CAPSULECTOMY/CAPSULOTOMY IPHAL JOINT EACH,,30,,,"$6,838.24",$0.00,1,0,1,20120101,26530,CPT,ARTHROPLASTY METACARPOPHALANGEAL JOINT EACH,,30,,,"$14,959.08",$0.00,1,0,1,20120101,26531,CPT,ARTHRP MTCARPHLNGL JT W/PROSTC IMPLT EA JT,,30,,,"$19,300.62",$0.00,1,0,1,20120101,26535,CPT,ARTHROPLASTY INTERPHALANGEAL JOINT EACH,,30,,,"$14,959.08",$0.00,1,0,1,20120101,26536,CPT,ARTHROPLASTY INTERPHALANGEAL JT W/PROSTHETIC EA,,30,,,"$19,300.62",$0.00,1,0,1,20120101,26540,CPT,RPR COLTRL LIGM MTCARPHLNGL/IPHAL JT,,30,,,"$6,838.24",$0.00,1,0,1,20120101,26541,CPT,RCNSTJ COLTRL LIGM MTCARPHLNGL 1 W/TDN/FSCAL GRF,,30,,,"$11,285.92",$0.00,1,0,1,20120101,26542,CPT,RCNSTJ COLTRL LIGM MTCARPHLNGL 1 W/LOCAL TISS,,30,,,"$6,838.24",$0.00,1,0,1,20120101,26545,CPT,RCNSTJ COLTRL LIGM IPHAL JT 1 W/GRF EA JT,,30,,,"$11,285.92",$0.00,1,0,1,20120101,26546,CPT,RPR NON-UNION MTCRPL/PHALANX,,30,,,"$11,285.92",$0.00,1,0,1,20120101,26548,CPT,RPR&RCNSTJ FINGER VOLAR PLATE INTERPHALANGEAL JT,,30,,,"$11,285.92",$0.00,1,0,1,20120101,26550,CPT,POLLICIZATION DIGIT,,30,,,"$11,285.92",$0.00,1,0,1,20120101,26555,CPT,TR FNGR AXH POS W/O MVASC ANAST,,30,,,"$11,285.92",$0.00,1,0,1,20120101,26560,CPT,REPAIR SYNDACTYLY EACH SPACE W/SKIN FLAPS,,30,,,"$6,838.24",$0.00,1,0,1,20120101,26561,CPT,REPAIR SYNDACTYLY EACH SPACE W/SKIN FLAPS&GRAFTS,,30,,,"$11,285.92",$0.00,1,0,1,20120101,26562,CPT,REPAIR SYNDACTYLY EACH SPACE COMPLEX,,30,,,"$11,285.92",$0.00,1,0,1,20120101,26565,CPT,OSTEOTOMY METACARPAL EACH,,30,,,"$11,285.92",$0.00,1,0,1,20120101,26567,CPT,OSTEOTOMY PHALANX FINGER EACH,,30,,,"$11,285.92",$0.00,1,0,1,20120101,26568,CPT,OSTEOPLASTY LENGTHENING METACARPAL/PHALANX,,30,,,"$11,285.92",$0.00,1,0,1,20120101,26580,CPT,REPAIR CLEFT HAND,,30,,,"$6,838.24",$0.00,1,0,1,20120101,26587,CPT,RCNSTJ POLYDACTYLOUS DGT SOFT TISS&B1,,30,,,"$6,838.24",$0.00,1,0,1,20120101,26590,CPT,REPAIR MACRODACTYLIA EACH DIGIT,,30,,,"$6,838.24",$0.00,1,0,1,20120101,26591,CPT,REPAIR INTRINSIC MUSCLES HAND EACH MUSCLE,,30,,,"$11,285.92",$0.00,1,0,1,20120101,26593,CPT,RELEASE INTRINSIC MUSCLES HAND EACH MUSCLE,,30,,,"$6,838.24",$0.00,1,0,1,20120101,26596,CPT,EXC CONSTRICTING RING FNGR W/MLT Z-PLASTIES,,30,,,"$6,838.24",$0.00,1,0,1,20120101,26600,CPT,CLTX METACARPAL FX W/O MANIPULATION EACH BONE,,30,,,$630.94,$0.00,1,0,1,20120101,26605,CPT,CLTX METACARPAL FX W/MANIPULATION EACH BONE,,30,,,$630.94,$0.00,1,0,1,20120101,26607,CPT,CLTX METACARPAL FX W/MANJ W/XTRNL FIXJ EA BONE,,30,,,"$7,342.04",$0.00,1,0,1,20120101,26608,CPT,PRQ SKELETAL FIXJ METACARPAL FX EACH BONE,,30,,,"$10,305.77",$0.00,1,0,1,20120101,26615,CPT,OPEN TX METACARPAL FRACTURE SINGLE EA BONE,,30,,,"$17,044.48",$0.00,1,0,1,20120101,26641,CPT,CLTX CARPO/METACARPAL DISLOCATION THUMB W/MANJ,,30,,,$630.94,$0.00,1,0,1,20120101,26645,CPT,CLTX CARPO/METACARPAL FX DISLC THUMB W/MANJ,,30,,,"$1,959.01",$0.00,1,0,1,20120101,26650,CPT,PRQ SKELETAL FIX CARPO/METACARPAL FX DISLC THUMB,,30,,,"$10,305.77",$0.00,1,0,1,20120101,26665,CPT,OPEN TX CARPOMETACARPAL FRACTURE DISLOCATE THUMB,,30,,,"$17,044.48",$0.00,1,0,1,20120101,26670,CPT,CLTX CARPO/METACARPL DISLC THMB MANJ EA W/O ANES,,30,,,$630.94,$0.00,1,0,1,20120101,26675,CPT,CLTX CARPO/MTCRPL DISLC THUMB MANJ EA JT W/ANES,,30,,,$630.94,$0.00,1,0,1,20120101,26676,CPT,PRQ SKEL FIXJ CARPO/MTCRPL DISLC THMB MANJ EA JT,,30,,,"$10,305.77",$0.00,1,0,1,20120101,26685,CPT,OPEN TX CARPOMETACARPAL DISLOCATE NOT THUMB,,30,,,"$10,305.77",$0.00,1,0,1,20120101,26686,CPT,OPTX CARP/MTCRPL DISLC THMB CPLX MLT/DLYD RDCTJ,,30,,,"$20,535.56",$0.00,1,0,1,20120101,26700,CPT,CLTX METACARPOPHALANGEAL DISLC W/MANJ W/O ANES,,30,,,$630.94,$0.00,1,0,1,20120101,26705,CPT,CLTX METACARPOPHALANGEAL DISLC W/MANJ W/ANES,,30,,,$630.94,$0.00,1,0,1,20120101,26706,CPT,PRQ SKEL FIXJ METACARPOPHALANGEAL DISLC W/MANJ,,30,,,"$7,342.04",$0.00,1,0,1,20120101,26715,CPT,OPEN TREATMENT METACARPOPHALANGEAL DISLOCATION,,30,,,"$10,305.77",$0.00,1,0,1,20120101,26720,CPT,CLTX PHLNGL FX PROX/MIDDLE PX/F/T W/O MANJ EA,,30,,,$630.94,$0.00,1,0,1,20120101,26725,CPT,CLTX PHLNGL FX PROX/MIDDLE PX/F/T W/MANJ EA,,30,,,$630.94,$0.00,1,0,1,20120101,26727,CPT,PRQ SKEL FIXJ PHLNGL SHFT FX PROX/MIDDLE PX/F/T,,30,,,"$10,305.77",$0.00,1,0,1,20120101,26735,CPT,OPEN TX PHALANGEAL SHAFT FRACTURE PROX/MIDDLE EA,,30,,,"$10,305.77",$0.00,1,0,1,20120101,26740,CPT,CLTX ARTICULAR FX INVG MTCARPHLNGL/IPHAL JT W/O,,30,,,$630.94,$0.00,1,0,1,20120101,26742,CPT,CLTX ARTICULAR FX INVG MTCARPHLNGL/IPHAL JT W/,,30,,,$630.94,$0.00,1,0,1,20120101,26746,CPT,OPEN TX ARTICULAR FRACTURE MCP/IP JOINT EA,,30,,,"$10,305.77",$0.00,1,0,1,20120101,26750,CPT,CLTX DSTL PHLNGL FX FNGR/THMB W/O MANJ EA,,30,,,$630.94,$0.00,1,0,1,20120101,26755,CPT,CLTX DSTL PHLNGL FX FNGR/THMB W/MANJ EA,,30,,,$630.94,$0.00,1,0,1,20120101,26756,CPT,PRQ SKEL FIXJ DSTL PHLNGL FX FNGR/THMB EA,,30,,,"$10,305.77",$0.00,1,0,1,20120101,26765,CPT,OPEN TX DISTAL PHALANGEAL FRACTURE EACH,,30,,,"$10,305.77",$0.00,1,0,1,20120101,26770,CPT,CLTX IPHAL JT DISLC W/MANJ W/O ANES,,30,,,$630.94,$0.00,1,0,1,20120101,26775,CPT,CLTX IPHAL JT DISLC W/MANJ REQ ANES,,30,,,"$6,094.71",$0.00,1,0,1,20120101,26776,CPT,PRQ SKEL FIXJ IPHAL JT DISLC W/MANJ,,30,,,"$10,305.77",$0.00,1,0,1,20120101,26785,CPT,OPEN TX INTERPHALANGEAL JOINT DISLOCATION,,30,,,"$10,305.77",$0.00,1,0,1,20120101,26820,CPT,FUSION OPPOSITION THUMB W/AUTOGENOUS GRAFT,,30,,,"$11,285.92",$0.00,1,0,1,20120101,26841,CPT,ARTHRD CARPO/METACARPAL JT THUMB W/WO INT FIXJ,,30,,,"$11,285.92",$0.00,1,0,1,20120101,26842,CPT,ARTHRD CRP/MTACRPL JT THMB W/WO INT FIXJ W/AGRFT,,30,,,"$11,285.92",$0.00,1,0,1,20120101,26843,CPT,ARTHRD CARP/MTCRPL JT DGT OTHER THAN THUMB EACH,,30,,,"$11,285.92",$0.00,1,0,1,20120101,26844,CPT,ARTHRD CARP/MTCRPL JT DGT OTH/THN THMB W/AGRFT,,30,,,"$11,285.92",$0.00,1,0,1,20120101,26850,CPT,ARTHRODESIS METACARPOPHALANGEAL JT W/WO INT FIXJ,,30,,,"$11,285.92",$0.00,1,0,1,20120101,26852,CPT,ARTHRD MTCRPL JT W/WO INT FIXJ W/AGRFT,,30,,,"$11,285.92",$0.00,1,0,1,20120101,26860,CPT,ARTHRD IPHAL JT +-INT FIXJ,,30,,,"$11,285.92",$0.00,1,0,1,20120101,26861,CPT,ARTHRD IPHAL JT W/WO INT FIXJ EA IPHAL JT,,30,,,"$11,285.92",$0.00,1,0,1,20120101,26862,CPT,ARTHRD IPHAL JT W/WO INT FIXJ W/AGRFT,,30,,,"$11,285.92",$0.00,1,0,1,20120101,26863,CPT,ARTHRD IPHAL JT W/WO INT FIXJ W/AGRFT EA JT,,30,,,"$11,285.92",$0.00,1,0,1,20120101,26910,CPT,AMP MTCRPL W/FINGER/THUMB W/WO INTEROSS TRANSFER,,30,,,"$11,285.92",$0.00,1,0,1,20120101,26951,CPT,AMP F/TH 1/2 JT/PHALANX W/NEURECT W/DIR CLSR,,30,,,"$6,838.24",$0.00,1,0,1,20120101,26952,CPT,AMP F/TH 1/2 JT/PHALANX W/NEURECT LOCAL FLAP,,30,,,"$6,838.24",$0.00,1,0,1,20120101,26989,CPT,UNLISTED PROCEDURE HANDS/FINGERS,,30,,,$630.94,$0.00,1,0,1,20120101,26990,CPT,I&D PELVIS/HIP JT AREA DEEP ABSCESS/HEMATOMA,,30,,,"$8,707.06",$0.00,1,0,1,20120101,26991,CPT,I&D PELVIS/HIP JOINT AREA INFECTED BURSA,,30,,,"$8,707.06",$0.00,1,0,1,20120101,27000,CPT,TENOTOMY ADDUCTOR HIP PERCUTANEOUS SPX,,30,,,"$8,707.06",$0.00,1,0,1,20120101,27001,CPT,TENOTOMY ADDUCTOR HIP OPEN,,30,,,"$12,366.14",$0.00,1,0,1,20120101,27003,CPT,TX ADDUXOR SUBQ OPN W/OBTURATOR NEURECTOMY,,30,,,"$12,366.14",$0.00,1,0,1,20120101,27006,CPT,TENOTOMY ABDUCTORS&/EXTENSOR HIP OPEN SPX,,30,,,"$12,366.14",$0.00,1,0,1,20120101,27027,CPT,DECOMPRESSION FASCIOTOMY PELVIC COMPARTMENT UNI,,30,,,"$12,366.14",$0.00,1,0,1,20120101,27033,CPT,ARTHROTOMY HIP EXPLORATION/REMOVAL FOREIGN BODY,,30,,,"$16,487.66",$0.00,1,0,1,20120101,27035,CPT,DNRVTJ HIP JT INTRAPEL/XTRPEL INTRA-ARTCLR BRNCH,,30,,,"$12,366.14",$0.00,1,0,1,20120101,27040,CPT,BIOPSY SOFT TISSUE PELVIS&HIP AREA SUPERFICIAL,,30,,,"$3,122.57",$0.00,1,0,1,20120101,27041,CPT,BIOPSY SOFT TISSUE PELVIS&HIP DEEP/SUBFSCAL/IM,,30,,,"$3,122.57",$0.00,1,0,1,20120101,27043,CPT,EXCISION TUMOR SOFT TISSUE PELVIS&HIP SUBQ 3CM/>,,30,,,"$9,197.85",$0.00,1,0,1,20120101,27045,CPT,EXC TUMOR SOFT TISSUE PELVIS & HIP SUBFASC 5CM/>,,30,,,"$9,197.85",$0.00,1,0,1,20120101,27047,CPT,EXC TUMOR SOFT TISSUE PELVIS & HIP SUBQ <3CM,,30,,,"$5,907.48",$0.00,1,0,1,20120101,27048,CPT,EXC TUMOR SOFT TISSUE PELVIS & HIP SUBFASC <5CM,,30,,,"$5,907.48",$0.00,1,0,1,20120101,27049,CPT,RAD RESECT TUMOR SOFT TISSUE PELVIS & HIP <5CM,,30,,,"$5,907.48",$0.00,1,0,1,20120101,27050,CPT,ARTHROTOMY W/BIOPSY SACROILIAC JOINT,,30,,,"$8,707.06",$0.00,1,0,1,20120101,27052,CPT,ARTHROTOMY W/BIOPSY HIP JOINT,,30,,,"$8,707.06",$0.00,1,0,1,20120101,27057,CPT,DCMPRN FASCIOTOMY PELVIC CMPRT DBRDMT MUSCLE UNI,,30,,,"$8,707.06",$0.00,1,0,1,20120101,27059,CPT,RAD RESECTION TUMOR SOFT TISS PELVIS&HIP 5 CM/>,,30,,,"$9,197.85",$0.00,1,0,1,20120101,27060,CPT,EXCISION ISCHIAL BURSA,,30,,,"$8,707.06",$0.00,1,0,1,20120101,27062,CPT,EXCISION TROCHANTERIC BURSA/CALCIFICATION,,30,,,"$8,707.06",$0.00,1,0,1,20120101,27065,CPT,EXCISION BONE CYST/B9 TUMOR SUPERFICIAL,,30,,,"$8,707.06",$0.00,1,0,1,20120101,27066,CPT,EXCISION BONE CYST/B9 TUMOR DEEP,,30,,,"$12,366.14",$0.00,1,0,1,20120101,27067,CPT,EXC B1 CST/B9 TUM W/AGRFT REQ SEP INC,,30,,,"$12,366.14",$0.00,1,0,1,20120101,27080,CPT,COCCYGECTOMY PRIMARY,,30,,,"$12,366.14",$0.00,1,0,1,20120101,27086,CPT,RMVL FOREIGN BODY PELVIS/HIP SUBCUTANEOUS TISS,,30,,,"$3,122.57",$0.00,1,0,1,20120101,27087,CPT,REMOVAL FOREIGN BODY PELVIS/HIP DEEP,,30,,,"$8,707.06",$0.00,1,0,1,20120101,27096,CPT,INJECT SI JOINT ARTHRGRPHY&/ANES/STEROID W/IMAGE,,30,,,"$1,689.96",$0.00,1,0,1,20120101,27097,CPT,RELEASE/RECESSION HAMSTRING PROXIMAL,,30,,,"$12,366.14",$0.00,1,0,1,20120101,27098,CPT,TRANSFER ADDUCTOR ISCHIUM,,30,,,"$12,366.14",$0.00,1,0,1,20120101,27100,CPT,TR XTRNL OBLQ MUSC TRCHNTR W/FSCAL/TDN XTN GRF,,30,,,"$16,487.66",$0.00,1,0,1,20120101,27105,CPT,TR PARASPI MUSC HIP FASC/TDN XTN GRF,,30,,,"$16,487.66",$0.00,1,0,1,20120101,27110,CPT,TRANSFER ILIOPSOAS GREATER TROCHANTER FEMUR,,30,,,"$16,487.66",$0.00,1,0,1,20120101,27111,CPT,TRANSFER ILIOPSOAS FEMORAL NECK,,30,,,"$16,487.66",$0.00,1,0,1,20120101,27179,CPT,OPTX SLP FEM EPIPHYSIS OSTPL FEM NCK HEYMAN PX,,30,,,"$22,910.88",$0.00,1,0,1,20120101,27193,CPT,CLTX PEL RING FX DISLC DIAST/SUBLXTJ W/O MANJ,,30,,,$630.94,$0.00,1,0,1,20120101,27194,CPT,CLTX PEL RING FX DISLC DIAST/SUBLXTJ W/MANJ ANES,,30,,,"$6,094.71",$0.00,1,0,1,20120101,27200,CPT,CLOSED TREATMENT COCCYGEAL FRACTURE,,30,,,$630.94,$0.00,1,0,1,20120101,27202,CPT,OPEN TREATMENT COCCYGEAL FRACTURE,,30,,,"$17,044.48",$0.00,1,0,1,20120101,27216,CPT,PERQ SKELETAL FIXATION PST PELVIC BONE FX&/DISLC,,30,,,"$20,279.56",$0.00,1,0,1,20120101,27220,CPT,CLTX ACETABULUM HIP/SOCKT FX W/O MANJ,,30,,,$630.94,$0.00,1,0,1,20120101,27230,CPT,CLTX FEM FX PROX END NCK W/O MANJ,,30,,,$630.94,$0.00,1,0,1,20120101,27235,CPT,PRQ SKEL FIXJ FEMORAL FX PROX END NECK,,30,,,"$12,366.14",$0.00,1,0,1,20120101,27238,CPT,CLTX INTER/PERI/SUBTROCHANTERIC FEM FX W/O MANJ,,30,,,"$1,959.01",$0.00,1,0,1,20120101,27246,CPT,CLTX GREATER TROCHANTERIC FX W/O MANJ,,30,,,"$1,959.01",$0.00,1,0,1,20120101,27250,CPT,CLTX HIP DISLOCATION TRAUMATIC W/O ANESTHESIA,,30,,,$630.94,$0.00,1,0,1,20120101,27252,CPT,CLTX HIP DISLOCATION TRAUMATIC REQ ANESTHESIA,,30,,,"$6,094.71",$0.00,1,0,1,20120101,27256,CPT,TX SPONTAN HIP DISLC ABDCT SPLNT/TRCJ W/O ANES,,30,,,$630.94,$0.00,1,0,1,20120101,27257,CPT,TX SPON HIP DISLC ABDCT SPLNT/TRCJ W/MANJ ANES,,30,,,"$6,094.71",$0.00,1,0,1,20120101,27265,CPT,CLTX POST HIP ARTHRP DISLC W/O ANES,,30,,,$630.94,$0.00,1,0,1,20120101,27266,CPT,CLTX POST HIP ARTHRP DISLC REQ ANES,,30,,,"$6,094.71",$0.00,1,0,1,20120101,27267,CPT,CLOSED TX FEMORAL FRACTURE PROX HEAD W/O MANJ,,30,,,$630.94,$0.00,1,0,1,20120101,27275,CPT,MANIPULATION HIP JOINT GENERAL ANESTHESIA,,30,,,"$6,094.71",$0.00,1,0,1,20120101,27299,CPT,UNLISTED PROCEDURE PELVIS/HIP JOINT,,30,,,$630.94,$0.00,1,0,1,20120101,27301,CPT,I&D DEEP ABSC BURSA/HEMATOMA THIGH/KNEE REGION,,30,,,"$8,067.87",$0.00,1,0,1,20120101,27305,CPT,FASCIOTOMY ILIOTIBIAL OPEN,,30,,,"$8,707.06",$0.00,1,0,1,20120101,27306,CPT,TENOTOMY PRQ ADDUCTOR/HAMSTRING 1 TENDON SPX,,30,,,"$8,707.06",$0.00,1,0,1,20120101,27307,CPT,TENOTOMY PRQ ADDUCTOR/HAMSTRING MULTIPLE TENDON,,30,,,"$12,366.14",$0.00,1,0,1,20120101,27310,CPT,ARTHRT KNE W/EXPL DRG/RMVL FB,,30,,,"$12,366.14",$0.00,1,0,1,20120101,27323,CPT,BIOPSY SOFT TISSUE THIGH/KNEE AREA SUPERFICIAL,,30,,,"$3,122.57",$0.00,1,0,1,20120101,27324,CPT,BIOPSY SOFT TISSUE THIGH/KNEE AREA DEEP,,30,,,"$9,197.85",$0.00,1,0,1,20120101,27325,CPT,NEURECTOMY HAMSTRING MUSCLE,,30,,,"$6,678.05",$0.00,1,0,1,20120101,27326,CPT,NEURECTOMY POPLITEAL,,30,,,"$6,678.05",$0.00,1,0,1,20120101,27327,CPT,EXCISION TUMOR SOFT TISSUE THIGH/KNEE SUBQ <3CM,,30,,,"$9,197.85",$0.00,1,0,1,20120101,27328,CPT,EXC TUMOR SOFT TISSUE THIGH/KNEE SUBFASC <5CM,,30,,,"$5,907.48",$0.00,1,0,1,20120101,27329,CPT,RAD RESECT TUMOR SOFT TISSUE THIGH/KNEE <5CM,,30,,,"$5,907.48",$0.00,1,0,1,20120101,27330,CPT,ARTHROTOMY KNEE W/SYNOVIAL BIOPSY ONLY,,30,,,"$12,366.14",$0.00,1,0,1,20120101,27331,CPT,ARTHRT KNE W/JT EXPL BX/RMVL LOOSE/FB,,30,,,"$12,366.14",$0.00,1,0,1,20120101,27332,CPT,ARTHRT W/EXC SEMILUNAR CRTLG KNEE MEDIAL/LAT,,30,,,"$12,366.14",$0.00,1,0,1,20120101,27333,CPT,ARTHRT W/EXC SEMILUNAR CRTLG KNEE MEDIAL&LAT,,30,,,"$12,366.14",$0.00,1,0,1,20120101,27334,CPT,ARTHROTOMY W/SYNOVECTOMY KNEE ANTERIOR/POSTERIOR,,30,,,"$12,366.14",$0.00,1,0,1,20120101,27335,CPT,ARTHRT W/SYNVCT KNE ANT&PST W/POP AREA,,30,,,"$12,366.14",$0.00,1,0,1,20120101,27337,CPT,EXCISON TUMOR SOFT TISSUE THIGH/KNEE SUBQ 3 CM/>,,30,,,"$9,197.85",$0.00,1,0,1,20120101,27339,CPT,EXC TUMOR SOFT TISSUE THIGH/KNEE SUBFASC 5 CM/>,,30,,,"$9,197.85",$0.00,1,0,1,20120101,27340,CPT,EXCISION PREPATELLAR BURSA,,30,,,"$8,707.06",$0.00,1,0,1,20120101,27345,CPT,EXCISION SYNOVIAL CYST POPLITEAL SPACE,,30,,,"$8,707.06",$0.00,1,0,1,20120101,27347,CPT,EXCISION LESION MENISCUS/CAPSULE KNEE,,30,,,"$8,707.06",$0.00,1,0,1,20120101,27350,CPT,PATELLECTOMY/HEMIPATELLECTOMY,,30,,,"$12,366.14",$0.00,1,0,1,20120101,27355,CPT,EXCISION/CURETTAGE CYST/TUMOR FEMUR,,30,,,"$12,366.14",$0.00,1,0,1,20120101,27356,CPT,EXCISION/CURETTAGE CYST/TUMOR FEMUR W/ALLOGRAFT,,30,,,"$12,366.14",$0.00,1,0,1,20120101,27357,CPT,EXCISION/CURETTAGE CYST/TUMOR FEMUR W/AUTOGRAFT,,30,,,"$12,366.14",$0.00,1,0,1,20120101,27358,CPT,EXCISION/CURETTAGE CYST/TUMOR FEMUR INT FIXATION,,30,,,"$12,366.14",$0.00,1,0,1,20120101,27360,CPT,PRTL EXC B1 FEMUR PROX TIBIA&/FIBULA,,30,,,"$12,366.14",$0.00,1,0,1,20120101,27364,CPT,RAD RESECTION TUMOR SOFT TIS THIGH/KNEE 5 CM/>,,30,,,"$9,197.85",$0.00,1,0,1,20120101,27372,CPT,REMOVAL FOREIGN BODY DEEP THIGH/KNEE,,30,,,"$9,197.85",$0.00,1,0,1,20120101,27380,CPT,SUTURE INFRAPATELLAR TENDON PRIMARY,,30,,,"$12,366.14",$0.00,1,0,1,20120101,27381,CPT,SUTR INFRAPATELLAR TDN 2 RCNSTJ W/FSCAL/TDN GRF,,30,,,"$12,366.14",$0.00,1,0,1,20120101,27385,CPT,SUTURE QUADRICEPS/HAMSTRING RUPTURE PRIMARY,,30,,,"$12,366.14",$0.00,1,0,1,20120101,27386,CPT,SUTR QUADRICEPS/HAMSTRING MUSC RPT RCNSTJ,,30,,,"$12,366.14",$0.00,1,0,1,20120101,27390,CPT,TENOTOMY OPEN HAMSTRING KNEE HIP SINGLE TENDON,,30,,,"$8,707.06",$0.00,1,0,1,20120101,27391,CPT,TENOTOMY OPN HAMSTRING KNEE HIP MULTIPLE 1 LEG,,30,,,"$8,707.06",$0.00,1,0,1,20120101,27392,CPT,TENOTOMY OPEN HAMSTRING KNEE HIP MULTIPLE BI,,30,,,"$12,366.14",$0.00,1,0,1,20120101,27393,CPT,LENGTHENING HAMSTRING TENDON SINGLE,,30,,,"$12,366.14",$0.00,1,0,1,20120101,27394,CPT,LENGTHENING HAMSTRING TENDON MULTIPLE 1 LEG,,30,,,"$12,366.14",$0.00,1,0,1,20120101,27395,CPT,LENGTHENING HAMSTRING TENDON MULTIPLE BILATERAL,,30,,,"$16,487.66",$0.00,1,0,1,20120101,27396,CPT,TRANSPLANT/TRANSFER THIGH XTNSR TO FLXR 1 TENDON,,30,,,"$12,366.14",$0.00,1,0,1,20120101,27397,CPT,TRANSPLANT/TRANSFER THIGH XTNSR TO FLXR MULT TDN,,30,,,"$16,487.66",$0.00,1,0,1,20120101,27400,CPT,TRANSFER TENDON/MUSCLE HAMSTRINGS FEMUR,,30,,,"$16,487.66",$0.00,1,0,1,20120101,27403,CPT,ARTHROTOMY W/MENISCUS REPAIR KNEE,,30,,,"$12,366.14",$0.00,1,0,1,20120101,27405,CPT,RPR PRIMARY TORN LIGM&/CAPSULE KNEE COLLATERAL,,30,,,"$16,487.66",$0.00,1,0,1,20120101,27407,CPT,REPAIR PRIMARY TORN LIGM&/CAPSULE KNEE CRUCIATE,,30,,,"$22,910.88",$0.00,1,0,1,20120101,27409,CPT,RPR 1 TORN LIGM&/CAPSL KNE COLTRL&CRUCIATE LIGMS,,30,,,"$22,910.88",$0.00,1,0,1,20120101,27412,CPT,AUTOLOGOUS CHONDROCYTE IMPLANTATION KNEE,,30,,,"$22,910.88",$0.00,1,0,1,20120101,27415,CPT,OSTEOCHONDRAL ALLOGRAFT KNEE OPEN,,30,,,"$22,910.88",$0.00,1,0,1,20120101,27416,CPT,OSTEOCHONDRAL AUTOGRAFT KNEE OPEN MOSAICPLASTY,,30,,,"$16,487.66",$0.00,1,0,1,20120101,27418,CPT,ANTERIOR TIBIAL TUBERCLEPLASTY,,30,,,"$16,487.66",$0.00,1,0,1,20120101,27420,CPT,RCNSTJ DISLOCATING PATELLA,,30,,,"$16,487.66",$0.00,1,0,1,20120101,27422,CPT,RCNSTJ DISLC PATELLA W/XTNSR RELIGNMT&/MUSC RLS,,30,,,"$16,487.66",$0.00,1,0,1,20120101,27424,CPT,RCNSTJ DISLC PATELLA W/PATELLECTOMY,,30,,,"$16,487.66",$0.00,1,0,1,20120101,27425,CPT,LATERAL RETINACULAR RELEASE OPEN,,30,,,"$12,366.14",$0.00,1,0,1,20120101,27427,CPT,LIGAMENTOUS RECONSTRUCTION KNEE EXTRA-ARTICULAR,,30,,,"$22,910.88",$0.00,1,0,1,20120101,27428,CPT,LIGAMENTOUS RECONSTRUCTION KNEE INTRA-ARTICULAR,,30,,,"$22,910.88",$0.00,1,0,1,20120101,27429,CPT,LIGMOUS RCNSTJ AGMNTJ KNE INTRA-ARTICULAR XTR,,30,,,"$22,910.88",$0.00,1,0,1,20120101,27430,CPT,QUADRICEPSPLASTY,,30,,,"$16,487.66",$0.00,1,0,1,20120101,27435,CPT,CAPSULOTOMY POSTERIOR CAPSULAR RELEASE KNEE,,30,,,"$12,366.14",$0.00,1,0,1,20120101,27437,CPT,ARTHROPLASTY PATELLA W/O PROSTHESIS,,30,,,"$14,959.08",$0.00,1,0,1,20120101,27438,CPT,ARTHROPLASTY PATELLA W/PROSTHESIS,,30,,,"$19,300.62",$0.00,1,0,1,20120101,27440,CPT,ARTHROPLASTY KNEE TIBIAL PLATEAU,,30,,,"$14,959.08",$0.00,1,0,1,20120101,27441,CPT,ARTHRP KNEE TIBIAL PLATEAU DBRDMT&PRTL SYNVCT,,30,,,"$14,959.08",$0.00,1,0,1,20120101,27442,CPT,ARTHROPLASTY FEM CONDYLES/TIBIAL PLATEAU KNEE,,30,,,"$14,959.08",$0.00,1,0,1,20120101,27443,CPT,ARTHRP FEM CONDYLES/TIBL PLATU KNE DBRDMT&PRTL,,30,,,"$14,959.08",$0.00,1,0,1,20120101,27446,CPT,ARTHRP KNEE CONDYLE&PLATEAU MEDIAL/LAT CMPRT,,30,,,"$21,969.18",$0.00,1,0,1,20120101,27475,CPT,ARREST EPIPHYSEAL DISTAL FEMUR,,30,,,"$12,366.14",$0.00,1,0,1,20120101,27479,CPT,ARRST EPIPHYSL CMBN DSTL FEMUR PROX TIBFIB,,30,,,"$12,366.14",$0.00,1,0,1,20120101,27496,CPT,DECOMPRESSION FASCIOTOMY THIGH&/KNEE 1 COMPONENT,,30,,,"$12,366.14",$0.00,1,0,1,20120101,27497,CPT,DCMPRN FASCT THIGH&/KNEE DBRDMT MUSCLE&/NERVE,,30,,,"$8,707.06",$0.00,1,0,1,20120101,27498,CPT,DCMPRN FASCIOTOMY THIGH&/KNEE MLT COMPARTMENTS,,30,,,"$12,366.14",$0.00,1,0,1,20120101,27499,CPT,DCMPRN FASCT THIGH&/KNEE MLT DBRDMT NV MUSC&/NRV,,30,,,"$12,366.14",$0.00,1,0,1,20120101,27500,CPT,CLOSED TX FEMORAL SHAFT FX W/O MANIPULATION,,30,,,"$1,959.01",$0.00,1,0,1,20120101,27501,CPT,CLTX SPRCNDYLR/TRNSCNDYLR FEM FX W/O MANJ,,30,,,$630.94,$0.00,1,0,1,20120101,27502,CPT,CLTX FEM SHFT FX W/MANJ W/WO SKIN/SKELETAL TRACJ,,30,,,"$7,342.04",$0.00,1,0,1,20120101,27503,CPT,CLTX SPRCNDYLR/TRNSCNDYLR FEM FX W/MANJ,,30,,,$630.94,$0.00,1,0,1,20120101,27508,CPT,CLTX FEM FX DSTL END MEDIAL/LAT CONDYLE W/O MANJ,,30,,,$630.94,$0.00,1,0,1,20120101,27509,CPT,PRQ SKELETAL FIXJ FEMORAL FX DISTAL END,,30,,,"$10,305.77",$0.00,1,0,1,20120101,27510,CPT,CLTX FEM FX DSTL END MEDIAL/LAT CONDYLE W/MANJ,,30,,,"$1,959.01",$0.00,1,0,1,20120101,27516,CPT,CLTX DISTAL FEMORAL EPIPHYSL SEPARATION W/O MANJ,,30,,,$630.94,$0.00,1,0,1,20120101,27517,CPT,CLTX DSTL FEM EPIPHYSL SEP W/MANJ W/WO SKIN/SKEL,,30,,,$630.94,$0.00,1,0,1,20120101,27520,CPT,CLOSED TX PATELLAR FRACTURE W/O MANIPULATION,,30,,,$630.94,$0.00,1,0,1,20120101,27524,CPT,OPTX PATLLR FX W/INT FIXJ/PATLLC&SOFT TISS RPR,,30,,,"$17,044.48",$0.00,1,0,1,20120101,27530,CPT,CLTX TIBIAL FX PROXIMAL W/O MANIPULATION,,30,,,$630.94,$0.00,1,0,1,20120101,27532,CPT,CLTX TIBIAL FX PROXIMAL W/WO MANJ W/SKEL TRACJ,,30,,,"$7,342.04",$0.00,1,0,1,20120101,27538,CPT,CLTX INTERCONDYLAR SPI&/TUBRST FX KNE W/WO MANJ,,30,,,$630.94,$0.00,1,0,1,20120101,27550,CPT,CLOSED TX KNEE DISLOCATION W/O ANESTHESIA,,30,,,$630.94,$0.00,1,0,1,20120101,27552,CPT,CLOSED TX KNEE DISLOCATION W/ANESTHESIA,,30,,,"$6,094.71",$0.00,1,0,1,20120101,27560,CPT,CLOSED TX PATELLAR DISLOCATION W/O ANESTHESIA,,30,,,$630.94,$0.00,1,0,1,20120101,27562,CPT,CLOSED TX PATELLAR DISLOCATION W/ANESTHESIA,,30,,,"$6,094.71",$0.00,1,0,1,20120101,27566,CPT,OPTX PATELLAR DISLC W/WO PRTL/TOT PATELLECTOMY,,30,,,"$17,044.48",$0.00,1,0,1,20120101,27570,CPT,MANIPULATION KNEE JOINT UNDER GENERAL ANESTHESIA,,30,,,"$6,094.71",$0.00,1,0,1,20120101,27594,CPT,AMP THIGH THRU FEMUR SEC CLOSURE/SCAR REVISION,,30,,,"$8,707.06",$0.00,1,0,1,20120101,27599,CPT,UNLISTED PROCEDURE FEMUR/KNEE,,30,,,$630.94,$0.00,1,0,1,20120101,27600,CPT,DCMPRN FASCT LEG ANT&/LAT CMPRTS ONLY,,30,,,"$8,707.06",$0.00,1,0,1,20120101,27601,CPT,DCMPRN FASCT LEG PST CMPRT ONLY,,30,,,"$8,707.06",$0.00,1,0,1,20120101,27602,CPT,DCMPRN FASCT LEG ANT&/LAT&PST CMPRT,,30,,,"$12,366.14",$0.00,1,0,1,20120101,27603,CPT,INCISION&DRAINAGE LEG/ANKLE ABSCESS/HEMATOMA,,30,,,"$8,067.87",$0.00,1,0,1,20120101,27604,CPT,INCISION&DRAINAGE LEG/ANKLE INFECTED BURSA,,30,,,"$12,366.14",$0.00,1,0,1,20120101,27605,CPT,TENOTOMY PRQ ACHILLES TENDON SPX LOCAL ANES,,30,,,"$5,416.20",$0.00,1,0,1,20120101,27606,CPT,TENOTOMY PRQ ACHILLES TENDON SPX GENERAL ANES,,30,,,"$8,707.06",$0.00,1,0,1,20120101,27607,CPT,INCISION LEG/ANKLE,,30,,,"$8,707.06",$0.00,1,0,1,20120101,27610,CPT,ARTHROTOMY ANKLE W/EXPL DRAINAGE/REMOVAL FB,,30,,,"$12,366.14",$0.00,1,0,1,20120101,27612,CPT,ARTHRT PST CAPSUL RLS ANKLE W/WO ACHLL TDN LNGTH,,30,,,"$12,366.14",$0.00,1,0,1,20120101,27613,CPT,BIOPSY SOFT TISSUE LEG/ANKLE AREA SUPERFICIAL,,30,,,"$3,122.57",$0.00,1,0,1,20120101,27614,CPT,BIOPSY SOFT TISSUE LEG/ANKLE AREA DEEP,,30,,,"$9,197.85",$0.00,1,0,1,20120101,27615,CPT,RAD RESECTION TUMOR SOFT TISSUE LEG/ANKLE <5CM,,30,,,"$5,907.48",$0.00,1,0,1,20120101,27616,CPT,RAD RESCJ TUM SOFT TISSUE LEG/ANKLE 5 CM/>,,30,,,"$9,197.85",$0.00,1,0,1,20120101,27618,CPT,EXC TUMOR SOFT TISSUE LEG/ANKLE SUBQ <3CM,,30,,,"$5,907.48",$0.00,1,0,1,20120101,27619,CPT,EXC TUMOR SOFT TISSUE LEG/ANKLE SUBFASCIAL <5CM,,30,,,"$5,907.48",$0.00,1,0,1,20120101,27620,CPT,ARTHRT ANKLE W/EXPL W/WO BX W/WO RMVL LOOSE/FB,,30,,,"$12,366.14",$0.00,1,0,1,20120101,27625,CPT,ARTHROTOMY W/SYNOVECTOMY ANKLE,,30,,,"$12,366.14",$0.00,1,0,1,20120101,27626,CPT,ARTHROTOMY W/SYNOVECTOMY ANKLE TENOSYNOVECTOMY,,30,,,"$12,366.14",$0.00,1,0,1,20120101,27630,CPT,EXCISION LESION TENDON SHEATH/CAPSULE LEG&/ANKLE,,30,,,"$8,707.06",$0.00,1,0,1,20120101,27632,CPT,EXCISION TUMOR SOFT TISSUE LEG/ANKLE SUBQ 3 CM/>,,30,,,"$9,197.85",$0.00,1,0,1,20120101,27634,CPT,EXC TUMOR SOFT TISSUE LEG/ANKLE SUBFASC 5 CM/>,,30,,,"$9,197.85",$0.00,1,0,1,20120101,27635,CPT,EXCISION/CURETTAGE BONE CYST/TUMOR TIBIA/FIBULA,,30,,,"$12,366.14",$0.00,1,0,1,20120101,27637,CPT,EXC/CURETTAGE CYST/TUMOR TIBIA/FIBULA W/AGRAFT,,30,,,"$12,366.14",$0.00,1,0,1,20120101,27638,CPT,EXC/CURETTAGE CYST/TUMOR TIBIA/FIBULA W/ALGRAFT,,30,,,"$12,366.14",$0.00,1,0,1,20120101,27640,CPT,PARTIAL EXCISION BONE TIBIA,,30,,,"$12,366.14",$0.00,1,0,1,20120101,27641,CPT,PARTIAL EXCISION BONE FIBULA,,30,,,"$12,366.14",$0.00,1,0,1,20120101,27647,CPT,RADICAL RESECTION OF TUMOR TALUS OR CALCANEUS,,30,,,"$12,366.14",$0.00,1,0,1,20120101,27650,CPT,REPAIR PRIMARY OPEN/PRQ RUPTURED ACHILLES TENDON,,30,,,"$16,487.66",$0.00,1,0,1,20120101,27652,CPT,RPR PRIMARY OPEN/PRQ RUPTURED ACHILLES W/GRAFT,,30,,,"$22,910.88",$0.00,1,0,1,20120101,27654,CPT,REPAIR SECONDARY ACHILLES TENDON W/WO GRAFT,,30,,,"$16,487.66",$0.00,1,0,1,20120101,27656,CPT,REPAIR FASCIAL DEFECT LEG,,30,,,"$8,707.06",$0.00,1,0,1,20120101,27658,CPT,REPAIR FLEXOR TENDON LEG PRIMARY W/O GRAFT EACH,,30,,,"$8,707.06",$0.00,1,0,1,20120101,27659,CPT,RPR FLEXOR TENDON LEG SECONDARY W/O GRAFT EACH,,30,,,"$8,707.06",$0.00,1,0,1,20120101,27664,CPT,RPR EXTENSOR TENDON LEG PRIMARY W/O GRAFT EACH,,30,,,"$12,366.14",$0.00,1,0,1,20120101,27665,CPT,RPR EXTENSOR TENDON LEG SECONDRY W/WO GRAFT EACH,,30,,,"$12,366.14",$0.00,1,0,1,20120101,27675,CPT,RPR DISLOC PERONEAL TENDON W/O FIBULAR OSTEOTOMY,,30,,,"$8,707.06",$0.00,1,0,1,20120101,27676,CPT,REPAIR DISLOCATING PERONEAL TENDON W/FIB OSTEOT,,30,,,"$12,366.14",$0.00,1,0,1,20120101,27680,CPT,TENOLYSIS FLXR/XTNSR TENDON LEG&/ANKLE 1 EACH,,30,,,"$12,366.14",$0.00,1,0,1,20120101,27681,CPT,TNOLS FLXR/XTNSR TDN LEG&/ANKLE MLT TDN,,30,,,"$12,366.14",$0.00,1,0,1,20120101,27685,CPT,LNGTH/SHRT TENDON LEG/ANKLE 1 TENDON SPX,,30,,,"$12,366.14",$0.00,1,0,1,20120101,27686,CPT,LNGTH/SHRT TDN LEG/ANKLE MLT TDN SAME INC EA,,30,,,"$12,366.14",$0.00,1,0,1,20120101,27687,CPT,GASTROCNEMIUS RECESSION,,30,,,"$12,366.14",$0.00,1,0,1,20120101,27690,CPT,TR/TRNSPL 1 TDN W/MUSC REDIRION/REROUTING SUPFC,,30,,,"$16,487.66",$0.00,1,0,1,20120101,27691,CPT,TR/TRNSPL 1 TDN W/MUSC REDIRION/REROUTING DP,,30,,,"$16,487.66",$0.00,1,0,1,20120101,27692,CPT,TR/TRNSPL 1 TDN W/MUSC REDIRION/REROUTING EA TDN,,30,,,"$16,487.66",$0.00,1,0,1,20120101,27695,CPT,RPR PRIMARY DISRUPTED LIGAMENT ANKLE COLLATERAL,,30,,,"$12,366.14",$0.00,1,0,1,20120101,27696,CPT,RPR PRIM DISRUPTED LIGM ANKLE BTH COLTRL LIGMS,,30,,,"$12,366.14",$0.00,1,0,1,20120101,27698,CPT,REPAIR SECONDARY DISRUPTED LIGAMENT ANKLE COLTRL,,30,,,"$12,366.14",$0.00,1,0,1,20120101,27700,CPT,ARTHROPLASTY ANKLE,,30,,,"$14,959.08",$0.00,1,0,1,20120101,27704,CPT,REMOVAL ANKLE IMPLANT,,30,,,"$8,707.06",$0.00,1,0,1,20120101,27705,CPT,OSTEOTOMY TIBIA,,30,,,"$16,487.66",$0.00,1,0,1,20120101,27707,CPT,OSTEOTOMY FIBULA,,30,,,"$12,366.14",$0.00,1,0,1,20120101,27709,CPT,OSTEOTOMY TIBIA&FIBULA,,30,,,"$12,366.14",$0.00,1,0,1,20120101,27720,CPT,REPAIR NONUNION/MALUNION TIBIA W/O GRAFT,,30,,,"$17,044.48",$0.00,1,0,1,20120101,27722,CPT,REPAIR NONUNION/MALUNION TIBIA W/SLIDING GRAFT,,30,,,"$20,535.56",$0.00,1,0,1,20120101,27726,CPT,REPAIR FIBULA NONUNION/MALUNION W INT FIXATION,,30,,,"$17,044.48",$0.00,1,0,1,20120101,27730,CPT,ARREST EPIPHYSEAL OPEN DISTAL TIBIA,,30,,,"$12,366.14",$0.00,1,0,1,20120101,27732,CPT,ARREST EPIPHYSEAL OPEN DISTAL FIBULA,,30,,,"$12,366.14",$0.00,1,0,1,20120101,27734,CPT,ARREST EPIPHYSEAL OPEN DISTAL TIBIA&FIBULA,,30,,,"$12,366.14",$0.00,1,0,1,20120101,27740,CPT,ARREST EPIPHYSEAL ANY METHOD TIBIA & FIBULA,,30,,,"$12,366.14",$0.00,1,0,1,20120101,27742,CPT,ARRST EPIPHYSL ANY METH TIBFIB&DSTL FEMUR,,30,,,"$16,487.66",$0.00,1,0,1,20120101,27745,CPT,PROPH TX N/P/PLTWR W/WO METHYLMETHACRYLATE TIBIA,,30,,,"$22,910.88",$0.00,1,0,1,20120101,27750,CPT,CLTX TIBIAL SHAFT FX W/O MANIPULATION,,30,,,$630.94,$0.00,1,0,1,20120101,27752,CPT,CLTX TIBIAL SHAFT FX W/MANJ W/WO SKEL TRACJ,,30,,,"$7,342.04",$0.00,1,0,1,20120101,27756,CPT,PRQ SKELETAL FIXATION TIBIAL SHAFT FRACTURE,,30,,,"$10,305.77",$0.00,1,0,1,20120101,27758,CPT,OPTX TIBIAL SHFT FX W/PLATE/SCREWS W/WO CERCLAGE,,30,,,"$17,044.48",$0.00,1,0,1,20120101,27759,CPT,TX TIBL SHFT FX IMED IMPLT W/WO SCREWS&/CERCLAGE,,30,,,"$20,535.56",$0.00,1,0,1,20120101,27760,CPT,CLTX MEDIAL MALLEOLUS FX W/O MANIPULATION,,30,,,$630.94,$0.00,1,0,1,20120101,27762,CPT,CLTX MEDIAL MALLS FX W/MANJ W/WO SKN/SKEL TRACJ,,30,,,"$7,342.04",$0.00,1,0,1,20120101,27766,CPT,OPEN TREATMENT MEDIAL MALLEOLUS FRACTURE,,30,,,"$17,044.48",$0.00,1,0,1,20120101,27767,CPT,CLOSED TREATMENT PST MALLEOLUS FRACTURE W/O MANJ,,30,,,$630.94,$0.00,1,0,1,20120101,27768,CPT,CLOSED TREATMENT PST MALLEOLUS FRACTURE W MANJ,,30,,,$630.94,$0.00,1,0,1,20120101,27769,CPT,OPEN TREATMENT POSTERIOR MALLEOLUS FRACTURE,,30,,,"$17,044.48",$0.00,1,0,1,20120101,27780,CPT,CLTX PROX FIBULA/SHFT FX W/O MANJ,,30,,,$630.94,$0.00,1,0,1,20120101,27781,CPT,CLTX PROX FIBULA/SHFT FX W/MANJ,,30,,,"$7,342.04",$0.00,1,0,1,20120101,27784,CPT,OPEN TREATMENT PROXIMAL FIBULA/SHAFT FRACTURE,,30,,,"$17,044.48",$0.00,1,0,1,20120101,27786,CPT,CLTX DSTL FIBULAR FX LAT MALLS W/O MANJ,,30,,,$630.94,$0.00,1,0,1,20120101,27788,CPT,CLTX DSTL FIBULAR FX LAT MALLS W/MANJ,,30,,,$630.94,$0.00,1,0,1,20120101,27792,CPT,OPEN TX DISTAL FIBULAR FRACTURE LAT MALLEOLUS,,30,,,"$17,044.48",$0.00,1,0,1,20120101,27808,CPT,CLOSED TX BIMALLEOLAR ANKLE FRACTURE W/O MANJ,,30,,,$630.94,$0.00,1,0,1,20120101,27810,CPT,CLOSED TX BIMALLEOLAR ANKLE FRACTURE W MANJ,,30,,,$630.94,$0.00,1,0,1,20120101,27814,CPT,OPEN TREATMENT BIMALLEOLAR ANKLE FRACTURE,,30,,,"$17,044.48",$0.00,1,0,1,20120101,27816,CPT,CLTX TRIMALLEOLAR ANKLE FX W/O MANIPULATION,,30,,,$630.94,$0.00,1,0,1,20120101,27818,CPT,CLTX TRIMALLEOLAR ANKLE FX W/MANIPULATION,,30,,,"$1,959.01",$0.00,1,0,1,20120101,27822,CPT,OPEN TX TRIMALLEOLAR ANKLE FX W/O FIXJ PST LIP,,30,,,"$17,044.48",$0.00,1,0,1,20120101,27823,CPT,OPEN TX TRIMALLEOLAR ANKLE FX W FIXJ PST LIP,,30,,,"$20,535.56",$0.00,1,0,1,20120101,27824,CPT,CLTX FX W8 BRG ARTCLR PRTN DSTL TIBIA W/O MANJ,,30,,,$630.94,$0.00,1,0,1,20120101,27825,CPT,CLTX FX W8 BRG ARTCLR PRTN DSTL TIB W/SKEL TRACJ,,30,,,"$7,342.04",$0.00,1,0,1,20120101,27826,CPT,OPEN TREATMENT FRACTURE DISTAL TIBIA FIBULA,,30,,,"$17,044.48",$0.00,1,0,1,20120101,27827,CPT,OPEN TREATMENT FRACTURE DISTAL TIBIA ONLY,,30,,,"$20,535.56",$0.00,1,0,1,20120101,27828,CPT,OPEN TREATMENT FRACTURE DISTAL TIBIA & FIBULA,,30,,,"$20,535.56",$0.00,1,0,1,20120101,27829,CPT,OPEN TX DISTAL TIBIOFIBULAR JOINT DISRUPTION,,30,,,"$17,044.48",$0.00,1,0,1,20120101,27830,CPT,CLTX PROX TIBFIB JT DISLC W/O ANES,,30,,,$630.94,$0.00,1,0,1,20120101,27831,CPT,CLTX PROX TIBFIB JT DISLC REQ ANES,,30,,,"$7,342.04",$0.00,1,0,1,20120101,27832,CPT,OPEN TX PROX TIBFIB JOINT DISLOCATE EXC PROX FIB,,30,,,"$17,044.48",$0.00,1,0,1,20120101,27840,CPT,CLOSED TX ANKLE DISLOCATION W/O ANESTHESIA,,30,,,$630.94,$0.00,1,0,1,20120101,27842,CPT,CLTX ANKLE DISLC REQ ANES W/WO PRQ SKEL FIXJ,,30,,,"$6,094.71",$0.00,1,0,1,20120101,27846,CPT,OPTX ANKLE DISLOCATION W/O REPAIR/INTERNAL FIXJ,,30,,,"$17,044.48",$0.00,1,0,1,20120101,27848,CPT,OPTX ANKLE DISLOCATION W/REPAIR/INT/XTRNL FIXJ,,30,,,"$17,044.48",$0.00,1,0,1,20120101,27860,CPT,MANIPULATION ANKLE UNDER GENERAL ANESTHESIA,,30,,,"$6,094.71",$0.00,1,0,1,20120101,27870,CPT,ARTHRODESIS ANKLE OPEN,,30,,,"$22,910.88",$0.00,1,0,1,20120101,27871,CPT,ARTHRODESIS TIBIOFIBULAR JOINT PROXIMAL/DISTAL,,30,,,"$22,910.88",$0.00,1,0,1,20120101,27884,CPT,AMP LEG THRU TIBIA&FIBULA SEC CLOSURE/SCAR REVJ,,30,,,"$8,707.06",$0.00,1,0,1,20120101,27889,CPT,ANKLE DISARTICULATION,,30,,,"$12,366.14",$0.00,1,0,1,20120101,27892,CPT,DCMPRN FASCT LEG ANT&/LAT W/DBRDMT MUSC&/NRV,,30,,,"$12,366.14",$0.00,1,0,1,20120101,27893,CPT,DCMPRN FASCT LEG PST W/DBRDMT MUSC&/NRV,,30,,,"$12,366.14",$0.00,1,0,1,20120101,27894,CPT,DCMPRN FASCT LEG ANT&/LAT&PST W/DBRDMT MUSC&/NRV,,30,,,"$12,366.14",$0.00,1,0,1,20120101,27899,CPT,UNLISTED PROCEDURE LEG/ANKLE,,30,,,$630.94,$0.00,1,0,1,20120101,28001,CPT,INCISION&DRAINAGE BURSA FOOT,,30,,,"$5,293.97",$0.00,1,0,1,20120101,28002,CPT,I&D BELOW FASCIA FOOT 1 BURSAL SPACE,,30,,,"$8,707.06",$0.00,1,0,1,20120101,28003,CPT,I&D BELOW FASCIA FOOT MULTIPLE AREAS,,30,,,"$8,707.06",$0.00,1,0,1,20120101,28005,CPT,INCISION BONE CORTEX FOOT,,30,,,"$5,416.20",$0.00,1,0,1,20120101,28008,CPT,FASCIOTOMY FOOT&/TOE,,30,,,"$5,416.20",$0.00,1,0,1,20120101,28010,CPT,TENOTOMY PERCUTANEOUS TOE SINGLE TENDON,,30,,,"$5,416.20",$0.00,1,0,1,20120101,28011,CPT,TENOTOMY PERCUTANEOUS TOE MULTIPLE TENDON,,30,,,"$5,416.20",$0.00,1,0,1,20120101,28020,CPT,ARTHRT W/EXPL DRG/RMVL LOOSE/FB NTRTRSL/TARS JT,,30,,,"$5,416.20",$0.00,1,0,1,20120101,28022,CPT,ARTHRT W/EXPL DRG/RMVL LOOSE/FB MTTARPHLNGL JT,,30,,,"$5,416.20",$0.00,1,0,1,20120101,28024,CPT,ARTHRT W/EXPL DRG/RMVL LOOSE/FB IPHAL JT,,30,,,"$5,416.20",$0.00,1,0,1,20120101,28035,CPT,RELEASE TARSAL TUNNEL,,30,,,"$6,678.05",$0.00,1,0,1,20120101,28039,CPT,EXCISION TUMOR SOFT TIS FOOT/TOE SUBQ 1.5 CM/>,,30,,,"$9,197.85",$0.00,1,0,1,20120101,28041,CPT,EXC TUMOR SOFT TISSUE FOOT/TOE SUBFASC 1.5 CM/>,,30,,,"$9,197.85",$0.00,1,0,1,20120101,28043,CPT,EXCISION TUMOR SOFT TISSUE FOOT/TOE SUBQ <1.5CM,,30,,,"$5,907.48",$0.00,1,0,1,20120101,28045,CPT,EXC TUMOR SOFT TISSUE FOOT/TOE SUBFASC <1.5CM,,30,,,"$5,907.48",$0.00,1,0,1,20120101,28046,CPT,RAD RESECTION TUMOR SOFT TISSUE FOOT/TOE <3CM,,30,,,"$5,907.48",$0.00,1,0,1,20120101,28047,CPT,RAD RESECTION TUMOR SOFT TISSUE FOOT/TOE 3 CM/>,,30,,,"$9,197.85",$0.00,1,0,1,20120101,28050,CPT,ARTHRT W/BX INTERTARSAL/TARSOMETATARSAL JOINT,,30,,,"$5,416.20",$0.00,1,0,1,20120101,28052,CPT,ARTHRTOMY W/BX METATARSOPHALANGEAL JOINT,,30,,,"$5,416.20",$0.00,1,0,1,20120101,28054,CPT,ARTHRTOMY W/BX INTERPHALANGEAL JOINT,,30,,,"$5,416.20",$0.00,1,0,1,20120101,28055,CPT,NEURECTOMY INTRINSIC MUSCULATURE OF FOOT,,30,,,"$6,678.05",$0.00,1,0,1,20120101,28060,CPT,FASCIECTOMY PLANTAR FASCIA PARTIAL SPX,,30,,,"$5,416.20",$0.00,1,0,1,20120101,28062,CPT,FASCIOTOMY PLANTAR FASCIA RADICAL SPX,,30,,,"$5,416.20",$0.00,1,0,1,20120101,28070,CPT,SYNVCT INTERTARSAL/TARSOMETATARSAL JT EA SPX,,30,,,"$5,416.20",$0.00,1,0,1,20120101,28072,CPT,SYNOVECTOMY METATARSOPHALANGEAL JOINT EACH,,30,,,"$5,416.20",$0.00,1,0,1,20120101,28080,CPT,EXCISION INTERDIGITAL MORTON NEUROMA SINGLE EACH,,30,,,"$5,416.20",$0.00,1,0,1,20120101,28086,CPT,SYNOVECTOMY TENDON SHEATH FOOT FLEXOR,,30,,,"$5,416.20",$0.00,1,0,1,20120101,28088,CPT,SYNOVECTOMY TENDON SHEATH FOOT EXTENSOR,,30,,,"$5,416.20",$0.00,1,0,1,20120101,28090,CPT,EXC LESION TENDON SHEATH/CAPSULE W/SYNVCT FOOT,,30,,,"$5,416.20",$0.00,1,0,1,20120101,28092,CPT,EXC LESION TENDON SHEATH/CAPSULE W/SYNVCT TOE EA,,30,,,"$5,416.20",$0.00,1,0,1,20120101,28100,CPT,EXCISION/CURETTAGE CYST/TUMOR TALUS/CALCANEUS,,30,,,"$5,416.20",$0.00,1,0,1,20120101,28102,CPT,EXC/CURTG CST/B9 TUM TALUS/CLCNS W/ILIAC/AGRFT,,30,,,"$18,744.02",$0.00,1,0,1,20120101,28103,CPT,EXC/CURETTAGE CYST/TUMOR TALUS/CALCANEUS ALGRFT,,30,,,"$18,744.02",$0.00,1,0,1,20120101,28104,CPT,EXC/CURTG BONE CYST/B9 TUMORTARSAL/METATARSAL,,30,,,"$5,416.20",$0.00,1,0,1,20120101,28106,CPT,EXC/CURTG CST/B9 TUM TARSAL/METAR W/ILIAC/AGRFT,,30,,,"$18,744.02",$0.00,1,0,1,20120101,28107,CPT,EXC/CURTG CST/B9 TUM TARSAL/METAR W/ALGRFT,,30,,,"$18,744.02",$0.00,1,0,1,20120101,28108,CPT,EXC/CURTG CST/B9 TUM PHALANGES FOOT,,30,,,"$5,416.20",$0.00,1,0,1,20120101,28110,CPT,OSTECTOMY PRTL 5TH METAR HEAD SPX,,30,,,"$5,416.20",$0.00,1,0,1,20120101,28111,CPT,OSTECTOMY COMPLETE 1ST METATARSAL HEAD,,30,,,"$5,416.20",$0.00,1,0,1,20120101,28112,CPT,OSTECTOMY COMPLETE OTHER METATARSAL HEAD 2/3/4,,30,,,"$5,416.20",$0.00,1,0,1,20120101,28113,CPT,OSTECTOMY COMPLETE 5TH METATARSAL HEAD,,30,,,"$5,416.20",$0.00,1,0,1,20120101,28114,CPT,OSTC COMPL ALL METAR HEADS W/PRTL PROX PHALANGC,,30,,,"$5,416.20",$0.00,1,0,1,20120101,28116,CPT,OSTECTOMY TARSAL COALITION,,30,,,"$5,416.20",$0.00,1,0,1,20120101,28118,CPT,OSTECTOMY CALCANEUS,,30,,,"$5,416.20",$0.00,1,0,1,20120101,28119,CPT,OSTECTOMY CALCANEUS SPUR W/WO PLNTAR FASCIAL RLS,,30,,,"$5,416.20",$0.00,1,0,1,20120101,28120,CPT,PARTIAL EXCISION BONE TALUS/CALCANEUS,,30,,,"$5,416.20",$0.00,1,0,1,20120101,28122,CPT,PRTL EXC B1 TARSAL/METAR B1 XCP TALUS/CALCANEUS,,30,,,"$5,416.20",$0.00,1,0,1,20120101,28124,CPT,PARTICAL EXCISION BONE PHALANX TOE,,30,,,"$5,416.20",$0.00,1,0,1,20120101,28126,CPT,RESECTION PARTIAL/COMPLETE PHALANGEAL BASE EACH,,30,,,"$5,416.20",$0.00,1,0,1,20120101,28130,CPT,TALECTOMY ASTRAGALECTOMY,,30,,,"$5,416.20",$0.00,1,0,1,20120101,28140,CPT,METATARSECTOMY,,30,,,"$5,416.20",$0.00,1,0,1,20120101,28150,CPT,PHALANGECTOMY TOE EACH TOE,,30,,,"$5,416.20",$0.00,1,0,1,20120101,28153,CPT,RESECTION CONDYLE DISTAL END PHALANX EACH TOE,,30,,,"$5,416.20",$0.00,1,0,1,20120101,28160,CPT,HEMIPHALANGECTOMY/INTERPHALANGEAL JOINT EXC TOE,,30,,,"$5,416.20",$0.00,1,0,1,20120101,28171,CPT,RAD RESCJ TUMOR TARSAL EXCEPT TALUS/CALCANEUS,,30,,,"$5,416.20",$0.00,1,0,1,20120101,28173,CPT,RADICAL RESECTION TUMOR METATARSAL,,30,,,"$5,416.20",$0.00,1,0,1,20120101,28175,CPT,RADICAL RESECTION TUMOR PHALANX OR TOE,,30,,,"$5,416.20",$0.00,1,0,1,20120101,28190,CPT,REMOVAL FOREIGN BODY FOOT SUBCUTANEOUS,,30,,,"$3,122.57",$0.00,1,0,1,20120101,28192,CPT,REMOVAL FOREIGN BODY FOOT DEEP,,30,,,"$5,907.48",$0.00,1,0,1,20120101,28193,CPT,REMOVAL FOREIGN BODY FOOT COMPLICATED,,30,,,"$3,122.57",$0.00,1,0,1,20120101,28200,CPT,RPR TDN FLXR FOOT 1/2 W/O FREE GRAFG EACH TENDON,,30,,,"$5,416.20",$0.00,1,0,1,20120101,28202,CPT,RPR TENDON FLXR FOOT SEC W/FREE GRAFT EA TENDON,,30,,,"$5,416.20",$0.00,1,0,1,20120101,28208,CPT,REPAIR TENDON EXTENSOR FOOT 1/2 EACH TENDON,,30,,,"$5,416.20",$0.00,1,0,1,20120101,28210,CPT,RPR TENDON XTNSR FOOT SEC W/FREE GRAFT EA TENDON,,30,,,"$18,744.02",$0.00,1,0,1,20120101,28220,CPT,TENOLYSIS FLEXOR FOOT SINGLE TENDON,,30,,,"$5,416.20",$0.00,1,0,1,20120101,28222,CPT,TENOLYSIS FLEXOR FOOT MULTIPLE TENDONS,,30,,,"$5,416.20",$0.00,1,0,1,20120101,28225,CPT,TENOLYSIS EXTENSOR FOOT SINGLE TENDON,,30,,,"$5,416.20",$0.00,1,0,1,20120101,28226,CPT,TENOLYSIS EXTENSOR FOOT MULTIPLE TENDON,,30,,,"$5,416.20",$0.00,1,0,1,20120101,28230,CPT,TX OPN TENDON FLEXOR FOOT SINGLE/MULT TENDON SPX,,30,,,"$5,416.20",$0.00,1,0,1,20120101,28232,CPT,TX OPEN TENDON FLEXOR TOE 1 TENDON SPX,,30,,,"$5,416.20",$0.00,1,0,1,20120101,28234,CPT,TENOTOMY OPEN EXTENSOR FOOT/TOE EACH TENDON,,30,,,"$5,416.20",$0.00,1,0,1,20120101,28238,CPT,RCNSTJ PST TIBL TDN W/EXC ACCESSORY TARSL NAVCLR,,30,,,"$18,744.02",$0.00,1,0,1,20120101,28240,CPT,TENOTOMY LENGTHENING/RLS ABDUCTOR HALLUCIS MUSC,,30,,,"$5,416.20",$0.00,1,0,1,20120101,28250,CPT,DIVISION PLANTAR FASCIA&MUSCLE SPX,,30,,,"$5,416.20",$0.00,1,0,1,20120101,28260,CPT,CAPSULOTOMY MIDFOOT MEDIAL RELEASE ONLY SPX,,30,,,"$5,416.20",$0.00,1,0,1,20120101,28261,CPT,CAPSULOTOMY MIDFOOT W/TENDON LENGTHENING,,30,,,"$5,416.20",$0.00,1,0,1,20120101,28262,CPT,CAPSUL MIDFOOT W/PST TALOTIBL CAPSUL&TDN LNGTH,,30,,,"$5,416.20",$0.00,1,0,1,20120101,28264,CPT,CAPSULOTOMY MIDTARSAL,,30,,,"$18,744.02",$0.00,1,0,1,20120101,28270,CPT,CAPSUL MTTARPHLNGL JT W/WO TENORRHAPHY EA JT SPX,,30,,,"$5,416.20",$0.00,1,0,1,20120101,28272,CPT,CAPSULOTOMY IPHAL JOINT EACH JOINT SPX,,30,,,"$5,416.20",$0.00,1,0,1,20120101,28280,CPT,SYNDACTYLIZATION TOES,,30,,,"$5,416.20",$0.00,1,0,1,20120101,28285,CPT,CORRECTION HAMMERTOE,,30,,,"$5,416.20",$0.00,1,0,1,20120101,28286,CPT,CORRECTION COCK-UP 5TH TOE W/PLASTIC CLOSURE,,30,,,"$5,416.20",$0.00,1,0,1,20120101,28288,CPT,OSTC PRTL EXOSTC/CONDYLC METAR HEAD,,30,,,"$5,416.20",$0.00,1,0,1,20120101,28289,CPT,HALLUX RIGIDUS CORRECT W/CHEILECTOMY 1ST MP JT,,30,,,"$5,416.20",$0.00,1,0,1,20120101,28290,CPT,CORRJ HALLUX VALGUS W/WO SESMDC SMPL EXOSTECTOMY,,30,,,"$12,408.27",$0.00,1,0,1,20120101,28292,CPT,KELLER/MCBRIDE/MAYO PROCEDURE,,30,,,"$12,408.27",$0.00,1,0,1,20120101,28293,CPT,CORRJ HALLUX VALGUS W/WO SESMDC RESCJ JT W/IMPLT,,30,,,"$12,408.27",$0.00,1,0,1,20120101,28294,CPT,CORRJ HALLUX VALGUS W/WO SESMDC W/TDN TRNSPLS,,30,,,"$12,408.27",$0.00,1,0,1,20120101,28296,CPT,CORRJ HALLUX VALGUS W/WO SESMDC W/METAR OSTEOT,,30,,,"$12,408.27",$0.00,1,0,1,20120101,28297,CPT,CORRJ HALLUX VALGUS W/WO SESMDC LAPIDUS-TYP PX,,30,,,"$12,408.27",$0.00,1,0,1,20120101,28298,CPT,CORRJ HALLUX VALGUS W/WO SESMDC PHALANX OSTEOT,,30,,,"$12,408.27",$0.00,1,0,1,20120101,28299,CPT,CORRJ HALLUX VALGUS W/WO SESMDC 2 OSTEOT,,30,,,"$12,408.27",$0.00,1,0,1,20120101,28300,CPT,OSTEOTOMY CALCANEUS +-INTERNAL FIXATION,,30,,,"$18,744.02",$0.00,1,0,1,20120101,28302,CPT,OSTEOTOMY TALUS,,30,,,"$5,416.20",$0.00,1,0,1,20120101,28304,CPT,OSTEOTOMY TARSAL BONES OTH/THN CALCANEUS/TALUS,,30,,,"$18,744.02",$0.00,1,0,1,20120101,28305,CPT,OSTEOT TARSAL OTH/THN CALCANEUS/TALUS W/AGRFT,,30,,,"$18,744.02",$0.00,1,0,1,20120101,28306,CPT,OSTEOT W/WO LNGTH SHRT/CORRJ 1ST METAR,,30,,,"$5,416.20",$0.00,1,0,1,20120101,28307,CPT,OSTEOT W/WO LNGTH SHRT/CORRJ METAR XCP 1ST TOE,,30,,,"$5,416.20",$0.00,1,0,1,20120101,28308,CPT,OSTEOT W/WO LNGTH SHRT/CORRJ METAR XCP 1ST EA,,30,,,"$5,416.20",$0.00,1,0,1,20120101,28309,CPT,OSTEOT W/WO LNGTH SHRT/ANGULAR CORRJ METAR MLT,,30,,,"$18,744.02",$0.00,1,0,1,20120101,28310,CPT,OSTEOT SHRT CORRJ PROX PHALANX 1ST TOE,,30,,,"$5,416.20",$0.00,1,0,1,20120101,28312,CPT,OSTEOT SHRT CORRJ OTH PHALANGES ANY TOE,,30,,,"$5,416.20",$0.00,1,0,1,20120101,28313,CPT,RCNSTJ ANGULAR DFRM TOE SOFT TISS PX ONLY,,30,,,"$5,416.20",$0.00,1,0,1,20120101,28315,CPT,SESAMOIDECTOMY FIRST TOE SPX,,30,,,"$5,416.20",$0.00,1,0,1,20120101,28320,CPT,REPAIR NONUNION/MALUNION TARSAL BONES,,30,,,"$18,744.02",$0.00,1,0,1,20120101,28322,CPT,RPR NON/MALUNION METARSAL W/WO BONE GRAFT,,30,,,"$18,744.02",$0.00,1,0,1,20120101,28340,CPT,RCNSTJ TOE MACRODACTYLY SOFT TISSUE RESECTION,,30,,,"$5,416.20",$0.00,1,0,1,20120101,28341,CPT,RCNSTJ TOE MACRODACTYLY REQUIRING BONE RESECTION,,30,,,"$5,416.20",$0.00,1,0,1,20120101,28344,CPT,RECONSTRUCTION TOE POLYDACTYLY,,30,,,"$5,416.20",$0.00,1,0,1,20120101,28345,CPT,RCNSTJ TOE SYNDACTYLY W/WO SKIN GRAFT EACH WEB,,30,,,"$5,416.20",$0.00,1,0,1,20120101,28360,CPT,RECONSTRUCTION CLEFT FOOT,,30,,,"$18,744.02",$0.00,1,0,1,20120101,28400,CPT,CLOSED TX CALCANEAL FRACTURE W/O MANIPULATION,,30,,,$630.94,$0.00,1,0,1,20120101,28405,CPT,CLOSED TX CALCANEAL FRACTURE W/MANIPULATION,,30,,,"$7,342.04",$0.00,1,0,1,20120101,28406,CPT,PRQ SKELETAL FIXJ CALCANEAL FRACTURE W/MANJ,,30,,,"$10,305.77",$0.00,1,0,1,20120101,28415,CPT,OPEN TREATMENT CALCANEAL FRACTURE,,30,,,"$20,535.56",$0.00,1,0,1,20120101,28420,CPT,OPEN TREATMENT CALCANEAL FRACTURE W BONE GRAFT,,30,,,"$17,044.48",$0.00,1,0,1,20120101,28430,CPT,CLOSED TX TALUS FRACTURE W/O MANIPULATION,,30,,,$630.94,$0.00,1,0,1,20120101,28435,CPT,CLOSED TX TALUS FRACTURE W/MANIPULATION,,30,,,$630.94,$0.00,1,0,1,20120101,28436,CPT,PRQ SKELETAL FIXATION TALUS FRACTURE W/MANJ,,30,,,"$10,305.77",$0.00,1,0,1,20120101,28445,CPT,OPEN TREATMENT TALUS FRACTURE,,30,,,"$17,044.48",$0.00,1,0,1,20120101,28446,CPT,OPEN OSTEOCHONDRAL AUTOGRAFT TALUS,,30,,,"$18,744.02",$0.00,1,0,1,20120101,28450,CPT,TX TARSAL B1 FX XCP TALUS&CALCN W/O MANJ,,30,,,$630.94,$0.00,1,0,1,20120101,28455,CPT,TX TARSAL B1 FX XCP TALUS&CALCN W/MANJ,,30,,,$630.94,$0.00,1,0,1,20120101,28456,CPT,PRQ SKEL FIXJ TARSL FX XCP TALUS&CALCNS W/MANJ,,30,,,"$10,305.77",$0.00,1,0,1,20120101,28465,CPT,OPEN TX TARSAL FRACTURE XCP TALUS &CALCANEUS EA,,30,,,"$17,044.48",$0.00,1,0,1,20120101,28470,CPT,CLOSED TX METATARSAL FRACTURE W/O MANIPULATION,,30,,,$630.94,$0.00,1,0,1,20120101,28475,CPT,CLTX METAR FX W/MANJ,,30,,,$630.94,$0.00,1,0,1,20120101,28476,CPT,PRQ SKEL FIXJ METAR FX W/MANJ,,30,,,"$10,305.77",$0.00,1,0,1,20120101,28485,CPT,OPEN TREATMENT METATARSAL FRACTURE EACH,,30,,,"$17,044.48",$0.00,1,0,1,20120101,28490,CPT,CLTX FX GRT TOE PHLX/PHLG W/O MANJ,,30,,,$630.94,$0.00,1,0,1,20120101,28495,CPT,CLTX FX GRT TOE PHLX/PHLG W/MANJ,,30,,,$630.94,$0.00,1,0,1,20120101,28496,CPT,PRQ SKEL FIXJ FX GRT TOE PHLX/PHLG W/MANJ,,30,,,"$10,305.77",$0.00,1,0,1,20120101,28505,CPT,OPEN TX FRACTURE GREAT TOE/PHALANX/PHALANGES,,30,,,"$10,305.77",$0.00,1,0,1,20120101,28510,CPT,CLTX FX PHLX/PHLG OTH/THN GRT TOE W/O MANJ,,30,,,$630.94,$0.00,1,0,1,20120101,28515,CPT,CLTX FX PHLX/PHLG OTH/THN GRT TOE W/MANJ,,30,,,$630.94,$0.00,1,0,1,20120101,28525,CPT,OPEN TX FRACTURE PHALANX/PHALANGES NOT GREAT TOE,,30,,,"$10,305.77",$0.00,1,0,1,20120101,28530,CPT,CLOSED TREATMENT SESAMOID FRACTURE,,30,,,$630.94,$0.00,1,0,1,20120101,28531,CPT,OPEN TX SESAMOID FRACTURE W/WO INTERNAL FIXATION,,30,,,"$10,305.77",$0.00,1,0,1,20120101,28540,CPT,CLTX TARSAL DISLC OTH/THN TALOTARSAL W/O ANES,,30,,,$630.94,$0.00,1,0,1,20120101,28545,CPT,CLTX TARSAL DISLC OTH/THN TALOTARSAL W/ANES,,30,,,"$10,305.77",$0.00,1,0,1,20120101,28546,CPT,PRQ SKEL FIXJ TARSL DISLC XCP TALOTARSAL W/MANJ,,30,,,"$10,305.77",$0.00,1,0,1,20120101,28555,CPT,OPEN TREATMENT TARSAL BONE DISLOCATION,,30,,,"$17,044.48",$0.00,1,0,1,20120101,28570,CPT,CLOSED TX TALOTARSAL JOINT DISLC W/O ANES,,30,,,$630.94,$0.00,1,0,1,20120101,28575,CPT,CLOSED TX TALOTARSAL JOINT DISLOCATION W/ANES,,30,,,"$7,342.04",$0.00,1,0,1,20120101,28576,CPT,PRQ SKEL FIXJ TALOTARSAL JT DISLC W/MANJ,,30,,,"$10,305.77",$0.00,1,0,1,20120101,28585,CPT,OPEN TREATMENT TALOTARSAL JOINT DISLOCATION,,30,,,"$10,305.77",$0.00,1,0,1,20120101,28600,CPT,CLOSED TX TARSOMETATARSAL DISLOCATION W/O ANES,,30,,,$630.94,$0.00,1,0,1,20120101,28605,CPT,CLOSED TX TARSOMETATARSAL DISLOCATION W/ANES,,30,,,$630.94,$0.00,1,0,1,20120101,28606,CPT,PRQ SKEL FIXJ TARS JT DISLC W/MANJ,,30,,,"$10,305.77",$0.00,1,0,1,20120101,28615,CPT,OPEN TREATMENT TARSOMETATARSAL JOINT DISLOCATION,,30,,,"$17,044.48",$0.00,1,0,1,20120101,28630,CPT,CLTX METATARSOPHLNGL JT DISLC W/O ANES,,30,,,$630.94,$0.00,1,0,1,20120101,28635,CPT,CLTX METATARSOPHLNGL JT DISLC REQ ANES,,30,,,"$6,094.71",$0.00,1,0,1,20120101,28636,CPT,PRQ SKEL FIXJ METATARSOPHLNGL JT DISLC W/MANJ,,30,,,"$10,305.77",$0.00,1,0,1,20120101,28645,CPT,OPEN TX METATARSOPHALANGEAL JOINT DISLOCATION,,30,,,"$10,305.77",$0.00,1,0,1,20120101,28660,CPT,CLTX INTERPHALANGEAL JOINT DISLOCATION W/O ANES,,30,,,$630.94,$0.00,1,0,1,20120101,28665,CPT,CLTX INTERPHALANGEAL JOINT DISLOCATION REQ ANES,,30,,,"$6,094.71",$0.00,1,0,1,20120101,28666,CPT,PRQ SKEL FIXJ INTERPHALANGEAL JOINT DISLC W/MANJ,,30,,,"$10,305.77",$0.00,1,0,1,20120101,28675,CPT,OPEN TREATMENT INTERPHALANGEAL JOINT DISLOCATION,,30,,,"$10,305.77",$0.00,1,0,1,20120101,28705,CPT,ARTHRODESIS PANTALAR,,30,,,"$18,744.02",$0.00,1,0,1,20120101,28715,CPT,ARTHRODESIS TRIPLE,,30,,,"$22,910.88",$0.00,1,0,1,20120101,28725,CPT,ARTHRODESIS SUBTALAR,,30,,,"$18,744.02",$0.00,1,0,1,20120101,28730,CPT,ARTHRD MIDTARSL/TARSOMETATARSAL MULT/TRANSVRS,,30,,,"$18,744.02",$0.00,1,0,1,20120101,28735,CPT,ARTHRD MIDTARSL/TARS MLT/TRANSVRS W/OSTEOT,,30,,,"$18,744.02",$0.00,1,0,1,20120101,28737,CPT,ARTHRD W/TDN LNGTH&ADVMNT TARSL NVCLR-CUNEIFORM,,30,,,"$18,744.02",$0.00,1,0,1,20120101,28740,CPT,ARTHRODESIS MIDTARSOMETATARSAL SINGLE JOINT,,30,,,"$18,744.02",$0.00,1,0,1,20120101,28750,CPT,ARTHRODESIS GREAT TOE METATARSOPHALANGEAL JOINT,,30,,,"$18,744.02",$0.00,1,0,1,20120101,28755,CPT,ARTHRODESIS GREAT TOE INTERPHALANGEAL JOINT,,30,,,"$5,416.20",$0.00,1,0,1,20120101,28760,CPT,ARTHRD W/XTNSR HALLUCIS LONGUS TR 1ST METAR NCK,,30,,,"$18,744.02",$0.00,1,0,1,20120101,28805,CPT,AMPUTATION FOOT TRANSMETARSAL,,30,,,"$5,416.20",$0.00,1,0,1,20120101,28810,CPT,AMPUTATION METATARSAL W/TOE SINGLE,,30,,,"$5,416.20",$0.00,1,0,1,20120101,28820,CPT,AMPUTATION TOE METATARSOPHALANGEAL JOINT,,30,,,"$5,416.20",$0.00,1,0,1,20120101,28825,CPT,AMPUTATION TOE INTERPHALANGEAL JOINT,,30,,,"$5,416.20",$0.00,1,0,1,20120101,28890,CPT,ESWT HI NRG PFRMD PHYS W/US GDN INVG PLNTAR FSCA,,30,,,"$12,366.14",$0.00,1,0,1,20120101,28899,CPT,UNLISTED PROCEDURE FOOT/TOES,,30,,,$630.94,$0.00,1,0,1,20120101,29000,CPT,APPLICATION HALO TYPE BODY CAST,,30,,,$406.49,$0.00,1,0,1,20120101,29010,CPT,APPLICATION RISSER JACKET LOCALIZER BODY ONLY,,30,,,"$1,062.82",$0.00,1,0,1,20120101,29015,CPT,APPLICATION RISSER JACKET LOCALIZER BODY W/HEAD,,30,,,"$1,062.82",$0.00,1,0,1,20120101,29020,CPT,APPLICATION TURNBUCKLE JACKET BODY ONLY,,30,,,$406.49,$0.00,1,0,1,20120101,29025,CPT,APPLICATION TURNBUCKLE JACKET BODY W/HEAD,,30,,,$406.49,$0.00,1,0,1,20120101,29035,CPT,APPLICATION BODY CAST SHOULDER HIPS,,30,,,"$1,062.82",$0.00,1,0,1,20120101,29040,CPT,APPLICATION BODY CAST SHOULDER HIPS HEAD MINERVA,,30,,,$406.49,$0.00,1,0,1,20120101,29044,CPT,APPLICATION BODY CAST SHOULDER HIPS W/ONE THIGH,,30,,,"$1,062.82",$0.00,1,0,1,20120101,29046,CPT,APPLICATION BODY CAST SHOULDER HIPS BOTH THIGHS,,30,,,"$1,062.82",$0.00,1,0,1,20120101,29049,CPT,APPLICATION CAST FIGURE-OF-8,,30,,,$406.49,$0.00,1,0,1,20120101,29055,CPT,APPLICATION CAST SHOULDER SPICA,,30,,,"$1,062.82",$0.00,1,0,1,20120101,29058,CPT,APPLICATION CAST PLASTER VELPEAU,,30,,,$406.49,$0.00,1,0,1,20120101,29065,CPT,APPLICATION CAST SHOULDER HAND LONG ARM,,30,,,"$1,062.82",$0.00,1,0,1,20120101,29075,CPT,APPLICATION CAST ELBOW FINGER SHORT ARM,,30,,,"$1,062.82",$0.00,1,0,1,20120101,29085,CPT,APPLICATION CAST HAND&LOWER FOREARM GAUNTLET,,30,,,$406.49,$0.00,1,0,1,20120101,29086,CPT,APPLICATION CAST FINGER,,30,,,$406.49,$0.00,1,0,1,20120101,29105,CPT,APPLICATION LONG ARM SPLINT SHOULDER HAND,,30,,,$406.49,$0.00,1,0,1,20120101,29125,CPT,APPLICATION SHORT ARM SPLINT FOREARM-HAND STATIC,,30,,,$406.49,$0.00,1,0,1,20120101,29126,CPT,APPLICATION SHORT ARM SPLINT DYNAMIC,,30,,,$406.49,$0.00,1,0,1,20120101,29130,CPT,APPLICATION FINGER SPLINT STATIC,,30,,,$406.49,$0.00,1,0,1,20120101,29131,CPT,APPLICATION FINGER SPLINT DYNAMIC,,30,,,$406.49,$0.00,1,0,1,20120101,29200,CPT,STRAPPING THORAX,,30,,,$406.49,$0.00,1,0,1,20120101,29240,CPT,STRAPPING SHOULDER,,30,,,$406.49,$0.00,1,0,1,20120101,29260,CPT,STRAPPING ELBOW/WRIST,,30,,,$406.49,$0.00,1,0,1,20120101,29280,CPT,STRAPPING HAND/FINGER,,30,,,$406.49,$0.00,1,0,1,20120101,29305,CPT,APPLICATION HIP SPICA CAST 1 LEG,,30,,,"$1,062.82",$0.00,1,0,1,20120101,29325,CPT,APPL HIP SPICA CAST ONE&ONE-HALF SPICA/BOTH LEGS,,30,,,"$1,062.82",$0.00,1,0,1,20120101,29345,CPT,APPLICATION LONG LEG CAST THIGH-TOE,,30,,,"$1,062.82",$0.00,1,0,1,20120101,29355,CPT,APPLICATION LONG LEG CAST WALKER/AMBULATORY TYPE,,30,,,"$1,062.82",$0.00,1,0,1,20120101,29358,CPT,APPLICATION LONG LEG CAST BRACE,,30,,,"$1,062.82",$0.00,1,0,1,20120101,29365,CPT,APPLICATION CYLINDER CAST THIGH ANKLE,,30,,,"$1,062.82",$0.00,1,0,1,20120101,29405,CPT,APPLICATION SHORT LEG CAST BELOW KNEE-TOE,,30,,,"$1,062.82",$0.00,1,0,1,20120101,29425,CPT,APPLICATION SHORT LEG CAST WALKING/AMBULATORY,,30,,,"$1,062.82",$0.00,1,0,1,20120101,29435,CPT,APPLICATION PATELLAR TENDON BEARING CAST,,30,,,"$1,062.82",$0.00,1,0,1,20120101,29440,CPT,ADDING WALKER PREVIOUSLY APPLIED CAST,,30,,,$406.49,$0.00,1,0,1,20120101,29445,CPT,APPLICATION RIGID TOTAL CONTACT LEG CAST,,30,,,"$1,062.82",$0.00,1,0,1,20120101,29450,CPT,APPL CLUBFOOT CAST MOLDING/MANJ LONG/SHORT LEG,,30,,,$406.49,$0.00,1,0,1,20120101,29505,CPT,APPLICATION LONG LEG SPLINT THIGH ANKLE/TOES,,30,,,$406.49,$0.00,1,0,1,20120101,29515,CPT,APPLICATION SHORT LEG SPLINT CALF FOOT,,30,,,$406.49,$0.00,1,0,1,20120101,29520,CPT,STRAPPING HIP,,30,,,$406.49,$0.00,1,0,1,20120101,29530,CPT,STRAPPING KNEE,,30,,,$406.49,$0.00,1,0,1,20120101,29540,CPT,STRAPPING ANKLE &/FOOT,,30,,,$406.49,$0.00,1,0,1,20120101,29550,CPT,STRAPPING TOES,,30,,,$406.49,$0.00,1,0,1,20120101,29580,CPT,STRAPPING UNNA BOOT,,30,,,$406.49,$0.00,1,0,1,20120101,29581,CPT,APPL MLTLAYR COMPRES LEG BELOW KNEE W/ANKLE FOOT,,30,,,$406.49,$0.00,1,0,1,20120101,29582,CPT,APPL MLTLAYR COMPRES THGH LEG ANKLE FT WHEN DONE,,30,,,$406.49,$0.00,1,0,1,20120101,29583,CPT,APPL MLTLAYR COMPRES SYSTEM UPPER & LOWER ARM,,30,,,$406.49,$0.00,1,0,1,20120101,29584,CPT,APPL MLTLAYR COMPRES SYS UPARM LWARM HAND&FINGER,,30,,,$406.49,$0.00,1,0,1,20120101,29590,CPT,DENIS-BROWNE SPLINT STRAPPING,,30,,,$406.49,$0.00,1,0,1,20120101,29700,CPT,REMOVAL/BIVALVING GAUNTLET BOOT/BODY CAST,,30,,,$406.49,$0.00,1,0,1,20120101,29705,CPT,REMOVAL/BIVALVING FULL ARM/FULL LEG CAST,,30,,,$406.49,$0.00,1,0,1,20120101,29710,CPT,RMVL/BIVALV SHO/HIP SPICA MINERVA/RISSER JACKET,,30,,,"$1,062.82",$0.00,1,0,1,20120101,29715,CPT,REMOVAL/BIVALVING TURNBUCKLE JACKET,,30,,,$406.49,$0.00,1,0,1,20120101,29720,CPT,REPAIR SPICA BODY CAST/JACKET,,30,,,$406.49,$0.00,1,0,1,20120101,29730,CPT,WINDOWING CAST,,30,,,$406.49,$0.00,1,0,1,20120101,29740,CPT,WEDGING CAST EXCEPT CLUBFOOT CASTS,,30,,,$406.49,$0.00,1,0,1,20120101,29750,CPT,WEDGING CLUBFOOT CAST,,30,,,$406.49,$0.00,1,0,1,20120101,29799,CPT,UNLISTED PROCEDURE CASTING/STRAPPING,,30,,,$406.49,$0.00,1,0,1,20120101,29800,CPT,ARTHRS TEMPOROMANDIBULR JT DX W/WO SYNVAL BX SPX,,30,,,"$9,213.17",$0.00,1,0,1,20120101,29804,CPT,ARTHROSCOPY TEMPOROMANDIBULAR JOINT SURGICAL,,30,,,"$9,213.17",$0.00,1,0,1,20120101,29805,CPT,ARTHROSCOPY SHOULDER DX W/WO SYNOVIAL BIOPSY SPX,,30,,,"$9,213.17",$0.00,1,0,1,20120101,29806,CPT,ARTHROSCOPY SHOULDER SURGICAL CAPSULORRHAPHY,,30,,,"$14,096.49",$0.00,1,0,1,20120101,29807,CPT,ARTHROSCOPY SHOULDER SURGICAL REPAIR SLAP LESION,,30,,,"$14,096.49",$0.00,1,0,1,20120101,29819,CPT,ARTHROSCOPY SHOULDER SURGICAL REMOVAL LOOSE/FB,,30,,,"$14,096.49",$0.00,1,0,1,20120101,29820,CPT,ARTHROSCOPY SHOULDER SURG SYNOVECTOMY PARTIAL,,30,,,"$14,096.49",$0.00,1,0,1,20120101,29821,CPT,ARTHROSCOPY SHOULDER SURG SYNOVECTOMY COMPLETE,,30,,,"$14,096.49",$0.00,1,0,1,20120101,29822,CPT,ARTHROSCOPY SHOULDER SURG DEBRIDEMENT LIMITED,,30,,,"$9,213.17",$0.00,1,0,1,20120101,29823,CPT,ARTHROSCOPY SHOULDER SURG DEBRIDEMENT EXTENSIVE,,30,,,"$14,096.49",$0.00,1,0,1,20120101,29824,CPT,ARTHROSCOPY SHOULDER DISTAL CLAVICULECTOMY,,30,,,"$9,213.17",$0.00,1,0,1,20120101,29825,CPT,ARTHROSCOPY SHOULDER LYSIS&RESCJ ADHESION +-MANJ,,30,,,"$14,096.49",$0.00,1,0,1,20120101,29826,CPT,SHOULDER SCOPE BONE SHAVING,,30,,,"$9,213.17",$0.00,1,0,1,20120101,29827,CPT,ARTHROSCOPY SHOULDER ROTATOR CUFF REPAIR,,30,,,"$14,096.49",$0.00,1,0,1,20120101,29828,CPT,ARTHROSCOPY SHOULDER BICEPS TENODESIS,,30,,,"$14,096.49",$0.00,1,0,1,20120101,29830,CPT,ARTHROSCOPY ELBOW DIAG W/WO SYNOVIAL BIOPSY SPX,,30,,,"$9,213.17",$0.00,1,0,1,20120101,29834,CPT,ARTHROSCOPY ELBOW SURGICAL W/REMOVAL LOOSE/FB,,30,,,"$9,213.17",$0.00,1,0,1,20120101,29835,CPT,ARTHROSCOPY ELBOW SURGICAL SYNOVECTOMY PARTIAL,,30,,,"$9,213.17",$0.00,1,0,1,20120101,29836,CPT,ARTHROSCOPY ELBOW SURGICAL SYNOVECTOMY COMPLETE,,30,,,"$9,213.17",$0.00,1,0,1,20120101,29837,CPT,ARTHROSCOPY ELBOW SURGICAL DEBRIDEMENT LIMITED,,30,,,"$9,213.17",$0.00,1,0,1,20120101,29838,CPT,ARTHROSCOPY ELBOW SURGICAL DEBRIDEMENT EXTENSIVE,,30,,,"$9,213.17",$0.00,1,0,1,20120101,29840,CPT,ARTHROSCOPY WRIST DIAG W/WO SYNOVIAL BIOPSY SPX,,30,,,"$9,213.17",$0.00,1,0,1,20120101,29843,CPT,ARTHROSCOPY WRIST INFECTION LAVAGE&DRAINAGE,,30,,,"$9,213.17",$0.00,1,0,1,20120101,29844,CPT,ARTHROSCOPY WRIST SURGICAL SYNOVECTOMY PARTIAL,,30,,,"$9,213.17",$0.00,1,0,1,20120101,29845,CPT,ARTHROSCOPY WRIST SURGICAL SYNOVECTOMY COMPLETE,,30,,,"$9,213.17",$0.00,1,0,1,20120101,29846,CPT,ARTHRS WRST EXC&/RPR TRIANG FIBROCART&/JT DBRDMT,,30,,,"$9,213.17",$0.00,1,0,1,20120101,29847,CPT,ARTHROSCOPY WRIST SURG INT FIXJ FX/INSTABILITY,,30,,,"$14,096.49",$0.00,1,0,1,20120101,29848,CPT,NDSC WRST SURG W/RLS TRANSVRS CARPL LIGM,,30,,,"$9,213.17",$0.00,1,0,1,20120101,29850,CPT,ARTHROSCOPY AID TX SPINE&/FX KNEE W/O FIXJ,,30,,,"$9,213.17",$0.00,1,0,1,20120101,29851,CPT,ARTHROSCOPY AID TX SPINE&/FX KNEE W/FIXJ,,30,,,"$14,096.49",$0.00,1,0,1,20120101,29855,CPT,ARTHRS AID TIBIAL FRACTURE PROXIMAL UNICONDYLAR,,30,,,"$14,096.49",$0.00,1,0,1,20120101,29856,CPT,ARTHRS AID TIBIAL FX PROX UNICONDYLAR BICONDYLAR,,30,,,"$14,096.49",$0.00,1,0,1,20120101,29860,CPT,ARTHROSCOPY HIP DIAGNOSTIC +-SYNOVIAL BIOPSY SPX,,30,,,"$14,096.49",$0.00,1,0,1,20120101,29861,CPT,ARTHROSCOPY HIP SURGICAL W/REMOVAL LOOSE/FB,,30,,,"$14,096.49",$0.00,1,0,1,20120101,29862,CPT,ARTHRS HIP DEBRIDEMENT/SHAVING ARTICULAR CRTLG,,30,,,"$14,096.49",$0.00,1,0,1,20120101,29863,CPT,ARTHROSCOPY HIP SURGICAL W/SYNOVECTOMY,,30,,,"$14,096.49",$0.00,1,0,1,20120101,29866,CPT,ARTHROSCOPY KNEE OSTEOCHONDRAL AGRFT MOSAICPLAST,,30,,,"$14,096.49",$0.00,1,0,1,20120101,29867,CPT,ARTHROSCOPY KNEE OSTEOCHONDRAL ALLOGRAFT,,30,,,"$14,096.49",$0.00,1,0,1,20120101,29868,CPT,ARTHROSCOPY KNEE MENISCAL TRNSPLJ MED/LAT,,30,,,"$14,096.49",$0.00,1,0,1,20120101,29870,CPT,ARTHROSCOPY KNEE DIAGNOSTIC W/WO SYNOVIAL BX SPX,,30,,,"$9,213.17",$0.00,1,0,1,20120101,29871,CPT,ARTHROSCOPY KNEE INFECTION LAVAGE & DRAINAGE,,30,,,"$9,213.17",$0.00,1,0,1,20120101,29873,CPT,ARTHROSCOPY KNEE LATERAL RELEASE,,30,,,"$9,213.17",$0.00,1,0,1,20120101,29874,CPT,ARTHROSCOPY KNEE REMOVAL LOOSE/FOREIGN BODY,,30,,,"$9,213.17",$0.00,1,0,1,20120101,29875,CPT,ARTHROSCOPY KNEE SYNOVECTOMY LIMITED SPX,,30,,,"$9,213.17",$0.00,1,0,1,20120101,29876,CPT,ARTHROSCOPY KNEE SYNOVECTOMY 2/>COMPARTMENTS,,30,,,"$9,213.17",$0.00,1,0,1,20120101,29877,CPT,ARTHRS KNEE DEBRIDEMENT/SHAVING ARTCLR CRTLG,,30,,,"$9,213.17",$0.00,1,0,1,20120101,29879,CPT,ARTHRS KNEE ABRASION ARTHRP/MLT DRLG/MICROFX,,30,,,"$9,213.17",$0.00,1,0,1,20120101,29880,CPT,ARTHRS KNEE W/MENISCECTOMY MED&LAT W/SHAVING,,30,,,"$9,213.17",$0.00,1,0,1,20120101,29881,CPT,ARTHRS KNE SURG W/MENISCECTOMY MED/LAT W/SHVG,,30,,,"$9,213.17",$0.00,1,0,1,20120101,29882,CPT,ARTHROSCOPY KNEE W/MENISCUS RPR MEDIAL/LATERAL,,30,,,"$9,213.17",$0.00,1,0,1,20120101,29883,CPT,ARTHROSCOPY KNEE W/MENISCUS RPR MEDIAL&LATERAL,,30,,,"$9,213.17",$0.00,1,0,1,20120101,29884,CPT,ARTHROSCOPY KNEE W/LYSIS ADHESIONS W/WO MANJ SPX,,30,,,"$9,213.17",$0.00,1,0,1,20120101,29885,CPT,ARTHRS KNEE DRILL OSTEOCHONDRITIS DISSECANS GRFG,,30,,,"$14,096.49",$0.00,1,0,1,20120101,29886,CPT,ARTHRS KNEE DRILLING OSTEOCHOND DISSECANS LESION,,30,,,"$9,213.17",$0.00,1,0,1,20120101,29887,CPT,ARTHRS KNEE DRLG OSTEOCHOND DISSECANS INT FIXJ,,30,,,"$9,213.17",$0.00,1,0,1,20120101,29888,CPT,ARTHRS AIDED ANT CRUCIATE LIGM RPR/AGMNTJ/RCNSTJ,,30,,,"$22,910.88",$0.00,1,0,1,20120101,29889,CPT,ARTHRS AIDED PST CRUCIATE LIGM RPR/AGMNTJ/RCNSTJ,,30,,,"$22,910.88",$0.00,1,0,1,20120101,29891,CPT,ARTHRS ANKLE EXC OSTCHNDRL DFCT W/DRLG DFCT,,30,,,"$14,096.49",$0.00,1,0,1,20120101,29892,CPT,ARTHRS AID RPR LES/TALAR DOME FX/TIBL PLAFOND FX,,30,,,"$22,910.88",$0.00,1,0,1,20120101,29893,CPT,ENDOSCOPIC PLANTAR FASCIOTOMY,,30,,,"$5,416.20",$0.00,1,0,1,20120101,29894,CPT,ARTHROSCOPY ANKLE W/REMOVAL LOOSE/FOREIGN