Professional Services and Supplies Charge Table,,,,,,,,,,,,,,,,,,,,,,
,,,,,,,,,,,,,,,,,,,,,,
,,,,,,,,,,,,,,,,,,,,,,
Item Code,Code Type,Description,Modifier,"Technical, Professional Indicator",Service Category Code,Primary/Bundled Indicator,Charge Type Indicator,Work Expense Units,Provider-Based Practice Expense Units,Non-Provider-Based Practice Expense Units,Total Expense Units, Anesthesia Base Units,Unit Charge,Base Charge,Unit Type,Facility Indicator,Outpatient Indicator,Inpatient Indicator,Skilled Nursing Facility Carveout,Freestanding Carve-out,Start Date,End Date
00100,CPT,ANESTH SALIVARY GLAND,,,3,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
00102,CPT,ANESTH REPAIR OF CLEFT LIP,,,3,,Anesth,,,,,6.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
00103,CPT,ANESTH BLEPHAROPLASTY,,,3,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
00104,CPT,ANESTH ELECTROSHOCK,,,3,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
00120,CPT,ANESTH EAR SURGERY,,,3,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
00124,CPT,ANESTH EAR EXAM,,,3,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
00126,CPT,ANESTH TYMPANOTOMY,,,3,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
00140,CPT,ANESTH PROCEDURES ON EYE,,,3,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
00142,CPT,ANESTH LENS SURGERY,,,3,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
00144,CPT,ANESTH CORNEAL TRANSPLANT,,,3,,Anesth,,,,,6.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
00145,CPT,ANESTH VITREORETINAL SURG,,,3,,Anesth,,,,,6.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
00147,CPT,ANESTH IRIDECTOMY,,,3,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
00148,CPT,ANESTH EYE EXAM,,,3,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
00160,CPT,ANESTH NOSE/SINUS SURGERY,,,3,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
00162,CPT,ANESTH NOSE/SINUS SURGERY,,,3,,Anesth,,,,,7.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
00164,CPT,ANESTH BIOPSY OF NOSE,,,3,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
00170,CPT,ANESTH PROCEDURE ON MOUTH,,,3,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
00172,CPT,ANESTH CLEFT PALATE REPAIR,,,3,,Anesth,,,,,6.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
00174,CPT,ANESTH PHARYNGEAL SURGERY,,,3,,Anesth,,,,,6.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
00176,CPT,ANESTH PHARYNGEAL SURGERY,,,3,,Anesth,,,,,7.0,$1.00,$0.00,3,0,0,1,1,1,20210101,
00190,CPT,ANESTH FACE/SKULL BONE SURG,,,3,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
00192,CPT,ANESTH FACIAL BONE SURGERY,,,3,,Anesth,,,,,7.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
00210,CPT,ANESTH CRANIAL SURG NOS,,,3,,Anesth,,,,,11.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
00211,CPT,ANESTH CRAN SURG HEMOTOMA,,,3,,Anesth,,,,,10.0,$1.00,$0.00,3,0,0,1,1,1,20210101,
00212,CPT,ANESTH SKULL DRAINAGE,,,3,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
00214,CPT,ANESTH SKULL DRAINAGE,,,3,,Anesth,,,,,9.0,$1.00,$0.00,3,0,0,1,1,1,20210101,
00215,CPT,ANESTH SKULL REPAIR/FRACT,,,3,,Anesth,,,,,9.0,$1.00,$0.00,3,0,0,1,1,1,20210101,
00216,CPT,ANESTH HEAD VESSEL SURGERY,,,3,,Anesth,,,,,15.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
00218,CPT,ANESTH SPECIAL HEAD SURGERY,,,3,,Anesth,,,,,13.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
00220,CPT,ANESTH INTRCRN NERVE,,,3,,Anesth,,,,,10.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
00222,CPT,ANESTH HEAD NERVE SURGERY,,,3,,Anesth,,,,,6.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
00300,CPT,ANESTH HEAD/NECK/PTRUNK,,,3,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
00320,CPT,ANESTH NECK ORGAN 1YR/>,,,3,,Anesth,,,,,6.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
00322,CPT,ANESTH BIOPSY OF THYROID,,,3,,Anesth,,,,,3.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
00326,CPT,ANESTH LARYNX/TRACH < 1 YR,,,3,,Anesth,,,,,7.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
00350,CPT,ANESTH NECK VESSEL SURGERY,,,3,,Anesth,,,,,10.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
00352,CPT,ANESTH NECK VESSEL SURGERY,,,3,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
00400,CPT,ANESTH SKIN EXT/PER/ATRUNK,,,3,,Anesth,,,,,3.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
00402,CPT,ANESTH SURGERY OF BREAST,,,3,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
00404,CPT,ANESTH SURGERY OF BREAST,,,3,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
00406,CPT,ANESTH SURGERY OF BREAST,,,3,,Anesth,,,,,13.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
00410,CPT,ANESTH CORRECT HEART RHYTHM,,,3,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
00450,CPT,ANESTH SURGERY OF SHOULDER,,,3,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
00454,CPT,ANESTH COLLAR BONE BIOPSY,,,3,,Anesth,,,,,3.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
00470,CPT,ANESTH REMOVAL OF RIB,,,3,,Anesth,,,,,6.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
00472,CPT,ANESTH CHEST WALL REPAIR,,,3,,Anesth,,,,,10.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
00474,CPT,ANESTH SURGERY OF RIB,,,3,,Anesth,,,,,13.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
00500,CPT,ANESTH ESOPHAGEAL SURGERY,,,3,,Anesth,,,,,15.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
00520,CPT,ANESTH CHEST PROCEDURE,,,3,,Anesth,,,,,6.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
00522,CPT,ANESTH CHEST LINING BIOPSY,,,3,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
00524,CPT,ANESTH CHEST DRAINAGE,,,3,,Anesth,,,,,4.0,$1.00,$0.00,3,0,0,1,1,1,20210101,
00528,CPT,ANES MEDIASCPY & DX THORSCPY,,,3,,Anesth,,,,,8.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
00529,CPT,ANES MEDSCPY&THORSCPY 1 LUNG,,,3,,Anesth,,,,,11.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
00530,CPT,ANESTH PACEMAKER INSERTION,,,3,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
00532,CPT,ANESTH VASCULAR ACCESS,,,3,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
00534,CPT,ANESTH CARDIOVERTER/DEFIB,,,3,,Anesth,,,,,7.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
00537,CPT,ANESTH CARDIAC ELECTROPHYS,,,3,,Anesth,,,,,7.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
00539,CPT,ANESTH TRACH-BRONCH RECONST,,,3,,Anesth,,,,,18.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
00540,CPT,ANESTH CHEST SURGERY,,,3,,Anesth,,,,,12.0,$1.00,$0.00,3,0,0,1,1,1,20210101,
00541,CPT,ANESTH ONE LUNG VENTILATION,,,3,,Anesth,,,,,15.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
00542,CPT,ANESTHESIA REMOVAL PLEURA,,,3,,Anesth,,,,,15.0,$1.00,$0.00,3,0,0,1,1,1,20210101,
00546,CPT,ANESTH LUNG CHEST WALL SURG,,,3,,Anesth,,,,,15.0,$1.00,$0.00,3,0,0,1,1,1,20210101,
00548,CPT,ANESTH TRACHEA BRONCHI SURG,,,3,,Anesth,,,,,17.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
00550,CPT,ANESTH STERNAL DEBRIDEMENT,,,3,,Anesth,,,,,10.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
00560,CPT,ANESTH HEART SURG W/O PUMP,,,3,,Anesth,,,,,15.0,$1.00,$0.00,3,0,0,1,1,1,20210101,
00561,CPT,ANESTH HEART SURG <1 YR,,,3,,Anesth,,,,,25.0,$1.00,$0.00,3,0,0,1,1,1,20210101,
00562,CPT,ANESTH HRT SURG W/PMP AGE 1+,,,3,,Anesth,,,,,20.0,$1.00,$0.00,3,0,0,1,1,1,20210101,
00563,CPT,ANESTH HEART SURG W/ARREST,,,3,,Anesth,,,,,25.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
00566,CPT,ANESTH CABG W/O PUMP,,,3,,Anesth,,,,,25.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
00567,CPT,ANESTH CABG W/PUMP,,,3,,Anesth,,,,,18.0,$1.00,$0.00,3,0,0,1,1,1,20210101,
00580,CPT,ANESTH HEART/LUNG TRANSPLNT,,,3,,Anesth,,,,,20.0,$1.00,$0.00,3,0,0,1,1,1,20210101,
00600,CPT,ANESTH SPINE CORD SURGERY,,,3,,Anesth,,,,,10.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
00604,CPT,ANESTH SITTING PROCEDURE,,,3,,Anesth,,,,,13.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
00620,CPT,ANESTH SPINE CORD SURGERY,,,3,,Anesth,,,,,10.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
00625,CPT,ANES SPINE TRANTHOR W/O VENT,,,3,,Anesth,,,,,13.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
00626,CPT,ANES SPINE TRANSTHOR W/VENT,,,3,,Anesth,,,,,15.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
00630,CPT,ANESTH SPINE CORD SURGERY,,,3,,Anesth,,,,,8.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
00632,CPT,ANESTH REMOVAL OF NERVES,,,3,,Anesth,,,,,7.0,$1.00,$0.00,3,0,0,1,1,1,20210101,
00635,CPT,ANESTH LUMBAR PUNCTURE,,,3,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
00640,CPT,ANESTH SPINE MANIPULATION,,,3,,Anesth,,,,,3.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
00670,CPT,ANESTH SPINE CORD SURGERY,,,3,,Anesth,,,,,13.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
00700,CPT,ANESTH ABDOMINAL WALL SURG,,,3,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
00702,CPT,ANESTH FOR LIVER BIOPSY,,,3,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
00730,CPT,ANESTH ABDOMINAL WALL SURG,,,3,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
00731,CPT,ANES UPR GI NDSC PX NOS,,,3,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
00732,CPT,ANES UPR GI NDSC PX ERCP,,,3,,Anesth,,,,,6.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
00750,CPT,ANESTH REPAIR OF HERNIA,,,3,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
00752,CPT,ANESTH REPAIR OF HERNIA,,,3,,Anesth,,,,,6.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
00754,CPT,ANESTH REPAIR OF HERNIA,,,3,,Anesth,,,,,7.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
00756,CPT,ANESTH REPAIR OF HERNIA,,,3,,Anesth,,,,,7.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
00770,CPT,ANESTH BLOOD VESSEL REPAIR,,,3,,Anesth,,,,,15.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
00790,CPT,ANESTH SURG UPPER ABDOMEN,,,3,,Anesth,,,,,7.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
00792,CPT,ANESTH HEMORR/EXCISE LIVER,,,3,,Anesth,,,,,13.0,$1.00,$0.00,3,0,0,1,1,1,20210101,
00794,CPT,ANESTH PANCREAS REMOVAL,,,3,,Anesth,,,,,8.0,$1.00,$0.00,3,0,0,1,1,1,20210101,
00796,CPT,ANESTH FOR LIVER TRANSPLANT,,,3,,Anesth,,,,,30.0,$1.00,$0.00,3,0,0,1,1,1,20210101,
00797,CPT,ANESTH SURGERY FOR OBESITY,,,3,,Anesth,,,,,11.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
00800,CPT,ANESTH ABDOMINAL WALL SURG,,,3,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
00802,CPT,ANESTH FAT LAYER REMOVAL,,,3,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
00811,CPT,ANES LWR INTST NDSC NOS,,,3,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
00812,CPT,ANES LWR INTST SCR COLSC,,,3,,Anesth,,,,,3.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
00813,CPT,ANES UPR LWR GI NDSC PX,,,3,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
00820,CPT,ANESTH ABDOMINAL WALL SURG,,,3,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
00830,CPT,ANESTH REPAIR OF HERNIA,,,3,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
00832,CPT,ANESTH REPAIR OF HERNIA,,,3,,Anesth,,,,,6.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
00834,CPT,ANESTH HERNIA REPAIR < 1 YR,,,3,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
00836,CPT,ANESTH HERNIA REPAIR PREEMIE,,,3,,Anesth,,,,,6.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
00840,CPT,ANESTH SURG LOWER ABDOMEN,,,3,,Anesth,,,,,6.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
00842,CPT,ANESTH AMNIOCENTESIS,,,3,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
00844,CPT,ANESTH PELVIS SURGERY,,,3,,Anesth,,,,,7.0,$1.00,$0.00,3,0,0,1,1,1,20210101,
00846,CPT,ANESTH HYSTERECTOMY,,,3,,Anesth,,,,,8.0,$1.00,$0.00,3,0,0,1,1,1,20210101,
00848,CPT,ANESTH PELVIC ORGAN SURG,,,3,,Anesth,,,,,8.0,$1.00,$0.00,3,0,0,1,1,1,20210101,
00851,CPT,ANESTH TUBAL LIGATION,,,3,,Anesth,,,,,6.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
00860,CPT,ANESTH SURGERY OF ABDOMEN,,,3,,Anesth,,,,,6.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
00862,CPT,ANESTH KIDNEY/URETER SURG,,,3,,Anesth,,,,,7.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
00864,CPT,ANESTH REMOVAL OF BLADDER,,,3,,Anesth,,,,,8.0,$1.00,$0.00,3,0,0,1,1,1,20210101,
00865,CPT,ANESTH REMOVAL OF PROSTATE,,,3,,Anesth,,,,,7.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
00866,CPT,ANESTH REMOVAL OF ADRENAL,,,3,,Anesth,,,,,10.0,$1.00,$0.00,3,0,0,1,1,1,20210101,
00868,CPT,ANESTH KIDNEY TRANSPLANT,,,3,,Anesth,,,,,10.0,$1.00,$0.00,3,0,0,1,1,1,20210101,
00870,CPT,ANESTH BLADDER STONE SURG,,,3,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
00872,CPT,ANESTH KIDNEY STONE DESTRUCT,,,3,,Anesth,,,,,7.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
00873,CPT,ANESTH KIDNEY STONE DESTRUCT,,,3,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
00880,CPT,ANESTH ABDOMEN VESSEL SURG,,,3,,Anesth,,,,,15.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
00882,CPT,ANESTH MAJOR VEIN LIGATION,,,3,,Anesth,,,,,10.0,$1.00,$0.00,3,0,0,1,1,1,20210101,
00902,CPT,ANESTH ANORECTAL SURGERY,,,3,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
00904,CPT,ANESTH PERINEAL SURGERY,,,3,,Anesth,,,,,7.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
00906,CPT,ANESTH REMOVAL OF VULVA,,,3,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
00908,CPT,ANESTH REMOVAL OF PROSTATE,,,3,,Anesth,,,,,6.0,$1.00,$0.00,3,0,0,1,1,1,20210101,
00910,CPT,ANESTH BLADDER SURGERY,,,3,,Anesth,,,,,3.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
00912,CPT,ANESTH BLADDER TUMOR SURG,,,3,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
00914,CPT,ANESTH REMOVAL OF PROSTATE,,,3,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
00916,CPT,ANESTH BLEEDING CONTROL,,,3,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
00918,CPT,ANESTH STONE REMOVAL,,,3,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
00920,CPT,ANESTH GENITALIA SURGERY,,,3,,Anesth,,,,,3.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
00921,CPT,ANESTH VASECTOMY,,,3,,Anesth,,,,,3.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
00922,CPT,ANESTH SPERM DUCT SURGERY,,,3,,Anesth,,,,,6.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
00924,CPT,ANESTH TESTIS EXPLORATION,,,3,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
00926,CPT,ANESTH REMOVAL OF TESTIS,,,3,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
00928,CPT,ANESTH REMOVAL OF TESTIS,,,3,,Anesth,,,,,6.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
00930,CPT,ANESTH TESTIS SUSPENSION,,,3,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
00932,CPT,ANESTH AMPUTATION OF PENIS,,,3,,Anesth,,,,,4.0,$1.00,$0.00,3,0,0,1,1,1,20210101,
00934,CPT,ANESTH PENIS NODES REMOVAL,,,3,,Anesth,,,,,6.0,$1.00,$0.00,3,0,0,1,1,1,20210101,
00936,CPT,ANESTH PENIS NODES REMOVAL,,,3,,Anesth,,,,,8.0,$1.00,$0.00,3,0,0,1,1,1,20210101,
00938,CPT,ANESTH INSERT PENIS DEVICE,,,3,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
00940,CPT,ANESTH VAGINAL PROCEDURES,,,3,,Anesth,,,,,3.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
00942,CPT,ANESTH SURG ON VAG/URETHRAL,,,3,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
00944,CPT,ANESTH VAGINAL HYSTERECTOMY,,,3,,Anesth,,,,,6.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
00948,CPT,ANESTH REPAIR OF CERVIX,,,3,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
00950,CPT,ANESTH VAGINAL ENDOSCOPY,,,3,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
00952,CPT,ANESTH HYSTEROSCOPE/GRAPH,,,3,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
01112,CPT,ANESTH BONE ASPIRATE/BX,,,3,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
01120,CPT,ANESTH PELVIS SURGERY,,,3,,Anesth,,,,,6.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
01130,CPT,ANESTH BODY CAST PROCEDURE,,,3,,Anesth,,,,,3.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
01140,CPT,ANESTH AMPUTATION AT PELVIS,,,3,,Anesth,,,,,15.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
01150,CPT,ANESTH PELVIC TUMOR SURGERY,,,3,,Anesth,,,,,10.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
01160,CPT,ANESTH PELVIS PROCEDURE,,,3,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
01170,CPT,ANESTH PELVIS SURGERY,,,3,,Anesth,,,,,8.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
01173,CPT,ANESTH FX REPAIR PELVIS,,,3,,Anesth,,,,,12.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
01200,CPT,ANESTH HIP JOINT PROCEDURE,,,3,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
01202,CPT,ANESTH ARTHROSCOPY OF HIP,,,3,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
01210,CPT,ANESTH HIP JOINT SURGERY,,,3,,Anesth,,,,,6.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
01212,CPT,ANESTH HIP DISARTICULATION,,,3,,Anesth,,,,,10.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
01214,CPT,ANESTH HIP ARTHROPLASTY,,,3,,Anesth,,,,,8.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
01215,CPT,ANESTH REVISE HIP REPAIR,,,3,,Anesth,,,,,10.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
01220,CPT,ANESTH PROCEDURE ON FEMUR,,,3,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
01230,CPT,ANESTH SURGERY OF FEMUR,,,3,,Anesth,,,,,6.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
01232,CPT,ANESTH AMPUTATION OF FEMUR,,,3,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
01234,CPT,ANESTH RADICAL FEMUR SURG,,,3,,Anesth,,,,,8.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
01250,CPT,ANESTH UPPER LEG SURGERY,,,3,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
01260,CPT,ANESTH UPPER LEG VEINS SURG,,,3,,Anesth,,,,,3.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
01270,CPT,ANESTH THIGH ARTERIES SURG,,,3,,Anesth,,,,,8.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
01272,CPT,ANESTH FEMORAL ARTERY SURG,,,3,,Anesth,,,,,4.0,$1.00,$0.00,3,0,0,1,1,1,20210101,
01274,CPT,ANESTH FEMORAL EMBOLECTOMY,,,3,,Anesth,,,,,6.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
01320,CPT,ANESTH KNEE AREA SURGERY,,,3,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
01340,CPT,ANESTH KNEE AREA PROCEDURE,,,3,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
01360,CPT,ANESTH KNEE AREA SURGERY,,,3,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
01380,CPT,ANESTH KNEE JOINT PROCEDURE,,,3,,Anesth,,,,,3.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
01382,CPT,ANESTH DX KNEE ARTHROSCOPY,,,3,,Anesth,,,,,3.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
01390,CPT,ANESTH KNEE AREA PROCEDURE,,,3,,Anesth,,,,,3.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
01392,CPT,ANESTH KNEE AREA SURGERY,,,3,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
01400,CPT,ANESTH KNEE JOINT SURGERY,,,3,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
01402,CPT,ANESTH KNEE ARTHROPLASTY,,,3,,Anesth,,,,,7.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
01404,CPT,ANESTH AMPUTATION AT KNEE,,,3,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
01420,CPT,ANESTH KNEE JOINT CASTING,,,3,,Anesth,,,,,3.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
01430,CPT,ANESTH KNEE VEINS SURGERY,,,3,,Anesth,,,,,3.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
01432,CPT,ANESTH KNEE VESSEL SURG,,,3,,Anesth,,,,,6.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
01440,CPT,ANESTH KNEE ARTERIES SURG,,,3,,Anesth,,,,,8.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
01442,CPT,ANESTH KNEE ARTERY SURG,,,3,,Anesth,,,,,8.0,$1.00,$0.00,3,0,0,1,1,1,20210101,
01444,CPT,ANESTH KNEE ARTERY REPAIR,,,3,,Anesth,,,,,8.0,$1.00,$0.00,3,0,0,1,1,1,20210101,
01462,CPT,ANESTH LOWER LEG PROCEDURE,,,3,,Anesth,,,,,3.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
01464,CPT,ANESTH ANKLE/FT ARTHROSCOPY,,,3,,Anesth,,,,,3.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
01470,CPT,ANESTH LOWER LEG SURGERY,,,3,,Anesth,,,,,3.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
01472,CPT,ANESTH ACHILLES TENDON SURG,,,3,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
01474,CPT,ANESTH LOWER LEG SURGERY,,,3,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
01480,CPT,ANESTH LOWER LEG BONE SURG,,,3,,Anesth,,,,,3.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
01482,CPT,ANESTH RADICAL LEG SURGERY,,,3,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
01484,CPT,ANESTH LOWER LEG REVISION,,,3,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
01486,CPT,ANESTH ANKLE REPLACEMENT,,,3,,Anesth,,,,,7.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
01490,CPT,ANESTH LOWER LEG CASTING,,,3,,Anesth,,,,,3.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
01500,CPT,ANESTH LEG ARTERIES SURG,,,3,,Anesth,,,,,8.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
01502,CPT,ANESTH LWR LEG EMBOLECTOMY,,,3,,Anesth,,,,,6.0,$1.00,$0.00,3,0,0,1,1,1,20210101,
01520,CPT,ANESTH LOWER LEG VEIN SURG,,,3,,Anesth,,,,,3.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
01522,CPT,ANESTH LOWER LEG VEIN SURG,,,3,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
01610,CPT,ANESTH SURGERY OF SHOULDER,,,3,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
01620,CPT,ANESTH SHOULDER PROCEDURE,,,3,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
01622,CPT,ANES DX SHOULDER ARTHROSCOPY,,,3,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
01630,CPT,ANESTH SURGERY OF SHOULDER,,,3,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
01634,CPT,ANESTH SHOULDER JOINT AMPUT,,,3,,Anesth,,,,,9.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
01636,CPT,ANESTH FOREQUARTER AMPUT,,,3,,Anesth,,,,,15.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
01638,CPT,ANESTH SHOULDER REPLACEMENT,,,3,,Anesth,,,,,10.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
01650,CPT,ANESTH SHOULDER ARTERY SURG,,,3,,Anesth,,,,,6.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
01652,CPT,ANESTH SHOULDER VESSEL SURG,,,3,,Anesth,,,,,10.0,$1.00,$0.00,3,0,0,1,1,1,20210101,
01654,CPT,ANESTH SHOULDER VESSEL SURG,,,3,,Anesth,,,,,8.0,$1.00,$0.00,3,0,0,1,1,1,20210101,
01656,CPT,ANESTH ARM-LEG VESSEL SURG,,,3,,Anesth,,,,,10.0,$1.00,$0.00,3,0,0,1,1,1,20210101,
01670,CPT,ANESTH SHOULDER VEIN SURG,,,3,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
01680,CPT,ANESTH SHOULDER CASTING,,,3,,Anesth,,,,,3.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
01710,CPT,ANESTH ELBOW AREA SURGERY,,,3,,Anesth,,,,,3.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
01712,CPT,ANESTH UPPR ARM TENDON SURG,,,3,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
01714,CPT,ANESTH UPPR ARM TENDON SURG,,,3,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
01716,CPT,ANESTH BICEPS TENDON REPAIR,,,3,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
01730,CPT,ANESTH UPPR ARM PROCEDURE,,,3,,Anesth,,,,,3.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
01732,CPT,ANESTH DX ELBOW ARTHROSCOPY,,,3,,Anesth,,,,,3.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
01740,CPT,ANESTH UPPER ARM SURGERY,,,3,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
01742,CPT,ANESTH HUMERUS SURGERY,,,3,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
01744,CPT,ANESTH HUMERUS REPAIR,,,3,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
01756,CPT,ANESTH RADICAL HUMERUS SURG,,,3,,Anesth,,,,,6.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
01758,CPT,ANESTH HUMERAL LESION SURG,,,3,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
01760,CPT,ANESTH ELBOW REPLACEMENT,,,3,,Anesth,,,,,7.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
01770,CPT,ANESTH UPPR ARM ARTERY SURG,,,3,,Anesth,,,,,6.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
01772,CPT,ANESTH UPPR ARM EMBOLECTOMY,,,3,,Anesth,,,,,6.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
01780,CPT,ANESTH UPPER ARM VEIN SURG,,,3,,Anesth,,,,,3.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
01782,CPT,ANESTH UPPR ARM VEIN REPAIR,,,3,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
01810,CPT,ANESTH LOWER ARM SURGERY,,,3,,Anesth,,,,,3.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
01820,CPT,ANESTH LOWER ARM PROCEDURE,,,3,,Anesth,,,,,3.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
01829,CPT,ANESTH DX WRIST ARTHROSCOPY,,,3,,Anesth,,,,,3.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
01830,CPT,ANESTH LOWER ARM SURGERY,,,3,,Anesth,,,,,3.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
01832,CPT,ANESTH WRIST REPLACEMENT,,,3,,Anesth,,,,,6.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
01840,CPT,ANESTH LWR ARM ARTERY SURG,,,3,,Anesth,,,,,6.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
01842,CPT,ANESTH LWR ARM EMBOLECTOMY,,,3,,Anesth,,,,,6.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
01844,CPT,ANESTH VASCULAR SHUNT SURG,,,3,,Anesth,,,,,6.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
01850,CPT,ANESTH LOWER ARM VEIN SURG,,,3,,Anesth,,,,,3.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
01852,CPT,ANESTH LWR ARM VEIN REPAIR,,,3,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
01860,CPT,ANESTH LOWER ARM CASTING,,,3,,Anesth,,,,,3.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
01916,CPT,ANESTH DX ARTERIOGRAPHY,,,3,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
01920,CPT,ANESTH CATHETERIZE HEART,,,3,,Anesth,,,,,7.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
01922,CPT,ANESTH CAT OR MRI SCAN,,,3,,Anesth,,,,,7.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
01924,CPT,ANES THER INTERVEN RAD ARTRL,,,3,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
01925,CPT,ANES THER INTERVEN RAD CARD,,,3,,Anesth,,,,,7.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
01926,CPT,ANES TX INTERV RAD HRT/CRAN,,,3,,Anesth,,,,,8.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
01930,CPT,ANES THER INTERVEN RAD VEIN,,,3,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
01931,CPT,ANES THER INTERVEN RAD TIPS,,,3,,Anesth,,,,,7.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
01932,CPT,ANES TX INTERV RAD TH VEIN,,,3,,Anesth,,,,,6.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
01933,CPT,ANES TX INTERV RAD CRAN VEIN,,,3,,Anesth,,,,,7.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
01935,CPT,ANESTH PERC IMG DX SP PROC,,,3,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
01936,CPT,ANESTH PERC IMG TX SP PROC,,,3,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
01951,CPT,ANESTH BURN LESS 4 PERCENT,,,3,,Anesth,,,,,3.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
01952,CPT,ANESTH BURN 4-9 PERCENT,,,3,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
01953,CPT,ANESTH BURN EACH 9 PERCENT,,,3,,Anesth,,,,,1.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
01958,CPT,ANESTH ANTEPARTUM MANIPUL,,,3,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
01960,CPT,ANESTH VAGINAL DELIVERY,,,3,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
01961,CPT,ANESTH CS DELIVERY,,,3,,Anesth,,,,,7.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
01962,CPT,ANESTH EMER HYSTERECTOMY,,,3,,Anesth,,,,,8.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
01963,CPT,ANESTH CS HYSTERECTOMY,,,3,,Anesth,,,,,8.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
01965,CPT,ANESTH INC/MISSED AB PROC,,,3,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
01966,CPT,ANESTH INDUCED AB PROCEDURE,,,3,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
01967,CPT,ANESTH/ANALG VAG DELIVERY,,,3,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
01968,CPT,ANES/ANALG CS DELIVER ADD-ON,,,3,,Anesth,,,,,2.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
01969,CPT,ANESTH/ANALG CS HYST ADD-ON,,,3,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
01990,CPT,SUPPORT FOR ORGAN DONOR,,,3,,Anesth,,,,,7.0,$1.00,$0.00,3,0,0,1,1,1,20210101,
01991,CPT,ANESTH NERVE BLOCK/INJ,,,3,,Anesth,,,,,3.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
01992,CPT,ANESTH N BLOCK/INJ PRONE,,,3,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
01996,CPT,HOSP MANAGE CONT DRUG ADMIN,,,3,,TotalUnits,,,,2.26 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
01999,CPT,UNLISTED ANESTH PROCEDURE,,,3,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20210101,
10004,CPT,FNA BX W/O IMG GDN EA ADDL,,,21,,RBRVS,0.80 ,0.34 ,0.57 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
10005,CPT,FNA BX W/US GDN 1ST LES,,,21,,RBRVS,1.46 ,0.48 ,2.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
10006,CPT,FNA BX W/US GDN EA ADDL,,,21,,RBRVS,1.00 ,0.33 ,0.61 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
10007,CPT,FNA BX W/FLUOR GDN 1ST LES,,,21,,RBRVS,1.81 ,0.70 ,6.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
10008,CPT,FNA BX W/FLUOR GDN EA ADDL,,,21,,RBRVS,1.18 ,0.46 ,3.49 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
10009,CPT,FNA BX W/CT GDN 1ST LES,,,21,,RBRVS,2.26 ,0.80 ,10.84 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
10010,CPT,FNA BX W/CT GDN EA ADDL,,,21,,RBRVS,1.65 ,0.58 ,6.22 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
10011,CPT,FNA BX W/MR GDN 1ST LES,,,21,,TotalUnits,,,,3.46 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
10012,CPT,FNA BX W/MR GDN EA ADDL,,,21,,RBRVS,1.27 ,0.48 ,2.60 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
10021,CPT,FNA BX W/O IMG GDN 1ST LES,,,21,,RBRVS,1.03 ,0.44 ,1.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
10030,CPT,GUIDE CATHET FLUID DRAINAGE,,,21,,RBRVS,2.75 ,0.97 ,14.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
10035,CPT,PERQ DEV SOFT TISS 1ST IMAG,,,21,,RBRVS,1.70 ,0.63 ,11.01 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
10036,CPT,PERQ DEV SOFT TISS ADD IMAG,,,21,,RBRVS,0.85 ,0.31 ,9.98 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
10040,CPT,ACNE SURGERY,,,21,,RBRVS,0.91 ,0.53 ,2.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
10060,CPT,DRAINAGE OF SKIN ABSCESS,,,21,,RBRVS,1.22 ,1.52 ,2.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
10061,CPT,DRAINAGE OF SKIN ABSCESS,,,21,,RBRVS,2.45 ,2.44 ,3.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
10080,CPT,DRAINAGE OF PILONIDAL CYST,,,21,,RBRVS,1.22 ,1.54 ,4.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
10081,CPT,DRAINAGE OF PILONIDAL CYST,,,21,,RBRVS,2.50 ,2.04 ,5.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
10120,CPT,REMOVE FOREIGN BODY,,,21,,RBRVS,1.22 ,1.59 ,2.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
10121,CPT,REMOVE FOREIGN BODY,,,21,,RBRVS,2.74 ,2.18 ,4.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
10140,CPT,DRAINAGE OF HEMATOMA/FLUID,,,21,,RBRVS,1.58 ,1.61 ,3.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
10160,CPT,PUNCTURE DRAINAGE OF LESION,,,21,,RBRVS,1.25 ,1.31 ,2.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
10180,CPT,COMPLEX DRAINAGE WOUND,,,21,,RBRVS,2.30 ,2.32 ,4.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
11000,CPT,DEBRIDE INFECTED SKIN,,,21,,RBRVS,0.60 ,0.16 ,0.95 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
11001,CPT,DEBRIDE INFECTED SKIN ADD-ON,,,21,,RBRVS,0.30 ,0.08 ,0.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
11004,CPT,DEBRIDE GENITALIA & PERINEUM,,,21,,RBRVS,10.80 ,3.90 ,3.90 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
11005,CPT,DEBRIDE ABDOM WALL,,,21,,RBRVS,14.24 ,5.24 ,5.24 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
11006,CPT,DEBRIDE GENIT/PER/ABDOM WALL,,,21,,RBRVS,13.10 ,4.77 ,4.77 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
11008,CPT,REMOVE MESH FROM ABD WALL,,,21,,RBRVS,5.00 ,1.83 ,1.83 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
11010,CPT,DEBRIDE SKIN AT FX SITE,,,21,,RBRVS,4.19 ,3.05 ,8.65 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
11011,CPT,DEBRIDE SKIN MUSC AT FX SITE,,,21,,RBRVS,4.94 ,2.80 ,9.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
11012,CPT,DEB SKIN BONE AT FX SITE,,,21,,RBRVS,6.87 ,3.96 ,11.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
11042,CPT,DEB SUBQ TISSUE 20 SQ CM/<,,,21,,RBRVS,1.01 ,0.62 ,2.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
11043,CPT,DEB MUSC/FASCIA 20 SQ CM/<,,,21,,RBRVS,2.70 ,1.35 ,3.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
11044,CPT,DEB BONE 20 SQ CM/<,,,21,,RBRVS,4.10 ,1.82 ,4.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
11045,CPT,DEB SUBQ TISSUE ADD-ON,,,21,,RBRVS,0.50 ,0.18 ,0.60 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
11046,CPT,DEB MUSC/FASCIA ADD-ON,,,21,,RBRVS,1.03 ,0.40 ,0.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
11047,CPT,DEB BONE ADD-ON,,,21,,RBRVS,1.80 ,0.71 ,1.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
11055,CPT,TRIM SKIN LESION,,,21,,RBRVS,0.35 ,0.08 ,1.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
11056,CPT,TRIM SKIN LESIONS 2 TO 4,,,21,,RBRVS,0.50 ,0.12 ,1.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
11057,CPT,TRIM SKIN LESIONS OVER 4,,,21,,RBRVS,0.65 ,0.15 ,1.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
11102,CPT,TANGNTL BX SKIN SINGLE LES,,,21,,RBRVS,0.66 ,0.38 ,2.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
11103,CPT,TANGNTL BX SKIN EA SEP/ADDL,,,21,,RBRVS,0.38 ,0.22 ,1.08 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
11104,CPT,PUNCH BX SKIN SINGLE LESION,,,21,,RBRVS,0.83 ,0.48 ,2.65 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
11105,CPT,PUNCH BX SKIN EA SEP/ADDL,,,21,,RBRVS,0.45 ,0.26 ,1.22 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
11106,CPT,INCAL BX SKN SINGLE LES,,,21,,RBRVS,1.01 ,0.59 ,3.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
11107,CPT,INCAL BX SKN EA SEP/ADDL,,,21,,RBRVS,0.54 ,0.32 ,1.45 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
11200,CPT,REMOVAL OF SKIN TAGS <W/15,,,21,,RBRVS,0.82 ,1.19 ,1.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
11201,CPT,REMOVE SKIN TAGS ADD-ON,,,21,,RBRVS,0.29 ,0.15 ,0.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
11300,CPT,SHAVE SKIN LESION 0.5 CM/<,,,21,,RBRVS,0.60 ,0.33 ,2.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
11301,CPT,SHAVE SKIN LESION 0.6-1.0 CM,,,21,,RBRVS,0.90 ,0.51 ,2.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
11302,CPT,SHAVE SKIN LESION 1.1-2.0 CM,,,21,,RBRVS,1.05 ,0.60 ,2.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
11303,CPT,SHAVE SKIN LESION >2.0 CM,,,21,,RBRVS,1.25 ,0.70 ,3.02 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
11305,CPT,SHAVE SKIN LESION 0.5 CM/<,,,21,,RBRVS,0.80 ,0.25 ,2.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
11306,CPT,SHAVE SKIN LESION 0.6-1.0 CM,,,21,,RBRVS,0.96 ,0.40 ,2.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
11307,CPT,SHAVE SKIN LESION 1.1-2.0 CM,,,21,,RBRVS,1.20 ,0.56 ,2.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
11308,CPT,SHAVE SKIN LESION >2.0 CM,,,21,,RBRVS,1.46 ,0.53 ,2.79 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
11310,CPT,SHAVE SKIN LESION 0.5 CM/<,,,21,,RBRVS,0.80 ,0.45 ,2.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
11311,CPT,SHAVE SKIN LESION 0.6-1.0 CM,,,21,,RBRVS,1.10 ,0.62 ,2.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
11312,CPT,SHAVE SKIN LESION 1.1-2.0 CM,,,21,,RBRVS,1.30 ,0.74 ,3.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
11313,CPT,SHAVE SKIN LESION >2.0 CM,,,21,,RBRVS,1.68 ,0.96 ,3.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
11400,CPT,EXC TR-EXT B9+MARG 0.5 CM<,,,21,,RBRVS,0.90 ,1.32 ,2.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
11401,CPT,EXC TR-EXT B9+MARG 0.6-1 CM,,,21,,RBRVS,1.28 ,1.53 ,2.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
11402,CPT,EXC TR-EXT B9+MARG 1.1-2 CM,,,21,,RBRVS,1.45 ,1.63 ,3.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
11403,CPT,EXC TR-EXT B9+MARG 2.1-3CM,,,21,,RBRVS,1.84 ,2.11 ,3.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
11404,CPT,EXC TR-EXT B9+MARG 3.1-4 CM,,,21,,RBRVS,2.11 ,2.20 ,3.88 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
11406,CPT,EXC TR-EXT B9+MARG >4.0 CM,,,21,,RBRVS,3.52 ,2.93 ,4.91 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
11420,CPT,EXC H-F-NK-SP B9+MARG 0.5/<,,,21,,RBRVS,1.03 ,1.20 ,2.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
11421,CPT,EXC H-F-NK-SP B9+MARG 0.6-1,,,21,,RBRVS,1.47 ,1.48 ,2.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
11422,CPT,EXC H-F-NK-SP B9+MARG 1.1-2,,,21,,RBRVS,1.68 ,1.97 ,3.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
11423,CPT,EXC H-F-NK-SP B9+MARG 2.1-3,,,21,,RBRVS,2.06 ,2.11 ,3.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
11424,CPT,EXC H-F-NK-SP B9+MARG 3.1-4,,,21,,RBRVS,2.48 ,2.26 ,3.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
11426,CPT,EXC H-F-NK-SP B9+MARG >4 CM,,,21,,RBRVS,4.09 ,3.12 ,4.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
11440,CPT,EXC FACE-MM B9+MARG 0.5 CM/<,,,21,,RBRVS,1.05 ,1.78 ,2.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
11441,CPT,EXC FACE-MM B9+MARG 0.6-1 CM,,,21,,RBRVS,1.53 ,2.01 ,3.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
11442,CPT,EXC FACE-MM B9+MARG 1.1-2 CM,,,21,,RBRVS,1.77 ,2.13 ,3.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
11443,CPT,EXC FACE-MM B9+MARG 2.1-3 CM,,,21,,RBRVS,2.34 ,2.42 ,3.79 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
11444,CPT,EXC FACE-MM B9+MARG 3.1-4 CM,,,21,,RBRVS,3.19 ,2.84 ,4.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
11446,CPT,EXC FACE-MM B9+MARG >4 CM,,,21,,RBRVS,4.80 ,3.78 ,5.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
11450,CPT,REMOVAL SWEAT GLAND LESION,,,21,,RBRVS,3.22 ,3.44 ,7.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
11451,CPT,REMOVAL SWEAT GLAND LESION,,,21,,RBRVS,4.43 ,4.07 ,9.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
11462,CPT,REMOVAL SWEAT GLAND LESION,,,21,,RBRVS,3.00 ,3.38 ,7.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
11463,CPT,REMOVAL SWEAT GLAND LESION,,,21,,RBRVS,4.43 ,4.14 ,9.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
11470,CPT,REMOVAL SWEAT GLAND LESION,,,21,,RBRVS,3.74 ,3.64 ,7.91 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
11471,CPT,REMOVAL SWEAT GLAND LESION,,,21,,RBRVS,4.89 ,4.22 ,9.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
11600,CPT,EXC TR-EXT MAL+MARG 0.5 CM/<,,,21,,RBRVS,1.63 ,1.62 ,3.77 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
11601,CPT,EXC TR-EXT MAL+MARG 0.6-1 CM,,,21,,RBRVS,2.07 ,1.92 ,4.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
11602,CPT,EXC TR-EXT MAL+MARG 1.1-2 CM,,,21,,RBRVS,2.27 ,2.11 ,4.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
11603,CPT,EXC TR-EXT MAL+MARG 2.1-3 CM,,,21,,RBRVS,2.82 ,2.40 ,4.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
11604,CPT,EXC TR-EXT MAL+MARG 3.1-4 CM,,,21,,RBRVS,3.17 ,2.54 ,5.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
11606,CPT,EXC TR-EXT MAL+MARG >4 CM,,,21,,RBRVS,5.02 ,3.34 ,7.00 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
11620,CPT,EXC H-F-NK-SP MAL+MARG 0.5/<,,,21,,RBRVS,1.64 ,1.64 ,3.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
11621,CPT,EXC S/N/H/F/G MAL+MRG 0.6-1,,,21,,RBRVS,2.08 ,1.93 ,4.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
11622,CPT,EXC S/N/H/F/G MAL+MRG 1.1-2,,,21,,RBRVS,2.41 ,2.17 ,4.57 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
11623,CPT,EXC S/N/H/F/G MAL+MRG 2.1-3,,,21,,RBRVS,3.11 ,2.53 ,5.02 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
11624,CPT,EXC S/N/H/F/G MAL+MRG 3.1-4,,,21,,RBRVS,3.62 ,2.74 ,5.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
11626,CPT,EXC S/N/H/F/G MAL+MRG >4 CM,,,21,,RBRVS,4.61 ,3.09 ,6.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
11640,CPT,EXC F/E/E/N/L MAL+MRG 0.5CM<,,,21,,RBRVS,1.67 ,1.71 ,3.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
11641,CPT,EXC F/E/E/N/L MAL+MRG 0.6-1,,,21,,RBRVS,2.17 ,2.01 ,4.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
11642,CPT,EXC F/E/E/N/L MAL+MRG 1.1-2,,,21,,RBRVS,2.62 ,2.28 ,4.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
11643,CPT,EXC F/E/E/N/L MAL+MRG 2.1-3,,,21,,RBRVS,3.42 ,2.69 ,5.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
11644,CPT,EXC F/E/E/N/L MAL+MRG 3.1-4,,,21,,RBRVS,4.34 ,3.20 ,6.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
11646,CPT,EXC F/E/E/N/L MAL+MRG >4 CM,,,21,,RBRVS,6.26 ,4.11 ,7.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
11719,CPT,TRIM NAIL(S) ANY NUMBER,,,21,,RBRVS,0.17 ,0.04 ,0.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
11720,CPT,DEBRIDE NAIL 1-5,,,21,,RBRVS,0.32 ,0.07 ,0.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
11721,CPT,DEBRIDE NAIL 6 OR MORE,,,21,,RBRVS,0.54 ,0.13 ,0.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
11730,CPT,REMOVAL OF NAIL PLATE,,,21,,RBRVS,1.05 ,0.43 ,2.00 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
11732,CPT,REMOVE NAIL PLATE ADD-ON,,,21,,RBRVS,0.38 ,0.09 ,0.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
11740,CPT,DRAIN BLOOD FROM UNDER NAIL,,,21,,RBRVS,0.37 ,0.50 ,1.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
11750,CPT,REMOVAL OF NAIL BED,,,21,,RBRVS,1.58 ,1.21 ,2.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
11755,CPT,BIOPSY NAIL UNIT,,,21,,RBRVS,1.25 ,0.44 ,2.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
11760,CPT,REPAIR OF NAIL BED,,,21,,RBRVS,1.63 ,1.45 ,3.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
11762,CPT,RECONSTRUCTION OF NAIL BED,,,21,,RBRVS,2.94 ,2.22 ,5.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
11765,CPT,EXCISION OF NAIL FOLD TOE,,,21,,RBRVS,1.22 ,1.33 ,3.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
11770,CPT,REMOVE PILONIDAL CYST SIMPLE,,,21,,RBRVS,2.66 ,2.12 ,5.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
11771,CPT,REMOVE PILONIDAL CYST EXTEN,,,21,,RBRVS,6.09 ,5.29 ,9.84 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
11772,CPT,REMOVE PILONIDAL CYST COMPL,,,21,,RBRVS,7.35 ,7.72 ,11.99 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
11900,CPT,INJECT SKIN LESIONS </W 7,,,21,,RBRVS,0.52 ,0.30 ,0.99 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
11901,CPT,INJECT SKIN LESIONS >7,,,21,,RBRVS,0.80 ,0.47 ,1.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
11920,CPT,CORRECT SKIN COLOR 6.0 CM/<,,,21,,RBRVS,1.61 ,1.34 ,3.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
11921,CPT,CORRECT SKN COLOR 6.1-20.0CM,,,21,,RBRVS,1.93 ,1.54 ,3.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
11922,CPT,CORRECT SKIN COLOR EA 20.0CM,,,21,,RBRVS,0.49 ,0.28 ,1.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
11950,CPT,TX CONTOUR DEFECTS 1 CC/<,,,21,,RBRVS,0.84 ,0.54 ,1.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
11951,CPT,TX CONTOUR DEFECTS 1.1-5.0CC,,,21,,RBRVS,1.19 ,0.74 ,1.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
11952,CPT,TX CONTOUR DEFECTS 5.1-10CC,,,21,,RBRVS,1.69 ,1.04 ,2.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
11954,CPT,TX CONTOUR DEFECTS >10.0 CC,,,21,,RBRVS,1.85 ,1.12 ,2.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
11960,CPT,INSERT TISSUE EXPANDER(S),,,21,,RBRVS,11.49 ,14.60 ,14.60 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
11970,CPT,RPLCMT TISS XPNDR PERM IMPLT,,,21,,RBRVS,8.01 ,8.19 ,8.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
11971,CPT,RMVL TIS XPNDR WO INSJ IMPLT,,,21,,RBRVS,3.41 ,5.30 ,9.76 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
11976,CPT,REMOVE CONTRACEPTIVE CAPSULE,,,21,,RBRVS,1.78 ,0.67 ,2.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
11980,CPT,IMPLANT HORMONE PELLET(S),,,21,,RBRVS,1.10 ,0.38 ,1.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
11981,CPT,INSERT DRUG IMPLANT DEVICE,,,21,,RBRVS,1.14 ,0.50 ,1.60 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
11982,CPT,REMOVE DRUG IMPLANT DEVICE,,,21,,RBRVS,1.34 ,0.60 ,1.77 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
11983,CPT,REMOVE/INSERT DRUG IMPLANT,,,21,,RBRVS,1.91 ,0.79 ,1.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
12001,CPT,RPR S/N/AX/GEN/TRNK 2.5CM/<,,,21,,RBRVS,0.84 ,0.31 ,1.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
12002,CPT,RPR S/N/AX/GEN/TRNK2.6-7.5CM,,,21,,RBRVS,1.14 ,0.37 ,1.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
12004,CPT,RPR S/N/AX/GEN/TRK7.6-12.5CM,,,21,,RBRVS,1.44 ,0.44 ,1.98 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
12005,CPT,RPR S/N/A/GEN/TRK12.6-20.0CM,,,21,,RBRVS,1.97 ,0.45 ,2.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
12006,CPT,RPR S/N/A/GEN/TRK20.1-30.0CM,,,21,,RBRVS,2.39 ,0.58 ,2.91 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
12007,CPT,RPR S/N/AX/GEN/TRNK >30.0 CM,,,21,,RBRVS,2.90 ,0.79 ,3.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
12011,CPT,RPR F/E/E/N/L/M 2.5 CM/<,,,21,,RBRVS,1.07 ,0.35 ,1.87 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
12013,CPT,RPR F/E/E/N/L/M 2.6-5.0 CM,,,21,,RBRVS,1.22 ,0.26 ,1.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
12014,CPT,RPR F/E/E/N/L/M 5.1-7.5 CM,,,21,,RBRVS,1.57 ,0.33 ,2.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
12015,CPT,RPR F/E/E/N/L/M 7.6-12.5 CM,,,21,,RBRVS,1.98 ,0.42 ,2.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
12016,CPT,RPR FE/E/EN/L/M 12.6-20.0 CM,,,21,,RBRVS,2.68 ,0.57 ,2.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
12017,CPT,RPR FE/E/EN/L/M 20.1-30.0 CM,,,21,,RBRVS,3.18 ,0.67 ,0.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
12018,CPT,RPR F/E/E/N/L/M >30.0 CM,,,21,,RBRVS,3.61 ,0.74 ,0.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
12020,CPT,CLOSURE OF SPLIT WOUND,,,21,,RBRVS,2.67 ,2.33 ,5.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
12021,CPT,CLOSURE OF SPLIT WOUND,,,21,,RBRVS,1.89 ,1.80 ,2.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
12031,CPT,INTMD RPR S/A/T/EXT 2.5 CM/<,,,21,,RBRVS,2.00 ,2.10 ,4.91 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
12032,CPT,INTMD RPR S/A/T/EXT 2.6-7.5,,,21,,RBRVS,2.52 ,2.67 ,5.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
12034,CPT,INTMD RPR S/TR/EXT 7.6-12.5,,,21,,RBRVS,2.97 ,2.53 ,5.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
12035,CPT,INTMD RPR S/A/T/EXT 12.6-20,,,21,,RBRVS,3.50 ,2.82 ,6.91 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
12036,CPT,INTMD RPR S/A/T/EXT 20.1-30,,,21,,RBRVS,4.23 ,3.08 ,7.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
12037,CPT,INTMD RPR S/TR/EXT >30.0 CM,,,21,,RBRVS,5.00 ,3.51 ,7.99 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
12041,CPT,INTMD RPR N-HF/GENIT 2.5CM/<,,,21,,RBRVS,2.10 ,1.85 ,4.82 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
12042,CPT,INTMD RPR N-HF/GENIT2.6-7.5,,,21,,RBRVS,2.79 ,2.54 ,5.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
12044,CPT,INTMD RPR N-HF/GENIT7.6-12.5,,,21,,RBRVS,3.19 ,2.51 ,6.95 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
12045,CPT,INTMD RPR N-HF/GENIT12.6-20,,,21,,RBRVS,3.75 ,3.37 ,7.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
12046,CPT,INTMD RPR N-HF/GENIT20.1-30,,,21,,RBRVS,4.30 ,3.74 ,8.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
12047,CPT,INTMD RPR N-HF/GENIT >30.0CM,,,21,,RBRVS,4.95 ,3.97 ,9.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
12051,CPT,INTMD RPR FACE/MM 2.5 CM/<,,,21,,RBRVS,2.33 ,2.24 ,5.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
12052,CPT,INTMD RPR FACE/MM 2.6-5.0 CM,,,21,,RBRVS,2.87 ,2.55 ,5.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
12053,CPT,INTMD RPR FACE/MM 5.1-7.5 CM,,,21,,RBRVS,3.17 ,2.62 ,6.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
12054,CPT,INTMD RPR FACE/MM 7.6-12.5CM,,,21,,RBRVS,3.50 ,2.31 ,6.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
12055,CPT,INTMD RPR FACE/MM 12.6-20 CM,,,21,,RBRVS,4.50 ,3.37 ,8.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
12056,CPT,INTMD RPR FACE/MM 20.1-30.0,,,21,,RBRVS,5.30 ,4.88 ,10.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
12057,CPT,INTMD RPR FACE/MM >30.0 CM,,,21,,RBRVS,6.00 ,5.23 ,10.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
13100,CPT,CMPLX RPR TRUNK 1.1-2.5 CM,,,21,,RBRVS,3.00 ,2.46 ,6.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
13101,CPT,CMPLX RPR TRUNK 2.6-7.5 CM,,,21,,RBRVS,3.50 ,3.25 ,7.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
13102,CPT,CMPLX RPR TRUNK ADDL 5CM/<,,,21,,RBRVS,1.24 ,0.68 ,2.01 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
13120,CPT,CMPLX RPR S/A/L 1.1-2.5 CM,,,21,,RBRVS,3.23 ,3.07 ,6.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
13121,CPT,CMPLX RPR S/A/L 2.6-7.5 CM,,,21,,RBRVS,4.00 ,3.07 ,7.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
13122,CPT,CMPLX RPR S/A/L ADDL 5 CM/>,,,21,,RBRVS,1.44 ,0.79 ,2.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
13131,CPT,CMPLX RPR F/C/C/M/N/AX/G/H/F,,,21,,RBRVS,3.73 ,2.88 ,6.95 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
13132,CPT,CMPLX RPR F/C/C/M/N/AX/G/H/F,,,21,,RBRVS,4.78 ,3.52 ,8.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
13133,CPT,CMPLX RPR F/C/C/M/N/AX/G/H/F,,,21,,RBRVS,2.19 ,1.23 ,2.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
13151,CPT,CMPLX RPR E/N/E/L 1.1-2.5 CM,,,21,,RBRVS,4.34 ,3.24 ,7.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
13152,CPT,CMPLX RPR E/N/E/L 2.6-7.5 CM,,,21,,RBRVS,5.34 ,3.82 ,8.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
13153,CPT,CMPLX RPR E/N/E/L ADDL 5CM/<,,,21,,RBRVS,2.38 ,1.30 ,2.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
13160,CPT,LATE CLOSURE OF WOUND,,,21,,RBRVS,12.04 ,8.89 ,8.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
14000,CPT,TIS TRNFR TRUNK 10 SQ CM/<,,,21,,RBRVS,6.37 ,6.90 ,10.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
14001,CPT,TIS TRNFR TRUNK 10.1-30SQCM,,,21,,RBRVS,8.78 ,8.26 ,12.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
14020,CPT,TIS TRNFR S/A/L 10 SQ CM/<,,,21,,RBRVS,7.22 ,7.90 ,11.65 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
14021,CPT,TIS TRNFR S/A/L 10.1-30 SQCM,,,21,,RBRVS,9.72 ,9.33 ,13.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
14040,CPT,TIS TRNFR F/C/C/M/N/A/G/H/F,,,21,,RBRVS,8.60 ,8.22 ,11.95 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
14041,CPT,TIS TRNFR F/C/C/M/N/A/G/H/F,,,21,,RBRVS,10.83 ,9.81 ,14.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
14060,CPT,TIS TRNFR E/N/E/L 10 SQ CM/<,,,21,,RBRVS,9.23 ,8.73 ,11.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
14061,CPT,TIS TRNFR E/N/E/L10.1-30SQCM,,,21,,RBRVS,11.48 ,10.66 ,15.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
14301,CPT,TIS TRNFR ANY 30.1-60 SQ CM,,,21,,RBRVS,12.65 ,10.50 ,16.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
14302,CPT,TIS TRNFR ADDL 30 SQ CM,,,21,,RBRVS,3.73 ,1.96 ,1.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
14350,CPT,FILLETED FINGER/TOE FLAP,,,21,,RBRVS,11.05 ,7.51 ,7.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
15002,CPT,WOUND PREP TRK/ARM/LEG,,,21,,RBRVS,3.65 ,2.16 ,5.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
15003,CPT,WOUND PREP ADDL 100 CM,,,21,,RBRVS,0.80 ,0.36 ,1.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
15004,CPT,WOUND PREP F/N/HF/G,,,21,,RBRVS,4.58 ,2.45 ,6.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
15005,CPT,WND PREP F/N/HF/G ADDL CM,,,21,,RBRVS,1.60 ,0.74 ,1.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
15040,CPT,HARVEST CULTURED SKIN GRAFT,,,21,,RBRVS,2.00 ,1.20 ,5.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
15050,CPT,SKIN PINCH GRAFT,,,21,,RBRVS,5.57 ,6.57 ,10.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
15100,CPT,SKIN SPLT GRFT TRNK/ARM/LEG,,,21,,RBRVS,9.90 ,8.81 ,13.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
15101,CPT,SKIN SPLT GRFT T/A/L ADD-ON,,,21,,RBRVS,1.72 ,1.17 ,3.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
15110,CPT,EPIDRM AUTOGRFT TRNK/ARM/LEG,,,21,,RBRVS,10.97 ,7.03 ,10.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
15111,CPT,EPIDRM AUTOGRFT T/A/L ADD-ON,,,21,,RBRVS,1.85 ,0.74 ,1.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
15115,CPT,EPIDRM A-GRFT FACE/NCK/HF/G,,,21,,RBRVS,11.28 ,6.90 ,10.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
15116,CPT,EPIDRM A-GRFT F/N/HF/G ADDL,,,21,,RBRVS,2.50 ,1.45 ,1.87 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
15120,CPT,SKN SPLT A-GRFT FAC/NCK/HF/G,,,21,,RBRVS,10.15 ,8.19 ,12.60 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
15121,CPT,SKN SPLT A-GRFT F/N/HF/G ADD,,,21,,RBRVS,2.00 ,1.51 ,3.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
15130,CPT,DERM AUTOGRAFT TRNK/ARM/LEG,,,21,,RBRVS,7.53 ,8.29 ,11.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
15131,CPT,DERM AUTOGRAFT T/A/L ADD-ON,,,21,,RBRVS,1.50 ,0.88 ,1.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
15135,CPT,DERM AUTOGRAFT FACE/NCK/HF/G,,,21,,RBRVS,11.03 ,9.12 ,12.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
15136,CPT,DERM AUTOGRAFT F/N/HF/G ADD,,,21,,RBRVS,1.50 ,0.88 ,1.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
15150,CPT,CULT SKIN GRFT T/ARM/LEG,,,21,,RBRVS,9.39 ,6.77 ,8.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
15151,CPT,CULT SKIN GRFT T/A/L ADDL,,,21,,RBRVS,2.00 ,0.72 ,0.98 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
15152,CPT,CULT SKIN GRAFT T/A/L +%,,,21,,RBRVS,2.50 ,1.20 ,1.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
15155,CPT,CULT SKIN GRAFT F/N/HF/G,,,21,,RBRVS,10.14 ,9.24 ,11.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
15156,CPT,CULT SKIN GRFT F/N/HFG ADD,,,21,,RBRVS,2.75 ,0.99 ,1.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
15157,CPT,CULT EPIDERM GRFT F/N/HFG +%,,,21,,RBRVS,3.00 ,1.09 ,1.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
15200,CPT,SKIN FULL GRAFT TRUNK,,,21,,RBRVS,9.15 ,8.66 ,13.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
15201,CPT,SKIN FULL GRAFT TRUNK ADD-ON,,,21,,RBRVS,1.32 ,0.69 ,2.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
15220,CPT,SKIN FULL GRAFT SCLP/ARM/LEG,,,21,,RBRVS,8.09 ,8.28 ,12.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
15221,CPT,SKIN FULL GRAFT ADD-ON,,,21,,RBRVS,1.19 ,0.65 ,2.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
15240,CPT,SKIN FULL GRFT FACE/GENIT/HF,,,21,,RBRVS,10.41 ,10.99 ,14.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
15241,CPT,SKIN FULL GRAFT ADD-ON,,,21,,RBRVS,1.86 ,1.01 ,3.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
15260,CPT,SKIN FULL GRAFT EEN & LIPS,,,21,,RBRVS,11.64 ,11.29 ,15.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
15261,CPT,SKIN FULL GRAFT ADD-ON,,,21,,RBRVS,2.23 ,1.43 ,3.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
15271,CPT,SKIN SUB GRAFT TRNK/ARM/LEG,,,21,,RBRVS,1.50 ,0.72 ,2.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
15272,CPT,SKIN SUB GRAFT T/A/L ADD-ON,,,21,,RBRVS,0.33 ,0.12 ,0.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
15273,CPT,SKIN SUB GRFT T/ARM/LG CHILD,,,21,,RBRVS,3.50 ,1.69 ,4.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
15274,CPT,SKN SUB GRFT T/A/L CHILD ADD,,,21,,RBRVS,0.80 ,0.36 ,1.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
15275,CPT,SKIN SUB GRAFT FACE/NK/HF/G,,,21,,RBRVS,1.83 ,0.73 ,2.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
15276,CPT,SKIN SUB GRAFT F/N/HF/G ADDL,,,21,,RBRVS,0.50 ,0.17 ,0.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
15277,CPT,SKN SUB GRFT F/N/HF/G CHILD,,,21,,RBRVS,4.00 ,1.90 ,5.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
15278,CPT,SKN SUB GRFT F/N/HF/G CH ADD,,,21,,RBRVS,1.00 ,0.46 ,1.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
15570,CPT,SKIN PEDICLE FLAP TRUNK,,,21,,RBRVS,10.21 ,9.10 ,14.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
15572,CPT,SKIN PEDICLE FLAP ARMS/LEGS,,,21,,RBRVS,10.12 ,9.46 ,13.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
15574,CPT,PEDCLE FH/CH/CH/M/N/AX/G/H/F,,,21,,RBRVS,10.70 ,9.33 ,13.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
15576,CPT,PEDICLE E/N/E/L/NTRORAL,,,21,,RBRVS,9.37 ,8.41 ,12.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
15600,CPT,DELAY FLAP TRUNK,,,21,,RBRVS,2.01 ,3.60 ,7.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
15610,CPT,DELAY FLAP ARMS/LEGS,,,21,,RBRVS,2.52 ,3.93 ,7.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
15620,CPT,DELAY FLAP F/C/C/N/AX/G/H/F,,,21,,RBRVS,3.75 ,4.95 ,8.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
15630,CPT,DELAY FLAP EYE/NOS/EAR/LIP,,,21,,RBRVS,4.08 ,5.16 ,8.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
15650,CPT,TRANSFER SKIN PEDICLE FLAP,,,21,,RBRVS,4.77 ,5.42 ,9.01 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
15730,CPT,MDFC FLAP W/PRSRV VASC PEDCL,,,21,,RBRVS,13.50 ,11.12 ,27.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
15731,CPT,FOREHEAD FLAP W/VASC PEDICLE,,,21,,RBRVS,14.38 ,12.21 ,15.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
15733,CPT,MUSC MYOQ/FSCQ FLP H&N PEDCL,,,21,,RBRVS,15.68 ,11.99 ,11.99 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
15734,CPT,MUSCLE-SKIN GRAFT TRUNK,,,21,,RBRVS,23.00 ,15.90 ,15.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
15736,CPT,MUSCLE-SKIN GRAFT ARM,,,21,,RBRVS,17.04 ,15.08 ,15.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
15738,CPT,MUSCLE-SKIN GRAFT LEG,,,21,,RBRVS,19.04 ,14.87 ,14.87 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
15740,CPT,ISLAND PEDICLE FLAP GRAFT,,,21,,RBRVS,11.80 ,10.54 ,15.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
15750,CPT,NEUROVASCULAR PEDICLE FLAP,,,21,,RBRVS,12.96 ,11.22 ,11.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
15756,CPT,FREE MYO/SKIN FLAP MICROVASC,,,21,,RBRVS,36.94 ,23.34 ,23.34 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
15757,CPT,FREE SKIN FLAP MICROVASC,,,21,,RBRVS,37.15 ,22.88 ,22.88 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
15758,CPT,FREE FASCIAL FLAP MICROVASC,,,21,,RBRVS,36.90 ,23.49 ,23.49 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
15760,CPT,COMPOSITE SKIN GRAFT,,,21,,RBRVS,9.86 ,8.92 ,12.98 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
15769,CPT,GRFG AUTOL SOFT TISS DIR EXC,,,21,,RBRVS,6.68 ,6.04 ,6.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
15770,CPT,DERMA-FAT-FASCIA GRAFT,,,21,,RBRVS,8.96 ,8.80 ,8.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
15771,CPT,GRFG AUTOL FAT LIPO 50 CC/<,,,21,,RBRVS,6.73 ,5.88 ,8.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
15772,CPT,GRFG AUTOL FAT LIPO EA ADDL,,,21,,RBRVS,2.50 ,1.14 ,2.29 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
15773,CPT,GRFG AUTOL FAT LIPO 25 CC/<,,,21,,RBRVS,6.83 ,5.93 ,8.72 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
15774,CPT,GFRG AUTOL FAT LIPO EA ADDL,,,21,,RBRVS,2.41 ,1.10 ,2.25 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
15775,CPT,HAIR TRNSPL 1-15 PUNCH GRFTS,,,21,,RBRVS,3.95 ,2.82 ,5.98 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
15776,CPT,HAIR TRNSPL >15 PUNCH GRAFTS,,,21,,RBRVS,5.53 ,3.73 ,8.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
15777,CPT,ACELLULAR DERM MATRIX IMPLT,,,21,,RBRVS,3.65 ,1.96 ,1.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
15780,CPT,DERMABRASION TOTAL FACE,,,21,,RBRVS,8.73 ,9.82 ,15.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
15781,CPT,DERMABRASION SEGMENTAL FACE,,,21,,RBRVS,5.02 ,6.50 ,9.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
15782,CPT,DERMABRASION OTHER THAN FACE,,,21,,RBRVS,4.44 ,6.39 ,10.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
15783,CPT,DERMABRASION SUPRFL ANY SITE,,,21,,RBRVS,4.41 ,5.43 ,8.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
15786,CPT,ABRASION LESION SINGLE,,,21,,RBRVS,2.08 ,1.56 ,4.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
15787,CPT,ABRASION LESIONS ADD-ON,,,21,,RBRVS,0.33 ,0.15 ,0.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
15788,CPT,CHEMICAL PEEL FACE EPIDERM,,,21,,RBRVS,2.09 ,4.19 ,9.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
15789,CPT,CHEMICAL PEEL FACE DERMAL,,,21,,RBRVS,4.91 ,6.08 ,9.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
15792,CPT,CHEMICAL PEEL NONFACIAL,,,21,,RBRVS,1.86 ,4.50 ,8.88 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
15793,CPT,CHEMICAL PEEL NONFACIAL,,,21,,RBRVS,3.96 ,5.50 ,9.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
15819,CPT,PLASTIC SURGERY NECK,,,21,,RBRVS,10.65 ,10.43 ,10.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
15820,CPT,REVISION OF LOWER EYELID,,,21,,RBRVS,6.27 ,7.77 ,9.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
15821,CPT,REVISION OF LOWER EYELID,,,21,,RBRVS,6.84 ,8.07 ,9.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
15822,CPT,REVISION OF UPPER EYELID,,,21,,RBRVS,4.62 ,6.09 ,7.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
15823,CPT,REVISION OF UPPER EYELID,,,21,,RBRVS,6.81 ,8.16 ,10.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
15824,CPT,REMOVAL OF FOREHEAD WRINKLES,,,21,,TotalUnits,,,,21.67 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
15825,CPT,REMOVAL OF NECK WRINKLES,,,21,,TotalUnits,,,,40.64 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
15826,CPT,REMOVAL OF BROW WRINKLES,,,21,,TotalUnits,,,,23.90 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
15828,CPT,REMOVAL OF FACE WRINKLES,,,21,,TotalUnits,,,,51.14 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
15829,CPT,REMOVAL OF SKIN WRINKLES,,,21,,TotalUnits,,,,37.41 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
15830,CPT,EXC SKIN ABD,,,21,,RBRVS,17.11 ,13.62 ,13.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
15832,CPT,EXCISE EXCESSIVE SKIN THIGH,,,21,,RBRVS,12.85 ,11.35 ,11.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
15833,CPT,EXCISE EXCESSIVE SKIN LEG,,,21,,RBRVS,11.90 ,11.25 ,11.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
15834,CPT,EXCISE EXCESSIVE SKIN HIP,,,21,,RBRVS,12.17 ,11.41 ,11.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
15835,CPT,EXCISE EXCESSIVE SKIN BUTTCK,,,21,,RBRVS,12.99 ,11.70 ,11.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
15836,CPT,EXCISE EXCESSIVE SKIN ARM,,,21,,RBRVS,10.61 ,9.00 ,9.00 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
15837,CPT,EXCISE EXCESS SKIN ARM/HAND,,,21,,RBRVS,9.55 ,9.50 ,13.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
15838,CPT,EXCISE EXCESS SKIN FAT PAD,,,21,,RBRVS,8.25 ,8.84 ,8.84 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
15839,CPT,EXCISE EXCESS SKIN & TISSUE,,,21,,RBRVS,10.50 ,8.84 ,13.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
15840,CPT,NERVE PALSY FASCIAL GRAFT,,,21,,RBRVS,14.99 ,11.77 ,11.77 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
15841,CPT,NERVE PALSY MUSCLE GRAFT,,,21,,RBRVS,25.99 ,21.02 ,21.02 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
15842,CPT,NERVE PALSY MICROSURG GRAFT,,,21,,RBRVS,41.01 ,30.31 ,30.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
15845,CPT,SKIN AND MUSCLE REPAIR FACE,,,21,,RBRVS,14.32 ,13.04 ,13.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
15847,CPT,EXC SKIN ABD ADD-ON,,,21,,TotalUnits,,,,17.97 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
15850,CPT,REMOVE SUTURES SAME SURGEON,,,21,,RBRVS,0.78 ,0.30 ,1.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
15851,CPT,REMOVE SUTURES DIFF SURGEON,,,21,,RBRVS,0.86 ,0.36 ,1.98 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
15852,CPT,DRESSING CHANGE NOT FOR BURN,,,21,,RBRVS,0.86 ,0.35 ,0.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
15860,CPT,TEST FOR BLOOD FLOW IN GRAFT,,,21,,RBRVS,1.95 ,0.83 ,0.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
15876,CPT,SUCTION LIPECTOMY HEAD&NECK,,,21,,TotalUnits,,,,14.59 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
15877,CPT,SUCTION LIPECTOMY TRUNK,,,21,,TotalUnits,,,,22.36 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
15878,CPT,SUCTION LIPECTOMY UPR EXTREM,,,21,,TotalUnits,,,,13.00 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
15879,CPT,SUCTION LIPECTOMY LWR EXTREM,,,21,,TotalUnits,,,,30.63 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
15920,CPT,REMOVAL OF TAIL BONE ULCER,,,21,,RBRVS,8.29 ,7.96 ,7.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
15922,CPT,REMOVAL OF TAIL BONE ULCER,,,21,,RBRVS,10.38 ,10.60 ,10.60 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
15931,CPT,REMOVE SACRUM PRESSURE SORE,,,21,,RBRVS,10.07 ,7.84 ,7.84 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
15933,CPT,REMOVE SACRUM PRESSURE SORE,,,21,,RBRVS,11.77 ,10.65 ,10.65 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
15934,CPT,REMOVE SACRUM PRESSURE SORE,,,21,,RBRVS,13.68 ,10.86 ,10.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
15935,CPT,REMOVE SACRUM PRESSURE SORE,,,21,,RBRVS,15.78 ,14.66 ,14.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
15936,CPT,REMOVE SACRUM PRESSURE SORE,,,21,,RBRVS,13.16 ,10.16 ,10.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
15937,CPT,REMOVE SACRUM PRESSURE SORE,,,21,,RBRVS,15.14 ,12.06 ,12.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
15940,CPT,REMOVE HIP PRESSURE SORE,,,21,,RBRVS,10.20 ,7.93 ,7.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
15941,CPT,REMOVE HIP PRESSURE SORE,,,21,,RBRVS,12.41 ,11.61 ,11.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
15944,CPT,REMOVE HIP PRESSURE SORE,,,21,,RBRVS,12.44 ,11.48 ,11.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
15945,CPT,REMOVE HIP PRESSURE SORE,,,21,,RBRVS,13.75 ,13.13 ,13.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
15946,CPT,REMOVE HIP PRESSURE SORE,,,21,,RBRVS,24.12 ,18.39 ,18.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
15950,CPT,REMOVE THIGH PRESSURE SORE,,,21,,RBRVS,8.03 ,7.89 ,7.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
15951,CPT,REMOVE THIGH PRESSURE SORE,,,21,,RBRVS,11.58 ,12.10 ,12.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
15952,CPT,REMOVE THIGH PRESSURE SORE,,,21,,RBRVS,12.31 ,11.83 ,11.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
15953,CPT,REMOVE THIGH PRESSURE SORE,,,21,,RBRVS,13.57 ,13.02 ,13.02 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
15956,CPT,REMOVE THIGH PRESSURE SORE,,,21,,RBRVS,16.79 ,13.62 ,13.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
15958,CPT,REMOVE THIGH PRESSURE SORE,,,21,,RBRVS,16.75 ,14.23 ,14.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
15999,CPT,REMOVAL OF PRESSURE SORE,,,21,,TotalUnits,,,,23.92 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
16000,CPT,INITIAL TREATMENT OF BURN(S),,,21,,RBRVS,0.89 ,0.32 ,1.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
16020,CPT,DRESS/DEBRID P-THICK BURN S,,,21,,RBRVS,0.71 ,0.74 ,1.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
16025,CPT,DRESS/DEBRID P-THICK BURN M,,,21,,RBRVS,1.74 ,1.16 ,2.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
16030,CPT,DRESS/DEBRID P-THICK BURN L,,,21,,RBRVS,2.08 ,1.39 ,3.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
16035,CPT,INCISION OF BURN SCAB INITI,,,21,,RBRVS,3.74 ,1.41 ,1.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
16036,CPT,ESCHAROTOMY ADDL INCISION,,,21,,RBRVS,1.50 ,0.59 ,0.59 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
17000,CPT,DESTRUCT PREMALG LESION,,,21,,RBRVS,0.61 ,0.86 ,1.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
17003,CPT,DESTRUCT PREMALG LES 2-14,,,21,,RBRVS,0.04 ,0.02 ,0.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
17004,CPT,DESTROY PREMAL LESIONS 15/>,,,21,,RBRVS,1.37 ,1.30 ,2.99 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
17106,CPT,DESTRUCTION OF SKIN LESIONS,,,21,,RBRVS,3.69 ,3.75 ,5.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
17107,CPT,DESTRUCTION OF SKIN LESIONS,,,21,,RBRVS,4.79 ,4.78 ,7.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
17108,CPT,DESTRUCTION OF SKIN LESIONS,,,21,,RBRVS,7.49 ,6.66 ,9.79 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
17110,CPT,DESTRUCT B9 LESION 1-14,,,21,,RBRVS,0.70 ,1.13 ,2.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
17111,CPT,DESTRUCT LESION 15 OR MORE,,,21,,RBRVS,0.97 ,1.28 ,2.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
17250,CPT,CHEM CAUT OF GRANLTJ TISSUE,,,21,,RBRVS,0.50 ,0.48 ,1.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
17260,CPT,DESTRUCTION OF SKIN LESIONS,,,21,,RBRVS,0.96 ,0.95 ,1.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
17261,CPT,DESTRUCTION OF SKIN LESIONS,,,21,,RBRVS,1.22 ,1.16 ,2.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
17262,CPT,DESTRUCTION OF SKIN LESIONS,,,21,,RBRVS,1.63 ,1.41 ,3.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
17263,CPT,DESTRUCTION OF SKIN LESIONS,,,21,,RBRVS,1.84 ,1.53 ,3.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
17264,CPT,DESTRUCTION OF SKIN LESIONS,,,21,,RBRVS,1.99 ,1.61 ,3.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
17266,CPT,DESTRUCTION OF SKIN LESIONS,,,21,,RBRVS,2.39 ,1.84 ,4.03 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
17270,CPT,DESTRUCTION OF SKIN LESIONS,,,21,,RBRVS,1.37 ,1.24 ,2.72 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
17271,CPT,DESTRUCTION OF SKIN LESIONS,,,21,,RBRVS,1.54 ,1.35 ,2.98 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
17272,CPT,DESTRUCTION OF SKIN LESIONS,,,21,,RBRVS,1.82 ,1.52 ,3.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
17273,CPT,DESTRUCTION OF SKIN LESIONS,,,21,,RBRVS,2.10 ,1.68 ,3.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
17274,CPT,DESTRUCTION OF SKIN LESIONS,,,21,,RBRVS,2.64 ,1.98 ,4.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
17276,CPT,DESTRUCTION OF SKIN LESIONS,,,21,,RBRVS,3.25 ,2.30 ,4.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
17280,CPT,DESTRUCTION OF SKIN LESIONS,,,21,,RBRVS,1.22 ,1.15 ,2.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
17281,CPT,DESTRUCTION OF SKIN LESIONS,,,21,,RBRVS,1.77 ,1.48 ,3.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
17282,CPT,DESTRUCTION OF SKIN LESIONS,,,21,,RBRVS,2.09 ,1.67 ,3.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
17283,CPT,DESTRUCTION OF SKIN LESIONS,,,21,,RBRVS,2.69 ,2.01 ,3.98 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
17284,CPT,DESTRUCTION OF SKIN LESIONS,,,21,,RBRVS,3.20 ,2.29 ,4.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
17286,CPT,DESTRUCTION OF SKIN LESIONS,,,21,,RBRVS,4.48 ,2.91 ,5.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
17311,CPT,MOHS 1 STAGE H/N/HF/G,,,21,,RBRVS,6.20 ,3.64 ,12.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
17312,CPT,MOHS ADDL STAGE,,,21,,RBRVS,3.30 ,1.94 ,7.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
17313,CPT,MOHS 1 STAGE T/A/L,,,21,,RBRVS,5.56 ,3.26 ,11.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
17314,CPT,MOHS ADDL STAGE T/A/L,,,21,,RBRVS,3.06 ,1.80 ,7.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
17315,CPT,MOHS SURG ADDL BLOCK,,,21,,RBRVS,0.87 ,0.51 ,1.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
17340,CPT,CRYOTHERAPY OF SKIN,,,21,,RBRVS,0.77 ,0.55 ,0.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
17360,CPT,SKIN PEEL THERAPY,,,21,,RBRVS,1.46 ,1.08 ,1.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
17380,CPT,HAIR REMOVAL BY ELECTROLYSIS,,,21,,TotalUnits,,,,1.74 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
17999,CPT,SKIN TISSUE PROCEDURE,,,21,,TotalUnits,,,,1.66 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
19000,CPT,DRAINAGE OF BREAST LESION,,,21,,RBRVS,0.84 ,0.31 ,2.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
19001,CPT,DRAIN BREAST LESION ADD-ON,,,21,,RBRVS,0.42 ,0.16 ,0.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
19020,CPT,INCISION OF BREAST LESION,,,21,,RBRVS,3.83 ,4.24 ,8.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
19030,CPT,INJECTION FOR BREAST X-RAY,,,21,,RBRVS,1.53 ,0.57 ,3.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
19081,CPT,BX BREAST 1ST LESION STRTCTC,,,21,,RBRVS,3.29 ,1.21 ,13.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
19082,CPT,BX BREAST ADD LESION STRTCTC,,,21,,RBRVS,1.65 ,0.61 ,12.17 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
19083,CPT,BX BREAST 1ST LESION US IMAG,,,21,,RBRVS,3.10 ,1.14 ,13.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
19084,CPT,BX BREAST ADD LESION US IMAG,,,21,,RBRVS,1.55 ,0.57 ,11.92 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
19085,CPT,BX BREAST 1ST LESION MR IMAG,,,21,,RBRVS,3.64 ,1.34 ,22.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
19086,CPT,BX BREAST ADD LESION MR IMAG,,,21,,RBRVS,1.82 ,0.68 ,18.86 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
19100,CPT,BX BREAST PERCUT W/O IMAGE,,,21,,RBRVS,1.27 ,0.47 ,2.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
19101,CPT,BIOPSY OF BREAST OPEN,,,21,,RBRVS,3.23 ,2.48 ,5.65 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
19105,CPT,CRYOSURG ABLATE FA EACH,,,21,,RBRVS,3.69 ,1.56 ,73.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
19110,CPT,NIPPLE EXPLORATION,,,21,,RBRVS,4.44 ,4.52 ,8.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
19112,CPT,EXCISE BREAST DUCT FISTULA,,,21,,RBRVS,3.81 ,4.40 ,8.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
19120,CPT,REMOVAL OF BREAST LESION,,,21,,RBRVS,5.92 ,4.69 ,7.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
19125,CPT,EXCISION BREAST LESION,,,21,,RBRVS,6.69 ,5.03 ,7.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
19126,CPT,EXCISION ADDL BREAST LESION,,,21,,RBRVS,2.93 ,1.07 ,1.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
19281,CPT,PERQ DEVICE BREAST 1ST IMAG,,,21,,RBRVS,2.00 ,0.74 ,4.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
19282,CPT,PERQ DEVICE BREAST EA IMAG,,,21,,RBRVS,1.00 ,0.37 ,3.83 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
19283,CPT,PERQ DEV BREAST 1ST STRTCTC,,,21,,RBRVS,2.00 ,0.74 ,5.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
19284,CPT,PERQ DEV BREAST ADD STRTCTC,,,21,,RBRVS,1.00 ,0.37 ,4.78 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
19285,CPT,PERQ DEV BREAST 1ST US IMAG,,,21,,RBRVS,1.70 ,0.63 ,11.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
19286,CPT,PERQ DEV BREAST ADD US IMAG,,,21,,RBRVS,0.85 ,0.32 ,10.14 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
19287,CPT,PERQ DEV BREAST 1ST MR GUIDE,,,21,,RBRVS,2.55 ,0.95 ,19.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
19288,CPT,PERQ DEV BREAST ADD MR GUIDE,,,21,,RBRVS,1.28 ,0.48 ,16.19 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
19294,CPT,PREP TUM CAV IORT PRTL MAST,,,21,,RBRVS,3.00 ,1.09 ,1.09 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
19296,CPT,PLACE PO BREAST CATH FOR RAD,,,21,,RBRVS,3.63 ,1.64 ,109.76 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
19297,CPT,PLACE BREAST CATH FOR RAD,,,21,,RBRVS,1.72 ,0.63 ,0.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
19298,CPT,PLACE BREAST RAD TUBE/CATHS,,,21,,RBRVS,5.75 ,2.68 ,21.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
19300,CPT,REMOVAL OF BREAST TISSUE,,,21,,RBRVS,5.31 ,5.66 ,9.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
19301,CPT,PARTIAL MASTECTOMY,,,21,,RBRVS,10.13 ,6.51 ,6.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
19302,CPT,P-MASTECTOMY W/LN REMOVAL,,,21,,RBRVS,13.99 ,8.85 ,8.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
19303,CPT,MAST SIMPLE COMPLETE,,,21,,RBRVS,15.00 ,9.26 ,9.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
19305,CPT,MAST RADICAL,,,21,,RBRVS,17.46 ,11.41 ,11.41 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
19306,CPT,MAST RAD URBAN TYPE,,,21,,RBRVS,18.13 ,12.56 ,12.56 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
19307,CPT,MAST MOD RAD,,,21,,RBRVS,18.23 ,12.38 ,12.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
19316,CPT,SUSPENSION OF BREAST,,,21,,RBRVS,11.09 ,9.21 ,9.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
19318,CPT,BREAST REDUCTION,,,21,,RBRVS,16.03 ,12.82 ,12.82 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
19325,CPT,BREAST AUGMENTATION W/IMPLT,,,21,,RBRVS,8.64 ,8.53 ,8.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
19328,CPT,RMVL INTACT BREAST IMPLANT,,,21,,RBRVS,6.48 ,6.77 ,6.77 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
19330,CPT,RMVL RUPTURED BREAST IMPLANT,,,21,,RBRVS,8.54 ,8.22 ,8.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
19340,CPT,INSJ BREAST IMPLT SM D MAST,,,21,,RBRVS,13.99 ,12.00 ,12.00 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
19342,CPT,INSJ/RPLCMT BRST IMPLT SEP D,,,21,,RBRVS,12.63 ,11.93 ,11.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
19350,CPT,BREAST RECONSTRUCTION,,,21,,RBRVS,9.11 ,8.71 ,13.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
19355,CPT,CORRECT INVERTED NIPPLE(S),,,21,,RBRVS,8.52 ,7.87 ,11.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
19357,CPT,TISS XPNDR PLMT BRST RCNSTJ,,,21,,RBRVS,18.50 ,21.61 ,21.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
19361,CPT,BRST RCNSTJ LATSMS DRSI FLAP,,,21,,RBRVS,23.36 ,17.94 ,17.94 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
19364,CPT,BRST RCNSTJ FREE FLAP,,,21,,RBRVS,42.58 ,29.58 ,29.58 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
19367,CPT,BRST RCNSTJ 1 PDCL TRAM FLAP,,,21,,RBRVS,26.80 ,19.91 ,19.91 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
19368,CPT,BRST RCNSTJ 1PDCL TRAM ANAST,,,21,,RBRVS,33.90 ,23.69 ,23.69 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
19369,CPT,BRST RCNSTJ 2 PDCL TRAM FLAP,,,21,,RBRVS,31.31 ,22.18 ,22.18 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
19370,CPT,REVJ PERI-IMPLT CAPSULE BRST,,,21,,RBRVS,9.17 ,9.11 ,9.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
19371,CPT,PERI-IMPLT CAPSLC BRST COMPL,,,21,,RBRVS,10.62 ,10.25 ,10.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
19380,CPT,REVJ RECONSTRUCTED BREAST,,,21,,RBRVS,10.41 ,10.21 ,10.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
19396,CPT,DESIGN CUSTOM BREAST IMPLANT,,,21,,RBRVS,2.17 ,1.62 ,5.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
19499,CPT,BREAST SURGERY PROCEDURE,,,21,,TotalUnits,,,,9.11 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
20100,CPT,EXPLORE WOUND NECK,,,21,,RBRVS,10.38 ,5.03 ,5.03 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
20101,CPT,EXPLORE WOUND CHEST,,,21,,RBRVS,3.23 ,2.08 ,9.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
20102,CPT,EXPLORE WOUND ABDOMEN,,,21,,RBRVS,3.98 ,2.55 ,9.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
20103,CPT,EXPLORE WOUND EXTREMITY,,,21,,RBRVS,5.34 ,3.71 ,10.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
20150,CPT,EXCISE EPIPHYSEAL BAR,,,21,,RBRVS,14.75 ,11.38 ,11.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
20200,CPT,MUSCLE BIOPSY,,,21,,RBRVS,1.46 ,0.92 ,4.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
20205,CPT,DEEP MUSCLE BIOPSY,,,21,,RBRVS,2.35 ,1.49 ,5.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
20206,CPT,NEEDLE BIOPSY MUSCLE,,,21,,RBRVS,0.99 ,0.59 ,5.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
20220,CPT,BONE BIOPSY TROCAR/NEEDLE,,,21,,RBRVS,1.65 ,0.77 ,5.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
20225,CPT,BONE BIOPSY TROCAR/NEEDLE,,,21,,RBRVS,2.45 ,1.12 ,9.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
20240,CPT,BONE BIOPSY OPEN SUPERFICIAL,,,21,,RBRVS,2.61 ,1.28 ,1.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
20245,CPT,BONE BIOPSY OPEN DEEP,,,21,,RBRVS,6.00 ,3.10 ,3.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
20250,CPT,OPEN BONE BIOPSY,,,21,,RBRVS,5.19 ,4.77 ,4.77 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
20251,CPT,OPEN BONE BIOPSY,,,21,,RBRVS,5.72 ,5.06 ,5.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
20500,CPT,INJECTION OF SINUS TRACT,,,21,,RBRVS,1.28 ,1.08 ,1.84 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
20501,CPT,INJECT SINUS TRACT FOR X-RAY,,,21,,RBRVS,0.76 ,0.26 ,3.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
20520,CPT,REMOVAL OF FOREIGN BODY,,,21,,RBRVS,1.90 ,2.04 ,3.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
20525,CPT,REMOVAL OF FOREIGN BODY,,,21,,RBRVS,3.54 ,2.95 ,9.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
20526,CPT,THER INJECTION CARP TUNNEL,,,21,,RBRVS,0.94 ,0.55 ,1.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
20527,CPT,INJ DUPUYTREN CORD W/ENZYME,,,21,,RBRVS,1.00 ,0.72 ,1.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
20550,CPT,INJ TENDON SHEATH/LIGAMENT,,,21,,RBRVS,0.75 ,0.29 ,0.72 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
20551,CPT,INJ TENDON ORIGIN/INSERTION,,,21,,RBRVS,0.75 ,0.31 ,0.76 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
20552,CPT,INJ TRIGGER POINT 1/2 MUSCL,,,21,,RBRVS,0.66 ,0.36 ,0.84 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
20553,CPT,INJECT TRIGGER POINTS 3/>,,,21,,RBRVS,0.75 ,0.41 ,0.98 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
20555,CPT,PLACE NDL MUSC/TIS FOR RT,,,21,,RBRVS,6.00 ,2.81 ,2.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
20560,CPT,NDL INSJ W/O NJX 1 OR 2 MUSC,,,21,,RBRVS,0.32 ,0.12 ,0.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
20561,CPT,NDL INSJ W/O NJX 3+ MUSC,,,21,,RBRVS,0.48 ,0.18 ,0.57 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
20600,CPT,DRAIN/INJ JOINT/BURSA W/O US,,,21,,RBRVS,0.66 ,0.29 ,0.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
20604,CPT,DRAIN/INJ JOINT/BURSA W/US,,,21,,RBRVS,0.89 ,0.34 ,1.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
20605,CPT,DRAIN/INJ JOINT/BURSA W/O US,,,21,,RBRVS,0.68 ,0.31 ,0.72 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
20606,CPT,DRAIN/INJ JOINT/BURSA W/US,,,21,,RBRVS,1.00 ,0.41 ,1.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
20610,CPT,DRAIN/INJ JOINT/BURSA W/O US,,,21,,RBRVS,0.79 ,0.41 ,0.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
20611,CPT,DRAIN/INJ JOINT/BURSA W/US,,,21,,RBRVS,1.10 ,0.50 ,1.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
20612,CPT,ASPIRATE/INJ GANGLION CYST,,,21,,RBRVS,0.70 ,0.40 ,0.97 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
20615,CPT,TREATMENT OF BONE CYST,,,21,,RBRVS,2.33 ,1.99 ,4.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
20650,CPT,INSERT AND REMOVE BONE PIN,,,21,,RBRVS,2.28 ,1.94 ,3.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
20660,CPT,APPLY REM FIXATION DEVICE,,,21,,RBRVS,4.00 ,1.85 ,1.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
20661,CPT,APPLICATION OF HEAD BRACE,,,21,,RBRVS,5.26 ,7.52 ,7.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
20662,CPT,APPLICATION OF PELVIS BRACE,,,21,,RBRVS,6.38 ,7.16 ,7.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
20663,CPT,APPLICATION OF THIGH BRACE,,,21,,RBRVS,5.74 ,6.73 ,6.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
20664,CPT,APPLICATION OF HALO,,,21,,RBRVS,10.06 ,11.25 ,11.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
20665,CPT,REMOVAL OF FIXATION DEVICE,,,21,,RBRVS,1.36 ,1.23 ,1.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
20670,CPT,REMOVAL OF SUPPORT IMPLANT,,,21,,RBRVS,1.79 ,2.11 ,8.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
20680,CPT,REMOVAL OF SUPPORT IMPLANT,,,21,,RBRVS,5.96 ,5.17 ,10.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
20690,CPT,APPLY BONE FIXATION DEVICE,,,21,,RBRVS,8.78 ,6.79 ,6.79 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
20692,CPT,APPLY BONE FIXATION DEVICE,,,21,,RBRVS,16.27 ,13.21 ,13.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
20693,CPT,ADJUST BONE FIXATION DEVICE,,,21,,RBRVS,6.06 ,5.73 ,5.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
20694,CPT,REMOVE BONE FIXATION DEVICE,,,21,,RBRVS,4.28 ,4.67 ,7.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
20696,CPT,COMP MULTIPLANE EXT FIXATION,,,21,,RBRVS,17.56 ,13.62 ,13.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
20697,CPT,COMP EXT FIXATE STRUT CHANGE,,TC,21,,RBRVS,,57.78 ,57.78 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
20700,CPT,MNL PREP&INSJ DP RX DLVR DEV,,,21,,RBRVS,1.50 ,0.67 ,0.67 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
20701,CPT,RMVL DEEP RX DELIVERY DEVICE,,,21,,RBRVS,1.13 ,0.50 ,0.50 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
20702,CPT,MNL PREP&INSJ IMED RX DEV,,,21,,RBRVS,2.50 ,1.10 ,1.10 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
20703,CPT,RMVL IMED RX DELIVERY DEVICE,,,21,,RBRVS,1.80 ,0.80 ,0.80 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
20704,CPT,MNL PREP&INSJ I-ARTIC RX DEV,,,21,,RBRVS,2.60 ,1.15 ,1.15 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
20705,CPT,RMVL I-ARTIC RX DELIVERY DEV,,,21,,RBRVS,2.15 ,0.95 ,0.95 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
20802,CPT,REPLANTATION ARM COMPLETE,,,21,,RBRVS,42.62 ,28.47 ,28.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
20805,CPT,REPLANT FOREARM COMPLETE,,,21,,RBRVS,51.46 ,33.01 ,33.01 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
20808,CPT,REPLANTATION HAND COMPLETE,,,21,,RBRVS,63.09 ,38.84 ,38.84 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
20816,CPT,REPLANTATION DIGIT COMPLETE,,,21,,RBRVS,31.95 ,21.29 ,21.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
20822,CPT,REPLANTATION DIGIT COMPLETE,,,21,,RBRVS,26.66 ,19.29 ,19.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
20824,CPT,REPLANTATION THUMB COMPLETE,,,21,,RBRVS,31.95 ,21.39 ,21.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
20827,CPT,REPLANTATION THUMB COMPLETE,,,21,,RBRVS,27.48 ,19.71 ,19.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
20838,CPT,REPLANTATION FOOT COMPLETE,,,21,,RBRVS,42.88 ,29.25 ,29.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
20900,CPT,REMOVAL OF BONE FOR GRAFT,,,21,,RBRVS,3.00 ,1.82 ,8.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
20902,CPT,REMOVAL OF BONE FOR GRAFT,,,21,,RBRVS,4.58 ,2.72 ,2.72 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
20910,CPT,REMOVE CARTILAGE FOR GRAFT,,,21,,RBRVS,5.53 ,6.88 ,6.88 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
20912,CPT,REMOVE CARTILAGE FOR GRAFT,,,21,,RBRVS,6.54 ,6.13 ,6.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
20920,CPT,REMOVAL OF FASCIA FOR GRAFT,,,21,,RBRVS,5.51 ,4.95 ,4.95 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
20922,CPT,REMOVAL OF FASCIA FOR GRAFT,,,21,,RBRVS,6.93 ,5.67 ,8.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
20924,CPT,REMOVAL OF TENDON FOR GRAFT,,,21,,RBRVS,6.68 ,6.70 ,6.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
20930,CPT,SP BONE ALGRFT MORSEL ADD-ON,,,21,,TotalUnits,,,,5.50 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
20931,CPT,SP BONE ALGRFT STRUCT ADD-ON,,,21,,RBRVS,1.81 ,0.87 ,0.87 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
20932,CPT,OSTEOART ALGRFT W/SURF & B1,,,21,,RBRVS,13.01 ,5.59 ,5.59 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
20933,CPT,HEMICRT INTRCLRY ALGRFT PRTL,,,21,,RBRVS,11.94 ,5.14 ,5.14 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
20934,CPT,INTERCALARY ALGRFT COMPL,,,21,,RBRVS,13.00 ,5.59 ,5.59 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
20936,CPT,SP BONE AGRFT LOCAL ADD-ON,,,21,,TotalUnits,,,,6.62 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
20937,CPT,SP BONE AGRFT MORSEL ADD-ON,,,21,,RBRVS,2.79 ,1.36 ,1.36 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
20938,CPT,SP BONE AGRFT STRUCT ADD-ON,,,21,,RBRVS,3.02 ,1.44 ,1.44 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
20939,CPT,BONE MARROW ASPIR BONE GRFG,,,21,,RBRVS,1.16 ,0.56 ,0.56 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
20950,CPT,FLUID PRESSURE MUSCLE,,,21,,RBRVS,1.26 ,1.07 ,5.94 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
20955,CPT,FIBULA BONE GRAFT MICROVASC,,,21,,RBRVS,40.26 ,24.73 ,24.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
20956,CPT,ILIAC BONE GRAFT MICROVASC,,,21,,RBRVS,41.18 ,27.18 ,27.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
20957,CPT,MT BONE GRAFT MICROVASC,,,21,,RBRVS,42.61 ,28.56 ,28.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
20962,CPT,OTHER BONE GRAFT MICROVASC,,,21,,RBRVS,39.21 ,29.90 ,29.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
20969,CPT,BONE/SKIN GRAFT MICROVASC,,,21,,RBRVS,45.43 ,26.69 ,26.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
20970,CPT,BONE/SKIN GRAFT ILIAC CREST,,,21,,RBRVS,44.58 ,29.22 ,29.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
20972,CPT,BONE/SKIN GRAFT METATARSAL,,,21,,RBRVS,44.51 ,29.10 ,29.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
20973,CPT,BONE/SKIN GRAFT GREAT TOE,,,21,,RBRVS,47.27 ,30.45 ,30.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
20974,CPT,ELECTRICAL BONE STIMULATION,,,21,,RBRVS,0.62 ,0.68 ,1.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
20975,CPT,ELECTRICAL BONE STIMULATION,,,21,,RBRVS,2.60 ,1.88 ,1.88 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
20979,CPT,US BONE STIMULATION,,,21,,RBRVS,0.62 ,0.22 ,0.82 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
20982,CPT,ABLATE BONE TUMOR(S) PERQ,,,21,,RBRVS,7.02 ,2.72 ,101.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
20983,CPT,ABLATE BONE TUMOR(S) PERQ,,,21,,RBRVS,6.88 ,2.50 ,155.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
20985,CPT,CPTR-ASST DIR MS PX,,,21,,RBRVS,2.50 ,1.25 ,1.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
20999,CPT,MUSCULOSKELETAL SURGERY,,,21,,TotalUnits,,,,1.62 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
21010,CPT,INCISION OF JAW JOINT,,,21,,RBRVS,11.04 ,9.43 ,9.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
21011,CPT,EXC FACE LES SC <2 CM,,,21,,RBRVS,2.99 ,3.88 ,6.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
21012,CPT,EXC FACE LES SBQ 2 CM/>,,,21,,RBRVS,4.45 ,4.40 ,4.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
21013,CPT,EXC FACE TUM DEEP < 2 CM,,,21,,RBRVS,5.42 ,5.22 ,8.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
21014,CPT,EXC FACE TUM DEEP 2 CM/>,,,21,,RBRVS,7.13 ,6.58 ,6.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
21015,CPT,RESECT FACE/SCALP TUM < 2 CM,,,21,,RBRVS,9.89 ,8.71 ,8.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
21016,CPT,RESECT FACE/SCALP TUM 2 CM/>,,,21,,RBRVS,15.26 ,11.11 ,11.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
21025,CPT,EXCISION OF BONE LOWER JAW,,,21,,RBRVS,10.03 ,8.94 ,12.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
21026,CPT,EXCISION OF FACIAL BONE(S),,,21,,RBRVS,5.70 ,6.74 ,9.84 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
21029,CPT,CONTOUR OF FACE BONE LESION,,,21,,RBRVS,8.39 ,8.47 ,12.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
21030,CPT,EXCISE MAX/ZYGOMA B9 TUMOR,,,21,,RBRVS,4.91 ,5.75 ,8.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
21031,CPT,REMOVE EXOSTOSIS MANDIBLE,,,21,,RBRVS,3.30 ,4.43 ,7.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
21032,CPT,REMOVE EXOSTOSIS MAXILLA,,,21,,RBRVS,3.34 ,4.22 ,7.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
21034,CPT,EXCISE MAX/ZYGOMA MAL TUMOR,,,21,,RBRVS,17.38 ,12.89 ,17.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
21040,CPT,EXCISE MANDIBLE LESION,,,21,,RBRVS,4.91 ,5.78 ,8.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
21044,CPT,REMOVAL OF JAW BONE LESION,,,21,,RBRVS,12.80 ,10.30 ,10.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
21045,CPT,EXTENSIVE JAW SURGERY,,,21,,RBRVS,18.37 ,13.88 ,13.88 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
21046,CPT,REMOVE MANDIBLE CYST COMPLEX,,,21,,RBRVS,14.21 ,14.56 ,14.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
21047,CPT,EXCISE LWR JAW CYST W/REPAIR,,,21,,RBRVS,20.07 ,14.46 ,14.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
21048,CPT,REMOVE MAXILLA CYST COMPLEX,,,21,,RBRVS,14.71 ,14.42 ,14.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
21049,CPT,EXCIS UPPR JAW CYST W/REPAIR,,,21,,RBRVS,19.32 ,12.73 ,12.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
21050,CPT,REMOVAL OF JAW JOINT,,,21,,RBRVS,11.76 ,12.37 ,12.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
21060,CPT,REMOVE JAW JOINT CARTILAGE,,,21,,RBRVS,11.07 ,10.82 ,10.82 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
21070,CPT,REMOVE CORONOID PROCESS,,,21,,RBRVS,8.62 ,8.39 ,8.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
21073,CPT,MNPJ OF TMJ W/ANESTH,,,21,,RBRVS,3.45 ,3.40 ,7.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
21076,CPT,PREPARE FACE/ORAL PROSTHESIS,,,21,,RBRVS,13.40 ,6.96 ,11.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
21077,CPT,PREPARE FACE/ORAL PROSTHESIS,,,21,,RBRVS,33.70 ,16.86 ,27.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
21079,CPT,PREPARE FACE/ORAL PROSTHESIS,,,21,,RBRVS,22.31 ,11.67 ,19.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
21080,CPT,PREPARE FACE/ORAL PROSTHESIS,,,21,,RBRVS,25.06 ,13.25 ,22.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
21081,CPT,PREPARE FACE/ORAL PROSTHESIS,,,21,,RBRVS,22.85 ,12.18 ,20.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
21082,CPT,PREPARE FACE/ORAL PROSTHESIS,,,21,,RBRVS,20.84 ,11.42 ,19.79 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
21083,CPT,PREPARE FACE/ORAL PROSTHESIS,,,21,,RBRVS,19.27 ,10.69 ,19.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
21084,CPT,PREPARE FACE/ORAL PROSTHESIS,,,21,,RBRVS,22.48 ,12.18 ,21.88 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
21085,CPT,PREPARE FACE/ORAL PROSTHESIS,,,21,,RBRVS,8.99 ,4.88 ,10.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
21086,CPT,PREPARE FACE/ORAL PROSTHESIS,,,21,,RBRVS,24.88 ,12.41 ,20.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
21087,CPT,PREPARE FACE/ORAL PROSTHESIS,,,21,,RBRVS,24.88 ,12.41 ,20.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
21088,CPT,PREPARE FACE/ORAL PROSTHESIS,,,21,,TotalUnits,,,,21.41 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
21089,CPT,PREPARE FACE/ORAL PROSTHESIS,,,21,,TotalUnits,,,,18.58 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
21100,CPT,MAXILLOFACIAL FIXATION,,,21,,RBRVS,4.73 ,5.50 ,13.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
21110,CPT,INTERDENTAL FIXATION,,,21,,RBRVS,5.99 ,13.15 ,17.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
21116,CPT,INJECTION JAW JOINT X-RAY,,,21,,RBRVS,0.81 ,0.44 ,4.72 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
21120,CPT,RECONSTRUCTION OF CHIN,,,21,,RBRVS,5.10 ,9.02 ,13.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
21121,CPT,RECONSTRUCTION OF CHIN,,,21,,RBRVS,7.81 ,7.97 ,10.99 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
21122,CPT,RECONSTRUCTION OF CHIN,,,21,,RBRVS,8.71 ,11.91 ,11.91 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
21123,CPT,RECONSTRUCTION OF CHIN,,,21,,RBRVS,11.34 ,12.78 ,12.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
21125,CPT,AUGMENTATION LOWER JAW BONE,,,21,,RBRVS,10.80 ,8.17 ,69.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
21127,CPT,AUGMENTATION LOWER JAW BONE,,,21,,RBRVS,12.44 ,9.39 ,101.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
21137,CPT,REDUCTION OF FOREHEAD,,,21,,RBRVS,10.24 ,9.71 ,9.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
21138,CPT,REDUCTION OF FOREHEAD,,,21,,RBRVS,12.87 ,11.43 ,11.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
21139,CPT,REDUCTION OF FOREHEAD,,,21,,RBRVS,15.02 ,14.42 ,14.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
21141,CPT,LEFORT I-1 PIECE W/O GRAFT,,,21,,RBRVS,19.57 ,17.09 ,17.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
21142,CPT,LEFORT I-2 PIECE W/O GRAFT,,,21,,RBRVS,20.28 ,17.37 ,17.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
21143,CPT,LEFORT I-3/> PIECE W/O GRAFT,,,21,,RBRVS,21.05 ,18.06 ,18.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
21145,CPT,LEFORT I-1 PIECE W/ GRAFT,,,21,,RBRVS,23.94 ,18.79 ,18.79 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
21146,CPT,LEFORT I-2 PIECE W/ GRAFT,,,21,,RBRVS,24.87 ,19.72 ,19.72 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
21147,CPT,LEFORT I-3/> PIECE W/ GRAFT,,,21,,RBRVS,26.47 ,20.50 ,20.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
21150,CPT,LEFORT II ANTERIOR INTRUSION,,,21,,RBRVS,25.96 ,17.80 ,17.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
21151,CPT,LEFORT II W/BONE GRAFTS,,,21,,RBRVS,29.02 ,19.10 ,19.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
21154,CPT,LEFORT III W/O LEFORT I,,,21,,RBRVS,31.29 ,20.47 ,20.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
21155,CPT,LEFORT III W/ LEFORT I,,,21,,RBRVS,35.22 ,22.16 ,22.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
21159,CPT,LEFORT III W/FHDW/O LEFORT I,,,21,,RBRVS,43.14 ,25.55 ,25.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
21160,CPT,LEFORT III W/FHD W/ LEFORT I,,,21,,RBRVS,47.19 ,27.29 ,27.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
21172,CPT,RECONSTRUCT ORBIT/FOREHEAD,,,21,,RBRVS,28.20 ,21.64 ,21.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
21175,CPT,RECONSTRUCT ORBIT/FOREHEAD,,,21,,RBRVS,33.56 ,24.92 ,24.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
21179,CPT,RECONSTRUCT ENTIRE FOREHEAD,,,21,,RBRVS,22.65 ,17.57 ,17.57 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
21180,CPT,RECONSTRUCT ENTIRE FOREHEAD,,,21,,RBRVS,25.58 ,19.36 ,19.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
21181,CPT,CONTOUR CRANIAL BONE LESION,,,21,,RBRVS,10.28 ,9.37 ,9.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
21182,CPT,RECONSTRUCT CRANIAL BONE,,,21,,RBRVS,32.58 ,23.38 ,23.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
21183,CPT,RECONSTRUCT CRANIAL BONE,,,21,,RBRVS,35.70 ,25.19 ,25.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
21184,CPT,RECONSTRUCT CRANIAL BONE,,,21,,RBRVS,38.62 ,26.90 ,26.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
21188,CPT,RECONSTRUCTION OF MIDFACE,,,21,,RBRVS,23.15 ,21.27 ,21.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
21193,CPT,RECONST LWR JAW W/O GRAFT,,,21,,RBRVS,18.90 ,15.14 ,15.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
21194,CPT,RECONST LWR JAW W/GRAFT,,,21,,RBRVS,21.82 ,17.42 ,17.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
21195,CPT,RECONST LWR JAW W/O FIXATION,,,21,,RBRVS,19.16 ,18.61 ,18.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
21196,CPT,RECONST LWR JAW W/FIXATION,,,21,,RBRVS,20.83 ,17.70 ,17.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
21198,CPT,RECONSTR LWR JAW SEGMENT,,,21,,RBRVS,15.71 ,14.19 ,14.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
21199,CPT,RECONSTR LWR JAW W/ADVANCE,,,21,,RBRVS,16.73 ,11.60 ,11.60 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
21206,CPT,RECONSTRUCT UPPER JAW BONE,,,21,,RBRVS,15.59 ,15.90 ,15.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
21208,CPT,AUGMENTATION OF FACIAL BONES,,,21,,RBRVS,11.42 ,9.32 ,36.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
21209,CPT,REDUCTION OF FACIAL BONES,,,21,,RBRVS,7.82 ,8.85 ,14.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
21210,CPT,FACE BONE GRAFT,,,21,,RBRVS,11.69 ,9.66 ,43.82 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
21215,CPT,LOWER JAW BONE GRAFT,,,21,,RBRVS,12.23 ,9.95 ,104.02 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
21230,CPT,RIB CARTILAGE GRAFT,,,21,,RBRVS,11.17 ,8.53 ,8.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
21235,CPT,EAR CARTILAGE GRAFT,,,21,,RBRVS,7.50 ,7.66 ,12.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
21240,CPT,RECONSTRUCTION OF JAW JOINT,,,21,,RBRVS,16.07 ,13.28 ,13.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
21242,CPT,RECONSTRUCTION OF JAW JOINT,,,21,,RBRVS,14.59 ,13.28 ,13.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
21243,CPT,RECONSTRUCTION OF JAW JOINT,,,21,,RBRVS,24.53 ,20.18 ,20.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
21244,CPT,RECONSTRUCTION OF LOWER JAW,,,21,,RBRVS,13.62 ,14.02 ,14.02 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
21245,CPT,RECONSTRUCTION OF JAW,,,21,,RBRVS,13.12 ,12.47 ,20.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
21246,CPT,RECONSTRUCTION OF JAW,,,21,,RBRVS,12.92 ,10.57 ,10.57 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
21247,CPT,RECONSTRUCT LOWER JAW BONE,,,21,,RBRVS,24.37 ,19.31 ,19.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
21248,CPT,RECONSTRUCTION OF JAW,,,21,,RBRVS,12.74 ,9.79 ,15.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
21249,CPT,RECONSTRUCTION OF JAW,,,21,,RBRVS,18.77 ,12.98 ,19.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
21255,CPT,RECONSTRUCT LOWER JAW BONE,,,21,,RBRVS,18.46 ,19.14 ,19.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
21256,CPT,RECONSTRUCTION OF ORBIT,,,21,,RBRVS,17.66 ,15.22 ,15.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
21260,CPT,REVISE EYE SOCKETS,,,21,,RBRVS,17.90 ,19.07 ,19.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
21261,CPT,REVISE EYE SOCKETS,,,21,,RBRVS,34.07 ,31.08 ,31.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
21263,CPT,REVISE EYE SOCKETS,,,21,,RBRVS,31.01 ,29.30 ,29.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
21267,CPT,REVISE EYE SOCKETS,,,21,,RBRVS,20.69 ,22.56 ,22.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
21268,CPT,REVISE EYE SOCKETS,,,21,,RBRVS,27.07 ,27.00 ,27.00 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
21270,CPT,AUGMENTATION CHEEK BONE,,,21,,RBRVS,10.63 ,9.25 ,16.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
21275,CPT,REVISION ORBITOFACIAL BONES,,,21,,RBRVS,11.76 ,10.58 ,10.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
21280,CPT,REVISION OF EYELID,,,21,,RBRVS,7.13 ,8.64 ,8.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
21282,CPT,REVISION OF EYELID,,,21,,RBRVS,4.27 ,6.31 ,6.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
21295,CPT,REVISION OF JAW MUSCLE/BONE,,,21,,RBRVS,1.90 ,3.22 ,3.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
21296,CPT,REVISION OF JAW MUSCLE/BONE,,,21,,RBRVS,4.78 ,6.19 ,6.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
21299,CPT,CRANIO/MAXILLOFACIAL SURGERY,,,21,,TotalUnits,,,,27.64 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
21310,CPT,CLOSED TX NOSE FX W/O MANJ,,,21,,RBRVS,0.58 ,0.11 ,2.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
21315,CPT,CLOSED TX NOSE FX W/O STABLJ,,,21,,RBRVS,1.83 ,2.20 ,5.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
21320,CPT,CLOSED TX NOSE FX W/ STABLJ,,,21,,RBRVS,1.88 ,1.67 ,5.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
21325,CPT,OPEN TX NOSE FX UNCOMPLICATD,,,21,,RBRVS,4.18 ,7.71 ,7.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
21330,CPT,OPEN TX NOSE FX W/SKELE FIXJ,,,21,,RBRVS,5.79 ,9.35 ,9.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
21335,CPT,OPEN TX NOSE & SEPTAL FX,,,21,,RBRVS,9.02 ,10.08 ,10.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
21336,CPT,OPEN TX SEPTAL FX W/WO STABJ,,,21,,RBRVS,6.77 ,10.47 ,10.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
21337,CPT,CLOSED TX SEPTAL&NOSE FX,,,21,,RBRVS,3.39 ,4.53 ,7.82 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
21338,CPT,OPEN NASOETHMOID FX W/O FIXJ,,,21,,RBRVS,6.87 ,10.94 ,10.94 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
21339,CPT,OPEN NASOETHMOID FX W/ FIXJ,,,21,,RBRVS,8.50 ,11.64 ,11.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
21340,CPT,PERQ TX NASOETHMOID FX,,,21,,RBRVS,11.49 ,8.27 ,8.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
21343,CPT,OPEN TX DPRSD FRONT SINUS FX,,,21,,RBRVS,14.32 ,14.42 ,14.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
21344,CPT,OPEN TX COMPL FRONT SINUS FX,,,21,,RBRVS,21.57 ,15.15 ,15.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
21345,CPT,CLOSED TX NOSE/JAW FX,,,21,,RBRVS,9.06 ,7.65 ,12.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
21346,CPT,OPN TX NASOMAX FX W/FIXJ,,,21,,RBRVS,11.45 ,14.38 ,14.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
21347,CPT,OPN TX NASOMAX FX MULTPLE,,,21,,RBRVS,13.53 ,13.69 ,13.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
21348,CPT,OPN TX NASOMAX FX W/GRAFT,,,21,,RBRVS,17.52 ,11.17 ,11.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
21355,CPT,PERQ TX MALAR FRACTURE,,,21,,RBRVS,4.45 ,4.13 ,7.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
21356,CPT,OPN TX DPRSD ZYGOMATIC ARCH,,,21,,RBRVS,4.83 ,5.27 ,8.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
21360,CPT,OPN TX DPRSD MALAR FRACTURE,,,21,,RBRVS,7.19 ,6.48 ,6.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
21365,CPT,OPN TX COMPLX MALAR FX,,,21,,RBRVS,16.77 ,12.52 ,12.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
21366,CPT,OPN TX COMPLX MALAR W/GRFT,,,21,,RBRVS,18.60 ,15.17 ,15.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
21385,CPT,OPN TX ORBIT FX TRANSANTRAL,,,21,,RBRVS,9.57 ,10.33 ,10.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
21386,CPT,OPN TX ORBIT FX PERIORBITAL,,,21,,RBRVS,9.57 ,7.86 ,7.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
21387,CPT,OPN TX ORBIT FX COMBINED,,,21,,RBRVS,10.11 ,10.64 ,10.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
21390,CPT,OPN TX ORBIT PERIORBTL IMPLT,,,21,,RBRVS,11.23 ,10.33 ,10.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
21395,CPT,OPN TX ORBIT PERIORBT W/GRFT,,,21,,RBRVS,14.70 ,12.04 ,12.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
21400,CPT,CLOSED TX ORBIT W/O MANIPULJ,,,21,,RBRVS,1.50 ,2.82 ,4.00 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
21401,CPT,CLOSED TX ORBIT W/MANIPULJ,,,21,,RBRVS,3.68 ,4.99 ,10.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
21406,CPT,OPN TX ORBIT FX W/O IMPLANT,,,21,,RBRVS,7.42 ,8.02 ,8.02 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
21407,CPT,OPN TX ORBIT FX W/IMPLANT,,,21,,RBRVS,9.02 ,8.30 ,8.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
21408,CPT,OPN TX ORBIT FX W/BONE GRFT,,,21,,RBRVS,12.78 ,11.14 ,11.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
21421,CPT,TREAT MOUTH ROOF FRACTURE,,,21,,RBRVS,6.02 ,9.64 ,12.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
21422,CPT,TREAT MOUTH ROOF FRACTURE,,,21,,RBRVS,8.73 ,8.59 ,8.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
21423,CPT,TREAT MOUTH ROOF FRACTURE,,,21,,RBRVS,10.85 ,9.66 ,9.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
21431,CPT,TREAT CRANIOFACIAL FRACTURE,,,21,,RBRVS,7.90 ,11.37 ,11.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
21432,CPT,TREAT CRANIOFACIAL FRACTURE,,,21,,RBRVS,8.82 ,10.38 ,10.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
21433,CPT,TREAT CRANIOFACIAL FRACTURE,,,21,,RBRVS,26.29 ,19.59 ,19.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
21435,CPT,TREAT CRANIOFACIAL FRACTURE,,,21,,RBRVS,20.26 ,16.95 ,16.95 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
21436,CPT,TREAT CRANIOFACIAL FRACTURE,,,21,,RBRVS,30.30 ,23.59 ,23.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
21440,CPT,TREAT DENTAL RIDGE FRACTURE,,,21,,RBRVS,3.44 ,10.66 ,14.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
21445,CPT,TREAT DENTAL RIDGE FRACTURE,,,21,,RBRVS,6.26 ,11.08 ,15.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
21450,CPT,TREAT LOWER JAW FRACTURE,,,21,,RBRVS,3.71 ,9.37 ,12.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
21451,CPT,TREAT LOWER JAW FRACTURE,,,21,,RBRVS,5.65 ,11.91 ,15.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
21452,CPT,TREAT LOWER JAW FRACTURE,,,21,,RBRVS,2.40 ,9.43 ,17.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
21453,CPT,TREAT LOWER JAW FRACTURE,,,21,,RBRVS,6.64 ,17.07 ,21.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
21454,CPT,TREAT LOWER JAW FRACTURE,,,21,,RBRVS,7.36 ,6.67 ,6.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
21461,CPT,TREAT LOWER JAW FRACTURE,,,21,,RBRVS,9.31 ,18.32 ,46.94 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
21462,CPT,TREAT LOWER JAW FRACTURE,,,21,,RBRVS,11.01 ,19.57 ,49.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
21465,CPT,TREAT LOWER JAW FRACTURE,,,21,,RBRVS,13.12 ,9.86 ,9.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
21470,CPT,TREAT LOWER JAW FRACTURE,,,21,,RBRVS,17.54 ,14.14 ,14.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
21480,CPT,RESET DISLOCATED JAW,,,21,,RBRVS,0.61 ,0.20 ,2.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
21485,CPT,RESET DISLOCATED JAW,,,21,,RBRVS,4.77 ,15.40 ,20.00 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
21490,CPT,REPAIR DISLOCATED JAW,,,21,,RBRVS,12.95 ,9.71 ,9.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
21497,CPT,INTERDENTAL WIRING,,,21,,RBRVS,4.64 ,11.36 ,14.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
21499,CPT,HEAD SURGERY PROCEDURE,,,21,,TotalUnits,,,,9.65 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
21501,CPT,DRAIN NECK/CHEST LESION,,,21,,RBRVS,3.98 ,4.61 ,8.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
21502,CPT,DRAIN CHEST LESION,,,21,,RBRVS,7.55 ,5.36 ,5.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
21510,CPT,DRAINAGE OF BONE LESION,,,21,,RBRVS,6.20 ,5.30 ,5.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
21550,CPT,BIOPSY OF NECK/CHEST,,,21,,RBRVS,2.11 ,2.08 ,5.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
21552,CPT,EXC NECK LES SC 3 CM/>,,,21,,RBRVS,6.49 ,4.97 ,4.97 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
21554,CPT,EXC NECK TUM DEEP 5 CM/>,,,21,,RBRVS,11.13 ,7.68 ,7.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
21555,CPT,EXC NECK LES SC < 3 CM,,,21,,RBRVS,3.96 ,4.04 ,7.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
21556,CPT,EXC NECK TUM DEEP < 5 CM,,,21,,RBRVS,7.66 ,6.14 ,6.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
21557,CPT,RESECT NECK THORAX TUMOR<5CM,,,21,,RBRVS,14.75 ,9.93 ,9.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
21558,CPT,RESECT NECK TUMOR 5 CM/>,,,21,,RBRVS,21.58 ,12.90 ,12.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
21600,CPT,PARTIAL REMOVAL OF RIB,,,21,,RBRVS,7.26 ,7.11 ,7.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
21601,CPT,EXC CHEST WALL TUMOR W/RIBS,,,21,,RBRVS,17.78 ,12.24 ,12.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
21602,CPT,EXC CH WAL TUM W/O LYMPHADEC,,,21,,RBRVS,22.19 ,18.60 ,18.60 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
21603,CPT,EXC CH WAL TUM W/LYMPHADEC,,,21,,RBRVS,25.17 ,19.71 ,19.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
21610,CPT,PARTIAL REMOVAL OF RIB,,,21,,RBRVS,15.91 ,12.74 ,12.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
21615,CPT,REMOVAL OF RIB,,,21,,RBRVS,10.45 ,4.96 ,4.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
21616,CPT,REMOVAL OF RIB AND NERVES,,,21,,RBRVS,12.69 ,4.96 ,4.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
21620,CPT,PARTIAL REMOVAL OF STERNUM,,,21,,RBRVS,7.28 ,5.72 ,5.72 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
21627,CPT,STERNAL DEBRIDEMENT,,,21,,RBRVS,7.30 ,6.67 ,6.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
21630,CPT,EXTENSIVE STERNUM SURGERY,,,21,,RBRVS,19.18 ,11.98 ,11.98 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
21632,CPT,EXTENSIVE STERNUM SURGERY,,,21,,RBRVS,19.68 ,10.78 ,10.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
21685,CPT,HYOID MYOTOMY & SUSPENSION,,,21,,RBRVS,15.26 ,10.89 ,10.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
21700,CPT,REVISION OF NECK MUSCLE,,,21,,RBRVS,6.31 ,2.54 ,2.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
21705,CPT,REVISION OF NECK MUSCLE/RIB,,,21,,RBRVS,9.92 ,3.25 ,3.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
21720,CPT,REVISION OF NECK MUSCLE,,,21,,RBRVS,5.80 ,7.07 ,7.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
21725,CPT,REVISION OF NECK MUSCLE,,,21,,RBRVS,7.19 ,6.99 ,6.99 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
21740,CPT,RECONSTRUCTION OF STERNUM,,,21,,RBRVS,17.57 ,8.20 ,8.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
21742,CPT,REPAIR STERN/NUSS W/O SCOPE,,,21,,TotalUnits,,,,33.18 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
21743,CPT,REPAIR STERNUM/NUSS W/SCOPE,,,21,,TotalUnits,,,,47.03 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
21750,CPT,REPAIR OF STERNUM SEPARATION,,,21,,RBRVS,11.40 ,5.70 ,5.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
21811,CPT,OPTX OF RIB FX W/FIXJ SCOPE,,,21,,RBRVS,10.79 ,4.08 ,4.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
21812,CPT,TREATMENT OF RIB FRACTURE,,,21,,RBRVS,13.00 ,5.15 ,5.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
21813,CPT,TREATMENT OF RIB FRACTURE,,,21,,RBRVS,17.61 ,6.86 ,6.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
21820,CPT,TREAT STERNUM FRACTURE,,,21,,RBRVS,1.36 ,2.52 ,2.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
21825,CPT,TREAT STERNUM FRACTURE,,,21,,RBRVS,7.76 ,6.15 ,6.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
21899,CPT,NECK/CHEST SURGERY PROCEDURE,,,21,,TotalUnits,,,,11.46 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
21920,CPT,BIOPSY SOFT TISSUE OF BACK,,,21,,RBRVS,2.11 ,2.11 ,4.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
21925,CPT,BIOPSY SOFT TISSUE OF BACK,,,21,,RBRVS,4.63 ,4.83 ,7.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
21930,CPT,EXC BACK LES SC < 3 CM,,,21,,RBRVS,4.94 ,4.53 ,8.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
21931,CPT,EXC BACK LES SC 3 CM/>,,,21,,RBRVS,6.88 ,5.17 ,5.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
21932,CPT,EXC BACK TUM DEEP < 5 CM,,,21,,RBRVS,9.82 ,7.19 ,7.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
21933,CPT,EXC BACK TUM DEEP 5 CM/>,,,21,,RBRVS,11.13 ,7.76 ,7.76 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
21935,CPT,RESECT BACK TUM < 5 CM,,,21,,RBRVS,15.72 ,10.62 ,10.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
21936,CPT,RESECT BACK TUM 5 CM/>,,,21,,RBRVS,22.55 ,13.43 ,13.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
22010,CPT,I&D P-SPINE C/T/CERV-THOR,,,21,,RBRVS,12.75 ,11.39 ,11.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
22015,CPT,I&D ABSCESS P-SPINE L/S/LS,,,21,,RBRVS,12.64 ,11.33 ,11.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
22100,CPT,REMOVE PART OF NECK VERTEBRA,,,21,,RBRVS,11.00 ,10.67 ,10.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
22101,CPT,REMOVE PART THORAX VERTEBRA,,,21,,RBRVS,11.08 ,10.82 ,10.82 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
22102,CPT,REMOVE PART LUMBAR VERTEBRA,,,21,,RBRVS,11.08 ,10.01 ,10.01 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
22103,CPT,REMOVE EXTRA SPINE SEGMENT,,,21,,RBRVS,2.34 ,1.11 ,1.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
22110,CPT,REMOVE PART OF NECK VERTEBRA,,,21,,RBRVS,14.00 ,11.99 ,11.99 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
22112,CPT,REMOVE PART THORAX VERTEBRA,,,21,,RBRVS,14.07 ,13.02 ,13.02 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
22114,CPT,REMOVE PART LUMBAR VERTEBRA,,,21,,RBRVS,14.07 ,13.02 ,13.02 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
22116,CPT,REMOVE EXTRA SPINE SEGMENT,,,21,,RBRVS,2.32 ,1.10 ,1.10 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
22206,CPT,INCIS SPINE 3 COLUMN THORAC,,,21,,RBRVS,37.18 ,23.32 ,23.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
22207,CPT,INCIS SPINE 3 COLUMN LUMBAR,,,21,,RBRVS,36.68 ,23.08 ,23.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
22208,CPT,INCIS SPINE 3 COLUMN ADL SEG,,,21,,RBRVS,9.66 ,4.62 ,4.62 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
22210,CPT,INCIS 1 VERTEBRAL SEG CERV,,,21,,RBRVS,25.38 ,18.96 ,18.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
22212,CPT,INCIS 1 VERTEBRAL SEG THORAC,,,21,,RBRVS,20.99 ,16.72 ,16.72 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
22214,CPT,INCIS 1 VERTEBRAL SEG LUMBAR,,,21,,RBRVS,21.02 ,16.75 ,16.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
22216,CPT,INCIS ADDL SPINE SEGMENT,,,21,,RBRVS,6.03 ,2.92 ,2.92 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
22220,CPT,INCIS W/DISCECTOMY CERVICAL,,,21,,RBRVS,22.94 ,17.54 ,17.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
22222,CPT,INCIS W/DISCECTOMY THORACIC,,,21,,RBRVS,23.09 ,18.65 ,18.65 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
22224,CPT,INCIS W/DISCECTOMY LUMBAR,,,21,,RBRVS,23.09 ,17.38 ,17.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
22226,CPT,REVISE EXTRA SPINE SEGMENT,,,21,,RBRVS,6.03 ,2.90 ,2.90 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
22310,CPT,CLOSED TX VERT FX W/O MANJ,,,21,,RBRVS,3.45 ,4.20 ,4.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
22315,CPT,CLOSED TX VERT FX W/MANJ,,,21,,RBRVS,10.11 ,9.75 ,12.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
22318,CPT,TREAT ODONTOID FX W/O GRAFT,,,21,,RBRVS,22.72 ,16.58 ,16.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
22319,CPT,TREAT ODONTOID FX W/GRAFT,,,21,,RBRVS,25.33 ,17.97 ,17.97 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
22325,CPT,TREAT SPINE FRACTURE,,,21,,RBRVS,19.87 ,16.21 ,16.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
22326,CPT,TREAT NECK SPINE FRACTURE,,,21,,RBRVS,20.84 ,15.84 ,15.84 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
22327,CPT,TREAT THORAX SPINE FRACTURE,,,21,,RBRVS,20.77 ,16.66 ,16.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
22328,CPT,TREAT EACH ADD SPINE FX,,,21,,RBRVS,4.60 ,2.20 ,2.20 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
22505,CPT,MANIPULATION OF SPINE,,,21,,RBRVS,1.87 ,1.52 ,1.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
22510,CPT,PERQ CERVICOTHORACIC INJECT,,,21,,RBRVS,7.90 ,3.70 ,43.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
22511,CPT,PERQ LUMBOSACRAL INJECTION,,,21,,RBRVS,7.33 ,3.54 ,43.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
22512,CPT,VERTEBROPLASTY ADDL INJECT,,,21,,RBRVS,4.00 ,1.42 ,19.91 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
22513,CPT,PERQ VERTEBRAL AUGMENTATION,,,21,,RBRVS,8.65 ,4.70 ,179.02 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
22514,CPT,PERQ VERTEBRAL AUGMENTATION,,,21,,RBRVS,7.99 ,4.46 ,178.97 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
22515,CPT,PERQ VERTEBRAL AUGMENTATION,,,21,,RBRVS,4.00 ,1.66 ,100.84 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
22526,CPT,IDET SINGLE LEVEL,,,21,,RBRVS,5.85 ,3.12 ,57.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
22527,CPT,IDET 1 OR MORE LEVELS,,,21,,RBRVS,3.03 ,1.16 ,49.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
22532,CPT,LAT THORAX SPINE FUSION,,,21,,RBRVS,25.99 ,18.25 ,18.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
22533,CPT,LAT LUMBAR SPINE FUSION,,,21,,RBRVS,24.79 ,17.34 ,17.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
22534,CPT,LAT THOR/LUMB ADDL SEG,,,21,,RBRVS,5.99 ,2.88 ,2.88 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
22548,CPT,NECK SPINE FUSION,,,21,,RBRVS,27.06 ,19.43 ,19.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
22551,CPT,NECK SPINE FUSE&REMOV BEL C2,,,21,,RBRVS,25.00 ,16.72 ,16.72 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
22552,CPT,ADDL NECK SPINE FUSION,,,21,,RBRVS,6.50 ,3.09 ,3.09 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
22554,CPT,NECK SPINE FUSION,,,21,,RBRVS,17.69 ,13.39 ,13.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
22556,CPT,THORAX SPINE FUSION,,,21,,RBRVS,24.70 ,16.65 ,16.65 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
22558,CPT,LUMBAR SPINE FUSION,,,21,,RBRVS,23.53 ,14.91 ,14.91 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
22585,CPT,ADDITIONAL SPINAL FUSION,,,21,,RBRVS,5.52 ,2.52 ,2.52 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
22586,CPT,PRESCRL FUSE W/ INSTR L5-S1,,,21,,RBRVS,28.12 ,19.98 ,19.98 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
22590,CPT,SPINE & SKULL SPINAL FUSION,,,21,,RBRVS,21.76 ,16.63 ,16.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
22595,CPT,NECK SPINAL FUSION,,,21,,RBRVS,20.64 ,16.08 ,16.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
22600,CPT,NECK SPINE FUSION,,,21,,RBRVS,17.40 ,14.43 ,14.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
22610,CPT,THORAX SPINE FUSION,,,21,,RBRVS,17.28 ,14.25 ,14.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
22612,CPT,LUMBAR SPINE FUSION,,,21,,RBRVS,23.53 ,16.20 ,16.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
22614,CPT,SPINE FUSION EXTRA SEGMENT,,,21,,RBRVS,6.43 ,3.09 ,3.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
22630,CPT,LUMBAR SPINE FUSION,,,21,,RBRVS,22.09 ,16.38 ,16.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
22632,CPT,SPINE FUSION EXTRA SEGMENT,,,21,,RBRVS,5.22 ,2.47 ,2.47 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
22633,CPT,LUMBAR SPINE FUSION COMBINED,,,21,,RBRVS,27.75 ,18.02 ,18.02 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
22634,CPT,SPINE FUSION EXTRA SEGMENT,,,21,,RBRVS,8.16 ,3.90 ,3.90 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
22800,CPT,POST FUSION </6 VERT SEG,,,21,,RBRVS,19.50 ,14.82 ,14.82 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
22802,CPT,POST FUSION 7-12 VERT SEG,,,21,,RBRVS,32.11 ,20.94 ,20.94 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
22804,CPT,POST FUSION 13/> VERT SEG,,,21,,RBRVS,37.50 ,23.55 ,23.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
22808,CPT,ANT FUSION 2-3 VERT SEG,,,21,,RBRVS,27.51 ,18.23 ,18.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
22810,CPT,ANT FUSION 4-7 VERT SEG,,,21,,RBRVS,31.50 ,19.42 ,19.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
22812,CPT,ANT FUSION 8/> VERT SEG,,,21,,RBRVS,34.25 ,22.86 ,22.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
22818,CPT,KYPHECTOMY 1-2 SEGMENTS,,,21,,RBRVS,34.33 ,21.52 ,21.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
22819,CPT,KYPHECTOMY 3 OR MORE,,,21,,RBRVS,39.38 ,24.89 ,24.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
22830,CPT,EXPLORATION OF SPINAL FUSION,,,21,,RBRVS,11.22 ,9.36 ,9.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
22840,CPT,INSERT SPINE FIXATION DEVICE,,,21,,RBRVS,12.52 ,6.01 ,6.01 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
22841,CPT,INSERT SPINE FIXATION DEVICE,,,21,,TotalUnits,,,,22.55 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
22842,CPT,INSERT SPINE FIXATION DEVICE,,,21,,RBRVS,12.56 ,6.02 ,6.02 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
22843,CPT,INSERT SPINE FIXATION DEVICE,,,21,,RBRVS,13.44 ,6.46 ,6.46 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
22844,CPT,INSERT SPINE FIXATION DEVICE,,,21,,RBRVS,16.42 ,7.99 ,7.99 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
22845,CPT,INSERT SPINE FIXATION DEVICE,,,21,,RBRVS,11.94 ,5.67 ,5.67 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
22846,CPT,INSERT SPINE FIXATION DEVICE,,,21,,RBRVS,12.40 ,5.90 ,5.90 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
22847,CPT,INSERT SPINE FIXATION DEVICE,,,21,,RBRVS,13.78 ,6.91 ,6.91 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
22848,CPT,INSERT PELV FIXATION DEVICE,,,21,,RBRVS,5.99 ,2.92 ,2.92 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
22849,CPT,REINSERT SPINAL FIXATION,,,21,,RBRVS,19.17 ,13.33 ,13.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
22850,CPT,REMOVE SPINE FIXATION DEVICE,,,21,,RBRVS,9.82 ,8.55 ,8.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
22852,CPT,REMOVE SPINE FIXATION DEVICE,,,21,,RBRVS,9.37 ,8.32 ,8.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
22853,CPT,INSJ BIOMECHANICAL DEVICE,,,21,,RBRVS,4.25 ,2.03 ,2.03 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
22854,CPT,INSJ BIOMECHANICAL DEVICE,,,21,,RBRVS,5.50 ,2.63 ,2.63 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
22855,CPT,REMOVE SPINE FIXATION DEVICE,,,21,,RBRVS,15.86 ,11.64 ,11.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
22856,CPT,CERV ARTIFIC DISKECTOMY,,,21,,RBRVS,24.05 ,16.19 ,16.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
22857,CPT,LUMBAR ARTIF DISKECTOMY,,,21,,RBRVS,27.13 ,18.78 ,18.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
22858,CPT,SECOND LEVEL CER DISKECTOMY,,,21,,RBRVS,8.40 ,4.03 ,4.03 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
22859,CPT,INSJ BIOMECHANICAL DEVICE,,,21,,RBRVS,5.50 ,2.63 ,2.63 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
22861,CPT,REVISE CERV ARTIFIC DISC,,,21,,RBRVS,33.36 ,21.26 ,21.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
22862,CPT,REVISE LUMBAR ARTIF DISC,,,21,,RBRVS,32.63 ,22.06 ,22.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
22864,CPT,REMOVE CERV ARTIF DISC,,,21,,RBRVS,29.40 ,19.44 ,19.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
22865,CPT,REMOVE LUMB ARTIF DISC,,,21,,RBRVS,31.75 ,21.65 ,21.65 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
22867,CPT,INSJ STABLJ DEV W/DCMPRN,,,21,,RBRVS,13.50 ,10.90 ,10.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
22868,CPT,INSJ STABLJ DEV W/DCMPRN,,,21,,RBRVS,4.00 ,1.90 ,1.90 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
22869,CPT,INSJ STABLJ DEV W/O DCMPRN,,,21,,RBRVS,7.03 ,5.03 ,5.03 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
22870,CPT,INSJ STABLJ DEV W/O DCMPRN,,,21,,RBRVS,2.34 ,0.98 ,0.98 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
22899,CPT,SPINE SURGERY PROCEDURE,,,21,,TotalUnits,,,,18.53 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
22900,CPT,EXC ABDL TUM DEEP < 5 CM,,,21,,RBRVS,8.32 ,6.12 ,6.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
22901,CPT,EXC ABDL TUM DEEP 5 CM/>,,,21,,RBRVS,10.11 ,6.91 ,6.91 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
22902,CPT,EXC ABD LES SC < 3 CM,,,21,,RBRVS,4.42 ,4.14 ,7.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
22903,CPT,EXC ABD LES SC 3 CM/>,,,21,,RBRVS,6.39 ,4.86 ,4.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
22904,CPT,RADICAL RESECT ABD TUMOR<5CM,,,21,,RBRVS,16.69 ,10.18 ,10.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
22905,CPT,RAD RESECT ABD TUMOR 5 CM/>,,,21,,RBRVS,21.58 ,12.26 ,12.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
22999,CPT,ABDOMEN SURGERY PROCEDURE,,,21,,TotalUnits,,,,9.36 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
23000,CPT,REMOVAL OF CALCIUM DEPOSITS,,,21,,RBRVS,4.48 ,5.20 ,11.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
23020,CPT,RELEASE SHOULDER JOINT,,,21,,RBRVS,9.36 ,8.74 ,8.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
23030,CPT,DRAIN SHOULDER LESION,,,21,,RBRVS,3.47 ,3.08 ,8.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
23031,CPT,DRAIN SHOULDER BURSA,,,21,,RBRVS,2.79 ,2.75 ,8.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
23035,CPT,DRAIN SHOULDER BONE LESION,,,21,,RBRVS,9.16 ,8.68 ,8.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
23040,CPT,EXPLORATORY SHOULDER SURGERY,,,21,,RBRVS,9.75 ,9.07 ,9.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
23044,CPT,EXPLORATORY SHOULDER SURGERY,,,21,,RBRVS,7.59 ,7.22 ,7.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
23065,CPT,BIOPSY SHOULDER TISSUES,,,21,,RBRVS,2.30 ,2.10 ,3.77 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
23066,CPT,BIOPSY SHOULDER TISSUES,,,21,,RBRVS,4.30 ,5.24 ,11.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
23071,CPT,EXC SHOULDER LES SC 3 CM/>,,,21,,RBRVS,5.91 ,4.92 ,4.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
23073,CPT,EXC SHOULDER TUM DEEP 5 CM/>,,,21,,RBRVS,10.13 ,7.82 ,7.82 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
23075,CPT,EXC SHOULDER LES SC < 3 CM,,,21,,RBRVS,4.21 ,4.35 ,9.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
23076,CPT,EXC SHOULDER TUM DEEP < 5 CM,,,21,,RBRVS,7.41 ,6.66 ,6.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
23077,CPT,RESECT SHOULDER TUMOR < 5 CM,,,21,,RBRVS,17.66 ,11.12 ,11.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
23078,CPT,RESECT SHOULDER TUMOR 5 CM/>,,,21,,RBRVS,22.55 ,14.26 ,14.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
23100,CPT,BIOPSY OF SHOULDER JOINT,,,21,,RBRVS,6.20 ,7.06 ,7.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
23101,CPT,SHOULDER JOINT SURGERY,,,21,,RBRVS,5.72 ,6.30 ,6.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
23105,CPT,REMOVE SHOULDER JOINT LINING,,,21,,RBRVS,8.48 ,8.23 ,8.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
23106,CPT,INCISION OF COLLARBONE JOINT,,,21,,RBRVS,6.13 ,7.03 ,7.03 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
23107,CPT,EXPLORE TREAT SHOULDER JOINT,,,21,,RBRVS,8.87 ,8.46 ,8.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
23120,CPT,PARTIAL REMOVAL COLLAR BONE,,,21,,RBRVS,7.39 ,8.04 ,8.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
23125,CPT,REMOVAL OF COLLAR BONE,,,21,,RBRVS,9.64 ,8.93 ,8.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
23130,CPT,REMOVE SHOULDER BONE PART,,,21,,RBRVS,7.77 ,8.39 ,8.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
23140,CPT,REMOVAL OF BONE LESION,,,21,,RBRVS,7.12 ,7.42 ,7.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
23145,CPT,REMOVAL OF BONE LESION,,,21,,RBRVS,9.40 ,8.81 ,8.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
23146,CPT,REMOVAL OF BONE LESION,,,21,,RBRVS,8.08 ,8.25 ,8.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
23150,CPT,REMOVAL OF HUMERUS LESION,,,21,,RBRVS,8.91 ,8.56 ,8.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
23155,CPT,REMOVAL OF HUMERUS LESION,,,21,,RBRVS,10.86 ,9.95 ,9.95 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
23156,CPT,REMOVAL OF HUMERUS LESION,,,21,,RBRVS,9.11 ,8.66 ,8.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
23170,CPT,REMOVE COLLAR BONE LESION,,,21,,RBRVS,7.21 ,7.57 ,7.57 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
23172,CPT,REMOVE SHOULDER BLADE LESION,,,21,,RBRVS,7.31 ,7.62 ,7.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
23174,CPT,REMOVE HUMERUS LESION,,,21,,RBRVS,10.05 ,9.90 ,9.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
23180,CPT,REMOVE COLLAR BONE LESION,,,21,,RBRVS,8.99 ,8.35 ,8.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
23182,CPT,REMOVE SHOULDER BLADE LESION,,,21,,RBRVS,8.61 ,8.72 ,8.72 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
23184,CPT,REMOVE HUMERUS LESION,,,21,,RBRVS,9.90 ,9.45 ,9.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
23190,CPT,PARTIAL REMOVAL OF SCAPULA,,,21,,RBRVS,7.47 ,7.60 ,7.60 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
23195,CPT,REMOVAL OF HEAD OF HUMERUS,,,21,,RBRVS,10.36 ,9.24 ,9.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
23200,CPT,RESECT CLAVICLE TUMOR,,,21,,RBRVS,22.71 ,16.44 ,16.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
23210,CPT,RESECT SCAPULA TUMOR,,,21,,RBRVS,27.21 ,18.69 ,18.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
23220,CPT,RESECT PROX HUMERUS TUMOR,,,21,,RBRVS,30.21 ,20.21 ,20.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
23330,CPT,REMOVE SHOULDER FOREIGN BODY,,,21,,RBRVS,1.90 ,2.50 ,6.01 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
23333,CPT,REMOVE SHOULDER FB DEEP,,,21,,RBRVS,6.00 ,6.16 ,6.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
23334,CPT,SHOULDER PROSTHESIS REMOVAL,,,21,,RBRVS,15.50 ,12.38 ,12.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
23335,CPT,SHOULDER PROSTHESIS REMOVAL,,,21,,RBRVS,19.00 ,14.12 ,14.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
23350,CPT,INJECTION FOR SHOULDER X-RAY,,,21,,RBRVS,1.00 ,0.38 ,3.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
23395,CPT,MUSCLE TRANSFER SHOULDER/ARM,,,21,,RBRVS,18.54 ,14.95 ,14.95 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
23397,CPT,MUSCLE TRANSFERS,,,21,,RBRVS,16.76 ,12.95 ,12.95 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
23400,CPT,FIXATION OF SHOULDER BLADE,,,21,,RBRVS,13.87 ,11.47 ,11.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
23405,CPT,INCISION OF TENDON & MUSCLE,,,21,,RBRVS,8.54 ,7.79 ,7.79 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
23406,CPT,INCISE TENDON(S) & MUSCLE(S),,,21,,RBRVS,11.01 ,9.22 ,9.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
23410,CPT,REPAIR ROTATOR CUFF ACUTE,,,21,,RBRVS,11.39 ,10.08 ,10.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
23412,CPT,REPAIR ROTATOR CUFF CHRONIC,,,21,,RBRVS,11.93 ,10.35 ,10.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
23415,CPT,RELEASE OF SHOULDER LIGAMENT,,,21,,RBRVS,9.23 ,9.07 ,9.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
23420,CPT,REPAIR OF SHOULDER,,,21,,RBRVS,13.54 ,11.86 ,11.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
23430,CPT,REPAIR BICEPS TENDON,,,21,,RBRVS,10.17 ,9.38 ,9.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
23440,CPT,REMOVE/TRANSPLANT TENDON,,,21,,RBRVS,10.64 ,9.13 ,9.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
23450,CPT,REPAIR SHOULDER CAPSULE,,,21,,RBRVS,13.70 ,10.96 ,10.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
23455,CPT,REPAIR SHOULDER CAPSULE,,,21,,RBRVS,14.67 ,11.28 ,11.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
23460,CPT,REPAIR SHOULDER CAPSULE,,,21,,RBRVS,15.82 ,12.55 ,12.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
23462,CPT,REPAIR SHOULDER CAPSULE,,,21,,RBRVS,15.72 ,12.08 ,12.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
23465,CPT,REPAIR SHOULDER CAPSULE,,,21,,RBRVS,16.30 ,12.79 ,12.79 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
23466,CPT,REPAIR SHOULDER CAPSULE,,,21,,RBRVS,15.80 ,13.24 ,13.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
23470,CPT,RECONSTRUCT SHOULDER JOINT,,,21,,RBRVS,17.89 ,13.40 ,13.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
23472,CPT,RECONSTRUCT SHOULDER JOINT,,,21,,RBRVS,22.13 ,15.62 ,15.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
23473,CPT,REVIS RECONST SHOULDER JOINT,,,21,,RBRVS,25.00 ,17.04 ,17.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
23474,CPT,REVIS RECONST SHOULDER JOINT,,,21,,RBRVS,27.21 ,18.18 ,18.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
23480,CPT,REVISION OF COLLAR BONE,,,21,,RBRVS,11.54 ,9.87 ,9.87 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
23485,CPT,REVISION OF COLLAR BONE,,,21,,RBRVS,13.91 ,11.03 ,11.03 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
23490,CPT,REINFORCE CLAVICLE,,,21,,RBRVS,12.16 ,10.31 ,10.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
23491,CPT,REINFORCE SHOULDER BONES,,,21,,RBRVS,14.54 ,11.91 ,11.91 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
23500,CPT,TREAT CLAVICLE FRACTURE,,,21,,RBRVS,2.21 ,3.81 ,3.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
23505,CPT,TREAT CLAVICLE FRACTURE,,,21,,RBRVS,3.83 ,5.02 ,5.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
23515,CPT,TREAT CLAVICLE FRACTURE,,,21,,RBRVS,9.69 ,9.20 ,9.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
23520,CPT,TREAT CLAVICLE DISLOCATION,,,21,,RBRVS,2.29 ,4.02 ,4.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
23525,CPT,TREAT CLAVICLE DISLOCATION,,,21,,RBRVS,3.79 ,5.77 ,6.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
23530,CPT,TREAT CLAVICLE DISLOCATION,,,21,,RBRVS,7.48 ,7.60 ,7.60 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
23532,CPT,TREAT CLAVICLE DISLOCATION,,,21,,RBRVS,8.20 ,8.20 ,8.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
23540,CPT,TREAT CLAVICLE DISLOCATION,,,21,,RBRVS,2.36 ,3.82 ,3.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
23545,CPT,TREAT CLAVICLE DISLOCATION,,,21,,RBRVS,3.43 ,4.81 ,5.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
23550,CPT,TREAT CLAVICLE DISLOCATION,,,21,,RBRVS,7.59 ,7.51 ,7.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
23552,CPT,TREAT CLAVICLE DISLOCATION,,,21,,RBRVS,8.82 ,8.35 ,8.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
23570,CPT,TREAT SHOULDER BLADE FX,,,21,,RBRVS,2.36 ,4.07 ,3.87 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
23575,CPT,TREAT SHOULDER BLADE FX,,,21,,RBRVS,4.23 ,5.77 ,6.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
23585,CPT,TREAT SCAPULA FRACTURE,,,21,,RBRVS,14.23 ,11.33 ,11.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
23600,CPT,TREAT HUMERUS FRACTURE,,,21,,RBRVS,3.00 ,5.35 ,5.88 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
23605,CPT,TREAT HUMERUS FRACTURE,,,21,,RBRVS,5.06 ,6.20 ,7.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
23615,CPT,TREAT HUMERUS FRACTURE,,,21,,RBRVS,12.30 ,10.82 ,10.82 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
23616,CPT,TREAT HUMERUS FRACTURE,,,21,,RBRVS,18.37 ,13.83 ,13.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
23620,CPT,TREAT HUMERUS FRACTURE,,,21,,RBRVS,2.55 ,4.36 ,4.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
23625,CPT,TREAT HUMERUS FRACTURE,,,21,,RBRVS,4.10 ,5.22 ,6.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
23630,CPT,TREAT HUMERUS FRACTURE,,,21,,RBRVS,10.57 ,9.90 ,9.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
23650,CPT,TREAT SHOULDER DISLOCATION,,,21,,RBRVS,3.53 ,4.16 ,4.98 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
23655,CPT,TREAT SHOULDER DISLOCATION,,,21,,RBRVS,4.76 ,5.97 ,5.97 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
23660,CPT,TREAT SHOULDER DISLOCATION,,,21,,RBRVS,7.66 ,7.71 ,7.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
23665,CPT,TREAT DISLOCATION/FRACTURE,,,21,,RBRVS,4.66 ,5.85 ,6.77 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
23670,CPT,TREAT DISLOCATION/FRACTURE,,,21,,RBRVS,12.28 ,10.59 ,10.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
23675,CPT,TREAT DISLOCATION/FRACTURE,,,21,,RBRVS,6.27 ,6.95 ,8.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
23680,CPT,TREAT DISLOCATION/FRACTURE,,,21,,RBRVS,13.15 ,11.14 ,11.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
23700,CPT,FIXATION OF SHOULDER,,,21,,RBRVS,2.57 ,2.57 ,2.57 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
23800,CPT,FUSION OF SHOULDER JOINT,,,21,,RBRVS,14.73 ,12.00 ,12.00 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
23802,CPT,FUSION OF SHOULDER JOINT,,,21,,RBRVS,18.42 ,14.96 ,14.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
23900,CPT,AMPUTATION OF ARM & GIRDLE,,,21,,RBRVS,20.72 ,15.26 ,15.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
23920,CPT,AMPUTATION AT SHOULDER JOINT,,,21,,RBRVS,16.23 ,13.02 ,13.02 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
23921,CPT,AMPUTATION FOLLOW-UP SURGERY,,,21,,RBRVS,5.72 ,6.65 ,6.65 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
23929,CPT,SHOULDER SURGERY PROCEDURE,,,21,,TotalUnits,,,,19.55 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
23930,CPT,DRAINAGE OF ARM LESION,,,21,,RBRVS,2.99 ,2.56 ,6.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
23931,CPT,DRAINAGE OF ARM BURSA,,,21,,RBRVS,1.84 ,2.31 ,6.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
23935,CPT,DRAIN ARM/ELBOW BONE LESION,,,21,,RBRVS,6.38 ,7.12 ,7.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
24000,CPT,EXPLORATORY ELBOW SURGERY,,,21,,RBRVS,6.08 ,6.54 ,6.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
24006,CPT,RELEASE ELBOW JOINT,,,21,,RBRVS,9.74 ,8.99 ,8.99 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
24065,CPT,BIOPSY ARM/ELBOW SOFT TISSUE,,,21,,RBRVS,2.13 ,2.30 ,5.00 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
24066,CPT,BIOPSY ARM/ELBOW SOFT TISSUE,,,21,,RBRVS,5.35 ,5.50 ,11.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
24071,CPT,EXC ARM/ELBOW LES SC 3 CM/>,,,21,,RBRVS,5.70 ,4.78 ,4.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
24073,CPT,EX ARM/ELBOW TUM DEEP 5 CM/>,,,21,,RBRVS,10.13 ,7.83 ,7.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
24075,CPT,EXC ARM/ELBOW LES SC < 3 CM,,,21,,RBRVS,4.24 ,4.36 ,9.77 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
24076,CPT,EX ARM/ELBOW TUM DEEP < 5 CM,,,21,,RBRVS,7.41 ,6.78 ,6.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
24077,CPT,RESECT ARM/ELBOW TUM < 5 CM,,,21,,RBRVS,15.72 ,11.02 ,11.02 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
24079,CPT,RESECT ARM/ELBOW TUM 5 CM/>,,,21,,RBRVS,20.61 ,13.36 ,13.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
24100,CPT,BIOPSY ELBOW JOINT LINING,,,21,,RBRVS,5.07 ,5.97 ,5.97 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
24101,CPT,EXPLORE/TREAT ELBOW JOINT,,,21,,RBRVS,6.30 ,6.96 ,6.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
24102,CPT,REMOVE ELBOW JOINT LINING,,,21,,RBRVS,8.26 ,7.99 ,7.99 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
24105,CPT,REMOVAL OF ELBOW BURSA,,,21,,RBRVS,3.78 ,5.67 ,5.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
24110,CPT,REMOVE HUMERUS LESION,,,21,,RBRVS,7.58 ,7.88 ,7.88 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
24115,CPT,REMOVE/GRAFT BONE LESION,,,21,,RBRVS,10.12 ,9.17 ,9.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
24116,CPT,REMOVE/GRAFT BONE LESION,,,21,,RBRVS,12.23 ,10.22 ,10.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
24120,CPT,REMOVE ELBOW LESION,,,21,,RBRVS,6.82 ,7.22 ,7.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
24125,CPT,REMOVE/GRAFT BONE LESION,,,21,,RBRVS,8.14 ,8.17 ,8.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
24126,CPT,REMOVE/GRAFT BONE LESION,,,21,,RBRVS,8.62 ,8.41 ,8.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
24130,CPT,REMOVAL OF HEAD OF RADIUS,,,21,,RBRVS,6.42 ,7.06 ,7.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
24134,CPT,REMOVAL OF ARM BONE LESION,,,21,,RBRVS,10.22 ,9.33 ,9.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
24136,CPT,REMOVE RADIUS BONE LESION,,,21,,RBRVS,8.40 ,8.16 ,8.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
24138,CPT,REMOVE ELBOW BONE LESION,,,21,,RBRVS,8.50 ,9.44 ,9.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
24140,CPT,PARTIAL REMOVAL OF ARM BONE,,,21,,RBRVS,9.55 ,8.91 ,8.91 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
24145,CPT,PARTIAL REMOVAL OF RADIUS,,,21,,RBRVS,7.81 ,7.76 ,7.76 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
24147,CPT,PARTIAL REMOVAL OF ELBOW,,,21,,RBRVS,7.84 ,8.67 ,8.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
24149,CPT,RADICAL RESECTION OF ELBOW,,,21,,RBRVS,16.22 ,14.66 ,14.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
24150,CPT,RESECT DISTAL HUMERUS TUMOR,,,21,,RBRVS,23.46 ,16.71 ,16.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
24152,CPT,RESECT RADIUS TUMOR,,,21,,RBRVS,19.99 ,14.97 ,14.97 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
24155,CPT,REMOVAL OF ELBOW JOINT,,,21,,RBRVS,12.09 ,10.14 ,10.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
24160,CPT,REMOVE ELBOW JOINT IMPLANT,,,21,,RBRVS,18.63 ,14.22 ,14.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
24164,CPT,REMOVE RADIUS HEAD IMPLANT,,,21,,RBRVS,10.00 ,8.97 ,8.97 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
24200,CPT,REMOVAL OF ARM FOREIGN BODY,,,21,,RBRVS,1.81 ,1.93 ,4.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
24201,CPT,REMOVAL OF ARM FOREIGN BODY,,,21,,RBRVS,4.70 ,4.75 ,10.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
24220,CPT,INJECTION FOR ELBOW X-RAY,,,21,,RBRVS,1.31 ,0.52 ,3.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
24300,CPT,MANIPULATE ELBOW W/ANESTH,,,21,,RBRVS,4.04 ,7.48 ,7.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
24301,CPT,MUSCLE/TENDON TRANSFER,,,21,,RBRVS,10.38 ,9.26 ,9.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
24305,CPT,ARM TENDON LENGTHENING,,,21,,RBRVS,7.62 ,7.70 ,7.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
24310,CPT,REVISION OF ARM TENDON,,,21,,RBRVS,6.12 ,6.35 ,6.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
24320,CPT,REPAIR OF ARM TENDON,,,21,,RBRVS,10.86 ,9.53 ,9.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
24330,CPT,REVISION OF ARM MUSCLES,,,21,,RBRVS,9.79 ,8.99 ,8.99 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
24331,CPT,REVISION OF ARM MUSCLES,,,21,,RBRVS,10.95 ,9.58 ,9.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
24332,CPT,TENOLYSIS TRICEPS,,,21,,RBRVS,7.91 ,8.21 ,8.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
24340,CPT,REPAIR OF BICEPS TENDON,,,21,,RBRVS,8.08 ,8.08 ,8.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
24341,CPT,REPAIR ARM TENDON/MUSCLE,,,21,,RBRVS,9.49 ,10.18 ,10.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
24342,CPT,REPAIR OF RUPTURED TENDON,,,21,,RBRVS,10.86 ,9.50 ,9.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
24343,CPT,REPR ELBOW LAT LIGMNT W/TISS,,,21,,RBRVS,9.16 ,9.57 ,9.57 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
24344,CPT,RECONSTRUCT ELBOW LAT LIGMNT,,,21,,RBRVS,15.21 ,13.53 ,13.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
24345,CPT,REPR ELBW MED LIGMNT W/TISSU,,,21,,RBRVS,9.16 ,9.39 ,9.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
24346,CPT,RECONSTRUCT ELBOW MED LIGMNT,,,21,,RBRVS,15.21 ,13.54 ,13.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
24357,CPT,REPAIR ELBOW PERC,,,21,,RBRVS,5.44 ,5.82 ,5.82 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
24358,CPT,REPAIR ELBOW W/DEB OPEN,,,21,,RBRVS,6.66 ,7.26 ,7.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
24359,CPT,REPAIR ELBOW DEB/ATTCH OPEN,,,21,,RBRVS,8.98 ,8.43 ,8.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
24360,CPT,RECONSTRUCT ELBOW JOINT,,,21,,RBRVS,12.67 ,10.84 ,10.84 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
24361,CPT,RECONSTRUCT ELBOW JOINT,,,21,,RBRVS,14.41 ,11.83 ,11.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
24362,CPT,RECONSTRUCT ELBOW JOINT,,,21,,RBRVS,15.32 ,12.28 ,12.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
24363,CPT,REPLACE ELBOW JOINT,,,21,,RBRVS,22.00 ,15.86 ,15.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
24365,CPT,RECONSTRUCT HEAD OF RADIUS,,,21,,RBRVS,8.62 ,8.15 ,8.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
24366,CPT,RECONSTRUCT HEAD OF RADIUS,,,21,,RBRVS,9.36 ,8.55 ,8.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
24370,CPT,REVISE RECONST ELBOW JOINT,,,21,,RBRVS,23.55 ,16.67 ,16.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
24371,CPT,REVISE RECONST ELBOW JOINT,,,21,,RBRVS,27.50 ,18.82 ,18.82 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
24400,CPT,REVISION OF HUMERUS,,,21,,RBRVS,11.33 ,10.23 ,10.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
24410,CPT,REVISION OF HUMERUS,,,21,,RBRVS,15.11 ,12.43 ,12.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
24420,CPT,REVISION OF HUMERUS,,,21,,RBRVS,13.73 ,13.25 ,13.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
24430,CPT,REPAIR OF HUMERUS,,,21,,RBRVS,15.25 ,12.29 ,12.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
24435,CPT,REPAIR HUMERUS WITH GRAFT,,,21,,RBRVS,14.99 ,13.14 ,13.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
24470,CPT,REVISION OF ELBOW JOINT,,,21,,RBRVS,8.93 ,8.67 ,8.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
24495,CPT,DECOMPRESSION OF FOREARM,,,21,,RBRVS,8.41 ,13.34 ,13.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
24498,CPT,REINFORCE HUMERUS,,,21,,RBRVS,12.28 ,10.33 ,10.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
24500,CPT,TREAT HUMERUS FRACTURE,,,21,,RBRVS,3.41 ,5.41 ,6.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
24505,CPT,TREAT HUMERUS FRACTURE,,,21,,RBRVS,5.39 ,6.50 ,7.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
24515,CPT,TREAT HUMERUS FRACTURE,,,21,,RBRVS,12.12 ,10.90 ,10.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
24516,CPT,TREAT HUMERUS FRACTURE,,,21,,RBRVS,12.19 ,10.24 ,10.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
24530,CPT,TREAT HUMERUS FRACTURE,,,21,,RBRVS,3.69 ,5.57 ,6.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
24535,CPT,TREAT HUMERUS FRACTURE,,,21,,RBRVS,7.11 ,7.85 ,9.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
24538,CPT,TREAT HUMERUS FRACTURE,,,21,,RBRVS,9.77 ,10.30 ,10.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
24545,CPT,TREAT HUMERUS FRACTURE,,,21,,RBRVS,13.15 ,11.13 ,11.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
24546,CPT,TREAT HUMERUS FRACTURE,,,21,,RBRVS,14.91 ,12.19 ,12.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
24560,CPT,TREAT HUMERUS FRACTURE,,,21,,RBRVS,2.98 ,4.86 ,5.88 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
24565,CPT,TREAT HUMERUS FRACTURE,,,21,,RBRVS,5.78 ,7.22 ,8.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
24566,CPT,TREAT HUMERUS FRACTURE,,,21,,RBRVS,9.06 ,9.85 ,9.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
24575,CPT,TREAT HUMERUS FRACTURE,,,21,,RBRVS,9.71 ,9.56 ,9.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
24576,CPT,TREAT HUMERUS FRACTURE,,,21,,RBRVS,3.06 ,5.24 ,6.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
24577,CPT,TREAT HUMERUS FRACTURE,,,21,,RBRVS,6.01 ,7.34 ,8.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
24579,CPT,TREAT HUMERUS FRACTURE,,,21,,RBRVS,11.44 ,10.39 ,10.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
24582,CPT,TREAT HUMERUS FRACTURE,,,21,,RBRVS,10.14 ,11.23 ,11.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
24586,CPT,TREAT ELBOW FRACTURE,,,21,,RBRVS,15.78 ,12.59 ,12.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
24587,CPT,TREAT ELBOW FRACTURE,,,21,,RBRVS,15.79 ,12.53 ,12.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
24600,CPT,TREAT ELBOW DISLOCATION,,,21,,RBRVS,4.37 ,4.49 ,5.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
24605,CPT,TREAT ELBOW DISLOCATION,,,21,,RBRVS,5.64 ,6.91 ,6.91 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
24615,CPT,TREAT ELBOW DISLOCATION,,,21,,RBRVS,9.83 ,8.89 ,8.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
24620,CPT,TREAT ELBOW FRACTURE,,,21,,RBRVS,7.22 ,7.38 ,7.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
24635,CPT,TREAT ELBOW FRACTURE,,,21,,RBRVS,8.80 ,8.94 ,8.94 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
24640,CPT,TREAT ELBOW DISLOCATION,,,21,,RBRVS,1.25 ,0.92 ,1.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
24650,CPT,TREAT RADIUS FRACTURE,,,21,,RBRVS,2.31 ,4.21 ,4.76 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
24655,CPT,TREAT RADIUS FRACTURE,,,21,,RBRVS,4.62 ,5.97 ,7.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
24665,CPT,TREAT RADIUS FRACTURE,,,21,,RBRVS,8.36 ,8.93 ,8.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
24666,CPT,TREAT RADIUS FRACTURE,,,21,,RBRVS,9.86 ,9.41 ,9.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
24670,CPT,TREAT ULNAR FRACTURE,,,21,,RBRVS,2.69 ,4.41 ,5.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
24675,CPT,TREAT ULNAR FRACTURE,,,21,,RBRVS,4.91 ,6.12 ,7.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
24685,CPT,TREAT ULNAR FRACTURE,,,21,,RBRVS,8.37 ,8.86 ,8.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
24800,CPT,FUSION OF ELBOW JOINT,,,21,,RBRVS,11.41 ,10.33 ,10.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
24802,CPT,FUSION/GRAFT OF ELBOW JOINT,,,21,,RBRVS,14.32 ,11.79 ,11.79 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
24900,CPT,AMPUTATION OF UPPER ARM,,,21,,RBRVS,10.18 ,9.14 ,9.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
24920,CPT,AMPUTATION OF UPPER ARM,,,21,,RBRVS,10.13 ,9.03 ,9.03 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
24925,CPT,AMPUTATION FOLLOW-UP SURGERY,,,21,,RBRVS,7.30 ,7.61 ,7.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
24930,CPT,AMPUTATION FOLLOW-UP SURGERY,,,21,,RBRVS,10.83 ,9.38 ,9.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
24931,CPT,AMPUTATE UPPER ARM & IMPLANT,,,21,,RBRVS,13.44 ,10.82 ,10.82 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
24935,CPT,REVISION OF AMPUTATION,,,21,,RBRVS,16.45 ,14.58 ,14.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
24940,CPT,REVISION OF UPPER ARM,,,21,,TotalUnits,,,,27.65 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
24999,CPT,UPPER ARM/ELBOW SURGERY,,,21,,TotalUnits,,,,12.62 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
25000,CPT,INCISION OF TENDON SHEATH,,,21,,RBRVS,3.55 ,5.56 ,5.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
25001,CPT,INCISE FLEXOR CARPI RADIALIS,,,21,,RBRVS,3.79 ,5.43 ,5.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
25020,CPT,DECOMPRESS FOREARM 1 SPACE,,,21,,RBRVS,6.06 ,11.21 ,11.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
25023,CPT,DECOMPRESS FOREARM 1 SPACE,,,21,,RBRVS,13.83 ,18.02 ,18.02 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
25024,CPT,DECOMPRESS FOREARM 2 SPACES,,,21,,RBRVS,10.79 ,9.73 ,9.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
25025,CPT,DECOMPRESS FOREARM 2 SPACES,,,21,,RBRVS,17.94 ,13.40 ,13.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
25028,CPT,DRAINAGE OF FOREARM LESION,,,21,,RBRVS,5.39 ,10.64 ,10.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
25031,CPT,DRAINAGE OF FOREARM BURSA,,,21,,RBRVS,4.26 ,5.07 ,5.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
25035,CPT,TREAT FOREARM BONE LESION,,,21,,RBRVS,7.65 ,7.73 ,7.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
25040,CPT,EXPLORE/TREAT WRIST JOINT,,,21,,RBRVS,7.50 ,7.31 ,7.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
25065,CPT,BIOPSY FOREARM SOFT TISSUES,,,21,,RBRVS,2.04 ,2.28 ,5.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
25066,CPT,BIOPSY FOREARM SOFT TISSUES,,,21,,RBRVS,4.27 ,5.24 ,5.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
25071,CPT,EXC FOREARM LES SC 3 CM/>,,,21,,RBRVS,5.91 ,5.09 ,5.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
25073,CPT,EXC FOREARM TUM DEEP 3 CM/>,,,21,,RBRVS,7.13 ,6.89 ,6.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
25075,CPT,EXC FOREARM LES SC < 3 CM,,,21,,RBRVS,3.96 ,4.34 ,9.77 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
25076,CPT,EXC FOREARM TUM DEEP < 3 CM,,,21,,RBRVS,6.74 ,6.92 ,6.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
25077,CPT,RESECT FOREARM/WRIST TUM<3CM,,,21,,RBRVS,12.93 ,10.11 ,10.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
25078,CPT,RESECT FORARM/WRIST TUM 3CM>,,,21,,RBRVS,17.69 ,12.24 ,12.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
25085,CPT,INCISION OF WRIST CAPSULE,,,21,,RBRVS,5.64 ,6.26 ,6.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
25100,CPT,BIOPSY OF WRIST JOINT,,,21,,RBRVS,4.02 ,5.19 ,5.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
25101,CPT,EXPLORE/TREAT WRIST JOINT,,,21,,RBRVS,4.83 ,5.90 ,5.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
25105,CPT,REMOVE WRIST JOINT LINING,,,21,,RBRVS,6.02 ,6.87 ,6.87 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
25107,CPT,REMOVE WRIST JOINT CARTILAGE,,,21,,RBRVS,7.70 ,8.63 ,8.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
25109,CPT,EXCISE TENDON FOREARM/WRIST,,,21,,RBRVS,6.94 ,7.30 ,7.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
25110,CPT,REMOVE WRIST TENDON LESION,,,21,,RBRVS,4.04 ,5.04 ,5.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
25111,CPT,REMOVE WRIST TENDON LESION,,,21,,RBRVS,3.53 ,5.07 ,5.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
25112,CPT,REREMOVE WRIST TENDON LESION,,,21,,RBRVS,4.67 ,5.61 ,5.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
25115,CPT,REMOVE WRIST/FOREARM LESION,,,21,,RBRVS,10.09 ,9.92 ,9.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
25116,CPT,REMOVE WRIST/FOREARM LESION,,,21,,RBRVS,7.56 ,8.40 ,8.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
25118,CPT,EXCISE WRIST TENDON SHEATH,,,21,,RBRVS,4.51 ,5.66 ,5.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
25119,CPT,PARTIAL REMOVAL OF ULNA,,,21,,RBRVS,6.21 ,6.99 ,6.99 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
25120,CPT,REMOVAL OF FOREARM LESION,,,21,,RBRVS,6.27 ,7.00 ,7.00 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
25125,CPT,REMOVE/GRAFT FOREARM LESION,,,21,,RBRVS,7.67 ,7.93 ,7.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
25126,CPT,REMOVE/GRAFT FOREARM LESION,,,21,,RBRVS,7.74 ,7.97 ,7.97 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
25130,CPT,REMOVAL OF WRIST LESION,,,21,,RBRVS,5.43 ,6.53 ,6.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
25135,CPT,REMOVE & GRAFT WRIST LESION,,,21,,RBRVS,7.08 ,7.63 ,7.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
25136,CPT,REMOVE & GRAFT WRIST LESION,,,21,,RBRVS,6.14 ,6.92 ,6.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
25145,CPT,REMOVE FOREARM BONE LESION,,,21,,RBRVS,6.54 ,7.13 ,7.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
25150,CPT,PARTIAL REMOVAL OF ULNA,,,21,,RBRVS,7.38 ,7.56 ,7.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
25151,CPT,PARTIAL REMOVAL OF RADIUS,,,21,,RBRVS,7.68 ,7.74 ,7.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
25170,CPT,RESECT RADIUS/ULNAR TUMOR,,,21,,RBRVS,22.21 ,15.98 ,15.98 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
25210,CPT,REMOVAL OF WRIST BONE,,,21,,RBRVS,6.12 ,6.92 ,6.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
25215,CPT,REMOVAL OF WRIST BONES,,,21,,RBRVS,8.14 ,8.22 ,8.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
25230,CPT,PARTIAL REMOVAL OF RADIUS,,,21,,RBRVS,5.37 ,6.11 ,6.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
25240,CPT,PARTIAL REMOVAL OF ULNA,,,21,,RBRVS,5.31 ,6.09 ,6.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
25246,CPT,INJECTION FOR WRIST X-RAY,,,21,,RBRVS,1.45 ,0.57 ,3.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
25248,CPT,REMOVE FOREARM FOREIGN BODY,,,21,,RBRVS,5.31 ,5.61 ,5.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
25250,CPT,REMOVAL OF WRIST PROSTHESIS,,,21,,RBRVS,6.77 ,7.23 ,7.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
25251,CPT,REMOVAL OF WRIST PROSTHESIS,,,21,,RBRVS,9.82 ,9.00 ,9.00 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
25259,CPT,MANIPULATE WRIST W/ANESTHES,,,21,,RBRVS,4.04 ,7.46 ,7.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
25260,CPT,REPAIR FOREARM TENDON/MUSCLE,,,21,,RBRVS,8.04 ,8.70 ,8.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
25263,CPT,REPAIR FOREARM TENDON/MUSCLE,,,21,,RBRVS,8.04 ,8.54 ,8.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
25265,CPT,REPAIR FOREARM TENDON/MUSCLE,,,21,,RBRVS,10.10 ,9.68 ,9.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
25270,CPT,REPAIR FOREARM TENDON/MUSCLE,,,21,,RBRVS,6.17 ,6.89 ,6.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
25272,CPT,REPAIR FOREARM TENDON/MUSCLE,,,21,,RBRVS,7.21 ,7.46 ,7.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
25274,CPT,REPAIR FOREARM TENDON/MUSCLE,,,21,,RBRVS,8.94 ,8.64 ,8.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
25275,CPT,REPAIR FOREARM TENDON SHEATH,,,21,,RBRVS,8.96 ,8.80 ,8.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
25280,CPT,REVISE WRIST/FOREARM TENDON,,,21,,RBRVS,7.39 ,7.60 ,7.60 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
25290,CPT,INCISE WRIST/FOREARM TENDON,,,21,,RBRVS,5.43 ,6.16 ,6.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
25295,CPT,RELEASE WRIST/FOREARM TENDON,,,21,,RBRVS,6.72 ,7.22 ,7.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
25300,CPT,FUSION OF TENDONS AT WRIST,,,21,,RBRVS,9.02 ,9.08 ,9.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
25301,CPT,FUSION OF TENDONS AT WRIST,,,21,,RBRVS,8.59 ,8.39 ,8.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
25310,CPT,TRANSPLANT FOREARM TENDON,,,21,,RBRVS,8.08 ,8.34 ,8.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
25312,CPT,TRANSPLANT FOREARM TENDON,,,21,,RBRVS,9.82 ,9.13 ,9.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
25315,CPT,REVISE PALSY HAND TENDON(S),,,21,,RBRVS,10.68 ,9.44 ,9.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
25316,CPT,REVISE PALSY HAND TENDON(S),,,21,,RBRVS,12.90 ,10.97 ,10.97 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
25320,CPT,REPAIR/REVISE WRIST JOINT,,,21,,RBRVS,12.75 ,13.29 ,13.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
25332,CPT,REVISE WRIST JOINT,,,21,,RBRVS,11.74 ,10.42 ,10.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
25335,CPT,REALIGNMENT OF HAND,,,21,,RBRVS,13.39 ,11.22 ,11.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
25337,CPT,RECONSTRUCT ULNA/RADIOULNAR,,,21,,RBRVS,11.73 ,11.71 ,11.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
25350,CPT,REVISION OF RADIUS,,,21,,RBRVS,9.09 ,8.73 ,8.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
25355,CPT,REVISION OF RADIUS,,,21,,RBRVS,10.53 ,9.48 ,9.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
25360,CPT,REVISION OF ULNA,,,21,,RBRVS,8.74 ,8.51 ,8.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
25365,CPT,REVISE RADIUS & ULNA,,,21,,RBRVS,12.91 ,10.98 ,10.98 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
25370,CPT,REVISE RADIUS OR ULNA,,,21,,RBRVS,14.10 ,12.24 ,12.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
25375,CPT,REVISE RADIUS & ULNA,,,21,,RBRVS,13.55 ,11.31 ,11.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
25390,CPT,SHORTEN RADIUS OR ULNA,,,21,,RBRVS,10.70 ,9.58 ,9.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
25391,CPT,LENGTHEN RADIUS OR ULNA,,,21,,RBRVS,14.28 ,11.67 ,11.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
25392,CPT,SHORTEN RADIUS & ULNA,,,21,,RBRVS,14.58 ,11.82 ,11.82 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
25393,CPT,LENGTHEN RADIUS & ULNA,,,21,,RBRVS,16.56 ,12.81 ,12.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
25394,CPT,REPAIR CARPAL BONE SHORTEN,,,21,,RBRVS,10.85 ,9.64 ,9.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
25400,CPT,REPAIR RADIUS OR ULNA,,,21,,RBRVS,11.28 ,9.81 ,9.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
25405,CPT,REPAIR/GRAFT RADIUS OR ULNA,,,21,,RBRVS,15.01 ,12.16 ,12.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
25415,CPT,REPAIR RADIUS & ULNA,,,21,,RBRVS,13.80 ,11.43 ,11.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
25420,CPT,REPAIR/GRAFT RADIUS & ULNA,,,21,,RBRVS,17.04 ,13.30 ,13.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
25425,CPT,REPAIR/GRAFT RADIUS OR ULNA,,,21,,RBRVS,13.72 ,11.39 ,11.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
25426,CPT,REPAIR/GRAFT RADIUS & ULNA,,,21,,RBRVS,16.45 ,12.76 ,12.76 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
25430,CPT,VASC GRAFT INTO CARPAL BONE,,,21,,RBRVS,9.71 ,9.44 ,9.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
25431,CPT,REPAIR NONUNION CARPAL BONE,,,21,,RBRVS,10.89 ,9.71 ,9.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
25440,CPT,REPAIR/GRAFT WRIST BONE,,,21,,RBRVS,10.68 ,9.56 ,9.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
25441,CPT,RECONSTRUCT WRIST JOINT,,,21,,RBRVS,13.29 ,11.16 ,11.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
25442,CPT,RECONSTRUCT WRIST JOINT,,,21,,RBRVS,11.12 ,10.19 ,10.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
25443,CPT,RECONSTRUCT WRIST JOINT,,,21,,RBRVS,10.66 ,9.83 ,9.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
25444,CPT,RECONSTRUCT WRIST JOINT,,,21,,RBRVS,11.42 ,10.21 ,10.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
25445,CPT,RECONSTRUCT WRIST JOINT,,,21,,RBRVS,9.88 ,9.12 ,9.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
25446,CPT,WRIST REPLACEMENT,,,21,,RBRVS,17.30 ,13.43 ,13.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
25447,CPT,REPAIR WRIST JOINTS,,,21,,RBRVS,11.14 ,10.76 ,10.76 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
25449,CPT,REMOVE WRIST JOINT IMPLANT,,,21,,RBRVS,14.94 ,12.20 ,12.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
25450,CPT,REVISION OF WRIST JOINT,,,21,,RBRVS,8.06 ,8.12 ,8.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
25455,CPT,REVISION OF WRIST JOINT,,,21,,RBRVS,9.71 ,9.37 ,9.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
25490,CPT,REINFORCE RADIUS,,,21,,RBRVS,9.73 ,9.08 ,9.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
25491,CPT,REINFORCE ULNA,,,21,,RBRVS,10.15 ,9.18 ,9.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
25492,CPT,REINFORCE RADIUS AND ULNA,,,21,,RBRVS,12.66 ,10.97 ,10.97 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
25500,CPT,TREAT FRACTURE OF RADIUS,,,21,,RBRVS,2.60 ,4.17 ,4.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
25505,CPT,TREAT FRACTURE OF RADIUS,,,21,,RBRVS,5.45 ,6.71 ,7.99 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
25515,CPT,TREAT FRACTURE OF RADIUS,,,21,,RBRVS,8.80 ,8.82 ,8.82 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
25520,CPT,TREAT FRACTURE OF RADIUS,,,21,,RBRVS,6.50 ,7.79 ,8.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
25525,CPT,TREAT FRACTURE OF RADIUS,,,21,,RBRVS,10.55 ,10.17 ,10.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
25526,CPT,TREAT FRACTURE OF RADIUS,,,21,,RBRVS,13.15 ,11.81 ,11.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
25530,CPT,TREAT FRACTURE OF ULNA,,,21,,RBRVS,2.24 ,4.21 ,4.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
25535,CPT,TREAT FRACTURE OF ULNA,,,21,,RBRVS,5.36 ,6.67 ,7.72 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
25545,CPT,TREAT FRACTURE OF ULNA,,,21,,RBRVS,7.94 ,8.50 ,8.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
25560,CPT,TREAT FRACTURE RADIUS & ULNA,,,21,,RBRVS,2.59 ,4.24 ,5.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
25565,CPT,TREAT FRACTURE RADIUS & ULNA,,,21,,RBRVS,5.85 ,6.40 ,7.87 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
25574,CPT,TREAT FRACTURE RADIUS & ULNA,,,21,,RBRVS,8.80 ,8.93 ,8.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
25575,CPT,TREAT FRACTURE RADIUS/ULNA,,,21,,RBRVS,12.29 ,11.36 ,11.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
25600,CPT,TREAT FRACTURE RADIUS/ULNA,,,21,,RBRVS,2.78 ,5.76 ,6.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
25605,CPT,TREAT FRACTURE RADIUS/ULNA,,,21,,RBRVS,6.25 ,7.24 ,8.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
25606,CPT,TREAT FX DISTAL RADIAL,,,21,,RBRVS,8.31 ,9.19 ,9.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
25607,CPT,TREAT FX RAD EXTRA-ARTICUL,,,21,,RBRVS,9.56 ,9.84 ,9.84 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
25608,CPT,TREAT FX RAD INTRA-ARTICUL,,,21,,RBRVS,11.07 ,10.63 ,10.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
25609,CPT,TREAT FX RADIAL 3+ FRAG,,,21,,RBRVS,14.38 ,13.19 ,13.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
25622,CPT,TREAT WRIST BONE FRACTURE,,,21,,RBRVS,2.79 ,4.76 ,5.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
25624,CPT,TREAT WRIST BONE FRACTURE,,,21,,RBRVS,4.77 ,6.93 ,8.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
25628,CPT,TREAT WRIST BONE FRACTURE,,,21,,RBRVS,9.67 ,9.33 ,9.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
25630,CPT,TREAT WRIST BONE FRACTURE,,,21,,RBRVS,3.03 ,4.54 ,5.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
25635,CPT,TREAT WRIST BONE FRACTURE,,,21,,RBRVS,4.61 ,6.52 ,7.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
25645,CPT,TREAT WRIST BONE FRACTURE,,,21,,RBRVS,7.42 ,7.56 ,7.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
25650,CPT,TREAT WRIST BONE FRACTURE,,,21,,RBRVS,3.23 ,4.87 ,5.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
25651,CPT,PIN ULNAR STYLOID FRACTURE,,,21,,RBRVS,5.82 ,7.14 ,7.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
25652,CPT,TREAT FRACTURE ULNAR STYLOID,,,21,,RBRVS,8.06 ,8.36 ,8.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
25660,CPT,TREAT WRIST DISLOCATION,,,21,,RBRVS,4.98 ,6.01 ,6.01 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
25670,CPT,TREAT WRIST DISLOCATION,,,21,,RBRVS,8.09 ,7.88 ,7.88 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
25671,CPT,PIN RADIOULNAR DISLOCATION,,,21,,RBRVS,6.46 ,7.60 ,7.60 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
25675,CPT,TREAT WRIST DISLOCATION,,,21,,RBRVS,4.89 ,5.70 ,6.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
25676,CPT,TREAT WRIST DISLOCATION,,,21,,RBRVS,8.29 ,8.34 ,8.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
25680,CPT,TREAT WRIST FRACTURE,,,21,,RBRVS,6.23 ,7.63 ,7.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
25685,CPT,TREAT WRIST FRACTURE,,,21,,RBRVS,10.09 ,9.15 ,9.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
25690,CPT,TREAT WRIST DISLOCATION,,,21,,RBRVS,5.72 ,7.14 ,7.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
25695,CPT,TREAT WRIST DISLOCATION,,,21,,RBRVS,8.51 ,8.10 ,8.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
25800,CPT,FUSION OF WRIST JOINT,,,21,,RBRVS,10.07 ,9.22 ,9.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
25805,CPT,FUSION/GRAFT OF WRIST JOINT,,,21,,RBRVS,11.73 ,10.38 ,10.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
25810,CPT,FUSION/GRAFT OF WRIST JOINT,,,21,,RBRVS,11.95 ,10.89 ,10.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
25820,CPT,FUSION OF HAND BONES,,,21,,RBRVS,7.64 ,9.18 ,9.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
25825,CPT,FUSE HAND BONES WITH GRAFT,,,21,,RBRVS,9.69 ,10.93 ,10.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
25830,CPT,FUSION RADIOULNAR JNT/ULNA,,,21,,RBRVS,10.88 ,15.28 ,15.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
25900,CPT,AMPUTATION OF FOREARM,,,21,,RBRVS,9.61 ,9.05 ,9.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
25905,CPT,AMPUTATION OF FOREARM,,,21,,RBRVS,9.59 ,8.76 ,8.76 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
25907,CPT,AMPUTATION FOLLOW-UP SURGERY,,,21,,RBRVS,8.09 ,8.01 ,8.01 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
25909,CPT,AMPUTATION FOLLOW-UP SURGERY,,,21,,RBRVS,9.31 ,8.62 ,8.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
25915,CPT,AMPUTATION OF FOREARM,,,21,,RBRVS,17.52 ,12.81 ,12.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
25920,CPT,AMPUTATE HAND AT WRIST,,,21,,RBRVS,9.03 ,9.76 ,9.76 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
25922,CPT,AMPUTATE HAND AT WRIST,,,21,,RBRVS,7.65 ,8.96 ,8.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
25924,CPT,AMPUTATION FOLLOW-UP SURGERY,,,21,,RBRVS,8.81 ,9.54 ,9.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
25927,CPT,AMPUTATION OF HAND,,,21,,RBRVS,9.09 ,13.11 ,13.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
25929,CPT,AMPUTATION FOLLOW-UP SURGERY,,,21,,RBRVS,7.82 ,7.86 ,7.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
25931,CPT,AMPUTATION FOLLOW-UP SURGERY,,,21,,RBRVS,8.04 ,12.47 ,12.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
25999,CPT,FOREARM OR WRIST SURGERY,,,21,,TotalUnits,,,,15.97 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
26010,CPT,DRAINAGE OF FINGER ABSCESS,,,21,,RBRVS,1.59 ,2.11 ,6.76 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
26011,CPT,DRAINAGE OF FINGER ABSCESS,,,21,,RBRVS,2.24 ,2.67 ,9.82 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
26020,CPT,DRAIN HAND TENDON SHEATH,,,21,,RBRVS,6.84 ,7.87 ,7.87 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
26025,CPT,DRAINAGE OF PALM BURSA,,,21,,RBRVS,5.08 ,6.09 ,6.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
26030,CPT,DRAINAGE OF PALM BURSAS,,,21,,RBRVS,6.25 ,6.73 ,6.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
26034,CPT,TREAT HAND BONE LESION,,,21,,RBRVS,6.63 ,7.87 ,7.87 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
26035,CPT,DECOMPRESS FINGERS/HAND,,,21,,RBRVS,11.37 ,11.13 ,11.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
26037,CPT,DECOMPRESS FINGERS/HAND,,,21,,RBRVS,7.57 ,7.36 ,7.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
26040,CPT,RELEASE PALM CONTRACTURE,,,21,,RBRVS,3.46 ,4.94 ,4.94 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
26045,CPT,RELEASE PALM CONTRACTURE,,,21,,RBRVS,5.73 ,6.74 ,6.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
26055,CPT,INCISE FINGER TENDON SHEATH,,,21,,RBRVS,3.11 ,4.64 ,11.95 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
26060,CPT,INCISION OF FINGER TENDON,,,21,,RBRVS,2.91 ,4.04 ,4.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
26070,CPT,EXPLORE/TREAT HAND JOINT,,,21,,RBRVS,3.81 ,4.78 ,4.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
26075,CPT,EXPLORE/TREAT FINGER JOINT,,,21,,RBRVS,3.91 ,5.05 ,5.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
26080,CPT,EXPLORE/TREAT FINGER JOINT,,,21,,RBRVS,4.47 ,6.05 ,6.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
26100,CPT,BIOPSY HAND JOINT LINING,,,21,,RBRVS,3.79 ,5.16 ,5.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
26105,CPT,BIOPSY FINGER JOINT LINING,,,21,,RBRVS,3.83 ,5.18 ,5.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
26110,CPT,BIOPSY FINGER JOINT LINING,,,21,,RBRVS,3.65 ,4.99 ,4.99 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
26111,CPT,EXC HAND LES SC 1.5 CM/>,,,21,,RBRVS,5.42 ,5.57 ,5.57 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
26113,CPT,EXC HAND TUM DEEP 1.5 CM/>,,,21,,RBRVS,7.13 ,7.36 ,7.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
26115,CPT,EXC HAND LES SC < 1.5 CM,,,21,,RBRVS,3.96 ,4.85 ,10.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
26116,CPT,EXC HAND TUM DEEP < 1.5 CM,,,21,,RBRVS,6.74 ,7.18 ,7.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
26117,CPT,RAD RESECT HAND TUMOR < 3 CM,,,21,,RBRVS,10.13 ,9.41 ,9.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
26118,CPT,RAD RESECT HAND TUMOR 3 CM/>,,,21,,RBRVS,14.81 ,12.78 ,12.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
26121,CPT,RELEASE PALM CONTRACTURE,,,21,,RBRVS,7.73 ,8.11 ,8.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
26123,CPT,RELEASE PALM CONTRACTURE,,,21,,RBRVS,10.88 ,11.21 ,11.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
26125,CPT,RELEASE PALM CONTRACTURE,,,21,,RBRVS,4.60 ,2.45 ,2.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
26130,CPT,REMOVE WRIST JOINT LINING,,,21,,RBRVS,5.59 ,6.71 ,6.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
26135,CPT,REVISE FINGER JOINT EACH,,,21,,RBRVS,7.13 ,7.52 ,7.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
26140,CPT,REVISE FINGER JOINT EACH,,,21,,RBRVS,6.34 ,7.10 ,7.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
26145,CPT,TENDON EXCISION PALM/FINGER,,,21,,RBRVS,6.49 ,7.15 ,7.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
26160,CPT,REMOVE TENDON SHEATH LESION,,,21,,RBRVS,3.57 ,4.84 ,12.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
26170,CPT,REMOVAL OF PALM TENDON EACH,,,21,,RBRVS,4.91 ,5.94 ,5.94 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
26180,CPT,REMOVAL OF FINGER TENDON,,,21,,RBRVS,5.35 ,6.58 ,6.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
26185,CPT,REMOVE FINGER BONE,,,21,,RBRVS,6.52 ,8.08 ,8.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
26200,CPT,REMOVE HAND BONE LESION,,,21,,RBRVS,5.65 ,6.32 ,6.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
26205,CPT,REMOVE/GRAFT BONE LESION,,,21,,RBRVS,7.93 ,7.92 ,7.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
26210,CPT,REMOVAL OF FINGER LESION,,,21,,RBRVS,5.32 ,6.53 ,6.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
26215,CPT,REMOVE/GRAFT FINGER LESION,,,21,,RBRVS,7.27 ,7.59 ,7.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
26230,CPT,PARTIAL REMOVAL OF HAND BONE,,,21,,RBRVS,6.47 ,6.78 ,6.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
26235,CPT,PARTIAL REMOVAL FINGER BONE,,,21,,RBRVS,6.33 ,6.73 ,6.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
26236,CPT,PARTIAL REMOVAL FINGER BONE,,,21,,RBRVS,5.46 ,6.25 ,6.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
26250,CPT,EXTENSIVE HAND SURGERY,,,21,,RBRVS,15.21 ,12.57 ,12.57 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
26260,CPT,RESECT PROX FINGER TUMOR,,,21,,RBRVS,11.16 ,9.71 ,9.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
26262,CPT,RESECT DISTAL FINGER TUMOR,,,21,,RBRVS,8.29 ,8.26 ,8.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
26320,CPT,REMOVAL OF IMPLANT FROM HAND,,,21,,RBRVS,4.10 ,5.18 ,5.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
26340,CPT,MANIPULATE FINGER W/ANESTH,,,21,,RBRVS,2.80 ,6.51 ,6.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
26341,CPT,MANIPULAT PALM CORD POST INJ,,,21,,RBRVS,0.91 ,1.12 ,1.98 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
26350,CPT,REPAIR FINGER/HAND TENDON,,,21,,RBRVS,6.21 ,13.46 ,13.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
26352,CPT,REPAIR/GRAFT HAND TENDON,,,21,,RBRVS,7.87 ,14.04 ,14.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
26356,CPT,REPAIR FINGER/HAND TENDON,,,21,,RBRVS,9.56 ,11.60 ,11.60 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
26357,CPT,REPAIR FINGER/HAND TENDON,,,21,,RBRVS,11.00 ,12.45 ,12.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
26358,CPT,REPAIR/GRAFT HAND TENDON,,,21,,RBRVS,12.60 ,13.26 ,13.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
26370,CPT,REPAIR FINGER/HAND TENDON,,,21,,RBRVS,7.28 ,13.39 ,13.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
26372,CPT,REPAIR/GRAFT HAND TENDON,,,21,,RBRVS,9.01 ,14.93 ,14.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
26373,CPT,REPAIR FINGER/HAND TENDON,,,21,,RBRVS,8.41 ,14.63 ,14.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
26390,CPT,REVISE HAND/FINGER TENDON,,,21,,RBRVS,9.43 ,13.17 ,13.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
26392,CPT,REPAIR/GRAFT HAND TENDON,,,21,,RBRVS,10.50 ,15.68 ,15.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
26410,CPT,REPAIR HAND TENDON,,,21,,RBRVS,4.77 ,10.93 ,10.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
26412,CPT,REPAIR/GRAFT HAND TENDON,,,21,,RBRVS,6.48 ,12.11 ,12.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
26415,CPT,EXCISION HAND/FINGER TENDON,,,21,,RBRVS,8.51 ,13.58 ,13.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
26416,CPT,GRAFT HAND OR FINGER TENDON,,,21,,RBRVS,9.56 ,14.34 ,14.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
26418,CPT,REPAIR FINGER TENDON,,,21,,RBRVS,4.47 ,11.75 ,11.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
26420,CPT,REPAIR/GRAFT FINGER TENDON,,,21,,RBRVS,6.94 ,12.48 ,12.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
26426,CPT,REPAIR FINGER/HAND TENDON,,,21,,RBRVS,6.32 ,6.99 ,6.99 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
26428,CPT,REPAIR/GRAFT FINGER TENDON,,,21,,RBRVS,7.40 ,13.27 ,13.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
26432,CPT,REPAIR FINGER TENDON,,,21,,RBRVS,4.16 ,9.80 ,9.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
26433,CPT,REPAIR FINGER TENDON,,,21,,RBRVS,4.70 ,10.07 ,10.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
26434,CPT,REPAIR/GRAFT FINGER TENDON,,,21,,RBRVS,6.26 ,11.59 ,11.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
26437,CPT,REALIGNMENT OF TENDONS,,,21,,RBRVS,5.99 ,11.24 ,11.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
26440,CPT,RELEASE PALM/FINGER TENDON,,,21,,RBRVS,5.16 ,11.98 ,11.98 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
26442,CPT,RELEASE PALM & FINGER TENDON,,,21,,RBRVS,9.75 ,16.32 ,16.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
26445,CPT,RELEASE HAND/FINGER TENDON,,,21,,RBRVS,4.45 ,11.57 ,11.57 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
26449,CPT,RELEASE FOREARM/HAND TENDON,,,21,,RBRVS,8.59 ,9.83 ,9.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
26450,CPT,INCISION OF PALM TENDON,,,21,,RBRVS,3.79 ,7.79 ,7.79 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
26455,CPT,INCISION OF FINGER TENDON,,,21,,RBRVS,3.76 ,7.73 ,7.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
26460,CPT,INCISE HAND/FINGER TENDON,,,21,,RBRVS,3.58 ,7.65 ,7.65 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
26471,CPT,FUSION OF FINGER TENDONS,,,21,,RBRVS,5.90 ,11.15 ,11.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
26474,CPT,FUSION OF FINGER TENDONS,,,21,,RBRVS,5.49 ,11.20 ,11.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
26476,CPT,TENDON LENGTHENING,,,21,,RBRVS,5.35 ,11.13 ,11.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
26477,CPT,TENDON SHORTENING,,,21,,RBRVS,5.32 ,10.84 ,10.84 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
26478,CPT,LENGTHENING OF HAND TENDON,,,21,,RBRVS,5.97 ,11.23 ,11.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
26479,CPT,SHORTENING OF HAND TENDON,,,21,,RBRVS,5.91 ,11.41 ,11.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
26480,CPT,TRANSPLANT HAND TENDON,,,21,,RBRVS,6.90 ,13.77 ,13.77 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
26483,CPT,TRANSPLANT/GRAFT HAND TENDON,,,21,,RBRVS,8.48 ,14.47 ,14.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
26485,CPT,TRANSPLANT PALM TENDON,,,21,,RBRVS,7.89 ,14.14 ,14.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
26489,CPT,TRANSPLANT/GRAFT PALM TENDON,,,21,,RBRVS,9.86 ,15.36 ,15.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
26490,CPT,REVISE THUMB TENDON,,,21,,RBRVS,8.60 ,13.00 ,13.00 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
26492,CPT,TENDON TRANSFER WITH GRAFT,,,21,,RBRVS,9.84 ,14.05 ,14.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
26494,CPT,HAND TENDON/MUSCLE TRANSFER,,,21,,RBRVS,8.66 ,13.03 ,13.03 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
26496,CPT,REVISE THUMB TENDON,,,21,,RBRVS,9.78 ,13.46 ,13.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
26497,CPT,FINGER TENDON TRANSFER,,,21,,RBRVS,9.76 ,13.59 ,13.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
26498,CPT,FINGER TENDON TRANSFER,,,21,,RBRVS,14.21 ,16.24 ,16.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
26499,CPT,REVISION OF FINGER,,,21,,RBRVS,9.17 ,13.29 ,13.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
26500,CPT,HAND TENDON RECONSTRUCTION,,,21,,RBRVS,6.13 ,11.05 ,11.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
26502,CPT,HAND TENDON RECONSTRUCTION,,,21,,RBRVS,7.31 ,12.11 ,12.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
26508,CPT,RELEASE THUMB CONTRACTURE,,,21,,RBRVS,6.18 ,11.30 ,11.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
26510,CPT,THUMB TENDON TRANSFER,,,21,,RBRVS,5.60 ,11.04 ,11.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
26516,CPT,FUSION OF KNUCKLE JOINT,,,21,,RBRVS,7.32 ,11.97 ,11.97 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
26517,CPT,FUSION OF KNUCKLE JOINTS,,,21,,RBRVS,9.08 ,13.25 ,13.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
26518,CPT,FUSION OF KNUCKLE JOINTS,,,21,,RBRVS,9.27 ,13.34 ,13.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
26520,CPT,RELEASE KNUCKLE CONTRACTURE,,,21,,RBRVS,5.47 ,12.51 ,12.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
26525,CPT,RELEASE FINGER CONTRACTURE,,,21,,RBRVS,5.50 ,12.52 ,12.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
26530,CPT,REVISE KNUCKLE JOINT,,,21,,RBRVS,6.88 ,7.39 ,7.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
26531,CPT,REVISE KNUCKLE WITH IMPLANT,,,21,,RBRVS,8.13 ,8.50 ,8.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
26535,CPT,REVISE FINGER JOINT,,,21,,RBRVS,5.41 ,6.16 ,6.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
26536,CPT,REVISE/IMPLANT FINGER JOINT,,,21,,RBRVS,6.56 ,13.10 ,13.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
26540,CPT,REPAIR HAND JOINT,,,21,,RBRVS,6.60 ,11.53 ,11.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
26541,CPT,REPAIR HAND JOINT WITH GRAFT,,,21,,RBRVS,8.81 ,12.94 ,12.94 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
26542,CPT,REPAIR HAND JOINT WITH GRAFT,,,21,,RBRVS,6.95 ,11.73 ,11.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
26545,CPT,RECONSTRUCT FINGER JOINT,,,21,,RBRVS,7.11 ,12.25 ,12.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
26546,CPT,REPAIR NONUNION HAND,,,21,,RBRVS,10.83 ,16.16 ,16.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
26548,CPT,RECONSTRUCT FINGER JOINT,,,21,,RBRVS,8.22 ,12.54 ,12.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
26550,CPT,CONSTRUCT THUMB REPLACEMENT,,,21,,RBRVS,21.68 ,21.46 ,21.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
26551,CPT,GREAT TOE-HAND TRANSFER,,,21,,RBRVS,48.48 ,37.07 ,37.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
26553,CPT,SINGLE TRANSFER TOE-HAND,,,21,,RBRVS,48.17 ,36.81 ,36.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
26554,CPT,DOUBLE TRANSFER TOE-HAND,,,21,,RBRVS,57.01 ,41.91 ,41.91 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
26555,CPT,POSITIONAL CHANGE OF FINGER,,,21,,RBRVS,17.08 ,19.15 ,19.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
26556,CPT,TOE JOINT TRANSFER,,,21,,RBRVS,49.75 ,38.60 ,38.60 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
26560,CPT,REPAIR OF WEB FINGER,,,21,,RBRVS,5.52 ,10.80 ,10.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
26561,CPT,REPAIR OF WEB FINGER,,,21,,RBRVS,11.10 ,14.25 ,14.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
26562,CPT,REPAIR OF WEB FINGER,,,21,,RBRVS,16.68 ,18.90 ,18.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
26565,CPT,CORRECT METACARPAL FLAW,,,21,,RBRVS,6.91 ,11.69 ,11.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
26567,CPT,CORRECT FINGER DEFORMITY,,,21,,RBRVS,6.99 ,11.73 ,11.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
26568,CPT,LENGTHEN METACARPAL/FINGER,,,21,,RBRVS,9.27 ,15.07 ,15.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
26580,CPT,REPAIR HAND DEFORMITY,,,21,,RBRVS,19.75 ,20.12 ,20.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
26587,CPT,RECONSTRUCT EXTRA FINGER,,,21,,RBRVS,14.50 ,12.67 ,12.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
26590,CPT,REPAIR FINGER DEFORMITY,,,21,,RBRVS,18.67 ,18.40 ,18.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
26591,CPT,REPAIR MUSCLES OF HAND,,,21,,RBRVS,3.38 ,9.06 ,9.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
26593,CPT,RELEASE MUSCLES OF HAND,,,21,,RBRVS,5.50 ,11.19 ,11.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
26596,CPT,EXCISION CONSTRICTING TISSUE,,,21,,RBRVS,9.14 ,11.55 ,11.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
26600,CPT,TREAT METACARPAL FRACTURE,,,21,,RBRVS,2.60 ,4.98 ,5.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
26605,CPT,TREAT METACARPAL FRACTURE,,,21,,RBRVS,3.03 ,4.86 ,5.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
26607,CPT,TREAT METACARPAL FRACTURE,,,21,,RBRVS,5.48 ,7.41 ,7.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
26608,CPT,TREAT METACARPAL FRACTURE,,,21,,RBRVS,5.55 ,7.23 ,7.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
26615,CPT,TREAT METACARPAL FRACTURE,,,21,,RBRVS,7.07 ,8.19 ,8.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
26641,CPT,TREAT THUMB DISLOCATION,,,21,,RBRVS,4.13 ,5.05 ,6.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
26645,CPT,TREAT THUMB FRACTURE,,,21,,RBRVS,4.58 ,5.84 ,6.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
26650,CPT,TREAT THUMB FRACTURE,,,21,,RBRVS,5.35 ,7.43 ,7.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
26665,CPT,TREAT THUMB FRACTURE,,,21,,RBRVS,7.94 ,8.63 ,8.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
26670,CPT,TREAT HAND DISLOCATION,,,21,,RBRVS,3.83 ,4.34 ,5.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
26675,CPT,TREAT HAND DISLOCATION,,,21,,RBRVS,4.83 ,6.29 ,7.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
26676,CPT,PIN HAND DISLOCATION,,,21,,RBRVS,5.74 ,7.76 ,7.76 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
26685,CPT,TREAT HAND DISLOCATION,,,21,,RBRVS,7.07 ,8.20 ,8.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
26686,CPT,TREAT HAND DISLOCATION,,,21,,RBRVS,8.17 ,8.20 ,8.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
26700,CPT,TREAT KNUCKLE DISLOCATION,,,21,,RBRVS,3.83 ,4.30 ,4.99 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
26705,CPT,TREAT KNUCKLE DISLOCATION,,,21,,RBRVS,4.38 ,5.85 ,6.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
26706,CPT,PIN KNUCKLE DISLOCATION,,,21,,RBRVS,5.31 ,6.44 ,6.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
26715,CPT,TREAT KNUCKLE DISLOCATION,,,21,,RBRVS,7.03 ,8.18 ,8.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
26720,CPT,TREAT FINGER FRACTURE EACH,,,21,,RBRVS,1.76 ,3.24 ,3.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
26725,CPT,TREAT FINGER FRACTURE EACH,,,21,,RBRVS,3.48 ,4.61 ,5.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
26727,CPT,TREAT FINGER FRACTURE EACH,,,21,,RBRVS,5.42 ,7.17 ,7.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
26735,CPT,TREAT FINGER FRACTURE EACH,,,21,,RBRVS,7.42 ,8.35 ,8.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
26740,CPT,TREAT FINGER FRACTURE EACH,,,21,,RBRVS,2.07 ,3.80 ,4.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
26742,CPT,TREAT FINGER FRACTURE EACH,,,21,,RBRVS,3.99 ,4.92 ,5.97 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
26746,CPT,TREAT FINGER FRACTURE EACH,,,21,,RBRVS,9.80 ,9.82 ,9.82 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
26750,CPT,TREAT FINGER FRACTURE EACH,,,21,,RBRVS,1.80 ,3.21 ,3.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
26755,CPT,TREAT FINGER FRACTURE EACH,,,21,,RBRVS,3.23 ,4.04 ,5.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
26756,CPT,PIN FINGER FRACTURE EACH,,,21,,RBRVS,4.58 ,6.72 ,6.72 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
26765,CPT,TREAT FINGER FRACTURE EACH,,,21,,RBRVS,5.86 ,7.51 ,7.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
26770,CPT,TREAT FINGER DISLOCATION,,,21,,RBRVS,3.15 ,3.66 ,4.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
26775,CPT,TREAT FINGER DISLOCATION,,,21,,RBRVS,3.90 ,5.39 ,6.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
26776,CPT,PIN FINGER DISLOCATION,,,21,,RBRVS,4.99 ,6.95 ,6.95 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
26785,CPT,TREAT FINGER DISLOCATION,,,21,,RBRVS,6.60 ,7.90 ,7.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
26820,CPT,THUMB FUSION WITH GRAFT,,,21,,RBRVS,8.45 ,12.93 ,12.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
26841,CPT,FUSION OF THUMB,,,21,,RBRVS,7.35 ,12.58 ,12.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
26842,CPT,THUMB FUSION WITH GRAFT,,,21,,RBRVS,8.49 ,12.84 ,12.84 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
26843,CPT,FUSION OF HAND JOINT,,,21,,RBRVS,7.78 ,12.34 ,12.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
26844,CPT,FUSION/GRAFT OF HAND JOINT,,,21,,RBRVS,8.98 ,13.20 ,13.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
26850,CPT,FUSION OF KNUCKLE,,,21,,RBRVS,7.14 ,11.87 ,11.87 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
26852,CPT,FUSION OF KNUCKLE WITH GRAFT,,,21,,RBRVS,8.71 ,12.95 ,12.95 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
26860,CPT,FUSION OF FINGER JOINT,,,21,,RBRVS,4.88 ,10.89 ,10.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
26861,CPT,FUSION OF FINGER JNT ADD-ON,,,21,,RBRVS,1.74 ,0.93 ,0.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
26862,CPT,FUSION/GRAFT OF FINGER JOINT,,,21,,RBRVS,7.56 ,12.31 ,12.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
26863,CPT,FUSE/GRAFT ADDED JOINT,,,21,,RBRVS,3.89 ,1.95 ,1.95 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
26910,CPT,AMPUTATE METACARPAL BONE,,,21,,RBRVS,7.79 ,11.90 ,11.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
26951,CPT,AMPUTATION OF FINGER/THUMB,,,21,,RBRVS,6.04 ,11.97 ,11.97 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
26952,CPT,AMPUTATION OF FINGER/THUMB,,,21,,RBRVS,6.48 ,11.26 ,11.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
26989,CPT,HAND/FINGER SURGERY,,,21,,TotalUnits,,,,9.60 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
26990,CPT,DRAINAGE OF PELVIS LESION,,,21,,RBRVS,7.95 ,9.31 ,9.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
26991,CPT,DRAINAGE OF PELVIS BURSA,,,21,,RBRVS,7.06 ,6.69 ,11.98 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
26992,CPT,DRAINAGE OF BONE LESION,,,21,,RBRVS,13.48 ,12.37 ,12.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27000,CPT,INCISION OF HIP TENDON,,,21,,RBRVS,5.74 ,5.24 ,5.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27001,CPT,INCISION OF HIP TENDON,,,21,,RBRVS,7.14 ,7.06 ,7.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27003,CPT,INCISION OF HIP TENDON,,,21,,RBRVS,7.81 ,7.87 ,7.87 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27005,CPT,INCISION OF HIP TENDON,,,21,,RBRVS,10.07 ,8.90 ,8.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27006,CPT,INCISION OF HIP TENDONS,,,21,,RBRVS,10.11 ,8.96 ,8.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27025,CPT,INCISION OF HIP/THIGH FASCIA,,,21,,RBRVS,12.89 ,11.04 ,11.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27027,CPT,BUTTOCK FASCIOTOMY,,,21,,RBRVS,13.04 ,10.36 ,10.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27030,CPT,DRAINAGE OF HIP JOINT,,,21,,RBRVS,13.65 ,10.76 ,10.76 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27033,CPT,EXPLORATION OF HIP JOINT,,,21,,RBRVS,14.11 ,11.23 ,11.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27035,CPT,DENERVATION OF HIP JOINT,,,21,,RBRVS,17.37 ,14.80 ,14.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27036,CPT,EXCISION OF HIP JOINT/MUSCLE,,,21,,RBRVS,14.38 ,12.02 ,12.02 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27040,CPT,BIOPSY OF SOFT TISSUES,,,21,,RBRVS,2.92 ,2.36 ,6.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27041,CPT,BIOPSY OF SOFT TISSUES,,,21,,RBRVS,10.18 ,8.10 ,8.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27043,CPT,EXC HIP PELVIS LES SC 3 CM/>,,,21,,RBRVS,6.88 ,5.12 ,5.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27045,CPT,EXC HIP/PELV TUM DEEP 5 CM/>,,,21,,RBRVS,11.13 ,7.94 ,7.94 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27047,CPT,EXC HIP/PELVIS LES SC < 3 CM,,,21,,RBRVS,4.94 ,4.42 ,7.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27048,CPT,EXC HIP/PELV TUM DEEP < 5 CM,,,21,,RBRVS,8.85 ,6.88 ,6.88 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27049,CPT,RESECT HIP/PELV TUM < 5 CM,,,21,,RBRVS,21.55 ,12.47 ,12.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27050,CPT,BIOPSY OF SACROILIAC JOINT,,,21,,RBRVS,4.74 ,5.91 ,5.91 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27052,CPT,BIOPSY OF HIP JOINT,,,21,,RBRVS,7.42 ,7.77 ,7.77 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27054,CPT,REMOVAL OF HIP JOINT LINING,,,21,,RBRVS,9.21 ,8.79 ,8.79 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27057,CPT,BUTTOCK FASCIOTOMY W/DBRDMT,,,21,,RBRVS,14.91 ,11.41 ,11.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27059,CPT,RESECT HIP/PELV TUM 5 CM/>,,,21,,RBRVS,29.35 ,17.40 ,17.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27060,CPT,REMOVAL OF ISCHIAL BURSA,,,21,,RBRVS,5.87 ,6.37 ,6.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27062,CPT,REMOVE FEMUR LESION/BURSA,,,21,,RBRVS,5.75 ,6.22 ,6.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27065,CPT,REMOVE HIP BONE LES SUPER,,,21,,RBRVS,6.55 ,7.17 ,7.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27066,CPT,REMOVE HIP BONE LES DEEP,,,21,,RBRVS,11.20 ,10.02 ,10.02 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27067,CPT,REMOVE/GRAFT HIP BONE LESION,,,21,,RBRVS,14.72 ,12.24 ,12.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27070,CPT,PART REMOVE HIP BONE SUPER,,,21,,RBRVS,11.56 ,11.49 ,11.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27071,CPT,PART REMOVAL HIP BONE DEEP,,,21,,RBRVS,12.39 ,12.44 ,12.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27075,CPT,RESECT HIP TUMOR,,,21,,RBRVS,32.71 ,21.35 ,21.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27076,CPT,RESECT HIP TUM INCL ACETABUL,,,21,,RBRVS,40.21 ,25.10 ,25.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27077,CPT,RESECT HIP TUM W/INNOM BONE,,,21,,RBRVS,45.21 ,27.61 ,27.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27078,CPT,RSECT HIP TUM INCL FEMUR,,,21,,RBRVS,32.21 ,21.09 ,21.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27080,CPT,REMOVAL OF TAIL BONE,,,21,,RBRVS,6.89 ,6.33 ,6.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27086,CPT,REMOVE HIP FOREIGN BODY,,,21,,RBRVS,1.92 ,2.51 ,6.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27087,CPT,REMOVE HIP FOREIGN BODY,,,21,,RBRVS,8.83 ,7.15 ,7.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27090,CPT,REMOVAL OF HIP PROSTHESIS,,,21,,RBRVS,11.69 ,10.00 ,10.00 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27091,CPT,REMOVAL OF HIP PROSTHESIS,,,21,,RBRVS,24.35 ,17.00 ,17.00 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27093,CPT,INJECTION FOR HIP X-RAY,,,21,,RBRVS,1.30 ,0.57 ,4.79 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27095,CPT,INJECTION FOR HIP X-RAY,,,21,,RBRVS,1.50 ,0.70 ,6.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27096,CPT,INJECT SACROILIAC JOINT,,,21,,RBRVS,1.48 ,0.78 ,3.00 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27097,CPT,REVISION OF HIP TENDON,,,21,,RBRVS,9.27 ,8.59 ,8.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27098,CPT,TRANSFER TENDON TO PELVIS,,,21,,RBRVS,9.32 ,8.87 ,8.87 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27100,CPT,TRANSFER OF ABDOMINAL MUSCLE,,,21,,RBRVS,11.35 ,10.30 ,10.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27105,CPT,TRANSFER OF SPINAL MUSCLE,,,21,,RBRVS,12.04 ,10.65 ,10.65 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27110,CPT,TRANSFER OF ILIOPSOAS MUSCLE,,,21,,RBRVS,13.77 ,11.52 ,11.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27111,CPT,TRANSFER OF ILIOPSOAS MUSCLE,,,21,,RBRVS,12.60 ,10.93 ,10.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27120,CPT,RECONSTRUCTION OF HIP SOCKET,,,21,,RBRVS,19.25 ,14.49 ,14.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27122,CPT,RECONSTRUCTION OF HIP SOCKET,,,21,,RBRVS,16.09 ,12.57 ,12.57 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27125,CPT,PARTIAL HIP REPLACEMENT,,,21,,RBRVS,16.64 ,12.82 ,12.82 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27130,CPT,TOTAL HIP ARTHROPLASTY,,,21,,RBRVS,20.72 ,14.38 ,14.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27132,CPT,TOTAL HIP ARTHROPLASTY,,,21,,RBRVS,25.69 ,17.69 ,17.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27134,CPT,REVISE HIP JOINT REPLACEMENT,,,21,,RBRVS,30.28 ,19.15 ,19.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27137,CPT,REVISE HIP JOINT REPLACEMENT,,,21,,RBRVS,22.70 ,15.38 ,15.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27138,CPT,REVISE HIP JOINT REPLACEMENT,,,21,,RBRVS,23.70 ,15.88 ,15.88 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27140,CPT,TRANSPLANT FEMUR RIDGE,,,21,,RBRVS,12.78 ,10.55 ,10.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27146,CPT,INCISION OF HIP BONE,,,21,,RBRVS,18.92 ,14.25 ,14.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27147,CPT,REVISION OF HIP BONE,,,21,,RBRVS,22.07 ,15.95 ,15.95 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27151,CPT,INCISION OF HIP BONES,,,21,,RBRVS,24.12 ,16.97 ,16.97 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27156,CPT,REVISION OF HIP BONES,,,21,,RBRVS,26.23 ,18.03 ,18.03 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27158,CPT,REVISION OF PELVIS,,,21,,RBRVS,21.04 ,15.30 ,15.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27161,CPT,INCISION OF NECK OF FEMUR,,,21,,RBRVS,17.89 ,13.83 ,13.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27165,CPT,INCISION/FIXATION OF FEMUR,,,21,,RBRVS,20.29 ,15.43 ,15.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27170,CPT,REPAIR/GRAFT FEMUR HEAD/NECK,,,21,,RBRVS,17.61 ,12.87 ,12.87 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27175,CPT,TREAT SLIPPED EPIPHYSIS,,,21,,RBRVS,9.38 ,8.00 ,8.00 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27176,CPT,TREAT SLIPPED EPIPHYSIS,,,21,,RBRVS,12.92 ,11.09 ,11.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27177,CPT,TREAT SLIPPED EPIPHYSIS,,,21,,RBRVS,16.09 ,12.92 ,12.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27178,CPT,TREAT SLIPPED EPIPHYSIS,,,21,,RBRVS,12.92 ,11.09 ,11.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27179,CPT,REVISE HEAD/NECK OF FEMUR,,,21,,RBRVS,13.97 ,11.51 ,11.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27181,CPT,TREAT SLIPPED EPIPHYSIS,,,21,,RBRVS,16.18 ,12.99 ,12.99 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27185,CPT,REVISION OF FEMUR EPIPHYSIS,,,21,,RBRVS,9.79 ,8.99 ,8.99 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27187,CPT,REINFORCE HIP BONES,,,21,,RBRVS,14.23 ,11.71 ,11.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27197,CPT,CLSD TX PELVIC RING FX,,,21,,RBRVS,1.53 ,1.85 ,1.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27198,CPT,CLSD TX PELVIC RING FX,,,21,,RBRVS,4.75 ,3.30 ,3.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27200,CPT,TREAT TAIL BONE FRACTURE,,,21,,RBRVS,1.92 ,3.11 ,3.03 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27202,CPT,TREAT TAIL BONE FRACTURE,,,21,,RBRVS,7.31 ,6.54 ,6.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27215,CPT,TREAT PELVIC FRACTURE(S),,,21,,RBRVS,10.45 ,6.17 ,6.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27216,CPT,TREAT PELVIC RING FRACTURE,,,21,,RBRVS,15.73 ,8.88 ,8.88 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27217,CPT,TREAT PELVIC RING FRACTURE,,,21,,RBRVS,14.65 ,8.46 ,8.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27218,CPT,TREAT PELVIC RING FRACTURE,,,21,,RBRVS,20.93 ,10.87 ,10.87 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27220,CPT,TREAT HIP SOCKET FRACTURE,,,21,,RBRVS,5.50 ,5.66 ,5.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27222,CPT,TREAT HIP SOCKET FRACTURE,,,21,,RBRVS,14.11 ,11.28 ,11.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27226,CPT,TREAT HIP WALL FRACTURE,,,21,,RBRVS,15.57 ,11.88 ,11.88 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27227,CPT,TREAT HIP FRACTURE(S),,,21,,RBRVS,25.41 ,17.44 ,17.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27228,CPT,TREAT HIP FRACTURE(S),,,21,,RBRVS,29.33 ,19.29 ,19.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27230,CPT,TREAT THIGH FRACTURE,,,21,,RBRVS,5.81 ,6.74 ,6.95 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27232,CPT,TREAT THIGH FRACTURE,,,21,,RBRVS,11.72 ,7.57 ,7.57 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27235,CPT,TREAT THIGH FRACTURE,,,21,,RBRVS,13.00 ,10.67 ,10.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27236,CPT,TREAT THIGH FRACTURE,,,21,,RBRVS,17.61 ,13.47 ,13.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27238,CPT,TREAT THIGH FRACTURE,,,21,,RBRVS,5.75 ,6.50 ,6.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27240,CPT,TREAT THIGH FRACTURE,,,21,,RBRVS,13.81 ,11.02 ,11.02 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27244,CPT,TREAT THIGH FRACTURE,,,21,,RBRVS,18.18 ,13.78 ,13.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27245,CPT,TREAT THIGH FRACTURE,,,21,,RBRVS,18.18 ,13.77 ,13.77 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27246,CPT,TREAT THIGH FRACTURE,,,21,,RBRVS,4.83 ,5.36 ,5.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27248,CPT,TREAT THIGH FRACTURE,,,21,,RBRVS,10.78 ,8.66 ,8.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27250,CPT,TREAT HIP DISLOCATION,,,21,,RBRVS,3.82 ,0.74 ,0.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27252,CPT,TREAT HIP DISLOCATION,,,21,,RBRVS,11.03 ,8.62 ,8.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27253,CPT,TREAT HIP DISLOCATION,,,21,,RBRVS,13.58 ,10.93 ,10.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27254,CPT,TREAT HIP DISLOCATION,,,21,,RBRVS,18.94 ,14.11 ,14.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27256,CPT,TREAT HIP DISLOCATION,,,21,,RBRVS,4.28 ,1.75 ,3.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27257,CPT,TREAT HIP DISLOCATION,,,21,,RBRVS,5.38 ,4.01 ,4.01 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27258,CPT,TREAT HIP DISLOCATION,,,21,,RBRVS,16.18 ,12.72 ,12.72 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27259,CPT,TREAT HIP DISLOCATION,,,21,,RBRVS,23.26 ,16.86 ,16.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27265,CPT,TREAT HIP DISLOCATION,,,21,,RBRVS,5.24 ,5.38 ,5.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27266,CPT,TREAT HIP DISLOCATION,,,21,,RBRVS,7.78 ,7.51 ,7.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27267,CPT,CLTX THIGH FX,,,21,,RBRVS,5.50 ,6.05 ,6.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27268,CPT,CLTX THIGH FX W/MNPJ,,,21,,RBRVS,7.12 ,7.08 ,7.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27269,CPT,OPTX THIGH FX,,,21,,RBRVS,18.89 ,13.37 ,13.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27275,CPT,MANIPULATION OF HIP JOINT,,,21,,RBRVS,2.32 ,2.52 ,2.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27279,CPT,ARTHRODESIS SACROILIAC JOINT,,,21,,RBRVS,12.13 ,9.96 ,9.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27280,CPT,FUSION OF SACROILIAC JOINT,,,21,,RBRVS,20.00 ,13.95 ,13.95 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27282,CPT,FUSION OF PUBIC BONES,,,21,,RBRVS,11.85 ,10.55 ,10.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27284,CPT,FUSION OF HIP JOINT,,,21,,RBRVS,25.06 ,16.60 ,16.60 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27286,CPT,FUSION OF HIP JOINT,,,21,,RBRVS,25.17 ,17.50 ,17.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27290,CPT,AMPUTATION OF LEG AT HIP,,,21,,RBRVS,24.55 ,17.59 ,17.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27295,CPT,AMPUTATION OF LEG AT HIP,,,21,,RBRVS,19.66 ,12.77 ,12.77 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27299,CPT,PELVIS/HIP JOINT SURGERY,,,21,,TotalUnits,,,,3.38 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27301,CPT,DRAIN THIGH/KNEE LESION,,,21,,RBRVS,6.78 ,6.39 ,11.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27303,CPT,DRAINAGE OF BONE LESION,,,21,,RBRVS,8.63 ,8.18 ,8.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27305,CPT,INCISE THIGH TENDON & FASCIA,,,21,,RBRVS,6.18 ,6.48 ,6.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27306,CPT,INCISION OF THIGH TENDON,,,21,,RBRVS,4.74 ,4.62 ,4.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27307,CPT,INCISION OF THIGH TENDONS,,,21,,RBRVS,6.06 ,6.57 ,6.57 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27310,CPT,EXPLORATION OF KNEE JOINT,,,21,,RBRVS,10.00 ,9.15 ,9.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27323,CPT,BIOPSY THIGH SOFT TISSUES,,,21,,RBRVS,2.33 ,2.40 ,5.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27324,CPT,BIOPSY THIGH SOFT TISSUES,,,21,,RBRVS,5.04 ,5.50 ,5.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27325,CPT,NEURECTOMY HAMSTRING,,,21,,RBRVS,7.20 ,7.56 ,7.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27326,CPT,NEURECTOMY POPLITEAL,,,21,,RBRVS,6.47 ,7.19 ,7.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27327,CPT,EXC THIGH/KNEE LES SC < 3 CM,,,21,,RBRVS,3.96 ,4.21 ,9.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27328,CPT,EXC THIGH/KNEE TUM DEEP <5CM,,,21,,RBRVS,8.85 ,7.32 ,7.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27329,CPT,RESECT THIGH/KNEE TUM < 5 CM,,,21,,RBRVS,15.72 ,11.05 ,11.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27330,CPT,BIOPSY KNEE JOINT LINING,,,21,,RBRVS,5.11 ,5.79 ,5.79 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27331,CPT,EXPLORE/TREAT KNEE JOINT,,,21,,RBRVS,6.02 ,6.49 ,6.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27332,CPT,REMOVAL OF KNEE CARTILAGE,,,21,,RBRVS,8.46 ,8.44 ,8.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27333,CPT,REMOVAL OF KNEE CARTILAGE,,,21,,RBRVS,7.55 ,7.87 ,7.87 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27334,CPT,REMOVE KNEE JOINT LINING,,,21,,RBRVS,9.19 ,8.77 ,8.77 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27335,CPT,REMOVE KNEE JOINT LINING,,,21,,RBRVS,10.55 ,9.47 ,9.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27337,CPT,EXC THIGH/KNEE LES SC 3 CM/>,,,21,,RBRVS,5.91 ,4.88 ,4.88 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27339,CPT,EXC THIGH/KNEE TUM DEP 5CM/>,,,21,,RBRVS,11.13 ,8.31 ,8.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27340,CPT,REMOVAL OF KNEECAP BURSA,,,21,,RBRVS,4.32 ,5.53 ,5.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27345,CPT,REMOVAL OF KNEE CYST,,,21,,RBRVS,6.09 ,6.66 ,6.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27347,CPT,REMOVE KNEE CYST,,,21,,RBRVS,6.73 ,7.16 ,7.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27350,CPT,REMOVAL OF KNEECAP,,,21,,RBRVS,8.66 ,8.48 ,8.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27355,CPT,REMOVE FEMUR LESION,,,21,,RBRVS,8.00 ,7.88 ,7.88 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27356,CPT,REMOVE FEMUR LESION/GRAFT,,,21,,RBRVS,10.09 ,9.26 ,9.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27357,CPT,REMOVE FEMUR LESION/GRAFT,,,21,,RBRVS,11.16 ,10.19 ,10.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27358,CPT,REMOVE FEMUR LESION/FIXATION,,,21,,RBRVS,4.73 ,2.37 ,2.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27360,CPT,PARTIAL REMOVAL LEG BONE(S),,,21,,RBRVS,11.46 ,11.62 ,11.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27364,CPT,RESECT THIGH/KNEE TUM 5 CM/>,,,21,,RBRVS,24.49 ,15.63 ,15.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27365,CPT,RESECT FEMUR/KNEE TUMOR,,,21,,RBRVS,32.21 ,21.06 ,21.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27369,CPT,NJX CNTRST KNE ARTHG/CT/MRI,,,21,,RBRVS,0.77 ,0.32 ,3.62 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
27372,CPT,REMOVAL OF FOREIGN BODY,,,21,,RBRVS,5.21 ,5.35 ,11.01 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27380,CPT,REPAIR OF KNEECAP TENDON,,,21,,RBRVS,7.45 ,8.64 ,8.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27381,CPT,REPAIR/GRAFT KNEECAP TENDON,,,21,,RBRVS,10.76 ,10.52 ,10.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27385,CPT,REPAIR OF THIGH MUSCLE,,,21,,RBRVS,6.93 ,8.73 ,8.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27386,CPT,REPAIR/GRAFT OF THIGH MUSCLE,,,21,,RBRVS,11.13 ,11.10 ,11.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27390,CPT,INCISION OF THIGH TENDON,,,21,,RBRVS,5.53 ,6.30 ,6.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27391,CPT,INCISION OF THIGH TENDONS,,,21,,RBRVS,7.49 ,7.40 ,7.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27392,CPT,INCISION OF THIGH TENDONS,,,21,,RBRVS,9.63 ,9.02 ,9.02 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27393,CPT,LENGTHENING OF THIGH TENDON,,,21,,RBRVS,6.59 ,6.80 ,6.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27394,CPT,LENGTHENING OF THIGH TENDONS,,,21,,RBRVS,8.79 ,8.36 ,8.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27395,CPT,LENGTHENING OF THIGH TENDONS,,,21,,RBRVS,12.24 ,10.75 ,10.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27396,CPT,TRANSPLANT OF THIGH TENDON,,,21,,RBRVS,8.15 ,8.03 ,8.03 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27397,CPT,TRANSPLANTS OF THIGH TENDONS,,,21,,RBRVS,12.66 ,11.23 ,11.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27400,CPT,REVISE THIGH MUSCLES/TENDONS,,,21,,RBRVS,9.33 ,8.87 ,8.87 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27403,CPT,REPAIR OF KNEE CARTILAGE,,,21,,RBRVS,8.62 ,8.25 ,8.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27405,CPT,REPAIR OF KNEE LIGAMENT,,,21,,RBRVS,9.08 ,8.66 ,8.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27407,CPT,REPAIR OF KNEE LIGAMENT,,,21,,RBRVS,10.85 ,9.94 ,9.94 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27409,CPT,REPAIR OF KNEE LIGAMENTS,,,21,,RBRVS,13.71 ,11.49 ,11.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27412,CPT,AUTOCHONDROCYTE IMPLANT KNEE,,,21,,RBRVS,24.74 ,18.08 ,18.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27415,CPT,OSTEOCHONDRAL KNEE ALLOGRAFT,,,21,,RBRVS,20.00 ,15.70 ,15.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27416,CPT,OSTEOCHONDRAL KNEE AUTOGRAFT,,,21,,RBRVS,14.16 ,11.35 ,11.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27418,CPT,REPAIR DEGENERATED KNEECAP,,,21,,RBRVS,11.60 ,10.13 ,10.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27420,CPT,REVISION OF UNSTABLE KNEECAP,,,21,,RBRVS,10.26 ,9.23 ,9.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27422,CPT,REVISION OF UNSTABLE KNEECAP,,,21,,RBRVS,10.21 ,9.28 ,9.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27424,CPT,REVISION/REMOVAL OF KNEECAP,,,21,,RBRVS,10.24 ,9.33 ,9.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27425,CPT,LAT RETINACULAR RELEASE OPEN,,,21,,RBRVS,5.39 ,6.52 ,6.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27427,CPT,RECONSTRUCTION KNEE,,,21,,RBRVS,9.79 ,8.88 ,8.88 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27428,CPT,RECONSTRUCTION KNEE,,,21,,RBRVS,15.58 ,13.53 ,13.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27429,CPT,RECONSTRUCTION KNEE,,,21,,RBRVS,17.54 ,15.20 ,15.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27430,CPT,REVISION OF THIGH MUSCLES,,,21,,RBRVS,10.16 ,9.27 ,9.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27435,CPT,INCISION OF KNEE JOINT,,,21,,RBRVS,10.88 ,10.31 ,10.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27437,CPT,REVISE KNEECAP,,,21,,RBRVS,8.93 ,8.35 ,8.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27438,CPT,REVISE KNEECAP WITH IMPLANT,,,21,,RBRVS,11.89 ,10.08 ,10.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27440,CPT,REVISION OF KNEE JOINT,,,21,,RBRVS,11.09 ,9.75 ,9.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27441,CPT,REVISION OF KNEE JOINT,,,21,,RBRVS,11.54 ,9.97 ,9.97 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27442,CPT,REVISION OF KNEE JOINT,,,21,,RBRVS,12.37 ,10.39 ,10.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27443,CPT,REVISION OF KNEE JOINT,,,21,,RBRVS,11.41 ,9.83 ,9.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27445,CPT,REVISION OF KNEE JOINT,,,21,,RBRVS,18.66 ,13.93 ,13.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27446,CPT,REVISION OF KNEE JOINT,,,21,,RBRVS,17.48 ,12.57 ,12.57 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27447,CPT,TOTAL KNEE ARTHROPLASTY,,,21,,RBRVS,20.72 ,14.35 ,14.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27448,CPT,INCISION OF THIGH,,,21,,RBRVS,11.60 ,9.84 ,9.84 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27450,CPT,INCISION OF THIGH,,,21,,RBRVS,14.61 ,11.87 ,11.87 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27454,CPT,REALIGNMENT OF THIGH BONE,,,21,,RBRVS,19.17 ,14.49 ,14.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27455,CPT,REALIGNMENT OF KNEE,,,21,,RBRVS,13.36 ,11.49 ,11.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27457,CPT,REALIGNMENT OF KNEE,,,21,,RBRVS,14.03 ,10.99 ,10.99 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27465,CPT,SHORTENING OF THIGH BONE,,,21,,RBRVS,18.60 ,13.87 ,13.87 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27466,CPT,LENGTHENING OF THIGH BONE,,,21,,RBRVS,17.28 ,13.52 ,13.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27468,CPT,SHORTEN/LENGTHEN THIGHS,,,21,,RBRVS,19.97 ,14.87 ,14.87 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27470,CPT,REPAIR OF THIGH,,,21,,RBRVS,17.14 ,13.52 ,13.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27472,CPT,REPAIR/GRAFT OF THIGH,,,21,,RBRVS,18.72 ,14.14 ,14.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27475,CPT,SURGERY TO STOP LEG GROWTH,,,21,,RBRVS,8.93 ,8.42 ,8.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27477,CPT,SURGERY TO STOP LEG GROWTH,,,21,,RBRVS,10.14 ,9.03 ,9.03 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27479,CPT,SURGERY TO STOP LEG GROWTH,,,21,,RBRVS,13.16 ,10.79 ,10.79 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27485,CPT,SURGERY TO STOP LEG GROWTH,,,21,,RBRVS,9.13 ,8.44 ,8.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27486,CPT,REVISE/REPLACE KNEE JOINT,,,21,,RBRVS,21.12 ,15.40 ,15.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27487,CPT,REVISE/REPLACE KNEE JOINT,,,21,,RBRVS,27.11 ,18.42 ,18.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27488,CPT,REMOVAL OF KNEE PROSTHESIS,,,21,,RBRVS,17.60 ,13.64 ,13.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27495,CPT,REINFORCE THIGH,,,21,,RBRVS,16.54 ,12.80 ,12.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27496,CPT,DECOMPRESSION OF THIGH/KNEE,,,21,,RBRVS,6.78 ,7.60 ,7.60 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27497,CPT,DECOMPRESSION OF THIGH/KNEE,,,21,,RBRVS,7.79 ,7.44 ,7.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27498,CPT,DECOMPRESSION OF THIGH/KNEE,,,21,,RBRVS,8.66 ,8.53 ,8.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27499,CPT,DECOMPRESSION OF THIGH/KNEE,,,21,,RBRVS,9.43 ,8.92 ,8.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27500,CPT,TREATMENT OF THIGH FRACTURE,,,21,,RBRVS,6.30 ,6.31 ,7.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27501,CPT,TREATMENT OF THIGH FRACTURE,,,21,,RBRVS,6.45 ,6.64 ,6.87 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27502,CPT,TREATMENT OF THIGH FRACTURE,,,21,,RBRVS,11.36 ,8.35 ,8.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27503,CPT,TREATMENT OF THIGH FRACTURE,,,21,,RBRVS,11.27 ,9.64 ,9.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27506,CPT,TREATMENT OF THIGH FRACTURE,,,21,,RBRVS,19.65 ,15.14 ,15.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27507,CPT,TREATMENT OF THIGH FRACTURE,,,21,,RBRVS,14.48 ,10.74 ,10.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27508,CPT,TREATMENT OF THIGH FRACTURE,,,21,,RBRVS,6.20 ,6.91 ,7.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27509,CPT,TREATMENT OF THIGH FRACTURE,,,21,,RBRVS,8.14 ,9.32 ,9.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27510,CPT,TREATMENT OF THIGH FRACTURE,,,21,,RBRVS,9.80 ,7.93 ,7.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27511,CPT,TREATMENT OF THIGH FRACTURE,,,21,,RBRVS,15.11 ,10.80 ,10.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27513,CPT,TREATMENT OF THIGH FRACTURE,,,21,,RBRVS,19.25 ,12.86 ,12.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27514,CPT,TREATMENT OF THIGH FRACTURE,,,21,,RBRVS,14.60 ,10.53 ,10.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27516,CPT,TREAT THIGH FX GROWTH PLATE,,,21,,RBRVS,5.59 ,7.13 ,8.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27517,CPT,TREAT THIGH FX GROWTH PLATE,,,21,,RBRVS,9.12 ,8.90 ,8.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27519,CPT,TREAT THIGH FX GROWTH PLATE,,,21,,RBRVS,13.25 ,9.92 ,9.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27520,CPT,TREAT KNEECAP FRACTURE,,,21,,RBRVS,3.04 ,4.93 ,5.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27524,CPT,TREAT KNEECAP FRACTURE,,,21,,RBRVS,10.37 ,9.34 ,9.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27530,CPT,TREAT KNEE FRACTURE,,,21,,RBRVS,2.65 ,4.99 ,5.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27532,CPT,TREAT KNEE FRACTURE,,,21,,RBRVS,7.55 ,7.61 ,8.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27535,CPT,TREAT KNEE FRACTURE,,,21,,RBRVS,13.41 ,9.93 ,9.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27536,CPT,TREAT KNEE FRACTURE,,,21,,RBRVS,17.39 ,13.52 ,13.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27538,CPT,TREAT KNEE FRACTURE(S),,,21,,RBRVS,5.09 ,6.73 ,7.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27540,CPT,TREAT KNEE FRACTURE,,,21,,RBRVS,11.30 ,9.89 ,9.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27550,CPT,TREAT KNEE DISLOCATION,,,21,,RBRVS,5.98 ,6.80 ,7.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27552,CPT,TREAT KNEE DISLOCATION,,,21,,RBRVS,8.18 ,8.35 ,8.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27556,CPT,TREAT KNEE DISLOCATION,,,21,,RBRVS,13.00 ,9.80 ,9.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27557,CPT,TREAT KNEE DISLOCATION,,,21,,RBRVS,15.90 ,11.26 ,11.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27558,CPT,TREAT KNEE DISLOCATION,,,21,,RBRVS,18.39 ,12.50 ,12.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27560,CPT,TREAT KNEECAP DISLOCATION,,,21,,RBRVS,3.99 ,5.10 ,5.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27562,CPT,TREAT KNEECAP DISLOCATION,,,21,,RBRVS,5.98 ,6.85 ,6.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27566,CPT,TREAT KNEECAP DISLOCATION,,,21,,RBRVS,12.71 ,10.57 ,10.57 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27570,CPT,FIXATION OF KNEE JOINT,,,21,,RBRVS,1.79 ,2.20 ,2.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27580,CPT,FUSION OF KNEE,,,21,,RBRVS,21.10 ,16.95 ,16.95 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27590,CPT,AMPUTATE LEG AT THIGH,,,21,,RBRVS,13.47 ,6.45 ,6.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27591,CPT,AMPUTATE LEG AT THIGH,,,21,,RBRVS,13.94 ,11.19 ,11.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27592,CPT,AMPUTATE LEG AT THIGH,,,21,,RBRVS,10.98 ,6.11 ,6.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27594,CPT,AMPUTATION FOLLOW-UP SURGERY,,,21,,RBRVS,7.29 ,5.89 ,5.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27596,CPT,AMPUTATION FOLLOW-UP SURGERY,,,21,,RBRVS,11.29 ,6.85 ,6.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27598,CPT,AMPUTATE LOWER LEG AT KNEE,,,21,,RBRVS,11.22 ,6.86 ,6.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27599,CPT,LEG SURGERY PROCEDURE,,,21,,TotalUnits,,,,35.07 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27600,CPT,DECOMPRESSION OF LOWER LEG,,,21,,RBRVS,6.03 ,4.44 ,4.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27601,CPT,DECOMPRESSION OF LOWER LEG,,,21,,RBRVS,6.05 ,5.66 ,5.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27602,CPT,DECOMPRESSION OF LOWER LEG,,,21,,RBRVS,7.82 ,4.43 ,4.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27603,CPT,DRAIN LOWER LEG LESION,,,21,,RBRVS,5.23 ,5.03 ,9.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27604,CPT,DRAIN LOWER LEG BURSA,,,21,,RBRVS,4.59 ,4.34 ,8.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27605,CPT,INCISION OF ACHILLES TENDON,,,21,,RBRVS,2.92 ,2.12 ,6.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27606,CPT,INCISION OF ACHILLES TENDON,,,21,,RBRVS,4.18 ,3.17 ,3.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27607,CPT,TREAT LOWER LEG BONE LESION,,,21,,RBRVS,8.62 ,7.38 ,7.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27610,CPT,EXPLORE/TREAT ANKLE JOINT,,,21,,RBRVS,9.13 ,8.00 ,8.00 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27612,CPT,EXPLORATION OF ANKLE JOINT,,,21,,RBRVS,8.15 ,6.79 ,6.79 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27613,CPT,BIOPSY LOWER LEG SOFT TISSUE,,,21,,RBRVS,2.22 ,2.10 ,4.72 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27614,CPT,BIOPSY LOWER LEG SOFT TISSUE,,,21,,RBRVS,5.80 ,4.99 ,9.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27615,CPT,RESECT LEG/ANKLE TUM < 5 CM,,,21,,RBRVS,15.72 ,10.77 ,10.77 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27616,CPT,RESECT LEG/ANKLE TUM 5 CM/>,,,21,,RBRVS,19.63 ,13.09 ,13.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27618,CPT,EXC LEG/ANKLE TUM < 3 CM,,,21,,RBRVS,3.96 ,4.06 ,8.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27619,CPT,EXC LEG/ANKLE TUM DEEP <5 CM,,,21,,RBRVS,6.91 ,5.35 ,5.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27620,CPT,EXPLORE/TREAT ANKLE JOINT,,,21,,RBRVS,6.15 ,5.83 ,5.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27625,CPT,REMOVE ANKLE JOINT LINING,,,21,,RBRVS,8.49 ,6.89 ,6.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27626,CPT,REMOVE ANKLE JOINT LINING,,,21,,RBRVS,9.10 ,7.03 ,7.03 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27630,CPT,REMOVAL OF TENDON LESION,,,21,,RBRVS,4.94 ,4.72 ,10.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27632,CPT,EXC LEG/ANKLE LES SC 3 CM/>,,,21,,RBRVS,5.91 ,4.81 ,4.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27634,CPT,EXC LEG/ANKLE TUM DEP 5 CM/>,,,21,,RBRVS,10.13 ,7.61 ,7.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27635,CPT,REMOVE LOWER LEG BONE LESION,,,21,,RBRVS,8.03 ,7.36 ,7.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27637,CPT,REMOVE/GRAFT LEG BONE LESION,,,21,,RBRVS,10.31 ,9.38 ,9.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27638,CPT,REMOVE/GRAFT LEG BONE LESION,,,21,,RBRVS,10.99 ,9.13 ,9.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27640,CPT,PARTIAL REMOVAL OF TIBIA,,,21,,RBRVS,12.24 ,9.59 ,9.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27641,CPT,PARTIAL REMOVAL OF FIBULA,,,21,,RBRVS,9.84 ,7.66 ,7.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27645,CPT,RESECT TIBIA TUMOR,,,21,,RBRVS,27.21 ,18.69 ,18.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27646,CPT,RESECT FIBULA TUMOR,,,21,,RBRVS,23.21 ,16.69 ,16.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27647,CPT,RESECT TALUS/CALCANEUS TUM,,,21,,RBRVS,20.26 ,7.51 ,7.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27648,CPT,INJECTION FOR ANKLE X-RAY,,,21,,RBRVS,0.96 ,0.43 ,4.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27650,CPT,REPAIR ACHILLES TENDON,,,21,,RBRVS,9.21 ,8.33 ,8.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27652,CPT,REPAIR/GRAFT ACHILLES TENDON,,,21,,RBRVS,10.78 ,7.09 ,7.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27654,CPT,REPAIR OF ACHILLES TENDON,,,21,,RBRVS,10.53 ,8.51 ,8.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27656,CPT,REPAIR LEG FASCIA DEFECT,,,21,,RBRVS,4.71 ,5.79 ,12.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27658,CPT,REPAIR OF LEG TENDON EACH,,,21,,RBRVS,5.12 ,4.81 ,4.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27659,CPT,REPAIR OF LEG TENDON EACH,,,21,,RBRVS,7.10 ,5.54 ,5.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27664,CPT,REPAIR OF LEG TENDON EACH,,,21,,RBRVS,4.73 ,4.93 ,4.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27665,CPT,REPAIR OF LEG TENDON EACH,,,21,,RBRVS,5.57 ,5.53 ,5.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27675,CPT,REPAIR LOWER LEG TENDONS,,,21,,RBRVS,7.35 ,5.82 ,5.82 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27676,CPT,REPAIR LOWER LEG TENDONS,,,21,,RBRVS,8.73 ,7.18 ,7.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27680,CPT,RELEASE OF LOWER LEG TENDON,,,21,,RBRVS,5.88 ,5.44 ,5.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27681,CPT,RELEASE OF LOWER LEG TENDONS,,,21,,RBRVS,7.05 ,6.68 ,6.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27685,CPT,REVISION OF LOWER LEG TENDON,,,21,,RBRVS,6.69 ,5.78 ,11.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27686,CPT,REVISE LOWER LEG TENDONS,,,21,,RBRVS,7.75 ,6.62 ,6.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27687,CPT,REVISION OF CALF TENDON,,,21,,RBRVS,6.41 ,5.76 ,5.76 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27690,CPT,REVISE LOWER LEG TENDON,,,21,,RBRVS,9.17 ,7.95 ,7.95 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27691,CPT,REVISE LOWER LEG TENDON,,,21,,RBRVS,10.49 ,9.27 ,9.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27692,CPT,REVISE ADDITIONAL LEG TENDON,,,21,,RBRVS,1.87 ,0.82 ,0.82 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27695,CPT,REPAIR OF ANKLE LIGAMENT,,,21,,RBRVS,6.70 ,6.01 ,6.01 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27696,CPT,REPAIR OF ANKLE LIGAMENTS,,,21,,RBRVS,8.58 ,6.39 ,6.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27698,CPT,REPAIR OF ANKLE LIGAMENT,,,21,,RBRVS,9.61 ,7.36 ,7.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27700,CPT,REVISION OF ANKLE JOINT,,,21,,RBRVS,9.66 ,6.76 ,6.76 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27702,CPT,RECONSTRUCT ANKLE JOINT,,,21,,RBRVS,14.42 ,10.87 ,10.87 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27703,CPT,RECONSTRUCTION ANKLE JOINT,,,21,,RBRVS,16.94 ,12.29 ,12.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27704,CPT,REMOVAL OF ANKLE IMPLANT,,,21,,RBRVS,7.81 ,7.36 ,7.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27705,CPT,INCISION OF TIBIA,,,21,,RBRVS,10.86 ,9.04 ,9.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27707,CPT,INCISION OF FIBULA,,,21,,RBRVS,4.78 ,5.86 ,5.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27709,CPT,INCISION OF TIBIA & FIBULA,,,21,,RBRVS,17.48 ,12.91 ,12.91 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27712,CPT,REALIGNMENT OF LOWER LEG,,,21,,RBRVS,15.87 ,12.84 ,12.84 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27715,CPT,REVISION OF LOWER LEG,,,21,,RBRVS,15.50 ,12.39 ,12.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27720,CPT,REPAIR OF TIBIA,,,21,,RBRVS,12.36 ,10.56 ,10.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27722,CPT,REPAIR/GRAFT OF TIBIA,,,21,,RBRVS,12.45 ,10.86 ,10.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27724,CPT,REPAIR/GRAFT OF TIBIA,,,21,,RBRVS,19.31 ,13.36 ,13.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27725,CPT,REPAIR OF LOWER LEG,,,21,,RBRVS,17.41 ,14.26 ,14.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27726,CPT,REPAIR FIBULA NONUNION,,,21,,RBRVS,14.34 ,10.67 ,10.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27727,CPT,REPAIR OF LOWER LEG,,,21,,RBRVS,14.84 ,12.19 ,12.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27730,CPT,REPAIR OF TIBIA EPIPHYSIS,,,21,,RBRVS,7.70 ,7.71 ,7.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27732,CPT,REPAIR OF FIBULA EPIPHYSIS,,,21,,RBRVS,5.46 ,6.43 ,6.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27734,CPT,REPAIR LOWER LEG EPIPHYSES,,,21,,RBRVS,8.83 ,8.38 ,8.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27740,CPT,REPAIR OF LEG EPIPHYSES,,,21,,RBRVS,9.61 ,8.92 ,8.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27742,CPT,REPAIR OF LEG EPIPHYSES,,,21,,RBRVS,10.63 ,9.71 ,9.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27745,CPT,REINFORCE TIBIA,,,21,,RBRVS,10.49 ,9.42 ,9.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27750,CPT,TREATMENT OF TIBIA FRACTURE,,,21,,RBRVS,3.37 ,5.18 ,5.91 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27752,CPT,TREATMENT OF TIBIA FRACTURE,,,21,,RBRVS,6.27 ,6.68 ,7.91 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27756,CPT,TREATMENT OF TIBIA FRACTURE,,,21,,RBRVS,7.45 ,7.70 ,7.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27758,CPT,TREATMENT OF TIBIA FRACTURE,,,21,,RBRVS,12.54 ,10.83 ,10.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27759,CPT,TREATMENT OF TIBIA FRACTURE,,,21,,RBRVS,14.45 ,11.56 ,11.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27760,CPT,CLTX MEDIAL ANKLE FX,,,21,,RBRVS,3.21 ,5.04 ,5.79 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27762,CPT,CLTX MED ANKLE FX W/MNPJ,,,21,,RBRVS,5.47 ,5.98 ,7.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27766,CPT,OPTX MEDIAL ANKLE FX,,,21,,RBRVS,7.89 ,8.08 ,8.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27767,CPT,CLTX POST ANKLE FX,,,21,,RBRVS,2.64 ,5.08 ,5.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27768,CPT,CLTX POST ANKLE FX W/MNPJ,,,21,,RBRVS,5.14 ,6.60 ,6.60 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27769,CPT,OPTX POST ANKLE FX,,,21,,RBRVS,10.14 ,8.97 ,8.97 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27780,CPT,TREATMENT OF FIBULA FRACTURE,,,21,,RBRVS,2.83 ,4.72 ,5.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27781,CPT,TREATMENT OF FIBULA FRACTURE,,,21,,RBRVS,4.59 ,5.99 ,6.95 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27784,CPT,TREATMENT OF FIBULA FRACTURE,,,21,,RBRVS,9.67 ,9.04 ,9.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27786,CPT,TREATMENT OF ANKLE FRACTURE,,,21,,RBRVS,3.02 ,4.69 ,5.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27788,CPT,TREATMENT OF ANKLE FRACTURE,,,21,,RBRVS,4.64 ,5.59 ,6.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27792,CPT,TREATMENT OF ANKLE FRACTURE,,,21,,RBRVS,8.75 ,8.32 ,8.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27808,CPT,TREATMENT OF ANKLE FRACTURE,,,21,,RBRVS,3.03 ,5.11 ,5.98 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27810,CPT,TREATMENT OF ANKLE FRACTURE,,,21,,RBRVS,5.32 ,5.85 ,7.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27814,CPT,TREATMENT OF ANKLE FRACTURE,,,21,,RBRVS,10.62 ,9.53 ,9.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27816,CPT,TREATMENT OF ANKLE FRACTURE,,,21,,RBRVS,3.07 ,4.73 ,5.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27818,CPT,TREATMENT OF ANKLE FRACTURE,,,21,,RBRVS,5.69 ,5.76 ,7.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27822,CPT,TREATMENT OF ANKLE FRACTURE,,,21,,RBRVS,11.21 ,11.69 ,11.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27823,CPT,TREATMENT OF ANKLE FRACTURE,,,21,,RBRVS,13.16 ,12.63 ,12.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27824,CPT,TREAT LOWER LEG FRACTURE,,,21,,RBRVS,3.31 ,4.84 ,5.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27825,CPT,TREAT LOWER LEG FRACTURE,,,21,,RBRVS,6.69 ,6.29 ,7.76 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27826,CPT,TREAT LOWER LEG FRACTURE,,,21,,RBRVS,11.10 ,11.45 ,11.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27827,CPT,TREAT LOWER LEG FRACTURE,,,21,,RBRVS,14.79 ,14.42 ,14.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27828,CPT,TREAT LOWER LEG FRACTURE,,,21,,RBRVS,18.43 ,16.16 ,16.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27829,CPT,TREAT LOWER LEG JOINT,,,21,,RBRVS,8.80 ,9.79 ,9.79 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27830,CPT,TREAT LOWER LEG DISLOCATION,,,21,,RBRVS,3.96 ,5.53 ,6.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27831,CPT,TREAT LOWER LEG DISLOCATION,,,21,,RBRVS,4.73 ,5.97 ,5.97 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27832,CPT,TREAT LOWER LEG DISLOCATION,,,21,,RBRVS,10.17 ,9.65 ,9.65 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27840,CPT,TREAT ANKLE DISLOCATION,,,21,,RBRVS,4.77 ,5.16 ,5.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27842,CPT,TREAT ANKLE DISLOCATION,,,21,,RBRVS,6.46 ,6.53 ,6.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27846,CPT,TREAT ANKLE DISLOCATION,,,21,,RBRVS,10.28 ,8.53 ,8.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27848,CPT,TREAT ANKLE DISLOCATION,,,21,,RBRVS,11.68 ,9.33 ,9.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27860,CPT,FIXATION OF ANKLE JOINT,,,21,,RBRVS,2.39 ,2.14 ,2.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27870,CPT,FUSION OF ANKLE JOINT OPEN,,,21,,RBRVS,15.41 ,11.43 ,11.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27871,CPT,FUSION OF TIBIOFIBULAR JOINT,,,21,,RBRVS,9.54 ,8.57 ,8.57 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27880,CPT,AMPUTATION OF LOWER LEG,,,21,,RBRVS,15.37 ,7.49 ,7.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27881,CPT,AMPUTATION OF LOWER LEG,,,21,,RBRVS,13.47 ,8.44 ,8.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27882,CPT,AMPUTATION OF LOWER LEG,,,21,,RBRVS,9.79 ,5.24 ,5.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27884,CPT,AMPUTATION FOLLOW-UP SURGERY,,,21,,RBRVS,8.76 ,5.86 ,5.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27886,CPT,AMPUTATION FOLLOW-UP SURGERY,,,21,,RBRVS,10.02 ,6.72 ,6.72 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27888,CPT,AMPUTATION OF FOOT AT ANKLE,,,21,,RBRVS,10.37 ,6.60 ,6.60 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27889,CPT,AMPUTATION OF FOOT AT ANKLE,,,21,,RBRVS,10.86 ,5.34 ,5.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27892,CPT,DECOMPRESSION OF LEG,,,21,,RBRVS,7.94 ,6.38 ,6.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27893,CPT,DECOMPRESSION OF LEG,,,21,,RBRVS,7.90 ,8.15 ,8.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27894,CPT,DECOMPRESSION OF LEG,,,21,,RBRVS,12.67 ,9.07 ,9.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
27899,CPT,LEG/ANKLE SURGERY PROCEDURE,,,21,,TotalUnits,,,,16.97 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
28001,CPT,DRAINAGE OF BURSA OF FOOT,,,21,,RBRVS,2.78 ,1.89 ,5.01 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
28002,CPT,TREATMENT OF FOOT INFECTION,,,21,,RBRVS,5.34 ,3.31 ,6.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
28003,CPT,TREATMENT OF FOOT INFECTION,,,21,,RBRVS,9.06 ,6.15 ,10.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
28005,CPT,TREAT FOOT BONE LESION,,,21,,RBRVS,9.44 ,6.30 ,6.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
28008,CPT,INCISION OF FOOT FASCIA,,,21,,RBRVS,4.59 ,3.48 ,7.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
28010,CPT,INCISION OF TOE TENDON,,,21,,RBRVS,2.97 ,2.75 ,3.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
28011,CPT,INCISION OF TOE TENDONS,,,21,,RBRVS,4.28 ,3.42 ,4.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
28020,CPT,EXPLORATION OF FOOT JOINT,,,21,,RBRVS,5.15 ,4.57 ,9.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
28022,CPT,EXPLORATION OF FOOT JOINT,,,21,,RBRVS,4.81 ,4.03 ,8.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
28024,CPT,EXPLORATION OF TOE JOINT,,,21,,RBRVS,4.52 ,3.75 ,8.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
28035,CPT,DECOMPRESSION OF TIBIA NERVE,,,21,,RBRVS,5.23 ,4.38 ,9.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
28039,CPT,EXC FOOT/TOE TUM SC 1.5 CM/>,,,21,,RBRVS,5.42 ,3.88 ,8.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
28041,CPT,EXC FOOT/TOE TUM DEP 1.5CM/>,,,21,,RBRVS,7.13 ,5.13 ,5.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
28043,CPT,EXC FOOT/TOE TUM SC < 1.5 CM,,,21,,RBRVS,3.96 ,3.18 ,6.99 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
28045,CPT,EXC FOOT/TOE TUM DEEP <1.5CM,,,21,,RBRVS,5.45 ,4.01 ,8.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
28046,CPT,RESECT FOOT/TOE TUMOR < 3 CM,,,21,,RBRVS,12.38 ,6.97 ,6.97 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
28047,CPT,RESECT FOOT/TOE TUMOR 3 CM/>,,,21,,RBRVS,17.45 ,10.10 ,10.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
28050,CPT,BIOPSY OF FOOT JOINT LINING,,,21,,RBRVS,4.39 ,3.30 ,7.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
28052,CPT,BIOPSY OF FOOT JOINT LINING,,,21,,RBRVS,4.06 ,3.65 ,8.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
28054,CPT,BIOPSY OF TOE JOINT LINING,,,21,,RBRVS,3.57 ,2.90 ,6.91 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
28055,CPT,NEURECTOMY FOOT,,,21,,RBRVS,6.29 ,4.25 ,4.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
28060,CPT,PARTIAL REMOVAL FOOT FASCIA,,,21,,RBRVS,5.40 ,4.39 ,9.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
28062,CPT,REMOVAL OF FOOT FASCIA,,,21,,RBRVS,6.69 ,4.41 ,9.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
28070,CPT,REMOVAL OF FOOT JOINT LINING,,,21,,RBRVS,5.24 ,4.35 ,9.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
28072,CPT,REMOVAL OF FOOT JOINT LINING,,,21,,RBRVS,4.72 ,4.00 ,8.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
28080,CPT,REMOVAL OF FOOT LESION,,,21,,RBRVS,4.86 ,5.27 ,9.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
28086,CPT,EXCISE FOOT TENDON SHEATH,,,21,,RBRVS,4.92 ,4.64 ,9.91 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
28088,CPT,EXCISE FOOT TENDON SHEATH,,,21,,RBRVS,3.98 ,3.50 ,8.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
28090,CPT,REMOVAL OF FOOT LESION,,,21,,RBRVS,4.55 ,3.81 ,8.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
28092,CPT,REMOVAL OF TOE LESIONS,,,21,,RBRVS,3.78 ,3.59 ,8.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
28100,CPT,REMOVAL OF ANKLE/HEEL LESION,,,21,,RBRVS,5.83 ,5.36 ,11.00 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
28102,CPT,REMOVE/GRAFT FOOT LESION,,,21,,RBRVS,7.92 ,8.05 ,8.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
28103,CPT,REMOVE/GRAFT FOOT LESION,,,21,,RBRVS,6.67 ,4.06 ,4.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
28104,CPT,REMOVAL OF FOOT LESION,,,21,,RBRVS,5.26 ,4.34 ,9.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
28106,CPT,REMOVE/GRAFT FOOT LESION,,,21,,RBRVS,7.35 ,4.43 ,4.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
28107,CPT,REMOVE/GRAFT FOOT LESION,,,21,,RBRVS,5.73 ,3.84 ,8.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
28108,CPT,REMOVAL OF TOE LESIONS,,,21,,RBRVS,4.30 ,3.59 ,7.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
28110,CPT,PART REMOVAL OF METATARSAL,,,21,,RBRVS,4.22 ,3.70 ,8.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
28111,CPT,PART REMOVAL OF METATARSAL,,,21,,RBRVS,5.15 ,3.62 ,8.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
28112,CPT,PART REMOVAL OF METATARSAL,,,21,,RBRVS,4.63 ,3.86 ,8.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
28113,CPT,PART REMOVAL OF METATARSAL,,,21,,RBRVS,6.11 ,5.47 ,10.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
28114,CPT,REMOVAL OF METATARSAL HEADS,,,21,,RBRVS,12.00 ,10.27 ,16.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
28116,CPT,REVISION OF FOOT,,,21,,RBRVS,9.14 ,6.44 ,11.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
28118,CPT,REMOVAL OF HEEL BONE,,,21,,RBRVS,6.13 ,5.12 ,10.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
28119,CPT,REMOVAL OF HEEL SPUR,,,21,,RBRVS,5.56 ,4.29 ,9.01 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
28120,CPT,PART REMOVAL OF ANKLE/HEEL,,,21,,RBRVS,7.31 ,6.07 ,11.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
28122,CPT,PARTIAL REMOVAL OF FOOT BONE,,,21,,RBRVS,6.76 ,5.16 ,9.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
28124,CPT,PARTIAL REMOVAL OF TOE,,,21,,RBRVS,5.00 ,4.11 ,8.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
28126,CPT,PARTIAL REMOVAL OF TOE,,,21,,RBRVS,3.64 ,3.13 ,7.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
28130,CPT,REMOVAL OF ANKLE BONE,,,21,,RBRVS,9.50 ,7.45 ,7.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
28140,CPT,REMOVAL OF METATARSAL,,,21,,RBRVS,7.14 ,4.51 ,8.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
28150,CPT,REMOVAL OF TOE,,,21,,RBRVS,4.23 ,3.35 ,7.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
28153,CPT,PARTIAL REMOVAL OF TOE,,,21,,RBRVS,3.80 ,3.47 ,7.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
28160,CPT,PARTIAL REMOVAL OF TOE,,,21,,RBRVS,3.88 ,3.44 ,7.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
28171,CPT,RESECT TARSAL TUMOR,,,21,,RBRVS,16.41 ,12.44 ,12.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
28173,CPT,RESECT METATARSAL TUMOR,,,21,,RBRVS,14.16 ,6.01 ,6.01 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
28175,CPT,RESECT PHALANX OF TOE TUMOR,,,21,,RBRVS,8.29 ,4.73 ,4.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
28190,CPT,REMOVAL OF FOOT FOREIGN BODY,,,21,,RBRVS,2.01 ,1.63 ,5.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
28192,CPT,REMOVAL OF FOOT FOREIGN BODY,,,21,,RBRVS,4.78 ,3.75 ,8.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
28193,CPT,REMOVAL OF FOOT FOREIGN BODY,,,21,,RBRVS,5.90 ,4.19 ,8.84 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
28200,CPT,REPAIR OF FOOT TENDON,,,21,,RBRVS,4.74 ,4.07 ,8.98 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
28202,CPT,REPAIR/GRAFT OF FOOT TENDON,,,21,,RBRVS,7.07 ,4.70 ,9.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
28208,CPT,REPAIR OF FOOT TENDON,,,21,,RBRVS,4.51 ,4.08 ,8.87 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
28210,CPT,REPAIR/GRAFT OF FOOT TENDON,,,21,,RBRVS,6.52 ,4.85 ,9.77 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
28220,CPT,RELEASE OF FOOT TENDON,,,21,,RBRVS,4.67 ,3.61 ,7.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
28222,CPT,RELEASE OF FOOT TENDONS,,,21,,RBRVS,5.76 ,3.99 ,8.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
28225,CPT,RELEASE OF FOOT TENDON,,,21,,RBRVS,3.78 ,3.41 ,7.87 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
28226,CPT,RELEASE OF FOOT TENDONS,,,21,,RBRVS,4.67 ,5.77 ,12.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
28230,CPT,INCISION OF FOOT TENDON(S),,,21,,RBRVS,4.36 ,3.39 ,7.79 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
28232,CPT,INCISION OF TOE TENDON,,,21,,RBRVS,3.51 ,3.12 ,7.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
28234,CPT,INCISION OF FOOT TENDON,,,21,,RBRVS,3.54 ,3.73 ,7.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
28238,CPT,REVISION OF FOOT TENDON,,,21,,RBRVS,7.96 ,5.17 ,10.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
28240,CPT,RELEASE OF BIG TOE,,,21,,RBRVS,4.48 ,3.54 ,8.01 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
28250,CPT,REVISION OF FOOT FASCIA,,,21,,RBRVS,6.06 ,4.83 ,9.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
28260,CPT,RELEASE OF MIDFOOT JOINT,,,21,,RBRVS,8.19 ,5.76 ,10.99 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
28261,CPT,REVISION OF FOOT TENDON,,,21,,RBRVS,13.11 ,11.37 ,18.94 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
28262,CPT,REVISION OF FOOT AND ANKLE,,,21,,RBRVS,17.21 ,12.39 ,20.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
28264,CPT,RELEASE OF MIDFOOT JOINT,,,21,,RBRVS,10.65 ,9.45 ,16.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
28270,CPT,RELEASE OF FOOT CONTRACTURE,,,21,,RBRVS,4.93 ,4.20 ,8.77 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
28272,CPT,RELEASE OF TOE JOINT EACH,,,21,,RBRVS,3.92 ,3.02 ,7.02 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
28280,CPT,FUSION OF TOES,,,21,,RBRVS,5.33 ,4.14 ,8.94 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
28285,CPT,REPAIR OF HAMMERTOE,,,21,,RBRVS,5.62 ,4.76 ,9.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
28286,CPT,REPAIR OF HAMMERTOE,,,21,,RBRVS,4.70 ,3.47 ,7.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
28288,CPT,PARTIAL REMOVAL OF FOOT BONE,,,21,,RBRVS,6.02 ,5.80 ,10.91 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
28289,CPT,CORRJ HALUX RIGDUS W/O IMPLT,,,21,,RBRVS,6.90 ,5.54 ,12.91 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
28291,CPT,CORRJ HALUX RIGDUS W/IMPLT,,,21,,RBRVS,8.01 ,5.34 ,12.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
28292,CPT,CORRECTION HALLUX VALGUS,,,21,,RBRVS,7.44 ,5.77 ,12.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
28295,CPT,CORRECTION HALLUX VALGUS,,,21,,RBRVS,8.57 ,6.63 ,19.00 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
28296,CPT,CORRECTION HALLUX VALGUS,,,21,,RBRVS,8.25 ,5.80 ,17.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
28297,CPT,CORRECTION HALLUX VALGUS,,,21,,RBRVS,9.29 ,7.02 ,19.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
28298,CPT,CORRECTION HALLUX VALGUS,,,21,,RBRVS,7.75 ,5.74 ,15.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
28299,CPT,CORRECTION HALLUX VALGUS,,,21,,RBRVS,9.29 ,6.55 ,18.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
28300,CPT,INCISION OF HEEL BONE,,,21,,RBRVS,9.73 ,7.55 ,7.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
28302,CPT,INCISION OF ANKLE BONE,,,21,,RBRVS,9.74 ,8.99 ,8.99 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
28304,CPT,INCISION OF MIDFOOT BONES,,,21,,RBRVS,9.41 ,6.74 ,12.95 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
28305,CPT,INCISE/GRAFT MIDFOOT BONES,,,21,,RBRVS,10.77 ,7.21 ,7.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
28306,CPT,INCISION OF METATARSAL,,,21,,RBRVS,6.00 ,4.79 ,10.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
28307,CPT,INCISION OF METATARSAL,,,21,,RBRVS,6.50 ,4.80 ,10.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
28308,CPT,INCISION OF METATARSAL,,,21,,RBRVS,5.48 ,4.87 ,10.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
28309,CPT,INCISION OF METATARSALS,,,21,,RBRVS,14.16 ,9.34 ,9.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
28310,CPT,REVISION OF BIG TOE,,,21,,RBRVS,5.57 ,4.20 ,9.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
28312,CPT,REVISION OF TOE,,,21,,RBRVS,4.69 ,3.94 ,9.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
28313,CPT,REPAIR DEFORMITY OF TOE,,,21,,RBRVS,5.15 ,4.46 ,9.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
28315,CPT,REMOVAL OF SESAMOID BONE,,,21,,RBRVS,5.00 ,3.87 ,8.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
28320,CPT,REPAIR OF FOOT BONES,,,21,,RBRVS,9.37 ,6.98 ,6.98 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
28322,CPT,REPAIR OF METATARSALS,,,21,,RBRVS,8.53 ,6.79 ,12.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
28340,CPT,RESECT ENLARGED TOE TISSUE,,,21,,RBRVS,7.15 ,4.17 ,8.88 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
28341,CPT,RESECT ENLARGED TOE,,,21,,RBRVS,8.72 ,4.76 ,9.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
28344,CPT,REPAIR EXTRA TOE(S),,,21,,RBRVS,4.40 ,3.30 ,7.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
28345,CPT,REPAIR WEBBED TOE(S),,,21,,RBRVS,6.09 ,3.93 ,8.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
28360,CPT,RECONSTRUCT CLEFT FOOT,,,21,,RBRVS,14.92 ,13.65 ,13.65 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
28400,CPT,TREATMENT OF HEEL FRACTURE,,,21,,RBRVS,2.31 ,3.87 ,4.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
28405,CPT,TREATMENT OF HEEL FRACTURE,,,21,,RBRVS,4.74 ,4.70 ,5.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
28406,CPT,TREATMENT OF HEEL FRACTURE,,,21,,RBRVS,6.56 ,7.86 ,7.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
28415,CPT,TREAT HEEL FRACTURE,,,21,,RBRVS,16.19 ,13.47 ,13.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
28420,CPT,TREAT/GRAFT HEEL FRACTURE,,,21,,RBRVS,17.52 ,16.12 ,16.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
28430,CPT,TREATMENT OF ANKLE FRACTURE,,,21,,RBRVS,2.22 ,3.46 ,4.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
28435,CPT,TREATMENT OF ANKLE FRACTURE,,,21,,RBRVS,3.54 ,5.09 ,6.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
28436,CPT,TREATMENT OF ANKLE FRACTURE,,,21,,RBRVS,4.90 ,7.59 ,7.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
28445,CPT,TREAT ANKLE FRACTURE,,,21,,RBRVS,15.76 ,11.60 ,11.60 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
28446,CPT,OSTEOCHONDRAL TALUS AUTOGRFT,,,21,,RBRVS,17.71 ,14.14 ,14.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
28450,CPT,TREAT MIDFOOT FRACTURE EACH,,,21,,RBRVS,2.03 ,3.16 ,3.76 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
28455,CPT,TREAT MIDFOOT FRACTURE EACH,,,21,,RBRVS,3.24 ,3.78 ,4.65 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
28456,CPT,TREAT MIDFOOT FRACTURE,,,21,,RBRVS,2.86 ,6.32 ,6.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
28465,CPT,TREAT MIDFOOT FRACTURE EACH,,,21,,RBRVS,8.80 ,8.14 ,8.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
28470,CPT,TREAT METATARSAL FRACTURE,,,21,,RBRVS,2.03 ,3.52 ,3.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
28475,CPT,TREAT METATARSAL FRACTURE,,,21,,RBRVS,3.01 ,3.14 ,3.99 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
28476,CPT,TREAT METATARSAL FRACTURE,,,21,,RBRVS,3.60 ,6.39 ,6.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
28485,CPT,TREAT METATARSAL FRACTURE,,,21,,RBRVS,7.44 ,7.53 ,7.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
28490,CPT,TREAT BIG TOE FRACTURE,,,21,,RBRVS,1.17 ,2.22 ,2.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
28495,CPT,TREAT BIG TOE FRACTURE,,,21,,RBRVS,1.68 ,2.38 ,3.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
28496,CPT,TREAT BIG TOE FRACTURE,,,21,,RBRVS,2.48 ,4.06 ,10.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
28505,CPT,TREAT BIG TOE FRACTURE,,,21,,RBRVS,7.44 ,5.98 ,10.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
28510,CPT,TREATMENT OF TOE FRACTURE,,,21,,RBRVS,1.17 ,2.11 ,2.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
28515,CPT,TREATMENT OF TOE FRACTURE,,,21,,RBRVS,1.56 ,2.34 ,2.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
28525,CPT,TREAT TOE FRACTURE,,,21,,RBRVS,5.62 ,5.33 ,10.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
28530,CPT,TREAT SESAMOID BONE FRACTURE,,,21,,RBRVS,1.11 ,1.66 ,2.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
28531,CPT,TREAT SESAMOID BONE FRACTURE,,,21,,RBRVS,2.57 ,2.44 ,6.95 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
28540,CPT,TREAT FOOT DISLOCATION,,,21,,RBRVS,2.19 ,2.64 ,3.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
28545,CPT,TREAT FOOT DISLOCATION,,,21,,RBRVS,2.60 ,4.50 ,5.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
28546,CPT,TREAT FOOT DISLOCATION,,,21,,RBRVS,3.40 ,5.80 ,12.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
28555,CPT,REPAIR FOOT DISLOCATION,,,21,,RBRVS,9.65 ,7.68 ,13.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
28570,CPT,TREAT FOOT DISLOCATION,,,21,,RBRVS,1.76 ,3.41 ,4.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
28575,CPT,TREAT FOOT DISLOCATION,,,21,,RBRVS,3.49 ,5.41 ,6.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
28576,CPT,TREAT FOOT DISLOCATION,,,21,,RBRVS,4.60 ,5.64 ,5.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
28585,CPT,REPAIR FOOT DISLOCATION,,,21,,RBRVS,11.13 ,7.28 ,12.60 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
28600,CPT,TREAT FOOT DISLOCATION,,,21,,RBRVS,2.02 ,3.01 ,3.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
28605,CPT,TREAT FOOT DISLOCATION,,,21,,RBRVS,2.89 ,5.11 ,6.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
28606,CPT,TREAT FOOT DISLOCATION,,,21,,RBRVS,5.09 ,5.26 ,5.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
28615,CPT,REPAIR FOOT DISLOCATION,,,21,,RBRVS,10.70 ,11.01 ,11.01 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
28630,CPT,TREAT TOE DISLOCATION,,,21,,RBRVS,1.75 ,1.18 ,2.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
28635,CPT,TREAT TOE DISLOCATION,,,21,,RBRVS,1.96 ,1.62 ,2.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
28636,CPT,TREAT TOE DISLOCATION,,,21,,RBRVS,2.77 ,2.56 ,5.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
28645,CPT,REPAIR TOE DISLOCATION,,,21,,RBRVS,7.44 ,5.72 ,10.65 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
28660,CPT,TREAT TOE DISLOCATION,,,21,,RBRVS,1.28 ,1.11 ,1.91 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
28665,CPT,TREAT TOE DISLOCATION,,,21,,RBRVS,1.97 ,1.54 ,2.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
28666,CPT,TREAT TOE DISLOCATION,,,21,,RBRVS,2.66 ,1.92 ,1.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
28675,CPT,REPAIR OF TOE DISLOCATION,,,21,,RBRVS,5.62 ,5.35 ,10.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
28705,CPT,FUSION OF FOOT BONES,,,21,,RBRVS,20.33 ,12.19 ,12.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
28715,CPT,FUSION OF FOOT BONES,,,21,,RBRVS,13.42 ,11.45 ,11.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
28725,CPT,FUSION OF FOOT BONES,,,21,,RBRVS,11.22 ,9.45 ,9.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
28730,CPT,FUSION OF FOOT BONES,,,21,,RBRVS,10.70 ,8.88 ,8.88 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
28735,CPT,FUSION OF FOOT BONES,,,21,,RBRVS,12.23 ,8.47 ,8.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
28737,CPT,REVISION OF FOOT BONES,,,21,,RBRVS,11.03 ,7.52 ,7.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
28740,CPT,FUSION OF FOOT BONES,,,21,,RBRVS,9.29 ,7.36 ,13.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
28750,CPT,FUSION OF BIG TOE JOINT,,,21,,RBRVS,8.57 ,7.09 ,13.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
28755,CPT,FUSION OF BIG TOE JOINT,,,21,,RBRVS,4.88 ,4.16 ,9.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
28760,CPT,FUSION OF BIG TOE JOINT,,,21,,RBRVS,9.14 ,6.45 ,12.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
28800,CPT,AMPUTATION OF MIDFOOT,,,21,,RBRVS,8.79 ,5.51 ,5.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
28805,CPT,AMPUTATION THRU METATARSAL,,,21,,RBRVS,12.71 ,6.42 ,6.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
28810,CPT,AMPUTATION TOE & METATARSAL,,,21,,RBRVS,6.64 ,4.65 ,4.65 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
28820,CPT,AMPUTATION OF TOE,,,21,,RBRVS,5.82 ,4.75 ,9.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
28825,CPT,PARTIAL AMPUTATION OF TOE,,,21,,RBRVS,5.37 ,4.59 ,9.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
28890,CPT,HI ENRGY ESWT PLANTAR FASCIA,,,21,,RBRVS,3.45 ,2.63 ,5.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
28899,CPT,FOOT/TOES SURGERY PROCEDURE,,,21,,TotalUnits,,,,10.76 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
29000,CPT,APPLICATION OF BODY CAST,,,21,,RBRVS,2.25 ,2.50 ,6.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
29010,CPT,APPLICATION OF BODY CAST,,,21,,RBRVS,2.06 ,2.11 ,5.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
29015,CPT,APPLICATION OF BODY CAST,,,21,,RBRVS,2.41 ,2.29 ,5.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
29035,CPT,APPLICATION OF BODY CAST,,,21,,RBRVS,1.77 ,1.96 ,5.01 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
29040,CPT,APPLICATION OF BODY CAST,,,21,,RBRVS,2.22 ,2.29 ,5.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
29044,CPT,APPLICATION OF BODY CAST,,,21,,RBRVS,2.12 ,2.23 ,5.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
29046,CPT,APPLICATION OF BODY CAST,,,21,,RBRVS,2.41 ,2.48 ,5.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
29049,CPT,APPLICATION OF FIGURE EIGHT,,,21,,RBRVS,0.89 ,0.93 ,1.72 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
29055,CPT,APPLICATION OF SHOULDER CAST,,,21,,RBRVS,1.78 ,1.80 ,4.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
29058,CPT,APPLICATION OF SHOULDER CAST,,,21,,RBRVS,1.31 ,1.13 ,1.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
29065,CPT,APPLICATION OF LONG ARM CAST,,,21,,RBRVS,0.87 ,0.92 ,1.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
29075,CPT,APPLICATION OF FOREARM CAST,,,21,,RBRVS,0.77 ,0.86 ,1.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
29085,CPT,APPLY HAND/WRIST CAST,,,21,,RBRVS,0.87 ,0.90 ,1.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
29086,CPT,APPLY FINGER CAST,,,21,,RBRVS,0.62 ,0.76 ,1.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
29105,CPT,APPLY LONG ARM SPLINT,,,21,,RBRVS,0.80 ,0.28 ,1.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
29125,CPT,APPLY FOREARM SPLINT,,,21,,RBRVS,0.50 ,0.54 ,1.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
29126,CPT,APPLY FOREARM SPLINT,,,21,,RBRVS,0.68 ,0.63 ,1.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
29130,CPT,APPLICATION OF FINGER SPLINT,,,21,,RBRVS,0.50 ,0.26 ,0.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
29131,CPT,APPLICATION OF FINGER SPLINT,,,21,,RBRVS,0.55 ,0.34 ,0.84 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
29200,CPT,STRAPPING OF CHEST,,,21,,RBRVS,0.39 ,0.13 ,0.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
29240,CPT,STRAPPING OF SHOULDER,,,21,,RBRVS,0.39 ,0.13 ,0.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
29260,CPT,STRAPPING OF ELBOW OR WRIST,,,21,,RBRVS,0.39 ,0.14 ,0.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
29280,CPT,STRAPPING OF HAND OR FINGER,,,21,,RBRVS,0.39 ,0.16 ,0.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
29305,CPT,APPLICATION OF HIP CAST,,,21,,RBRVS,2.03 ,2.09 ,4.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
29325,CPT,APPLICATION OF HIP CASTS,,,21,,RBRVS,2.32 ,2.30 ,4.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
29345,CPT,APPLICATION OF LONG LEG CAST,,,21,,RBRVS,1.40 ,1.20 ,2.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
29355,CPT,APPLICATION OF LONG LEG CAST,,,21,,RBRVS,1.53 ,1.26 ,2.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
29358,CPT,APPLY LONG LEG CAST BRACE,,,21,,RBRVS,1.43 ,1.25 ,2.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
29365,CPT,APPLICATION OF LONG LEG CAST,,,21,,RBRVS,1.18 ,1.09 ,2.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
29405,CPT,APPLY SHORT LEG CAST,,,21,,RBRVS,0.80 ,0.77 ,1.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
29425,CPT,APPLY SHORT LEG CAST,,,21,,RBRVS,0.80 ,0.68 ,1.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
29435,CPT,APPLY SHORT LEG CAST,,,21,,RBRVS,1.18 ,0.96 ,1.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
29440,CPT,ADDITION OF WALKER TO CAST,,,21,,RBRVS,0.57 ,0.21 ,0.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
29445,CPT,APPLY RIGID LEG CAST,,,21,,RBRVS,1.78 ,0.94 ,1.72 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
29450,CPT,APPLICATION OF LEG CAST,,,21,,RBRVS,2.08 ,0.96 ,1.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
29505,CPT,APPLICATION LONG LEG SPLINT,,,21,,RBRVS,0.69 ,0.65 ,1.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
29515,CPT,APPLICATION LOWER LEG SPLINT,,,21,,RBRVS,0.73 ,0.58 ,1.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
29520,CPT,STRAPPING OF HIP,,,21,,RBRVS,0.39 ,0.14 ,0.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
29530,CPT,STRAPPING OF KNEE,,,21,,RBRVS,0.39 ,0.13 ,0.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
29540,CPT,STRAPPING OF ANKLE AND/OR FT,,,21,,RBRVS,0.39 ,0.09 ,0.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
29550,CPT,STRAPPING OF TOES,,,21,,RBRVS,0.25 ,0.06 ,0.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
29580,CPT,APPLICATION OF PASTE BOOT,,,21,,RBRVS,0.55 ,0.16 ,1.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
29581,CPT,APPLY MULTLAY COMPRS LWR LEG,,,21,,RBRVS,0.60 ,0.18 ,1.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
29584,CPT,APPL MULTLAY COMPRS ARM/HAND,,,21,,RBRVS,0.35 ,0.11 ,2.01 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
29700,CPT,REMOVAL/REVISION OF CAST,,,21,,RBRVS,0.57 ,0.30 ,1.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
29705,CPT,REMOVAL/REVISION OF CAST,,,21,,RBRVS,0.76 ,0.44 ,0.95 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
29710,CPT,REMOVAL/REVISION OF CAST,,,21,,RBRVS,1.34 ,0.80 ,1.87 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
29720,CPT,REPAIR OF BODY CAST,,,21,,RBRVS,0.68 ,0.45 ,1.57 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
29730,CPT,WINDOWING OF CAST,,,21,,RBRVS,0.75 ,0.39 ,0.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
29740,CPT,WEDGING OF CAST,,,21,,RBRVS,1.12 ,0.67 ,1.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
29750,CPT,WEDGING OF CLUBFOOT CAST,,,21,,RBRVS,1.26 ,0.74 ,1.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
29799,CPT,CASTING/STRAPPING PROCEDURE,,,21,,TotalUnits,,,,1.63 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
29800,CPT,JAW ARTHROSCOPY/SURGERY,,,21,,RBRVS,6.84 ,7.05 ,7.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
29804,CPT,JAW ARTHROSCOPY/SURGERY,,,21,,RBRVS,8.87 ,8.08 ,8.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
29805,CPT,SHOULDER ARTHROSCOPY DX,,,21,,RBRVS,6.03 ,6.36 ,6.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
29806,CPT,SHOULDER ARTHROSCOPY/SURGERY,,,21,,RBRVS,15.14 ,12.49 ,12.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
29807,CPT,SHOULDER ARTHROSCOPY/SURGERY,,,21,,RBRVS,14.67 ,12.36 ,12.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
29819,CPT,SHOULDER ARTHROSCOPY/SURGERY,,,21,,RBRVS,7.79 ,7.62 ,7.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
29820,CPT,SHOULDER ARTHROSCOPY/SURGERY,,,21,,RBRVS,7.21 ,6.90 ,6.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
29821,CPT,SHOULDER ARTHROSCOPY/SURGERY,,,21,,RBRVS,7.89 ,7.70 ,7.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
29822,CPT,SHO ARTHRS SRG LMTD DBRDMT,,,21,,RBRVS,7.60 ,7.57 ,7.57 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
29823,CPT,SHO ARTHRS SRG XTNSV DBRDMT,,,21,,RBRVS,8.36 ,8.13 ,8.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
29824,CPT,SHOULDER ARTHROSCOPY/SURGERY,,,21,,RBRVS,8.98 ,8.78 ,8.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
29825,CPT,SHOULDER ARTHROSCOPY/SURGERY,,,21,,RBRVS,7.79 ,7.62 ,7.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
29826,CPT,SHOULDER ARTHROSCOPY/SURGERY,,,21,,RBRVS,3.00 ,1.48 ,1.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
29827,CPT,ARTHROSCOP ROTATOR CUFF REPR,,,21,,RBRVS,15.59 ,12.34 ,12.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
29828,CPT,ARTHROSCOPY BICEPS TENODESIS,,,21,,RBRVS,13.16 ,10.84 ,10.84 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
29830,CPT,ELBOW ARTHROSCOPY,,,21,,RBRVS,5.88 ,6.12 ,6.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
29834,CPT,ELBOW ARTHROSCOPY/SURGERY,,,21,,RBRVS,6.42 ,6.55 ,6.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
29835,CPT,ELBOW ARTHROSCOPY/SURGERY,,,21,,RBRVS,6.62 ,6.74 ,6.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
29836,CPT,ELBOW ARTHROSCOPY/SURGERY,,,21,,RBRVS,7.72 ,7.66 ,7.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
29837,CPT,ELBOW ARTHROSCOPY/SURGERY,,,21,,RBRVS,7.01 ,6.88 ,6.88 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
29838,CPT,ELBOW ARTHROSCOPY/SURGERY,,,21,,RBRVS,7.88 ,7.73 ,7.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
29840,CPT,WRIST ARTHROSCOPY,,,21,,RBRVS,5.68 ,6.29 ,6.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
29843,CPT,WRIST ARTHROSCOPY/SURGERY,,,21,,RBRVS,6.15 ,6.61 ,6.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
29844,CPT,WRIST ARTHROSCOPY/SURGERY,,,21,,RBRVS,6.51 ,6.73 ,6.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
29845,CPT,WRIST ARTHROSCOPY/SURGERY,,,21,,RBRVS,7.69 ,7.73 ,7.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
29846,CPT,WRIST ARTHROSCOPY/SURGERY,,,21,,RBRVS,6.89 ,6.93 ,6.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
29847,CPT,WRIST ARTHROSCOPY/SURGERY,,,21,,RBRVS,7.22 ,7.04 ,7.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
29848,CPT,WRIST ENDOSCOPY/SURGERY,,,21,,RBRVS,6.39 ,7.14 ,7.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
29850,CPT,KNEE ARTHROSCOPY/SURGERY,,,21,,RBRVS,8.27 ,8.07 ,8.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
29851,CPT,KNEE ARTHROSCOPY/SURGERY,,,21,,RBRVS,13.26 ,10.99 ,10.99 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
29855,CPT,TIBIAL ARTHROSCOPY/SURGERY,,,21,,RBRVS,10.76 ,9.74 ,9.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
29856,CPT,TIBIAL ARTHROSCOPY/SURGERY,,,21,,RBRVS,14.28 ,11.52 ,11.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
29860,CPT,HIP ARTHROSCOPY DX,,,21,,RBRVS,9.00 ,8.44 ,8.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
29861,CPT,HIP ARTHRO W/FB REMOVAL,,,21,,RBRVS,10.10 ,8.79 ,8.79 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
29862,CPT,HIP ARTHR0 W/DEBRIDEMENT,,,21,,RBRVS,11.17 ,10.15 ,10.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
29863,CPT,HIP ARTHR0 W/SYNOVECTOMY,,,21,,RBRVS,11.17 ,10.19 ,10.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
29866,CPT,AUTGRFT IMPLNT KNEE W/SCOPE,,,21,,RBRVS,14.67 ,12.74 ,12.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
29867,CPT,ALLGRFT IMPLNT KNEE W/SCOPE,,,21,,RBRVS,18.39 ,14.89 ,14.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
29868,CPT,MENISCAL TRNSPL KNEE W/SCPE,,,21,,RBRVS,25.10 ,18.26 ,18.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
29870,CPT,KNEE ARTHROSCOPY DX,,,21,,RBRVS,5.19 ,5.65 ,10.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
29871,CPT,KNEE ARTHROSCOPY/DRAINAGE,,,21,,RBRVS,6.69 ,6.82 ,6.82 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
29873,CPT,KNEE ARTHROSCOPY/SURGERY,,,21,,RBRVS,6.24 ,7.78 ,7.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
29874,CPT,KNEE ARTHROSCOPY/SURGERY,,,21,,RBRVS,7.19 ,6.93 ,6.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
29875,CPT,KNEE ARTHROSCOPY/SURGERY,,,21,,RBRVS,6.45 ,6.61 ,6.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
29876,CPT,KNEE ARTHROSCOPY/SURGERY,,,21,,RBRVS,8.87 ,8.28 ,8.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
29877,CPT,KNEE ARTHROSCOPY/SURGERY,,,21,,RBRVS,8.30 ,8.00 ,8.00 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
29879,CPT,KNEE ARTHROSCOPY/SURGERY,,,21,,RBRVS,8.99 ,8.36 ,8.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
29880,CPT,KNEE ARTHROSCOPY/SURGERY,,,21,,RBRVS,7.39 ,7.38 ,7.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
29881,CPT,KNEE ARTHROSCOPY/SURGERY,,,21,,RBRVS,7.03 ,7.21 ,7.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
29882,CPT,KNEE ARTHROSCOPY/SURGERY,,,21,,RBRVS,9.60 ,8.54 ,8.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
29883,CPT,KNEE ARTHROSCOPY/SURGERY,,,21,,RBRVS,11.77 ,10.22 ,10.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
29884,CPT,KNEE ARTHROSCOPY/SURGERY,,,21,,RBRVS,8.28 ,7.96 ,7.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
29885,CPT,KNEE ARTHROSCOPY/SURGERY,,,21,,RBRVS,10.21 ,9.54 ,9.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
29886,CPT,KNEE ARTHROSCOPY/SURGERY,,,21,,RBRVS,8.49 ,8.18 ,8.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
29887,CPT,KNEE ARTHROSCOPY/SURGERY,,,21,,RBRVS,10.16 ,9.51 ,9.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
29888,CPT,KNEE ARTHROSCOPY/SURGERY,,,21,,RBRVS,14.30 ,11.30 ,11.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
29889,CPT,KNEE ARTHROSCOPY/SURGERY,,,21,,RBRVS,17.41 ,14.46 ,14.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
29891,CPT,ANKLE ARTHROSCOPY/SURGERY,,,21,,RBRVS,9.67 ,8.15 ,8.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
29892,CPT,ANKLE ARTHROSCOPY/SURGERY,,,21,,RBRVS,10.27 ,7.26 ,7.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
29893,CPT,SCOPE PLANTAR FASCIOTOMY,,,21,,RBRVS,6.32 ,5.54 ,11.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
29894,CPT,ANKLE ARTHROSCOPY/SURGERY,,,21,,RBRVS,7.35 ,5.92 ,5.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
29895,CPT,ANKLE ARTHROSCOPY/SURGERY,,,21,,RBRVS,7.13 ,5.34 ,5.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
29897,CPT,ANKLE ARTHROSCOPY/SURGERY,,,21,,RBRVS,7.32 ,5.96 ,5.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
29898,CPT,ANKLE ARTHROSCOPY/SURGERY,,,21,,RBRVS,8.49 ,6.51 ,6.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
29899,CPT,ANKLE ARTHROSCOPY/SURGERY,,,21,,RBRVS,15.41 ,11.61 ,11.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
29900,CPT,MCP JOINT ARTHROSCOPY DX,,,21,,RBRVS,5.88 ,7.31 ,7.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
29901,CPT,MCP JOINT ARTHROSCOPY SURG,,,21,,RBRVS,6.59 ,7.56 ,7.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
29902,CPT,MCP JOINT ARTHROSCOPY SURG,,,21,,RBRVS,7.16 ,7.83 ,7.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
29904,CPT,SUBTALAR ARTHRO W/FB RMVL,,,21,,RBRVS,8.65 ,8.04 ,8.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
29905,CPT,SUBTALAR ARTHRO W/EXC,,,21,,RBRVS,9.18 ,5.04 ,5.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
29906,CPT,SUBTALAR ARTHRO W/DEB,,,21,,RBRVS,9.65 ,7.99 ,7.99 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
29907,CPT,SUBTALAR ARTHRO W/FUSION,,,21,,RBRVS,12.18 ,10.71 ,10.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
29914,CPT,HIP ARTHRO W/FEMOROPLASTY,,,21,,RBRVS,14.67 ,11.31 ,11.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
29915,CPT,HIP ARTHRO ACETABULOPLASTY,,,21,,RBRVS,15.00 ,11.69 ,11.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
29916,CPT,HIP ARTHRO W/LABRAL REPAIR,,,21,,RBRVS,15.00 ,11.72 ,11.72 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
29999,CPT,ARTHROSCOPY OF JOINT,,,21,,TotalUnits,,,,15.17 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
30000,CPT,DRAINAGE OF NOSE LESION,,,21,,RBRVS,1.48 ,1.68 ,5.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
30020,CPT,DRAINAGE OF NOSE LESION,,,21,,RBRVS,1.48 ,1.70 ,5.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
30100,CPT,INTRANASAL BIOPSY,,,21,,RBRVS,0.94 ,0.85 ,2.97 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
30110,CPT,REMOVAL OF NOSE POLYP(S),,,21,,RBRVS,1.68 ,1.78 ,4.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
30115,CPT,REMOVAL OF NOSE POLYP(S),,,21,,RBRVS,4.44 ,7.66 ,7.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
30117,CPT,REMOVAL OF INTRANASAL LESION,,,21,,RBRVS,3.26 ,5.77 ,22.77 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
30118,CPT,REMOVAL OF INTRANASAL LESION,,,21,,RBRVS,9.92 ,10.83 ,10.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
30120,CPT,REVISION OF NOSE,,,21,,RBRVS,5.39 ,6.05 ,8.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
30124,CPT,REMOVAL OF NOSE LESION,,,21,,RBRVS,3.20 ,4.69 ,4.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
30125,CPT,REMOVAL OF NOSE LESION,,,21,,RBRVS,7.30 ,9.66 ,9.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
30130,CPT,EXCISE INFERIOR TURBINATE,,,21,,RBRVS,3.47 ,7.34 ,7.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
30140,CPT,RESECT INFERIOR TURBINATE,,,21,,RBRVS,3.00 ,1.69 ,4.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
30150,CPT,PARTIAL REMOVAL OF NOSE,,,21,,RBRVS,9.55 ,11.51 ,11.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
30160,CPT,REMOVAL OF NOSE,,,21,,RBRVS,9.99 ,11.26 ,11.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
30200,CPT,INJECTION TREATMENT OF NOSE,,,21,,RBRVS,0.78 ,0.77 ,2.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
30210,CPT,NASAL SINUS THERAPY,,,21,,RBRVS,1.13 ,1.54 ,2.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
30220,CPT,INSERT NASAL SEPTAL BUTTON,,,21,,RBRVS,1.59 ,1.75 ,6.88 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
30300,CPT,REMOVE NASAL FOREIGN BODY,,,21,,RBRVS,1.09 ,2.01 ,4.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
30310,CPT,REMOVE NASAL FOREIGN BODY,,,21,,RBRVS,2.01 ,3.51 ,3.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
30320,CPT,REMOVE NASAL FOREIGN BODY,,,21,,RBRVS,4.64 ,8.01 ,8.01 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
30400,CPT,RECONSTRUCTION OF NOSE,,,21,,RBRVS,10.86 ,21.57 ,21.57 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
30410,CPT,RECONSTRUCTION OF NOSE,,,21,,RBRVS,14.00 ,23.40 ,23.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
30420,CPT,RECONSTRUCTION OF NOSE,,,21,,RBRVS,16.90 ,21.05 ,21.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
30430,CPT,REVISION OF NOSE,,,21,,RBRVS,8.24 ,20.05 ,20.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
30435,CPT,REVISION OF NOSE,,,21,,RBRVS,12.73 ,22.67 ,22.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
30450,CPT,REVISION OF NOSE,,,21,,RBRVS,19.66 ,26.70 ,26.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
30460,CPT,REVISION OF NOSE,,,21,,RBRVS,10.32 ,11.75 ,11.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
30462,CPT,REVISION OF NOSE,,,21,,RBRVS,20.28 ,22.09 ,22.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
30465,CPT,REPAIR NASAL STENOSIS,,,21,,RBRVS,12.36 ,14.48 ,14.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
30468,CPT,RPR NSL VLV COLLAPSE W/IMPLT,,,21,,RBRVS,2.80 ,1.78 ,85.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
30520,CPT,REPAIR OF NASAL SEPTUM,,,21,,RBRVS,7.01 ,10.47 ,10.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
30540,CPT,REPAIR NASAL DEFECT,,,21,,RBRVS,7.92 ,11.24 ,11.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
30545,CPT,REPAIR NASAL DEFECT,,,21,,RBRVS,11.62 ,14.44 ,14.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
30560,CPT,RELEASE OF NASAL ADHESIONS,,,21,,RBRVS,1.31 ,2.53 ,6.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
30580,CPT,REPAIR UPPER JAW FISTULA,,,21,,RBRVS,6.88 ,6.11 ,10.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
30600,CPT,REPAIR MOUTH/NOSE FISTULA,,,21,,RBRVS,6.16 ,5.45 ,9.98 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
30620,CPT,INTRANASAL RECONSTRUCTION,,,21,,RBRVS,6.16 ,11.24 ,11.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
30630,CPT,REPAIR NASAL SEPTUM DEFECT,,,21,,RBRVS,7.29 ,10.15 ,10.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
30801,CPT,ABLATE INF TURBINATE SUPERF,,,21,,RBRVS,1.14 ,2.81 ,4.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
30802,CPT,ABLATE INF TURBINATE SUBMUC,,,21,,RBRVS,2.08 ,3.22 ,5.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
30901,CPT,CONTROL OF NOSEBLEED,,,21,,RBRVS,1.10 ,0.36 ,2.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
30903,CPT,CONTROL OF NOSEBLEED,,,21,,RBRVS,1.54 ,0.47 ,4.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
30905,CPT,CONTROL OF NOSEBLEED,,,21,,RBRVS,1.97 ,0.76 ,7.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
30906,CPT,REPEAT CONTROL OF NOSEBLEED,,,21,,RBRVS,2.45 ,1.10 ,7.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
30915,CPT,LIGATION NASAL SINUS ARTERY,,,21,,RBRVS,7.44 ,8.31 ,8.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
30920,CPT,LIGATION UPPER JAW ARTERY,,,21,,RBRVS,11.14 ,11.66 ,11.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
30930,CPT,THER FX NASAL INF TURBINATE,,,21,,RBRVS,1.31 ,1.88 ,1.88 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
30999,CPT,NASAL SURGERY PROCEDURE,,,21,,TotalUnits,,,,5.21 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
31000,CPT,IRRIGATION MAXILLARY SINUS,,,21,,RBRVS,1.20 ,1.66 ,3.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
31002,CPT,IRRIGATION SPHENOID SINUS,,,21,,RBRVS,1.96 ,3.24 ,3.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
31020,CPT,EXPLORATION MAXILLARY SINUS,,,21,,RBRVS,3.07 ,7.12 ,10.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
31030,CPT,EXPLORATION MAXILLARY SINUS,,,21,,RBRVS,6.01 ,8.05 ,11.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
31032,CPT,EXPLORE SINUS REMOVE POLYPS,,,21,,RBRVS,6.69 ,9.00 ,9.00 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
31040,CPT,EXPLORATION BEHIND UPPER JAW,,,21,,RBRVS,9.77 ,11.31 ,11.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
31050,CPT,EXPLORATION SPHENOID SINUS,,,21,,RBRVS,5.37 ,8.08 ,8.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
31051,CPT,SPHENOID SINUS SURGERY,,,21,,RBRVS,7.25 ,10.76 ,10.76 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
31070,CPT,EXPLORATION OF FRONTAL SINUS,,,21,,RBRVS,4.40 ,7.92 ,7.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
31075,CPT,EXPLORATION OF FRONTAL SINUS,,,21,,RBRVS,9.51 ,12.04 ,12.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
31080,CPT,REMOVAL OF FRONTAL SINUS,,,21,,RBRVS,12.74 ,15.62 ,15.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
31081,CPT,REMOVAL OF FRONTAL SINUS,,,21,,RBRVS,14.19 ,16.24 ,16.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
31084,CPT,REMOVAL OF FRONTAL SINUS,,,21,,RBRVS,14.95 ,16.56 ,16.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
31085,CPT,REMOVAL OF FRONTAL SINUS,,,21,,RBRVS,15.64 ,16.86 ,16.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
31086,CPT,REMOVAL OF FRONTAL SINUS,,,21,,RBRVS,14.36 ,16.32 ,16.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
31087,CPT,REMOVAL OF FRONTAL SINUS,,,21,,RBRVS,14.57 ,14.71 ,14.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
31090,CPT,EXPLORATION OF SINUSES,,,21,,RBRVS,11.17 ,17.69 ,17.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
31200,CPT,REMOVAL OF ETHMOID SINUS,,,21,,RBRVS,5.14 ,11.44 ,11.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
31201,CPT,REMOVAL OF ETHMOID SINUS,,,21,,RBRVS,8.60 ,12.15 ,12.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
31205,CPT,REMOVAL OF ETHMOID SINUS,,,21,,RBRVS,10.58 ,14.84 ,14.84 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
31225,CPT,REMOVAL OF UPPER JAW,,,21,,RBRVS,26.70 ,21.84 ,21.84 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
31230,CPT,REMOVAL OF UPPER JAW,,,21,,RBRVS,30.82 ,22.87 ,22.87 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
31231,CPT,NASAL ENDOSCOPY DX,,,21,,RBRVS,1.10 ,0.59 ,4.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
31233,CPT,NSL/SINS NDSC DX MAX SINUSC,,,21,,RBRVS,2.18 ,1.36 ,4.97 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
31235,CPT,NSL/SINS NDSC DX SPHN SINUSC,,,21,,RBRVS,2.64 ,1.58 ,5.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
31237,CPT,NASAL/SINUS ENDOSCOPY SURG,,,21,,RBRVS,2.60 ,1.59 ,4.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
31238,CPT,NASAL/SINUS ENDOSCOPY SURG,,,21,,RBRVS,2.74 ,1.65 ,3.99 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
31239,CPT,NASAL/SINUS ENDOSCOPY SURG,,,21,,RBRVS,9.04 ,7.46 ,7.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
31240,CPT,NASAL/SINUS ENDOSCOPY SURG,,,21,,RBRVS,2.61 ,1.56 ,1.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
31241,CPT,NSL/SINS NDSC W/ARTERY LIG,,,21,,RBRVS,8.00 ,3.68 ,3.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
31253,CPT,NSL/SINS NDSC TOTAL,,,21,,RBRVS,9.00 ,4.16 ,4.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
31254,CPT,NSL/SINS NDSC W/PRTL ETHMDCT,,,21,,RBRVS,4.27 ,2.13 ,7.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
31255,CPT,NSL/SINS NDSC W/TOT ETHMDCT,,,21,,RBRVS,5.75 ,2.77 ,2.77 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
31256,CPT,EXPLORATION MAXILLARY SINUS,,,21,,RBRVS,3.11 ,1.63 ,1.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
31257,CPT,NSL/SINS NDSC TOT W/SPHENDT,,,21,,RBRVS,8.00 ,3.73 ,3.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
31259,CPT,NSL/SINS NDSC SPHN TISS RMVL,,,21,,RBRVS,8.48 ,3.93 ,3.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
31267,CPT,ENDOSCOPY MAXILLARY SINUS,,,21,,RBRVS,4.68 ,2.30 ,2.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
31276,CPT,NSL/SINS NDSC FRNT TISS RMVL,,,21,,RBRVS,6.75 ,3.20 ,3.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
31287,CPT,NASAL/SINUS ENDOSCOPY SURG,,,21,,RBRVS,3.50 ,1.80 ,1.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
31288,CPT,NASAL/SINUS ENDOSCOPY SURG,,,21,,RBRVS,4.10 ,2.05 ,2.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
31290,CPT,NASAL/SINUS ENDOSCOPY SURG,,,21,,RBRVS,18.61 ,11.46 ,11.46 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
31291,CPT,NASAL/SINUS ENDOSCOPY SURG,,,21,,RBRVS,19.56 ,12.17 ,12.17 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
31292,CPT,NSL/SINS NDSC MED/INF DCMPRN,,,21,,RBRVS,15.90 ,10.36 ,10.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
31293,CPT,NSL/SINS NDSC MED&INF DCMPRN,,,21,,RBRVS,17.47 ,10.87 ,10.87 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
31294,CPT,NSL/SINS NDSC SURG ON DCMPRN,,,21,,RBRVS,20.31 ,12.08 ,12.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
31295,CPT,NSL/SINS NDSC SURG MAX SINS,,,21,,RBRVS,2.70 ,1.45 ,50.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
31296,CPT,NSL/SINS NDSC SURG FRNT SINS,,,21,,RBRVS,3.10 ,1.62 ,50.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
31297,CPT,NSL/SINS NDSC SURG SPHN SINS,,,21,,RBRVS,2.44 ,1.34 ,50.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
31298,CPT,NSL/SINS NDSC SURG FRNT&SPHN,,,21,,RBRVS,4.50 ,2.22 ,96.99 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
31299,CPT,SINUS SURGERY PROCEDURE,,,21,,TotalUnits,,,,5.14 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
31300,CPT,REMOVAL OF LARYNX LESION,,,21,,RBRVS,15.91 ,18.05 ,18.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
31360,CPT,REMOVAL OF LARYNX,,,21,,RBRVS,29.91 ,25.16 ,25.16 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
31365,CPT,REMOVAL OF LARYNX,,,21,,RBRVS,38.81 ,29.09 ,29.09 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
31367,CPT,PARTIAL REMOVAL OF LARYNX,,,21,,RBRVS,30.57 ,27.88 ,27.88 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
31368,CPT,PARTIAL REMOVAL OF LARYNX,,,21,,RBRVS,34.19 ,30.61 ,30.61 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
31370,CPT,PARTIAL REMOVAL OF LARYNX,,,21,,RBRVS,27.57 ,27.49 ,27.49 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
31375,CPT,PARTIAL REMOVAL OF LARYNX,,,21,,RBRVS,26.07 ,26.21 ,26.21 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
31380,CPT,PARTIAL REMOVAL OF LARYNX,,,21,,RBRVS,25.57 ,26.00 ,26.00 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
31382,CPT,PARTIAL REMOVAL OF LARYNX,,,21,,RBRVS,28.57 ,27.92 ,27.92 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
31390,CPT,REMOVAL OF LARYNX & PHARYNX,,,21,,RBRVS,42.51 ,32.78 ,32.78 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
31395,CPT,RECONSTRUCT LARYNX & PHARYNX,,,21,,RBRVS,43.80 ,35.68 ,35.68 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
31400,CPT,REVISION OF LARYNX,,,21,,RBRVS,11.60 ,14.83 ,14.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
31420,CPT,REMOVAL OF EPIGLOTTIS,,,21,,RBRVS,11.43 ,10.50 ,10.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
31500,CPT,INSERT EMERGENCY AIRWAY,,,21,,RBRVS,3.00 ,0.71 ,0.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
31502,CPT,CHANGE OF WINDPIPE AIRWAY,,,21,,RBRVS,0.65 ,0.27 ,0.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
31505,CPT,DIAGNOSTIC LARYNGOSCOPY,,,21,,RBRVS,0.61 ,0.69 ,1.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
31510,CPT,LARYNGOSCOPY WITH BIOPSY,,,21,,RBRVS,1.92 ,1.26 ,3.87 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
31511,CPT,REMOVE FOREIGN BODY LARYNX,,,21,,RBRVS,2.16 ,1.31 ,3.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
31512,CPT,REMOVAL OF LARYNX LESION,,,21,,RBRVS,2.07 ,1.32 ,3.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
31513,CPT,INJECTION INTO VOCAL CORD,,,21,,RBRVS,2.10 ,1.34 ,1.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
31515,CPT,LARYNGOSCOPY FOR ASPIRATION,,,21,,RBRVS,1.80 ,1.10 ,3.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
31520,CPT,DX LARYNGOSCOPY NEWBORN,,,21,,RBRVS,2.56 ,1.53 ,1.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
31525,CPT,DX LARYNGOSCOPY EXCL NB,,,21,,RBRVS,2.63 ,1.56 ,4.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
31526,CPT,DX LARYNGOSCOPY W/OPER SCOPE,,,21,,RBRVS,2.57 ,1.54 ,1.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
31527,CPT,LARYNGOSCOPY FOR TREATMENT,,,21,,RBRVS,3.27 ,1.84 ,1.84 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
31528,CPT,LARYNGOSCOPY AND DILATION,,,21,,RBRVS,2.37 ,1.40 ,1.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
31529,CPT,LARYNGOSCOPY AND DILATION,,,21,,RBRVS,2.68 ,1.54 ,1.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
31530,CPT,LARYNGOSCOPY W/FB REMOVAL,,,21,,RBRVS,3.38 ,1.84 ,1.84 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
31531,CPT,LARYNGOSCOPY W/FB & OP SCOPE,,,21,,RBRVS,3.58 ,1.97 ,1.97 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
31535,CPT,LARYNGOSCOPY W/BIOPSY,,,21,,RBRVS,3.16 ,1.79 ,1.79 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
31536,CPT,LARYNGOSCOPY W/BX & OP SCOPE,,,21,,RBRVS,3.55 ,1.96 ,1.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
31540,CPT,LARYNGOSCOPY W/EXC OF TUMOR,,,21,,RBRVS,4.12 ,2.21 ,2.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
31541,CPT,LARYNSCOP W/TUMR EXC + SCOPE,,,21,,RBRVS,4.52 ,2.38 ,2.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
31545,CPT,REMOVE VC LESION W/SCOPE,,,21,,RBRVS,6.30 ,3.18 ,3.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
31546,CPT,REMOVE VC LESION SCOPE/GRAFT,,,21,,RBRVS,9.73 ,4.65 ,4.65 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
31551,CPT,LARYNGOPLASTY LARYNGEAL STEN,,,21,,RBRVS,21.50 ,19.15 ,19.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
31552,CPT,LARYNGOPLASTY LARYNGEAL STEN,,,21,,RBRVS,20.50 ,18.74 ,18.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
31553,CPT,LARYNGOPLASTY LARYNGEAL STEN,,,21,,RBRVS,22.00 ,22.85 ,22.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
31554,CPT,LARYNGOPLASTY LARYNGEAL STEN,,,21,,RBRVS,22.00 ,22.86 ,22.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
31560,CPT,LARYNGOSCOP W/ARYTENOIDECTOM,,,21,,RBRVS,5.45 ,2.74 ,2.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
31561,CPT,LARYNSCOP REMVE CART + SCOP,,,21,,RBRVS,5.99 ,2.96 ,2.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
31570,CPT,LARYNGOSCOPE W/VC INJ,,,21,,RBRVS,3.86 ,2.11 ,5.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
31571,CPT,LARYNGOSCOP W/VC INJ + SCOPE,,,21,,RBRVS,4.26 ,2.26 ,2.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
31572,CPT,LARGSC W/LASER DSTRJ LES,,,21,,RBRVS,3.01 ,1.72 ,11.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
31573,CPT,LARGSC W/THER INJECTION,,,21,,RBRVS,2.43 ,1.47 ,5.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
31574,CPT,LARGSC W/NJX AUGMENTATION,,,21,,RBRVS,2.43 ,1.47 ,25.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
31575,CPT,DIAGNOSTIC LARYNGOSCOPY,,,21,,RBRVS,0.94 ,0.84 ,2.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
31576,CPT,LARYNGOSCOPY WITH BIOPSY,,,21,,RBRVS,1.89 ,1.23 ,5.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
31577,CPT,LARGSC W/RMVL FOREIGN BDY(S),,,21,,RBRVS,2.19 ,1.31 ,5.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
31578,CPT,LARGSC W/REMOVAL LESION,,,21,,RBRVS,2.43 ,1.46 ,5.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
31579,CPT,LARYNGOSCOPY TELESCOPIC,,,21,,RBRVS,1.88 ,1.27 ,3.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
31580,CPT,LARYNGOPLASTY LARYNGEAL WEB,,,21,,RBRVS,14.60 ,19.69 ,19.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
31584,CPT,LARYNGOPLASTY FX RDCTJ FIXJ,,,21,,RBRVS,17.58 ,20.18 ,20.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
31587,CPT,LARYNGOPLASTY CRICOID SPLIT,,,21,,RBRVS,15.27 ,16.50 ,16.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
31590,CPT,REINNERVATE LARYNX,,,21,,RBRVS,7.85 ,16.03 ,16.03 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
31591,CPT,LARYNGOPLASTY MEDIALIZATION,,,21,,RBRVS,13.56 ,15.34 ,15.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
31592,CPT,CRICOTRACHEAL RESECTION,,,21,,RBRVS,25.00 ,20.67 ,20.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
31599,CPT,LARYNX SURGERY PROCEDURE,,,21,,TotalUnits,,,,3.19 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
31600,CPT,INCISION OF WINDPIPE,,,21,,RBRVS,5.56 ,2.32 ,2.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
31601,CPT,INCISION OF WINDPIPE,,,21,,RBRVS,8.00 ,3.83 ,3.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
31603,CPT,INCISION OF WINDPIPE,,,21,,RBRVS,6.00 ,2.29 ,2.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
31605,CPT,INCISION OF WINDPIPE,,,21,,RBRVS,6.45 ,2.01 ,2.01 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
31610,CPT,INCISION OF WINDPIPE,,,21,,RBRVS,12.00 ,13.52 ,13.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
31611,CPT,SURGERY/SPEECH PROSTHESIS,,,21,,RBRVS,6.00 ,8.28 ,8.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
31612,CPT,PUNCTURE/CLEAR WINDPIPE,,,21,,RBRVS,0.91 ,0.34 ,1.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
31613,CPT,REPAIR WINDPIPE OPENING,,,21,,RBRVS,4.71 ,7.01 ,7.01 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
31614,CPT,REPAIR WINDPIPE OPENING,,,21,,RBRVS,8.63 ,10.86 ,10.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
31615,CPT,VISUALIZATION OF WINDPIPE,,,21,,RBRVS,1.84 ,1.19 ,2.79 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
31622,CPT,DX BRONCHOSCOPE/WASH,,,21,,RBRVS,2.53 ,0.99 ,4.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
31623,CPT,DX BRONCHOSCOPE/BRUSH,,,21,,RBRVS,2.63 ,0.97 ,4.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
31624,CPT,DX BRONCHOSCOPE/LAVAGE,,,21,,RBRVS,2.63 ,1.01 ,4.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
31625,CPT,BRONCHOSCOPY W/BIOPSY(S),,,21,,RBRVS,3.11 ,1.12 ,6.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
31626,CPT,BRONCHOSCOPY W/MARKERS,,,21,,RBRVS,3.91 ,1.37 ,19.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
31627,CPT,NAVIGATIONAL BRONCHOSCOPY,,,21,,RBRVS,2.00 ,0.60 ,34.13 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
31628,CPT,BRONCHOSCOPY/LUNG BX EACH,,,21,,RBRVS,3.55 ,1.24 ,6.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
31629,CPT,BRONCHOSCOPY/NEEDLE BX EACH,,,21,,RBRVS,3.75 ,1.31 ,8.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
31630,CPT,BRONCHOSCOPY DILATE/FX REPR,,,21,,RBRVS,3.81 ,1.48 ,1.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
31631,CPT,BRONCHOSCOPY DILATE W/STENT,,,21,,RBRVS,4.36 ,1.67 ,1.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
31632,CPT,BRONCHOSCOPY/LUNG BX ADDL,,,21,,RBRVS,1.03 ,0.31 ,0.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
31633,CPT,BRONCHOSCOPY/NEEDLE BX ADDL,,,21,,RBRVS,1.32 ,0.41 ,0.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
31634,CPT,BRONCH W/BALLOON OCCLUSION,,,21,,RBRVS,3.75 ,1.39 ,44.82 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
31635,CPT,BRONCHOSCOPY W/FB REMOVAL,,,21,,RBRVS,3.42 ,1.30 ,4.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
31636,CPT,BRONCHOSCOPY BRONCH STENTS,,,21,,RBRVS,4.30 ,1.56 ,1.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
31637,CPT,BRONCHOSCOPY STENT ADD-ON,,,21,,RBRVS,1.58 ,0.51 ,0.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
31638,CPT,BRONCHOSCOPY REVISE STENT,,,21,,RBRVS,4.88 ,1.77 ,1.77 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
31640,CPT,BRONCHOSCOPY W/TUMOR EXCISE,,,21,,RBRVS,4.93 ,1.79 ,1.79 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
31641,CPT,BRONCHOSCOPY TREAT BLOCKAGE,,,21,,RBRVS,5.02 ,1.84 ,1.84 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
31643,CPT,DIAG BRONCHOSCOPE/CATHETER,,,21,,RBRVS,3.49 ,1.27 ,1.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
31645,CPT,BRNCHSC W/THER ASPIR 1ST,,,21,,RBRVS,2.88 ,1.09 ,4.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
31646,CPT,BRNCHSC W/THER ASPIR SBSQ,,,21,,RBRVS,2.78 ,1.06 ,1.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
31647,CPT,BRONCHIAL VALVE INIT INSERT,,,21,,RBRVS,4.15 ,1.48 ,1.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
31648,CPT,BRONCHIAL VALVE REMOV INIT,,,21,,RBRVS,3.95 ,1.38 ,1.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
31649,CPT,BRONCHIAL VALVE REMOV ADDL,,,21,,RBRVS,1.44 ,0.40 ,0.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
31651,CPT,BRONCHIAL VALVE ADDL INSERT,,,21,,RBRVS,1.58 ,0.44 ,0.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
31652,CPT,BRONCH EBUS SAMPLNG 1/2 NODE,,,21,,RBRVS,4.46 ,1.53 ,26.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
31653,CPT,BRONCH EBUS SAMPLNG 3/> NODE,,,21,,RBRVS,4.96 ,1.68 ,27.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
31654,CPT,BRONCH EBUS IVNTJ PERPH LES,,,21,,RBRVS,1.40 ,0.43 ,1.97 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
31660,CPT,BRONCH THERMOPLSTY 1 LOBE,,,21,,RBRVS,4.00 ,1.31 ,1.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
31661,CPT,BRONCH THERMOPLSTY 2/> LOBES,,,21,,RBRVS,4.25 ,1.38 ,1.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
31717,CPT,BRONCHIAL BRUSH BIOPSY,,,21,,RBRVS,2.12 ,0.78 ,5.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
31720,CPT,CLEARANCE OF AIRWAYS,,,21,,RBRVS,1.06 ,0.42 ,0.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
31725,CPT,CLEARANCE OF AIRWAYS,,,21,,RBRVS,1.71 ,0.40 ,0.40 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
31730,CPT,INTRO WINDPIPE WIRE/TUBE,,,21,,RBRVS,2.85 ,0.95 ,30.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
31750,CPT,REPAIR OF WINDPIPE,,,21,,RBRVS,15.39 ,21.39 ,21.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
31755,CPT,REPAIR OF WINDPIPE,,,21,,RBRVS,17.54 ,29.27 ,29.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
31760,CPT,REPAIR OF WINDPIPE,,,21,,RBRVS,23.48 ,10.81 ,10.81 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
31766,CPT,RECONSTRUCTION OF WINDPIPE,,,21,,RBRVS,31.67 ,12.47 ,12.47 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
31770,CPT,REPAIR/GRAFT OF BRONCHUS,,,21,,RBRVS,23.54 ,9.53 ,9.53 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
31775,CPT,RECONSTRUCT BRONCHUS,,,21,,RBRVS,24.59 ,10.21 ,10.21 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
31780,CPT,RECONSTRUCT WINDPIPE,,,21,,RBRVS,19.84 ,11.66 ,11.66 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
31781,CPT,RECONSTRUCT WINDPIPE,,,21,,RBRVS,24.85 ,9.55 ,9.55 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
31785,CPT,REMOVE WINDPIPE LESION,,,21,,RBRVS,18.35 ,9.96 ,9.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
31786,CPT,REMOVE WINDPIPE LESION,,,21,,RBRVS,25.42 ,10.45 ,10.45 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
31800,CPT,REPAIR OF WINDPIPE INJURY,,,21,,RBRVS,8.18 ,11.06 ,11.06 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
31805,CPT,REPAIR OF WINDPIPE INJURY,,,21,,RBRVS,13.42 ,7.07 ,7.07 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
31820,CPT,CLOSURE OF WINDPIPE LESION,,,21,,RBRVS,4.64 ,4.04 ,7.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
31825,CPT,REPAIR OF WINDPIPE DEFECT,,,21,,RBRVS,7.07 ,5.62 ,9.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
31830,CPT,REVISE WINDPIPE SCAR,,,21,,RBRVS,4.62 ,4.71 ,7.88 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
31899,CPT,AIRWAYS SURGICAL PROCEDURE,,,21,,TotalUnits,,,,3.65 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
32035,CPT,THORACOSTOMY W/RIB RESECTION,,,21,,RBRVS,11.29 ,7.13 ,7.13 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
32036,CPT,THORACOSTOMY W/FLAP DRAINAGE,,,21,,RBRVS,12.30 ,7.40 ,7.40 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
32096,CPT,OPEN WEDGE/BX LUNG INFILTR,,,21,,RBRVS,13.75 ,6.30 ,6.30 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
32097,CPT,OPEN WEDGE/BX LUNG NODULE,,,21,,RBRVS,13.75 ,6.32 ,6.32 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
32098,CPT,OPEN BIOPSY OF LUNG PLEURA,,,21,,RBRVS,12.91 ,6.11 ,6.11 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
32100,CPT,EXPLORATION OF CHEST,,,21,,RBRVS,13.75 ,6.54 ,6.54 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
32110,CPT,EXPLORE/REPAIR CHEST,,,21,,RBRVS,25.28 ,11.47 ,11.47 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
32120,CPT,RE-EXPLORATION OF CHEST,,,21,,RBRVS,14.39 ,7.55 ,7.55 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
32124,CPT,EXPLORE CHEST FREE ADHESIONS,,,21,,RBRVS,15.45 ,7.79 ,7.79 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
32140,CPT,REMOVAL OF LUNG LESION(S),,,21,,RBRVS,16.66 ,8.13 ,8.13 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
32141,CPT,REMOVE/TREAT LUNG LESIONS,,,21,,RBRVS,27.18 ,10.69 ,10.69 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
32150,CPT,REMOVAL OF LUNG LESION(S),,,21,,RBRVS,16.82 ,8.43 ,8.43 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
32151,CPT,REMOVE LUNG FOREIGN BODY,,,21,,RBRVS,16.94 ,8.21 ,8.21 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
32160,CPT,OPEN CHEST HEART MASSAGE,,,21,,RBRVS,13.10 ,6.94 ,6.94 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
32200,CPT,DRAIN OPEN LUNG LESION,,,21,,RBRVS,18.68 ,9.86 ,9.86 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
32215,CPT,TREAT CHEST LINING,,,21,,RBRVS,13.05 ,7.04 ,7.04 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
32220,CPT,RELEASE OF LUNG,,,21,,RBRVS,26.65 ,13.18 ,13.18 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
32225,CPT,PARTIAL RELEASE OF LUNG,,,21,,RBRVS,16.75 ,8.17 ,8.17 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
32310,CPT,REMOVAL OF CHEST LINING,,,21,,RBRVS,15.28 ,7.61 ,7.61 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
32320,CPT,FREE/REMOVE CHEST LINING,,,21,,RBRVS,27.25 ,12.69 ,12.69 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
32400,CPT,NEEDLE BIOPSY CHEST LINING,,,21,,RBRVS,1.76 ,0.57 ,2.65 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
32408,CPT,CORE NDL BX LNG/MED PERQ,,,21,,RBRVS,3.18 ,0.98 ,24.82 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
32440,CPT,REMOVE LUNG PNEUMONECTOMY,,,21,,RBRVS,27.28 ,11.78 ,11.78 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
32442,CPT,SLEEVE PNEUMONECTOMY,,,21,,RBRVS,56.47 ,19.18 ,19.18 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
32445,CPT,REMOVAL OF LUNG EXTRAPLEURAL,,,21,,RBRVS,63.84 ,23.71 ,23.71 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
32480,CPT,PARTIAL REMOVAL OF LUNG,,,21,,RBRVS,25.82 ,11.05 ,11.05 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
32482,CPT,BILOBECTOMY,,,21,,RBRVS,27.44 ,12.11 ,12.11 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
32484,CPT,SEGMENTECTOMY,,,21,,RBRVS,25.38 ,10.26 ,10.26 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
32486,CPT,SLEEVE LOBECTOMY,,,21,,RBRVS,42.88 ,15.46 ,15.46 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
32488,CPT,COMPLETION PNEUMONECTOMY,,,21,,RBRVS,42.99 ,16.37 ,16.37 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
32491,CPT,LUNG VOLUME REDUCTION,,,21,,RBRVS,25.24 ,11.50 ,11.50 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
32501,CPT,REPAIR BRONCHUS ADD-ON,,,21,,RBRVS,4.68 ,1.31 ,1.31 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
32503,CPT,RESECT APICAL LUNG TUMOR,,,21,,RBRVS,31.74 ,12.93 ,12.93 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
32504,CPT,RESECT APICAL LUNG TUM/CHEST,,,21,,RBRVS,36.54 ,14.28 ,14.28 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
32505,CPT,WEDGE RESECT OF LUNG INITIAL,,,21,,RBRVS,15.75 ,7.57 ,7.57 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
32506,CPT,WEDGE RESECT OF LUNG ADD-ON,,,21,,RBRVS,3.00 ,0.86 ,0.86 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
32507,CPT,WEDGE RESECT OF LUNG DIAG,,,21,,RBRVS,3.00 ,0.86 ,0.86 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
32540,CPT,REMOVAL OF LUNG LESION,,,21,,RBRVS,30.35 ,12.86 ,12.86 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
32550,CPT,INSERT PLEURAL CATH,,,21,,RBRVS,3.92 ,1.52 ,18.00 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
32551,CPT,INSERTION OF CHEST TUBE,,,21,,RBRVS,3.04 ,0.99 ,0.99 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
32552,CPT,REMOVE LUNG CATHETER,,,21,,RBRVS,2.53 ,1.67 ,2.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
32553,CPT,INS MARK THOR FOR RT PERQ,,,21,,RBRVS,3.55 ,1.30 ,11.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
32554,CPT,ASPIRATE PLEURA W/O IMAGING,,,21,,RBRVS,1.82 ,0.58 ,4.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
32555,CPT,ASPIRATE PLEURA W/ IMAGING,,,21,,RBRVS,2.27 ,0.76 ,6.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
32556,CPT,INSERT CATH PLEURA W/O IMAGE,,,21,,RBRVS,2.50 ,0.78 ,16.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
32557,CPT,INSERT CATH PLEURA W/ IMAGE,,,21,,RBRVS,3.12 ,1.01 ,14.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
32560,CPT,TREAT PLEURODESIS W/AGENT,,,21,,RBRVS,1.54 ,0.47 ,5.60 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
32561,CPT,LYSE CHEST FIBRIN INIT DAY,,,21,,RBRVS,1.39 ,0.43 ,1.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
32562,CPT,LYSE CHEST FIBRIN SUBQ DAY,,,21,,RBRVS,1.24 ,0.38 ,1.03 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
32601,CPT,THORACOSCOPY DIAGNOSTIC,,,21,,RBRVS,5.50 ,2.18 ,2.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
32604,CPT,THORACOSCOPY WBX SAC,,,21,,RBRVS,8.77 ,3.12 ,3.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
32606,CPT,THORACOSCOPY W/BX MED SPACE,,,21,,RBRVS,8.39 ,3.08 ,3.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
32607,CPT,THORACOSCOPY W/BX INFILTRATE,,,21,,RBRVS,5.50 ,2.17 ,2.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
32608,CPT,THORACOSCOPY W/BX NODULE,,,21,,RBRVS,6.84 ,2.56 ,2.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
32609,CPT,THORACOSCOPY W/BX PLEURA,,,21,,RBRVS,4.58 ,1.90 ,1.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
32650,CPT,THORACOSCOPY W/PLEURODESIS,,,21,,RBRVS,10.83 ,5.96 ,5.96 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
32651,CPT,THORACOSCOPY REMOVE CORTEX,,,21,,RBRVS,18.78 ,8.57 ,8.57 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
32652,CPT,THORACOSCOPY REM TOTL CORTEX,,,21,,RBRVS,29.13 ,12.23 ,12.23 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
32653,CPT,THORACOSCOPY REMOV FB/FIBRIN,,,21,,RBRVS,18.17 ,8.39 ,8.39 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
32654,CPT,THORACOSCOPY CONTRL BLEEDING,,,21,,RBRVS,20.52 ,8.92 ,8.92 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
32655,CPT,THORACOSCOPY RESECT BULLAE,,,21,,RBRVS,16.17 ,7.72 ,7.72 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
32656,CPT,THORACOSCOPY W/PLEURECTOMY,,,21,,RBRVS,13.26 ,6.88 ,6.88 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
32658,CPT,THORACOSCOPY W/SAC FB REMOVE,,,21,,RBRVS,11.71 ,6.20 ,6.20 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
32659,CPT,THORACOSCOPY W/SAC DRAINAGE,,,21,,RBRVS,11.94 ,6.44 ,6.44 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
32661,CPT,THORACOSCOPY W/PERICARD EXC,,,21,,RBRVS,13.33 ,6.66 ,6.66 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
32662,CPT,THORACOSCOPY W/MEDIAST EXC,,,21,,RBRVS,14.99 ,7.35 ,7.35 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
32663,CPT,THORACOSCOPY W/LOBECTOMY,,,21,,RBRVS,24.64 ,10.21 ,10.21 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
32664,CPT,THORACOSCOPY W/ TH NRV EXC,,,21,,RBRVS,14.28 ,6.92 ,6.92 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
32665,CPT,THORACOSCOP W/ESOPH MUSC EXC,,,21,,RBRVS,21.53 ,9.15 ,9.15 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
32666,CPT,THORACOSCOPY W/WEDGE RESECT,,,21,,RBRVS,14.50 ,7.29 ,7.29 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
32667,CPT,THORACOSCOPY W/W RESECT ADDL,,,21,,RBRVS,3.00 ,0.87 ,0.87 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
32668,CPT,THORACOSCOPY W/W RESECT DIAG,,,21,,RBRVS,3.00 ,0.87 ,0.87 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
32669,CPT,THORACOSCOPY REMOVE SEGMENT,,,21,,RBRVS,23.53 ,9.91 ,9.91 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
32670,CPT,THORACOSCOPY BILOBECTOMY,,,21,,RBRVS,28.52 ,11.41 ,11.41 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
32671,CPT,THORACOSCOPY PNEUMONECTOMY,,,21,,RBRVS,31.92 ,12.14 ,12.14 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
32672,CPT,THORACOSCOPY FOR LVRS,,,21,,RBRVS,27.00 ,10.90 ,10.90 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
32673,CPT,THORACOSCOPY W/THYMUS RESECT,,,21,,RBRVS,21.13 ,9.23 ,9.23 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
32674,CPT,THORACOSCOPY LYMPH NODE EXC,,,21,,RBRVS,4.12 ,1.18 ,1.18 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
32701,CPT,THORAX STEREO RAD TARGETW/TX,,PC,21,,RBRVS,4.18 ,1.24 ,1.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
32800,CPT,REPAIR LUNG HERNIA,,,21,,RBRVS,15.71 ,8.04 ,8.04 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
32810,CPT,CLOSE CHEST AFTER DRAINAGE,,,21,,RBRVS,14.95 ,7.62 ,7.62 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
32815,CPT,CLOSE BRONCHIAL FISTULA,,,21,,RBRVS,50.03 ,19.47 ,19.47 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
32820,CPT,RECONSTRUCT INJURED CHEST,,,21,,RBRVS,22.51 ,10.75 ,10.75 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
32851,CPT,LUNG TRANSPLANT SINGLE,,,21,,RBRVS,59.64 ,21.52 ,21.52 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
32852,CPT,LUNG TRANSPLANT WITH BYPASS,,,21,,RBRVS,65.50 ,22.60 ,22.60 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
32853,CPT,LUNG TRANSPLANT DOUBLE,,,21,,RBRVS,84.48 ,28.64 ,28.64 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
32854,CPT,LUNG TRANSPLANT WITH BYPASS,,,21,,RBRVS,90.00 ,30.08 ,30.08 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
32855,CPT,PREPARE DONOR LUNG SINGLE,,,21,,TotalUnits,,,,14.53 ,,$0.00,$0.00,1,0,0,1,1,1,20210101,
32856,CPT,PREPARE DONOR LUNG DOUBLE,,,21,,TotalUnits,,,,19.69 ,,$0.00,$0.00,1,0,0,1,1,1,20210101,
32900,CPT,REMOVAL OF RIB(S),,,21,,RBRVS,23.81 ,11.78 ,11.78 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
32905,CPT,REVISE & REPAIR CHEST WALL,,,21,,RBRVS,23.29 ,9.97 ,9.97 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
32906,CPT,REVISE & REPAIR CHEST WALL,,,21,,RBRVS,29.30 ,11.67 ,11.67 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
32940,CPT,REVISION OF LUNG,,,21,,RBRVS,21.34 ,9.42 ,9.42 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
32960,CPT,THERAPEUTIC PNEUMOTHORAX,,,21,,RBRVS,1.84 ,0.65 ,1.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
32994,CPT,ABLATE PULM TUMOR PERQ CRYBL,,,21,,RBRVS,9.03 ,2.98 ,145.95 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
32997,CPT,TOTAL LUNG LAVAGE,,,21,,RBRVS,7.31 ,2.00 ,2.00 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
32998,CPT,ABLATE PULM TUMOR PERQ RF,,,21,,RBRVS,9.03 ,2.95 ,89.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
32999,CPT,CHEST SURGERY PROCEDURE,,,21,,TotalUnits,,,,3.28 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
33016,CPT,PERICARDIOCENTESIS W/IMAGING,,,21,,RBRVS,4.40 ,1.53 ,1.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
33017,CPT,PRCRD DRG 6YR+ W/O CGEN CAR,,,21,,RBRVS,4.62 ,1.58 ,1.58 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33018,CPT,PRCRD DRG 0-5YR OR W/ANOMLY,,,21,,RBRVS,5.40 ,1.77 ,1.77 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33019,CPT,PERQ PRCRD DRG INSJ CATH CT,,,21,,RBRVS,4.29 ,1.47 ,1.47 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33020,CPT,INCISION OF HEART SAC,,,21,,RBRVS,14.31 ,6.32 ,6.32 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33025,CPT,INCISION OF HEART SAC,,,21,,RBRVS,13.20 ,6.06 ,6.06 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33030,CPT,PARTIAL REMOVAL OF HEART SAC,,,21,,RBRVS,36.00 ,13.70 ,13.70 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33031,CPT,PARTIAL REMOVAL OF HEART SAC,,,21,,RBRVS,45.00 ,16.45 ,16.45 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33050,CPT,RESECT HEART SAC LESION,,,21,,RBRVS,16.97 ,8.18 ,8.18 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33120,CPT,REMOVAL OF HEART LESION,,,21,,RBRVS,38.45 ,13.53 ,13.53 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33130,CPT,REMOVAL OF HEART LESION,,,21,,RBRVS,24.17 ,9.93 ,9.93 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33140,CPT,HEART REVASCULARIZE (TMR),,,21,,RBRVS,28.34 ,10.43 ,10.43 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33141,CPT,HEART TMR W/OTHER PROCEDURE,,,21,,RBRVS,2.54 ,0.71 ,0.71 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33202,CPT,INSERT EPICARD ELTRD OPEN,,,21,,RBRVS,13.20 ,6.08 ,6.08 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33203,CPT,INSERT EPICARD ELTRD ENDO,,,21,,RBRVS,13.97 ,6.19 ,6.19 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33206,CPT,INSERT HEART PM ATRIAL,,,21,,RBRVS,7.14 ,4.46 ,4.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
33207,CPT,INSERT HEART PM VENTRICULAR,,,21,,RBRVS,7.80 ,4.40 ,4.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
33208,CPT,INSRT HEART PM ATRIAL & VENT,,,21,,RBRVS,8.52 ,4.72 ,4.72 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
33210,CPT,INSERT ELECTRD/PM CATH SNGL,,,21,,RBRVS,3.05 ,1.07 ,1.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
33211,CPT,INSERT CARD ELECTRODES DUAL,,,21,,RBRVS,3.14 ,1.12 ,1.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
33212,CPT,INSERT PULSE GEN SNGL LEAD,,,21,,RBRVS,5.01 ,3.20 ,3.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
33213,CPT,INSERT PULSE GEN DUAL LEADS,,,21,,RBRVS,5.28 ,3.28 ,3.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
33214,CPT,UPGRADE OF PACEMAKER SYSTEM,,,21,,RBRVS,7.59 ,4.62 ,4.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
33215,CPT,REPOSITION PACING-DEFIB LEAD,,,21,,RBRVS,4.92 ,3.00 ,3.00 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
33216,CPT,INSERT 1 ELECTRODE PM-DEFIB,,,21,,RBRVS,5.62 ,3.92 ,3.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
33217,CPT,INSERT 2 ELECTRODE PM-DEFIB,,,21,,RBRVS,5.59 ,3.80 ,3.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
33218,CPT,REPAIR LEAD PACE-DEFIB ONE,,,21,,RBRVS,5.82 ,4.11 ,4.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
33220,CPT,REPAIR LEAD PACE-DEFIB DUAL,,,21,,RBRVS,5.90 ,3.69 ,3.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
33221,CPT,INSERT PULSE GEN MULT LEADS,,,21,,RBRVS,5.55 ,3.70 ,3.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
33222,CPT,RELOCATION POCKET PACEMAKER,,,21,,RBRVS,4.85 ,3.92 ,3.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
33223,CPT,RELOCATE POCKET FOR DEFIB,,,21,,RBRVS,6.30 ,4.19 ,4.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
33224,CPT,INSERT PACING LEAD & CONNECT,,,21,,RBRVS,9.04 ,3.96 ,3.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
33225,CPT,L VENTRIC PACING LEAD ADD-ON,,,21,,RBRVS,8.33 ,3.47 ,3.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
33226,CPT,REPOSITION L VENTRIC LEAD,,,21,,RBRVS,8.68 ,3.79 ,3.79 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
33227,CPT,REMOVE&REPLACE PM GEN SINGL,,,21,,RBRVS,5.25 ,3.40 ,3.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
33228,CPT,REMV&REPLC PM GEN DUAL LEAD,,,21,,RBRVS,5.52 ,3.52 ,3.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
33229,CPT,REMV&REPLC PM GEN MULT LEADS,,,21,,RBRVS,5.79 ,3.80 ,3.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
33230,CPT,INSRT PULSE GEN W/DUAL LEADS,,,21,,RBRVS,6.07 ,3.70 ,3.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
33231,CPT,INSRT PULSE GEN W/MULT LEADS,,,21,,RBRVS,6.34 ,3.91 ,3.91 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
33233,CPT,REMOVAL OF PM GENERATOR,,,21,,RBRVS,3.14 ,2.86 ,2.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
33234,CPT,REMOVAL OF PACEMAKER SYSTEM,,,21,,RBRVS,7.66 ,4.74 ,4.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
33235,CPT,REMOVAL PACEMAKER ELECTRODE,,,21,,RBRVS,9.90 ,6.41 ,6.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
33236,CPT,REMOVE ELECTRODE/THORACOTOMY,,,21,,RBRVS,12.73 ,6.95 ,6.95 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33237,CPT,REMOVE ELECTRODE/THORACOTOMY,,,21,,RBRVS,13.84 ,7.25 ,7.25 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33238,CPT,REMOVE ELECTRODE/THORACOTOMY,,,21,,RBRVS,15.40 ,8.31 ,8.31 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33240,CPT,INSRT PULSE GEN W/SINGL LEAD,,,21,,RBRVS,5.80 ,3.50 ,3.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
33241,CPT,REMOVE PULSE GENERATOR,,,21,,RBRVS,3.04 ,2.51 ,2.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
33243,CPT,REMOVE ELTRD/THORACOTOMY,,,21,,RBRVS,23.57 ,10.76 ,10.76 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33244,CPT,REMOVE ELCTRD TRANSVENOUSLY,,,21,,RBRVS,13.74 ,8.29 ,8.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
33249,CPT,INSJ/RPLCMT DEFIB W/LEAD(S),,,21,,RBRVS,14.92 ,8.41 ,8.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
33250,CPT,ABLATE HEART DYSRHYTHM FOCUS,,,21,,RBRVS,25.90 ,10.40 ,10.40 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33251,CPT,ABLATE HEART DYSRHYTHM FOCUS,,,21,,RBRVS,28.92 ,11.56 ,11.56 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33254,CPT,ABLATE ATRIA LMTD,,,21,,RBRVS,23.71 ,10.05 ,10.05 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33255,CPT,ABLATE ATRIA W/O BYPASS EXT,,,21,,RBRVS,29.04 ,11.52 ,11.52 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33256,CPT,ABLATE ATRIA W/BYPASS EXTEN,,,21,,RBRVS,34.90 ,13.38 ,13.38 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33257,CPT,ABLATE ATRIA LMTD ADD-ON,,,21,,RBRVS,9.63 ,5.00 ,5.00 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33258,CPT,ABLATE ATRIA X10SV ADD-ON,,,21,,RBRVS,11.00 ,5.31 ,5.31 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33259,CPT,ABLATE ATRIA W/BYPASS ADD-ON,,,21,,RBRVS,14.14 ,7.08 ,7.08 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33261,CPT,ABLATE HEART DYSRHYTHM FOCUS,,,21,,RBRVS,28.92 ,11.23 ,11.23 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33262,CPT,RMVL& REPLC PULSE GEN 1 LEAD,,,21,,RBRVS,5.81 ,3.74 ,3.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
33263,CPT,RMVL & RPLCMT DFB GEN 2 LEAD,,,21,,RBRVS,6.08 ,3.85 ,3.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
33264,CPT,RMVL & RPLCMT DFB GEN MLT LD,,,21,,RBRVS,6.35 ,4.00 ,4.00 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
33265,CPT,ABLATE ATRIA LMTD ENDO,,,21,,RBRVS,23.71 ,10.20 ,10.20 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33266,CPT,ABLATE ATRIA X10SV ENDO,,,21,,RBRVS,33.04 ,12.90 ,12.90 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33270,CPT,INS/REP SUBQ DEFIBRILLATOR,,,21,,RBRVS,9.10 ,5.34 ,5.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
33271,CPT,INSJ SUBQ IMPLTBL DFB ELCTRD,,,21,,RBRVS,7.50 ,3.98 ,3.98 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
33272,CPT,RMVL OF SUBQ DEFIBRILLATOR,,,21,,RBRVS,5.42 ,3.46 ,3.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
33273,CPT,REPOS PREV IMPLTBL SUBQ DFB,,,21,,RBRVS,6.50 ,3.64 ,3.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
33274,CPT,TCAT INSJ/RPL PERM LDLS PM,,,21,,RBRVS,7.80 ,4.60 ,4.60 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
33275,CPT,TCAT RMVL PERM LDLS PM W/IMG,,,21,,RBRVS,8.59 ,4.93 ,4.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
33285,CPT,INSJ SUBQ CAR RHYTHM MNTR,,,21,,RBRVS,1.53 ,0.70 ,141.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
33286,CPT,RMVL SUBQ CAR RHYTHM MNTR,,,21,,RBRVS,1.50 ,0.69 ,1.97 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
33289,CPT,TCAT IMPL WRLS P-ART PRS SNR,,,21,,RBRVS,6.00 ,2.30 ,2.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
33300,CPT,REPAIR OF HEART WOUND,,,21,,RBRVS,44.97 ,15.82 ,15.82 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33305,CPT,REPAIR OF HEART WOUND,,,21,,RBRVS,76.93 ,24.27 ,24.27 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33310,CPT,EXPLORATORY HEART SURGERY,,,21,,RBRVS,20.34 ,8.89 ,8.89 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33315,CPT,EXPLORATORY HEART SURGERY,,,21,,RBRVS,35.00 ,12.51 ,12.51 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33320,CPT,REPAIR MAJOR BLOOD VESSEL(S),,,21,,RBRVS,18.54 ,7.75 ,7.75 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33321,CPT,REPAIR MAJOR VESSEL,,,21,,RBRVS,20.81 ,8.86 ,8.86 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33322,CPT,REPAIR MAJOR BLOOD VESSEL(S),,,21,,RBRVS,24.42 ,10.30 ,10.30 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33330,CPT,INSERT MAJOR VESSEL GRAFT,,,21,,RBRVS,25.29 ,10.24 ,10.24 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33335,CPT,INSERT MAJOR VESSEL GRAFT,,,21,,RBRVS,33.91 ,12.59 ,12.59 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33340,CPT,PERQ CLSR TCAT L ATR APNDGE,,,21,,RBRVS,14.00 ,5.85 ,5.85 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33361,CPT,REPLACE AORTIC VALVE PERQ,,,21,,RBRVS,22.47 ,7.68 ,7.68 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33362,CPT,REPLACE AORTIC VALVE OPEN,,,21,,RBRVS,24.54 ,8.25 ,8.25 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33363,CPT,REPLACE AORTIC VALVE OPEN,,,21,,RBRVS,25.47 ,8.55 ,8.55 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33364,CPT,REPLACE AORTIC VALVE OPEN,,,21,,RBRVS,25.97 ,7.92 ,7.92 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33365,CPT,REPLACE AORTIC VALVE OPEN,,,21,,RBRVS,26.59 ,9.45 ,9.45 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33366,CPT,TRCATH REPLACE AORTIC VALVE,,,21,,RBRVS,29.35 ,9.75 ,9.75 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33367,CPT,REPLACE AORTIC VALVE W/BYP,,,21,,RBRVS,11.88 ,3.69 ,3.69 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33368,CPT,REPLACE AORTIC VALVE W/BYP,,,21,,RBRVS,14.39 ,3.93 ,3.93 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33369,CPT,REPLACE AORTIC VALVE W/BYP,,,21,,RBRVS,19.00 ,5.19 ,5.19 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33390,CPT,VALVULOPLASTY AORTIC VALVE,,,21,,RBRVS,35.00 ,12.97 ,12.97 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33391,CPT,VALVULOPLASTY AORTIC VALVE,,,21,,RBRVS,41.50 ,15.47 ,15.47 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33404,CPT,PREPARE HEART-AORTA CONDUIT,,,21,,RBRVS,31.37 ,12.19 ,12.19 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33405,CPT,REPLACEMENT AORTIC VALVE OPN,,,21,,RBRVS,41.32 ,15.08 ,15.08 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33406,CPT,REPLACEMENT AORTIC VALVE OPN,,,21,,RBRVS,52.68 ,18.71 ,18.71 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33410,CPT,REPLACEMENT AORTIC VALVE OPN,,,21,,RBRVS,46.41 ,16.73 ,16.73 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33411,CPT,REPLACEMENT OF AORTIC VALVE,,,21,,RBRVS,62.07 ,21.14 ,21.14 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33412,CPT,REPLACEMENT OF AORTIC VALVE,,,21,,RBRVS,59.00 ,19.10 ,19.10 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33413,CPT,REPLACEMENT OF AORTIC VALVE,,,21,,RBRVS,59.87 ,20.16 ,20.16 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33414,CPT,REPAIR OF AORTIC VALVE,,,21,,RBRVS,39.37 ,13.89 ,13.89 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33415,CPT,REVISION SUBVALVULAR TISSUE,,,21,,RBRVS,37.27 ,13.39 ,13.39 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33416,CPT,REVISE VENTRICLE MUSCLE,,,21,,RBRVS,36.56 ,13.74 ,13.74 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33417,CPT,REPAIR OF AORTIC VALVE,,,21,,RBRVS,29.33 ,12.21 ,12.21 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33418,CPT,REPAIR TCAT MITRAL VALVE,,,21,,RBRVS,32.25 ,12.88 ,12.88 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33419,CPT,REPAIR TCAT MITRAL VALVE,,,21,,RBRVS,7.93 ,2.70 ,2.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
33420,CPT,REVISION OF MITRAL VALVE,,,21,,RBRVS,25.79 ,10.39 ,10.39 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33422,CPT,REVISION OF MITRAL VALVE,,,21,,RBRVS,29.73 ,11.75 ,11.75 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33425,CPT,REPAIR OF MITRAL VALVE,,,21,,RBRVS,49.96 ,17.82 ,17.82 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33426,CPT,REPAIR OF MITRAL VALVE,,,21,,RBRVS,43.28 ,15.94 ,15.94 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33427,CPT,REPAIR OF MITRAL VALVE,,,21,,RBRVS,44.83 ,15.90 ,15.90 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33430,CPT,REPLACEMENT OF MITRAL VALVE,,,21,,RBRVS,50.93 ,18.64 ,18.64 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33440,CPT,RPLCMT A-VALVE TLCJ AUTOL PV,,,21,,RBRVS,64.00 ,20.77 ,20.77 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33460,CPT,REVISION OF TRICUSPID VALVE,,,21,,RBRVS,44.70 ,14.90 ,14.90 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33463,CPT,VALVULOPLASTY TRICUSPID,,,21,,RBRVS,57.08 ,19.85 ,19.85 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33464,CPT,VALVULOPLASTY TRICUSPID,,,21,,RBRVS,44.62 ,16.12 ,16.12 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33465,CPT,REPLACE TRICUSPID VALVE,,,21,,RBRVS,50.72 ,17.80 ,17.80 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33468,CPT,REVISION OF TRICUSPID VALVE,,,21,,RBRVS,45.13 ,15.59 ,15.59 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33470,CPT,REVISION OF PULMONARY VALVE,,,21,,RBRVS,21.54 ,9.36 ,9.36 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33471,CPT,VALVOTOMY PULMONARY VALVE,,,21,,RBRVS,22.96 ,10.08 ,10.08 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33474,CPT,REVISION OF PULMONARY VALVE,,,21,,RBRVS,39.40 ,14.68 ,14.68 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33475,CPT,REPLACEMENT PULMONARY VALVE,,,21,,RBRVS,42.40 ,15.66 ,15.66 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33476,CPT,REVISION OF HEART CHAMBER,,,21,,RBRVS,26.57 ,11.40 ,11.40 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33477,CPT,IMPLANT TCAT PULM VLV PERQ,,,21,,RBRVS,25.00 ,8.83 ,8.83 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33478,CPT,REVISION OF HEART CHAMBER,,,21,,RBRVS,27.54 ,11.68 ,11.68 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33496,CPT,REPAIR PROSTH VALVE CLOT,,,21,,RBRVS,29.84 ,11.65 ,11.65 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33500,CPT,REPAIR HEART VESSEL FISTULA,,,21,,RBRVS,27.94 ,10.96 ,10.96 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33501,CPT,REPAIR HEART VESSEL FISTULA,,,21,,RBRVS,19.51 ,8.38 ,8.38 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33502,CPT,CORONARY ARTERY CORRECTION,,,21,,RBRVS,21.85 ,10.07 ,10.07 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33503,CPT,CORONARY ARTERY GRAFT,,,21,,RBRVS,22.51 ,10.69 ,10.69 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33504,CPT,CORONARY ARTERY GRAFT,,,21,,RBRVS,25.46 ,11.13 ,11.13 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33505,CPT,REPAIR ARTERY W/TUNNEL,,,21,,RBRVS,38.40 ,12.62 ,12.62 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33506,CPT,REPAIR ARTERY TRANSLOCATION,,,21,,RBRVS,37.85 ,13.01 ,13.01 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33507,CPT,REPAIR ART INTRAMURAL,,,21,,RBRVS,31.40 ,11.33 ,11.33 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33508,CPT,ENDOSCOPIC VEIN HARVEST,,,21,,RBRVS,0.31 ,0.09 ,0.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
33510,CPT,CABG VEIN SINGLE,,,21,,RBRVS,34.98 ,13.13 ,13.13 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33511,CPT,CABG VEIN TWO,,,21,,RBRVS,38.45 ,14.34 ,14.34 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33512,CPT,CABG VEIN THREE,,,21,,RBRVS,43.98 ,16.12 ,16.12 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33513,CPT,CABG VEIN FOUR,,,21,,RBRVS,45.37 ,16.30 ,16.30 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33514,CPT,CABG VEIN FIVE,,,21,,RBRVS,48.08 ,16.62 ,16.62 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33516,CPT,CABG VEIN SIX OR MORE,,,21,,RBRVS,49.76 ,17.40 ,17.40 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33517,CPT,CABG ARTERY-VEIN SINGLE,,,21,,RBRVS,3.61 ,1.02 ,1.02 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33518,CPT,CABG ARTERY-VEIN TWO,,,21,,RBRVS,7.93 ,2.22 ,2.22 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33519,CPT,CABG ARTERY-VEIN THREE,,,21,,RBRVS,10.49 ,2.95 ,2.95 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33521,CPT,CABG ARTERY-VEIN FOUR,,,21,,RBRVS,12.59 ,3.52 ,3.52 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33522,CPT,CABG ARTERY-VEIN FIVE,,,21,,RBRVS,14.14 ,3.93 ,3.93 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33523,CPT,CABG ART-VEIN SIX OR MORE,,,21,,RBRVS,16.08 ,4.44 ,4.44 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33530,CPT,CORONARY ARTERY BYPASS/REOP,,,21,,RBRVS,10.13 ,2.84 ,2.84 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33533,CPT,CABG ARTERIAL SINGLE,,,21,,RBRVS,33.75 ,12.78 ,12.78 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33534,CPT,CABG ARTERIAL TWO,,,21,,RBRVS,39.88 ,14.75 ,14.75 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33535,CPT,CABG ARTERIAL THREE,,,21,,RBRVS,44.75 ,16.11 ,16.11 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33536,CPT,CABG ARTERIAL FOUR OR MORE,,,21,,RBRVS,48.43 ,17.14 ,17.14 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33542,CPT,REMOVAL OF HEART LESION,,,21,,RBRVS,48.21 ,16.96 ,16.96 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33545,CPT,REPAIR OF HEART DAMAGE,,,21,,RBRVS,57.06 ,19.09 ,19.09 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33548,CPT,RESTORE/REMODEL VENTRICLE,,,21,,RBRVS,54.14 ,19.29 ,19.29 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33572,CPT,OPEN CORONARY ENDARTERECTOMY,,,21,,RBRVS,4.44 ,1.23 ,1.23 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33600,CPT,CLOSURE OF VALVE,,,21,,RBRVS,30.31 ,12.49 ,12.49 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33602,CPT,CLOSURE OF VALVE,,,21,,RBRVS,29.34 ,12.22 ,12.22 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33606,CPT,ANASTOMOSIS/ARTERY-AORTA,,,21,,RBRVS,31.53 ,12.72 ,12.72 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33608,CPT,REPAIR ANOMALY W/CONDUIT,,,21,,RBRVS,31.88 ,12.94 ,12.94 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33610,CPT,REPAIR BY ENLARGEMENT,,,21,,RBRVS,31.40 ,12.80 ,12.80 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33611,CPT,REPAIR DOUBLE VENTRICLE,,,21,,RBRVS,35.57 ,12.82 ,12.82 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33612,CPT,REPAIR DOUBLE VENTRICLE,,,21,,RBRVS,36.57 ,13.10 ,13.10 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33615,CPT,REPAIR MODIFIED FONTAN,,,21,,RBRVS,35.89 ,13.74 ,13.74 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33617,CPT,REPAIR SINGLE VENTRICLE,,,21,,RBRVS,39.09 ,14.63 ,14.63 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33619,CPT,REPAIR SINGLE VENTRICLE,,,21,,RBRVS,48.76 ,19.35 ,19.35 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33620,CPT,APPLY R&L PULM ART BANDS,,,21,,RBRVS,30.00 ,10.93 ,10.93 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33621,CPT,TRANSTHOR CATH FOR STENT,,,21,,RBRVS,16.18 ,7.03 ,7.03 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33622,CPT,REDO COMPL CARDIAC ANOMALY,,,21,,RBRVS,64.00 ,20.86 ,20.86 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33641,CPT,REPAIR HEART SEPTUM DEFECT,,,21,,RBRVS,29.58 ,11.13 ,11.13 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33645,CPT,REVISION OF HEART VEINS,,,21,,RBRVS,31.30 ,11.69 ,11.69 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33647,CPT,REPAIR HEART SEPTUM DEFECTS,,,21,,RBRVS,33.00 ,12.09 ,12.09 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33660,CPT,REPAIR OF HEART DEFECTS,,,21,,RBRVS,31.83 ,11.77 ,11.77 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33665,CPT,REPAIR OF HEART DEFECTS,,,21,,RBRVS,34.85 ,12.61 ,12.61 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33670,CPT,REPAIR OF HEART CHAMBERS,,,21,,RBRVS,36.63 ,12.20 ,12.20 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33675,CPT,CLOSE MULT VSD,,,21,,RBRVS,35.95 ,12.95 ,12.95 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33676,CPT,CLOSE MULT VSD W/RESECTION,,,21,,RBRVS,36.95 ,13.23 ,13.23 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33677,CPT,CL MULT VSD W/REM PUL BAND,,,21,,RBRVS,38.45 ,13.66 ,13.66 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33681,CPT,REPAIR HEART SEPTUM DEFECT,,,21,,RBRVS,32.34 ,13.56 ,13.56 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33684,CPT,REPAIR HEART SEPTUM DEFECT,,,21,,RBRVS,34.37 ,12.48 ,12.48 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33688,CPT,REPAIR HEART SEPTUM DEFECT,,,21,,RBRVS,34.75 ,11.92 ,11.92 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33690,CPT,REINFORCE PULMONARY ARTERY,,,21,,RBRVS,20.36 ,9.69 ,9.69 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33692,CPT,REPAIR OF HEART DEFECTS,,,21,,RBRVS,36.15 ,12.31 ,12.31 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33694,CPT,REPAIR OF HEART DEFECTS,,,21,,RBRVS,35.57 ,12.82 ,12.82 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33697,CPT,REPAIR OF HEART DEFECTS,,,21,,RBRVS,37.57 ,13.38 ,13.38 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33702,CPT,REPAIR OF HEART DEFECTS,,,21,,RBRVS,27.24 ,11.30 ,11.30 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33710,CPT,REPAIR OF HEART DEFECTS,,,21,,RBRVS,37.50 ,13.36 ,13.36 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33720,CPT,REPAIR OF HEART DEFECT,,,21,,RBRVS,27.26 ,11.30 ,11.30 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33722,CPT,REPAIR OF HEART DEFECT,,,21,,RBRVS,29.21 ,11.24 ,11.24 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33724,CPT,REPAIR VENOUS ANOMALY,,,21,,RBRVS,27.63 ,10.60 ,10.60 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33726,CPT,REPAIR PUL VENOUS STENOSIS,,,21,,RBRVS,37.12 ,13.28 ,13.28 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33730,CPT,REPAIR HEART-VEIN DEFECT(S),,,21,,RBRVS,36.14 ,13.69 ,13.69 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33732,CPT,REPAIR HEART-VEIN DEFECT,,,21,,RBRVS,28.96 ,12.11 ,12.11 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33735,CPT,REVISION OF HEART CHAMBER,,,21,,RBRVS,22.20 ,10.20 ,10.20 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33736,CPT,REVISION OF HEART CHAMBER,,,21,,RBRVS,24.32 ,10.80 ,10.80 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33737,CPT,REVISION OF HEART CHAMBER,,,21,,RBRVS,22.47 ,9.94 ,9.94 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33741,CPT,TAS CONGENITAL CAR ANOMAL,,,21,,RBRVS,14.00 ,5.08 ,5.08 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33745,CPT,TIS CGEN CAR ANOMAL 1ST SHNT,,,21,,RBRVS,20.00 ,7.35 ,7.35 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33746,CPT,TIS CGEN CAR ANOMAL EA ADDL,,,21,,RBRVS,8.00 ,2.89 ,2.89 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33750,CPT,MAJOR VESSEL SHUNT,,,21,,RBRVS,22.22 ,9.27 ,9.27 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33755,CPT,MAJOR VESSEL SHUNT,,,21,,RBRVS,22.60 ,10.32 ,10.32 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33762,CPT,MAJOR VESSEL SHUNT,,,21,,RBRVS,22.60 ,9.37 ,9.37 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33764,CPT,MAJOR VESSEL SHUNT & GRAFT,,,21,,RBRVS,22.60 ,10.32 ,10.32 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33766,CPT,MAJOR VESSEL SHUNT,,,21,,RBRVS,23.57 ,9.65 ,9.65 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33767,CPT,MAJOR VESSEL SHUNT,,,21,,RBRVS,25.30 ,10.13 ,10.13 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33768,CPT,CAVOPULMONARY SHUNTING,,,21,,RBRVS,8.00 ,2.26 ,2.26 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33770,CPT,REPAIR GREAT VESSELS DEFECT,,,21,,RBRVS,39.07 ,13.36 ,13.36 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33771,CPT,REPAIR GREAT VESSELS DEFECT,,,21,,RBRVS,40.63 ,13.25 ,13.25 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33774,CPT,REPAIR GREAT VESSELS DEFECT,,,21,,RBRVS,31.73 ,13.09 ,13.09 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33775,CPT,REPAIR GREAT VESSELS DEFECT,,,21,,RBRVS,32.99 ,13.13 ,13.13 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33776,CPT,REPAIR GREAT VESSELS DEFECT,,,21,,RBRVS,34.75 ,14.03 ,14.03 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33777,CPT,REPAIR GREAT VESSELS DEFECT,,,21,,RBRVS,34.17 ,12.84 ,12.84 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33778,CPT,REPAIR GREAT VESSELS DEFECT,,,21,,RBRVS,42.75 ,15.55 ,15.55 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33779,CPT,REPAIR GREAT VESSELS DEFECT,,,21,,RBRVS,43.23 ,14.31 ,14.31 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33780,CPT,REPAIR GREAT VESSELS DEFECT,,,21,,RBRVS,43.90 ,14.71 ,14.71 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33781,CPT,REPAIR GREAT VESSELS DEFECT,,,21,,RBRVS,43.21 ,13.98 ,13.98 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33782,CPT,NIKAIDOH PROC,,,21,,RBRVS,60.08 ,19.76 ,19.76 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33783,CPT,NIKAIDOH PROC W/OSTIA IMPLT,,,21,,RBRVS,65.08 ,21.17 ,21.17 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33786,CPT,REPAIR ARTERIAL TRUNK,,,21,,RBRVS,41.87 ,14.56 ,14.56 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33788,CPT,REVISION OF PULMONARY ARTERY,,,21,,RBRVS,27.42 ,10.73 ,10.73 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33800,CPT,AORTIC SUSPENSION,,,21,,RBRVS,17.28 ,7.33 ,7.33 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33802,CPT,REPAIR VESSEL DEFECT,,,21,,RBRVS,18.37 ,8.79 ,8.79 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33803,CPT,REPAIR VESSEL DEFECT,,,21,,RBRVS,20.31 ,8.39 ,8.39 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33813,CPT,REPAIR SEPTAL DEFECT,,,21,,RBRVS,21.36 ,9.64 ,9.64 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33814,CPT,REPAIR SEPTAL DEFECT,,,21,,RBRVS,26.57 ,11.44 ,11.44 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33820,CPT,REVISE MAJOR VESSEL,,,21,,RBRVS,16.69 ,7.50 ,7.50 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33822,CPT,REVISE MAJOR VESSEL,,,21,,RBRVS,17.71 ,7.77 ,7.77 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33824,CPT,REVISE MAJOR VESSEL,,,21,,RBRVS,20.23 ,9.29 ,9.29 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33840,CPT,REMOVE AORTA CONSTRICTION,,,21,,RBRVS,21.34 ,9.63 ,9.63 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33845,CPT,REMOVE AORTA CONSTRICTION,,,21,,RBRVS,22.93 ,10.41 ,10.41 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33851,CPT,REMOVE AORTA CONSTRICTION,,,21,,RBRVS,21.98 ,9.81 ,9.81 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33852,CPT,REPAIR SEPTAL DEFECT,,,21,,RBRVS,24.41 ,10.49 ,10.49 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33853,CPT,REPAIR SEPTAL DEFECT,,,21,,RBRVS,32.51 ,13.12 ,13.12 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33858,CPT,AS-AORT GRF F/AORTIC DSJ,,,21,,RBRVS,63.40 ,20.66 ,20.66 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33859,CPT,AS-AORT GRF F/DS OTH/THN DSJ,,,21,,RBRVS,45.13 ,15.35 ,15.35 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33863,CPT,ASCENDING AORTIC GRAFT,,,21,,RBRVS,58.79 ,19.20 ,19.20 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33864,CPT,ASCENDING AORTIC GRAFT,,,21,,RBRVS,60.08 ,19.59 ,19.59 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33866,CPT,AORTIC HEMIARCH GRAFT,,,21,,RBRVS,17.75 ,5.10 ,5.10 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
33871,CPT,TRANSVRS A-ARCH GRF HYPTHRM,,,21,,RBRVS,60.88 ,19.81 ,19.81 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33875,CPT,THORACIC AORTIC GRAFT,,,21,,RBRVS,50.72 ,17.10 ,17.10 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33877,CPT,THORACOABDOMINAL GRAFT,,,21,,RBRVS,69.03 ,19.74 ,19.74 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33880,CPT,ENDOVASC TAA REPR INCL SUBCL,,,21,,RBRVS,34.58 ,9.61 ,9.61 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33881,CPT,ENDOVASC TAA REPR W/O SUBCL,,,21,,RBRVS,29.58 ,8.34 ,8.34 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33883,CPT,INSERT ENDOVASC PROSTH TAA,,,21,,RBRVS,21.09 ,6.52 ,6.52 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33884,CPT,ENDOVASC PROSTH TAA ADD-ON,,,21,,RBRVS,8.20 ,1.33 ,1.33 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33886,CPT,ENDOVASC PROSTH DELAYED,,,21,,RBRVS,18.09 ,5.54 ,5.54 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33889,CPT,ARTERY TRANSPOSE/ENDOVAS TAA,,,21,,RBRVS,15.92 ,3.31 ,3.31 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33891,CPT,CAR-CAR BP GRFT/ENDOVAS TAA,,,21,,RBRVS,20.00 ,3.26 ,3.26 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33910,CPT,REMOVE LUNG ARTERY EMBOLI,,,21,,RBRVS,48.21 ,17.73 ,17.73 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33915,CPT,REMOVE LUNG ARTERY EMBOLI,,,21,,RBRVS,24.95 ,9.35 ,9.35 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33916,CPT,SURGERY OF GREAT VESSEL,,,21,,RBRVS,78.00 ,26.16 ,26.16 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33917,CPT,REPAIR PULMONARY ARTERY,,,21,,RBRVS,25.30 ,11.08 ,11.08 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33920,CPT,REPAIR PULMONARY ATRESIA,,,21,,RBRVS,32.74 ,12.23 ,12.23 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33922,CPT,TRANSECT PULMONARY ARTERY,,,21,,RBRVS,24.22 ,10.44 ,10.44 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33924,CPT,REMOVE PULMONARY SHUNT,,,21,,RBRVS,5.49 ,1.55 ,1.55 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33925,CPT,RPR PUL ART UNIFOCAL W/O CPB,,,21,,RBRVS,31.30 ,11.30 ,11.30 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33926,CPT,REPR PUL ART UNIFOCAL W/CPB,,,21,,RBRVS,44.73 ,15.08 ,15.08 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33927,CPT,IMPLTJ TOT RPLCMT HRT SYS,,,21,,RBRVS,49.00 ,13.83 ,13.83 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33935,CPT,TRANSPLANTATION HEART/LUNG,,,21,,RBRVS,91.78 ,30.59 ,30.59 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33940,CPT,REMOVAL OF DONOR HEART,,,21,,TotalUnits,,,,39.56 ,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33944,CPT,PREPARE DONOR HEART,,,21,,TotalUnits,,,,12.48 ,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33945,CPT,TRANSPLANTATION OF HEART,,,21,,RBRVS,89.50 ,30.77 ,30.77 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33946,CPT,ECMO/ECLS INITIATION VENOUS,,,21,,RBRVS,6.00 ,1.76 ,1.76 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33947,CPT,ECMO/ECLS INITIATION ARTERY,,,21,,RBRVS,6.63 ,1.94 ,1.94 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33948,CPT,ECMO/ECLS DAILY MGMT-VENOUS,,,21,,RBRVS,4.73 ,1.46 ,1.46 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33949,CPT,ECMO/ECLS DAILY MGMT ARTERY,,,21,,RBRVS,4.60 ,1.37 ,1.37 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33951,CPT,ECMO/ECLS INSJ PRPH CANNULA,,,21,,RBRVS,8.15 ,2.32 ,2.32 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33952,CPT,ECMO/ECLS INSJ PRPH CANNULA,,,21,,RBRVS,8.15 ,2.50 ,2.50 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33953,CPT,ECMO/ECLS INSJ PRPH CANNULA,,,21,,RBRVS,9.11 ,2.58 ,2.58 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33954,CPT,ECMO/ECLS INSJ PRPH CANNULA,,,21,,RBRVS,9.11 ,2.68 ,2.68 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33955,CPT,ECMO/ECLS INSJ CTR CANNULA,,,21,,RBRVS,16.00 ,4.46 ,4.46 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33956,CPT,ECMO/ECLS INSJ CTR CANNULA,,,21,,RBRVS,16.00 ,4.60 ,4.60 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33957,CPT,ECMO/ECLS REPOS PERPH CNULA,,,21,,RBRVS,3.51 ,1.06 ,1.06 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33958,CPT,ECMO/ECLS REPOS PERPH CNULA,,,21,,RBRVS,3.51 ,1.06 ,1.06 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33959,CPT,ECMO/ECLS REPOS PERPH CNULA,,,21,,RBRVS,4.47 ,1.31 ,1.31 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33962,CPT,ECMO/ECLS REPOS PERPH CNULA,,,21,,RBRVS,4.47 ,1.31 ,1.31 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33963,CPT,ECMO/ECLS REPOS PERPH CNULA,,,21,,RBRVS,9.00 ,2.55 ,2.55 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33964,CPT,ECMO/ECLS REPOS PERPH CNULA,,,21,,RBRVS,9.50 ,2.69 ,2.69 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33965,CPT,ECMO/ECLS RMVL PERPH CANNULA,,,21,,RBRVS,3.51 ,1.06 ,1.06 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33966,CPT,ECMO/ECLS RMVL PRPH CANNULA,,,21,,RBRVS,4.50 ,1.41 ,1.41 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33967,CPT,INSERT I-AORT PERCUT DEVICE,,,21,,RBRVS,4.84 ,1.62 ,1.62 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33968,CPT,REMOVE AORTIC ASSIST DEVICE,,,21,,RBRVS,0.64 ,0.21 ,0.21 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33969,CPT,ECMO/ECLS RMVL PERPH CANNULA,,,21,,RBRVS,5.22 ,1.52 ,1.52 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33970,CPT,AORTIC CIRCULATION ASSIST,,,21,,RBRVS,6.74 ,2.03 ,2.03 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33971,CPT,AORTIC CIRCULATION ASSIST,,,21,,RBRVS,11.99 ,5.69 ,5.69 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33973,CPT,INSERT BALLOON DEVICE,,,21,,RBRVS,9.75 ,3.00 ,3.00 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33974,CPT,REMOVE INTRA-AORTIC BALLOON,,,21,,RBRVS,15.03 ,7.29 ,7.29 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33975,CPT,IMPLANT VENTRICULAR DEVICE,,,21,,RBRVS,25.00 ,7.31 ,7.31 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33976,CPT,IMPLANT VENTRICULAR DEVICE,,,21,,RBRVS,30.75 ,8.40 ,8.40 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33977,CPT,REMOVE VENTRICULAR DEVICE,,,21,,RBRVS,20.86 ,7.03 ,7.03 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33978,CPT,REMOVE VENTRICULAR DEVICE,,,21,,RBRVS,25.00 ,7.97 ,7.97 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33979,CPT,INSERT INTRACORPOREAL DEVICE,,,21,,RBRVS,37.50 ,10.50 ,10.50 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33980,CPT,REMOVE INTRACORPOREAL DEVICE,,,21,,RBRVS,33.50 ,10.50 ,10.50 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33981,CPT,REPLACE VAD PUMP EXT,,,21,,RBRVS,16.11 ,4.40 ,4.40 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33982,CPT,REPLACE VAD INTRA W/O BP,,,21,,RBRVS,37.86 ,10.34 ,10.34 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33983,CPT,REPLACE VAD INTRA W/BP,,,21,,RBRVS,44.54 ,12.40 ,12.40 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33984,CPT,ECMO/ECLS RMVL PRPH CANNULA,,,21,,RBRVS,5.46 ,1.54 ,1.54 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33985,CPT,ECMO/ECLS RMVL CTR CANNULA,,,21,,RBRVS,9.89 ,2.80 ,2.80 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33986,CPT,ECMO/ECLS RMVL CTR CANNULA,,,21,,RBRVS,10.00 ,2.92 ,2.92 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33987,CPT,ARTERY EXPOS/GRAFT ARTERY,,,21,,RBRVS,4.04 ,1.10 ,1.10 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33988,CPT,INSERTION OF LEFT HEART VENT,,,21,,RBRVS,15.00 ,4.19 ,4.19 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33989,CPT,REMOVAL OF LEFT HEART VENT,,,21,,RBRVS,9.50 ,2.69 ,2.69 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33990,CPT,INSJ PERQ VAD L HRT ARTERIAL,,,21,,RBRVS,7.90 ,2.69 ,2.69 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33991,CPT,INSJ PERQ VAD L HRT ARTL&VEN,,,21,,RBRVS,11.63 ,3.90 ,3.90 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33992,CPT,RMVL PERQ LEFT HEART VAD,,,21,,RBRVS,3.75 ,1.21 ,1.21 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33993,CPT,REPOSG PERQ R/L HRT VAD,,,21,,RBRVS,3.26 ,1.12 ,1.12 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33995,CPT,INSJ PERQ VAD R HRT VENOUS,,,21,,RBRVS,6.75 ,2.48 ,2.48 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33997,CPT,RMVL PERQ RIGHT HEART VAD,,,21,,RBRVS,3.00 ,1.11 ,1.11 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
33999,CPT,CARDIAC SURGERY PROCEDURE,,,21,,TotalUnits,,,,13.24 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
34001,CPT,REMOVAL OF ARTERY CLOT,,,21,,RBRVS,17.88 ,4.39 ,4.39 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
34051,CPT,REMOVAL OF ARTERY CLOT,,,21,,RBRVS,16.99 ,7.85 ,7.85 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
34101,CPT,REMOVAL OF ARTERY CLOT,,,21,,RBRVS,10.93 ,3.85 ,3.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
34111,CPT,REMOVAL OF ARM ARTERY CLOT,,,21,,RBRVS,10.93 ,3.98 ,3.98 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
34151,CPT,REMOVAL OF ARTERY CLOT,,,21,,RBRVS,26.52 ,7.70 ,7.70 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
34201,CPT,REMOVAL OF ARTERY CLOT,,,21,,RBRVS,19.48 ,5.71 ,5.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
34203,CPT,REMOVAL OF LEG ARTERY CLOT,,,21,,RBRVS,17.86 ,5.51 ,5.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
34401,CPT,REMOVAL OF VEIN CLOT,,,21,,RBRVS,26.52 ,9.99 ,9.99 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
34421,CPT,REMOVAL OF VEIN CLOT,,,21,,RBRVS,13.37 ,5.09 ,5.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
34451,CPT,REMOVAL OF VEIN CLOT,,,21,,RBRVS,28.52 ,6.34 ,6.34 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
34471,CPT,REMOVAL OF VEIN CLOT,,,21,,RBRVS,21.11 ,5.14 ,5.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
34490,CPT,REMOVAL OF VEIN CLOT,,,21,,RBRVS,10.91 ,5.04 ,5.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
34501,CPT,REPAIR VALVE FEMORAL VEIN,,,21,,RBRVS,16.85 ,4.97 ,4.97 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
34502,CPT,RECONSTRUCT VENA CAVA,,,21,,RBRVS,28.07 ,10.63 ,10.63 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
34510,CPT,TRANSPOSITION OF VEIN VALVE,,,21,,RBRVS,19.91 ,4.95 ,4.95 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
34520,CPT,CROSS-OVER VEIN GRAFT,,,21,,RBRVS,19.18 ,4.92 ,4.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
34530,CPT,LEG VEIN FUSION,,,21,,RBRVS,17.93 ,5.02 ,5.02 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
34701,CPT,EVASC RPR A-AO NDGFT,,,21,,RBRVS,23.71 ,7.00 ,7.00 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
34702,CPT,EVASC RPR A-AO NDGFT RPT,,,21,,RBRVS,36.00 ,9.64 ,9.64 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
34703,CPT,EVASC RPR A-UNILAC NDGFT,,,21,,RBRVS,26.52 ,7.26 ,7.26 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
34704,CPT,EVASC RPR A-UNILAC NDGFT RPT,,,21,,RBRVS,45.00 ,11.02 ,11.02 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
34705,CPT,EVAC RPR A-BIILIAC NDGFT,,,21,,RBRVS,29.58 ,8.17 ,8.17 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
34706,CPT,EVASC RPR A-BIILIAC RPT,,,21,,RBRVS,45.00 ,11.78 ,11.78 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
34707,CPT,EVASC RPR ILIO-ILIAC NDGFT,,,21,,RBRVS,22.28 ,6.41 ,6.41 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
34708,CPT,EVASC RPR ILIO-ILIAC RPT,,,21,,RBRVS,36.50 ,9.21 ,9.21 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
34709,CPT,PLMT XTN PROSTH EVASC RPR,,,21,,RBRVS,6.50 ,1.42 ,1.42 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
34710,CPT,DLYD PLMT XTN PROSTH 1ST VSL,,,21,,RBRVS,15.00 ,4.91 ,4.91 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
34711,CPT,DLYD PLMT XTN PROSTH EA ADDL,,,21,,RBRVS,6.00 ,1.30 ,1.30 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
34712,CPT,TCAT DLVR ENHNCD FIXJ DEV,,,21,,RBRVS,12.00 ,4.49 ,4.49 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
34713,CPT,PERQ ACCESS & CLSR FEM ART,,,21,,RBRVS,2.50 ,0.57 ,0.57 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
34714,CPT,OPN FEM ART EXPOS CNDT CRTJ,,,21,,RBRVS,5.25 ,1.41 ,1.41 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
34715,CPT,OPN AX/SUBCLA ART EXPOS,,,21,,RBRVS,6.00 ,1.31 ,1.31 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
34716,CPT,OPN AX/SUBCLA ART EXPOS CNDT,,,21,,RBRVS,7.19 ,1.98 ,1.98 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
34717,CPT,EVASC RPR A-ILIAC NDGFT,,,21,,RBRVS,9.00 ,1.86 ,1.86 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
34718,CPT,EVASC RPR N/A A-ILIAC NDGFT,,,21,,RBRVS,24.00 ,6.51 ,6.51 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
34808,CPT,ENDOVAS ILIAC A DEVICE ADDON,,,21,,RBRVS,4.12 ,0.70 ,0.70 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
34812,CPT,OPN FEM ART EXPOS,,,21,,RBRVS,4.13 ,0.92 ,0.92 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
34813,CPT,FEMORAL ENDOVAS GRAFT ADD-ON,,,21,,RBRVS,4.79 ,0.97 ,0.97 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
34820,CPT,OPN ILIAC ART EXPOS,,,21,,RBRVS,7.00 ,1.53 ,1.53 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
34830,CPT,OPEN AORTIC TUBE PROSTH REPR,,,21,,RBRVS,35.23 ,7.52 ,7.52 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
34831,CPT,OPEN AORTOILIAC PROSTH REPR,,,21,,RBRVS,37.98 ,8.99 ,8.99 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
34832,CPT,OPEN AORTOFEMOR PROSTH REPR,,,21,,RBRVS,37.98 ,7.96 ,7.96 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
34833,CPT,OPN ILAC ART EXPOS CNDT CRTJ,,,21,,RBRVS,8.16 ,1.66 ,1.66 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
34834,CPT,OPN BRACH ART EXPOS,,,21,,RBRVS,2.65 ,0.50 ,0.50 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
34841,CPT,ENDOVASC VISC AORTA 1 GRAFT,,,21,,TotalUnits,,,,15.50 ,,$0.00,$0.00,1,0,0,1,1,1,20210101,
34842,CPT,ENDOVASC VISC AORTA 2 GRAFT,,,21,,TotalUnits,,,,31.00 ,,$0.00,$0.00,1,0,0,1,1,1,20210101,
34843,CPT,ENDOVASC VISC AORTA 3 GRAFT,,,21,,TotalUnits,,,,46.50 ,,$0.00,$0.00,1,0,0,1,1,1,20210101,
34844,CPT,ENDOVASC VISC AORTA 4 GRAFT,,,21,,TotalUnits,,,,62.00 ,,$0.00,$0.00,1,0,0,1,1,1,20210101,
34845,CPT,VISC & INFRAREN ABD 1 PROSTH,,,21,,TotalUnits,,,,21.51 ,,$0.00,$0.00,1,0,0,1,1,1,20210101,
34846,CPT,VISC & INFRAREN ABD 2 PROSTH,,,21,,TotalUnits,,,,60.31 ,,$0.00,$0.00,1,0,0,1,1,1,20210101,
34847,CPT,VISC & INFRAREN ABD 3 PROSTH,,,21,,TotalUnits,,,,81.92 ,,$0.00,$0.00,1,0,0,1,1,1,20210101,
34848,CPT,VISC & INFRAREN ABD 4+ PROST,,,21,,TotalUnits,,,,88.65 ,,$0.00,$0.00,1,0,0,1,1,1,20210101,
35001,CPT,REPAIR DEFECT OF ARTERY,,,21,,RBRVS,20.81 ,6.84 ,6.84 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
35002,CPT,REPAIR ARTERY RUPTURE NECK,,,21,,RBRVS,22.23 ,5.44 ,5.44 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
35005,CPT,REPAIR DEFECT OF ARTERY,,,21,,RBRVS,19.29 ,4.96 ,4.96 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
35011,CPT,REPAIR DEFECT OF ARTERY,,,21,,RBRVS,18.58 ,6.14 ,6.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
35013,CPT,REPAIR ARTERY RUPTURE ARM,,,21,,RBRVS,23.23 ,7.89 ,7.89 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
35021,CPT,REPAIR DEFECT OF ARTERY,,,21,,RBRVS,22.17 ,9.27 ,9.27 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
35022,CPT,REPAIR ARTERY RUPTURE CHEST,,,21,,RBRVS,25.70 ,10.23 ,10.23 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
35045,CPT,REPAIR DEFECT OF ARM ARTERY,,,21,,RBRVS,18.01 ,6.26 ,6.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
35081,CPT,REPAIR DEFECT OF ARTERY,,,21,,RBRVS,33.53 ,8.85 ,8.85 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
35082,CPT,REPAIR ARTERY RUPTURE AORTA,,,21,,RBRVS,42.09 ,11.44 ,11.44 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
35091,CPT,REPAIR DEFECT OF ARTERY,,,21,,RBRVS,35.35 ,8.25 ,8.25 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
35092,CPT,REPAIR ARTERY RUPTURE AORTA,,,21,,RBRVS,50.97 ,12.62 ,12.62 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
35102,CPT,REPAIR DEFECT OF ARTERY,,,21,,RBRVS,36.53 ,9.41 ,9.41 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
35103,CPT,REPAIR ARTERY RUPTURE AORTA,,,21,,RBRVS,43.62 ,10.97 ,10.97 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
35111,CPT,REPAIR DEFECT OF ARTERY,,,21,,RBRVS,26.28 ,5.98 ,5.98 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
35112,CPT,REPAIR ARTERY RUPTURE SPLEEN,,,21,,RBRVS,32.57 ,7.09 ,7.09 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
35121,CPT,REPAIR DEFECT OF ARTERY,,,21,,RBRVS,31.52 ,6.84 ,6.84 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
35122,CPT,REPAIR ARTERY RUPTURE BELLY,,,21,,RBRVS,37.89 ,7.95 ,7.95 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
35131,CPT,REPAIR DEFECT OF ARTERY,,,21,,RBRVS,26.40 ,7.33 ,7.33 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
35132,CPT,REPAIR ARTERY RUPTURE GROIN,,,21,,RBRVS,32.57 ,7.09 ,7.09 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
35141,CPT,REPAIR DEFECT OF ARTERY,,,21,,RBRVS,20.91 ,6.19 ,6.19 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
35142,CPT,REPAIR ARTERY RUPTURE THIGH,,,21,,RBRVS,25.16 ,7.53 ,7.53 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
35151,CPT,REPAIR DEFECT OF ARTERY,,,21,,RBRVS,23.72 ,6.61 ,6.61 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
35152,CPT,REPAIR RUPTD POPLITEAL ART,,,21,,RBRVS,27.66 ,6.28 ,6.28 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
35180,CPT,REPAIR BLOOD VESSEL LESION,,,21,,RBRVS,15.10 ,6.89 ,6.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
35182,CPT,REPAIR BLOOD VESSEL LESION,,,21,,RBRVS,31.71 ,12.84 ,12.84 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
35184,CPT,REPAIR BLOOD VESSEL LESION,,,21,,RBRVS,18.82 ,4.66 ,4.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
35188,CPT,REPAIR BLOOD VESSEL LESION,,,21,,RBRVS,18.00 ,12.34 ,12.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
35189,CPT,REPAIR BLOOD VESSEL LESION,,,21,,RBRVS,29.98 ,6.66 ,6.66 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
35190,CPT,REPAIR BLOOD VESSEL LESION,,,21,,RBRVS,13.42 ,5.56 ,5.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
35201,CPT,REPAIR BLOOD VESSEL LESION,,,21,,RBRVS,16.93 ,6.56 ,6.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
35206,CPT,REPAIR BLOOD VESSEL LESION,,,21,,RBRVS,13.84 ,5.72 ,5.72 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
35207,CPT,REPAIR BLOOD VESSEL LESION,,,21,,RBRVS,10.94 ,8.86 ,8.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
35211,CPT,REPAIR BLOOD VESSEL LESION,,,21,,RBRVS,24.58 ,10.11 ,10.11 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
35216,CPT,REPAIR BLOOD VESSEL LESION,,,21,,RBRVS,36.61 ,15.25 ,15.25 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
35221,CPT,REPAIR BLOOD VESSEL LESION,,,21,,RBRVS,26.62 ,9.80 ,9.80 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
35226,CPT,REPAIR BLOOD VESSEL LESION,,,21,,RBRVS,15.30 ,5.31 ,5.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
35231,CPT,REPAIR BLOOD VESSEL LESION,,,21,,RBRVS,21.16 ,11.25 ,11.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
35236,CPT,REPAIR BLOOD VESSEL LESION,,,21,,RBRVS,18.02 ,7.11 ,7.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
35241,CPT,REPAIR BLOOD VESSEL LESION,,,21,,RBRVS,25.58 ,10.20 ,10.20 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
35246,CPT,REPAIR BLOOD VESSEL LESION,,,21,,RBRVS,28.23 ,10.71 ,10.71 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
35251,CPT,REPAIR BLOOD VESSEL LESION,,,21,,RBRVS,31.91 ,11.41 ,11.41 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
35256,CPT,REPAIR BLOOD VESSEL LESION,,,21,,RBRVS,19.06 ,6.26 ,6.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
35261,CPT,REPAIR BLOOD VESSEL LESION,,,21,,RBRVS,18.96 ,4.92 ,4.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
35266,CPT,REPAIR BLOOD VESSEL LESION,,,21,,RBRVS,15.83 ,5.64 ,5.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
35271,CPT,REPAIR BLOOD VESSEL LESION,,,21,,RBRVS,24.58 ,9.86 ,9.86 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
35276,CPT,REPAIR BLOOD VESSEL LESION,,,21,,RBRVS,25.83 ,10.52 ,10.52 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
35281,CPT,REPAIR BLOOD VESSEL LESION,,,21,,RBRVS,30.06 ,10.17 ,10.17 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
35286,CPT,REPAIR BLOOD VESSEL LESION,,,21,,RBRVS,17.19 ,5.93 ,5.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
35301,CPT,RECHANNELING OF ARTERY,,,21,,RBRVS,21.16 ,6.67 ,6.67 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
35302,CPT,RECHANNELING OF ARTERY,,,21,,RBRVS,21.35 ,6.18 ,6.18 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
35303,CPT,RECHANNELING OF ARTERY,,,21,,RBRVS,23.60 ,6.82 ,6.82 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
35304,CPT,RECHANNELING OF ARTERY,,,21,,RBRVS,24.60 ,6.62 ,6.62 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
35305,CPT,RECHANNELING OF ARTERY,,,21,,RBRVS,23.60 ,6.43 ,6.43 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
35306,CPT,RECHANNELING OF ARTERY,,,21,,RBRVS,9.25 ,1.50 ,1.50 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
35311,CPT,RECHANNELING OF ARTERY,,,21,,RBRVS,28.60 ,10.10 ,10.10 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
35321,CPT,RECHANNELING OF ARTERY,,,21,,RBRVS,16.59 ,5.41 ,5.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
35331,CPT,RECHANNELING OF ARTERY,,,21,,RBRVS,27.72 ,7.92 ,7.92 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
35341,CPT,RECHANNELING OF ARTERY,,,21,,RBRVS,26.21 ,7.51 ,7.51 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
35351,CPT,RECHANNELING OF ARTERY,,,21,,RBRVS,24.61 ,6.87 ,6.87 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
35355,CPT,RECHANNELING OF ARTERY,,,21,,RBRVS,19.86 ,5.39 ,5.39 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
35361,CPT,RECHANNELING OF ARTERY,,,21,,RBRVS,30.24 ,6.71 ,6.71 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
35363,CPT,RECHANNELING OF ARTERY,,,21,,RBRVS,32.35 ,7.05 ,7.05 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
35371,CPT,RECHANNELING OF ARTERY,,,21,,RBRVS,15.31 ,4.80 ,4.80 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
35372,CPT,RECHANNELING OF ARTERY,,,21,,RBRVS,18.58 ,5.45 ,5.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
35390,CPT,REOPERATION CAROTID ADD-ON,,,21,,RBRVS,3.19 ,0.70 ,0.70 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
35400,CPT,ANGIOSCOPY,,,21,,RBRVS,3.00 ,0.62 ,0.62 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
35500,CPT,HARVEST VEIN FOR BYPASS,,,21,,RBRVS,6.44 ,1.33 ,1.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
35501,CPT,ART BYP GRFT IPSILAT CAROTID,,,21,,RBRVS,29.09 ,6.35 ,6.35 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
35506,CPT,ART BYP GRFT SUBCLAV-CAROTID,,,21,,RBRVS,25.33 ,5.60 ,5.60 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
35508,CPT,ART BYP GRFT CAROTID-VERTBRL,,,21,,RBRVS,26.09 ,6.18 ,6.18 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
35509,CPT,ART BYP GRFT CONTRAL CAROTID,,,21,,RBRVS,28.09 ,6.22 ,6.22 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
35510,CPT,ART BYP GRFT CAROTID-BRCHIAL,,,21,,RBRVS,24.39 ,5.47 ,5.47 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
35511,CPT,ART BYP GRFT SUBCLAV-SUBCLAV,,,21,,RBRVS,22.20 ,5.02 ,5.02 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
35512,CPT,ART BYP GRFT SUBCLAV-BRCHIAL,,,21,,RBRVS,23.89 ,5.40 ,5.40 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
35515,CPT,ART BYP GRFT SUBCLAV-VERTBRL,,,21,,RBRVS,26.09 ,6.18 ,6.18 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
35516,CPT,ART BYP GRFT SUBCLAV-AXILARY,,,21,,RBRVS,24.21 ,5.42 ,5.42 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
35518,CPT,ART BYP GRFT AXILLARY-AXILRY,,,21,,RBRVS,22.65 ,5.09 ,5.09 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
35521,CPT,ART BYP GRFT AXILL-FEMORAL,,,21,,RBRVS,24.13 ,5.71 ,5.71 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
35522,CPT,ART BYP GRFT AXILL-BRACHIAL,,,21,,RBRVS,23.15 ,6.69 ,6.69 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
35523,CPT,ART BYP GRFT BRCHL-ULNR-RDL,,,21,,RBRVS,24.13 ,7.41 ,7.41 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
35525,CPT,ART BYP GRFT BRACHIAL-BRCHL,,,21,,RBRVS,21.69 ,6.18 ,6.18 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
35526,CPT,ART BYP GRFT AOR/CAROT/INNOM,,,21,,RBRVS,31.55 ,11.50 ,11.50 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
35531,CPT,ART BYP GRFT AORCEL/AORMESEN,,,21,,RBRVS,39.11 ,8.15 ,8.15 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
35533,CPT,ART BYP GRFT AXILL/FEM/FEM,,,21,,RBRVS,29.92 ,6.65 ,6.65 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
35535,CPT,ART BYP GRFT HEPATORENAL,,,21,,RBRVS,38.13 ,8.01 ,8.01 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
35536,CPT,ART BYP GRFT SPLENORENAL,,,21,,RBRVS,33.73 ,7.28 ,7.28 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
35537,CPT,ART BYP GRFT AORTOILIAC,,,21,,RBRVS,41.88 ,8.65 ,8.65 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
35538,CPT,ART BYP GRFT AORTOBI-ILIAC,,,21,,RBRVS,47.03 ,9.56 ,9.56 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
35539,CPT,ART BYP GRFT AORTOFEMORAL,,,21,,RBRVS,44.11 ,9.01 ,9.01 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
35540,CPT,ART BYP GRFT AORTBIFEMORAL,,,21,,RBRVS,49.33 ,9.86 ,9.86 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
35556,CPT,ART BYP GRFT FEM-POPLITEAL,,,21,,RBRVS,26.75 ,7.63 ,7.63 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
35558,CPT,ART BYP GRFT FEM-FEMORAL,,,21,,RBRVS,23.13 ,7.17 ,7.17 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
35560,CPT,ART BYP GRFT AORTORENAL,,,21,,RBRVS,34.03 ,7.33 ,7.33 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
35563,CPT,ART BYP GRFT ILIOILIAC,,,21,,RBRVS,26.12 ,6.03 ,6.03 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
35565,CPT,ART BYP GRFT ILIOFEMORAL,,,21,,RBRVS,25.13 ,6.98 ,6.98 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
35566,CPT,ART BYP FEM-ANT-POST TIB/PRL,,,21,,RBRVS,32.35 ,8.54 ,8.54 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
35570,CPT,ART BYP TIBIAL-TIB/PERONEAL,,,21,,RBRVS,29.15 ,6.64 ,6.64 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
35571,CPT,ART BYP POP-TIBL-PRL-OTHER,,,21,,RBRVS,25.52 ,6.95 ,6.95 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
35572,CPT,HARVEST FEMOROPOPLITEAL VEIN,,,21,,RBRVS,6.81 ,1.65 ,1.65 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
35583,CPT,VEIN BYP GRFT FEM-POPLITEAL,,,21,,RBRVS,27.75 ,7.61 ,7.61 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
35585,CPT,VEIN BYP FEM-TIBIAL PERONEAL,,,21,,RBRVS,32.35 ,8.57 ,8.57 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
35587,CPT,VEIN BYP POP-TIBL PERONEAL,,,21,,RBRVS,26.21 ,7.14 ,7.14 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
35600,CPT,HARVEST ART FOR CABG ADD-ON,,,21,,RBRVS,4.94 ,1.38 ,1.38 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
35601,CPT,ART BYP COMMON IPSI CAROTID,,,21,,RBRVS,27.09 ,7.09 ,7.09 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
35606,CPT,ART BYP CAROTID-SUBCLAVIAN,,,21,,RBRVS,22.46 ,6.33 ,6.33 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
35612,CPT,ART BYP SUBCLAV-SUBCLAVIAN,,,21,,RBRVS,20.35 ,5.09 ,5.09 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
35616,CPT,ART BYP SUBCLAV-AXILLARY,,,21,,RBRVS,21.82 ,4.95 ,4.95 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
35621,CPT,ART BYP AXILLARY-FEMORAL,,,21,,RBRVS,21.03 ,5.86 ,5.86 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
35623,CPT,ART BYP AXILLARY-POP-TIBIAL,,,21,,RBRVS,25.92 ,6.00 ,6.00 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
35626,CPT,ART BYP AORSUBCL/CAROT/INNOM,,,21,,RBRVS,29.14 ,10.28 ,10.28 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
35631,CPT,ART BYP AOR-CELIAC-MSN-RENAL,,,21,,RBRVS,36.03 ,9.20 ,9.20 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
35632,CPT,ART BYP ILIO-CELIAC,,,21,,RBRVS,36.13 ,7.69 ,7.69 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
35633,CPT,ART BYP ILIO-MESENTERIC,,,21,,RBRVS,39.11 ,9.18 ,9.18 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
35634,CPT,ART BYP ILIORENAL,,,21,,RBRVS,35.33 ,7.57 ,7.57 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
35636,CPT,ART BYP SPENORENAL,,,21,,RBRVS,31.75 ,6.95 ,6.95 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
35637,CPT,ART BYP AORTOILIAC,,,21,,RBRVS,33.05 ,7.22 ,7.22 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
35638,CPT,ART BYP AORTOBI-ILIAC,,,21,,RBRVS,33.60 ,9.17 ,9.17 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
35642,CPT,ART BYP CAROTID-VERTEBRAL,,,21,,RBRVS,18.94 ,5.13 ,5.13 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
35645,CPT,ART BYP SUBCLAV-VERTEBRL,,,21,,RBRVS,18.43 ,4.63 ,4.63 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
35646,CPT,ART BYP AORTOBIFEMORAL,,,21,,RBRVS,32.98 ,9.11 ,9.11 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
35647,CPT,ART BYP AORTOFEMORAL,,,21,,RBRVS,29.73 ,8.21 ,8.21 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
35650,CPT,ART BYP AXILLARY-AXILLARY,,,21,,RBRVS,20.16 ,4.68 ,4.68 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
35654,CPT,ART BYP AXILL-FEM-FEMORAL,,,21,,RBRVS,26.28 ,7.31 ,7.31 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
35656,CPT,ART BYP FEMORAL-POPLITEAL,,,21,,RBRVS,20.47 ,6.10 ,6.10 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
35661,CPT,ART BYP FEMORAL-FEMORAL,,,21,,RBRVS,20.35 ,6.34 ,6.34 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
35663,CPT,ART BYP ILIOILIAC,,,21,,RBRVS,23.93 ,5.68 ,5.68 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
35665,CPT,ART BYP ILIOFEMORAL,,,21,,RBRVS,22.35 ,6.48 ,6.48 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
35666,CPT,ART BYP FEM-ANT-POST TIB/PRL,,,21,,RBRVS,23.66 ,7.75 ,7.75 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
35671,CPT,ART BYP POP-TIBL-PRL-OTHER,,,21,,RBRVS,20.77 ,6.94 ,6.94 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
35681,CPT,COMPOSITE BYP GRFT PROS&VEIN,,,21,,RBRVS,1.60 ,0.38 ,0.38 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
35682,CPT,COMPOSITE BYP GRFT 2 VEINS,,,21,,RBRVS,7.19 ,1.40 ,1.40 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
35683,CPT,COMPOSITE BYP GRFT 3/> SEGMT,,,21,,RBRVS,8.49 ,1.38 ,1.38 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
35685,CPT,BYPASS GRAFT PATENCY/PATCH,,,21,,RBRVS,4.04 ,0.78 ,0.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
35686,CPT,BYPASS GRAFT/AV FIST PATENCY,,,21,,RBRVS,3.34 ,0.55 ,0.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
35691,CPT,ART TRNSPOSJ VERTBRL CAROTID,,,21,,RBRVS,18.41 ,4.62 ,4.62 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
35693,CPT,ART TRNSPOSJ SUBCLAVIAN,,,21,,RBRVS,15.73 ,4.68 ,4.68 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
35694,CPT,ART TRNSPOSJ SUBCLAV CAROTID,,,21,,RBRVS,19.28 ,4.77 ,4.77 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
35695,CPT,ART TRNSPOSJ CAROTID SUBCLAV,,,21,,RBRVS,20.06 ,4.89 ,4.89 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
35697,CPT,REIMPLANT ARTERY EACH,,,21,,RBRVS,3.00 ,0.59 ,0.59 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
35700,CPT,REOPERATION BYPASS GRAFT,,,21,,RBRVS,3.08 ,0.63 ,0.63 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
35701,CPT,EXPL N/FLWD SURG NECK ART,,,21,,RBRVS,7.50 ,3.91 ,3.91 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
35702,CPT,EXPL N/FLWD SURG UXTR ART,,,21,,RBRVS,7.12 ,3.23 ,3.23 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
35703,CPT,EXPL N/FLWD SURG LXTR ART,,,21,,RBRVS,7.50 ,2.88 ,2.88 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
35800,CPT,EXPLORE NECK VESSELS,,,21,,RBRVS,12.00 ,6.45 ,6.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
35820,CPT,EXPLORE CHEST VESSELS,,,21,,RBRVS,36.89 ,13.06 ,13.06 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
35840,CPT,EXPLORE ABDOMINAL VESSELS,,,21,,RBRVS,20.75 ,9.38 ,9.38 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
35860,CPT,EXPLORE LIMB VESSELS,,,21,,RBRVS,15.25 ,5.47 ,5.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
35870,CPT,REPAIR VESSEL GRAFT DEFECT,,,21,,RBRVS,24.50 ,5.80 ,5.80 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
35875,CPT,REMOVAL OF CLOT IN GRAFT,,,21,,RBRVS,10.72 ,4.02 ,4.02 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
35876,CPT,REMOVAL OF CLOT IN GRAFT,,,21,,RBRVS,17.82 ,5.51 ,5.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
35879,CPT,REVISE GRAFT W/VEIN,,,21,,RBRVS,17.41 ,5.33 ,5.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
35881,CPT,REVISE GRAFT W/VEIN,,,21,,RBRVS,19.35 ,5.70 ,5.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
35883,CPT,REVISE GRAFT W/NONAUTO GRAFT,,,21,,RBRVS,23.15 ,6.30 ,6.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
35884,CPT,REVISE GRAFT W/VEIN,,,21,,RBRVS,24.65 ,5.45 ,5.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
35901,CPT,EXCISION GRAFT NECK,,,21,,RBRVS,8.38 ,3.29 ,3.29 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
35903,CPT,EXCISION GRAFT EXTREMITY,,,21,,RBRVS,9.53 ,4.61 ,4.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
35905,CPT,EXCISION GRAFT THORAX,,,21,,RBRVS,33.52 ,10.12 ,10.12 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
35907,CPT,EXCISION GRAFT ABDOMEN,,,21,,RBRVS,37.27 ,9.14 ,9.14 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
36000,CPT,PLACE NEEDLE IN VEIN,,,21,,RBRVS,0.18 ,0.07 ,0.60 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
36002,CPT,PSEUDOANEURYSM INJECTION TRT,,,21,,RBRVS,1.96 ,0.80 ,2.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
36005,CPT,INJECTION EXT VENOGRAPHY,,,21,,RBRVS,0.95 ,0.30 ,7.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
36010,CPT,PLACE CATHETER IN VEIN,,,21,,RBRVS,2.18 ,0.63 ,12.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
36011,CPT,PLACE CATHETER IN VEIN,,,21,,RBRVS,3.14 ,0.95 ,21.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
36012,CPT,PLACE CATHETER IN VEIN,,,21,,RBRVS,3.51 ,0.99 ,21.01 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
36013,CPT,PLACE CATHETER IN ARTERY,,,21,,RBRVS,2.52 ,0.73 ,19.98 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
36014,CPT,PLACE CATHETER IN ARTERY,,,21,,RBRVS,3.02 ,0.95 ,20.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
36015,CPT,PLACE CATHETER IN ARTERY,,,21,,RBRVS,3.51 ,1.09 ,21.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
36100,CPT,ESTABLISH ACCESS TO ARTERY,,,21,,RBRVS,3.02 ,0.74 ,11.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
36140,CPT,INTRO NDL ICATH UPR/LXTR ART,,,21,,RBRVS,1.76 ,0.49 ,11.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
36160,CPT,ESTABLISH ACCESS TO AORTA,,,21,,RBRVS,2.52 ,0.77 ,12.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
36200,CPT,PLACE CATHETER IN AORTA,,,21,,RBRVS,2.77 ,0.69 ,13.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
36215,CPT,PLACE CATHETER IN ARTERY,,,21,,RBRVS,4.17 ,1.42 ,26.01 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
36216,CPT,PLACE CATHETER IN ARTERY,,,21,,RBRVS,5.27 ,1.68 ,26.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
36217,CPT,PLACE CATHETER IN ARTERY,,,21,,RBRVS,6.29 ,2.02 ,46.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
36218,CPT,PLACE CATHETER IN ARTERY,,,21,,RBRVS,1.01 ,0.31 ,5.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
36221,CPT,PLACE CATH THORACIC AORTA,,,21,,RBRVS,3.92 ,1.09 ,25.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
36222,CPT,PLACE CATH CAROTID/INOM ART,,,21,,RBRVS,5.28 ,1.75 ,29.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
36223,CPT,PLACE CATH CAROTID/INOM ART,,,21,,RBRVS,5.75 ,2.13 ,38.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
36224,CPT,PLACE CATH CAROTD ART,,,21,,RBRVS,6.25 ,2.61 ,51.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
36225,CPT,PLACE CATH SUBCLAVIAN ART,,,21,,RBRVS,5.75 ,2.07 ,36.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
36226,CPT,PLACE CATH VERTEBRAL ART,,,21,,RBRVS,6.25 ,2.53 ,47.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
36227,CPT,PLACE CATH XTRNL CAROTID,,,21,,RBRVS,2.09 ,0.81 ,4.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
36228,CPT,PLACE CATH INTRACRANIAL ART,,,21,,RBRVS,4.25 ,1.66 ,32.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
36245,CPT,INS CATH ABD/L-EXT ART 1ST,,,21,,RBRVS,4.65 ,1.46 ,32.76 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
36246,CPT,INS CATH ABD/L-EXT ART 2ND,,,21,,RBRVS,5.02 ,1.37 ,18.57 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
36247,CPT,INS CATH ABD/L-EXT ART 3RD,,,21,,RBRVS,6.04 ,1.69 ,36.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
36248,CPT,INS CATH ABD/L-EXT ART ADDL,,,21,,RBRVS,1.01 ,0.29 ,2.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
36251,CPT,INS CATH REN ART 1ST UNILAT,,,21,,RBRVS,5.10 ,1.54 ,33.79 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
36252,CPT,INS CATH REN ART 1ST BILAT,,,21,,RBRVS,6.74 ,2.27 ,34.65 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
36253,CPT,INS CATH REN ART 2ND+ UNILAT,,,21,,RBRVS,7.30 ,2.26 ,54.87 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
36254,CPT,INS CATH REN ART 2ND+ BILAT,,,21,,RBRVS,7.90 ,2.54 ,52.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
36260,CPT,INSERTION OF INFUSION PUMP,,,21,,RBRVS,9.91 ,6.62 ,6.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
36261,CPT,REVISION OF INFUSION PUMP,,,21,,RBRVS,5.63 ,4.76 ,4.76 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
36262,CPT,REMOVAL OF INFUSION PUMP,,,21,,RBRVS,4.11 ,3.85 ,3.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
36299,CPT,VESSEL INJECTION PROCEDURE,,,21,,TotalUnits,,,,0.09 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
36400,CPT,BL DRAW < 3 YRS FEM/JUGULAR,,,21,,RBRVS,0.38 ,0.13 ,0.35 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
36405,CPT,BL DRAW <3 YRS SCALP VEIN,,,21,,RBRVS,0.31 ,0.11 ,0.33 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
36406,CPT,BL DRAW <3 YRS OTHER VEIN,,,21,,RBRVS,0.18 ,0.06 ,0.28 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
36410,CPT,NON-ROUTINE BL DRAW 3/> YRS,,,21,,RBRVS,0.18 ,0.07 ,0.29 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
36415,CPT,ROUTINE VENIPUNCTURE,,,17,,TotalUnits,,,,0.08 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
36416,CPT,CAPILLARY BLOOD DRAW,,,17,,TotalUnits,,,,0.10 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
36420,CPT,VEIN ACCESS CUTDOWN < 1 YR,,,21,,RBRVS,1.01 ,0.17 ,0.17 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
36425,CPT,VEIN ACCESS CUTDOWN > 1 YR,,,21,,RBRVS,0.76 ,0.30 ,0.30 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
36430,CPT,BLOOD TRANSFUSION SERVICE,,,21,,RBRVS,,0.97 ,0.97 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
36440,CPT,BL PUSH TRANSFUSE 2 YR/<,,,21,,RBRVS,1.03 ,0.36 ,0.36 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
36450,CPT,BL EXCHANGE/TRANSFUSE NB,,,21,,RBRVS,3.50 ,1.20 ,1.20 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
36455,CPT,BL EXCHANGE/TRANSFUSE NON-NB,,,21,,RBRVS,2.43 ,0.69 ,0.69 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
36456,CPT,PRTL EXCHANGE TRANSFUSE NB,,,21,,RBRVS,2.00 ,0.77 ,0.77 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
36460,CPT,TRANSFUSION SERVICE FETAL,,,21,,RBRVS,6.58 ,2.48 ,2.48 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
36465,CPT,NJX NONCMPND SCLRSNT 1 VEIN,,,21,,RBRVS,2.35 ,0.67 ,40.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
36466,CPT,NJX NONCMPND SCLRSNT MLT VN,,,21,,RBRVS,3.00 ,0.93 ,44.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
36468,CPT,NJX SCLRSNT SPIDER VEINS,,,21,,TotalUnits,,,,2.38 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
36470,CPT,NJX SCLRSNT 1 INCMPTNT VEIN,,,21,,RBRVS,0.75 ,0.22 ,2.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
36471,CPT,NJX SCLRSNT MLT INCMPTNT VN,,,21,,RBRVS,1.50 ,0.44 ,3.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
36473,CPT,ENDOVENOUS MCHNCHEM 1ST VEIN,,,21,,RBRVS,3.50 ,1.02 ,36.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
36474,CPT,ENDOVENOUS MCHNCHEM ADD-ON,,,21,,RBRVS,1.75 ,0.50 ,6.13 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
36475,CPT,ENDOVENOUS RF 1ST VEIN,,,21,,RBRVS,5.30 ,1.72 ,32.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
36476,CPT,ENDOVENOUS RF VEIN ADD-ON,,,21,,RBRVS,2.65 ,0.73 ,5.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
36478,CPT,ENDOVENOUS LASER 1ST VEIN,,,21,,RBRVS,5.30 ,1.75 ,23.95 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
36479,CPT,ENDOVENOUS LASER VEIN ADDON,,,21,,RBRVS,2.65 ,0.79 ,6.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
36481,CPT,INSERTION OF CATHETER VEIN,,,21,,RBRVS,6.73 ,2.16 ,47.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
36482,CPT,ENDOVEN THER CHEM ADHES 1ST,,,21,,RBRVS,3.50 ,1.03 ,49.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
36483,CPT,ENDOVEN THER CHEM ADHES SBSQ,,,21,,RBRVS,1.75 ,0.49 ,2.33 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
36500,CPT,INSERTION OF CATHETER VEIN,,,21,,RBRVS,3.51 ,1.18 ,1.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
36510,CPT,INSERTION OF CATHETER VEIN,,,21,,RBRVS,1.09 ,0.38 ,1.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
36511,CPT,APHERESIS WBC,,,21,,RBRVS,2.00 ,1.02 ,1.02 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
36512,CPT,APHERESIS RBC,,,21,,RBRVS,2.00 ,0.99 ,0.99 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
36513,CPT,APHERESIS PLATELETS,,,21,,RBRVS,2.00 ,0.91 ,0.91 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
36514,CPT,APHERESIS PLASMA,,,21,,RBRVS,1.81 ,0.79 ,17.21 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
36516,CPT,APHERESIS IMMUNOADS SLCTV,,,21,,RBRVS,1.56 ,0.63 ,53.63 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
36522,CPT,PHOTOPHERESIS,,,21,,RBRVS,1.75 ,0.96 ,52.74 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
36555,CPT,INSERT NON-TUNNEL CV CATH,,,21,,RBRVS,1.93 ,0.36 ,3.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
36556,CPT,INSERT NON-TUNNEL CV CATH,,,21,,RBRVS,1.75 ,0.49 ,4.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
36557,CPT,INSERT TUNNELED CV CATH,,,21,,RBRVS,4.89 ,3.17 ,25.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
36558,CPT,INSERT TUNNELED CV CATH,,,21,,RBRVS,4.59 ,2.36 ,17.98 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
36560,CPT,INSERT TUNNELED CV CATH,,,21,,RBRVS,6.04 ,3.58 ,29.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
36561,CPT,INSERT TUNNELED CV CATH,,,21,,RBRVS,5.79 ,3.02 ,23.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
36563,CPT,INSERT TUNNELED CV CATH,,,21,,RBRVS,5.99 ,3.24 ,26.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
36565,CPT,INSERT TUNNELED CV CATH,,,21,,RBRVS,5.79 ,2.68 ,17.99 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
36566,CPT,INSERT TUNNELED CV CATH,,,21,,RBRVS,6.29 ,2.95 ,124.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
36568,CPT,INSJ PICC <5 YR W/O IMAGING,,,21,,RBRVS,2.11 ,0.36 ,0.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
36569,CPT,INSJ PICC 5 YR+ W/O IMAGING,,,21,,RBRVS,1.90 ,0.65 ,0.65 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
36570,CPT,INSERT PICVAD CATH,,,21,,RBRVS,5.11 ,3.25 ,35.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
36571,CPT,INSERT PICVAD CATH,,,21,,RBRVS,5.09 ,2.97 ,30.99 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
36572,CPT,INSJ PICC RS&I <5 YR,,,21,,RBRVS,1.82 ,0.65 ,10.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
36573,CPT,INSJ PICC RS&I 5 YR+,,,21,,RBRVS,1.70 ,0.56 ,9.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
36575,CPT,REPAIR TUNNELED CV CATH,,,21,,RBRVS,0.67 ,0.25 ,3.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
36576,CPT,REPAIR TUNNELED CV CATH,,,21,,RBRVS,2.99 ,1.80 ,6.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
36578,CPT,REPLACE TUNNELED CV CATH,,,21,,RBRVS,3.29 ,2.04 ,9.57 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
36580,CPT,REPLACE CVAD CATH,,,21,,RBRVS,1.31 ,0.45 ,4.76 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
36581,CPT,REPLACE TUNNELED CV CATH,,,21,,RBRVS,3.23 ,1.68 ,19.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
36582,CPT,REPLACE TUNNELED CV CATH,,,21,,RBRVS,4.99 ,2.59 ,22.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
36583,CPT,REPLACE TUNNELED CV CATH,,,21,,RBRVS,5.04 ,3.23 ,29.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
36584,CPT,COMPL RPLCMT PICC RS&I,,,21,,RBRVS,1.20 ,0.42 ,8.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
36585,CPT,REPLACE PICVAD CATH,,,21,,RBRVS,4.59 ,2.48 ,26.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
36589,CPT,REMOVAL TUNNELED CV CATH,,,21,,RBRVS,2.28 ,1.37 ,2.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
36590,CPT,REMOVAL TUNNELED CV CATH,,,21,,RBRVS,3.10 ,1.87 ,2.76 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
36591,CPT,DRAW BLOOD OFF VENOUS DEVICE,,TC,21,,RBRVS,,0.69 ,0.69 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
36592,CPT,COLLECT BLOOD FROM PICC,,TC,21,,RBRVS,,0.78 ,0.78 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
36593,CPT,DECLOT VASCULAR DEVICE,,TC,21,,RBRVS,,0.87 ,0.87 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
36595,CPT,MECH REMOV TUNNELED CV CATH,,,21,,RBRVS,3.59 ,1.31 ,13.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
36596,CPT,MECH REMOV TUNNELED CV CATH,,,21,,RBRVS,0.75 ,0.42 ,2.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
36597,CPT,REPOSITION VENOUS CATHETER,,,21,,RBRVS,1.21 ,0.42 ,2.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
36598,CPT,INJ W/FLUOR EVAL CV DEVICE,,,21,,RBRVS,0.74 ,0.25 ,2.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
36600,CPT,WITHDRAWAL OF ARTERIAL BLOOD,,,21,,RBRVS,0.32 ,0.10 ,0.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
36620,CPT,INSERTION CATHETER ARTERY,,,21,,RBRVS,1.00 ,0.19 ,0.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
36625,CPT,INSERTION CATHETER ARTERY,,,21,,RBRVS,2.11 ,0.63 ,0.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
36640,CPT,INSERTION CATHETER ARTERY,,,21,,RBRVS,2.10 ,1.06 ,1.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
36660,CPT,INSERTION CATHETER ARTERY,,,21,,RBRVS,1.40 ,0.48 ,0.48 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
36680,CPT,INSERT NEEDLE BONE CAVITY,,,21,,RBRVS,1.20 ,0.31 ,0.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
36800,CPT,INSERTION OF CANNULA,,,21,,RBRVS,2.43 ,0.81 ,0.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
36810,CPT,INSERTION OF CANNULA,,,21,,RBRVS,3.96 ,1.64 ,1.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
36815,CPT,INSERTION OF CANNULA,,,21,,RBRVS,2.62 ,0.68 ,0.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
36818,CPT,AV FUSE UPPR ARM CEPHALIC,,,21,,RBRVS,12.39 ,4.78 ,4.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
36819,CPT,AV FUSE UPPR ARM BASILIC,,,21,,RBRVS,13.29 ,4.83 ,4.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
36820,CPT,AV FUSION/FOREARM VEIN,,,21,,RBRVS,13.07 ,5.04 ,5.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
36821,CPT,AV FUSION DIRECT ANY SITE,,,21,,RBRVS,11.90 ,4.58 ,4.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
36823,CPT,INSERTION OF CANNULA(S),,,21,,RBRVS,22.98 ,12.16 ,12.16 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
36825,CPT,ARTERY-VEIN AUTOGRAFT,,,21,,RBRVS,14.17 ,5.57 ,5.57 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
36830,CPT,ARTERY-VEIN NONAUTOGRAFT,,,21,,RBRVS,12.03 ,4.51 ,4.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
36831,CPT,OPEN THROMBECT AV FISTULA,,,21,,RBRVS,11.00 ,4.28 ,4.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
36832,CPT,AV FISTULA REVISION OPEN,,,21,,RBRVS,13.50 ,5.28 ,5.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
36833,CPT,AV FISTULA REVISION,,,21,,RBRVS,14.50 ,5.61 ,5.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
36835,CPT,ARTERY TO VEIN SHUNT,,,21,,RBRVS,7.51 ,4.66 ,4.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
36838,CPT,DIST REVAS LIGATION HEMO,,,21,,RBRVS,21.69 ,6.45 ,6.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
36860,CPT,EXTERNAL CANNULA DECLOTTING,,,21,,RBRVS,2.01 ,0.73 ,4.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
36861,CPT,CANNULA DECLOTTING,,,21,,RBRVS,2.52 ,0.91 ,0.91 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
36901,CPT,INTRO CATH DIALYSIS CIRCUIT,,,21,,RBRVS,3.36 ,1.06 ,15.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
36902,CPT,INTRO CATH DIALYSIS CIRCUIT,,,21,,RBRVS,4.83 ,1.47 ,31.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
36903,CPT,INTRO CATH DIALYSIS CIRCUIT,,,21,,RBRVS,6.39 ,1.88 ,139.01 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
36904,CPT,THRMBC/NFS DIALYSIS CIRCUIT,,,21,,RBRVS,7.50 ,2.23 ,46.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
36905,CPT,THRMBC/NFS DIALYSIS CIRCUIT,,,21,,RBRVS,9.00 ,2.73 ,58.60 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
36906,CPT,THRMBC/NFS DIALYSIS CIRCUIT,,,21,,RBRVS,10.42 ,3.07 ,169.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
36907,CPT,BALO ANGIOP CTR DIALYSIS SEG,,,21,,RBRVS,3.00 ,0.84 ,16.25 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
36908,CPT,STENT PLMT CTR DIALYSIS SEG,,,21,,RBRVS,4.25 ,1.14 ,54.75 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
36909,CPT,DIALYSIS CIRCUIT EMBOLJ,,,21,,RBRVS,4.12 ,1.11 ,52.10 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
37140,CPT,REVISION OF CIRCULATION,,,21,,RBRVS,40.00 ,17.96 ,17.96 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
37145,CPT,REVISION OF CIRCULATION,,,21,,RBRVS,37.00 ,16.78 ,16.78 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
37160,CPT,REVISION OF CIRCULATION,,,21,,RBRVS,38.00 ,17.24 ,17.24 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
37180,CPT,REVISION OF CIRCULATION,,,21,,RBRVS,36.50 ,16.60 ,16.60 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
37181,CPT,SPLICE SPLEEN/KIDNEY VEINS,,,21,,RBRVS,40.00 ,17.96 ,17.96 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
37182,CPT,INSERT HEPATIC SHUNT (TIPS),,,21,,RBRVS,16.97 ,5.31 ,5.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
37183,CPT,REMOVE HEPATIC SHUNT (TIPS),,,21,,RBRVS,7.74 ,2.42 ,167.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
37184,CPT,PRIM ART M-THRMBC 1ST VSL,,,21,,RBRVS,8.41 ,2.59 ,45.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
37185,CPT,PRIM ART M-THRMBC SBSQ VSL,,,21,,RBRVS,3.28 ,0.85 ,13.00 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
37186,CPT,SEC ART THROMBECTOMY ADD-ON,,,21,,RBRVS,4.92 ,1.24 ,31.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
37187,CPT,VENOUS MECH THROMBECTOMY,,,21,,RBRVS,7.78 ,2.49 ,46.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
37188,CPT,VEN MECHNL THRMBC REPEAT TX,,,21,,RBRVS,5.46 ,1.78 ,40.00 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
37191,CPT,INS ENDOVAS VENA CAVA FILTR,,,21,,RBRVS,4.46 ,1.42 ,62.99 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
37192,CPT,REDO ENDOVAS VENA CAVA FILTR,,,21,,RBRVS,7.10 ,1.23 ,29.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
37193,CPT,REM ENDOVAS VENA CAVA FILTER,,,21,,RBRVS,7.10 ,2.08 ,37.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
37195,CPT,THROMBOLYTIC THERAPY STROKE,,,21,,TotalUnits,,,,9.67 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
37197,CPT,REMOVE INTRVAS FOREIGN BODY,,,21,,RBRVS,6.04 ,1.80 ,38.72 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
37200,CPT,TRANSCATHETER BIOPSY,,,21,,RBRVS,4.55 ,1.34 ,1.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
37211,CPT,THROMBOLYTIC ART THERAPY,,,21,,RBRVS,7.75 ,2.14 ,2.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
37212,CPT,THROMBOLYTIC VENOUS THERAPY,,,21,,RBRVS,6.81 ,1.93 ,1.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
37213,CPT,THROMBLYTIC ART/VEN THERAPY,,,21,,RBRVS,4.75 ,1.29 ,1.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
37214,CPT,CESSJ THERAPY CATH REMOVAL,,,21,,RBRVS,2.49 ,0.68 ,0.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
37215,CPT,TRANSCATH STENT CCA W/EPS,,,21,,RBRVS,17.75 ,7.13 ,7.13 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
37216,CPT,TRANSCATH STENT CCA W/O EPS,,,21,,RBRVS,17.98 ,8.87 ,8.87 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
37217,CPT,STENT PLACEMT RETRO CAROTID,,,21,,RBRVS,20.38 ,6.30 ,6.30 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
37218,CPT,STENT PLACEMT ANTE CAROTID,,,21,,RBRVS,14.75 ,5.79 ,5.79 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
37220,CPT,ILIAC REVASC,,,21,,RBRVS,7.90 ,2.06 ,72.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
37221,CPT,ILIAC REVASC W/STENT,,,21,,RBRVS,9.75 ,2.56 ,99.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
37222,CPT,ILIAC REVASC ADD-ON,,,21,,RBRVS,3.73 ,0.88 ,16.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
37223,CPT,ILIAC REVASC W/STENT ADD-ON,,,21,,RBRVS,4.25 ,1.03 ,49.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
37224,CPT,FEM/POPL REVAS W/TLA,,,21,,RBRVS,8.75 ,2.34 ,87.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
37225,CPT,FEM/POPL REVAS W/ATHER,,,21,,RBRVS,11.75 ,3.29 ,306.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
37226,CPT,FEM/POPL REVASC W/STENT,,,21,,RBRVS,10.24 ,2.70 ,272.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
37227,CPT,FEM/POPL REVASC STNT & ATHER,,,21,,RBRVS,14.25 ,3.81 ,395.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
37228,CPT,TIB/PER REVASC W/TLA,,,21,,RBRVS,10.75 ,2.77 ,127.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
37229,CPT,TIB/PER REVASC W/ATHER,,,21,,RBRVS,13.80 ,3.81 ,305.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
37230,CPT,TIB/PER REVASC W/STENT,,,21,,RBRVS,13.55 ,3.89 ,273.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
37231,CPT,TIB/PER REVASC STENT & ATHER,,,21,,RBRVS,14.75 ,4.25 ,383.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
37232,CPT,TIB/PER REVASC ADD-ON,,,21,,RBRVS,4.00 ,1.04 ,24.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