BODY,,30,,,"$9,213.17",$0.00,1,0,1,20120101,29895,CPT,ARTHROSCOPY ANKLE SURGICAL SYNOVECTOMY PARTIAL,,30,,,"$9,213.17",$0.00,1,0,1,20120101,29897,CPT,ARTHROSCOPY ANKLE SURGICAL DEBRIDEMENT LIMITED,,30,,,"$9,213.17",$0.00,1,0,1,20120101,29898,CPT,ARTHROSCOPY ANKLE SURGICAL DEBRIDEMENT EXTENSIVE,,30,,,"$9,213.17",$0.00,1,0,1,20120101,29899,CPT,ARTHROSCOPY ANKLE SURGICAL W/ANKLE ARTHRODESIS,,30,,,"$14,096.49",$0.00,1,0,1,20120101,29900,CPT,ARTHROSCOPY METACARPOPHALANGEAL SYNOVIAL BIOPSY,,30,,,"$9,213.17",$0.00,1,0,1,20120101,29901,CPT,ARTHRS METACARPOPHALANGEAL JOINT DEBRIDEMENT,,30,,,"$9,213.17",$0.00,1,0,1,20120101,29902,CPT,ARTHRS MTCARPHLNGL JT W/RDCTJ UR COLTRL LIGM,,30,,,"$9,213.17",$0.00,1,0,1,20120101,29904,CPT,ARTHRS SUBTALAR JOINT REMOVE LOOSE/FOREIGN BODY,,30,,,"$9,213.17",$0.00,1,0,1,20120101,29905,CPT,ARTHROSCOPY SUBTALAR JOINT WITH SYNOVECTOMY,,30,,,"$9,213.17",$0.00,1,0,1,20120101,29906,CPT,ARTHROSCOPY SUBTALAR JOINT WITH DEBRIDEMENT,,30,,,"$9,213.17",$0.00,1,0,1,20120101,29907,CPT,ARTHROSCOPY SUBTALAR JOINT SUBTALAR ARTHRODESIS,,30,,,"$14,096.49",$0.00,1,0,1,20120101,29914,CPT,ARTHROSCOPY HIP W/FEMOROPLASTY,,30,,,"$14,096.49",$0.00,1,0,1,20120101,29915,CPT,ARTHROSCOPY HIP W/ACETABULOPLASTY,,30,,,"$14,096.49",$0.00,1,0,1,20120101,29916,CPT,ARTHROSCOPY HIP W/LABRAL REPAIR,,30,,,"$14,096.49",$0.00,1,0,1,20120101,29999,CPT,UNLISTED PROCEDURE ARTHROSCOPY,,30,,,"$9,213.17",$0.00,1,0,1,20120101,30000,CPT,DRAINAGE ABSCESS/HEMATOMA NASAL INT APPROACH,,30,,,"$1,317.04",$0.00,1,0,1,20120101,30020,CPT,DRAINAGE ABSCESS/HEMATOMA NASAL SEPTUM,,30,,,"$1,317.04",$0.00,1,0,1,20120101,30100,CPT,BIOPSY INTRANASAL,,30,,,"$3,156.16",$0.00,1,0,1,20120101,30110,CPT,EXCISION NASAL POLYP SIMPLE,,30,,,"$6,645.19",$0.00,1,0,1,20120101,30115,CPT,EXCISION NASAL POLYP EXTENSIVE,,30,,,"$6,645.19",$0.00,1,0,1,20120101,30117,CPT,EXCISION/DESTRUCTION INTRANASAL LESION INT APPR,,30,,,"$6,645.19",$0.00,1,0,1,20120101,30118,CPT,EXCISION/DESTRUCTION INTRANASAL LESION XTRNL,,30,,,"$9,873.83",$0.00,1,0,1,20120101,30120,CPT,EXCISION/SURGICAL PLANING SKIN NOSE RHINOPHYMA,,30,,,"$9,873.83",$0.00,1,0,1,20120101,30124,CPT,EXCISION DERMOID CYST NOSE SIMPLE SUBCUTANEOUS,,30,,,"$3,156.16",$0.00,1,0,1,20120101,30125,CPT,EXC DERMOID CYST NOSE COMPLEX UNDER BONE/CRTLG,,30,,,"$15,971.08",$0.00,1,0,1,20120101,30130,CPT,EXCISION INFERIOR TURBINATE PARTIAL/COMPLETE,,30,,,"$6,645.19",$0.00,1,0,1,20120101,30140,CPT,SUBMUCOUS RESCJ INFERIOR TURBINATE PRTL/COMPL,,30,,,"$9,873.83",$0.00,1,0,1,20120101,30150,CPT,RHINECTOMY PARTIAL,,30,,,"$15,971.08",$0.00,1,0,1,20120101,30160,CPT,RHINECTOMY TOTAL,,30,,,"$15,971.08",$0.00,1,0,1,20120101,30200,CPT,INJECTION TURBINATE THERAPEUTIC,,30,,,"$3,156.16",$0.00,1,0,1,20120101,30210,CPT,DISPLACEMENT THERAPY PROETZ TYPE,,30,,,"$3,156.16",$0.00,1,0,1,20120101,30220,CPT,INSERTION NASAL SEPTAL PROSTHESIS BUTTON,,30,,,"$3,156.16",$0.00,1,0,1,20120101,30300,CPT,REMOVAL FOREIGN BODY INTRANASAL OFFICE PROCEDURE,,30,,,$303.61,$0.00,1,0,1,20120101,30310,CPT,REMOVAL FOREIGN BODY INTRANASAL GENERAL ANES,,30,,,"$6,645.19",$0.00,1,0,1,20120101,30320,CPT,RMVL FOREIGN BODY INTRANASAL LATERAL RHINOTOMY,,30,,,"$6,645.19",$0.00,1,0,1,20120101,30400,CPT,RHINP PRIM LAT&ALAR CRTLGS&/ELVTN NASAL TIP,,30,,,"$15,971.08",$0.00,1,0,1,20120101,30410,CPT,RHINP PRIM COMPLETE XTRNL PARTS,,30,,,"$15,971.08",$0.00,1,0,1,20120101,30420,CPT,RHINOPLASTY PRIMARY W/MAJOR SEPTAL REPAIR,,30,,,"$15,971.08",$0.00,1,0,1,20120101,30430,CPT,RHINOPLASTY SECONDARY MINOR REVISION,,30,,,"$9,873.83",$0.00,1,0,1,20120101,30435,CPT,RHINOPLASTY SECONDARY INTERMEDIATE REVISION,,30,,,"$15,971.08",$0.00,1,0,1,20120101,30450,CPT,RHINOPLASTY SECONDARY MAJOR REVISION,,30,,,"$15,971.08",$0.00,1,0,1,20120101,30460,CPT,RHINP DFRM W/COLUM LNGTH TIP ONLY,,30,,,"$15,971.08",$0.00,1,0,1,20120101,30462,CPT,RHINP DFRM COLUM LNGTH TIP SEPTUM OSTEOT,,30,,,"$15,971.08",$0.00,1,0,1,20120101,30465,CPT,REPAIR NASAL VESTIBULAR STENOSIS,,30,,,"$15,971.08",$0.00,1,0,1,20120101,30520,CPT,SEPTOPLASTY/SUBMUCOUS RESECJ W/WO CARTILAGE GRF,,30,,,"$9,873.83",$0.00,1,0,1,20120101,30540,CPT,REPAIR CHOANAL ATRESIA INTRANASAL,,30,,,"$15,971.08",$0.00,1,0,1,20120101,30545,CPT,REPAIR CHOANAL ATRESIA TRANSPALATINE,,30,,,"$15,971.08",$0.00,1,0,1,20120101,30560,CPT,LYSIS INTRANASAL SYNECHIA,,30,,,"$1,317.04",$0.00,1,0,1,20120101,30580,CPT,REPAIR FISTULA OROMAXILLARY,,30,,,"$15,971.08",$0.00,1,0,1,20120101,30600,CPT,REPAIR FISTULA ORONASAL,,30,,,"$15,971.08",$0.00,1,0,1,20120101,30620,CPT,SEPTAL/OTHER INTRANASAL DERMATOPLASTY,,30,,,"$15,971.08",$0.00,1,0,1,20120101,30630,CPT,REPAIR NASAL SEPTAL PERFORATIONS,,30,,,"$9,873.83",$0.00,1,0,1,20120101,30801,CPT,ABLTJ SOFT TIS INFERIOR TURBINATES UNI/BI SUPFC,,30,,,"$3,156.16",$0.00,1,0,1,20120101,30802,CPT,ABLTJ SOF TISS INF TURBS UNI/BI SUPFC INTRAMURAL,,30,,,"$6,645.19",$0.00,1,0,1,20120101,30901,CPT,CONTROL NASAL HEMORRHAGE ANTERIOR SIMPLE,,30,,,$488.97,$0.00,1,0,1,20120101,30903,CPT,CONTROL NASAL HEMORRHAGE ANTERIOR COMPLEX,,30,,,$488.97,$0.00,1,0,1,20120101,30905,CPT,CTRL NSL HEMRRG PST NASAL PACKS&/CAUTERY 1ST,,30,,,$488.97,$0.00,1,0,1,20120101,30906,CPT,CTRL NSL HEMRRG PST NASAL PACKS&/CAUTERY SUBSQ,,30,,,$488.97,$0.00,1,0,1,20120101,30915,CPT,LIGATION ARTERIES ETHMOIDAL,,30,,,"$10,573.06",$0.00,1,0,1,20120101,30920,CPT,LIGATION ARTERIES INT MAXILLARY TRANSANTRAL,,30,,,"$10,573.06",$0.00,1,0,1,20120101,30930,CPT,FRACTURE NASAL INFERIOR TURBINATE THERAPEUTIC,,30,,,"$6,645.19",$0.00,1,0,1,20120101,30999,CPT,UNLISTED PROCEDURE NOSE,,30,,,$488.97,$0.00,1,0,1,20120101,31000,CPT,LAVAGE CANNULATION MAXILLARY SINUS,,30,,,"$1,317.04",$0.00,1,0,1,20120101,31002,CPT,LAVAGE CANNULATION SPHENOID SINUS,,30,,,"$3,156.16",$0.00,1,0,1,20120101,31020,CPT,SINUSOTOMY MAXILLARY ANTROTOMY INTRANASAL,,30,,,"$9,873.83",$0.00,1,0,1,20120101,31030,CPT,SINUSOTOMY MAXILLARY RAD W/O RMVL ANTROCH POLYPS,,30,,,"$15,971.08",$0.00,1,0,1,20120101,31032,CPT,SINUSOT MAX ANTRT RAD W/RMVL ANTROCH POLYPS,,30,,,"$15,971.08",$0.00,1,0,1,20120101,31040,CPT,PTERYGOMAXILLARY FOSSA SURGERY ANY APPROACH,,30,,,"$9,873.83",$0.00,1,0,1,20120101,31050,CPT,SINUSOTOMY SPHENOID W/WO BIOPSY,,30,,,"$15,971.08",$0.00,1,0,1,20120101,31051,CPT,SINUSOT SPHENOID W/MUCOSAL STRIPPING/RMVL POLYP,,30,,,"$15,971.08",$0.00,1,0,1,20120101,31070,CPT,SINUSOTOMY FRONTAL EXTERNAL SIMPLE,,30,,,"$9,873.83",$0.00,1,0,1,20120101,31075,CPT,SINUSOTOMY FRONTAL TRANSORBITAL UNILATERAL,,30,,,"$15,971.08",$0.00,1,0,1,20120101,31080,CPT,SINUSOTOMY FRNT OBLITERATIVE W/O FLAP BROW INC,,30,,,"$15,971.08",$0.00,1,0,1,20120101,31081,CPT,SINUSOT FRNT OBLIT W/O OSTPL FLAP CORONAL INC,,30,,,"$15,971.08",$0.00,1,0,1,20120101,31084,CPT,SINUSOT FRNT OBLIT W/OSTPL FLAP BROW INC,,30,,,"$15,971.08",$0.00,1,0,1,20120101,31085,CPT,SINUSOT FRNT OBLIT W/OSTPL FLAP CORONAL INC,,30,,,"$15,971.08",$0.00,1,0,1,20120101,31086,CPT,SINUSOT FRNT NONOBLIT W/OSTPL FLAP BROW INC,,30,,,"$15,971.08",$0.00,1,0,1,20120101,31087,CPT,SINUSOT FRNT NONOBLIT W/OSTPL FLAP CORONAL INC,,30,,,"$15,971.08",$0.00,1,0,1,20120101,31090,CPT,SINUSOT UNI 3/> PARANSL SINUSES,,30,,,"$15,971.08",$0.00,1,0,1,20120101,31200,CPT,ETHMOIDECTOMY INTRANASAL ANTERIOR,,30,,,"$15,971.08",$0.00,1,0,1,20120101,31201,CPT,ETHMOIDECTOMY INTRANASAL TOTAL,,30,,,"$15,971.08",$0.00,1,0,1,20120101,31205,CPT,ETHMOIDECTOMY EXTRANASAL TOTAL,,30,,,"$15,971.08",$0.00,1,0,1,20120101,31231,CPT,NASAL ENDOSCOPY DIAGNOSTIC UNI/BI SPX,,30,,,$764.98,$0.00,1,0,1,20120101,31233,CPT,NASAL/SINUS ENDOSCOPY DX MAXILLARY SINUSOSCOPY,,30,,,$764.98,$0.00,1,0,1,20120101,31235,CPT,NASAL/SINUS ENDOSCOPY DX SPHENOID SINUSOSCOPY,,30,,,"$8,393.49",$0.00,1,0,1,20120101,31237,CPT,NASAL/SINUS NDSC SURG W/BX POLYPECT/DBRDMT SPX,,30,,,"$8,393.49",$0.00,1,0,1,20120101,31238,CPT,NASAL/SINUS NDSC SURG W/CONTROL NASAL HEMRRG,,30,,,"$8,393.49",$0.00,1,0,1,20120101,31239,CPT,NASAL/SINUS NDSC SURG W/DACRYOCSTORHINOSTOMY,,30,,,"$11,675.11",$0.00,1,0,1,20120101,31240,CPT,NASAL/SINUS NDSC SURG W/CONCHA BULLOSA RESECTION,,30,,,"$8,393.49",$0.00,1,0,1,20120101,31254,CPT,NASAL/SINUS ENDOSCOPY W/ETHMOIDECTOMY PARTIAL,,30,,,"$11,675.11",$0.00,1,0,1,20120101,31255,CPT,NASAL/SINUS ENDOSCOPY W/ETHMOIDECTOMY TOTAL,,30,,,"$11,675.11",$0.00,1,0,1,20120101,31256,CPT,NASAL/SINUS ENDOSCOPY W/MAXILLARY ANTROSTOMY,,30,,,"$11,675.11",$0.00,1,0,1,20120101,31267,CPT,NSL/SINUS NDSC MAX ANTROST W/RMVL TISS MAX SINUS,,30,,,"$11,675.11",$0.00,1,0,1,20120101,31276,CPT,NASAL/SINUS NDSC W/FRONTAL SINUS EXPLORATION,,30,,,"$11,675.11",$0.00,1,0,1,20120101,31287,CPT,NASAL/SINUS ENDOSCOPY W/SPHENOIDECTOMY,,30,,,"$11,675.11",$0.00,1,0,1,20120101,31288,CPT,NSL/SINUS NDSC SPHENDT RMVL TISS SPHENOID SINUS,,30,,,"$11,675.11",$0.00,1,0,1,20120101,31292,CPT,NSL/SINUS NDSC SURG W/MEDIAL/INF ORB WALL DCMPRN,,30,,,"$11,675.11",$0.00,1,0,1,20120101,31293,CPT,NASAL/SINUS NDSC MEDIAL ORB&INF ORB WALL DCMPRN,,30,,,"$11,675.11",$0.00,1,0,1,20120101,31294,CPT,NASAL/SINUS NDSC SURG W/OPTIC NERVE DCMPRN,,30,,,"$11,675.11",$0.00,1,0,1,20120101,31295,CPT,NASAL/SINUS NDSC SURG W/DILAT MAXILLARY SINUS,,30,,,"$11,675.11",$0.00,1,0,1,20120101,31296,CPT,NASAL/SINUS NDSC SURG W/DILATION FRONTAL SINUS,,30,,,"$11,675.11",$0.00,1,0,1,20120101,31297,CPT,NASAL/SINUS NDSC SURG W/DILATION SPHENOID SINUS,,30,,,"$11,675.11",$0.00,1,0,1,20120101,31299,CPT,UNLISTED PROCEDURE ACCESSORY SINUSES,,30,,,$488.97,$0.00,1,0,1,20120101,31300,CPT,LARYNGOTOMY W/RMVL TUMOR/LARYNGOCELE CORDECTOMY,,30,,,"$9,873.83",$0.00,1,0,1,20120101,31320,CPT,LARYNGOTOMY THYROTOMY LARYNGOFISSURE DX,,30,,,"$15,971.08",$0.00,1,0,1,20120101,31400,CPT,ARYTENOIDECTOMY/ARYTENOIDOPEXY XTRNL APPROACH,,30,,,"$15,971.08",$0.00,1,0,1,20120101,31420,CPT,EPIGLOTTIDECTOMY,,30,,,"$15,971.08",$0.00,1,0,1,20120101,31500,CPT,INTUBATION ENDOTRACHEAL EMERGENCY PROCEDURE,,30,,,"$1,018.09",$0.00,1,0,1,20120101,31502,CPT,TRACHEOTOMY TUBE CHANGE PRIOR TO FISTULA TRACT,,30,,,$628.89,$0.00,1,0,1,20120101,31505,CPT,LARYNGOSCOPY INDIRECT DIAGNOSTIC SPX,,30,,,$413.27,$0.00,1,0,1,20120101,31510,CPT,LARYNGOSCOPY INDIRECT W/BIOPSY,,30,,,"$8,393.49",$0.00,1,0,1,20120101,31511,CPT,LARYNGOSCOPY INDIRECT W/REMOVAL FOREIGN BODY,,30,,,$764.98,$0.00,1,0,1,20120101,31512,CPT,LARYNGOSCOPY INDIRECT W/REMOVAL LESION,,30,,,"$8,393.49",$0.00,1,0,1,20120101,31513,CPT,LARYNGOSCOPY INDIRECT W/VOCAL CORD INJECTION,,30,,,$764.98,$0.00,1,0,1,20120101,31515,CPT,LARYNGOSCOPY W/WO TRACHEOSCOPY ASPIRATION,,30,,,"$8,393.49",$0.00,1,0,1,20120101,31520,CPT,LARYNGOSCOPY W/WO TRACHEOSCOPY DX NEWBORN,,30,,,$764.98,$0.00,1,0,1,20120101,31525,CPT,LARYNGOSCOPY W/WO TRACHEOSCOPY DX EXCEPT NEWBORN,,30,,,"$8,393.49",$0.00,1,0,1,20120101,31526,CPT,LARYNGOSCOPY W/WO TRACHEOSCOPY W/MICRO/TELESCOPE,,30,,,"$8,393.49",$0.00,1,0,1,20120101,31527,CPT,LARYNGOSCOPY W/WO TRACHEOSCOPY INSERT OBTURATOR,,30,,,"$11,675.11",$0.00,1,0,1,20120101,31528,CPT,LARYNGOSCOPY W/WO TRACHEOSCOPY W/DILATION IN,,30,,,"$8,393.49",$0.00,1,0,1,20120101,31529,CPT,LARYNGOSCOPY W/WO TRACHEOSCOPY DILATION SUBSQ,,30,,,"$8,393.49",$0.00,1,0,1,20120101,31530,CPT,LARYNGOSCOPY W/FOREIGN BODY REMOVAL,,30,,,"$8,393.49",$0.00,1,0,1,20120101,31531,CPT,LARYNGOSCOPY FOREIGN BODY RMVL MICRO/TELESCOPE,,30,,,"$8,393.49",$0.00,1,0,1,20120101,31535,CPT,LARYNGOSCOPY DIRECT OPERATIVE W/BIOPSY,,30,,,"$8,393.49",$0.00,1,0,1,20120101,31536,CPT,LARYNGOSCOPY W/BIOPSY MICROSCOPE/TELESCOPE,,30,,,"$8,393.49",$0.00,1,0,1,20120101,31540,CPT,LARYNGOSCOPY EXC TUM&/STRIPPING CORDS/EPIGLOTTIS,,30,,,"$8,393.49",$0.00,1,0,1,20120101,31541,CPT,LARGSC EXC TUM&/STRPG CORDS/EPIGL MCRSCP/TLSCP,,30,,,"$8,393.49",$0.00,1,0,1,20120101,31545,CPT,LARGSC MICRO/TELESCOPE RMVL LES VOCAL CORD FLAP,,30,,,"$11,675.11",$0.00,1,0,1,20120101,31546,CPT,LARGSC MICRO/TELESCOPE RMVL LES VOCAL CORD GRAFT,,30,,,"$11,675.11",$0.00,1,0,1,20120101,31560,CPT,LARYNGOSCOPY DIRECT OPERATIVE W/ARYTENOIDECTOMY,,30,,,"$11,675.11",$0.00,1,0,1,20120101,31561,CPT,LARGSC ARYTENOIDECTOMY MICROSCOPE/TELESCOPE,,30,,,"$11,675.11",$0.00,1,0,1,20120101,31570,CPT,LARYNGOSCOPE INJECTION VOCAL CORD THERAPEUTIC,,30,,,"$8,393.49",$0.00,1,0,1,20120101,31571,CPT,LARGSC W/NJX VOCAL CORD THER W/MICRO/TELESCOPE,,30,,,"$11,675.11",$0.00,1,0,1,20120101,31575,CPT,LARYNGOSCOPY FLEXIBLE FIBEROPTIC DIAGNOSTIC,,30,,,$764.98,$0.00,1,0,1,20120101,31576,CPT,LARYNGOSCOPY FLEXIBLE FIBEROPTIC W/BIOPSY,,30,,,"$8,393.49",$0.00,1,0,1,20120101,31577,CPT,LARYNGOSCOPY FLX FIBEROPTIC RMVL FOREIGN BODY,,30,,,"$1,772.35",$0.00,1,0,1,20120101,31578,CPT,LARYNGOSCOPY FLEXIBLE FIBEROPTIC REMOVAL LESION,,30,,,"$11,675.11",$0.00,1,0,1,20120101,31579,CPT,LARYNGOSCOPY FLX/RGD FIBOPT W/STROBOSCOPY,,30,,,"$1,772.35",$0.00,1,0,1,20120101,31580,CPT,LARYNGOPLASTY LARYN WEB 2 STG W/KEEL INSJ&RMVL,,30,,,"$15,971.08",$0.00,1,0,1,20120101,31582,CPT,LARYNGP LARYN STENOSIS GRF/CORE MOLD W/TRACHT,,30,,,"$15,971.08",$0.00,1,0,1,20120101,31588,CPT,LARYNGOPLASTY NOT OTHERWISE SPECIFIED,,30,,,"$15,971.08",$0.00,1,0,1,20120101,31590,CPT,LARYNGEAL REINNERVATION NEUROMUSCULAR PEDICLE,,30,,,"$15,971.08",$0.00,1,0,1,20120101,31595,CPT,SECTION RECURRENT LARYNGEAL NERVE THER UNI SPX,,30,,,"$15,971.08",$0.00,1,0,1,20120101,31599,CPT,UNLISTED PROCEDURE LARYNX,,30,,,$488.97,$0.00,1,0,1,20120101,31600,CPT,TRACHEOSTOMY PLANNED SEPARATE PROCEDURE,,30,,,"$9,873.83",$0.00,1,0,1,20120101,31601,CPT,TRACHEOSTOMY PLANNED UNDER 2 YEARS SPX,,30,,,"$9,873.83",$0.00,1,0,1,20120101,31603,CPT,TRACHEOSTOMY EMERGENCY PROCEDURE TRANSTRACHEAL,,30,,,"$3,156.16",$0.00,1,0,1,20120101,31605,CPT,TRACHEOSTOMY EMERGENCY CRICOTHYROID MEMBRANE,,30,,,"$3,156.16",$0.00,1,0,1,20120101,31610,CPT,TRACHEOSTOMY FENESTRATION W/SKIN FLAPS,,30,,,"$9,873.83",$0.00,1,0,1,20120101,31611,CPT,CONSTJ TRACHEOESOPHGL FSTL&INSJ SP PROSTH,,30,,,"$9,873.83",$0.00,1,0,1,20120101,31612,CPT,TRACHEAL PNXR PRQ W/TRANSTRACHEAL ASPIR&/NJX,,30,,,"$9,873.83",$0.00,1,0,1,20120101,31613,CPT,TRACHEOSTOMA REVJ SMPL W/O FLAP ROTATION,,30,,,"$9,873.83",$0.00,1,0,1,20120101,31614,CPT,TRACHEOSTOMA REVJ CPLX W/FLAP ROTATION,,30,,,"$15,971.08",$0.00,1,0,1,20120101,31615,CPT,TRACHEOBRNCHSC THRU EST TRACHS INC,,30,,,"$3,156.16",$0.00,1,0,1,20120101,31622,CPT,BRNCHSC INCL FLUOR GID DX W/CELL WASHG SPX,,30,,,"$3,805.86",$0.00,1,0,1,20120101,31623,CPT,BRNCHSC BRUSHING/PROTECTED BRUSHINGS,,30,,,"$3,805.86",$0.00,1,0,1,20120101,31624,CPT,BRNCHSC W/BRNCL ALVEOLAR LAVAGE,,30,,,"$3,805.86",$0.00,1,0,1,20120101,31625,CPT,BRONCHOSCOPY BRONCHIAL/ENDOBRNCL BX 1+ SITES,,30,,,"$3,805.86",$0.00,1,0,1,20120101,31626,CPT,BRONCHOSCOPY W/PLMT FIDUCIAL MARKERS SINGLE/MULT,,30,,,"$11,320.72",$0.00,1,0,1,20120101,31628,CPT,BRONCHOSCOPY W/TRANSBRONCHIAL LUNG BX 1 LOBE,,30,,,"$3,805.86",$0.00,1,0,1,20120101,31629,CPT,BRONCHOSCOPY NEEDLE BX TRACHEA MAIN STEM&/BRONCH,,30,,,"$3,805.86",$0.00,1,0,1,20120101,31630,CPT,BRNCHSC W/TRACHEAL/BRONCHIAL DILAT/CLSD RDCTJ FX,,30,,,"$11,320.72",$0.00,1,0,1,20120101,31631,CPT,BRONCHOSCOPY W/PLACEMENT TRACHEAL STENT,,30,,,"$11,320.72",$0.00,1,0,1,20120101,31632,CPT,BRONCHOSCOPY W/TRANSBRONCHIAL LUNG BX EACH LOBE,,30,,,"$3,805.86",$0.00,1,0,1,20120101,31633,CPT,BRONCHOSCOPY W/TRANSBRONCL NDL ASPIR BX EA LOBE,,30,,,"$3,805.86",$0.00,1,0,1,20120101,31634,CPT,BRONCHOSCOPY BALLOON OCCLUSION,,30,,,"$3,805.86",$0.00,1,0,1,20120101,31635,CPT,BRONCHOSCOPY W/REMOVAL FOREIGN BODY,,30,,,"$3,805.86",$0.00,1,0,1,20120101,31636,CPT,BRNCHSC W/PLACEMENT BRNCL STENT 1ST BRONCHUS,,30,,,"$11,320.72",$0.00,1,0,1,20120101,31637,CPT,BRONCHOSCOPY EACH MAJOR BRONCHUS STENTED,,30,,,"$3,805.86",$0.00,1,0,1,20120101,31638,CPT,BRNCHSC REVJ TRACHEAL/BRNCL STENT INS PREV SESS,,30,,,"$11,320.72",$0.00,1,0,1,20120101,31640,CPT,BRONCHOSCOPY W/EXCISION TUMOR,,30,,,"$11,320.72",$0.00,1,0,1,20120101,31641,CPT,BRNCHSC W/DSTRJ TUM RELIEF STENOSIS OTH/THN EXC,,30,,,"$11,320.72",$0.00,1,0,1,20120101,31643,CPT,BRNCHSC W/PLMT CATH INTRCV RADIOELMNT APPL,,30,,,"$3,805.86",$0.00,1,0,1,20120101,31645,CPT,BRNCHSC W/THER ASPIR TRACHEOBRNCL TREE 1ST,,30,,,"$3,805.86",$0.00,1,0,1,20120101,31646,CPT,BRNCHSC W/THER ASPIR TRACHEOBRNCL TREE SBSQ,,30,,,"$3,805.86",$0.00,1,0,1,20120101,31656,CPT,BRNCHSC W/NJX CONTRAST SGMTL BRONCHOG,,30,,,"$3,805.86",$0.00,1,0,1,20120101,31717,CPT,CATHETERIZATION W/BRONCHIAL BRUSH BIOPSY,,30,,,"$1,772.35",$0.00,1,0,1,20120101,31720,CPT,CATHETER ASPIRATION NASOTRACHEAL SPX,,30,,,$178.73,$0.00,1,0,1,20120101,31730,CPT,TTRACH INTRO NDL WIRE DIL/STENT/TUBE O2 THER,,30,,,"$1,772.35",$0.00,1,0,1,20120101,31750,CPT,TRACHEOPLASTY CERVICAL,,30,,,"$15,971.08",$0.00,1,0,1,20120101,31755,CPT,TRACHEOPLASTY TRACHEOPHARYNGEAL FSTLJ EA STG,,30,,,"$15,971.08",$0.00,1,0,1,20120101,31785,CPT,EXCISION TRACHEAL TUMOR/CARCINOMA CERVICAL,,30,,,"$9,873.83",$0.00,1,0,1,20120101,31820,CPT,SURG CLSR TRACHEOSTOMY/FISTULA W/O PLASTIC RPR,,30,,,"$9,873.83",$0.00,1,0,1,20120101,31825,CPT,SURG CLSR TRACHEOSTOMY/FISTULA W/PLASTIC RPR,,30,,,"$9,873.83",$0.00,1,0,1,20120101,31830,CPT,REVISION TRACHEOSTOMY SCAR,,30,,,"$9,873.83",$0.00,1,0,1,20120101,31899,CPT,UNLISTED PROCEDURE TRACHEA BRONCHI,,30,,,"$3,805.86",$0.00,1,0,1,20120101,32201,CPT,PNEUMONOSTOMY PERCUTANEOUS DRAINAGE ABSCESS/CYST,,30,,,"$2,295.36",$0.00,1,0,1,20120101,32400,CPT,BIOPSY PLEURA PERCUTANEOUS NEEDLE,,30,,,"$3,502.05",$0.00,1,0,1,20120101,32405,CPT,BIOPSY LUNG/MEDIASTINUM PERCUTANEOUS NEEDLE,,30,,,"$3,502.05",$0.00,1,0,1,20120101,32420,CPT,PNEUMOCENTESIS PUNCTURE LUNG ASPIRATION,,30,,,"$2,295.36",$0.00,1,0,1,20120101,32421,CPT,THORACENTESIS PUNCTURE PLEURAL CAVITY ASPIRATION,,30,,,"$2,295.36",$0.00,1,0,1,20120101,32422,CPT,THORACENTESIS WITH INSERTION TUBE WATER SEAL,,30,,,"$2,295.36",$0.00,1,0,1,20120101,32550,CPT,INSERTION INDWELLING TUNNELED PLEURAL CATHETER,,30,,,"$11,804.12",$0.00,1,0,1,20120101,32551,CPT,TUBE THORACOSTOMY INCLUDES WATER SEAL,,30,,,"$2,295.36",$0.00,1,0,1,20120101,32552,CPT,RMVL NDWELLG TUNNELED PLEURAL CATHETER W/CUFF,,30,,,$628.89,$0.00,1,0,1,20120101,32553,CPT,PLMT NTRSTL DEV RADJ THX GID PRQ INTRATHRC 1/MLT,,30,,,"$5,605.93",$0.00,1,0,1,20120101,32560,CPT,INSTLJ VIA CHEST TUBE/CATH AGENT FOR PLEURODESIS,,30,,,"$2,295.36",$0.00,1,0,1,20120101,32561,CPT,INSTLJ VIA CH TUBE/CATH AGENT FBRNLYSIS 1ST DAY,,30,,,"$2,295.36",$0.00,1,0,1,20120101,32562,CPT,INSTLJ CH TUBE/CATH AGENT FBRNLYSIS SBSQ DAY,,30,,,"$2,295.36",$0.00,1,0,1,20120101,32601,CPT,THORSC DX LUNGS/PERICAR/MED/PLEURAL SPACE W/O BX,,30,,,"$13,127.47",$0.00,1,0,1,20120101,32604,CPT,THORACOSCOPY DX PERICARDIAL SAC W/BIOPSY SPX,,30,,,"$13,127.47",$0.00,1,0,1,20120101,32606,CPT,THORACOSCOPY DX MEDIASTINAL SPACE W/BIOPSY SPX,,30,,,"$13,127.47",$0.00,1,0,1,20120101,32607,CPT,THORACOSCOPY W/DX BX OF LUNG INFILTRATE UNILATRL,,30,,,"$13,127.47",$0.00,1,0,1,20120101,32608,CPT,THORACOSCOPY W/DX BX OF LUNG NODULES UNILATRL,,30,,,"$13,127.47",$0.00,1,0,1,20120101,32609,CPT,THORACOSCOPY WITH BIOPSYIES OF PLEURA,,30,,,"$13,127.47",$0.00,1,0,1,20120101,32960,CPT,PNEUMOTHORAX THER INTRAPLEURAL INJECTION AIR,,30,,,"$2,295.36",$0.00,1,0,1,20120101,32998,CPT,ABLATION PULMONARY TUMOR PERQ RADIOFREQUENCY UNI,,30,,,"$18,735.96",$0.00,1,0,1,20120101,32999,CPT,UNLISTED PROCEDURE LUNGS & PLEURA,,30,,,"$2,295.36",$0.00,1,0,1,20120101,33010,CPT,PERICARDIOCENTESIS INITIAL,,30,,,"$2,295.36",$0.00,1,0,1,20120101,33011,CPT,PERICARDIOCENTESIS SUBSEQUENT,,30,,,"$2,295.36",$0.00,1,0,1,20120101,33206,CPT,INS NEW/RPLCMT PRM PACEMAKR W/TRANS ELTRD ATRIAL,,30,,,"$23,388.64",$0.00,1,0,1,20120101,33207,CPT,INS NEW/RPLC PRM PACEMAKER W/TRANSV ELTRD VENTR,,30,,,"$23,388.64",$0.00,1,0,1,20120101,33208,CPT,INS NEW/RPLCMT PRM PM W/TRANSV ELTRD ATRIAL&VENT,,30,,,"$21,254.12",$0.00,1,0,1,20120101,33210,CPT,INSJ/RPLCMT TEMP TRANSVNS 1CHMBR ELTRD/PM CATH,,30,,,"$16,827.16",$0.00,1,0,1,20120101,33211,CPT,INSJ/RPLCMT TEMP TRANSVNS 2CHMBR PACG ELTRDS SPX,,30,,,"$16,827.16",$0.00,1,0,1,20120101,33212,CPT,INS PM PLS GEN W/EXIST SINGLE LEAD,,30,,,"$23,255.18",$0.00,1,0,1,20120101,33213,CPT,INS PACEMAKER PULSE GEN ONLY W/EXIST DUAL LEADS,,30,,,"$23,468.32",$0.00,1,0,1,20120101,33214,CPT,UPG PACEMAKER SYS CONVERT 1CHMBR SYS 2CHMBR SYS,,30,,,"$21,254.12",$0.00,1,0,1,20120101,33215,CPT,RPSG PREV IMPLTED PM/CVDFB R ATR/R VENTR ELTRD,,30,,,"$9,331.44",$0.00,1,0,1,20120101,33216,CPT,INSJ 1 TRANSVNS ELTRD PERM PACEMAKER OR CVDFB,,30,,,"$16,827.16",$0.00,1,0,1,20120101,33217,CPT,INSJ 2 TRANSVNS ELTRD PERM PACEMAKER OR CVDFB,,30,,,"$16,827.16",$0.00,1,0,1,20120101,33218,CPT,RPR 1 ELTRD PRM PM/PACING CVDFB,,30,,,"$9,331.44",$0.00,1,0,1,20120101,33220,CPT,RPR 2 ELTRDS PRM PM/PACING CVDFB,,30,,,"$9,331.44",$0.00,1,0,1,20120101,33221,CPT,INS PACEMAKER PULSE GEN ONLY W/EXIST MULT LEADS,,30,,,"$23,468.32",$0.00,1,0,1,20120101,33222,CPT,REVISION/RELOCATION SKIN POCKET PACEMAKER,,30,,,"$6,785.22",$0.00,1,0,1,20120101,33223,CPT,REVJ SKN POCKET FOR CARDIOVERTER-DEFIBRILLATOR,,30,,,"$6,785.22",$0.00,1,0,1,20120101,33224,CPT,INSJ ELTRD CAR VEN SYS ATTCH PM/CVDFB PLS GEN,,30,,,"$21,254.12",$0.00,1,0,1,20120101,33225,CPT,INSJ ELTRD CAR VEN SYS TM INSJ CVDFB/PM PLS GEN,,30,,,"$21,254.12",$0.00,1,0,1,20120101,33226,CPT,RPSG PREV IMPLTED CAR VEN SYS L VENTR ELTRD,,30,,,"$9,331.44",$0.00,1,0,1,20120101,33227,CPT,REMVL PERM PM PLSE GEN W/REPL PLSE GEN SNGL LEAD,,30,,,"$23,255.18",$0.00,1,0,1,20120101,33228,CPT,REMVL PERM PM PLS GEN W/REPL PLSE GEN 2 LEAD SYS,,30,,,"$23,468.32",$0.00,1,0,1,20120101,33229,CPT,REMVL PERM PM PLS GEN W/REPL PLSE GEN MULT LEAD,,30,,,"$23,468.32",$0.00,1,0,1,20120101,33230,CPT,INS PACNG CVDFB PLS GEN ONLY W/EXIST DUAL LEADS,,30,,,"$45,723.20",$0.00,1,0,1,20120101,33231,CPT,INS PACNG CVDFB PLS GEN ONLY W/EXIST MULTI LEADS,,30,,,"$45,723.20",$0.00,1,0,1,20120101,33233,CPT,REMOVAL PERMANENT PACEMAKER PULSE GENERATOR ONLY,,30,,,"$9,331.44",$0.00,1,0,1,20120101,33234,CPT,RMVL TRANSVNS PM ELTRD 1 LEAD SYS ATR/VENTR,,30,,,"$9,331.44",$0.00,1,0,1,20120101,33235,CPT,RMVL TRANSVNS PM ELTRD DUAL LEAD SYS,,30,,,"$9,331.44",$0.00,1,0,1,20120101,33240,CPT,INSJ 1/2 CHMBR PACING CARDIOVERTERDEFIB PLS GEN,,30,,,"$45,723.20",$0.00,1,0,1,20120101,33241,CPT,REMVL PAC CVDFB PLS GEN ONLY,,30,,,"$9,331.44",$0.00,1,0,1,20120101,33244,CPT,RMVL 1/2CHMBR PACG CVDFB ELTRD TRANSVNS XTRJ,,30,,,"$9,331.44",$0.00,1,0,1,20120101,33249,CPT,INS/REP PAC PERM CVDFB TRNSVEN LEADS 1/2 CHAMBER,,30,,,"$52,729.86",$0.00,1,0,1,20120101,33262,CPT,REM PAC CVDFB PLSE GEN &REPL PLSE GEN SNGL LEAD,,30,,,"$45,723.20",$0.00,1,0,1,20120101,33263,CPT,REM PAC CVDFB PLSE GEN &REPL PLSE GEN DUAL LEAD,,30,,,"$45,723.20",$0.00,1,0,1,20120101,33264,CPT,REM PAC CVDFB PLS GEN &REPL PLSE GEN MULTI LEAD,,30,,,"$45,723.20",$0.00,1,0,1,20120101,33282,CPT,IMPLANTATION PT-ACTIVATED CARDIAC EVENT RECORDER,,30,,,"$22,075.47",$0.00,1,0,1,20120101,33284,CPT,RMVL IMPLANTABLE PT-ACTIVATED CAR EVENT RECORDER,,30,,,"$3,122.57",$0.00,1,0,1,20120101,33999,CPT,UNLISTED CARDIAC SURGERY,,30,,,"$2,295.36",$0.00,1,0,1,20120101,34101,CPT,EMBLC/THRMBC AX BRACH INNOMINATE SUBCLA ART,,30,,,"$14,939.72",$0.00,1,0,1,20120101,34111,CPT,EMBLC/THRMBC W/WO CATH RADIAL/ULNAR ART ARM INC,,30,,,"$14,939.72",$0.00,1,0,1,20120101,34201,CPT,EMBLC/THRMBC FEMORAL POPLITEAL AORTO-ILIAC ART,,30,,,"$14,939.72",$0.00,1,0,1,20120101,34203,CPT,EMBLC/THRMBC POPLITEAL-TIBIO-PRONEAL ART LEG INC,,30,,,"$14,939.72",$0.00,1,0,1,20120101,34421,CPT,THRMBC DIR/W/CATH V/C ILIAC FEMPOP VEIN LEG INC,,30,,,"$14,939.72",$0.00,1,0,1,20120101,34471,CPT,THRMBC DIR/W/CATH SUBCLAVIAN VEIN NECK INC,,30,,,"$14,939.72",$0.00,1,0,1,20120101,34490,CPT,THRMBC DIR/W/CATH AXILL&SUBCLAVIAN VEIN ARM INC,,30,,,"$14,939.72",$0.00,1,0,1,20120101,34501,CPT,VALVULOPLASTY FEMORAL VEIN,,30,,,"$14,939.72",$0.00,1,0,1,20120101,34510,CPT,VENOUS VALVE TRANSPOSITION ANY VEIN DONOR,,30,,,"$14,939.72",$0.00,1,0,1,20120101,34520,CPT,CROSS-OVER VEIN GRAFT VENOUS SYSTEM,,30,,,"$14,939.72",$0.00,1,0,1,20120101,34530,CPT,SAPHENOPOPLITEAL VEIN ANASTOMOSIS,,30,,,"$14,939.72",$0.00,1,0,1,20120101,35011,CPT,DIR RPR ANEURYSM & GRAFT INSJ AX-BRACHIAL ARTERY,,30,,,"$15,453.93",$0.00,1,0,1,20120101,35045,CPT,DIR RPR ARYSM&GRF INSJ RADIAL/ULNAR ART,,30,,,"$11,852.20",$0.00,1,0,1,20120101,35180,CPT,REPAIR CONGENITAL ARTERIOVENOUS FISTULA HEAD&NCK,,30,,,"$11,852.20",$0.00,1,0,1,20120101,35184,CPT,RPR CONGENITAL ARTERIOVENOUS FISTULA EXTREMITIES,,30,,,"$11,852.20",$0.00,1,0,1,20120101,35188,CPT,RPR/TRAUMATIC ARTERIOVENOUS FISTULA HEAD & NECK,,30,,,"$14,939.72",$0.00,1,0,1,20120101,35190,CPT,RPR/TRAUMATIC ARTERIOVENOUS FISTULA EXTREMITIES,,30,,,"$11,852.20",$0.00,1,0,1,20120101,35201,CPT,REPAIR BLOOD VESSEL DIRECT NECK,,30,,,"$11,852.20",$0.00,1,0,1,20120101,35206,CPT,REPAIR BLOOD VESSEL DIRECT UPPER EXTREMITY,,30,,,"$11,852.20",$0.00,1,0,1,20120101,35207,CPT,REPAIR BLOOD VESSEL DIRECT HAND FINGER,,30,,,"$14,939.72",$0.00,1,0,1,20120101,35226,CPT,RPR BLOOD VESSEL DIRECT LOWER EXTREMITY,,30,,,"$3,122.57",$0.00,1,0,1,20120101,35231,CPT,REPAIR BLOOD VESSEL W/VEIN GRAFT NECK,,30,,,"$11,852.20",$0.00,1,0,1,20120101,35236,CPT,REPAIR BLOOD VESSEL W/VEIN GRAFT UPPER EXTREMITY,,30,,,"$11,852.20",$0.00,1,0,1,20120101,35256,CPT,REPAIR BLOOD VESSEL VEIN GRAFT LOWER EXTREMITY,,30,,,"$11,852.20",$0.00,1,0,1,20120101,35261,CPT,REPAIR BLOOD VESSEL W/GRAFT OTHER/THAN VEIN NECK,,30,,,"$15,453.93",$0.00,1,0,1,20120101,35266,CPT,RPR BLOOD VSL GRF OTH/THN VEIN UPPER EXTREMITY,,30,,,"$15,453.93",$0.00,1,0,1,20120101,35286,CPT,RPR BLVSL W/GRF OTHER/THAN VEIN LOWER EXTREMITY,,30,,,"$15,453.93",$0.00,1,0,1,20120101,35321,CPT,TEAEC W/WO PATCH GRF AXILLARY-BRACHIAL,,30,,,"$11,852.20",$0.00,1,0,1,20120101,35458,CPT,TRLUML BALO ANGIOP OPN BRCH/CPHLC TRNK/BRNCH EA,,30,,,"$20,214.40",$0.00,1,0,1,20120101,35460,CPT,TRLUML BALLOON ANGIOPLASTY OPEN VENOUS,,30,,,"$20,214.40",$0.00,1,0,1,20120101,35471,CPT,TRLUML BALLOON ANGIOP PRQ RENAL/VISCERAL ART,,30,,,"$20,214.40",$0.00,1,0,1,20120101,35472,CPT,TRLUML BALLOON ANGIOPLASTY PERCUTANEOUS AORTIC,,30,,,"$20,214.40",$0.00,1,0,1,20120101,35475,CPT,TRLUML BALO ANGIOP PRQ BRCH/CPHLC TRNK/BRNCH EA,,30,,,"$20,214.40",$0.00,1,0,1,20120101,35476,CPT,TRLUML BALLOON ANGIOPLASTY PERCUTANEOUS VENOUS,,30,,,"$20,214.40",$0.00,1,0,1,20120101,35500,CPT,HARVEST UXTR VEIN 1 SGM LOWER EXTREMITY/CABG PX,,30,,,"$6,586.51",$0.00,1,0,1,20120101,35685,CPT,PLMT VEIN PATCH/CUFF DSTL ANAST BYP CONDUIT,,30,,,"$11,852.20",$0.00,1,0,1,20120101,35686,CPT,CRTJ DSTL ARVEN FSTL LXTR BYP SURG NON-HEMO,,30,,,"$11,852.20",$0.00,1,0,1,20120101,35761,CPT,EXPL N/FLWD SURG RPR W/WO LYSIS OTHER ARTERY,,30,,,"$11,852.20",$0.00,1,0,1,20120101,35860,CPT,EXPL PO HEMRRG THROMBOSIS/INFCTJ XTR,,30,,,"$11,852.20",$0.00,1,0,1,20120101,35875,CPT,THRMBC ARTL/VEN GRF OTH/THN HEMO GRF/FSTL,,30,,,"$14,939.72",$0.00,1,0,1,20120101,35876,CPT,THRMBC ARTL/VEN GRF XCP HEMO GRF/FSTL W/REVJ GRF,,30,,,"$14,939.72",$0.00,1,0,1,20120101,35879,CPT,REVJ LXTR ARTL BYP OPN VEIN PATCH ANGIOP,,30,,,"$14,939.72",$0.00,1,0,1,20120101,35881,CPT,REVJ LXTR ARTL BYP OPN W/SGMTL VEIN INTERPOS,,30,,,"$14,939.72",$0.00,1,0,1,20120101,35883,CPT,REVISION FEMORAL ANAST OPEN NONAUTOG GRAFT,,30,,,"$14,939.72",$0.00,1,0,1,20120101,35884,CPT,REVISION FEMORAL ANAST OPEN W/AUTOG GRAFT,,30,,,"$14,939.72",$0.00,1,0,1,20120101,35903,CPT,EXCISION INFECTED GRAFT EXTREMITY,,30,,,"$11,852.20",$0.00,1,0,1,20120101,36002,CPT,INJECTION PX PRQ TX EXTREMITY PSEUDOANEURYSM,,30,,,$978.65,$0.00,1,0,1,20120101,36147,CPT,INTRO NDL/CATH AV SHUNT IST ACCESS W/ RAD EVAL,,30,,,"$4,069.63",$0.00,1,0,1,20120101,36251,CPT,SLCTV CATH 1STORD W/WO ART PUNCT/FLUORO/S&I UNI,,30,,,"$11,498.50",$0.00,1,0,1,20120101,36252,CPT,SLCTV CATH 1STORD W/WO ART PUNCT/FLUOR/S&I BILAT,,30,,,"$11,498.50",$0.00,1,0,1,20120101,36253,CPT,SUPSLCTV CATH 2ND+ORD RENL&ACCES ARTERY/S&I UNI,,30,,,"$11,498.50",$0.00,1,0,1,20120101,36254,CPT,SUPSLCTV CATH 2ND+ORD RENL&ACCES ARTER/S&I BILAT,,30,,,"$11,498.50",$0.00,1,0,1,20120101,36260,CPT,INSJ IMPLANTABLE INTRA-ARTERIAL INFUSION PUM,,30,,,"$11,061.07",$0.00,1,0,1,20120101,36261,CPT,REVJ IMPLANTED INTRA-ARTERIAL INFUSION PUMP,,30,,,"$9,331.44",$0.00,1,0,1,20120101,36262,CPT,REMOVAL IMPLANTED INTRA-ARTERIAL INFUSION PUMP,,30,,,"$9,331.44",$0.00,1,0,1,20120101,36415,CPT,COLLECTION VENOUS BLOOD VENIPUNCTURE,,30,,,$34.56,$0.00,1,0,1,20120101,36420,CPT,VENIPUNCTURE CUTDOWN UNDER AGE 1 YR,,30,,,$122.59,$0.00,1,0,1,20120101,36425,CPT,VENIPUNCTURE CUTDOWN AGE 1 YR/>,,30,,,$122.59,$0.00,1,0,1,20120101,36430,CPT,TRANSFUSION BLOOD/BLOOD COMPONENTS,,30,,,"$1,422.14",$0.00,1,0,1,20120101,36440,CPT,PUSH TRANSFUSION BLOOD 2 YR/UNDER,,30,,,"$1,422.14",$0.00,1,0,1,20120101,36450,CPT,EXCHNG TRANSFUSION BLOOD NEWBORN,,30,,,"$1,422.14",$0.00,1,0,1,20120101,36455,CPT,EXCHNG TRANSFUSION BLOOD OTHER/THAN NEW BORN,,30,,,"$1,422.14",$0.00,1,0,1,20120101,36460,CPT,TRANSFUSION INTRAUTERINE FETAL,,30,,,"$1,422.14",$0.00,1,0,1,20120101,36468,CPT,1/MLT NJXS SCLRSG SLNS SPIDER VEINS LIMB/TRUNK,,30,,,$238.23,$0.00,1,0,1,20120101,36469,CPT,1/MLT NJXS SCLRSG SLNS SPIDER VEINS FACE,,30,,,$372.19,$0.00,1,0,1,20120101,36470,CPT,NJX SCLEROSING SOLUTION SINGLE VEIN,,30,,,$372.19,$0.00,1,0,1,20120101,36471,CPT,NJX SCLEROSING SOLUTION MULTIPLE VEINS SAME LEG,,30,,,$372.19,$0.00,1,0,1,20120101,36475,CPT,ENDOVEN ABLTJ INCMPTNT VEIN XTR RF 1ST VEIN,,30,,,"$15,597.65",$0.00,1,0,1,20120101,36476,CPT,ENDOVEN ABLTJ INCMPTNT VEIN XTR RF 2ND+ VEINS,,30,,,"$10,573.06",$0.00,1,0,1,20120101,36478,CPT,ENDOVEN ABLTJ INCMPTNT VEIN XTR LASER 1ST VEIN,,30,,,"$10,573.06",$0.00,1,0,1,20120101,36479,CPT,ENDOVEN ABLTJ INCMPTNT VEIN XTR LASER 2ND+ VEINS,,30,,,"$10,573.06",$0.00,1,0,1,20120101,36511,CPT,THERAPEUTIC APHERESIS WHITE BLOOD CELLS,,30,,,"$4,610.07",$0.00,1,0,1,20120101,36512,CPT,THERAPEUTIC APHERESIS RED BLOOD CELLS,,30,,,"$4,610.07",$0.00,1,0,1,20120101,36513,CPT,THERAPEUTIC APHERESIS PLATELETS,,30,,,"$4,610.07",$0.00,1,0,1,20120101,36514,CPT,THERAPEUTIC APHERESIS PLASMA PHERESIS,,30,,,"$4,610.07",$0.00,1,0,1,20120101,36515,CPT,THER APHERESIS W/XTRCORP IMMUNODSPTJ&PLSM RENFS,,30,,,"$12,425.61",$0.00,1,0,1,20120101,36516,CPT,THER APHRS XTRCORP SLCTV ADSRPJ/FILTRJ&RENFS,,30,,,"$12,425.61",$0.00,1,0,1,20120101,36522,CPT,PHOTOPHERESIS EXTRACORPOREAL,,30,,,"$12,425.61",$0.00,1,0,1,20120101,36555,CPT,INSJ NON-TUNNELED CENTRAL VENOUS CATH AGE < 5 YR,,30,,,"$4,385.61",$0.00,1,0,1,20120101,36556,CPT,INSJ NON-TUNNELED CENTRAL VENOUS CATH AGE 5 YR/>,,30,,,"$4,385.61",$0.00,1,0,1,20120101,36557,CPT,INSJ TUNNELED CVC W/O SUBQ PORT/PMP AGE<5 YR,,30,,,"$9,870.37",$0.00,1,0,1,20120101,36558,CPT,INSJ TUNNELED CVC W/O SUBQ PORT/PMP AGE 5 YR/>,,30,,,"$9,870.37",$0.00,1,0,1,20120101,36560,CPT,INSJ TUNNELED CTR VAD W/SUBQ PORT UNDER 5 YR,,30,,,"$11,061.07",$0.00,1,0,1,20120101,36561,CPT,INSJ TUNNELED CTR VAD W/SUBQ PORT AGE 5 YR/>,,30,,,"$11,061.07",$0.00,1,0,1,20120101,36563,CPT,INSJ TUNNELED CTR VAD W/SUBQ PUMP,,30,,,"$11,061.07",$0.00,1,0,1,20120101,36565,CPT,INSJ TUN VAD REQ 2 CATH 2 SITS W/O SUBQ PORT/PMP,,30,,,"$11,061.07",$0.00,1,0,1,20120101,36566,CPT,INSJ TUN VAD REQ 2 CATH 2 SITS W/SUBQ PORT,,30,,,"$11,061.07",$0.00,1,0,1,20120101,36568,CPT,INSJ PRPH CVC W/O SUBQ PORT/PMP UNDER 5 YR,,30,,,"$4,385.61",$0.00,1,0,1,20120101,36569,CPT,INSJ PRPH CVC W/O SUBQ PORT/PMP AGE 5 YR/>,,30,,,"$4,385.61",$0.00,1,0,1,20120101,36570,CPT,INSJ PRPH CTR VAD W/SUBQ PORT UNDER 5 YR,,30,,,"$9,870.37",$0.00,1,0,1,20120101,36571,CPT,INSJ PRPH CTR VAD W/SUBQ PORT AGE 5 YR/>,,30,,,"$9,870.37",$0.00,1,0,1,20120101,36575,CPT,RPR TUN/NON-TUN CTR VAD CATH W/O SUBQ PORT/PMP,,30,,,"$2,481.54",$0.00,1,0,1,20120101,36576,CPT,RPR CTR VAD W/SUBQ PORT/PMP CTR/PRPH INSJ SIT,,30,,,"$4,385.61",$0.00,1,0,1,20120101,36578,CPT,RPLCMT CATH CTR VAD SUBQ PORT/PMP,,30,,,"$9,870.37",$0.00,1,0,1,20120101,36580,CPT,RPLCMT COMPL NON-TUN CVC W/O SUBQ PORT/PMP,,30,,,"$4,385.61",$0.00,1,0,1,20120101,36581,CPT,RPLCMT COMPL TUN CVC W/O SUBQ PORT/PMP,,30,,,"$9,870.37",$0.00,1,0,1,20120101,36582,CPT,RPLCMT COMPL TUN CTR VAD W/SUBQ PORT,,30,,,"$11,061.07",$0.00,1,0,1,20120101,36583,CPT,RPLCMT COMPL TUN CTR VAD W/SUBQ PMP,,30,,,"$11,061.07",$0.00,1,0,1,20120101,36584,CPT,RPLCMT COMPL PRPH CVC W/O SUBQ PORT/PMP,,30,,,"$4,385.61",$0.00,1,0,1,20120101,36585,CPT,RPLCMT COMPL PRPH CTR VAD W/SUBQ PORT,,30,,,"$9,870.37",$0.00,1,0,1,20120101,36589,CPT,RMVL TUN CVC W/O SUBQ PORT/PMP,,30,,,"$2,481.54",$0.00,1,0,1,20120101,36590,CPT,RMVL TUN CTR VAD W/SUBQ PORT/PMP CTR/PRPH INSJ,,30,,,"$4,385.61",$0.00,1,0,1,20120101,36591,CPT,COLLECT BLOOD FROM IMPLANT VENOUS ACCESS DEVICE,,30,,,$280.96,$0.00,1,0,1,20120101,36592,CPT,COLLECT BLOOD FROM CATHETER VENOUS NOS,,30,,,$280.96,$0.00,1,0,1,20120101,36593,CPT,DECLOT BY THROMBOLYTIC AGENT IMPLANT DEVICE/CATH,,30,,,"$1,046.23",$0.00,1,0,1,20120101,36595,CPT,MCHNL RMVL PRICATH OBSTR CV DEV VIA VEN ACCESS,,30,,,"$9,870.37",$0.00,1,0,1,20120101,36596,CPT,MCHNL RMVL INTRAL OBSTR CV DEV THRU DEV LUMEN,,30,,,"$4,385.61",$0.00,1,0,1,20120101,36597,CPT,RPSG PREVIOUSLY PLACED CVC UNDER FLUOR GDN,,30,,,"$4,385.61",$0.00,1,0,1,20120101,36598,CPT,CNTRST NJX RAD EVAL CTR VAD FLUOR IMG&REPRT,,30,,,"$1,046.23",$0.00,1,0,1,20120101,36600,CPT,ARTERIAL PUNCTURE WITHDRAWAL BLOOD DX,,30,,,$122.59,$0.00,1,0,1,20120101,36640,CPT,ARTL CATHJ PROLNG NFS THER CHEMOTX CUTDOWN,,30,,,"$11,061.07",$0.00,1,0,1,20120101,36680,CPT,PLACEMENT NEEDLE INTRAOSSEOUS INFUSION,,30,,,$685.88,$0.00,1,0,1,20120101,36800,CPT,INSJ CANNULA HEMO OTH PURPOSE SPX VEIN VEIN,,30,,,"$13,712.99",$0.00,1,0,1,20120101,36810,CPT,INSJ CANNULA HEMO OTH PURPOSE SPX ARVEN XTRNL,,30,,,"$13,712.99",$0.00,1,0,1,20120101,36815,CPT,INSJ CANNULA HEMO OTH SPX ARVEN XTRNL REVJ/CLSR,,30,,,"$13,712.99",$0.00,1,0,1,20120101,36818,CPT,ARVEN ANAST OPN UPR ARM CEPHALIC VEIN TRPOS,,30,,,"$14,939.72",$0.00,1,0,1,20120101,36819,CPT,ARVEN ANAST OPN UPR ARM BASILIC VEIN TRPOS,,30,,,"$14,939.72",$0.00,1,0,1,20120101,36820,CPT,ARVEN ANAST OPN F/ARM VEIN TRPOS,,30,,,"$14,939.72",$0.00,1,0,1,20120101,36821,CPT,ARTERIOVENOUS ANASTOMOSIS OPEN DIRECT,,30,,,"$14,939.72",$0.00,1,0,1,20120101,36825,CPT,CRTJ ARVEN FSTL XCP DIR ARVEN ANAST AUTOG GRF,,30,,,"$14,939.72",$0.00,1,0,1,20120101,36830,CPT,CRTJ ARVEN FSTL XCP DIR ARVEN ANAST NONAUTOG GRF,,30,,,"$14,939.72",$0.00,1,0,1,20120101,36831,CPT,THRMBC OPN ARVEN FSTL W/O REVJ DIAL GRF,,30,,,"$14,939.72",$0.00,1,0,1,20120101,36832,CPT,REVJ OPN ARVEN FSTL W/O THRMBC DIAL GRF,,30,,,"$14,939.72",$0.00,1,0,1,20120101,36833,CPT,REVJ OPN ARVEN FSTL W/THRMBC DIAL GRF,,30,,,"$14,939.72",$0.00,1,0,1,20120101,36835,CPT,INSERTION THOMAS SHUNT SEPARATE PROCEDURE,,30,,,"$13,712.99",$0.00,1,0,1,20120101,36838,CPT,DSTL REVSC&INTERVAL LIG UXTR HEMO ACCESS,,30,,,"$14,939.72",$0.00,1,0,1,20120101,36860,CPT,XTRNL CANNULA DECLTNG SPX W/O BALO CATH,,30,,,"$1,046.23",$0.00,1,0,1,20120101,36861,CPT,XTRNL CANNULA DECLTNG SPX W/BALO CATH,,30,,,"$13,712.99",$0.00,1,0,1,20120101,36870,CPT,THRMBC PRQ ARVEN FSTL AUTOG/NONAUTOG GRF,,30,,,"$15,453.93",$0.00,1,0,1,20120101,37183,CPT,REVJ TRANSVNS INTRAHEPATIC PORTOSYSTEMIC SHUNT,,30,,,"$23,263.95",$0.00,1,0,1,20120101,37184,CPT,PRIM PRQ TRLUML MCHNL THRMBC 1ST VSL,,30,,,"$14,939.72",$0.00,1,0,1,20120101,37185,CPT,PRIM PRQ TRLUML MCHNL THRMBC SBSQ VSL,,30,,,"$14,939.72",$0.00,1,0,1,20120101,37186,CPT,SEC PRQ TRANSLUMINAL THROMBECTOMY NONCORONARY,,30,,,"$14,939.72",$0.00,1,0,1,20120101,37187,CPT,PRQ TRANSLUMINAL MECHANICAL THROMBECTOMY VEIN,,30,,,"$14,939.72",$0.00,1,0,1,20120101,37188,CPT,PRQ TRLUML MCHNL THRMBC VEIN REPEAT TX,,30,,,"$14,939.72",$0.00,1,0,1,20120101,37191,CPT,INS INTRVAS VC FILTR W/WO VAS ACS VSL SELXN RS&I,,30,,,"$15,597.65",$0.00,1,0,1,20120101,37192,CPT,REPSNG INTRVAS VC FILTR W/WO ACS VSL SELXN RS&I,,30,,,"$11,061.07",$0.00,1,0,1,20120101,37193,CPT,RTRVL INTRVAS VC FILTR W/WO ACS VSL SELXN RS&I,,30,,,"$11,061.07",$0.00,1,0,1,20120101,37195,CPT,THROMBOLYSIS CEREBRAL IV INFUSION,,30,,,"$1,046.23",$0.00,1,0,1,20120101,37200,CPT,TRANSCATHETER BIOPSY,,30,,,"$11,061.07",$0.00,1,0,1,20120101,37201,CPT,TCAT THER INFUSION THROMBOLYS OTHR/THN CORONARY,,30,,,"$6,586.51",$0.00,1,0,1,20120101,37202,CPT,TCAT THER INFUSION OTH/THN THROMBOLYSIS ANY TYPE,,30,,,"$6,586.51",$0.00,1,0,1,20120101,37203,CPT,TCAT RETRIEVAL PRQ INTRAVASCULAR FOREIGN BODY,,30,,,"$11,061.07",$0.00,1,0,1,20120101,37204,CPT,TCAT OCCLS/EMBOLJ PRQ NON-CNS NON-HEAD/NCK,,30,,,"$23,492.99",$0.00,1,0,1,20120101,37205,CPT,TCAT PLMT IV STENT PERCUTANEOUS 1ST VESSEL,,30,,,"$23,263.95",$0.00,1,0,1,20120101,37206,CPT,TCAT PLMT IV STENT PERCUTANEOUS EACH ADDL VESSEL,,30,,,"$23,263.95",$0.00,1,0,1,20120101,37207,CPT,TCAT PLMT IV STENT OPEN 1ST VESSEL,,30,,,"$23,263.95",$0.00,1,0,1,20120101,37208,CPT,TCAT PLMT IV STENT OPEN EACH ADDL VESSEL,,30,,,"$23,263.95",$0.00,1,0,1,20120101,37209,CPT,EXCHNG PREV PLACED IV CATH THROMBOLYTIC THER,,30,,,"$11,061.07",$0.00,1,0,1,20120101,37210,CPT,UTERINE FIBROID EMBOLIZATION PERQ W/RAD GID,,30,,,"$23,263.95",$0.00,1,0,1,20120101,37220,CPT,REVASCULARIZATION ILIAC ARTERY ANGIOP 1ST VSL,,30,,,"$20,214.40",$0.00,1,0,1,20120101,37221,CPT,REVSC OPN/PRQ ILIAC ART W/STNT PLMT & ANGIOP UNI,,30,,,"$23,263.95",$0.00,1,0,1,20120101,37222,CPT,REVASCULARIZATION ILIAC ART ANGIOP EA IPSI VSL,,30,,,"$20,214.40",$0.00,1,0,1,20120101,37223,CPT,REVSC OPN/PRQ ILIAC ART W/STNT & ANGIOP IPSI VSL,,30,,,"$20,214.40",$0.00,1,0,1,20120101,37224,CPT,REVSC OPN/PRG FEM/POP W/ANGIOPLASTY UNI,,30,,,"$20,214.40",$0.00,1,0,1,20120101,37225,CPT,REVSC OPN/PRQ FEM/POP W/ATHRC/ANGIOP SM VSL,,30,,,"$23,263.95",$0.00,1,0,1,20120101,37226,CPT,REVSC OPN/PRQ FEM/POP W/STNT/ANGIOP SM VSL,,30,,,"$23,263.95",$0.00,1,0,1,20120101,37227,CPT,REVSC OPN/PRQ FEM/POP W/STNT/ATHRC/ANGIOP SM VSL,,30,,,"$28,099.80",$0.00,1,0,1,20120101,37228,CPT,REVSC OPN/PRQ TIB/PERO W/ANGIOPLASTY UNI,,30,,,"$20,214.40",$0.00,1,0,1,20120101,37229,CPT,REVSC OPN/PRQ TIB/PERO W/ATHRC/ANGIOP SM VSL,,30,,,"$23,263.95",$0.00,1,0,1,20120101,37230,CPT,REVSC OPN/PRQ TIB/PERO W/STNT/ANGIOP SM VSL,,30,,,"$23,263.95",$0.00,1,0,1,20120101,37231,CPT,REVSC OPN/PRQ TIB/PERO W/STNT/ATHR/ANGIOP SM VSL,,30,,,"$28,099.80",$0.00,1,0,1,20120101,37232,CPT,REVSC OPN/PRQ TIB/PERO W/ANGIOPLASTY UNI EA VSL,,30,,,"$20,214.40",$0.00,1,0,1,20120101,37233,CPT,REVSC OPN/PRQ TIB/PERO W/ATHRC/ANGIOP UNI EA VSL,,30,,,"$23,263.95",$0.00,1,0,1,20120101,37234,CPT,REVSC OPN/PRQ TIB/PERO W/STNT/ANGIOP UNI EA VSL,,30,,,"$20,214.40",$0.00,1,0,1,20120101,37235,CPT,REVSC OPN/PRQ TIB/PERO W/STNT/ATHR/ANGIOP EA VSL,,30,,,"$20,214.40",$0.00,1,0,1,20120101,37500,CPT,VASC ENDOSCOPY SURG W/LIG PERFORATOR VEINS SPX,,30,,,"$15,597.65",$0.00,1,0,1,20120101,37501,CPT,UNLISTED VASCULAR ENDOSCOPY PROCEDURE,,30,,,"$10,573.06",$0.00,1,0,1,20120101,37565,CPT,LIGATION INTERNAL JUGULAR VEIN,,30,,,"$11,852.20",$0.00,1,0,1,20120101,37600,CPT,LIGATION EXTERNAL CAROTID ARTERY,,30,,,"$11,852.20",$0.00,1,0,1,20120101,37605,CPT,LIGATION INTERNAL/COMMON CAROTID ARTERY,,30,,,"$15,597.65",$0.00,1,0,1,20120101,37606,CPT,LIG INT/COMMON CAROTID ART W/GRADUAL OCCLUSION,,30,,,"$10,573.06",$0.00,1,0,1,20120101,37607,CPT,LIG/BANDING ANGIOACCESS ARTERIOVENOUS FISTULA,,30,,,"$10,573.06",$0.00,1,0,1,20120101,37609,CPT,LIGATION/BIOPSY TEMPORAL ARTERY,,30,,,"$5,907.48",$0.00,1,0,1,20120101,37615,CPT,LIGATION MAJOR ARTERY NECK,,30,,,"$10,573.06",$0.00,1,0,1,20120101,37619,CPT,INS INTRVAS VC FILTR W/WO VAS ACS VSL SELXN RS&I,,30,,,"$15,597.65",$0.00,1,0,1,20120101,37650,CPT,REPSNG INTRVAS VC FILTR W/WO ACS VSL SELXN RS&I,,30,,,"$10,573.06",$0.00,1,0,1,20120101,37700,CPT,LIG&DIV LONG SAPH VEIN SAPHFEM JUNCT/INTERRUPJ,,30,,,"$10,573.06",$0.00,1,0,1,20120101,37718,CPT,LIG DIV&STRIPPING SHORT SAPHENOUS VEIN,,30,,,"$10,573.06",$0.00,1,0,1,20120101,37722,CPT,LIG DIV&STRIP LONG SAPH SAPHFEM JUNCT KNE/BELW,,30,,,"$15,597.65",$0.00,1,0,1,20120101,37735,CPT,LIG&DIV&COMPL STRIP LONG/SHORT SAPH RAD EXC,,30,,,"$15,597.65",$0.00,1,0,1,20120101,37760,CPT,LIG PRFRATR VEIN SUBFSCAL RAD INCL SKN GRF 1 LEG,,30,,,"$10,573.06",$0.00,1,0,1,20120101,37761,CPT,LIG PRFRATR VEIN SUBFSCAL OPEN INCL US GID 1 LEG,,30,,,"$10,573.06",$0.00,1,0,1,20120101,37765,CPT,STAB PHLEBT VARICOSE VEINS 1 XTR 10-20 STAB INCS,,30,,,"$10,573.06",$0.00,1,0,1,20120101,37766,CPT,STAB PHLEBT VARICOSE VEINS 1 XTR > 20 INCS,,30,,,"$10,573.06",$0.00,1,0,1,20120101,37780,CPT,LIG&DIV SHORT SAPH VEIN SAPHENOPOP JUNCT SPX,,30,,,"$10,573.06",$0.00,1,0,1,20120101,37785,CPT,LIG DIV&/EXC VARICOSE VEIN CLUSTER 1 LEG,,30,,,"$10,573.06",$0.00,1,0,1,20120101,37790,CPT,PENILE VENOUS OCCLUSIVE PROCEDURE,,30,,,"$12,970.60",$0.00,1,0,1,20120101,37799,CPT,UNLISTED PROCEDURE VASCULAR SURGERY,,30,,,$280.96,$0.00,1,0,1,20120101,38120,CPT,LAPAROSCOPIC SURGICAL SPLENECTOMY,,30,,,"$16,618.43",$0.00,1,0,1,20120101,38129,CPT,UNLISTED LAPAROSCOPY PROCEDURE SPLEEN,,30,,,"$14,346.17",$0.00,1,0,1,20120101,38205,CPT,BLD-DRV HEMATOP PROGEN CELL HRVG TRNSPLJ ALGNC,,30,,,"$7,075.81",$0.00,1,0,1,20120101,38206,CPT,BLD-DRV HEMATOP PROGEN CELL HRVG TRNSPLJ AUTOL,,30,,,"$4,610.07",$0.00,1,0,1,20120101,38207,CPT,TRNSPL PREPJ HEMATOP PROGEN CELLS CRYOPRSRV&STRG,,30,,,"$1,422.14",$0.00,1,0,1,20120101,38208,CPT,TRNSPL PREP HEMATOP PROGEN THAW PREV HRV PER DNR,,30,,,"$1,422.14",$0.00,1,0,1,20120101,38209,CPT,TRNSP PREP HMATOP PROG THAW PREV HRV WSH PER DNR,,30,,,"$1,422.14",$0.00,1,0,1,20120101,38210,CPT,TRNSPL PREPJ HEMATOP PROGEN DEPLJ IN HRV T-CELL,,30,,,"$2,763.01",$0.00,1,0,1,20120101,38211,CPT,TRNSPL PREPJ HEMATOP PROGEN TUM CELL DEPLJ,,30,,,"$2,763.01",$0.00,1,0,1,20120101,38212,CPT,TRNSPL PREPJ HEMATOP PROGEN RED BLD CELL RMVL,,30,,,"$2,763.01",$0.00,1,0,1,20120101,38213,CPT,TRNSPL PREPJ HEMATOP PROGEN PLTLT DEPLJ,,30,,,"$2,763.01",$0.00,1,0,1,20120101,38214,CPT,TRNSPL PREPJ HEMATOP PROGEN PLSM VOL DEPLJ,,30,,,"$2,763.01",$0.00,1,0,1,20120101,38215,CPT,TRNSPL PREPJ HEMATOP PROGEN CONCENTRATION PLSM,,30,,,"$2,763.01",$0.00,1,0,1,20120101,38220,CPT,MARROW ASPIRATION ONLY,,30,,,"$1,534.82",$0.00,1,0,1,20120101,38221,CPT,BONE MARROW BIOPSY NEEDLE/TROCAR,,30,,,"$1,534.82",$0.00,1,0,1,20120101,38230,CPT,BONE MARROW HARVEST TRANSPLANTATION ALLOGENEIC,,30,,,"$12,425.61",$0.00,1,0,1,20120101,38232,CPT,BONE MARROW HARVEST TRANSPLANTATION AUTOLOGOUS,,30,,,"$12,425.61",$0.00,1,0,1,20120101,38240,CPT,MARROW/BLD-DRV PRPH STEM CELL TRNSPLJ ALLOGENEIC,,30,,,"$12,425.61",$0.00,1,0,1,20120101,38241,CPT,MARROW/BLD-DRV PRPH STEM CELL TRNSPLJ AUTOL,,30,,,"$12,425.61",$0.00,1,0,1,20120101,38242,CPT,MARROW/BLD-DRV PRPH STEM CELL TRNSPLJ ALGC DON,,30,,,"$4,610.07",$0.00,1,0,1,20120101,38300,CPT,DRG LYMPH NODE ABSC/LYMPHADENITIS SMPL,,30,,,"$5,293.97",$0.00,1,0,1,20120101,38305,CPT,DRG LYMPH NODE ABSC/LYMPHADENITIS X10SV,,30,,,"$8,067.87",$0.00,1,0,1,20120101,38308,CPT,LYMPHANGIOTOMY/OTH OPRATIONS LYMPHATIC CHANNELS,,30,,,"$10,011.15",$0.00,1,0,1,20120101,38500,CPT,BX/EXC LYMPH NODE OPEN SUPERFICIAL,,30,,,"$10,011.15",$0.00,1,0,1,20120101,38505,CPT,BX/EXC LYMPH NODE NEEDLE SUPERFICIAL,,30,,,"$3,197.86",$0.00,1,0,1,20120101,38510,CPT,BX/EXC LYMPH NODE OPEN DEEP CERVICAL NODE,,30,,,"$10,011.15",$0.00,1,0,1,20120101,38520,CPT,BX/EXC LYMPH NODE OPN DP CRV NODE W/EXC FAT PAD,,30,,,"$10,011.15",$0.00,1,0,1,20120101,38525,CPT,BX/EXC LYMPH NODE OPEN DEEP AXILLARY NODE,,30,,,"$10,011.15",$0.00,1,0,1,20120101,38530,CPT,BX/EXC LYMPH NODE OPEN INT MAMMARY NODE,,30,,,"$10,011.15",$0.00,1,0,1,20120101,38542,CPT,DISSECTION DEEP JUGULAR NODE,,30,,,"$17,451.28",$0.00,1,0,1,20120101,38550,CPT,EXC CSTIC HYGROMA AX/CRV W/O DP NEUROVASC DSJ,,30,,,"$10,011.15",$0.00,1,0,1,20120101,38555,CPT,EXC CSTIC HYGROMA AX/CRV W/DP NEUROVASC DSJ,,30,,,"$10,011.15",$0.00,1,0,1,20120101,38570,CPT,LAPS SURG RETROPERITONEAL LYMPH NODE BX 1/MLT,,30,,,"$16,618.43",$0.00,1,0,1,20120101,38571,CPT,LAPS SURG BILATERAL TOTAL PELVIC LMPHADECTOMY,,30,,,"$21,140.01",$0.00,1,0,1,20120101,38572,CPT,LAPS BI TOT PEL LMPHADEC&PRI-AORTIC LYMPH BX 1/+,,30,,,"$16,618.43",$0.00,1,0,1,20120101,38589,CPT,UNLISTED LAPAROSCOPY PX LYMPHATIC SYSTEM,,30,,,"$14,346.17",$0.00,1,0,1,20120101,38700,CPT,SUPRAHYOID LYMPHADENECTOMY,,30,,,"$10,011.15",$0.00,1,0,1,20120101,38720,CPT,CERVICAL LYMPHADENECTOMY,,30,,,"$10,011.15",$0.00,1,0,1,20120101,38740,CPT,AXILLARY LYMPHADENECTOMY SUPERFICIAL,,30,,,"$17,451.28",$0.00,1,0,1,20120101,38745,CPT,AXILLARY LYMPHADENECTOMY COMPLETE,,30,,,"$17,451.28",$0.00,1,0,1,20120101,38760,CPT,INGUINOFEM LMPHADEC SUPFC W/CLOQUETS NODE SPX,,30,,,"$10,011.15",$0.00,1,0,1,20120101,38792,CPT,INJ RADIOACTIVE TRACER FOR ID OF SENTINEL NODE,,30,,,"$1,132.33",$0.00,1,0,1,20120101,38999,CPT,UNLISTED PROCEDURE HEMIC OR LYMPHATIC SYSTEM,,30,,,"$1,422.14",$0.00,1,0,1,20120101,39400,CPT,MEDIASTINOSCOPY INCL BIOPSIES WHEN PERFORMED,,30,,,"$13,127.47",$0.00,1,0,1,20120101,40490,CPT,BIOPSY OF LIP,,30,,,"$1,317.04",$0.00,1,0,1,20120101,40500,CPT,VERMILIONECTOMY LIP SHV W/MUCOSAL ADVMNT,,30,,,"$6,645.19",$0.00,1,0,1,20120101,40510,CPT,EXC LIP TRANSVRS WEDGE EXC W/PRIM CLSR,,30,,,"$9,873.83",$0.00,1,0,1,20120101,40520,CPT,EXC LIP V-EXC W/PRIM DIR LINR CLSR,,30,,,"$6,645.19",$0.00,1,0,1,20120101,40525,CPT,EXC LIP FULL THKNS RCNSTJ W/LOCAL FLAP,,30,,,"$9,873.83",$0.00,1,0,1,20120101,40527,CPT,EXC LIP FULL THKNS RCNSTJ W/CROSS LIP FLAP,,30,,,"$9,873.83",$0.00,1,0,1,20120101,40530,CPT,RESCJ LIP > ONE-FOURTH W/O RCNSTJ,,30,,,"$9,873.83",$0.00,1,0,1,20120101,40650,CPT,RPR LIP FULL THICKNESS VERMILION ONLY,,30,,,"$3,156.16",$0.00,1,0,1,20120101,40652,CPT,RPR LIP FULL THICKNESS HALF/< VERTICAL HEIGHT,,30,,,"$3,156.16",$0.00,1,0,1,20120101,40654,CPT,RPR LIP FULL THKNS >ONE-HALF VERT HEIGHT/COMPLEX,,30,,,"$3,156.16",$0.00,1,0,1,20120101,40700,CPT,PLSTC RPR CL LIP/NSL DFRM PRIM PRTL/COMPL UNI,,30,,,"$15,971.08",$0.00,1,0,1,20120101,40701,CPT,PLSTC RPR CL LIP/NSL DFRM PRIM BI 1 STG PX,,30,,,"$15,971.08",$0.00,1,0,1,20120101,40702,CPT,PLSTC RPR CL LIP/NSL DFRM PRIM BI 1 2 STGS,,30,,,"$15,971.08",$0.00,1,0,1,20120101,40720,CPT,PLSTC RPR CL LIP/NSL DFRM SEC RECRTJ DFCT&RECLSR,,30,,,"$15,971.08",$0.00,1,0,1,20120101,40761,CPT,PLSTC RPR CL LIP/NSL DFRM W/CROSS LIP PEDCL FLAP,,30,,,"$15,971.08",$0.00,1,0,1,20120101,40799,CPT,UNLISTED PROCEDURE LIPS,,30,,,$488.97,$0.00,1,0,1,20120101,40800,CPT,DRG ABSC CST HMTMA VESTIBULE MOUTH SMPL,,30,,,$650.02,$0.00,1,0,1,20120101,40801,CPT,DRG ABSC CST HMTMA VESTIBULE MOUTH COMP,,30,,,"$3,156.16",$0.00,1,0,1,20120101,40804,CPT,RMVL EMBEDDED FB VESTIBULE MOUTH SMPL,,30,,,$303.61,$0.00,1,0,1,20120101,40805,CPT,RMVL EMBEDDED FB VESTIBULE MOUTH COMP,,30,,,"$3,156.16",$0.00,1,0,1,20120101,40806,CPT,INCISION LABIAL FRENUM FRENOTOMY,,30,,,"$1,317.04",$0.00,1,0,1,20120101,40808,CPT,BIOPSY VESTIBULE MOUTH,,30,,,"$1,317.04",$0.00,1,0,1,20120101,40810,CPT,EXC LES MUCOSA&SBMCSL VESTIBULE MOUTH W/O RPR,,30,,,"$6,645.19",$0.00,1,0,1,20120101,40812,CPT,EXC LES MUCOSA&SBMCSL VESTIBULE SMPL RPR,,30,,,"$6,645.19",$0.00,1,0,1,20120101,40814,CPT,EXC LES MUCOSA&SBMCSL VESTIBULE CPLX RPR,,30,,,"$6,645.19",$0.00,1,0,1,20120101,40816,CPT,EXC LES MUCOSA&SBMCSL VESTIBULE CPLX EXC MUSC,,30,,,"$9,873.83",$0.00,1,0,1,20120101,40818,CPT,EXC MUCOSA VESTIBULE MOUTH AS DON GRF,,30,,,"$1,317.04",$0.00,1,0,1,20120101,40819,CPT,EXC FRENUM LABIAL/BUCCAL,,30,,,"$3,156.16",$0.00,1,0,1,20120101,40820,CPT,DSTRJ LES/SCAR VESTIBULE MOUTH PHYSICAL METHS,,30,,,"$6,645.19",$0.00,1,0,1,20120101,40830,CPT,CLOSURE LACERATION VESTIBULE MOUTH 2.5 CM/<,,30,,,"$1,317.04",$0.00,1,0,1,20120101,40831,CPT,CLOSURE LACERATION VESTIBULE MOUTH > 2.5 CM/CPLX,,30,,,"$3,156.16",$0.00,1,0,1,20120101,40840,CPT,VESTIBULOPLASTY ANTERIOR,,30,,,"$9,873.83",$0.00,1,0,1,20120101,40842,CPT,VESTIBULOPLASTY POSTERIOR UNILATERAL,,30,,,"$9,873.83",$0.00,1,0,1,20120101,40843,CPT,VESTIBULOPLASTY POSTERIOR BILATERAL,,30,,,"$9,873.83",$0.00,1,0,1,20120101,40844,CPT,VESTIBULOPLASTY ENTIRE ARCH,,30,,,"$15,971.08",$0.00,1,0,1,20120101,40845,CPT,VESTIBULOPLASTY CPLX W/RIDGE XTN MUSC RPSG,,30,,,"$15,971.08",$0.00,1,0,1,20120101,40899,CPT,UNLISTED PROCEDURE VESTIBULE MOUTH,,30,,,$488.97,$0.00,1,0,1,20120101,41000,CPT,INTRAORAL I&D TONGUE/FLOOR LINGUAL,,30,,,"$6,645.19",$0.00,1,0,1,20120101,41005,CPT,INTRAORAL I&D TONGUE/FLOOR SUBLNGL SUPFC,,30,,,"$1,317.04",$0.00,1,0,1,20120101,41006,CPT,INTRAORAL I&D TONGUE/FLOOR SUBLNGL DP SPRMLHYD,,30,,,"$9,873.83",$0.00,1,0,1,20120101,41007,CPT,INTRAORAL I&D TONGUE/FLOOR SUBMENTAL SPACE,,30,,,"$6,645.19",$0.00,1,0,1,20120101,41008,CPT,INTRAORAL I&D TONGUE/FLOOR SUBMNDBLR SPACE,,30,,,"$6,645.19",$0.00,1,0,1,20120101,41009,CPT,INTRAORAL I&D TONGUE/FLOOR MASTICATOR SPACE,,30,,,"$1,317.04",$0.00,1,0,1,20120101,41010,CPT,INCISION LINGUAL FRENUM FRENOTOMY,,30,,,"$3,156.16",$0.00,1,0,1,20120101,41015,CPT,XTRORAL I&D ABSC CST/HMTMA FLOOR MOUTH SUBLNGL,,30,,,"$1,317.04",$0.00,1,0,1,20120101,41016,CPT,XTRORAL I&D ABSC CST/HMTMA FLOOR MOUTH SUBMENTAL,,30,,,"$3,156.16",$0.00,1,0,1,20120101,41017,CPT,XTRORAL I&D ABSC CST/HMTMA FLOOR MOUTH SUBMNDBLR,,30,,,"$3,156.16",$0.00,1,0,1,20120101,41018,CPT,XTRORAL I&D FLOOR MASTICATOR SPACE,,30,,,"$3,156.16",$0.00,1,0,1,20120101,41019,CPT,PLACEMENT NEEDLE HEAD/NECK RADIOELEMENT APPLICAT,,30,,,"$9,873.83",$0.00,1,0,1,20120101,41100,CPT,BIOPSY TONGUE ANTERIOR TWO-THIRDS,,30,,,"$3,156.16",$0.00,1,0,1,20120101,41105,CPT,BIOPSY TONGUE POSTERIOR ONE-THIRD,,30,,,"$6,645.19",$0.00,1,0,1,20120101,41108,CPT,BIOPSY FLOOR MOUTH,,30,,,"$1,994.44",$0.00,1,0,1,20120101,41110,CPT,EXCISION LESION TONGUE W/O CLOSURE,,30,,,"$6,645.19",$0.00,1,0,1,20120101,41112,CPT,EXC LES TONGUE W/CLSR ANTERIOR TWO-THIRDS,,30,,,"$6,645.19",$0.00,1,0,1,20120101,41113,CPT,EXC LES TONGUE W/CLSR POSTERIOR ONE-THIRD,,30,,,"$6,645.19",$0.00,1,0,1,20120101,41114,CPT,EXC LESION TONGUE W/CLSR W/LOCAL TONGUE FLAP,,30,,,"$9,873.83",$0.00,1,0,1,20120101,41115,CPT,EXCIISION LINGUAL FRENUM FRENECTOMY,,30,,,"$3,156.16",$0.00,1,0,1,20120101,41116,CPT,EXCISION LESION FLOOR MOUTH,,30,,,"$6,645.19",$0.00,1,0,1,20120101,41120,CPT,GLOSSECTOMY < ONE-HALF TONGUE,,30,,,"$9,873.83",$0.00,1,0,1,20120101,41250,CPT,RPR LAC 2.5 CM/< MOUTH&/ANT TWO-THIRDS TONGUE,,30,,,$488.97,$0.00,1,0,1,20120101,41251,CPT,RPR LAC 2.5 CM/< PST ONE-THIRD TONGUE,,30,,,"$1,317.04",$0.00,1,0,1,20120101,41252,CPT,RPR LAC TONGUE FLOOR MOUTH > 2.6 CM/CPLX,,30,,,"$3,156.16",$0.00,1,0,1,20120101,41500,CPT,FIXJ TONGUE MECHANICAL OTHER/THAN SUTURE,,30,,,"$9,873.83",$0.00,1,0,1,20120101,41510,CPT,SUTURE TONGUE LIP MICROGNATHIA,,30,,,"$6,645.19",$0.00,1,0,1,20120101,41512,CPT,TONGUE BASE SUSPENSION PERMANENT SUTURE TQ,,30,,,"$3,156.16",$0.00,1,0,1,20120101,41520,CPT,FRENOPLASTY SURG REVJ FRENUM EG W/Z-PLASTY,,30,,,"$3,156.16",$0.00,1,0,1,20120101,41530,CPT,SUBMUCOSAL ABLTJ TONGUE RF 1/> SITES PR SESSION,,30,,,"$9,873.83",$0.00,1,0,1,20120101,41599,CPT,UNLISTED PROCEDURE TONGUE FLOOR MOUTH,,30,,,$488.97,$0.00,1,0,1,20120101,41800,CPT,DRG ABSC CST HMTMA FROM DENTOALVEOLAR STRUXS,,30,,,$650.02,$0.00,1,0,1,20120101,41805,CPT,RMVL EMBEDDED FB FROM DENTALVLR STRUXS SOFT TISS,,30,,,"$9,873.83",$0.00,1,0,1,20120101,41806,CPT,RMVL EMBEDDED FB FROM DENTOALVEOLAR STRUXS BONE,,30,,,"$6,645.19",$0.00,1,0,1,20120101,41820,CPT,GINGIVECTOMY EXC GINGIVA EACH QUADRANT,,30,,,"$3,156.16",$0.00,1,0,1,20120101,41821,CPT,OPRCULECTOMY EXC PRICORONAL TISSUE,,30,,,"$3,156.16",$0.00,1,0,1,20120101,41822,CPT,EXC FIBROUS TUBEROSITIES DENTOALVEOLAR STRUXS,,30,,,"$6,645.19",$0.00,1,0,1,20120101,41823,CPT,EXC OSS TUBEROSITIES DENTOALVEOLAR STRUXS,,30,,,"$9,873.83",$0.00,1,0,1,20120101,41825,CPT,EXC LESION/TUMOR DENTOALVEOLAR STRUX W/O RPR,,30,,,"$6,645.19",$0.00,1,0,1,20120101,41826,CPT,EXC LESION/TUMOR DENTOALVEOLAR STRUX W/SMPL RPR,,30,,,"$9,873.83",$0.00,1,0,1,20120101,41827,CPT,EXC LESION/TUMOR DENTALVEOLAR STRUX W/CMPLX RPR,,30,,,"$9,873.83",$0.00,1,0,1,20120101,41828,CPT,EXC HYPRPLSTC ALVEOLAR MUCOSA EA QUADRANT SPEC,,30,,,"$6,645.19",$0.00,1,0,1,20120101,41830,CPT,ALVEOLECTOMY W/CURTG OSTEITIS/SEQUESTRECTOMY,,30,,,"$6,645.19",$0.00,1,0,1,20120101,41850,CPT,DESTRUCTION LESION DENTOALVEOLAR STRUCTURES,,30,,,"$6,645.19",$0.00,1,0,1,20120101,41870,CPT,PERIODONTAL MUCOSAL GRAFTING,,30,,,"$9,873.83",$0.00,1,0,1,20120101,41872,CPT,GINGIVOPLASTY EACH QUADRANT SPECIFY,,30,,,"$6,645.19",$0.00,1,0,1,20120101,41874,CPT,ALVEOLOPLASTY EACH QUADRANT SPECIFY,,30,,,"$9,873.83",$0.00,1,0,1,20120101,41899,CPT,UNLISTED PROCEDURE DENTOALVEOLAR STRUCTURES,,30,,,$488.97,$0.00,1,0,1,20120101,42000,CPT,DRAINAGE ABSCESS PALATE UVULA,,30,,,"$1,317.04",$0.00,1,0,1,20120101,42100,CPT,BIOPSY PALATE UVULA,,30,,,"$3,156.16",$0.00,1,0,1,20120101,42104,CPT,EXC LESION PALATE UVULA W/O CLOSURE,,30,,,"$6,645.19",$0.00,1,0,1,20120101,42106,CPT,EXC LESION PALATE UVULA W/SMPL PRIM CLOSURE,,30,,,"$6,645.19",$0.00,1,0,1,20120101,42107,CPT,EXC LESION PALATE UVULA W/LOCAL FLAP CLOSURE,,30,,,"$9,873.83",$0.00,1,0,1,20120101,42120,CPT,RESCJ PALATE/EXTENSIVE RESCJ LESION,,30,,,"$15,971.08",$0.00,1,0,1,20120101,42140,CPT,UVULECTOMY EXCISION UVULA,,30,,,"$3,156.16",$0.00,1,0,1,20120101,42145,CPT,PALATOPHARYNGOPLASTY,,30,,,"$9,873.83",$0.00,1,0,1,20120101,42160,CPT,DSTRJ LES PALATE/UVULA THERMAL CRYO/CHEM,,30,,,"$6,645.19",$0.00,1,0,1,20120101,42180,CPT,REPAIR LACERATION PALATE </2 CM,,30,,,"$1,317.04",$0.00,1,0,1,20120101,42182,CPT,REPAIR LACERATION PALATE >2 CM/COMPLEX,,30,,,"$15,971.08",$0.00,1,0,1,20120101,42200,CPT,PALATOP CL PALATE SOFT&/HARD PALATE ONLY,,30,,,"$15,971.08",$0.00,1,0,1,20120101,42205,CPT,PALATOPLASTY W/CLSR ALVEOLAR RIDGE SOFT TISSUE,,30,,,"$15,971.08",$0.00,1,0,1,20120101,42210,CPT,PALATOP CLSR ALVEOLAR RIDGE GRF ALVEOLAR RIDGE,,30,,,"$15,971.08",$0.00,1,0,1,20120101,42215,CPT,PALATOPLASTY CLEFT PALATE MAJOR REVJ,,30,,,"$15,971.08",$0.00,1,0,1,20120101,42220,CPT,PALATOPLASTY CLEFT PALATE SEC LNGTH PX,,30,,,"$15,971.08",$0.00,1,0,1,20120101,42225,CPT,PALATOP CL PALATE ATTACHMENT PHARYNGEAL FLAP,,30,,,"$15,971.08",$0.00,1,0,1,20120101,42226,CPT,LENGTHENING PALATE & PHARYNGEAL FLAP,,30,,,"$15,971.08",$0.00,1,0,1,20120101,42227,CPT,LENGTHENING PALATE W/ISLAND FLAP,,30,,,"$15,971.08",$0.00,1,0,1,20120101,42235,CPT,REPAIR ANTERIOR PALATE W/VOMER FLAP,,30,,,"$6,645.19",$0.00,1,0,1,20120101,42260,CPT,REPAIR NASOLABIAL FISTULA,,30,,,"$9,873.83",$0.00,1,0,1,20120101,42280,CPT,MAXILLARY IMPRESJ PALATAL PROSTHESIS,,30,,,"$1,317.04",$0.00,1,0,1,20120101,42281,CPT,INSJ PIN-RETAINED PALATAL PROSTHESIS,,30,,,"$6,645.19",$0.00,1,0,1,20120101,42299,CPT,UNLISTED PROCEDURE PALATE UVULA,,30,,,$488.97,$0.00,1,0,1,20120101,42300,CPT,DRAINAGE ABSCESS PAROTID SIMPLE,,30,,,"$6,645.19",$0.00,1,0,1,20120101,42305,CPT,DRAINAGE ABSCESS PAROTID COMPLICATED,,30,,,"$6,645.19",$0.00,1,0,1,20120101,42310,CPT,DRG ABSC SUBMAXILLARY/SUBLINGUAL INTRAORAL,,30,,,"$1,317.04",$0.00,1,0,1,20120101,42320,CPT,DRAINAGE ABSCESS SUBMAXILLARY INTRAORAL,,30,,,"$1,317.04",$0.00,1,0,1,20120101,42330,CPT,SIALOT SUBMNDBLR SUBLNGL/PRTD UNCOMP INTRAORAL,,30,,,"$6,645.19",$0.00,1,0,1,20120101,42335,CPT,SIALOLITHOTOMY SUBMNDBLR SUBMAX COMP INTRAORAL,,30,,,"$6,645.19",$0.00,1,0,1,20120101,42340,CPT,SIALOLITHOTOMY PRTD XTRORAL/COMP INTRAORAL,,30,,,"$6,645.19",$0.00,1,0,1,20120101,42400,CPT,BIOPSY SALIVARY GLAND NEEDLE,,30,,,"$3,197.86",$0.00,1,0,1,20120101,42405,CPT,BIOPSY SALIVARY GLAND INCISIONAL,,30,,,"$9,873.83",$0.00,1,0,1,20120101,42408,CPT,EXC SUBLINGUAL SALIVARY CYST RANULA,,30,,,"$6,645.19",$0.00,1,0,1,20120101,42409,CPT,MARSUPIALIZATION SUBLNGL SALIVARY CST RANULA,,30,,,"$6,645.19",$0.00,1,0,1,20120101,42410,CPT,EXC PRTD TUM/PRTD GLND LAT LOBE W/O NRV DSJ,,30,,,"$15,971.08",$0.00,1,0,1,20120101,42415,CPT,EXC PRTD TUM/PRTD GLND LAT DSJ&PRSRV FACIAL NRV,,30,,,"$15,971.08",$0.00,1,0,1,20120101,42420,CPT,EXC PRTD TUM/PRTD GLND TOT DSJ&PRSRV FACIAL NRV,,30,,,"$15,971.08",$0.00,1,0,1,20120101,42425,CPT,EXCISION PAROTID TUMOR/GLAND TOTAL EN BLOC RMVL,,30,,,"$15,971.08",$0.00,1,0,1,20120101,42440,CPT,EXCISION SUBMANDIBULAR SUBMAXILLARY GLAND,,30,,,"$15,971.08",$0.00,1,0,1,20120101,42450,CPT,EXISION OF SUBLINGUAL GLAND,,30,,,"$9,873.83",$0.00,1,0,1,20120101,42500,CPT,PLSTC RPR SALIVARY DUX SIALODOCHOPLASTY PRIM,,30,,,"$9,873.83",$0.00,1,0,1,20120101,42505,CPT,PLSTC RPR SALIVARY DUX SIALODOCHOPLASTY SEC/COMP,,30,,,"$15,971.08",$0.00,1,0,1,20120101,42507,CPT,PAROTID DUCT DIVERSION BILATERAL WILKE PX,,30,,,"$15,971.08",$0.00,1,0,1,20120101,42508,CPT,PAROTID DUCT DIVERSION BI W/EXC 1 SUBMNDBLR GLND,,30,,,"$15,971.08",$0.00,1,0,1,20120101,42509,CPT,PAROTID DUCT DVRJ BI W/EXC BOTH SUBMNDBLR GLANDS,,30,,,"$15,971.08",$0.00,1,0,1,20120101,42510,CPT,PAROTID DUCT DVRJ BILATERAL WITH LIG BOTH DUCTS,,30,,,"$15,971.08",$0.00,1,0,1,20120101,42600,CPT,CLOSURE SALIVARY FISTULA,,30,,,"$6,645.19",$0.00,1,0,1,20120101,42650,CPT,DILATION SALIVARY DUCT,,30,,,"$3,156.16",$0.00,1,0,1,20120101,42660,CPT,DILAT&CATHJ SALIVARY DUCT W/WO INJECTION,,30,,,"$1,317.04",$0.00,1,0,1,20120101,42665,CPT,LIGATION SALIVARY DUCT INTRAORAL,,30,,,"$9,873.83",$0.00,1,0,1,20120101,42699,CPT,UNLISTED PX SALIVARY GLANDS/DUCTS,,30,,,$488.97,$0.00,1,0,1,20120101,42700,CPT,I&D ABSCESS PERITONSILLAR,,30,,,"$1,317.04",$0.00,1,0,1,20120101,42720,CPT,I&D ABSC RTRPHRNGL/PARAPHARYNGEAL INTRAORAL,,30,,,"$6,645.19",$0.00,1,0,1,20120101,42725,CPT,I&D ABSC RTRPHRNGL/PARAPHARYNGEAL XTRNL APPR,,30,,,"$15,971.08",$0.00,1,0,1,20120101,42800,CPT,BIOPSY OROPHARYNX,,30,,,"$3,156.16",$0.00,1,0,1,20120101,42802,CPT,BIOPSY