37233,CPT,TIBPER REVASC W/ATHER ADD-ON,,,21,,RBRVS,6.50 ,1.67 ,27.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
37234,CPT,REVSC OPN/PRQ TIB/PERO STENT,,,21,,RBRVS,5.50 ,1.62 ,103.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
37235,CPT,TIB/PER REVASC STNT & ATHER,,,21,,RBRVS,7.80 ,2.29 ,106.94 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
37236,CPT,OPEN/PERQ PLACE STENT 1ST,,,21,,RBRVS,8.75 ,2.38 ,85.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
37237,CPT,OPEN/PERQ PLACE STENT EA ADD,,,21,,RBRVS,4.25 ,1.03 ,48.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
37238,CPT,OPEN/PERQ PLACE STENT SAME,,,21,,RBRVS,6.04 ,1.76 ,83.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
37239,CPT,OPEN/PERQ PLACE STENT EA ADD,,,21,,RBRVS,2.97 ,0.86 ,38.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
37241,CPT,VASC EMBOLIZE/OCCLUDE VENOUS,,,21,,RBRVS,8.75 ,2.61 ,130.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
37242,CPT,VASC EMBOLIZE/OCCLUDE ARTERY,,,21,,RBRVS,9.80 ,2.69 ,205.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
37243,CPT,VASC EMBOLIZE/OCCLUDE ORGAN,,,21,,RBRVS,11.74 ,3.52 ,260.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
37244,CPT,VASC EMBOLIZE/OCCLUDE BLEED,,,21,,RBRVS,13.75 ,4.30 ,185.77 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
37246,CPT,TRLUML BALO ANGIOP 1ST ART,,,21,,RBRVS,7.00 ,1.97 ,50.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
37247,CPT,TRLUML BALO ANGIOP ADDL ART,,,21,,RBRVS,3.50 ,0.90 ,16.46 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
37248,CPT,TRLUML BALO ANGIOP 1ST VEIN,,,21,,RBRVS,6.00 ,1.82 ,36.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
37249,CPT,TRLUML BALO ANGIOP ADDL VEIN,,,21,,RBRVS,2.97 ,0.83 ,12.26 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
37252,CPT,INTRVASC US NONCORONARY 1ST,,,21,,RBRVS,1.80 ,0.46 ,31.12 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
37253,CPT,INTRVASC US NONCORONARY ADDL,,,21,,RBRVS,1.44 ,0.37 ,3.64 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
37500,CPT,ENDOSCOPY LIGATE PERF VEINS,,,21,,RBRVS,11.67 ,3.88 ,3.88 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
37501,CPT,VASCULAR ENDOSCOPY PROCEDURE,,,21,,TotalUnits,,,,15.55 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
37565,CPT,LIGATION OF NECK VEIN,,,21,,RBRVS,12.05 ,6.51 ,6.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
37600,CPT,LIGATION OF NECK ARTERY,,,21,,RBRVS,12.42 ,6.74 ,6.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
37605,CPT,LIGATION OF NECK ARTERY,,,21,,RBRVS,14.28 ,3.72 ,3.72 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
37606,CPT,LIGATION OF NECK ARTERY,,,21,,RBRVS,8.81 ,8.63 ,8.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
37607,CPT,LIGATION OF A-V FISTULA,,,21,,RBRVS,6.25 ,3.16 ,3.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
37609,CPT,TEMPORAL ARTERY PROCEDURE,,,21,,RBRVS,3.05 ,2.27 ,5.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
37615,CPT,LIGATION OF NECK ARTERY,,,21,,RBRVS,7.80 ,5.63 ,5.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
37616,CPT,LIGATION OF CHEST ARTERY,,,21,,RBRVS,18.97 ,8.77 ,8.77 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
37617,CPT,LIGATION OF ABDOMEN ARTERY,,,21,,RBRVS,23.79 ,9.67 ,9.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
37618,CPT,LIGATION OF EXTREMITY ARTERY,,,21,,RBRVS,6.03 ,3.84 ,3.84 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
37619,CPT,LIGATION OF INF VENA CAVA,,,21,,RBRVS,30.00 ,13.09 ,13.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
37650,CPT,REVISION OF MAJOR VEIN,,,21,,RBRVS,8.49 ,2.78 ,2.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
37660,CPT,REVISION OF MAJOR VEIN,,,21,,RBRVS,22.28 ,10.65 ,10.65 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
37700,CPT,REVISE LEG VEIN,,,21,,RBRVS,3.82 ,2.36 ,2.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
37718,CPT,LIGATE/STRIP SHORT LEG VEIN,,,21,,RBRVS,7.13 ,3.39 ,3.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
37722,CPT,LIGATE/STRIP LONG LEG VEIN,,,21,,RBRVS,8.16 ,3.59 ,3.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
37735,CPT,REMOVAL OF LEG VEINS/LESION,,,21,,RBRVS,10.90 ,3.34 ,3.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
37760,CPT,LIGATE LEG VEINS RADICAL,,,21,,RBRVS,10.78 ,4.77 ,4.77 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
37761,CPT,LIGATE LEG VEINS OPEN,,,21,,RBRVS,9.13 ,4.46 ,4.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
37765,CPT,STAB PHLEB VEINS XTR 10-20,,,21,,RBRVS,4.80 ,2.07 ,6.87 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
37766,CPT,PHLEB VEINS - EXTREM 20+,,,21,,RBRVS,6.00 ,2.40 ,7.57 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
37780,CPT,REVISION OF LEG VEIN,,,21,,RBRVS,3.93 ,1.91 ,1.91 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
37785,CPT,LIGATE/DIVIDE/EXCISE VEIN,,,21,,RBRVS,3.93 ,2.64 ,5.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
37788,CPT,REVASCULARIZATION PENIS,,,21,,RBRVS,23.33 ,10.50 ,10.50 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
37790,CPT,PENILE VENOUS OCCLUSION,,,21,,RBRVS,8.43 ,4.64 ,4.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
37799,CPT,VASCULAR SURGERY PROCEDURE,,,21,,TotalUnits,,,,0.17 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
38100,CPT,REMOVAL OF SPLEEN TOTAL,,,21,,RBRVS,19.55 ,9.50 ,9.50 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
38101,CPT,REMOVAL OF SPLEEN PARTIAL,,,21,,RBRVS,19.55 ,9.67 ,9.67 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
38102,CPT,REMOVAL OF SPLEEN TOTAL,,,21,,RBRVS,4.79 ,1.80 ,1.80 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
38115,CPT,REPAIR OF RUPTURED SPLEEN,,,21,,RBRVS,21.88 ,10.39 ,10.39 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
38120,CPT,LAPAROSCOPY SPLENECTOMY,,,21,,RBRVS,17.07 ,9.56 ,9.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
38129,CPT,LAPAROSCOPE PROC SPLEEN,,,21,,TotalUnits,,,,26.63 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
38200,CPT,INJECTION FOR SPLEEN X-RAY,,,21,,RBRVS,2.64 ,0.99 ,0.99 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
38204,CPT,BL DONOR SEARCH MANAGEMENT,,,21,,RBRVS,2.00 ,0.77 ,0.77 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
38205,CPT,HARVEST ALLOGENEIC STEM CELL,,,21,,RBRVS,1.50 ,0.85 ,0.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
38206,CPT,HARVEST AUTO STEM CELLS,,,21,,RBRVS,1.50 ,0.84 ,0.84 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
38207,CPT,CRYOPRESERVE STEM CELLS,,,21,,RBRVS,0.89 ,0.34 ,0.34 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
38208,CPT,THAW PRESERVED STEM CELLS,,,21,,RBRVS,0.56 ,0.22 ,0.22 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
38209,CPT,WASH HARVEST STEM CELLS,,,21,,RBRVS,0.24 ,0.09 ,0.09 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
38210,CPT,T-CELL DEPLETION OF HARVEST,,,21,,RBRVS,1.57 ,0.60 ,0.60 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
38211,CPT,TUMOR CELL DEPLETE OF HARVST,,,21,,RBRVS,1.42 ,0.55 ,0.55 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
38212,CPT,RBC DEPLETION OF HARVEST,,,21,,RBRVS,0.94 ,0.36 ,0.36 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
38213,CPT,PLATELET DEPLETE OF HARVEST,,,21,,RBRVS,0.24 ,0.09 ,0.09 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
38214,CPT,VOLUME DEPLETE OF HARVEST,,,21,,RBRVS,0.81 ,0.31 ,0.31 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
38215,CPT,HARVEST STEM CELL CONCENTRTE,,,21,,RBRVS,0.94 ,0.36 ,0.36 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
38220,CPT,DX BONE MARROW ASPIRATIONS,,,21,,RBRVS,1.20 ,0.63 ,3.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
38221,CPT,DX BONE MARROW BIOPSIES,,,21,,RBRVS,1.28 ,0.63 ,3.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
38222,CPT,DX BONE MARROW BX & ASPIR,,,21,,RBRVS,1.44 ,0.69 ,3.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
38230,CPT,BONE MARROW HARVEST ALLOGEN,,,21,,RBRVS,3.50 ,1.75 ,1.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
38232,CPT,BONE MARROW HARVEST AUTOLOG,,,21,,RBRVS,3.50 ,1.70 ,1.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
38240,CPT,TRANSPLT ALLO HCT/DONOR,,,21,,RBRVS,4.00 ,2.51 ,2.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
38241,CPT,TRANSPLT AUTOL HCT/DONOR,,,21,,RBRVS,3.00 ,1.81 ,1.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
38242,CPT,TRANSPLT ALLO LYMPHOCYTES,,,21,,RBRVS,2.11 ,1.39 ,1.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
38243,CPT,TRANSPLJ HEMATOPOIETIC BOOST,,,21,,RBRVS,2.13 ,1.23 ,1.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
38300,CPT,DRAINAGE LYMPH NODE LESION,,,21,,RBRVS,2.36 ,2.98 ,6.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
38305,CPT,DRAINAGE LYMPH NODE LESION,,,21,,RBRVS,6.68 ,5.82 ,5.82 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
38308,CPT,INCISION OF LYMPH CHANNELS,,,21,,RBRVS,6.81 ,4.86 ,4.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
38380,CPT,THORACIC DUCT PROCEDURE,,,21,,RBRVS,8.46 ,6.53 ,6.53 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
38381,CPT,THORACIC DUCT PROCEDURE,,,21,,RBRVS,13.38 ,6.79 ,6.79 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
38382,CPT,THORACIC DUCT PROCEDURE,,,21,,RBRVS,10.65 ,6.55 ,6.55 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
38500,CPT,BIOPSY/REMOVAL LYMPH NODES,,,21,,RBRVS,3.79 ,2.73 ,5.03 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
38505,CPT,NEEDLE BIOPSY LYMPH NODES,,,21,,RBRVS,1.14 ,0.77 ,2.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
38510,CPT,BIOPSY/REMOVAL LYMPH NODES,,,21,,RBRVS,6.74 ,4.10 ,7.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
38520,CPT,BIOPSY/REMOVAL LYMPH NODES,,,21,,RBRVS,7.03 ,4.98 ,4.98 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
38525,CPT,BIOPSY/REMOVAL LYMPH NODES,,,21,,RBRVS,6.43 ,4.75 ,4.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
38530,CPT,BIOPSY/REMOVAL LYMPH NODES,,,21,,RBRVS,8.34 ,6.26 ,6.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
38531,CPT,OPEN BX/EXC INGUINOFEM NODES,,,21,,RBRVS,6.74 ,4.67 ,4.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
38542,CPT,EXPLORE DEEP NODE(S) NECK,,,21,,RBRVS,7.95 ,5.64 ,5.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
38550,CPT,REMOVAL NECK/ARMPIT LESION,,,21,,RBRVS,7.11 ,6.08 ,6.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
38555,CPT,REMOVAL NECK/ARMPIT LESION,,,21,,RBRVS,15.59 ,10.16 ,10.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
38562,CPT,REMOVAL PELVIC LYMPH NODES,,,21,,RBRVS,11.06 ,7.39 ,7.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
38564,CPT,REMOVAL ABDOMEN LYMPH NODES,,,21,,RBRVS,11.38 ,6.70 ,6.70 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
38570,CPT,LAPAROSCOPY LYMPH NODE BIOP,,,21,,RBRVS,8.49 ,4.88 ,4.88 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
38571,CPT,LAPAROSCOPY LYMPHADENECTOMY,,,21,,RBRVS,12.00 ,5.71 ,5.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
38572,CPT,LAPAROSCOPY LYMPHADENECTOMY,,,21,,RBRVS,15.60 ,8.36 ,8.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
38573,CPT,LAPS PELVIC LYMPHADEC,,,21,,RBRVS,20.00 ,10.45 ,10.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
38589,CPT,LAPAROSCOPE PROC LYMPHATIC,,,21,,TotalUnits,,,,17.71 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
38700,CPT,REMOVAL OF LYMPH NODES NECK,,,21,,RBRVS,12.81 ,8.41 ,8.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
38720,CPT,REMOVAL OF LYMPH NODES NECK,,,21,,RBRVS,21.95 ,13.06 ,13.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
38724,CPT,REMOVAL OF LYMPH NODES NECK,,,21,,RBRVS,23.95 ,14.15 ,14.15 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
38740,CPT,REMOVE ARMPIT LYMPH NODES,,,21,,RBRVS,10.70 ,7.03 ,7.03 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
38745,CPT,REMOVE ARMPIT LYMPH NODES,,,21,,RBRVS,13.87 ,8.40 ,8.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
38746,CPT,REMOVE THORACIC LYMPH NODES,,,21,,RBRVS,4.12 ,1.17 ,1.17 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
38747,CPT,REMOVE ABDOMINAL LYMPH NODES,,,21,,RBRVS,4.88 ,1.78 ,1.78 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
38760,CPT,REMOVE GROIN LYMPH NODES,,,21,,RBRVS,13.62 ,7.85 ,7.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
38765,CPT,REMOVE GROIN LYMPH NODES,,,21,,RBRVS,21.91 ,11.38 ,11.38 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
38770,CPT,REMOVE PELVIS LYMPH NODES,,,21,,RBRVS,14.06 ,7.21 ,7.21 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
38780,CPT,REMOVE ABDOMEN LYMPH NODES,,,21,,RBRVS,17.70 ,9.33 ,9.33 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
38790,CPT,INJECT FOR LYMPHATIC X-RAY,,,21,,RBRVS,1.29 ,0.88 ,0.88 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
38792,CPT,RA TRACER ID OF SENTINL NODE,,,21,,RBRVS,0.65 ,0.23 ,1.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
38794,CPT,ACCESS THORACIC LYMPH DUCT,,,21,,RBRVS,4.62 ,3.53 ,3.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
38900,CPT,IO MAP OF SENT LYMPH NODE,,,21,,RBRVS,2.50 ,0.93 ,0.93 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
38999,CPT,BLOOD/LYMPH SYSTEM PROCEDURE,,,21,,TotalUnits,,,,2.86 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
39000,CPT,EXPLORATION OF CHEST,,,21,,RBRVS,7.57 ,5.14 ,5.14 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
39010,CPT,EXPLORATION OF CHEST,,,21,,RBRVS,13.19 ,6.58 ,6.58 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
39200,CPT,RESECT MEDIASTINAL CYST,,,21,,RBRVS,15.09 ,6.68 ,6.68 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
39220,CPT,RESECT MEDIASTINAL TUMOR,,,21,,RBRVS,19.55 ,8.98 ,8.98 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
39401,CPT,MEDIASTINOSCPY W/MEDSTNL BX,,,21,,RBRVS,5.44 ,2.24 ,2.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
39402,CPT,MEDIASTINOSCPY W/LMPH NOD BX,,,21,,RBRVS,7.25 ,2.78 ,2.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
39499,CPT,CHEST PROCEDURE,,,21,,TotalUnits,,,,10.03 ,,$0.00,$0.00,1,0,0,1,1,1,20210101,
39501,CPT,REPAIR DIAPHRAGM LACERATION,,,21,,RBRVS,13.98 ,7.65 ,7.65 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
39503,CPT,REPAIR OF DIAPHRAGM HERNIA,,,21,,RBRVS,108.91 ,35.12 ,35.12 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
39540,CPT,REPAIR OF DIAPHRAGM HERNIA,,,21,,RBRVS,14.57 ,7.40 ,7.40 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
39541,CPT,REPAIR OF DIAPHRAGM HERNIA,,,21,,RBRVS,15.75 ,7.92 ,7.92 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
39545,CPT,REVISION OF DIAPHRAGM,,,21,,RBRVS,14.67 ,7.86 ,7.86 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
39560,CPT,RESECT DIAPHRAGM SIMPLE,,,21,,RBRVS,13.06 ,7.25 ,7.25 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
39561,CPT,RESECT DIAPHRAGM COMPLEX,,,21,,RBRVS,19.99 ,11.38 ,11.38 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
39599,CPT,DIAPHRAGM SURGERY PROCEDURE,,,21,,TotalUnits,,,,22.53 ,,$0.00,$0.00,1,0,0,1,1,1,20210101,
40490,CPT,BIOPSY OF LIP,,,21,,RBRVS,1.22 ,0.70 ,2.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
40500,CPT,PARTIAL EXCISION OF LIP,,,21,,RBRVS,4.47 ,5.36 ,9.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
40510,CPT,PARTIAL EXCISION OF LIP,,,21,,RBRVS,4.82 ,4.60 ,8.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
40520,CPT,PARTIAL EXCISION OF LIP,,,21,,RBRVS,4.79 ,4.74 ,8.76 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
40525,CPT,RECONSTRUCT LIP WITH FLAP,,,21,,RBRVS,7.72 ,6.99 ,6.99 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
40527,CPT,RECONSTRUCT LIP WITH FLAP,,,21,,RBRVS,9.32 ,7.15 ,7.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
40530,CPT,PARTIAL REMOVAL OF LIP,,,21,,RBRVS,5.54 ,5.16 ,9.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
40650,CPT,REPAIR LIP,,,21,,RBRVS,3.78 ,4.33 ,8.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
40652,CPT,REPAIR LIP,,,21,,RBRVS,4.43 ,5.06 ,9.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
40654,CPT,REPAIR LIP,,,21,,RBRVS,5.48 ,5.89 ,10.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
40700,CPT,REPAIR CLEFT LIP/NASAL,,,21,,RBRVS,14.17 ,12.57 ,12.57 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
40701,CPT,REPAIR CLEFT LIP/NASAL,,,21,,RBRVS,17.23 ,14.35 ,14.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
40702,CPT,REPAIR CLEFT LIP/NASAL,,,21,,RBRVS,14.27 ,12.26 ,12.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
40720,CPT,REPAIR CLEFT LIP/NASAL,,,21,,RBRVS,14.72 ,12.52 ,12.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
40761,CPT,REPAIR CLEFT LIP/NASAL,,,21,,RBRVS,15.84 ,12.82 ,12.82 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
40799,CPT,LIP SURGERY PROCEDURE,,,21,,TotalUnits,,,,3.38 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
40800,CPT,DRAINAGE OF MOUTH LESION,,,21,,RBRVS,1.23 ,2.21 ,4.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
40801,CPT,DRAINAGE OF MOUTH LESION,,,21,,RBRVS,2.63 ,3.07 ,5.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
40804,CPT,REMOVAL FOREIGN BODY MOUTH,,,21,,RBRVS,1.30 ,1.91 ,4.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
40805,CPT,REMOVAL FOREIGN BODY MOUTH,,,21,,RBRVS,2.79 ,2.96 ,5.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
40806,CPT,INCISION OF LIP FOLD,,,21,,RBRVS,0.31 ,0.51 ,2.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
40808,CPT,BIOPSY OF MOUTH LESION,,,21,,RBRVS,1.05 ,1.31 ,3.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
40810,CPT,EXCISION OF MOUTH LESION,,,21,,RBRVS,1.36 ,2.02 ,4.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
40812,CPT,EXCISE/REPAIR MOUTH LESION,,,21,,RBRVS,2.37 ,2.82 ,5.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
40814,CPT,EXCISE/REPAIR MOUTH LESION,,,21,,RBRVS,3.52 ,4.51 ,6.98 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
40816,CPT,EXCISION OF MOUTH LESION,,,21,,RBRVS,3.77 ,4.60 ,7.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
40818,CPT,EXCISE ORAL MUCOSA FOR GRAFT,,,21,,RBRVS,2.83 ,4.65 ,7.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
40819,CPT,EXCISE LIP OR CHEEK FOLD,,,21,,RBRVS,2.51 ,3.34 ,5.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
40820,CPT,TREATMENT OF MOUTH LESION,,,21,,RBRVS,1.34 ,3.31 ,5.95 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
40830,CPT,REPAIR MOUTH LACERATION,,,21,,RBRVS,1.82 ,2.70 ,5.84 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
40831,CPT,REPAIR MOUTH LACERATION,,,21,,RBRVS,2.57 ,3.64 ,7.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
40840,CPT,RECONSTRUCTION OF MOUTH,,,21,,RBRVS,9.15 ,7.62 ,13.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
40842,CPT,RECONSTRUCTION OF MOUTH,,,21,,RBRVS,9.15 ,8.82 ,15.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
40843,CPT,RECONSTRUCTION OF MOUTH,,,21,,RBRVS,12.79 ,10.36 ,19.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
40844,CPT,RECONSTRUCTION OF MOUTH,,,21,,RBRVS,16.80 ,14.44 ,23.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
40845,CPT,RECONSTRUCTION OF MOUTH,,,21,,RBRVS,19.36 ,12.87 ,20.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
40899,CPT,MOUTH SURGERY PROCEDURE,,,21,,TotalUnits,,,,5.60 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
41000,CPT,DRAINAGE OF MOUTH LESION,,,21,,RBRVS,1.35 ,1.63 ,3.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
41005,CPT,DRAINAGE OF MOUTH LESION,,,21,,RBRVS,1.31 ,1.88 ,4.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
41006,CPT,DRAINAGE OF MOUTH LESION,,,21,,RBRVS,3.34 ,3.23 ,6.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
41007,CPT,DRAINAGE OF MOUTH LESION,,,21,,RBRVS,3.20 ,3.17 ,6.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
41008,CPT,DRAINAGE OF MOUTH LESION,,,21,,RBRVS,3.46 ,3.64 ,7.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
41009,CPT,DRAINAGE OF MOUTH LESION,,,21,,RBRVS,3.71 ,4.10 ,7.72 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
41010,CPT,INCISION OF TONGUE FOLD,,,21,,RBRVS,1.11 ,1.83 ,4.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
41015,CPT,DRAINAGE OF MOUTH LESION,,,21,,RBRVS,4.08 ,4.49 ,7.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
41016,CPT,DRAINAGE OF MOUTH LESION,,,21,,RBRVS,4.19 ,5.27 ,8.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
41017,CPT,DRAINAGE OF MOUTH LESION,,,21,,RBRVS,4.19 ,5.25 ,8.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
41018,CPT,DRAINAGE OF MOUTH LESION,,,21,,RBRVS,5.22 ,5.72 ,8.84 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
41019,CPT,PLACE NEEDLES H&N FOR RT,,,21,,RBRVS,8.84 ,4.44 ,4.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
41100,CPT,BIOPSY OF TONGUE,,,21,,RBRVS,1.42 ,1.42 ,3.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
41105,CPT,BIOPSY OF TONGUE,,,21,,RBRVS,1.47 ,1.46 ,3.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
41108,CPT,BIOPSY OF FLOOR OF MOUTH,,,21,,RBRVS,1.10 ,1.29 ,3.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
41110,CPT,EXCISION OF TONGUE LESION,,,21,,RBRVS,1.56 ,1.96 ,4.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
41112,CPT,EXCISION OF TONGUE LESION,,,21,,RBRVS,2.83 ,3.88 ,6.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
41113,CPT,EXCISION OF TONGUE LESION,,,21,,RBRVS,3.29 ,4.10 ,6.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
41114,CPT,EXCISION OF TONGUE LESION,,,21,,RBRVS,8.82 ,7.81 ,7.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
41115,CPT,EXCISION OF TONGUE FOLD,,,21,,RBRVS,1.79 ,2.12 ,5.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
41116,CPT,EXCISION OF MOUTH LESION,,,21,,RBRVS,2.52 ,3.35 ,6.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
41120,CPT,PARTIAL REMOVAL OF TONGUE,,,21,,RBRVS,11.14 ,17.73 ,17.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
41130,CPT,PARTIAL REMOVAL OF TONGUE,,,21,,RBRVS,15.74 ,19.67 ,19.67 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
41135,CPT,TONGUE AND NECK SURGERY,,,21,,RBRVS,30.14 ,27.78 ,27.78 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
41140,CPT,REMOVAL OF TONGUE,,,21,,RBRVS,29.15 ,29.26 ,29.26 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
41145,CPT,TONGUE REMOVAL NECK SURGERY,,,21,,RBRVS,37.93 ,35.81 ,35.81 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
41150,CPT,TONGUE MOUTH JAW SURGERY,,,21,,RBRVS,29.86 ,28.81 ,28.81 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
41153,CPT,TONGUE MOUTH NECK SURGERY,,,21,,RBRVS,33.59 ,30.19 ,30.19 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
41155,CPT,TONGUE JAW & NECK SURGERY,,,21,,RBRVS,44.30 ,35.96 ,35.96 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
41250,CPT,REPAIR TONGUE LACERATION,,,21,,RBRVS,1.96 ,2.12 ,5.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
41251,CPT,REPAIR TONGUE LACERATION,,,21,,RBRVS,2.32 ,2.47 ,6.03 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
41252,CPT,REPAIR TONGUE LACERATION,,,21,,RBRVS,3.02 ,2.51 ,5.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
41510,CPT,TONGUE TO LIP SURGERY,,,21,,RBRVS,3.51 ,8.78 ,8.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
41512,CPT,TONGUE SUSPENSION,,,21,,RBRVS,6.86 ,11.03 ,11.03 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
41520,CPT,RECONSTRUCTION TONGUE FOLD,,,21,,RBRVS,2.83 ,3.86 ,6.94 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
41530,CPT,TONGUE BASE VOL REDUCTION,,,21,,RBRVS,3.50 ,6.69 ,23.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
41599,CPT,TONGUE AND MOUTH SURGERY,,,21,,TotalUnits,,,,4.59 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
41800,CPT,DRAINAGE OF GUM LESION,,,21,,RBRVS,1.27 ,2.88 ,6.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
41805,CPT,REMOVAL FOREIGN BODY GUM,,,21,,RBRVS,1.34 ,3.96 ,6.99 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
41806,CPT,REMOVAL FOREIGN BODY JAWBONE,,,21,,RBRVS,2.79 ,4.80 ,8.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
41820,CPT,EXCISION GUM EACH QUADRANT,,,21,,TotalUnits,,,,4.36 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
41821,CPT,EXCISION OF GUM FLAP,,,21,,TotalUnits,,,,2.09 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
41822,CPT,EXCISION OF GUM LESION,,,21,,RBRVS,2.41 ,2.87 ,7.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
41823,CPT,EXCISION OF GUM LESION,,,21,,RBRVS,3.77 ,5.86 ,10.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
41825,CPT,EXCISION OF GUM LESION,,,21,,RBRVS,1.41 ,1.89 ,4.65 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
41826,CPT,EXCISION OF GUM LESION,,,21,,RBRVS,2.41 ,3.22 ,6.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
41827,CPT,EXCISION OF GUM LESION,,,21,,RBRVS,3.83 ,4.35 ,8.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
41828,CPT,EXCISION OF GUM LESION,,,21,,RBRVS,3.14 ,2.75 ,6.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
41830,CPT,REMOVAL OF GUM TISSUE,,,21,,RBRVS,3.45 ,4.86 ,9.02 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
41850,CPT,TREATMENT OF GUM LESION,,,21,,TotalUnits,,,,2.91 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
41870,CPT,GUM GRAFT,,,21,,TotalUnits,,,,5.78 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
41872,CPT,REPAIR GUM,,,21,,RBRVS,3.01 ,5.00 ,9.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
41874,CPT,REPAIR TOOTH SOCKET,,,21,,RBRVS,3.19 ,3.70 ,7.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
41899,CPT,DENTAL SURGERY PROCEDURE,,,21,,TotalUnits,,,,9.55 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
42000,CPT,DRAINAGE MOUTH ROOF LESION,,,21,,RBRVS,1.28 ,1.52 ,3.03 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
42100,CPT,BIOPSY ROOF OF MOUTH,,,21,,RBRVS,1.36 ,1.56 ,2.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
42104,CPT,EXCISION LESION MOUTH ROOF,,,21,,RBRVS,1.69 ,1.99 ,4.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
42106,CPT,EXCISION LESION MOUTH ROOF,,,21,,RBRVS,2.15 ,2.48 ,5.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
42107,CPT,EXCISION LESION MOUTH ROOF,,,21,,RBRVS,4.56 ,4.63 ,8.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
42120,CPT,REMOVE PALATE/LESION,,,21,,RBRVS,11.86 ,15.27 ,15.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
42140,CPT,EXCISION OF UVULA,,,21,,RBRVS,1.70 ,2.52 ,6.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
42145,CPT,REPAIR PALATE PHARYNX/UVULA,,,21,,RBRVS,9.78 ,8.70 ,8.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
42160,CPT,TREATMENT MOUTH ROOF LESION,,,21,,RBRVS,1.85 ,2.06 ,4.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
42180,CPT,REPAIR PALATE,,,21,,RBRVS,2.55 ,2.38 ,4.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
42182,CPT,REPAIR PALATE,,,21,,RBRVS,3.87 ,2.94 ,4.94 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
42200,CPT,RECONSTRUCT CLEFT PALATE,,,21,,RBRVS,12.53 ,12.53 ,12.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
42205,CPT,RECONSTRUCT CLEFT PALATE,,,21,,RBRVS,13.66 ,12.36 ,12.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
42210,CPT,RECONSTRUCT CLEFT PALATE,,,21,,RBRVS,15.03 ,14.03 ,14.03 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
42215,CPT,RECONSTRUCT CLEFT PALATE,,,21,,RBRVS,8.99 ,10.08 ,10.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
42220,CPT,RECONSTRUCT CLEFT PALATE,,,21,,RBRVS,7.16 ,8.58 ,8.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
42225,CPT,RECONSTRUCT CLEFT PALATE,,,21,,RBRVS,9.77 ,16.77 ,16.77 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
42226,CPT,LENGTHENING OF PALATE,,,21,,RBRVS,10.35 ,13.52 ,13.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
42227,CPT,LENGTHENING OF PALATE,,,21,,RBRVS,9.90 ,12.41 ,12.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
42235,CPT,REPAIR PALATE,,,21,,RBRVS,8.01 ,11.60 ,11.60 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
42260,CPT,REPAIR NOSE TO LIP FISTULA,,,21,,RBRVS,10.22 ,7.37 ,12.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
42280,CPT,PREPARATION PALATE MOLD,,,21,,RBRVS,1.59 ,1.40 ,3.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
42281,CPT,INSERTION PALATE PROSTHESIS,,,21,,RBRVS,1.98 ,2.48 ,4.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
42299,CPT,PALATE/UVULA SURGERY,,,21,,TotalUnits,,,,5.39 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
42300,CPT,DRAINAGE OF SALIVARY GLAND,,,21,,RBRVS,1.98 ,2.13 ,3.84 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
42305,CPT,DRAINAGE OF SALIVARY GLAND,,,21,,RBRVS,6.31 ,5.09 ,5.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
42310,CPT,DRAINAGE OF SALIVARY GLAND,,,21,,RBRVS,1.61 ,2.07 ,3.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
42320,CPT,DRAINAGE OF SALIVARY GLAND,,,21,,RBRVS,2.40 ,2.31 ,4.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
42330,CPT,REMOVAL OF SALIVARY STONE,,,21,,RBRVS,2.26 ,2.13 ,4.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
42335,CPT,REMOVAL OF SALIVARY STONE,,,21,,RBRVS,3.41 ,3.50 ,7.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
42340,CPT,REMOVAL OF SALIVARY STONE,,,21,,RBRVS,4.72 ,4.30 ,8.84 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
42400,CPT,BIOPSY OF SALIVARY GLAND,,,21,,RBRVS,0.78 ,0.67 ,2.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
42405,CPT,BIOPSY OF SALIVARY GLAND,,,21,,RBRVS,3.34 ,2.68 ,4.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
42408,CPT,EXCISION OF SALIVARY CYST,,,21,,RBRVS,4.66 ,4.92 ,9.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
42409,CPT,DRAINAGE OF SALIVARY CYST,,,21,,RBRVS,2.91 ,3.11 ,7.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
42410,CPT,EXCISE PAROTID GLAND/LESION,,,21,,RBRVS,9.57 ,6.91 ,6.91 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
42415,CPT,EXCISE PAROTID GLAND/LESION,,,21,,RBRVS,17.16 ,10.69 ,10.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
42420,CPT,EXCISE PAROTID GLAND/LESION,,,21,,RBRVS,19.53 ,11.72 ,11.72 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
42425,CPT,EXCISE PAROTID GLAND/LESION,,,21,,RBRVS,13.42 ,8.66 ,8.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
42426,CPT,EXCISE PAROTID GLAND/LESION,,,21,,RBRVS,22.66 ,12.85 ,12.85 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
42440,CPT,EXCISE SUBMAXILLARY GLAND,,,21,,RBRVS,6.14 ,4.81 ,4.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
42450,CPT,EXCISE SUBLINGUAL GLAND,,,21,,RBRVS,4.74 ,4.93 ,7.82 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
42500,CPT,REPAIR SALIVARY DUCT,,,21,,RBRVS,4.42 ,4.72 ,7.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
42505,CPT,REPAIR SALIVARY DUCT,,,21,,RBRVS,6.32 ,5.75 ,8.84 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
42507,CPT,PAROTID DUCT DIVERSION,,,21,,RBRVS,6.25 ,7.16 ,7.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
42509,CPT,PAROTID DUCT DIVERSION,,,21,,RBRVS,11.76 ,10.31 ,10.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
42510,CPT,PAROTID DUCT DIVERSION,,,21,,RBRVS,8.35 ,8.05 ,8.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
42550,CPT,INJECTION FOR SALIVARY X-RAY,,,21,,RBRVS,1.25 ,0.47 ,3.03 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
42600,CPT,CLOSURE OF SALIVARY FISTULA,,,21,,RBRVS,4.94 ,4.40 ,8.98 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
42650,CPT,DILATION OF SALIVARY DUCT,,,21,,RBRVS,0.77 ,0.77 ,1.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
42660,CPT,DILATION OF SALIVARY DUCT,,,21,,RBRVS,1.13 ,1.09 ,2.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
42665,CPT,LIGATION OF SALIVARY DUCT,,,21,,RBRVS,2.63 ,2.99 ,6.84 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
42699,CPT,SALIVARY SURGERY PROCEDURE,,,21,,TotalUnits,,,,16.48 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
42700,CPT,DRAINAGE OF TONSIL ABSCESS,,,21,,RBRVS,1.67 ,1.94 ,3.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
42720,CPT,DRAINAGE OF THROAT ABSCESS,,,21,,RBRVS,6.31 ,3.99 ,5.79 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
42725,CPT,DRAINAGE OF THROAT ABSCESS,,,21,,RBRVS,12.41 ,8.97 ,8.97 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
42800,CPT,BIOPSY OF THROAT,,,21,,RBRVS,1.44 ,1.59 ,2.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
42804,CPT,BIOPSY OF UPPER NOSE/THROAT,,,21,,RBRVS,1.29 ,1.80 ,4.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
42806,CPT,BIOPSY OF UPPER NOSE/THROAT,,,21,,RBRVS,1.63 ,1.95 ,4.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
42808,CPT,EXCISE PHARYNX LESION,,,21,,RBRVS,2.35 ,1.99 ,3.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
42809,CPT,REMOVE PHARYNX FOREIGN BODY,,,21,,RBRVS,1.86 ,1.42 ,3.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
42810,CPT,EXCISION OF NECK CYST,,,21,,RBRVS,3.38 ,4.25 ,7.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
42815,CPT,EXCISION OF NECK CYST,,,21,,RBRVS,7.31 ,7.27 ,7.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
42820,CPT,REMOVE TONSILS AND ADENOIDS,,,21,,RBRVS,4.22 ,3.47 ,3.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
42821,CPT,REMOVE TONSILS AND ADENOIDS,,,21,,RBRVS,4.36 ,3.66 ,3.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
42825,CPT,REMOVAL OF TONSILS,,,21,,RBRVS,3.51 ,3.53 ,3.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
42826,CPT,REMOVAL OF TONSILS,,,21,,RBRVS,3.45 ,3.27 ,3.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
42830,CPT,REMOVAL OF ADENOIDS,,,21,,RBRVS,2.65 ,2.93 ,2.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
42831,CPT,REMOVAL OF ADENOIDS,,,21,,RBRVS,2.81 ,3.24 ,3.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
42835,CPT,REMOVAL OF ADENOIDS,,,21,,RBRVS,2.38 ,2.81 ,2.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
42836,CPT,REMOVAL OF ADENOIDS,,,21,,RBRVS,3.26 ,3.19 ,3.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
42842,CPT,EXTENSIVE SURGERY OF THROAT,,,21,,RBRVS,12.23 ,14.86 ,14.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
42844,CPT,EXTENSIVE SURGERY OF THROAT,,,21,,RBRVS,17.78 ,19.43 ,19.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
42845,CPT,EXTENSIVE SURGERY OF THROAT,,,21,,RBRVS,32.56 ,26.94 ,26.94 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
42860,CPT,EXCISION OF TONSIL TAGS,,,21,,RBRVS,2.30 ,2.78 ,2.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
42870,CPT,EXCISION OF LINGUAL TONSIL,,,21,,RBRVS,5.52 ,10.49 ,10.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
42890,CPT,PARTIAL REMOVAL OF PHARYNX,,,21,,RBRVS,19.13 ,18.98 ,18.98 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
42892,CPT,REVISION OF PHARYNGEAL WALLS,,,21,,RBRVS,26.03 ,24.03 ,24.03 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
42894,CPT,REVISION OF PHARYNGEAL WALLS,,,21,,RBRVS,33.92 ,29.18 ,29.18 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
42900,CPT,REPAIR THROAT WOUND,,,21,,RBRVS,5.29 ,3.55 ,3.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
42950,CPT,RECONSTRUCTION OF THROAT,,,21,,RBRVS,8.27 ,13.44 ,13.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
42953,CPT,REPAIR THROAT ESOPHAGUS,,,21,,RBRVS,9.45 ,16.59 ,16.59 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
42955,CPT,SURGICAL OPENING OF THROAT,,,21,,RBRVS,8.01 ,12.60 ,12.60 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
42960,CPT,CONTROL THROAT BLEEDING,,,21,,RBRVS,2.38 ,2.03 ,2.03 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
42961,CPT,CONTROL THROAT BLEEDING,,,21,,RBRVS,5.77 ,5.36 ,5.36 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
42962,CPT,CONTROL THROAT BLEEDING,,,21,,RBRVS,7.40 ,6.31 ,6.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
42970,CPT,CONTROL NOSE/THROAT BLEEDING,,,21,,RBRVS,5.82 ,5.12 ,5.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
42971,CPT,CONTROL NOSE/THROAT BLEEDING,,,21,,RBRVS,6.60 ,5.45 ,5.45 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
42972,CPT,CONTROL NOSE/THROAT BLEEDING,,,21,,RBRVS,7.59 ,5.88 ,5.88 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
42999,CPT,THROAT SURGERY PROCEDURE,,,21,,TotalUnits,,,,6.72 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
43020,CPT,INCISION OF ESOPHAGUS,,,21,,RBRVS,8.23 ,6.06 ,6.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
43030,CPT,THROAT MUSCLE SURGERY,,,21,,RBRVS,7.99 ,5.73 ,5.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
43045,CPT,INCISION OF ESOPHAGUS,,,21,,RBRVS,21.88 ,10.76 ,10.76 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
43100,CPT,EXCISION OF ESOPHAGUS LESION,,,21,,RBRVS,9.66 ,7.04 ,7.04 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
43101,CPT,EXCISION OF ESOPHAGUS LESION,,,21,,RBRVS,17.07 ,8.14 ,8.14 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
43107,CPT,REMOVAL OF ESOPHAGUS,,,21,,RBRVS,52.05 ,22.40 ,22.40 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
43108,CPT,REMOVAL OF ESOPHAGUS,,,21,,RBRVS,82.87 ,27.29 ,27.29 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
43112,CPT,ESPHG TOT W/THRCM,,,21,,RBRVS,62.00 ,24.79 ,24.79 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
43113,CPT,REMOVAL OF ESOPHAGUS,,,21,,RBRVS,80.06 ,27.69 ,27.69 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
43116,CPT,PARTIAL REMOVAL OF ESOPHAGUS,,,21,,RBRVS,92.99 ,30.15 ,30.15 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
43117,CPT,PARTIAL REMOVAL OF ESOPHAGUS,,,21,,RBRVS,57.50 ,23.44 ,23.44 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
43118,CPT,PARTIAL REMOVAL OF ESOPHAGUS,,,21,,RBRVS,67.07 ,22.84 ,22.84 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
43121,CPT,PARTIAL REMOVAL OF ESOPHAGUS,,,21,,RBRVS,51.43 ,19.58 ,19.58 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
43122,CPT,PARTIAL REMOVAL OF ESOPHAGUS,,,21,,RBRVS,44.18 ,19.89 ,19.89 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
43123,CPT,PARTIAL REMOVAL OF ESOPHAGUS,,,21,,RBRVS,83.12 ,28.56 ,28.56 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
43124,CPT,REMOVAL OF ESOPHAGUS,,,21,,RBRVS,69.09 ,25.43 ,25.43 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
43130,CPT,REMOVAL OF ESOPHAGUS POUCH,,,21,,RBRVS,12.53 ,7.96 ,7.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
43135,CPT,REMOVAL OF ESOPHAGUS POUCH,,,21,,RBRVS,26.17 ,10.49 ,10.49 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
43180,CPT,ESOPHAGOSCOPY RIGID TRNSO,,,21,,RBRVS,9.03 ,5.39 ,5.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
43191,CPT,ESOPHAGOSCOPY RIGID TRNSO DX,,,21,,RBRVS,2.49 ,1.59 ,1.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
43192,CPT,ESOPHAGOSCP RIG TRNSO INJECT,,,21,,RBRVS,2.79 ,1.68 ,1.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
43193,CPT,ESOPHAGOSCP RIG TRNSO BIOPSY,,,21,,RBRVS,2.79 ,1.67 ,1.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
43194,CPT,ESOPHAGOSCP RIG TRNSO REM FB,,,21,,RBRVS,3.51 ,1.50 ,1.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
43195,CPT,ESOPHAGOSCOPY RIGID BALLOON,,,21,,RBRVS,3.07 ,1.78 ,1.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
43196,CPT,ESOPHAGOSCP GUIDE WIRE DILAT,,,21,,RBRVS,3.31 ,1.88 ,1.88 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
43197,CPT,ESOPHAGOSCOPY FLEX DX BRUSH,,,21,,RBRVS,1.52 ,0.63 ,3.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
43198,CPT,ESOPHAGOSC FLEX TRNSN BIOPSY,,,21,,RBRVS,1.82 ,0.78 ,4.00 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
43200,CPT,ESOPHAGOSCOPY FLEXIBLE BRUSH,,,21,,RBRVS,1.42 ,0.89 ,5.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
43201,CPT,ESOPH SCOPE W/SUBMUCOUS INJ,,,21,,RBRVS,1.72 ,1.02 ,4.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
43202,CPT,ESOPHAGOSCOPY FLEX BIOPSY,,,21,,RBRVS,1.72 ,1.02 ,7.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
43204,CPT,ESOPH SCOPE W/SCLEROSIS INJ,,,21,,RBRVS,2.33 ,1.31 ,1.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
43205,CPT,ESOPHAGUS ENDOSCOPY/LIGATION,,,21,,RBRVS,2.44 ,1.36 ,1.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
43206,CPT,ESOPH OPTICAL ENDOMICROSCOPY,,,21,,RBRVS,2.29 ,1.29 ,5.60 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
43210,CPT,EGD ESOPHAGOGASTRC FNDOPLSTY,,,21,,RBRVS,7.75 ,3.50 ,3.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
43211,CPT,ESOPHAGOSCOP MUCOSAL RESECT,,,21,,RBRVS,4.20 ,2.13 ,2.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
43212,CPT,ESOPHAGOSCOP STENT PLACEMENT,,,21,,RBRVS,3.40 ,1.52 ,1.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
43213,CPT,ESOPHAGOSCOPY RETRO BALLOON,,,21,,RBRVS,4.63 ,2.21 ,29.72 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
43214,CPT,ESOPHAGOSC DILATE BALLOON 30,,,21,,RBRVS,3.40 ,1.75 ,1.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
43215,CPT,ESOPHAGOSCOPY FLEX REMOVE FB,,,21,,RBRVS,2.44 ,1.29 ,8.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
43216,CPT,ESOPHAGOSCOPY LESION REMOVAL,,,21,,RBRVS,2.30 ,1.29 ,8.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
43217,CPT,ESOPHAGOSCOPY SNARE LES REMV,,,21,,RBRVS,2.80 ,1.52 ,8.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
43220,CPT,ESOPHAGOSCOPY BALLOON <30MM,,,21,,RBRVS,2.00 ,1.14 ,26.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
43226,CPT,ESOPH ENDOSCOPY DILATION,,,21,,RBRVS,2.24 ,1.19 ,7.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
43227,CPT,ESOPHAGOSCOPY CONTROL BLEED,,,21,,RBRVS,2.89 ,1.54 ,14.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
43229,CPT,ESOPHAGOSCOPY LESION ABLATE,,,21,,RBRVS,3.49 ,1.79 ,15.91 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
43231,CPT,ESOPHAGOSCOP ULTRASOUND EXAM,,,21,,RBRVS,2.80 ,1.51 ,1.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
43232,CPT,ESOPHAGOSCOPY W/US NEEDLE BX,,,21,,RBRVS,3.59 ,1.81 ,1.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
43233,CPT,EGD BALLOON DIL ESOPH30 MM/>,,,21,,RBRVS,4.07 ,1.98 ,1.98 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
43235,CPT,EGD DIAGNOSTIC BRUSH WASH,,,21,,RBRVS,2.09 ,1.19 ,5.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
43236,CPT,UPPR GI SCOPE W/SUBMUC INJ,,,21,,RBRVS,2.39 ,1.33 ,7.99 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
43237,CPT,ENDOSCOPIC US EXAM ESOPH,,,21,,RBRVS,3.47 ,1.80 ,1.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
43238,CPT,EGD US FINE NEEDLE BX/ASPIR,,,21,,RBRVS,4.16 ,2.10 ,2.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
43239,CPT,EGD BIOPSY SINGLE/MULTIPLE,,,21,,RBRVS,2.39 ,1.32 ,7.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
43240,CPT,EGD W/TRANSMURAL DRAIN CYST,,,21,,RBRVS,7.15 ,3.40 ,3.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
43241,CPT,EGD TUBE/CATH INSERTION,,,21,,RBRVS,2.49 ,1.32 ,1.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
43242,CPT,EGD US FINE NEEDLE BX/ASPIR,,,21,,RBRVS,4.73 ,2.36 ,2.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
43243,CPT,EGD INJECTION VARICES,,,21,,RBRVS,4.27 ,2.10 ,2.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
43244,CPT,EGD VARICES LIGATION,,,21,,RBRVS,4.40 ,2.21 ,2.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
43245,CPT,EGD DILATE STRICTURE,,,21,,RBRVS,3.08 ,1.59 ,13.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
43246,CPT,EGD PLACE GASTROSTOMY TUBE,,,21,,RBRVS,3.56 ,1.73 ,1.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
43247,CPT,EGD REMOVE FOREIGN BODY,,,21,,RBRVS,3.11 ,1.62 ,7.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
43248,CPT,EGD GUIDE WIRE INSERTION,,,21,,RBRVS,2.91 ,1.55 ,7.84 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
43249,CPT,ESOPH EGD DILATION <30 MM,,,21,,RBRVS,2.67 ,1.44 ,28.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
43250,CPT,EGD CAUTERY TUMOR POLYP,,,21,,RBRVS,2.97 ,1.53 ,8.94 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
43251,CPT,EGD REMOVE LESION SNARE,,,21,,RBRVS,3.47 ,1.79 ,9.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
43252,CPT,EGD OPTICAL ENDOMICROSCOPY,,,21,,RBRVS,2.96 ,1.55 ,5.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
43253,CPT,EGD US TRANSMURAL INJXN/MARK,,,21,,RBRVS,4.73 ,2.36 ,2.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
43254,CPT,EGD ENDO MUCOSAL RESECTION,,,21,,RBRVS,4.87 ,2.41 ,2.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
43255,CPT,EGD CONTROL BLEEDING ANY,,,21,,RBRVS,3.56 ,1.84 ,14.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
43257,CPT,EGD W/THRML TXMNT GERD,,,21,,RBRVS,4.15 ,2.06 ,2.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
43259,CPT,EGD US EXAM DUODENUM/JEJUNUM,,,21,,RBRVS,4.04 ,2.06 ,2.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
43260,CPT,ERCP W/SPECIMEN COLLECTION,,,21,,RBRVS,5.85 ,2.84 ,2.84 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
43261,CPT,ENDO CHOLANGIOPANCREATOGRAPH,,,21,,RBRVS,6.15 ,2.97 ,2.97 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
43262,CPT,ENDO CHOLANGIOPANCREATOGRAPH,,,21,,RBRVS,6.50 ,3.13 ,3.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
43263,CPT,ERCP SPHINCTER PRESSURE MEAS,,,21,,RBRVS,6.50 ,3.13 ,3.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
43264,CPT,ERCP REMOVE DUCT CALCULI,,,21,,RBRVS,6.63 ,3.18 ,3.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
43265,CPT,ERCP LITHOTRIPSY CALCULI,,,21,,RBRVS,7.93 ,3.74 ,3.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
43266,CPT,EGD ENDOSCOPIC STENT PLACE,,,21,,RBRVS,3.92 ,1.89 ,1.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
43270,CPT,EGD LESION ABLATION,,,21,,RBRVS,4.01 ,2.03 ,15.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
43273,CPT,ENDOSCOPIC PANCREATOSCOPY,,,21,,RBRVS,2.24 ,0.98 ,0.98 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
43274,CPT,ERCP DUCT STENT PLACEMENT,,,21,,RBRVS,8.48 ,3.98 ,3.98 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
43275,CPT,ERCP REMOVE FORGN BODY DUCT,,,21,,RBRVS,6.86 ,3.27 ,3.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
43276,CPT,ERCP STENT EXCHANGE W/DILATE,,,21,,RBRVS,8.84 ,4.14 ,4.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
43277,CPT,ERCP EA DUCT/AMPULLA DILATE,,,21,,RBRVS,6.90 ,3.29 ,3.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
43278,CPT,ERCP LESION ABLATE W/DILATE,,,21,,RBRVS,7.92 ,3.74 ,3.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
43279,CPT,LAP MYOTOMY HELLER,,,21,,RBRVS,22.10 ,10.25 ,10.25 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
43280,CPT,LAPAROSCOPY FUNDOPLASTY,,,21,,RBRVS,18.10 ,9.09 ,9.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
43281,CPT,LAP PARAESOPHAG HERN REPAIR,,,21,,RBRVS,26.60 ,12.08 ,12.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
43282,CPT,LAP PARAESOPH HER RPR W/MESH,,,21,,RBRVS,30.10 ,13.34 ,13.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
43283,CPT,LAP ESOPH LENGTHENING,,,21,,RBRVS,2.95 ,0.98 ,0.98 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
43284,CPT,LAPS ESOPHGL SPHNCTR AGMNTJ,,,21,,RBRVS,10.13 ,6.35 ,6.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
43285,CPT,RMVL ESOPHGL SPHNCTR DEV,,,21,,RBRVS,10.47 ,6.48 ,6.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
43286,CPT,ESPHG TOT W/LAPS MOBLJ,,,21,,RBRVS,55.00 ,25.12 ,25.12 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
43287,CPT,ESPHG DSTL 2/3 W/LAPS MOBLJ,,,21,,RBRVS,63.00 ,26.48 ,26.48 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
43288,CPT,ESPHG THRSC MOBLJ,,,21,,RBRVS,66.42 ,28.41 ,28.41 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
43289,CPT,LAPAROSCOPE PROC ESOPH,,,21,,TotalUnits,,,,38.68 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
43300,CPT,REPAIR OF ESOPHAGUS,,,21,,RBRVS,9.33 ,7.09 ,7.09 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
43305,CPT,REPAIR ESOPHAGUS AND FISTULA,,,21,,RBRVS,18.10 ,10.71 ,10.71 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
43310,CPT,REPAIR OF ESOPHAGUS,,,21,,RBRVS,26.26 ,10.69 ,10.69 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
43312,CPT,REPAIR ESOPHAGUS AND FISTULA,,,21,,RBRVS,29.25 ,10.23 ,10.23 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
43313,CPT,ESOPHAGOPLASTY CONGENITAL,,,21,,RBRVS,48.45 ,19.61 ,19.61 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
43314,CPT,TRACHEO-ESOPHAGOPLASTY CONG,,,21,,RBRVS,53.43 ,19.61 ,19.61 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
43320,CPT,FUSE ESOPHAGUS & STOMACH,,,21,,RBRVS,23.31 ,11.79 ,11.79 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
43325,CPT,REVISE ESOPHAGUS & STOMACH,,,21,,RBRVS,22.60 ,11.53 ,11.53 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
43327,CPT,ESOPH FUNDOPLASTY LAP,,,21,,RBRVS,13.35 ,7.37 ,7.37 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
43328,CPT,ESOPH FUNDOPLASTY THOR,,,21,,RBRVS,19.91 ,8.16 ,8.16 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
43330,CPT,ESOPHAGOMYOTOMY ABDOMINAL,,,21,,RBRVS,22.19 ,11.38 ,11.38 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
43331,CPT,ESOPHAGOMYOTOMY THORACIC,,,21,,RBRVS,23.06 ,10.44 ,10.44 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
43332,CPT,TRANSAB ESOPH HIAT HERN RPR,,,21,,RBRVS,19.62 ,9.45 ,9.45 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
43333,CPT,TRANSAB ESOPH HIAT HERN RPR,,,21,,RBRVS,21.46 ,10.29 ,10.29 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
43334,CPT,TRANSTHOR DIAPHRAG HERN RPR,,,21,,RBRVS,22.12 ,9.05 ,9.05 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
43335,CPT,TRANSTHOR DIAPHRAG HERN RPR,,,21,,RBRVS,23.97 ,9.31 ,9.31 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
43336,CPT,THORABD DIAPHR HERN REPAIR,,,21,,RBRVS,25.81 ,10.35 ,10.35 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
43337,CPT,THORABD DIAPHR HERN REPAIR,,,21,,RBRVS,27.65 ,10.87 ,10.87 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
43338,CPT,ESOPH LENGTHENING,,,21,,RBRVS,2.21 ,0.65 ,0.65 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
43340,CPT,FUSE ESOPHAGUS & INTESTINE,,,21,,RBRVS,22.99 ,11.67 ,11.67 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
43341,CPT,FUSE ESOPHAGUS & INTESTINE,,,21,,RBRVS,24.23 ,10.77 ,10.77 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
43351,CPT,SURGICAL OPENING ESOPHAGUS,,,21,,RBRVS,22.05 ,10.99 ,10.99 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
43352,CPT,SURGICAL OPENING ESOPHAGUS,,,21,,RBRVS,17.81 ,8.96 ,8.96 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
43360,CPT,GASTROINTESTINAL REPAIR,,,21,,RBRVS,40.11 ,15.93 ,15.93 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
43361,CPT,GASTROINTESTINAL REPAIR,,,21,,RBRVS,45.68 ,21.79 ,21.79 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
43400,CPT,LIGATE ESOPHAGUS VEINS,,,21,,RBRVS,25.60 ,12.60 ,12.60 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
43405,CPT,LIGATE/STAPLE ESOPHAGUS,,,21,,RBRVS,24.73 ,11.75 ,11.75 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
43410,CPT,REPAIR ESOPHAGUS WOUND,,,21,,RBRVS,16.41 ,10.73 ,10.73 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
43415,CPT,REPAIR ESOPHAGUS WOUND,,,21,,RBRVS,44.88 ,19.36 ,19.36 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
43420,CPT,REPAIR ESOPHAGUS OPENING,,,21,,RBRVS,16.78 ,10.03 ,10.03 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
43425,CPT,REPAIR ESOPHAGUS OPENING,,,21,,RBRVS,25.04 ,11.00 ,11.00 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
43450,CPT,DILATE ESOPHAGUS 1/MULT PASS,,,21,,RBRVS,1.28 ,0.86 ,3.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
43453,CPT,DILATE ESOPHAGUS,,,21,,RBRVS,1.41 ,0.90 ,23.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
43460,CPT,PRESSURE TREATMENT ESOPHAGUS,,,21,,RBRVS,3.79 ,1.93 ,1.93 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
43496,CPT,FREE JEJUNUM FLAP MICROVASC,,,21,,TotalUnits,,,,3.93 ,,$0.00,$0.00,1,0,0,1,1,1,20210101,
43499,CPT,ESOPHAGUS SURGERY PROCEDURE,,,21,,TotalUnits,,,,4.09 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
43500,CPT,SURGICAL OPENING OF STOMACH,,,21,,RBRVS,12.79 ,7.11 ,7.11 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
43501,CPT,SURGICAL REPAIR OF STOMACH,,,21,,RBRVS,22.60 ,11.36 ,11.36 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
43502,CPT,SURGICAL REPAIR OF STOMACH,,,21,,RBRVS,25.69 ,12.59 ,12.59 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
43510,CPT,SURGICAL OPENING OF STOMACH,,,21,,RBRVS,15.14 ,8.80 ,8.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
43520,CPT,INCISION OF PYLORIC MUSCLE,,,21,,RBRVS,11.29 ,6.17 ,6.17 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
43605,CPT,BIOPSY OF STOMACH,,,21,,RBRVS,13.72 ,7.49 ,7.49 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
43610,CPT,EXCISION OF STOMACH LESION,,,21,,RBRVS,16.34 ,8.44 ,8.44 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
43611,CPT,EXCISION OF STOMACH LESION,,,21,,RBRVS,20.38 ,10.51 ,10.51 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
43620,CPT,REMOVAL OF STOMACH,,,21,,RBRVS,34.04 ,15.60 ,15.60 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
43621,CPT,REMOVAL OF STOMACH,,,21,,RBRVS,39.53 ,17.32 ,17.32 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
43622,CPT,REMOVAL OF STOMACH,,,21,,RBRVS,40.03 ,17.76 ,17.76 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
43631,CPT,REMOVAL OF STOMACH PARTIAL,,,21,,RBRVS,24.51 ,12.03 ,12.03 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
43632,CPT,REMOVAL OF STOMACH PARTIAL,,,21,,RBRVS,35.14 ,15.88 ,15.88 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
43633,CPT,REMOVAL OF STOMACH PARTIAL,,,21,,RBRVS,33.14 ,15.12 ,15.12 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
43634,CPT,REMOVAL OF STOMACH PARTIAL,,,21,,RBRVS,36.64 ,16.53 ,16.53 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
43635,CPT,REMOVAL OF STOMACH PARTIAL,,,21,,RBRVS,2.06 ,0.74 ,0.74 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
43640,CPT,VAGOTOMY & PYLORUS REPAIR,,,21,,RBRVS,19.56 ,10.21 ,10.21 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
43641,CPT,VAGOTOMY & PYLORUS REPAIR,,,21,,RBRVS,19.81 ,10.48 ,10.48 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
43644,CPT,LAP GASTRIC BYPASS/ROUX-EN-Y,,,21,,RBRVS,29.40 ,14.18 ,14.18 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
43645,CPT,LAP GASTR BYPASS INCL SMLL I,,,21,,RBRVS,31.53 ,14.87 ,14.87 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
43647,CPT,LAP IMPL ELECTRODE ANTRUM,,,21,,TotalUnits,,,,15.50 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
43648,CPT,LAP REVISE/REMV ELTRD ANTRUM,,,21,,TotalUnits,,,,36.88 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
43651,CPT,LAPAROSCOPY VAGUS NERVE,,,21,,RBRVS,10.13 ,6.49 ,6.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
43652,CPT,LAPAROSCOPY VAGUS NERVE,,,21,,RBRVS,12.13 ,7.21 ,7.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
43653,CPT,LAPAROSCOPY GASTROSTOMY,,,21,,RBRVS,8.48 ,6.24 ,6.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
43659,CPT,LAPAROSCOPE PROC STOM,,,21,,TotalUnits,,,,43.58 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
43752,CPT,NASAL/OROGASTRIC W/TUBE PLMT,,,21,,RBRVS,0.81 ,0.28 ,0.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
43753,CPT,TX GASTRO INTUB W/ASP,,,21,,RBRVS,0.45 ,0.11 ,0.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
43754,CPT,DX GASTR INTUB W/ASP SPEC,,,21,,RBRVS,0.45 ,0.49 ,4.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
43755,CPT,DX GASTR INTUB W/ASP SPECS,,,21,,RBRVS,0.94 ,0.67 ,3.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
43756,CPT,DX DUOD INTUB W/ASP SPEC,,,21,,RBRVS,0.77 ,0.60 ,6.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
43757,CPT,DX DUOD INTUB W/ASP SPECS,,,21,,RBRVS,1.26 ,0.81 ,8.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
43761,CPT,REPOSITION GASTROSTOMY TUBE,,,21,,RBRVS,2.01 ,0.73 ,1.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
43762,CPT,RPLC GTUBE NO REVJ TRC,,,21,,RBRVS,0.75 ,0.23 ,5.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
43763,CPT,RPLC GTUBE REVJ GSTRST TRC,,,21,,RBRVS,1.41 ,0.78 ,7.98 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
43770,CPT,LAP PLACE GASTR ADJ DEVICE,,,21,,RBRVS,18.00 ,10.43 ,10.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
43771,CPT,LAP REVISE GASTR ADJ DEVICE,,,21,,RBRVS,20.79 ,11.45 ,11.45 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
43772,CPT,LAP RMVL GASTR ADJ DEVICE,,,21,,RBRVS,15.70 ,8.25 ,8.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
43773,CPT,LAP REPLACE GASTR ADJ DEVICE,,,21,,RBRVS,20.79 ,11.45 ,11.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
43774,CPT,LAP RMVL GASTR ADJ ALL PARTS,,,21,,RBRVS,15.76 ,8.47 ,8.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
43775,CPT,LAP SLEEVE GASTRECTOMY,,,21,,RBRVS,20.38 ,7.32 ,7.32 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
43800,CPT,RECONSTRUCTION OF PYLORUS,,,21,,RBRVS,15.43 ,8.07 ,8.07 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
43810,CPT,FUSION OF STOMACH AND BOWEL,,,21,,RBRVS,16.88 ,8.71 ,8.71 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
43820,CPT,FUSION OF STOMACH AND BOWEL,,,21,,RBRVS,22.53 ,11.32 ,11.32 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
43825,CPT,FUSION OF STOMACH AND BOWEL,,,21,,RBRVS,21.76 ,11.18 ,11.18 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
43830,CPT,PLACE GASTROSTOMY TUBE,,,21,,RBRVS,10.85 ,7.05 ,7.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
43831,CPT,PLACE GASTROSTOMY TUBE,,,21,,RBRVS,8.49 ,6.97 ,6.97 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
43832,CPT,PLACE GASTROSTOMY TUBE,,,21,,RBRVS,17.34 ,8.94 ,8.94 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
43840,CPT,REPAIR OF STOMACH LESION,,,21,,RBRVS,22.83 ,11.45 ,11.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
43842,CPT,V-BAND GASTROPLASTY,,,21,,RBRVS,21.03 ,10.70 ,10.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
43843,CPT,GASTROPLASTY W/O V-BAND,,,21,,RBRVS,21.21 ,11.06 ,11.06 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
43845,CPT,GASTROPLASTY DUODENAL SWITCH,,,21,,RBRVS,33.30 ,15.73 ,15.73 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
43846,CPT,GASTRIC BYPASS FOR OBESITY,,,21,,RBRVS,27.41 ,13.53 ,13.53 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
43847,CPT,GASTRIC BYPASS INCL SMALL I,,,21,,RBRVS,30.28 ,15.07 ,15.07 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
43848,CPT,REVISION GASTROPLASTY,,,21,,RBRVS,32.75 ,15.95 ,15.95 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
43850,CPT,REVISE STOMACH-BOWEL FUSION,,,21,,RBRVS,27.58 ,13.28 ,13.28 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
43855,CPT,REVISE STOMACH-BOWEL FUSION,,,21,,RBRVS,28.69 ,13.68 ,13.68 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
43860,CPT,REVISE STOMACH-BOWEL FUSION,,,21,,RBRVS,27.89 ,13.39 ,13.39 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
43865,CPT,REVISE STOMACH-BOWEL FUSION,,,21,,RBRVS,29.05 ,13.81 ,13.81 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
43870,CPT,REPAIR STOMACH OPENING,,,21,,RBRVS,11.44 ,6.66 ,6.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
43880,CPT,REPAIR STOMACH-BOWEL FISTULA,,,21,,RBRVS,27.18 ,13.00 ,13.00 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
43881,CPT,IMPL/REDO ELECTRD ANTRUM,,,21,,TotalUnits,,,,16.46 ,,$0.00,$0.00,1,0,0,1,1,1,20210101,
43886,CPT,REVISE GASTRIC PORT OPEN,,,21,,RBRVS,4.64 ,4.81 ,4.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
43887,CPT,REMOVE GASTRIC PORT OPEN,,,21,,RBRVS,4.32 ,4.16 ,4.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
43888,CPT,CHANGE GASTRIC PORT OPEN,,,21,,RBRVS,6.44 ,5.45 ,5.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
43999,CPT,STOMACH SURGERY PROCEDURE,,,21,,TotalUnits,,,,6.33 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
44005,CPT,FREEING OF BOWEL ADHESION,,,21,,RBRVS,18.46 ,9.14 ,9.14 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
44010,CPT,INCISION OF SMALL BOWEL,,,21,,RBRVS,14.26 ,7.89 ,7.89 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
44015,CPT,INSERT NEEDLE CATH BOWEL,,,21,,RBRVS,2.62 ,0.91 ,0.91 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
44020,CPT,EXPLORE SMALL INTESTINE,,,21,,RBRVS,16.22 ,8.36 ,8.36 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
44021,CPT,DECOMPRESS SMALL BOWEL,,,21,,RBRVS,16.31 ,8.37 ,8.37 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
44025,CPT,INCISION OF LARGE BOWEL,,,21,,RBRVS,16.51 ,8.44 ,8.44 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
44050,CPT,REDUCE BOWEL OBSTRUCTION,,,21,,RBRVS,15.52 ,8.12 ,8.12 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
44055,CPT,CORRECT MALROTATION OF BOWEL,,,21,,RBRVS,25.63 ,11.87 ,11.87 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
44100,CPT,BIOPSY OF BOWEL,,,21,,RBRVS,2.01 ,0.88 ,0.88 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
44110,CPT,EXCISE INTESTINE LESION(S),,,21,,RBRVS,14.04 ,7.66 ,7.66 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
44111,CPT,EXCISION OF BOWEL LESION(S),,,21,,RBRVS,16.52 ,8.64 ,8.64 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
44120,CPT,REMOVAL OF SMALL INTESTINE,,,21,,RBRVS,20.82 ,10.03 ,10.03 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
44121,CPT,REMOVAL OF SMALL INTESTINE,,,21,,RBRVS,4.44 ,1.60 ,1.60 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
44125,CPT,REMOVAL OF SMALL INTESTINE,,,21,,RBRVS,20.03 ,9.89 ,9.89 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
44126,CPT,ENTERECTOMY W/O TAPER CONG,,,21,,RBRVS,42.23 ,19.55 ,19.55 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
44127,CPT,ENTERECTOMY W/TAPER CONG,,,21,,RBRVS,49.30 ,22.00 ,22.00 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
44128,CPT,ENTERECTOMY CONG ADD-ON,,,21,,RBRVS,4.44 ,1.60 ,1.60 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
44130,CPT,BOWEL TO BOWEL FUSION,,,21,,RBRVS,22.11 ,11.17 ,11.17 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
44139,CPT,MOBILIZATION OF COLON,,,21,,RBRVS,2.23 ,0.81 ,0.81 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
44140,CPT,PARTIAL REMOVAL OF COLON,,,21,,RBRVS,22.59 ,11.38 ,11.38 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
44141,CPT,PARTIAL REMOVAL OF COLON,,,21,,RBRVS,29.91 ,16.38 ,16.38 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
44143,CPT,PARTIAL REMOVAL OF COLON,,,21,,RBRVS,27.79 ,14.36 ,14.36 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
44144,CPT,PARTIAL REMOVAL OF COLON,,,21,,RBRVS,29.91 ,14.87 ,14.87 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
44145,CPT,PARTIAL REMOVAL OF COLON,,,21,,RBRVS,28.58 ,13.56 ,13.56 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
44146,CPT,PARTIAL REMOVAL OF COLON,,,21,,RBRVS,35.30 ,18.73 ,18.73 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
44147,CPT,PARTIAL REMOVAL OF COLON,,,21,,RBRVS,33.69 ,15.40 ,15.40 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
44150,CPT,REMOVAL OF COLON,,,21,,RBRVS,30.18 ,17.49 ,17.49 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
44151,CPT,REMOVAL OF COLON/ILEOSTOMY,,,21,,RBRVS,34.92 ,19.53 ,19.53 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
44155,CPT,REMOVAL OF COLON/ILEOSTOMY,,,21,,RBRVS,34.42 ,18.96 ,18.96 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
44156,CPT,REMOVAL OF COLON/ILEOSTOMY,,,21,,RBRVS,37.42 ,20.87 ,20.87 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
44157,CPT,COLECTOMY W/ILEOANAL ANAST,,,21,,RBRVS,35.70 ,19.53 ,19.53 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
44158,CPT,COLECTOMY W/NEO-RECTUM POUCH,,,21,,RBRVS,36.70 ,19.89 ,19.89 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
44160,CPT,REMOVAL OF COLON,,,21,,RBRVS,20.89 ,10.62 ,10.62 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
44180,CPT,LAP ENTEROLYSIS,,,21,,RBRVS,15.27 ,8.00 ,8.00 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
44186,CPT,LAP JEJUNOSTOMY,,,21,,RBRVS,10.38 ,6.14 ,6.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
44187,CPT,LAP ILEO/JEJUNO-STOMY,,,21,,RBRVS,17.40 ,11.16 ,11.16 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
44188,CPT,LAP COLOSTOMY,,,21,,RBRVS,19.35 ,12.06 ,12.06 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
44202,CPT,LAP ENTERECTOMY,,,21,,RBRVS,23.39 ,11.67 ,11.67 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
44203,CPT,LAP RESECT S/INTESTINE ADDL,,,21,,RBRVS,4.44 ,1.60 ,1.60 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
44204,CPT,LAPARO PARTIAL COLECTOMY,,,21,,RBRVS,26.42 ,12.75 ,12.75 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
44205,CPT,LAP COLECTOMY PART W/ILEUM,,,21,,RBRVS,22.95 ,11.20 ,11.20 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
44206,CPT,LAP PART COLECTOMY W/STOMA,,,21,,RBRVS,29.79 ,14.77 ,14.77 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
44207,CPT,L COLECTOMY/COLOPROCTOSTOMY,,,21,,RBRVS,31.92 ,14.61 ,14.61 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
44208,CPT,L COLECTOMY/COLOPROCTOSTOMY,,,21,,RBRVS,33.99 ,16.96 ,16.96 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
44210,CPT,LAPARO TOTAL PROCTOCOLECTOMY,,,21,,RBRVS,30.09 ,15.96 ,15.96 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
44211,CPT,LAP COLECTOMY W/PROCTECTOMY,,,21,,RBRVS,37.08 ,19.46 ,19.46 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
44212,CPT,LAPARO TOTAL PROCTOCOLECTOMY,,,21,,RBRVS,34.58 ,18.65 ,18.65 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
44213,CPT,LAP MOBIL SPLENIC FL ADD-ON,,,21,,RBRVS,3.50 ,1.26 ,1.26 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
44227,CPT,LAP CLOSE ENTEROSTOMY,,,21,,RBRVS,28.62 ,13.64 ,13.64 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
44238,CPT,LAPAROSCOPE PROC INTESTINE,,,21,,TotalUnits,,,,39.17 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
44300,CPT,OPEN BOWEL TO SKIN,,,21,,RBRVS,13.75 ,7.55 ,7.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
44310,CPT,ILEOSTOMY/JEJUNOSTOMY,,,21,,RBRVS,17.59 ,9.03 ,9.03 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
44312,CPT,REVISION OF ILEOSTOMY,,,21,,RBRVS,9.43 ,5.95 ,5.95 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
44314,CPT,REVISION OF ILEOSTOMY,,,21,,RBRVS,16.74 ,9.18 ,9.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
44316,CPT,DEVISE BOWEL POUCH,,,21,,RBRVS,23.59 ,11.95 ,11.95 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
44320,CPT,COLOSTOMY,,,21,,RBRVS,19.91 ,10.67 ,10.67 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
44322,CPT,COLOSTOMY WITH BIOPSIES,,,21,,RBRVS,13.32 ,12.67 ,12.67 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
44340,CPT,REVISION OF COLOSTOMY,,,21,,RBRVS,9.28 ,6.82 ,6.82 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
44345,CPT,REVISION OF COLOSTOMY,,,21,,RBRVS,17.22 ,9.71 ,9.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
44346,CPT,REVISION OF COLOSTOMY,,,21,,RBRVS,19.63 ,10.58 ,10.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
44360,CPT,SMALL BOWEL ENDOSCOPY,,,21,,RBRVS,2.49 ,1.38 ,1.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
44361,CPT,SMALL BOWEL ENDOSCOPY/BIOPSY,,,21,,RBRVS,2.77 ,1.50 ,1.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
44363,CPT,SMALL BOWEL ENDOSCOPY,,,21,,RBRVS,3.39 ,1.76 ,1.76 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
44364,CPT,SMALL BOWEL ENDOSCOPY,,,21,,RBRVS,3.63 ,1.88 ,1.88 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
44365,CPT,SMALL BOWEL ENDOSCOPY,,,21,,RBRVS,3.21 ,1.69 ,1.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
44366,CPT,SMALL BOWEL ENDOSCOPY,,,21,,RBRVS,4.30 ,2.17 ,2.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
44369,CPT,SMALL BOWEL ENDOSCOPY,,,21,,RBRVS,4.41 ,2.22 ,2.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
44370,CPT,SMALL BOWEL ENDOSCOPY/STENT,,,21,,RBRVS,4.69 ,2.49 ,2.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
44372,CPT,SMALL BOWEL ENDOSCOPY,,,21,,RBRVS,4.30 ,2.10 ,2.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
44373,CPT,SMALL BOWEL ENDOSCOPY,,,21,,RBRVS,3.39 ,1.73 ,1.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
44376,CPT,SMALL BOWEL ENDOSCOPY,,,21,,RBRVS,5.15 ,2.51 ,2.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
44377,CPT,SMALL BOWEL ENDOSCOPY/BIOPSY,,,21,,RBRVS,5.42 ,2.63 ,2.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
44378,CPT,SMALL BOWEL ENDOSCOPY,,,21,,RBRVS,7.02 ,3.35 ,3.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
44379,CPT,S BOWEL ENDOSCOPE W/STENT,,,21,,RBRVS,7.36 ,3.65 ,3.65 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
44380,CPT,SMALL BOWEL ENDOSCOPY BR/WA,,,21,,RBRVS,0.87 ,0.65 ,4.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
44381,CPT,SMALL BOWEL ENDOSCOPY BR/WA,,,21,,RBRVS,1.38 ,0.86 ,26.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
44382,CPT,SMALL BOWEL ENDOSCOPY,,,21,,RBRVS,1.17 ,0.80 ,6.84 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
44384,CPT,SMALL BOWEL ENDOSCOPY,,,21,,RBRVS,2.85 ,1.25 ,1.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
44385,CPT,ENDOSCOPY OF BOWEL POUCH,,,21,,RBRVS,1.20 ,0.73 ,4.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
44386,CPT,ENDOSCOPY BOWEL POUCH/BIOP,,,21,,RBRVS,1.50 ,0.89 ,6.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
44388,CPT,COLONOSCOPY THRU STOMA SPX,,,21,,RBRVS,2.72 ,1.40 ,5.57 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
44389,CPT,COLONOSCOPY WITH BIOPSY,,,21,,RBRVS,3.02 ,1.56 ,8.03 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
44390,CPT,COLONOSCOPY FOR FOREIGN BODY,,,21,,RBRVS,3.74 ,1.93 ,7.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
44391,CPT,COLONOSCOPY FOR BLEEDING,,,21,,RBRVS,4.12 ,2.07 ,14.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
44392,CPT,COLONOSCOPY & POLYPECTOMY,,,21,,RBRVS,3.53 ,1.72 ,6.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
44394,CPT,COLONOSCOPY W/SNARE,,,21,,RBRVS,4.03 ,1.98 ,7.57 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
44401,CPT,COLONOSCOPY WITH ABLATION,,,21,,RBRVS,4.34 ,2.19 ,75.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
44402,CPT,COLONOSCOPY W/STENT PLCMT,,,21,,RBRVS,4.70 ,2.35 ,2.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
44403,CPT,COLONOSCOPY W/RESECTION,,,21,,RBRVS,5.50 ,2.69 ,2.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
44404,CPT,COLONOSCOPY W/INJECTION,,,21,,RBRVS,3.02 ,1.57 ,7.98 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
44405,CPT,COLONOSCOPY W/DILATION,,,21,,RBRVS,3.23 ,1.70 ,12.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
44406,CPT,COLONOSCOPY W/ULTRASOUND,,,21,,RBRVS,4.10 ,2.08 ,2.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
44407,CPT,COLONOSCOPY W/NDL ASPIR/BX,,,21,,RBRVS,4.96 ,2.46 ,2.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
44408,CPT,COLONOSCOPY W/DECOMPRESSION,,,21,,RBRVS,4.14 ,2.10 ,2.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
44500,CPT,INTRO GASTROINTESTINAL TUBE,,,21,,RBRVS,0.39 ,0.14 ,0.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
44602,CPT,SUTURE SMALL INTESTINE,,,21,,RBRVS,24.72 ,10.78 ,10.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
44603,CPT,SUTURE SMALL INTESTINE,,,21,,RBRVS,28.16 ,12.79 ,12.79 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
44604,CPT,SUTURE LARGE INTESTINE,,,21,,RBRVS,18.16 ,8.60 ,8.60 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
44605,CPT,REPAIR OF BOWEL LESION,,,21,,RBRVS,22.08 ,10.99 ,10.99 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
44615,CPT,INTESTINAL STRICTUROPLASTY,,,21,,RBRVS,18.16 ,9.09 ,9.09 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
44620,CPT,REPAIR BOWEL OPENING,,,21,,RBRVS,14.43 ,7.72 ,7.72 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
44625,CPT,REPAIR BOWEL OPENING,,,21,,RBRVS,17.28 ,8.77 ,8.77 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
44626,CPT,REPAIR BOWEL OPENING,,,21,,RBRVS,27.90 ,12.59 ,12.59 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
44640,CPT,REPAIR BOWEL-SKIN FISTULA,,,21,,RBRVS,24.20 ,11.27 ,11.27 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
44650,CPT,REPAIR BOWEL FISTULA,,,21,,RBRVS,25.12 ,11.64 ,11.64 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
44660,CPT,REPAIR BOWEL-BLADDER FISTULA,,,21,,RBRVS,23.91 ,10.69 ,10.69 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
44661,CPT,REPAIR BOWEL-BLADDER FISTULA,,,21,,RBRVS,27.35 ,12.18 ,12.18 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
44680,CPT,SURGICAL REVISION INTESTINE,,,21,,RBRVS,17.96 ,8.91 ,8.91 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
44700,CPT,SUSPEND BOWEL W/PROSTHESIS,,,21,,RBRVS,17.48 ,8.67 ,8.67 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
44701,CPT,INTRAOP COLON LAVAGE ADD-ON,,,21,,RBRVS,3.10 ,1.11 ,1.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
44705,CPT,PREPARE FECAL MICROBIOTA,,,21,,RBRVS,1.42 ,0.55 ,1.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
44720,CPT,PREP DONOR INTESTINE/VENOUS,,,21,,RBRVS,5.00 ,1.80 ,1.80 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
44721,CPT,PREP DONOR INTESTINE/ARTERY,,,21,,RBRVS,7.00 ,2.52 ,2.52 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
44799,CPT,UNLISTED PX SMALL INTESTINE,,,21,,TotalUnits,,,,26.62 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
44800,CPT,EXCISION OF BOWEL POUCH,,,21,,RBRVS,12.05 ,7.59 ,7.59 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
44820,CPT,EXCISION OF MESENTERY LESION,,,21,,RBRVS,13.73 ,7.53 ,7.53 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
44850,CPT,REPAIR OF MESENTERY,,,21,,RBRVS,12.11 ,6.83 ,6.83 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
44899,CPT,BOWEL SURGERY PROCEDURE,,,21,,TotalUnits,,,,19.64 ,,$0.00,$0.00,1,0,0,1,1,1,20210101,
44900,CPT,DRAIN APPENDIX ABSCESS OPEN,,,21,,RBRVS,12.57 ,7.19 ,7.19 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
44950,CPT,APPENDECTOMY,,,21,,RBRVS,10.60 ,5.65 ,5.65 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
44955,CPT,APPENDECTOMY ADD-ON,,,21,,RBRVS,1.53 ,0.58 ,0.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
44960,CPT,APPENDECTOMY,,,21,,RBRVS,14.50 ,7.62 ,7.62 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
44970,CPT,LAPAROSCOPY APPENDECTOMY,,,21,,RBRVS,9.45 ,5.82 ,5.82 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
44979,CPT,LAPAROSCOPE PROC APP,,,21,,TotalUnits,,,,15.27 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
45000,CPT,DRAINAGE OF PELVIC ABSCESS,,,21,,RBRVS,6.30 ,4.92 ,4.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
45005,CPT,DRAINAGE OF RECTAL ABSCESS,,,21,,RBRVS,2.02 ,2.23 ,5.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
45020,CPT,DRAINAGE OF RECTAL ABSCESS,,,21,,RBRVS,8.56 ,6.28 ,6.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
45100,CPT,BIOPSY OF RECTUM,,,21,,RBRVS,4.04 ,3.88 ,3.88 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
45108,CPT,REMOVAL OF ANORECTAL LESION,,,21,,RBRVS,5.12 ,4.40 ,4.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
45110,CPT,REMOVAL OF RECTUM,,,21,,RBRVS,30.76 ,16.79 ,16.79 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
45111,CPT,PARTIAL REMOVAL OF RECTUM,,,21,,RBRVS,18.01 ,9.98 ,9.98 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
45112,CPT,REMOVAL OF RECTUM,,,21,,RBRVS,33.18 ,15.21 ,15.21 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
45113,CPT,PARTIAL PROCTECTOMY,,,21,,RBRVS,33.22 ,16.79 ,16.79 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
45114,CPT,PARTIAL REMOVAL OF RECTUM,,,21,,RBRVS,30.79 ,14.75 ,14.75 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
45116,CPT,PARTIAL REMOVAL OF RECTUM,,,21,,RBRVS,27.72 ,13.48 ,13.48 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
45119,CPT,REMOVE RECTUM W/RESERVOIR,,,21,,RBRVS,33.48 ,16.90 ,16.90 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
45120,CPT,REMOVAL OF RECTUM,,,21,,RBRVS,26.40 ,13.74 ,13.74 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
45121,CPT,REMOVAL OF RECTUM AND COLON,,,21,,RBRVS,29.08 ,14.70 ,14.70 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
45123,CPT,PARTIAL PROCTECTOMY,,,21,,RBRVS,18.86 ,10.28 ,10.28 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
45126,CPT,PELVIC EXENTERATION,,,21,,RBRVS,49.10 ,23.16 ,23.16 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
45130,CPT,EXCISION OF RECTAL PROLAPSE,,,21,,RBRVS,18.50 ,9.89 ,9.89 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
45135,CPT,EXCISION OF RECTAL PROLAPSE,,,21,,RBRVS,22.36 ,12.19 ,12.19 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
45136,CPT,EXCISE ILEOANAL RESERVIOR,,,21,,RBRVS,30.82 ,17.10 ,17.10 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
45150,CPT,EXCISION OF RECTAL STRICTURE,,,21,,RBRVS,5.85 ,4.88 ,4.88 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
45160,CPT,EXCISION OF RECTAL LESION,,,21,,RBRVS,16.33 ,9.54 ,9.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
45171,CPT,EXC RECT TUM TRANSANAL PART,,,21,,RBRVS,8.13 ,7.86 ,7.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
45172,CPT,EXC RECT TUM TRANSANAL FULL,,,21,,RBRVS,12.13 ,9.36 ,9.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
45190,CPT,DESTRUCTION RECTAL TUMOR,,,21,,RBRVS,10.42 ,8.22 ,8.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
45300,CPT,PROCTOSIGMOIDOSCOPY DX,,,21,,RBRVS,0.80 ,0.47 ,2.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
45303,CPT,PROCTOSIGMOIDOSCOPY DILATE,,,21,,RBRVS,1.40 ,0.84 ,25.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
45305,CPT,PROCTOSIGMOIDOSCOPY W/BX,,,21,,RBRVS,1.15 ,0.76 ,3.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
45307,CPT,PROCTOSIGMOIDOSCOPY FB,,,21,,RBRVS,1.60 ,0.95 ,3.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
45308,CPT,PROCTOSIGMOIDOSCOPY REMOVAL,,,21,,RBRVS,1.30 ,0.82 ,3.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
45309,CPT,PROCTOSIGMOIDOSCOPY REMOVAL,,,21,,RBRVS,1.40 ,0.86 ,3.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
45315,CPT,PROCTOSIGMOIDOSCOPY REMOVAL,,,21,,RBRVS,1.70 ,0.96 ,3.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
45317,CPT,PROCTOSIGMOIDOSCOPY BLEED,,,21,,RBRVS,1.90 ,1.03 ,3.60 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
45320,CPT,PROCTOSIGMOIDOSCOPY ABLATE,,,21,,RBRVS,1.68 ,0.96 ,3.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
45321,CPT,PROCTOSIGMOIDOSCOPY VOLVUL,,,21,,RBRVS,1.65 ,0.95 ,0.95 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
45327,CPT,PROCTOSIGMOIDOSCOPY W/STENT,,,21,,RBRVS,1.90 ,1.04 ,1.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
45330,CPT,DIAGNOSTIC SIGMOIDOSCOPY,,,21,,RBRVS,0.84 ,0.66 ,4.03 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
45331,CPT,SIGMOIDOSCOPY AND BIOPSY,,,21,,RBRVS,1.14 ,0.79 ,6.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
45332,CPT,SIGMOIDOSCOPY W/FB REMOVAL,,,21,,RBRVS,1.76 ,1.04 ,5.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
45333,CPT,SIGMOIDOSCOPY & POLYPECTOMY,,,21,,RBRVS,1.55 ,0.94 ,7.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
45334,CPT,SIGMOIDOSCOPY FOR BLEEDING,,,21,,RBRVS,2.00 ,1.15 ,12.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
45335,CPT,SIGMOIDOSCOPY W/SUBMUC INJ,,,21,,RBRVS,1.04 ,0.74 ,6.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
45337,CPT,SIGMOIDOSCOPY & DECOMPRESS,,,21,,RBRVS,2.10 ,0.97 ,0.97 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
45338,CPT,SIGMOIDOSCOPY W/TUMR REMOVE,,,21,,RBRVS,2.05 ,1.16 ,5.76 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
45340,CPT,SIG W/TNDSC BALLOON DILATION,,,21,,RBRVS,1.25 ,0.83 ,11.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
45341,CPT,SIGMOIDOSCOPY W/ULTRASOUND,,,21,,RBRVS,2.12 ,1.21 ,1.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
45342,CPT,SIGMOIDOSCOPY W/US GUIDE BX,,,21,,RBRVS,2.98 ,1.59 ,1.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
45346,CPT,SIGMOIDOSCOPY W/ABLATION,,,21,,RBRVS,2.81 ,1.49 ,75.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
45347,CPT,SIGMOIDOSCOPY W/PLCMT STENT,,,21,,RBRVS,2.72 ,1.42 ,1.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
45349,CPT,SIGMOIDOSCOPY W/RESECTION,,,21,,RBRVS,3.52 ,1.82 ,1.82 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
45350,CPT,SGMDSC W/BAND LIGATION,,,21,,RBRVS,1.68 ,1.02 ,15.91 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
45378,CPT,DIAGNOSTIC COLONOSCOPY,,,21,,RBRVS,3.26 ,1.68 ,5.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
45379,CPT,COLONOSCOPY W/FB REMOVAL,,,21,,RBRVS,4.28 ,2.12 ,7.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
45380,CPT,COLONOSCOPY AND BIOPSY,,,21,,RBRVS,3.56 ,1.82 ,8.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
45381,CPT,COLONOSCOPY SUBMUCOUS NJX,,,21,,RBRVS,3.56 ,1.82 ,8.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
45382,CPT,COLONOSCOPY W/CONTROL BLEED,,,21,,RBRVS,4.66 ,2.31 ,14.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
45384,CPT,COLONOSCOPY W/LESION REMOVAL,,,21,,RBRVS,4.07 ,1.97 ,8.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
45385,CPT,COLONOSCOPY W/LESION REMOVAL,,,21,,RBRVS,4.57 ,2.26 ,7.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
45386,CPT,COLONOSCOPY W/BALLOON DILAT,,,21,,RBRVS,3.77 ,1.90 ,13.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
45388,CPT,COLONOSCOPY W/ABLATION,,,21,,RBRVS,4.88 ,2.35 ,77.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
45389,CPT,COLONOSCOPY W/STENT PLCMT,,,21,,RBRVS,5.24 ,2.53 ,2.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
45390,CPT,COLONOSCOPY W/RESECTION,,,21,,RBRVS,6.04 ,2.92 ,2.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
45391,CPT,COLONOSCOPY W/ENDOSCOPE US,,,21,,RBRVS,4.64 ,2.30 ,2.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
45392,CPT,COLONOSCOPY W/ENDOSCOPIC FNB,,,21,,RBRVS,5.50 ,2.68 ,2.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
45393,CPT,COLONOSCOPY W/DECOMPRESSION,,,21,,RBRVS,4.68 ,2.05 ,2.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
45395,CPT,LAP REMOVAL OF RECTUM,,,21,,RBRVS,33.00 ,18.23 ,18.23 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
45397,CPT,LAP REMOVE RECTUM W/POUCH,,,21,,RBRVS,36.50 ,19.53 ,19.53 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
45398,CPT,COLONOSCOPY W/BAND LIGATION,,,21,,RBRVS,4.20 ,2.01 ,17.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
45399,CPT,UNLISTED PROCEDURE COLON,,,21,,TotalUnits,,,,5.73 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
45400,CPT,LAPAROSCOPIC PROC,,,21,,RBRVS,19.44 ,10.24 ,10.24 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
45402,CPT,LAP PROCTOPEXY W/SIG RESECT,,,21,,RBRVS,26.51 ,12.84 ,12.84 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
45499,CPT,LAPAROSCOPE PROC RECTUM,,,21,,TotalUnits,,,,7.06 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
45500,CPT,REPAIR OF RECTUM,,,21,,RBRVS,7.73 ,6.76 ,6.76 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
45505,CPT,REPAIR OF RECTUM,,,21,,RBRVS,8.36 ,7.45 ,7.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
45520,CPT,TREATMENT OF RECTAL PROLAPSE,,,21,,RBRVS,0.55 ,0.52 ,3.82 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
45540,CPT,CORRECT RECTAL PROLAPSE,,,21,,RBRVS,18.12 ,9.48 ,9.48 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
45541,CPT,CORRECT RECTAL PROLAPSE,,,21,,RBRVS,14.85 ,9.68 ,9.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
45550,CPT,REPAIR RECTUM/REMOVE SIGMOID,,,21,,RBRVS,24.80 ,13.20 ,13.20 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
45560,CPT,REPAIR OF RECTOCELE,,,21,,RBRVS,11.50 ,6.82 ,6.82 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
45562,CPT,EXPLORATION/REPAIR OF RECTUM,,,21,,RBRVS,17.98 ,11.06 ,11.06 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
45563,CPT,EXPLORATION/REPAIR OF RECTUM,,,21,,RBRVS,26.38 ,15.51 ,15.51 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
45800,CPT,REPAIR RECT/BLADDER FISTULA,,,21,,RBRVS,20.31 ,11.72 ,11.72 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
45805,CPT,REPAIR FISTULA W/COLOSTOMY,,,21,,RBRVS,23.32 ,13.84 ,13.84 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
45820,CPT,REPAIR RECTOURETHRAL FISTULA,,,21,,RBRVS,20.37 ,11.74 ,11.74 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
45825,CPT,REPAIR FISTULA W/COLOSTOMY,,,21,,RBRVS,24.17 ,14.71 ,14.71 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
45900,CPT,REDUCTION OF RECTAL PROLAPSE,,,21,,RBRVS,2.99 ,2.42 ,2.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
45905,CPT,DILATION OF ANAL SPHINCTER,,,21,,RBRVS,2.35 ,2.10 ,2.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
45910,CPT,DILATION OF RECTAL NARROWING,,,21,,RBRVS,2.85 ,2.23 ,2.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
45915,CPT,REMOVE RECTAL OBSTRUCTION,,,21,,RBRVS,3.19 ,2.92 ,6.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
45990,CPT,SURG DX EXAM ANORECTAL,,,21,,RBRVS,1.80 ,0.96 ,0.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
45999,CPT,RECTUM SURGERY PROCEDURE,,,21,,TotalUnits,,,,3.30 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
46020,CPT,PLACEMENT OF SETON,,,21,,RBRVS,3.00 ,3.29 ,4.57 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
46030,CPT,REMOVAL OF RECTAL MARKER,,,21,,RBRVS,1.26 ,1.11 ,2.65 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
46040,CPT,INCISION OF RECTAL ABSCESS,,,21,,RBRVS,5.37 ,5.66 ,9.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
46045,CPT,INCISION OF RECTAL ABSCESS,,,21,,RBRVS,5.87 ,5.62 ,5.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
46050,CPT,INCISION OF ANAL ABSCESS,,,21,,RBRVS,1.24 ,1.36 ,4.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
46060,CPT,INCISION OF RECTAL ABSCESS,,,21,,RBRVS,6.37 ,6.39 ,6.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
46070,CPT,INCISION OF ANAL SEPTUM,,,21,,RBRVS,2.79 ,4.20 ,4.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
46080,CPT,INCISION OF ANAL SPHINCTER,,,21,,RBRVS,2.52 ,1.57 ,4.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
46083,CPT,INCISE EXTERNAL HEMORRHOID,,,21,,RBRVS,1.45 ,1.41 ,3.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
46200,CPT,REMOVAL OF ANAL FISSURE,,,21,,RBRVS,3.59 ,5.33 ,9.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
46220,CPT,EXCISE ANAL EXT TAG/PAPILLA,,,21,,RBRVS,1.61 ,1.54 ,4.65 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
46221,CPT,LIGATION OF HEMORRHOID(S),,,21,,RBRVS,2.36 ,2.84 ,5.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
46230,CPT,REMOVAL OF ANAL TAGS,,,21,,RBRVS,2.62 ,1.92 ,5.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
46250,CPT,REMOVE EXT HEM GROUPS 2+,,,21,,RBRVS,4.25 ,4.15 ,8.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
46255,CPT,REMOVE INT/EXT HEM 1 GROUP,,,21,,RBRVS,4.96 ,4.41 ,8.99 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
46257,CPT,REMOVE IN/EX HEM GRP & FISS,,,21,,RBRVS,5.76 ,5.52 ,5.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
46258,CPT,REMOVE IN/EX HEM GRP W/FISTU,,,21,,RBRVS,6.41 ,5.75 ,5.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
46260,CPT,REMOVE IN/EX HEM GROUPS 2+,,,21,,RBRVS,6.73 ,5.86 ,5.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
46261,CPT,REMOVE IN/EX HEM GRPS & FISS,,,21,,RBRVS,7.76 ,6.08 ,6.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
46262,CPT,REMOVE IN/EX HEM GRPS W/FIST,,,21,,RBRVS,7.91 ,6.89 ,6.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
46270,CPT,REMOVE ANAL FIST SUBQ,,,21,,RBRVS,4.92 ,5.56 ,9.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
46275,CPT,REMOVE ANAL FIST INTER,,,21,,RBRVS,5.42 ,5.69 ,9.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
46280,CPT,REMOVE ANAL FIST COMPLEX,,,21,,RBRVS,6.39 ,6.25 ,6.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
46285,CPT,REMOVE ANAL FIST 2 STAGE,,,21,,RBRVS,5.42 ,5.71 ,9.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
46288,CPT,REPAIR ANAL FISTULA,,,21,,RBRVS,7.81 ,6.87 ,6.87 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
46320,CPT,REMOVAL OF HEMORRHOID CLOT,,,21,,RBRVS,1.64 ,1.30 ,3.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
46500,CPT,INJECTION INTO HEMORRHOID(S),,,21,,RBRVS,1.74 ,3.19 ,6.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
46505,CPT,CHEMODENERVATION ANAL MUSC,,,21,,RBRVS,3.18 ,3.29 ,4.84 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
46600,CPT,DIAGNOSTIC ANOSCOPY SPX,,,21,,RBRVS,0.55 ,0.53 ,2.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
46601,CPT,DIAGNOSTIC ANOSCOPY,,,21,,RBRVS,1.60 ,0.92 ,2.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
46604,CPT,ANOSCOPY AND DILATION,,,21,,RBRVS,1.03 ,0.71 ,17.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
46606,CPT,ANOSCOPY AND BIOPSY,,,21,,RBRVS,1.20 ,0.78 ,5.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
46607,CPT,DIAGNOSTIC ANOSCOPY & BIOPSY,,,21,,RBRVS,2.20 ,1.17 ,3.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
46608,CPT,ANOSCOPY REMOVE FOR BODY,,,21,,RBRVS,1.30 ,0.82 ,6.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
46610,CPT,ANOSCOPY REMOVE LESION,,,21,,RBRVS,1.28 ,0.81 ,5.77 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
46611,CPT,ANOSCOPY,,,21,,RBRVS,1.30 ,0.82 ,4.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
46612,CPT,ANOSCOPY REMOVE LESIONS,,,21,,RBRVS,1.50 ,0.89 ,7.03 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
46614,CPT,ANOSCOPY CONTROL BLEEDING,,,21,,RBRVS,1.00 ,0.70 ,3.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
46615,CPT,ANOSCOPY,,,21,,RBRVS,1.50 ,0.93 ,2.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
46700,CPT,REPAIR OF ANAL STRICTURE,,,21,,RBRVS,9.81 ,7.60 ,7.60 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
46705,CPT,REPAIR OF ANAL STRICTURE,,,21,,RBRVS,7.43 ,7.11 ,7.11 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
46706,CPT,REPR OF ANAL FISTULA W/GLUE,,,21,,RBRVS,2.44 ,2.10 ,2.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
46707,CPT,REPAIR ANORECTAL FIST W/PLUG,,,21,,RBRVS,6.39 ,6.46 ,6.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
46710,CPT,REPR PER/VAG POUCH SNGL PROC,,,21,,RBRVS,17.14 ,11.03 ,11.03 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
46712,CPT,REPR PER/VAG POUCH DBL PROC,,,21,,RBRVS,36.45 ,19.68 ,19.68 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
46715,CPT,REP PERF ANOPER FISTU,,,21,,RBRVS,7.62 ,6.51 ,6.51 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
46716,CPT,REP PERF ANOPER/VESTIB FISTU,,,21,,RBRVS,17.54 ,13.65 ,13.65 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
46730,CPT,CONSTRUCTION OF ABSENT ANUS,,,21,,RBRVS,30.65 ,19.36 ,19.36 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
46735,CPT,CONSTRUCTION OF ABSENT ANUS,,,21,,RBRVS,36.14 ,21.34 ,21.34 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
46740,CPT,CONSTRUCTION OF ABSENT ANUS,,,21,,RBRVS,33.90 ,20.63 ,20.63 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
46742,CPT,REPAIR OF IMPERFORATED ANUS,,,21,,RBRVS,40.14 ,22.79 ,22.79 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
46744,CPT,REPAIR OF CLOACAL ANOMALY,,,21,,RBRVS,58.94 ,29.64 ,29.64 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
46746,CPT,REPAIR OF CLOACAL ANOMALY,,,21,,RBRVS,65.44 ,32.09 ,32.09 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
46748,CPT,REPAIR OF CLOACAL ANOMALY,,,21,,RBRVS,71.42 ,34.25 ,34.25 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
46750,CPT,REPAIR OF ANAL SPHINCTER,,,21,,RBRVS,12.15 ,7.75 ,7.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
46751,CPT,REPAIR OF ANAL SPHINCTER,,,21,,RBRVS,9.30 ,7.68 ,7.68 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
46753,CPT,RECONSTRUCTION OF ANUS,,,21,,RBRVS,8.89 ,6.88 ,6.88 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
46754,CPT,REMOVAL OF SUTURE FROM ANUS,,,21,,RBRVS,3.01 ,3.36 ,5.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
46760,CPT,REPAIR OF ANAL SPHINCTER,,,21,,RBRVS,17.45 ,11.95 ,11.95 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
46761,CPT,REPAIR OF ANAL SPHINCTER,,,21,,RBRVS,15.29 ,8.99 ,8.99 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
46900,CPT,DESTRUCTION ANAL LESION(S),,,21,,RBRVS,1.91 ,1.74 ,4.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
46910,CPT,DESTRUCTION ANAL LESION(S),,,21,,RBRVS,1.91 ,1.63 ,5.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
46916,CPT,CRYOSURGERY ANAL LESION(S),,,21,,RBRVS,1.91 ,1.97 ,4.91 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
46917,CPT,LASER SURGERY ANAL LESIONS,,,21,,RBRVS,1.91 ,1.47 ,9.77 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
46922,CPT,EXCISION OF ANAL LESION(S),,,21,,RBRVS,1.91 ,1.67 ,6.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
46924,CPT,DESTRUCTION ANAL LESION(S),,,21,,RBRVS,2.81 ,1.97 ,12.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
46930,CPT,DESTROY INTERNAL HEMORRHOIDS,,,21,,RBRVS,1.61 ,2.50 ,4.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
46940,CPT,TREATMENT OF ANAL FISSURE,,,21,,RBRVS,2.35 ,1.49 ,4.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
46942,CPT,TREATMENT OF ANAL FISSURE,,,21,,RBRVS,2.07 ,1.39 ,4.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
46945,CPT,INT HRHC LIG 1 HROID W/O IMG,,,21,,RBRVS,3.69 ,5.31 ,5.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
46946,CPT,INT HRHC LIG 2+HROID W/O IMG,,,21,,RBRVS,4.50 ,5.62 ,5.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
46947,CPT,HEMORRHOIDOPEXY BY STAPLING,,,21,,RBRVS,5.57 ,4.42 ,4.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
46948,CPT,INT HRHC TRANAL DARTLZJ 2+,,,21,,RBRVS,5.57 ,6.05 ,6.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
46999,CPT,ANUS SURGERY PROCEDURE,,,21,,TotalUnits,,,,7.19 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
47000,CPT,NEEDLE BIOPSY OF LIVER,,,21,,RBRVS,1.65 ,0.78 ,7.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
47001,CPT,NEEDLE BIOPSY LIVER ADD-ON,,,21,,RBRVS,1.90 ,0.68 ,0.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
47010,CPT,OPEN DRAINAGE LIVER LESION,,,21,,RBRVS,19.40 ,11.35 ,11.35 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
47015,CPT,INJECT/ASPIRATE LIVER CYST,,,21,,RBRVS,18.50 ,10.97 ,10.97 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
47100,CPT,WEDGE BIOPSY OF LIVER,,,21,,RBRVS,12.91 ,8.71 ,8.71 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
47120,CPT,PARTIAL REMOVAL OF LIVER,,,21,,RBRVS,39.01 ,19.82 ,19.82 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
47122,CPT,EXTENSIVE REMOVAL OF LIVER,,,21,,RBRVS,59.48 ,26.54 ,26.54 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
47125,CPT,PARTIAL REMOVAL OF LIVER,,,21,,RBRVS,53.04 ,24.12 ,24.12 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
47130,CPT,PARTIAL REMOVAL OF LIVER,,,21,,RBRVS,57.19 ,25.63 ,25.63 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
47133,CPT,REMOVAL OF DONOR LIVER,,,21,,TotalUnits,,,,40.60 ,,$0.00,$0.00,1,0,0,1,1,1,20210101,
47135,CPT,TRANSPLANTATION OF LIVER,,,21,,RBRVS,90.00 ,45.00 ,45.00 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
47140,CPT,PARTIAL REMOVAL DONOR LIVER,,,21,,RBRVS,59.40 ,30.00 ,30.00 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
47141,CPT,PARTIAL REMOVAL DONOR LIVER,,,21,,RBRVS,71.50 ,35.29 ,35.29 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
47142,CPT,PARTIAL REMOVAL DONOR LIVER,,,21,,RBRVS,79.44 ,38.14 ,38.14 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
47143,CPT,PREP DONOR LIVER WHOLE,,,21,,TotalUnits,,,,19.34 ,,$0.00,$0.00,1,0,0,1,1,1,20210101,
47146,CPT,PREP DONOR LIVER/VENOUS,,,21,,RBRVS,6.00 ,2.16 ,2.16 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
47147,CPT,PREP DONOR LIVER/ARTERIAL,,,21,,RBRVS,7.00 ,2.52 ,2.52 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
47300,CPT,SURGERY FOR LIVER LESION,,,21,,RBRVS,18.14 ,10.51 ,10.51 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
47350,CPT,REPAIR LIVER WOUND,,,21,,RBRVS,22.49 ,12.21 ,12.21 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
47360,CPT,REPAIR LIVER WOUND,,,21,,RBRVS,31.31 ,15.88 ,15.88 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
47361,CPT,REPAIR LIVER WOUND,,,21,,RBRVS,52.60 ,23.62 ,23.62 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
47362,CPT,REPAIR LIVER WOUND,,,21,,RBRVS,23.54 ,13.08 ,13.08 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
47370,CPT,LAPARO ABLATE LIVER TUMOR RF,,,21,,RBRVS,20.80 ,10.69 ,10.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
47371,CPT,LAPARO ABLATE LIVER CRYOSURG,,,21,,RBRVS,20.80 ,10.82 ,10.82 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
47379,CPT,LAPAROSCOPE PROCEDURE LIVER,,,21,,TotalUnits,,,,31.49 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
47380,CPT,OPEN ABLATE LIVER TUMOR RF,,,21,,RBRVS,24.56 ,12.00 ,12.00 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
47381,CPT,OPEN ABLATE LIVER TUMOR CRYO,,,21,,RBRVS,24.88 ,12.29 ,12.29 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
47382,CPT,PERCUT ABLATE LIVER RF,,,21,,RBRVS,14.97 ,5.21 ,109.03 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
47383,CPT,PERQ ABLTJ LVR CRYOABLATION,,,21,,RBRVS,8.88 ,3.45 ,185.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
47399,CPT,LIVER SURGERY PROCEDURE,,,21,,TotalUnits,,,,2.72 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
47400,CPT,INCISION OF LIVER DUCT,,,21,,RBRVS,36.36 ,17.70 ,17.70 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
47420,CPT,INCISION OF BILE DUCT,,,21,,RBRVS,22.03 ,11.89 ,11.89 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
47425,CPT,INCISION OF BILE DUCT,,,21,,RBRVS,22.31 ,12.19 ,12.19 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
47460,CPT,INCISE BILE DUCT SPHINCTER,,,21,,RBRVS,20.52 ,11.55 ,11.55 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
47480,CPT,INCISION OF GALLBLADDER,,,21,,RBRVS,13.25 ,9.27 ,9.27 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
47490,CPT,INCISION OF GALLBLADDER,,,21,,RBRVS,4.76 ,4.42 ,4.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
47531,CPT,INJECTION FOR CHOLANGIOGRAM,,,21,,RBRVS,1.30 ,0.63 ,9.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
47532,CPT,INJECTION FOR CHOLANGIOGRAM,,,21,,RBRVS,4.25 ,1.51 ,19.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
47533,CPT,PLMT BILIARY DRAINAGE CATH,,,21,,RBRVS,5.38 ,1.86 ,29.94 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
47534,CPT,PLMT BILIARY DRAINAGE CATH,,,21,,RBRVS,7.60 ,2.53 ,32.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
47535,CPT,CONVERSION EXT BIL DRG CATH,,,21,,RBRVS,3.95 ,1.39 ,23.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
47536,CPT,EXCHANGE BILIARY DRG CATH,,,21,,RBRVS,2.61 ,0.99 ,17.00 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
47537,CPT,REMOVAL BILIARY DRG CATH,,,21,,RBRVS,1.84 ,0.79 ,10.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
47538,CPT,PERQ PLMT BILE DUCT STENT,,,21,,RBRVS,4.75 ,1.70 ,116.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
47539,CPT,PERQ PLMT BILE DUCT STENT,,,21,,RBRVS,8.75 ,2.78 ,124.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
47540,CPT,PERQ PLMT BILE DUCT STENT,,,21,,RBRVS,9.03 ,2.98 ,127.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
47541,CPT,PLMT ACCESS BIL TREE SM BWL,,,21,,RBRVS,6.75 ,2.29 ,27.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
47542,CPT,DILATE BILIARY DUCT/AMPULLA,,,21,,RBRVS,2.85 ,0.85 ,11.67 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
47543,CPT,ENDOLUMINAL BX BILIARY TREE,,,21,,RBRVS,3.00 ,0.94 ,9.92 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
47544,CPT,REMOVAL DUCT GLBLDR CALCULI,,,21,,RBRVS,3.28 ,0.99 ,24.74 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
47550,CPT,BILE DUCT ENDOSCOPY ADD-ON,,,21,,RBRVS,3.02 ,1.09 ,1.09 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
47552,CPT,BILIARY ENDO PERQ DX W/SPECI,,,21,,RBRVS,6.03 ,1.35 ,1.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
47553,CPT,BILIARY ENDOSCOPY THRU SKIN,,,21,,RBRVS,6.34 ,1.08 ,1.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
47554,CPT,BILIARY ENDOSCOPY THRU SKIN,,,21,,RBRVS,9.05 ,3.78 ,3.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
47555,CPT,BILIARY ENDOSCOPY THRU SKIN,,,21,,RBRVS,7.55 ,1.27 ,1.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
47556,CPT,BILIARY ENDOSCOPY THRU SKIN,,,21,,RBRVS,8.55 ,1.44 ,1.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
47562,CPT,LAPAROSCOPIC CHOLECYSTECTOMY,,,21,,RBRVS,10.47 ,6.22 ,6.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
47563,CPT,LAPARO CHOLECYSTECTOMY/GRAPH,,,21,,RBRVS,11.47 ,6.68 ,6.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
47564,CPT,LAPARO CHOLECYSTECTOMY/EXPLR,,,21,,RBRVS,18.00 ,10.19 ,10.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
47570,CPT,LAPARO CHOLECYSTOENTEROSTOMY,,,21,,RBRVS,12.56 ,7.00 ,7.00 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
47579,CPT,LAPAROSCOPE PROC BILIARY,,,21,,TotalUnits,,,,16.69 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
47600,CPT,REMOVAL OF GALLBLADDER,,,21,,RBRVS,17.48 ,9.56 ,9.56 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
47605,CPT,REMOVAL OF GALLBLADDER,,,21,,RBRVS,18.48 ,9.93 ,9.93 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
47610,CPT,REMOVAL OF GALLBLADDER,,,21,,RBRVS,20.92 ,10.70 ,10.70 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
47612,CPT,REMOVAL OF GALLBLADDER,,,21,,RBRVS,21.21 ,10.88 ,10.88 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
47620,CPT,REMOVAL OF GALLBLADDER,,,21,,RBRVS,23.07 ,11.55 ,11.55 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
47700,CPT,EXPLORATION OF BILE DUCTS,,,21,,RBRVS,16.50 ,10.31 ,10.31 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
47701,CPT,BILE DUCT REVISION,,,21,,RBRVS,28.73 ,15.02 ,15.02 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
47711,CPT,EXCISION OF BILE DUCT TUMOR,,,21,,RBRVS,25.90 ,13.49 ,13.49 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
47712,CPT,EXCISION OF BILE DUCT TUMOR,,,21,,RBRVS,33.72 ,16.44 ,16.44 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
47715,CPT,EXCISION OF BILE DUCT CYST,,,21,,RBRVS,21.55 ,12.06 ,12.06 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
47720,CPT,FUSE GALLBLADDER & BOWEL,,,21,,RBRVS,18.34 ,10.91 ,10.91 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
47721,CPT,FUSE UPPER GI STRUCTURES,,,21,,RBRVS,21.99 ,12.22 ,12.22 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
47740,CPT,FUSE GALLBLADDER & BOWEL,,,21,,RBRVS,21.23 ,11.96 ,11.96 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
47741,CPT,FUSE GALLBLADDER & BOWEL,,,21,,RBRVS,24.21 ,13.02 ,13.02 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
47760,CPT,FUSE BILE DUCTS AND BOWEL,,,21,,RBRVS,38.32 ,18.34 ,18.34 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
47765,CPT,FUSE LIVER DUCTS & BOWEL,,,21,,RBRVS,52.19 ,23.82 ,23.82 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
47780,CPT,FUSE BILE DUCTS AND BOWEL,,,21,,RBRVS,42.32 ,19.85 ,19.85 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
47785,CPT,FUSE BILE DUCTS AND BOWEL,,,21,,RBRVS,56.19 ,25.23 ,25.23 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
47800,CPT,RECONSTRUCTION OF BILE DUCTS,,,21,,RBRVS,26.17 ,13.70 ,13.70 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
47801,CPT,PLACEMENT BILE DUCT SUPPORT,,,21,,RBRVS,17.60 ,10.64 ,10.64 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
47802,CPT,FUSE LIVER DUCT & INTESTINE,,,21,,RBRVS,24.93 ,13.59 ,13.59 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
47900,CPT,SUTURE BILE DUCT INJURY,,,21,,RBRVS,22.44 ,12.03 ,12.03 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
47999,CPT,BILE TRACT SURGERY PROCEDURE,,,21,,TotalUnits,,,,9.30 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
48000,CPT,DRAINAGE OF ABDOMEN,,,21,,RBRVS,31.95 ,15.29 ,15.29 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
48001,CPT,PLACEMENT OF DRAIN PANCREAS,,,21,,RBRVS,39.69 ,18.08 ,18.08 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
48020,CPT,REMOVAL OF PANCREATIC STONE,,,21,,RBRVS,19.09 ,10.66 ,10.66 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
48100,CPT,BIOPSY OF PANCREAS OPEN,,,21,,RBRVS,14.46 ,8.02 ,8.02 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
48102,CPT,NEEDLE BIOPSY PANCREAS,,,21,,RBRVS,4.70 ,1.81 ,10.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
48105,CPT,RESECT/DEBRIDE PANCREAS,,,21,,RBRVS,49.26 ,22.62 ,22.62 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
48120,CPT,REMOVAL OF PANCREAS LESION,,,21,,RBRVS,18.41 ,9.64 ,9.64 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
48140,CPT,PARTIAL REMOVAL OF PANCREAS,,,21,,RBRVS,26.32 ,13.09 ,13.09 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
48145,CPT,PARTIAL REMOVAL OF PANCREAS,,,21,,RBRVS,27.39 ,13.65 ,13.65 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
48146,CPT,PANCREATECTOMY,,,21,,RBRVS,30.60 ,16.95 ,16.95 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
48148,CPT,REMOVAL OF PANCREATIC DUCT,,,21,,RBRVS,20.39 ,11.13 ,11.13 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
48150,CPT,PARTIAL REMOVAL OF PANCREAS,,,21,,RBRVS,52.84 ,25.44 ,25.44 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
48152,CPT,PANCREATECTOMY,,,21,,RBRVS,48.65 ,23.92 ,23.92 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
48153,CPT,PANCREATECTOMY,,,21,,RBRVS,52.79 ,25.19 ,25.19 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
48154,CPT,PANCREATECTOMY,,,21,,RBRVS,48.88 ,24.00 ,24.00 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
48155,CPT,REMOVAL OF PANCREAS,,,21,,RBRVS,29.45 ,16.46 ,16.46 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
48160,CPT,PANCREAS REMOVAL/TRANSPLANT,,,21,,TotalUnits,,,,41.68 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
48400,CPT,INJECTION INTRAOP ADD-ON,,,21,,RBRVS,1.95 ,0.71 ,0.71 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
48500,CPT,SURGERY OF PANCREATIC CYST,,,21,,RBRVS,18.16 ,11.01 ,11.01 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
48510,CPT,DRAIN PANCREATIC PSEUDOCYST,,,21,,RBRVS,17.19 ,10.65 ,10.65 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
48520,CPT,FUSE PANCREAS CYST AND BOWEL,,,21,,RBRVS,18.15 ,9.47 ,9.47 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
48540,CPT,FUSE PANCREAS CYST AND BOWEL,,,21,,RBRVS,21.94 ,10.97 ,10.97 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
48545,CPT,PANCREATORRHAPHY,,,21,,RBRVS,22.23 ,11.66 ,11.66 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
48547,CPT,DUODENAL EXCLUSION,,,21,,RBRVS,30.38 ,14.59 ,14.59 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
48548,CPT,FUSE PANCREAS AND BOWEL,,,21,,RBRVS,28.09 ,13.83 ,13.83 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
48551,CPT,PREP DONOR PANCREAS,,,21,,TotalUnits,,,,17.29 ,,$0.00,$0.00,1,0,0,1,1,1,20210101,
48552,CPT,PREP DONOR PANCREAS/VENOUS,,,21,,RBRVS,4.30 ,1.55 ,1.55 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
48554,CPT,TRANSPL ALLOGRAFT PANCREAS,,,21,,RBRVS,37.80 ,27.72 ,27.72 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
48556,CPT,REMOVAL ALLOGRAFT PANCREAS,,,21,,RBRVS,19.47 ,12.93 ,12.93 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
48999,CPT,PANCREAS SURGERY PROCEDURE,,,21,,TotalUnits,,,,70.58 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
49000,CPT,EXPLORATION OF ABDOMEN,,,21,,RBRVS,12.54 ,7.01 ,7.01 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
49002,CPT,REOPENING OF ABDOMEN,,,21,,RBRVS,17.63 ,8.81 ,8.81 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
49010,CPT,EXPLORATION BEHIND ABDOMEN,,,21,,RBRVS,16.06 ,7.37 ,7.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
49013,CPT,PRPERTL PEL PACK HEMRRG TRMA,,,21,,RBRVS,8.35 ,2.93 ,2.93 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
49014,CPT,REEXPLORATION PELVIC WOUND,,,21,,RBRVS,6.73 ,2.62 ,2.62 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
49020,CPT,DRAINAGE ABDOM ABSCESS OPEN,,,21,,RBRVS,26.67 ,13.74 ,13.74 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
49040,CPT,DRAIN OPEN ABDOM ABSCESS,,,21,,RBRVS,16.52 ,8.91 ,8.91 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
49060,CPT,DRAIN OPEN RETROPERI ABSCESS,,,21,,RBRVS,18.53 ,9.46 ,9.46 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
49062,CPT,DRAIN TO PERITONEAL CAVITY,,,21,,RBRVS,12.22 ,7.18 ,7.18 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
49082,CPT,ABD PARACENTESIS,,,21,,RBRVS,1.24 ,0.72 ,4.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
49083,CPT,ABD PARACENTESIS W/IMAGING,,,21,,RBRVS,2.00 ,0.93 ,6.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
49084,CPT,PERITONEAL LAVAGE,,,21,,RBRVS,2.00 ,0.73 ,0.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
49180,CPT,BIOPSY ABDOMINAL MASS,,,21,,RBRVS,1.73 ,0.57 ,3.00 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
49185,CPT,SCLEROTX FLUID COLLECTION,,,21,,RBRVS,2.35 ,0.90 ,30.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
49203,CPT,EXC ABD TUM 5 CM OR LESS,,,21,,RBRVS,20.13 ,10.38 ,10.38 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
49204,CPT,EXC ABD TUM OVER 5 CM,,,21,,RBRVS,26.13 ,12.75 ,12.75 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
49205,CPT,EXC ABD TUM OVER 10 CM,,,21,,RBRVS,30.13 ,14.39 ,14.39 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
49215,CPT,EXCISE SACRAL SPINE TUMOR,,,21,,RBRVS,37.81 ,18.68 ,18.68 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
49250,CPT,EXCISION OF UMBILICUS,,,21,,RBRVS,9.01 ,6.09 ,6.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
49255,CPT,REMOVAL OF OMENTUM,,,21,,RBRVS,12.56 ,7.72 ,7.72 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
49320,CPT,DIAG LAPARO SEPARATE PROC,,,21,,RBRVS,5.14 ,3.26 ,3.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
49321,CPT,LAPAROSCOPY BIOPSY,,,21,,RBRVS,5.44 ,3.40 ,3.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
49322,CPT,LAPAROSCOPY ASPIRATION,,,21,,RBRVS,6.01 ,3.55 ,3.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
49323,CPT,LAPARO DRAIN LYMPHOCELE,,,21,,RBRVS,10.23 ,6.13 ,6.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
49324,CPT,LAP INSERT TUNNEL IP CATH,,,21,,RBRVS,6.32 ,3.52 ,3.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
49325,CPT,LAP REVISION PERM IP CATH,,,21,,RBRVS,6.82 ,3.65 ,3.65 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
49326,CPT,LAP W/OMENTOPEXY ADD-ON,,,21,,RBRVS,3.50 ,1.18 ,1.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
49327,CPT,LAP INS DEVICE FOR RT,,,21,,RBRVS,2.38 ,0.86 ,0.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
49329,CPT,LAPARO PROC ABDM/PER/OMENT,,,21,,TotalUnits,,,,8.84 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
49400,CPT,AIR INJECTION INTO ABDOMEN,,,21,,RBRVS,1.88 ,0.59 ,2.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
49402,CPT,REMOVE FOREIGN BODY ADBOMEN,,,21,,RBRVS,14.09 ,7.62 ,7.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
49405,CPT,IMAGE CATH FLUID COLXN VISC,,,21,,RBRVS,4.00 ,1.36 ,20.79 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
49406,CPT,IMAGE CATH FLUID PERI/RETRO,,,21,,RBRVS,4.00 ,1.36 ,20.79 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
49407,CPT,IMAGE CATH FLUID TRNS/VGNL,,,21,,RBRVS,4.25 ,1.39 ,15.99 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
49411,CPT,INS MARK ABD/PEL FOR RT PERQ,,,21,,RBRVS,3.57 ,1.46 ,10.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
49412,CPT,INS DEVICE FOR RT GUIDE OPEN,,,21,,RBRVS,1.50 ,0.54 ,0.54 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
49418,CPT,INSERT TUN IP CATH PERC,,,21,,RBRVS,3.96 ,1.53 ,29.76 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
49419,CPT,INSERT TUN IP CATH W/PORT,,,21,,RBRVS,7.08 ,4.19 ,4.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
49421,CPT,INS TUN IP CATH FOR DIAL OPN,,,21,,RBRVS,4.21 ,1.49 ,1.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
49422,CPT,REMOVE TUNNELED IP CATH,,,21,,RBRVS,4.00 ,1.57 ,1.57 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
49423,CPT,EXCHANGE DRAINAGE CATHETER,,,21,,RBRVS,1.46 ,0.47 ,15.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
49424,CPT,ASSESS CYST CONTRAST INJECT,,,21,,RBRVS,0.76 ,0.27 ,3.95 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
49425,CPT,INSERT ABDOMEN-VENOUS DRAIN,,,21,,RBRVS,12.22 ,6.37 ,6.37 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
49426,CPT,REVISE ABDOMEN-VENOUS SHUNT,,,21,,RBRVS,10.41 ,6.49 ,6.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
49427,CPT,INJECTION ABDOMINAL SHUNT,,,21,,RBRVS,0.89 ,0.15 ,0.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
49428,CPT,LIGATION OF SHUNT,,,21,,RBRVS,6.87 ,4.03 ,4.03 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
49429,CPT,REMOVAL OF SHUNT,,,21,,RBRVS,7.44 ,4.12 ,4.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
49435,CPT,INSERT SUBQ EXTEN TO IP CATH,,,21,,RBRVS,2.25 ,0.71 ,0.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
49436,CPT,EMBEDDED IP CATH EXIT-SITE,,,21,,RBRVS,2.72 ,2.06 ,2.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
49440,CPT,PLACE GASTROSTOMY TUBE PERC,,,21,,RBRVS,3.93 ,1.63 ,22.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
49441,CPT,PLACE DUOD/JEJ TUBE PERC,,,21,,RBRVS,4.52 ,1.91 ,25.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
49442,CPT,PLACE CECOSTOMY TUBE PERC,,,21,,RBRVS,3.75 ,1.95 ,21.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
49446,CPT,CHANGE G-TUBE TO G-J PERC,,,21,,RBRVS,3.06 ,0.97 ,22.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
49450,CPT,REPLACE G/C TUBE PERC,,,21,,RBRVS,1.36 ,0.43 ,17.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
49451,CPT,REPLACE DUOD/JEJ TUBE PERC,,,21,,RBRVS,1.84 ,0.59 ,18.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
49452,CPT,REPLACE G-J TUBE PERC,,,21,,RBRVS,2.86 ,0.90 ,21.77 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
49460,CPT,FIX G/COLON TUBE W/DEVICE,,,21,,RBRVS,0.96 ,0.34 ,19.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
49465,CPT,FLUORO EXAM OF G/COLON TUBE,,,21,,RBRVS,0.62 ,0.22 ,3.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
49491,CPT,RPR HERN PREEMIE REDUC,,,21,,RBRVS,12.53 ,7.61 ,7.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
49492,CPT,RPR ING HERN PREMIE BLOCKED,,,21,,RBRVS,15.43 ,8.75 ,8.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
49495,CPT,RPR ING HERNIA BABY REDUC,,,21,,RBRVS,6.20 ,4.19 ,4.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
49496,CPT,RPR ING HERNIA BABY BLOCKED,,,21,,RBRVS,9.42 ,6.17 ,6.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
49500,CPT,RPR ING HERNIA INIT REDUCE,,,21,,RBRVS,5.84 ,4.73 ,4.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
49501,CPT,RPR ING HERNIA INIT BLOCKED,,,21,,RBRVS,9.36 ,5.99 ,5.99 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
49505,CPT,PRP I/HERN INIT REDUC >5 YR,,,21,,RBRVS,7.96 ,5.32 ,5.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
49507,CPT,PRP I/HERN INIT BLOCK >5 YR,,,21,,RBRVS,9.09 ,5.81 ,5.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
49520,CPT,REREPAIR ING HERNIA REDUCE,,,21,,RBRVS,9.99 ,6.04 ,6.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
49521,CPT,REREPAIR ING HERNIA BLOCKED,,,21,,RBRVS,11.48 ,6.67 ,6.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
49525,CPT,REPAIR ING HERNIA SLIDING,,,21,,RBRVS,8.93 ,5.65 ,5.65 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
49540,CPT,REPAIR LUMBAR HERNIA,,,21,,RBRVS,10.74 ,6.38 ,6.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
49550,CPT,RPR REM HERNIA INIT REDUCE,,,21,,RBRVS,8.99 ,5.66 ,5.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
49553,CPT,RPR FEM HERNIA INIT BLOCKED,,,21,,RBRVS,9.92 ,6.11 ,6.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
49555,CPT,REREPAIR FEM HERNIA REDUCE,,,21,,RBRVS,9.39 ,5.90 ,5.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
49557,CPT,REREPAIR FEM HERNIA BLOCKED,,,21,,RBRVS,11.62 ,6.71 ,6.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
49560,CPT,RPR VENTRAL HERN INIT REDUC,,,21,,RBRVS,11.92 ,6.78 ,6.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
49561,CPT,RPR VENTRAL HERN INIT BLOCK,,,21,,RBRVS,15.38 ,8.07 ,8.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
49565,CPT,REREPAIR VENTRL HERN REDUCE,,,21,,RBRVS,12.37 ,7.12 ,7.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
49566,CPT,REREPAIR VENTRL HERN BLOCK,,,21,,RBRVS,15.53 ,8.15 ,8.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
49568,CPT,HERNIA REPAIR W/MESH,,,21,,RBRVS,4.88 ,1.77 ,1.77 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
49570,CPT,RPR EPIGASTRIC HERN REDUCE,,,21,,RBRVS,6.05 ,4.64 ,4.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
49572,CPT,RPR EPIGASTRIC HERN BLOCKED,,,21,,RBRVS,7.87 ,5.30 ,5.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
49580,CPT,RPR UMBIL HERN REDUC < 5 YR,,,21,,RBRVS,4.47 ,4.14 ,4.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
49582,CPT,RPR UMBIL HERN BLOCK < 5 YR,,,21,,RBRVS,7.13 ,5.20 ,5.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
49585,CPT,RPR UMBIL HERN REDUC > 5 YR,,,21,,RBRVS,6.59 ,4.82 ,4.82 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
49587,CPT,RPR UMBIL HERN BLOCK > 5 YR,,,21,,RBRVS,7.08 ,5.10 ,5.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
49590,CPT,REPAIR SPIGELIAN HERNIA,,,21,,RBRVS,8.90 ,5.65 ,5.65 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
49600,CPT,REPAIR UMBILICAL LESION,,,21,,RBRVS,11.55 ,7.00 ,7.00 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
49605,CPT,REPAIR UMBILICAL LESION,,,21,,RBRVS,87.09 ,35.69 ,35.69 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
49606,CPT,REPAIR UMBILICAL LESION,,,21,,RBRVS,19.00 ,9.48 ,9.48 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
49610,CPT,REPAIR UMBILICAL LESION,,,21,,RBRVS,10.91 ,6.57 ,6.57 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
49611,CPT,REPAIR UMBILICAL LESION,,,21,,RBRVS,9.34 ,6.11 ,6.11 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
49650,CPT,LAP ING HERNIA REPAIR INIT,,,21,,RBRVS,6.36 ,4.63 ,4.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
49651,CPT,LAP ING HERNIA REPAIR RECUR,,,21,,RBRVS,8.38 ,5.92 ,5.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
49652,CPT,LAP VENT/ABD HERNIA REPAIR,,,21,,RBRVS,11.92 ,6.93 ,6.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
49653,CPT,LAP VENT/ABD HERN PROC COMP,,,21,,RBRVS,14.94 ,8.58 ,8.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
49654,CPT,LAP INC HERNIA REPAIR,,,21,,RBRVS,13.76 ,7.61 ,7.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
49655,CPT,LAP INC HERN REPAIR COMP,,,21,,RBRVS,16.84 ,9.27 ,9.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
49656,CPT,LAP INC HERNIA REPAIR RECUR,,,21,,RBRVS,15.08 ,8.05 ,8.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
49657,CPT,LAP INC HERN RECUR COMP,,,21,,RBRVS,22.11 ,11.13 ,11.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
49659,CPT,LAPARO PROC HERNIA REPAIR,,,21,,TotalUnits,,,,10.99 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
49900,CPT,REPAIR OF ABDOMINAL WALL,,,21,,RBRVS,12.41 ,8.52 ,8.52 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
49904,CPT,OMENTAL FLAP EXTRA-ABDOM,,,21,,RBRVS,22.35 ,13.64 ,13.64 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
49905,CPT,OMENTAL FLAP INTRA-ABDOM,,,21,,RBRVS,6.54 ,2.35 ,2.35 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
49906,CPT,FREE OMENTAL FLAP MICROVASC,,,21,,TotalUnits,,,,35.69 ,,$0.00,$0.00,1,0,0,1,1,1,20210101,
49999,CPT,ABDOMEN SURGERY PROCEDURE,,,21,,TotalUnits,,,,3.23 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
50010,CPT,EXPLORATION OF KIDNEY,,,21,,RBRVS,12.28 ,6.98 ,6.98 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
50020,CPT,RENAL ABSCESS OPEN DRAIN,,,21,,RBRVS,18.08 ,9.10 ,9.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
50040,CPT,DRAINAGE OF KIDNEY,,,21,,RBRVS,16.68 ,8.03 ,8.03 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
50045,CPT,EXPLORATION OF KIDNEY,,,21,,RBRVS,16.82 ,8.17 ,8.17 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
50060,CPT,REMOVAL OF KIDNEY STONE,,,21,,RBRVS,20.95 ,9.57 ,9.57 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
50065,CPT,INCISION OF KIDNEY,,,21,,RBRVS,22.32 ,10.03 ,10.03 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
50070,CPT,INCISION OF KIDNEY,,,21,,RBRVS,21.85 ,9.87 ,9.87 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
50075,CPT,REMOVAL OF KIDNEY STONE,,,21,,RBRVS,27.09 ,11.91 ,11.91 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
50080,CPT,REMOVAL OF KIDNEY STONE,,,21,,RBRVS,15.74 ,7.55 ,7.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
50081,CPT,REMOVAL OF KIDNEY STONE,,,21,,RBRVS,23.50 ,10.69 ,10.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
50100,CPT,REVISE KIDNEY BLOOD VESSELS,,,21,,RBRVS,17.45 ,9.78 ,9.78 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
50120,CPT,EXPLORATION OF KIDNEY,,,21,,RBRVS,17.21 ,8.23 ,8.23 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
50125,CPT,EXPLORE AND DRAIN KIDNEY,,,21,,RBRVS,17.82 ,8.51 ,8.51 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
50130,CPT,REMOVAL OF KIDNEY STONE,,,21,,RBRVS,18.82 ,8.85 ,8.85 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
50135,CPT,EXPLORATION OF KIDNEY,,,21,,RBRVS,20.59 ,9.45 ,9.45 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
50200,CPT,RENAL BIOPSY PERQ,,,21,,RBRVS,2.38 ,1.10 ,12.87 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
50205,CPT,RENAL BIOPSY OPEN,,,21,,RBRVS,12.29 ,6.90 ,6.90 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
50220,CPT,REMOVE KIDNEY OPEN,,,21,,RBRVS,18.68 ,8.99 ,8.99 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
50225,CPT,REMOVAL KIDNEY OPEN COMPLEX,,,21,,RBRVS,21.88 ,9.98 ,9.98 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
50230,CPT,REMOVAL KIDNEY OPEN RADICAL,,,21,,RBRVS,23.81 ,10.28 ,10.28 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
50234,CPT,REMOVAL OF KIDNEY & URETER,,,21,,RBRVS,24.05 ,10.64 ,10.64 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
50236,CPT,REMOVAL OF KIDNEY & URETER,,,21,,RBRVS,26.94 ,12.26 ,12.26 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
50240,CPT,PARTIAL REMOVAL OF KIDNEY,,,21,,RBRVS,24.21 ,11.21 ,11.21 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
50250,CPT,CRYOABLATE RENAL MASS OPEN,,,21,,RBRVS,22.22 ,10.36 ,10.36 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
50280,CPT,REMOVAL OF KIDNEY LESION,,,21,,RBRVS,17.09 ,8.37 ,8.37 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
50290,CPT,REMOVAL OF KIDNEY LESION,,,21,,RBRVS,16.15 ,7.94 ,7.94 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
50300,CPT,REMOVE CADAVER DONOR KIDNEY,,,21,,TotalUnits,,,,23.05 ,,$0.00,$0.00,1,0,0,1,1,1,20210101,
50320,CPT,REMOVE KIDNEY LIVING DONOR,,,21,,RBRVS,22.43 ,15.84 ,15.84 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
50323,CPT,PREP CADAVER RENAL ALLOGRAFT,,,21,,TotalUnits,,,,10.07 ,,$0.00,$0.00,1,0,0,1,1,1,20210101,
50325,CPT,PREP DONOR RENAL GRAFT,,,21,,TotalUnits,,,,12.34 ,,$0.00,$0.00,1,0,0,1,1,1,20210101,
50327,CPT,PREP RENAL GRAFT/VENOUS,,,21,,RBRVS,4.00 ,1.41 ,1.41 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
50328,CPT,PREP RENAL GRAFT/ARTERIAL,,,21,,RBRVS,3.50 ,1.24 ,1.24 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
50329,CPT,PREP RENAL GRAFT/URETERAL,,,21,,RBRVS,3.34 ,1.19 ,1.19 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
50340,CPT,REMOVAL OF KIDNEY,,,21,,RBRVS,14.04 ,10.13 ,10.13 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
50360,CPT,TRANSPLANTATION OF KIDNEY,,,21,,RBRVS,39.88 ,21.27 ,21.27 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
50365,CPT,TRANSPLANTATION OF KIDNEY,,,21,,RBRVS,46.13 ,26.77 ,26.77 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
50370,CPT,REMOVE TRANSPLANTED KIDNEY,,,21,,RBRVS,18.88 ,11.90 ,11.90 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
50380,CPT,REIMPLANTATION OF KIDNEY,,,21,,RBRVS,30.11 ,21.04 ,21.04 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
50382,CPT,CHANGE URETER STENT PERCUT,,,21,,RBRVS,5.25 ,1.70 ,25.60 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
50384,CPT,REMOVE URETER STENT PERCUT,,,21,,RBRVS,4.75 ,1.46 ,20.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
50385,CPT,CHANGE STENT VIA TRANSURETH,,,21,,RBRVS,4.19 ,1.70 ,26.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
50386,CPT,REMOVE STENT VIA TRANSURETH,,,21,,RBRVS,3.05 ,1.29 ,17.72 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
50387,CPT,CHANGE NEPHROURETERAL CATH,,,21,,RBRVS,1.75 ,0.53 ,13.72 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
50389,CPT,REMOVE RENAL TUBE W/FLUORO,,,21,,RBRVS,1.10 ,0.36 ,9.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
50390,CPT,DRAINAGE OF KIDNEY LESION,,,21,,RBRVS,1.96 ,0.65 ,0.65 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
50391,CPT,INSTLL RX AGNT INTO RNAL TUB,,,21,,RBRVS,1.96 ,0.66 ,1.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
50396,CPT,MEASURE KIDNEY PRESSURE,,,21,,RBRVS,2.09 ,1.11 ,1.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
50400,CPT,REVISION OF KIDNEY/URETER,,,21,,RBRVS,21.27 ,9.73 ,9.73 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
50405,CPT,REVISION OF KIDNEY/URETER,,,21,,RBRVS,25.86 ,11.49 ,11.49 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
50430,CPT,NJX PX NFROSGRM &/URTRGRM,,,21,,RBRVS,2.90 ,1.29 ,13.00 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
50431,CPT,NJX PX NFROSGRM &/URTRGRM,,,21,,RBRVS,1.10 ,0.69 ,6.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
50432,CPT,PLMT NEPHROSTOMY CATHETER,,,21,,RBRVS,4.00 ,1.61 ,20.95 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
50433,CPT,PLMT NEPHROURETERAL CATHETER,,,21,,RBRVS,5.05 ,1.91 ,27.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
50434,CPT,CONVERT NEPHROSTOMY CATHETER,,,21,,RBRVS,3.75 ,1.49 ,21.99 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
50435,CPT,EXCHANGE NEPHROSTOMY CATH,,,21,,RBRVS,1.82 ,0.91 ,14.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
50436,CPT,DILAT XST TRC NDURLGC PX,,,21,,RBRVS,2.78 ,1.30 ,1.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
50437,CPT,DILAT XST TRC NEW ACCESS RCS,,,21,,RBRVS,4.85 ,1.97 ,1.97 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
50500,CPT,REPAIR OF KIDNEY WOUND,,,21,,RBRVS,21.22 ,10.54 ,10.54 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
50520,CPT,CLOSE KIDNEY-SKIN FISTULA,,,21,,RBRVS,18.88 ,10.29 ,10.29 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
50525,CPT,CLOSE NEPHROVISCERAL FISTULA,,,21,,RBRVS,24.39 ,12.53 ,12.53 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
50526,CPT,CLOSE NEPHROVISCERAL FISTULA,,,21,,RBRVS,26.31 ,13.23 ,13.23 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
50540,CPT,REVISION OF HORSESHOE KIDNEY,,,21,,RBRVS,21.10 ,9.62 ,9.62 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
50541,CPT,LAPARO ABLATE RENAL CYST,,,21,,RBRVS,16.86 ,7.68 ,7.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
50542,CPT,LAPARO ABLATE RENAL MASS,,,21,,RBRVS,21.36 ,9.85 ,9.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
50543,CPT,LAPARO PARTIAL NEPHRECTOMY,,,21,,RBRVS,27.41 ,12.43 ,12.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
50544,CPT,LAPAROSCOPY PYELOPLASTY,,,21,,RBRVS,23.37 ,9.88 ,9.88 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
50545,CPT,LAPARO RADICAL NEPHRECTOMY,,,21,,RBRVS,25.06 ,10.67 ,10.67 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
50546,CPT,LAPAROSCOPIC NEPHRECTOMY,,,21,,RBRVS,21.87 ,10.17 ,10.17 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
50547,CPT,LAPARO REMOVAL DONOR KIDNEY,,,21,,RBRVS,26.34 ,14.72 ,14.72 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
50548,CPT,LAPARO REMOVE W/URETER,,,21,,RBRVS,25.36 ,10.57 ,10.57 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
50549,CPT,LAPAROSCOPE PROC RENAL,,,21,,TotalUnits,,,,35.73 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
50551,CPT,KIDNEY ENDOSCOPY,,,21,,RBRVS,5.59 ,2.26 ,4.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
50553,CPT,KIDNEY ENDOSCOPY,,,21,,RBRVS,5.98 ,2.40 ,4.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
50555,CPT,KIDNEY ENDOSCOPY & BIOPSY,,,21,,RBRVS,6.52 ,2.58 ,4.60 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
50557,CPT,KIDNEY ENDOSCOPY & TREATMENT,,,21,,RBRVS,6.61 ,2.61 ,4.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
50561,CPT,KIDNEY ENDOSCOPY & TREATMENT,,,21,,RBRVS,7.58 ,2.92 ,5.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
50562,CPT,RENAL SCOPE W/TUMOR RESECT,,,21,,RBRVS,10.90 ,4.58 ,4.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
50570,CPT,KIDNEY ENDOSCOPY,,,21,,RBRVS,9.53 ,3.56 ,3.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
50572,CPT,KIDNEY ENDOSCOPY,,,21,,RBRVS,10.33 ,3.83 ,3.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
50574,CPT,KIDNEY ENDOSCOPY & BIOPSY,,,21,,RBRVS,11.00 ,4.06 ,4.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
50575,CPT,KIDNEY ENDOSCOPY,,,21,,RBRVS,13.96 ,5.07 ,5.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
50576,CPT,KIDNEY ENDOSCOPY & TREATMENT,,,21,,RBRVS,10.97 ,4.05 ,4.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
50580,CPT,KIDNEY ENDOSCOPY & TREATMENT,,,21,,RBRVS,11.84 ,4.35 ,4.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
50590,CPT,FRAGMENTING OF KIDNEY STONE,,,21,,RBRVS,9.77 ,5.52 ,10.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
50592,CPT,PERC RF ABLATE RENAL TUMOR,,,21,,RBRVS,6.55 ,2.81 ,84.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
50593,CPT,PERC CRYO ABLATE RENAL TUM,,,21,,RBRVS,8.88 ,3.64 ,113.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
50600,CPT,EXPLORATION OF URETER,,,21,,RBRVS,17.17 ,7.96 ,7.96 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
50605,CPT,INSERT URETERAL SUPPORT,,,21,,RBRVS,16.79 ,8.67 ,8.67 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
50606,CPT,ENDOLUMINAL BX URTR RNL PLVS,,,21,,RBRVS,3.16 ,0.97 ,14.36 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
50610,CPT,REMOVAL OF URETER STONE,,,21,,RBRVS,17.25 ,8.06 ,8.06 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
50620,CPT,REMOVAL OF URETER STONE,,,21,,RBRVS,16.43 ,7.78 ,7.78 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
50630,CPT,REMOVAL OF URETER STONE,,,21,,RBRVS,16.21 ,7.70 ,7.70 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
50650,CPT,REMOVAL OF URETER,,,21,,RBRVS,18.82 ,8.90 ,8.90 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
50660,CPT,REMOVAL OF URETER,,,21,,RBRVS,21.02 ,9.60 ,9.60 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
50684,CPT,INJECTION FOR URETER X-RAY,,,21,,RBRVS,0.76 ,0.60 ,2.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
50686,CPT,MEASURE URETER PRESSURE,,,21,,RBRVS,1.51 ,0.85 ,2.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
50688,CPT,CHANGE OF URETER TUBE/STENT,,,21,,RBRVS,1.20 ,0.93 ,0.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
50690,CPT,INJECTION FOR URETER X-RAY,,,21,,RBRVS,1.16 ,0.75 ,1.82 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
50693,CPT,PLMT URETERAL STENT PRQ,,,21,,RBRVS,3.96 ,1.62 ,25.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
50694,CPT,PLMT URETERAL STENT PRQ,,,21,,RBRVS,5.25 ,2.07 ,27.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
50695,CPT,PLMT URETERAL STENT PRQ,,,21,,RBRVS,6.80 ,2.59 ,32.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
50700,CPT,REVISION OF URETER,,,21,,RBRVS,16.69 ,8.12 ,8.12 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
50705,CPT,URETERAL EMBOLIZATION/OCCL,,,21,,RBRVS,4.03 ,0.68 ,49.62 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
50706,CPT,BALLOON DILATE URTRL STRIX,,,21,,RBRVS,3.80 ,1.16 ,22.82 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
50715,CPT,RELEASE OF URETER,,,21,,RBRVS,20.64 ,10.78 ,10.78 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
50722,CPT,RELEASE OF URETER,,,21,,RBRVS,17.95 ,9.04 ,9.04 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
50725,CPT,RELEASE/REVISE URETER,,,21,,RBRVS,20.20 ,9.32 ,9.32 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
50727,CPT,REVISE URETER,,,21,,RBRVS,8.28 ,5.37 ,5.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
50728,CPT,REVISE URETER,,,21,,RBRVS,12.18 ,7.14 ,7.14 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
50740,CPT,FUSION OF URETER & KIDNEY,,,21,,RBRVS,20.07 ,10.72 ,10.72 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
50750,CPT,FUSION OF URETER & KIDNEY,,,21,,RBRVS,21.22 ,9.66 ,9.66 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
50760,CPT,FUSION OF URETERS,,,21,,RBRVS,20.07 ,9.60 ,9.60 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
50770,CPT,SPLICING OF URETERS,,,21,,RBRVS,21.22 ,9.66 ,9.66 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
50780,CPT,REIMPLANT URETER IN BLADDER,,,21,,RBRVS,19.95 ,9.41 ,9.41 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
50782,CPT,REIMPLANT URETER IN BLADDER,,,21,,RBRVS,19.66 ,9.13 ,9.13 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
50783,CPT,REIMPLANT URETER IN BLADDER,,,21,,RBRVS,20.70 ,9.49 ,9.49 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
50785,CPT,REIMPLANT URETER IN BLADDER,,,21,,RBRVS,22.23 ,10.11 ,10.11 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
50800,CPT,IMPLANT URETER IN BOWEL,,,21,,RBRVS,16.41 ,8.34 ,8.34 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
50810,CPT,FUSION OF URETER & BOWEL,,,21,,RBRVS,22.61 ,12.70 ,12.70 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
50815,CPT,URINE SHUNT TO INTESTINE,,,21,,RBRVS,22.26 ,10.52 ,10.52 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
50820,CPT,CONSTRUCT BOWEL BLADDER,,,21,,RBRVS,24.07 ,10.96 ,10.96 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
50825,CPT,CONSTRUCT BOWEL BLADDER,,,21,,RBRVS,30.68 ,13.47 ,13.47 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
50830,CPT,REVISE URINE FLOW,,,21,,RBRVS,33.77 ,14.42 ,14.42 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
50840,CPT,REPLACE URETER BY BOWEL,,,21,,RBRVS,22.39 ,10.56 ,10.56 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
50845,CPT,APPENDICO-VESICOSTOMY,,,21,,RBRVS,22.46 ,11.09 ,11.09 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
50860,CPT,TRANSPLANT URETER TO SKIN,,,21,,RBRVS,17.08 ,8.26 ,8.26 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
50900,CPT,REPAIR OF URETER,,,21,,RBRVS,15.04 ,7.57 ,7.57 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
50920,CPT,CLOSURE URETER/SKIN FISTULA,,,21,,RBRVS,15.81 ,7.82 ,7.82 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
50930,CPT,CLOSURE URETER/BOWEL FISTULA,,,21,,RBRVS,20.19 ,9.31 ,9.31 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
50940,CPT,RELEASE OF URETER,,,21,,RBRVS,15.93 ,7.86 ,7.86 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
50945,CPT,LAPAROSCOPY URETEROLITHOTOMY,,,21,,RBRVS,17.97 ,8.05 ,8.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
50947,CPT,LAPARO NEW URETER/BLADDER,,,21,,RBRVS,25.78 ,11.27 ,11.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
50948,CPT,LAPARO NEW URETER/BLADDER,,,21,,RBRVS,23.82 ,10.23 ,10.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
50949,CPT,LAPAROSCOPE PROC URETER,,,21,,TotalUnits,,,,37.05 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
50951,CPT,ENDOSCOPY OF URETER,,,21,,RBRVS,5.83 ,2.35 ,4.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
50953,CPT,ENDOSCOPY OF URETER,,,21,,RBRVS,6.23 ,2.48 ,4.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
50955,CPT,URETER ENDOSCOPY & BIOPSY,,,21,,RBRVS,6.74 ,2.66 ,4.76 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
50957,CPT,URETER ENDOSCOPY & TREATMENT,,,21,,RBRVS,6.78 ,2.67 ,4.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
50961,CPT,URETER ENDOSCOPY & TREATMENT,,,21,,RBRVS,6.04 ,2.42 ,4.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
50970,CPT,URETER ENDOSCOPY,,,21,,RBRVS,7.13 ,2.75 ,2.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
50972,CPT,URETER ENDOSCOPY & CATHETER,,,21,,RBRVS,6.88 ,2.67 ,2.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
50974,CPT,URETER ENDOSCOPY & BIOPSY,,,21,,RBRVS,9.16 ,3.44 ,3.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
50976,CPT,URETER ENDOSCOPY & TREATMENT,,,21,,RBRVS,9.03 ,3.39 ,3.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
50980,CPT,URETER ENDOSCOPY & TREATMENT,,,21,,RBRVS,6.84 ,2.66 ,2.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
51020,CPT,INCISE & TREAT BLADDER,,,21,,RBRVS,7.69 ,4.94 ,4.94 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
51030,CPT,INCISE & TREAT BLADDER,,,21,,RBRVS,7.81 ,4.91 ,4.91 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
51040,CPT,INCISE & DRAIN BLADDER,,,21,,RBRVS,4.49 ,3.33 ,3.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
51045,CPT,INCISE BLADDER/DRAIN URETER,,,21,,RBRVS,7.81 ,5.33 ,5.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
51050,CPT,REMOVAL OF BLADDER STONE,,,21,,RBRVS,7.97 ,4.72 ,4.72 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
51060,CPT,REMOVAL OF URETER STONE,,,21,,RBRVS,9.95 ,5.70 ,5.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
51065,CPT,REMOVE URETER CALCULUS,,,21,,RBRVS,9.95 ,5.63 ,5.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
51080,CPT,DRAINAGE OF BLADDER ABSCESS,,,21,,RBRVS,6.71 ,4.30 ,4.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
51100,CPT,DRAIN BLADDER BY NEEDLE,,,21,,RBRVS,0.78 ,0.25 ,1.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
51101,CPT,DRAIN BLADDER BY TROCAR/CATH,,,21,,RBRVS,1.02 ,0.35 ,2.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
51102,CPT,DRAIN BL W/CATH INSERTION,,,21,,RBRVS,2.70 ,1.20 ,3.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
51500,CPT,REMOVAL OF BLADDER CYST,,,21,,RBRVS,11.05 ,6.06 ,6.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
51520,CPT,REMOVAL OF BLADDER LESION,,,21,,RBRVS,10.21 ,5.79 ,5.79 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
51525,CPT,REMOVAL OF BLADDER LESION,,,21,,RBRVS,15.42 ,7.58 ,7.58 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
51530,CPT,REMOVAL OF BLADDER LESION,,,21,,RBRVS,13.71 ,6.96 ,6.96 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
51535,CPT,REPAIR OF URETER LESION,,,21,,RBRVS,13.90 ,7.03 ,7.03 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
51550,CPT,PARTIAL REMOVAL OF BLADDER,,,21,,RBRVS,17.23 ,8.36 ,8.36 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
51555,CPT,PARTIAL REMOVAL OF BLADDER,,,21,,RBRVS,23.18 ,10.52 ,10.52 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
51565,CPT,REVISE BLADDER & URETER(S),,,21,,RBRVS,23.68 ,10.95 ,10.95 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
51570,CPT,REMOVAL OF BLADDER,,,21,,RBRVS,27.46 ,11.89 ,11.89 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
51575,CPT,REMOVAL OF BLADDER & NODES,,,21,,RBRVS,34.18 ,14.51 ,14.51 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
51580,CPT,REMOVE BLADDER/REVISE TRACT,,,21,,RBRVS,35.37 ,15.35 ,15.35 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
51585,CPT,REMOVAL OF BLADDER & NODES,,,21,,RBRVS,39.64 ,16.79 ,16.79 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
51590,CPT,REMOVE BLADDER/REVISE TRACT,,,21,,RBRVS,36.33 ,15.23 ,15.23 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
51595,CPT,REMOVE BLADDER/REVISE TRACT,,,21,,RBRVS,41.32 ,17.09 ,17.09 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
51596,CPT,REMOVE BLADDER/CREATE POUCH,,,21,,RBRVS,44.26 ,18.58 ,18.58 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
51597,CPT,REMOVAL OF PELVIC STRUCTURES,,,21,,RBRVS,42.86 ,18.26 ,18.26 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
51600,CPT,INJECTION FOR BLADDER X-RAY,,,21,,RBRVS,0.88 ,0.31 ,4.91 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
51605,CPT,PREPARATION FOR BLADDER XRAY,,,21,,RBRVS,0.64 ,0.39 ,0.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
51610,CPT,INJECTION FOR BLADDER X-RAY,,,21,,RBRVS,1.05 ,0.69 ,2.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
51700,CPT,IRRIGATION OF BLADDER,,,21,,RBRVS,0.60 ,0.21 ,1.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
51701,CPT,INSERT BLADDER CATHETER,,,21,,RBRVS,0.50 ,0.18 ,0.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
51702,CPT,INSERT TEMP BLADDER CATH,,,21,,RBRVS,0.50 ,0.18 ,1.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
51703,CPT,INSERT BLADDER CATH COMPLEX,,,21,,RBRVS,1.47 ,0.58 ,2.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
51705,CPT,CHANGE OF BLADDER TUBE,,,21,,RBRVS,0.90 ,0.49 ,1.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
51710,CPT,CHANGE OF BLADDER TUBE,,,21,,RBRVS,1.35 ,0.78 ,2.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
51715,CPT,ENDOSCOPIC INJECTION/IMPLANT,,,21,,RBRVS,3.73 ,1.58 ,5.57 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
51720,CPT,TREATMENT OF BLADDER LESION,,,21,,RBRVS,0.87 ,0.30 ,1.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
51725,CPT,SIMPLE CYSTOMETROGRAM,,,21,,RBRVS,1.51 ,4.38 ,4.38 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
51725,CPT,SIMPLE CYSTOMETROGRAM,26,,21,,RBRVS,1.51 ,0.54 ,0.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
51725,CPT,SIMPLE CYSTOMETROGRAM,TC,,21,,RBRVS,,3.84 ,3.84 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
51726,CPT,COMPLEX CYSTOMETROGRAM,,,21,,RBRVS,1.71 ,6.37 ,6.37 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
51726,CPT,COMPLEX CYSTOMETROGRAM,26,,21,,RBRVS,1.71 ,0.59 ,0.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
51726,CPT,COMPLEX CYSTOMETROGRAM,TC,,21,,RBRVS,,5.78 ,5.78 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
51727,CPT,CYSTOMETROGRAM W/UP,,,21,,RBRVS,2.11 ,7.54 ,7.54 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
51727,CPT,CYSTOMETROGRAM W/UP,26,,21,,RBRVS,2.11 ,0.76 ,0.76 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
51727,CPT,CYSTOMETROGRAM W/UP,TC,,21,,RBRVS,,6.78 ,6.78 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
51728,CPT,CYSTOMETROGRAM W/VP,,,21,,RBRVS,2.11 ,7.69 ,7.69 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
51728,CPT,CYSTOMETROGRAM W/VP,26,,21,,RBRVS,2.11 ,0.73 ,0.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
51728,CPT,CYSTOMETROGRAM W/VP,TC,,21,,RBRVS,,6.96 ,6.96 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
51729,CPT,CYSTOMETROGRAM W/VP&UP,,,21,,RBRVS,2.51 ,7.89 ,7.89 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
51729,CPT,CYSTOMETROGRAM W/VP&UP,26,,21,,RBRVS,2.51 ,0.90 ,0.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
51729,CPT,CYSTOMETROGRAM W/VP&UP,TC,,21,,RBRVS,,6.99 ,6.99 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
51736,CPT,URINE FLOW MEASUREMENT,,,21,,RBRVS,0.17 ,0.20 ,0.20 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
51736,CPT,URINE FLOW MEASUREMENT,26,,21,,RBRVS,0.17 ,0.06 ,0.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
51736,CPT,URINE FLOW MEASUREMENT,TC,,21,,RBRVS,,0.14 ,0.14 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
51741,CPT,ELECTRO-UROFLOWMETRY FIRST,,,21,,RBRVS,0.17 ,0.21 ,0.21 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
51741,CPT,ELECTRO-UROFLOWMETRY FIRST,26,,21,,RBRVS,0.17 ,0.06 ,0.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
51741,CPT,ELECTRO-UROFLOWMETRY FIRST,TC,,21,,RBRVS,,0.15 ,0.15 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
51784,CPT,ANAL/URINARY MUSCLE STUDY,,,21,,RBRVS,0.75 ,1.08 ,1.08 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
51784,CPT,ANAL/URINARY MUSCLE STUDY,26,,21,,RBRVS,0.75 ,0.27 ,0.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
51784,CPT,ANAL/URINARY MUSCLE STUDY,TC,,21,,RBRVS,,0.81 ,0.81 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
51785,CPT,ANAL/URINARY MUSCLE STUDY,,,21,,RBRVS,1.53 ,8.65 ,8.65 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
51785,CPT,ANAL/URINARY MUSCLE STUDY,26,,21,,RBRVS,1.53 ,0.69 ,0.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
51785,CPT,ANAL/URINARY MUSCLE STUDY,TC,,21,,RBRVS,,7.96 ,7.96 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
51792,CPT,URINARY REFLEX STUDY,,,21,,RBRVS,1.10 ,5.83 ,5.83 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
51792,CPT,URINARY REFLEX STUDY,26,,21,,RBRVS,1.10 ,0.39 ,0.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
51792,CPT,URINARY REFLEX STUDY,TC,,21,,RBRVS,,5.44 ,5.44 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
51797,CPT,INTRAABDOMINAL PRESSURE TEST,,,21,,RBRVS,0.80 ,3.73 ,3.73 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
51797,CPT,INTRAABDOMINAL PRESSURE TEST,26,,21,,RBRVS,0.80 ,0.28 ,0.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
51797,CPT,INTRAABDOMINAL PRESSURE TEST,TC,,21,,RBRVS,,3.45 ,3.45 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
51798,CPT,US URINE CAPACITY MEASURE,,TC,21,,RBRVS,,0.28 ,0.28 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
51800,CPT,REVISION OF BLADDER/URETHRA,,,21,,RBRVS,18.89 ,8.98 ,8.98 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
51820,CPT,REVISION OF URINARY TRACT,,,21,,RBRVS,19.59 ,9.48 ,9.48 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
51840,CPT,ATTACH BLADDER/URETHRA,,,21,,RBRVS,11.36 ,6.87 ,6.87 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
51841,CPT,ATTACH BLADDER/URETHRA,,,21,,RBRVS,13.68 ,7.56 ,7.56 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
51845,CPT,REPAIR BLADDER NECK,,,21,,RBRVS,10.15 ,5.49 ,5.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
51860,CPT,REPAIR OF BLADDER WOUND,,,21,,RBRVS,12.60 ,7.09 ,7.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
51865,CPT,REPAIR OF BLADDER WOUND,,,21,,RBRVS,15.80 ,8.05 ,8.05 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
51880,CPT,REPAIR OF BLADDER OPENING,,,21,,RBRVS,7.87 ,4.58 ,4.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
51900,CPT,REPAIR BLADDER/VAGINA LESION,,,21,,RBRVS,14.63 ,7.49 ,7.49 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
51920,CPT,CLOSE BLADDER-UTERUS FISTULA,,,21,,RBRVS,13.41 ,7.09 ,7.09 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
51925,CPT,HYSTERECTOMY/BLADDER REPAIR,,,21,,RBRVS,17.53 ,10.45 ,10.45 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
51940,CPT,CORRECTION OF BLADDER DEFECT,,,21,,RBRVS,30.66 ,13.25 ,13.25 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
51960,CPT,REVISION OF BLADDER & BOWEL,,,21,,RBRVS,25.40 ,11.68 ,11.68 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
51980,CPT,CONSTRUCT BLADDER OPENING,,,21,,RBRVS,12.57 ,6.59 ,6.59 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
51990,CPT,LAPARO URETHRAL SUSPENSION,,,21,,RBRVS,13.36 ,6.62 ,6.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
51992,CPT,LAPARO SLING OPERATION,,,21,,RBRVS,14.87 ,7.31 ,7.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
51999,CPT,LAPAROSCOPE PROC BLA,,,21,,TotalUnits,,,,19.98 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
52000,CPT,CYSTOSCOPY,,,21,,RBRVS,1.53 ,0.62 ,4.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
52001,CPT,CYSTOSCOPY REMOVAL OF CLOTS,,,21,,RBRVS,5.44 ,2.21 ,5.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
52005,CPT,CYSTOSCOPY & URETER CATHETER,,,21,,RBRVS,2.37 ,1.17 ,5.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
52007,CPT,CYSTOSCOPY AND BIOPSY,,,21,,RBRVS,3.02 ,1.39 ,10.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
52010,CPT,CYSTOSCOPY & DUCT CATHETER,,,21,,RBRVS,3.02 ,1.39 ,7.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
52204,CPT,CYSTOSCOPY W/BIOPSY(S),,,21,,RBRVS,2.59 ,1.18 ,8.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
52214,CPT,CYSTOSCOPY AND TREATMENT,,,21,,RBRVS,3.50 ,1.18 ,16.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
52224,CPT,CYSTOSCOPY AND TREATMENT,,,21,,RBRVS,4.05 ,1.37 ,17.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
52234,CPT,CYSTOSCOPY AND TREATMENT,,,21,,RBRVS,4.62 ,1.93 ,1.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
52235,CPT,CYSTOSCOPY AND TREATMENT,,,21,,RBRVS,5.44 ,2.25 ,2.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
52240,CPT,CYSTOSCOPY AND TREATMENT,,,21,,RBRVS,7.50 ,2.95 ,2.95 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
52250,CPT,CYSTOSCOPY AND RADIOTRACER,,,21,,RBRVS,4.49 ,1.89 ,1.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
52260,CPT,CYSTOSCOPY AND TREATMENT,,,21,,RBRVS,3.91 ,1.69 ,1.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
52265,CPT,CYSTOSCOPY AND TREATMENT,,,21,,RBRVS,2.94 ,1.37 ,7.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
52270,CPT,CYSTOSCOPY & REVISE URETHRA,,,21,,RBRVS,3.36 ,1.48 ,7.72 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
52275,CPT,CYSTOSCOPY & REVISE URETHRA,,,21,,RBRVS,4.69 ,1.93 ,9.82 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
52276,CPT,CYSTOSCOPY AND TREATMENT,,,21,,RBRVS,4.99 ,2.06 ,2.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
52277,CPT,CYSTOSCOPY AND TREATMENT,,,21,,RBRVS,6.16 ,2.46 ,2.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
52281,CPT,CYSTOSCOPY AND TREATMENT,,,21,,RBRVS,2.75 ,1.30 ,6.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
52282,CPT,CYSTOSCOPY IMPLANT STENT,,,21,,RBRVS,6.39 ,2.56 ,2.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
52283,CPT,CYSTOSCOPY AND TREATMENT,,,21,,RBRVS,3.73 ,1.64 ,5.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
52285,CPT,CYSTOSCOPY AND TREATMENT,,,21,,RBRVS,3.60 ,1.60 ,5.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
52287,CPT,CYSTOSCOPY CHEMODENERVATION,,,21,,RBRVS,3.20 ,1.30 ,6.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
52290,CPT,CYSTOSCOPY AND TREATMENT,,,21,,RBRVS,4.58 ,1.92 ,1.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
52300,CPT,CYSTOSCOPY AND TREATMENT,,,21,,RBRVS,5.30 ,2.16 ,2.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
52301,CPT,CYSTOSCOPY AND TREATMENT,,,21,,RBRVS,5.50 ,2.23 ,2.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
52305,CPT,CYSTOSCOPY AND TREATMENT,,,21,,RBRVS,5.30 ,2.12 ,2.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
52310,CPT,CYSTOSCOPY AND TREATMENT,,,21,,RBRVS,2.81 ,1.22 ,5.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
52315,CPT,CYSTOSCOPY AND TREATMENT,,,21,,RBRVS,5.20 ,2.11 ,7.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
52317,CPT,REMOVE BLADDER STONE,,,21,,RBRVS,6.71 ,2.55 ,17.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
52318,CPT,REMOVE BLADDER STONE,,,21,,RBRVS,9.18 ,3.43 ,3.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
52320,CPT,CYSTOSCOPY AND TREATMENT,,,21,,RBRVS,4.69 ,1.88 ,1.88 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
52325,CPT,CYSTOSCOPY STONE REMOVAL,,,21,,RBRVS,6.15 ,2.39 ,2.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
52327,CPT,CYSTOSCOPY INJECT MATERIAL,,,21,,RBRVS,5.18 ,1.79 ,1.79 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
52330,CPT,CYSTOSCOPY AND TREATMENT,,,21,,RBRVS,5.03 ,2.00 ,10.98 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
52332,CPT,CYSTOSCOPY AND TREATMENT,,,21,,RBRVS,2.82 ,1.32 ,9.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
52334,CPT,CREATE PASSAGE TO KIDNEY,,,21,,RBRVS,3.37 ,1.51 ,1.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
52341,CPT,CYSTO W/URETER STRICTURE TX,,,21,,RBRVS,5.35 ,2.22 ,2.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
52342,CPT,CYSTO W/UP STRICTURE TX,,,21,,RBRVS,5.85 ,2.39 ,2.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
52343,CPT,CYSTO W/RENAL STRICTURE TX,,,21,,RBRVS,6.55 ,2.62 ,2.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
52344,CPT,CYSTO/URETERO STRICTURE TX,,,21,,RBRVS,7.05 ,2.79 ,2.79 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
52345,CPT,CYSTO/URETERO W/UP STRICTURE,,,21,,RBRVS,7.55 ,2.96 ,2.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
52346,CPT,CYSTOURETERO W/RENAL STRICT,,,21,,RBRVS,8.58 ,3.32 ,3.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
52351,CPT,CYSTOURETERO & OR PYELOSCOPE,,,21,,RBRVS,5.75 ,2.32 ,2.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
52352,CPT,CYSTOURETERO W/STONE REMOVE,,,21,,RBRVS,6.75 ,2.69 ,2.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
52353,CPT,CYSTOURETERO W/LITHOTRIPSY,,,21,,RBRVS,7.50 ,2.95 ,2.95 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
52354,CPT,CYSTOURETERO W/BIOPSY,,,21,,RBRVS,8.00 ,3.12 ,3.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
52355,CPT,CYSTOURETERO W/EXCISE TUMOR,,,21,,RBRVS,9.00 ,3.45 ,3.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
52356,CPT,CYSTO/URETERO W/LITHOTRIPSY,,,21,,RBRVS,8.00 ,3.08 ,3.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
52400,CPT,CYSTOURETERO W/CONGEN REPR,,,21,,RBRVS,8.69 ,4.09 ,4.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
52402,CPT,CYSTOURETHRO CUT EJACUL DUCT,,,21,,RBRVS,5.27 ,1.83 ,1.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
52441,CPT,CYSTOURETHRO W/IMPLANT,,,21,,RBRVS,4.00 ,1.60 ,34.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
52442,CPT,CYSTOURETHRO W/ADDL IMPLANT,,,21,,RBRVS,1.01 ,0.34 ,27.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
52450,CPT,INCISION OF PROSTATE,,,21,,RBRVS,7.78 ,4.92 ,4.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
52500,CPT,REVISION OF BLADDER NECK,,,21,,RBRVS,8.14 ,5.04 ,5.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
52601,CPT,PROSTATECTOMY (TURP),,,21,,RBRVS,13.16 ,6.39 ,6.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
52630,CPT,REMOVE PROSTATE REGROWTH,,,21,,RBRVS,6.55 ,4.29 ,4.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
52640,CPT,RELIEVE BLADDER CONTRACTURE,,,21,,RBRVS,4.79 ,3.79 ,3.79 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
52647,CPT,LASER SURGERY OF PROSTATE,,,21,,RBRVS,11.30 ,6.11 ,33.77 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
52648,CPT,LASER SURGERY OF PROSTATE,,,21,,RBRVS,12.15 ,6.40 ,34.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
52649,CPT,PROSTATE LASER ENUCLEATION,,,21,,RBRVS,14.56 ,7.59 ,7.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
52700,CPT,DRAINAGE OF PROSTATE ABSCESS,,,21,,RBRVS,7.49 ,4.39 ,4.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
53000,CPT,INCISION OF URETHRA,,,21,,RBRVS,2.33 ,1.67 ,1.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
53010,CPT,INCISION OF URETHRA,,,21,,RBRVS,4.45 ,3.53 ,3.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
53020,CPT,INCISION OF URETHRA,,,21,,RBRVS,1.77 ,0.82 ,0.82 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
53025,CPT,INCISION OF URETHRA,,,21,,RBRVS,1.13 ,0.70 ,0.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
53040,CPT,DRAINAGE OF URETHRA ABSCESS,,,21,,RBRVS,6.55 ,4.01 ,4.01 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
53060,CPT,DRAINAGE OF URETHRA ABSCESS,,,21,,RBRVS,2.68 ,1.69 ,2.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
53080,CPT,DRAINAGE OF URINARY LEAKAGE,,,21,,RBRVS,6.92 ,4.40 ,4.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
53085,CPT,DRAINAGE OF URINARY LEAKAGE,,,21,,RBRVS,11.18 ,6.28 ,6.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
53200,CPT,BIOPSY OF URETHRA,,,21,,RBRVS,2.59 ,1.18 ,1.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
53210,CPT,REMOVAL OF URETHRA,,,21,,RBRVS,13.72 ,7.14 ,7.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
53215,CPT,REMOVAL OF URETHRA,,,21,,RBRVS,16.85 ,8.01 ,8.01 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
53220,CPT,TREATMENT OF URETHRA LESION,,,21,,RBRVS,7.63 ,4.53 ,4.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
53230,CPT,REMOVAL OF URETHRA LESION,,,21,,RBRVS,10.44 ,5.86 ,5.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
53235,CPT,REMOVAL OF URETHRA LESION,,,21,,RBRVS,10.99 ,6.03 ,6.03 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
53240,CPT,SURGERY FOR URETHRA POUCH,,,21,,RBRVS,7.08 ,4.35 ,4.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
53250,CPT,REMOVAL OF URETHRA GLAND,,,21,,RBRVS,6.52 ,4.14 ,4.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
53260,CPT,TREATMENT OF URETHRA LESION,,,21,,RBRVS,3.03 ,1.80 ,2.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
53265,CPT,TREATMENT OF URETHRA LESION,,,21,,RBRVS,3.17 ,1.84 ,2.87 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
53270,CPT,REMOVAL OF URETHRA GLAND,,,21,,RBRVS,3.14 ,1.81 ,2.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
53275,CPT,REPAIR OF URETHRA DEFECT,,,21,,RBRVS,4.57 ,2.47 ,2.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
53400,CPT,REVISE URETHRA STAGE 1,,,21,,RBRVS,14.13 ,7.39 ,7.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
53405,CPT,REVISE URETHRA STAGE 2,,,21,,RBRVS,15.66 ,7.76 ,7.76 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
53410,CPT,RECONSTRUCTION OF URETHRA,,,21,,RBRVS,17.68 ,8.56 ,8.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
53415,CPT,RECONSTRUCTION OF URETHRA,,,21,,RBRVS,20.70 ,9.57 ,9.57 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
53420,CPT,RECONSTRUCT URETHRA STAGE 1,,,21,,RBRVS,15.17 ,7.40 ,7.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
53425,CPT,RECONSTRUCT URETHRA STAGE 2,,,21,,RBRVS,17.07 ,8.03 ,8.03 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
53430,CPT,RECONSTRUCTION OF URETHRA,,,21,,RBRVS,17.43 ,8.41 ,8.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
53431,CPT,RECONSTRUCT URETHRA/BLADDER,,,21,,RBRVS,21.18 ,9.72 ,9.72 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
53440,CPT,MALE SLING PROCEDURE,,,21,,RBRVS,13.36 ,6.85 ,6.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
53442,CPT,REMOVE/REVISE MALE SLING,,,21,,RBRVS,13.49 ,7.58 ,7.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
53444,CPT,INSERT TANDEM CUFF,,,21,,RBRVS,14.19 ,7.10 ,7.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
53445,CPT,INSERT URO/VES NCK SPHINCTER,,,21,,RBRVS,13.00 ,7.29 ,7.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
53446,CPT,REMOVE URO SPHINCTER,,,21,,RBRVS,11.02 ,6.25 ,6.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
53447,CPT,REMOVE/REPLACE UR SPHINCTER,,,21,,RBRVS,14.28 ,7.41 ,7.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
53448,CPT,REMOV/REPLC UR SPHINCTR COMP,,,21,,RBRVS,23.44 ,10.80 ,10.80 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
53449,CPT,REPAIR URO SPHINCTER,,,21,,RBRVS,10.56 ,5.89 ,5.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
53450,CPT,REVISION OF URETHRA,,,21,,RBRVS,6.77 ,4.24 ,4.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
53460,CPT,REVISION OF URETHRA,,,21,,RBRVS,7.75 ,4.57 ,4.57 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
53500,CPT,URETHRLYS TRANSVAG W/ SCOPE,,,21,,RBRVS,13.00 ,6.96 ,6.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
53502,CPT,REPAIR OF URETHRA INJURY,,,21,,RBRVS,8.26 ,4.82 ,4.82 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
53505,CPT,REPAIR OF URETHRA INJURY,,,21,,RBRVS,8.26 ,4.81 ,4.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
53510,CPT,REPAIR OF URETHRA INJURY,,,21,,RBRVS,10.96 ,6.02 ,6.02 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
53515,CPT,REPAIR OF URETHRA INJURY,,,21,,RBRVS,14.22 ,7.13 ,7.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
53520,CPT,REPAIR OF URETHRA DEFECT,,,21,,RBRVS,9.48 ,5.52 ,5.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
53600,CPT,DILATE URETHRA STRICTURE,,,21,,RBRVS,1.21 ,0.49 ,1.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
53601,CPT,DILATE URETHRA STRICTURE,,,21,,RBRVS,0.98 ,0.45 ,1.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
53605,CPT,DILATE URETHRA STRICTURE,,,21,,RBRVS,1.28 ,0.44 ,0.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
53620,CPT,DILATE URETHRA STRICTURE,,,21,,RBRVS,1.62 ,0.71 ,2.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
53621,CPT,DILATE URETHRA STRICTURE,,,21,,RBRVS,1.35 ,0.57 ,2.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
53660,CPT,DILATION OF URETHRA,,,21,,RBRVS,0.71 ,0.40 ,1.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
53661,CPT,DILATION OF URETHRA,,,21,,RBRVS,0.72 ,0.36 ,1.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
53665,CPT,DILATION OF URETHRA,,,21,,RBRVS,0.76 ,0.26 ,0.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
53850,CPT,PROSTATIC MICROWAVE THERMOTX,,,21,,RBRVS,5.42 ,4.06 ,38.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
53852,CPT,PROSTATIC RF THERMOTX,,,21,,RBRVS,5.93 ,4.23 ,36.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
53854,CPT,TRURL DSTRJ PRST8 TISS RF WV,,,21,,RBRVS,5.93 ,4.23 ,44.60 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
53855,CPT,INSERT PROST URETHRAL STENT,,,21,,RBRVS,1.64 ,0.56 ,19.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
53860,CPT,TRANSURETHRAL RF TREATMENT,,,21,,RBRVS,3.97 ,2.02 ,55.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
53899,CPT,UROLOGY SURGERY PROCEDURE,,,21,,TotalUnits,,,,2.42 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
54000,CPT,SLITTING OF PREPUCE,,,21,,RBRVS,1.59 ,1.35 ,2.72 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
54001,CPT,SLITTING OF PREPUCE,,,21,,RBRVS,2.24 ,1.51 ,3.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
54015,CPT,DRAIN PENIS LESION,,,21,,RBRVS,5.36 ,2.85 ,2.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
54050,CPT,DESTRUCTION PENIS LESION(S),,,21,,RBRVS,1.29 ,1.57 ,2.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
54055,CPT,DESTRUCTION PENIS LESION(S),,,21,,RBRVS,1.25 ,1.29 ,2.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
54056,CPT,CRYOSURGERY PENIS LESION(S),,,21,,RBRVS,1.29 ,1.71 ,2.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
54057,CPT,LASER SURG PENIS LESION(S),,,21,,RBRVS,1.29 ,1.30 ,2.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
54060,CPT,EXCISION OF PENIS LESION(S),,,21,,RBRVS,1.98 ,1.52 ,3.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
54065,CPT,DESTRUCTION PENIS LESION(S),,,21,,RBRVS,2.47 ,2.17 ,3.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
54100,CPT,BIOPSY OF PENIS,,,21,,RBRVS,1.90 ,1.41 ,3.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
54105,CPT,BIOPSY OF PENIS,,,21,,RBRVS,3.54 ,2.18 ,3.79 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
54110,CPT,TREATMENT OF PENIS LESION,,,21,,RBRVS,10.92 ,5.85 ,5.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
54111,CPT,TREAT PENIS LESION GRAFT,,,21,,RBRVS,14.42 ,7.04 ,7.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
54112,CPT,TREAT PENIS LESION GRAFT,,,21,,RBRVS,16.98 ,8.15 ,8.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
54115,CPT,TREATMENT OF PENIS LESION,,,21,,RBRVS,6.95 ,4.50 ,5.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
54120,CPT,PARTIAL REMOVAL OF PENIS,,,21,,RBRVS,11.01 ,5.95 ,5.95 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
54125,CPT,REMOVAL OF PENIS,,,21,,RBRVS,14.56 ,7.24 ,7.24 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
54130,CPT,REMOVE PENIS & NODES,,,21,,RBRVS,21.84 ,10.12 ,10.12 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
54135,CPT,REMOVE PENIS & NODES,,,21,,RBRVS,28.17 ,12.27 ,12.27 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
54150,CPT,CIRCUMCISION W/REGIONL BLOCK,,,21,,RBRVS,1.90 ,0.69 ,2.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
54160,CPT,CIRCUMCISION NEONATE,,,21,,RBRVS,2.53 ,1.36 ,3.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
54161,CPT,CIRCUM 28 DAYS OR OLDER,,,21,,RBRVS,3.32 ,1.97 ,1.97 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
54162,CPT,LYSIS PENIL CIRCUMIC LESION,,,21,,RBRVS,3.32 ,2.04 ,3.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
54163,CPT,REPAIR OF CIRCUMCISION,,,21,,RBRVS,3.32 ,2.56 ,2.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
54164,CPT,FRENULOTOMY OF PENIS,,,21,,RBRVS,2.82 ,2.40 ,2.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
54200,CPT,TREATMENT OF PENIS LESION,,,21,,RBRVS,1.11 ,1.18 ,1.94 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
54205,CPT,TREATMENT OF PENIS LESION,,,21,,RBRVS,8.97 ,5.36 ,5.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
54220,CPT,TREATMENT OF PENIS LESION,,,21,,RBRVS,2.42 ,1.09 ,3.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
54230,CPT,PREPARE PENIS STUDY,,,21,,RBRVS,1.34 ,0.79 ,1.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
54231,CPT,DYNAMIC CAVERNOSOMETRY,,,21,,RBRVS,2.04 ,1.06 ,1.79 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
54235,CPT,PENILE INJECTION,,,21,,RBRVS,1.19 ,0.78 ,1.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
54240,CPT,PENIS STUDY,,,21,,RBRVS,1.31 ,1.49 ,1.49 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
54240,CPT,PENIS STUDY,26,,21,,RBRVS,1.31 ,0.44 ,0.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
54240,CPT,PENIS STUDY,TC,,21,,RBRVS,,1.05 ,1.05 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
54250,CPT,PENIS STUDY,,,21,,RBRVS,2.22 ,1.10 ,1.10 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
54250,CPT,PENIS STUDY,26,,21,,RBRVS,2.22 ,0.76 ,0.76 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
54250,CPT,PENIS STUDY,TC,,21,,RBRVS,,0.34 ,0.34 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
54300,CPT,REVISION OF PENIS,,,21,,RBRVS,11.20 ,6.13 ,6.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
54304,CPT,REVISION OF PENIS,,,21,,RBRVS,13.28 ,6.84 ,6.84 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
54308,CPT,RECONSTRUCTION OF URETHRA,,,21,,RBRVS,12.62 ,6.61 ,6.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
54312,CPT,RECONSTRUCTION OF URETHRA,,,21,,RBRVS,14.51 ,7.46 ,7.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
54316,CPT,RECONSTRUCTION OF URETHRA,,,21,,RBRVS,18.05 ,8.66 ,8.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
54318,CPT,RECONSTRUCTION OF URETHRA,,,21,,RBRVS,12.43 ,6.69 ,6.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
54322,CPT,RECONSTRUCTION OF URETHRA,,,21,,RBRVS,13.98 ,6.99 ,6.99 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
54324,CPT,RECONSTRUCTION OF URETHRA,,,21,,RBRVS,17.55 ,8.42 ,8.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
54326,CPT,RECONSTRUCTION OF URETHRA,,,21,,RBRVS,17.02 ,8.30 ,8.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
54328,CPT,REVISE PENIS/URETHRA,,,21,,RBRVS,16.89 ,8.27 ,8.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
54332,CPT,REVISE PENIS/URETHRA,,,21,,RBRVS,18.37 ,8.77 ,8.77 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
54336,CPT,REVISE PENIS/URETHRA,,,21,,RBRVS,21.62 ,10.25 ,10.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
54340,CPT,SECONDARY URETHRAL SURGERY,,,21,,RBRVS,9.71 ,5.61 ,5.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
54344,CPT,SECONDARY URETHRAL SURGERY,,,21,,RBRVS,17.06 ,8.32 ,8.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
54348,CPT,SECONDARY URETHRAL SURGERY,,,21,,RBRVS,18.32 ,8.82 ,8.82 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
54352,CPT,RECONSTRUCT URETHRA/PENIS,,,21,,RBRVS,26.13 ,11.78 ,11.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
54360,CPT,PENIS PLASTIC SURGERY,,,21,,RBRVS,12.78 ,6.58 ,6.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
54380,CPT,REPAIR PENIS,,,21,,RBRVS,14.18 ,7.28 ,7.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
54385,CPT,REPAIR PENIS,,,21,,RBRVS,16.56 ,8.39 ,8.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
54390,CPT,REPAIR PENIS AND BLADDER,,,21,,RBRVS,22.77 ,10.49 ,10.49 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
54400,CPT,INSERT SEMI-RIGID PROSTHESIS,,,21,,RBRVS,9.17 ,5.13 ,5.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
54401,CPT,INSERT SELF-CONTD PROSTHESIS,,,21,,RBRVS,10.44 ,7.35 ,7.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
54405,CPT,INSERT MULTI-COMP PENIS PROS,,,21,,RBRVS,14.52 ,7.18 ,7.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
54406,CPT,REMOVE MUTI-COMP PENIS PROS,,,21,,RBRVS,12.89 ,6.74 ,6.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
54408,CPT,REPAIR MULTI-COMP PENIS PROS,,,21,,RBRVS,13.91 ,7.31 ,7.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
54410,CPT,REMOVE/REPLACE PENIS PROSTH,,,21,,RBRVS,15.18 ,7.94 ,7.94 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
54411,CPT,REMOV/REPLC PENIS PROS COMP,,,21,,RBRVS,18.35 ,9.25 ,9.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
54415,CPT,REMOVE SELF-CONTD PENIS PROS,,,21,,RBRVS,8.88 ,5.37 ,5.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
54416,CPT,REMV/REPL PENIS CONTAIN PROS,,,21,,RBRVS,12.08 ,7.08 ,7.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
54417,CPT,REMV/REPLC PENIS PROS COMPL,,,21,,RBRVS,16.10 ,8.01 ,8.01 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
54420,CPT,REVISION OF PENIS,,,21,,RBRVS,12.39 ,6.52 ,6.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
54430,CPT,REVISION OF PENIS,,,21,,RBRVS,11.06 ,6.13 ,6.13 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
54435,CPT,REVISION OF PENIS,,,21,,RBRVS,6.81 ,4.38 ,4.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
54437,CPT,REPAIR CORPOREAL TEAR,,,21,,RBRVS,11.50 ,6.66 ,6.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
54438,CPT,REPLANTATION OF PENIS,,,21,,RBRVS,24.50 ,11.32 ,11.32 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
54440,CPT,REPAIR OF PENIS,,,21,,TotalUnits,,,,14.79 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
54450,CPT,PREPUTIAL STRETCHING,,,21,,RBRVS,1.12 ,0.41 ,0.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
54500,CPT,BIOPSY OF TESTIS,,,21,,RBRVS,1.31 ,0.68 ,0.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
54505,CPT,BIOPSY OF TESTIS,,,21,,RBRVS,3.50 ,2.15 ,2.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
54512,CPT,EXCISE LESION TESTIS,,,21,,RBRVS,9.33 ,5.12 ,5.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
54520,CPT,REMOVAL OF TESTIS,,,21,,RBRVS,5.30 ,3.45 ,3.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
54522,CPT,ORCHIECTOMY PARTIAL,,,21,,RBRVS,10.25 ,5.59 ,5.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
54530,CPT,REMOVAL OF TESTIS,,,21,,RBRVS,8.46 ,5.17 ,5.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
54535,CPT,EXTENSIVE TESTIS SURGERY,,,21,,RBRVS,13.19 ,6.80 ,6.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
54550,CPT,EXPLORATION FOR TESTIS,,,21,,RBRVS,8.41 ,4.83 ,4.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
54560,CPT,EXPLORATION FOR TESTIS,,,21,,RBRVS,12.10 ,6.36 ,6.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
54600,CPT,REDUCE TESTIS TORSION,,,21,,RBRVS,7.64 ,4.56 ,4.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
54620,CPT,SUSPENSION OF TESTIS,,,21,,RBRVS,5.21 ,2.83 ,2.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
54640,CPT,ORCHIOPEXY INGUN/SCROT APPR,,,21,,RBRVS,7.73 ,3.86 ,3.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
54650,CPT,ORCHIOPEXY (FOWLER-STEPHENS),,,21,,RBRVS,12.39 ,6.74 ,6.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
54660,CPT,REVISION OF TESTIS,,,21,,RBRVS,5.74 ,3.91 ,3.91 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
54670,CPT,REPAIR TESTIS INJURY,,,21,,RBRVS,6.65 ,4.33 ,4.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
54680,CPT,RELOCATION OF TESTIS(ES),,,21,,RBRVS,14.04 ,7.10 ,7.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
54690,CPT,LAPAROSCOPY ORCHIECTOMY,,,21,,RBRVS,11.70 ,5.92 ,5.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
54692,CPT,LAPAROSCOPY ORCHIOPEXY,,,21,,RBRVS,13.74 ,6.58 ,6.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
54699,CPT,LAPAROSCOPE PROC TESTIS,,,21,,TotalUnits,,,,17.62 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
54700,CPT,DRAINAGE OF SCROTUM,,,21,,RBRVS,3.47 ,2.24 ,2.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
54800,CPT,BIOPSY OF EPIDIDYMIS,,,21,,RBRVS,2.33 ,1.03 ,1.03 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
54830,CPT,REMOVE EPIDIDYMIS LESION,,,21,,RBRVS,6.01 ,4.03 ,4.03 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
54840,CPT,REMOVE EPIDIDYMIS LESION,,,21,,RBRVS,5.27 ,3.40 ,3.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
54860,CPT,REMOVAL OF EPIDIDYMIS,,,21,,RBRVS,6.95 ,4.33 ,4.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
54861,CPT,REMOVAL OF EPIDIDYMIS,,,21,,RBRVS,9.70 ,5.56 ,5.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
54865,CPT,EXPLORE EPIDIDYMIS,,,21,,RBRVS,5.77 ,3.92 ,3.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
54900,CPT,FUSION OF SPERMATIC DUCTS,,,21,,RBRVS,14.20 ,7.30 ,7.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
54901,CPT,FUSION OF SPERMATIC DUCTS,,,21,,RBRVS,19.10 ,9.26 ,9.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
55000,CPT,DRAINAGE OF HYDROCELE,,,21,,RBRVS,1.43 ,0.83 ,1.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
55040,CPT,REMOVAL OF HYDROCELE,,,21,,RBRVS,5.45 ,3.63 ,3.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
55041,CPT,REMOVAL OF HYDROCELES,,,21,,RBRVS,8.54 ,5.19 ,5.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
55060,CPT,REPAIR OF HYDROCELE,,,21,,RBRVS,6.15 ,4.08 ,4.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
55100,CPT,DRAINAGE OF SCROTUM ABSCESS,,,21,,RBRVS,2.45 ,2.00 ,3.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
55110,CPT,EXPLORE SCROTUM,,,21,,RBRVS,6.33 ,4.08 ,4.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
55120,CPT,REMOVAL OF SCROTUM LESION,,,21,,RBRVS,5.72 ,3.83 ,3.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
55150,CPT,REMOVAL OF SCROTUM,,,21,,RBRVS,8.14 ,5.07 ,5.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
55175,CPT,REVISION OF SCROTUM,,,21,,RBRVS,5.87 ,3.92 ,3.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
55180,CPT,REVISION OF SCROTUM,,,21,,RBRVS,11.78 ,6.78 ,6.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
55200,CPT,INCISION OF SPERM DUCT,,,21,,RBRVS,4.55 ,2.93 ,6.72 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
55250,CPT,REMOVAL OF SPERM DUCT(S),,,21,,RBRVS,3.37 ,2.79 ,6.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
55300,CPT,PREPARE SPERM DUCT X-RAY,,,21,,RBRVS,3.50 ,1.48 ,1.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
55400,CPT,REPAIR OF SPERM DUCT,,,21,,RBRVS,8.61 ,4.82 ,4.82 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
55500,CPT,REMOVAL OF HYDROCELE,,,21,,RBRVS,6.22 ,4.23 ,4.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
55520,CPT,REMOVAL OF SPERM CORD LESION,,,21,,RBRVS,6.66 ,5.03 ,5.03 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
55530,CPT,REVISE SPERMATIC CORD VEINS,,,21,,RBRVS,5.75 ,3.73 ,3.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
55535,CPT,REVISE SPERMATIC CORD VEINS,,,21,,RBRVS,7.19 ,4.40 ,4.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
55540,CPT,REVISE HERNIA & SPERM VEINS,,,21,,RBRVS,8.30 ,5.76 ,5.76 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
55550,CPT,LAPARO LIGATE SPERMATIC VEIN,,,21,,RBRVS,7.20 ,4.35 ,4.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
55559,CPT,LAPARO PROC SPERMATIC CORD,,,21,,TotalUnits,,,,11.55 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
55600,CPT,INCISE SPERM DUCT POUCH,,,21,,RBRVS,7.01 ,4.35 ,4.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
55605,CPT,INCISE SPERM DUCT POUCH,,,21,,RBRVS,8.76 ,5.31 ,5.31 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
55650,CPT,REMOVE SPERM DUCT POUCH,,,21,,RBRVS,12.65 ,6.63 ,6.63 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
55680,CPT,REMOVE SPERM POUCH LESION,,,21,,RBRVS,5.67 ,3.68 ,3.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
55700,CPT,BIOPSY OF PROSTATE,,,21,,RBRVS,2.50 ,0.99 ,4.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
55705,CPT,BIOPSY OF PROSTATE,,,21,,RBRVS,4.61 ,2.53 ,2.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
55706,CPT,PROSTATE SATURATION SAMPLING,,,21,,RBRVS,6.28 ,3.80 ,3.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
55720,CPT,DRAINAGE OF PROSTATE ABSCESS,,,21,,RBRVS,7.73 ,4.44 ,4.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
55725,CPT,DRAINAGE OF PROSTATE ABSCESS,,,21,,RBRVS,10.05 ,5.94 ,5.94 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
55801,CPT,REMOVAL OF PROSTATE,,,21,,RBRVS,19.80 ,9.55 ,9.55 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
55810,CPT,EXTENSIVE PROSTATE SURGERY,,,21,,RBRVS,24.29 ,10.75 ,10.75 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
55812,CPT,EXTENSIVE PROSTATE SURGERY,,,21,,RBRVS,29.89 ,13.16 ,13.16 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
55815,CPT,EXTENSIVE PROSTATE SURGERY,,,21,,RBRVS,32.95 ,14.19 ,14.19 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
55821,CPT,REMOVAL OF PROSTATE,,,21,,RBRVS,15.76 ,7.66 ,7.66 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
55831,CPT,REMOVAL OF PROSTATE,,,21,,RBRVS,17.19 ,8.15 ,8.15 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
55840,CPT,EXTENSIVE PROSTATE SURGERY,,,21,,RBRVS,21.36 ,9.98 ,9.98 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
55842,CPT,EXTENSIVE PROSTATE SURGERY,,,21,,RBRVS,21.36 ,9.98 ,9.98 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
55845,CPT,EXTENSIVE PROSTATE SURGERY,,,21,,RBRVS,25.18 ,11.28 ,11.28 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
55860,CPT,SURGICAL EXPOSURE PROSTATE,,,21,,RBRVS,15.84 ,7.63 ,7.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
55862,CPT,EXTENSIVE PROSTATE SURGERY,,,21,,RBRVS,20.04 ,9.33 ,9.33 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
55865,CPT,EXTENSIVE PROSTATE SURGERY,,,21,,RBRVS,24.57 ,11.18 ,11.18 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
55866,CPT,LAPARO RADICAL PROSTATECTOMY,,,21,,RBRVS,26.80 ,11.80 ,11.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
55870,CPT,ELECTROEJACULATION,,,21,,RBRVS,2.58 ,1.21 ,2.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
55873,CPT,CRYOABLATE PROSTATE,,,21,,RBRVS,13.60 ,6.90 ,160.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
55874,CPT,TPRNL PLMT BIODEGRDABL MATRL,,,21,,RBRVS,3.03 ,1.47 ,83.79 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
55875,CPT,TRANSPERI NEEDLE PLACE PROS,,,21,,RBRVS,13.46 ,7.35 ,7.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
55876,CPT,PLACE RT DEVICE/MARKER PROS,,,21,,RBRVS,1.73 ,1.00 ,2.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
55880,CPT,ABLTJ MAL PRST8 TISS HIFU,,,21,,RBRVS,17.73 ,9.17 ,9.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
55899,CPT,GENITAL SURGERY PROCEDURE,,,21,,TotalUnits,,,,5.73 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
55920,CPT,PLACE NEEDLES PELVIC FOR RT,,,21,,RBRVS,8.31 ,4.14 ,4.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
56405,CPT,I & D OF VULVA/PERINEUM,,,21,,RBRVS,1.49 ,1.68 ,1.94 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
56420,CPT,DRAINAGE OF GLAND ABSCESS,,,21,,RBRVS,1.44 ,1.28 ,2.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
56440,CPT,SURGERY FOR VULVA LESION,,,21,,RBRVS,2.89 ,1.89 ,1.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
56441,CPT,LYSIS OF LABIAL LESION(S),,,21,,RBRVS,2.02 ,1.94 ,2.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
56442,CPT,HYMENOTOMY,,,21,,RBRVS,0.68 ,0.57 ,0.57 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
56501,CPT,DESTROY VULVA LESIONS SIM,,,21,,RBRVS,1.58 ,1.78 ,2.87 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
56515,CPT,DESTROY VULVA LESION/S COMPL,,,21,,RBRVS,3.08 ,2.41 ,3.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
56605,CPT,BIOPSY OF VULVA/PERINEUM,,,21,,RBRVS,1.10 ,0.47 ,1.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
56606,CPT,BIOPSY OF VULVA/PERINEUM,,,21,,RBRVS,0.55 ,0.22 ,0.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
56620,CPT,PARTIAL REMOVAL OF VULVA,,,21,,RBRVS,7.53 ,7.21 ,7.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
56625,CPT,COMPLETE REMOVAL OF VULVA,,,21,,RBRVS,9.68 ,7.41 ,7.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
56630,CPT,EXTENSIVE VULVA SURGERY,,,21,,RBRVS,14.80 ,9.93 ,9.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
56631,CPT,EXTENSIVE VULVA SURGERY,,,21,,RBRVS,18.99 ,11.84 ,11.84 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
56632,CPT,EXTENSIVE VULVA SURGERY,,,21,,RBRVS,21.86 ,14.97 ,14.97 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
56633,CPT,EXTENSIVE VULVA SURGERY,,,21,,RBRVS,19.62 ,12.24 ,12.24 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
56634,CPT,EXTENSIVE VULVA SURGERY,,,21,,RBRVS,20.66 ,12.96 ,12.96 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
56637,CPT,EXTENSIVE VULVA SURGERY,,,21,,RBRVS,24.75 ,14.20 ,14.20 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
56640,CPT,EXTENSIVE VULVA SURGERY,,,21,,RBRVS,24.78 ,14.69 ,14.69 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
56700,CPT,PARTIAL REMOVAL OF HYMEN,,,21,,RBRVS,2.84 ,2.38 ,2.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
56740,CPT,REMOVE VAGINA GLAND LESION,,,21,,RBRVS,4.88 ,3.25 ,3.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
56800,CPT,REPAIR OF VAGINA,,,21,,RBRVS,3.93 ,2.64 ,2.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
56805,CPT,REPAIR CLITORIS,,,21,,RBRVS,19.88 ,10.64 ,10.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
56810,CPT,REPAIR OF PERINEUM,,,21,,RBRVS,4.29 ,2.79 ,2.79 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
56820,CPT,EXAM OF VULVA W/SCOPE,,,21,,RBRVS,1.50 ,0.73 ,1.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
56821,CPT,EXAM/BIOPSY OF VULVA W/SCOPE,,,21,,RBRVS,2.05 ,0.93 ,2.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
57000,CPT,EXPLORATION OF VAGINA,,,21,,RBRVS,3.02 ,2.19 ,2.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
57010,CPT,DRAINAGE OF PELVIC ABSCESS,,,21,,RBRVS,6.84 ,5.04 ,5.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
57020,CPT,DRAINAGE OF PELVIC FLUID,,,21,,RBRVS,1.50 ,0.60 ,1.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
57022,CPT,I & D VAGINAL HEMATOMA PP,,,21,,RBRVS,2.73 ,1.93 ,1.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
57023,CPT,I & D VAG HEMATOMA NON-OB,,,21,,RBRVS,5.18 ,3.17 ,3.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
57061,CPT,DESTROY VAG LESIONS SIMPLE,,,21,,RBRVS,1.30 ,1.58 ,2.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
57065,CPT,DESTROY VAG LESIONS COMPLEX,,,21,,RBRVS,2.66 ,2.12 ,3.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
57100,CPT,BIOPSY OF VAGINA,,,21,,RBRVS,1.20 ,0.52 ,1.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
57105,CPT,BIOPSY OF VAGINA,,,21,,RBRVS,1.74 ,1.92 ,2.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
57106,CPT,REMOVE VAGINA WALL PARTIAL,,,21,,RBRVS,7.50 ,6.24 ,6.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
57107,CPT,REMOVE VAGINA TISSUE PART,,,21,,RBRVS,24.56 ,13.33 ,13.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
57109,CPT,VAGINECTOMY PARTIAL W/NODES,,,21,,RBRVS,28.40 ,16.48 ,16.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
57110,CPT,REMOVE VAGINA WALL COMPLETE,,,21,,RBRVS,15.48 ,8.29 ,8.29 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
57111,CPT,REMOVE VAGINA TISSUE COMPL,,,21,,RBRVS,28.40 ,16.48 ,16.48 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
57120,CPT,CLOSURE OF VAGINA,,,21,,RBRVS,8.28 ,5.58 ,5.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
57130,CPT,REMOVE VAGINA LESION,,,21,,RBRVS,2.46 ,1.98 ,3.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
57135,CPT,REMOVE VAGINA LESION,,,21,,RBRVS,2.70 ,2.12 ,3.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
57150,CPT,TREAT VAGINA INFECTION,,,21,,RBRVS,0.50 ,0.19 ,0.95 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
57155,CPT,INSERT UTERI TANDEM/OVOIDS,,,21,,RBRVS,5.15 ,2.56 ,5.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
57156,CPT,INS VAG BRACHYTX DEVICE,,,21,,RBRVS,2.69 ,1.42 ,3.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
57160,CPT,INSERT PESSARY/OTHER DEVICE,,,21,,RBRVS,0.89 ,0.33 ,0.94 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
57170,CPT,FITTING OF DIAPHRAGM/CAP,,,21,,RBRVS,0.91 ,0.34 ,0.98 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
57180,CPT,TREAT VAGINAL BLEEDING,,,21,,RBRVS,1.63 ,1.43 ,3.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
57200,CPT,REPAIR OF VAGINA,,,21,,RBRVS,4.42 ,4.07 ,4.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
57210,CPT,REPAIR VAGINA/PERINEUM,,,21,,RBRVS,5.71 ,4.47 ,4.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
57220,CPT,REVISION OF URETHRA,,,21,,RBRVS,4.85 ,4.08 ,4.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
57230,CPT,REPAIR OF URETHRAL LESION,,,21,,RBRVS,6.30 ,4.56 ,4.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
57240,CPT,ANTERIOR COLPORRHAPHY,,,21,,RBRVS,10.08 ,5.96 ,5.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
57250,CPT,REPAIR RECTUM & VAGINA,,,21,,RBRVS,10.08 ,6.00 ,6.00 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
57260,CPT,CMBN ANT PST COLPRHY,,,21,,RBRVS,13.25 ,7.18 ,7.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
57265,CPT,CMBN AP COLPRHY W/NTRCL RPR,,,21,,RBRVS,15.00 ,7.86 ,7.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
57267,CPT,INSERT MESH/PELVIC FLR ADDON,,,21,,RBRVS,4.88 ,1.78 ,1.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
57268,CPT,REPAIR OF BOWEL BULGE,,,21,,RBRVS,7.57 ,5.64 ,5.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
57270,CPT,REPAIR OF BOWEL POUCH,,,21,,RBRVS,13.67 ,7.67 ,7.67 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
57280,CPT,SUSPENSION OF VAGINA,,,21,,RBRVS,16.72 ,8.71 ,8.71 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
57282,CPT,COLPOPEXY EXTRAPERITONEAL,,,21,,RBRVS,7.97 ,6.03 ,6.03 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
57283,CPT,COLPOPEXY INTRAPERITONEAL,,,21,,RBRVS,11.66 ,6.81 ,6.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
57284,CPT,REPAIR PARAVAG DEFECT OPEN,,,21,,RBRVS,14.33 ,7.56 ,7.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
57285,CPT,REPAIR PARAVAG DEFECT VAG,,,21,,RBRVS,11.60 ,6.59 ,6.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
57287,CPT,REVISE/REMOVE SLING REPAIR,,,21,,RBRVS,11.15 ,8.02 ,8.02 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
57288,CPT,REPAIR BLADDER DEFECT,,,21,,RBRVS,12.13 ,7.37 ,7.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
57289,CPT,REPAIR BLADDER & VAGINA,,,21,,RBRVS,12.80 ,7.85 ,7.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
57291,CPT,CONSTRUCTION OF VAGINA,,,21,,RBRVS,8.64 ,5.70 ,5.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
57292,CPT,CONSTRUCT VAGINA WITH GRAFT,,,21,,RBRVS,14.01 ,7.72 ,7.72 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
57295,CPT,REVISE VAG GRAFT VIA VAGINA,,,21,,RBRVS,7.82 ,5.28 ,5.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
57296,CPT,REVISE VAG GRAFT OPEN ABD,,,21,,RBRVS,16.56 ,8.46 ,8.46 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
57300,CPT,REPAIR RECTUM-VAGINA FISTULA,,,21,,RBRVS,8.71 ,6.88 ,6.88 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
57305,CPT,REPAIR RECTUM-VAGINA FISTULA,,,21,,RBRVS,15.35 ,9.75 ,9.75 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
57307,CPT,FISTULA REPAIR & COLOSTOMY,,,21,,RBRVS,17.17 ,11.05 ,11.05 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
57308,CPT,FISTULA REPAIR TRANSPERINE,,,21,,RBRVS,10.59 ,7.08 ,7.08 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
57310,CPT,REPAIR URETHROVAGINAL LESION,,,21,,RBRVS,7.65 ,5.33 ,5.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
57311,CPT,REPAIR URETHROVAGINAL LESION,,,21,,RBRVS,8.91 ,5.75 ,5.75 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
57320,CPT,REPAIR BLADDER-VAGINA LESION,,,21,,RBRVS,8.88 ,5.81 ,5.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
57330,CPT,REPAIR BLADDER-VAGINA LESION,,,21,,RBRVS,13.21 ,7.16 ,7.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
57335,CPT,REPAIR VAGINA,,,21,,RBRVS,20.02 ,10.81 ,10.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
57400,CPT,DILATION OF VAGINA,,,21,,RBRVS,2.27 ,1.19 ,1.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
57410,CPT,PELVIC EXAMINATION,,,21,,RBRVS,1.75 ,1.05 ,1.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
57415,CPT,REMOVE VAGINAL FOREIGN BODY,,,21,,RBRVS,2.49 ,2.03 ,2.03 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
57420,CPT,EXAM OF VAGINA W/SCOPE,,,21,,RBRVS,1.60 ,0.76 ,1.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
57421,CPT,EXAM/BIOPSY OF VAG W/SCOPE,,,21,,RBRVS,2.20 ,1.00 ,2.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
57423,CPT,REPAIR PARAVAG DEFECT LAP,,,21,,RBRVS,16.08 ,8.33 ,8.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
57425,CPT,LAPAROSCOPY SURG COLPOPEXY,,,21,,RBRVS,17.03 ,8.80 ,8.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
57426,CPT,REVISE PROSTH VAG GRAFT LAP,,,21,,RBRVS,14.30 ,8.47 ,8.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
57452,CPT,EXAM OF CERVIX W/SCOPE,,,21,,RBRVS,1.50 ,0.90 ,1.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
57454,CPT,BX/CURETT OF CERVIX W/SCOPE,,,21,,RBRVS,2.33 ,1.19 ,2.01 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
57455,CPT,BIOPSY OF CERVIX W/SCOPE,,,21,,RBRVS,1.99 ,0.89 ,2.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
57456,CPT,ENDOCERV CURETTAGE W/SCOPE,,,21,,RBRVS,1.85 ,0.82 ,2.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
57460,CPT,BX OF CERVIX W/SCOPE LEEP,,,21,,RBRVS,2.83 ,1.39 ,5.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
57461,CPT,CONZ OF CERVIX W/SCOPE LEEP,,,21,,RBRVS,3.43 ,1.42 ,5.88 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
57465,CPT,CAM CERVIX UTERI DRG COLP,,,21,,RBRVS,0.81 ,0.34 ,0.75 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
57500,CPT,BIOPSY OF CERVIX,,,21,,RBRVS,1.20 ,0.78 ,2.72 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
57505,CPT,ENDOCERVICAL CURETTAGE,,,21,,RBRVS,1.19 ,1.53 ,2.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
57510,CPT,CAUTERIZATION OF CERVIX,,,21,,RBRVS,1.90 ,1.09 ,2.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
57511,CPT,CRYOCAUTERY OF CERVIX,,,21,,RBRVS,1.95 ,1.80 ,2.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
57513,CPT,LASER SURGERY OF CERVIX,,,21,,RBRVS,1.95 ,1.79 ,2.82 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
57520,CPT,CONIZATION OF CERVIX,,,21,,RBRVS,4.11 ,3.49 ,4.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
57522,CPT,CONIZATION OF CERVIX,,,21,,RBRVS,3.67 ,2.97 ,4.01 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
57530,CPT,REMOVAL OF CERVIX,,,21,,RBRVS,5.27 ,4.33 ,4.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
57531,CPT,REMOVAL OF CERVIX RADICAL,,,21,,RBRVS,29.95 ,14.72 ,14.72 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
57540,CPT,REMOVAL OF RESIDUAL CERVIX,,,21,,RBRVS,13.29 ,7.47 ,7.47 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
57545,CPT,REMOVE CERVIX/REPAIR PELVIS,,,21,,RBRVS,14.10 ,7.77 ,7.77 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
57550,CPT,REMOVAL OF RESIDUAL CERVIX,,,21,,RBRVS,6.34 ,4.85 ,4.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
57555,CPT,REMOVE CERVIX/REPAIR VAGINA,,,21,,RBRVS,9.94 ,6.24 ,6.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
57556,CPT,REMOVE CERVIX REPAIR BOWEL,,,21,,RBRVS,9.36 ,5.99 ,5.99 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
57558,CPT,D&C OF CERVICAL STUMP,,,21,,RBRVS,1.72 ,1.54 ,2.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
57700,CPT,REVISION OF CERVIX,,,21,,RBRVS,4.35 ,4.67 ,4.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
57720,CPT,REVISION OF CERVIX,,,21,,RBRVS,4.61 ,4.00 ,4.00 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
57800,CPT,DILATION OF CERVICAL CANAL,,,21,,RBRVS,0.77 ,0.50 ,1.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
58100,CPT,BIOPSY OF UTERUS LINING,,,21,,RBRVS,1.21 ,0.46 ,1.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
58110,CPT,BX DONE W/COLPOSCOPY ADD-ON,,,21,,RBRVS,0.77 ,0.30 ,0.57 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
58120,CPT,DILATION AND CURETTAGE,,,21,,RBRVS,3.59 ,2.41 ,3.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
58140,CPT,MYOMECTOMY ABDOM METHOD,,,21,,RBRVS,15.79 ,8.53 ,8.53 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
58145,CPT,MYOMECTOMY VAG METHOD,,,21,,RBRVS,8.91 ,5.94 ,5.94 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
58146,CPT,MYOMECTOMY ABDOM COMPLEX,,,21,,RBRVS,20.34 ,10.05 ,10.05 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
58150,CPT,TOTAL HYSTERECTOMY,,,21,,RBRVS,17.31 ,9.20 ,9.20 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
58152,CPT,TOTAL HYSTERECTOMY,,,21,,RBRVS,21.86 ,10.97 ,10.97 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
58180,CPT,PARTIAL HYSTERECTOMY,,,21,,RBRVS,16.60 ,8.63 ,8.63 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
58200,CPT,EXTENSIVE HYSTERECTOMY,,,21,,RBRVS,23.10 ,12.31 ,12.31 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
58210,CPT,EXTENSIVE HYSTERECTOMY,,,21,,RBRVS,30.91 ,16.54 ,16.54 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
58240,CPT,REMOVAL OF PELVIS CONTENTS,,,21,,RBRVS,49.33 ,26.73 ,26.73 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
58260,CPT,VAGINAL HYSTERECTOMY,,,21,,RBRVS,14.15 ,7.85 ,7.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
58262,CPT,VAG HYST INCLUDING T/O,,,21,,RBRVS,15.94 ,8.45 ,8.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
58263,CPT,VAG HYST W/T/O & VAG REPAIR,,,21,,RBRVS,17.23 ,8.93 ,8.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
58267,CPT,VAG HYST W/URINARY REPAIR,,,21,,RBRVS,18.36 ,9.69 ,9.69 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
58270,CPT,VAG HYST W/ENTEROCELE REPAIR,,,21,,RBRVS,15.30 ,8.13 ,8.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
58275,CPT,HYSTERECTOMY/REVISE VAGINA,,,21,,RBRVS,17.03 ,9.01 ,9.01 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
58280,CPT,HYSTERECTOMY/REVISE VAGINA,,,21,,RBRVS,18.33 ,9.50 ,9.50 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
58285,CPT,EXTENSIVE HYSTERECTOMY,,,21,,RBRVS,23.38 ,13.39 ,13.39 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
58290,CPT,VAG HYST COMPLEX,,,21,,RBRVS,20.27 ,10.01 ,10.01 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
58291,CPT,VAG HYST INCL T/O COMPLEX,,,21,,RBRVS,22.06 ,10.80 ,10.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
58292,CPT,VAG HYST T/O & REPAIR COMPL,,,21,,RBRVS,23.35 ,11.18 ,11.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
58294,CPT,VAG HYST W/ENTEROCELE COMPL,,,21,,RBRVS,21.55 ,10.50 ,10.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
58300,CPT,INSERT INTRAUTERINE DEVICE,,,21,,RBRVS,1.01 ,0.39 ,1.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
58301,CPT,REMOVE INTRAUTERINE DEVICE,,,21,,RBRVS,1.27 ,0.49 ,1.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
58321,CPT,ARTIFICIAL INSEMINATION,,,21,,RBRVS,0.92 ,0.35 ,1.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
58322,CPT,ARTIFICIAL INSEMINATION,,,21,,RBRVS,1.10 ,0.42 ,1.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
58323,CPT,SPERM WASHING,,,21,,RBRVS,0.23 ,0.09 ,0.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
58340,CPT,CATHETER FOR HYSTEROGRAPHY,,,21,,RBRVS,0.88 ,0.65 ,4.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
58345,CPT,REOPEN FALLOPIAN TUBE,,,21,,RBRVS,4.70 ,2.83 ,2.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
58346,CPT,INSERT HEYMAN UTERI CAPSULE,,,21,,RBRVS,7.56 ,5.55 ,5.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