HYPOPHARYNX,,30,,,"$6,645.19",$0.00,1,0,1,20120101,42804,CPT,BIOPSY NASOPHARYNX VISIBLE LESION SIMPLE,,30,,,"$6,645.19",$0.00,1,0,1,20120101,42806,CPT,BX NASOPHARYNX SURVEY UNKNOWN PRIMARY LESION,,30,,,"$9,873.83",$0.00,1,0,1,20120101,42808,CPT,EXCISION/DESTRUCTION LESION PHARYNX ANY METHOD,,30,,,"$9,873.83",$0.00,1,0,1,20120101,42809,CPT,REMOVAL FOREIGN BODY PHARYNX,,30,,,$303.61,$0.00,1,0,1,20120101,42810,CPT,EXC BRANCHIAL CLEFT CYST CONFINED SKN&SUBQ TISS,,30,,,"$9,873.83",$0.00,1,0,1,20120101,42815,CPT,EXC BRANCHIAL CLEFT CYST BELOW SUBQ TISS&/PHRNX,,30,,,"$15,971.08",$0.00,1,0,1,20120101,42820,CPT,TONSILLECTOMY & ADENOIDECTOMY <AGE 12,,30,,,"$9,873.83",$0.00,1,0,1,20120101,42821,CPT,TONSILLECTOMY & ADENOIDECTOMY AGE 12/>,,30,,,"$9,873.83",$0.00,1,0,1,20120101,42825,CPT,TONSILLECTOMY ONE-HALF <AGE 12,,30,,,"$9,873.83",$0.00,1,0,1,20120101,42826,CPT,TONSILLECTOMY ONE-HALF AGE 12/>,,30,,,"$9,873.83",$0.00,1,0,1,20120101,42830,CPT,ADENOIDECTOMY PRIMARY <AGE 12,,30,,,"$9,873.83",$0.00,1,0,1,20120101,42831,CPT,ADENOIDECTOMY PRIMARY AGE 12/>,,30,,,"$9,873.83",$0.00,1,0,1,20120101,42835,CPT,ADENOIDECTOMY SECONDARY<AGE 12,,30,,,"$9,873.83",$0.00,1,0,1,20120101,42836,CPT,ADENOIDECTOMY SECONDARY AGE 12/>,,30,,,"$9,873.83",$0.00,1,0,1,20120101,42842,CPT,RADICAL RESECTION TONSIL W/O CLOSURE,,30,,,"$9,873.83",$0.00,1,0,1,20120101,42844,CPT,RADICAL RESCJ TONSIL CLOSURE W/LOCAL FLAP,,30,,,"$15,971.08",$0.00,1,0,1,20120101,42860,CPT,EXCISION TONSIL TAGS,,30,,,"$9,873.83",$0.00,1,0,1,20120101,42870,CPT,EXC/DSTRJ LINGUAL TONSIL ANY METHOD SPX,,30,,,"$9,873.83",$0.00,1,0,1,20120101,42890,CPT,LIMITED PHARYNGECTOMY,,30,,,"$15,971.08",$0.00,1,0,1,20120101,42892,CPT,RESCJ LAT PHRNGL WALL/PYRIFORM SINUS DIR CLSR,,30,,,"$15,971.08",$0.00,1,0,1,20120101,42900,CPT,SUTURE PHARYNX WOUND/INJURY,,30,,,"$3,156.16",$0.00,1,0,1,20120101,42950,CPT,PHARYNGOPLASTY PLSTC/RCNSTV OPRATION PHARYNX,,30,,,"$9,873.83",$0.00,1,0,1,20120101,42955,CPT,PHARYNGOSTOMY FSTLJ PHARYNX XTRNL FEEDING,,30,,,"$9,873.83",$0.00,1,0,1,20120101,42960,CPT,CONTROL OROPHARYNGEAL HEMORRHAGE SIMPLE,,30,,,$488.97,$0.00,1,0,1,20120101,42962,CPT,CTRL OROPHARYNGEAL HEMORRHAGE W/SEC SURG IVNTJ,,30,,,"$15,971.08",$0.00,1,0,1,20120101,42970,CPT,CTRL NASOPHARYNGEAL HEMRRG SMPL W/PST NSL PACKS,,30,,,$488.97,$0.00,1,0,1,20120101,42972,CPT,CTRL NASOPHARYNGEAL HEMORRHAGE W/SEC SURG IVNTJ,,30,,,"$6,645.19",$0.00,1,0,1,20120101,42999,CPT,UNLISTED PROCEDURE PHARYNX ADENOIDS/TONSILS,,30,,,$488.97,$0.00,1,0,1,20120101,43020,CPT,ESOPHAGOTOMY CERVICAL APPR W/RMVL FB,,30,,,"$3,156.16",$0.00,1,0,1,20120101,43030,CPT,CRICOPHARYNGEAL MYOTOMY,,30,,,"$6,645.19",$0.00,1,0,1,20120101,43130,CPT,DIVERTICULECTOMY HYPOPHARYNX/ESOPH CRV APPR,,30,,,"$15,971.08",$0.00,1,0,1,20120101,43200,CPT,ESPHGSC RGD/FLX DX W/WO COLLJ SPEC BR/WA SPX,,30,,,"$3,267.05",$0.00,1,0,1,20120101,43201,CPT,ESPHGSC RGD/FLX W/SUBMUCOSAL INJ ANY SBST,,30,,,"$4,360.44",$0.00,1,0,1,20120101,43202,CPT,ESPHGSC RGD/FLX W/BIOPSY SINGLE/MULTIPLE,,30,,,"$3,267.05",$0.00,1,0,1,20120101,43204,CPT,ESPHGSC RGD/FLX W/NJX SCLEROSIS ESOPHGL VARC,,30,,,"$3,267.05",$0.00,1,0,1,20120101,43205,CPT,ESPHGSC RGD/FLX W/BAND LIGATION ESOPHGL VARICES,,30,,,"$4,360.44",$0.00,1,0,1,20120101,43215,CPT,ESPHGSC RGD/FLX W/RMVL FOREIGN BODY,,30,,,"$4,360.44",$0.00,1,0,1,20120101,43216,CPT,ESPHGSC RGD/FLX RMVL TUM HOT BX FORCEPS/CAUT,,30,,,"$10,011.77",$0.00,1,0,1,20120101,43217,CPT,ESPHGSC RGD/FLX W/RMVL TUMOR SNARE TECHNIQUE,,30,,,"$4,360.44",$0.00,1,0,1,20120101,43219,CPT,ESPHGSC RGD/FLX W/INSJ PLSTC TUBE/STENT,,30,,,"$11,287.61",$0.00,1,0,1,20120101,43220,CPT,ESPHGSC RGD/FLX W/BALLOON DILAT < 30 MM DIAM,,30,,,"$4,360.44",$0.00,1,0,1,20120101,43226,CPT,ESPHGSC RGD/FLX W/INSJ GUIDE WIRE DILATION,,30,,,"$4,360.44",$0.00,1,0,1,20120101,43227,CPT,ESPHGSC RGD/FLX W/CTRL BLEEDING,,30,,,"$4,360.44",$0.00,1,0,1,20120101,43228,CPT,ESPHGSC RGD/FLX ABLTJ TUM XCP HOT BX/CAUT/SNARE,,30,,,"$10,011.77",$0.00,1,0,1,20120101,43231,CPT,ESPHGSC RGD/FLX W/NDSC ULTRASOUND EXAMINATION,,30,,,"$4,360.44",$0.00,1,0,1,20120101,43232,CPT,ESPHGSC RGD/FLX W/TNDSC US-GID FINE NDL ASPIR/BX,,30,,,"$4,360.44",$0.00,1,0,1,20120101,43234,CPT,UPPER GI ENDOSCOPY SIMPLE EXAMINATION,,30,,,"$3,267.05",$0.00,1,0,1,20120101,43235,CPT,UPPER GI NDSC DX W/WO COLLECTION SPECIMEN,,30,,,"$3,267.05",$0.00,1,0,1,20120101,43236,CPT,UPPER GI NDSC W/SUBMUCOSAL INJECTION,,30,,,"$3,267.05",$0.00,1,0,1,20120101,43237,CPT,UPR GI NDSC & US NDSC EXAM LMTD ESOPHAGUS,,30,,,"$4,360.44",$0.00,1,0,1,20120101,43238,CPT,UPR GI NDSC TNDSC US FINE NDL ASPIR/BX ESOPH,,30,,,"$4,360.44",$0.00,1,0,1,20120101,43239,CPT,UPPER NDSC BIOPSY SINGLE/MULTIPLE,,30,,,"$3,267.05",$0.00,1,0,1,20120101,43240,CPT,UPR GI NDSC TRANSMURAL DRAINAGE PSEUDOCYST,,30,,,"$4,360.44",$0.00,1,0,1,20120101,43241,CPT,UPR GI NDSC TNDSC INTRALUMINAL TUBE/CATH PLMT,,30,,,"$3,267.05",$0.00,1,0,1,20120101,43242,CPT,UPPER GI NDSC ULTRASOUND GUIDED BIOPSY,,30,,,"$4,360.44",$0.00,1,0,1,20120101,43243,CPT,UPR GI NDSC NJX SCLEROSIS ESOPHGL&/GSTR VARICES,,30,,,"$3,267.05",$0.00,1,0,1,20120101,43244,CPT,UPR GI NDSC BAND LIG ESOPHGL&/GSTR VARICES,,30,,,"$4,360.44",$0.00,1,0,1,20120101,43245,CPT,UPR GI NDSC DILAT GSTR OUTLET FOR OBSTRCJ,,30,,,"$4,360.44",$0.00,1,0,1,20120101,43246,CPT,UPR GI NDSC PLMT PRQ GASTROSTOMY TUBE,,30,,,"$4,360.44",$0.00,1,0,1,20120101,43247,CPT,UPPER GI NDSC W/FOREIGN BODY REMOVAL,,30,,,"$3,267.05",$0.00,1,0,1,20120101,43248,CPT,UPR GI NDSC INSJ GUIDE WIRE DILAT ESOPHAGUS,,30,,,"$3,267.05",$0.00,1,0,1,20120101,43249,CPT,UPR GI NDSC BALLOON DILAT ESOPH < 30 MM DIAM,,30,,,"$4,360.44",$0.00,1,0,1,20120101,43250,CPT,UPR GI NDSC RMVL LESION HOT BX/BIPOLAR CAUTERY,,30,,,"$4,360.44",$0.00,1,0,1,20120101,43251,CPT,UPR GI NDSC RMVL TUM POLYP/OTH LES SNARE TQ,,30,,,"$4,360.44",$0.00,1,0,1,20120101,43255,CPT,UPR GI NDSC CONTROL BLEEDING ANY METHOD,,30,,,"$4,360.44",$0.00,1,0,1,20120101,43256,CPT,UPR GI NDSC TNDSC STENT PLMT W/PREDILAT,,30,,,"$11,287.61",$0.00,1,0,1,20120101,43257,CPT,UPR GI NDSC DLVR THERMAL NRG SPHNCTR/CARDIA,,30,,,"$10,011.77",$0.00,1,0,1,20120101,43258,CPT,UPR GI NDSC ABLTJ LES X RMVL FORCEPS/CAUT/SNARE,,30,,,"$4,360.44",$0.00,1,0,1,20120101,43259,CPT,UPPER GI NDSC W/NDSC ULTRASOUND EXAM,,30,,,"$4,360.44",$0.00,1,0,1,20120101,43260,CPT,ERCP DX W/WO COLLJ SPEC BRUSHING/WASHING SPX,,30,,,"$9,584.36",$0.00,1,0,1,20120101,43261,CPT,ERCP W/BIOPSY SINGLE/MULTIPLE,,30,,,"$9,584.36",$0.00,1,0,1,20120101,43262,CPT,ERCP W/SPHINCTEROTOMY/PAPILLOTOMY,,30,,,"$9,584.36",$0.00,1,0,1,20120101,43263,CPT,ERCP W/PRESSURE MEAS SPHINCTER ODDI,,30,,,"$9,584.36",$0.00,1,0,1,20120101,43264,CPT,ERCP W/RMVCALCULI BILIARY&/PANCREATIC DUCTS,,30,,,"$9,584.36",$0.00,1,0,1,20120101,43265,CPT,ERCP W/DSTRJ LITHOTRIPSY CALCULI ANY METHOD,,30,,,"$9,584.36",$0.00,1,0,1,20120101,43267,CPT,ERCP W/INSJ NASOBILIARY/NASOPNCRTC DRAINAGE TUBE,,30,,,"$9,584.36",$0.00,1,0,1,20120101,43268,CPT,ERCP W/INSJ TUBE/STENT BILE/PANCREATIC DUCT,,30,,,"$11,287.61",$0.00,1,0,1,20120101,43269,CPT,ERCP W/RTRGR RMVL FB&/CHNG TUBE/STENT,,30,,,"$11,287.61",$0.00,1,0,1,20120101,43271,CPT,ERCP W/BALO DILAT AMPULLA BILIARY&/PNCRTC DUX,,30,,,"$9,584.36",$0.00,1,0,1,20120101,43272,CPT,ERCP W/ABLTJ LES X RMVL FORCEPS/CAUT/SNARE,,30,,,"$9,584.36",$0.00,1,0,1,20120101,43273,CPT,ENDOSCOPIC PAPILLA CANNULATION BILE PANCREATIC,,30,,,"$9,584.36",$0.00,1,0,1,20120101,43280,CPT,LAPS SURG ESOPG/GSTR FUNDOPLASTY,,30,,,"$21,140.01",$0.00,1,0,1,20120101,43281,CPT,LAPS RPR PARAESPHGL HRNA INCL FUNDPLSTY W/O MESH,,30,,,"$21,140.01",$0.00,1,0,1,20120101,43289,CPT,UNLISTED LAPAROSCOPIC PROCEDURE ESOPHAGUS,,30,,,"$14,346.17",$0.00,1,0,1,20120101,43420,CPT,CLSR ESOPHAGOSTOMY/FSTL CRV APPR,,30,,,"$9,873.83",$0.00,1,0,1,20120101,43450,CPT,DILATION ESOPH UNGUIDED SOUND/BOUGIE 1/MULT PASS,,30,,,"$2,570.03",$0.00,1,0,1,20120101,43453,CPT,DILATION ESOPHAGUS GUIDE WIRE,,30,,,"$2,570.03",$0.00,1,0,1,20120101,43456,CPT,DILAT ESOPHAGUS BALLOON/DILATOR RETROGRADE,,30,,,"$2,570.03",$0.00,1,0,1,20120101,43458,CPT,DILAT ESOPH BALLOON 30 MM DIAM/> ACHALASIA,,30,,,"$4,360.44",$0.00,1,0,1,20120101,43499,CPT,UNLISTED PROCEDURE ESOPHAGUS,,30,,,"$3,267.05",$0.00,1,0,1,20120101,43510,CPT,GSTRT W/ESOPHGL DILAT&INSJ PRM INTRAL TUBE,,30,,,"$3,267.05",$0.00,1,0,1,20120101,43647,CPT,LAPS IMPLTJ/RPLCMT GASTRIC NSTIM ELTRD ANTRUM,,30,,,"$22,868.18",$0.00,1,0,1,20120101,43648,CPT,LAPS REVISION/RMVL GASTRIC NSTIM ELTRD ANTRUM,,30,,,"$14,346.17",$0.00,1,0,1,20120101,43651,CPT,LAPS SURG TRNSXJ VAGUS NRV TRUNCAL,,30,,,"$21,140.01",$0.00,1,0,1,20120101,43652,CPT,LAPS SURG TRNSXJ VAGUS NRV SLCTV/HILY SLCTV,,30,,,"$21,140.01",$0.00,1,0,1,20120101,43653,CPT,LAPS SURG GASTROSTOMY W/O CONSTJ GSTR TUBE SPX,,30,,,"$16,618.43",$0.00,1,0,1,20120101,43659,CPT,UNLISTED LAPAROSCOPIC PROCEDURE STOMACH,,30,,,"$14,346.17",$0.00,1,0,1,20120101,43752,CPT,NASO/ORO-GASTRIC TUBE PLMT REQ PHYS&FLUOR GDN,,30,,,$560.75,$0.00,1,0,1,20120101,43753,CPT,GASTRIC INTUBAT&ASPIRA W/PHYS SKILL/LAVAGE,,30,,,$303.61,$0.00,1,0,1,20120101,43754,CPT,GASTRIC INTUBAT DX W/ASPIRATION SINGLE SPECIMEN,,30,,,$303.61,$0.00,1,0,1,20120101,43755,CPT,GASTRIC INTUBATION DX & ASPIRATJ MULTIPLE SPECS,,30,,,$426.49,$0.00,1,0,1,20120101,43756,CPT,DUODENAL INTUBAT W/IMAG GUIDED SINGLE SPECIMEN,,30,,,$560.75,$0.00,1,0,1,20120101,43757,CPT,DUODENAL INTUBAT W/IMAG GUIDED MULTIPLE SPECIMEN,,30,,,$560.75,$0.00,1,0,1,20120101,43760,CPT,CHANGE GASTROSTOMY TUBE PERCUTANEOUS W/O GUIDE,,30,,,"$1,046.23",$0.00,1,0,1,20120101,43761,CPT,REPOS NASO/ORO GASTRIC FEEDING TUBE THRU DUO,,30,,,"$3,267.05",$0.00,1,0,1,20120101,43770,CPT,LAPS GASTRIC RESTRICTIVE PROCEDURE PLACE DEVICE,,30,,,"$16,618.43",$0.00,1,0,1,20120101,43830,CPT,GASTROSTOMY OPN W/O CONSTJ GSTR TUBE SPX,,30,,,"$10,011.77",$0.00,1,0,1,20120101,43831,CPT,GASTROSTOMY OPN NEONATAL FEEDING,,30,,,"$3,267.05",$0.00,1,0,1,20120101,43870,CPT,CLOSURE GASTROSTOMY SURG,,30,,,"$10,011.77",$0.00,1,0,1,20120101,43886,CPT,GSTR RSTCV PX OPN REVJ SUBQ PORT COMPONENT ONLY,,30,,,"$8,564.37",$0.00,1,0,1,20120101,43887,CPT,GSTR RSTCV PX OPN RMVL SUBQ PORT COMPONENT ONLY,,30,,,"$2,041.45",$0.00,1,0,1,20120101,43888,CPT,GSTR RSTCV OPN RMVL&RPLCMT SUBQ PORT,,30,,,"$8,564.37",$0.00,1,0,1,20120101,43999,CPT,UNLISTED PROCEDURE STOMACH,,30,,,"$3,267.05",$0.00,1,0,1,20120101,44100,CPT,BX INTESTINE CAPSULE TUBE PRORAL 1/> SPECIMENS,,30,,,"$4,360.44",$0.00,1,0,1,20120101,44180,CPT,LAPAROSCOPY ENTEROLYSIS SEPARATE PROCEDURE,,30,,,"$16,618.43",$0.00,1,0,1,20120101,44186,CPT,LAPAROSCOPY SURGICAL JEJUNOSTOMY,,30,,,"$16,618.43",$0.00,1,0,1,20120101,44206,CPT,LAPS COLECTOMY PRTL W/END CLST&CLSR DSTL SGM,,30,,,"$21,140.01",$0.00,1,0,1,20120101,44207,CPT,LAPS COLECTOMY PRTL W/COLOPXTSTMY LW ANAST,,30,,,"$21,140.01",$0.00,1,0,1,20120101,44208,CPT,LAPS COLECTMY PRTL W/COLOPXTSTMY LW ANAST W/CLST,,30,,,"$21,140.01",$0.00,1,0,1,20120101,44213,CPT,LAPS MOBLJ SPLENIC FLXR PFRMD W/PRTL COLECTOMY,,30,,,"$14,346.17",$0.00,1,0,1,20120101,44238,CPT,UNLISTED LAPAROSCOPY PX INTESTINE XCP RECTUM,,30,,,"$14,346.17",$0.00,1,0,1,20120101,44312,CPT,REVJ ILEOSTOMY SIMPLE RLS SUPERFICIAL SCAR SPX,,30,,,"$8,564.37",$0.00,1,0,1,20120101,44340,CPT,REVJ COLOSTOMY SMPL RLS SUPFC SCAR SPX,,30,,,"$8,564.37",$0.00,1,0,1,20120101,44360,CPT,ENDOSCOPY UPPER SMALL INTESTINE,,30,,,"$3,992.43",$0.00,1,0,1,20120101,44361,CPT,ENDOSCOPY UPPER SMALL INTESTINE W/BIOPSY,,30,,,"$3,992.43",$0.00,1,0,1,20120101,44363,CPT,ENTEROSCOPY > 2ND PRTN W/RMVL FOREIGN BODY,,30,,,"$3,992.43",$0.00,1,0,1,20120101,44364,CPT,ENTEROSCOPY > 2ND PRTN W/RMVL LESION SNARE,,30,,,"$6,222.24",$0.00,1,0,1,20120101,44365,CPT,ENTEROSCOPY > 2ND PRTN W/RMVL LESION CAUTERY,,30,,,"$6,222.24",$0.00,1,0,1,20120101,44366,CPT,ENTEROSCOPY > 2ND PRTN W/CONTROL BLEEDING,,30,,,"$6,222.24",$0.00,1,0,1,20120101,44369,CPT,ENTEROSCOPY > 2ND PRTN ABLTJ LESION,,30,,,"$6,222.24",$0.00,1,0,1,20120101,44370,CPT,ENTEROSCOPY > 2ND PRTN TNDSC STENT PLMT,,30,,,"$11,287.61",$0.00,1,0,1,20120101,44372,CPT,ENTEROSCOPY > 2ND PRTN W/PLMT PRQ TUBE,,30,,,"$6,222.24",$0.00,1,0,1,20120101,44373,CPT,ENTEROSCOPY > 2ND PRTN CONV GSTRST TUBE,,30,,,"$6,222.24",$0.00,1,0,1,20120101,44376,CPT,ENTEROSC >2ND PRTN W/ILEUM W/WO COLLJ SPEC SPX,,30,,,"$3,992.43",$0.00,1,0,1,20120101,44377,CPT,ENTEROSC >2ND PRTN W/ILEUM W/BX SINGLE/MULTIPLE,,30,,,"$3,992.43",$0.00,1,0,1,20120101,44378,CPT,ENTEROSCOPY > 2ND PRTN ILEUM CONTROL BLEEDING,,30,,,"$6,222.24",$0.00,1,0,1,20120101,44379,CPT,ENTEROSCOPY > 2ND PRTN W/ILEUM W/STENT PLMT,,30,,,"$11,287.61",$0.00,1,0,1,20120101,44380,CPT,ILEOSCOPY STOMA DX W/WO COLLJ SPEC BR/WA SPX,,30,,,"$3,992.43",$0.00,1,0,1,20120101,44382,CPT,ILEOSCOPY STOMA W/BX SINGLE/MULTIPLE,,30,,,"$3,992.43",$0.00,1,0,1,20120101,44383,CPT,ILEOSCOPY STOMA W/TNDSC STENT PLMT,,30,,,"$11,287.61",$0.00,1,0,1,20120101,44385,CPT,NDSC EVAL INTSTINAL POUCH DX W/WO COLLJ SPEC SPX,,30,,,"$3,677.13",$0.00,1,0,1,20120101,44386,CPT,NDSC EVAL INTSTINAL POUCH W/BX SINGLE/MULTIPLE,,30,,,"$3,677.13",$0.00,1,0,1,20120101,44388,CPT,COLONOSCOPY STOMA DX W/WO COLLJ SPEC SPX,,30,,,"$3,677.13",$0.00,1,0,1,20120101,44389,CPT,COLONOSCOPY STOMA W/BIOPSY SINGLE/MULTIPLE,,30,,,"$3,677.13",$0.00,1,0,1,20120101,44390,CPT,COLONOSCOPY STOMA W/RMVL FOREIGN BODY,,30,,,"$3,677.13",$0.00,1,0,1,20120101,44391,CPT,COLONOSCOPY STOMA CONTROL BLEEDING,,30,,,"$3,677.13",$0.00,1,0,1,20120101,44392,CPT,COLONOSCOPY STOMA RMVL LESION CAUTERY,,30,,,"$3,677.13",$0.00,1,0,1,20120101,44393,CPT,COLONOSCOPY STOMA ABLATION LESION,,30,,,"$3,677.13",$0.00,1,0,1,20120101,44394,CPT,COLONOSCOPY STOMA W/RMVL TUM POLYP/OTH LES SNARE,,30,,,"$3,677.13",$0.00,1,0,1,20120101,44397,CPT,COLONOSCOPY STOMA W/TNDSC STENT PLMT,,30,,,"$11,287.61",$0.00,1,0,1,20120101,44500,CPT,INTRODUCTION LONG GI TUBE SEPARATE PROCEDURE,,30,,,"$2,481.54",$0.00,1,0,1,20120101,44799,CPT,UNLISTED PROCEDURE INTESTINE,,30,,,"$10,466.85",$0.00,1,0,1,20120101,44901,CPT,I&D APPENDICEAL ABSC PRQ,,30,,,"$6,032.98",$0.00,1,0,1,20120101,44950,CPT,APPENDECTOMY,,30,,,"$10,466.85",$0.00,1,0,1,20120101,44955,CPT,APPENDEC INDICATED PURPOSE OTH MAJOR PX X SPX,,30,,,"$10,466.85",$0.00,1,0,1,20120101,44970,CPT,LAPAROSCOPIC APPENDECTOMY,,30,,,"$16,618.43",$0.00,1,0,1,20120101,44979,CPT,UNLISTED LAPAROSCOPY PROCEDURE APPENDIX,,30,,,"$14,346.17",$0.00,1,0,1,20120101,45000,CPT,TRANSRECTAL DRAINAGE OF PELVIC ABSCESS,,30,,,"$9,602.52",$0.00,1,0,1,20120101,45005,CPT,I&D SUBMUCOSAL ABSCESS RECTUM,,30,,,"$9,602.52",$0.00,1,0,1,20120101,45020,CPT,I&D DP SUPRALEVATOR PELVIRCT/RETRORCT ABSC,,30,,,"$6,293.82",$0.00,1,0,1,20120101,45100,CPT,BX ANORECTAL WALL ANAL APPROACH,,30,,,"$9,602.52",$0.00,1,0,1,20120101,45108,CPT,ANORECTAL MYOMECTOMY,,30,,,"$9,602.52",$0.00,1,0,1,20120101,45150,CPT,DIVISION STRICTURE RECTUM,,30,,,"$9,602.52",$0.00,1,0,1,20120101,45160,CPT,EXC RCT TUM PROCTOTOMY TRANSSAC/TRANSCOCCYGEAL,,30,,,"$9,602.52",$0.00,1,0,1,20120101,45171,CPT,EXC RCT TUM NOT INCL MUSCULARIS PROPRIA,,30,,,"$9,602.52",$0.00,1,0,1,20120101,45172,CPT,EXC RCT TUM INCL MUSCULARIS PROPRIA,,30,,,"$9,602.52",$0.00,1,0,1,20120101,45190,CPT,DESTRUCTION RECTAL TUMOR TRANSANAL APPROACH,,30,,,"$9,602.52",$0.00,1,0,1,20120101,45300,CPT,PROCTOSGMDSC RGD DX W/WO COLLJ SPEC BR/WA SPX,,30,,,"$2,476.05",$0.00,1,0,1,20120101,45303,CPT,PROCTOSGMDSC RIGID W/DILATION,,30,,,"$4,329.26",$0.00,1,0,1,20120101,45305,CPT,PROCTOSGMDSC RIGID W/BX SINGLE/MULTIPLE,,30,,,"$4,329.26",$0.00,1,0,1,20120101,45307,CPT,PROCTOSGMDSC RIGID W/RMVL FOREIGN BODY,,30,,,"$9,415.86",$0.00,1,0,1,20120101,45308,CPT,PROCTOSGMDSC RIGID RMVL 1 LESION CAUTERY,,30,,,"$4,329.26",$0.00,1,0,1,20120101,45309,CPT,PROCTOSGMDSC RIGID RMVL 1 LESION SNARE TQ,,30,,,"$4,329.26",$0.00,1,0,1,20120101,45315,CPT,PROCTOSGMDSC RIGID RMVL MULT TUMOR CAUTERY/SNARE,,30,,,"$4,329.26",$0.00,1,0,1,20120101,45317,CPT,PROCTOSGMDSC RIGID CONTROL BLEEDING,,30,,,"$4,329.26",$0.00,1,0,1,20120101,45320,CPT,PROCTOSGMDSC RIGID ABLATION LESION,,30,,,"$9,415.86",$0.00,1,0,1,20120101,45321,CPT,PROCTOSGMDSC RIGID DCMPRN VOLVULUS,,30,,,"$9,415.86",$0.00,1,0,1,20120101,45327,CPT,PROCTOSGMDSC RIGID TNDSC STENT PLMT,,30,,,"$11,287.61",$0.00,1,0,1,20120101,45330,CPT,SIGMOIDOSCOPY FLX DX W/WO COLLJ SPECIMENS,,30,,,"$2,476.05",$0.00,1,0,1,20120101,45331,CPT,SIGMOIDOSCOPY FLX W/BIOPSY SINGLE/MULTIPLE,,30,,,"$2,476.05",$0.00,1,0,1,20120101,45332,CPT,SIGMOIDOSCOPY FLX W/RMVL FOREIGN BODY,,30,,,"$2,476.05",$0.00,1,0,1,20120101,45333,CPT,SIGMOIDOSCOPY FLX W/RMVL TUMOR CAUTERY,,30,,,"$2,476.05",$0.00,1,0,1,20120101,45334,CPT,SIGMOIDOSCOPY FLX CONTROL BLEEDING,,30,,,"$4,329.26",$0.00,1,0,1,20120101,45335,CPT,SGMDSC FLX DIRED SBMCSL NJX ANY SBST,,30,,,"$2,476.05",$0.00,1,0,1,20120101,45337,CPT,SGMDSC FLX DCMPRN VOLVULUS ANY METHOD,,30,,,"$2,476.05",$0.00,1,0,1,20120101,45338,CPT,SGMDSC FLX RMVL TUM POLYP/OTH LES SNARE TQ,,30,,,"$2,476.05",$0.00,1,0,1,20120101,45339,CPT,SIGMOIDOSCOPY FLX ABLTJ LESION,,30,,,"$4,329.26",$0.00,1,0,1,20120101,45340,CPT,SIGMOIDOSCOPY FLX DILAT BALO 1/MORE STRIXS,,30,,,"$4,329.26",$0.00,1,0,1,20120101,45341,CPT,SIGMOIDOSCOPY FLX NDSC US XM,,30,,,"$2,476.05",$0.00,1,0,1,20120101,45342,CPT,SIGMOIDOSCOPY FLX TNDSC US GID NDL ASPIR/BX,,30,,,"$4,329.26",$0.00,1,0,1,20120101,45345,CPT,SIGMOIDOSCOPY FLX TNDSC STENT PLMT,,30,,,"$11,287.61",$0.00,1,0,1,20120101,45355,CPT,COLSC RGD/FLX TABDL VIA COLOTOMY 1/MLT,,30,,,"$3,677.13",$0.00,1,0,1,20120101,45378,CPT,COLONOSCOPY FLX DX W/WO COLLJ SPECIMENS,,30,,,"$3,677.13",$0.00,1,0,1,20120101,45379,CPT,COLSC FLX PROX SPLENIC FLXR RMVL FB,,30,,,"$3,677.13",$0.00,1,0,1,20120101,45380,CPT,COLONOSCOPY W/BIOPSY SINGLE/MULTIPLE,,30,,,"$3,677.13",$0.00,1,0,1,20120101,45381,CPT,COLSC FLX PROX SPLENIC FLXR SBMCSL NJX,,30,,,"$3,677.13",$0.00,1,0,1,20120101,45382,CPT,COLSC FLX PROX SPLENIC FLXR CTRL BLD,,30,,,"$3,677.13",$0.00,1,0,1,20120101,45383,CPT,COLSC FLX PROX SPLENIC FLXR ABLTJ LES,,30,,,"$3,677.13",$0.00,1,0,1,20120101,45384,CPT,COLSC FLX PROX SPLENIC FLXR RMVL LES CAUT,,30,,,"$3,677.13",$0.00,1,0,1,20120101,45385,CPT,COLSC FLX PROX SPLENIC FLXR RMVL LES SNARE TQ,,30,,,"$3,677.13",$0.00,1,0,1,20120101,45386,CPT,COLSC FLX PROX SPLENIC FLXR DILAT BALO 1/> STRIX,,30,,,"$3,677.13",$0.00,1,0,1,20120101,45387,CPT,COLSC FLX PROX SPLENIC FLXR TNDSC STENT PLMT,,30,,,"$11,287.61",$0.00,1,0,1,20120101,45391,CPT,COLSC FLX PROX SPLENIC FLXR NDSC US XM,,30,,,"$3,677.13",$0.00,1,0,1,20120101,45392,CPT,COLSC FLX PROX SPLENIC FLXR US GID NDL ASPIR/BX,,30,,,"$3,677.13",$0.00,1,0,1,20120101,45499,CPT,UNLISTED LAPAROSCOPY PROCEDURE RECTUM,,30,,,"$14,346.17",$0.00,1,0,1,20120101,45500,CPT,PROCTOPLASTY STENOSIS,,30,,,"$9,602.52",$0.00,1,0,1,20120101,45505,CPT,PROCTOPLASTY PROLAPSE MUCOUS MEMBRANE,,30,,,"$12,540.58",$0.00,1,0,1,20120101,45520,CPT,PERIRECTAL INJ SCLEROSING SOLUTION PROLAPSE,,30,,,$372.19,$0.00,1,0,1,20120101,45541,CPT,PROCTOPEXY PERINEAL APPROACH,,30,,,"$12,540.58",$0.00,1,0,1,20120101,45560,CPT,REPAIR RECTOCELE SEPARATE PROCEDURE,,30,,,"$12,540.58",$0.00,1,0,1,20120101,45900,CPT,RDCTJ PROCIDENTIA UNDER ANES SEPARATE PROCEDURE,,30,,,"$2,398.03",$0.00,1,0,1,20120101,45905,CPT,DILAT ANAL SPHNCTR SPX UNDER ANES OTH/THN LOCAL,,30,,,"$9,602.52",$0.00,1,0,1,20120101,45910,CPT,DILAT RCT STRIX SPX UNDER ANES OTH/THN LOCAL,,30,,,"$9,602.52",$0.00,1,0,1,20120101,45915,CPT,RMVL FECAL IMPACTION/FB SPX UNDER ANES,,30,,,"$6,293.82",$0.00,1,0,1,20120101,45990,CPT,ANRCT XM SURG REQ ANES GENERAL SPI/EDRL DX,,30,,,"$9,602.52",$0.00,1,0,1,20120101,45999,CPT,UNLISTED PROCEDURE RECTUM,,30,,,"$2,398.03",$0.00,1,0,1,20120101,46020,CPT,PLACEMENT SETON,,30,,,"$9,602.52",$0.00,1,0,1,20120101,46030,CPT,REMOVAL ANAL SETON OTHER MARKER,,30,,,"$2,398.03",$0.00,1,0,1,20120101,46040,CPT,I&D ISCHIORECTAL&/PERIRECTAL ABSCESS SPX,,30,,,"$9,602.52",$0.00,1,0,1,20120101,46045,CPT,I&D INTRAMURAL IM/ABSC TRANSANAL ANES,,30,,,"$9,602.52",$0.00,1,0,1,20120101,46050,CPT,I&D PERIANAL ABSCESS SUPERFICIAL,,30,,,"$2,398.03",$0.00,1,0,1,20120101,46060,CPT,I&D ISCHIORCT/INTRAMURAL ABSC W/WO SETON,,30,,,"$9,602.52",$0.00,1,0,1,20120101,46070,CPT,INCISION ANAL SEPTUM INFANT,,30,,,"$6,293.82",$0.00,1,0,1,20120101,46080,CPT,SPHINCTEROTOMY ANAL DIVISION SPHINCTER SPX,,30,,,"$9,602.52",$0.00,1,0,1,20120101,46083,CPT,INCISION THROMBOSED HEMORRHOID EXTERNAL,,30,,,$823.77,$0.00,1,0,1,20120101,46200,CPT,FISSURECTOMY INCL SPHINCTEROTOMY WHEN PERFORMED,,30,,,"$9,602.52",$0.00,1,0,1,20120101,46220,CPT,EXCISION SINGLE EXTERNAL PAPILLA OR TAG ANUS,,30,,,"$6,293.82",$0.00,1,0,1,20120101,46221,CPT,HEMORRHOIDECTOMY INTERNAL RUBBER BAND LIGATIONS,,30,,,"$2,398.03",$0.00,1,0,1,20120101,46230,CPT,EXCISION MULTIPLE EXTERNAL PAPILLAE/TAGS ANUS,,30,,,"$9,602.52",$0.00,1,0,1,20120101,46250,CPT,HEMORRHOIDECTOMY XTRNL 2/> COLUMN/GROUP,,30,,,"$9,602.52",$0.00,1,0,1,20120101,46255,CPT,HEMORRHOIDECTOMY NTRNL & XTRNL 1 COLUMN/GROUP,,30,,,"$9,602.52",$0.00,1,0,1,20120101,46257,CPT,HEMORRHOID NTRNL & XTRNL 1 COLUMN W/FISSURECTOMY,,30,,,"$9,602.52",$0.00,1,0,1,20120101,46258,CPT,HRHC 1 COL/GRP W/FSTULECTMY INCL FSSRECTOMY,,30,,,"$9,602.52",$0.00,1,0,1,20120101,46260,CPT,HEMORRHOIDECTOMY INT & XTRNL 2/> COLUMN/GROUP,,30,,,"$9,602.52",$0.00,1,0,1,20120101,46261,CPT,HRHC NTRNL & XTRNL 2/> COLUMN/GROUP W/FISSURECT,,30,,,"$9,602.52",$0.00,1,0,1,20120101,46262,CPT,HRHC 2/> COL/GRP W/FSTULECTMY INCL FSSRECTMY,,30,,,"$9,602.52",$0.00,1,0,1,20120101,46270,CPT,SURG TX ANAL FISTULA SUBQ,,30,,,"$9,602.52",$0.00,1,0,1,20120101,46275,CPT,SURG TX ANAL FISTULA INTERSPHINCTERIC,,30,,,"$9,602.52",$0.00,1,0,1,20120101,46280,CPT,TX ANAL FSTL TRANS/SUPRA/XTRASPHNCTRC INCL SETON,,30,,,"$9,602.52",$0.00,1,0,1,20120101,46285,CPT,SURG TX ANAL FISTULA 2ND STAGE,,30,,,"$9,602.52",$0.00,1,0,1,20120101,46288,CPT,CLSR ANAL FSTL W/RCT ADVMNT FLAP,,30,,,"$9,602.52",$0.00,1,0,1,20120101,46320,CPT,EXC THROMBOSED HEMORRHOID XTRNL,,30,,,"$9,602.52",$0.00,1,0,1,20120101,46500,CPT,INJECTION SCLEROSING SOLUTION HEMORRHOIDS,,30,,,"$2,398.03",$0.00,1,0,1,20120101,46505,CPT,CHEMODENERVATION INTERNAL ANAL SPHINCTER,,30,,,"$9,602.52",$0.00,1,0,1,20120101,46600,CPT,ANOSCOPY DX W/WO COLLJ SPEC BR/WA SPX,,30,,,$303.61,$0.00,1,0,1,20120101,46604,CPT,ANOSCOPY W/DILATION,,30,,,"$4,329.26",$0.00,1,0,1,20120101,46606,CPT,ANOSCOPY W/BX SINGLE/MULTIPLE,,30,,,"$2,476.05",$0.00,1,0,1,20120101,46608,CPT,ANOSCOPY W/RMVL FOREIGN BODY,,30,,,"$2,476.05",$0.00,1,0,1,20120101,46610,CPT,ANOSCOPY W/RMVL LESION CAUTERY,,30,,,"$9,415.86",$0.00,1,0,1,20120101,46611,CPT,ANOSC RMVL 1 TUM POLYP/OTH LES SNARE TQ,,30,,,"$4,329.26",$0.00,1,0,1,20120101,46612,CPT,ANOSC RMVL MULT TUMORS CAUTERY/SNARE,,30,,,"$9,415.86",$0.00,1,0,1,20120101,46614,CPT,ANOSCOPY CONTROL BLEEDING,,30,,,"$2,476.05",$0.00,1,0,1,20120101,46615,CPT,ANOSCOPY ABLATION LESION,,30,,,"$9,415.86",$0.00,1,0,1,20120101,46700,CPT,ANOPLASTY PLASTIC OPERATION STRICTURE ADULT,,30,,,"$9,602.52",$0.00,1,0,1,20120101,46706,CPT,REPAIR ANAL FISTULA W/FIBRIN GLUE,,30,,,"$12,540.58",$0.00,1,0,1,20120101,46707,CPT,REPAIR ANORECTAL FISTULA PLUG,,30,,,"$12,540.58",$0.00,1,0,1,20120101,46750,CPT,SPHNCTROP ANAL INCONTINENCE/PROLAPSE ADULT,,30,,,"$12,540.58",$0.00,1,0,1,20120101,46753,CPT,GRF THIERSCH RCT INCONTINENCE&/PROLAPSE,,30,,,"$9,602.52",$0.00,1,0,1,20120101,46754,CPT,RMVL THIERSCH WIRE/SUTURE ANAL CANAL,,30,,,"$9,602.52",$0.00,1,0,1,20120101,46760,CPT,SPHINCTEROPLASTY ANAL MUSCLE TRANSPLANT,,30,,,"$12,540.58",$0.00,1,0,1,20120101,46761,CPT,SPHNCTROP ANAL LEVATOR MUSC IMBRCJ,,30,,,"$12,540.58",$0.00,1,0,1,20120101,46762,CPT,SPHNCTROP ANAL IMPLTJ ARTIF SPHNCTR,,30,,,"$12,540.58",$0.00,1,0,1,20120101,46900,CPT,DSTRJ LESION ANUS SIMPLE CHEMICAL,,30,,,"$1,095.10",$0.00,1,0,1,20120101,46910,CPT,DSTRJ LESION ANUS SMPL ELTRDSICCATION,,30,,,"$8,666.10",$0.00,1,0,1,20120101,46916,CPT,DSTRJ LESION ANUS SIMPLE CRYOSURGERY,,30,,,$372.19,$0.00,1,0,1,20120101,46917,CPT,DSTRJ LESION ANUS SIMPLE LASER SURG,,30,,,"$8,666.10",$0.00,1,0,1,20120101,46922,CPT,DSTRJ LESION ANUS SIMPLE SURG EXCISION,,30,,,"$8,666.10",$0.00,1,0,1,20120101,46924,CPT,DSTRJ LESION ANUS EXTENSIVE,,30,,,"$8,666.10",$0.00,1,0,1,20120101,46930,CPT,DESTRUCTION INTERNAL HEMORRHOID THERMAL ENERGY,,30,,,"$2,398.03",$0.00,1,0,1,20120101,46940,CPT,CURTG/CAUT ANAL FISSURE W/DILAT SPHNCTR SPX 1ST,,30,,,"$9,602.52",$0.00,1,0,1,20120101,46942,CPT,CURTG/CAUT ANAL FISSURE W/DILAT SPHNCTR SPX SBSQ,,30,,,"$2,398.03",$0.00,1,0,1,20120101,46945,CPT,HRHC NTRNL LIG OTH THAN RBBR BAND 1 COL/GRP,,30,,,"$9,602.52",$0.00,1,0,1,20120101,46946,CPT,HRHC NTRNL LIG OTH THAN RBBR BAND 2/> COL/GRP,,30,,,"$9,602.52",$0.00,1,0,1,20120101,46947,CPT,HEMORRHOIDOPEXY STAPLING,,30,,,"$12,540.58",$0.00,1,0,1,20120101,46999,CPT,UNLISTED PROCEDURE ANUS,,30,,,"$2,398.03",$0.00,1,0,1,20120101,47000,CPT,BIOPSY LIVER NEEDLE PERCUTANEOUS,,30,,,"$3,502.05",$0.00,1,0,1,20120101,47011,CPT,HEPATOTOMY PRQ DRG ABSCESS/CYST 1/2 STAGES,,30,,,"$6,032.98",$0.00,1,0,1,20120101,47370,CPT,LAPS SURG ABLTJ 1/> LVR TUM RF,,30,,,"$23,467.39",$0.00,1,0,1,20120101,47371,CPT,LAPS SURG ABLTJ 1 > LVR TUM CRYOSURG,,30,,,"$23,467.39",$0.00,1,0,1,20120101,47379,CPT,UNLIS LAPAROSCOPIC PROCEDURE LIVER,,30,,,"$14,346.17",$0.00,1,0,1,20120101,47382,CPT,ABLTJ 1/> LVR TUM PRQ RF,,30,,,"$18,735.96",$0.00,1,0,1,20120101,47399,CPT,UNLISTED PROCEDURE LIVER,,30,,,"$1,815.32",$0.00,1,0,1,20120101,47490,CPT,CHOLECYSTOSTOMY PRQ W/IMAGING & CATH PLMT,,30,,,"$12,011.12",$0.00,1,0,1,20120101,47510,CPT,INTRO PRQ TRANSHEPATC CATH BILIARY DRG,,30,,,"$12,011.12",$0.00,1,0,1,20120101,47511,CPT,INTRO PRQ TRANSHEPATC STENT BILIARY DRG,,30,,,"$12,011.12",$0.00,1,0,1,20120101,47525,CPT,CHANGE PRQ BILIARY DRAINAGE CATHETER,,30,,,"$6,369.18",$0.00,1,0,1,20120101,47530,CPT,REVJ&/RINSJ TRANSHEPATC TUBE,,30,,,"$6,369.18",$0.00,1,0,1,20120101,47552,CPT,BILIARY NDSC PRQ T-TUBE DX W/WO COLLJ SPEC SPX,,30,,,"$12,011.12",$0.00,1,0,1,20120101,47553,CPT,BILIARY NDSC PRQ T-TUBE W/BX SINGLE/MULTIPLE,,30,,,"$12,011.12",$0.00,1,0,1,20120101,47554,CPT,BILIARY ENDOSCOPY PRQ VIA T-TUBE W/RMVL CALCULUS,,30,,,"$12,011.12",$0.00,1,0,1,20120101,47555,CPT,BILIARY NDSC PRQ T-TUBE W/DIL DUCT W/O STENT,,30,,,"$12,011.12",$0.00,1,0,1,20120101,47556,CPT,BILIARY NDSC PRQ T-TUBE DILAT STRIX W/STENT,,30,,,"$18,735.96",$0.00,1,0,1,20120101,47560,CPT,LAPS SURG W/GID TRANSHEPATC CHOLANGRPH W/O BX,,30,,,"$14,346.17",$0.00,1,0,1,20120101,47561,CPT,LAPS SURG W/GID TRANSHEPATC CHOLANGRPH W/BX,,30,,,"$14,346.17",$0.00,1,0,1,20120101,47562,CPT,LAPAROSCOPY SURG CHOLECYSTECTOMY,,30,,,"$16,618.43",$0.00,1,0,1,20120101,47563,CPT,LAPS SURG CHOLECYSTECTOMY W/CHOLANGIOGRAPHY,,30,,,"$16,618.43",$0.00,1,0,1,20120101,47564,CPT,LAPS SURG CHOLECSTC W/EXPL COMMON DUCT,,30,,,"$16,618.43",$0.00,1,0,1,20120101,47579,CPT,UNLISTED LAPAROSCOPY PROCEDURE BILIARY TRACT,,30,,,"$14,346.17",$0.00,1,0,1,20120101,47630,CPT,BILIARY DUCT STONE XTRJ PRQ VIA BASKET/SNARE,,30,,,"$12,011.12",$0.00,1,0,1,20120101,47999,CPT,UNLISTED PROCEDURE BILIARY TRACT,,30,,,"$12,011.12",$0.00,1,0,1,20120101,48102,CPT,BIOPSY PANCREA PERCUTANEOUS NEEDLE,,30,,,"$3,502.05",$0.00,1,0,1,20120101,48511,CPT,XTRNL DRG PSEUDOCYST PANCREAS PRQ,,30,,,"$6,032.98",$0.00,1,0,1,20120101,48999,CPT,UNLISTED PROCEDURE PANCREAS,,30,,,"$1,815.32",$0.00,1,0,1,20120101,49021,CPT,DRG PERITONEAL ABSCESS/LOCAL PERITONITIS PRQ,,30,,,"$6,032.98",$0.00,1,0,1,20120101,49041,CPT,DRG SUBDIAPHRAGMATIC/SUBPHRENIC ABSCESS PRQ,,30,,,"$6,032.98",$0.00,1,0,1,20120101,49061,CPT,DRG RETROPERITONEAL ABSCESS PERCUTANEOUS,,30,,,"$6,032.98",$0.00,1,0,1,20120101,49082,CPT,ABDOM PARACENTESIS DX/THER W/O IMAGING GUIDANCE,,30,,,"$2,295.36",$0.00,1,0,1,20120101,49083,CPT,ABDOM PARACENTESIS DX/THER W IMAGING GUIDANCE,,30,,,"$2,295.36",$0.00,1,0,1,20120101,49084,CPT,PERITONEAL LAVAGE W/WO IMAGING GUIDANCE,,30,,,"$2,295.36",$0.00,1,0,1,20120101,49180,CPT,BX ABDL/RETROPERITONEAL MASS PRQ NEEDLE,,30,,,"$3,502.05",$0.00,1,0,1,20120101,49250,CPT,UMBILECTOMY OMPHALECTOMY EXC UMBILICUS SPX,,30,,,"$10,466.85",$0.00,1,0,1,20120101,49320,CPT,LAPS ABD PRTM&OMENTUM DX W/WO SPEC BR/WA SPX,,30,,,"$14,346.17",$0.00,1,0,1,20120101,49321,CPT,LAPAROSCOPY SURG W/BX SINGLE/MULTIPLE,,30,,,"$14,346.17",$0.00,1,0,1,20120101,49322,CPT,LAPS SURG W/ASPIR CAVITY/CYST SINGLE/MULTIPLE,,30,,,"$14,346.17",$0.00,1,0,1,20120101,49323,CPT,LAPS SURG W/DRG LYMPHOCELE PRTL CAVITY,,30,,,"$14,346.17",$0.00,1,0,1,20120101,49324,CPT,LAPS INSERTION TUNNELED INTRAPERITONEAL CATHETER,,30,,,"$14,346.17",$0.00,1,0,1,20120101,49325,CPT,LAPS W/REVISION INTRAPERITONEAL CATHETER,,30,,,"$14,346.17",$0.00,1,0,1,20120101,49326,CPT,LAPAROSCOPY W/OMENTOPEXY,,30,,,"$14,346.17",$0.00,1,0,1,20120101,49327,CPT,LAPS W/INSERTION NTRSTL DEV W/IMG GID 1/MLT,,30,,,"$14,346.17",$0.00,1,0,1,20120101,49329,CPT,UNLISTED LAPAROSCOPIC PX ABD PRTM&OMENTUM,,30,,,"$14,346.17",$0.00,1,0,1,20120101,49402,CPT,REMOVAL PERITONEAL FOREIGN BODY FROM CAVITY,,30,,,"$10,466.85",$0.00,1,0,1,20120101,49411,CPT,INTERSTITIAL DEV PLMT RADIATION THERAPY 1/MLT,,30,,,"$5,605.93",$0.00,1,0,1,20120101,49418,CPT,INSJ INTRAPERITONEAL CATHETER W/IMG GID,,30,,,"$11,804.12",$0.00,1,0,1,20120101,49419,CPT,INSERTION TUNNEL INTRAPERITONEAL CATH SUBQ PORT,,30,,,"$13,712.99",$0.00,1,0,1,20120101,49421,CPT,INSERTION TUNNEL INTRAPERITONEAL CATH DIAL OPEN,,30,,,"$11,804.12",$0.00,1,0,1,20120101,49422,CPT,REMOVAL TUNNELED INTRAPERITONEAL CATHETER,,30,,,"$9,331.44",$0.00,1,0,1,20120101,49423,CPT,EXCHNG ABSC/CST DRG CATH RAD GID SPX,,30,,,"$6,369.18",$0.00,1,0,1,20120101,49426,CPT,REVIS PERITONEAL-VENOUS SHUNT,,30,,,"$10,466.85",$0.00,1,0,1,20120101,49429,CPT,RMVL PERITONEAL-VENOUS SHUNT,,30,,,"$9,331.44",$0.00,1,0,1,20120101,49435,CPT,INSJ SUBQ EXTENSION INTRAPERITONEAL CATHETER,,30,,,"$6,369.18",$0.00,1,0,1,20120101,49436,CPT,DELAYED CREATION EXIT SITE EMBEDDED CATHETER,,30,,,"$6,369.18",$0.00,1,0,1,20120101,49440,CPT,INSERT GASTROSTOMY TUBE PERCUTANEOUS,,30,,,"$4,360.44",$0.00,1,0,1,20120101,49441,CPT,INSERT DUODENOSTOMY/JEJUNOSTOMY TUBE PERQ,,30,,,"$4,360.44",$0.00,1,0,1,20120101,49442,CPT,INSERT CECOSTOMY/OTHER COLONIC TUBE PERCUTANEOUS,,30,,,"$9,602.52",$0.00,1,0,1,20120101,49446,CPT,CONVERT GASTROSTOMY-GASTRO-JEJUNOSTOMY TUBE PERQ,,30,,,"$4,360.44",$0.00,1,0,1,20120101,49450,CPT,REPLACE GASTROSTOMY/CECOSTOMY TUBE PERCUTANEOUS,,30,,,"$2,481.54",$0.00,1,0,1,20120101,49451,CPT,REPLACE DUODENOSTOMY/JEJUNOSTOMY TUBE PERQ,,30,,,"$2,481.54",$0.00,1,0,1,20120101,49452,CPT,REPLACEMENT GASTRO-JEJUNOSTOMY TUBE 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RECRT INGUINAL HERNIA ANY AGE REDUCIBLE,,30,,,"$11,207.64",$0.00,1,0,1,20120101,49521,CPT,RPR RECRT INGUN HERNIA ANY AGE INCARCERATED,,30,,,"$11,207.64",$0.00,1,0,1,20120101,49525,CPT,RPR INGUN HERNIA SLIDING ANY AGE,,30,,,"$11,207.64",$0.00,1,0,1,20120101,49540,CPT,REPAIR LUMBAR HERNIA,,30,,,"$11,207.64",$0.00,1,0,1,20120101,49550,CPT,RPR 1ST FEM HRNA ANY AGE REDUCIBLE,,30,,,"$11,207.64",$0.00,1,0,1,20120101,49553,CPT,RPR 1ST FEM HERNIA ANY AGE INCARCERATED,,30,,,"$11,207.64",$0.00,1,0,1,20120101,49555,CPT,RPR RECRT FEM HERNIA REDUCIBLE,,30,,,"$11,207.64",$0.00,1,0,1,20120101,49557,CPT,RPR RECRT FEM HRNA INCARCERATED,,30,,,"$11,207.64",$0.00,1,0,1,20120101,49560,CPT,REPAIR FIRST ABDOMINAL WALL HERNIA,,30,,,"$11,207.64",$0.00,1,0,1,20120101,49561,CPT,RPR 1ST INCAL/VNT HERNIA INCARCERATED,,30,,,"$11,207.64",$0.00,1,0,1,20120101,49565,CPT,RPR RECRT INCAL/VNT HERNIA REDUCIBLE,,30,,,"$11,207.64",$0.00,1,0,1,20120101,49566,CPT,RPR RECRT INCAL/VNT HERNIA INCARCERATED,,30,,,"$11,207.64",$0.00,1,0,1,20120101,49568,CPT,IMPLANT MESH OPN HERNIA RPR/DEBRIDEMENT CLOSURE,,30,,,"$11,207.64",$0.00,1,0,1,20120101,49570,CPT,RPR EPIGASTRIC HERNIA REDUCIBLE SPX,,30,,,"$11,207.64",$0.00,1,0,1,20120101,49572,CPT,RPR EPIGASTRIC HERNIA INCARCERATED,,30,,,"$11,207.64",$0.00,1,0,1,20120101,49580,CPT,RPR UMBILICAL HERNIA < 5 YRS REDUCIBLE,,30,,,"$11,207.64",$0.00,1,0,1,20120101,49582,CPT,RPR UMBILICAL HERNIA <5 YRS INCARCERATED,,30,,,"$11,207.64",$0.00,1,0,1,20120101,49585,CPT,RPR UMBILICAL HRNA 5 YRS/> REDUCIBLE,,30,,,"$11,207.64",$0.00,1,0,1,20120101,49587,CPT,RPR UMBILICAL HERNIA AGE 5 YRS/> INCARCERATED,,30,,,"$11,207.64",$0.00,1,0,1,20120101,49590,CPT,RPR SPIGELIAN HERNIA,,30,,,"$11,207.64",$0.00,1,0,1,20120101,49600,CPT,RPR SMALL OMPHALOCELE W/PRIMARY CLOSURE,,30,,,"$11,207.64",$0.00,1,0,1,20120101,49650,CPT,LAPAROSCOPY SURG RPR INITIAL INGUINAL HERNIA,,30,,,"$16,618.43",$0.00,1,0,1,20120101,49651,CPT,LAPS SURG RPR RECURRENT INGUINAL HERNIA,,30,,,"$16,618.43",$0.00,1,0,1,20120101,49652,CPT,LAPS REPAIR HERNIA EXCEPT INCAL/INGUN REDUCIBLE,,30,,,"$21,140.01",$0.00,1,0,1,20120101,49653,CPT,LAP RPR HRNA XCPT INCAL/INGUN NCRC8/STRANGULATED,,30,,,"$21,140.01",$0.00,1,0,1,20120101,49654,CPT,LAPAROSCOPY REPAIR INCISIONAL HERNIA REDUCIBLE,,30,,,"$21,140.01",$0.00,1,0,1,20120101,49655,CPT,LAPS RPR INCISIONAL HERNIA NCRC8/STRANGULATED,,30,,,"$21,140.01",$0.00,1,0,1,20120101,49656,CPT,LAPS RPR RECURRENT INCISIONAL HERNIA REDUCIBLE,,30,,,"$21,140.01",$0.00,1,0,1,20120101,49657,CPT,LAPS RPR RECURRENT INCAL HRNA NCRC8/STRANGULATED,,30,,,"$21,140.01",$0.00,1,0,1,20120101,49659,CPT,UNLIS LAPS PX HRNAP HERNIORRHAPHY HERNIOTOMY,,30,,,"$14,346.17",$0.00,1,0,1,20120101,49999,CPT,UNLISTED PROCEDURE ABDOMEN PERITONEUM & OMENTUM,,30,,,"$10,466.85",$0.00,1,0,1,20120101,50020,CPT,DRAINAGE PERIRENAL/RENAL ABSCESS OPEN,,30,,,"$8,733.20",$0.00,1,0,1,20120101,50021,CPT,DRAINAGE PERIRENAL/RENAL ABSCESS PRW,,30,,,"$6,032.98",$0.00,1,0,1,20120101,50080,CPT,PRQ NEPHROSTOLITHOTOMY/PYELOSTOLITHOTOMY 2 CM/<,,30,,,"$16,158.19",$0.00,1,0,1,20120101,50081,CPT,PRQ NEPHROSTOLITHOTOMY/PYELOSTOLITHOTOMY > 2 CM,,30,,,"$16,158.19",$0.00,1,0,1,20120101,50200,CPT,RENAL BIOPSY PRQ TROCAR/NEEDLE,,30,,,"$3,502.05",$0.00,1,0,1,20120101,50382,CPT,RMVL&RPLCMT INTLY DWELLING URETERAL STENT,,30,,,"$8,733.20",$0.00,1,0,1,20120101,50384,CPT,REMOVAL INDWELLING URETERAL STENT PRQ,,30,,,"$6,942.07",$0.00,1,0,1,20120101,50385,CPT,REMOVE & REPLACE INT DWELL URETERAL STENT TRURL,,30,,,"$8,733.20",$0.00,1,0,1,20120101,50386,CPT,REMOVE INT DWELL URETERAL STENT TRANSURETHRAL,,30,,,"$2,870.79",$0.00,1,0,1,20120101,50387,CPT,RMVL&RPLCMT XTRNLLY ACCESSIBLE URTRL STENT,,30,,,"$6,369.18",$0.00,1,0,1,20120101,50389,CPT,RMVL NFROS TUBE REQ FLUORO GUIDANCE,,30,,,"$2,870.79",$0.00,1,0,1,20120101,50390,CPT,ASPIR&/NJX RNL CYST/PELVIS NEEDLE PRQ,,30,,,"$3,502.05",$0.00,1,0,1,20120101,50391,CPT,INSTLJ THER AGENT RENAL PELVIS&/URETER VIA TUBE,,30,,,$459.50,$0.00,1,0,1,20120101,50392,CPT,INTRO INTRACATH/CATH IN RNL PELVIS DRG&/NJX PRQ,,30,,,"$6,942.07",$0.00,1,0,1,20120101,50393,CPT,INTRO URETER CATH/STNT RENAL PELVIS DRG&/NJX PRQ,,30,,,"$8,733.20",$0.00,1,0,1,20120101,50395,CPT,INTRO GUIDE PELVIS&/URETER W/DILAT NFROS TRACT,,30,,,"$8,733.20",$0.00,1,0,1,20120101,50396,CPT,MANOMETRIC STDS THRU TUBE/NDWELLG URTRL CATH,,30,,,$823.77,$0.00,1,0,1,20120101,50398,CPT,CHANGE NEPHROSTOMY/PYELOSTOMY TUBE,,30,,,"$6,369.18",$0.00,1,0,1,20120101,50541,CPT,LAPAROSCOPY SURG ABLATION RENAL CYSTS,,30,,,"$14,346.17",$0.00,1,0,1,20120101,50542,CPT,LAPS ABLTJ RENAL MASS LESION W/INTRAOP US,,30,,,"$23,467.39",$0.00,1,0,1,20120101,50543,CPT,LAPAROSCOPY SURG PARTIAL NEPHRECTOMY,,30,,,"$16,618.43",$0.00,1,0,1,20120101,50544,CPT,LAPAROSCOPY SURG PYELOPLASTY,,30,,,"$16,618.43",$0.00,1,0,1,20120101,50549,CPT,UNLISTED LAPAROSCOPY PROCEDURE RENAL,,30,,,"$14,346.17",$0.00,1,0,1,20120101,50551,CPT,RENAL ENDOSCOPY NEPHROSTOMY W/WO IRRIGATION,,30,,,"$2,870.79",$0.00,1,0,1,20120101,50553,CPT,RENAL NDSC NEPHROST W/URETERAL CATH W/WO DILA,,30,,,"$8,733.20",$0.00,1,0,1,20120101,50555,CPT,RENAL NDSC NEPHROS/PYELOSTOMY BIOPSY,,30,,,"$2,870.79",$0.00,1,0,1,20120101,50557,CPT,RENAL NDSC NEPHROS/PYELOSTOMY FULG&/INC W/WO BX,,30,,,"$8,733.20",$0.00,1,0,1,20120101,50561,CPT,RENAL NDSC NEPHROS/PYELOSTOMY RMVL FB/CALCULUS,,30,,,"$8,733.20",$0.00,1,0,1,20120101,50562,CPT,RENAL NDSC NEPHROS/PYELOSTOMY RESCJ TUMOR,,30,,,"$2,870.79",$0.00,1,0,1,20120101,50570,CPT,RENAL NDSC NEPHROTOMY W/WO IRRIGATION,,30,,,"$2,870.79",$0.00,1,0,1,20120101,50572,CPT,RNL NDSC NFROT W/URTRL CATHJ W/WO DILAT URETER,,30,,,"$2,870.79",$0.00,1,0,1,20120101,50574,CPT,RENAL NDSC NEPHROTOMY W/BIOPSY,,30,,,"$2,870.79",$0.00,1,0,1,20120101,50575,CPT,RNL NDSC NFROT/PLOT W/ENDOPYELOTOMY,,30,,,"$13,736.71",$0.00,1,0,1,20120101,50576,CPT,RNL NDSC NFROT FULGURATION&/INC W/WO BX,,30,,,"$6,942.07",$0.00,1,0,1,20120101,50580,CPT,RNL NDSC NFROT/PLOT W/RMVL 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URETEROSTOMY,,30,,,"$2,870.79",$0.00,1,0,1,20120101,50953,CPT,URETERAL ENDOSCOPY VIA URETEROST W/WO DIL URETER,,30,,,"$2,870.79",$0.00,1,0,1,20120101,50955,CPT,URETERAL ENDOSCOPY VIA URETEROSTOMY W/BIOPSY,,30,,,"$8,733.20",$0.00,1,0,1,20120101,50957,CPT,URETERAL ENDOSCOPY W/DEST&/INC W/WO BIOPSY,,30,,,"$8,733.20",$0.00,1,0,1,20120101,50961,CPT,URETERAL ENDOSCOPY VIA URETEROST W/RMVL FB/STONE,,30,,,"$8,733.20",$0.00,1,0,1,20120101,50970,CPT,URETERAL ENDOSCOPY VIA URETEROTOMY W/O IMAGING,,30,,,"$2,870.79",$0.00,1,0,1,20120101,50972,CPT,NDSC URETEROTOMY URTRL CATHJ W/WO DILAT URETER,,30,,,"$2,870.79",$0.00,1,0,1,20120101,50974,CPT,URETERAL ENDOSCOPY VIA URETEROT W/O IMAGING W/BX,,30,,,"$6,942.07",$0.00,1,0,1,20120101,50976,CPT,URETERAL ENDOSC VIA URETEROT W/DEST&/INC W/WO BX,,30,,,"$6,942.07",$0.00,1,0,1,20120101,50980,CPT,NDSC URETEROTOMY RMVL FB/CALCULUS,,30,,,"$8,733.20",$0.00,1,0,1,20120101,51020,CPT,CYSTOTOMY/CYSTOSTOMY FULG&/INSJ RADACT MATRL,,30,,,"$8,733.20",$0.00,1,0,1,20120101,51030,CPT,CSTOTOMY/CSTOST CRYOSURG DSTRJ INTRAVESICAL LES,,30,,,"$8,733.20",$0.00,1,0,1,20120101,51040,CPT,CYSTOSTOMY CYSTOTOMY W/DRAINAGE,,30,,,"$8,733.20",$0.00,1,0,1,20120101,51045,CPT,CYSTOTOMY W/INSJ URETERAL CATH/STENT SPX,,30,,,"$2,870.79",$0.00,1,0,1,20120101,51050,CPT,CYSTOLITHOTOMY CYSTOTOMY W/RMVL CALCULUS,,30,,,"$8,733.20",$0.00,1,0,1,20120101,51060,CPT,TRANSVESICAL URETROLITHOTOMY,,30,,,"$13,736.71",$0.00,1,0,1,20120101,51065,CPT,CYSTOTOMY W/CALCULUS BASKET XTRJ&/FRAGMENTATION,,30,,,"$8,733.20",$0.00,1,0,1,20120101,51080,CPT,DRG PRIVESICAL/PREVESICAL SPACE ABSC,,30,,,"$8,067.87",$0.00,1,0,1,20120101,51100,CPT,ASPIRATION BLADDER NEEDLE,,30,,,$823.77,$0.00,1,0,1,20120101,51101,CPT,ASPIRATION BLADDER TROCAR/INTRACATHETER,,30,,,$459.50,$0.00,1,0,1,20120101,51102,CPT,ASPIRATION BLADDER INSERT SUPRAPUBIC CATHETER,,30,,,"$7,932.75",$0.00,1,0,1,20120101,51500,CPT,EXC URACHAL CYST/SINUS W/WO UMBILICAL HERNIA RPR,,30,,,"$11,207.64",$0.00,1,0,1,20120101,51520,CPT,CYSTOTOMY SIMPLE EXCISION VESICAL NECK,,30,,,"$8,733.20",$0.00,1,0,1,20120101,51535,CPT,CYSTOTOMY EXCISE/INCISE/REPAIR URETEROCELE,,30,,,"$8,733.20",$0.00,1,0,1,20120101,51700,CPT,BLDR IRRIGATION SMPL LAVAGE&/INSTLJ,,30,,,$823.77,$0.00,1,0,1,20120101,51701,CPT,INSJ NON-NDWELLG BLADDER CATHETER,,30,,,$303.61,$0.00,1,0,1,20120101,51702,CPT,INSJ TEMP NDWELLG BLADDER CATHETER SIMPLE,,30,,,$303.61,$0.00,1,0,1,20120101,51703,CPT,INSJ TEMP NDWELLG BLADDER CATHETER COMPLICATED,,30,,,$459.50,$0.00,1,0,1,20120101,51705,CPT,CHANGE CYSTOSTOMY TUBE SIMPLE,,30,,,$823.77,$0.00,1,0,1,20120101,51710,CPT,CHANGE CYSTOSTOMY TUBE COMPLICATED,,30,,,"$2,481.54",$0.00,1,0,1,20120101,51715,CPT,NDSC NJX IMPLT MATRL URT&/BLDR NCK,,30,,,"$12,270.80",$0.00,1,0,1,20120101,51720,CPT,BLADDER INSTILLATION ANTICARCINOGENIC AGENT,,30,,,"$1,255.99",$0.00,1,0,1,20120101,51725,CPT,SIMPLE CYSTOMETROGRAM,,30,,,"$1,255.99",$0.00,1,0,1,20120101,51726,CPT,BLADDER PRESSURE MEASUREMENT DURING FILLING,,30,,,"$1,255.99",$0.00,1,0,1,20120101,51727,CPT,COMPLEX CYSTOMETROGRAM URETHRAL PRESS PROFILE,,30,,,"$1,255.99",$0.00,1,0,1,20120101,51728,CPT,COMPLEX CYSTOMETROGRAM VOIDING PRESSURE STUDIES,,30,,,"$1,255.99",$0.00,1,0,1,20120101,51729,CPT,COMPLX CYSTOMETRO W/VOID PRESS&URETHRAL PROFILE,,30,,,"$1,255.99",$0.00,1,0,1,20120101,51736,CPT,SIMPLE UROFLOMETRY,,30,,,$303.61,$0.00,1,0,1,20120101,51741,CPT,COMPLEX UROFLOMETRY,,30,,,$459.50,$0.00,1,0,1,20120101,51784,CPT,EMG STDS ANAL/URTL SPHNCTR OTH/THN NDL,,30,,,$459.50,$0.00,1,0,1,20120101,51785,CPT,NDL EMG STDS EMG ANAL/URTL SPHNCTR ANY TQ,,30,,,$823.77,$0.00,1,0,1,20120101,51792,CPT,STIMULUS EVOKED RESPONSE,,30,,,$459.50,$0.00,1,0,1,20120101,51797,CPT,VOID PRESSURE STUDIES INTRAABDOMINAL,,30,,,$823.77,$0.00,1,0,1,20120101,51798,CPT,MEAS POST-VOIDING RESIDUAL URINE&/BLDR CAP,,30,,,$303.61,$0.00,1,0,1,20120101,51845,CPT,ABDOMINO-VAG VESICAL NCK SSP W/WO NDSC CTRL,,30,,,"$16,086.48",$0.00,1,0,1,20120101,51860,CPT,CYSTORRHAPHY SUTR BLDR WND INJ/RPT SIMPLE,,30,,,"$8,733.20",$0.00,1,0,1,20120101,51880,CPT,CLOSURE CYSTOSTOMY SEPARATE PROCEDURE,,30,,,"$8,733.20",$0.00,1,0,1,20120101,51990,CPT,LAPAROSCOPY URETHRAL SUSPENSION STRESS INCONT,,30,,,"$16,618.43",$0.00,1,0,1,20120101,51992,CPT,LAPAROSCOPY SLING OPERATION STRESS INCONT,,30,,,"$16,618.43",$0.00,1,0,1,20120101,51999,CPT,UNLISTED LAPAROSCOPY PROCEDURE BLADDER,,30,,,"$14,346.17",$0.00,1,0,1,20120101,52000,CPT,CYSTOURETHROSCOPY,,30,,,"$2,870.79",$0.00,1,0,1,20120101,52001,CPT,CYSTO W/IRRG&EVAC MLT OBSTRUCTING CLOTS,,30,,,"$6,942.07",$0.00,1,0,1,20120101,52005,CPT,CYSTO BLADDER W/URETERAL CATHETERIZATION,,30,,,"$8,733.20",$0.00,1,0,1,20120101,52007,CPT,CYSTO W/URTRL CATHJ BRUSH BX URTR&/RNL PELVIS,,30,,,"$8,733.20",$0.00,1,0,1,20120101,52010,CPT,CYSTO W/EJACULATORY DUCT CATHETERIZATION,,30,,,"$2,870.79",$0.00,1,0,1,20120101,52204,CPT,CYSTOURETHROSCOPY WITH BIOPSY,,30,,,"$8,733.20",$0.00,1,0,1,20120101,52214,CPT,CYSTO W/DESTRUCTION OF LESIONS,,30,,,"$8,733.20",$0.00,1,0,1,20120101,52224,CPT,CYSTO W/REMOVAL OF LESIONS SMALL,,30,,,"$8,733.20",$0.00,1,0,1,20120101,52234,CPT,CYSTO W/REMOVAL OF TUMORS SMALL,,30,,,"$8,733.20",$0.00,1,0,1,20120101,52235,CPT,CYSTOURETHROSCOPY W/DEST&/RMVL MED BLADDER TUMOR,,30,,,"$8,733.20",$0.00,1,0,1,20120101,52240,CPT,CYSTOURETHROSCOPY W/DEST&/RMVL TUMOR LARGE,,30,,,"$8,733.20",$0.00,1,0,1,20120101,52250,CPT,CYSTOURETHROSCOPY INSJ RADIOACT SBST W/WOBX/FULG,,30,,,"$8,733.20",$0.00,1,0,1,20120101,52260,CPT,CYSTOURETHROSCOPY W/DIL BLADDER GENERAL ANESTH,,30,,,"$6,942.07",$0.00,1,0,1,20120101,52265,CPT,CYSTOURETHROSCOPY W/DIL BLADDER LOCAL ANESTHESIA,,30,,,"$2,870.79",$0.00,1,0,1,20120101,52270,CPT,CYSTOURETHROSCOPY W/INTERNAL URETHROTOMY FEMALE,,30,,,"$6,942.07",$0.00,1,0,1,20120101,52275,CPT,CYSTOURETHROSCOPY W/INTERNAL URETHROTOMY MALE,,30,,,"$8,733.20",$0.00,1,0,1,20120101,52276,CPT,CYSTOURETHROSCOPY W/INTERNAL URETHROTOMY MALE,,30,,,"$8,733.20",$0.00,1,0,1,20120101,52277,CPT,CYSTOURETHROSCOPY W/RESECJ EXTERNAL SPHINCTER,,30,,,"$8,733.20",$0.00,1,0,1,20120101,52281,CPT,CYSTO CALIBRATION DILAT URTL STRIX/STENOSIS,,30,,,"$6,942.07",$0.00,1,0,1,20120101,52282,CPT,CYSTOURETHROSCOPY INSERTION PERM URETHRAL STENT,,30,,,"$13,736.71",$0.00,1,0,1,20120101,52283,CPT,CYSTOURETHROSCOPY W/STEROID INJECTION STRICTURE,,30,,,"$8,733.20",$0.00,1,0,1,20120101,52285,CPT,CYSTOURETHROSCOPY TX FEMALE URETHRAL SYNDROME,,30,,,"$6,942.07",$0.00,1,0,1,20120101,52290,CPT,CYSTOURETHROSCOPY W/URETERAL MEATOTOMY UNI/BI,,30,,,"$8,733.20",$0.00,1,0,1,20120101,52300,CPT,CYSTO W/RESCJ/FULG ORTHOPIC URETEROCELE UNI/BI,,30,,,"$8,733.20",$0.00,1,0,1,20120101,52301,CPT,CYSTO W/RESECJ ECTOPIC URETEROCELE UNI/BI,,30,,,"$8,733.20",$0.00,1,0,1,20120101,52305,CPT,CYSTO INC/RESCJ ORIFICE BLDR DIVERTICULUM 1/MLT,,30,,,"$8,733.20",$0.00,1,0,1,20120101,52310,CPT,CYSTO W/SIMPLE REMOVAL STONE & STENT,,30,,,"$6,942.07",$0.00,1,0,1,20120101,52315,CPT,CYSTO W/COMPLEX REMOVAL STONE & STENT,,30,,,"$8,733.20",$0.00,1,0,1,20120101,52317,CPT,LITHOLAPAXY SMPL/SM < 2.5 CM,,30,,,"$8,733.20",$0.00,1,0,1,20120101,52318,CPT,LITHOLAPAXY COMP/LG > 2.5 CM,,30,,,"$8,733.20",$0.00,1,0,1,20120101,52320,CPT,CYSTOURETHROSCOPY W/RMVL URETERAL CALCULUS,,30,,,"$8,733.20",$0.00,1,0,1,20120101,52325,CPT,CYSTO FRAGMENTATION URETERAL STONE,,30,,,"$8,733.20",$0.00,1,0,1,20120101,52327,CPT,CYSTO W/SUBURTRIC NJX IMPLT MATRL,,30,,,"$13,736.71",$0.00,1,0,1,20120101,52330,CPT,CYSTO MANJ W/O RMVL URETERAL STONE,,30,,,"$8,733.20",$0.00,1,0,1,20120101,52332,CPT,CYSTO W/INSERT URETERAL STENT,,30,,,"$8,733.20",$0.00,1,0,1,20120101,52334,CPT,CYSTO INSJ URTRL GD WIRE PRQ NFROS RTRGR,,30,,,"$8,733.20",$0.00,1,0,1,20120101,52341,CPT,CYSTO W/TX URETERAL STRICTURE,,30,,,"$8,733.20",$0.00,1,0,1,20120101,52342,CPT,CYSTO W/TX URETEROPELVIC JUNCTION STRICTURE,,30,,,"$8,733.20",$0.00,1,0,1,20120101,52343,CPT,CYSTO W/TX INTRA-RENAL STRICTURE,,30,,,"$8,733.20",$0.00,1,0,1,20120101,52344,CPT,CYSTO W/URTROSCOPY W/TX URETERAL STRICTURE,,30,,,"$8,733.20",$0.00,1,0,1,20120101,52345,CPT,CYSTO W/URTROSCOPY W/TX URTROPEL JUNCT STRIX,,30,,,"$8,733.20",$0.00,1,0,1,20120101,52346,CPT,CYSTO W/URTROSCOPY W/TX INTRA-RENAL STRICTURE,,30,,,"$8,733.20",$0.00,1,0,1,20120101,52351,CPT,CYSTO W/URTROSCOPY&/PYELOSCOPY DX,,30,,,"$8,733.20",$0.00,1,0,1,20120101,52352,CPT,CYSTO W/URETEROSCOPY W/RMVL/MANJ STONES,,30,,,"$8,733.20",$0.00,1,0,1,20120101,52353,CPT,CYSTO W/URETEROSCOPY W/LITHOTRIPSY,,30,,,"$13,736.71",$0.00,1,0,1,20120101,52354,CPT,CYSTO/PYELOSCOPY BX&/FULGURATION PELIVC LESION,,30,,,"$8,733.20",$0.00,1,0,1,20120101,52355,CPT,CYSTO/PYELOSCOPY RESCJ PELVIC TUMOR,,30,,,"$8,733.20",$0.00,1,0,1,20120101,52400,CPT,CYSTO INC FULG/RESCJ URTL VALVES/FOLDS,,30,,,"$8,733.20",$0.00,1,0,1,20120101,52402,CPT,CSTO W/TRURL RESCJ/INC EJACULATORY DUXS,,30,,,"$8,733.20",$0.00,1,0,1,20120101,52450,CPT,TRANSURETHRAL INCISION PROSTATE,,30,,,"$8,733.20",$0.00,1,0,1,20120101,52500,CPT,TRANSURETHRAL RESECTION PROSTATE,,30,,,"$8,733.20",$0.00,1,0,1,20120101,52601,CPT,TRURL ELECTROSURG RESCJ PROSTATE BLEED COMPLETE,,30,,,"$13,736.71",$0.00,1,0,1,20120101,52630,CPT,TRURL RESCJ RESIDUAL/REGROWTH OBSTR PRSTATE TISS,,30,,,"$13,736.71",$0.00,1,0,1,20120101,52640,CPT,TRURL RESCJ POSTOP BLADDER NECK CONTRACTURE,,30,,,"$8,733.20",$0.00,1,0,1,20120101,52647,CPT,LASER COAGULATION OF PROSTATE FOR URINE FLOW,,30,,,"$16,158.19",$0.00,1,0,1,20120101,52648,CPT,LASER VAPORIZATION OF PROSTATE FOR URINE FLOW,,30,,,"$16,158.19",$0.00,1,0,1,20120101,52649,CPT,LASER ENUCLEATION PROSTATE W/MORCELLATION,,30,,,"$16,158.19",$0.00,1,0,1,20120101,52700,CPT,TRURL DRAINAGE PROSTATIC ABSCESS,,30,,,"$8,733.20",$0.00,1,0,1,20120101,53000,CPT,URTT/URTS XTRNL SPX PENDULOUS URETHRA,,30,,,"$8,169.49",$0.00,1,0,1,20120101,53010,CPT,URETHROTOMY/URETHROSTOMY XT SPX PERINEAL URETHRA,,30,,,"$8,169.49",$0.00,1,0,1,20120101,53020,CPT,MEATOTOMY CUTTING MEATUS SPX EXCEPT INFANT,,30,,,"$8,169.49",$0.00,1,0,1,20120101,53025,CPT,MEATOTOMY CUTTING MEATUS SPX INFANT,,30,,,"$8,169.49",$0.00,1,0,1,20120101,53040,CPT,DRAINAGE DEEP PERIURETHRAL ABSCESS,,30,,,"$8,169.49",$0.00,1,0,1,20120101,53060,CPT,DRG OF SKENE'S GLAND ABSCESS OR CYST,,30,,,"$8,169.49",$0.00,1,0,1,20120101,53080,CPT,DRG PERINEAL URINARY XTRVASATION UNCOMP SPX,,30,,,"$8,169.49",$0.00,1,0,1,20120101,53085,CPT,DRG PERINEAL URINARY XTRVASATION COMPLIC,,30,,,"$8,169.49",$0.00,1,0,1,20120101,53200,CPT,BIOPSY URETHRA,,30,,,"$8,169.49",$0.00,1,0,1,20120101,53210,CPT,URETHRECTOMY TOT W/CYSTOST FEMALE,,30,,,"$12,270.80",$0.00,1,0,1,20120101,53215,CPT,URETHRECTOMY TOT W/CYSTOST MALE,,30,,,"$8,169.49",$0.00,1,0,1,20120101,53220,CPT,EXC/FULGURATION CARCINOMA URETHRA,,30,,,"$12,270.80",$0.00,1,0,1,20120101,53230,CPT,EXC URETHRAL DIVERTICULUM SPX FEMALE,,30,,,"$12,270.80",$0.00,1,0,1,20120101,53235,CPT,EXC URETHRAL DIVERTICULUM SPX MALE,,30,,,"$8,169.49",$0.00,1,0,1,20120101,53240,CPT,MARSUPIALIZATION URTL DIVERTICULUM MALE/FEMALE,,30,,,"$12,270.80",$0.00,1,0,1,20120101,53250,CPT,EXCISION OF BULBOURETHRAL GLAND,,30,,,"$8,169.49",$0.00,1,0,1,20120101,53260,CPT,EXC/FULGURATION URETHRAL POLYP DSTL URETHRA,,30,,,"$8,169.49",$0.00,1,0,1,20120101,53265,CPT,EXC/FULGURATION URETHRAL CARUNCLE,,30,,,"$8,169.49",$0.00,1,0,1,20120101,53270,CPT,EXCISION OR FULGURATION SKENES GLANDS,,30,,,"$8,169.49",$0.00,1,0,1,20120101,53275,CPT,EXCISION/FULGURATION URETHRAL PROLAPSE,,30,,,"$8,169.49",$0.00,1,0,1,20120101,53400,CPT,URETHROPLASTY 1ST STG FISTULA/DIVERTICULUM/STRIX,,30,,,"$12,270.80",$0.00,1,0,1,20120101,53405,CPT,URETHROPLASTY 2ND STAGE W/URINARY DIVERSION,,30,,,"$12,270.80",$0.00,1,0,1,20120101,53410,CPT,URETHROPLASTY 1 STG RECNST MALE ANTERIOR URETHRA,,30,,,"$12,270.80",$0.00,1,0,1,20120101,53420,CPT,URTP 2-STG RCNSTJ/RPR PROSTAT/URETHRA 1ST STAGE,,30,,,"$12,270.80",$0.00,1,0,1,20120101,53425,CPT,URTP 2-STG RCNSTJ/RPR PROSTAT/URETHRA 2ND STAGE,,30,,,"$12,270.80",$0.00,1,0,1,20120101,53430,CPT,URETHROPLASTY RCNSTJ FEMALE URETHRA,,30,,,"$12,270.80",$0.00,1,0,1,20120101,53431,CPT,URTP W/TUBULARIZATION POST URT&/LWR BLDR,,30,,,"$12,270.80",$0.00,1,0,1,20120101,53440,CPT,SLING OPRATION CORRJ MALE URINARY INCONTINENCE,,30,,,"$23,494.85",$0.00,1,0,1,20120101,53442,CPT,RMVL/REVJ SLING MALE URINARY INCONTINENCE,,30,,,"$12,270.80",$0.00,1,0,1,20120101,53444,CPT,INSERTION TANDEM CUFF,,30,,,"$23,494.85",$0.00,1,0,1,20120101,53445,CPT,INSJ INFLATABLE URETHRAL/BLADDER NECK SPHINCTER,,30,,,"$23,399.20",$0.00,1,0,1,20120101,53446,CPT,REMVL INFLATABLE URETHRAL/BLADDER NECK SPHINCTER,,30,,,"$12,270.80",$0.00,1,0,1,20120101,53447,CPT,RMVL&RPLCMT NFLTL URETHRAL/BLADDER NECK SPHINCTR,,30,,,"$23,399.20",$0.00,1,0,1,20120101,53449,CPT,RPR NFLTBL URETHRAL/BLADDER NECK SPHINCTER,,30,,,"$12,270.80",$0.00,1,0,1,20120101,53450,CPT,URETHROMEATOPLASTY W/MUCOSAL ADVANCEMENT,,30,,,"$12,270.80",$0.00,1,0,1,20120101,53460,CPT,URETHROMEATOPLASTY W/PRTL EXC DSTL URTL SGM,,30,,,"$8,169.49",$0.00,1,0,1,20120101,53500,CPT,URETHROLSS TRVG SEC OPN W/CSTO,,30,,,"$12,270.80",$0.00,1,0,1,20120101,53502,CPT,URETHRORRHAPHY SUTR URETHRAL WOUND/INJ FEMALE,,30,,,"$8,169.49",$0.00,1,0,1,20120101,53505,CPT,URETHRORRHAPHY SUTR URETHRAL WOUND/INJ PENILE,,30,,,"$12,270.80",$0.00,1,0,1,20120101,53510,CPT,URETHRORRHAPHY SUTR URETHRAL WOUND/INJ PERINEAL,,30,,,"$8,169.49",$0.00,1,0,1,20120101,53515,CPT,URTORR SUTR URETHRAL WND/INJ PROSTATOMEMBRANOUS,,30,,,"$12,270.80",$0.00,1,0,1,20120101,53520,CPT,CLSR URETHROSTOMY/URETHROQ FSTL MALE SPX,,30,,,"$12,270.80",$0.00,1,0,1,20120101,53600,CPT,DILAT URETHRAL STRIX DILATOR MALE 1ST,,30,,,"$1,255.99",$0.00,1,0,1,20120101,53601,CPT,DILAT URETHRAL STRIX DILATOR MALE SBSQ,,30,,,$459.50,$0.00,1,0,1,20120101,53605,CPT,DILAT URETHRAL STRIX/VESICAL NCK DILAT MALE ANES,,30,,,"$6,942.07",$0.00,1,0,1,20120101,53620,CPT,DILAT URETHRAL STRIX FILIFORM&FOLLWR MALE 1ST,,30,,,"$7,932.75",$0.00,1,0,1,20120101,53621,CPT,DILAT URETHRAL STRIX FILIFORM&FOLLWR MALE SBSQ,,30,,,$823.77,$0.00,1,0,1,20120101,53660,CPT,DILAT FEMALE URETHRA W/SUPPOSITORY&/INSTLJ INIT,,30,,,$459.50,$0.00,1,0,1,20120101,53661,CPT,DILAT FEMALE URT W/SUPPOSITORY&/INSTLJ SBSQ,,30,,,$459.50,$0.00,1,0,1,20120101,53665,CPT,DILAT FEMALE URETHRA GENERAL/CNDJ SPINAL ANES,,30,,,"$8,169.49",$0.00,1,0,1,20120101,53850,CPT,TRURL DSTRJ PRSTATE TISS MICROWAVE THERMOTH,,30,,,"$16,158.19",$0.00,1,0,1,20120101,53852,CPT,TRURL DSTRJ PRSTATE TISS RF THERMOTH,,30,,,"$16,158.19",$0.00,1,0,1,20120101,53855,CPT,INSERT TEMP PROSTATIC URETH STENT W/MEASUREMENT,,30,,,$823.77,$0.00,1,0,1,20120101,53860,CPT,TRURL RF FEMALE BLADDER NECK STRS URIN INCONT,,30,,,"$7,932.75",$0.00,1,0,1,20120101,53899,CPT,UNLISTED PROCEDURE URINARY SYSTEM,,30,,,$459.50,$0.00,1,0,1,20120101,54000,CPT,SLITTING PREPUCE DORSAL/LATERAL SPX NEWBORN,,30,,,"$8,169.49",$0.00,1,0,1,20120101,54001,CPT,SLITTING PREPUCE DORSAL/LAT SPX XCP NEWBORN,,30,,,"$8,169.49",$0.00,1,0,1,20120101,54015,CPT,I&D PENIS DEEP,,30,,,"$8,067.87",$0.00,1,0,1,20120101,54050,CPT,DSTRJ LESION PENIS SIMPLE CHEMICAL,,30,,,$372.19,$0.00,1,0,1,20120101,54055,CPT,DSTRJ LESION PENIS SIMPLE ELECTRODESICCATION,,30,,,"$8,666.10",$0.00,1,0,1,20120101,54056,CPT,DSTRJ LESION PENIS SIMPLE CRYOSURGERY,,30,,,$238.23,$0.00,1,0,1,20120101,54057,CPT,DSTRJ LESION PENIS SIMPLE LASER,,30,,,"$8,666.10",$0.00,1,0,1,20120101,54060,CPT,DSTRJ LESION PENIS SIMPLE SURG EXCISION,,30,,,"$8,666.10",$0.00,1,0,1,20120101,54065,CPT,DSTRJ LESION PENIS EXTENSIVE,,30,,,"$8,666.10",$0.00,1,0,1,20120101,54100,CPT,BIOPSY PENIS SEPARATE PROCEDURE,,30,,,"$5,907.48",$0.00,1,0,1,20120101,54105,CPT,BIOPSY PENIS DEEP STRUCTURES,,30,,,"$9,197.85",$0.00,1,0,1,20120101,54110,CPT,EXCISION OF PENILE PLAQUE,,30,,,"$12,970.60",$0.00,1,0,1,20120101,54111,CPT,EXC PENILE PLAQUE GRAFT </5 CM LENGTH,,30,,,"$12,970.60",$0.00,1,0,1,20120101,54112,CPT,EXC PENILE PLAQUE GRAFT > 5 CM LENGTH,,30,,,"$12,970.60",$0.00,1,0,1,20120101,54115,CPT,REMOVAL FOREIGN BODY DEEP PENILE TISSUE,,30,,,"$8,067.87",$0.00,1,0,1,20120101,54120,CPT,AMPUTATION PENIS PARTIAL,,30,,,"$12,970.60",$0.00,1,0,1,20120101,54150,CPT,CIRCUMCISION W/CLAMP/OTH DEV W/BLOCK,,30,,,"$9,318.31",$0.00,1,0,1,20120101,54160,CPT,CIRCUMCISION NEONATE,,30,,,"$9,318.31",$0.00,1,0,1,20120101,54161,CPT,CIRCUMCISION AGE >28 DAYS,,30,,,"$9,318.31",$0.00,1,0,1,20120101,54162,CPT,LYSIS/EXCISION PENILE POSTCIRCUMCISION ADHESIONS,,30,,,"$9,318.31",$0.00,1,0,1,20120101,54163,CPT,REPAIR INCOMPLETE CIRCUMCISION,,30,,,"$9,318.31",$0.00,1,0,1,20120101,54164,CPT,FRENULOTOMY PENIS,,30,,,"$9,318.31",$0.00,1,0,1,20120101,54200,CPT,INJECTION PEYRONIE DISEASE,,30,,,$823.77,$0.00,1,0,1,20120101,54205,CPT,NJX PEYRONIE W/SURG EXPOS PLAQUE,,30,,,"$12,970.60",$0.00,1,0,1,20120101,54220,CPT,IRRIGATION CORPORA CAVERNOSA PRIAPISM,,30,,,$823.77,$0.00,1,0,1,20120101,54231,CPT,DYNAMIC CAVERNOSOMETRY NJX VASOACTIVE DRUGS,,30,,,"$7,932.75",$0.00,1,0,1,20120101,54235,CPT,NJX C/P/A CAVERNOSA W/PHARMACOLOGIC AGT,,30,,,$823.77,$0.00,1,0,1,20120101,54240,CPT,PENILE PLETHYSMOGRAPY,,30,,,$459.50,$0.00,1,0,1,20120101,54250,CPT,NOCTURNAL PENILE TUMESCENCE&/RGDITY TEST,,30,,,$823.77,$0.00,1,0,1,20120101,54300,CPT,PENIS STRAIGHTENING CHORDEE,,30,,,"$12,970.60",$0.00,1,0,1,20120101,54304,CPT,PENIS CORRJ CHORDEE/1ST STAGE HYPOSPADIAS RPR,,30,,,"$12,970.60",$0.00,1,0,1,20120101,54308,CPT,URETHROPLASTY 2ND STAGE HYPOSPADIAS RPR < 3 CM,,30,,,"$12,970.60",$0.00,1,0,1,20120101,54312,CPT,URETHROPLASTY 2ND STAGE HYPOSPADIAS RPR > 3 CM,,30,,,"$12,970.60",$0.00,1,0,1,20120101,54316,CPT,URETHROPLASTY 2ND STAGE HYPOSPADIAS RPR SKIN GRF,,30,,,"$12,970.60",$0.00,1,0,1,20120101,54318,CPT,URETHROPLASTY 3RD STG HYPOSPADIAS RPR RLS PENIS,,30,,,"$12,970.60",$0.00,1,0,1,20120101,54322,CPT,1 STG DSTL HYPOSPADIAS RPR W/SMPL MEATAL ADVMNT,,30,,,"$12,970.60",$0.00,1,0,1,20120101,54324,CPT,1 STG DSTL HYPOSPADIAS RPR W/URTP SKIN FLAPS,,30,,,"$12,970.60",$0.00,1,0,1,20120101,54326,CPT,1 STG DSTL HYPOSPADIAS RPR URTP SKN FLAPS&MOB,,30,,,"$12,970.60",$0.00,1,0,1,20120101,54328,CPT,1 STAGE DSTL HYPOSPADIAS RPR W/EXTENSIVE DSJ,,30,,,"$12,970.60",$0.00,1,0,1,20120101,54332,CPT,1 STAGE PROX PENILE/PENOSCROTAL HYPOSPADIAS RPR,,30,,,"$12,970.60",$0.00,1,0,1,20120101,54336,CPT,1 STG PERINEAL HYPOSPADIAS RPR W/GRF&/FLA,,30,,,"$12,970.60",$0.00,1,0,1,20120101,54340,CPT,RPR HYPOSPADIAS COMPLCTJS CLSR INC/EXC SIMPLE,,30,,,"$12,970.60",$0.00,1,0,1,20120101,54344,CPT,RPR HYPOSPADIAS COMPLCTJS MOBLJ FLAPS&URTP,,30,,,"$12,970.60",$0.00,1,0,1,20120101,54348,CPT,RPR HYPOSPADIAS COMPLCTJS DSJ&URTP FLAP/GRF,,30,,,"$12,970.60",$0.00,1,0,1,20120101,54352,CPT,RPR HYPOSPADIAS CRIPPLE W/DSJ&EXC&GRFS/FLAPS,,30,,,"$12,970.60",$0.00,1,0,1,20120101,54360,CPT,PLASTIC RPR PENIS CORRECT ANGULATION,,30,,,"$12,970.60",$0.00,1,0,1,20120101,54380,CPT,PLASTIC RPR PENIS EPISPADIAS DSTL SPHNCTR,,30,,,"$12,970.60",$0.00,1,0,1,20120101,54385,CPT,PLASTIC PENIS EPISPADIAS DSTL SPHNCTR W/INCONT,,30,,,"$12,970.60",$0.00,1,0,1,20120101,54400,CPT,INSJ PENILE PROSTHESIS NON-INFLATABLE SEMI-RIGID,,30,,,"$23,494.85",$0.00,1,0,1,20120101,54401,CPT,INSJ PENILE PROSTHESOS INFLATABLE SELF-CONTAINED,,30,,,"$23,399.20",$0.00,1,0,1,20120101,54405,CPT,INSJ MULTI-COMPONENT INFLATABLE PENILE PROSTH,,30,,,"$23,399.20",$0.00,1,0,1,20120101,54406,CPT,RMVL INFLATABLE PENILE PROSTH W/O RPLCMT PROSTH,,30,,,"$12,970.60",$0.00,1,0,1,20120101,54408,CPT,RPR COMPONENT INFLATABLE PENILE PROSTHESIS,,30,,,"$12,970.60",$0.00,1,0,1,20120101,54410,CPT,RMVL&RPLCMT INFLATABLE PENILE PROSTH SAME SESSN,,30,,,"$23,399.20",$0.00,1,0,1,20120101,54415,CPT,RMVL NON-NFLTBL/NFLTBL PENILE PROSTH W/O RPLCMT,,30,,,"$12,970.60",$0.00,1,0,1,20120101,54416,CPT,RMVL&RPLCMT NON-NFLTBL/NFLTBL PENILE PROSTHESIS,,30,,,"$23,399.20",$0.00,1,0,1,20120101,54420,CPT,CORPORA CAVERNOSA-SAPHENOUS VEIN SHUNT UNI/BI,,30,,,"$12,970.60",$0.00,1,0,1,20120101,54435,CPT,CORPORA CAVERNOSA-GLANS PENIS FSTLJ PRIAPISM,,30,,,"$12,970.60",$0.00,1,0,1,20120101,54440,CPT,PLASTIC OPERATION PENIS INJURY,,30,,,"$12,970.60",$0.00,1,0,1,20120101,54450,CPT,FORESKN MANJ W/LSS PREPUTIAL ADS&STRETCHING,,30,,,"$1,255.99",$0.00,1,0,1,20120101,54500,CPT,BIOPSY TESTIS NEEDLE SEPARATE PROCEDURE,,30,,,"$6,032.98",$0.00,1,0,1,20120101,54505,CPT,BIOPSY TESTIS INCISIONAL SEPARATE PROCEDURE,,30,,,"$9,318.31",$0.00,1,0,1,20120101,54512,CPT,EXC XTRPARENCHYMAL LESION TESTIS,,30,,,"$9,318.31",$0.00,1,0,1,20120101,54520,CPT,ORCHIECTOMY SIMPLE SCROTAL/INGUINAL APPROACH,,30,,,"$9,318.31",$0.00,1,0,1,20120101,54522,CPT,ORCHIECTOMY PARTIAL,,30,,,"$9,318.31",$0.00,1,0,1,20120101,54530,CPT,ORCHIECTOMY RADICAL TUMOR INGUINAL APPROACH,,30,,,"$11,207.64",$0.00,1,0,1,20120101,54535,CPT,ORCHIECTOMY RADICAL TUMOR W/ABDOMINAL EXPL,,30,,,"$12,970.60",$0.00,1,0,1,20120101,54550,CPT,EXPL UNDESCENDED TSTIS INGUN/SCROTAL AREA,,30,,,"$11,207.64",$0.00,1,0,1,20120101,54560,CPT,EXPL UNDESCENDED TESTIS W/ABDOMINAL EXPL,,30,,,"$9,318.31",$0.00,1,0,1,20120101,54600,CPT,RDCTJ TORSION TSTIS W/WO FIXJ CLAT TESTIS,,30,,,"$9,318.31",$0.00,1,0,1,20120101,54620,CPT,FIXATION CONTRALATERAL TESTIS SEPARATE PROCEDURE,,30,,,"$9,318.31",$0.00,1,0,1,20120101,54640,CPT,ORCHIOPEXY INGUINAL APPROACH W/WO HERNIA RPR,,30,,,"$11,207.64",$0.00,1,0,1,20120101,54650,CPT,ORCHIOPEXY ABDL APPROACH INTRA-ABDOMINAL TESTIS,,30,,,"$11,207.64",$0.00,1,0,1,20120101,54660,CPT,INSJ TESTICULAR PROSTH SEPARATE PROCEDURE,,30,,,"$9,318.31",$0.00,1,0,1,20120101,54670,CPT,SUTURE/REPAIR TESTICULAR INJURY,,30,,,"$9,318.31",$0.00,1,0,1,20120101,54680,CPT,TRANSPLANTATION TESTIS TO THIGH,,30,,,"$9,318.31",$0.00,1,0,1,20120101,54690,CPT,LAPAROSCOPY SURGICAL ORCHIECTOMY,,30,,,"$16,618.43",$0.00,1,0,1,20120101,54692,CPT,LAPAROSCOPY ORCHIOPEXY INTRA-ABDOMINAL TESTIS,,30,,,"$21,140.01",$0.00,1,0,1,20120101,54699,CPT,UNLISTED LAPAROSCOPY PROCEDURE TESTIS,,30,,,"$14,346.17",$0.00,1,0,1,20120101,54700,CPT,I&D EPIDIDYMIS TSTIS&/SCROTAL SPACE,,30,,,"$9,318.31",$0.00,1,0,1,20120101,54800,CPT,BIOPSY EPIDIDYMIS NEEDLE,,30,,,"$1,815.32",$0.00,1,0,1,20120101,54830,CPT,EXCISION LOCAL LESION EPIDIDYMIS,,30,,,"$9,318.31",$0.00,1,0,1,20120101,54840,CPT,EXCISION SPERMATOCELE W/WO EPIDIDYMECTOMY,,30,,,"$9,318.31",$0.00,1,0,1,20120101,54860,CPT,EPIDIDYMECTOMY UNILATERAL,,30,,,"$9,318.31",$0.00,1,0,1,20120101,54861,CPT,EPIDIDYMECTOMY BILATERAL,,30,,,"$9,318.31",$0.00,1,0,1,20120101,54865,CPT,EXPLORATION EPIDIDYMIS W/WO BIOPSY,,30,,,"$9,318.31",$0.00,1,0,1,20120101,54900,CPT,EPIDIDYMOVASOSTOMY ANAST EPIDIDYMIS UNI,,30,,,"$9,318.31",$0.00,1,0,1,20120101,54901,CPT,EPIDIDYMOVASOSTOMY ANAST EPIDIDYMIS BI,,30,,,"$9,318.31",$0.00,1,0,1,20120101,55000,CPT,PNXR ASPIR HYDROCELE TUNICA VAGIS W/WO NJX MED,,30,,,"$1,815.32",$0.00,1,0,1,20120101,55040,CPT,EXCISION HYDROCELE UNILATERAL,,30,,,"$11,207.64",$0.00,1,0,1,20120101,55041,CPT,EXCISION HYDROCELE BILATERAL,,30,,,"$11,207.64",$0.00,1,0,1,20120101,55060,CPT,RPR TUNICA VAGINALIS HYDROCELE BOTTLE TYPE,,30,,,"$9,318.31",$0.00,1,0,1,20120101,55100,CPT,DRAINAGE SCROTAL WALL ABSCESS,,30,,,"$5,293.97",$0.00,1,0,1,20120101,55110,CPT,SCROTAL EXPLORATION,,30,,,"$9,318.31",$0.00,1,0,1,20120101,55120,CPT,REMOVAL FOREIGN BODY SCROTUM,,30,,,"$9,318.31",$0.00,1,0,1,20120101,55150,CPT,RESECTION SCROTUM,,30,,,"$9,318.31",$0.00,1,0,1,20120101,55175,CPT,SCROTOPLASTY SIMPLE,,30,,,"$9,318.31",$0.00,1,0,1,20120101,55180,CPT,SCROTOPLASTY COMPLICATED,,30,,,"$9,318.31",$0.00,1,0,1,20120101,55200,CPT,VASOTOMY CANNULIZATION W/WO VAS INC UNI/BI SPX,,30,,,"$9,318.31",$0.00,1,0,1,20120101,55250,CPT,VASECTOMY UNI/BI SPX W/POSTOP SEMEN EXAMS,,30,,,"$9,318.31",$0.00,1,0,1,20120101,55400,CPT,VASOVASOSTOMY VASOVASORRHAPHY,,30,,,"$9,318.31",$0.00,1,0,1,20120101,55450,CPT,LIGATION PRQ VAS DEFERENS UNI/BI SPX,,30,,,"$9,318.31",$0.00,1,0,1,20120101,55500,CPT,EXC HYDROCELE SPRMATIC CORD UNI SPX,,30,,,"$9,318.31",$0.00,1,0,1,20120101,55520,CPT,EXC LESION SPERMATIC CORD SEPARATE PROCEDURE,,30,,,"$9,318.31",$0.00,1,0,1,20120101,55530,CPT,EXC VARICOCELE/LIGATION SPERMATIC VEINS SPX,,30,,,"$9,318.31",$0.00,1,0,1,20120101,55535,CPT,EXC VARICOCELE/LIGATION SPERMATIC VEINS ABDL,,30,,,"$11,207.64",$0.00,1,0,1,20120101,55540,CPT,EXC VARICOCELE/LIGATION VEINS W/HERNIA RPR,,30,,,"$11,207.64",$0.00,1,0,1,20120101,55550,CPT,LAPS LIGATION SPERMATIC VEINS VARICOCELE,,30,,,"$16,618.43",$0.00,1,0,1,20120101,55559,CPT,UNLISTED LAPROSCOPY PROCEDURE SPERMATIC CORD,,30,,,"$14,346.17",$0.00,1,0,1,20120101,55600,CPT,VESICULOTOMY,,30,,,"$9,318.31",$0.00,1,0,1,20120101,55680,CPT,EXCISION MULLERIAN DUCT CYST,,30,,,"$9,318.31",$0.00,1,0,1,20120101,55700,CPT,PROSTATE NEEDLE BIOPSY ANY APPROACH,,30,,,"$5,596.28",$0.00,1,0,1,20120101,55705,CPT,BIOPSY PROSTATE INCISIONAL ANY APPROACH,,30,,,"$5,596.28",$0.00,1,0,1,20120101,55706,CPT,BX PROSTATE STRTCTC SATURATION SAMPLING IMG GID,,30,,,"$5,596.28",$0.00,1,0,1,20120101,55720,CPT,PROSTATOTOMY EXTERNAL DRG ABSCESS SIMPLE,,30,,,"$8,733.20",$0.00,1,0,1,20120101,55725,CPT,PROSTATOTOMY EXTERNAL DRG ABSCESS COMPLICATED,,30,,,"$8,733.20",$0.00,1,0,1,20120101,55860,CPT,EXPOS PROSTATE ANY APPROACH INSJ RADIOACT SUBST,,30,,,"$7,932.75",$0.00,1,0,1,20120101,55870,CPT,ELECTROEJACULATION,,30,,,"$1,418.78",$0.00,1,0,1,20120101,55873,CPT,CRYOSURGICAL ABLATION PROSTATE W/US & MONITORING,,30,,,"$23,384.35",$0.00,1,0,1,20120101,55875,CPT,TRANSPERINEAL PLMT NDL/CATHS PROSTATE RADJ INSJ,,30,,,"$13,736.71",$0.00,1,0,1,20120101,55876,CPT,PLMT INTERSTITIAL DEV RADIAT TX PROSTATE 1/MULT,,30,,,"$5,605.93",$0.00,1,0,1,20120101,55899,CPT,UNLISTED PROCEDURE MALE GENITAL SYSTEM,,30,,,$459.50,$0.00,1,0,1,20120101,55920,CPT,PLACEMENT NEEDLE PELVIC ORGAN RADIOELEMENT APPL,,30,,,"$10,466.85",$0.00,1,0,1,20120101,56405,CPT,I&D VULVA/PERINEAL ABSCESS,,30,,,$632.35,$0.00,1,0,1,20120101,56420,CPT,I&D OF BARTHOLINS GLAND ABSCESS,,30,,,$632.35,$0.00,1,0,1,20120101,56440,CPT,MARSUPIALIZATION BARTHOLINS GLAND CYST,,30,,,"$8,161.00",$0.00,1,0,1,20120101,56441,CPT,LYSIS LABIAL ADHESIONS,,30,,,"$8,161.00",$0.00,1,0,1,20120101,56442,CPT,HYMENOTOMY SIMPLE INCISION,,30,,,"$8,161.00",$0.00,1,0,1,20120101,56501,CPT,DESTRUCTION LESIONS VULVA SIMPLE,,30,,,"$8,666.10",$0.00,1,0,1,20120101,56515,CPT,DESTRUCTION LESIONS VULVA EXTENSIVE,,30,,,"$8,666.10",$0.00,1,0,1,20120101,56605,CPT,BIOPSY VULVA/PERINEUM 1 LESION SPX,,30,,,"$1,418.78",$0.00,1,0,1,20120101,56606,CPT,BIOPSY VULVA/PERINEUM EACH ADDL LESION,,30,,,$632.35,$0.00,1,0,1,20120101,56620,CPT,VULVECTOMY SIMPLE PARTIAL,,30,,,"$8,161.00",$0.00,1,0,1,20120101,56625,CPT,VULVECTOMY SIMPLE COMPLETE,,30,,,"$8,161.00",$0.00,1,0,1,20120101,56700,CPT,PRTL HYMENECTOMY/REVJ HYMENAL RING,,30,,,"$8,161.00",$0.00,1,0,1,20120101,56740,CPT,EXC BARTHOLINS GLAND/CYST,,30,,,"$8,161.00",$0.00,1,0,1,20120101,56800,CPT,PLASTIC REPAIR INTROITUS,,30,,,"$8,161.00",$0.00,1,0,1,20120101,56805,CPT,CLITOROPLASTY INTERSEX STATE,,30,,,"$8,161.00",$0.00,1,0,1,20120101,56810,CPT,PERINEOPLASTY RPR PERINEUM NONOBSTETRICAL SPX,,30,,,"$8,161.00",$0.00,1,0,1,20120101,56820,CPT,COLPOSCOPY VULVA,,30,,,$632.35,$0.00,1,0,1,20120101,56821,CPT,COLPOSCOPY VULVA W/BIOPSY,,30,,,$632.35,$0.00,1,0,1,20120101,57000,CPT,COLPOTOMY W/EXPLORATION,,30,,,"$8,161.00",$0.00,1,0,1,20120101,57010,CPT,COLPOTOMY W/DRAINAGE PELVIC ABSCESS,,30,,,"$8,161.00",$0.00,1,0,1,20120101,57020,CPT,COLPOCENTESIS SEPARATE PROCEDURE,,30,,,"$2,762.52",$0.00,1,0,1,20120101,57022,CPT,I&D VAGINAL HEMATOMA OBSTETRICAL/POSTPARTUM,,30,,,"$5,293.97",$0.00,1,0,1,20120101,57023,CPT,I&D VAGINAL HEMATOMA NON-OBSTETRICAL,,30,,,"$8,067.87",$0.00,1,0,1,20120101,57061,CPT,DESTRUCTION VAGINAL LESIONS SIMPLE,,30,,,"$8,161.00",$0.00,1,0,1,20120101,57065,CPT,DESTRUCTION VAGINAL LESIONS EXTENSIVE,,30,,,"$8,161.00",$0.00,1,0,1,20120101,57100,CPT,BIOPSY VAGINAL MUCOSA SIMPLE,,30,,,"$2,762.52",$0.00,1,0,1,20120101,57105,CPT,BIOPSY VAGINAL MUCOSA EXTENSIVE,,30,,,"$8,161.00",$0.00,1,0,1,20120101,57106,CPT,VAGINECTOMY PARTIAL REMOVAL VAGINAL WALL,,30,,,"$8,161.00",$0.00,1,0,1,20120101,57107,CPT,VAGINECTOMY PRTL RMVL VAG WALL & PARAVAGINAL TIS,,30,,,"$13,434.80",$0.00,1,0,1,20120101,57109,CPT,VAGNC PRTL RMVL VAG WALL W/BI TOT PEL LMPHADEC,,30,,,"$13,434.80",$0.00,1,0,1,20120101,57120,CPT,COLPOCLEISIS LE FORT TYPE,,30,,,"$13,434.80",$0.00,1,0,1,20120101,57130,CPT,EXCISION VAGINAL SEPTUM,,30,,,"$8,161.00",$0.00,1,0,1,20120101,57135,CPT,EXCISION VAGINAL CYST/TUMOR,,30,,,"$8,161.00",$0.00,1,0,1,20120101,57150,CPT,IRRIGATION VAGINA&/APPL MEDICAMENT TX DISEASE,,30,,,$632.35,$0.00,1,0,1,20120101,57155,CPT,INSERTION UTERINE TANDEM&/VAGINAL OVOIDS,,30,,,"$2,762.52",$0.00,1,0,1,20120101,57156,CPT,INSERTION VAGINAL RADIATION DEVICE,,30,,,"$1,418.78",$0.00,1,0,1,20120101,57160,CPT,FIT&INSJ PESSARY/OTH INTRAVAGINAL SUPPORT DEVICE,,30,,,$632.35,$0.00,1,0,1,20120101,57170,CPT,DIAPHRAGM/CERVICAL CAP FITTING W/INSTRUCTIONS,,30,,,$54.48,$0.00,1,0,1,20120101,57180,CPT,INTRO ANY HEMOSTATIC AGENT/PACK VAG HEMRRG SPX,,30,,,$632.35,$0.00,1,0,1,20120101,57200,CPT,COLPORRHAPHY SUTURE INJURY VAGINA,,30,,,"$8,161.00",$0.00,1,0,1,20120101,57210,CPT,COLPOPERINEORRHAPHY SUTURE INJ VAGINA&/PERINEUM,,30,,,"$8,161.00",$0.00,1,0,1,20120101,57220,CPT,PLASTIC URETHRAL SPHINCTER VAGINAL APPROACH,,30,,,"$16,086.48",$0.00,1,0,1,20120101,57230,CPT,PLASTIC REPAIR URETHROCELE,,30,,,"$13,434.80",$0.00,1,0,1,20120101,57240,CPT,ANT COLPORRHAPHY CYSTOCELE W/WO RPR URETHROCELE,,30,,,"$13,434.80",$0.00,1,0,1,20120101,57250,CPT,POST COLPORRHAPHY RECTOCELE W/WO PERINEORRHAPHY,,30,,,"$13,434.80",$0.00,1,0,1,20120101,57260,CPT,COMBINED ANTEROPOSTERIOR COLPORRHAPHY,,30,,,"$13,434.80",$0.00,1,0,1,20120101,57265,CPT,CMBND ANTEROPOST COLPORRHAPHY W/ENTEROCELE RPR,,30,,,"$16,086.48",$0.00,1,0,1,20120101,57267,CPT,INSJ MESH/PROSTH PELVIC FLOOR DEFECT EACH SITE,,30,,,"$13,434.80",$0.00,1,0,1,20120101,57268,CPT,REPAIR ENTEROCELE VAGINAL APPROACH SPX,,30,,,"$13,434.80",$0.00,1,0,1,20120101,57282,CPT,COLPOPEXY VAGINAL EXTRAPERITONEAL APPROACH,,30,,,"$16,086.48",$0.00,1,0,1,20120101,57283,CPT,COLPOPEXY VAGINAL INTRAPERITONEAL APPROACH,,30,,,"$16,086.48",$0.00,1,0,1,20120101,57284,CPT,PARAVAGINAL DEFECT REPAIR OPEN ABDOMINAL APPR,,30,,,"$16,086.48",$0.00,1,0,1,20120101,57285,CPT,PARAVAGINAL DEFECT REPAIR VAGINAL APPROACH,,30,,,"$16,086.48",$0.00,1,0,1,20120101,57287,CPT,RMVL/REVJ SLING STRESS INCONTINENCE,,30,,,"$13,434.80",$0.00,1,0,1,20120101,57288,CPT,SLING OPERATION STRESS INCONTINENCE,,30,,,"$16,086.48",$0.00,1,0,1,20120101,57289,CPT,PEREYRA PX W/ANTERIOR COLPORRHAPHY,,30,,,"$13,434.80",$0.00,1,0,1,20120101,57291,CPT,CONSTRUCTION ARTIFICIAL VAGINA W/O GRAFT,,30,,,"$13,434.80",$0.00,1,0,1,20120101,57292,CPT,CONSTRUCTION ARTIFICIAL VAGINA W/GRAFT,,30,,,"$13,434.80",$0.00,1,0,1,20120101,57295,CPT,REVJ/RMVL PROSTHETIC VAGINAL GRAFT VAGINAL APP,,30,,,"$8,161.00",$0.00,1,0,1,20120101,57300,CPT,CLSR RECTOVAGINAL FISTULA VAGINAL/TRANSANAL APPR,,30,,,"$13,434.80",$0.00,1,0,1,20120101,57310,CPT,CLOSURE URETHROVAGINAL FISTULA,,30,,,"$16,086.48",$0.00,1,0,1,20120101,57320,CPT,CLOSURE VESICOVAGINAL FISTULA VAGINAL APPROACH,,30,,,"$13,434.80",$0.00,1,0,1,20120101,57330,CPT,CLSR VESICOVAG FSTL TRANSVESICAL&VAG APPR,,30,,,"$13,434.80",$0.00,1,0,1,20120101,57335,CPT,VAGINOPLASTY INTERSEX STATE,,30,,,"$13,434.80",$0.00,1,0,1,20120101,57400,CPT,DILATION VAGINA W/ANESTHESIA OTHER THAN LOCAL,,30,,,"$8,161.00",$0.00,1,0,1,20120101,57410,CPT,PELVIC EXAMINATION W/ANESTHESIA OTHER THAN LOCAL,,30,,,"$8,161.00",$0.00,1,0,1,20120101,57415,CPT,REMOVAL IMPACTED VAG FB SPX W/ANES OTH/THN LOCAL,,30,,,"$8,161.00",$0.00,1,0,1,20120101,57420,CPT,COLPOSCOPY ENTIRE VAGINA W/CERVIX IF PRESENT,,30,,,"$1,418.78",$0.00,1,0,1,20120101,57421,CPT,COLPOSCOPY ENTIRE VAGINA W/VAGINA/CERVIX BX,,30,,,"$1,418.78",$0.00,1,0,1,20120101,57423,CPT,PARAVAGINAL DEFECT REPAIR LAPAROSCOPIC APPROACH,,30,,,"$16,086.48",$0.00,1,0,1,20120101,57425,CPT,LAPAROSCOPY COLPOPEXY SUSPENSION VAGINAL APEX,,30,,,"$16,618.43",$0.00,1,0,1,20120101,57426,CPT,REVISION PROSTHETIC VAGINAL GRAFT LAPAROSCOPIC,,30,,,"$8,161.00",$0.00,1,0,1,20120101,57452,CPT,COLPOSCOPY CERVIX UPPER/ADJACENT VAGINA,,30,,,$632.35,$0.00,1,0,1,20120101,57454,CPT,COLPOSCOPY CERVIX BX CERVIX&ENDOCRV CURTG,,30,,,"$1,418.78",$0.00,1,0,1,20120101,57455,CPT,COLPOSCOPY CERVIX UPPR/ADJCNT VAGINA W/CERVIX BX,,30,,,"$1,418.78",$0.00,1,0,1,20120101,57456,CPT,COLPOSCOPY CERVIX ENDOCERVICAL CURETTAGE,,30,,,"$1,418.78",$0.00,1,0,1,20120101,57460,CPT,COLPOSCOPY CERVIX VAG LOOP ELTRD BX CERVIX,,30,,,"$8,161.00",$0.00,1,0,1,20120101,57461,CPT,COLPOSCOPY CERVIX VAG ELTRD CONIZATION CERVIX,,30,,,"$8,161.00",$0.00,1,0,1,20120101,57500,CPT,BIOPSY CERVIX SINGLE/MULT/EXCISION OF LESION SPX,,30,,,"$2,762.52",$0.00,1,0,1,20120101,57505,CPT,ENDOCERVICAL CURETTAGE W/DILATION & CURETTAGE,,30,,,"$2,762.52",$0.00,1,0,1,20120101,57510,CPT,CAUTERY CERVIX ELECTRO/THERMAL,,30,,,"$8,161.00",$0.00,1,0,1,20120101,57511,CPT,CAUTERY CERVIX CRYOCAUTERY INITIAL/REPEAT,,30,,,$632.35,$0.00,1,0,1,20120101,57513,CPT,CAUTERY CERVIX LASER ABLATION,,30,,,"$8,161.00",$0.00,1,0,1,20120101,57520,CPT,CONIZATION CERVIX +-D&C RPR KNIFE/LASER,,30,,,"$8,161.00",$0.00,1,0,1,20120101,57522,CPT,CONIZATION CERVIX +-D&C RPR ELTRD EXC,,30,,,"$8,161.00",$0.00,1,0,1,20120101,57530,CPT,TRACHELECTOMY CERVICECTOMY AMP CERVIX SPX,,30,,,"$13,434.80",$0.00,1,0,1,20120101,57550,CPT,EXCISION CERVICAL STUMP VAGINAL APPROACH,,30,,,"$13,434.80",$0.00,1,0,1,20120101,57555,CPT,EXC CRV STUMP VAG APPR W/ANT&/POST RPR,,30,,,"$13,434.80",$0.00,1,0,1,20120101,57556,CPT,EXC CRV STUMP VAG APPR W/RPR NTRCL,,30,,,"$16,086.48",$0.00,1,0,1,20120101,57558,CPT,DILATION & CURETTAGE CERVICAL STUMP,,30,,,"$8,161.00",$0.00,1,0,1,20120101,57700,CPT,CERCLAGE UTERINE CERVIX NONOBSTETRICAL,,30,,,"$8,161.00",$0.00,1,0,1,20120101,57720,CPT,TRACHELORRHAPHY PLSTC RPR UTERINE CERVIX VAG,,30,,,"$8,161.00",$0.00,1,0,1,20120101,57800,CPT,DILATION CERVICAL CANAL INSTRUMENTAL SPX,,30,,,"$8,161.00",$0.00,1,0,1,20120101,58100,CPT,ENDOMETRIAL BX W/WO ENDOCERVIX BX W/O DILAT SPX,,30,,,$632.35,$0.00,1,0,1,20120101,58120,CPT,DILATION & CURETTAGE DX&/THER NONOBSTETRICAL,,30,,,"$8,161.00",$0.00,1,0,1,20120101,58145,CPT,MYOMECTOMY 1-4 MYOMAS 250 GM/< VAGINAL APPR,,30,,,"$13,434.80",$0.00,1,0,1,20120101,58260,CPT,VAGINAL HYSTERECTOMY UTERUS 250 GM/<,,30,,,"$13,434.80",$0.00,1,0,1,20120101,58262,CPT,VAG HYST 250 GM/< W/RMVL TUBE&/OVARY,,30,,,"$13,434.80",$0.00,1,0,1,20120101,58263,CPT,VAG HYST 250 GM/< W/RMVL TUBE OVARY W/RPR NTRCL,,30,,,"$13,434.80",$0.00,1,0,1,20120101,58270,CPT,VAGINAL HYSTERECTOMY 250 GM/< W/RPR ENTEROCELE,,30,,,"$13,434.80",$0.00,1,0,1,20120101,58290,CPT,VAGINAL HYSTERECTOMY UTERUS > 250 GM,,30,,,"$16,086.48",$0.00,1,0,1,20120101,58291,CPT,VAG HYST > 250 GM RMVL TUBE&/OVARY,,30,,,"$16,086.48",$0.00,1,0,1,20120101,58292,CPT,VAG HYST > 250 GM RMVL TUBE&/OVARY W/RPR NTRCL,,30,,,"$16,086.48",$0.00,1,0,1,20120101,58294,CPT,VAGINAL HYSTERECTOMY >250 GM RPR ENTEROCELE,,30,,,"$16,086.48",$0.00,1,0,1,20120101,58300,CPT,INSERTION INTRAUTERINE DEVICE IUD,,30,,,"$1,654.07",$0.00,1,0,1,20120101,58301,CPT,REMOVAL INTRAUTERINE DEVICE IUD,,30,,,$632.35,$0.00,1,0,1,20120101,58321,CPT,ARTIFICIAL INSEMINATION INTRA-CERVICAL,,30,,,"$1,418.78",$0.00,1,0,1,20120101,58322,CPT,ARTIFICIAL INSEMINATION INTRA-UTERINE,,30,,,"$1,418.78",$0.00,1,0,1,20120101,58323,CPT,SPERM WASHING ARTIFICIAL INSEMINATION,,30,,,"$1,418.78",$0.00,1,0,1,20120101,58345,CPT,TRANSCERV FALLOPIAN TUBE CATH W/WO HYSTOSALPING,,30,,,"$8,161.00",$0.00,1,0,1,20120101,58346,CPT,INSERTION HEYMAN CAPSULES CLINICAL BRACHYTHERAPY,,30,,,"$8,161.00",$0.00,1,0,1,20120101,58350,CPT,CHROMOTUBATION OVIDUCT W/MATERIALS,,30,,,"$13,434.80",$0.00,1,0,1,20120101,58353,CPT,ENDOMETRIAL ABLTJ THERMAL W/O HYSTEROSCOPIC GID,,30,,,"$13,434.80",$0.00,1,0,1,20120101,58356,CPT,ENDOMETRIAL CRYOABLATION W/US & ENDOMETRIAL CRTG,,30,,,"$16,086.48",$0.00,1,0,1,20120101,58541,CPT,LAPAROSCOPY SUPRACERVICAL HYSTERECTOMY 250 GM/<,,30,,,"$21,140.01",$0.00,1,0,1,20120101,58542,CPT,LAPS SUPRACRV HYSTERECT 250 GM/< RMVL TUBE/OVARY,,30,,,"$21,140.01",$0.00,1,0,1,20120101,58543,CPT,LAPS SUPRACERVICAL HYSTERECTOMY >250,,30,,,"$21,140.01",$0.00,1,0,1,20120101,58544,CPT,LAPS SUPRACRV HYSTEREC >250 G RMVL TUBE/OVARY,,30,,,"$21,140.01",$0.00,1,0,1,20120101,58545,CPT,LAPS MYOMECTOMY EXC 1-4 MYOMAS 250 GM/<,,30,,,"$14,346.17",$0.00,1,0,1,20120101,58546,CPT,LAPS MYOMECTOMY EXC 5/> MYOMAS >250 GRAMS,,30,,,"$16,618.43",$0.00,1,0,1,20120101,58550,CPT,LAPS VAGINAL HYSTERECTOMY UTERUS 250 GM/<,,30,,,"$21,140.01",$0.00,1,0,1,20120101,58552,CPT,LAPS W/VAG HYSTERECT 250 GM/< RMVL TUBE&/OVARY,,30,,,"$16,618.43",$0.00,1,0,1,20120101,58553,CPT,LAPS W/VAGINAL HYSTERECTOMY > 250 GRAMS,,30,,,"$16,618.43",$0.00,1,0,1,20120101,58554,CPT,LAPS VAGINAL HYSTERECT > 250 GM RMVL TUBE&/OVARY,,30,,,"$16,618.43",$0.00,1,0,1,20120101,58555,CPT,HYSTEROSCOPY DIAGNOSTIC SEPARATE PROCEDURE,,30,,,"$9,107.49",$0.00,1,0,1,20120101,58558,CPT,HYSTEROSCOPY BX ENDOMETRIUM&/POLYPC W/WO D&C,,30,,,"$9,107.49",$0.00,1,0,1,20120101,58559,CPT,HYSTEROSCOPY LYSIS INTRAUTERINE ADHESIONS,,30,,,"$9,107.49",$0.00,1,0,1,20120101,58560,CPT,HYSTEROSCOPY DIV/RESCJ INTRAUTERINE SEPTUM,,30,,,"$14,012.03",$0.00,1,0,1,20120101,58561,CPT,HYSTEROSCOPY REMOVAL LEIOMYOMATA,,30,,,"$14,012.03",$0.00,1,0,1,20120101,58562,CPT,HYSTEROSCOPY REMOVAL IMPACTED FOREIGN BODY,,30,,,"$9,107.49",$0.00,1,0,1,20120101,58563,CPT,HYSTEROSCOPY ENDOMETRIAL ABLATION,,30,,,"$14,012.03",$0.00,1,0,1,20120101,58565,CPT,HYSTEROSCOPY BI TUBE OCCLUSION W/PERM IMPLNTS,,30,,,"$16,086.48",$0.00,1,0,1,20120101,58570,CPT,LAPAROSCOPY W TOTAL HYSTERECTOMY UTERUS 250 GM/<,,30,,,"$16,618.43",$0.00,1,0,1,20120101,58571,CPT,LAPS TOTAL HYSTERECT 250 GM/< W/RMVL TUBE/OVARY,,30,,,"$16,618.43",$0.00,1,0,1,20120101,58572,CPT,LAPAROSCOPY TOTAL HYSTERECTOMY UTERUS >250 GM,,30,,,"$16,618.43",$0.00,1,0,1,20120101,58573,CPT,LAPAROSCOPY TOT HYSTERECTOMY >250 G W TUBE/OVARY,,30,,,"$16,618.43",$0.00,1,0,1,20120101,58578,CPT,UNLISTED LAPAROSCOPY PROCEDURE UTERUS,,30,,,"$14,346.17",$0.00,1,0,1,20120101,58579,CPT,UNLISTED HYSTEROSCOPY PROCEDURE UTERUS,,30,,,"$9,107.49",$0.00,1,0,1,20120101,58600,CPT,LIG/TRNSXJ FLP TUBE ABDL/VAG APPR UNI/BI,,30,,,"$13,434.80",$0.00,1,0,1,20120101,58615,CPT,OCCLUSION FLP TUBE DEV VAG/SUPRAPUBIC APPR,,30,,,"$8,161.00",$0.00,1,0,1,20120101,58660,CPT,LAPAROSCOPY W/LYSIS OF ADHESIONS,,30,,,"$16,618.43",$0.00,1,0,1,20120101,58661,CPT,LAPAROSCOPY W/RMVL ADNEXAL STRUCTURES,,30,,,"$16,618.43",$0.00,1,0,1,20120101,58662,CPT,LAPS FULG/EXC OVARY VISCERA/PERITONEAL SURFACE,,30,,,"$16,618.43",$0.00,1,0,1,20120101,58670,CPT,LAPAROSCOPY FULGURATION OVIDUCTS,,30,,,"$16,618.43",$0.00,1,0,1,20120101,58671,CPT,LAPAROSCOPY W/PLMT OCCLUSION DEVICE OVIDUCTS,,30,,,"$16,618.43",$0.00,1,0,1,20120101,58672,CPT,LAPAROSCOPY FIMBRIOPLASTY,,30,,,"$16,618.43",$0.00,1,0,1,20120101,58673,CPT,LAPAROSCOPY SALPINGOSTOMY,,30,,,"$16,618.43",$0.00,1,0,1,20120101,58679,CPT,UNLISTED LAPAROSCOPY PROCEDURE OVIDUCT/OVARY,,30,,,"$14,346.17",$0.00,1,0,1,20120101,58770,CPT,SALPINGOSTOMY,,30,,,"$13,434.80",$0.00,1,0,1,20120101,58800,CPT,DRAINAGE OVARIAN CYST UNI/BI SPX VAGINAL APPR,,30,,,"$8,161.00",$0.00,1,0,1,20120101,58805,CPT,DRAINAGE OVARIAN CYST UNI/BI SPX ABDOMINAL,,30,,,"$13,434.80",$0.00,1,0,1,20120101,58820,CPT,DRAINAGE OVARIAN ABSCESS VAGINAL APPR OPEN,,30,,,"$13,434.80",$0.00,1,0,1,20120101,58823,CPT,DRG PELVIC ABSCESS TRANSVAG/TRANSRECTAL APPR,,30,,,"$8,161.00",$0.00,1,0,1,20120101,58900,CPT,BIOPSY OVARY UNI/BI SEPARATE PROCEDURE,,30,,,"$8,161.00",$0.00,1,0,1,20120101,58920,CPT,WEDGE RESCJ/BISCTJ OVARY UNI/BI,,30,,,"$13,434.80",$0.00,1,0,1,20120101,58925,CPT,OVARIAN CYSTECTOMY UNI/BI,,30,,,"$13,434.80",$0.00,1,0,1,20120101,58970,CPT,FOLLICLE PUNCTURE OOCYTE RETRIEVAL ANY METHOD,,30,,,"$1,418.78",$0.00,1,0,1,20120101,58974,CPT,EMBRYO TRANSFER INTRAUTERINE,,30,,,"$1,418.78",$0.00,1,0,1,20120101,58976,CPT,GAMETE ZYGOTE/EMBRYO FALLOPIAN TRANSFER ANY METH,,30,,,"$1,418.78",$0.00,1,0,1,20120101,58999,CPT,UNLISTED PX FEMALE GENITAL SYSTEM NONOBSTETRICAL,,30,,,$54.48,$0.00,1,0,1,20120101,59000,CPT,AMNIOCENTESIS DIAGNOSIC,,30,,,"$1,418.78",$0.00,1,0,1,20120101,59001,CPT,AMNIOCENTESISS THER AMNIOTIC FLUID RDCTJ US GID,,30,,,"$2,762.52",$0.00,1,0,1,20120101,59012,CPT,CORDOCENTESIS INTRAUTERINE,,30,,,"$1,418.78",$0.00,1,0,1,20120101,59015,CPT,CHORIONIC VILLUS SAMPLING,,30,,,"$1,418.78",$0.00,1,0,1,20120101,59020,CPT,FETAL CONTRACTION STRESS TEST,,30,,,$632.35,$0.00,1,0,1,20120101,59025,CPT,FETAL NONSTRESS TEST,,30,,,$632.35,$0.00,1,0,1,20120101,59030,CPT,FETAL SCALP BLOOD SAMPLING,,30,,,"$1,418.78",$0.00,1,0,1,20120101,59050,CPT,FETAL MONITORING LABOR PHYS WRTTN REPRT S&I,,30,,,$592.49,$0.00,1,0,1,20120101,59051,CPT,FETAL MONITR LABOR PHYS WRTTN REPRT INTERPJ ONLY,,30,,,$672.27,$0.00,1,0,1,20120101,59070,CPT,TRANSABDOMINAL AMNIOINFUSION W/ULTRSND GUIDANCE,,30,,,$632.35,$0.00,1,0,1,20120101,59072,CPT,FETAL UMBILICAL CORD OCCLUSION W/ULTRSND GUIDNCE,,30,,,"$1,418.78",$0.00,1,0,1,20120101,59074,CPT,FETAL FLUID DRAINAGE W/ULTRASOUND GUIDANCE,,30,,,"$1,418.78",$0.00,1,0,1,20120101,59076,CPT,FETAL SHUNT PLACEMENT W/ULTRASOUND GUIDANCE,,30,,,"$1,418.78",$0.00,1,0,1,20120101,59100,CPT,HYSTEROTOMY ABDOMINAL,,30,,,"$13,434.80",$0.00,1,0,1,20120101,59150,CPT,LAPS TX ECTOPIC PREG W/O SALPING&/OOPHORECTOMY,,30,,,"$16,618.43",$0.00,1,0,1,20120101,59151,CPT,LAPS TX ECTOPIC PREG W/SALPING&/OOPHORECTOMY,,30,,,"$16,618.43",$0.00,1,0,1,20120101,59160,CPT,CURETTAGE POSTPARTUM,,30,,,"$8,161.00",$0.00,1,0,1,20120101,59200,CPT,INSERTION CERVICAL DILATOR SEPARATE PROCEDURE,,30,,,$632.35,$0.00,1,0,1,20120101,59300,CPT,EPISIOTOMY/VAG RPR OTH/THN ATTENDING PHYS,,30,,,"$8,161.00",$0.00,1,0,1,20120101,59320,CPT,CERCLAGE CERVIX PREGNANCY VAGINAL,,30,,,"$8,161.00",$0.00,1,0,1,20120101,59400,CPT,OB CARE ANTEPARTUM VAG DLVR&POSTPARTUM,,30,,,"$3,474.15",$0.00,1,0,1,20120101,59409,CPT,VAGINAL DELIVERY ONLY,,30,,,"$8,161.00",$0.00,1,0,1,20120101,59410,CPT,VAGINAL DELIVERY ONLY W/POSTPARTUM CARE,,30,,,"$2,933.12",$0.00,1,0,1,20120101,59412,CPT,EXTERNAL CEPHALIC VERSION W/WO TOCOLYSIS,,30,,,"$8,161.00",$0.00,1,0,1,20120101,59414,CPT,DELIVERY PLACENTA SEPARATE PROCEDURE,,30,,,"$8,161.00",$0.00,1,0,1,20120101,59425,CPT,ANTEPARTUM CARE ONLY 4-6 VISITS,,30,,,$586.62,$0.00,1,0,1,20120101,59426,CPT,ANTEPARTUM CARE ONLY 7/> VISITS,,30,,,$243.59,$0.00,1,0,1,20120101,59430,CPT,POSTPARTUM CARE ONLY SEPARATE PROCEDURE,,30,,,$267.97,$0.00,1,0,1,20120101,59612,CPT,VAGINAL DELIVERY AFTER CESAREAN DELIVERY,,30,,,"$8,161.00",$0.00,1,0,1,20120101,59812,CPT,TX INCOMPLETE ABORTION ANY TRIMESTER SURGICAL,,30,,,"$8,161.00",$0.00,1,0,1,20120101,59820,CPT,TX MISSED ABORTION FIRST TRIMESTER SURGICAL,,30,,,"$8,161.00",$0.00,1,0,1,20120101,59821,CPT,TX MISSED ABORTION SECOND TRIMESTER SURGICAL,,30,,,"$8,161.00",$0.00,1,0,1,20120101,59840,CPT,INDUCED ABORTION DILATION AND CURETTAGE,,30,,,"$8,161.00",$0.00,1,0,1,20120101,59841,CPT,INDUCED ABORTION DILATION & EVAUCATION,,30,,,"$8,161.00",$0.00,1,0,1,20120101,59866,CPT,MULTIFETAL PREGNANCY REDUCTION,,30,,,"$1,418.78",$0.00,1,0,1,20120101,59870,CPT,UTERINE EVACUATION&CURETTAGE HYDATIDIFORM MOLE,,30,,,"$8,161.00",$0.00,1,0,1,20120101,59871,CPT,REMOVAL CERCLAGE SUTURE UNDER ANESTHESIA,,30,,,"$8,161.00",$0.00,1,0,1,20120101,59897,CPT,UNLISTED FETAL INVASIVE PX W/ULTRASOUND,,30,,,$54.48,$0.00,1,0,1,20120101,59898,CPT,UNLISTED LAPAROSCOPY PX MATERNITY CARE&DELVRY,,30,,,"$14,346.17",$0.00,1,0,1,20120101,59899,CPT,UNLISTED PROCEDURE MATERNITY CARE & DELIVERY,,30,,,$54.48,$0.00,1,0,1,20120101,60000,CPT,I&D THYROGLOSSAL DUCT CYST INFECTED,,30,,,"$3,156.16",$0.00,1,0,1,20120101,60100,CPT,BIOPSY THYROID PERCUTANEOUS CORE NEEDLE,,30,,,"$1,815.32",$0.00,1,0,1,20120101,60200,CPT,EXC CYST/ADENOMA THYROID/TRANSECTION ISTHMUS,,30,,,"$17,451.28",$0.00,1,0,1,20120101,60210,CPT,PRTL THYROID LOBECTOMY UNI W/WO ISTHMUSECTOMY,,30,,,"$17,451.28",$0.00,1,0,1,20120101,60212,CPT,PRTL THYROID LOBEC UNI W/CONTRATLAT STOT LOBEC,,30,,,"$17,451.28",$0.00,1,0,1,20120101,60220,CPT,TOTAL THYROID LOBECTOMY UNI W/WO ISTHMUSECTOMY,,30,,,"$17,451.28",$0.00,1,0,1,20120101,60225,CPT,TOTAL THYROID LOBEC UNI W/CONTRALAT STOT LOBEC,,30,,,"$17,451.28",$0.00,1,0,1,20120101,60240,CPT,THYROIDECTOMY TOTAL/COMPLETE,,30,,,"$17,451.28",$0.00,1,0,1,20120101,60252,CPT,THYROIDECTOMY TOTAL/SUBTOTAL LMTD NECK DISSECT,,30,,,"$15,971.08",$0.00,1,0,1,20120101,60260,CPT,THYROIDECTOMY RMVL REMAINING TISS FLWG PRTL RMVL,,30,,,"$15,971.08",$0.00,1,0,1,20120101,60271,CPT,THYROIDECTOMY SUBSTERNAL CERVICAL APPROACH,,30,,,"$15,971.08",$0.00,1,0,1,20120101,60280,CPT,EXCISION THYROGLOSSAL DUCT CYST/SINUS,,30,,,"$17,451.28",$0.00,1,0,1,20120101,60281,CPT,EXCISION THYROGLOSSAL DUCT CYST/SINUS RECURRENT,,30,,,"$17,451.28",$0.00,1,0,1,20120101,60300,CPT,ASPIRATION AND/OR INJECTION THYROID CYST,,30,,,"$1,815.32",$0.00,1,0,1,20120101,60500,CPT,PARATHYROIDECTOMY/EXPLORATION PARATHYROIDS,,30,,,"$15,971.08",$0.00,1,0,1,20120101,60502,CPT,PARATHYROIDECTOMY/EXPLOR PARATHYROIDS RE-EXPLOR,,30,,,"$15,971.08",$0.00,1,0,1,20120101,60512,CPT,PARATHYROID AUTOTRANSPLANTATION ADD-ON,,30,,,"$9,197.85",$0.00,1,0,1,20120101,60520,CPT,THYMECTOMY PRTL/TOT TRANSCERVICAL APPR SPX,,30,,,"$15,971.08",$0.00,1,0,1,20120101,60659,CPT,UNLISTED LAPAROSCOPY PROCEDURE ENDOCRINE SYSTEM,,30,,,"$14,346.17",$0.00,1,0,1,20120101,60699,CPT,UNLISTED PROCEDURE ENDOCRINE SYSTEM,,30,,,"$17,451.28",$0.00,1,0,1,20120101,61000,CPT,SUBDURAL TAP FONTANELLE/SUTUR INFANT UNI/BI INIT,,30,,,"$2,998.32",$0.00,1,0,1,20120101,61001,CPT,SUBDURAL TAP FONTANELLE/SUTUR INFANT UNI/BI SBSQ,,30,,,"$2,998.32",$0.00,1,0,1,20120101,61020,CPT,VENTRICULAR PUNCTURE PREVIOUS BURR HOLE W/O NJX,,30,,,"$2,998.32",$0.00,1,0,1,20120101,61026,CPT,VENTRICULAR PUNCTURE PREVIOUS BURR HOLE W/INJ,,30,,,"$2,998.32",$0.00,1,0,1,20120101,61050,CPT,CISTERNAL/LATERAL C1-C2 PUNCTURE W/O INJ SPX,,30,,,"$2,998.32",$0.00,1,0,1,20120101,61055,CPT,CISTERNAL/LATERAL C1-C2 PUNCTURE W/INJECTION,,30,,,"$2,998.32",$0.00,1,0,1,20120101,61070,CPT,PUNCTURE SHUNT TUBE/RESERVOIR ASPIRATION/INJ PX,,30,,,"$2,481.54",$0.00,1,0,1,20120101,61215,CPT,INSJ SUBQ RSVR PUMP/INFUSION SYSTEM VENTRIC CATH,,30,,,"$15,288.72",$0.00,1,0,1,20120101,61330,CPT,DECOMPRESSION ORBIT ONLY TRANSCRANIAL APPROACH,,30,,,"$15,971.08",$0.00,1,0,1,20120101,61334,CPT,EXPL ORBIT TRANSCRANIAL W/RMVL FOREIGN BODY,,30,,,"$15,971.08",$0.00,1,0,1,20120101,61623,CPT,EVASC TEMP BALLOON ARTL OCCLUSION HEAD/NECK,,30,,,"$23,492.99",$0.00,1,0,1,20120101,61626,CPT,TCAT PERMANT OCCLUSION/EMBOLIZATION PRQ NON-CNS,,30,,,"$23,492.99",$0.00,1,0,1,20120101,61720,CPT,CRTJ LES STRTCTC BURR GLOBUS PALLIDUS/THALAMUS,,30,,,"$13,866.24",$0.00,1,0,1,20120101,61770,CPT,STRTCTC LOCLZJ INSJ CATH/PRB PLMT RADJ SRC,,30,,,"$13,866.24",$0.00,1,0,1,20120101,61790,CPT,CREATE LES STRTCTC PRQ NEUROLYTIC GASSERIAN,,30,,,"$6,678.05",$0.00,1,0,1,20120101,61791,CPT,CREATE LES STRTCTC PRQ NEUROLYTIC TRIGEMINAL TRC,,30,,,"$5,069.57",$0.00,1,0,1,20120101,61796,CPT,STEREOTACTIC RADIOSURGERY 1 SIMPLE CRANIAL LES,,30,,,"$22,563.56",$0.00,1,0,1,20120101,61797,CPT,STRTCTC RADIOSURGERY EA ADDL CRANIAL LES SIMPLE,,30,,,"$7,521.19",$0.00,1,0,1,20120101,61798,CPT,STEREOTACTIC RADIOSURGERY 1 COMPLEX CRANIAL LES,,30,,,"$24,443.86",$0.00,1,0,1,20120101,61799,CPT,STRTCTC RADIOSURGERY EA ADDL CRANIAL LES COMPLEX,,30,,,"$9,401.48",$0.00,1,0,1,20120101,61800,CPT,APPL STRTCTC HEADFRAME STEREOTACTIC RADIOSURGERY,,30,,,"$4,700.74",$0.00,1,0,1,20120101,61880,CPT,REVJ/RMVL INTRACRANIAL NEUROSTIMULATOR ELTRDS,,30,,,"$8,149.00",$0.00,1,0,1,20120101,61885,CPT,INSJ/RPLCMT CRANIAL NEUROSTIM PULSE GENERATOR,,30,,,"$29,114.16",$0.00,1,0,1,20120101,61886,CPT,INSJ/RPLCMT CRANIAL NEUROSTIM GENER 2/> ELTRDS,,30,,,"$39,548.04",$0.00,1,0,1,20120101,61888,CPT,REVJ/RMVL NEUROSTIMULATOR PULSE GENERATOR,,30,,,"$12,045.69",$0.00,1,0,1,20120101,62000,CPT,ELEVATION DEPRESSED SKULL FX SIMPLE EXTRADURAL,,30,,,"$9,873.83",$0.00,1,0,1,20120101,62194,CPT,RPLCMT/IRRG SUBARACHNOID/SUBDURAL CATHETER,,30,,,"$2,998.32",$0.00,1,0,1,20120101,62225,CPT,RPLCMT/IRRIGATION VENTRICULAR CATHETER,,30,,,"$6,369.18",$0.00,1,0,1,20120101,62230,CPT,RPLCMT/REVJ CSF SHUNT VALVE/CATH SHUNT SYS,,30,,,"$15,288.72",$0.00,1,0,1,20120101,62252,CPT,REPRGRMG PROGRAMMABLE CEREBROSPINAL SHUNT,,30,,,$948.70,$0.00,1,0,1,20120101,62263,CPT,PRQ LYSIS EPIDURAL ADHESIONS MULT SESS 2/> DAYS,,30,,,"$5,069.57",$0.00,1,0,1,20120101,62264,CPT,PRQ LYSIS EPIDURAL ADHESIONS MULT SESSIONS 1 DAY,,30,,,"$5,069.57",$0.00,1,0,1,20120101,62267,CPT,PRQ ASPIR PULPOSUS/INTERVERTEBRAL DISC/PVRT TISS,,30,,,"$1,815.32",$0.00,1,0,1,20120101,62268,CPT,PERCUTANEOUS ASPIRATION SPINAL CORD CYST/SYRINX,,30,,,"$2,998.32",$0.00,1,0,1,20120101,62269,CPT,BIOPSY SPINAL CORD PERCUTANEOUS NEEDLE,,30,,,"$3,502.05",$0.00,1,0,1,20120101,62270,CPT,SPINAL PUNCTURE LUMBAR DIAGNOSTIC,,30,,,"$1,424.20",$0.00,1,0,1,20120101,62272,CPT,SPINAL PUNCTURE THER DRAIN CEREBROSPINAL FLUID,,30,,,"$1,424.20",$0.00,1,0,1,20120101,62273,CPT,INJECTION EPIDURAL BLOOD/CLOT PATCH,,30,,,"$2,998.32",$0.00,1,0,1,20120101,62280,CPT,INJX/INFUSION NEUROLYTIC SUBSTANCE SUBARACHNOID,,30,,,"$2,998.32",$0.00,1,0,1,20120101,62281,CPT,INJX/INFUS NEUROLYT SUBST EPIDURAL CERV/THORACIC,,30,,,"$5,069.57",$0.00,1,0,1,20120101,62282,CPT,INJX/INFUS NEUROLYT SBST EPIDURAL LUMBAR/SACRAL,,30,,,"$5,069.57",$0.00,1,0,1,20120101,62287,CPT,DCMPRN PERQ NUCLEUS PULPOSUS 1/> LEVELS LUMBAR,,30,,,"$13,866.24",$0.00,1,0,1,20120101,62292,CPT,INJECTION PX DISCOGRPHY EA LVL CERVICAL/THORACIC,,30,,,"$2,998.32",$0.00,1,0,1,20120101,62294,CPT,NJX ARTERIAL OCCLUSION ARVEN MALFRMJ SPINAL,,30,,,"$2,998.32",$0.00,1,0,1,20120101,62310,CPT,NJX DX/THER SBST EPIDURAL/SUBRACH CERV/THORACIC,,30,,,"$2,998.32",$0.00,1,0,1,20120101,62311,CPT,NJX DX/THER SBST EPIDURAL/SUBARACH LUMBAR/SACRAL,,30,,,"$2,998.32",$0.00,1,0,1,20120101,62318,CPT,NJXS INFUS/BOLUS DX/SBST EDRL/SUBARACH CRV/THRC,,30,,,"$2,998.32",$0.00,1,0,1,20120101,62319,CPT,NJX INFUS/BOLUS DX/SBST EDRL/SUBARACH LUM/SACRAL,,30,,,"$5,069.57",$0.00,1,0,1,20120101,62350,CPT,IMPLTJ REVJ/RPSG ITHCL/EDRL CATH PMP W/O LAM,,30,,,"$15,288.72",$0.00,1,0,1,20120101,62351,CPT,IMPLTJ REVJ/RPSG ITHCL/EDRL CATH W/LAM,,30,,,"$17,424.93",$0.00,1,0,1,20120101,62355,CPT,RMVL PREVIOUSLY IMPLTED ITHCL/EDRL CATH,,30,,,"$5,069.57",$0.00,1,0,1,20120101,62360,CPT,IMPLTJ/RPLCMT ITHCL/EDRL DRUG NFS SUBQ RSVR,,30,,,"$15,288.72",$0.00,1,0,1,20120101,62361,CPT,IMPLTJ/RPLCMT FS NON-PRGRBL PUMP,,30,,,"$26,386.72",$0.00,1,0,1,20120101,62362,CPT,IMPLTJ/RPLCMT ITHCL/EDRL DRUG NFS PRGRBL PUMP,,30,,,"$26,386.72",$0.00,1,0,1,20120101,62365,CPT,RMVL SUBQ RSVR/PUMP INTRATHECAL/EPIDURAL INFUS,,30,,,"$13,866.24",$0.00,1,0,1,20120101,62367,CPT,ELECT ANLYS IMPLT ITHCL/EDRL PMP W/O REPRG/REFIL,,30,,,$948.70,$0.00,1,0,1,20120101,62368,CPT,ELECT ANALYS IMPLT ITHCL/EDRL PUMP W/REPRGRMG,,30,,,$948.70,$0.00,1,0,1,20120101,62369,CPT,ELECT ANLYS IMPLT ITHCL/EDRL PMP W/REPRG&REFILL,,30,,,$948.70,$0.00,1,0,1,20120101,62370,CPT,ELEC ANLYS IMPLT ITHCL/EDRL PMP W/REPR&REF PHYS,,30,,,$948.70,$0.00,1,0,1,20120101,63001,CPT,LAM W/O FACETEC FORAMOT/DSKC 1/2 VRT SEG CRV,,30,,,"$17,424.93",$0.00,1,0,1,20120101,63003,CPT,LAMINECTOMY W/O FFD 1/2 VERT SEG THORACIC,,30,,,"$17,424.93",$0.00,1,0,1,20120101,63005,CPT,LAMINECTOMY W/O FFD 1/2 VERT SEG LUMBAR,,30,,,"$17,424.93",$0.00,1,0,1,20120101,63011,CPT,LAMINECTOMY W/O FFD 1/2 VERT SEG SACRAL,,30,,,"$17,424.93",$0.00,1,0,1,20120101,63012,CPT,LAMINECTOMY W/RMVL ABNORMAL FACETS LUMBAR,,30,,,"$17,424.93",$0.00,1,0,1,20120101,63015,CPT,LAMINECTOMY W/O FFD > 2 VERT SEG CERVICAL,,30,,,"$17,424.93",$0.00,1,0,1,20120101,63016,CPT,LAMINECTOMY W/O FFD > 2 VERT SEG THORACIC,,30,,,"$17,424.93",$0.00,1,0,1,20120101,63017,CPT,LAMINECTOMY W/O FFD > 2 VERT SEG LUMBAR,,30,,,"$17,424.93",$0.00,1,0,1,20120101,63020,CPT,LAMNOTMY INCL W/DCMPRSN NRV ROOT 1 INTRSPC CERVC,,30,,,"$17,424.93",$0.00,1,0,1,20120101,63030,CPT,LAMNOTMY INCL W/DCMPRSN NRV ROOT 1 INTRSPC LUMBR,,30,,,"$17,424.93",$0.00,1,0,1,20120101,63035,CPT,LAMNOTMY W/DCMPRSN NRV EACH ADDL CRVCL/LMBR,,30,,,"$17,424.93",$0.00,1,0,1,20120101,63040,CPT,LAMOT PRTL FFD EXC DISC REEXPL 1 NTRSPC CERVICAL,,30,,,"$17,424.93",$0.00,1,0,1,20120101,63042,CPT,LAMOT PRTL FFD EXC DISC REEXPL 1 NTRSPC LUMBAR,,30,,,"$17,424.93",$0.00,1,0,1,20120101,63045,CPT,LAM FACETEC&FORAMOT 1 SEGMENT CERVICAL,,30,,,"$17,424.93",$0.00,1,0,1,20120101,63046,CPT,LAM FACETEC&FORAMOT 1 SEGMENT THORACIC,,30,,,"$17,424.93",$0.00,1,0,1,20120101,63047,CPT,LAM FACETEC&FORAMOT 1 SEGMENT LUMBAR,,30,,,"$17,424.93",$0.00,1,0,1,20120101,63048,CPT,LAM FACETEC&FORAMOT 1 SGM EA CRV THRC/LMBR,,30,,,"$17,424.93",$0.00,1,0,1,20120101,63055,CPT,TRANSPEDICULAR DCMPRN SPINAL CORD 1 SEG THORACIC,,30,,,"$17,424.93",$0.00,1,0,1,20120101,63056,CPT,TRANSPEDICULAR DCMPRN SPINAL CORD 1 SEG LUMBAR,,30,,,"$17,424.93",$0.00,1,0,1,20120101,63057,CPT,TRANSPEDICULAR DCMPRN 1 SEG EA THORACIC/LUMBAR,,30,,,"$17,424.93",$0.00,1,0,1,20120101,63064,CPT,COSTOVERTEBRAL DCMPRN SPINAL CORD THORACIC 1 SEG,,30,,,"$17,424.93",$0.00,1,0,1,20120101,63066,CPT,COSTOVERTEBRAL DCMPRN SPINE CORD THORACIC EA SEG,,30,,,"$17,424.93",$0.00,1,0,1,20120101,63075,CPT,DISCECTOMY ANT DCMPRN CORD CERVICAL 1 NTRSPC,,30,,,"$17,424.93",$0.00,1,0,1,20120101,63076,CPT,DISCECTOMY ANT DCMPRN CORD CERVICAL EA NTRSPC,,30,,,"$17,424.93",$0.00,1,0,1,20120101,63600,CPT,CREATION LES SPINAL CORD STEREOTACTIC METHOD PRQ,,30,,,"$6,678.05",$0.00,1,0,1,20120101,63610,CPT,STRTCTC STIMJ SPI CORD PRQ SPX N/FLWD OTH SURG,,30,,,"$6,678.05",$0.00,1,0,1,20120101,63615,CPT,STRTCTC BX ASPIRAT/EXC LESION SPINAL CORD,,30,,,"$6,678.05",$0.00,1,0,1,20120101,63620,CPT,STEREOTACTIC RADIOSURGERY 1 SPINAL LESION,,30,,,"$20,307.20",$0.00,1,0,1,20120101,63621,CPT,STEREOTACTIC RADIOSURGERY EA ADDL SPINAL LESION,,30,,,"$5,640.89",$0.00,1,0,1,20120101,63650,CPT,PRQ IMPLTJ NSTIM ELECTRODE ARRAY EPIDURAL,,30,,,"$19,810.35",$0.00,1,0,1,20120101,63655,CPT,LAM IMPLTJ NSTIM ELTRDS PLATE/PADDLE EDRL,,30,,,"$22,868.18",$0.00,1,0,1,20120101,63661,CPT,RMVL SPINAL NSTIM ELTRD PRQ ARRAY INCL FLUOR,,30,,,"$8,149.00",$0.00,1,0,1,20120101,63662,CPT,RMVL SPINAL NSTIM ELTRD PLATE/PADDLE INCL FLUOR,,30,,,"$8,149.00",$0.00,1,0,1,20120101,63663,CPT,REVJ INCL RPLCMT NSTIM ELTRD PRQ RA INCL FLUOR,,30,,,"$19,810.35",$0.00,1,0,1,20120101,63664,CPT,REVJ INCL RPLCMT NSTIM ELTRD PLT/PDLE INCL FLUOR,,30,,,"$19,810.35",$0.00,1,0,1,20120101,63685,CPT,INSJ/RPLCMT SPI NPGR DIR/INDUXIVE COUPLING,,30,,,"$29,114.16",$0.00,1,0,1,20120101,63688,CPT,REVJ/RMVL IMPLANTED SPINAL NEUROSTIM GENERATOR,,30,,,"$12,045.69",$0.00,1,0,1,20120101,63741,CPT,CRTJ SHUNT LMBR SARACH-PRTL-PLEURAL PRQ X LAM,,30,,,"$15,288.72",$0.00,1,0,1,20120101,63744,CPT,RPLCMT IRRIGATION/REVJ LUMBOSARACH SHUNT,,30,,,"$15,288.72",$0.00,1,0,1,20120101,63746,CPT,RMVL ENTIRE LUMBOSARACH SHUNT SYS W/O RPLCMT,,30,,,"$5,069.57",$0.00,1,0,1,20120101,64400,CPT,NJX ANES TRIGEMINAL NRV ANY DIV/BRANCH,,30,,,$875.36,$0.00,1,0,1,20120101,64402,CPT,INJECTION ANESTHETIC AGENT FACIAL NERVE,,30,,,$875.36,$0.00,1,0,1,20120101,64405,CPT,INJECTION ANESTHETIC AGENT GREATER OCCIPITAL NRV,,30,,,"$1,424.20",$0.00,1,0,1,20120101,64408,CPT,INJECTION ANESTHETIC AGENT VAGUS NERVE,,30,,,$875.36,$0.00,1,0,1,20120101,64410,CPT,INJECTION ANESTHETIC AGENT PHRENIC NERVE,,30,,,$875.36,$0.00,1,0,1,20120101,64412,CPT,INJECTION ANESTHETIC AGENT SPINAL ACCESSORY NRV,,30,,,"$1,424.20",$0.00,1,0,1,20120101,64413,CPT,INJECTION ANESTHETIC AGENT CERVICAL PLEXUS,,30,,,"$1,424.20",$0.00,1,0,1,20120101,64415,CPT,SINGLE NERVE BLOCK INJECTION ARM NERVE,,30,,,"$1,424.20",$0.00,1,0,1,20120101,64416,CPT,INJECTION ANES BRACHIAL PLEXUS CONT NFS CATH,,30,,,"$2,998.32",$0.00,1,0,1,20120101,64417,CPT,INJECTION ANESTHETIC AGENT AXILLARY NERVE,,30,,,"$1,424.20",$0.00,1,0,1,20120101,64418,CPT,INJECTION ANESTHETIC AGENT SUPRASCAPULAR NERVE,,30,,,"$1,424.20",$0.00,1,0,1,20120101,64420,CPT,INJECTION ANESTHETIC AGENT 1 INTERCOSTAL NERVE,,30,,,"$1,424.20",$0.00,1,0,1,20120101,64421,CPT,MULTIPLE NERVE BLOCK INJECTIONS RIB NERVES,,30,,,"$2,998.32",$0.00,1,0,1,20120101,64425,CPT,INJECTION ANES ILIOINGUINAL ILIOHYPOGASTRIC NRVS,,30,,,"$1,424.20",$0.00,1,0,1,20120101,64430,CPT,INJECTION ANESTHETIC AGENT PUDENDAL NERVE,,30,,,"$2,998.32",$0.00,1,0,1,20120101,64435,CPT,INJECTION ANESTHETIC PARACERVICAL UTERINE NERVE,,30,,,"$1,424.20",$0.00,1,0,1,20120101,64445,CPT,INJECTION ANESTHETIC AGENT SCIATIC NRV SINGLE,,30,,,"$2,998.32",$0.00,1,0,1,20120101,64446,CPT,INJECTION ANES SCIATIC NERVE CONT INFUSION CATH,,30,,,"$2,998.32",$0.00,1,0,1,20120101,64447,CPT,INJECTION ANESTHETIC AGENT FEMORAL NERVE SINGLE,,30,,,"$1,424.20",$0.00,1,0,1,20120101,64448,CPT,INJECTION ANES FEMORAL NERVE CONT INFUSION CATH,,30,,,"$2,998.32",$0.00,1,0,1,20120101,64449,CPT,INJECTION ANES LUMBAR PLEXUS POST CONT NFS CATH,,30,,,"$2,998.32",$0.00,1,0,1,20120101,64450,CPT,INJECTION ANES OTHER PERIPHERAL NERVE/BRANCH,,30,,,"$1,424.20",$0.00,1,0,1,20120101,64455,CPT,NJX ANES&/STEROID PLANTAR COMMON DIGITAL NERVE,,30,,,$875.36,$0.00,1,0,1,20120101,64479,CPT,NJX ANES&/STRD W/IMG TFRML EDRL CRV/THRC 1 LVL,,30,,,"$2,998.32",$0.00,1,0,1,20120101,64480,CPT,NJX ANES&/STRD W/IMG TFRML EDRL CRV/THRC EA LVL,,30,,,"$1,424.20",$0.00,1,0,1,20120101,64483,CPT,NJX ANES&/STRD W/IMG TFRML EDRL LMBR/SAC 1 LVL,,30,,,"$2,998.32",$0.00,1,0,1,20120101,64484,CPT,NJX ANES&/STRD W/IMG TFRML EDRL LMBR/SAC EA LVL,,30,,,"$1,424.20",$0.00,1,0,1,20120101,64490,CPT,NJX DX/THER AGT PVRT FACET JT CRV/THRC 1 LEVEL,,30,,,"$2,998.32",$0.00,1,0,1,20120101,64491,CPT,NJX DX/THER AGT PVRT FACET JT CRV/THRC 2ND LEVEL,,30,,,$875.36,$0.00,1,0,1,20120101,64492,CPT,NJX DX/THER AGT PVRT FACET JT CRV/THRC 3+ LEVEL,,30,,,$875.36,$0.00,1,0,1,20120101,64493,CPT,NJX DX/THER AGT PVRT FACET JT LMBR/SAC 1 LEVEL,,30,,,"$2,998.32",$0.00,1,0,1,20120101,64494,CPT,NJX DX/THER AGT PVRT FACET JT LMBR/SAC 2ND LEVEL,,30,,,$875.36,$0.00,1,0,1,20120101,64495,CPT,NJX DX/THER AGT PVRT FACET JT LMBR/SAC 3+ LEVEL,,30,,,$875.36,$0.00,1,0,1,20120101,64505,CPT,INJECTION ANES AGENT SPHENOPALATINE GANGLION,,30,,,$875.36,$0.00,1,0,1,20120101,64508,CPT,INJECTION ANESTHETIC AGENT CAROTID SINUS SPX,,30,,,$875.36,$0.00,1,0,1,20120101,64510,CPT,NJX ANES STELLATE GANGLION CRV SYMPATHETIC,,30,,,"$2,998.32",$0.00,1,0,1,20120101,64517,CPT,INJECTION ANES SUPERIOR HYPOGASTRIC PLEXUS,,30,,,"$2,998.32",$0.00,1,0,1,20120101,64520,CPT,INJECTION ANES LMBR/THRC PARAVERTBRL SYMPATHETIC,,30,,,"$2,998.32",$0.00,1,0,1,20120101,64530,CPT,INJX ANES CELIAC PLEXUS W/WO RADIOLOGIC MONITRNG,,30,,,"$2,998.32",$0.00,1,0,1,20120101,64550,CPT,APPLICATION SURFACE NEUROSTIMULATOR,,30,,,$658.10,$0.00,1,0,1,20120101,64553,CPT,PRQ IMPLTJ NEUROSTIMULATOR ELTRD CRANIAL NERVE,,30,,,"$19,810.35",$0.00,1,0,1,20120101,64555,CPT,PRQ IMPLTJ NEUROSTIMULATOR ELTRD PERIPHERAL NRV,,30,,,"$19,810.35",$0.00,1,0,1,20120101,64561,CPT,PRQ IMPLTJ NEUROSTIMULATOR ELTRD SACRAL NERVE,,30,,,"$19,810.35",$0.00,1,0,1,20120101,64565,CPT,PRQ IMPLTJ NSTIM ELTRD NEUROMUSCULAR,,30,,,"$19,810.35",$0.00,1,0,1,20120101,64566,CPT,POST TIB NEUROSTIMULATION PRQ NEEDLE ELECTRODE,,30,,,$875.36,$0.00,1,0,1,20120101,64568,CPT,INC IMPLTJ CRNL NRV NSTIM ELTRDS & PULSE GENER,,30,,,"$46,847.94",$0.00,1,0,1,20120101,64569,CPT,REVISION/REPLMT NEUROSTIMLATOR ELTRD CRANIAL NRV,,30,,,"$8,149.00",$0.00,1,0,1,20120101,64570,CPT,REMOVAL CRNL NRV NSTIM ELTRDS & PULSE GENERATOR,,30,,,"$13,866.24",$0.00,1,0,1,20120101,64575,CPT,INC IMPLTJ PERIPH NERVE NEUROSTIMULATOR ELTRD,,30,,,"$22,868.18",$0.00,1,0,1,20120101,64580,CPT,INC IMPLTJ NSTIM ELTRD NEUROMUSCULAR,,30,,,"$22,868.18",$0.00,1,0,1,20120101,64581,CPT,INC IMPLTJ NEUROSTIMULATOR ELTRD SACRAL NERVE,,30,,,"$22,868.18",$0.00,1,0,1,20120101,64585,CPT,REVJ/RMVL PERIPHERAL NEUROSTIMULATOR ELECTRODE,,30,,,"$8,149.00",$0.00,1,0,1,20120101,64590,CPT,INSERTION/RPLCMT PERIPHERAL/GASTRIC NPGR,,30,,,"$29,114.16",$0.00,1,0,1,20120101,64595,CPT,REVISION/RMVL PERIPHERAL/GASTRIC NPGR,,30,,,"$12,045.69",$0.00,1,0,1,20120101,64600,CPT,DSTRJ TRIGEMINAL NRV SUPRAORB INFRAORB BRANCH,,30,,,"$5,069.57",$0.00,1,0,1,20120101,64605,CPT,DSTRJ NEUROLYTIC TRIGEMINAL NRV 2/3 DIV BRANCH,,30,,,"$6,678.05",$0.00,1,0,1,20120101,64610,CPT,DSTRJ NEURLYTIC TRIGEM NRV 2/3 DIV RADIO MONITOR,,30,,,"$6,678.05",$0.00,1,0,1,20120101,64611,CPT,CHEMODENERV PAROTID&SUBMANDIBL SALIVARY GLNDS BI,,30,,,$875.36,$0.00,1,0,1,20120101,64612,CPT,CHEMODNRVTJ MUSC MUSC INNERVATED FACIAL NRV,,30,,,$875.36,$0.00,1,0,1,20120101,64613,CPT,CHEMODENERVATION NECK MUSCLE,,30,,,"$1,424.20",$0.00,1,0,1,20120101,64614,CPT,CHEMODENERVATION EXTREMITY&/TRUNK MUSCLE,,30,,,"$1,424.20",$0.00,1,0,1,20120101,64620,CPT,DSTRJ NEUROLYTIC AGENT INTERCOSTAL NERVE,,30,,,"$5,069.57",$0.00,1,0,1,20120101,64630,CPT,DSTRJ NEUROLYTIC AGENT PUDENDAL NERVE,,30,,,"$2,998.32",$0.00,1,0,1,20120101,64632,CPT,DSTRJ NEUROLYTIC PLANTAR COMMON DIGITAL NERVE,,30,,,$875.36,$0.00,1,0,1,20120101,64633,CPT,DSTR NROLYTC AGNT PARVERTEB FCT SNGL CRVCL/THORA,,30,,,"$2,998.32",$0.00,1,0,1,20120101,64634,CPT,DSTR NROLYTC AGNT PARVERTEB FCT ADDL CRVCL/THORA,,30,,,$875.36,$0.00,1,0,1,20120101,64635,CPT,DSTR NROLYTC AGNT PARVERTEB FCT SNGL LMBR/SACRAL,,30,,,"$5,069.57",$0.00,1,0,1,20120101,64636,CPT,DSTR NROLYTC AGNT PARVERTEB FCT ADDL LMBR/SACRAL,,30,,,"$2,998.32",$0.00,1,0,1,20120101,64640,CPT,DSTRJ NEUROLYTIC AGENT OTHER PERIPHERAL NERVE,,30,,,"$2,998.32",$0.00,1,0,1,20120101,64650,CPT,CHEMODENERVATION ECCRINE GLANDS BOTH AXILLAE,,30,,,$875.36,$0.00,1,0,1,20120101,64653,CPT,CHEMODENERVATION ECCRINE GLANDS OTH AREA PER DAY,,30,,,$875.36,$0.00,1,0,1,20120101,64680,CPT,DSTRJ NEUROLYTIC W/WO RAD MONITOR CELIAC PLEXUS,,30,,,"$5,069.57",$0.00,1,0,1,20120101,64681,CPT,DSTRJ NULYT W/WORAD MNTR SUPRIOR HYPOGSTR PLEXUS,,30,,,"$5,069.57",$0.00,1,0,1,20120101,64702,CPT,NEUROPLASTY DIGITAL 1/BOTH SAME DIGIT,,30,,,"$6,678.05",$0.00,1,0,1,20120101,64704,CPT,NEUROPLASTY NERVE HAND/FOOT,,30,,,"$6,678.05",$0.00,1,0,1,20120101,64708,CPT,NEURP MAJOR PRPH NRV ARM/LEG OPN OTH/THN SPEC,,30,,,"$6,678.05",$0.00,1,0,1,20120101,64712,CPT,NEURP MAJOR PRPH NRV OPN ARM/LEG SCIATIC NRV,,30,,,"$6,678.05",$0.00,1,0,1,20120101,64713,CPT,NEURP MAJOR PRPH NRV OPN ARM/LEG BRACH PLEXUS,,30,,,"$6,678.05",$0.00,1,0,1,20120101,64714,CPT,NEURP MAJOR PRPH NRV OPN ARM/LEG LMBR PLEXUS,,30,,,"$6,678.05",$0.00,1,0,1,20120101,64716,CPT,NEUROPLASTY &/TRANSPOSITION CRANIAL NERVE,,30,,,"$6,678.05",$0.00,1,0,1,20120101,64718,CPT,NEUROPLASTY &/TRANSPOSITION ULNAR NERVE ELBOW,,30,,,"$6,678.05",$0.00,1,0,1,20120101,64719,CPT,NEUROPLASTY &/TRANSPOSITION ULNAR NERVE WRIST,,30,,,"$6,678.05",$0.00,1,0,1,20120101,64721,CPT,NEUROPLASTY &/TRANSPOS MEDIAN NRV CARPAL TUNNEL,,30,,,"$6,678.05",$0.00,1,0,1,20120101,64722,CPT,DECOMPRESSION UNSPECIFIED NERVE,,30,,,"$6,678.05",$0.00,1,0,1,20120101,64726,CPT,DECOMPRESSION PLANTAR DIGITAL NERVE,,30,,,"$6,678.05",$0.00,1,0,1,20120101,64727,CPT,INTERNAL NEUROLYSIS REQ OPERATING MICROSCOPE,,30,,,"$6,678.05",$0.00,1,0,1,20120101,64732,CPT,TRANSECTION/AVULSION SUPRAORBITAL NERVE,,30,,,"$6,678.05",$0.00,1,0,1,20120101,64734,CPT,TRANSECTION/AVULSION INFRAORBITAL NERVE,,30,,,"$6,678.05",$0.00,1,0,1,20120101,64736,CPT,TRANSECTION/AVULSION MENTAL NERVE,,30,,,"$6,678.05",$0.00,1,0,1,20120101,64738,CPT,TRANSECTION/AVULSION INF ALVEOLAR NRV W/OSTEO,,30,,,"$6,678.05",$0.00,1,0,1,20120101,64740,CPT,TRANSECTION/AVULSION LINGUAL NERVE,,30,,,"$6,678.05",$0.00,1,0,1,20120101,64742,CPT,TRANSECTION/AVULSION FACIAL NRV DIFFERENT/CMPL,,30,,,"$6,678.05",$0.00,1,0,1,20120101,64744,CPT,TRANSECTION/AVULSION GREATER OCCIPITAL NERVE,,30,,,"$6,678.05",$0.00,1,0,1,20120101,64746,CPT,TRANSECTION/AVULSION PHRENIC NERVE,,30,,,"$6,678.05",$0.00,1,0,1,20120101,64761,CPT,TRANSECTION/AVULSION PUDENDAL NERVE,,30,,,"$6,678.05",$0.00,1,0,1,20120101,64763,CPT,TRNSXJ/AVLSN OBTURAT NRV XPELV W/WO TENOTOMY,,30,,,"$6,678.05",$0.00,1,0,1,20120101,64766,CPT,TRNSXJ/AVLSN OBTURAT NRV INPELV W/WO TENOTOMY,,30,,,"$13,866.24",$0.00,1,0,1,20120101,64771,CPT,TRANSECTION/AVULSION OTH CRANIAL NRV XDRL,,30,,,"$6,678.05",$0.00,1,0,1,20120101,64772,CPT,TRANSECTION/AVULSION OTH SPINAL NRV XDRL,,30,,,"$6,678.05",$0.00,1,0,1,20120101,64774,CPT,EXC NEUROMA CUTAN NRV SURGLY IDENTIFIABLE,,30,,,"$6,678.05",$0.00,1,0,1,20120101,64776,CPT,EXC NEUROMA DIGITAL NERVE 1 OR BOTH SAME DIGIT,,30,,,"$6,678.05",$0.00,1,0,1,20120101,64778,CPT,EXCISION NEUROMA DIGITAL NRV EA ADDL DIGIT,,30,,,"$6,678.05",$0.00,1,0,1,20120101,64782,CPT,EXC NEUROMA HAND/FOOT XCP DIGITAL NERVE,,30,,,"$6,678.05",$0.00,1,0,1,20120101,64783,CPT,EXC NEUROMA HAND/FOOT EA NRV XCP SM DGT,,30,,,"$6,678.05",$0.00,1,0,1,20120101,64784,CPT,EXC NEUROMA MAJOR PERIPHERAL NRV XCP SCIATIC,,30,,,"$6,678.05",$0.00,1,0,1,20120101,64786,CPT,EXCISION NEUROMA SCIATIC NERVE,,30,,,"$13,866.24",$0.00,1,0,1,20120101,64787,CPT,IMPLANTATION NERVE END BONE/MUSCLE,,30,,,"$6,678.05",$0.00,1,0,1,20120101,64788,CPT,EXC NEUROFIBROMA/NEUROLEMMOMA CUTAN NRV,,30,,,"$6,678.05",$0.00,1,0,1,20120101,64790,CPT,EXC NEUROFIBROMA/NEUROLEMMOMA MAJOR PRPH NRV,,30,,,"$6,678.05",$0.00,1,0,1,20120101,64792,CPT,EXC NEUROFIBROMA/NEUROLEMMOMA X10SV,,30,,,"$13,866.24",$0.00,1,0,1,20120101,64795,CPT,BIOPSY NERVE,,30,,,"$6,678.05",$0.00,1,0,1,20120101,64802,CPT,SYMPATHECTOMY CERVICAL,,30,,,"$6,678.05",$0.00,1,0,1,20120101,64804,CPT,SYMPATHECTOMY CERVICOTHORACIC,,30,,,"$6,678.05",$0.00,1,0,1,20120101,64820,CPT,SYMPATHECTOMY DIGITAL ARTERIES EACH DIGIT,,30,,,"$6,678.05",$0.00,1,0,1,20120101,64821,CPT,SYMPATHECTOMY ULNAR ARTERY,,30,,,"$11,285.92",$0.00,1,0,1,20120101,64822,CPT,SYMPATHECTOMY ULNAR ARTERY,,30,,,"$11,285.92",$0.00,1,0,1,20120101,64823,CPT,SYMPATHECTOMY SUPERFICIAL PALMAR ARCH,,30,,,"$11,285.92",$0.00,1,0,1,20120101,64831,CPT,SUTURE DIGITAL NERVE HAND/FOOT 1 NERVE,,30,,,"$13,866.24",$0.00,1,0,1,20120101,64832,CPT,SUTR DIGITAL NRV HAND/FOOT EA DGTAL NRV,,30,,,"$13,866.24",$0.00,1,0,1,20120101,64834,CPT,SUTURE 1 NERVE HAND/FOOT COMMON SENSORY NERVE,,30,,,"$13,866.24",$0.00,1,0,1,20120101,64835,CPT,SUTURE 1 NERVE MEDIAN MOTOR THENAR,,30,,,"$13,866.24",$0.00,1,0,1,20120101,64836,CPT,SUTURE 1 NERVE ULNAR MOTOR,,30,,,"$13,866.24",$0.00,1,0,1,20120101,64837,CPT,SUTURE EACH ADDITIONAL NERVE HAND/FOOT,,30,,,"$13,866.24",$0.00,1,0,1,20120101,64840,CPT,SUTURE POSTERIOR TIBIAL NERVE,,30,,,"$13,866.24",$0.00,1,0,1,20120101,64856,CPT,SUTR PRPH NRV ARM/LEG XCP SCIATIC W/TRPOS,,30,,,"$13,866.24",$0.00,1,0,1,20120101,64857,CPT,SUTR PRPH NRV ARM/LEG XCP SCIATIC W/O TRPOS,,30,,,"$13,866.24",$0.00,1,0,1,20120101,64858,CPT,SUTURE SCIATIC NERVE,,30,,,"$13,866.24",$0.00,1,0,1,20120101,64859,CPT,SUTURE EACH ADDITIONAL PERIPHERAL NERVE,,30,,,"$13,866.24",$0.00,1,0,1,20120101,64861,CPT,SUTURE BRACHIAL PLEXUS,,30,,,"$13,866.24",$0.00,1,0,1,20120101,64862,CPT,SUTURE LUMBAR PLEXUS,,30,,,"$13,866.24",$0.00,1,0,1,20120101,64864,CPT,SUTURE FACIAL NERVE EXTRACRANIAL,,30,,,"$13,866.24",$0.00,1,0,1,20120101,64865,CPT,SUTURE FACIAL NERVE INFRATEMPORAL W/WO GRAFT,,30,,,"$13,866.24",$0.00,1,0,1,20120101,64870,CPT,ANASTOMOSIS FACIAL-PHRENIC,,30,,,"$13,866.24",$0.00,1,0,1,20120101,64872,CPT,SUTURE NERVE REQ SECONDARY/DELAYED SUTURE,,30,,,"$13,866.24",$0.00,1,0,1,20120101,64874,CPT,SUTURE NERVE REQ XTNSV MOBIL/TRPOS NERVE,,30,,,"$13,866.24",$0.00,1,0,1,20120101,64876,CPT,SUTURE NERVE REQ SHORTENING BONE EXTREMITY,,30,,,"$13,866.24",$0.00,1,0,1,20120101,64885,CPT,NERVE GRAFT HEAD/NECK < 4 CM,,30,,,"$13,866.24",$0.00,1,0,1,20120101,64886,CPT,NERVE GRAFT HEAD/NECK >4 CM,,30,,,"$13,866.24",$0.00,1,0,1,20120101,64890,CPT,NERVE GRAFT 1 STRAND HAND/FOOT <4 CM,,30,,,"$13,866.24",$0.00,1,0,1,20120101,64891,CPT,NRV GRF 1 STRAND HAND/FOOT >4 CM,,30,,,"$13,866.24",$0.00,1,0,1,20120101,64892,CPT,NERVE GRAFT 1 STRAND ARM/LEG <4 CM,,30,,,"$13,866.24",$0.00,1,0,1,20120101,64893,CPT,NERVE GRAFT 1 STRAND ARM/LEG >4 CM,,30,,,"$13,866.24",$0.00,1,0,1,20120101,64895,CPT,NERVE GRAFT MLT STRANDS HAND/FOOT <4 CM,,30,,,"$13,866.24",$0.00,1,0,1,20120101,64896,CPT,NERVE GRAFT MLT STRANDS HAND/FOOT > 4 CM,,30,,,"$13,866.24",$0.00,1,0,1,20120101,64897,CPT,NERVE GRAFT MLT STRANDS ARM/LEG <4 CM,,30,,,"$13,866.24",$0.00,1,0,1,20120101,64898,CPT,NERVE GRAFT MLT STRANDS ARM/LEG >4 CM,,30,,,"$13,866.24",$0.00,1,0,1,20120101,64901,CPT,NERVE GRAFT EACH NERVE 1 STRAND,,30,,,"$13,866.24",$0.00,1,0,1,20120101,64902,CPT,NERVE GRAFT EACH NERVE MULTIPLE STRANDS,,30,,,"$13,866.24",$0.00,1,0,1,20120101,64905,CPT,NERVE PEDICLE TRANSFER FIRST STAGE,,30,,,"$13,866.24",$0.00,1,0,1,20120101,64907,CPT,NERVE PEDICAL TRANSFER SECOND STAGE,,30,,,"$13,866.24",$0.00,1,0,1,20120101,64910,CPT,NERVE REPAIR W/CONDUIT EACH NERVE,,30,,,"$13,866.24",$0.00,1,0,1,20120101,64911,CPT,NERVE REPAIR W/AUTOGENOUS VEIN GRAFT EA NERVE,,30,,,"$13,866.24",$0.00,1,0,1,20120101,64999,CPT,UNLISTED PROCEDURE NERVOUS SYSTEM,,30,,,$875.36,$0.00,1,0,1,20120101,65091,CPT,EVISCERATION OCULAR CONTENTS W/O IMPLANT,,30,,,"$14,860.88",$0.00,1,0,1,20120101,65093,CPT,EVISCERATION OCULAR CONTENTS W/IMPLANT,,30,,,"$14,860.88",$0.00,1,0,1,20120101,65101,CPT,ENUCLEATION OF EYE W/O IMPLANT,,30,,,"$14,860.88",$0.00,1,0,1,20120101,65103,CPT,ENUCLEATION EYE IMPLT MUSC X ATTACHED IMPLT,,30,,,"$14,860.88",$0.00,1,0,1,20120101,65105,CPT,ENUCLEATION EYE IMPLT MUSC ATTACHED IMPLT,,30,,,"$14,860.88",$0.00,1,0,1,20120101,65110,CPT,EXENTERATION ORBIT REMVL ORBITAL CONTENTS ONLY,,30,,,"$14,860.88",$0.00,1,0,1,20120101,65112,CPT,EXENTERATION ORBIT RMVL ORBIT CONTENTS & BONE,,30,,,"$14,860.88",$0.00,1,0,1,20120101,65114,CPT,EXNTJ ORBIT RMVL ORB CNTS W/MUSC/MYOQ FLAP,,30,,,"$14,860.88",$0.00,1,0,1,20120101,65125,CPT,MODIFICAJ OC IMPLT W/PLMT/RPLCMT PEGS SPX,,30,,,"$10,624.60",$0.00,1,0,1,20120101,65130,CPT,INSJ OC IMPLT SEC AFTER EVSC SCLL SHELL,,30,,,"$10,624.60",$0.00,1,0,1,20120101,65135,CPT,INSJ OC IMPLT AFTER ENCL MUSC X ATTACHED,,30,,,"$10,624.60",$0.00,1,0,1,20120101,65140,CPT,INSJ OC IMPLT AFTER ENCL MUSC ATTACHED,,30,,,"$14,860.88",$0.00,1,0,1,20120101,65150,CPT,REINSERTION OCULAR IMPLT W/WO CONJUNCTIVAL GRAFT,,30,,,"$10,624.60",$0.00,1,0,1,20120101,65155,CPT,REINSERTION OCULAR IMPLT RNFCMT&/ATTACHMENT MUSC,,30,,,"$14,860.88",$0.00,1,0,1,20120101,65175,CPT,REMOVAL OCULAR IMPLANT,,30,,,"$7,976.15",$0.00,1,0,1,20120101,65205,CPT,REMOVAL FB EYE CONJUNCTIVAL SUPERFICIAL,,30,,,$456.88,$0.00,1,0,1,20120101,65210,CPT,RMVL FB XTRNL EYE EMBED SCJNCL/SCLERAL NONPERFOR,,30,,,$456.88,$0.00,1,0,1,20120101,65220,CPT,RMVL FB XTRNL EYE CORNEAL W/O SLIT LAMP,,30,,,$456.88,$0.00,1,0,1,20120101,65222,CPT,RMVL FB XTRNL EYE CORNEAL W/SLIT LAMP,,30,,,$456.88,$0.00,1,0,1,20120101,65235,CPT,RMVL FB INTRAOCULAR ANT CHAMBER EYE/LENS,,30,,,"$6,629.34",$0.00,1,0,1,20120101,65260,CPT,RMVL FB IO FROM POST SEG MAG XTRJ ANT/POST ROUTE,,30,,,"$1,929.82",$0.00,1,0,1,20120101,65265,CPT,RMVL FB IO FROM POST SEG NONMAGNETIC XTRJ,,30,,,"$8,950.25",$0.00,1,0,1,20120101,65270,CPT,RPR LAC CJNC W/WO NONPERFOR LAC SCLERA DIR CLSR,,30,,,"$7,976.15",$0.00,1,0,1,20120101,65272,CPT,RPR LAC CJNC MOBLJ&REARGMT W/O HOSPIZATION,,30,,,"$9,923.73",$0.00,1,0,1,20120101,65275,CPT,RPR LAC CORNEA NONPERFOR W/WO RMVL FOREIGN BODY,,30,,,"$9,923.73",$0.00,1,0,1,20120101,65280,CPT,RPR LAC CORNEA&/SCLERA PERFOR X INVG UVEAL TISS,,30,,,"$8,950.25",$0.00,1,0,1,20120101,65285,CPT,RPR LAC CORN&/SCLRA PERF W/REPOS/RESCJ UVEAL TIS,,30,,,"$13,535.79",$0.00,1,0,1,20120101,65286,CPT,RPR LAC APPL TISSUE GLUE WOUND CORNEA&/SCLERA,,30,,,"$3,083.85",$0.00,1,0,1,20120101,65290,CPT,RPR WND EXTRAOCULAR MUSCLE TENDON&/TENON CAPSULE,,30,,,"$9,931.65",$0.00,1,0,1,20120101,65400,CPT,EXCISION LESION CORNEA XCP PTERYGIUM,,30,,,"$6,629.34",$0.00,1,0,1,20120101,65410,CPT,BIOPSY CORNEA,,30,,,"$6,629.34",$0.00,1,0,1,20120101,65420,CPT,EXCISION/TRANSPOSITION PTERYGIUM W/O GRAFT,,30,,,"$6,629.34",$0.00,1,0,1,20120101,65426,CPT,EXCISION/TRANSPOSITION PTERYGIUM W/GRAFG,,30,,,"$9,923.73",$0.00,1,0,1,20120101,65430,CPT,CORNEA SCRAPING DIAGNOSTIC SMEAR &/CULTURE,,30,,,$456.88,$0.00,1,0,1,20120101,65435,CPT,RMVL CORNEAL EPITHELIUM W/WO CHEMOCAUTERIZATION,,30,,,"$3,263.66",$0.00,1,0,1,20120101,65436,CPT,RMVL CORNEAL EPITHELIUM W/APPL CHELATING AGENT,,30,,,"$6,629.34",$0.00,1,0,1,20120101,65450,CPT,DSTRJ LESION CRYOTHER PHOTO/THERMOCAUTZATION,,30,,,$906.88,$0.00,1,0,1,20120101,65600,CPT,MULTIPLE PUNCTURES ANTERIOR CORNEA,,30,,,"$7,976.15",$0.00,1,0,1,20120101,65710,CPT,KERATOPLASTY ANTERIOR LAMELLAR,,30,,,"$14,171.73",$0.00,1,0,1,20120101,65730,CPT,KERATOPLASTY PENTRG EXCEPT APHAKIA/PSEUDOPHAKIA,,30,,,"$14,171.73",$0.00,1,0,1,20120101,65750,CPT,KERATOPLASTY PENETRAING APHAKIA,,30,,,"$14,171.73",$0.00,1,0,1,20120101,65755,CPT,KERATOPLASTY PENETRATING PSEUDOPHAKIA,,30,,,"$14,171.73",$0.00,1,0,1,20120101,65756,CPT,KERATOPLASTY ENDOTHELIAL,,30,,,"$14,171.73",$0.00,1,0,1,20120101,65760,CPT,KERATOMILEUSIS,,30,,,"$10,677.59",$0.00,1,0,1,20120101,65765,CPT,KERATOPHAKIA,,30,,,"$10,677.59",$0.00,1,0,1,20120101,65767,CPT,EPIKERATOPLASTY,,30,,,"$10,677.59",$0.00,1,0,1,20120101,65770,CPT,KERATOPROSTHESIS,,30,,,"$23,078.49",$0.00,1,0,1,20120101,65771,CPT,RADIAL KERATOTOMY,,30,,,"$3,882.76",$0.00,1,0,1,20120101,65772,CPT,CRNL RELAXING INC CORRJ INDUCED ASTIGMATISM,,30,,,"$6,629.34",$0.00,1,0,1,20120101,65775,CPT,CRNL WEDGE RESCJ CORRJ INDUCED ASTIGMATISM,,30,,,"$6,629.34",$0.00,1,0,1,20120101,65778,CPT,PLACE AMNIOTIC MEMB OCULAR SURFACE SELF RETAIN,,30,,,"$6,629.34",$0.00,1,0,1,20120101,65779,CPT,PLACE AMNIOTIC MEMBRANE OCULAR SURFACE SUTURED,,30,,,"$6,629.34",$0.00,1,0,1,20120101,65780,CPT,OCULAR SURFACE RECONSTRUCTION AMNIOTIC MEMBRANE,,30,,,"$14,171.73",$0.00,1,0,1,20120101,65781,CPT,OCULAR SURFACE RECONSTRUCTION LIMBAL ALLOGRAFT,,30,,,"$14,171.73",$0.00,1,0,1,20120101,65782,CPT,OCCULAR SURFACE RECONSTRUCTION LIMBAL AUTOGRAFT,,30,,,"$14,171.73",$0.00,1,0,1,20120101,65800,CPT,PARACENTSIS ANT CHAMB EYE W/DX ASPIR AQUEOUS SPX,,30,,,"$3,083.85",$0.00,1,0,1,20120101,65805,CPT,PARACENTSIS ANT CHAM EYE W/THER REL AQUEOUS SPX,,30,,,"$9,923.73",$0.00,1,0,1,20120101,65810,CPT,PARACENTSIS ANT CHAM RMVL VITREOUS W/WO AIR INJX,,30,,,"$9,923.73",$0.00,1,0,1,20120101,65815,CPT,PARACEN ANT CHAM RMVL BLOOD W/WO IRRIG&/AIR INJX,,30,,,"$9,923.73",$0.00,1,0,1,20120101,65820,CPT,GONIOTOMY,,30,,,"$9,923.73",$0.00,1,0,1,20120101,65850,CPT,TRABECULOTOMY AB EXTERNO,,30,,,"$9,923.73",$0.00,1,0,1,20120101,65855,CPT,TRABECULOPLASTY LASER SURG 1/> SESSIONS,,30,,,"$2,147.60",$0.00,1,0,1,20120101,65860,CPT,SEVERING ADHESIONS ANTERIOR SEGMENT LASER SPX,,30,,,"$2,147.60",$0.00,1,0,1,20120101,65865,CPT,SEVERING ADS ANT SEG INCAL TQ SPX GONIOSYNECHIAE,,30,,,"$6,629.34",$0.00,1,0,1,20120101,65870,CPT,SEVERING ADS ANT SEG INCAL SPX ANT SYNECHIAE,,30,,,"$9,923.73",$0.00,1,0,1,20120101,65875,CPT,SEVERING ADS ANT SEG INCAL SPX POST SYNECHIAE,,30,,,"$9,923.73",$0.00,1,0,1,20120101,65880,CPT,SEVERING ADS ANT SEG INCAL SPX CORNEOVITREAL,,30,,,"$6,629.34",$0.00,1,0,1,20120101,65900,CPT,RMVL EPITHELIAL DOWNGROWTH ANT CHAMBER EYE,,30,,,"$1,156.18",$0.00,1,0,1,20120101,65920,CPT,RMVL IMPLANTED MATERIAL ANTERIO SEGMENT EYE,,30,,,"$9,923.73",$0.00,1,0,1,20120101,65930,CPT,RMVL BLOOD CLOT ANTERIOR SEGMENT EYE,,30,,,"$9,923.73",$0.00,1,0,1,20120101,66020,CPT,INJX ANTERIOR CHAMBER EYE AIR/LIQUID SPX,,30,,,"$6,629.34",$0.00,1,0,1,20120101,66030,CPT,INJX ANTERIOR CHAMBER EYE MEDICATION SPX,,30,,,"$6,629.34",$0.00,1,0,1,20120101,66130,CPT,EXCISION LESION SCLERA,,30,,,"$9,923.73",$0.00,1,0,1,20120101,66150,CPT,FSTLJ SCLERA GLAUCOMA TREPHIN W/IRIDECTOMY,,30,,,"$9,923.73",$0.00,1,0,1,20120101,66155,CPT,FSTLJ SCLERA GLAUCOMA THERMOCAUT IRRIDEC,,30,,,"$9,923.73",$0.00,1,0,1,20120101,66160,CPT,FSTLJ SCLERA SCLERECTOMY PUNCH/SCISSORS IRIDECT,,30,,,"$9,923.73",$0.00,1,0,1,20120101,66165,CPT,FSTLJ SCLERA GLAUCOMA IRIDENCLEISIS/IRIDOTASIS,,30,,,"$9,923.73",$0.00,1,0,1,20120101,66170,CPT,FSTLJ SCLERA GLAUCOMA TRABECULECT AB EXTERNO,,30,,,"$9,923.73",$0.00,1,0,1,20120101,66172,CPT,FSTLJ SCLERA GLC TRBEC AB EXTERNO SCARRING,,30,,,"$9,923.73",$0.00,1,0,1,20120101,66174,CPT,TRLUML DILAT AQUEOUS CANAL W/O DEVICE/STENT,,30,,,"$15,091.02",$0.00,1,0,1,20120101,66175,CPT,TRLUML DILAT AQUEOUS CANAL W/DEVICE/STENT,,30,,,"$15,091.02",$0.00,1,0,1,20120101,66180,CPT,AQUEOUS SHUNT EXTRAOCULAR RESERVOIR,,30,,,"$15,091.02",$0.00,1,0,1,20120101,66185,CPT,REVISION AQUEOUS SHUNT EXTRAOCULAR RESERVOIR,,30,,,"$9,923.73",$0.00,1,0,1,20120101,66220,CPT,REPAIR SCLERAL STAPHYLOMA W/O GRAFT,,30,,,"$13,535.79",$0.00,1,0,1,20120101,66225,CPT,REPAIR SCLERAL STAPHYLOMA W/GRAFT,,30,,,"$15,091.02",$0.00,1,0,1,20120101,66250,CPT,REVJ/RPR OPRATIVE WOUND ANTERIOR SEGMENT,,30,,,"$6,629.34",$0.00,1,0,1,20120101,66500,CPT,IRIDOTOMY STAB INC SPX XCP TRANSFIXION,,30,,,"$1,156.18",$0.00,1,0,1,20120101,66505,CPT,IRIDOTOMY STAB INC SPX TRANSFIXION,,30,,,"$3,083.85",$0.00,1,0,1,20120101,66600,CPT,IRDEC CRNLSCLRL/CRNL SCTJ RMVL LES,,30,,,"$9,923.73",$0.00,1,0,1,20120101,66605,CPT,IRDEC CRNLSCLRL/CRNL SCTJ CYCLECTOMY,,30,,,"$9,923.73",$0.00,1,0,1,20120101,66625,CPT,IRDEC CRNLSCLRL/CRNL SCTJ PRPH GLC SPX,,30,,,"$3,083.85",$0.00,1,0,1,20120101,66630,CPT,IRDEC CRNLSCLRL/CRNL SCTJ SECTOR GLC SPX,,30,,,"$9,923.73",$0.00,1,0,1,20120101,66635,CPT,IRDEC CRNLSCLRL/CRNL SCTJ OPTICAL SPX,,30,,,"$9,923.73",$0.00,1,0,1,20120101,66680,CPT,REPAIR IRIS CILIARY BODY,,30,,,"$9,923.73",$0.00,1,0,1,20120101,66682,CPT,SUTURE IRIS CILIARY BODY SPX RETRIEVAL SUTURE,,30,,,"$9,923.73",$0.00,1,0,1,20120101,66700,CPT,CILIARY BODY DESTRUCTION DIATHERMY,,30,,,"$6,629.34",$0.00,1,0,1,20120101,66710,CPT,CILIARY BODY DSTRJ CYCLOPHOTOCOAG TRANSSCERAL,,30,,,"$6,629.34",$0.00,1,0,1,20120101,66711,CPT,CILIARY BODY DSTRJ CYCLOPHOTOCOAG ENDOSCOPIC,,30,,,"$9,923.73",$0.00,1,0,1,20120101,66720,CPT,CILIARY BODY DESTRUCTION CRYOTHERAPY,,30,,,"$6,629.34",$0.00,1,0,1,20120101,66740,CPT,CILIARY BODY DESTRUCTION CYCLODIAL,,30,,,"$9,923.73",$0.00,1,0,1,20120101,66761,CPT,IRIDOTOMY/IRRIDECTOMY