58350,CPT,REOPEN FALLOPIAN TUBE,,,21,,RBRVS,1.06 ,1.29 ,2.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
58353,CPT,ENDOMETR ABLATE THERMAL,,,21,,RBRVS,3.60 ,2.38 ,24.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
58356,CPT,ENDOMETRIAL CRYOABLATION,,,21,,RBRVS,6.41 ,2.83 ,44.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
58400,CPT,SUSPENSION OF UTERUS,,,21,,RBRVS,7.14 ,4.96 ,4.96 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
58410,CPT,SUSPENSION OF UTERUS,,,21,,RBRVS,13.80 ,7.61 ,7.61 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
58520,CPT,REPAIR OF RUPTURED UTERUS,,,21,,RBRVS,13.48 ,7.48 ,7.48 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
58540,CPT,REVISION OF UTERUS,,,21,,RBRVS,15.71 ,8.38 ,8.38 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
58541,CPT,LSH UTERUS 250 G OR LESS,,,21,,RBRVS,12.29 ,6.91 ,6.91 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
58542,CPT,LSH W/T/O UT 250 G OR LESS,,,21,,RBRVS,14.16 ,7.64 ,7.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
58543,CPT,LSH UTERUS ABOVE 250 G,,,21,,RBRVS,14.39 ,7.70 ,7.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
58544,CPT,LSH W/T/O UTERUS ABOVE 250 G,,,21,,RBRVS,15.60 ,8.20 ,8.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
58545,CPT,LAPAROSCOPIC MYOMECTOMY,,,21,,RBRVS,15.55 ,8.04 ,8.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
58546,CPT,LAPARO-MYOMECTOMY COMPLEX,,,21,,RBRVS,19.94 ,9.46 ,9.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
58548,CPT,LAP RADICAL HYST,,,21,,RBRVS,31.63 ,17.40 ,17.40 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
58550,CPT,LAPARO-ASST VAG HYSTERECTOMY,,,21,,RBRVS,15.10 ,8.12 ,8.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
58552,CPT,LAPARO-VAG HYST INCL T/O,,,21,,RBRVS,16.91 ,8.94 ,8.94 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
58553,CPT,LAPARO-VAG HYST COMPLEX,,,21,,RBRVS,20.06 ,9.51 ,9.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
58554,CPT,LAPARO-VAG HYST W/T/O COMPL,,,21,,RBRVS,23.11 ,11.38 ,11.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
58555,CPT,HYSTEROSCOPY DX SEP PROC,,,21,,RBRVS,2.65 ,1.35 ,6.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
58558,CPT,HYSTEROSCOPY BIOPSY,,,21,,RBRVS,4.17 ,1.93 ,34.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
58559,CPT,HYSTEROSCOPY LYSIS,,,21,,RBRVS,5.20 ,2.32 ,2.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
58560,CPT,HYSTEROSCOPY RESECT SEPTUM,,,21,,RBRVS,5.75 ,2.51 ,2.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
58561,CPT,HYSTEROSCOPY REMOVE MYOMA,,,21,,RBRVS,6.60 ,2.84 ,2.84 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
58562,CPT,HYSTEROSCOPY REMOVE FB,,,21,,RBRVS,4.00 ,1.85 ,6.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
58563,CPT,HYSTEROSCOPY ABLATION,,,21,,RBRVS,4.47 ,2.03 ,50.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
58565,CPT,HYSTEROSCOPY STERILIZATION,,,21,,RBRVS,7.12 ,4.72 ,43.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
58570,CPT,TLH UTERUS 250 G OR LESS,,,21,,RBRVS,13.36 ,7.55 ,7.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
58571,CPT,TLH W/T/O 250 G OR LESS,,,21,,RBRVS,15.00 ,8.58 ,8.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
58572,CPT,TLH UTERUS OVER 250 G,,,21,,RBRVS,17.71 ,9.38 ,9.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
58573,CPT,TLH W/T/O UTERUS OVER 250 G,,,21,,RBRVS,20.79 ,10.98 ,10.98 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
58575,CPT,LAPS TOT HYST RESJ MAL,,,21,,RBRVS,32.60 ,17.21 ,17.21 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
58578,CPT,LAPARO PROC UTERUS,,,21,,TotalUnits,,,,23.58 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
58579,CPT,HYSTEROSCOPE PROCEDURE,,,21,,TotalUnits,,,,13.20 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
58600,CPT,DIVISION OF FALLOPIAN TUBE,,,21,,RBRVS,5.91 ,3.83 ,3.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
58605,CPT,DIVISION OF FALLOPIAN TUBE,,,21,,RBRVS,5.28 ,3.55 ,3.55 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
58611,CPT,LIGATE OVIDUCT(S) ADD-ON,,,21,,RBRVS,1.45 ,0.55 ,0.55 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
58615,CPT,OCCLUDE FALLOPIAN TUBE(S),,,21,,RBRVS,3.94 ,2.68 ,2.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
58660,CPT,LAPAROSCOPY LYSIS,,,21,,RBRVS,11.59 ,6.08 ,6.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
58661,CPT,LAPAROSCOPY REMOVE ADNEXA,,,21,,RBRVS,11.35 ,5.71 ,5.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
58662,CPT,LAPAROSCOPY EXCISE LESIONS,,,21,,RBRVS,12.15 ,6.52 ,6.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
58670,CPT,LAPAROSCOPY TUBAL CAUTERY,,,21,,RBRVS,5.91 ,3.85 ,3.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
58671,CPT,LAPAROSCOPY TUBAL BLOCK,,,21,,RBRVS,5.91 ,3.84 ,3.84 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
58672,CPT,LAPAROSCOPY FIMBRIOPLASTY,,,21,,RBRVS,12.91 ,6.38 ,6.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
58673,CPT,LAPAROSCOPY SALPINGOSTOMY,,,21,,RBRVS,14.04 ,6.91 ,6.91 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
58674,CPT,LAPS ABLTJ UTERINE FIBROIDS,,,21,,RBRVS,14.08 ,7.39 ,7.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
58679,CPT,LAPARO PROC OVIDUCT-OVARY,,,21,,TotalUnits,,,,17.06 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
58700,CPT,REMOVAL OF FALLOPIAN TUBE,,,21,,RBRVS,12.95 ,7.70 ,7.70 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
58720,CPT,REMOVAL OF OVARY/TUBE(S),,,21,,RBRVS,12.16 ,7.41 ,7.41 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
58740,CPT,ADHESIOLYSIS TUBE OVARY,,,21,,RBRVS,14.90 ,8.48 ,8.48 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
58750,CPT,REPAIR OVIDUCT,,,21,,RBRVS,15.64 ,8.26 ,8.26 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
58752,CPT,REVISE OVARIAN TUBE(S),,,21,,RBRVS,15.64 ,8.19 ,8.19 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
58760,CPT,FIMBRIOPLASTY,,,21,,RBRVS,13.93 ,7.62 ,7.62 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
58770,CPT,CREATE NEW TUBAL OPENING,,,21,,RBRVS,14.77 ,7.86 ,7.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
58800,CPT,DRAINAGE OF OVARIAN CYST(S),,,21,,RBRVS,4.62 ,3.57 ,4.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
58805,CPT,DRAINAGE OF OVARIAN CYST(S),,,21,,RBRVS,6.42 ,4.68 ,4.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
58820,CPT,DRAIN OVARY ABSCESS OPEN,,,21,,RBRVS,4.70 ,4.03 ,4.03 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
58822,CPT,DRAIN OVARY ABSCESS PERCUT,,,21,,RBRVS,11.81 ,6.91 ,6.91 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
58825,CPT,TRANSPOSITION OVARY(S),,,21,,RBRVS,11.78 ,6.80 ,6.80 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
58900,CPT,BIOPSY OF OVARY(S),,,21,,RBRVS,6.59 ,4.75 ,4.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
58920,CPT,PARTIAL REMOVAL OF OVARY(S),,,21,,RBRVS,11.95 ,6.77 ,6.77 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
58925,CPT,REMOVAL OF OVARIAN CYST(S),,,21,,RBRVS,12.43 ,7.38 ,7.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
58940,CPT,REMOVAL OF OVARY(S),,,21,,RBRVS,8.22 ,5.96 ,5.96 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
58943,CPT,REMOVAL OF OVARY(S),,,21,,RBRVS,19.52 ,11.06 ,11.06 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
58950,CPT,RESECT OVARIAN MALIGNANCY,,,21,,RBRVS,18.37 ,11.38 ,11.38 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
58951,CPT,RESECT OVARIAN MALIGNANCY,,,21,,RBRVS,24.26 ,13.27 ,13.27 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
58952,CPT,RESECT OVARIAN MALIGNANCY,,,21,,RBRVS,27.29 ,15.35 ,15.35 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
58953,CPT,TAH RAD DISSECT FOR DEBULK,,,21,,RBRVS,34.13 ,18.09 ,18.09 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
58954,CPT,TAH RAD DEBULK/LYMPH REMOVE,,,21,,RBRVS,37.13 ,19.43 ,19.43 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
58956,CPT,BSO OMENTECTOMY W/TAH,,,21,,RBRVS,22.80 ,12.72 ,12.72 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
58957,CPT,RESECT RECURRENT GYN MAL,,,21,,RBRVS,26.22 ,14.99 ,14.99 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
58958,CPT,RESECT RECUR GYN MAL W/LYM,,,21,,RBRVS,29.22 ,16.29 ,16.29 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
58960,CPT,EXPLORATION OF ABDOMEN,,,21,,RBRVS,15.79 ,9.58 ,9.58 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
58970,CPT,RETRIEVAL OF OOCYTE,,,21,,RBRVS,3.52 ,1.66 ,2.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
58974,CPT,TRANSFER OF EMBRYO,,,21,,TotalUnits,,,,7.46 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
58976,CPT,TRANSFER OF EMBRYO,,,21,,RBRVS,3.82 ,1.78 ,2.91 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
58999,CPT,GENITAL SURGERY PROCEDURE,,,21,,TotalUnits,,,,3.17 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
59000,CPT,AMNIOCENTESIS DIAGNOSTIC,,,12,,RBRVS,1.30 ,0.68 ,1.82 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
59001,CPT,AMNIOCENTESIS THERAPEUTIC,,,12,,RBRVS,3.00 ,1.36 ,1.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
59012,CPT,FETAL CORD PUNCTURE PRENATAL,,,12,,RBRVS,3.44 ,1.48 ,1.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
59015,CPT,CHORION BIOPSY,,,12,,RBRVS,2.20 ,1.02 ,1.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
59020,CPT,FETAL CONTRACT STRESS TEST,,,12,,RBRVS,0.66 ,1.17 ,1.17 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
59020,CPT,FETAL CONTRACT STRESS TEST,26,,12,,RBRVS,0.66 ,0.25 ,0.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
59020,CPT,FETAL CONTRACT STRESS TEST,TC,,12,,RBRVS,,0.92 ,0.92 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
59025,CPT,FETAL NON-STRESS TEST,,,12,,RBRVS,0.53 ,0.72 ,0.72 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
59025,CPT,FETAL NON-STRESS TEST,26,,12,,RBRVS,0.53 ,0.20 ,0.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
59025,CPT,FETAL NON-STRESS TEST,TC,,12,,RBRVS,,0.52 ,0.52 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
59030,CPT,FETAL SCALP BLOOD SAMPLE,,,12,,RBRVS,1.99 ,0.75 ,0.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
59050,CPT,FETAL MONITOR W/REPORT,,,12,,RBRVS,0.89 ,0.34 ,0.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
59051,CPT,FETAL MONITOR/INTERPRET ONLY,,,12,,RBRVS,0.74 ,0.28 ,0.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
59070,CPT,TRANSABDOM AMNIOINFUS W/US,,,12,,RBRVS,5.24 ,2.31 ,4.94 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
59072,CPT,UMBILICAL CORD OCCLUD W/US,,,12,,RBRVS,8.99 ,3.73 ,3.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
59074,CPT,FETAL FLUID DRAINAGE W/US,,,12,,RBRVS,5.24 ,2.31 ,4.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
59076,CPT,FETAL SHUNT PLACEMENT W/US,,,12,,RBRVS,8.99 ,3.73 ,3.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
59100,CPT,REMOVE UTERUS LESION,,,12,,RBRVS,13.37 ,7.59 ,7.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
59120,CPT,TREAT ECTOPIC PREGNANCY,,,12,,RBRVS,12.67 ,7.33 ,7.33 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
59121,CPT,TREAT ECTOPIC PREGNANCY,,,12,,RBRVS,12.74 ,7.27 ,7.27 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
59130,CPT,TREAT ECTOPIC PREGNANCY,,,12,,RBRVS,15.08 ,8.14 ,8.14 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
59135,CPT,TREAT ECTOPIC PREGNANCY,,,12,,RBRVS,14.92 ,8.02 ,8.02 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
59136,CPT,TREAT ECTOPIC PREGNANCY,,,12,,RBRVS,14.25 ,7.77 ,7.77 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
59140,CPT,TREAT ECTOPIC PREGNANCY,,,12,,RBRVS,5.94 ,4.35 ,4.35 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
59150,CPT,TREAT ECTOPIC PREGNANCY,,,12,,RBRVS,12.29 ,7.11 ,7.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
59151,CPT,TREAT ECTOPIC PREGNANCY,,,12,,RBRVS,12.11 ,6.80 ,6.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
59160,CPT,D & C AFTER DELIVERY,,,12,,RBRVS,2.76 ,1.79 ,3.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
59200,CPT,INSERT CERVICAL DILATOR,,,12,,RBRVS,0.79 ,0.30 ,1.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
59300,CPT,EPISIOTOMY OR VAGINAL REPAIR,,,12,,RBRVS,2.41 ,1.21 ,3.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
59320,CPT,REVISION OF CERVIX,,,12,,RBRVS,2.48 ,1.24 ,1.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
59325,CPT,REVISION OF CERVIX,,,12,,RBRVS,4.06 ,1.84 ,1.84 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
59350,CPT,REPAIR OF UTERUS,,,12,,RBRVS,4.94 ,1.86 ,1.86 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
59400,CPT,OBSTETRICAL CARE,,,13,,RBRVS,32.16 ,21.24 ,21.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
59409,CPT,OBSTETRICAL CARE,,,13,,RBRVS,14.37 ,5.57 ,5.57 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
59410,CPT,OBSTETRICAL CARE,,,13,,RBRVS,18.01 ,7.77 ,7.77 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
59412,CPT,ANTEPARTUM MANIPULATION,,,13,,RBRVS,1.71 ,0.81 ,0.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
59414,CPT,DELIVER PLACENTA,,,13,,RBRVS,1.61 ,0.61 ,0.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
59425,CPT,ANTEPARTUM CARE ONLY,,,13,,RBRVS,6.31 ,2.43 ,5.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
59426,CPT,ANTEPARTUM CARE ONLY,,,13,,RBRVS,11.16 ,4.31 ,10.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
59430,CPT,CARE AFTER DELIVERY,,,13,,RBRVS,2.47 ,0.96 ,2.87 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
59510,CPT,CESAREAN DELIVERY,,,11,,RBRVS,35.64 ,22.86 ,22.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
59514,CPT,CESAREAN DELIVERY ONLY,,,11,,RBRVS,16.13 ,6.16 ,6.16 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
59515,CPT,CESAREAN DELIVERY,,,11,,RBRVS,21.47 ,9.58 ,9.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
59525,CPT,REMOVE UTERUS AFTER CESAREAN,,,21,,RBRVS,8.53 ,3.22 ,3.22 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
59610,CPT,VBAC DELIVERY,,,13,,RBRVS,33.87 ,21.51 ,21.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
59612,CPT,VBAC DELIVERY ONLY,,,13,,RBRVS,16.09 ,6.07 ,6.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
59614,CPT,VBAC CARE AFTER DELIVERY,,,13,,RBRVS,19.73 ,7.87 ,7.87 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
59618,CPT,ATTEMPTED VBAC DELIVERY,,,11,,RBRVS,36.16 ,22.95 ,22.95 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
59620,CPT,ATTEMPTED VBAC DELIVERY ONLY,,,11,,RBRVS,16.66 ,6.28 ,6.28 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
59622,CPT,ATTEMPTED VBAC AFTER CARE,,,11,,RBRVS,22.00 ,10.05 ,10.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
59812,CPT,TREATMENT OF MISCARRIAGE,,,12,,RBRVS,4.44 ,3.13 ,4.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
59820,CPT,CARE OF MISCARRIAGE,,,12,,RBRVS,4.84 ,4.60 ,5.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
59821,CPT,TREATMENT OF MISCARRIAGE,,,12,,RBRVS,5.09 ,4.16 ,5.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
59830,CPT,TREAT UTERUS INFECTION,,,12,,RBRVS,6.59 ,4.72 ,4.72 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
59840,CPT,ABORTION,,,12,,RBRVS,3.01 ,2.42 ,2.99 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
59841,CPT,ABORTION,,,12,,RBRVS,5.65 ,3.47 ,4.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
59850,CPT,ABORTION,,,12,,RBRVS,5.90 ,3.70 ,3.70 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
59851,CPT,ABORTION,,,12,,RBRVS,5.92 ,4.49 ,4.49 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
59852,CPT,ABORTION,,,12,,RBRVS,8.23 ,6.07 ,6.07 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
59855,CPT,ABORTION,,,12,,RBRVS,6.43 ,4.02 ,4.02 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
59856,CPT,ABORTION,,,12,,RBRVS,7.79 ,4.41 ,4.41 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
59857,CPT,ABORTION,,,12,,RBRVS,9.33 ,4.90 ,4.90 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
59866,CPT,ABORTION (MPR),,,12,,RBRVS,3.99 ,1.84 ,1.84 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
59870,CPT,EVACUATE MOLE OF UTERUS,,,12,,RBRVS,6.57 ,6.33 ,6.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
59871,CPT,REMOVE CERCLAGE SUTURE,,,12,,RBRVS,2.13 ,1.14 ,1.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
59897,CPT,FETAL INVAS PX W/US,,,12,,TotalUnits,,,,1.25 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
59898,CPT,LAPARO PROC OB CARE/DELIVER,,,12,,TotalUnits,,,,18.91 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
59899,CPT,MATERNITY CARE PROCEDURE,,,12,,TotalUnits,,,,2.27 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
60000,CPT,DRAIN THYROID/TONGUE CYST,,,21,,RBRVS,1.81 ,2.30 ,2.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
60100,CPT,BIOPSY OF THYROID,,,21,,RBRVS,1.56 ,0.56 ,1.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
60200,CPT,REMOVE THYROID LESION,,,21,,RBRVS,10.02 ,7.22 ,7.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
60210,CPT,PARTIAL THYROID EXCISION,,,21,,RBRVS,11.23 ,7.00 ,7.00 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
60212,CPT,PARTIAL THYROID EXCISION,,,21,,RBRVS,16.43 ,9.44 ,9.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
60220,CPT,PARTIAL REMOVAL OF THYROID,,,21,,RBRVS,11.19 ,7.13 ,7.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
60225,CPT,PARTIAL REMOVAL OF THYROID,,,21,,RBRVS,14.79 ,9.39 ,9.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
60240,CPT,REMOVAL OF THYROID,,,21,,RBRVS,15.04 ,8.58 ,8.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
60252,CPT,REMOVAL OF THYROID,,,21,,RBRVS,22.01 ,11.96 ,11.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
60254,CPT,EXTENSIVE THYROID SURGERY,,,21,,RBRVS,28.42 ,14.68 ,14.68 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
60260,CPT,REPEAT THYROID SURGERY,,,21,,RBRVS,18.26 ,9.90 ,9.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
60270,CPT,REMOVAL OF THYROID,,,21,,RBRVS,23.20 ,11.82 ,11.82 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
60271,CPT,REMOVAL OF THYROID,,,21,,RBRVS,17.62 ,9.60 ,9.60 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
60280,CPT,REMOVE THYROID DUCT LESION,,,21,,RBRVS,6.16 ,5.69 ,5.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
60281,CPT,REMOVE THYROID DUCT LESION,,,21,,RBRVS,8.82 ,6.83 ,6.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
60300,CPT,ASPIR/INJ THYROID CYST,,,21,,RBRVS,0.97 ,0.36 ,2.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
60500,CPT,EXPLORE PARATHYROID GLANDS,,,21,,RBRVS,15.60 ,9.18 ,9.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
60502,CPT,RE-EXPLORE PARATHYROIDS,,,21,,RBRVS,21.15 ,11.87 ,11.87 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
60505,CPT,EXPLORE PARATHYROID GLANDS,,,21,,RBRVS,23.06 ,12.72 ,12.72 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
60512,CPT,AUTOTRANSPLANT PARATHYROID,,,21,,RBRVS,4.44 ,1.70 ,1.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
60520,CPT,REMOVAL OF THYMUS GLAND,,,21,,RBRVS,17.16 ,9.32 ,9.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
60521,CPT,REMOVAL OF THYMUS GLAND,,,21,,RBRVS,19.18 ,8.92 ,8.92 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
60522,CPT,REMOVAL OF THYMUS GLAND,,,21,,RBRVS,23.48 ,10.68 ,10.68 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
60540,CPT,EXPLORE ADRENAL GLAND,,,21,,RBRVS,18.02 ,9.49 ,9.49 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
60545,CPT,EXPLORE ADRENAL GLAND,,,21,,RBRVS,20.93 ,10.63 ,10.63 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
60600,CPT,REMOVE CAROTID BODY LESION,,,21,,RBRVS,25.09 ,9.17 ,9.17 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
60605,CPT,REMOVE CAROTID BODY LESION,,,21,,RBRVS,31.96 ,8.57 ,8.57 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
60650,CPT,LAPAROSCOPY ADRENALECTOMY,,,21,,RBRVS,20.73 ,9.74 ,9.74 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
60659,CPT,LAPARO PROC ENDOCRINE,,,21,,TotalUnits,,,,30.47 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
60699,CPT,ENDOCRINE SURGERY PROCEDURE,,,21,,TotalUnits,,,,11.85 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
61000,CPT,REMOVE CRANIAL CAVITY FLUID,,,21,,RBRVS,1.58 ,1.09 ,1.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
61001,CPT,REMOVE CRANIAL CAVITY FLUID,,,21,,RBRVS,1.49 ,1.06 ,1.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
61020,CPT,REMOVE BRAIN CAVITY FLUID,,,21,,RBRVS,1.51 ,1.03 ,1.03 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
61026,CPT,INJECTION INTO BRAIN CANAL,,,21,,RBRVS,1.69 ,1.04 ,1.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
61050,CPT,REMOVE BRAIN CANAL FLUID,,,21,,RBRVS,1.51 ,0.78 ,0.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
61055,CPT,INJECTION INTO BRAIN CANAL,,,21,,RBRVS,2.10 ,1.06 ,1.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
61070,CPT,BRAIN CANAL SHUNT PROCEDURE,,,21,,RBRVS,0.89 ,0.59 ,0.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
61105,CPT,TWIST DRILL HOLE,,,21,,RBRVS,5.45 ,5.81 ,5.81 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
61107,CPT,DRILL SKULL FOR IMPLANTATION,,,21,,RBRVS,4.99 ,2.29 ,2.29 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
61108,CPT,DRILL SKULL FOR DRAINAGE,,,21,,RBRVS,11.64 ,10.14 ,10.14 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
61120,CPT,BURR HOLE FOR PUNCTURE,,,21,,RBRVS,9.60 ,8.39 ,8.39 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
61140,CPT,PIERCE SKULL FOR BIOPSY,,,21,,RBRVS,17.23 ,12.98 ,12.98 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
61150,CPT,PIERCE SKULL FOR DRAINAGE,,,21,,RBRVS,18.90 ,13.14 ,13.14 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
61151,CPT,PIERCE SKULL FOR DRAINAGE,,,21,,RBRVS,13.49 ,10.18 ,10.18 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
61154,CPT,PIERCE SKULL & REMOVE CLOT,,,21,,RBRVS,17.07 ,13.37 ,13.37 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
61156,CPT,PIERCE SKULL FOR DRAINAGE,,,21,,RBRVS,17.45 ,11.98 ,11.98 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
61210,CPT,PIERCE SKULL IMPLANT DEVICE,,,21,,RBRVS,5.83 ,2.69 ,2.69 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
61215,CPT,INSERT BRAIN-FLUID DEVICE,,,21,,RBRVS,5.85 ,6.60 ,6.60 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
61250,CPT,PIERCE SKULL & EXPLORE,,,21,,RBRVS,11.49 ,9.26 ,9.26 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
61253,CPT,PIERCE SKULL & EXPLORE,,,21,,RBRVS,13.49 ,10.18 ,10.18 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
61304,CPT,OPEN SKULL FOR EXPLORATION,,,21,,RBRVS,23.41 ,15.54 ,15.54 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
61305,CPT,OPEN SKULL FOR EXPLORATION,,,21,,RBRVS,28.64 ,18.73 ,18.73 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
61312,CPT,OPEN SKULL FOR DRAINAGE,,,21,,RBRVS,30.17 ,18.71 ,18.71 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
61313,CPT,OPEN SKULL FOR DRAINAGE,,,21,,RBRVS,28.09 ,18.85 ,18.85 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
61314,CPT,OPEN SKULL FOR DRAINAGE,,,21,,RBRVS,25.90 ,17.39 ,17.39 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
61315,CPT,OPEN SKULL FOR DRAINAGE,,,21,,RBRVS,29.65 ,19.13 ,19.13 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
61316,CPT,IMPLT CRAN BONE FLAP TO ABDO,,,21,,RBRVS,1.39 ,0.64 ,0.64 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
61320,CPT,OPEN SKULL FOR DRAINAGE,,,21,,RBRVS,27.42 ,17.43 ,17.43 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
61321,CPT,OPEN SKULL FOR DRAINAGE,,,21,,RBRVS,30.53 ,19.60 ,19.60 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
61322,CPT,DECOMPRESSIVE CRANIOTOMY,,,21,,RBRVS,34.26 ,21.83 ,21.83 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
61323,CPT,DECOMPRESSIVE LOBECTOMY,,,21,,RBRVS,35.06 ,21.15 ,21.15 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
61330,CPT,DECOMPRESS EYE SOCKET,,,21,,RBRVS,25.30 ,17.13 ,17.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
61333,CPT,EXPLORE ORBIT/REMOVE LESION,,,21,,RBRVS,29.27 ,18.30 ,18.30 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
61340,CPT,SUBTEMPORAL DECOMPRESSION,,,21,,RBRVS,20.11 ,14.07 ,14.07 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
61343,CPT,INCISE SKULL (PRESS RELIEF),,,21,,RBRVS,31.86 ,19.99 ,19.99 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
61345,CPT,RELIEVE CRANIAL PRESSURE,,,21,,RBRVS,29.23 ,18.91 ,18.91 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
61450,CPT,INCISE SKULL FOR SURGERY,,,21,,RBRVS,27.69 ,17.55 ,17.55 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
61458,CPT,INCISE SKULL FOR BRAIN WOUND,,,21,,RBRVS,28.84 ,18.66 ,18.66 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
61460,CPT,INCISE SKULL FOR SURGERY,,,21,,RBRVS,30.24 ,19.38 ,19.38 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
61500,CPT,REMOVAL OF SKULL LESION,,,21,,RBRVS,19.18 ,13.22 ,13.22 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
61501,CPT,REMOVE INFECTED SKULL BONE,,,21,,RBRVS,16.35 ,12.08 ,12.08 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
61510,CPT,REMOVAL OF BRAIN LESION,,,21,,RBRVS,30.83 ,21.15 ,21.15 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
61512,CPT,REMOVE BRAIN LINING LESION,,,21,,RBRVS,37.14 ,22.95 ,22.95 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
61514,CPT,REMOVAL OF BRAIN ABSCESS,,,21,,RBRVS,27.23 ,17.95 ,17.95 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
61516,CPT,REMOVAL OF BRAIN LESION,,,21,,RBRVS,26.58 ,17.68 ,17.68 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
61517,CPT,IMPLT BRAIN CHEMOTX ADD-ON,,,21,,RBRVS,1.38 ,0.64 ,0.64 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
61518,CPT,REMOVAL OF BRAIN LESION,,,21,,RBRVS,39.89 ,25.29 ,25.29 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
61519,CPT,REMOVE BRAIN LINING LESION,,,21,,RBRVS,43.43 ,25.85 ,25.85 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
61520,CPT,REMOVAL OF BRAIN LESION,,,21,,RBRVS,57.09 ,32.08 ,32.08 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
61521,CPT,REMOVAL OF BRAIN LESION,,,21,,RBRVS,46.99 ,27.54 ,27.54 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
61522,CPT,REMOVAL OF BRAIN ABSCESS,,,21,,RBRVS,31.54 ,19.98 ,19.98 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
61524,CPT,REMOVAL OF BRAIN LESION,,,21,,RBRVS,29.89 ,19.22 ,19.22 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
61526,CPT,REMOVAL OF BRAIN LESION,,,21,,RBRVS,54.08 ,28.60 ,28.60 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
61530,CPT,REMOVAL OF BRAIN LESION,,,21,,RBRVS,45.56 ,26.44 ,26.44 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
61531,CPT,IMPLANT BRAIN ELECTRODES,,,21,,RBRVS,16.41 ,12.77 ,12.77 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
61533,CPT,IMPLANT BRAIN ELECTRODES,,,21,,RBRVS,21.46 ,14.68 ,14.68 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
61534,CPT,REMOVAL OF BRAIN LESION,,,21,,RBRVS,23.01 ,16.05 ,16.05 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
61535,CPT,REMOVE BRAIN ELECTRODES,,,21,,RBRVS,13.15 ,10.85 ,10.85 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
61536,CPT,REMOVAL OF BRAIN LESION,,,21,,RBRVS,37.72 ,22.83 ,22.83 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
61537,CPT,REMOVAL OF BRAIN TISSUE,,,21,,RBRVS,36.45 ,21.32 ,21.32 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
61538,CPT,REMOVAL OF BRAIN TISSUE,,,21,,RBRVS,39.45 ,22.96 ,22.96 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
61539,CPT,REMOVAL OF BRAIN TISSUE,,,21,,RBRVS,34.28 ,21.24 ,21.24 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
61540,CPT,REMOVAL OF BRAIN TISSUE,,,21,,RBRVS,31.43 ,19.91 ,19.91 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
61541,CPT,INCISION OF BRAIN TISSUE,,,21,,RBRVS,30.94 ,19.70 ,19.70 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
61543,CPT,REMOVAL OF BRAIN TISSUE,,,21,,RBRVS,31.31 ,19.87 ,19.87 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
61544,CPT,REMOVE & TREAT BRAIN LESION,,,21,,RBRVS,27.36 ,17.40 ,17.40 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
61545,CPT,EXCISION OF BRAIN TUMOR,,,21,,RBRVS,46.43 ,28.39 ,28.39 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
61546,CPT,REMOVAL OF PITUITARY GLAND,,,21,,RBRVS,33.44 ,20.85 ,20.85 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
61548,CPT,REMOVAL OF PITUITARY GLAND,,,21,,RBRVS,23.37 ,14.52 ,14.52 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
61550,CPT,RELEASE OF SKULL SEAMS,,,21,,RBRVS,15.59 ,12.93 ,12.93 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
61552,CPT,RELEASE OF SKULL SEAMS,,,21,,RBRVS,20.40 ,14.84 ,14.84 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
61556,CPT,INCISE SKULL/SUTURES,,,21,,RBRVS,24.09 ,16.27 ,16.27 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
61557,CPT,INCISE SKULL/SUTURES,,,21,,RBRVS,23.31 ,16.63 ,16.63 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
61558,CPT,EXCISION OF SKULL/SUTURES,,,21,,RBRVS,26.50 ,17.96 ,17.96 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
61559,CPT,EXCISION OF SKULL/SUTURES,,,21,,RBRVS,34.02 ,22.53 ,22.53 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
61563,CPT,EXCISION OF SKULL TUMOR,,,21,,RBRVS,28.44 ,18.28 ,18.28 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
61564,CPT,EXCISION OF SKULL TUMOR,,,21,,RBRVS,34.74 ,21.90 ,21.90 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
61566,CPT,REMOVAL OF BRAIN TISSUE,,,21,,RBRVS,32.45 ,20.38 ,20.38 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
61567,CPT,INCISION OF BRAIN TISSUE,,,21,,RBRVS,37.00 ,23.16 ,23.16 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
61570,CPT,REMOVE FOREIGN BODY BRAIN,,,21,,RBRVS,26.51 ,17.66 ,17.66 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
61571,CPT,INCISE SKULL FOR BRAIN WOUND,,,21,,RBRVS,28.42 ,18.53 ,18.53 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
61575,CPT,SKULL BASE/BRAINSTEM SURGERY,,,21,,RBRVS,36.56 ,22.29 ,22.29 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
61576,CPT,SKULL BASE/BRAINSTEM SURGERY,,,21,,RBRVS,55.31 ,45.04 ,45.04 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
61580,CPT,CRANIOFACIAL APPROACH SKULL,,,21,,RBRVS,34.51 ,29.44 ,29.44 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
61581,CPT,CRANIOFACIAL APPROACH SKULL,,,21,,RBRVS,39.13 ,32.14 ,32.14 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
61582,CPT,CRANIOFACIAL APPROACH SKULL,,,21,,RBRVS,35.14 ,40.54 ,40.54 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
61583,CPT,CRANIOFACIAL APPROACH SKULL,,,21,,RBRVS,38.50 ,31.60 ,31.60 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
61584,CPT,ORBITOCRANIAL APPROACH/SKULL,,,21,,RBRVS,37.70 ,31.98 ,31.98 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
61585,CPT,ORBITOCRANIAL APPROACH/SKULL,,,21,,RBRVS,42.57 ,35.53 ,35.53 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
61586,CPT,RESECT NASOPHARYNX SKULL,,,21,,RBRVS,27.48 ,33.59 ,33.59 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
61590,CPT,INFRATEMPORAL APPROACH/SKULL,,,21,,RBRVS,47.04 ,31.92 ,31.92 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
61591,CPT,INFRATEMPORAL APPROACH/SKULL,,,21,,RBRVS,47.02 ,31.98 ,31.98 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
61592,CPT,ORBITOCRANIAL APPROACH/SKULL,,,21,,RBRVS,43.08 ,33.83 ,33.83 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
61595,CPT,TRANSTEMPORAL APPROACH/SKULL,,,21,,RBRVS,33.74 ,26.90 ,26.90 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
61596,CPT,TRANSCOCHLEAR APPROACH/SKULL,,,21,,RBRVS,39.43 ,25.27 ,25.27 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
61597,CPT,TRANSCONDYLAR APPROACH/SKULL,,,21,,RBRVS,40.82 ,29.96 ,29.96 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
61598,CPT,TRANSPETROSAL APPROACH/SKULL,,,21,,RBRVS,36.53 ,32.32 ,32.32 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
61600,CPT,RESECT/EXCISE CRANIAL LESION,,,21,,RBRVS,30.01 ,25.23 ,25.23 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
61601,CPT,RESECT/EXCISE CRANIAL LESION,,,21,,RBRVS,31.14 ,27.89 ,27.89 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
61605,CPT,RESECT/EXCISE CRANIAL LESION,,,21,,RBRVS,32.57 ,24.71 ,24.71 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
61606,CPT,RESECT/EXCISE CRANIAL LESION,,,21,,RBRVS,42.05 ,29.61 ,29.61 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
61607,CPT,RESECT/EXCISE CRANIAL LESION,,,21,,RBRVS,40.93 ,26.69 ,26.69 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
61608,CPT,RESECT/EXCISE CRANIAL LESION,,,21,,RBRVS,45.54 ,32.61 ,32.61 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
61611,CPT,TRANSECT ARTERY SINUS,,,21,,RBRVS,7.41 ,3.41 ,3.41 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
61613,CPT,REMOVE ANEURYSM SINUS,,,21,,RBRVS,45.03 ,33.42 ,33.42 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
61615,CPT,RESECT/EXCISE LESION SKULL,,,21,,RBRVS,35.77 ,32.23 ,32.23 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
61616,CPT,RESECT/EXCISE LESION SKULL,,,21,,RBRVS,46.74 ,34.29 ,34.29 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
61618,CPT,REPAIR DURA,,,21,,RBRVS,18.69 ,12.68 ,12.68 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
61619,CPT,REPAIR DURA,,,21,,RBRVS,22.10 ,13.46 ,13.46 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
61623,CPT,ENDOVASC TEMPORY VESSEL OCCL,,,21,,RBRVS,9.95 ,4.02 ,4.02 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
61624,CPT,TRANSCATH OCCLUSION CNS,,,21,,RBRVS,20.12 ,8.06 ,8.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
61626,CPT,TRANSCATH OCCLUSION NON-CNS,,,21,,RBRVS,16.60 ,6.03 ,6.03 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
61630,CPT,INTRACRANIAL ANGIOPLASTY,,,21,,RBRVS,22.07 ,11.52 ,11.52 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
61635,CPT,INTRACRAN ANGIOPLSTY W/STENT,,,21,,RBRVS,24.28 ,11.96 ,11.96 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
61640,CPT,DILATE IC VASOSPASM INIT,,,21,,RBRVS,12.32 ,,,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
61641,CPT,DILAT IC VSPSM EA VSL SM TER,,,21,,RBRVS,4.33 ,,,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
61642,CPT,DILAT IC VSPSM EA DIFF TER,,,21,,RBRVS,8.66 ,,,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
61645,CPT,PERQ ART M-THROMBECT &/NFS,,,21,,RBRVS,15.00 ,5.82 ,5.82 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
61650,CPT,EVASC PRLNG ADMN RX AGNT 1ST,,,21,,RBRVS,10.00 ,3.92 ,3.92 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
61651,CPT,EVASC PRLNG ADMN RX AGNT ADD,,,21,,RBRVS,4.25 ,1.71 ,1.71 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
61680,CPT,INTRACRANIAL VESSEL SURGERY,,,21,,RBRVS,32.55 ,20.70 ,20.70 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
61682,CPT,INTRACRANIAL VESSEL SURGERY,,,21,,RBRVS,63.41 ,34.00 ,34.00 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
61684,CPT,INTRACRANIAL VESSEL SURGERY,,,21,,RBRVS,41.64 ,25.08 ,25.08 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
61686,CPT,INTRACRANIAL VESSEL SURGERY,,,21,,RBRVS,67.50 ,37.43 ,37.43 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
61690,CPT,INTRACRANIAL VESSEL SURGERY,,,21,,RBRVS,31.34 ,20.08 ,20.08 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
61692,CPT,INTRACRANIAL VESSEL SURGERY,,,21,,RBRVS,54.59 ,30.80 ,30.80 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
61697,CPT,BRAIN ANEURYSM REPR COMPLX,,,21,,RBRVS,63.40 ,35.11 ,35.11 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
61698,CPT,BRAIN ANEURYSM REPR COMPLX,,,21,,RBRVS,69.63 ,38.40 ,38.40 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
61700,CPT,BRAIN ANEURYSM REPR SIMPLE,,,21,,RBRVS,50.62 ,29.34 ,29.34 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
61702,CPT,INNER SKULL VESSEL SURGERY,,,21,,RBRVS,60.04 ,33.98 ,33.98 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
61703,CPT,CLAMP NECK ARTERY,,,21,,RBRVS,18.80 ,13.45 ,13.45 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
61705,CPT,REVISE CIRCULATION TO HEAD,,,21,,RBRVS,38.10 ,23.00 ,23.00 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
61708,CPT,REVISE CIRCULATION TO HEAD,,,21,,RBRVS,37.20 ,22.59 ,22.59 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
61710,CPT,REVISE CIRCULATION TO HEAD,,,21,,RBRVS,31.29 ,19.21 ,19.21 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
61711,CPT,FUSION OF SKULL ARTERIES,,,21,,RBRVS,38.23 ,22.92 ,22.92 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
61720,CPT,INCISE SKULL/BRAIN SURGERY,,,21,,RBRVS,17.62 ,12.54 ,12.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
61735,CPT,INCISE SKULL/BRAIN SURGERY,,,21,,RBRVS,22.35 ,15.37 ,15.37 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
61750,CPT,INCISE SKULL/BRAIN BIOPSY,,,21,,RBRVS,19.83 ,13.53 ,13.53 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
61751,CPT,BRAIN BIOPSY W/CT/MR GUIDE,,,21,,RBRVS,18.79 ,14.11 ,14.11 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
61760,CPT,IMPLANT BRAIN ELECTRODES,,,21,,RBRVS,22.39 ,15.01 ,15.01 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
61770,CPT,INCISE SKULL FOR TREATMENT,,,21,,RBRVS,23.19 ,15.11 ,15.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
61781,CPT,SCAN PROC CRANIAL INTRA,,,21,,RBRVS,3.75 ,1.72 ,1.72 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
61782,CPT,SCAN PROC CRANIAL EXTRA,,,21,,RBRVS,3.18 ,1.37 ,1.37 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
61783,CPT,SCAN PROC SPINAL,,,21,,RBRVS,3.75 ,1.76 ,1.76 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
61790,CPT,TREAT TRIGEMINAL NERVE,,,21,,RBRVS,11.60 ,9.52 ,9.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
61791,CPT,TREAT TRIGEMINAL TRACT,,,21,,RBRVS,15.41 ,11.38 ,11.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
61796,CPT,SRS CRANIAL LESION SIMPLE,,,21,,RBRVS,13.93 ,10.23 ,10.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
61797,CPT,SRS CRAN LES SIMPLE ADDL,,,21,,RBRVS,3.48 ,1.60 ,1.60 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
61798,CPT,SRS CRANIAL LESION COMPLEX,,,21,,RBRVS,19.85 ,12.84 ,12.84 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
61799,CPT,SRS CRAN LES COMPLEX ADDL,,,21,,RBRVS,4.81 ,2.21 ,2.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
61800,CPT,APPLY SRS HEADFRAME ADD-ON,,,21,,RBRVS,2.25 ,1.34 ,1.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
61850,CPT,IMPLANT NEUROELECTRODES,,,21,,RBRVS,13.34 ,10.11 ,10.11 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
61860,CPT,IMPLANT NEUROELECTRODES,,,21,,RBRVS,22.26 ,14.68 ,14.68 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
61863,CPT,IMPLANT NEUROELECTRODE,,,21,,RBRVS,20.71 ,15.01 ,15.01 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
61864,CPT,IMPLANT NEUROELECTRDE ADDL,,,21,,RBRVS,4.49 ,2.06 ,2.06 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
61867,CPT,IMPLANT NEUROELECTRODE,,,21,,RBRVS,33.03 ,20.67 ,20.67 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
61868,CPT,IMPLANT NEUROELECTRDE ADDL,,,21,,RBRVS,7.91 ,3.63 ,3.63 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
61880,CPT,REVISE/REMOVE NEUROELECTRODE,,,21,,RBRVS,6.95 ,7.12 ,7.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
61885,CPT,INSRT/REDO NEUROSTIM 1 ARRAY,,,21,,RBRVS,6.05 ,6.76 ,6.76 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
61886,CPT,IMPLANT NEUROSTIM ARRAYS,,,21,,RBRVS,9.93 ,11.12 ,11.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
61888,CPT,REVISE/REMOVE NEURORECEIVER,,,21,,RBRVS,5.23 ,4.34 ,4.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
62000,CPT,TREAT SKULL FRACTURE,,,21,,RBRVS,13.93 ,10.69 ,10.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
62005,CPT,TREAT SKULL FRACTURE,,,21,,RBRVS,17.63 ,12.54 ,12.54 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
62010,CPT,TREATMENT OF HEAD INJURY,,,21,,RBRVS,21.43 ,14.95 ,14.95 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
62100,CPT,REPAIR BRAIN FLUID LEAKAGE,,,21,,RBRVS,23.53 ,14.80 ,14.80 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
62115,CPT,REDUCTION OF SKULL DEFECT,,,21,,RBRVS,22.91 ,17.04 ,17.04 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
62117,CPT,REDUCTION OF SKULL DEFECT,,,21,,RBRVS,28.35 ,17.92 ,17.92 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
62120,CPT,REPAIR SKULL CAVITY LESION,,,21,,RBRVS,24.59 ,26.96 ,26.96 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
62121,CPT,INCISE SKULL REPAIR,,,21,,RBRVS,23.03 ,16.81 ,16.81 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
62140,CPT,REPAIR OF SKULL DEFECT,,,21,,RBRVS,14.55 ,10.40 ,10.40 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
62141,CPT,REPAIR OF SKULL DEFECT,,,21,,RBRVS,16.07 ,11.53 ,11.53 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
62142,CPT,REMOVE SKULL PLATE/FLAP,,,21,,RBRVS,11.83 ,9.60 ,9.60 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
62143,CPT,REPLACE SKULL PLATE/FLAP,,,21,,RBRVS,14.15 ,10.82 ,10.82 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
62145,CPT,REPAIR OF SKULL & BRAIN,,,21,,RBRVS,20.09 ,13.68 ,13.68 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
62146,CPT,REPAIR OF SKULL WITH GRAFT,,,21,,RBRVS,17.28 ,11.05 ,11.05 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
62147,CPT,REPAIR OF SKULL WITH GRAFT,,,21,,RBRVS,20.67 ,13.67 ,13.67 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
62148,CPT,RETR BONE FLAP TO FIX SKULL,,,21,,RBRVS,2.00 ,0.93 ,0.93 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
62160,CPT,NEUROENDOSCOPY ADD-ON,,,21,,RBRVS,3.00 ,1.38 ,1.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
62161,CPT,DISSECT BRAIN W/SCOPE,,,21,,RBRVS,21.23 ,14.73 ,14.73 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
62162,CPT,REMOVE COLLOID CYST W/SCOPE,,,21,,RBRVS,26.80 ,17.83 ,17.83 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
62164,CPT,REMOVE BRAIN TUMOR W/SCOPE,,,21,,RBRVS,29.43 ,20.05 ,20.05 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
62165,CPT,REMOVE PITUIT TUMOR W/SCOPE,,,21,,RBRVS,23.23 ,14.44 ,14.44 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
62180,CPT,ESTABLISH BRAIN CAVITY SHUNT,,,21,,RBRVS,22.58 ,15.25 ,15.25 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
62190,CPT,ESTABLISH BRAIN CAVITY SHUNT,,,21,,RBRVS,12.17 ,10.02 ,10.02 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
62192,CPT,ESTABLISH BRAIN CAVITY SHUNT,,,21,,RBRVS,13.35 ,10.23 ,10.23 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
62194,CPT,REPLACE/IRRIGATE CATHETER,,,21,,RBRVS,5.78 ,6.15 ,6.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
62200,CPT,ESTABLISH BRAIN CAVITY SHUNT,,,21,,RBRVS,19.29 ,13.31 ,13.31 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
62201,CPT,BRAIN CAVITY SHUNT W/SCOPE,,,21,,RBRVS,16.04 ,12.89 ,12.89 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
62220,CPT,ESTABLISH BRAIN CAVITY SHUNT,,,21,,RBRVS,14.10 ,9.69 ,9.69 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
62223,CPT,ESTABLISH BRAIN CAVITY SHUNT,,,21,,RBRVS,14.05 ,11.17 ,11.17 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
62225,CPT,REPLACE/IRRIGATE CATHETER,,,21,,RBRVS,6.19 ,6.73 ,6.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
62230,CPT,REPLACE/REVISE BRAIN SHUNT,,,21,,RBRVS,11.43 ,8.84 ,8.84 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
62252,CPT,CSF SHUNT REPROGRAM,,,21,,RBRVS,0.74 ,1.31 ,1.31 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
62252,CPT,CSF SHUNT REPROGRAM,26,,21,,RBRVS,0.74 ,0.34 ,0.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
62252,CPT,CSF SHUNT REPROGRAM,TC,,21,,RBRVS,,0.97 ,0.97 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
62256,CPT,REMOVE BRAIN CAVITY SHUNT,,,21,,RBRVS,7.38 ,7.29 ,7.29 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
62258,CPT,REPLACE BRAIN CAVITY SHUNT,,,21,,RBRVS,15.64 ,11.01 ,11.01 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
62263,CPT,EPIDURAL LYSIS MULT SESSIONS,,,21,,RBRVS,5.00 ,3.43 ,12.03 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
62264,CPT,EPIDURAL LYSIS ON SINGLE DAY,,,21,,RBRVS,4.42 ,2.15 ,7.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
62267,CPT,INTERDISCAL PERQ ASPIR DX,,,21,,RBRVS,3.00 ,1.27 ,4.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
62268,CPT,DRAIN SPINAL CORD CYST,,,21,,RBRVS,4.73 ,2.20 ,2.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
62269,CPT,NEEDLE BIOPSY SPINAL CORD,,,21,,RBRVS,5.01 ,2.23 ,2.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
62270,CPT,DX LMBR SPI PNXR,,,21,,RBRVS,1.22 ,0.41 ,2.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
62272,CPT,THER SPI PNXR DRG CSF,,,21,,RBRVS,1.58 ,0.64 ,3.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
62273,CPT,INJECT EPIDURAL PATCH,,,21,,RBRVS,2.15 ,0.92 ,2.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
62280,CPT,TREAT SPINAL CORD LESION,,,21,,RBRVS,2.63 ,1.75 ,6.97 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
62281,CPT,TREAT SPINAL CORD LESION,,,21,,RBRVS,2.66 ,1.66 ,3.91 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
62282,CPT,TREAT SPINAL CANAL LESION,,,21,,RBRVS,2.33 ,1.58 ,6.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
62284,CPT,INJECTION FOR MYELOGRAM,,,21,,RBRVS,1.54 ,0.78 ,3.94 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
62287,CPT,PERCUTANEOUS DISKECTOMY,,,21,,RBRVS,9.03 ,6.58 ,6.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
62290,CPT,NJX PX DISCOGRAPHY LUMBAR,,,21,,RBRVS,3.00 ,1.51 ,6.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
62291,CPT,NJX PX DISCOGRAPHY CRV/THRC,,,21,,RBRVS,2.91 ,1.39 ,6.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
62292,CPT,NJX CHEMONUCLEOLYSIS LMBR,,,21,,RBRVS,9.24 ,6.48 ,6.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
62294,CPT,INJECTION INTO SPINAL ARTERY,,,21,,RBRVS,12.87 ,9.76 ,9.76 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
62302,CPT,MYELOGRAPHY LUMBAR INJECTION,,,20,,RBRVS,2.29 ,1.02 ,4.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
62303,CPT,MYELOGRAPHY LUMBAR INJECTION,,,20,,RBRVS,2.29 ,1.02 ,5.03 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
62304,CPT,MYELOGRAPHY LUMBAR INJECTION,,,20,,RBRVS,2.25 ,1.01 ,4.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
62305,CPT,MYELOGRAPHY LUMBAR INJECTION,,,20,,RBRVS,2.35 ,1.05 ,5.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
62320,CPT,NJX INTERLAMINAR CRV/THRC,,,21,,RBRVS,1.80 ,0.88 ,2.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
62321,CPT,NJX INTERLAMINAR CRV/THRC,,,21,,RBRVS,1.95 ,0.96 ,5.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
62322,CPT,NJX INTERLAMINAR LMBR/SAC,,,21,,RBRVS,1.55 ,0.73 ,2.57 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
62323,CPT,NJX INTERLAMINAR LMBR/SAC,,,21,,RBRVS,1.80 ,0.88 ,5.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
62324,CPT,NJX INTERLAMINAR CRV/THRC,,,21,,RBRVS,1.89 ,0.54 ,2.02 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
62325,CPT,NJX INTERLAMINAR CRV/THRC,,,21,,RBRVS,2.20 ,0.74 ,4.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
62326,CPT,NJX INTERLAMINAR LMBR/SAC,,,21,,RBRVS,1.78 ,0.59 ,2.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
62327,CPT,NJX INTERLAMINAR LMBR/SAC,,,21,,RBRVS,1.90 ,0.81 ,4.99 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
62328,CPT,DX LMBR SPI PNXR W/FLUOR/CT,,,21,,RBRVS,1.73 ,0.62 ,5.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
62329,CPT,THER SPI PNXR CSF FLUOR/CT,,,21,,RBRVS,2.03 ,0.80 ,6.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
62350,CPT,IMPLANT SPINAL CANAL CATH,,,21,,RBRVS,6.05 ,4.28 ,4.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
62351,CPT,IMPLANT SPINAL CANAL CATH,,,21,,RBRVS,11.66 ,10.07 ,10.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
62355,CPT,REMOVE SPINAL CANAL CATHETER,,,21,,RBRVS,3.55 ,3.46 ,3.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
62360,CPT,INSERT SPINE INFUSION DEVICE,,,21,,RBRVS,4.33 ,3.80 ,3.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
62361,CPT,IMPLANT SPINE INFUSION PUMP,,,21,,RBRVS,5.00 ,5.47 ,5.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
62362,CPT,IMPLANT SPINE INFUSION PUMP,,,21,,RBRVS,5.60 ,4.26 ,4.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
62365,CPT,REMOVE SPINE INFUSION DEVICE,,,21,,RBRVS,3.93 ,3.65 ,3.65 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
62367,CPT,ANALYZE SPINE INFUS PUMP,,,21,,RBRVS,0.48 ,0.19 ,0.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
62368,CPT,ANALYZE SP INF PUMP W/REPROG,,,21,,RBRVS,0.67 ,0.27 ,0.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
62369,CPT,ANAL SP INF PMP W/REPRG&FILL,,,21,,RBRVS,0.67 ,0.27 ,1.97 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
62370,CPT,ANL SP INF PMP W/MDREPRG&FIL,,,21,,RBRVS,0.90 ,0.35 ,1.84 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
62380,CPT,NDSC DCMPRN 1 NTRSPC LUMBAR,,,21,,TotalUnits,,,,37.76 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
63001,CPT,REMOVE SPINE LAMINA 1/2 CRVL,,,21,,RBRVS,17.61 ,12.27 ,12.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
63003,CPT,REMOVE SPINE LAMINA 1/2 THRC,,,21,,RBRVS,17.74 ,12.31 ,12.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
63005,CPT,REMOVE SPINE LAMINA 1/2 LMBR,,,21,,RBRVS,16.43 ,12.70 ,12.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
63011,CPT,REMOVE SPINE LAMINA 1/2 SCRL,,,21,,RBRVS,15.91 ,11.59 ,11.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
63012,CPT,REMOVE LAMINA/FACETS LUMBAR,,,21,,RBRVS,16.85 ,12.43 ,12.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
63015,CPT,REMOVE SPINE LAMINA >2 CRVCL,,,21,,RBRVS,20.85 ,14.87 ,14.87 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
63016,CPT,REMOVE SPINE LAMINA >2 THRC,,,21,,RBRVS,22.03 ,14.86 ,14.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
63017,CPT,REMOVE SPINE LAMINA >2 LMBR,,,21,,RBRVS,17.33 ,13.22 ,13.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
63020,CPT,NECK SPINE DISK SURGERY,,,21,,RBRVS,16.20 ,12.41 ,12.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
63030,CPT,LOW BACK DISK SURGERY,,,21,,RBRVS,13.18 ,11.01 ,11.01 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
63035,CPT,SPINAL DISK SURGERY ADD-ON,,,21,,RBRVS,3.15 ,1.50 ,1.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
63040,CPT,LAMINOTOMY SINGLE CERVICAL,,,21,,RBRVS,20.31 ,14.01 ,14.01 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
63042,CPT,LAMINOTOMY SINGLE LUMBAR,,,21,,RBRVS,18.76 ,13.57 ,13.57 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
63043,CPT,LAMINOTOMY ADDL CERVICAL,,,21,,TotalUnits,,,,15.18 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
63044,CPT,LAMINOTOMY ADDL LUMBAR,,,21,,TotalUnits,,,,18.40 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
63045,CPT,REMOVE SPINE LAMINA 1 CRVL,,,21,,RBRVS,17.95 ,13.41 ,13.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
63046,CPT,REMOVE SPINE LAMINA 1 THRC,,,21,,RBRVS,17.25 ,12.98 ,12.98 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
63047,CPT,REMOVE SPINE LAMINA 1 LMBR,,,21,,RBRVS,15.37 ,12.02 ,12.02 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
63048,CPT,REMOVE SPINAL LAMINA ADD-ON,,,21,,RBRVS,3.47 ,1.66 ,1.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
63050,CPT,CERVICAL LAMINOPLSTY 2/> SEG,,,21,,RBRVS,22.01 ,15.07 ,15.07 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
63051,CPT,C-LAMINOPLASTY W/GRAFT/PLATE,,,21,,RBRVS,25.51 ,16.72 ,16.72 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
63055,CPT,DECOMPRESS SPINAL CORD THRC,,,21,,RBRVS,23.55 ,15.68 ,15.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
63056,CPT,DECOMPRESS SPINAL CORD LMBR,,,21,,RBRVS,21.86 ,14.71 ,14.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
63057,CPT,DECOMPRESS SPINE CORD ADD-ON,,,21,,RBRVS,5.25 ,2.51 ,2.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
63064,CPT,DECOMPRESS SPINAL CORD THRC,,,21,,RBRVS,26.22 ,16.87 ,16.87 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
63066,CPT,DECOMPRESS SPINE CORD ADD-ON,,,21,,RBRVS,3.26 ,1.50 ,1.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
63075,CPT,NECK SPINE DISK SURGERY,,,21,,RBRVS,19.60 ,13.77 ,13.77 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
63076,CPT,NECK SPINE DISK SURGERY,,,21,,RBRVS,4.04 ,1.93 ,1.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
63077,CPT,SPINE DISK SURGERY THORAX,,,21,,RBRVS,22.88 ,14.51 ,14.51 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
63078,CPT,SPINE DISK SURGERY THORAX,,,21,,RBRVS,3.28 ,1.51 ,1.51 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
63081,CPT,REMOVE VERT BODY DCMPRN CRVL,,,21,,RBRVS,26.10 ,17.06 ,17.06 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
63082,CPT,REMOVE VERTEBRAL BODY ADD-ON,,,21,,RBRVS,4.36 ,2.08 ,2.08 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
63085,CPT,REMOVE VERT BODY DCMPRN THRC,,,21,,RBRVS,29.47 ,17.80 ,17.80 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
63086,CPT,REMOVE VERTEBRAL BODY ADD-ON,,,21,,RBRVS,3.19 ,1.46 ,1.46 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
63087,CPT,REMOV VERTBR DCMPRN THRCLMBR,,,21,,RBRVS,37.53 ,21.51 ,21.51 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
63088,CPT,REMOVE VERTEBRAL BODY ADD-ON,,,21,,RBRVS,4.32 ,1.95 ,1.95 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
63090,CPT,REMOVE VERT BODY DCMPRN LMBR,,,21,,RBRVS,30.93 ,18.33 ,18.33 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
63091,CPT,REMOVE VERTEBRAL BODY ADD-ON,,,21,,RBRVS,3.03 ,1.41 ,1.41 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
63101,CPT,REMOVE VERT BODY DCMPRN THRC,,,21,,RBRVS,34.10 ,22.19 ,22.19 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
63102,CPT,REMOVE VERT BODY DCMPRN LMBR,,,21,,RBRVS,34.10 ,21.82 ,21.82 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
63103,CPT,REMOVE VERTEBRAL BODY ADD-ON,,,21,,RBRVS,4.82 ,2.29 ,2.29 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
63170,CPT,INCISE SPINAL CORD TRACT(S),,,21,,RBRVS,22.21 ,15.55 ,15.55 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
63172,CPT,DRAINAGE OF SPINAL CYST,,,21,,RBRVS,19.76 ,13.61 ,13.61 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
63173,CPT,DRAINAGE OF SPINAL CYST,,,21,,RBRVS,24.31 ,16.51 ,16.51 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
63185,CPT,INCISE SPINE NRV HALF SEGMNT,,,21,,RBRVS,16.49 ,12.18 ,12.18 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
63190,CPT,INCISE SPINE NRV >2 SEGMNTS,,,21,,RBRVS,18.89 ,13.39 ,13.39 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
63191,CPT,INCISE SPINE ACCESSORY NERVE,,,21,,RBRVS,18.92 ,13.88 ,13.88 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
63194,CPT,INCISE SPINE & CORD CERVICAL,,,21,,RBRVS,22.10 ,15.81 ,15.81 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
63195,CPT,INCISE SPINE & CORD THORACIC,,,21,,RBRVS,21.64 ,14.62 ,14.62 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
63196,CPT,INCISE SPINE&CORD 2 TRX CRVL,,,21,,RBRVS,25.27 ,16.80 ,16.80 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
63197,CPT,INCISE SPINE&CORD 2 TRX THRC,,,21,,RBRVS,24.08 ,16.40 ,16.40 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
63198,CPT,INCISE SPIN&CORD 2 STGS CRVL,,,21,,RBRVS,29.90 ,19.39 ,19.39 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
63199,CPT,INCISE SPIN&CORD 2 STGS THRC,,,21,,RBRVS,31.47 ,20.12 ,20.12 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
63200,CPT,RELEASE SPINAL CORD LUMBAR,,,21,,RBRVS,21.44 ,15.15 ,15.15 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
63250,CPT,REVISE SPINAL CORD VSLS CRVL,,,21,,RBRVS,43.86 ,25.65 ,25.65 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
63251,CPT,REVISE SPINAL CORD VSLS THRC,,,21,,RBRVS,44.64 ,26.47 ,26.47 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
63252,CPT,REVISE SPINE CORD VSL THRLMB,,,21,,RBRVS,44.63 ,26.46 ,26.46 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
63265,CPT,EXCISE INTRASPINL LESION CRV,,,21,,RBRVS,23.82 ,16.26 ,16.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
63266,CPT,EXCISE INTRSPINL LESION THRC,,,21,,RBRVS,24.68 ,16.63 ,16.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
63267,CPT,EXCISE INTRSPINL LESION LMBR,,,21,,RBRVS,19.45 ,14.07 ,14.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
63268,CPT,EXCISE INTRSPINL LESION SCRL,,,21,,RBRVS,20.02 ,14.33 ,14.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
63270,CPT,EXCISE INTRSPINL LESION CRVL,,,21,,RBRVS,29.80 ,19.17 ,19.17 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
63271,CPT,EXCISE INTRSPINL LESION THRC,,,21,,RBRVS,29.92 ,19.16 ,19.16 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
63272,CPT,EXCISE INTRSPINL LESION LMBR,,,21,,RBRVS,27.50 ,17.95 ,17.95 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
63273,CPT,EXCISE INTRSPINL LESION SCRL,,,21,,RBRVS,26.47 ,17.64 ,17.64 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
63275,CPT,BX/EXC XDRL SPINE LESN CRVL,,,21,,RBRVS,25.86 ,17.25 ,17.25 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
63276,CPT,BX/EXC XDRL SPINE LESN THRC,,,21,,RBRVS,25.69 ,17.13 ,17.13 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
63277,CPT,BX/EXC XDRL SPINE LESN LMBR,,,21,,RBRVS,22.39 ,15.49 ,15.49 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
63278,CPT,BX/EXC XDRL SPINE LESN SCRL,,,21,,RBRVS,22.12 ,15.64 ,15.64 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
63280,CPT,BX/EXC IDRL SPINE LESN CRVL,,,21,,RBRVS,30.29 ,19.84 ,19.84 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
63281,CPT,BX/EXC IDRL SPINE LESN THRC,,,21,,RBRVS,29.99 ,19.61 ,19.61 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
63282,CPT,BX/EXC IDRL SPINE LESN LMBR,,,21,,RBRVS,28.15 ,18.76 ,18.76 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
63283,CPT,BX/EXC IDRL SPINE LESN SCRL,,,21,,RBRVS,26.76 ,18.23 ,18.23 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
63285,CPT,BX/EXC IDRL IMED LESN CERVL,,,21,,RBRVS,38.05 ,23.42 ,23.42 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
63286,CPT,BX/EXC IDRL IMED LESN THRC,,,21,,RBRVS,37.62 ,23.22 ,23.22 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
63287,CPT,BX/EXC IDRL IMED LESN THRLMB,,,21,,RBRVS,40.08 ,24.36 ,24.36 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
63290,CPT,BX/EXC XDRL/IDRL LSN ANY LVL,,,21,,RBRVS,40.82 ,24.71 ,24.71 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
63295,CPT,REPAIR LAMINECTOMY DEFECT,,,21,,RBRVS,5.25 ,2.44 ,2.44 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
63300,CPT,REMOVE VERT XDRL BODY CRVCL,,,21,,RBRVS,26.80 ,17.48 ,17.48 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
63301,CPT,REMOVE VERT XDRL BODY THRC,,,21,,RBRVS,31.57 ,20.44 ,20.44 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
63302,CPT,REMOVE VERT XDRL BODY THRLMB,,,21,,RBRVS,31.15 ,20.25 ,20.25 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
63303,CPT,REMOV VERT XDRL BDY LMBR/SAC,,,21,,RBRVS,33.55 ,20.90 ,20.90 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
63304,CPT,REMOVE VERT IDRL BODY CRVCL,,,21,,RBRVS,33.85 ,21.49 ,21.49 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
63305,CPT,REMOVE VERT IDRL BODY THRC,,,21,,RBRVS,36.24 ,22.60 ,22.60 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
63306,CPT,REMOV VERT IDRL BDY THRCLMBR,,,21,,RBRVS,35.55 ,22.28 ,22.28 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
63307,CPT,REMOV VERT IDRL BDY LMBR/SAC,,,21,,RBRVS,34.96 ,21.63 ,21.63 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
63308,CPT,REMOVE VERTEBRAL BODY ADD-ON,,,21,,RBRVS,5.24 ,2.44 ,2.44 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
63600,CPT,REMOVE SPINAL CORD LESION,,,21,,RBRVS,15.12 ,10.79 ,10.79 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
63610,CPT,STIMULATION OF SPINAL CORD,,,21,,RBRVS,8.72 ,4.83 ,4.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
63620,CPT,SRS SPINAL LESION,,,21,,RBRVS,15.60 ,11.01 ,11.01 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
63621,CPT,SRS SPINAL LESION ADDL,,,21,,RBRVS,4.00 ,1.84 ,1.84 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
63650,CPT,IMPLANT NEUROELECTRODES,,,21,,RBRVS,7.15 ,4.01 ,46.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
63655,CPT,IMPLANT NEUROELECTRODES,,,21,,RBRVS,10.92 ,9.64 ,9.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
63661,CPT,REMOVE SPINE ELTRD PERQ ARAY,,,21,,RBRVS,5.08 ,3.40 ,12.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
63662,CPT,REMOVE SPINE ELTRD PLATE,,,21,,RBRVS,11.00 ,9.79 ,9.79 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
63663,CPT,REVISE SPINE ELTRD PERQ ARAY,,,21,,RBRVS,7.75 ,4.21 ,15.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
63664,CPT,REVISE SPINE ELTRD PLATE,,,21,,RBRVS,11.52 ,10.04 ,10.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
63685,CPT,INSRT/REDO SPINE N GENERATOR,,,21,,RBRVS,5.19 ,4.15 ,4.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
63688,CPT,REVISE/REMOVE NEURORECEIVER,,,21,,RBRVS,5.30 ,4.28 ,4.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
63700,CPT,REPAIR OF SPINAL HERNIATION,,,21,,RBRVS,17.47 ,13.71 ,13.71 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
63702,CPT,REPAIR OF SPINAL HERNIATION,,,21,,RBRVS,19.41 ,14.60 ,14.60 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
63704,CPT,REPAIR OF SPINAL HERNIATION,,,21,,RBRVS,22.43 ,17.09 ,17.09 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
63706,CPT,REPAIR OF SPINAL HERNIATION,,,21,,RBRVS,25.35 ,18.45 ,18.45 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
63707,CPT,REPAIR SPINAL FLUID LEAKAGE,,,21,,RBRVS,12.65 ,10.37 ,10.37 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
63709,CPT,REPAIR SPINAL FLUID LEAKAGE,,,21,,RBRVS,15.65 ,11.83 ,11.83 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
63710,CPT,GRAFT REPAIR OF SPINE DEFECT,,,21,,RBRVS,15.40 ,11.67 ,11.67 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
63740,CPT,INSTALL SPINAL SHUNT,,,21,,RBRVS,12.63 ,10.89 ,10.89 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
63741,CPT,INSTALL SPINAL SHUNT,,,21,,RBRVS,9.12 ,7.52 ,7.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
63744,CPT,REVISION OF SPINAL SHUNT,,,21,,RBRVS,8.94 ,7.63 ,7.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
63746,CPT,REMOVAL OF SPINAL SHUNT,,,21,,RBRVS,7.33 ,7.35 ,7.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
64400,CPT,NJX AA&/STRD TRIGEMINAL NRV,,,21,,RBRVS,0.75 ,0.51 ,2.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
64405,CPT,NJX AA&/STRD GR OCPL NRV,,,21,,RBRVS,0.94 ,0.40 ,0.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
64408,CPT,NJX AA&/STRD VAGUS NRV,,,21,,RBRVS,0.75 ,0.41 ,1.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
64415,CPT,NJX AA&/STRD BRACH PLEXUS,,,21,,RBRVS,1.35 ,0.37 ,1.76 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
64416,CPT,NJX AA&/STRD BRACH PLEX NFS,,,21,,RBRVS,1.48 ,0.26 ,0.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
64417,CPT,NJX AA&/STRD AXILLARY NRV,,,21,,RBRVS,1.27 ,0.37 ,2.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
64418,CPT,NJX AA&/STRD SPRSCAP NRV,,,21,,RBRVS,1.10 ,0.42 ,1.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
64420,CPT,NJX AA&/STRD NTRCOST NRV 1,,,21,,RBRVS,1.08 ,0.53 ,1.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
64421,CPT,NJX AA&/STRD NTRCOST NRV EA,,,21,,RBRVS,0.50 ,0.18 ,0.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
64425,CPT,NJX AA&/STRD II IH NERVES,,,21,,RBRVS,1.00 ,0.49 ,2.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
64430,CPT,NJX AA&/STRD PUDENDAL NERVE,,,21,,RBRVS,1.00 ,0.48 ,1.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
64435,CPT,NJX AA&/STRD PARACRV NRV,,,21,,RBRVS,0.75 ,0.40 ,1.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
64445,CPT,NJX AA&/STRD SCIATIC NERVE,,,21,,RBRVS,1.00 ,0.46 ,2.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
64446,CPT,NJX AA&/STRD SCIATIC NRV NFS,,,21,,RBRVS,1.36 ,0.24 ,0.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
64447,CPT,NJX AA&/STRD FEMORAL NERVE,,,21,,RBRVS,1.10 ,0.34 ,1.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
64448,CPT,NJX AA&/STRD FEM NERVE NFS,,,21,,RBRVS,1.41 ,0.25 ,0.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
64449,CPT,NJX AA&/STRD LMBR PLEX NFS,,,21,,RBRVS,1.27 ,0.40 ,0.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
64450,CPT,NJX AA&/STRD OTHER PN/BRANCH,,,21,,RBRVS,0.75 ,0.39 ,1.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
64451,CPT,NJX AA&/STRD NRV NRVTG SI JT,,,21,,RBRVS,1.52 ,0.62 ,4.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
64454,CPT,NJX AA&/STRD GNCLR NRV BRNCH,,,21,,RBRVS,1.52 ,0.69 ,4.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
64455,CPT,NJX AA&/STRD PLTR COM DG NRV,,,21,,RBRVS,0.75 ,0.19 ,0.57 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
64461,CPT,PVB THORACIC SINGLE INJ SITE,,,21,,RBRVS,1.75 ,0.34 ,1.87 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
64462,CPT,PVB THORACIC 2ND+ INJ SITE,,,21,,RBRVS,1.10 ,0.23 ,0.92 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
64463,CPT,PVB THORACIC CONT INFUSION,,,21,,RBRVS,1.90 ,0.34 ,3.65 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
64479,CPT,NJX AA&/STRD TFRM EPI C/T 1,,,21,,RBRVS,2.29 ,1.26 ,4.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
64480,CPT,NJX AA&/STRD TFRM EPI C/T EA,,,21,,RBRVS,1.20 ,0.48 ,2.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
64483,CPT,NJX AA&/STRD TFRM EPI L/S 1,,,21,,RBRVS,1.90 ,1.13 ,4.65 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
64484,CPT,NJX AA&/STRD TFRM EPI L/S EA,,,21,,RBRVS,1.00 ,0.41 ,1.87 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
64486,CPT,TAP BLOCK UNIL BY INJECTION,,,21,,RBRVS,1.27 ,0.24 ,1.79 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
64487,CPT,TAP BLOCK UNI BY INFUSION,,,21,,RBRVS,1.48 ,0.26 ,3.57 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
64488,CPT,TAP BLOCK BI INJECTION,,,21,,RBRVS,1.60 ,0.28 ,2.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
64489,CPT,TAP BLOCK BI BY INFUSION,,,21,,RBRVS,1.80 ,0.32 ,6.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
64490,CPT,INJ PARAVERT F JNT C/T 1 LEV,,,21,,RBRVS,1.82 ,1.04 ,3.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
64491,CPT,INJ PARAVERT F JNT C/T 2 LEV,,,21,,RBRVS,1.16 ,0.46 ,1.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
64492,CPT,INJ PARAVERT F JNT C/T 3 LEV,,,21,,RBRVS,1.16 ,0.48 ,1.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
64493,CPT,INJ PARAVERT F JNT L/S 1 LEV,,,21,,RBRVS,1.52 ,0.93 ,3.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
64494,CPT,INJ PARAVERT F JNT L/S 2 LEV,,,21,,RBRVS,1.00 ,0.40 ,1.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
64495,CPT,INJ PARAVERT F JNT L/S 3 LEV,,,21,,RBRVS,1.00 ,0.42 ,1.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
64505,CPT,N BLOCK SPENOPALATINE GANGL,,,21,,RBRVS,1.36 ,1.15 ,1.98 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
64510,CPT,N BLOCK STELLATE GANGLION,,,21,,RBRVS,1.22 ,0.83 ,2.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
64517,CPT,N BLOCK INJ HYPOGAS PLXS,,,21,,RBRVS,2.20 ,1.21 ,3.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
64520,CPT,N BLOCK LUMBAR/THORACIC,,,21,,RBRVS,1.35 ,0.90 ,4.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
64530,CPT,N BLOCK INJ CELIAC PELUS,,,21,,RBRVS,1.58 ,0.95 ,4.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
64553,CPT,IMPLANT NEUROELECTRODES,,,21,,RBRVS,6.13 ,3.26 ,50.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
64555,CPT,IMPLANT NEUROELECTRODES,,,21,,RBRVS,5.76 ,3.32 ,46.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
64561,CPT,IMPLANT NEUROELECTRODES,,,21,,RBRVS,5.44 ,2.67 ,15.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
64566,CPT,NEUROELTRD STIM POST TIBIAL,,,21,,RBRVS,0.60 ,0.21 ,2.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
64568,CPT,INC FOR VAGUS N ELECT IMPL,,,21,,RBRVS,9.00 ,6.73 ,6.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
64569,CPT,REVISE/REPL VAGUS N ELTRD,,,21,,RBRVS,11.00 ,7.65 ,7.65 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
64570,CPT,REMOVE VAGUS N ELTRD,,,21,,RBRVS,9.10 ,8.62 ,8.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
64575,CPT,IMPLANT NEUROELECTRODES,,,21,,RBRVS,4.42 ,4.31 ,4.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
64580,CPT,IMPLANT NEUROELECTRODES,,,21,,RBRVS,4.19 ,3.76 ,3.76 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
64581,CPT,IMPLANT NEUROELECTRODES,,,21,,RBRVS,12.20 ,5.40 ,5.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
64585,CPT,REVISE/REMOVE NEUROELECTRODE,,,21,,RBRVS,2.11 ,1.75 ,4.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
64590,CPT,INSRT/REDO PN/GASTR STIMUL,,,21,,RBRVS,2.45 ,1.84 ,4.79 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
64595,CPT,REVISE/RMV PN/GASTR STIMUL,,,21,,RBRVS,1.78 ,1.61 ,4.77 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
64600,CPT,INJECTION TREATMENT OF NERVE,,,21,,RBRVS,3.49 ,2.42 ,8.57 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
64605,CPT,INJECTION TREATMENT OF NERVE,,,21,,RBRVS,5.65 ,3.47 ,11.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
64610,CPT,INJECTION TREATMENT OF NERVE,,,21,,RBRVS,7.20 ,4.62 ,12.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
64611,CPT,CHEMODENERV SALIV GLANDS,,,21,,RBRVS,1.03 ,1.64 ,2.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
64612,CPT,DESTROY NERVE FACE MUSCLE,,,21,,RBRVS,1.41 ,1.67 ,2.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
64615,CPT,CHEMODENERV MUSC MIGRAINE,,,21,,RBRVS,1.85 ,1.12 ,1.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
64616,CPT,CHEMODENERV MUSC NECK DYSTON,,,21,,RBRVS,1.53 ,1.13 ,1.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
64617,CPT,CHEMODENER MUSCLE LARYNX EMG,,,21,,RBRVS,1.90 ,0.96 ,2.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
64620,CPT,INJECTION TREATMENT OF NERVE,,,21,,RBRVS,2.89 ,1.86 ,2.79 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
64624,CPT,DSTRJ NULYT AGT GNCLR NRV,,,21,,RBRVS,2.50 ,1.49 ,8.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
64625,CPT,RF ABLTJ NRV NRVTG SI JT,,,21,,RBRVS,3.39 ,1.88 ,10.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
64630,CPT,INJECTION TREATMENT OF NERVE,,,21,,RBRVS,3.05 ,1.98 ,3.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
64632,CPT,N BLOCK INJ COMMON DIGIT,,,21,,RBRVS,1.23 ,0.62 ,1.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
64633,CPT,DESTROY CERV/THOR FACET JNT,,,21,,RBRVS,3.84 ,2.25 ,7.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
64634,CPT,DESTROY C/TH FACET JNT ADDL,,,21,,RBRVS,1.32 ,0.52 ,3.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
64635,CPT,DESTROY LUMB/SAC FACET JNT,,,21,,RBRVS,3.78 ,2.24 ,7.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
64636,CPT,DESTROY L/S FACET JNT ADDL,,,21,,RBRVS,1.16 ,0.45 ,3.60 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
64640,CPT,INJECTION TREATMENT OF NERVE,,,21,,RBRVS,1.98 ,1.22 ,4.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
64642,CPT,CHEMODENERV 1 EXTREMITY 1-4,,,21,,RBRVS,1.65 ,1.09 ,2.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
64643,CPT,CHEMODENERV 1 EXTREM 1-4 EA,,,21,,RBRVS,1.22 ,0.62 ,1.21 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
64644,CPT,CHEMODENERV 1 EXTREM 5/> MUS,,,21,,RBRVS,1.82 ,1.18 ,2.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
64645,CPT,CHEMODENERV 1 EXTREM 5/> EA,,,21,,RBRVS,1.39 ,0.70 ,1.68 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
64646,CPT,CHEMODENERV TRUNK MUSC 1-5,,,21,,RBRVS,1.80 ,1.11 ,2.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
64647,CPT,CHEMODENERV TRUNK MUSC 6/>,,,21,,RBRVS,2.11 ,1.22 ,2.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
64650,CPT,CHEMODENERV ECCRINE GLANDS,,,21,,RBRVS,0.70 ,0.38 ,1.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
64653,CPT,CHEMODENERV ECCRINE GLANDS,,,21,,RBRVS,0.88 ,0.46 ,1.72 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
64680,CPT,INJECTION TREATMENT OF NERVE,,,21,,RBRVS,2.67 ,1.73 ,6.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
64681,CPT,INJECTION TREATMENT OF NERVE,,,21,,RBRVS,3.78 ,2.85 ,11.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
64702,CPT,REVISE FINGER/TOE NERVE,,,21,,RBRVS,6.26 ,7.18 ,7.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
64704,CPT,REVISE HAND/FOOT NERVE,,,21,,RBRVS,4.69 ,4.04 ,4.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
64708,CPT,REVISE ARM/LEG NERVE,,,21,,RBRVS,6.36 ,6.96 ,6.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
64712,CPT,REVISION OF SCIATIC NERVE,,,21,,RBRVS,8.07 ,7.30 ,7.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
64713,CPT,REVISION OF ARM NERVE(S),,,21,,RBRVS,11.40 ,8.80 ,8.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
64714,CPT,REVISE LOW BACK NERVE(S),,,21,,RBRVS,10.55 ,8.55 ,8.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
64716,CPT,REVISION OF CRANIAL NERVE,,,21,,RBRVS,6.99 ,6.68 ,6.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
64718,CPT,REVISE ULNAR NERVE AT ELBOW,,,21,,RBRVS,7.26 ,8.46 ,8.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
64719,CPT,REVISE ULNAR NERVE AT WRIST,,,21,,RBRVS,4.97 ,5.72 ,5.72 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
64721,CPT,CARPAL TUNNEL SURGERY,,,21,,RBRVS,4.97 ,6.44 ,6.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
64722,CPT,RELIEVE PRESSURE ON NERVE(S),,,21,,RBRVS,4.82 ,4.68 ,4.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
64726,CPT,RELEASE FOOT/TOE NERVE,,,21,,RBRVS,4.27 ,3.08 ,3.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
64727,CPT,INTERNAL NERVE REVISION,,,21,,RBRVS,3.10 ,1.55 ,1.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
64732,CPT,INCISION OF BROW NERVE,,,21,,RBRVS,4.89 ,6.07 ,6.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
64734,CPT,INCISION OF CHEEK NERVE,,,21,,RBRVS,5.55 ,6.83 ,6.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
64736,CPT,INCISION OF CHIN NERVE,,,21,,RBRVS,5.23 ,4.34 ,4.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
64738,CPT,INCISION OF JAW NERVE,,,21,,RBRVS,6.36 ,6.06 ,6.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
64740,CPT,INCISION OF TONGUE NERVE,,,21,,RBRVS,6.22 ,6.71 ,6.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
64742,CPT,INCISION OF FACIAL NERVE,,,21,,RBRVS,6.85 ,6.69 ,6.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
64744,CPT,INCISE NERVE BACK OF HEAD,,,21,,RBRVS,5.72 ,6.46 ,6.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
64746,CPT,INCISE DIAPHRAGM NERVE,,,21,,RBRVS,6.56 ,4.39 ,4.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
64755,CPT,INCISION OF STOMACH NERVES,,,21,,RBRVS,15.05 ,8.12 ,8.12 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
64760,CPT,INCISION OF VAGUS NERVE,,,21,,RBRVS,7.59 ,5.58 ,5.58 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
64763,CPT,INCISE HIP/THIGH NERVE,,,21,,RBRVS,7.56 ,5.47 ,5.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
64766,CPT,INCISE HIP/THIGH NERVE,,,21,,RBRVS,9.47 ,6.58 ,6.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
64771,CPT,SEVER CRANIAL NERVE,,,21,,RBRVS,8.15 ,7.95 ,7.95 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
64772,CPT,INCISION OF SPINAL NERVE,,,21,,RBRVS,7.84 ,6.93 ,6.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
64774,CPT,REMOVE SKIN NERVE LESION,,,21,,RBRVS,5.80 ,5.05 ,5.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
64776,CPT,REMOVE DIGIT NERVE LESION,,,21,,RBRVS,5.60 ,4.81 ,4.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
64778,CPT,DIGIT NERVE SURGERY ADD-ON,,,21,,RBRVS,3.11 ,1.56 ,1.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
64782,CPT,REMOVE LIMB NERVE LESION,,,21,,RBRVS,6.86 ,5.35 ,5.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
64783,CPT,LIMB NERVE SURGERY ADD-ON,,,21,,RBRVS,3.71 ,1.86 ,1.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
64784,CPT,REMOVE NERVE LESION,,,21,,RBRVS,10.62 ,8.52 ,8.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
64786,CPT,REMOVE SCIATIC NERVE LESION,,,21,,RBRVS,16.25 ,9.03 ,9.03 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
64787,CPT,IMPLANT NERVE END,,,21,,RBRVS,4.29 ,2.00 ,2.00 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
64788,CPT,REMOVE SKIN NERVE LESION,,,21,,RBRVS,5.24 ,5.31 ,5.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
64790,CPT,REMOVAL OF NERVE LESION,,,21,,RBRVS,12.10 ,9.23 ,9.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
64792,CPT,REMOVAL OF NERVE LESION,,,21,,RBRVS,15.86 ,11.04 ,11.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
64795,CPT,BIOPSY OF NERVE,,,21,,RBRVS,3.01 ,1.79 ,1.79 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
64802,CPT,SYMPATHECTOMY CERVICAL,,,21,,RBRVS,10.37 ,9.85 ,9.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
64804,CPT,REMOVE SYMPATHETIC NERVES,,,21,,RBRVS,15.91 ,12.40 ,12.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
64809,CPT,REMOVE SYMPATHETIC NERVES,,,21,,RBRVS,14.71 ,11.20 ,11.20 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
64818,CPT,REMOVE SYMPATHETIC NERVES,,,21,,RBRVS,11.34 ,8.95 ,8.95 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
64820,CPT,SYMPATHECTOMY DIGITAL ARTERY,,,21,,RBRVS,10.74 ,8.56 ,8.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
64821,CPT,REMOVE SYMPATHETIC NERVES,,,21,,RBRVS,9.33 ,8.87 ,8.87 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
64822,CPT,REMOVE SYMPATHETIC NERVES,,,21,,RBRVS,9.33 ,8.87 ,8.87 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
64823,CPT,SYMPATHECTOMY SUPFC PALMAR,,,21,,RBRVS,10.94 ,9.68 ,9.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
64831,CPT,REPAIR OF DIGIT NERVE,,,21,,RBRVS,9.16 ,9.07 ,9.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
64832,CPT,REPAIR NERVE ADD-ON,,,21,,RBRVS,5.65 ,3.07 ,3.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
64834,CPT,REPAIR OF HAND OR FOOT NERVE,,,21,,RBRVS,10.81 ,8.65 ,8.65 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
64835,CPT,REPAIR OF HAND OR FOOT NERVE,,,21,,RBRVS,11.73 ,9.52 ,9.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
64836,CPT,REPAIR OF HAND OR FOOT NERVE,,,21,,RBRVS,11.73 ,9.52 ,9.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
64837,CPT,REPAIR NERVE ADD-ON,,,21,,RBRVS,6.25 ,3.14 ,3.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
64840,CPT,REPAIR OF LEG NERVE,,,21,,RBRVS,14.02 ,11.00 ,11.00 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
64856,CPT,REPAIR/TRANSPOSE NERVE,,,21,,RBRVS,15.07 ,11.36 ,11.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
64857,CPT,REPAIR ARM/LEG NERVE,,,21,,RBRVS,15.82 ,11.78 ,11.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
64858,CPT,REPAIR SCIATIC NERVE,,,21,,RBRVS,17.82 ,12.68 ,12.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
64859,CPT,NERVE SURGERY,,,21,,RBRVS,4.25 ,2.13 ,2.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
64861,CPT,REPAIR OF ARM NERVES,,,21,,RBRVS,20.89 ,15.15 ,15.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
64862,CPT,REPAIR OF LOW BACK NERVES,,,21,,RBRVS,21.09 ,14.54 ,14.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
64864,CPT,REPAIR OF FACIAL NERVE,,,21,,RBRVS,13.41 ,9.40 ,9.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
64865,CPT,REPAIR OF FACIAL NERVE,,,21,,RBRVS,16.09 ,13.00 ,13.00 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
64866,CPT,FUSION OF FACIAL/OTHER NERVE,,,21,,RBRVS,16.83 ,16.94 ,16.94 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
64868,CPT,FUSION OF FACIAL/OTHER NERVE,,,21,,RBRVS,14.90 ,11.74 ,11.74 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
64872,CPT,SUBSEQUENT REPAIR OF NERVE,,,21,,RBRVS,1.99 ,1.00 ,1.00 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
64874,CPT,REPAIR & REVISE NERVE ADD-ON,,,21,,RBRVS,2.98 ,1.49 ,1.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
64876,CPT,REPAIR NERVE/SHORTEN BONE,,,21,,RBRVS,3.37 ,1.69 ,1.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
64885,CPT,NERVE GRAFT HEAD/NECK </4 CM,,,21,,RBRVS,17.60 ,11.67 ,11.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
64886,CPT,NERVE GRAFT HEAD/NECK >4 CM,,,21,,RBRVS,20.82 ,12.94 ,12.94 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
64890,CPT,NERVE GRAFT HAND/FOOT </4 CM,,,21,,RBRVS,16.24 ,11.78 ,11.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
64891,CPT,NERVE GRAFT HAND/FOOT >4 CM,,,21,,RBRVS,17.35 ,12.44 ,12.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
64892,CPT,NERVE GRAFT ARM/LEG <4 CM,,,21,,RBRVS,15.74 ,11.53 ,11.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
64893,CPT,NERVE GRAFT ARM/LEG >4 CM,,,21,,RBRVS,16.87 ,12.20 ,12.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
64895,CPT,NERVE GRAFT HAND/FOOT </4 CM,,,21,,RBRVS,20.39 ,13.97 ,13.97 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
64896,CPT,NERVE GRAFT HAND/FOOT >4 CM,,,21,,RBRVS,21.96 ,15.09 ,15.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
64897,CPT,NERVE GRAFT ARM/LEG </4 CM,,,21,,RBRVS,19.38 ,13.46 ,13.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
64898,CPT,NERVE GRAFT ARM/LEG >4 CM,,,21,,RBRVS,20.97 ,14.59 ,14.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
64901,CPT,NERVE GRAFT ADD-ON,,,21,,RBRVS,10.20 ,5.12 ,5.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
64902,CPT,NERVE GRAFT ADD-ON,,,21,,RBRVS,11.81 ,5.92 ,5.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
64905,CPT,NERVE PEDICLE TRANSFER,,,21,,RBRVS,15.11 ,11.52 ,11.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
64907,CPT,NERVE PEDICLE TRANSFER,,,21,,RBRVS,20.03 ,13.68 ,13.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
64910,CPT,NERVE REPAIR W/ALLOGRAFT,,,21,,RBRVS,10.52 ,10.43 ,10.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
64911,CPT,NEURORRAPHY W/VEIN AUTOGRAFT,,,21,,RBRVS,14.00 ,12.80 ,12.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
64912,CPT,NRV RPR W/NRV ALGRFT 1ST,,,21,,RBRVS,12.00 ,11.61 ,11.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
64913,CPT,NRV RPR W/NRV ALGRFT EA ADDL,,,21,,RBRVS,3.00 ,1.68 ,1.68 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
64999,CPT,NERVOUS SYSTEM SURGERY,,,21,,TotalUnits,,,,3.64 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
65091,CPT,REVISE EYE,,,21,,RBRVS,7.26 ,11.72 ,11.72 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
65093,CPT,REVISE EYE WITH IMPLANT,,,21,,RBRVS,7.04 ,11.75 ,11.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
65101,CPT,REMOVAL OF EYE,,,21,,RBRVS,8.30 ,13.56 ,13.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
65103,CPT,REMOVE EYE/INSERT IMPLANT,,,21,,RBRVS,8.84 ,13.83 ,13.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
65105,CPT,REMOVE EYE/ATTACH IMPLANT,,,21,,RBRVS,9.93 ,14.87 ,14.87 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
65110,CPT,REMOVAL OF EYE,,,21,,RBRVS,15.70 ,19.17 ,19.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
65112,CPT,REMOVE EYE/REVISE SOCKET,,,21,,RBRVS,18.51 ,21.66 ,21.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
65114,CPT,REMOVE EYE/REVISE SOCKET,,,21,,RBRVS,19.65 ,22.36 ,22.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
65125,CPT,REVISE OCULAR IMPLANT,,,21,,RBRVS,3.27 ,4.74 ,9.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
65130,CPT,INSERT OCULAR IMPLANT,,,21,,RBRVS,8.42 ,13.33 ,13.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
65135,CPT,INSERT OCULAR IMPLANT,,,21,,RBRVS,8.60 ,13.44 ,13.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
65140,CPT,ATTACH OCULAR IMPLANT,,,21,,RBRVS,9.46 ,14.35 ,14.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
65150,CPT,REVISE OCULAR IMPLANT,,,21,,RBRVS,6.43 ,11.14 ,11.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
65155,CPT,REINSERT OCULAR IMPLANT,,,21,,RBRVS,10.10 ,14.74 ,14.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
65175,CPT,REMOVAL OF OCULAR IMPLANT,,,21,,RBRVS,7.40 ,12.31 ,12.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
65205,CPT,REMOVE FOREIGN BODY FROM EYE,,,21,,RBRVS,0.49 ,0.32 ,0.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
65210,CPT,REMOVE FOREIGN BODY FROM EYE,,,21,,RBRVS,0.61 ,0.40 ,0.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
65220,CPT,REMOVE FOREIGN BODY FROM EYE,,,21,,RBRVS,0.71 ,0.39 ,0.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
65222,CPT,REMOVE FOREIGN BODY FROM EYE,,,21,,RBRVS,0.84 ,0.57 ,1.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
65235,CPT,REMOVE FOREIGN BODY FROM EYE,,,21,,RBRVS,9.01 ,10.67 ,10.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
65260,CPT,REMOVE FOREIGN BODY FROM EYE,,,21,,RBRVS,12.54 ,14.06 ,14.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
65265,CPT,REMOVE FOREIGN BODY FROM EYE,,,21,,RBRVS,14.34 ,15.53 ,15.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
65270,CPT,REPAIR OF EYE WOUND,,,21,,RBRVS,1.95 ,1.91 ,5.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
65272,CPT,REPAIR OF EYE WOUND,,,21,,RBRVS,4.62 ,5.03 ,9.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
65273,CPT,REPAIR OF EYE WOUND,,,21,,RBRVS,5.16 ,5.25 ,5.25 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
65275,CPT,REPAIR OF EYE WOUND,,,21,,RBRVS,6.29 ,6.34 ,9.79 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
65280,CPT,REPAIR OF EYE WOUND,,,21,,RBRVS,9.10 ,9.25 ,9.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
65285,CPT,REPAIR OF EYE WOUND,,,21,,RBRVS,15.36 ,14.92 ,14.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
65286,CPT,REPAIR OF EYE WOUND,,,21,,RBRVS,6.63 ,6.93 ,12.82 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
65290,CPT,REPAIR OF EYE SOCKET WOUND,,,21,,RBRVS,6.53 ,6.89 ,6.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
65400,CPT,REMOVAL OF EYE LESION,,,21,,RBRVS,7.50 ,8.97 ,11.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
65410,CPT,BIOPSY OF CORNEA,,,21,,RBRVS,1.47 ,1.34 ,2.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
65420,CPT,REMOVAL OF EYE LESION,,,21,,RBRVS,4.36 ,5.98 ,10.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
65426,CPT,REMOVAL OF EYE LESION,,,21,,RBRVS,6.05 ,7.02 ,12.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
65430,CPT,CORNEAL SMEAR,,,21,,RBRVS,1.47 ,1.32 ,1.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
65435,CPT,CURETTE/TREAT CORNEA,,,21,,RBRVS,0.92 ,0.98 ,1.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
65436,CPT,CURETTE/TREAT CORNEA,,,21,,RBRVS,4.82 ,5.29 ,5.79 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
65450,CPT,TREATMENT OF CORNEAL LESION,,,21,,RBRVS,3.47 ,5.33 ,5.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
65600,CPT,REVISION OF CORNEA,,,21,,RBRVS,4.20 ,5.11 ,7.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
65710,CPT,CORNEAL TRANSPLANT,,,21,,RBRVS,14.45 ,16.35 ,16.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
65730,CPT,CORNEAL TRANSPLANT,,,21,,RBRVS,16.35 ,17.66 ,17.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
65750,CPT,CORNEAL TRANSPLANT,,,21,,RBRVS,16.90 ,17.27 ,17.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
65755,CPT,CORNEAL TRANSPLANT,,,21,,RBRVS,16.79 ,17.22 ,17.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
65756,CPT,CORNEAL TRNSPL ENDOTHELIAL,,,21,,RBRVS,16.84 ,15.35 ,15.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
65757,CPT,PREP CORNEAL ENDO ALLOGRAFT,,,21,,TotalUnits,,,,5.80 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
65760,CPT,REVISION OF CORNEA,,,21,,TotalUnits,,,,17.60 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
65765,CPT,REVISION OF CORNEA,,,21,,TotalUnits,,,,43.34 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
65767,CPT,CORNEAL TISSUE TRANSPLANT,,,21,,TotalUnits,,,,40.36 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
65770,CPT,REVISE CORNEA WITH IMPLANT,,,21,,RBRVS,19.74 ,18.41 ,18.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
65771,CPT,RADIAL KERATOTOMY,,,21,,TotalUnits,,,,10.28 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
65772,CPT,CORRECTION OF ASTIGMATISM,,,21,,RBRVS,5.09 ,5.98 ,7.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
65775,CPT,CORRECTION OF ASTIGMATISM,,,21,,RBRVS,6.91 ,8.51 ,8.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
65778,CPT,COVER EYE W/MEMBRANE,,,21,,RBRVS,1.00 ,0.50 ,38.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
65779,CPT,COVER EYE W/MEMBRANE SUTURE,,,21,,RBRVS,2.50 ,1.59 ,31.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
65780,CPT,OCULAR RECONST TRANSPLANT,,,21,,RBRVS,7.81 ,10.46 ,10.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
65781,CPT,OCULAR RECONST TRANSPLANT,,,21,,RBRVS,18.14 ,18.20 ,18.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
65782,CPT,OCULAR RECONST TRANSPLANT,,,21,,RBRVS,15.43 ,15.94 ,15.94 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
65785,CPT,IMPLTJ NTRSTRML CRNL RNG SEG,,,21,,RBRVS,5.39 ,6.71 ,61.65 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
65800,CPT,DRAINAGE OF EYE,,,21,,RBRVS,1.53 ,0.94 ,1.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
65810,CPT,DRAINAGE OF EYE,,,21,,RBRVS,5.82 ,6.88 ,6.88 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
65815,CPT,DRAINAGE OF EYE,,,21,,RBRVS,6.00 ,7.04 ,11.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
65820,CPT,RELIEVE INNER EYE PRESSURE,,,21,,RBRVS,8.91 ,12.66 ,12.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
65850,CPT,INCISION OF EYE,,,21,,RBRVS,11.39 ,11.62 ,11.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
65855,CPT,TRABECULOPLASTY LASER SURG,,,21,,RBRVS,3.00 ,2.64 ,3.76 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
65860,CPT,INCISE INNER EYE ADHESIONS,,,21,,RBRVS,3.59 ,3.25 ,4.91 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
65865,CPT,INCISE INNER EYE ADHESIONS,,,21,,RBRVS,5.77 ,7.25 ,7.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
65870,CPT,INCISE INNER EYE ADHESIONS,,,21,,RBRVS,7.39 ,8.84 ,8.84 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
65875,CPT,INCISE INNER EYE ADHESIONS,,,21,,RBRVS,7.81 ,9.49 ,9.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
65880,CPT,INCISE INNER EYE ADHESIONS,,,21,,RBRVS,8.36 ,9.83 ,9.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
65900,CPT,REMOVE EYE LESION,,,21,,RBRVS,12.51 ,14.33 ,14.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
65920,CPT,REMOVE IMPLANT OF EYE,,,21,,RBRVS,9.99 ,11.64 ,11.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
65930,CPT,REMOVE BLOOD CLOT FROM EYE,,,21,,RBRVS,8.39 ,9.10 ,9.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
66020,CPT,INJECTION TREATMENT OF EYE,,,21,,RBRVS,1.64 ,1.94 ,3.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
66030,CPT,INJECTION TREATMENT OF EYE,,,21,,RBRVS,1.30 ,1.73 ,3.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
66130,CPT,REMOVE EYE LESION,,,21,,RBRVS,7.83 ,7.62 ,11.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
66150,CPT,GLAUCOMA SURGERY,,,21,,RBRVS,10.53 ,13.50 ,13.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
66155,CPT,GLAUCOMA SURGERY,,,21,,RBRVS,10.52 ,13.49 ,13.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
66160,CPT,GLAUCOMA SURGERY,,,21,,RBRVS,12.39 ,14.63 ,14.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
66170,CPT,GLAUCOMA SURGERY,,,21,,RBRVS,13.94 ,15.97 ,15.97 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
66172,CPT,INCISION OF EYE,,,21,,RBRVS,14.84 ,17.77 ,17.77 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
66174,CPT,TRANSLUM DIL EYE CANAL,,,21,,RBRVS,12.85 ,12.97 ,12.97 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
66175,CPT,TRNSLUM DIL EYE CANAL W/STNT,,,21,,RBRVS,13.60 ,13.43 ,13.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
66179,CPT,AQUEOUS SHUNT EYE W/O GRAFT,,,21,,RBRVS,14.00 ,15.49 ,15.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
66180,CPT,AQUEOUS SHUNT EYE W/GRAFT,,,21,,RBRVS,15.00 ,16.11 ,16.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
66183,CPT,INSERT ANT DRAINAGE DEVICE,,,21,,RBRVS,13.20 ,14.95 ,14.95 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
66184,CPT,REVISION OF AQUEOUS SHUNT,,,21,,RBRVS,9.58 ,11.97 ,11.97 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
66185,CPT,REVISE AQUEOUS SHUNT EYE,,,21,,RBRVS,10.58 ,12.59 ,12.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
66225,CPT,REPAIR/GRAFT EYE LESION,,,21,,RBRVS,12.63 ,12.85 ,12.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
66250,CPT,FOLLOW-UP SURGERY OF EYE,,,21,,RBRVS,7.10 ,8.11 ,13.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
66500,CPT,INCISION OF IRIS,,,21,,RBRVS,3.83 ,6.45 ,6.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
66505,CPT,INCISION OF IRIS,,,21,,RBRVS,4.22 ,6.99 ,6.99 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
66600,CPT,REMOVE IRIS AND LESION,,,21,,RBRVS,10.12 ,13.73 ,13.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
66605,CPT,REMOVAL OF IRIS,,,21,,RBRVS,14.22 ,15.27 ,15.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
66625,CPT,REMOVAL OF IRIS,,,21,,RBRVS,5.30 ,6.43 ,6.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
66630,CPT,REMOVAL OF IRIS,,,21,,RBRVS,7.28 ,8.24 ,8.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
66635,CPT,REMOVAL OF IRIS,,,21,,RBRVS,7.37 ,8.29 ,8.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
66680,CPT,REPAIR IRIS & CILIARY BODY,,,21,,RBRVS,6.39 ,7.82 ,7.82 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
66682,CPT,REPAIR IRIS & CILIARY BODY,,,21,,RBRVS,7.33 ,11.21 ,11.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
66700,CPT,DESTRUCTION CILIARY BODY,,,21,,RBRVS,5.14 ,5.56 ,7.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
66710,CPT,CILIARY TRANSSLERAL THERAPY,,,21,,RBRVS,5.14 ,5.56 ,7.03 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
66711,CPT,ECP CILIARY BODY DESTRUCTION,,,21,,RBRVS,5.62 ,8.19 ,8.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
66720,CPT,DESTRUCTION CILIARY BODY,,,21,,RBRVS,4.75 ,6.43 ,7.99 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
66740,CPT,DESTRUCTION CILIARY BODY,,,21,,RBRVS,5.14 ,5.56 ,6.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
66761,CPT,REVISION OF IRIS,,,21,,RBRVS,3.00 ,3.45 ,5.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
66762,CPT,REVISION OF IRIS,,,21,,RBRVS,5.38 ,6.23 ,7.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
66770,CPT,REMOVAL OF INNER EYE LESION,,,21,,RBRVS,6.13 ,7.04 ,8.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
66820,CPT,INCISION SECONDARY CATARACT,,,21,,RBRVS,4.01 ,7.87 ,7.87 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
66821,CPT,AFTER CATARACT LASER SURGERY,,,21,,RBRVS,3.42 ,5.13 ,5.72 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
66825,CPT,REPOSITION INTRAOCULAR LENS,,,21,,RBRVS,9.01 ,12.84 ,12.84 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
66830,CPT,REMOVAL OF LENS LESION,,,21,,RBRVS,9.47 ,9.94 ,9.94 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
66840,CPT,REMOVAL OF LENS MATERIAL,,,21,,RBRVS,9.18 ,9.80 ,9.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
66850,CPT,REMOVAL OF LENS MATERIAL,,,21,,RBRVS,10.55 ,11.04 ,11.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
66852,CPT,REMOVAL OF LENS MATERIAL,,,21,,RBRVS,11.41 ,11.58 ,11.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
66920,CPT,EXTRACTION OF LENS,,,21,,RBRVS,10.13 ,10.39 ,10.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
66930,CPT,EXTRACTION OF LENS,,,21,,RBRVS,11.61 ,11.78 ,11.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
66940,CPT,EXTRACTION OF LENS,,,21,,RBRVS,10.37 ,11.01 ,11.01 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
66982,CPT,XCAPSL CTRC RMVL CPLX WO ECP,,,21,,RBRVS,10.25 ,10.19 ,10.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
66983,CPT,CATARACT SURG W/IOL 1 STAGE,,,21,,TotalUnits,,,,15.08 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
66984,CPT,XCAPSL CTRC RMVL W/O ECP,,,21,,RBRVS,7.35 ,7.57 ,7.57 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
66985,CPT,INSERT LENS PROSTHESIS,,,21,,RBRVS,9.98 ,11.02 ,11.02 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
66986,CPT,EXCHANGE LENS PROSTHESIS,,,21,,RBRVS,12.26 ,12.48 ,12.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
66987,CPT,XCAPSL CTRC RMVL CPLX W/ECP,,,21,,TotalUnits,,,,25.02 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
66988,CPT,XCAPSL CTRC RMVL W/ECP,,,21,,TotalUnits,,,,19.88 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
66990,CPT,OPHTHALMIC ENDOSCOPE ADD-ON,,,21,,RBRVS,1.51 ,0.93 ,0.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
66999,CPT,EYE SURGERY PROCEDURE,,,21,,TotalUnits,,,,14.92 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
67005,CPT,PARTIAL REMOVAL OF EYE FLUID,,,21,,RBRVS,5.89 ,7.03 ,7.03 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
67010,CPT,PARTIAL REMOVAL OF EYE FLUID,,,21,,RBRVS,7.06 ,7.74 ,7.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
67015,CPT,RELEASE OF EYE FLUID,,,21,,RBRVS,7.14 ,9.08 ,9.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
67025,CPT,REPLACE EYE FLUID,,,21,,RBRVS,8.11 ,9.15 ,12.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
67027,CPT,IMPLANT EYE DRUG SYSTEM,,,21,,RBRVS,11.62 ,11.59 ,11.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
67028,CPT,INJECTION EYE DRUG,,,21,,RBRVS,1.44 ,1.24 ,1.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
67030,CPT,INCISE INNER EYE STRANDS,,,21,,RBRVS,6.11 ,8.81 ,8.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
67031,CPT,LASER SURGERY EYE STRANDS,,,21,,RBRVS,4.47 ,5.27 ,6.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
67036,CPT,REMOVAL OF INNER EYE FLUID,,,21,,RBRVS,12.13 ,12.41 ,12.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
67039,CPT,LASER TREATMENT OF RETINA,,,21,,RBRVS,13.20 ,13.07 ,13.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
67040,CPT,LASER TREATMENT OF RETINA,,,21,,RBRVS,14.50 ,13.87 ,13.87 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
67041,CPT,VIT FOR MACULAR PUCKER,,,21,,RBRVS,16.33 ,14.99 ,14.99 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
67042,CPT,VIT FOR MACULAR HOLE,,,21,,RBRVS,16.33 ,14.98 ,14.98 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
67043,CPT,VIT FOR MEMBRANE DISSECT,,,21,,RBRVS,17.40 ,15.65 ,15.65 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
67101,CPT,REPAIR DETACHED RETINA CRTX,,,21,,RBRVS,3.50 ,4.28 ,5.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
67105,CPT,REPAIR DETACHED RETINA PC,,,21,,RBRVS,3.39 ,4.12 ,4.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
67107,CPT,REPAIR DETACHED RETINA,,,21,,RBRVS,16.00 ,14.79 ,14.79 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
67108,CPT,REPAIR DETACHED RETINA,,,21,,RBRVS,17.13 ,15.48 ,15.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
67110,CPT,REPAIR DETACHED RETINA,,,21,,RBRVS,10.25 ,11.97 ,14.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
67113,CPT,REPAIR RETINAL DETACH CPLX,,,21,,RBRVS,19.00 ,17.43 ,17.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
67115,CPT,RELEASE ENCIRCLING MATERIAL,,,21,,RBRVS,6.11 ,7.53 ,7.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
67120,CPT,REMOVE EYE IMPLANT MATERIAL,,,21,,RBRVS,7.10 ,8.08 ,11.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
67121,CPT,REMOVE EYE IMPLANT MATERIAL,,,21,,RBRVS,12.25 ,12.48 ,12.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
67141,CPT,TREATMENT OF RETINA,,,21,,RBRVS,6.15 ,7.14 ,8.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
67145,CPT,TREATMENT OF RETINA,,,21,,RBRVS,6.32 ,7.25 ,8.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
67208,CPT,TREATMENT OF RETINAL LESION,,,21,,RBRVS,7.65 ,8.10 ,8.79 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
67210,CPT,TREATMENT OF RETINAL LESION,,,21,,RBRVS,6.36 ,7.28 ,7.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
67218,CPT,TREATMENT OF RETINAL LESION,,,21,,RBRVS,20.36 ,17.55 ,17.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
67220,CPT,TREATMENT OF CHOROID LESION,,,21,,RBRVS,6.36 ,7.28 ,8.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
67221,CPT,OCULAR PHOTODYNAMIC THER,,,21,,RBRVS,3.45 ,2.30 ,4.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
67225,CPT,EYE PHOTODYNAMIC THER ADD-ON,,,21,,RBRVS,0.47 ,0.29 ,0.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
67227,CPT,DSTRJ EXTENSIVE RETINOPATHY,,,21,,RBRVS,3.50 ,3.47 ,4.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
67228,CPT,TREATMENT X10SV RETINOPATHY,,,21,,RBRVS,4.39 ,3.93 ,4.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
67229,CPT,TR RETINAL LES PRETERM INF,,,21,,RBRVS,16.30 ,15.43 ,15.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
67250,CPT,REINFORCE EYE WALL,,,21,,RBRVS,9.61 ,13.52 ,13.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
67255,CPT,REINFORCE/GRAFT EYE WALL,,,21,,RBRVS,8.38 ,10.35 ,10.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
67299,CPT,EYE SURGERY PROCEDURE,,,21,,TotalUnits,,,,2.75 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
67311,CPT,REVISE EYE MUSCLE,,,21,,RBRVS,7.77 ,8.55 ,8.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
67312,CPT,REVISE TWO EYE MUSCLES,,,21,,RBRVS,9.66 ,9.92 ,9.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
67314,CPT,REVISE EYE MUSCLE,,,21,,RBRVS,8.79 ,9.75 ,9.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
67316,CPT,REVISE TWO EYE MUSCLES,,,21,,RBRVS,10.93 ,11.04 ,11.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
67318,CPT,REVISE EYE MUSCLE(S),,,21,,RBRVS,9.12 ,10.25 ,10.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
67320,CPT,REVISE EYE MUSCLE(S) ADD-ON,,,21,,RBRVS,5.40 ,3.29 ,3.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
67331,CPT,EYE SURGERY FOLLOW-UP ADD-ON,,,21,,RBRVS,5.13 ,3.13 ,3.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
67332,CPT,REREVISE EYE MUSCLES ADD-ON,,,21,,RBRVS,5.56 ,3.39 ,3.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
67334,CPT,REVISE EYE MUSCLE W/SUTURE,,,21,,RBRVS,5.05 ,3.09 ,3.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
67335,CPT,EYE SUTURE DURING SURGERY,,,21,,RBRVS,2.49 ,1.50 ,1.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
67340,CPT,REVISE EYE MUSCLE ADD-ON,,,21,,RBRVS,6.00 ,3.68 ,3.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
67343,CPT,RELEASE EYE TISSUE,,,21,,RBRVS,8.47 ,9.49 ,9.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
67345,CPT,DESTROY NERVE OF EYE MUSCLE,,,21,,RBRVS,3.01 ,2.76 ,3.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
67346,CPT,BIOPSY EYE MUSCLE,,,21,,RBRVS,2.87 ,2.36 ,2.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
67399,CPT,UNLISTED PX EXTRAOCULAR MUSC,,,21,,TotalUnits,,,,16.32 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
67400,CPT,EXPLORE/BIOPSY EYE SOCKET,,,21,,RBRVS,11.20 ,15.82 ,15.82 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
67405,CPT,EXPLORE/DRAIN EYE SOCKET,,,21,,RBRVS,9.20 ,13.97 ,13.97 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
67412,CPT,EXPLORE/TREAT EYE SOCKET,,,21,,RBRVS,10.30 ,15.00 ,15.00 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
67413,CPT,EXPLORE/TREAT EYE SOCKET,,,21,,RBRVS,10.24 ,14.71 ,14.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
67414,CPT,EXPLR/DECOMPRESS EYE SOCKET,,,21,,RBRVS,17.94 ,20.13 ,20.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
67415,CPT,ASPIRATION ORBITAL CONTENTS,,,21,,RBRVS,1.76 ,1.07 ,1.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
67420,CPT,EXPLORE/TREAT EYE SOCKET,,,21,,RBRVS,21.87 ,23.88 ,23.88 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
67430,CPT,EXPLORE/TREAT EYE SOCKET,,,21,,RBRVS,15.29 ,20.89 ,20.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
67440,CPT,EXPLORE/DRAIN EYE SOCKET,,,21,,RBRVS,14.84 ,20.22 ,20.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
67445,CPT,EXPLR/DECOMPRESS EYE SOCKET,,,21,,RBRVS,19.12 ,21.01 ,21.01 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
67450,CPT,EXPLORE/BIOPSY EYE SOCKET,,,21,,RBRVS,15.41 ,20.96 ,20.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
67500,CPT,INJECT/TREAT EYE SOCKET,,,21,,RBRVS,1.18 ,0.47 ,0.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
67505,CPT,INJECT/TREAT EYE SOCKET,,,21,,RBRVS,1.18 ,0.71 ,1.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
67515,CPT,INJECT/TREAT EYE SOCKET,,,21,,RBRVS,0.75 ,0.86 ,1.00 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
67550,CPT,INSERT EYE SOCKET IMPLANT,,,21,,RBRVS,11.77 ,16.30 ,16.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
67560,CPT,REVISE EYE SOCKET IMPLANT,,,21,,RBRVS,12.18 ,16.55 ,16.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
67570,CPT,DECOMPRESS OPTIC NERVE,,,21,,RBRVS,14.40 ,19.06 ,19.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
67599,CPT,ORBIT SURGERY PROCEDURE,,,21,,TotalUnits,,,,1.82 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
67700,CPT,DRAINAGE OF EYELID ABSCESS,,,21,,RBRVS,1.40 ,1.77 ,6.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
67710,CPT,INCISION OF EYELID,,,21,,RBRVS,1.07 ,1.59 ,5.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
67715,CPT,INCISION OF EYELID FOLD,,,21,,RBRVS,1.27 ,1.63 ,5.79 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
67800,CPT,REMOVE EYELID LESION,,,21,,RBRVS,1.41 ,1.39 ,2.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
67801,CPT,REMOVE EYELID LESIONS,,,21,,RBRVS,1.91 ,1.70 ,2.57 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
67805,CPT,REMOVE EYELID LESIONS,,,21,,RBRVS,2.27 ,2.20 ,3.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
67808,CPT,REMOVE EYELID LESION(S),,,21,,RBRVS,4.60 ,5.44 ,5.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
67810,CPT,BIOPSY EYELID & LID MARGIN,,,21,,RBRVS,1.18 ,0.71 ,3.84 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
67820,CPT,REVISE EYELASHES,,,21,,RBRVS,0.32 ,0.46 ,0.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
67825,CPT,REVISE EYELASHES,,,21,,RBRVS,1.43 ,1.89 ,2.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
67830,CPT,REVISE EYELASHES,,,21,,RBRVS,1.75 ,2.00 ,5.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
67835,CPT,REVISE EYELASHES,,,21,,RBRVS,5.70 ,6.30 ,6.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
67840,CPT,REMOVE EYELID LESION,,,21,,RBRVS,2.09 ,2.21 ,5.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
67850,CPT,TREAT EYELID LESION,,,21,,RBRVS,1.74 ,1.88 ,4.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
67875,CPT,CLOSURE OF EYELID BY SUTURE,,,21,,RBRVS,1.35 ,1.26 ,3.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
67880,CPT,REVISION OF EYELID,,,21,,RBRVS,4.60 ,5.44 ,8.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
67882,CPT,REVISION OF EYELID,,,21,,RBRVS,6.02 ,6.85 ,9.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
67900,CPT,REPAIR BROW DEFECT,,,21,,RBRVS,6.82 ,6.96 ,10.88 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
67901,CPT,REPAIR EYELID DEFECT,,,21,,RBRVS,7.59 ,8.33 ,13.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
67902,CPT,REPAIR EYELID DEFECT,,,21,,RBRVS,9.82 ,9.89 ,9.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
67903,CPT,REPAIR EYELID DEFECT,,,21,,RBRVS,6.51 ,6.63 ,9.97 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
67904,CPT,REPAIR EYELID DEFECT,,,21,,RBRVS,7.97 ,8.28 ,12.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
67906,CPT,REPAIR EYELID DEFECT,,,21,,RBRVS,6.93 ,6.89 ,6.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
67908,CPT,REPAIR EYELID DEFECT,,,21,,RBRVS,5.30 ,6.40 ,8.91 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
67909,CPT,REVISE EYELID DEFECT,,,21,,RBRVS,5.57 ,6.36 ,9.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
67911,CPT,REVISE EYELID DEFECT,,,21,,RBRVS,7.50 ,7.78 ,7.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
67912,CPT,CORRECTION EYELID W/IMPLANT,,,21,,RBRVS,6.36 ,6.80 ,18.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
67914,CPT,REPAIR EYELID DEFECT,,,21,,RBRVS,3.75 ,5.19 ,9.60 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
67915,CPT,REPAIR EYELID DEFECT,,,21,,RBRVS,2.03 ,3.38 ,6.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
67916,CPT,REPAIR EYELID DEFECT,,,21,,RBRVS,5.48 ,6.23 ,11.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
67917,CPT,REPAIR EYELID DEFECT,,,21,,RBRVS,5.93 ,6.52 ,11.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
67921,CPT,REPAIR EYELID DEFECT,,,21,,RBRVS,3.47 ,5.02 ,9.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
67922,CPT,REPAIR EYELID DEFECT,,,21,,RBRVS,2.03 ,3.36 ,6.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
67923,CPT,REPAIR EYELID DEFECT,,,21,,RBRVS,5.48 ,6.26 ,11.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
67924,CPT,REPAIR EYELID DEFECT,,,21,,RBRVS,5.93 ,6.53 ,11.87 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
67930,CPT,REPAIR EYELID WOUND,,,21,,RBRVS,3.65 ,2.85 ,6.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
67935,CPT,REPAIR EYELID WOUND,,,21,,RBRVS,6.36 ,5.62 ,10.02 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
67938,CPT,REMOVE EYELID FOREIGN BODY,,,21,,RBRVS,1.38 ,1.81 ,5.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
67950,CPT,REVISION OF EYELID,,,21,,RBRVS,5.99 ,6.60 ,9.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
67961,CPT,REVISION OF EYELID,,,21,,RBRVS,5.86 ,6.53 ,10.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
67966,CPT,REVISION OF EYELID,,,21,,RBRVS,8.97 ,8.88 ,12.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
67971,CPT,RECONSTRUCTION OF EYELID,,,21,,RBRVS,10.01 ,9.65 ,9.65 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
67973,CPT,RECONSTRUCTION OF EYELID,,,21,,RBRVS,13.13 ,12.15 ,12.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
67974,CPT,RECONSTRUCTION OF EYELID,,,21,,RBRVS,13.10 ,12.15 ,12.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
67975,CPT,RECONSTRUCTION OF EYELID,,,21,,RBRVS,9.35 ,9.26 ,9.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
67999,CPT,REVISION OF EYELID,,,21,,TotalUnits,,,,7.26 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
68020,CPT,INCISE/DRAIN EYELID LINING,,,21,,RBRVS,1.42 ,1.60 ,1.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
68040,CPT,TREATMENT OF EYELID LESIONS,,,21,,RBRVS,0.85 ,0.50 ,0.88 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
68100,CPT,BIOPSY OF EYELID LINING,,,21,,RBRVS,1.35 ,1.26 ,3.60 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
68110,CPT,REMOVE EYELID LINING LESION,,,21,,RBRVS,1.82 ,2.23 ,4.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
68115,CPT,REMOVE EYELID LINING LESION,,,21,,RBRVS,2.41 ,2.59 ,6.60 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
68130,CPT,REMOVE EYELID LINING LESION,,,21,,RBRVS,5.10 ,6.16 ,10.03 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
68135,CPT,REMOVE EYELID LINING LESION,,,21,,RBRVS,1.89 ,2.22 ,2.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
68200,CPT,TREAT EYELID BY INJECTION,,,21,,RBRVS,0.49 ,0.45 ,0.65 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
68320,CPT,REVISE/GRAFT EYELID LINING,,,21,,RBRVS,6.64 ,8.08 ,13.72 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
68325,CPT,REVISE/GRAFT EYELID LINING,,,21,,RBRVS,8.63 ,9.30 ,9.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
68326,CPT,REVISE/GRAFT EYELID LINING,,,21,,RBRVS,8.42 ,9.17 ,9.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
68328,CPT,REVISE/GRAFT EYELID LINING,,,21,,RBRVS,9.45 ,9.80 ,9.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
68330,CPT,REVISE EYELID LINING,,,21,,RBRVS,5.78 ,6.79 ,11.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
68335,CPT,REVISE/GRAFT EYELID LINING,,,21,,RBRVS,8.46 ,9.19 ,9.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
68340,CPT,SEPARATE EYELID ADHESIONS,,,21,,RBRVS,4.97 ,5.91 ,11.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
68360,CPT,REVISE EYELID LINING,,,21,,RBRVS,5.17 ,6.03 ,9.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
68362,CPT,REVISE EYELID LINING,,,21,,RBRVS,8.61 ,9.28 ,9.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
68371,CPT,HARVEST EYE TISSUE ALOGRAFT,,,21,,RBRVS,5.09 ,6.20 ,6.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
68399,CPT,EYELID LINING SURGERY,,,21,,TotalUnits,,,,1.87 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
68400,CPT,INCISE/DRAIN TEAR GLAND,,,21,,RBRVS,1.74 ,1.84 ,6.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
68420,CPT,INCISE/DRAIN TEAR SAC,,,21,,RBRVS,2.35 ,2.21 ,6.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
68440,CPT,INCISE TEAR DUCT OPENING,,,21,,RBRVS,0.99 ,1.72 ,1.84 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
68500,CPT,REMOVAL OF TEAR GLAND,,,21,,RBRVS,12.77 ,14.98 ,14.98 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
68505,CPT,PARTIAL REMOVAL TEAR GLAND,,,21,,RBRVS,12.69 ,14.93 ,14.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
68510,CPT,BIOPSY OF TEAR GLAND,,,21,,RBRVS,4.60 ,3.26 ,7.91 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
68520,CPT,REMOVAL OF TEAR SAC,,,21,,RBRVS,8.78 ,10.62 ,10.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
68525,CPT,BIOPSY OF TEAR SAC,,,21,,RBRVS,4.42 ,2.67 ,2.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
68530,CPT,CLEARANCE OF TEAR DUCT,,,21,,RBRVS,3.70 ,3.25 ,8.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
68540,CPT,REMOVE TEAR GLAND LESION,,,21,,RBRVS,12.18 ,13.93 ,13.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
68550,CPT,REMOVE TEAR GLAND LESION,,,21,,RBRVS,15.16 ,17.06 ,17.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
68700,CPT,REPAIR TEAR DUCTS,,,21,,RBRVS,7.87 ,8.60 ,8.60 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
68705,CPT,REVISE TEAR DUCT OPENING,,,21,,RBRVS,2.11 ,2.41 ,4.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
68720,CPT,CREATE TEAR SAC DRAIN,,,21,,RBRVS,9.96 ,11.38 ,11.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
68745,CPT,CREATE TEAR DUCT DRAIN,,,21,,RBRVS,9.90 ,11.58 ,11.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
68750,CPT,CREATE TEAR DUCT DRAIN,,,21,,RBRVS,10.10 ,12.28 ,12.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
68760,CPT,CLOSE TEAR DUCT OPENING,,,21,,RBRVS,1.78 ,2.20 ,4.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
68761,CPT,CLOSE TEAR DUCT OPENING,,,21,,RBRVS,1.41 ,1.82 ,2.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
68770,CPT,CLOSE TEAR SYSTEM FISTULA,,,21,,RBRVS,8.29 ,8.85 ,8.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
68801,CPT,DILATE TEAR DUCT OPENING,,,21,,RBRVS,0.82 ,1.31 ,1.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
68810,CPT,PROBE NASOLACRIMAL DUCT,,,21,,RBRVS,1.54 ,1.95 ,2.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
68811,CPT,PROBE NASOLACRIMAL DUCT,,,21,,RBRVS,1.74 ,1.95 ,1.95 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
68815,CPT,PROBE NASOLACRIMAL DUCT,,,21,,RBRVS,2.70 ,3.35 ,8.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
68816,CPT,PROBE NL DUCT W/BALLOON,,,21,,RBRVS,2.10 ,2.19 ,20.00 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
68840,CPT,EXPLORE/IRRIGATE TEAR DUCTS,,,21,,RBRVS,1.30 ,1.88 ,2.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
68850,CPT,INJECTION FOR TEAR SAC X-RAY,,,21,,RBRVS,0.80 ,0.71 ,0.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
68899,CPT,TEAR DUCT SYSTEM SURGERY,,,21,,TotalUnits,,,,4.09 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
69000,CPT,DRAIN EXTERNAL EAR LESION,,,21,,RBRVS,1.50 ,1.74 ,3.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
69005,CPT,DRAIN EXTERNAL EAR LESION,,,21,,RBRVS,2.16 ,2.03 ,3.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
69020,CPT,DRAIN OUTER EAR CANAL LESION,,,21,,RBRVS,1.53 ,2.26 ,4.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
69090,CPT,PIERCE EARLOBES,,,14,,TotalUnits,,,,0.65 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
69100,CPT,BIOPSY OF EXTERNAL EAR,,,21,,RBRVS,0.81 ,0.47 ,1.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
69105,CPT,BIOPSY OF EXTERNAL EAR CANAL,,,21,,RBRVS,0.85 ,0.82 ,3.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
69110,CPT,REMOVE EXTERNAL EAR PARTIAL,,,21,,RBRVS,3.53 ,5.24 ,9.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
69120,CPT,REMOVAL OF EXTERNAL EAR,,,21,,RBRVS,4.14 ,6.45 ,6.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
69140,CPT,REMOVE EAR CANAL LESION(S),,,21,,RBRVS,8.14 ,15.61 ,15.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
69145,CPT,REMOVE EAR CANAL LESION(S),,,21,,RBRVS,2.70 ,4.06 ,8.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
69150,CPT,EXTENSIVE EAR CANAL SURGERY,,,21,,RBRVS,13.61 ,13.65 ,13.65 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
69155,CPT,EXTENSIVE EAR/NECK SURGERY,,,21,,RBRVS,23.35 ,20.12 ,20.12 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
69200,CPT,CLEAR OUTER EAR CANAL,,,21,,RBRVS,0.77 ,0.47 ,1.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
69205,CPT,CLEAR OUTER EAR CANAL,,,21,,RBRVS,1.21 ,1.40 ,1.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
69209,CPT,REMOVE IMPACTED EAR WAX UNI,,,21,,RBRVS,,0.39 ,0.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
69210,CPT,REMOVE IMPACTED EAR WAX UNI,,,21,,RBRVS,0.61 ,0.26 ,0.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
69220,CPT,CLEAN OUT MASTOID CAVITY,,,21,,RBRVS,0.83 ,0.52 ,1.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
69222,CPT,CLEAN OUT MASTOID CAVITY,,,21,,RBRVS,1.45 ,2.15 ,4.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
69300,CPT,REVISE EXTERNAL EAR,,,21,,RBRVS,6.44 ,5.81 ,10.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
69310,CPT,REBUILD OUTER EAR CANAL,,,21,,RBRVS,10.97 ,18.49 ,18.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
69320,CPT,REBUILD OUTER EAR CANAL,,,21,,RBRVS,17.18 ,23.94 ,23.94 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
69399,CPT,OUTER EAR SURGERY PROCEDURE,,,21,,TotalUnits,,,,1.26 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
69420,CPT,INCISION OF EARDRUM,,,21,,RBRVS,1.38 ,1.82 ,3.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
69421,CPT,INCISION OF EARDRUM,,,21,,RBRVS,1.78 ,2.18 ,2.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
69424,CPT,REMOVE VENTILATING TUBE,,,21,,RBRVS,0.85 ,0.77 ,2.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
69433,CPT,CREATE EARDRUM OPENING,,,21,,RBRVS,1.57 ,1.93 ,3.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
69436,CPT,CREATE EARDRUM OPENING,,,21,,RBRVS,2.01 ,2.19 ,2.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
69440,CPT,EXPLORATION OF MIDDLE EAR,,,21,,RBRVS,7.71 ,10.75 ,10.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
69450,CPT,EARDRUM REVISION,,,21,,RBRVS,5.69 ,8.95 ,8.95 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
69501,CPT,MASTOIDECTOMY,,,21,,RBRVS,9.21 ,9.93 ,9.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
69502,CPT,MASTOIDECTOMY,,,21,,RBRVS,12.56 ,12.83 ,12.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
69505,CPT,REMOVE MASTOID STRUCTURES,,,21,,RBRVS,13.17 ,19.25 ,19.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
69511,CPT,EXTENSIVE MASTOID SURGERY,,,21,,RBRVS,13.70 ,19.48 ,19.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
69530,CPT,EXTENSIVE MASTOID SURGERY,,,21,,RBRVS,20.38 ,23.84 ,23.84 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
69535,CPT,REMOVE PART OF TEMPORAL BONE,,,21,,RBRVS,37.42 ,33.02 ,33.02 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
69540,CPT,REMOVE EAR LESION,,,21,,RBRVS,1.25 ,2.15 ,4.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
69550,CPT,REMOVE EAR LESION,,,21,,RBRVS,11.15 ,16.91 ,16.91 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
69552,CPT,REMOVE EAR LESION,,,21,,RBRVS,19.81 ,22.10 ,22.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
69554,CPT,REMOVE EAR LESION,,,21,,RBRVS,35.97 ,30.71 ,30.71 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
69601,CPT,MASTOID SURGERY REVISION,,,21,,RBRVS,13.45 ,13.92 ,13.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
69602,CPT,MASTOID SURGERY REVISION,,,21,,RBRVS,13.76 ,15.24 ,15.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
69603,CPT,MASTOID SURGERY REVISION,,,21,,RBRVS,14.20 ,19.69 ,19.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
69604,CPT,MASTOID SURGERY REVISION,,,21,,RBRVS,14.20 ,15.43 ,15.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
69610,CPT,REPAIR OF EARDRUM,,,21,,RBRVS,4.47 ,3.15 ,5.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
69620,CPT,REPAIR OF EARDRUM,,,21,,RBRVS,6.03 ,7.05 ,13.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
69631,CPT,REPAIR EARDRUM STRUCTURES,,,21,,RBRVS,10.05 ,13.67 ,13.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
69632,CPT,REBUILD EARDRUM STRUCTURES,,,21,,RBRVS,12.96 ,15.84 ,15.84 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
69633,CPT,REBUILD EARDRUM STRUCTURES,,,21,,RBRVS,12.31 ,15.62 ,15.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
69635,CPT,REPAIR EARDRUM STRUCTURES,,,21,,RBRVS,13.51 ,19.63 ,19.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
69636,CPT,REBUILD EARDRUM STRUCTURES,,,21,,RBRVS,15.43 ,21.72 ,21.72 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
69637,CPT,REBUILD EARDRUM STRUCTURES,,,21,,RBRVS,15.32 ,21.67 ,21.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
69641,CPT,REVISE MIDDLE EAR & MASTOID,,,21,,RBRVS,12.89 ,14.90 ,14.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
69642,CPT,REVISE MIDDLE EAR & MASTOID,,,21,,RBRVS,17.06 ,18.56 ,18.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
69643,CPT,REVISE MIDDLE EAR & MASTOID,,,21,,RBRVS,15.59 ,16.97 ,16.97 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
69644,CPT,REVISE MIDDLE EAR & MASTOID,,,21,,RBRVS,17.23 ,22.45 ,22.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
69645,CPT,REVISE MIDDLE EAR & MASTOID,,,21,,RBRVS,16.71 ,22.32 ,22.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
69646,CPT,REVISE MIDDLE EAR & MASTOID,,,21,,RBRVS,18.37 ,22.95 ,22.95 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
69650,CPT,RELEASE MIDDLE EAR BONE,,,21,,RBRVS,9.80 ,11.64 ,11.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
69660,CPT,REVISE MIDDLE EAR BONE,,,21,,RBRVS,12.03 ,12.59 ,12.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
69661,CPT,REVISE MIDDLE EAR BONE,,,21,,RBRVS,15.92 ,16.20 ,16.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
69662,CPT,REVISE MIDDLE EAR BONE,,,21,,RBRVS,15.60 ,15.00 ,15.00 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
69666,CPT,REPAIR MIDDLE EAR STRUCTURES,,,21,,RBRVS,9.89 ,11.74 ,11.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
69667,CPT,REPAIR MIDDLE EAR STRUCTURES,,,21,,RBRVS,9.90 ,11.69 ,11.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
69670,CPT,REMOVE MASTOID AIR CELLS,,,21,,RBRVS,11.73 ,13.46 ,13.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
69676,CPT,REMOVE MIDDLE EAR NERVE,,,21,,RBRVS,9.69 ,12.55 ,12.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
69700,CPT,CLOSE MASTOID FISTULA,,,21,,RBRVS,8.37 ,9.58 ,9.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
69705,CPT,NPS SURG DILAT EUST TUBE UNI,,,21,,RBRVS,3.00 ,1.72 ,91.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
69706,CPT,NPS SURG DILAT EUST TUBE BI,,,21,,RBRVS,4.27 ,2.30 ,93.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
69710,CPT,IMPLANT/REPLACE HEARING AID,,,21,,TotalUnits,,,,11.15 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
69711,CPT,REMOVE/REPAIR HEARING AID,,,21,,RBRVS,10.62 ,11.96 ,11.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
69714,CPT,IMPLANT TEMPLE BONE W/STIMUL,,,21,,RBRVS,14.45 ,13.69 ,13.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
69715,CPT,TEMPLE BNE IMPLNT W/STIMULAT,,,21,,RBRVS,18.96 ,15.73 ,15.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
69717,CPT,TEMPLE BONE IMPLANT REVISION,,,21,,RBRVS,15.43 ,14.08 ,14.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
69718,CPT,REVISE TEMPLE BONE IMPLANT,,,21,,RBRVS,19.21 ,15.84 ,15.84 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
69720,CPT,RELEASE FACIAL NERVE,,,21,,RBRVS,14.71 ,16.86 ,16.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
69725,CPT,RELEASE FACIAL NERVE,,,21,,RBRVS,27.64 ,21.96 ,21.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
69740,CPT,REPAIR FACIAL NERVE,,,21,,RBRVS,16.27 ,14.61 ,14.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
69745,CPT,REPAIR FACIAL NERVE,,,21,,RBRVS,17.02 ,15.90 ,15.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
69799,CPT,MIDDLE EAR SURGERY PROCEDURE,,,21,,TotalUnits,,,,5.30 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
69801,CPT,INCISE INNER EAR,,,21,,RBRVS,2.06 ,1.21 ,3.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
69805,CPT,EXPLORE INNER EAR,,,21,,RBRVS,14.71 ,12.83 ,12.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
69806,CPT,EXPLORE INNER EAR,,,21,,RBRVS,12.63 ,12.11 ,12.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
69905,CPT,REMOVE INNER EAR,,,21,,RBRVS,11.26 ,13.23 ,13.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
69910,CPT,REMOVE INNER EAR & MASTOID,,,21,,RBRVS,13.91 ,12.66 ,12.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
69915,CPT,INCISE INNER EAR NERVE,,,21,,RBRVS,22.77 ,17.37 ,17.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
69930,CPT,IMPLANT COCHLEAR DEVICE,,,21,,RBRVS,17.73 ,14.60 ,14.60 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
69949,CPT,INNER EAR SURGERY PROCEDURE,,,21,,TotalUnits,,,,24.74 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
69950,CPT,INCISE INNER EAR NERVE,,,21,,RBRVS,27.63 ,18.83 ,18.83 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
69955,CPT,RELEASE FACIAL NERVE,,,21,,RBRVS,29.42 ,22.75 ,22.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
69960,CPT,RELEASE INNER EAR CANAL,,,21,,RBRVS,29.42 ,20.77 ,20.77 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
69970,CPT,REMOVE INNER EAR LESION,,,21,,RBRVS,32.41 ,24.01 ,24.01 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
69979,CPT,TEMPORAL BONE SURGERY,,,21,,TotalUnits,,,,52.17 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
69990,CPT,MICROSURGERY ADD-ON,,,21,,RBRVS,3.46 ,1.59 ,1.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
70010,CPT,CONTRAST X-RAY OF BRAIN,,,20,,RBRVS,1.19 ,0.44 ,0.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
70015,CPT,CONTRAST X-RAY OF BRAIN,,,20,,RBRVS,1.19 ,3.34 ,3.34 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
70015,CPT,CONTRAST X-RAY OF BRAIN,26,,20,,RBRVS,1.19 ,0.44 ,0.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
70015,CPT,CONTRAST X-RAY OF BRAIN,TC,,20,,RBRVS,,2.90 ,2.90 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
70030,CPT,X-RAY EYE FOR FOREIGN BODY,,,20,,RBRVS,0.17 ,0.68 ,0.68 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
70030,CPT,X-RAY EYE FOR FOREIGN BODY,26,,20,,RBRVS,0.17 ,0.06 ,0.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
70030,CPT,X-RAY EYE FOR FOREIGN BODY,TC,,20,,RBRVS,,0.62 ,0.62 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
70100,CPT,X-RAY EXAM OF JAW <4VIEWS,,,20,,RBRVS,0.18 ,0.83 ,0.83 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
70100,CPT,X-RAY EXAM OF JAW <4VIEWS,26,,20,,RBRVS,0.18 ,0.07 ,0.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
70100,CPT,X-RAY EXAM OF JAW <4VIEWS,TC,,20,,RBRVS,,0.76 ,0.76 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
70110,CPT,X-RAY EXAM OF JAW 4/> VIEWS,,,20,,RBRVS,0.25 ,0.92 ,0.92 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
70110,CPT,X-RAY EXAM OF JAW 4/> VIEWS,26,,20,,RBRVS,0.25 ,0.10 ,0.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
70110,CPT,X-RAY EXAM OF JAW 4/> VIEWS,TC,,20,,RBRVS,,0.82 ,0.82 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
70120,CPT,X-RAY EXAM OF MASTOIDS,,,20,,RBRVS,0.18 ,0.83 ,0.83 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
70120,CPT,X-RAY EXAM OF MASTOIDS,26,,20,,RBRVS,0.18 ,0.07 ,0.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
70120,CPT,X-RAY EXAM OF MASTOIDS,TC,,20,,RBRVS,,0.76 ,0.76 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
70130,CPT,X-RAY EXAM OF MASTOIDS,,,20,,RBRVS,0.34 ,1.31 ,1.31 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
70130,CPT,X-RAY EXAM OF MASTOIDS,26,,20,,RBRVS,0.34 ,0.13 ,0.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
70130,CPT,X-RAY EXAM OF MASTOIDS,TC,,20,,RBRVS,,1.18 ,1.18 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
70134,CPT,X-RAY EXAM OF MIDDLE EAR,,,20,,RBRVS,0.34 ,1.23 ,1.23 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
70134,CPT,X-RAY EXAM OF MIDDLE EAR,26,,20,,RBRVS,0.34 ,0.15 ,0.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
70134,CPT,X-RAY EXAM OF MIDDLE EAR,TC,,20,,RBRVS,,1.08 ,1.08 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
70140,CPT,X-RAY EXAM OF FACIAL BONES,,,20,,RBRVS,0.19 ,0.67 ,0.67 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
70140,CPT,X-RAY EXAM OF FACIAL BONES,26,,20,,RBRVS,0.19 ,0.09 ,0.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
70140,CPT,X-RAY EXAM OF FACIAL BONES,TC,,20,,RBRVS,,0.58 ,0.58 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
70150,CPT,X-RAY EXAM OF FACIAL BONES,,,20,,RBRVS,0.26 ,1.01 ,1.01 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
70150,CPT,X-RAY EXAM OF FACIAL BONES,26,,20,,RBRVS,0.26 ,0.11 ,0.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
70150,CPT,X-RAY EXAM OF FACIAL BONES,TC,,20,,RBRVS,,0.90 ,0.90 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
70160,CPT,X-RAY EXAM OF NASAL BONES,,,20,,RBRVS,0.17 ,0.83 ,0.83 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
70160,CPT,X-RAY EXAM OF NASAL BONES,26,,20,,RBRVS,0.17 ,0.07 ,0.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
70160,CPT,X-RAY EXAM OF NASAL BONES,TC,,20,,RBRVS,,0.76 ,0.76 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
70170,CPT,X-RAY EXAM OF TEAR DUCT,,,20,,TotalUnits,,,,1.03 ,,$0.00,$0.00,1,0,0,0,0,1,20210101,
70170,CPT,X-RAY EXAM OF TEAR DUCT,26,,20,,TotalUnits,,,,0.41 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
70170,CPT,X-RAY EXAM OF TEAR DUCT,TC,,20,,TotalUnits,,,,0.62 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
70190,CPT,X-RAY EXAM OF EYE SOCKETS,,,20,,RBRVS,0.21 ,0.85 ,0.85 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
70190,CPT,X-RAY EXAM OF EYE SOCKETS,26,,20,,RBRVS,0.21 ,0.10 ,0.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
70190,CPT,X-RAY EXAM OF EYE SOCKETS,TC,,20,,RBRVS,,0.75 ,0.75 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
70200,CPT,X-RAY EXAM OF EYE SOCKETS,,,20,,RBRVS,0.28 ,1.01 ,1.01 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
70200,CPT,X-RAY EXAM OF EYE SOCKETS,26,,20,,RBRVS,0.28 ,0.11 ,0.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
70200,CPT,X-RAY EXAM OF EYE SOCKETS,TC,,20,,RBRVS,,0.90 ,0.90 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
70210,CPT,X-RAY EXAM OF SINUSES,,,20,,RBRVS,0.17 ,0.68 ,0.68 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
70210,CPT,X-RAY EXAM OF SINUSES,26,,20,,RBRVS,0.17 ,0.07 ,0.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
70210,CPT,X-RAY EXAM OF SINUSES,TC,,20,,RBRVS,,0.61 ,0.61 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
70220,CPT,X-RAY EXAM OF SINUSES,,,20,,RBRVS,0.22 ,0.79 ,0.79 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
70220,CPT,X-RAY EXAM OF SINUSES,26,,20,,RBRVS,0.22 ,0.09 ,0.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
70220,CPT,X-RAY EXAM OF SINUSES,TC,,20,,RBRVS,,0.70 ,0.70 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
70240,CPT,X-RAY EXAM PITUITARY SADDLE,,,20,,RBRVS,0.19 ,0.73 ,0.73 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
70240,CPT,X-RAY EXAM PITUITARY SADDLE,26,,20,,RBRVS,0.19 ,0.08 ,0.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
70240,CPT,X-RAY EXAM PITUITARY SADDLE,TC,,20,,RBRVS,,0.65 ,0.65 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
70250,CPT,X-RAY EXAM OF SKULL,,,20,,RBRVS,0.18 ,0.80 ,0.80 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
70250,CPT,X-RAY EXAM OF SKULL,26,,20,,RBRVS,0.18 ,0.10 ,0.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
70250,CPT,X-RAY EXAM OF SKULL,TC,,20,,RBRVS,,0.70 ,0.70 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
70260,CPT,X-RAY EXAM OF SKULL,,,20,,RBRVS,0.28 ,0.94 ,0.94 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
70260,CPT,X-RAY EXAM OF SKULL,26,,20,,RBRVS,0.28 ,0.12 ,0.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
70260,CPT,X-RAY EXAM OF SKULL,TC,,20,,RBRVS,,0.82 ,0.82 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
70300,CPT,X-RAY EXAM OF TEETH,,,20,,RBRVS,0.10 ,0.27 ,0.27 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
70300,CPT,X-RAY EXAM OF TEETH,26,,20,,RBRVS,0.10 ,0.05 ,0.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
70300,CPT,X-RAY EXAM OF TEETH,TC,,20,,RBRVS,,0.22 ,0.22 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
70310,CPT,X-RAY EXAM OF TEETH,,,20,,RBRVS,0.16 ,0.92 ,0.92 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
70310,CPT,X-RAY EXAM OF TEETH,26,,20,,RBRVS,0.16 ,0.05 ,0.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
70310,CPT,X-RAY EXAM OF TEETH,TC,,20,,RBRVS,,0.87 ,0.87 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
70320,CPT,FULL MOUTH X-RAY OF TEETH,,,20,,RBRVS,0.22 ,1.32 ,1.32 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
70320,CPT,FULL MOUTH X-RAY OF TEETH,26,,20,,RBRVS,0.22 ,0.10 ,0.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
70320,CPT,FULL MOUTH X-RAY OF TEETH,TC,,20,,RBRVS,,1.22 ,1.22 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
70328,CPT,X-RAY EXAM OF JAW JOINT,,,20,,RBRVS,0.18 ,0.74 ,0.74 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
70328,CPT,X-RAY EXAM OF JAW JOINT,26,,20,,RBRVS,0.18 ,0.07 ,0.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
70328,CPT,X-RAY EXAM OF JAW JOINT,TC,,20,,RBRVS,,0.67 ,0.67 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
70330,CPT,X-RAY EXAM OF JAW JOINTS,,,20,,RBRVS,0.24 ,1.19 ,1.19 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
70330,CPT,X-RAY EXAM OF JAW JOINTS,26,,20,,RBRVS,0.24 ,0.10 ,0.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
70330,CPT,X-RAY EXAM OF JAW JOINTS,TC,,20,,RBRVS,,1.09 ,1.09 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
70332,CPT,X-RAY EXAM OF JAW JOINT,,,20,,RBRVS,0.54 ,1.71 ,1.71 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
70332,CPT,X-RAY EXAM OF JAW JOINT,26,,20,,RBRVS,0.54 ,0.20 ,0.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
70332,CPT,X-RAY EXAM OF JAW JOINT,TC,,20,,RBRVS,,1.51 ,1.51 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
70336,CPT,MAGNETIC IMAGE JAW JOINT,,,20,,RBRVS,1.48 ,7.10 ,7.10 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
70336,CPT,MAGNETIC IMAGE JAW JOINT,26,,20,,RBRVS,1.48 ,0.54 ,0.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
70336,CPT,MAGNETIC IMAGE JAW JOINT,TC,,20,,RBRVS,,6.56 ,6.56 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
70350,CPT,X-RAY HEAD FOR ORTHODONTIA,,,20,,RBRVS,0.17 ,0.30 ,0.30 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
70350,CPT,X-RAY HEAD FOR ORTHODONTIA,26,,20,,RBRVS,0.17 ,0.08 ,0.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
70350,CPT,X-RAY HEAD FOR ORTHODONTIA,TC,,20,,RBRVS,,0.22 ,0.22 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
70355,CPT,PANORAMIC X-RAY OF JAWS,,,20,,RBRVS,0.20 ,0.32 ,0.32 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
70355,CPT,PANORAMIC X-RAY OF JAWS,26,,20,,RBRVS,0.20 ,0.09 ,0.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
70355,CPT,PANORAMIC X-RAY OF JAWS,TC,,20,,RBRVS,,0.23 ,0.23 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
70360,CPT,X-RAY EXAM OF NECK,,,20,,RBRVS,0.18 ,0.66 ,0.66 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
70360,CPT,X-RAY EXAM OF NECK,26,,20,,RBRVS,0.18 ,0.07 ,0.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
70360,CPT,X-RAY EXAM OF NECK,TC,,20,,RBRVS,,0.59 ,0.59 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
70370,CPT,THROAT X-RAY & FLUOROSCOPY,,,20,,RBRVS,0.32 ,2.15 ,2.15 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
70370,CPT,THROAT X-RAY & FLUOROSCOPY,26,,20,,RBRVS,0.32 ,0.09 ,0.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
70370,CPT,THROAT X-RAY & FLUOROSCOPY,TC,,20,,RBRVS,,2.06 ,2.06 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
70371,CPT,SPEECH EVALUATION COMPLEX,,,20,,RBRVS,0.84 ,2.12 ,2.12 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
70371,CPT,SPEECH EVALUATION COMPLEX,26,,20,,RBRVS,0.84 ,0.31 ,0.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
70371,CPT,SPEECH EVALUATION COMPLEX,TC,,20,,RBRVS,,1.81 ,1.81 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
70380,CPT,X-RAY EXAM OF SALIVARY GLAND,,,20,,RBRVS,0.17 ,0.82 ,0.82 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
70380,CPT,X-RAY EXAM OF SALIVARY GLAND,26,,20,,RBRVS,0.17 ,0.06 ,0.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
70380,CPT,X-RAY EXAM OF SALIVARY GLAND,TC,,20,,RBRVS,,0.76 ,0.76 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
70390,CPT,X-RAY EXAM OF SALIVARY DUCT,,,20,,RBRVS,0.38 ,2.75 ,2.75 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
70390,CPT,X-RAY EXAM OF SALIVARY DUCT,26,,20,,RBRVS,0.38 ,0.14 ,0.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
70390,CPT,X-RAY EXAM OF SALIVARY DUCT,TC,,20,,RBRVS,,2.61 ,2.61 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
70450,CPT,CT HEAD/BRAIN W/O DYE,,,20,,RBRVS,0.85 ,2.34 ,2.34 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
70450,CPT,CT HEAD/BRAIN W/O DYE,26,,20,,RBRVS,0.85 ,0.31 ,0.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
70450,CPT,CT HEAD/BRAIN W/O DYE,TC,,20,,RBRVS,,2.03 ,2.03 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
70460,CPT,CT HEAD/BRAIN W/DYE,,,20,,RBRVS,1.13 ,3.40 ,3.40 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
70460,CPT,CT HEAD/BRAIN W/DYE,26,,20,,RBRVS,1.13 ,0.42 ,0.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
70460,CPT,CT HEAD/BRAIN W/DYE,TC,,20,,RBRVS,,2.98 ,2.98 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
70470,CPT,CT HEAD/BRAIN W/O & W/DYE,,,20,,RBRVS,1.27 ,4.04 ,4.04 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
70470,CPT,CT HEAD/BRAIN W/O & W/DYE,26,,20,,RBRVS,1.27 ,0.47 ,0.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
70470,CPT,CT HEAD/BRAIN W/O & W/DYE,TC,,20,,RBRVS,,3.57 ,3.57 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
70480,CPT,CT ORBIT/EAR/FOSSA W/O DYE,,,20,,RBRVS,1.28 ,4.29 ,4.29 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
70480,CPT,CT ORBIT/EAR/FOSSA W/O DYE,26,,20,,RBRVS,1.28 ,0.47 ,0.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
70480,CPT,CT ORBIT/EAR/FOSSA W/O DYE,TC,,20,,RBRVS,,3.82 ,3.82 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
70481,CPT,CT ORBIT/EAR/FOSSA W/DYE,,,20,,RBRVS,1.13 ,5.10 ,5.10 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
70481,CPT,CT ORBIT/EAR/FOSSA W/DYE,26,,20,,RBRVS,1.13 ,0.42 ,0.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
70481,CPT,CT ORBIT/EAR/FOSSA W/DYE,TC,,20,,RBRVS,,4.68 ,4.68 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
70482,CPT,CT ORBIT/EAR/FOSSA W/O&W/DYE,,,20,,RBRVS,1.27 ,5.62 ,5.62 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
70482,CPT,CT ORBIT/EAR/FOSSA W/O&W/DYE,26,,20,,RBRVS,1.27 ,0.46 ,0.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
70482,CPT,CT ORBIT/EAR/FOSSA W/O&W/DYE,TC,,20,,RBRVS,,5.16 ,5.16 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
70486,CPT,CT MAXILLOFACIAL W/O DYE,,,20,,RBRVS,0.85 ,3.01 ,3.01 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
70486,CPT,CT MAXILLOFACIAL W/O DYE,26,,20,,RBRVS,0.85 ,0.32 ,0.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
70486,CPT,CT MAXILLOFACIAL W/O DYE,TC,,20,,RBRVS,,2.69 ,2.69 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
70487,CPT,CT MAXILLOFACIAL W/DYE,,,20,,RBRVS,1.13 ,3.51 ,3.51 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
70487,CPT,CT MAXILLOFACIAL W/DYE,26,,20,,RBRVS,1.13 ,0.42 ,0.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
70487,CPT,CT MAXILLOFACIAL W/DYE,TC,,20,,RBRVS,,3.09 ,3.09 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
70488,CPT,CT MAXILLOFACIAL W/O & W/DYE,,,20,,RBRVS,1.27 ,4.39 ,4.39 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
70488,CPT,CT MAXILLOFACIAL W/O & W/DYE,26,,20,,RBRVS,1.27 ,0.47 ,0.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
70488,CPT,CT MAXILLOFACIAL W/O & W/DYE,TC,,20,,RBRVS,,3.92 ,3.92 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
70490,CPT,CT SOFT TISSUE NECK W/O DYE,,,20,,RBRVS,1.28 ,3.28 ,3.28 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
70490,CPT,CT SOFT TISSUE NECK W/O DYE,26,,20,,RBRVS,1.28 ,0.48 ,0.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
70490,CPT,CT SOFT TISSUE NECK W/O DYE,TC,,20,,RBRVS,,2.80 ,2.80 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
70491,CPT,CT SOFT TISSUE NECK W/DYE,,,20,,RBRVS,1.38 ,4.25 ,4.25 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
70491,CPT,CT SOFT TISSUE NECK W/DYE,26,,20,,RBRVS,1.38 ,0.52 ,0.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
70491,CPT,CT SOFT TISSUE NECK W/DYE,TC,,20,,RBRVS,,3.73 ,3.73 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
70492,CPT,CT SFT TSUE NCK W/O & W/DYE,,,20,,RBRVS,1.62 ,5.17 ,5.17 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
70492,CPT,CT SFT TSUE NCK W/O & W/DYE,26,,20,,RBRVS,1.62 ,0.60 ,0.60 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
70492,CPT,CT SFT TSUE NCK W/O & W/DYE,TC,,20,,RBRVS,,4.57 ,4.57 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
70496,CPT,CT ANGIOGRAPHY HEAD,,,20,,RBRVS,1.75 ,6.49 ,6.49 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
70496,CPT,CT ANGIOGRAPHY HEAD,26,,20,,RBRVS,1.75 ,0.64 ,0.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
70496,CPT,CT ANGIOGRAPHY HEAD,TC,,20,,RBRVS,,5.85 ,5.85 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
70498,CPT,CT ANGIOGRAPHY NECK,,,20,,RBRVS,1.75 ,6.48 ,6.48 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
70498,CPT,CT ANGIOGRAPHY NECK,26,,20,,RBRVS,1.75 ,0.64 ,0.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
70498,CPT,CT ANGIOGRAPHY NECK,TC,,20,,RBRVS,,5.84 ,5.84 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
70540,CPT,MRI ORBIT/FACE/NECK W/O DYE,,,20,,RBRVS,1.35 ,5.91 ,5.91 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
70540,CPT,MRI ORBIT/FACE/NECK W/O DYE,26,,20,,RBRVS,1.35 ,0.49 ,0.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
70540,CPT,MRI ORBIT/FACE/NECK W/O DYE,TC,,20,,RBRVS,,5.42 ,5.42 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
70542,CPT,MRI ORBIT/FACE/NECK W/DYE,,,20,,RBRVS,1.62 ,6.99 ,6.99 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
70542,CPT,MRI ORBIT/FACE/NECK W/DYE,26,,20,,RBRVS,1.62 ,0.60 ,0.60 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
70542,CPT,MRI ORBIT/FACE/NECK W/DYE,TC,,20,,RBRVS,,6.39 ,6.39 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
70543,CPT,MRI ORBT/FAC/NCK W/O &W/DYE,,,20,,RBRVS,2.15 ,8.70 ,8.70 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
70543,CPT,MRI ORBT/FAC/NCK W/O &W/DYE,26,,20,,RBRVS,2.15 ,0.79 ,0.79 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
70543,CPT,MRI ORBT/FAC/NCK W/O &W/DYE,TC,,20,,RBRVS,,7.91 ,7.91 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
70544,CPT,MR ANGIOGRAPHY HEAD W/O DYE,,,20,,RBRVS,1.20 ,5.62 ,5.62 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
70544,CPT,MR ANGIOGRAPHY HEAD W/O DYE,26,,20,,RBRVS,1.20 ,0.44 ,0.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
70544,CPT,MR ANGIOGRAPHY HEAD W/O DYE,TC,,20,,RBRVS,,5.18 ,5.18 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
70545,CPT,MR ANGIOGRAPHY HEAD W/DYE,,,20,,RBRVS,1.20 ,5.93 ,5.93 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
70545,CPT,MR ANGIOGRAPHY HEAD W/DYE,26,,20,,RBRVS,1.20 ,0.44 ,0.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
70545,CPT,MR ANGIOGRAPHY HEAD W/DYE,TC,,20,,RBRVS,,5.49 ,5.49 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
70546,CPT,MR ANGIOGRAPH HEAD W/O&W/DYE,,,20,,RBRVS,1.48 ,8.87 ,8.87 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
70546,CPT,MR ANGIOGRAPH HEAD W/O&W/DYE,26,,20,,RBRVS,1.48 ,0.55 ,0.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
70546,CPT,MR ANGIOGRAPH HEAD W/O&W/DYE,TC,,20,,RBRVS,,8.32 ,8.32 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
70547,CPT,MR ANGIOGRAPHY NECK W/O DYE,,,20,,RBRVS,1.20 ,5.65 ,5.65 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
70547,CPT,MR ANGIOGRAPHY NECK W/O DYE,26,,20,,RBRVS,1.20 ,0.45 ,0.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
70547,CPT,MR ANGIOGRAPHY NECK W/O DYE,TC,,20,,RBRVS,,5.20 ,5.20 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
70548,CPT,MR ANGIOGRAPHY NECK W/DYE,,,20,,RBRVS,1.50 ,6.14 ,6.14 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
70548,CPT,MR ANGIOGRAPHY NECK W/DYE,26,,20,,RBRVS,1.50 ,0.55 ,0.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
70548,CPT,MR ANGIOGRAPHY NECK W/DYE,TC,,20,,RBRVS,,5.59 ,5.59 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
70549,CPT,MR ANGIOGRAPH NECK W/O&W/DYE,,,20,,RBRVS,1.80 ,9.05 ,9.05 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
70549,CPT,MR ANGIOGRAPH NECK W/O&W/DYE,26,,20,,RBRVS,1.80 ,0.67 ,0.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
70549,CPT,MR ANGIOGRAPH NECK W/O&W/DYE,TC,,20,,RBRVS,,8.38 ,8.38 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
70551,CPT,MRI BRAIN STEM W/O DYE,,,20,,RBRVS,1.48 ,4.70 ,4.70 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
70551,CPT,MRI BRAIN STEM W/O DYE,26,,20,,RBRVS,1.48 ,0.55 ,0.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
70551,CPT,MRI BRAIN STEM W/O DYE,TC,,20,,RBRVS,,4.15 ,4.15 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
70552,CPT,MRI BRAIN STEM W/DYE,,,20,,RBRVS,1.78 ,6.80 ,6.80 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
70552,CPT,MRI BRAIN STEM W/DYE,26,,20,,RBRVS,1.78 ,0.66 ,0.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
70552,CPT,MRI BRAIN STEM W/DYE,TC,,20,,RBRVS,,6.14 ,6.14 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
70553,CPT,MRI BRAIN STEM W/O & W/DYE,,,20,,RBRVS,2.29 ,7.85 ,7.85 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
70553,CPT,MRI BRAIN STEM W/O & W/DYE,26,,20,,RBRVS,2.29 ,0.85 ,0.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
70553,CPT,MRI BRAIN STEM W/O & W/DYE,TC,,20,,RBRVS,,7.00 ,7.00 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
70554,CPT,FMRI BRAIN BY TECH,,,20,,RBRVS,2.11 ,9.93 ,9.93 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
70554,CPT,FMRI BRAIN BY TECH,26,,20,,RBRVS,2.11 ,0.79 ,0.79 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
70554,CPT,FMRI BRAIN BY TECH,TC,,20,,RBRVS,,9.14 ,9.14 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
70555,CPT,FMRI BRAIN BY PHYS/PSYCH,,,20,,TotalUnits,,,,21.23 ,,$0.00,$0.00,1,0,0,0,0,1,20210101,
70555,CPT,FMRI BRAIN BY PHYS/PSYCH,26,,20,,TotalUnits,,,,3.46 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
70555,CPT,FMRI BRAIN BY PHYS/PSYCH,TC,,20,,TotalUnits,,,,17.77 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
70557,CPT,MRI BRAIN W/O DYE,,,20,,TotalUnits,,,,37.99 ,,$0.00,$0.00,1,0,0,0,0,1,20210101,
70557,CPT,MRI BRAIN W/O DYE,26,,20,,TotalUnits,,,,4.09 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
70557,CPT,MRI BRAIN W/O DYE,TC,,20,,TotalUnits,,,,33.90 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
70558,CPT,MRI BRAIN W/DYE,,,20,,TotalUnits,,,,43.67 ,,$0.00,$0.00,1,0,0,0,0,1,20210101,
70558,CPT,MRI BRAIN W/DYE,26,,20,,TotalUnits,,,,4.74 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
70558,CPT,MRI BRAIN W/DYE,TC,,20,,TotalUnits,,,,38.93 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
70559,CPT,MRI BRAIN W/O & W/DYE,,,20,,TotalUnits,,,,51.93 ,,$0.00,$0.00,1,0,0,0,0,1,20210101,
70559,CPT,MRI BRAIN W/O & W/DYE,26,,20,,TotalUnits,,,,4.42 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
70559,CPT,MRI BRAIN W/O & W/DYE,TC,,20,,TotalUnits,,,,47.51 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
71045,CPT,X-RAY EXAM CHEST 1 VIEW,,,20,,RBRVS,0.18 ,0.52 ,0.52 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
71045,CPT,X-RAY EXAM CHEST 1 VIEW,26,,20,,RBRVS,0.18 ,0.07 ,0.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
71045,CPT,X-RAY EXAM CHEST 1 VIEW,TC,,20,,RBRVS,,0.45 ,0.45 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
71046,CPT,X-RAY EXAM CHEST 2 VIEWS,,,20,,RBRVS,0.22 ,0.68 ,0.68 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
71046,CPT,X-RAY EXAM CHEST 2 VIEWS,26,,20,,RBRVS,0.22 ,0.08 ,0.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
71046,CPT,X-RAY EXAM CHEST 2 VIEWS,TC,,20,,RBRVS,,0.60 ,0.60 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
71047,CPT,X-RAY EXAM CHEST 3 VIEWS,,,20,,RBRVS,0.27 ,0.87 ,0.87 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
71047,CPT,X-RAY EXAM CHEST 3 VIEWS,26,,20,,RBRVS,0.27 ,0.11 ,0.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
71047,CPT,X-RAY EXAM CHEST 3 VIEWS,TC,,20,,RBRVS,,0.76 ,0.76 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
71048,CPT,X-RAY EXAM CHEST 4+ VIEWS,,,20,,RBRVS,0.31 ,0.93 ,0.93 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
71048,CPT,X-RAY EXAM CHEST 4+ VIEWS,26,,20,,RBRVS,0.31 ,0.14 ,0.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
71048,CPT,X-RAY EXAM CHEST 4+ VIEWS,TC,,20,,RBRVS,,0.79 ,0.79 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
71100,CPT,X-RAY EXAM RIBS UNI 2 VIEWS,,,20,,RBRVS,0.22 ,0.76 ,0.76 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
71100,CPT,X-RAY EXAM RIBS UNI 2 VIEWS,26,,20,,RBRVS,0.22 ,0.09 ,0.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
71100,CPT,X-RAY EXAM RIBS UNI 2 VIEWS,TC,,20,,RBRVS,,0.67 ,0.67 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
71101,CPT,X-RAY EXAM UNILAT RIBS/CHEST,,,20,,RBRVS,0.27 ,0.86 ,0.86 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
71101,CPT,X-RAY EXAM UNILAT RIBS/CHEST,26,,20,,RBRVS,0.27 ,0.10 ,0.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
71101,CPT,X-RAY EXAM UNILAT RIBS/CHEST,TC,,20,,RBRVS,,0.76 ,0.76 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
71110,CPT,X-RAY EXAM RIBS BIL 3 VIEWS,,,20,,RBRVS,0.29 ,0.90 ,0.90 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
71110,CPT,X-RAY EXAM RIBS BIL 3 VIEWS,26,,20,,RBRVS,0.29 ,0.12 ,0.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
71110,CPT,X-RAY EXAM RIBS BIL 3 VIEWS,TC,,20,,RBRVS,,0.78 ,0.78 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
71111,CPT,X-RAY EXAM RIBS/CHEST4/> VWS,,,20,,RBRVS,0.32 ,1.10 ,1.10 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
71111,CPT,X-RAY EXAM RIBS/CHEST4/> VWS,26,,20,,RBRVS,0.32 ,0.13 ,0.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
71111,CPT,X-RAY EXAM RIBS/CHEST4/> VWS,TC,,20,,RBRVS,,0.97 ,0.97 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
71120,CPT,X-RAY EXAM BREASTBONE 2/>VWS,,,20,,RBRVS,0.20 ,0.70 ,0.70 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
71120,CPT,X-RAY EXAM BREASTBONE 2/>VWS,26,,20,,RBRVS,0.20 ,0.08 ,0.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
71120,CPT,X-RAY EXAM BREASTBONE 2/>VWS,TC,,20,,RBRVS,,0.62 ,0.62 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
71130,CPT,X-RAY STRENOCLAVIC JT 3/>VWS,,,20,,RBRVS,0.22 ,0.88 ,0.88 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
71130,CPT,X-RAY STRENOCLAVIC JT 3/>VWS,26,,20,,RBRVS,0.22 ,0.09 ,0.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
71130,CPT,X-RAY STRENOCLAVIC JT 3/>VWS,TC,,20,,RBRVS,,0.79 ,0.79 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
71250,CPT,CT THORAX DX C-,,,20,,RBRVS,1.16 ,3.23 ,3.23 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
71250,CPT,CT THORAX W/O DYE,26,,20,,RBRVS,1.16 ,0.43 ,0.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
71250,CPT,CT THORAX W/O DYE,TC,,20,,RBRVS,,2.80 ,2.80 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
71260,CPT,CT THORAX DX C+,,,20,,RBRVS,1.24 ,4.21 ,4.21 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
71260,CPT,CT THORAX W/DYE,26,,20,,RBRVS,1.24 ,0.47 ,0.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
71260,CPT,CT THORAX W/DYE,TC,,20,,RBRVS,,3.74 ,3.74 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
71270,CPT,CT THORAX DX C-/C+,,,20,,RBRVS,1.38 ,5.08 ,5.08 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
71270,CPT,CT THORAX W/O & W/DYE,26,,20,,RBRVS,1.38 ,0.51 ,0.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
71270,CPT,CT THORAX W/O & W/DYE,TC,,20,,RBRVS,,4.57 ,4.57 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
71271,CPT,CT THORAX LUNG CANCER SCR C-,,,20,,RBRVS,1.08 ,3.24 ,3.24 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
71271,CPT,CT THORAX LUNG CANCER SCR C-,26,,20,,RBRVS,1.08 ,0.38 ,0.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
71271,CPT,CT THORAX LUNG CANCER SCR C-,TC,,20,,RBRVS,,2.86 ,2.86 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
71275,CPT,CT ANGIOGRAPHY CHEST,,,20,,RBRVS,1.82 ,6.60 ,6.60 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
71275,CPT,CT ANGIOGRAPHY CHEST,26,,20,,RBRVS,1.82 ,0.67 ,0.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
71275,CPT,CT ANGIOGRAPHY CHEST,TC,,20,,RBRVS,,5.93 ,5.93 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
71550,CPT,MRI CHEST W/O DYE,,,20,,RBRVS,1.46 ,9.60 ,9.60 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
71550,CPT,MRI CHEST W/O DYE,26,,20,,RBRVS,1.46 ,0.54 ,0.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
71550,CPT,MRI CHEST W/O DYE,TC,,20,,RBRVS,,9.06 ,9.06 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
71551,CPT,MRI CHEST W/DYE,,,20,,RBRVS,1.73 ,10.47 ,10.47 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
71551,CPT,MRI CHEST W/DYE,26,,20,,RBRVS,1.73 ,0.63 ,0.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
71551,CPT,MRI CHEST W/DYE,TC,,20,,RBRVS,,9.84 ,9.84 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
71552,CPT,MRI CHEST W/O & W/DYE,,,20,,RBRVS,2.26 ,13.20 ,13.20 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
71552,CPT,MRI CHEST W/O & W/DYE,26,,20,,RBRVS,2.26 ,0.83 ,0.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
71552,CPT,MRI CHEST W/O & W/DYE,TC,,20,,RBRVS,,12.37 ,12.37 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
71555,CPT,MRI ANGIO CHEST W OR W/O DYE,,,20,,RBRVS,1.81 ,8.88 ,8.88 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
71555,CPT,MRI ANGIO CHEST W OR W/O DYE,26,,20,,RBRVS,1.81 ,0.64 ,0.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
71555,CPT,MRI ANGIO CHEST W OR W/O DYE,TC,,20,,RBRVS,,8.24 ,8.24 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
72020,CPT,X-RAY EXAM OF SPINE 1 VIEW,,,20,,RBRVS,0.16 ,0.50 ,0.50 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
72020,CPT,X-RAY EXAM OF SPINE 1 VIEW,26,,20,,RBRVS,0.16 ,0.06 ,0.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
72020,CPT,X-RAY EXAM OF SPINE 1 VIEW,TC,,20,,RBRVS,,0.44 ,0.44 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
72040,CPT,X-RAY EXAM NECK SPINE 2-3 VW,,,20,,RBRVS,0.22 ,0.83 ,0.83 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
72040,CPT,X-RAY EXAM NECK SPINE 2-3 VW,26,,20,,RBRVS,0.22 ,0.09 ,0.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
72040,CPT,X-RAY EXAM NECK SPINE 2-3 VW,TC,,20,,RBRVS,,0.74 ,0.74 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
72050,CPT,X-RAY EXAM NECK SPINE 4/5VWS,,,20,,RBRVS,0.27 ,1.13 ,1.13 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
72050,CPT,X-RAY EXAM NECK SPINE 4/5VWS,26,,20,,RBRVS,0.27 ,0.11 ,0.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
72050,CPT,X-RAY EXAM NECK SPINE 4/5VWS,TC,,20,,RBRVS,,1.02 ,1.02 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
72052,CPT,X-RAY EXAM NECK SPINE 6/>VWS,,,20,,RBRVS,0.30 ,1.35 ,1.35 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
72052,CPT,X-RAY EXAM NECK SPINE 6/>VWS,26,,20,,RBRVS,0.30 ,0.12 ,0.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
72052,CPT,X-RAY EXAM NECK SPINE 6/>VWS,TC,,20,,RBRVS,,1.23 ,1.23 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
72070,CPT,X-RAY EXAM THORAC SPINE 2VWS,,,20,,RBRVS,0.20 ,0.67 ,0.67 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
72070,CPT,X-RAY EXAM THORAC SPINE 2VWS,26,,20,,RBRVS,0.20 ,0.08 ,0.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
72070,CPT,X-RAY EXAM THORAC SPINE 2VWS,TC,,20,,RBRVS,,0.59 ,0.59 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
72072,CPT,X-RAY EXAM THORAC SPINE 3VWS,,,20,,RBRVS,0.23 ,0.83 ,0.83 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
72072,CPT,X-RAY EXAM THORAC SPINE 3VWS,26,,20,,RBRVS,0.23 ,0.09 ,0.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
72072,CPT,X-RAY EXAM THORAC SPINE 3VWS,TC,,20,,RBRVS,,0.74 ,0.74 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
72074,CPT,X-RAY EXAM THORAC SPINE4/>VW,,,20,,RBRVS,0.25 ,0.94 ,0.94 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
72074,CPT,X-RAY EXAM THORAC SPINE4/>VW,26,,20,,RBRVS,0.25 ,0.09 ,0.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
72074,CPT,X-RAY EXAM THORAC SPINE4/>VW,TC,,20,,RBRVS,,0.85 ,0.85 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
72080,CPT,X-RAY EXAM THORACOLMB 2/> VW,,,20,,RBRVS,0.21 ,0.73 ,0.73 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
72080,CPT,X-RAY EXAM THORACOLMB 2/> VW,26,,20,,RBRVS,0.21 ,0.09 ,0.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
72080,CPT,X-RAY EXAM THORACOLMB 2/> VW,TC,,20,,RBRVS,,0.64 ,0.64 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
72081,CPT,X-RAY EXAM ENTIRE SPI 1 VW,,,20,,RBRVS,0.26 ,0.89 ,0.89 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
72081,CPT,X-RAY EXAM ENTIRE SPI 1 VW,26,,20,,RBRVS,0.26 ,0.11 ,0.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
72081,CPT,X-RAY EXAM ENTIRE SPI 1 VW,TC,,20,,RBRVS,,0.78 ,0.78 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
72082,CPT,X-RAY EXAM ENTIRE SPI 2/3 VW,,,20,,RBRVS,0.31 ,1.56 ,1.56 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
72082,CPT,X-RAY EXAM ENTIRE SPI 2/3 VW,26,,20,,RBRVS,0.31 ,0.13 ,0.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
72082,CPT,X-RAY EXAM ENTIRE SPI 2/3 VW,TC,,20,,RBRVS,,1.43 ,1.43 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
72083,CPT,X-RAY EXAM ENTIRE SPI 4/5 VW,,,20,,RBRVS,0.35 ,1.83 ,1.83 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
72083,CPT,X-RAY EXAM ENTIRE SPI 4/5 VW,26,,20,,RBRVS,0.35 ,0.15 ,0.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
72083,CPT,X-RAY EXAM ENTIRE SPI 4/5 VW,TC,,20,,RBRVS,,1.68 ,1.68 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
72084,CPT,X-RAY EXAM ENTIRE SPI 6/> VW,,,20,,RBRVS,0.41 ,2.18 ,2.18 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
72084,CPT,X-RAY EXAM ENTIRE SPI 6/> VW,26,,20,,RBRVS,0.41 ,0.16 ,0.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
72084,CPT,X-RAY EXAM ENTIRE SPI 6/> VW,TC,,20,,RBRVS,,2.02 ,2.02 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
72100,CPT,X-RAY EXAM L-S SPINE 2/3 VWS,,,20,,RBRVS,0.22 ,0.83 ,0.83 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
72100,CPT,X-RAY EXAM L-S SPINE 2/3 VWS,26,,20,,RBRVS,0.22 ,0.09 ,0.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
72100,CPT,X-RAY EXAM L-S SPINE 2/3 VWS,TC,,20,,RBRVS,,0.74 ,0.74 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
72110,CPT,X-RAY EXAM L-2 SPINE 4/>VWS,,,20,,RBRVS,0.26 ,1.08 ,1.08 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
72110,CPT,X-RAY EXAM L-2 SPINE 4/>VWS,26,,20,,RBRVS,0.26 ,0.10 ,0.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
72110,CPT,X-RAY EXAM L-2 SPINE 4/>VWS,TC,,20,,RBRVS,,0.98 ,0.98 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
72114,CPT,X-RAY EXAM L-S SPINE BENDING,,,20,,RBRVS,0.30 ,1.35 ,1.35 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
72114,CPT,X-RAY EXAM L-S SPINE BENDING,26,,20,,RBRVS,0.30 ,0.12 ,0.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
72114,CPT,X-RAY EXAM L-S SPINE BENDING,TC,,20,,RBRVS,,1.23 ,1.23 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
72120,CPT,X-RAY BEND ONLY L-S SPINE,,,20,,RBRVS,0.22 ,0.87 ,0.87 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
72120,CPT,X-RAY BEND ONLY L-S SPINE,26,,20,,RBRVS,0.22 ,0.09 ,0.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
72120,CPT,X-RAY BEND ONLY L-S SPINE,TC,,20,,RBRVS,,0.78 ,0.78 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
72125,CPT,CT NECK SPINE W/O DYE,,,20,,RBRVS,1.00 ,3.32 ,3.32 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
72125,CPT,CT NECK SPINE W/O DYE,26,,20,,RBRVS,1.00 ,0.37 ,0.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
72125,CPT,CT NECK SPINE W/O DYE,TC,,20,,RBRVS,,2.95 ,2.95 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
72126,CPT,CT NECK SPINE W/DYE,,,20,,RBRVS,1.22 ,4.21 ,4.21 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
72126,CPT,CT NECK SPINE W/DYE,26,,20,,RBRVS,1.22 ,0.45 ,0.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
72126,CPT,CT NECK SPINE W/DYE,TC,,20,,RBRVS,,3.76 ,3.76 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
72127,CPT,CT NECK SPINE W/O & W/DYE,,,20,,RBRVS,1.27 ,5.14 ,5.14 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
72127,CPT,CT NECK SPINE W/O & W/DYE,26,,20,,RBRVS,1.27 ,0.47 ,0.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
72127,CPT,CT NECK SPINE W/O & W/DYE,TC,,20,,RBRVS,,4.67 ,4.67 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
72128,CPT,CT CHEST SPINE W/O DYE,,,20,,RBRVS,1.00 ,3.32 ,3.32 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
72128,CPT,CT CHEST SPINE W/O DYE,26,,20,,RBRVS,1.00 ,0.37 ,0.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
72128,CPT,CT CHEST SPINE W/O DYE,TC,,20,,RBRVS,,2.95 ,2.95 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
72129,CPT,CT CHEST SPINE W/DYE,,,20,,RBRVS,1.22 ,4.25 ,4.25 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
72129,CPT,CT CHEST SPINE W/DYE,26,,20,,RBRVS,1.22 ,0.45 ,0.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
72129,CPT,CT CHEST SPINE W/DYE,TC,,20,,RBRVS,,3.80 ,3.80 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
72130,CPT,CT CHEST SPINE W/O & W/DYE,,,20,,RBRVS,1.27 ,5.15 ,5.15 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
72130,CPT,CT CHEST SPINE W/O & W/DYE,26,,20,,RBRVS,1.27 ,0.47 ,0.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
72130,CPT,CT CHEST SPINE W/O & W/DYE,TC,,20,,RBRVS,,4.68 ,4.68 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
72131,CPT,CT LUMBAR SPINE W/O DYE,,,20,,RBRVS,1.00 ,3.30 ,3.30 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
72131,CPT,CT LUMBAR SPINE W/O DYE,26,,20,,RBRVS,1.00 ,0.37 ,0.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
72131,CPT,CT LUMBAR SPINE W/O DYE,TC,,20,,RBRVS,,2.93 ,2.93 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
72132,CPT,CT LUMBAR SPINE W/DYE,,,20,,RBRVS,1.22 ,4.22 ,4.22 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
72132,CPT,CT LUMBAR SPINE W/DYE,26,,20,,RBRVS,1.22 ,0.45 ,0.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
72132,CPT,CT LUMBAR SPINE W/DYE,TC,,20,,RBRVS,,3.77 ,3.77 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
72133,CPT,CT LUMBAR SPINE W/O & W/DYE,,,20,,RBRVS,1.27 ,5.11 ,5.11 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
72133,CPT,CT LUMBAR SPINE W/O & W/DYE,26,,20,,RBRVS,1.27 ,0.46 ,0.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
72133,CPT,CT LUMBAR SPINE W/O & W/DYE,TC,,20,,RBRVS,,4.65 ,4.65 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
72141,CPT,MRI NECK SPINE W/O DYE,,,20,,RBRVS,1.48 ,4.54 ,4.54 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
72141,CPT,MRI NECK SPINE W/O DYE,26,,20,,RBRVS,1.48 ,0.55 ,0.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
72141,CPT,MRI NECK SPINE W/O DYE,TC,,20,,RBRVS,,3.99 ,3.99 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
72142,CPT,MRI NECK SPINE W/DYE,,,20,,RBRVS,1.78 ,6.99 ,6.99 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
72142,CPT,MRI NECK SPINE W/DYE,26,,20,,RBRVS,1.78 ,0.67 ,0.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
72142,CPT,MRI NECK SPINE W/DYE,TC,,20,,RBRVS,,6.32 ,6.32 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
72146,CPT,MRI CHEST SPINE W/O DYE,,,20,,RBRVS,1.48 ,4.54 ,4.54 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
72146,CPT,MRI CHEST SPINE W/O DYE,26,,20,,RBRVS,1.48 ,0.55 ,0.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
72146,CPT,MRI CHEST SPINE W/O DYE,TC,,20,,RBRVS,,3.99 ,3.99 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
72147,CPT,MRI CHEST SPINE W/DYE,,,20,,RBRVS,1.78 ,6.93 ,6.93 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
72147,CPT,MRI CHEST SPINE W/DYE,26,,20,,RBRVS,1.78 ,0.66 ,0.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
72147,CPT,MRI CHEST SPINE W/DYE,TC,,20,,RBRVS,,6.27 ,6.27 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
72148,CPT,MRI LUMBAR SPINE W/O DYE,,,20,,RBRVS,1.48 ,4.55 ,4.55 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
72148,CPT,MRI LUMBAR SPINE W/O DYE,26,,20,,RBRVS,1.48 ,0.55 ,0.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
72148,CPT,MRI LUMBAR SPINE W/O DYE,TC,,20,,RBRVS,,4.00 ,4.00 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
72149,CPT,MRI LUMBAR SPINE W/DYE,,,20,,RBRVS,1.78 ,6.85 ,6.85 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
72149,CPT,MRI LUMBAR SPINE W/DYE,26,,20,,RBRVS,1.78 ,0.66 ,0.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
72149,CPT,MRI LUMBAR SPINE W/DYE,TC,,20,,RBRVS,,6.19 ,6.19 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
72156,CPT,MRI NECK SPINE W/O & W/DYE,,,20,,RBRVS,2.29 ,7.93 ,7.93 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
72156,CPT,MRI NECK SPINE W/O & W/DYE,26,,20,,RBRVS,2.29 ,0.85 ,0.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
72156,CPT,MRI NECK SPINE W/O & W/DYE,TC,,20,,RBRVS,,7.08 ,7.08 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
72157,CPT,MRI CHEST SPINE W/O & W/DYE,,,20,,RBRVS,2.29 ,7.95 ,7.95 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
72157,CPT,MRI CHEST SPINE W/O & W/DYE,26,,20,,RBRVS,2.29 ,0.85 ,0.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
72157,CPT,MRI CHEST SPINE W/O & W/DYE,TC,,20,,RBRVS,,7.10 ,7.10 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
72158,CPT,MRI LUMBAR SPINE W/O & W/DYE,,,20,,RBRVS,2.29 ,7.91 ,7.91 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
72158,CPT,MRI LUMBAR SPINE W/O & W/DYE,26,,20,,RBRVS,2.29 ,0.85 ,0.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
72158,CPT,MRI LUMBAR SPINE W/O & W/DYE,TC,,20,,RBRVS,,7.06 ,7.06 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
72159,CPT,MR ANGIO SPINE W/O&W/DYE,,,20,,RBRVS,1.80 ,9.30 ,9.30 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
72159,CPT,MR ANGIO SPINE W/O&W/DYE,26,,20,,RBRVS,1.80 ,0.67 ,0.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
72159,CPT,MR ANGIO SPINE W/O&W/DYE,TC,,20,,RBRVS,,8.63 ,8.63 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
72170,CPT,X-RAY EXAM OF PELVIS,,,20,,RBRVS,0.17 ,0.61 ,0.61 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
72170,CPT,X-RAY EXAM OF PELVIS,26,,20,,RBRVS,0.17 ,0.07 ,0.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
72170,CPT,X-RAY EXAM OF PELVIS,TC,,20,,RBRVS,,0.54 ,0.54 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
72190,CPT,X-RAY EXAM OF PELVIS,,,20,,RBRVS,0.25 ,0.87 ,0.87 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
72190,CPT,X-RAY EXAM OF PELVIS,26,,20,,RBRVS,0.25 ,0.10 ,0.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
72190,CPT,X-RAY EXAM OF PELVIS,TC,,20,,RBRVS,,0.77 ,0.77 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
72191,CPT,CT ANGIOGRAPH PELV W/O&W/DYE,,,20,,RBRVS,1.81 ,7.16 ,7.16 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
72191,CPT,CT ANGIOGRAPH PELV W/O&W/DYE,26,,20,,RBRVS,1.81 ,0.64 ,0.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
72191,CPT,CT ANGIOGRAPH PELV W/O&W/DYE,TC,,20,,RBRVS,,6.52 ,6.52 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
72192,CPT,CT PELVIS W/O DYE,,,20,,RBRVS,1.09 ,2.94 ,2.94 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
72192,CPT,CT PELVIS W/O DYE,26,,20,,RBRVS,1.09 ,0.40 ,0.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
72192,CPT,CT PELVIS W/O DYE,TC,,20,,RBRVS,,2.54 ,2.54 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
72193,CPT,CT PELVIS W/DYE,,,20,,RBRVS,1.16 ,5.59 ,5.59 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
72193,CPT,CT PELVIS W/DYE,26,,20,,RBRVS,1.16 ,0.43 ,0.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
72193,CPT,CT PELVIS W/DYE,TC,,20,,RBRVS,,5.16 ,5.16 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
72194,CPT,CT PELVIS W/O & W/DYE,,,20,,RBRVS,1.22 ,6.36 ,6.36 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
72194,CPT,CT PELVIS W/O & W/DYE,26,,20,,RBRVS,1.22 ,0.45 ,0.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
72194,CPT,CT PELVIS W/O & W/DYE,TC,,20,,RBRVS,,5.91 ,5.91 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
72195,CPT,MRI PELVIS W/O DYE,,,20,,RBRVS,1.46 ,5.93 ,5.93 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
72195,CPT,MRI PELVIS W/O DYE,26,,20,,RBRVS,1.46 ,0.54 ,0.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
72195,CPT,MRI PELVIS W/O DYE,TC,,20,,RBRVS,,5.39 ,5.39 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
72196,CPT,MRI PELVIS W/DYE,,,20,,RBRVS,1.73 ,6.90 ,6.90 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
72196,CPT,MRI PELVIS W/DYE,26,,20,,RBRVS,1.73 ,0.64 ,0.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
72196,CPT,MRI PELVIS W/DYE,TC,,20,,RBRVS,,6.26 ,6.26 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
72197,CPT,MRI PELVIS W/O & W/DYE,,,20,,RBRVS,2.20 ,8.68 ,8.68 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
72197,CPT,MRI PELVIS W/O & W/DYE,26,,20,,RBRVS,2.20 ,0.81 ,0.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
72197,CPT,MRI PELVIS W/O & W/DYE,TC,,20,,RBRVS,,7.87 ,7.87 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
72198,CPT,MR ANGIO PELVIS W/O & W/DYE,,,20,,RBRVS,1.80 ,8.94 ,8.94 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
72198,CPT,MR ANGIO PELVIS W/O & W/DYE,26,,20,,RBRVS,1.80 ,0.63 ,0.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
72198,CPT,MR ANGIO PELVIS W/O & W/DYE,TC,,20,,RBRVS,,8.31 ,8.31 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
72200,CPT,X-RAY EXAM SI JOINTS,,,20,,RBRVS,0.17 ,0.71 ,0.71 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
72200,CPT,X-RAY EXAM SI JOINTS,26,,20,,RBRVS,0.17 ,0.07 ,0.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
72200,CPT,X-RAY EXAM SI JOINTS,TC,,20,,RBRVS,,0.64 ,0.64 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
72202,CPT,X-RAY EXAM SI JOINTS 3/> VWS,,,20,,RBRVS,0.23 ,0.82 ,0.82 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
72202,CPT,X-RAY EXAM SI JOINTS 3/> VWS,26,,20,,RBRVS,0.23 ,0.09 ,0.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
72202,CPT,X-RAY EXAM SI JOINTS 3/> VWS,TC,,20,,RBRVS,,0.73 ,0.73 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
72220,CPT,X-RAY EXAM SACRUM TAILBONE,,,20,,RBRVS,0.17 ,0.69 ,0.69 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
72220,CPT,X-RAY EXAM SACRUM TAILBONE,26,,20,,RBRVS,0.17 ,0.07 ,0.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
72220,CPT,X-RAY EXAM SACRUM TAILBONE,TC,,20,,RBRVS,,0.62 ,0.62 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
72240,CPT,MYELOGRAPHY NECK SPINE,,,20,,RBRVS,0.91 ,2.17 ,2.17 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
72240,CPT,MYELOGRAPHY NECK SPINE,26,,20,,RBRVS,0.91 ,0.34 ,0.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
72240,CPT,MYELOGRAPHY NECK SPINE,TC,,20,,RBRVS,,1.83 ,1.83 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
72255,CPT,MYELOGRAPHY THORACIC SPINE,,,20,,RBRVS,0.91 ,2.19 ,2.19 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
72255,CPT,MYELOGRAPHY THORACIC SPINE,26,,20,,RBRVS,0.91 ,0.36 ,0.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
72255,CPT,MYELOGRAPHY THORACIC SPINE,TC,,20,,RBRVS,,1.83 ,1.83 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
72265,CPT,MYELOGRAPHY L-S SPINE,,,20,,RBRVS,0.83 ,2.01 ,2.01 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
72265,CPT,MYELOGRAPHY L-S SPINE,26,,20,,RBRVS,0.83 ,0.28 ,0.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
72265,CPT,MYELOGRAPHY L-S SPINE,TC,,20,,RBRVS,,1.73 ,1.73 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
72270,CPT,MYELOGPHY 2/> SPINE REGIONS,,,20,,RBRVS,1.33 ,2.60 ,2.60 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
72270,CPT,MYELOGPHY 2/> SPINE REGIONS,26,,20,,RBRVS,1.33 ,0.52 ,0.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
72270,CPT,MYELOGPHY 2/> SPINE REGIONS,TC,,20,,RBRVS,,2.08 ,2.08 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
72275,CPT,EPIDUROGRAPHY,,,20,,RBRVS,0.76 ,2.87 ,2.87 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
72275,CPT,EPIDUROGRAPHY,26,,20,,RBRVS,0.76 ,0.31 ,0.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
72275,CPT,EPIDUROGRAPHY,TC,,20,,RBRVS,,2.56 ,2.56 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
72285,CPT,DISCOGRAPHY CERV/THOR SPINE,,,20,,RBRVS,1.16 ,2.22 ,2.22 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
72285,CPT,DISCOGRAPHY CERV/THOR SPINE,26,,20,,RBRVS,1.16 ,0.46 ,0.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
72285,CPT,DISCOGRAPHY CERV/THOR SPINE,TC,,20,,RBRVS,,1.76 ,1.76 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
72295,CPT,X-RAY OF LOWER SPINE DISK,,,20,,RBRVS,0.83 ,2.13 ,2.13 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
72295,CPT,X-RAY OF LOWER SPINE DISK,26,,20,,RBRVS,0.83 ,0.33 ,0.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
72295,CPT,X-RAY OF LOWER SPINE DISK,TC,,20,,RBRVS,,1.80 ,1.80 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
73000,CPT,X-RAY EXAM OF COLLAR BONE,,,20,,RBRVS,0.16 ,0.70 ,0.70 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
73000,CPT,X-RAY EXAM OF COLLAR BONE,26,,20,,RBRVS,0.16 ,0.07 ,0.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
73000,CPT,X-RAY EXAM OF COLLAR BONE,TC,,20,,RBRVS,,0.63 ,0.63 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
73010,CPT,X-RAY EXAM OF SHOULDER BLADE,,,20,,RBRVS,0.17 ,0.59 ,0.59 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
73010,CPT,X-RAY EXAM OF SHOULDER BLADE,26,,20,,RBRVS,0.17 ,0.08 ,0.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
73010,CPT,X-RAY EXAM OF SHOULDER BLADE,TC,,20,,RBRVS,,0.51 ,0.51 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
73020,CPT,X-RAY EXAM OF SHOULDER,,,20,,RBRVS,0.15 ,0.43 ,0.43 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
73020,CPT,X-RAY EXAM OF SHOULDER,26,,20,,RBRVS,0.15 ,0.06 ,0.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
73020,CPT,X-RAY EXAM OF SHOULDER,TC,,20,,RBRVS,,0.37 ,0.37 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
73030,CPT,X-RAY EXAM OF SHOULDER,,,20,,RBRVS,0.18 ,0.73 ,0.73 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
73030,CPT,X-RAY EXAM OF SHOULDER,26,,20,,RBRVS,0.18 ,0.08 ,0.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
73030,CPT,X-RAY EXAM OF SHOULDER,TC,,20,,RBRVS,,0.65 ,0.65 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
73040,CPT,CONTRAST X-RAY OF SHOULDER,,,20,,RBRVS,0.54 ,2.81 ,2.81 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
73040,CPT,CONTRAST X-RAY OF SHOULDER,26,,20,,RBRVS,0.54 ,0.21 ,0.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
73040,CPT,CONTRAST X-RAY OF SHOULDER,TC,,20,,RBRVS,,2.60 ,2.60 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
73050,CPT,X-RAY EXAM OF SHOULDERS,,,20,,RBRVS,0.18 ,0.68 ,0.68 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
73050,CPT,X-RAY EXAM OF SHOULDERS,26,,20,,RBRVS,0.18 ,0.08 ,0.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
73050,CPT,X-RAY EXAM OF SHOULDERS,TC,,20,,RBRVS,,0.60 ,0.60 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
73060,CPT,X-RAY EXAM OF HUMERUS,,,20,,RBRVS,0.16 ,0.70 ,0.70 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
73060,CPT,X-RAY EXAM OF HUMERUS,26,,20,,RBRVS,0.16 ,0.07 ,0.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
73060,CPT,X-RAY EXAM OF HUMERUS,TC,,20,,RBRVS,,0.63 ,0.63 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
73070,CPT,X-RAY EXAM OF ELBOW,,,20,,RBRVS,0.16 ,0.62 ,0.62 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
73070,CPT,X-RAY EXAM OF ELBOW,26,,20,,RBRVS,0.16 ,0.07 ,0.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
73070,CPT,X-RAY EXAM OF ELBOW,TC,,20,,RBRVS,,0.55 ,0.55 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
73080,CPT,X-RAY EXAM OF ELBOW,,,20,,RBRVS,0.17 ,0.68 ,0.68 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
73080,CPT,X-RAY EXAM OF ELBOW,26,,20,,RBRVS,0.17 ,0.07 ,0.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
73080,CPT,X-RAY EXAM OF ELBOW,TC,,20,,RBRVS,,0.61 ,0.61 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
73085,CPT,CONTRAST X-RAY OF ELBOW,,,20,,RBRVS,0.54 ,2.58 ,2.58 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
73085,CPT,CONTRAST X-RAY OF ELBOW,26,,20,,RBRVS,0.54 ,0.24 ,0.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
73085,CPT,CONTRAST X-RAY OF ELBOW,TC,,20,,RBRVS,,2.34 ,2.34 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
73090,CPT,X-RAY EXAM OF FOREARM,,,20,,RBRVS,0.16 ,0.63 ,0.63 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
73090,CPT,X-RAY EXAM OF FOREARM,26,,20,,RBRVS,0.16 ,0.07 ,0.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
73090,CPT,X-RAY EXAM OF FOREARM,TC,,20,,RBRVS,,0.56 ,0.56 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
73092,CPT,X-RAY EXAM OF ARM INFANT,,,20,,RBRVS,0.16 ,0.67 ,0.67 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
73092,CPT,X-RAY EXAM OF ARM INFANT,26,,20,,RBRVS,0.16 ,0.06 ,0.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
73092,CPT,X-RAY EXAM OF ARM INFANT,TC,,20,,RBRVS,,0.61 ,0.61 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
73100,CPT,X-RAY EXAM OF WRIST,,,20,,RBRVS,0.16 ,0.74 ,0.74 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
73100,CPT,X-RAY EXAM OF WRIST,26,,20,,RBRVS,0.16 ,0.07 ,0.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
73100,CPT,X-RAY EXAM OF WRIST,TC,,20,,RBRVS,,0.67 ,0.67 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
73110,CPT,X-RAY EXAM OF WRIST,,,20,,RBRVS,0.17 ,0.90 ,0.90 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
73110,CPT,X-RAY EXAM OF WRIST,26,,20,,RBRVS,0.17 ,0.07 ,0.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
73110,CPT,X-RAY EXAM OF WRIST,TC,,20,,RBRVS,,0.83 ,0.83 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
73115,CPT,CONTRAST X-RAY OF WRIST,,,20,,RBRVS,0.54 ,2.98 ,2.98 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
73115,CPT,CONTRAST X-RAY OF WRIST,26,,20,,RBRVS,0.54 ,0.23 ,0.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
73115,CPT,CONTRAST X-RAY OF WRIST,TC,,20,,RBRVS,,2.75 ,2.75 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
73120,CPT,X-RAY EXAM OF HAND,,,20,,RBRVS,0.16 ,0.67 ,0.67 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
73120,CPT,X-RAY EXAM OF HAND,26,,20,,RBRVS,0.16 ,0.07 ,0.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
73120,CPT,X-RAY EXAM OF HAND,TC,,20,,RBRVS,,0.60 ,0.60 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
73130,CPT,X-RAY EXAM OF HAND,,,20,,RBRVS,0.17 ,0.79 ,0.79 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
73130,CPT,X-RAY EXAM OF HAND,26,,20,,RBRVS,0.17 ,0.07 ,0.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
73130,CPT,X-RAY EXAM OF HAND,TC,,20,,RBRVS,,0.72 ,0.72 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
73140,CPT,X-RAY EXAM OF FINGER(S),,,20,,RBRVS,0.13 ,0.85 ,0.85 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
73140,CPT,X-RAY EXAM OF FINGER(S),26,,20,,RBRVS,0.13 ,0.06 ,0.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
73140,CPT,X-RAY EXAM OF FINGER(S),TC,,20,,RBRVS,,0.79 ,0.79 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
73200,CPT,CT UPPER EXTREMITY W/O DYE,,,20,,RBRVS,1.00 ,3.97 ,3.97 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
73200,CPT,CT UPPER EXTREMITY W/O DYE,26,,20,,RBRVS,1.00 ,0.37 ,0.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
73200,CPT,CT UPPER EXTREMITY W/O DYE,TC,,20,,RBRVS,,3.60 ,3.60 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
73201,CPT,CT UPPER EXTREMITY W/DYE,,,20,,RBRVS,1.16 ,5.04 ,5.04 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
73201,CPT,CT UPPER EXTREMITY W/DYE,26,,20,,RBRVS,1.16 ,0.43 ,0.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
73201,CPT,CT UPPER EXTREMITY W/DYE,TC,,20,,RBRVS,,4.61 ,4.61 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
73202,CPT,CT UPPR EXTREMITY W/O&W/DYE,,,20,,RBRVS,1.22 ,6.52 ,6.52 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
73202,CPT,CT UPPR EXTREMITY W/O&W/DYE,26,,20,,RBRVS,1.22 ,0.45 ,0.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
73202,CPT,CT UPPR EXTREMITY W/O&W/DYE,TC,,20,,RBRVS,,6.07 ,6.07 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
73206,CPT,CT ANGIO UPR EXTRM W/O&W/DYE,,,20,,RBRVS,1.81 ,7.31 ,7.31 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
73206,CPT,CT ANGIO UPR EXTRM W/O&W/DYE,26,,20,,RBRVS,1.81 ,0.64 ,0.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
73206,CPT,CT ANGIO UPR EXTRM W/O&W/DYE,TC,,20,,RBRVS,,6.67 ,6.67 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
73218,CPT,MRI UPPER EXTREMITY W/O DYE,,,20,,RBRVS,1.35 ,8.50 ,8.50 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
73218,CPT,MRI UPPER EXTREMITY W/O DYE,26,,20,,RBRVS,1.35 ,0.51 ,0.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
73218,CPT,MRI UPPER EXTREMITY W/O DYE,TC,,20,,RBRVS,,7.99 ,7.99 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
73219,CPT,MRI UPPER EXTREMITY W/DYE,,,20,,RBRVS,1.62 ,9.25 ,9.25 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
73219,CPT,MRI UPPER EXTREMITY W/DYE,26,,20,,RBRVS,1.62 ,0.61 ,0.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
73219,CPT,MRI UPPER EXTREMITY W/DYE,TC,,20,,RBRVS,,8.64 ,8.64 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
73220,CPT,MRI UPPR EXTREMITY W/O&W/DYE,,,20,,RBRVS,2.15 ,11.21 ,11.21 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
73220,CPT,MRI UPPR EXTREMITY W/O&W/DYE,26,,20,,RBRVS,2.15 ,0.80 ,0.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
73220,CPT,MRI UPPR EXTREMITY W/O&W/DYE,TC,,20,,RBRVS,,10.41 ,10.41 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
73221,CPT,MRI JOINT UPR EXTREM W/O DYE,,,20,,RBRVS,1.35 ,5.02 ,5.02 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
73221,CPT,MRI JOINT UPR EXTREM W/O DYE,26,,20,,RBRVS,1.35 ,0.52 ,0.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
73221,CPT,MRI JOINT UPR EXTREM W/O DYE,TC,,20,,RBRVS,,4.50 ,4.50 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
73222,CPT,MRI JOINT UPR EXTREM W/DYE,,,20,,RBRVS,1.62 ,8.56 ,8.56 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
73222,CPT,MRI JOINT UPR EXTREM W/DYE,26,,20,,RBRVS,1.62 ,0.61 ,0.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
73222,CPT,MRI JOINT UPR EXTREM W/DYE,TC,,20,,RBRVS,,7.95 ,7.95 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
73223,CPT,MRI JOINT UPR EXTR W/O&W/DYE,,,20,,RBRVS,2.15 ,10.46 ,10.46 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
73223,CPT,MRI JOINT UPR EXTR W/O&W/DYE,26,,20,,RBRVS,2.15 ,0.80 ,0.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
73223,CPT,MRI JOINT UPR EXTR W/O&W/DYE,TC,,20,,RBRVS,,9.66 ,9.66 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
73225,CPT,MR ANGIO UPR EXTR W/O&W/DYE,,,20,,RBRVS,1.73 ,9.28 ,9.28 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
73225,CPT,MR ANGIO UPR EXTR W/O&W/DYE,26,,20,,RBRVS,1.73 ,0.65 ,0.65 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
73225,CPT,MR ANGIO UPR EXTR W/O&W/DYE,TC,,20,,RBRVS,,8.63 ,8.63 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
73501,CPT,X-RAY EXAM HIP UNI 1 VIEW,,,20,,RBRVS,0.18 ,0.69 ,0.69 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
73501,CPT,X-RAY EXAM HIP UNI 1 VIEW,26,,20,,RBRVS,0.18 ,0.08 ,0.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
73501,CPT,X-RAY EXAM HIP UNI 1 VIEW,TC,,20,,RBRVS,,0.61 ,0.61 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
73502,CPT,X-RAY EXAM HIP UNI 2-3 VIEWS,,,20,,RBRVS,0.22 ,1.03 ,1.03 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
73502,CPT,X-RAY EXAM HIP UNI 2-3 VIEWS,26,,20,,RBRVS,0.22 ,0.09 ,0.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
73502,CPT,X-RAY EXAM HIP UNI 2-3 VIEWS,TC,,20,,RBRVS,,0.94 ,0.94 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
73503,CPT,X-RAY EXAM HIP UNI 4/> VIEWS,,,20,,RBRVS,0.27 ,1.28 ,1.28 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
73503,CPT,X-RAY EXAM HIP UNI 4/> VIEWS,26,,20,,RBRVS,0.27 ,0.11 ,0.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
73503,CPT,X-RAY EXAM HIP UNI 4/> VIEWS,TC,,20,,RBRVS,,1.17 ,1.17 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
73521,CPT,X-RAY EXAM HIPS BI 2 VIEWS,,,20,,RBRVS,0.22 ,0.88 ,0.88 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
73521,CPT,X-RAY EXAM HIPS BI 2 VIEWS,26,,20,,RBRVS,0.22 ,0.09 ,0.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
73521,CPT,X-RAY EXAM HIPS BI 2 VIEWS,TC,,20,,RBRVS,,0.79 ,0.79 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
73522,CPT,X-RAY EXAM HIPS BI 3-4 VIEWS,,,20,,RBRVS,0.29 ,1.15 ,1.15 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
73522,CPT,X-RAY EXAM HIPS BI 3-4 VIEWS,26,,20,,RBRVS,0.29 ,0.12 ,0.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
73522,CPT,X-RAY EXAM HIPS BI 3-4 VIEWS,TC,,20,,RBRVS,,1.03 ,1.03 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
73523,CPT,X-RAY EXAM HIPS BI 5/> VIEWS,,,20,,RBRVS,0.31 ,1.33 ,1.33 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
73523,CPT,X-RAY EXAM HIPS BI 5/> VIEWS,26,,20,,RBRVS,0.31 ,0.13 ,0.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
73523,CPT,X-RAY EXAM HIPS BI 5/> VIEWS,TC,,20,,RBRVS,,1.20 ,1.20 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
73525,CPT,CONTRAST X-RAY OF HIP,,,20,,RBRVS,0.54 ,2.87 ,2.87 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
73525,CPT,CONTRAST X-RAY OF HIP,26,,20,,RBRVS,0.54 ,0.25 ,0.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
73525,CPT,CONTRAST X-RAY OF HIP,TC,,20,,RBRVS,,2.62 ,2.62 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
73551,CPT,X-RAY EXAM OF FEMUR 1,,,20,,RBRVS,0.16 ,0.64 ,0.64 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
73551,CPT,X-RAY EXAM OF FEMUR 1,26,,20,,RBRVS,0.16 ,0.07 ,0.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
73551,CPT,X-RAY EXAM OF FEMUR 1,TC,,20,,RBRVS,,0.57 ,0.57 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
73552,CPT,X-RAY EXAM OF FEMUR 2/>,,,20,,RBRVS,0.18 ,0.77 ,0.77 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
73552,CPT,X-RAY EXAM OF FEMUR 2/>,26,,20,,RBRVS,0.18 ,0.07 ,0.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
73552,CPT,X-RAY EXAM OF FEMUR 2/>,TC,,20,,RBRVS,,0.70 ,0.70 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
73560,CPT,X-RAY EXAM OF KNEE 1 OR 2,,,20,,RBRVS,0.16 ,0.76 ,0.76 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
73560,CPT,X-RAY EXAM OF KNEE 1 OR 2,26,,20,,RBRVS,0.16 ,0.07 ,0.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
73560,CPT,X-RAY EXAM OF KNEE 1 OR 2,TC,,20,,RBRVS,,0.69 ,0.69 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
73562,CPT,X-RAY EXAM OF KNEE 3,,,20,,RBRVS,0.18 ,0.90 ,0.90 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
73562,CPT,X-RAY EXAM OF KNEE 3,26,,20,,RBRVS,0.18 ,0.08 ,0.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
73562,CPT,X-RAY EXAM OF KNEE 3,TC,,20,,RBRVS,,0.82 ,0.82 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
73564,CPT,X-RAY EXAM KNEE 4 OR MORE,,,20,,RBRVS,0.22 ,0.99 ,0.99 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
73564,CPT,X-RAY EXAM KNEE 4 OR MORE,26,,20,,RBRVS,0.22 ,0.09 ,0.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
73564,CPT,X-RAY EXAM KNEE 4 OR MORE,TC,,20,,RBRVS,,0.90 ,0.90 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
73565,CPT,X-RAY EXAM OF KNEES,,,20,,RBRVS,0.16 ,0.91 ,0.91 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
73565,CPT,X-RAY EXAM OF KNEES,26,,20,,RBRVS,0.16 ,0.08 ,0.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
73565,CPT,X-RAY EXAM OF KNEES,TC,,20,,RBRVS,,0.83 ,0.83 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
73580,CPT,CONTRAST X-RAY OF KNEE JOINT,,,20,,RBRVS,0.54 ,3.24 ,3.24 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
73580,CPT,CONTRAST X-RAY OF KNEE JOINT,26,,20,,RBRVS,0.54 ,0.23 ,0.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
73580,CPT,CONTRAST X-RAY OF KNEE JOINT,TC,,20,,RBRVS,,3.01 ,3.01 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
73590,CPT,X-RAY EXAM OF LOWER LEG,,,20,,RBRVS,0.16 ,0.68 ,0.68 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
73590,CPT,X-RAY EXAM OF LOWER LEG,26,,20,,RBRVS,0.16 ,0.06 ,0.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
73590,CPT,X-RAY EXAM OF LOWER LEG,TC,,20,,RBRVS,,0.62 ,0.62 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
73592,CPT,X-RAY EXAM OF LEG INFANT,,,20,,RBRVS,0.16 ,0.67 ,0.67 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
73592,CPT,X-RAY EXAM OF LEG INFANT,26,,20,,RBRVS,0.16 ,0.06 ,0.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
73592,CPT,X-RAY EXAM OF LEG INFANT,TC,,20,,RBRVS,,0.61 ,0.61 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
73600,CPT,X-RAY EXAM OF ANKLE,,,20,,RBRVS,0.16 ,0.71 ,0.71 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
73600,CPT,X-RAY EXAM OF ANKLE,26,,20,,RBRVS,0.16 ,0.07 ,0.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
73600,CPT,X-RAY EXAM OF ANKLE,TC,,20,,RBRVS,,0.64 ,0.64 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
73610,CPT,X-RAY EXAM OF ANKLE,,,20,,RBRVS,0.17 ,0.79 ,0.79 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
73610,CPT,X-RAY EXAM OF ANKLE,26,,20,,RBRVS,0.17 ,0.07 ,0.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
73610,CPT,X-RAY EXAM OF ANKLE,TC,,20,,RBRVS,,0.72 ,0.72 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
73615,CPT,CONTRAST X-RAY OF ANKLE,,,20,,RBRVS,0.54 ,3.01 ,3.01 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
73615,CPT,CONTRAST X-RAY OF ANKLE,26,,20,,RBRVS,0.54 ,0.24 ,0.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
73615,CPT,CONTRAST X-RAY OF ANKLE,TC,,20,,RBRVS,,2.77 ,2.77 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
73620,CPT,X-RAY EXAM OF FOOT,,,20,,RBRVS,0.16 ,0.60 ,0.60 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
73620,CPT,X-RAY EXAM OF FOOT,26,,20,,RBRVS,0.16 ,0.05 ,0.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
73620,CPT,X-RAY EXAM OF FOOT,TC,,20,,RBRVS,,0.55 ,0.55 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
73630,CPT,X-RAY EXAM OF FOOT,,,20,,RBRVS,0.17 ,0.73 ,0.73 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
73630,CPT,X-RAY EXAM OF FOOT,26,,20,,RBRVS,0.17 ,0.06 ,0.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
73630,CPT,X-RAY EXAM OF FOOT,TC,,20,,RBRVS,,0.67 ,0.67 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
73650,CPT,X-RAY EXAM OF HEEL,,,20,,RBRVS,0.16 ,0.61 ,0.61 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
73650,CPT,X-RAY EXAM OF HEEL,26,,20,,RBRVS,0.16 ,0.06 ,0.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
73650,CPT,X-RAY EXAM OF HEEL,TC,,20,,RBRVS,,0.55 ,0.55 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
73660,CPT,X-RAY EXAM OF TOE(S),,,20,,RBRVS,0.13 ,0.64 ,0.64 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
73660,CPT,X-RAY EXAM OF TOE(S),26,,20,,RBRVS,0.13 ,0.05 ,0.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
73660,CPT,X-RAY EXAM OF TOE(S),TC,,20,,RBRVS,,0.59 ,0.59 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
73700,CPT,CT LOWER EXTREMITY W/O DYE,,,20,,RBRVS,1.00 ,3.30 ,3.30 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
73700,CPT,CT LOWER EXTREMITY W/O DYE,26,,20,,RBRVS,1.00 ,0.37 ,0.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
73700,CPT,CT LOWER EXTREMITY W/O DYE,TC,,20,,RBRVS,,2.93 ,2.93 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
73701,CPT,CT LOWER EXTREMITY W/DYE,,,20,,RBRVS,1.16 ,4.23 ,4.23 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
73701,CPT,CT LOWER EXTREMITY W/DYE,26,,20,,RBRVS,1.16 ,0.43 ,0.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
73701,CPT,CT LOWER EXTREMITY W/DYE,TC,,20,,RBRVS,,3.80 ,3.80 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
73702,CPT,CT LWR EXTREMITY W/O&W/DYE,,,20,,RBRVS,1.22 ,5.27 ,5.27 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
73702,CPT,CT LWR EXTREMITY W/O&W/DYE,26,,20,,RBRVS,1.22 ,0.44 ,0.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
73702,CPT,CT LWR EXTREMITY W/O&W/DYE,TC,,20,,RBRVS,,4.83 ,4.83 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
73706,CPT,CT ANGIO LWR EXTR W/O&W/DYE,,,20,,RBRVS,1.90 ,7.98 ,7.98 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
73706,CPT,CT ANGIO LWR EXTR W/O&W/DYE,26,,20,,RBRVS,1.90 ,0.67 ,0.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
73706,CPT,CT ANGIO LWR EXTR W/O&W/DYE,TC,,20,,RBRVS,,7.31 ,7.31 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
73718,CPT,MRI LOWER EXTREMITY W/O DYE,,,20,,RBRVS,1.35 ,5.82 ,5.82 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
73718,CPT,MRI LOWER EXTREMITY W/O DYE,26,,20,,RBRVS,1.35 ,0.50 ,0.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
73718,CPT,MRI LOWER EXTREMITY W/O DYE,TC,,20,,RBRVS,,5.32 ,5.32 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
73719,CPT,MRI LOWER EXTREMITY W/DYE,,,20,,RBRVS,1.62 ,6.85 ,6.85 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
73719,CPT,MRI LOWER EXTREMITY W/DYE,26,,20,,RBRVS,1.62 ,0.60 ,0.60 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
73719,CPT,MRI LOWER EXTREMITY W/DYE,TC,,20,,RBRVS,,6.25 ,6.25 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
73720,CPT,MRI LWR EXTREMITY W/O&W/DYE,,,20,,RBRVS,2.15 ,8.72 ,8.72 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
73720,CPT,MRI LWR EXTREMITY W/O&W/DYE,26,,20,,RBRVS,2.15 ,0.79 ,0.79 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
73720,CPT,MRI LWR EXTREMITY W/O&W/DYE,TC,,20,,RBRVS,,7.93 ,7.93 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
73721,CPT,MRI JNT OF LWR EXTRE W/O DYE,,,20,,RBRVS,1.35 ,5.01 ,5.01 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