LASER SURG PER SESSION,,30,,,"$2,147.60",$0.00,1,0,1,20120101,66762,CPT,IRIDOPLASTY PHOTOCOAGULATION 1/> SESSIONS,,30,,,"$2,147.60",$0.00,1,0,1,20120101,66770,CPT,DSTRJ CYST/LESION IRIS/CILIARY BODY,,30,,,"$2,147.60",$0.00,1,0,1,20120101,66820,CPT,DISCISSION SECONDARY MEMBRANOUS CATARACT,,30,,,"$3,083.85",$0.00,1,0,1,20120101,66821,CPT,POST-CATARACT LASER SURGERY,,30,,,"$2,147.60",$0.00,1,0,1,20120101,66825,CPT,REPOSITIONING IO LENS PROSTHESIS REQ INC SPX,,30,,,"$9,923.73",$0.00,1,0,1,20120101,66830,CPT,RMVL SEC MEMBRANOUS CTRC CORNEO-SCLL SCTJ,,30,,,"$3,083.85",$0.00,1,0,1,20120101,66840,CPT,RMVL LENS MATERIAL ASPIR TQ 1/> STAGES,,30,,,"$6,629.34",$0.00,1,0,1,20120101,66850,CPT,RMVL LENS MATERIAL PHACOFRAGMENTATION ASPIR,,30,,,"$11,853.58",$0.00,1,0,1,20120101,66852,CPT,RMVL LENS MATERIAL PARS PLANA W/WO VITRECTOMY,,30,,,"$11,853.58",$0.00,1,0,1,20120101,66920,CPT,RMVL LENS MATERIAL INTRACAPSULAR,,30,,,"$11,853.58",$0.00,1,0,1,20120101,66930,CPT,REMOVAL LENS MATRL INTRACAPSULAR DISLOCATED LENS,,30,,,"$11,853.58",$0.00,1,0,1,20120101,66940,CPT,REMOVAL LENS MATERIAL EXTRACAPSULAR,,30,,,"$3,083.85",$0.00,1,0,1,20120101,66982,CPT,XCAPSULAR CATARACT RMVL INSJ LENS PROSTH 1 STG,,30,,,"$8,353.27",$0.00,1,0,1,20120101,66983,CPT,ICAPSULAR CATARACT XTRJ INSJ IO LENS PRSTH 1 STG,,30,,,"$8,353.27",$0.00,1,0,1,20120101,66984,CPT,CATARACT REMOVAL INSERTION OF LENS,,30,,,"$8,353.27",$0.00,1,0,1,20120101,66985,CPT,INSJ IO LENS PROSTHESIS X W/CONCURRENT RMVL,,30,,,"$8,353.27",$0.00,1,0,1,20120101,66986,CPT,EXCHANGE INTRAOCULAR LENS,,30,,,"$8,353.27",$0.00,1,0,1,20120101,66999,CPT,UNLISTED PROCEDURE ANTERIOR SEGMENT EYE,,30,,,"$1,156.18",$0.00,1,0,1,20120101,67005,CPT,RMVL VITREOUS ANT APPR PARTIAL REMOVAL,,30,,,"$8,950.25",$0.00,1,0,1,20120101,67010,CPT,RMVL VITREOUS ANT APPR SUBTOT RMVL MECH VITRECT,,30,,,"$13,535.79",$0.00,1,0,1,20120101,67015,CPT,ASPIRATION/RELEASE VITREOUS SUBRETINAL/CHOROIDAL,,30,,,"$13,535.79",$0.00,1,0,1,20120101,67025,CPT,INJ SUBSTITUTE PARS PLANA/LIMBL W/WO ASPIR SPX,,30,,,"$13,535.79",$0.00,1,0,1,20120101,67027,CPT,IMPLTJ INTRAVITREAL DRUG DLVR SYS RMVL VTS,,30,,,"$13,535.79",$0.00,1,0,1,20120101,67028,CPT,INTRAVITREAL NJX PHARMACOLOGIC AGT SPX,,30,,,"$1,307.14",$0.00,1,0,1,20120101,67030,CPT,DISCISSION VITREOUS STRANS PARS PLANA APPROACH,,30,,,"$8,950.25",$0.00,1,0,1,20120101,67031,CPT,SEVERING VITREOUS STRANS LASER 1/> STAGES,,30,,,"$2,147.60",$0.00,1,0,1,20120101,67036,CPT,VITRECTOMY MECHANICAL PARS PLANA,,30,,,"$13,535.79",$0.00,1,0,1,20120101,67039,CPT,VITRECTOMY MCHNL PARS PLNA FOCAL ENDOLASER PC,,30,,,"$13,535.79",$0.00,1,0,1,20120101,67040,CPT,VTRECTOMY MCHNL PARS PLNA ENDOLASER PANRTA PC,,30,,,"$13,535.79",$0.00,1,0,1,20120101,67041,CPT,VITRECTOMY PARS PLANA REMOVE PRERETINAL MEMBRANE,,30,,,"$13,535.79",$0.00,1,0,1,20120101,67042,CPT,VITRECTOMY PARS PLANA REMOVE INT MEMB RETINA,,30,,,"$13,535.79",$0.00,1,0,1,20120101,67043,CPT,VITRECTOMY PARS PLANA REMOVE SUBRETINAL MEMBRANE,,30,,,"$13,535.79",$0.00,1,0,1,20120101,67101,CPT,RPR RETINAL DTCHMNT 1/>SES CRYOTX/DTHRM W/WO DRG,,30,,,"$8,950.25",$0.00,1,0,1,20120101,67105,CPT,RPR RETINAL DTCHMNT 1/> SES PC W/WO DRG SUBRETIN,,30,,,"$2,147.60",$0.00,1,0,1,20120101,67107,CPT,RPR RETINAL DTCHMNT SCLERAL BUCKLING W/WO IMPLT,,30,,,"$13,535.79",$0.00,1,0,1,20120101,67108,CPT,RPR RETINAL DTCHMNT W/VITRECTOMY ANY METH,,30,,,"$13,535.79",$0.00,1,0,1,20120101,67110,CPT,RPR RETINAL DTCHMNT INJECTION AIR/OTHER GAS,,30,,,"$8,950.25",$0.00,1,0,1,20120101,67112,CPT,RPR RETINAL DTCHMNT SCLERAL BUCKLING/VITRECTOMY,,30,,,"$13,535.79",$0.00,1,0,1,20120101,67113,CPT,RPR COMPLEX RETINA DETACH VITRECTOMY & MEMB PEEL,,30,,,"$13,535.79",$0.00,1,0,1,20120101,67115,CPT,RELEASE ENCIRCLING MATERIAL POSTERIOR SEGMENT,,30,,,"$8,950.25",$0.00,1,0,1,20120101,67120,CPT,RMVL IMPLNT MATL POSTERIOR SEGMENT EXTRAOCULAR,,30,,,"$8,950.25",$0.00,1,0,1,20120101,67121,CPT,RMVL IMPLT MATRL POSTERIOR SEGMENT INTRAOCULAR,,30,,,"$13,535.79",$0.00,1,0,1,20120101,67141,CPT,PROPH RTA DTCHMNT W/O DRG 1/> SESS CRTX DTHRM,,30,,,"$1,929.82",$0.00,1,0,1,20120101,67145,CPT,PROPH RTA DTCHMNT W/O DRG 1/> SESS,,30,,,"$2,147.60",$0.00,1,0,1,20120101,67208,CPT,DSTRJ LOCLZD LES RETINA 1/> SESS CRTX DTHRM,,30,,,"$1,929.82",$0.00,1,0,1,20120101,67210,CPT,DSTRJ LOCLZD LES RETINA 1/> SESS PC,,30,,,"$2,147.60",$0.00,1,0,1,20120101,67218,CPT,DSTRJ LES RETINA 1/> SESS RADJ IMPLTJ,,30,,,"$8,950.25",$0.00,1,0,1,20120101,67220,CPT,DSTRJ LES CHOROID PC 1/> SESS,,30,,,"$1,929.82",$0.00,1,0,1,20120101,67221,CPT,DSTRJ LES CHOROID PDT,,30,,,"$1,929.82",$0.00,1,0,1,20120101,67225,CPT,DSTRJ LES CHOROID PDT 2ND EYE 1 SESS,,30,,,"$1,929.82",$0.00,1,0,1,20120101,67227,CPT,DESTRUCTION RETINOPATHY 1/> SESS DIATHERMY,,30,,,"$8,950.25",$0.00,1,0,1,20120101,67228,CPT,EXTENSIVE RETINOPATHY 1/> SESS PHOTOCOAGULATION,,30,,,"$2,147.60",$0.00,1,0,1,20120101,67229,CPT,EXTENSIVE RETINOPATHY 1/> SESS PRETERM INFANT,,30,,,"$2,147.60",$0.00,1,0,1,20120101,67250,CPT,SCLERAL REINFORCEMENT SPX W/O GRAFT,,30,,,"$7,976.15",$0.00,1,0,1,20120101,67255,CPT,SCLERAL REINFORCEMENT SPX W/GRAFT,,30,,,"$8,950.25",$0.00,1,0,1,20120101,67299,CPT,UNLISTED PROCEDURE POSTERIOR SEGMENT,,30,,,"$1,929.82",$0.00,1,0,1,20120101,67311,CPT,STRABISMUS RECESSION/RESCJ 1 HRZNTL MUSC,,30,,,"$9,931.65",$0.00,1,0,1,20120101,67312,CPT,STRABISMUS RECESSION/RESCJ 2 HRZNTL MUSC,,30,,,"$9,931.65",$0.00,1,0,1,20120101,67314,CPT,STRABISMUS RECESSION/RESCJ 1 VER MUSC,,30,,,"$9,931.65",$0.00,1,0,1,20120101,67316,CPT,STRABISMUS RECESSION/RESCJ 2/MORE VER MUSC,,30,,,"$9,931.65",$0.00,1,0,1,20120101,67318,CPT,STRABISMUS ANY SUPERIOR OBLIQUE MUSCLE,,30,,,"$9,931.65",$0.00,1,0,1,20120101,67320,CPT,TRANSPOSITION PROCEDURE EXTRAOCULAR MUSC,,30,,,"$9,931.65",$0.00,1,0,1,20120101,67331,CPT,STRABISMUS PREVIOUS EYE X INVOLVE EO MUSC,,30,,,"$9,931.65",$0.00,1,0,1,20120101,67332,CPT,STRABISMUS SCARRING EO MUSC/RSTCV MYOPATHY,,30,,,"$9,931.65",$0.00,1,0,1,20120101,67334,CPT,STRABISMUS POST FIXJ SUTR TQ W/WO MUSC RECESSION,,30,,,"$9,931.65",$0.00,1,0,1,20120101,67335,CPT,PLACEMENT ADJUSTABLE SUTURE STRABISMUS,,30,,,"$9,931.65",$0.00,1,0,1,20120101,67340,CPT,STRABISMUS EXPL&/RPR DETACHED EXTROCULAR MUSC,,30,,,"$9,931.65",$0.00,1,0,1,20120101,67343,CPT,RLS XTNSV SCAR TISS W/O DETACHING EO MUSC SPX,,30,,,"$9,931.65",$0.00,1,0,1,20120101,67345,CPT,CHEMODENERVATION EXTRAOCULAR MUSCLE,,30,,,"$1,307.14",$0.00,1,0,1,20120101,67346,CPT,BIOPSY EXTRAOCULAR MUSCLE,,30,,,"$6,132.96",$0.00,1,0,1,20120101,67399,CPT,UNLISTED PROCEDURE OCULAR MUSCLE,,30,,,"$9,931.65",$0.00,1,0,1,20120101,67400,CPT,ORBITOTOMY W/O BONE FLAP EXPL W/WO BIOPSY,,30,,,"$7,976.15",$0.00,1,0,1,20120101,67405,CPT,ORBITOTOMY W/O BONE FLAP EXPL W/DRAINAGE ONLY,,30,,,"$10,624.60",$0.00,1,0,1,20120101,67412,CPT,ORBITOTOMY W/O BONE FLAP W/REMOVAL LESION,,30,,,"$7,976.15",$0.00,1,0,1,20120101,67413,CPT,ORBITOTOMY W/O BONE FLAP W/RMVL FOREIGN BODY,,30,,,"$10,624.60",$0.00,1,0,1,20120101,67414,CPT,ORBITOTOMY W/O BONE FLAP W/RMVL BONE DCMPRN,,30,,,"$14,860.88",$0.00,1,0,1,20120101,67415,CPT,FINE NEEDLE ASPIRATION ORBITAL CONTENTS,,30,,,"$7,976.15",$0.00,1,0,1,20120101,67420,CPT,ORBITOTOMY BONE FLAP/WINDOW LAT RMVL LESION,,30,,,"$14,860.88",$0.00,1,0,1,20120101,67430,CPT,ORBITOTOMY BONE FLAP/WINDOW LATERAL RMVL FB,,30,,,"$14,860.88",$0.00,1,0,1,20120101,67440,CPT,ORBITOTOMY BONE FLAP/WINDOW LATERAL W/DRG,,30,,,"$14,860.88",$0.00,1,0,1,20120101,67445,CPT,ORBITOTOMY BONE FLAP/WINDOW LAT RMVL BONE DCMPRN,,30,,,"$14,860.88",$0.00,1,0,1,20120101,67450,CPT,ORBITOTOMY BONE FLAP/WINDOW LAT EXPL W/WO BX,,30,,,"$14,860.88",$0.00,1,0,1,20120101,67500,CPT,RETROBULBAR INJECTION MEDICATION SPX,,30,,,$906.88,$0.00,1,0,1,20120101,67505,CPT,RETROBULBAR INJECTION ALCOHOL,,30,,,"$1,307.14",$0.00,1,0,1,20120101,67515,CPT,INJECTION MEDICATION/OTHER SUBST TENON CAPSULE,,30,,,"$1,307.14",$0.00,1,0,1,20120101,67550,CPT,ORBITAL IMPLANT INSERTION,,30,,,"$14,860.88",$0.00,1,0,1,20120101,67560,CPT,ORBITAL IMPLANT REMOVAL/REVISION,,30,,,"$10,624.60",$0.00,1,0,1,20120101,67570,CPT,OPTIC NERVE DECOMPRESSION,,30,,,"$14,860.88",$0.00,1,0,1,20120101,67599,CPT,UNLISTED PROCEDURE ORBIT,,30,,,"$1,307.14",$0.00,1,0,1,20120101,67700,CPT,BLEPHAROTOMY DRAINAGE ABSCESS EYELID,,30,,,"$1,307.14",$0.00,1,0,1,20120101,67710,CPT,SEVERING TARSORRHAPHY,,30,,,"$3,263.66",$0.00,1,0,1,20120101,67715,CPT,CANTHOTOMY SEPARATE PROCEDURE,,30,,,"$7,976.15",$0.00,1,0,1,20120101,67800,CPT,EXCISION CHALAZION SINGLE,,30,,,"$1,307.14",$0.00,1,0,1,20120101,67801,CPT,EXCISION CHALAZION MULTIPLE SAME LID,,30,,,"$3,263.66",$0.00,1,0,1,20120101,67805,CPT,EXCISION CHALAZION MULTIPLE DIFFERENT LIDS,,30,,,"$1,307.14",$0.00,1,0,1,20120101,67808,CPT,EXC CHALAZION ANES REQ HOSPIZATION SINGLE/MULT,,30,,,"$7,976.15",$0.00,1,0,1,20120101,67810,CPT,BIOPSY EYELID,,30,,,"$1,307.14",$0.00,1,0,1,20120101,67820,CPT,CORRECTION TRICHIASIS EPILATION FORCEPS ONLY,,30,,,$456.88,$0.00,1,0,1,20120101,67825,CPT,CORRECTION TRICHIASIS EPILATION OTH/THAN FORCEPS,,30,,,"$1,307.14",$0.00,1,0,1,20120101,67830,CPT,CORRECTION TRICHIASIS INCCISION LID MARGIN,,30,,,"$3,263.66",$0.00,1,0,1,20120101,67835,CPT,CORRJ TRICHIASIS INC LID MRGN W/FR MUC MEMB GRF,,30,,,"$7,976.15",$0.00,1,0,1,20120101,67840,CPT,EXC LESION EYELID W/O CLSR/W/SIMPLE DIR CLOSURE,,30,,,"$3,263.66",$0.00,1,0,1,20120101,67850,CPT,DESTRUCTION LESION LID MRGN < 1 CM,,30,,,"$3,263.66",$0.00,1,0,1,20120101,67875,CPT,TEMPORARY CLOSURE EYELIDS SUTURE,,30,,,"$3,263.66",$0.00,1,0,1,20120101,67880,CPT,CONSTJ INTERMARGIN ADHES/TARSORRH/CANTHORRHAPY,,30,,,"$6,629.34",$0.00,1,0,1,20120101,67882,CPT,CONSTJ INTERMARGIN ADHES/TARSOR/CANTHOR W/TRPOS,,30,,,"$7,976.15",$0.00,1,0,1,20120101,67900,CPT,REPAIR BROW PTOSIS,,30,,,"$10,624.60",$0.00,1,0,1,20120101,67901,CPT,RPR BLEPHAROPTOSIS FRONTALIS MUSC SUTR/OTH MATRL,,30,,,"$7,976.15",$0.00,1,0,1,20120101,67902,CPT,RPR BLEPHAROPT FRONTALIS MUSC AUTOL FASCAL SLING,,30,,,"$10,624.60",$0.00,1,0,1,20120101,67903,CPT,RPR BLEPHAROPTOSIS LEVATOR RESCJ/ADVMNT INTERNAL,,30,,,"$7,976.15",$0.00,1,0,1,20120101,67904,CPT,RPR BLEPHAROPTOSIS LEVATOR RESCJ/ADVMNT XTRNL,,30,,,"$7,976.15",$0.00,1,0,1,20120101,67906,CPT,RPR BLEPHAROPTOSIS SUPERIOR RECTUS FASCIAL SLING,,30,,,"$7,976.15",$0.00,1,0,1,20120101,67908,CPT,RPR BLPOS CONJUNCTIVO-TARSO-MUSC-LEVATOR RESCJ,,30,,,"$7,976.15",$0.00,1,0,1,20120101,67909,CPT,REDUCTION OVERCORRECTION PTOSIS,,30,,,"$7,976.15",$0.00,1,0,1,20120101,67911,CPT,CORRECTION LID RETRACTION,,30,,,"$7,976.15",$0.00,1,0,1,20120101,67912,CPT,CORRJ LAGOPHTHALMOS IMPLTJ UPR EYELID LID LOAD,,30,,,"$7,976.15",$0.00,1,0,1,20120101,67914,CPT,REPAIR ECTROPION SUTURE,,30,,,"$7,976.15",$0.00,1,0,1,20120101,67915,CPT,REPAIR ECTROPION THERMOCAUTERIZATION,,30,,,"$7,976.15",$0.00,1,0,1,20120101,67916,CPT,REPAIR ECTROPION EXCISION TARSAL WEDGE,,30,,,"$7,976.15",$0.00,1,0,1,20120101,67917,CPT,REPAIR ECTROPION EXTENSIVE,,30,,,"$7,976.15",$0.00,1,0,1,20120101,67921,CPT,REPAIR ENTROPION SUTURE,,30,,,"$7,976.15",$0.00,1,0,1,20120101,67922,CPT,REPAIR ENTROPION THERMOCAUTERIZATION,,30,,,"$7,976.15",$0.00,1,0,1,20120101,67923,CPT,REPAIR ENTROPION EXCISION TARSAL WEDGE,,30,,,"$7,976.15",$0.00,1,0,1,20120101,67924,CPT,REPAIR ENTROPION EXTENSIVE,,30,,,"$7,976.15",$0.00,1,0,1,20120101,67930,CPT,SUTR WND EYELID/MARGIN/TARSUS/CONJUNC PRTL THICK,,30,,,"$7,976.15",$0.00,1,0,1,20120101,67935,CPT,SUTR WND EYELID/MARGIN/TARSUS/CONJUNC FULL THICK,,30,,,"$7,976.15",$0.00,1,0,1,20120101,67938,CPT,REMOVAL EMBEDDED FOREIGN BODY EYELID,,30,,,$906.88,$0.00,1,0,1,20120101,67950,CPT,CANTHOPLASTY,,30,,,"$7,976.15",$0.00,1,0,1,20120101,67961,CPT,EXCISION & REPAIR EYELID > ONE-FOURTH LID MARGIN,,30,,,"$7,976.15",$0.00,1,0,1,20120101,67966,CPT,EXCISION & REPAIR EYELID ONE-FOURTH LID MARGIN/>,,30,,,"$7,976.15",$0.00,1,0,1,20120101,67971,CPT,RCNSTJ EYELID FULL THICKNESS < TWO-THIRDS 1 STG,,30,,,"$7,976.15",$0.00,1,0,1,20120101,67973,CPT,RCNSTJ EYELID FULL THICKNESS LOWER EYELID 1 STG,,30,,,"$10,624.60",$0.00,1,0,1,20120101,67974,CPT,RCNSTJ EYELID FULL THICKNESS UPPER EYELID 1 STG,,30,,,"$7,976.15",$0.00,1,0,1,20120101,67975,CPT,RCNSTJ EYELID FULL THICKNESS SECOND STAGE,,30,,,"$7,976.15",$0.00,1,0,1,20120101,67999,CPT,UNLISTED PROCEDURE EYELIDS,,30,,,"$1,307.14",$0.00,1,0,1,20120101,68020,CPT,INCISION CONJUNCTIVA DRAINAGE OF CYST,,30,,,"$1,307.14",$0.00,1,0,1,20120101,68040,CPT,EXPRESSION CONJUNCTIVAL FOLLICLES,,30,,,$456.88,$0.00,1,0,1,20120101,68100,CPT,BIOPSY CONJUNCTIVA,,30,,,"$3,263.66",$0.00,1,0,1,20120101,68110,CPT,EXCISION LESION CONJUNCTIVA < 1 CM,,30,,,"$6,132.96",$0.00,1,0,1,20120101,68115,CPT,EXCISION LESION CONJUNCTIVA > 1 CM,,30,,,"$7,976.15",$0.00,1,0,1,20120101,68130,CPT,EXCISION LESION CONJUNCTIVA ADJACENT SCLERA,,30,,,"$6,629.34",$0.00,1,0,1,20120101,68135,CPT,DESTRUCTION LESION CONJUNCTIVA,,30,,,"$3,263.66",$0.00,1,0,1,20120101,68200,CPT,SUBCONJUNCTIVAL INJECTION,,30,,,$233.61,$0.00,1,0,1,20120101,68320,CPT,CONJUNCTIVOPLASTY W/GRF/XTNSV REARRANGEMENT,,30,,,"$10,624.60",$0.00,1,0,1,20120101,68325,CPT,CONJUNCTIVOPLASTY W/BUCCAL MUC MEMB GRAFT,,30,,,"$10,624.60",$0.00,1,0,1,20120101,68326,CPT,CJP RCNSTJ CUL-DE-SAC BUCCAL GRF/XTNSV REARRGMT,,30,,,"$7,976.15",$0.00,1,0,1,20120101,68328,CPT,CONJUNCTPL CUL-DE-SAC W/BUCCAL MUC MEMB GRAFT,,30,,,"$10,624.60",$0.00,1,0,1,20120101,68330,CPT,RPR SYMBLEPHARON CONJUNCTIVOPLASTY W/O GRAFT,,30,,,"$9,923.73",$0.00,1,0,1,20120101,68335,CPT,RPR SYMBLEPHARON FR GRF CJNC/BUCCAL MUC MEMB,,30,,,"$10,624.60",$0.00,1,0,1,20120101,68340,CPT,RPR & DIV SYMBLEPHARON W/WO CONFORM/CONTACT LENS,,30,,,"$7,976.15",$0.00,1,0,1,20120101,68360,CPT,CONJUNCTIVAL FLAP BRIDGE/PARTIAL SPX,,30,,,"$9,923.73",$0.00,1,0,1,20120101,68362,CPT,CONJUNCTIVAL FLAP TOTAL,,30,,,"$9,923.73",$0.00,1,0,1,20120101,68371,CPT,HARVESTING CONJUNCIVAL ALLOGRAPHY LIVING DONOR,,30,,,"$9,923.73",$0.00,1,0,1,20120101,68399,CPT,UNLISTED PROCEDURE CONJUNCTIVA,,30,,,"$1,307.14",$0.00,1,0,1,20120101,68400,CPT,INCISION DRAINAGE LACRIMAL GLAND,,30,,,"$1,307.14",$0.00,1,0,1,20120101,68420,CPT,INCISION DRAINAGE LACRIMAL SAC,,30,,,"$7,976.15",$0.00,1,0,1,20120101,68440,CPT,SNIP INCISION LACRIMAL PUNCTUM,,30,,,"$1,307.14",$0.00,1,0,1,20120101,68500,CPT,EXCISION LACRIMAL GLAND XCPT TUMOR TOTAL,,30,,,"$10,624.60",$0.00,1,0,1,20120101,68505,CPT,EXCISION LACRIMAL GLAND XCPT TUMOR PRTL,,30,,,"$10,624.60",$0.00,1,0,1,20120101,68510,CPT,BIOPSY LACRIMAL GLAND,,30,,,"$7,976.15",$0.00,1,0,1,20120101,68520,CPT,EXCISION LACRIMAL SAC,,30,,,"$10,624.60",$0.00,1,0,1,20120101,68525,CPT,BIOPSY LACRIMAL SAC,,30,,,"$7,976.15",$0.00,1,0,1,20120101,68530,CPT,RMVL FB/DACRYOLITH LACRIMAL PASSAGES,,30,,,"$1,307.14",$0.00,1,0,1,20120101,68540,CPT,EXC LACRIMAL GLAND TUMOR FRONTAL APPROACH,,30,,,"$7,976.15",$0.00,1,0,1,20120101,68550,CPT,EXC LACRIMAL GLAND TUMOR W/OSTEOTOMY,,30,,,"$10,624.60",$0.00,1,0,1,20120101,68700,CPT,PLASTIC REPAIR CANALICULI,,30,,,"$7,976.15",$0.00,1,0,1,20120101,68705,CPT,CORRECTION EVERTED PUNCTUM CAUTERY,,30,,,"$1,307.14",$0.00,1,0,1,20120101,68720,CPT,DACRYOCSTORHINOSTOMY,,30,,,"$10,624.60",$0.00,1,0,1,20120101,68745,CPT,CONJUNCTIVORHINOSTOMY W/O TUBE,,30,,,"$10,624.60",$0.00,1,0,1,20120101,68750,CPT,CONJUNCTIVORHINOSTOMY INSJ TUBE/STENT,,30,,,"$10,624.60",$0.00,1,0,1,20120101,68760,CPT,CLSR LACRIMAL PUNCTUM THERMOCAUT LIG/LASER,,30,,,"$1,307.14",$0.00,1,0,1,20120101,68761,CPT,CLSR LACRIMAL PUNCTUM PLUG EACH,,30,,,"$1,307.14",$0.00,1,0,1,20120101,68770,CPT,CLOSURE LACRIMAL FISTULA SPX,,30,,,"$10,624.60",$0.00,1,0,1,20120101,68801,CPT,DILATION LACRIMAL PUNCTUM W/WO IRRGATION,,30,,,$456.88,$0.00,1,0,1,20120101,68810,CPT,PROBE NASOLACRIMAL DUCT W/WO IRRIGATION,,30,,,"$1,307.14",$0.00,1,0,1,20120101,68811,CPT,PROBE NASOLACRIMAL DUCT W/WO IRRIG REQ GEN ANES,,30,,,"$7,976.15",$0.00,1,0,1,20120101,68815,CPT,PROBE NASOLACRIMAL DUCT W/WO IRRG INSJ TUBE/STNT,,30,,,"$7,976.15",$0.00,1,0,1,20120101,68816,CPT,PROBE NASOLACRIMAL DUCT WITH CATHETER DILATION,,30,,,"$7,976.15",$0.00,1,0,1,20120101,68840,CPT,PROBE LACRIMAL CANALICULI W/WO IRRIGATION,,30,,,$906.88,$0.00,1,0,1,20120101,68899,CPT,UNLISTED PROCEDURE LACRIMAL SYSTEM,,30,,,"$1,307.14",$0.00,1,0,1,20120101,69000,CPT,DRAINAGE EXTERNAL EAR ABSCESS/HEMATOMA SIMPLE,,30,,,$650.02,$0.00,1,0,1,20120101,69005,CPT,DRAINAGE EXTERNAL EAR ABSCESS/HEMATOMA CMPLX,,30,,,"$8,067.87",$0.00,1,0,1,20120101,69020,CPT,DRAINAGE EXTERNAL AUDITORY CANAL ABSCESS,,30,,,$650.02,$0.00,1,0,1,20120101,69100,CPT,BIOPSY EXTERNAL EAR,,30,,,"$1,317.04",$0.00,1,0,1,20120101,69105,CPT,BIOPSY EXTERNAL AUDITORY CANAL,,30,,,"$6,645.19",$0.00,1,0,1,20120101,69110,CPT,EXCISION EXTERNAL EAR PARTIAL SIMPLE REPAIR,,30,,,"$5,907.48",$0.00,1,0,1,20120101,69120,CPT,EXCISION EXTERNAL EAR COMPLETE AMPUTATION,,30,,,"$9,873.83",$0.00,1,0,1,20120101,69140,CPT,EXCISION EXOSTOSIS EXTERNAL AUDITORY CANAL,,30,,,"$9,873.83",$0.00,1,0,1,20120101,69145,CPT,EXCISION SOFT TIS LES EXTERNAL AUDITORY CANAL,,30,,,"$5,907.48",$0.00,1,0,1,20120101,69150,CPT,RAD EXC XTRNL AUDITORY CANAL LES W/O NCK DSJ,,30,,,"$3,156.16",$0.00,1,0,1,20120101,69200,CPT,RMVL FB XTRNL AUDITORY CANAL W/O ANES,,30,,,$303.61,$0.00,1,0,1,20120101,69205,CPT,RMVL FB XTRNL AUDITORY CANAL ANES,,30,,,"$9,197.85",$0.00,1,0,1,20120101,69210,CPT,RMVL IMPACTED CERUMEN SPX 1/BOTH EARS,,30,,,$303.61,$0.00,1,0,1,20120101,69220,CPT,DEBRIDEMENT MASTOIDECTOMY CAVITY SIMPLE,,30,,,$238.23,$0.00,1,0,1,20120101,69222,CPT,DEBRIDEMENT MASTOIDECTOMY CAVITY CMPLX,,30,,,"$6,645.19",$0.00,1,0,1,20120101,69300,CPT,OTOPLASTY PROTRUDING EAR W/WO SIZE RDCTJ,,30,,,"$9,873.83",$0.00,1,0,1,20120101,69310,CPT,RECONSTRUCTION EXTERNAL AUDITORY CANAL SPX,,30,,,"$15,971.08",$0.00,1,0,1,20120101,69320,CPT,RCNSTJ XTRNL AUD CANAL CONGENITAL ATRESIA 1 STG,,30,,,"$15,971.08",$0.00,1,0,1,20120101,69399,CPT,UNLISTED PROCEDURE EXTERNAL EAR,,30,,,$488.97,$0.00,1,0,1,20120101,69400,CPT,EUSTACHIAN TUBE NFLTJ TRANSNSL CATHJ,,30,,,"$1,317.04",$0.00,1,0,1,20120101,69401,CPT,EUSTACHIAN TUBE NFLTJ TRANSNSL W/O CATHJ,,30,,,"$1,317.04",$0.00,1,0,1,20120101,69405,CPT,EUSTACHIAN TUBE CATHJ TRANSTYMPANIC,,30,,,"$3,156.16",$0.00,1,0,1,20120101,69420,CPT,MYRINGOTOMY ASPIR&/EUSTACHIAN TUBE NFLTJ,,30,,,"$1,317.04",$0.00,1,0,1,20120101,69421,CPT,MYRINGOTOMY ASPIR&/EUSTACHIAN TUBE NFLTJ ANES,,30,,,"$6,645.19",$0.00,1,0,1,20120101,69424,CPT,VENTILATING TUBE RMVL REQUIRING GENERAL ANES,,30,,,"$6,645.19",$0.00,1,0,1,20120101,69433,CPT,TYMPANOSTOMY LOCAL/TOPICAL ANESTHESIA,,30,,,"$3,156.16",$0.00,1,0,1,20120101,69436,CPT,TYMPANOSTOMY GENERAL ANESTHESIA,,30,,,"$6,645.19",$0.00,1,0,1,20120101,69440,CPT,MIDDLE EAR EXPL THRU POSTAUR/EAR CANAL INC,,30,,,"$9,873.83",$0.00,1,0,1,20120101,69450,CPT,TYMPANOLYSIS TRANSCANAL,,30,,,"$15,971.08",$0.00,1,0,1,20120101,69501,CPT,TRANSMASTOID ANTROTOMY,,30,,,"$15,971.08",$0.00,1,0,1,20120101,69502,CPT,MASTOIDECTOMY COMPLETE,,30,,,"$9,873.83",$0.00,1,0,1,20120101,69505,CPT,MASTOIDECTOMY MODIFIED RADICAL,,30,,,"$15,971.08",$0.00,1,0,1,20120101,69511,CPT,MASTOIDECTOMY RADICAL,,30,,,"$15,971.08",$0.00,1,0,1,20120101,69530,CPT,PETROUS APICECTOMY RADICAL MASTOIDECTOMY,,30,,,"$15,971.08",$0.00,1,0,1,20120101,69540,CPT,EXCISION AURAL POLYP,,30,,,"$6,645.19",$0.00,1,0,1,20120101,69550,CPT,EXCISION AURAL GLOMUS TUMOR TRANSCANAL,,30,,,"$15,971.08",$0.00,1,0,1,20120101,69552,CPT,EXCISION AURAL GLOMUS TUMOR TRANSMASTOID,,30,,,"$15,971.08",$0.00,1,0,1,20120101,69601,CPT,REVJ MASTOIDECTOMY RSLTG COMPL MASTOIDECTOMY,,30,,,"$15,971.08",$0.00,1,0,1,20120101,69602,CPT,REVJ MASTOIDECTOMY RSLTG MODF RAD MSTDC,,30,,,"$15,971.08",$0.00,1,0,1,20120101,69603,CPT,REVJ MASTOIDECTOMY RSLTG RAD MASTOIDECTOMY,,30,,,"$15,971.08",$0.00,1,0,1,20120101,69604,CPT,REVJ MASTOIDECTOMY RSLTG TYMPANOPLASTY,,30,,,"$15,971.08",$0.00,1,0,1,20120101,69605,CPT,REVJ MASTOIDECTOMY W/APICECTOMY,,30,,,"$15,971.08",$0.00,1,0,1,20120101,69610,CPT,TYMPANIC MEMB RPR W/WO PREPJ PERFOR PATCH,,30,,,"$9,873.83",$0.00,1,0,1,20120101,69620,CPT,MYRINGOPLASTY,,30,,,"$9,873.83",$0.00,1,0,1,20120101,69631,CPT,TYMPANOPLASTY W/O MASTOIDECT W/O OSSICLE RECNSTJ,,30,,,"$15,971.08",$0.00,1,0,1,20120101,69632,CPT,TYMPNOPLSTY W/O MSTDC 1ST/REVJ W/OSICLE RECNSTJ,,30,,,"$15,971.08",$0.00,1,0,1,20120101,69633,CPT,TYMPANOPLASTY W/O MASTOIDEC 1ST/REVJ PROSTH TORP,,30,,,"$15,971.08",$0.00,1,0,1,20120101,69635,CPT,TYMPP ANTRT/MASTOID W/O OSSICULAR CHAIN RECNSTJ,,30,,,"$15,971.08",$0.00,1,0,1,20120101,69636,CPT,TYMPP ANTRT/MASTOID W/OSSICULAR CHAIN RECNSTJ,,30,,,"$15,971.08",$0.00,1,0,1,20120101,69637,CPT,TMPP ANTRT/MASTOIDOTOMY PROSTHESIS TORP,,30,,,"$15,971.08",$0.00,1,0,1,20120101,69641,CPT,TMPP MASTOIDECTOMY W/O OSSICULAR CHAIN RECNSTJ,,30,,,"$15,971.08",$0.00,1,0,1,20120101,69642,CPT,TMPP MASTOIDECTOMY W/OSSICULAR CHAIN RECNSTJ,,30,,,"$15,971.08",$0.00,1,0,1,20120101,69643,CPT,TMPP MASTOIDECT NTC/RCNSTED WALL W/O OCR,,30,,,"$15,971.08",$0.00,1,0,1,20120101,69644,CPT,TMPP MASTOIDECT NTC/RCNSTED CANAL WALL OCR,,30,,,"$15,971.08",$0.00,1,0,1,20120101,69645,CPT,TYMPANOPLASTY MASTOIDECTOMY RAD/COMPL W/O OCR,,30,,,"$15,971.08",$0.00,1,0,1,20120101,69646,CPT,TYMPANOPLASTY MASTOIDECTOMY RAD/COMPL W/OCR,,30,,,"$15,971.08",$0.00,1,0,1,20120101,69650,CPT,STAPES MOBILIZATION,,30,,,"$9,873.83",$0.00,1,0,1,20120101,69660,CPT,STAPEDECTOMY/STAPEDOTOMY,,30,,,"$15,971.08",$0.00,1,0,1,20120101,69661,CPT,STAPEDECTOMY/STAPEDOTOMY W/FOOTPLATE DRILL OUT,,30,,,"$15,971.08",$0.00,1,0,1,20120101,69662,CPT,REVISION STAPEDECTOMY/STAPEDOTOMY,,30,,,"$15,971.08",$0.00,1,0,1,20120101,69666,CPT,REPAIR OVAL WINDOW FISTULA,,30,,,"$15,971.08",$0.00,1,0,1,20120101,69667,CPT,REPAIR ROUND WINDOW FISTULA,,30,,,"$15,971.08",$0.00,1,0,1,20120101,69670,CPT,MASTOID OBLITERATION SEPARATE PROCEDURE,,30,,,"$15,971.08",$0.00,1,0,1,20120101,69676,CPT,TYMPANIC NEURECTOMY,,30,,,"$15,971.08",$0.00,1,0,1,20120101,69700,CPT,CLOSURE POSTAURICULAR FISTULA MASTOID SPX,,30,,,"$15,971.08",$0.00,1,0,1,20120101,69710,CPT,IMPLTJ/RPLCMT EMGNT BONE CNDJ DEV TEMPORAL BONE,,30,,,"$10,129.54",$0.00,1,0,1,20120101,69711,CPT,RMVL/RPR EMGNT BONE CNDJ DEV TEMPORAL BONE,,30,,,"$15,971.08",$0.00,1,0,1,20120101,69714,CPT,IMPLTJ OSSEOINTEGRATED TEMPORAL BONE W/MASTOID,,30,,,"$21,969.18",$0.00,1,0,1,20120101,69715,CPT,IMPLJ OSSEOINTEGRATED TEMPORAL BONE W/O MASTOID,,30,,,"$21,969.18",$0.00,1,0,1,20120101,69717,CPT,RPLMCT OSSEOINTEGRATE IMPLNT W/O MASTOIDECTOMY,,30,,,"$21,969.18",$0.00,1,0,1,20120101,69718,CPT,RPLMCT OSSEOINTEGRATE IMPLNT W/MASTOIDECTOMY,,30,,,"$21,969.18",$0.00,1,0,1,20120101,69720,CPT,DCMPRN FACIAL NRV INTRATEMPORAL LAT GANGLION,,30,,,"$15,971.08",$0.00,1,0,1,20120101,69725,CPT,DCMPRN NRV INTRATEMPORAL MEDIAL GENICULATE,,30,,,"$15,971.08",$0.00,1,0,1,20120101,69740,CPT,SUTR NRV ITPRL W/WO GRF/DCMPRN LAT GENICULATE,,30,,,"$15,971.08",$0.00,1,0,1,20120101,69745,CPT,SUTR NRV ITPRL W/WO GRF/DCMPRN MEDIAL GENICULATE,,30,,,"$15,971.08",$0.00,1,0,1,20120101,69799,CPT,UNLISTED PROCEDURE MIDDLE EAR,,30,,,$488.97,$0.00,1,0,1,20120101,69801,CPT,LABYRINTHOTOMY TRANSCANAL,,30,,,"$6,645.19",$0.00,1,0,1,20120101,69805,CPT,ENDOLYMPHATIC SAC W/O SHUNT,,30,,,"$15,971.08",$0.00,1,0,1,20120101,69806,CPT,ENDOLYMPHATIC SAC SHUNT,,30,,,"$15,971.08",$0.00,1,0,1,20120101,69820,CPT,FENESTRATION SEMICIRCULAR CANAL,,30,,,"$15,971.08",$0.00,1,0,1,20120101,69840,CPT,REVISION FENESTRATION OPERATION,,30,,,"$15,971.08",$0.00,1,0,1,20120101,69905,CPT,LABYRINTHECTOMY TRANSCANAL,,30,,,"$15,971.08",$0.00,1,0,1,20120101,69910,CPT,LABYRINTHECTOMY W/MASTOIDECTOMY,,30,,,"$15,971.08",$0.00,1,0,1,20120101,69915,CPT,VESTIBULAR NRV SECTION TRANSLABYRINTHINE APPR,,30,,,"$15,971.08",$0.00,1,0,1,20120101,69930,CPT,COCHLEAR DEVICE IMPLANTATION W/WO MASTOIDECTOMY,,30,,,"$54,860.12",$0.00,1,0,1,20120101,69949,CPT,UNLISTED PROCEDURE INNER EAR,,30,,,$488.97,$0.00,1,0,1,20120101,69955,CPT,TOTAL FACIAL NERVE DECOMPRESSION &/REPAIR,,30,,,"$15,971.08",$0.00,1,0,1,20120101,69960,CPT,DECOMPRESSION INTERNAL AUDITORY CANAL,,30,,,"$15,971.08",$0.00,1,0,1,20120101,69970,CPT,REMOVAL TUMOR TEMPORAL BONE,,30,,,"$15,971.08",$0.00,1,0,1,20120101,69979,CPT,UNLISTED PROCEDURE TEMPORAL BONE MIDDLE FOSSA,,30,,,$488.97,$0.00,1,0,1,20120101,70010,CPT,MYELOGRAPY POST FOSSA RS&I,,30,,,"$3,043.96",$0.00,1,0,1,20120101,70015,CPT,CISTERNOGRAPHY POSITIVE CONTRAST RS&I,,30,,,"$3,043.96",$0.00,1,0,1,20120101,70030,CPT,RADIOLOGIC EXAMINATION EYE DETECT FOREIGN BODY,,30,,,$289.18,$0.00,1,0,1,20120101,70100,CPT,RADIOLOGIC EXAMINATION MANDIPLE PRTL < 4 VIEWS,,30,,,$289.18,$0.00,1,0,1,20120101,70110,CPT,RADIOLOG EXAM MANDIBLE COMPL MINIMUM 4 VIEWS,,30,,,$289.18,$0.00,1,0,1,20120101,70120,CPT,RADIOLOGIC EXAM MASTOIDS < 3 VIEWS PER SIDE,,30,,,$289.18,$0.00,1,0,1,20120101,70130,CPT,RADEX MASTOIDS COMPL MINIMUM 3 VIEWS PR SIDE,,30,,,$289.18,$0.00,1,0,1,20120101,70134,CPT,RADEX INTERNAL AUDITORY MEATI COMPLETE,,30,,,$487.03,$0.00,1,0,1,20120101,70140,CPT,RADEX FACIAL BONES < 3 VIEWS,,30,,,$289.18,$0.00,1,0,1,20120101,70150,CPT,RADEX FACIAL BONES COMPLETE MINIMUM 3 VIEWS,,30,,,$289.18,$0.00,1,0,1,20120101,70160,CPT,RADEX NASAL BONES COMPLETE MINIMUM 3 VIEWS,,30,,,$289.18,$0.00,1,0,1,20120101,70170,CPT,DACRYOCSTOGRAPY NASOLACRIMAL DUCT RS&I,,30,,,"$1,508.58",$0.00,1,0,1,20120101,70190,CPT,RADEX OPTIC FORAMINA,,30,,,$289.18,$0.00,1,0,1,20120101,70200,CPT,RADEX ORBITS COMPLETE MINIMUM 4 VIEWS,,30,,,$289.18,$0.00,1,0,1,20120101,70210,CPT,RADEX SINUSES PARANASAL < 3 VIEWS,,30,,,$289.18,$0.00,1,0,1,20120101,70220,CPT,RADEX SINUSES PARANASAL COMPL MINIMUM 3 VIEWS,,30,,,$289.18,$0.00,1,0,1,20120101,70240,CPT,RADIOLOGIC EXAMINATION SELLA TURCICA,,30,,,$289.18,$0.00,1,0,1,20120101,70250,CPT,RADIOLOGIC EXAMINATION SKULL < 4 VIEWS,,30,,,$289.18,$0.00,1,0,1,20120101,70260,CPT,RADIOLOGIC EXAM SKULL COMPLETE MINIMUM 4 VIEWS,,30,,,$487.03,$0.00,1,0,1,20120101,70300,CPT,RADIOLOGIC EXAMINATION TEETH 1 VIEW,,30,,,$209.71,$0.00,1,0,1,20120101,70310,CPT,RADIOLOGIC EXAM TEETH PRTL EXAM < FULL MOUTH,,30,,,$209.71,$0.00,1,0,1,20120101,70320,CPT,RADIOLOGIC EXAM TEETH COMPLETE FULL MOUTH,,30,,,$209.71,$0.00,1,0,1,20120101,70328,CPT,RADEX TEMPOROMANDBLE JT OPN&CLSD MOUTH UNI,,30,,,$289.18,$0.00,1,0,1,20120101,70330,CPT,RADEX TEMPOROMANDBLE JT OPN&CLSD MOUTH BI,,30,,,$289.18,$0.00,1,0,1,20120101,70332,CPT,TEMPOROMANDBLE JT ARTHROGRAPHY RS&I,,30,,,"$1,767.51",$0.00,1,0,1,20120101,70336,CPT,MRI TEMPOROMANDIBULAR JOINT,,30,,,"$2,129.04",$0.00,1,0,1,20120101,70350,CPT,CEPHALOGRAM ORTHODONTIC,,30,,,$289.18,$0.00,1,0,1,20120101,70355,CPT,ORTHOPANTOGRAM,,30,,,$209.71,$0.00,1,0,1,20120101,70360,CPT,RADIOLOGIC EXAMINATION NECK SOFT TISSUE,,30,,,$289.18,$0.00,1,0,1,20120101,70370,CPT,RADEX PHARYNX/LARX W/FLUOR&/MAGNIFICATION TQ,,30,,,$560.75,$0.00,1,0,1,20120101,70371,CPT,CPLX DYNAMIC PHARYNGEAL&SP EVAL C/V REC,,30,,,$560.75,$0.00,1,0,1,20120101,70373,CPT,LARYNGOGRAPY CONTRAST RS&I,,30,,,"$1,508.58",$0.00,1,0,1,20120101,70380,CPT,RADIOLOGIC EXAMINATION SALIVARY GLAND CALCULUS,,30,,,$289.18,$0.00,1,0,1,20120101,70390,CPT,SIALOGRAPY RS&I,,30,,,"$1,508.58",$0.00,1,0,1,20120101,70450,CPT,CT HEAD/BRAIN W/O CONTRAST MATERIAL,,30,,,"$1,223.27",$0.00,1,0,1,20120101,70460,CPT,CT HEAD/BRAIN W/CONTRAST MATERIAL,,30,,,"$1,895.06",$0.00,1,0,1,20120101,70470,CPT,CT HEAD/BRAIN W/O&W/CONTRAST MATERIAL,,30,,,"$2,107.30",$0.00,1,0,1,20120101,70480,CPT,CT ORBIT SELLA/POST FOSSA/EAR W/O CONTRAST MATRL,,30,,,"$1,223.27",$0.00,1,0,1,20120101,70481,CPT,CT ORBIT SELLA/POST FOSSA/EAR W/CONTRAST MATRL,,30,,,"$1,895.06",$0.00,1,0,1,20120101,70482,CPT,CT ORBIT SELLA/POST FOSSA/EAR W/O&W/CONTR MATRL,,30,,,"$2,107.30",$0.00,1,0,1,20120101,70486,CPT,CT MAXILLOFACIAL W/O CONTRAST MATERIAL,,30,,,"$1,223.27",$0.00,1,0,1,20120101,70487,CPT,CT MAXILLOFACIAL W/CONTRAST MATERIAL,,30,,,"$1,895.06",$0.00,1,0,1,20120101,70488,CPT,CT MAXILLOFACIAL W/O &W/CONTRAST MATERIAL,,30,,,"$2,107.30",$0.00,1,0,1,20120101,70490,CPT,CT SOFT TISSUE NECK W/O CONTRAST MATERIAL,,30,,,"$1,223.27",$0.00,1,0,1,20120101,70491,CPT,CT SOFT TISSUE NECK W/CONTRAST MATERIAL,,30,,,"$1,895.06",$0.00,1,0,1,20120101,70492,CPT,CT SOFT TISSUE NECK W/O &W/CONTRAST MATERIAL,,30,,,"$2,107.30",$0.00,1,0,1,20120101,70496,CPT,CT ANGIOGRAPHY HEAD W/CONTRAST/NONCONTRAST,,30,,,"$2,138.16",$0.00,1,0,1,20120101,70498,CPT,CT ANGIOGRAPHY NECK W/CONTRAST/NONCONTRAST,,30,,,"$2,138.16",$0.00,1,0,1,20120101,70540,CPT,MRI ORBIT FACE &/NECK W/O CONTRAST,,30,,,"$2,129.04",$0.00,1,0,1,20120101,70542,CPT,MRI ORBIT FACE & NECK W/CONTRAST MATERIAL,,30,,,"$2,713.50",$0.00,1,0,1,20120101,70543,CPT,MRI ORBIT FACE & NCK W/O &W/CONTRAST MATRL,,30,,,"$3,326.19",$0.00,1,0,1,20120101,70544,CPT,MRA HEAD W/O CONTRST MATERIAL,,30,,,"$2,129.04",$0.00,1,0,1,20120101,70545,CPT,MRA HEAD W/CONTRAST MATERIAL,,30,,,"$2,713.50",$0.00,1,0,1,20120101,70546,CPT,MRA HEAD W/O &W/CONTRAST MATERIAL,,30,,,"$3,326.19",$0.00,1,0,1,20120101,70547,CPT,MRA NECK W/O CONTRST MATERIAL,,30,,,"$2,129.04",$0.00,1,0,1,20120101,70548,CPT,MRA NECK W/CONTRAST MATERIAL,,30,,,"$2,713.50",$0.00,1,0,1,20120101,70549,CPT,MRA NECK W/O &W/CONTRAST MATERIAL,,30,,,"$3,326.19",$0.00,1,0,1,20120101,70551,CPT,MRI BRAIN BRAIN STEM W/O CONTRAST MATERIAL,,30,,,"$2,129.04",$0.00,1,0,1,20120101,70552,CPT,MRI BRAIN BRAIN STEM W/CONTRAST MATERIAL,,30,,,"$2,713.50",$0.00,1,0,1,20120101,70553,CPT,MRI BRAIN BRAIN STEM W/O &W/CONTRAST MATERIAL,,30,,,"$3,326.19",$0.00,1,0,1,20120101,70554,CPT,MRI BRAIN FUNCTIONAL W/O PHYSICIAN ADMNISTRATION,,30,,,"$2,129.04",$0.00,1,0,1,20120101,70555,CPT,MRI BRAIN FUNCTIONAL W/PHYSICIAN ADMNISTRATION,,30,,,"$2,129.04",$0.00,1,0,1,20120101,70557,CPT,MRI BRAIN OPEN INTRACRANIAL PX W/O CONTRAST MATL,,30,,,"$2,129.04",$0.00,1,0,1,20120101,70558,CPT,MRI BRAIN OPEN INTRACRANIAL PX W/CONTRAST MATL,,30,,,"$2,713.50",$0.00,1,0,1,20120101,70559,CPT,MRI BRAIN OPEN INTRACRANIAL PX W/O &W/CONTRAST,,30,,,"$3,326.19",$0.00,1,0,1,20120101,71010,CPT,RADIOLOGIC EXAMINATION CHEST SINGLE VIEW FRONTAL,,30,,,$289.18,$0.00,1,0,1,20120101,71015,CPT,RADIOLOGIC EXAMINATION CHEST STERO FRONTAL,,30,,,$289.18,$0.00,1,0,1,20120101,71020,CPT,RADIOLOGIC EXAM CHEST 2 VIEWS FRONTAL&LATERAL,,30,,,$289.18,$0.00,1,0,1,20120101,71021,CPT,RADEX CH 2 VIEWS FRNT&LAT APICAL LORDOTIC PX,,30,,,$289.18,$0.00,1,0,1,20120101,71022,CPT,RADEX CH 2 VIEWS FRONTAL&LATERAL OBLIQUE PRJCJ,,30,,,$289.18,$0.00,1,0,1,20120101,71023,CPT,RADEX CH 2 VIEWS FRONTAL&LATERAL W/FLUORO,,30,,,$560.75,$0.00,1,0,1,20120101,71030,CPT,RADEX CHEST COMPLETE MINIMUM 4 VIEWS,,30,,,$289.18,$0.00,1,0,1,20120101,71034,CPT,RADEX CHEST COMPLETE MINIMUM 4 VIEWS W/FLUORO,,30,,,$560.75,$0.00,1,0,1,20120101,71035,CPT,RADEX CHEST SPECIAL VIEWS,,30,,,$289.18,$0.00,1,0,1,20120101,71040,CPT,BRONCHOGRAPY UNILATERAL RS&I,,30,,,"$1,508.58",$0.00,1,0,1,20120101,71060,CPT,BRONCHOGRAPY BILATERAL RS&I,,30,,,"$1,508.58",$0.00,1,0,1,20120101,71100,CPT,RADEX RIBS UNILATERAL 2 VIEWS,,30,,,$289.18,$0.00,1,0,1,20120101,71101,CPT,RADEX RIBS UNI W/POSTEROANT CH MINIMUM 3 VIEWS,,30,,,$289.18,$0.00,1,0,1,20120101,71110,CPT,RADEX RIBS BILATERAL 3 VIEWS,,30,,,$289.18,$0.00,1,0,1,20120101,71111,CPT,RADEX RIBS BI W/POSTEROANT CH MINIMUM 4 VIEWS,,30,,,$487.03,$0.00,1,0,1,20120101,71120,CPT,RADEX STERNUM MINIMUM 2 VIEWS,,30,,,$289.18,$0.00,1,0,1,20120101,71130,CPT,RADEX STERNOCLAVICULAR JT/JTS MINIMUM 3 VIEWS,,30,,,$289.18,$0.00,1,0,1,20120101,71250,CPT,CT THORAX W/O CONTRAST MATERIAL,,30,,,"$1,223.27",$0.00,1,0,1,20120101,71260,CPT,CT THORAX W/CONTRAST MATERIAL,,30,,,"$1,895.06",$0.00,1,0,1,20120101,71270,CPT,CT THORAX W/O &W/CONTRAST MATERIAL,,30,,,"$2,107.30",$0.00,1,0,1,20120101,71275,CPT,CT ANGIOGRAPHY CHEST W/CONTRAST/NONCONTRAST,,30,,,"$2,138.16",$0.00,1,0,1,20120101,71550,CPT,MRI CHEST W/O CONTRAST MATERIAL,,30,,,"$2,129.04",$0.00,1,0,1,20120101,71551,CPT,MRI CHEST W/CONTRAST MATERIAL,,30,,,"$2,713.50",$0.00,1,0,1,20120101,71552,CPT,MRI CHEST W/O &W/CONTRAST MATERIAL,,30,,,"$3,326.19",$0.00,1,0,1,20120101,71555,CPT,MRA CHEST W/O &W/CONTRAST MATERIAL,,30,,,"$5,527.96",$0.00,1,0,1,20120101,72010,CPT,RADEX SPINE ENTIRE SURVEY STD ANTEROPOST&LAT,,30,,,$487.03,$0.00,1,0,1,20120101,72020,CPT,RADEX SPINE 1 VIEW SPECIFY LEVEL,,30,,,$289.18,$0.00,1,0,1,20120101,72040,CPT,RADEX SPINE CERVICAL 2/3 VIEWS,,30,,,$289.18,$0.00,1,0,1,20120101,72050,CPT,RADEX SPINE CERVICAL MINIMUM 4 VIEWS,,30,,,$487.03,$0.00,1,0,1,20120101,72052,CPT,RADEX SPINE CRV COMPL W/OBLQ&FLEX&/XTN STDS,,30,,,$487.03,$0.00,1,0,1,20120101,72069,CPT,RADEX SPINE THORACOLMBR STANDING SCOLIOSIS,,30,,,$289.18,$0.00,1,0,1,20120101,72070,CPT,RADEX SPINE THORACIC 2 VIEWS,,30,,,$289.18,$0.00,1,0,1,20120101,72072,CPT,RADEX SPINE THORACIC 3 VIEWS,,30,,,$289.18,$0.00,1,0,1,20120101,72074,CPT,RADEX SPINE THORACIC MINIMUM 4 VIEWS,,30,,,$289.18,$0.00,1,0,1,20120101,72080,CPT,RADEX SPINE THORACOLUMBAR 2 VIEWS,,30,,,$289.18,$0.00,1,0,1,20120101,72090,CPT,RADEX SPINE SCOLIOS STUDY W/SUPINE&ERECT STUDIES,,30,,,$487.03,$0.00,1,0,1,20120101,72100,CPT,RADEX SPINE LUMBOSACRAL 2/3 VIEWS,,30,,,$289.18,$0.00,1,0,1,20120101,72110,CPT,RADEX SPINE LUMBOSACRAL MINIMUM 4 VIEWS,,30,,,$487.03,$0.00,1,0,1,20120101,72114,CPT,RADEX SPINE LUMBSCRL COMPL W/BENDING VIEWS MIN 6,,30,,,$487.03,$0.00,1,0,1,20120101,72120,CPT,RADEX SPINE LUMBOSACRAL ONLY BENDING 2/3 VIEWS,,30,,,$289.18,$0.00,1,0,1,20120101,72125,CPT,CT CERVICAL SPINE W/O CONTRAST MATERIAL,,30,,,"$1,223.27",$0.00,1,0,1,20120101,72126,CPT,CT CERVICAL SPINE W/CONTRAST MATERIAL,,30,,,"$1,895.06",$0.00,1,0,1,20120101,72127,CPT,CT CERVICAL SPINE W/O &W/CONTRAST MATERIAL,,30,,,"$2,107.30",$0.00,1,0,1,20120101,72128,CPT,CT THORACIC SPINE W/O CONTRAST MATERIAL,,30,,,"$1,223.27",$0.00,1,0,1,20120101,72129,CPT,CT THORACIC SPINE W/CONTRAST MATERIAL,,30,,,"$1,895.06",$0.00,1,0,1,20120101,72130,CPT,CT THORACIC SPINE W/O & W/CONTRAST MATERIAL,,30,,,"$2,107.30",$0.00,1,0,1,20120101,72131,CPT,CT LUMBAR SPINE W/O CONTRAST MATERIAL,,30,,,"$1,223.27",$0.00,1,0,1,20120101,72132,CPT,CT LUMBAR SPINE W/CONTRAST MATERIAL,,30,,,"$1,895.06",$0.00,1,0,1,20120101,72133,CPT,CT LUMBAR SPINE W/O & W/CONTRAST MATERIAL,,30,,,"$2,107.30",$0.00,1,0,1,20120101,72141,CPT,MRI SPINAL CANAL CERVICAL W/O CONTRAST MATRL,,30,,,"$2,129.04",$0.00,1,0,1,20120101,72142,CPT,MRI SPINAL CANAL CERVICAL W/CONTRAST MATRL,,30,,,"$2,713.50",$0.00,1,0,1,20120101,72146,CPT,MRI SPINAL CANAL THORACIC W/O CONTRAST MATRL,,30,,,"$2,129.04",$0.00,1,0,1,20120101,72147,CPT,MRI SPINAL CANAL THORACIC W/CONTRAST MATRL,,30,,,"$2,713.50",$0.00,1,0,1,20120101,72148,CPT,MRI SPINAL CANAL LUMBAR W/O CONTRAST MATERIAL,,30,,,"$2,129.04",$0.00,1,0,1,20120101,72149,CPT,MRI SPINAL CANAL LUMBAR W/CONTRAST MATERIAL,,30,,,"$2,713.50",$0.00,1,0,1,20120101,72156,CPT,MRI SPINAL CANAL CERVICAL W/O & W/CONTR MATRL,,30,,,"$3,326.19",$0.00,1,0,1,20120101,72157,CPT,MRI SPINAL CANAL THORACIC W/O & W/CONTR MATRL,,30,,,"$3,326.19",$0.00,1,0,1,20120101,72158,CPT,MRI SPINAL CANAL LUMBAR W/O &W/CONTR MATRL,,30,,,"$3,326.19",$0.00,1,0,1,20120101,72159,CPT,MRA SPINAL CANAL W/WO CONTRAST MATERIAL,,30,,,"$5,672.88",$0.00,1,0,1,20120101,72170,CPT,RADIOLOGIC EXAMINATION PELVIS 1/2 VIEWS,,30,,,$289.18,$0.00,1,0,1,20120101,72190,CPT,RADIOLOGIC EXAM PELVIS COMPL MINIMUM 3 VIEWS,,30,,,$289.18,$0.00,1,0,1,20120101,72191,CPT,CT ANGIOGRAPHY PELVIS W/CONTRAST/NONCONTRAST,,30,,,"$2,138.16",$0.00,1,0,1,20120101,72192,CPT,CT PELVIS W/O CONTRAST MATERIAL,,30,,,"$1,223.27",$0.00,1,0,1,20120101,72193,CPT,CT PELVIS W/CONTRAST MATERIAL,,30,,,"$1,895.06",$0.00,1,0,1,20120101,72194,CPT,CT PELVIS W/O & W/CONTRAST MATERIAL,,30,,,"$2,107.30",$0.00,1,0,1,20120101,72195,CPT,MRI PELVIS W/O CONTRAST MATERIAL,,30,,,"$2,129.04",$0.00,1,0,1,20120101,72196,CPT,MRI PELVIS W/CONTRAST MATERIAL,,30,,,"$2,713.50",$0.00,1,0,1,20120101,72197,CPT,MRI PELVIS W/O & W/CONTRAST MATERIAL,,30,,,"$3,326.19",$0.00,1,0,1,20120101,72198,CPT,MRA PELVIS W/WO CONTRAST MATERIAL,,30,,,"$5,342.23",$0.00,1,0,1,20120101,72200,CPT,RADIOLOGIC EXAMINATION SACROILIAC JNTS < 3 VIEWS,,30,,,$289.18,$0.00,1,0,1,20120101,72202,CPT,RADIOLOGIC EXAM SACROILIAC JOINTS 3/MORE VIEWS,,30,,,$289.18,$0.00,1,0,1,20120101,72220,CPT,RADEX SACRUM & COCCYX MINIMUM 2 VIEWS,,30,,,$289.18,$0.00,1,0,1,20120101,72240,CPT,MYELOGRAPY CERVICAL RS&I,,30,,,"$3,043.96",$0.00,1,0,1,20120101,72255,CPT,MYELOGRAPY THORACIC RS&I,,30,,,"$3,043.96",$0.00,1,0,1,20120101,72265,CPT,MYELOGRAPY LUMBOSACRAL RS&I,,30,,,"$3,043.96",$0.00,1,0,1,20120101,72270,CPT,MYELOGRAPY 2/MORE REGIONS RS&I,,30,,,"$3,043.96",$0.00,1,0,1,20120101,72285,CPT,DISKOGRAPY CERVICAL/THORACIC RS&I,,30,,,"$9,265.64",$0.00,1,0,1,20120101,72295,CPT,DISKOGRAPY LUMBAR RS&I,,30,,,"$9,265.64",$0.00,1,0,1,20120101,73000,CPT,RADEX CLAVICLE COMPLETE,,30,,,$289.18,$0.00,1,0,1,20120101,73010,CPT,RADEX SCAPULA COMPLETE,,30,,,$289.18,$0.00,1,0,1,20120101,73020,CPT,RADEX SHOULDER 1 VIEW,,30,,,$289.18,$0.00,1,0,1,20120101,73030,CPT,RADEX SHOULDER COMPLETE MINIMUM 2 VIEWS,,30,,,$289.18,$0.00,1,0,1,20120101,73040,CPT,RADEX SHOULDER ARTHROGRAPHY RS&I,,30,,,"$1,767.51",$0.00,1,0,1,20120101,73050,CPT,RADEX A-C JOINTS BI W/WO WEIGHTED DISTRCJ,,30,,,$289.18,$0.00,1,0,1,20120101,73060,CPT,RADEX HUMERUS MINIMUM 2 VIEWS,,30,,,$289.18,$0.00,1,0,1,20120101,73070,CPT,RADEX ELBOW 2 VIEWS,,30,,,$289.18,$0.00,1,0,1,20120101,73080,CPT,RADEX ELBOW COMPLETE MINIMUM 3 VIEWS,,30,,,$289.18,$0.00,1,0,1,20120101,73085,CPT,RADEX ELBOW ARTHROGRAPHY RS&I,,30,,,"$1,767.51",$0.00,1,0,1,20120101,73090,CPT,RADEX FOREARM 2 VIEWS,,30,,,$289.18,$0.00,1,0,1,20120101,73092,CPT,RADEX UPPER EXTREMITY INFANT MINIMUM 2 VIEWS,,30,,,$289.18,$0.00,1,0,1,20120101,73100,CPT,RADEX WRIST 2 VIEWS,,30,,,$289.18,$0.00,1,0,1,20120101,73110,CPT,RADEX WRIST COMPLETE MINIMUM 3 VIEWS,,30,,,$289.18,$0.00,1,0,1,20120101,73115,CPT,RADEX WRIST ARTHROGRAPHY RS&I,,30,,,"$1,767.51",$0.00,1,0,1,20120101,73120,CPT,RADEX HAND 2 VIEWS,,30,,,$289.18,$0.00,1,0,1,20120101,73130,CPT,RADEX HAND MINIMUM 3 VIEWS,,30,,,$289.18,$0.00,1,0,1,20120101,73140,CPT,RADEX FINGR MINIMUM 2 VIEWS,,30,,,$289.18,$0.00,1,0,1,20120101,73200,CPT,CT UPPER EXTREMITY W/O CONTRAST MATERIAL,,30,,,"$1,223.27",$0.00,1,0,1,20120101,73201,CPT,CT UPPER EXTREMITY W/O & W/CONTRAST MATERIAL,,30,,,"$1,895.06",$0.00,1,0,1,20120101,73202,CPT,CT UPPER EXTREMITY W/O & W/CONTRAST MATERIAL,,30,,,"$2,107.30",$0.00,1,0,1,20120101,73206,CPT,CT ANGIOGRAPHY UPPER EXTREMITY,,30,,,"$2,138.16",$0.00,1,0,1,20120101,73218,CPT,MRI UPPER EXTREMITY OTH THAN JT W/O CONTR MATRL,,30,,,"$2,129.04",$0.00,1,0,1,20120101,73219,CPT,MRI UPPER EXTREMITY OTH THAN JT W/CONTR MATRL,,30,,,"$2,713.50",$0.00,1,0,1,20120101,73220,CPT,MRI UPPER EXTREM OTHER THAN JT W/O & W/CONTRAST,,30,,,"$3,326.19",$0.00,1,0,1,20120101,73221,CPT,MRI ANY JT UPPER EXTREMITY W/O CONTRAST MATRL,,30,,,"$2,129.04",$0.00,1,0,1,20120101,73222,CPT,MRI ANY JT UPPER EXTREMITY W/CONTRAST MATRL,,30,,,"$2,713.50",$0.00,1,0,1,20120101,73223,CPT,MRI ANY JT UPPER EXTREMITY W/O & W/CONTR MATRL,,30,,,"$3,326.19",$0.00,1,0,1,20120101,73225,CPT,MRA UPPER EXTREMITY W/WO CONTRAST MATERIAL,,30,,,"$3,670.53",$0.00,1,0,1,20120101,73500,CPT,RADEX HIP UNILATERAL 1 VIEW,,30,,,$289.18,$0.00,1,0,1,20120101,73510,CPT,RADEX HIP UNILATERAL COMPLETE MINIMUM 2 VIEWS,,30,,,$289.18,$0.00,1,0,1,20120101,73520,CPT,RADEX HIPS BILATERAL 2 VIEWS ANTEROPOST PELVIS,,30,,,$289.18,$0.00,1,0,1,20120101,73525,CPT,RADEX HIP ARTHROGRAPHY RS&I,,30,,,"$1,767.51",$0.00,1,0,1,20120101,73540,CPT,RADEX PELVIS&HIPS INFT/CHLD MINIMUM 2 VIEWS,,30,,,$289.18,$0.00,1,0,1,20120101,73550,CPT,RADIOLOGIC EXAMINATION FEMUR 2 VIEWS,,30,,,$289.18,$0.00,1,0,1,20120101,73560,CPT,RADIOLOGIC EXAMINATION KNEE 1/2 VIEWS,,30,,,$289.18,$0.00,1,0,1,20120101,73562,CPT,RADIOLOGIC EXAMINATION KNEE 3 VIEWS,,30,,,$289.18,$0.00,1,0,1,20120101,73564,CPT,RADIOLOGIC EXAM KNEE COMPLETE 4/MORE VIEWS,,30,,,$289.18,$0.00,1,0,1,20120101,73565,CPT,RADIOLOGIC EXAM BOTH KNEES STANDING ANTEROPOST,,30,,,$289.18,$0.00,1,0,1,20120101,73580,CPT,RADIOLOGIC EXAM KNEE ARTHROGRAPHY RS&I,,30,,,"$1,767.51",$0.00,1,0,1,20120101,73590,CPT,RADIOLOGIC EXAMINATION TIBIA & FIBULA 2 VIEWS,,30,,,$289.18,$0.00,1,0,1,20120101,73592,CPT,RADEX LOWER EXTREMITY INFANT MINIMUM 2 VIEWS,,30,,,$289.18,$0.00,1,0,1,20120101,73600,CPT,RADIOLOGIC EXAMINATION ANKLE 2 VIEWS,,30,,,$289.18,$0.00,1,0,1,20120101,73610,CPT,RADEX ANKLE COMPLETE MINIMUM 3 VIEWS,,30,,,$289.18,$0.00,1,0,1,20120101,73615,CPT,RADEX ANKLE ARTHROGGRAPHY RS&I,,30,,,"$1,767.51",$0.00,1,0,1,20120101,73620,CPT,RADIOLOGIC EXAMINATION FOOT 2 VIEWS,,30,,,$289.18,$0.00,1,0,1,20120101,73630,CPT,RADEX FOOT COMPLETE MINIMUM 3 VIEWS,,30,,,$289.18,$0.00,1,0,1,20120101,73650,CPT,RADEX CALCANEUS MINIMUM 2 VIEWS,,30,,,$289.18,$0.00,1,0,1,20120101,73660,CPT,RADEX TOE MINIMUM 2 VIEWS,,30,,,$289.18,$0.00,1,0,1,20120101,73700,CPT,CT LOWER EXTREMITY W/O CONTRAST MATERIAL,,30,,,"$1,223.27",$0.00,1,0,1,20120101,73701,CPT,CT LOWER EXTREMITY W/CONTRAST MATERIAL,,30,,,"$1,895.06",$0.00,1,0,1,20120101,73702,CPT,CT LOWER EXTREMITY W/O & W/CONTRAST MATRL,,30,,,"$2,107.30",$0.00,1,0,1,20120101,73706,CPT,CT ANGIOGRAPHY LOWER EXTREMITY,,30,,,"$2,138.16",$0.00,1,0,1,20120101,73718,CPT,MRI LOWER EXTREM OTH/THN JT W/O CONTR MATRL,,30,,,"$2,129.04",$0.00,1,0,1,20120101,73719,CPT,MRI LOWER EXTREM OTH/THN JT W/CONTRAST MATRL,,30,,,"$2,713.50",$0.00,1,0,1,20120101,73720,CPT,MRI LOWER EXTREM OTH/THN JT W/O & W/CONTR MATRL,,30,,,"$3,326.19",$0.00,1,0,1,20120101,73721,CPT,MRI ANY JT LOWER EXTREM W/O CONTRAST MATRL,,30,,,"$2,129.04",$0.00,1,0,1,20120101,73722,CPT,MRI ANY JT LOWER EXTREM W/CONTRAST MATERIAL,,30,,,"$2,713.50",$0.00,1,0,1,20120101,73723,CPT,MRI ANY JT LOWER EXTREM W/O & W/CONTRAST MATRL,,30,,,"$3,326.19",$0.00,1,0,1,20120101,73725,CPT,MRA LOWER EXTREMITY W/WO CONTRAST MATERIAL,,30,,,"$4,017.33",$0.00,1,0,1,20120101,74000,CPT,RADEX ABDOMEN 1 ANTEROPOSTERIOR VIEW,,30,,,$289.18,$0.00,1,0,1,20120101,74010,CPT,RADEX ABD ANTEROPOST&ADDL OBLQ&CONE VIEWS,,30,,,$289.18,$0.00,1,0,1,20120101,74020,CPT,RADEX ABDOMEN COMPL W/DCBTS&/ERC VIEWS,,30,,,$289.18,$0.00,1,0,1,20120101,74022,CPT,RADEX ABD COMPL AQT ABD W/S/E/D VIEWS 1 VIEW CH,,30,,,$487.03,$0.00,1,0,1,20120101,74150,CPT,CT ABDOMEN W/O CONTRAST MATERIAL,,30,,,"$1,223.27",$0.00,1,0,1,20120101,74160,CPT,CT ABDOMEN W/CONTRAST MATERIAL,,30,,,"$1,895.06",$0.00,1,0,1,20120101,74170,CPT,CT ABDOMEN W/O &W/CONTRAST MATERIAL,,30,,,"$2,107.30",$0.00,1,0,1,20120101,74174,CPT,CT ANGIO ABD&PLVIS CNTRST MTRL W/WO CNTRST IMGES,,30,,,"$3,574.39",$0.00,1,0,1,20120101,74175,CPT,CT ANGIOGRAPHY ABDOMEN W/CONTRAST/NONCONTRAST,,30,,,"$2,138.16",$0.00,1,0,1,20120101,74176,CPT,CT ABDOMEN & PELVIS W/O CONTRAST MATERIAL,,30,,,"$2,550.22",$0.00,1,0,1,20120101,74177,CPT,CT ABDOEN & PELVIS W/CONTRAST MATERIAL,,30,,,"$3,574.39",$0.00,1,0,1,20120101,74178,CPT,CT ABDOMEN & PELVIS W/O CONTRST 1/> BODY REGIONS,,30,,,"$3,574.39",$0.00,1,0,1,20120101,74181,CPT,MRI ABDOMEN W/O CONTRAST MATERIAL,,30,,,"$2,129.04",$0.00,1,0,1,20120101,74182,CPT,MRI ABDOMEN W/CONTRAST MATERIAL,,30,,,"$2,713.50",$0.00,1,0,1,20120101,74183,CPT,MRI ABDOMEN W/O &W/CONTRAST MATERIAL,,30,,,"$3,326.19",$0.00,1,0,1,20120101,74185,CPT,MRA ABDOMEN W/WO CONTRAST MATERIAL,,30,,,"$6,876.53",$0.00,1,0,1,20120101,74190,CPT,PERITONEOGRAM RS&I,,30,,,"$1,508.58",$0.00,1,0,1,20120101,74210,CPT,RADEX PHARYNX&/CERVICAL ESOPHAGUS,,30,,,$552.26,$0.00,1,0,1,20120101,74220,CPT,RADEX ESOPHAGUS,,30,,,$552.26,$0.00,1,0,1,20120101,74230,CPT,SWALLOWING FUNCJ W/CINERADIOGRAPY/VIDRADIOG,,30,,,$552.26,$0.00,1,0,1,20120101,74240,CPT,RADEX GI TRACT UPPER W/WO DELAYED FILMS W/O KUB,,30,,,$552.26,$0.00,1,0,1,20120101,74241,CPT,RADEX GI TRACT UPPER W/WO DELAYED FILMS W/KUB,,30,,,$552.26,$0.00,1,0,1,20120101,74245,CPT,RADEX GI TRACT UPR W/SM INT W/MULT SERIAL FLMS,,30,,,$899.03,$0.00,1,0,1,20120101,74246,CPT,RADEX UPPER GI W/WO GLUCAGON/DELAY FILMS W/O KUB,,30,,,$552.26,$0.00,1,0,1,20120101,74247,CPT,RADEX UPPER GI W/WO GLUCAGON/DELAY FLMS W/KUB,,30,,,$552.26,$0.00,1,0,1,20120101,74249,CPT,RADEX GI UPR W/WO GLUCOSE W/SM INTEST FOLLW-THRU,,30,,,$899.03,$0.00,1,0,1,20120101,74250,CPT,RADEX SMALL INTESTINE W/MULTIPLE SERIAL FILMS,,30,,,$552.26,$0.00,1,0,1,20120101,74251,CPT,RADEX SM INT W/MLT SRL FLMS VIA ENTEROCLSS TUBE,,30,,,$899.03,$0.00,1,0,1,20120101,74260,CPT,DUODENOGRAPY HYPOTONIC,,30,,,$552.26,$0.00,1,0,1,20120101,74261,CPT,CT COLONOGRPHY DX IMAGE POSTPROCESS W/O CONTRAST,,30,,,"$1,223.27",$0.00,1,0,1,20120101,74262,CPT,CT COLONOGRPHY DX IMAGE POSTPROCESS W/CONTRAST,,30,,,"$1,895.06",$0.00,1,0,1,20120101,74263,CPT,CT COLONOGRAPHY SCREENING IMAGE POSTPROCESSING,,30,,,$552.26,$0.00,1,0,1,20120101,74270,CPT,RADEX COLON BARIUM ENEMA W/WOKUB,,30,,,$552.26,$0.00,1,0,1,20120101,74280,CPT,RADEX COLON W/SPEC HI DNS BARIUM W/WO GLUCAGON,,30,,,$899.03,$0.00,1,0,1,20120101,74283,CPT,THERAPEUTIC ENEMA RDCTJ INTUSSUSCEPTION/OBSTRCJ,,30,,,$552.26,$0.00,1,0,1,20120101,74290,CPT,CHOLECYSTOGRAPHY ORAL CONTRST,,30,,,$552.26,$0.00,1,0,1,20120101,74291,CPT,CHOLECYST ORAL CNTRST ADDL/REPEAT XM/MULT DAY XM,,30,,,$552.26,$0.00,1,0,1,20120101,74305,CPT,CHOLANGIO&/PANCREATOGRAPHY THRU CATH RS&I,,30,,,"$1,508.58",$0.00,1,0,1,20120101,74320,CPT,CHOLANGIO&/PANCREATOGRAPHY TRANSHEPATC RS&I,,30,,,$900.71,$0.00,1,0,1,20120101,74400,CPT,UROGRAPHY IV W/WO KUB W/WO TOMOGRAPHY,,30,,,"$1,155.95",$0.00,1,0,1,20120101,74410,CPT,UROGRAPHY INFUSION DRIP &/BOLUS TECHNIQUE,,30,,,"$1,155.95",$0.00,1,0,1,20120101,74415,CPT,UROGRAPY INFUSION DRIP &/BOLUS TECHQ W/WO TOMO,,30,,,"$1,155.95",$0.00,1,0,1,20120101,74420,CPT,X-RAY URINARY TRACT EXAM WITH CONTRAST MATERIAL,,30,,,"$1,155.95",$0.00,1,0,1,20120101,74425,CPT,UROGRAPHY ANTEGRADE RS&I,,30,,,"$1,155.95",$0.00,1,0,1,20120101,74430,CPT,CYSTOGRAPHY MINIMUM 3 VIEWS RS&I,,30,,,"$1,155.95",$0.00,1,0,1,20120101,74440,CPT,VASOGRAPY VESICULOGRAPY/EPIDIDYMOGRAPY RS&I,,30,,,"$1,155.95",$0.00,1,0,1,20120101,74445,CPT,CORPORA CAVERNOSOGRAPY RS&I,,30,,,"$1,155.95",$0.00,1,0,1,20120101,74450,CPT,URETHROCYSTOGRAPHY RETROGRADE RS&I,,30,,,"$1,155.95",$0.00,1,0,1,20120101,74455,CPT,URETHROCYSTOGRAPHY VOIDING RS&I,,30,,,"$1,155.95",$0.00,1,0,1,20120101,74470,CPT,RADEX RENAL CYST STUDY TRANSLUMBAR RS&I,,30,,,"$1,508.58",$0.00,1,0,1,20120101,74475,CPT,INTRO CATH IN RENAL PELVIS DRG&/NJX PRQ RS&I,,30,,,"$6,942.07",$0.00,1,0,1,20120101,74480,CPT,INTRO URETERAL CATH/STENT PRQ RS&I,,30,,,"$6,942.07",$0.00,1,0,1,20120101,74485,CPT,DILATION NEPHROSTOMY/URETER/URETHRA RS&I,,30,,,"$6,942.07",$0.00,1,0,1,20120101,74710,CPT,PELVIMETRY W/WOPLACENTAL LOCALIZATION,,30,,,$487.03,$0.00,1,0,1,20120101,74740,CPT,HYSTEROSALPINGOGRAPHY RS&I,,30,,,"$1,508.58",$0.00,1,0,1,20120101,74775,CPT,PERINEOGRAM,,30,,,"$1,155.95",$0.00,1,0,1,20120101,75557,CPT,CARDIAC MRI MORPHOLOGY & FUNCTION W/O CONTRAST,,30,,,"$2,129.04",$0.00,1,0,1,20120101,75559,CPT,CARDIAC MRI W/O CONTRAST W STRESS IMAGING,,30,,,"$2,129.04",$0.00,1,0,1,20120101,75561,CPT,CARDIAC MRI W/W/O CONTRAST & FURTHER SEQ,,30,,,"$3,326.19",$0.00,1,0,1,20120101,75563,CPT,CARDIAC MRI W/W/O CONTRAST W STRESS,,30,,,"$3,326.19",$0.00,1,0,1,20120101,75571,CPT,CT HEART NO CONTRAST QUANT EVAL CORONRY CALCIUM,,30,,,$303.61,$0.00,1,0,1,20120101,75572,CPT,CT HEART CONTRAST EVAL CARDIAC STRUCTURE&MORPH,,30,,,"$1,655.47",$0.00,1,0,1,20120101,75573,CPT,CT HRT CONTRST CARDIAC STRUCT&MORPH CONG HRT DX,,30,,,"$1,655.47",$0.00,1,0,1,20120101,75574,CPT,CTA HRT CORNRY ART/BYPASS GRFTS CONTRST 3D POST,,30,,,"$1,655.47",$0.00,1,0,1,20120101,75600,CPT,AORTOGRAPHY THORACIC W/O SERIALOGRAPHY RS&I,,30,,,"$11,498.50",$0.00,1,0,1,20120101,75605,CPT,AORTOGRAPHY THORACIC SERIALOGRAPHY RS&I,,30,,,"$11,498.50",$0.00,1,0,1,20120101,75625,CPT,AORTOGRAPHY ABDOMINAL SERIALOGRAPHY RS&I,,30,,,"$11,498.50",$0.00,1,0,1,20120101,75630,CPT,AORTOGRAPHY ABDL BI ILIOFEM LOW EXTREM CATH RS&I,,30,,,"$11,498.50",$0.00,1,0,1,20120101,75635,CPT,CTA ABDL AORTA&BI ILIOFEM W/CONTRAST&POSTPROCESS,,30,,,"$2,138.16",$0.00,1,0,1,20120101,75650,CPT,ANGIOGRAPHY CERVICOCEREBRAL CATHETER RS&I,,30,,,"$17,088.14",$0.00,1,0,1,20120101,75658,CPT,ANIOGRAPHY BRACHIAL RETROGRADE RS&I,,30,,,"$11,498.50",$0.00,1,0,1,20120101,75660,CPT,ANGIOGRAPHY EXTERNAL CAROTID UNI SLCTV RS&I,,30,,,"$17,088.14",$0.00,1,0,1,20120101,75662,CPT,ANGIOGRAPHY EXTERNAL CAROTID BI SLCTV RS&I,,30,,,"$17,088.14",$0.00,1,0,1,20120101,75665,CPT,ANGIOGRAPHY CAROTID CEREBRAL UNILATERAL RS&I,,30,,,"$11,498.50",$0.00,1,0,1,20120101,75671,CPT,ANGIOGRAPHY CAROTID CEREBRAL BILATERAL RS&I,,30,,,"$17,088.14",$0.00,1,0,1,20120101,75676,CPT,ANGIOGRAPHY CAROTID CERVICAL UNILATERAL RS&I,,30,,,"$11,498.50",$0.00,1,0,1,20120101,75680,CPT,ANGIOGRAPHY CAROTID CERVICAL BILATERAL RS&I,,30,,,"$11,498.50",$0.00,1,0,1,20120101,75685,CPT,ANGIOGRAPHY VERTEBRAL/CERVICAL/&/INTRACRAN RS&I,,30,,,"$11,498.50",$0.00,1,0,1,20120101,75705,CPT,ANGIOGRAPHY SPINAL SELECTIVE RS&I,,30,,,"$11,498.50",$0.00,1,0,1,20120101,75710,CPT,ANGIOGRAPHY EXTREMITY UNILATERAL RS&I,,30,,,"$11,498.50",$0.00,1,0,1,20120101,75716,CPT,ANGIOGRAPHY EXTREMITY BILATERAL RS&I,,30,,,"$11,498.50",$0.00,1,0,1,20120101,75726,CPT,ANGIOGRAPHY VISCERAL SLCTV/SUPRASLCTV RS&I,,30,,,"$11,498.50",$0.00,1,0,1,20120101,75731,CPT,ANGIOGRAPHY ADRENAL UNILATERAL SLCTV RS&I,,30,,,"$11,498.50",$0.00,1,0,1,20120101,75733,CPT,ANGIOGRAPHY ADRENAL BILATERAL SLCTV RS&I,,30,,,"$11,498.50",$0.00,1,0,1,20120101,75736,CPT,ANGIOGRAPHY PELVIC SLCTV/SUPRASLCTV RS&I,,30,,,"$11,498.50",$0.00,1,0,1,20120101,75741,CPT,ANGIOGRAPHY PULMONARY UNILATERAL SLCTV RS&I,,30,,,"$11,498.50",$0.00,1,0,1,20120101,75743,CPT,ANGIOGRAPHY PULMONARY BILATERAL SLCTV RS&I,,30,,,"$11,498.50",$0.00,1,0,1,20120101,75746,CPT,ANGRPH PULMONARY NONSLCTV CATH/VEN NJX RS&I,,30,,,"$4,069.63",$0.00,1,0,1,20120101,75756,CPT,ANGIOGRAPHY INTERNAL MAMMARY RS&I,,30,,,"$4,069.63",$0.00,1,0,1,20120101,75791,CPT,ANGIOGRPHY AV SHUNT COMPLETE EVAL FLUOR S&I,,30,,,"$4,069.63",$0.00,1,0,1,20120101,75801,CPT,LYMPHANGIOGRAPHY EXTREMITY ONLY UNILATERAL RS&I,,30,,,$900.71,$0.00,1,0,1,20120101,75803,CPT,LYMPHANGIOGRAPHY EXTREMITY ONLY BILATERAL RS&I,,30,,,$900.71,$0.00,1,0,1,20120101,75805,CPT,ANGRPH CATH F/U STUDY THER/EMBOLIZATION/INFUSION,,30,,,$900.71,$0.00,1,0,1,20120101,75807,CPT,LYMPHANGIOGRAPHY PELVIC/ABDOMINAL BILATERAL RS&I,,30,,,$900.71,$0.00,1,0,1,20120101,75809,CPT,SHUNTOGRAM INDWELLING NONVASCULAR SHUNT RS&I,,30,,,$487.03,$0.00,1,0,1,20120101,75810,CPT,SPLENOPORTOGRAPY RS&I,,30,,,"$11,498.50",$0.00,1,0,1,20120101,75820,CPT,VENOGRAPHY EXTREMITY UNILATERAL RS&I,,30,,,"$4,069.63",$0.00,1,0,1,20120101,75822,CPT,VENOGRAPHY EXTREMITY BILATERAL RS&I,,30,,,"$4,069.63",$0.00,1,0,1,20120101,75825,CPT,VENOGRAPHY CAVAL INFERIOR SERIALOGRAPHY RS&I,,30,,,"$11,498.50",$0.00,1,0,1,20120101,75827,CPT,VENOGRAPHY CAVAL SUPERIOR SERIALOGRAPHY RS&I,,30,,,"$4,069.63",$0.00,1,0,1,20120101,75831,CPT,VENOGRAPHY RENAL UNILATERAL SELECTIVE RS&I,,30,,,"$11,498.50",$0.00,1,0,1,20120101,75833,CPT,VENOGRAPHY RENAL BILATERAL SELECTIVE RS&I,,30,,,"$11,498.50",$0.00,1,0,1,20120101,75840,CPT,VENOGRAPHY ADRENAL UNILATERAL SELECTIVE RS&I,,30,,,"$11,498.50",$0.00,1,0,1,20120101,75842,CPT,VENOGRAPHY ADRENAL BILATERAL SELECTIVE RS&I,,30,,,"$11,498.50",$0.00,1,0,1,20120101,75860,CPT,VENOGRAPHY VENOUS SINUS/JUGULAR CATH RS&I,,30,,,"$4,069.63",$0.00,1,0,1,20120101,75870,CPT,VENOGRAPHY SUPERIOR SAGITTAL SINUS RS&I,,30,,,"$4,069.63",$0.00,1,0,1,20120101,75872,CPT,VENOGRAPHY EPIDURAL RS&I,,30,,,"$4,069.63",$0.00,1,0,1,20120101,75880,CPT,VENOGRAPHY ORBITAL RS&I,,30,,,"$4,069.63",$0.00,1,0,1,20120101,75885,CPT,PRQ TRANSHEPATC PORTOGRAPY HEMODYN EVAL RS&I,,30,,,"$11,498.50",$0.00,1,0,1,20120101,75887,CPT,PRQ TRANSHEPATC PORTOGRAPY W/O HEMODYN EVAL RS&I,,30,,,"$4,069.63",$0.00,1,0,1,20120101,75889,CPT,HEPATC VNGRPH WDG/FR HEMODYN EVAL RS&I,,30,,,"$11,498.50",$0.00,1,0,1,20120101,75891,CPT,HEPATC VNGRPH WDG/FR W/O HEMODYN EVAL RS&I,,30,,,"$11,498.50",$0.00,1,0,1,20120101,75893,CPT,VENOUS SAMPLING THRU CATH W/WO ANGIOGRAPHY RS&I,,30,,,"$11,498.50",$0.00,1,0,1,20120101,75898,CPT,ANGRPH CATH F-UP STD TCAT THER EMBOLIZATION/NFS,,30,,,$487.03,$0.00,1,0,1,20120101,75945,CPT,IV ULTRASOUND RS&I INITIAL VESSEL,,30,,,$978.65,$0.00,1,0,1,20120101,75962,CPT,TRANSLUMINAL BALLOON ANGIOP PERIPHERAL ART RSI,,30,,,"$20,214.40",$0.00,1,0,1,20120101,75966,CPT,TRLUML BALO ANGIOPLASTY RENAL/OTH VISC ART RS&I,,30,,,"$20,214.40",$0.00,1,0,1,20120101,75978,CPT,TRANSLUMINAL BALLOON ANGIOPLASTY VENOUS RS&I,,30,,,"$11,852.20",$0.00,1,0,1,20120101,76000,CPT,FLUOROSCOPY SPX <1 HOUR PHYSICIAN TIME,,30,,,$560.75,$0.00,1,0,1,20120101,76010,CPT,RADEX FROM NOSE RECTUM FOREIGN BODY 1 VIEW CHLD,,30,,,$289.18,$0.00,1,0,1,20120101,76080,CPT,RADEX ABSCESS/FISTULA/SINUS TRACT RS&I,,30,,,"$1,508.58",$0.00,1,0,1,20120101,76098,CPT,RADIOLOGICAL EXAMINATION SURGICAL SPECIMEN,,30,,,$900.71,$0.00,1,0,1,20120101,76100,CPT,RADEX 1 PLNE BODY SECTION OTH/THN W/UROGRAPY,,30,,,$487.03,$0.00,1,0,1,20120101,76101,CPT,RADEX CPLX MOTION BDY SCTJ OTH/THN UROGRAPY UNI,,30,,,"$1,508.58",$0.00,1,0,1,20120101,76102,CPT,RADEX CPLX MOTION BDY SCTJ OTH/THN UROGRAPY BI,,30,,,"$1,508.58",$0.00,1,0,1,20120101,76120,CPT,CINERADIOGRAPY/VIDRADIOGRAPY XCPT WHERE SPEC,,30,,,$560.75,$0.00,1,0,1,20120101,76140,CPT,CONSLTJ X-RAY XM MADE ELSEWHERE WRTTN REPRT,,30,,,$102.41,$0.00,1,0,1,20120101,76380,CPT,CT LIMITED/LOCALIZED FOLLOW UP STUDY,,30,,,$693.27,$0.00,1,0,1,20120101,76390,CPT,MRI SPECTROSCOPY,,30,,,"$5,935.99",$0.00,1,0,1,20120101,76496,CPT,UNLISTED FLUOROSCOPIC PROCEDURE,,30,,,$560.75,$0.00,1,0,1,20120101,76497,CPT,UNLISTED COMPUTED TOMOGRAPHY PROCEDURE,,30,,,$693.27,$0.00,1,0,1,20120101,76498,CPT,UNLISTED MAGNETIC RESONANCE PROCEDURE,,30,,,"$2,129.04",$0.00,1,0,1,20120101,76499,CPT,UNLISTED DIAGNOSTIC RADIOGRAPHIC PROCEDURE,,30,,,$289.18,$0.00,1,0,1,20120101,76506,CPT,ECHOENCEPHALOGRAPY REAL TIME IMAGING,,30,,,$404.81,$0.00,1,0,1,20120101,76510,CPT,OPH US DX B-SCAN&QUAN A-SCAN SM PT ENCTR,,30,,,"$1,156.18",$0.00,1,0,1,20120101,76511,CPT,OPHTHALMIC ULTRASOUND DX QUAN A-SCAN ONLY,,30,,,$615.66,$0.00,1,0,1,20120101,76512,CPT,OPHTHALMIC ULTRASOUND DX B-SCAN W/WO A-SCAN,,30,,,$615.66,$0.00,1,0,1,20120101,76513,CPT,OPH US DX ANT SGM US IMMERSION B-SCAN/HR BIOM,,30,,,$615.66,$0.00,1,0,1,20120101,76514,CPT,OPHTHALMIC US DX CORNEAL PACHYMETRY UNI/BI,,30,,,$122.59,$0.00,1,0,1,20120101,76516,CPT,OPHTHALMIC BIOMETRY US ECHOGRAPY A-SCAN,,30,,,$404.81,$0.00,1,0,1,20120101,76519,CPT,OPH BMTRY US ECHOGRAPY A-SCAN IO LENS PWR CAL,,30,,,$615.66,$0.00,1,0,1,20120101,76529,CPT,OPHTHALMIC ULTRASONIC FOREIGN BODY LOCALIZATION,,30,,,$404.81,$0.00,1,0,1,20120101,76536,CPT,US SOFT TISSUE HEAD & NECK REAL TIME IMGE DOCMTN,,30,,,$615.66,$0.00,1,0,1,20120101,76604,CPT,US CHEST REAL TIME W/IMAGE DOCUMENTATION,,30,,,$404.81,$0.00,1,0,1,20120101,76645,CPT,US BREAST REAL TIME W/IMAGE DOCUMENTATION,,30,,,$404.81,$0.00,1,0,1,20120101,76700,CPT,US ABDOMINAL REAL TIME W/IMAGE DOCUMENTATION,,30,,,$615.66,$0.00,1,0,1,20120101,76705,CPT,ULTRASOUND ABDOMINAL REAL TIME W/IMAGE LIMITED,,30,,,$615.66,$0.00,1,0,1,20120101,76770,CPT,US RETROPERITONEAL REAL TIME W/IMAGE COMPLETE,,30,,,$615.66,$0.00,1,0,1,20120101,76775,CPT,US RETROPERITONEAL REAL TIME W/IMAGE LIMITED,,30,,,$615.66,$0.00,1,0,1,20120101,76776,CPT,US TRNSPLNT KIDNEY REAL TIME W/IMAGE DOCMTN,,30,,,$615.66,$0.00,1,0,1,20120101,76800,CPT,ULTRASOUND SPINAL CANAL & CONTENTS,,30,,,$615.66,$0.00,1,0,1,20120101,76801,CPT,US PREGNANT UTERUS 14 WK TRANSABDL 1/1ST GESTAT,,30,,,$615.66,$0.00,1,0,1,20120101,76802,CPT,US PREG UTERUS 14 WK TRANSABDL EACH GESTATION,,30,,,$404.81,$0.00,1,0,1,20120101,76805,CPT,US PREG UTERUS AFTER 1ST TRIMEST 1/1ST GESTATION,,30,,,$615.66,$0.00,1,0,1,20120101,76810,CPT,US PREG UTERUS > 1ST TRIMESTER ABDL EA GESTATION,,30,,,$615.66,$0.00,1,0,1,20120101,76811,CPT,US PREG UTERUS W/DETAIL FETAL ANAT 1ST GESTATION,,30,,,$978.65,$0.00,1,0,1,20120101,76812,CPT,US PREG UTERUS DETAIL FETAL ANAT EXAM EA GESTAT,,30,,,$404.81,$0.00,1,0,1,20120101,76813,CPT,US FETAL NUCHAL TRANSLUCENCY 1ST GESTATION,,30,,,$404.81,$0.00,1,0,1,20120101,76814,CPT,US FETAL NUCHAL TRANSLUCENCY EA ADDL GESTATION,,30,,,$404.81,$0.00,1,0,1,20120101,76815,CPT,US PREGNANT UTERUS LIMITED 1/> FETUSES,,30,,,$404.81,$0.00,1,0,1,20120101,76816,CPT,US PREG UTERUS REAL TIME F/U TRNSABDL PER FETUS,,30,,,$404.81,$0.00,1,0,1,20120101,76817,CPT,US PREG UTERUS REAL TIME W/IMAGE DCMTN TRANSVAG,,30,,,$404.81,$0.00,1,0,1,20120101,76818,CPT,FETAL BIOPHYSICAL PROFILE NON-STRESS TESTING,,30,,,$615.66,$0.00,1,0,1,20120101,76819,CPT,FETAL BIOPHYSICAL PROFILE W/O NON-STRESS TESTING,,30,,,$615.66,$0.00,1,0,1,20120101,76820,CPT,DOPPLER VELOCIMETRY FETAL UMBILICAL ARTERY,,30,,,$404.81,$0.00,1,0,1,20120101,76821,CPT,DOPPLER VELOCIMETRY FETAL MIDDLE CEREBRAL ART,,30,,,$404.81,$0.00,1,0,1,20120101,76825,CPT,ECHO FETAL CARDIOVASC W/WO M-MODE RECORDING,,30,,,"$1,403.83",$0.00,1,0,1,20120101,76826,CPT,ECHO FETAL CARDIOVASC W/WO M-MODE REPEAT STD,,30,,,"$1,403.83",$0.00,1,0,1,20120101,76827,CPT,DOPPLER ECHO FETAL SPECTRAL DISPLAY COMPLETE,,30,,,$404.81,$0.00,1,0,1,20120101,76828,CPT,DOPPLER ECHO FETAL PULS SPECTRAL F/U/REPEAT,,30,,,$404.81,$0.00,1,0,1,20120101,76830,CPT,ULTRASOUND TRANSVAGINAL,,30,,,$615.66,$0.00,1,0,1,20120101,76831,CPT,SALINE INFUS SONOHYSTEROGRAPHY W/COLOR