73721,CPT,MRI JNT OF LWR EXTRE W/O DYE,26,,20,,RBRVS,1.35 ,0.51 ,0.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
73721,CPT,MRI JNT OF LWR EXTRE W/O DYE,TC,,20,,RBRVS,,4.50 ,4.50 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
73722,CPT,MRI JOINT OF LWR EXTR W/DYE,,,20,,RBRVS,1.62 ,8.58 ,8.58 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
73722,CPT,MRI JOINT OF LWR EXTR W/DYE,26,,20,,RBRVS,1.62 ,0.61 ,0.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
73722,CPT,MRI JOINT OF LWR EXTR W/DYE,TC,,20,,RBRVS,,7.97 ,7.97 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
73723,CPT,MRI JOINT LWR EXTR W/O&W/DYE,,,20,,RBRVS,2.15 ,10.44 ,10.44 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
73723,CPT,MRI JOINT LWR EXTR W/O&W/DYE,26,,20,,RBRVS,2.15 ,0.80 ,0.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
73723,CPT,MRI JOINT LWR EXTR W/O&W/DYE,TC,,20,,RBRVS,,9.64 ,9.64 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
73725,CPT,MR ANG LWR EXT W OR W/O DYE,,,20,,RBRVS,1.82 ,8.94 ,8.94 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
73725,CPT,MR ANG LWR EXT W OR W/O DYE,26,,20,,RBRVS,1.82 ,0.64 ,0.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
73725,CPT,MR ANG LWR EXT W OR W/O DYE,TC,,20,,RBRVS,,8.30 ,8.30 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
74018,CPT,X-RAY EXAM ABDOMEN 1 VIEW,,,20,,RBRVS,0.18 ,0.62 ,0.62 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
74018,CPT,X-RAY EXAM ABDOMEN 1 VIEW,26,,20,,RBRVS,0.18 ,0.07 ,0.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
74018,CPT,X-RAY EXAM ABDOMEN 1 VIEW,TC,,20,,RBRVS,,0.55 ,0.55 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
74019,CPT,X-RAY EXAM ABDOMEN 2 VIEWS,,,20,,RBRVS,0.23 ,0.76 ,0.76 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
74019,CPT,X-RAY EXAM ABDOMEN 2 VIEWS,26,,20,,RBRVS,0.23 ,0.09 ,0.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
74019,CPT,X-RAY EXAM ABDOMEN 2 VIEWS,TC,,20,,RBRVS,,0.67 ,0.67 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
74021,CPT,X-RAY EXAM ABDOMEN 3+ VIEWS,,,20,,RBRVS,0.27 ,0.88 ,0.88 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
74021,CPT,X-RAY EXAM ABDOMEN 3+ VIEWS,26,,20,,RBRVS,0.27 ,0.10 ,0.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
74021,CPT,X-RAY EXAM ABDOMEN 3+ VIEWS,TC,,20,,RBRVS,,0.78 ,0.78 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
74022,CPT,X-RAY EXAM COMPLETE ABDOMEN,,,20,,RBRVS,0.32 ,1.02 ,1.02 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
74022,CPT,X-RAY EXAM COMPLETE ABDOMEN,26,,20,,RBRVS,0.32 ,0.12 ,0.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
74022,CPT,X-RAY EXAM COMPLETE ABDOMEN,TC,,20,,RBRVS,,0.90 ,0.90 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
74150,CPT,CT ABDOMEN W/O DYE,,,20,,RBRVS,1.19 ,2.94 ,2.94 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
74150,CPT,CT ABDOMEN W/O DYE,26,,20,,RBRVS,1.19 ,0.44 ,0.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
74150,CPT,CT ABDOMEN W/O DYE,TC,,20,,RBRVS,,2.50 ,2.50 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
74160,CPT,CT ABDOMEN W/DYE,,,20,,RBRVS,1.27 ,5.62 ,5.62 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
74160,CPT,CT ABDOMEN W/DYE,26,,20,,RBRVS,1.27 ,0.48 ,0.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
74160,CPT,CT ABDOMEN W/DYE,TC,,20,,RBRVS,,5.14 ,5.14 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
74170,CPT,CT ABDOMEN W/O & W/DYE,,,20,,RBRVS,1.40 ,6.35 ,6.35 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
74170,CPT,CT ABDOMEN W/O & W/DYE,26,,20,,RBRVS,1.40 ,0.51 ,0.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
74170,CPT,CT ABDOMEN W/O & W/DYE,TC,,20,,RBRVS,,5.84 ,5.84 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
74174,CPT,CT ANGIO ABD&PELV W/O&W/DYE,,,20,,RBRVS,2.20 ,9.06 ,9.06 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
74174,CPT,CT ANGIO ABD&PELV W/O&W/DYE,26,,20,,RBRVS,2.20 ,0.79 ,0.79 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
74174,CPT,CT ANGIO ABD&PELV W/O&W/DYE,TC,,20,,RBRVS,,8.27 ,8.27 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
74175,CPT,CT ANGIO ABDOM W/O & W/DYE,,,20,,RBRVS,1.82 ,7.17 ,7.17 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
74175,CPT,CT ANGIO ABDOM W/O & W/DYE,26,,20,,RBRVS,1.82 ,0.66 ,0.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
74175,CPT,CT ANGIO ABDOM W/O & W/DYE,TC,,20,,RBRVS,,6.51 ,6.51 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
74176,CPT,CT ABD & PELVIS W/O CONTRAST,,,20,,RBRVS,1.74 ,3.79 ,3.79 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
74176,CPT,CT ABD & PELVIS W/O CONTRAST,26,,20,,RBRVS,1.74 ,0.64 ,0.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
74176,CPT,CT ABD & PELVIS W/O CONTRAST,TC,,20,,RBRVS,,3.15 ,3.15 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
74177,CPT,CT ABD & PELV W/CONTRAST,,,20,,RBRVS,1.82 ,7.28 ,7.28 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
74177,CPT,CT ABD & PELV W/CONTRAST,26,,20,,RBRVS,1.82 ,0.68 ,0.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
74177,CPT,CT ABD & PELV W/CONTRAST,TC,,20,,RBRVS,,6.60 ,6.60 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
74178,CPT,CT ABD & PELV 1/> REGNS,,,20,,RBRVS,2.01 ,8.23 ,8.23 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
74178,CPT,CT ABD & PELV 1/> REGNS,26,,20,,RBRVS,2.01 ,0.74 ,0.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
74178,CPT,CT ABD & PELV 1/> REGNS,TC,,20,,RBRVS,,7.49 ,7.49 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
74181,CPT,MRI ABDOMEN W/O DYE,,,20,,RBRVS,1.46 ,4.79 ,4.79 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
74181,CPT,MRI ABDOMEN W/O DYE,26,,20,,RBRVS,1.46 ,0.54 ,0.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
74181,CPT,MRI ABDOMEN W/O DYE,TC,,20,,RBRVS,,4.25 ,4.25 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
74182,CPT,MRI ABDOMEN W/DYE,,,20,,RBRVS,1.73 ,8.06 ,8.06 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
74182,CPT,MRI ABDOMEN W/DYE,26,,20,,RBRVS,1.73 ,0.64 ,0.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
74182,CPT,MRI ABDOMEN W/DYE,TC,,20,,RBRVS,,7.42 ,7.42 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
74183,CPT,MRI ABDOMEN W/O & W/DYE,,,20,,RBRVS,2.20 ,8.70 ,8.70 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
74183,CPT,MRI ABDOMEN W/O & W/DYE,26,,20,,RBRVS,2.20 ,0.81 ,0.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
74183,CPT,MRI ABDOMEN W/O & W/DYE,TC,,20,,RBRVS,,7.89 ,7.89 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
74185,CPT,MRI ANGIO ABDOM W ORW/O DYE,,,20,,RBRVS,1.80 ,8.99 ,8.99 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
74185,CPT,MRI ANGIO ABDOM W ORW/O DYE,26,,20,,RBRVS,1.80 ,0.64 ,0.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
74185,CPT,MRI ANGIO ABDOM W ORW/O DYE,TC,,20,,RBRVS,,8.35 ,8.35 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
74190,CPT,X-RAY EXAM OF PERITONEUM,,,20,,TotalUnits,,,,1.35 ,,$0.00,$0.00,1,0,0,0,0,1,20210101,
74190,CPT,X-RAY EXAM OF PERITONEUM,26,,20,,TotalUnits,,,,0.63 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
74190,CPT,X-RAY EXAM OF PERITONEUM,TC,,20,,TotalUnits,,,,0.72 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
74210,CPT,X-RAY XM PHRNX&/CRV ESOPH C+,,,20,,RBRVS,0.59 ,2.03 ,2.03 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
74210,CPT,X-RAY XM PHRNX&/CRV ESOPH C+,26,,20,,RBRVS,0.59 ,0.22 ,0.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
74210,CPT,X-RAY XM PHRNX&/CRV ESOPH C+,TC,,20,,RBRVS,,1.81 ,1.81 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
74220,CPT,X-RAY XM ESOPHAGUS 1CNTRST,,,20,,RBRVS,0.60 ,2.07 ,2.07 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
74220,CPT,X-RAY XM ESOPHAGUS 1CNTRST,26,,20,,RBRVS,0.60 ,0.22 ,0.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
74220,CPT,X-RAY XM ESOPHAGUS 1CNTRST,TC,,20,,RBRVS,,1.85 ,1.85 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
74221,CPT,X-RAY XM ESOPHAGUS 2CNTRST,,,20,,RBRVS,0.70 ,2.32 ,2.32 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
74221,CPT,X-RAY XM ESOPHAGUS 2CNTRST,26,,20,,RBRVS,0.70 ,0.26 ,0.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
74221,CPT,X-RAY XM ESOPHAGUS 2CNTRST,TC,,20,,RBRVS,,2.06 ,2.06 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
74230,CPT,X-RAY XM SWLNG FUNCJ C+,,,20,,RBRVS,0.53 ,3.08 ,3.08 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
74230,CPT,X-RAY XM SWLNG FUNCJ C+,26,,20,,RBRVS,0.53 ,0.20 ,0.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
74230,CPT,X-RAY XM SWLNG FUNCJ C+,TC,,20,,RBRVS,,2.88 ,2.88 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
74235,CPT,REMOVE ESOPHAGUS OBSTRUCTION,,,20,,TotalUnits,,,,4.69 ,,$0.00,$0.00,1,0,0,0,0,1,20210101,
74235,CPT,REMOVE ESOPHAGUS OBSTRUCTION,26,,20,,RBRVS,1.19 ,0.44 ,0.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
74235,CPT,REMOVE ESOPHAGUS OBSTRUCTION,TC,,20,,TotalUnits,,,,3.06 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
74240,CPT,X-RAY XM UPR GI TRC 1CNTRST,,,20,,RBRVS,0.80 ,2.53 ,2.53 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
74240,CPT,X-RAY XM UPR GI TRC 1CNTRST,26,,20,,RBRVS,0.80 ,0.30 ,0.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
74240,CPT,X-RAY XM UPR GI TRC 1CNTRST,TC,,20,,RBRVS,,2.23 ,2.23 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
74246,CPT,X-RAY XM UPR GI TRC 2CNTRST,,,20,,RBRVS,0.90 ,2.94 ,2.94 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
74246,CPT,X-RAY XM UPR GI TRC 2CNTRST,26,,20,,RBRVS,0.90 ,0.33 ,0.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
74246,CPT,X-RAY XM UPR GI TRC 2CNTRST,TC,,20,,RBRVS,,2.61 ,2.61 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
74248,CPT,X-RAY SM INT F-THRU STD,,,20,,RBRVS,0.70 ,1.59 ,1.59 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
74248,CPT,X-RAY SM INT F-THRU STD,26,,20,,RBRVS,0.70 ,0.26 ,0.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
74248,CPT,X-RAY SM INT F-THRU STD,TC,,20,,RBRVS,,1.33 ,1.33 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
74250,CPT,X-RAY XM SM INT 1CNTRST STD,,,20,,RBRVS,0.81 ,2.54 ,2.54 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
74250,CPT,X-RAY XM SM INT 1CNTRST STD,26,,20,,RBRVS,0.81 ,0.30 ,0.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
74250,CPT,X-RAY XM SM INT 1CNTRST STD,TC,,20,,RBRVS,,2.24 ,2.24 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
74251,CPT,X-RAY XM SM INT 2CNTRST STD,,,20,,RBRVS,1.17 ,10.07 ,10.07 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
74251,CPT,X-RAY XM SM INT 2CNTRST STD,26,,20,,RBRVS,1.17 ,0.43 ,0.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
74251,CPT,X-RAY XM SM INT 2CNTRST STD,TC,,20,,RBRVS,,9.64 ,9.64 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
74261,CPT,CT COLONOGRAPHY DX,,,20,,RBRVS,2.40 ,10.91 ,10.91 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
74261,CPT,CT COLONOGRAPHY DX,26,,20,,RBRVS,2.40 ,0.89 ,0.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
74261,CPT,CT COLONOGRAPHY DX,TC,,20,,RBRVS,,10.02 ,10.02 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
74262,CPT,CT COLONOGRAPHY DX W/DYE,,,20,,RBRVS,2.50 ,12.48 ,12.48 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
74262,CPT,CT COLONOGRAPHY DX W/DYE,26,,20,,RBRVS,2.50 ,0.93 ,0.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
74262,CPT,CT COLONOGRAPHY DX W/DYE,TC,,20,,RBRVS,,11.55 ,11.55 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
74263,CPT,CT COLONOGRAPHY SCREENING,,,20,,RBRVS,2.28 ,18.76 ,18.76 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
74263,CPT,CT COLONOGRAPHY SCREENING,26,,20,,RBRVS,2.28 ,0.88 ,0.88 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
74263,CPT,CT COLONOGRAPHY SCREENING,TC,,20,,RBRVS,,17.88 ,17.88 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
74270,CPT,X-RAY XM COLON 1CNTRST STD,,,20,,RBRVS,1.04 ,3.24 ,3.24 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
74270,CPT,X-RAY XM COLON 1CNTRST STD,26,,20,,RBRVS,1.04 ,0.38 ,0.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
74270,CPT,X-RAY XM COLON 1CNTRST STD,TC,,20,,RBRVS,,2.86 ,2.86 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
74280,CPT,X-RAY XM COLON 2CNTRST STD,,,20,,RBRVS,1.26 ,4.91 ,4.91 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
74280,CPT,X-RAY XM COLON 2CNTRST STD,26,,20,,RBRVS,1.26 ,0.46 ,0.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
74280,CPT,X-RAY XM COLON 2CNTRST STD,TC,,20,,RBRVS,,4.45 ,4.45 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
74283,CPT,THER NMA RDCTJ INTUS/OBSTRCJ,,,20,,RBRVS,2.02 ,4.88 ,4.88 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
74283,CPT,THER NMA RDCTJ INTUS/OBSTRCJ,26,,20,,RBRVS,2.02 ,0.83 ,0.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
74283,CPT,THER NMA RDCTJ INTUS/OBSTRCJ,TC,,20,,RBRVS,,4.05 ,4.05 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
74290,CPT,CONTRAST X-RAY GALLBLADDER,,,20,,RBRVS,0.32 ,1.97 ,1.97 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
74290,CPT,CONTRAST X-RAY GALLBLADDER,26,,20,,RBRVS,0.32 ,0.12 ,0.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
74290,CPT,CONTRAST X-RAY GALLBLADDER,TC,,20,,RBRVS,,1.85 ,1.85 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
74300,CPT,X-RAY BILE DUCTS/PANCREAS,,,20,,TotalUnits,,,,1.54 ,,$0.00,$0.00,1,0,0,0,0,1,20210101,
74300,CPT,X-RAY BILE DUCTS/PANCREAS,26,,20,,TotalUnits,,,,0.49 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
74300,CPT,X-RAY BILE DUCTS/PANCREAS,TC,,20,,TotalUnits,,,,1.05 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
74301,CPT,X-RAYS AT SURGERY ADD-ON,,,20,,TotalUnits,,,,1.09 ,,$0.00,$0.00,1,0,0,0,0,1,20210101,
74301,CPT,X-RAYS AT SURGERY ADD-ON,26,,20,,TotalUnits,,,,0.29 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
74301,CPT,X-RAYS AT SURGERY ADD-ON,TC,,20,,TotalUnits,,,,0.80 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
74328,CPT,X-RAY BILE DUCT ENDOSCOPY,,,20,,TotalUnits,,,,3.66 ,,$0.00,$0.00,1,0,0,0,0,1,20210101,
74328,CPT,X-RAY BILE DUCT ENDOSCOPY,26,,20,,TotalUnits,,,,0.98 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
74328,CPT,X-RAY BILE DUCT ENDOSCOPY,TC,,20,,TotalUnits,,,,2.68 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
74329,CPT,X-RAY FOR PANCREAS ENDOSCOPY,,,20,,TotalUnits,,,,2.98 ,,$0.00,$0.00,1,0,0,0,0,1,20210101,
74329,CPT,X-RAY FOR PANCREAS ENDOSCOPY,26,,20,,TotalUnits,,,,0.98 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
74329,CPT,X-RAY FOR PANCREAS ENDOSCOPY,TC,,20,,TotalUnits,,,,2.00 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
74330,CPT,X-RAY BILE/PANC ENDOSCOPY,,,20,,TotalUnits,,,,4.47 ,,$0.00,$0.00,1,0,0,0,0,1,20210101,
74330,CPT,X-RAY BILE/PANC ENDOSCOPY,26,,20,,TotalUnits,,,,1.25 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
74330,CPT,X-RAY BILE/PANC ENDOSCOPY,TC,,20,,TotalUnits,,,,3.22 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
74340,CPT,X-RAY GUIDE FOR GI TUBE,,,20,,TotalUnits,,,,2.17 ,,$0.00,$0.00,1,0,0,0,0,1,20210101,
74340,CPT,X-RAY GUIDE FOR GI TUBE,26,,20,,TotalUnits,,,,0.74 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
74340,CPT,X-RAY GUIDE FOR GI TUBE,TC,,20,,TotalUnits,,,,1.43 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
74355,CPT,X-RAY GUIDE INTESTINAL TUBE,,,20,,TotalUnits,,,,3.89 ,,$0.00,$0.00,1,0,0,0,0,1,20210101,
74355,CPT,X-RAY GUIDE INTESTINAL TUBE,26,,20,,RBRVS,0.76 ,0.28 ,0.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
74355,CPT,X-RAY GUIDE INTESTINAL TUBE,TC,,20,,TotalUnits,,,,2.85 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
74360,CPT,X-RAY GUIDE GI DILATION,,,20,,TotalUnits,,,,3.28 ,,$0.00,$0.00,1,0,0,0,0,1,20210101,
74360,CPT,X-RAY GUIDE GI DILATION,26,,20,,TotalUnits,,,,0.75 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
74360,CPT,X-RAY GUIDE GI DILATION,TC,,20,,TotalUnits,,,,2.53 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
74363,CPT,X-RAY BILE DUCT DILATION,,,20,,TotalUnits,,,,3.22 ,,$0.00,$0.00,1,0,0,0,0,1,20210101,
74363,CPT,X-RAY BILE DUCT DILATION,26,,20,,RBRVS,0.88 ,0.31 ,0.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
74363,CPT,X-RAY BILE DUCT DILATION,TC,,20,,TotalUnits,,,,2.03 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
74400,CPT,CONTRST X-RAY URINARY TRACT,,,20,,RBRVS,0.49 ,3.08 ,3.08 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
74400,CPT,CONTRST X-RAY URINARY TRACT,26,,20,,RBRVS,0.49 ,0.18 ,0.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
74400,CPT,CONTRST X-RAY URINARY TRACT,TC,,20,,RBRVS,,2.90 ,2.90 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
74410,CPT,CONTRST X-RAY URINARY TRACT,,,20,,RBRVS,0.49 ,3.14 ,3.14 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
74410,CPT,CONTRST X-RAY URINARY TRACT,26,,20,,RBRVS,0.49 ,0.17 ,0.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
74410,CPT,CONTRST X-RAY URINARY TRACT,TC,,20,,RBRVS,,2.97 ,2.97 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
74415,CPT,CONTRST X-RAY URINARY TRACT,,,20,,RBRVS,0.49 ,3.76 ,3.76 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
74415,CPT,CONTRST X-RAY URINARY TRACT,26,,20,,RBRVS,0.49 ,0.18 ,0.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
74415,CPT,CONTRST X-RAY URINARY TRACT,TC,,20,,RBRVS,,3.58 ,3.58 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
74420,CPT,CONTRST X-RAY URINARY TRACT,,,20,,RBRVS,0.52 ,1.53 ,1.53 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
74420,CPT,CONTRST X-RAY URINARY TRACT,26,,20,,RBRVS,0.52 ,0.18 ,0.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
74420,CPT,CONTRST X-RAY URINARY TRACT,TC,,20,,RBRVS,,1.35 ,1.35 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
74425,CPT,UROGRAPHY ANTEGRADE RS&I,,,20,,RBRVS,0.51 ,3.12 ,3.12 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
74425,CPT,CONTRST X-RAY URINARY TRACT,26,,20,,RBRVS,0.51 ,0.18 ,0.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
74425,CPT,CONTRST X-RAY URINARY TRACT,TC,,20,,RBRVS,,2.94 ,2.94 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
74430,CPT,CONTRAST X-RAY BLADDER,,,20,,RBRVS,0.32 ,0.79 ,0.79 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
74430,CPT,CONTRAST X-RAY BLADDER,26,,20,,RBRVS,0.32 ,0.12 ,0.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
74430,CPT,CONTRAST X-RAY BLADDER,TC,,20,,RBRVS,,0.67 ,0.67 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
74440,CPT,X-RAY MALE GENITAL TRACT,,,20,,RBRVS,0.38 ,2.19 ,2.19 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
74440,CPT,X-RAY MALE GENITAL TRACT,26,,20,,RBRVS,0.38 ,0.13 ,0.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
74440,CPT,X-RAY MALE GENITAL TRACT,TC,,20,,RBRVS,,2.06 ,2.06 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
74445,CPT,X-RAY EXAM OF PENIS,,,20,,TotalUnits,,,,2.93 ,,$0.00,$0.00,1,0,0,0,0,1,20210101,
74445,CPT,X-RAY EXAM OF PENIS,26,,20,,TotalUnits,,,,1.53 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
74445,CPT,X-RAY EXAM OF PENIS,TC,,20,,TotalUnits,,,,1.40 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
74450,CPT,X-RAY URETHRA/BLADDER,,,20,,TotalUnits,,,,2.06 ,,$0.00,$0.00,1,0,0,0,0,1,20210101,
74450,CPT,X-RAY URETHRA/BLADDER,26,,20,,TotalUnits,,,,0.45 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
74450,CPT,X-RAY URETHRA/BLADDER,TC,,20,,TotalUnits,,,,1.61 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
74455,CPT,X-RAY URETHRA/BLADDER,,,20,,RBRVS,0.33 ,2.39 ,2.39 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
74455,CPT,X-RAY URETHRA/BLADDER,26,,20,,RBRVS,0.33 ,0.12 ,0.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
74455,CPT,X-RAY URETHRA/BLADDER,TC,,20,,RBRVS,,2.27 ,2.27 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
74470,CPT,X-RAY EXAM OF KIDNEY LESION,,,20,,TotalUnits,,,,2.51 ,,$0.00,$0.00,1,0,0,0,0,1,20210101,
74470,CPT,X-RAY EXAM OF KIDNEY LESION,26,,20,,RBRVS,0.54 ,0.18 ,0.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
74470,CPT,X-RAY EXAM OF KIDNEY LESION,TC,,20,,TotalUnits,,,,1.79 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
74485,CPT,DILATION URTR/URT RS&I,,,20,,RBRVS,0.83 ,2.32 ,2.32 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
74485,CPT,DILATION URTR/URT RS&I,26,,20,,RBRVS,0.83 ,0.28 ,0.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
74485,CPT,DILATION URTR/URT RS&I,TC,,20,,RBRVS,,2.04 ,2.04 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
74710,CPT,X-RAY MEASUREMENT OF PELVIS,,,20,,RBRVS,0.34 ,0.75 ,0.75 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
74710,CPT,X-RAY MEASUREMENT OF PELVIS,26,,20,,RBRVS,0.34 ,0.13 ,0.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
74710,CPT,X-RAY MEASUREMENT OF PELVIS,TC,,20,,RBRVS,,0.62 ,0.62 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
74712,CPT,MRI FETAL SNGL/1ST GESTATION,,,20,,RBRVS,3.00 ,10.17 ,10.17 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
74712,CPT,MRI FETAL SNGL/1ST GESTATION,26,,20,,RBRVS,3.00 ,1.11 ,1.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
74712,CPT,MRI FETAL SNGL/1ST GESTATION,TC,,20,,RBRVS,,9.06 ,9.06 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
74713,CPT,MRI FETAL EA ADDL GESTATION,,,20,,RBRVS,1.85 ,4.51 ,4.51 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
74713,CPT,MRI FETAL EA ADDL GESTATION,26,,20,,RBRVS,1.85 ,0.69 ,0.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
74713,CPT,MRI FETAL EA ADDL GESTATION,TC,,20,,RBRVS,,3.82 ,3.82 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
74740,CPT,X-RAY FEMALE GENITAL TRACT,,,20,,RBRVS,0.38 ,2.13 ,2.13 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
74740,CPT,X-RAY FEMALE GENITAL TRACT,26,,20,,RBRVS,0.38 ,0.14 ,0.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
74740,CPT,X-RAY FEMALE GENITAL TRACT,TC,,20,,RBRVS,,1.99 ,1.99 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
74742,CPT,X-RAY FALLOPIAN TUBE,,,20,,TotalUnits,,,,3.06 ,,$0.00,$0.00,1,0,0,0,0,1,20210101,
74742,CPT,X-RAY FALLOPIAN TUBE,26,,20,,TotalUnits,,,,0.84 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
74742,CPT,X-RAY FALLOPIAN TUBE,TC,,20,,TotalUnits,,,,2.22 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
74775,CPT,X-RAY EXAM OF PERINEUM,,,20,,TotalUnits,,,,3.38 ,,$0.00,$0.00,1,0,0,0,0,1,20210101,
74775,CPT,X-RAY EXAM OF PERINEUM,26,,20,,TotalUnits,,,,0.85 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
74775,CPT,X-RAY EXAM OF PERINEUM,TC,,20,,TotalUnits,,,,2.53 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
75557,CPT,CARDIAC MRI FOR MORPH,,,20,,RBRVS,2.35 ,6.56 ,6.56 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
75557,CPT,CARDIAC MRI FOR MORPH,26,,20,,RBRVS,2.35 ,0.84 ,0.84 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
75557,CPT,CARDIAC MRI FOR MORPH,TC,,20,,RBRVS,,5.72 ,5.72 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
75559,CPT,CARDIAC MRI W/STRESS IMG,,,20,,RBRVS,2.95 ,9.45 ,9.45 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
75559,CPT,CARDIAC MRI W/STRESS IMG,26,,20,,RBRVS,2.95 ,0.99 ,0.99 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
75559,CPT,CARDIAC MRI W/STRESS IMG,TC,,20,,RBRVS,,8.46 ,8.46 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
75561,CPT,CARDIAC MRI FOR MORPH W/DYE,,,20,,RBRVS,2.60 ,9.11 ,9.11 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
75561,CPT,CARDIAC MRI FOR MORPH W/DYE,26,,20,,RBRVS,2.60 ,0.92 ,0.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
75561,CPT,CARDIAC MRI FOR MORPH W/DYE,TC,,20,,RBRVS,,8.19 ,8.19 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
75563,CPT,CARD MRI W/STRESS IMG & DYE,,,20,,RBRVS,3.00 ,10.87 ,10.87 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
75563,CPT,CARD MRI W/STRESS IMG & DYE,26,,20,,RBRVS,3.00 ,1.06 ,1.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
75563,CPT,CARD MRI W/STRESS IMG & DYE,TC,,20,,RBRVS,,9.81 ,9.81 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
75565,CPT,CARD MRI VELOC FLOW MAPPING,,,20,,RBRVS,0.25 ,1.22 ,1.22 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
75565,CPT,CARD MRI VELOC FLOW MAPPING,26,,20,,RBRVS,0.25 ,0.09 ,0.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
75565,CPT,CARD MRI VELOC FLOW MAPPING,TC,,20,,RBRVS,,1.13 ,1.13 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
75571,CPT,CT HRT W/O DYE W/CA TEST,,,20,,RBRVS,0.58 ,2.33 ,2.33 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
75571,CPT,CT HRT W/O DYE W/CA TEST,26,,20,,RBRVS,0.58 ,0.21 ,0.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
75571,CPT,CT HRT W/O DYE W/CA TEST,TC,,20,,RBRVS,,2.12 ,2.12 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
75572,CPT,CT HRT W/3D IMAGE,,,20,,RBRVS,1.75 ,5.16 ,5.16 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
75572,CPT,CT HRT W/3D IMAGE,26,,20,,RBRVS,1.75 ,0.63 ,0.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
75572,CPT,CT HRT W/3D IMAGE,TC,,20,,RBRVS,,4.53 ,4.53 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
75573,CPT,CT HRT W/3D IMAGE CONGEN,,,20,,RBRVS,2.55 ,6.74 ,6.74 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
75573,CPT,CT HRT W/3D IMAGE CONGEN,26,,20,,RBRVS,2.55 ,0.93 ,0.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
75573,CPT,CT HRT W/3D IMAGE CONGEN,TC,,20,,RBRVS,,5.81 ,5.81 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
75574,CPT,CT ANGIO HRT W/3D IMAGE,,,20,,RBRVS,2.40 ,7.61 ,7.61 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
75574,CPT,CT ANGIO HRT W/3D IMAGE,26,,20,,RBRVS,2.40 ,0.86 ,0.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
75574,CPT,CT ANGIO HRT W/3D IMAGE,TC,,20,,RBRVS,,6.75 ,6.75 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
75600,CPT,CONTRAST EXAM THORACIC AORTA,,,20,,RBRVS,0.49 ,5.07 ,5.07 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
75600,CPT,CONTRAST EXAM THORACIC AORTA,26,,20,,RBRVS,0.49 ,0.14 ,0.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
75600,CPT,CONTRAST EXAM THORACIC AORTA,TC,,20,,RBRVS,,4.93 ,4.93 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
75605,CPT,CONTRAST EXAM THORACIC AORTA,,,20,,RBRVS,1.14 ,2.43 ,2.43 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
75605,CPT,CONTRAST EXAM THORACIC AORTA,26,,20,,RBRVS,1.14 ,0.33 ,0.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
75605,CPT,CONTRAST EXAM THORACIC AORTA,TC,,20,,RBRVS,,2.10 ,2.10 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
75625,CPT,CONTRAST EXAM ABDOMINL AORTA,,,20,,RBRVS,1.44 ,2.29 ,2.29 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
75625,CPT,CONTRAST EXAM ABDOMINL AORTA,26,,20,,RBRVS,1.44 ,0.37 ,0.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
75625,CPT,CONTRAST EXAM ABDOMINL AORTA,TC,,20,,RBRVS,,1.92 ,1.92 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
75630,CPT,X-RAY AORTA LEG ARTERIES,,,20,,RBRVS,2.00 ,2.61 ,2.61 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
75630,CPT,X-RAY AORTA LEG ARTERIES,26,,20,,RBRVS,2.00 ,0.58 ,0.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
75630,CPT,X-RAY AORTA LEG ARTERIES,TC,,20,,RBRVS,,2.03 ,2.03 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
75635,CPT,CT ANGIO ABDOMINAL ARTERIES,,,20,,RBRVS,2.40 ,9.95 ,9.95 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
75635,CPT,CT ANGIO ABDOMINAL ARTERIES,26,,20,,RBRVS,2.40 ,0.84 ,0.84 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
75635,CPT,CT ANGIO ABDOMINAL ARTERIES,TC,,20,,RBRVS,,9.11 ,9.11 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
75705,CPT,ARTERY X-RAYS SPINE,,,20,,RBRVS,2.18 ,4.55 ,4.55 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
75705,CPT,ARTERY X-RAYS SPINE,26,,20,,RBRVS,2.18 ,0.79 ,0.79 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
75705,CPT,ARTERY X-RAYS SPINE,TC,,20,,RBRVS,,3.76 ,3.76 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
75710,CPT,ARTERY X-RAYS ARM/LEG,,,20,,RBRVS,1.75 ,2.65 ,2.65 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
75710,CPT,ARTERY X-RAYS ARM/LEG,26,,20,,RBRVS,1.75 ,0.48 ,0.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
75710,CPT,ARTERY X-RAYS ARM/LEG,TC,,20,,RBRVS,,2.17 ,2.17 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
75716,CPT,ARTERY X-RAYS ARMS/LEGS,,,20,,RBRVS,1.97 ,2.76 ,2.76 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
75716,CPT,ARTERY X-RAYS ARMS/LEGS,26,,20,,RBRVS,1.97 ,0.55 ,0.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
75716,CPT,ARTERY X-RAYS ARMS/LEGS,TC,,20,,RBRVS,,2.21 ,2.21 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
75726,CPT,ARTERY X-RAYS ABDOMEN,,,20,,RBRVS,2.05 ,3.02 ,3.02 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
75726,CPT,ARTERY X-RAYS ABDOMEN,26,,20,,RBRVS,2.05 ,0.61 ,0.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
75726,CPT,ARTERY X-RAYS ABDOMEN,TC,,20,,RBRVS,,2.41 ,2.41 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
75731,CPT,ARTERY X-RAYS ADRENAL GLAND,,,20,,RBRVS,1.14 ,3.39 ,3.39 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
75731,CPT,ARTERY X-RAYS ADRENAL GLAND,26,,20,,RBRVS,1.14 ,0.43 ,0.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
75731,CPT,ARTERY X-RAYS ADRENAL GLAND,TC,,20,,RBRVS,,2.96 ,2.96 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
75733,CPT,ARTERY X-RAYS ADRENALS,,,20,,RBRVS,1.31 ,3.58 ,3.58 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
75733,CPT,ARTERY X-RAYS ADRENALS,26,,20,,RBRVS,1.31 ,0.45 ,0.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
75733,CPT,ARTERY X-RAYS ADRENALS,TC,,20,,RBRVS,,3.13 ,3.13 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
75736,CPT,ARTERY X-RAYS PELVIS,,,20,,RBRVS,1.14 ,3.00 ,3.00 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
75736,CPT,ARTERY X-RAYS PELVIS,26,,20,,RBRVS,1.14 ,0.31 ,0.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
75736,CPT,ARTERY X-RAYS PELVIS,TC,,20,,RBRVS,,2.69 ,2.69 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
75741,CPT,ARTERY X-RAYS LUNG,,,20,,RBRVS,1.31 ,2.62 ,2.62 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
75741,CPT,ARTERY X-RAYS LUNG,26,,20,,RBRVS,1.31 ,0.39 ,0.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
75741,CPT,ARTERY X-RAYS LUNG,TC,,20,,RBRVS,,2.23 ,2.23 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
75743,CPT,ARTERY X-RAYS LUNGS,,,20,,RBRVS,1.66 ,2.77 ,2.77 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
75743,CPT,ARTERY X-RAYS LUNGS,26,,20,,RBRVS,1.66 ,0.51 ,0.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
75743,CPT,ARTERY X-RAYS LUNGS,TC,,20,,RBRVS,,2.26 ,2.26 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
75746,CPT,ARTERY X-RAYS LUNG,,,20,,RBRVS,1.14 ,2.85 ,2.85 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
75746,CPT,ARTERY X-RAYS LUNG,26,,20,,RBRVS,1.14 ,0.37 ,0.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
75746,CPT,ARTERY X-RAYS LUNG,TC,,20,,RBRVS,,2.48 ,2.48 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
75756,CPT,ARTERY X-RAYS CHEST,,,20,,RBRVS,1.14 ,3.34 ,3.34 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
75756,CPT,ARTERY X-RAYS CHEST,26,,20,,RBRVS,1.14 ,0.33 ,0.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
75756,CPT,ARTERY X-RAYS CHEST,TC,,20,,RBRVS,,3.01 ,3.01 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
75774,CPT,ARTERY X-RAY EACH VESSEL,,,20,,RBRVS,1.01 ,1.93 ,1.93 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
75774,CPT,ARTERY X-RAY EACH VESSEL,26,,20,,RBRVS,1.01 ,0.28 ,0.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
75774,CPT,ARTERY X-RAY EACH VESSEL,TC,,20,,RBRVS,,1.65 ,1.65 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
75801,CPT,LYMPH VESSEL X-RAY ARM/LEG,,,20,,TotalUnits,,,,7.12 ,,$0.00,$0.00,1,0,0,0,0,1,20210101,
75801,CPT,LYMPH VESSEL X-RAY ARM/LEG,26,,20,,TotalUnits,,,,1.12 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
75801,CPT,LYMPH VESSEL X-RAY ARM/LEG,TC,,20,,TotalUnits,,,,6.00 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
75803,CPT,LYMPH VESSEL X-RAY ARMS/LEGS,,,20,,TotalUnits,,,,7.41 ,,$0.00,$0.00,1,0,0,0,0,1,20210101,
75803,CPT,LYMPH VESSEL X-RAY ARMS/LEGS,26,,20,,TotalUnits,,,,1.61 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
75803,CPT,LYMPH VESSEL X-RAY ARMS/LEGS,TC,,20,,TotalUnits,,,,5.80 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
75805,CPT,LYMPH VESSEL X-RAY TRUNK,,,20,,TotalUnits,,,,7.47 ,,$0.00,$0.00,1,0,0,0,0,1,20210101,
75805,CPT,LYMPH VESSEL X-RAY TRUNK,26,,20,,TotalUnits,,,,1.11 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
75805,CPT,LYMPH VESSEL X-RAY TRUNK,TC,,20,,TotalUnits,,,,6.36 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
75807,CPT,LYMPH VESSEL X-RAY TRUNK,,,20,,TotalUnits,,,,7.66 ,,$0.00,$0.00,1,0,0,0,0,1,20210101,
75807,CPT,LYMPH VESSEL X-RAY TRUNK,26,,20,,TotalUnits,,,,1.52 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
75807,CPT,LYMPH VESSEL X-RAY TRUNK,TC,,20,,TotalUnits,,,,6.14 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
75809,CPT,NONVASCULAR SHUNT X-RAY,,,20,,RBRVS,0.47 ,2.06 ,2.06 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
75809,CPT,NONVASCULAR SHUNT X-RAY,26,,20,,RBRVS,0.47 ,0.17 ,0.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
75809,CPT,NONVASCULAR SHUNT X-RAY,TC,,20,,RBRVS,,1.89 ,1.89 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
75810,CPT,VEIN X-RAY SPLEEN/LIVER,,,20,,TotalUnits,,,,12.27 ,,$0.00,$0.00,1,0,0,0,0,1,20210101,
75810,CPT,VEIN X-RAY SPLEEN/LIVER,26,,20,,TotalUnits,,,,1.33 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
75810,CPT,VEIN X-RAY SPLEEN/LIVER,TC,,20,,TotalUnits,,,,10.94 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
75820,CPT,VEIN X-RAY ARM/LEG,,,20,,RBRVS,0.70 ,2.27 ,2.27 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
75820,CPT,VEIN X-RAY ARM/LEG,26,,20,,RBRVS,0.70 ,0.22 ,0.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
75820,CPT,VEIN X-RAY ARM/LEG,TC,,20,,RBRVS,,2.05 ,2.05 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
75822,CPT,VEIN X-RAY ARMS/LEGS,,,20,,RBRVS,1.06 ,2.40 ,2.40 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
75822,CPT,VEIN X-RAY ARMS/LEGS,26,,20,,RBRVS,1.06 ,0.32 ,0.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
75822,CPT,VEIN X-RAY ARMS/LEGS,TC,,20,,RBRVS,,2.08 ,2.08 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
75825,CPT,VEIN X-RAY TRUNK,,,20,,RBRVS,1.14 ,2.28 ,2.28 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
75825,CPT,VEIN X-RAY TRUNK,26,,20,,RBRVS,1.14 ,0.31 ,0.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
75825,CPT,VEIN X-RAY TRUNK,TC,,20,,RBRVS,,1.97 ,1.97 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
75827,CPT,VEIN X-RAY CHEST,,,20,,RBRVS,1.14 ,2.41 ,2.41 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
75827,CPT,VEIN X-RAY CHEST,26,,20,,RBRVS,1.14 ,0.31 ,0.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
75827,CPT,VEIN X-RAY CHEST,TC,,20,,RBRVS,,2.10 ,2.10 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
75831,CPT,VEIN X-RAY KIDNEY,,,20,,RBRVS,1.14 ,2.46 ,2.46 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
75831,CPT,VEIN X-RAY KIDNEY,26,,20,,RBRVS,1.14 ,0.31 ,0.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
75831,CPT,VEIN X-RAY KIDNEY,TC,,20,,RBRVS,,2.15 ,2.15 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
75833,CPT,VEIN X-RAY KIDNEYS,,,20,,RBRVS,1.49 ,2.76 ,2.76 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
75833,CPT,VEIN X-RAY KIDNEYS,26,,20,,RBRVS,1.49 ,0.39 ,0.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
75833,CPT,VEIN X-RAY KIDNEYS,TC,,20,,RBRVS,,2.37 ,2.37 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
75840,CPT,VEIN X-RAY ADRENAL GLAND,,,20,,RBRVS,1.14 ,2.77 ,2.77 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
75840,CPT,VEIN X-RAY ADRENAL GLAND,26,,20,,RBRVS,1.14 ,0.43 ,0.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
75840,CPT,VEIN X-RAY ADRENAL GLAND,TC,,20,,RBRVS,,2.34 ,2.34 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
75842,CPT,VEIN X-RAY ADRENAL GLANDS,,,20,,RBRVS,1.49 ,3.25 ,3.25 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
75842,CPT,VEIN X-RAY ADRENAL GLANDS,26,,20,,RBRVS,1.49 ,0.56 ,0.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
75842,CPT,VEIN X-RAY ADRENAL GLANDS,TC,,20,,RBRVS,,2.69 ,2.69 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
75860,CPT,VEIN X-RAY NECK,,,20,,RBRVS,1.14 ,2.65 ,2.65 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
75860,CPT,VEIN X-RAY NECK,26,,20,,RBRVS,1.14 ,0.36 ,0.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
75860,CPT,VEIN X-RAY NECK,TC,,20,,RBRVS,,2.29 ,2.29 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
75870,CPT,VEIN X-RAY SKULL,,,20,,RBRVS,1.14 ,3.80 ,3.80 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
75870,CPT,VEIN X-RAY SKULL,26,,20,,RBRVS,1.14 ,0.45 ,0.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
75870,CPT,VEIN X-RAY SKULL,TC,,20,,RBRVS,,3.35 ,3.35 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
75872,CPT,VEIN X-RAY SKULL EPIDURAL,,,20,,RBRVS,1.14 ,2.77 ,2.77 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
75872,CPT,VEIN X-RAY SKULL EPIDURAL,26,,20,,RBRVS,1.14 ,0.43 ,0.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
75872,CPT,VEIN X-RAY SKULL EPIDURAL,TC,,20,,RBRVS,,2.34 ,2.34 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
75880,CPT,VEIN X-RAY EYE SOCKET,,,20,,RBRVS,0.70 ,2.60 ,2.60 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
75880,CPT,VEIN X-RAY EYE SOCKET,26,,20,,RBRVS,0.70 ,0.26 ,0.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
75880,CPT,VEIN X-RAY EYE SOCKET,TC,,20,,RBRVS,,2.34 ,2.34 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
75885,CPT,VEIN X-RAY LIVER W/HEMODYNAM,,,20,,RBRVS,1.44 ,2.67 ,2.67 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
75885,CPT,VEIN X-RAY LIVER W/HEMODYNAM,26,,20,,RBRVS,1.44 ,0.40 ,0.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
75885,CPT,VEIN X-RAY LIVER W/HEMODYNAM,TC,,20,,RBRVS,,2.27 ,2.27 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
75887,CPT,VEIN X-RAY LIVER W/O HEMODYN,,,20,,RBRVS,1.44 ,2.70 ,2.70 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
75887,CPT,VEIN X-RAY LIVER W/O HEMODYN,26,,20,,RBRVS,1.44 ,0.42 ,0.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
75887,CPT,VEIN X-RAY LIVER W/O HEMODYN,TC,,20,,RBRVS,,2.28 ,2.28 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
75889,CPT,VEIN X-RAY LIVER W/HEMODYNAM,,,20,,RBRVS,1.14 ,2.60 ,2.60 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
75889,CPT,VEIN X-RAY LIVER W/HEMODYNAM,26,,20,,RBRVS,1.14 ,0.33 ,0.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
75889,CPT,VEIN X-RAY LIVER W/HEMODYNAM,TC,,20,,RBRVS,,2.27 ,2.27 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
75891,CPT,VEIN X-RAY LIVER,,,20,,RBRVS,1.14 ,2.66 ,2.66 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
75891,CPT,VEIN X-RAY LIVER,26,,20,,RBRVS,1.14 ,0.36 ,0.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
75891,CPT,VEIN X-RAY LIVER,TC,,20,,RBRVS,,2.30 ,2.30 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
75893,CPT,VENOUS SAMPLING BY CATHETER,,,20,,RBRVS,0.54 ,2.65 ,2.65 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
75893,CPT,VENOUS SAMPLING BY CATHETER,26,,20,,RBRVS,0.54 ,0.18 ,0.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
75893,CPT,VENOUS SAMPLING BY CATHETER,TC,,20,,RBRVS,,2.47 ,2.47 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
75894,CPT,X-RAYS TRANSCATH THERAPY,,,20,,TotalUnits,,,,27.58 ,,$0.00,$0.00,1,0,0,0,0,1,20210101,
75894,CPT,X-RAYS TRANSCATH THERAPY,26,,20,,TotalUnits,,,,1.82 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
75894,CPT,X-RAYS TRANSCATH THERAPY,TC,,20,,TotalUnits,,,,25.76 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
75898,CPT,FOLLOW-UP ANGIOGRAPHY,,,20,,TotalUnits,,,,3.70 ,,$0.00,$0.00,1,0,0,0,0,1,20210101,
75898,CPT,FOLLOW-UP ANGIOGRAPHY,26,,20,,TotalUnits,,,,2.29 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
75898,CPT,FOLLOW-UP ANGIOGRAPHY,TC,,20,,TotalUnits,,,,1.41 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
75901,CPT,REMOVE CVA DEVICE OBSTRUCT,,,20,,RBRVS,0.49 ,5.61 ,5.61 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
75901,CPT,REMOVE CVA DEVICE OBSTRUCT,26,,20,,RBRVS,0.49 ,0.15 ,0.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
75901,CPT,REMOVE CVA DEVICE OBSTRUCT,TC,,20,,RBRVS,,5.46 ,5.46 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
75902,CPT,REMOVE CVA LUMEN OBSTRUCT,,,20,,RBRVS,0.39 ,1.97 ,1.97 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
75902,CPT,REMOVE CVA LUMEN OBSTRUCT,26,,20,,RBRVS,0.39 ,0.12 ,0.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
75902,CPT,REMOVE CVA LUMEN OBSTRUCT,TC,,20,,RBRVS,,1.85 ,1.85 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
75956,CPT,XRAY ENDOVASC THOR AO REPR,,,20,,TotalUnits,,,,10.38 ,,$0.00,$0.00,1,0,0,0,0,1,20210101,
75956,CPT,XRAY ENDOVASC THOR AO REPR,26,,20,,TotalUnits,,,,8.55 ,,$0.00,$0.00,1,0,0,1,1,1,20210101,
75956,CPT,XRAY ENDOVASC THOR AO REPR,TC,,20,,TotalUnits,,,,1.83 ,,$0.00,$0.00,1,1,0,0,1,1,20210101,
75957,CPT,XRAY ENDOVASC THOR AO REPR,,,20,,TotalUnits,,,,10.71 ,,$0.00,$0.00,1,0,0,0,0,1,20210101,
75957,CPT,XRAY ENDOVASC THOR AO REPR,26,,20,,TotalUnits,,,,7.30 ,,$0.00,$0.00,1,0,0,1,1,1,20210101,
75957,CPT,XRAY ENDOVASC THOR AO REPR,TC,,20,,TotalUnits,,,,3.41 ,,$0.00,$0.00,1,1,0,0,1,1,20210101,
75958,CPT,XRAY PLACE PROX EXT THOR AO,,,20,,TotalUnits,,,,7.23 ,,$0.00,$0.00,1,0,0,0,0,1,20210101,
75958,CPT,XRAY PLACE PROX EXT THOR AO,26,,20,,TotalUnits,,,,4.88 ,,$0.00,$0.00,1,0,0,1,1,1,20210101,
75958,CPT,XRAY PLACE PROX EXT THOR AO,TC,,20,,TotalUnits,,,,2.35 ,,$0.00,$0.00,1,1,0,0,1,1,20210101,
75959,CPT,XRAY PLACE DIST EXT THOR AO,,,20,,TotalUnits,,,,6.41 ,,$0.00,$0.00,1,0,0,0,0,1,20210101,
75959,CPT,XRAY PLACE DIST EXT THOR AO,26,,20,,TotalUnits,,,,4.27 ,,$0.00,$0.00,1,0,0,1,1,1,20210101,
75959,CPT,XRAY PLACE DIST EXT THOR AO,TC,,20,,TotalUnits,,,,2.14 ,,$0.00,$0.00,1,1,0,0,1,1,20210101,
75970,CPT,VASCULAR BIOPSY,,,20,,TotalUnits,,,,13.66 ,,$0.00,$0.00,1,0,0,0,0,1,20210101,
75970,CPT,VASCULAR BIOPSY,26,,20,,TotalUnits,,,,1.08 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
75970,CPT,VASCULAR BIOPSY,TC,,20,,TotalUnits,,,,12.58 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
75984,CPT,XRAY CONTROL CATHETER CHANGE,,,20,,RBRVS,0.72 ,2.01 ,2.01 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
75984,CPT,XRAY CONTROL CATHETER CHANGE,26,,20,,RBRVS,0.72 ,0.22 ,0.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
75984,CPT,XRAY CONTROL CATHETER CHANGE,TC,,20,,RBRVS,,1.79 ,1.79 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
75989,CPT,ABSCESS DRAINAGE UNDER X-RAY,,,20,,RBRVS,1.19 ,2.15 ,2.15 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
75989,CPT,ABSCESS DRAINAGE UNDER X-RAY,26,,20,,RBRVS,1.19 ,0.39 ,0.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
75989,CPT,ABSCESS DRAINAGE UNDER X-RAY,TC,,20,,RBRVS,,1.76 ,1.76 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
76000,CPT,FLUOROSCOPY <1 HR PHYS/QHP,,,20,,RBRVS,0.30 ,0.84 ,0.84 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
76000,CPT,FLUOROSCOPY <1 HR PHYS/QHP,26,,20,,RBRVS,0.30 ,0.11 ,0.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
76000,CPT,FLUOROSCOPY <1 HR PHYS/QHP,TC,,20,,RBRVS,,0.73 ,0.73 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
76010,CPT,X-RAY NOSE TO RECTUM,,,20,,RBRVS,0.18 ,0.61 ,0.61 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
76010,CPT,X-RAY NOSE TO RECTUM,,PC,20,,RBRVS,0.18 ,0.07 ,0.07 ,,,$0.00,$0.00,1,0,1,1,1,0,20210101,
76010,CPT,X-RAY NOSE TO RECTUM,,TC,20,,RBRVS,,0.54 ,0.54 ,,,$0.00,$0.00,1,1,1,0,1,0,20210101,
76080,CPT,X-RAY EXAM OF FISTULA,,,20,,RBRVS,0.54 ,1.09 ,1.09 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
76080,CPT,X-RAY EXAM OF FISTULA,,PC,20,,RBRVS,0.54 ,0.17 ,0.17 ,,,$0.00,$0.00,1,0,1,1,1,0,20210101,
76080,CPT,X-RAY EXAM OF FISTULA,,TC,20,,RBRVS,,0.92 ,0.92 ,,,$0.00,$0.00,1,1,1,0,1,0,20210101,
76098,CPT,X-RAY EXAM SURGICAL SPECIMEN,,,20,,RBRVS,0.31 ,0.87 ,0.87 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
76098,CPT,X-RAY EXAM SURGICAL SPECIMEN,,PC,20,,RBRVS,0.31 ,0.12 ,0.12 ,,,$0.00,$0.00,1,0,1,1,1,0,20210101,
76098,CPT,X-RAY EXAM SURGICAL SPECIMEN,,TC,20,,RBRVS,,0.75 ,0.75 ,,,$0.00,$0.00,1,1,1,0,1,0,20210101,
76100,CPT,X-RAY EXAM OF BODY SECTION,,,20,,RBRVS,0.58 ,2.11 ,2.11 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
76100,CPT,X-RAY EXAM OF BODY SECTION,,PC,20,,RBRVS,0.58 ,0.25 ,0.25 ,,,$0.00,$0.00,1,0,1,1,1,0,20210101,
76100,CPT,X-RAY EXAM OF BODY SECTION,,TC,20,,RBRVS,,1.86 ,1.86 ,,,$0.00,$0.00,1,1,1,0,1,0,20210101,
76101,CPT,COMPLEX BODY SECTION X-RAY,,,20,,RBRVS,0.58 ,2.06 ,2.06 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
76101,CPT,COMPLEX BODY SECTION X-RAY,,PC,20,,RBRVS,0.58 ,0.09 ,0.09 ,,,$0.00,$0.00,1,0,1,1,1,0,20210101,
76101,CPT,COMPLEX BODY SECTION X-RAY,,TC,20,,RBRVS,,1.97 ,1.97 ,,,$0.00,$0.00,1,1,1,0,1,0,20210101,
76102,CPT,COMPLEX BODY SECTION X-RAYS,,,20,,RBRVS,0.58 ,4.33 ,4.33 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
76102,CPT,COMPLEX BODY SECTION X-RAYS,,PC,20,,RBRVS,0.58 ,0.28 ,0.28 ,,,$0.00,$0.00,1,0,1,1,1,0,20210101,
76102,CPT,COMPLEX BODY SECTION X-RAYS,,TC,20,,RBRVS,,4.05 ,4.05 ,,,$0.00,$0.00,1,1,1,0,1,0,20210101,
76120,CPT,CINE/VIDEO X-RAYS,,,20,,RBRVS,0.38 ,2.64 ,2.64 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
76120,CPT,CINE/VIDEO X-RAYS,,PC,20,,RBRVS,0.38 ,0.13 ,0.13 ,,,$0.00,$0.00,1,0,1,1,1,0,20210101,
76120,CPT,CINE/VIDEO X-RAYS,,TC,20,,RBRVS,,2.51 ,2.51 ,,,$0.00,$0.00,1,1,1,0,1,0,20210101,
76125,CPT,CINE/VIDEO X-RAYS ADD-ON,,,20,,TotalUnits,,,,1.13 ,,$0.00,$0.00,1,0,0,0,0,1,20210101,
76125,CPT,CINE/VIDEO X-RAYS ADD-ON,,PC,20,,TotalUnits,,,,0.37 ,,$0.00,$0.00,1,0,1,1,1,0,20210101,
76125,CPT,CINE/VIDEO X-RAYS ADD-ON,,TC,20,,TotalUnits,,,,0.76 ,,$0.00,$0.00,1,1,1,0,1,0,20210101,
76140,CPT,X-RAY CONSULTATION,,,20,,TotalUnits,,,,0.73 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
76145,CPT,MED PHYSIC DOS EVAL RAD EXPS,,,20,,RBRVS,,24.27 ,24.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
76376,CPT,3D RENDER W/INTRP POSTPROCES,,,20,,RBRVS,0.20 ,0.43 ,0.43 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
76376,CPT,3D RENDER W/INTRP POSTPROCES,26,,20,,RBRVS,0.20 ,0.07 ,0.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
76376,CPT,3D RENDER W/INTRP POSTPROCES,TC,,20,,RBRVS,,0.36 ,0.36 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
76377,CPT,3D RENDER W/INTRP POSTPROCES,,,20,,RBRVS,0.79 ,1.18 ,1.18 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
76377,CPT,3D RENDER W/INTRP POSTPROCES,26,,20,,RBRVS,0.79 ,0.29 ,0.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
76377,CPT,3D RENDER W/INTRP POSTPROCES,TC,,20,,RBRVS,,0.89 ,0.89 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
76380,CPT,CAT SCAN FOLLOW-UP STUDY,,,20,,RBRVS,0.98 ,3.03 ,3.03 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
76380,CPT,CAT SCAN FOLLOW-UP STUDY,26,,20,,RBRVS,0.98 ,0.34 ,0.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
76380,CPT,CAT SCAN FOLLOW-UP STUDY,TC,,20,,RBRVS,,2.69 ,2.69 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
76390,CPT,MR SPECTROSCOPY,,,20,,RBRVS,1.40 ,10.51 ,10.51 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
76390,CPT,MR SPECTROSCOPY,26,,20,,RBRVS,1.40 ,0.54 ,0.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
76390,CPT,MR SPECTROSCOPY,TC,,20,,RBRVS,,9.97 ,9.97 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
76391,CPT,MR ELASTOGRAPHY,,,20,,RBRVS,1.10 ,5.38 ,5.38 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
76391,CPT,MR ELASTOGRAPHY,26,,20,,RBRVS,1.10 ,0.43 ,0.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
76391,CPT,MR ELASTOGRAPHY,TC,,20,,RBRVS,,4.95 ,4.95 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
76496,CPT,FLUOROSCOPIC PROCEDURE,,,20,,TotalUnits,,,,1.30 ,,$0.00,$0.00,1,0,0,0,0,1,20210101,
76496,CPT,FLUOROSCOPIC PROCEDURE,26,,20,,TotalUnits,,,,0.47 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
76496,CPT,FLUOROSCOPIC PROCEDURE,TC,,20,,TotalUnits,,,,0.83 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
76497,CPT,CT PROCEDURE,,,20,,TotalUnits,,,,4.78 ,,$0.00,$0.00,1,0,0,0,0,1,20210101,
76497,CPT,CT PROCEDURE,26,,20,,TotalUnits,,,,1.63 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
76497,CPT,CT PROCEDURE,TC,,20,,TotalUnits,,,,3.15 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
76498,CPT,MRI PROCEDURE,,,20,,TotalUnits,,,,6.53 ,,$0.00,$0.00,1,0,0,0,0,1,20210101,
76498,CPT,MRI PROCEDURE,26,,20,,TotalUnits,,,,2.03 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
76498,CPT,MRI PROCEDURE,TC,,20,,TotalUnits,,,,4.50 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
76499,CPT,RADIOGRAPHIC PROCEDURE,,,20,,TotalUnits,,,,1.30 ,,$0.00,$0.00,1,0,0,0,0,1,20210101,
76499,CPT,RADIOGRAPHIC PROCEDURE,26,,20,,TotalUnits,,,,0.37 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
76499,CPT,RADIOGRAPHIC PROCEDURE,TC,,20,,TotalUnits,,,,0.93 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
76506,CPT,ECHO EXAM OF HEAD,,,20,,RBRVS,0.63 ,2.56 ,2.56 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
76506,CPT,ECHO EXAM OF HEAD,26,,20,,RBRVS,0.63 ,0.23 ,0.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
76506,CPT,ECHO EXAM OF HEAD,TC,,20,,RBRVS,,2.33 ,2.33 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
76510,CPT,OPHTH US B & QUANT A,,,20,,RBRVS,0.70 ,1.84 ,1.84 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
76510,CPT,OPHTH US B & QUANT A,26,,20,,RBRVS,0.70 ,0.63 ,0.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
76510,CPT,OPHTH US B & QUANT A,TC,,20,,RBRVS,,1.21 ,1.21 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
76511,CPT,OPHTH US QUANT A ONLY,,,20,,RBRVS,0.64 ,1.09 ,1.09 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
76511,CPT,OPHTH US QUANT A ONLY,26,,20,,RBRVS,0.64 ,0.37 ,0.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
76511,CPT,OPHTH US QUANT A ONLY,TC,,20,,RBRVS,,0.72 ,0.72 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
76512,CPT,OPHTH US B W/NON-QUANT A,,,20,,RBRVS,0.56 ,0.91 ,0.91 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
76512,CPT,OPHTH US B W/NON-QUANT A,26,,20,,RBRVS,0.56 ,0.32 ,0.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
76512,CPT,OPHTH US B W/NON-QUANT A,TC,,20,,RBRVS,,0.59 ,0.59 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
76513,CPT,OPH US DX ANT SGM US UNI/BI,,,20,,RBRVS,0.66 ,2.13 ,2.13 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
76513,CPT,ECHO EXAM OF EYE WATER BATH,26,,20,,RBRVS,0.66 ,0.35 ,0.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
76513,CPT,ECHO EXAM OF EYE WATER BATH,TC,,20,,RBRVS,,1.78 ,1.78 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
76514,CPT,ECHO EXAM OF EYE THICKNESS,,,20,,RBRVS,0.14 ,0.18 ,0.18 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
76514,CPT,ECHO EXAM OF EYE THICKNESS,26,,20,,RBRVS,0.14 ,0.08 ,0.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
76514,CPT,ECHO EXAM OF EYE THICKNESS,TC,,20,,RBRVS,,0.10 ,0.10 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
76516,CPT,ECHO EXAM OF EYE,,,20,,RBRVS,0.40 ,0.94 ,0.94 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
76516,CPT,ECHO EXAM OF EYE,26,,20,,RBRVS,0.40 ,0.24 ,0.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
76516,CPT,ECHO EXAM OF EYE,TC,,20,,RBRVS,,0.70 ,0.70 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
76519,CPT,ECHO EXAM OF EYE,,,20,,RBRVS,0.54 ,1.32 ,1.32 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
76519,CPT,ECHO EXAM OF EYE,26,,20,,RBRVS,0.54 ,0.33 ,0.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
76519,CPT,ECHO EXAM OF EYE,TC,,20,,RBRVS,,0.99 ,0.99 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
76529,CPT,ECHO EXAM OF EYE,,,20,,RBRVS,0.57 ,1.76 ,1.76 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
76529,CPT,ECHO EXAM OF EYE,26,,20,,RBRVS,0.57 ,0.35 ,0.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
76529,CPT,ECHO EXAM OF EYE,TC,,20,,RBRVS,,1.41 ,1.41 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
76536,CPT,US EXAM OF HEAD AND NECK,,,20,,RBRVS,0.56 ,2.67 ,2.67 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
76536,CPT,US EXAM OF HEAD AND NECK,26,,20,,RBRVS,0.56 ,0.21 ,0.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
76536,CPT,US EXAM OF HEAD AND NECK,TC,,20,,RBRVS,,2.46 ,2.46 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
76604,CPT,US EXAM CHEST,,,20,,RBRVS,0.59 ,1.60 ,1.60 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
76604,CPT,US EXAM CHEST,26,,20,,RBRVS,0.59 ,0.20 ,0.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
76604,CPT,US EXAM CHEST,TC,,20,,RBRVS,,1.40 ,1.40 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
76641,CPT,ULTRASOUND BREAST COMPLETE,,,20,,RBRVS,0.73 ,2.25 ,2.25 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
76641,CPT,ULTRASOUND BREAST COMPLETE,26,,20,,RBRVS,0.73 ,0.27 ,0.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
76641,CPT,ULTRASOUND BREAST COMPLETE,TC,,20,,RBRVS,,1.98 ,1.98 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
76642,CPT,ULTRASOUND BREAST LIMITED,,,20,,RBRVS,0.68 ,1.75 ,1.75 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
76642,CPT,ULTRASOUND BREAST LIMITED,26,,20,,RBRVS,0.68 ,0.25 ,0.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
76642,CPT,ULTRASOUND BREAST LIMITED,TC,,20,,RBRVS,,1.50 ,1.50 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
76700,CPT,US EXAM ABDOM COMPLETE,,,20,,RBRVS,0.81 ,2.60 ,2.60 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
76700,CPT,US EXAM ABDOM COMPLETE,26,,20,,RBRVS,0.81 ,0.30 ,0.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
76700,CPT,US EXAM ABDOM COMPLETE,TC,,20,,RBRVS,,2.30 ,2.30 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
76705,CPT,ECHO EXAM OF ABDOMEN,,,20,,RBRVS,0.59 ,1.94 ,1.94 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
76705,CPT,ECHO EXAM OF ABDOMEN,26,,20,,RBRVS,0.59 ,0.21 ,0.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
76705,CPT,ECHO EXAM OF ABDOMEN,TC,,20,,RBRVS,,1.73 ,1.73 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
76706,CPT,US ABDL AORTA SCREEN AAA,,,20,,RBRVS,0.55 ,2.62 ,2.62 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
76706,CPT,US ABDL AORTA SCREEN AAA,26,,20,,RBRVS,0.55 ,0.20 ,0.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
76706,CPT,US ABDL AORTA SCREEN AAA,TC,,20,,RBRVS,,2.42 ,2.42 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
76770,CPT,US EXAM ABDO BACK WALL COMP,,,20,,RBRVS,0.74 ,2.41 ,2.41 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
76770,CPT,US EXAM ABDO BACK WALL COMP,26,,20,,RBRVS,0.74 ,0.27 ,0.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
76770,CPT,US EXAM ABDO BACK WALL COMP,TC,,20,,RBRVS,,2.14 ,2.14 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
76775,CPT,US EXAM ABDO BACK WALL LIM,,,20,,RBRVS,0.58 ,1.04 ,1.04 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
76775,CPT,US EXAM ABDO BACK WALL LIM,26,,20,,RBRVS,0.58 ,0.21 ,0.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
76775,CPT,US EXAM ABDO BACK WALL LIM,TC,,20,,RBRVS,,0.83 ,0.83 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
76776,CPT,US EXAM K TRANSPL W/DOPPLER,,,20,,RBRVS,0.76 ,3.58 ,3.58 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
76776,CPT,US EXAM K TRANSPL W/DOPPLER,26,,20,,RBRVS,0.76 ,0.28 ,0.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
76776,CPT,US EXAM K TRANSPL W/DOPPLER,TC,,20,,RBRVS,,3.30 ,3.30 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
76800,CPT,US EXAM SPINAL CANAL,,,20,,RBRVS,1.13 ,2.77 ,2.77 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
76800,CPT,US EXAM SPINAL CANAL,26,,20,,RBRVS,1.13 ,0.40 ,0.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
76800,CPT,US EXAM SPINAL CANAL,TC,,20,,RBRVS,,2.37 ,2.37 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
76801,CPT,OB US < 14 WKS SINGLE FETUS,,,20,,RBRVS,0.99 ,2.40 ,2.40 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
76801,CPT,OB US < 14 WKS SINGLE FETUS,26,,20,,RBRVS,0.99 ,0.37 ,0.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
76801,CPT,OB US < 14 WKS SINGLE FETUS,TC,,20,,RBRVS,,2.03 ,2.03 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
76802,CPT,OB US < 14 WKS ADDL FETUS,,,20,,RBRVS,0.83 ,0.92 ,0.92 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
76802,CPT,OB US < 14 WKS ADDL FETUS,26,,20,,RBRVS,0.83 ,0.31 ,0.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
76802,CPT,OB US < 14 WKS ADDL FETUS,TC,,20,,RBRVS,,0.61 ,0.61 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
76805,CPT,OB US >= 14 WKS SNGL FETUS,,,20,,RBRVS,0.99 ,2.90 ,2.90 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
76805,CPT,OB US >= 14 WKS SNGL FETUS,26,,20,,RBRVS,0.99 ,0.37 ,0.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
76805,CPT,OB US >= 14 WKS SNGL FETUS,TC,,20,,RBRVS,,2.53 ,2.53 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
76810,CPT,OB US >= 14 WKS ADDL FETUS,,,20,,RBRVS,0.98 ,1.55 ,1.55 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
76810,CPT,OB US >= 14 WKS ADDL FETUS,26,,20,,RBRVS,0.98 ,0.37 ,0.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
76810,CPT,OB US >= 14 WKS ADDL FETUS,TC,,20,,RBRVS,,1.18 ,1.18 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
76811,CPT,OB US DETAILED SNGL FETUS,,,20,,RBRVS,1.90 ,3.03 ,3.03 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
76811,CPT,OB US DETAILED SNGL FETUS,26,,20,,RBRVS,1.90 ,0.72 ,0.72 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
76811,CPT,OB US DETAILED SNGL FETUS,TC,,20,,RBRVS,,2.31 ,2.31 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
76812,CPT,OB US DETAILED ADDL FETUS,,,20,,RBRVS,1.78 ,3.75 ,3.75 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
76812,CPT,OB US DETAILED ADDL FETUS,26,,20,,RBRVS,1.78 ,0.67 ,0.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
76812,CPT,OB US DETAILED ADDL FETUS,TC,,20,,RBRVS,,3.08 ,3.08 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
76813,CPT,OB US NUCHAL MEAS 1 GEST,,,20,,RBRVS,1.18 ,2.18 ,2.18 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
76813,CPT,OB US NUCHAL MEAS 1 GEST,26,,20,,RBRVS,1.18 ,0.44 ,0.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
76813,CPT,OB US NUCHAL MEAS 1 GEST,TC,,20,,RBRVS,,1.74 ,1.74 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
76814,CPT,OB US NUCHAL MEAS ADD-ON,,,20,,RBRVS,0.99 ,1.19 ,1.19 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
76814,CPT,OB US NUCHAL MEAS ADD-ON,26,,20,,RBRVS,0.99 ,0.38 ,0.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
76814,CPT,OB US NUCHAL MEAS ADD-ON,TC,,20,,RBRVS,,0.81 ,0.81 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
76815,CPT,OB US LIMITED FETUS(S),,,20,,RBRVS,0.65 ,1.68 ,1.68 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
76815,CPT,OB US LIMITED FETUS(S),26,,20,,RBRVS,0.65 ,0.24 ,0.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
76815,CPT,OB US LIMITED FETUS(S),TC,,20,,RBRVS,,1.44 ,1.44 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
76816,CPT,OB US FOLLOW-UP PER FETUS,,,20,,RBRVS,0.85 ,2.30 ,2.30 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
76816,CPT,OB US FOLLOW-UP PER FETUS,26,,20,,RBRVS,0.85 ,0.32 ,0.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
76816,CPT,OB US FOLLOW-UP PER FETUS,TC,,20,,RBRVS,,1.98 ,1.98 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
76817,CPT,TRANSVAGINAL US OBSTETRIC,,,20,,RBRVS,0.75 ,1.91 ,1.91 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
76817,CPT,TRANSVAGINAL US OBSTETRIC,26,,20,,RBRVS,0.75 ,0.28 ,0.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
76817,CPT,TRANSVAGINAL US OBSTETRIC,TC,,20,,RBRVS,,1.63 ,1.63 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
76818,CPT,FETAL BIOPHYS PROFILE W/NST,,,20,,RBRVS,1.05 ,2.23 ,2.23 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
76818,CPT,FETAL BIOPHYS PROFILE W/NST,26,,20,,RBRVS,1.05 ,0.40 ,0.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
76818,CPT,FETAL BIOPHYS PROFILE W/NST,TC,,20,,RBRVS,,1.83 ,1.83 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
76819,CPT,FETAL BIOPHYS PROFIL W/O NST,,,20,,RBRVS,0.77 ,1.64 ,1.64 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
76819,CPT,FETAL BIOPHYS PROFIL W/O NST,26,,20,,RBRVS,0.77 ,0.29 ,0.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
76819,CPT,FETAL BIOPHYS PROFIL W/O NST,TC,,20,,RBRVS,,1.35 ,1.35 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
76820,CPT,UMBILICAL ARTERY ECHO,,,20,,RBRVS,0.50 ,0.79 ,0.79 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
76820,CPT,UMBILICAL ARTERY ECHO,26,,20,,RBRVS,0.50 ,0.19 ,0.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
76820,CPT,UMBILICAL ARTERY ECHO,TC,,20,,RBRVS,,0.60 ,0.60 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
76821,CPT,MIDDLE CEREBRAL ARTERY ECHO,,,20,,RBRVS,0.70 ,1.82 ,1.82 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
76821,CPT,MIDDLE CEREBRAL ARTERY ECHO,26,,20,,RBRVS,0.70 ,0.26 ,0.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
76821,CPT,MIDDLE CEREBRAL ARTERY ECHO,TC,,20,,RBRVS,,1.56 ,1.56 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
76825,CPT,ECHO EXAM OF FETAL HEART,,,20,,RBRVS,1.67 ,5.97 ,5.97 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
76825,CPT,ECHO EXAM OF FETAL HEART,26,,20,,RBRVS,1.67 ,0.61 ,0.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
76825,CPT,ECHO EXAM OF FETAL HEART,TC,,20,,RBRVS,,5.36 ,5.36 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
76826,CPT,ECHO EXAM OF FETAL HEART,,,20,,RBRVS,0.83 ,3.70 ,3.70 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
76826,CPT,ECHO EXAM OF FETAL HEART,26,,20,,RBRVS,0.83 ,0.30 ,0.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
76826,CPT,ECHO EXAM OF FETAL HEART,TC,,20,,RBRVS,,3.40 ,3.40 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
76827,CPT,ECHO EXAM OF FETAL HEART,,,20,,RBRVS,0.58 ,1.46 ,1.46 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
76827,CPT,ECHO EXAM OF FETAL HEART,26,,20,,RBRVS,0.58 ,0.21 ,0.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
76827,CPT,ECHO EXAM OF FETAL HEART,TC,,20,,RBRVS,,1.25 ,1.25 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
76828,CPT,ECHO EXAM OF FETAL HEART,,,20,,RBRVS,0.56 ,0.88 ,0.88 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
76828,CPT,ECHO EXAM OF FETAL HEART,26,,20,,RBRVS,0.56 ,0.21 ,0.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
76828,CPT,ECHO EXAM OF FETAL HEART,TC,,20,,RBRVS,,0.67 ,0.67 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
76830,CPT,TRANSVAGINAL US NON-OB,,,20,,RBRVS,0.69 ,2.74 ,2.74 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
76830,CPT,TRANSVAGINAL US NON-OB,26,,20,,RBRVS,0.69 ,0.26 ,0.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
76830,CPT,TRANSVAGINAL US NON-OB,TC,,20,,RBRVS,,2.48 ,2.48 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
76831,CPT,ECHO EXAM UTERUS,,,20,,RBRVS,0.72 ,2.60 ,2.60 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
76831,CPT,ECHO EXAM UTERUS,26,,20,,RBRVS,0.72 ,0.27 ,0.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
76831,CPT,ECHO EXAM UTERUS,TC,,20,,RBRVS,,2.33 ,2.33 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
76856,CPT,US EXAM PELVIC COMPLETE,,,20,,RBRVS,0.69 ,2.36 ,2.36 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
76856,CPT,US EXAM PELVIC COMPLETE,26,,20,,RBRVS,0.69 ,0.25 ,0.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
76856,CPT,US EXAM PELVIC COMPLETE,TC,,20,,RBRVS,,2.11 ,2.11 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
76857,CPT,US EXAM PELVIC LIMITED,,,20,,RBRVS,0.50 ,0.84 ,0.84 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
76857,CPT,US EXAM PELVIC LIMITED,26,,20,,RBRVS,0.50 ,0.18 ,0.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
76857,CPT,US EXAM PELVIC LIMITED,TC,,20,,RBRVS,,0.66 ,0.66 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
76870,CPT,US EXAM SCROTUM,,,20,,RBRVS,0.64 ,2.28 ,2.28 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
76870,CPT,US EXAM SCROTUM,26,,20,,RBRVS,0.64 ,0.23 ,0.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
76870,CPT,US EXAM SCROTUM,TC,,20,,RBRVS,,2.05 ,2.05 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
76872,CPT,US TRANSRECTAL,,,20,,RBRVS,0.69 ,3.71 ,3.71 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
76872,CPT,US TRANSRECTAL,26,,20,,RBRVS,0.69 ,0.24 ,0.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
76872,CPT,US TRANSRECTAL,TC,,20,,RBRVS,,3.47 ,3.47 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
76873,CPT,ECHOGRAP TRANS R PROS STUDY,,,20,,RBRVS,1.55 ,3.35 ,3.35 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
76873,CPT,ECHOGRAP TRANS R PROS STUDY,26,,20,,RBRVS,1.55 ,0.62 ,0.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
76873,CPT,ECHOGRAP TRANS R PROS STUDY,TC,,20,,RBRVS,,2.73 ,2.73 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
76881,CPT,US COMPL JOINT R-T W/IMG,,,20,,RBRVS,0.63 ,1.53 ,1.53 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
76881,CPT,US COMPL JOINT R-T W/IMG,26,,20,,RBRVS,0.63 ,0.24 ,0.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
76881,CPT,US COMPL JOINT R-T W/IMG,TC,,20,,RBRVS,,1.29 ,1.29 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
76882,CPT,US LMTD JT/NONVASC XTR STRUX,,,20,,RBRVS,0.49 ,1.09 ,1.09 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
76882,CPT,US LMTD JT/NONVASC XTR STRUX,26,,20,,RBRVS,0.49 ,0.18 ,0.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
76882,CPT,US LMTD JT/NONVASC XTR STRUX,TC,,20,,RBRVS,,0.91 ,0.91 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
76885,CPT,US EXAM INFANT HIPS DYNAMIC,,,20,,RBRVS,0.74 ,3.27 ,3.27 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
76885,CPT,US EXAM INFANT HIPS DYNAMIC,26,,20,,RBRVS,0.74 ,0.28 ,0.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
76885,CPT,US EXAM INFANT HIPS DYNAMIC,TC,,20,,RBRVS,,2.99 ,2.99 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
76886,CPT,US EXAM INFANT HIPS STATIC,,,20,,RBRVS,0.62 ,2.31 ,2.31 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
76886,CPT,US EXAM INFANT HIPS STATIC,26,,20,,RBRVS,0.62 ,0.23 ,0.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
76886,CPT,US EXAM INFANT HIPS STATIC,TC,,20,,RBRVS,,2.08 ,2.08 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
76932,CPT,ECHO GUIDE FOR HEART BIOPSY,,,20,,TotalUnits,,,,2.54 ,,$0.00,$0.00,1,0,0,0,0,1,20210101,
76932,CPT,ECHO GUIDE FOR HEART BIOPSY,26,,20,,TotalUnits,,,,0.93 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
76932,CPT,ECHO GUIDE FOR HEART BIOPSY,TC,,20,,TotalUnits,,,,1.61 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
76936,CPT,ECHO GUIDE FOR ARTERY REPAIR,,,20,,RBRVS,1.99 ,5.40 ,5.40 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
76936,CPT,ECHO GUIDE FOR ARTERY REPAIR,26,,20,,RBRVS,1.99 ,0.57 ,0.57 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
76936,CPT,ECHO GUIDE FOR ARTERY REPAIR,TC,,20,,RBRVS,,4.83 ,4.83 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
76937,CPT,US GUIDE VASCULAR ACCESS,,,20,,RBRVS,0.30 ,0.71 ,0.71 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
76937,CPT,US GUIDE VASCULAR ACCESS,26,,20,,RBRVS,0.30 ,0.09 ,0.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
76937,CPT,US GUIDE VASCULAR ACCESS,TC,,20,,RBRVS,,0.62 ,0.62 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
76940,CPT,US GUIDE TISSUE ABLATION,,,20,,TotalUnits,,,,4.33 ,,$0.00,$0.00,1,0,0,0,0,1,20210101,
76940,CPT,US GUIDE TISSUE ABLATION,26,,20,,TotalUnits,,,,2.70 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
76940,CPT,US GUIDE TISSUE ABLATION,TC,,20,,TotalUnits,,,,1.63 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
76941,CPT,ECHO GUIDE FOR TRANSFUSION,,,20,,TotalUnits,,,,2.88 ,,$0.00,$0.00,1,0,0,0,0,1,20210101,
76941,CPT,ECHO GUIDE FOR TRANSFUSION,26,,20,,TotalUnits,,,,1.85 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
76941,CPT,ECHO GUIDE FOR TRANSFUSION,TC,,20,,TotalUnits,,,,1.03 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
76942,CPT,ECHO GUIDE FOR BIOPSY,,,20,,RBRVS,0.67 ,0.91 ,0.91 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
76942,CPT,ECHO GUIDE FOR BIOPSY,26,,20,,RBRVS,0.67 ,0.20 ,0.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
76942,CPT,ECHO GUIDE FOR BIOPSY,TC,,20,,RBRVS,,0.71 ,0.71 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
76945,CPT,ECHO GUIDE VILLUS SAMPLING,,,20,,TotalUnits,,,,2.59 ,,$0.00,$0.00,1,0,0,0,0,1,20210101,
76945,CPT,ECHO GUIDE VILLUS SAMPLING,26,,20,,TotalUnits,,,,0.92 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
76945,CPT,ECHO GUIDE VILLUS SAMPLING,TC,,20,,TotalUnits,,,,1.67 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
76946,CPT,ECHO GUIDE FOR AMNIOCENTESIS,,,20,,RBRVS,0.38 ,0.51 ,0.51 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
76946,CPT,ECHO GUIDE FOR AMNIOCENTESIS,26,,20,,RBRVS,0.38 ,0.14 ,0.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
76946,CPT,ECHO GUIDE FOR AMNIOCENTESIS,TC,,20,,RBRVS,,0.37 ,0.37 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
76948,CPT,ECHO GUIDE OVA ASPIRATION,,,20,,RBRVS,0.67 ,1.45 ,1.45 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
76948,CPT,ECHO GUIDE OVA ASPIRATION,26,,20,,RBRVS,0.67 ,0.25 ,0.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
76948,CPT,ECHO GUIDE OVA ASPIRATION,TC,,20,,RBRVS,,1.20 ,1.20 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
76965,CPT,ECHO GUIDANCE RADIOTHERAPY,,,20,,RBRVS,1.34 ,1.24 ,1.24 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
76965,CPT,ECHO GUIDANCE RADIOTHERAPY,26,,20,,RBRVS,1.34 ,0.54 ,0.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
76965,CPT,ECHO GUIDANCE RADIOTHERAPY,TC,,20,,RBRVS,,0.70 ,0.70 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
76975,CPT,GI ENDOSCOPIC ULTRASOUND,,,20,,TotalUnits,,,,4.39 ,,$0.00,$0.00,1,0,0,0,0,1,20210101,
76975,CPT,GI ENDOSCOPIC ULTRASOUND,26,,20,,RBRVS,0.81 ,0.35 ,0.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
76975,CPT,GI ENDOSCOPIC ULTRASOUND,TC,,20,,TotalUnits,,,,3.23 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
76977,CPT,US BONE DENSITY MEASURE,,,20,,RBRVS,0.05 ,0.13 ,0.13 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
76977,CPT,US BONE DENSITY MEASURE,26,,20,,RBRVS,0.05 ,0.02 ,0.02 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
76977,CPT,US BONE DENSITY MEASURE,TC,,20,,RBRVS,,0.11 ,0.11 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
76978,CPT,US TRGT DYN MBUBB 1ST LES,,,20,,RBRVS,1.62 ,7.49 ,7.49 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
76978,CPT,US TRGT DYN MBUBB 1ST LES,26,,20,,RBRVS,1.62 ,0.58 ,0.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
76978,CPT,US TRGT DYN MBUBB 1ST LES,TC,,20,,RBRVS,,6.91 ,6.91 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
76979,CPT,US TRGT DYN MBUBB EA ADDL,,,20,,RBRVS,0.85 ,5.34 ,5.34 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
76979,CPT,US TRGT DYN MBUBB EA ADDL,26,,20,,RBRVS,0.85 ,0.31 ,0.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
76979,CPT,US TRGT DYN MBUBB EA ADDL,TC,,20,,RBRVS,,5.03 ,5.03 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
76981,CPT,USE PARENCHYMA,,,20,,RBRVS,0.59 ,2.41 ,2.41 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
76981,CPT,USE PARENCHYMA,26,,20,,RBRVS,0.59 ,0.22 ,0.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
76981,CPT,USE PARENCHYMA,TC,,20,,RBRVS,,2.19 ,2.19 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
76982,CPT,USE 1ST TARGET LESION,,,20,,RBRVS,0.59 ,2.08 ,2.08 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
76982,CPT,USE 1ST TARGET LESION,26,,20,,RBRVS,0.59 ,0.22 ,0.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
76982,CPT,USE 1ST TARGET LESION,TC,,20,,RBRVS,,1.86 ,1.86 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
76983,CPT,USE EA ADDL TARGET LESION,,,20,,RBRVS,0.50 ,1.15 ,1.15 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
76983,CPT,USE EA ADDL TARGET LESION,26,,20,,RBRVS,0.50 ,0.19 ,0.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
76983,CPT,USE EA ADDL TARGET LESION,TC,,20,,RBRVS,,0.96 ,0.96 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
76998,CPT,US GUIDE INTRAOP,,,20,,TotalUnits,,,,3.01 ,,$0.00,$0.00,1,0,0,0,0,1,20210101,
76998,CPT,US GUIDE INTRAOP,26,,20,,TotalUnits,,,,1.59 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
76998,CPT,US GUIDE INTRAOP,TC,,20,,TotalUnits,,,,1.42 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
76999,CPT,ECHO EXAMINATION PROCEDURE,,,20,,TotalUnits,,,,2.53 ,,$0.00,$0.00,1,0,0,0,0,1,20210101,
76999,CPT,ECHO EXAMINATION PROCEDURE,,PC,20,,TotalUnits,,,,0.80 ,,$0.00,$0.00,1,0,1,1,1,0,20210101,
76999,CPT,ECHO EXAMINATION PROCEDURE,,TC,20,,TotalUnits,,,,1.73 ,,$0.00,$0.00,1,1,1,0,1,0,20210101,
77001,CPT,FLUOROGUIDE FOR VEIN DEVICE,,,20,,RBRVS,0.38 ,2.29 ,2.29 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
77001,CPT,FLUOROGUIDE FOR VEIN DEVICE,26,,20,,RBRVS,0.38 ,0.12 ,0.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
77001,CPT,FLUOROGUIDE FOR VEIN DEVICE,TC,,20,,RBRVS,,2.17 ,2.17 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
77002,CPT,NEEDLE LOCALIZATION BY XRAY,,,20,,RBRVS,0.54 ,2.47 ,2.47 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
77002,CPT,NEEDLE LOCALIZATION BY XRAY,26,,20,,RBRVS,0.54 ,0.22 ,0.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
77002,CPT,NEEDLE LOCALIZATION BY XRAY,TC,,20,,RBRVS,,2.25 ,2.25 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
77003,CPT,FLUOROGUIDE FOR SPINE INJECT,,,20,,RBRVS,0.60 ,2.21 ,2.21 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
77003,CPT,FLUOROGUIDE FOR SPINE INJECT,26,,20,,RBRVS,0.60 ,0.22 ,0.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
77003,CPT,FLUOROGUIDE FOR SPINE INJECT,TC,,20,,RBRVS,,1.99 ,1.99 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
77011,CPT,CT SCAN FOR LOCALIZATION,,,20,,RBRVS,1.21 ,5.26 ,5.26 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
77011,CPT,CT SCAN FOR LOCALIZATION,,PC,20,,RBRVS,1.21 ,0.51 ,0.51 ,,,$0.00,$0.00,1,0,1,1,1,0,20210101,
77011,CPT,CT SCAN FOR LOCALIZATION,,TC,20,,RBRVS,,4.75 ,4.75 ,,,$0.00,$0.00,1,1,1,0,1,0,20210101,
77012,CPT,CT SCAN FOR NEEDLE BIOPSY,,,20,,RBRVS,1.50 ,2.66 ,2.66 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
77012,CPT,CT SCAN FOR NEEDLE BIOPSY,,PC,20,,RBRVS,1.50 ,0.51 ,0.51 ,,,$0.00,$0.00,1,0,1,1,1,0,20210101,
77012,CPT,CT SCAN FOR NEEDLE BIOPSY,,TC,20,,RBRVS,,2.15 ,2.15 ,,,$0.00,$0.00,1,1,1,0,1,0,20210101,
77013,CPT,CT GUIDE FOR TISSUE ABLATION,,,20,,TotalUnits,,,,22.63 ,,$0.00,$0.00,1,0,0,0,0,1,20210101,
77013,CPT,CT GUIDE FOR TISSUE ABLATION,,PC,20,,TotalUnits,,,,5.21 ,,$0.00,$0.00,1,0,1,1,1,0,20210101,
77013,CPT,CT GUIDE FOR TISSUE ABLATION,,TC,20,,TotalUnits,,,,17.42 ,,$0.00,$0.00,1,1,1,0,1,0,20210101,
77014,CPT,CT SCAN FOR THERAPY GUIDE,,,20,,RBRVS,0.85 ,2.56 ,2.56 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
77014,CPT,CT SCAN FOR THERAPY GUIDE,,PC,20,,RBRVS,0.85 ,0.40 ,0.40 ,,,$0.00,$0.00,1,0,1,1,1,0,20210101,
77014,CPT,CT SCAN FOR THERAPY GUIDE,,TC,20,,RBRVS,,2.16 ,2.16 ,,,$0.00,$0.00,1,1,1,0,1,0,20210101,
77021,CPT,MRI GUIDANCE NDL PLMT RS&I,,,20,,RBRVS,1.50 ,11.52 ,11.52 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
77021,CPT,MRI GUIDANCE NDL PLMT RS&I,26,,20,,RBRVS,1.50 ,0.51 ,0.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
77021,CPT,MRI GUIDANCE NDL PLMT RS&I,TC,,20,,RBRVS,,11.01 ,11.01 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
77022,CPT,MRI GDN PARNCHYMA TISS ABLTJ,,,20,,TotalUnits,,,,29.52 ,,$0.00,$0.00,1,0,0,0,0,1,20210101,
77022,CPT,MRI GDN PARNCHYMA TISS ABLTJ,26,,20,,TotalUnits,,,,5.94 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
77022,CPT,MRI GDN PARNCHYMA TISS ABLTJ,TC,,20,,TotalUnits,,,,23.58 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
77046,CPT,MRI BREAST C- UNILATERAL,,,20,,RBRVS,1.45 ,5.36 ,5.36 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
77046,CPT,MRI BREAST C- UNILATERAL,26,,20,,RBRVS,1.45 ,0.53 ,0.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
77046,CPT,MRI BREAST C- UNILATERAL,TC,,20,,RBRVS,,4.83 ,4.83 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
77047,CPT,MRI BREAST C- BILATERAL,,,20,,RBRVS,1.60 ,5.39 ,5.39 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
77047,CPT,MRI BREAST C- BILATERAL,26,,20,,RBRVS,1.60 ,0.59 ,0.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
77047,CPT,MRI BREAST C- BILATERAL,TC,,20,,RBRVS,,4.80 ,4.80 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
77048,CPT,MRI BREAST C-+ W/CAD UNI,,,20,,RBRVS,2.10 ,8.72 ,8.72 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
77048,CPT,MRI BREAST C-+ W/CAD UNI,26,,20,,RBRVS,2.10 ,0.78 ,0.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
77048,CPT,MRI BREAST C-+ W/CAD UNI,TC,,20,,RBRVS,,7.94 ,7.94 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
77049,CPT,MRI BREAST C-+ W/CAD BI,,,20,,RBRVS,2.30 ,8.76 ,8.76 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
77049,CPT,MRI BREAST C-+ W/CAD BI,26,,20,,RBRVS,2.30 ,0.85 ,0.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
77049,CPT,MRI BREAST C-+ W/CAD BI,TC,,20,,RBRVS,,7.91 ,7.91 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
77053,CPT,X-RAY OF MAMMARY DUCT,,,20,,RBRVS,0.36 ,1.21 ,1.21 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
77053,CPT,X-RAY OF MAMMARY DUCT,26,,20,,RBRVS,0.36 ,0.13 ,0.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
77053,CPT,X-RAY OF MAMMARY DUCT,TC,,20,,RBRVS,,1.08 ,1.08 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
77054,CPT,X-RAY OF MAMMARY DUCTS,,,20,,RBRVS,0.45 ,1.59 ,1.59 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
77054,CPT,X-RAY OF MAMMARY DUCTS,26,,20,,RBRVS,0.45 ,0.17 ,0.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
77054,CPT,X-RAY OF MAMMARY DUCTS,TC,,20,,RBRVS,,1.42 ,1.42 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
77061,CPT,BREAST TOMOSYNTHESIS UNI,,,20,,TotalUnits,,,,1.87 ,,$0.00,$0.00,1,0,0,0,0,1,20210101,
77061,CPT,BREAST TOMOSYNTHESIS UNI,26,,20,,TotalUnits,,,,0.87 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
77061,CPT,BREAST TOMOSYNTHESIS UNI,TC,,20,,TotalUnits,,,,1.01 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
77062,CPT,BREAST TOMOSYNTHESIS BI,,,20,,TotalUnits,,,,2.38 ,,$0.00,$0.00,1,0,0,0,0,1,20210101,
77062,CPT,BREAST TOMOSYNTHESIS BI,26,,20,,TotalUnits,,,,1.63 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
77062,CPT,BREAST TOMOSYNTHESIS BI,TC,,20,,TotalUnits,,,,0.77 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
77063,CPT,BREAST TOMOSYNTHESIS BI,,,20,,RBRVS,0.60 ,0.92 ,0.92 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
77063,CPT,BREAST TOMOSYNTHESIS BI,26,,20,,RBRVS,0.60 ,0.22 ,0.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
77063,CPT,BREAST TOMOSYNTHESIS BI,TC,,20,,RBRVS,,0.70 ,0.70 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
77065,CPT,DX MAMMO INCL CAD UNI,,,20,,RBRVS,0.81 ,2.91 ,2.91 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
77065,CPT,DX MAMMO INCL CAD UNI,26,,20,,RBRVS,0.81 ,0.30 ,0.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
77065,CPT,DX MAMMO INCL CAD UNI,TC,,20,,RBRVS,,2.61 ,2.61 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
77066,CPT,DX MAMMO INCL CAD BI,,,20,,RBRVS,1.00 ,3.70 ,3.70 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
77066,CPT,DX MAMMO INCL CAD BI,26,,20,,RBRVS,1.00 ,0.37 ,0.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
77066,CPT,DX MAMMO INCL CAD BI,TC,,20,,RBRVS,,3.33 ,3.33 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
77067,CPT,SCR MAMMO BI INCL CAD,,,20,,RBRVS,0.76 ,3.04 ,3.04 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
77067,CPT,SCR MAMMO BI INCL CAD,26,,20,,RBRVS,0.76 ,0.28 ,0.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
77067,CPT,SCR MAMMO BI INCL CAD,TC,,20,,RBRVS,,2.76 ,2.76 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
77071,CPT,X-RAY STRESS VIEW,,PC,20,,RBRVS,0.41 ,1.01 ,1.01 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
77072,CPT,X-RAYS FOR BONE AGE,,,20,,RBRVS,0.19 ,0.50 ,0.50 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
77072,CPT,X-RAYS FOR BONE AGE,26,,20,,RBRVS,0.19 ,0.07 ,0.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
77072,CPT,X-RAYS FOR BONE AGE,TC,,20,,RBRVS,,0.43 ,0.43 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
77073,CPT,X-RAYS BONE LENGTH STUDIES,,,20,,RBRVS,0.26 ,0.95 ,0.95 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
77073,CPT,X-RAYS BONE LENGTH STUDIES,26,,20,,RBRVS,0.26 ,0.11 ,0.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
77073,CPT,X-RAYS BONE LENGTH STUDIES,TC,,20,,RBRVS,,0.84 ,0.84 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
77074,CPT,X-RAYS BONE SURVEY LIMITED,,,20,,RBRVS,0.44 ,1.31 ,1.31 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
77074,CPT,X-RAYS BONE SURVEY LIMITED,26,,20,,RBRVS,0.44 ,0.17 ,0.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
77074,CPT,X-RAYS BONE SURVEY LIMITED,TC,,20,,RBRVS,,1.14 ,1.14 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
77075,CPT,X-RAYS BONE SURVEY COMPLETE,,,20,,RBRVS,0.55 ,2.09 ,2.09 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
77075,CPT,X-RAYS BONE SURVEY COMPLETE,26,,20,,RBRVS,0.55 ,0.21 ,0.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
77075,CPT,X-RAYS BONE SURVEY COMPLETE,TC,,20,,RBRVS,,1.88 ,1.88 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
77076,CPT,X-RAYS BONE SURVEY INFANT,,,20,,RBRVS,0.70 ,2.16 ,2.16 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
77076,CPT,X-RAYS BONE SURVEY INFANT,26,,20,,RBRVS,0.70 ,0.26 ,0.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
77076,CPT,X-RAYS BONE SURVEY INFANT,TC,,20,,RBRVS,,1.90 ,1.90 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
77077,CPT,JOINT SURVEY SINGLE VIEW,,,20,,RBRVS,0.33 ,0.93 ,0.93 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
77077,CPT,JOINT SURVEY SINGLE VIEW,26,,20,,RBRVS,0.33 ,0.14 ,0.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
77077,CPT,JOINT SURVEY SINGLE VIEW,TC,,20,,RBRVS,,0.79 ,0.79 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
77078,CPT,CT BONE DENSITY AXIAL,,,20,,RBRVS,0.25 ,2.95 ,2.95 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
77078,CPT,CT BONE DENSITY AXIAL,26,,20,,RBRVS,0.25 ,0.09 ,0.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
77078,CPT,CT BONE DENSITY AXIAL,TC,,20,,RBRVS,,2.86 ,2.86 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
77080,CPT,DXA BONE DENSITY AXIAL,,,20,,RBRVS,0.20 ,0.89 ,0.89 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
77080,CPT,DXA BONE DENSITY AXIAL,26,,20,,RBRVS,0.20 ,0.07 ,0.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
77080,CPT,DXA BONE DENSITY AXIAL,TC,,20,,RBRVS,,0.82 ,0.82 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
77081,CPT,DXA BONE DENSITY/PERIPHERAL,,,20,,RBRVS,0.20 ,0.69 ,0.69 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
77081,CPT,DXA BONE DENSITY/PERIPHERAL,26,,20,,RBRVS,0.20 ,0.08 ,0.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
77081,CPT,DXA BONE DENSITY/PERIPHERAL,TC,,20,,RBRVS,,0.61 ,0.61 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
77084,CPT,MAGNETIC IMAGE BONE MARROW,,,20,,RBRVS,1.60 ,8.76 ,8.76 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
77084,CPT,MAGNETIC IMAGE BONE MARROW,26,,20,,RBRVS,1.60 ,0.60 ,0.60 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
77084,CPT,MAGNETIC IMAGE BONE MARROW,TC,,20,,RBRVS,,8.16 ,8.16 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
77085,CPT,DXA BONE DENSITY STUDY,,,20,,RBRVS,0.30 ,1.18 ,1.18 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
77085,CPT,DXA BONE DENSITY STUDY,26,,20,,RBRVS,0.30 ,0.11 ,0.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
77085,CPT,DXA BONE DENSITY STUDY,TC,,20,,RBRVS,,1.07 ,1.07 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
77086,CPT,FRACTURE ASSESSMENT VIA DXA,,,20,,RBRVS,0.17 ,0.78 ,0.78 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
77086,CPT,FRACTURE ASSESSMENT VIA DXA,26,,20,,RBRVS,0.17 ,0.06 ,0.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
77086,CPT,FRACTURE ASSESSMENT VIA DXA,TC,,20,,RBRVS,,0.72 ,0.72 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
77261,CPT,RADIATION THERAPY PLANNING,,PC,20,,RBRVS,1.30 ,0.65 ,0.65 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
77262,CPT,RADIATION THERAPY PLANNING,,PC,20,,RBRVS,2.00 ,0.96 ,0.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
77263,CPT,RADIATION THERAPY PLANNING,,PC,20,,RBRVS,3.14 ,1.46 ,1.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
77280,CPT,SET RADIATION THERAPY FIELD,,,20,,RBRVS,0.70 ,7.11 ,7.11 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
77280,CPT,SET RADIATION THERAPY FIELD,26,,20,,RBRVS,0.70 ,0.34 ,0.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
77280,CPT,SET RADIATION THERAPY FIELD,TC,,20,,RBRVS,,6.77 ,6.77 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
77285,CPT,SET RADIATION THERAPY FIELD,,,20,,RBRVS,1.05 ,12.03 ,12.03 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
77285,CPT,SET RADIATION THERAPY FIELD,26,,20,,RBRVS,1.05 ,0.55 ,0.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
77285,CPT,SET RADIATION THERAPY FIELD,TC,,20,,RBRVS,,11.48 ,11.48 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
77290,CPT,SET RADIATION THERAPY FIELD,,,20,,RBRVS,1.56 ,12.44 ,12.44 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
77290,CPT,SET RADIATION THERAPY FIELD,26,,20,,RBRVS,1.56 ,0.74 ,0.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
77290,CPT,SET RADIATION THERAPY FIELD,TC,,20,,RBRVS,,11.70 ,11.70 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
77293,CPT,RESPIRATOR MOTION MGMT SIMUL,,,20,,RBRVS,2.00 ,10.65 ,10.65 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
77293,CPT,RESPIRATOR MOTION MGMT SIMUL,26,,20,,RBRVS,2.00 ,0.94 ,0.94 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
77293,CPT,RESPIRATOR MOTION MGMT SIMUL,TC,,20,,RBRVS,,9.71 ,9.71 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
77295,CPT,3-D RADIOTHERAPY PLAN,,,20,,RBRVS,4.29 ,9.30 ,9.30 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
77295,CPT,3-D RADIOTHERAPY PLAN,26,,20,,RBRVS,4.29 ,2.00 ,2.00 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
77295,CPT,3-D RADIOTHERAPY PLAN,TC,,20,,RBRVS,,7.30 ,7.30 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
77299,CPT,RADIATION THERAPY PLANNING,,,20,,TotalUnits,,,,9.60 ,,$0.00,$0.00,1,0,0,0,0,1,20210101,
77299,CPT,RADIATION THERAPY PLANNING,26,,20,,TotalUnits,,,,2.30 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
77299,CPT,RADIATION THERAPY PLANNING,TC,,20,,TotalUnits,,,,7.30 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
77300,CPT,RADIATION THERAPY DOSE PLAN,,,20,,RBRVS,0.62 ,1.23 ,1.23 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
77300,CPT,RADIATION THERAPY DOSE PLAN,26,,20,,RBRVS,0.62 ,0.29 ,0.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
77300,CPT,RADIATION THERAPY DOSE PLAN,TC,,20,,RBRVS,,0.94 ,0.94 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
77301,CPT,RADIOTHERAPY DOSE PLAN IMRT,,,20,,RBRVS,7.99 ,45.46 ,45.46 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
77301,CPT,RADIOTHERAPY DOSE PLAN IMRT,26,,20,,RBRVS,7.99 ,3.72 ,3.72 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
77301,CPT,RADIOTHERAPY DOSE PLAN IMRT,TC,,20,,RBRVS,,41.74 ,41.74 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
77306,CPT,TELETHX ISODOSE PLAN SIMPLE,,,20,,RBRVS,1.40 ,2.76 ,2.76 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
77306,CPT,TELETHX ISODOSE PLAN SIMPLE,26,,20,,RBRVS,1.40 ,0.66 ,0.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
77306,CPT,TELETHX ISODOSE PLAN SIMPLE,TC,,20,,RBRVS,,2.10 ,2.10 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
77307,CPT,TELETHX ISODOSE PLAN CPLX,,,20,,RBRVS,2.90 ,5.14 ,5.14 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
77307,CPT,TELETHX ISODOSE PLAN CPLX,26,,20,,RBRVS,2.90 ,1.35 ,1.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
77307,CPT,TELETHX ISODOSE PLAN CPLX,TC,,20,,RBRVS,,3.79 ,3.79 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
77316,CPT,BRACHYTX ISODOSE PLAN SIMPLE,,,20,,RBRVS,1.40 ,4.67 ,4.67 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
77316,CPT,BRACHYTX ISODOSE PLAN SIMPLE,26,,20,,RBRVS,1.40 ,0.66 ,0.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
77316,CPT,BRACHYTX ISODOSE PLAN SIMPLE,TC,,20,,RBRVS,,4.01 ,4.01 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
77317,CPT,BRACHYTX ISODOSE INTERMED,,,20,,RBRVS,1.83 ,6.13 ,6.13 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
77317,CPT,BRACHYTX ISODOSE INTERMED,26,,20,,RBRVS,1.83 ,0.86 ,0.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
77317,CPT,BRACHYTX ISODOSE INTERMED,TC,,20,,RBRVS,,5.27 ,5.27 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
77318,CPT,BRACHYTX ISODOSE COMPLEX,,,20,,RBRVS,2.90 ,8.48 ,8.48 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
77318,CPT,BRACHYTX ISODOSE COMPLEX,26,,20,,RBRVS,2.90 ,1.34 ,1.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
77318,CPT,BRACHYTX ISODOSE COMPLEX,TC,,20,,RBRVS,,7.14 ,7.14 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
77321,CPT,SPECIAL TELETX PORT PLAN,,,20,,RBRVS,0.95 ,1.67 ,1.67 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
77321,CPT,SPECIAL TELETX PORT PLAN,26,,20,,RBRVS,0.95 ,0.45 ,0.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
77321,CPT,SPECIAL TELETX PORT PLAN,TC,,20,,RBRVS,,1.22 ,1.22 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
77331,CPT,SPECIAL RADIATION DOSIMETRY,,,20,,RBRVS,0.87 ,0.93 ,0.93 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
77331,CPT,SPECIAL RADIATION DOSIMETRY,26,,20,,RBRVS,0.87 ,0.41 ,0.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
77331,CPT,SPECIAL RADIATION DOSIMETRY,TC,,20,,RBRVS,,0.52 ,0.52 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
77332,CPT,RADIATION TREATMENT AID(S),,,20,,RBRVS,0.45 ,0.86 ,0.86 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
77332,CPT,RADIATION TREATMENT AID(S),26,,20,,RBRVS,0.45 ,0.21 ,0.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
77332,CPT,RADIATION TREATMENT AID(S),TC,,20,,RBRVS,,0.65 ,0.65 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
77333,CPT,RADIATION TREATMENT AID(S),,,20,,RBRVS,0.75 ,2.62 ,2.62 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
77333,CPT,RADIATION TREATMENT AID(S),26,,20,,RBRVS,0.75 ,0.35 ,0.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
77333,CPT,RADIATION TREATMENT AID(S),TC,,20,,RBRVS,,2.27 ,2.27 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
77334,CPT,RADIATION TREATMENT AID(S),,,20,,RBRVS,1.15 ,2.40 ,2.40 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
77334,CPT,RADIATION TREATMENT AID(S),26,,20,,RBRVS,1.15 ,0.54 ,0.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
77334,CPT,RADIATION TREATMENT AID(S),TC,,20,,RBRVS,,1.86 ,1.86 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
77336,CPT,RADIATION PHYSICS CONSULT,,TC,20,,RBRVS,,2.19 ,2.19 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
77338,CPT,DESIGN MLC DEVICE FOR IMRT,,,20,,RBRVS,4.29 ,9.26 ,9.26 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
77338,CPT,DESIGN MLC DEVICE FOR IMRT,,PC,20,,RBRVS,4.29 ,2.00 ,2.00 ,,,$0.00,$0.00,1,0,1,1,1,0,20210101,
77338,CPT,DESIGN MLC DEVICE FOR IMRT,,TC,20,,RBRVS,,7.26 ,7.26 ,,,$0.00,$0.00,1,1,1,0,1,0,20210101,
77370,CPT,RADIATION PHYSICS CONSULT,,TC,20,,RBRVS,,3.40 ,3.40 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
77371,CPT,SRS MULTISOURCE,,TC,20,,TotalUnits,,,,52.04 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
77372,CPT,SRS LINEAR BASED,,TC,20,,RBRVS,,29.48 ,29.48 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
77373,CPT,SBRT DELIVERY,,TC,20,,RBRVS,,33.91 ,33.91 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
77385,CPT,NTSTY MODUL RAD TX DLVR SMPL,,TC,20,,TotalUnits,,,,11.60 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
77386,CPT,NTSTY MODUL RAD TX DLVR CPLX,,TC,20,,TotalUnits,,,,13.05 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
77387,CPT,GUIDANCE FOR RADJ TX DLVR,,,20,,TotalUnits,,,,2.22 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
77399,CPT,EXTERNAL RADIATION DOSIMETRY,,,20,,TotalUnits,,,,2.70 ,,$0.00,$0.00,1,0,0,0,0,1,20210101,
77399,CPT,EXTERNAL RADIATION DOSIMETRY,,PC,20,,TotalUnits,,,,1.28 ,,$0.00,$0.00,1,0,1,1,1,0,20210101,
77399,CPT,EXTERNAL RADIATION DOSIMETRY,,TC,20,,TotalUnits,,,,1.41 ,,$0.00,$0.00,1,1,1,0,1,0,20210101,
77401,CPT,RADIATION TREATMENT DELIVERY,,TC,20,,RBRVS,,0.68 ,0.68 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
77402,CPT,RADIATION TREATMENT DELIVERY,,TC,20,,TotalUnits,,,,3.16 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
77407,CPT,RADIATION TREATMENT DELIVERY,,TC,20,,TotalUnits,,,,3.33 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
77412,CPT,RADIATION TREATMENT DELIVERY,,TC,20,,TotalUnits,,,,3.50 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
77417,CPT,RADIOLOGY PORT IMAGES(S),,TC,20,,RBRVS,,0.31 ,0.31 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
77423,CPT,NEUTRON BEAM TX COMPLEX,,TC,20,,TotalUnits,,,,2.74 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
77427,CPT,RADIATION TX MANAGEMENT X5,,PC,20,,RBRVS,3.37 ,1.82 ,1.82 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
77431,CPT,RADIATION THERAPY MANAGEMENT,,PC,20,,RBRVS,1.81 ,1.08 ,1.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
77432,CPT,STEREOTACTIC RADIATION TRMT,,PC,20,,RBRVS,7.92 ,3.68 ,3.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
77435,CPT,SBRT MANAGEMENT,,PC,20,,RBRVS,11.87 ,5.64 ,5.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
77469,CPT,IO RADIATION TX MANAGEMENT,,,20,,RBRVS,5.75 ,2.93 ,2.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
77470,CPT,SPECIAL RADIATION TREATMENT,,,20,,RBRVS,2.03 ,1.66 ,1.66 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
77470,CPT,SPECIAL RADIATION TREATMENT,26,,20,,RBRVS,2.03 ,0.95 ,0.95 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
77470,CPT,SPECIAL RADIATION TREATMENT,TC,,20,,RBRVS,,0.71 ,0.71 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
77499,CPT,RADIATION THERAPY MANAGEMENT,,,20,,TotalUnits,,,,3.69 ,,$0.00,$0.00,1,0,0,0,0,1,20210101,
77499,CPT,RADIATION THERAPY MANAGEMENT,,PC,20,,TotalUnits,,,,2.98 ,,$0.00,$0.00,1,0,1,1,1,0,20210101,
77499,CPT,RADIATION THERAPY MANAGEMENT,,TC,20,,TotalUnits,,,,0.71 ,,$0.00,$0.00,1,1,1,0,1,0,20210101,
77520,CPT,PROTON TRMT SIMPLE W/O COMP,,TC,20,,TotalUnits,,,,23.70 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
77522,CPT,PROTON TRMT SIMPLE W/COMP,,TC,20,,TotalUnits,,,,33.14 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
77523,CPT,PROTON TRMT INTERMEDIATE,,TC,20,,TotalUnits,,,,30.23 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
77525,CPT,PROTON TREATMENT COMPLEX,,TC,20,,TotalUnits,,,,39.33 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
77600,CPT,HYPERTHERMIA TREATMENT,,,20,,RBRVS,1.31 ,11.75 ,11.75 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
77600,CPT,HYPERTHERMIA TREATMENT,26,,20,,RBRVS,1.31 ,0.66 ,0.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
77600,CPT,HYPERTHERMIA TREATMENT,TC,,20,,RBRVS,,11.09 ,11.09 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
77605,CPT,HYPERTHERMIA TREATMENT,,,20,,RBRVS,1.84 ,21.80 ,21.80 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
77605,CPT,HYPERTHERMIA TREATMENT,26,,20,,RBRVS,1.84 ,0.79 ,0.79 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
77605,CPT,HYPERTHERMIA TREATMENT,TC,,20,,RBRVS,,21.01 ,21.01 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
77610,CPT,HYPERTHERMIA TREATMENT,,,20,,RBRVS,1.31 ,17.88 ,17.88 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
77610,CPT,HYPERTHERMIA TREATMENT,26,,20,,RBRVS,1.31 ,0.61 ,0.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
77610,CPT,HYPERTHERMIA TREATMENT,TC,,20,,RBRVS,,17.27 ,17.27 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
77615,CPT,HYPERTHERMIA TREATMENT,,,20,,RBRVS,1.84 ,28.15 ,28.15 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
77615,CPT,HYPERTHERMIA TREATMENT,26,,20,,RBRVS,1.84 ,0.86 ,0.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
77615,CPT,HYPERTHERMIA TREATMENT,TC,,20,,RBRVS,,27.29 ,27.29 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
77620,CPT,HYPERTHERMIA TREATMENT,,,20,,RBRVS,1.56 ,15.38 ,15.38 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
77620,CPT,HYPERTHERMIA TREATMENT,26,,20,,RBRVS,1.56 ,0.56 ,0.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
77620,CPT,HYPERTHERMIA TREATMENT,TC,,20,,RBRVS,,14.82 ,14.82 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
77750,CPT,INFUSE RADIOACTIVE MATERIALS,,,20,,RBRVS,5.00 ,5.67 ,5.67 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
77750,CPT,INFUSE RADIOACTIVE MATERIALS,26,,20,,RBRVS,5.00 ,2.32 ,2.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
77750,CPT,INFUSE RADIOACTIVE MATERIALS,TC,,20,,RBRVS,,3.35 ,3.35 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
77761,CPT,APPLY INTRCAV RADIAT SIMPLE,,,20,,RBRVS,3.85 ,7.40 ,7.40 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
77761,CPT,APPLY INTRCAV RADIAT SIMPLE,26,,20,,RBRVS,3.85 ,1.80 ,1.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
77761,CPT,APPLY INTRCAV RADIAT SIMPLE,TC,,20,,RBRVS,,5.60 ,5.60 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
77762,CPT,APPLY INTRCAV RADIAT INTERM,,,20,,RBRVS,5.76 ,9.10 ,9.10 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
77762,CPT,APPLY INTRCAV RADIAT INTERM,26,,20,,RBRVS,5.76 ,2.69 ,2.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
77762,CPT,APPLY INTRCAV RADIAT INTERM,TC,,20,,RBRVS,,6.41 ,6.41 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
77763,CPT,APPLY INTRCAV RADIAT COMPL,,,20,,RBRVS,8.66 ,12.31 ,12.31 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
77763,CPT,APPLY INTRCAV RADIAT COMPL,26,,20,,RBRVS,8.66 ,4.04 ,4.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
77763,CPT,APPLY INTRCAV RADIAT COMPL,TC,,20,,RBRVS,,8.27 ,8.27 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
77767,CPT,HDR RDNCL SKN SURF BRACHYTX,,,20,,RBRVS,1.05 ,5.63 ,5.63 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
77767,CPT,HDR RDNCL SKN SURF BRACHYTX,26,,20,,RBRVS,1.05 ,0.49 ,0.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
77767,CPT,HDR RDNCL SKN SURF BRACHYTX,TC,,20,,RBRVS,,5.14 ,5.14 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
77768,CPT,HDR RDNCL SKN SURF BRACHYTX,,,20,,RBRVS,1.40 ,8.65 ,8.65 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
77768,CPT,HDR RDNCL SKN SURF BRACHYTX,26,,20,,RBRVS,1.40 ,0.66 ,0.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
77768,CPT,HDR RDNCL SKN SURF BRACHYTX,TC,,20,,RBRVS,,7.99 ,7.99 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
77770,CPT,HDR RDNCL NTRSTL/ICAV BRCHTX,,,20,,RBRVS,1.95 ,7.43 ,7.43 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
77770,CPT,HDR RDNCL NTRSTL/ICAV BRCHTX,26,,20,,RBRVS,1.95 ,0.91 ,0.91 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
77770,CPT,HDR RDNCL NTRSTL/ICAV BRCHTX,TC,,20,,RBRVS,,6.52 ,6.52 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
77771,CPT,HDR RDNCL NTRSTL/ICAV BRCHTX,,,20,,RBRVS,3.80 ,12.95 ,12.95 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
77771,CPT,HDR RDNCL NTRSTL/ICAV BRCHTX,26,,20,,RBRVS,3.80 ,1.77 ,1.77 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
77771,CPT,HDR RDNCL NTRSTL/ICAV BRCHTX,TC,,20,,RBRVS,,11.18 ,11.18 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
77772,CPT,HDR RDNCL NTRSTL/ICAV BRCHTX,,,20,,RBRVS,5.40 ,19.84 ,19.84 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
77772,CPT,HDR RDNCL NTRSTL/ICAV BRCHTX,26,,20,,RBRVS,5.40 ,2.47 ,2.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
77772,CPT,HDR RDNCL NTRSTL/ICAV BRCHTX,TC,,20,,RBRVS,,17.37 ,17.37 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
77778,CPT,APPLY INTERSTIT RADIAT COMPL,,,20,,RBRVS,8.78 ,15.33 ,15.33 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
77778,CPT,APPLY INTERSTIT RADIAT COMPL,26,,20,,RBRVS,8.78 ,4.05 ,4.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
77778,CPT,APPLY INTERSTIT RADIAT COMPL,TC,,20,,RBRVS,,11.28 ,11.28 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
77789,CPT,APPLY SURF LDR RADIONUCLIDE,,,20,,RBRVS,1.14 ,2.42 ,2.42 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
77789,CPT,APPLY SURF LDR RADIONUCLIDE,26,,20,,RBRVS,1.14 ,0.55 ,0.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
77789,CPT,APPLY SURF LDR RADIONUCLIDE,TC,,20,,RBRVS,,1.87 ,1.87 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
77790,CPT,RADIATION HANDLING,,TC,20,,RBRVS,,0.42 ,0.42 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
77799,CPT,RADIUM/RADIOISOTOPE THERAPY,,,20,,TotalUnits,,,,19.15 ,,$0.00,$0.00,1,0,0,0,0,1,20210101,
77799,CPT,RADIUM/RADIOISOTOPE THERAPY,26,,20,,TotalUnits,,,,7.87 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
77799,CPT,RADIUM/RADIOISOTOPE THERAPY,TC,,20,,TotalUnits,,,,11.28 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
78012,CPT,THYROID UPTAKE MEASUREMENT,,,20,,RBRVS,0.19 ,2.10 ,2.10 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
78012,CPT,THYROID UPTAKE MEASUREMENT,26,,20,,RBRVS,0.19 ,0.07 ,0.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
78012,CPT,THYROID UPTAKE MEASUREMENT,TC,,20,,RBRVS,,2.03 ,2.03 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
78013,CPT,THYROID IMAGING W/BLOOD FLOW,,,20,,RBRVS,0.37 ,5.08 ,5.08 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
78013,CPT,THYROID IMAGING W/BLOOD FLOW,26,,20,,RBRVS,0.37 ,0.13 ,0.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
78013,CPT,THYROID IMAGING W/BLOOD FLOW,TC,,20,,RBRVS,,4.95 ,4.95 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
78014,CPT,THYROID IMAGING W/BLOOD FLOW,,,20,,RBRVS,0.50 ,6.29 ,6.29 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
78014,CPT,THYROID IMAGING W/BLOOD FLOW,26,,20,,RBRVS,0.50 ,0.17 ,0.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
78014,CPT,THYROID IMAGING W/BLOOD FLOW,TC,,20,,RBRVS,,6.12 ,6.12 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
78015,CPT,THYROID MET IMAGING,,,20,,RBRVS,0.67 ,5.68 ,5.68 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
78015,CPT,THYROID MET IMAGING,26,,20,,RBRVS,0.67 ,0.24 ,0.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
78015,CPT,THYROID MET IMAGING,TC,,20,,RBRVS,,5.44 ,5.44 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
78016,CPT,THYROID MET IMAGING/STUDIES,,,20,,RBRVS,0.82 ,7.20 ,7.20 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
78016,CPT,THYROID MET IMAGING/STUDIES,26,,20,,RBRVS,0.82 ,0.14 ,0.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
78016,CPT,THYROID MET IMAGING/STUDIES,TC,,20,,RBRVS,,7.06 ,7.06 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
78018,CPT,THYROID MET IMAGING BODY,,,20,,RBRVS,0.86 ,8.02 ,8.02 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
78018,CPT,THYROID MET IMAGING BODY,26,,20,,RBRVS,0.86 ,0.28 ,0.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
78018,CPT,THYROID MET IMAGING BODY,TC,,20,,RBRVS,,7.74 ,7.74 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
78020,CPT,THYROID MET UPTAKE,,,20,,RBRVS,0.60 ,1.73 ,1.73 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
78020,CPT,THYROID MET UPTAKE,26,,20,,RBRVS,0.60 ,0.17 ,0.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
78020,CPT,THYROID MET UPTAKE,TC,,20,,RBRVS,,1.56 ,1.56 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
78070,CPT,PARATHYROID PLANAR IMAGING,,,20,,RBRVS,0.80 ,7.60 ,7.60 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
78070,CPT,PARATHYROID PLANAR IMAGING,26,,20,,RBRVS,0.80 ,0.27 ,0.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
78070,CPT,PARATHYROID PLANAR IMAGING,TC,,20,,RBRVS,,7.33 ,7.33 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
78071,CPT,PARATHYRD PLANAR W/WO SUBTRJ,,,20,,RBRVS,1.20 ,8.82 ,8.82 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
78071,CPT,PARATHYRD PLANAR W/WO SUBTRJ,26,,20,,RBRVS,1.20 ,0.41 ,0.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
78071,CPT,PARATHYRD PLANAR W/WO SUBTRJ,TC,,20,,RBRVS,,8.41 ,8.41 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
78072,CPT,PARATHYRD PLANAR W/SPECT&CT,,,20,,RBRVS,1.60 ,11.05 ,11.05 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
78072,CPT,PARATHYRD PLANAR W/SPECT&CT,26,,20,,RBRVS,1.60 ,0.52 ,0.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
78072,CPT,PARATHYRD PLANAR W/SPECT&CT,TC,,20,,RBRVS,,10.53 ,10.53 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
78075,CPT,ADRENAL CORTEX & MEDULLA IMG,,,20,,RBRVS,0.74 ,11.99 ,11.99 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
78075,CPT,ADRENAL CORTEX & MEDULLA IMG,26,,20,,RBRVS,0.74 ,0.28 ,0.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
78075,CPT,ADRENAL CORTEX & MEDULLA IMG,TC,,20,,RBRVS,,11.71 ,11.71 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
78099,CPT,ENDOCRINE NUCLEAR PROCEDURE,,,20,,TotalUnits,,,,6.79 ,,$0.00,$0.00,1,0,0,0,0,1,20210101,
78099,CPT,ENDOCRINE NUCLEAR PROCEDURE,26,,20,,TotalUnits,,,,0.67 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
78099,CPT,ENDOCRINE NUCLEAR PROCEDURE,TC,,20,,TotalUnits,,,,6.12 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
78102,CPT,BONE MARROW IMAGING LTD,,,20,,RBRVS,0.55 ,4.27 ,4.27 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
78102,CPT,BONE MARROW IMAGING LTD,26,,20,,RBRVS,0.55 ,0.18 ,0.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
78102,CPT,BONE MARROW IMAGING LTD,TC,,20,,RBRVS,,4.09 ,4.09 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
78103,CPT,BONE MARROW IMAGING MULT,,,20,,RBRVS,0.75 ,5.38 ,5.38 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
78103,CPT,BONE MARROW IMAGING MULT,26,,20,,RBRVS,0.75 ,0.22 ,0.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
78103,CPT,BONE MARROW IMAGING MULT,TC,,20,,RBRVS,,5.16 ,5.16 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
78104,CPT,BONE MARROW IMAGING BODY,,,20,,RBRVS,0.80 ,6.26 ,6.26 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
78104,CPT,BONE MARROW IMAGING BODY,26,,20,,RBRVS,0.80 ,0.27 ,0.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
78104,CPT,BONE MARROW IMAGING BODY,TC,,20,,RBRVS,,5.99 ,5.99 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
78110,CPT,PLASMA VOLUME SINGLE,,,20,,RBRVS,0.19 ,1.76 ,1.76 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
78110,CPT,PLASMA VOLUME SINGLE,26,,20,,RBRVS,0.19 ,0.03 ,0.03 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
78110,CPT,PLASMA VOLUME SINGLE,TC,,20,,RBRVS,,1.73 ,1.73 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
78111,CPT,PLASMA VOLUME MULTIPLE,,,20,,RBRVS,0.22 ,1.85 ,1.85 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
78111,CPT,PLASMA VOLUME MULTIPLE,26,,20,,RBRVS,0.22 ,0.04 ,0.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
78111,CPT,PLASMA VOLUME MULTIPLE,TC,,20,,RBRVS,,1.81 ,1.81 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
78120,CPT,RED CELL MASS SINGLE,,,20,,RBRVS,0.23 ,1.77 ,1.77 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
78120,CPT,RED CELL MASS SINGLE,26,,20,,RBRVS,0.23 ,0.04 ,0.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
78120,CPT,RED CELL MASS SINGLE,TC,,20,,RBRVS,,1.73 ,1.73 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
78121,CPT,RED CELL MASS MULTIPLE,,,20,,RBRVS,0.32 ,1.87 ,1.87 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
78121,CPT,RED CELL MASS MULTIPLE,26,,20,,RBRVS,0.32 ,0.06 ,0.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
78121,CPT,RED CELL MASS MULTIPLE,TC,,20,,RBRVS,,1.81 ,1.81 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
78122,CPT,BLOOD VOLUME,,,20,,RBRVS,0.45 ,2.26 ,2.26 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
78122,CPT,BLOOD VOLUME,26,,20,,RBRVS,0.45 ,0.14 ,0.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
78122,CPT,BLOOD VOLUME,TC,,20,,RBRVS,,2.12 ,2.12 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
78130,CPT,RED CELL SURVIVAL STUDY,,,20,,RBRVS,0.61 ,2.92 ,2.92 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
78130,CPT,RED CELL SURVIVAL STUDY,26,,20,,RBRVS,0.61 ,0.11 ,0.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
78130,CPT,RED CELL SURVIVAL STUDY,TC,,20,,RBRVS,,2.81 ,2.81 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
78140,CPT,RED CELL SEQUESTRATION,,,20,,RBRVS,0.61 ,2.52 ,2.52 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
78140,CPT,RED CELL SEQUESTRATION,26,,20,,RBRVS,0.61 ,0.11 ,0.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
78140,CPT,RED CELL SEQUESTRATION,TC,,20,,RBRVS,,2.41 ,2.41 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
78185,CPT,SPLEEN IMAGING,,,20,,RBRVS,0.40 ,4.42 ,4.42 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
78185,CPT,SPLEEN IMAGING,26,,20,,RBRVS,0.40 ,0.07 ,0.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
78185,CPT,SPLEEN IMAGING,TC,,20,,RBRVS,,4.35 ,4.35 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
78191,CPT,PLATELET SURVIVAL,,,20,,RBRVS,0.61 ,2.92 ,2.92 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
78191,CPT,PLATELET SURVIVAL,26,,20,,RBRVS,0.61 ,0.11 ,0.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
78191,CPT,PLATELET SURVIVAL,TC,,20,,RBRVS,,2.81 ,2.81 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
78195,CPT,LYMPH SYSTEM IMAGING,,,20,,RBRVS,1.20 ,8.85 ,8.85 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
78195,CPT,LYMPH SYSTEM IMAGING,26,,20,,RBRVS,1.20 ,0.40 ,0.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
78195,CPT,LYMPH SYSTEM IMAGING,TC,,20,,RBRVS,,8.45 ,8.45 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
78199,CPT,BLOOD/LYMPH NUCLEAR EXAM,,,20,,TotalUnits,,,,10.05 ,,$0.00,$0.00,1,0,0,0,0,1,20210101,
78199,CPT,BLOOD/LYMPH NUCLEAR EXAM,26,,20,,TotalUnits,,,,1.60 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
78199,CPT,BLOOD/LYMPH NUCLEAR EXAM,TC,,20,,TotalUnits,,,,8.45 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
78201,CPT,LIVER IMAGING,,,20,,RBRVS,0.44 ,4.95 ,4.95 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
78201,CPT,LIVER IMAGING,26,,20,,RBRVS,0.44 ,0.14 ,0.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
78201,CPT,LIVER IMAGING,TC,,20,,RBRVS,,4.81 ,4.81 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
78202,CPT,LIVER IMAGING WITH FLOW,,,20,,RBRVS,0.51 ,5.30 ,5.30 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
78202,CPT,LIVER IMAGING WITH FLOW,26,,20,,RBRVS,0.51 ,0.15 ,0.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
78202,CPT,LIVER IMAGING WITH FLOW,TC,,20,,RBRVS,,5.15 ,5.15 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
78215,CPT,LIVER AND SPLEEN IMAGING,,,20,,RBRVS,0.49 ,5.03 ,5.03 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
78215,CPT,LIVER AND SPLEEN IMAGING,26,,20,,RBRVS,0.49 ,0.17 ,0.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
78215,CPT,LIVER AND SPLEEN IMAGING,TC,,20,,RBRVS,,4.86 ,4.86 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
78216,CPT,LIVER & SPLEEN IMAGE/FLOW,,,20,,RBRVS,0.57 ,3.05 ,3.05 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
78216,CPT,LIVER & SPLEEN IMAGE/FLOW,26,,20,,RBRVS,0.57 ,0.18 ,0.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
78216,CPT,LIVER & SPLEEN IMAGE/FLOW,TC,,20,,RBRVS,,2.87 ,2.87 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
78226,CPT,HEPATOBILIARY SYSTEM IMAGING,,,20,,RBRVS,0.74 ,8.56 ,8.56 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
78226,CPT,HEPATOBILIARY SYSTEM IMAGING,26,,20,,RBRVS,0.74 ,0.26 ,0.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
78226,CPT,HEPATOBILIARY SYSTEM IMAGING,TC,,20,,RBRVS,,8.30 ,8.30 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
78227,CPT,HEPATOBIL SYST IMAGE W/DRUG,,,20,,RBRVS,0.90 ,11.66 ,11.66 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
78227,CPT,HEPATOBIL SYST IMAGE W/DRUG,26,,20,,RBRVS,0.90 ,0.32 ,0.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
78227,CPT,HEPATOBIL SYST IMAGE W/DRUG,TC,,20,,RBRVS,,11.34 ,11.34 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
78230,CPT,SALIVARY GLAND IMAGING,,,20,,RBRVS,0.45 ,4.49 ,4.49 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
78230,CPT,SALIVARY GLAND IMAGING,26,,20,,RBRVS,0.45 ,0.17 ,0.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
78230,CPT,SALIVARY GLAND IMAGING,TC,,20,,RBRVS,,4.32 ,4.32 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
78231,CPT,SERIAL SALIVARY IMAGING,,,20,,RBRVS,0.52 ,2.44 ,2.44 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
78231,CPT,SERIAL SALIVARY IMAGING,26,,20,,RBRVS,0.52 ,0.09 ,0.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
78231,CPT,SERIAL SALIVARY IMAGING,TC,,20,,RBRVS,,2.35 ,2.35 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
78232,CPT,SALIVARY GLAND FUNCTION EXAM,,,20,,RBRVS,0.47 ,2.43 ,2.43 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
78232,CPT,SALIVARY GLAND FUNCTION EXAM,26,,20,,RBRVS,0.47 ,0.08 ,0.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
78232,CPT,SALIVARY GLAND FUNCTION EXAM,TC,,20,,RBRVS,,2.35 ,2.35 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
78258,CPT,ESOPHAGEAL MOTILITY STUDY,,,20,,RBRVS,0.74 ,5.38 ,5.38 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
78258,CPT,ESOPHAGEAL MOTILITY STUDY,26,,20,,RBRVS,0.74 ,0.23 ,0.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
78258,CPT,ESOPHAGEAL MOTILITY STUDY,TC,,20,,RBRVS,,5.15 ,5.15 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
78261,CPT,GASTRIC MUCOSA IMAGING,,,20,,RBRVS,0.69 ,5.09 ,5.09 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
78261,CPT,GASTRIC MUCOSA IMAGING,26,,20,,RBRVS,0.69 ,0.12 ,0.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
78261,CPT,GASTRIC MUCOSA IMAGING,TC,,20,,RBRVS,,4.97 ,4.97 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
78262,CPT,GASTROESOPHAGEAL REFLUX EXAM,,,20,,RBRVS,0.68 ,6.10 ,6.10 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
78262,CPT,GASTROESOPHAGEAL REFLUX EXAM,26,,20,,RBRVS,0.68 ,0.24 ,0.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
78262,CPT,GASTROESOPHAGEAL REFLUX EXAM,TC,,20,,RBRVS,,5.86 ,5.86 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
78264,CPT,GASTRIC EMPTYING IMAG STUDY,,,20,,RBRVS,0.79 ,8.65 ,8.65 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
78264,CPT,GASTRIC EMPTYING IMAG STUDY,26,,20,,RBRVS,0.79 ,0.28 ,0.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
78264,CPT,GASTRIC EMPTYING IMAG STUDY,TC,,20,,RBRVS,,8.37 ,8.37 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
78265,CPT,GASTRIC EMPTYING IMAG STUDY,,,20,,RBRVS,0.98 ,10.17 ,10.17 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
78265,CPT,GASTRIC EMPTYING IMAG STUDY,26,,20,,RBRVS,0.98 ,0.34 ,0.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
78265,CPT,GASTRIC EMPTYING IMAG STUDY,TC,,20,,RBRVS,,9.83 ,9.83 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
78266,CPT,GASTRIC EMPTYING IMAG STUDY,,,20,,RBRVS,1.08 ,11.14 ,11.14 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
78266,CPT,GASTRIC EMPTYING IMAG STUDY,26,,20,,RBRVS,1.08 ,0.29 ,0.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
78266,CPT,GASTRIC EMPTYING IMAG STUDY,TC,,20,,RBRVS,,10.85 ,10.85 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
78267,CPT,BREATH TST ATTAIN/ANAL C-14,,,17,,TotalUnits,,,,0.31 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
78268,CPT,BREATH TEST ANALYSIS C-14,,,17,,TotalUnits,,,,2.62 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
78278,CPT,ACUTE GI BLOOD LOSS IMAGING,,,20,,RBRVS,0.99 ,8.88 ,8.88 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
78278,CPT,ACUTE GI BLOOD LOSS IMAGING,26,,20,,RBRVS,0.99 ,0.35 ,0.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
78278,CPT,ACUTE GI BLOOD LOSS IMAGING,TC,,20,,RBRVS,,8.53 ,8.53 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
78282,CPT,GI PROTEIN LOSS EXAM,,,20,,TotalUnits,,,,1.81 ,,$0.00,$0.00,1,0,0,0,0,1,20210101,
78282,CPT,GI PROTEIN LOSS EXAM,26,,20,,RBRVS,0.38 ,0.07 ,0.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
78282,CPT,GI PROTEIN LOSS EXAM,TC,,20,,TotalUnits,,,,1.36 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
78290,CPT,MECKELS DIVERT EXAM,,,20,,RBRVS,0.68 ,8.68 ,8.68 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
78290,CPT,MECKELS DIVERT EXAM,26,,20,,RBRVS,0.68 ,0.23 ,0.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
78290,CPT,MECKELS DIVERT EXAM,TC,,20,,RBRVS,,8.45 ,8.45 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
78291,CPT,LEVEEN/SHUNT PATENCY EXAM,,,20,,RBRVS,0.88 ,6.32 ,6.32 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
78291,CPT,LEVEEN/SHUNT PATENCY EXAM,26,,20,,RBRVS,0.88 ,0.29 ,0.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
78291,CPT,LEVEEN/SHUNT PATENCY EXAM,TC,,20,,RBRVS,,6.03 ,6.03 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
78299,CPT,GI NUCLEAR PROCEDURE,,,20,,TotalUnits,,,,9.44 ,,$0.00,$0.00,1,0,0,0,0,1,20210101,
78299,CPT,GI NUCLEAR PROCEDURE,26,,20,,TotalUnits,,,,1.07 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
78299,CPT,GI NUCLEAR PROCEDURE,TC,,20,,TotalUnits,,,,8.37 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
78300,CPT,BONE IMAGING LIMITED AREA,,,20,,RBRVS,0.62 ,5.88 ,5.88 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
78300,CPT,BONE IMAGING LIMITED AREA,26,,20,,RBRVS,0.62 ,0.23 ,0.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
78300,CPT,BONE IMAGING LIMITED AREA,TC,,20,,RBRVS,,5.65 ,5.65 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
78305,CPT,BONE IMAGING MULTIPLE AREAS,,,20,,RBRVS,0.83 ,7.04 ,7.04 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
78305,CPT,BONE IMAGING MULTIPLE AREAS,26,,20,,RBRVS,0.83 ,0.29 ,0.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
78305,CPT,BONE IMAGING MULTIPLE AREAS,TC,,20,,RBRVS,,6.75 ,6.75 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
78306,CPT,BONE IMAGING WHOLE BODY,,,20,,RBRVS,0.86 ,7.66 ,7.66 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
78306,CPT,BONE IMAGING WHOLE BODY,26,,20,,RBRVS,0.86 ,0.30 ,0.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
78306,CPT,BONE IMAGING WHOLE BODY,TC,,20,,RBRVS,,7.36 ,7.36 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
78315,CPT,BONE IMAGING 3 PHASE,,,20,,RBRVS,1.02 ,8.79 ,8.79 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
78315,CPT,BONE IMAGING 3 PHASE,26,,20,,RBRVS,1.02 ,0.36 ,0.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
78315,CPT,BONE IMAGING 3 PHASE,TC,,20,,RBRVS,,8.43 ,8.43 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
78350,CPT,BONE MINERAL SINGLE PHOTON,,,20,,RBRVS,0.22 ,0.67 ,0.67 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
78350,CPT,BONE MINERAL SINGLE PHOTON,26,,20,,RBRVS,0.22 ,0.08 ,0.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
78350,CPT,BONE MINERAL SINGLE PHOTON,TC,,20,,RBRVS,,0.59 ,0.59 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
78351,CPT,BONE MINERAL DUAL PHOTON,,,20,,RBRVS,0.30 ,0.12 ,0.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
78399,CPT,MUSCULOSKELETAL NUCLEAR EXAM,,,20,,TotalUnits,,,,8.52 ,,$0.00,$0.00,1,0,0,0,0,1,20210101,
78399,CPT,MUSCULOSKELETAL NUCLEAR EXAM,,PC,20,,TotalUnits,,,,1.16 ,,$0.00,$0.00,1,0,1,1,1,0,20210101,
78399,CPT,MUSCULOSKELETAL NUCLEAR EXAM,,TC,20,,TotalUnits,,,,7.36 ,,$0.00,$0.00,1,1,1,0,1,0,20210101,
78414,CPT,NON-IMAGING HEART FUNCTION,,,20,,TotalUnits,,,,2.03 ,,$0.00,$0.00,1,0,0,0,0,1,20210101,
78414,CPT,NON-IMAGING HEART FUNCTION,26,,20,,RBRVS,0.45 ,0.16 ,0.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
78414,CPT,NON-IMAGING HEART FUNCTION,TC,,20,,TotalUnits,,,,1.42 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
78428,CPT,CARDIAC SHUNT IMAGING,,,20,,RBRVS,0.78 ,4.46 ,4.46 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
78428,CPT,CARDIAC SHUNT IMAGING,26,,20,,RBRVS,0.78 ,0.26 ,0.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
78428,CPT,CARDIAC SHUNT IMAGING,TC,,20,,RBRVS,,4.20 ,4.20 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
78429,CPT,MYOCRD IMG PET 1 STD W/CT,26,,20,,RBRVS,1.76 ,0.55 ,0.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
78430,CPT,MYOCRD IMG PET RST/STRS W/CT,26,,20,,RBRVS,1.67 ,0.52 ,0.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
78431,CPT,MYOCRD IMG PET RST&STRS CT,,,20,,TotalUnits,,,,30.69 ,,$0.00,$0.00,1,0,0,0,0,1,20210101,
78431,CPT,MYOCRD IMG PET RST&STRS CT,26,,20,,RBRVS,1.90 ,0.64 ,0.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
78431,CPT,MYOCRD IMG PET RST&STRS CT,TC,,20,,TotalUnits,,,,28.15 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
78432,CPT,MYOCRD IMG PET 2RTRACER,26,,20,,RBRVS,2.07 ,0.64 ,0.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
78433,CPT,MYOCRD IMG PET 2RTRACER CT,26,,20,,RBRVS,2.26 ,0.70 ,0.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
78434,CPT,AQMBF PET REST & RX STRESS,,,20,,TotalUnits,,,,2.44 ,,$0.00,$0.00,1,0,0,0,0,1,20210101,
78434,CPT,AQMBF PET REST & RX STRESS,26,,20,,RBRVS,0.63 ,0.23 ,0.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
78434,CPT,AQMBF PET REST & RX STRESS,TC,,20,,TotalUnits,,,,1.58 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
78445,CPT,VASCULAR FLOW IMAGING,,,20,,RBRVS,0.49 ,5.03 ,5.03 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
78445,CPT,VASCULAR FLOW IMAGING,26,,20,,RBRVS,0.49 ,0.18 ,0.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
78445,CPT,VASCULAR FLOW IMAGING,TC,,20,,RBRVS,,4.85 ,4.85 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
78451,CPT,HT MUSCLE IMAGE SPECT SING,,,20,,RBRVS,1.38 ,8.15 ,8.15 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
78451,CPT,HT MUSCLE IMAGE SPECT SING,26,,20,,RBRVS,1.38 ,0.47 ,0.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
78451,CPT,HT MUSCLE IMAGE SPECT SING,TC,,20,,RBRVS,,7.68 ,7.68 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
78452,CPT,HT MUSCLE IMAGE SPECT MULT,,,20,,RBRVS,1.62 ,11.67 ,11.67 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
78452,CPT,HT MUSCLE IMAGE SPECT MULT,26,,20,,RBRVS,1.62 ,0.56 ,0.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
78452,CPT,HT MUSCLE IMAGE SPECT MULT,TC,,20,,RBRVS,,11.11 ,11.11 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
78453,CPT,HT MUSCLE IMAGE PLANAR SING,,,20,,RBRVS,1.00 ,7.56 ,7.56 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
78453,CPT,HT MUSCLE IMAGE PLANAR SING,26,,20,,RBRVS,1.00 ,0.36 ,0.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
78453,CPT,HT MUSCLE IMAGE PLANAR SING,TC,,20,,RBRVS,,7.20 ,7.20 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
78454,CPT,HT MUSC IMAGE PLANAR MULT,,,20,,RBRVS,1.34 ,10.96 ,10.96 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
78454,CPT,HT MUSC IMAGE PLANAR MULT,26,,20,,RBRVS,1.34 ,0.49 ,0.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
78454,CPT,HT MUSC IMAGE PLANAR MULT,TC,,20,,RBRVS,,10.47 ,10.47 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
78456,CPT,ACUTE VENOUS THROMBUS IMAGE,,,20,,RBRVS,1.00 ,7.74 ,7.74 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
78456,CPT,ACUTE VENOUS THROMBUS IMAGE,26,,20,,RBRVS,1.00 ,0.34 ,0.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
78456,CPT,ACUTE VENOUS THROMBUS IMAGE,TC,,20,,RBRVS,,7.40 ,7.40 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
78457,CPT,VENOUS THROMBOSIS IMAGING,,,20,,RBRVS,0.77 ,4.19 ,4.19 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
78457,CPT,VENOUS THROMBOSIS IMAGING,26,,20,,RBRVS,0.77 ,0.26 ,0.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
78457,CPT,VENOUS THROMBOSIS IMAGING,TC,,20,,RBRVS,,3.93 ,3.93 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
78458,CPT,VEN THROMBOSIS IMAGES BILAT,,,20,,RBRVS,0.90 ,4.90 ,4.90 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
78458,CPT,VEN THROMBOSIS IMAGES BILAT,26,,20,,RBRVS,0.90 ,0.34 ,0.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
78458,CPT,VEN THROMBOSIS IMAGES BILAT,TC,,20,,RBRVS,,4.56 ,4.56 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
78459,CPT,MYOCRD IMG PET SINGLE STUDY,,,20,,TotalUnits,,,,10.30 ,,$0.00,$0.00,1,0,0,0,0,1,20210101,
78459,CPT,MYOCRD IMG PET SINGLE STUDY,26,,20,,TotalUnits,,,,2.10 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
78459,CPT,MYOCRD IMG PET SINGLE STUDY,TC,,20,,TotalUnits,,,,8.20 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
78466,CPT,HEART INFARCT IMAGE,,,20,,RBRVS,0.69 ,4.97 ,4.97 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
78466,CPT,HEART INFARCT IMAGE,26,,20,,RBRVS,0.69 ,0.28 ,0.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
78466,CPT,HEART INFARCT IMAGE,TC,,20,,RBRVS,,4.69 ,4.69 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
78468,CPT,HEART INFARCT IMAGE (EF),,,20,,RBRVS,0.80 ,4.63 ,4.63 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
78468,CPT,HEART INFARCT IMAGE (EF),26,,20,,RBRVS,0.80 ,0.27 ,0.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
78468,CPT,HEART INFARCT IMAGE (EF),TC,,20,,RBRVS,,4.36 ,4.36 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
78469,CPT,HEART INFARCT IMAGE (3D),,,20,,RBRVS,0.92 ,5.39 ,5.39 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
78469,CPT,HEART INFARCT IMAGE (3D),26,,20,,RBRVS,0.92 ,0.33 ,0.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
78469,CPT,HEART INFARCT IMAGE (3D),TC,,20,,RBRVS,,5.06 ,5.06 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
78472,CPT,GATED HEART PLANAR SINGLE,,,20,,RBRVS,0.98 ,5.45 ,5.45 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
78472,CPT,GATED HEART PLANAR SINGLE,26,,20,,RBRVS,0.98 ,0.34 ,0.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
78472,CPT,GATED HEART PLANAR SINGLE,TC,,20,,RBRVS,,5.11 ,5.11 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
78473,CPT,GATED HEART MULTIPLE,,,20,,RBRVS,1.47 ,6.69 ,6.69 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
78473,CPT,GATED HEART MULTIPLE,26,,20,,RBRVS,1.47 ,0.49 ,0.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
78473,CPT,GATED HEART MULTIPLE,TC,,20,,RBRVS,,6.20 ,6.20 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
78481,CPT,HEART FIRST PASS SINGLE,,,20,,RBRVS,0.98 ,3.97 ,3.97 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
78481,CPT,HEART FIRST PASS SINGLE,26,,20,,RBRVS,0.98 ,0.34 ,0.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
78481,CPT,HEART FIRST PASS SINGLE,TC,,20,,RBRVS,,3.63 ,3.63 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
78483,CPT,HEART FIRST PASS MULTIPLE,,,20,,RBRVS,1.47 ,5.34 ,5.34 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
78483,CPT,HEART FIRST PASS MULTIPLE,26,,20,,RBRVS,1.47 ,0.51 ,0.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
78483,CPT,HEART FIRST PASS MULTIPLE,TC,,20,,RBRVS,,4.83 ,4.83 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
78491,CPT,MYOCRD IMG PET 1STD RST/STRS,,,20,,TotalUnits,,,,10.28 ,,$0.00,$0.00,1,0,0,0,0,1,20210101,
78491,CPT,MYOCRD IMG PET 1STD RST/STRS,26,,20,,TotalUnits,,,,2.04 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
78491,CPT,MYOCRD IMG PET 1STD RST/STRS,TC,,20,,TotalUnits,,,,8.24 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
78492,CPT,MYOCRD IMG PET MLT RST&STRS,,,20,,TotalUnits,,,,12.11 ,,$0.00,$0.00,1,0,0,0,0,1,20210101,
78492,CPT,MYOCRD IMG PET MLT RST&STRS,26,,20,,TotalUnits,,,,2.40 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
78492,CPT,MYOCRD IMG PET MLT RST&STRS,TC,,20,,TotalUnits,,,,9.71 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
78494,CPT,HEART IMAGE SPECT,,,20,,RBRVS,1.19 ,5.18 ,5.18 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
78494,CPT,HEART IMAGE SPECT,26,,20,,RBRVS,1.19 ,0.41 ,0.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
78494,CPT,HEART IMAGE SPECT,TC,,20,,RBRVS,,4.77 ,4.77 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
78496,CPT,HEART FIRST PASS ADD-ON,,,20,,RBRVS,0.50 ,0.70 ,0.70 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
78496,CPT,HEART FIRST PASS ADD-ON,26,,20,,RBRVS,0.50 ,0.17 ,0.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
78496,CPT,HEART FIRST PASS ADD-ON,TC,,20,,RBRVS,,0.53 ,0.53 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
78499,CPT,CARDIOVASCULAR NUCLEAR EXAM,,,20,,TotalUnits,,,,13.29 ,,$0.00,$0.00,1,0,0,0,0,1,20210101,
78499,CPT,CARDIOVASCULAR NUCLEAR EXAM,26,,20,,TotalUnits,,,,2.18 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
78499,CPT,CARDIOVASCULAR NUCLEAR EXAM,TC,,20,,TotalUnits,,,,11.11 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
78579,CPT,LUNG VENTILATION IMAGING,,,20,,RBRVS,0.49 ,4.82 ,4.82 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
78579,CPT,LUNG VENTILATION IMAGING,26,,20,,RBRVS,0.49 ,0.17 ,0.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
78579,CPT,LUNG VENTILATION IMAGING,TC,,20,,RBRVS,,4.65 ,4.65 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
78580,CPT,LUNG PERFUSION IMAGING,,,20,,RBRVS,0.74 ,5.97 ,5.97 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
78580,CPT,LUNG PERFUSION IMAGING,26,,20,,RBRVS,0.74 ,0.26 ,0.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
78580,CPT,LUNG PERFUSION IMAGING,TC,,20,,RBRVS,,5.71 ,5.71 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
78582,CPT,LUNG VENTILAT&PERFUS IMAGING,,,20,,RBRVS,1.07 ,8.37 ,8.37 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
78582,CPT,LUNG VENTILAT&PERFUS IMAGING,26,,20,,RBRVS,1.07 ,0.37 ,0.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
78582,CPT,LUNG VENTILAT&PERFUS IMAGING,TC,,20,,RBRVS,,8.00 ,8.00 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
78597,CPT,LUNG PERFUSION DIFFERENTIAL,,,20,,RBRVS,0.75 ,4.94 ,4.94 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
78597,CPT,LUNG PERFUSION DIFFERENTIAL,26,,20,,RBRVS,0.75 ,0.23 ,0.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
78597,CPT,LUNG PERFUSION DIFFERENTIAL,TC,,20,,RBRVS,,4.71 ,4.71 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
78598,CPT,LUNG PERF&VENTILAT DIFERENTL,,,20,,RBRVS,0.85 ,7.77 ,7.77 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
78598,CPT,LUNG PERF&VENTILAT DIFERENTL,26,,20,,RBRVS,0.85 ,0.28 ,0.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
78598,CPT,LUNG PERF&VENTILAT DIFERENTL,TC,,20,,RBRVS,,7.49 ,7.49 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
78599,CPT,RESPIRATORY NUCLEAR EXAM,,,20,,TotalUnits,,,,9.44 ,,$0.00,$0.00,1,0,0,0,0,1,20210101,
78599,CPT,RESPIRATORY NUCLEAR EXAM,26,,20,,TotalUnits,,,,1.44 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
78599,CPT,RESPIRATORY NUCLEAR EXAM,TC,,20,,TotalUnits,,,,8.00 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
78600,CPT,BRAIN IMAGE < 4 VIEWS,,,20,,RBRVS,0.44 ,4.75 ,4.75 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
78600,CPT,BRAIN IMAGE < 4 VIEWS,26,,20,,RBRVS,0.44 ,0.16 ,0.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
78600,CPT,BRAIN IMAGE < 4 VIEWS,TC,,20,,RBRVS,,4.59 ,4.59 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
78601,CPT,BRAIN IMAGE W/FLOW < 4 VIEWS,,,20,,RBRVS,0.51 ,5.62 ,5.62 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
78601,CPT,BRAIN IMAGE W/FLOW < 4 VIEWS,26,,20,,RBRVS,0.51 ,0.18 ,0.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
78601,CPT,BRAIN IMAGE W/FLOW < 4 VIEWS,TC,,20,,RBRVS,,5.44 ,5.44 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
78605,CPT,BRAIN IMAGE 4+ VIEWS,,,20,,RBRVS,0.53 ,5.11 ,5.11 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
78605,CPT,BRAIN IMAGE 4+ VIEWS,26,,20,,RBRVS,0.53 ,0.20 ,0.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
78605,CPT,BRAIN IMAGE 4+ VIEWS,TC,,20,,RBRVS,,4.91 ,4.91 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
78606,CPT,BRAIN IMAGE W/FLOW 4 + VIEWS,,,20,,RBRVS,0.64 ,8.73 ,8.73 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
78606,CPT,BRAIN IMAGE W/FLOW 4 + VIEWS,26,,20,,RBRVS,0.64 ,0.22 ,0.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
78606,CPT,BRAIN IMAGE W/FLOW 4 + VIEWS,TC,,20,,RBRVS,,8.51 ,8.51 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
78608,CPT,BRAIN IMAGING (PET),,,20,,TotalUnits,,,,12.54 ,,$0.00,$0.00,1,0,0,0,0,1,20210101,
78608,CPT,BRAIN IMAGING (PET),,PC,20,,TotalUnits,,,,1.98 ,,$0.00,$0.00,1,0,1,1,1,0,20210101,
78608,CPT,BRAIN IMAGING (PET),,TC,20,,TotalUnits,,,,10.56 ,,$0.00,$0.00,1,1,1,0,1,0,20210101,
78609,CPT,BRAIN IMAGING (PET),,,20,,TotalUnits,,,,4.64 ,,$0.00,$0.00,1,0,0,0,0,1,20210101,
78609,CPT,BRAIN IMAGING (PET),,PC,20,,RBRVS,1.50 ,0.58 ,0.58 ,,,$0.00,$0.00,1,0,1,1,1,0,20210101,
78609,CPT,BRAIN IMAGING (PET),,TC,20,,TotalUnits,,,,2.56 ,,$0.00,$0.00,1,1,1,0,1,0,20210101,
78610,CPT,BRAIN FLOW IMAGING ONLY,,,20,,RBRVS,0.30 ,4.63 ,4.63 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
78610,CPT,BRAIN FLOW IMAGING ONLY,26,,20,,RBRVS,0.30 ,0.11 ,0.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
78610,CPT,BRAIN FLOW IMAGING ONLY,TC,,20,,RBRVS,,4.52 ,4.52 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
78630,CPT,CEREBROSPINAL FLUID SCAN,,,20,,RBRVS,0.68 ,8.90 ,8.90 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
78630,CPT,CEREBROSPINAL FLUID SCAN,26,,20,,RBRVS,0.68 ,0.24 ,0.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
78630,CPT,CEREBROSPINAL FLUID SCAN,TC,,20,,RBRVS,,8.66 ,8.66 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
78635,CPT,CSF VENTRICULOGRAPHY,,,20,,RBRVS,0.61 ,8.97 ,8.97 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
78635,CPT,CSF VENTRICULOGRAPHY,26,,20,,RBRVS,0.61 ,0.23 ,0.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
78635,CPT,CSF VENTRICULOGRAPHY,TC,,20,,RBRVS,,8.74 ,8.74 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
78645,CPT,CSF SHUNT EVALUATION,,,20,,RBRVS,0.57 ,8.64 ,8.64 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
78645,CPT,CSF SHUNT EVALUATION,26,,20,,RBRVS,0.57 ,0.19 ,0.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
78645,CPT,CSF SHUNT EVALUATION,TC,,20,,RBRVS,,8.45 ,8.45 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
78650,CPT,CSF LEAKAGE IMAGING,,,20,,RBRVS,0.61 ,7.22 ,7.22 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
78650,CPT,CSF LEAKAGE IMAGING,26,,20,,RBRVS,0.61 ,0.11 ,0.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
78650,CPT,CSF LEAKAGE IMAGING,TC,,20,,RBRVS,,7.11 ,7.11 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
78660,CPT,NUCLEAR EXAM OF TEAR FLOW,,,20,,RBRVS,0.53 ,4.69 ,4.69 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
78660,CPT,NUCLEAR EXAM OF TEAR FLOW,26,,20,,RBRVS,0.53 ,0.20 ,0.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
78660,CPT,NUCLEAR EXAM OF TEAR FLOW,TC,,20,,RBRVS,,4.49 ,4.49 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
78699,CPT,NERVOUS SYSTEM NUCLEAR EXAM,,,20,,TotalUnits,,,,12.13 ,,$0.00,$0.00,1,0,0,0,0,1,20210101,
78699,CPT,NERVOUS SYSTEM NUCLEAR EXAM,26,,20,,TotalUnits,,,,1.91 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
78699,CPT,NERVOUS SYSTEM NUCLEAR EXAM,TC,,20,,TotalUnits,,,,10.21 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
78700,CPT,KIDNEY IMAGING MORPHOL,,,20,,RBRVS,0.45 ,4.39 ,4.39 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
78700,CPT,KIDNEY IMAGING MORPHOL,26,,20,,RBRVS,0.45 ,0.15 ,0.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
78700,CPT,KIDNEY IMAGING MORPHOL,TC,,20,,RBRVS,,4.24 ,4.24 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
78701,CPT,KIDNEY IMAGING WITH FLOW,,,20,,RBRVS,0.49 ,5.69 ,5.69 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
78701,CPT,KIDNEY IMAGING WITH FLOW,26,,20,,RBRVS,0.49 ,0.17 ,0.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
78701,CPT,KIDNEY IMAGING WITH FLOW,TC,,20,,RBRVS,,5.52 ,5.52 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
78707,CPT,K FLOW/FUNCT IMAGE W/O DRUG,,,20,,RBRVS,0.96 ,5.60 ,5.60 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
78707,CPT,K FLOW/FUNCT IMAGE W/O DRUG,26,,20,,RBRVS,0.96 ,0.32 ,0.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
78707,CPT,K FLOW/FUNCT IMAGE W/O DRUG,TC,,20,,RBRVS,,5.28 ,5.28 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
78708,CPT,K FLOW/FUNCT IMAGE W/DRUG,,,20,,RBRVS,1.21 ,3.75 ,3.75 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
78708,CPT,K FLOW/FUNCT IMAGE W/DRUG,26,,20,,RBRVS,1.21 ,0.41 ,0.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
78708,CPT,K FLOW/FUNCT IMAGE W/DRUG,TC,,20,,RBRVS,,3.34 ,3.34 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
78709,CPT,K FLOW/FUNCT IMAGE MULTIPLE,,,20,,RBRVS,1.41 ,8.99 ,8.99 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
78709,CPT,K FLOW/FUNCT IMAGE MULTIPLE,26,,20,,RBRVS,1.41 ,0.47 ,0.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
78709,CPT,K FLOW/FUNCT IMAGE MULTIPLE,TC,,20,,RBRVS,,8.52 ,8.52 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
78725,CPT,KIDNEY FUNCTION STUDY,,,20,,RBRVS,0.38 ,2.68 ,2.68 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
78725,CPT,KIDNEY FUNCTION STUDY,26,,20,,RBRVS,0.38 ,0.12 ,0.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
78725,CPT,KIDNEY FUNCTION STUDY,TC,,20,,RBRVS,,2.56 ,2.56 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
78730,CPT,URINARY BLADDER RETENTION,,,20,,RBRVS,0.15 ,2.01 ,2.01 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
78730,CPT,URINARY BLADDER RETENTION,26,,20,,RBRVS,0.15 ,0.07 ,0.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
78730,CPT,URINARY BLADDER RETENTION,TC,,20,,RBRVS,,1.94 ,1.94 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
78740,CPT,URETERAL REFLUX STUDY,,,20,,RBRVS,0.57 ,5.57 ,5.57 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
78740,CPT,URETERAL REFLUX STUDY,26,,20,,RBRVS,0.57 ,0.18 ,0.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
78740,CPT,URETERAL REFLUX STUDY,TC,,20,,RBRVS,,5.39 ,5.39 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
78761,CPT,TESTICULAR IMAGING W/FLOW,,,20,,RBRVS,0.71 ,5.27 ,5.27 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
78761,CPT,TESTICULAR IMAGING W/FLOW,26,,20,,RBRVS,0.71 ,0.27 ,0.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
78761,CPT,TESTICULAR IMAGING W/FLOW,TC,,20,,RBRVS,,5.00 ,5.00 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
78799,CPT,GENITOURINARY NUCLEAR EXAM,,,20,,TotalUnits,,,,4.96 ,,$0.00,$0.00,1,0,0,0,0,1,20210101,
78799,CPT,GENITOURINARY NUCLEAR EXAM,26,,20,,TotalUnits,,,,1.62 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
78799,CPT,GENITOURINARY NUCLEAR EXAM,TC,,20,,TotalUnits,,,,3.34 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
78800,CPT,RP LOCLZJ TUM 1 AREA 1 D IMG,,,20,,RBRVS,0.64 ,6.68 ,6.68 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
78800,CPT,RP LOCLZJ TUM 1 AREA 1 D IMG,26,,20,,RBRVS,0.64 ,0.22 ,0.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
78800,CPT,RP LOCLZJ TUM 1 AREA 1 D IMG,TC,,20,,RBRVS,,6.46 ,6.46 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
78801,CPT,RP LOCLZJ TUM 2+AREA 1+D IMG,,,20,,RBRVS,0.73 ,7.30 ,7.30 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
78801,CPT,RP LOCLZJ TUM 2+AREA 1+D IMG,26,,20,,RBRVS,0.73 ,0.25 ,0.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
78801,CPT,RP LOCLZJ TUM 2+AREA 1+D IMG,TC,,20,,RBRVS,,7.05 ,7.05 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
78802,CPT,RP LOCLZJ TUM WHBDY 1 D IMG,,,20,,RBRVS,0.80 ,8.05 ,8.05 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
78802,CPT,RP LOCLZJ TUM WHBDY 1 D IMG,26,,20,,RBRVS,0.80 ,0.26 ,0.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
78802,CPT,RP LOCLZJ TUM WHBDY 1 D IMG,TC,,20,,RBRVS,,7.79 ,7.79 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
78803,CPT,RP LOCLZJ TUM SPECT 1 AREA,,,20,,RBRVS,1.09 ,9.93 ,9.93 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
78803,CPT,RP LOCLZJ TUM SPECT 1 AREA,26,,20,,RBRVS,1.09 ,0.35 ,0.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
78803,CPT,RP LOCLZJ TUM SPECT 1 AREA,TC,,20,,RBRVS,,9.58 ,9.58 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
78804,CPT,RP LOCLZJ TUM WHBDY 2+D IMG,,,20,,RBRVS,1.01 ,17.72 ,17.72 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
78804,CPT,RP LOCLZJ TUM WHBDY 2+D IMG,26,,20,,RBRVS,1.01 ,0.34 ,0.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
78804,CPT,RP LOCLZJ TUM WHBDY 2+D IMG,TC,,20,,RBRVS,,17.38 ,17.38 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
78808,CPT,IV INJ RA DRUG DX STUDY,,,20,,RBRVS,0.18 ,0.94 ,0.94 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
78811,CPT,PET IMAGE LTD AREA,,,20,,TotalUnits,,,,16.55 ,,$0.00,$0.00,1,0,0,0,0,1,20210101,
78811,CPT,PET IMAGE LTD AREA,26,,20,,TotalUnits,,,,2.06 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
78811,CPT,PET IMAGE LTD AREA,TC,,20,,TotalUnits,,,,14.49 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
78812,CPT,PET IMAGE SKULL-THIGH,,,20,,TotalUnits,,,,20.31 ,,$0.00,$0.00,1,0,0,0,0,1,20210101,
78812,CPT,PET IMAGE SKULL-THIGH,26,,20,,TotalUnits,,,,2.55 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
78812,CPT,PET IMAGE SKULL-THIGH,TC,,20,,TotalUnits,,,,17.76 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
78813,CPT,PET IMAGE FULL BODY,,,20,,TotalUnits,,,,20.46 ,,$0.00,$0.00,1,0,0,0,0,1,20210101,
78813,CPT,PET IMAGE FULL BODY,26,,20,,TotalUnits,,,,2.58 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
78813,CPT,PET IMAGE FULL BODY,TC,,20,,TotalUnits,,,,17.88 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
78814,CPT,PET IMAGE W/CT LMTD,,,20,,TotalUnits,,,,23.25 ,,$0.00,$0.00,1,0,0,0,0,1,20210101,
78814,CPT,PET IMAGE W/CT LMTD,26,,20,,TotalUnits,,,,2.92 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
78814,CPT,PET IMAGE W/CT LMTD,TC,,20,,TotalUnits,,,,20.33 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
78815,CPT,PET IMAGE W/CT SKULL-THIGH,,,20,,TotalUnits,,,,25.82 ,,$0.00,$0.00,1,0,0,0,0,1,20210101,
78815,CPT,PET IMAGE W/CT SKULL-THIGH,26,,20,,TotalUnits,,,,3.28 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
78815,CPT,PET IMAGE W/CT SKULL-THIGH,TC,,20,,TotalUnits,,,,22.54 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
78816,CPT,PET IMAGE W/CT FULL BODY,,,20,,TotalUnits,,,,26.30 ,,$0.00,$0.00,1,0,0,0,0,1,20210101,
78816,CPT,PET IMAGE W/CT FULL BODY,26,,20,,TotalUnits,,,,3.31 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
78816,CPT,PET IMAGE W/CT FULL BODY,TC,,20,,TotalUnits,,,,22.99 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
78830,CPT,RP LOCLZJ TUM SPECT W/CT 1,,,20,,RBRVS,1.49 ,12.47 ,12.47 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
78830,CPT,RP LOCLZJ TUM SPECT W/CT 1,26,,20,,RBRVS,1.49 ,0.49 ,0.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
78830,CPT,RP LOCLZJ TUM SPECT W/CT 1,TC,,20,,RBRVS,,11.98 ,11.98 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
78831,CPT,RP LOCLZJ TUM SPECT 2 AREAS,,,20,,RBRVS,1.82 ,18.36 ,18.36 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
78831,CPT,RP LOCLZJ TUM SPECT 2 AREAS,26,,20,,RBRVS,1.82 ,0.59 ,0.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
78831,CPT,RP LOCLZJ TUM SPECT 2 AREAS,TC,,20,,RBRVS,,17.77 ,17.77 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
78832,CPT,RP LOCLZJ TUM SPECT W/CT 2,,,20,,RBRVS,2.12 ,24.18 ,24.18 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
78832,CPT,RP LOCLZJ TUM SPECT W/CT 2,26,,20,,RBRVS,2.12 ,0.69 ,0.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
78832,CPT,RP LOCLZJ TUM SPECT W/CT 2,TC,,20,,RBRVS,,23.49 ,23.49 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
78835,CPT,RP QUAN MEAS SINGLE AREA,,,20,,RBRVS,0.47 ,2.45 ,2.45 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
78835,CPT,RP QUAN MEAS SINGLE AREA,26,,20,,RBRVS,0.47 ,0.15 ,0.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
78835,CPT,RP QUAN MEAS SINGLE AREA,TC,,20,,RBRVS,,2.30 ,2.30 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
78999,CPT,NUCLEAR DIAGNOSTIC EXAM,,,20,,TotalUnits,,,,25.82 ,,$0.00,$0.00,1,0,0,0,0,1,20210101,
78999,CPT,NUCLEAR DIAGNOSTIC EXAM,26,,20,,TotalUnits,,,,3.28 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
78999,CPT,NUCLEAR DIAGNOSTIC EXAM,TC,,20,,TotalUnits,,,,22.54 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
79005,CPT,NUCLEAR RX ORAL ADMIN,,,20,,RBRVS,1.80 ,2.02 ,2.02 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
79005,CPT,NUCLEAR RX ORAL ADMIN,26,,20,,RBRVS,1.80 ,0.62 ,0.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
79005,CPT,NUCLEAR RX ORAL ADMIN,TC,,20,,RBRVS,,1.40 ,1.40 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
79101,CPT,NUCLEAR RX IV ADMIN,,,20,,RBRVS,1.96 ,2.17 ,2.17 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
79101,CPT,NUCLEAR RX IV ADMIN,26,,20,,RBRVS,1.96 ,0.75 ,0.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
79101,CPT,NUCLEAR RX IV ADMIN,TC,,20,,RBRVS,,1.42 ,1.42 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
79200,CPT,NUCLEAR RX INTRACAV ADMIN,,,20,,RBRVS,1.99 ,1.83 ,1.83 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
79200,CPT,NUCLEAR RX INTRACAV ADMIN,26,,20,,RBRVS,1.99 ,0.35 ,0.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
79200,CPT,NUCLEAR RX INTRACAV ADMIN,TC,,20,,RBRVS,,1.48 ,1.48 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
79300,CPT,NUCLR RX INTERSTIT COLLOID,,,20,,TotalUnits,,,,3.11 ,,$0.00,$0.00,1,0,0,0,0,1,20210101,
79300,CPT,NUCLR RX INTERSTIT COLLOID,26,,20,,RBRVS,1.60 ,0.28 ,0.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
79300,CPT,NUCLR RX INTERSTIT COLLOID,TC,,20,,TotalUnits,,,,1.23 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
79403,CPT,HEMATOPOIETIC NUCLEAR TX,,,20,,RBRVS,2.25 ,3.03 ,3.03 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
79403,CPT,HEMATOPOIETIC NUCLEAR TX,26,,20,,RBRVS,2.25 ,0.76 ,0.76 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
79403,CPT,HEMATOPOIETIC NUCLEAR TX,TC,,20,,RBRVS,,2.27 ,2.27 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
79440,CPT,NUCLEAR RX INTRA-ARTICULAR,,,20,,RBRVS,1.99 ,1.45 ,1.45 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
79440,CPT,NUCLEAR RX INTRA-ARTICULAR,26,,20,,RBRVS,1.99 ,0.35 ,0.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
79440,CPT,NUCLEAR RX INTRA-ARTICULAR,TC,,20,,RBRVS,,1.10 ,1.10 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
79445,CPT,NUCLEAR RX INTRA-ARTERIAL,,,20,,TotalUnits,,,,9.46 ,,$0.00,$0.00,1,0,0,0,0,1,20210101,
79445,CPT,NUCLEAR RX INTRA-ARTERIAL,26,,20,,TotalUnits,,,,3.13 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
79445,CPT,NUCLEAR RX INTRA-ARTERIAL,TC,,20,,TotalUnits,,,,6.33 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
79999,CPT,NUCLEAR MEDICINE THERAPY,,,20,,TotalUnits,,,,4.11 ,,$0.00,$0.00,1,0,0,0,0,1,20210101,
79999,CPT,NUCLEAR MEDICINE THERAPY,,PC,20,,TotalUnits,,,,2.71 ,,$0.00,$0.00,1,0,1,1,1,0,20210101,
79999,CPT,NUCLEAR MEDICINE THERAPY,,TC,20,,TotalUnits,,,,1.40 ,,$0.00,$0.00,1,1,1,0,1,0,20210101,
80047,CPT,METABOLIC PANEL IONIZED CA,,,17,,TotalUnits,,,,0.38 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
80048,CPT,METABOLIC PANEL TOTAL CA,,,17,,TotalUnits,,,,0.23 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
80050,CPT,GENERAL HEALTH PANEL,,,17,,TotalUnits,,,,0.94 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
80051,CPT,ELECTROLYTE PANEL,,,17,,TotalUnits,,,,0.19 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
80053,CPT,COMPREHEN METABOLIC PANEL,,,17,,TotalUnits,,,,0.29 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
80055,CPT,OBSTETRIC PANEL,,,17,,TotalUnits,,,,1.32 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
80061,CPT,LIPID PANEL,,,17,,TotalUnits,,,,0.37 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
80069,CPT,RENAL FUNCTION PANEL,,,17,,TotalUnits,,,,0.24 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
80074,CPT,ACUTE HEPATITIS PANEL,,,17,,TotalUnits,,,,1.32 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
80076,CPT,HEPATIC FUNCTION PANEL,,,17,,TotalUnits,,,,0.23 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
80081,CPT,OBSTETRIC PANEL,,,17,,TotalUnits,,,,2.07 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
80145,CPT,DRUG ASSAY ADALIMUMAB,,,17,,TotalUnits,,,,1.07 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
80150,CPT,ASSAY OF AMIKACIN,,,17,,TotalUnits,,,,0.42 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
80155,CPT,DRUG ASSAY CAFFEINE,,,17,,TotalUnits,,,,1.07 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
80156,CPT,ASSAY CARBAMAZEPINE TOTAL,,,17,,TotalUnits,,,,0.40 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
80157,CPT,ASSAY CARBAMAZEPINE FREE,,,17,,TotalUnits,,,,0.37 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
80158,CPT,DRUG ASSAY CYCLOSPORINE,,,17,,TotalUnits,,,,0.50 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
80159,CPT,DRUG ASSAY CLOZAPINE,,,17,,TotalUnits,,,,0.56 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
80162,CPT,ASSAY OF DIGOXIN TOTAL,,,17,,TotalUnits,,,,0.37 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
80163,CPT,ASSAY OF DIGOXIN FREE,,,17,,TotalUnits,,,,0.37 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
80164,CPT,ASSAY DIPROPYLACETIC ACD TOT,,,17,,TotalUnits,,,,0.38 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
80165,CPT,DIPROPYLACETIC ACID FREE,,,17,,TotalUnits,,,,0.38 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
80168,CPT,ASSAY OF ETHOSUXIMIDE,,,17,,TotalUnits,,,,0.45 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
80169,CPT,DRUG ASSAY EVEROLIMUS,,,17,,TotalUnits,,,,0.38 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
80170,CPT,ASSAY OF GENTAMICIN,,,17,,TotalUnits,,,,0.45 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
80171,CPT,DRUG SCREEN QUANT GABAPENTIN,,,17,,TotalUnits,,,,0.60 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
80173,CPT,ASSAY OF HALOPERIDOL,,,17,,TotalUnits,,,,0.44 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
80175,CPT,DRUG SCREEN QUAN LAMOTRIGINE,,,17,,TotalUnits,,,,0.37 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
80176,CPT,ASSAY OF LIDOCAINE,,,17,,TotalUnits,,,,0.41 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
80177,CPT,DRUG SCRN QUAN LEVETIRACETAM,,,17,,TotalUnits,,,,0.37 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
80178,CPT,ASSAY OF LITHIUM,,,17,,TotalUnits,,,,0.18 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
80180,CPT,DRUG SCRN QUAN MYCOPHENOLATE,,,17,,TotalUnits,,,,0.50 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
80183,CPT,DRUG SCRN QUANT OXCARBAZEPIN,,,17,,TotalUnits,,,,0.37 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
80184,CPT,ASSAY OF PHENOBARBITAL,,,17,,TotalUnits,,,,0.42 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
80185,CPT,ASSAY OF PHENYTOIN TOTAL,,,17,,TotalUnits,,,,0.37 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
80186,CPT,ASSAY OF PHENYTOIN FREE,,,17,,TotalUnits,,,,0.38 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
80187,CPT,DRUG ASSAY POSACONAZOLE,,,17,,TotalUnits,,,,0.75 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
80188,CPT,ASSAY OF PRIMIDONE,,,17,,TotalUnits,,,,0.46 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
80190,CPT,ASSAY OF PROCAINAMIDE,,,17,,TotalUnits,,,,1.66 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
80192,CPT,ASSAY OF PROCAINAMIDE,,,17,,TotalUnits,,,,0.46 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
80194,CPT,ASSAY OF QUINIDINE,,,17,,TotalUnits,,,,0.40 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
80195,CPT,ASSAY OF SIROLIMUS,,,17,,TotalUnits,,,,0.38 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
80197,CPT,ASSAY OF TACROLIMUS,,,17,,TotalUnits,,,,0.38 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
80198,CPT,ASSAY OF THEOPHYLLINE,,,17,,TotalUnits,,,,0.39 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
80199,CPT,DRUG SCREEN QUANT TIAGABINE,,,17,,TotalUnits,,,,0.75 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
80200,CPT,ASSAY OF TOBRAMYCIN,,,17,,TotalUnits,,,,0.45 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
80201,CPT,ASSAY OF TOPIRAMATE,,,17,,TotalUnits,,,,0.33 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
80202,CPT,ASSAY OF VANCOMYCIN,,,17,,TotalUnits,,,,0.38 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
80203,CPT,DRUG SCREEN QUANT ZONISAMIDE,,,17,,TotalUnits,,,,0.37 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
80230,CPT,DRUG ASSAY INFLIXIMAB,,,17,,TotalUnits,,,,1.07 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
80235,CPT,DRUG ASSAY LACOSAMIDE,,,17,,TotalUnits,,,,0.75 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
80280,CPT,DRUG ASSAY VEDOLIZUMAB,,,17,,TotalUnits,,,,1.07 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
80285,CPT,DRUG ASSAY VORICONAZOLE,,,17,,TotalUnits,,,,0.75 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
80299,CPT,QUANTITATIVE ASSAY DRUG,,,17,,TotalUnits,,,,0.52 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
80305,CPT,DRUG TEST PRSMV DIR OPT OBS,,,17,,TotalUnits,,,,0.35 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
80306,CPT,DRUG TEST PRSMV INSTRMNT,,,17,,TotalUnits,,,,0.47 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
80307,CPT,DRUG TEST PRSMV CHEM ANLYZR,,,17,,TotalUnits,,,,1.72 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
80320,CPT,DRUG SCREEN QUANTALCOHOLS,,,17,,TotalUnits,,,,0.39 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
80321,CPT,ALCOHOLS BIOMARKERS 1OR 2,,,17,,TotalUnits,,,,0.53 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
80322,CPT,ALCOHOLS BIOMARKERS 3/MORE,,,17,,TotalUnits,,,,0.75 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
80323,CPT,ALKALOIDS NOS,,,17,,TotalUnits,,,,0.64 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
80324,CPT,DRUG SCREEN AMPHETAMINES 1/2,,,17,,TotalUnits,,,,0.50 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
80325,CPT,AMPHETAMINES 3OR 4,,,17,,TotalUnits,,,,0.79 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
80326,CPT,AMPHETAMINES 5 OR MORE,,,17,,TotalUnits,,,,0.85 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
80327,CPT,ANABOLIC STEROID 1 OR 2,,,17,,TotalUnits,,,,0.76 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
80329,CPT,ANALGESICS NON-OPIOID 1 OR 2,,,17,,TotalUnits,,,,0.56 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
80330,CPT,ANALGESICS NON-OPIOID 3-5,,,17,,TotalUnits,,,,0.67 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
80331,CPT,ANALGESICS NON-OPIOID 6/MORE,,,17,,TotalUnits,,,,0.20 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
80332,CPT,ANTIDEPRESSANTS CLASS 1 OR 2,,,17,,TotalUnits,,,,0.47 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
80333,CPT,ANTIDEPRESSANTS CLASS 3-5,,,17,,TotalUnits,,,,0.67 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
80334,CPT,ANTIDEPRESSANTS CLASS 6/MORE,,,17,,TotalUnits,,,,0.61 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
80335,CPT,ANTIDEPRESSANT TRICYCLIC 1/2,,,17,,TotalUnits,,,,0.41 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
80336,CPT,ANTIDEPRESSANT TRICYCLIC 3-5,,,17,,TotalUnits,,,,1.21 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
80337,CPT,TRICYCLIC & CYCLICALS 6/MORE,,,17,,TotalUnits,,,,1.32 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
80338,CPT,ANTIDEPRESSANT NOT SPECIFIED,,,17,,TotalUnits,,,,0.42 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
80339,CPT,ANTIEPILEPTICS NOS 1-3,,,17,,TotalUnits,,,,0.45 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
80340,CPT,ANTIEPILEPTICS NOS 4-6,,,17,,TotalUnits,,,,0.38 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
80341,CPT,ANTIEPILEPTICS NOS 7/MORE,,,17,,TotalUnits,,,,0.38 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
80342,CPT,ANTIPSYCHOTICS NOS 1-3,,,17,,TotalUnits,,,,0.45 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
80343,CPT,ANTIPSYCHOTICS NOS 4-6,,,17,,TotalUnits,,,,1.01 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
80344,CPT,ANTIPSYCHOTICS NOS 7/MORE,,,17,,TotalUnits,,,,0.89 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
80345,CPT,DRUG SCREENING BARBITURATES,,,17,,TotalUnits,,,,0.56 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
80346,CPT,BENZODIAZEPINES1-12,,,17,,TotalUnits,,,,0.81 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
80347,CPT,BENZODIAZEPINES 13 OR MORE,,,17,,TotalUnits,,,,1.36 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
80348,CPT,DRUG SCREENING BUPRENORPHINE,,,17,,TotalUnits,,,,0.53 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
80349,CPT,CANNABINOIDS NATURAL,,,17,,TotalUnits,,,,0.49 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
80350,CPT,CANNABINOIDS SYNTHETIC 1-3,,,17,,TotalUnits,,,,0.48 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
80351,CPT,CANNABINOIDS SYNTHETIC 4-6,,,17,,TotalUnits,,,,0.88 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
80352,CPT,CANNABINOID SYNTHETIC 7/MORE,,,17,,TotalUnits,,,,1.34 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
80353,CPT,DRUG SCREENING COCAINE,,,17,,TotalUnits,,,,0.41 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
80354,CPT,DRUG SCREENING FENTANYL,,,17,,TotalUnits,,,,0.53 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
80355,CPT,GABAPENTIN NON-BLOOD,,,17,,TotalUnits,,,,0.45 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
80356,CPT,HEROIN METABOLITE,,,17,,TotalUnits,,,,0.50 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
80357,CPT,KETAMINE AND NORKETAMINE,,,17,,TotalUnits,,,,0.55 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
80358,CPT,DRUG SCREENING METHADONE,,,17,,TotalUnits,,,,0.46 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
80359,CPT,METHYLENEDIOXYAMPHETAMINES,,,17,,TotalUnits,,,,0.52 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
80360,CPT,METHYLPHENIDATE,,,17,,TotalUnits,,,,0.43 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
80361,CPT,OPIATES 1 OR MORE,,,17,,TotalUnits,,,,0.79 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
80362,CPT,OPIOIDS & OPIATE ANALOGS 1/2,,,17,,TotalUnits,,,,0.71 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
80363,CPT,OPIOIDS & OPIATE ANALOGS 3/4,,,17,,TotalUnits,,,,1.06 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
80364,CPT,OPIOID &OPIATE ANALOG 5/MORE,,,17,,TotalUnits,,,,1.19 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
80365,CPT,DRUG SCREENING OXYCODONE,,,17,,TotalUnits,,,,0.46 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
80366,CPT,DRUG SCREENING PREGABALIN,,,17,,TotalUnits,,,,0.47 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
80367,CPT,DRUG SCREENING PROPOXYPHENE,,,17,,TotalUnits,,,,0.50 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
80368,CPT,SEDATIVE HYPNOTICS,,,17,,TotalUnits,,,,0.50 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
80369,CPT,SKELETAL MUSCLE RELAXANT 1/2,,,17,,TotalUnits,,,,0.57 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
80370,CPT,SKEL MUSC RELAXANT 3 OR MORE,,,17,,TotalUnits,,,,0.70 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
80371,CPT,STIMULANTS SYNTHETIC,,,17,,TotalUnits,,,,0.57 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
80372,CPT,DRUG SCREENING TAPENTADOL,,,17,,TotalUnits,,,,0.47 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
80373,CPT,DRUG SCREENING TRAMADOL,,,17,,TotalUnits,,,,0.47 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
80374,CPT,STEREOISOMER ANALYSIS,,,17,,TotalUnits,,,,0.56 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
80375,CPT,DRUG/SUBSTANCE NOS 1-3,,,17,,TotalUnits,,,,0.51 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
80376,CPT,DRUG/SUBSTANCE NOS 4-6,,,17,,TotalUnits,,,,1.04 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
80377,CPT,DRUG/SUBSTANCE NOS 7/MORE,,,17,,TotalUnits,,,,0.55 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
80400,CPT,ACTH STIMULATION PANEL,,,17,,TotalUnits,,,,0.90 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
80402,CPT,ACTH STIMULATION PANEL,,,17,,TotalUnits,,,,2.41 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
80406,CPT,ACTH STIMULATION PANEL,,,17,,TotalUnits,,,,2.17 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
80408,CPT,ALDOSTERONE SUPPRESSION EVAL,,,17,,TotalUnits,,,,3.48 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
80410,CPT,CALCITONIN STIMUL PANEL,,,17,,TotalUnits,,,,2.23 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
80412,CPT,CRH STIMULATION PANEL,,,17,,TotalUnits,,,,22.21 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
80414,CPT,TESTOSTERONE RESPONSE,,,17,,TotalUnits,,,,1.43 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
80415,CPT,TOT ESTRADIOL RESPONSE PANEL,,,17,,TotalUnits,,,,1.55 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
80416,CPT,RENIN STIMULATION PANEL,,,17,,TotalUnits,,,,5.80 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
80417,CPT,RENIN STIMULATION PANEL,,,17,,TotalUnits,,,,1.22 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
80418,CPT,PITUITARY EVALUATION PANEL,,,17,,TotalUnits,,,,16.06 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
80420,CPT,DEXAMETHASONE PANEL,,,17,,TotalUnits,,,,4.49 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
80422,CPT,GLUCAGON TOLERANCE PANEL,,,17,,TotalUnits,,,,1.28 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
80424,CPT,GLUCAGON TOLERANCE PANEL,,,17,,TotalUnits,,,,1.40 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
80426,CPT,GONADOTROPIN HORMONE PANEL,,,17,,TotalUnits,,,,4.11 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
80428,CPT,GROWTH HORMONE PANEL,,,17,,TotalUnits,,,,1.85 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
80430,CPT,GROWTH HORMONE PANEL,,,17,,TotalUnits,,,,3.58 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
80432,CPT,INSULIN SUPPRESSION PANEL,,,17,,TotalUnits,,,,4.59 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
80434,CPT,INSULIN TOLERANCE PANEL,,,17,,TotalUnits,,,,7.90 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
80435,CPT,INSULIN TOLERANCE PANEL,,,17,,TotalUnits,,,,2.85 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
80436,CPT,METYRAPONE PANEL,,,17,,TotalUnits,,,,2.53 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
80438,CPT,TRH STIMULATION PANEL,,,17,,TotalUnits,,,,1.40 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
80439,CPT,TRH STIMULATION PANEL,,,17,,TotalUnits,,,,1.86 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
80500,CPT,LAB PATHOLOGY CONSULTATION,,,17,,RBRVS,0.37 ,0.17 ,0.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
80502,CPT,LAB PATHOLOGY CONSULTATION,,,17,,RBRVS,1.33 ,0.61 ,0.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
81000,CPT,URINALYSIS NONAUTO W/SCOPE,,,17,,TotalUnits,,,,0.11 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81001,CPT,URINALYSIS AUTO W/SCOPE,,,17,,TotalUnits,,,,0.09 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81002,CPT,URINALYSIS NONAUTO W/O SCOPE,,,17,,TotalUnits,,,,0.10 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81003,CPT,URINALYSIS AUTO W/O SCOPE,,,17,,TotalUnits,,,,0.06 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81005,CPT,URINALYSIS,,,17,,TotalUnits,,,,0.06 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81007,CPT,URINE SCREEN FOR BACTERIA,,,17,,TotalUnits,,,,0.83 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81015,CPT,MICROSCOPIC EXAM OF URINE,,,17,,TotalUnits,,,,0.08 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81020,CPT,URINALYSIS GLASS TEST,,,17,,TotalUnits,,,,0.13 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81025,CPT,URINE PREGNANCY TEST,,,17,,TotalUnits,,,,0.24 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81050,CPT,URINALYSIS VOLUME MEASURE,,,17,,TotalUnits,,,,0.10 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81099,CPT,URINALYSIS TEST PROCEDURE,,,17,,TotalUnits,,,,0.08 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81105,CPT,HPA-1 GENOTYPING,,,17,,TotalUnits,,,,3.39 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81106,CPT,HPA-2 GENOTYPING,,,17,,TotalUnits,,,,3.39 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81107,CPT,HPA-3 GENOTYPING,,,17,,TotalUnits,,,,3.39 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81108,CPT,HPA-4 GENOTYPING,,,17,,TotalUnits,,,,3.39 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81109,CPT,HPA-5 GENOTYPING,,,17,,TotalUnits,,,,3.39 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81110,CPT,HPA-6 GENOTYPING,,,17,,TotalUnits,,,,3.39 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81111,CPT,HPA-9 GENOTYPING,,,17,,TotalUnits,,,,3.39 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81112,CPT,HPA-15 GENOTYPING,,,17,,TotalUnits,,,,3.39 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81120,CPT,IDH1 COMMON VARIANTS,,,17,,TotalUnits,,,,5.35 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81121,CPT,IDH2 COMMON VARIANTS,,,17,,TotalUnits,,,,8.20 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81161,CPT,DMD DUP/DELET ANALYSIS,,,17,,TotalUnits,,,,7.73 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81162,CPT,BRCA1&2 GEN FULL SEQ DUP/DEL,,,17,,TotalUnits,,,,50.57 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81163,CPT,BRCA1&2 GENE FULL SEQ ALYS,,,17,,TotalUnits,,,,12.97 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81164,CPT,BRCA1&2 GEN FUL DUP/DEL ALYS,,,17,,TotalUnits,,,,16.19 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81165,CPT,BRCA1 GENE FULL SEQ ALYS,,,17,,TotalUnits,,,,7.84 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81166,CPT,BRCA1 GENE FULL DUP/DEL ALYS,,,17,,TotalUnits,,,,8.35 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81167,CPT,BRCA2 GENE FULL DUP/DEL ALYS,,,17,,TotalUnits,,,,7.84 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81170,CPT,ABL1 GENE,,,17,,TotalUnits,,,,8.31 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81171,CPT,AFF2 GENE DETC ABNOR ALLELES,,,17,,TotalUnits,,,,3.80 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81172,CPT,AFF2 GENE CHARAC ALLELES,,,17,,TotalUnits,,,,7.62 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81173,CPT,AR GENE FULL GENE SEQUENCE,,,17,,TotalUnits,,,,8.35 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81174,CPT,AR GENE KNOWN FAMIL VARIANT,,,17,,TotalUnits,,,,5.13 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81175,CPT,ASXL1 FULL GENE SEQUENCE,,,17,,TotalUnits,,,,18.75 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81176,CPT,ASXL1 GENE TARGET SEQ ALYS,,,17,,TotalUnits,,,,6.70 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81177,CPT,ATN1 GENE DETC ABNOR ALLELES,,,17,,TotalUnits,,,,3.80 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81178,CPT,ATXN1 GENE DETC ABNOR ALLELE,,,17,,TotalUnits,,,,3.80 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81179,CPT,ATXN2 GENE DETC ABNOR ALLELE,,,17,,TotalUnits,,,,3.80 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81180,CPT,ATXN3 GENE DETC ABNOR ALLELE,,,17,,TotalUnits,,,,3.80 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81181,CPT,ATXN7 GENE DETC ABNOR ALLELE,,,17,,TotalUnits,,,,3.80 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81182,CPT,ATXN8OS GEN DETC ABNOR ALLEL,,,17,,TotalUnits,,,,3.80 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81183,CPT,ATXN10 GENE DETC ABNOR ALLEL,,,17,,TotalUnits,,,,3.80 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81184,CPT,CACNA1A GEN DETC ABNOR ALLEL,,,17,,TotalUnits,,,,3.80 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81185,CPT,CACNA1A GENE FULL GENE SEQ,,,17,,TotalUnits,,,,23.45 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81186,CPT,CACNA1A GEN KNOWN FAMIL VRNT,,,17,,TotalUnits,,,,5.13 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81187,CPT,CNBP GENE DETC ABNOR ALLELE,,,17,,TotalUnits,,,,3.80 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81188,CPT,CSTB GENE DETC ABNOR ALLELE,,,17,,TotalUnits,,,,3.80 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81189,CPT,CSTB GENE FULL GENE SEQUENCE,,,17,,TotalUnits,,,,7.62 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81190,CPT,CSTB GENE KNOWN FAMIL VRNT,,,17,,TotalUnits,,,,5.13 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81200,CPT,ASPA GENE,,,17,,TotalUnits,,,,1.31 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81201,CPT,APC GENE FULL SEQUENCE,,,17,,TotalUnits,,,,21.61 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81202,CPT,APC GENE KNOWN FAM VARIANTS,,,17,,TotalUnits,,,,7.76 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81203,CPT,APC GENE DUP/DELET VARIANTS,,,17,,TotalUnits,,,,5.54 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81204,CPT,AR GENE CHARAC ALLELES,,,17,,TotalUnits,,,,3.80 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81205,CPT,BCKDHB GENE,,,17,,TotalUnits,,,,2.63 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81206,CPT,BCR/ABL1 GENE MAJOR BP,,,17,,TotalUnits,,,,4.54 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81207,CPT,BCR/ABL1 GENE MINOR BP,,,17,,TotalUnits,,,,4.01 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81208,CPT,BCR/ABL1 GENE OTHER BP,,,17,,TotalUnits,,,,5.95 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81209,CPT,BLM GENE,,,17,,TotalUnits,,,,1.09 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81210,CPT,BRAF GENE,,,17,,TotalUnits,,,,4.86 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81212,CPT,BRCA1&2 185&5385&6174 VRNT,,,17,,TotalUnits,,,,12.19 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81215,CPT,BRCA1 GENE KNOWN FAMIL VRNT,,,17,,TotalUnits,,,,10.40 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81216,CPT,BRCA2 GENE FULL SEQ ALYS,,,17,,TotalUnits,,,,5.13 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81217,CPT,BRCA2 GENE KNOWN FAMIL VRNT,,,17,,TotalUnits,,,,10.40 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81218,CPT,CEBPA GENE FULL SEQUENCE,,,17,,TotalUnits,,,,6.70 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81219,CPT,CALR GENE COM VARIANTS,,,17,,TotalUnits,,,,3.37 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81220,CPT,CFTR GENE COM VARIANTS,,,17,,TotalUnits,,,,15.42 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81221,CPT,CFTR GENE KNOWN FAM VARIANTS,,,17,,TotalUnits,,,,2.69 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81222,CPT,CFTR GENE DUP/DELET VARIANTS,,,17,,TotalUnits,,,,12.06 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81223,CPT,CFTR GENE FULL SEQUENCE,,,17,,TotalUnits,,,,13.83 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81224,CPT,CFTR GENE INTRON POLY T,,,17,,TotalUnits,,,,4.68 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81225,CPT,CYP2C19 GENE COM VARIANTS,,,17,,TotalUnits,,,,8.07 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81226,CPT,CYP2D6 GENE COM VARIANTS,,,17,,TotalUnits,,,,12.49 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81227,CPT,CYP2C9 GENE COM VARIANTS,,,17,,TotalUnits,,,,4.84 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81228,CPT,CYTOGEN MICRARRAY COPY NMBR,,,17,,TotalUnits,,,,24.94 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81229,CPT,CYTOGEN M ARRAY COPY NO&SNP,,,17,,TotalUnits,,,,32.14 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81230,CPT,CYP3A4 GENE COMMON VARIANTS,,,17,,TotalUnits,,,,4.84 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81231,CPT,CYP3A5 GENE COMMON VARIANTS,,,17,,TotalUnits,,,,4.84 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81232,CPT,DPYD GENE COMMON VARIANTS,,,17,,TotalUnits,,,,4.84 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81233,CPT,BTK GENE COMMON VARIANTS,,,17,,TotalUnits,,,,4.86 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81234,CPT,DMPK GENE DETC ABNOR ALLELE,,,17,,TotalUnits,,,,3.80 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81235,CPT,EGFR GENE COM VARIANTS,,,17,,TotalUnits,,,,8.99 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81236,CPT,EZH2 GENE FULL GENE SEQUENCE,,,17,,TotalUnits,,,,7.84 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81237,CPT,EZH2 GENE COMMON VARIANTS,,,17,,TotalUnits,,,,4.86 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81238,CPT,F9 FULL GENE SEQUENCE,,,17,,TotalUnits,,,,16.63 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81239,CPT,DMPK GENE CHARAC ALLELES,,,17,,TotalUnits,,,,7.62 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81240,CPT,F2 GENE,,,17,,TotalUnits,,,,1.82 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81241,CPT,F5 GENE,,,17,,TotalUnits,,,,2.03 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81242,CPT,FANCC GENE,,,17,,TotalUnits,,,,1.01 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81243,CPT,FMR1 GENE DETECTION,,,17,,TotalUnits,,,,1.58 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81244,CPT,FMR1 GENE CHARAC ALLELES,,,17,,TotalUnits,,,,1.24 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81245,CPT,FLT3 GENE,,,17,,TotalUnits,,,,4.59 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81246,CPT,FLT3 GENE ANALYSIS,,,17,,TotalUnits,,,,2.30 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81247,CPT,G6PD GENE ALYS CMN VARIANT,,,17,,TotalUnits,,,,4.84 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81248,CPT,G6PD KNOWN FAMILIAL VARIANT,,,17,,TotalUnits,,,,10.40 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81249,CPT,G6PD FULL GENE SEQUENCE,,,17,,TotalUnits,,,,16.63 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81250,CPT,G6PC GENE,,,17,,TotalUnits,,,,1.62 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81251,CPT,GBA GENE,,,17,,TotalUnits,,,,1.31 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81252,CPT,GJB2 GENE FULL SEQUENCE,,,17,,TotalUnits,,,,2.80 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81253,CPT,GJB2 GENE KNOWN FAM VARIANTS,,,17,,TotalUnits,,,,1.70 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81254,CPT,GJB6 GENE COM VARIANTS,,,17,,TotalUnits,,,,0.97 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81255,CPT,HEXA GENE,,,17,,TotalUnits,,,,1.43 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81256,CPT,HFE GENE,,,17,,TotalUnits,,,,1.81 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81257,CPT,HBA1/HBA2 GENE,,,17,,TotalUnits,,,,2.83 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81258,CPT,HBA1/HBA2 GENE FAM VRNT,,,17,,TotalUnits,,,,10.40 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81259,CPT,HBA1/HBA2 FULL GENE SEQUENCE,,,17,,TotalUnits,,,,16.63 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81260,CPT,IKBKAP GENE,,,17,,TotalUnits,,,,1.09 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81261,CPT,IGH GENE REARRANGE AMP METH,,,17,,TotalUnits,,,,5.49 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81262,CPT,IGH GENE REARRANG DIR PROBE,,,17,,TotalUnits,,,,1.90 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81263,CPT,IGH VARI REGIONAL MUTATION,,,17,,TotalUnits,,,,8.16 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81264,CPT,IGK REARRANGEABN CLONAL POP,,,17,,TotalUnits,,,,4.79 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81265,CPT,STR MARKERS SPECIMEN ANAL,,,17,,TotalUnits,,,,6.46 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81266,CPT,STR MARKERS SPEC ANAL ADDL,,,17,,TotalUnits,,,,8.45 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81267,CPT,CHIMERISM ANAL NO CELL SELEC,,,17,,TotalUnits,,,,5.75 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81268,CPT,CHIMERISM ANAL W/CELL SELECT,,,17,,TotalUnits,,,,7.23 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81269,CPT,HBA1/HBA2 GENE DUP/DEL VRNTS,,,17,,TotalUnits,,,,5.61 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81270,CPT,JAK2 GENE,,,17,,TotalUnits,,,,2.54 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81271,CPT,HTT GENE DETC ABNOR ALLELES,,,17,,TotalUnits,,,,3.80 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81272,CPT,KIT GENE TARGETED SEQ ANALYS,,,17,,TotalUnits,,,,9.13 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81273,CPT,KIT GENE ANALYS D816 VARIANT,,,17,,TotalUnits,,,,3.46 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81274,CPT,HTT GENE CHARAC ALLELES,,,17,,TotalUnits,,,,7.62 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81275,CPT,KRAS GENE VARIANTS EXON 2,,,17,,TotalUnits,,,,5.35 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81276,CPT,KRAS GENE ADDL VARIANTS,,,17,,TotalUnits,,,,5.35 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81277,CPT,CYTOGENOMIC NEO MICRORA ALYS,,,17,,TotalUnits,,,,32.14 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81283,CPT,IFNL3 GENE,,,17,,TotalUnits,,,,2.03 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81284,CPT,FXN GENE DETC ABNOR ALLELES,,,17,,TotalUnits,,,,3.80 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81285,CPT,FXN GENE CHARAC ALLELES,,,17,,TotalUnits,,,,7.62 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81286,CPT,FXN GENE FULL GENE SEQUENCE,,,17,,TotalUnits,,,,7.62 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81287,CPT,MGMT GENE PRMTR MTHYLTN ALYS,,,17,,TotalUnits,,,,3.45 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81288,CPT,MLH1 GENE,,,17,,TotalUnits,,,,5.33 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81289,CPT,FXN GENE KNOWN FAMIL VARIANT,,,17,,TotalUnits,,,,5.13 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81290,CPT,MCOLN1 GENE,,,17,,TotalUnits,,,,1.09 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81291,CPT,MTHFR GENE,,,17,,TotalUnits,,,,1.81 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81292,CPT,MLH1 GENE FULL SEQ,,,17,,TotalUnits,,,,18.71 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81293,CPT,MLH1 GENE KNOWN VARIANTS,,,17,,TotalUnits,,,,9.17 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81294,CPT,MLH1 GENE DUP/DELETE VARIANT,,,17,,TotalUnits,,,,5.61 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81295,CPT,MSH2 GENE FULL SEQ,,,17,,TotalUnits,,,,10.58 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81296,CPT,MSH2 GENE KNOWN VARIANTS,,,17,,TotalUnits,,,,9.36 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81297,CPT,MSH2 GENE DUP/DELETE VARIANT,,,17,,TotalUnits,,,,5.91 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81298,CPT,MSH6 GENE FULL SEQ,,,17,,TotalUnits,,,,17.78 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81299,CPT,MSH6 GENE KNOWN VARIANTS,,,17,,TotalUnits,,,,8.53 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81300,CPT,MSH6 GENE DUP/DELETE VARIANT,,,17,,TotalUnits,,,,6.59 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81301,CPT,MICROSATELLITE INSTABILITY,,,17,,TotalUnits,,,,9.66 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81302,CPT,MECP2 GENE FULL SEQ,,,17,,TotalUnits,,,,14.63 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81303,CPT,MECP2 GENE KNOWN VARIANT,,,17,,TotalUnits,,,,3.33 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81304,CPT,MECP2 GENE DUP/DELET VARIANT,,,17,,TotalUnits,,,,4.16 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81305,CPT,MYD88 GENE P.LEU265PRO VRNT,,,17,,TotalUnits,,,,4.86 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81306,CPT,NUDT15 GENE COMMON VARIANTS,,,17,,TotalUnits,,,,8.07 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81307,CPT,PALB2 GENE FULL GENE SEQ,,,17,,TotalUnits,,,,7.84 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81308,CPT,PALB2 GENE KNOWN FAMIL VRNT,,,17,,TotalUnits,,,,8.35 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81309,CPT,PIK3CA GENE TRGT SEQ ALYS,,,17,,TotalUnits,,,,7.62 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81310,CPT,NPM1 GENE,,,17,,TotalUnits,,,,6.83 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81311,CPT,NRAS GENE VARIANTS EXON 2&3,,,17,,TotalUnits,,,,8.20 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81312,CPT,PABPN1 GENE DETC ABNOR ALLEL,,,17,,TotalUnits,,,,3.80 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81313,CPT,PCA3/KLK3 ANTIGEN,,,17,,TotalUnits,,,,7.07 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81314,CPT,PDGFRA GENE,,,17,,TotalUnits,,,,9.13 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81315,CPT,PML/RARALPHA COM BREAKPOINTS,,,17,,TotalUnits,,,,5.74 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81316,CPT,PML/RARALPHA 1 BREAKPOINT,,,17,,TotalUnits,,,,5.74 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81317,CPT,PMS2 GENE FULL SEQ ANALYSIS,,,17,,TotalUnits,,,,18.75 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81318,CPT,PMS2 KNOWN FAMILIAL VARIANTS,,,17,,TotalUnits,,,,9.17 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81319,CPT,PMS2 GENE DUP/DELET VARIANTS,,,17,,TotalUnits,,,,5.64 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81320,CPT,PLCG2 GENE COMMON VARIANTS,,,17,,TotalUnits,,,,8.07 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81321,CPT,PTEN GENE FULL SEQUENCE,,,17,,TotalUnits,,,,16.63 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81322,CPT,PTEN GENE KNOWN FAM VARIANT,,,17,,TotalUnits,,,,1.29 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81323,CPT,PTEN GENE DUP/DELET VARIANT,,,17,,TotalUnits,,,,8.31 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81324,CPT,PMP22 GENE DUP/DELET,,,17,,TotalUnits,,,,21.01 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81325,CPT,PMP22 GENE FULL SEQUENCE,,,17,,TotalUnits,,,,21.32 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81326,CPT,PMP22 GENE KNOWN FAM VARIANT,,,17,,TotalUnits,,,,1.29 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81327,CPT,SEPT9 GEN PRMTR MTHYLTN ALYS,,,17,,TotalUnits,,,,5.32 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81328,CPT,SLCO1B1 GENE COM VARIANTS,,,17,,TotalUnits,,,,4.84 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81329,CPT,SMN1 GENE DOS/DELETION ALYS,,,17,,TotalUnits,,,,3.80 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81330,CPT,SMPD1 GENE COMMON VARIANTS,,,17,,TotalUnits,,,,1.30 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81331,CPT,SNRPN/UBE3A GENE,,,17,,TotalUnits,,,,1.42 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81332,CPT,SERPINA1 GENE,,,17,,TotalUnits,,,,1.21 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81333,CPT,TGFBI GENE COMMON VARIANTS,,,17,,TotalUnits,,,,3.80 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81334,CPT,RUNX1 GENE TARGETED SEQ ALYS,,,17,,TotalUnits,,,,9.13 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81335,CPT,TPMT GENE COM VARIANTS,,,17,,TotalUnits,,,,4.84 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81336,CPT,SMN1 GENE FULL GENE SEQUENCE,,,17,,TotalUnits,,,,8.35 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81337,CPT,SMN1 GEN NOWN FAMIL SEQ VRNT,,,17,,TotalUnits,,,,5.13 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81340,CPT,TRB@ GENE REARRANGE AMPLIFY,,,17,,TotalUnits,,,,5.79 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81341,CPT,TRB@ GENE REARRANGE DIRPROBE,,,17,,TotalUnits,,,,1.37 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81342,CPT,TRG GENE REARRANGEMENT ANAL,,,17,,TotalUnits,,,,5.58 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81343,CPT,PPP2R2B GEN DETC ABNOR ALLEL,,,17,,TotalUnits,,,,3.80 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81344,CPT,TBP GENE DETC ABNOR ALLELES,,,17,,TotalUnits,,,,3.80 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81345,CPT,TERT GENE TARGETED SEQ ALYS,,,17,,TotalUnits,,,,5.13 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81346,CPT,TYMS GENE COM VARIANTS,,,17,,TotalUnits,,,,4.84 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81350,CPT,UGT1A1 GENE COMMON VARIANTS,,,17,,TotalUnits,,,,6.48 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81355,CPT,VKORC1 GENE,,,17,,TotalUnits,,,,2.44 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81361,CPT,HBB GENE COM VARIANTS,,,17,,TotalUnits,,,,4.84 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81362,CPT,HBB GENE KNOWN FAM VARIANT,,,17,,TotalUnits,,,,10.40 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81363,CPT,HBB GENE DUP/DEL VARIANTS,,,17,,TotalUnits,,,,5.61 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81364,CPT,HBB FULL GENE SEQUENCE,,,17,,TotalUnits,,,,8.99 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81370,CPT,HLA I & II TYPING LR,,,17,,TotalUnits,,,,11.14 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81371,CPT,HLA I & II TYPE VERIFY LR,,,17,,TotalUnits,,,,11.21 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81372,CPT,HLA I TYPING COMPLETE LR,,,17,,TotalUnits,,,,11.18 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81373,CPT,HLA I TYPING 1 LOCUS LR,,,17,,TotalUnits,,,,3.53 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81374,CPT,HLA I TYPING 1 ANTIGEN LR,,,17,,TotalUnits,,,,2.06 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81375,CPT,HLA II TYPING AG EQUIV LR,,,17,,TotalUnits,,,,6.12 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81376,CPT,HLA II TYPING 1 LOCUS LR,,,17,,TotalUnits,,,,3.39 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81377,CPT,HLA II TYPE 1 AG EQUIV LR,,,17,,TotalUnits,,,,2.63 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81378,CPT,HLA I & II TYPING HR,,,17,,TotalUnits,,,,9.58 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81379,CPT,HLA I TYPING COMPLETE HR,,,17,,TotalUnits,,,,9.29 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81380,CPT,HLA I TYPING 1 LOCUS HR,,,17,,TotalUnits,,,,4.91 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81381,CPT,HLA I TYPING 1 ALLELE HR,,,17,,TotalUnits,,,,4.71 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81382,CPT,HLA II TYPING 1 LOC HR,,,17,,TotalUnits,,,,3.43 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81383,CPT,HLA II TYPING 1 ALLELE HR,,,17,,TotalUnits,,,,3.02 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81400,CPT,MOPATH PROCEDURE LEVEL 1,,,17,,TotalUnits,,,,1.77 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81401,CPT,NTRK2 TRANSLOCATION ANALYSIS,,,17,,TotalUnits,,,,3.80 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81402,CPT,NTRK3 TRANSLOCATION ANALYSIS,,,17,,TotalUnits,,,,4.17 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81403,CPT,NTRK TRANSLOCATION ANALYSIS,,,17,,TotalUnits,,,,5.13 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81404,CPT,SF3B1 GENE COMMON VARIANTS,,,17,,TotalUnits,,,,7.62 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81405,CPT,SRSF2 GENE COMMON VARIANTS,,,17,,TotalUnits,,,,8.35 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81406,CPT,MOPATH PROCEDURE LEVEL 7,,,17,,TotalUnits,,,,7.84 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81407,CPT,MOPATH PROCEDURE LEVEL 8,,,17,,TotalUnits,,,,23.45 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81408,CPT,MOPATH PROCEDURE LEVEL 9,,,17,,TotalUnits,,,,55.42 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81410,CPT,AORTIC DYSFUNCTION/DILATION,,,17,,TotalUnits,,,,13.97 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81411,CPT,AORTIC DYSFUNCTION/DILATION,,,17,,TotalUnits,,,,37.41 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81412,CPT,ASHKENAZI JEWISH ASSOC DIS,,,17,,TotalUnits,,,,67.85 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81413,CPT,CAR ION CHNNLPATH INC 10 GNS,,,17,,TotalUnits,,,,16.21 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81414,CPT,CAR ION CHNNLPATH INC 2 GNS,,,17,,TotalUnits,,,,16.21 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81415,CPT,EXOME SEQUENCE ANALYSIS,,,17,,TotalUnits,,,,132.45 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81416,CPT,EXOME SEQUENCE ANALYSIS,,,17,,TotalUnits,,,,332.51 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81417,CPT,EXOME RE-EVALUATION,,,17,,TotalUnits,,,,8.87 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81420,CPT,FETAL CHRMOML ANEUPLOIDY,,,17,,TotalUnits,,,,21.03 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81422,CPT,FETAL CHRMOML MICRODELTJ,,,17,,TotalUnits,,,,21.03 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81425,CPT,GENOME SEQUENCE ANALYSIS,,,17,,TotalUnits,,,,139.41 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81426,CPT,GENOME SEQUENCE ANALYSIS,,,17,,TotalUnits,,,,75.09 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81427,CPT,GENOME RE-EVALUATION,,,17,,TotalUnits,,,,64.77 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81430,CPT,HEARING LOSS SEQUENCE ANALYS,,,17,,TotalUnits,,,,45.03 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81431,CPT,HEARING LOSS DUP/DEL ANALYS,,,17,,TotalUnits,,,,18.83 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81432,CPT,HRDTRY BRST CA-RLATD DSORDRS,,,17,,TotalUnits,,,,18.82 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81433,CPT,HRDTRY BRST CA-RLATD DSORDRS,,,17,,TotalUnits,,,,12.16 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81434,CPT,HEREDITARY RETINAL DISORDERS,,,17,,TotalUnits,,,,16.57 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81435,CPT,HEREDITARY COLON CA DSORDRS,,,17,,TotalUnits,,,,16.21 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81436,CPT,HEREDITARY COLON CA DSORDRS,,,17,,TotalUnits,,,,16.21 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81437,CPT,HEREDTRY NURONDCRN TUM DSRDR,,,17,,TotalUnits,,,,12.16 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81438,CPT,HEREDTRY NURONDCRN TUM DSRDR,,,17,,TotalUnits,,,,12.16 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81439,CPT,HRDTRY CARDMYPY GENE PANEL,,,17,,TotalUnits,,,,16.21 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81440,CPT,MITOCHONDRIAL GENE,,,17,,TotalUnits,,,,92.10 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81442,CPT,NOONAN SPECTRUM DISORDERS,,,17,,TotalUnits,,,,59.40 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81443,CPT,GENETIC TSTG SEVERE INH COND,,,17,,TotalUnits,,,,67.85 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81445,CPT,TARGETED GENOMIC SEQ ANALYS,,,17,,TotalUnits,,,,16.57 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81448,CPT,HRDTRY PERPH NEURPHY PANEL,,,17,,TotalUnits,,,,16.21 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81450,CPT,TARGETED GENOMIC SEQ ANALYS,,,17,,TotalUnits,,,,21.05 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81455,CPT,TARGETED GENOMIC SEQ ANALYS,,,17,,TotalUnits,,,,80.90 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81460,CPT,WHOLE MITOCHONDRIAL GENOME,,,17,,TotalUnits,,,,35.66 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81465,CPT,WHOLE MITOCHONDRIAL GENOME,,,17,,TotalUnits,,,,25.94 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81470,CPT,X-LINKED INTELLECTUAL DBLT,,,17,,TotalUnits,,,,25.33 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81471,CPT,X-LINKED INTELLECTUAL DBLT,,,17,,TotalUnits,,,,25.33 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81479,CPT,UNLISTED MOLECULAR PATHOLOGY,,,17,,TotalUnits,,,,4.54 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81490,CPT,AUTOIMMUNE RHEUMATOID ARTHR,,,17,,TotalUnits,,,,23.29 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81493,CPT,COR ARTERY DISEASE MRNA,,,17,,TotalUnits,,,,29.09 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81500,CPT,ONCO (OVAR) TWO PROTEINS,,,17,,TotalUnits,,,,7.22 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81503,CPT,ONCO (OVAR) FIVE PROTEINS,,,17,,TotalUnits,,,,24.85 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81504,CPT,ONCOLOGY TISSUE OF ORIGIN,,,17,,TotalUnits,,,,14.41 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81506,CPT,ENDO ASSAY SEVEN ANAL,,,17,,TotalUnits,,,,1.91 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81507,CPT,FETAL ANEUPLOIDY TRISOM RISK,,,17,,TotalUnits,,,,22.03 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81508,CPT,FTL CGEN ABNOR TWO PROTEINS,,,17,,TotalUnits,,,,1.50 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81509,CPT,FTL CGEN ABNOR 3 PROTEINS,,,17,,TotalUnits,,,,41.21 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81510,CPT,FTL CGEN ABNOR THREE ANAL,,,17,,TotalUnits,,,,1.54 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81511,CPT,FTL CGEN ABNOR FOUR ANAL,,,17,,TotalUnits,,,,4.25 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81512,CPT,FTL CGEN ABNOR FIVE ANAL,,,17,,TotalUnits,,,,1.93 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81518,CPT,ONC BRST MRNA 11 GENES,,,17,,TotalUnits,,,,107.32 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81519,CPT,ONCOLOGY BREAST MRNA,,,17,,TotalUnits,,,,107.32 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81520,CPT,ONC BREAST MRNA 58 GENES,,,17,,TotalUnits,,,,69.55 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81521,CPT,ONC BREAST MRNA 70 GENES,,,17,,TotalUnits,,,,107.32 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81522,CPT,ONC BREAST MRNA 12 GENES,,,17,,TotalUnits,,,,107.32 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81525,CPT,ONCOLOGY COLON MRNA,,,17,,TotalUnits,,,,86.34 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81528,CPT,ONCOLOGY COLORECTAL SCR,,,17,,TotalUnits,,,,14.10 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81535,CPT,ONCOLOGY GYNECOLOGIC,,,17,,TotalUnits,,,,16.06 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81536,CPT,ONCOLOGY GYNECOLOGIC,,,17,,TotalUnits,,,,4.92 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81538,CPT,ONCOLOGY LUNG,,,17,,TotalUnits,,,,79.55 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81539,CPT,ONCOLOGY PROSTATE PROB SCORE,,,17,,TotalUnits,,,,21.06 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81540,CPT,ONCOLOGY TUM UNKNOWN ORIGIN,,,17,,TotalUnits,,,,103.91 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81541,CPT,ONC PROSTATE MRNA 46 GENES,,,17,,TotalUnits,,,,107.32 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81542,CPT,ONC PROSTATE MRNA 22 CNT GEN,,,17,,TotalUnits,,,,31.22 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81546,CPT,"ONC THYR MRNA 10,196 GEN ALG",,,17,,TotalUnits,,,,99.75 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81551,CPT,ONC PROSTATE 3 GENES,,,17,,TotalUnits,,,,56.25 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81552,CPT,ONC UVEAL MLNMA MRNA 15 GENE,,,17,,TotalUnits,,,,50.15 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81595,CPT,CARDIOLOGY HRT TRNSPL MRNA,,,17,,TotalUnits,,,,89.78 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81596,CPT,NFCT DS CHRNC HCV 6 ASSAYS,,,17,,TotalUnits,,,,2.00 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
81599,CPT,UNLISTED MAAA,,,17,,TotalUnits,,,,1.68 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
82009,CPT,TEST FOR ACETONE/KETONES,,,17,,TotalUnits,,,,0.13 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
82010,CPT,ACETONE ASSAY,,,17,,TotalUnits,,,,0.23 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
82013,CPT,ACETYLCHOLINESTERASE ASSAY,,,17,,TotalUnits,,,,0.34 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
82016,CPT,ACYLCARNITINES QUAL,,,17,,TotalUnits,,,,0.46 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
82017,CPT,ACYLCARNITINES QUANT,,,17,,TotalUnits,,,,0.47 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
82024,CPT,ASSAY OF ACTH,,,17,,TotalUnits,,,,1.07 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
82030,CPT,ASSAY OF ADP & AMP,,,17,,TotalUnits,,,,0.71 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
82040,CPT,ASSAY OF SERUM ALBUMIN,,,17,,TotalUnits,,,,0.14 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
82042,CPT,OTHER SOURCE ALBUMIN QUAN EA,,,17,,TotalUnits,,,,0.22 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
82043,CPT,UR ALBUMIN QUANTITATIVE,,,17,,TotalUnits,,,,0.16 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
82044,CPT,UR ALBUMIN SEMIQUANTITATIVE,,,17,,TotalUnits,,,,0.17 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
82045,CPT,ALBUMIN ISCHEMIA MODIFIED,,,17,,TotalUnits,,,,0.94 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
82075,CPT,ASSAY OF BREATH ETHANOL,,,17,,TotalUnits,,,,0.83 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
82085,CPT,ASSAY OF ALDOLASE,,,17,,TotalUnits,,,,0.27 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
82088,CPT,ASSAY OF ALDOSTERONE,,,17,,TotalUnits,,,,1.13 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
82103,CPT,ALPHA-1-ANTITRYPSIN TOTAL,,,17,,TotalUnits,,,,0.37 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
82104,CPT,ALPHA-1-ANTITRYPSIN PHENO,,,17,,TotalUnits,,,,0.40 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
82105,CPT,ALPHA-FETOPROTEIN SERUM,,,17,,TotalUnits,,,,0.46 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
82106,CPT,ALPHA-FETOPROTEIN AMNIOTIC,,,17,,TotalUnits,,,,0.47 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
82107,CPT,ALPHA-FETOPROTEIN L3,,,17,,TotalUnits,,,,1.78 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
82108,CPT,ASSAY OF ALUMINUM,,,17,,TotalUnits,,,,0.71 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
82120,CPT,AMINES VAGINAL FLUID QUAL,,,17,,TotalUnits,,,,0.17 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
82127,CPT,AMINO ACID SINGLE QUAL,,,17,,TotalUnits,,,,0.39 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
82128,CPT,AMINO ACIDS MULT QUAL,,,17,,TotalUnits,,,,0.38 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
82131,CPT,AMINO ACIDS SINGLE QUANT,,,17,,TotalUnits,,,,0.64 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
82135,CPT,ASSAY AMINOLEVULINIC ACID,,,17,,TotalUnits,,,,0.46 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
82136,CPT,AMINO ACIDS QUANT 2-5,,,17,,TotalUnits,,,,0.54 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
82139,CPT,AMINO ACIDS QUAN 6 OR MORE,,,17,,TotalUnits,,,,0.47 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
82140,CPT,ASSAY OF AMMONIA,,,17,,TotalUnits,,,,0.40 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
82143,CPT,AMNIOTIC FLUID SCAN,,,17,,TotalUnits,,,,0.26 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
82150,CPT,ASSAY OF AMYLASE,,,17,,TotalUnits,,,,0.18 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
82154,CPT,ANDROSTANEDIOL GLUCURONIDE,,,17,,TotalUnits,,,,0.80 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
82157,CPT,ASSAY OF ANDROSTENEDIONE,,,17,,TotalUnits,,,,0.81 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
82160,CPT,ASSAY OF ANDROSTERONE,,,17,,TotalUnits,,,,0.71 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
82163,CPT,ASSAY OF ANGIOTENSIN II,,,17,,TotalUnits,,,,0.57 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
82164,CPT,ANGIOTENSIN I ENZYME TEST,,,17,,TotalUnits,,,,0.40 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
82172,CPT,ASSAY OF APOLIPOPROTEIN,,,17,,TotalUnits,,,,0.58 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
82175,CPT,ASSAY OF ARSENIC,,,17,,TotalUnits,,,,0.53 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
82180,CPT,ASSAY OF ASCORBIC ACID,,,17,,TotalUnits,,,,0.27 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
82190,CPT,ATOMIC ABSORPTION,,,17,,TotalUnits,,,,0.44 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
82232,CPT,ASSAY OF BETA-2 PROTEIN,,,17,,TotalUnits,,,,0.45 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
82239,CPT,BILE ACIDS TOTAL,,,17,,TotalUnits,,,,0.47 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
82240,CPT,BILE ACIDS CHOLYLGLYCINE,,,17,,TotalUnits,,,,0.74 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
82247,CPT,BILIRUBIN TOTAL,,,17,,TotalUnits,,,,0.14 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
82248,CPT,BILIRUBIN DIRECT,,,17,,TotalUnits,,,,0.14 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
82252,CPT,FECAL BILIRUBIN TEST,,,17,,TotalUnits,,,,0.13 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
82261,CPT,ASSAY OF BIOTINIDASE,,,17,,TotalUnits,,,,0.47 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
82270,CPT,OCCULT BLOOD FECES,,,17,,TotalUnits,,,,0.12 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
82271,CPT,OCCULT BLOOD OTHER SOURCES,,,17,,TotalUnits,,,,0.15 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
82272,CPT,OCCULT BLD FECES 1-3 TESTS,,,17,,TotalUnits,,,,0.12 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
82274,CPT,ASSAY TEST FOR BLOOD FECAL,,,17,,TotalUnits,,,,0.44 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
82286,CPT,ASSAY OF BRADYKININ,,,17,,TotalUnits,,,,0.14 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
82300,CPT,ASSAY OF CADMIUM,,,17,,TotalUnits,,,,0.66 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
82306,CPT,VITAMIN D 25 HYDROXY,,,17,,TotalUnits,,,,0.82 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
82308,CPT,ASSAY OF CALCITONIN,,,17,,TotalUnits,,,,0.74 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
82310,CPT,ASSAY OF CALCIUM,,,17,,TotalUnits,,,,0.14 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
82330,CPT,ASSAY OF CALCIUM,,,17,,TotalUnits,,,,0.38 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
82331,CPT,CALCIUM INFUSION TEST,,,17,,TotalUnits,,,,0.37 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
82340,CPT,ASSAY OF CALCIUM IN URINE,,,17,,TotalUnits,,,,0.17 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
82355,CPT,CALCULUS ANALYSIS QUAL,,,17,,TotalUnits,,,,0.32 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
82360,CPT,CALCULUS ASSAY QUANT,,,17,,TotalUnits,,,,0.36 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
82365,CPT,CALCULUS SPECTROSCOPY,,,17,,TotalUnits,,,,0.36 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
82370,CPT,X-RAY ASSAY CALCULUS,,,17,,TotalUnits,,,,0.35 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
82373,CPT,ASSAY C-D TRANSFER MEASURE,,,17,,TotalUnits,,,,0.50 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
82374,CPT,ASSAY BLOOD CARBON DIOXIDE,,,17,,TotalUnits,,,,0.14 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
82375,CPT,ASSAY CARBOXYHB QUANT,,,17,,TotalUnits,,,,0.34 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
82376,CPT,ASSAY CARBOXYHB QUAL,,,17,,TotalUnits,,,,0.39 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
82378,CPT,CARCINOEMBRYONIC ANTIGEN,,,17,,TotalUnits,,,,0.53 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
82379,CPT,ASSAY OF CARNITINE,,,17,,TotalUnits,,,,0.47 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
82380,CPT,ASSAY OF CAROTENE,,,17,,TotalUnits,,,,0.26 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
82382,CPT,ASSAY URINE CATECHOLAMINES,,,17,,TotalUnits,,,,0.76 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
82383,CPT,ASSAY BLOOD CATECHOLAMINES,,,17,,TotalUnits,,,,0.81 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
82384,CPT,ASSAY THREE CATECHOLAMINES,,,17,,TotalUnits,,,,0.70 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
82387,CPT,ASSAY OF CATHEPSIN-D,,,17,,TotalUnits,,,,0.50 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
82390,CPT,ASSAY OF CERULOPLASMIN,,,17,,TotalUnits,,,,0.30 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
82397,CPT,CHEMILUMINESCENT ASSAY,,,17,,TotalUnits,,,,0.39 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
82415,CPT,ASSAY OF CHLORAMPHENICOL,,,17,,TotalUnits,,,,0.35 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
82435,CPT,ASSAY OF BLOOD CHLORIDE,,,17,,TotalUnits,,,,0.13 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
82436,CPT,ASSAY OF URINE CHLORIDE,,,17,,TotalUnits,,,,0.16 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
82438,CPT,ASSAY OTHER FLUID CHLORIDES,,,17,,TotalUnits,,,,0.14 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
82441,CPT,TEST FOR CHLOROHYDROCARBONS,,,17,,TotalUnits,,,,0.17 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
82465,CPT,ASSAY BLD/SERUM CHOLESTEROL,,,17,,TotalUnits,,,,0.12 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
82480,CPT,ASSAY SERUM CHOLINESTERASE,,,17,,TotalUnits,,,,0.22 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
82482,CPT,ASSAY RBC CHOLINESTERASE,,,17,,TotalUnits,,,,0.27 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
82485,CPT,ASSAY CHONDROITIN SULFATE,,,17,,TotalUnits,,,,0.57 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
82495,CPT,ASSAY OF CHROMIUM,,,17,,TotalUnits,,,,0.56 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
82507,CPT,ASSAY OF CITRATE,,,17,,TotalUnits,,,,0.77 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
82523,CPT,COLLAGEN CROSSLINKS,,,17,,TotalUnits,,,,0.52 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
82525,CPT,ASSAY OF COPPER,,,17,,TotalUnits,,,,0.34 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
82528,CPT,ASSAY OF CORTICOSTERONE,,,17,,TotalUnits,,,,0.62 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
82530,CPT,CORTISOL FREE,,,17,,TotalUnits,,,,0.46 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
82533,CPT,TOTAL CORTISOL,,,17,,TotalUnits,,,,0.45 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
82540,CPT,ASSAY OF CREATINE,,,17,,TotalUnits,,,,0.13 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
82542,CPT,COL CHROMOTOGRAPHY QUAL/QUAN,,,17,,TotalUnits,,,,0.67 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
82550,CPT,ASSAY OF CK (CPK),,,17,,TotalUnits,,,,0.18 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
82552,CPT,ASSAY OF CPK IN BLOOD,,,17,,TotalUnits,,,,0.37 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
82553,CPT,CREATINE MB FRACTION,,,17,,TotalUnits,,,,0.32 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
82554,CPT,CREATINE ISOFORMS,,,17,,TotalUnits,,,,0.33 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
82565,CPT,ASSAY OF CREATININE,,,17,,TotalUnits,,,,0.14 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
82570,CPT,ASSAY OF URINE CREATININE,,,17,,TotalUnits,,,,0.14 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
82575,CPT,CREATININE CLEARANCE TEST,,,17,,TotalUnits,,,,0.26 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
82585,CPT,ASSAY OF CRYOFIBRINOGEN,,,17,,TotalUnits,,,,0.39 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
82595,CPT,ASSAY OF CRYOGLOBULIN,,,17,,TotalUnits,,,,0.18 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
82600,CPT,ASSAY OF CYANIDE,,,17,,TotalUnits,,,,0.54 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
82607,CPT,VITAMIN B-12,,,17,,TotalUnits,,,,0.42 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
82608,CPT,B-12 BINDING CAPACITY,,,17,,TotalUnits,,,,0.40 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
82610,CPT,CYSTATIN C,,,17,,TotalUnits,,,,0.51 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
82615,CPT,TEST FOR URINE CYSTINES,,,17,,TotalUnits,,,,0.26 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
82626,CPT,DEHYDROEPIANDROSTERONE,,,17,,TotalUnits,,,,0.70 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
82627,CPT,DEHYDROEPIANDROSTERONE,,,17,,TotalUnits,,,,0.62 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
82633,CPT,DESOXYCORTICOSTERONE,,,17,,TotalUnits,,,,0.86 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
82634,CPT,DEOXYCORTISOL,,,17,,TotalUnits,,,,0.81 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
82638,CPT,ASSAY OF DIBUCAINE NUMBER,,,17,,TotalUnits,,,,0.34 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
82642,CPT,DIHYDROTESTOSTERONE,,,17,,TotalUnits,,,,0.81 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
82652,CPT,VIT D 1 25-DIHYDROXY,,,17,,TotalUnits,,,,1.07 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
82656,CPT,PANCREATIC ELASTASE FECAL,,,17,,TotalUnits,,,,0.32 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
82657,CPT,ENZYME CELL ACTIVITY,,,17,,TotalUnits,,,,0.61 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
82658,CPT,ENZYME CELL ACTIVITY RA,,,17,,TotalUnits,,,,1.22 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
82664,CPT,ELECTROPHORETIC TEST,,,17,,TotalUnits,,,,1.70 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
82668,CPT,ASSAY OF ERYTHROPOIETIN,,,17,,TotalUnits,,,,0.52 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
82670,CPT,ASSAY OF TOTAL ESTRADIOL,,,17,,TotalUnits,,,,0.77 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
82671,CPT,ASSAY OF ESTROGENS,,,17,,TotalUnits,,,,0.89 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
82672,CPT,ASSAY OF ESTROGEN,,,17,,TotalUnits,,,,0.60 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
82677,CPT,ASSAY OF ESTRIOL,,,17,,TotalUnits,,,,0.67 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
82679,CPT,ASSAY OF ESTRONE,,,17,,TotalUnits,,,,0.69 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
82693,CPT,ASSAY OF ETHYLENE GLYCOL,,,17,,TotalUnits,,,,0.41 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
82696,CPT,ASSAY OF ETIOCHOLANOLONE,,,17,,TotalUnits,,,,0.73 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
82705,CPT,FATS/LIPIDS FECES QUAL,,,17,,TotalUnits,,,,0.14 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
82710,CPT,FATS/LIPIDS FECES QUANT,,,17,,TotalUnits,,,,0.47 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
82715,CPT,ASSAY OF FECAL FAT,,,17,,TotalUnits,,,,0.64 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
82725,CPT,ASSAY OF BLOOD FATTY ACIDS,,,17,,TotalUnits,,,,0.52 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
82726,CPT,LONG CHAIN FATTY ACIDS,,,17,,TotalUnits,,,,0.55 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
82728,CPT,ASSAY OF FERRITIN,,,17,,TotalUnits,,,,0.38 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
82731,CPT,ASSAY OF FETAL FIBRONECTIN,,,17,,TotalUnits,,,,1.78 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
82735,CPT,ASSAY OF FLUORIDE,,,17,,TotalUnits,,,,0.51 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
82746,CPT,ASSAY OF FOLIC ACID SERUM,,,17,,TotalUnits,,,,0.41 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
82747,CPT,ASSAY OF FOLIC ACID RBC,,,17,,TotalUnits,,,,0.49 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
82757,CPT,ASSAY OF SEMEN FRUCTOSE,,,17,,TotalUnits,,,,0.48 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
82759,CPT,ASSAY OF RBC GALACTOKINASE,,,17,,TotalUnits,,,,0.60 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
82760,CPT,ASSAY OF GALACTOSE,,,17,,TotalUnits,,,,0.31 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
82775,CPT,ASSAY GALACTOSE TRANSFERASE,,,17,,TotalUnits,,,,0.58 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
82776,CPT,GALACTOSE TRANSFERASE TEST,,,17,,TotalUnits,,,,0.33 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
82777,CPT,GALECTIN-3,,,17,,TotalUnits,,,,1.23 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
82784,CPT,ASSAY IGA/IGD/IGG/IGM EACH,,,17,,TotalUnits,,,,0.26 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
82785,CPT,ASSAY OF IGE,,,17,,TotalUnits,,,,0.46 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
82787,CPT,IGG 1 2 3 OR 4 EACH,,,17,,TotalUnits,,,,0.22 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
82800,CPT,BLOOD PH,,,17,,TotalUnits,,,,0.30 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
82803,CPT,BLOOD GASES ANY COMBINATION,,,17,,TotalUnits,,,,0.72 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
82805,CPT,BLOOD GASES W/O2 SATURATION,,,17,,TotalUnits,,,,2.18 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
82810,CPT,BLOOD GASES O2 SAT ONLY,,,17,,TotalUnits,,,,0.27 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
82820,CPT,HEMOGLOBIN-OXYGEN AFFINITY,,,17,,TotalUnits,,,,0.37 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
82930,CPT,GASTRIC ANALY W/PH EA SPEC,,,17,,TotalUnits,,,,0.19 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
82938,CPT,GASTRIN TEST,,,17,,TotalUnits,,,,0.49 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
82941,CPT,ASSAY OF GASTRIN,,,17,,TotalUnits,,,,0.49 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
82943,CPT,ASSAY OF GLUCAGON,,,17,,TotalUnits,,,,0.40 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
82945,CPT,GLUCOSE OTHER FLUID,,,17,,TotalUnits,,,,0.11 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
82946,CPT,GLUCAGON TOLERANCE TEST,,,17,,TotalUnits,,,,0.49 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
82947,CPT,ASSAY GLUCOSE BLOOD QUANT,,,17,,TotalUnits,,,,0.11 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
82948,CPT,REAGENT STRIP/BLOOD GLUCOSE,,,17,,TotalUnits,,,,0.14 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
82950,CPT,GLUCOSE TEST,,,17,,TotalUnits,,,,0.13 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
82951,CPT,GLUCOSE TOLERANCE TEST (GTT),,,17,,TotalUnits,,,,0.36 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
82952,CPT,GTT-ADDED SAMPLES,,,17,,TotalUnits,,,,0.11 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
82955,CPT,ASSAY OF G6PD ENZYME,,,17,,TotalUnits,,,,0.27 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
82960,CPT,TEST FOR G6PD ENZYME,,,17,,TotalUnits,,,,0.17 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
82962,CPT,GLUCOSE BLOOD TEST,,,17,,TotalUnits,,,,0.09 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
82963,CPT,ASSAY OF GLUCOSIDASE,,,17,,TotalUnits,,,,0.60 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
82965,CPT,ASSAY OF GDH ENZYME,,,17,,TotalUnits,,,,0.36 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
82977,CPT,ASSAY OF GGT,,,17,,TotalUnits,,,,0.20 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
82978,CPT,ASSAY OF GLUTATHIONE,,,17,,TotalUnits,,,,0.43 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
82979,CPT,ASSAY RBC GLUTATHIONE,,,17,,TotalUnits,,,,0.26 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
82985,CPT,ASSAY OF GLYCATED PROTEIN,,,17,,TotalUnits,,,,0.46 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
83001,CPT,ASSAY OF GONADOTROPIN (FSH),,,17,,TotalUnits,,,,0.51 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
83002,CPT,ASSAY OF GONADOTROPIN (LH),,,17,,TotalUnits,,,,0.51 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
83003,CPT,ASSAY GROWTH HORMONE (HGH),,,17,,TotalUnits,,,,0.46 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
83006,CPT,GROWTH STIMULATION GENE 2,,,17,,TotalUnits,,,,2.09 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
83009,CPT,H PYLORI (C-13) BLOOD,,,17,,TotalUnits,,,,1.87 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
83010,CPT,ASSAY OF HAPTOGLOBIN QUANT,,,17,,TotalUnits,,,,0.35 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
83012,CPT,ASSAY OF HAPTOGLOBINS,,,17,,TotalUnits,,,,0.75 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
83013,CPT,H PYLORI (C-13) BREATH,,,17,,TotalUnits,,,,1.87 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
83014,CPT,H PYLORI DRUG ADMIN,,,17,,TotalUnits,,,,0.22 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
83015,CPT,HEAVY METAL QUAL ANY ANAL,,,17,,TotalUnits,,,,0.58 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
83018,CPT,HEAVY METAL QUANT EACH NES,,,17,,TotalUnits,,,,0.61 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
83020,CPT,HEMOGLOBIN ELECTROPHORESIS,,,17,,TotalUnits,,,,0.36 ,,$0.00,$0.00,1,1,1,0,0,1,20210101,
83020,CPT,HEMOGLOBIN ELECTROPHORESIS,26,,17,,RBRVS,0.37 ,0.14 ,0.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
83021,CPT,HEMOGLOBIN CHROMOTOGRAPHY,,,17,,TotalUnits,,,,0.50 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
83026,CPT,HEMOGLOBIN COPPER SULFATE,,,17,,TotalUnits,,,,0.11 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
83030,CPT,FETAL HEMOGLOBIN CHEMICAL,,,17,,TotalUnits,,,,0.30 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
83033,CPT,FETAL HEMOGLOBIN ASSAY QUAL,,,17,,TotalUnits,,,,0.22 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
83036,CPT,GLYCOSYLATED HEMOGLOBIN TEST,,,17,,TotalUnits,,,,0.27 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
83037,CPT,GLYCOSYLATED HB HOME DEVICE,,,17,,TotalUnits,,,,0.27 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
83045,CPT,BLOOD METHEMOGLOBIN TEST,,,17,,TotalUnits,,,,0.18 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
83050,CPT,BLOOD METHEMOGLOBIN ASSAY,,,17,,TotalUnits,,,,0.23 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
83051,CPT,ASSAY OF PLASMA HEMOGLOBIN,,,17,,TotalUnits,,,,0.20 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
83060,CPT,BLOOD SULFHEMOGLOBIN ASSAY,,,17,,TotalUnits,,,,0.24 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
83065,CPT,ASSAY OF HEMOGLOBIN HEAT,,,17,,TotalUnits,,,,0.25 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
83068,CPT,HEMOGLOBIN STABILITY SCREEN,,,17,,TotalUnits,,,,0.26 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
83069,CPT,ASSAY OF URINE HEMOGLOBIN,,,17,,TotalUnits,,,,0.11 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
83070,CPT,ASSAY OF HEMOSIDERIN QUAL,,,17,,TotalUnits,,,,0.13 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
83080,CPT,ASSAY OF B HEXOSAMINIDASE,,,17,,TotalUnits,,,,0.47 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
83088,CPT,ASSAY OF HISTAMINE,,,17,,TotalUnits,,,,0.82 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
83090,CPT,ASSAY OF HOMOCYSTINE,,,17,,TotalUnits,,,,0.50 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
83150,CPT,ASSAY OF HOMOVANILLIC ACID,,,17,,TotalUnits,,,,0.62 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
83491,CPT,ASSAY OF CORTICOSTEROIDS 17,,,17,,TotalUnits,,,,0.50 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
83497,CPT,ASSAY OF 5-HIAA,,,17,,TotalUnits,,,,0.36 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
83498,CPT,ASSAY OF PROGESTERONE 17-D,,,17,,TotalUnits,,,,0.75 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
83500,CPT,ASSAY FREE HYDROXYPROLINE,,,17,,TotalUnits,,,,0.63 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
83505,CPT,ASSAY TOTAL HYDROXYPROLINE,,,17,,TotalUnits,,,,0.67 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
83516,CPT,IMMUNOASSAY NONANTIBODY,,,17,,TotalUnits,,,,0.32 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
83518,CPT,IMMUNOASSAY DIPSTICK,,,17,,TotalUnits,,,,0.27 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
83519,CPT,RIA NONANTIBODY,,,17,,TotalUnits,,,,0.51 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
83520,CPT,IMMUNOASSAY QUANT NOS NONAB,,,17,,TotalUnits,,,,0.48 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
83525,CPT,ASSAY OF INSULIN,,,17,,TotalUnits,,,,0.32 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
83527,CPT,ASSAY OF INSULIN,,,17,,TotalUnits,,,,0.36 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
83528,CPT,ASSAY OF INTRINSIC FACTOR,,,17,,TotalUnits,,,,0.55 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
83540,CPT,ASSAY OF IRON,,,17,,TotalUnits,,,,0.18 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
83550,CPT,IRON BINDING TEST,,,17,,TotalUnits,,,,0.24 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
83570,CPT,ASSAY OF IDH ENZYME,,,17,,TotalUnits,,,,0.25 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
83582,CPT,ASSAY OF KETOGENIC STEROIDS,,,17,,TotalUnits,,,,0.43 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
83586,CPT,ASSAY 17- KETOSTEROIDS,,,17,,TotalUnits,,,,0.35 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
83593,CPT,FRACTIONATION KETOSTEROIDS,,,17,,TotalUnits,,,,0.79 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
83605,CPT,ASSAY OF LACTIC ACID,,,17,,TotalUnits,,,,0.32 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
83615,CPT,LACTATE (LD) (LDH) ENZYME,,,17,,TotalUnits,,,,0.17 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
83625,CPT,ASSAY OF LDH ENZYMES,,,17,,TotalUnits,,,,0.35 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
83630,CPT,LACTOFERRIN FECAL (QUAL),,,17,,TotalUnits,,,,0.55 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
83631,CPT,LACTOFERRIN FECAL (QUANT),,,17,,TotalUnits,,,,0.54 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
83632,CPT,PLACENTAL LACTOGEN,,,17,,TotalUnits,,,,0.56 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
83633,CPT,TEST URINE FOR LACTOSE,,,17,,TotalUnits,,,,0.31 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
83655,CPT,ASSAY OF LEAD,,,17,,TotalUnits,,,,0.34 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
83661,CPT,L/S RATIO FETAL LUNG,,,17,,TotalUnits,,,,0.61 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
83662,CPT,FOAM STABILITY FETAL LUNG,,,17,,TotalUnits,,,,0.52 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
83663,CPT,FLUORO POLARIZE FETAL LUNG,,,17,,TotalUnits,,,,0.52 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
83664,CPT,LAMELLAR BDY FETAL LUNG,,,17,,TotalUnits,,,,0.54 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
83670,CPT,ASSAY OF LAP ENZYME,,,17,,TotalUnits,,,,0.27 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
83690,CPT,ASSAY OF LIPASE,,,17,,TotalUnits,,,,0.19 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
83695,CPT,ASSAY OF LIPOPROTEIN(A),,,17,,TotalUnits,,,,0.40 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
83698,CPT,ASSAY LIPOPROTEIN PLA2,,,17,,TotalUnits,,,,1.28 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
83700,CPT,LIPOPRO BLD ELECTROPHORETIC,,,17,,TotalUnits,,,,0.31 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
83701,CPT,LIPOPROTEIN BLD HR FRACTION,,,17,,TotalUnits,,,,0.94 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
83704,CPT,LIPOPROTEIN BLD QUAN PART,,,17,,TotalUnits,,,,0.95 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
83718,CPT,ASSAY OF LIPOPROTEIN,,,17,,TotalUnits,,,,0.23 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
83719,CPT,ASSAY OF BLOOD LIPOPROTEIN,,,17,,TotalUnits,,,,0.35 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
83721,CPT,ASSAY OF BLOOD LIPOPROTEIN,,,17,,TotalUnits,,,,0.29 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
83722,CPT,LIPOPRTN DIR MEAS SD LDL CHL,,,17,,TotalUnits,,,,0.95 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
83727,CPT,ASSAY OF LRH HORMONE,,,17,,TotalUnits,,,,0.48 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
83735,CPT,ASSAY OF MAGNESIUM,,,17,,TotalUnits,,,,0.19 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
83775,CPT,ASSAY MALATE DEHYDROGENASE,,,17,,TotalUnits,,,,0.20 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
83785,CPT,ASSAY OF MANGANESE,,,17,,TotalUnits,,,,0.74 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
83789,CPT,MASS SPECTROMETRY QUAL/QUAN,,,17,,TotalUnits,,,,0.67 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
83825,CPT,ASSAY OF MERCURY,,,17,,TotalUnits,,,,0.45 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
83835,CPT,ASSAY OF METANEPHRINES,,,17,,TotalUnits,,,,0.47 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
83857,CPT,ASSAY OF METHEMALBUMIN,,,17,,TotalUnits,,,,0.30 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
83861,CPT,MICROFLUID ANALY TEARS,,,17,,TotalUnits,,,,0.62 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
83864,CPT,MUCOPOLYSACCHARIDES,,,17,,TotalUnits,,,,0.79 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
83872,CPT,ASSAY SYNOVIAL FLUID MUCIN,,,17,,TotalUnits,,,,0.16 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
83873,CPT,ASSAY OF CSF PROTEIN,,,17,,TotalUnits,,,,0.48 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
83874,CPT,ASSAY OF MYOGLOBIN,,,17,,TotalUnits,,,,0.36 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
83876,CPT,ASSAY MYELOPEROXIDASE,,,17,,TotalUnits,,,,1.41 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
83880,CPT,ASSAY OF NATRIURETIC PEPTIDE,,,17,,TotalUnits,,,,1.09 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
83883,CPT,ASSAY NEPHELOMETRY NOT SPEC,,,17,,TotalUnits,,,,0.38 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
83885,CPT,ASSAY OF NICKEL,,,17,,TotalUnits,,,,0.68 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
83915,CPT,ASSAY OF NUCLEOTIDASE,,,17,,TotalUnits,,,,0.31 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
83916,CPT,OLIGOCLONAL BANDS,,,17,,TotalUnits,,,,0.76 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
83918,CPT,ORGANIC ACIDS TOTAL QUANT,,,17,,TotalUnits,,,,0.65 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
83919,CPT,ORGANIC ACIDS QUAL EACH,,,17,,TotalUnits,,,,0.46 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
83921,CPT,ORGANIC ACID SINGLE QUANT,,,17,,TotalUnits,,,,0.59 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
83930,CPT,ASSAY OF BLOOD OSMOLALITY,,,17,,TotalUnits,,,,0.18 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
83935,CPT,ASSAY OF URINE OSMOLALITY,,,17,,TotalUnits,,,,0.19 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
83937,CPT,ASSAY OF OSTEOCALCIN,,,17,,TotalUnits,,,,0.83 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
83945,CPT,ASSAY OF OXALATE,,,17,,TotalUnits,,,,0.40 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
83950,CPT,ONCOPROTEIN HER-2/NEU,,,17,,TotalUnits,,,,1.78 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
83951,CPT,ONCOPROTEIN DCP,,,17,,TotalUnits,,,,1.78 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
83970,CPT,ASSAY OF PARATHORMONE,,,17,,TotalUnits,,,,1.14 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
83986,CPT,ASSAY PH BODY FLUID NOS,,,17,,TotalUnits,,,,0.10 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
83987,CPT,EXHALED BREATH CONDENSATE,,,17,,TotalUnits,,,,0.10 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
83992,CPT,ASSAY FOR PHENCYCLIDINE,,,17,,TotalUnits,,,,0.35 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
83993,CPT,ASSAY FOR CALPROTECTIN FECAL,,,17,,TotalUnits,,,,0.54 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
84030,CPT,ASSAY OF BLOOD PKU,,,17,,TotalUnits,,,,0.15 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
84035,CPT,ASSAY OF PHENYLKETONES,,,17,,TotalUnits,,,,0.11 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
84060,CPT,ASSAY ACID PHOSPHATASE,,,17,,TotalUnits,,,,0.21 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
84066,CPT,ASSAY PROSTATE PHOSPHATASE,,,17,,TotalUnits,,,,0.27 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
84075,CPT,ASSAY ALKALINE PHOSPHATASE,,,17,,TotalUnits,,,,0.14 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
84078,CPT,ASSAY ALKALINE PHOSPHATASE,,,17,,TotalUnits,,,,0.23 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
84080,CPT,ASSAY ALKALINE PHOSPHATASES,,,17,,TotalUnits,,,,0.41 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
84081,CPT,ASSAY PHOSPHATIDYLGLYCEROL,,,17,,TotalUnits,,,,0.46 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
84085,CPT,ASSAY OF RBC PG6D ENZYME,,,17,,TotalUnits,,,,0.26 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
84087,CPT,ASSAY PHOSPHOHEXOSE ENZYMES,,,17,,TotalUnits,,,,0.30 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
84100,CPT,ASSAY OF PHOSPHORUS,,,17,,TotalUnits,,,,0.13 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
84105,CPT,ASSAY OF URINE PHOSPHORUS,,,17,,TotalUnits,,,,0.16 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
84106,CPT,TEST FOR PORPHOBILINOGEN,,,17,,TotalUnits,,,,0.16 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
84110,CPT,ASSAY OF PORPHOBILINOGEN,,,17,,TotalUnits,,,,0.23 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
84112,CPT,EVAL AMNIOTIC FLUID PROTEIN,,,17,,TotalUnits,,,,2.72 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
84119,CPT,TEST URINE FOR PORPHYRINS,,,17,,TotalUnits,,,,0.37 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
84120,CPT,ASSAY OF URINE PORPHYRINS,,,17,,TotalUnits,,,,0.41 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
84126,CPT,ASSAY OF FECES PORPHYRINS,,,17,,TotalUnits,,,,1.08 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
84132,CPT,ASSAY OF SERUM POTASSIUM,,,17,,TotalUnits,,,,0.13 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
84133,CPT,ASSAY OF URINE POTASSIUM,,,17,,TotalUnits,,,,0.13 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
84134,CPT,ASSAY OF PREALBUMIN,,,17,,TotalUnits,,,,0.40 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
84135,CPT,ASSAY OF PREGNANEDIOL,,,17,,TotalUnits,,,,0.59 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
84138,CPT,ASSAY OF PREGNANETRIOL,,,17,,TotalUnits,,,,0.58 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
84140,CPT,ASSAY OF PREGNENOLONE,,,17,,TotalUnits,,,,0.57 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
84143,CPT,ASSAY OF 17-HYDROXYPREGNENO,,,17,,TotalUnits,,,,0.63 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
84144,CPT,ASSAY OF PROGESTERONE,,,17,,TotalUnits,,,,0.58 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
84145,CPT,PROCALCITONIN (PCT),,,17,,TotalUnits,,,,0.75 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
84146,CPT,ASSAY OF PROLACTIN,,,17,,TotalUnits,,,,0.54 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
84150,CPT,ASSAY OF PROSTAGLANDIN,,,17,,TotalUnits,,,,1.16 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
84152,CPT,ASSAY OF PSA COMPLEXED,,,17,,TotalUnits,,,,0.51 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
84153,CPT,ASSAY OF PSA TOTAL,,,17,,TotalUnits,,,,0.51 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
84154,CPT,ASSAY OF PSA FREE,,,17,,TotalUnits,,,,0.51 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
84155,CPT,ASSAY OF PROTEIN SERUM,,,17,,TotalUnits,,,,0.10 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
84156,CPT,ASSAY OF PROTEIN URINE,,,17,,TotalUnits,,,,0.10 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
84157,CPT,ASSAY OF PROTEIN OTHER,,,17,,TotalUnits,,,,0.11 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
84160,CPT,ASSAY OF PROTEIN ANY SOURCE,,,17,,TotalUnits,,,,0.16 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
84163,CPT,PAPPA SERUM,,,17,,TotalUnits,,,,0.42 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
84165,CPT,PROTEIN E-PHORESIS SERUM,,,17,,TotalUnits,,,,0.30 ,,$0.00,$0.00,1,1,1,0,0,1,20210101,
84165,CPT,PROTEIN E-PHORESIS SERUM,26,,17,,RBRVS,0.37 ,0.14 ,0.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
84166,CPT,PROTEIN E-PHORESIS/URINE/CSF,,,17,,TotalUnits,,,,0.49 ,,$0.00,$0.00,1,0,0,0,0,1,20210101,
84166,CPT,PROTEIN E-PHORESIS/URINE/CSF,26,,17,,RBRVS,0.37 ,0.14 ,0.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
84181,CPT,WESTERN BLOT TEST,,,17,,TotalUnits,,,,0.47 ,,$0.00,$0.00,1,1,1,0,0,1,20210101,
84181,CPT,WESTERN BLOT TEST,26,,17,,RBRVS,0.37 ,0.14 ,0.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
84182,CPT,PROTEIN WESTERN BLOT TEST,,,17,,TotalUnits,,,,0.81 ,,$0.00,$0.00,1,1,1,0,0,1,20210101,
84182,CPT,PROTEIN WESTERN BLOT TEST,26,,17,,RBRVS,0.37 ,0.14 ,0.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
84202,CPT,ASSAY RBC PROTOPORPHYRIN,,,17,,TotalUnits,,,,0.40 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
84203,CPT,TEST RBC PROTOPORPHYRIN,,,17,,TotalUnits,,,,0.27 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
84206,CPT,ASSAY OF PROINSULIN,,,17,,TotalUnits,,,,0.74 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
84207,CPT,ASSAY OF VITAMIN B-6,,,17,,TotalUnits,,,,0.78 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
84210,CPT,ASSAY OF PYRUVATE,,,17,,TotalUnits,,,,0.40 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
84220,CPT,ASSAY OF PYRUVATE KINASE,,,17,,TotalUnits,,,,0.26 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
84228,CPT,ASSAY OF QUININE,,,17,,TotalUnits,,,,0.32 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
84233,CPT,ASSAY OF ESTROGEN,,,17,,TotalUnits,,,,2.44 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
84234,CPT,ASSAY OF PROGESTERONE,,,17,,TotalUnits,,,,1.80 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
84235,CPT,ASSAY OF ENDOCRINE HORMONE,,,17,,TotalUnits,,,,1.97 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
84238,CPT,ASSAY NONENDOCRINE RECEPTOR,,,17,,TotalUnits,,,,1.01 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
84244,CPT,ASSAY OF RENIN,,,17,,TotalUnits,,,,0.61 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
84252,CPT,ASSAY OF VITAMIN B-2,,,17,,TotalUnits,,,,0.56 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
84255,CPT,ASSAY OF SELENIUM,,,17,,TotalUnits,,,,0.71 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
84260,CPT,ASSAY OF SEROTONIN,,,17,,TotalUnits,,,,0.86 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
84270,CPT,ASSAY OF SEX HORMONE GLOBUL,,,17,,TotalUnits,,,,0.60 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
84275,CPT,ASSAY OF SIALIC ACID,,,17,,TotalUnits,,,,0.37 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
84285,CPT,ASSAY OF SILICA,,,17,,TotalUnits,,,,0.70 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
84295,CPT,ASSAY OF SERUM SODIUM,,,17,,TotalUnits,,,,0.13 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
84300,CPT,ASSAY OF URINE SODIUM,,,17,,TotalUnits,,,,0.14 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
84302,CPT,ASSAY OF SWEAT SODIUM,,,17,,TotalUnits,,,,0.13 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
84305,CPT,ASSAY OF SOMATOMEDIN,,,17,,TotalUnits,,,,0.59 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
84307,CPT,ASSAY OF SOMATOSTATIN,,,17,,TotalUnits,,,,0.51 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
84311,CPT,SPECTROPHOTOMETRY,,,17,,TotalUnits,,,,0.22 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
84315,CPT,BODY FLUID SPECIFIC GRAVITY,,,17,,TotalUnits,,,,0.09 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
84375,CPT,CHROMATOGRAM ASSAY SUGARS,,,17,,TotalUnits,,,,1.08 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
84376,CPT,SUGARS SINGLE QUAL,,,17,,TotalUnits,,,,0.15 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
84377,CPT,SUGARS MULTIPLE QUAL,,,17,,TotalUnits,,,,0.15 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
84378,CPT,SUGARS SINGLE QUANT,,,17,,TotalUnits,,,,0.32 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
84379,CPT,SUGARS MULTIPLE QUANT,,,17,,TotalUnits,,,,0.32 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
84392,CPT,ASSAY OF URINE SULFATE,,,17,,TotalUnits,,,,0.15 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
84402,CPT,ASSAY OF FREE TESTOSTERONE,,,17,,TotalUnits,,,,0.71 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
84403,CPT,ASSAY OF TOTAL TESTOSTERONE,,,17,,TotalUnits,,,,0.72 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
84410,CPT,TESTOSTERONE BIOAVAILABLE,,,17,,TotalUnits,,,,1.42 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
84425,CPT,ASSAY OF VITAMIN B-1,,,17,,TotalUnits,,,,0.59 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
84430,CPT,ASSAY OF THIOCYANATE,,,17,,TotalUnits,,,,0.32 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
84431,CPT,THROMBOXANE URINE,,,17,,TotalUnits,,,,0.97 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
84432,CPT,ASSAY OF THYROGLOBULIN,,,17,,TotalUnits,,,,0.45 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
84436,CPT,ASSAY OF TOTAL THYROXINE,,,17,,TotalUnits,,,,0.19 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
84437,CPT,ASSAY OF NEONATAL THYROXINE,,,17,,TotalUnits,,,,0.18 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
84439,CPT,ASSAY OF FREE THYROXINE,,,17,,TotalUnits,,,,0.25 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
84442,CPT,ASSAY OF THYROID ACTIVITY,,,17,,TotalUnits,,,,0.41 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
84443,CPT,ASSAY THYROID STIM HORMONE,,,17,,TotalUnits,,,,0.47 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
84445,CPT,ASSAY OF TSI GLOBULIN,,,17,,TotalUnits,,,,1.41 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
84446,CPT,ASSAY OF VITAMIN E,,,17,,TotalUnits,,,,0.39 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
84449,CPT,ASSAY OF TRANSCORTIN,,,17,,TotalUnits,,,,0.50 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
84450,CPT,TRANSFERASE (AST) (SGOT),,,17,,TotalUnits,,,,0.14 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
84460,CPT,ALANINE AMINO (ALT) (SGPT),,,17,,TotalUnits,,,,0.15 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
84466,CPT,ASSAY OF TRANSFERRIN,,,17,,TotalUnits,,,,0.35 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
84478,CPT,ASSAY OF TRIGLYCERIDES,,,17,,TotalUnits,,,,0.16 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
84479,CPT,ASSAY OF THYROID (T3 OR T4),,,17,,TotalUnits,,,,0.18 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
84480,CPT,ASSAY TRIIODOTHYRONINE (T3),,,17,,TotalUnits,,,,0.39 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
84481,CPT,FREE ASSAY (FT-3),,,17,,TotalUnits,,,,0.47 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
84482,CPT,T3 REVERSE,,,17,,TotalUnits,,,,0.44 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
84484,CPT,ASSAY OF TROPONIN QUANT,,,17,,TotalUnits,,,,0.35 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
84485,CPT,ASSAY DUODENAL FLUID TRYPSIN,,,17,,TotalUnits,,,,0.20 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
84488,CPT,TEST FECES FOR TRYPSIN,,,17,,TotalUnits,,,,0.20 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
84490,CPT,ASSAY OF FECES FOR TRYPSIN,,,17,,TotalUnits,,,,0.28 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
84510,CPT,ASSAY OF TYROSINE,,,17,,TotalUnits,,,,0.29 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
84512,CPT,ASSAY OF TROPONIN QUAL,,,17,,TotalUnits,,,,0.28 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
84520,CPT,ASSAY OF UREA NITROGEN,,,17,,TotalUnits,,,,0.11 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
84525,CPT,UREA NITROGEN SEMI-QUANT,,,17,,TotalUnits,,,,0.14 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
84540,CPT,ASSAY OF URINE/UREA-N,,,17,,TotalUnits,,,,0.15 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
84545,CPT,UREA-N CLEARANCE TEST,,,17,,TotalUnits,,,,0.20 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
84550,CPT,ASSAY OF BLOOD/URIC ACID,,,17,,TotalUnits,,,,0.13 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
84560,CPT,ASSAY OF URINE/URIC ACID,,,17,,TotalUnits,,,,0.14 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
84577,CPT,ASSAY OF FECES/UROBILINOGEN,,,17,,TotalUnits,,,,0.47 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
84578,CPT,TEST URINE UROBILINOGEN,,,17,,TotalUnits,,,,0.12 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
84580,CPT,ASSAY OF URINE UROBILINOGEN,,,17,,TotalUnits,,,,0.26 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
84583,CPT,ASSAY OF URINE UROBILINOGEN,,,17,,TotalUnits,,,,0.17 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
84585,CPT,ASSAY OF URINE VMA,,,17,,TotalUnits,,,,0.43 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
84586,CPT,ASSAY OF VIP,,,17,,TotalUnits,,,,0.98 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
84588,CPT,ASSAY OF VASOPRESSIN,,,17,,TotalUnits,,,,0.94 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
84590,CPT,ASSAY OF VITAMIN A,,,17,,TotalUnits,,,,0.32 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
84591,CPT,ASSAY OF NOS VITAMIN,,,17,,TotalUnits,,,,0.47 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
84597,CPT,ASSAY OF VITAMIN K,,,17,,TotalUnits,,,,0.38 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
84600,CPT,ASSAY OF VOLATILES,,,17,,TotalUnits,,,,0.47 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
84620,CPT,XYLOSE TOLERANCE TEST,,,17,,TotalUnits,,,,0.36 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
84630,CPT,ASSAY OF ZINC,,,17,,TotalUnits,,,,0.32 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
84681,CPT,ASSAY OF C-PEPTIDE,,,17,,TotalUnits,,,,0.58 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
84702,CPT,CHORIONIC GONADOTROPIN TEST,,,17,,TotalUnits,,,,0.42 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
84703,CPT,CHORIONIC GONADOTROPIN ASSAY,,,17,,TotalUnits,,,,0.21 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
84704,CPT,HCG FREE BETACHAIN TEST,,,17,,TotalUnits,,,,0.42 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
84830,CPT,OVULATION TESTS,,,17,,TotalUnits,,,,0.35 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
84999,CPT,CLINICAL CHEMISTRY TEST,,,17,,TotalUnits,,,,0.27 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
85002,CPT,BLEEDING TIME TEST,,,17,,TotalUnits,,,,0.13 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
85004,CPT,AUTOMATED DIFF WBC COUNT,,,17,,TotalUnits,,,,0.18 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
85007,CPT,BL SMEAR W/DIFF WBC COUNT,,,17,,TotalUnits,,,,0.11 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
85008,CPT,BL SMEAR W/O DIFF WBC COUNT,,,17,,TotalUnits,,,,0.10 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
85009,CPT,MANUAL DIFF WBC COUNT B-COAT,,,17,,TotalUnits,,,,0.14 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
85013,CPT,SPUN MICROHEMATOCRIT,,,17,,TotalUnits,,,,0.19 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
85014,CPT,HEMATOCRIT,,,17,,TotalUnits,,,,0.07 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
85018,CPT,HEMOGLOBIN,,,17,,TotalUnits,,,,0.07 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
85025,CPT,COMPLETE CBC W/AUTO DIFF WBC,,,17,,TotalUnits,,,,0.22 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
85027,CPT,COMPLETE CBC AUTOMATED,,,17,,TotalUnits,,,,0.18 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
85032,CPT,MANUAL CELL COUNT EACH,,,17,,TotalUnits,,,,0.12 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
85041,CPT,AUTOMATED RBC COUNT,,,17,,TotalUnits,,,,0.08 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
85044,CPT,MANUAL RETICULOCYTE COUNT,,,17,,TotalUnits,,,,0.12 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
85045,CPT,AUTOMATED RETICULOCYTE COUNT,,,17,,TotalUnits,,,,0.11 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
85046,CPT,RETICYTE/HGB CONCENTRATE,,,17,,TotalUnits,,,,0.15 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
85048,CPT,AUTOMATED LEUKOCYTE COUNT,,,17,,TotalUnits,,,,0.07 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
85049,CPT,AUTOMATED PLATELET COUNT,,,17,,TotalUnits,,,,0.12 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
85055,CPT,RETICULATED PLATELET ASSAY,,,17,,TotalUnits,,,,0.99 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
85060,CPT,BLOOD SMEAR INTERPRETATION,,,17,,RBRVS,0.45 ,0.22 ,0.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
85097,CPT,BONE MARROW INTERPRETATION,,,17,,RBRVS,0.94 ,0.43 ,0.99 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
85130,CPT,CHROMOGENIC SUBSTRATE ASSAY,,,17,,TotalUnits,,,,0.33 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
85170,CPT,BLOOD CLOT RETRACTION,,,17,,TotalUnits,,,,0.45 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
85175,CPT,BLOOD CLOT LYSIS TIME,,,17,,TotalUnits,,,,0.56 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
85210,CPT,CLOT FACTOR II PROTHROM SPEC,,,17,,TotalUnits,,,,0.36 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
85220,CPT,BLOOC CLOT FACTOR V TEST,,,17,,TotalUnits,,,,0.49 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
85230,CPT,CLOT FACTOR VII PROCONVERTIN,,,17,,TotalUnits,,,,0.50 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
85240,CPT,CLOT FACTOR VIII AHG 1 STAGE,,,17,,TotalUnits,,,,0.50 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
85244,CPT,CLOT FACTOR VIII RELTD ANTGN,,,17,,TotalUnits,,,,0.57 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
85245,CPT,CLOT FACTOR VIII VW RISTOCTN,,,17,,TotalUnits,,,,0.64 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
85246,CPT,CLOT FACTOR VIII VW ANTIGEN,,,17,,TotalUnits,,,,0.64 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
85247,CPT,CLOT FACTOR VIII MULTIMETRIC,,,17,,TotalUnits,,,,0.64 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
85250,CPT,CLOT FACTOR IX PTC/CHRSTMAS,,,17,,TotalUnits,,,,0.53 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
85260,CPT,CLOT FACTOR X STUART-POWER,,,17,,TotalUnits,,,,0.50 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
85270,CPT,CLOT FACTOR XI PTA,,,17,,TotalUnits,,,,0.50 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
85280,CPT,CLOT FACTOR XII HAGEMAN,,,17,,TotalUnits,,,,0.54 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
85290,CPT,CLOT FACTOR XIII FIBRIN STAB,,,17,,TotalUnits,,,,0.45 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
85291,CPT,CLOT FACTOR XIII FIBRIN SCRN,,,17,,TotalUnits,,,,0.25 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
85292,CPT,CLOT FACTOR FLETCHER FACT,,,17,,TotalUnits,,,,0.52 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
85293,CPT,CLOT FACTOR WGHT KININOGEN,,,17,,TotalUnits,,,,0.52 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
85300,CPT,ANTITHROMBIN III ACTIVITY,,,17,,TotalUnits,,,,0.33 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
85301,CPT,ANTITHROMBIN III ANTIGEN,,,17,,TotalUnits,,,,0.30 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
85302,CPT,CLOT INHIBIT PROT C ANTIGEN,,,17,,TotalUnits,,,,0.33 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
85303,CPT,CLOT INHIBIT PROT C ACTIVITY,,,17,,TotalUnits,,,,0.38 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
85305,CPT,CLOT INHIBIT PROT S TOTAL,,,17,,TotalUnits,,,,0.32 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
85306,CPT,CLOT INHIBIT PROT S FREE,,,17,,TotalUnits,,,,0.42 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
85307,CPT,ASSAY ACTIVATED PROTEIN C,,,17,,TotalUnits,,,,0.42 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
85335,CPT,FACTOR INHIBITOR TEST,,,17,,TotalUnits,,,,0.36 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
85337,CPT,THROMBOMODULIN,,,17,,TotalUnits,,,,0.48 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
85345,CPT,COAGULATION TIME LEE & WHITE,,,17,,TotalUnits,,,,0.13 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
85347,CPT,COAGULATION TIME ACTIVATED,,,17,,TotalUnits,,,,0.12 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
85348,CPT,COAGULATION TIME OTR METHOD,,,17,,TotalUnits,,,,0.12 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
85360,CPT,EUGLOBULIN LYSIS,,,17,,TotalUnits,,,,0.23 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
85362,CPT,FIBRIN DEGRADATION PRODUCTS,,,17,,TotalUnits,,,,0.19 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
85366,CPT,FIBRINOGEN TEST,,,17,,TotalUnits,,,,2.23 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
85370,CPT,FIBRINOGEN TEST,,,17,,TotalUnits,,,,0.34 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
85378,CPT,FIBRIN DEGRADE SEMIQUANT,,,17,,TotalUnits,,,,0.27 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
85379,CPT,FIBRIN DEGRADATION QUANT,,,17,,TotalUnits,,,,0.28 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
85380,CPT,FIBRIN DEGRADJ D-DIMER,,,17,,TotalUnits,,,,0.28 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
85384,CPT,FIBRINOGEN ACTIVITY,,,17,,TotalUnits,,,,0.27 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
85385,CPT,FIBRINOGEN ANTIGEN,,,17,,TotalUnits,,,,0.40 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
85390,CPT,FIBRINOLYSINS SCREEN I&R,,,17,,TotalUnits,,,,0.43 ,,$0.00,$0.00,1,1,1,0,0,1,20210101,
85390,CPT,FIBRINOLYSINS SCREEN I&R,26,,17,,RBRVS,0.75 ,0.29 ,0.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
85396,CPT,CLOTTING ASSAY WHOLE BLOOD,,,17,,RBRVS,0.37 ,0.19 ,0.19 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
85397,CPT,CLOTTING FUNCT ACTIVITY,,,17,,TotalUnits,,,,0.86 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
85400,CPT,FIBRINOLYTIC PLASMIN,,,17,,TotalUnits,,,,0.21 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
85410,CPT,FIBRINOLYTIC ANTIPLASMIN,,,17,,TotalUnits,,,,0.21 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
85415,CPT,FIBRINOLYTIC PLASMINOGEN,,,17,,TotalUnits,,,,0.48 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
85420,CPT,FIBRINOLYTIC PLASMINOGEN,,,17,,TotalUnits,,,,0.18 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
85421,CPT,FIBRINOLYTIC PLASMINOGEN,,,17,,TotalUnits,,,,0.28 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
85441,CPT,HEINZ BODIES DIRECT,,,17,,TotalUnits,,,,0.12 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
85445,CPT,HEINZ BODIES INDUCED,,,17,,TotalUnits,,,,0.19 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
85460,CPT,HEMOGLOBIN FETAL,,,17,,TotalUnits,,,,0.21 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
85461,CPT,HEMOGLOBIN FETAL,,,17,,TotalUnits,,,,0.26 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
85475,CPT,HEMOLYSIN ACID,,,17,,TotalUnits,,,,0.25 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
85520,CPT,HEPARIN ASSAY,,,17,,TotalUnits,,,,0.36 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
85525,CPT,HEPARIN NEUTRALIZATION,,,17,,TotalUnits,,,,0.33 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
85530,CPT,HEPARIN-PROTAMINE TOLERANCE,,,17,,TotalUnits,,,,0.36 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
85536,CPT,IRON STAIN PERIPHERAL BLOOD,,,17,,TotalUnits,,,,0.19 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
85540,CPT,WBC ALKALINE PHOSPHATASE,,,17,,TotalUnits,,,,0.24 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
85547,CPT,RBC MECHANICAL FRAGILITY,,,17,,TotalUnits,,,,0.24 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
85549,CPT,MURAMIDASE,,,17,,TotalUnits,,,,0.52 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
85555,CPT,RBC OSMOTIC FRAGILITY,,,17,,TotalUnits,,,,0.21 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
85557,CPT,RBC OSMOTIC FRAGILITY,,,17,,TotalUnits,,,,0.37 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
85576,CPT,BLOOD PLATELET AGGREGATION,,,17,,TotalUnits,,,,0.69 ,,$0.00,$0.00,1,1,1,0,0,1,20210101,
85576,CPT,BLOOD PLATELET AGGREGATION,26,,17,,RBRVS,0.37 ,0.14 ,0.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
85597,CPT,PHOSPHOLIPID PLTLT NEUTRALIZ,,,17,,TotalUnits,,,,0.50 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
85598,CPT,HEXAGNAL PHOSPH PLTLT NEUTRL,,,17,,TotalUnits,,,,0.50 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
85610,CPT,PROTHROMBIN TIME,,,17,,TotalUnits,,,,0.12 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
85611,CPT,PROTHROMBIN TEST,,,17,,TotalUnits,,,,0.11 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
85612,CPT,VIPER VENOM PROTHROMBIN TIME,,,17,,TotalUnits,,,,0.48 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
85613,CPT,RUSSELL VIPER VENOM DILUTED,,,17,,TotalUnits,,,,0.27 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
85635,CPT,REPTILASE TEST,,,17,,TotalUnits,,,,0.27 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
85651,CPT,RBC SED RATE NONAUTOMATED,,,17,,TotalUnits,,,,0.12 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
85652,CPT,RBC SED RATE AUTOMATED,,,17,,TotalUnits,,,,0.07 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
85660,CPT,RBC SICKLE CELL TEST,,,17,,TotalUnits,,,,0.15 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
85670,CPT,THROMBIN TIME PLASMA,,,17,,TotalUnits,,,,0.16 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
85675,CPT,THROMBIN TIME TITER,,,17,,TotalUnits,,,,0.19 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
85705,CPT,THROMBOPLASTIN INHIBITION,,,17,,TotalUnits,,,,0.27 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
85730,CPT,THROMBOPLASTIN TIME PARTIAL,,,17,,TotalUnits,,,,0.17 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
85732,CPT,THROMBOPLASTIN TIME PARTIAL,,,17,,TotalUnits,,,,0.18 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
85810,CPT,BLOOD VISCOSITY EXAMINATION,,,17,,TotalUnits,,,,0.32 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
85999,CPT,HEMATOLOGY PROCEDURE,,,17,,TotalUnits,,,,0.18 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86000,CPT,AGGLUTININS FEBRILE ANTIGEN,,,17,,TotalUnits,,,,0.19 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86001,CPT,ALLERGEN SPECIFIC IGG,,,17,,TotalUnits,,,,0.22 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86003,CPT,ALLG SPEC IGE CRUDE XTRC EA,,,17,,TotalUnits,,,,0.14 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86005,CPT,ALLG SPEC IGE MULTIALLG SCR,,,17,,TotalUnits,,,,0.22 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86008,CPT,ALLG SPEC IGE RECOMB EA,,,17,,TotalUnits,,,,0.50 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86021,CPT,WBC ANTIBODY IDENTIFICATION,,,17,,TotalUnits,,,,0.42 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86022,CPT,PLATELET ANTIBODIES,,,17,,TotalUnits,,,,0.51 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86023,CPT,IMMUNOGLOBULIN ASSAY,,,17,,TotalUnits,,,,0.35 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86038,CPT,ANTINUCLEAR ANTIBODIES,,,17,,TotalUnits,,,,0.33 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86039,CPT,ANTINUCLEAR ANTIBODIES (ANA),,,17,,TotalUnits,,,,0.31 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86060,CPT,ANTISTREPTOLYSIN O TITER,,,17,,TotalUnits,,,,0.20 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86063,CPT,ANTISTREPTOLYSIN O SCREEN,,,17,,TotalUnits,,,,0.16 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86077,CPT,PHYS BLOOD BANK SERV XMATCH,,,17,,RBRVS,0.94 ,0.47 ,0.57 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86078,CPT,PHYS BLOOD BANK SERV REACTJ,,,17,,RBRVS,0.94 ,0.47 ,0.57 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86079,CPT,PHYS BLOOD BANK SERV AUTHRJ,,,17,,RBRVS,0.94 ,0.46 ,0.57 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86140,CPT,C-REACTIVE PROTEIN,,,17,,TotalUnits,,,,0.14 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86141,CPT,C-REACTIVE PROTEIN HS,,,17,,TotalUnits,,,,0.36 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86146,CPT,BETA-2 GLYCOPROTEIN ANTIBODY,,,17,,TotalUnits,,,,0.71 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86147,CPT,CARDIOLIPIN ANTIBODY EA IG,,,17,,TotalUnits,,,,0.71 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86148,CPT,ANTI-PHOSPHOLIPID ANTIBODY,,,17,,TotalUnits,,,,0.45 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86152,CPT,CELL ENUMERATION & ID,,,17,,TotalUnits,,,,6.95 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86153,CPT,CELL ENUMERATION PHYS INTERP,,,17,,TotalUnits,,,,1.55 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86153,CPT,CELL ENUMERATION PHYS INTERP,26,,17,,RBRVS,0.69 ,0.27 ,0.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
86155,CPT,CHEMOTAXIS ASSAY,,,17,,TotalUnits,,,,0.44 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86156,CPT,COLD AGGLUTININ SCREEN,,,17,,TotalUnits,,,,0.22 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86157,CPT,COLD AGGLUTININ TITER,,,17,,TotalUnits,,,,0.22 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86160,CPT,COMPLEMENT ANTIGEN,,,17,,TotalUnits,,,,0.33 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86161,CPT,COMPLEMENT/FUNCTION ACTIVITY,,,17,,TotalUnits,,,,0.33 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86162,CPT,COMPLEMENT TOTAL (CH50),,,17,,TotalUnits,,,,0.56 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86171,CPT,COMPLEMENT FIXATION EACH,,,17,,TotalUnits,,,,0.28 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86200,CPT,CCP ANTIBODY,,,17,,TotalUnits,,,,0.36 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86215,CPT,DEOXYRIBONUCLEASE ANTIBODY,,,17,,TotalUnits,,,,0.37 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86225,CPT,DNA ANTIBODY NATIVE,,,17,,TotalUnits,,,,0.38 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86226,CPT,DNA ANTIBODY SINGLE STRAND,,,17,,TotalUnits,,,,0.34 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86235,CPT,NUCLEAR ANTIGEN ANTIBODY,,,17,,TotalUnits,,,,0.50 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86255,CPT,FLUORESCENT ANTIBODY SCREEN,,,17,,TotalUnits,,,,0.33 ,,$0.00,$0.00,1,1,1,0,0,1,20210101,
86255,CPT,FLUORESCENT ANTIBODY SCREEN,26,,17,,RBRVS,0.37 ,0.14 ,0.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
86256,CPT,FLUORESCENT ANTIBODY TITER,,,17,,TotalUnits,,,,0.33 ,,$0.00,$0.00,1,1,1,0,0,1,20210101,
86256,CPT,FLUORESCENT ANTIBODY TITER,26,,17,,RBRVS,0.37 ,0.14 ,0.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
86277,CPT,GROWTH HORMONE ANTIBODY,,,17,,TotalUnits,,,,0.44 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86280,CPT,HEMAGGLUTINATION INHIBITION,,,17,,TotalUnits,,,,0.23 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86294,CPT,IMMUNOASSAY TUMOR QUAL,,,17,,TotalUnits,,,,0.71 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86300,CPT,IMMUNOASSAY TUMOR CA 15-3,,,17,,TotalUnits,,,,0.58 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86301,CPT,IMMUNOASSAY TUMOR CA 19-9,,,17,,TotalUnits,,,,0.58 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86304,CPT,IMMUNOASSAY TUMOR CA 125,,,17,,TotalUnits,,,,0.58 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86305,CPT,HUMAN EPIDIDYMIS PROTEIN 4,,,17,,TotalUnits,,,,0.58 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86308,CPT,HETEROPHILE ANTIBODY SCREEN,,,17,,TotalUnits,,,,0.14 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86309,CPT,HETEROPHILE ANTIBODY TITER,,,17,,TotalUnits,,,,0.18 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86310,CPT,HETEROPHILE ANTIBODY ABSRBJ,,,17,,TotalUnits,,,,0.20 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86316,CPT,IMMUNOASSAY TUMOR OTHER,,,17,,TotalUnits,,,,0.58 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86317,CPT,IMMUNOASSAY INFECTIOUS AGENT,,,17,,TotalUnits,,,,0.42 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86318,CPT,IA INFECTIOUS AGENT ANTIBODY,,,17,,TotalUnits,,,,0.50 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86320,CPT,SERUM IMMUNOELECTROPHORESIS,,,17,,TotalUnits,,,,0.83 ,,$0.00,$0.00,1,1,1,0,0,1,20210101,
86320,CPT,SERUM IMMUNOELECTROPHORESIS,26,,17,,RBRVS,0.37 ,0.14 ,0.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
86325,CPT,OTHER IMMUNOELECTROPHORESIS,,,17,,TotalUnits,,,,0.64 ,,$0.00,$0.00,1,1,1,0,0,1,20210101,
86325,CPT,OTHER IMMUNOELECTROPHORESIS,26,,17,,RBRVS,0.37 ,0.14 ,0.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
86327,CPT,IMMUNOELECTROPHORESIS ASSAY,,,17,,TotalUnits,,,,0.83 ,,$0.00,$0.00,1,1,1,0,0,1,20210101,
86327,CPT,IMMUNOELECTROPHORESIS ASSAY,26,,17,,RBRVS,0.42 ,0.21 ,0.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
86328,CPT,IA NFCT AB SARSCOV2 COVID19,,,17,,TotalUnits,,,,1.17 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86329,CPT,IMMUNODIFFUSION NES,,,17,,TotalUnits,,,,0.39 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86331,CPT,IMMUNODIFFUSION OUCHTERLONY,,,17,,TotalUnits,,,,0.33 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86332,CPT,IMMUNE COMPLEX ASSAY,,,17,,TotalUnits,,,,0.68 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86334,CPT,IMMUNOFIX E-PHORESIS SERUM,,,17,,TotalUnits,,,,0.62 ,,$0.00,$0.00,1,1,1,0,0,1,20210101,
86334,CPT,IMMUNOFIX E-PHORESIS SERUM,26,,17,,RBRVS,0.37 ,0.14 ,0.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
86335,CPT,IMMUNFIX E-PHORSIS/URINE/CSF,,,17,,TotalUnits,,,,0.81 ,,$0.00,$0.00,1,1,1,0,0,1,20210101,
86335,CPT,IMMUNFIX E-PHORSIS/URINE/CSF,26,,17,,RBRVS,0.37 ,0.14 ,0.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
86336,CPT,INHIBIN A,,,17,,TotalUnits,,,,0.43 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86337,CPT,INSULIN ANTIBODIES,,,17,,TotalUnits,,,,0.59 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86340,CPT,INTRINSIC FACTOR ANTIBODY,,,17,,TotalUnits,,,,0.42 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86341,CPT,ISLET CELL ANTIBODY,,,17,,TotalUnits,,,,0.65 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86343,CPT,LEUKOCYTE HISTAMINE RELEASE,,,17,,TotalUnits,,,,0.35 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86344,CPT,LEUKOCYTE PHAGOCYTOSIS,,,17,,TotalUnits,,,,0.29 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86352,CPT,CELL FUNCTION ASSAY W/STIM,,,17,,TotalUnits,,,,3.76 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86353,CPT,LYMPHOCYTE TRANSFORMATION,,,17,,TotalUnits,,,,1.36 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86355,CPT,B CELLS TOTAL COUNT,,,17,,TotalUnits,,,,1.05 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86356,CPT,MONONUCLEAR CELL ANTIGEN,,,17,,TotalUnits,,,,0.74 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86357,CPT,NK CELLS TOTAL COUNT,,,17,,TotalUnits,,,,1.05 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86359,CPT,T CELLS TOTAL COUNT,,,17,,TotalUnits,,,,1.05 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86360,CPT,T CELL ABSOLUTE COUNT/RATIO,,,17,,TotalUnits,,,,1.30 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86361,CPT,T CELL ABSOLUTE COUNT,,,17,,TotalUnits,,,,0.74 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86367,CPT,STEM CELLS TOTAL COUNT,,,17,,TotalUnits,,,,2.16 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86376,CPT,MICROSOMAL ANTIBODY EACH,,,17,,TotalUnits,,,,0.40 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86382,CPT,NEUTRALIZATION TEST VIRAL,,,17,,TotalUnits,,,,0.47 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86384,CPT,NITROBLUE TETRAZOLIUM DYE,,,17,,TotalUnits,,,,0.38 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86386,CPT,NUCLEAR MATRIX PROTEIN 22,,,17,,TotalUnits,,,,0.60 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86403,CPT,PARTICLE AGGLUT ANTBDY SCRN,,,17,,TotalUnits,,,,0.32 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86406,CPT,PARTICLE AGGLUT ANTBDY TITR,,,17,,TotalUnits,,,,0.29 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86413,CPT,"COVID-19 antibody, quantitative",,,17,,TotalUnits,,,,1.17 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86430,CPT,RHEUMATOID FACTOR TEST QUAL,,,17,,TotalUnits,,,,0.17 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86431,CPT,RHEUMATOID FACTOR QUANT,,,17,,TotalUnits,,,,0.16 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86480,CPT,TB TEST CELL IMMUN MEASURE,,,17,,TotalUnits,,,,1.72 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86481,CPT,TB AG RESPONSE T-CELL SUSP,,,17,,TotalUnits,,,,2.77 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86485,CPT,SKIN TEST CANDIDA,,TC,17,,TotalUnits,,,,0.17 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86486,CPT,SKIN TEST NOS ANTIGEN,,TC,17,,RBRVS,,0.14 ,0.14 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86490,CPT,COCCIDIOIDOMYCOSIS SKIN TEST,,TC,17,,RBRVS,,2.47 ,2.47 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86510,CPT,HISTOPLASMOSIS SKIN TEST,,TC,17,,RBRVS,,0.18 ,0.18 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86580,CPT,TB INTRADERMAL TEST,,TC,17,,RBRVS,,0.25 ,0.25 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86590,CPT,STREPTOKINASE ANTIBODY,,,17,,TotalUnits,,,,0.35 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86592,CPT,SYPHILIS TEST NON-TREP QUAL,,,17,,TotalUnits,,,,0.12 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86593,CPT,SYPHILIS TEST NON-TREP QUANT,,,17,,TotalUnits,,,,0.12 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86602,CPT,ANTINOMYCES ANTIBODY,,,17,,TotalUnits,,,,0.28 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86603,CPT,ADENOVIRUS ANTIBODY,,,17,,TotalUnits,,,,0.36 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86606,CPT,ASPERGILLUS ANTIBODY,,,17,,TotalUnits,,,,0.42 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86609,CPT,BACTERIUM ANTIBODY,,,17,,TotalUnits,,,,0.36 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86611,CPT,BARTONELLA ANTIBODY,,,17,,TotalUnits,,,,0.28 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86612,CPT,BLASTOMYCES ANTIBODY,,,17,,TotalUnits,,,,0.36 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86615,CPT,BORDETELLA ANTIBODY,,,17,,TotalUnits,,,,0.37 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86617,CPT,LYME DISEASE ANTIBODY,,,17,,TotalUnits,,,,0.43 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86618,CPT,LYME DISEASE ANTIBODY,,,17,,TotalUnits,,,,0.47 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86619,CPT,BORRELIA ANTIBODY,,,17,,TotalUnits,,,,0.37 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86622,CPT,BRUCELLA ANTIBODY,,,17,,TotalUnits,,,,0.25 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86625,CPT,CAMPYLOBACTER ANTIBODY,,,17,,TotalUnits,,,,0.36 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86628,CPT,CANDIDA ANTIBODY,,,17,,TotalUnits,,,,0.33 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86631,CPT,CHLAMYDIA ANTIBODY,,,17,,TotalUnits,,,,0.33 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86632,CPT,CHLAMYDIA IGM ANTIBODY,,,17,,TotalUnits,,,,0.35 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86635,CPT,COCCIDIOIDES ANTIBODY,,,17,,TotalUnits,,,,0.32 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86638,CPT,Q FEVER ANTIBODY,,,17,,TotalUnits,,,,0.34 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86641,CPT,CRYPTOCOCCUS ANTIBODY,,,17,,TotalUnits,,,,0.40 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86644,CPT,CMV ANTIBODY,,,17,,TotalUnits,,,,0.40 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86645,CPT,CMV ANTIBODY IGM,,,17,,TotalUnits,,,,0.47 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86648,CPT,DIPHTHERIA ANTIBODY,,,17,,TotalUnits,,,,0.42 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86651,CPT,ENCEPHALITIS CALIFORN ANTBDY,,,17,,TotalUnits,,,,0.37 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86652,CPT,ENCEPHALTIS EAST EQNE ANBDY,,,17,,TotalUnits,,,,0.37 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86653,CPT,ENCEPHALTIS ST LOUIS ANTBODY,,,17,,TotalUnits,,,,0.37 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86654,CPT,ENCEPHALTIS WEST EQNE ANTBDY,,,17,,TotalUnits,,,,0.37 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86658,CPT,ENTEROVIRUS ANTIBODY,,,17,,TotalUnits,,,,0.36 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86663,CPT,EPSTEIN-BARR ANTIBODY,,,17,,TotalUnits,,,,0.36 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86664,CPT,EPSTEIN-BARR NUCLEAR ANTIGEN,,,17,,TotalUnits,,,,0.42 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86665,CPT,EPSTEIN-BARR CAPSID VCA,,,17,,TotalUnits,,,,0.50 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86666,CPT,EHRLICHIA ANTIBODY,,,17,,TotalUnits,,,,0.28 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86668,CPT,FRANCISELLA TULARENSIS,,,17,,TotalUnits,,,,0.39 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86671,CPT,FUNGUS NES ANTIBODY,,,17,,TotalUnits,,,,0.34 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86674,CPT,GIARDIA LAMBLIA ANTIBODY,,,17,,TotalUnits,,,,0.41 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86677,CPT,HELICOBACTER PYLORI ANTIBODY,,,17,,TotalUnits,,,,0.47 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86682,CPT,HELMINTH ANTIBODY,,,17,,TotalUnits,,,,0.36 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86684,CPT,HEMOPHILUS INFLUENZA ANTIBDY,,,17,,TotalUnits,,,,0.44 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86687,CPT,HTLV-I ANTIBODY,,,17,,TotalUnits,,,,0.25 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86688,CPT,HTLV-II ANTIBODY,,,17,,TotalUnits,,,,0.39 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86689,CPT,HTLV/HIV CONFIRMJ ANTIBODY,,,17,,TotalUnits,,,,0.54 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86692,CPT,HEPATITIS DELTA AGENT ANTBDY,,,17,,TotalUnits,,,,0.48 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86694,CPT,HERPES SIMPLEX NES ANTBDY,,,17,,TotalUnits,,,,0.40 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86695,CPT,HERPES SIMPLEX TYPE 1 TEST,,,17,,TotalUnits,,,,0.37 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86696,CPT,HERPES SIMPLEX TYPE 2 TEST,,,17,,TotalUnits,,,,0.54 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86698,CPT,HISTOPLASMA ANTIBODY,,,17,,TotalUnits,,,,0.38 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86701,CPT,HIV-1ANTIBODY,,,17,,TotalUnits,,,,0.25 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86702,CPT,HIV-2 ANTIBODY,,,17,,TotalUnits,,,,0.37 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86703,CPT,HIV-1/HIV-2 1 RESULT ANTBDY,,,17,,TotalUnits,,,,0.38 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86704,CPT,HEP B CORE ANTIBODY TOTAL,,,17,,TotalUnits,,,,0.33 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86705,CPT,HEP B CORE ANTIBODY IGM,,,17,,TotalUnits,,,,0.33 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86706,CPT,HEP B SURFACE ANTIBODY,,,17,,TotalUnits,,,,0.30 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86707,CPT,HEPATITIS BE ANTIBODY,,,17,,TotalUnits,,,,0.32 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86708,CPT,HEPATITIS A ANTIBODY,,,17,,TotalUnits,,,,0.34 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86709,CPT,HEPATITIS A IGM ANTIBODY,,,17,,TotalUnits,,,,0.31 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86710,CPT,INFLUENZA VIRUS ANTIBODY,,,17,,TotalUnits,,,,0.38 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86711,CPT,JOHN CUNNINGHAM ANTIBODY,,,17,,TotalUnits,,,,0.47 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86713,CPT,LEGIONELLA ANTIBODY,,,17,,TotalUnits,,,,0.42 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86717,CPT,LEISHMANIA ANTIBODY,,,17,,TotalUnits,,,,0.34 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86720,CPT,LEPTOSPIRA ANTIBODY,,,17,,TotalUnits,,,,0.45 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86723,CPT,LISTERIA MONOCYTOGENES,,,17,,TotalUnits,,,,0.37 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86727,CPT,LYMPH CHORIOMENINGITIS AB,,,17,,TotalUnits,,,,0.36 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86732,CPT,MUCORMYCOSIS ANTIBODY,,,17,,TotalUnits,,,,0.42 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86735,CPT,MUMPS ANTIBODY,,,17,,TotalUnits,,,,0.36 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86738,CPT,MYCOPLASMA ANTIBODY,,,17,,TotalUnits,,,,0.37 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86741,CPT,NEISSERIA MENINGITIDIS,,,17,,TotalUnits,,,,0.37 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86744,CPT,NOCARDIA ANTIBODY,,,17,,TotalUnits,,,,0.44 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86747,CPT,PARVOVIRUS ANTIBODY,,,17,,TotalUnits,,,,0.42 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86750,CPT,MALARIA ANTIBODY,,,17,,TotalUnits,,,,0.37 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86753,CPT,PROTOZOA ANTIBODY NOS,,,17,,TotalUnits,,,,0.34 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86756,CPT,RESPIRATORY VIRUS ANTIBODY,,,17,,TotalUnits,,,,0.44 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86757,CPT,RICKETTSIA ANTIBODY,,,17,,TotalUnits,,,,0.54 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86759,CPT,ROTAVIRUS ANTIBODY,,,17,,TotalUnits,,,,0.51 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86762,CPT,RUBELLA ANTIBODY,,,17,,TotalUnits,,,,0.40 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86765,CPT,RUBEOLA ANTIBODY,,,17,,TotalUnits,,,,0.36 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86768,CPT,SALMONELLA ANTIBODY,,,17,,TotalUnits,,,,0.37 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86769,CPT,SARS-COV-2 COVID-19 ANTIBODY,,,17,,TotalUnits,,,,1.09 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86771,CPT,SHIGELLA ANTIBODY,,,17,,TotalUnits,,,,0.68 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86774,CPT,TETANUS ANTIBODY,,,17,,TotalUnits,,,,0.41 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86777,CPT,TOXOPLASMA ANTIBODY,,,17,,TotalUnits,,,,0.40 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86778,CPT,TOXOPLASMA ANTIBODY IGM,,,17,,TotalUnits,,,,0.40 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86780,CPT,TREPONEMA PALLIDUM,,,17,,TotalUnits,,,,0.37 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86784,CPT,TRICHINELLA ANTIBODY,,,17,,TotalUnits,,,,0.35 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86787,CPT,VARICELLA-ZOSTER ANTIBODY,,,17,,TotalUnits,,,,0.36 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86788,CPT,WEST NILE VIRUS AB IGM,,,17,,TotalUnits,,,,0.47 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86789,CPT,WEST NILE VIRUS ANTIBODY,,,17,,TotalUnits,,,,0.40 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86790,CPT,VIRUS ANTIBODY NOS,,,17,,TotalUnits,,,,0.36 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86793,CPT,YERSINIA ANTIBODY,,,17,,TotalUnits,,,,0.37 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86794,CPT,ZIKA VIRUS IGM ANTIBODY,,,17,,TotalUnits,,,,0.47 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86800,CPT,THYROGLOBULIN ANTIBODY,,,17,,TotalUnits,,,,0.44 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86803,CPT,HEPATITIS C AB TEST,,,17,,TotalUnits,,,,0.40 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86804,CPT,HEP C AB TEST CONFIRM,,,17,,TotalUnits,,,,0.43 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86805,CPT,LYMPHOCYTOTOXICITY ASSAY,,,17,,TotalUnits,,,,5.25 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86806,CPT,LYMPHOCYTOTOXICITY ASSAY,,,17,,TotalUnits,,,,1.32 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86807,CPT,CYTOTOXIC ANTIBODY SCREENING,,,17,,TotalUnits,,,,2.18 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86808,CPT,CYTOTOXIC ANTIBODY SCREENING,,,17,,TotalUnits,,,,0.82 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86812,CPT,HLA TYPING A B OR C,,,17,,TotalUnits,,,,0.72 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86813,CPT,HLA TYPING A B OR C,,,17,,TotalUnits,,,,1.61 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86816,CPT,HLA TYPING DR/DQ,,,17,,TotalUnits,,,,0.84 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86817,CPT,HLA TYPING DR/DQ,,,17,,TotalUnits,,,,2.94 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86821,CPT,LYMPHOCYTE CULTURE MIXED,,,17,,TotalUnits,,,,1.01 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86825,CPT,HLA X-MATH NON-CYTOTOXIC,,,17,,TotalUnits,,,,3.03 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86826,CPT,HLA X-MATCH NONCYTOTOXC ADDL,,,17,,TotalUnits,,,,1.01 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86828,CPT,HLA CLASS I&II ANTIBODY QUAL,,,17,,TotalUnits,,,,1.78 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86829,CPT,HLA CLASS I/II ANTIBODY QUAL,,,17,,TotalUnits,,,,1.78 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86830,CPT,HLA CLASS I PHENOTYPE QUAL,,,17,,TotalUnits,,,,2.65 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86831,CPT,HLA CLASS II PHENOTYPE QUAL,,,17,,TotalUnits,,,,2.27 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86832,CPT,HLA CLASS I HIGH DEFIN QUAL,,,17,,TotalUnits,,,,8.97 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86833,CPT,HLA CLASS II HIGH DEFIN QUAL,,,17,,TotalUnits,,,,9.03 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86834,CPT,HLA CLASS I SEMIQUANT PANEL,,,17,,TotalUnits,,,,9.91 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86835,CPT,HLA CLASS II SEMIQUANT PANEL,,,17,,TotalUnits,,,,8.95 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86849,CPT,IMMUNOLOGY PROCEDURE,,,17,,TotalUnits,,,,0.36 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86850,CPT,RBC ANTIBODY SCREEN,,,17,,TotalUnits,,,,0.27 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86860,CPT,RBC ANTIBODY ELUTION,,,17,,TotalUnits,,,,0.56 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86870,CPT,RBC ANTIBODY IDENTIFICATION,,,17,,TotalUnits,,,,0.58 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86880,CPT,COOMBS TEST DIRECT,,,17,,TotalUnits,,,,0.15 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86885,CPT,COOMBS TEST INDIRECT QUAL,,,17,,TotalUnits,,,,0.16 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86886,CPT,COOMBS TEST INDIRECT TITER,,,17,,TotalUnits,,,,0.14 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86890,CPT,AUTOLOGOUS BLOOD PROCESS,,,17,,TotalUnits,,,,1.25 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86891,CPT,AUTOLOGOUS BLOOD OP SALVAGE,,,17,,TotalUnits,,,,2.84 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86900,CPT,BLOOD TYPING SEROLOGIC ABO,,,17,,TotalUnits,,,,0.08 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86901,CPT,BLOOD TYPING SEROLOGIC RH(D),,,17,,TotalUnits,,,,0.08 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86902,CPT,BLOOD TYPE ANTIGEN DONOR EA,,,17,,TotalUnits,,,,0.18 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86904,CPT,BLOOD TYPING PATIENT SERUM,,,17,,TotalUnits,,,,0.45 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86905,CPT,BLOOD TYPING RBC ANTIGENS,,,17,,TotalUnits,,,,0.11 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86906,CPT,BLD TYPING SEROLOGIC RH PHNT,,,17,,TotalUnits,,,,0.21 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86910,CPT,BLOOD TYPING PATERNITY TEST,,,17,,TotalUnits,,,,0.75 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86911,CPT,BLOOD TYPING ANTIGEN SYSTEM,,,17,,TotalUnits,,,,0.65 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86920,CPT,COMPATIBILITY TEST SPIN,,,17,,TotalUnits,,,,0.74 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86921,CPT,COMPATIBILITY TEST INCUBATE,,,17,,TotalUnits,,,,0.31 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86922,CPT,COMPATIBILITY TEST ANTIGLOB,,,17,,TotalUnits,,,,0.56 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86923,CPT,COMPATIBILITY TEST ELECTRIC,,,17,,TotalUnits,,,,0.40 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86927,CPT,PLASMA FRESH FROZEN,,,17,,TotalUnits,,,,0.13 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86930,CPT,FROZEN BLOOD PREP,,,17,,TotalUnits,,,,3.43 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86931,CPT,FROZEN BLOOD THAW,,,17,,TotalUnits,,,,2.57 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86932,CPT,FROZEN BLOOD FREEZE/THAW,,,17,,TotalUnits,,,,2.92 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86940,CPT,HEMOLYSINS/AGGLUTININS AUTO,,,17,,TotalUnits,,,,0.24 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86941,CPT,HEMOLYSINS/AGGLUTININS,,,17,,TotalUnits,,,,0.34 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86945,CPT,BLOOD PRODUCT/IRRADIATION,,,17,,TotalUnits,,,,0.90 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86950,CPT,LEUKACYTE TRANSFUSION,,,17,,TotalUnits,,,,2.23 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86960,CPT,VOL REDUCTION OF BLOOD/PROD,,,17,,TotalUnits,,,,0.73 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86965,CPT,POOLING BLOOD PLATELETS,,,17,,TotalUnits,,,,1.19 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86970,CPT,RBC PRETX INCUBATJ W/CHEMICL,,,17,,TotalUnits,,,,0.72 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86971,CPT,RBC PRETX INCUBATJ W/ENZYMES,,,17,,TotalUnits,,,,0.31 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86972,CPT,RBC PRETX INCUBATJ W/DENSITY,,,17,,TotalUnits,,,,0.92 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86975,CPT,RBC SERUM PRETX INCUBJ DRUGS,,,17,,TotalUnits,,,,0.93 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86976,CPT,RBC SERUM PRETX ID DILUTION,,,17,,TotalUnits,,,,0.74 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86977,CPT,RBC SERUM PRETX INCUBJ/INHIB,,,17,,TotalUnits,,,,1.03 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86978,CPT,RBC PRETREATMENT SERUM,,,17,,TotalUnits,,,,0.52 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86985,CPT,SPLIT BLOOD OR PRODUCTS,,,17,,TotalUnits,,,,0.46 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
86999,CPT,TRANSFUSION PROCEDURE,,,17,,TotalUnits,,,,0.09 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87003,CPT,SMALL ANIMAL INOCULATION,,,17,,TotalUnits,,,,0.47 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87015,CPT,SPECIMEN INFECT AGNT CONCNTJ,,,17,,TotalUnits,,,,0.19 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87040,CPT,BLOOD CULTURE FOR BACTERIA,,,17,,TotalUnits,,,,0.29 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87045,CPT,FECES CULTURE AEROBIC BACT,,,17,,TotalUnits,,,,0.26 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87046,CPT,STOOL CULTR AEROBIC BACT EA,,,17,,TotalUnits,,,,0.26 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87070,CPT,CULTURE OTHR SPECIMN AEROBIC,,,17,,TotalUnits,,,,0.24 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87071,CPT,CULTURE AEROBIC QUANT OTHER,,,17,,TotalUnits,,,,0.27 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87073,CPT,CULTURE BACTERIA ANAEROBIC,,,17,,TotalUnits,,,,0.27 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87075,CPT,CULTR BACTERIA EXCEPT BLOOD,,,17,,TotalUnits,,,,0.26 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87076,CPT,CULTURE ANAEROBE IDENT EACH,,,17,,TotalUnits,,,,0.22 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87077,CPT,CULTURE AEROBIC IDENTIFY,,,17,,TotalUnits,,,,0.22 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87081,CPT,CULTURE SCREEN ONLY,,,17,,TotalUnits,,,,0.18 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87084,CPT,CULTURE OF SPECIMEN BY KIT,,,17,,TotalUnits,,,,0.75 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87086,CPT,URINE CULTURE/COLONY COUNT,,,17,,TotalUnits,,,,0.22 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87088,CPT,URINE BACTERIA CULTURE,,,17,,TotalUnits,,,,0.22 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87101,CPT,SKIN FUNGI CULTURE,,,17,,TotalUnits,,,,0.21 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87102,CPT,FUNGUS ISOLATION CULTURE,,,17,,TotalUnits,,,,0.23 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87103,CPT,BLOOD FUNGUS CULTURE,,,17,,TotalUnits,,,,0.57 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87106,CPT,FUNGI IDENTIFICATION YEAST,,,17,,TotalUnits,,,,0.29 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87107,CPT,FUNGI IDENTIFICATION MOLD,,,17,,TotalUnits,,,,0.29 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87109,CPT,MYCOPLASMA,,,17,,TotalUnits,,,,0.43 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87110,CPT,CHLAMYDIA CULTURE,,,17,,TotalUnits,,,,0.54 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87116,CPT,MYCOBACTERIA CULTURE,,,17,,TotalUnits,,,,0.30 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87118,CPT,MYCOBACTERIC IDENTIFICATION,,,17,,TotalUnits,,,,0.40 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87140,CPT,CULTURE TYPE IMMUNOFLUORESC,,,17,,TotalUnits,,,,0.15 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87143,CPT,CULTURE TYPING GLC/HPLC,,,17,,TotalUnits,,,,0.35 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87147,CPT,CULTURE TYPE IMMUNOLOGIC,,,17,,TotalUnits,,,,0.14 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87149,CPT,DNA/RNA DIRECT PROBE,,,17,,TotalUnits,,,,0.56 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87150,CPT,DNA/RNA AMPLIFIED PROBE,,,17,,TotalUnits,,,,0.97 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87152,CPT,CULTURE TYPE PULSE FIELD GEL,,,17,,TotalUnits,,,,0.21 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87153,CPT,DNA/RNA SEQUENCING,,,17,,TotalUnits,,,,3.20 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87158,CPT,CULTURE TYPING ADDED METHOD,,,17,,TotalUnits,,,,0.21 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87164,CPT,DARK FIELD EXAMINATION,,,17,,TotalUnits,,,,0.30 ,,$0.00,$0.00,1,1,1,0,0,1,20210101,
87164,CPT,DARK FIELD EXAMINATION,26,,17,,RBRVS,0.37 ,0.19 ,0.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
87166,CPT,DARK FIELD EXAMINATION,,,17,,TotalUnits,,,,0.31 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87168,CPT,MACROSCOPIC EXAM ARTHROPOD,,,17,,TotalUnits,,,,0.12 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87169,CPT,MACROSCOPIC EXAM PARASITE,,,17,,TotalUnits,,,,0.12 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87172,CPT,PINWORM EXAM,,,17,,TotalUnits,,,,0.12 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87176,CPT,TISSUE HOMOGENIZATION CULTR,,,17,,TotalUnits,,,,0.16 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87177,CPT,OVA AND PARASITES SMEARS,,,17,,TotalUnits,,,,0.25 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87181,CPT,MICROBE SUSCEPTIBLE DIFFUSE,,,17,,TotalUnits,,,,0.13 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87184,CPT,MICROBE SUSCEPTIBLE DISK,,,17,,TotalUnits,,,,0.21 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87185,CPT,MICROBE SUSCEPTIBLE ENZYME,,,17,,TotalUnits,,,,0.13 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87186,CPT,MICROBE SUSCEPTIBLE MIC,,,17,,TotalUnits,,,,0.24 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87187,CPT,MICROBE SUSCEPTIBLE MLC,,,17,,TotalUnits,,,,1.11 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87188,CPT,MICROBE SUSCEPT MACROBROTH,,,17,,TotalUnits,,,,0.18 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87190,CPT,MICROBE SUSCEPT MYCOBACTERI,,,17,,TotalUnits,,,,0.20 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87197,CPT,BACTERICIDAL LEVEL SERUM,,,17,,TotalUnits,,,,0.42 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87205,CPT,SMEAR GRAM STAIN,,,17,,TotalUnits,,,,0.12 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87206,CPT,SMEAR FLUORESCENT/ACID STAI,,,17,,TotalUnits,,,,0.15 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87207,CPT,SMEAR SPECIAL STAIN,,,17,,TotalUnits,,,,0.17 ,,$0.00,$0.00,1,1,1,0,0,1,20210101,
87207,CPT,SMEAR SPECIAL STAIN,26,,17,,RBRVS,0.37 ,0.14 ,0.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
87209,CPT,SMEAR COMPLEX STAIN,,,17,,TotalUnits,,,,0.50 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87210,CPT,SMEAR WET MOUNT SALINE/INK,,,17,,TotalUnits,,,,0.16 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87220,CPT,TISSUE EXAM FOR FUNGI,,,17,,TotalUnits,,,,0.12 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87230,CPT,ASSAY TOXIN OR ANTITOXIN,,,17,,TotalUnits,,,,0.55 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87250,CPT,VIRUS INOCULATE EGGS/ANIMAL,,,17,,TotalUnits,,,,0.54 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87252,CPT,VIRUS INOCULATION TISSUE,,,17,,TotalUnits,,,,0.72 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87253,CPT,VIRUS INOCULATE TISSUE ADDL,,,17,,TotalUnits,,,,0.56 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87254,CPT,VIRUS INOCULATION SHELL VIA,,,17,,TotalUnits,,,,0.54 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87255,CPT,GENET VIRUS ISOLATE HSV,,,17,,TotalUnits,,,,0.94 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87260,CPT,ADENOVIRUS AG IF,,,17,,TotalUnits,,,,0.40 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87265,CPT,PERTUSSIS AG IF,,,17,,TotalUnits,,,,0.33 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87267,CPT,ENTEROVIRUS ANTIBODY DFA,,,17,,TotalUnits,,,,0.37 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87269,CPT,GIARDIA AG IF,,,17,,TotalUnits,,,,0.38 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87270,CPT,CHLAMYDIA TRACHOMATIS AG IF,,,17,,TotalUnits,,,,0.33 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87271,CPT,CYTOMEGALOVIRUS DFA,,,17,,TotalUnits,,,,0.37 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87272,CPT,CRYPTOSPORIDIUM AG IF,,,17,,TotalUnits,,,,0.33 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87273,CPT,HERPES SIMPLEX 2 AG IF,,,17,,TotalUnits,,,,0.33 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87274,CPT,HERPES SIMPLEX 1 AG IF,,,17,,TotalUnits,,,,0.33 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87275,CPT,INFLUENZA B AG IF,,,17,,TotalUnits,,,,0.34 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87276,CPT,INFLUENZA A AG IF,,,17,,TotalUnits,,,,0.45 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87278,CPT,LEGION PNEUMOPHILIA AG IF,,,17,,TotalUnits,,,,0.43 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87279,CPT,PARAINFLUENZA AG IF,,,17,,TotalUnits,,,,0.46 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87280,CPT,RESPIRATORY SYNCYTIAL AG IF,,,17,,TotalUnits,,,,0.37 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87281,CPT,PNEUMOCYSTIS CARINII AG IF,,,17,,TotalUnits,,,,0.33 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87283,CPT,RUBEOLA AG IF,,,17,,TotalUnits,,,,1.68 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87285,CPT,TREPONEMA PALLIDUM AG IF,,,17,,TotalUnits,,,,0.34 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87290,CPT,VARICELLA ZOSTER AG IF,,,17,,TotalUnits,,,,0.37 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87299,CPT,ANTIBODY DETECTION NOS IF,,,17,,TotalUnits,,,,0.45 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87300,CPT,AG DETECTION POLYVAL IF,,,17,,TotalUnits,,,,0.33 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87301,CPT,ADENOVIRUS AG IA,,,17,,TotalUnits,,,,0.33 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87305,CPT,ASPERGILLUS AG IA,,,17,,TotalUnits,,,,0.33 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87320,CPT,CHYLMD TRACH AG IA,,,17,,TotalUnits,,,,0.42 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87324,CPT,CLOSTRIDIUM AG IA,,,17,,TotalUnits,,,,0.33 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87327,CPT,CRYPTOCOCCUS NEOFORM AG IA,,,17,,TotalUnits,,,,0.37 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87328,CPT,CRYPTOSPORIDIUM AG IA,,,17,,TotalUnits,,,,0.38 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87329,CPT,GIARDIA AG IA,,,17,,TotalUnits,,,,0.33 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87332,CPT,CYTOMEGALOVIRUS AG IA,,,17,,TotalUnits,,,,0.33 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87335,CPT,E COLI 0157 AG IA,,,17,,TotalUnits,,,,0.35 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87336,CPT,ENTAMOEB HIST DISPR AG IA,,,17,,TotalUnits,,,,0.44 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87337,CPT,ENTAMOEB HIST GROUP AG IA,,,17,,TotalUnits,,,,0.33 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87338,CPT,HPYLORI STOOL IA,,,17,,TotalUnits,,,,0.40 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87339,CPT,H PYLORI AG IA,,,17,,TotalUnits,,,,0.44 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87340,CPT,HEPATITIS B SURFACE AG IA,,,17,,TotalUnits,,,,0.29 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87341,CPT,HEPATITIS B SURFACE AG IA,,,17,,TotalUnits,,,,0.29 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87350,CPT,HEPATITIS BE AG IA,,,17,,TotalUnits,,,,0.32 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87380,CPT,HEPATITIS DELTA AG IA,,,17,,TotalUnits,,,,0.51 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87385,CPT,HISTOPLASMA CAPSUL AG IA,,,17,,TotalUnits,,,,0.37 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87389,CPT,HIV-1 AG W/HIV-1 & HIV-2 AB,,,17,,TotalUnits,,,,0.67 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87390,CPT,HIV-1 AG IA,,,17,,TotalUnits,,,,0.67 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87391,CPT,HIV-2 AG IA,,,17,,TotalUnits,,,,0.61 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87400,CPT,INFLUENZA A/B AG IA,,,17,,TotalUnits,,,,0.39 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87420,CPT,RESP SYNCYTIAL AG IA,,,17,,TotalUnits,,,,0.39 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87425,CPT,ROTAVIRUS AG IA,,,17,,TotalUnits,,,,0.33 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87427,CPT,SHIGA-LIKE TOXIN AG IA,,,17,,TotalUnits,,,,0.33 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87430,CPT,STREP A AG IA,,,17,,TotalUnits,,,,0.47 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87449,CPT,AG DETECT NOS IA MULT,,,17,,TotalUnits,,,,0.33 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87451,CPT,AG DETECT POLYVAL IA MULT,,,17,,TotalUnits,,,,0.29 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87471,CPT,BARTONELLA DNA AMP PROBE,,,17,,TotalUnits,,,,0.97 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87472,CPT,BARTONELLA DNA QUANT,,,17,,TotalUnits,,,,1.19 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87475,CPT,LYME DIS DNA DIR PROBE,,,17,,TotalUnits,,,,0.56 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87476,CPT,LYME DIS DNA AMP PROBE,,,17,,TotalUnits,,,,0.97 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87480,CPT,CANDIDA DNA DIR PROBE,,,17,,TotalUnits,,,,0.56 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87481,CPT,CANDIDA DNA AMP PROBE,,,17,,TotalUnits,,,,0.97 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87482,CPT,CANDIDA DNA QUANT,,,17,,TotalUnits,,,,1.54 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87483,CPT,CNS DNA AMP PROBE TYPE 12-25,,,17,,TotalUnits,,,,11.55 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87485,CPT,CHYLMD PNEUM DNA DIR PROBE,,,17,,TotalUnits,,,,0.56 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87486,CPT,CHYLMD PNEUM DNA AMP PROBE,,,17,,TotalUnits,,,,0.97 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87487,CPT,CHYLMD PNEUM DNA QUANT,,,17,,TotalUnits,,,,1.19 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87490,CPT,CHYLMD TRACH DNA DIR PROBE,,,17,,TotalUnits,,,,0.63 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87491,CPT,CHYLMD TRACH DNA AMP PROBE,,,17,,TotalUnits,,,,0.97 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87492,CPT,CHYLMD TRACH DNA QUANT,,,17,,TotalUnits,,,,1.48 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87493,CPT,C DIFF AMPLIFIED PROBE,,,17,,TotalUnits,,,,1.03 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87495,CPT,CYTOMEG DNA DIR PROBE,,,17,,TotalUnits,,,,0.83 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87496,CPT,CYTOMEG DNA AMP PROBE,,,17,,TotalUnits,,,,0.97 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87497,CPT,CYTOMEG DNA QUANT,,,17,,TotalUnits,,,,1.19 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87498,CPT,ENTEROVIRUS PROBE&REVRS TRNS,,,17,,TotalUnits,,,,0.97 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87500,CPT,VANOMYCIN DNA AMP PROBE,,,17,,TotalUnits,,,,0.97 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87501,CPT,INFLUENZA DNA AMP PROB 1+,,,17,,TotalUnits,,,,1.42 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87502,CPT,INFLUENZA DNA AMP PROBE,,,17,,TotalUnits,,,,2.65 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87503,CPT,INFLUENZA DNA AMP PROB ADDL,,,17,,TotalUnits,,,,0.81 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87505,CPT,NFCT AGENT DETECTION GI,,,17,,TotalUnits,,,,3.55 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87506,CPT,IADNA-DNA/RNA PROBE TQ 6-11,,,17,,TotalUnits,,,,7.29 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87507,CPT,IADNA-DNA/RNA PROBE TQ 12-25,,,17,,TotalUnits,,,,11.55 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87510,CPT,GARDNER VAG DNA DIR PROBE,,,17,,TotalUnits,,,,0.56 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87511,CPT,GARDNER VAG DNA AMP PROBE,,,17,,TotalUnits,,,,0.97 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87512,CPT,GARDNER VAG DNA QUANT,,,17,,TotalUnits,,,,1.16 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87516,CPT,HEPATITIS B DNA AMP PROBE,,,17,,TotalUnits,,,,0.97 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87517,CPT,HEPATITIS B DNA QUANT,,,17,,TotalUnits,,,,1.19 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87520,CPT,HEPATITIS C RNA DIR PROBE,,,17,,TotalUnits,,,,0.87 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87521,CPT,HEPATITIS C PROBE&RVRS TRNSC,,,17,,TotalUnits,,,,0.97 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87522,CPT,HEPATITIS C REVRS TRNSCRPJ,,,17,,TotalUnits,,,,1.19 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87525,CPT,HEPATITIS G DNA DIR PROBE,,,17,,TotalUnits,,,,0.83 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87526,CPT,HEPATITIS G DNA AMP PROBE,,,17,,TotalUnits,,,,1.09 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87527,CPT,HEPATITIS G DNA QUANT,,,17,,TotalUnits,,,,1.16 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87528,CPT,HSV DNA DIR PROBE,,,17,,TotalUnits,,,,0.56 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87529,CPT,HSV DNA AMP PROBE,,,17,,TotalUnits,,,,0.97 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87530,CPT,HSV DNA QUANT,,,17,,TotalUnits,,,,1.19 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87531,CPT,HHV-6 DNA DIR PROBE,,,17,,TotalUnits,,,,1.61 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87532,CPT,HHV-6 DNA AMP PROBE,,,17,,TotalUnits,,,,0.97 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87533,CPT,HHV-6 DNA QUANT,,,17,,TotalUnits,,,,1.16 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87534,CPT,HIV-1 DNA DIR PROBE,,,17,,TotalUnits,,,,0.61 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87535,CPT,HIV-1 PROBE&REVERSE TRNSCRPJ,,,17,,TotalUnits,,,,0.97 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87536,CPT,HIV-1 QUANT&REVRSE TRNSCRPJ,,,17,,TotalUnits,,,,2.36 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87537,CPT,HIV-2 DNA DIR PROBE,,,17,,TotalUnits,,,,0.61 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87538,CPT,HIV-2 PROBE&REVRSE TRNSCRIPJ,,,17,,TotalUnits,,,,0.97 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87539,CPT,HIV-2 QUANT&REVRSE TRNSCRIPJ,,,17,,TotalUnits,,,,1.62 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87540,CPT,LEGION PNEUMO DNA DIR PROB,,,17,,TotalUnits,,,,0.56 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87541,CPT,LEGION PNEUMO DNA AMP PROB,,,17,,TotalUnits,,,,0.97 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87542,CPT,LEGION PNEUMO DNA QUANT,,,17,,TotalUnits,,,,1.16 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87550,CPT,MYCOBACTERIA DNA DIR PROBE,,,17,,TotalUnits,,,,0.56 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87551,CPT,MYCOBACTERIA DNA AMP PROBE,,,17,,TotalUnits,,,,1.34 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87552,CPT,MYCOBACTERIA DNA QUANT,,,17,,TotalUnits,,,,1.19 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87555,CPT,M.TUBERCULO DNA DIR PROBE,,,17,,TotalUnits,,,,0.74 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87556,CPT,M.TUBERCULO DNA AMP PROBE,,,17,,TotalUnits,,,,1.15 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87557,CPT,M.TUBERCULO DNA QUANT,,,17,,TotalUnits,,,,1.19 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87560,CPT,M.AVIUM-INTRA DNA DIR PROB,,,17,,TotalUnits,,,,0.76 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87561,CPT,M.AVIUM-INTRA DNA AMP PROB,,,17,,TotalUnits,,,,0.97 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87562,CPT,M.AVIUM-INTRA DNA QUANT,,,17,,TotalUnits,,,,1.19 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87563,CPT,M. GENITALIUM AMP PROBE,,,17,,TotalUnits,,,,0.97 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87580,CPT,M.PNEUMON DNA DIR PROBE,,,17,,TotalUnits,,,,0.56 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87581,CPT,M.PNEUMON DNA AMP PROBE,,,17,,TotalUnits,,,,0.97 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87582,CPT,M.PNEUMON DNA QUANT,,,17,,TotalUnits,,,,8.39 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87590,CPT,N.GONORRHOEAE DNA DIR PROB,,,17,,TotalUnits,,,,0.74 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87591,CPT,N.GONORRHOEAE DNA AMP PROB,,,17,,TotalUnits,,,,0.97 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87592,CPT,N.GONORRHOEAE DNA QUANT,,,17,,TotalUnits,,,,1.19 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87623,CPT,HPV LOW-RISK TYPES,,,17,,TotalUnits,,,,0.97 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87624,CPT,HPV HIGH-RISK TYPES,,,17,,TotalUnits,,,,0.97 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87625,CPT,HPV TYPES 16 & 18 ONLY,,,17,,TotalUnits,,,,1.12 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87631,CPT,RESP VIRUS 3-5 TARGETS,,,17,,TotalUnits,,,,3.95 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87632,CPT,RESP VIRUS 6-11 TARGETS,,,17,,TotalUnits,,,,6.04 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87633,CPT,RESP VIRUS 12-25 TARGETS,,,17,,TotalUnits,,,,11.55 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87634,CPT,RSV DNA/RNA AMP PROBE,,,17,,TotalUnits,,,,1.95 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87635,CPT,SARS-COV-2 COVID-19 AMP PRB,,,17,,TotalUnits,,,,0.72 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87640,CPT,STAPH A DNA AMP PROBE,,,17,,TotalUnits,,,,0.97 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87641,CPT,MR-STAPH DNA AMP PROBE,,,17,,TotalUnits,,,,0.97 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87650,CPT,STREP A DNA DIR PROBE,,,17,,TotalUnits,,,,0.56 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87651,CPT,STREP A DNA AMP PROBE,,,17,,TotalUnits,,,,0.97 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87652,CPT,STREP A DNA QUANT,,,17,,TotalUnits,,,,1.16 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87653,CPT,STREP B DNA AMP PROBE,,,17,,TotalUnits,,,,0.97 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87660,CPT,TRICHOMONAS VAGIN DIR PROBE,,,17,,TotalUnits,,,,0.56 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87661,CPT,TRICHOMONAS VAGINALIS AMPLIF,,,17,,TotalUnits,,,,0.97 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87662,CPT,ZIKA VIRUS DNA/RNA AMP PROBE,,,17,,TotalUnits,,,,1.42 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87797,CPT,DETECT AGENT NOS DNA DIR,,,17,,TotalUnits,,,,0.83 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87798,CPT,DETECT AGENT NOS DNA AMP,,,17,,TotalUnits,,,,0.97 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87799,CPT,DETECT AGENT NOS DNA QUANT,,,17,,TotalUnits,,,,1.19 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87800,CPT,DETECT AGNT MULT DNA DIREC,,,17,,TotalUnits,,,,1.21 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87801,CPT,DETECT AGNT MULT DNA AMPLI,,,17,,TotalUnits,,,,1.95 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87802,CPT,STREP B ASSAY W/OPTIC,,,17,,TotalUnits,,,,0.35 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87803,CPT,CLOSTRIDIUM TOXIN A W/OPTIC,,,17,,TotalUnits,,,,0.44 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87804,CPT,INFLUENZA ASSAY W/OPTIC,,,17,,TotalUnits,,,,0.46 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87806,CPT,HIV ANTIGEN W/HIV ANTIBODIES,,,17,,TotalUnits,,,,0.91 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87807,CPT,RSV ASSAY W/OPTIC,,,17,,TotalUnits,,,,0.36 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87808,CPT,TRICHOMONAS ASSAY W/OPTIC,,,17,,TotalUnits,,,,0.42 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87809,CPT,ADENOVIRUS ASSAY W/OPTIC,,,17,,TotalUnits,,,,0.60 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87810,CPT,CHYLMD TRACH ASSAY W/OPTIC,,,17,,TotalUnits,,,,0.98 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87850,CPT,N. GONORRHOEAE ASSAY W/OPTIC,,,17,,TotalUnits,,,,0.68 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87880,CPT,STREP A ASSAY W/OPTIC,,,17,,TotalUnits,,,,0.46 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87899,CPT,AGENT NOS ASSAY W/OPTIC,,,17,,TotalUnits,,,,0.45 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87900,CPT,PHENOTYPE INFECT AGENT DRUG,,,17,,TotalUnits,,,,3.61 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87901,CPT,GENOTYPE DNA HIV REVERSE T,,,17,,TotalUnits,,,,7.13 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87902,CPT,GENOTYPE DNA/RNA HEP C,,,17,,TotalUnits,,,,7.13 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87903,CPT,PHENOTYPE DNA HIV W/CULTURE,,,17,,TotalUnits,,,,13.54 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87904,CPT,PHENOTYPE DNA HIV W/CLT ADD,,,17,,TotalUnits,,,,0.72 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87905,CPT,SIALIDASE ENZYME ASSAY,,,17,,TotalUnits,,,,0.34 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87906,CPT,GENOTYPE DNA/RNA HIV,,,17,,TotalUnits,,,,3.57 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87910,CPT,GENOTYPE CYTOMEGALOVIRUS,,,17,,TotalUnits,,,,7.13 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87912,CPT,GENOTYPE DNA HEPATITIS B,,,17,,TotalUnits,,,,7.13 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
87999,CPT,MICROBIOLOGY PROCEDURE,,,17,,TotalUnits,,,,0.29 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
88000,CPT,AUTOPSY (NECROPSY) GROSS,,,17,,TotalUnits,,,,6.19 ,,$0.00,$0.00,1,0,1,0,1,1,20210101,
88005,CPT,AUTOPSY (NECROPSY) GROSS,,,17,,TotalUnits,,,,7.22 ,,$0.00,$0.00,1,0,1,0,1,1,20210101,
88007,CPT,AUTOPSY (NECROPSY) GROSS,,,17,,TotalUnits,,,,7.57 ,,$0.00,$0.00,1,0,1,0,1,1,20210101,
88012,CPT,AUTOPSY (NECROPSY) GROSS,,,17,,TotalUnits,,,,6.19 ,,$0.00,$0.00,1,0,1,0,1,1,20210101,
88014,CPT,AUTOPSY (NECROPSY) GROSS,,,17,,TotalUnits,,,,5.68 ,,$0.00,$0.00,1,0,1,0,1,1,20210101,
88016,CPT,AUTOPSY (NECROPSY) GROSS,,,17,,TotalUnits,,,,7.91 ,,$0.00,$0.00,1,0,1,0,1,1,20210101,
88020,CPT,AUTOPSY (NECROPSY) COMPLETE,,,17,,TotalUnits,,,,10.66 ,,$0.00,$0.00,1,0,1,0,1,1,20210101,
88025,CPT,AUTOPSY (NECROPSY) COMPLETE,,,17,,TotalUnits,,,,10.32 ,,$0.00,$0.00,1,0,1,0,1,1,20210101,
88027,CPT,AUTOPSY (NECROPSY) COMPLETE,,,17,,TotalUnits,,,,11.01 ,,$0.00,$0.00,1,0,1,0,1,1,20210101,
88028,CPT,AUTOPSY (NECROPSY) COMPLETE,,,17,,TotalUnits,,,,6.19 ,,$0.00,$0.00,1,0,1,0,1,1,20210101,
88029,CPT,AUTOPSY (NECROPSY) COMPLETE,,,17,,TotalUnits,,,,6.19 ,,$0.00,$0.00,1,0,1,0,1,1,20210101,
88036,CPT,LIMITED AUTOPSY,,,17,,TotalUnits,,,,3.10 ,,$0.00,$0.00,1,0,1,0,1,1,20210101,
88037,CPT,LIMITED AUTOPSY,,,17,,TotalUnits,,,,2.75 ,,$0.00,$0.00,1,0,1,0,1,1,20210101,
88040,CPT,FORENSIC AUTOPSY (NECROPSY),,,17,,TotalUnits,,,,17.20 ,,$0.00,$0.00,1,0,1,0,1,1,20210101,
88045,CPT,CORONERS AUTOPSY (NECROPSY),,,17,,TotalUnits,,,,1.72 ,,$0.00,$0.00,1,0,1,0,1,1,20210101,
88099,CPT,NECROPSY (AUTOPSY) PROCEDURE,,,17,,TotalUnits,,,,10.32 ,,$0.00,$0.00,1,0,1,0,1,1,20210101,
88104,CPT,CYTOPATH FL NONGYN SMEARS,,,17,,RBRVS,0.56 ,1.35 ,1.35 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
88104,CPT,CYTOPATH FL NONGYN SMEARS,26,,17,,RBRVS,0.56 ,0.24 ,0.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
88104,CPT,CYTOPATH FL NONGYN SMEARS,TC,,17,,RBRVS,,1.11 ,1.11 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
88106,CPT,CYTOPATH FL NONGYN FILTER,,,17,,RBRVS,0.37 ,1.44 ,1.44 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
88106,CPT,CYTOPATH FL NONGYN FILTER,26,,17,,RBRVS,0.37 ,0.18 ,0.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
88106,CPT,CYTOPATH FL NONGYN FILTER,TC,,17,,RBRVS,,1.26 ,1.26 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
88108,CPT,CYTOPATH CONCENTRATE TECH,,,17,,RBRVS,0.44 ,1.29 ,1.29 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
88108,CPT,CYTOPATH CONCENTRATE TECH,26,,17,,RBRVS,0.44 ,0.20 ,0.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
88108,CPT,CYTOPATH CONCENTRATE TECH,TC,,17,,RBRVS,,1.09 ,1.09 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
88112,CPT,CYTOPATH CELL ENHANCE TECH,,,17,,RBRVS,0.56 ,1.32 ,1.32 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
88112,CPT,CYTOPATH CELL ENHANCE TECH,26,,17,,RBRVS,0.56 ,0.23 ,0.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
88112,CPT,CYTOPATH CELL ENHANCE TECH,TC,,17,,RBRVS,,1.09 ,1.09 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
88120,CPT,CYTP URNE 3-5 PROBES EA SPEC,,,17,,RBRVS,1.20 ,15.09 ,15.09 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
88120,CPT,CYTP URNE 3-5 PROBES EA SPEC,26,,17,,RBRVS,1.20 ,0.45 ,0.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
88120,CPT,CYTP URNE 3-5 PROBES EA SPEC,TC,,17,,RBRVS,,14.64 ,14.64 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
88121,CPT,CYTP URINE 3-5 PROBES CMPTR,,,17,,RBRVS,1.00 ,11.45 ,11.45 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
88121,CPT,CYTP URINE 3-5 PROBES CMPTR,26,,17,,RBRVS,1.00 ,0.39 ,0.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
88121,CPT,CYTP URINE 3-5 PROBES CMPTR,TC,,17,,RBRVS,,11.06 ,11.06 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
88125,CPT,FORENSIC CYTOPATHOLOGY,,,17,,RBRVS,0.26 ,0.47 ,0.47 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
88125,CPT,FORENSIC CYTOPATHOLOGY,26,,17,,RBRVS,0.26 ,0.13 ,0.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
88125,CPT,FORENSIC CYTOPATHOLOGY,TC,,17,,RBRVS,,0.34 ,0.34 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
88130,CPT,SEX CHROMATIN IDENTIFICATION,,,17,,TotalUnits,,,,0.50 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
88140,CPT,SEX CHROMATIN IDENTIFICATION,,,17,,TotalUnits,,,,0.22 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
88141,CPT,CYTOPATH C/V INTERPRET,,PC,17,,RBRVS,0.26 ,0.46 ,0.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
88142,CPT,CYTOPATH C/V THIN LAYER,,,17,,TotalUnits,,,,0.56 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
88143,CPT,CYTOPATH C/V THIN LAYER REDO,,,17,,TotalUnits,,,,0.64 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
88147,CPT,CYTOPATH C/V AUTOMATED,,,17,,TotalUnits,,,,1.40 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
88148,CPT,CYTOPATH C/V AUTO RESCREEN,,,17,,TotalUnits,,,,0.44 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
88150,CPT,CYTOPATH C/V MANUAL,,,17,,TotalUnits,,,,0.42 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
88152,CPT,CYTOPATH C/V AUTO REDO,,,17,,TotalUnits,,,,0.77 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
88153,CPT,CYTOPATH C/V REDO,,,17,,TotalUnits,,,,0.67 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
88155,CPT,CYTOPATH C/V INDEX ADD-ON,,,17,,TotalUnits,,,,0.41 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
88160,CPT,CYTOPATH SMEAR OTHER SOURCE,,,17,,RBRVS,0.50 ,1.49 ,1.49 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
88160,CPT,CYTOPATH SMEAR OTHER SOURCE,26,,17,,RBRVS,0.50 ,0.24 ,0.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
88160,CPT,CYTOPATH SMEAR OTHER SOURCE,TC,,17,,RBRVS,,1.25 ,1.25 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
88161,CPT,CYTOPATH SMEAR OTHER SOURCE,,,17,,RBRVS,0.50 ,1.41 ,1.41 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
88161,CPT,CYTOPATH SMEAR OTHER SOURCE,26,,17,,RBRVS,0.50 ,0.22 ,0.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
88161,CPT,CYTOPATH SMEAR OTHER SOURCE,TC,,17,,RBRVS,,1.19 ,1.19 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
88162,CPT,CYTOPATH SMEAR OTHER SOURCE,,,17,,RBRVS,0.76 ,2.01 ,2.01 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
88162,CPT,CYTOPATH SMEAR OTHER SOURCE,26,,17,,RBRVS,0.76 ,0.34 ,0.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
88162,CPT,CYTOPATH SMEAR OTHER SOURCE,TC,,17,,RBRVS,,1.67 ,1.67 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
88164,CPT,CYTOPATH TBS C/V MANUAL,,,17,,TotalUnits,,,,0.42 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
88165,CPT,CYTOPATH TBS C/V REDO,,,17,,TotalUnits,,,,1.17 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
88166,CPT,CYTOPATH TBS C/V AUTO REDO,,,17,,TotalUnits,,,,0.42 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
88167,CPT,CYTOPATH TBS C/V SELECT,,,17,,TotalUnits,,,,0.42 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
88172,CPT,CYTP DX EVAL FNA 1ST EA SITE,,,17,,RBRVS,0.69 ,0.87 ,0.87 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
88172,CPT,CYTP DX EVAL FNA 1ST EA SITE,26,,17,,RBRVS,0.69 ,0.34 ,0.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
88172,CPT,CYTP DX EVAL FNA 1ST EA SITE,TC,,17,,RBRVS,,0.53 ,0.53 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
88173,CPT,CYTOPATH EVAL FNA REPORT,,,17,,RBRVS,1.39 ,2.92 ,2.92 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
88173,CPT,CYTOPATH EVAL FNA REPORT,26,,17,,RBRVS,1.39 ,0.63 ,0.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
88173,CPT,CYTOPATH EVAL FNA REPORT,TC,,17,,RBRVS,,2.29 ,2.29 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
88174,CPT,CYTOPATH C/V AUTO IN FLUID,,,17,,TotalUnits,,,,0.70 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
88175,CPT,CYTOPATH C/V AUTO FLUID REDO,,,17,,TotalUnits,,,,0.74 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
88177,CPT,CYTP FNA EVAL EA ADDL,,,17,,RBRVS,0.42 ,0.41 ,0.41 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
88177,CPT,CYTP FNA EVAL EA ADDL,26,,17,,RBRVS,0.42 ,0.21 ,0.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
88177,CPT,CYTP FNA EVAL EA ADDL,TC,,17,,RBRVS,,0.20 ,0.20 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
88182,CPT,CELL MARKER STUDY,,,17,,RBRVS,0.77 ,3.08 ,3.08 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
88182,CPT,CELL MARKER STUDY,26,,17,,RBRVS,0.77 ,0.34 ,0.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
88182,CPT,CELL MARKER STUDY,TC,,17,,RBRVS,,2.74 ,2.74 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
88184,CPT,FLOWCYTOMETRY/ TC 1 MARKER,,TC,17,,RBRVS,,1.87 ,1.87 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
88185,CPT,FLOWCYTOMETRY/TC ADD-ON,,TC,17,,RBRVS,,0.62 ,0.62 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
88187,CPT,FLOWCYTOMETRY/READ 2-8,,PC,17,,RBRVS,0.74 ,0.30 ,0.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
88188,CPT,FLOWCYTOMETRY/READ 9-15,,PC,17,,RBRVS,1.20 ,0.57 ,0.57 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
88189,CPT,FLOWCYTOMETRY/READ 16 & >,,PC,17,,RBRVS,1.70 ,0.67 ,0.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
88199,CPT,CYTOPATHOLOGY PROCEDURE,,,17,,TotalUnits,,,,1.88 ,,$0.00,$0.00,1,0,0,0,0,1,20210101,
88199,CPT,CYTOPATHOLOGY PROCEDURE,,PC,17,,TotalUnits,,,,0.79 ,,$0.00,$0.00,1,0,1,1,1,0,20210101,
88199,CPT,CYTOPATHOLOGY PROCEDURE,,TC,17,,TotalUnits,,,,1.09 ,,$0.00,$0.00,1,1,1,0,1,0,20210101,
88230,CPT,TISSUE CULTURE LYMPHOCYTE,,,17,,TotalUnits,,,,3.23 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
88233,CPT,TISSUE CULTURE SKIN/BIOPSY,,,17,,TotalUnits,,,,3.90 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
88235,CPT,TISSUE CULTURE PLACENTA,,,17,,TotalUnits,,,,4.16 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
88237,CPT,TISSUE CULTURE BONE MARROW,,,17,,TotalUnits,,,,3.98 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
88239,CPT,TISSUE CULTURE TUMOR,,,17,,TotalUnits,,,,4.09 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
88240,CPT,CELL CRYOPRESERVE/STORAGE,,,17,,TotalUnits,,,,0.36 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
88241,CPT,FROZEN CELL PREPARATION,,,17,,TotalUnits,,,,0.33 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
88245,CPT,CHROMOSOME ANALYSIS 20-25,,,17,,TotalUnits,,,,4.80 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
88248,CPT,CHROMOSOME ANALYSIS 50-100,,,17,,TotalUnits,,,,4.80 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
88249,CPT,CHROMOSOME ANALYSIS 100,,,17,,TotalUnits,,,,4.80 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
88261,CPT,CHROMOSOME ANALYSIS 5,,,17,,TotalUnits,,,,7.32 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
88262,CPT,CHROMOSOME ANALYSIS 15-20,,,17,,TotalUnits,,,,3.48 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
88263,CPT,CHROMOSOME ANALYSIS 45,,,17,,TotalUnits,,,,4.16 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
88264,CPT,CHROMOSOME ANALYSIS 20-25,,,17,,TotalUnits,,,,4.01 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
88267,CPT,CHROMOSOME ANALYS PLACENTA,,,17,,TotalUnits,,,,5.23 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
88269,CPT,CHROMOSOME ANALYS AMNIOTIC,,,17,,TotalUnits,,,,4.81 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
88271,CPT,CYTOGENETICS DNA PROBE,,,17,,TotalUnits,,,,0.59 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
88272,CPT,CYTOGENETICS 3-5,,,17,,TotalUnits,,,,1.13 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
88273,CPT,CYTOGENETICS 10-30,,,17,,TotalUnits,,,,0.96 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
88274,CPT,CYTOGENETICS 25-99,,,17,,TotalUnits,,,,1.17 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
88275,CPT,CYTOGENETICS 100-300,,,17,,TotalUnits,,,,1.42 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
88280,CPT,CHROMOSOME KARYOTYPE STUDY,,,17,,TotalUnits,,,,0.93 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
88283,CPT,CHROMOSOME BANDING STUDY,,,17,,TotalUnits,,,,1.90 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
88285,CPT,CHROMOSOME COUNT ADDITIONAL,,,17,,TotalUnits,,,,0.75 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
88289,CPT,CHROMOSOME STUDY ADDITIONAL,,,17,,TotalUnits,,,,0.95 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
88291,CPT,CYTO/MOLECULAR REPORT,,PC,17,,RBRVS,0.52 ,0.41 ,0.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
88299,CPT,CYTOGENETIC STUDY,,,17,,TotalUnits,,,,0.93 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
88300,CPT,SURGICAL PATH GROSS,,,17,,RBRVS,0.08 ,0.34 ,0.34 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
88300,CPT,SURGICAL PATH GROSS,26,,17,,RBRVS,0.08 ,0.04 ,0.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
88300,CPT,SURGICAL PATH GROSS,TC,,17,,RBRVS,,0.30 ,0.30 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
88302,CPT,TISSUE EXAM BY PATHOLOGIST,,,17,,RBRVS,0.13 ,0.72 ,0.72 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
88302,CPT,TISSUE EXAM BY PATHOLOGIST,26,,17,,RBRVS,0.13 ,0.06 ,0.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
88302,CPT,TISSUE EXAM BY PATHOLOGIST,TC,,17,,RBRVS,,0.66 ,0.66 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
88304,CPT,TISSUE EXAM BY PATHOLOGIST,,,17,,RBRVS,0.22 ,0.92 ,0.92 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
88304,CPT,TISSUE EXAM BY PATHOLOGIST,26,,17,,RBRVS,0.22 ,0.10 ,0.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
88304,CPT,TISSUE EXAM BY PATHOLOGIST,TC,,17,,RBRVS,,0.82 ,0.82 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
88305,CPT,TISSUE EXAM BY PATHOLOGIST,,,17,,RBRVS,0.75 ,1.21 ,1.21 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
88305,CPT,TISSUE EXAM BY PATHOLOGIST,26,,17,,RBRVS,0.75 ,0.33 ,0.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
88305,CPT,TISSUE EXAM BY PATHOLOGIST,TC,,17,,RBRVS,,0.88 ,0.88 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
88307,CPT,TISSUE EXAM BY PATHOLOGIST,,,17,,RBRVS,1.59 ,6.15 ,6.15 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
88307,CPT,TISSUE EXAM BY PATHOLOGIST,26,,17,,RBRVS,1.59 ,0.78 ,0.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
88307,CPT,TISSUE EXAM BY PATHOLOGIST,TC,,17,,RBRVS,,5.37 ,5.37 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
88309,CPT,TISSUE EXAM BY PATHOLOGIST,,,17,,RBRVS,2.80 ,8.97 ,8.97 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
88309,CPT,TISSUE EXAM BY PATHOLOGIST,26,,17,,RBRVS,2.80 ,1.38 ,1.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
88309,CPT,TISSUE EXAM BY PATHOLOGIST,TC,,17,,RBRVS,,7.59 ,7.59 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
88311,CPT,DECALCIFY TISSUE,,,17,,RBRVS,0.24 ,0.35 ,0.35 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
88311,CPT,DECALCIFY TISSUE,26,,17,,RBRVS,0.24 ,0.11 ,0.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
88311,CPT,DECALCIFY TISSUE,TC,,17,,RBRVS,,0.24 ,0.24 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
88312,CPT,SPECIAL STAINS GROUP 1,,,17,,RBRVS,0.54 ,2.41 ,2.41 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
88312,CPT,SPECIAL STAINS GROUP 1,26,,17,,RBRVS,0.54 ,0.22 ,0.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
88312,CPT,SPECIAL STAINS GROUP 1,TC,,17,,RBRVS,,2.19 ,2.19 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
88313,CPT,SPECIAL STAINS GROUP 2,,,17,,RBRVS,0.24 ,1.88 ,1.88 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
88313,CPT,SPECIAL STAINS GROUP 2,26,,17,,RBRVS,0.24 ,0.10 ,0.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
88313,CPT,SPECIAL STAINS GROUP 2,TC,,17,,RBRVS,,1.78 ,1.78 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
88314,CPT,HISTOCHEMICAL STAINS ADD-ON,,,17,,RBRVS,0.45 ,2.26 ,2.26 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
88314,CPT,HISTOCHEMICAL STAINS ADD-ON,26,,17,,RBRVS,0.45 ,0.18 ,0.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
88314,CPT,HISTOCHEMICAL STAINS ADD-ON,TC,,17,,RBRVS,,2.08 ,2.08 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
88319,CPT,ENZYME HISTOCHEMISTRY,,,17,,RBRVS,0.53 ,2.60 ,2.60 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
88319,CPT,ENZYME HISTOCHEMISTRY,26,,17,,RBRVS,0.53 ,0.24 ,0.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
88319,CPT,ENZYME HISTOCHEMISTRY,TC,,17,,RBRVS,,2.36 ,2.36 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
88321,CPT,MICROSLIDE CONSULTATION,,,17,,RBRVS,1.63 ,0.72 ,1.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
88323,CPT,MICROSLIDE CONSULTATION,,,17,,RBRVS,1.83 ,1.40 ,1.40 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
88323,CPT,MICROSLIDE CONSULTATION,26,,17,,RBRVS,1.83 ,0.67 ,0.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
88323,CPT,MICROSLIDE CONSULTATION,TC,,17,,RBRVS,,0.73 ,0.73 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
88325,CPT,COMPREHENSIVE REVIEW OF DATA,,,17,,RBRVS,2.85 ,1.21 ,1.99 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
88329,CPT,PATH CONSULT INTROP,,,17,,RBRVS,0.67 ,0.33 ,0.79 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
88331,CPT,PATH CONSULT INTRAOP 1 BLOC,,,17,,RBRVS,1.19 ,1.56 ,1.56 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
88331,CPT,PATH CONSULT INTRAOP 1 BLOC,26,,17,,RBRVS,1.19 ,0.60 ,0.60 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
88331,CPT,PATH CONSULT INTRAOP 1 BLOC,TC,,17,,RBRVS,,0.96 ,0.96 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
88332,CPT,PATH CONSULT INTRAOP ADDL,,,17,,RBRVS,0.59 ,0.93 ,0.93 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
88332,CPT,PATH CONSULT INTRAOP ADDL,26,,17,,RBRVS,0.59 ,0.30 ,0.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
88332,CPT,PATH CONSULT INTRAOP ADDL,TC,,17,,RBRVS,,0.63 ,0.63 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
88333,CPT,INTRAOP CYTO PATH CONSULT 1,,,17,,RBRVS,1.20 ,1.32 ,1.32 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
88333,CPT,INTRAOP CYTO PATH CONSULT 1,26,,17,,RBRVS,1.20 ,0.59 ,0.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
88333,CPT,INTRAOP CYTO PATH CONSULT 1,TC,,17,,RBRVS,,0.73 ,0.73 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
88334,CPT,INTRAOP CYTO PATH CONSULT 2,,,17,,RBRVS,0.73 ,0.86 ,0.86 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
88334,CPT,INTRAOP CYTO PATH CONSULT 2,26,,17,,RBRVS,0.73 ,0.36 ,0.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
88334,CPT,INTRAOP CYTO PATH CONSULT 2,TC,,17,,RBRVS,,0.50 ,0.50 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
88341,CPT,IMMUNOHISTO ANTB ADDL SLIDE,,,17,,RBRVS,0.56 ,2.04 ,2.04 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
88341,CPT,IMMUNOHISTO ANTB ADDL SLIDE,26,,17,,RBRVS,0.56 ,0.25 ,0.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
88341,CPT,IMMUNOHISTO ANTB ADDL SLIDE,TC,,17,,RBRVS,,1.79 ,1.79 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
88342,CPT,IMMUNOHISTO ANTB 1ST STAIN,,,17,,RBRVS,0.70 ,2.25 ,2.25 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
88342,CPT,IMMUNOHISTO ANTB 1ST STAIN,26,,17,,RBRVS,0.70 ,0.31 ,0.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
88342,CPT,IMMUNOHISTO ANTB 1ST STAIN,TC,,17,,RBRVS,,1.94 ,1.94 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
88344,CPT,IMMUNOHISTO ANTIBODY SLIDE,,,17,,RBRVS,0.77 ,4.07 ,4.07 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
88344,CPT,IMMUNOHISTO ANTIBODY SLIDE,26,,17,,RBRVS,0.77 ,0.33 ,0.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
88344,CPT,IMMUNOHISTO ANTIBODY SLIDE,TC,,17,,RBRVS,,3.74 ,3.74 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
88346,CPT,IMMUNOFLUOR ANTB 1ST STAIN,,,17,,RBRVS,0.74 ,2.80 ,2.80 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
88346,CPT,IMMUNOFLUOR ANTB 1ST STAIN,26,,17,,RBRVS,0.74 ,0.29 ,0.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
88346,CPT,IMMUNOFLUOR ANTB 1ST STAIN,TC,,17,,RBRVS,,2.51 ,2.51 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
88348,CPT,ELECTRON MICROSCOPY,,,17,,RBRVS,1.51 ,9.33 ,9.33 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
88348,CPT,ELECTRON MICROSCOPY,26,,17,,RBRVS,1.51 ,0.68 ,0.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
88348,CPT,ELECTRON MICROSCOPY,TC,,17,,RBRVS,,8.65 ,8.65 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
88350,CPT,IMMUNOFLUOR ANTB ADDL STAIN,,,17,,RBRVS,0.59 ,2.00 ,2.00 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
88350,CPT,IMMUNOFLUOR ANTB ADDL STAIN,26,,17,,RBRVS,0.59 ,0.24 ,0.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
88350,CPT,IMMUNOFLUOR ANTB ADDL STAIN,TC,,17,,RBRVS,,1.76 ,1.76 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
88355,CPT,ANALYSIS SKELETAL MUSCLE,,,17,,RBRVS,1.85 ,2.01 ,2.01 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
88355,CPT,ANALYSIS SKELETAL MUSCLE,26,,17,,RBRVS,1.85 ,0.52 ,0.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
88355,CPT,ANALYSIS SKELETAL MUSCLE,TC,,17,,RBRVS,,1.49 ,1.49 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
88356,CPT,ANALYSIS NERVE,,,17,,RBRVS,2.80 ,3.76 ,3.76 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
88356,CPT,ANALYSIS NERVE,26,,17,,RBRVS,2.80 ,0.86 ,0.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
88356,CPT,ANALYSIS NERVE,TC,,17,,RBRVS,,2.90 ,2.90 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
88358,CPT,ANALYSIS TUMOR,,,17,,RBRVS,0.95 ,2.79 ,2.79 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
88358,CPT,ANALYSIS TUMOR,26,,17,,RBRVS,0.95 ,0.48 ,0.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
88358,CPT,ANALYSIS TUMOR,TC,,17,,RBRVS,,2.31 ,2.31 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
88360,CPT,TUMOR IMMUNOHISTOCHEM/MANUAL,,,17,,RBRVS,0.85 ,2.66 ,2.66 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
88360,CPT,TUMOR IMMUNOHISTOCHEM/MANUAL,26,,17,,RBRVS,0.85 ,0.36 ,0.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
88360,CPT,TUMOR IMMUNOHISTOCHEM/MANUAL,TC,,17,,RBRVS,,2.30 ,2.30 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
88361,CPT,TUMOR IMMUNOHISTOCHEM/COMPUT,,,17,,RBRVS,0.95 ,2.61 ,2.61 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
88361,CPT,TUMOR IMMUNOHISTOCHEM/COMPUT,26,,17,,RBRVS,0.95 ,0.33 ,0.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
88361,CPT,TUMOR IMMUNOHISTOCHEM/COMPUT,TC,,17,,RBRVS,,2.28 ,2.28 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
88362,CPT,NERVE TEASING PREPARATIONS,,,17,,RBRVS,2.17 ,4.19 ,4.19 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
88362,CPT,NERVE TEASING PREPARATIONS,26,,17,,RBRVS,2.17 ,1.04 ,1.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
88362,CPT,NERVE TEASING PREPARATIONS,TC,,17,,RBRVS,,3.15 ,3.15 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
88363,CPT,XM ARCHIVE TISSUE MOLEC ANAL,,,17,,RBRVS,0.37 ,0.18 ,0.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
88364,CPT,INSITU HYBRIDIZATION (FISH),,,17,,RBRVS,0.70 ,3.17 ,3.17 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
88364,CPT,INSITU HYBRIDIZATION (FISH),26,,17,,RBRVS,0.70 ,0.29 ,0.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
88364,CPT,INSITU HYBRIDIZATION (FISH),TC,,17,,RBRVS,,2.88 ,2.88 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
88365,CPT,INSITU HYBRIDIZATION (FISH),,,17,,RBRVS,0.88 ,4.18 ,4.18 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
88365,CPT,INSITU HYBRIDIZATION (FISH),26,,17,,RBRVS,0.88 ,0.37 ,0.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
88365,CPT,INSITU HYBRIDIZATION (FISH),TC,,17,,RBRVS,,3.81 ,3.81 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
88366,CPT,INSITU HYBRIDIZATION (FISH),,,17,,RBRVS,1.24 ,6.52 ,6.52 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
88366,CPT,INSITU HYBRIDIZATION (FISH),26,,17,,RBRVS,1.24 ,0.54 ,0.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
88366,CPT,INSITU HYBRIDIZATION (FISH),TC,,17,,RBRVS,,5.98 ,5.98 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
88367,CPT,INSITU HYBRIDIZATION AUTO,,,17,,RBRVS,0.73 ,2.44 ,2.44 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
88367,CPT,INSITU HYBRIDIZATION AUTO,26,,17,,RBRVS,0.73 ,0.25 ,0.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
88367,CPT,INSITU HYBRIDIZATION AUTO,TC,,17,,RBRVS,,2.19 ,2.19 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
88368,CPT,INSITU HYBRIDIZATION MANUAL,,,17,,RBRVS,0.88 ,2.80 ,2.80 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
88368,CPT,INSITU HYBRIDIZATION MANUAL,26,,17,,RBRVS,0.88 ,0.31 ,0.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
88368,CPT,INSITU HYBRIDIZATION MANUAL,TC,,17,,RBRVS,,2.49 ,2.49 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
88369,CPT,M/PHMTRC ALYSISHQUANT/SEMIQ,,,17,,RBRVS,0.70 ,2.51 ,2.51 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
88369,CPT,M/PHMTRC ALYSISHQUANT/SEMIQ,26,,17,,RBRVS,0.70 ,0.23 ,0.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
88369,CPT,M/PHMTRC ALYSISHQUANT/SEMIQ,TC,,17,,RBRVS,,2.28 ,2.28 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
88371,CPT,PROTEIN WESTERN BLOT TISSUE,,,17,,TotalUnits,,,,0.62 ,,$0.00,$0.00,1,1,1,0,0,1,20210101,
88371,CPT,PROTEIN WESTERN BLOT TISSUE,26,,17,,RBRVS,0.37 ,0.19 ,0.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
88372,CPT,PROTEIN ANALYSIS W/PROBE,,,17,,TotalUnits,,,,0.73 ,,$0.00,$0.00,1,1,1,0,0,1,20210101,
88372,CPT,PROTEIN ANALYSIS W/PROBE,26,,17,,RBRVS,0.37 ,0.14 ,0.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
88373,CPT,M/PHMTRC ALYS ISHQUANT/SEMIQ,,,17,,RBRVS,0.58 ,1.49 ,1.49 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
88373,CPT,M/PHMTRC ALYS ISHQUANT/SEMIQ,26,,17,,RBRVS,0.58 ,0.18 ,0.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
88373,CPT,M/PHMTRC ALYS ISHQUANT/SEMIQ,TC,,17,,RBRVS,,1.31 ,1.31 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
88374,CPT,M/PHMTRC ALYS ISHQUANT/SEMIQ,,,17,,RBRVS,0.93 ,8.70 ,8.70 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
88374,CPT,M/PHMTRC ALYS ISHQUANT/SEMIQ,26,,17,,RBRVS,0.93 ,0.34 ,0.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
88374,CPT,M/PHMTRC ALYS ISHQUANT/SEMIQ,TC,,17,,RBRVS,,8.36 ,8.36 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
88375,CPT,OPTICAL ENDOMICROSCPY INTERP,,,17,,TotalUnits,,,,0.96 ,,$0.00,$0.00,1,1,1,0,0,1,20210101,
88377,CPT,M/PHMTRC ALYS ISHQUANT/SEMIQ,,,17,,RBRVS,1.40 ,9.97 ,9.97 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
88377,CPT,M/PHMTRC ALYS ISHQUANT/SEMIQ,26,,17,,RBRVS,1.40 ,0.45 ,0.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
88377,CPT,M/PHMTRC ALYS ISHQUANT/SEMIQ,TC,,17,,RBRVS,,9.52 ,9.52 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
88380,CPT,MICRODISSECTION LASER,,,17,,RBRVS,1.14 ,2.64 ,2.64 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
88380,CPT,MICRODISSECTION LASER,26,,17,,RBRVS,1.14 ,0.44 ,0.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
88380,CPT,MICRODISSECTION LASER,TC,,17,,RBRVS,,2.20 ,2.20 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
88381,CPT,MICRODISSECTION MANUAL,,,17,,RBRVS,0.53 ,4.50 ,4.50 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
88381,CPT,MICRODISSECTION MANUAL,26,,17,,RBRVS,0.53 ,0.18 ,0.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
88381,CPT,MICRODISSECTION MANUAL,TC,,17,,RBRVS,,4.32 ,4.32 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
88387,CPT,TISS EXAM MOLECULAR STUDY,,,17,,RBRVS,0.62 ,0.36 ,0.36 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
88387,CPT,TISS EXAM MOLECULAR STUDY,,PC,17,,RBRVS,0.62 ,0.17 ,0.17 ,,,$0.00,$0.00,1,0,1,1,1,0,20210101,
88387,CPT,TISS EXAM MOLECULAR STUDY,,TC,17,,RBRVS,,0.19 ,0.19 ,,,$0.00,$0.00,1,1,1,0,1,0,20210101,
88388,CPT,TISS EX MOLECUL STUDY ADD-ON,,,17,,RBRVS,0.45 ,0.57 ,0.57 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
88388,CPT,TISS EX MOLECUL STUDY ADD-ON,,PC,17,,RBRVS,0.45 ,0.23 ,0.23 ,,,$0.00,$0.00,1,0,1,1,1,0,20210101,
88388,CPT,TISS EX MOLECUL STUDY ADD-ON,,TC,17,,RBRVS,,0.34 ,0.34 ,,,$0.00,$0.00,1,1,1,0,1,0,20210101,
88399,CPT,SURGICAL PATHOLOGY PROCEDURE,,,17,,TotalUnits,,,,1.96 ,,$0.00,$0.00,1,0,0,0,0,1,20210101,
88399,CPT,SURGICAL PATHOLOGY PROCEDURE,,PC,17,,TotalUnits,,,,1.08 ,,$0.00,$0.00,1,0,1,1,1,0,20210101,
88399,CPT,SURGICAL PATHOLOGY PROCEDURE,,TC,17,,TotalUnits,,,,0.88 ,,$0.00,$0.00,1,1,1,0,1,0,20210101,
88720,CPT,BILIRUBIN TOTAL TRANSCUT,,,17,,TotalUnits,,,,0.14 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
88738,CPT,HGB QUANT TRANSCUTANEOUS,,,17,,TotalUnits,,,,0.14 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
88740,CPT,TRANSCUTANEOUS CARBOXYHB,,,17,,TotalUnits,,,,0.26 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
88741,CPT,TRANSCUTANEOUS METHB,,,17,,TotalUnits,,,,0.26 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
88749,CPT,IN VIVO LAB SERVICE,,,17,,TotalUnits,,,,0.14 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
89049,CPT,CHCT FOR MAL HYPERTHERMIA,,,17,,RBRVS,1.40 ,0.24 ,5.62 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
89050,CPT,BODY FLUID CELL COUNT,,,17,,TotalUnits,,,,0.13 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
89051,CPT,BODY FLUID CELL COUNT,,,17,,TotalUnits,,,,0.16 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
89055,CPT,LEUKOCYTE ASSESSMENT FECAL,,,17,,TotalUnits,,,,0.12 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
89060,CPT,EXAM SYNOVIAL FLUID CRYSTALS,,,17,,TotalUnits,,,,0.20 ,,$0.00,$0.00,1,1,1,0,0,1,20210101,
89060,CPT,EXAM SYNOVIAL FLUID CRYSTALS,26,,17,,RBRVS,0.37 ,0.14 ,0.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
89125,CPT,SPECIMEN FAT STAIN,,,17,,TotalUnits,,,,0.16 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
89160,CPT,EXAM FECES FOR MEAT FIBERS,,,17,,TotalUnits,,,,0.13 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
89190,CPT,NASAL SMEAR FOR EOSINOPHILS,,,17,,TotalUnits,,,,0.16 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
89220,CPT,SPUTUM SPECIMEN COLLECTION,,TC,17,,RBRVS,,0.45 ,0.45 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
89230,CPT,COLLECT SWEAT FOR TEST,,TC,17,,RBRVS,,0.06 ,0.06 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
89240,CPT,PATHOLOGY LAB PROCEDURE,,,17,,TotalUnits,,,,0.16 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
89250,CPT,CULTR OOCYTE/EMBRYO <4 DAYS,,,17,,TotalUnits,,,,11.77 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
89251,CPT,CULTR OOCYTE/EMBRYO <4 DAYS,,,17,,TotalUnits,,,,11.94 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
89253,CPT,EMBRYO HATCHING,,,17,,TotalUnits,,,,4.71 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
89254,CPT,OOCYTE IDENTIFICATION,,,17,,TotalUnits,,,,5.00 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
89255,CPT,PREPARE EMBRYO FOR TRANSFER,,,17,,TotalUnits,,,,3.36 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
89257,CPT,SPERM IDENTIFICATION,,,17,,TotalUnits,,,,3.64 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
89258,CPT,CRYOPRESERVATION EMBRYO(S),,,17,,TotalUnits,,,,5.98 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
89259,CPT,CRYOPRESERVATION SPERM,,,17,,TotalUnits,,,,1.30 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
89260,CPT,SPERM ISOLATION SIMPLE,,,17,,TotalUnits,,,,1.25 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
89261,CPT,SPERM ISOLATION COMPLEX,,,17,,TotalUnits,,,,1.75 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
89264,CPT,IDENTIFY SPERM TISSUE,,,17,,TotalUnits,,,,4.34 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
89268,CPT,INSEMINATION OF OOCYTES,,,17,,TotalUnits,,,,4.28 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
89272,CPT,EXTENDED CULTURE OF OOCYTES,,,17,,TotalUnits,,,,7.48 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
89280,CPT,ASSIST OOCYTE FERTILIZATION,,,17,,TotalUnits,,,,11.41 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
89281,CPT,ASSIST OOCYTE FERTILIZATION,,,17,,TotalUnits,,,,12.60 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
89290,CPT,BIOPSY OOCYTE POLAR BODY,,,17,,TotalUnits,,,,11.14 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
89291,CPT,BIOPSY OOCYTE POLAR BODY,,,17,,TotalUnits,,,,13.22 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
89300,CPT,SEMEN ANALYSIS W/HUHNER,,,17,,TotalUnits,,,,0.27 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
89310,CPT,SEMEN ANALYSIS W/COUNT,,,17,,TotalUnits,,,,0.24 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
89320,CPT,SEMEN ANAL VOL/COUNT/MOT,,,17,,TotalUnits,,,,0.34 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
89321,CPT,SEMEN ANAL SPERM DETECTION,,,17,,TotalUnits,,,,0.33 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
89322,CPT,SEMEN ANAL STRICT CRITERIA,,,17,,TotalUnits,,,,0.43 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
89325,CPT,SPERM ANTIBODY TEST,,,17,,TotalUnits,,,,0.30 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
89329,CPT,SPERM EVALUATION TEST,,,17,,TotalUnits,,,,0.54 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
89330,CPT,EVALUATION CERVICAL MUCUS,,,17,,TotalUnits,,,,0.29 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
89331,CPT,RETROGRADE EJACULATION ANAL,,,17,,TotalUnits,,,,0.54 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
89335,CPT,CRYOPRESERVE TESTICULAR TISS,,,17,,TotalUnits,,,,2.21 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
89337,CPT,CRYOPRESERVATION OOCYTE(S),,,17,,TotalUnits,,,,8.45 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
89342,CPT,STORAGE/YEAR EMBRYO(S),,,17,,TotalUnits,,,,2.82 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
89343,CPT,STORAGE/YEAR SPERM/SEMEN,,,17,,TotalUnits,,,,1.84 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
89344,CPT,STORAGE/YEAR REPROD TISSUE,,,17,,TotalUnits,,,,1.73 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
89346,CPT,STORAGE/YEAR OOCYTE(S),,,17,,TotalUnits,,,,2.61 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
89352,CPT,THAWING CRYOPRESRVED EMBRYO,,,17,,TotalUnits,,,,4.83 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
89353,CPT,THAWING CRYOPRESRVED SPERM,,,17,,TotalUnits,,,,0.77 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
89354,CPT,THAW CRYOPRSVRD REPROD TISS,,,17,,TotalUnits,,,,1.34 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
89356,CPT,THAWING CRYOPRESRVED OOCYTE,,,17,,TotalUnits,,,,4.02 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
89398,CPT,UNLISTED REPROD MED LAB PROC,,,17,,TotalUnits,,,,0.34 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
90281,CPT,HUMAN IG IM,,,22,,TotalUnits,,,,0.53 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
90283,CPT,HUMAN IG IV,,,22,,TotalUnits,,,,1.24 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
90284,CPT,HUMAN IG SC,,,22,,TotalUnits,,,,0.28 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
90287,CPT,BOTULINUM ANTITOXIN,,,22,,TotalUnits,,,,0.16 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
90291,CPT,CMV IG IV,,,22,,TotalUnits,,,,1.43 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
90296,CPT,DIPHTHERIA ANTITOXIN,,,22,,TotalUnits,,,,0.45 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
90371,CPT,HEP B IG IM,,,22,,TotalUnits,,,,2.80 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
90375,CPT,RABIES IG IM/SC,,,22,,TotalUnits,,,,4.11 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
90376,CPT,RABIES IG HEAT TREATED,,,22,,TotalUnits,,,,3.90 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
90378,CPT,RSV MAB IM 50MG,,,22,,TotalUnits,,,,17.89 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
90384,CPT,RH IG FULL-DOSE IM,,,22,,TotalUnits,,,,1.44 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
90385,CPT,RH IG MINIDOSE IM,,,22,,TotalUnits,,,,0.61 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
90386,CPT,RH IG IV,,,22,,TotalUnits,,,,1.79 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
90389,CPT,TETANUS IG IM,,,22,,TotalUnits,,,,1.15 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
90396,CPT,VARICELLA-ZOSTER IG IM,,,22,,TotalUnits,,,,2.90 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
90399,CPT,IMMUNE GLOBULIN,,,22,,TotalUnits,,,,1.24 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
90460,CPT,IM ADMIN 1ST/ONLY COMPONENT,,,9,,RBRVS,0.17 ,0.22 ,0.22 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
90461,CPT,IM ADMIN EACH ADDL COMPONENT,,,9,,RBRVS,0.15 ,0.20 ,0.20 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
90471,CPT,IMMUNIZATION ADMIN,,,9,,RBRVS,0.17 ,0.22 ,0.22 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
90472,CPT,IMMUNIZATION ADMIN EACH ADD,,,9,,RBRVS,0.15 ,0.20 ,0.20 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
90473,CPT,IMMUNE ADMIN ORAL/NASAL,,,9,,RBRVS,0.17 ,0.22 ,0.22 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
90474,CPT,IMMUNE ADMIN ORAL/NASAL ADDL,,,9,,RBRVS,0.15 ,0.20 ,0.20 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
90476,CPT,ADENOVIRUS VACCINE TYPE 4,,,9,,TotalUnits,,,,0.38 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
90477,CPT,ADENOVIRUS VACCINE TYPE 7,,,9,,TotalUnits,,,,0.22 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
90581,CPT,ANTHRAX VACCINE SC OR IM,,,9,,TotalUnits,,,,3.12 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
90585,CPT,BCG VACCINE PERCUT,,,9,,TotalUnits,,,,1.75 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
90586,CPT,BCG VACCINE INTRAVESICAL,,,9,,TotalUnits,,,,2.85 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
90619,CPT,MENACWY-TT VACCINE IM,,,9,,TotalUnits,,,,2.35 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
90620,CPT,MENB-4C VACC 2 DOSE IM,,,9,,TotalUnits,,,,2.21 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
90621,CPT,MENB-FHBP VACC 2/3 DOSE IM,,,9,,TotalUnits,,,,1.80 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
90625,CPT,CHOLERA VACCINE LIVE ORAL,,,9,,TotalUnits,,,,2.87 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
90630,CPT,FLU VACC IIV4 NO PRESERV ID,,,9,,TotalUnits,,,,0.41 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
90632,CPT,HEPA VACCINE ADULT IM,,,9,,TotalUnits,,,,0.97 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
90633,CPT,HEPA VACC PED/ADOL 2 DOSE IM,,,9,,TotalUnits,,,,0.59 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
90634,CPT,HEPA VACC PED/ADOL 3 DOSE,,,9,,TotalUnits,,,,0.76 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
90636,CPT,HEP A/HEP B VACC ADULT IM,,,9,,TotalUnits,,,,1.40 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
90644,CPT,HIB-MENCY VACC 6WK-18M0 IM,,,9,,TotalUnits,,,,0.80 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
90647,CPT,HIB PRP-OMP VACC 3 DOSE IM,,,9,,TotalUnits,,,,0.50 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
90648,CPT,HIB PRP-T VACCINE 4 DOSE IM,,,9,,TotalUnits,,,,0.46 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
90649,CPT,4VHPV VACCINE 3 DOSE IM,,,9,,TotalUnits,,,,2.10 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
90650,CPT,2VHPV VACCINE 3 DOSE IM,,,9,,TotalUnits,,,,2.06 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
90651,CPT,9VHPV VACCINE 2/3 DOSE IM,,,9,,TotalUnits,,,,2.59 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
90653,CPT,IIV ADJUVANT VACCINE IM,,,9,,TotalUnits,,,,0.64 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
90654,CPT,FLU VACC IIV3 NO PRESERV ID,,,9,,TotalUnits,,,,0.34 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
90655,CPT,IIV3 VACC NO PRSV 0.25 ML IM,,,9,,TotalUnits,,,,0.32 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
90656,CPT,IIV3 VACC NO PRSV 0.5 ML IM,,,9,,TotalUnits,,,,0.31 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
90657,CPT,IIV3 VACCINE SPLT 0.25 ML IM,,,9,,TotalUnits,,,,0.28 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
90658,CPT,IIV3 VACCINE SPLT 0.5 ML IM,,,9,,TotalUnits,,,,0.29 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
90660,CPT,LAIV3 VACCINE INTRANASAL,,,9,,TotalUnits,,,,0.44 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
90661,CPT,CCIIV3 VAC NO PRSV 0.5 ML IM,,,9,,TotalUnits,,,,0.38 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
90662,CPT,IIV NO PRSV INCREASED AG IM,,,9,,TotalUnits,,,,0.61 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
90664,CPT,LAIV VACC PANDEMIC INTRANASL,,,9,,TotalUnits,,,,0.62 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
90666,CPT,FLU VAC PANDEM PRSRV FREE IM,,,9,,TotalUnits,,,,0.44 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
90667,CPT,IIV VACC PANDEMIC ADJUVT IM,,,9,,TotalUnits,,,,0.39 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
90668,CPT,IIV VACCINE PANDEMIC IM,,,9,,TotalUnits,,,,0.35 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
90670,CPT,PCV13 VACCINE IM,,,9,,TotalUnits,,,,2.38 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
90672,CPT,LAIV4 VACCINE INTRANASAL,,,9,,TotalUnits,,,,0.41 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
90673,CPT,RIV3 VACCINE NO PRESERV IM,,,9,,TotalUnits,,,,0.51 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
90674,CPT,CCIIV4 VAC NO PRSV 0.5 ML IM,,,9,,TotalUnits,,,,0.31 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
90675,CPT,RABIES VACCINE IM,,,9,,TotalUnits,,,,3.29 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
90676,CPT,RABIES VACCINE ID,,,9,,TotalUnits,,,,2.55 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
90680,CPT,RV5 VACC 3 DOSE LIVE ORAL,,,9,,TotalUnits,,,,1.16 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
90681,CPT,RV1 VACC 2 DOSE LIVE ORAL,,,9,,TotalUnits,,,,1.52 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
90682,CPT,RIV4 VACC RECOMBINANT DNA IM,,,9,,TotalUnits,,,,0.61 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
90685,CPT,IIV4 VACC NO PRSV 0.25 ML IM,,,9,,TotalUnits,,,,0.36 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
90686,CPT,IIV4 VACC NO PRSV 0.5 ML IM,,,9,,TotalUnits,,,,0.32 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
90687,CPT,IIV4 VACCINE SPLT 0.25 ML IM,,,9,,TotalUnits,,,,0.30 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
90688,CPT,IIV4 VACCINE SPLT 0.5 ML IM,,,9,,TotalUnits,,,,0.30 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
90689,CPT,VACC IIV4 NO PRSRV 0.25ML IM,,,9,,TotalUnits,,,,0.41 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
90690,CPT,TYPHOID VACCINE ORAL,,,9,,TotalUnits,,,,0.75 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
90691,CPT,TYPHOID VACCINE IM,,,9,,TotalUnits,,,,1.07 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
90696,CPT,DTAP-IPV VACCINE 4-6 YRS IM,,,9,,TotalUnits,,,,0.94 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
90697,CPT,DTAP-IPV-HIB-HEPB VACCINE IM,,,9,,TotalUnits,,,,0.63 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
90698,CPT,DTAP-IPV/HIB VACCINE IM,,,9,,TotalUnits,,,,1.24 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
90700,CPT,DTAP VACCINE < 7 YRS IM,,,9,,TotalUnits,,,,0.49 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
90702,CPT,DT VACCINE UNDER 7 YRS IM,,,9,,TotalUnits,,,,0.43 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
90707,CPT,MMR VACCINE SC,,,9,,TotalUnits,,,,0.91 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
90710,CPT,MMRV VACCINE SC,,,9,,TotalUnits,,,,2.41 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
90713,CPT,POLIOVIRUS IPV SC/IM,,,9,,TotalUnits,,,,0.51 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
90714,CPT,TD VACC NO PRESV 7 YRS+ IM,,,9,,TotalUnits,,,,0.43 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
90715,CPT,TDAP VACCINE 7 YRS/> IM,,,9,,TotalUnits,,,,0.65 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
90716,CPT,VAR VACCINE LIVE SUBQ,,,9,,TotalUnits,,,,1.46 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
90717,CPT,YELLOW FEVER VACCINE SUBQ,,,9,,TotalUnits,,,,1.48 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
90723,CPT,DTAP-HEP B-IPV VACCINE IM,,,9,,TotalUnits,,,,1.18 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
90732,CPT,PPSV23 VACC 2 YRS+ SUBQ/IM,,,9,,TotalUnits,,,,1.40 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
90733,CPT,MPSV4 VACCINE SUBQ,,,9,,TotalUnits,,,,1.56 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
90734,CPT,MENACWYD/MENACWYCRM VACC IM,,,9,,TotalUnits,,,,1.56 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
90736,CPT,HZV VACCINE LIVE SUBQ,,,9,,TotalUnits,,,,2.34 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
90738,CPT,INACTIVATED JE VACC IM,,,9,,TotalUnits,,,,2.98 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
90739,CPT,HEPB VACC 2 DOSE ADULT IM,,,9,,TotalUnits,,,,1.31 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
90740,CPT,HEPB VACC 3 DOSE IMMUNSUP IM,,,9,,TotalUnits,,,,3.23 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
90743,CPT,HEPB VACC 2 DOSE ADOLESC IM,,,9,,TotalUnits,,,,0.82 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
90744,CPT,HEPB VACC 3 DOSE PED/ADOL IM,,,9,,TotalUnits,,,,0.54 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
90746,CPT,HEPB VACCINE 3 DOSE ADULT IM,,,9,,TotalUnits,,,,0.99 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
90747,CPT,HEPB VACC 4 DOSE IMMUNSUP IM,,,9,,TotalUnits,,,,2.49 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
90748,CPT,HIB-HEPB VACCINE IM,,,9,,TotalUnits,,,,0.90 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
90749,CPT,VACCINE TOXOID,,,9,,TotalUnits,,,,0.39 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
90750,CPT,HZV VACC RECOMBINANT IM,,,9,,TotalUnits,,,,1.92 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
90756,CPT,CCIIV4 VACC ABX FREE IM,,,9,,TotalUnits,,,,0.33 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
90785,CPT,PSYTX COMPLEX INTERACTIVE,,,16,,RBRVS,0.33 ,0.05 ,0.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
90791,CPT,PSYCH DIAGNOSTIC EVALUATION,,,16,,RBRVS,3.00 ,0.43 ,0.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
90792,CPT,PSYCH DIAG EVAL W/MED SRVCS,,,16,,RBRVS,3.25 ,0.60 ,1.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
90832,CPT,PSYTX W PT 30 MINUTES,,,16,,RBRVS,1.50 ,0.21 ,0.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
90833,CPT,PSYTX W PT W E/M 30 MIN,,,16,,RBRVS,1.50 ,0.28 ,0.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
90834,CPT,PSYTX W PT 45 MINUTES,,,16,,RBRVS,2.00 ,0.28 ,0.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
90836,CPT,PSYTX W PT W E/M 45 MIN,,,16,,RBRVS,1.90 ,0.35 ,0.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
90837,CPT,PSYTX W PT 60 MINUTES,,,16,,RBRVS,3.00 ,0.42 ,0.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
90838,CPT,PSYTX W PT W E/M 60 MIN,,,16,,RBRVS,2.50 ,0.47 ,0.77 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
90839,CPT,PSYTX CRISIS INITIAL 60 MIN,,,16,,RBRVS,3.13 ,0.45 ,0.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
90840,CPT,PSYTX CRISIS EA ADDL 30 MIN,,,16,,RBRVS,1.50 ,0.21 ,0.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
90845,CPT,PSYCHOANALYSIS,,,16,,RBRVS,2.10 ,0.34 ,0.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
90846,CPT,FAMILY PSYTX W/O PT 50 MIN,,,16,,RBRVS,2.40 ,0.36 ,0.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
90847,CPT,FAMILY PSYTX W/PT 50 MIN,,,16,,RBRVS,2.50 ,0.37 ,0.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
90849,CPT,MULTIPLE FAMILY GROUP PSYTX,,,16,,RBRVS,0.59 ,0.21 ,0.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
90853,CPT,GROUP PSYCHOTHERAPY,,,16,,RBRVS,0.59 ,0.09 ,0.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
90863,CPT,PHARMACOLOGIC MGMT W/PSYTX,,,16,,RBRVS,0.48 ,0.18 ,0.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
90865,CPT,NARCOSYNTHESIS,,,16,,RBRVS,2.84 ,0.66 ,1.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
90867,CPT,TCRANIAL MAGN STIM TX PLAN,,,16,,TotalUnits,,,,9.08 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
90868,CPT,TCRANIAL MAGN STIM TX DELI,,,16,,TotalUnits,,,,6.92 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
90869,CPT,TCRAN MAGN STIM REDETEMINE,,,16,,TotalUnits,,,,9.39 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
90870,CPT,ELECTROCONVULSIVE THERAPY,,,16,,RBRVS,2.50 ,0.52 ,2.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
90875,CPT,PSYCHOPHYSIOLOGICAL THERAPY,,,16,,RBRVS,1.20 ,0.46 ,0.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
90876,CPT,PSYCHOPHYSIOLOGICAL THERAPY,,,16,,RBRVS,1.90 ,0.73 ,1.03 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
90880,CPT,HYPNOTHERAPY,,,16,,RBRVS,2.19 ,0.32 ,0.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
90882,CPT,ENVIRONMENTAL MANIPULATION,,,16,,TotalUnits,,,,1.24 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
90885,CPT,PSY EVALUATION OF RECORDS,,,16,,RBRVS,0.97 ,0.37 ,0.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
90887,CPT,CONSULTATION WITH FAMILY,,,16,,RBRVS,1.48 ,0.57 ,0.91 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
90889,CPT,PREPARATION OF REPORT,,,16,,TotalUnits,,,,1.84 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
90899,CPT,PSYCHIATRIC SERVICE/THERAPY,,,16,,TotalUnits,,,,1.96 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
90901,CPT,BIOFEEDBACK TRAIN ANY METH,,,14,,RBRVS,0.41 ,0.14 ,0.72 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
90912,CPT,BFB TRAINING 1ST 15 MIN,,,14,,RBRVS,0.90 ,0.31 ,1.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
90913,CPT,BFB TRAINING EA ADDL 15 MIN,,,14,,RBRVS,0.50 ,0.17 ,0.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
90935,CPT,HEMODIALYSIS ONE EVALUATION,,,14,,RBRVS,1.48 ,0.51 ,0.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
90937,CPT,HEMODIALYSIS REPEATED EVAL,,,14,,RBRVS,2.11 ,0.74 ,0.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
90940,CPT,HEMODIALYSIS ACCESS STUDY,,,14,,TotalUnits,,,,0.77 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
90945,CPT,DIALYSIS ONE EVALUATION,,,14,,RBRVS,1.56 ,0.79 ,0.79 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
90947,CPT,DIALYSIS REPEATED EVAL,,,14,,RBRVS,2.52 ,0.87 ,0.87 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
90951,CPT,ESRD SERV 4 VISITS P MO <2YR,,,14,,RBRVS,18.46 ,6.96 ,6.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
90952,CPT,ESRD SERV 2-3 VSTS P MO <2YR,,,14,,TotalUnits,,,,19.81 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
90953,CPT,ESRD SERV 1 VISIT P MO <2YRS,,,14,,TotalUnits,,,,13.21 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
90954,CPT,ESRD SERV 4 VSTS P MO 2-11,,,14,,RBRVS,15.98 ,6.10 ,6.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
90955,CPT,ESRD SRV 2-3 VSTS P MO 2-11,,,14,,RBRVS,8.79 ,3.69 ,3.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
90956,CPT,ESRD SRV 1 VISIT P MO 2-11,,,14,,RBRVS,5.95 ,2.73 ,2.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
90957,CPT,ESRD SRV 4 VSTS P MO 12-19,,,14,,RBRVS,12.52 ,5.00 ,5.00 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
90958,CPT,ESRD SRV 2-3 VSTS P MO 12-19,,,14,,RBRVS,8.34 ,3.58 ,3.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
90959,CPT,ESRD SERV 1 VST P MO 12-19,,,14,,RBRVS,5.50 ,2.57 ,2.57 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
90960,CPT,ESRD SRV 4 VISITS P MO 20+,,,14,,RBRVS,5.18 ,2.58 ,2.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
90961,CPT,ESRD SRV 2-3 VSTS P MO 20+,,,14,,RBRVS,4.26 ,2.26 ,2.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
90962,CPT,ESRD SERV 1 VISIT P MO 20+,,,14,,RBRVS,3.15 ,1.89 ,1.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
90963,CPT,ESRD HOME PT SERV P MO <2YRS,,,14,,RBRVS,10.56 ,4.26 ,4.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
90964,CPT,ESRD HOME PT SERV P MO 2-11,,,14,,RBRVS,9.14 ,3.82 ,3.82 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
90965,CPT,ESRD HOME PT SERV P MO 12-19,,,14,,RBRVS,8.69 ,3.70 ,3.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
90966,CPT,ESRD HOME PT SERV P MO 20+,,,14,,RBRVS,4.26 ,2.25 ,2.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
90967,CPT,ESRD SVC PR DAY PT <2,,,14,,RBRVS,0.35 ,0.14 ,0.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
90968,CPT,ESRD SVC PR DAY PT 2-11,,,14,,RBRVS,0.30 ,0.13 ,0.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
90969,CPT,ESRD SVC PR DAY PT 12-19,,,14,,RBRVS,0.29 ,0.12 ,0.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
90970,CPT,ESRD SVC PR DAY PT 20+,,,14,,RBRVS,0.14 ,0.08 ,0.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
90989,CPT,DIALYSIS TRAINING COMPLETE,,,14,,TotalUnits,,,,10.45 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
90993,CPT,DIALYSIS TRAINING INCOMPL,,,14,,TotalUnits,,,,7.83 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
90997,CPT,HEMOPERFUSION,,,14,,RBRVS,1.84 ,0.61 ,0.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
90999,CPT,DIALYSIS PROCEDURE,,,14,,TotalUnits,,,,3.39 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
91010,CPT,ESOPHAGUS MOTILITY STUDY,,,14,,RBRVS,1.28 ,4.34 ,4.34 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
91010,CPT,ESOPHAGUS MOTILITY STUDY,26,,14,,RBRVS,1.28 ,0.55 ,0.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
91010,CPT,ESOPHAGUS MOTILITY STUDY,TC,,14,,RBRVS,,3.79 ,3.79 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
91013,CPT,ESOPHGL MOTIL W/STIM/PERFUS,,,14,,RBRVS,0.18 ,0.54 ,0.54 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
91013,CPT,ESOPHGL MOTIL W/STIM/PERFUS,26,,14,,RBRVS,0.18 ,0.08 ,0.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
91013,CPT,ESOPHGL MOTIL W/STIM/PERFUS,TC,,14,,RBRVS,,0.46 ,0.46 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
91020,CPT,GASTRIC MOTILITY STUDIES,,,14,,RBRVS,1.44 ,5.84 ,5.84 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
91020,CPT,GASTRIC MOTILITY STUDIES,26,,14,,RBRVS,1.44 ,0.63 ,0.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
91020,CPT,GASTRIC MOTILITY STUDIES,TC,,14,,RBRVS,,5.21 ,5.21 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
91022,CPT,DUODENAL MOTILITY STUDY,,,14,,RBRVS,1.44 ,3.26 ,3.26 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
91022,CPT,DUODENAL MOTILITY STUDY,26,,14,,RBRVS,1.44 ,0.63 ,0.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
91022,CPT,DUODENAL MOTILITY STUDY,TC,,14,,RBRVS,,2.63 ,2.63 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
91030,CPT,ACID PERFUSION OF ESOPHAGUS,,,14,,RBRVS,0.91 ,2.98 ,2.98 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
91030,CPT,ACID PERFUSION OF ESOPHAGUS,26,,14,,RBRVS,0.91 ,0.40 ,0.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
91030,CPT,ACID PERFUSION OF ESOPHAGUS,TC,,14,,RBRVS,,2.58 ,2.58 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
91034,CPT,GASTROESOPHAGEAL REFLUX TEST,,,14,,RBRVS,0.97 ,4.37 ,4.37 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
91034,CPT,GASTROESOPHAGEAL REFLUX TEST,26,,14,,RBRVS,0.97 ,0.41 ,0.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
91034,CPT,GASTROESOPHAGEAL REFLUX TEST,TC,,14,,RBRVS,,3.96 ,3.96 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
91035,CPT,G-ESOPH REFLX TST W/ELECTROD,,,14,,RBRVS,1.59 ,12.00 ,12.00 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
91035,CPT,G-ESOPH REFLX TST W/ELECTROD,26,,14,,RBRVS,1.59 ,0.67 ,0.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
91035,CPT,G-ESOPH REFLX TST W/ELECTROD,TC,,14,,RBRVS,,11.33 ,11.33 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
91037,CPT,ESOPH IMPED FUNCTION TEST,,,14,,RBRVS,0.97 ,3.68 ,3.68 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
91037,CPT,ESOPH IMPED FUNCTION TEST,26,,14,,RBRVS,0.97 ,0.41 ,0.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
91037,CPT,ESOPH IMPED FUNCTION TEST,TC,,14,,RBRVS,,3.27 ,3.27 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
91038,CPT,ESOPH IMPED FUNCT TEST > 1HR,,,14,,RBRVS,1.10 ,11.29 ,11.29 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
91038,CPT,ESOPH IMPED FUNCT TEST > 1HR,26,,14,,RBRVS,1.10 ,0.47 ,0.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
91038,CPT,ESOPH IMPED FUNCT TEST > 1HR,TC,,14,,RBRVS,,10.82 ,10.82 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
91040,CPT,ESOPH BALLOON DISTENSION TST,,,14,,RBRVS,0.97 ,13.34 ,13.34 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
91040,CPT,ESOPH BALLOON DISTENSION TST,26,,14,,RBRVS,0.97 ,0.41 ,0.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
91040,CPT,ESOPH BALLOON DISTENSION TST,TC,,14,,RBRVS,,12.93 ,12.93 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
91065,CPT,BREATH HYDROGEN/METHANE TEST,,,14,,RBRVS,0.20 ,2.04 ,2.04 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
91065,CPT,BREATH HYDROGEN/METHANE TEST,26,,14,,RBRVS,0.20 ,0.08 ,0.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
91065,CPT,BREATH HYDROGEN/METHANE TEST,TC,,14,,RBRVS,,1.96 ,1.96 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
91110,CPT,GI TRACT CAPSULE ENDOSCOPY,,,14,,RBRVS,2.49 ,21.78 ,21.78 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
91110,CPT,GI TRACT CAPSULE ENDOSCOPY,26,,14,,RBRVS,2.49 ,1.08 ,1.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
91110,CPT,GI TRACT CAPSULE ENDOSCOPY,TC,,14,,RBRVS,,20.70 ,20.70 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
91111,CPT,ESOPHAGEAL CAPSULE ENDOSCOPY,,,14,,RBRVS,1.00 ,23.42 ,23.42 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
91111,CPT,ESOPHAGEAL CAPSULE ENDOSCOPY,26,,14,,RBRVS,1.00 ,0.43 ,0.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
91111,CPT,ESOPHAGEAL CAPSULE ENDOSCOPY,TC,,14,,RBRVS,,22.99 ,22.99 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
91112,CPT,GI WIRELESS CAPSULE MEASURE,,,14,,RBRVS,2.10 ,38.80 ,38.80 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
91112,CPT,GI WIRELESS CAPSULE MEASURE,26,,14,,RBRVS,2.10 ,0.91 ,0.91 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
91112,CPT,GI WIRELESS CAPSULE MEASURE,TC,,14,,RBRVS,,37.89 ,37.89 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
91117,CPT,COLON MOTILITY 6 HR STUDY,,,14,,RBRVS,2.45 ,1.32 ,1.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
91120,CPT,RECTAL SENSATION TEST,,,14,,RBRVS,0.97 ,12.76 ,12.76 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
91120,CPT,RECTAL SENSATION TEST,26,,14,,RBRVS,0.97 ,0.39 ,0.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
91120,CPT,RECTAL SENSATION TEST,TC,,14,,RBRVS,,12.37 ,12.37 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
91122,CPT,ANAL PRESSURE RECORD,,,14,,RBRVS,1.77 ,5.25 ,5.25 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
91122,CPT,ANAL PRESSURE RECORD,26,,14,,RBRVS,1.77 ,0.69 ,0.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
91122,CPT,ANAL PRESSURE RECORD,TC,,14,,RBRVS,,4.56 ,4.56 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
91132,CPT,ELECTROGASTROGRAPHY,,,14,,RBRVS,0.52 ,8.61 ,8.61 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
91132,CPT,ELECTROGASTROGRAPHY,26,,14,,RBRVS,0.52 ,0.23 ,0.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
91132,CPT,ELECTROGASTROGRAPHY,TC,,14,,RBRVS,,8.38 ,8.38 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
91133,CPT,ELECTROGASTROGRAPHY W/TEST,,,14,,RBRVS,0.66 ,9.13 ,9.13 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
91133,CPT,ELECTROGASTROGRAPHY W/TEST,26,,14,,RBRVS,0.66 ,0.29 ,0.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
91133,CPT,ELECTROGASTROGRAPHY W/TEST,TC,,14,,RBRVS,,8.84 ,8.84 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
91200,CPT,LIVER ELASTOGRAPHY,,,20,,RBRVS,0.27 ,0.76 ,0.76 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
91200,CPT,LIVER ELASTOGRAPHY,26,,20,,RBRVS,0.27 ,0.12 ,0.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
91200,CPT,LIVER ELASTOGRAPHY,TC,,20,,RBRVS,,0.64 ,0.64 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
91299,CPT,GASTROENTEROLOGY PROCEDURE,,,14,,TotalUnits,,,,1.72 ,,$0.00,$0.00,1,0,0,0,0,1,20210101,
91299,CPT,GASTROENTEROLOGY PROCEDURE,,PC,14,,TotalUnits,,,,0.65 ,,$0.00,$0.00,1,0,1,1,1,0,20210101,
91299,CPT,GASTROENTEROLOGY PROCEDURE,,TC,14,,TotalUnits,,,,1.07 ,,$0.00,$0.00,1,1,1,0,1,0,20210101,
92002,CPT,EYE EXAM NEW PATIENT,,,23,,RBRVS,0.88 ,0.44 ,1.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
92004,CPT,EYE EXAM NEW PATIENT,,,23,,RBRVS,1.82 ,0.90 ,2.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
92012,CPT,EYE EXAM ESTABLISH PATIENT,,,23,,RBRVS,0.92 ,0.52 ,1.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
92014,CPT,EYE EXAM&TX ESTAB PT 1/>VST,,,23,,RBRVS,1.42 ,0.76 ,2.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
92015,CPT,DETERMINE REFRACTIVE STATE,,,23,,RBRVS,0.38 ,0.15 ,0.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
92018,CPT,NEW EYE EXAM & TREATMENT,,,14,,RBRVS,2.50 ,1.45 ,1.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
92019,CPT,EYE EXAM & TREATMENT,,,14,,RBRVS,1.31 ,0.71 ,0.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
92020,CPT,SPECIAL EYE EVALUATION,,,14,,RBRVS,0.37 ,0.21 ,0.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
92025,CPT,CORNEAL TOPOGRAPHY,,,14,,RBRVS,0.35 ,0.67 ,0.67 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
92025,CPT,CORNEAL TOPOGRAPHY,26,,14,,RBRVS,0.35 ,0.20 ,0.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
92025,CPT,CORNEAL TOPOGRAPHY,TC,,14,,RBRVS,,0.47 ,0.47 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
92060,CPT,SPECIAL EYE EVALUATION,,,14,,RBRVS,0.69 ,1.08 ,1.08 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
92060,CPT,SPECIAL EYE EVALUATION,26,,14,,RBRVS,0.69 ,0.37 ,0.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
92060,CPT,SPECIAL EYE EVALUATION,TC,,14,,RBRVS,,0.71 ,0.71 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
92065,CPT,ORTHOPTIC/PLEOPTIC TRAINING,,,14,,RBRVS,0.37 ,1.10 ,1.10 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
92065,CPT,ORTHOPTIC/PLEOPTIC TRAINING,26,,14,,RBRVS,0.37 ,0.13 ,0.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
92065,CPT,ORTHOPTIC/PLEOPTIC TRAINING,TC,,14,,RBRVS,,0.97 ,0.97 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
92071,CPT,CONTACT LENS FITTING FOR TX,,,14,,RBRVS,0.61 ,0.31 ,0.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
92072,CPT,FIT CONTAC LENS FOR MANAGMNT,,,14,,RBRVS,1.97 ,0.76 ,1.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
92081,CPT,VISUAL FIELD EXAMINATION(S),,,14,,RBRVS,0.30 ,0.63 ,0.63 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
92081,CPT,VISUAL FIELD EXAMINATION(S),26,,14,,RBRVS,0.30 ,0.15 ,0.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
92081,CPT,VISUAL FIELD EXAMINATION(S),TC,,14,,RBRVS,,0.48 ,0.48 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
92082,CPT,VISUAL FIELD EXAMINATION(S),,,14,,RBRVS,0.40 ,0.92 ,0.92 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
92082,CPT,VISUAL FIELD EXAMINATION(S),26,,14,,RBRVS,0.40 ,0.20 ,0.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
92082,CPT,VISUAL FIELD EXAMINATION(S),TC,,14,,RBRVS,,0.72 ,0.72 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
92083,CPT,VISUAL FIELD EXAMINATION(S),,,14,,RBRVS,0.50 ,1.26 ,1.26 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
92083,CPT,VISUAL FIELD EXAMINATION(S),26,,14,,RBRVS,0.50 ,0.27 ,0.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
92083,CPT,VISUAL FIELD EXAMINATION(S),TC,,14,,RBRVS,,0.99 ,0.99 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
92100,CPT,SERIAL TONOMETRY EXAM(S),,,14,,RBRVS,0.61 ,0.31 ,1.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
92132,CPT,CMPTR OPHTH DX IMG ANT SEGMT,,,14,,RBRVS,0.30 ,0.57 ,0.57 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
92132,CPT,CMPTR OPHTH DX IMG ANT SEGMT,26,,14,,RBRVS,0.30 ,0.16 ,0.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
92132,CPT,CMPTR OPHTH DX IMG ANT SEGMT,TC,,14,,RBRVS,,0.41 ,0.41 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
92133,CPT,CMPTR OPHTH IMG OPTIC NERVE,,,14,,RBRVS,0.40 ,0.63 ,0.63 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
92133,CPT,CMPTR OPHTH IMG OPTIC NERVE,26,,14,,RBRVS,0.40 ,0.22 ,0.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
92133,CPT,CMPTR OPHTH IMG OPTIC NERVE,TC,,14,,RBRVS,,0.41 ,0.41 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
92134,CPT,CPTR OPHTH DX IMG POST SEGMT,,,14,,RBRVS,0.45 ,0.68 ,0.68 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
92134,CPT,CPTR OPHTH DX IMG POST SEGMT,26,,14,,RBRVS,0.45 ,0.26 ,0.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
92134,CPT,CPTR OPHTH DX IMG POST SEGMT,TC,,14,,RBRVS,,0.42 ,0.42 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
92136,CPT,OPHTHALMIC BIOMETRY,,,14,,RBRVS,0.54 ,1.20 ,1.20 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
92136,CPT,OPHTHALMIC BIOMETRY,26,,14,,RBRVS,0.54 ,0.33 ,0.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
92136,CPT,OPHTHALMIC BIOMETRY,TC,,14,,RBRVS,,0.87 ,0.87 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
92145,CPT,CORNEAL HYSTERESIS DETER,,,14,,RBRVS,0.10 ,0.30 ,0.30 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
92145,CPT,CORNEAL HYSTERESIS DETER,26,,14,,RBRVS,0.10 ,0.11 ,0.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
92145,CPT,CORNEAL HYSTERESIS DETER,TC,,14,,RBRVS,,0.19 ,0.19 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
92201,CPT,OPSCPY EXTND RTA DRAW UNI/BI,,,14,,RBRVS,0.40 ,0.23 ,0.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
92202,CPT,OPSCPY EXTND ON/MAC DRAW,,,14,,RBRVS,0.26 ,0.15 ,0.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
92227,CPT,REMOTE DX RETINAL IMAGING,,TC,14,,RBRVS,,0.37 ,0.37 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
92228,CPT,REMOTE RETINAL IMAGING MGMT,,,14,,RBRVS,0.37 ,0.57 ,0.57 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
92228,CPT,REMOTE RETINAL IMAGING MGMT,26,,14,,RBRVS,0.37 ,0.21 ,0.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
92228,CPT,REMOTE RETINAL IMAGING MGMT,TC,,14,,RBRVS,,0.36 ,0.36 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
92230,CPT,EYE EXAM WITH PHOTOS,,,14,,RBRVS,0.60 ,0.32 ,1.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
92235,CPT,FLUORESCEIN ANGRPH UNI/BI,,,14,,RBRVS,0.75 ,2.16 ,2.16 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
92235,CPT,FLUORESCEIN ANGRPH UNI/BI,26,,14,,RBRVS,0.75 ,0.46 ,0.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
92235,CPT,FLUORESCEIN ANGRPH UNI/BI,TC,,14,,RBRVS,,1.70 ,1.70 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
92240,CPT,ICG ANGIOGRAPHY UNI/BI,,,14,,RBRVS,0.80 ,4.83 ,4.83 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
92240,CPT,ICG ANGIOGRAPHY UNI/BI,26,,14,,RBRVS,0.80 ,0.49 ,0.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
92240,CPT,ICG ANGIOGRAPHY UNI/BI,TC,,14,,RBRVS,,4.34 ,4.34 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
92242,CPT,FLUORESCEIN ICG ANGIOGRAPHY,,,14,,RBRVS,0.95 ,5.74 ,5.74 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
92242,CPT,FLUORESCEIN ICG ANGIOGRAPHY,26,,14,,RBRVS,0.95 ,0.58 ,0.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
92242,CPT,FLUORESCEIN ICG ANGIOGRAPHY,TC,,14,,RBRVS,,5.16 ,5.16 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
92250,CPT,EYE EXAM WITH PHOTOS,,,14,,RBRVS,0.40 ,0.85 ,0.85 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
92250,CPT,EYE EXAM WITH PHOTOS,26,,14,,RBRVS,0.40 ,0.20 ,0.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
92250,CPT,EYE EXAM WITH PHOTOS,TC,,14,,RBRVS,,0.65 ,0.65 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
92260,CPT,OPHTHALMOSCOPY/DYNAMOMETRY,,,14,,RBRVS,0.20 ,0.10 ,0.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
92265,CPT,EYE MUSCLE EVALUATION,,,14,,RBRVS,0.81 ,1.62 ,1.62 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
92265,CPT,EYE MUSCLE EVALUATION,26,,14,,RBRVS,0.81 ,0.50 ,0.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
92265,CPT,EYE MUSCLE EVALUATION,TC,,14,,RBRVS,,1.12 ,1.12 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
92270,CPT,ELECTRO-OCULOGRAPHY,,,14,,RBRVS,0.81 ,1.88 ,1.88 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
92270,CPT,ELECTRO-OCULOGRAPHY,26,,14,,RBRVS,0.81 ,0.37 ,0.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
92270,CPT,ELECTRO-OCULOGRAPHY,TC,,14,,RBRVS,,1.51 ,1.51 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
92273,CPT,FULL FIELD ERG W/I&R,,,14,,RBRVS,0.69 ,2.96 ,2.96 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
92273,CPT,FULL FIELD ERG W/I&R,26,,14,,RBRVS,0.69 ,0.35 ,0.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
92273,CPT,FULL FIELD ERG W/I&R,TC,,14,,RBRVS,,2.61 ,2.61 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
92274,CPT,MULTIFOCAL ERG W/I&R,,,14,,RBRVS,0.61 ,1.86 ,1.86 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
92274,CPT,MULTIFOCAL ERG W/I&R,26,,14,,RBRVS,0.61 ,0.31 ,0.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
92274,CPT,MULTIFOCAL ERG W/I&R,TC,,14,,RBRVS,,1.55 ,1.55 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
92283,CPT,COLOR VISION EXAMINATION,,,14,,RBRVS,0.17 ,1.30 ,1.30 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
92283,CPT,COLOR VISION EXAMINATION,26,,14,,RBRVS,0.17 ,0.08 ,0.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
92283,CPT,COLOR VISION EXAMINATION,TC,,14,,RBRVS,,1.22 ,1.22 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
92284,CPT,DARK ADAPTATION EYE EXAM,,,14,,RBRVS,0.24 ,1.41 ,1.41 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
92284,CPT,DARK ADAPTATION EYE EXAM,26,,14,,RBRVS,0.24 ,0.11 ,0.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
92284,CPT,DARK ADAPTATION EYE EXAM,TC,,14,,RBRVS,,1.30 ,1.30 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
92285,CPT,EYE PHOTOGRAPHY,,,14,,RBRVS,0.05 ,0.55 ,0.55 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
92285,CPT,EYE PHOTOGRAPHY,26,,14,,RBRVS,0.05 ,0.03 ,0.03 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
92285,CPT,EYE PHOTOGRAPHY,TC,,14,,RBRVS,,0.52 ,0.52 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
92286,CPT,INTERNAL EYE PHOTOGRAPHY,,,14,,RBRVS,0.40 ,0.68 ,0.68 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
92286,CPT,INTERNAL EYE PHOTOGRAPHY,26,,14,,RBRVS,0.40 ,0.22 ,0.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
92286,CPT,INTERNAL EYE PHOTOGRAPHY,TC,,14,,RBRVS,,0.46 ,0.46 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
92287,CPT,INTERNAL EYE PHOTOGRAPHY,,,14,,RBRVS,0.81 ,3.62 ,3.62 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
92287,CPT,INTERNAL EYE PHOTOGRAPHY,26,,14,,RBRVS,0.81 ,0.50 ,0.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
92287,CPT,INTERNAL EYE PHOTOGRAPHY,TC,,14,,RBRVS,,3.12 ,3.12 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
92310,CPT,CONTACT LENS FITTING,,,23,,RBRVS,1.17 ,0.45 ,1.60 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
92311,CPT,CONTACT LENS FITTING,,,14,,RBRVS,1.08 ,0.44 ,1.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
92312,CPT,CONTACT LENS FITTING,,,14,,RBRVS,1.26 ,0.49 ,2.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
92313,CPT,CONTACT LENS FITTING,,,14,,RBRVS,0.92 ,0.34 ,1.84 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
92314,CPT,PRESCRIPTION OF CONTACT LENS,,,23,,RBRVS,0.69 ,0.27 ,1.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
92315,CPT,RX CNTACT LENS APHAKIA 1 EYE,,,14,,RBRVS,0.45 ,0.15 ,1.76 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
92316,CPT,RX CNTACT LENS APHAKIA 2 EYE,,,14,,RBRVS,0.68 ,0.23 ,2.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
92317,CPT,RX CORNEOSCLERAL CNTACT LENS,,,14,,RBRVS,0.45 ,0.15 ,1.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
92325,CPT,MODIFICATION OF CONTACT LENS,,,14,,RBRVS,,1.24 ,1.24 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
92326,CPT,REPLACEMENT OF CONTACT LENS,,,14,,RBRVS,,1.05 ,1.05 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
92340,CPT,FIT SPECTACLES MONOFOCAL,,,14,,RBRVS,0.37 ,0.14 ,0.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
92341,CPT,FIT SPECTACLES BIFOCAL,,,14,,RBRVS,0.47 ,0.18 ,0.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
92342,CPT,FIT SPECTACLES MULTIFOCAL,,,14,,RBRVS,0.53 ,0.20 ,0.65 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
92352,CPT,FIT APHAKIA SPECTCL MONOFOCL,,,14,,RBRVS,0.37 ,0.14 ,0.84 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
92353,CPT,FIT APHAKIA SPECTCL MULTIFOC,,,14,,RBRVS,0.50 ,0.19 ,0.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
92354,CPT,FIT SPECTACLES SINGLE SYSTEM,,,14,,RBRVS,,0.36 ,0.36 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
92355,CPT,FIT SPECTACLES COMPOUND LENS,,,14,,RBRVS,,0.56 ,0.56 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
92358,CPT,APHAKIA PROSTH SERVICE TEMP,,,14,,RBRVS,,0.30 ,0.30 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
92370,CPT,REPAIR & ADJUST SPECTACLES,,,14,,RBRVS,0.32 ,0.12 ,0.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
92371,CPT,REPAIR & ADJUST SPECTACLES,,,14,,RBRVS,,0.31 ,0.31 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
92499,CPT,EYE SERVICE OR PROCEDURE,,,14,,TotalUnits,,,,1.04 ,,$0.00,$0.00,1,0,0,0,0,1,20210101,
92499,CPT,EYE SERVICE OR PROCEDURE,,PC,14,,TotalUnits,,,,0.62 ,,$0.00,$0.00,1,0,1,1,1,0,20210101,
92499,CPT,EYE SERVICE OR PROCEDURE,,TC,14,,TotalUnits,,,,0.42 ,,$0.00,$0.00,1,1,1,0,1,0,20210101,
92502,CPT,EAR AND THROAT EXAMINATION,,,14,,RBRVS,1.51 ,1.09 ,1.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
92504,CPT,EAR MICROSCOPY EXAMINATION,,,14,,RBRVS,0.18 ,0.08 ,0.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
92507,CPT,SPEECH/HEARING THERAPY,,,8,,RBRVS,1.30 ,0.90 ,0.90 ,,,$0.00,$0.00,1,1,1,0,0,1,20210101,
92508,CPT,SPEECH/HEARING THERAPY,,,8,,RBRVS,0.33 ,0.34 ,0.34 ,,,$0.00,$0.00,1,1,1,0,0,1,20210101,
92511,CPT,NASOPHARYNGOSCOPY,,,14,,RBRVS,0.61 ,0.42 ,2.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
92512,CPT,NASAL FUNCTION STUDIES,,,14,,RBRVS,0.55 ,0.21 ,1.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
92516,CPT,FACIAL NERVE FUNCTION TEST,,,14,,RBRVS,0.43 ,0.19 ,1.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
92517,CPT,VEMP TEST I&R CERVICAL,,,8,,RBRVS,0.80 ,0.42 ,1.68 ,,,$0.00,$0.00,1,1,1,0,0,1,20210101,
92518,CPT,VEMP TEST I&R OCULAR,,,8,,RBRVS,0.80 ,0.42 ,1.50 ,,,$0.00,$0.00,1,1,1,0,0,1,20210101,
92519,CPT,VEMP TST I&R CERVICAL&OCULAR,,,8,,RBRVS,1.20 ,0.62 ,2.66 ,,,$0.00,$0.00,1,1,1,0,0,1,20210101,
92520,CPT,LARYNGEAL FUNCTION STUDIES,,,14,,RBRVS,0.75 ,0.37 ,1.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
92521,CPT,EVALUATION OF SPEECH FLUENCY,,,8,,RBRVS,1.75 ,1.38 ,1.38 ,,,$0.00,$0.00,1,1,1,0,0,1,20210101,
92522,CPT,EVALUATE SPEECH PRODUCTION,,,8,,RBRVS,1.50 ,1.04 ,1.04 ,,,$0.00,$0.00,1,1,1,0,0,1,20210101,
92523,CPT,SPEECH SOUND LANG COMPREHEN,,,8,,RBRVS,3.00 ,2.39 ,2.39 ,,,$0.00,$0.00,1,1,1,0,0,1,20210101,
92524,CPT,BEHAVRAL QUALIT ANALYS VOICE,,,8,,RBRVS,1.50 ,0.98 ,0.98 ,,,$0.00,$0.00,1,1,1,0,0,1,20210101,
92526,CPT,ORAL FUNCTION THERAPY,,,14,,RBRVS,1.34 ,1.09 ,1.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
92531,CPT,SPONTANEOUS NYSTAGMUS STUDY,,,14,,TotalUnits,,,,0.59 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
92532,CPT,POSITIONAL NYSTAGMUS TEST,,,14,,TotalUnits,,,,0.77 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
92533,CPT,CALORIC VESTIBULAR TEST,,,14,,TotalUnits,,,,1.46 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
92534,CPT,OPTOKINETIC NYSTAGMUS TEST,,,14,,TotalUnits,,,,0.71 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
92537,CPT,CALORIC VSTBLR TEST W/REC,,,14,,RBRVS,0.60 ,0.56 ,0.56 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
92537,CPT,CALORIC VSTBLR TEST W/REC,26,,14,,RBRVS,0.60 ,0.29 ,0.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
92537,CPT,CALORIC VSTBLR TEST W/REC,TC,,14,,RBRVS,,0.27 ,0.27 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
92538,CPT,CALORIC VSTBLR TEST W/REC,,,14,,RBRVS,0.30 ,0.32 ,0.32 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
92538,CPT,CALORIC VSTBLR TEST W/REC,26,,14,,RBRVS,0.30 ,0.15 ,0.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
92538,CPT,CALORIC VSTBLR TEST W/REC,TC,,14,,RBRVS,,0.17 ,0.17 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
92540,CPT,BASIC VESTIBULAR EVALUATION,,,14,,RBRVS,1.50 ,1.48 ,1.48 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
92540,CPT,BASIC VESTIBULAR EVALUATION,,PC,14,,RBRVS,1.50 ,0.71 ,0.71 ,,,$0.00,$0.00,1,0,1,1,1,0,20210101,
92540,CPT,BASIC VESTIBULAR EVALUATION,,TC,14,,RBRVS,,0.77 ,0.77 ,,,$0.00,$0.00,1,1,1,0,1,0,20210101,
92541,CPT,SPONTANEOUS NYSTAGMUS TEST,,,14,,RBRVS,0.40 ,0.30 ,0.30 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
92541,CPT,SPONTANEOUS NYSTAGMUS TEST,26,,14,,RBRVS,0.40 ,0.19 ,0.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
92541,CPT,SPONTANEOUS NYSTAGMUS TEST,TC,,14,,RBRVS,,0.11 ,0.11 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
92542,CPT,POSITIONAL NYSTAGMUS TEST,,,14,,RBRVS,0.48 ,0.34 ,0.34 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
92542,CPT,POSITIONAL NYSTAGMUS TEST,26,,14,,RBRVS,0.48 ,0.23 ,0.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
92542,CPT,POSITIONAL NYSTAGMUS TEST,TC,,14,,RBRVS,,0.11 ,0.11 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
92544,CPT,OPTOKINETIC NYSTAGMUS TEST,,,14,,RBRVS,0.27 ,0.21 ,0.21 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
92544,CPT,OPTOKINETIC NYSTAGMUS TEST,26,,14,,RBRVS,0.27 ,0.13 ,0.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
92544,CPT,OPTOKINETIC NYSTAGMUS TEST,TC,,14,,RBRVS,,0.08 ,0.08 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
92545,CPT,OSCILLATING TRACKING TEST,,,14,,RBRVS,0.25 ,0.20 ,0.20 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
92545,CPT,OSCILLATING TRACKING TEST,26,,14,,RBRVS,0.25 ,0.12 ,0.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
92545,CPT,OSCILLATING TRACKING TEST,TC,,14,,RBRVS,,0.08 ,0.08 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
92546,CPT,SINUSOIDAL ROTATIONAL TEST,,,14,,RBRVS,0.29 ,2.83 ,2.83 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
92546,CPT,SINUSOIDAL ROTATIONAL TEST,26,,14,,RBRVS,0.29 ,0.13 ,0.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
92546,CPT,SINUSOIDAL ROTATIONAL TEST,TC,,14,,RBRVS,,2.70 ,2.70 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
92547,CPT,SUPPLEMENTAL ELECTRICAL TEST,,TC,14,,RBRVS,,0.24 ,0.24 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
92548,CPT,CDP-SOT 6 COND W/I&R,,,14,,RBRVS,0.67 ,0.71 ,0.71 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
92548,CPT,CDP-SOT 6 COND W/I&R,26,,14,,RBRVS,0.67 ,0.30 ,0.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
92548,CPT,CDP-SOT 6 COND W/I&R,TC,,14,,RBRVS,,0.41 ,0.41 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
92549,CPT,CDP-SOT 6 COND W/I&R MCT&ADT,,,14,,RBRVS,0.87 ,0.90 ,0.90 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
92549,CPT,CDP-SOT 6 COND W/I&R MCT&ADT,26,,14,,RBRVS,0.87 ,0.39 ,0.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
92549,CPT,CDP-SOT 6 COND W/I&R MCT&ADT,TC,,14,,RBRVS,,0.51 ,0.51 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
92550,CPT,TYMPANOMETRY & REFLEX THRESH,,,8,,RBRVS,0.35 ,0.26 ,0.26 ,,,$0.00,$0.00,1,1,1,0,0,1,20210101,
92551,CPT,PURE TONE HEARING TEST AIR,,,8,,RBRVS,,0.32 ,0.32 ,,,$0.00,$0.00,1,1,1,0,0,1,20210101,
92552,CPT,PURE TONE AUDIOMETRY AIR,,TC,8,,RBRVS,,0.88 ,0.88 ,,,$0.00,$0.00,1,1,1,0,0,1,20210101,
92553,CPT,AUDIOMETRY AIR & BONE,,TC,8,,RBRVS,,1.07 ,1.07 ,,,$0.00,$0.00,1,1,1,0,0,1,20210101,
92555,CPT,SPEECH THRESHOLD AUDIOMETRY,,TC,8,,RBRVS,,0.66 ,0.66 ,,,$0.00,$0.00,1,1,1,0,0,1,20210101,
92556,CPT,SPEECH AUDIOMETRY COMPLETE,,TC,8,,RBRVS,,1.06 ,1.06 ,,,$0.00,$0.00,1,1,1,0,0,1,20210101,
92557,CPT,COMPREHENSIVE HEARING TEST,,,8,,RBRVS,0.60 ,0.30 ,0.45 ,,,$0.00,$0.00,1,1,1,0,0,1,20210101,
92558,CPT,EVOKED AUDITORY TEST QUAL,,,8,,RBRVS,0.17 ,0.07 ,0.10 ,,,$0.00,$0.00,1,1,1,0,0,1,20210101,
92559,CPT,GROUP AUDIOMETRIC TESTING,,,8,,TotalUnits,,,,0.62 ,,$0.00,$0.00,1,1,1,0,0,1,20210101,
92560,CPT,BEKESY AUDIOMETRY SCREEN,,,8,,TotalUnits,,,,0.88 ,,$0.00,$0.00,1,1,1,0,0,1,20210101,
92561,CPT,BEKESY AUDIOMETRY DIAGNOSIS,,TC,8,,RBRVS,,1.08 ,1.08 ,,,$0.00,$0.00,1,1,1,0,0,1,20210101,
92562,CPT,LOUDNESS BALANCE TEST,,TC,8,,RBRVS,,1.24 ,1.24 ,,,$0.00,$0.00,1,1,1,0,0,1,20210101,
92563,CPT,TONE DECAY HEARING TEST,,TC,8,,RBRVS,,0.85 ,0.85 ,,,$0.00,$0.00,1,1,1,0,0,1,20210101,
92564,CPT,SISI HEARING TEST,,TC,8,,RBRVS,,0.66 ,0.66 ,,,$0.00,$0.00,1,1,1,0,0,1,20210101,
92565,CPT,STENGER TEST PURE TONE,,TC,8,,RBRVS,,0.43 ,0.43 ,,,$0.00,$0.00,1,1,1,0,0,1,20210101,
92567,CPT,TYMPANOMETRY,,,8,,RBRVS,0.20 ,0.10 ,0.24 ,,,$0.00,$0.00,1,1,1,0,0,1,20210101,
92568,CPT,ACOUSTIC REFL THRESHOLD TST,,,8,,RBRVS,0.29 ,0.13 ,0.14 ,,,$0.00,$0.00,1,1,1,0,0,1,20210101,
92570,CPT,ACOUSTIC IMMITANCE TESTING,,,8,,RBRVS,0.55 ,0.27 ,0.36 ,,,$0.00,$0.00,1,1,1,0,0,1,20210101,
92571,CPT,FILTERED SPEECH HEARING TEST,,TC,8,,RBRVS,,0.75 ,0.75 ,,,$0.00,$0.00,1,1,1,0,0,1,20210101,
92572,CPT,STAGGERED SPONDAIC WORD TEST,,TC,8,,RBRVS,,0.96 ,0.96 ,,,$0.00,$0.00,1,1,1,0,0,1,20210101,
92575,CPT,SENSORINEURAL ACUITY TEST,,TC,8,,RBRVS,,1.82 ,1.82 ,,,$0.00,$0.00,1,1,1,0,0,1,20210101,
92576,CPT,SYNTHETIC SENTENCE TEST,,TC,8,,RBRVS,,1.01 ,1.01 ,,,$0.00,$0.00,1,1,1,0,0,1,20210101,
92577,CPT,STENGER TEST SPEECH,,TC,8,,RBRVS,,0.38 ,0.38 ,,,$0.00,$0.00,1,1,1,0,0,1,20210101,
92579,CPT,VISUAL AUDIOMETRY (VRA),,,8,,RBRVS,0.70 ,0.36 ,0.59 ,,,$0.00,$0.00,1,1,1,0,0,1,20210101,
92582,CPT,CONDITIONING PLAY AUDIOMETRY,,TC,8,,RBRVS,,2.05 ,2.05 ,,,$0.00,$0.00,1,1,1,0,0,1,20210101,
92583,CPT,SELECT PICTURE AUDIOMETRY,,TC,8,,RBRVS,,1.35 ,1.35 ,,,$0.00,$0.00,1,1,1,0,0,1,20210101,
92584,CPT,ELECTROCOCHLEOGRAPHY,,TC,8,,RBRVS,,2.06 ,2.06 ,,,$0.00,$0.00,1,1,1,0,0,1,20210101,
92587,CPT,EVOKED AUDITORY TEST LIMITED,,,8,,RBRVS,0.35 ,0.26 ,0.26 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
92587,CPT,EVOKED AUDITORY TEST LIMITED,26,,8,,RBRVS,0.35 ,0.17 ,0.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
92587,CPT,EVOKED AUDITORY TEST LIMITED,TC,,8,,RBRVS,,0.09 ,0.09 ,,,$0.00,$0.00,1,1,1,0,0,1,20210101,
92588,CPT,EVOKED AUDITORY TST COMPLETE,,,8,,RBRVS,0.55 ,0.39 ,0.39 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
92588,CPT,EVOKED AUDITORY TST COMPLETE,26,,8,,RBRVS,0.55 ,0.27 ,0.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
92588,CPT,EVOKED AUDITORY TST COMPLETE,TC,,8,,RBRVS,,0.12 ,0.12 ,,,$0.00,$0.00,1,1,1,0,0,1,20210101,
92590,CPT,HEARING AID EXAM ONE EAR,,,8,,TotalUnits,,,,1.76 ,,$0.00,$0.00,1,1,1,0,0,1,20210101,
92591,CPT,HEARING AID EXAM BOTH EARS,,,8,,TotalUnits,,,,2.05 ,,$0.00,$0.00,1,1,1,0,0,1,20210101,
92592,CPT,HEARING AID CHECK ONE EAR,,,8,,TotalUnits,,,,0.91 ,,$0.00,$0.00,1,1,1,0,0,1,20210101,
92593,CPT,HEARING AID CHECK BOTH EARS,,,8,,TotalUnits,,,,1.20 ,,$0.00,$0.00,1,1,1,0,0,1,20210101,
92594,CPT,ELECTRO HEARNG AID TEST ONE,,,8,,TotalUnits,,,,0.96 ,,$0.00,$0.00,1,1,1,0,0,1,20210101,
92595,CPT,ELECTRO HEARNG AID TST BOTH,,,8,,TotalUnits,,,,1.33 ,,$0.00,$0.00,1,1,1,0,0,1,20210101,
92596,CPT,EAR PROTECTOR EVALUATION,,TC,8,,RBRVS,,1.83 ,1.83 ,,,$0.00,$0.00,1,1,1,0,0,1,20210101,
92597,CPT,ORAL SPEECH DEVICE EVAL,,,8,,RBRVS,1.26 ,0.76 ,0.76 ,,,$0.00,$0.00,1,1,1,0,0,1,20210101,
92601,CPT,COCHLEAR IMPLT F/UP EXAM <7,,,14,,RBRVS,2.30 ,1.20 ,2.34 ,,,$0.00,$0.00,1,1,1,0,0,1,20210101,
92602,CPT,REPROGRAM COCHLEAR IMPLT <7,,,14,,RBRVS,1.30 ,0.68 ,1.61 ,,,$0.00,$0.00,1,1,1,0,0,1,20210101,
92603,CPT,COCHLEAR IMPLT F/UP EXAM 7/>,,,14,,RBRVS,2.25 ,1.14 ,2.07 ,,,$0.00,$0.00,1,1,1,0,0,1,20210101,
92604,CPT,REPROGRAM COCHLEAR IMPLT 7/>,,,14,,RBRVS,1.25 ,0.64 ,1.34 ,,,$0.00,$0.00,1,1,1,0,0,1,20210101,
92605,CPT,EX FOR NONSPEECH DEVICE RX,,,14,,RBRVS,1.75 ,0.67 ,0.82 ,,,$0.00,$0.00,1,1,1,0,0,1,20210101,
92606,CPT,NON-SPEECH DEVICE SERVICE,,,14,,RBRVS,1.40 ,0.54 ,0.88 ,,,$0.00,$0.00,1,1,1,0,0,1,20210101,
92607,CPT,EX FOR SPEECH DEVICE RX 1HR,,,14,,RBRVS,1.85 ,1.73 ,1.73 ,,,$0.00,$0.00,1,1,1,0,0,1,20210101,
92608,CPT,EX FOR SPEECH DEVICE RX ADDL,,,14,,RBRVS,0.70 ,0.74 ,0.74 ,,,$0.00,$0.00,1,1,1,0,0,1,20210101,
92609,CPT,USE OF SPEECH DEVICE SERVICE,,,14,,RBRVS,1.50 ,1.52 ,1.52 ,,,$0.00,$0.00,1,1,1,0,0,1,20210101,
92610,CPT,EVALUATE SWALLOWING FUNCTION,,,14,,RBRVS,1.30 ,0.71 ,1.11 ,,,$0.00,$0.00,1,1,1,0,0,1,20210101,
92611,CPT,MOTION FLUOROSCOPY/SWALLOW,,,14,,RBRVS,1.34 ,1.19 ,1.19 ,,,$0.00,$0.00,1,1,1,0,0,1,20210101,
92612,CPT,ENDOSCOPY SWALLOW (FEES) VID,,,14,,RBRVS,1.27 ,0.60 ,4.32 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
92613,CPT,ENDOSCOPY SWALLOW (FEES) I&R,,,14,,RBRVS,0.71 ,0.32 ,0.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
92614,CPT,LARYNGOSCOPIC SENSORY VID,,,14,,RBRVS,1.27 ,0.55 ,2.86 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
92615,CPT,LARYNGOSCOPIC SENSORY I&R,,,14,,RBRVS,0.63 ,0.27 ,0.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
92616,CPT,FEES W/LARYNGEAL SENSE TEST,,,14,,RBRVS,1.88 ,0.86 ,4.15 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
92617,CPT,FEES W/LARYNGEAL SENSE I&R,,,14,,RBRVS,0.79 ,0.34 ,0.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
92618,CPT,EX FOR NONSPEECH DEV RX ADD,,,14,,RBRVS,0.65 ,0.25 ,0.26 ,,,$0.00,$0.00,1,1,1,0,0,1,20210101,
92620,CPT,AUDITORY FUNCTION 60 MIN,,,14,,RBRVS,1.50 ,0.77 ,1.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
92621,CPT,AUDITORY FUNCTION + 15 MIN,,,14,,RBRVS,0.35 ,0.18 ,0.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
92625,CPT,TINNITUS ASSESSMENT,,,14,,RBRVS,1.15 ,0.58 ,0.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
92626,CPT,EVAL AUD FUNCJ 1ST HOUR,,,14,,RBRVS,1.40 ,0.72 ,1.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
92627,CPT,EVAL AUD FUNCJ EA ADDL 15,,,14,,RBRVS,0.33 ,0.17 ,0.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
92630,CPT,AUD REHAB PRE-LING HEAR LOSS,,,14,,TotalUnits,,,,1.91 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
92633,CPT,AUD REHAB POSTLING HEAR LOSS,,,14,,TotalUnits,,,,1.66 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
92640,CPT,AUD BRAINSTEM IMPLT PROGRAMG,,,14,,RBRVS,1.76 ,0.92 ,1.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
92650,CPT,AEP SCR AUDITORY POTENTIAL,,,8,,RBRVS,0.25 ,0.58 ,0.58 ,,,$0.00,$0.00,1,1,1,0,0,1,20210101,
92651,CPT,AEP HEARING STATUS DETER I&R,,,8,,RBRVS,1.00 ,1.59 ,1.59 ,,,$0.00,$0.00,1,1,1,0,0,1,20210101,