DOPPLER,,30,,,$978.65,$0.00,1,0,1,20120101,76856,CPT,US PELVIC NONOBSTETRIC REAL-TIME IMAGE COMPLETE,,30,,,$615.66,$0.00,1,0,1,20120101,76857,CPT,US PELVIC NONOBSTETRIC IMAGE DCMTN LIMITED/F/U,,30,,,$404.81,$0.00,1,0,1,20120101,76870,CPT,ULTRASOUND SCROTUM & CONTENTS,,30,,,$615.66,$0.00,1,0,1,20120101,76872,CPT,ULTRASOUND TRANSRECTAL,,30,,,$615.66,$0.00,1,0,1,20120101,76873,CPT,US TRANSRCT PRSTATE VOL BRACHYTX PLNNING SPX,,30,,,$615.66,$0.00,1,0,1,20120101,76881,CPT,US EXTREMITY NON-VASC REAL-TIME IMG COMPL,,30,,,$615.66,$0.00,1,0,1,20120101,76882,CPT,US EXTREMITY NON-VASC REAL-TIME IMG LMTD,,30,,,$404.81,$0.00,1,0,1,20120101,76885,CPT,US INFT HIPS R-T IMG DYNAMIC REQ PHYS MANJ,,30,,,$404.81,$0.00,1,0,1,20120101,76886,CPT,US INFT HIPS R-T IMG LMTD STATIC X PHYS MANJ,,30,,,$404.81,$0.00,1,0,1,20120101,76936,CPT,US CMPRN RPR ARTL PSEUDOARYSM/ARVEN FSTL,,30,,,$687.56,$0.00,1,0,1,20120101,76970,CPT,US STUDY FOLLOW UP,,30,,,$404.81,$0.00,1,0,1,20120101,76975,CPT,GI ENDOSCOPIC ULTRASOUND RS&I,,30,,,$978.65,$0.00,1,0,1,20120101,76977,CPT,US BONE DENSITY MEAS & INTERP PERIPH ANY METHOD,,30,,,$303.61,$0.00,1,0,1,20120101,76999,CPT,UNLISTED ULTRASOUND PROCEDURE,,30,,,$404.81,$0.00,1,0,1,20120101,77053,CPT,MAMMARY DUCTOGRAM OR GALACTOGRAM SINGLE,,30,,,"$1,508.58",$0.00,1,0,1,20120101,77054,CPT,MAMMARY DUCTOGRAM OR GALACTOGRAM MULTIPLE,,30,,,"$1,508.58",$0.00,1,0,1,20120101,77058,CPT,MRI BREAST UNILATERAL,,30,,,"$7,708.47",$0.00,1,0,1,20120101,77059,CPT,MRI BREAST BILATERAL,,30,,,"$10,493.24",$0.00,1,0,1,20120101,77071,CPT,MANUAL APPL STRESS PFRMD PHYS JOINT RADIOGRAPHY,,30,,,$289.18,$0.00,1,0,1,20120101,77072,CPT,BONE AGE STUDIES,,30,,,$289.18,$0.00,1,0,1,20120101,77073,CPT,BONE LENGTH STUDIES,,30,,,$289.18,$0.00,1,0,1,20120101,77074,CPT,RADIOLOGIC EXAMINATION OSSEOUS SURVEY LIMITED,,30,,,$487.03,$0.00,1,0,1,20120101,77075,CPT,RADIOLOGIC EXAMINATION OSSEOUS SURVEY COMPL,,30,,,$487.03,$0.00,1,0,1,20120101,77076,CPT,RADIOLOGIC EXAMINATION OSSEOUS SURVEY INFANT,,30,,,$487.03,$0.00,1,0,1,20120101,77077,CPT,JOINT SURVEY SINGLE VIEW 2 OR MORE JOINTS,,30,,,$289.18,$0.00,1,0,1,20120101,77078,CPT,CT BONE MINERL DENSITY STUDY 1/> SITS AXIAL SKEL,,30,,,$459.45,$0.00,1,0,1,20120101,77080,CPT,DXA BONE DENSITY STUDY 1/> SITES AXIAL SKEL,,30,,,$459.45,$0.00,1,0,1,20120101,77081,CPT,DXA BONE DENSITY STUDY 1/>SITES APPENDICLR SKEL,,30,,,$206.08,$0.00,1,0,1,20120101,77082,CPT,DXA BONE DENSITY STUDY VERTEBRAL FRACTURE,,30,,,$289.18,$0.00,1,0,1,20120101,77084,CPT,BONE MARROW BLOOD SUPPLY,,30,,,"$2,129.04",$0.00,1,0,1,20120101,77280,CPT,THER RAD SIMULAJ-AIDED FIELD SETTING SIMPLE,,30,,,$670.75,$0.00,1,0,1,20120101,77285,CPT,THER RAD SIMULAJ-AIDED FIELD SETTING INTERMED,,30,,,"$1,643.10",$0.00,1,0,1,20120101,77290,CPT,THER RAD SIMULAJ-AIDED FIELD SETTING COMPLEX,,30,,,"$1,643.10",$0.00,1,0,1,20120101,77295,CPT,THER RAD SIMULAJ-AIDED FLD SETTING 3-DIMENSIONAL,,30,,,"$5,605.93",$0.00,1,0,1,20120101,77299,CPT,UNLIS PX THER RADIOL CLINICAL TX PLANNING,,30,,,$670.75,$0.00,1,0,1,20120101,77300,CPT,BASIC RADIATION DOSIMETRY CALCULATION,,30,,,$670.75,$0.00,1,0,1,20120101,77301,CPT,NTSTY MODUL RADTHX PLN DOSE-VOL HISTOS,,30,,,"$5,605.93",$0.00,1,0,1,20120101,77305,CPT,TELETHERAPY ISODOSE PLAN SIMPLE,,30,,,$670.75,$0.00,1,0,1,20120101,77310,CPT,TELETHERAPY ISODOSE PLAN INTERMEDIATE,,30,,,$670.75,$0.00,1,0,1,20120101,77315,CPT,TELETHERAPY ISODOSE PLAN COMPLETE,,30,,,"$1,643.10",$0.00,1,0,1,20120101,77321,CPT,SPEC TELETHX PORT PLN PARTS HEMIBDY TOT BDY,,30,,,"$1,643.10",$0.00,1,0,1,20120101,77326,CPT,BRACHYTHERAPY ISODOSE PLAN SIMPLE,,30,,,$670.75,$0.00,1,0,1,20120101,77327,CPT,BRACHYTHERAPY ISODOSE PLAN INTERMEDIATE,,30,,,"$1,643.10",$0.00,1,0,1,20120101,77328,CPT,BRACHYTHERAPY ISODOSE PLAN COMPLEX,,30,,,"$1,643.10",$0.00,1,0,1,20120101,77331,CPT,SPEC DOSIM ONLY PRESCRIBED TREATING PHYS,,30,,,$670.75,$0.00,1,0,1,20120101,77332,CPT,TX DEVICES DESIGN & CONSTRUCTION SIMPLE,,30,,,"$1,244.63",$0.00,1,0,1,20120101,77333,CPT,TX DEVICES DESIGN & CONSTRUCTION INTERMEDIATE,,30,,,"$1,244.63",$0.00,1,0,1,20120101,77334,CPT,TX DEVICES DESIGN & CONSTRUCTION COMPLEX,,30,,,"$1,244.63",$0.00,1,0,1,20120101,77336,CPT,CONTINUING MEDICAL PHYSICS CONSLTJ PR WK,,30,,,$670.75,$0.00,1,0,1,20120101,77338,CPT,MLC IMRT DESIGN & CONSTRUCTION PER IMRT PLAN,,30,,,"$1,643.10",$0.00,1,0,1,20120101,77370,CPT,SPEC MEDICAL RADJ PHYSICS CONSLTJ,,30,,,$670.75,$0.00,1,0,1,20120101,77371,CPT,RADIATION DELIVERY STEREOTACTIC CRANIAL COBALT,,30,,,"$23,484.60",$0.00,1,0,1,20120101,77372,CPT,RADIATION DELIVERY STEREOTACTIC CRANIAL LINEAR,,30,,,"$13,505.90",$0.00,1,0,1,20120101,77373,CPT,STEREOTACTIC BODY RADIATION DELIVERY,,30,,,"$25,186.82",$0.00,1,0,1,20120101,77399,CPT,UNLIS MEDICAL RADJ DOSIM TX DEV SPEC SVCS,,30,,,$670.75,$0.00,1,0,1,20120101,77401,CPT,RADIATION TX DELIVERY SUPERFICIAL&/ORTHO VOLTAGE,,30,,,$611.99,$0.00,1,0,1,20120101,77402,CPT,RADJ DLVR 1 AREA 1/PRLL OPSD PORTS SMPL <5MEV,,30,,,$611.99,$0.00,1,0,1,20120101,77403,CPT,RADJ DLVR 1 AREA 1/PRLL OPSD PORTS SMPL 6-10MEV,,30,,,$611.99,$0.00,1,0,1,20120101,77404,CPT,RADJ DLVR 1 AREA 1/PRLL OPSD PORTS SMPL 11-19MEV,,30,,,$611.99,$0.00,1,0,1,20120101,77406,CPT,RADJ DLVR 1 AREA 1/PRLL OPSD PORTS SMPL 20MEV/<,,30,,,$611.99,$0.00,1,0,1,20120101,77407,CPT,RADJ DLVR 2 AREAS 3/>PORTS 1 MLT BLKS <5MEV,,30,,,$611.99,$0.00,1,0,1,20120101,77408,CPT,RADJ DLVR 2 AREAS 3/>PORTS 1 MLT BLKS 6-1MEV,,30,,,"$1,035.26",$0.00,1,0,1,20120101,77409,CPT,RADJ DLVR 2 AREAS 3/>PORTS 1 MLT BLKS 11-19MEV,,30,,,"$1,035.26",$0.00,1,0,1,20120101,77411,CPT,RADJ DLVR 2 AREAS 3/> PORTS 1 TX AREA 20 MEV/<,,30,,,"$1,035.26",$0.00,1,0,1,20120101,77412,CPT,RADJ DLVR 3/> AREAS CUSTOM BLKING <5MEV,,30,,,"$1,035.26",$0.00,1,0,1,20120101,77413,CPT,RADJ DLVR 3/> AREAS CUSTOM BLKING 6-10MEV,,30,,,"$1,035.26",$0.00,1,0,1,20120101,77414,CPT,RADJ DLVR 3/> AREAS CUSTOM BLKING 11-19MEV,,30,,,"$1,035.26",$0.00,1,0,1,20120101,77416,CPT,RADJ DLVR 3/> AREAS CUSTOM BLKING 20MEV/<,,30,,,"$1,035.26",$0.00,1,0,1,20120101,77418,CPT,NTSTY MODUL DLVR 1/MLT FLDS/ARCS PR TX SESSION,,30,,,"$2,821.75",$0.00,1,0,1,20120101,77422,CPT,HIGH ENERGY NEUTRON RADJ TX DLVR 1 TX AREA,,30,,,"$1,035.26",$0.00,1,0,1,20120101,77423,CPT,HIGH ENERGY NEUTRON RADJ TX DLVR 1/> ISOCENTER,,30,,,"$1,035.26",$0.00,1,0,1,20120101,77470,CPT,SPECIAL TREATMENT PROCEDURE,,30,,,"$2,467.09",$0.00,1,0,1,20120101,77520,CPT,PROTON TX DELIVERY SIMPLE W/O COMPENSATION,,30,,,"$7,076.83",$0.00,1,0,1,20120101,77522,CPT,PROTON TX DELIVERY SIMPLE W/COMPENSATION,,30,,,"$7,076.83",$0.00,1,0,1,20120101,77523,CPT,PROTON TX DELIVERY INTERMEDIATE,,30,,,"$9,002.61",$0.00,1,0,1,20120101,77525,CPT,PROTON TX DELIVERY COMPLEX,,30,,,"$9,002.61",$0.00,1,0,1,20120101,77600,CPT,HYPERTHERMIA EXTERNAL GENERATED SUPERFICIAL,,30,,,"$2,467.09",$0.00,1,0,1,20120101,77605,CPT,HYPERTHERMIA EXTERNAL GENERATED DEEP,,30,,,"$2,467.09",$0.00,1,0,1,20120101,77610,CPT,HYPERTHERMIA INTERSTITIAL PROBE 5/< APPLICATORS,,30,,,"$2,467.09",$0.00,1,0,1,20120101,77615,CPT,HYPERTHERMIA INTERSTIAL PROBE 5/> APPLICATORS,,30,,,"$2,467.09",$0.00,1,0,1,20120101,77620,CPT,HYPERTHERMIA INTRACAVITARY PROBES,,30,,,"$2,467.09",$0.00,1,0,1,20120101,77750,CPT,NFS/INSTLJ RADIOELMNT SLN 3 MO FOLLOW-UP CARE,,30,,,"$1,035.26",$0.00,1,0,1,20120101,77761,CPT,INTRACAVITARY RADIATION SOURCE APPLIC SIMPLE,,30,,,"$2,399.21",$0.00,1,0,1,20120101,77762,CPT,INTRACAVITARY RADIATION SOURCE APPLIC INTERMED,,30,,,"$2,399.21",$0.00,1,0,1,20120101,77763,CPT,INTRACAVITARY RADIATION SOURCE APPLIC COMPLEX,,30,,,"$2,399.21",$0.00,1,0,1,20120101,77776,CPT,INTERSTITIAL RADIATION SOURCE APPLIC SIMPLE,,30,,,"$2,399.21",$0.00,1,0,1,20120101,77777,CPT,INTERSTITIAL RADIATION SOURCE APPLIC INTERMED,,30,,,"$2,399.21",$0.00,1,0,1,20120101,77778,CPT,INTERSTITIAL RADIATION SOURCE APPLIC COMPLEX,,30,,,"$5,300.90",$0.00,1,0,1,20120101,77785,CPT,REMOTE AFTLD RADIONUCLIDE BRACHYTX 1 CHANNEL,,30,,,"$4,247.90",$0.00,1,0,1,20120101,77786,CPT,REMOTE AFTLD RADIONUCLIDE BRACHYTX 2-12 CHANNEL,,30,,,"$4,247.90",$0.00,1,0,1,20120101,77787,CPT,REMOTE AFTLD RADIONUCLIDE BRACHYTX > 12 CHANNEL,,30,,,"$4,247.90",$0.00,1,0,1,20120101,77789,CPT,SURFACE APPLICATION RADIATION SOURCE,,30,,,$611.99,$0.00,1,0,1,20120101,77799,CPT,UNLISTED PROCEDURE CLINICAL BRACHYTHERAPY,,30,,,"$2,399.21",$0.00,1,0,1,20120101,78000,CPT,THYROID UPTAKE SINGLE DETERMINATION,,30,,,$679.03,$0.00,1,0,1,20120101,78001,CPT,THYROID UPTAKE MULTIPLE DETERMINATIONS,,30,,,$679.03,$0.00,1,0,1,20120101,78003,CPT,PLASMA VOL RADIOPHARM VOL DILUTION SPX 1 SAMPLE,,30,,,$679.03,$0.00,1,0,1,20120101,78006,CPT,THYROID IMAGING W/UPTAKE SINGLE DETERMINATION,,30,,,"$1,413.23",$0.00,1,0,1,20120101,78007,CPT,THYROID IMAGING W/UPTAKE MULT DETERMINATIONS,,30,,,"$1,413.23",$0.00,1,0,1,20120101,78010,CPT,THYROID IMAGING ONLY,,30,,,$835.90,$0.00,1,0,1,20120101,78011,CPT,THYROID IMAGING W/VASCULAR FLOW,,30,,,$835.90,$0.00,1,0,1,20120101,78015,CPT,THYROID CARCINOMA METASTASES IMG LMTD AREA,,30,,,"$1,789.54",$0.00,1,0,1,20120101,78016,CPT,THYROID CARCINOMA METASTASES IMG ADDL STUDY,,30,,,"$1,789.54",$0.00,1,0,1,20120101,78018,CPT,THYROID CARCINOMA METASTASES IMG WHOLE BODY,,30,,,"$1,789.54",$0.00,1,0,1,20120101,78070,CPT,PARATHYROID IMAGING,,30,,,"$1,413.23",$0.00,1,0,1,20120101,78075,CPT,ADRENAL IMAGING CORTEX &/MEDULLA,,30,,,"$5,794.85",$0.00,1,0,1,20120101,78099,CPT,UNLISTED ENDOCRINE PX DX NUCLEAR MEDICINE,,30,,,$835.90,$0.00,1,0,1,20120101,78102,CPT,BONE MARROW IMAGING LIMITED AREA,,30,,,"$1,648.44",$0.00,1,0,1,20120101,78103,CPT,BONE MARROW IMAGING MULTIPLE AREAS,,30,,,"$1,648.44",$0.00,1,0,1,20120101,78104,CPT,BONE MARROW IMAGING WHOLE BODY,,30,,,"$1,648.44",$0.00,1,0,1,20120101,78110,CPT,PLASMA VOL RADIOPHARM VOL DILUTION SPX 1 SAMPLE,,30,,,"$2,763.01",$0.00,1,0,1,20120101,78111,CPT,PLASMA VOL RADIOPHARM VOL DILUTE SPX MULT SMPLES,,30,,,"$2,763.01",$0.00,1,0,1,20120101,78120,CPT,RED CELL VOLUME DETERMINATION SPX 1 SAMPLING,,30,,,"$2,763.01",$0.00,1,0,1,20120101,78121,CPT,RED CELL VOLUME DETERMINATION SPX MULT SAMPLINGS,,30,,,"$2,763.01",$0.00,1,0,1,20120101,78122,CPT,WHOLE BLOOD VOLUME DETERM PLASMA&RED CELL VOLUME,,30,,,"$2,763.01",$0.00,1,0,1,20120101,78130,CPT,RED CELL SURVIVAL STUDY,,30,,,"$2,763.01",$0.00,1,0,1,20120101,78135,CPT,RBC SURVIVAL STUDY DIFFERNTL ORGAN/TISS KINETICS,,30,,,"$2,763.01",$0.00,1,0,1,20120101,78140,CPT,LABELED RBC SEQUESTRATION DIFFERNTL ORGAN/TISSUE,,30,,,"$2,763.01",$0.00,1,0,1,20120101,78185,CPT,SPLEEN IMAGING ONLY W/WO VASCULAR FLOW,,30,,,"$1,648.44",$0.00,1,0,1,20120101,78190,CPT,KINETICS PLATELET W/WO DIFFRNTL ORGAN/TIS LOCLZJ,,30,,,"$1,132.33",$0.00,1,0,1,20120101,78191,CPT,PLATELET SURVIVAL STUDY,,30,,,"$1,132.33",$0.00,1,0,1,20120101,78195,CPT,LYMPHATICS & LYMPH NODES IMAGING,,30,,,"$1,648.44",$0.00,1,0,1,20120101,78199,CPT,UNLIS HEMATOP RET/ENDO&LYMPHATIC DX NUC MED,,30,,,"$1,648.44",$0.00,1,0,1,20120101,78201,CPT,LIVER IMAGING STATIC ONLY,,30,,,"$1,842.21",$0.00,1,0,1,20120101,78202,CPT,LIVER IMAGING W/VASCULAR FLOW,,30,,,"$1,842.21",$0.00,1,0,1,20120101,78205,CPT,LIVER IMAGING SPECT,,30,,,"$1,842.21",$0.00,1,0,1,20120101,78206,CPT,LIVER IMAGING SPECT W/VASCULAR FLOW,,30,,,"$1,842.21",$0.00,1,0,1,20120101,78215,CPT,LIVER & SPLEEN IMAGING STATIC ONLY,,30,,,"$1,842.21",$0.00,1,0,1,20120101,78216,CPT,LIVER & SPLEEN IMAGING W/VASCULAR FLOW,,30,,,"$1,842.21",$0.00,1,0,1,20120101,78226,CPT,HEPATOBILIARY SYST IMAGING INCLUDING GALLBLADDER,,30,,,"$1,842.21",$0.00,1,0,1,20120101,78227,CPT,HEPATOBIL SYST IMAG INC GB W/PHARMA INTERVENJ,,30,,,"$1,842.21",$0.00,1,0,1,20120101,78230,CPT,SALIVARY GLAND IMAGING,,30,,,"$1,536.91",$0.00,1,0,1,20120101,78231,CPT,SALIVARY GLAND IMAGING SERIAL IMAGES,,30,,,"$1,536.91",$0.00,1,0,1,20120101,78232,CPT,SALIVARY GLAND FUNCTION STUDY,,30,,,"$1,536.91",$0.00,1,0,1,20120101,78258,CPT,ESOPHAGEAL MOTILITY,,30,,,"$1,536.91",$0.00,1,0,1,20120101,78261,CPT,GASTRIC MUCOSA IMAGING,,30,,,"$1,536.91",$0.00,1,0,1,20120101,78262,CPT,GASTROESOPHAGEAL REFLUX STUDY,,30,,,"$1,536.91",$0.00,1,0,1,20120101,78264,CPT,GASTRIC EMPTYING STUDY,,30,,,"$1,536.91",$0.00,1,0,1,20120101,78270,CPT,VITAMIN B-12 ABSRPJ STUDY W/O INTRINSIC FACTOR,,30,,,"$1,132.33",$0.00,1,0,1,20120101,78271,CPT,VITAMIN B-12 ABSRPJ STUDY W/INTRINSIC FACTOR,,30,,,"$1,132.33",$0.00,1,0,1,20120101,78272,CPT,VITAMIN B-12 ABSRPJ STDY W/&W/O INTRINSIC FACTOR,,30,,,"$1,132.33",$0.00,1,0,1,20120101,78278,CPT,ACUTE GASTROINTESTINAL BLOOD LOSS IMAGING,,30,,,"$1,536.91",$0.00,1,0,1,20120101,78282,CPT,GASTROINTESTINAL PROTEIN LOSS,,30,,,"$1,536.91",$0.00,1,0,1,20120101,78290,CPT,INTESTINE IMAGING,,30,,,"$1,536.91",$0.00,1,0,1,20120101,78291,CPT,PERITONEAL-VENOUS SHUNT PATENCY TEST,,30,,,"$1,536.91",$0.00,1,0,1,20120101,78299,CPT,UNLISTED GASTROINTESTINAL PX DX NUCLEAR MEDICINE,,30,,,"$1,536.91",$0.00,1,0,1,20120101,78300,CPT,BONE &/JOINT IMAGING LIMITED AREA,,30,,,"$1,561.52",$0.00,1,0,1,20120101,78305,CPT,BONE &/JOINT IMAGING MULTIPLE AREAS,,30,,,"$1,561.52",$0.00,1,0,1,20120101,78306,CPT,BONE &/JOINT IMAGING WHOLE BODY,,30,,,"$1,561.52",$0.00,1,0,1,20120101,78315,CPT,BONE &/JOINT IMAGING 3 PHASE STUDY,,30,,,"$1,561.52",$0.00,1,0,1,20120101,78320,CPT,BONE &/JOINT IMAGING TOMOGRAPHIC SPECT,,30,,,"$1,561.52",$0.00,1,0,1,20120101,78350,CPT,BONE DENSITY 1/> SITES 1 PHOTON ABSORPTIOMETRY,,30,,,$679.17,$0.00,1,0,1,20120101,78351,CPT,BONE DENSTY 1/> SITES DUAL PHOTON ABSORPTIOMETRY,,30,,,$744.29,$0.00,1,0,1,20120101,78399,CPT,UNLISTED MUSCULOSKELETAL PX DX NUCLEAR MEDICINE,,30,,,"$1,561.52",$0.00,1,0,1,20120101,78414,CPT,CARD-VASC HEMODYNAM W/WO PHARM/EXER 1/MLT DETERM,,30,,,"$1,871.01",$0.00,1,0,1,20120101,78428,CPT,CARDIAC SHUNT DETECTION,,30,,,"$1,871.01",$0.00,1,0,1,20120101,78445,CPT,NONCARDIAC VASCULAR FLOW IMAGING,,30,,,"$1,082.05",$0.00,1,0,1,20120101,78451,CPT,MYOCARDIAL SPECT SINGLE STUDY AT REST OR STRESS,,30,,,"$4,199.78",$0.00,1,0,1,20120101,78452,CPT,MYOCARDIAL SPECT MULTIPLE STUDIES,,30,,,"$4,199.78",$0.00,1,0,1,20120101,78453,CPT,MYOCARDIAL PERFUSION PLANAR 1 STUDY REST/STRESS,,30,,,"$4,199.78",$0.00,1,0,1,20120101,78454,CPT,MYOCARDIAL PERFUSION PLANAR MULTIPLE STUDIES,,30,,,"$4,199.78",$0.00,1,0,1,20120101,78456,CPT,ACUTE VENOUS THROMBOSIS IMAGING PEPTIDE,,30,,,"$1,082.05",$0.00,1,0,1,20120101,78457,CPT,VENOUS THROMBOSIS IMAGING VENOGRAM UNILATERAL,,30,,,"$1,082.05",$0.00,1,0,1,20120101,78458,CPT,VENOUS THROMBOSIS IMAGING VENOGRAM BILATERAL,,30,,,"$1,082.05",$0.00,1,0,1,20120101,78459,CPT,MYOCARDIAL IMAGING PET METABOLIC EVALUATION,,30,,,"$6,142.62",$0.00,1,0,1,20120101,78466,CPT,MYOCARDIAL IMAGING INFARCT AVID PLANAR QUAL/QUAN,,30,,,"$1,871.01",$0.00,1,0,1,20120101,78468,CPT,MYOCRD IMG INFARCT AVID PLNR EJEC FXJ 1ST PS TQ,,30,,,"$1,871.01",$0.00,1,0,1,20120101,78469,CPT,MYOCRD INFARCT AVID PLNR TOMOG SPECT W/WO QUANTJ,,30,,,"$1,871.01",$0.00,1,0,1,20120101,78472,CPT,CARD BLOOD POOL GATED PLANAR 1 STUDY REST/STRESS,,30,,,"$1,871.01",$0.00,1,0,1,20120101,78473,CPT,CARD BL POOL GATED MLT STDY WAL MOTN EJECT FRACT,,30,,,"$1,871.01",$0.00,1,0,1,20120101,78481,CPT,CARD BL POOL PLANAR 1 STDY WAL MOTN EJECT FRACT,,30,,,"$1,871.01",$0.00,1,0,1,20120101,78483,CPT,CARD BL POOL PLNR MLT STDY WAL MOTN EJECT FRACT,,30,,,"$1,871.01",$0.00,1,0,1,20120101,78491,CPT,MYOCRD IMAGE PET PERFUS SINGLE STUDY REST/STRESS,,30,,,"$6,142.62",$0.00,1,0,1,20120101,78492,CPT,MYOCRD IMAGE PET PERFUS MULTPL STUDY REST/STRESS,,30,,,"$6,142.62",$0.00,1,0,1,20120101,78494,CPT,CARD BL POOL GATED SPECT REST WAL MOTN EJCT FRCT,,30,,,"$1,871.01",$0.00,1,0,1,20120101,78499,CPT,UNLISTED CARDIOVASCULAR PX DX NUCLEAR MEDICINE,,30,,,"$1,871.01",$0.00,1,0,1,20120101,78579,CPT,PULMONARY VENTILATION IMAGING,,30,,,"$1,267.30",$0.00,1,0,1,20120101,78580,CPT,PULMONARY PERFUSION IMAGING PARTICULATE,,30,,,"$1,267.30",$0.00,1,0,1,20120101,78582,CPT,PULMONARY VENTILATION & PERFUSION IMAGING,,30,,,"$1,992.59",$0.00,1,0,1,20120101,78597,CPT,QUANT DIFFERENTIAL PULM PERFUSION W/WO IMAGING,,30,,,"$1,267.30",$0.00,1,0,1,20120101,78598,CPT,QUANT DIFF PULM PRFUSION & VENTLAJ W/WO IMAGING,,30,,,"$1,992.59",$0.00,1,0,1,20120101,78599,CPT,UNLISTED RESPIRATORY PX DX NUCLEAR MEDICINE,,30,,,"$1,267.30",$0.00,1,0,1,20120101,78600,CPT,BRAIN IMAGING <4 STATIC VIEWS,,30,,,"$1,496.67",$0.00,1,0,1,20120101,78601,CPT,BRAIN IMAGING <4 STATIC VIEWS W/VASCULAR FLOW,,30,,,"$3,771.34",$0.00,1,0,1,20120101,78605,CPT,BRAIN IMAGING MINIMUM 4 STATIC VIEWS,,30,,,"$1,496.67",$0.00,1,0,1,20120101,78606,CPT,BRAIN IMAGING MIN 4 STATIC VIEWS W VASCULAR FLOW,,30,,,"$3,771.34",$0.00,1,0,1,20120101,78607,CPT,BRAIN IMAGING TOMOGRAPHIC SPECT,,30,,,"$3,771.34",$0.00,1,0,1,20120101,78608,CPT,BRAIN IMAGING PET METABOLIC EVALUATION,,30,,,"$6,142.62",$0.00,1,0,1,20120101,78609,CPT,BRAIN IMAGING PET PERFUSION EVALUATION,,30,,,"$4,510.65",$0.00,1,0,1,20120101,78610,CPT,BRAIN IMAGING VASCULAR FLOW ONLY,,30,,,"$1,496.67",$0.00,1,0,1,20120101,78630,CPT,CEREBROSPINAL FLUID FLOW W/O MATL CISTERNOGRAPHY,,30,,,"$3,771.34",$0.00,1,0,1,20120101,78635,CPT,CEREBROSPINAL FLUID FLOW W/O MATL VENTRICLGRAPHY,,30,,,"$3,771.34",$0.00,1,0,1,20120101,78645,CPT,CEREBROSPINAL FLUID FLOW W/O MATL SHUNT EVALTJ,,30,,,"$1,496.67",$0.00,1,0,1,20120101,78647,CPT,CEREBROSPINAL FLUID FLOW W/O MATL TOMOG SPECT,,30,,,"$3,771.34",$0.00,1,0,1,20120101,78650,CPT,CEREBROSPINAL FLUID LEAK DETECTION&LOCALIZATION,,30,,,"$3,771.34",$0.00,1,0,1,20120101,78660,CPT,RADIOPHARMACEUTICAL DACRYOCYSTOGRAPHY,,30,,,"$1,496.67",$0.00,1,0,1,20120101,78699,CPT,UNLISTED NERVOUS SYSTEM PX DX NUCLEAR MEDICINE,,30,,,"$1,496.67",$0.00,1,0,1,20120101,78700,CPT,KIDNEY IMAGING MORPHOLOGY,,30,,,"$2,020.92",$0.00,1,0,1,20120101,78701,CPT,KIDNEY IMAGING MORPHOOGY W/VASCULAR FLOW,,30,,,"$2,020.92",$0.00,1,0,1,20120101,78707,CPT,KIDNEY IMG MORPHOLOGY VASCULAR FLOW 1 W/O RX,,30,,,"$2,020.92",$0.00,1,0,1,20120101,78708,CPT,KIDNEY IMG MORPHOLOGY VASCULAR FLOW 1 W RX,,30,,,"$2,020.92",$0.00,1,0,1,20120101,78709,CPT,KIDNEY IMG MORPHOLOGY VASCULAR FLOW MULTIPLE,,30,,,"$2,020.92",$0.00,1,0,1,20120101,78710,CPT,KIDNEY IMAGING MORPHOLOGY TOMOGRAPHIC,,30,,,"$2,020.92",$0.00,1,0,1,20120101,78725,CPT,KIDNEY FUNCJ STUDY NON-IMG RADIOISOTOPIC STUDY,,30,,,"$1,132.33",$0.00,1,0,1,20120101,78730,CPT,URINARY BLADDER RESIDUAL STUDY,,30,,,$679.03,$0.00,1,0,1,20120101,78740,CPT,URETERAL REFLUX STUDY RP VOIDING CYSTOGRAM,,30,,,"$2,020.92",$0.00,1,0,1,20120101,78761,CPT,TESTICULAR IMAGING WITH VASCULAR FLOW,,30,,,"$2,020.92",$0.00,1,0,1,20120101,78799,CPT,UNLISTED GENITOURINARY PX DX NUCLEAR MEDICINE,,30,,,"$2,020.92",$0.00,1,0,1,20120101,78800,CPT,RP LOCLZJ TUMOR/DSTRBJ AGENT LIMITED AREA,,30,,,"$1,789.54",$0.00,1,0,1,20120101,78801,CPT,RP LOCLZJ TUMOR/DSTRBJ AGENT MULTIPLE AREAS,,30,,,"$3,049.61",$0.00,1,0,1,20120101,78802,CPT,RP LOCLZJ TUMOR/DSTRBJ AGENT WHOLE BDY 1 DAY,,30,,,"$3,049.61",$0.00,1,0,1,20120101,78803,CPT,RP LOCLZJ TUMOR/DSTRBJ AGENT TOMOG SPECT,,30,,,"$3,049.61",$0.00,1,0,1,20120101,78804,CPT,RP LOCLZJ TUMOR/DSTRBJ AGT WHOL BDY REQ 2/> DAYS,,30,,,"$5,794.85",$0.00,1,0,1,20120101,78805,CPT,RP LOCLZJ INFLAMMATORY PROCESS LIMITED AREA,,30,,,"$3,049.61",$0.00,1,0,1,20120101,78806,CPT,RP LOCLZJ INFLAMMATORY PROCESS WHOLE BODY,,30,,,"$3,049.61",$0.00,1,0,1,20120101,78807,CPT,RP LOCLZJ INFLAMMATORY PROCESS TOMOG SPECT,,30,,,"$3,049.61",$0.00,1,0,1,20120101,78808,CPT,NJX RP LOCLZJ NON-IMG PROBE STUDY INTRAVENOUS,,30,,,"$1,132.33",$0.00,1,0,1,20120101,78811,CPT,PET IMAGING LIMITED AREA CHEST HEAD/NECK,,30,,,"$6,142.62",$0.00,1,0,1,20120101,78812,CPT,PET IMAGING SKULL BASE TO MID-THIGH,,30,,,"$6,142.62",$0.00,1,0,1,20120101,78813,CPT,PET IMAGING WHOLE BODY,,30,,,"$6,142.62",$0.00,1,0,1,20120101,78814,CPT,PET IMAGING CT FOR ATTENUATION LIMITED AREA,,30,,,"$6,142.62",$0.00,1,0,1,20120101,78815,CPT,PET IMAGING CT ATTENUATION SKULL BASE MID-THIGH,,30,,,"$6,142.62",$0.00,1,0,1,20120101,78816,CPT,PET IMAGING FOR CT ATTENUATION WHOLE BODY,,30,,,"$6,142.62",$0.00,1,0,1,20120101,78999,CPT,UNLISTED MISCELLANEOUS PX DX NUCLEAR MEDICINE,,30,,,$679.03,$0.00,1,0,1,20120101,79005,CPT,RP THERAPY ORAL ADMINISTRATION,,30,,,"$1,459.54",$0.00,1,0,1,20120101,79101,CPT,RP THERAPY INTRAVENOUS ADMINISTRATION,,30,,,"$1,459.54",$0.00,1,0,1,20120101,79200,CPT,RP THERAPY INRACAVITARY ADMINISTRATION,,30,,,"$1,812.13",$0.00,1,0,1,20120101,79300,CPT,RP THERAPY INTERSTITIAL RADIOACTIVE COLLOID ADMN,,30,,,"$1,459.54",$0.00,1,0,1,20120101,79403,CPT,RP THER RADIOLBLD MONOCLONAL ANTIBODY IV INFUS,,30,,,"$1,812.13",$0.00,1,0,1,20120101,79440,CPT,RP THERAPY INTRA-ARTICULAR ADMINISTRATION,,30,,,"$1,812.13",$0.00,1,0,1,20120101,79445,CPT,RP THERAPY INTRA-ARTERIAL PARTICULATE ADMN,,30,,,"$1,459.54",$0.00,1,0,1,20120101,79999,CPT,RP THERAPY UNLISTED PROCEDURE,,30,,,"$1,459.54",$0.00,1,0,1,20120101,80047,CPT,BASIC METABOLIC PANEL CALCIUM IONIZED,,30,,,$235.77,$0.00,1,0,1,20120101,80050,CPT,GENERAL HEALTH PANEL,,30,,,$540.30,$0.00,1,0,1,20120101,80055,CPT,OBSTETRIC PANEL,,30,,,$785.89,$0.00,1,0,1,20120101,80100,CPT,DRUG SCR QUAL MLT DRUG CLASSES CHROM EA PX,,30,,,$442.07,$0.00,1,0,1,20120101,80101,CPT,DRUG SCR QUAL 1 DRUG CLASS METH EA DRUG CLASS,,30,,,$373.30,$0.00,1,0,1,20120101,80104,CPT,DRUG SCRN QUAL MLT CLASS NONCHROMOTOGRAPHIC EACH,,30,,,$373.30,$0.00,1,0,1,20120101,80500,CPT,CLINICAL PATHOLOGY CONSULTATION LIMITED,,30,,,$73.97,$0.00,1,0,1,20120101,80502,CPT,CLINICAL PATHOLOGY CONSULTATION COMPREHENSIVE,,30,,,$73.97,$0.00,1,0,1,20120101,84181,CPT,PROTEIN WESTRN BLOT I&R BLOOD/OTHER FLUID,,30,,,$365.84,$0.00,1,0,1,20120101,84182,CPT,PROTEIN WESTRN BLOT BLOOD/OTH FLU IMMUNOLOGICAL,,30,,,$590.97,$0.00,1,0,1,20120101,84704,CPT,GONADOTROPIN CHORIONIC HCG FREE BETA CHAIN,,30,,,$267.34,$0.00,1,0,1,20120101,85060,CPT,BLOOD SMEAR PERIPHERAL INTERP PHYS W/WRIT REPORT,,30,,,$127.88,$0.00,1,0,1,20120101,85097,CPT,BONE MARROW SMEAR INTERPRETATION,,30,,,$235.57,$0.00,1,0,1,20120101,85390,CPT,FIBRINOLYSINS/COAGULOPATHY SCREEN INTERP&REPORT,,30,,,$72.69,$0.00,1,0,1,20120101,86077,CPT,BLD BANK PHYS SVCS DIFFC CROSS MATCH&/EVAL REPRT,,30,,,$73.97,$0.00,1,0,1,20120101,86078,CPT,BLD BANK PHYS SVCS INVSTGJ TFUJ RXN REPRT,,30,,,$235.57,$0.00,1,0,1,20120101,86079,CPT,BLD BANK PHYS SVCS AUTHJ DEVIJ STANDARD REPRT,,30,,,$73.97,$0.00,1,0,1,20120101,86255,CPT,FLUORESCENT NONNFCT AGT ANTB SCREEN EA ANTIBODY,,30,,,$110.37,$0.00,1,0,1,20120101,86256,CPT,FLUORESCENT NONNFCT AGT ANTB TITER EA ANTIBODY,,30,,,$100.91,$0.00,1,0,1,20120101,86335,CPT,IMMUNOFIXJ ELECTROPHORESIS OTHER FLUIDS,,30,,,$302.72,$0.00,1,0,1,20120101,86485,CPT,SKIN TEST CANDIDA,,30,,,$35.04,$0.00,1,0,1,20120101,86486,CPT,SKIN TEST UNLISTED ANTIGEN EACH,,30,,,$35.04,$0.00,1,0,1,20120101,86490,CPT,SKIN TEST COCCIDIOIDOMYCOSIS,,30,,,$35.04,$0.00,1,0,1,20120101,86510,CPT,SKIN TEST HISTOPLASMOSIS,,30,,,$35.04,$0.00,1,0,1,20120101,86580,CPT,SKIN TEST TUBERCULOSIS INTRADERMAL,,30,,,$35.04,$0.00,1,0,1,20120101,86850,CPT,ANTIBODY SCREEN RBC EACH SERUM TECHNIQUE,,30,,,$95.16,$0.00,1,0,1,20120101,86860,CPT,ANTIBODY ELUTION RBC EACH ELUTION,,30,,,$161.53,$0.00,1,0,1,20120101,86870,CPT,ANTIBODY ID RBC ANTIBODIES EA PANEL EA SERUM TQ,,30,,,$161.53,$0.00,1,0,1,20120101,86880,CPT,ANTIHUMAN GLOBULIN DIRECT EACH ANTISERUM,,30,,,$49.79,$0.00,1,0,1,20120101,86885,CPT,ANTIHUMAN GLOBULIN INDIR QUAL EA REAGENT CELL,,30,,,$49.79,$0.00,1,0,1,20120101,86886,CPT,ANTIHUMAN GLOBULIN INDIRECT EACH ANTIBODY TITER,,30,,,$49.79,$0.00,1,0,1,20120101,86890,CPT,AUTOL BLD/COMPONENT COLLJ STORAGE PREDEPOSITED,,30,,,$294.75,$0.00,1,0,1,20120101,86891,CPT,AUTOL BLD/COMPONENT COLLJ STORAGE SALVAGE,,30,,,$95.16,$0.00,1,0,1,20120101,86900,CPT,BLOOD TYPING ABO,,30,,,$49.79,$0.00,1,0,1,20120101,86901,CPT,BLOOD TYPING RH D,,30,,,$49.79,$0.00,1,0,1,20120101,86902,CPT,BLOOD TYPE ANTIGEN DONOR REAGENT SERUM EACH,,30,,,$95.16,$0.00,1,0,1,20120101,86904,CPT,BLOOD TYPING ANTIGEN SCREEN PATIENT SERUM/UNIT,,30,,,$95.16,$0.00,1,0,1,20120101,86905,CPT,BLOOD TYPING RBC ANTIGENS OTH/THN ABO/RH D EACH,,30,,,$95.16,$0.00,1,0,1,20120101,86906,CPT,BLOOD TYPING RH PHENOTYPING COMPLETE,,30,,,$95.16,$0.00,1,0,1,20120101,86910,CPT,BLOOD TYPING PATERNITY PR INDIV ABO RH&MN,,30,,,$154.16,$0.00,1,0,1,20120101,86911,CPT,BLOOD TYPING PATERNITY INDIV ADDL ANTIGEN SYS,,30,,,$133.14,$0.00,1,0,1,20120101,86920,CPT,COMPATIBILITY EACH UNIT IMMEDIATE SPIN TECHNIQUE,,30,,,$95.16,$0.00,1,0,1,20120101,86921,CPT,COMPATIBILITY EACH UNIT INCUBATION,,30,,,$95.16,$0.00,1,0,1,20120101,86922,CPT,COMPATIBILITY EACH UNIT ANTIGLOBULIN,,30,,,$161.53,$0.00,1,0,1,20120101,86923,CPT,COMPATIBILITY EACH UNIT ELECTRONIC,,30,,,$95.16,$0.00,1,0,1,20120101,86927,CPT,FRESH FROZEN PLASMA THAWING EACH UNIT,,30,,,$95.16,$0.00,1,0,1,20120101,86930,CPT,FROZEN BLOOD EACH UNIT FREEZING,,30,,,$294.75,$0.00,1,0,1,20120101,86931,CPT,FROZEN BLOOD EACH UNIT THAWING,,30,,,$294.75,$0.00,1,0,1,20120101,86932,CPT,FROZEN BLOOD EACH UNIT FREEZING & THAWING,,30,,,$294.75,$0.00,1,0,1,20120101,86945,CPT,IRRADIATION BLOOD PRODUCT EACH UNIT,,30,,,$95.16,$0.00,1,0,1,20120101,86950,CPT,LEUKOCYTE TRANSFUSION,,30,,,$95.16,$0.00,1,0,1,20120101,86960,CPT,VOLUME REDUCTION BLOOD/BLOOD PRODUCT EACH UNIT,,30,,,$95.16,$0.00,1,0,1,20120101,86965,CPT,POOLING PLATELETS/OTHER BLOOD PRODUCTS,,30,,,$161.53,$0.00,1,0,1,20120101,86970,CPT,PRETX RBC ANTIBODY INCUBAT W/CHEM AGNTS/DRUGS EA,,30,,,$95.16,$0.00,1,0,1,20120101,86971,CPT,PRETX RBC ANTIBODY INCUBAT W/ENZYMES EACH,,30,,,$95.16,$0.00,1,0,1,20120101,86972,CPT,PRETX RBC ANTIBODY INCUBAT W/DENSITY GRAD SEP,,30,,,$95.16,$0.00,1,0,1,20120101,86975,CPT,PRETX SERUM RBC ANTIBODY INCUBATION DRUGS EACH,,30,,,$161.53,$0.00,1,0,1,20120101,86976,CPT,PRETX SERUM RBC ANTIBODY IDENTIFICATION DILUTION,,30,,,$95.16,$0.00,1,0,1,20120101,86977,CPT,PRETX SERUM RBC ANTB ID INCUBATION INHIBITORS EA,,30,,,$294.75,$0.00,1,0,1,20120101,86978,CPT,PRETX SERUM RBC ANTIBODY ID DIFFIAL EACH ABSRPJ,,30,,,$161.53,$0.00,1,0,1,20120101,86985,CPT,SPLITTING BLOOD/BLOOD PRODUCTS EACH UNIT,,30,,,$95.16,$0.00,1,0,1,20120101,86999,CPT,UNLISTED TRANSFUSION MEDICINE PROCEDURE,,30,,,$95.16,$0.00,1,0,1,20120101,87207,CPT,SMR PRIM SRC SPEC STAIN BODIES/PARASITS,,30,,,$191.61,$0.00,1,0,1,20120101,87500,CPT,INFECTIOUS AGENT DNA/RNA VANCOMYCIN RESISTANCE,,30,,,$752.77,$0.00,1,0,1,20120101,87809,CPT,INFECTIOUS AGENT IMMUNOASSAY OPTICAL ADENOVIRUS,,30,,,$273.73,$0.00,1,0,1,20120101,88104,CPT,CYTP FLU WASHGS/BRUSHINGS XCPT C/V SMRS INTERPJ,,30,,,$111.22,$0.00,1,0,1,20120101,88106,CPT,CYTP FLU BR/WA XCPT C/V FILTER METH ONLY INTERPJ,,30,,,$111.22,$0.00,1,0,1,20120101,88108,CPT,CYTP CONCENTRATION SMEARS & INTERPRETATION,,30,,,$111.22,$0.00,1,0,1,20120101,88112,CPT,CYTP SLCTV CELL ENHANCEMENT INTERPJ XCPT C/V,,30,,,$235.57,$0.00,1,0,1,20120101,88120,CPT,CYTP INSITU HYBRID URINE SPEC 3-5 PROBES EA MNL,,30,,,$369.35,$0.00,1,0,1,20120101,88121,CPT,CYTP INSITU HYBRID URNE SPEC 3-5 PROBES CPTR EA,,30,,,$369.35,$0.00,1,0,1,20120101,88125,CPT,CYTOPATHOLOGY FORENSIC,,30,,,$111.22,$0.00,1,0,1,20120101,88160,CPT,CYTP SMRS ANY OTH SRC SCR&INTERPJ,,30,,,$111.22,$0.00,1,0,1,20120101,88161,CPT,CYTP SMRS ANY OTH SRC PREPJ SCR&INTERPJ,,30,,,$111.22,$0.00,1,0,1,20120101,88162,CPT,CYTP SMRS ANY OTH SRC EXTND STD > 5 SLIDES,,30,,,$235.57,$0.00,1,0,1,20120101,88172,CPT,CYTP FINE NDL ASPIRATE IMMT CYTOHIST STD DX 1ST,,30,,,$111.22,$0.00,1,0,1,20120101,88173,CPT,CYTP EVAL FINE NEEDLE ASPIRATE INTERP & REPORT,,30,,,$235.57,$0.00,1,0,1,20120101,88177,CPT,CYTP FINE NDL ASPIRATE IMMT CYTOHIST STD EA EVAL,,30,,,$73.97,$0.00,1,0,1,20120101,88182,CPT,FLOW CYTOMETRY CELL CYCLE/DNA ALYS,,30,,,$235.57,$0.00,1,0,1,20120101,88184,CPT,FLOW CYTOMETRY CELL SURF MARKER TECHL ONLY 1ST,,30,,,$111.22,$0.00,1,0,1,20120101,88185,CPT,FLOW CYTOMETRY CELL SURF MARKER TECHL ONLY EA,,30,,,$111.22,$0.00,1,0,1,20120101,88187,CPT,FLOW CYTOMETRY INTERPJ 2-8 MARKERS,,30,,,$73.97,$0.00,1,0,1,20120101,88188,CPT,FLOW CYTOMETRY INTERPJ 9-15 MARKERS,,30,,,$235.57,$0.00,1,0,1,20120101,88189,CPT,FLOW CYTOMETRY INTERPJ 16/> MARKERS,,30,,,$235.57,$0.00,1,0,1,20120101,88199,CPT,UNLISTED CYTOPATHOLOGY PROCEDURE,,30,,,$73.97,$0.00,1,0,1,20120101,88299,CPT,UNLISTED CYTOGENETIC STUDY,,30,,,$73.97,$0.00,1,0,1,20120101,88300,CPT,LEVEL I SURG PATHOLOGY GROSS EXAMINATION ONLY,,30,,,$73.97,$0.00,1,0,1,20120101,88302,CPT,LEVEL II SURG PATHOLOGY GROSS&MICROSCOPIC EXAM,,30,,,$111.22,$0.00,1,0,1,20120101,88304,CPT,LEVEL III SURG PATHOLOGY GROSS&MICROSCOPIC EXAM,,30,,,$235.57,$0.00,1,0,1,20120101,88305,CPT,LEVEL IV SURG PATHOLOGY GROSS&MICROSCOPIC EXAM,,30,,,$235.57,$0.00,1,0,1,20120101,88307,CPT,LEVEL V SURG PATHOLOGY GROSS&MICROSCOPIC EXAM,,30,,,$369.35,$0.00,1,0,1,20120101,88309,CPT,LEVEL VI SURG PATHOLOGY GROSS&MICROSCOPIC EXAM,,30,,,$369.35,$0.00,1,0,1,20120101,88311,CPT,DECALCIFICATION PROCEDURE,,30,,,$73.97,$0.00,1,0,1,20120101,88312,CPT,SPECIAL STAIN GROUP 1 MICROORGANISMS I&R,,30,,,$111.22,$0.00,1,0,1,20120101,88313,CPT,SPCL STN 2 I&R EXCPT MICROORG/ENZYME/IMCYT&IMHIS,,30,,,$111.22,$0.00,1,0,1,20120101,88314,CPT,SPECIAL STAIN I&R HISTOCHEMICAL W/FROZEN TISSUE,,30,,,$111.22,$0.00,1,0,1,20120101,88319,CPT,SPECIAL STAIN I&R GROUP III ENZYME CONSITUENTS,,30,,,$111.22,$0.00,1,0,1,20120101,88321,CPT,CONSLTJ&REPRT SLIDES PREPARED ELSEWHERE,,30,,,$111.22,$0.00,1,0,1,20120101,88323,CPT,CONSLTJ&REPRT MATERIAL REQUIRING PREPJ SLIDES,,30,,,$235.57,$0.00,1,0,1,20120101,88325,CPT,CONSLTJ COMPRE REVIEW REPRT REFERRED MATRL,,30,,,$369.35,$0.00,1,0,1,20120101,88329,CPT,PATHOLOGY CONSULTATION DURING SURGERY,,30,,,$111.22,$0.00,1,0,1,20120101,88331,CPT,PATH CONSLTJ SURG 1ST BLK FROZEN SCTJ 1 SPEC,,30,,,$235.57,$0.00,1,0,1,20120101,88332,CPT,PATH CONSLTJ SURG EA ADDL BLK FROZEN SECTION,,30,,,$73.97,$0.00,1,0,1,20120101,88333,CPT,PATH CONSLTJ SURG CYTOLOGIC EXAM INITIAL SITE,,30,,,$111.22,$0.00,1,0,1,20120101,88334,CPT,PATH CONSLTJ SURG CYTOLOGIC EXAM ADDL SITE,,30,,,$111.22,$0.00,1,0,1,20120101,88342,CPT,IMCYTCHM TISS IMMUNOPROXIDASE EA ANTIBODY,,30,,,$235.57,$0.00,1,0,1,20120101,88346,CPT,IMMUNOFLUORESCENT STUDY EA ANTIBODY DIR METHOD,,30,,,$235.57,$0.00,1,0,1,20120101,88347,CPT,IMMUNOFLUORESCENT STUDY EA ANTIBODY INDIR METHOD,,30,,,$235.57,$0.00,1,0,1,20120101,88348,CPT,ELECTRON MICROSCOPY DIAGNOSTIC,,30,,,"$1,061.51",$0.00,1,0,1,20120101,88349,CPT,ELECTRON MICROSCOPY SCANNING,,30,,,"$1,061.51",$0.00,1,0,1,20120101,88355,CPT,MORPHOMETRIC ANALYSIS SKELETAL MUSCLE,,30,,,$235.57,$0.00,1,0,1,20120101,88356,CPT,MORPHOMETRIC ANALYSIS NERVE,,30,,,$369.35,$0.00,1,0,1,20120101,88358,CPT,MORPHOMETRIC ANALYSIS TUMOR,,30,,,$235.57,$0.00,1,0,1,20120101,88360,CPT,M/PHMTRC ALYS TUMOR IMHCHEM EA ANTIBODY MANUAL,,30,,,$235.57,$0.00,1,0,1,20120101,88361,CPT,M/PHMTRC ALYS TUMOR IMHCHEM EA ANTBDY CMPTR ASST,,30,,,$369.35,$0.00,1,0,1,20120101,88362,CPT,NERVE TEASING PREPARATIONS,,30,,,$369.35,$0.00,1,0,1,20120101,88363,CPT,EXAM & SELECT ARCHIVE TISSUE MOLECULAR ANALYSIS,,30,,,$73.97,$0.00,1,0,1,20120101,88365,CPT,IN SITU HYBRIDIZATION EACH PROBE,,30,,,$369.35,$0.00,1,0,1,20120101,88367,CPT,M/PHMTRC ALYS ISH EA PRB CPTR-ASST TECHNOLOGY,,30,,,$235.57,$0.00,1,0,1,20120101,88368,CPT,M/PHMTRC ALYS IN SITU HYBRIDIZATION EA PROBE MNL,,30,,,$369.35,$0.00,1,0,1,20120101,88371,CPT,PROTEIN ANAL TISSUE WESTERN BLOT W/INTERP&REPORT,,30,,,$523.13,$0.00,1,0,1,20120101,88372,CPT,PROTEIN ALYS WSTRN BLOT I&R IMMUNOLOGICAL EA,,30,,,$511.11,$0.00,1,0,1,20120101,88384,CPT,RA-BASED EVAL MLT MOLEC PROBES 11 THRU 50 PROBES,,30,,,$111.22,$0.00,1,0,1,20120101,88385,CPT,RA-BASED EVL MLT MOLEC PROBES 51 THRU 250 PROBES,,30,,,$235.57,$0.00,1,0,1,20120101,88386,CPT,RA-BASED EVAL MLT MOLEC PROBES 251 THRU 500 PRBS,,30,,,$369.35,$0.00,1,0,1,20120101,88399,CPT,UNLISTED SURGICAL PATHOLOGY PROCEDURE,,30,,,$73.97,$0.00,1,0,1,20120101,89049,CPT,CAFFEINE HALOTHANE CONTRACTURE TEST,,30,,,$73.97,$0.00,1,0,1,20120101,89060,CPT,CRYSTAL ID LIGHT MICROSCOPY ALYS TISS/ANY FLUID,,30,,,$52.61,$0.00,1,0,1,20120101,89220,CPT,SPUTUM OBTAINING SPEC AEROSOL INDUCED TX SPX,,30,,,$111.22,$0.00,1,0,1,20120101,89230,CPT,SWEAT COLLECTION IONTOPHORESIS,,30,,,$235.57,$0.00,1,0,1,20120101,89240,CPT,UNLIS MISC PATH,,30,,,$73.97,$0.00,1,0,1,20120101,89250,CPT,CUL OOCYTE/EMBRYO < 4 DAYS,,30,,,$369.35,$0.00,1,0,1,20120101,89251,CPT,CUL OOCYTE/EMBRYO < 4 D CO-CULT OCYTE/EMBRY,,30,,,$369.35,$0.00,1,0,1,20120101,89253,CPT,ASSTD EMBRYO HATCHING MICROTQS ANY METH,,30,,,$369.35,$0.00,1,0,1,20120101,89254,CPT,OOCYTE ID FROM FOLLICULAR FLU,,30,,,$369.35,$0.00,1,0,1,20120101,89255,CPT,PREPJ EMBRYO TR,,30,,,$369.35,$0.00,1,0,1,20120101,89257,CPT,SPRM ID FROM ASPIR OTH/THN SEMINAL,,30,,,$235.57,$0.00,1,0,1,20120101,89258,CPT,CRYOPRSRV EMBRYO,,30,,,$369.35,$0.00,1,0,1,20120101,89259,CPT,CRYOPRSRV SPRM,,30,,,$111.22,$0.00,1,0,1,20120101,89260,CPT,SPRM ISOL SMPL PREP INSEMINATION/DX SEMEN ALYS,,30,,,$235.57,$0.00,1,0,1,20120101,89261,CPT,SPRM ISOL CPLX PREP INSEMINATION/DX SEMEN ALYS,,30,,,$235.57,$0.00,1,0,1,20120101,89264,CPT,SPRM ID FROM TSTIS TISS FRSH/CRYOPRSRVD,,30,,,$369.35,$0.00,1,0,1,20120101,89268,CPT,INSEMINATION OOCYTES,,30,,,$369.35,$0.00,1,0,1,20120101,89272,CPT,EXTND CUL OOCYTE/EMBRYO 4-7 DAYS,,30,,,$369.35,$0.00,1,0,1,20120101,89280,CPT,ASSTD FERTILIZATION MICROTQ </EQUAL 10 OOCYTES,,30,,,$369.35,$0.00,1,0,1,20120101,89281,CPT,ASSTD FERTILIZATION MICROTQ > 10 OOCYTES,,30,,,$369.35,$0.00,1,0,1,20120101,89290,CPT,BX OOCYTE MICROTQ </EQUAL 5 EMBRY,,30,,,$369.35,$0.00,1,0,1,20120101,89291,CPT,BX OOCYTE MICROTQ > 5 EMBRY,,30,,,$369.35,$0.00,1,0,1,20120101,89322,CPT,SEMEN ANALYSIS STRICT MORPHOLOGIC CRITERIA,,30,,,$526.14,$0.00,1,0,1,20120101,89335,CPT,CRYOPRSRV REPRODUCTIVE TISSUE TESTICULAR,,30,,,$369.35,$0.00,1,0,1,20120101,89342,CPT,STORAGE PER YEAR EMBRYO,,30,,,$369.35,$0.00,1,0,1,20120101,89343,CPT,STORAGE PER YEAR SPERM/SEMEN,,30,,,$369.35,$0.00,1,0,1,20120101,89344,CPT,STORAGE PER YR REPRDTVE TISS TSTICULAR/OVARIAN,,30,,,$369.35,$0.00,1,0,1,20120101,89346,CPT,STORAGE PER YEAR OOCYTE,,30,,,$369.35,$0.00,1,0,1,20120101,89352,CPT,THAWING CRYOPRESERVED EMBRYO,,30,,,$369.35,$0.00,1,0,1,20120101,89353,CPT,THAWING CRYOPRESERVED SPERM/SEMEN EACH ALIQUOT,,30,,,$369.35,$0.00,1,0,1,20120101,89354,CPT,THAWING CRYOPRESERVED TESTICULAR/OVARIAN,,30,,,$369.35,$0.00,1,0,1,20120101,89356,CPT,THAWING CRYOPRESERVED OOCYTES EACH ALIQUOT,,30,,,$369.35,$0.00,1,0,1,20120101,89398,CPT,UNLISTED REPRODUCTIVE MEDICINE LAB PROCEDURE,,30,,,$73.97,$0.00,1,0,1,20120101,90281,CPT,IMMUNE GLOBULIN IG HUMAN IM USE,,30,,,$128.62,$0.00,1,0,1,20120101,90283,CPT,IMMUNE GLOBULIN IGIV HUMAN IV USE,,30,,,"$2,424.47",$0.00,1,0,1,20120101,90291,CPT,CYTOMEGALOVIRUS IMMUNE GLOBULIN HUMAN IV,,30,,,$754.92,$0.00,1,0,1,20120101,90371,CPT,HEPATITIS B IMMUNE GLOBULIN HBIG HUMAN IM,,30,,,$724.63,$0.00,1,0,1,20120101,90375,CPT,RABIES IMMUNE GLOBULIN RIG HUMAN IM/SUBQ,,30,,,"$1,193.84",$0.00,1,0,1,20120101,90376,CPT,RABIES IG HEAT-TREATED HUMAN IM/SUBQ,,30,,,"$1,143.51",$0.00,1,0,1,20120101,90378,CPT,RESPIRATORY SYNCYTIAL VIRUS IG IM 50 MG E,,30,,,"$6,939.76",$0.00,1,0,1,20120101,90384,CPT,RHO(D) IMMUNE GLOBULIN HUMAN FULL-DOSE IM,,30,,,$420.02,$0.00,1,0,1,20120101,90389,CPT,TETANUS IMMUNE GLOBULIN TIG HUMAN IM,,30,,,$327.48,$0.00,1,0,1,20120101,90393,CPT,VACCINIA IMMUNE GLOBULIN HUMAN IM,,30,,,$361.54,$0.00,1,0,1,20120101,90396,CPT,VARICELLA-ZOSTER IMMUNE GLOBULIN HUMAN IM,,30,,,$609.87,$0.00,1,0,1,20120101,90460,CPT,IM ADM THRU 18YR ANY RTE 1ST/ONLY COMPT VAC/TOX,,30,,,$43.05,$0.00,1,0,1,20120101,90461,CPT,IM ADM THRU 18YR ANY RTE ADDL VAC/TOX COMPT,,30,,,$42.48,$0.00,1,0,1,20120101,90471,CPT,IMADM PRQ ID SUBQ/IM NJXS 1 VACCINE,,30,,,$238.03,$0.00,1,0,1,20120101,90472,CPT,IMADM PRQ ID SUBQ/IM NJXS EA VACCINE,,30,,,$170.55,$0.00,1,0,1,20120101,90473,CPT,IMADM INTRANSL/ORAL 1 VACCINE,,30,,,$170.55,$0.00,1,0,1,20120101,90474,CPT,IMADM INTRANSL/ORAL EA VACCINE,,30,,,$170.55,$0.00,1,0,1,20120101,90585,CPT,BACILLUS CALMETTE-GUERIN VACC FOR TB LIVE PERQ,,30,,,$726.55,$0.00,1,0,1,20120101,90586,CPT,BACILLUS CALMETTE-GUERIN VACCINE INTRAVESICAL,,30,,,$606.02,$0.00,1,0,1,20120101,90649,CPT,HUMAN PAPILLOMA VIRUS VACCINE QUADRIV 3 DOSE IM,,30,,,$412.98,$0.00,1,0,1,20120101,90650,CPT,HUMAN PAPILLOMA VIRUS BIVALENT VACCINE 3 DOSE IM,,30,,,$801.07,$0.00,1,0,1,20120101,90654,CPT,INFLUENZA VACCINE SPLIT VIRUS PRSRV FREE ID,,30,,,$45.66,$0.00,1,0,1,20120101,90655,CPT,INFLUENZA VIRUS VACC SPLIT PRSRV FREE 6-35 MO IM,,30,,,$33.44,$0.00,1,0,1,20120101,90656,CPT,INFLUENZA VIRUS VACC SPLIT PRSRV FREE 3 YRS/> IM,,30,,,$49.28,$0.00,1,0,1,20120101,90657,CPT,INFLUENZA VIRUS VACCINE SPLIT VIRUS 6-35 MO IM,,30,,,$39.89,$0.00,1,0,1,20120101,90658,CPT,INFLUENZA VIRUS VACCINE SPLIT VIRUS 3/> YRS IM,,30,,,$45.66,$0.00,1,0,1,20120101,90660,CPT,INFLUENZA VIRUS VACCINE LIVE INTRANASAL,,30,,,$46.93,$0.00,1,0,1,20120101,90669,CPT,PNEUMOCOCCAL CONJ VACCINE 7 VALENT IM,,30,,,$259.29,$0.00,1,0,1,20120101,90670,CPT,PNEUMOCOCCAL CONJ VACCINE 13 VALENT IM,,30,,,$768.04,$0.00,1,0,1,20120101,90675,CPT,RABIES VACCINE INTRAMUSCULAR,,30,,,"$1,226.06",$0.00,1,0,1,20120101,90676,CPT,RABIES VACCINE INTRADERMAL,,30,,,$900.76,$0.00,1,0,1,20120101,90681,CPT,ROTAVIRUS VACC HUMAN ATTENUATED 2 DOSE LIVE ORAL,,30,,,$650.21,$0.00,1,0,1,20120101,90693,CPT,TYPHOID VACCINE AKD SUBQ U.S. MILITARY,,30,,,$361.54,$0.00,1,0,1,20120101,90716,CPT,VARICELLA VIRUS VACCINE LIVE SUBQ,,30,,,$226.80,$0.00,1,0,1,20120101,90723,CPT,DTAP-HEPB-IPV VACCINE INTRAMUSCULAR,,30,,,$231.13,$0.00,1,0,1,20120101,90725,CPT,CHOLERA VACCINE INJECTABLE,,30,,,$556.49,$0.00,1,0,1,20120101,90732,CPT,PNEUMOCOCCAL POLYSAC VACCINE 23-V 2 />YR SUBQ/IM,,30,,,$156.19,$0.00,1,0,1,20120101,90733,CPT,MENINGOCOCCAL POLYSAC VACCINE SUBCUTANEOUS,,30,,,$675.44,$0.00,1,0,1,20120101,90734,CPT,MENINGOCOCCAL CONJ VACCINE TETRAVALENT IM,,30,,,$539.84,$0.00,1,0,1,20120101,90735,CPT,JAPANESE ENCEPHALITIS VIRUS VACCINE SUBCUTANEOUS,,30,,,$647.64,$0.00,1,0,1,20120101,90736,CPT,ZOSTER SHINGLES VACCINE LIVE SUBCUTANEOUS,,30,,,$369.31,$0.00,1,0,1,20120101,90740,CPT,HEPATITIS B VACCINE DIALYSIS DOSAGE 3 DOSE IM,,30,,,$361.54,$0.00,1,0,1,20120101,90743,CPT,HEPATITIS B VACCINE ADOLESCENT 2 DOSE IM,,30,,,$269.72,$0.00,1,0,1,20120101,90744,CPT,HEPATITIS B VACCINE PEDIATRIC3 DOSE IM,,30,,,$117.32,$0.00,1,0,1,20120101,90746,CPT,HEPATITIS B VACCINE ADULT DOSAGE INTRAMUSCULAR,,30,,,$235.60,$0.00,1,0,1,20120101,90747,CPT,HEPATITIS B VACCINE DIALYSIS DOSAGE 4 DOSE IM,,30,,,$361.54,$0.00,1,0,1,20120101,90748,CPT,HEPB-HIB VACCINE INTRAMUSCULAR,,30,,,$163.35,$0.00,1,0,1,20120101,90801,CPT,PSYCHIATRIC DIAGNOSTIC INTERVIEW EXAMINATION,,30,,,$295.20,$0.00,1,0,1,20120101,90802,CPT,INTERACTIVE PSYCH DX INTERVIEW EXAM W/PLAY,,30,,,$295.20,$0.00,1,0,1,20120101,90804,CPT,INDIV PSYCTX OFFICE/OUTPATIENT 20-30 MIN,,30,,,$278.49,$0.00,1,0,1,20120101,90805,CPT,INDIV PSYCTX OFFICE/OUTPT 20-30 MIN W/MED E/M,,30,,,$278.49,$0.00,1,0,1,20120101,90806,CPT,INDIV PSYCTX OFFICE/OUTPATIENT 45-50 MIN,,30,,,$295.20,$0.00,1,0,1,20120101,90807,CPT,INDIV PSYCTX OFFICE/OUTPT 45-50 MIN W/MED E/M,,30,,,$295.20,$0.00,1,0,1,20120101,90808,CPT,INDIV PSYCTX OFFICE/OUTPATIENT 75-80 MIN,,30,,,$295.20,$0.00,1,0,1,20120101,90809,CPT,INDIV PSYCTX OFFICE/OUTPT 75-80 MIN W/MED E/M,,30,,,$295.20,$0.00,1,0,1,20120101,90810,CPT,INDIV PSYCTX INTERACTIVE OFFICE/OUTPT 20-30 MIN,,30,,,$278.49,$0.00,1,0,1,20120101,90811,CPT,INDIV PSYCTX INTERACT OFF/OP 20-30 MIN MED E/M,,30,,,$278.49,$0.00,1,0,1,20120101,90812,CPT,INDIV PSYCTX INTERACTIVE OFFICE/OUTPT 45-50 MIN,,30,,,$295.20,$0.00,1,0,1,20120101,90813,CPT,INDIV PSYCTX INTERACT OFF/OP 45-50 MIN MED E/M,,30,,,$295.20,$0.00,1,0,1,20120101,90814,CPT,INDIV PSYCTX INTERACTIVE OFFICE/OUTPT 75 MIN,,30,,,$295.20,$0.00,1,0,1,20120101,90815,CPT,INDIV PSYCTX INTERACT OFF/OP 75-80 MIN MED E/M,,30,,,$295.20,$0.00,1,0,1,20120101,90816,CPT,INDIV PSYCTX INPT/PRTL HOSP/RESDNTL 20-30 MIN,,30,,,$330.74,$0.00,1,0,1,20120101,90817,CPT,IND PSYCTX INPT/PRTL HOSP/RES 20-30 MIN MED E/M,,30,,,$298.25,$0.00,1,0,1,20120101,90818,CPT,INDIV PSYCTX INPT/PRTL HOSP/RESDNTL 45-50 MIN,,30,,,$826.88,$0.00,1,0,1,20120101,90819,CPT,IND PSYCTX INPT/PRTL HOSP/RES 45-50 MIN MED E/M,,30,,,$305.04,$0.00,1,0,1,20120101,90821,CPT,INDIV PSYCTX INPT/PRTL HOSP/RESDNTL 75-80 MIN,,30,,,$508.02,$0.00,1,0,1,20120101,90822,CPT,IND PSYCTX INPT/PRTL HOSP/RES 75-80 MIN MED E/M,,30,,,$722.28,$0.00,1,0,1,20120101,90823,CPT,INDIV PSYCTX IA INPT/PRTL HOSP/RESDNTL 20-30 MIN,,30,,,$359.85,$0.00,1,0,1,20120101,90824,CPT,IND PSYCTX IA INPT/PRTL HOS/RESDNT 20-30 MIN E/M,,30,,,$643.41,$0.00,1,0,1,20120101,90826,CPT,INDIV PSYCTX IA INPT/PRTL HOSP/RESDNTL 45-50 MIN,,30,,,$222.92,$0.00,1,0,1,20120101,90827,CPT,IND PSYCTX IA INPT/PRTL HOS/RESDNT 45-50 MIN E/M,,30,,,$310.50,$0.00,1,0,1,20120101,90828,CPT,INDIV PSYCTX IA INPT/PRTL HOSP/RESDNTL 75-80 MIN,,30,,,$310.50,$0.00,1,0,1,20120101,90829,CPT,IND PSYCTX IA INPT/PRTL HOS/RESDNT 75-80 MIN E/M,,30,,,$310.50,$0.00,1,0,1,20120101,90845,CPT,PSYCHOANALYSIS,,30,,,$295.20,$0.00,1,0,1,20120101,90846,CPT,FAMILY PSYCHOTHERAPY W/O PATIENT PRESENT,,30,,,$571.75,$0.00,1,0,1,20120101,90847,CPT,FAMILY PSYCHOTHERAPY W/PATIENT PRESENT,,30,,,$571.75,$0.00,1,0,1,20120101,90849,CPT,MULTIPLE FAMILY GROUP PSYCHOTHERAPY,,30,,,$276.36,$0.00,1,0,1,20120101,90853,CPT,GROUP PSYCHOTHERAPY,,30,,,$276.36,$0.00,1,0,1,20120101,90857,CPT,INTERACTIVE GROUP PSYCHOTHERAPY,,30,,,$276.36,$0.00,1,0,1,20120101,90862,CPT,PHARMACOLOGIC MGMT MIN MEDICAL PSYCHOTHERAPY,,30,,,$168.85,$0.00,1,0,1,20120101,90865,CPT,NARCOSYNTHESIS PSYC DX&THER PURPOSES,,30,,,$295.20,$0.00,1,0,1,20120101,90867,CPT,REPET TMS TX INITIAL W/MAP/MOTR THRESHLD/DEL&MNG,,30,,,$536.81,$0.00,1,0,1,20120101,90868,CPT,THERAP REPETITIVE TMS TX SUBSEQ DELIVERY & MNGT,,30,,,$536.81,$0.00,1,0,1,20120101,90869,CPT,REPET TMS TX SUBSEQ MOTR THRESHLD W/DELIV & MNGT,,30,,,$536.81,$0.00,1,0,1,20120101,90870,CPT,ELECTROCONVULSIVE THERAPY,,30,,,"$2,620.13",$0.00,1,0,1,20120101,90875,CPT,INDIV PSYCHOPHYS BIOFEEDBACK TRAINING 20-30 MIN,,30,,,$118.22,$0.00,1,0,1,20120101,90876,CPT,INDIV PSYCHOPHYS BIOFEEDBACK TRAINING 45-50 MIN,,30,,,$484.55,$0.00,1,0,1,20120101,90880,CPT,HYPNOTHERAPY,,30,,,$295.20,$0.00,1,0,1,20120101,90882,CPT,ENVIRONMENTAL IVNTJ MGMT PURPOSES PSYC PT,,30,,,$257.05,$0.00,1,0,1,20120101,90899,CPT,UNLISTED PSYCHIATRIC SERVICE/PROCEDURE,,30,,,$278.49,$0.00,1,0,1,20120101,90901,CPT,BIOFEEDBACK TRAINING ANY MODALITY,,30,,,$123.92,$0.00,1,0,1,20120101,90911,CPT,BIOFDBK TRNG PERINL MUSC ANORECT/URO SPHX W/EMG,,30,,,$459.50,$0.00,1,0,1,20120101,90935,CPT,HEMODIALYSIS PROCEDURE W/1 PHYSICIAN EVALUATION,,30,,,"$2,610.92",$0.00,1,0,1,20120101,90937,CPT,HEMODIALYSIS PX REPEAT EVAL W/WO REVJ DIALYS RX,,30,,,"$1,120.94",$0.00,1,0,1,20120101,90945,CPT,DIALYSIS OTHER/THAN HEMODIALYSIS 1 PHYS EVAL,,30,,,"$1,103.99",$0.00,1,0,1,20120101,90947,CPT,DIALYSIS OTH/THN HEMODIALYSIS REPEAT PHYS EVALS,,30,,,$341.02,$0.00,1,0,1,20120101,90954,CPT,ESRD RELATED SVC MONTHLY 2-11 YR OLD 4/>VISITS,,30,,,$720.02,$0.00,1,0,1,20120101,90955,CPT,ESRD RELATED SVC MONTHLY 2-11 YR OLD 2/3 VISITS,,30,,,$409.91,$0.00,1,0,1,20120101,90956,CPT,ESRD RELATED SVC MONTHLY 2-11 YR OLD 1 VISIT,,30,,,$111.62,$0.00,1,0,1,20120101,90966,CPT,ESRD SVC HOME DIALYSIS FULL MONTH 20 YR OLD,,30,,,$327.34,$0.00,1,0,1,20120101,90969,CPT,ESRD RELATED SVC <FULL MONTH 12-19 YR OLD,,30,,,"$1,877.20",$0.00,1,0,1,20120101,90970,CPT,ESRD RELATED SVC <FULL MONTH 20&> YR OLD,,30,,,"$1,958.15",$0.00,1,0,1,20120101,90989,CPT,DIALYSIS TRAINING PATIENT COMPLETED COURSE,,30,,,"$1,232.56",$0.00,1,0,1,20120101,90993,CPT,DIALYSIS TRAINING PATIENT PER TRAINING SESSION,,30,,,"$2,121.50",$0.00,1,0,1,20120101,90997,CPT,HEMOPERFUSION,,30,,,$43.75,$0.00,1,0,1,20120101,90999,CPT,UNLISTED DIALYSIS PROCEDURE INPATIENT/OUTPATIENT,,30,,,$607.69,$0.00,1,0,1,20120101,91010,CPT,ESOPHAGEAL MOTILITY STUDY W/INTERP&RPT,,30,,,"$1,755.06",$0.00,1,0,1,20120101,91013,CPT,ESOPHAGEAL MOTILITY STD W/I&R STIM/PERFUSION,,30,,,"$1,755.06",$0.00,1,0,1,20120101,91020,CPT,GASTRIC MOTILITY MANOMETRIC STUDIES,,30,,,"$1,755.06",$0.00,1,0,1,20120101,91022,CPT,DUODENAL MOTILITY MANOMETRIC STUDY,,30,,,"$1,755.06",$0.00,1,0,1,20120101,91030,CPT,ESOPHAGUS ACID PERFUSION TEST ESOPHAGITIS,,30,,,"$1,755.06",$0.00,1,0,1,20120101,91034,CPT,GASTROESOPHAG REFLX TEST W/CATH PH ELTRD PLCMT,,30,,,"$1,755.06",$0.00,1,0,1,20120101,91035,CPT,GASTROESOPHAG REFLX TEST W/TELEMTRY PH ELTRD,,30,,,"$1,755.06",$0.00,1,0,1,20120101,91037,CPT,GASTROESOPHAG REFLX TEST W/INTRLUML IMPED ELTRD,,30,,,$733.51,$0.00,1,0,1,20120101,91038,CPT,ESOPHGL FUNCJ G-ESOP RFLX IMPD ELTRD PROLNG,,30,,,"$1,755.06",$0.00,1,0,1,20120101,91040,CPT,ESOPHGL BALO DISTENSION PROVOCATION STD,,30,,,$733.51,$0.00,1,0,1,20120101,91065,CPT,BREATH HYDROGEN TEST,,30,,,$733.51,$0.00,1,0,1,20120101,91110,CPT,GI IMAG INTRALUMIN ESOPH-ILEUM PHYS INTERP/RPT,,30,,,"$3,992.43",$0.00,1,0,1,20120101,91111,CPT,GASTROINTESTINAL TRACT IMAGING ESOPHAGUS,,30,,,"$4,360.44",$0.00,1,0,1,20120101,91117,CPT,COLON MOTILITY STDY MIN 6 HR CONT RECORD W/I&R,,30,,,"$1,255.99",$0.00,1,0,1,20120101,91120,CPT,RECTAL SESATION TONE & COMPLIANCE TEST,,30,,,$459.50,$0.00,1,0,1,20120101,91122,CPT,ANORECTAL MANOMETRY,,30,,,"$1,255.99",$0.00,1,0,1,20120101,91132,CPT,ELECTROGASTROGRAPHY DX TRANSCUTANEOUS,,30,,,$733.51,$0.00,1,0,1,20120101,91133,CPT,ELECTROGASTROGRAPHY DX TRANSCUT W/PROVOCTVE TSTG,,30,,,$733.51,$0.00,1,0,1,20120101,91299,CPT,UNLISTED DIAGNOSTIC GASTROENTEROLOGY PROCEDURE,,30,,,$733.51,$0.00,1,0,1,20120101,92002,CPT,OPHTH MEDICAL XM&EVAL INTERMEDIATE NEW PT,,30,,,$223.63,$0.00,1,0,1,20120101,92004,CPT,OPHTH MEDICAL XM&EVAL COMPRE NEW PT 1/> VST,,30,,,$223.63,$0.00,1,0,1,20120101,92012,CPT,OPHTH MEDICAL XM&EVAL INTERMEDIATE ESTAB PT,,30,,,$168.85,$0.00,1,0,1,20120101,92014,CPT,OPHTH MEDICAL XM&EVAL COMPRHNSV ESTAB PT 1/> VST,,30,,,$168.85,$0.00,1,0,1,20120101,92015,CPT,DETERMINATION REFRACTIVE STATE,,30,,,$91.18,$0.00,1,0,1,20120101,92018,CPT,OPHTH XM&EVAL ANES W/WO MANJ GLOBE COMPL,,30,,,"$6,132.96",$0.00,1,0,1,20120101,92019,CPT,OPHTH XM&EVAL ANES W/WO MANJ GLOBE LMTD,,30,,,"$6,132.96",$0.00,1,0,1,20120101,92020,CPT,GONIOSCOPY SEPARATE PROCEDURE,,30,,,$233.61,$0.00,1,0,1,20120101,92025,CPT,COMPUTERIZED CORNEAL TOPOGRAPHY UNI/BI,,30,,,$233.61,$0.00,1,0,1,20120101,92060,CPT,SENSORMOTOR XM W/MLT MEAS OCULAR DEVIJ W/I&R SPX,,30,,,$233.61,$0.00,1,0,1,20120101,92065,CPT,ORTHOPTIC &/PLEOPTIC TRAINING W/MEDICAL DIR&EVAL,,30,,,$233.61,$0.00,1,0,1,20120101,92081,CPT,VISUAL FIELD XM UNI/BI W/INTERPRETJ LIMITED EXAM,,30,,,$233.61,$0.00,1,0,1,20120101,92082,CPT,VISUAL FIELD XM UNI/BI W/INTERP INTERMED EXAM,,30,,,$233.61,$0.00,1,0,1,20120101,92083,CPT,VISUAL FIELD XM UNI/BI W/INTERP EXTENDED EXAM,,30,,,$456.88,$0.00,1,0,1,20120101,92132,CPT,CMPTR OPHTHALMIC DX IMG ANT SEGMT W/I&R UNI/BI,,30,,,$233.61,$0.00,1,0,1,20120101,92133,CPT,COMPUTERIZED OPHTHALMIC IMAGING OPTIC NERVE,,30,,,$233.61,$0.00,1,0,1,20120101,92134,CPT,COMPUTERIZED OPHTHALMIC IMAGING RETINA,,30,,,$233.61,$0.00,1,0,1,20120101,92136,CPT,OPH BMTRY PRTL COHER INTRFRMTRY IO LENS PWR CAL,,30,,,$456.88,$0.00,1,0,1,20120101,92140,CPT,PROVOCATIVE TESTS GLAUCOMA I&R W/O TONOGRAPHY,,30,,,$233.61,$0.00,1,0,1,20120101,92225,CPT,OPHTHALMOSCPY EXTENDED RETINAL DRAWING I&R 1ST,,30,,,$233.61,$0.00,1,0,1,20120101,92226,CPT,OPHTHALMOSCPY EXTENDED RETINAL DRAWING I&R SBSQ,,30,,,$233.61,$0.00,1,0,1,20120101,92227,CPT,REMOTE IMG DX RETINL DIS W/ALYS & REPORT UNI/BI,,30,,,$122.59,$0.00,1,0,1,20120101,92228,CPT,REMOTE IMAGING MGT RETINAL DISEASE W/I&R UNI/BI,,30,,,$122.59,$0.00,1,0,1,20120101,92230,CPT,FLUORESCEIN ANGIOSCOPY INTERPRETATION & REPORT,,30,,,$456.88,$0.00,1,0,1,20120101,92235,CPT,FLUORESCEIN ANGIOSCOPY INTERPRETATION & REPORT,,30,,,$906.88,$0.00,1,0,1,20120101,92240,CPT,INDOCYANINE GREEN ANGIOGRAPHY W/INTERP & REPORT,,30,,,$906.88,$0.00,1,0,1,20120101,92250,CPT,FUNDUS PHOTOGRAPHY W/INTERPRETATION & REPORT,,30,,,$233.61,$0.00,1,0,1,20120101,92260,CPT,OPHTHALMODYNAMOMETRY,,30,,,$233.61,$0.00,1,0,1,20120101,92265,CPT,NEEDLE OCULOGRAPHY 1/> XOC MUSC 1/BOTH EYE W/I&R,,30,,,$233.61,$0.00,1,0,1,20120101,92270,CPT,ELECTRO-OCULOGRAPY W/INTERPRETATION & REPORT,,30,,,$233.61,$0.00,1,0,1,20120101,92275,CPT,ELECTRORETINOGRAPY W/INTERPRETATION & REPORT,,30,,,$906.88,$0.00,1,0,1,20120101,92283,CPT,COLOR VISION XM EXTENDED ANOMALOSCOPE/EQUIV,,30,,,$233.61,$0.00,1,0,1,20120101,92284,CPT,DARK ADAPTATION XM W/INTERPRETATION & REPORT,,30,,,$233.61,$0.00,1,0,1,20120101,92285,CPT,XTRNL OCULAR PHOTOG W/I&R DOCMT MEDICAL PROGRESS,,30,,,$233.61,$0.00,1,0,1,20120101,92286,CPT,SPEC ANT SGM PHTGRPHY I&R SPECLR ENDOTHELIAL,,30,,,$456.88,$0.00,1,0,1,20120101,92287,CPT,SPEC ANT SGM PHTGRPHY I&R FLUORESCEIN ANGRPH,,30,,,$456.88,$0.00,1,0,1,20120101,92310,CPT,RX&FITG C-LENS SUPVJ CRNL LENS OU XCPT APHK,,30,,,$93.50,$0.00,1,0,1,20120101,92311,CPT,RX&FITG CONTACT CORNEAL LENS APHAKIA 1 EYE,,30,,,$456.88,$0.00,1,0,1,20120101,92312,CPT,RX&FITG CONTACT CORNEAL LENS APHAKIA BOTH EYES,,30,,,$233.61,$0.00,1,0,1,20120101,92313,CPT,RX&FITG CORNEOSCLERAL LENS,,30,,,$456.88,$0.00,1,0,1,20120101,92314,CPT,RX&FTG CONTACT CORNEAL LENS EYES XCPT APHAKIA,,30,,,$45.76,$0.00,1,0,1,20120101,92315,CPT,RX CONTACT CORNEAL LENS APHAKIA 1 EYE,,30,,,$456.88,$0.00,1,0,1,20120101,92316,CPT,RX CONTACT CORNEAL LENS APHAKIA BOTH EYES,,30,,,$456.88,$0.00,1,0,1,20120101,92317,CPT,RX CONTACT CORNEOSCLERAL LENS,,30,,,$233.61,$0.00,1,0,1,20120101,92325,CPT,MODIFICAJ CONTACT LENX SPX SUPVJ ADAPTATION,,30,,,$456.88,$0.00,1,0,1,20120101,92326,CPT,REPLACEMENT CONTACT LENS,,30,,,$233.61,$0.00,1,0,1,20120101,92340,CPT,FITTING SPECTACLES XCPT APHAKIA MONOFOCAL,,30,,,$52.27,$0.00,1,0,1,20120101,92341,CPT,FITTING SPECTACLES XCPT APHAKIA BIFOCAL,,30,,,$89.06,$0.00,1,0,1,20120101,92352,CPT,FITTING SPECTACLE PROSTH APHAKIA MONOFOCAL,,30,,,$456.88,$0.00,1,0,1,20120101,92353,CPT,FITTING SPECTACLE PROSTH APHAKIA MULTIFOCAL,,30,,,$456.88,$0.00,1,0,1,20120101,92354,CPT,FITTING SPECTACLE MOUNTED LW VIS AID 1 ELMNT,,30,,,$233.61,$0.00,1,0,1,20120101,92355,CPT,FITTING SPECTACLE MOUNTED LW VIS AID TLSCP,,30,,,$233.61,$0.00,1,0,1,20120101,92358,CPT,PROSTHESIS SERVICE APHAKIA TEMPORARY,,30,,,$233.61,$0.00,1,0,1,20120101,92371,CPT,RPR&REFITG SPECTACLE PROSTHESIS APHAKIA,,30,,,$456.88,$0.00,1,0,1,20120101,92499,CPT,UNLIVSTED OPHTHALMOLOGICAL SERVICE/PROCEDURE,,30,,,$233.61,$0.00,1,0,1,20120101,92502,CPT,OTOLARYNGOLOGIC EXAM UNDER GENERAL ANESTHESIA,,30,,,"$1,317.04",$0.00,1,0,1,20120101,92511,CPT,NASOPHARYNGOSCOPY W/ENDOSCOPE SPX,,30,,,$413.27,$0.00,1,0,1,20120101,92512,CPT,NASAL FUNCTION STUDIES,,30,,,$404.81,$0.00,1,0,1,20120101,92516,CPT,FACIAL NERVE FUNCTION STUDIES,,30,,,$404.81,$0.00,1,0,1,20120101,92520,CPT,LARYNGEAL FUNCTION STUDIES,,30,,,$805.43,$0.00,1,0,1,20120101,92526,CPT,TX SWALLOWING DYSFUNCTION&/ORAL FUNCJ FEEDING,,30,,,$205.10,$0.00,1,0,1,20120101,92540,CPT,VSTBLR FUNCJ NYSTAG FOVL&PERPH STIMJ OSCIL TRKG,,30,,,$805.43,$0.00,1,0,1,20120101,92541,CPT,SPONTANEOUS NYSTAGMUS TEST,,30,,,$404.81,$0.00,1,0,1,20120101,92542,CPT,POSITIONAL NYSTAGMUS TEST,,30,,,$404.81,$0.00,1,0,1,20120101,92543,CPT,CALORIC VESTIBULAR TEST EA IRRIGATION W/RECORD,,30,,,$805.43,$0.00,1,0,1,20120101,92544,CPT,OPTKINETIC NYSTAG BIDIR/FOVEAL/PERIPH STIM W/REC,,30,,,$404.81,$0.00,1,0,1,20120101,92545,CPT,OSCILLATING TRACKING TEST W/RECORDING,,30,,,$404.81,$0.00,1,0,1,20120101,92546,CPT,SINUSOIDAL VERTICAL AXIS ROTATIONAL TESTING,,30,,,$805.43,$0.00,1,0,1,20120101,92548,CPT,COMPUTERIZED DYNAMIC POSTUROGRAPY,,30,,,$805.43,$0.00,1,0,1,20120101,92550,CPT,TYMPANOMETRY AND REFLEX THRESHOLD MEASUREMENTS,,30,,,$123.58,$0.00,1,0,1,20120101,92551,CPT,SCREENING TEST PURE TONE AIR ONLY,,30,,,$121.34,$0.00,1,0,1,20120101,92552,CPT,PURE TONE AUDIOMETRY AIR ONLY,,30,,,$123.58,$0.00,1,0,1,20120101,92553,CPT,PURE TONE AUDIOMETRY AIR & BONE,,30,,,$300.61,$0.00,1,0,1,20120101,92555,CPT,SPEECH AUDIOMETRY THRESHOLD,,30,,,$123.58,$0.00,1,0,1,20120101,92556,CPT,SPEECH AUDIOMETRY THRESHOLD SPEECH RECOGNIJ,,30,,,$123.58,$0.00,1,0,1,20120101,92557,CPT,COMPRE AUDIOMETRY THRESHOLD EVAL SP RECOGNIJ,,30,,,$300.61,$0.00,1,0,1,20120101,92558,CPT,EVOKED OTOACOUSTIC EMISSIONS SCREEN AUTO ANALYS,,30,,,$404.81,$0.00,1,0,1,20120101,92561,CPT,BEKESY AUDIOMETRY DIAGNOSTIC,,30,,,$300.61,$0.00,1,0,1,20120101,92562,CPT,LOUDNESS BALANCE BINAURAL/MONAURAL,,30,,,$123.58,$0.00,1,0,1,20120101,92563,CPT,TONE DECAY TEST,,30,,,$123.58,$0.00,1,0,1,20120101,92564,CPT,SHORT INCREMENT SENSITIVITY INDEX,,30,,,$123.58,$0.00,1,0,1,20120101,92565,CPT,STENGER TEST PURE TONE,,30,,,$123.58,$0.00,1,0,1,20120101,92567,CPT,TYMPANOMETRY,,30,,,$123.58,$0.00,1,0,1,20120101,92568,CPT,ACOUSTIC REFLEX THRESHOLD,,30,,,$123.58,$0.00,1,0,1,20120101,92570,CPT,ACOUSTIC IMMIT TEST TYMPANOM/ACOUST REFLX/DECAY,,30,,,$300.61,$0.00,1,0,1,20120101,92571,CPT,FILTERED SPEECH TEST,,30,,,$123.58,$0.00,1,0,1,20120101,92572,CPT,STAGGERED SPONDAIC WORD,,30,,,$726.24,$0.00,1,0,1,20120101,92575,CPT,SENSORINEURAL ACUITY LEVEL,,30,,,$123.58,$0.00,1,0,1,20120101,92576,CPT,SYNTHETIC SENTENCE IDENTIFICATION TEST,,30,,,$123.58,$0.00,1,0,1,20120101,92577,CPT,STENGER TEST SPEECH,,30,,,$726.24,$0.00,1,0,1,20120101,92579,CPT,VISUAL REINFORCEMENT AUDIOMETRY,,30,,,$300.61,$0.00,1,0,1,20120101,92582,CPT,CONDITIONING PLAY AUDIOMETRY,,30,,,$300.61,$0.00,1,0,1,20120101,92583,CPT,SELECT PICTURE AUDIOMETRY,,30,,,$123.58,$0.00,1,0,1,20120101,92584,CPT,ELECTROCOCHLEOGRAPY,,30,,,"$1,122.18",$0.00,1,0,1,20120101,92585,CPT,AUDITORY EVOKED POTENTIALS COMPREHENSIVE,,30,,,"$1,122.18",$0.00,1,0,1,20120101,92586,CPT,AUDITORY EVOKED POTENTIALS LIMITED,,30,,,$536.81,$0.00,1,0,1,20120101,92587,CPT,DISTORT PRODUCT EVOKED OTOACOUSTIC EMISNS LIMITD,,30,,,$404.81,$0.00,1,0,1,20120101,92588,CPT,DISTRT PROD EVOKD OTOACOUSTIC EMSNS COMP/DX EVAL,,30,,,$404.81,$0.00,1,0,1,20120101,92590,CPT,HEARING AID EXAMINATION & SELECTION MONAURAL,,30,,,$193.72,$0.00,1,0,1,20120101,92591,CPT,HEARING AID EXAMINATION & SELECTION BINAURAL,,30,,,$286.23,$0.00,1,0,1,20120101,92592,CPT,HEARING AID CHECK MONAURAL,,30,,,$136.01,$0.00,1,0,1,20120101,92593,CPT,HEARING AID CHECK BINAURAL,,30,,,$177.04,$0.00,1,0,1,20120101,92594,CPT,ELECTROACOUS EVAL HEARING AID MONAURAL,,30,,,$57.61,$0.00,1,0,1,20120101,92595,CPT,ELECTROACOUS EVAL HEARING AID BINAURAL,,30,,,$96.91,$0.00,1,0,1,20120101,92596,CPT,EAR PROTECTOR ATTENUATION MEASUREMENTS,,30,,,$123.58,$0.00,1,0,1,20120101,92601,CPT,ANALYSIS COCHLEAR IMPLT PT <7 YR PRGRMG,,30,,,$726.24,$0.00,1,0,1,20120101,92602,CPT,ANALYSIS COCHLEAR IMPLT PT <7 YR SBSQ REPRGRMG,,30,,,$726.24,$0.00,1,0,1,20120101,92603,CPT,ANALYSIS COCHLEAR IMPLT 7 YR/> PRGRMG,,30,,,$726.24,$0.00,1,0,1,20120101,92604,CPT,ANALYSIS COCHLEAR IMPLT 7 YR/> SBSQ REPRGRMG,,30,,,$726.24,$0.00,1,0,1,20120101,92620,CPT,EVAL CENTRAL AUDITORY FUNCJ W/REPRT 1ST 60 MIN,,30,,,$300.61,$0.00,1,0,1,20120101,92625,CPT,ASSESSMENT TINNITUS,,30,,,$300.61,$0.00,1,0,1,20120101,92626,CPT,EVALUATION AUDITORY REHAB STATUS 1ST HR,,30,,,$726.24,$0.00,1,0,1,20120101,92630,CPT,AUDITORY REHABILITATION PRELINGUAL HEARING LOSS,,30,,,$342.29,$0.00,1,0,1,20120101,92633,CPT,AUDITORY REHABILITATION POSTLINGUAL HEARING LOSS,,30,,,$312.08,$0.00,1,0,1,20120101,92640,CPT,ANALYSIS W/PRGRMG AUD BRAINSTEM IMPLANT PR HR,,30,,,$300.61,$0.00,1,0,1,20120101,92700,CPT,UNLISTED OTORHINOLARYNGOLOGICAL SERVICE,,30,,,$123.58,$0.00,1,0,1,20120101,92950,CPT,CARDIOPULMONARY RESUSCITATION,,30,,,"$1,018.09",$0.00,1,0,1,20120101,92953,CPT,TEMPORARY TRANSCUTANEOUS PACING,,30,,,"$1,018.09",$0.00,1,0,1,20120101,92960,CPT,CARDIOVERSION ELECTIVE ARRHYTHMIA EXTERNAL,,30,,,"$2,339.88",$0.00,1,0,1,20120101,92961,CPT,CARDIOVERSION ELECTIVE ARRHYTHMIA INTERNAL SPX,,30,,,"$2,339.88",$0.00,1,0,1,20120101,92973,CPT,PRQ TRANSLUMINAL CORONARY THROMBECTOMY,,30,,,"$14,939.72",$0.00,1,0,1,20120101,92974,CPT,TCAT PLMT RADJ DLVR DEV SBSQ C IV BRACHYTX,,30,,,"$6,586.51",$0.00,1,0,1,20120101,92977,CPT,THROMBOLYSIS CORONARY INTRAVENOUS INFUSION,,30,,,"$1,046.23",$0.00,1,0,1,20120101,92980,CPT,TCAT PLMT INTRACORONARY STENT PRQ 1 VESSEL,,30,,,"$22,237.18",$0.00,1,0,1,20120101,92981,CPT,TCAT PLMT INTRACORONARY STENT PRQ EA VESSEL,,30,,,"$22,237.18",$0.00,1,0,1,20120101,92982,CPT,PRQ TRLUML CORONARY BALLOON ANGIOPLASTY 1 VSL,,30,,,"$20,214.40",$0.00,1,0,1,20120101,92984,CPT,PRQ TRLUML CORONARY BALLOON ANGIOPLASTY EA VSL,,30,,,"$20,214.40",$0.00,1,0,1,20120101,92986,CPT,PRQ BALLOON VALVULOPLASTY AORTIC VALVE,,30,,,"$20,214.40",$0.00,1,0,1,20120101,92987,CPT,PRQ BALLOON VALVULOPLASTY MITRAL VALVE,,30,,,"$20,214.40",$0.00,1,0,1,20120101,92990,CPT,PRQ BALLOON VALVULOPLASTY PULMONARY VALVE,,30,,,"$20,214.40",$0.00,1,0,1,20120101,92995,CPT,PRQ TRLUML CORON ATHERECT W/WO ANGIOP 1 VESSEL,,30,,,"$23,492.99",$0.00,1,0,1,20120101,92996,CPT,PRQ TRLUML CORON ATHERECT W/WO ANGIOP EA VESSEL,,30,,,"$23,492.99",$0.00,1,0,1,20120101,92997,CPT,PRQ TRLUML PULMONARY ART BALLOON ANGIOP 1 VSL,,30,,,"$20,214.40",$0.00,1,0,1,20120101,92998,CPT,PRQ TRLUML PULMONARY ART BALLOON ANGIOP EA VSL,,30,,,"$20,214.40",$0.00,1,0,1,20120101,93005,CPT,ECG ROUTINE ECG W/LEAST 12 LDS TRCG ONLY W/O I&R,,30,,,$175.74,$0.00,1,0,1,20120101,93017,CPT,CV STRS TST XERS&/OR RX CONT ECG TRCG ONLY,,30,,,"$1,131.82",$0.00,1,0,1,20120101,93024,CPT,ERGONOVINE PROVOCATION TST,,30,,,"$1,131.82",$0.00,1,0,1,20120101,93025,CPT,MICROVOLT T-WAVE ASSESS VENTRICULAR ARRHYTHMIAS,,30,,,"$1,131.82",$0.00,1,0,1,20120101,93041,CPT,RHYTHM ECG 1-3 LEADS TRACING ONLY W/O I&R,,30,,,$122.59,$0.00,1,0,1,20120101,93225,CPT,XTRNL ECG < 48 HR RECORDING,,30,,,$426.49,$0.00,1,0,1,20120101,93226,CPT,EXTERNAL ECG SCANNING ANALYSIS REPORT,,30,,,$426.49,$0.00,1,0,1,20120101,93229,CPT,XTRNL MOBILE CV TELEMETRY W/TECHNICAL SUPPORT,,30,,,"$4,491.57",$0.00,1,0,1,20120101,93270,CPT,XTRNL PT ACTIVATED ECG RECORD MONITOR 30 DAYS,,30,,,$426.49,$0.00,1,0,1,20120101,93271,CPT,XTRNL PT ACTIVATED ECG REC DWNLD 30 DAYS,,30,,,$712.68,$0.00,1,0,1,20120101,93278,CPT,SIGNAL AVERAGED ELECTROCARDIOGRAPHY W/WO ECG,,30,,,$122.59,$0.00,1,0,1,20120101,93279,CPT,PROGRAM EVAL IMPLANTABLE IN PRSN 1 LD PACEMAKER,,30,,,$232.14,$0.00,1,0,1,20120101,93280,CPT,PROGRAM EVAL IMPLANTABLE IN PERSN DUAL LD PACER,,30,,,$232.14,$0.00,1,0,1,20120101,93281,CPT,PROGRAM EVAL IMPLANTABLE IN PRSN MULTI LD PACER,,30,,,$232.14,$0.00,1,0,1,20120101,93282,CPT,PROGRAM EVAL IMPLANTABLE IN PERSN 1 LD CARD/DFB,,30,,,$232.14,$0.00,1,0,1,20120101,93283,CPT,PROGRM EVAL IMPLANTABLE IN PRSN DUAL L CARD/DFB,,30,,,$232.14,$0.00,1,0,1,20120101,93284,CPT,PROGRM EVAL IMPLANTABLE IN PRSN MLT LD CARD/DFB,,30,,,$232.14,$0.00,1,0,1,20120101,93285,CPT,PROGRAM EVAL IMPLANTABLE DEV IN PRSN ILR SYSTEM,,30,,,$232.14,$0.00,1,0,1,20120101,93288,CPT,INTERROGATION EVAL IN PERSON 1/DUAL/MLT LEAD PM,,30,,,$232.14,$0.00,1,0,1,20120101,93289,CPT,INTERROGATION EVAL F2F 1/DUAL/MLT LEADS CVDFB,,30,,,$232.14,$0.00,1,0,1,20120101,93290,CPT,INTERROGATION EVAL F2F IMPLANTABLE CV MNTR SYS,,30,,,$122.59,$0.00,1,0,1,20120101,93291,CPT,INTERROGATION EVALUATION IN PERSON ILR SYSTEM,,30,,,$232.14,$0.00,1,0,1,20120101,93292,CPT,INTERROGATION EVAL IN PERSON WR DEFIBRILLATOR,,30,,,$232.14,$0.00,1,0,1,20120101,93293,CPT,TRANSTELEPHONIC RHYTHM STRIP PACEMAKER EVAL,,30,,,$232.14,$0.00,1,0,1,20120101,93296,CPT,INTERROGATION REMOTE </90 D TECHNICIAN REVIEW,,30,,,$232.14,$0.00,1,0,1,20120101,93299,CPT,INTERROGATION EVAL REMOTE </30 D TECH REVIEW,,30,,,$232.14,$0.00,1,0,1,20120101,93303,CPT,COMPLETE TTHRC ECHO CONGENITAL CARDIAC ANOMALY,,30,,,"$3,546.80",$0.00,1,0,1,20120101,93304,CPT,F-UP/LIMITED TTHRC ECHO CONGENITAL CAR ANOMALY,,30,,,"$2,433.38",$0.00,1,0,1,20120101,93306,CPT,ECHO TTHRC R-T 2D W/WOM-MODE COMPL SPEC&COLR DOP,,30,,,"$2,433.38",$0.00,1,0,1,20120101,93307,CPT,ECHO TRANSTHORAC R-T 2D W/WO M-MODE REC COMP,,30,,,"$2,433.38",$0.00,1,0,1,20120101,93308,CPT,ECHO TRANSTHORC R-T 2D W/WO M-MODE REC F-UP/LMTD,,30,,,"$1,403.83",$0.00,1,0,1,20120101,93312,CPT,ECG TRANSESOPHAG R-T 2D W/PRB IMG ACQUISJ I&R,,30,,,"$3,546.80",$0.00,1,0,1,20120101,93313,CPT,ECHO R-T 2D W/PROBE PLACEMENT ONLY,,30,,,"$2,433.38",$0.00,1,0,1,20120101,93315,CPT,ECHO TRANSESOPHAG CONGEN PROBE PLCMT IMGNG I&R,,30,,,"$2,433.38",$0.00,1,0,1,20120101,93316,CPT,ECHO TRANSESOPHAG CONGEN PROBE PLCMT ONLY,,30,,,"$3,546.80",$0.00,1,0,1,20120101,93318,CPT,ECHO TRANSESOPHAG MONTR CARDIAC PUMP FUNCTJ,,30,,,"$3,546.80",$0.00,1,0,1,20120101,93350,CPT,ECHO TTHRC R-T 2D W/WO M-MODE COMPLETE REST&STRS,,30,,,"$2,433.38",$0.00,1,0,1,20120101,93351,CPT,ECHO TTHRC R-T 2D W/WO M-MODE REST&STRS CONT ECG,,30,,,"$3,546.80",$0.00,1,0,1,20120101,93352,CPT,USE OF ECHO CONTRAST AGENT DURING STRESS ECHO,,30,,,$500.81,$0.00,1,0,1,20120101,93451,CPT,RIGHT HEART CATH O2 SATURATION & CARDIAC OUTPUT,,30,,,"$14,389.23",$0.00,1,0,1,20120101,93452,CPT,L HRT CATH W/NJX L VENTRICULOGRAPHY IMG S&I,,30,,,"$14,389.23",$0.00,1,0,1,20120101,93453,CPT,R & L HRT CATH W/NJX L VENTRICULOG IMG S&I,,30,,,"$14,389.23",$0.00,1,0,1,20120101,93454,CPT,CATH PLMT & NJX CORONARY ART ANGIO IMG S&I,,30,,,"$14,389.23",$0.00,1,0,1,20120101,93455,CPT,CATH PLMT & NJX CORONARY ART/GRFT ANGIO IMG S&I,,30,,,"$14,389.23",$0.00,1,0,1,20120101,93456,CPT,CATH PLMT R HRT & ARTS W/NJX & ANGIO IMG S&I,,30,,,"$14,389.23",$0.00,1,0,1,20120101,93457,CPT,CATH PLMT R HRT/ARTS/GRFTS W/NJX&ANGIO IMG S&I,,30,,,"$14,389.23",$0.00,1,0,1,20120101,93458,CPT,CATH PLMT L HRT & ARTS W/NJX & ANGIO IMG S&I,,30,,,"$14,389.23",$0.00,1,0,1,20120101,93459,CPT,CATH PLMT L HRT/ARTS/GRFTS WNJX & ANGIO IMG S&I,,30,,,"$14,389.23",$0.00,1,0,1,20120101,93460,CPT,R & L HRT CATH WINJX HRT ART& L VENTR IMG S&I,,30,,,"$14,389.23",$0.00,1,0,1,20120101,93461,CPT,R&L HRT CATH W/INJEC HRT ART/GRFT&L VENT IMG S&I,,30,,,"$14,389.23",$0.00,1,0,1,20120101,93462,CPT,LEFT HEART CATH BY TRANSEPTAL PUNCTURE,,30,,,"$14,389.23",$0.00,1,0,1,20120101,93503,CPT,INSERTION FLOW DIRECTED CATHETER FOR MONITORING,,30,,,"$6,586.51",$0.00,1,0,1,20120101,93505,CPT,ENDOMYOCARDIAL BIOPSY,,30,,,"$6,586.51",$0.00,1,0,1,20120101,93530,CPT,R HRT CATHETERIZATION CONGENITAL CARDIAC ANOMALY,,30,,,"$14,389.23",$0.00,1,0,1,20120101,93531,CPT,CMBN R HRT & RETROGRADE L HRT CATHJ CGEN ANOMALY,,30,,,"$14,389.23",$0.00,1,0,1,20120101,93532,CPT,CMBN R HRT T-SEPTAL L HRT CATHJ NTC SEPTUM CGEN,,30,,,"$14,389.23",$0.00,1,0,1,20120101,93533,CPT,CMBN R HRT T-SEPTAL L HRT CATHJ SEPTAL OPNG CGEN,,30,,,"$14,389.23",$0.00,1,0,1,20120101,93580,CPT,PRQ TCAT CLSR CGEN INTRATRL COMUNICAJ W/IMPLT,,30,,,"$23,075.28",$0.00,1,0,1,20120101,93581,CPT,PRQ TCAT CLSR CGEN VENTR SEPTAL DFCT W/IMPLT,,30,,,"$23,075.28",$0.00,1,0,1,20120101,93600,CPT,BUNDLE OF HIS RECORDING,,30,,,"$4,155.56",$0.00,1,0,1,20120101,93602,CPT,INTRA-ATRIAL RECORDING,,30,,,"$4,155.56",$0.00,1,0,1,20120101,93603,CPT,RIGHT VENTRICULAR RECORDING,,30,,,"$4,155.56",$0.00,1,0,1,20120101,93610,CPT,INTRA-ATRIAL PACING,,30,,,"$4,155.56",$0.00,1,0,1,20120101,93612,CPT,INTRAVENTRICULAR PACING,,30,,,"$4,155.56",$0.00,1,0,1,20120101,93615,CPT,ESOPHGL REC ATRIAL W/WO VENTRICULAR ELECTROGRAMS,,30,,,"$4,155.56",$0.00,1,0,1,20120101,93616,CPT,ESOPHGL REC ATRIAL W/WO VENTR ELECTRGRAMS W/PACG,,30,,,"$4,155.56",$0.00,1,0,1,20120101,93618,CPT,INDUCTION ARRHYTHMIA ELECTRICAL PACING,,30,,,"$4,155.56",$0.00,1,0,1,20120101,93619,CPT,COMPRE ELECTROPHYSIOLOGIC W/O ARRHYT INDUCTION,,30,,,"$17,817.38",$0.00,1,0,1,20120101,93620,CPT,COMPRE ELECTROPHYSIOLOGIC ARRHYTHMIA INDUCTION,,30,,,"$17,817.38",$0.00,1,0,1,20120101,93624,CPT,ELECTROPHYSIOLOGIC FOLLOW-UP W/PAC/REC W/ARRHYT,,30,,,"$17,817.38",$0.00,1,0,1,20120101,93642,CPT,EPHYS EVAL PACG CVDFB PRGRMG/REPRGRMG PARAMETERS,,30,,,"$4,155.56",$0.00,1,0,1,20120101,93650,CPT,ICAR CATHETER ABLATION ATRIOVENTR NODE FUNCTION,,30,,,"$17,817.38",$0.00,1,0,1,20120101,93651,CPT,ICAR CATH ABLTJ ARRHYTGNIC FOC SUPVENTR TCHYCAR,,30,,,"$21,563.46",$0.00,1,0,1,20120101,93652,CPT,ICAR CATH ABLATION ARRHYTGNIC FOC VENTR TCHYCAR,,30,,,"$21,563.46",$0.00,1,0,1,20120101,93660,CPT,CARDIOVASCULAR FUNCTION EVAL W/TILT TABLE W/MNTR,,30,,,"$1,886.56",$0.00,1,0,1,20120101,93668,CPT,PERIPHERAL ARTERIAL DISEASE REHAB PER SESSION,,30,,,"$1,408.52",$0.00,1,0,1,20120101,93701,CPT,BIOMPEDANCE-DERIVED PHYSIOLOGIC CV ANALYSIS,,30,,,$175.74,$0.00,1,0,1,20120101,93724,CPT,ELECTRONIC ANALYSIS ANTITACHY PACEMAKER SYSTEM,,30,,,$232.14,$0.00,1,0,1,20120101,93740,CPT,TEMPRATURE GRADIENT STUDY,,30,,,$331.94,$0.00,1,0,1,20120101,93745,CPT,1ST SET-UP&PRGRMG BY PHYS OF WEARABLE CVDFB,,30,,,$232.14,$0.00,1,0,1,20120101,93750,CPT,INTERROGATION VAD IN PRSON W/PHYSICIAN ANALYSIS,,30,,,$712.68,$0.00,1,0,1,20120101,93786,CPT,AMBL BLD PRESS W/TAPE&/DISK 24/> HR REC ONLY,,30,,,$426.49,$0.00,1,0,1,20120101,93788,CPT,AMBL BLD PRESS W/TAPE/DISK 24/>HR ALYS W/REPRT,,30,,,$426.49,$0.00,1,0,1,20120101,93797,CPT,OUTPATIENT CARDIAC REHAB W/O CONT ECG MONITOR,,30,,,$245.72,$0.00,1,0,1,20120101,93798,CPT,OUTPATIENT CARDIAC REHAB W/CONT ECG MONITORING,,30,,,$245.72,$0.00,1,0,1,20120101,93799,CPT,UNLISTED CARDIOVASCULAR SERVICE/PROCEDURE,,30,,,$426.49,$0.00,1,0,1,20120101,93880,CPT,DUPLEX SCAN EXTRACRANIAL ART COMPL BI STUDY,,30,,,$978.65,$0.00,1,0,1,20120101,93882,CPT,DUPLEX SCAN EXTRACRANIAL ART UNI/LMTD STUDY,,30,,,$978.65,$0.00,1,0,1,20120101,93886,CPT,TRANSCRANIAL DOPPLER STDY INTRACRANIAL ART COMPL,,30,,,$978.65,$0.00,1,0,1,20120101,93888,CPT,TRANSCRANIAL DOPPLER STDY INTRACRANIAL ART LMTD,,30,,,$404.81,$0.00,1,0,1,20120101,93890,CPT,TRANSCRANIAL DOPPLER INTRACRAN ART VASOREAC STDY,,30,,,$615.66,$0.00,1,0,1,20120101,93892,CPT,TRANSCRANIAL DOPPLER INTRACRAN ART EMBOLI DETECT,,30,,,$615.66,$0.00,1,0,1,20120101,93893,CPT,TRANSCRAN DOPPLER INTRACRAN ART MICROBUBBLE INJ,,30,,,$615.66,$0.00,1,0,1,20120101,93922,CPT,NON-INVAS PHYSIOLOGIC STD EXTREMITY ART 2 LEVEL,,30,,,$426.49,$0.00,1,0,1,20120101,93923,CPT,NON-INVASIVE PHYSIOLOGIC STUDY EXTREMITY 3 LEVLS,,30,,,$687.56,$0.00,1,0,1,20120101,93924,CPT,N-INVAS PHYSIOLOGIC STD LXTR ART COMPL BI,,30,,,$687.56,$0.00,1,0,1,20120101,93925,CPT,DUP-SCAN LXTR ART/ARTL BPGS COMPL BI STUDY,,30,,,$978.65,$0.00,1,0,1,20120101,93926,CPT,DUP-SCAN LXTR ART/ARTL BPGS UNI/LMTD STUDY,,30,,,$615.66,$0.00,1,0,1,20120101,93930,CPT,DUP-SCAN UXTR ART/ARTL BPGS COMPL BI STUDY,,30,,,$978.65,$0.00,1,0,1,20120101,93931,CPT,DUP-SCAN UXTR ART/ARTL BPGS UNI/LMTD STUDY,,30,,,$615.66,$0.00,1,0,1,20120101,93965,CPT,N-INVAS PHYSIOLOGIC STD XTR VEINS COMPL BI STD,,30,,,$687.56,$0.00,1,0,1,20120101,93970,CPT,DUP-SCAN XTR VEINS COMPLETE BILATERAL STUDY,,30,,,$978.65,$0.00,1,0,1,20120101,93971,CPT,DUP-SCAN XTR VEINS UNILATERAL/LIMITED STUDY,,30,,,$615.66,$0.00,1,0,1,20120101,93975,CPT,DUP-SCAN ARTL FLO ABDL/PEL/SCROT&/RPR ORGN COMPL,,30,,,$978.65,$0.00,1,0,1,20120101,93976,CPT,DUP-SCAN ARTL FLO ABDL/PEL/SCROT&/RPR ORGN LMTD,,30,,,$978.65,$0.00,1,0,1,20120101,93978,CPT,DUP-SCAN AORTA IVC ILIAC VASCL/BPGS COMPLETE,,30,,,$978.65,$0.00,1,0,1,20120101,93979,CPT,DUP-SCAN AORTA IVC ILIAC VASCL/BPGS UNI/LMTD,,30,,,$615.66,$0.00,1,0,1,20120101,93980,CPT,DUP-SCAN ARTL INFL&VEN O/F PEN VSL COMPL,,30,,,$978.65,$0.00,1,0,1,20120101,93981,CPT,DUP-SCAN ARTL INFL&VEN O/F PEN VSL F-UP/LMTD STD,,30,,,$978.65,$0.00,1,0,1,20120101,93982,CPT,IMPLANT WIRELESS PRESS SENSOR STUDY ANEURYSM SAC,,30,,,$426.49,$0.00,1,0,1,20120101,93990,CPT,DUPLEX SCAN HEMODIALYSIS ACCESS,,30,,,$615.66,$0.00,1,0,1,20120101,93998,CPT,UNLISTED NONINVASIVE VASCULAR DIAGNOSTIC STUDY,,30,,,$122.59,$0.00,1,0,1,20120101,94002,CPT,VENTILATION ASSIST & MGMT INPATIENT 1ST DAY,,30,,,"$1,292.81",$0.00,1,0,1,20120101,94003,CPT,VENTILATION ASSIST & MGMT INPATIENT EA SBSQ DAY,,30,,,"$1,292.81",$0.00,1,0,1,20120101,94010,CPT,SPMTRY W/VC EXPIRATORY FLO +-MXML VOL VNTJ,,30,,,$331.94,$0.00,1,0,1,20120101,94011,CPT,MEAS SPIROMTRC FORCD EXPIRATORY FLO INFANT</2 YR,,30,,,$331.94,$0.00,1,0,1,20120101,94012,CPT,MEAS SPIRO FRCD EXP FLO PRE&POST BRONCH INF </2Y,,30,,,$331.94,$0.00,1,0,1,20120101,94013,CPT,MEASUREMENT LUNG VOLUMES INFANT/CHILD </2 YRS,,30,,,"$1,130.25",$0.00,1,0,1,20120101,94014,CPT,PT-INITIATE SPIROMETRIC RECORDING&PHYS R&I,,30,,,$331.94,$0.00,1,0,1,20120101,94015,CPT,PATIENT-INITIATED SPIROMETRIC RECORDING,,30,,,$331.94,$0.00,1,0,1,20120101,94060,CPT,BRNCDILAT RSPSE SPMTRY PRE&POST-BRNCDILAT ADMN,,30,,,$628.89,$0.00,1,0,1,20120101,94070,CPT,BRNCSPSM PROVOCATION EVAL MLT SPMTRY W/ADMN AGT,,30,,,"$1,130.25",$0.00,1,0,1,20120101,94150,CPT,VITAL CAPACITY TOTAL SEPARATE PROCEDURE,,30,,,$331.94,$0.00,1,0,1,20120101,94200,CPT,MAX BREATHING CAPACITY MAXIMAL VOLUNTARY VENTJ,,30,,,$331.94,$0.00,1,0,1,20120101,94250,CPT,EXPIRED GAS COLLECTION QUANT 1 PROCEDURE SPX,,30,,,$331.94,$0.00,1,0,1,20120101,94375,CPT,RESPIRATORY FLOW VOLUME LOOP,,30,,,$331.94,$0.00,1,0,1,20120101,94400,CPT,BREATHING RESPONSE TO CO2,,30,,,$331.94,$0.00,1,0,1,20120101,94450,CPT,BREATHING RESPONSE TO HYPOXIA,,30,,,$401.77,$0.00,1,0,1,20120101,94452,CPT,HIGH ALTITUDE SIMULATJ TEST W/PHYS INTERP&REPORT,,30,,,$401.77,$0.00,1,0,1,20120101,94453,CPT,HIGH ALTITUDE SIMULATJ W/PHYS I&R W/O2 TITRATION,,30,,,$331.94,$0.00,1,0,1,20120101,94610,CPT,INTRAPULMONARY SURFACTANT ADMINISTRATION,,30,,,$178.73,$0.00,1,0,1,20120101,94620,CPT,PULMONARY STRESS TESTING SIMPLE,,30,,,$401.77,$0.00,1,0,1,20120101,94621,CPT,PULMONARY STRESS TESTING COMPLEX,,30,,,"$1,130.25",$0.00,1,0,1,20120101,94640,CPT,PRESSURIZED/NONPRESSURIZED INHALATION TREATMENT,,30,,,$178.73,$0.00,1,0,1,20120101,94642,CPT,PENTAMIDINE AERSL INHALATION PNEUMOCYSTIS/PROPH,,30,,,$628.89,$0.00,1,0,1,20120101,94644,CPT,CONTINUOUS INHALATION TREATMENT 1ST HR,,30,,,$303.61,$0.00,1,0,1,20120101,94645,CPT,CONTINUOUS INHALATION TREATMENT EA ADDL HR,,30,,,$303.61,$0.00,1,0,1,20120101,94660,CPT,CPAP VENTILATION CPAP INITIATION&MGMT,,30,,,$628.89,$0.00,1,0,1,20120101,94662,CPT,CONTINUOUS NEGATIVE PRESSURE VENTJ INITIAT&MGMT,,30,,,"$1,292.81",$0.00,1,0,1,20120101,94664,CPT,DEMO&/EVAL OF PT UTILIZ AERSL GEN/NEB/INHLR/IPPB,,30,,,$178.73,$0.00,1,0,1,20120101,94667,CPT,MANJ CH WALL FACILITATE LNG FUNCJ 1 DEMO&/EVAL,,30,,,$178.73,$0.00,1,0,1,20120101,94668,CPT,MANJ CHEST WALL FACILITATE LUNG FUNCTION SUBSQ,,30,,,$178.73,$0.00,1,0,1,20120101,94680,CPT,O2 UPTK EXP GAS ANALYSIS REST&XERS DIRECT SIMPLE,,30,,,$401.77,$0.00,1,0,1,20120101,94681,CPT,O2 UPTK EXP GAS ALYS W/CO2 OUTPUT % O2 XTRC,,30,,,"$1,130.25",$0.00,1,0,1,20120101,94690,CPT,O2 UPTAKE EXP GAS ANALYSIS REST INDIRECT SPX,,30,,,$331.94,$0.00,1,0,1,20120101,94726,CPT,PLETHYSMOGRAPHY LUNG VOLUMES W/WO AIRWAY RESIST,,30,,,$331.94,$0.00,1,0,1,20120101,94727,CPT,GAS DILUT/WASHOUT LUNG VOL W/WO DISTRIB VENT&VOL,,30,,,$331.94,$0.00,1,0,1,20120101,94728,CPT,AIRWAY RESISTANCE BY IMPULSE OSCILLOMETRY,,30,,,$331.94,$0.00,1,0,1,20120101,94729,CPT,DIFFUSING CAPACITY,,30,,,$401.77,$0.00,1,0,1,20120101,94750,CPT,PULMONARY COMPLIANCE STUDY,,30,,,$331.94,$0.00,1,0,1,20120101,94762,CPT,NONINVASIVE EAR/PULSE OXIMETRY OVERNIGHT MONITOR,,30,,,$426.49,$0.00,1,0,1,20120101,94770,CPT,CARBON DIOXIDE EXP GAS DETER INFRARED ANALYZER,,30,,,$401.77,$0.00,1,0,1,20120101,94772,CPT,CIRCADIAN RESPIRATRY PATTERN REC 12-24 HR INFANT,,30,,,"$1,130.25",$0.00,1,0,1,20120101,94775,CPT,PEDIATRIC APNEA MONITOR ATTACHMENT,,30,,,$426.49,$0.00,1,0,1,20120101,94776,CPT,PEDIATRIC APNEA MONITOR ANALYSES COMPUTER,,30,,,$426.49,$0.00,1,0,1,20120101,94780,CPT,CAR SEAT/BED TESTING W/INTERP & REPORT 60 MIN,,30,,,$303.61,$0.00,1,0,1,20120101,94781,CPT,CAR SEAT/BED TESTNG W/INTERP & REPORT +30MIN,,30,,,$303.61,$0.00,1,0,1,20120101,94799,CPT,UNLISTED PULMONARY SERVICE/PROCEDURE,,30,,,$331.94,$0.00,1,0,1,20120101,95004,CPT,PERCUTANEOUS TESTS W/ALLERGENIC EXTRACTS,,30,,,$213.34,$0.00,1,0,1,20120101,95010,CPT,PERQ TSTS SEQL&INCRL RX/BIOLOGIC/VNM IMMT RXN,,30,,,$213.34,$0.00,1,0,1,20120101,95012,CPT,NITRIC OXIDE EXPIRED GAS DETERMINATION,,30,,,$331.94,$0.00,1,0,1,20120101,95015,CPT,IQ TSTS SEQL&INCRL RX/BIOLOGIC/VNM IMMT RXN,,30,,,$213.34,$0.00,1,0,1,20120101,95024,CPT,INTRACUTANEOUS TESTS W/ALLERGENIC EXTRACTS,,30,,,$213.34,$0.00,1,0,1,20120101,95027,CPT,INTRACUTANEOUS TESTS W/ALLERGENIC XTRCS AIRBORNE,,30,,,$213.34,$0.00,1,0,1,20120101,95028,CPT,IQ TSTS W/ALLGIC XTRCS DLYD TYP RXN W/READING,,30,,,$213.34,$0.00,1,0,1,20120101,95044,CPT,PATCH/APPLICATION TEST SPECIFY NUMBER TESTS,,30,,,$213.34,$0.00,1,0,1,20120101,95052,CPT,PHOTO PATCH TEST SPECIFY NUMBER TSTS,,30,,,$213.34,$0.00,1,0,1,20120101,95056,CPT,PHOTO TESTS,,30,,,$515.44,$0.00,1,0,1,20120101,95060,CPT,OPHTHALMIC MUCOUS MEMBRANE TESTS,,30,,,$515.44,$0.00,1,0,1,20120101,95065,CPT,DIRECT NASAL MUCOUS MEMBRANE TEST,,30,,,$213.34,$0.00,1,0,1,20120101,95070,CPT,INHLJ BRNCL CHALLENGE TSTG W/HISTAM/METHACHOL,,30,,,"$1,130.25",$0.00,1,0,1,20120101,95071,CPT,INHLJ BRNCL CHALLENGE TSTG W/AGS/GASES,,30,,,$401.77,$0.00,1,0,1,20120101,95075,CPT,INGESTION CHALLENGE TEST,,30,,,"$1,755.06",$0.00,1,0,1,20120101,95115,CPT,PROF SVCS ALLG IMMNTX X W/PRV ALLGIC XTRCS 1 NJX,,30,,,$170.55,$0.00,1,0,1,20120101,95117,CPT,PROF SVCS ALLG IMMNTX X W/PRV ALLGIC XTRCS NJXS,,30,,,$170.55,$0.00,1,0,1,20120101,95120,CPT,PROF SVCS ALLG IMMNTX W/PRV ALLGIC XTRC 1 NJX,,30,,,$49.57,$0.00,1,0,1,20120101,95125,CPT,PROF SVCS ALLG IMMNTX W/PRV ALLGIC XTRC 2/> NJXS,,30,,,$82.36,$0.00,1,0,1,20120101,95132,CPT,PROF SVCS ALLG IMMNTX W/PRV ALLGIC XTRC 3 INSECT,,30,,,$70.37,$0.00,1,0,1,20120101,95133,CPT,PROF SVCS ALLG IMMNTX W/PRV ALLGIC XTRC 4 INSECT,,30,,,$84.60,$0.00,1,0,1,20120101,95144,CPT,PREPJ& ANTIGEN PRV ALLERGEN IMMUNOTHERAPY 1 DOSE,,30,,,$238.03,$0.00,1,0,1,20120101,95145,CPT,PREPJ& ANTIGEN ALLERGEN IMMUNOTHERAPY 1 INSECT,,30,,,$238.03,$0.00,1,0,1,20120101,95146,CPT,PREPJ& ANTIGEN ALLERGEN IMMUNOTHERAPY 2 INSECTS,,30,,,$474.34,$0.00,1,0,1,20120101,95147,CPT,PREPJ& ANTIGEN ALLERGEN IMMUNOTHERAPY 3 INSECTS,,30,,,$474.34,$0.00,1,0,1,20120101,95148,CPT,PREPJ& ANTIGEN ALLERGEN IMMUNOTHERAPY 4 INSECTS,,30,,,$238.03,$0.00,1,0,1,20120101,95149,CPT,PREPJ& ANTIGEN ALLERGEN IMMUNOTHERAPY 5 INSECTS,,30,,,$238.03,$0.00,1,0,1,20120101,95165,CPT,PREPJ& ALLERGEN IMMUNOTHERAPY 1/MLT ANTIGEN,,30,,,$170.55,$0.00,1,0,1,20120101,95170,CPT,PREPJ& ANTIGEN ALLERGEN IMMUNOTHERAPY WHL INSECT,,30,,,$238.03,$0.00,1,0,1,20120101,95180,CPT,RAPID DESENSITIZATION PROCEDURE EACH HOUR,,30,,,$515.44,$0.00,1,0,1,20120101,95199,CPT,UNLISTED ALLERGY/CLINICAL IMMUNOLOGIC SRVC/PX,,30,,,$213.34,$0.00,1,0,1,20120101,95250,CPT,GLUC MNTR CONT REC FROM INTERSTITIAL TISS FLUID,,30,,,$346.16,$0.00,1,0,1,20120101,95800,CPT,SLP STDY UNATND W/HRT RATE/O2 SAT/RESP/SLP TIME,,30,,,"$1,070.48",$0.00,1,0,1,20120101,95801,CPT,SLP STDY UNATND W/MIN HRT RATE/O2 SAT/RESP ANAL,,30,,,"$1,070.48",$0.00,1,0,1,20120101,95803,CPT,ACTIGRAPHY TESTING RECORDING ANALYSIS I&R,,30,,,$536.81,$0.00,1,0,1,20120101,95805,CPT,MLT SLEEP LATENCY/MAINT OF WAKEFULNESS TSTG,,30,,,"$4,491.57",$0.00,1,0,1,20120101,95806,CPT,SLEEP STD AIRFLOW HRT RATE&O2 SAT EFFORT UNATTN,,30,,,"$1,070.48",$0.00,1,0,1,20120101,95807,CPT,SLEEP STD REC VNTJ RESPIR ECG/HRT RATE&O2 ATTN,,30,,,"$4,491.57",$0.00,1,0,1,20120101,95808,CPT,POLYSOMNOGRAPHY SLEEP STAGING 1-3 ADDL PARAM,,30,,,"$4,491.57",$0.00,1,0,1,20120101,95810,CPT,POLYSOMNOGRAPHY SLEEP STAGING 4/> ADDL PARAM,,30,,,"$4,491.57",$0.00,1,0,1,20120101,95811,CPT,POLYSM SLEEP STAGING 4/> ADDL PARAM W/CPAP TX,,30,,,"$4,491.57",$0.00,1,0,1,20120101,95812,CPT,ELECTROENCEPHALOGRAM EXTND MNTR 41-60 MIN,,30,,,"$1,070.48",$0.00,1,0,1,20120101,95813,CPT,ELECTROENCEPHALOGRAM EXTND MNTR > 1 HR,,30,,,"$1,070.48",$0.00,1,0,1,20120101,95816,CPT,ELECTROENCEPHALOGRAM W/REC AWAKE&DROWSY,,30,,,"$1,070.48",$0.00,1,0,1,20120101,95819,CPT,ELECTROENCEPHALOGRAM W/REC AWAKE&ASLEEP,,30,,,"$1,070.48",$0.00,1,0,1,20120101,95822,CPT,ELECTROENCEPHALOGRAM REC COMA/SLEEP ONLY,,30,,,"$1,070.48",$0.00,1,0,1,20120101,95824,CPT,ELECTROENCEPHALOGRAM CERE DEATH EVAL ONLY,,30,,,"$1,122.18",$0.00,1,0,1,20120101,95827,CPT,ELECTROENCEPHALOGRAM ALL NIGHT RECORDING,,30,,,"$1,070.48",$0.00,1,0,1,20120101,95831,CPT,MUSC TSTG MNL W/REPRT XTR EX HAND/TRNK,,30,,,$134.10,$0.00,1,0,1,20120101,95832,CPT,MUSC TSTG MNL W/REPRT HAND W/WO CMPRSN NRML SIDE,,30,,,$90.93,$0.00,1,0,1,20120101,95833,CPT,MUSC TSTG MNL W/REPRT TOTAL EVAL BODY EX HANDS,,30,,,$208.04,$0.00,1,0,1,20120101,95834,CPT,MUSC TSTG MNL W/REPRT TOTAL EVAL BODY W/HANDS,,30,,,$113.66,$0.00,1,0,1,20120101,95851,CPT,ROM MEAS&REPRT EA XTR EX HAND/EA TRNK SCTJ SPINE,,30,,,$75.46,$0.00,1,0,1,20120101,95852,CPT,ROM MEAS&REPRT HAND W/WO COMPARISON NORMAL SIDE,,30,,,$75.46,$0.00,1,0,1,20120101,95857,CPT,CHOLINESTERASE INHIBITOR CHALLENGE TEST,,30,,,$536.81,$0.00,1,0,1,20120101,95860,CPT,NDL EMG 1 XTR W/WO RELATED PARASPINAL AREAS,,30,,,$536.81,$0.00,1,0,1,20120101,95861,CPT,NDL EMG 2 XTR W/WO RELATED PARASPINAL AREAS,,30,,,$536.81,$0.00,1,0,1,20120101,95863,CPT,NDL EMG 3 XTR W/WO RELATED PARASPINAL AREAS,,30,,,$536.81,$0.00,1,0,1,20120101,95864,CPT,NDL EMG 4 XTR W/WO RELATED PARASPINAL AREAS,,30,,,$536.81,$0.00,1,0,1,20120101,95865,CPT,NEEDLE ELECTROMYOGRAPHY LARYNX,,30,,,$536.81,$0.00,1,0,1,20120101,95866,CPT,NEEDLE ELECTROMYOGRAPHY HEMIDIAPHRAGM,,30,,,$536.81,$0.00,1,0,1,20120101,95867,CPT,NEEDLE ELECTROMYOGRAPHY CRANIAL NRV MUSCLE UNI,,30,,,$536.81,$0.00,1,0,1,20120101,95868,CPT,NEEDLE ELECTROMYOGRAPHY CRANIAL NRV MUSCLE BI,,30,,,$536.81,$0.00,1,0,1,20120101,95869,CPT,NEEDLE EMG THRC PARASPI MUSC EXCLUDING T1/T12,,30,,,$281.36,$0.00,1,0,1,20120101,95870,CPT,NEEDLE EMG LMTD STD MUSC 1 XTR/NON-LIMB UNI/BI,,30,,,$281.36,$0.00,1,0,1,20120101,95872,CPT,NEEDLE EMG W/1 FIBER ELECTRODE QUAN MEAS JITTER,,30,,,$536.81,$0.00,1,0,1,20120101,95875,CPT,ISCHEMIC LIMB XERS TST SPEC ACQUISJ METAB,,30,,,$536.81,$0.00,1,0,1,20120101,95885,CPT,NEEDLE EMG EA EXTREMITY W/PARASPINL AREA LIMITED,,30,,,$536.81,$0.00,1,0,1,20120101,95886,CPT,NEEDLE EMG EA EXTREMTY W/PARASPINL AREA COMPLETE,,30,,,$536.81,$0.00,1,0,1,20120101,95887,CPT,NEEDLE EMG NONEXTREMTY MSCLES W/NERVE CONDUCTION,,30,,,$281.36,$0.00,1,0,1,20120101,95900,CPT,NRV CNDJ AMPLT&LATNCY EA NRV MOTR W/O F-WAVE STD,,30,,,$281.36,$0.00,1,0,1,20120101,95903,CPT,NRV CNDJ AMPLT&LATENCY EA NRV MOTOR W/F-WAVE STD,,30,,,$281.36,$0.00,1,0,1,20120101,95904,CPT,NRV CNDJ AMPLITUDE & LATENCY EACH NERVE SENSORY,,30,,,$281.36,$0.00,1,0,1,20120101,95905,CPT,MOTOR &/SENS NRV CNDJ PRECONF ELTRD ARRAY LIMB,,30,,,$281.36,$0.00,1,0,1,20120101,95921,CPT,TSTG ANS FUNCJ CARDIOVAGAL INNERVAJ PARASYMP,,30,,,$536.81,$0.00,1,0,1,20120101,95922,CPT,TSTG ANS FUNCJ VASOMOTOR ADRENERGIC INNERVAJ,,30,,,$536.81,$0.00,1,0,1,20120101,95923,CPT,TESTING AUTONOMIC NERVOUS SYSTEM FUNCTION,,30,,,$536.81,$0.00,1,0,1,20120101,95925,CPT,SHORT-LATENCY SOMATOSENS EP STD UPR LIMBS,,30,,,"$1,122.18",$0.00,1,0,1,20120101,95926,CPT,SHORT-LATENCY SOMATOSENS EP STD LWR LIMBS,,30,,,"$1,122.18",$0.00,1,0,1,20120101,95927,CPT,SHORT-LATENCY SOMATOSENS EP STD TRNK/HEAD,,30,,,"$1,122.18",$0.00,1,0,1,20120101,95928,CPT,CTR MOTOR EP STD TRANSCRNL MOTOR STIMJ UPR LIMBS,,30,,,$536.81,$0.00,1,0,1,20120101,95929,CPT,CTR MOTOR EP STD TRANSCRNL MOTOR STIMJ LWR LIMBS,,30,,,$536.81,$0.00,1,0,1,20120101,95930,CPT,VISUAL EP TSTG CNS CHECKERBOARD/FLASH,,30,,,"$1,122.18",$0.00,1,0,1,20120101,95933,CPT,ORBICULARIS OCULI REFLX ELECTRODIAGNOSTIC TEST,,30,,,$281.36,$0.00,1,0,1,20120101,95934,CPT,H-REFLEX AMPLT&LATENCY GASTRCN/SOLEUS MUSC,,30,,,$281.36,$0.00,1,0,1,20120101,95936,CPT,H-REFLEX AMPLT&LATENCY OTH/THN GASTRCN/SOLEUS,,30,,,$281.36,$0.00,1,0,1,20120101,95937,CPT,NEUROMUSCULAR JUNCT TSTG EA NRV ANY 1 METH,,30,,,$536.81,$0.00,1,0,1,20120101,95938,CPT,SHORT-LATENCY SOMATOSENS EP STD UPR & LOW LIMBS,,30,,,"$1,122.18",$0.00,1,0,1,20120101,95939,CPT,CTR MOTR EP STD TRANSCRNL MOTR STIM UPR&LOW LIMB,,30,,,$536.81,$0.00,1,0,1,20120101,95950,CPT,MONITOR ID& LATERALIZATION SEIZURE FOCUS EEG,,30,,,"$4,491.57",$0.00,1,0,1,20120101,95951,CPT,LOCALIZE CEREBRAL SEIZURE CABLE/RADIO EEG/VIDEO,,30,,,"$4,491.57",$0.00,1,0,1,20120101,95953,CPT,LOCALIZE CEREBRAL SEIZURE CPTR PORTABLE EEG,,30,,,"$4,491.57",$0.00,1,0,1,20120101,95954,CPT,RX/PHYSICAL ACTIVAJ PHYS ATTN DURING EEG ACTIVAJ,,30,,,$536.81,$0.00,1,0,1,20120101,95956,CPT,MNTR SEIZURE CMPTR 16>CHAN EEG ATND EA 24 HR,,30,,,"$4,491.57",$0.00,1,0,1,20120101,95958,CPT,WADA ACTIVATION TEST HEMISPHERIC FUNCTION W/EEG,,30,,,"$1,070.48",$0.00,1,0,1,20120101,95961,CPT,FUNCJAL CORT&SUBCORT MAPG ELTRDS 1 HR PHYS ATTN,,30,,,"$1,122.18",$0.00,1,0,1,20120101,95962,CPT,FUNCJAL CORT&SUBCORT MAPG ELTRDS EA HR PHYS ATTN,,30,,,"$1,122.18",$0.00,1,0,1,20120101,95965,CPT,MAGNETOENCEPHALOGRAPHY SPON BRAIN ACTIVITY,,30,,,"$13,230.80",$0.00,1,0,1,20120101,95966,CPT,MAGNETOENCEPHALOGRAPY EVOKED FIELDS 1 MODALITY,,30,,,"$4,890.71",$0.00,1,0,1,20120101,95967,CPT,MAGNETOENCEPHALOGRAPY EVOKED FIELDS EACH ADDL,,30,,,"$4,890.71",$0.00,1,0,1,20120101,95970,CPT,ELEC ALYS NSTIM PLS GEN BRN/SC/PERPH W/O REPRGRM,,30,,,$536.81,$0.00,1,0,1,20120101,95971,CPT,ELEC ALYS NSTIM PLS GEN SMPL SC/PERPH W/PRGRMG,,30,,,$712.68,$0.00,1,0,1,20120101,95972,CPT,ELEC ALYS NSTIM PLS GEN CPLX SC/PERPH 1ST HR,,30,,,$712.68,$0.00,1,0,1,20120101,95973,CPT,ELEC ALYS NSTIM PLS GEN CPLX SC/PERPH EA 30 MIN,,30,,,$536.81,$0.00,1,0,1,20120101,95974,CPT,ELEC ALYS NSTIM PLS GEN CPLX CRNL NRV 1ST HR,,30,,,$712.68,$0.00,1,0,1,20120101,95975,CPT,ELEC ALYS NSTIM PLS GEN CPLX CRNL NRV EA 30 MIN,,30,,,$536.81,$0.00,1,0,1,20120101,95978,CPT,ELEC ALYS NSTIM PLS GEN CPLX DP BRN 1ST HR,,30,,,$712.68,$0.00,1,0,1,20120101,95979,CPT,ELEC ALYS NSTIM PLS GEN CPLX DP BRN EA 30 MIN,,30,,,$712.68,$0.00,1,0,1,20120101,95981,CPT,ELEC ALYS NSTIM GEN GASTRIC SBSQ W/O REPRGRMG,,30,,,$536.81,$0.00,1,0,1,20120101,95982,CPT,ELEC ALYS NSTIM PLS GEN GASTRIC SBSQ W/REPRGRMG,,30,,,$712.68,$0.00,1,0,1,20120101,95990,CPT,REFILL&MAINTENANCE PUMP DRUG DLVR SPINAL/BRAIN,,30,,,$759.90,$0.00,1,0,1,20120101,95991,CPT,RFL&MAIN IMPLT PMP/RSVR RX DLVR SPI/BRN BY PHYS,,30,,,$759.90,$0.00,1,0,1,20120101,95992,CPT,CANALITH REPOSITIONING PROCEDURE,,30,,,$377.32,$0.00,1,0,1,20120101,95999,CPT,UNLIS NEUROLOGICAL/NEUROMUSCULAR DX PX,,30,,,$281.36,$0.00,1,0,1,20120101,96000,CPT,COMPRE CPTR MTN ALYS VIDEO TAPING 3-D KINEMATICS,,30,,,"$1,122.18",$0.00,1,0,1,20120101,96001,CPT,COMPRE CPTR MTN ALYS W/DYN PLNTR PRES MEAS WALKG,,30,,,"$1,122.18",$0.00,1,0,1,20120101,96002,CPT,DYN SURF EMG WALKG/FUNCJAL ACTV 1-12 MUSC,,30,,,$536.81,$0.00,1,0,1,20120101,96003,CPT,DYN FINE WIRE EMG WALKG/FUNCJAL ACTV 1 MUSC,,30,,,$536.81,$0.00,1,0,1,20120101,96040,CPT,MEDICAL GENETICS COUNSELING EACH 30 MINUTES,,30,,,$222.99,$0.00,1,0,1,20120101,96101,CPT,PSYCHOLOGICAL TESTING PR HR WITH PATIENT,,30,,,"$1,140.42",$0.00,1,0,1,20120101,96102,CPT,PSYCHOLOGICAL TESTING ADMN BY TECH PR HR,,30,,,$588.94,$0.00,1,0,1,20120101,96103,CPT,PSYCHOLOGICAL TESTING COMPUTER W/PROF I&R,,30,,,$588.94,$0.00,1,0,1,20120101,96105,CPT,ASSESSMENT PHASIA W/INTERP & REPORT PER HOUR,,30,,,$431.75,$0.00,1,0,1,20120101,96110,CPT,DEVELOPMENTAL SCREENING W/INTERP&REPRT STD FORM,,30,,,$588.94,$0.00,1,0,1,20120101,96111,CPT,DEVELOPMENTAL TESTING W/INTERP & REPORT,,30,,,$588.94,$0.00,1,0,1,20120101,96116,CPT,NUBHVL STATUS XM PR HR W/PT INTERPJ&PREPJ,,30,,,"$1,140.42",$0.00,1,0,1,20120101,96118,CPT,NUROPSYC TESTING PR HR W/PT & INTERPJ TIME,,30,,,"$1,140.42",$0.00,1,0,1,20120101,96119,CPT,NUROPSYC TSTG WPROF I&R ADMN BY TECH PR HR,,30,,,"$1,140.42",$0.00,1,0,1,20120101,96120,CPT,NEUROPSYCHOLOG TESTING COMPUTER W/PROF I&R,,30,,,"$1,140.42",$0.00,1,0,1,20120101,96150,CPT,HLTH&BEHAVIOR ASSMT EA 15 MIN W/PT 1ST ASSMT,,30,,,$150.71,$0.00,1,0,1,20120101,96151,CPT,HLTH&BEHAVIOR ASSMT EA 15 MIN W/PT RE-ASSMT,,30,,,$150.71,$0.00,1,0,1,20120101,96152,CPT,HLTH&BEHAVIOR IVNTJ EA 15 MIN INDIV,,30,,,$150.71,$0.00,1,0,1,20120101,96153,CPT,HLTH&BEHAVIOR IVNTJ EA 15 MIN GRP 2/> PTS,,30,,,$150.71,$0.00,1,0,1,20120101,96154,CPT,HLTH&BEHAVIOR IVNTJ EA 15 MIN FAM W/PT,,30,,,$150.71,$0.00,1,0,1,20120101,96155,CPT,HLTH&BEHAVIOR IVNTJ EA 15 MIN FAM W/O PT,,30,,,$117.23,$0.00,1,0,1,20120101,96360,CPT,IV INFUSION HYDRATION INITIAL 31 MIN-1 HOUR,,30,,,$474.34,$0.00,1,0,1,20120101,96361,CPT,IV INFUSION HYDRATION EACH ADDITIONAL HOUR,,30,,,$170.55,$0.00,1,0,1,20120101,96365,CPT,IV INFUSION THERAPY/PROPHYLAXIS /DX 1ST TO 1 HR,,30,,,$759.90,$0.00,1,0,1,20120101,96366,CPT,IV INFUSION THERAPY PROPHYLAXIS/DX EA HOUR,,30,,,$238.03,$0.00,1,0,1,20120101,96367,CPT,IV INFUSION THER PROPH ADDL SEQUENTIAL TO 1 HR,,30,,,$238.03,$0.00,1,0,1,20120101,96369,CPT,SUBCUTANEOUS INFUSION INITIAL 1 HR W/PUMP SET-UP,,30,,,$759.90,$0.00,1,0,1,20120101,96370,CPT,SUBCUTANEOUS INFUSION EACH ADDITIONAL HOUR,,30,,,$238.03,$0.00,1,0,1,20120101,96371,CPT,SUBQ INFUSION ADDITIONAL PUMP INFUSION SITE,,30,,,$238.03,$0.00,1,0,1,20120101,96372,CPT,THERAPEUTIC PROPHYLACTIC/DX INJECTION SUBQ/IM,,30,,,$238.03,$0.00,1,0,1,20120101,96373,CPT,THERAPEUTIC PROPHYLACTIC/DX NJX INTRA-ARTERIAL,,30,,,$238.03,$0.00,1,0,1,20120101,96374,CPT,THER PROPH/DX NJX IV PUSH SINGLE/1ST SBST/DRUG,,30,,,$238.03,$0.00,1,0,1,20120101,96375,CPT,THERAPEUTIC INJECTION IV PUSH EACH NEW DRUG,,30,,,$238.03,$0.00,1,0,1,20120101,96379,CPT,UNLISTED THERAPEUTIC PROPH/DX IV/IA NJX/NFS,,30,,,$170.55,$0.00,1,0,1,20120101,96401,CPT,CHEMOTX ADMN SUBQ/IM NON-HORMONAL ANTI-NEO,,30,,,$238.03,$0.00,1,0,1,20120101,96402,CPT,CHEMOTX ADMN SUBQ/IM HORMONAL ANTI-NEO,,30,,,$238.03,$0.00,1,0,1,20120101,96405,CPT,CHEMOTHERAPY ADMINISTRATION INTRALESIONAL </7,,30,,,$238.03,$0.00,1,0,1,20120101,96406,CPT,CHEMOTHERAPY ADMINISTRATION INTRALESIONAL > 7,,30,,,$759.90,$0.00,1,0,1,20120101,96409,CPT,CHEMOTX ADMN IV PUSH TQ 1/1ST SBST/DRUG,,30,,,$759.90,$0.00,1,0,1,20120101,96411,CPT,CHEMOTX ADMN IV PUSH TQ EA SBST/DRUG,,30,,,$474.34,$0.00,1,0,1,20120101,96413,CPT,CHEMOTX ADMN IV NFS TQ UP 1 HR 1/1ST SBST/DRUG,,30,,,"$1,353.80",$0.00,1,0,1,20120101,96415,CPT,CHEMOTHERAPY ADMN IV INFUSION TQ EA HR,,30,,,$238.03,$0.00,1,0,1,20120101,96416,CPT,CHEMOTX ADMN TQ INIT PROLNG CHEMOTX NFUS PMP,,30,,,"$1,353.80",$0.00,1,0,1,20120101,96417,CPT,CHEMOTX ADMN IV NFS TQ EA SEQL NFS TO 1 HR,,30,,,$474.34,$0.00,1,0,1,20120101,96420,CPT,CHEMOTHERAPY ADMIN INTRA-ARTERIAL PUSH TQ,,30,,,$474.34,$0.00,1,0,1,20120101,96422,CPT,CHEMOTHERAPY ADMIN INTRA-ARTERIAL INFUS </1 HR,,30,,,"$1,353.80",$0.00,1,0,1,20120101,96423,CPT,CHEMOTHERAPY ADMN INTRAARTERIAL INFUSION EA HR,,30,,,$474.34,$0.00,1,0,1,20120101,96425,CPT,CHEMOTX ADMN IA NFS > 8 HR PRTBLE IMPLTBL PMP,,30,,,"$1,353.80",$0.00,1,0,1,20120101,96440,CPT,CHEMOTX ADMN PLEURAL CAVITY REQ&W/THORACNTS,,30,,,$759.90,$0.00,1,0,1,20120101,96446,CPT,CHEMOTX ADMN PRTL CAVITY PORT/CATH,,30,,,$759.90,$0.00,1,0,1,20120101,96450,CPT,CHEMOTX ADMN CNS REQ SPINAL PUNCTURE,,30,,,"$1,353.80",$0.00,1,0,1,20120101,96521,CPT,REFILLING & MAINTENANCE PORTABLE PUMP,,30,,,$759.90,$0.00,1,0,1,20120101,96522,CPT,REFILL&MAINTENANCE PUMP DRUG DLVR SYSTEMIC,,30,,,$759.90,$0.00,1,0,1,20120101,96523,CPT,IRRIGAJ IMPLNTD VENOUS ACCESS DRUG DELIVERY SYST,,30,,,$280.96,$0.00,1,0,1,20120101,96542,CPT,CHEMOTX NJX SUBARACHND/INTRAVENTR RSVR 1/MULT,,30,,,$474.34,$0.00,1,0,1,20120101,96549,CPT,UNLISTED CHEMOTHERAPY PROCEDURE,,30,,,$170.55,$0.00,1,0,1,20120101,96567,CPT,PDT XTRNL APPL LIGHT DSTR LES SKN BY ACTIVJ RX,,30,,,$372.19,$0.00,1,0,1,20120101,96570,CPT,PDT NDSC ABL ABNOR TISS VIA ACTIVJ RX 30 MIN,,30,,,$372.19,$0.00,1,0,1,20120101,96571,CPT,PDT NDSC ABL ABNOR TISS VIA ACTIVJ RX A 15 MIN,,30,,,$372.19,$0.00,1,0,1,20120101,96900,CPT,ACTINOTHERAPY ULTRAVIOLET LIGHT,,30,,,$214.95,$0.00,1,0,1,20120101,96910,CPT,PHOTOCHEMOTX TAR&UVB/PETROLATUM/UVB,,30,,,$214.95,$0.00,1,0,1,20120101,96912,CPT,PHOTOCHEMOTX PSORALENS&ULTRAVIOLET PUVA,,30,,,$214.95,$0.00,1,0,1,20120101,96913,CPT,PHOTOCHEMOTHERAPY DERMATOSES 4-8 HRS SUPERVISION,,30,,,"$1,270.75",$0.00,1,0,1,20120101,96920,CPT,LASER SKIN DISEASE PSORIASIS TOT AREA <250 SQ CM,,30,,,$372.19,$0.00,1,0,1,20120101,96921,CPT,LASER SKIN DISEASE PSORIASIS 250-500 SQ CM,,30,,,$372.19,$0.00,1,0,1,20120101,96922,CPT,LASER SKIN DISEASE PSORIASIS >500 SQ CM,,30,,,$372.19,$0.00,1,0,1,20120101,96999,CPT,UNLISTED SPECIAL DERMATOLOGICAL SERVICE/PROCED,,30,,,$131.65,$0.00,1,0,1,20120101,97005,CPT,ATHLETIC TRAINING EVALUATION,,30,,,$103.38,$0.00,1,0,1,20120101,97006,CPT,ATHLETIC TRAINING RE-EVALUATION,,30,,,$68.92,$0.00,1,0,1,20120101,97014,CPT,APPL MODALITY 1/> AREAS ELEC STIMJ UNATTENDED,,30,,,$68.92,$0.00,1,0,1,20120101,97597,CPT,DEBRIDEMENT OPEN WOUND 20 SQ CM/<,,30,,,$372.19,$0.00,1,0,1,20120101,97598,CPT,DEBRIDEMENT OPEN WOUND EACH ADDITIONAL 20 SQ CM,,30,,,$372.19,$0.00,1,0,1,20120101,97602,CPT,RMVL DEVITAL TISS N-SLCTV DBRDMT W/O ANES 1 SESS,,30,,,$238.23,$0.00,1,0,1,20120101,97605,CPT,NEGATIVE PRESSURE WOUND THERAPY </EQUAL 50 SQ CM,,30,,,$238.23,$0.00,1,0,1,20120101,97606,CPT,NEGATIVE PRESSURE WOUND THERAPY > 50 SQ CM,,30,,,$372.19,$0.00,1,0,1,20120101,97810,CPT,ACUPUNCTURE 1/> NDLES W/O ELEC STIMJ INIT 15 MIN,,30,,,$104.91,$0.00,1,0,1,20120101,97811,CPT,ACUPUNCTURE 1/> NDLS W/O ELEC STIMJ EA 15 MIN,,30,,,$35.20,$0.00,1,0,1,20120101,97813,CPT,ACUPUNCTURE 1/> NDLS W/ELEC STIMJ 1ST 15 MIN,,30,,,$105.59,$0.00,1,0,1,20120101,97814,CPT,ACUP 1/> NDLS W/ELEC STIMJ EA 15 MIN W/RE-INSJ,,30,,,$70.45,$0.00,1,0,1,20120101,98925,CPT,OSTEOPATHIC MANIPULATIVE TX 1-2 BODY REGIONS,,30,,,$138.35,$0.00,1,0,1,20120101,98926,CPT,OSTEOPATHIC MANIPULATIVE TX 3-4 BODY REGIONS,,30,,,$138.35,$0.00,1,0,1,20120101,98927,CPT,OSTEOPATHIC MANIPULATIVE TX 5-6 BODY REGIONS,,30,,,$138.35,$0.00,1,0,1,20120101,98928,CPT,OSTEOPATHIC MANIPULATIVE TX 7-8 BODY REGIONS,,30,,,$138.35,$0.00,1,0,1,20120101,98929,CPT,OSTEOPATHIC MANIPULATIVE TX 9-10 BODY REGIONS,,30,,,$138.35,$0.00,1,0,1,20120101,98940,CPT,CHIROPRACTIC MANIPULATIVE TX SPINAL 1-2 REGIONS,,30,,,$138.35,$0.00,1,0,1,20120101,98941,CPT,CHIROPRACTIC MANIPULATIVE TX SPINAL 3-4 REGIONS,,30,,,$138.35,$0.00,1,0,1,20120101,98942,CPT,CHIROPRACTIC MANIPULATIVE TX SPINAL 5 REGIONS,,30,,,$138.35,$0.00,1,0,1,20120101,98943,CPT,CHIROPRACTIC MANIPLTV TX EXTRASPINAL 1/> REGIONS,,30,,,$83.30,$0.00,1,0,1,20120101,98960,CPT,EDUCATION&TRAINING SELF-MGMT NONPHYS 1 PT,,30,,,$92.89,$0.00,1,0,1,20120101,98961,CPT,EDUCATION&TRAINING SELF-MGMT NONPHYS 2-4 PTS,,30,,,$64.34,$0.00,1,0,1,20120101,98962,CPT,EDUCATION&TRAINING SELF-MGMT NONPHYS 5-8 PTS,,30,,,$30.76,$0.00,1,0,1,20120101,99000,CPT,HANDLG&/OR CONVEY OF SPEC FOR TR OFFICE TO LAB,,30,,,$37.13,$0.00,1,0,1,20120101,99001,CPT,HANDLG&/OR CONVEY OF SPEC FOR TR FROM PT TO LAB,,30,,,$47.49,$0.00,1,0,1,20120101,99002,CPT,HANDLING CONVEY/ANY OTH SVC INVG DEV FIT BY PHYS,,30,,,$184.99,$0.00,1,0,1,20120101,99024,CPT,POSTOP FOLLOW UP VISIT RELATED TO ORIGINAL PX,,30,,,$185.61,$0.00,1,0,1,20120101,99026,CPT,HOSPITAL MANDATED CALL SERVICE IN-HOSPITAL EA HR,,30,,,$77.68,$0.00,1,0,1,20120101,99050,CPT,SERVICES PROVIDED OFFICE OTH/THN REG SCHED HOURS,,30,,,$120.93,$0.00,1,0,1,20120101,99051,CPT,SVC PRV OFFICE REG SCHEDD EVN WKEND/HOLIDAY HRS,,30,,,$195.12,$0.00,1,0,1,20120101,99053,CPT,SERVICES PROVIDED BTW 10 PM&8 AM AT 24-HR FACIL,,30,,,$165.28,$0.00,1,0,1,20120101,99058,CPT,SVC PRV EMER BASIS IN OFFICE DISRUPTING SVCS,,30,,,$27.09,$0.00,1,0,1,20120101,99070,CPT,SUPPLIES&MATERIALS PRV BY PHYS >&ABOVE,,30,,,$354.58,$0.00,1,0,1,20120101,99071,CPT,EDUCATIONAL SUPPLIES PRV BY THE PHYS AT COST,,30,,,$55.53,$0.00,1,0,1,20120101,99080,CPT,SPEC REPORTS > USUAL MED COMUNICAJ/STAND RPRTG,,30,,,$23.46,$0.00,1,0,1,20120101,99082,CPT,UNUSUAL TRAVEL,,30,,,$117.32,$0.00,1,0,1,20120101,99090,CPT,ANALYSIS CLINICAL DATA STORED IN COMPUTERS,,30,,,$338.93,$0.00,1,0,1,20120101,99100,CPT,ANESTHESIA EXTREME AGE PATIENT UNDER 1 YR&> 70,,30,,,$532.71,$0.00,1,0,1,20120101,99140,CPT,ANES COMPLICJ EMERGENCY CONDITIONS SPECIFY,,30,,,$273.37,$0.00,1,0,1,20120101,99170,CPT,ANOGENITAL XM W/COLPOSCOPY CHILD/SUSPECT TRAUMA,,30,,,$54.48,$0.00,1,0,1,20120101,99172,CPT,VISUAL FUNCT SCRNG AUTO SEMI-AUTO BI QUAN DETERM,,30,,,$119.54,$0.00,1,0,1,20120101,99173,CPT,SCREENING TEST VISUAL ACUITY QUANTITATIVE BILAT,,30,,,$75.09,$0.00,1,0,1,20120101,99183,CPT,PHYS ATTN&SUPVJ HYPRBARIC OXYGEN THER PR SESS,,30,,,"$1,759.87",$0.00,1,0,1,20120101,99195,CPT,PHLEBOTOMY THERAPEUTIC SEPARATE PROCEDURE,,30,,,$280.96,$0.00,1,0,1,20120101,99199,CPT,UNLISTED SPECIAL SERVICE PROCEDURE/REPORT,,30,,,$656.44,$0.00,1,0,1,20120101,99201,CPT,OFFICE OUTPATIENT NEW 10 MINUTES,,30,,,$140.75,$0.00,1,0,1,20120101,99202,CPT,OFFICE OUTPATIENT NEW 20 MINUTES,,30,,,$168.85,$0.00,1,0,1,20120101,99203,CPT,OFFICE OUTPATIENT NEW 30 MINUTES,,30,,,$223.63,$0.00,1,0,1,20120101,99204,CPT,OFFICE OUTPATIENT NEW 45 MINUTES,,30,,,$346.16,$0.00,1,0,1,20120101,99205,CPT,OFFICE OUTPATIENT NEW 60 MINUTES,,30,,,"$1,103.99",$0.00,1,0,1,20120101,99211,CPT,OFFICE OUTPATIENT VISIT 5 MINUTES,,30,,,$140.75,$0.00,1,0,1,20120101,99212,CPT,OFFICE OUTPATIENT VISIT 10 MINUTES,,30,,,$168.85,$0.00,1,0,1,20120101,99213,CPT,OFFICE OUTPATIENT VISIT 15 MINUTES,,30,,,$168.85,$0.00,1,0,1,20120101,99214,CPT,OFFICE OUTPATIENT VISIT 25 MINUTES,,30,,,$223.63,$0.00,1,0,1,20120101,99215,CPT,OFFICE OUTPATIENT VISIT 40 MINUTES,,30,,,$346.16,$0.00,1,0,1,20120101,99217,CPT,OBS CARE DSCHRG D MGMT,,30,,,$77.98,$0.00,1,1,1,20120101,99218,CPT,1ST OBS CARE PR D LOW SEVERITY,,30,,,$77.98,$355.22,2,1,1,20120101,99219,CPT,1ST OBS CARE PR D MODERATE SEVERITY,,30,,,$77.98,$355.22,2,1,1,20120101,99220,CPT,1ST OBS CARE PR D HIGH SEVERITY,,30,,,$77.98,$355.22,2,1,1,20120101,99224,CPT,SBSQ OBSERVATION CARE/DAY LOW SEVERITY,,30,,,$97.62,$0.00,1,0,1,20120101,99225,CPT,SBSQ OBSERVATION CARE/DAY MODERATE SEVERITY,,30,,,$173.88,$0.00,1,0,1,20120101,99226,CPT,SBSQ OBSERVATION CARE/DAY HIGH SEVERITY,,30,,,$247.09,$0.00,1,0,1,20120101,99231,CPT,SBSQ HOSPITAL CARE/DAY 15 MINUTES,,30,,,$97.62,$0.00,1,0,1,20120101,99232,CPT,SBSQ HOSPITAL CARE/DAY 25 MINUTES,,30,,,$173.88,$0.00,1,0,1,20120101,99233,CPT,SBSQ HOSPITAL CARE/DAY 35 MINUTES,,30,,,$247.09,$0.00,1,0,1,20120101,99234,CPT,OBS/I/P HOSP CARE LOW SEVERITY,,30,,,$77.98,$355.22,2,1,1,20120101,99235,CPT,OBS/I/P HOSP CARE MODERATE SEVERITY,,30,,,$77.98,$355.22,2,1,1,20120101,99236,CPT,OBS/I/P HOSP CARE HIGH SEVERITY,,30,,,$77.98,$355.22,2,1,1,20120101,99238,CPT,HOSPITAL DISCHARGE DAY MANAGEMENT 30 MIN/<,,30,,,$273.89,$0.00,1,0,1,20120101,99241,CPT,OFFICE CONSULTATION NEW/ESTAB PATIENT 15 MIN,,30,,,$115.56,$0.00,1,0,1,20120101,99242,CPT,OFFICE CONSULTATION NEW/ESTAB PATIENT 30 MIN,,30,,,$222.34,$0.00,1,0,1,20120101,99243,CPT,OFFICE CONSULTATION NEW/ESTAB PATIENT 40 MIN,,30,,,$211.11,$0.00,1,0,1,20120101,99244,CPT,OFFICE CONSULTATION NEW/ESTAB PATIENT 60 MIN,,30,,,$354.10,$0.00,1,0,1,20120101,99245,CPT,OFFICE CONSULTATION NEW/ESTAB PATIENT 80 MIN,,30,,,$241.82,$0.00,1,0,1,20120101,99252,CPT,INITL INPATIENT CONSULT NEW/ESTAB PT 40 MIN,,30,,,$387.92,$0.00,1,0,1,20120101,99253,CPT,INITL INPATIENT CONSULT NEW/ESTAB PT 55 MIN,,30,,,$445.83,$0.00,1,0,1,20120101,99254,CPT,INITL INPATIENT CONSULT NEW/ESTAB PT 80 MIN,,30,,,$570.36,$0.00,1,0,1,20120101,99281,CPT,EMERGENCY DEPARTMENT VISIT LIMITED/MINOR PROB,,30,,,$229.60,$0.00,1,1,1,20120101,99282,CPT,EMERGENCY DEPARTMENT VISIT LOW/MODER SEVERITY,,30,,,$440.76,$0.00,1,1,1,20120101,99283,CPT,EMERGENCY DEPARTMENT VISIT MODERATE SEVERITY,,30,,,$799.83,$0.00,1,1,1,20120101,99284,CPT,EMERGENCY DEPARTMENT VISIT HIGH/URGENT SEVERITY,,30,,,"$1,416.08",$0.00,1,1,1,20120101,99285,CPT,EMERGENCY DEPT VISIT HIGH SEVERITY&THREAT FUNCJ,,30,,,"$2,088.66",$0.00,1,1,1,20120101,99288,CPT,PHYSICIAN DIRECTION EMERGENCY MEDICAL SYSTEMS,,30,,,$179.51,$0.00,1,1,1,20120101,99291,CPT,CRITICAL CARE ILL/INJURED PATIENT INIT 30-74 MIN,,30,,,"$2,231.42",$0.00,1,1,1,20120101,99304,CPT,INITIAL NURSING FACILITY CARE/DAY LOW SEVERITY,,30,,,$151.35,$0.00,1,0,1,20120101,99305,CPT,INITIAL NURSING FACILITY CARE/DAY MODER SEVERITY,,30,,,$205.32,$0.00,1,0,1,20120101,99306,CPT,INITIAL NURSING FACILITY CARE/DAY HIGH SEVERITY,,30,,,$237.00,$0.00,1,0,1,20120101,99307,CPT,SBSQ NURSING FACILITY CARE/DAY E/M STABLE 10 MIN,,30,,,$83.91,$0.00,1,0,1,20120101,99308,CPT,SBSQ NURSING FACIL CARE/DAY MINOR COMPLJ 15 MIN,,30,,,$129.68,$0.00,1,0,1,20120101,99309,CPT,SBSQ NURSING FACIL CARE/DAY NEW PROBLEM 25 MIN,,30,,,$167.83,$0.00,1,0,1,20120101,99310,CPT,SBSQ NURS FACIL CARE/DAY UNSTABL/NEW PROB 35 MIN,,30,,,$234.58,$0.00,1,0,1,20120101,99315,CPT,NURSING FACILITY DISCHARGE MANAGEMENT 30 MIN/<,,30,,,$152.52,$0.00,1,0,1,20120101,99316,CPT,NURSING FACILITY DISCHARGE MANAGEMENT > 30 MIN,,30,,,$179.51,$0.00,1,0,1,20120101,99318,CPT,E/M ANNUAL NURSING FACILITY ASSESS STABLE 30 MIN,,30,,,$151.35,$0.00,1,0,1,20120101,99324,CPT,DOMICIL/REST HOME NEW PT VISIT LOW SEVER 20 MIN,,30,,,$115.79,$0.00,1,0,1,20120101,99325,CPT,DOMICIL/REST HOME NEW PT VISIT MOD SEVER 30 MIN,,30,,,$154.39,$0.00,1,0,1,20120101,99326,CPT,DOMICIL/REST HOME NEW PT HI-MOD SEVER 45 MIN,,30,,,$253.03,$0.00,1,0,1,20120101,99334,CPT,DOM/R-HOME E/M EST PT SELF-LMTD/MINOR,,30,,,$123.19,$0.00,1,0,1,20120101,99335,CPT,DOM/R-HOME E/M EST PT LW MOD SEVERITY,,30,,,$146.66,$0.00,1,0,1,20120101,99336,CPT,DOM/R-HOME E/M EST PT MOD HI SEVERITY,,30,,,$218.22,$0.00,1,0,1,20120101,99337,CPT,DOM/R-HOME E/M EST PT SIGNIFICANT NEW PROBLEM,,30,,,$401.25,$0.00,1,0,1,20120101,99341,CPT,HOME VISIT NEW PATIENT LOW SEVERITY 20 MIN,,30,,,$157.85,$0.00,1,0,1,20120101,99342,CPT,HOME VISIT NEW PATIENT MOD SEVERITY 30 MIN,,30,,,$211.47,$0.00,1,0,1,20120101,99343,CPT,HOME VST NEW PATIENT MOD-HI SEVERITY 45 MIN,,30,,,$330.60,$0.00,1,0,1,20120101,99344,CPT,HOME VISIT NEW PATIENT HI SEVERITY60 MIN,,30,,,$455.69,$0.00,1,0,1,20120101,99345,CPT,HOME VISIT NEW PT UNSTABL/SIGNIF NEW PROB 75 MIN,,30,,,$539.09,$0.00,1,0,1,20120101,99347,CPT,HOME VISIT EST PT SELF LIMITED/MINOR 15 MIN,,30,,,$128.16,$0.00,1,0,1,20120101,99348,CPT,HOME VISIT EST PT LOW-MOD SEVERITY 25 MIN,,30,,,$183.78,$0.00,1,0,1,20120101,99349,CPT,HOME VISIT EST PT MOD-HI SEVERITY 40 MIN,,30,,,$268.42,$0.00,1,0,1,20120101,99350,CPT,HOME VST EST PT UNSTABLE/SIGNIFICANT NEW PROBLEM,,30,,,$360.31,$0.00,1,0,1,20120101,99360,CPT,PHYS STANDBY SVC PROLNG PHYS ATTN EA 30 MIN,,30,,,$250.21,$0.00,1,0,1,20120101,99364,CPT,ANTICOAGULANT MGMT OUTPATIENT EA SBSQ 90 DAYS,,30,,,$85.25,$0.00,1,0,1,20120101,99375,CPT,PHYS SUPVJ PT HOME HLTH AGENCY MO 30 MIN/>,,30,,,$153.28,$0.00,1,0,1,20120101,99381,CPT,INITIAL PREVENTIVE MEDICINE NEW PATIENT < 1YR,,30,,,$226.44,$0.00,1,0,1,20120101,99382,CPT,INITIAL PREVENTIVE MEDICINE NEW PT AGE 1-4 YRS,,30,,,$254.59,$0.00,1,0,1,20120101,99383,CPT,INITIAL PREVENTIVE MEDICINE NEW PT AGE 5-11 YRS,,30,,,$254.59,$0.00,1,0,1,20120101,99384,CPT,INITIAL PREVENTIVE MEDICINE NEW PT AGE 12-17 YR,,30,,,$226.11,$0.00,1,0,1,20120101,99385,CPT,INITIAL PREVENTIVE MEDICINE NEW PT AGE 18-39YRS,,30,,,$298.00,$0.00,1,0,1,20120101,99386,CPT,INITIAL PREVENTIVE MEDICINE NEW PATIENT 40-64YRS,,30,,,$354.85,$0.00,1,0,1,20120101,99387,CPT,INITIAL PREVENTIVE MEDICINE NEW PATIENT 65YRS&>,,30,,,$308.73,$0.00,1,0,1,20120101,99391,CPT,PERIODIC PREVENTIVE MED ESTABLISHED PATIENT <1YR,,30,,,$191.24,$0.00,1,0,1,20120101,99392,CPT,PERIODIC PREVENTIVE MED EST PATIENT 1-4YRS,,30,,,$222.92,$0.00,1,0,1,20120101,99393,CPT,PERIODIC PREVENTIVE MED EST PATIENT 5-11YRS,,30,,,$222.92,$0.00,1,0,1,20120101,99394,CPT,PERIODIC PREVENTIVE MED EST PATIENT 12-17YRS,,30,,,$232.81,$0.00,1,0,1,20120101,99395,CPT,PERIODIC PREVENTIVE MED EST PATIENT 18-39 YRS,,30,,,$226.73,$0.00,1,0,1,20120101,99396,CPT,PERIODIC PREVENTIVE MED EST PATIENT 40-64YRS,,30,,,$263.44,$0.00,1,0,1,20120101,99397,CPT,PERIODIC PREVENTIVE MED EST PATIENT 65YRS&>,,30,,,$206.39,$0.00,1,0,1,20120101,99401,CPT,PREVENT MED COUNSEL&/RISK FACTOR REDJ SPX 15 MIN,,30,,,$47.18,$0.00,1,0,1,20120101,99402,CPT,PREVENT MED COUNSEL&/RISK FACTOR REDJ SPX 30 MIN,,30,,,$208.67,$0.00,1,0,1,20120101,99403,CPT,PREVENT MED COUNSEL&/RISK FACTOR REDJ SPX 45 MIN,,30,,,$238.80,$0.00,1,0,1,20120101,99404,CPT,PREVENT MED COUNSEL&/RISK FACTOR REDJ SPX 60 MIN,,30,,,$332.03,$0.00,1,0,1,20120101,99406,CPT,TOBACCO USE CESSATION INTERMEDIATE 3-10 MINUTES,,30,,,$89.75,$0.00,1,0,1,20120101,99407,CPT,TOBACCO USE CESSATION INTENSIVE >10 MINUTES,,30,,,$89.75,$0.00,1,0,1,20120101,99411,CPT,PREV MED COUNSEL&RISK FACTOR REDJ GRP SPX 30 MIN,,30,,,$52.80,$0.00,1,0,1,20120101,99412,CPT,PREV MED COUNSEL&RISK FACTOR REDJ GRP SPX 60 MIN,,30,,,$96.04,$0.00,1,0,1,20120101,99420,CPT,ADMN&INTERPJ HEALTH RISK ASSESSMENT INSTRUMENT,,30,,,$46.93,$0.00,1,0,1,20120101,99429,CPT,UNLISTED PREVENTIVE MEDICINE SERVICE,,30,,,$31.68,$0.00,1,0,1,20120101,99456,CPT,WORK RELATED/MED DBLT XM OTH/THN TREATING PHYS,,30,,,$106.42,$0.00,1,0,1,20120101,99460,CPT,1ST HOSP/BIRTHING CENTER CARE PER DAY NML NB,,30,,,$168.85,$0.00,1,0,1,20120101,99461,CPT,1ST CARE PR DAY NML NB XCPT HOSP/BIRTHING CENTER,,30,,,$198.28,$0.00,1,0,1,20120101,99463,CPT,1ST HOSP/BIRTHING CENTER NB ADMIT&DSCHG SM DATE,,30,,,$168.85,$0.00,1,0,1,20120101,99465,CPT,DELIVERY/BIRTHING ROOM RESUSCITATION,,30,,,"$1,018.09",$0.00,1,0,1,20120101,99499,CPT,UNLISTED EVALUATION AND MANAGEMENT SERVICE,,30,,,$397.05,$0.00,1,0,1,20120101,99500,CPT,HOME VISIT PRENATAL MONITORING & ASSESSMENT,,30,,,$590.08,$0.00,1,0,1,20120101,99501,CPT,HOME VISIT POSTNATAL ASSMT&F-UP CARE,,30,,,$265.15,$0.00,1,0,1,20120101,99502,CPT,HOME VISIT NEWBORN CARE & ASSESSMENT,,30,,,$258.11,$0.00,1,0,1,20120101,99503,CPT,HOME VISIT RESPIRATORY THERAPY CARE,,30,,,$293.31,$0.00,1,0,1,20120101,99505,CPT,HOME VISIT STOMA CARE&MAINT CLST&CSTOST,,30,,,$101.20,$0.00,1,0,1,20120101,99506,CPT,HOME VISIT INTRAMUSCULAR INJECTIONS,,30,,,$168.89,$0.00,1,0,1,20120101,99507,CPT,HOME VISIT CARE&MAINT CATH,,30,,,$152.52,$0.00,1,0,1,20120101,99509,CPT,HOME VISIT ASSISTANCE DAILY LIV&PRSONAL CARE,,30,,,$192.41,$0.00,1,0,1,20120101,99510,CPT,HOME VISIT INDIV FAM/MARRIAGE COUNSELING,,30,,,$262.81,$0.00,1,0,1,20120101,99512,CPT,HOME VISIT HEMODIALYSIS,,30,,,"$1,396.95",$0.00,1,0,1,20120101,99600,CPT,UNLISTED HOME VISIT SERVICE/PROCEDURE,,30,,,$211.18,$0.00,1,0,1,20120101,99601,CPT,HOME NFS/SPECTY DRUG ADMN PR VST <2 HR,,30,,,$234.65,$0.00,1,0,1,20120101,99602,CPT,HOME NFS/SPECTY DRUG ADMN PR VST <2 HR EA HR,,30,,,$175.99,$0.00,1,0,1,20120101,99605,CPT,MEDICATION THERAPY INITIAL 15 MIN NEW PATIENT,,30,,,$193.89,$0.00,1,0,1,20120101,99606,CPT,MEDICATION THERAPY INITIAL 15 MIN ESTABLISHED PT,,30,,,$185.61,$0.00,1,0,1,20120101,99607,CPT,MEDICATION THERAPY EACH ADDITIONAL 15 MIN,,30,,,$185.61,$0.00,1,0,1,20120101,0058T,CPT,CRYOPRESERVATION REPRODUCTIVE TISSUE OVARIAN,,30,,,$369.35,$0.00,1,0,1,20120101,0059T,CPT,CRYOPRESERVATION OOCYTES,,30,,,$369.35,$0.00,1,0,1,20120101,0071T,CPT,US ABLATJ UTERINE LEIOMYOMATA < 200 CC TISSUE,,30,,,"$16,399.44",$0.00,1,0,1,20120101,0072T,CPT,US ABLATJ UTERINE LEIOMYOMAT >/EQUAL 200 CC TISS,,30,,,"$16,399.44",$0.00,1,0,1,20120101,0073T,CPT,COMPNSTR-BASED BEAM MODLJ TX DLVR INVERSE 3> FLD,,30,,,"$2,821.75",$0.00,1,0,1,20120101,0085T,CPT,BREATH TEST HEART TRANSPLANT REJECTION,,30,,,$63.06,$0.00,1,0,1,20120101,0099T,CPT,IMPLTJ INTRASTROMAL CORNEAL RING SEGMENTS,,30,,,"$9,923.73",$0.00,1,0,1,20120101,0100T,CPT,PLMT SCJNCL RTA PROSTH&PLS&IMPLTJ INTRA-OC RTA,,30,,,"$13,535.79",$0.00,1,0,1,20120101,0101T,CPT,EXTRCORPL SHOCK WAVE MUSCSKELE NOS HIGH ENERGY,,30,,,"$12,366.14",$0.00,1,0,1,20120101,0102T,CPT,EXTRCRPL SHOCK WAVE W/ANES LAT HUMERL EPICONDYLE,,30,,,"$12,366.14",$0.00,1,0,1,20120101,0106T,CPT,QUANT SENSORY TEST&INTERPJ/XTR W/TOUCH STIMULI,,30,,,$35.04,$0.00,1,0,1,20120101,0107T,CPT,QUANT SENSORY TEST&INTERPJ/XTR W/VIBRJ STIMULI,,30,,,$35.04,$0.00,1,0,1,20120101,0108T,CPT,QUANT SENSORY TEST&INTERPJ/XTR W/COOL STIMULI,,30,,,$35.04,$0.00,1,0,1,20120101,0109T,CPT,QUANT SENAORY TEST&INTERPJ/XTR W/HT-PN STIMULI,,30,,,$35.04,$0.00,1,0,1,20120101,0110T,CPT,QUANT SENSORY TEST&INTERPJ/XTR OTHER STIMULI,,30,,,$35.04,$0.00,1,0,1,20120101,0123T,CPT,FISTULIZATION SCLERA GLAUCOMA CILIARY BODY,,30,,,"$9,923.73",$0.00,1,0,1,20120101,0124T,CPT,CONJUNCTVL INC W/POST XTRSCLERA PLCMT PHARM AGNT,,30,,,"$1,156.18",$0.00,1,0,1,20120101,0126T,CPT,COMMON CAROTID INTIMA MEDIA THICKNESS STUDY,,30,,,$303.61,$0.00,1,0,1,20120101,0171T,CPT,PST SPINOUS PROCESS DEVICE INSERT LMBR 1 LVL,,30,,,"$22,910.88",$0.00,1,0,1,20120101,0172T,CPT,PST SPINOUS PROCESS DEVICE INSERT LMBR EA LVL,,30,,,"$22,910.88",$0.00,1,0,1,20120101,0179T,CPT,64 LEAD ECG W/TRACING & GRAPHICS,,30,,,"$1,131.82",$0.00,1,0,1,20120101,0181T,CPT,CORNEAL HYSTERESIS AIR IMPULSE STIMJ BI W/I&R,,30,,,$233.61,$0.00,1,0,1,20120101,0182T,CPT,HDR ELECTRONIC BRACHYTHERAPY PER FRACTION,,30,,,"$4,247.90",$0.00,1,0,1,20120101,0183T,CPT,LOW FREQUENCY WOUND ULTRASOUND,,30,,,$372.19,$0.00,1,0,1,20120101,0184T,CPT,RECTAL TUMOR EXCISION TRANSANAL ENDOSCOPIC,,30,,,"$9,602.52",$0.00,1,0,1,20120101,0186T,CPT,SUPRACHOROIDAL PHARMACOLOGIC AGENT DELIVERY,,30,,,"$8,950.25",$0.00,1,0,1,20120101,0190T,CPT,INTRAOCULAR RADIATION SRC APPLICATOR PLACEMENT,,30,,,"$8,950.25",$0.00,1,0,1,20120101,0191T,CPT,ANT SEGMENT INSERTION DRAINAGE W/O RESERVOIR INT,,30,,,"$15,091.02",$0.00,1,0,1,20120101,0192T,CPT,ANT SEGMENT INSERTION DRAINAGE W/O RESERVOIR EXT,,30,,,"$15,091.02",$0.00,1,0,1,20120101,0198T,CPT,MEAS OCULAR BLOOD FLOW REPEAT IO PRES SAMP W/I&R,,30,,,$456.88,$0.00,1,0,1,20120101,0199T,CPT,PHYSIOL REC TRMR W/ACCEL & GYRO FREQ&AMPL & I&O,,30,,,$281.36,$0.00,1,0,1,20120101,0200T,CPT,PERQ SAC AGMNTJ UNI W/WO BALO/MCHNL DEV 1/> NDL,,30,,,"$12,366.14",$0.00,1,0,1,20120101,0201T,CPT,PERQ SAC AGMNTJ BI W/WO BALO/ MCHNL DEV 2/> NDLS,,30,,,"$12,366.14",$0.00,1,0,1,20120101,0206T,CPT,RMT ALGRTHMC ALYS ECG W/CPTR PRBLTY ASSMT,,30,,,$303.61,$0.00,1,0,1,20120101,0207T,CPT,EVAC MEIBOMIAN GLNDS AUTO HT& INTMT PRESS UNI,,30,,,$233.61,$0.00,1,0,1,20120101,0208T,CPT,PURE TONE AUDIOMETRY AUTOMATED AIR ONLY,,30,,,$122.59,$0.00,1,0,1,20120101,0209T,CPT,PURE TONE AUDIOMETRY AUTOMATED AIR & BONE,,30,,,$122.59,$0.00,1,0,1,20120101,0210T,CPT,SPEECH AUDIOMETRY THRESHOLD AUTOMATED,,30,,,$122.59,$0.00,1,0,1,20120101,0211T,CPT,SPEECH AUDIOM THRESHLD AUTO W/SPEECH RECOGNITION,,30,,,$122.59,$0.00,1,0,1,20120101,0212T,CPT,COMPRE AUDIOM THRESHOLD EVAL & SPEECH RECOG,,30,,,$300.61,$0.00,1,0,1,20120101,0213T,CPT,NJX DX/THER PARAVER FCT JT W/US CER/THOR 1 LVL,,30,,,"$2,998.32",$0.00,1,0,1,20120101,0214T,CPT,NJX DX/THER PARAVER FCT JT W/US CER/THOR 2ND LVL,,30,,,$875.36,$0.00,1,0,1,20120101,0215T,CPT,NJX PARAVERTBRL FACET JT W/US CER/THOR 3RD&> LVL,,30,,,$875.36,$0.00,1,0,1,20120101,0216T,CPT,NJX DX/THER PARAVER FCT JT W/US LUMB/SAC 1 LVL,,30,,,"$2,998.32",$0.00,1,0,1,20120101,0217T,CPT,NJX DX/THER PARAVER FCT JT W/US LUMB/SAC LVL 2,,30,,,$875.36,$0.00,1,0,1,20120101,0218T,CPT,NJX PARAVERTBRL FCT JT W/US LUMB/SAC 3RD&> LVL,,30,,,$875.36,$0.00,1,0,1,20120101,0221T,CPT,PLMT POST FACET IMPLT UNI/BI W/IMG & GRFT LUMB,,30,,,"$12,366.14",$0.00,1,0,1,20120101,0222T,CPT,PLACE POSTERIOR INTRAFACET IMPLANT ADDL SEGMENT,,30,,,"$12,366.14",$0.00,1,0,1,20120101,0223T,CPT,ACOUSTIC CARDIOGRAPHY W/INTERPRETATION & REPORT,,30,,,$175.74,$0.00,1,0,1,20120101,0224T,CPT,ACOUSTIC CARDIOGRAPHY MULT ANALYSIS W/I&R,,30,,,$232.14,$0.00,1,0,1,20120101,0225T,CPT,ACOUSTIC CARDIOGRAPHY MULT ALYS W/I&R & REPROG,,30,,,$232.14,$0.00,1,0,1,20120101,0226T,CPT,ANOSCOPY HIGH RESOLUTION W/SPECIMEN COLLECTION,,30,,,$303.61,$0.00,1,0,1,20120101,0227T,CPT,ANOSCOPY HIGH RESOLUTION W/BIOPSY,,30,,,"$2,476.05",$0.00,1,0,1,20120101,0228T,CPT,NJX ANES/STEROID TFRML EDRL W/US CER/THOR 1 LVL,,30,,,"$2,998.32",$0.00,1,0,1,20120101,0229T,CPT,NJX ANES/STERD TFRML EDRL W/US CER/THOR EA ADDL,,30,,,"$1,424.20",$0.00,1,0,1,20120101,0230T,CPT,NJX ANES/STEROID TFRML EDRL W/US LUM/SAC 1 LVL,,30,,,"$2,998.32",$0.00,1,0,1,20120101,0231T,CPT,NJX ANES/STEROID TFRML EDRL W/US LUM/SAC EA ADDL,,30,,,"$1,424.20",$0.00,1,0,1,20120101,0232T,CPT,NJX PLTLT PLASMA W/IMG HARVEST/PREPARATION,,30,,,$303.61,$0.00,1,0,1,20120101,0234T,CPT,TRLUML PERIPHERAL ATHERECTOMY RENAL ARTERY EA,,30,,,"$23,492.99",$0.00,1,0,1,20120101,0236T,CPT,TRLUML PERIPH ATHRC W/RS&I ABDOM AORTA,,30,,,"$23,492.99",$0.00,1,0,1,20120101,0237T,CPT,TRLUML PERIPH ATHRC W/RS&I BRCHIOCPHL EA VSL,,30,,,"$23,492.99",$0.00,1,0,1,20120101,0238T,CPT,TRLUML PERIPHERAL ATHERECTOMY ILIAC ARTERY EA,,30,,,"$23,492.99",$0.00,1,0,1,20120101,0239T,CPT,BIOIMPEDANCE SPECTROSCOPY LIMB DIFFERENCES,,30,,,$426.49,$0.00,1,0,1,20120101,0240T,CPT,ESOPH MOTILITY 3D PRESSURE TOPOGRAPHY W/I&R,,30,,,"$1,755.06",$0.00,1,0,1,20120101,0241T,CPT,ESOPH/GASTROESOPH MOTILITY W/STIM/PERFU W/I&R,,30,,,"$1,755.06",$0.00,1,0,1,20120101,0242T,CPT,GI TRACT TRANSIT&PRESSURE MEAS W/I&R,,30,,,"$1,755.06",$0.00,1,0,1,20120101,0243T,CPT,INTERMIT MEAS WHEEZE RATE BRONCHODIL DX W/I&R,,30,,,$628.89,$0.00,1,0,1,20120101,0244T,CPT,CONT MEAS WHEEZE RATE BRONCHODIL SLEEP 3-24 HRS,,30,,,"$1,130.25",$0.00,1,0,1,20120101,0245T,CPT,OPEN TX RIB FRACTURE W/INT FIX UNI 1-2 RIBS,,30,,,"$10,305.77",$0.00,1,0,1,20120101,0246T,CPT,OPN TX RIB FRACTURE W/INT FIX UNI 3-4 RIBS,,30,,,"$10,305.77",$0.00,1,0,1,20120101,0247T,CPT,OPN TX RIB FRACTURE W/INT FIX UNI 5-6 RIBS,,30,,,"$10,305.77",$0.00,1,0,1,20120101,0248T,CPT,OPEN TX RIB FRACTURE W/INT FIXATION UNI 7/> RIBS,,30,,,"$10,305.77",$0.00,1,0,1,20120101,0249T,CPT,LIGATION HEMORRHOID BUNDLE W/US,,30,,,"$6,293.82",$0.00,1,0,1,20120101,0250T,CPT,AIRWAY SIZING & INSERT BRONCHIAL VALVE EA LOBE,,30,,,"$11,320.72",$0.00,1,0,1,20120101,0251T,CPT,REMOVAL BRONCHIAL VALVE INITIAL LOBE,,30,,,"$3,805.86",$0.00,1,0,1,20120101,0252T,CPT,BRONCHOSCOPY REMOVAL BRONCH VALVE EA ADDL LOBE,,30,,,"$3,805.86",$0.00,1,0,1,20120101,0253T,CPT,INSJ ANT SGM FLUID DRG DEV W/O RSVR INT APPR,,30,,,"$15,091.02",$0.00,1,0,1,20120101,0263T,CPT,AUTO BONE MARRW CELL RX COMPLT BONE MARRW HARVST,,30,,,"$12,425.61",$0.00,1,0,1,20120101,0264T,CPT,AUTO BONE MARRW CELL RX COMP W/O BONE MAR HARVST,,30,,,"$12,425.61",$0.00,1,0,1,20120101,0265T,CPT,BONE MAR HARVST ONLY FOR INTMUSC AUTOLO CELL RX,,30,,,"$12,425.61",$0.00,1,0,1,20120101,0267T,CPT,IM/REPL CARTD SINS BAROREFLX ACTIV DEV LEAD ONLY,,30,,,"$8,149.00",$0.00,1,0,1,20120101,0268T,CPT,IM/REPL CARTD SINS BARREFLX ACT DEV PLS GEN ONLY,,30,,,"$29,114.16",$0.00,1,0,1,20120101,0269T,CPT,REV/REMVL CARTD SINS BARREFLX ACT DEV TOT SYSTEM,,30,,,"$13,866.24",$0.00,1,0,1,20120101,0270T,CPT,REV/REMVL CARTD SINS BARREFLX ACT DEV LEAD ONLY,,30,,,"$8,149.00",$0.00,1,0,1,20120101,0271T,CPT,REV/REM CARTD SINS BARREFLX ACT DEV PLS GEN ONLY,,30,,,"$12,045.69",$0.00,1,0,1,20120101,0272T,CPT,INTRGORTION DEV EVAL CARTD SINS BARREFLX W/I&R,,30,,,$536.81,$0.00,1,0,1,20120101,0273T,CPT,INTROGATION DEV EVAL CARTD SINS BARREFLX W/PRGRM,,30,,,$536.81,$0.00,1,0,1,20120101,0274T,CPT,PERC LAMINO-/LAMINECTOMY IMAGE GUIDE CERV/THORAC,,30,,,"$17,424.93",$0.00,1,0,1,20120101,0275T,CPT,PERC LAMINO-/LAMINECTOMY INDIR IMAG GUIDE LUMBAR,,30,,,"$17,424.93",$0.00,1,0,1,20120101,0276T,CPT,BRONCHSCPY FLUORO W/BRONCHIAL THERMPLASTY 1 LOBE,,30,,,"$11,320.72",$0.00,1,0,1,20120101,0277T,CPT,BRONCHSCPY FLUORO W/BRNCHIAL THERMPLASTY />2LOBE,,30,,,"$11,320.72",$0.00,1,0,1,20120101,0278T,CPT,TRNSCUT ELECT MODLATION PAIN REPROCES EA TX SESS,,30,,,$281.36,$0.00,1,0,1,20120101,0279T,CPT,CELL ENUMRTION W/IMMUN SELXN & ID FLUID SPECIMN,,30,,,$73.97,$0.00,1,0,1,20120101,0280T,CPT,CELL ENUMRATION W/IMMUN SELXN ID FLUID SPEC I&R,,30,,,$73.97,$0.00,1,0,1,20120101,0282T,CPT,PERC/OPEN IMPLNT NEUROSTIM ELECTRODE SUBQ TRIAL,,30,,,"$19,810.35",$0.00,1,0,1,20120101,0283T,CPT,PERC/OPEN IMPLNT NEUROSTIM ELECTRODE SUBQ PERM,,30,,,"$46,847.94",$0.00,1,0,1,20120101,0284T,CPT,REV/REMVL PG/ELCTRODES IMAGNG ADDN NEW ELCTRODES,,30,,,"$8,149.00",$0.00,1,0,1,20120101,0285T,CPT,ELEC ANLYS IMPLANT SUBQ FIELD STIM PG REPROGRAMM,,30,,,$536.81,$0.00,1,0,1,20120101,0288T,CPT,ANSCPY W/DELVRY THERMAL ENERGY MUSCLE ANAL CANAL,,30,,,"$2,398.03",$0.00,1,0,1,20120101,A0380,HCPCS,BLS MILEAGE (PER MILE),,30,,,$16.42,$0.00,4,1,1,20120101,A0390,HCPCS,ALS MILEAGE (PER MILE),,30,,,$16.42,$0.00,4,1,1,20120101,A0425,HCPCS,"GROUND MILEAGE, PER STATUTE MILE",,30,,,$16.42,$0.00,4,1,1,20120101,A0426,HCPCS,"AMBULANCE SERVICE, ADVANCED LIFE SUPPORT, NON-EMERGENCY TRANSPORT, LEVEL 1 (ALS",,30,,,$976.91,$0.00,1,1,1,20120101,A0427,HCPCS,"AMBULANCE SERVICE, ADVANCED LIFE SUPPORT, EMERGENCY TRANSPORT, LEVEL 1",,30,,,"$1,107.17",$0.00,1,1,1,20120101,A0428,HCPCS,"AMBULANCE SERVICE, BASIC LIFE SUPPORT, NON-EMERGENCY TRANSPORT, (BLS)",,30,,,$651.28,$0.00,1,1,1,20120101,A0429,HCPCS,"AMBULANCE SERVICE, BASIC LIFE SUPPORT, EMERGENCY TRANSPORT (BLS-EMERGENCY)",,30,,,$769.69,$0.00,1,1,1,20120101,A0430,HCPCS,"AMBULANCE SERVICE, CONVENTIONAL AIR SERVICES, TRANSPORT, ONE WAY (FIXED WING)",,30,,,"$14,801.71",$0.00,1,1,1,20120101,A0431,HCPCS,"AMBULANCE SERVICE, CONVENTIONAL AIR SERVICES, TRANSPORT, ONE WAY (ROTARY WING)",,30,,,"$13,720.30",$0.00,1,1,1,20120101,A0433,HCPCS,"ADVANCED LIFE SUPPORT, LEVEL 2 (ALS 2)",,30,,,"$1,270.58",$0.00,1,1,1,20120101,A0434,HCPCS,SPECIALTY CARE TRANSPORT (SCT),,30,,,"$2,107.76",$0.00,1,1,1,20120101,A0435,HCPCS,"FIXED WING AIR MILEAGE, PER STATUTE MILE",,30,,,$141.08,$0.00,4,1,1,20120101,A0436,HCPCS,"ROTARY WING AIR MILEAGE, PER STATUTE MILE",,30,,,$148.02,$0.00,4,1,1,20120101,A9150,HCPCS,MISC/EXPER NON-PRESCRIPT DRU,,30,,,$13.65,$0.00,1,0,1,20120101,A9153,HCPCS,MULTI-VITAMIN NOS,,30,,,$31.12,$0.00,1,0,1,20120101,A9517,HCPCS,"I131 IODIDE CAP, RX",,30,,,$114.27,$0.00,1,0,1,20120101,A9527,HCPCS,IODINE I-125 SODIUM IODIDE,,30,,,$109.40,$0.00,1,0,1,20120101,A9530,HCPCS,"I131 IODIDE SOL, RX",,30,,,$68.19,$0.00,1,0,1,20120101,A9543,HCPCS,"Y90 IBRITUMOMAB, RX",,30,,,"$64,156.78",$0.00,1,0,1,20120101,A9545,HCPCS,"I131 TOSITUMOMAB, RX",,30,,,"$58,920.04",$0.00,1,0,1,20120101,A9563,HCPCS,P32 NA PHOSPHATE,,30,,,$814.15,$0.00,1,0,1,20120101,A9564,HCPCS,P32 CHROMIC PHOSPHATE,,30,,,"$3,624.66",$0.00,1,0,1,20120101,A9584,HCPCS,IODINE I-123 IOFLUPANE,,30,,,"$10,781.20",$0.00,1,0,1,20120101,A9600,HCPCS,SR89 STRONTIUM,,30,,,"$5,805.53",$0.00,1,0,1,20120101,A9604,HCPCS,SM 153 LEXIDRONAM,,30,,,"$23,443.00",$0.00,1,0,0,20120101,A9700,HCPCS,ECHOCARDIOGRAPHY CONTRAST,,30,,,$190.36,$0.00,1,0,1,20120101,B4150,HCPCS,EF COMPLET W/INTACT NUTRIENT,,30,,,$1.19,$0.00,1,0,1,20120101,B4152,HCPCS,EF CALORIE DENSE>/=1.5KCAL,,30,,,$0.98,$0.00,1,0,1,20120101,B4160,HCPCS,EF PED CALORIC DENSE>/=0.7KC,,30,,,$3.80,$0.00,1,0,1,20120101,B4161,HCPCS,EF PED HYDROLYZED/AMINO ACID,,30,,,$9.91,$0.00,1,0,1,20120101,B4180,HCPCS,PARENTERAL SOL CARB > 50%,,30,,,$56.09,$0.00,1,0,1,20120101,B4185,HCPCS,PARENTERAL SOL 10 GM