92652,CPT,AEP THRSHLD EST MLT FREQ I&R,,,8,,RBRVS,1.50 ,1.90 ,1.90 ,,,$0.00,$0.00,1,1,1,0,0,1,20210101,
92653,CPT,AEP NEURODIAGNOSTIC I&R,,,8,,RBRVS,1.05 ,1.45 ,1.45 ,,,$0.00,$0.00,1,1,1,0,0,1,20210101,
92700,CPT,ENT PROCEDURE/SERVICE,,,14,,TotalUnits,,,,1.04 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
92920,CPT,PRQ CARDIAC ANGIOPLAST 1 ART,,,21,,RBRVS,9.85 ,3.40 ,3.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
92921,CPT,PRQ CARDIAC ANGIO ADDL ART,,,21,,TotalUnits,,,,5.34 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
92924,CPT,PRQ CARD ANGIO/ATHRECT 1 ART,,,21,,RBRVS,11.74 ,4.04 ,4.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
92925,CPT,PRQ CARD ANGIO/ATHRECT ADDL,,,21,,TotalUnits,,,,4.79 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
92928,CPT,PRQ CARD STENT W/ANGIO 1 VSL,,,21,,RBRVS,10.96 ,3.77 ,3.77 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
92929,CPT,PRQ CARD STENT W/ANGIO ADDL,,,21,,TotalUnits,,,,5.47 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
92933,CPT,PRQ CARD STENT/ATH/ANGIO,,,21,,RBRVS,12.29 ,4.22 ,4.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
92934,CPT,PRQ CARD STENT/ATH/ANGIO,,,21,,TotalUnits,,,,4.97 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
92937,CPT,PRQ REVASC BYP GRAFT 1 VSL,,,21,,RBRVS,10.95 ,3.76 ,3.76 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
92938,CPT,PRQ REVASC BYP GRAFT ADDL,,,21,,TotalUnits,,,,6.85 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
92941,CPT,PRQ CARD REVASC MI 1 VSL,,,21,,RBRVS,12.31 ,4.24 ,4.24 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
92943,CPT,PRQ CARD REVASC CHRONIC 1VSL,,,21,,RBRVS,12.31 ,4.24 ,4.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
92944,CPT,PRQ CARD REVASC CHRONIC ADDL,,,21,,TotalUnits,,,,7.50 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
92950,CPT,HEART/LUNG RESUSCITATION CPR,,,4,,RBRVS,4.00 ,0.97 ,4.77 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
92953,CPT,TEMPORARY EXTERNAL PACING,,,4,,RBRVS,0.01 ,0.01 ,0.01 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
92960,CPT,CARDIOVERSION ELECTRIC EXT,,,4,,RBRVS,2.00 ,0.99 ,2.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
92961,CPT,CARDIOVERSION ELECTRIC INT,,,4,,RBRVS,4.34 ,1.90 ,1.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
92970,CPT,CARDIOASSIST INTERNAL,,,4,,RBRVS,3.51 ,1.19 ,1.19 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
92971,CPT,CARDIOASSIST EXTERNAL,,,4,,RBRVS,1.77 ,0.76 ,0.76 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
92973,CPT,PRQ CORONARY MECH THROMBECT,,,21,,RBRVS,3.28 ,1.12 ,1.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
92974,CPT,CATH PLACE CARDIO BRACHYTX,,,21,,RBRVS,3.00 ,1.04 ,1.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
92975,CPT,DISSOLVE CLOT HEART VESSEL,,,4,,RBRVS,6.99 ,2.41 ,2.41 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
92977,CPT,DISSOLVE CLOT HEART VESSEL,,,4,,RBRVS,,1.40 ,1.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
92978,CPT,ENDOLUMINL IVUS OCT C 1ST,,,4,,TotalUnits,,,,7.45 ,,$0.00,$0.00,1,0,0,0,0,1,20210101,
92978,CPT,ENDOLUMINL IVUS OCT C 1ST,26,,4,,TotalUnits,,,,2.42 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
92978,CPT,ENDOLUMINL IVUS OCT C 1ST,TC,,4,,TotalUnits,,,,5.03 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
92979,CPT,ENDOLUMINL IVUS OCT C EA,,,4,,TotalUnits,,,,3.99 ,,$0.00,$0.00,1,0,0,0,0,1,20210101,
92979,CPT,ENDOLUMINL IVUS OCT C EA,26,,4,,TotalUnits,,,,1.94 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
92979,CPT,ENDOLUMINL IVUS OCT C EA,TC,,4,,TotalUnits,,,,2.05 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
92986,CPT,REVISION OF AORTIC VALVE,,,21,,RBRVS,22.60 ,10.60 ,10.60 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
92987,CPT,REVISION OF MITRAL VALVE,,,21,,RBRVS,23.38 ,10.90 ,10.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
92990,CPT,REVISION OF PULMONARY VALVE,,,21,,RBRVS,18.27 ,9.07 ,9.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
92997,CPT,PUL ART BALLOON REPR PERCUT,,,21,,RBRVS,11.98 ,4.31 ,4.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
92998,CPT,PUL ART BALLOON REPR PERCUT,,,21,,RBRVS,5.99 ,2.05 ,2.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
93000,CPT,ELECTROCARDIOGRAM COMPLETE,,,4,,RBRVS,0.17 ,0.29 ,0.29 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
93005,CPT,ELECTROCARDIOGRAM TRACING,,TC,4,,RBRVS,,0.23 ,0.23 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
93010,CPT,ELECTROCARDIOGRAM REPORT,,PC,4,,RBRVS,0.17 ,0.06 ,0.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
93015,CPT,CARDIOVASCULAR STRESS TEST,,,4,,RBRVS,0.75 ,1.21 ,1.21 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
93016,CPT,CARDIOVASCULAR STRESS TEST,,PC,4,,RBRVS,0.45 ,0.16 ,0.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
93017,CPT,CARDIOVASCULAR STRESS TEST,,TC,4,,RBRVS,,0.94 ,0.94 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
93018,CPT,CARDIOVASCULAR STRESS TEST,,PC,4,,RBRVS,0.30 ,0.11 ,0.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
93024,CPT,CARDIAC DRUG STRESS TEST,,,4,,RBRVS,1.17 ,1.86 ,1.86 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
93024,CPT,CARDIAC DRUG STRESS TEST,26,,4,,RBRVS,1.17 ,0.41 ,0.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
93024,CPT,CARDIAC DRUG STRESS TEST,TC,,4,,RBRVS,,1.45 ,1.45 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
93025,CPT,MICROVOLT T-WAVE ASSESS,,,4,,RBRVS,0.75 ,3.19 ,3.19 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
93025,CPT,MICROVOLT T-WAVE ASSESS,26,,4,,RBRVS,0.75 ,0.28 ,0.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
93025,CPT,MICROVOLT T-WAVE ASSESS,TC,,4,,RBRVS,,2.91 ,2.91 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
93040,CPT,RHYTHM ECG WITH REPORT,,,4,,RBRVS,0.15 ,0.19 ,0.19 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
93041,CPT,RHYTHM ECG TRACING,,TC,4,,RBRVS,,0.15 ,0.15 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
93042,CPT,RHYTHM ECG REPORT,,PC,4,,RBRVS,0.15 ,0.04 ,0.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
93050,CPT,ART PRESSURE WAVEFORM ANALYS,,,4,,RBRVS,0.17 ,0.27 ,0.27 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
93050,CPT,ART PRESSURE WAVEFORM ANALYS,26,,4,,RBRVS,0.17 ,0.06 ,0.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
93050,CPT,ART PRESSURE WAVEFORM ANALYS,TC,,4,,RBRVS,,0.21 ,0.21 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
93224,CPT,ECG MONIT/REPRT UP TO 48 HRS,,,4,,RBRVS,0.52 ,1.93 ,1.93 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
93225,CPT,ECG MONIT/REPRT UP TO 48 HRS,,TC,4,,RBRVS,,0.71 ,0.71 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
93226,CPT,ECG MONIT/REPRT UP TO 48 HRS,,TC,4,,RBRVS,,1.01 ,1.01 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
93227,CPT,ECG MONIT/REPRT UP TO 48 HRS,,PC,4,,RBRVS,0.52 ,0.21 ,0.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
93228,CPT,REMOTE 30 DAY ECG REV/REPORT,,PC,4,,RBRVS,0.52 ,0.19 ,0.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
93229,CPT,REMOTE 30 DAY ECG TECH SUPP,,TC,4,,RBRVS,,19.75 ,19.75 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
93242,CPT,EXT ECG>48HR<7D RECORDING,,,4,,RBRVS,,0.44 ,0.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
93244,CPT,EXT ECG>48HR<7D REV&INTERPJ,,,4,,RBRVS,0.50 ,0.20 ,0.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
93246,CPT,EXT ECG>7D<15D RECORDING,,,4,,RBRVS,,0.44 ,0.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
93248,CPT,EXT ECG>7D<15D REV&INTERPJ,,,4,,RBRVS,0.55 ,0.22 ,0.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
93260,CPT,PRGRMG DEV EVAL IMPLTBL SYS,,,4,,RBRVS,0.85 ,1.15 ,1.15 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
93260,CPT,PRGRMG DEV EVAL IMPLTBL SYS,26,,4,,RBRVS,0.85 ,0.35 ,0.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
93260,CPT,PRGRMG DEV EVAL IMPLTBL SYS,TC,,4,,RBRVS,,0.80 ,0.80 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
93261,CPT,INTERROGATE SUBQ DEFIB,,,4,,RBRVS,0.74 ,1.10 ,1.10 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
93261,CPT,INTERROGATE SUBQ DEFIB,26,,4,,RBRVS,0.74 ,0.30 ,0.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
93261,CPT,INTERROGATE SUBQ DEFIB,TC,,4,,RBRVS,,0.80 ,0.80 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
93264,CPT,REM MNTR WRLS P-ART PRS SNR,,,14,,RBRVS,0.70 ,0.28 ,0.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
93268,CPT,ECG RECORD/REVIEW,,,4,,RBRVS,0.52 ,5.08 ,5.08 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
93270,CPT,REMOTE 30 DAY ECG REV/REPORT,,TC,4,,RBRVS,,0.24 ,0.24 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
93271,CPT,ECG/MONITORING AND ANALYSIS,,TC,4,,RBRVS,,4.66 ,4.66 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
93272,CPT,ECG/REVIEW INTERPRET ONLY,,PC,4,,RBRVS,0.52 ,0.18 ,0.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
93278,CPT,ECG/SIGNAL-AVERAGED,,,4,,RBRVS,0.25 ,0.58 ,0.58 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
93278,CPT,ECG/SIGNAL-AVERAGED,26,,4,,RBRVS,0.25 ,0.10 ,0.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
93278,CPT,ECG/SIGNAL-AVERAGED,TC,,4,,RBRVS,,0.48 ,0.48 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
93279,CPT,PRGRMG DEV EVAL PM/LDLS PM,,,4,,RBRVS,0.65 ,1.04 ,1.04 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
93279,CPT,PRGRMG DEV EVAL PM/LDLS PM,26,,4,,RBRVS,0.65 ,0.25 ,0.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
93279,CPT,PRGRMG DEV EVAL PM/LDLS PM,TC,,4,,RBRVS,,0.79 ,0.79 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
93280,CPT,PM DEVICE PROGR EVAL DUAL,,,4,,RBRVS,0.77 ,1.22 ,1.22 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
93280,CPT,PM DEVICE PROGR EVAL DUAL,26,,4,,RBRVS,0.77 ,0.30 ,0.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
93280,CPT,PM DEVICE PROGR EVAL DUAL,TC,,4,,RBRVS,,0.92 ,0.92 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
93281,CPT,PM DEVICE PROGR EVAL MULTI,,,4,,RBRVS,0.85 ,1.28 ,1.28 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
93281,CPT,PM DEVICE PROGR EVAL MULTI,26,,4,,RBRVS,0.85 ,0.34 ,0.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
93281,CPT,PM DEVICE PROGR EVAL MULTI,TC,,4,,RBRVS,,0.94 ,0.94 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
93282,CPT,PRGRMG EVAL IMPLANTABLE DFB,,,4,,RBRVS,0.85 ,1.19 ,1.19 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
93282,CPT,PRGRMG EVAL IMPLANTABLE DFB,26,,4,,RBRVS,0.85 ,0.34 ,0.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
93282,CPT,PRGRMG EVAL IMPLANTABLE DFB,TC,,4,,RBRVS,,0.85 ,0.85 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
93283,CPT,PRGRMG EVAL IMPLANTABLE DFB,,,4,,RBRVS,1.15 ,1.39 ,1.39 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
93283,CPT,PRGRMG EVAL IMPLANTABLE DFB,26,,4,,RBRVS,1.15 ,0.46 ,0.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
93283,CPT,PRGRMG EVAL IMPLANTABLE DFB,TC,,4,,RBRVS,,0.93 ,0.93 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
93284,CPT,PRGRMG EVAL IMPLANTABLE DFB,,,4,,RBRVS,1.25 ,1.50 ,1.50 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
93284,CPT,PRGRMG EVAL IMPLANTABLE DFB,26,,4,,RBRVS,1.25 ,0.50 ,0.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
93284,CPT,PRGRMG EVAL IMPLANTABLE DFB,TC,,4,,RBRVS,,1.00 ,1.00 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
93285,CPT,PRGRMG DEV EVAL SCRMS IP,,,4,,RBRVS,0.52 ,0.97 ,0.97 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
93285,CPT,PRGRMG DEV EVAL SCRMS IP,26,,4,,RBRVS,0.52 ,0.21 ,0.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
93285,CPT,PRGRMG DEV EVAL SCRMS IP,TC,,4,,RBRVS,,0.76 ,0.76 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
93286,CPT,PERI-PX EVAL PM/LDLS PM IP,,,4,,RBRVS,0.30 ,0.82 ,0.82 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
93286,CPT,PERI-PX EVAL PM/LDLS PM IP,26,,4,,RBRVS,0.30 ,0.13 ,0.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
93286,CPT,PERI-PX EVAL PM/LDLS PM IP,TC,,4,,RBRVS,,0.69 ,0.69 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
93287,CPT,PERI-PX DEVICE EVAL & PRGR,,,4,,RBRVS,0.45 ,0.88 ,0.88 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
93287,CPT,PERI-PX DEVICE EVAL & PRGR,26,,4,,RBRVS,0.45 ,0.19 ,0.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
93287,CPT,PERI-PX DEVICE EVAL & PRGR,TC,,4,,RBRVS,,0.69 ,0.69 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
93288,CPT,INTERROG EVL PM/LDLS PM IP,,,4,,RBRVS,0.43 ,0.94 ,0.94 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
93288,CPT,INTERROG EVL PM/LDLS PM IP,26,,4,,RBRVS,0.43 ,0.16 ,0.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
93288,CPT,INTERROG EVL PM/LDLS PM IP,TC,,4,,RBRVS,,0.78 ,0.78 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
93289,CPT,INTERROG DEVICE EVAL HEART,,,4,,RBRVS,0.75 ,1.08 ,1.08 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
93289,CPT,INTERROG DEVICE EVAL HEART,26,,4,,RBRVS,0.75 ,0.29 ,0.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
93289,CPT,INTERROG DEVICE EVAL HEART,TC,,4,,RBRVS,,0.79 ,0.79 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
93290,CPT,INTERROG DEV EVAL ICPMS IP,,,4,,RBRVS,0.43 ,0.88 ,0.88 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
93290,CPT,INTERROG DEV EVAL ICPMS IP,26,,4,,RBRVS,0.43 ,0.17 ,0.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
93290,CPT,INTERROG DEV EVAL ICPMS IP,TC,,4,,RBRVS,,0.71 ,0.71 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
93291,CPT,INTERROG DEV EVAL SCRMS IP,,,4,,RBRVS,0.37 ,0.83 ,0.83 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
93291,CPT,INTERROG DEV EVAL SCRMS IP,26,,4,,RBRVS,0.37 ,0.15 ,0.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
93291,CPT,INTERROG DEV EVAL SCRMS IP,TC,,4,,RBRVS,,0.68 ,0.68 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
93292,CPT,WCD DEVICE INTERROGATE,,,4,,RBRVS,0.43 ,0.81 ,0.81 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
93292,CPT,WCD DEVICE INTERROGATE,26,,4,,RBRVS,0.43 ,0.16 ,0.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
93292,CPT,WCD DEVICE INTERROGATE,TC,,4,,RBRVS,,0.65 ,0.65 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
93293,CPT,PM PHONE R-STRIP DEVICE EVAL,,,4,,RBRVS,0.31 ,1.13 ,1.13 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
93293,CPT,PM PHONE R-STRIP DEVICE EVAL,26,,4,,RBRVS,0.31 ,0.11 ,0.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
93293,CPT,PM PHONE R-STRIP DEVICE EVAL,TC,,4,,RBRVS,,1.02 ,1.02 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
93294,CPT,REM INTERROG EVL PM/LDLS PM,,PC,4,,RBRVS,0.60 ,0.24 ,0.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
93295,CPT,DEV INTERROG REMOTE 1/2/MLT,,PC,4,,RBRVS,0.74 ,0.30 ,0.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
93296,CPT,REM INTERROG EVL PM/IDS,,TC,4,,RBRVS,,0.71 ,0.71 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
93297,CPT,REM INTERROG DEV EVAL ICPMS,,PC,4,,RBRVS,0.52 ,0.20 ,0.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
93298,CPT,REM INTERROG DEV EVAL SCRMS,,PC,4,,RBRVS,0.52 ,0.21 ,0.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
93303,CPT,ECHO TRANSTHORACIC,,,4,,RBRVS,1.30 ,5.21 ,5.21 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
93303,CPT,ECHO TRANSTHORACIC,26,,4,,RBRVS,1.30 ,0.46 ,0.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
93303,CPT,ECHO TRANSTHORACIC,TC,,4,,RBRVS,,4.75 ,4.75 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
93304,CPT,ECHO TRANSTHORACIC,,,4,,RBRVS,0.75 ,3.72 ,3.72 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
93304,CPT,ECHO TRANSTHORACIC,26,,4,,RBRVS,0.75 ,0.26 ,0.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
93304,CPT,ECHO TRANSTHORACIC,TC,,4,,RBRVS,,3.46 ,3.46 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
93306,CPT,TTE W/DOPPLER COMPLETE,,,4,,RBRVS,1.50 ,4.29 ,4.29 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
93306,CPT,TTE W/DOPPLER COMPLETE,26,,4,,RBRVS,1.50 ,0.53 ,0.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
93306,CPT,TTE W/DOPPLER COMPLETE,TC,,4,,RBRVS,,3.76 ,3.76 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
93307,CPT,TTE W/O DOPPLER COMPLETE,,,4,,RBRVS,0.92 ,3.02 ,3.02 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
93307,CPT,TTE W/O DOPPLER COMPLETE,26,,4,,RBRVS,0.92 ,0.33 ,0.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
93307,CPT,TTE W/O DOPPLER COMPLETE,TC,,4,,RBRVS,,2.69 ,2.69 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
93308,CPT,TTE F-UP OR LMTD,,,4,,RBRVS,0.53 ,2.23 ,2.23 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
93308,CPT,TTE F-UP OR LMTD,26,,4,,RBRVS,0.53 ,0.18 ,0.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
93308,CPT,TTE F-UP OR LMTD,TC,,4,,RBRVS,,2.05 ,2.05 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
93312,CPT,ECHO TRANSESOPHAGEAL,,,4,,RBRVS,2.30 ,4.55 ,4.55 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
93312,CPT,ECHO TRANSESOPHAGEAL,26,,4,,RBRVS,2.30 ,0.73 ,0.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
93312,CPT,ECHO TRANSESOPHAGEAL,TC,,4,,RBRVS,,3.82 ,3.82 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
93313,CPT,ECHO TRANSESOPHAGEAL,,,4,,RBRVS,0.26 ,0.05 ,0.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
93314,CPT,ECHO TRANSESOPHAGEAL,,,4,,RBRVS,1.85 ,4.66 ,4.66 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
93314,CPT,ECHO TRANSESOPHAGEAL,26,,4,,RBRVS,1.85 ,0.59 ,0.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
93314,CPT,ECHO TRANSESOPHAGEAL,TC,,4,,RBRVS,,4.07 ,4.07 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
93315,CPT,ECHO TRANSESOPHAGEAL,,,4,,TotalUnits,,,,6.18 ,,$0.00,$0.00,1,0,0,0,0,1,20210101,
93315,CPT,ECHO TRANSESOPHAGEAL,26,,4,,TotalUnits,,,,3.58 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
93315,CPT,ECHO TRANSESOPHAGEAL,TC,,4,,TotalUnits,,,,2.60 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
93316,CPT,ECHO TRANSESOPHAGEAL,,,4,,RBRVS,0.60 ,0.13 ,0.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
93317,CPT,ECHO TRANSESOPHAGEAL,,,4,,TotalUnits,,,,4.39 ,,$0.00,$0.00,1,0,0,0,0,1,20210101,
93317,CPT,ECHO TRANSESOPHAGEAL,26,,4,,TotalUnits,,,,2.50 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
93317,CPT,ECHO TRANSESOPHAGEAL,TC,,4,,TotalUnits,,,,1.89 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
93318,CPT,ECHO TRANSESOPHAGEAL INTRAOP,,,4,,TotalUnits,,,,4.93 ,,$0.00,$0.00,1,0,0,0,0,1,20210101,
93318,CPT,ECHO TRANSESOPHAGEAL INTRAOP,26,,4,,TotalUnits,,,,2.85 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
93318,CPT,ECHO TRANSESOPHAGEAL INTRAOP,TC,,4,,TotalUnits,,,,2.08 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
93320,CPT,DOPPLER ECHO EXAM HEART,,,4,,RBRVS,0.38 ,1.11 ,1.11 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
93320,CPT,DOPPLER ECHO EXAM HEART,26,,4,,RBRVS,0.38 ,0.13 ,0.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
93320,CPT,DOPPLER ECHO EXAM HEART,TC,,4,,RBRVS,,0.98 ,0.98 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
93321,CPT,DOPPLER ECHO EXAM HEART,,,4,,RBRVS,0.15 ,0.59 ,0.59 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
93321,CPT,DOPPLER ECHO EXAM HEART,26,,4,,RBRVS,0.15 ,0.05 ,0.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
93321,CPT,DOPPLER ECHO EXAM HEART,TC,,4,,RBRVS,,0.54 ,0.54 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
93325,CPT,DOPPLER COLOR FLOW ADD-ON,,,4,,RBRVS,0.07 ,0.63 ,0.63 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
93325,CPT,DOPPLER COLOR FLOW ADD-ON,26,,4,,RBRVS,0.07 ,0.02 ,0.02 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
93325,CPT,DOPPLER COLOR FLOW ADD-ON,TC,,4,,RBRVS,,0.61 ,0.61 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
93350,CPT,STRESS TTE ONLY,,,4,,RBRVS,1.46 ,3.83 ,3.83 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
93350,CPT,STRESS TTE ONLY,26,,4,,RBRVS,1.46 ,0.51 ,0.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
93350,CPT,STRESS TTE ONLY,TC,,4,,RBRVS,,3.32 ,3.32 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
93351,CPT,STRESS TTE COMPLETE,,,4,,RBRVS,1.75 ,4.79 ,4.79 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
93351,CPT,STRESS TTE COMPLETE,26,,4,,RBRVS,1.75 ,0.61 ,0.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
93351,CPT,STRESS TTE COMPLETE,TC,,4,,RBRVS,,4.18 ,4.18 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
93352,CPT,ADMIN ECG CONTRAST AGENT,,,4,,RBRVS,0.19 ,0.74 ,0.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
93355,CPT,ECHO TRANSESOPHAGEAL (TEE),,,4,,RBRVS,4.66 ,1.60 ,1.60 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
93356,CPT,MYOCRD STRAIN IMG SPCKL TRCK,,,4,,RBRVS,0.24 ,0.08 ,0.87 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
93451,CPT,RIGHT HEART CATH,,,21,,RBRVS,2.47 ,21.00 ,21.00 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
93451,CPT,RIGHT HEART CATH,26,,21,,RBRVS,2.47 ,0.89 ,0.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
93451,CPT,RIGHT HEART CATH,TC,,21,,RBRVS,,20.11 ,20.11 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
93452,CPT,LEFT HRT CATH W/VENTRCLGRPHY,,,21,,RBRVS,4.50 ,20.57 ,20.57 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
93452,CPT,LEFT HRT CATH W/VENTRCLGRPHY,26,,21,,RBRVS,4.50 ,1.56 ,1.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
93452,CPT,LEFT HRT CATH W/VENTRCLGRPHY,TC,,21,,RBRVS,,19.01 ,19.01 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
93453,CPT,R&L HRT CATH W/VENTRICLGRPHY,,,21,,RBRVS,5.99 ,26.26 ,26.26 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
93453,CPT,R&L HRT CATH W/VENTRICLGRPHY,26,,21,,RBRVS,5.99 ,2.09 ,2.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
93453,CPT,R&L HRT CATH W/VENTRICLGRPHY,TC,,21,,RBRVS,,24.17 ,24.17 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
93454,CPT,CORONARY ARTERY ANGIO S&I,,,21,,RBRVS,4.54 ,20.56 ,20.56 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
93454,CPT,CORONARY ARTERY ANGIO S&I,26,,21,,RBRVS,4.54 ,1.57 ,1.57 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
93454,CPT,CORONARY ARTERY ANGIO S&I,TC,,21,,RBRVS,,18.99 ,18.99 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
93455,CPT,CORONARY ART/GRFT ANGIO S&I,,,21,,RBRVS,5.29 ,23.21 ,23.21 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
93455,CPT,CORONARY ART/GRFT ANGIO S&I,26,,21,,RBRVS,5.29 ,1.82 ,1.82 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
93455,CPT,CORONARY ART/GRFT ANGIO S&I,TC,,21,,RBRVS,,21.39 ,21.39 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
93456,CPT,R HRT CORONARY ARTERY ANGIO,,,21,,RBRVS,5.90 ,25.85 ,25.85 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
93456,CPT,R HRT CORONARY ARTERY ANGIO,26,,21,,RBRVS,5.90 ,2.05 ,2.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
93456,CPT,R HRT CORONARY ARTERY ANGIO,TC,,21,,RBRVS,,23.80 ,23.80 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
93457,CPT,R HRT ART/GRFT ANGIO,,,21,,RBRVS,6.64 ,28.47 ,28.47 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
93457,CPT,R HRT ART/GRFT ANGIO,26,,21,,RBRVS,6.64 ,2.30 ,2.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
93457,CPT,R HRT ART/GRFT ANGIO,TC,,21,,RBRVS,,26.17 ,26.17 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
93458,CPT,L HRT ARTERY/VENTRICLE ANGIO,,,21,,RBRVS,5.60 ,23.73 ,23.73 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
93458,CPT,L HRT ARTERY/VENTRICLE ANGIO,26,,21,,RBRVS,5.60 ,1.93 ,1.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
93458,CPT,L HRT ARTERY/VENTRICLE ANGIO,TC,,21,,RBRVS,,21.80 ,21.80 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
93459,CPT,L HRT ART/GRFT ANGIO,,,21,,RBRVS,6.35 ,25.53 ,25.53 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
93459,CPT,L HRT ART/GRFT ANGIO,26,,21,,RBRVS,6.35 ,2.18 ,2.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
93459,CPT,L HRT ART/GRFT ANGIO,TC,,21,,RBRVS,,23.35 ,23.35 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
93460,CPT,R&L HRT ART/VENTRICLE ANGIO,,,21,,RBRVS,7.10 ,28.18 ,28.18 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
93460,CPT,R&L HRT ART/VENTRICLE ANGIO,26,,21,,RBRVS,7.10 ,2.45 ,2.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
93460,CPT,R&L HRT ART/VENTRICLE ANGIO,TC,,21,,RBRVS,,25.73 ,25.73 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
93461,CPT,R&L HRT ART/VENTRICLE ANGIO,,,21,,RBRVS,7.85 ,31.66 ,31.66 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
93461,CPT,R&L HRT ART/VENTRICLE ANGIO,26,,21,,RBRVS,7.85 ,2.71 ,2.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
93461,CPT,R&L HRT ART/VENTRICLE ANGIO,TC,,21,,RBRVS,,28.95 ,28.95 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
93462,CPT,L HRT CATH TRNSPTL PUNCTURE,,,21,,RBRVS,3.73 ,1.56 ,1.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
93463,CPT,DRUG ADMIN & HEMODYNMIC MEAS,,,21,,RBRVS,2.00 ,0.69 ,0.69 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
93464,CPT,EXERCISE W/HEMODYNAMIC MEAS,,,21,,RBRVS,1.80 ,4.99 ,4.99 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
93464,CPT,EXERCISE W/HEMODYNAMIC MEAS,26,,21,,RBRVS,1.80 ,0.65 ,0.65 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
93464,CPT,EXERCISE W/HEMODYNAMIC MEAS,TC,,21,,RBRVS,,4.34 ,4.34 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
93503,CPT,INSERT/PLACE HEART CATHETER,,,21,,RBRVS,2.00 ,0.37 ,0.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
93505,CPT,BIOPSY OF HEART LINING,,,21,,RBRVS,4.12 ,15.26 ,15.26 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
93505,CPT,BIOPSY OF HEART LINING,26,,21,,RBRVS,4.12 ,1.58 ,1.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
93505,CPT,BIOPSY OF HEART LINING,TC,,21,,RBRVS,,13.68 ,13.68 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
93530,CPT,RT HEART CATH CONGENITAL,,,21,,TotalUnits,,,,8.24 ,,$0.00,$0.00,1,0,0,0,0,1,20210101,
93530,CPT,RT HEART CATH CONGENITAL,26,,21,,TotalUnits,,,,5.36 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
93530,CPT,RT HEART CATH CONGENITAL,TC,,21,,TotalUnits,,,,2.88 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
93531,CPT,R & L HEART CATH CONGENITAL,,,21,,TotalUnits,,,,89.92 ,,$0.00,$0.00,1,0,0,0,0,1,20210101,
93531,CPT,R & L HEART CATH CONGENITAL,26,,21,,TotalUnits,,,,11.21 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
93531,CPT,R & L HEART CATH CONGENITAL,TC,,21,,TotalUnits,,,,78.71 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
93532,CPT,R & L HEART CATH CONGENITAL,,,21,,TotalUnits,,,,96.38 ,,$0.00,$0.00,1,0,0,0,0,1,20210101,
93532,CPT,R & L HEART CATH CONGENITAL,26,,21,,TotalUnits,,,,13.40 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
93532,CPT,R & L HEART CATH CONGENITAL,TC,,21,,TotalUnits,,,,82.98 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
93533,CPT,R & L HEART CATH CONGENITAL,,,21,,TotalUnits,,,,90.84 ,,$0.00,$0.00,1,0,0,0,0,1,20210101,
93533,CPT,R & L HEART CATH CONGENITAL,26,,21,,TotalUnits,,,,8.98 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
93533,CPT,R & L HEART CATH CONGENITAL,TC,,21,,TotalUnits,,,,81.86 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
93561,CPT,CARDIAC OUTPUT MEASUREMENT,,,4,,TotalUnits,,,,1.74 ,,$0.00,$0.00,1,0,0,0,0,1,20210101,
93561,CPT,CARDIAC OUTPUT MEASUREMENT,26,,4,,TotalUnits,,,,1.28 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
93561,CPT,CARDIAC OUTPUT MEASUREMENT,TC,,4,,TotalUnits,,,,0.46 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
93562,CPT,CARD OUTPUT MEASURE SUBSQ,,,4,,TotalUnits,,,,1.37 ,,$0.00,$0.00,1,0,0,0,0,1,20210101,
93562,CPT,CARD OUTPUT MEASURE SUBSQ,26,,4,,TotalUnits,,,,1.03 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
93562,CPT,CARD OUTPUT MEASURE SUBSQ,TC,,4,,TotalUnits,,,,0.34 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
93563,CPT,INJECT CONGENITAL CARD CATH,,,4,,RBRVS,1.11 ,0.38 ,0.38 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
93564,CPT,INJECT HRT CONGNTL ART/GRFT,,,4,,RBRVS,1.13 ,0.39 ,0.39 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
93565,CPT,INJECT L VENTR/ATRIAL ANGIO,,,4,,RBRVS,0.86 ,0.30 ,0.30 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
93566,CPT,INJECT R VENTR/ATRIAL ANGIO,,,4,,RBRVS,0.86 ,0.30 ,3.14 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
93567,CPT,INJECT SUPRVLV AORTOGRAPHY,,,4,,RBRVS,0.97 ,0.34 ,2.36 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
93568,CPT,INJECT PULM ART HRT CATH,,,4,,RBRVS,0.88 ,0.31 ,2.78 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
93571,CPT,HEART FLOW RESERVE MEASURE,,,4,,TotalUnits,,,,6.34 ,,$0.00,$0.00,1,0,0,0,0,1,20210101,
93571,CPT,HEART FLOW RESERVE MEASURE,26,,4,,TotalUnits,,,,1.86 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
93571,CPT,HEART FLOW RESERVE MEASURE,TC,,4,,TotalUnits,,,,4.48 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
93572,CPT,HEART FLOW RESERVE MEASURE,,,4,,TotalUnits,,,,3.57 ,,$0.00,$0.00,1,0,0,0,0,1,20210101,
93572,CPT,HEART FLOW RESERVE MEASURE,26,,4,,TotalUnits,,,,1.35 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
93572,CPT,HEART FLOW RESERVE MEASURE,TC,,4,,TotalUnits,,,,2.22 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
93580,CPT,TRANSCATH CLOSURE OF ASD,,,21,,RBRVS,17.97 ,6.51 ,6.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
93581,CPT,TRANSCATH CLOSURE OF VSD,,,21,,RBRVS,24.39 ,8.65 ,8.65 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
93582,CPT,PERQ TRANSCATH CLOSURE PDA,,,21,,RBRVS,12.31 ,4.21 ,4.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
93583,CPT,PERQ TRANSCATH SEPTAL REDUXN,,,21,,RBRVS,13.75 ,4.77 ,4.77 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
93590,CPT,PERQ TRANSCATH CLS MITRAL,,,21,,RBRVS,21.70 ,7.95 ,7.95 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
93591,CPT,PERQ TRANSCATH CLS AORTIC,,,21,,RBRVS,17.97 ,6.63 ,6.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
93592,CPT,PERQ TRANSCATH CLOSURE EACH,,,21,,RBRVS,8.00 ,2.80 ,2.80 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
93600,CPT,BUNDLE OF HIS RECORDING,,,4,,TotalUnits,,,,3.31 ,,$0.00,$0.00,1,0,0,0,0,1,20210101,
93600,CPT,BUNDLE OF HIS RECORDING,26,,4,,TotalUnits,,,,3.05 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
93600,CPT,BUNDLE OF HIS RECORDING,TC,,4,,TotalUnits,,,,0.26 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
93602,CPT,INTRA-ATRIAL RECORDING,,,4,,TotalUnits,,,,3.18 ,,$0.00,$0.00,1,0,0,0,0,1,20210101,
93602,CPT,INTRA-ATRIAL RECORDING,26,,4,,TotalUnits,,,,2.99 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
93602,CPT,INTRA-ATRIAL RECORDING,TC,,4,,TotalUnits,,,,0.19 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
93603,CPT,RIGHT VENTRICULAR RECORDING,,,4,,TotalUnits,,,,4.06 ,,$0.00,$0.00,1,0,0,0,0,1,20210101,
93603,CPT,RIGHT VENTRICULAR RECORDING,26,,4,,TotalUnits,,,,2.99 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
93603,CPT,RIGHT VENTRICULAR RECORDING,TC,,4,,TotalUnits,,,,1.07 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
93609,CPT,MAP TACHYCARDIA ADD-ON,,,4,,TotalUnits,,,,9.30 ,,$0.00,$0.00,1,0,0,0,0,1,20210101,
93609,CPT,MAP TACHYCARDIA ADD-ON,26,,4,,TotalUnits,,,,7.12 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
93609,CPT,MAP TACHYCARDIA ADD-ON,TC,,4,,TotalUnits,,,,2.18 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
93610,CPT,INTRA-ATRIAL PACING,,,4,,TotalUnits,,,,4.29 ,,$0.00,$0.00,1,0,0,0,0,1,20210101,
93610,CPT,INTRA-ATRIAL PACING,26,,4,,TotalUnits,,,,4.20 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
93610,CPT,INTRA-ATRIAL PACING,TC,,4,,TotalUnits,,,,0.09 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
93612,CPT,INTRAVENTRICULAR PACING,,,4,,TotalUnits,,,,4.44 ,,$0.00,$0.00,1,0,0,0,0,1,20210101,
93612,CPT,INTRAVENTRICULAR PACING,26,,4,,TotalUnits,,,,4.18 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
93612,CPT,INTRAVENTRICULAR PACING,TC,,4,,TotalUnits,,,,0.26 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
93613,CPT,ELECTROPHYS MAP 3D ADD-ON,,,4,,RBRVS,5.23 ,2.24 ,2.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
93615,CPT,ESOPHAGEAL RECORDING,,,4,,TotalUnits,,,,1.36 ,,$0.00,$0.00,1,0,0,0,0,1,20210101,
93615,CPT,ESOPHAGEAL RECORDING,26,,4,,TotalUnits,,,,1.07 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
93615,CPT,ESOPHAGEAL RECORDING,TC,,4,,TotalUnits,,,,0.29 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
93616,CPT,ESOPHAGEAL RECORDING,,,4,,TotalUnits,,,,2.02 ,,$0.00,$0.00,1,0,0,0,0,1,20210101,
93616,CPT,ESOPHAGEAL RECORDING,26,,4,,TotalUnits,,,,1.67 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
93616,CPT,ESOPHAGEAL RECORDING,TC,,4,,TotalUnits,,,,0.35 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
93618,CPT,HEART RHYTHM PACING,,,4,,TotalUnits,,,,6.09 ,,$0.00,$0.00,1,0,0,0,0,1,20210101,
93618,CPT,HEART RHYTHM PACING,26,,4,,TotalUnits,,,,5.63 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
93618,CPT,HEART RHYTHM PACING,TC,,4,,TotalUnits,,,,0.46 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
93619,CPT,ELECTROPHYSIOLOGY EVALUATION,,,4,,TotalUnits,,,,12.60 ,,$0.00,$0.00,1,0,0,0,0,1,20210101,
93619,CPT,ELECTROPHYSIOLOGY EVALUATION,26,,4,,TotalUnits,,,,10.03 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
93619,CPT,ELECTROPHYSIOLOGY EVALUATION,TC,,4,,TotalUnits,,,,2.57 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
93620,CPT,ELECTROPHYSIOLOGY EVALUATION,,,4,,TotalUnits,,,,19.27 ,,$0.00,$0.00,1,0,0,0,0,1,20210101,
93620,CPT,ELECTROPHYSIOLOGY EVALUATION,26,,4,,TotalUnits,,,,16.08 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
93620,CPT,ELECTROPHYSIOLOGY EVALUATION,TC,,4,,TotalUnits,,,,3.19 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
93621,CPT,ELECTROPHYSIOLOGY EVALUATION,,,4,,TotalUnits,,,,4.89 ,,$0.00,$0.00,1,0,0,0,0,1,20210101,
93621,CPT,ELECTROPHYSIOLOGY EVALUATION,26,,4,,TotalUnits,,,,3.00 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
93621,CPT,ELECTROPHYSIOLOGY EVALUATION,TC,,4,,TotalUnits,,,,1.89 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
93622,CPT,ELECTROPHYSIOLOGY EVALUATION,,,4,,TotalUnits,,,,5.86 ,,$0.00,$0.00,1,0,0,0,0,1,20210101,
93622,CPT,ELECTROPHYSIOLOGY EVALUATION,26,,4,,TotalUnits,,,,4.40 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
93622,CPT,ELECTROPHYSIOLOGY EVALUATION,TC,,4,,TotalUnits,,,,1.46 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
93623,CPT,STIMULATION PACING HEART,,,4,,TotalUnits,,,,5.42 ,,$0.00,$0.00,1,0,0,0,0,1,20210101,
93623,CPT,STIMULATION PACING HEART,26,,4,,TotalUnits,,,,4.06 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
93623,CPT,STIMULATION PACING HEART,TC,,4,,TotalUnits,,,,1.36 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
93624,CPT,ELECTROPHYSIOLOGIC STUDY,,,4,,TotalUnits,,,,6.78 ,,$0.00,$0.00,1,0,0,0,0,1,20210101,
93624,CPT,ELECTROPHYSIOLOGIC STUDY,26,,4,,RBRVS,4.55 ,1.55 ,1.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
93624,CPT,ELECTROPHYSIOLOGIC STUDY,TC,,4,,TotalUnits,,,,0.68 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
93631,CPT,HEART PACING MAPPING,,,4,,TotalUnits,,,,13.62 ,,$0.00,$0.00,1,0,0,0,0,1,20210101,
93631,CPT,HEART PACING MAPPING,26,,4,,TotalUnits,,,,10.02 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
93631,CPT,HEART PACING MAPPING,TC,,4,,TotalUnits,,,,3.60 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
93640,CPT,EVALUATION HEART DEVICE,,,4,,TotalUnits,,,,11.18 ,,$0.00,$0.00,1,0,0,0,0,1,20210101,
93640,CPT,EVALUATION HEART DEVICE,26,,4,,TotalUnits,,,,4.57 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
93640,CPT,EVALUATION HEART DEVICE,TC,,4,,TotalUnits,,,,6.61 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
93641,CPT,ELECTROPHYSIOLOGY EVALUATION,,,4,,TotalUnits,,,,13.32 ,,$0.00,$0.00,1,0,0,0,0,1,20210101,
93641,CPT,ELECTROPHYSIOLOGY EVALUATION,26,,4,,TotalUnits,,,,8.00 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
93641,CPT,ELECTROPHYSIOLOGY EVALUATION,TC,,4,,TotalUnits,,,,5.32 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
93642,CPT,ELECTROPHYSIOLOGY EVALUATION,,,4,,RBRVS,4.63 ,4.20 ,4.20 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
93642,CPT,ELECTROPHYSIOLOGY EVALUATION,26,,4,,RBRVS,4.63 ,1.91 ,1.91 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
93642,CPT,ELECTROPHYSIOLOGY EVALUATION,TC,,4,,RBRVS,,2.29 ,2.29 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
93644,CPT,ELECTROPHYSIOLOGY EVALUATION,,,4,,RBRVS,3.04 ,2.49 ,2.49 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
93644,CPT,ELECTROPHYSIOLOGY EVALUATION,26,,4,,RBRVS,3.04 ,1.04 ,1.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
93644,CPT,ELECTROPHYSIOLOGY EVALUATION,TC,,4,,RBRVS,,1.45 ,1.45 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
93650,CPT,ABLATE HEART DYSRHYTHM FOCUS,,,4,,RBRVS,10.24 ,4.66 ,4.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
93653,CPT,EP & ABLATE SUPRAVENT ARRHYT,,,4,,RBRVS,14.75 ,6.28 ,6.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
93654,CPT,EP & ABLATE VENTRIC TACHY,,,4,,RBRVS,19.75 ,8.40 ,8.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
93655,CPT,ABLATE ARRHYTHMIA ADD ON,,,4,,RBRVS,7.50 ,3.21 ,3.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
93656,CPT,TX ATRIAL FIB PULM VEIN ISOL,,,4,,RBRVS,19.77 ,8.47 ,8.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
93657,CPT,TX L/R ATRIAL FIB ADDL,,,4,,RBRVS,7.50 ,3.20 ,3.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
93660,CPT,TILT TABLE EVALUATION,,,4,,RBRVS,1.89 ,2.52 ,2.52 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
93660,CPT,TILT TABLE EVALUATION,26,,4,,RBRVS,1.89 ,0.72 ,0.72 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
93660,CPT,TILT TABLE EVALUATION,TC,,4,,RBRVS,,1.80 ,1.80 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
93662,CPT,INTRACARDIAC ECG (ICE),,,4,,TotalUnits,,,,5.43 ,,$0.00,$0.00,1,0,0,0,0,1,20210101,
93662,CPT,INTRACARDIAC ECG (ICE),26,,4,,TotalUnits,,,,3.99 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
93662,CPT,INTRACARDIAC ECG (ICE),TC,,4,,TotalUnits,,,,1.44 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
93668,CPT,PERIPHERAL VASCULAR REHAB,,TC,4,,RBRVS,,0.42 ,0.42 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
93701,CPT,BIOIMPEDANCE CV ANALYSIS,,TC,4,,RBRVS,,0.73 ,0.73 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
93702,CPT,BIS XTRACELL FLUID ANALYSIS,,TC,20,,RBRVS,,3.88 ,3.88 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
93724,CPT,ANALYZE PACEMAKER SYSTEM,,,4,,RBRVS,4.88 ,2.99 ,2.99 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
93724,CPT,ANALYZE PACEMAKER SYSTEM,26,,4,,RBRVS,4.88 ,1.92 ,1.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
93724,CPT,ANALYZE PACEMAKER SYSTEM,TC,,4,,RBRVS,,1.07 ,1.07 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
93740,CPT,TEMPERATURE GRADIENT STUDIES,,,4,,RBRVS,0.16 ,0.06 ,0.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
93750,CPT,INTERROGATION VAD IN PERSON,,,4,,RBRVS,0.92 ,0.35 ,0.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
93770,CPT,MEASURE VENOUS PRESSURE,,,4,,RBRVS,0.16 ,0.06 ,0.06 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
93784,CPT,AMBL BP MNTR W/SOFTWARE,,,4,,RBRVS,0.38 ,0.90 ,0.90 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
93786,CPT,AMBL BP MNTR W/SW REC ONLY,,TC,4,,RBRVS,,0.63 ,0.63 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
93788,CPT,AMBL BP MNTR W/SW A/R,,TC,4,,RBRVS,,0.13 ,0.13 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
93790,CPT,AMBL BP MNTR W/SW I&R,,PC,4,,RBRVS,0.38 ,0.14 ,0.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
93792,CPT,PT/CAREGIVER TRAING HOME INR,,TC,14,,RBRVS,,1.81 ,1.81 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
93793,CPT,ANTICOAG MGMT PT WARFARIN,,PC,14,,RBRVS,0.18 ,0.14 ,0.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
93797,CPT,CARDIAC REHAB,,,4,,RBRVS,0.18 ,0.06 ,0.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
93798,CPT,CARDIAC REHAB/MONITOR,,,4,,RBRVS,0.28 ,0.10 ,0.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
93799,CPT,CARDIOVASCULAR PROCEDURE,,,4,,TotalUnits,,,,6.86 ,,$0.00,$0.00,1,0,0,0,0,1,20210101,
93799,CPT,CARDIOVASCULAR PROCEDURE,,PC,4,,TotalUnits,,,,2.41 ,,$0.00,$0.00,1,0,1,1,1,0,20210101,
93799,CPT,CARDIOVASCULAR PROCEDURE,,TC,4,,TotalUnits,,,,4.44 ,,$0.00,$0.00,1,1,1,0,1,0,20210101,
93880,CPT,EXTRACRANIAL BILAT STUDY,,,14,,RBRVS,0.80 ,4.76 ,4.76 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
93880,CPT,EXTRACRANIAL BILAT STUDY,26,,14,,RBRVS,0.80 ,0.27 ,0.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
93880,CPT,EXTRACRANIAL BILAT STUDY,TC,,14,,RBRVS,,4.49 ,4.49 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
93882,CPT,EXTRACRANIAL UNI/LTD STUDY,,,14,,RBRVS,0.50 ,3.04 ,3.04 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
93882,CPT,EXTRACRANIAL UNI/LTD STUDY,26,,14,,RBRVS,0.50 ,0.14 ,0.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
93882,CPT,EXTRACRANIAL UNI/LTD STUDY,TC,,14,,RBRVS,,2.90 ,2.90 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
93886,CPT,INTRACRANIAL COMPLETE STUDY,,,14,,RBRVS,0.91 ,6.71 ,6.71 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
93886,CPT,INTRACRANIAL COMPLETE STUDY,26,,14,,RBRVS,0.91 ,0.38 ,0.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
93886,CPT,INTRACRANIAL COMPLETE STUDY,TC,,14,,RBRVS,,6.33 ,6.33 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
93888,CPT,INTRACRANIAL LIMITED STUDY,,,14,,RBRVS,0.50 ,4.02 ,4.02 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
93888,CPT,INTRACRANIAL LIMITED STUDY,26,,14,,RBRVS,0.50 ,0.20 ,0.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
93888,CPT,INTRACRANIAL LIMITED STUDY,TC,,14,,RBRVS,,3.82 ,3.82 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
93890,CPT,TCD VASOREACTIVITY STUDY,,,14,,RBRVS,1.00 ,6.75 ,6.75 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
93890,CPT,TCD VASOREACTIVITY STUDY,26,,14,,RBRVS,1.00 ,0.42 ,0.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
93890,CPT,TCD VASOREACTIVITY STUDY,TC,,14,,RBRVS,,6.33 ,6.33 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
93892,CPT,TCD EMBOLI DETECT W/O INJ,,,14,,RBRVS,1.15 ,7.55 ,7.55 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
93892,CPT,TCD EMBOLI DETECT W/O INJ,26,,14,,RBRVS,1.15 ,0.48 ,0.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
93892,CPT,TCD EMBOLI DETECT W/O INJ,TC,,14,,RBRVS,,7.07 ,7.07 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
93893,CPT,TCD EMBOLI DETECT W/INJ,,,14,,RBRVS,1.15 ,8.86 ,8.86 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
93893,CPT,TCD EMBOLI DETECT W/INJ,26,,14,,RBRVS,1.15 ,0.50 ,0.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
93893,CPT,TCD EMBOLI DETECT W/INJ,TC,,14,,RBRVS,,8.36 ,8.36 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
93895,CPT,CAROTID INTIMA ATHEROMA EVAL,,,4,,TotalUnits,,,,2.58 ,,$0.00,$0.00,1,0,0,0,0,1,20210101,
93922,CPT,UPR/L XTREMITY ART 2 LEVELS,,,14,,RBRVS,0.25 ,2.11 ,2.11 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
93922,CPT,UPR/L XTREMITY ART 2 LEVELS,26,,14,,RBRVS,0.25 ,0.08 ,0.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
93922,CPT,UPR/L XTREMITY ART 2 LEVELS,TC,,14,,RBRVS,,2.03 ,2.03 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
93923,CPT,UPR/LXTR ART STDY 3+ LVLS,,,14,,RBRVS,0.45 ,3.22 ,3.22 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
93923,CPT,UPR/LXTR ART STDY 3+ LVLS,26,,14,,RBRVS,0.45 ,0.13 ,0.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
93923,CPT,UPR/LXTR ART STDY 3+ LVLS,TC,,14,,RBRVS,,3.09 ,3.09 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
93924,CPT,LWR XTR VASC STDY BILAT,,,14,,RBRVS,0.50 ,4.05 ,4.05 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
93924,CPT,LWR XTR VASC STDY BILAT,26,,14,,RBRVS,0.50 ,0.15 ,0.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
93924,CPT,LWR XTR VASC STDY BILAT,TC,,14,,RBRVS,,3.90 ,3.90 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
93925,CPT,LOWER EXTREMITY STUDY,,,14,,RBRVS,0.80 ,6.28 ,6.28 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
93925,CPT,LOWER EXTREMITY STUDY,26,,14,,RBRVS,0.80 ,0.25 ,0.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
93925,CPT,LOWER EXTREMITY STUDY,TC,,14,,RBRVS,,6.03 ,6.03 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
93926,CPT,LOWER EXTREMITY STUDY,,,14,,RBRVS,0.50 ,3.67 ,3.67 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
93926,CPT,LOWER EXTREMITY STUDY,26,,14,,RBRVS,0.50 ,0.14 ,0.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
93926,CPT,LOWER EXTREMITY STUDY,TC,,14,,RBRVS,,3.53 ,3.53 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
93930,CPT,UPPER EXTREMITY STUDY,,,14,,RBRVS,0.80 ,4.92 ,4.92 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
93930,CPT,UPPER EXTREMITY STUDY,26,,14,,RBRVS,0.80 ,0.25 ,0.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
93930,CPT,UPPER EXTREMITY STUDY,TC,,14,,RBRVS,,4.67 ,4.67 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
93931,CPT,UPPER EXTREMITY STUDY,,,14,,RBRVS,0.50 ,3.07 ,3.07 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
93931,CPT,UPPER EXTREMITY STUDY,26,,14,,RBRVS,0.50 ,0.15 ,0.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
93931,CPT,UPPER EXTREMITY STUDY,TC,,14,,RBRVS,,2.92 ,2.92 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
93970,CPT,EXTREMITY STUDY,,,14,,RBRVS,0.70 ,4.73 ,4.73 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
93970,CPT,EXTREMITY STUDY,26,,14,,RBRVS,0.70 ,0.22 ,0.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
93970,CPT,EXTREMITY STUDY,TC,,14,,RBRVS,,4.51 ,4.51 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
93971,CPT,EXTREMITY STUDY,,,14,,RBRVS,0.45 ,2.95 ,2.95 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
93971,CPT,EXTREMITY STUDY,26,,14,,RBRVS,0.45 ,0.15 ,0.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
93971,CPT,EXTREMITY STUDY,TC,,14,,RBRVS,,2.80 ,2.80 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
93975,CPT,VASCULAR STUDY,,,14,,RBRVS,1.16 ,6.55 ,6.55 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
93975,CPT,VASCULAR STUDY,26,,14,,RBRVS,1.16 ,0.38 ,0.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
93975,CPT,VASCULAR STUDY,TC,,14,,RBRVS,,6.17 ,6.17 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
93976,CPT,VASCULAR STUDY,,,14,,RBRVS,0.80 ,3.77 ,3.77 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
93976,CPT,VASCULAR STUDY,26,,14,,RBRVS,0.80 ,0.28 ,0.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
93976,CPT,VASCULAR STUDY,TC,,14,,RBRVS,,3.49 ,3.49 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
93978,CPT,VASCULAR STUDY,,,14,,RBRVS,0.80 ,4.41 ,4.41 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
93978,CPT,VASCULAR STUDY,26,,14,,RBRVS,0.80 ,0.23 ,0.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
93978,CPT,VASCULAR STUDY,TC,,14,,RBRVS,,4.18 ,4.18 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
93979,CPT,VASCULAR STUDY,,,14,,RBRVS,0.50 ,2.84 ,2.84 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
93979,CPT,VASCULAR STUDY,26,,14,,RBRVS,0.50 ,0.14 ,0.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
93979,CPT,VASCULAR STUDY,TC,,14,,RBRVS,,2.70 ,2.70 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
93980,CPT,PENILE VASCULAR STUDY,,,14,,RBRVS,1.25 ,2.15 ,2.15 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
93980,CPT,PENILE VASCULAR STUDY,26,,14,,RBRVS,1.25 ,0.45 ,0.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
93980,CPT,PENILE VASCULAR STUDY,TC,,14,,RBRVS,,1.70 ,1.70 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
93981,CPT,PENILE VASCULAR STUDY,,,14,,RBRVS,0.44 ,1.61 ,1.61 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
93981,CPT,PENILE VASCULAR STUDY,26,,14,,RBRVS,0.44 ,0.15 ,0.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
93981,CPT,PENILE VASCULAR STUDY,TC,,14,,RBRVS,,1.46 ,1.46 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
93985,CPT,DUP-SCAN HEMO COMPL BI STD,,,14,,RBRVS,0.80 ,6.61 ,6.61 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
93985,CPT,DUP-SCAN HEMO COMPL BI STD,26,,14,,RBRVS,0.80 ,0.21 ,0.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
93985,CPT,DUP-SCAN HEMO COMPL BI STD,TC,,14,,RBRVS,,6.40 ,6.40 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
93986,CPT,DUP-SCAN HEMO COMPL UNI STD,,,14,,RBRVS,0.50 ,3.77 ,3.77 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
93986,CPT,DUP-SCAN HEMO COMPL UNI STD,26,,14,,RBRVS,0.50 ,0.13 ,0.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
93986,CPT,DUP-SCAN HEMO COMPL UNI STD,TC,,14,,RBRVS,,3.64 ,3.64 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
93990,CPT,DOPPLER FLOW TESTING,,,14,,RBRVS,0.50 ,3.78 ,3.78 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
93990,CPT,DOPPLER FLOW TESTING,26,,14,,RBRVS,0.50 ,0.12 ,0.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
93990,CPT,DOPPLER FLOW TESTING,TC,,14,,RBRVS,,3.66 ,3.66 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
93998,CPT,NONINVAS VASC DX STUDY PROC,,,14,,TotalUnits,,,,5.21 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
94002,CPT,VENT MGMT INPAT INIT DAY,,,14,,RBRVS,1.99 ,0.49 ,0.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
94003,CPT,VENT MGMT INPAT SUBQ DAY,,,14,,RBRVS,1.37 ,0.42 ,0.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
94004,CPT,VENT MGMT NF PER DAY,,,14,,RBRVS,1.00 ,0.32 ,0.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
94005,CPT,HOME VENT MGMT SUPERVISION,,,14,,RBRVS,1.50 ,1.02 ,1.02 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
94010,CPT,BREATHING CAPACITY TEST,,,14,,RBRVS,0.17 ,0.81 ,0.81 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
94010,CPT,BREATHING CAPACITY TEST,26,,14,,RBRVS,0.17 ,0.06 ,0.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
94010,CPT,BREATHING CAPACITY TEST,TC,,14,,RBRVS,,0.75 ,0.75 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
94011,CPT,SPIROMETRY UP TO 2 YRS OLD,,,14,,RBRVS,1.75 ,0.60 ,0.60 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
94012,CPT,SPIRMTRY W/BRNCHDIL INF-2 YR,,,14,,RBRVS,2.85 ,0.98 ,0.98 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
94013,CPT,MEAS LUNG VOL THRU 2 YRS,,,14,,RBRVS,0.41 ,0.11 ,0.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
94014,CPT,PATIENT RECORDED SPIROMETRY,,,14,,RBRVS,0.52 ,1.03 ,1.03 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
94015,CPT,PATIENT RECORDED SPIROMETRY,,TC,14,,RBRVS,,0.85 ,0.85 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
94016,CPT,REVIEW PATIENT SPIROMETRY,,PC,14,,RBRVS,0.52 ,0.18 ,0.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
94060,CPT,EVALUATION OF WHEEZING,,,14,,RBRVS,0.27 ,1.37 ,1.37 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
94060,CPT,EVALUATION OF WHEEZING,26,,14,,RBRVS,0.27 ,0.09 ,0.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
94060,CPT,EVALUATION OF WHEEZING,TC,,14,,RBRVS,,1.28 ,1.28 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
94070,CPT,EVALUATION OF WHEEZING,,,14,,RBRVS,0.60 ,1.04 ,1.04 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
94070,CPT,EVALUATION OF WHEEZING,26,,14,,RBRVS,0.60 ,0.19 ,0.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
94070,CPT,EVALUATION OF WHEEZING,TC,,14,,RBRVS,,0.85 ,0.85 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
94150,CPT,VITAL CAPACITY TEST,,,14,,RBRVS,0.07 ,0.62 ,0.62 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
94150,CPT,VITAL CAPACITY TEST,26,,14,,RBRVS,0.07 ,0.03 ,0.03 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
94150,CPT,VITAL CAPACITY TEST,TC,,14,,RBRVS,,0.59 ,0.59 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
94200,CPT,LUNG FUNCTION TEST (MBC/MVV),,,14,,RBRVS,0.05 ,0.56 ,0.56 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
94200,CPT,LUNG FUNCTION TEST (MBC/MVV),26,,14,,RBRVS,0.05 ,0.07 ,0.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
94200,CPT,LUNG FUNCTION TEST (MBC/MVV),TC,,14,,RBRVS,,0.49 ,0.49 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
94375,CPT,RESPIRATORY FLOW VOLUME LOOP,,,14,,RBRVS,0.31 ,0.77 ,0.77 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
94375,CPT,RESPIRATORY FLOW VOLUME LOOP,26,,14,,RBRVS,0.31 ,0.10 ,0.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
94375,CPT,RESPIRATORY FLOW VOLUME LOOP,TC,,14,,RBRVS,,0.67 ,0.67 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
94450,CPT,HYPOXIA RESPONSE CURVE,,,14,,RBRVS,0.40 ,1.44 ,1.44 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
94450,CPT,HYPOXIA RESPONSE CURVE,26,,14,,RBRVS,0.40 ,0.12 ,0.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
94450,CPT,HYPOXIA RESPONSE CURVE,TC,,14,,RBRVS,,1.32 ,1.32 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
94452,CPT,HAST W/REPORT,,,14,,RBRVS,0.31 ,1.15 ,1.15 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
94452,CPT,HAST W/REPORT,26,,14,,RBRVS,0.31 ,0.09 ,0.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
94452,CPT,HAST W/REPORT,TC,,14,,RBRVS,,1.06 ,1.06 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
94453,CPT,HAST W/OXYGEN TITRATE,,,14,,RBRVS,0.40 ,1.60 ,1.60 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
94453,CPT,HAST W/OXYGEN TITRATE,26,,14,,RBRVS,0.40 ,0.12 ,0.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
94453,CPT,HAST W/OXYGEN TITRATE,TC,,14,,RBRVS,,1.48 ,1.48 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
94610,CPT,SURFACTANT ADMIN THRU TUBE,,,14,,RBRVS,1.16 ,0.34 ,0.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
94617,CPT,EXERCISE TST BRNCSPSM W/ECG,,,14,,RBRVS,0.70 ,1.83 ,1.83 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
94617,CPT,EXERCISE TST BRNCSPSM,26,,14,,RBRVS,0.70 ,0.22 ,0.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
94617,CPT,EXERCISE TST BRNCSPSM,TC,,14,,RBRVS,,1.61 ,1.61 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
94618,CPT,PULMONARY STRESS TESTING,,,14,,RBRVS,0.48 ,0.44 ,0.44 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
94618,CPT,PULMONARY STRESS TESTING,26,,14,,RBRVS,0.48 ,0.15 ,0.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
94618,CPT,PULMONARY STRESS TESTING,TC,,14,,RBRVS,,0.29 ,0.29 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
94619,CPT,EXERCISE TST BRNCSPSM WO ECG,,,14,,RBRVS,0.49 ,1.63 ,1.63 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
94619,CPT,EXERCISE TST BRNCSPSM WO ECG,26,,14,,RBRVS,0.49 ,0.16 ,0.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
94619,CPT,EXERCISE TST BRNCSPSM WO ECG,TC,,14,,RBRVS,,1.47 ,1.47 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
94621,CPT,CARDIOPULM EXERCISE TESTING,,,14,,RBRVS,1.42 ,2.97 ,2.97 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
94621,CPT,CARDIOPULM EXERCISE TESTING,26,,14,,RBRVS,1.42 ,0.49 ,0.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
94621,CPT,CARDIOPULM EXERCISE TESTING,TC,,14,,RBRVS,,2.48 ,2.48 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
94640,CPT,AIRWAY INHALATION TREATMENT,,,14,,RBRVS,,0.49 ,0.49 ,,,$0.00,$0.00,1,1,1,0,0,1,20210101,
94642,CPT,AEROSOL INHALATION TREATMENT,,,14,,TotalUnits,,,,1.25 ,,$0.00,$0.00,1,1,1,0,0,1,20210101,
94644,CPT,CBT 1ST HOUR,,,14,,RBRVS,,1.50 ,1.50 ,,,$0.00,$0.00,1,1,1,0,0,1,20210101,
94645,CPT,CBT EACH ADDL HOUR,,,14,,RBRVS,,0.46 ,0.46 ,,,$0.00,$0.00,1,1,1,0,0,1,20210101,
94660,CPT,POS AIRWAY PRESSURE CPAP,,,14,,RBRVS,0.76 ,0.27 ,0.99 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
94662,CPT,NEG PRESS VENTILATION CNP,,,14,,RBRVS,0.76 ,0.21 ,0.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
94664,CPT,EVALUATE PT USE OF INHALER,,,14,,RBRVS,,0.46 ,0.46 ,,,$0.00,$0.00,1,1,1,0,0,1,20210101,
94667,CPT,CHEST WALL MANIPULATION,,,14,,RBRVS,,0.68 ,0.68 ,,,$0.00,$0.00,1,1,1,0,0,1,20210101,
94668,CPT,CHEST WALL MANIPULATION,,,14,,RBRVS,,0.79 ,0.79 ,,,$0.00,$0.00,1,1,1,0,0,1,20210101,
94669,CPT,MECHANICAL CHEST WALL OSCILL,,,14,,RBRVS,,0.81 ,0.81 ,,,$0.00,$0.00,1,1,1,0,0,1,20210101,
94680,CPT,EXHALED AIR ANALYSIS O2,,,14,,RBRVS,0.26 ,1.23 ,1.23 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
94680,CPT,EXHALED AIR ANALYSIS O2,26,,14,,RBRVS,0.26 ,0.09 ,0.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
94680,CPT,EXHALED AIR ANALYSIS O2,TC,,14,,RBRVS,,1.14 ,1.14 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
94681,CPT,EXHALED AIR ANALYSIS O2/CO2,,,14,,RBRVS,0.20 ,1.27 ,1.27 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
94681,CPT,EXHALED AIR ANALYSIS O2/CO2,26,,14,,RBRVS,0.20 ,0.08 ,0.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
94681,CPT,EXHALED AIR ANALYSIS O2/CO2,TC,,14,,RBRVS,,1.19 ,1.19 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
94690,CPT,EXHALED AIR ANALYSIS,,,14,,RBRVS,0.07 ,1.34 ,1.34 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
94690,CPT,EXHALED AIR ANALYSIS,26,,14,,RBRVS,0.07 ,0.03 ,0.03 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
94690,CPT,EXHALED AIR ANALYSIS,TC,,14,,RBRVS,,1.31 ,1.31 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
94726,CPT,PULM FUNCT TST PLETHYSMOGRAP,,,14,,RBRVS,0.26 ,1.23 ,1.23 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
94726,CPT,PULM FUNCT TST PLETHYSMOGRAP,26,,14,,RBRVS,0.26 ,0.08 ,0.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
94726,CPT,PULM FUNCT TST PLETHYSMOGRAP,TC,,14,,RBRVS,,1.15 ,1.15 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
94727,CPT,PULM FUNCTION TEST BY GAS,,,14,,RBRVS,0.26 ,0.95 ,0.95 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
94727,CPT,PULM FUNCTION TEST BY GAS,26,,14,,RBRVS,0.26 ,0.08 ,0.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
94727,CPT,PULM FUNCTION TEST BY GAS,TC,,14,,RBRVS,,0.87 ,0.87 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
94728,CPT,AIRWY RESIST BY OSCILLOMETRY,,,14,,RBRVS,0.26 ,0.87 ,0.87 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
94728,CPT,AIRWY RESIST BY OSCILLOMETRY,26,,14,,RBRVS,0.26 ,0.09 ,0.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
94728,CPT,AIRWY RESIST BY OSCILLOMETRY,TC,,14,,RBRVS,,0.78 ,0.78 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
94729,CPT,CO/MEMBANE DIFFUSE CAPACITY,,,14,,RBRVS,0.19 ,1.38 ,1.38 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
94729,CPT,CO/MEMBANE DIFFUSE CAPACITY,26,,14,,RBRVS,0.19 ,0.06 ,0.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
94729,CPT,CO/MEMBANE DIFFUSE CAPACITY,TC,,14,,RBRVS,,1.32 ,1.32 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
94760,CPT,MEASURE BLOOD OXYGEN LEVEL,,TC,14,,RBRVS,,0.06 ,0.06 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
94761,CPT,MEASURE BLOOD OXYGEN LEVEL,,TC,14,,RBRVS,,0.10 ,0.10 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
94762,CPT,MEASURE BLOOD OXYGEN LEVEL,,TC,14,,RBRVS,,0.73 ,0.73 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
94772,CPT,BREATH RECORDING INFANT,,,14,,TotalUnits,,,,2.50 ,,$0.00,$0.00,1,0,0,0,0,1,20210101,
94772,CPT,BREATH RECORDING INFANT,26,,14,,TotalUnits,,,,1.48 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
94772,CPT,BREATH RECORDING INFANT,TC,,14,,TotalUnits,,,,1.02 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
94774,CPT,PED HOME APNEA REC COMPL,,,14,,TotalUnits,,,,6.35 ,,$0.00,$0.00,1,0,0,0,0,1,20210101,
94776,CPT,PED HOME APNEA REC DOWNLD,,TC,14,,TotalUnits,,,,5.12 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
94777,CPT,PED HOME APNEA REC REPORT,,PC,14,,TotalUnits,,,,2.69 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
94780,CPT,CARS/BD TST INFT-12MO 60 MIN,,,14,,RBRVS,0.48 ,0.17 ,0.92 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
94781,CPT,CARS/BD TST INFT-12MO +30MIN,,,14,,RBRVS,0.17 ,0.06 ,0.38 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
94799,CPT,PULMONARY SERVICE/PROCEDURE,,,14,,TotalUnits,,,,1.49 ,,$0.00,$0.00,1,0,0,0,0,1,20210101,
94799,CPT,PULMONARY SERVICE/PROCEDURE,,PC,14,,TotalUnits,,,,0.34 ,,$0.00,$0.00,1,0,1,1,1,0,20210101,
94799,CPT,PULMONARY SERVICE/PROCEDURE,,TC,14,,TotalUnits,,,,1.15 ,,$0.00,$0.00,1,1,1,0,1,0,20210101,
95004,CPT,PERCUT ALLERGY SKIN TESTS,,,2,,RBRVS,0.01 ,0.10 ,0.10 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
95012,CPT,EXHALED NITRIC OXIDE MEAS,,,2,,RBRVS,,0.55 ,0.55 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
95017,CPT,PERQ & ICUT ALLG TEST VENOMS,,,2,,RBRVS,0.07 ,0.03 ,0.16 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
95018,CPT,PERQ&IC ALLG TEST DRUGS/BIOL,,,2,,RBRVS,0.14 ,0.05 ,0.45 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
95024,CPT,ICUT ALLERGY TEST DRUG/BUG,,,2,,RBRVS,0.01 ,0.01 ,0.21 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
95027,CPT,ICUT ALLERGY TITRATE-AIRBORN,,,2,,RBRVS,0.01 ,0.12 ,0.12 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
95028,CPT,ICUT ALLERGY TEST-DELAYED,,TC,2,,RBRVS,,0.35 ,0.35 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
95044,CPT,ALLERGY PATCH TESTS,,,2,,RBRVS,,0.14 ,0.14 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
95052,CPT,PHOTO PATCH TEST,,,2,,RBRVS,,0.17 ,0.17 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
95056,CPT,PHOTOSENSITIVITY TESTS,,,2,,RBRVS,,1.30 ,1.30 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
95060,CPT,EYE ALLERGY TESTS,,TC,2,,RBRVS,,0.98 ,0.98 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
95065,CPT,NOSE ALLERGY TEST,,TC,2,,RBRVS,,0.72 ,0.72 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
95070,CPT,BRONCHIAL ALLERGY TESTS,,TC,2,,RBRVS,,0.91 ,0.91 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
95076,CPT,INGEST CHALLENGE INI 120 MIN,,,2,,RBRVS,1.50 ,0.57 ,1.81 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
95079,CPT,INGEST CHALLENGE ADDL 60 MIN,,,2,,RBRVS,1.38 ,0.53 ,0.97 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
95115,CPT,IMMUNOTHERAPY ONE INJECTION,,,1,,RBRVS,,0.25 ,0.25 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
95117,CPT,IMMUNOTHERAPY INJECTIONS,,,1,,RBRVS,,0.29 ,0.29 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
95120,CPT,IMMUNOTHERAPY ONE INJECTION,,,1,,TotalUnits,,,,0.50 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
95125,CPT,IMMUNOTHERAPY 2/> INJECTIONS,,,1,,TotalUnits,,,,0.58 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
95130,CPT,IMMNTX 1 STING INSECT,,,1,,TotalUnits,,,,0.60 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
95131,CPT,IMMNTX 2 STING INSECTS,,,1,,TotalUnits,,,,0.76 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
95132,CPT,IMMNTX 3 STING INSECTS,,,1,,TotalUnits,,,,0.98 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
95133,CPT,IMMNTX 4 STING INSECTS,,,1,,TotalUnits,,,,1.35 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
95134,CPT,IMMNTX 5 STING INSECTS,,,1,,TotalUnits,,,,1.69 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
95144,CPT,ANTIGEN THERAPY SERVICES,,,1,,RBRVS,0.06 ,0.02 ,0.35 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
95145,CPT,ANTIGEN THERAPY SERVICES,,,1,,RBRVS,0.06 ,0.02 ,0.80 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
95146,CPT,ANTIGEN THERAPY SERVICES,,,1,,RBRVS,0.06 ,0.02 ,1.53 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
95147,CPT,ANTIGEN THERAPY SERVICES,,,1,,RBRVS,0.06 ,0.02 ,1.54 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
95148,CPT,ANTIGEN THERAPY SERVICES,,,1,,RBRVS,0.06 ,0.02 ,2.28 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
95149,CPT,ANTIGEN THERAPY SERVICES,,,1,,RBRVS,0.06 ,0.02 ,3.05 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
95165,CPT,ANTIGEN THERAPY SERVICES,,,1,,RBRVS,0.06 ,0.02 ,0.34 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
95170,CPT,ANTIGEN THERAPY SERVICES,,,1,,RBRVS,0.06 ,0.02 ,0.24 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
95180,CPT,RAPID DESENSITIZATION,,,1,,RBRVS,2.01 ,0.85 ,1.77 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
95199,CPT,ALLERGY IMMUNOLOGY SERVICES,,,1,,TotalUnits,,,,0.29 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
95249,CPT,CONT GLUC MNTR PT PROV EQP,,TC,14,,RBRVS,,1.51 ,1.51 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
95250,CPT,CONT GLUC MNTR PHYS/QHP EQP,,TC,14,,RBRVS,,4.18 ,4.18 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
95251,CPT,CONT GLUC MNTR ANALYSIS I&R,,PC,14,,RBRVS,0.70 ,0.27 ,0.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
95700,CPT,EEG CONT REC W/VID EEG TECH,,,14,,TotalUnits,,,,6.77 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
95705,CPT,EEG W/O VID 2-12 HR UNMNTR,,,14,,TotalUnits,,,,6.59 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
95706,CPT,EEG WO VID 2-12HR INTMT MNTR,,,14,,TotalUnits,,,,9.51 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
95708,CPT,EEG WO VID EA 12-26HR UNMNTR,,,14,,TotalUnits,,,,7.96 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
95709,CPT,EEG W/O VID EA 12-26HR INTMT,,,14,,TotalUnits,,,,12.37 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
95711,CPT,VEEG 2-12 HR UNMONITORED,,,14,,TotalUnits,,,,17.61 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
95712,CPT,VEEG 2-12 HR INTMT MNTR,,,14,,TotalUnits,,,,22.98 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
95713,CPT,VEEG 2-12 HR CONT MNTR,,,14,,TotalUnits,,,,23.26 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
95714,CPT,VEEG EA 12-26 HR UNMNTR,,,14,,TotalUnits,,,,20.55 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
95715,CPT,VEEG EA 12-26HR INTMT MNTR,,,14,,TotalUnits,,,,36.08 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
95716,CPT,VEEG EA 12-26HR CONT MNTR,,,14,,TotalUnits,,,,41.91 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
95717,CPT,EEG PHYS/QHP 2-12 HR W/O VID,,,14,,RBRVS,2.00 ,0.78 ,0.82 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
95718,CPT,EEG PHYS/QHP 2-12 HR W/VEEG,,,14,,RBRVS,2.50 ,1.13 ,1.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
95719,CPT,EEG PHYS/QHP EA INCR W/O VID,,,14,,RBRVS,3.00 ,1.29 ,1.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
95720,CPT,EEG PHY/QHP EA INCR W/VEEG,,,14,,RBRVS,3.86 ,1.76 ,1.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
95721,CPT,EEG PHY/QHP>36<60 HR W/O VID,,,14,,RBRVS,3.86 ,1.78 ,1.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
95722,CPT,EEG PHY/QHP>36<60 HR W/VEEG,,,14,,RBRVS,4.70 ,2.15 ,2.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
95723,CPT,EEG PHY/QHP>60<84 HR W/O VID,,,14,,RBRVS,4.75 ,2.21 ,2.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
95724,CPT,EEG PHY/QHP>60<84 HR W/VEEG,,,14,,RBRVS,6.00 ,2.74 ,2.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
95725,CPT,EEG PHY/QHP>84 HR W/O VID,,,14,,RBRVS,5.40 ,2.52 ,2.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
95726,CPT,EEG PHY/QHP>84 HR W/VEEG,,,14,,RBRVS,7.58 ,3.46 ,3.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
95782,CPT,POLYSOM <6 YRS 4/> PARAMTRS,,,14,,RBRVS,2.60 ,22.61 ,22.61 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
95782,CPT,POLYSOM <6 YRS 4/> PARAMTRS,26,,14,,RBRVS,2.60 ,0.90 ,0.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
95782,CPT,POLYSOM <6 YRS 4/> PARAMTRS,TC,,14,,RBRVS,,21.71 ,21.71 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
95783,CPT,POLYSOM <6 YRS CPAP/BILVL,,,14,,RBRVS,2.83 ,23.96 ,23.96 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
95783,CPT,POLYSOM <6 YRS CPAP/BILVL,26,,14,,RBRVS,2.83 ,0.98 ,0.98 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
95783,CPT,POLYSOM <6 YRS CPAP/BILVL,TC,,14,,RBRVS,,22.98 ,22.98 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
95800,CPT,SLP STDY UNATTENDED,,,14,,RBRVS,0.85 ,3.79 ,3.79 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
95800,CPT,SLP STDY UNATTENDED,26,,14,,RBRVS,0.85 ,0.30 ,0.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
95800,CPT,SLP STDY UNATTENDED,TC,,14,,RBRVS,,3.49 ,3.49 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
95801,CPT,SLP STDY UNATND W/ANAL,,,14,,RBRVS,0.85 ,1.63 ,1.63 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
95801,CPT,SLP STDY UNATND W/ANAL,26,,14,,RBRVS,0.85 ,0.30 ,0.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
95801,CPT,SLP STDY UNATND W/ANAL,TC,,14,,RBRVS,,1.33 ,1.33 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
95803,CPT,ACTIGRAPHY TESTING,,,14,,RBRVS,0.90 ,3.28 ,3.28 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
95803,CPT,ACTIGRAPHY TESTING,26,,14,,RBRVS,0.90 ,0.34 ,0.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
95803,CPT,ACTIGRAPHY TESTING,TC,,14,,RBRVS,,2.94 ,2.94 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
95805,CPT,MULTIPLE SLEEP LATENCY TEST,,,14,,RBRVS,1.20 ,10.37 ,10.37 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
95805,CPT,MULTIPLE SLEEP LATENCY TEST,26,,14,,RBRVS,1.20 ,0.43 ,0.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
95805,CPT,MULTIPLE SLEEP LATENCY TEST,TC,,14,,RBRVS,,9.94 ,9.94 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
95806,CPT,SLEEP STUDY UNATT&RESP EFFT,,,14,,RBRVS,0.93 ,2.33 ,2.33 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
95806,CPT,SLEEP STUDY UNATT&RESP EFFT,26,,14,,RBRVS,0.93 ,0.32 ,0.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
95806,CPT,SLEEP STUDY UNATT&RESP EFFT,TC,,14,,RBRVS,,2.01 ,2.01 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
95807,CPT,SLEEP STUDY ATTENDED,,,14,,RBRVS,1.28 ,10.07 ,10.07 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
95807,CPT,SLEEP STUDY ATTENDED,26,,14,,RBRVS,1.28 ,0.42 ,0.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
95807,CPT,SLEEP STUDY ATTENDED,TC,,14,,RBRVS,,9.65 ,9.65 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
95808,CPT,POLYSOM ANY AGE 1-3> PARAM,,,14,,RBRVS,1.74 ,16.53 ,16.53 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
95808,CPT,POLYSOM ANY AGE 1-3> PARAM,26,,14,,RBRVS,1.74 ,0.69 ,0.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
95808,CPT,POLYSOM ANY AGE 1-3> PARAM,TC,,14,,RBRVS,,15.84 ,15.84 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
95810,CPT,POLYSOM 6/> YRS 4/> PARAM,,,14,,RBRVS,2.50 ,14.51 ,14.51 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
95810,CPT,POLYSOM 6/> YRS 4/> PARAM,26,,14,,RBRVS,2.50 ,0.86 ,0.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
95810,CPT,POLYSOM 6/> YRS 4/> PARAM,TC,,14,,RBRVS,,13.65 ,13.65 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
95811,CPT,POLYSOM 6/>YRS CPAP 4/> PARM,,,14,,RBRVS,2.60 ,15.18 ,15.18 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
95811,CPT,POLYSOM 6/>YRS CPAP 4/> PARM,26,,14,,RBRVS,2.60 ,0.89 ,0.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
95811,CPT,POLYSOM 6/>YRS CPAP 4/> PARM,TC,,14,,RBRVS,,14.29 ,14.29 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
95812,CPT,EEG 41-60 MINUTES,,,14,,RBRVS,1.08 ,8.13 ,8.13 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
95812,CPT,EEG 41-60 MINUTES,26,,14,,RBRVS,1.08 ,0.51 ,0.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
95812,CPT,EEG 41-60 MINUTES,TC,,14,,RBRVS,,7.62 ,7.62 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
95813,CPT,EEG EXTND MNTR 61-119 MIN,,,14,,RBRVS,1.63 ,9.79 ,9.79 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
95813,CPT,EEG EXTND MNTR 61-119 MIN,26,,14,,RBRVS,1.63 ,0.78 ,0.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
95813,CPT,EEG EXTND MNTR 61-119 MIN,TC,,14,,RBRVS,,9.01 ,9.01 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
95816,CPT,EEG AWAKE AND DROWSY,,,14,,RBRVS,1.08 ,9.14 ,9.14 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
95816,CPT,EEG AWAKE AND DROWSY,26,,14,,RBRVS,1.08 ,0.51 ,0.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
95816,CPT,EEG AWAKE AND DROWSY,TC,,14,,RBRVS,,8.63 ,8.63 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
95819,CPT,EEG AWAKE AND ASLEEP,,,14,,RBRVS,1.08 ,11.05 ,11.05 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
95819,CPT,EEG AWAKE AND ASLEEP,26,,14,,RBRVS,1.08 ,0.52 ,0.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
95819,CPT,EEG AWAKE AND ASLEEP,TC,,14,,RBRVS,,10.53 ,10.53 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
95822,CPT,EEG COMA OR SLEEP ONLY,,,14,,RBRVS,1.08 ,9.91 ,9.91 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
95822,CPT,EEG COMA OR SLEEP ONLY,26,,14,,RBRVS,1.08 ,0.52 ,0.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
95822,CPT,EEG COMA OR SLEEP ONLY,TC,,14,,RBRVS,,9.39 ,9.39 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
95824,CPT,EEG CEREBRAL DEATH ONLY,,,14,,TotalUnits,,,,2.79 ,,$0.00,$0.00,1,0,0,0,0,1,20210101,
95824,CPT,EEG CEREBRAL DEATH ONLY,26,,14,,TotalUnits,,,,1.09 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
95824,CPT,EEG CEREBRAL DEATH ONLY,TC,,14,,TotalUnits,,,,1.70 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
95829,CPT,SURGERY ELECTROCORTICOGRAM,,,14,,RBRVS,6.20 ,46.16 ,46.16 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
95829,CPT,SURGERY ELECTROCORTICOGRAM,26,,14,,RBRVS,6.20 ,2.95 ,2.95 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
95829,CPT,SURGERY ELECTROCORTICOGRAM,TC,,14,,RBRVS,,43.21 ,43.21 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
95830,CPT,INSERT ELECTRODES FOR EEG,,,14,,RBRVS,1.70 ,0.82 ,12.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
95836,CPT,ECOG IMPLTD BRN NPGT <30 D,,,14,,RBRVS,1.98 ,0.86 ,0.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
95851,CPT,RANGE OF MOTION MEASUREMENTS,,,14,,RBRVS,0.16 ,0.06 ,0.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
95852,CPT,RANGE OF MOTION MEASUREMENTS,,,14,,RBRVS,0.11 ,0.05 ,0.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
95857,CPT,CHOLINESTERASE CHALLENGE,,,14,,RBRVS,0.53 ,0.28 ,0.99 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
95860,CPT,MUSCLE TEST ONE LIMB,,,14,,RBRVS,0.96 ,2.38 ,2.38 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
95860,CPT,MUSCLE TEST ONE LIMB,26,,14,,RBRVS,0.96 ,0.48 ,0.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
95860,CPT,MUSCLE TEST ONE LIMB,TC,,14,,RBRVS,,1.90 ,1.90 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
95861,CPT,MUSCLE TEST 2 LIMBS,,,14,,RBRVS,1.54 ,3.24 ,3.24 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
95861,CPT,MUSCLE TEST 2 LIMBS,26,,14,,RBRVS,1.54 ,0.74 ,0.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
95861,CPT,MUSCLE TEST 2 LIMBS,TC,,14,,RBRVS,,2.50 ,2.50 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
95863,CPT,MUSCLE TEST 3 LIMBS,,,14,,RBRVS,1.87 ,4.06 ,4.06 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
95863,CPT,MUSCLE TEST 3 LIMBS,26,,14,,RBRVS,1.87 ,0.90 ,0.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
95863,CPT,MUSCLE TEST 3 LIMBS,TC,,14,,RBRVS,,3.16 ,3.16 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
95864,CPT,MUSCLE TEST 4 LIMBS,,,14,,RBRVS,1.99 ,4.98 ,4.98 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
95864,CPT,MUSCLE TEST 4 LIMBS,26,,14,,RBRVS,1.99 ,0.96 ,0.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
95864,CPT,MUSCLE TEST 4 LIMBS,TC,,14,,RBRVS,,4.02 ,4.02 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
95865,CPT,MUSCLE TEST LARYNX,,,14,,RBRVS,1.57 ,2.68 ,2.68 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
95865,CPT,MUSCLE TEST LARYNX,26,,14,,RBRVS,1.57 ,0.75 ,0.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
95865,CPT,MUSCLE TEST LARYNX,TC,,14,,RBRVS,,1.93 ,1.93 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
95866,CPT,MUSCLE TEST HEMIDIAPHRAGM,,,14,,RBRVS,1.25 ,2.52 ,2.52 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
95866,CPT,MUSCLE TEST HEMIDIAPHRAGM,26,,14,,RBRVS,1.25 ,0.61 ,0.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
95866,CPT,MUSCLE TEST HEMIDIAPHRAGM,TC,,14,,RBRVS,,1.91 ,1.91 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
95867,CPT,MUSCLE TEST CRAN NERV UNILAT,,,14,,RBRVS,0.79 ,2.20 ,2.20 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
95867,CPT,MUSCLE TEST CRAN NERV UNILAT,26,,14,,RBRVS,0.79 ,0.38 ,0.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
95867,CPT,MUSCLE TEST CRAN NERV UNILAT,TC,,14,,RBRVS,,1.82 ,1.82 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
95868,CPT,MUSCLE TEST CRAN NERVE BILAT,,,14,,RBRVS,1.18 ,2.76 ,2.76 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
95868,CPT,MUSCLE TEST CRAN NERVE BILAT,26,,14,,RBRVS,1.18 ,0.57 ,0.57 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
95868,CPT,MUSCLE TEST CRAN NERVE BILAT,TC,,14,,RBRVS,,2.19 ,2.19 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
95869,CPT,MUSCLE TEST THOR PARASPINAL,,,14,,RBRVS,0.37 ,2.31 ,2.31 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
95869,CPT,MUSCLE TEST THOR PARASPINAL,26,,14,,RBRVS,0.37 ,0.18 ,0.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
95869,CPT,MUSCLE TEST THOR PARASPINAL,TC,,14,,RBRVS,,2.13 ,2.13 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
95870,CPT,MUSCLE TEST NONPARASPINAL,,,14,,RBRVS,0.37 ,2.16 ,2.16 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
95870,CPT,MUSCLE TEST NONPARASPINAL,26,,14,,RBRVS,0.37 ,0.18 ,0.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
95870,CPT,MUSCLE TEST NONPARASPINAL,TC,,14,,RBRVS,,1.98 ,1.98 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
95872,CPT,MUSCLE TEST ONE FIBER,,,14,,RBRVS,2.88 ,2.64 ,2.64 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
95872,CPT,MUSCLE TEST ONE FIBER,26,,14,,RBRVS,2.88 ,1.34 ,1.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
95872,CPT,MUSCLE TEST ONE FIBER,TC,,14,,RBRVS,,1.30 ,1.30 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
95873,CPT,GUIDE NERV DESTR ELEC STIM,,,14,,RBRVS,0.37 ,1.79 ,1.79 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
95873,CPT,GUIDE NERV DESTR ELEC STIM,26,,14,,RBRVS,0.37 ,0.19 ,0.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
95873,CPT,GUIDE NERV DESTR ELEC STIM,TC,,14,,RBRVS,,1.60 ,1.60 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
95874,CPT,GUIDE NERV DESTR NEEDLE EMG,,,14,,RBRVS,0.37 ,1.85 ,1.85 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
95874,CPT,GUIDE NERV DESTR NEEDLE EMG,26,,14,,RBRVS,0.37 ,0.18 ,0.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
95874,CPT,GUIDE NERV DESTR NEEDLE EMG,TC,,14,,RBRVS,,1.67 ,1.67 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
95875,CPT,LIMB EXERCISE TEST,,,14,,RBRVS,1.10 ,2.62 ,2.62 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
95875,CPT,LIMB EXERCISE TEST,26,,14,,RBRVS,1.10 ,0.53 ,0.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
95875,CPT,LIMB EXERCISE TEST,TC,,14,,RBRVS,,2.09 ,2.09 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
95885,CPT,MUSC TST DONE W/NERV TST LIM,,,14,,RBRVS,0.35 ,1.41 ,1.41 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
95885,CPT,MUSC TST DONE W/NERV TST LIM,26,,14,,RBRVS,0.35 ,0.17 ,0.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
95885,CPT,MUSC TST DONE W/NERV TST LIM,TC,,14,,RBRVS,,1.24 ,1.24 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
95886,CPT,MUSC TEST DONE W/N TEST COMP,,,14,,RBRVS,0.86 ,1.86 ,1.86 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
95886,CPT,MUSC TEST DONE W/N TEST COMP,26,,14,,RBRVS,0.86 ,0.42 ,0.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
95886,CPT,MUSC TEST DONE W/N TEST COMP,TC,,14,,RBRVS,,1.44 ,1.44 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
95887,CPT,MUSC TST DONE W/N TST NONEXT,,,14,,RBRVS,0.71 ,1.66 ,1.66 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
95887,CPT,MUSC TST DONE W/N TST NONEXT,26,,14,,RBRVS,0.71 ,0.34 ,0.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
95887,CPT,MUSC TST DONE W/N TST NONEXT,TC,,14,,RBRVS,,1.32 ,1.32 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
95905,CPT,MOTOR &/ SENS NRVE CNDJ TEST,,,14,,RBRVS,0.05 ,1.46 ,1.46 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
95905,CPT,MOTOR &/ SENS NRVE CNDJ TEST,26,,14,,RBRVS,0.05 ,0.02 ,0.02 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
95905,CPT,MOTOR &/ SENS NRVE CNDJ TEST,TC,,14,,RBRVS,,1.44 ,1.44 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
95907,CPT,NVR CNDJ TST 1-2 STUDIES,,,14,,RBRVS,1.00 ,1.65 ,1.65 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
95907,CPT,NVR CNDJ TST 1-2 STUDIES,26,,14,,RBRVS,1.00 ,0.49 ,0.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
95907,CPT,NVR CNDJ TST 1-2 STUDIES,TC,,14,,RBRVS,,1.16 ,1.16 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
95908,CPT,NRV CNDJ TST 3-4 STUDIES,,,14,,RBRVS,1.25 ,2.13 ,2.13 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
95908,CPT,NRV CNDJ TST 3-4 STUDIES,26,,14,,RBRVS,1.25 ,0.62 ,0.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
95908,CPT,NRV CNDJ TST 3-4 STUDIES,TC,,14,,RBRVS,,1.51 ,1.51 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
95909,CPT,NRV CNDJ TST 5-6 STUDIES,,,14,,RBRVS,1.50 ,2.55 ,2.55 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
95909,CPT,NRV CNDJ TST 5-6 STUDIES,26,,14,,RBRVS,1.50 ,0.74 ,0.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
95909,CPT,NRV CNDJ TST 5-6 STUDIES,TC,,14,,RBRVS,,1.81 ,1.81 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
95910,CPT,NRV CNDJ TEST 7-8 STUDIES,,,14,,RBRVS,2.00 ,3.32 ,3.32 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
95910,CPT,NRV CNDJ TEST 7-8 STUDIES,26,,14,,RBRVS,2.00 ,0.99 ,0.99 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
95910,CPT,NRV CNDJ TEST 7-8 STUDIES,TC,,14,,RBRVS,,2.33 ,2.33 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
95911,CPT,NRV CNDJ TEST 9-10 STUDIES,,,14,,RBRVS,2.50 ,3.89 ,3.89 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
95911,CPT,NRV CNDJ TEST 9-10 STUDIES,26,,14,,RBRVS,2.50 ,1.22 ,1.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
95911,CPT,NRV CNDJ TEST 9-10 STUDIES,TC,,14,,RBRVS,,2.67 ,2.67 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
95912,CPT,NRV CNDJ TEST 11-12 STUDIES,,,14,,RBRVS,3.00 ,4.30 ,4.30 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
95912,CPT,NRV CNDJ TEST 11-12 STUDIES,26,,14,,RBRVS,3.00 ,1.43 ,1.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
95912,CPT,NRV CNDJ TEST 11-12 STUDIES,TC,,14,,RBRVS,,2.87 ,2.87 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
95913,CPT,NRV CNDJ TEST 13/> STUDIES,,,14,,RBRVS,3.56 ,4.89 ,4.89 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
95913,CPT,NRV CNDJ TEST 13/> STUDIES,26,,14,,RBRVS,3.56 ,1.70 ,1.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
95913,CPT,NRV CNDJ TEST 13/> STUDIES,TC,,14,,RBRVS,,3.19 ,3.19 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
95921,CPT,AUTONOMIC NRV PARASYM INERVJ,,,14,,RBRVS,0.90 ,1.49 ,1.49 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
95921,CPT,AUTONOMIC NRV PARASYM INERVJ,26,,14,,RBRVS,0.90 ,0.36 ,0.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
95921,CPT,AUTONOMIC NRV PARASYM INERVJ,TC,,14,,RBRVS,,1.13 ,1.13 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
95922,CPT,AUTONOMIC NRV ADRENRG INERVJ,,,14,,RBRVS,0.96 ,1.76 ,1.76 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
95922,CPT,AUTONOMIC NRV ADRENRG INERVJ,26,,14,,RBRVS,0.96 ,0.37 ,0.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
95922,CPT,AUTONOMIC NRV ADRENRG INERVJ,TC,,14,,RBRVS,,1.39 ,1.39 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
95923,CPT,AUTONOMIC NRV SYST FUNJ TEST,,,14,,RBRVS,0.90 ,2.68 ,2.68 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
95923,CPT,AUTONOMIC NRV SYST FUNJ TEST,26,,14,,RBRVS,0.90 ,0.36 ,0.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
95923,CPT,AUTONOMIC NRV SYST FUNJ TEST,TC,,14,,RBRVS,,2.32 ,2.32 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
95924,CPT,ANS PARASYMP & SYMP W/TILT,,,14,,RBRVS,1.73 ,2.42 ,2.42 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
95924,CPT,ANS PARASYMP & SYMP W/TILT,26,,14,,RBRVS,1.73 ,0.69 ,0.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
95924,CPT,ANS PARASYMP & SYMP W/TILT,TC,,14,,RBRVS,,1.73 ,1.73 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
95925,CPT,SOMATOSENSORY TESTING,,,14,,RBRVS,0.54 ,3.36 ,3.36 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
95925,CPT,SOMATOSENSORY TESTING,26,,14,,RBRVS,0.54 ,0.23 ,0.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
95925,CPT,SOMATOSENSORY TESTING,TC,,14,,RBRVS,,3.13 ,3.13 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
95926,CPT,SOMATOSENSORY TESTING,,,14,,RBRVS,0.54 ,3.18 ,3.18 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
95926,CPT,SOMATOSENSORY TESTING,26,,14,,RBRVS,0.54 ,0.22 ,0.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
95926,CPT,SOMATOSENSORY TESTING,TC,,14,,RBRVS,,2.96 ,2.96 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
95927,CPT,SOMATOSENSORY TESTING,,,14,,RBRVS,0.54 ,3.16 ,3.16 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
95927,CPT,SOMATOSENSORY TESTING,26,,14,,RBRVS,0.54 ,0.21 ,0.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
95927,CPT,SOMATOSENSORY TESTING,TC,,14,,RBRVS,,2.95 ,2.95 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
95928,CPT,C MOTOR EVOKED UPPR LIMBS,,,14,,RBRVS,1.50 ,4.81 ,4.81 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
95928,CPT,C MOTOR EVOKED UPPR LIMBS,26,,14,,RBRVS,1.50 ,0.72 ,0.72 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
95928,CPT,C MOTOR EVOKED UPPR LIMBS,TC,,14,,RBRVS,,4.09 ,4.09 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
95929,CPT,C MOTOR EVOKED LWR LIMBS,,,14,,RBRVS,1.50 ,5.00 ,5.00 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
95929,CPT,C MOTOR EVOKED LWR LIMBS,26,,14,,RBRVS,1.50 ,0.72 ,0.72 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
95929,CPT,C MOTOR EVOKED LWR LIMBS,TC,,14,,RBRVS,,4.28 ,4.28 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
95930,CPT,VISUAL EP TEST CNS W/I&R,,,14,,RBRVS,0.35 ,1.51 ,1.51 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
95930,CPT,VISUAL EP TEST CNS W/I&R,26,,14,,RBRVS,0.35 ,0.17 ,0.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
95930,CPT,VISUAL EP TEST CNS W/I&R,TC,,14,,RBRVS,,1.34 ,1.34 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
95933,CPT,BLINK REFLEX TEST,,,14,,RBRVS,0.59 ,1.70 ,1.70 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
95933,CPT,BLINK REFLEX TEST,26,,14,,RBRVS,0.59 ,0.28 ,0.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
95933,CPT,BLINK REFLEX TEST,TC,,14,,RBRVS,,1.42 ,1.42 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
95937,CPT,NEUROMUSCULAR JUNCTION TEST,,,14,,RBRVS,0.65 ,1.97 ,1.97 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
95937,CPT,NEUROMUSCULAR JUNCTION TEST,26,,14,,RBRVS,0.65 ,0.31 ,0.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
95937,CPT,NEUROMUSCULAR JUNCTION TEST,TC,,14,,RBRVS,,1.66 ,1.66 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
95938,CPT,SOMATOSENSORY TESTING,,,14,,RBRVS,0.86 ,8.92 ,8.92 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
95938,CPT,SOMATOSENSORY TESTING,26,,14,,RBRVS,0.86 ,0.41 ,0.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
95938,CPT,SOMATOSENSORY TESTING,TC,,14,,RBRVS,,8.51 ,8.51 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
95939,CPT,C MOTOR EVOKED UPR&LWR LIMBS,,,14,,RBRVS,2.25 ,12.45 ,12.45 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
95939,CPT,C MOTOR EVOKED UPR&LWR LIMBS,26,,14,,RBRVS,2.25 ,1.07 ,1.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
95939,CPT,C MOTOR EVOKED UPR&LWR LIMBS,TC,,14,,RBRVS,,11.38 ,11.38 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
95940,CPT,IONM IN OPERATNG ROOM 15 MIN,,,14,,RBRVS,0.60 ,0.29 ,0.29 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
95941,CPT,IONM REMOTE/>1 PT OR PER HR,,,14,,TotalUnits,,,,14.22 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
95943,CPT,PARASYMP&SYMP HRT RATE TEST,,,14,,TotalUnits,,,,4.55 ,,$0.00,$0.00,1,0,0,0,0,1,20210101,
95943,CPT,PARASYMP&SYMP HRT RATE TEST,26,,14,,TotalUnits,,,,4.30 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
95943,CPT,PARASYMP&SYMP HRT RATE TEST,TC,,14,,TotalUnits,,,,0.24 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
95954,CPT,EEG MONITORING/GIVING DRUGS,,,14,,RBRVS,2.45 ,8.41 ,8.41 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
95954,CPT,EEG MONITORING/GIVING DRUGS,26,,14,,RBRVS,2.45 ,0.68 ,0.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
95954,CPT,EEG MONITORING/GIVING DRUGS,TC,,14,,RBRVS,,7.73 ,7.73 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
95955,CPT,EEG DURING SURGERY,,,14,,RBRVS,1.01 ,4.87 ,4.87 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
95955,CPT,EEG DURING SURGERY,26,,14,,RBRVS,1.01 ,0.48 ,0.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
95955,CPT,EEG DURING SURGERY,TC,,14,,RBRVS,,4.39 ,4.39 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
95957,CPT,EEG DIGITAL ANALYSIS,,,14,,RBRVS,1.98 ,5.14 ,5.14 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
95957,CPT,EEG DIGITAL ANALYSIS,26,,14,,RBRVS,1.98 ,0.87 ,0.87 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
95957,CPT,EEG DIGITAL ANALYSIS,TC,,14,,RBRVS,,4.27 ,4.27 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
95958,CPT,EEG MONITORING/FUNCTION TEST,,,14,,RBRVS,4.24 ,11.85 ,11.85 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
95958,CPT,EEG MONITORING/FUNCTION TEST,26,,14,,RBRVS,4.24 ,1.93 ,1.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
95958,CPT,EEG MONITORING/FUNCTION TEST,TC,,14,,RBRVS,,9.92 ,9.92 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
95961,CPT,ELECTRODE STIMULATION BRAIN,,,14,,RBRVS,2.97 ,5.55 ,5.55 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
95961,CPT,ELECTRODE STIMULATION BRAIN,26,,14,,RBRVS,2.97 ,1.40 ,1.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
95961,CPT,ELECTRODE STIMULATION BRAIN,TC,,14,,RBRVS,,4.15 ,4.15 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
95962,CPT,ELECTRODE STIM BRAIN ADD-ON,,,14,,RBRVS,3.21 ,4.03 ,4.03 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
95962,CPT,ELECTRODE STIM BRAIN ADD-ON,26,,14,,RBRVS,3.21 ,1.54 ,1.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
95962,CPT,ELECTRODE STIM BRAIN ADD-ON,TC,,14,,RBRVS,,2.49 ,2.49 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
95965,CPT,MEG SPONTANEOUS,,,14,,TotalUnits,,,,58.69 ,,$0.00,$0.00,1,0,0,0,0,1,20210101,
95965,CPT,MEG SPONTANEOUS,26,,14,,TotalUnits,,,,11.66 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
95965,CPT,MEG SPONTANEOUS,TC,,14,,TotalUnits,,,,47.03 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
95966,CPT,MEG EVOKED SINGLE,,,14,,TotalUnits,,,,29.67 ,,$0.00,$0.00,1,0,0,0,0,1,20210101,
95966,CPT,MEG EVOKED SINGLE,26,,14,,TotalUnits,,,,5.91 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
95966,CPT,MEG EVOKED SINGLE,TC,,14,,TotalUnits,,,,23.76 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
95967,CPT,MEG EVOKED EACH ADDL,,,14,,TotalUnits,,,,25.97 ,,$0.00,$0.00,1,0,0,0,0,1,20210101,
95967,CPT,MEG EVOKED EACH ADDL,26,,14,,TotalUnits,,,,5.17 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
95967,CPT,MEG EVOKED EACH ADDL,TC,,14,,TotalUnits,,,,20.80 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
95970,CPT,ALYS NPGT W/O PRGRMG,,,14,,RBRVS,0.35 ,0.16 ,0.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
95971,CPT,ALYS SMPL SP/PN NPGT W/PRGRM,,,14,,RBRVS,0.78 ,0.31 ,0.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
95972,CPT,ALYS CPLX SP/PN NPGT W/PRGRM,,,14,,RBRVS,0.80 ,0.30 ,0.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
95976,CPT,ALYS SMPL CN NPGT PRGRMG,,,14,,RBRVS,0.73 ,0.35 ,0.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
95977,CPT,ALYS CPLX CN NPGT PRGRMG,,,14,,RBRVS,0.97 ,0.46 ,0.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
95980,CPT,IO ANAL GAST N-STIM INIT,,,14,,RBRVS,0.80 ,0.34 ,0.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
95981,CPT,IO ANAL GAST N-STIM SUBSQ,,,14,,RBRVS,0.30 ,0.16 ,0.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
95982,CPT,IO GA N-STIM SUBSQ W/REPROG,,,14,,RBRVS,0.65 ,0.30 ,0.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
95983,CPT,ALYS BRN NPGT PRGRMG 15 MIN,,,14,,RBRVS,0.91 ,0.44 ,0.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
95984,CPT,ALYS BRN NPGT PRGRMG ADDL 15,,,14,,RBRVS,0.80 ,0.38 ,0.40 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
95990,CPT,SPIN/BRAIN PUMP REFIL & MAIN,,,14,,RBRVS,,2.50 ,2.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
95991,CPT,SPIN/BRAIN PUMP REFIL & MAIN,,,14,,RBRVS,0.77 ,0.30 ,2.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
95992,CPT,CANALITH REPOSITIONING PROC,,,14,,RBRVS,0.75 ,0.28 ,0.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
95999,CPT,NEUROLOGICAL PROCEDURE,,,14,,TotalUnits,,,,5.32 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
96000,CPT,MOTION ANALYSIS VIDEO/3D,,,14,,RBRVS,1.80 ,0.75 ,0.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
96001,CPT,MOTION TEST W/FT PRESS MEAS,,,14,,RBRVS,2.15 ,0.86 ,0.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
96002,CPT,DYNAMIC SURFACE EMG,,,14,,RBRVS,0.41 ,0.19 ,0.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
96003,CPT,DYNAMIC FINE WIRE EMG,,,14,,RBRVS,0.37 ,0.11 ,0.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
96004,CPT,PHYS REVIEW OF MOTION TESTS,,PC,14,,RBRVS,2.14 ,0.92 ,0.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
96020,CPT,FUNCTIONAL BRAIN MAPPING,,,14,,TotalUnits,,,,7.08 ,,$0.00,$0.00,1,0,0,0,0,1,20210101,
96020,CPT,FUNCTIONAL BRAIN MAPPING,26,,14,,TotalUnits,,,,4.54 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
96020,CPT,FUNCTIONAL BRAIN MAPPING,TC,,14,,TotalUnits,,,,2.54 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
96040,CPT,GENETIC COUNSELING 30 MIN,,,14,,RBRVS,,1.24 ,1.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
96105,CPT,ASSESSMENT OF APHASIA,,,16,,RBRVS,1.75 ,1.09 ,1.09 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
96110,CPT,DEVELOPMENTAL SCREEN W/SCORE,,,16,,RBRVS,,0.27 ,0.27 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
96112,CPT,DEVEL TST PHYS/QHP 1ST HR,,,14,,RBRVS,2.56 ,0.95 ,1.20 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
96113,CPT,DEVEL TST PHYS/QHP EA ADDL,,,14,,RBRVS,1.16 ,0.43 ,0.52 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
96116,CPT,NUBHVL XM PHYS/QHP 1ST HR,,,16,,RBRVS,1.86 ,0.45 ,0.81 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
96121,CPT,NUBHVL XM PHY/QHP EA ADDL HR,,,16,,RBRVS,1.71 ,0.42 ,0.59 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
96125,CPT,COGNITIVE TEST BY HC PRO,,,16,,RBRVS,1.70 ,1.32 ,1.32 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
96127,CPT,BRIEF EMOTIONAL/BEHAV ASSMT,,TC,16,,RBRVS,,0.13 ,0.13 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
96130,CPT,PSYCL TST EVAL PHYS/QHP 1ST,,,16,,RBRVS,2.56 ,0.43 ,0.73 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
96131,CPT,PSYCL TST EVAL PHYS/QHP EA,,,16,,RBRVS,1.96 ,0.32 ,0.55 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
96132,CPT,NRPSYC TST EVAL PHYS/QHP 1ST,,,16,,RBRVS,2.56 ,0.39 ,1.13 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
96133,CPT,NRPSYC TST EVAL PHYS/QHP EA,,,16,,RBRVS,1.96 ,0.30 ,0.80 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
96136,CPT,PSYCL/NRPSYC TST PHY/QHP 1ST,,,16,,RBRVS,0.55 ,0.12 ,0.75 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
96137,CPT,PSYCL/NRPSYC TST PHY/QHP EA,,,16,,RBRVS,0.46 ,0.07 ,0.74 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
96138,CPT,PSYCL/NRPSYC TECH 1ST,,,16,,RBRVS,,1.06 ,1.06 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
96139,CPT,PSYCL/NRPSYC TST TECH EA,,,16,,RBRVS,,1.06 ,1.06 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
96146,CPT,PSYCL/NRPSYC TST AUTO RESULT,,,16,,RBRVS,,0.05 ,0.05 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
96156,CPT,HLTH BHV ASSMT/REASSESSMENT,,,16,,RBRVS,2.10 ,0.32 ,0.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
96158,CPT,HLTH BHV IVNTJ INDIV 1ST 30,,,16,,RBRVS,1.45 ,0.21 ,0.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
96159,CPT,HLTH BHV IVNTJ INDIV EA ADDL,,,16,,RBRVS,0.50 ,0.07 ,0.14 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
96160,CPT,PT-FOCUSED HLTH RISK ASSMT,,,18,,RBRVS,,0.07 ,0.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
96161,CPT,CAREGIVER HEALTH RISK ASSMT,,,18,,RBRVS,,0.07 ,0.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
96164,CPT,HLTH BHV IVNTJ GRP 1ST 30,,,16,,RBRVS,0.21 ,0.03 ,0.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
96165,CPT,HLTH BHV IVNTJ GRP EA ADDL,,,16,,RBRVS,0.10 ,0.01 ,0.03 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
96167,CPT,HLTH BHV IVNTJ FAM 1ST 30,,,16,,RBRVS,1.55 ,0.22 ,0.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
96168,CPT,HLTH BHV IVNTJ FAM EA ADDL,,,16,,RBRVS,0.55 ,0.08 ,0.15 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
96170,CPT,HLTH BHV IVNTJ FAM WO PT 1ST,,,16,,RBRVS,1.50 ,0.58 ,0.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
96171,CPT,HLTH BHV IVNTJ FAM W/O PT EA,,,16,,RBRVS,0.54 ,0.21 ,0.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
96360,CPT,HYDRATION IV INFUSION INIT,,,22,,RBRVS,0.17 ,0.77 ,0.77 ,,,$0.00,$0.00,1,1,1,0,0,1,20210101,
96361,CPT,HYDRATE IV INFUSION ADD-ON,,,22,,RBRVS,0.09 ,0.28 ,0.28 ,,,$0.00,$0.00,1,1,1,0,0,1,20210101,
96365,CPT,THER/PROPH/DIAG IV INF INIT,,,22,,RBRVS,0.21 ,1.74 ,1.74 ,,,$0.00,$0.00,1,1,1,0,0,1,20210101,
96366,CPT,THER/PROPH/DIAG IV INF ADDON,,,22,,RBRVS,0.18 ,0.42 ,0.42 ,,,$0.00,$0.00,1,1,1,0,0,1,20210101,
96367,CPT,TX/PROPH/DG ADDL SEQ IV INF,,,22,,RBRVS,0.19 ,0.66 ,0.66 ,,,$0.00,$0.00,1,1,1,0,0,1,20210101,
96368,CPT,THER/DIAG CONCURRENT INF,,,22,,RBRVS,0.17 ,0.41 ,0.41 ,,,$0.00,$0.00,1,1,1,0,0,1,20210101,
96369,CPT,SC THER INFUSION UP TO 1 HR,,,22,,RBRVS,0.21 ,4.26 ,4.26 ,,,$0.00,$0.00,1,1,1,0,0,1,20210101,
96370,CPT,SC THER INFUSION ADDL HR,,,22,,RBRVS,0.18 ,0.24 ,0.24 ,,,$0.00,$0.00,1,1,1,0,0,1,20210101,
96371,CPT,SC THER INFUSION RESET PUMP,,,22,,RBRVS,,1.79 ,1.79 ,,,$0.00,$0.00,1,1,1,0,0,1,20210101,
96372,CPT,THER/PROPH/DIAG INJ SC/IM,,,22,,RBRVS,0.17 ,0.22 ,0.22 ,,,$0.00,$0.00,1,1,1,0,0,1,20210101,
96373,CPT,THER/PROPH/DIAG INJ IA,,,22,,RBRVS,0.17 ,0.34 ,0.34 ,,,$0.00,$0.00,1,1,1,0,0,1,20210101,
96374,CPT,THER/PROPH/DIAG INJ IV PUSH,,,22,,RBRVS,0.18 ,0.91 ,0.91 ,,,$0.00,$0.00,1,1,1,0,0,1,20210101,
96375,CPT,TX/PRO/DX INJ NEW DRUG ADDON,,,22,,RBRVS,0.10 ,0.35 ,0.35 ,,,$0.00,$0.00,1,1,1,0,0,1,20210101,
96376,CPT,TX/PRO/DX INJ SAME DRUG ADON,,,22,,TotalUnits,,,,1.27 ,,$0.00,$0.00,1,1,1,0,0,1,20210101,
96377,CPT,APPLICATON ON-BODY INJECTOR,,,14,,RBRVS,0.17 ,0.38 ,0.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
96379,CPT,THER/PROP/DIAG INJ/INF PROC,,,22,,TotalUnits,,,,0.45 ,,$0.00,$0.00,1,1,1,0,0,1,20210101,
96401,CPT,CHEMO ANTI-NEOPL SQ/IM,,,14,,RBRVS,0.21 ,1.96 ,1.96 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
96402,CPT,CHEMO HORMON ANTINEOPL SQ/IM,,,14,,RBRVS,0.19 ,0.68 ,0.68 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
96405,CPT,CHEMO INTRALESIONAL UP TO 7,,,14,,RBRVS,0.52 ,0.29 ,1.80 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
96406,CPT,CHEMO INTRALESIONAL OVER 7,,,14,,RBRVS,0.80 ,0.45 ,2.75 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
96409,CPT,CHEMO IV PUSH SNGL DRUG,,,14,,RBRVS,0.24 ,2.73 ,2.73 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
96411,CPT,CHEMO IV PUSH ADDL DRUG,,,14,,RBRVS,0.20 ,1.41 ,1.41 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
96413,CPT,CHEMO IV INFUSION 1 HR,,,14,,RBRVS,0.28 ,3.58 ,3.58 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
96415,CPT,CHEMO IV INFUSION ADDL HR,,,14,,RBRVS,0.19 ,0.64 ,0.64 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
96416,CPT,CHEMO PROLONG INFUSE W/PUMP,,,14,,RBRVS,0.21 ,3.65 ,3.65 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
96417,CPT,CHEMO IV INFUS EACH ADDL SEQ,,,14,,RBRVS,0.21 ,1.66 ,1.66 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
96420,CPT,CHEMO IA PUSH TECNIQUE,,,14,,RBRVS,0.17 ,2.67 ,2.67 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
96422,CPT,CHEMO IA INFUSION UP TO 1 HR,,,14,,RBRVS,0.17 ,4.53 ,4.53 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
96423,CPT,CHEMO IA INFUSE EACH ADDL HR,,,14,,RBRVS,0.17 ,2.00 ,2.00 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
96425,CPT,CHEMOTHERAPY INFUSION METHOD,,,14,,RBRVS,0.17 ,4.82 ,4.82 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
96440,CPT,CHEMOTHERAPY INTRACAVITARY,,,14,,RBRVS,2.12 ,0.97 ,22.64 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
96446,CPT,CHEMOTX ADMN PRTL CAVITY,,,14,,RBRVS,0.37 ,0.20 ,5.15 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
96450,CPT,CHEMOTHERAPY INTO CNS,,,14,,RBRVS,1.53 ,0.61 ,3.43 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
96521,CPT,REFILL/MAINT PORTABLE PUMP,,,14,,RBRVS,0.21 ,3.83 ,3.83 ,,,$0.00,$0.00,1,1,1,1,1,1,20210101,
96522,CPT,REFILL/MAINT PUMP/RESVR SYST,,,14,,RBRVS,0.21 ,3.15 ,3.15 ,,,$0.00,$0.00,1,1,1,1,1,1,20210101,
96523,CPT,IRRIG DRUG DELIVERY DEVICE,,,14,,RBRVS,0.04 ,0.72 ,0.72 ,,,$0.00,$0.00,1,1,1,1,1,1,20210101,
96542,CPT,CHEMOTHERAPY INJECTION,,,14,,RBRVS,0.75 ,0.38 ,2.89 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
96549,CPT,CHEMOTHERAPY UNSPECIFIED,,,14,,TotalUnits,,,,2.17 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
96567,CPT,PDT DSTR PRMLG LES SKN,,,14,,RBRVS,,3.76 ,3.76 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
96570,CPT,PHOTODYNMC TX 30 MIN ADD-ON,,,14,,RBRVS,1.10 ,0.34 ,0.34 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
96571,CPT,PHOTODYNAMIC TX ADDL 15 MIN,,,14,,RBRVS,0.55 ,0.15 ,0.15 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
96573,CPT,PDT DSTR PRMLG LES PHYS/QHP,,,14,,RBRVS,0.48 ,5.53 ,5.53 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
96574,CPT,DBRDMT PRMLG LES W/PDT,,,14,,RBRVS,1.01 ,6.52 ,6.52 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
96900,CPT,ULTRAVIOLET LIGHT THERAPY,,,14,,RBRVS,,0.62 ,0.62 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
96902,CPT,TRICHOGRAM,,,14,,RBRVS,0.41 ,0.16 ,0.20 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
96904,CPT,WHOLE BODY PHOTOGRAPHY,,,14,,RBRVS,,1.91 ,1.91 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
96910,CPT,PHOTOCHEMOTHERAPY WITH UV-B,,,14,,RBRVS,,3.26 ,3.26 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
96912,CPT,PHOTOCHEMOTHERAPY WITH UV-A,,,14,,RBRVS,,2.79 ,2.79 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
96913,CPT,PHOTOCHEMOTHERAPY UV-A OR B,,,14,,RBRVS,,4.04 ,4.04 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
96920,CPT,LASER TX SKIN < 250 SQ CM,,,14,,RBRVS,1.15 ,0.68 ,3.41 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
96921,CPT,LASER TX SKIN 250-500 SQ CM,,,14,,RBRVS,1.30 ,0.76 ,3.70 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
96922,CPT,LASER TX SKIN >500 SQ CM,,,14,,RBRVS,2.10 ,1.22 ,4.70 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
96931,CPT,RCM CELULR SUBCELULR IMG SKN,,,14,,RBRVS,0.80 ,4.03 ,4.03 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
96932,CPT,RCM CELULR SUBCELULR IMG SKN,,TC,14,,RBRVS,,3.56 ,3.56 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
96933,CPT,RCM CELULR SUBCELULR IMG SKN,,PC,14,,RBRVS,0.80 ,0.47 ,0.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
96934,CPT,RCM CELULR SUBCELULR IMG SKN,,,14,,RBRVS,0.76 ,2.18 ,2.18 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
96935,CPT,RCM CELULR SUBCELULR IMG SKN,,TC,14,,RBRVS,,1.73 ,1.73 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
96936,CPT,RCM CELULR SUBCELULR IMG SKN,,PC,14,,RBRVS,0.76 ,0.45 ,0.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
96999,CPT,DERMATOLOGICAL PROCEDURE,,,14,,TotalUnits,,,,2.58 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
97010,CPT,HOT OR COLD PACKS THERAPY,,,19,,RBRVS,0.06 ,0.11 ,0.11 ,,,$0.00,$0.00,1,1,1,0,0,1,20210101,
97012,CPT,MECHANICAL TRACTION THERAPY,,,19,,RBRVS,0.25 ,0.17 ,0.17 ,,,$0.00,$0.00,1,1,1,0,0,1,20210101,
97014,CPT,ELECTRIC STIMULATION THERAPY,,,19,,RBRVS,0.18 ,0.22 ,0.22 ,,,$0.00,$0.00,1,1,1,0,0,1,20210101,
97016,CPT,VASOPNEUMATIC DEVICE THERAPY,,,19,,RBRVS,0.18 ,0.16 ,0.16 ,,,$0.00,$0.00,1,1,1,0,0,1,20210101,
97018,CPT,PARAFFIN BATH THERAPY,,,19,,RBRVS,0.06 ,0.10 ,0.10 ,,,$0.00,$0.00,1,1,1,0,0,1,20210101,
97022,CPT,WHIRLPOOL THERAPY,,,19,,RBRVS,0.17 ,0.33 ,0.33 ,,,$0.00,$0.00,1,1,1,0,0,1,20210101,
97024,CPT,DIATHERMY EG MICROWAVE,,,19,,RBRVS,0.06 ,0.13 ,0.13 ,,,$0.00,$0.00,1,1,1,0,0,1,20210101,
97026,CPT,INFRARED THERAPY,,,19,,RBRVS,0.06 ,0.11 ,0.11 ,,,$0.00,$0.00,1,1,1,0,0,1,20210101,
97028,CPT,ULTRAVIOLET THERAPY,,,19,,RBRVS,0.08 ,0.14 ,0.14 ,,,$0.00,$0.00,1,1,1,0,0,1,20210101,
97032,CPT,ELECTRICAL STIMULATION,,,19,,RBRVS,0.25 ,0.16 ,0.16 ,,,$0.00,$0.00,1,1,1,0,0,1,20210101,
97033,CPT,ELECTRIC CURRENT THERAPY,,,19,,RBRVS,0.26 ,0.32 ,0.32 ,,,$0.00,$0.00,1,1,1,0,0,1,20210101,
97034,CPT,CONTRAST BATH THERAPY,,,19,,RBRVS,0.21 ,0.21 ,0.21 ,,,$0.00,$0.00,1,1,1,0,0,1,20210101,
97035,CPT,ULTRASOUND THERAPY,,,19,,RBRVS,0.21 ,0.19 ,0.19 ,,,$0.00,$0.00,1,1,1,0,0,1,20210101,
97036,CPT,HYDROTHERAPY,,,19,,RBRVS,0.28 ,0.71 ,0.71 ,,,$0.00,$0.00,1,1,1,0,0,1,20210101,
97039,CPT,PHYSICAL THERAPY TREATMENT,,,19,,TotalUnits,,,,0.40 ,,$0.00,$0.00,1,1,1,0,0,1,20210101,
97110,CPT,THERAPEUTIC EXERCISES,,,19,,RBRVS,0.45 ,0.40 ,0.40 ,,,$0.00,$0.00,1,1,1,0,0,1,20210101,
97112,CPT,NEUROMUSCULAR REEDUCATION,,,19,,RBRVS,0.50 ,0.48 ,0.48 ,,,$0.00,$0.00,1,1,1,0,0,1,20210101,
97113,CPT,AQUATIC THERAPY/EXERCISES,,,19,,RBRVS,0.48 ,0.60 ,0.60 ,,,$0.00,$0.00,1,1,1,0,0,1,20210101,
97116,CPT,GAIT TRAINING THERAPY,,,19,,RBRVS,0.45 ,0.39 ,0.39 ,,,$0.00,$0.00,1,1,1,0,0,1,20210101,
97124,CPT,MASSAGE THERAPY,,,19,,RBRVS,0.35 ,0.47 ,0.47 ,,,$0.00,$0.00,1,1,1,0,0,1,20210101,
97129,CPT,THER IVNTJ 1ST 15 MIN,,,19,,RBRVS,0.50 ,0.15 ,0.16 ,,,$0.00,$0.00,1,1,1,0,0,1,20210101,
97130,CPT,THER IVNTJ EA ADDL 15 MIN,,,19,,RBRVS,0.48 ,0.15 ,0.15 ,,,$0.00,$0.00,1,1,1,0,0,1,20210101,
97139,CPT,PHYSICAL MEDICINE PROCEDURE,,,19,,TotalUnits,,,,0.85 ,,$0.00,$0.00,1,1,1,0,0,1,20210101,
97140,CPT,MANUAL THERAPY 1/> REGIONS,,,19,,RBRVS,0.43 ,0.35 ,0.35 ,,,$0.00,$0.00,1,1,1,0,0,1,20210101,
97150,CPT,GROUP THERAPEUTIC PROCEDURES,,,19,,RBRVS,0.29 ,0.22 ,0.22 ,,,$0.00,$0.00,1,1,1,0,0,1,20210101,
97151,CPT,BHV ID ASSMT BY PHYS/QHP,,,16,,TotalUnits,,,,0.73 ,,$0.00,$0.00,1,1,1,0,0,1,20210101,
97152,CPT,BHV ID SUPRT ASSMT BY 1 TECH,,,16,,TotalUnits,,,,0.51 ,,$0.00,$0.00,1,1,1,0,0,1,20210101,
97153,CPT,ADAPTIVE BEHAVIOR TX BY TECH,,,16,,TotalUnits,,,,0.39 ,,$0.00,$0.00,1,1,1,0,0,1,20210101,
97154,CPT,GRP ADAPT BHV TX BY TECH,,,16,,TotalUnits,,,,0.38 ,,$0.00,$0.00,1,1,1,0,0,1,20210101,
97155,CPT,ADAPT BEHAVIOR TX PHYS/QHP,,,16,,TotalUnits,,,,0.60 ,,$0.00,$0.00,1,1,1,0,0,1,20210101,
97156,CPT,FAM ADAPT BHV TX GDN PHY/QHP,,,16,,TotalUnits,,,,0.60 ,,$0.00,$0.00,1,1,1,0,0,1,20210101,
97157,CPT,MULT FAM ADAPT BHV TX GDN,,,16,,TotalUnits,,,,0.80 ,,$0.00,$0.00,1,1,1,0,0,1,20210101,
97158,CPT,GRP ADAPT BHV TX BY PHY/QHP,,,16,,TotalUnits,,,,0.50 ,,$0.00,$0.00,1,1,1,0,0,1,20210101,
97161,CPT,PT EVAL LOW COMPLEX 20 MIN,,,19,,RBRVS,1.20 ,1.18 ,1.18 ,,,$0.00,$0.00,1,1,1,0,0,1,20210101,
97162,CPT,PT EVAL MOD COMPLEX 30 MIN,,,19,,RBRVS,1.20 ,1.18 ,1.18 ,,,$0.00,$0.00,1,1,1,0,0,1,20210101,
97163,CPT,PT EVAL HIGH COMPLEX 45 MIN,,,19,,RBRVS,1.20 ,1.18 ,1.18 ,,,$0.00,$0.00,1,1,1,0,0,1,20210101,
97164,CPT,PT RE-EVAL EST PLAN CARE,,,19,,RBRVS,0.75 ,0.89 ,0.89 ,,,$0.00,$0.00,1,1,1,0,0,1,20210101,
97165,CPT,OT EVAL LOW COMPLEX 30 MIN,,,19,,RBRVS,1.20 ,1.33 ,1.33 ,,,$0.00,$0.00,1,1,1,0,0,1,20210101,
97166,CPT,OT EVAL MOD COMPLEX 45 MIN,,,19,,RBRVS,1.20 ,1.32 ,1.32 ,,,$0.00,$0.00,1,1,1,0,0,1,20210101,
97167,CPT,OT EVAL HIGH COMPLEX 60 MIN,,,19,,RBRVS,1.20 ,1.32 ,1.32 ,,,$0.00,$0.00,1,1,1,0,0,1,20210101,
97168,CPT,OT RE-EVAL EST PLAN CARE,,,19,,RBRVS,0.75 ,1.00 ,1.00 ,,,$0.00,$0.00,1,1,1,0,0,1,20210101,
97169,CPT,ATHLETIC TRN EVAL LOW CMPLX,,,19,,TotalUnits,,,,1.72 ,,$0.00,$0.00,1,1,1,0,0,1,20210101,
97170,CPT,ATHLETIC TRN EVAL MOD CMPLX,,,19,,TotalUnits,,,,1.82 ,,$0.00,$0.00,1,1,1,0,0,1,20210101,
97171,CPT,ATHLETIC TRN EVAL HIGH CMPLX,,,19,,TotalUnits,,,,2.86 ,,$0.00,$0.00,1,1,1,0,0,1,20210101,
97172,CPT,ATHLETIC TRN RE-EVAL PLAN CR,,,19,,TotalUnits,,,,1.93 ,,$0.00,$0.00,1,1,1,0,0,1,20210101,
97530,CPT,THERAPEUTIC ACTIVITIES,,,19,,RBRVS,0.44 ,0.66 ,0.66 ,,,$0.00,$0.00,1,1,1,0,0,1,20210101,
97533,CPT,SENSORY INTEGRATION,,,19,,RBRVS,0.48 ,0.97 ,0.97 ,,,$0.00,$0.00,1,1,1,0,0,1,20210101,
97535,CPT,SELF CARE MNGMENT TRAINING,,,19,,RBRVS,0.45 ,0.50 ,0.50 ,,,$0.00,$0.00,1,1,1,0,0,1,20210101,
97537,CPT,COMMUNITY/WORK REINTEGRATION,,,19,,RBRVS,0.48 ,0.43 ,0.43 ,,,$0.00,$0.00,1,1,1,0,0,1,20210101,
97542,CPT,WHEELCHAIR MNGMENT TRAINING,,,19,,RBRVS,0.48 ,0.44 ,0.44 ,,,$0.00,$0.00,1,1,1,0,0,1,20210101,
97545,CPT,WORK HARDENING,,,19,,TotalUnits,,,,3.31 ,,$0.00,$0.00,1,1,1,0,0,1,20210101,
97546,CPT,WORK HARDENING ADD-ON,,,19,,TotalUnits,,,,1.50 ,,$0.00,$0.00,1,1,1,0,0,1,20210101,
97597,CPT,RMVL DEVITAL TIS 20 CM/<,,,14,,RBRVS,0.77 ,0.22 ,1.91 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
97598,CPT,RMVL DEVITAL TIS ADDL 20CM/<,,,14,,RBRVS,0.50 ,0.18 ,0.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
97602,CPT,WOUND(S) CARE NON-SELECTIVE,,,14,,TotalUnits,,,,1.13 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
97605,CPT,NEG PRESS WOUND TX <=50 CM,,,14,,RBRVS,0.55 ,0.17 ,0.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
97606,CPT,NEG PRESS WOUND TX >50 CM,,,14,,RBRVS,0.60 ,0.18 ,0.84 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
97607,CPT,NEG PRESS WND TX <=50 SQ CM,,,14,,RBRVS,0.41 ,0.16 ,9.01 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
97608,CPT,NEG PRESS WOUND TX >50 CM,,,14,,RBRVS,0.46 ,0.18 ,8.98 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
97610,CPT,LOW FREQUENCY NON-THERMAL US,,,19,,RBRVS,0.40 ,0.12 ,8.73 ,,,$0.00,$0.00,1,1,1,0,0,1,20210101,
97750,CPT,PHYSICAL PERFORMANCE TEST,,,19,,RBRVS,0.45 ,0.52 ,0.52 ,,,$0.00,$0.00,1,1,1,0,0,1,20210101,
97755,CPT,ASSISTIVE TECHNOLOGY ASSESS,,,19,,RBRVS,0.62 ,0.45 ,0.45 ,,,$0.00,$0.00,1,1,1,0,0,1,20210101,
97760,CPT,ORTHOTIC MGMT&TRAING 1ST ENC,,,19,,RBRVS,0.50 ,0.88 ,0.88 ,,,$0.00,$0.00,1,1,1,0,0,1,20210101,
97761,CPT,PROSTHETIC TRAING 1ST ENC,,,19,,RBRVS,0.50 ,0.67 ,0.67 ,,,$0.00,$0.00,1,1,1,0,0,1,20210101,
97763,CPT,ORTHC/PROSTC MGMT SBSQ ENC,,,19,,RBRVS,0.48 ,1.00 ,1.00 ,,,$0.00,$0.00,1,1,1,0,0,1,20210101,
97799,CPT,PHYSICAL MEDICINE PROCEDURE,,,19,,TotalUnits,,,,0.85 ,,$0.00,$0.00,1,1,1,0,0,1,20210101,
97802,CPT,MEDICAL NUTRITION INDIV IN,,,14,,RBRVS,0.53 ,0.41 ,0.51 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
97803,CPT,MED NUTRITION INDIV SUBSEQ,,,14,,RBRVS,0.45 ,0.34 ,0.45 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
97804,CPT,MEDICAL NUTRITION GROUP,,,14,,RBRVS,0.25 ,0.19 ,0.22 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
97810,CPT,ACUPUNCT W/O STIMUL 15 MIN,,,14,,RBRVS,0.60 ,0.23 ,0.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
97811,CPT,ACUPUNCT W/O STIMUL ADDL 15M,,,14,,RBRVS,0.50 ,0.19 ,0.25 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
97813,CPT,ACUPUNCT W/STIMUL 15 MIN,,,14,,RBRVS,0.65 ,0.25 ,0.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
97814,CPT,ACUPUNCT W/STIMUL ADDL 15M,,,14,,RBRVS,0.55 ,0.21 ,0.36 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
98925,CPT,OSTEOPATH MANJ 1-2 REGIONS,,,19,,RBRVS,0.46 ,0.19 ,0.40 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
98926,CPT,OSTEOPATH MANJ 3-4 REGIONS,,,19,,RBRVS,0.71 ,0.27 ,0.53 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
98927,CPT,OSTEOPATH MANJ 5-6 REGIONS,,,19,,RBRVS,0.96 ,0.34 ,0.67 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
98928,CPT,OSTEOPATH MANJ 7-8 REGIONS,,,19,,RBRVS,1.21 ,0.42 ,0.78 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
98929,CPT,OSTEOPATH MANJ 9-10 REGIONS,,,19,,RBRVS,1.46 ,0.52 ,0.90 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
98940,CPT,CHIROPRACT MANJ 1-2 REGIONS,,,5,,RBRVS,0.46 ,0.17 ,0.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
98941,CPT,CHIROPRACT MANJ 3-4 REGIONS,,,5,,RBRVS,0.71 ,0.26 ,0.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
98942,CPT,CHIROPRACTIC MANJ 5 REGIONS,,,5,,RBRVS,0.96 ,0.35 ,0.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
98943,CPT,CHIROPRACT MANJ XTRSPINL 1/>,,,5,,RBRVS,0.46 ,0.18 ,0.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
98960,CPT,SELF-MGMT EDUC & TRAIN 1 PT,,,14,,RBRVS,,0.75 ,0.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
98961,CPT,SELF-MGMT EDUC/TRAIN 2-4 PT,,,14,,RBRVS,,0.36 ,0.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
98962,CPT,SELF-MGMT EDUC/TRAIN 5-8 PT,,,14,,RBRVS,,0.26 ,0.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
98966,CPT,HC PRO PHONE CALL 5-10 MIN,,,15,,RBRVS,0.25 ,0.10 ,0.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
98967,CPT,HC PRO PHONE CALL 11-20 MIN,,,15,,RBRVS,0.50 ,0.19 ,0.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
98968,CPT,HC PRO PHONE CALL 21-30 MIN,,,15,,RBRVS,0.75 ,0.29 ,0.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
98970,CPT,QNHP OL DIG E/M SVC 5-10MIN,,,15,,TotalUnits,,,,0.43 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
98971,CPT,QNHP OL DIG EM SVC 11-20MIN,,,15,,TotalUnits,,,,0.32 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
98972,CPT,QNHP OL DIG E/M SVC 21+ MIN,,,15,,TotalUnits,,,,2.72 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
99000,CPT,SPECIMEN HANDLING OFFICE-LAB,,,14,,TotalUnits,,,,0.22 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
99001,CPT,SPECIMEN HANDLING PT-LAB,,,14,,TotalUnits,,,,0.35 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
99002,CPT,DEVICE HANDLING PHYS/QHP,,,14,,TotalUnits,,,,0.47 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
99024,CPT,POSTOP FOLLOW-UP VISIT,,,14,,TotalUnits,,,,0.93 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
99026,CPT,IN-HOSPITAL ON CALL SERVICE,,,14,,TotalUnits,,,,1.12 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
99027,CPT,OUT-OF-HOSP ON CALL SERVICE,,,14,,TotalUnits,,,,0.19 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
99050,CPT,MEDICAL SERVICES AFTER HRS,,,15,,TotalUnits,,,,0.71 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
99051,CPT,MED SERV EVE/WKEND/HOLIDAY,,,15,,TotalUnits,,,,0.67 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
99053,CPT,MED SERV 10PM-8AM 24 HR FAC,,,15,,TotalUnits,,,,0.93 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
99056,CPT,MED SERVICE OUT OF OFFICE,,,15,,TotalUnits,,,,0.47 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
99058,CPT,OFFICE EMERGENCY CARE,,,15,,TotalUnits,,,,0.95 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
99060,CPT,OUT OF OFFICE EMERG MED SERV,,,15,,TotalUnits,,,,2.36 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
99070,CPT,SPECIAL SUPPLIES PHYS/QHP,,,14,,TotalUnits,,,,0.48 ,,$0.00,$0.00,1,1,1,0,0,1,20210101,
99071,CPT,PATIENT EDUCATION MATERIALS,,,14,,TotalUnits,,,,0.13 ,,$0.00,$0.00,1,1,1,0,0,1,20210101,
99075,CPT,MEDICAL TESTIMONY,,,14,,TotalUnits,,,,1.91 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
99078,CPT,GROUP HEALTH EDUCATION,,,14,,TotalUnits,,,,1.10 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
99080,CPT,SPECIAL REPORTS OR FORMS,,,14,,TotalUnits,,,,0.35 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
99082,CPT,UNUSUAL PHYSICIAN TRAVEL,,,14,,TotalUnits,,,,0.41 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
99091,CPT,COLLJ & INTERPJ DATA EA 30 D,,,14,,RBRVS,1.10 ,0.46 ,0.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
99100,CPT,SPECIAL ANESTHESIA SERVICE,,,14,,TotalUnits,,,,1.34 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
99116,CPT,ANESTHESIA WITH HYPOTHERMIA,,,14,,TotalUnits,,,,4.95 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
99135,CPT,SPECIAL ANESTHESIA PROCEDURE,,,14,,TotalUnits,,,,7.85 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
99140,CPT,EMERGENCY ANESTHESIA,,,14,,TotalUnits,,,,2.29 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
99151,CPT,MOD SED SAME PHYS/QHP <5 YRS,,,14,,RBRVS,0.50 ,0.12 ,1.55 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
99152,CPT,MOD SED SAME PHYS/QHP 5/>YRS,,,14,,RBRVS,0.25 ,0.08 ,1.16 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
99153,CPT,MOD SED SAME PHYS/QHP EA,,TC,14,,RBRVS,,0.29 ,0.29 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
99155,CPT,MOD SED OTH PHYS/QHP <5 YRS,,,14,,RBRVS,1.90 ,0.32 ,0.32 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
99156,CPT,MOD SED OTH PHYS/QHP 5/>YRS,,,14,,RBRVS,1.65 ,0.42 ,0.42 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
99157,CPT,MOD SED OTHER PHYS/QHP EA,,,14,,RBRVS,1.25 ,0.47 ,0.47 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
99170,CPT,ANOGENITAL EXAM CHILD W IMAG,,,14,,RBRVS,1.75 ,0.60 ,2.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
99172,CPT,OCULAR FUNCTION SCREEN,,,23,,TotalUnits,,,,0.77 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
99173,CPT,VISUAL ACUITY SCREEN,,,23,,RBRVS,,0.07 ,0.07 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
99174,CPT,OCULAR INSTRUMNT SCREEN BIL,,,23,,RBRVS,,0.15 ,0.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
99175,CPT,INDUCTION OF VOMITING,,,14,,RBRVS,,0.69 ,0.69 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
99177,CPT,OCULAR INSTRUMNT SCREEN BIL,,,23,,RBRVS,,0.12 ,0.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
99183,CPT,HYPERBARIC OXYGEN THERAPY,,PC,14,,RBRVS,2.11 ,0.78 ,0.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
99184,CPT,HYPOTHERMIA ILL NEONATE,,,10,,RBRVS,4.50 ,1.53 ,1.53 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
99188,CPT,APP TOPICAL FLUORIDE VARNISH,,,14,,RBRVS,0.20 ,0.08 ,0.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
99190,CPT,SPECIAL PUMP SERVICES,,,14,,TotalUnits,,,,8.91 ,,$0.00,$0.00,1,1,0,0,1,1,20210101,
99191,CPT,SPECIAL PUMP SERVICES,,,14,,TotalUnits,,,,6.68 ,,$0.00,$0.00,1,1,0,0,1,1,20210101,
99192,CPT,SPECIAL PUMP SERVICES,,,14,,TotalUnits,,,,4.76 ,,$0.00,$0.00,1,1,0,0,1,1,20210101,
99195,CPT,PHLEBOTOMY,,,14,,RBRVS,,2.79 ,2.79 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
99199,CPT,SPECIAL SERVICE/PROC/REPORT,,,14,,TotalUnits,,,,1.10 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
99202,CPT,OFFICE O/P NEW SF 15-29 MIN,,,15,,RBRVS,0.93 ,0.41 ,1.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
99203,CPT,OFFICE O/P NEW LOW 30-44 MIN,,,15,,RBRVS,1.42 ,0.59 ,1.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
99204,CPT,OFFICE O/P NEW MOD 45-59 MIN,,,15,,RBRVS,2.43 ,1.01 ,1.98 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
99205,CPT,OFFICE O/P NEW HI 60-74 MIN,,,15,,RBRVS,3.17 ,1.33 ,2.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
99211,CPT,OFFICE O/P EST MINIMAL PROB,,,15,,RBRVS,0.18 ,0.07 ,0.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
99212,CPT,OFFICE O/P EST SF 10-19 MIN,,,15,,RBRVS,0.48 ,0.20 ,0.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
99213,CPT,OFFICE O/P EST LOW 20-29 MIN,,,15,,RBRVS,0.97 ,0.40 ,1.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
99214,CPT,OFFICE O/P EST MOD 30-39 MIN,,,15,,RBRVS,1.50 ,0.62 ,1.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
99215,CPT,OFFICE O/P EST HI 40-54 MIN,,,15,,RBRVS,2.11 ,0.89 ,1.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
99217,CPT,OBSERVATION CARE DISCHARGE,,,10,,RBRVS,1.28 ,0.68 ,0.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
99218,CPT,INITIAL OBSERVATION CARE,,,10,,RBRVS,1.92 ,0.74 ,0.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
99219,CPT,INITIAL OBSERVATION CARE,,,10,,RBRVS,2.60 ,1.05 ,1.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
99220,CPT,INITIAL OBSERVATION CARE,,,10,,RBRVS,3.56 ,1.40 ,1.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
99221,CPT,INITIAL HOSPITAL CARE,,,10,,RBRVS,1.92 ,0.77 ,0.77 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
99222,CPT,INITIAL HOSPITAL CARE,,,10,,RBRVS,2.61 ,1.06 ,1.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
99223,CPT,INITIAL HOSPITAL CARE,,,10,,RBRVS,3.86 ,1.57 ,1.57 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
99224,CPT,SUBSEQUENT OBSERVATION CARE,,,10,,RBRVS,0.76 ,0.30 ,0.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
99225,CPT,SUBSEQUENT OBSERVATION CARE,,,10,,RBRVS,1.39 ,0.57 ,0.57 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
99226,CPT,SUBSEQUENT OBSERVATION CARE,,,10,,RBRVS,2.00 ,0.82 ,0.82 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
99231,CPT,SUBSEQUENT HOSPITAL CARE,,,10,,RBRVS,0.76 ,0.29 ,0.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
99232,CPT,SUBSEQUENT HOSPITAL CARE,,,10,,RBRVS,1.39 ,0.56 ,0.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
99233,CPT,SUBSEQUENT HOSPITAL CARE,,,10,,RBRVS,2.00 ,0.81 ,0.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
99234,CPT,OBSERV/HOSP SAME DATE,,,10,,RBRVS,2.56 ,1.00 ,1.00 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
99235,CPT,OBSERV/HOSP SAME DATE,,,10,,RBRVS,3.24 ,1.30 ,1.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
99236,CPT,OBSERV/HOSP SAME DATE,,,10,,RBRVS,4.20 ,1.64 ,1.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
99238,CPT,HOSPITAL DISCHARGE DAY,,,10,,RBRVS,1.28 ,0.69 ,0.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
99239,CPT,HOSPITAL DISCHARGE DAY,,,10,,RBRVS,1.90 ,1.00 ,1.00 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
99241,CPT,OFFICE CONSULTATION,,,6,,RBRVS,0.64 ,0.24 ,0.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
99242,CPT,OFFICE CONSULTATION,,,6,,RBRVS,1.34 ,0.51 ,1.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
99243,CPT,OFFICE CONSULTATION,,,6,,RBRVS,1.88 ,0.71 ,1.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
99244,CPT,OFFICE CONSULTATION,,,6,,RBRVS,3.02 ,1.14 ,1.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
99245,CPT,OFFICE CONSULTATION,,,6,,RBRVS,3.77 ,1.38 ,2.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
99251,CPT,INPATIENT CONSULTATION,,,6,,RBRVS,1.00 ,0.32 ,0.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
99252,CPT,INPATIENT CONSULTATION,,,6,,RBRVS,1.50 ,0.52 ,0.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
99253,CPT,INPATIENT CONSULTATION,,,6,,RBRVS,2.27 ,0.84 ,0.84 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
99254,CPT,INPATIENT CONSULTATION,,,6,,RBRVS,3.29 ,1.23 ,1.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
99255,CPT,INPATIENT CONSULTATION,,,6,,RBRVS,4.00 ,1.44 ,1.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
99281,CPT,EMERGENCY DEPT VISIT,,,7,,RBRVS,0.48 ,0.11 ,0.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
99282,CPT,EMERGENCY DEPT VISIT,,,7,,RBRVS,0.93 ,0.21 ,0.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
99283,CPT,EMERGENCY DEPT VISIT,,,7,,RBRVS,1.42 ,0.29 ,0.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
99284,CPT,EMERGENCY DEPT VISIT,,,7,,RBRVS,2.60 ,0.51 ,0.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
99285,CPT,EMERGENCY DEPT VISIT,,,7,,RBRVS,3.80 ,0.71 ,0.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
99288,CPT,DIRECT ADVANCED LIFE SUPPORT,,,7,,TotalUnits,,,,0.67 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
99291,CPT,CRITICAL CARE FIRST HOUR,,,10,,RBRVS,4.50 ,1.38 ,2.99 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
99292,CPT,CRITICAL CARE ADDL 30 MIN,,,10,,RBRVS,2.25 ,0.70 ,1.03 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
99304,CPT,NURSING FACILITY CARE INIT,,,10,,RBRVS,1.64 ,0.80 ,0.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
99305,CPT,NURSING FACILITY CARE INIT,,,10,,RBRVS,2.35 ,1.17 ,1.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
99306,CPT,NURSING FACILITY CARE INIT,,,10,,RBRVS,3.06 ,1.46 ,1.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
99307,CPT,NURSING FAC CARE SUBSEQ,,,10,,RBRVS,0.76 ,0.43 ,0.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
99308,CPT,NURSING FAC CARE SUBSEQ,,,10,,RBRVS,1.16 ,0.71 ,0.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
99309,CPT,NURSING FAC CARE SUBSEQ,,,10,,RBRVS,1.55 ,0.93 ,0.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
99310,CPT,NURSING FAC CARE SUBSEQ,,,10,,RBRVS,2.35 ,1.31 ,1.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
99315,CPT,NURSING FAC DISCHARGE DAY,,,10,,RBRVS,1.28 ,0.70 ,0.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
99316,CPT,NURSING FAC DISCHARGE DAY,,,10,,RBRVS,1.90 ,0.96 ,0.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
99318,CPT,ANNUAL NURSING FAC ASSESSMNT,,,10,,RBRVS,1.71 ,0.89 ,0.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
99324,CPT,DOMICIL/R-HOME VISIT NEW PAT,,,15,,RBRVS,1.01 ,0.48 ,0.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
99325,CPT,DOMICIL/R-HOME VISIT NEW PAT,,,15,,RBRVS,1.52 ,0.64 ,0.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
99326,CPT,DOMICIL/R-HOME VISIT NEW PAT,,,15,,RBRVS,2.63 ,1.14 ,1.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
99327,CPT,DOMICIL/R-HOME VISIT NEW PAT,,,15,,RBRVS,3.46 ,1.59 ,1.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
99328,CPT,DOMICIL/R-HOME VISIT NEW PAT,,,15,,RBRVS,4.09 ,1.86 ,1.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
99334,CPT,DOMICIL/R-HOME VISIT EST PAT,,,15,,RBRVS,1.07 ,0.57 ,0.57 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
99335,CPT,DOMICIL/R-HOME VISIT EST PAT,,,15,,RBRVS,1.72 ,0.88 ,0.88 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
99336,CPT,DOMICIL/R-HOME VISIT EST PAT,,,15,,RBRVS,2.46 ,1.21 ,1.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
99337,CPT,DOMICIL/R-HOME VISIT EST PAT,,,15,,RBRVS,3.58 ,1.68 ,1.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
99339,CPT,DOMICIL/R-HOME CARE SUPERVIS,,,15,,RBRVS,1.25 ,0.85 ,0.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
99340,CPT,DOMICIL/R-HOME CARE SUPERVIS,,,15,,RBRVS,1.80 ,1.12 ,1.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
99341,CPT,HOME VISIT NEW PATIENT,,,15,,RBRVS,1.01 ,0.48 ,0.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
99342,CPT,HOME VISIT NEW PATIENT,,,15,,RBRVS,1.52 ,0.61 ,0.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
99343,CPT,HOME VISIT NEW PATIENT,,,15,,RBRVS,2.53 ,0.97 ,0.97 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
99344,CPT,HOME VISIT NEW PATIENT,,,15,,RBRVS,3.38 ,1.55 ,1.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
99345,CPT,HOME VISIT NEW PATIENT,,,15,,RBRVS,4.09 ,1.90 ,1.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
99347,CPT,HOME VISIT EST PATIENT,,,15,,RBRVS,1.00 ,0.49 ,0.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
99348,CPT,HOME VISIT EST PATIENT,,,15,,RBRVS,1.56 ,0.72 ,0.72 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
99349,CPT,HOME VISIT EST PATIENT,,,15,,RBRVS,2.33 ,1.17 ,1.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
99350,CPT,HOME VISIT EST PATIENT,,,15,,RBRVS,3.28 ,1.56 ,1.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
99354,CPT,PROLNG SVC O/P 1ST HOUR,,,15,,RBRVS,2.33 ,0.96 ,1.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
99355,CPT,PROLNG SVC O/P EA ADDL 30,,,15,,RBRVS,1.77 ,0.71 ,0.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
99356,CPT,PROLNG SVC I/P/OBS 1ST HOUR,,,10,,RBRVS,1.71 ,0.79 ,0.79 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
99357,CPT,PROLONGED SERVICE INPATIENT,,,10,,RBRVS,1.71 ,0.81 ,0.81 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
99358,CPT,PROLONG SERVICE W/O CONTACT,,,15,,RBRVS,2.10 ,0.92 ,0.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
99359,CPT,PROLONG SERV W/O CONTACT ADD,,,15,,RBRVS,1.00 ,0.46 ,0.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
99360,CPT,PHYSICIAN STANDBY SERVICES,,,14,,RBRVS,1.20 ,0.46 ,0.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
99366,CPT,TEAM CONF W/PAT BY HC PROF,,,15,,RBRVS,0.82 ,0.32 ,0.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
99367,CPT,TEAM CONF W/O PAT BY PHYS,,,15,,RBRVS,1.10 ,0.42 ,0.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
99368,CPT,TEAM CONF W/O PAT BY HC PRO,,,15,,RBRVS,0.72 ,0.28 ,0.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
99374,CPT,HOME HEALTH CARE SUPERVISION,,,15,,RBRVS,1.10 ,0.42 ,0.79 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
99375,CPT,HOME HEALTH CARE SUPERVISION,,,15,,RBRVS,1.73 ,0.67 ,1.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
99377,CPT,HOSPICE CARE SUPERVISION,,,15,,RBRVS,1.10 ,0.42 ,0.79 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
99378,CPT,HOSPICE CARE SUPERVISION,,,15,,RBRVS,1.73 ,0.67 ,1.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
99379,CPT,NURSING FAC CARE SUPERVISION,,,15,,RBRVS,1.10 ,0.42 ,0.79 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
99380,CPT,NURSING FAC CARE SUPERVISION,,,15,,RBRVS,1.73 ,0.67 ,1.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
99381,CPT,INIT PM E/M NEW PAT INFANT,,,24,,RBRVS,1.50 ,0.58 ,1.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
99382,CPT,INIT PM E/M NEW PAT 1-4 YRS,,,24,,RBRVS,1.60 ,0.62 ,1.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
99383,CPT,PREV VISIT NEW AGE 5-11,,,18,,RBRVS,1.70 ,0.65 ,1.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
99384,CPT,PREV VISIT NEW AGE 12-17,,,18,,RBRVS,2.00 ,0.77 ,1.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
99385,CPT,PREV VISIT NEW AGE 18-39,,,18,,RBRVS,1.92 ,0.74 ,1.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
99386,CPT,PREV VISIT NEW AGE 40-64,,,18,,RBRVS,2.33 ,0.90 ,1.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
99387,CPT,INIT PM E/M NEW PAT 65+ YRS,,,18,,RBRVS,2.50 ,0.96 ,2.01 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
99391,CPT,PER PM REEVAL EST PAT INFANT,,,24,,RBRVS,1.37 ,0.53 ,1.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
99392,CPT,PREV VISIT EST AGE 1-4,,,24,,RBRVS,1.50 ,0.58 ,1.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
99393,CPT,PREV VISIT EST AGE 5-11,,,18,,RBRVS,1.50 ,0.58 ,1.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
99394,CPT,PREV VISIT EST AGE 12-17,,,18,,RBRVS,1.70 ,0.65 ,1.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
99395,CPT,PREV VISIT EST AGE 18-39,,,18,,RBRVS,1.75 ,0.67 ,1.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
99396,CPT,PREV VISIT EST AGE 40-64,,,18,,RBRVS,1.90 ,0.73 ,1.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
99397,CPT,PER PM REEVAL EST PAT 65+ YR,,,18,,RBRVS,2.00 ,0.77 ,1.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
99401,CPT,PREVENTIVE COUNSELING INDIV,,,18,,RBRVS,0.48 ,0.18 ,0.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
99402,CPT,PREVENTIVE COUNSELING INDIV,,,18,,RBRVS,0.98 ,0.38 ,0.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
99403,CPT,PREVENTIVE COUNSELING INDIV,,,18,,RBRVS,1.46 ,0.56 ,0.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
99404,CPT,PREVENTIVE COUNSELING INDIV,,,18,,RBRVS,1.95 ,0.75 ,1.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
99406,CPT,BEHAV CHNG SMOKING 3-10 MIN,,,14,,RBRVS,0.24 ,0.09 ,0.17 ,,,$0.00,$0.00,1,1,1,0,0,1,20210101,
99407,CPT,BEHAV CHNG SMOKING > 10 MIN,,,14,,RBRVS,0.50 ,0.19 ,0.27 ,,,$0.00,$0.00,1,1,1,0,0,1,20210101,
99408,CPT,AUDIT/DAST 15-30 MIN,,,16,,RBRVS,0.65 ,0.25 ,0.32 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
99409,CPT,AUDIT/DAST OVER 30 MIN,,,16,,RBRVS,1.30 ,0.50 ,0.57 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
99411,CPT,PREVENTIVE COUNSELING GROUP,,,18,,RBRVS,0.15 ,0.06 ,0.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
99412,CPT,PREVENTIVE COUNSELING GROUP,,,18,,RBRVS,0.25 ,0.10 ,0.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
99415,CPT,PROLONG CLINCL STAFF SVC,,TC,15,,RBRVS,,0.27 ,0.27 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
99416,CPT,PROLONG CLINCL STAFF SVC ADD,,TC,15,,RBRVS,,0.12 ,0.12 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
99417,CPT,PROLNG OFF/OP E/M EA 15 MIN,,,15,,RBRVS,0.61 ,0.27 ,0.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
99421,CPT,OL DIG E/M SVC 5-10 MIN,,,15,,RBRVS,0.25 ,0.10 ,0.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
99422,CPT,OL DIG E/M SVC 11-20 MIN,,,15,,RBRVS,0.50 ,0.21 ,0.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
99423,CPT,OL DIG E/M SVC 21+ MIN,,,15,,RBRVS,0.80 ,0.33 ,0.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
99429,CPT,UNLISTED PREVENTIVE SERVICE,,,18,,TotalUnits,,,,3.43 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
99439,CPT,CHRNC CARE MGMT SVC EA ADDL,,,15,,RBRVS,0.54 ,0.23 ,0.52 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
99441,CPT,PHONE E/M PHYS/QHP 5-10 MIN,,,15,,RBRVS,0.48 ,0.20 ,0.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
99442,CPT,PHONE E/M PHYS/QHP 11-20 MIN,,,15,,RBRVS,0.97 ,0.40 ,1.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
99443,CPT,PHONE E/M PHYS/QHP 21-30 MIN,,,15,,RBRVS,1.50 ,0.62 ,1.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
99446,CPT,NTRPROF PH1/NTRNET/EHR 5-10,,,15,,RBRVS,0.35 ,0.13 ,0.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
99447,CPT,NTRPROF PH1/NTRNET/EHR 11-20,,,15,,RBRVS,0.70 ,0.27 ,0.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
99448,CPT,NTRPROF PH1/NTRNET/EHR 21-30,,,15,,RBRVS,1.05 ,0.40 ,0.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
99449,CPT,NTRPROF PH1/NTRNET/EHR 31/>,,,15,,RBRVS,1.40 ,0.54 ,0.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
99450,CPT,BASIC LIFE DISABILITY EXAM,,,14,,TotalUnits,,,,1.35 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
99451,CPT,NTRPROF PH1/NTRNET/EHR 5/>,,,15,,RBRVS,0.70 ,0.29 ,0.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
99452,CPT,NTRPROF PH1/NTRNET/EHR RFRL,,,15,,RBRVS,0.70 ,0.29 ,0.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
99453,CPT,REM MNTR PHYSIOL PARAM SETUP,,,14,,RBRVS,,0.51 ,0.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
99454,CPT,REM MNTR PHYSIOL PARAM DEV,,,14,,RBRVS,,1.72 ,1.72 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
99455,CPT,WORK RELATED DISABILITY EXAM,,,14,,TotalUnits,,,,2.69 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
99456,CPT,DISABILITY EXAMINATION,,,14,,TotalUnits,,,,6.95 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
99457,CPT,REM PHYSIOL MNTR 1ST 20 MIN,,,14,,RBRVS,0.61 ,0.25 ,0.77 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
99458,CPT,REM PHYSIOL MNTR EA ADDL 20,,,14,,RBRVS,0.61 ,0.25 ,0.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
99460,CPT,INIT NB EM PER DAY HOSP,,,10,,RBRVS,1.92 ,0.66 ,0.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
99461,CPT,INIT NB EM PER DAY NON-FAC,,,24,,RBRVS,1.26 ,0.43 ,1.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
99462,CPT,SBSQ NB EM PER DAY HOSP,,,10,,RBRVS,0.84 ,0.29 ,0.29 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
99463,CPT,SAME DAY NB DISCHARGE,,,10,,RBRVS,2.13 ,0.86 ,0.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
99464,CPT,ATTENDANCE AT DELIVERY,,,10,,RBRVS,1.50 ,0.52 ,0.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
99465,CPT,NB RESUSCITATION,,,10,,RBRVS,2.93 ,1.01 ,1.01 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
99466,CPT,PED CRIT CARE TRANSPORT,,,10,,RBRVS,4.79 ,1.64 ,1.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
99467,CPT,PED CRIT CARE TRANSPORT ADDL,,,10,,RBRVS,2.40 ,0.83 ,0.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
99468,CPT,NEONATE CRIT CARE INITIAL,,,10,,RBRVS,18.46 ,6.34 ,6.34 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
99469,CPT,NEONATE CRIT CARE SUBSQ,,,10,,RBRVS,7.99 ,2.75 ,2.75 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
99471,CPT,PED CRITICAL CARE INITIAL,,,10,,RBRVS,15.98 ,5.48 ,5.48 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
99472,CPT,PED CRITICAL CARE SUBSQ,,,10,,RBRVS,7.99 ,2.84 ,2.84 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
99473,CPT,SELF-MEAS BP PT EDUCAJ/TRAIN,,,14,,RBRVS,,0.30 ,0.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
99474,CPT,SELF-MEAS BP 2 READG BID 30D,,,14,,RBRVS,0.18 ,0.06 ,0.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
99475,CPT,PED CRIT CARE AGE 2-5 INIT,,,10,,RBRVS,11.25 ,3.86 ,3.86 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
99476,CPT,PED CRIT CARE AGE 2-5 SUBSQ,,,10,,RBRVS,6.75 ,2.56 ,2.56 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
99477,CPT,INIT DAY HOSP NEONATE CARE,,,10,,RBRVS,7.00 ,2.41 ,2.41 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
99478,CPT,IC LBW INF < 1500 GM SUBSQ,,,10,,RBRVS,2.75 ,0.95 ,0.95 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
99479,CPT,IC LBW INF 1500-2500 G SUBSQ,,,10,,RBRVS,2.50 ,0.86 ,0.86 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
99480,CPT,IC INF PBW 2501-5000 G SUBSQ,,,10,,RBRVS,2.40 ,0.83 ,0.83 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
99483,CPT,ASSMT & CARE PLN PT COG IMP,,,16,,RBRVS,3.44 ,1.44 ,3.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
99484,CPT,CARE MGMT SVC BHVL HLTH COND,,,16,,RBRVS,0.61 ,0.25 ,0.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
99485,CPT,SUPRV INTERFACILTY TRANSPORT,,,10,,RBRVS,1.50 ,0.58 ,0.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
99486,CPT,SUPRV INTERFAC TRNSPORT ADDL,,,10,,RBRVS,1.30 ,0.50 ,0.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
99487,CPT,CPLX CHRNC CARE 1ST 60 MIN,,,14,,RBRVS,1.00 ,0.42 ,1.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
99489,CPT,CPLX CHRNC CARE EA ADDL 30,,,14,,RBRVS,0.50 ,0.20 ,0.71 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
99490,CPT,CHRON CARE MGMT SRVC 20 MIN,,,14,,RBRVS,0.61 ,0.25 ,0.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
99491,CPT,CHRNC CARE MGMT SVC 30 MIN,,,14,,RBRVS,1.45 ,0.79 ,0.79 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
99492,CPT,1ST PSYC COLLAB CARE MGMT,,,16,,RBRVS,1.70 ,0.69 ,2.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
99493,CPT,SBSQ PSYC COLLAB CARE MGMT,,,16,,RBRVS,1.53 ,0.63 ,1.88 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
99494,CPT,1ST/SBSQ PSYC COLLAB CARE,,,16,,RBRVS,0.82 ,0.33 ,0.90 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
99495,CPT,TRANS CARE MGMT 14 DAY DISCH,,,14,,RBRVS,2.36 ,0.99 ,2.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
99496,CPT,TRANS CARE MGMT 7 DAY DISCH,,,14,,RBRVS,3.10 ,1.30 ,3.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
99497,CPT,ADVNCD CARE PLAN 30 MIN,,,14,,RBRVS,1.50 ,0.64 ,0.82 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
99498,CPT,ADVNCD CARE PLAN ADDL 30 MIN,,,14,,RBRVS,1.40 ,0.61 ,0.62 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
99499,CPT,UNLISTED E&M SERVICE,,,15,,TotalUnits,,,,2.47 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
99500,CPT,HOME VISIT PRENATAL,,,14,,TotalUnits,,,,1.82 ,,$0.00,$0.00,1,1,1,1,1,1,20210101,
99501,CPT,HOME VISIT POSTNATAL,,,14,,TotalUnits,,,,1.75 ,,$0.00,$0.00,1,1,1,1,1,1,20210101,
99502,CPT,HOME VISIT NB CARE,,,14,,TotalUnits,,,,1.91 ,,$0.00,$0.00,1,1,1,1,1,1,20210101,
99503,CPT,HOME VISIT RESP THERAPY,,,14,,TotalUnits,,,,1.60 ,,$0.00,$0.00,1,1,1,1,1,1,20210101,
99504,CPT,HOME VISIT MECH VENTILATOR,,,14,,TotalUnits,,,,3.12 ,,$0.00,$0.00,1,1,1,1,1,1,20210101,
99505,CPT,HOME VISIT STOMA CARE,,,14,,TotalUnits,,,,0.89 ,,$0.00,$0.00,1,1,1,1,1,1,20210101,
99506,CPT,HOME VISIT IM INJECTION,,,14,,TotalUnits,,,,1.70 ,,$0.00,$0.00,1,1,1,1,1,1,20210101,
99507,CPT,HOME VISIT CATH MAINTAIN,,,14,,TotalUnits,,,,0.81 ,,$0.00,$0.00,1,1,1,1,1,1,20210101,
99509,CPT,HOME VISIT DAY LIFE ACTIVITY,,,14,,TotalUnits,,,,0.62 ,,$0.00,$0.00,1,1,1,1,1,1,20210101,
99510,CPT,HOME VISIT SING/M/FAM COUNS,,,14,,TotalUnits,,,,1.14 ,,$0.00,$0.00,1,1,1,1,1,1,20210101,
99511,CPT,HOME VISIT FECAL/ENEMA MGMT,,,14,,TotalUnits,,,,1.30 ,,$0.00,$0.00,1,1,1,1,1,1,20210101,
99512,CPT,HOME VISIT FOR HEMODIALYSIS,,,14,,TotalUnits,,,,17.16 ,,$0.00,$0.00,1,1,1,1,1,1,20210101,
99600,CPT,HOME VISIT NOS,,,14,,TotalUnits,,,,0.62 ,,$0.00,$0.00,1,1,1,1,1,1,20210101,
99601,CPT,HOME INFUSION/VISIT 2 HRS,,,14,,TotalUnits,,,,2.62 ,,$0.00,$0.00,1,1,1,1,1,1,20210101,
99602,CPT,HOME INFUSION EACH ADDTL HR,,,14,,TotalUnits,,,,1.50 ,,$0.00,$0.00,1,1,1,1,1,1,20210101,
99605,CPT,MTMS BY PHARM NP 15 MIN,,,14,,TotalUnits,,,,0.87 ,,$0.00,$0.00,1,1,1,0,0,1,20210101,
99606,CPT,MTMS BY PHARM EST 15 MIN,,,14,,TotalUnits,,,,0.67 ,,$0.00,$0.00,1,1,1,0,0,1,20210101,
99607,CPT,MTMS BY PHARM ADDL 15 MIN,,,14,,TotalUnits,,,,0.63 ,,$0.00,$0.00,1,1,1,0,0,1,20210101,
0001A,CPT,ADM SARSCOV2 30MCG/0.3ML 1ST,,,9,,TotalUnits,,,,0.47 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
0002A,CPT,ADM SARSCOV2 30MCG/0.3ML 2ND,,,9,,TotalUnits,,,,0.79 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
0011A,CPT,ADM SARSCOV2 100MCG/0.5ML1ST,,,9,,TotalUnits,,,,0.47 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
0012A,CPT,ADM SARSCOV2 100MCG/0.5ML2ND,,,9,,TotalUnits,,,,0.79 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
0042T,CPT,CT PERFUSION W/CONTRAST CBF,,,20,,TotalUnits,,,,3.69 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
0054T,CPT,BONE SRGRY CMPTR FLUOR IMAGE,,,21,,TotalUnits,,,,4.43 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
0055T,CPT,BONE SRGRY CMPTR CT/MRI IMAG,,,21,,TotalUnits,,,,6.65 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
0075T,CPT,PERQ STENT/CHEST VERT ART,,,21,,TotalUnits,,,,14.77 ,,$0.00,$0.00,1,0,0,0,0,1,20210101,
0075T,CPT,PERQ STENT/CHEST VERT ART,26,,21,,TotalUnits,,,,0.92 ,,$0.00,$0.00,1,0,0,1,1,1,20210101,
0075T,CPT,PERQ STENT/CHEST VERT ART,TC,,21,,TotalUnits,,,,13.85 ,,$0.00,$0.00,1,1,0,0,1,1,20210101,
0095T,CPT,RMVL ARTIFIC DISC ADDL CRVCL,,,21,,RBRVS,4.04 ,1.52 ,1.52 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
0098T,CPT,REV ARTIFIC DISC ADDL,,,21,,RBRVS,4.04 ,1.52 ,1.52 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
0100T,CPT,PROSTH RETINA RECEIVE&GEN,,,21,,TotalUnits,,,,16.74 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
0101T,CPT,EXTRACORP SHOCKWV TX HI ENRG,,,21,,TotalUnits,,,,4.77 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
0102T,CPT,EXTRACORP SHOCKWV TX ANESTH,,,21,,TotalUnits,,,,6.48 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
0106T,CPT,TOUCH QUANT SENSORY TEST,,,14,,TotalUnits,,,,0.71 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
0107T,CPT,VIBRATE QUANT SENSORY TEST,,,14,,TotalUnits,,,,2.14 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
0108T,CPT,COOL QUANT SENSORY TEST,,,14,,TotalUnits,,,,2.14 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
0110T,CPT,NOS QUANT SENSORY TEST,,,14,,TotalUnits,,,,0.14 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
0163T,CPT,LUMB ARTIF DISKECTOMY ADDL,,,21,,TotalUnits,,,,45.67 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
0164T,CPT,REMOVE LUMB ARTIF DISC ADDL,,,21,,TotalUnits,,,,12.09 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
0165T,CPT,REVISE LUMB ARTIF DISC ADDL,,,21,,TotalUnits,,,,11.03 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
0174T,CPT,CAD CXR WITH INTERP,,,20,,TotalUnits,,,,0.28 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
0175T,CPT,CAD CXR REMOTE,,,20,,TotalUnits,,,,0.41 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
0184T,CPT,EXC RECTAL TUMOR ENDOSCOPIC,,,21,,TotalUnits,,,,19.17 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
0191T,CPT,INSERT ANT SEGMENT DRAIN INT,,,21,,TotalUnits,,,,27.72 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
0198T,CPT,OCULAR BLOOD FLOW MEASURE,,,20,,TotalUnits,,,,1.17 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
0200T,CPT,PERQ SACRAL AUGMT UNILAT INJ,,,20,,TotalUnits,,,,24.24 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
0201T,CPT,PERQ SACRAL AUGMT BILAT INJ,,,20,,TotalUnits,,,,19.67 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
0202T,CPT,POST VERT ARTHRPLST 1 LUMBAR,,,21,,TotalUnits,,,,55.14 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
0207T,CPT,CLEAR EYELID GLAND W/HEAT,,,14,,TotalUnits,,,,0.61 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
0208T,CPT,AUDIOMETRY AIR ONLY,,TC,8,,TotalUnits,,,,0.72 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
0209T,CPT,AUDIOMETRY AIR & BONE,,TC,8,,TotalUnits,,,,1.34 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
0210T,CPT,SPEECH AUDIOMETRY THRESHOLD,,TC,8,,TotalUnits,,,,0.89 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
0212T,CPT,COMPRE AUDIOMETRY EVALUATION,,TC,8,,TotalUnits,,,,1.12 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
0213T,CPT,NJX PARAVERT W/US CER/THOR,,,21,,TotalUnits,,,,4.28 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
0214T,CPT,NJX PARAVERT W/US CER/THOR,,,21,,TotalUnits,,,,2.06 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
0215T,CPT,NJX PARAVERT W/US CER/THOR,,,21,,TotalUnits,,,,2.48 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
0216T,CPT,NJX PARAVERT W/US LUMB/SAC,,,21,,TotalUnits,,,,2.77 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
0217T,CPT,NJX PARAVERT W/US LUMB/SAC,,,21,,TotalUnits,,,,2.22 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
0218T,CPT,NJX PARAVERT W/US LUMB/SAC,,,21,,TotalUnits,,,,2.26 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
0232T,CPT,NJX PLATELET PLASMA,,,14,,TotalUnits,,,,11.65 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
0234T,CPT,TRLUML PERIP ATHRC RENAL ART,,,21,,TotalUnits,,,,10.45 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
0235T,CPT,TRLUML PERIP ATHRC VISCERAL,,,21,,TotalUnits,,,,10.45 ,,$0.00,$0.00,1,0,0,1,1,1,20210101,
0236T,CPT,TRLUML PERIP ATHRC ABD AORTA,,,21,,TotalUnits,,,,13.97 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
0237T,CPT,TRLUML PERIP ATHRC BRCHIOCPH,,,21,,TotalUnits,,,,16.29 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
0238T,CPT,TRLUML PERIP ATHRC ILIAC ART,,,21,,TotalUnits,,,,16.48 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
0253T,CPT,INSERT AQUEOUS DRAIN DEVICE,,,21,,TotalUnits,,,,23.80 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
0263T,CPT,IM B1 MRW CEL THER CMPL,,,21,,TotalUnits,,,,1.47 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
0264T,CPT,IM B1 MRW CEL THER XCL HRVST,,,21,,TotalUnits,,,,3.75 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
0265T,CPT,IM B1 MRW CEL THER HRVST ONL,,,21,,TotalUnits,,,,7.43 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
0266T,CPT,IMPLT/RPL CRTD SNS DEV TOTAL,,,21,,TotalUnits,,,,2.89 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
0267T,CPT,IMPLT/RPL CRTD SNS DEV LEAD,,,21,,TotalUnits,,,,2.89 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
0275T,CPT,PERQ LAMOT/LAM LUMBAR,,,21,,TotalUnits,,,,54.93 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
0278T,CPT,TEMPR,,,14,,TotalUnits,,,,3.97 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
0290T,CPT,LASER INC FOR PKP/LKP RECIP,,,21,,TotalUnits,,,,3.26 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
0308T,CPT,INSJ OCULAR TELESCOPE PROSTH,,,21,,TotalUnits,,,,37.61 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
0330T,CPT,TEAR FILM IMG UNI/BI W/I&R,,,14,,TotalUnits,,,,0.52 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
0331T,CPT,HEART SYMP IMAGE PLNR,,,20,,TotalUnits,,,,3.78 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
0332T,CPT,HEART SYMP IMAGE PLNR SPECT,,,20,,TotalUnits,,,,5.25 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
0333T,CPT,VISUAL EP SCR ACUITY AUTO,,,14,,TotalUnits,,,,3.72 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
0338T,CPT,TRNSCTH RENAL SYMP DENRV UNL,,,21,,TotalUnits,,,,26.67 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
0339T,CPT,TRNSCTH RENAL SYMP DENRV BIL,,,21,,TotalUnits,,,,32.04 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
0345T,CPT,TRANSCATH MTRAL VLVE REPAIR,,,21,,TotalUnits,,,,37.20 ,,$0.00,$0.00,1,0,0,1,1,1,20210101,
0355T,CPT,GI TRACT CAPSULE ENDOSCOPY,,,14,,TotalUnits,,,,22.19 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
0358T,CPT,BIA WHOLE BODY,,,20,,TotalUnits,,,,0.79 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
0376T,CPT,INSERT ANT SEGMENT DRAIN INT,,,21,,TotalUnits,,,,15.52 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
0379T,CPT,VIS FIELD ASSMNT TECH SUPPT,,,14,,TotalUnits,,,,0.66 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
0394T,CPT,HDR ELCTRNC SKN SURF BRCHYTX,,,20,,TotalUnits,,,,10.91 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
0395T,CPT,HDR ELCTR NTRST/NTRCV BRCHTX,,,20,,TotalUnits,,,,17.75 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
0446T,CPT,INSJ IMPLTBL GLUCOSE SENSOR,,,21,,RBRVS,1.14 ,0.44 ,55.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
0447T,CPT,RMVL IMPLTBL GLUCOSE SENSOR,,,21,,RBRVS,1.34 ,0.52 ,1.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
0448T,CPT,REMVL INSJ IMPLTBL GLUC SENS,,,21,,RBRVS,1.91 ,0.74 ,55.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
0449T,CPT,INSJ AQUEOUS DRAIN DEV 1ST,,,21,,TotalUnits,,,,26.05 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
0466T,CPT,INSJ CH WAL RESPIR ELTRD/RA,,,21,,TotalUnits,,,,14.98 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
0474T,CPT,INSJ AQUEOUS DRG DEV IO RSVR,,,21,,TotalUnits,,,,31.32 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
0504T,CPT,COR FFR DATA REVIEW I&R,,PC,20,,TotalUnits,,,,2.91 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
0509T,CPT,PATTERN ERG W/I&R,,,14,,RBRVS,0.40 ,1.75 ,1.75 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
0509T,CPT,PATTERN ERG W/I&R,26,,14,,RBRVS,0.40 ,0.20 ,0.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
0509T,CPT,PATTERN ERG W/I&R,TC,,14,,RBRVS,,1.55 ,1.55 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
A0100,HCPCS,NONEMERGENCY TRANSPORT TAXI,,,28,,NW,,,,,,$28.88,$0.00,1,1,1,0,0,1,20210101,
A0110,HCPCS,NONEMERGENCY TRANSPORT BUS,,,28,,NW,,,,,,$48.49,$0.00,1,1,1,0,0,1,20210101,
A0120,HCPCS,NONER TRANSPORT MINI-BUS,,,28,,NW,,,,,,$154.84,$0.00,1,1,1,0,0,1,20210101,
A0130,HCPCS,NONER TRANSPORT WHEELCH VAN,,,28,,NW,,,,,,$100.51,$0.00,1,1,1,0,0,1,20210101,
A0140,HCPCS,NONEMERGENCY TRANSPORT AIR,,,28,,NW,,,,,,$939.03,$0.00,1,1,1,0,0,1,20210101,
A0160,HCPCS,NONER TRANSPORT CASE WORKER,,,28,,NW,,,,,,$1.74,$0.00,1,1,1,0,0,1,20210101,
A0180,HCPCS,NONER TRANSPORT LODGNG RECIP,,,28,,NW,,,,,,$621.90,$0.00,1,1,1,0,0,1,20210101,
A0190,HCPCS,NONER TRANSPORT MEALS RECIP,,,28,,NW,,,,,,$139.78,$0.00,1,1,1,0,0,1,20210101,
A0210,HCPCS,NONER TRANSPORT MEALS ESCORT,,,28,,NW,,,,,,$15.03,$0.00,1,1,1,0,0,1,20210101,
A0398,HCPCS,ALS ROUTINE DISPOSBLE SUPPLS,,,28,,NW,,,,,,$136.62,$0.00,1,1,1,0,0,1,20210101,
A0422,HCPCS,AMBULANCE 02 LIFE SUSTAINING,,,28,,NW,,,,,,$123.91,$0.00,1,1,1,0,0,1,20210101,
A4206,HCPCS,1 CC STERILE SYRINGE&NEEDLE,,,28,,NW,,,,,,$1.10,$0.00,1,1,1,0,0,1,20210101,
A4207,HCPCS,2 CC STERILE SYRINGE&NEEDLE,,,28,,NW,,,,,,$1.10,$0.00,1,1,1,0,0,1,20210101,
A4208,HCPCS,3 CC STERILE SYRINGE&NEEDLE,,,28,,NW,,,,,,$1.10,$0.00,1,1,1,0,0,1,20210101,
A4209,HCPCS,5+ CC STERILE SYRINGE&NEEDLE,,,28,,NW,,,,,,$1.10,$0.00,1,1,1,0,0,1,20210101,
A4210,HCPCS,NONNEEDLE INJECTION DEVICE,,,28,,NW,,,,,,$16.83,$0.00,1,1,1,0,0,1,20210101,
A4211,HCPCS,SUPP FOR SELF-ADM INJECTIONS,,,28,,NW,,,,,,$58.45,$0.00,1,1,1,0,0,1,20210101,
A4212,HCPCS,NON CORING NEEDLE OR STYLET,,,28,,NW,,,,,,$16.39,$0.00,1,1,1,0,0,1,20210101,
A4213,HCPCS,20+ CC SYRINGE ONLY,,,28,,NW,,,,,,$2.90,$0.00,1,1,1,0,0,1,20210101,
A4215,HCPCS,STERILE NEEDLE,,,28,,NW,,,,,,$1.39,$0.00,1,1,1,0,0,1,20210101,
A4216,HCPCS,"STERILE WATER/SALINE, 10 ML",,,28,,NW,,,,,,$1.19,$0.00,1,1,1,0,0,1,20210101,
A4217,HCPCS,"STERILE WATER/SALINE, 500 ML",,,28,,NW,,,,,,$7.15,$0.00,1,1,1,0,0,1,20210101,
A4217,HCPCS,"STERILE WATER/SALINE, 500 ML",AU,,28,,NW,,,,,,$7.15,$0.00,1,1,1,0,0,1,20210101,
A4218,HCPCS,STERILE SALINE OR WATER,,,28,,NW,,,,,,$4.00,$0.00,1,1,1,0,0,1,20210101,
A4220,HCPCS,INFUSION PUMP REFILL KIT,,,28,,NW,,,,,,$85.24,$0.00,1,1,1,0,0,1,20210101,
A4221,HCPCS,SUPP NON-INSULIN INF CATH/WK,,,28,,NW,,,,,,$99.59,$0.00,1,1,1,0,0,1,20210101,
A4222,HCPCS,INFUSION SUPPLIES WITH PUMP,,,28,,NW,,,,,,$133.42,$0.00,1,1,1,0,0,1,20210101,
A4223,HCPCS,INFUSION SUPPLIES W/O PUMP,,,28,,NW,,,,,,$134.63,$0.00,1,1,1,0,0,1,20210101,
A4224,HCPCS,SUPPLY INSULIN INF CATH/WK,,,28,,NW,,,,,,$99.59,$0.00,1,1,1,0,0,1,20210101,
A4225,HCPCS,SUP/EXT INSULIN INF PUMP SYR,,,28,,NW,,,,,,$18.65,$0.00,1,1,1,0,0,1,20210101,
A4230,HCPCS,INFUS INSULIN PUMP NON NEEDL,,,28,,NW,,,,,,$21.92,$0.00,1,1,1,0,0,1,20210101,
A4231,HCPCS,INFUSION INSULIN PUMP NEEDLE,,,28,,NW,,,,,,$11.93,$0.00,1,1,1,0,0,1,20210101,
A4232,HCPCS,SYRINGE W/NEEDLE INSULIN 3CC,,,28,,NW,,,,,,$5.91,$0.00,1,1,1,0,0,1,20210101,
A4233,HCPCS,ALKALIN BATT FOR GLUCOSE MON,,,28,,NW,,,,,,$3.47,$0.00,1,1,1,0,0,1,20210101,
A4233,HCPCS,ALKALIN BATT FOR GLUCOSE MON,NU,,28,,NW,,,,,,$3.47,$0.00,1,1,1,0,0,1,20210101,
A4234,HCPCS,J-CELL BATT FOR GLUCOSE MON,,,28,,NW,,,,,,$16.05,$0.00,1,1,1,0,0,1,20210101,
A4234,HCPCS,J-CELL BATT FOR GLUCOSE MON,NU,,28,,NW,,,,,,$16.05,$0.00,1,1,1,0,0,1,20210101,
A4235,HCPCS,LITHIUM BATT FOR GLUCOSE MON,,,28,,NW,,,,,,$6.80,$0.00,1,1,1,0,0,1,20210101,
A4235,HCPCS,LITHIUM BATT FOR GLUCOSE MON,NU,,28,,NW,,,,,,$6.80,$0.00,1,1,1,0,0,1,20210101,
A4236,HCPCS,SILVR OXIDE BATT GLUCOSE MON,,,28,,NW,,,,,,$7.89,$0.00,1,1,1,0,0,1,20210101,
A4236,HCPCS,SILVR OXIDE BATT GLUCOSE MON,NU,,28,,NW,,,,,,$7.89,$0.00,1,1,1,0,0,1,20210101,
A4244,HCPCS,ALCOHOL OR PEROXIDE PER PINT,,,28,,NW,,,,,,$2.58,$0.00,1,1,1,0,0,1,20210101,
A4245,HCPCS,ALCOHOL WIPES PER BOX,,,28,,NW,,,,,,$6.65,$0.00,1,1,1,0,0,1,20210101,
A4246,HCPCS,BETADINE/PHISOHEX SOLUTION,,,28,,NW,,,,,,$8.24,$0.00,1,1,1,0,0,1,20210101,
A4247,HCPCS,BETADINE/IODINE SWABS/WIPES,,,28,,NW,,,,,,$14.54,$0.00,1,1,1,0,0,1,20210101,
A4248,HCPCS,CHLORHEXIDINE ANTISEPT,,,28,,NW,,,,,,$2.95,$0.00,1,1,1,0,0,1,20210101,
A4250,HCPCS,URINE REAGENT STRIPS/TABLETS,,,28,,NW,,,,,,$28.27,$0.00,1,1,1,0,0,1,20210101,
A4252,HCPCS,BLOOD KETONE TEST OR STRIP,,,28,,NW,,,,,,$13.85,$0.00,1,1,1,0,0,1,20210101,
A4253,HCPCS,BLOOD GLUCOSE/REAGENT STRIPS,,,28,,NW,,,,,,$55.09,$0.00,1,1,1,0,0,1,20210101,
A4253,HCPCS,BLOOD GLUCOSE/REAGENT STRIPS,NU,,28,,NW,,,,,,$55.09,$0.00,1,1,1,0,0,1,20210101,
A4255,HCPCS,GLUCOSE MONITOR PLATFORMS,,,28,,NW,,,,,,$31.23,$0.00,1,1,1,0,0,1,20210101,
A4256,HCPCS,CALIBRATOR SOLUTION/CHIPS,,,28,,NW,,,,,,$22.98,$0.00,1,1,1,0,0,1,20210101,
A4257,HCPCS,REPLACE LENSSHIELD CARTRIDGE,,,28,,NW,,,,,,$88.28,$0.00,1,1,1,0,0,1,20210101,
A4258,HCPCS,LANCET DEVICE EACH,,,28,,NW,,,,,,$14.41,$0.00,1,1,1,0,0,1,20210101,
A4259,HCPCS,LANCETS PER BOX,,,28,,NW,,,,,,$9.65,$0.00,1,1,1,0,0,1,20210101,
A4261,HCPCS,CERVICAL CAP CONTRACEPTIVE,,,28,,NW,,,,,,$79.76,$0.00,1,1,1,1,1,1,20210101,
A4262,HCPCS,TEMPORARY TEAR DUCT PLUG,,,28,,NW,,,,,,$20.91,$0.00,1,1,1,0,0,1,20210101,
A4263,HCPCS,PERMANENT TEAR DUCT PLUG,,,28,,NW,,,,,,$66.89,$0.00,1,1,1,0,0,1,20210101,
A4264,HCPCS,INTRATUBAL OCCLUSION DEVICE,,,28,,NW,,,,,,"$2,499.39",$0.00,1,1,1,1,1,1,20210101,
A4265,HCPCS,PARAFFIN,,,28,,NW,,,,,,$26.52,$0.00,1,1,1,0,0,1,20210101,
A4266,HCPCS,DIAPHRAGM,,,28,,NW,,,,,,$96.06,$0.00,1,1,1,1,1,1,20210101,
A4267,HCPCS,MALE CONDOM,,,28,,NW,,,,,,$1.03,$0.00,1,1,1,1,1,1,20210101,
A4268,HCPCS,FEMALE CONDOM,,,28,,NW,,,,,,$1.28,$0.00,1,1,1,1,1,1,20210101,
A4269,HCPCS,SPERMICIDE,,,28,,NW,,,,,,$8.07,$0.00,1,1,1,1,1,1,20210101,
A4270,HCPCS,DISPOSABLE ENDOSCOPE SHEATH,,,28,,NW,,,,,,$25.27,$0.00,1,1,1,0,0,1,20210101,
A4280,HCPCS,BRST PRSTHS ADHSV ATTCHMNT,,,28,,NW,,,,,,$7.31,$0.00,1,1,1,0,0,1,20210101,
A4281,HCPCS,REPLACEMENT BREASTPUMP TUBE,,,28,,NW,,,,,,$23.12,$0.00,1,1,1,0,0,1,20210101,
A4282,HCPCS,REPLACEMENT BREASTPUMP ADPT,,,28,,NW,,,,,,$26.47,$0.00,1,1,1,0,0,1,20210101,
A4283,HCPCS,REPLACEMENT BREASTPUMP CAP,,,28,,NW,,,,,,$36.17,$0.00,1,1,1,0,0,1,20210101,
A4284,HCPCS,REPLCMNT BREAST PUMP SHIELD,,,28,,NW,,,,,,$20.92,$0.00,1,1,1,0,0,1,20210101,
A4285,HCPCS,REPLCMNT BREAST PUMP BOTTLE,,,28,,NW,,,,,,$15.44,$0.00,1,1,1,0,0,1,20210101,
A4286,HCPCS,REPLCMNT BREASTPUMP LOK RING,,,28,,NW,,,,,,$25.30,$0.00,1,1,1,0,0,1,20210101,
A4290,HCPCS,SACRAL NERVE STIM TEST LEAD,,,28,,NW,,,,,,$523.31,$0.00,1,1,1,0,0,1,20210101,
A4300,HCPCS,CATH IMPL VASC ACCESS PORTAL,,,28,,NW,,,,,,$51.73,$0.00,1,1,1,0,0,1,20210101,
A4301,HCPCS,IMPLANTABLE ACCESS SYST PERC,,,28,,NW,,,,,,$39.47,$0.00,1,1,1,0,0,1,20210101,
A4305,HCPCS,DRUG DELIVERY SYSTEM >=50 ML,,,28,,NW,,,,,,$57.51,$0.00,1,1,1,0,0,1,20210101,
A4306,HCPCS,DRUG DELIVERY SYSTEM <=50 ML,,,28,,NW,,,,,,$43.19,$0.00,1,1,1,0,0,1,20210101,
A4310,HCPCS,INSERT TRAY W/O BAG/CATH,,,28,,NW,,,,,,$14.84,$0.00,1,1,1,0,0,1,20210101,
A4311,HCPCS,CATHETER W/O BAG 2-WAY LATEX,,,28,,NW,,,,,,$26.27,$0.00,1,1,1,0,0,1,20210101,
A4312,HCPCS,CATH W/O BAG 2-WAY SILICONE,,,28,,NW,,,,,,$31.99,$0.00,1,1,1,0,0,1,20210101,
A4313,HCPCS,CATHETER W/BAG 3-WAY,,,28,,NW,,,,,,$32.90,$0.00,1,1,1,0,0,1,20210101,
A4314,HCPCS,CATH W/DRAINAGE 2-WAY LATEX,,,28,,NW,,,,,,$44.05,$0.00,1,1,1,0,0,1,20210101,
A4315,HCPCS,CATH W/DRAINAGE 2-WAY SILCNE,,,28,,NW,,,,,,$46.06,$0.00,1,1,1,0,0,1,20210101,
A4316,HCPCS,CATH W/DRAINAGE 3-WAY,,,28,,NW,,,,,,$49.65,$0.00,1,1,1,0,0,1,20210101,
A4320,HCPCS,IRRIGATION TRAY,,,28,,NW,,,,,,$10.71,$0.00,1,1,1,0,0,1,20210101,
A4321,HCPCS,CATH THERAPEUTIC IRRIG AGENT,,,28,,NW,,,,,,$41.10,$0.00,1,1,1,0,0,1,20210101,
A4322,HCPCS,IRRIGATION SYRINGE,,,28,,NW,,,,,,$7.19,$0.00,1,1,1,0,0,1,20210101,
A4326,HCPCS,MALE EXTERNAL CATHETER,,,28,,NW,,,,,,$19.91,$0.00,1,1,1,0,0,1,20210101,
A4327,HCPCS,FEM URINARY COLLECT DEV CUP,,,28,,NW,,,,,,$78.01,$0.00,1,1,1,0,0,1,20210101,
A4328,HCPCS,FEM URINARY COLLECT POUCH,,,28,,NW,,,,,,$19.59,$0.00,1,1,1,0,0,1,20210101,
A4330,HCPCS,STOOL COLLECTION POUCH,,,28,,NW,,,,,,$13.92,$0.00,1,1,1,0,0,1,20210101,
A4331,HCPCS,EXTENSION DRAINAGE TUBING,,,28,,NW,,,,,,$7.56,$0.00,1,1,1,0,0,1,20210101,
A4332,HCPCS,LUBE STERILE PACKET,,,28,,NW,,,,,,$0.32,$0.00,1,1,1,0,0,1,20210101,
A4333,HCPCS,URINARY CATH ANCHOR DEVICE,,,28,,NW,,,,,,$3.06,$0.00,1,1,1,0,0,1,20210101,
A4334,HCPCS,URINARY CATH LEG STRAP,,,28,,NW,,,,,,$6.77,$0.00,1,1,1,0,0,1,20210101,
A4335,HCPCS,INCONTINENCE SUPPLY,,,28,,NW,,,,,,$0.75,$0.00,1,1,1,0,0,1,20210101,
A4336,HCPCS,URETHRAL INSERT,,,28,,NW,,,,,,$4.18,$0.00,1,1,1,0,0,1,20210101,
A4338,HCPCS,INDWELLING CATHETER LATEX,,,28,,NW,,,,,,$22.59,$0.00,1,1,1,0,0,1,20210101,
A4340,HCPCS,INDWELLING CATHETER SPECIAL,,,28,,NW,,,,,,$53.93,$0.00,1,1,1,0,0,1,20210101,
A4344,HCPCS,CATH INDW FOLEY 2 WAY SILICN,,,28,,NW,,,,,,$28.57,$0.00,1,1,1,0,0,1,20210101,
A4346,HCPCS,CATH INDW FOLEY 3 WAY,,,28,,NW,,,,,,$34.22,$0.00,1,1,1,0,0,1,20210101,
A4349,HCPCS,DISPOSABLE MALE EXTERNAL CAT,,,28,,NW,,,,,,$5.53,$0.00,1,1,1,0,0,1,20210101,
A4351,HCPCS,STRAIGHT TIP URINE CATHETER,,,28,,NW,,,,,,$5.00,$0.00,1,1,1,0,0,1,20210101,
A4352,HCPCS,COUDE TIP URINARY CATHETER,,,28,,NW,,,,,,$12.63,$0.00,1,1,1,0,0,1,20210101,
A4353,HCPCS,INTERMITTENT URINARY CATH,,,28,,NW,,,,,,$14.20,$0.00,1,1,1,0,0,1,20210101,
A4354,HCPCS,CATH INSERTION TRAY W/BAG,,,28,,NW,,,,,,$21.69,$0.00,1,1,1,0,0,1,20210101,
A4355,HCPCS,BLADDER IRRIGATION TUBING,,,28,,NW,,,,,,$17.14,$0.00,1,1,1,0,0,1,20210101,
A4356,HCPCS,EXT URETH CLMP OR COMPR DVC,,,28,,NW,,,,,,$77.80,$0.00,1,1,1,0,0,1,20210101,
A4357,HCPCS,BEDSIDE DRAINAGE BAG,,,28,,NW,,,,,,$18.23,$0.00,1,1,1,0,0,1,20210101,
A4358,HCPCS,URINARY LEG OR ABDOMEN BAG,,,28,,NW,,,,,,$13.03,$0.00,1,1,1,0,0,1,20210101,
A4360,HCPCS,DISPOSABLE EXT URETHRAL DEV,,,28,,NW,,,,,,$1.32,$0.00,1,1,1,0,0,1,20210101,
A4361,HCPCS,OSTOMY FACE PLATE,,,28,,NW,,,,,,$32.93,$0.00,1,1,1,0,0,1,20210101,
A4362,HCPCS,SOLID SKIN BARRIER,,,28,,NW,,,,,,$7.76,$0.00,1,1,1,0,0,1,20210101,
A4363,HCPCS,"OSTOMY CLAMP, REPLACEMENT",,,28,,NW,,,,,,$5.98,$0.00,1,1,1,0,0,1,20210101,
A4364,HCPCS,"ADHESIVE, LIQUID OR EQUAL",,,28,,NW,,,,,,$3.81,$0.00,1,1,1,0,0,1,20210101,
A4366,HCPCS,OSTOMY VENT,,,28,,NW,,,,,,$1.79,$0.00,1,1,1,0,0,1,20210101,
A4367,HCPCS,OSTOMY BELT,,,28,,NW,,,,,,$14.26,$0.00,1,1,1,0,0,1,20210101,
A4368,HCPCS,OSTOMY FILTER,,,28,,NW,,,,,,$0.71,$0.00,1,1,1,0,0,1,20210101,
A4369,HCPCS,SKIN BARRIER LIQUID PER OZ,,,28,,NW,,,,,,$6.08,$0.00,1,1,1,0,0,1,20210101,
A4371,HCPCS,SKIN BARRIER POWDER PER OZ,,,28,,NW,,,,,,$8.34,$0.00,1,1,1,0,0,1,20210101,
A4372,HCPCS,SKIN BARRIER SOLID 4X4 EQUIV,,,28,,NW,,,,,,$9.32,$0.00,1,1,1,0,0,1,20210101,
A4373,HCPCS,SKIN BARRIER WITH FLANGE,,,28,,NW,,,,,,$12.93,$0.00,1,1,1,0,0,1,20210101,
A4375,HCPCS,DRAINABLE PLASTIC PCH W FCPL,,,28,,NW,,,,,,$31.90,$0.00,1,1,1,0,0,1,20210101,
A4376,HCPCS,DRAINABLE RUBBER PCH W FCPLT,,,28,,NW,,,,,,$84.80,$0.00,1,1,1,0,0,1,20210101,
A4377,HCPCS,DRAINABLE PLSTIC PCH W/O FP,,,28,,NW,,,,,,$9.49,$0.00,1,1,1,0,0,1,20210101,
A4378,HCPCS,DRAINABLE RUBBER PCH W/O FP,,,28,,NW,,,,,,$55.50,$0.00,1,1,1,0,0,1,20210101,
A4379,HCPCS,URINARY PLASTIC POUCH W FCPL,,,28,,NW,,,,,,$28.15,$0.00,1,1,1,0,0,1,20210101,
A4380,HCPCS,URINARY RUBBER POUCH W FCPLT,,,28,,NW,,,,,,$66.96,$0.00,1,1,1,0,0,1,20210101,
A4381,HCPCS,URINARY PLASTIC POUCH W/O FP,,,28,,NW,,,,,,$10.08,$0.00,1,1,1,0,0,1,20210101,
A4382,HCPCS,URINARY HVY PLSTC PCH W/O FP,,,28,,NW,,,,,,$44.84,$0.00,1,1,1,0,0,1,20210101,
A4383,HCPCS,URINARY RUBBER POUCH W/O FP,,,28,,NW,,,,,,$51.06,$0.00,1,1,1,0,0,1,20210101,
A4384,HCPCS,OSTOMY FACEPLT/SILICONE RING,,,28,,NW,,,,,,$18.75,$0.00,1,1,1,0,0,1,20210101,
A4385,HCPCS,OST SKN BARRIER SLD EXT WEAR,,,28,,NW,,,,,,$10.89,$0.00,1,1,1,0,0,1,20210101,
A4387,HCPCS,OST CLSD POUCH W ATT ST BARR,,,28,,NW,,,,,,$5.94,$0.00,1,1,1,0,0,1,20210101,
A4388,HCPCS,DRAINABLE PCH W EX WEAR BARR,,,28,,NW,,,,,,$9.62,$0.00,1,1,1,0,0,1,20210101,
A4389,HCPCS,DRAINABLE PCH W ST WEAR BARR,,,28,,NW,,,,,,$12.84,$0.00,1,1,1,0,0,1,20210101,
A4390,HCPCS,DRAINABLE PCH EX WEAR CONVEX,,,28,,NW,,,,,,$18.73,$0.00,1,1,1,0,0,1,20210101,
A4391,HCPCS,URINARY POUCH W EX WEAR BARR,,,28,,NW,,,,,,$14.32,$0.00,1,1,1,0,0,1,20210101,
A4392,HCPCS,URINARY POUCH W ST WEAR BARR,,,28,,NW,,,,,,$16.24,$0.00,1,1,1,0,0,1,20210101,
A4393,HCPCS,URINE PCH W EX WEAR BAR CONV,,,28,,NW,,,,,,$17.75,$0.00,1,1,1,0,0,1,20210101,
A4394,HCPCS,OSTOMY POUCH LIQ DEODORANT,,,28,,NW,,,,,,$6.53,$0.00,1,1,1,0,0,1,20210101,
A4395,HCPCS,OSTOMY POUCH SOLID DEODORANT,,,28,,NW,,,,,,$0.13,$0.00,1,1,1,0,0,1,20210101,
A4396,HCPCS,PERISTOMAL HERNIA SUPPRT BLT,,,28,,NW,,,,,,$72.44,$0.00,1,1,1,0,0,1,20210101,
A4397,HCPCS,IRRIGATION SUPPLY SLEEVE,,,28,,NW,,,,,,$9.73,$0.00,1,1,1,0,0,1,20210101,
A4398,HCPCS,OSTOMY IRRIGATION BAG,,,28,,NW,,,,,,$25.62,$0.00,1,1,1,0,0,1,20210101,
A4399,HCPCS,OSTOMY IRRIG CONE/CATH W BRS,,,28,,NW,,,,,,$22.21,$0.00,1,1,1,0,0,1,20210101,
A4400,HCPCS,OSTOMY IRRIGATION SET,,,28,,NW,,,,,,$81.55,$0.00,1,1,1,0,0,1,20210101,
A4402,HCPCS,LUBRICANT PER OUNCE,,,28,,NW,,,,,,$4.46,$0.00,1,1,1,0,0,1,20210101,
A4404,HCPCS,OSTOMY RING EACH,,,28,,NW,,,,,,$4.75,$0.00,1,1,1,0,0,1,20210101,
A4405,HCPCS,NONPECTIN BASED OSTOMY PASTE,,,28,,NW,,,,,,$7.97,$0.00,1,1,1,0,0,1,20210101,
A4406,HCPCS,PECTIN BASED OSTOMY PASTE,,,28,,NW,,,,,,$11.98,$0.00,1,1,1,0,0,1,20210101,
A4407,HCPCS,EXT WEAR OST SKN BARR <=4SQ,,,28,,NW,,,,,,$17.27,$0.00,1,1,1,0,0,1,20210101,
A4408,HCPCS,EXT WEAR OST SKN BARR >4SQ,,,28,,NW,,,,,,$19.20,$0.00,1,1,1,0,0,1,20210101,
A4409,HCPCS,OST SKN BARR CONVEX <=4 SQ I,,,28,,NW,,,,,,$12.84,$0.00,1,1,1,0,0,1,20210101,
A4410,HCPCS,OST SKN BARR EXTND >4 SQ,,,28,,NW,,,,,,$17.75,$0.00,1,1,1,0,0,1,20210101,
A4411,HCPCS,OST SKN BARR EXTND =4SQ,,,28,,NW,,,,,,$10.89,$0.00,1,1,1,0,0,1,20210101,
A4412,HCPCS,OST POUCH DRAIN HIGH OUTPUT,,,28,,NW,,,,,,$6.73,$0.00,1,1,1,0,0,1,20210101,
A4413,HCPCS,2 PC DRAINABLE OST POUCH,,,28,,NW,,,,,,$11.61,$0.00,1,1,1,0,0,1,20210101,
A4414,HCPCS,OST SKNBAR W/O CONV<=4 SQ IN,,,28,,NW,,,,,,$10.59,$0.00,1,1,1,0,0,1,20210101,
A4415,HCPCS,OST SKN BARR W/O CONV >4 SQI,,,28,,NW,,,,,,$12.45,$0.00,1,1,1,0,0,1,20210101,
A4416,HCPCS,OST PCH CLSD W BARRIER/FILTR,,,28,,NW,,,,,,$3.80,$0.00,1,1,1,0,0,1,20210101,
A4417,HCPCS,OST PCH W BAR/BLTINCONV/FLTR,,,28,,NW,,,,,,$5.14,$0.00,1,1,1,0,0,1,20210101,
A4418,HCPCS,OST PCH CLSD W/O BAR W FILTR,,,28,,NW,,,,,,$2.51,$0.00,1,1,1,0,0,1,20210101,
A4419,HCPCS,OST PCH FOR BAR W FLANGE/FLT,,,28,,NW,,,,,,$2.39,$0.00,1,1,1,0,0,1,20210101,
A4420,HCPCS,OST PCH CLSD FOR BAR W LK FL,,,28,,NW,,,,,,$3.54,$0.00,1,1,1,0,0,1,20210101,
A4421,HCPCS,OSTOMY SUPPLY MISC,,,28,,NW,,,,,,$11.07,$0.00,1,1,1,0,0,1,20210101,
A4422,HCPCS,OST POUCH ABSORBENT MATERIAL,,,28,,NW,,,,,,$0.32,$0.00,1,1,1,0,0,1,20210101,
A4423,HCPCS,OST PCH FOR BAR W LK FL/FLTR,,,28,,NW,,,,,,$2.57,$0.00,1,1,1,0,0,1,20210101,
A4424,HCPCS,OST PCH DRAIN W BAR & FILTER,,,28,,NW,,,,,,$6.57,$0.00,1,1,1,0,0,1,20210101,
A4425,HCPCS,OST PCH DRAIN FOR BARRIER FL,,,28,,NW,,,,,,$4.94,$0.00,1,1,1,0,0,1,20210101,
A4426,HCPCS,OST PCH DRAIN 2 PIECE SYSTEM,,,28,,NW,,,,,,$3.77,$0.00,1,1,1,0,0,1,20210101,
A4427,HCPCS,OST PCH DRAIN/BARR LK FLNG/F,,,28,,NW,,,,,,$3.84,$0.00,1,1,1,0,0,1,20210101,
A4428,HCPCS,URINE OST POUCH W FAUCET/TAP,,,28,,NW,,,,,,$9.00,$0.00,1,1,1,0,0,1,20210101,
A4429,HCPCS,URINE OST POUCH W BLTINCONV,,,28,,NW,,,,,,$10.68,$0.00,1,1,1,0,0,1,20210101,
A4430,HCPCS,OST URINE PCH W B/BLTIN CONV,,,28,,NW,,,,,,$10.90,$0.00,1,1,1,0,0,1,20210101,
A4431,HCPCS,OST PCH URINE W BARRIER/TAPV,,,28,,NW,,,,,,$8.59,$0.00,1,1,1,0,0,1,20210101,
A4432,HCPCS,OS PCH URINE W BAR/FANGE/TAP,,,28,,NW,,,,,,$4.96,$0.00,1,1,1,0,0,1,20210101,
A4433,HCPCS,URINE OST PCH BAR W LOCK FLN,,,28,,NW,,,,,,$4.63,$0.00,1,1,1,0,0,1,20210101,
A4434,HCPCS,OST PCH URINE W LOCK FLNG/FT,,,28,,NW,,,,,,$5.19,$0.00,1,1,1,0,0,1,20210101,
A4435,HCPCS,1PC OST PCH DRAIN HGH OUTPUT,,,28,,NW,,,,,,$7.97,$0.00,1,1,1,0,0,1,20210101,
A4450,HCPCS,NON-WATERPROOF TAPE,,,28,,NW,,,,,,$0.22,$0.00,1,1,1,0,0,1,20210101,
A4450,HCPCS,NON-WATERPROOF TAPE,AU,,28,,NW,,,,,,$0.22,$0.00,1,1,1,0,0,1,20210101,
A4450,HCPCS,NON-WATERPROOF TAPE,AV,,28,,NW,,,,,,$0.22,$0.00,1,1,1,0,0,1,20210101,
A4450,HCPCS,NON-WATERPROOF TAPE,AW,,28,,NW,,,,,,$0.22,$0.00,1,1,1,0,0,1,20210101,
A4452,HCPCS,WATERPROOF TAPE,,,28,,NW,,,,,,$1.00,$0.00,1,1,1,0,0,1,20210101,
A4452,HCPCS,WATERPROOF TAPE,AU,,28,,NW,,,,,,$1.00,$0.00,1,1,1,0,0,1,20210101,
A4452,HCPCS,WATERPROOF TAPE,AV,,28,,NW,,,,,,$1.00,$0.00,1,1,1,0,0,1,20210101,
A4452,HCPCS,WATERPROOF TAPE,AW,,28,,NW,,,,,,$1.00,$0.00,1,1,1,0,0,1,20210101,
A4455,HCPCS,ADHESIVE REMOVER PER OUNCE,,,28,,NW,,,,,,$3.87,$0.00,1,1,1,0,0,1,20210101,
A4456,HCPCS,"ADHESIVE REMOVER, WIPES",,,28,,NW,,,,,,$0.68,$0.00,1,1,1,0,0,1,20210101,
A4458,HCPCS,REUSABLE ENEMA BAG,,,28,,NW,,,,,,$18.80,$0.00,1,1,1,0,0,1,20210101,
A4459,HCPCS,"MANUAL PUMP ENEMA, REUSABLE",,,28,,NW,,,,,,$25.06,$0.00,1,1,1,0,0,1,20210101,
A4461,HCPCS,SURGICL DRESS HOLD NON-REUSE,,,28,,NW,,,,,,$7.76,$0.00,1,1,1,0,0,1,20210101,
A4463,HCPCS,SURGICAL DRESS HOLDER REUSE,,,28,,NW,,,,,,$25.17,$0.00,1,1,1,0,0,1,20210101,
A4465,HCPCS,NON-ELASTIC EXTREMITY BINDER,,,28,,NW,,,,,,$15.70,$0.00,1,1,1,0,0,1,20210101,
A4467,HCPCS,BELT STRAP SLEEV GRMNT COVER,,,28,,NW,,,,,,$50.53,$0.00,1,1,1,1,1,1,20210101,
A4470,HCPCS,GRAVLEE JET WASHER,,,28,,NW,,,,,,$10.68,$0.00,1,1,1,0,0,1,20210101,
A4480,HCPCS,VABRA ASPIRATOR,,,28,,NW,,,,,,$23.33,$0.00,1,1,1,0,0,1,20210101,
A4481,HCPCS,TRACHEOSTOMA FILTER,,,28,,NW,,,,,,$2.89,$0.00,1,1,1,0,0,1,20210101,
A4483,HCPCS,MOISTURE EXCHANGER,,,28,,NW,,,,,,$10.38,$0.00,1,1,1,0,0,1,20210101,
A4490,HCPCS,ABOVE KNEE SURGICAL STOCKING,,,28,,NW,,,,,,$27.75,$0.00,1,1,1,0,0,1,20210101,
A4495,HCPCS,THIGH LENGTH SURG STOCKING,,,28,,NW,,,,,,$28.50,$0.00,1,1,1,0,0,1,20210101,
A4500,HCPCS,BELOW KNEE SURGICAL STOCKING,,,28,,NW,,,,,,$26.30,$0.00,1,1,1,0,0,1,20210101,
A4510,HCPCS,FULL LENGTH SURG STOCKING,,,28,,NW,,,,,,$88.51,$0.00,1,1,1,0,0,1,20210101,
A4520,HCPCS,INCONTINENCE GARMENT ANYTYPE,,,28,,NW,,,,,,$1.61,$0.00,1,1,1,0,0,1,20210101,
A4550,HCPCS,SURGICAL TRAYS,,,28,,NW,,,,,,$55.17,$0.00,1,1,1,0,0,1,20210101,
A4553,HCPCS,"NONDISP UNDERPADS, ALL SIZES",,,28,,NW,,,,,,$17.55,$0.00,1,1,1,1,1,1,20210101,
A4554,HCPCS,DISPOSABLE UNDERPADS,,,28,,NW,,,,,,$3.39,$0.00,1,1,1,0,0,1,20210101,
A4555,HCPCS,CA TX E-STIM ELECTR/TRANSDUC,,,28,,NW,,,,,,$82.27,$0.00,1,1,1,0,0,1,20210101,
A4556,HCPCS,"ELECTRODES, PAIR",,,28,,NW,,,,,,$82.27,$0.00,1,1,1,0,0,1,20210101,
A4557,HCPCS,"LEAD WIRES, PAIR",,,28,,NW,,,,,,$83.16,$0.00,1,1,1,0,0,1,20210101,
A4558,HCPCS,CONDUCTIVE GEL OR PASTE,,,28,,NW,,,,,,$41.66,$0.00,1,1,1,0,0,1,20210101,
A4559,HCPCS,COUPLING GEL OR PASTE,,,28,,NW,,,,,,$0.75,$0.00,1,1,1,0,0,1,20210101,
A4561,HCPCS,"PESSARY RUBBER, ANY TYPE",,,28,,NW,,,,,,$37.25,$0.00,1,1,1,0,0,1,20210101,
A4562,HCPCS,"PESSARY, NON RUBBER,ANY TYPE",,,28,,NW,,,,,,$89.65,$0.00,1,1,1,0,0,1,20210101,
A4563,HCPCS,VAG INSER RECTAL CONTROL SYS,,,28,,NW,,,,,,$175.66,$0.00,1,1,1,1,1,1,20210101,
A4565,HCPCS,SLINGS,,,28,,NW,,,,,,$15.41,$0.00,1,1,1,0,0,1,20210101,
A4566,HCPCS,SHOULD SLING/VEST/ABRESTRAIN,,,28,,NW,,,,,,$48.39,$0.00,1,1,1,0,0,1,20210101,
A4570,HCPCS,SPLINT,,,28,,NW,,,,,,$33.59,$0.00,1,1,1,0,0,1,20210101,
A4575,HCPCS,HYPERBARIC O2 CHAMBER DISPS,,,28,,NW,,,,,,$938.43,$0.00,1,1,1,0,0,1,20210101,
A4580,HCPCS,CAST SUPPLIES (PLASTER),,,28,,NW,,,,,,$79.61,$0.00,1,1,1,0,0,1,20210101,
A4590,HCPCS,SPECIAL CASTING MATERIAL,,,28,,NW,,,,,,$74.75,$0.00,1,1,1,0,0,1,20210101,
A4595,HCPCS,TENS SUPPL 2 LEAD PER MONTH,,,28,,NW,,,,,,$87.47,$0.00,1,1,1,0,0,1,20210101,
A4600,HCPCS,"SLEEVE, INTER LIMB COMP DEV",,,28,,NW,,,,,,$147.04,$0.00,1,1,1,0,0,1,20210101,
A4601,HCPCS,LITH ION NON PROSTH RECHARGE,,,28,,NW,,,,,,$75.85,$0.00,1,1,1,0,0,1,20210101,
A4602,HCPCS,REPLACE LITHIUM BATTERY 1.5V,,,28,,NW,,,,,,$29.00,$0.00,1,1,1,0,0,1,20210101,
A4602,HCPCS,REPLACE LITHIUM BATTERY 1.5V,NU,,28,,NW,,,,,,$29.00,$0.00,1,1,1,0,0,1,20210101,
A4604,HCPCS,TUBING WITH HEATING ELEMENT,,,28,,NW,,,,,,$140.07,$0.00,1,1,1,0,0,1,20210101,
A4604,HCPCS,TUBING WITH HEATING ELEMENT,NU,,28,,NW,,,,,,$140.07,$0.00,1,1,1,0,0,1,20210101,
A4605,HCPCS,TRACH SUCTION CATH CLOSE SYS,,,28,,NW,,,,,,$95.52,$0.00,1,1,1,0,0,1,20210101,
A4605,HCPCS,TRACH SUCTION CATH CLOSE SYS,NU,,28,,NW,,,,,,$95.52,$0.00,1,1,1,0,0,1,20210101,
A4606,HCPCS,OXYGEN PROBE USED W OXIMETER,,,28,,NW,,,,,,$62.41,$0.00,1,1,1,0,0,1,20210101,
A4608,HCPCS,TRANSTRACHEAL OXYGEN CATH,,,28,,NW,,,,,,$162.55,$0.00,1,1,1,0,0,1,20210101,
A4611,HCPCS,HEAVY DUTY BATTERY,,,28,,NW,,,,,,$301.37,$0.00,1,1,1,0,0,1,20210101,
A4612,HCPCS,BATTERY CABLES,,,28,,NW,,,,,,$160.40,$0.00,1,1,1,0,0,1,20210101,
A4613,HCPCS,BATTERY CHARGER,,,28,,NW,,,,,,$256.68,$0.00,1,1,1,0,0,1,20210101,
A4614,HCPCS,HAND-HELD PEFR METER,,,28,,NW,,,,,,$43.39,$0.00,1,1,1,0,0,1,20210101,
A4615,HCPCS,CANNULA NASAL,,,28,,NW,,,,,,$2.98,$0.00,1,1,1,0,0,1,20210101,
A4616,HCPCS,TUBING (OXYGEN) PER FOOT,,,28,,NW,,,,,,$1.23,$0.00,1,1,1,0,0,1,20210101,
A4617,HCPCS,MOUTH PIECE,,,28,,NW,,,,,,$5.03,$0.00,1,1,1,0,0,1,20210101,
A4618,HCPCS,BREATHING CIRCUITS,,,28,,NW,,,,,,$16.66,$0.00,1,1,1,0,0,1,20210101,
A4618,HCPCS,BREATHING CIRCUITS,NU,,28,,NW,,,,,,$16.66,$0.00,1,1,1,0,0,1,20210101,
A4618,HCPCS,BREATHING CIRCUITS,RR,,28,,NW,,,,,,$2.74,$0.00,1,1,1,0,0,1,20210101,
A4618,HCPCS,BREATHING CIRCUITS,UE,,28,,NW,,,,,,$12.99,$0.00,1,1,1,0,0,1,20210101,
A4619,HCPCS,FACE TENT,,,28,,NW,,,,,,$3.32,$0.00,1,1,1,0,0,1,20210101,
A4619,HCPCS,FACE TENT,NU,,28,,NW,,,,,,$3.32,$0.00,1,1,1,0,0,1,20210101,
A4620,HCPCS,VARIABLE CONCENTRATION MASK,,,28,,NW,,,,,,$2.60,$0.00,1,1,1,0,0,1,20210101,
A4623,HCPCS,TRACHEOSTOMY INNER CANNULA,,,28,,NW,,,,,,$12.52,$0.00,1,1,1,0,0,1,20210101,
A4624,HCPCS,TRACHEAL SUCTION TUBE,,,28,,NW,,,,,,$19.37,$0.00,1,1,1,0,0,1,20210101,
A4624,HCPCS,TRACHEAL SUCTION TUBE,NU,,28,,NW,,,,,,$19.37,$0.00,1,1,1,0,0,1,20210101,
A4625,HCPCS,TRACH CARE KIT FOR NEW TRACH,,,28,,NW,,,,,,$13.71,$0.00,1,1,1,0,0,1,20210101,
A4626,HCPCS,TRACHEOSTOMY CLEANING BRUSH,,,28,,NW,,,,,,$7.11,$0.00,1,1,1,0,0,1,20210101,
A4627,HCPCS,SPACER BAG/RESERVOIR,,,28,,NW,,,,,,$31.71,$0.00,1,1,1,0,0,1,20210101,
A4628,HCPCS,OROPHARYNGEAL SUCTION CATH,,,28,,NW,,,,,,$8.45,$0.00,1,1,1,0,0,1,20210101,
A4628,HCPCS,OROPHARYNGEAL SUCTION CATH,NU,,28,,NW,,,,,,$8.45,$0.00,1,1,1,0,0,1,20210101,
A4629,HCPCS,TRACHEOSTOMY CARE KIT,,,28,,NW,,,,,,$10.11,$0.00,1,1,1,0,0,1,20210101,
A4630,HCPCS,REPL BAT T.E.N.S. OWN BY PT,,,28,,NW,,,,,,$48.00,$0.00,1,1,1,0,0,1,20210101,
A4630,HCPCS,REPL BAT T.E.N.S. OWN BY PT,NU,,28,,NW,,,,,,$48.00,$0.00,1,1,1,0,0,1,20210101,
A4633,HCPCS,UVL REPLACEMENT BULB,,,28,,NW,,,,,,$144.48,$0.00,1,1,1,0,0,1,20210101,
A4633,HCPCS,UVL REPLACEMENT BULB,NU,,28,,NW,,,,,,$144.48,$0.00,1,1,1,0,0,1,20210101,
A4634,HCPCS,REPLACEMENT BULB TH LIGHTBOX,,,28,,NW,,,,,,$129.05,$0.00,1,1,1,0,0,1,20210101,
A4635,HCPCS,UNDERARM CRUTCH PAD,,,28,,NW,,,,,,$37.80,$0.00,1,1,1,0,0,1,20210101,
A4635,HCPCS,UNDERARM CRUTCH PAD,NU,,28,,NW,,,,,,$37.80,$0.00,1,1,1,0,0,1,20210101,
A4635,HCPCS,UNDERARM CRUTCH PAD,RR,,28,,NW,,,,,,$5.14,$0.00,1,1,1,0,0,1,20210101,
A4635,HCPCS,UNDERARM CRUTCH PAD,UE,,28,,NW,,,,,,$24.81,$0.00,1,1,1,0,0,1,20210101,
A4636,HCPCS,HANDGRIP FOR CANE ETC,,,28,,NW,,,,,,$21.60,$0.00,1,1,1,0,0,1,20210101,
A4636,HCPCS,HANDGRIP FOR CANE ETC,NU,,28,,NW,,,,,,$21.60,$0.00,1,1,1,0,0,1,20210101,
A4636,HCPCS,HANDGRIP FOR CANE ETC,RR,,28,,NW,,,,,,$2.18,$0.00,1,1,1,0,0,1,20210101,
A4636,HCPCS,HANDGRIP FOR CANE ETC,UE,,28,,NW,,,,,,$16.15,$0.00,1,1,1,0,0,1,20210101,
A4637,HCPCS,REPL TIP CANE/CRUTCH/WALKER,,,28,,NW,,,,,,$11.90,$0.00,1,1,1,0,0,1,20210101,
A4637,HCPCS,REPL TIP CANE/CRUTCH/WALKER,NU,,28,,NW,,,,,,$11.90,$0.00,1,1,1,0,0,1,20210101,
A4637,HCPCS,REPL TIP CANE/CRUTCH/WALKER,RR,,28,,NW,,,,,,$1.25,$0.00,1,1,1,0,0,1,20210101,
A4637,HCPCS,REPL TIP CANE/CRUTCH/WALKER,UE,,28,,NW,,,,,,$8.95,$0.00,1,1,1,0,0,1,20210101,
A4638,HCPCS,REPL BATT PULSE GEN SYS,,,28,,NW,,,,,,"$17,660.53",$0.00,1,1,1,0,0,1,20210101,
A4638,HCPCS,REPL BATT PULSE GEN SYS,NU,,28,,NW,,,,,,"$17,660.53",$0.00,1,1,1,0,0,1,20210101,
A4638,HCPCS,REPL BATT PULSE GEN SYS,RR,,28,,NW,,,,,,"$1,853.40",$0.00,1,1,1,0,0,1,20210101,
A4638,HCPCS,REPL BATT PULSE GEN SYS,UE,,28,,NW,,,,,,"$13,270.86",$0.00,1,1,1,0,0,1,20210101,
A4639,HCPCS,INFRARED HT SYS REPLCMNT PAD,,,28,,NW,,,,,,$518.18,$0.00,1,1,1,0,0,1,20210101,
A4639,HCPCS,INFRARED HT SYS REPLCMNT PAD,RR,,28,,NW,,,,,,$120.02,$0.00,1,1,1,0,0,1,20210101,
A4640,HCPCS,ALTERNATING PRESSURE PAD,,,28,,NW,,,,,,$156.51,$0.00,1,1,1,0,0,1,20210101,
A4640,HCPCS,ALTERNATING PRESSURE PAD,NU,,28,,NW,,,,,,$156.51,$0.00,1,1,1,0,0,1,20210101,
A4640,HCPCS,ALTERNATING PRESSURE PAD,RR,,28,,NW,,,,,,$37.13,$0.00,1,1,1,0,0,1,20210101,
A4640,HCPCS,ALTERNATING PRESSURE PAD,UE,,28,,NW,,,,,,$132.49,$0.00,1,1,1,0,0,1,20210101,
A4641,HCPCS,RADIOPHARM DX AGENT NOC,,,28,,NW,,,,,,$46.19,$0.00,1,1,1,0,0,1,20210101,
A4642,HCPCS,IN111 SATUMOMAB,,,28,,NW,,,,,,$30.86,$0.00,1,1,1,0,0,1,20210101,
A4648,HCPCS,IMPLANTABLE TISSUE MARKER,,,28,,NW,,,,,,$390.86,$0.00,1,1,1,0,0,1,20210101,
A4649,HCPCS,SURGICAL SUPPLIES,,,28,,NW,,,,,,$26.90,$0.00,1,1,1,0,0,1,20210101,
A4651,HCPCS,CALIBRATED MICROCAP TUBE,,,28,,NW,,,,,,$18.24,$0.00,1,1,1,0,0,1,20210101,
A4652,HCPCS,MICROCAPILLARY TUBE SEALANT,,,28,,NW,,,,,,$18.61,$0.00,1,1,1,0,0,1,20210101,
A4653,HCPCS,PD CATHETER ANCHOR BELT,,,28,,NW,,,,,,$82.15,$0.00,1,1,1,0,0,1,20210101,
A4657,HCPCS,SYRINGE W/WO NEEDLE,,,28,,NW,,,,,,$4.17,$0.00,1,1,1,0,0,1,20210101,
A4660,HCPCS,SPHYG/BP APP W CUFF AND STET,,,28,,NW,,,,,,$44.40,$0.00,1,1,1,0,0,1,20210101,
A4663,HCPCS,DIALYSIS BLOOD PRESSURE CUFF,,,28,,NW,,,,,,$70.71,$0.00,1,1,1,0,0,1,20210101,
A4670,HCPCS,"AUTOMATIC BP MONITOR, DIAL",,,28,,NW,,,,,,$142.90,$0.00,1,1,1,0,0,1,20210101,
A4671,HCPCS,DISPOSABLE CYCLER SET,,,28,,NW,,,,,,$91.64,$0.00,1,1,1,0,0,1,20210101,
A4672,HCPCS,"DRAINAGE EXT LINE, DIALYSIS",,,28,,NW,,,,,,$10.27,$0.00,1,1,1,0,0,1,20210101,
A4673,HCPCS,EXT LINE W EASY LOCK CONNECT,,,28,,NW,,,,,,$15.35,$0.00,1,1,1,0,0,1,20210101,
A4674,HCPCS,"CHEM/ANTISEPT SOLUTION, 8OZ",,,28,,NW,,,,,,$104.15,$0.00,1,1,1,0,0,1,20210101,
A4680,HCPCS,"ACTIVATED CARBON FILTER, EA",,,28,,NW,,,,,,$254.11,$0.00,1,1,1,0,0,1,20210101,
A4690,HCPCS,"DIALYZER, EACH",,,28,,NW,,,,,,$950.59,$0.00,1,1,1,0,0,1,20210101,
A4706,HCPCS,BICARBONATE CONC SOL PER GAL,,,28,,NW,,,,,,$77.76,$0.00,1,1,1,0,0,1,20210101,
A4707,HCPCS,BICARBONATE CONC POW PER PAC,,,28,,NW,,,,,,$19.52,$0.00,1,1,1,0,0,1,20210101,
A4708,HCPCS,ACETATE CONC SOL PER GALLON,,,28,,NW,,,,,,$24.23,$0.00,1,1,1,0,0,1,20210101,
A4709,HCPCS,ACID CONC SOL PER GALLON,,,28,,NW,,,,,,$77.34,$0.00,1,1,1,0,0,1,20210101,
A4714,HCPCS,TREATED WATER PER GALLON,,,28,,NW,,,,,,$10.54,$0.00,1,1,1,0,0,1,20210101,
A4719,HCPCS,Y SET TUBING,,,28,,NW,,,,,,$20.19,$0.00,1,1,1,0,0,1,20210101,
A4720,HCPCS,DIALYSAT SOL FLD VOL > 249CC,,,28,,NW,,,,,,$34.34,$0.00,1,1,1,0,0,1,20210101,
A4721,HCPCS,DIALYSAT SOL FLD VOL > 999CC,,,28,,NW,,,,,,$45.83,$0.00,1,1,1,0,0,1,20210101,
A4722,HCPCS,DIALYS SOL FLD VOL > 1999CC,,,28,,NW,,,,,,$53.68,$0.00,1,1,1,0,0,1,20210101,
A4723,HCPCS,DIALYS SOL FLD VOL > 2999CC,,,28,,NW,,,,,,$31.08,$0.00,1,1,1,0,0,1,20210101,
A4724,HCPCS,DIALYS SOL FLD VOL > 3999CC,,,28,,NW,,,,,,$66.09,$0.00,1,1,1,0,0,1,20210101,
A4725,HCPCS,DIALYS SOL FLD VOL > 4999CC,,,28,,NW,,,,,,$74.03,$0.00,1,1,1,0,0,1,20210101,
A4726,HCPCS,DIALYS SOL FLD VOL > 5999CC,,,28,,NW,,,,,,$82.29,$0.00,1,1,1,0,0,1,20210101,
A4728,HCPCS,"DIALYSATE SOLUTION, NON-DEX",,,28,,NW,,,,,,$21.22,$0.00,1,1,1,0,0,1,20210101,
A4730,HCPCS,"FISTULA CANNULATION SET, EA",,,28,,NW,,,,,,$28.81,$0.00,1,1,1,0,0,1,20210101,
A4736,HCPCS,"TOPICAL ANESTHETIC, PER GRAM",,,28,,NW,,,,,,$48.13,$0.00,1,1,1,0,0,1,20210101,
A4737,HCPCS,INJ ANESTHETIC PER 10 ML,,,28,,NW,,,,,,$4.78,$0.00,1,1,1,0,0,1,20210101,
A4740,HCPCS,SHUNT ACCESSORY,,,28,,NW,,,,,,$64.02,$0.00,1,1,1,0,0,1,20210101,
A4750,HCPCS,ART OR VENOUS BLOOD TUBING,,,28,,NW,,,,,,$65.81,$0.00,1,1,1,0,0,1,20210101,
A4755,HCPCS,COMB ART/VENOUS BLOOD TUBING,,,28,,NW,,,,,,$110.36,$0.00,1,1,1,0,0,1,20210101,
A4760,HCPCS,"DIALYSATE SOL TEST KIT, EACH",,,28,,NW,,,,,,$196.56,$0.00,1,1,1,0,0,1,20210101,
A4765,HCPCS,DIALYSATE CONC POW PER PACK,,,28,,NW,,,,,,$22.97,$0.00,1,1,1,0,0,1,20210101,
A4766,HCPCS,DIALYSATE CONC SOL ADD 10 ML,,,28,,NW,,,,,,$35.49,$0.00,1,1,1,0,0,1,20210101,
A4770,HCPCS,BLOOD COLLECTION TUBE/VACUUM,,,28,,NW,,,,,,$24.77,$0.00,1,1,1,0,0,1,20210101,
A4771,HCPCS,SERUM CLOTTING TIME TUBE,,,28,,NW,,,,,,$13.14,$0.00,1,1,1,0,0,1,20210101,
A4772,HCPCS,BLOOD GLUCOSE TEST STRIPS,,,28,,NW,,,,,,$66.67,$0.00,1,1,1,0,0,1,20210101,
A4773,HCPCS,OCCULT BLOOD TEST STRIPS,,,28,,NW,,,,,,$176.85,$0.00,1,1,1,0,0,1,20210101,
A4774,HCPCS,AMMONIA TEST STRIPS,,,28,,NW,,,,,,$20.52,$0.00,1,1,1,0,0,1,20210101,
A4802,HCPCS,PROTAMINE SULFATE PER 50 MG,,,28,,NW,,,,,,$10.04,$0.00,1,1,1,0,0,1,20210101,
A4860,HCPCS,DISPOSABLE CATHETER TIPS,,,28,,NW,,,,,,$10.09,$0.00,1,1,1,0,0,1,20210101,
A4870,HCPCS,PLUMB/ELEC WK HM HEMO EQUIP,,,28,,NW,,,,,,$265.24,$0.00,1,1,1,0,0,1,20210101,
A4890,HCPCS,REPAIR/MAINT CONT HEMO EQUIP,,,28,,NW,,,,,,$667.84,$0.00,1,1,1,0,0,1,20210101,
A4911,HCPCS,DRAIN BAG/BOTTLE,,,28,,NW,,,,,,$19.05,$0.00,1,1,1,0,0,1,20210101,
A4913,HCPCS,MISC DIALYSIS SUPPLIES NOC,,,28,,NW,,,,,,$159.52,$0.00,1,1,1,0,0,1,20210101,
A4918,HCPCS,VENOUS PRESSURE CLAMP,,,28,,NW,,,,,,$8.43,$0.00,1,1,1,0,0,1,20210101,
A4927,HCPCS,NON-STERILE GLOVES,,,28,,NW,,,,,,$15.20,$0.00,1,1,1,0,0,1,20210101,
A4928,HCPCS,SURGICAL MASK,,,28,,NW,,,,,,$2.54,$0.00,1,1,1,0,0,1,20210101,
A4929,HCPCS,"TOURNIQUET FOR DIALYSIS, EA",,,28,,NW,,,,,,$0.82,$0.00,1,1,1,0,0,1,20210101,
A4930,HCPCS,"STERILE, GLOVES PER PAIR",,,28,,NW,,,,,,$2.27,$0.00,1,1,1,0,0,1,20210101,
A4931,HCPCS,REUSABLE ORAL THERMOMETER,,,28,,NW,,,,,,$18.16,$0.00,1,1,1,0,0,1,20210101,
A5051,HCPCS,POUCH CLSD W BARR ATTACHED,,,28,,NW,,,,,,$5.62,$0.00,1,1,1,0,0,1,20210101,
A5052,HCPCS,CLSD OSTOMY POUCH W/O BARR,,,28,,NW,,,,,,$4.33,$0.00,1,1,1,0,0,1,20210101,
A5053,HCPCS,CLSD OSTOMY POUCH FACEPLATE,,,28,,NW,,,,,,$4.80,$0.00,1,1,1,0,0,1,20210101,
A5054,HCPCS,CLSD OSTOMY POUCH W/FLANGE,,,28,,NW,,,,,,$5.15,$0.00,1,1,1,0,0,1,20210101,
A5055,HCPCS,STOMA CAP,,,28,,NW,,,,,,$4.07,$0.00,1,1,1,0,0,1,20210101,
A5056,HCPCS,1 PC OST POUCH W FILTER,,,28,,NW,,,,,,$10.15,$0.00,1,1,1,0,0,1,20210101,
A5057,HCPCS,1 PC OST POU W BUILT-IN CONV,,,28,,NW,,,,,,$18.73,$0.00,1,1,1,0,0,1,20210101,
A5061,HCPCS,POUCH DRAINABLE W BARRIER AT,,,28,,NW,,,,,,$8.16,$0.00,1,1,1,0,0,1,20210101,
A5062,HCPCS,DRNBLE OSTOMY POUCH W/O BARR,,,28,,NW,,,,,,$5.78,$0.00,1,1,1,0,0,1,20210101,
A5063,HCPCS,DRAIN OSTOMY POUCH W/FLANGE,,,28,,NW,,,,,,$6.73,$0.00,1,1,1,0,0,1,20210101,
A5071,HCPCS,URINARY POUCH W/BARRIER,,,28,,NW,,,,,,$12.48,$0.00,1,1,1,0,0,1,20210101,
A5072,HCPCS,URINARY POUCH W/O BARRIER,,,28,,NW,,,,,,$7.94,$0.00,1,1,1,0,0,1,20210101,
A5073,HCPCS,URINARY POUCH ON BARR W/FLNG,,,28,,NW,,,,,,$7.44,$0.00,1,1,1,0,0,1,20210101,
A5081,HCPCS,"STOMA PLUG OR SEAL, ANY TYPE",,,28,,NW,,,,,,$7.47,$0.00,1,1,1,0,0,1,20210101,
A5082,HCPCS,CONTINENT STOMA CATHETER,,,28,,NW,,,,,,$21.14,$0.00,1,1,1,0,0,1,20210101,
A5083,HCPCS,STOMA ABSORPTIVE COVER,,,28,,NW,,,,,,$1.82,$0.00,1,1,1,0,0,1,20210101,
A5093,HCPCS,OSTOMY ACCESSORY CONVEX INSE,,,28,,NW,,,,,,$5.30,$0.00,1,1,1,0,0,1,20210101,
A5102,HCPCS,BEDSIDE DRAIN BTL W/WO TUBE,,,28,,NW,,,,,,$41.02,$0.00,1,1,1,0,0,1,20210101,
A5105,HCPCS,URINARY SUSPENSORY,,,28,,NW,,,,,,$70.40,$0.00,1,1,1,0,0,1,20210101,
A5112,HCPCS,URINARY LEG BAG,,,28,,NW,,,,,,$59.50,$0.00,1,1,1,0,0,1,20210101,
A5113,HCPCS,LATEX LEG STRAP,,,28,,NW,,,,,,$9.72,$0.00,1,1,1,0,0,1,20210101,
A5114,HCPCS,FOAM/FABRIC LEG STRAP,,,28,,NW,,,,,,$16.71,$0.00,1,1,1,0,0,1,20210101,
A5120,HCPCS,"SKIN BARRIER, WIPE OR SWAB",,,28,,NW,,,,,,$0.66,$0.00,1,1,1,0,0,1,20210101,
A5120,HCPCS,"SKIN BARRIER, WIPE OR SWAB",AU,,28,,NW,,,,,,$0.66,$0.00,1,1,1,0,0,1,20210101,
A5120,HCPCS,"SKIN BARRIER, WIPE OR SWAB",AV,,28,,NW,,,,,,$0.66,$0.00,1,1,1,0,0,1,20210101,
A5121,HCPCS,SOLID SKIN BARRIER 6X6,,,28,,NW,,,,,,$14.26,$0.00,1,1,1,0,0,1,20210101,
A5122,HCPCS,SOLID SKIN BARRIER 8X8,,,28,,NW,,,,,,$23.24,$0.00,1,1,1,0,0,1,20210101,
A5126,HCPCS,DISK/FOAM PAD +OR- ADHESIVE,,,28,,NW,,,,,,$3.46,$0.00,1,1,1,0,0,1,20210101,
A5131,HCPCS,APPLIANCE CLEANER,,,28,,NW,,,,,,$28.08,$0.00,1,1,1,0,0,1,20210101,
A5200,HCPCS,PERCUTANEOUS CATHETER ANCHOR,,,28,,NW,,,,,,$21.69,$0.00,1,1,1,0,0,1,20210101,
A5500,HCPCS,DIAB SHOE FOR DENSITY INSERT,,,28,,NW,,,,,,$96.12,$0.00,1,1,1,0,0,1,20210101,
A5501,HCPCS,DIABETIC CUSTOM MOLDED SHOE,,,28,,NW,,,,,,$321.83,$0.00,1,1,1,0,0,1,20210101,
A5503,HCPCS,DIABETIC SHOE W/ROLLER/ROCKR,,,28,,NW,,,,,,$38.30,$0.00,1,1,1,0,0,1,20210101,
A5504,HCPCS,DIABETIC SHOE WITH WEDGE,,,28,,NW,,,,,,$38.30,$0.00,1,1,1,0,0,1,20210101,
A5505,HCPCS,DIAB SHOE W/METATARSAL BAR,,,28,,NW,,,,,,$38.30,$0.00,1,1,1,0,0,1,20210101,
A5506,HCPCS,DIABETIC SHOE W/OFF SET HEEL,,,28,,NW,,,,,,$38.30,$0.00,1,1,1,0,0,1,20210101,
A5507,HCPCS,MODIFICATION DIABETIC SHOE,,,28,,NW,,,,,,$38.30,$0.00,1,1,1,0,0,1,20210101,
A5508,HCPCS,DIABETIC DELUXE SHOE,,,28,,NW,,,,,,$38.30,$0.00,1,1,1,0,0,1,20210101,
A5510,HCPCS,COMPRESSION FORM SHOE INSERT,,,28,,NW,,,,,,$82.78,$0.00,1,1,1,0,0,1,20210101,
A5512,HCPCS,MULTI DEN INSERT DIRECT FORM,,,28,,NW,,,,,,$29.59,$0.00,1,1,1,0,0,1,20210101,
A5513,HCPCS,MULTI DEN INSERT CUSTOM MOLD,,,28,,NW,,,,,,$51.95,$0.00,1,1,1,0,0,1,20210101,
A5514,HCPCS,MULT DEN INSERT DIR CARV/CAM,,,28,,NW,,,,,,$52.14,$0.00,1,1,1,1,1,1,20210101,
A6000,HCPCS,WOUND WARMING WOUND COVER,,,28,,NW,,,,,,$90.50,$0.00,1,1,1,0,0,1,20210101,
A6010,HCPCS,COLLAGEN BASED WOUND FILLER,,,28,,NW,,,,,,$55.90,$0.00,1,1,1,0,0,1,20210101,
A6011,HCPCS,COLLAGEN GEL/PASTE WOUND FIL,,,28,,NW,,,,,,$6.00,$0.00,1,1,1,0,0,1,20210101,
A6021,HCPCS,COLLAGEN DRESSING <=16 SQ IN,,,28,,NW,,,,,,$38.59,$0.00,1,1,1,0,0,1,20210101,
A6022,HCPCS,COLLAGEN DRSG>16<=48 SQ IN,,,28,,NW,,,,,,$38.59,$0.00,1,1,1,0,0,1,20210101,
A6023,HCPCS,COLLAGEN DRESSING >48 SQ IN,,,28,,NW,,,,,,$333.05,$0.00,1,1,1,0,0,1,20210101,
A6024,HCPCS,COLLAGEN DSG WOUND FILLER,,,28,,NW,,,,,,$12.79,$0.00,1,1,1,0,0,1,20210101,
A6025,HCPCS,"SILICONE GEL SHEET, EACH",,,28,,NW,,,,,,$47.53,$0.00,1,1,1,0,0,1,20210101,
A6154,HCPCS,WOUND POUCH EACH,,,28,,NW,,,,,,$26.82,$0.00,1,1,1,0,0,1,20210101,
A6196,HCPCS,ALGINATE DRESSING <=16 SQ IN,,,28,,NW,,,,,,$14.82,$0.00,1,1,1,0,0,1,20210101,
A6197,HCPCS,ALGINATE DRSG >16 <=48 SQ IN,,,28,,NW,,,,,,$30.64,$0.00,1,1,1,0,0,1,20210101,
A6198,HCPCS,ALGINATE DRESSING > 48 SQ IN,,,28,,NW,,,,,,$86.47,$0.00,1,1,1,0,0,1,20210101,
A6199,HCPCS,ALGINATE DRSG WOUND FILLER,,,28,,NW,,,,,,$11.22,$0.00,1,1,1,0,0,1,20210101,
A6203,HCPCS,COMPOSITE DRSG <= 16 SQ IN,,,28,,NW,,,,,,$7.89,$0.00,1,1,1,0,0,1,20210101,
A6204,HCPCS,COMPOSITE DRSG >16<=48 SQ IN,,,28,,NW,,,,,,$12.87,$0.00,1,1,1,0,0,1,20210101,
A6205,HCPCS,COMPOSITE DRSG > 48 SQ IN,,,28,,NW,,,,,,$21.59,$0.00,1,1,1,0,0,1,20210101,
A6206,HCPCS,CONTACT LAYER <= 16 SQ IN,,,28,,NW,,,,,,$7.50,$0.00,1,1,1,0,0,1,20210101,
A6207,HCPCS,CONTACT LAYER >16<= 48 SQ IN,,,28,,NW,,,,,,$14.80,$0.00,1,1,1,0,0,1,20210101,
A6208,HCPCS,CONTACT LAYER > 48 SQ IN,,,28,,NW,,,,,,$74.28,$0.00,1,1,1,0,0,1,20210101,
A6209,HCPCS,FOAM DRSG <=16 SQ IN W/O BDR,,,28,,NW,,,,,,$15.03,$0.00,1,1,1,0,0,1,20210101,
A6210,HCPCS,FOAM DRG >16<=48 SQ IN W/O B,,,28,,NW,,,,,,$36.70,$0.00,1,1,1,0,0,1,20210101,
A6211,HCPCS,FOAM DRG > 48 SQ IN W/O BRDR,,,28,,NW,,,,,,$53.13,$0.00,1,1,1,0,0,1,20210101,
A6212,HCPCS,FOAM DRG <=16 SQ IN W/BORDER,,,28,,NW,,,,,,$18.92,$0.00,1,1,1,0,0,1,20210101,
A6213,HCPCS,FOAM DRG >16<=48 SQ IN W/BDR,,,28,,NW,,,,,,$30.81,$0.00,1,1,1,0,0,1,20210101,
A6214,HCPCS,FOAM DRG > 48 SQ IN W/BORDER,,,28,,NW,,,,,,$39.23,$0.00,1,1,1,0,0,1,20210101,
A6215,HCPCS,FOAM DRESSING WOUND FILLER,,,28,,NW,,,,,,$7.04,$0.00,1,1,1,0,0,1,20210101,
A6216,HCPCS,NON-STERILE GAUZE<=16 SQ IN,,,28,,NW,,,,,,$0.13,$0.00,1,1,1,0,0,1,20210101,
A6217,HCPCS,NON-STERILE GAUZE>16<=48 SQ,,,28,,NW,,,,,,$0.41,$0.00,1,1,1,0,0,1,20210101,
A6218,HCPCS,NON-STERILE GAUZE > 48 SQ IN,,,28,,NW,,,,,,$1.15,$0.00,1,1,1,0,0,1,20210101,
A6219,HCPCS,GAUZE <= 16 SQ IN W/BORDER,,,28,,NW,,,,,,$2.73,$0.00,1,1,1,0,0,1,20210101,
A6220,HCPCS,GAUZE >16 <=48 SQ IN W/BORDR,,,28,,NW,,,,,,$6.53,$0.00,1,1,1,0,0,1,20210101,
A6221,HCPCS,GAUZE > 48 SQ IN W/BORDER,,,28,,NW,,,,,,$14.24,$0.00,1,1,1,0,0,1,20210101,
A6222,HCPCS,GAUZE <=16 IN NO W/SAL W/O B,,,28,,NW,,,,,,$5.74,$0.00,1,1,1,0,0,1,20210101,
A6223,HCPCS,GAUZE >16<=48 NO W/SAL W/O B,,,28,,NW,,,,,,$6.25,$0.00,1,1,1,0,0,1,20210101,
A6224,HCPCS,GAUZE > 48 IN NO W/SAL W/O B,,,28,,NW,,,,,,$8.30,$0.00,1,1,1,0,0,1,20210101,
A6228,HCPCS,GAUZE <= 16 SQ IN WATER/SAL,,,28,,NW,,,,,,$5.30,$0.00,1,1,1,0,0,1,20210101,
A6229,HCPCS,GAUZE >16<=48 SQ IN WATR/SAL,,,28,,NW,,,,,,$6.34,$0.00,1,1,1,0,0,1,20210101,
A6230,HCPCS,GAUZE > 48 SQ IN WATER/SALNE,,,28,,NW,,,,,,$7.38,$0.00,1,1,1,0,0,1,20210101,
A6231,HCPCS,HYDROGEL DSG<=16 SQ IN,,,28,,NW,,,,,,$10.17,$0.00,1,1,1,0,0,1,20210101,
A6232,HCPCS,HYDROGEL DSG>16<=48 SQ IN,,,28,,NW,,,,,,$13.96,$0.00,1,1,1,0,0,1,20210101,
A6233,HCPCS,HYDROGEL DRESSING >48 SQ IN,,,28,,NW,,,,,,$35.38,$0.00,1,1,1,0,0,1,20210101,
A6234,HCPCS,HYDROCOLLD DRG <=16 W/O BDR,,,28,,NW,,,,,,$13.40,$0.00,1,1,1,0,0,1,20210101,
A6235,HCPCS,HYDROCOLLD DRG >16<=48 W/O B,,,28,,NW,,,,,,$31.30,$0.00,1,1,1,0,0,1,20210101,
A6236,HCPCS,HYDROCOLLD DRG > 48 IN W/O B,,,28,,NW,,,,,,$49.45,$0.00,1,1,1,0,0,1,20210101,
A6237,HCPCS,HYDROCOLLD DRG <=16 IN W/BDR,,,28,,NW,,,,,,$15.79,$0.00,1,1,1,0,0,1,20210101,
A6238,HCPCS,HYDROCOLLD DRG >16<=48 W/BDR,,,28,,NW,,,,,,$41.70,$0.00,1,1,1,0,0,1,20210101,
A6239,HCPCS,HYDROCOLLD DRG > 48 IN W/BDR,,,28,,NW,,,,,,$64.05,$0.00,1,1,1,0,0,1,20210101,
A6240,HCPCS,HYDROCOLLD DRG FILLER PASTE,,,28,,NW,,,,,,$23.34,$0.00,1,1,1,0,0,1,20210101,
A6241,HCPCS,HYDROCOLLOID DRG FILLER DRY,,,28,,NW,,,,,,$6.50,$0.00,1,1,1,0,0,1,20210101,
A6242,HCPCS,HYDROGEL DRG <=16 IN W/O BDR,,,28,,NW,,,,,,$12.57,$0.00,1,1,1,0,0,1,20210101,
A6243,HCPCS,HYDROGEL DRG >16<=48 W/O BDR,,,28,,NW,,,,,,$23.48,$0.00,1,1,1,0,0,1,20210101,
A6244,HCPCS,HYDROGEL DRG >48 IN W/O BDR,,,28,,NW,,,,,,$70.39,$0.00,1,1,1,0,0,1,20210101,
A6245,HCPCS,HYDROGEL DRG <= 16 IN W/BDR,,,28,,NW,,,,,,$14.68,$0.00,1,1,1,0,0,1,20210101,
A6246,HCPCS,HYDROGEL DRG >16<=48 IN W/B,,,28,,NW,,,,,,$19.31,$0.00,1,1,1,0,0,1,20210101,
A6247,HCPCS,HYDROGEL DRG > 48 SQ IN W/B,,,28,,NW,,,,,,$43.41,$0.00,1,1,1,0,0,1,20210101,
A6248,HCPCS,HYDROGEL DRSG GEL FILLER,,,28,,NW,,,,,,$30.30,$0.00,1,1,1,0,0,1,20210101,
A6250,HCPCS,SKIN SEAL PROTECT MOISTURIZR,,,28,,NW,,,,,,$10.38,$0.00,1,1,1,0,0,1,20210101,
A6251,HCPCS,ABSORPT DRG <=16 SQ IN W/O B,,,28,,NW,,,,,,$5.49,$0.00,1,1,1,0,0,1,20210101,
A6252,HCPCS,ABSORPT DRG >16 <=48 W/O BDR,,,28,,NW,,,,,,$7.70,$0.00,1,1,1,0,0,1,20210101,
A6253,HCPCS,ABSORPT DRG > 48 SQ IN W/O B,,,28,,NW,,,,,,$13.06,$0.00,1,1,1,0,0,1,20210101,
A6254,HCPCS,ABSORPT DRG <=16 SQ IN W/BDR,,,28,,NW,,,,,,$3.46,$0.00,1,1,1,0,0,1,20210101,
A6255,HCPCS,ABSORPT DRG >16<=48 IN W/BDR,,,28,,NW,,,,,,$7.31,$0.00,1,1,1,0,0,1,20210101,
A6256,HCPCS,ABSORPT DRG > 48 SQ IN W/BDR,,,28,,NW,,,,,,$11.51,$0.00,1,1,1,0,0,1,20210101,
A6257,HCPCS,TRANSPARENT FILM <= 16 SQ IN,,,28,,NW,,,,,,$4.48,$0.00,1,1,1,0,0,1,20210101,
A6258,HCPCS,TRANSPARENT FILM >16<=48 IN,,,28,,NW,,,,,,$9.52,$0.00,1,1,1,0,0,1,20210101,
A6259,HCPCS,TRANSPARENT FILM > 48 SQ IN,,,28,,NW,,,,,,$21.06,$0.00,1,1,1,0,0,1,20210101,
A6260,HCPCS,WOUND CLEANSER ANY TYPE/SIZE,,,28,,NW,,,,,,$1.71,$0.00,1,1,1,0,0,1,20210101,
A6261,HCPCS,WOUND FILLER GEL/PASTE /OZ,,,28,,NW,,,,,,$7.29,$0.00,1,1,1,0,0,1,20210101,
A6262,HCPCS,WOUND FILLER DRY FORM / GRAM,,,28,,NW,,,,,,$6.23,$0.00,1,1,1,0,0,1,20210101,
A6266,HCPCS,IMPREG GAUZE NO H20/SAL/YARD,,,28,,NW,,,,,,$5.37,$0.00,1,1,1,0,0,1,20210101,
A6402,HCPCS,STERILE GAUZE <= 16 SQ IN,,,28,,NW,,,,,,$0.32,$0.00,1,1,1,0,0,1,20210101,
A6403,HCPCS,STERILE GAUZE>16 <= 48 SQ IN,,,28,,NW,,,,,,$1.20,$0.00,1,1,1,0,0,1,20210101,
A6404,HCPCS,STERILE GAUZE > 48 SQ IN,,,28,,NW,,,,,,$1.15,$0.00,1,1,1,0,0,1,20210101,
A6407,HCPCS,"PACKING STRIPS, NON-IMPREG",,,28,,NW,,,,,,$5.29,$0.00,1,1,1,0,0,1,20210101,
A6410,HCPCS,STERILE EYE PAD,,,28,,NW,,,,,,$1.08,$0.00,1,1,1,0,0,1,20210101,
A6411,HCPCS,NON-STERILE EYE PAD,,,28,,NW,,,,,,$1.08,$0.00,1,1,1,0,0,1,20210101,
A6412,HCPCS,OCCLUSIVE EYE PATCH,,,28,,NW,,,,,,$0.91,$0.00,1,1,1,0,0,1,20210101,
A6413,HCPCS,"ADHESIVE BANDAGE, FIRST-AID",,,28,,NW,,,,,,$0.98,$0.00,1,1,1,0,0,1,20210101,
A6441,HCPCS,PAD BAND W>=3 <5/YD,,,28,,NW,,,,,,$1.94,$0.00,1,1,1,0,0,1,20210101,
A6442,HCPCS,CONFORM BAND N/S W<3/YD,,,28,,NW,,,,,,$0.44,$0.00,1,1,1,0,0,1,20210101,
A6443,HCPCS,CONFORM BAND N/S W>=3<5/YD,,,28,,NW,,,,,,$0.78,$0.00,1,1,1,0,0,1,20210101,
A6444,HCPCS,CONFORM BAND N/S W>=5/YD,,,28,,NW,,,,,,$1.58,$0.00,1,1,1,0,0,1,20210101,
A6445,HCPCS,CONFORM BAND S W <3/YD,,,28,,NW,,,,,,$0.90,$0.00,1,1,1,0,0,1,20210101,
A6446,HCPCS,CONFORM BAND S W>=3 <5/YD,,,28,,NW,,,,,,$1.13,$0.00,1,1,1,0,0,1,20210101,
A6447,HCPCS,CONFORM BAND S W >=5/YD,,,28,,NW,,,,,,$1.94,$0.00,1,1,1,0,0,1,20210101,
A6448,HCPCS,LT COMPRES BAND <3/YD,,,28,,NW,,,,,,$3.32,$0.00,1,1,1,0,0,1,20210101,
A6449,HCPCS,LT COMPRES BAND >=3 <5/YD,,,28,,NW,,,,,,$4.64,$0.00,1,1,1,0,0,1,20210101,
A6450,HCPCS,LT COMPRES BAND >=5/YD,,,28,,NW,,,,,,$5.08,$0.00,1,1,1,0,0,1,20210101,
A6451,HCPCS,MOD COMPRES BAND W>=3<5/YD,,,28,,NW,,,,,,$5.08,$0.00,1,1,1,0,0,1,20210101,
A6452,HCPCS,HIGH COMPRES BAND W>=3<5YD,,,28,,NW,,,,,,$12.30,$0.00,1,1,1,0,0,1,20210101,
A6453,HCPCS,SELF-ADHER BAND W <3/YD,,,28,,NW,,,,,,$1.77,$0.00,1,1,1,0,0,1,20210101,
A6454,HCPCS,SELF-ADHER BAND W>=3 <5/YD,,,28,,NW,,,,,,$2.21,$0.00,1,1,1,0,0,1,20210101,
A6455,HCPCS,SELF-ADHER BAND >=5/YD,,,28,,NW,,,,,,$4.05,$0.00,1,1,1,0,0,1,20210101,
A6456,HCPCS,ZINC PASTE BAND W >=3<5/YD,,,28,,NW,,,,,,$3.66,$0.00,1,1,1,0,0,1,20210101,
A6457,HCPCS,TUBULAR DRESSING,,,28,,NW,,,,,,$3.27,$0.00,1,1,1,0,0,1,20210101,
A6504,HCPCS,CMPRSBURNGARMENT GLOVE-WRIST,,,28,,NW,,,,,,$451.05,$0.00,1,1,1,0,0,1,20210101,
A6505,HCPCS,CMPRSBURNGARMENT GLOVE-ELBOW,,,28,,NW,,,,,,$439.18,$0.00,1,1,1,0,0,1,20210101,
A6506,HCPCS,CMPRSBURNGRMNT GLOVE-AXILLA,,,28,,NW,,,,,,$506.35,$0.00,1,1,1,0,0,1,20210101,
A6507,HCPCS,CMPRS BURNGARMENT FOOT-KNEE,,,28,,NW,,,,,,$313.61,$0.00,1,1,1,0,0,1,20210101,
A6508,HCPCS,CMPRS BURNGARMENT FOOT-THIGH,,,28,,NW,,,,,,$583.33,$0.00,1,1,1,0,0,1,20210101,
A6509,HCPCS,COMPRES BURN GARMENT JACKET,,,28,,NW,,,,,,$818.83,$0.00,1,1,1,0,0,1,20210101,
A6510,HCPCS,COMPRES BURN GARMENT LEOTARD,,,28,,NW,,,,,,$353.75,$0.00,1,1,1,0,0,1,20210101,
A6511,HCPCS,COMPRES BURN GARMENT PANTY,,,28,,NW,,,,,,$604.50,$0.00,1,1,1,0,0,1,20210101,
A6512,HCPCS,"COMPRES BURN GARMENT, NOC",,,28,,NW,,,,,,$259.73,$0.00,1,1,1,0,0,1,20210101,
A6530,HCPCS,COMPRESSION STOCKING BK18-30,,,28,,NW,,,,,,$56.39,$0.00,1,1,1,0,0,1,20210101,
A6531,HCPCS,COMPRESSION STOCKING BK30-40,,,28,,NW,,,,,,$77.28,$0.00,1,1,1,0,0,1,20210101,
A6531,HCPCS,COMPRESSION STOCKING BK30-40,AW,,28,,NW,,,,,,$77.28,$0.00,1,1,1,0,0,1,20210101,
A6532,HCPCS,COMPRESSION STOCKING BK40-50,,,28,,NW,,,,,,$108.06,$0.00,1,1,1,0,0,1,20210101,
A6532,HCPCS,COMPRESSION STOCKING BK40-50,AW,,28,,NW,,,,,,$108.06,$0.00,1,1,1,0,0,1,20210101,
A6533,HCPCS,GC STOCKING THIGHLNGTH 18-30,,,28,,NW,,,,,,$78.72,$0.00,1,1,1,0,0,1,20210101,
A6534,HCPCS,GC STOCKING THIGHLNGTH 30-40,,,28,,NW,,,,,,$101.42,$0.00,1,1,1,0,0,1,20210101,
A6535,HCPCS,GC STOCKING THIGHLNGTH 40-50,,,28,,NW,,,,,,$145.09,$0.00,1,1,1,0,0,1,20210101,
A6536,HCPCS,GC STOCKING FULL LNGTH 18-30,,,28,,NW,,,,,,$119.85,$0.00,1,1,1,0,0,1,20210101,
A6537,HCPCS,GC STOCKING FULL LNGTH 30-40,,,28,,NW,,,,,,$130.04,$0.00,1,1,1,0,0,1,20210101,
A6538,HCPCS,GC STOCKING FULL LNGTH 40-50,,,28,,NW,,,,,,$165.16,$0.00,1,1,1,0,0,1,20210101,
A6539,HCPCS,GC STOCKING WAISTLNGTH 18-30,,,28,,NW,,,,,,$189.05,$0.00,1,1,1,0,0,1,20210101,
A6540,HCPCS,GC STOCKING WAISTLNGTH 30-40,,,28,,NW,,,,,,$193.77,$0.00,1,1,1,0,0,1,20210101,
A6541,HCPCS,GC STOCKING WAISTLNGTH 40-50,,,28,,NW,,,,,,$210.11,$0.00,1,1,1,0,0,1,20210101,
A6544,HCPCS,GC STOCKING GARTER BELT,,,28,,NW,,,,,,$94.05,$0.00,1,1,1,0,0,1,20210101,
A6545,HCPCS,GRAD COMP NON-ELASTIC BK,,,28,,NW,,,,,,$150.19,$0.00,1,1,1,0,0,1,20210101,
A6545,HCPCS,GRAD COMP NON-ELASTIC BK,AW,,28,,NW,,,,,,$150.19,$0.00,1,1,1,0,0,1,20210101,
A6549,HCPCS,G COMPRESSION STOCKING,,,28,,NW,,,,,,$319.06,$0.00,1,1,1,0,0,1,20210101,
A6550,HCPCS,NEG PRES WOUND THER DRSG SET,,,28,,NW,,,,,,$107.00,$0.00,1,1,1,0,0,1,20210101,
A7000,HCPCS,DISPOSABLE CANISTER FOR PUMP,,,28,,NW,,,,,,$63.17,$0.00,1,1,1,0,0,1,20210101,
A7000,HCPCS,DISPOSABLE CANISTER FOR PUMP,NU,,28,,NW,,,,,,$63.17,$0.00,1,1,1,0,0,1,20210101,
A7001,HCPCS,NONDISPOSABLE PUMP CANISTER,,,28,,NW,,,,,,$124.65,$0.00,1,1,1,0,0,1,20210101,
A7001,HCPCS,NONDISPOSABLE PUMP CANISTER,NU,,28,,NW,,,,,,$124.65,$0.00,1,1,1,0,0,1,20210101,
A7002,HCPCS,TUBING USED W SUCTION PUMP,,,28,,NW,,,,,,$27.76,$0.00,1,1,1,0,0,1,20210101,
A7002,HCPCS,TUBING USED W SUCTION PUMP,NU,,28,,NW,,,,,,$27.76,$0.00,1,1,1,0,0,1,20210101,
A7003,HCPCS,NEBULIZER ADMINISTRATION SET,,,28,,NW,,,,,,$11.73,$0.00,1,1,1,0,0,1,20210101,
A7003,HCPCS,NEBULIZER ADMINISTRATION SET,NU,,28,,NW,,,,,,$11.73,$0.00,1,1,1,0,0,1,20210101,
A7004,HCPCS,DISPOSABLE NEBULIZER SML VOL,,,28,,NW,,,,,,$9.15,$0.00,1,1,1,0,0,1,20210101,
A7004,HCPCS,DISPOSABLE NEBULIZER SML VOL,NU,,28,,NW,,,,,,$9.15,$0.00,1,1,1,0,0,1,20210101,
A7005,HCPCS,NONDISPOSABLE NEBULIZER SET,,,28,,NW,,,,,,$89.31,$0.00,1,1,1,0,0,1,20210101,
A7005,HCPCS,NONDISPOSABLE NEBULIZER SET,NU,,28,,NW,,,,,,$89.31,$0.00,1,1,1,0,0,1,20210101,
A7006,HCPCS,FILTERED NEBULIZER ADMIN SET,,,28,,NW,,,,,,$57.38,$0.00,1,1,1,0,0,1,20210101,
A7006,HCPCS,FILTERED NEBULIZER ADMIN SET,NU,,28,,NW,,,,,,$57.38,$0.00,1,1,1,0,0,1,20210101,
A7007,HCPCS,LG VOL NEBULIZER DISPOSABLE,,,28,,NW,,,,,,$23.23,$0.00,1,1,1,0,0,1,20210101,
A7007,HCPCS,LG VOL NEBULIZER DISPOSABLE,NU,,28,,NW,,,,,,$23.23,$0.00,1,1,1,0,0,1,20210101,
A7008,HCPCS,DISPOSABLE NEBULIZER PREFILL,,,28,,NW,,,,,,$78.62,$0.00,1,1,1,0,0,1,20210101,
A7008,HCPCS,DISPOSABLE NEBULIZER PREFILL,NU,,28,,NW,,,,,,$78.62,$0.00,1,1,1,0,0,1,20210101,
A7009,HCPCS,NEBULIZER RESERVOIR BOTTLE,,,28,,NW,,,,,,$143.84,$0.00,1,1,1,0,0,1,20210101,