LIPIDS,,30,,,$23.97,$0.00,1,0,1,20120101,B4189,HCPCS,PARENTERAL SOL AMINO ACID &,,30,,,$443.82,$0.00,1,0,1,20120101,B4193,HCPCS,PARENTERAL SOL 52-73 GM PROT,,30,,,$575.14,$0.00,1,0,1,20120101,B4197,HCPCS,PARENTERAL SOL 74-100 GM PRO,,30,,,$701.40,$0.00,1,0,1,20120101,B4199,HCPCS,PARENTERAL SOL > 100GM PROTE,,30,,,$802.27,$0.00,1,0,1,20120101,C1300,HCPCS,HYPERBARIC OXYGEN,,30,,,$665.75,$0.00,1,0,1,20120101,C1716,HCPCS,"BRACHYTX, NON-STR, GOLD-198",,30,,,$215.93,$0.00,1,0,1,20120101,C1717,HCPCS,"BRACHYTX, NON-STR,HDR IR-192",,30,,,"$1,410.20",$0.00,1,0,1,20120101,C1719,HCPCS,"BRACHYTX, NS, NON-HDRIR-192",,30,,,$191.90,$0.00,1,0,1,20120101,C2616,HCPCS,"BRACHYTX, NON-STR,YTTRIUM-90",,30,,,"$32,252.76",$0.00,1,0,1,20120101,C2634,HCPCS,"BRACHYTX, NON-STR, HA, I-125",,30,,,$338.32,$0.00,1,0,1,20120101,C2635,HCPCS,"BRACHYTX, NON-STR, HA, P-103",,30,,,$147.10,$0.00,1,0,1,20120101,C2636,HCPCS,"BRACHY LINEAR, NON-STR,P-103",,30,,,$218.70,$0.00,1,0,1,20120101,C2638,HCPCS,"BRACHYTX, STRANDED, I-125",,30,,,$266.28,$0.00,1,0,1,20120101,C2639,HCPCS,"BRACHYTX, NON-STRANDED,I-125",,30,,,$213.53,$0.00,1,0,1,20120101,C2640,HCPCS,"BRACHYTX, STRANDED, P-103",,30,,,$453.86,$0.00,1,0,1,20120101,C2641,HCPCS,"BRACHYTX, NON-STRANDED,P-103",,30,,,$396.24,$0.00,1,0,1,20120101,C2642,HCPCS,"BRACHYTX, STRANDED, C-131",,30,,,$723.90,$0.00,1,0,1,20120101,C2643,HCPCS,"BRACHYTX, NON-STRANDED,C-131",,30,,,$459.22,$0.00,1,0,1,20120101,C2698,HCPCS,"BRACHYTX, STRANDED, NOS",,30,,,$266.28,$0.00,1,0,1,20120101,C2699,HCPCS,"BRACHYTX, NON-STRANDED, NOS",,30,,,$147.10,$0.00,1,0,1,20120101,C8900,HCPCS,"MRA W/CONT, ABD",,30,,,"$2,713.50",$0.00,1,0,1,20120101,C8901,HCPCS,"MRA W/O CONT, ABD",,30,,,"$2,129.04",$0.00,1,0,1,20120101,C8902,HCPCS,"MRA W/O FOL W/CONT, ABD",,30,,,"$3,326.19",$0.00,1,0,1,20120101,C8903,HCPCS,"MRI W/CONT, BREAST, UNI",,30,,,"$2,713.50",$0.00,1,0,1,20120101,C8904,HCPCS,"MRI W/O CONT, BREAST, UNI",,30,,,"$2,129.04",$0.00,1,0,1,20120101,C8905,HCPCS,"MRI W/O FOL W/CONT, BRST, UN",,30,,,"$3,326.19",$0.00,1,0,1,20120101,C8906,HCPCS,"MRI W/CONT, BREAST, BI",,30,,,"$2,713.50",$0.00,1,0,1,20120101,C8907,HCPCS,"MRI W/O CONT, BREAST, BI",,30,,,"$2,129.04",$0.00,1,0,1,20120101,C8908,HCPCS,"MRI W/O FOL W/CONT, BREAST,",,30,,,"$3,326.19",$0.00,1,0,1,20120101,C8909,HCPCS,"MRA W/CONT, CHEST",,30,,,"$2,713.50",$0.00,1,0,1,20120101,C8910,HCPCS,"MRA W/O CONT, CHEST",,30,,,"$2,129.04",$0.00,1,0,1,20120101,C8911,HCPCS,"MRA W/O FOL W/CONT, CHEST",,30,,,"$3,326.19",$0.00,1,0,1,20120101,C8912,HCPCS,"MRA W/CONT, LWR EXT",,30,,,"$2,713.50",$0.00,1,0,1,20120101,C8913,HCPCS,"MRA W/O CONT, LWR EXT",,30,,,"$2,129.04",$0.00,1,0,1,20120101,C8914,HCPCS,"MRA W/O FOL W/CONT, LWR EXT",,30,,,"$3,326.19",$0.00,1,0,1,20120101,C8918,HCPCS,"MRA W/CONT, PELVIS",,30,,,"$2,713.50",$0.00,1,0,1,20120101,C8919,HCPCS,"MRA W/O CONT, PELVIS",,30,,,"$2,129.04",$0.00,1,0,1,20120101,C8920,HCPCS,"MRA W/O FOL W/CONT, PELVIS",,30,,,"$3,326.19",$0.00,1,0,1,20120101,C8921,HCPCS,"TTE W OR W/O FOL W/CONT, COM",,30,,,"$3,527.30",$0.00,1,0,1,20120101,C8922,HCPCS,"TTE W OR W/O FOL W/CONT, F/U",,30,,,"$3,527.30",$0.00,1,0,1,20120101,C8923,HCPCS,"2D TTE W OR W/O FOL W/CON,CO",,30,,,"$3,527.30",$0.00,1,0,1,20120101,C8924,HCPCS,"2D TTE W OR W/O FOL W/CON,FU",,30,,,"$3,527.30",$0.00,1,0,1,20120101,C8925,HCPCS,"2D TEE W OR W/O FOL W/CON,IN",,30,,,"$3,527.30",$0.00,1,0,1,20120101,C8926,HCPCS,"TEE W OR W/O FOL W/CONT,CONG",,30,,,"$3,527.30",$0.00,1,0,1,20120101,C8927,HCPCS,"TEE W OR W/O FOL W/CONT, MON",,30,,,"$3,527.30",$0.00,1,0,1,20120101,C8928,HCPCS,"TTE W OR W/O FOL W/CON,STRES",,30,,,"$3,527.30",$0.00,1,0,1,20120101,C8929,HCPCS,"TTE W OR WO FOL WCON,DOPPLER",,30,,,"$3,527.30",$0.00,1,0,1,20120101,C8930,HCPCS,"TTE W OR W/O CONTR, CONT ECG",,30,,,"$3,527.30",$0.00,1,0,1,20120101,C8931,HCPCS,"MRA, W/DYE, SPINAL CANAL",,30,,,"$2,713.50",$0.00,1,0,1,20120101,C8932,HCPCS,"MRA, W/O DYE, SPINAL CANAL",,30,,,"$2,129.04",$0.00,1,0,1,20120101,C8933,HCPCS,"MRA, W/O&W/DYE, SPINAL CANAL",,30,,,"$3,326.19",$0.00,1,0,1,20120101,C8934,HCPCS,"MRA, W/DYE, UPPER EXTREMITY",,30,,,"$2,713.50",$0.00,1,0,1,20120101,C8935,HCPCS,"MRA, W/O DYE, UPPER EXTR",,30,,,"$2,129.04",$0.00,1,0,1,20120101,C8936,HCPCS,"MRA, W/O&W/DYE, UPPER EXTR",,30,,,"$3,326.19",$0.00,1,0,1,20120101,C8957,HCPCS,"PROLONGED IV INF, REQ PUMP",,30,,,"$1,353.80",$0.00,1,0,1,20120101,C9121,HCPCS,"INJECTION, ARGATROBAN",,30,,,$121.62,$0.00,1,0,1,20120101,C9248,HCPCS,"INJ, CLEVIDIPINE BUTYRATE",,30,,,$16.39,$0.00,1,0,1,20120101,C9250,HCPCS,ARTISS FIBRIN SEALANT,,30,,,$750.58,$0.00,1,0,1,20120101,C9254,HCPCS,"INJECTION, LACOSAMIDE",,30,,,$0.92,$0.00,1,0,1,20120101,C9257,HCPCS,BEVACIZUMAB INJECTION,,30,,,$9.06,$0.00,1,0,1,20120101,C9275,HCPCS,HEXAMINOLEVULINATE HCL,,30,,,"$3,919.30",$0.00,1,0,1,20120101,C9279,HCPCS,"INJECTION, IBUPROFEN",,30,,,$9.98,$0.00,1,0,1,20120101,C9285,HCPCS,"PATCH, LIDOCAINE/TETRACAINE",,30,,,$83.62,$0.00,1,0,1,20120101,C9286,HCPCS,"INJECTION, BELATACEPT, 1 MG",,30,,,$25.42,$0.00,1,0,1,20120101,C9287,HCPCS,"INJ, BRENTUXIMAB VEDOTIN",,30,,,$617.07,$0.00,1,0,1,20120101,C9358,HCPCS,"SURGIMEND, FETAL",,30,,,$68.34,$0.00,1,0,1,20120101,C9360,HCPCS,"SURGIMEND, NEONATAL",,30,,,$71.42,$0.00,1,0,1,20120101,C9363,HCPCS,INTEGRA MESHED BIL WOUND MAT,,30,,,$118.13,$0.00,1,0,1,20120101,C9366,HCPCS,EPIFIX WOUND COVER,,30,,,"$1,095.49",$0.00,1,0,1,20120101,C9367,HCPCS,ENDOFORM DERMAL TEMPLATE,,30,,,$26.81,$0.00,1,0,1,20120101,C9716,HCPCS,RADIOFREQUENCY ENERGY TO ANU,,30,,,"$12,540.58",$0.00,1,0,1,20120101,C9724,HCPCS,EPS GAST CARDIA PLIC,,30,,,"$10,011.77",$0.00,1,0,1,20120101,C9725,HCPCS,PLACE ENDORECTAL APP,,30,,,"$2,398.03",$0.00,1,0,1,20120101,C9726,HCPCS,RXT BREAST APPL PLACE/REMOV,,30,,,"$8,824.32",$0.00,1,0,1,20120101,C9727,HCPCS,INSERT PALATE IMPLANTS,,30,,,"$3,156.16",$0.00,1,0,1,20120101,C9728,HCPCS,"PLACE DEVICE/MARKER, NON PRO",,30,,,"$5,605.93",$0.00,1,0,1,20120101,C9732,HCPCS,INSERT OCULAR TELESCOPE PROS,,30,,,"$9,923.73",$0.00,1,0,1,20120101,C9800,HCPCS,DERMAL FILLER INJ PX/SUPPL,,30,,,"$2,041.45",$0.00,1,0,1,20120101,G0008,HCPCS,ADMIN INFLUENZA VIRUS VAC,,30,,,$116.09,$0.00,1,0,1,20120101,G0009,HCPCS,ADMIN PNEUMOCOCCAL VACCINE,,30,,,$116.09,$0.00,1,0,1,20120101,G0010,HCPCS,ADMIN HEPATITIS B VACCINE,,30,,,$238.03,$0.00,1,0,1,20120101,G0101,HCPCS,CA SCREEN;PELVIC/BREAST EXAM,,30,,,$140.75,$0.00,1,0,1,20120101,G0104,HCPCS,CA SCREEN;FLEXI SIGMOIDSCOPE,,30,,,"$2,134.58",$0.00,1,0,1,20120101,G0105,HCPCS,COLORECTAL SCRN; HI RISK IND,,30,,,"$3,275.47",$0.00,1,0,1,20120101,G0106,HCPCS,COLON CA SCREEN;BARIUM ENEMA,,30,,,"$1,186.94",$0.00,1,0,1,20120101,G0117,HCPCS,GLAUCOMA SCRN HGH RISK DIREC,,30,,,$456.88,$0.00,1,0,1,20120101,G0118,HCPCS,GLAUCOMA SCRN HGH RISK DIREC,,30,,,$233.61,$0.00,1,0,1,20120101,G0120,HCPCS,COLON CA SCRN; BARIUM ENEMA,,30,,,"$1,186.94",$0.00,1,0,1,20120101,G0121,HCPCS,COLON CA SCRN NOT HI RSK IND,,30,,,"$3,275.47",$0.00,1,0,1,20120101,G0124,HCPCS,SCREEN C/V THIN LAYER BY MD,,30,,,$88.87,$0.00,1,0,1,20120101,G0127,HCPCS,TRIM NAIL(S),,30,,,$131.65,$0.00,1,0,1,20120101,G0128,HCPCS,CORF SKILLED NURSING SERVICE,,30,,,$63.33,$0.00,1,0,1,20120101,G0130,HCPCS,SINGLE ENERGY X-RAY STUDY,,30,,,$289.18,$0.00,1,0,1,20120101,G0141,HCPCS,"SCR C/V CYTO,AUTOSYS AND MD",,30,,,$118.51,$0.00,1,0,1,20120101,G0151,HCPCS,"HHCP-SERV OF PT,EA 15 MIN",,30,,,$55.73,$0.00,1,0,1,20120101,G0152,HCPCS,"HHCP-SERV OF OT,EA 15 MIN",,30,,,$54.26,$0.00,1,0,1,20120101,G0153,HCPCS,"HHCP-SVS OF S/L PATH,EA 15MN",,30,,,$54.26,$0.00,1,0,1,20120101,G0154,HCPCS,"HHCP-SVS OF RN,EA 15 MIN",,30,,,$51.33,$0.00,1,0,1,20120101,G0155,HCPCS,"HHCP-SVS OF CSW,EA 15 MIN",,30,,,$66.00,$0.00,1,0,1,20120101,G0156,HCPCS,"HHCP-SVS OF AIDE,EA 15 MIN",,30,,,$24.51,$0.00,1,0,1,20120101,G0157,HCPCS,HHC PT ASSISTANT EA 15,,30,,,$55.73,$0.00,1,0,1,20120101,G0158,HCPCS,HHC OT ASSISTANT EA 15,,30,,,$54.26,$0.00,1,0,1,20120101,G0159,HCPCS,HHC PT MAINT EA 15 MIN,,30,,,$55.73,$0.00,1,0,1,20120101,G0160,HCPCS,HHC OCCUP THERAPY EA 15,,30,,,$54.26,$0.00,1,0,1,20120101,G0161,HCPCS,HHC SLP EA 15 MIN,,30,,,$54.26,$0.00,1,0,1,20120101,G0162,HCPCS,"HHC RN E&M PLAN SVS, 15 MIN",,30,,,$51.33,$0.00,1,0,1,20120101,G0163,HCPCS,HHC LPN/RN OBS/ASSES EA 15,,30,,,$51.33,$0.00,1,0,1,20120101,G0164,HCPCS,HHC LIS NURSE TRAIN EA 15,,30,,,$51.33,$0.00,1,0,1,20120101,G0166,HCPCS,"EXTRNL COUNTERPULSE, PER TX",,30,,,$563.00,$0.00,1,0,1,20120101,G0168,HCPCS,WOUND CLOSURE BY ADHESIVE,,30,,,$234.65,$0.00,1,0,1,20120101,G0173,HCPCS,LINEAR ACC STEREO RADSUR COM,,30,,,"$16,399.44",$0.00,1,0,1,20120101,G0175,HCPCS,"OPPS SERVICE,SCHED TEAM CONF",,30,,,$346.16,$0.00,1,0,1,20120101,G0179,HCPCS,MD RECERTIFICATION HHA PT,,30,,,$170.71,$0.00,1,0,1,20120101,G0180,HCPCS,MD CERTIFICATION HHA PATIENT,,30,,,$188.31,$0.00,1,0,1,20120101,G0186,HCPCS,"DSTRY EYE LESN,FDR VSSL TECH",,30,,,"$1,929.82",$0.00,1,0,1,20120101,G0204,HCPCS,DIAGNOSTICMAMMOGRAPHYDIGITAL,,30,,,$506.55,$0.00,1,0,1,20120101,G0206,HCPCS,DIAGNOSTICMAMMOGRAPHYDIGITAL,,30,,,$396.56,$0.00,1,0,1,20120101,G0219,HCPCS,PET IMG WHOLBOD MELANO NONCO,,30,,,"$2,010.55",$0.00,1,0,1,20120101,G0235,HCPCS,PET NOT OTHERWISE SPECIFIED,,30,,,"$2,010.55",$0.00,1,0,1,20120101,G0237,HCPCS,THERAPEUTIC PROCD STRG ENDUR,,30,,,$178.73,$0.00,1,0,1,20120101,G0238,HCPCS,"OTH RESP PROC, INDIV",,30,,,$178.73,$0.00,1,0,1,20120101,G0239,HCPCS,"OTH RESP PROC, GROUP",,30,,,$178.73,$0.00,1,0,1,20120101,G0245,HCPCS,INITIAL FOOT EXAM PT LOPS,,30,,,$140.75,$0.00,1,0,1,20120101,G0246,HCPCS,FOLLOWUP EVAL OF FOOT PT LOP,,30,,,$168.85,$0.00,1,0,1,20120101,G0247,HCPCS,ROUTINE FOOTCARE PT W LOPS,,30,,,$238.23,$0.00,1,0,1,20120101,G0248,HCPCS,DEMONSTRATE USE HOME INR MON,,30,,,$346.16,$0.00,1,0,1,20120101,G0249,HCPCS,PROVIDE INR TEST MATER/EQUIP,,30,,,$346.16,$0.00,1,0,1,20120101,G0251,HCPCS,LINEAR ACC BASED STERO RADIO,,30,,,"$4,890.71",$0.00,1,0,1,20120101,G0257,HCPCS,UNSCHED DIALYSIS ESRD PT HOS,,30,,,"$2,610.92",$0.00,1,0,1,20120101,G0260,HCPCS,INJ FOR SACROILIAC JT ANESTH,,30,,,"$2,998.32",$0.00,1,0,1,20120101,G0282,HCPCS,ELECT STIM WOUND CARE NOT PD,,30,,,$168.03,$0.00,1,0,1,20120101,G0290,HCPCS,"DRUG-ELUTING STENTS, SINGLE",,30,,,"$23,494.31",$0.00,1,0,1,20120101,G0291,HCPCS,"DRUG-ELUTING STENTS,EACH ADD",,30,,,"$23,494.31",$0.00,1,0,1,20120101,G0293,HCPCS,"NON-COV SURG PROC,CLIN TRIAL",,30,,,$303.61,$0.00,1,0,1,20120101,G0294,HCPCS,"NON-COV PROC, CLINICAL TRIAL",,30,,,$303.61,$0.00,1,0,1,20120101,G0302,HCPCS,PRE-OP SERVICE LVRS COMPLETE,,30,,,"$4,491.57",$0.00,1,0,1,20120101,G0303,HCPCS,PRE-OP SERVICE LVRS 10-15DOS,,30,,,"$4,491.57",$0.00,1,0,1,20120101,G0304,HCPCS,PRE-OP SERVICE LVRS 1-9 DOS,,30,,,"$1,070.48",$0.00,1,0,1,20120101,G0305,HCPCS,POST OP SERVICE LVRS MIN 6,,30,,,"$1,070.48",$0.00,1,0,1,20120101,G0339,HCPCS,"ROBOT LIN-RADSURG COM, FIRST",,30,,,"$16,399.44",$0.00,1,0,1,20120101,G0340,HCPCS,ROBT LIN-RADSURG FRACTX 2-5,,30,,,"$13,230.80",$0.00,1,0,1,20120101,G0364,HCPCS,BONE MARROW ASPIRATE &BIOPSY,,30,,,$303.61,$0.00,1,0,1,20120101,G0365,HCPCS,VESSEL MAPPING HEMO ACCESS,,30,,,$978.65,$0.00,1,0,1,20120101,G0378,HCPCS,HOSPITAL OBSERVATION PER HR,,30,,,$77.98,$0.00,1,1,1,20120101,G0379,HCPCS,DIRECT REFER HOSPITAL OBSERV,,30,,,$77.98,$0.00,1,1,1,20120101,G0380,HCPCS,LEV 1 HOSP TYPE B ED VISIT,,30,,,$239.17,$0.00,1,1,1,20120101,G0381,HCPCS,LEV 2 HOSP TYPE B ED VISIT,,30,,,$297.23,$0.00,1,1,1,20120101,G0382,HCPCS,LEV 3 HOSP TYPE B ED VISIT,,30,,,$585.13,$0.00,1,1,1,20120101,G0383,HCPCS,LEV 4 HOSP TYPE B ED VISIT,,30,,,$828.54,$0.00,1,1,1,20120101,G0384,HCPCS,LEV 5 HOSP TYPE B ED VISIT,,30,,,"$1,586.98",$0.00,1,1,1,20120101,G0389,HCPCS,ULTRASOUND EXAM AAA SCREEN,,30,,,$615.66,$0.00,1,0,1,20120101,G0390,HCPCS,TRAUMA RESPONS W/HOSP CRITI,,30,,,"$2,542.59",$0.00,1,1,1,20120101,G0396,HCPCS,ALCOHOL/SUBS INTERV 15-30MN,,30,,,$150.71,$0.00,1,0,1,20120101,G0397,HCPCS,ALCOHOL/SUBS INTERV >30 MIN,,30,,,$278.49,$0.00,1,0,1,20120101,G0398,HCPCS,HOME SLEEP TEST/TYPE 2 PORTA,,30,,,"$1,070.48",$0.00,1,0,1,20120101,G0399,HCPCS,HOME SLEEP TEST/TYPE 3 PORTA,,30,,,"$1,070.48",$0.00,1,0,1,20120101,G0400,HCPCS,HOME SLEEP TEST/TYPE 4 PORTA,,30,,,"$1,070.48",$0.00,1,0,1,20120101,G0402,HCPCS,INITIAL PREVENTIVE EXAM,,30,,,$223.63,$0.00,1,0,1,20120101,G0404,HCPCS,EKG TRACING FOR INITIAL PREV,,30,,,$175.74,$0.00,1,0,1,20120101,G0413,HCPCS,PELVIC RING FRACTURE UNI/BIL,,30,,,"$12,366.14",$0.00,1,0,1,20120101,G0416,HCPCS,SAT BIOPSY PROSTATE 1-20 SPC,,30,,,"$1,061.51",$0.00,1,0,1,20120101,G0417,HCPCS,SAT BIOPSY PROSTATE 21-40,,30,,,"$1,980.34",$0.00,1,0,1,20120101,G0418,HCPCS,SAT BIOPSY PROSTATE 41-60,,30,,,"$2,773.09",$0.00,1,0,1,20120101,G0419,HCPCS,SAT BIOPSY PROSTATE: >60,,30,,,"$3,677.78",$0.00,1,0,1,20120101,G0422,HCPCS,INTENS CARDIAC REHAB W/EXERC,,30,,,$245.72,$0.00,1,0,1,20120101,G0423,HCPCS,INTENS CARDIAC REHAB NO EXER,,30,,,$245.72,$0.00,1,0,1,20120101,G0424,HCPCS,PULMONARY REHAB W EXER,,30,,,$227.08,$0.00,1,0,1,20120101,G0436,HCPCS,TOBACCO-USE COUNSEL 3-10 MIN,,30,,,$89.75,$0.00,1,0,1,20120101,G0437,HCPCS,TOBACCO-USE COUNSEL>10MIN,,30,,,$89.75,$0.00,1,0,1,20120101,G0451,HCPCS,DEVLOPMENT TEST INTERPT&REP,,30,,,$150.71,$0.00,1,0,1,20120101,G3001,HCPCS,"ADMIN + SUPPLY, TOSITUMOMAB",,30,,,"$9,218.32",$0.00,1,0,1,20120101,G9141,HCPCS,"INFLUENZA A H1N1,ADMIN W COU",,30,,,$116.09,$0.00,1,0,1,20120101,G9142,HCPCS,"INFLUENZA A H1N1, VACCINE",,30,,,$4.69,$0.00,1,0,1,20120101,J0129,HCPCS,ABATACEPT INJECTION,,30,,,$131.69,$0.00,1,0,0,20120101,J0130,HCPCS,ABCIXIMAB INJECTION,,30,,,"$3,235.59",$0.00,1,0,0,20120101,J0131,HCPCS,ACETAMINOPHEN INJECTION,,30,,,$0.68,$0.00,1,0,0,20120101,J0132,HCPCS,ACETYLCYSTEINE INJECTION,,30,,,$17.36,$0.00,1,0,0,20120101,J0135,HCPCS,ADALIMUMAB INJECTION,,30,,,"$2,496.40",$0.00,1,0,0,20120101,J0152,HCPCS,ADENOSINE INJECTION,,30,,,$511.16,$0.00,1,0,0,20120101,J0180,HCPCS,AGALSIDASE BETA INJECTION,,30,,,$862.17,$0.00,1,0,0,20120101,J0205,HCPCS,ALGLUCERASE INJECTION,,30,,,$267.43,$0.00,1,0,0,20120101,J0207,HCPCS,AMIFOSTINE,,30,,,"$2,000.37",$0.00,1,0,0,20120101,J0210,HCPCS,METHYLDOPATE HCL INJECTION,,30,,,$254.81,$0.00,1,0,0,20120101,J0215,HCPCS,ALEFACEPT,,30,,,$232.91,$0.00,1,0,0,20120101,J0220,HCPCS,ALGLUCOSIDASE ALFA INJECTION,,30,,,"$1,003.76",$0.00,1,0,0,20120101,J0221,HCPCS,LUMIZYME INJECTION,,30,,,$955.70,$0.00,1,0,0,20120101,J0256,HCPCS,ALPHA 1 PROTEINASE INHIBITOR,,30,,,$24.64,$0.00,1,0,0,20120101,J0257,HCPCS,GLASSIA INJECTION,,30,,,$24.77,$0.00,1,0,0,20120101,J0270,HCPCS,ALPROSTADIL FOR INJECTION,,30,,,$1.03,$0.00,1,0,0,20120101,J0287,HCPCS,AMPHOTERICIN B LIPID COMPLEX,,30,,,$56.94,$0.00,1,0,0,20120101,J0288,HCPCS,AMPHO B CHOLESTERYL SULFATE,,30,,,$89.31,$0.00,1,0,0,20120101,J0289,HCPCS,AMPHOTERICIN B LIPOSOME INJ,,30,,,$96.01,$0.00,1,0,0,20120101,J0300,HCPCS,AMOBARBITAL 125 MG INJ,,30,,,$730.53,$0.00,1,0,0,20120101,J0348,HCPCS,ANIDULAFUNGIN INJECTION,,30,,,$8.39,$0.00,1,0,0,20120101,J0350,HCPCS,INJECTION ANISTREPLASE 30 U,,30,,,$243.65,$0.00,1,0,0,20120101,J0364,HCPCS,APOMORPHINE HYDROCHLORIDE,,30,,,$33.28,$0.00,1,0,0,20120101,J0395,HCPCS,ARBUTAMINE HCL INJECTION,,30,,,$27.53,$0.00,1,0,0,20120101,J0475,HCPCS,BACLOFEN 10 MG INJECTION,,30,,,"$1,287.63",$0.00,1,0,0,20120101,J0476,HCPCS,BACLOFEN INTRATHECAL TRIAL,,30,,,$467.63,$0.00,1,0,0,20120101,J0480,HCPCS,BASILIXIMAB,,30,,,"$11,346.06",$0.00,1,0,0,20120101,J0490,HCPCS,BELIMUMAB INJECTION,,30,,,$250.73,$0.00,1,0,0,20120101,J0583,HCPCS,BIVALIRUDIN,,30,,,$16.51,$0.00,1,0,0,20120101,J0585,HCPCS,"INJECTION,ONABOTULINUMTOXINA",,30,,,$34.97,$0.00,1,0,0,20120101,J0586,HCPCS,ABOBOTULINUMTOXINA,,30,,,$48.17,$0.00,1,0,0,20120101,J0587,HCPCS,"INJ, RIMABOTULINUMTOXINB",,30,,,$67.15,$0.00,1,0,0,20120101,J0588,HCPCS,INCOBOTULINUMTOXIN A,,30,,,$34.32,$0.00,1,0,0,20120101,J0594,HCPCS,BUSULFAN INJECTION,,30,,,$105.89,$0.00,1,0,0,20120101,J0597,HCPCS,"C-1 ESTERASE, BERINERT",,30,,,$178.91,$0.00,1,0,0,20120101,J0598,HCPCS,"C-1 ESTERASE, CINRYZE",,30,,,$284.20,$0.00,1,0,0,20120101,J0600,HCPCS,EDETATE CALCIUM DISODIUM INJ,,30,,,"$1,233.98",$0.00,1,0,0,20120101,J0637,HCPCS,CASPOFUNGIN ACETATE,,30,,,$78.85,$0.00,1,0,0,20120101,J0638,HCPCS,CANAKINUMAB INJECTION,,30,,,$565.96,$0.00,1,0,0,20120101,J0641,HCPCS,LEVOLEUCOVORIN INJECTION,,30,,,$11.57,$0.00,1,0,0,20120101,J0712,HCPCS,CEFTAROLINE FOSAMIL INJ,,30,,,$4.44,$0.00,1,0,0,20120101,J0718,HCPCS,CERTOLIZUMAB PEGOL INJ,,30,,,$25.94,$0.00,1,0,0,20120101,J0740,HCPCS,CIDOFOVIR INJECTION,,30,,,"$4,571.83",$0.00,1,0,0,20120101,J0775,HCPCS,"COLLAGENASE, CLOST HIST INJ",,30,,,$243.60,$0.00,1,0,0,20120101,J0795,HCPCS,CORTICORELIN OVINE TRIFLUTAL,,30,,,$32.89,$0.00,1,0,0,20120101,J0800,HCPCS,CORTICOTROPIN INJECTION,,30,,,"$13,007.79",$0.00,1,0,0,20120101,J0833,HCPCS,COSYNTROPIN INJECTION NOS,,30,,,$645.08,$0.00,1,0,0,20120101,J0840,HCPCS,CROTALIDAE POLY IMMUNE FAB,,30,,,"$11,736.60",$0.00,1,0,0,20120101,J0850,HCPCS,CYTOMEGALOVIRUS IMM IV /VIAL,,30,,,"$5,620.30",$0.00,1,0,0,20120101,J0878,HCPCS,DAPTOMYCIN INJECTION,,30,,,$2.93,$0.00,1,0,0,20120101,J0881,HCPCS,"DARBEPOETIN ALFA, NON-ESRD",,30,,,$19.37,$0.00,1,0,0,20120101,J0885,HCPCS,"EPOETIN ALFA, NON-ESRD",,30,,,$62.21,$0.00,1,0,0,20120101,J0894,HCPCS,DECITABINE INJECTION,,30,,,$199.54,$0.00,1,0,0,20120101,J0897,HCPCS,DENOSUMAB INJECTION,,30,,,$89.48,$0.00,1,0,0,20120101,J1055,HCPCS,MEDRXYPROGESTER ACETATE INJ,,30,,,$124.82,$0.00,1,0,0,20120101,J1162,HCPCS,DIGOXIN IMMUNE FAB (OVINE),,30,,,"$3,648.13",$0.00,1,0,0,20120101,J1190,HCPCS,DEXRAZOXANE HCL INJECTION,,30,,,"$1,334.32",$0.00,1,0,0,20120101,J1205,HCPCS,CHLOROTHIAZIDE SODIUM INJ,,30,,,"$1,741.70",$0.00,1,0,0,20120101,J1212,HCPCS,DIMETHYL SULFOXIDE 50% 50 ML,,30,,,$535.27,$0.00,1,0,0,20120101,J1290,HCPCS,ECALLANTIDE INJECTION,,30,,,"$1,758.24",$0.00,1,0,0,20120101,J1300,HCPCS,ECULIZUMAB INJECTION,,30,,,"$1,180.96",$0.00,1,0,0,20120101,J1324,HCPCS,ENFUVIRTIDE INJECTION,,30,,,$3.32,$0.00,1,0,0,20120101,J1327,HCPCS,EPTIFIBATIDE INJECTION,,30,,,$132.02,$0.00,1,0,0,20120101,J1410,HCPCS,INJ ESTROGEN CONJUGATE 25 MG,,30,,,$608.27,$0.00,1,0,0,20120101,J1430,HCPCS,ETHANOLAMINE OLEATE 100 MG,,30,,,"$1,877.07",$0.00,1,0,0,20120101,J1438,HCPCS,ETANERCEPT INJECTION,,30,,,"$1,303.26",$0.00,1,0,0,20120101,J1440,HCPCS,FILGRASTIM 300 MCG INJECTION,,30,,,"$1,111.84",$0.00,1,0,0,20120101,J1441,HCPCS,FILGRASTIM 480 MCG INJECTION,,30,,,"$1,781.04",$0.00,1,0,0,20120101,J1451,HCPCS,"FOMEPIZOLE, 15 MG",,30,,,$43.94,$0.00,1,0,0,20120101,J1453,HCPCS,FOSAPREPITANT INJECTION,,30,,,$11.12,$0.00,1,0,0,20120101,J1455,HCPCS,FOSCARNET SODIUM INJECTION,,30,,,$84.89,$0.00,1,0,0,20120101,J1458,HCPCS,GALSULFASE INJECTION,,30,,,"$2,150.89",$0.00,1,0,0,20120101,J1459,HCPCS,INJ IVIG PRIVIGEN 500 MG,,30,,,$223.78,$0.00,1,0,0,20120101,J1460,HCPCS,GAMMA GLOBULIN 1 CC INJ,,30,,,$134.03,$0.00,1,0,0,20120101,J1557,HCPCS,GAMMAPLEX INJECTION,,30,,,$229.80,$0.00,1,0,0,20120101,J1559,HCPCS,HIZENTRA INJECTION,,30,,,$46.48,$0.00,1,0,0,20120101,J1560,HCPCS,GAMMA GLOBULIN > 10 CC INJ,,30,,,"$1,323.19",$0.00,1,0,0,20120101,J1561,HCPCS,GAMUNEX INJECTION,,30,,,$239.72,$0.00,1,0,0,20120101,J1562,HCPCS,"VIVAGLOBIN, INJ",,30,,,$81.12,$0.00,1,0,0,20120101,J1566,HCPCS,"IMMUNE GLOBULIN, POWDER",,30,,,$198.95,$0.00,1,0,0,20120101,J1568,HCPCS,OCTAGAM INJECTION,,30,,,$361.92,$0.00,1,0,0,20120101,J1569,HCPCS,GAMMAGARD LIQUID INJECTION,,30,,,$244.64,$0.00,1,0,0,20120101,J1570,HCPCS,GANCICLOVIR SODIUM INJECTION,,30,,,$405.26,$0.00,1,0,0,20120101,J1571,HCPCS,HEPAGAM B IM INJECTION,,30,,,$370.13,$0.00,1,0,0,20120101,J1572,HCPCS,FLEBOGAMMA INJECTION,,30,,,$227.60,$0.00,1,0,0,20120101,J1573,HCPCS,"HEPAGAM B INTRAVENOUS, INJ",,30,,,$370.13,$0.00,1,0,0,20120101,J1595,HCPCS,INJECTION GLATIRAMER ACETATE,,30,,,$618.16,$0.00,1,0,0,20120101,J1610,HCPCS,GLUCAGON HYDROCHLORIDE/1 MG,,30,,,$618.29,$0.00,1,0,0,20120101,J1620,HCPCS,GONADORELIN HYDROCH/ 100 MCG,,30,,,"$1,076.39",$0.00,1,0,0,20120101,J1640,HCPCS,"HEMIN, 1 MG",,30,,,$67.67,$0.00,1,0,0,20120101,J1642,HCPCS,INJ HEPARIN SODIUM PER 10 U,,30,,,$1.17,$0.00,1,0,0,20120101,J1644,HCPCS,INJ HEPARIN SODIUM PER 1000U,,30,,,$1.76,$0.00,1,0,0,20120101,J1670,HCPCS,TETANUS IMMUNE GLOBULIN INJ,,30,,,"$1,429.39",$0.00,1,0,0,20120101,J1680,HCPCS,HUMAN FIBRINOGEN CONC INJ,,30,,,$463.38,$0.00,1,0,0,20120101,J1725,HCPCS,HYDROXYPROGESTERONE CAPROATE,,30,,,$16.38,$0.00,1,0,0,20120101,J1740,HCPCS,IBANDRONATE SODIUM INJECTION,,30,,,$930.57,$0.00,1,0,0,20120101,J1742,HCPCS,IBUTILIDE FUMARATE INJECTION,,30,,,$834.49,$0.00,1,0,0,20120101,J1743,HCPCS,IDURSULFASE INJECTION,,30,,,"$2,817.04",$0.00,1,0,0,20120101,J1745,HCPCS,INFLIXIMAB INJECTION,,30,,,$311.29,$0.00,1,0,0,20120101,J1750,HCPCS,INJ IRON DEXTRAN,,30,,,$75.34,$0.00,1,0,0,20120101,J1756,HCPCS,IRON SUCROSE INJECTION,,30,,,$2.08,$0.00,1,0,0,20120101,J1786,HCPCS,IMUGLUCERASE INJECTION,,30,,,$267.43,$0.00,1,0,0,20120101,J1810,HCPCS,DROPERIDOL/FENTANYL INJ,,30,,,$22.36,$0.00,1,0,0,20120101,J1826,HCPCS,INTERFERON BETA-1A INJ,,30,,,"$1,362.50",$0.00,1,0,0,20120101,J1830,HCPCS,INTERFERON BETA-1B / .25 MG,,30,,,"$1,266.10",$0.00,1,0,0,20120101,J1835,HCPCS,ITRACONAZOLE INJECTION,,30,,,"$2,283.06",$0.00,1,0,0,20120101,J1930,HCPCS,LANREOTIDE INJECTION,,30,,,$194.41,$0.00,1,0,0,20120101,J1931,HCPCS,LARONIDASE INJECTION,,30,,,$163.02,$0.00,1,0,0,20120101,J1945,HCPCS,LEPIRUDIN,,30,,,"$2,200.07",$0.00,1,0,0,20120101,J1950,HCPCS,LEUPROLIDE ACETATE /3.75 MG,,30,,,"$3,429.94",$0.00,1,0,0,20120101,J1955,HCPCS,INJ LEVOCARNITINE PER 1 GM,,30,,,$18.53,$0.00,1,0,0,20120101,J2020,HCPCS,LINEZOLID INJECTION,,30,,,$220.80,$0.00,1,0,0,20120101,J2170,HCPCS,MECASERMIN INJECTION,,30,,,$166.72,$0.00,1,0,0,20120101,J2248,HCPCS,MICAFUNGIN SODIUM INJECTION,,30,,,$6.63,$0.00,1,0,0,20120101,J2278,HCPCS,ZICONOTIDE INJECTION,,30,,,$42.12,$0.00,1,0,0,20120101,J2315,HCPCS,"NALTREXONE, DEPOT FORM",,30,,,$18.01,$0.00,1,0,0,20120101,J2323,HCPCS,NATALIZUMAB INJECTION,,30,,,$64.22,$0.00,1,0,0,20120101,J2325,HCPCS,NESIRITIDE INJECTION,,30,,,$285.17,$0.00,1,0,0,20120101,J2353,HCPCS,"OCTREOTIDE INJECTION, DEPOT",,30,,,$733.09,$0.00,1,0,0,20120101,J2355,HCPCS,OPRELVEKIN INJECTION,,30,,,"$1,542.26",$0.00,1,0,0,20120101,J2357,HCPCS,OMALIZUMAB INJECTION,,30,,,$134.16,$0.00,1,0,0,20120101,J2358,HCPCS,OLANZAPINE LONG-ACTING INJ,,30,,,$17.55,$0.00,1,0,0,20120101,J2425,HCPCS,PALIFERMIN INJECTION,,30,,,$72.48,$0.00,1,0,0,20120101,J2426,HCPCS,PALIPERIDONE PALMITATE INJ,,30,,,$41.93,$0.00,1,0,0,20120101,J2469,HCPCS,PALONOSETRON HCL,,30,,,$120.32,$0.00,1,0,0,20120101,J2503,HCPCS,PEGAPTANIB SODIUM INJECTION,,30,,,"$6,072.49",$0.00,1,0,0,20120101,J2504,HCPCS,"PEGADEMASE BOVINE, 25 IU",,30,,,"$1,553.53",$0.00,1,0,0,20120101,J2505,HCPCS,"INJECTION, PEGFILGRASTIM 6MG",,30,,,"$12,931.63",$0.00,1,0,0,20120101,J2507,HCPCS,PEGLOTICASE INJECTION,,30,,,"$1,878.00",$0.00,1,0,0,20120101,J2513,HCPCS,PENTASTARCH 10% SOLUTION,,30,,,$86.00,$0.00,1,0,0,20120101,J2545,HCPCS,PENTAMIDINE NON-COMP UNIT,,30,,,$126.43,$0.00,1,0,0,20120101,J2562,HCPCS,PLERIXAFOR INJECTION,,30,,,"$1,777.52",$0.00,1,0,0,20120101,J2700,HCPCS,OXACILLIN SODIUM INJECITON,,30,,,$16.32,$0.00,1,0,0,20120101,J2724,HCPCS,PROTEIN C CONCENTRATE,,30,,,$81.25,$0.00,1,0,0,20120101,J2725,HCPCS,INJ PROTIRELIN PER 250 MCG,,30,,,$175.67,$0.00,1,0,0,20120101,J2730,HCPCS,PRALIDOXIME CHLORIDE INJ,,30,,,$573.16,$0.00,1,0,0,20120101,J2760,HCPCS,PHENTOLAINE MESYLATE INJ,,30,,,$365.48,$0.00,1,0,0,20120101,J2770,HCPCS,QUINUPRISTIN/DALFOPRISTIN,,30,,,"$1,012.62",$0.00,1,0,0,20120101,J2778,HCPCS,RANIBIZUMAB INJECTION,,30,,,"$2,520.64",$0.00,1,0,0,20120101,J2783,HCPCS,RASBURICASE,,30,,,"$1,176.96",$0.00,1,0,0,20120101,J2785,HCPCS,REGADENOSON INJECTION,,30,,,$333.23,$0.00,1,0,0,20120101,J2788,HCPCS,RHO D IMMUNE GLOBULIN 50 MCG,,30,,,$161.27,$0.00,1,0,0,20120101,J2790,HCPCS,RHO D IMMUNE GLOBULIN INJ,,30,,,$531.92,$0.00,1,0,0,20120101,J2791,HCPCS,RHOPHYLAC INJECTION,,30,,,$33.09,$0.00,1,0,0,20120101,J2792,HCPCS,"RHO(D) IMMUNE GLOBULIN H, SD",,30,,,$122.40,$0.00,1,0,0,20120101,J2793,HCPCS,RILONACEPT INJECTION,,30,,,$153.60,$0.00,1,0,0,20120101,J2794,HCPCS,"RISPERIDONE, LONG ACTING",,30,,,$32.05,$0.00,1,0,0,20120101,J2796,HCPCS,ROMIPLOSTIM INJECTION,,30,,,$291.06,$0.00,1,0,0,20120101,J2820,HCPCS,SARGRAMOSTIM INJECTION,,30,,,$153.53,$0.00,1,0,0,20120101,J2850,HCPCS,INJ SECRETIN SYNTHETIC HUMAN,,30,,,$175.28,$0.00,1,0,0,20120101,J2940,HCPCS,SOMATREM INJECTION,,30,,,$123.35,$0.00,1,0,0,20120101,J2941,HCPCS,SOMATROPIN INJECTION,,30,,,$363.80,$0.00,1,0,0,20120101,J2993,HCPCS,RETEPLASE INJECTION,,30,,,"$9,382.45",$0.00,1,0,0,20120101,J2995,HCPCS,INJ STREPTOKINASE /250000 IU,,30,,,$128.57,$0.00,1,0,0,20120101,J2997,HCPCS,ALTEPLASE RECOMBINANT,,30,,,$239.88,$0.00,1,0,0,20120101,J3030,HCPCS,SUMATRIPTAN SUCCINATE / 6 MG,,30,,,$496.83,$0.00,1,0,0,20120101,J3095,HCPCS,TELEVANCIN INJECTION,,30,,,$12.74,$0.00,1,0,0,20120101,J3101,HCPCS,TENECTEPLASE INJECTION,,30,,,$337.04,$0.00,1,0,0,20120101,J3110,HCPCS,TERIPARATIDE INJECTION,,30,,,$20.95,$0.00,1,0,0,20120101,J3240,HCPCS,THYROTROPIN INJECTION,,30,,,"$6,250.50",$0.00,1,0,0,20120101,J3243,HCPCS,TIGECYCLINE INJECTION,,30,,,$7.93,$0.00,1,0,0,20120101,J3246,HCPCS,TIROFIBAN HCL,,30,,,$57.40,$0.00,1,0,0,20120101,J3262,HCPCS,TOCILIZUMAB INJECTION,,30,,,$22.56,$0.00,1,0,0,20120101,J3285,HCPCS,TREPROSTINIL INJECTION,,30,,,$389.57,$0.00,1,0,0,20120101,J3300,HCPCS,TRIAMCINOLONE A INJ PRS-FREE,,30,,,$20.61,$0.00,1,0,0,20120101,J3305,HCPCS,INJ TRIMETREXATE GLUCORONATE,,30,,,$103.23,$0.00,1,0,0,20120101,J3310,HCPCS,PERPHENAZINE INJECITON,,30,,,$127.01,$0.00,1,0,0,20120101,J3315,HCPCS,TRIPTORELIN PAMOATE,,30,,,"$1,243.61",$0.00,1,0,0,20120101,J3320,HCPCS,SPECTINOMYCN DI-HCL INJ,,30,,,$83.25,$0.00,1,0,0,20120101,J3350,HCPCS,UREA INJECTION,,30,,,$532.05,$0.00,1,0,0,20120101,J3355,HCPCS,"UROFOLLITROPIN, 75 IU",,30,,,$412.29,$0.00,1,0,0,20120101,J3357,HCPCS,USTEKINUMAB INJECTION,,30,,,$725.53,$0.00,1,0,0,20120101,J3365,HCPCS,"UROKINASE 250,000 IU INJ",,30,,,"$2,833.17",$0.00,1,0,0,20120101,J3385,HCPCS,VELAGLUCERASE ALFA,,30,,,"$2,222.94",$0.00,1,0,0,20120101,J3396,HCPCS,VERTEPORFIN INJECTION,,30,,,$62.08,$0.00,1,0,0,20120101,J3465,HCPCS,"INJECTION, VORICONAZOLE",,30,,,$39.13,$0.00,1,0,0,20120101,J3487,HCPCS,ZOLEDRONIC ACID,,30,,,"$1,118.23",$0.00,1,0,0,20120101,J3488,HCPCS,RECLAST INJECTION,,30,,,"$1,119.85",$0.00,1,0,0,20120101,J3535,HCPCS,METERED DOSE INHALER DRUG,,30,,,$17.07,$0.00,1,0,0,20120101,J7180,HCPCS,FACTOR XIII ANTI-HEM FACTOR,,30,,,$54.86,$0.00,1,0,0,20120101,J7183,HCPCS,WILATE INJECTION,,30,,,$5.66,$0.00,1,0,0,20120101,J7185,HCPCS,XYNTHA INJ,,30,,,$6.83,$0.00,1,0,0,20120101,J7186,HCPCS,ANTIHEMOPHILIC VIII/VWF COMP,,30,,,$5.85,$0.00,1,0,0,20120101,J7187,HCPCS,"HUMATE-P, INJ",,30,,,$5.66,$0.00,1,0,0,20120101,J7189,HCPCS,FACTOR VIIA,,30,,,$9.75,$0.00,1,0,0,20120101,J7190,HCPCS,FACTOR VIII,,30,,,$5.66,$0.00,1,0,0,20120101,J7191,HCPCS,FACTOR VIII (PORCINE),,30,,,$59.28,$0.00,1,0,0,20120101,J7192,HCPCS,FACTOR VIII RECOMBINANT NOS,,30,,,$7.09,$0.00,1,0,0,20120101,J7193,HCPCS,FACTOR IX NON-RECOMBINANT,,30,,,$5.72,$0.00,1,0,0,20120101,J7194,HCPCS,FACTOR IX COMPLEX,,30,,,$5.53,$0.00,1,0,0,20120101,J7195,HCPCS,FACTOR IX RECOMBINANT,,30,,,$7.35,$0.00,1,0,0,20120101,J7196,HCPCS,ANTITHROMBIN RECOMBINANT,,30,,,$655.61,$0.00,1,0,0,20120101,J7197,HCPCS,ANTITHROMBIN III INJECTION,,30,,,$16.12,$0.00,1,0,0,20120101,J7198,HCPCS,ANTI-INHIBITOR,,30,,,$10.21,$0.00,1,0,0,20120101,J7199,HCPCS,HEMOPHILIA CLOT FACTOR NOC,,30,,,$1.32,$0.00,1,0,0,20120101,J7300,HCPCS,INTRAUT COPPER CONTRACEPTIVE,,30,,,$874.52,$0.00,1,0,0,20120101,J7302,HCPCS,LEVONORGESTREL IU CONTRACEPT,,30,,,$910.75,$0.00,1,0,0,20120101,J7306,HCPCS,LEVONORGESTREL IMPLANT SYS,,30,,,$910.75,$0.00,1,0,0,20120101,J7307,HCPCS,ETONOGESTREL IMPLANT SYSTEM,,30,,,"$1,075.00",$0.00,1,0,0,20120101,J7308,HCPCS,AMINOLEVULINIC ACID HCL TOP,,30,,,$894.44,$0.00,1,0,0,20120101,J7309,HCPCS,"METHYL AMINOLEVULINATE, TOP",,30,,,$442.42,$0.00,1,0,0,20120101,J7310,HCPCS,GANCICLOVIR LONG ACT IMPLANT,,30,,,"$33,280.00",$0.00,1,0,0,20120101,J7311,HCPCS,FLUOCINOLONE ACETONIDE IMPLT,,30,,,"$37,960.00",$0.00,1,0,0,20120101,J7312,HCPCS,DEXAMETHASONE INTRA IMPLANT,,30,,,"$1,196.56",$0.00,1,0,0,20120101,J7321,HCPCS,HYALGAN/SUPARTZ INJ PER DOSE,,30,,,$574.64,$0.00,1,0,0,20120101,J7323,HCPCS,EUFLEXXA INJ PER DOSE,,30,,,$948.43,$0.00,1,0,0,20120101,J7324,HCPCS,ORTHOVISC INJ PER DOSE,,30,,,"$1,074.80",$0.00,1,0,0,20120101,J7325,HCPCS,SYNVISC OR SYNVISC-ONE,,30,,,$76.77,$0.00,1,0,0,20120101,J7326,HCPCS,GEL-ONE,,30,,,"$6,138.59",$0.00,1,0,0,20120101,J7335,HCPCS,CAPSAICIN 8% PATCH,,30,,,$166.07,$0.00,1,0,0,20120101,J7501,HCPCS,AZATHIOPRINE PARENTERAL,,30,,,$791.05,$0.00,1,0,0,20120101,J7504,HCPCS,LYMPHOCYTE IMMUNE GLOBULIN,,30,,,"$3,398.76",$0.00,1,0,0,20120101,J7505,HCPCS,MONOCLONAL ANTIBODIES,,30,,,"$6,683.47",$0.00,1,0,0,20120101,J7511,HCPCS,ANTITHYMOCYTE GLOBULN RABBIT,,30,,,"$2,453.35",$0.00,1,0,0,20120101,J7513,HCPCS,"DACLIZUMAB, PARENTERAL",,30,,,"$3,242.18",$0.00,1,0,0,20120101,J7525,HCPCS,TACROLIMUS INJECTION,,30,,,$882.62,$0.00,1,0,0,20120101,J7607,HCPCS,LEVALBUTEROL COMP CON,,30,,,$10.03,$0.00,1,0,0,20120101,J7608,HCPCS,ACETYLCYSTEINE NON-COMP UNIT,,30,,,$6.16,$0.00,1,0,0,20120101,J7609,HCPCS,ALBUTEROL COMP UNIT,,30,,,$12.16,$0.00,1,0,0,20120101,J7610,HCPCS,ALBUTEROL COMP CON,,30,,,$10.55,$0.00,1,0,0,20120101,J7611,HCPCS,ALBUTEROL NON-COMP CON,,30,,,$1.03,$0.00,1,0,0,20120101,J7612,HCPCS,LEVALBUTEROL NON-COMP CON,,30,,,$1.03,$0.00,1,0,0,20120101,J7613,HCPCS,ALBUTEROL NON-COMP UNIT,,30,,,$1.03,$0.00,1,0,0,20120101,J7614,HCPCS,LEVALBUTEROL NON-COMP UNIT,,30,,,$1.03,$0.00,1,0,0,20120101,J7615,HCPCS,LEVALBUTEROL COMP UNIT,,30,,,$6.16,$0.00,1,0,0,20120101,J7620,HCPCS,ALBUTEROL IPRATROP NON-COMP,,30,,,$1.03,$0.00,1,0,0,20120101,J7626,HCPCS,BUDESONIDE NON-COMP UNIT,,30,,,$12.81,$0.00,1,0,0,20120101,J7633,HCPCS,BUDESONIDE NON-COMP CON,,30,,,$25.75,$0.00,1,0,0,20120101,J7637,HCPCS,DEXAMETHASONE COMP CON,,30,,,$0.98,$0.00,1,0,0,20120101,J7638,HCPCS,DEXAMETHASONE COMP UNIT,,30,,,$0.98,$0.00,1,0,0,20120101,J7642,HCPCS,GLYCOPYRROLATE COMP CON,,30,,,$0.72,$0.00,1,0,0,20120101,J7643,HCPCS,GLYCOPYRROLATE COMP UNIT,,30,,,$0.72,$0.00,1,0,0,20120101,J7644,HCPCS,IPRATROPIUM BROMIDE NON-COMP,,30,,,$1.03,$0.00,1,0,0,20120101,J7645,HCPCS,IPRATROPIUM BROMIDE COMP,,30,,,$8.75,$0.00,1,0,0,20120101,J7699,HCPCS,INHALATION SOLUTION FOR DME,,30,,,$6.47,$0.00,1,0,0,20120101,J8498,HCPCS,ANTIEMETIC RECTAL/SUPP NOS,,30,,,$1.32,$0.00,1,0,0,20120101,J8499,HCPCS,ORAL PRESCRIP DRUG NON CHEMO,,30,,,$1.15,$0.00,1,0,0,20120101,J8501,HCPCS,ORAL APREPITANT,,30,,,$38.35,$0.00,1,0,0,20120101,J8510,HCPCS,ORAL BUSULFAN,,30,,,$23.34,$0.00,1,0,0,20120101,J8520,HCPCS,"CAPECITABINE, ORAL, 150 MG",,30,,,$44.27,$0.00,1,0,0,20120101,J8521,HCPCS,"CAPECITABINE, ORAL, 500 MG",,30,,,$146.12,$0.00,1,0,0,20120101,J8560,HCPCS,ETOPOSIDE ORAL 50 MG,,30,,,$223.07,$0.00,1,0,0,20120101,J8561,HCPCS,ORAL EVEROLIMUS,,30,,,$36.92,$0.00,1,0,0,20120101,J8562,HCPCS,ORAL FLUDARABINE PHOSPHATE,,30,,,$514.41,$0.00,1,0,0,20120101,J8565,HCPCS,GEFITINIB ORAL,,30,,,$127.24,$0.00,1,0,0,20120101,J8700,HCPCS,TEMOZOLOMIDE,,30,,,$60.52,$0.00,1,0,0,20120101,J8705,HCPCS,TOPOTECAN ORAL,,30,,,$494.83,$0.00,1,0,0,20120101,J8999,HCPCS,ORAL PRESCRIPTION DRUG CHEMO,,30,,,$8.87,$0.00,1,0,0,20120101,J9001,HCPCS,DOXORUBICIN HCL LIPOSOME INJ,,30,,,"$3,168.73",$0.00,1,0,0,20120101,J9010,HCPCS,ALEMTUZUMAB INJECTION,,30,,,"$3,610.41",$0.00,1,0,0,20120101,J9015,HCPCS,ALDESLEUKIN INJECTION,,30,,,"$5,582.68",$0.00,1,0,0,20120101,J9017,HCPCS,ARSENIC TRIOXIDE INJECTION,,30,,,$260.57,$0.00,1,0,0,20120101,J9020,HCPCS,ASPARAGINASE INJECTION,,30,,,$402.42,$0.00,1,0,0,20120101,J9025,HCPCS,AZACITIDINE INJECTION,,30,,,$33.54,$0.00,1,0,0,20120101,J9027,HCPCS,CLOFARABINE INJECTION,,30,,,$738.79,$0.00,1,0,0,20120101,J9031,HCPCS,BCG LIVE INTRAVESICAL VAC,,30,,,$738.86,$0.00,1,0,0,20120101,J9033,HCPCS,BENDAMUSTINE INJECTION,,30,,,$117.98,$0.00,1,0,0,20120101,J9035,HCPCS,BEVACIZUMAB INJECTION,,30,,,$291.97,$0.00,1,0,0,20120101,J9041,HCPCS,BORTEZOMIB INJECTION,,30,,,$257.14,$0.00,1,0,0,20120101,J9043,HCPCS,CABAZITAXEL INJECTION,,30,,,$832.23,$0.00,1,0,0,20120101,J9050,HCPCS,CARMUSTINE INJECTION,,30,,,"$1,110.15",$0.00,1,0,0,20120101,J9055,HCPCS,CETUXIMAB INJECTION,,30,,,$321.33,$0.00,1,0,0,20120101,J9065,HCPCS,INJ CLADRIBINE PER 1 MG,,30,,,$153.34,$0.00,1,0,0,20120101,J9070,HCPCS,CYCLOPHOSPHAMIDE 100 MG INJ,,30,,,$87.30,$0.00,1,0,0,20120101,J9098,HCPCS,CYTARABINE LIPOSOME INJ,,30,,,"$3,015.52",$0.00,1,0,0,20120101,J9120,HCPCS,DACTINOMYCIN INJECTION,,30,,,"$3,320.76",$0.00,1,0,0,20120101,J9150,HCPCS,DAUNORUBICIN INJECTION,,30,,,$101.40,$0.00,1,0,0,20120101,J9151,HCPCS,DAUNORUBICIN CITRATE INJ,,30,,,$366.96,$0.00,1,0,0,20120101,J9155,HCPCS,DEGARELIX INJECTION,,30,,,$18.14,$0.00,1,0,0,20120101,J9160,HCPCS,DENILEUKIN DIFTITOX INJ,,30,,,"$9,057.38",$0.00,1,0,0,20120101,J9165,HCPCS,DIETHYLSTILBESTROL INJECTION,,30,,,$56.45,$0.00,1,0,0,20120101,J9171,HCPCS,DOCETAXEL INJECTION,,30,,,$102.38,$0.00,1,0,0,20120101,J9178,HCPCS,"INJ, EPIRUBICIN HCL, 2 MG",,30,,,$12.16,$0.00,1,0,0,20120101,J9179,HCPCS,ERIBULIN MESYLATE INJECTION,,30,,,$582.75,$0.00,1,0,0,20120101,J9185,HCPCS,FLUDARABINE PHOSPHATE INJ,,30,,,$658.43,$0.00,1,0,0,20120101,J9200,HCPCS,FLOXURIDINE INJECTION,,30,,,$394.35,$0.00,1,0,0,20120101,J9201,HCPCS,GEMCITABINE HCL INJECTION,,30,,,$571.63,$0.00,1,0,0,20120101,J9202,HCPCS,GOSERELIN ACETATE IMPLANT,,30,,,"$1,253.56",$0.00,1,0,0,20120101,J9206,HCPCS,IRINOTECAN INJECTION,,30,,,$41.73,$0.00,1,0,0,20120101,J9207,HCPCS,IXABEPILONE INJECTION,,30,,,$405.39,$0.00,1,0,0,20120101,J9208,HCPCS,IFOSFOMIDE INJECTION,,30,,,$202.78,$0.00,1,0,0,20120101,J9211,HCPCS,IDARUBICIN HCL INJECTION,,30,,,$378.20,$0.00,1,0,0,20120101,J9214,HCPCS,INTERFERON ALFA-2B INJ,,30,,,$105.24,$0.00,1,0,0,20120101,J9215,HCPCS,INTERFERON ALFA-N3 INJ,,30,,,$202.71,$0.00,1,0,0,20120101,J9216,HCPCS,INTERFERON GAMMA 1-B INJ,,30,,,"$3,442.45",$0.00,1,0,0,20120101,J9217,HCPCS,LEUPROLIDE ACETATE SUSPNSION,,30,,,"$1,353.54",$0.00,1,0,0,20120101,J9218,HCPCS,LEUPROLIDE ACETATE INJECITON,,30,,,$31.72,$0.00,1,0,0,20120101,J9219,HCPCS,LEUPROLIDE ACETATE IMPLANT,,30,,,"$20,702.79",$0.00,1,0,0,20120101,J9225,HCPCS,VANTAS IMPLANT,,30,,,"$18,280.79",$0.00,1,0,0,20120101,J9226,HCPCS,SUPPRELIN LA IMPLANT,,30,,,"$30,369.06",$0.00,1,0,0,20120101,J9228,HCPCS,IPILIMUMAB INJECTION,,30,,,$820.94,$0.00,1,0,0,20120101,J9230,HCPCS,MECHLORETHAMINE HCL INJ,,30,,,$997.65,$0.00,1,0,0,20120101,J9245,HCPCS,INJ MELPHALAN HYDROCHL 50 MG,,30,,,"$8,817.36",$0.00,1,0,0,20120101,J9261,HCPCS,NELARABINE INJECTION,,30,,,$712.00,$0.00,1,0,0,20120101,J9263,HCPCS,OXALIPLATIN,,30,,,$64.74,$0.00,1,0,0,20120101,J9264,HCPCS,PACLITAXEL PROTEIN BOUND,,30,,,$59.87,$0.00,1,0,0,20120101,J9266,HCPCS,PEGASPARGASE INJECTION,,30,,,"$14,191.21",$0.00,1,0,0,20120101,J9268,HCPCS,PENTOSTATIN INJECTION,,30,,,"$6,440.37",$0.00,1,0,0,20120101,J9280,HCPCS,MITOMYCIN 5 MG INJ,,30,,,$132.34,$0.00,1,0,0,20120101,J9293,HCPCS,MITOXANTRONE HYDROCHL / 5 MG,,30,,,$220.54,$0.00,1,0,0,20120101,J9300,HCPCS,GEMTUZUMAB OZOGAMICIN INJ,,30,,,"$14,033.28",$0.00,1,0,0,20120101,J9302,HCPCS,OFATUMUMAB INJECTION,,30,,,$294.75,$0.00,1,0,0,20120101,J9303,HCPCS,PANITUMUMAB INJECTION,,30,,,$554.19,$0.00,1,0,0,20120101,J9305,HCPCS,PEMETREXED INJECTION,,30,,,$333.29,$0.00,1,0,0,20120101,J9307,HCPCS,PRALATREXATE INJECTION,,30,,,"$1,066.09",$0.00,1,0,0,20120101,J9310,HCPCS,RITUXIMAB INJECTION,,30,,,"$2,548.09",$0.00,1,0,0,20120101,J9315,HCPCS,ROMIDEPSIN INJECTION,,30,,,"$1,406.23",$0.00,1,0,0,20120101,J9320,HCPCS,STREPTOZOCIN INJECTION,,30,,,"$1,692.62",$0.00,1,0,0,20120101,J9328,HCPCS,TEMOZOLOMIDE INJECTION,,30,,,$31.59,$0.00,1,0,0,20120101,J9330,HCPCS,TEMSIROLIMUS INJECTION,,30,,,$323.60,$0.00,1,0,0,20120101,J9340,HCPCS,THIOTEPA INJECTION,,30,,,$846.39,$0.00,1,0,0,20120101,J9351,HCPCS,TOPOTECAN INJECTION,,30,,,$64.03,$0.00,1,0,0,20120101,J9355,HCPCS,TRASTUZUMAB INJECTION,,30,,,$447.52,$0.00,1,0,0,20120101,J9357,HCPCS,VALRUBICIN INJECTION,,30,,,"$5,759.57",$0.00,1,0,0,20120101,J9390,HCPCS,VINORELBINE TARTRATE INJ,,30,,,$113.43,$0.00,1,0,0,20120101,J9395,HCPCS,"INJECTION, FULVESTRANT",,30,,,$529.67,$0.00,1,0,0,20120101,J9600,HCPCS,PORFIMER SODIUM INJECTION,,30,,,"$38,696.22",$0.00,1,0,0,20120101,M0064,HCPCS,VISIT FOR DRUG MONITORING,,30,,,$346.16,$0.00,1,0,1,20120101,P3001,HCPCS,SCREENING PAP SMEAR BY PHYS,,30,,,$184.14,$0.00,1,0,1,20120101,P7001,HCPCS,CULTURE BACTERIAL URINE,,30,,,$99.80,$0.00,1,0,1,20120101,P9010,HCPCS,WHOLE BLOOD FOR TRANSFUSION,,30,,,"$1,194.65",$0.00,1,0,1,20120101,P9011,HCPCS,BLOOD SPLIT UNIT,,30,,,$723.16,$0.00,1,0,1,20120101,P9012,HCPCS,CRYOPRECIPITATE EACH UNIT,,30,,,$469.51,$0.00,1,0,1,20120101,P9016,HCPCS,RBC LEUKOCYTES REDUCED,,30,,,$635.31,$0.00,1,0,1,20120101,P9017,HCPCS,PLASMA 1 DONOR FRZ W/IN 8 HR,,30,,,$467.48,$0.00,1,0,1,20120101,P9019,HCPCS,"PLATELETS, EACH UNIT",,30,,,$535.70,$0.00,1,0,1,20120101,P9020,HCPCS,PLAELET RICH PLASMA UNIT,,30,,,$842.90,$0.00,1,0,1,20120101,P9021,HCPCS,RED BLOOD CELLS UNIT,,30,,,$617.05,$0.00,1,0,1,20120101,P9022,HCPCS,WASHED RED BLOOD CELLS UNIT,,30,,,"$1,752.65",$0.00,1,0,1,20120101,P9023,HCPCS,"FROZEN PLASMA, POOLED, SD",,30,,,$437.22,$0.00,1,0,1,20120101,P9031,HCPCS,PLATELETS LEUKOCYTES REDUCED,,30,,,$746.88,$0.00,1,0,1,20120101,P9032,HCPCS,"PLATELETS, IRRADIATED",,30,,,$791.38,$0.00,1,0,1,20120101,P9033,HCPCS,PLATELETS LEUKOREDUCED IRRAD,,30,,,$873.46,$0.00,1,0,1,20120101,P9034,HCPCS,"PLATELETS, PHERESIS",,30,,,"$2,594.01",$0.00,1,0,1,20120101,P9035,HCPCS,PLATELET PHERES LEUKOREDUCED,,30,,,"$3,230.89",$0.00,1,0,1,20120101,P9036,HCPCS,PLATELET PHERESIS IRRADIATED,,30,,,"$3,249.69",$0.00,1,0,1,20120101,P9037,HCPCS,PLATE PHERES LEUKOREDU IRRAD,,30,,,"$4,237.15",$0.00,1,0,1,20120101,P9038,HCPCS,RBC IRRADIATED,,30,,,"$1,226.20",$0.00,1,0,1,20120101,P9039,HCPCS,RBC DEGLYCEROLIZED,,30,,,"$1,485.63",$0.00,1,0,1,20120101,P9040,HCPCS,RBC LEUKOREDUCED IRRADIATED,,30,,,$839.80,$0.00,1,0,1,20120101,P9041,HCPCS,"ALBUMIN (HUMAN),5%, 50ML",,30,,,$125.53,$0.00,1,0,1,20120101,P9043,HCPCS,"PLASMA PROTEIN FRACT,5%,50ML",,30,,,$107.53,$0.00,1,0,1,20120101,P9044,HCPCS,CRYOPRECIPITATEREDUCEDPLASMA,,30,,,$506.49,$0.00,1,0,1,20120101,P9045,HCPCS,"ALBUMIN (HUMAN), 5%, 250 ML",,30,,,$413.31,$0.00,1,0,1,20120101,P9046,HCPCS,"ALBUMIN (HUMAN), 25%, 20 ML",,30,,,$179.70,$0.00,1,0,1,20120101,P9047,HCPCS,"ALBUMIN (HUMAN), 25%, 50ML",,30,,,$433.77,$0.00,1,0,1,20120101,P9048,HCPCS,"PLASMAPROTEIN FRACT,5%,250ML",,30,,,$522.51,$0.00,1,0,1,20120101,P9050,HCPCS,"GRANULOCYTES, PHERESIS UNIT",,30,,,"$8,943.69",$0.00,1,0,1,20120101,P9051,HCPCS,"BLOOD, L/R, CMV-NEG",,30,,,"$1,175.36",$0.00,1,0,1,20120101,P9052,HCPCS,"PLATELETS, HLA-M, L/R, UNIT",,30,,,"$4,878.01",$0.00,1,0,1,20120101,P9053,HCPCS,"PLT, PHER, L/R CMV-NEG, IRR",,30,,,"$3,708.79",$0.00,1,0,1,20120101,P9054,HCPCS,"BLOOD, L/R, FROZ/DEGLY/WASH",,30,,,$646.75,$0.00,1,0,1,20120101,P9055,HCPCS,"PLT, APH/PHER, L/R, CMV-NEG",,30,,,"$2,443.71",$0.00,1,0,1,20120101,P9056,HCPCS,"BLOOD, L/R, IRRADIATED",,30,,,$924.18,$0.00,1,0,1,20120101,P9057,HCPCS,"RBC, FRZ/DEG/WSH, L/R, IRRAD",,30,,,"$2,678.25",$0.00,1,0,1,20120101,P9058,HCPCS,"RBC, L/R, CMV-NEG, IRRAD",,30,,,"$1,738.36",$0.00,1,0,1,20120101,P9059,HCPCS,"PLASMA, FRZ BETWEEN 8-24HOUR",,30,,,$431.74,$0.00,1,0,1,20120101,P9060,HCPCS,FR FRZ PLASMA DONOR RETESTED,,30,,,$540.07,$0.00,1,0,1,20120101,PHOSP,PHOSP,PARTIAL HOSPITALIZATION PER DIEM,,30,,,$413.75,$0.00,1,0,0,20120101,Q0035,HCPCS,CARDIOKYMOGRAPHY,,30,,,"$1,131.82",$0.00,1,0,1,20120101,Q0081,HCPCS,INFUSION THER OTHER THAN CHE,,30,,,$206.58,$0.00,1,0,1,20120101,Q0083,HCPCS,CHEMO BY OTHER THAN INFUSION,,30,,,$152.89,$0.00,1,0,1,20120101,Q0084,HCPCS,CHEMOTHERAPY BY INFUSION,,30,,,"$1,045.67",$0.00,1,0,1,20120101,Q0085,HCPCS,CHEMO BY BOTH INFUSION AND O,,30,,,$775.99,$0.00,1,0,1,20120101,Q0091,HCPCS,OBTAINING SCREEN PAP SMEAR,,30,,,$54.48,$0.00,1,0,1,20120101,Q0138,HCPCS,"FERUMOXYTOL, NON-ESRD",,30,,,$4.49,$0.00,1,0,1,20120101,Q0144,HCPCS,"AZITHROMYCIN DIHYDRATE, ORAL",,30,,,$33.02,$0.00,1,0,0,20120101,Q0181,HCPCS,UNSPECIFIED ORAL ANTI-EMETIC,,30,,,$45.81,$0.00,1,0,0,20120101,Q0512,HCPCS,PX SUP FEE ANTI-CAN SUB PRES,,30,,,$20.71,$0.00,1,0,1,20120101,Q0515,HCPCS,SERMORELIN ACETATE INJECTION,,30,,,$11.44,$0.00,1,0,0,20120101,Q2017,HCPCS,"TENIPOSIDE, 50 MG",,30,,,"$2,015.75",$0.00,1,0,1,20120101,Q2043,HCPCS,SIPULEUCEL-T AUTO CD54+,,30,,,"$65,720.00",$0.00,1,0,1,20120101,Q3001,HCPCS,BRACHYTHERAPY RADIOELEMENTS,,30,,,$95.06,$0.00,1,0,1,20120101,Q3025,HCPCS,IM INJ INTERFERON BETA 1-A,,30,,,"$1,415.38",$0.00,1,0,1,20120101,Q4074,HCPCS,ILOPROST NON-COMP UNIT DOSE,,30,,,$164.28,$0.00,1,0,1,20120101,Q4101,HCPCS,APLIGRAF,,30,,,$209.89,$0.00,1,0,1,20120101,Q4102,HCPCS,OASIS WOUND MATRIX,,30,,,$35.37,$0.00,1,0,1,20120101,Q4103,HCPCS,OASIS BURN MATRIX,,30,,,$35.37,$0.00,1,0,1,20120101,Q4104,HCPCS,INTEGRA BMWD,,30,,,$95.21,$0.00,1,0,1,20120101,Q4105,HCPCS,INTEGRA DRT,,30,,,$67.48,$0.00,1,0,1,20120101,Q4106,HCPCS,DERMAGRAFT,,30,,,$242.74,$0.00,1,0,1,20120101,Q4107,HCPCS,GRAFTJACKET,,30,,,$571.81,$0.00,1,0,1,20120101,Q4108,HCPCS,INTEGRA MATRIX,,30,,,$129.10,$0.00,1,0,1,20120101,Q4110,HCPCS,PRIMATRIX,,30,,,$195.16,$0.00,1,0,1,20120101,Q4111,HCPCS,GAMMAGRAFT,,30,,,$44.18,$0.00,1,0,1,20120101,Q4112,HCPCS,CYMETRA INJECTABLE,,30,,,"$2,124.88",$0.00,1,0,1,20120101,Q4113,HCPCS,GRAFTJACKET XPRESS,,30,,,"$2,124.88",$0.00,1,0,1,20120101,Q4114,HCPCS,INTEGRA FLOWABLE WOUND MATRI,,30,,,"$5,906.97",$0.00,1,0,1,20120101,Q4115,HCPCS,ALLOSKIN,,30,,,$50.90,$0.00,1,0,1,20120101,Q4116,HCPCS,ALLODERM,,30,,,$191.71,$0.00,1,0,1,20120101,Q4118,HCPCS,MATRISTEM MICROMATRIX,,30,,,$19.29,$0.00,1,0,1,20120101,Q4119,HCPCS,MATRISTEM WOUND MATRIX,,30,,,$27.85,$0.00,1,0,1,20120101,Q4121,HCPCS,THERASKIN,,30,,,$202.37,$0.00,1,0,1,20120101,Q4122,HCPCS,DERMACELL,,30,,,$194.24,$0.00,1,0,1,20120101,Q4123,HCPCS,ALLOSKIN,,30,,,$19.02,$0.00,1,0,1,20120101,Q4124,HCPCS,OASIS TRI-LAYER WOUND MATRIX,,30,,,$64.03,$0.00,1,0,1,20120101,Q5001,HCPCS,HOSPICE IN PATIENT HOME,,30,,,$219.40,$0.00,1,0,1,20120101,Q5002,HCPCS,HOSPICE IN ASSISTED LIVING,,30,,,$234.65,$0.00,1,0,1,20120101,Q5003,HCPCS,HOSPICE IN LT/NON-SKILLED NF,,30,,,$187.72,$0.00,1,0,1,20120101,Q5004,HCPCS,HOSPICE IN SNF,,30,,,$399.45,$0.00,1,0,1,20120101,Q5005,HCPCS,"HOSPICE, INPATIENT HOSPITAL",,30,,,"$1,316.23",$0.00,1,0,1,20120101,Q5006,HCPCS,HOSPICE IN HOSPICE FACILITY,,30,,,$985.53,$0.00,1,0,1,20120101,Q5009,HCPCS,"HOSPICE CARE, NOS",,30,,,$690.03,$0.00,1,0,1,20120101,R0070,HCPCS,TRANSPORT PORTABLE X-RAY,,30,,,$100.66,$0.00,1,0,1,20120101,R0075,HCPCS,TRANSPORT PORT X-RAY MULTIPL,,30,,,$52.50,$0.00,1,0,1,20120101,S0020,HCPCS,"INJECTION, BUPIVICAINE HYDRO",,30,,,$8.37,$0.00,1,0,1,20120101,S0023,HCPCS,"INJECTION, CIMETIDINE HYDROC",,30,,,$5.79,$0.00,1,0,0,20120101,S0028,HCPCS,"INJECTION, FAMOTIDINE, 20 MG",,30,,,$3.96,$0.00,1,0,0,20120101,S0030,HCPCS,"INJECTION, METRONIDAZOLE",,30,,,$19.08,$0.00,1,0,0,20120101,S0032,HCPCS,"INJECTION, NAFCILLIN SODIUM",,30,,,$41.13,$0.00,1,0,0,20120101,S0034,HCPCS,"INJECTION, OFLOXACIN, 400 MG",,30,,,$29.98,$0.00,1,0,0,20120101,S0039,HCPCS,"INJECTION, SULFAMETHOXAZOLE",,30,,,$21.77,$0.00,1,0,0,20120101,S0040,HCPCS,"INJECTION, TICARCILLIN DISOD",,30,,,$27.43,$0.00,1,0,0,20120101,S0073,HCPCS,"INJECTION, AZTREONAM, 500 MG",,30,,,$33.88,$0.00,1,0,0,20120101,S0074,HCPCS,"INJECTION, CEFOTETAN DISODIU",,30,,,$52.04,$0.00,1,0,0,20120101,S0077,HCPCS,"INJECTION, CLINDAMYCIN PHOSP",,30,,,$6.98,$0.00,1,0,0,20120101,S0078,HCPCS,"INJECTION, FOSPHENYTOIN SODI",,30,,,$332.29,$0.00,1,0,0,20120101,S0080,HCPCS,"INJECTION, PENTAMIDINE ISETH",,30,,,$129.17,$0.00,1,0,0,20120101,S0092,HCPCS,HYDROMORPHONE 250 MG,,30,,,$194.86,$0.00,1,0,0,20120101,S0093,HCPCS,MORPHINE 500 MG,,30,,,$31.32,$0.00,1,0,0,20120101,S0106,HCPCS,BUPROPION HCL SR 60 TABLETS,,30,,,$206.14,$0.00,1,0,0,20120101,S0109,HCPCS,METHADONE ORAL 5MG,,30,,,$0.53,$0.00,1,0,0,20120101,S0119,HCPCS,ONDANSETRON 4 MG,,30,,,$42.16,$0.00,1,0,0,20120101,S0132,HCPCS,INJ GANIRELIX ACETAT 250 MCG,,30,,,$199.13,$0.00,1,0,0,20120101,S0136,HCPCS,"CLOZAPINE, 25 MG",,30,,,$2.44,$0.00,1,0,0,20120101,S0137,HCPCS,"DIDANOSINE, 25 MG",,30,,,$15.00,$0.00,1,0,0,20120101,S0145,HCPCS,PEG INTERFERON ALFA-2A/180,,30,,,$50.23,$0.00,1,0,1,20120101,S0157,HCPCS,"BECAPLERMIN GEL 1%, 0.5 GM",,30,,,$33.15,$0.00,1,0,0,20120101,S0164,HCPCS,INJECTION PANTROPRAZOLE,,30,,,$24.44,$0.00,1,0,0,20120101,S0171,HCPCS,BUMETANIDE 0.5 MG,,30,,,$2.24,$0.00,1,0,0,20120101,S0183,HCPCS,PROCHLORPERAZINE 5 MG,,30,,,$1.24,$0.00,1,0,0,20120101,S0191,HCPCS,"MISOPROSTOL, ORAL, 200 MCG",,30,,,$3.97,$0.00,1,0,0,20120101,S0195,HCPCS,PNEUMO VACCINE 5-9 YRS,,30,,,$65.82,$0.00,1,0,1,20120101,S0199,HCPCS,MED ABORTION INC ALL EX DRUG,,30,,,"$2,517.03",$0.00,1,0,1,20120101,S0201,HCPCS,PARTIAL HOSPITALIZATION SERV,,30,,,$590.14,$0.00,1,0,1,20120101,S0208,HCPCS,PARAMED INTRCEPT NONVOL,,30,,,$262.45,$0.00,1,0,1,20120101,S0220,HCPCS,MEDICAL CONFERENCE BY PHYSIC,,30,,,$2.51,$0.00,1,0,1,20120101,S0221,HCPCS,"MEDICAL CONFERENCE, 60 MIN",,30,,,$336.72,$0.00,1,0,1,20120101,S0255,HCPCS,HOSPICE REFER VISIT NONMD,,30,,,$131.10,$0.00,1,0,1,20120101,S0257,HCPCS,END OF LIFE COUNSELING,,30,,,$183.56,$0.00,1,0,1,20120101,S0260,HCPCS,H&P FOR SURGERY,,30,,,$89.99,$0.00,1,0,1,20120101,S0265,HCPCS,GENETIC COUNSEL 15 MINS,,30,,,$89.99,$0.00,1,0,1,20120101,S0315,HCPCS,DISEASE MANAGEMENT PROGRAM,,30,,,$89.99,$0.00,1,0,1,20120101,S0316,HCPCS,FOLLOW-UP/REASSESSMENT,,30,,,$188.89,$0.00,1,0,1,20120101,S0390,HCPCS,ROUT FOOT CARE PER VISIT,,30,,,$29.33,$0.00,1,0,1,20120101,S0400,HCPCS,GLOBAL ESWL KIDNEY,,30,,,"$22,194.16",$0.00,1,0,1,20120101,S0592,HCPCS,COMP CONT LENS EVAL,,30,,,"$1,176.31",$0.00,1,0,1,20120101,S0601,HCPCS,SCREENING PROCTOSCOPY,,30,,,$310.59,$0.00,1,0,1,20120101,S0612,HCPCS,ANNUAL GYNECOLOGICAL EXAMINA,,30,,,$217.05,$0.00,1,0,1,20120101,S0613,HCPCS,ANN BREAST EXAM,,30,,,$89.99,$0.00,1,0,1,20120101,S0618,HCPCS,AUDIOMETRY FOR HEARING AID,,30,,,$55.00,$0.00,1,0,1,20120101,S0622,HCPCS,PHYS EXAM FOR COLLEGE,,30,,,$89.99,$0.00,1,0,1,20120101,S0630,HCPCS,REMOVAL OF SUTURES,,30,,,$85.06,$0.00,1,0,1,20120101,S0810,HCPCS,PHOTOREFRACTIVE KERATECTOMY,,30,,,"$3,018.77",$0.00,1,0,1,20120101,S0812,HCPCS,PHOTOTHERAP KERATECT,,30,,,"$3,018.77",$0.00,1,0,1,20120101,S1015,HCPCS,IV TUBING EXTENSION SET,,30,,,$35.93,$0.00,1,0,1,20120101,S1040,HCPCS,CRANIAL REMOLDING ORTHOSIS,,30,,,$513.97,$0.00,1,0,1,20120101,S2070,HCPCS,CYSTO LASER TX URETERAL CALC,,30,,,"$4,215.74",$0.00,1,0,1,20120101,S2080,HCPCS,LAUP,,30,,,"$10,731.17",$0.00,1,0,1,20120101,S2083,HCPCS,ADJUSTMENT GASTRIC BAND,,30,,,$703.95,$0.00,1,0,1,20120101,S2095,HCPCS,TRANSCATH EMBOLIZ MICROSPHER,,30,,,"$12,590.36",$0.00,1,0,1,20120101,S2117,HCPCS,"ARTHROEREISIS, SUBTALAR",,30,,,"$4,853.72",$0.00,1,0,1,20120101,S2120,HCPCS,LOW DENSITY LIPOPROTEIN(LDL),,30,,,"$18,498.64",$0.00,1,0,1,20120101,S2140,HCPCS,CORD BLOOD HARVESTING,,30,,,"$1,267.81",$0.00,1,0,1,20120101,S2142,HCPCS,CORD BLOOD-DERIVED STEM-CELL,,30,,,"$3,026.97",$0.00,1,0,1,20120101,S2150,HCPCS,BMT HARV/TRANSPL 28D PKG,,30,,,"$1,063.54",$0.00,1,0,1,20120101,S2202,HCPCS,ECHOSCLEROTHERAPY,,30,,,$133.74,$0.00,1,0,1,20120101,S2225,HCPCS,MYRINGOTOMY LASER-ASSIST,,30,,,"$7,489.91",$0.00,1,0,1,20120101,S2230,HCPCS,IMPLANT SEMI-IMP HEAR,,30,,,"$4,953.72",$0.00,1,0,1,20120101,S2235,HCPCS,IMPLANT AUDITORY BRAIN IMP,,30,,,"$46,026.88",$0.00,1,0,1,20120101,S2300,HCPCS,"ARTHROSCOPY, SHOULDER, SURGI",,30,,,"$13,454.91",$0.00,1,0,1,20120101,S2325,HCPCS,HIP CORE DECOMPRESSION,,30,,,$568.73,$0.00,1,0,1,20120101,S2340,HCPCS,CHEMODENERVATION OF ABDUCTOR,,30,,,"$6,830.17",$0.00,1,0,1,20120101,S2341,HCPCS,CHEMODENERV ADDUCT VOCAL,,30,,,"$6,830.17",$0.00,1,0,1,20120101,S2342,HCPCS,NASAL ENDOSCOP PO DEBRID,,30,,,"$10,031.90",$0.00,1,0,1,20120101,S2348,HCPCS,DECOMPRESS DISC RF LUMBAR,,30,,,"$8,142.20",$0.00,1,0,1,20120101,S2360,HCPCS,VERTEBROPLAST CERV 1ST,,30,,,"$12,211.12",$0.00,1,0,1,20120101,S2361,HCPCS,VERTEBROPLAST CERV ADDL,,30,,,"$2,480.46",$0.00,1,0,1,20120101,S2900,HCPCS,ROBOTIC SURGICAL SYSTEM,,30,,,"$8,070.43",$0.00,1,0,1,20120101,S3005,HCPCS,EVAL SELF-ASSESS DEPRESSION,,30,,,$89.99,$0.00,1,0,1,20120101,S3600,HCPCS,STAT LAB,,30,,,$61.18,$0.00,1,0,1,20120101,S3620,HCPCS,NEWBORN METABOLIC SCREENING,,30,,,$165.43,$0.00,1,0,1,20120101,S3630,HCPCS,EOSINOPHIL BLOOD COUNT,,30,,,$47.66,$0.00,1,0,1,20120101,S3708,HCPCS,GASTROINTESTINAL FAT ABSORPT,,30,,,$396.70,$0.00,1,0,1,20120101,S3835,HCPCS,GENE TEST CYSTIC FIBROSIS,,30,,,$205.32,$0.00,1,0,1,20120101,S3900,HCPCS,SURFACE EMG,,30,,,"$1,198.46",$0.00,1,0,1,20120101,S4005,HCPCS,INTERIM LABOR FACILITY GLOBA,,30,,,"$1,980.70",$0.00,1,0,1,20120101,S4011,HCPCS,IVF PACKAGE,,30,,,"$8,260.99",$0.00,1,0,1,20120101,S4015,HCPCS,COMPLETE IVF NOS CASE RATE,,30,,,"$9,945.55",$0.00,1,0,1,20120101,S4021,HCPCS,IVF CANC P ASPIR CASE RATE,,30,,,"$1,055.92",$0.00,1,0,1,20120101,S4981,HCPCS,INSERT LEVONORGESTREL IUS,,30,,,"$1,322.51",$0.00,1,0,1,20120101,S4990,HCPCS,NICOTINE PATCH LEGEND,,30,,,$28.76,$0.00,1,0,1,20120101,S4991,HCPCS,NICOTINE PATCH NONLEGEND,,30,,,$14.07,$0.00,1,0,1,20120101,S5000,HCPCS,"PRESCRIPTION DRUG, GENERIC",,30,,,$21.42,$0.00,1,0,1,20120101,S5001,HCPCS,"PRESCRIPTION DRUG,BRAND NAME",,30,,,$91.53,$0.00,1,0,1,20120101,S5010,HCPCS,5% DEXTROSE AND 0.45% SALINE,,30,,,$21.94,$0.00,1,0,1,20120101,S5011,HCPCS,5% DEXTROSE IN LACTATED RING,,30,,,$23.60,$0.00,1,0,1,20120101,S5012,HCPCS,5% DEXTROSE WITH POTASSIUM,,30,,,$76.25,$0.00,1,0,1,20120101,S5013,HCPCS,5%DEXTROSE/0.45%SALINE1000ML,,30,,,$21.26,$0.00,1,0,1,20120101,S5014,HCPCS,D5W/0.45NS W KCL AND MGS04,,30,,,$12.83,$0.00,1,0,1,20120101,S5105,HCPCS,CENTERBASED DAY CARE PERDIEM,,30,,,$202.97,$0.00,1,0,1,20120101,S5190,HCPCS,WELLNESS ASSESSMENT BY NONPH,,30,,,$131.10,$0.00,1,0,1,20120101,S5498,HCPCS,HIT SIMPLE CATH CARE,,30,,,$37.13,$0.00,1,0,1,20120101,S5501,HCPCS,HIT COMPLEX CATH CARE,,30,,,$40.04,$0.00,1,0,1,20120101,S5502,HCPCS,HIT INTERIM CATH CARE,,30,,,$70.52,$0.00,1,0,1,20120101,S5517,HCPCS,HIT DECLOTTING KIT,,30,,,$81.54,$0.00,1,0,1,20120101,S5520,HCPCS,HIT PICC INSERT KIT,,30,,,$98.70,$0.00,1,0,1,20120101,S5550,HCPCS,INSULIN RAPID 5 U,,30,,,$0.14,$0.00,1,0,1,20120101,S5551,HCPCS,INSULIN MOST RAPID 5 U,,30,,,$0.14,$0.00,1,0,1,20120101,S8030,HCPCS,TANTALUM RING APPLICATION,,30,,,"$8,576.57",$0.00,1,0,1,20120101,S8037,HCPCS,MRCP,,30,,,"$3,412.39",$0.00,1,0,1,20120101,S8040,HCPCS,TOPOGRAPHIC BRAIN MAPPING,,30,,,"$1,243.90",$0.00,1,0,1,20120101,S8049,HCPCS,INTRAOPERATIVE RADIATION THE,,30,,,$687.53,$0.00,1,0,1,20120101,S8055,HCPCS,US GUIDANCE FETAL REDUCT,,30,,,"$1,017.42",$0.00,1,0,1,20120101,S8080,HCPCS,SCINTIMAMMOGRAPHY,,30,,,$865.40,$0.00,1,0,1,20120101,S8092,HCPCS,ELECTRON BEAM COMPUTED TOMOG,,30,,,$233.48,$0.00,1,0,1,20120101,S8120,HCPCS,O2 CONTENTS GAS CUBIC FT,,30,,,$14.98,$0.00,1,0,1,20120101,S8424,HCPCS,READY GRADIENT SLEEVE,,30,,,$127.23,$0.00,1,0,1,20120101,S8430,HCPCS,PADDING FOR COMPRSSN BDG,,30,,,$22.33,$0.00,1,0,1,20120101,S8431,HCPCS,COMPRESSION BANDAGE,,30,,,$15.83,$0.00,1,0,1,20120101,S8450,HCPCS,SPLINT DIGIT,,30,,,$27.32,$0.00,1,0,1,20120101,S8451,HCPCS,SPLINT WRIST OR ANKLE,,30,,,$50.68,$0.00,1,0,1,20120101,S8490,HCPCS,100 INSULIN SYRINGES,,30,,,$1.25,$0.00,1,0,1,20120101,S8948,HCPCS,LOW-LEVEL LASER TRMT 15 MIN,,30,,,$52.80,$0.00,1,0,1,20120101,S9001,HCPCS,HOME UTERINE MONITOR WITH OR,,30,,,$114.87,$0.00,1,0,1,20120101,S9024,HCPCS,PARANASAL SINUS ULTRASOUND,,30,,,$661.29,$0.00,1,0,1,20120101,S9034,HCPCS,ESWL FOR GALLSTONES,,30,,,"$4,142.11",$0.00,1,0,1,20120101,S9083,HCPCS,URGENT CARE CENTER GLOBAL,,30,,,$295.76,$0.00,1,0,1,20120101,S9088,HCPCS,SERVICES PROVIDED IN URGENT,,30,,,$796.57,$0.00,1,0,1,20120101,S9097,HCPCS,HOME VISIT WOUND CARE,,30,,,$175.99,$0.00,1,0,1,20120101,S9098,HCPCS,HOME PHOTOTHERAPY VISIT,,30,,,$410.64,$0.00,1,0,1,20120101,S9117,HCPCS,BACK SCHOOL VISIT,,30,,,$89.99,$0.00,1,0,1,20120101,S9122,HCPCS,HOME HEALTH AIDE OR CERTIFIE,,30,,,$149.00,$0.00,1,0,1,20120101,S9123,HCPCS,NURSING CARE IN HOME RN,,30,,,$234.65,$0.00,1,0,1,20120101,S9124,HCPCS,"NURSING CARE, IN THE HOME; B",,30,,,$527.96,$0.00,1,0,1,20120101,S9126,HCPCS,"HOSPICE CARE, IN THE HOME, P",,30,,,$218.22,$0.00,1,0,1,20120101,S9127,HCPCS,"SOCIAL WORK VISIT, IN THE HO",,30,,,$276.89,$0.00,1,0,1,20120101,S9128,HCPCS,"SPEECH THERAPY, IN THE HOME,",,30,,,$205.32,$0.00,1,0,1,20120101,S9129,HCPCS,"OCCUPATIONAL THERAPY, IN THE",,30,,,$211.18,$0.00,1,0,1,20120101,S9131,HCPCS,PT IN THE HOME PER DIEM,,30,,,$217.05,$0.00,1,0,1,20120101,S9140,HCPCS,"DIABETIC MANAGEMENT PROGRAM,",,30,,,$102.07,$0.00,1,0,1,20120101,S9152,HCPCS,"SPEECH THERAPY, RE-EVAL",,30,,,$586.62,$0.00,1,0,1,20120101,S9208,HCPCS,HOME MGMT PRETERM LABOR,,30,,,$249.64,$0.00,1,0,1,20120101,S9211,HCPCS,HOME MGMT GEST HYPERTENSION,,30,,,$105.80,$0.00,1,0,1,20120101,S9214,HCPCS,HM GEST DM PER DIEM,,30,,,$228.58,$0.00,1,0,1,20120101,S9326,HCPCS,HIT CONT PAIN PER DIEM,,30,,,$181.04,$0.00,1,0,1,20120101,S9327,HCPCS,HIT INT PAIN PER DIEM,,30,,,$179.63,$0.00,1,0,1,20120101,S9329,HCPCS,HIT CHEMO PER DIEM,,30,,,$194.68,$0.00,1,0,1,20120101,S9330,HCPCS,HIT CONT CHEM DIEM,,30,,,$191.46,$0.00,1,0,1,20120101,S9331,HCPCS,HIT INTERMIT CHEMO DIEM,,30,,,$213.20,$0.00,1,0,1,20120101,S9336,HCPCS,HIT CONT ANTICOAG DIEM,,30,,,$183.11,$0.00,1,0,1,20120101,S9338,HCPCS,HIT IMMUNOTHERAPY DIEM,,30,,,$226.86,$0.00,1,0,1,20120101,S9340,HCPCS,HIT ENTERAL PER DIEM,,30,,,$75.67,$0.00,1,0,1,20120101,S9341,HCPCS,HIT ENTERAL GRAV DIEM,,30,,,$51.95,$0.00,1,0,1,20120101,S9342,HCPCS,HIT ENTERAL PUMP DIEM,,30,,,$55.79,$0.00,1,0,1,20120101,S9343,HCPCS,HIT ENTERAL BOLUS NURS,,30,,,$34.61,$0.00,1,0,1,20120101,S9345,HCPCS,HIT ANTI-HEMOPHIL DIEM,,30,,,$115.48,$0.00,1,0,1,20120101,S9346,HCPCS,HIT ALPHA-1-PROTEINAS DIEM,,30,,,$80.81,$0.00,1,0,1,20120101,S9348,HCPCS,HIT SYMPATHOMIM DIEM,,30,,,$199.87,$0.00,1,0,1,20120101,S9349,HCPCS,HIT TOCOLYSIS DIEM,,30,,,$288.31,$0.00,1,0,1,20120101,S9351,HCPCS,HIT CONT ANTIEMETIC DIEM,,30,,,$366.77,$0.00,1,0,1,20120101,S9359,HCPCS,HIT ANTI-TNF PER DIEM,,30,,,$297.82,$0.00,1,0,1,20120101,S9364,HCPCS,HIT TPN TOTAL DIEM,,30,,,$340.90,$0.00,1,0,1,20120101,S9365,HCPCS,HIT TPN 1 LITER DIEM,,30,,,$392.88,$0.00,1,0,1,20120101,S9366,HCPCS,HIT TPN 2 LITER DIEM,,30,,,$479.44,$0.00,1,0,1,20120101,S9367,HCPCS,HIT TPN 3 LITER DIEM,,30,,,$533.84,$0.00,1,0,1,20120101,S9368,HCPCS,HIT TPN OVER 3L DIEM,,30,,,$683.91,$0.00,1,0,1,20120101,S9370,HCPCS,HT INJ ANTIEMETIC DIEM,,30,,,$138.54,$0.00,1,0,1,20120101,S9373,HCPCS,HIT HYDRA TOTAL DIEM,,30,,,$105.19,$0.00,1,0,1,20120101,S9374,HCPCS,HIT HYDRA 1 LITER DIEM,,30,,,$152.02,$0.00,1,0,1,20120101,S9375,HCPCS,HIT HYDRA 2 LITER DIEM,,30,,,$194.76,$0.00,1,0,1,20120101,S9376,HCPCS,HIT HYDRA 3 LITER DIEM,,30,,,$212.28,$0.00,1,0,1,20120101,S9379,HCPCS,HIT NOC PER DIEM,,30,,,$61.59,$0.00,1,0,1,20120101,S9401,HCPCS,ANTICOAG CLINIC PER SESSION,,30,,,$132.58,$0.00,1,0,1,20120101,S9436,HCPCS,LAMAZE CLASS,,30,,,$114.16,$0.00,1,0,1,20120101,S9441,HCPCS,ASTHMA EDUCATION,,30,,,$202.97,$0.00,1,0,1,20120101,S9442,HCPCS,BIRTHING CLASS,,30,,,$82.00,$0.00,1,0,1,20120101,S9443,HCPCS,LACTATION CLASS,,30,,,$144.31,$0.00,1,0,1,20120101,S9445,HCPCS,PT EDUCATION NOC INDIVID,,30,,,$196.16,$0.00,1,0,0,20120101,S9452,HCPCS,NUTRITION CLASS,,30,,,$169.48,$0.00,1,0,1,20120101,S9453,HCPCS,SMOKING CESSATION CLASS,,30,,,$211.96,$0.00,1,0,1,20120101,S9455,HCPCS,"DIABETIC MANAGEMENT PROGRAM,",,30,,,$97.56,$0.00,1,0,1,20120101,S9460,HCPCS,"DIABETIC MANAGEMENT PROGRAM,",,30,,,$134.92,$0.00,1,0,1,20120101,S9465,HCPCS,"DIABETIC MANAGEMENT PROGRAM,",,30,,,$198.14,$0.00,1,0,1,20120101,S9470,HCPCS,"NUTRITIONAL COUNSELING, DIET",,30,,,$143.28,$0.00,1,0,1,20120101,S9472,HCPCS,CARDIAC REHABILITATION PROGR,,30,,,$262.81,$0.00,1,0,0,20120101,S9473,HCPCS,PULMONARY REHABILITATION PRO,,30,,,$183.94,$0.00,1,0,0,20120101,S9474,HCPCS,ENTEROSTOMAL THERAPY BY A RE,,30,,,$216.34,$0.00,1,0,1,20120101,S9475,HCPCS,AMBULATORY SETTING SUBSTANCE,,30,,,$235.00,$0.00,1,0,1,20120101,S9480,HCPCS,INTENSIVE OUTPATIENT PSYCHIA,,30,,,$175.23,$0.00,1,0,1,20120101,S9484,HCPCS,CRISIS INTERVENTION PER HOUR,,30,,,$69.90,$0.00,1,0,1,20120101,S9485,HCPCS,CRISIS INTERVENTION MENTAL H,,30,,,$175.23,$0.00,1,0,1,20120101,S9490,HCPCS,HIT CORTICOSTEROID/DIEM,,30,,,$235.68,$0.00,1,0,1,20120101,S9494,HCPCS,HIT ANTIBIOTIC TOTAL DIEM,,30,,,$188.08,$0.00,1,0,1,20120101,S9497,HCPCS,HIT ANTIBIOTIC Q3H DIEM,,30,,,$234.53,$0.00,1,0,1,20120101,S9500,HCPCS,HIT ANTIBIOTIC Q24H DIEM,,30,,,$269.21,$0.00,1,0,1,20120101,S9501,HCPCS,HIT ANTIBIOTIC Q12H DIEM,,30,,,$263.11,$0.00,1,0,1,20120101,S9502,HCPCS,HIT ANTIBIOTIC Q8H DIEM,,30,,,$328.36,$0.00,1,0,1,20120101,S9503,HCPCS,HIT ANTIBIOTIC Q6H DIEM,,30,,,$302.76,$0.00,1,0,1,20120101,S9504,HCPCS,HIT ANTIBIOTIC Q4H DIEM,,30,,,$279.16,$0.00,1,0,1,20120101,S9529,HCPCS,VENIPUNCTURE HOME/SNF,,30,,,$93.79,$0.00,1,0,1,20120101,S9537,HCPCS,HT HEM HORM INJ DIEM,,30,,,$78.08,$0.00,1,0,1,20120101,S9542,HCPCS,HT INJ NOC PER DIEM,,30,,,$61.59,$0.00,1,0,1,20120101,S9560,HCPCS,HT INJ HORMONE DIEM,,30,,,$86.84,$0.00,1,0,1,20120101,S9562,HCPCS,HT INJ PALIVIZUMAB DIEM,,30,,,$86.84,$0.00,1,0,1,20120101,V5010,HCPCS,ASSESSMENT FOR HEARING AID,,30,,,$205.32,$0.00,1,0,1,20120101,,,,,,,,,,,,,,