A7009,HCPCS,NEBULIZER RESERVOIR BOTTLE,NU,,28,,NW,,,,,,$143.84,$0.00,1,1,1,0,0,1,20210101,
A7010,HCPCS,DISPOSABLE CORRUGATED TUBING,,,28,,NW,,,,,,$92.55,$0.00,1,1,1,0,0,1,20210101,
A7010,HCPCS,DISPOSABLE CORRUGATED TUBING,NU,,28,,NW,,,,,,$92.55,$0.00,1,1,1,0,0,1,20210101,
A7012,HCPCS,NEBULIZER WATER COLLEC DEVIC,,,28,,NW,,,,,,$20.24,$0.00,1,1,1,0,0,1,20210101,
A7012,HCPCS,NEBULIZER WATER COLLEC DEVIC,NU,,28,,NW,,,,,,$20.24,$0.00,1,1,1,0,0,1,20210101,
A7013,HCPCS,DISPOSABLE COMPRESSOR FILTER,,,28,,NW,,,,,,$4.10,$0.00,1,1,1,0,0,1,20210101,
A7013,HCPCS,DISPOSABLE COMPRESSOR FILTER,NU,,28,,NW,,,,,,$4.10,$0.00,1,1,1,0,0,1,20210101,
A7014,HCPCS,COMPRESSOR NONDISPOS FILTER,,,28,,NW,,,,,,$23.68,$0.00,1,1,1,0,0,1,20210101,
A7014,HCPCS,COMPRESSOR NONDISPOS FILTER,NU,,28,,NW,,,,,,$23.68,$0.00,1,1,1,0,0,1,20210101,
A7015,HCPCS,AEROSOL MASK USED W NEBULIZE,,,28,,NW,,,,,,$9.26,$0.00,1,1,1,0,0,1,20210101,
A7015,HCPCS,AEROSOL MASK USED W NEBULIZE,NU,,28,,NW,,,,,,$9.26,$0.00,1,1,1,0,0,1,20210101,
A7016,HCPCS,NEBULIZER DOME & MOUTHPIECE,,,28,,NW,,,,,,$60.33,$0.00,1,1,1,0,0,1,20210101,
A7016,HCPCS,NEBULIZER DOME & MOUTHPIECE,NU,,28,,NW,,,,,,$60.33,$0.00,1,1,1,0,0,1,20210101,
A7017,HCPCS,NEBULIZER NOT USED W OXYGEN,,,28,,NW,,,,,,$275.47,$0.00,1,1,1,0,0,1,20210101,
A7017,HCPCS,NEBULIZER NOT USED W OXYGEN,NU,,28,,NW,,,,,,$275.47,$0.00,1,1,1,0,0,1,20210101,
A7017,HCPCS,NEBULIZER NOT USED W OXYGEN,RR,,28,,NW,,,,,,$80.75,$0.00,1,1,1,0,0,1,20210101,
A7017,HCPCS,NEBULIZER NOT USED W OXYGEN,UE,,28,,NW,,,,,,$222.33,$0.00,1,1,1,0,0,1,20210101,
A7018,HCPCS,WATER DISTILLED W/NEBULIZER,,,28,,NW,,,,,,$2.28,$0.00,1,1,1,0,0,1,20210101,
A7020,HCPCS,"INTERFACE, COUGH STIM DEVICE",,,28,,NW,,,,,,$91.21,$0.00,1,1,1,0,0,1,20210101,
A7020,HCPCS,"INTERFACE, COUGH STIM DEVICE",NU,,28,,NW,,,,,,$91.21,$0.00,1,1,1,0,0,1,20210101,
A7025,HCPCS,REPLACE CHEST COMPRESS VEST,,,28,,NW,,,,,,"$1,147.69",$0.00,1,1,1,0,0,1,20210101,
A7025,HCPCS,REPLACE CHEST COMPRESS VEST,RR,,28,,NW,,,,,,$149.39,$0.00,1,1,1,0,0,1,20210101,
A7026,HCPCS,REPLACE CHST CMPRSS SYS HOSE,,,28,,NW,,,,,,$120.05,$0.00,1,1,1,0,0,1,20210101,
A7026,HCPCS,REPLACE CHST CMPRSS SYS HOSE,NU,,28,,NW,,,,,,$120.05,$0.00,1,1,1,0,0,1,20210101,
A7027,HCPCS,COMBINATION ORAL/NASAL MASK,,,28,,NW,,,,,,$298.17,$0.00,1,1,1,0,0,1,20210101,
A7027,HCPCS,COMBINATION ORAL/NASAL MASK,NU,,28,,NW,,,,,,$298.17,$0.00,1,1,1,0,0,1,20210101,
A7028,HCPCS,REPL ORAL CUSHION COMBO MASK,,,28,,NW,,,,,,$128.18,$0.00,1,1,1,0,0,1,20210101,
A7028,HCPCS,REPL ORAL CUSHION COMBO MASK,NU,,28,,NW,,,,,,$128.18,$0.00,1,1,1,0,0,1,20210101,
A7029,HCPCS,REPL NASAL PILLOW COMB MASK,,,28,,NW,,,,,,$92.01,$0.00,1,1,1,0,0,1,20210101,
A7029,HCPCS,REPL NASAL PILLOW COMB MASK,NU,,28,,NW,,,,,,$92.01,$0.00,1,1,1,0,0,1,20210101,
A7030,HCPCS,CPAP FULL FACE MASK,,,28,,NW,,,,,,$246.72,$0.00,1,1,1,0,0,1,20210101,
A7030,HCPCS,CPAP FULL FACE MASK,NU,,28,,NW,,,,,,$246.72,$0.00,1,1,1,0,0,1,20210101,
A7031,HCPCS,REPLACEMENT FACEMASK INTERFA,,,28,,NW,,,,,,$132.31,$0.00,1,1,1,0,0,1,20210101,
A7031,HCPCS,REPLACEMENT FACEMASK INTERFA,NU,,28,,NW,,,,,,$132.31,$0.00,1,1,1,0,0,1,20210101,
A7032,HCPCS,REPLACEMENT NASAL CUSHION,,,28,,NW,,,,,,$102.19,$0.00,1,1,1,0,0,1,20210101,
A7032,HCPCS,REPLACEMENT NASAL CUSHION,NU,,28,,NW,,,,,,$102.19,$0.00,1,1,1,0,0,1,20210101,
A7033,HCPCS,REPLACEMENT NASAL PILLOWS,,,28,,NW,,,,,,$93.67,$0.00,1,1,1,0,0,1,20210101,
A7033,HCPCS,REPLACEMENT NASAL PILLOWS,NU,,28,,NW,,,,,,$93.67,$0.00,1,1,1,0,0,1,20210101,
A7034,HCPCS,NASAL APPLICATION DEVICE,,,28,,NW,,,,,,$177.84,$0.00,1,1,1,0,0,1,20210101,
A7034,HCPCS,NASAL APPLICATION DEVICE,NU,,28,,NW,,,,,,$177.84,$0.00,1,1,1,0,0,1,20210101,
A7035,HCPCS,POS AIRWAY PRESS HEADGEAR,,,28,,NW,,,,,,$100.59,$0.00,1,1,1,0,0,1,20210101,
A7035,HCPCS,POS AIRWAY PRESS HEADGEAR,NU,,28,,NW,,,,,,$100.59,$0.00,1,1,1,0,0,1,20210101,
A7036,HCPCS,POS AIRWAY PRESS CHINSTRAP,,,28,,NW,,,,,,$78.84,$0.00,1,1,1,0,0,1,20210101,
A7036,HCPCS,POS AIRWAY PRESS CHINSTRAP,NU,,28,,NW,,,,,,$78.84,$0.00,1,1,1,0,0,1,20210101,
A7037,HCPCS,POS AIRWAY PRESSURE TUBING,,,28,,NW,,,,,,$92.24,$0.00,1,1,1,0,0,1,20210101,
A7037,HCPCS,POS AIRWAY PRESSURE TUBING,NU,,28,,NW,,,,,,$92.24,$0.00,1,1,1,0,0,1,20210101,
A7038,HCPCS,POS AIRWAY PRESSURE FILTER,,,28,,NW,,,,,,$17.04,$0.00,1,1,1,0,0,1,20210101,
A7038,HCPCS,POS AIRWAY PRESSURE FILTER,NU,,28,,NW,,,,,,$17.04,$0.00,1,1,1,0,0,1,20210101,
A7039,HCPCS,"FILTER, NON DISPOSABLE W PAP",,,28,,NW,,,,,,$53.53,$0.00,1,1,1,0,0,1,20210101,
A7039,HCPCS,"FILTER, NON DISPOSABLE W PAP",NU,,28,,NW,,,,,,$53.53,$0.00,1,1,1,0,0,1,20210101,
A7040,HCPCS,ONE WAY CHEST DRAIN VALVE,,,28,,NW,,,,,,$71.65,$0.00,1,1,1,0,0,1,20210101,
A7041,HCPCS,WATER SEAL DRAIN CONTAINER,,,28,,NW,,,,,,$132.87,$0.00,1,1,1,0,0,1,20210101,
A7044,HCPCS,PAP ORAL INTERFACE,,,28,,NW,,,,,,$219.02,$0.00,1,1,1,0,0,1,20210101,
A7044,HCPCS,PAP ORAL INTERFACE,NU,,28,,NW,,,,,,$219.02,$0.00,1,1,1,0,0,1,20210101,
A7045,HCPCS,REPL EXHALATION PORT FOR PAP,,,28,,NW,,,,,,$86.00,$0.00,1,1,1,0,0,1,20210101,
A7045,HCPCS,REPL EXHALATION PORT FOR PAP,NU,,28,,NW,,,,,,$86.00,$0.00,1,1,1,0,0,1,20210101,
A7045,HCPCS,REPL EXHALATION PORT FOR PAP,RR,,28,,NW,,,,,,$8.95,$0.00,1,1,1,0,0,1,20210101,
A7045,HCPCS,REPL EXHALATION PORT FOR PAP,UE,,28,,NW,,,,,,$72.31,$0.00,1,1,1,0,0,1,20210101,
A7046,HCPCS,"REPL WATER CHAMBER, PAP DEV",,,28,,NW,,,,,,$87.81,$0.00,1,1,1,0,0,1,20210101,
A7046,HCPCS,"REPL WATER CHAMBER, PAP DEV",NU,,28,,NW,,,,,,$87.81,$0.00,1,1,1,0,0,1,20210101,
A7047,HCPCS,RESP SUCTION ORAL INTERFACE,,,28,,NW,,,,,,$87.81,$0.00,1,1,1,0,0,1,20210101,
A7047,HCPCS,RESP SUCTION ORAL INTERFACE,NU,,28,,NW,,,,,,$303.24,$0.00,1,1,1,0,0,1,20210101,
A7048,HCPCS,VACUUM DRAIN BOTTLE/TUBE KIT,,,28,,NW,,,,,,$74.99,$0.00,1,1,1,0,0,1,20210101,
A7501,HCPCS,TRACHEOSTOMA VALVE W DIAPHRA,,,28,,NW,,,,,,$184.70,$0.00,1,1,1,0,0,1,20210101,
A7502,HCPCS,REPLACEMENT DIAPHRAGM/FPLATE,,,28,,NW,,,,,,$88.86,$0.00,1,1,1,0,0,1,20210101,
A7503,HCPCS,HMES FILTER HOLDER OR CAP,,,28,,NW,,,,,,$21.76,$0.00,1,1,1,0,0,1,20210101,
A7504,HCPCS,TRACHEOSTOMA HMES FILTER,,,28,,NW,,,,,,$1.94,$0.00,1,1,1,0,0,1,20210101,
A7505,HCPCS,HMES OR TRACH VALVE HOUSING,,,28,,NW,,,,,,$10.18,$0.00,1,1,1,0,0,1,20210101,
A7506,HCPCS,HMES/TRACHVALVE ADHESIVEDISK,,,28,,NW,,,,,,$0.93,$0.00,1,1,1,0,0,1,20210101,
A7507,HCPCS,INTEGRATED FILTER & HOLDER,,,28,,NW,,,,,,$6.36,$0.00,1,1,1,0,0,1,20210101,
A7508,HCPCS,HOUSING & INTEGRATED ADHESIV,,,28,,NW,,,,,,$7.01,$0.00,1,1,1,0,0,1,20210101,
A7509,HCPCS,HEAT & MOISTURE EXCHANGE SYS,,,28,,NW,,,,,,$4.10,$0.00,1,1,1,0,0,1,20210101,
A7520,HCPCS,TRACH/LARYN TUBE NON-CUFFED,,,28,,NW,,,,,,$67.59,$0.00,1,1,1,0,0,1,20210101,
A7521,HCPCS,TRACH/LARYN TUBE CUFFED,,,28,,NW,,,,,,$66.80,$0.00,1,1,1,0,0,1,20210101,
A7522,HCPCS,TRACH/LARYN TUBE STAINLESS,,,28,,NW,,,,,,$63.48,$0.00,1,1,1,0,0,1,20210101,
A7523,HCPCS,TRACHEOSTOMY SHOWER PROTECT,,,28,,NW,,,,,,$39.86,$0.00,1,1,1,0,0,1,20210101,
A7524,HCPCS,TRACHEOSTOMA STENT/STUD/BTTN,,,28,,NW,,,,,,$120.76,$0.00,1,1,1,0,0,1,20210101,
A7525,HCPCS,TRACHEOSTOMY MASK,,,28,,NW,,,,,,$2.86,$0.00,1,1,1,0,0,1,20210101,
A7526,HCPCS,TRACHEOSTOMY TUBE COLLAR,,,28,,NW,,,,,,$4.68,$0.00,1,1,1,0,0,1,20210101,
A7527,HCPCS,TRACH/LARYN TUBE PLUG/STOP,,,28,,NW,,,,,,$8.26,$0.00,1,1,1,0,0,1,20210101,
A8000,HCPCS,SOFT PROTECT HELMET PREFAB,,,28,,NW,,,,,,$367.76,$0.00,1,1,1,0,0,1,20210101,
A8000,HCPCS,SOFT PROTECT HELMET PREFAB,NU,,28,,NW,,,,,,$367.76,$0.00,1,1,1,0,0,1,20210101,
A8000,HCPCS,SOFT PROTECT HELMET PREFAB,RR,,28,,NW,,,,,,$93.41,$0.00,1,1,1,0,0,1,20210101,
A8000,HCPCS,SOFT PROTECT HELMET PREFAB,UE,,28,,NW,,,,,,$291.59,$0.00,1,1,1,0,0,1,20210101,
A8001,HCPCS,HARD PROTECT HELMET PREFAB,,,28,,NW,,,,,,$367.76,$0.00,1,1,1,0,0,1,20210101,
A8001,HCPCS,HARD PROTECT HELMET PREFAB,NU,,28,,NW,,,,,,$367.76,$0.00,1,1,1,0,0,1,20210101,
A8001,HCPCS,HARD PROTECT HELMET PREFAB,RR,,28,,NW,,,,,,$93.41,$0.00,1,1,1,0,0,1,20210101,
A8001,HCPCS,HARD PROTECT HELMET PREFAB,UE,,28,,NW,,,,,,$291.59,$0.00,1,1,1,0,0,1,20210101,
A8002,HCPCS,SOFT PROTECT HELMET CUSTOM,,,28,,NW,,,,,,$537.36,$0.00,1,1,1,0,0,1,20210101,
A8002,HCPCS,SOFT PROTECT HELMET CUSTOM,NU,,28,,NW,,,,,,$537.36,$0.00,1,1,1,0,0,1,20210101,
A8002,HCPCS,SOFT PROTECT HELMET CUSTOM,RR,,28,,NW,,,,,,$56.66,$0.00,1,1,1,0,0,1,20210101,
A8002,HCPCS,SOFT PROTECT HELMET CUSTOM,UE,,28,,NW,,,,,,$402.99,$0.00,1,1,1,0,0,1,20210101,
A8003,HCPCS,HARD PROTECT HELMET CUSTOM,,,28,,NW,,,,,,$561.31,$0.00,1,1,1,0,0,1,20210101,
A8003,HCPCS,HARD PROTECT HELMET CUSTOM,NU,,28,,NW,,,,,,$561.31,$0.00,1,1,1,0,0,1,20210101,
A8003,HCPCS,HARD PROTECT HELMET CUSTOM,RR,,28,,NW,,,,,,$59.71,$0.00,1,1,1,0,0,1,20210101,
A8003,HCPCS,HARD PROTECT HELMET CUSTOM,UE,,28,,NW,,,,,,$421.99,$0.00,1,1,1,0,0,1,20210101,
A8004,HCPCS,"REPL SOFT INTERFACE, HELMET",,,28,,NW,,,,,,$67.05,$0.00,1,1,1,0,0,1,20210101,
A8004,HCPCS,"REPL SOFT INTERFACE, HELMET",NU,,28,,NW,,,,,,$67.05,$0.00,1,1,1,0,0,1,20210101,
A8004,HCPCS,"REPL SOFT INTERFACE, HELMET",RR,,28,,NW,,,,,,$7.14,$0.00,1,1,1,0,0,1,20210101,
A8004,HCPCS,"REPL SOFT INTERFACE, HELMET",UE,,28,,NW,,,,,,$50.41,$0.00,1,1,1,0,0,1,20210101,
A9150,HCPCS,MISC/EXPER NON-PRESCRIPT DRU,,,29,,NW,,,,,,$7.07,$0.00,1,1,1,0,0,1,20210101,
A9152,HCPCS,SINGLE VITAMIN NOS,,,29,,NW,,,,,,$24.70,$0.00,1,1,1,0,0,1,20210101,
A9153,HCPCS,MULTI-VITAMIN NOS,,,29,,NW,,,,,,$24.70,$0.00,1,1,1,0,0,1,20210101,
A9155,HCPCS,ARTIFICIAL SALIVA,,,29,,NW,,,,,,$8.80,$0.00,1,1,1,0,0,1,20210101,
A9180,HCPCS,"LICE TREATMENT, TOPICAL",,,29,,NW,,,,,,$201.73,$0.00,1,1,1,0,0,1,20210101,
A9270,HCPCS,NON-COVERED ITEM OR SERVICE,,,28,,NW,,,,,,$121.76,$0.00,1,1,1,0,0,1,20210101,
A9272,HCPCS,"DISP WOUND SUCT, DRSG/ACCESS",,,28,,NW,,,,,,$688.77,$0.00,1,1,1,0,0,1,20210101,
A9273,HCPCS,HOT/COLD BOTLE/CAP/COL/WRAP,,,28,,NW,,,,,,$22.32,$0.00,1,1,1,0,0,1,20210101,
A9274,HCPCS,EXT AMB INSULIN DELIVERY SYS,,,28,,NW,,,,,,$54.02,$0.00,1,1,1,0,0,1,20210101,
A9275,HCPCS,DISP HOME GLUCOSE MONITOR,,,28,,NW,,,,,,$38.93,$0.00,1,1,1,0,0,1,20210101,
A9276,HCPCS,"DISPOSABLE SENSOR, CGM SYS",,,28,,NW,,,,,,$29.89,$0.00,1,1,1,0,0,1,20210101,
A9277,HCPCS,"EXTERNAL TRANSMITTER, CGM",,,28,,NW,,,,,,"$1,576.97",$0.00,1,1,1,0,0,1,20210101,
A9278,HCPCS,"EXTERNAL RECEIVER, CGM SYS",,,28,,NW,,,,,,"$1,540.30",$0.00,1,1,1,0,0,1,20210101,
A9279,HCPCS,MONITORING FEATURE/DEVICENOC,,,28,,NW,,,,,,$160.88,$0.00,1,1,1,0,0,1,20210101,
A9280,HCPCS,"ALERT DEVICE, NOC",,,28,,NW,,,,,,$325.00,$0.00,1,1,1,0,0,1,20210101,
A9281,HCPCS,REACHING/GRABBING DEVICE,,,28,,NW,,,,,,$51.02,$0.00,1,1,1,0,0,1,20210101,
A9282,HCPCS,WIG ANY TYPE,,,28,,NW,,,,,,$779.95,$0.00,1,1,1,0,0,1,20210101,
A9283,HCPCS,FOOT PRESS OFF LOAD SUPP DEV,,,28,,NW,,,,,,$47.56,$0.00,1,1,1,0,0,1,20210101,
A9284,HCPCS,NON-ELECTRONIC SPIROMETER,,,28,,NW,,,,,,$28.87,$0.00,1,1,1,0,0,1,20210101,
A9286,HCPCS,"ANY HYGIENIC ITEM, DEVICE",,,28,,NW,,,,,,$0.41,$0.00,1,1,1,0,0,1,20210101,
A9300,HCPCS,EXERCISE EQUIPMENT,,,28,,NW,,,,,,$13.39,$0.00,1,1,1,0,0,1,20210101,
A9500,HCPCS,TC99M SESTAMIBI,,,28,,NW,,,,,,$323.54,$0.00,1,1,1,0,0,1,20210101,
A9501,HCPCS,TECHNETIUM TC-99M TEBOROXIME,,,28,,NW,,,,,,$486.11,$0.00,1,1,1,0,0,1,20210101,
A9502,HCPCS,TC99M TETROFOSMIN,,,28,,NW,,,,,,$293.64,$0.00,1,1,1,0,0,1,20210101,
A9503,HCPCS,TC99M MEDRONATE,,,28,,NW,,,,,,$81.46,$0.00,1,1,1,0,0,1,20210101,
A9504,HCPCS,TC99M APCITIDE,,,28,,NW,,,,,,$347.50,$0.00,1,1,1,0,0,1,20210101,
A9505,HCPCS,TL201 THALLIUM,,,28,,NW,,,,,,$243.52,$0.00,1,1,1,0,0,1,20210101,
A9507,HCPCS,IN111 CAPROMAB,,,28,,NW,,,,,,"$4,734.82",$0.00,1,1,1,0,0,1,20210101,
A9508,HCPCS,"I131 IODOBENGUATE, DX",,,28,,NW,,,,,,$52.34,$0.00,1,1,1,0,0,1,20210101,
A9509,HCPCS,IODINE I-123 SOD IODIDE MIL,,,28,,NW,,,,,,$615.39,$0.00,1,1,1,0,0,1,20210101,
A9510,HCPCS,TC99M DISOFENIN,,,28,,NW,,,,,,$104.51,$0.00,1,1,1,0,0,1,20210101,
A9512,HCPCS,TC99M PERTECHNETATE,,,28,,NW,,,,,,$29.80,$0.00,1,1,1,0,0,1,20210101,
A9513,HCPCS,LUTETIUM LU 177 DOTATAT THER,,,28,,NW,,,,,,$486.25,$0.00,1,1,1,0,0,1,20210101,
A9515,HCPCS,CHOLINE C-11,,,28,,NW,,,,,,"$9,171.43",$0.00,1,1,1,0,0,1,20210101,
A9516,HCPCS,IODINE I-123 SOD IODIDE MIC,,,28,,NW,,,,,,$267.37,$0.00,1,1,1,0,0,1,20210101,
A9517,HCPCS,"I131 IODIDE CAP, RX",,,28,,NW,,,,,,$123.98,$0.00,1,1,1,0,0,1,20210101,
A9520,HCPCS,TC99 TILMANOCEPT DIAG 0.5MCI,,,28,,NW,,,,,,$883.37,$0.00,1,1,1,0,0,1,20210101,
A9521,HCPCS,TC99M EXAMETAZIME,,,28,,NW,,,,,,"$2,077.62",$0.00,1,1,1,0,0,1,20210101,
A9524,HCPCS,"I131 SERUM ALBUMIN, DX",,,28,,NW,,,,,,$267.35,$0.00,1,1,1,0,0,1,20210101,
A9526,HCPCS,NITROGEN N-13 AMMONIA,,,28,,NW,,,,,,$949.02,$0.00,1,1,1,0,0,1,20210101,
A9527,HCPCS,IODINE I-125 SODIUM IODIDE,,,28,,NW,,,,,,$121.52,$0.00,1,1,1,0,0,1,20210101,
A9528,HCPCS,"IODINE I-131 IODIDE CAP, DX",,,28,,NW,,,,,,$358.48,$0.00,1,1,1,0,0,1,20210101,
A9529,HCPCS,"I131 IODIDE SOL, DX",,,28,,NW,,,,,,$82.63,$0.00,1,1,1,0,0,1,20210101,
A9530,HCPCS,"I131 IODIDE SOL, RX",,,28,,NW,,,,,,$41.69,$0.00,1,1,1,0,0,1,20210101,
A9531,HCPCS,I131 MAX 100UCI,,,28,,NW,,,,,,$23.90,$0.00,1,1,1,0,0,1,20210101,
A9532,HCPCS,"I125 SERUM ALBUMIN, DX",,,28,,NW,,,,,,$578.22,$0.00,1,1,1,0,0,1,20210101,
A9536,HCPCS,TC99M DEPREOTIDE,,,28,,NW,,,,,,$891.18,$0.00,1,1,1,0,0,1,20210101,
A9537,HCPCS,TC99M MEBROFENIN,,,28,,NW,,,,,,$147.29,$0.00,1,1,1,0,0,1,20210101,
A9538,HCPCS,TC99M PYROPHOSPHATE,,,28,,NW,,,,,,$116.71,$0.00,1,1,1,0,0,1,20210101,
A9539,HCPCS,TC99M PENTETATE,,,28,,NW,,,,,,$97.95,$0.00,1,1,1,0,0,1,20210101,
A9540,HCPCS,TC99M MAA,,,28,,NW,,,,,,$50.94,$0.00,1,1,1,0,0,1,20210101,
A9541,HCPCS,TC99M SULFUR COLLOID,,,28,,NW,,,,,,$208.80,$0.00,1,1,1,0,0,1,20210101,
A9543,HCPCS,"Y90 IBRITUMOMAB, RX",,,28,,NW,,,,,,"$58,542.84",$0.00,1,1,1,0,0,1,20210101,
A9546,HCPCS,CO57/58,,,28,,NW,,,,,,$33.58,$0.00,1,1,1,0,0,1,20210101,
A9547,HCPCS,IN111 OXYQUINOLINE,,,28,,NW,,,,,,"$1,391.12",$0.00,1,1,1,0,0,1,20210101,
A9548,HCPCS,IN111 PENTETATE,,,28,,NW,,,,,,"$1,382.03",$0.00,1,1,1,0,0,1,20210101,
A9550,HCPCS,TC99M GLUCEPTATE,,,28,,NW,,,,,,$55.09,$0.00,1,1,1,0,0,1,20210101,
A9551,HCPCS,TC99M SUCCIMER,,,28,,NW,,,,,,$453.70,$0.00,1,1,1,0,0,1,20210101,
A9552,HCPCS,F18 FDG,,,28,,NW,,,,,,$845.15,$0.00,1,1,1,0,0,1,20210101,
A9554,HCPCS,"I125 IOTHALAMATE, DX",,,28,,NW,,,,,,"$1,411.93",$0.00,1,1,1,0,0,1,20210101,
A9555,HCPCS,RB82 RUBIDIUM,,,28,,NW,,,,,,"$1,088.32",$0.00,1,1,1,0,0,1,20210101,
A9556,HCPCS,GA67 GALLIUM,,,28,,NW,,,,,,$135.74,$0.00,1,1,1,0,0,1,20210101,
A9557,HCPCS,TC99M BICISATE,,,28,,NW,,,,,,$405.08,$0.00,1,1,1,0,0,1,20210101,
A9558,HCPCS,XE133 XENON 10MCI,,,28,,NW,,,,,,$172.48,$0.00,1,1,1,0,0,1,20210101,
A9560,HCPCS,TC99M LABELED RBC,,,28,,NW,,,,,,$270.69,$0.00,1,1,1,0,0,1,20210101,
A9561,HCPCS,TC99M OXIDRONATE,,,28,,NW,,,,,,$115.09,$0.00,1,1,1,0,0,1,20210101,
A9562,HCPCS,TC99M MERTIATIDE,,,28,,NW,,,,,,$754.09,$0.00,1,1,1,0,0,1,20210101,
A9563,HCPCS,P32 NA PHOSPHATE,,,28,,NW,,,,,,"$1,444.88",$0.00,1,1,1,0,0,1,20210101,
A9564,HCPCS,P32 CHROMIC PHOSPHATE,,,28,,NW,,,,,,$712.25,$0.00,1,1,1,0,0,1,20210101,
A9567,HCPCS,TECHNETIUM TC-99M AEROSOL,,,28,,NW,,,,,,$82.28,$0.00,1,1,1,0,0,1,20210101,
A9569,HCPCS,TECHNETIUM TC-99M AUTO WBC,,,28,,NW,,,,,,$4.78,$0.00,1,1,1,0,0,1,20210101,
A9570,HCPCS,INDIUM IN-111 AUTO WBC,,,28,,NW,,,,,,$469.21,$0.00,1,1,1,0,0,1,20210101,
A9571,HCPCS,INDIUM IN-111 AUTO PLATELET,,,28,,NW,,,,,,$16.79,$0.00,1,1,1,0,0,1,20210101,
A9572,HCPCS,INDIUM IN-111 PENTETREOTIDE,,,28,,NW,,,,,,"$6,828.24",$0.00,1,1,1,0,0,1,20210101,
A9575,HCPCS,INJ GADOTERATE MEGLUMI 0.1ML,,,28,,NW,,,,,,$1.61,$0.00,1,1,1,0,0,1,20210101,
A9576,HCPCS,INJ PROHANCE MULTIPACK,,,28,,NW,,,,,,$7.73,$0.00,1,1,1,0,0,1,20210101,
A9577,HCPCS,INJ MULTIHANCE,,,28,,NW,,,,,,$9.72,$0.00,1,1,1,0,0,1,20210101,
A9578,HCPCS,INJ MULTIHANCE MULTIPACK,,,28,,NW,,,,,,$9.15,$0.00,1,1,1,0,0,1,20210101,
A9579,HCPCS,"GAD-BASE MR CONTRAST NOS,1ML",,,28,,NW,,,,,,$8.49,$0.00,1,1,1,0,0,1,20210101,
A9580,HCPCS,SODIUM FLUORIDE F-18,,,28,,NW,,,,,,$698.85,$0.00,1,1,1,0,0,1,20210101,
A9581,HCPCS,GADOXETATE DISODIUM INJ,,,28,,NW,,,,,,$29.60,$0.00,1,1,1,0,0,1,20210101,
A9582,HCPCS,IODINE I-123 IOBENGUANE,,,28,,NW,,,,,,"$10,796.99",$0.00,1,1,1,0,0,1,20210101,
A9583,HCPCS,GADOFOSVESET TRISODIUM INJ,,,28,,NW,,,,,,$52.05,$0.00,1,1,1,0,0,1,20210101,
A9584,HCPCS,IODINE I-123 IOFLUPANE,,,28,,NW,,,,,,"$4,654.67",$0.00,1,1,1,0,0,1,20210101,
A9585,HCPCS,GADOBUTROL INJECTION,,,28,,NW,,,,,,$1.65,$0.00,1,1,1,0,0,1,20210101,
A9586,HCPCS,FLORBETAPIR F18,,,28,,NW,,,,,,"$4,828.14",$0.00,1,1,1,0,0,1,20210101,
A9587,HCPCS,GALLIUM GA-68,,,28,,NW,,,,,,$183.00,$0.00,1,1,1,0,0,1,20210101,
A9588,HCPCS,FLUCICLOVINE F-18,,,28,,NW,,,,,,$857.17,$0.00,1,1,1,0,0,1,20210101,
A9589,HCPCS,INSTI HEXAMINOLEVULINATE HCL,,,28,,NW,,,,,,"$2,034.19",$0.00,1,1,1,0,0,1,20210101,
A9590,HCPCS,IODINE I-131 IOBENGUANE 1MCI,,,28,,NW,,,,,,$849.90,$0.00,1,1,1,0,0,1,20210101,
A9597,HCPCS,"PET, DX, FOR TUMOR ID, NOC",,,28,,NW,,,,,,$36.40,$0.00,1,1,1,0,0,1,20210101,
A9598,HCPCS,"PET DX FOR NON-TUMOR ID, NOC",,,28,,NW,,,,,,$36.40,$0.00,1,1,1,0,0,1,20210101,
A9600,HCPCS,SR89 STRONTIUM,,,28,,NW,,,,,,"$2,160.61",$0.00,1,1,1,0,0,1,20210101,
A9604,HCPCS,SM 153 LEXIDRONAM,,,28,,NW,,,,,,"$16,748.69",$0.00,1,1,1,0,0,1,20210101,
A9606,HCPCS,RADIUM RA223 DICHLORIDE THER,,,28,,NW,,,,,,$370.48,$0.00,1,1,1,0,0,1,20210101,
A9698,HCPCS,NON-RAD CONTRAST MATERIALNOC,,,28,,NW,,,,,,$35.95,$0.00,1,1,1,0,0,1,20210101,
A9699,HCPCS,RADIOPHARM RX AGENT NOC,,,28,,NW,,,,,,$35.95,$0.00,1,1,1,0,0,1,20210101,
A9700,HCPCS,ECHOCARDIOGRAPHY CONTRAST,,,28,,NW,,,,,,$396.10,$0.00,1,1,1,0,0,1,20210101,
A9900,HCPCS,SUPPLY/ACCESSORY/SERVICE,,,28,,NW,,,,,,$29.69,$0.00,1,1,1,0,0,1,20210101,
B4034,HCPCS,ENTER FEED SUPKIT SYR BY DAY,,,28,,NW,,,,,,$9.50,$0.00,1,1,1,0,0,1,20210101,
B4035,HCPCS,ENTERAL FEED SUPP PUMP PER D,,,28,,NW,,,,,,$15.73,$0.00,1,1,1,0,0,1,20210101,
B4036,HCPCS,ENTERAL FEED SUP KIT GRAV BY,,,28,,NW,,,,,,$12.30,$0.00,1,1,1,0,0,1,20210101,
B4081,HCPCS,ENTERAL NG TUBING W/ STYLET,,,28,,NW,,,,,,$38.22,$0.00,1,1,1,0,0,1,20210101,
B4082,HCPCS,ENTERAL NG TUBING W/O STYLET,,,28,,NW,,,,,,$28.01,$0.00,1,1,1,0,0,1,20210101,
B4083,HCPCS,ENTERAL STOMACH TUBE LEVINE,,,28,,NW,,,,,,$5.51,$0.00,1,1,1,0,0,1,20210101,
B4087,HCPCS,"GASTRO/JEJUNO TUBE, STD",,,28,,NW,,,,,,$64.70,$0.00,1,1,1,0,0,1,20210101,
B4088,HCPCS,"GASTRO/JEJUNO TUBE, LOW-PRO",,,28,,NW,,,,,,$64.70,$0.00,1,1,1,0,0,1,20210101,
B4100,HCPCS,FOOD THICKENER ORAL,,,28,,NW,,,,,,$1.26,$0.00,1,1,1,0,0,1,20210101,
B4102,HCPCS,EF ADULT FLUIDS AND ELECTRO,,,28,,NW,,,,,,$5.01,$0.00,1,1,1,0,0,1,20210101,
B4103,HCPCS,EF PED FLUID AND ELECTROLYTE,,,28,,NW,,,,,,$13.04,$0.00,1,1,1,0,0,1,20210101,
B4104,HCPCS,ADDITIVE FOR ENTERAL FORMULA,,,28,,NW,,,,,,$8.36,$0.00,1,1,1,0,0,1,20210101,
B4105,HCPCS,ENZYME CARTRIDGE ENTERAL NUT,,,28,,NW,,,,,,$292.09,$0.00,1,1,1,0,0,1,20210101,
B4149,HCPCS,EF BLENDERIZED FOODS,,,28,,NW,,,,,,$4.00,$0.00,1,1,1,0,0,1,20210101,
B4150,HCPCS,EF COMPLET W/INTACT NUTRIENT,,,28,,NW,,,,,,$2.31,$0.00,1,1,1,0,0,1,20210101,
B4152,HCPCS,EF CALORIE DENSE>/=1.5KCAL,,,28,,NW,,,,,,$1.92,$0.00,1,1,1,0,0,1,20210101,
B4153,HCPCS,EF HYDROLYZED/AMINO ACIDS,,,28,,NW,,,,,,$4.47,$0.00,1,1,1,0,0,1,20210101,
B4154,HCPCS,EF SPEC METABOLIC NONINHERIT,,,28,,NW,,,,,,$3.13,$0.00,1,1,1,0,0,1,20210101,
B4155,HCPCS,EF INCOMPLETE/MODULAR,,,28,,NW,,,,,,$3.19,$0.00,1,1,1,0,0,1,20210101,
B4157,HCPCS,EF SPECIAL METABOLIC INHERIT,,,28,,NW,,,,,,$14.04,$0.00,1,1,1,0,0,1,20210101,
B4158,HCPCS,EF PED COMPLETE INTACT NUT,,,28,,NW,,,,,,$4.75,$0.00,1,1,1,0,0,1,20210101,
B4159,HCPCS,EF PED COMPLETE SOY BASED,,,28,,NW,,,,,,$4.40,$0.00,1,1,1,0,0,1,20210101,
B4160,HCPCS,EF PED CALORIC DENSE>/=0.7KC,,,28,,NW,,,,,,$3.93,$0.00,1,1,1,0,0,1,20210101,
B4161,HCPCS,EF PED HYDROLYZED/AMINO ACID,,,28,,NW,,,,,,$9.11,$0.00,1,1,1,0,0,1,20210101,
B4162,HCPCS,EF PED SPECMETABOLIC INHERIT,,,28,,NW,,,,,,$15.75,$0.00,1,1,1,0,0,1,20210101,
B4164,HCPCS,PARENTERAL 50% DEXTROSE SOLU,,,28,,NW,,,,,,$45.49,$0.00,1,1,1,0,0,1,20210101,
B4168,HCPCS,PARENTERAL SOL AMINO ACID 3.,,,28,,NW,,,,,,$65.64,$0.00,1,1,1,0,0,1,20210101,
B4172,HCPCS,PARENTERAL SOL AMINO ACID 5.,,,28,,NW,,,,,,$114.84,$0.00,1,1,1,0,0,1,20210101,
B4176,HCPCS,PARENTERAL SOL AMINO ACID 7-,,,28,,NW,,,,,,$125.56,$0.00,1,1,1,0,0,1,20210101,
B4178,HCPCS,PARENTERAL SOL AMINO ACID >,,,28,,NW,,,,,,$150.38,$0.00,1,1,1,0,0,1,20210101,
B4180,HCPCS,PARENTERAL SOL CARB > 50%,,,28,,NW,,,,,,$64.64,$0.00,1,1,1,0,0,1,20210101,
B4185,HCPCS,PN SOLN NOS 10 GRAMS LIPIDS,,,28,,NW,,,,,,$30.59,$0.00,1,1,1,0,0,1,20210101,
B4187,HCPCS,"OMEGAVEN, 10 GRAMS LIPIDS",,,28,,NW,,,,,,$30.59,$0.00,1,1,1,0,0,1,20210101,
B4189,HCPCS,PARENTERAL SOL AMINO ACID &,,,28,,NW,,,,,,$461.42,$0.00,1,1,1,0,0,1,20210101,
B4193,HCPCS,PARENTERAL SOL 52-73 GM PROT,,,28,,NW,,,,,,$595.76,$0.00,1,1,1,0,0,1,20210101,
B4197,HCPCS,PARENTERAL SOL 74-100 GM PRO,,,28,,NW,,,,,,$725.01,$0.00,1,1,1,0,0,1,20210101,
B4199,HCPCS,PARENTERAL SOL > 100GM PROTE,,,28,,NW,,,,,,$828.21,$0.00,1,1,1,0,0,1,20210101,
B4216,HCPCS,PARENTERAL NUTRITION ADDITIV,,,28,,NW,,,,,,$21.49,$0.00,1,1,1,0,0,1,20210101,
B4220,HCPCS,PARENTERAL SUPPLY KIT PREMIX,,,28,,NW,,,,,,$22.23,$0.00,1,1,1,0,0,1,20210101,
B4222,HCPCS,PARENTERAL SUPPLY KIT HOMEMI,,,28,,NW,,,,,,$27.08,$0.00,1,1,1,0,0,1,20210101,
B4224,HCPCS,PARENTERAL ADMINISTRATION KI,,,28,,NW,,,,,,$66.20,$0.00,1,1,1,0,0,1,20210101,
B5000,HCPCS,PARENTERAL SOL RENAL-AMIROSY,,,28,,NW,,,,,,$32.30,$0.00,1,1,1,0,0,1,20210101,
B5100,HCPCS,PARENTERAL SOLUTION HEPATIC,,,28,,NW,,,,,,$13.54,$0.00,1,1,1,0,0,1,20210101,
B5200,HCPCS,PARENTERAL SOL HEPATIC FREAM,,,28,,NW,,,,,,$669.91,$0.00,1,1,1,0,0,1,20210101,
B9002,HCPCS,ENTER NUTR INF PUMP ANY TYPE,,,28,,NW,,,,,,"$1,616.95",$0.00,1,1,1,0,0,1,20210101,
B9002,HCPCS,Enter nutr inf pump any type,MS,,28,,NW,,,,,,$81.54,$0.00,1,1,1,0,0,1,20210101,
B9002,HCPCS,Enter nutr inf pump any type,NU,,28,,NW,,,,,,"$1,616.95",$0.00,1,1,1,0,0,1,20210101,
B9002,HCPCS,Enter nutr inf pump any type,RR,,28,,NW,,,,,,$161.54,$0.00,1,1,1,0,0,1,20210101,
B9002,HCPCS,Enter nutr inf pump any type,UE,,28,,NW,,,,,,"$1,213.10",$0.00,1,1,1,0,0,1,20210101,
B9004,HCPCS,PARENTERAL INFUS PUMP PORTAB,,,28,,NW,,,,,,"$6,529.56",$0.00,1,1,1,0,0,1,20210101,
B9004,HCPCS,Parenteral infus pump portab,MS,,28,,NW,,,,,,$518.23,$0.00,1,1,1,0,0,1,20210101,
B9004,HCPCS,Parenteral infus pump portab,NU,,28,,NW,,,,,,"$6,529.56",$0.00,1,1,1,0,0,1,20210101,
B9004,HCPCS,Parenteral infus pump portab,RR,,28,,NW,,,,,,"$1,034.93",$0.00,1,1,1,0,0,1,20210101,
B9004,HCPCS,Parenteral infus pump portab,UE,,28,,NW,,,,,,"$4,897.53",$0.00,1,1,1,0,0,1,20210101,
B9006,HCPCS,PARENTERAL INFUS PUMP STATIO,,,28,,NW,,,,,,"$6,529.56",$0.00,1,1,1,0,0,1,20210101,
B9006,HCPCS,Parenteral infus pump statio,MS,,28,,NW,,,,,,$518.23,$0.00,1,1,1,0,0,1,20210101,
B9006,HCPCS,Parenteral infus pump statio,NU,,28,,NW,,,,,,"$6,529.56",$0.00,1,1,1,0,0,1,20210101,
B9006,HCPCS,Parenteral infus pump statio,RR,,28,,NW,,,,,,"$1,034.93",$0.00,1,1,1,0,0,1,20210101,
B9006,HCPCS,Parenteral infus pump statio,UE,,28,,NW,,,,,,"$4,897.53",$0.00,1,1,1,0,0,1,20210101,
B9998,HCPCS,ENTERAL SUPP NOT OTHERWISE C,,,28,,NW,,,,,,$100.13,$0.00,1,1,1,0,0,1,20210101,
B9999,HCPCS,PARENTERAL SUPP NOT OTHRWS C,,,28,,NW,,,,,,$100.13,$0.00,1,1,1,0,0,1,20210101,
C1713,HCPCS,"ANCHOR/SCREW BN/BN,TIS/BN",,,28,,NW,,,,,,$674.83,$0.00,1,1,1,0,0,1,20210101,
C1714,HCPCS,"CATH, TRANS ATHERECTOMY, DIR",,,28,,NW,,,,,,$296.93,$0.00,1,1,1,0,0,1,20210101,
C1715,HCPCS,BRACHYTHERAPY NEEDLE,,,28,,NW,,,,,,$81.84,$0.00,1,1,1,0,0,1,20210101,
C1716,HCPCS,"BRACHYTX, NON-STR, GOLD-198",,,28,,NW,,,,,,$244.88,$0.00,1,1,1,0,0,1,20210101,
C1717,HCPCS,"BRACHYTX, NON-STR,HDR IR-192",,,28,,NW,,,,,,"$1,011.84",$0.00,1,1,1,0,0,1,20210101,
C1719,HCPCS,"BRACHYTX, NS, NON-HDRIR-192",,,28,,NW,,,,,,$159.88,$0.00,1,1,1,0,0,1,20210101,
C1721,HCPCS,"AICD, DUAL CHAMBER",,,28,,NW,,,,,,"$26,400.95",$0.00,1,1,1,0,0,1,20210101,
C1722,HCPCS,"AICD, SINGLE CHAMBER",,,28,,NW,,,,,,"$25,511.95",$0.00,1,1,1,0,0,1,20210101,
C1724,HCPCS,"CATH, TRANS ATHEREC,ROTATION",,,28,,NW,,,,,,"$2,655.33",$0.00,1,1,1,0,0,1,20210101,
C1725,HCPCS,"CATH, TRANSLUMIN NON-LASER",,,28,,NW,,,,,,"$4,901.30",$0.00,1,1,1,0,0,1,20210101,
C1726,HCPCS,"CATH, BAL DIL, NON-VASCULAR",,,28,,NW,,,,,,$942.35,$0.00,1,1,1,0,0,1,20210101,
C1727,HCPCS,"CATH, BAL TIS DIS, NON-VAS",,,28,,NW,,,,,,$743.32,$0.00,1,1,1,0,0,1,20210101,
C1728,HCPCS,"CATH, BRACHYTX SEED ADM",,,28,,NW,,,,,,"$4,248.63",$0.00,1,1,1,0,0,1,20210101,
C1729,HCPCS,"CATH, DRAINAGE",,,28,,NW,,,,,,$145.60,$0.00,1,1,1,0,0,1,20210101,
C1730,HCPCS,"CATH, EP, 19 OR FEW ELECT",,,28,,NW,,,,,,"$2,106.63",$0.00,1,1,1,0,0,1,20210101,
C1731,HCPCS,"CATH, EP, 20 OR MORE ELEC",,,28,,NW,,,,,,"$5,970.29",$0.00,1,1,1,0,0,1,20210101,
C1732,HCPCS,"CATH, EP, DIAG/ABL, 3D/VECT",,,28,,NW,,,,,,"$5,595.06",$0.00,1,1,1,0,0,1,20210101,
C1733,HCPCS,"CATH, EP, OTHR THAN COOL-TIP",,,28,,NW,,,,,,"$2,028.65",$0.00,1,1,1,0,0,1,20210101,
C1750,HCPCS,"CATH, HEMODIALYSIS,LONG-TERM",,,28,,NW,,,,,,"$1,354.23",$0.00,1,1,1,0,0,1,20210101,
C1751,HCPCS,"CATH, INF, PER/CENT/MIDLINE",,,28,,NW,,,,,,$429.86,$0.00,1,1,1,0,0,1,20210101,
C1752,HCPCS,"CATH,HEMODIALYSIS,SHORT-TERM",,,28,,NW,,,,,,"$1,188.98",$0.00,1,1,1,0,0,1,20210101,
C1753,HCPCS,"CATH, INTRAVAS ULTRASOUND",,,28,,NW,,,,,,"$5,119.38",$0.00,1,1,1,0,0,1,20210101,
C1754,HCPCS,"CATHETER, INTRADISCAL",,,28,,NW,,,,,,"$1,761.55",$0.00,1,1,1,0,0,1,20210101,
C1755,HCPCS,"CATHETER, INTRASPINAL",,,28,,NW,,,,,,"$1,426.84",$0.00,1,1,1,0,0,1,20210101,
C1756,HCPCS,"CATH, PACING, TRANSESOPH",,,28,,NW,,,,,,"$1,472.17",$0.00,1,1,1,0,0,1,20210101,
C1757,HCPCS,"CATH, THROMBECTOMY/EMBOLECT",,,28,,NW,,,,,,"$2,213.51",$0.00,1,1,1,0,0,1,20210101,
C1758,HCPCS,"CATHETER, URETERAL",,,28,,NW,,,,,,$171.88,$0.00,1,1,1,0,0,1,20210101,
C1759,HCPCS,"CATH, INTRA ECHOCARDIOGRAPHY",,,28,,NW,,,,,,"$4,441.68",$0.00,1,1,1,0,0,1,20210101,
C1760,HCPCS,"CLOSURE DEV, VASC",,,28,,NW,,,,,,"$1,435.66",$0.00,1,1,1,0,0,1,20210101,
C1762,HCPCS,"CONN TISS, HUMAN(INC FASCIA)",,,28,,NW,,,,,,"$6,184.62",$0.00,1,1,1,0,0,1,20210101,
C1763,HCPCS,"CONN TISS, NON-HUMAN",,,28,,NW,,,,,,"$2,445.22",$0.00,1,1,1,0,0,1,20210101,
C1764,HCPCS,"EVENT RECORDER, CARDIAC",,,28,,NW,,,,,,"$5,955.78",$0.00,1,1,1,0,0,1,20210101,
C1765,HCPCS,ADHESION BARRIER,,,28,,NW,,,,,,"$3,676.58",$0.00,1,1,1,0,0,1,20210101,
C1766,HCPCS,"INTRO/SHEATH,STRBLE,NON-PEEL",,,28,,NW,,,,,,$663.18,$0.00,1,1,1,0,0,1,20210101,
C1767,HCPCS,"GENERATOR, NEURO NON-RECHARG",,,28,,NW,,,,,,"$24,417.20",$0.00,1,1,1,0,0,1,20210101,
C1768,HCPCS,"GRAFT, VASCULAR",,,28,,NW,,,,,,"$4,459.95",$0.00,1,1,1,0,0,1,20210101,
C1769,HCPCS,GUIDE WIRE,,,28,,NW,,,,,,$632.62,$0.00,1,1,1,0,0,1,20210101,
C1770,HCPCS,"IMAGING COIL, MR, INSERTABLE",,,28,,NW,,,,,,$700.46,$0.00,1,1,1,0,0,1,20210101,
C1771,HCPCS,"REP DEV, URINARY, W/SLING",,,28,,NW,,,,,,"$6,006.94",$0.00,1,1,1,0,0,1,20210101,
C1772,HCPCS,"INFUSION PUMP, PROGRAMMABLE",,,28,,NW,,,,,,$395.36,$0.00,1,1,1,0,0,1,20210101,
C1773,HCPCS,"RET DEV, INSERTABLE",,,28,,NW,,,,,,$806.35,$0.00,1,1,1,0,0,1,20210101,
C1776,HCPCS,JOINT DEVICE (IMPLANTABLE),,,28,,NW,,,,,,"$5,172.76",$0.00,1,1,1,0,0,1,20210101,
C1777,HCPCS,"LEAD, AICD, ENDO SINGLE COIL",,,28,,NW,,,,,,"$5,668.85",$0.00,1,1,1,0,0,1,20210101,
C1778,HCPCS,"LEAD, NEUROSTIMULATOR",,,28,,NW,,,,,,"$5,739.31",$0.00,1,1,1,0,0,1,20210101,
C1779,HCPCS,"LEAD, PMKR, TRANSVENOUS VDD",,,28,,NW,,,,,,"$3,396.97",$0.00,1,1,1,0,0,1,20210101,
C1780,HCPCS,"LENS, INTRAOCULAR (NEW TECH)",,,28,,NW,,,,,,$875.54,$0.00,1,1,1,0,0,1,20210101,
C1781,HCPCS,MESH (IMPLANTABLE),,,28,,NW,,,,,,"$1,410.02",$0.00,1,1,1,0,0,1,20210101,
C1782,HCPCS,MORCELLATOR,,,28,,NW,,,,,,"$2,314.74",$0.00,1,1,1,0,0,1,20210101,
C1783,HCPCS,"OCULAR IMP, AQUEOUS DRAIN DE",,,28,,NW,,,,,,"$2,258.09",$0.00,1,1,1,0,0,1,20210101,
C1784,HCPCS,"OCULAR DEV, INTRAOP, DET RET",,,28,,NW,,,,,,"$1,705.74",$0.00,1,1,1,0,0,1,20210101,
C1785,HCPCS,"PMKR, DUAL, RATE-RESP",,,28,,NW,,,,,,"$10,295.50",$0.00,1,1,1,0,0,1,20210101,
C1786,HCPCS,"PMKR, SINGLE, RATE-RESP",,,28,,NW,,,,,,"$9,980.02",$0.00,1,1,1,0,0,1,20210101,
C1787,HCPCS,"PATIENT PROGR, NEUROSTIM",,,28,,NW,,,,,,"$6,905.21",$0.00,1,1,1,0,0,1,20210101,
C1788,HCPCS,"PORT, INDWELLING, IMP",,,28,,NW,,,,,,"$2,033.08",$0.00,1,1,1,0,0,1,20210101,
C1789,HCPCS,"PROSTHESIS, BREAST, IMP",,,28,,NW,,,,,,"$4,681.23",$0.00,1,1,1,0,0,1,20210101,
C1813,HCPCS,"PROSTHESIS, PENILE, INFLATAB",,,28,,NW,,,,,,"$7,423.89",$0.00,1,1,1,0,0,1,20210101,
C1814,HCPCS,"RETINAL TAMP, SILICONE OIL",,,28,,NW,,,,,,"$1,798.80",$0.00,1,1,1,0,0,1,20210101,
C1815,HCPCS,"PROS, URINARY SPH, IMP",,,28,,NW,,,,,,"$5,920.22",$0.00,1,1,1,0,0,1,20210101,
C1816,HCPCS,"RECEIVER/TRANSMITTER, NEURO",,,28,,NW,,,,,,"$2,137.32",$0.00,1,1,1,0,0,1,20210101,
C1817,HCPCS,SEPTAL DEFECT IMP SYS,,,28,,NW,,,,,,"$7,516.24",$0.00,1,1,1,0,0,1,20210101,
C1818,HCPCS,INTEGRATED KERATOPROSTHESIS,,,28,,NW,,,,,,"$3,482.80",$0.00,1,1,1,0,0,1,20210101,
C1820,HCPCS,GENERATOR NEURO RECHG BAT SY,,,28,,NW,,,,,,"$16,595.26",$0.00,1,1,1,0,0,1,20210101,
C1821,HCPCS,INTERSPINOUS IMPLANT,,,28,,NW,,,,,,"$2,059.17",$0.00,1,1,1,0,0,1,20210101,
C1830,HCPCS,POWER BONE MARROW BX NEEDLE,,,28,,NW,,,,,,$656.50,$0.00,1,1,1,0,0,1,20210101,
C1840,HCPCS,TELESCOPIC INTRAOCULAR LENS,,,28,,NW,,,,,,$429.86,$0.00,1,1,1,0,0,1,20210101,
C1874,HCPCS,"STENT, COATED/COV W/DEL SYS",,,28,,NW,,,,,,"$2,592.42",$0.00,1,1,1,0,0,1,20210101,
C1875,HCPCS,"STENT, COATED/COV W/O DEL SY",,,28,,NW,,,,,,"$3,062.37",$0.00,1,1,1,0,0,1,20210101,
C1876,HCPCS,"STENT, NON-COA/NON-COV W/DEL",,,28,,NW,,,,,,"$8,412.19",$0.00,1,1,1,0,0,1,20210101,
C1877,HCPCS,"STENT, NON-COAT/COV W/O DEL",,,28,,NW,,,,,,"$3,012.91",$0.00,1,1,1,0,0,1,20210101,
C1878,HCPCS,MATRL FOR VOCAL CORD,,,28,,NW,,,,,,$692.19,$0.00,1,1,1,0,0,1,20210101,
C1880,HCPCS,VENA CAVA FILTER,,,28,,NW,,,,,,"$4,491.55",$0.00,1,1,1,0,0,1,20210101,
C1881,HCPCS,DIALYSIS ACCESS SYSTEM,,,28,,NW,,,,,,$850.87,$0.00,1,1,1,0,0,1,20210101,
C1882,HCPCS,"AICD, OTHER THAN SING/DUAL",,,28,,NW,,,,,,"$32,216.16",$0.00,1,1,1,0,0,1,20210101,
C1883,HCPCS,"ADAPT/EXT, PACING/NEURO LEAD",,,28,,NW,,,,,,"$3,567.97",$0.00,1,1,1,0,0,1,20210101,
C1884,HCPCS,EMBOLIZATION PROTECT SYST,,,28,,NW,,,,,,$324.03,$0.00,1,1,1,0,0,1,20210101,
C1885,HCPCS,"CATH, TRANSLUMIN ANGIO LASER",,,28,,NW,,,,,,$369.31,$0.00,1,1,1,0,0,1,20210101,
C1886,HCPCS,"CATHETER, ABLATION",,,28,,NW,,,,,,"$4,156.61",$0.00,1,1,1,0,0,1,20210101,
C1887,HCPCS,"CATHETER, GUIDING",,,28,,NW,,,,,,$742.96,$0.00,1,1,1,0,0,1,20210101,
C1888,HCPCS,ENDOVAS NON-CARDIAC ABL CATH,,,28,,NW,,,,,,"$1,832.43",$0.00,1,1,1,0,0,1,20210101,
C1889,HCPCS,"IMPLANT/INSERT DEVICE, NOC",,,28,,NW,,,,,,"$2,855.05",$0.00,1,1,1,0,0,1,20210101,
C1891,HCPCS,"INFUSION PUMP,NON-PROG, PERM",,,28,,NW,,,,,,"$7,534.69",$0.00,1,1,1,0,0,1,20210101,
C1892,HCPCS,"INTRO/SHEATH,FIXED,PEEL-AWAY",,,28,,NW,,,,,,$557.96,$0.00,1,1,1,0,0,1,20210101,
C1893,HCPCS,"INTRO/SHEATH, FIXED,NON-PEEL",,,28,,NW,,,,,,$830.29,$0.00,1,1,1,0,0,1,20210101,
C1894,HCPCS,"INTRO/SHEATH, NON-LASER",,,28,,NW,,,,,,$282.12,$0.00,1,1,1,0,0,1,20210101,
C1895,HCPCS,"LEAD, AICD, ENDO DUAL COIL",,,28,,NW,,,,,,"$5,993.19",$0.00,1,1,1,0,0,1,20210101,
C1896,HCPCS,"LEAD, AICD, NON SING/DUAL",,,28,,NW,,,,,,"$4,599.79",$0.00,1,1,1,0,0,1,20210101,
C1897,HCPCS,"LEAD, NEUROSTIM TEST KIT",,,28,,NW,,,,,,"$4,284.70",$0.00,1,1,1,0,0,1,20210101,
C1898,HCPCS,"LEAD, PMKR, OTHER THAN TRANS",,,28,,NW,,,,,,"$2,988.87",$0.00,1,1,1,0,0,1,20210101,
C1899,HCPCS,"LEAD, PMKR/AICD COMBINATION",,,28,,NW,,,,,,"$5,073.12",$0.00,1,1,1,0,0,1,20210101,
C1900,HCPCS,"LEAD, CORONARY VENOUS",,,28,,NW,,,,,,"$4,074.80",$0.00,1,1,1,0,0,1,20210101,
C2613,HCPCS,LUNG BX PLUG W/DEL SYS,,,28,,NW,,,,,,$125.84,$0.00,1,1,1,0,0,1,20210101,
C2614,HCPCS,"PROBE, PERC LUMB DISC",,,28,,NW,,,,,,"$3,048.21",$0.00,1,1,1,0,0,1,20210101,
C2615,HCPCS,"SEALANT, PULMONARY, LIQUID",,,28,,NW,,,,,,"$1,507.72",$0.00,1,1,1,0,0,1,20210101,
C2616,HCPCS,"BRACHYTX, NON-STR,YTTRIUM-90",,,28,,NW,,,,,,"$29,457.94",$0.00,1,1,1,0,0,1,20210101,
C2617,HCPCS,"STENT, NON-COR, TEM W/O DEL",,,28,,NW,,,,,,"$1,051.14",$0.00,1,1,1,0,0,1,20210101,
C2618,HCPCS,"PROBE/NEEDLE, CRYO",,,28,,NW,,,,,,"$2,243.50",$0.00,1,1,1,0,0,1,20210101,
C2619,HCPCS,"PMKR, DUAL, NON RATE-RESP",,,28,,NW,,,,,,"$10,976.41",$0.00,1,1,1,0,0,1,20210101,
C2620,HCPCS,"PMKR, SINGLE, NON RATE-RESP",,,28,,NW,,,,,,"$20,179.03",$0.00,1,1,1,0,0,1,20210101,
C2621,HCPCS,"PMKR, OTHER THAN SING/DUAL",,,28,,NW,,,,,,"$14,087.03",$0.00,1,1,1,0,0,1,20210101,
C2622,HCPCS,"PROSTHESIS, PENILE, NON-INF",,,28,,NW,,,,,,"$6,183.93",$0.00,1,1,1,0,0,1,20210101,
C2623,HCPCS,"CATH, TRANSLUMIN, DRUG-COAT",,,28,,NW,,,,,,"$5,232.68",$0.00,1,1,1,0,0,1,20210101,
C2625,HCPCS,"STENT, NON-COR, TEM W/DEL SY",,,28,,NW,,,,,,"$1,879.06",$0.00,1,1,1,0,0,1,20210101,
C2626,HCPCS,"INFUSION PUMP, NON-PROG,TEMP",,,28,,NW,,,,,,"$1,782.47",$0.00,1,1,1,0,0,1,20210101,
C2627,HCPCS,"CATH, SUPRAPUBIC/CYSTOSCOPIC",,,28,,NW,,,,,,$967.54,$0.00,1,1,1,0,0,1,20210101,
C2628,HCPCS,"CATHETER, OCCLUSION",,,28,,NW,,,,,,"$1,262.64",$0.00,1,1,1,0,0,1,20210101,
C2631,HCPCS,"REP DEV, URINARY, W/O SLING",,,28,,NW,,,,,,"$3,063.32",$0.00,1,1,1,0,0,1,20210101,
C2634,HCPCS,"BRACHYTX, NON-STR, HA, I-125",,,28,,NW,,,,,,$227.34,$0.00,1,1,1,0,0,1,20210101,
C2635,HCPCS,"BRACHYTX, NON-STR, HA, P-103",,,28,,NW,,,,,,$51.06,$0.00,1,1,1,0,0,1,20210101,
C2636,HCPCS,"BRACHY LINEAR, NON-STR,P-103",,,28,,NW,,,,,,$47.15,$0.00,1,1,1,0,0,1,20210101,
C2638,HCPCS,"BRACHYTX, STRANDED, I-125",,,28,,NW,,,,,,$86.21,$0.00,1,1,1,0,0,1,20210101,
C2639,HCPCS,"BRACHYTX, NON-STRANDED,I-125",,,28,,NW,,,,,,$73.92,$0.00,1,1,1,0,0,1,20210101,
C2640,HCPCS,"BRACHYTX, STRANDED, P-103",,,28,,NW,,,,,,$184.90,$0.00,1,1,1,0,0,1,20210101,
C2641,HCPCS,"BRACHYTX, NON-STRANDED,P-103",,,28,,NW,,,,,,$133.17,$0.00,1,1,1,0,0,1,20210101,
C2642,HCPCS,"BRACHYTX, STRANDED, C-131",,,28,,NW,,,,,,$168.84,$0.00,1,1,1,0,0,1,20210101,
C2643,HCPCS,"BRACHYTX, NON-STRANDED,C-131",,,28,,NW,,,,,,$144.38,$0.00,1,1,1,0,0,1,20210101,
C2644,HCPCS,BRACHYTX CESIUM-131 CHLORIDE,,,28,,NW,,,,,,$225.54,$0.00,1,1,1,0,0,1,20210101,
C2645,HCPCS,"BRACHYTX PLANAR, P-103",,,28,,NW,,,,,,$12.88,$0.00,1,1,1,0,0,1,20210101,
C2698,HCPCS,"BRACHYTX, STRANDED, NOS",,,28,,NW,,,,,,$397.03,$0.00,1,1,1,0,0,1,20210101,
C2699,HCPCS,"BRACHYTX, NON-STRANDED, NOS",,,28,,NW,,,,,,$367.83,$0.00,1,1,1,0,0,1,20210101,
C5271,HCPCS,LOW COST SKIN SUBSTITUTE APP,,,28,,NW,,,,,,$699.11,$0.00,1,1,1,0,0,1,20210101,
C5273,HCPCS,LOW COST SKIN SUBSTITUTE APP,,,28,,NW,,,,,,"$2,185.70",$0.00,1,1,1,0,0,1,20210101,
C5275,HCPCS,LOW COST SKIN SUBSTITUTE APP,,,28,,NW,,,,,,$699.11,$0.00,1,1,1,0,0,1,20210101,
C5277,HCPCS,LOW COST SKIN SUBSTITUTE APP,,,28,,NW,,,,,,$699.11,$0.00,1,1,1,0,0,1,20210101,
C8900,HCPCS,"MRA W/CONT, ABD",,,20,,TotalUnits,,,,2.95 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
C8901,HCPCS,"MRA W/O CONT, ABD",,,20,,TotalUnits,,,,2.80 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
C8902,HCPCS,"MRA W/O FOL W/CONT, ABD",,,20,,TotalUnits,,,,3.17 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
C8903,HCPCS,"MRI W/CONT, BREAST, UNI",,,20,,TotalUnits,,,,1.97 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
C8905,HCPCS,"MRI W/O FOL W/CONT, BRST, UN",,,20,,TotalUnits,,,,3.17 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
C8906,HCPCS,"MRI W/CONT, BREAST, BI",,,20,,TotalUnits,,,,3.17 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
C8908,HCPCS,"MRI W/O FOL W/CONT, BREAST,",,,20,,TotalUnits,,,,16.62 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
C8909,HCPCS,"MRA W/CONT, CHEST",,,20,,TotalUnits,,,,2.95 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
C8910,HCPCS,"MRA W/O CONT, CHEST",,,20,,TotalUnits,,,,1.85 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
C8911,HCPCS,"MRA W/O FOL W/CONT, CHEST",,,20,,TotalUnits,,,,3.17 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
C8912,HCPCS,"MRA W/CONT, LWR EXT",,,20,,TotalUnits,,,,3.17 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
C8913,HCPCS,"MRA W/O CONT, LWR EXT",,,20,,TotalUnits,,,,1.85 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
C8914,HCPCS,"MRA W/O FOL W/CONT, LWR EXT",,,20,,TotalUnits,,,,3.17 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
C8918,HCPCS,"MRA W/CONT, PELVIS",,,20,,TotalUnits,,,,2.95 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
C8919,HCPCS,"MRA W/O CONT, PELVIS",,,20,,TotalUnits,,,,1.85 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
C8920,HCPCS,"MRA W/O FOL W/CONT, PELVIS",,,20,,TotalUnits,,,,3.17 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
C8921,HCPCS,"TTE W OR W/O FOL W/CONT, COM",,,4,,TotalUnits,,,,8.42 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
C8922,HCPCS,"TTE W OR W/O FOL W/CONT, F/U",,,4,,TotalUnits,,,,8.42 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
C8923,HCPCS,"2D TTE W OR W/O FOL W/CON,CO",,,4,,TotalUnits,,,,8.42 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
C8924,HCPCS,"2D TTE W OR W/O FOL W/CON,FU",,,4,,TotalUnits,,,,5.56 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
C8925,HCPCS,"2D TEE W OR W/O FOL W/CON,IN",,,4,,TotalUnits,,,,8.42 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
C8926,HCPCS,"TEE W OR W/O FOL W/CONT,CONG",,,4,,TotalUnits,,,,8.42 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
C8927,HCPCS,"TEE W OR W/O FOL W/CONT, MON",,,4,,TotalUnits,,,,8.42 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
C8928,HCPCS,"TTE W OR W/O FOL W/CON,STRES",,,4,,TotalUnits,,,,15.59 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
C8929,HCPCS,"TTE W OR WO FOL WCON,DOPPLER",,,4,,TotalUnits,,,,17.18 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
C8930,HCPCS,"TTE W OR W/O CONTR, CONT ECG",,,4,,TotalUnits,,,,20.05 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
C8931,HCPCS,"MRA, W/DYE, SPINAL CANAL",,,20,,TotalUnits,,,,5.28 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
C8932,HCPCS,"MRA, W/O DYE, SPINAL CANAL",,,20,,TotalUnits,,,,1.68 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
C8933,HCPCS,"MRA, W/O&W/DYE, SPINAL CANAL",,,20,,TotalUnits,,,,5.28 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
C8934,HCPCS,"MRA, W/DYE, UPPER EXTREMITY",,,20,,TotalUnits,,,,1.97 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
C8935,HCPCS,"MRA, W/O DYE, UPPER EXTR",,,20,,TotalUnits,,,,1.68 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
C8936,HCPCS,"MRA, W/O&W/DYE, UPPER EXTR",,,20,,TotalUnits,,,,3.17 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
C8957,HCPCS,"PROLONGED IV INF, REQ PUMP",,,14,,TotalUnits,,,,5.96 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
C9046,HCPCS,COCAINE HCL NASAL SOLUTION,,,29,,NW,,,,,,$1.94,$0.00,1,1,1,0,0,1,20210101,
C9113,HCPCS,"INJ PANTOPRAZOLE SODIUM, VIA",,,29,,NW,,,,,,$76.33,$0.00,1,1,1,0,0,1,20210101,
C9132,HCPCS,"KCENTRA, PER I.U.",,,29,,NW,,,,,,$3.90,$0.00,1,1,1,0,0,1,20210101,
C9248,HCPCS,"INJ, CLEVIDIPINE BUTYRATE",,,29,,NW,,,,,,$13.56,$0.00,1,1,1,0,0,1,20210101,
C9250,HCPCS,ARTISS FIBRIN SEALANT,,,29,,NW,,,,,,$859.43,$0.00,1,1,1,0,0,1,20210101,
C9254,HCPCS,"INJECTION, LACOSAMIDE",,,29,,NW,,,,,,$4.38,$0.00,1,1,1,0,0,1,20210101,
C9257,HCPCS,BEVACIZUMAB INJECTION,,,29,,NW,,,,,,$25.76,$0.00,1,1,1,0,0,1,20210101,
C9285,HCPCS,"PATCH, LIDOCAINE/TETRACAINE",,,29,,NW,,,,,,$73.59,$0.00,1,1,1,0,0,1,20210101,
C9290,HCPCS,"INJ, BUPIVACAINE LIPOSOME",,,29,,NW,,,,,,$6.74,$0.00,1,1,1,0,0,1,20210101,
C9293,HCPCS,"INJECTION, GLUCARPIDASE",,,29,,NW,,,,,,$559.51,$0.00,1,1,1,0,0,1,20210101,
C9352,HCPCS,"NEURAGEN NERVE GUIDE, PER CM",,,28,,NW,,,,,,"$3,015.22",$0.00,1,1,1,0,0,1,20210101,
C9358,HCPCS,"SURGIMEND, FETAL",,,28,,NW,,,,,,$92.70,$0.00,1,1,1,0,0,1,20210101,
C9359,HCPCS,"IMPLNT,BON VOID FILLER-PUTTY",,,28,,NW,,,,,,"$1,428.47",$0.00,1,1,1,0,0,1,20210101,
C9360,HCPCS,"SURGIMEND, NEONATAL",,,28,,NW,,,,,,$47.37,$0.00,1,1,1,0,0,1,20210101,
C9361,HCPCS,NEUROMEND NERVE WRAP,,,28,,NW,,,,,,"$2,548.26",$0.00,1,1,1,0,0,1,20210101,
C9362,HCPCS,"IMPLNT,BON VOID FILLER-STRIP",,,28,,NW,,,,,,$317.57,$0.00,1,1,1,0,0,1,20210101,
C9363,HCPCS,INTEGRA MESHED BIL WOUND MAT,,,28,,NW,,,,,,$317.54,$0.00,1,1,1,0,0,1,20210101,
C9364,HCPCS,"PORCINE IMPLANT, PERMACOL",,,28,,NW,,,,,,$110.30,$0.00,1,1,1,0,0,1,20210101,
C9399,HCPCS,UNCLASSIFIED DRUGS OR BIOLOG,,,29,,NW,,,,,,"$2,050.30",$0.00,1,1,1,0,0,1,20210101,
C9460,HCPCS,"INJECTION, CANGRELOR",,,29,,NW,,,,,,$34.79,$0.00,1,1,1,0,0,1,20210101,
C9462,HCPCS,"INJECTION, DELAFLOXACIN",,,29,,NW,,,,,,$1.07,$0.00,1,1,1,0,0,1,20210101,
C9482,HCPCS,SOTALOL HYDROCHLORIDE IV,,,29,,NW,,,,,,$20.61,$0.00,1,1,1,0,0,1,20210101,
C9488,HCPCS,CONIVAPTAN HCL,,,29,,NW,,,,,,$68.78,$0.00,1,1,1,0,0,1,20210101,
C9600,HCPCS,PERC DRUG-EL COR STENT SING,,,28,,NW,,,,,,"$18,855.50",$0.00,1,1,1,0,0,1,20210101,
C9602,HCPCS,PERC D-E COR STENT ATHER S,,,28,,NW,,,,,,"$28,274.35",$0.00,1,1,1,0,0,1,20210101,
C9604,HCPCS,PERC D-E COR REVASC T CABG S,,,28,,NW,,,,,,"$18,856.40",$0.00,1,1,1,0,0,1,20210101,
C9606,HCPCS,PERC D-E COR REVASC W AMI S,,,28,,NW,,,,,,"$28,274.35",$0.00,1,1,0,0,0,1,20210101,
C9607,HCPCS,PERC D-E COR REVASC CHRO SIN,,,28,,NW,,,,,,"$28,274.35",$0.00,1,1,1,0,0,1,20210101,
C9725,HCPCS,PLACE ENDORECTAL APP,,,21,,TotalUnits,,,,5.80 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
C9727,HCPCS,INSERT PALATE IMPLANTS,,,21,,TotalUnits,,,,10.05 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
C9728,HCPCS,"PLACE DEVICE/MARKER, NON PRO",,,21,,TotalUnits,,,,9.28 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
C9733,HCPCS,NON-OPHTHALMIC FVA,,,20,,TotalUnits,,,,3.10 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
C9734,HCPCS,"U/S TRTMT, NOT LEIOMYOMATA",,,14,,TotalUnits,,,,131.77 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
C9739,HCPCS,CYSTOSCOPY PROSTATIC IMP 1-3,,,21,,TotalUnits,,,,31.87 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
C9740,HCPCS,CYSTO IMPL 4 OR MORE,,,21,,TotalUnits,,,,76.55 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
C9751,HCPCS,"MICROWAVE BRONCH, 3D, EBUS",,,21,,TotalUnits,,,,99.94 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
C9752,HCPCS,INTRAOSSEOUS DES LUMB/SACRUM,,,21,,TotalUnits,,,,85.90 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
C9757,HCPCS,SPINE/LUMBAR DISK SURGERY,,,21,,TotalUnits,,,,120.16 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
C9758,HCPCS,BLIND INTERATRIAL SHUNT IDE,,,21,,TotalUnits,,,,125.20 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
C9770,HCPCS,"VITREC/MECH PARS, SUBRET INJ",,,21,,RBRVS,12.13 ,12.41 ,12.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
D0120,HCPCS,PERIODIC ORAL EVALUATION,,,25,,NW,,,,,,$73.12,$0.00,1,0,1,1,1,1,20210101,
D0140,HCPCS,LIMIT ORAL EVAL PROBLM FOCUS,,,25,,NW,,,,,,$109.35,$0.00,1,0,1,1,1,1,20210101,
D0145,HCPCS,"ORAL EVALUATION, PT < 3YRS",,,25,,NW,,,,,,$104.63,$0.00,1,0,1,1,1,1,20210101,
D0150,HCPCS,COMPREHENSVE ORAL EVALUATION,,,25,,NW,,,,,,$124.11,$0.00,1,0,1,1,1,1,20210101,
D0160,HCPCS,EXTENSV ORAL EVAL PROB FOCUS,,,25,,NW,,,,,,$231.97,$0.00,1,0,1,1,1,1,20210101,
D0170,HCPCS,"RE-EVAL,EST PT,PROBLEM FOCUS",,,25,,NW,,,,,,$92.83,$0.00,1,0,1,1,1,1,20210101,
D0171,HCPCS,RE-EVAL POST-OP VISIT,,,25,,NW,,,,,,$90.99,$0.00,1,0,1,1,1,1,20210101,
D0180,HCPCS,COMP PERIODONTAL EVALUATION,,,25,,NW,,,,,,$137.41,$0.00,1,0,1,1,1,1,20210101,
D0190,HCPCS,SCREENING OF A PATIENT,,,25,,NW,,,,,,$95.50,$0.00,1,0,1,1,1,1,20210101,
D0191,HCPCS,ASSESSMENT OF A PATIENT,,,25,,NW,,,,,,$83.87,$0.00,1,0,1,1,1,1,20210101,
D0210,HCPCS,INTRAOR COMPLETE FILM SERIES,,,25,,NW,,,,,,$184.71,$0.00,1,0,1,1,1,1,20210101,
D0220,HCPCS,INTRAORAL PERIAPICAL FIRST,,,25,,NW,,,,,,$41.18,$0.00,1,0,1,1,1,1,20210101,
D0230,HCPCS,INTRAORAL PERIAPICAL EA ADD,,,25,,NW,,,,,,$34.88,$0.00,1,0,1,1,1,1,20210101,
D0240,HCPCS,INTRAORAL OCCLUSAL FILM,,,25,,NW,,,,,,$58.45,$0.00,1,0,1,1,1,1,20210101,
D0250,HCPCS,EXTRAORAL 2D PROJECT IMAGE,,,25,,NW,,,,,,$80.51,$0.00,1,0,1,1,1,1,20210101,
D0251,HCPCS,EXTRAORAL POSTERIOR IMAGE,,,25,,NW,,,,,,$83.62,$0.00,1,0,1,1,1,1,20210101,
D0270,HCPCS,DENTAL BITEWING SINGLE IMAGE,,,25,,NW,,,,,,$39.83,$0.00,1,0,1,1,1,1,20210101,
D0272,HCPCS,DENTAL BITEWINGS TWO IMAGES,,,25,,NW,,,,,,$64.06,$0.00,1,0,1,1,1,1,20210101,
D0273,HCPCS,BITEWINGS - THREE IMAGES,,,25,,NW,,,,,,$76.63,$0.00,1,0,1,1,1,1,20210101,
D0274,HCPCS,BITEWINGS FOUR IMAGES,,,25,,NW,,,,,,$89.66,$0.00,1,0,1,1,1,1,20210101,
D0277,HCPCS,VERT BITEWINGS 7 TO 8 IMAGES,,,25,,NW,,,,,,$134.20,$0.00,1,0,1,1,1,1,20210101,
D0310,HCPCS,DENTAL SALIOGRAPHY,,,25,,NW,,,,,,$507.32,$0.00,1,0,1,1,1,1,20210101,
D0320,HCPCS,DENTAL TMJ ARTHROGRAM INCL I,,,25,,NW,,,,,,$842.55,$0.00,1,0,1,1,1,1,20210101,
D0321,HCPCS,OTHER TMJ IMAGES BY REPORT,,,25,,NW,,,,,,$290.39,$0.00,1,0,1,1,1,1,20210101,
D0322,HCPCS,DENTAL TOMOGRAPHIC SURVEY,,,25,,NW,,,,,,$705.52,$0.00,1,0,1,1,1,1,20210101,
D0330,HCPCS,PANORAMIC IMAGE,,,25,,NW,,,,,,$157.15,$0.00,1,0,1,1,1,1,20210101,
D0340,HCPCS,2D CEPHALOMETRIC IMAGE,,,25,,NW,,,,,,$174.82,$0.00,1,0,1,1,1,1,20210101,
D0350,HCPCS,ORAL/FACIAL PHOTO IMAGES,,,25,,NW,,,,,,$92.50,$0.00,1,0,1,1,1,1,20210101,
D0351,HCPCS,3D PHOTOGRAPHIC IMAGE,,,25,,NW,,,,,,$155.71,$0.00,1,0,1,1,1,1,20210101,
D0364,HCPCS,CONE BEAM CT CAPT & INTERP,,,25,,NW,,,,,,$379.32,$0.00,1,0,1,1,1,1,20210101,
D0365,HCPCS,CONE BEAM CT INTERPRETE MAN,,,25,,NW,,,,,,$445.07,$0.00,1,0,1,1,1,1,20210101,
D0366,HCPCS,CONE BEAM CT INTERPRETE MAX,,,25,,NW,,,,,,$430.59,$0.00,1,0,1,1,1,1,20210101,
D0367,HCPCS,CONE BEAM CT INTERP BOTH JAW,,,25,,NW,,,,,,$452.93,$0.00,1,0,1,1,1,1,20210101,
D0368,HCPCS,CONE BEAM CT INTERPRETE TMJ,,,25,,NW,,,,,,$479.95,$0.00,1,0,1,1,1,1,20210101,
D0369,HCPCS,MAX MRI CAPTURE & INTERPRETE,,,25,,NW,,,,,,$629.23,$0.00,1,0,1,1,1,1,20210101,
D0370,HCPCS,MAX ULTRASOUND CAPT & INTERP,,,25,,NW,,,,,,$425.23,$0.00,1,0,1,1,1,1,20210101,
D0371,HCPCS,SIALOENDOSCOPY CAPT & INTERP,,,25,,NW,,,,,,$704.66,$0.00,1,0,1,1,1,1,20210101,
D0380,HCPCS,CONE BEAM CT CAPTURE LIMITED,,,25,,NW,,,,,,$383.78,$0.00,1,0,1,1,1,1,20210101,
D0381,HCPCS,CONE BEAM CT CAPT MANDIBLE,,,25,,NW,,,,,,$454.07,$0.00,1,0,1,1,1,1,20210101,
D0382,HCPCS,CONE BEAM CT CAPT MAXILLA,,,25,,NW,,,,,,$449.37,$0.00,1,0,1,1,1,1,20210101,
D0383,HCPCS,CONE BEAM CT BOTH JAWS,,,25,,NW,,,,,,$466.76,$0.00,1,0,1,1,1,1,20210101,
D0384,HCPCS,CONE BEAM CT CAPTURE TMJ,,,25,,NW,,,,,,$477.78,$0.00,1,0,1,1,1,1,20210101,
D0385,HCPCS,MAX MRI IMAGE CAPTURE,,,25,,NW,,,,,,"$1,652.63",$0.00,1,0,1,1,1,1,20210101,
D0386,HCPCS,MAX ULTRASOUND IMAGE CAPTURE,,,25,,NW,,,,,,$640.10,$0.00,1,0,1,1,1,1,20210101,
D0391,HCPCS,IMTERPRETE DIAGNOSTIC IMAGE,,,25,,NW,,,,,,$397.62,$0.00,1,0,1,1,1,1,20210101,
D0393,HCPCS,TRTMNT SIMULATION 3D IMAGE,,,25,,NW,,,,,,$428.70,$0.00,1,0,1,1,1,1,20210101,
D0394,HCPCS,DIGITAL SUB 2 OR MORE IMAGES,,,25,,NW,,,,,,$390.00,$0.00,1,0,1,1,1,1,20210101,
D0395,HCPCS,FUSION 2 OR MORE 3D IMAGES,,,25,,NW,,,,,,$454.46,$0.00,1,0,1,1,1,1,20210101,
D0414,HCPCS,LAB PROCESS MICROBIAL SPEC,,,25,,NW,,,,,,$110.65,$0.00,1,0,1,1,1,1,20210101,
D0415,HCPCS,COLLECTION OF MICROORGANISMS,,,25,,NW,,,,,,$152.66,$0.00,1,0,1,1,1,1,20210101,
D0416,HCPCS,VIRAL CULTURE,,,25,,NW,,,,,,$155.96,$0.00,1,0,1,1,1,1,20210101,
D0417,HCPCS,COLLECT & PREP SALIVA SAMPLE,,,25,,NW,,,,,,$178.66,$0.00,1,0,1,1,1,1,20210101,
D0418,HCPCS,ANALYSIS OF SALIVA SAMPLE,,,25,,NW,,,,,,$150.51,$0.00,1,0,1,1,1,1,20210101,
D0419,HCPCS,ASSESS OF SALIVARY FLOW,,,25,,NW,,,,,,$144.62,$0.00,1,0,1,1,1,1,20210101,
D0422,HCPCS,COLLECT & PREP GENETIC SAMP,,,25,,NW,,,,,,$138.38,$0.00,1,0,1,1,1,1,20210101,
D0423,HCPCS,GENETIC TEST SPEC ANALYSIS,,,25,,NW,,,,,,$267.88,$0.00,1,0,1,1,1,1,20210101,
D0425,HCPCS,CARIES SUSCEPTIBILITY TEST,,,25,,NW,,,,,,$83.39,$0.00,1,0,1,1,1,1,20210101,
D0431,HCPCS,DIAG TST DETECT MUCOS ABNORM,,,25,,NW,,,,,,$85.10,$0.00,1,0,1,1,1,1,20210101,
D0460,HCPCS,PULP VITALITY TEST,,,25,,NW,,,,,,$77.02,$0.00,1,0,1,1,1,1,20210101,
D0470,HCPCS,DIAGNOSTIC CASTS,,,25,,NW,,,,,,$163.77,$0.00,1,0,1,1,1,1,20210101,
D0472,HCPCS,"GROSS EXAM, PREP & REPORT",,,25,,NW,,,,,,$140.55,$0.00,1,0,1,1,1,1,20210101,
D0473,HCPCS,"MICRO EXAM, PREP & REPORT",,,25,,NW,,,,,,$220.98,$0.00,1,0,1,1,1,1,20210101,
D0474,HCPCS,MICRO W EXAM OF SURG MARGINS,,,25,,NW,,,,,,$255.70,$0.00,1,0,1,1,1,1,20210101,
D0475,HCPCS,DECALCIFICATION PROCEDURE,,,25,,NW,,,,,,$217.72,$0.00,1,0,1,1,1,1,20210101,
D0476,HCPCS,SPEC STAINS FOR MICROORGANIS,,,25,,NW,,,,,,$257.92,$0.00,1,0,1,1,1,1,20210101,
D0477,HCPCS,SPEC STAINS NOT FOR MICROORG,,,25,,NW,,,,,,$282.10,$0.00,1,0,1,1,1,1,20210101,
D0478,HCPCS,IMMUNOHISTOCHEMICAL STAINS,,,25,,NW,,,,,,$189.35,$0.00,1,0,1,1,1,1,20210101,
D0479,HCPCS,TISSUE IN-SITU HYBRIDIZATION,,,25,,NW,,,,,,$272.18,$0.00,1,0,1,1,1,1,20210101,
D0480,HCPCS,CYTOPATH SMEAR PREP & REPORT,,,25,,NW,,,,,,$189.53,$0.00,1,0,1,1,1,1,20210101,
D0481,HCPCS,ELECTRON MICROSCOPY,,,25,,NW,,,,,,$417.87,$0.00,1,0,1,1,1,1,20210101,
D0482,HCPCS,DIRECT IMMUNOFLUORESCENCE,,,25,,NW,,,,,,$164.64,$0.00,1,0,1,1,1,1,20210101,
D0483,HCPCS,INDIRECT IMMUNOFLUORESCENCE,,,25,,NW,,,,,,$177.19,$0.00,1,0,1,1,1,1,20210101,
D0484,HCPCS,CONSULT SLIDES PREP ELSEWHER,,,25,,NW,,,,,,$250.14,$0.00,1,0,1,1,1,1,20210101,
D0485,HCPCS,CONSULT INC PREP OF SLIDES,,,25,,NW,,,,,,$341.49,$0.00,1,0,1,1,1,1,20210101,
D0486,HCPCS,ACCESS OF TRANSEP CYTOL SAMP,,,25,,NW,,,,,,$201.99,$0.00,1,0,1,1,1,1,20210101,
D0502,HCPCS,OTHER ORAL PATHOLOGY PROCEDU,,,25,,NW,,,,,,$221.93,$0.00,1,0,1,1,1,1,20210101,
D0600,HCPCS,NON-IONIZING DIAG PROC,,,25,,NW,,,,,,$93.96,$0.00,1,0,1,1,1,1,20210101,
D0601,HCPCS,CARIES RISK ASSESS LOW RISK,,,25,,NW,,,,,,$95.89,$0.00,1,0,1,1,1,1,20210101,
D0602,HCPCS,CARIES RISK ASSESS MOD RISK,,,25,,NW,,,,,,$93.30,$0.00,1,0,1,1,1,1,20210101,
D0603,HCPCS,CARIES RISK ASSESS HIGH RISK,,,25,,NW,,,,,,$93.73,$0.00,1,0,1,1,1,1,20210101,
D0999,HCPCS,UNSPECIFIED DIAGNOSTIC PROCE,,,25,,NW,,,,,,$89.66,$0.00,1,0,1,1,1,1,20210101,
D1110,HCPCS,DENTAL PROPHYLAXIS ADULT,,,25,,NW,,,,,,$125.80,$0.00,1,0,1,1,1,1,20210101,
D1120,HCPCS,DENTAL PROPHYLAXIS CHILD,,,25,,NW,,,,,,$95.78,$0.00,1,0,1,1,1,1,20210101,
D1206,HCPCS,TOPICAL FLUORIDE VARNISH,,,25,,NW,,,,,,$60.50,$0.00,1,0,1,1,1,1,20210101,
D1208,HCPCS,TOPICAL APP FLUORID EX VRNSH,,,25,,NW,,,,,,$54.45,$0.00,1,0,1,1,1,1,20210101,
D1310,HCPCS,NUTRI COUNSEL-CONTROL CARIES,,,25,,NW,,,,,,$78.95,$0.00,1,0,1,1,1,1,20210101,
D1320,HCPCS,TOBACCO COUNSELING,,,25,,NW,,,,,,$90.60,$0.00,1,0,1,1,1,1,20210101,
D1321,HCPCS,COUNS FOR HIGH RISK SUB USE,,,25,,NW,,,,,,$90.60,$0.00,1,0,1,1,1,1,20210101,
D1330,HCPCS,ORAL HYGIENE INSTRUCTION,,,25,,NW,,,,,,$84.76,$0.00,1,0,1,1,1,1,20210101,
D1351,HCPCS,DENTAL SEALANT PER TOOTH,,,25,,NW,,,,,,$77.52,$0.00,1,0,1,1,1,1,20210101,
D1352,HCPCS,"PREV RESIN REST, PERM TOOTH",,,25,,NW,,,,,,$129.57,$0.00,1,0,1,1,1,1,20210101,
D1353,HCPCS,SEALANT REPAIR PER TOOTH,,,25,,NW,,,,,,$90.26,$0.00,1,0,1,1,1,1,20210101,
D1354,HCPCS,INT CARIES MED APP PER TOOTH,,,25,,NW,,,,,,$97.67,$0.00,1,0,1,1,1,1,20210101,
D1355,HCPCS,CARIES MED APP PER TOOTH,,,25,,NW,,,,,,$97.67,$0.00,1,0,1,1,1,1,20210101,
D1510,HCPCS,SPACE MAINTAINER FXD UNILAT,,,26,,NW,,,,,,$447.96,$0.00,1,0,1,1,1,1,20210101,
D1516,HCPCS,"FIXED BILAT SPACE MAINT, MAX",,,26,,NW,,,,,,$608.36,$0.00,1,0,1,1,1,1,20210101,
D1517,HCPCS,"FIXED BILAT SPACE MAINT, MAN",,,26,,NW,,,,,,$620.04,$0.00,1,0,1,1,1,1,20210101,
D1520,HCPCS,REMOVE UNILAT SPACE MAINTAIN,,,26,,NW,,,,,,$515.59,$0.00,1,0,1,1,1,1,20210101,
D1526,HCPCS,"REMOVE BILAT SPACE MAIN, MAX",,,26,,NW,,,,,,$709.35,$0.00,1,0,1,1,1,1,20210101,
D1527,HCPCS,"REMOVE BILAT SPACE MAIN, MAN",,,26,,NW,,,,,,$707.23,$0.00,1,0,1,1,1,1,20210101,
D1551,HCPCS,RECEMENT SPACE MAINT - MAX,,,26,,NW,,,,,,$103.17,$0.00,1,0,1,1,1,1,20210101,
D1552,HCPCS,RECEMENT SPACE MAINT - MAN,,,26,,NW,,,,,,$103.17,$0.00,1,0,1,1,1,1,20210101,
D1553,HCPCS,RECEMENT UNILAT SPACE MAINT,,,26,,NW,,,,,,$87.04,$0.00,1,0,1,1,1,1,20210101,
D1556,HCPCS,REM FIXED UNILAT SPACE MAINT,,,26,,NW,,,,,,$84.02,$0.00,1,0,1,1,1,1,20210101,
D1557,HCPCS,REMOVE FIXED BILAT MAINT MAX,,,26,,NW,,,,,,$99.26,$0.00,1,0,1,1,1,1,20210101,
D1558,HCPCS,REMOVE FIXED BILAT MAN,,,26,,NW,,,,,,$99.26,$0.00,1,0,1,1,1,1,20210101,
D1575,HCPCS,"DIST SPACE MAINT, FIXED UNIL",,,26,,NW,,,,,,$512.12,$0.00,1,0,1,1,1,1,20210101,
D1999,HCPCS,UNSPECIFIED PREVENTIVE PROC,,,26,,NW,,,,,,$84.76,$0.00,1,0,1,1,1,1,20210101,
D2140,HCPCS,AMALGAM ONE SURFACE PERMANEN,,,26,,NW,,,,,,$194.49,$0.00,1,0,1,1,1,1,20210101,
D2150,HCPCS,AMALGAM TWO SURFACES PERMANE,,,26,,NW,,,,,,$249.14,$0.00,1,0,1,1,1,1,20210101,
D2160,HCPCS,AMALGAM THREE SURFACES PERMA,,,26,,NW,,,,,,$301.91,$0.00,1,0,1,1,1,1,20210101,
D2161,HCPCS,AMALGAM 4 OR > SURFACES PERM,,,26,,NW,,,,,,$363.52,$0.00,1,0,1,1,1,1,20210101,
D2330,HCPCS,RESIN ONE SURFACE-ANTERIOR,,,26,,NW,,,,,,$228.71,$0.00,1,0,1,1,1,1,20210101,
D2331,HCPCS,RESIN TWO SURFACES-ANTERIOR,,,26,,NW,,,,,,$276.86,$0.00,1,0,1,1,1,1,20210101,
D2332,HCPCS,RESIN THREE SURFACES-ANTERIO,,,26,,NW,,,,,,$334.40,$0.00,1,0,1,1,1,1,20210101,
D2335,HCPCS,RESIN 4/> SURF OR W INCIS AN,,,26,,NW,,,,,,$406.87,$0.00,1,0,1,1,1,1,20210101,
D2390,HCPCS,ANT RESIN-BASED CMPST CROWN,,,26,,NW,,,,,,$534.88,$0.00,1,0,1,1,1,1,20210101,
D2391,HCPCS,POST 1 SRFC RESINBASED CMPST,,,26,,NW,,,,,,$248.79,$0.00,1,0,1,1,1,1,20210101,
D2392,HCPCS,POST 2 SRFC RESINBASED CMPST,,,26,,NW,,,,,,$316.16,$0.00,1,0,1,1,1,1,20210101,
D2393,HCPCS,POST 3 SRFC RESINBASED CMPST,,,26,,NW,,,,,,$388.05,$0.00,1,0,1,1,1,1,20210101,
D2394,HCPCS,POST >=4SRFC RESINBASE CMPST,,,26,,NW,,,,,,$472.67,$0.00,1,0,1,1,1,1,20210101,
D2410,HCPCS,DENTAL GOLD FOIL ONE SURFACE,,,27,,NW,,,,,,$683.38,$0.00,1,0,1,1,1,1,20210101,
D2420,HCPCS,DENTAL GOLD FOIL TWO SURFACE,,,27,,NW,,,,,,$871.20,$0.00,1,0,1,1,1,1,20210101,
D2430,HCPCS,DENTAL GOLD FOIL THREE SURFA,,,27,,NW,,,,,,"$1,154.31",$0.00,1,0,1,1,1,1,20210101,
D2510,HCPCS,DENTAL INLAY METALIC 1 SURF,,,27,,NW,,,,,,"$1,172.86",$0.00,1,0,1,1,1,1,20210101,
D2520,HCPCS,DENTAL INLAY METALLIC 2 SURF,,,27,,NW,,,,,,"$1,267.03",$0.00,1,0,1,1,1,1,20210101,
D2530,HCPCS,DENTAL INLAY METL 3/MORE SUR,,,27,,NW,,,,,,"$1,383.07",$0.00,1,0,1,1,1,1,20210101,
D2542,HCPCS,DENTAL ONLAY METALLIC 2 SURF,,,27,,NW,,,,,,"$1,378.08",$0.00,1,0,1,1,1,1,20210101,
D2543,HCPCS,DENTAL ONLAY METALLIC 3 SURF,,,27,,NW,,,,,,"$1,423.16",$0.00,1,0,1,1,1,1,20210101,
D2544,HCPCS,DENTAL ONLAY METL 4/MORE SUR,,,27,,NW,,,,,,"$1,492.35",$0.00,1,0,1,1,1,1,20210101,
D2610,HCPCS,INLAY PORCELAIN/CERAMIC 1 SU,,,27,,NW,,,,,,"$1,293.12",$0.00,1,0,1,1,1,1,20210101,
D2620,HCPCS,INLAY PORCELAIN/CERAMIC 2 SU,,,27,,NW,,,,,,"$1,337.14",$0.00,1,0,1,1,1,1,20210101,
D2630,HCPCS,DENTAL ONLAY PORC 3/MORE SUR,,,27,,NW,,,,,,"$1,403.43",$0.00,1,0,1,1,1,1,20210101,
D2642,HCPCS,DENTAL ONLAY PORCELIN 2 SURF,,,27,,NW,,,,,,"$1,384.49",$0.00,1,0,1,1,1,1,20210101,
D2643,HCPCS,DENTAL ONLAY PORCELIN 3 SURF,,,27,,NW,,,,,,"$1,453.59",$0.00,1,0,1,1,1,1,20210101,
D2644,HCPCS,DENTAL ONLAY PORC 4/MORE SUR,,,27,,NW,,,,,,"$1,532.83",$0.00,1,0,1,1,1,1,20210101,
D2650,HCPCS,INLAY COMPOSITE/RESIN ONE SU,,,27,,NW,,,,,,"$1,050.43",$0.00,1,0,1,1,1,1,20210101,
D2651,HCPCS,INLAY COMPOSITE/RESIN TWO SU,,,27,,NW,,,,,,"$1,127.11",$0.00,1,0,1,1,1,1,20210101,
D2652,HCPCS,DENTAL INLAY RESIN 3/MRE SUR,,,27,,NW,,,,,,"$1,170.81",$0.00,1,0,1,1,1,1,20210101,
D2662,HCPCS,DENTAL ONLAY RESIN 2 SURFACE,,,27,,NW,,,,,,"$1,112.54",$0.00,1,0,1,1,1,1,20210101,
D2663,HCPCS,DENTAL ONLAY RESIN 3 SURFACE,,,27,,NW,,,,,,"$1,205.07",$0.00,1,0,1,1,1,1,20210101,
D2664,HCPCS,DENTAL ONLAY RESIN 4/MRE SUR,,,27,,NW,,,,,,"$1,268.63",$0.00,1,0,1,1,1,1,20210101,
D2710,HCPCS,CROWN RESIN-BASED INDIRECT,,,27,,NW,,,,,,$984.71,$0.00,1,0,1,1,1,1,20210101,
D2712,HCPCS,CROWN 3/4 RESIN-BASED COMPOS,,,27,,NW,,,,,,"$1,019.02",$0.00,1,0,1,1,1,1,20210101,
D2720,HCPCS,CROWN RESIN W/ HIGH NOBLE ME,,,27,,NW,,,,,,"$1,474.84",$0.00,1,0,1,1,1,1,20210101,
D2721,HCPCS,CROWN RESIN W/ BASE METAL,,,27,,NW,,,,,,"$1,392.87",$0.00,1,0,1,1,1,1,20210101,
D2722,HCPCS,CROWN RESIN W/ NOBLE METAL,,,27,,NW,,,,,,"$1,415.80",$0.00,1,0,1,1,1,1,20210101,
D2740,HCPCS,CROWN PORCELAIN/CERAMIC,,,27,,NW,,,,,,"$1,551.03",$0.00,1,0,1,1,1,1,20210101,
D2750,HCPCS,CROWN PORCELAIN W/ H NOBLE M,,,27,,NW,,,,,,"$1,529.53",$0.00,1,0,1,1,1,1,20210101,
D2751,HCPCS,CROWN PORCELAIN FUSED BASE M,,,27,,NW,,,,,,"$1,429.79",$0.00,1,0,1,1,1,1,20210101,
D2752,HCPCS,CROWN PORCELAIN W/ NOBLE MET,,,27,,NW,,,,,,"$1,459.85",$0.00,1,0,1,1,1,1,20210101,
D2753,HCPCS,CROWN PORC FUSED TO TITANIUM,,,27,,NW,,,,,,"$1,441.26",$0.00,1,0,1,1,1,1,20210101,
D2780,HCPCS,CROWN 3/4 CAST HI NOBLE MET,,,27,,NW,,,,,,"$1,484.66",$0.00,1,0,1,1,1,1,20210101,
D2781,HCPCS,CROWN 3/4 CAST BASE METAL,,,27,,NW,,,,,,"$1,402.69",$0.00,1,0,1,1,1,1,20210101,
D2782,HCPCS,CROWN 3/4 CAST NOBLE METAL,,,27,,NW,,,,,,"$1,430.04",$0.00,1,0,1,1,1,1,20210101,
D2783,HCPCS,CROWN 3/4 PORCELAIN/CERAMIC,,,27,,NW,,,,,,"$1,495.33",$0.00,1,0,1,1,1,1,20210101,
D2790,HCPCS,CROWN FULL CAST HIGH NOBLE M,,,27,,NW,,,,,,"$1,536.54",$0.00,1,0,1,1,1,1,20210101,
D2791,HCPCS,CROWN FULL CAST BASE METAL,,,27,,NW,,,,,,"$1,400.53",$0.00,1,0,1,1,1,1,20210101,
D2792,HCPCS,CROWN FULL CAST NOBLE METAL,,,27,,NW,,,,,,"$1,450.97",$0.00,1,0,1,1,1,1,20210101,
D2794,HCPCS,CROWN-TITANIUM,,,27,,NW,,,,,,"$1,503.66",$0.00,1,0,1,1,1,1,20210101,
D2799,HCPCS,PROVISIONAL CROWN,,,27,,NW,,,,,,$613.52,$0.00,1,0,1,1,1,1,20210101,
D2910,HCPCS,RECEMENT INLAY ONLAY OR PART,,,27,,NW,,,,,,$150.96,$0.00,1,0,1,1,1,1,20210101,
D2915,HCPCS,RECEMENT CAST OR PREFAB POST,,,27,,NW,,,,,,$151.49,$0.00,1,0,1,1,1,1,20210101,
D2920,HCPCS,RE-CEMENT OR RE-BOND CROWN,,,27,,NW,,,,,,$151.47,$0.00,1,0,1,1,1,1,20210101,
D2921,HCPCS,REATTACH TOOTH FRAGMENT,,,27,,NW,,,,,,$289.33,$0.00,1,0,1,1,1,1,20210101,
D2928,HCPCS,PREFAB PORC/CER CROWN PERM,,,26,,NW,,,,,,$541.47,$0.00,1,0,1,1,1,1,20210101,
D2929,HCPCS,PREFAB PORC/CERAM CROWN PRI,,,27,,NW,,,,,,$541.47,$0.00,1,0,1,1,1,1,20210101,
D2930,HCPCS,PREFAB STNLSS STEEL CRWN PRI,,,27,,NW,,,,,,$377.79,$0.00,1,0,1,1,1,1,20210101,
D2931,HCPCS,PREFAB STNLSS STEEL CROWN PE,,,27,,NW,,,,,,$440.70,$0.00,1,0,1,1,1,1,20210101,
D2932,HCPCS,PREFABRICATED RESIN CROWN,,,27,,NW,,,,,,$474.70,$0.00,1,0,1,1,1,1,20210101,
D2933,HCPCS,PREFAB STAINLESS STEEL CROWN,,,27,,NW,,,,,,$519.44,$0.00,1,0,1,1,1,1,20210101,
D2934,HCPCS,PREFAB STEEL CROWN PRIMARY,,,27,,NW,,,,,,$513.30,$0.00,1,0,1,1,1,1,20210101,
D2940,HCPCS,PROTECTIVE RESTORATION,,,26,,NW,,,,,,$162.73,$0.00,1,0,1,1,1,1,20210101,
D2941,HCPCS,INT THERAPEUTIC RESTORATION,,,26,,NW,,,,,,$213.78,$0.00,1,0,1,1,1,1,20210101,
D2949,HCPCS,RESTORATIVE FOUNDATION,,,26,,NW,,,,,,$229.78,$0.00,1,0,1,1,1,1,20210101,
D2950,HCPCS,CORE BUILD-UP INCL ANY PINS,,,27,,NW,,,,,,$368.81,$0.00,1,0,1,1,1,1,20210101,
D2951,HCPCS,TOOTH PIN RETENTION,,,27,,NW,,,,,,$96.86,$0.00,1,0,1,1,1,1,20210101,
D2952,HCPCS,POST AND CORE CAST + CROWN,,,27,,NW,,,,,,$571.91,$0.00,1,0,1,1,1,1,20210101,
D2953,HCPCS,EACH ADDTNL CAST POST,,,27,,NW,,,,,,$368.42,$0.00,1,0,1,1,1,1,20210101,
D2954,HCPCS,PREFAB POST/CORE + CROWN,,,27,,NW,,,,,,$460.48,$0.00,1,0,1,1,1,1,20210101,
D2955,HCPCS,POST REMOVAL,,,27,,NW,,,,,,$381.28,$0.00,1,0,1,1,1,1,20210101,
D2957,HCPCS,EACH ADDTNL PREFAB POST,,,27,,NW,,,,,,$262.16,$0.00,1,0,1,1,1,1,20210101,
D2960,HCPCS,LAMINATE LABIAL VENEER,,,27,,NW,,,,,,"$1,022.55",$0.00,1,0,1,1,1,1,20210101,
D2961,HCPCS,LAB LABIAL VENEER RESIN,,,27,,NW,,,,,,"$1,327.03",$0.00,1,0,1,1,1,1,20210101,
D2962,HCPCS,LAB LABIAL VENEER PORCELAIN,,,27,,NW,,,,,,"$1,495.08",$0.00,1,0,1,1,1,1,20210101,
D2971,HCPCS,ADD PROC CONSTRUCT NEW CROWN,,,27,,NW,,,,,,$304.12,$0.00,1,0,1,1,1,1,20210101,
D2975,HCPCS,COPING,,,27,,NW,,,,,,$755.64,$0.00,1,0,1,1,1,1,20210101,
D2980,HCPCS,CROWN REPAIR,,,27,,NW,,,,,,$339.02,$0.00,1,0,1,1,1,1,20210101,
D2981,HCPCS,INLAY REPAIR,,,27,,NW,,,,,,$334.80,$0.00,1,0,1,1,1,1,20210101,
D2982,HCPCS,ONLAY REPAIR,,,27,,NW,,,,,,$342.56,$0.00,1,0,1,1,1,1,20210101,
D2983,HCPCS,VENEER REPAIR,,,27,,NW,,,,,,$349.44,$0.00,1,0,1,1,1,1,20210101,
D2990,HCPCS,RESIN INFILTRATION OF LESION,,,27,,NW,,,,,,$185.99,$0.00,1,0,1,1,1,1,20210101,
D2999,HCPCS,DENTAL UNSPEC RESTORATIVE PR,,,27,,NW,,,,,,$316.16,$0.00,1,0,1,1,1,1,20210101,
D3110,HCPCS,PULP CAP DIRECT,,,26,,NW,,,,,,$125.62,$0.00,1,0,1,1,1,1,20210101,
D3120,HCPCS,PULP CAP INDIRECT,,,26,,NW,,,,,,$112.88,$0.00,1,0,1,1,1,1,20210101,
D3220,HCPCS,THERAPEUTIC PULPOTOMY,,,26,,NW,,,,,,$283.41,$0.00,1,0,1,1,1,1,20210101,
D3221,HCPCS,GROSS PULPAL DEBRIDEMENT,,,26,,NW,,,,,,$311.81,$0.00,1,0,1,1,1,1,20210101,
D3222,HCPCS,PART PULP FOR APEXOGENESIS,,,26,,NW,,,,,,$347.91,$0.00,1,0,1,1,1,1,20210101,
D3230,HCPCS,PULPAL THERAPY ANTERIOR PRIM,,,26,,NW,,,,,,$325.75,$0.00,1,0,1,1,1,1,20210101,
D3240,HCPCS,PULPAL THERAPY POSTERIOR PRI,,,26,,NW,,,,,,$370.18,$0.00,1,0,1,1,1,1,20210101,
D3310,HCPCS,"END THXPY, ANTERIOR TOOTH",,,26,,NW,,,,,,"$1,028.82",$0.00,1,0,1,1,1,1,20210101,
D3320,HCPCS,"END THXPY, PREMOLAR TOOTH",,,26,,NW,,,,,,"$1,216.22",$0.00,1,0,1,1,1,1,20210101,
D3330,HCPCS,"END THXPY, MOLAR TOOTH",,,26,,NW,,,,,,"$1,490.69",$0.00,1,0,1,1,1,1,20210101,
D3331,HCPCS,NON-SURG TX ROOT CANAL OBS,,,26,,NW,,,,,,$641.67,$0.00,1,0,1,1,1,1,20210101,
D3332,HCPCS,INCOMPLETE ENDODONTIC TX,,,26,,NW,,,,,,$688.91,$0.00,1,0,1,1,1,1,20210101,
D3333,HCPCS,INTERNAL ROOT REPAIR,,,26,,NW,,,,,,$422.22,$0.00,1,0,1,1,1,1,20210101,
D3346,HCPCS,RETREAT ROOT CANAL ANTERIOR,,,26,,NW,,,,,,"$1,283.56",$0.00,1,0,1,1,1,1,20210101,
D3347,HCPCS,RETREAT ROOT CANAL PREMOLAR,,,26,,NW,,,,,,"$1,484.95",$0.00,1,0,1,1,1,1,20210101,
D3348,HCPCS,RETREAT ROOT CANAL MOLAR,,,26,,NW,,,,,,"$1,796.62",$0.00,1,0,1,1,1,1,20210101,
D3351,HCPCS,APEXIFICATION/RECALC INITIAL,,,26,,NW,,,,,,$554.70,$0.00,1,0,1,1,1,1,20210101,
D3352,HCPCS,APEXIFICATION/RECALC INTERIM,,,26,,NW,,,,,,$324.67,$0.00,1,0,1,1,1,1,20210101,
D3353,HCPCS,APEXIFICATION/RECALC FINAL,,,26,,NW,,,,,,$778.73,$0.00,1,0,1,1,1,1,20210101,
D3355,HCPCS,PULPAL REGENERATION INITIAL,,,26,,NW,,,,,,$583.01,$0.00,1,0,1,1,1,1,20210101,
D3356,HCPCS,PULPAL REGENERATION INTERIM,,,26,,NW,,,,,,$348.47,$0.00,1,0,1,1,1,1,20210101,
D3357,HCPCS,PULPAL REGENERATION COMPLETE,,,26,,NW,,,,,,$789.78,$0.00,1,0,1,1,1,1,20210101,
D3410,HCPCS,APICOECTOMY - ANTERIOR,,,26,,NW,,,,,,"$1,098.56",$0.00,1,0,1,1,1,1,20210101,
D3421,HCPCS,ROOT SURGERY PREMOLAR,,,26,,NW,,,,,,"$1,218.96",$0.00,1,0,1,1,1,1,20210101,
D3425,HCPCS,ROOT SURGERY MOLAR,,,26,,NW,,,,,,"$1,385.97",$0.00,1,0,1,1,1,1,20210101,
D3426,HCPCS,ROOT SURGERY EA ADD ROOT,,,26,,NW,,,,,,$556.87,$0.00,1,0,1,1,1,1,20210101,
D3428,HCPCS,BONE GRAFT PERI PER TOOTH,,,26,,NW,,,,,,"$1,229.19",$0.00,1,0,1,1,1,1,20210101,
D3429,HCPCS,BONE GRAFT PERI EACH ADDL,,,26,,NW,,,,,,"$1,145.51",$0.00,1,0,1,1,1,1,20210101,
D3430,HCPCS,RETROGRADE FILLING,,,26,,NW,,,,,,$391.03,$0.00,1,0,1,1,1,1,20210101,
D3431,HCPCS,BIOLOGICAL MATERIALS,,,26,,NW,,,,,,"$1,283.40",$0.00,1,0,1,1,1,1,20210101,
D3432,HCPCS,GUIDED TISSUE REGENERATION,,,26,,NW,,,,,,"$1,206.27",$0.00,1,0,1,1,1,1,20210101,
D3450,HCPCS,ROOT AMPUTATION,,,26,,NW,,,,,,$743.20,$0.00,1,0,1,1,1,1,20210101,
D3460,HCPCS,ENDODONTIC ENDOSSEOUS IMPLAN,,,26,,NW,,,,,,"$2,454.95",$0.00,1,0,1,1,1,1,20210101,
D3470,HCPCS,INTENTIONAL REPLANTATION,,,26,,NW,,,,,,"$1,268.95",$0.00,1,0,1,1,1,1,20210101,
D3501,HCPCS,SURG EXP ROOT SURF ANTERIOR,,,26,,NW,,,,,,"$1,042.08",$0.00,1,0,1,1,1,1,20210101,
D3502,HCPCS,SURG EXP ROOT SURF PREMOLAR,,,26,,NW,,,,,,"$1,042.08",$0.00,1,0,1,1,1,1,20210101,
D3503,HCPCS,SURG EXP ROOT SURF MOLAR,,,26,,NW,,,,,,"$1,042.08",$0.00,1,0,1,1,1,1,20210101,
D3910,HCPCS,ISOLATION- TOOTH W RUBB DAM,,,26,,NW,,,,,,$270.83,$0.00,1,0,1,1,1,1,20210101,
D3920,HCPCS,TOOTH SPLITTING,,,26,,NW,,,,,,$624.01,$0.00,1,0,1,1,1,1,20210101,
D3950,HCPCS,CANAL PREP/FITTING OF DOWEL,,,26,,NW,,,,,,$325.95,$0.00,1,0,1,1,1,1,20210101,
D3999,HCPCS,ENDODONTIC PROCEDURE,,,26,,NW,,,,,,"$1,216.22",$0.00,1,0,1,1,1,1,20210101,
D4210,HCPCS,GINGIVECTOMY/PLASTY 4 OR MOR,,,26,,NW,,,,,,$932.01,$0.00,1,0,1,1,1,1,20210101,
D4211,HCPCS,GINGIVECTOMY/PLASTY 1 TO 3,,,26,,NW,,,,,,$454.76,$0.00,1,0,1,1,1,1,20210101,
D4212,HCPCS,GINGIVECTOMY/PLASTY REST,,,26,,NW,,,,,,$385.09,$0.00,1,0,1,1,1,1,20210101,
D4230,HCPCS,ANA CROWN EXP 4 OR> PER QUAD,,,26,,NW,,,,,,"$1,296.93",$0.00,1,0,1,1,1,1,20210101,
D4231,HCPCS,ANA CROWN EXP 1-3 PER QUAD,,,26,,NW,,,,,,$754.03,$0.00,1,0,1,1,1,1,20210101,
D4240,HCPCS,GINGIVAL FLAP PROC W/ PLANIN,,,26,,NW,,,,,,"$1,144.11",$0.00,1,0,1,1,1,1,20210101,
D4241,HCPCS,GNGVL FLAP W ROOTPLAN 1-3 TH,,,26,,NW,,,,,,$809.73,$0.00,1,0,1,1,1,1,20210101,
D4245,HCPCS,APICALLY POSITIONED FLAP,,,26,,NW,,,,,,"$1,037.16",$0.00,1,0,1,1,1,1,20210101,
D4249,HCPCS,CROWN LENGTHEN HARD TISSUE,,,26,,NW,,,,,,"$1,228.77",$0.00,1,0,1,1,1,1,20210101,
D4260,HCPCS,OSSEOUS SURGERY 4 OR MORE,,,26,,NW,,,,,,"$1,812.77",$0.00,1,0,1,1,1,1,20210101,
D4261,HCPCS,OSSEOUS SURG 1 TO 3 TEETH,,,26,,NW,,,,,,"$1,198.72",$0.00,1,0,1,1,1,1,20210101,
D4263,HCPCS,BONE REPLCE GRAFT FIRST SITE,,,26,,NW,,,,,,$849.04,$0.00,1,0,1,1,1,1,20210101,
D4264,HCPCS,BONE REPLCE GRAFT EACH ADD,,,26,,NW,,,,,,$711.27,$0.00,1,0,1,1,1,1,20210101,
D4265,HCPCS,BIO MTRLS TO AID SOFT/OS REG,,,26,,NW,,,,,,$807.89,$0.00,1,0,1,1,1,1,20210101,
D4266,HCPCS,GUIDED TISS REGEN RESORBLE,,,26,,NW,,,,,,$902.52,$0.00,1,0,1,1,1,1,20210101,
D4267,HCPCS,GUIDED TISS REGEN NONRESORB,,,26,,NW,,,,,,"$1,111.73",$0.00,1,0,1,1,1,1,20210101,
D4268,HCPCS,SURGICAL REVISION PROCEDURE,,,26,,NW,,,,,,"$1,158.70",$0.00,1,0,1,1,1,1,20210101,
D4270,HCPCS,PEDICLE SOFT TISSUE GRAFT PR,,,26,,NW,,,,,,"$1,350.95",$0.00,1,0,1,1,1,1,20210101,
D4273,HCPCS,AUTO TISSUE GRAFT 1ST TOOTH,,,26,,NW,,,,,,"$1,670.43",$0.00,1,0,1,1,1,1,20210101,
D4274,HCPCS,MESIAL/DISTAL WEDGE PROC,,,26,,NW,,,,,,$982.43,$0.00,1,0,1,1,1,1,20210101,
D4275,HCPCS,NON-AUTO GRAFT 1ST TOOTH,,,26,,NW,,,,,,"$1,402.34",$0.00,1,0,1,1,1,1,20210101,
D4276,HCPCS,CON TISSUE W DBLE PED GRAFT,,,26,,NW,,,,,,"$1,807.25",$0.00,1,0,1,1,1,1,20210101,
D4277,HCPCS,SOFT TISSUE GRAFT FIRSTTOOTH,,,26,,NW,,,,,,"$1,464.42",$0.00,1,0,1,1,1,1,20210101,
D4278,HCPCS,SOFT TISSUE GRAFT ADDL TOOTH,,,26,,NW,,,,,,$810.05,$0.00,1,0,1,1,1,1,20210101,
D4283,HCPCS,AUTO TISSUE GRAFT ADDL TOOTH,,,26,,NW,,,,,,"$1,465.34",$0.00,1,0,1,1,1,1,20210101,
D4285,HCPCS,NON-AUTO GRAFT ADDL TOOTH,,,26,,NW,,,,,,"$1,246.36",$0.00,1,0,1,1,1,1,20210101,
D4320,HCPCS,PROVISION SPLNT INTRACORONAL,,,26,,NW,,,,,,$662.35,$0.00,1,0,1,1,1,1,20210101,
D4321,HCPCS,PROVISIONAL SPLINT EXTRACORO,,,26,,NW,,,,,,$593.39,$0.00,1,0,1,1,1,1,20210101,
D4341,HCPCS,PERIODONTAL SCALING & ROOT,,,26,,NW,,,,,,$348.11,$0.00,1,0,1,1,1,1,20210101,
D4342,HCPCS,PERIODONTAL SCALING 1-3TEETH,,,26,,NW,,,,,,$234.24,$0.00,1,0,1,1,1,1,20210101,
D4346,HCPCS,SCALING GINGIV INFLAMMATION,,,26,,NW,,,,,,$213.17,$0.00,1,0,1,1,1,1,20210101,
D4355,HCPCS,FULL MOUTH DEBRIDEMENT,,,26,,NW,,,,,,$242.92,$0.00,1,0,1,1,1,1,20210101,
D4381,HCPCS,LOCALIZED DELIVERY ANTIMICRO,,,26,,NW,,,,,,$181.77,$0.00,1,0,1,1,1,1,20210101,
D4910,HCPCS,PERIODONTAL MAINT PROCEDURES,,,26,,NW,,,,,,$190.57,$0.00,1,0,1,1,1,1,20210101,
D4920,HCPCS,UNSCHEDULED DRESSING CHANGE,,,26,,NW,,,,,,$148.11,$0.00,1,0,1,1,1,1,20210101,
D4921,HCPCS,GINGIVAL IRRIGATION PER QUAD,,,26,,NW,,,,,,$115.26,$0.00,1,0,1,1,1,1,20210101,
D4999,HCPCS,UNSPECIFIED PERIODONTAL PROC,,,26,,NW,,,,,,$190.57,$0.00,1,0,1,1,1,1,20210101,
D5110,HCPCS,DENTURES COMPLETE MAXILLARY,,,27,,NW,,,,,,"$2,303.37",$0.00,1,0,1,1,1,1,20210101,
D5120,HCPCS,DENTURES COMPLETE MANDIBLE,,,27,,NW,,,,,,"$2,310.73",$0.00,1,0,1,1,1,1,20210101,
D5130,HCPCS,DENTURES IMMEDIAT MAXILLARY,,,27,,NW,,,,,,"$2,461.93",$0.00,1,0,1,1,1,1,20210101,
D5140,HCPCS,DENTURES IMMEDIAT MANDIBLE,,,27,,NW,,,,,,"$2,472.38",$0.00,1,0,1,1,1,1,20210101,
D5211,HCPCS,DENTURES MAXILL PART RESIN,,,27,,NW,,,,,,"$1,874.40",$0.00,1,0,1,1,1,1,20210101,
D5212,HCPCS,DENTURES MAND PART RESIN,,,27,,NW,,,,,,"$2,008.98",$0.00,1,0,1,1,1,1,20210101,
D5213,HCPCS,DENTURES MAXILL PART METAL,,,27,,NW,,,,,,"$2,443.07",$0.00,1,0,1,1,1,1,20210101,
D5214,HCPCS,DENTURES MANDIBL PART METAL,,,27,,NW,,,,,,"$2,450.26",$0.00,1,0,1,1,1,1,20210101,
D5221,HCPCS,IMMED MAX PART DENTURE RESIN,,,27,,NW,,,,,,"$2,017.26",$0.00,1,0,1,1,1,1,20210101,
D5222,HCPCS,IMMED MAN PART DENTURE RESIN,,,27,,NW,,,,,,"$2,186.88",$0.00,1,0,1,1,1,1,20210101,
D5223,HCPCS,IMMED MAX PART DENT METAL,,,27,,NW,,,,,,"$2,527.07",$0.00,1,0,1,1,1,1,20210101,
D5224,HCPCS,IMMED MAND PART DENT METAL,,,27,,NW,,,,,,"$2,530.72",$0.00,1,0,1,1,1,1,20210101,
D5225,HCPCS,MAXILLARY PART DENTURE FLEX,,,27,,NW,,,,,,"$1,988.90",$0.00,1,0,1,1,1,1,20210101,
D5226,HCPCS,MANDIBULAR PART DENTURE FLEX,,,27,,NW,,,,,,"$2,116.80",$0.00,1,0,1,1,1,1,20210101,
D5282,HCPCS,"REMOVE UNIL PART DENTURE,MAX",,,27,,NW,,,,,,"$1,386.68",$0.00,1,0,1,1,1,1,20210101,
D5283,HCPCS,"REMOVE UNIL PART DENTURE,MAN",,,27,,NW,,,,,,"$1,378.55",$0.00,1,0,1,1,1,1,20210101,
D5284,HCPCS,REM UNILAT DENT FLEX BASE,,,27,,NW,,,,,,"$1,017.79",$0.00,1,0,1,1,1,1,20210101,
D5286,HCPCS,REM UNILAT DENT 1 PC RESIN,,,27,,NW,,,,,,"$1,017.79",$0.00,1,0,1,1,1,1,20210101,
D5410,HCPCS,DENTURES ADJUST CMPLT MAXIL,,,27,,NW,,,,,,$123.24,$0.00,1,0,1,1,1,1,20210101,
D5411,HCPCS,DENTURES ADJUST CMPLT MAND,,,27,,NW,,,,,,$122.89,$0.00,1,0,1,1,1,1,20210101,
D5421,HCPCS,DENTURES ADJUST PART MAXILL,,,27,,NW,,,,,,$122.77,$0.00,1,0,1,1,1,1,20210101,
D5422,HCPCS,DENTURES ADJUST PART MANDBL,,,27,,NW,,,,,,$122.89,$0.00,1,0,1,1,1,1,20210101,
D5511,HCPCS,REP BROKE COMP DENT BASE MAN,,,27,,NW,,,,,,$270.50,$0.00,1,0,1,1,1,1,20210101,
D5512,HCPCS,REP BROKE COMP DENT BASE MAX,,,27,,NW,,,,,,$272.29,$0.00,1,0,1,1,1,1,20210101,
D5520,HCPCS,REPLACE DENTURE TEETH COMPLT,,,27,,NW,,,,,,$235.11,$0.00,1,0,1,1,1,1,20210101,
D5611,HCPCS,REP RESIN PART DENT BASE MAN,,,27,,NW,,,,,,$277.88,$0.00,1,0,1,1,1,1,20210101,
D5612,HCPCS,REP RESIN PART DENT BASE MAX,,,27,,NW,,,,,,$280.11,$0.00,1,0,1,1,1,1,20210101,
D5621,HCPCS,REP CAST PART FRAME MAN,,,27,,NW,,,,,,$330.46,$0.00,1,0,1,1,1,1,20210101,
D5622,HCPCS,REP CAST PART FRAME MAX,,,27,,NW,,,,,,$331.30,$0.00,1,0,1,1,1,1,20210101,
D5630,HCPCS,REP PARTIAL DENTURE CLASP,,,27,,NW,,,,,,$351.80,$0.00,1,0,1,1,1,1,20210101,
D5640,HCPCS,REPLACE PART DENTURE TEETH,,,27,,NW,,,,,,$247.54,$0.00,1,0,1,1,1,1,20210101,
D5650,HCPCS,ADD TOOTH TO PARTIAL DENTURE,,,27,,NW,,,,,,$306.83,$0.00,1,0,1,1,1,1,20210101,
D5660,HCPCS,ADD CLASP TO PARTIAL DENTURE,,,27,,NW,,,,,,$362.02,$0.00,1,0,1,1,1,1,20210101,
D5670,HCPCS,REPLC TTH&ACRLC ON MTL FRMWK,,,27,,NW,,,,,,$946.36,$0.00,1,0,1,1,1,1,20210101,
D5671,HCPCS,REPLC TTH&ACRLC MANDIBULAR,,,27,,NW,,,,,,$955.98,$0.00,1,0,1,1,1,1,20210101,
D5710,HCPCS,DENTURES REBASE CMPLT MAXIL,,,27,,NW,,,,,,$851.70,$0.00,1,0,1,1,1,1,20210101,
D5711,HCPCS,DENTURES REBASE CMPLT MAND,,,27,,NW,,,,,,$823.85,$0.00,1,0,1,1,1,1,20210101,
D5720,HCPCS,DENTURES REBASE PART MAXILL,,,27,,NW,,,,,,$802.69,$0.00,1,0,1,1,1,1,20210101,
D5721,HCPCS,DENTURES REBASE PART MANDBL,,,27,,NW,,,,,,$802.69,$0.00,1,0,1,1,1,1,20210101,
D5730,HCPCS,DENTURE RELN CMPLT MAXIL CH,,,27,,NW,,,,,,$513.03,$0.00,1,0,1,1,1,1,20210101,
D5731,HCPCS,DENTURE RELN CMPLT MAND CHR,,,27,,NW,,,,,,$509.89,$0.00,1,0,1,1,1,1,20210101,
D5740,HCPCS,DENTURE RELN PART MAXIL CHR,,,27,,NW,,,,,,$481.86,$0.00,1,0,1,1,1,1,20210101,
D5741,HCPCS,DENTURE RELN PART MAND CHR,,,27,,NW,,,,,,$484.56,$0.00,1,0,1,1,1,1,20210101,
D5750,HCPCS,DENTURE RELN CMPLT MAX LAB,,,27,,NW,,,,,,$652.70,$0.00,1,0,1,1,1,1,20210101,
D5751,HCPCS,DENTURE RELN CMPLT MAND LAB,,,27,,NW,,,,,,$652.74,$0.00,1,0,1,1,1,1,20210101,
D5760,HCPCS,DENTURE RELN PART MAXIL LAB,,,27,,NW,,,,,,$642.91,$0.00,1,0,1,1,1,1,20210101,
D5761,HCPCS,DENTURE RELN PART MAND LAB,,,27,,NW,,,,,,$643.49,$0.00,1,0,1,1,1,1,20210101,
D5810,HCPCS,DENTURE INTERM CMPLT MAXILL,,,27,,NW,,,,,,"$1,140.80",$0.00,1,0,1,1,1,1,20210101,
D5811,HCPCS,DENTURE INTERM CMPLT MANDBL,,,27,,NW,,,,,,"$1,196.94",$0.00,1,0,1,1,1,1,20210101,
D5820,HCPCS,DENTURE INTERM PART MAXILL,,,27,,NW,,,,,,$893.72,$0.00,1,0,1,1,1,1,20210101,
D5821,HCPCS,DENTURE INTERM PART MANDBL,,,27,,NW,,,,,,$911.63,$0.00,1,0,1,1,1,1,20210101,
D5850,HCPCS,DENTURE TISS CONDITN MAXILL,,,27,,NW,,,,,,$252.02,$0.00,1,0,1,1,1,1,20210101,
D5851,HCPCS,DENTURE TISS CONDTIN MANDBL,,,27,,NW,,,,,,$249.42,$0.00,1,0,1,1,1,1,20210101,
D5862,HCPCS,PRECISION ATTACHMENT,,,27,,NW,,,,,,"$1,004.53",$0.00,1,0,1,1,1,1,20210101,
D5863,HCPCS,OVERDENTURE COMPLETE MAX,,,27,,NW,,,,,,"$2,698.34",$0.00,1,0,1,1,1,1,20210101,
D5864,HCPCS,OVERDENTURE PARTIAL MAX,,,27,,NW,,,,,,"$3,022.92",$0.00,1,0,1,1,1,1,20210101,
D5865,HCPCS,OVERDENTURE COMPLETE MANDIB,,,27,,NW,,,,,,"$2,725.38",$0.00,1,0,1,1,1,1,20210101,
D5866,HCPCS,OVERDENTURE PARTIAL MANDIB,,,27,,NW,,,,,,"$3,087.62",$0.00,1,0,1,1,1,1,20210101,
D5867,HCPCS,REPLACEMENT OF PRECISION ATT,,,27,,NW,,,,,,$552.27,$0.00,1,0,1,1,1,1,20210101,
D5875,HCPCS,PROSTHESIS MODIFICATION,,,27,,NW,,,,,,$653.40,$0.00,1,0,1,1,1,1,20210101,
D5876,HCPCS,ADD METAL SUB TO ACRYLC DENT,,,27,,NW,,,,,,$563.57,$0.00,1,0,1,1,1,1,20210101,
D5899,HCPCS,REMOVABLE PROSTHODONTIC PROC,,,27,,NW,,,,,,$652.70,$0.00,1,0,1,1,1,1,20210101,
D5911,HCPCS,FACIAL MOULAGE SECTIONAL,,,27,,NW,,,,,,$608.82,$0.00,1,0,1,1,1,1,20210101,
D5912,HCPCS,FACIAL MOULAGE COMPLETE,,,27,,NW,,,,,,$622.97,$0.00,1,0,1,1,1,1,20210101,
D5913,HCPCS,NASAL PROSTHESIS,,,27,,NW,,,,,,"$10,158.55",$0.00,1,0,1,1,1,1,20210101,
D5914,HCPCS,AURICULAR PROSTHESIS,,,27,,NW,,,,,,"$10,288.70",$0.00,1,0,1,1,1,1,20210101,
D5915,HCPCS,ORBITAL PROSTHESIS,,,27,,NW,,,,,,"$14,930.65",$0.00,1,0,1,1,1,1,20210101,
D5916,HCPCS,OCULAR PROSTHESIS,,,27,,NW,,,,,,"$3,982.38",$0.00,1,0,1,1,1,1,20210101,
D5919,HCPCS,FACIAL PROSTHESIS,,,27,,NW,,,,,,"$1,715.99",$0.00,1,0,1,1,1,1,20210101,
D5922,HCPCS,NASAL SEPTAL PROSTHESIS,,,27,,NW,,,,,,"$1,715.99",$0.00,1,0,1,1,1,1,20210101,
D5923,HCPCS,OCULAR PROSTHESIS INTERIM,,,27,,NW,,,,,,"$1,715.99",$0.00,1,0,1,1,1,1,20210101,
D5924,HCPCS,CRANIAL PROSTHESIS,,,27,,NW,,,,,,"$1,307.16",$0.00,1,0,1,1,1,1,20210101,
D5925,HCPCS,FACIAL AUGMENTATION IMPLANT,,,27,,NW,,,,,,$420.50,$0.00,1,0,1,1,1,1,20210101,
D5926,HCPCS,REPLACEMENT NASAL PROSTHESIS,,,27,,NW,,,,,,"$1,715.99",$0.00,1,0,1,1,1,1,20210101,
D5927,HCPCS,AURICULAR REPLACEMENT,,,27,,NW,,,,,,"$1,715.99",$0.00,1,0,1,1,1,1,20210101,
D5928,HCPCS,ORBITAL REPLACEMENT,,,27,,NW,,,,,,"$1,715.99",$0.00,1,0,1,1,1,1,20210101,
D5929,HCPCS,FACIAL REPLACEMENT,,,27,,NW,,,,,,"$1,715.99",$0.00,1,0,1,1,1,1,20210101,
D5931,HCPCS,SURGICAL OBTURATOR,,,27,,NW,,,,,,"$5,211.69",$0.00,1,0,1,1,1,1,20210101,
D5932,HCPCS,POSTSURGICAL OBTURATOR,,,27,,NW,,,,,,"$9,230.26",$0.00,1,0,1,1,1,1,20210101,
D5933,HCPCS,REFITTING OF OBTURATOR,,,27,,NW,,,,,,$535.09,$0.00,1,0,1,1,1,1,20210101,
D5934,HCPCS,MANDIBULAR FLANGE PROSTHESIS,,,27,,NW,,,,,,"$10,126.53",$0.00,1,0,1,1,1,1,20210101,
D5935,HCPCS,MANDIBULAR DENTURE PROSTH,,,27,,NW,,,,,,"$8,811.00",$0.00,1,0,1,1,1,1,20210101,
D5936,HCPCS,TEMP OBTURATOR PROSTHESIS,,,27,,NW,,,,,,"$9,896.59",$0.00,1,0,1,1,1,1,20210101,
D5937,HCPCS,TRISMUS APPLIANCE,,,27,,NW,,,,,,"$1,122.06",$0.00,1,0,1,1,1,1,20210101,
D5951,HCPCS,FEEDING AID,,,27,,NW,,,,,,"$1,511.94",$0.00,1,0,1,1,1,1,20210101,
D5952,HCPCS,PEDIATRIC SPEECH AID,,,27,,NW,,,,,,"$4,385.92",$0.00,1,0,1,1,1,1,20210101,
D5953,HCPCS,ADULT SPEECH AID,,,27,,NW,,,,,,"$9,971.98",$0.00,1,0,1,1,1,1,20210101,
D5954,HCPCS,SUPERIMPOSED PROSTHESIS,,,27,,NW,,,,,,"$9,240.72",$0.00,1,0,1,1,1,1,20210101,
D5955,HCPCS,PALATAL LIFT PROSTHESIS,,,27,,NW,,,,,,"$8,547.14",$0.00,1,0,1,1,1,1,20210101,
D5958,HCPCS,INTRAORAL CON DEF INTER PLT,,,27,,NW,,,,,,"$1,715.99",$0.00,1,0,1,1,1,1,20210101,
D5959,HCPCS,INTRAORAL CON DEF MOD PALAT,,,27,,NW,,,,,,"$1,715.99",$0.00,1,0,1,1,1,1,20210101,
D5960,HCPCS,MODIFY SPEECH AID PROSTHESIS,,,27,,NW,,,,,,$618.94,$0.00,1,0,1,1,1,1,20210101,
D5982,HCPCS,SURGICAL STENT,,,27,,NW,,,,,,$743.34,$0.00,1,0,1,1,1,1,20210101,
D5983,HCPCS,RADIATION APPLICATOR,,,27,,NW,,,,,,"$1,410.85",$0.00,1,0,1,1,1,1,20210101,
D5984,HCPCS,RADIATION SHIELD,,,27,,NW,,,,,,"$1,884.71",$0.00,1,0,1,1,1,1,20210101,
D5985,HCPCS,RADIATION CONE LOCATOR,,,27,,NW,,,,,,"$1,884.71",$0.00,1,0,1,1,1,1,20210101,
D5986,HCPCS,FLUORIDE APPLICATOR,,,27,,NW,,,,,,$237.72,$0.00,1,0,1,1,1,1,20210101,
D5987,HCPCS,COMMISSURE SPLINT,,,27,,NW,,,,,,"$2,130.89",$0.00,1,0,1,1,1,1,20210101,
D5988,HCPCS,SURGICAL SPLINT,,,27,,NW,,,,,,$801.03,$0.00,1,0,1,1,1,1,20210101,
D5991,HCPCS,VESICULOBULLOUS DISEASE CARR,,,27,,NW,,,,,,$272.51,$0.00,1,0,1,1,1,1,20210101,
D5992,HCPCS,ADJUST MAX PROST APPLIANCE,,,27,,NW,,,,,,$371.44,$0.00,1,0,1,1,1,1,20210101,
D5993,HCPCS,MAIN/CLEAN MAX PROSTHESIS,,,27,,NW,,,,,,$371.44,$0.00,1,0,1,1,1,1,20210101,
D5995,HCPCS,"PERI MEDICAMENT W/SEAL, MAX",,,27,,NW,,,,,,$612.75,$0.00,1,0,1,1,1,1,20210101,
D5996,HCPCS,"PERI MEDICAMENT W/SEAL, MAND",,,27,,NW,,,,,,$612.75,$0.00,1,0,1,1,1,1,20210101,
D5999,HCPCS,MAXILLOFACIAL PROSTHESIS,,,27,,NW,,,,,,"$7,464.78",$0.00,1,0,1,1,1,1,20210101,
D6010,HCPCS,ODONTICS ENDOSTEAL IMPLANT,,,27,,NW,,,,,,"$3,080.60",$0.00,1,0,1,1,1,1,20210101,
D6011,HCPCS,SECOND STAGE IMPLANT SURGERY,,,27,,NW,,,,,,"$1,021.27",$0.00,1,0,1,1,1,1,20210101,
D6012,HCPCS,ENDOSTEAL IMPLANT,,,27,,NW,,,,,,"$2,806.76",$0.00,1,0,1,1,1,1,20210101,
D6013,HCPCS,SURGICAL PLACE MINI IMPLANT,,,27,,NW,,,,,,"$2,601.45",$0.00,1,0,1,1,1,1,20210101,
D6040,HCPCS,ODONTICS EPOSTEAL IMPLANT,,,27,,NW,,,,,,"$10,939.31",$0.00,1,0,1,1,1,1,20210101,
D6050,HCPCS,ODONTICS TRANSOSTEAL IMPLNT,,,27,,NW,,,,,,"$8,043.41",$0.00,1,0,1,1,1,1,20210101,
D6051,HCPCS,INTERIM ABUTMENT,,,27,,NW,,,,,,$770.06,$0.00,1,0,1,1,1,1,20210101,
D6055,HCPCS,IMPLANT CONNECTING BAR,,,27,,NW,,,,,,"$2,729.02",$0.00,1,0,1,1,1,1,20210101,
D6056,HCPCS,PREFABRICATED ABUTMENT,,,27,,NW,,,,,,$884.92,$0.00,1,0,1,1,1,1,20210101,
D6057,HCPCS,CUSTOM ABUTMENT,,,27,,NW,,,,,,"$1,070.15",$0.00,1,0,1,1,1,1,20210101,
D6058,HCPCS,ABUTMENT SUPPORTED CROWN,,,27,,NW,,,,,,"$1,980.69",$0.00,1,0,1,1,1,1,20210101,
D6059,HCPCS,ABUTMENT SUPPORTED MTL CROWN,,,27,,NW,,,,,,"$1,978.40",$0.00,1,0,1,1,1,1,20210101,
D6060,HCPCS,ABUTMENT SUPPORTED MTL CROWN,,,27,,NW,,,,,,"$1,857.23",$0.00,1,0,1,1,1,1,20210101,
D6061,HCPCS,ABUTMENT SUPPORTED MTL CROWN,,,27,,NW,,,,,,"$1,900.52",$0.00,1,0,1,1,1,1,20210101,
D6062,HCPCS,ABUTMENT SUPPORTED MTL CROWN,,,27,,NW,,,,,,"$1,941.53",$0.00,1,0,1,1,1,1,20210101,
D6063,HCPCS,ABUTMENT SUPPORTED MTL CROWN,,,27,,NW,,,,,,"$1,774.73",$0.00,1,0,1,1,1,1,20210101,
D6064,HCPCS,ABUTMENT SUPPORTED MTL CROWN,,,27,,NW,,,,,,"$1,822.94",$0.00,1,0,1,1,1,1,20210101,
D6065,HCPCS,IMPLANT SUPPORTED CROWN,,,27,,NW,,,,,,"$2,020.36",$0.00,1,0,1,1,1,1,20210101,
D6066,HCPCS,IMPLANT SUPPORTED MTL CROWN,,,27,,NW,,,,,,"$2,015.58",$0.00,1,0,1,1,1,1,20210101,
D6067,HCPCS,IMPLANT SUPPORTED MTL CROWN,,,27,,NW,,,,,,"$2,031.98",$0.00,1,0,1,1,1,1,20210101,
D6068,HCPCS,ABUTMENT SUPPORTED RETAINER,,,27,,NW,,,,,,"$1,983.68",$0.00,1,0,1,1,1,1,20210101,
D6069,HCPCS,ABUTMENT SUPPORTED RETAINER,,,27,,NW,,,,,,"$1,974.52",$0.00,1,0,1,1,1,1,20210101,
D6070,HCPCS,ABUTMENT SUPPORTED RETAINER,,,27,,NW,,,,,,"$1,900.08",$0.00,1,0,1,1,1,1,20210101,
D6071,HCPCS,ABUTMENT SUPPORTED RETAINER,,,27,,NW,,,,,,"$1,922.22",$0.00,1,0,1,1,1,1,20210101,
D6072,HCPCS,ABUTMENT SUPPORTED RETAINER,,,27,,NW,,,,,,"$1,992.58",$0.00,1,0,1,1,1,1,20210101,
D6073,HCPCS,ABUTMENT SUPPORTED RETAINER,,,27,,NW,,,,,,"$1,846.36",$0.00,1,0,1,1,1,1,20210101,
D6074,HCPCS,ABUTMENT SUPPORTED RETAINER,,,27,,NW,,,,,,"$1,878.66",$0.00,1,0,1,1,1,1,20210101,
D6075,HCPCS,IMPLANT SUPPORTED RETAINER,,,27,,NW,,,,,,"$2,027.08",$0.00,1,0,1,1,1,1,20210101,
D6076,HCPCS,IMPLANT SUPPORTED RETAINER,,,27,,NW,,,,,,"$2,025.13",$0.00,1,0,1,1,1,1,20210101,
D6077,HCPCS,IMPLANT SUPPORTED RETAINER,,,27,,NW,,,,,,"$2,045.96",$0.00,1,0,1,1,1,1,20210101,
D6080,HCPCS,IMPLANT MAINTENANCE,,,27,,NW,,,,,,$303.48,$0.00,1,0,1,1,1,1,20210101,
D6081,HCPCS,"SCALE & DEBRIDE, SINGLE IMP",,,27,,NW,,,,,,$159.14,$0.00,1,0,1,1,1,1,20210101,
D6082,HCPCS,IMP CROWN PORC TO BASE ALLOY,,,27,,NW,,,,,,"$1,953.41",$0.00,1,0,1,1,1,1,20210101,
D6083,HCPCS,IMP CROWN PORC TO NOBLE ALLO,,,27,,NW,,,,,,"$1,953.41",$0.00,1,0,1,1,1,1,20210101,
D6084,HCPCS,IMP CROWN PORC TO TITANIUM,,,27,,NW,,,,,,"$1,953.41",$0.00,1,0,1,1,1,1,20210101,
D6085,HCPCS,PROVISIONAL IMPLANT CROWN,,,27,,NW,,,,,,$636.46,$0.00,1,0,1,1,1,1,20210101,
D6086,HCPCS,IMP CROWN BASE ALLOYS,,,27,,NW,,,,,,"$1,925.08",$0.00,1,0,1,1,1,1,20210101,
D6087,HCPCS,IMPLANT CROWN NOBLE ALLOYS,,,27,,NW,,,,,,"$1,925.08",$0.00,1,0,1,1,1,1,20210101,
D6088,HCPCS,IMP CROWN TITANIUM ALLOYS,,,27,,NW,,,,,,"$1,925.08",$0.00,1,0,1,1,1,1,20210101,
D6090,HCPCS,REPAIR IMPLANT,,,27,,NW,,,,,,"$1,029.45",$0.00,1,0,1,1,1,1,20210101,
D6091,HCPCS,REPL SEMI/PRECISION ATTACH,,,27,,NW,,,,,,$795.10,$0.00,1,0,1,1,1,1,20210101,
D6092,HCPCS,RECEMENT SUPP CROWN,,,27,,NW,,,,,,$188.45,$0.00,1,0,1,1,1,1,20210101,
D6093,HCPCS,RECEMENT SUPP PART DENTURE,,,27,,NW,,,,,,$257.48,$0.00,1,0,1,1,1,1,20210101,
D6094,HCPCS,ABUT SUPPORT CROWN TITANIUM,,,27,,NW,,,,,,"$1,751.56",$0.00,1,0,1,1,1,1,20210101,
D6095,HCPCS,ODONTICS REPR ABUTMENT,,,27,,NW,,,,,,"$1,003.19",$0.00,1,0,1,1,1,1,20210101,
D6096,HCPCS,REMOVE BROKEN IMP RET SCREW,,,27,,NW,,,,,,$620.13,$0.00,1,0,1,1,1,1,20210101,
D6097,HCPCS,ABUT CROWN PORC TO TITANIUM,,,27,,NW,,,,,,"$1,899.01",$0.00,1,0,1,1,1,1,20210101,
D6098,HCPCS,IMP RETAIN PORC TO BASE ALLO,,,27,,NW,,,,,,"$1,931.37",$0.00,1,0,1,1,1,1,20210101,
D6099,HCPCS,IMP RETAINER FOR FPD,,,27,,NW,,,,,,"$1,950.25",$0.00,1,0,1,1,1,1,20210101,
D6100,HCPCS,REMOVAL OF IMPLANT,,,27,,NW,,,,,,"$1,021.28",$0.00,1,0,1,1,1,1,20210101,
D6101,HCPCS,DEBRIDEMENT OF A PERIIMPLANT,,,27,,NW,,,,,,$808.28,$0.00,1,0,1,1,1,1,20210101,
D6102,HCPCS,DEBRIDEMENT & CONTOURING,,,27,,NW,,,,,,"$1,017.63",$0.00,1,0,1,1,1,1,20210101,
D6103,HCPCS,BONE GRAFT REPAIR PERIMPLANT,,,27,,NW,,,,,,$840.65,$0.00,1,0,1,1,1,1,20210101,
D6104,HCPCS,BONE GRAFT TIME OF IMPLANT,,,27,,NW,,,,,,$800.96,$0.00,1,0,1,1,1,1,20210101,
D6110,HCPCS,IMPLNT/ABUT REMOV DENT MAX,,,27,,NW,,,,,,"$3,440.58",$0.00,1,0,1,1,1,1,20210101,
D6111,HCPCS,IMPLNT/ABUT REMOV DENT MAND,,,27,,NW,,,,,,"$3,352.70",$0.00,1,0,1,1,1,1,20210101,
D6112,HCPCS,IMP/ABUT REM DENT PART MAX,,,27,,NW,,,,,,"$3,253.68",$0.00,1,0,1,1,1,1,20210101,
D6113,HCPCS,IMP/ABUT REM DENT PART MAND,,,27,,NW,,,,,,"$3,255.57",$0.00,1,0,1,1,1,1,20210101,
D6114,HCPCS,IMPLNT/ABUT FIXED DENT MAX,,,27,,NW,,,,,,"$9,114.71",$0.00,1,0,1,1,1,1,20210101,
D6115,HCPCS,IMPLNT/ABUT FIXED DENT MAND,,,27,,NW,,,,,,"$9,131.55",$0.00,1,0,1,1,1,1,20210101,
D6116,HCPCS,IMP/ABUT FIXED DENT PART MAX,,,27,,NW,,,,,,"$5,943.42",$0.00,1,0,1,1,1,1,20210101,
D6117,HCPCS,IMP/ABUT FIXED DENT PART MAN,,,27,,NW,,,,,,"$6,094.53",$0.00,1,0,1,1,1,1,20210101,
D6118,HCPCS,IMP/ABUT INT FIXED DENT MAN,,,27,,NW,,,,,,"$3,350.93",$0.00,1,0,1,1,1,1,20210101,
D6119,HCPCS,INT/ABUT INT FIXED DENT MAX,,,27,,NW,,,,,,"$3,382.40",$0.00,1,0,1,1,1,1,20210101,
D6120,HCPCS,IMP RETAIN PORC TO TITANIUM,,,27,,NW,,,,,,"$1,931.37",$0.00,1,0,1,1,1,1,20210101,
D6121,HCPCS,RETAIN METAL FPD BASE ALLOYS,,,27,,NW,,,,,,"$1,878.50",$0.00,1,0,1,1,1,1,20210101,
D6122,HCPCS,RETAIN METAL FPD NOBLE ALLOY,,,27,,NW,,,,,,"$1,933.26",$0.00,1,0,1,1,1,1,20210101,
D6123,HCPCS,RETAIN METAL FPD TITANIUM,,,27,,NW,,,,,,"$1,878.50",$0.00,1,0,1,1,1,1,20210101,
D6190,HCPCS,RADIO/SURGICAL IMPLANT INDEX,,,27,,NW,,,,,,$474.68,$0.00,1,0,1,1,1,1,20210101,
D6191,HCPCS,SEMI PRECISION ABUTMENT,,,27,,NW,,,,,,"$1,324.33",$0.00,1,0,1,1,1,1,20210101,
D6192,HCPCS,SEMI PRECISION ATTACHMENT,,,27,,NW,,,,,,"$1,324.33",$0.00,1,0,1,1,1,1,20210101,
D6194,HCPCS,ABUT SUPPORT RETAINER TITANI,,,27,,NW,,,,,,"$1,756.32",$0.00,1,0,1,1,1,1,20210101,
D6195,HCPCS,ABUT RETAIN PORC TO TITANIUM,,,27,,NW,,,,,,"$1,895.47",$0.00,1,0,1,1,1,1,20210101,
D6199,HCPCS,IMPLANT PROCEDURE,,,27,,NW,,,,,,"$1,070.15",$0.00,1,0,1,1,1,1,20210101,
D6205,HCPCS,PONTIC-INDIRECT RESIN BASED,,,27,,NW,,,,,,"$1,173.16",$0.00,1,0,1,1,1,1,20210101,
D6210,HCPCS,PROSTHODONT HIGH NOBLE METAL,,,27,,NW,,,,,,"$1,506.90",$0.00,1,0,1,1,1,1,20210101,
D6211,HCPCS,BRIDGE BASE METAL CAST,,,27,,NW,,,,,,"$1,412.97",$0.00,1,0,1,1,1,1,20210101,
D6212,HCPCS,BRIDGE NOBLE METAL CAST,,,27,,NW,,,,,,"$1,437.10",$0.00,1,0,1,1,1,1,20210101,
D6214,HCPCS,PONTIC TITANIUM,,,27,,NW,,,,,,"$1,487.86",$0.00,1,0,1,1,1,1,20210101,
D6240,HCPCS,BRIDGE PORCELAIN HIGH NOBLE,,,27,,NW,,,,,,"$1,498.10",$0.00,1,0,1,1,1,1,20210101,
D6241,HCPCS,BRIDGE PORCELAIN BASE METAL,,,27,,NW,,,,,,"$1,409.00",$0.00,1,0,1,1,1,1,20210101,
D6242,HCPCS,BRIDGE PORCELAIN NOBEL METAL,,,27,,NW,,,,,,"$1,451.02",$0.00,1,0,1,1,1,1,20210101,
D6243,HCPCS,PONTIC PORCELAIN TO TITANIUM,,,27,,NW,,,,,,"$1,377.53",$0.00,1,0,1,1,1,1,20210101,
D6245,HCPCS,BRIDGE PORCELAIN/CERAMIC,,,27,,NW,,,,,,"$1,535.84",$0.00,1,0,1,1,1,1,20210101,
D6250,HCPCS,BRIDGE RESIN W/HIGH NOBLE,,,27,,NW,,,,,,"$1,460.34",$0.00,1,0,1,1,1,1,20210101,
D6251,HCPCS,BRIDGE RESIN BASE METAL,,,27,,NW,,,,,,"$1,386.46",$0.00,1,0,1,1,1,1,20210101,
D6252,HCPCS,BRIDGE RESIN W/NOBLE METAL,,,27,,NW,,,,,,"$1,404.27",$0.00,1,0,1,1,1,1,20210101,
D6253,HCPCS,PROVISIONAL PONTIC,,,27,,NW,,,,,,$821.37,$0.00,1,0,1,1,1,1,20210101,
D6545,HCPCS,DENTAL RETAINR CAST METL,,,27,,NW,,,,,,$906.94,$0.00,1,0,1,1,1,1,20210101,
D6548,HCPCS,PORCELAIN/CERAMIC RETAINER,,,27,,NW,,,,,,$986.27,$0.00,1,0,1,1,1,1,20210101,
D6549,HCPCS,RESIN RETAINER,,,27,,NW,,,,,,$861.05,$0.00,1,0,1,1,1,1,20210101,
D6600,HCPCS,PORCELAIN/CERAMIC INLAY 2SRF,,,27,,NW,,,,,,"$1,224.53",$0.00,1,0,1,1,1,1,20210101,
D6601,HCPCS,PORC/CERAM INLAY >= 3 SURFAC,,,27,,NW,,,,,,"$1,277.29",$0.00,1,0,1,1,1,1,20210101,
D6602,HCPCS,CST HGH NBLE MTL INLAY 2 SRF,,,27,,NW,,,,,,"$1,255.98",$0.00,1,0,1,1,1,1,20210101,
D6603,HCPCS,CST HGH NBLE MTL INLAY >=3SR,,,27,,NW,,,,,,"$1,349.55",$0.00,1,0,1,1,1,1,20210101,
D6604,HCPCS,CST BSE MTL INLAY 2 SURFACES,,,27,,NW,,,,,,"$1,240.89",$0.00,1,0,1,1,1,1,20210101,
D6605,HCPCS,CST BSE MTL INLAY >= 3 SURFA,,,27,,NW,,,,,,"$1,296.86",$0.00,1,0,1,1,1,1,20210101,
D6606,HCPCS,CAST NOBLE METAL INLAY 2 SUR,,,27,,NW,,,,,,"$1,238.78",$0.00,1,0,1,1,1,1,20210101,
D6607,HCPCS,CST NOBLE MTL INLAY >=3 SURF,,,27,,NW,,,,,,"$1,332.67",$0.00,1,0,1,1,1,1,20210101,
D6608,HCPCS,ONLAY PORC/CRMC 2 SURFACES,,,27,,NW,,,,,,"$1,317.45",$0.00,1,0,1,1,1,1,20210101,
D6609,HCPCS,ONLAY PORC/CRMC >=3 SURFACES,,,27,,NW,,,,,,"$1,372.84",$0.00,1,0,1,1,1,1,20210101,
D6610,HCPCS,ONLAY CST HGH NBL MTL 2 SRFC,,,27,,NW,,,,,,"$1,351.32",$0.00,1,0,1,1,1,1,20210101,
D6611,HCPCS,ONLAY CST HGH NBL MTL >=3SRF,,,27,,NW,,,,,,"$1,444.01",$0.00,1,0,1,1,1,1,20210101,
D6612,HCPCS,ONLAY CST BASE MTL 2 SURFACE,,,27,,NW,,,,,,"$1,324.67",$0.00,1,0,1,1,1,1,20210101,
D6613,HCPCS,ONLAY CST BASE MTL >=3 SURFA,,,27,,NW,,,,,,"$1,369.50",$0.00,1,0,1,1,1,1,20210101,
D6614,HCPCS,ONLAY CST NBL MTL 2 SURFACES,,,27,,NW,,,,,,"$1,310.77",$0.00,1,0,1,1,1,1,20210101,
D6615,HCPCS,ONLAY CST NBL MTL >=3 SURFAC,,,27,,NW,,,,,,"$1,367.60",$0.00,1,0,1,1,1,1,20210101,
D6624,HCPCS,INLAY TITANIUM,,,27,,NW,,,,,,"$1,321.29",$0.00,1,0,1,1,1,1,20210101,
D6634,HCPCS,ONLAY TITANIUM,,,27,,NW,,,,,,"$1,365.80",$0.00,1,0,1,1,1,1,20210101,
D6710,HCPCS,CROWN-INDIRECT RESIN BASED,,,27,,NW,,,,,,"$1,327.43",$0.00,1,0,1,1,1,1,20210101,
D6720,HCPCS,RETAIN CROWN RESIN W HI NBLE,,,27,,NW,,,,,,"$1,458.95",$0.00,1,0,1,1,1,1,20210101,
D6721,HCPCS,CROWN RESIN W/BASE METAL,,,27,,NW,,,,,,"$1,395.00",$0.00,1,0,1,1,1,1,20210101,
D6722,HCPCS,CROWN RESIN W/NOBLE METAL,,,27,,NW,,,,,,"$1,408.16",$0.00,1,0,1,1,1,1,20210101,
D6740,HCPCS,CROWN PORCELAIN/CERAMIC,,,27,,NW,,,,,,"$1,547.90",$0.00,1,0,1,1,1,1,20210101,
D6750,HCPCS,CROWN PORCELAIN HIGH NOBLE,,,27,,NW,,,,,,"$1,529.17",$0.00,1,0,1,1,1,1,20210101,
D6751,HCPCS,CROWN PORCELAIN BASE METAL,,,27,,NW,,,,,,"$1,412.11",$0.00,1,0,1,1,1,1,20210101,
D6752,HCPCS,CROWN PORCELAIN NOBLE METAL,,,27,,NW,,,,,,"$1,451.48",$0.00,1,0,1,1,1,1,20210101,
D6753,HCPCS,RETAIN CROWN PORC TO TITANIU,,,27,,NW,,,,,,"$1,336.54",$0.00,1,0,1,1,1,1,20210101,
D6780,HCPCS,CROWN 3/4 HIGH NOBLE METAL,,,27,,NW,,,,,,"$1,457.27",$0.00,1,0,1,1,1,1,20210101,
D6781,HCPCS,CROWN 3/4 CAST BASED METAL,,,27,,NW,,,,,,"$1,419.55",$0.00,1,0,1,1,1,1,20210101,
D6782,HCPCS,CROWN 3/4 CAST NOBLE METAL,,,27,,NW,,,,,,"$1,385.40",$0.00,1,0,1,1,1,1,20210101,
D6783,HCPCS,CROWN 3/4 PORCELAIN/CERAMIC,,,27,,NW,,,,,,"$1,471.10",$0.00,1,0,1,1,1,1,20210101,
D6784,HCPCS,RETAINER CROWN 3/4 TITANIUM,,,27,,NW,,,,,,"$1,350.93",$0.00,1,0,1,1,1,1,20210101,
D6790,HCPCS,CROWN FULL HIGH NOBLE METAL,,,27,,NW,,,,,,"$1,496.34",$0.00,1,0,1,1,1,1,20210101,
D6791,HCPCS,CROWN FULL BASE METAL CAST,,,27,,NW,,,,,,"$1,396.08",$0.00,1,0,1,1,1,1,20210101,
D6792,HCPCS,CROWN FULL NOBLE METAL CAST,,,27,,NW,,,,,,"$1,436.12",$0.00,1,0,1,1,1,1,20210101,
D6793,HCPCS,PROVISIONAL RETAINER CROWN,,,27,,NW,,,,,,$677.29,$0.00,1,0,1,1,1,1,20210101,
D6794,HCPCS,CROWN TITANIUM,,,27,,NW,,,,,,"$1,452.99",$0.00,1,0,1,1,1,1,20210101,
D6920,HCPCS,DENTAL CONNECTOR BAR,,,27,,NW,,,,,,$924.10,$0.00,1,0,1,1,1,1,20210101,
D6930,HCPCS,RECEMENT/BOND PART DENTURE,,,27,,NW,,,,,,$230.93,$0.00,1,0,1,1,1,1,20210101,
D6940,HCPCS,STRESS BREAKER,,,27,,NW,,,,,,$533.25,$0.00,1,0,1,1,1,1,20210101,
D6950,HCPCS,PRECISION ATTACHMENT,,,27,,NW,,,,,,$910.84,$0.00,1,0,1,1,1,1,20210101,
D6980,HCPCS,FIXED PARTIAL REPAIR,,,27,,NW,,,,,,$550.57,$0.00,1,0,1,1,1,1,20210101,
D6985,HCPCS,PEDIATRIC PARTIAL DENTURE FX,,,27,,NW,,,,,,$991.48,$0.00,1,0,1,1,1,1,20210101,
D6999,HCPCS,FIXED PROSTHODONTIC PROC,,,27,,NW,,,,,,"$1,529.17",$0.00,1,0,1,1,1,1,20210101,
D7111,HCPCS,EXTRACTION CORONAL REMNANTS,,,26,,NW,,,,,,$186.66,$0.00,1,0,1,1,1,1,20210101,
D7140,HCPCS,EXTRACTION ERUPTED TOOTH/EXR,,,26,,NW,,,,,,$255.09,$0.00,1,0,1,1,1,1,20210101,
D7210,HCPCS,REM IMP TOOTH W MUCOPER FLP,,,26,,NW,,,,,,$393.15,$0.00,1,0,1,1,1,1,20210101,
D7220,HCPCS,IMPACT TOOTH REMOV SOFT TISS,,,26,,NW,,,,,,$454.97,$0.00,1,0,1,1,1,1,20210101,
D7230,HCPCS,IMPACT TOOTH REMOV PART BONY,,,26,,NW,,,,,,$586.31,$0.00,1,0,1,1,1,1,20210101,
D7240,HCPCS,IMPACT TOOTH REMOV COMP BONY,,,26,,NW,,,,,,$703.06,$0.00,1,0,1,1,1,1,20210101,
D7241,HCPCS,IMPACT TOOTH REM BONY W/COMP,,,26,,NW,,,,,,$851.63,$0.00,1,0,1,1,1,1,20210101,
D7250,HCPCS,TOOTH ROOT REMOVAL,,,26,,NW,,,,,,$412.11,$0.00,1,0,1,1,1,1,20210101,
D7251,HCPCS,CORONECTOMY,,,26,,NW,,,,,,$701.57,$0.00,1,0,1,1,1,1,20210101,
D7260,HCPCS,ORAL ANTRAL FISTULA CLOSURE,,,26,,NW,,,,,,"$2,130.98",$0.00,1,0,1,1,1,1,20210101,
D7261,HCPCS,PRIMARY CLOSURE SINUS PERF,,,26,,NW,,,,,,"$1,088.90",$0.00,1,0,1,1,1,1,20210101,
D7270,HCPCS,TOOTH REIMPLANTATION,,,26,,NW,,,,,,$795.19,$0.00,1,0,1,1,1,1,20210101,
D7272,HCPCS,TOOTH TRANSPLANTATION,,,26,,NW,,,,,,"$1,057.27",$0.00,1,0,1,1,1,1,20210101,
D7280,HCPCS,EXPOSURE OF UNERUPTED TOOTH,,,26,,NW,,,,,,$719.98,$0.00,1,0,1,1,1,1,20210101,
D7282,HCPCS,MOBILIZE ERUPTED/MALPOS TOOT,,,26,,NW,,,,,,$532.03,$0.00,1,0,1,1,1,1,20210101,
D7283,HCPCS,PLACE DEVICE IMPACTED TOOTH,,,26,,NW,,,,,,$494.40,$0.00,1,0,1,1,1,1,20210101,
D7285,HCPCS,BIOPSY OF ORAL TISSUE HARD,,,26,,NW,,,,,,"$1,109.23",$0.00,1,0,1,1,1,1,20210101,
D7286,HCPCS,BIOPSY OF ORAL TISSUE SOFT,,,26,,NW,,,,,,$568.62,$0.00,1,0,1,1,1,1,20210101,
D7287,HCPCS,EXFOLIATIVE CYTOLOG COLLECT,,,26,,NW,,,,,,$272.66,$0.00,1,0,1,1,1,1,20210101,
D7288,HCPCS,BRUSH BIOPSY,,,26,,NW,,,,,,$280.60,$0.00,1,0,1,1,1,1,20210101,
D7290,HCPCS,REPOSITIONING OF TEETH,,,26,,NW,,,,,,$663.21,$0.00,1,0,1,1,1,1,20210101,
D7291,HCPCS,TRANSSEPTAL FIBEROTOMY,,,26,,NW,,,,,,$439.26,$0.00,1,0,1,1,1,1,20210101,
D7292,HCPCS,SCREW RETAINED PLATE,,,26,,NW,,,,,,"$2,592.16",$0.00,1,0,1,1,1,1,20210101,
D7293,HCPCS,TEMP ANCHORAGE DEV W FLAP,,,26,,NW,,,,,,"$2,023.42",$0.00,1,0,1,1,1,1,20210101,
D7294,HCPCS,TEMP ANCHORAGE DEV W/O FLAP,,,26,,NW,,,,,,"$1,327.99",$0.00,1,0,1,1,1,1,20210101,
D7295,HCPCS,"BONE HARVEST,AUTO GRAFT PROC",,,26,,NW,,,,,,"$1,457.11",$0.00,1,0,1,1,1,1,20210101,
D7296,HCPCS,"CORTICOTOMY, 1-3 TEETH",,,26,,NW,,,,,,"$1,438.94",$0.00,1,0,1,1,1,1,20210101,
D7297,HCPCS,"CORTICOTOMY, 4 OR MORE TEETH",,,26,,NW,,,,,,"$1,811.84",$0.00,1,0,1,1,1,1,20210101,
D7310,HCPCS,ALVEOPLASTY W/ EXTRACTION,,,26,,NW,,,,,,$445.21,$0.00,1,0,1,1,1,1,20210101,
D7311,HCPCS,ALVEOLOPLASTY W/EXTRACT 1-3,,,26,,NW,,,,,,$411.85,$0.00,1,0,1,1,1,1,20210101,
D7320,HCPCS,ALVEOPLASTY W/O EXTRACTION,,,26,,NW,,,,,,$681.32,$0.00,1,0,1,1,1,1,20210101,
D7321,HCPCS,ALVEOLOPLASTY NOT W/EXTRACTS,,,26,,NW,,,,,,$599.46,$0.00,1,0,1,1,1,1,20210101,
D7340,HCPCS,VESTIBULOPLASTY RIDGE EXTENS,,,26,,NW,,,,,,"$2,447.07",$0.00,1,0,1,1,1,1,20210101,
D7350,HCPCS,VESTIBULOPLASTY EXTEN GRAFT,,,26,,NW,,,,,,"$6,102.51",$0.00,1,0,1,1,1,1,20210101,
D7410,HCPCS,RAD EXC LESION UP TO 1.25 CM,,,26,,NW,,,,,,$970.76,$0.00,1,0,1,1,1,1,20210101,
D7411,HCPCS,EXCISION BENIGN LESION>1.25C,,,26,,NW,,,,,,"$1,501.01",$0.00,1,0,1,1,1,1,20210101,
D7412,HCPCS,EXCISION BENIGN LESION COMPL,,,26,,NW,,,,,,"$1,880.94",$0.00,1,0,1,1,1,1,20210101,
D7413,HCPCS,EXCISION MALIG LESION<=1.25C,,,26,,NW,,,,,,"$1,314.54",$0.00,1,0,1,1,1,1,20210101,
D7414,HCPCS,EXCISION MALIG LESION>1.25CM,,,26,,NW,,,,,,"$1,968.73",$0.00,1,0,1,1,1,1,20210101,
D7415,HCPCS,EXCISION MALIG LES COMPLICAT,,,26,,NW,,,,,,"$2,168.97",$0.00,1,0,1,1,1,1,20210101,
D7440,HCPCS,MALIG TUMOR EXC TO 1.25 CM,,,26,,NW,,,,,,"$1,662.87",$0.00,1,0,1,1,1,1,20210101,
D7441,HCPCS,MALIG TUMOR > 1.25 CM,,,26,,NW,,,,,,"$2,566.51",$0.00,1,0,1,1,1,1,20210101,
D7450,HCPCS,REM ODONTOGEN CYST TO 1.25CM,,,26,,NW,,,,,,"$1,110.94",$0.00,1,0,1,1,1,1,20210101,
D7451,HCPCS,REM ODONTOGEN CYST > 1.25 CM,,,26,,NW,,,,,,"$1,537.26",$0.00,1,0,1,1,1,1,20210101,
D7460,HCPCS,REM NONODONTO CYST TO 1.25CM,,,26,,NW,,,,,,"$1,086.06",$0.00,1,0,1,1,1,1,20210101,
D7461,HCPCS,REM NONODONTO CYST > 1.25 CM,,,26,,NW,,,,,,"$1,588.78",$0.00,1,0,1,1,1,1,20210101,
D7465,HCPCS,LESION DESTRUCTION,,,26,,NW,,,,,,$657.12,$0.00,1,0,1,1,1,1,20210101,
D7471,HCPCS,REM EXOSTOSIS ANY SITE,,,26,,NW,,,,,,"$1,353.76",$0.00,1,0,1,1,1,1,20210101,
D7472,HCPCS,REMOVAL OF TORUS PALATINUS,,,26,,NW,,,,,,"$1,605.17",$0.00,1,0,1,1,1,1,20210101,
D7473,HCPCS,REMOVE TORUS MANDIBULARIS,,,26,,NW,,,,,,"$1,508.63",$0.00,1,0,1,1,1,1,20210101,
D7485,HCPCS,SURG REDUCT OSSEOUSTUBEROSIT,,,26,,NW,,,,,,"$1,391.47",$0.00,1,0,1,1,1,1,20210101,
D7490,HCPCS,MAXILLA OR MANDIBLE RESECTIO,,,26,,NW,,,,,,"$11,775.23",$0.00,1,0,1,1,1,1,20210101,
D7510,HCPCS,I&D ABSC INTRAORAL SOFT TISS,,,26,,NW,,,,,,$413.22,$0.00,1,0,1,1,1,1,20210101,
D7511,HCPCS,INCISION/DRAIN ABSCESS INTRA,,,26,,NW,,,,,,$616.38,$0.00,1,0,1,1,1,1,20210101,
D7520,HCPCS,I&D ABSCESS EXTRAORAL,,,26,,NW,,,,,,"$1,472.89",$0.00,1,0,1,1,1,1,20210101,
D7521,HCPCS,INCISION/DRAIN ABSCESS EXTRA,,,26,,NW,,,,,,"$1,686.83",$0.00,1,0,1,1,1,1,20210101,
D7530,HCPCS,REMOVAL FB SKIN/AREOLAR TISS,,,26,,NW,,,,,,$658.09,$0.00,1,0,1,1,1,1,20210101,
D7540,HCPCS,REMOVAL OF FB REACTION,,,26,,NW,,,,,,$893.78,$0.00,1,0,1,1,1,1,20210101,
D7550,HCPCS,REMOVAL OF SLOUGHED OFF BONE,,,26,,NW,,,,,,$682.59,$0.00,1,0,1,1,1,1,20210101,
D7560,HCPCS,MAXILLARY SINUSOTOMY,,,26,,NW,,,,,,"$3,379.90",$0.00,1,0,1,1,1,1,20210101,
D7610,HCPCS,MAXILLA OPEN REDUCT SIMPLE,,,26,,NW,,,,,,"$6,488.32",$0.00,1,0,1,1,1,1,20210101,
D7620,HCPCS,CLSD REDUCT SIMPL MAXILLA FX,,,26,,NW,,,,,,"$4,967.48",$0.00,1,0,1,1,1,1,20210101,
D7630,HCPCS,OPEN RED SIMPL MANDIBLE FX,,,26,,NW,,,,,,"$7,704.71",$0.00,1,0,1,1,1,1,20210101,
D7640,HCPCS,CLSD RED SIMPL MANDIBLE FX,,,26,,NW,,,,,,"$5,217.79",$0.00,1,0,1,1,1,1,20210101,
D7650,HCPCS,OPEN RED SIMP MALAR/ZYGOM FX,,,26,,NW,,,,,,"$4,696.50",$0.00,1,0,1,1,1,1,20210101,
D7660,HCPCS,CLSD RED SIMP MALAR/ZYGOM FX,,,26,,NW,,,,,,"$3,366.12",$0.00,1,0,1,1,1,1,20210101,
D7670,HCPCS,CLOSD RDUCTN SPLINT ALVEOLUS,,,26,,NW,,,,,,"$2,187.52",$0.00,1,0,1,1,1,1,20210101,
D7671,HCPCS,ALVEOLUS OPEN REDUCTION,,,26,,NW,,,,,,"$3,035.35",$0.00,1,0,1,1,1,1,20210101,
D7680,HCPCS,REDUCT SIMPLE FACIAL BONE FX,,,26,,NW,,,,,,"$11,391.08",$0.00,1,0,1,1,1,1,20210101,
D7710,HCPCS,MAXILLA OPEN REDUCT COMPOUND,,,26,,NW,,,,,,"$7,083.30",$0.00,1,0,1,1,1,1,20210101,
D7720,HCPCS,CLSD REDUCT COMPD MAXILLA FX,,,26,,NW,,,,,,"$5,149.19",$0.00,1,0,1,1,1,1,20210101,
D7730,HCPCS,OPEN REDUCT COMPD MANDBLE FX,,,26,,NW,,,,,,"$9,310.61",$0.00,1,0,1,1,1,1,20210101,
D7740,HCPCS,CLSD REDUCT COMPD MANDBLE FX,,,26,,NW,,,,,,"$5,337.58",$0.00,1,0,1,1,1,1,20210101,
D7750,HCPCS,OPEN RED COMP MALAR/ZYGMA FX,,,26,,NW,,,,,,"$6,594.90",$0.00,1,0,1,1,1,1,20210101,
D7760,HCPCS,CLSD RED COMP MALAR/ZYGMA FX,,,26,,NW,,,,,,"$5,717.76",$0.00,1,0,1,1,1,1,20210101,
D7770,HCPCS,OPEN REDUC COMPD ALVEOLUS FX,,,26,,NW,,,,,,"$3,861.20",$0.00,1,0,1,1,1,1,20210101,
D7771,HCPCS,ALVEOLUS CLSD REDUC STBLZ TE,,,26,,NW,,,,,,"$2,930.57",$0.00,1,0,1,1,1,1,20210101,
D7780,HCPCS,REDUCT COMPND FACIAL BONE FX,,,26,,NW,,,,,,"$14,666.29",$0.00,1,0,1,1,1,1,20210101,
D7810,HCPCS,TMJ OPEN REDUCT-DISLOCATION,,,26,,NW,,,,,,"$6,825.39",$0.00,1,0,1,1,1,1,20210101,
D7820,HCPCS,CLOSED TMP MANIPULATION,,,26,,NW,,,,,,"$1,106.66",$0.00,1,0,1,1,1,1,20210101,
D7830,HCPCS,TMJ MANIPULATION UNDER ANEST,,,26,,NW,,,,,,"$1,080.73",$0.00,1,0,1,1,1,1,20210101,
D7840,HCPCS,REMOVAL OF TMJ CONDYLE,,,26,,NW,,,,,,"$8,974.17",$0.00,1,0,1,1,1,1,20210101,
D7850,HCPCS,TMJ MENISCECTOMY,,,26,,NW,,,,,,"$8,072.16",$0.00,1,0,1,1,1,1,20210101,
D7852,HCPCS,TMJ REPAIR OF JOINT DISC,,,26,,NW,,,,,,"$9,144.82",$0.00,1,0,1,1,1,1,20210101,
D7854,HCPCS,TMJ EXCISN OF JOINT MEMBRANE,,,26,,NW,,,,,,"$9,145.00",$0.00,1,0,1,1,1,1,20210101,
D7856,HCPCS,TMJ CUTTING OF A MUSCLE,,,26,,NW,,,,,,"$6,467.85",$0.00,1,0,1,1,1,1,20210101,
D7858,HCPCS,TMJ RECONSTRUCTION,,,26,,NW,,,,,,"$16,866.00",$0.00,1,0,1,1,1,1,20210101,
D7860,HCPCS,TMJ CUTTING INTO JOINT,,,26,,NW,,,,,,"$9,382.55",$0.00,1,0,1,1,1,1,20210101,
D7865,HCPCS,TMJ RESHAPING COMPONENTS,,,26,,NW,,,,,,"$11,697.57",$0.00,1,0,1,1,1,1,20210101,
D7870,HCPCS,TMJ ASPIRATION JOINT FLUID,,,26,,NW,,,,,,$649.01,$0.00,1,0,1,1,1,1,20210101,
D7871,HCPCS,LYSIS + LAVAGE W CATHETERS,,,26,,NW,,,,,,"$1,135.39",$0.00,1,0,1,1,1,1,20210101,
D7872,HCPCS,TMJ DIAGNOSTIC ARTHROSCOPY,,,26,,NW,,,,,,"$5,333.22",$0.00,1,0,1,1,1,1,20210101,
D7873,HCPCS,TMJ ARTHROSCOPY LYSIS ADHESN,,,26,,NW,,,,,,"$6,421.59",$0.00,1,0,1,1,1,1,20210101,
D7874,HCPCS,TMJ ARTHROSCOPY DISC REPOSIT,,,26,,NW,,,,,,"$9,210.94",$0.00,1,0,1,1,1,1,20210101,
D7875,HCPCS,TMJ ARTHROSCOPY SYNOVECTOMY,,,26,,NW,,,,,,"$10,090.75",$0.00,1,0,1,1,1,1,20210101,
D7876,HCPCS,TMJ ARTHROSCOPY DISCECTOMY,,,26,,NW,,,,,,"$10,879.33",$0.00,1,0,1,1,1,1,20210101,
D7877,HCPCS,TMJ ARTHROSCOPY DEBRIDEMENT,,,26,,NW,,,,,,"$9,601.96",$0.00,1,0,1,1,1,1,20210101,
D7880,HCPCS,OCCLUSAL ORTHOTIC APPLIANCE,,,26,,NW,,,,,,"$1,358.22",$0.00,1,0,1,1,1,1,20210101,
D7881,HCPCS,OCC ORTHOTIC DEVICE ADJUST,,,26,,NW,,,,,,$280.10,$0.00,1,0,1,1,1,1,20210101,
D7899,HCPCS,TMJ UNSPECIFIED THERAPY,,,26,,NW,,,,,,"$1,358.22",$0.00,1,0,1,1,1,1,20210101,
D7910,HCPCS,DENT SUTUR RECENT WND TO 5CM,,,26,,NW,,,,,,$573.56,$0.00,1,0,1,1,1,1,20210101,
D7911,HCPCS,DENTAL SUTURE WOUND TO 5 CM,,,26,,NW,,,,,,"$1,273.73",$0.00,1,0,1,1,1,1,20210101,
D7912,HCPCS,SUTURE COMPLICATE WND > 5 CM,,,26,,NW,,,,,,"$2,255.87",$0.00,1,0,1,1,1,1,20210101,
D7920,HCPCS,DENTAL SKIN GRAFT,,,26,,NW,,,,,,"$4,554.07",$0.00,1,0,1,1,1,1,20210101,
D7921,HCPCS,COLLECT & APPL BLOOD PRODUCT,,,26,,NW,,,,,,$567.23,$0.00,1,0,1,1,1,1,20210101,
D7940,HCPCS,RESHAPING BONE ORTHOGNATHIC,,,26,,NW,,,,,,"$5,579.57",$0.00,1,0,1,1,1,1,20210101,
D7941,HCPCS,BONE CUTTING RAMUS CLOSED,,,26,,NW,,,,,,"$12,693.80",$0.00,1,0,1,1,1,1,20210101,
D7943,HCPCS,CUTTING RAMUS OPEN W/GRAFT,,,26,,NW,,,,,,"$11,747.36",$0.00,1,0,1,1,1,1,20210101,
D7944,HCPCS,BONE CUTTING SEGMENTED,,,26,,NW,,,,,,"$10,021.34",$0.00,1,0,1,1,1,1,20210101,
D7945,HCPCS,BONE CUTTING BODY MANDIBLE,,,26,,NW,,,,,,"$12,051.22",$0.00,1,0,1,1,1,1,20210101,
D7946,HCPCS,RECONSTRUCTION MAXILLA TOTAL,,,26,,NW,,,,,,"$15,096.48",$0.00,1,0,1,1,1,1,20210101,
D7947,HCPCS,RECONSTRUCT MAXILLA SEGMENT,,,26,,NW,,,,,,"$13,321.94",$0.00,1,0,1,1,1,1,20210101,
D7948,HCPCS,RECONSTRUCT MIDFACE NO GRAFT,,,26,,NW,,,,,,"$16,842.62",$0.00,1,0,1,1,1,1,20210101,
D7949,HCPCS,RECONSTRUCT MIDFACE W/GRAFT,,,26,,NW,,,,,,"$21,705.42",$0.00,1,0,1,1,1,1,20210101,
D7950,HCPCS,MANDIBLE GRAFT,,,26,,NW,,,,,,"$4,029.11",$0.00,1,0,1,1,1,1,20210101,
D7951,HCPCS,SINUS AUG W BONE OR BONE SUB,,,26,,NW,,,,,,"$4,164.79",$0.00,1,0,1,1,1,1,20210101,
D7952,HCPCS,SINUS AUGMENTATION VERTICAL,,,26,,NW,,,,,,"$2,820.82",$0.00,1,0,1,1,1,1,20210101,
D7953,HCPCS,BONE REPLACEMENT GRAFT,,,26,,NW,,,,,,$879.71,$0.00,1,0,1,1,1,1,20210101,
D7955,HCPCS,REPAIR MAXILLOFACIAL DEFECTS,,,26,,NW,,,,,,"$4,742.16",$0.00,1,0,1,1,1,1,20210101,
D7961,HCPCS,BUCCAL/LABIAL FRENECTOMY,,,26,,NW,,,,,,$618.62,$0.00,1,0,1,1,1,1,20210101,
D7962,HCPCS,LINGUAL FRENECTOMY,,,26,,NW,,,,,,$618.62,$0.00,1,0,1,1,1,1,20210101,
D7963,HCPCS,FRENULOPLASTY,,,26,,NW,,,,,,$852.31,$0.00,1,0,1,1,1,1,20210101,
D7970,HCPCS,EXCISION HYPERPLASTIC TISSUE,,,26,,NW,,,,,,$800.10,$0.00,1,0,1,1,1,1,20210101,
D7971,HCPCS,EXCISION PERICORONAL GINGIVA,,,26,,NW,,,,,,$365.72,$0.00,1,0,1,1,1,1,20210101,
D7972,HCPCS,SURG REDCT FIBROUS TUBEROSIT,,,26,,NW,,,,,,"$1,106.81",$0.00,1,0,1,1,1,1,20210101,
D7979,HCPCS,NON-SURGICAL SIALOLITHOTOMY,,,26,,NW,,,,,,$761.22,$0.00,1,0,1,1,1,1,20210101,
D7980,HCPCS,SURGICAL SIALOLITHOTOMY,,,26,,NW,,,,,,"$1,264.75",$0.00,1,0,1,1,1,1,20210101,
D7981,HCPCS,EXCISION OF SALIVARY GLAND,,,26,,NW,,,,,,$801.35,$0.00,1,0,1,1,1,1,20210101,
D7982,HCPCS,SIALODOCHOPLASTY,,,26,,NW,,,,,,"$2,805.42",$0.00,1,0,1,1,1,1,20210101,
D7983,HCPCS,CLOSURE OF SALIVARY FISTULA,,,26,,NW,,,,,,"$2,588.61",$0.00,1,0,1,1,1,1,20210101,
D7990,HCPCS,EMERGENCY TRACHEOTOMY,,,26,,NW,,,,,,"$2,456.84",$0.00,1,0,1,1,1,1,20210101,
D7991,HCPCS,DENTAL CORONOIDECTOMY,,,26,,NW,,,,,,"$6,040.41",$0.00,1,0,1,1,1,1,20210101,
D7995,HCPCS,SYNTHETIC GRAFT FACIAL BONES,,,26,,NW,,,,,,$602.71,$0.00,1,0,1,1,1,1,20210101,
D7996,HCPCS,IMPLANT MANDIBLE FOR AUGMENT,,,26,,NW,,,,,,"$2,534.19",$0.00,1,0,1,1,1,1,20210101,
D7997,HCPCS,APPLIANCE REMOVAL,,,26,,NW,,,,,,$487.02,$0.00,1,0,1,1,1,1,20210101,
D7998,HCPCS,INTRAORAL PLACE OF FIX DEV,,,26,,NW,,,,,,"$2,778.46",$0.00,1,0,1,1,1,1,20210101,
D7999,HCPCS,ORAL SURGERY PROCEDURE,,,26,,NW,,,,,,$879.71,$0.00,1,0,1,1,1,1,20210101,
D8010,HCPCS,LIMITED DENTAL TX PRIMARY,,,27,,NW,,,,,,"$3,422.09",$0.00,1,0,1,1,1,1,20210101,
D8020,HCPCS,LIMITED DENTAL TX TRANSITION,,,27,,NW,,,,,,"$3,968.24",$0.00,1,0,1,1,1,1,20210101,
D8030,HCPCS,LIMITED DENTAL TX ADOLESCENT,,,27,,NW,,,,,,"$4,549.77",$0.00,1,0,1,1,1,1,20210101,
D8040,HCPCS,LIMITED DENTAL TX ADULT,,,27,,NW,,,,,,"$4,889.19",$0.00,1,0,1,1,1,1,20210101,
D8050,HCPCS,INTERCEP DENTAL TX PRIMARY,,,27,,NW,,,,,,"$3,637.47",$0.00,1,0,1,1,1,1,20210101,
D8060,HCPCS,INTERCEP DENTAL TX TRANSITN,,,27,,NW,,,,,,"$3,956.05",$0.00,1,0,1,1,1,1,20210101,
D8070,HCPCS,COMPRE DENTAL TX TRANSITION,,,27,,NW,,,,,,"$6,880.64",$0.00,1,0,1,1,1,1,20210101,
D8080,HCPCS,COMPRE DENTAL TX ADOLESCENT,,,27,,NW,,,,,,"$7,023.68",$0.00,1,0,1,1,1,1,20210101,
D8090,HCPCS,COMPRE DENTAL TX ADULT,,,27,,NW,,,,,,"$7,071.08",$0.00,1,0,1,1,1,1,20210101,
D8210,HCPCS,ORTHODONTIC REM APPLIANCE TX,,,27,,NW,,,,,,"$1,213.50",$0.00,1,0,1,1,1,1,20210101,
D8220,HCPCS,FIXED APPLIANCE THERAPY HABT,,,27,,NW,,,,,,"$1,365.54",$0.00,1,0,1,1,1,1,20210101,
D8660,HCPCS,PREORTHODONTIC TX VISIT,,,27,,NW,,,,,,$593.95,$0.00,1,0,1,1,1,1,20210101,
D8670,HCPCS,PERIODIC ORTHODONTC TX VISIT,,,27,,NW,,,,,,$408.07,$0.00,1,0,1,1,1,1,20210101,
D8680,HCPCS,ORTHODONTIC RETENTION,,,27,,NW,,,,,,$695.72,$0.00,1,0,1,1,1,1,20210101,
D8681,HCPCS,REMOVABLE RETAINER ADJUST,,,27,,NW,,,,,,$379.76,$0.00,1,0,1,1,1,1,20210101,
D8690,HCPCS,ORTHODONTIC TREATMENT,,,27,,NW,,,,,,$508.21,$0.00,1,0,1,1,1,1,20210101,
D8695,HCPCS,REMOVE FIXED ORTHO APPLIANCE,,,27,,NW,,,,,,$468.03,$0.00,1,0,1,1,1,1,20210101,
D8696,HCPCS,REP OF ORTHO APPLIANCE MAX,,,27,,NW,,,,,,$308.32,$0.00,1,0,1,1,1,1,20210101,
D8697,HCPCS,REP OF ORTHO APPLIANCE MAN,,,27,,NW,,,,,,$308.32,$0.00,1,0,1,1,1,1,20210101,
D8698,HCPCS,RECEMENT FIXED RETAINER MAX,,,27,,NW,,,,,,$435.99,$0.00,1,0,1,1,1,1,20210101,
D8699,HCPCS,RECEMENT FIXED RETAINER MAN,,,27,,NW,,,,,,$435.99,$0.00,1,0,1,1,1,1,20210101,
D8701,HCPCS,REPAIR FIXED RETAINER MAX,,,27,,NW,,,,,,$431.36,$0.00,1,0,1,1,1,1,20210101,
D8702,HCPCS,REPAIR OF FIXED RETAINER MAN,,,27,,NW,,,,,,$431.36,$0.00,1,0,1,1,1,1,20210101,
D8703,HCPCS,REPLACE BROKEN RETAINER MAX,,,27,,NW,,,,,,$460.55,$0.00,1,0,1,1,1,1,20210101,
D8704,HCPCS,REPLACE BROKEN RETAINER MAN,,,27,,NW,,,,,,$460.55,$0.00,1,0,1,1,1,1,20210101,
D8999,HCPCS,ORTHODONTIC PROCEDURE,,,27,,NW,,,,,,$456.87,$0.00,1,0,1,1,1,1,20210101,
D9110,HCPCS,TX DENTAL PAIN MINOR PROC,,,26,,NW,,,,,,$181.15,$0.00,1,0,1,1,1,1,20210101,
D9120,HCPCS,FIX PARTIAL DENTURE SECTION,,,27,,NW,,,,,,$258.88,$0.00,1,0,1,1,1,1,20210101,
D9130,HCPCS,TEMPOROMANDIBULAR JOINT DYSF,,,27,,NW,,,,,,$396.94,$0.00,1,0,1,1,1,1,20210101,
D9210,HCPCS,DENT ANESTHESIA W/O SURGERY,,,26,,NW,,,,,,$86.11,$0.00,1,0,1,1,1,1,20210101,
D9211,HCPCS,REGIONAL BLOCK ANESTHESIA,,,26,,NW,,,,,,$98.05,$0.00,1,0,1,1,1,1,20210101,
D9212,HCPCS,TRIGEMINAL BLOCK ANESTHESIA,,,26,,NW,,,,,,$222.23,$0.00,1,0,1,1,1,1,20210101,
D9215,HCPCS,LOCAL ANESTHESIA,,,26,,NW,,,,,,$71.78,$0.00,1,0,1,1,1,1,20210101,
D9219,HCPCS,EVAL MOD/DEEP SED/GEN ANEST,,,26,,NW,,,,,,$136.20,$0.00,1,0,1,1,1,1,20210101,
D9222,HCPCS,"DEEP ANEST, 1ST 15 MIN",,,26,,NW,,,,,,$346.58,$0.00,1,0,1,1,1,1,20210101,
D9223,HCPCS,GENERAL ANESTH EA ADDL 15 MI,,,26,,NW,,,,,,$309.02,$0.00,1,0,1,1,1,1,20210101,
D9230,HCPCS,ANALGESIA,,,26,,NW,,,,,,$111.78,$0.00,1,0,1,1,1,1,20210101,
D9239,HCPCS,"IV MOD SEDATION, 1ST 15 MIN",,,26,,NW,,,,,,$316.11,$0.00,1,0,1,1,1,1,20210101,
D9243,HCPCS,IV SEDATION EA ADDL 15M,,,26,,NW,,,,,,$307.18,$0.00,1,0,1,1,1,1,20210101,
D9248,HCPCS,SEDATION (NON-IV),,,26,,NW,,,,,,$293.97,$0.00,1,0,1,1,1,1,20210101,
D9310,HCPCS,DENTAL CONSULTATION,,,25,,NW,,,,,,$191.83,$0.00,1,0,1,1,1,1,20210101,
D9311,HCPCS,CONSULT W/MED HLTH CARE PROF,,,25,,NW,,,,,,$214.99,$0.00,1,0,1,1,1,1,20210101,
D9410,HCPCS,DENTAL HOUSE CALL,,,25,,NW,,,,,,$283.33,$0.00,1,0,1,1,1,1,20210101,
D9420,HCPCS,HOSPITAL/ASC CALL,,,25,,NW,,,,,,$402.93,$0.00,1,0,1,1,1,1,20210101,
D9430,HCPCS,OFFICE VISIT DURING HOURS,,,25,,NW,,,,,,$113.50,$0.00,1,0,1,1,1,1,20210101,
D9440,HCPCS,OFFICE VISIT AFTER HOURS,,,25,,NW,,,,,,$190.47,$0.00,1,0,1,1,1,1,20210101,
D9450,HCPCS,CASE PRESENTATION TX PLAN,,,25,,NW,,,,,,$145.25,$0.00,1,0,1,1,1,1,20210101,
D9610,HCPCS,DENT THERAPEUTIC DRUG INJECT,,,27,,NW,,,,,,$154.97,$0.00,1,0,1,1,1,1,20210101,
D9612,HCPCS,THERA PAR DRUGS 2 OR > ADMIN,,,27,,NW,,,,,,$259.83,$0.00,1,0,1,1,1,1,20210101,
D9613,HCPCS,INFILTRATION THERA DRUG,,,27,,NW,,,,,,$85.03,$0.00,1,0,1,1,1,1,20210101,
D9630,HCPCS,DRUGS/MEDS DISP FOR HOME USE,,,27,,NW,,,,,,$67.75,$0.00,1,0,1,1,1,1,20210101,
D9910,HCPCS,DENT APPL DESENSITIZING MED,,,27,,NW,,,,,,$87.36,$0.00,1,0,1,1,1,1,20210101,
D9911,HCPCS,APPL DESENSITIZING RESIN,,,27,,NW,,,,,,$113.03,$0.00,1,0,1,1,1,1,20210101,
D9920,HCPCS,BEHAVIOR MANAGEMENT,,,27,,NW,,,,,,$227.90,$0.00,1,0,1,1,1,1,20210101,
D9930,HCPCS,TREATMENT OF COMPLICATIONS,,,27,,NW,,,,,,$176.83,$0.00,1,0,1,1,1,1,20210101,
D9932,HCPCS,CLEAN & INSPECT REM DENT MAX,,,27,,NW,,,,,,$154.36,$0.00,1,0,1,1,1,1,20210101,
D9933,HCPCS,CLEAN & INSPECT REM DENT MAN,,,27,,NW,,,,,,$152.64,$0.00,1,0,1,1,1,1,20210101,
D9934,HCPCS,CLEAN REM PART DENTURE MAX,,,27,,NW,,,,,,$155.23,$0.00,1,0,1,1,1,1,20210101,
D9935,HCPCS,CLEAN REM PART DENTURE MAND,,,27,,NW,,,,,,$156.19,$0.00,1,0,1,1,1,1,20210101,
D9941,HCPCS,FABRICATION ATHLETIC GUARD,,,27,,NW,,,,,,$314.60,$0.00,1,0,1,1,1,1,20210101,
D9942,HCPCS,REPAIR/RELINE OCCLUSAL GUARD,,,27,,NW,,,,,,$319.45,$0.00,1,0,1,1,1,1,20210101,
D9943,HCPCS,OCCLUSAL GUARD ADJUSTMENT,,,27,,NW,,,,,,$160.25,$0.00,1,0,1,1,1,1,20210101,
D9944,HCPCS,"OCC GUARD, HARD, FULL ARCH",,,27,,NW,,,,,,$762.22,$0.00,1,0,1,1,1,1,20210101,
D9945,HCPCS,"OCC GUARD, SOFT, FULL ARCH",,,27,,NW,,,,,,$742.05,$0.00,1,0,1,1,1,1,20210101,
D9946,HCPCS,"OCC GUARD, HARD, PART ARCH",,,27,,NW,,,,,,$732.50,$0.00,1,0,1,1,1,1,20210101,
D9950,HCPCS,OCCLUSION ANALYSIS,,,27,,NW,,,,,,$483.39,$0.00,1,0,1,1,1,1,20210101,
D9951,HCPCS,LIMITED OCCLUSAL ADJUSTMENT,,,27,,NW,,,,,,$236.70,$0.00,1,0,1,1,1,1,20210101,
D9952,HCPCS,COMPLETE OCCLUSAL ADJUSTMENT,,,27,,NW,,,,,,$947.01,$0.00,1,0,1,1,1,1,20210101,
D9961,HCPCS,DUP/COPY PATIENT'S RECORDS,,,27,,NW,,,,,,$50.94,$0.00,1,0,1,1,1,1,20210101,
D9970,HCPCS,ENAMEL MICROABRASION,,,27,,NW,,,,,,$204.75,$0.00,1,0,1,1,1,1,20210101,
D9971,HCPCS,ODONTOPLASTY 1-2 TEETH,,,27,,NW,,,,,,$192.00,$0.00,1,0,1,1,1,1,20210101,
D9972,HCPCS,EXTRNL BLEACHING PER ARCH,,,27,,NW,,,,,,$461.06,$0.00,1,0,1,1,1,1,20210101,
D9973,HCPCS,EXTRNL BLEACHING PER TOOTH,,,27,,NW,,,,,,$208.17,$0.00,1,0,1,1,1,1,20210101,
D9974,HCPCS,INTRNL BLEACHING PER TOOTH,,,27,,NW,,,,,,$414.96,$0.00,1,0,1,1,1,1,20210101,
D9975,HCPCS,EXTERNAL BLEACHING HOME APP,,,27,,NW,,,,,,$446.40,$0.00,1,0,1,1,1,1,20210101,
D9986,HCPCS,MISSED APPOINTMENT,,,27,,NW,,,,,,$84.91,$0.00,1,0,1,1,1,1,20210101,
D9987,HCPCS,CANCELLED APPOINTMENT,,,27,,NW,,,,,,$74.29,$0.00,1,0,1,1,1,1,20210101,
D9990,HCPCS,TRANS OR SIGN LANGUAGE SVCS,,,27,,NW,,,,,,$110.38,$0.00,1,0,1,1,1,1,20210101,
D9991,HCPCS,"CASE MGMT, APPT BARRIERS",,,27,,NW,,,,,,$92.08,$0.00,1,0,1,1,1,1,20210101,
D9992,HCPCS,"CASE MGMT, CARE COORDINATION",,,27,,NW,,,,,,$103.12,$0.00,1,0,1,1,1,1,20210101,
D9993,HCPCS,"CASE MGMT, INTERVIEWING",,,27,,NW,,,,,,$87.13,$0.00,1,0,1,1,1,1,20210101,
D9994,HCPCS,"CASE MGMT, PT EDUCATION",,,27,,NW,,,,,,$112.36,$0.00,1,0,1,1,1,1,20210101,
D9995,HCPCS,TELEDENTISTRY REAL-TIME,,,25,,NW,,,,,,$390.15,$0.00,1,0,1,1,1,1,20210101,
D9996,HCPCS,TELEDENTISTRY DENT REVIEW,,,25,,NW,,,,,,$237.60,$0.00,1,0,1,1,1,1,20210101,
D9999,HCPCS,ADJUNCTIVE PROCEDURE,,,27,,NW,,,,,,$156.19,$0.00,1,0,1,1,1,1,20210101,
E0100,HCPCS,CANE ADJUST/FIXED WITH TIP,,,28,,NW,,,,,,$103.13,$0.00,1,1,1,1,1,1,20210101,
E0100,HCPCS,CANE ADJUST/FIXED WITH TIP,NU,,28,,NW,,,,,,$103.13,$0.00,1,1,1,1,1,1,20210101,
E0100,HCPCS,CANE ADJUST/FIXED WITH TIP,RR,,28,,NW,,,,,,$46.65,$0.00,1,1,1,1,1,1,20210101,
E0100,HCPCS,CANE ADJUST/FIXED WITH TIP,UE,,28,,NW,,,,,,$94.44,$0.00,1,1,1,1,1,1,20210101,
E0105,HCPCS,CANE ADJUST/FIXED QUAD/3 PRO,,,28,,NW,,,,,,$158.79,$0.00,1,1,1,1,1,1,20210101,
E0105,HCPCS,CANE ADJUST/FIXED QUAD/3 PRO,NU,,28,,NW,,,,,,$158.79,$0.00,1,1,1,1,1,1,20210101,
E0105,HCPCS,CANE ADJUST/FIXED QUAD/3 PRO,RR,,28,,NW,,,,,,$69.08,$0.00,1,1,1,1,1,1,20210101,
E0105,HCPCS,CANE ADJUST/FIXED QUAD/3 PRO,UE,,28,,NW,,,,,,$135.80,$0.00,1,1,1,1,1,1,20210101,
E0110,HCPCS,CRUTCH FOREARM PAIR,,,28,,NW,,,,,,$208.87,$0.00,1,1,1,1,1,1,20210101,
E0110,HCPCS,CRUTCH FOREARM PAIR,NU,,28,,NW,,,,,,$208.87,$0.00,1,1,1,1,1,1,20210101,
E0110,HCPCS,CRUTCH FOREARM PAIR,RR,,28,,NW,,,,,,$92.74,$0.00,1,1,1,1,1,1,20210101,
E0110,HCPCS,CRUTCH FOREARM PAIR,UE,,28,,NW,,,,,,$172.50,$0.00,1,1,1,1,1,1,20210101,
E0111,HCPCS,CRUTCH FOREARM EACH,,,28,,NW,,,,,,$162.46,$0.00,1,1,1,1,1,1,20210101,
E0111,HCPCS,CRUTCH FOREARM EACH,NU,,28,,NW,,,,,,$162.46,$0.00,1,1,1,1,1,1,20210101,
E0111,HCPCS,CRUTCH FOREARM EACH,RR,,28,,NW,,,,,,$66.33,$0.00,1,1,1,1,1,1,20210101,
E0111,HCPCS,CRUTCH FOREARM EACH,UE,,28,,NW,,,,,,$139.37,$0.00,1,1,1,1,1,1,20210101,
E0112,HCPCS,CRUTCH UNDERARM PAIR WOOD,,,28,,NW,,,,,,$132.49,$0.00,1,1,1,1,1,1,20210101,
E0112,HCPCS,CRUTCH UNDERARM PAIR WOOD,NU,,28,,NW,,,,,,$132.49,$0.00,1,1,1,1,1,1,20210101,
E0112,HCPCS,CRUTCH UNDERARM PAIR WOOD,RR,,28,,NW,,,,,,$73.34,$0.00,1,1,1,1,1,1,20210101,
E0112,HCPCS,CRUTCH UNDERARM PAIR WOOD,UE,,28,,NW,,,,,,$116.25,$0.00,1,1,1,1,1,1,20210101,
E0113,HCPCS,CRUTCH UNDERARM EACH WOOD,,,28,,NW,,,,,,$102.37,$0.00,1,1,1,1,1,1,20210101,
E0113,HCPCS,CRUTCH UNDERARM EACH WOOD,NU,,28,,NW,,,,,,$102.37,$0.00,1,1,1,1,1,1,20210101,
E0113,HCPCS,CRUTCH UNDERARM EACH WOOD,RR,,28,,NW,,,,,,$38.58,$0.00,1,1,1,1,1,1,20210101,
E0113,HCPCS,CRUTCH UNDERARM EACH WOOD,UE,,28,,NW,,,,,,$92.50,$0.00,1,1,1,1,1,1,20210101,
E0114,HCPCS,CRUTCH UNDERARM PAIR NO WOOD,,,28,,NW,,,,,,$150.96,$0.00,1,1,1,1,1,1,20210101,
E0114,HCPCS,CRUTCH UNDERARM PAIR NO WOOD,NU,,28,,NW,,,,,,$150.96,$0.00,1,1,1,1,1,1,20210101,
E0114,HCPCS,CRUTCH UNDERARM PAIR NO WOOD,RR,,28,,NW,,,,,,$67.07,$0.00,1,1,1,1,1,1,20210101,
E0114,HCPCS,CRUTCH UNDERARM PAIR NO WOOD,UE,,28,,NW,,,,,,$129.33,$0.00,1,1,1,1,1,1,20210101,
E0116,HCPCS,CRUTCH UNDERARM EACH NO WOOD,,,28,,NW,,,,,,$112.82,$0.00,1,1,1,1,1,1,20210101,
E0116,HCPCS,CRUTCH UNDERARM EACH NO WOOD,NU,,28,,NW,,,,,,$112.82,$0.00,1,1,1,1,1,1,20210101,
E0116,HCPCS,CRUTCH UNDERARM EACH NO WOOD,RR,,28,,NW,,,,,,$40.20,$0.00,1,1,1,1,1,1,20210101,
E0116,HCPCS,CRUTCH UNDERARM EACH NO WOOD,UE,,28,,NW,,,,,,$100.48,$0.00,1,1,1,1,1,1,20210101,
E0117,HCPCS,UNDERARM SPRINGASSIST CRUTCH,,,28,,NW,,,,,,$366.30,$0.00,1,1,1,1,1,1,20210101,
E0117,HCPCS,UNDERARM SPRINGASSIST CRUTCH,RR,,28,,NW,,,,,,$101.21,$0.00,1,1,1,1,1,1,20210101,
E0118,HCPCS,CRUTCH SUBSTITUTE,,,28,,NW,,,,,,$719.09,$0.00,1,1,1,1,1,1,20210101,
E0130,HCPCS,WALKER RIGID ADJUST/FIXED HT,,,28,,NW,,,,,,$147.48,$0.00,1,1,1,1,1,1,20210101,
E0130,HCPCS,WALKER RIGID ADJUST/FIXED HT,NU,,28,,NW,,,,,,$147.48,$0.00,1,1,1,1,1,1,20210101,
E0130,HCPCS,WALKER RIGID ADJUST/FIXED HT,RR,,28,,NW,,,,,,$43.87,$0.00,1,1,1,1,1,1,20210101,
E0130,HCPCS,WALKER RIGID ADJUST/FIXED HT,UE,,28,,NW,,,,,,$127.03,$0.00,1,1,1,1,1,1,20210101,
E0135,HCPCS,WALKER FOLDING ADJUST/FIXED,,,28,,NW,,,,,,$151.93,$0.00,1,1,1,1,1,1,20210101,
E0135,HCPCS,WALKER FOLDING ADJUST/FIXED,NU,,28,,NW,,,,,,$151.93,$0.00,1,1,1,1,1,1,20210101,
E0135,HCPCS,WALKER FOLDING ADJUST/FIXED,RR,,28,,NW,,,,,,$44.78,$0.00,1,1,1,1,1,1,20210101,
E0135,HCPCS,WALKER FOLDING ADJUST/FIXED,UE,,28,,NW,,,,,,$129.82,$0.00,1,1,1,1,1,1,20210101,
E0140,HCPCS,WALKER W TRUNK SUPPORT,,,28,,NW,,,,,,$869.56,$0.00,1,1,1,1,1,1,20210101,
E0140,HCPCS,WALKER W TRUNK SUPPORT,RR,,28,,NW,,,,,,$113.19,$0.00,1,1,1,1,1,1,20210101,
E0141,HCPCS,RIGID WHEELED WALKER ADJ/FIX,,,28,,NW,,,,,,$164.08,$0.00,1,1,1,1,1,1,20210101,
E0141,HCPCS,RIGID WHEELED WALKER ADJ/FIX,NU,,28,,NW,,,,,,$164.08,$0.00,1,1,1,1,1,1,20210101,
E0141,HCPCS,RIGID WHEELED WALKER ADJ/FIX,RR,,28,,NW,,,,,,$51.77,$0.00,1,1,1,1,1,1,20210101,
E0141,HCPCS,RIGID WHEELED WALKER ADJ/FIX,UE,,28,,NW,,,,,,$138.60,$0.00,1,1,1,1,1,1,20210101,
E0143,HCPCS,WALKER FOLDING WHEELED W/O S,,,28,,NW,,,,,,$165.22,$0.00,1,1,1,1,1,1,20210101,
E0143,HCPCS,WALKER FOLDING WHEELED W/O S,NU,,28,,NW,,,,,,$165.22,$0.00,1,1,1,1,1,1,20210101,
E0143,HCPCS,WALKER FOLDING WHEELED W/O S,RR,,28,,NW,,,,,,$51.26,$0.00,1,1,1,1,1,1,20210101,
E0143,HCPCS,WALKER FOLDING WHEELED W/O S,UE,,28,,NW,,,,,,$139.28,$0.00,1,1,1,1,1,1,20210101,
E0144,HCPCS,ENCLOSED WALKER W REAR SEAT,,,28,,NW,,,,,,$849.83,$0.00,1,1,1,1,1,1,20210101,
E0144,HCPCS,ENCLOSED WALKER W REAR SEAT,RR,,28,,NW,,,,,,$110.62,$0.00,1,1,1,1,1,1,20210101,
E0147,HCPCS,WALKER VARIABLE WHEEL RESIST,,,28,,NW,,,,,,$800.06,$0.00,1,1,1,1,1,1,20210101,
E0147,HCPCS,WALKER VARIABLE WHEEL RESIST,NU,,28,,NW,,,,,,$800.06,$0.00,1,1,1,1,1,1,20210101,
E0147,HCPCS,WALKER VARIABLE WHEEL RESIST,RR,,28,,NW,,,,,,$136.64,$0.00,1,1,1,1,1,1,20210101,
E0147,HCPCS,WALKER VARIABLE WHEEL RESIST,UE,,28,,NW,,,,,,$615.79,$0.00,1,1,1,1,1,1,20210101,
E0148,HCPCS,HEAVYDUTY WALKER NO WHEELS,,,28,,NW,,,,,,$217.47,$0.00,1,1,1,1,1,1,20210101,
E0148,HCPCS,HEAVYDUTY WALKER NO WHEELS,NU,,28,,NW,,,,,,$217.47,$0.00,1,1,1,1,1,1,20210101,
E0148,HCPCS,HEAVYDUTY WALKER NO WHEELS,RR,,28,,NW,,,,,,$66.36,$0.00,1,1,1,1,1,1,20210101,
E0148,HCPCS,HEAVYDUTY WALKER NO WHEELS,UE,,28,,NW,,,,,,$178.83,$0.00,1,1,1,1,1,1,20210101,
E0149,HCPCS,HEAVY DUTY WHEELED WALKER,,,28,,NW,,,,,,$663.26,$0.00,1,1,1,1,1,1,20210101,
E0149,HCPCS,HEAVY DUTY WHEELED WALKER,RR,,28,,NW,,,,,,$86.35,$0.00,1,1,1,1,1,1,20210101,
E0153,HCPCS,FOREARM CRUTCH PLATFORM ATTA,,,28,,NW,,,,,,$193.50,$0.00,1,1,1,1,1,1,20210101,
E0153,HCPCS,FOREARM CRUTCH PLATFORM ATTA,NU,,28,,NW,,,,,,$193.50,$0.00,1,1,1,1,1,1,20210101,
E0153,HCPCS,FOREARM CRUTCH PLATFORM ATTA,RR,,28,,NW,,,,,,$64.38,$0.00,1,1,1,1,1,1,20210101,
E0153,HCPCS,FOREARM CRUTCH PLATFORM ATTA,UE,,28,,NW,,,,,,$160.84,$0.00,1,1,1,1,1,1,20210101,
E0154,HCPCS,WALKER PLATFORM ATTACHMENT,,,28,,NW,,,,,,$151.95,$0.00,1,1,1,1,1,1,20210101,
E0154,HCPCS,WALKER PLATFORM ATTACHMENT,NU,,28,,NW,,,,,,$151.95,$0.00,1,1,1,1,1,1,20210101,
E0154,HCPCS,WALKER PLATFORM ATTACHMENT,RR,,28,,NW,,,,,,$36.51,$0.00,1,1,1,1,1,1,20210101,
E0154,HCPCS,WALKER PLATFORM ATTACHMENT,UE,,28,,NW,,,,,,$129.86,$0.00,1,1,1,1,1,1,20210101,
E0155,HCPCS,"WALKER WHEEL ATTACHMENT,PAIR",,,28,,NW,,,,,,$101.36,$0.00,1,1,1,1,1,1,20210101,
E0155,HCPCS,"WALKER WHEEL ATTACHMENT,PAIR",NU,,28,,NW,,,,,,$101.36,$0.00,1,1,1,1,1,1,20210101,
E0155,HCPCS,"WALKER WHEEL ATTACHMENT,PAIR",RR,,28,,NW,,,,,,$15.56,$0.00,1,1,1,1,1,1,20210101,
E0155,HCPCS,"WALKER WHEEL ATTACHMENT,PAIR",UE,,28,,NW,,,,,,$91.85,$0.00,1,1,1,1,1,1,20210101,
E0156,HCPCS,WALKER SEAT ATTACHMENT,,,28,,NW,,,,,,$92.77,$0.00,1,1,1,1,1,1,20210101,
E0156,HCPCS,WALKER SEAT ATTACHMENT,NU,,28,,NW,,,,,,$92.77,$0.00,1,1,1,1,1,1,20210101,
E0156,HCPCS,WALKER SEAT ATTACHMENT,RR,,28,,NW,,,,,,$12.13,$0.00,1,1,1,1,1,1,20210101,
E0156,HCPCS,WALKER SEAT ATTACHMENT,UE,,28,,NW,,,,,,$83.96,$0.00,1,1,1,1,1,1,20210101,
E0157,HCPCS,WALKER CRUTCH ATTACHMENT,,,28,,NW,,,,,,$163.34,$0.00,1,1,1,1,1,1,20210101,
E0157,HCPCS,WALKER CRUTCH ATTACHMENT,NU,,28,,NW,,,,,,$163.34,$0.00,1,1,1,1,1,1,20210101,
E0157,HCPCS,WALKER CRUTCH ATTACHMENT,RR,,28,,NW,,,,,,$41.27,$0.00,1,1,1,1,1,1,20210101,
E0157,HCPCS,WALKER CRUTCH ATTACHMENT,UE,,28,,NW,,,,,,$138.23,$0.00,1,1,1,1,1,1,20210101,
E0158,HCPCS,WALKER LEG EXTENDERS SET OF4,,,28,,NW,,,,,,$102.44,$0.00,1,1,1,1,1,1,20210101,
E0158,HCPCS,WALKER LEG EXTENDERS SET OF4,NU,,28,,NW,,,,,,$102.44,$0.00,1,1,1,1,1,1,20210101,
E0158,HCPCS,WALKER LEG EXTENDERS SET OF4,RR,,28,,NW,,,,,,$15.58,$0.00,1,1,1,1,1,1,20210101,
E0158,HCPCS,WALKER LEG EXTENDERS SET OF4,UE,,28,,NW,,,,,,$92.60,$0.00,1,1,1,1,1,1,20210101,
E0159,HCPCS,BRAKE FOR WHEELED WALKER,,,28,,NW,,,,,,$88.94,$0.00,1,1,1,1,1,1,20210101,
E0159,HCPCS,BRAKE FOR WHEELED WALKER,NU,,28,,NW,,,,,,$88.94,$0.00,1,1,1,1,1,1,20210101,
E0159,HCPCS,BRAKE FOR WHEELED WALKER,RR,,28,,NW,,,,,,$10.18,$0.00,1,1,1,1,1,1,20210101,
E0159,HCPCS,BRAKE FOR WHEELED WALKER,UE,,28,,NW,,,,,,$76.43,$0.00,1,1,1,1,1,1,20210101,
E0160,HCPCS,SITZ TYPE BATH OR EQUIPMENT,,,28,,NW,,,,,,$114.50,$0.00,1,1,1,1,1,1,20210101,
E0160,HCPCS,SITZ TYPE BATH OR EQUIPMENT,NU,,28,,NW,,,,,,$114.50,$0.00,1,1,1,1,1,1,20210101,
E0160,HCPCS,SITZ TYPE BATH OR EQUIPMENT,RR,,28,,NW,,,,,,$21.41,$0.00,1,1,1,1,1,1,20210101,
E0160,HCPCS,SITZ TYPE BATH OR EQUIPMENT,UE,,28,,NW,,,,,,$101.74,$0.00,1,1,1,1,1,1,20210101,
E0161,HCPCS,SITZ BATH/EQUIPMENT W/FAUCET,,,28,,NW,,,,,,$106.37,$0.00,1,1,1,1,1,1,20210101,
E0161,HCPCS,SITZ BATH/EQUIPMENT W/FAUCET,NU,,28,,NW,,,,,,$106.37,$0.00,1,1,1,1,1,1,20210101,
E0161,HCPCS,SITZ BATH/EQUIPMENT W/FAUCET,RR,,28,,NW,,,,,,$17.87,$0.00,1,1,1,1,1,1,20210101,
E0161,HCPCS,SITZ BATH/EQUIPMENT W/FAUCET,UE,,28,,NW,,,,,,$95.49,$0.00,1,1,1,1,1,1,20210101,
E0162,HCPCS,SITZ BATH CHAIR,,,28,,NW,,,,,,$330.65,$0.00,1,1,1,1,1,1,20210101,
E0162,HCPCS,SITZ BATH CHAIR,NU,,28,,NW,,,,,,$330.65,$0.00,1,1,1,1,1,1,20210101,
E0162,HCPCS,SITZ BATH CHAIR,RR,,28,,NW,,,,,,$91.02,$0.00,1,1,1,1,1,1,20210101,
E0162,HCPCS,SITZ BATH CHAIR,UE,,28,,NW,,,,,,$269.41,$0.00,1,1,1,1,1,1,20210101,
E0163,HCPCS,COMMODE CHAIR WITH FIXED ARM,,,28,,NW,,,,,,$174.92,$0.00,1,1,1,1,1,1,20210101,
E0163,HCPCS,COMMODE CHAIR WITH FIXED ARM,NU,,28,,NW,,,,,,$174.92,$0.00,1,1,1,1,1,1,20210101,
E0163,HCPCS,COMMODE CHAIR WITH FIXED ARM,RR,,28,,NW,,,,,,$62.76,$0.00,1,1,1,1,1,1,20210101,
E0163,HCPCS,COMMODE CHAIR WITH FIXED ARM,UE,,28,,NW,,,,,,$147.26,$0.00,1,1,1,1,1,1,20210101,
E0165,HCPCS,COMMODE CHAIR WITH DETACHARM,,,28,,NW,,,,,,$662.37,$0.00,1,1,1,1,1,1,20210101,
E0165,HCPCS,COMMODE CHAIR WITH DETACHARM,RR,,28,,NW,,,,,,$86.24,$0.00,1,1,1,1,1,1,20210101,
E0167,HCPCS,COMMODE CHAIR PAIL OR PAN,,,28,,NW,,,,,,$75.76,$0.00,1,1,1,1,1,1,20210101,
E0167,HCPCS,COMMODE CHAIR PAIL OR PAN,NU,,28,,NW,,,,,,$75.76,$0.00,1,1,1,1,1,1,20210101,
E0167,HCPCS,COMMODE CHAIR PAIL OR PAN,RR,,28,,NW,,,,,,$7.51,$0.00,1,1,1,1,1,1,20210101,
E0167,HCPCS,COMMODE CHAIR PAIL OR PAN,UE,,28,,NW,,,,,,$62.77,$0.00,1,1,1,1,1,1,20210101,
E0168,HCPCS,HEAVYDUTY/WIDE COMMODE CHAIR,,,28,,NW,,,,,,$279.93,$0.00,1,1,1,1,1,1,20210101,
E0168,HCPCS,HEAVYDUTY/WIDE COMMODE CHAIR,NU,,28,,NW,,,,,,$279.93,$0.00,1,1,1,1,1,1,20210101,
E0168,HCPCS,HEAVYDUTY/WIDE COMMODE CHAIR,RR,,28,,NW,,,,,,$82.28,$0.00,1,1,1,1,1,1,20210101,
E0168,HCPCS,HEAVYDUTY/WIDE COMMODE CHAIR,UE,,28,,NW,,,,,,$225.68,$0.00,1,1,1,1,1,1,20210101,
E0170,HCPCS,COMMODE CHAIR ELECTRIC,,,28,,NW,,,,,,"$2,681.27",$0.00,1,1,1,1,1,1,20210101,
E0170,HCPCS,COMMODE CHAIR ELECTRIC,RR,,28,,NW,,,,,,$348.63,$0.00,1,1,1,1,1,1,20210101,
E0171,HCPCS,COMMODE CHAIR NON-ELECTRIC,,,28,,NW,,,,,,$890.58,$0.00,1,1,1,1,1,1,20210101,
E0171,HCPCS,COMMODE CHAIR NON-ELECTRIC,RR,,28,,NW,,,,,,$115.95,$0.00,1,1,1,1,1,1,20210101,
E0172,HCPCS,SEAT LIFT MECHANISM TOILET,,,28,,NW,,,,,,$523.59,$0.00,1,1,1,1,1,1,20210101,
E0175,HCPCS,COMMODE CHAIR FOOT REST,,,28,,NW,,,,,,$186.38,$0.00,1,1,1,1,1,1,20210101,
E0175,HCPCS,COMMODE CHAIR FOOT REST,NU,,28,,NW,,,,,,$186.38,$0.00,1,1,1,1,1,1,20210101,
E0175,HCPCS,COMMODE CHAIR FOOT REST,RR,,28,,NW,,,,,,$52.40,$0.00,1,1,1,1,1,1,20210101,
E0175,HCPCS,COMMODE CHAIR FOOT REST,UE,,28,,NW,,,,,,$153.72,$0.00,1,1,1,1,1,1,20210101,
E0181,HCPCS,PRESS PAD ALTERNATING W/ PUM,,,28,,NW,,,,,,$722.60,$0.00,1,1,1,1,1,1,20210101,
E0181,HCPCS,PRESS PAD ALTERNATING W/ PUM,RR,,28,,NW,,,,,,$94.03,$0.00,1,1,1,1,1,1,20210101,
E0182,HCPCS,"REPLACE PUMP, ALT PRESS PAD",,,28,,NW,,,,,,$775.00,$0.00,1,1,1,1,1,1,20210101,
E0182,HCPCS,"REPLACE PUMP, ALT PRESS PAD",RR,,28,,NW,,,,,,$100.90,$0.00,1,1,1,1,1,1,20210101,
E0184,HCPCS,DRY PRESSURE MATTRESS,,,28,,NW,,,,,,$350.25,$0.00,1,1,1,1,1,1,20210101,
E0184,HCPCS,DRY PRESSURE MATTRESS,NU,,28,,NW,,,,,,$350.25,$0.00,1,1,1,1,1,1,20210101,
E0184,HCPCS,DRY PRESSURE MATTRESS,RR,,28,,NW,,,,,,$93.78,$0.00,1,1,1,1,1,1,20210101,
E0184,HCPCS,DRY PRESSURE MATTRESS,UE,,28,,NW,,,,,,$279.55,$0.00,1,1,1,1,1,1,20210101,
E0185,HCPCS,GEL PRESSURE MATTRESS PAD,,,28,,NW,,,,,,$407.00,$0.00,1,1,1,1,1,1,20210101,
E0185,HCPCS,GEL PRESSURE MATTRESS PAD,NU,,28,,NW,,,,,,$407.00,$0.00,1,1,1,1,1,1,20210101,
E0185,HCPCS,GEL PRESSURE MATTRESS PAD,RR,,28,,NW,,,,,,$101.97,$0.00,1,1,1,1,1,1,20210101,
E0185,HCPCS,GEL PRESSURE MATTRESS PAD,UE,,28,,NW,,,,,,$323.60,$0.00,1,1,1,1,1,1,20210101,
E0186,HCPCS,AIR PRESSURE MATTRESS,,,28,,NW,,,,,,$740.89,$0.00,1,1,1,1,1,1,20210101,
E0186,HCPCS,AIR PRESSURE MATTRESS,RR,,28,,NW,,,,,,$96.49,$0.00,1,1,1,1,1,1,20210101,
E0187,HCPCS,WATER PRESSURE MATTRESS,,,28,,NW,,,,,,$777.04,$0.00,1,1,1,1,1,1,20210101,
E0187,HCPCS,WATER PRESSURE MATTRESS,RR,,28,,NW,,,,,,$101.19,$0.00,1,1,1,1,1,1,20210101,
E0188,HCPCS,SYNTHETIC SHEEPSKIN PAD,,,28,,NW,,,,,,$106.67,$0.00,1,1,1,1,1,1,20210101,
E0188,HCPCS,SYNTHETIC SHEEPSKIN PAD,NU,,28,,NW,,,,,,$106.67,$0.00,1,1,1,1,1,1,20210101,
E0188,HCPCS,SYNTHETIC SHEEPSKIN PAD,RR,,28,,NW,,,,,,$17.54,$0.00,1,1,1,1,1,1,20210101,
E0188,HCPCS,SYNTHETIC SHEEPSKIN PAD,UE,,28,,NW,,,,,,$95.72,$0.00,1,1,1,1,1,1,20210101,
E0189,HCPCS,LAMBSWOOL SHEEPSKIN PAD,,,28,,NW,,,,,,$150.53,$0.00,1,1,1,1,1,1,20210101,
E0189,HCPCS,LAMBSWOOL SHEEPSKIN PAD,NU,,28,,NW,,,,,,$150.53,$0.00,1,1,1,1,1,1,20210101,
E0189,HCPCS,LAMBSWOOL SHEEPSKIN PAD,RR,,28,,NW,,,,,,$34.98,$0.00,1,1,1,1,1,1,20210101,
E0189,HCPCS,LAMBSWOOL SHEEPSKIN PAD,UE,,28,,NW,,,,,,$128.63,$0.00,1,1,1,1,1,1,20210101,
E0190,HCPCS,POSITIONING CUSHION,,,28,,NW,,,,,,$86.54,$0.00,1,1,1,1,1,1,20210101,
E0191,HCPCS,PROTECTOR HEEL OR ELBOW,,,28,,NW,,,,,,$73.41,$0.00,1,1,1,1,1,1,20210101,
E0191,HCPCS,PROTECTOR HEEL OR ELBOW,NU,,28,,NW,,,,,,$73.41,$0.00,1,1,1,1,1,1,20210101,
E0191,HCPCS,PROTECTOR HEEL OR ELBOW,RR,,28,,NW,,,,,,$7.38,$0.00,1,1,1,1,1,1,20210101,
E0191,HCPCS,PROTECTOR HEEL OR ELBOW,UE,,28,,NW,,,,,,$59.92,$0.00,1,1,1,1,1,1,20210101,
E0193,HCPCS,POWERED AIR FLOTATION BED,,,28,,NW,,,,,,"$9,033.30",$0.00,1,1,1,1,1,1,20210101,
E0193,HCPCS,POWERED AIR FLOTATION BED,RR,,28,,NW,,,,,,"$1,176.83",$0.00,1,1,1,1,1,1,20210101,
E0194,HCPCS,AIR FLUIDIZED BED,,,28,,NW,,,,,,"$40,582.31",$0.00,1,1,1,1,1,1,20210101,
E0194,HCPCS,AIR FLUIDIZED BED,RR,,28,,NW,,,,,,"$5,289.91",$0.00,1,1,1,1,1,1,20210101,
E0196,HCPCS,GEL PRESSURE MATTRESS,,,28,,NW,,,,,,$680.92,$0.00,1,1,1,1,1,1,20210101,
E0196,HCPCS,GEL PRESSURE MATTRESS,RR,,28,,NW,,,,,,$88.93,$0.00,1,1,1,1,1,1,20210101,
E0197,HCPCS,AIR PRESSURE PAD FOR MATTRES,,,28,,NW,,,,,,$756.22,$0.00,1,1,1,1,1,1,20210101,
E0197,HCPCS,AIR PRESSURE PAD FOR MATTRES,RR,,28,,NW,,,,,,$98.40,$0.00,1,1,1,1,1,1,20210101,
E0198,HCPCS,WATER PRESSURE PAD FOR MATTR,,,28,,NW,,,,,,$803.49,$0.00,1,1,1,1,1,1,20210101,
E0198,HCPCS,WATER PRESSURE PAD FOR MATTR,RR,,28,,NW,,,,,,$104.65,$0.00,1,1,1,1,1,1,20210101,
E0199,HCPCS,DRY PRESSURE PAD FOR MATTRES,,,28,,NW,,,,,,$117.22,$0.00,1,1,1,1,1,1,20210101,
E0199,HCPCS,DRY PRESSURE PAD FOR MATTRES,NU,,28,,NW,,,,,,$117.22,$0.00,1,1,1,1,1,1,20210101,
E0199,HCPCS,DRY PRESSURE PAD FOR MATTRES,RR,,28,,NW,,,,,,$21.90,$0.00,1,1,1,1,1,1,20210101,
E0199,HCPCS,DRY PRESSURE PAD FOR MATTRES,UE,,28,,NW,,,,,,$104.17,$0.00,1,1,1,1,1,1,20210101,
E0200,HCPCS,HEAT LAMP WITHOUT STAND,,,28,,NW,,,,,,$214.36,$0.00,1,1,1,1,1,1,20210101,
E0200,HCPCS,HEAT LAMP WITHOUT STAND,NU,,28,,NW,,,,,,$214.36,$0.00,1,1,1,1,1,1,20210101,
E0200,HCPCS,HEAT LAMP WITHOUT STAND,RR,,28,,NW,,,,,,$78.56,$0.00,1,1,1,1,1,1,20210101,
E0200,HCPCS,HEAT LAMP WITHOUT STAND,UE,,28,,NW,,,,,,$176.57,$0.00,1,1,1,1,1,1,20210101,
E0202,HCPCS,PHOTOTHERAPY LIGHT W/ PHOTOM,,,28,,NW,,,,,,"$1,389.94",$0.00,1,1,1,1,1,1,20210101,
E0202,HCPCS,PHOTOTHERAPY LIGHT W/ PHOTOM,RR,,28,,NW,,,,,,$180.92,$0.00,1,1,1,1,1,1,20210101,
E0203,HCPCS,THERAPEUTIC LIGHTBOX TABLETP,,,28,,NW,,,,,,$361.62,$0.00,1,1,1,1,1,1,20210101,
E0205,HCPCS,HEAT LAMP WITH STAND,,,28,,NW,,,,,,$420.72,$0.00,1,1,1,1,1,1,20210101,
E0205,HCPCS,HEAT LAMP WITH STAND,NU,,28,,NW,,,,,,$420.72,$0.00,1,1,1,1,1,1,20210101,
E0205,HCPCS,HEAT LAMP WITH STAND,RR,,28,,NW,,,,,,$104.01,$0.00,1,1,1,1,1,1,20210101,
E0205,HCPCS,HEAT LAMP WITH STAND,UE,,28,,NW,,,,,,$331.28,$0.00,1,1,1,1,1,1,20210101,
E0210,HCPCS,ELECTRIC HEAT PAD STANDARD,,,28,,NW,,,,,,$123.70,$0.00,1,1,1,1,1,1,20210101,
E0210,HCPCS,ELECTRIC HEAT PAD STANDARD,NU,,28,,NW,,,,,,$123.70,$0.00,1,1,1,1,1,1,20210101,
E0210,HCPCS,ELECTRIC HEAT PAD STANDARD,RR,,28,,NW,,,,,,$24.82,$0.00,1,1,1,1,1,1,20210101,
E0210,HCPCS,ELECTRIC HEAT PAD STANDARD,UE,,28,,NW,,,,,,$108.46,$0.00,1,1,1,1,1,1,20210101,
E0215,HCPCS,ELECTRIC HEAT PAD MOIST,,,28,,NW,,,,,,$194.37,$0.00,1,1,1,1,1,1,20210101,
E0215,HCPCS,ELECTRIC HEAT PAD MOIST,NU,,28,,NW,,,,,,$194.37,$0.00,1,1,1,1,1,1,20210101,
E0215,HCPCS,ELECTRIC HEAT PAD MOIST,RR,,28,,NW,,,,,,$62.95,$0.00,1,1,1,1,1,1,20210101,
E0215,HCPCS,ELECTRIC HEAT PAD MOIST,UE,,28,,NW,,,,,,$161.68,$0.00,1,1,1,1,1,1,20210101,
E0217,HCPCS,WATER CIRC HEAT PAD W PUMP,,,28,,NW,,,,,,$981.98,$0.00,1,1,1,1,1,1,20210101,
E0217,HCPCS,WATER CIRC HEAT PAD W PUMP,NU,,28,,NW,,,,,,$981.98,$0.00,1,1,1,1,1,1,20210101,
E0217,HCPCS,WATER CIRC HEAT PAD W PUMP,RR,,28,,NW,,,,,,$164.98,$0.00,1,1,1,1,1,1,20210101,
E0217,HCPCS,WATER CIRC HEAT PAD W PUMP,UE,,28,,NW,,,,,,$752.18,$0.00,1,1,1,1,1,1,20210101,
E0218,HCPCS,FLUID CIRC COLD PAD W PUMP,,,28,,NW,,,,,,$981.98,$0.00,1,1,1,1,1,1,20210101,
E0221,HCPCS,INFRARED HEATING PAD SYSTEM,,,28,,NW,,,,,,"$2,364.87",$0.00,1,1,1,1,1,1,20210101,
E0225,HCPCS,HYDROCOLLATOR UNIT,,,28,,NW,,,,,,$782.23,$0.00,1,1,1,1,1,1,20210101,
E0225,HCPCS,HYDROCOLLATOR UNIT,NU,,28,,NW,,,,,,$782.23,$0.00,1,1,1,1,1,1,20210101,
E0225,HCPCS,HYDROCOLLATOR UNIT,RR,,28,,NW,,,,,,$133.74,$0.00,1,1,1,1,1,1,20210101,
E0225,HCPCS,HYDROCOLLATOR UNIT,UE,,28,,NW,,,,,,$601.95,$0.00,1,1,1,1,1,1,20210101,
E0231,HCPCS,WOUND WARMING DEVICE,,,28,,NW,,,,,,$531.27,$0.00,1,1,1,1,1,1,20210101,
E0232,HCPCS,WARMING CARD FOR NWT,,,28,,NW,,,,,,$167.58,$0.00,1,1,1,1,1,1,20210101,
E0235,HCPCS,PARAFFIN BATH UNIT PORTABLE,,,28,,NW,,,,,,$740.42,$0.00,1,1,1,1,1,1,20210101,
E0235,HCPCS,PARAFFIN BATH UNIT PORTABLE,RR,,28,,NW,,,,,,$96.45,$0.00,1,1,1,1,1,1,20210101,
E0236,HCPCS,PUMP FOR WATER CIRCULATING P,,,28,,NW,,,,,,"$1,116.87",$0.00,1,1,1,1,1,1,20210101,
E0236,HCPCS,PUMP FOR WATER CIRCULATING P,RR,,28,,NW,,,,,,$145.39,$0.00,1,1,1,1,1,1,20210101,
E0239,HCPCS,HYDROCOLLATOR UNIT PORTABLE,,,28,,NW,,,,,,$917.22,$0.00,1,1,1,1,1,1,20210101,
E0239,HCPCS,HYDROCOLLATOR UNIT PORTABLE,NU,,28,,NW,,,,,,$917.22,$0.00,1,1,1,1,1,1,20210101,
E0239,HCPCS,HYDROCOLLATOR UNIT PORTABLE,RR,,28,,NW,,,,,,$148.60,$0.00,1,1,1,1,1,1,20210101,
E0239,HCPCS,HYDROCOLLATOR UNIT PORTABLE,UE,,28,,NW,,,,,,$703.66,$0.00,1,1,1,1,1,1,20210101,
E0240,HCPCS,BATH/SHOWER CHAIR,,,28,,NW,,,,,,$150.79,$0.00,1,1,1,1,1,1,20210101,
E0241,HCPCS,BATH TUB WALL RAIL,,,28,,NW,,,,,,$96.00,$0.00,1,1,1,1,1,1,20210101,
E0242,HCPCS,BATH TUB RAIL FLOOR,,,28,,NW,,,,,,$168.28,$0.00,1,1,1,1,1,1,20210101,
E0243,HCPCS,TOILET RAIL,,,28,,NW,,,,,,$125.65,$0.00,1,1,1,1,1,1,20210101,
E0244,HCPCS,TOILET SEAT RAISED,,,28,,NW,,,,,,$102.34,$0.00,1,1,1,1,1,1,20210101,
E0245,HCPCS,TUB STOOL OR BENCH,,,28,,NW,,,,,,$123.65,$0.00,1,1,1,1,1,1,20210101,
E0246,HCPCS,TRANSFER TUB RAIL ATTACHMENT,,,28,,NW,,,,,,$138.39,$0.00,1,1,1,1,1,1,20210101,
E0247,HCPCS,TRANS BENCH W/WO COMM OPEN,,,28,,NW,,,,,,$143.60,$0.00,1,1,1,1,1,1,20210101,
E0248,HCPCS,HDTRANS BENCH W/WO COMM OPEN,,,28,,NW,,,,,,$189.27,$0.00,1,1,1,1,1,1,20210101,
E0249,HCPCS,PAD WATER CIRCULATING HEAT U,,,28,,NW,,,,,,$248.16,$0.00,1,1,1,1,1,1,20210101,
E0249,HCPCS,PAD WATER CIRCULATING HEAT U,NU,,28,,NW,,,,,,$248.16,$0.00,1,1,1,1,1,1,20210101,
E0249,HCPCS,PAD WATER CIRCULATING HEAT U,RR,,28,,NW,,,,,,$77.63,$0.00,1,1,1,1,1,1,20210101,
E0249,HCPCS,PAD WATER CIRCULATING HEAT U,UE,,28,,NW,,,,,,$201.84,$0.00,1,1,1,1,1,1,20210101,
E0250,HCPCS,HOSP BED FIXED HT W/ MATTRES,,,28,,NW,,,,,,"$1,458.09",$0.00,1,1,1,1,1,1,20210101,
E0250,HCPCS,HOSP BED FIXED HT W/ MATTRES,RR,,28,,NW,,,,,,$190.37,$0.00,1,1,1,1,1,1,20210101,
E0251,HCPCS,HOSP BED FIXD HT W/O MATTRES,,,28,,NW,,,,,,"$1,302.92",$0.00,1,1,1,1,1,1,20210101,
E0251,HCPCS,HOSP BED FIXD HT W/O MATTRES,RR,,28,,NW,,,,,,$170.27,$0.00,1,1,1,1,1,1,20210101,
E0255,HCPCS,HOSPITAL BED VAR HT W/ MATTR,,,28,,NW,,,,,,"$1,536.73",$0.00,1,1,1,1,1,1,20210101,
E0255,HCPCS,HOSPITAL BED VAR HT W/ MATTR,RR,,28,,NW,,,,,,$200.45,$0.00,1,1,1,1,1,1,20210101,
E0256,HCPCS,HOSPITAL BED VAR HT W/O MATT,,,28,,NW,,,,,,"$1,373.57",$0.00,1,1,1,1,1,1,20210101,
E0256,HCPCS,HOSPITAL BED VAR HT W/O MATT,RR,,28,,NW,,,,,,$179.47,$0.00,1,1,1,1,1,1,20210101,
E0260,HCPCS,HOSP BED SEMI-ELECTR W/ MATT,,,28,,NW,,,,,,"$1,640.00",$0.00,1,1,1,1,1,1,20210101,
E0260,HCPCS,HOSP BED SEMI-ELECTR W/ MATT,RR,,28,,NW,,,,,,$213.62,$0.00,1,1,1,1,1,1,20210101,
E0261,HCPCS,HOSP BED SEMI-ELECTR W/O MAT,,,28,,NW,,,,,,"$1,594.26",$0.00,1,1,1,1,1,1,20210101,
E0261,HCPCS,HOSP BED SEMI-ELECTR W/O MAT,RR,,28,,NW,,,,,,$207.79,$0.00,1,1,1,1,1,1,20210101,
E0265,HCPCS,HOSP BED TOTAL ELECTR W/ MAT,,,28,,NW,,,,,,"$2,516.40",$0.00,1,1,1,1,1,1,20210101,
E0265,HCPCS,HOSP BED TOTAL ELECTR W/ MAT,RR,,28,,NW,,,,,,$327.98,$0.00,1,1,1,1,1,1,20210101,
E0266,HCPCS,HOSP BED TOTAL ELEC W/O MATT,,,28,,NW,,,,,,"$2,300.72",$0.00,1,1,1,1,1,1,20210101,
E0266,HCPCS,HOSP BED TOTAL ELEC W/O MATT,RR,,28,,NW,,,,,,$299.89,$0.00,1,1,1,1,1,1,20210101,
E0270,HCPCS,HOSPITAL BED INSTITUTIONAL T,,,28,,NW,,,,,,$523.52,$0.00,1,1,1,1,1,1,20210101,
E0271,HCPCS,MATTRESS INNERSPRING,,,28,,NW,,,,,,$305.04,$0.00,1,1,1,1,1,1,20210101,
E0271,HCPCS,MATTRESS INNERSPRING,NU,,28,,NW,,,,,,$305.04,$0.00,1,1,1,1,1,1,20210101,
E0271,HCPCS,MATTRESS INNERSPRING,RR,,28,,NW,,,,,,$32.22,$0.00,1,1,1,1,1,1,20210101,
E0271,HCPCS,MATTRESS INNERSPRING,UE,,28,,NW,,,,,,$255.79,$0.00,1,1,1,1,1,1,20210101,
E0272,HCPCS,MATTRESS FOAM RUBBER,,,28,,NW,,,,,,$322.80,$0.00,1,1,1,1,1,1,20210101,
E0272,HCPCS,MATTRESS FOAM RUBBER,NU,,28,,NW,,,,,,$322.80,$0.00,1,1,1,1,1,1,20210101,
E0272,HCPCS,MATTRESS FOAM RUBBER,RR,,28,,NW,,,,,,$35.83,$0.00,1,1,1,1,1,1,20210101,
E0272,HCPCS,MATTRESS FOAM RUBBER,UE,,28,,NW,,,,,,$267.09,$0.00,1,1,1,1,1,1,20210101,
E0273,HCPCS,BED BOARD,,,28,,NW,,,,,,$87.93,$0.00,1,1,1,1,1,1,20210101,
E0274,HCPCS,OVER-BED TABLE,,,28,,NW,,,,,,$122.21,$0.00,1,1,1,1,1,1,20210101,
E0275,HCPCS,BED PAN STANDARD,,,28,,NW,,,,,,$87.77,$0.00,1,1,1,1,1,1,20210101,
E0275,HCPCS,BED PAN STANDARD,NU,,28,,NW,,,,,,$87.77,$0.00,1,1,1,1,1,1,20210101,
E0275,HCPCS,BED PAN STANDARD,RR,,28,,NW,,,,,,$9.76,$0.00,1,1,1,1,1,1,20210101,
E0275,HCPCS,BED PAN STANDARD,UE,,28,,NW,,,,,,$74.38,$0.00,1,1,1,1,1,1,20210101,
E0276,HCPCS,BED PAN FRACTURE,,,28,,NW,,,,,,$80.74,$0.00,1,1,1,1,1,1,20210101,
E0276,HCPCS,BED PAN FRACTURE,NU,,28,,NW,,,,,,$80.74,$0.00,1,1,1,1,1,1,20210101,
E0276,HCPCS,BED PAN FRACTURE,RR,,28,,NW,,,,,,$8.62,$0.00,1,1,1,1,1,1,20210101,
E0276,HCPCS,BED PAN FRACTURE,UE,,28,,NW,,,,,,$68.46,$0.00,1,1,1,1,1,1,20210101,
E0277,HCPCS,POWERED PRES-REDU AIR MATTRS,,,28,,NW,,,,,,"$3,909.63",$0.00,1,1,1,1,1,1,20210101,
E0277,HCPCS,POWERED PRES-REDU AIR MATTRS,RR,,28,,NW,,,,,,$506.95,$0.00,1,1,1,1,1,1,20210101,
E0280,HCPCS,BED CRADLE,,,28,,NW,,,,,,$88.50,$0.00,1,1,1,1,1,1,20210101,
E0280,HCPCS,BED CRADLE,NU,,28,,NW,,,,,,$88.50,$0.00,1,1,1,1,1,1,20210101,
E0280,HCPCS,BED CRADLE,RR,,28,,NW,,,,,,$3.83,$0.00,1,1,1,1,1,1,20210101,
E0280,HCPCS,BED CRADLE,UE,,28,,NW,,,,,,$64.03,$0.00,1,1,1,1,1,1,20210101,
E0290,HCPCS,HOSP BED FX HT W/O RAILS W/M,,,28,,NW,,,,,,"$1,291.21",$0.00,1,1,1,1,1,1,20210101,
E0290,HCPCS,HOSP BED FX HT W/O RAILS W/M,RR,,28,,NW,,,,,,$168.75,$0.00,1,1,1,1,1,1,20210101,
E0291,HCPCS,HOSP BED FX HT W/O RAIL W/O,,,28,,NW,,,,,,$972.09,$0.00,1,1,1,1,1,1,20210101,
E0291,HCPCS,HOSP BED FX HT W/O RAIL W/O,RR,,28,,NW,,,,,,$127.04,$0.00,1,1,1,1,1,1,20210101,
E0292,HCPCS,HOSP BED VAR HT NO SR W/MATT,,,28,,NW,,,,,,"$1,390.44",$0.00,1,1,1,1,1,1,20210101,
E0292,HCPCS,HOSP BED VAR HT NO SR W/MATT,RR,,28,,NW,,,,,,$181.68,$0.00,1,1,1,1,1,1,20210101,
E0293,HCPCS,HOSP BED VAR HT NO SR NO MAT,,,28,,NW,,,,,,"$1,266.94",$0.00,1,1,1,1,1,1,20210101,
E0293,HCPCS,HOSP BED VAR HT NO SR NO MAT,RR,,28,,NW,,,,,,$165.59,$0.00,1,1,1,1,1,1,20210101,
E0294,HCPCS,HOSP BED SEMI-ELECT W/ MATTR,,,28,,NW,,,,,,"$1,578.94",$0.00,1,1,1,1,1,1,20210101,
E0294,HCPCS,HOSP BED SEMI-ELECT W/ MATTR,RR,,28,,NW,,,,,,$205.83,$0.00,1,1,1,1,1,1,20210101,
E0295,HCPCS,HOSP BED SEMI-ELECT W/O MATT,,,28,,NW,,,,,,"$1,561.58",$0.00,1,1,1,1,1,1,20210101,
E0295,HCPCS,HOSP BED SEMI-ELECT W/O MATT,RR,,28,,NW,,,,,,$203.60,$0.00,1,1,1,1,1,1,20210101,
E0296,HCPCS,HOSP BED TOTAL ELECT W/ MATT,,,28,,NW,,,,,,"$2,141.86",$0.00,1,1,1,1,1,1,20210101,
E0296,HCPCS,HOSP BED TOTAL ELECT W/ MATT,RR,,28,,NW,,,,,,$279.22,$0.00,1,1,1,1,1,1,20210101,
E0297,HCPCS,HOSP BED TOTAL ELECT W/O MAT,,,28,,NW,,,,,,"$1,982.03",$0.00,1,1,1,1,1,1,20210101,
E0297,HCPCS,HOSP BED TOTAL ELECT W/O MAT,RR,,28,,NW,,,,,,$258.42,$0.00,1,1,1,1,1,1,20210101,
E0300,HCPCS,ENCLOSED PED CRIB HOSP GRADE,,,28,,NW,,,,,,"$3,698.67",$0.00,1,1,1,1,1,1,20210101,
E0300,HCPCS,ENCLOSED PED CRIB HOSP GRADE,RR,,28,,NW,,,,,,$482.15,$0.00,1,1,1,1,1,1,20210101,
E0301,HCPCS,"HD HOSP BED, 350-600 LBS",,,28,,NW,,,,,,"$2,807.22",$0.00,1,1,1,1,1,1,20210101,
E0301,HCPCS,"HD HOSP BED, 350-600 LBS",RR,,28,,NW,,,,,,$365.64,$0.00,1,1,1,1,1,1,20210101,
E0302,HCPCS,EX HD HOSP BED > 600 LBS,,,28,,NW,,,,,,"$6,587.02",$0.00,1,1,1,1,1,1,20210101,
E0302,HCPCS,EX HD HOSP BED > 600 LBS,RR,,28,,NW,,,,,,$857.53,$0.00,1,1,1,1,1,1,20210101,
E0303,HCPCS,HOSP BED HVY DTY XTRA WIDE,,,28,,NW,,,,,,"$2,892.91",$0.00,1,1,1,1,1,1,20210101,
E0303,HCPCS,HOSP BED HVY DTY XTRA WIDE,RR,,28,,NW,,,,,,$376.63,$0.00,1,1,1,1,1,1,20210101,
E0304,HCPCS,HOSP BED XTRA HVY DTY X WIDE,,,28,,NW,,,,,,"$6,814.73",$0.00,1,1,1,1,1,1,20210101,
E0304,HCPCS,HOSP BED XTRA HVY DTY X WIDE,RR,,28,,NW,,,,,,$886.95,$0.00,1,1,1,1,1,1,20210101,
E0305,HCPCS,RAILS BED SIDE HALF LENGTH,,,28,,NW,,,,,,$200.06,$0.00,1,1,1,1,1,1,20210101,
E0305,HCPCS,RAILS BED SIDE HALF LENGTH,RR,,28,,NW,,,,,,$25.94,$0.00,1,1,1,1,1,1,20210101,
E0310,HCPCS,RAILS BED SIDE FULL LENGTH,,,28,,NW,,,,,,$285.24,$0.00,1,1,1,1,1,1,20210101,
E0310,HCPCS,RAILS BED SIDE FULL LENGTH,NU,,28,,NW,,,,,,$285.24,$0.00,1,1,1,1,1,1,20210101,
E0310,HCPCS,RAILS BED SIDE FULL LENGTH,RR,,28,,NW,,,,,,$29.20,$0.00,1,1,1,1,1,1,20210101,
E0310,HCPCS,RAILS BED SIDE FULL LENGTH,UE,,28,,NW,,,,,,$240.48,$0.00,1,1,1,1,1,1,20210101,
E0315,HCPCS,BED ACCESSORY BRD/TBL/SUPPRT,,,28,,NW,,,,,,$228.02,$0.00,1,1,1,1,1,1,20210101,
E0316,HCPCS,BED SAFETY ENCLOSURE,,,28,,NW,,,,,,"$2,981.34",$0.00,1,1,1,1,1,1,20210101,
E0316,HCPCS,BED SAFETY ENCLOSURE,RR,,28,,NW,,,,,,$388.44,$0.00,1,1,1,1,1,1,20210101,
E0325,HCPCS,URINAL MALE JUG-TYPE,,,28,,NW,,,,,,$67.62,$0.00,1,1,1,1,1,1,20210101,
E0325,HCPCS,URINAL MALE JUG-TYPE,NU,,28,,NW,,,,,,$67.62,$0.00,1,1,1,1,1,1,20210101,
E0325,HCPCS,URINAL MALE JUG-TYPE,RR,,28,,NW,,,,,,$6.85,$0.00,1,1,1,1,1,1,20210101,
E0325,HCPCS,URINAL MALE JUG-TYPE,UE,,28,,NW,,,,,,$48.81,$0.00,1,1,1,1,1,1,20210101,
E0326,HCPCS,URINAL FEMALE JUG-TYPE,,,28,,NW,,,,,,$71.29,$0.00,1,1,1,1,1,1,20210101,
E0326,HCPCS,URINAL FEMALE JUG-TYPE,NU,,28,,NW,,,,,,$71.29,$0.00,1,1,1,1,1,1,20210101,
E0326,HCPCS,URINAL FEMALE JUG-TYPE,RR,,28,,NW,,,,,,$7.00,$0.00,1,1,1,1,1,1,20210101,
E0326,HCPCS,URINAL FEMALE JUG-TYPE,UE,,28,,NW,,,,,,$55.47,$0.00,1,1,1,1,1,1,20210101,
E0328,HCPCS,"PED HOSPITAL BED, MANUAL",,,28,,NW,,,,,,"$4,215.04",$0.00,1,1,1,1,1,1,20210101,
E0329,HCPCS,PED HOSPITAL BED SEMI/ELECT,,,28,,NW,,,,,,"$4,543.07",$0.00,1,1,1,1,1,1,20210101,
E0352,HCPCS,DISPOSABLE PACK W/BOWEL SYST,,,28,,NW,,,,,,$82.18,$0.00,1,1,1,1,1,1,20210101,
E0370,HCPCS,AIR ELEVATOR FOR HEEL,,,28,,NW,,,,,,$96.12,$0.00,1,1,1,1,1,1,20210101,
E0371,HCPCS,NONPOWER MATTRESS OVERLAY,,,28,,NW,,,,,,"$3,547.60",$0.00,1,1,1,1,1,1,20210101,
E0371,HCPCS,NONPOWER MATTRESS OVERLAY,RR,,28,,NW,,,,,,$459.81,$0.00,1,1,1,1,1,1,20210101,
E0372,HCPCS,POWERED AIR MATTRESS OVERLAY,,,28,,NW,,,,,,"$3,770.22",$0.00,1,1,1,1,1,1,20210101,
E0372,HCPCS,POWERED AIR MATTRESS OVERLAY,RR,,28,,NW,,,,,,$488.13,$0.00,1,1,1,1,1,1,20210101,
E0373,HCPCS,NONPOWERED PRESSURE MATTRESS,,,28,,NW,,,,,,"$3,948.34",$0.00,1,1,1,1,1,1,20210101,
E0373,HCPCS,NONPOWERED PRESSURE MATTRESS,RR,,28,,NW,,,,,,$510.77,$0.00,1,1,1,1,1,1,20210101,
E0424,HCPCS,STATIONARY COMPRESSED GAS 02,,,28,,NW,,,,,,"$3,909.20",$0.00,1,1,1,1,1,1,20210101,
E0424,HCPCS,STATIONARY COMPRESSED GAS 02,RR,,28,,NW,,,,,,$504.45,$0.00,1,1,1,1,1,1,20210101,
E0425,HCPCS,GAS SYSTEM STATIONARY COMPRE,,,28,,NW,,,,,,"$20,693.87",$0.00,1,1,1,1,1,1,20210101,
E0430,HCPCS,OXYGEN SYSTEM GAS PORTABLE,,,28,,NW,,,,,,"$9,326.96",$0.00,1,1,1,1,1,1,20210101,
E0431,HCPCS,PORTABLE GASEOUS 02,,,28,,NW,,,,,,$561.31,$0.00,1,1,1,1,1,1,20210101,
E0431,HCPCS,PORTABLE GASEOUS 02,RR,,28,,NW,,,,,,$73.41,$0.00,1,1,1,1,1,1,20210101,
E0433,HCPCS,PORTABLE LIQUID OXYGEN SYS,,,28,,NW,,,,,,"$1,518.16",$0.00,1,1,1,1,1,1,20210101,
E0433,HCPCS,PORTABLE LIQUID OXYGEN SYS,RR,,28,,NW,,,,,,$194.29,$0.00,1,1,1,1,1,1,20210101,
E0434,HCPCS,PORTABLE LIQUID 02,,,28,,NW,,,,,,$379.98,$0.00,1,1,1,1,1,1,20210101,
E0434,HCPCS,PORTABLE LIQUID 02,RR,,28,,NW,,,,,,$57.77,$0.00,1,1,1,1,1,1,20210101,
E0435,HCPCS,OXYGEN SYSTEM LIQUID PORTABL,,,28,,NW,,,,,,"$6,387.12",$0.00,1,1,1,1,1,1,20210101,
E0439,HCPCS,STATIONARY LIQUID 02,,,28,,NW,,,,,,"$3,942.14",$0.00,1,1,1,1,1,1,20210101,
E0439,HCPCS,STATIONARY LIQUID 02,RR,,28,,NW,,,,,,$504.45,$0.00,1,1,1,1,1,1,20210101,
E0440,HCPCS,OXYGEN SYSTEM LIQUID STATION,,,28,,NW,,,,,,"$13,051.78",$0.00,1,1,1,1,1,1,20210101,
E0441,HCPCS,"STATIONARY O2 CONTENTS, GAS",,,28,,NW,,,,,,$288.74,$0.00,1,1,1,1,1,1,20210101,
E0442,HCPCS,"STATIONARY O2 CONTENTS, LIQ",,,28,,NW,,,,,,$288.78,$0.00,1,1,1,1,1,1,20210101,
E0443,HCPCS,"PORTABLE 02 CONTENTS, GAS",,,28,,NW,,,,,,$263.62,$0.00,1,1,1,1,1,1,20210101,
E0444,HCPCS,"PORTABLE 02 CONTENTS, LIQUID",,,28,,NW,,,,,,$263.62,$0.00,1,1,1,1,1,1,20210101,
E0445,HCPCS,OXIMETER NON-INVASIVE,,,28,,NW,,,,,,$220.32,$0.00,1,1,1,1,1,1,20210101,
E0446,HCPCS,"TOPICAL OX DELIVER SYS, NOS",,,28,,NW,,,,,,$261.75,$0.00,1,1,1,1,1,1,20210101,
E0447,HCPCS,"PORT O2 CONT, LIQ OVER 4 LPM",,,28,,NW,,,,,,$415.29,$0.00,1,1,1,1,1,1,20210101,
E0455,HCPCS,OXYGEN TENT EXCL CROUP/PED T,,,28,,NW,,,,,,$28.89,$0.00,1,1,1,1,1,1,20210101,
E0457,HCPCS,CHEST SHELL,,,28,,NW,,,,,,$959.23,$0.00,1,1,1,1,1,1,20210101,
E0459,HCPCS,CHEST WRAP,,,28,,NW,,,,,,$806.38,$0.00,1,1,1,1,1,1,20210101,
E0462,HCPCS,ROCKING BED W/ OR W/O SIDE R,,,28,,NW,,,,,,"$4,453.91",$0.00,1,1,1,1,1,1,20210101,
E0462,HCPCS,ROCKING BED W/ OR W/O SIDE R,RR,,28,,NW,,,,,,$580.84,$0.00,1,1,1,1,1,1,20210101,
E0465,HCPCS,HOME VENT INVASIVE INTERFACE,,,28,,NW,,,,,,"$14,441.22",$0.00,1,1,1,1,1,1,20210101,
E0465,HCPCS,HOME VENT INVASIVE INTERFACE,RR,,28,,NW,,,,,,"$1,877.65",$0.00,1,1,1,1,1,1,20210101,
E0466,HCPCS,HOME VENT NON-INVASIVE INTER,,,28,,NW,,,,,,"$14,441.22",$0.00,1,1,1,1,1,1,20210101,
E0466,HCPCS,HOME VENT NON-INVASIVE INTER,RR,,28,,NW,,,,,,"$1,877.65",$0.00,1,1,1,1,1,1,20210101,
E0467,HCPCS,HOME VENT MULTI-FUNCTION,,,28,,NW,,,,,,"$16,514.79",$0.00,1,1,1,1,1,1,20210101,
E0467,HCPCS,HOME VENT MULTI-FUNCTION,RR,,28,,NW,,,,,,"$2,014.33",$0.00,1,1,1,1,1,1,20210101,
E0470,HCPCS,RAD W/O BACKUP NON-INV INTFC,,,28,,NW,,,,,,"$2,233.17",$0.00,1,1,1,1,1,1,20210101,
E0470,HCPCS,RAD W/O BACKUP NON-INV INTFC,RR,,28,,NW,,,,,,$289.58,$0.00,1,1,1,1,1,1,20210101,
E0471,HCPCS,RAD W/BACKUP NON INV INTRFC,,,28,,NW,,,,,,"$4,815.46",$0.00,1,1,1,1,1,1,20210101,
E0471,HCPCS,RAD W/BACKUP NON INV INTRFC,RR,,28,,NW,,,,,,$623.97,$0.00,1,1,1,1,1,1,20210101,
E0472,HCPCS,RAD W BACKUP INVASIVE INTRFC,,,28,,NW,,,,,,"$6,294.32",$0.00,1,1,1,1,1,1,20210101,
E0472,HCPCS,RAD W BACKUP INVASIVE INTRFC,RR,,28,,NW,,,,,,$817.22,$0.00,1,1,1,1,1,1,20210101,
E0480,HCPCS,PERCUSSOR ELECT/PNEUM HOME M,,,28,,NW,,,,,,"$1,114.60",$0.00,1,1,1,1,1,1,20210101,
E0480,HCPCS,PERCUSSOR ELECT/PNEUM HOME M,RR,,28,,NW,,,,,,$145.09,$0.00,1,1,1,1,1,1,20210101,
E0481,HCPCS,INTRPULMNRY PERCUSS VENT SYS,,,28,,NW,,,,,,$653.67,$0.00,1,1,1,1,1,1,20210101,
E0482,HCPCS,COUGH STIMULATING DEVICE,,,28,,NW,,,,,,"$6,861.22",$0.00,1,1,1,1,1,1,20210101,
E0482,HCPCS,COUGH STIMULATING DEVICE,RR,,28,,NW,,,,,,$892.19,$0.00,1,1,1,1,1,1,20210101,
E0483,HCPCS,HI FREQ CHEST WALL OSCIL SYS,,,28,,NW,,,,,,"$16,737.07",$0.00,1,1,1,1,1,1,20210101,
E0483,HCPCS,HI FREQ CHEST WALL OSCIL SYS,RR,,28,,NW,,,,,,"$2,176.06",$0.00,1,1,1,1,1,1,20210101,
E0484,HCPCS,NON-ELEC OSCILLATORY PEP DVC,,,28,,NW,,,,,,$136.34,$0.00,1,1,1,1,1,1,20210101,
E0484,HCPCS,NON-ELEC OSCILLATORY PEP DVC,NU,,28,,NW,,,,,,$136.34,$0.00,1,1,1,1,1,1,20210101,
E0484,HCPCS,NON-ELEC OSCILLATORY PEP DVC,RR,,28,,NW,,,,,,$28.73,$0.00,1,1,1,1,1,1,20210101,
E0484,HCPCS,NON-ELEC OSCILLATORY PEP DVC,UE,,28,,NW,,,,,,$117.99,$0.00,1,1,1,1,1,1,20210101,
E0485,HCPCS,ORAL DEVICE/APPLIANCE PREFAB,,,28,,NW,,,,,,$484.22,$0.00,1,1,1,1,1,1,20210101,
E0485,HCPCS,ORAL DEVICE/APPLIANCE PREFAB,NU,,28,,NW,,,,,,$484.22,$0.00,1,1,1,1,1,1,20210101,
E0485,HCPCS,ORAL DEVICE/APPLIANCE PREFAB,RR,,28,,NW,,,,,,$75.35,$0.00,1,1,1,1,1,1,20210101,
E0485,HCPCS,ORAL DEVICE/APPLIANCE PREFAB,UE,,28,,NW,,,,,,$364.65,$0.00,1,1,1,1,1,1,20210101,
E0486,HCPCS,ORAL DEVICE/APPLIANCE CUSFAB,,,28,,NW,,,,,,"$6,566.71",$0.00,1,1,1,1,1,1,20210101,
E0486,HCPCS,ORAL DEVICE/APPLIANCE CUSFAB,NU,,28,,NW,,,,,,"$6,566.71",$0.00,1,1,1,1,1,1,20210101,
E0486,HCPCS,ORAL DEVICE/APPLIANCE CUSFAB,RR,,28,,NW,,,,,,$638.60,$0.00,1,1,1,1,1,1,20210101,
E0486,HCPCS,ORAL DEVICE/APPLIANCE CUSFAB,UE,,28,,NW,,,,,,"$4,789.51",$0.00,1,1,1,1,1,1,20210101,
E0487,HCPCS,ELECTRONIC SPIROMETER,,,28,,NW,,,,,,$328.43,$0.00,1,1,1,1,1,1,20210101,
E0500,HCPCS,IPPB ALL TYPES,,,28,,NW,,,,,,"$2,108.73",$0.00,1,1,1,1,1,1,20210101,
E0500,HCPCS,IPPB ALL TYPES,RR,,28,,NW,,,,,,$274.32,$0.00,1,1,1,1,1,1,20210101,
E0550,HCPCS,HUMIDIF EXTENS SUPPLE W IPPB,,,28,,NW,,,,,,"$1,212.41",$0.00,1,1,1,1,1,1,20210101,
E0550,HCPCS,HUMIDIF EXTENS SUPPLE W IPPB,RR,,28,,NW,,,,,,$157.81,$0.00,1,1,1,1,1,1,20210101,
E0555,HCPCS,HUMIDIFIER FOR USE W/ REGULA,,,28,,NW,,,,,,$6.24,$0.00,1,1,1,1,1,1,20210101,
E0560,HCPCS,HUMIDIFIER SUPPLEMENTAL W/ I,,,28,,NW,,,,,,$336.05,$0.00,1,1,1,1,1,1,20210101,
E0560,HCPCS,HUMIDIFIER SUPPLEMENTAL W/ I,NU,,28,,NW,,,,,,$336.05,$0.00,1,1,1,1,1,1,20210101,
E0560,HCPCS,HUMIDIFIER SUPPLEMENTAL W/ I,RR,,28,,NW,,,,,,$95.74,$0.00,1,1,1,1,1,1,20210101,
E0560,HCPCS,HUMIDIFIER SUPPLEMENTAL W/ I,UE,,28,,NW,,,,,,$267.79,$0.00,1,1,1,1,1,1,20210101,
E0561,HCPCS,HUMIDIFIER NONHEATED W PAP,,,28,,NW,,,,,,$198.88,$0.00,1,1,1,1,1,1,20210101,
E0561,HCPCS,HUMIDIFIER NONHEATED W PAP,NU,,28,,NW,,,,,,$198.88,$0.00,1,1,1,1,1,1,20210101,
E0561,HCPCS,HUMIDIFIER NONHEATED W PAP,RR,,28,,NW,,,,,,$57.97,$0.00,1,1,1,1,1,1,20210101,
E0561,HCPCS,HUMIDIFIER NONHEATED W PAP,UE,,28,,NW,,,,,,$164.90,$0.00,1,1,1,1,1,1,20210101,
E0562,HCPCS,HUMIDIFIER HEATED USED W PAP,,,28,,NW,,,,,,$349.47,$0.00,1,1,1,1,1,1,20210101,
E0562,HCPCS,HUMIDIFIER HEATED USED W PAP,NU,,28,,NW,,,,,,$349.47,$0.00,1,1,1,1,1,1,20210101,
E0562,HCPCS,HUMIDIFIER HEATED USED W PAP,RR,,28,,NW,,,,,,$91.58,$0.00,1,1,1,1,1,1,20210101,
E0562,HCPCS,HUMIDIFIER HEATED USED W PAP,UE,,28,,NW,,,,,,$277.83,$0.00,1,1,1,1,1,1,20210101,
E0565,HCPCS,COMPRESSOR AIR POWER SOURCE,,,28,,NW,,,,,,"$1,099.26",$0.00,1,1,1,1,1,1,20210101,
E0565,HCPCS,COMPRESSOR AIR POWER SOURCE,RR,,28,,NW,,,,,,$142.94,$0.00,1,1,1,1,1,1,20210101,
E0570,HCPCS,NEBULIZER WITH COMPRESSION,,,28,,NW,,,,,,$427.07,$0.00,1,1,1,1,1,1,20210101,
E0570,HCPCS,NEBULIZER WITH COMPRESSION,RR,,28,,NW,,,,,,$55.63,$0.00,1,1,1,1,1,1,20210101,
E0572,HCPCS,AEROSOL COMPRESSOR ADJUST PR,,,28,,NW,,,,,,"$1,136.76",$0.00,1,1,1,1,1,1,20210101,
E0572,HCPCS,AEROSOL COMPRESSOR ADJUST PR,RR,,28,,NW,,,,,,$146.03,$0.00,1,1,1,1,1,1,20210101,
E0574,HCPCS,ULTRASONIC GENERATOR W SVNEB,,,28,,NW,,,,,,"$1,717.04",$0.00,1,1,1,1,1,1,20210101,
E0574,HCPCS,ULTRASONIC GENERATOR W SVNEB,RR,,28,,NW,,,,,,$223.01,$0.00,1,1,1,1,1,1,20210101,
E0575,HCPCS,NEBULIZER ULTRASONIC,,,28,,NW,,,,,,"$1,996.26",$0.00,1,1,1,1,1,1,20210101,
E0575,HCPCS,NEBULIZER ULTRASONIC,RR,,28,,NW,,,,,,$259.71,$0.00,1,1,1,1,1,1,20210101,
E0580,HCPCS,NEBULIZER FOR USE W/ REGULAT,,,28,,NW,,,,,,$289.67,$0.00,1,1,1,1,1,1,20210101,
E0580,HCPCS,NEBULIZER FOR USE W/ REGULAT,NU,,28,,NW,,,,,,$289.67,$0.00,1,1,1,1,1,1,20210101,
E0580,HCPCS,NEBULIZER FOR USE W/ REGULAT,RR,,28,,NW,,,,,,$83.12,$0.00,1,1,1,1,1,1,20210101,
E0580,HCPCS,NEBULIZER FOR USE W/ REGULAT,UE,,28,,NW,,,,,,$232.97,$0.00,1,1,1,1,1,1,20210101,
E0585,HCPCS,NEBULIZER W/ COMPRESSOR & HE,,,28,,NW,,,,,,$884.54,$0.00,1,1,1,1,1,1,20210101,
E0585,HCPCS,NEBULIZER W/ COMPRESSOR & HE,RR,,28,,NW,,,,,,$115.12,$0.00,1,1,1,1,1,1,20210101,
E0600,HCPCS,SUCTION PUMP PORTAB HOM MODL,,,28,,NW,,,,,,"$1,151.83",$0.00,1,1,1,1,1,1,20210101,
E0600,HCPCS,SUCTION PUMP PORTAB HOM MODL,RR,,28,,NW,,,,,,$149.93,$0.00,1,1,1,1,1,1,20210101,
E0601,HCPCS,CONT AIRWAY PRESSURE DEVICE,,,28,,NW,,,,,,"$1,182.41",$0.00,1,1,1,1,1,1,20210101,
E0601,HCPCS,CONT AIRWAY PRESSURE DEVICE,RR,,28,,NW,,,,,,$153.47,$0.00,1,1,1,1,1,1,20210101,
E0602,HCPCS,MANUAL BREAST PUMP,,,28,,NW,,,,,,$121.59,$0.00,1,1,1,1,1,1,20210101,
E0602,HCPCS,MANUAL BREAST PUMP,NU,,28,,NW,,,,,,$121.59,$0.00,1,1,1,1,1,1,20210101,
E0602,HCPCS,MANUAL BREAST PUMP,RR,,28,,NW,,,,,,$23.11,$0.00,1,1,1,1,1,1,20210101,
E0602,HCPCS,MANUAL BREAST PUMP,UE,,28,,NW,,,,,,$106.93,$0.00,1,1,1,1,1,1,20210101,
E0603,HCPCS,ELECTRIC BREAST PUMP,,,28,,NW,,,,,,$239.01,$0.00,1,1,1,1,1,1,20210101,
E0604,HCPCS,HOSP GRADE ELEC BREAST PUMP,,,28,,NW,,,,,,$419.54,$0.00,1,1,1,1,1,1,20210101,
E0605,HCPCS,VAPORIZER ROOM TYPE,,,28,,NW,,,,,,$114.72,$0.00,1,1,1,1,1,1,20210101,
E0605,HCPCS,VAPORIZER ROOM TYPE,NU,,28,,NW,,,,,,$114.72,$0.00,1,1,1,1,1,1,20210101,
E0605,HCPCS,VAPORIZER ROOM TYPE,RR,,28,,NW,,,,,,$24.80,$0.00,1,1,1,1,1,1,20210101,
E0605,HCPCS,VAPORIZER ROOM TYPE,UE,,28,,NW,,,,,,$104.47,$0.00,1,1,1,1,1,1,20210101,
E0606,HCPCS,DRAINAGE BOARD POSTURAL,,,28,,NW,,,,,,$811.08,$0.00,1,1,1,1,1,1,20210101,
E0606,HCPCS,DRAINAGE BOARD POSTURAL,RR,,28,,NW,,,,,,$105.63,$0.00,1,1,1,1,1,1,20210101,
E0607,HCPCS,BLOOD GLUCOSE MONITOR HOME,,,28,,NW,,,,,,$195.82,$0.00,1,1,1,1,1,1,20210101,
E0607,HCPCS,BLOOD GLUCOSE MONITOR HOME,NU,,28,,NW,,,,,,$195.82,$0.00,1,1,1,1,1,1,20210101,
E0607,HCPCS,BLOOD GLUCOSE MONITOR HOME,RR,,28,,NW,,,,,,$57.34,$0.00,1,1,1,1,1,1,20210101,
E0607,HCPCS,BLOOD GLUCOSE MONITOR HOME,UE,,28,,NW,,,,,,$162.58,$0.00,1,1,1,1,1,1,20210101,
E0610,HCPCS,PACEMAKER MONITR AUDIBLE/VIS,,,28,,NW,,,,,,$524.26,$0.00,1,1,1,1,1,1,20210101,
E0610,HCPCS,PACEMAKER MONITR AUDIBLE/VIS,NU,,28,,NW,,,,,,$524.26,$0.00,1,1,1,1,1,1,20210101,
E0610,HCPCS,PACEMAKER MONITR AUDIBLE/VIS,RR,,28,,NW,,,,,,$111.50,$0.00,1,1,1,1,1,1,20210101,
E0610,HCPCS,PACEMAKER MONITR AUDIBLE/VIS,UE,,28,,NW,,,,,,$408.84,$0.00,1,1,1,1,1,1,20210101,
E0615,HCPCS,PACEMAKER MONITR DIGITAL/VIS,,,28,,NW,,,,,,$969.41,$0.00,1,1,1,1,1,1,20210101,
E0615,HCPCS,PACEMAKER MONITR DIGITAL/VIS,NU,,28,,NW,,,,,,$969.41,$0.00,1,1,1,1,1,1,20210101,
E0615,HCPCS,PACEMAKER MONITR DIGITAL/VIS,RR,,28,,NW,,,,,,$172.43,$0.00,1,1,1,1,1,1,20210101,
E0615,HCPCS,PACEMAKER MONITR DIGITAL/VIS,UE,,28,,NW,,,,,,$741.48,$0.00,1,1,1,1,1,1,20210101,
E0616,HCPCS,CARDIAC EVENT RECORDER,,,28,,NW,,,,,,"$7,671.63",$0.00,1,1,1,1,1,1,20210101,
E0617,HCPCS,AUTOMATIC EXT DEFIBRILLATOR,,,28,,NW,,,,,,"$5,131.03",$0.00,1,1,1,1,1,1,20210101,
E0617,HCPCS,AUTOMATIC EXT DEFIBRILLATOR,RR,,28,,NW,,,,,,$667.24,$0.00,1,1,1,1,1,1,20210101,
E0618,HCPCS,APNEA MONITOR,,,28,,NW,,,,,,"$4,510.43",$0.00,1,1,1,1,1,1,20210101,
E0618,HCPCS,APNEA MONITOR,RR,,28,,NW,,,,,,$586.57,$0.00,1,1,1,1,1,1,20210101,
E0619,HCPCS,APNEA MONITOR W RECORDER,,,28,,NW,,,,,,"$4,510.43",$0.00,1,1,1,1,1,1,20210101,
E0619,HCPCS,APNEA MONITOR W RECORDER,RR,,28,,NW,,,,,,$586.57,$0.00,1,1,1,1,1,1,20210101,
E0620,HCPCS,CAP BLD SKIN PIERCING LASER,,,28,,NW,,,,,,"$1,819.26",$0.00,1,1,1,1,1,1,20210101,
E0620,HCPCS,CAP BLD SKIN PIERCING LASER,RR,,28,,NW,,,,,,$236.70,$0.00,1,1,1,1,1,1,20210101,
E0621,HCPCS,PATIENT LIFT SLING OR SEAT,,,28,,NW,,,,,,$211.31,$0.00,1,1,1,1,1,1,20210101,
E0621,HCPCS,PATIENT LIFT SLING OR SEAT,NU,,28,,NW,,,,,,$211.31,$0.00,1,1,1,1,1,1,20210101,
E0621,HCPCS,PATIENT LIFT SLING OR SEAT,RR,,28,,NW,,,,,,$64.11,$0.00,1,1,1,1,1,1,20210101,
E0621,HCPCS,PATIENT LIFT SLING OR SEAT,UE,,28,,NW,,,,,,$174.34,$0.00,1,1,1,1,1,1,20210101,
E0625,HCPCS,PATIENT LIFT BATHROOM OR TOI,,,28,,NW,,,,,,"$1,696.16",$0.00,1,1,1,1,1,1,20210101,
E0627,HCPCS,"SEAT LIFT MECH, ELECTRIC ANY",,,28,,NW,,,,,,$544.90,$0.00,1,1,1,1,1,1,20210101,
E0627,HCPCS,"SEAT LIFT MECH, ELECTRIC ANY",NU,,28,,NW,,,,,,$544.90,$0.00,1,1,1,1,1,1,20210101,
E0627,HCPCS,"SEAT LIFT MECH, ELECTRIC ANY",RR,,28,,NW,,,,,,$111.13,$0.00,1,1,1,1,1,1,20210101,
E0627,HCPCS,"SEAT LIFT MECH, ELECTRIC ANY",UE,,28,,NW,,,,,,$424.41,$0.00,1,1,1,1,1,1,20210101,
E0629,HCPCS,"SEAT LIFT MECH, NON-ELECTRIC",,,28,,NW,,,,,,$539.82,$0.00,1,1,1,1,1,1,20210101,
E0629,HCPCS,"SEAT LIFT MECH, NON-ELECTRIC",NU,,28,,NW,,,,,,$539.82,$0.00,1,1,1,1,1,1,20210101,
E0629,HCPCS,"SEAT LIFT MECH, NON-ELECTRIC",RR,,28,,NW,,,,,,$110.62,$0.00,1,1,1,1,1,1,20210101,
E0629,HCPCS,"SEAT LIFT MECH, NON-ELECTRIC",UE,,28,,NW,,,,,,$420.59,$0.00,1,1,1,1,1,1,20210101,
E0630,HCPCS,PATIENT LIFT HYDRAULIC,,,28,,NW,,,,,,"$1,383.11",$0.00,1,1,1,1,1,1,20210101,
E0630,HCPCS,PATIENT LIFT HYDRAULIC,RR,,28,,NW,,,,,,$179.64,$0.00,1,1,1,1,1,1,20210101,
E0635,HCPCS,PATIENT LIFT ELECTRIC,,,28,,NW,,,,,,"$2,068.49",$0.00,1,1,1,1,1,1,20210101,
E0635,HCPCS,PATIENT LIFT ELECTRIC,RR,,28,,NW,,,,,,$269.03,$0.00,1,1,1,1,1,1,20210101,
E0636,HCPCS,PT SUPPORT & POSITIONING SYS,,,28,,NW,,,,,,"$13,990.13",$0.00,1,1,1,1,1,1,20210101,
E0636,HCPCS,PT SUPPORT & POSITIONING SYS,RR,,28,,NW,,,,,,"$1,817.51",$0.00,1,1,1,1,1,1,20210101,
E0637,HCPCS,COMBINATION SIT TO STAND SYS,,,28,,NW,,,,,,"$1,776.02",$0.00,1,1,1,1,1,1,20210101,
E0638,HCPCS,STANDING FRAME SYS,,,28,,NW,,,,,,"$2,241.54",$0.00,1,1,1,1,1,1,20210101,
E0639,HCPCS,MOVEABLE PATIENT LIFT SYSTEM,,,28,,NW,,,,,,"$2,103.09",$0.00,1,1,1,1,1,1,20210101,
E0639,HCPCS,MOVEABLE PATIENT LIFT SYSTEM,RR,,28,,NW,,,,,,$273.61,$0.00,1,1,1,1,1,1,20210101,
E0640,HCPCS,FIXED PATIENT LIFT SYSTEM,,,28,,NW,,,,,,"$2,103.09",$0.00,1,1,1,1,1,1,20210101,
E0640,HCPCS,FIXED PATIENT LIFT SYSTEM,RR,,28,,NW,,,,,,$273.61,$0.00,1,1,1,1,1,1,20210101,
E0641,HCPCS,MULTI-POSITION STND FRAM SYS,,,28,,NW,,,,,,"$1,585.60",$0.00,1,1,1,1,1,1,20210101,
E0642,HCPCS,DYNAMIC STANDING FRAME,,,28,,NW,,,,,,"$3,256.67",$0.00,1,1,1,1,1,1,20210101,
E0650,HCPCS,PNEUMA COMPRESOR NON-SEGMENT,,,28,,NW,,,,,,"$1,424.67",$0.00,1,1,1,1,1,1,20210101,
E0650,HCPCS,PNEUMA COMPRESOR NON-SEGMENT,NU,,28,,NW,,,,,,"$1,424.67",$0.00,1,1,1,1,1,1,20210101,
E0650,HCPCS,PNEUMA COMPRESOR NON-SEGMENT,RR,,28,,NW,,,,,,$231.20,$0.00,1,1,1,1,1,1,20210101,
E0650,HCPCS,PNEUMA COMPRESOR NON-SEGMENT,UE,,28,,NW,,,,,,"$1,076.17",$0.00,1,1,1,1,1,1,20210101,
E0651,HCPCS,PNEUM COMPRESSOR SEGMENTAL,,,28,,NW,,,,,,"$1,788.87",$0.00,1,1,1,1,1,1,20210101,
E0651,HCPCS,PNEUM COMPRESSOR SEGMENTAL,NU,,28,,NW,,,,,,"$1,788.87",$0.00,1,1,1,1,1,1,20210101,
E0651,HCPCS,PNEUM COMPRESSOR SEGMENTAL,RR,,28,,NW,,,,,,$241.13,$0.00,1,1,1,1,1,1,20210101,
E0651,HCPCS,PNEUM COMPRESSOR SEGMENTAL,UE,,28,,NW,,,,,,"$1,357.42",$0.00,1,1,1,1,1,1,20210101,
E0652,HCPCS,PNEUM COMPRES W/CAL PRESSURE,,,28,,NW,,,,,,"$10,311.67",$0.00,1,1,1,1,1,1,20210101,
E0652,HCPCS,PNEUM COMPRES W/CAL PRESSURE,NU,,28,,NW,,,,,,"$10,311.67",$0.00,1,1,1,1,1,1,20210101,
E0652,HCPCS,PNEUM COMPRES W/CAL PRESSURE,RR,,28,,NW,,,,,,"$1,065.28",$0.00,1,1,1,1,1,1,20210101,
E0652,HCPCS,PNEUM COMPRES W/CAL PRESSURE,UE,,28,,NW,,,,,,"$7,664.53",$0.00,1,1,1,1,1,1,20210101,
E0655,HCPCS,PNEUMATIC APPLIANCE HALF ARM,,,28,,NW,,,,,,$267.74,$0.00,1,1,1,1,1,1,20210101,
E0655,HCPCS,PNEUMATIC APPLIANCE HALF ARM,NU,,28,,NW,,,,,,$267.74,$0.00,1,1,1,1,1,1,20210101,
E0655,HCPCS,PNEUMATIC APPLIANCE HALF ARM,RR,,28,,NW,,,,,,$83.96,$0.00,1,1,1,1,1,1,20210101,
E0655,HCPCS,PNEUMATIC APPLIANCE HALF ARM,UE,,28,,NW,,,,,,$217.36,$0.00,1,1,1,1,1,1,20210101,
E0656,HCPCS,SEGMENTAL PNEUMATIC TRUNK,,,28,,NW,,,,,,"$1,366.13",$0.00,1,1,1,1,1,1,20210101,
E0656,HCPCS,SEGMENTAL PNEUMATIC TRUNK,RR,,28,,NW,,,,,,$177.79,$0.00,1,1,1,1,1,1,20210101,
E0657,HCPCS,SEGMENTAL PNEUMATIC CHEST,,,28,,NW,,,,,,"$1,312.47",$0.00,1,1,1,1,1,1,20210101,
E0657,HCPCS,SEGMENTAL PNEUMATIC CHEST,RR,,28,,NW,,,,,,$170.81,$0.00,1,1,1,1,1,1,20210101,
E0660,HCPCS,PNEUMATIC APPLIANCE FULL LEG,,,28,,NW,,,,,,$362.91,$0.00,1,1,1,1,1,1,20210101,
E0660,HCPCS,PNEUMATIC APPLIANCE FULL LEG,NU,,28,,NW,,,,,,$362.91,$0.00,1,1,1,1,1,1,20210101,
E0660,HCPCS,PNEUMATIC APPLIANCE FULL LEG,RR,,28,,NW,,,,,,$93.95,$0.00,1,1,1,1,1,1,20210101,
E0660,HCPCS,PNEUMATIC APPLIANCE FULL LEG,UE,,28,,NW,,,,,,$287.45,$0.00,1,1,1,1,1,1,20210101,
E0665,HCPCS,PNEUMATIC APPLIANCE FULL ARM,,,28,,NW,,,,,,$319.39,$0.00,1,1,1,1,1,1,20210101,
E0665,HCPCS,PNEUMATIC APPLIANCE FULL ARM,NU,,28,,NW,,,,,,$319.39,$0.00,1,1,1,1,1,1,20210101,
E0665,HCPCS,PNEUMATIC APPLIANCE FULL ARM,RR,,28,,NW,,,,,,$89.40,$0.00,1,1,1,1,1,1,20210101,
E0665,HCPCS,PNEUMATIC APPLIANCE FULL ARM,UE,,28,,NW,,,,,,$254.13,$0.00,1,1,1,1,1,1,20210101,
E0666,HCPCS,PNEUMATIC APPLIANCE HALF LEG,,,28,,NW,,,,,,$323.21,$0.00,1,1,1,1,1,1,20210101,
E0666,HCPCS,PNEUMATIC APPLIANCE HALF LEG,NU,,28,,NW,,,,,,$323.21,$0.00,1,1,1,1,1,1,20210101,
E0666,HCPCS,PNEUMATIC APPLIANCE HALF LEG,RR,,28,,NW,,,,,,$89.80,$0.00,1,1,1,1,1,1,20210101,
E0666,HCPCS,PNEUMATIC APPLIANCE HALF LEG,UE,,28,,NW,,,,,,$258.57,$0.00,1,1,1,1,1,1,20210101,
E0667,HCPCS,SEG PNEUMATIC APPL FULL LEG,,,28,,NW,,,,,,$694.42,$0.00,1,1,1,1,1,1,20210101,
E0667,HCPCS,SEG PNEUMATIC APPL FULL LEG,NU,,28,,NW,,,,,,$694.42,$0.00,1,1,1,1,1,1,20210101,
E0667,HCPCS,SEG PNEUMATIC APPL FULL LEG,RR,,28,,NW,,,,,,$133.16,$0.00,1,1,1,1,1,1,20210101,
E0667,HCPCS,SEG PNEUMATIC APPL FULL LEG,UE,,28,,NW,,,,,,$536.55,$0.00,1,1,1,1,1,1,20210101,
E0668,HCPCS,SEG PNEUMATIC APPL FULL ARM,,,28,,NW,,,,,,$892.72,$0.00,1,1,1,1,1,1,20210101,
E0668,HCPCS,SEG PNEUMATIC APPL FULL ARM,NU,,28,,NW,,,,,,$892.72,$0.00,1,1,1,1,1,1,20210101,
E0668,HCPCS,SEG PNEUMATIC APPL FULL ARM,RR,,28,,NW,,,,,,$144.86,$0.00,1,1,1,1,1,1,20210101,
E0668,HCPCS,SEG PNEUMATIC APPL FULL ARM,UE,,28,,NW,,,,,,$685.47,$0.00,1,1,1,1,1,1,20210101,
E0669,HCPCS,SEG PNEUMATIC APPLI HALF LEG,,,28,,NW,,,,,,$419.51,$0.00,1,1,1,1,1,1,20210101,
E0669,HCPCS,SEG PNEUMATIC APPLI HALF LEG,NU,,28,,NW,,,,,,$419.51,$0.00,1,1,1,1,1,1,20210101,
E0669,HCPCS,SEG PNEUMATIC APPLI HALF LEG,RR,,28,,NW,,,,,,$98.58,$0.00,1,1,1,1,1,1,20210101,
E0669,HCPCS,SEG PNEUMATIC APPLI HALF LEG,UE,,28,,NW,,,,,,$330.39,$0.00,1,1,1,1,1,1,20210101,
E0670,HCPCS,SEG PNEUM INT LEGS/TRUNK,,,28,,NW,,,,,,"$2,499.26",$0.00,1,1,1,1,1,1,20210101,
E0670,HCPCS,SEG PNEUM INT LEGS/TRUNK,NU,,28,,NW,,,,,,"$2,499.26",$0.00,1,1,1,1,1,1,20210101,
E0670,HCPCS,SEG PNEUM INT LEGS/TRUNK,RR,,28,,NW,,,,,,$321.97,$0.00,1,1,1,1,1,1,20210101,
E0670,HCPCS,SEG PNEUM INT LEGS/TRUNK,UE,,28,,NW,,,,,,"$1,890.11",$0.00,1,1,1,1,1,1,20210101,
E0671,HCPCS,PRESSURE PNEUM APPL FULL LEG,,,28,,NW,,,,,,$888.81,$0.00,1,1,1,1,1,1,20210101,
E0671,HCPCS,PRESSURE PNEUM APPL FULL LEG,NU,,28,,NW,,,,,,$888.81,$0.00,1,1,1,1,1,1,20210101,
E0671,HCPCS,PRESSURE PNEUM APPL FULL LEG,RR,,28,,NW,,,,,,$145.56,$0.00,1,1,1,1,1,1,20210101,
E0671,HCPCS,PRESSURE PNEUM APPL FULL LEG,UE,,28,,NW,,,,,,$682.32,$0.00,1,1,1,1,1,1,20210101,
E0672,HCPCS,PRESSURE PNEUM APPL FULL ARM,,,28,,NW,,,,,,$704.62,$0.00,1,1,1,1,1,1,20210101,
E0672,HCPCS,PRESSURE PNEUM APPL FULL ARM,NU,,28,,NW,,,,,,$704.62,$0.00,1,1,1,1,1,1,20210101,
E0672,HCPCS,PRESSURE PNEUM APPL FULL ARM,RR,,28,,NW,,,,,,$127.13,$0.00,1,1,1,1,1,1,20210101,
E0672,HCPCS,PRESSURE PNEUM APPL FULL ARM,UE,,28,,NW,,,,,,$544.24,$0.00,1,1,1,1,1,1,20210101,
E0673,HCPCS,PRESSURE PNEUM APPL HALF LEG,,,28,,NW,,,,,,$596.16,$0.00,1,1,1,1,1,1,20210101,
E0673,HCPCS,PRESSURE PNEUM APPL HALF LEG,NU,,28,,NW,,,,,,$596.16,$0.00,1,1,1,1,1,1,20210101,
E0673,HCPCS,PRESSURE PNEUM APPL HALF LEG,RR,,28,,NW,,,,,,$116.25,$0.00,1,1,1,1,1,1,20210101,
E0673,HCPCS,PRESSURE PNEUM APPL HALF LEG,UE,,28,,NW,,,,,,$462.90,$0.00,1,1,1,1,1,1,20210101,
E0675,HCPCS,PNEUMATIC COMPRESSION DEVICE,,,28,,NW,,,,,,"$6,358.48",$0.00,1,1,1,1,1,1,20210101,
E0675,HCPCS,PNEUMATIC COMPRESSION DEVICE,RR,,28,,NW,,,,,,$826.80,$0.00,1,1,1,1,1,1,20210101,
E0676,HCPCS,INTER LIMB COMPRESS DEV NOS,,,28,,NW,,,,,,$334.41,$0.00,1,1,1,1,1,1,20210101,
E0691,HCPCS,UVL PNL 2 SQ FT OR LESS,,,28,,NW,,,,,,"$1,848.99",$0.00,1,1,1,1,1,1,20210101,
E0691,HCPCS,UVL PNL 2 SQ FT OR LESS,NU,,28,,NW,,,,,,"$1,848.99",$0.00,1,1,1,1,1,1,20210101,
E0691,HCPCS,UVL PNL 2 SQ FT OR LESS,RR,,28,,NW,,,,,,$241.53,$0.00,1,1,1,1,1,1,20210101,
E0691,HCPCS,UVL PNL 2 SQ FT OR LESS,UE,,28,,NW,,,,,,"$1,402.49",$0.00,1,1,1,1,1,1,20210101,
E0692,HCPCS,UVL SYS PANEL 4 FT,,,28,,NW,,,,,,"$2,305.75",$0.00,1,1,1,1,1,1,20210101,
E0692,HCPCS,UVL SYS PANEL 4 FT,NU,,28,,NW,,,,,,"$2,305.75",$0.00,1,1,1,1,1,1,20210101,
E0692,HCPCS,UVL SYS PANEL 4 FT,RR,,28,,NW,,,,,,$287.12,$0.00,1,1,1,1,1,1,20210101,
E0692,HCPCS,UVL SYS PANEL 4 FT,UE,,28,,NW,,,,,,"$1,745.03",$0.00,1,1,1,1,1,1,20210101,
E0693,HCPCS,UVL SYS PANEL 6 FT,,,28,,NW,,,,,,"$2,827.68",$0.00,1,1,1,1,1,1,20210101,
E0693,HCPCS,UVL SYS PANEL 6 FT,NU,,28,,NW,,,,,,"$2,827.68",$0.00,1,1,1,1,1,1,20210101,
E0693,HCPCS,UVL SYS PANEL 6 FT,RR,,28,,NW,,,,,,$339.41,$0.00,1,1,1,1,1,1,20210101,
E0693,HCPCS,UVL SYS PANEL 6 FT,UE,,28,,NW,,,,,,"$2,136.51",$0.00,1,1,1,1,1,1,20210101,
E0694,HCPCS,UVL MD CABINET SYS 6 FT,,,28,,NW,,,,,,"$8,862.91",$0.00,1,1,1,1,1,1,20210101,
E0694,HCPCS,UVL MD CABINET SYS 6 FT,NU,,28,,NW,,,,,,"$8,862.91",$0.00,1,1,1,1,1,1,20210101,
E0694,HCPCS,UVL MD CABINET SYS 6 FT,RR,,28,,NW,,,,,,$942.92,$0.00,1,1,1,1,1,1,20210101,
E0694,HCPCS,UVL MD CABINET SYS 6 FT,UE,,28,,NW,,,,,,"$6,662.96",$0.00,1,1,1,1,1,1,20210101,
E0700,HCPCS,SAFETY EQUIPMENT,,,28,,NW,,,,,,$35.34,$0.00,1,1,1,1,1,1,20210101,
E0705,HCPCS,TRANSFER DEVICE,,,28,,NW,,,,,,$145.91,$0.00,1,1,1,1,1,1,20210101,
E0705,HCPCS,TRANSFER DEVICE,NU,,28,,NW,,,,,,$145.91,$0.00,1,1,1,1,1,1,20210101,
E0705,HCPCS,TRANSFER DEVICE,RR,,28,,NW,,,,,,$32.33,$0.00,1,1,1,1,1,1,20210101,
E0705,HCPCS,TRANSFER DEVICE,UE,,28,,NW,,,,,,$124.91,$0.00,1,1,1,1,1,1,20210101,
E0710,HCPCS,RESTRAINTS ANY TYPE,,,28,,NW,,,,,,$99.30,$0.00,1,1,1,1,1,1,20210101,
E0720,HCPCS,TENS TWO LEAD,,,28,,NW,,,,,,$279.76,$0.00,1,1,1,1,1,1,20210101,
E0720,HCPCS,TENS TWO LEAD,NU,,28,,NW,,,,,,$279.76,$0.00,1,1,1,1,1,1,20210101,
E0730,HCPCS,TENS FOUR LEAD,,,28,,NW,,,,,,$282.82,$0.00,1,1,1,1,1,1,20210101,
E0730,HCPCS,TENS FOUR LEAD,NU,,28,,NW,,,,,,$282.82,$0.00,1,1,1,1,1,1,20210101,
E0731,HCPCS,CONDUCTIVE GARMENT FOR TENS/,,,28,,NW,,,,,,$299.61,$0.00,1,1,1,1,1,1,20210101,
E0731,HCPCS,CONDUCTIVE GARMENT FOR TENS/,NU,,28,,NW,,,,,,$299.61,$0.00,1,1,1,1,1,1,20210101,
E0740,HCPCS,NON-IMPLANT PELV FLR E-STIM,,,28,,NW,,,,,,"$1,282.09",$0.00,1,1,1,1,1,1,20210101,
E0740,HCPCS,NON-IMPLANT PELV FLR E-STIM,RR,,28,,NW,,,,,,$166.87,$0.00,1,1,1,1,1,1,20210101,
E0744,HCPCS,NEUROMUSCULAR STIM FOR SCOLI,,,28,,NW,,,,,,"$1,803.83",$0.00,1,1,1,1,1,1,20210101,
E0744,HCPCS,NEUROMUSCULAR STIM FOR SCOLI,RR,,28,,NW,,,,,,$234.69,$0.00,1,1,1,1,1,1,20210101,
E0745,HCPCS,NEUROMUSCULAR STIM FOR SHOCK,,,28,,NW,,,,,,"$1,783.61",$0.00,1,1,1,1,1,1,20210101,
E0745,HCPCS,NEUROMUSCULAR STIM FOR SHOCK,RR,,28,,NW,,,,,,$232.06,$0.00,1,1,1,1,1,1,20210101,
E0746,HCPCS,ELECTROMYOGRAPH BIOFEEDBACK,,,28,,NW,,,,,,$249.43,$0.00,1,1,1,1,1,1,20210101,
E0747,HCPCS,ELEC OSTEOGEN STIM NOT SPINE,,,28,,NW,,,,,,"$7,487.70",$0.00,1,1,1,1,1,1,20210101,
E0747,HCPCS,ELEC OSTEOGEN STIM NOT SPINE,NU,,28,,NW,,,,,,"$7,487.70",$0.00,1,1,1,1,1,1,20210101,
E0747,HCPCS,ELEC OSTEOGEN STIM NOT SPINE,RR,,28,,NW,,,,,,$804.42,$0.00,1,1,1,1,1,1,20210101,
E0747,HCPCS,ELEC OSTEOGEN STIM NOT SPINE,UE,,28,,NW,,,,,,"$5,577.80",$0.00,1,1,1,1,1,1,20210101,
E0748,HCPCS,ELEC OSTEOGEN STIM SPINAL,,,28,,NW,,,,,,"$7,799.33",$0.00,1,1,1,1,1,1,20210101,
E0748,HCPCS,ELEC OSTEOGEN STIM SPINAL,NU,,28,,NW,,,,,,"$7,799.33",$0.00,1,1,1,1,1,1,20210101,
E0748,HCPCS,ELEC OSTEOGEN STIM SPINAL,RR,,28,,NW,,,,,,$836.51,$0.00,1,1,1,1,1,1,20210101,
E0748,HCPCS,ELEC OSTEOGEN STIM SPINAL,UE,,28,,NW,,,,,,"$5,865.22",$0.00,1,1,1,1,1,1,20210101,
E0749,HCPCS,ELEC OSTEOGEN STIM IMPLANTED,,,28,,NW,,,,,,"$4,584.08",$0.00,1,1,1,1,1,1,20210101,
E0749,HCPCS,ELEC OSTEOGEN STIM IMPLANTED,RR,,28,,NW,,,,,,$596.12,$0.00,1,1,1,1,1,1,20210101,
E0760,HCPCS,OSTEOGEN ULTRASOUND STIMLTOR,,,28,,NW,,,,,,"$6,489.19",$0.00,1,1,1,1,1,1,20210101,
E0760,HCPCS,OSTEOGEN ULTRASOUND STIMLTOR,NU,,28,,NW,,,,,,"$6,489.19",$0.00,1,1,1,1,1,1,20210101,
E0760,HCPCS,OSTEOGEN ULTRASOUND STIMLTOR,RR,,28,,NW,,,,,,$705.56,$0.00,1,1,1,1,1,1,20210101,
E0760,HCPCS,OSTEOGEN ULTRASOUND STIMLTOR,UE,,28,,NW,,,,,,"$4,882.58",$0.00,1,1,1,1,1,1,20210101,
E0761,HCPCS,NONTHERM ELECTROMGNTC DEVICE,,,28,,NW,,,,,,"$2,172.92",$0.00,1,1,1,1,1,1,20210101,
E0762,HCPCS,TRANS ELEC JT STIM DEV SYS,,,28,,NW,,,,,,"$2,058.24",$0.00,1,1,1,1,1,1,20210101,
E0762,HCPCS,TRANS ELEC JT STIM DEV SYS,RR,,28,,NW,,,,,,$267.75,$0.00,1,1,1,1,1,1,20210101,
E0764,HCPCS,FUNCTIONAL NEUROMUSCULARSTIM,,,28,,NW,,,,,,"$17,402.61",$0.00,1,1,1,1,1,1,20210101,
E0764,HCPCS,FUNCTIONAL NEUROMUSCULARSTIM,RR,,28,,NW,,,,,,"$2,262.58",$0.00,1,1,1,1,1,1,20210101,
E0765,HCPCS,NERVE STIMULATOR FOR TX N&V,,,28,,NW,,,,,,$230.15,$0.00,1,1,1,1,1,1,20210101,
E0765,HCPCS,NERVE STIMULATOR FOR TX N&V,NU,,28,,NW,,,,,,$230.15,$0.00,1,1,1,1,1,1,20210101,
E0765,HCPCS,NERVE STIMULATOR FOR TX N&V,RR,,28,,NW,,,,,,$69.55,$0.00,1,1,1,1,1,1,20210101,
E0765,HCPCS,NERVE STIMULATOR FOR TX N&V,UE,,28,,NW,,,,,,$188.37,$0.00,1,1,1,1,1,1,20210101,
E0766,HCPCS,ELEC STIM CANCER TREATMENT,,,28,,NW,,,,,,"$172,940.09",$0.00,1,1,1,1,1,1,20210101,
E0766,HCPCS,ELEC STIM CANCER TREATMENT,RR,,28,,NW,,,,,,"$22,447.16",$0.00,1,1,1,1,1,1,20210101,
E0769,HCPCS,ELECTRIC WOUND TREATMENT DEV,,,28,,NW,,,,,,$250.86,$0.00,1,1,1,1,1,1,20210101,
E0770,HCPCS,FUNCTIONAL ELECTRIC STIM NOS,,,28,,NW,,,,,,$250.86,$0.00,1,1,1,1,1,1,20210101,
E0776,HCPCS,IV POLE,,,28,,NW,,,,,,$312.68,$0.00,1,1,1,1,1,1,20210101,
E0776,HCPCS,IV POLE,NU,,28,,NW,,,,,,$312.68,$0.00,1,1,1,1,1,1,20210101,
E0776,HCPCS,IV POLE,RR,,28,,NW,,,,,,$89.47,$0.00,1,1,1,1,1,1,20210101,
E0776,HCPCS,IV POLE,UE,,28,,NW,,,,,,$248.69,$0.00,1,1,1,1,1,1,20210101,
E0779,HCPCS,AMB INFUSION PUMP MECHANICAL,,,28,,NW,,,,,,$728.79,$0.00,1,1,1,1,1,1,20210101,
E0779,HCPCS,AMB INFUSION PUMP MECHANICAL,RR,,28,,NW,,,,,,$94.93,$0.00,1,1,1,1,1,1,20210101,
E0780,HCPCS,MECH AMB INFUSION PUMP <8HRS,,,28,,NW,,,,,,$78.25,$0.00,1,1,1,1,1,1,20210101,
E0780,HCPCS,MECH AMB INFUSION PUMP <8HRS,NU,,28,,NW,,,,,,$78.25,$0.00,1,1,1,1,1,1,20210101,
E0781,HCPCS,EXTERNAL AMBULATORY INFUS PU,,,28,,NW,,,,,,"$3,820.01",$0.00,1,1,1,1,1,1,20210101,
E0781,HCPCS,EXTERNAL AMBULATORY INFUS PU,RR,,28,,NW,,,,,,$496.37,$0.00,1,1,1,1,1,1,20210101,
E0782,HCPCS,NON-PROGRAMBLE INFUSION PUMP,,,28,,NW,,,,,,"$8,172.08",$0.00,1,1,1,1,1,1,20210101,
E0782,HCPCS,NON-PROGRAMBLE INFUSION PUMP,NU,,28,,NW,,,,,,"$8,172.08",$0.00,1,1,1,1,1,1,20210101,
E0782,HCPCS,NON-PROGRAMBLE INFUSION PUMP,RR,,28,,NW,,,,,,$873.85,$0.00,1,1,1,1,1,1,20210101,
E0782,HCPCS,NON-PROGRAMBLE INFUSION PUMP,UE,,28,,NW,,,,,,"$6,144.79",$0.00,1,1,1,1,1,1,20210101,
E0783,HCPCS,PROGRAMMABLE INFUSION PUMP,,,28,,NW,,,,,,"$16,003.41",$0.00,1,1,1,1,1,1,20210101,
E0783,HCPCS,PROGRAMMABLE INFUSION PUMP,NU,,28,,NW,,,,,,"$16,003.41",$0.00,1,1,1,1,1,1,20210101,
E0783,HCPCS,PROGRAMMABLE INFUSION PUMP,RR,,28,,NW,,,,,,"$1,657.02",$0.00,1,1,1,1,1,1,20210101,
E0783,HCPCS,PROGRAMMABLE INFUSION PUMP,UE,,28,,NW,,,,,,"$12,018.33",$0.00,1,1,1,1,1,1,20210101,
E0784,HCPCS,EXT AMB INFUSN PUMP INSULIN,,,28,,NW,,,,,,"$6,387.53",$0.00,1,1,1,1,1,1,20210101,
E0784,HCPCS,EXT AMB INFUSN PUMP INSULIN,RR,,28,,NW,,,,,,$830.13,$0.00,1,1,1,1,1,1,20210101,
E0785,HCPCS,REPLACEMENT IMPL PUMP CATHET,,,28,,NW,,,,,,$963.48,$0.00,1,1,1,1,1,1,20210101,
E0785,HCPCS,REPLACEMENT IMPL PUMP CATHET,KF,,28,,NW,,,,,,$963.48,$0.00,1,1,1,1,1,1,20210101,
E0786,HCPCS,IMPLANTABLE PUMP REPLACEMENT,,,28,,NW,,,,,,"$15,611.56",$0.00,1,1,1,1,1,1,20210101,
E0786,HCPCS,IMPLANTABLE PUMP REPLACEMENT,NU,,28,,NW,,,,,,"$15,611.56",$0.00,1,1,1,1,1,1,20210101,
E0786,HCPCS,IMPLANTABLE PUMP REPLACEMENT,RR,,28,,NW,,,,,,"$1,617.77",$0.00,1,1,1,1,1,1,20210101,
E0786,HCPCS,IMPLANTABLE PUMP REPLACEMENT,UE,,28,,NW,,,,,,"$11,724.42",$0.00,1,1,1,1,1,1,20210101,
E0791,HCPCS,PARENTERAL INFUSION PUMP STA,,,28,,NW,,,,,,"$6,349.86",$0.00,1,1,1,1,1,1,20210101,
E0791,HCPCS,PARENTERAL INFUSION PUMP STA,RR,,28,,NW,,,,,,$625.76,$0.00,1,1,1,1,1,1,20210101,
E0830,HCPCS,AMBULATORY TRACTION DEVICE,,,28,,NW,,,,,,"$1,003.12",$0.00,1,1,1,1,1,1,20210101,
E0840,HCPCS,TRACT FRAME ATTACH HEADBOARD,,,28,,NW,,,,,,$220.48,$0.00,1,1,1,1,1,1,20210101,
E0840,HCPCS,TRACT FRAME ATTACH HEADBOARD,NU,,28,,NW,,,,,,$220.48,$0.00,1,1,1,1,1,1,20210101,
E0840,HCPCS,TRACT FRAME ATTACH HEADBOARD,RR,,28,,NW,,,,,,$46.49,$0.00,1,1,1,1,1,1,20210101,
E0840,HCPCS,TRACT FRAME ATTACH HEADBOARD,UE,,28,,NW,,,,,,$173.69,$0.00,1,1,1,1,1,1,20210101,
E0849,HCPCS,CERVICAL PNEUM TRAC EQUIP,,,28,,NW,,,,,,"$1,270.52",$0.00,1,1,1,1,1,1,20210101,
E0849,HCPCS,CERVICAL PNEUM TRAC EQUIP,RR,,28,,NW,,,,,,$165.36,$0.00,1,1,1,1,1,1,20210101,
E0850,HCPCS,TRACTION STAND FREE STANDING,,,28,,NW,,,,,,$273.38,$0.00,1,1,1,1,1,1,20210101,
E0850,HCPCS,TRACTION STAND FREE STANDING,NU,,28,,NW,,,,,,$273.38,$0.00,1,1,1,1,1,1,20210101,
E0850,HCPCS,TRACTION STAND FREE STANDING,RR,,28,,NW,,,,,,$39.17,$0.00,1,1,1,1,1,1,20210101,
E0850,HCPCS,TRACTION STAND FREE STANDING,UE,,28,,NW,,,,,,$231.43,$0.00,1,1,1,1,1,1,20210101,
E0855,HCPCS,CERVICAL TRACTION EQUIPMENT,,,28,,NW,,,,,,"$1,245.19",$0.00,1,1,1,1,1,1,20210101,
E0855,HCPCS,CERVICAL TRACTION EQUIPMENT,RR,,28,,NW,,,,,,$162.07,$0.00,1,1,1,1,1,1,20210101,
E0856,HCPCS,CERVIC COLLAR W AIR BLADDERS,,,28,,NW,,,,,,$717.86,$0.00,1,1,1,1,1,1,20210101,
E0856,HCPCS,CERVIC COLLAR W AIR BLADDERS,RR,,28,,NW,,,,,,$93.51,$0.00,1,1,1,1,1,1,20210101,
E0860,HCPCS,TRACT EQUIP CERVICAL TRACT,,,28,,NW,,,,,,$117.66,$0.00,1,1,1,1,1,1,20210101,
E0860,HCPCS,TRACT EQUIP CERVICAL TRACT,NU,,28,,NW,,,,,,$117.66,$0.00,1,1,1,1,1,1,20210101,
E0860,HCPCS,TRACT EQUIP CERVICAL TRACT,RR,,28,,NW,,,,,,$8.19,$0.00,1,1,1,1,1,1,20210101,
E0860,HCPCS,TRACT EQUIP CERVICAL TRACT,UE,,28,,NW,,,,,,$88.58,$0.00,1,1,1,1,1,1,20210101,
E0870,HCPCS,TRACT FRAME ATTACH FOOTBOARD,,,28,,NW,,,,,,$288.56,$0.00,1,1,1,1,1,1,20210101,
E0870,HCPCS,TRACT FRAME ATTACH FOOTBOARD,NU,,28,,NW,,,,,,$288.56,$0.00,1,1,1,1,1,1,20210101,
E0870,HCPCS,TRACT FRAME ATTACH FOOTBOARD,RR,,28,,NW,,,,,,$37.05,$0.00,1,1,1,1,1,1,20210101,
E0870,HCPCS,TRACT FRAME ATTACH FOOTBOARD,UE,,28,,NW,,,,,,$242.92,$0.00,1,1,1,1,1,1,20210101,
E0880,HCPCS,TRAC STAND FREE STAND EXTREM,,,28,,NW,,,,,,$301.51,$0.00,1,1,1,1,1,1,20210101,
E0880,HCPCS,TRAC STAND FREE STAND EXTREM,NU,,28,,NW,,,,,,$301.51,$0.00,1,1,1,1,1,1,20210101,
E0880,HCPCS,TRAC STAND FREE STAND EXTREM,RR,,28,,NW,,,,,,$56.21,$0.00,1,1,1,1,1,1,20210101,
E0880,HCPCS,TRAC STAND FREE STAND EXTREM,UE,,28,,NW,,,,,,$253.53,$0.00,1,1,1,1,1,1,20210101,
E0890,HCPCS,TRACTION FRAME ATTACH PELVIC,,,28,,NW,,,,,,$294.02,$0.00,1,1,1,1,1,1,20210101,
E0890,HCPCS,TRACTION FRAME ATTACH PELVIC,NU,,28,,NW,,,,,,$294.02,$0.00,1,1,1,1,1,1,20210101,
E0890,HCPCS,TRACTION FRAME ATTACH PELVIC,RR,,28,,NW,,,,,,$100.85,$0.00,1,1,1,1,1,1,20210101,
E0890,HCPCS,TRACTION FRAME ATTACH PELVIC,UE,,28,,NW,,,,,,$255.77,$0.00,1,1,1,1,1,1,20210101,
E0900,HCPCS,TRAC STAND FREE STAND PELVIC,,,28,,NW,,,,,,$307.89,$0.00,1,1,1,1,1,1,20210101,
E0900,HCPCS,TRAC STAND FREE STAND PELVIC,NU,,28,,NW,,,,,,$307.89,$0.00,1,1,1,1,1,1,20210101,
E0900,HCPCS,TRAC STAND FREE STAND PELVIC,RR,,28,,NW,,,,,,$81.89,$0.00,1,1,1,1,1,1,20210101,
E0900,HCPCS,TRAC STAND FREE STAND PELVIC,UE,,28,,NW,,,,,,$257.64,$0.00,1,1,1,1,1,1,20210101,
E0910,HCPCS,TRAPEZE BAR ATTACHED TO BED,,,28,,NW,,,,,,$215.69,$0.00,1,1,1,1,1,1,20210101,
E0910,HCPCS,TRAPEZE BAR ATTACHED TO BED,RR,,28,,NW,,,,,,$27.96,$0.00,1,1,1,1,1,1,20210101,
E0911,HCPCS,HD TRAPEZE BAR ATTACH TO BED,,,28,,NW,,,,,,$930.85,$0.00,1,1,1,1,1,1,20210101,
E0911,HCPCS,HD TRAPEZE BAR ATTACH TO BED,RR,,28,,NW,,,,,,$121.62,$0.00,1,1,1,1,1,1,20210101,
E0912,HCPCS,HD TRAPEZE BAR FREE STANDING,,,28,,NW,,,,,,"$1,779.67",$0.00,1,1,1,1,1,1,20210101,
E0912,HCPCS,HD TRAPEZE BAR FREE STANDING,RR,,28,,NW,,,,,,$232.11,$0.00,1,1,1,1,1,1,20210101,
E0920,HCPCS,FRACTURE FRAME ATTACHED TO B,,,28,,NW,,,,,,"$1,103.41",$0.00,1,1,1,1,1,1,20210101,
E0920,HCPCS,FRACTURE FRAME ATTACHED TO B,RR,,28,,NW,,,,,,$144.29,$0.00,1,1,1,1,1,1,20210101,
E0930,HCPCS,FRACTURE FRAME FREE STANDING,,,28,,NW,,,,,,"$1,092.86",$0.00,1,1,1,1,1,1,20210101,
E0930,HCPCS,FRACTURE FRAME FREE STANDING,RR,,28,,NW,,,,,,$142.90,$0.00,1,1,1,1,1,1,20210101,
E0935,HCPCS,CONT PAS MOTION EXERCISE DEV,,,28,,NW,,,,,,$809.42,$0.00,1,1,1,1,1,1,20210101,
E0935,HCPCS,CONT PAS MOTION EXERCISE DEV,RR,,28,,NW,,,,,,$105.41,$0.00,1,1,1,1,1,1,20210101,
E0936,HCPCS,"CPM DEVICE, OTHER THAN KNEE",,,28,,NW,,,,,,$75.59,$0.00,1,1,1,1,1,1,20210101,
E0940,HCPCS,TRAPEZE BAR FREE STANDING,,,28,,NW,,,,,,$457.26,$0.00,1,1,1,1,1,1,20210101,
E0940,HCPCS,TRAPEZE BAR FREE STANDING,RR,,28,,NW,,,,,,$59.55,$0.00,1,1,1,1,1,1,20210101,
E0941,HCPCS,GRAVITY ASSISTED TRACTION DE,,,28,,NW,,,,,,"$1,060.66",$0.00,1,1,1,1,1,1,20210101,
E0941,HCPCS,GRAVITY ASSISTED TRACTION DE,RR,,28,,NW,,,,,,$138.69,$0.00,1,1,1,1,1,1,20210101,
E0942,HCPCS,CERVICAL HEAD HARNESS/HALTER,,,28,,NW,,,,,,$57.22,$0.00,1,1,1,1,1,1,20210101,
E0942,HCPCS,CERVICAL HEAD HARNESS/HALTER,NU,,28,,NW,,,,,,$57.22,$0.00,1,1,1,1,1,1,20210101,
E0942,HCPCS,CERVICAL HEAD HARNESS/HALTER,RR,,28,,NW,,,,,,$2.18,$0.00,1,1,1,1,1,1,20210101,
E0942,HCPCS,CERVICAL HEAD HARNESS/HALTER,UE,,28,,NW,,,,,,$40.52,$0.00,1,1,1,1,1,1,20210101,
E0944,HCPCS,PELVIC BELT/HARNESS/BOOT,,,28,,NW,,,,,,$148.96,$0.00,1,1,1,1,1,1,20210101,
E0944,HCPCS,PELVIC BELT/HARNESS/BOOT,NU,,28,,NW,,,,,,$148.96,$0.00,1,1,1,1,1,1,20210101,
E0944,HCPCS,PELVIC BELT/HARNESS/BOOT,RR,,28,,NW,,,,,,$13.63,$0.00,1,1,1,1,1,1,20210101,
E0944,HCPCS,PELVIC BELT/HARNESS/BOOT,UE,,28,,NW,,,,,,$125.36,$0.00,1,1,1,1,1,1,20210101,
E0945,HCPCS,BELT/HARNESS EXTREMITY,,,28,,NW,,,,,,$147.75,$0.00,1,1,1,1,1,1,20210101,
E0945,HCPCS,BELT/HARNESS EXTREMITY,NU,,28,,NW,,,,,,$147.75,$0.00,1,1,1,1,1,1,20210101,
E0945,HCPCS,BELT/HARNESS EXTREMITY,RR,,28,,NW,,,,,,$13.33,$0.00,1,1,1,1,1,1,20210101,
E0945,HCPCS,BELT/HARNESS EXTREMITY,UE,,28,,NW,,,,,,$126.21,$0.00,1,1,1,1,1,1,20210101,
E0946,HCPCS,FRACTURE FRAME DUAL W CROSS,,,28,,NW,,,,,,"$1,397.25",$0.00,1,1,1,1,1,1,20210101,
E0946,HCPCS,FRACTURE FRAME DUAL W CROSS,RR,,28,,NW,,,,,,$182.76,$0.00,1,1,1,1,1,1,20210101,
E0947,HCPCS,FRACTURE FRAME ATTACHMNTS PE,,,28,,NW,,,,,,"$1,057.83",$0.00,1,1,1,1,1,1,20210101,
E0947,HCPCS,FRACTURE FRAME ATTACHMNTS PE,NU,,28,,NW,,,,,,"$1,057.83",$0.00,1,1,1,1,1,1,20210101,
E0947,HCPCS,FRACTURE FRAME ATTACHMNTS PE,RR,,28,,NW,,,,,,$194.58,$0.00,1,1,1,1,1,1,20210101,
E0947,HCPCS,FRACTURE FRAME ATTACHMNTS PE,UE,,28,,NW,,,,,,$819.23,$0.00,1,1,1,1,1,1,20210101,
E0948,HCPCS,FRACTURE FRAME ATTACHMNTS CE,,,28,,NW,,,,,,"$1,038.49",$0.00,1,1,1,1,1,1,20210101,
E0948,HCPCS,FRACTURE FRAME ATTACHMNTS CE,NU,,28,,NW,,,,,,"$1,038.49",$0.00,1,1,1,1,1,1,20210101,
E0948,HCPCS,FRACTURE FRAME ATTACHMNTS CE,RR,,28,,NW,,,,,,$182.87,$0.00,1,1,1,1,1,1,20210101,
E0948,HCPCS,FRACTURE FRAME ATTACHMNTS CE,UE,,28,,NW,,,,,,$769.23,$0.00,1,1,1,1,1,1,20210101,
E0950,HCPCS,TRAY,,,28,,NW,,,,,,$207.61,$0.00,1,1,1,1,1,1,20210101,
E0950,HCPCS,TRAY,NU,,28,,NW,,,,,,$207.61,$0.00,1,1,1,1,1,1,20210101,
E0950,HCPCS,TRAY,RR,,28,,NW,,,,,,$21.68,$0.00,1,1,1,1,1,1,20210101,
E0950,HCPCS,TRAY,UE,,28,,NW,,,,,,$169.17,$0.00,1,1,1,1,1,1,20210101,
E0951,HCPCS,LOOP HEEL,,,28,,NW,,,,,,$44.25,$0.00,1,1,1,1,1,1,20210101,
E0951,HCPCS,LOOP HEEL,NU,,28,,NW,,,,,,$44.25,$0.00,1,1,1,1,1,1,20210101,
E0951,HCPCS,LOOP HEEL,RR,,28,,NW,,,,,,$3.84,$0.00,1,1,1,1,1,1,20210101,
E0951,HCPCS,LOOP HEEL,UE,,28,,NW,,,,,,$29.16,$0.00,1,1,1,1,1,1,20210101,
E0952,HCPCS,"TOE LOOP/HOLDER, EACH",,,28,,NW,,,,,,$56.39,$0.00,1,1,1,1,1,1,20210101,
E0952,HCPCS,"TOE LOOP/HOLDER, EACH",NU,,28,,NW,,,,,,$56.39,$0.00,1,1,1,1,1,1,20210101,
E0952,HCPCS,"TOE LOOP/HOLDER, EACH",RR,,28,,NW,,,,,,$4.60,$0.00,1,1,1,1,1,1,20210101,
E0952,HCPCS,"TOE LOOP/HOLDER, EACH",UE,,28,,NW,,,,,,$38.09,$0.00,1,1,1,1,1,1,20210101,
E0953,HCPCS,W/C LATERAL THIGH/KNEE SUP,,,28,,NW,,,,,,$199.81,$0.00,1,1,1,1,1,1,20210101,
E0953,HCPCS,W/C LATERAL THIGH/KNEE SUP,NU,,28,,NW,,,,,,$199.81,$0.00,1,1,1,1,1,1,20210101,
E0953,HCPCS,W/C LATERAL THIGH/KNEE SUP,RR,,28,,NW,,,,,,$20.70,$0.00,1,1,1,1,1,1,20210101,
E0953,HCPCS,W/C LATERAL THIGH/KNEE SUP,UE,,28,,NW,,,,,,$162.73,$0.00,1,1,1,1,1,1,20210101,
E0954,HCPCS,"FOOT BOX, ANY TYPE EACH FOOT",,,28,,NW,,,,,,$151.77,$0.00,1,1,1,1,1,1,20210101,
E0954,HCPCS,"FOOT BOX, ANY TYPE EACH FOOT",NU,,28,,NW,,,,,,$151.77,$0.00,1,1,1,1,1,1,20210101,
E0954,HCPCS,"FOOT BOX, ANY TYPE EACH FOOT",RR,,28,,NW,,,,,,$14.07,$0.00,1,1,1,1,1,1,20210101,
E0954,HCPCS,"FOOT BOX, ANY TYPE EACH FOOT",UE,,28,,NW,,,,,,$126.70,$0.00,1,1,1,1,1,1,20210101,
E0955,HCPCS,CUSHIONED HEADREST,,,28,,NW,,,,,,$387.21,$0.00,1,1,1,1,1,1,20210101,
E0955,HCPCS,CUSHIONED HEADREST,RR,,28,,NW,,,,,,$50.53,$0.00,1,1,1,1,1,1,20210101,
E0956,HCPCS,W/C LATERAL TRUNK/HIP SUPPOR,,,28,,NW,,,,,,$208.85,$0.00,1,1,1,1,1,1,20210101,
E0956,HCPCS,W/C LATERAL TRUNK/HIP SUPPOR,NU,,28,,NW,,,,,,$208.85,$0.00,1,1,1,1,1,1,20210101,
E0956,HCPCS,W/C LATERAL TRUNK/HIP SUPPOR,RR,,28,,NW,,,,,,$21.82,$0.00,1,1,1,1,1,1,20210101,
E0956,HCPCS,W/C LATERAL TRUNK/HIP SUPPOR,UE,,28,,NW,,,,,,$170.12,$0.00,1,1,1,1,1,1,20210101,
E0957,HCPCS,W/C MEDIAL THIGH SUPPORT,,,28,,NW,,,,,,$291.53,$0.00,1,1,1,1,1,1,20210101,
E0957,HCPCS,W/C MEDIAL THIGH SUPPORT,NU,,28,,NW,,,,,,$291.53,$0.00,1,1,1,1,1,1,20210101,
E0957,HCPCS,W/C MEDIAL THIGH SUPPORT,RR,,28,,NW,,,,,,$36.89,$0.00,1,1,1,1,1,1,20210101,
E0957,HCPCS,W/C MEDIAL THIGH SUPPORT,UE,,28,,NW,,,,,,$232.12,$0.00,1,1,1,1,1,1,20210101,
E0958,HCPCS,WHLCHR ATT- CONV 1 ARM DRIVE,,,28,,NW,,,,,,"$1,044.64",$0.00,1,1,1,1,1,1,20210101,
E0958,HCPCS,WHLCHR ATT- CONV 1 ARM DRIVE,RR,,28,,NW,,,,,,$136.09,$0.00,1,1,1,1,1,1,20210101,
E0959,HCPCS,AMPUTEE ADAPTER,,,28,,NW,,,,,,$140.36,$0.00,1,1,1,1,1,1,20210101,
E0959,HCPCS,AMPUTEE ADAPTER,NU,,28,,NW,,,,,,$140.36,$0.00,1,1,1,1,1,1,20210101,
E0959,HCPCS,AMPUTEE ADAPTER,RR,,28,,NW,,,,,,$12.24,$0.00,1,1,1,1,1,1,20210101,
E0959,HCPCS,AMPUTEE ADAPTER,UE,,28,,NW,,,,,,$118.63,$0.00,1,1,1,1,1,1,20210101,
E0960,HCPCS,W/C SHOULDER HARNESS/STRAPS,,,28,,NW,,,,,,$200.24,$0.00,1,1,1,1,1,1,20210101,
E0960,HCPCS,W/C SHOULDER HARNESS/STRAPS,NU,,28,,NW,,,,,,$200.24,$0.00,1,1,1,1,1,1,20210101,
E0960,HCPCS,W/C SHOULDER HARNESS/STRAPS,RR,,28,,NW,,,,,,$20.64,$0.00,1,1,1,1,1,1,20210101,
E0960,HCPCS,W/C SHOULDER HARNESS/STRAPS,UE,,28,,NW,,,,,,$163.67,$0.00,1,1,1,1,1,1,20210101,
E0961,HCPCS,WHEELCHAIR BRAKE EXTENSION,,,28,,NW,,,,,,$80.47,$0.00,1,1,1,1,1,1,20210101,
E0961,HCPCS,WHEELCHAIR BRAKE EXTENSION,NU,,28,,NW,,,,,,$80.47,$0.00,1,1,1,1,1,1,20210101,
E0961,HCPCS,WHEELCHAIR BRAKE EXTENSION,RR,,28,,NW,,,,,,$6.14,$0.00,1,1,1,1,1,1,20210101,
E0961,HCPCS,WHEELCHAIR BRAKE EXTENSION,UE,,28,,NW,,,,,,$50.13,$0.00,1,1,1,1,1,1,20210101,
E0966,HCPCS,WHEELCHAIR HEAD REST EXTENSI,,,28,,NW,,,,,,$192.83,$0.00,1,1,1,1,1,1,20210101,
E0966,HCPCS,WHEELCHAIR HEAD REST EXTENSI,NU,,28,,NW,,,,,,$192.83,$0.00,1,1,1,1,1,1,20210101,
E0966,HCPCS,WHEELCHAIR HEAD REST EXTENSI,RR,,28,,NW,,,,,,$19.59,$0.00,1,1,1,1,1,1,20210101,
E0966,HCPCS,WHEELCHAIR HEAD REST EXTENSI,UE,,28,,NW,,,,,,$158.11,$0.00,1,1,1,1,1,1,20210101,
E0967,HCPCS,MAN WC RIM/PROJECTION REP EA,,,28,,NW,,,,,,$194.03,$0.00,1,1,1,1,1,1,20210101,
E0967,HCPCS,MAN WC RIM/PROJECTION REP EA,NU,,28,,NW,,,,,,$194.03,$0.00,1,1,1,1,1,1,20210101,
E0967,HCPCS,MAN WC RIM/PROJECTION REP EA,RR,,28,,NW,,,,,,$19.81,$0.00,1,1,1,1,1,1,20210101,
E0967,HCPCS,MAN WC RIM/PROJECTION REP EA,UE,,28,,NW,,,,,,$158.98,$0.00,1,1,1,1,1,1,20210101,
E0968,HCPCS,WHEELCHAIR COMMODE SEAT,,,28,,NW,,,,,,$557.40,$0.00,1,1,1,1,1,1,20210101,
E0968,HCPCS,WHEELCHAIR COMMODE SEAT,RR,,28,,NW,,,,,,$72.88,$0.00,1,1,1,1,1,1,20210101,
E0969,HCPCS,WHEELCHAIR NARROWING DEVICE,,,28,,NW,,,,,,$396.57,$0.00,1,1,1,1,1,1,20210101,
E0969,HCPCS,WHEELCHAIR NARROWING DEVICE,NU,,28,,NW,,,,,,$396.57,$0.00,1,1,1,1,1,1,20210101,
E0969,HCPCS,WHEELCHAIR NARROWING DEVICE,RR,,28,,NW,,,,,,$60.43,$0.00,1,1,1,1,1,1,20210101,
E0969,HCPCS,WHEELCHAIR NARROWING DEVICE,UE,,28,,NW,,,,,,$312.47,$0.00,1,1,1,1,1,1,20210101,
E0970,HCPCS,WHEELCHAIR NO. 2 FOOTPLATES,,,28,,NW,,,,,,$159.92,$0.00,1,1,1,1,1,1,20210101,
E0971,HCPCS,WHEELCHAIR ANTI-TIPPING DEVI,,,28,,NW,,,,,,$118.99,$0.00,1,1,1,1,1,1,20210101,
E0971,HCPCS,WHEELCHAIR ANTI-TIPPING DEVI,NU,,28,,NW,,,,,,$118.99,$0.00,1,1,1,1,1,1,20210101,
E0971,HCPCS,WHEELCHAIR ANTI-TIPPING DEVI,RR,,28,,NW,,,,,,$9.13,$0.00,1,1,1,1,1,1,20210101,
E0971,HCPCS,WHEELCHAIR ANTI-TIPPING DEVI,UE,,28,,NW,,,,,,$92.95,$0.00,1,1,1,1,1,1,20210101,
E0973,HCPCS,W/CH ACCESS DET ADJ ARMREST,,,28,,NW,,,,,,$175.86,$0.00,1,1,1,1,1,1,20210101,
E0973,HCPCS,W/CH ACCESS DET ADJ ARMREST,NU,,28,,NW,,,,,,$175.86,$0.00,1,1,1,1,1,1,20210101,
E0973,HCPCS,W/CH ACCESS DET ADJ ARMREST,RR,,28,,NW,,,,,,$16.85,$0.00,1,1,1,1,1,1,20210101,
E0973,HCPCS,W/CH ACCESS DET ADJ ARMREST,UE,,28,,NW,,,,,,$145.52,$0.00,1,1,1,1,1,1,20210101,
E0974,HCPCS,W/CH ACCESS ANTI-ROLLBACK,,,28,,NW,,,,,,$199.11,$0.00,1,1,1,1,1,1,20210101,
E0974,HCPCS,W/CH ACCESS ANTI-ROLLBACK,NU,,28,,NW,,,,,,$199.11,$0.00,1,1,1,1,1,1,20210101,
E0974,HCPCS,W/CH ACCESS ANTI-ROLLBACK,RR,,28,,NW,,,,,,$20.73,$0.00,1,1,1,1,1,1,20210101,
E0974,HCPCS,W/CH ACCESS ANTI-ROLLBACK,UE,,28,,NW,,,,,,$163.13,$0.00,1,1,1,1,1,1,20210101,
E0978,HCPCS,"W/C ACC,SAF BELT PELV STRAP",,,28,,NW,,,,,,$100.94,$0.00,1,1,1,1,1,1,20210101,
E0978,HCPCS,"W/C ACC,SAF BELT PELV STRAP",NU,,28,,NW,,,,,,$100.94,$0.00,1,1,1,1,1,1,20210101,
E0978,HCPCS,"W/C ACC,SAF BELT PELV STRAP",RR,,28,,NW,,,,,,$7.36,$0.00,1,1,1,1,1,1,20210101,
E0978,HCPCS,"W/C ACC,SAF BELT PELV STRAP",UE,,28,,NW,,,,,,$71.56,$0.00,1,1,1,1,1,1,20210101,
E0980,HCPCS,WHEELCHAIR SAFETY VEST,,,28,,NW,,,,,,$123.28,$0.00,1,1,1,1,1,1,20210101,
E0980,HCPCS,WHEELCHAIR SAFETY VEST,NU,,28,,NW,,,,,,$123.28,$0.00,1,1,1,1,1,1,20210101,
E0980,HCPCS,WHEELCHAIR SAFETY VEST,RR,,28,,NW,,,,,,$9.83,$0.00,1,1,1,1,1,1,20210101,
E0980,HCPCS,WHEELCHAIR SAFETY VEST,UE,,28,,NW,,,,,,$99.32,$0.00,1,1,1,1,1,1,20210101,
E0981,HCPCS,"SEAT UPHOLSTERY, REPLACEMENT",,,28,,NW,,,,,,$135.15,$0.00,1,1,1,1,1,1,20210101,
E0981,HCPCS,"SEAT UPHOLSTERY, REPLACEMENT",NU,,28,,NW,,,,,,$135.15,$0.00,1,1,1,1,1,1,20210101,
E0981,HCPCS,"SEAT UPHOLSTERY, REPLACEMENT",RR,,28,,NW,,,,,,$11.51,$0.00,1,1,1,1,1,1,20210101,
E0981,HCPCS,"SEAT UPHOLSTERY, REPLACEMENT",UE,,28,,NW,,,,,,$113.20,$0.00,1,1,1,1,1,1,20210101,
E0982,HCPCS,"BACK UPHOLSTERY, REPLACEMENT",,,28,,NW,,,,,,$142.42,$0.00,1,1,1,1,1,1,20210101,
E0982,HCPCS,"BACK UPHOLSTERY, REPLACEMENT",NU,,28,,NW,,,,,,$142.42,$0.00,1,1,1,1,1,1,20210101,
E0982,HCPCS,"BACK UPHOLSTERY, REPLACEMENT",RR,,28,,NW,,,,,,$12.50,$0.00,1,1,1,1,1,1,20210101,
E0982,HCPCS,"BACK UPHOLSTERY, REPLACEMENT",UE,,28,,NW,,,,,,$120.33,$0.00,1,1,1,1,1,1,20210101,
E0983,HCPCS,ADD PWR JOYSTICK,,,28,,NW,,,,,,"$4,665.59",$0.00,1,1,1,1,1,1,20210101,
E0983,HCPCS,ADD PWR JOYSTICK,RR,,28,,NW,,,,,,$607.24,$0.00,1,1,1,1,1,1,20210101,
E0984,HCPCS,ADD PWR TILLER,,,28,,NW,,,,,,"$3,520.33",$0.00,1,1,1,1,1,1,20210101,
E0984,HCPCS,ADD PWR TILLER,RR,,28,,NW,,,,,,$458.24,$0.00,1,1,1,1,1,1,20210101,
E0985,HCPCS,W/C SEAT LIFT MECHANISM,,,28,,NW,,,,,,$601.60,$0.00,1,1,1,1,1,1,20210101,
E0985,HCPCS,W/C SEAT LIFT MECHANISM,RR,,28,,NW,,,,,,$78.63,$0.00,1,1,1,1,1,1,20210101,
E0986,HCPCS,MAN W/C PUSH-RIM POWR SYSTEM,,,28,,NW,,,,,,"$8,910.31",$0.00,1,1,1,1,1,1,20210101,
E0986,HCPCS,MAN W/C PUSH-RIM POWR SYSTEM,RR,,28,,NW,,,,,,"$1,159.50",$0.00,1,1,1,1,1,1,20210101,
E0988,HCPCS,LEVER-ACTIVATED WHEEL DRIVE,,,28,,NW,,,,,,"$5,547.26",$0.00,1,1,1,1,1,1,20210101,
E0988,HCPCS,LEVER-ACTIVATED WHEEL DRIVE,RR,,28,,NW,,,,,,$721.94,$0.00,1,1,1,1,1,1,20210101,
E0990,HCPCS,WHEELCHAIR ELEVATING LEG RES,,,28,,NW,,,,,,$204.07,$0.00,1,1,1,1,1,1,20210101,
E0990,HCPCS,WHEELCHAIR ELEVATING LEG RES,NU,,28,,NW,,,,,,$204.07,$0.00,1,1,1,1,1,1,20210101,
E0990,HCPCS,WHEELCHAIR ELEVATING LEG RES,RR,,28,,NW,,,,,,$21.66,$0.00,1,1,1,1,1,1,20210101,
E0990,HCPCS,WHEELCHAIR ELEVATING LEG RES,UE,,28,,NW,,,,,,$167.25,$0.00,1,1,1,1,1,1,20210101,
E0992,HCPCS,WHEELCHAIR SOLID SEAT INSERT,,,28,,NW,,,,,,$216.65,$0.00,1,1,1,1,1,1,20210101,
E0992,HCPCS,WHEELCHAIR SOLID SEAT INSERT,NU,,28,,NW,,,,,,$216.65,$0.00,1,1,1,1,1,1,20210101,
E0992,HCPCS,WHEELCHAIR SOLID SEAT INSERT,RR,,28,,NW,,,,,,$22.82,$0.00,1,1,1,1,1,1,20210101,
E0992,HCPCS,WHEELCHAIR SOLID SEAT INSERT,UE,,28,,NW,,,,,,$175.95,$0.00,1,1,1,1,1,1,20210101,
E0994,HCPCS,WHEELCHAIR ARM REST,,,28,,NW,,,,,,$69.55,$0.00,1,1,1,1,1,1,20210101,
E0994,HCPCS,WHEELCHAIR ARM REST,NU,,28,,NW,,,,,,$69.55,$0.00,1,1,1,1,1,1,20210101,
E0994,HCPCS,WHEELCHAIR ARM REST,RR,,28,,NW,,,,,,$5.43,$0.00,1,1,1,1,1,1,20210101,
E0994,HCPCS,WHEELCHAIR ARM REST,UE,,28,,NW,,,,,,$47.97,$0.00,1,1,1,1,1,1,20210101,
E0995,HCPCS,"WC CALF REST, PAD REPLACEMNT",,,28,,NW,,,,,,$99.78,$0.00,1,1,1,1,1,1,20210101,
E0995,HCPCS,"WC CALF REST, PAD REPLACEMNT",NU,,28,,NW,,,,,,$99.78,$0.00,1,1,1,1,1,1,20210101,
E0995,HCPCS,"WC CALF REST, PAD REPLACEMNT",RR,,28,,NW,,,,,,$7.35,$0.00,1,1,1,1,1,1,20210101,
E0995,HCPCS,"WC CALF REST, PAD REPLACEMNT",UE,,28,,NW,,,,,,$71.51,$0.00,1,1,1,1,1,1,20210101,
E1002,HCPCS,PWR SEAT TILT,,,28,,NW,,,,,,"$6,006.73",$0.00,1,1,1,1,1,1,20210101,
E1002,HCPCS,PWR SEAT TILT,RR,,28,,NW,,,,,,$781.26,$0.00,1,1,1,1,1,1,20210101,
E1003,HCPCS,PWR SEAT RECLINE,,,28,,NW,,,,,,"$6,869.99",$0.00,1,1,1,1,1,1,20210101,
E1003,HCPCS,PWR SEAT RECLINE,RR,,28,,NW,,,,,,$893.78,$0.00,1,1,1,1,1,1,20210101,
E1004,HCPCS,PWR SEAT RECLINE MECH,,,28,,NW,,,,,,"$7,520.91",$0.00,1,1,1,1,1,1,20210101,
E1004,HCPCS,PWR SEAT RECLINE MECH,RR,,28,,NW,,,,,,$978.41,$0.00,1,1,1,1,1,1,20210101,
E1005,HCPCS,PWR SEAT RECLINE PWR,,,28,,NW,,,,,,"$8,174.24",$0.00,1,1,1,1,1,1,20210101,
E1005,HCPCS,PWR SEAT RECLINE PWR,RR,,28,,NW,,,,,,"$1,063.43",$0.00,1,1,1,1,1,1,20210101,
E1006,HCPCS,PWR SEAT COMBO W/O SHEAR,,,28,,NW,,,,,,"$9,971.68",$0.00,1,1,1,1,1,1,20210101,
E1006,HCPCS,PWR SEAT COMBO W/O SHEAR,RR,,28,,NW,,,,,,"$1,297.25",$0.00,1,1,1,1,1,1,20210101,
E1007,HCPCS,PWR SEAT COMBO W/SHEAR,,,28,,NW,,,,,,"$12,464.88",$0.00,1,1,1,1,1,1,20210101,
E1007,HCPCS,PWR SEAT COMBO W/SHEAR,RR,,28,,NW,,,,,,"$1,620.95",$0.00,1,1,1,1,1,1,20210101,
E1008,HCPCS,PWR SEAT COMBO PWR SHEAR,,,28,,NW,,,,,,"$12,717.50",$0.00,1,1,1,1,1,1,20210101,
E1008,HCPCS,PWR SEAT COMBO PWR SHEAR,RR,,28,,NW,,,,,,"$1,653.97",$0.00,1,1,1,1,1,1,20210101,
E1009,HCPCS,ADD MECH LEG ELEVATION,,,28,,NW,,,,,,"$3,110.43",$0.00,1,1,1,1,1,1,20210101,
E1009,HCPCS,ADD MECH LEG ELEVATION,NU,,28,,NW,,,,,,"$3,110.43",$0.00,1,1,1,1,1,1,20210101,
E1009,HCPCS,ADD MECH LEG ELEVATION,RR,,28,,NW,,,,,,$338.09,$0.00,1,1,1,1,1,1,20210101,
E1009,HCPCS,ADD MECH LEG ELEVATION,UE,,28,,NW,,,,,,"$2,341.57",$0.00,1,1,1,1,1,1,20210101,
E1010,HCPCS,ADD PWR LEG ELEVATION,,,28,,NW,,,,,,"$2,073.39",$0.00,1,1,1,1,1,1,20210101,
E1010,HCPCS,ADD PWR LEG ELEVATION,RR,,28,,NW,,,,,,$269.90,$0.00,1,1,1,1,1,1,20210101,
E1012,HCPCS,CTR MOUNT PWR ELEV LEG REST,,,28,,NW,,,,,,"$2,073.39",$0.00,1,1,1,1,1,1,20210101,
E1012,HCPCS,CTR MOUNT PWR ELEV LEG REST,RR,,28,,NW,,,,,,$269.90,$0.00,1,1,1,1,1,1,20210101,
E1014,HCPCS,RECLINING BACK ADD PED W/C,,,28,,NW,,,,,,"$1,050.64",$0.00,1,1,1,1,1,1,20210101,
E1014,HCPCS,RECLINING BACK ADD PED W/C,RR,,28,,NW,,,,,,$136.91,$0.00,1,1,1,1,1,1,20210101,
E1015,HCPCS,SHOCK ABSORBER FOR MAN W/C,,,28,,NW,,,,,,$287.27,$0.00,1,1,1,1,1,1,20210101,
E1015,HCPCS,SHOCK ABSORBER FOR MAN W/C,NU,,28,,NW,,,,,,$287.27,$0.00,1,1,1,1,1,1,20210101,
E1015,HCPCS,SHOCK ABSORBER FOR MAN W/C,RR,,28,,NW,,,,,,$35.94,$0.00,1,1,1,1,1,1,20210101,
E1015,HCPCS,SHOCK ABSORBER FOR MAN W/C,UE,,28,,NW,,,,,,$228.92,$0.00,1,1,1,1,1,1,20210101,
E1016,HCPCS,SHOCK ABSORBER FOR POWER W/C,,,28,,NW,,,,,,$275.80,$0.00,1,1,1,1,1,1,20210101,
E1016,HCPCS,SHOCK ABSORBER FOR POWER W/C,NU,,28,,NW,,,,,,$275.80,$0.00,1,1,1,1,1,1,20210101,
E1016,HCPCS,SHOCK ABSORBER FOR POWER W/C,RR,,28,,NW,,,,,,$33.30,$0.00,1,1,1,1,1,1,20210101,
E1016,HCPCS,SHOCK ABSORBER FOR POWER W/C,UE,,28,,NW,,,,,,$220.33,$0.00,1,1,1,1,1,1,20210101,
E1017,HCPCS,HD SHCK ABSRBR FOR HD MAN WC,,,28,,NW,,,,,,$771.71,$0.00,1,1,1,1,1,1,20210101,
E1017,HCPCS,HD SHCK ABSRBR FOR HD MAN WC,NU,,28,,NW,,,,,,$771.71,$0.00,1,1,1,1,1,1,20210101,
E1017,HCPCS,HD SHCK ABSRBR FOR HD MAN WC,RR,,28,,NW,,,,,,$82.04,$0.00,1,1,1,1,1,1,20210101,
E1017,HCPCS,HD SHCK ABSRBR FOR HD MAN WC,UE,,28,,NW,,,,,,$580.19,$0.00,1,1,1,1,1,1,20210101,
E1018,HCPCS,HD SHCK ABSRBER FOR HD POWWC,,,28,,NW,,,,,,$162.63,$0.00,1,1,1,1,1,1,20210101,
E1018,HCPCS,HD SHCK ABSRBER FOR HD POWWC,NU,,28,,NW,,,,,,$162.63,$0.00,1,1,1,1,1,1,20210101,
E1018,HCPCS,HD SHCK ABSRBER FOR HD POWWC,RR,,28,,NW,,,,,,$17.30,$0.00,1,1,1,1,1,1,20210101,
E1018,HCPCS,HD SHCK ABSRBER FOR HD POWWC,UE,,28,,NW,,,,,,$122.27,$0.00,1,1,1,1,1,1,20210101,
E1020,HCPCS,RESIDUAL LIMB SUPPORT SYSTEM,,,28,,NW,,,,,,$507.75,$0.00,1,1,1,1,1,1,20210101,
E1020,HCPCS,RESIDUAL LIMB SUPPORT SYSTEM,RR,,28,,NW,,,,,,$66.28,$0.00,1,1,1,1,1,1,20210101,
E1028,HCPCS,W/C MANUAL SWINGAWAY,,,28,,NW,,,,,,$360.77,$0.00,1,1,1,1,1,1,20210101,
E1028,HCPCS,W/C MANUAL SWINGAWAY,RR,,28,,NW,,,,,,$47.04,$0.00,1,1,1,1,1,1,20210101,
E1029,HCPCS,W/C VENT TRAY FIXED,,,28,,NW,,,,,,$966.89,$0.00,1,1,1,1,1,1,20210101,
E1029,HCPCS,W/C VENT TRAY FIXED,RR,,28,,NW,,,,,,$126.01,$0.00,1,1,1,1,1,1,20210101,
E1030,HCPCS,W/C VENT TRAY GIMBALED,,,28,,NW,,,,,,"$2,150.40",$0.00,1,1,1,1,1,1,20210101,
E1030,HCPCS,W/C VENT TRAY GIMBALED,RR,,28,,NW,,,,,,$279.95,$0.00,1,1,1,1,1,1,20210101,
E1031,HCPCS,ROLLABOUT CHAIR WITH CASTERS,,,28,,NW,,,,,,"$1,082.43",$0.00,1,1,1,1,1,1,20210101,
E1031,HCPCS,ROLLABOUT CHAIR WITH CASTERS,RR,,28,,NW,,,,,,$140.95,$0.00,1,1,1,1,1,1,20210101,
E1035,HCPCS,PATIENT TRANSFER SYSTEM <300,,,28,,NW,,,,,,"$9,438.42",$0.00,1,1,1,1,1,1,20210101,
E1035,HCPCS,PATIENT TRANSFER SYSTEM <300,RR,,28,,NW,,,,,,"$1,227.26",$0.00,1,1,1,1,1,1,20210101,
E1036,HCPCS,PATIENT TRANSFER SYSTEM >300,,,28,,NW,,,,,,"$13,506.29",$0.00,1,1,1,1,1,1,20210101,
E1036,HCPCS,PATIENT TRANSFER SYSTEM >300,RR,,28,,NW,,,,,,"$1,756.42",$0.00,1,1,1,1,1,1,20210101,
E1037,HCPCS,"TRANSPORT CHAIR, PED SIZE",,,28,,NW,,,,,,"$2,042.53",$0.00,1,1,1,1,1,1,20210101,
E1037,HCPCS,"TRANSPORT CHAIR, PED SIZE",RR,,28,,NW,,,,,,$265.82,$0.00,1,1,1,1,1,1,20210101,
E1038,HCPCS,TRANSPORT CHAIR PT WT<=300LB,,,28,,NW,,,,,,$395.37,$0.00,1,1,1,1,1,1,20210101,
E1038,HCPCS,TRANSPORT CHAIR PT WT<=300LB,RR,,28,,NW,,,,,,$51.58,$0.00,1,1,1,1,1,1,20210101,
E1039,HCPCS,TRANSPORT CHAIR PT WT >300LB,,,28,,NW,,,,,,$917.16,$0.00,1,1,1,1,1,1,20210101,
E1039,HCPCS,TRANSPORT CHAIR PT WT >300LB,RR,,28,,NW,,,,,,$119.50,$0.00,1,1,1,1,1,1,20210101,
E1050,HCPCS,WHELCHR FXD FULL LENGTH ARMS,,,28,,NW,,,,,,"$2,115.11",$0.00,1,1,1,1,1,1,20210101,
E1050,HCPCS,WHELCHR FXD FULL LENGTH ARMS,RR,,28,,NW,,,,,,$275.41,$0.00,1,1,1,1,1,1,20210101,
E1060,HCPCS,WHEELCHAIR DETACHABLE ARMS,,,28,,NW,,,,,,"$2,468.52",$0.00,1,1,1,1,1,1,20210101,
E1060,HCPCS,WHEELCHAIR DETACHABLE ARMS,RR,,28,,NW,,,,,,$321.39,$0.00,1,1,1,1,1,1,20210101,
E1070,HCPCS,WHEELCHAIR DETACHABLE FOOT R,,,28,,NW,,,,,,"$2,235.15",$0.00,1,1,1,1,1,1,20210101,
E1070,HCPCS,WHEELCHAIR DETACHABLE FOOT R,RR,,28,,NW,,,,,,$291.04,$0.00,1,1,1,1,1,1,20210101,
E1083,HCPCS,HEMI-WHEELCHAIR FIXED ARMS,,,28,,NW,,,,,,"$1,687.29",$0.00,1,1,1,1,1,1,20210101,
E1083,HCPCS,HEMI-WHEELCHAIR FIXED ARMS,RR,,28,,NW,,,,,,$219.74,$0.00,1,1,1,1,1,1,20210101,
E1084,HCPCS,HEMI-WHEELCHAIR DETACHABLE A,,,28,,NW,,,,,,"$2,054.30",$0.00,1,1,1,1,1,1,20210101,
E1084,HCPCS,HEMI-WHEELCHAIR DETACHABLE A,RR,,28,,NW,,,,,,$267.50,$0.00,1,1,1,1,1,1,20210101,
E1085,HCPCS,HEMI-WHEELCHAIR FIXED ARMS,,,28,,NW,,,,,,"$1,571.10",$0.00,1,1,1,1,1,1,20210101,
E1086,HCPCS,HEMI-WHEELCHAIR DETACHABLE A,,,28,,NW,,,,,,"$1,900.28",$0.00,1,1,1,1,1,1,20210101,
E1087,HCPCS,WHEELCHAIR LIGHTWT FIXED ARM,,,28,,NW,,,,,,"$2,514.90",$0.00,1,1,1,1,1,1,20210101,
E1087,HCPCS,WHEELCHAIR LIGHTWT FIXED ARM,RR,,28,,NW,,,,,,$327.44,$0.00,1,1,1,1,1,1,20210101,
E1088,HCPCS,WHEELCHAIR LIGHTWEIGHT DET A,,,28,,NW,,,,,,"$2,867.77",$0.00,1,1,1,1,1,1,20210101,
E1088,HCPCS,WHEELCHAIR LIGHTWEIGHT DET A,RR,,28,,NW,,,,,,$373.35,$0.00,1,1,1,1,1,1,20210101,
E1089,HCPCS,WHEELCHAIR LIGHTWT FIXED ARM,,,28,,NW,,,,,,"$2,501.64",$0.00,1,1,1,1,1,1,20210101,
E1090,HCPCS,WHEELCHAIR LIGHTWEIGHT DET A,,,28,,NW,,,,,,"$2,577.36",$0.00,1,1,1,1,1,1,20210101,
E1092,HCPCS,WHEELCHAIR WIDE W/ LEG RESTS,,,28,,NW,,,,,,"$2,522.76",$0.00,1,1,1,1,1,1,20210101,
E1092,HCPCS,WHEELCHAIR WIDE W/ LEG RESTS,RR,,28,,NW,,,,,,$328.46,$0.00,1,1,1,1,1,1,20210101,
E1093,HCPCS,WHEELCHAIR WIDE W/ FOOT REST,,,28,,NW,,,,,,"$2,239.46",$0.00,1,1,1,1,1,1,20210101,
E1093,HCPCS,WHEELCHAIR WIDE W/ FOOT REST,RR,,28,,NW,,,,,,$291.60,$0.00,1,1,1,1,1,1,20210101,
E1100,HCPCS,WHCHR S-RECL FXD ARM LEG RES,,,28,,NW,,,,,,"$2,122.72",$0.00,1,1,1,1,1,1,20210101,
E1100,HCPCS,WHCHR S-RECL FXD ARM LEG RES,RR,,28,,NW,,,,,,$276.41,$0.00,1,1,1,1,1,1,20210101,
E1110,HCPCS,WHEELCHAIR SEMI-RECL DETACH,,,28,,NW,,,,,,"$2,077.90",$0.00,1,1,1,1,1,1,20210101,
E1110,HCPCS,WHEELCHAIR SEMI-RECL DETACH,RR,,28,,NW,,,,,,$270.56,$0.00,1,1,1,1,1,1,20210101,
E1130,HCPCS,WHLCHR STAND FXD ARM FT REST,,,28,,NW,,,,,,"$1,029.72",$0.00,1,1,1,1,1,1,20210101,
E1140,HCPCS,WHEELCHAIR STANDARD DETACH A,,,28,,NW,,,,,,"$1,455.63",$0.00,1,1,1,1,1,1,20210101,
E1150,HCPCS,WHEELCHAIR STANDARD W/ LEG R,,,28,,NW,,,,,,"$1,763.46",$0.00,1,1,1,1,1,1,20210101,
E1150,HCPCS,WHEELCHAIR STANDARD W/ LEG R,RR,,28,,NW,,,,,,$229.66,$0.00,1,1,1,1,1,1,20210101,
E1160,HCPCS,WHEELCHAIR FIXED ARMS,,,28,,NW,,,,,,"$1,459.82",$0.00,1,1,1,1,1,1,20210101,
E1160,HCPCS,WHEELCHAIR FIXED ARMS,RR,,28,,NW,,,,,,$190.15,$0.00,1,1,1,1,1,1,20210101,
E1161,HCPCS,MANUAL ADULT WC W TILTINSPAC,,,28,,NW,,,,,,"$4,545.86",$0.00,1,1,1,1,1,1,20210101,
E1161,HCPCS,MANUAL ADULT WC W TILTINSPAC,RR,,28,,NW,,,,,,$591.66,$0.00,1,1,1,1,1,1,20210101,
E1170,HCPCS,WHLCHR AMPU FXD ARM LEG REST,,,28,,NW,,,,,,"$1,845.03",$0.00,1,1,1,1,1,1,20210101,
E1170,HCPCS,WHLCHR AMPU FXD ARM LEG REST,RR,,28,,NW,,,,,,$240.28,$0.00,1,1,1,1,1,1,20210101,
E1171,HCPCS,WHEELCHAIR AMPUTEE W/O LEG R,,,28,,NW,,,,,,"$1,729.79",$0.00,1,1,1,1,1,1,20210101,
E1171,HCPCS,WHEELCHAIR AMPUTEE W/O LEG R,RR,,28,,NW,,,,,,$225.29,$0.00,1,1,1,1,1,1,20210101,
E1172,HCPCS,WHEELCHAIR AMPUTEE DETACH AR,,,28,,NW,,,,,,"$2,037.97",$0.00,1,1,1,1,1,1,20210101,
E1172,HCPCS,WHEELCHAIR AMPUTEE DETACH AR,RR,,28,,NW,,,,,,$265.38,$0.00,1,1,1,1,1,1,20210101,
E1180,HCPCS,WHEELCHAIR AMPUTEE W/ FOOT R,,,28,,NW,,,,,,"$2,081.44",$0.00,1,1,1,1,1,1,20210101,
E1180,HCPCS,WHEELCHAIR AMPUTEE W/ FOOT R,RR,,28,,NW,,,,,,$271.04,$0.00,1,1,1,1,1,1,20210101,
E1190,HCPCS,WHEELCHAIR AMPUTEE W/ LEG RE,,,28,,NW,,,,,,"$2,318.39",$0.00,1,1,1,1,1,1,20210101,
E1190,HCPCS,WHEELCHAIR AMPUTEE W/ LEG RE,RR,,28,,NW,,,,,,$301.86,$0.00,1,1,1,1,1,1,20210101,
E1195,HCPCS,WHEELCHAIR AMPUTEE HEAVY DUT,,,28,,NW,,,,,,"$2,454.15",$0.00,1,1,1,1,1,1,20210101,
E1195,HCPCS,WHEELCHAIR AMPUTEE HEAVY DUT,RR,,28,,NW,,,,,,$319.53,$0.00,1,1,1,1,1,1,20210101,
E1200,HCPCS,WHEELCHAIR AMPUTEE FIXED ARM,,,28,,NW,,,,,,"$1,857.41",$0.00,1,1,1,1,1,1,20210101,
E1200,HCPCS,WHEELCHAIR AMPUTEE FIXED ARM,RR,,28,,NW,,,,,,$241.89,$0.00,1,1,1,1,1,1,20210101,
E1220,HCPCS,WHLCHR SPECIAL SIZE/CONSTRC,,,28,,NW,,,,,,"$5,689.43",$0.00,1,1,1,1,1,1,20210101,
E1221,HCPCS,WHEELCHAIR SPEC SIZE W FOOT,,,28,,NW,,,,,,"$1,195.55",$0.00,1,1,1,1,1,1,20210101,
E1221,HCPCS,WHEELCHAIR SPEC SIZE W FOOT,RR,,28,,NW,,,,,,$155.77,$0.00,1,1,1,1,1,1,20210101,
E1222,HCPCS,WHEELCHAIR SPEC SIZE W/ LEG,,,28,,NW,,,,,,"$1,551.97",$0.00,1,1,1,1,1,1,20210101,
E1222,HCPCS,WHEELCHAIR SPEC SIZE W/ LEG,RR,,28,,NW,,,,,,$202.14,$0.00,1,1,1,1,1,1,20210101,
E1223,HCPCS,WHEELCHAIR SPEC SIZE W FOOT,,,28,,NW,,,,,,"$1,626.39",$0.00,1,1,1,1,1,1,20210101,
E1223,HCPCS,WHEELCHAIR SPEC SIZE W FOOT,RR,,28,,NW,,,,,,$211.83,$0.00,1,1,1,1,1,1,20210101,
E1224,HCPCS,WHEELCHAIR SPEC SIZE W/ LEG,,,28,,NW,,,,,,"$1,739.36",$0.00,1,1,1,1,1,1,20210101,
E1224,HCPCS,WHEELCHAIR SPEC SIZE W/ LEG,RR,,28,,NW,,,,,,$226.53,$0.00,1,1,1,1,1,1,20210101,
E1225,HCPCS,MANUAL SEMI-RECLINING BACK,,,28,,NW,,,,,,"$1,001.22",$0.00,1,1,1,1,1,1,20210101,
E1225,HCPCS,MANUAL SEMI-RECLINING BACK,RR,,28,,NW,,,,,,$130.40,$0.00,1,1,1,1,1,1,20210101,
E1226,HCPCS,MANUAL FULLY RECLINING BACK,,,28,,NW,,,,,,$854.82,$0.00,1,1,1,1,1,1,20210101,
E1226,HCPCS,MANUAL FULLY RECLINING BACK,NU,,28,,NW,,,,,,$854.82,$0.00,1,1,1,1,1,1,20210101,
E1226,HCPCS,MANUAL FULLY RECLINING BACK,RR,,28,,NW,,,,,,$134.62,$0.00,1,1,1,1,1,1,20210101,
E1226,HCPCS,MANUAL FULLY RECLINING BACK,UE,,28,,NW,,,,,,$654.65,$0.00,1,1,1,1,1,1,20210101,
E1227,HCPCS,WHEELCHAIR SPEC SZ SPEC HT A,,,28,,NW,,,,,,$647.37,$0.00,1,1,1,1,1,1,20210101,
E1227,HCPCS,WHEELCHAIR SPEC SZ SPEC HT A,NU,,28,,NW,,,,,,$647.37,$0.00,1,1,1,1,1,1,20210101,
E1227,HCPCS,WHEELCHAIR SPEC SZ SPEC HT A,RR,,28,,NW,,,,,,$110.27,$0.00,1,1,1,1,1,1,20210101,
E1227,HCPCS,WHEELCHAIR SPEC SZ SPEC HT A,UE,,28,,NW,,,,,,$499.23,$0.00,1,1,1,1,1,1,20210101,
E1228,HCPCS,WHEELCHAIR SPEC SZ SPEC HT B,,,28,,NW,,,,,,$831.55,$0.00,1,1,1,1,1,1,20210101,
E1228,HCPCS,WHEELCHAIR SPEC SZ SPEC HT B,RR,,28,,NW,,,,,,$108.54,$0.00,1,1,1,1,1,1,20210101,
E1229,HCPCS,PEDIATRIC WHEELCHAIR NOS,,,28,,NW,,,,,,"$1,835.60",$0.00,1,1,1,1,1,1,20210101,
E1230,HCPCS,POWER OPERATED VEHICLE,,,28,,NW,,,,,,"$4,807.14",$0.00,1,1,1,1,1,1,20210101,
E1230,HCPCS,POWER OPERATED VEHICLE,NU,,28,,NW,,,,,,"$4,807.14",$0.00,1,1,1,1,1,1,20210101,
E1230,HCPCS,POWER OPERATED VEHICLE,RR,,28,,NW,,,,,,$525.37,$0.00,1,1,1,1,1,1,20210101,
E1230,HCPCS,POWER OPERATED VEHICLE,UE,,28,,NW,,,,,,"$3,754.40",$0.00,1,1,1,1,1,1,20210101,
E1231,HCPCS,RIGID PED W/C TILT-IN-SPACE,,,28,,NW,,,,,,"$3,517.41",$0.00,1,1,1,1,1,1,20210101,
E1231,HCPCS,RIGID PED W/C TILT-IN-SPACE,NU,,28,,NW,,,,,,"$3,517.41",$0.00,1,1,1,1,1,1,20210101,
E1231,HCPCS,RIGID PED W/C TILT-IN-SPACE,RR,,28,,NW,,,,,,$384.96,$0.00,1,1,1,1,1,1,20210101,
E1231,HCPCS,RIGID PED W/C TILT-IN-SPACE,UE,,28,,NW,,,,,,"$2,648.83",$0.00,1,1,1,1,1,1,20210101,
E1232,HCPCS,FOLDING PED WC TILT-IN-SPACE,,,28,,NW,,,,,,"$4,148.50",$0.00,1,1,1,1,1,1,20210101,
E1232,HCPCS,FOLDING PED WC TILT-IN-SPACE,RR,,28,,NW,,,,,,$539.96,$0.00,1,1,1,1,1,1,20210101,
E1233,HCPCS,RIG PED WC TLTNSPC W/O SEAT,,,28,,NW,,,,,,"$4,283.24",$0.00,1,1,1,1,1,1,20210101,
E1233,HCPCS,RIG PED WC TLTNSPC W/O SEAT,RR,,28,,NW,,,,,,$557.49,$0.00,1,1,1,1,1,1,20210101,
E1234,HCPCS,FLD PED WC TLTNSPC W/O SEAT,,,28,,NW,,,,,,"$3,782.39",$0.00,1,1,1,1,1,1,20210101,
E1234,HCPCS,FLD PED WC TLTNSPC W/O SEAT,RR,,28,,NW,,,,,,$492.33,$0.00,1,1,1,1,1,1,20210101,
E1235,HCPCS,RIGID PED WC ADJUSTABLE,,,28,,NW,,,,,,"$3,657.61",$0.00,1,1,1,1,1,1,20210101,
E1235,HCPCS,RIGID PED WC ADJUSTABLE,RR,,28,,NW,,,,,,$476.09,$0.00,1,1,1,1,1,1,20210101,
E1236,HCPCS,FOLDING PED WC ADJUSTABLE,,,28,,NW,,,,,,"$3,275.30",$0.00,1,1,1,1,1,1,20210101,
E1236,HCPCS,FOLDING PED WC ADJUSTABLE,RR,,28,,NW,,,,,,$426.35,$0.00,1,1,1,1,1,1,20210101,
E1237,HCPCS,RGD PED WC ADJSTABL W/O SEAT,,,28,,NW,,,,,,"$3,300.30",$0.00,1,1,1,1,1,1,20210101,
E1237,HCPCS,RGD PED WC ADJSTABL W/O SEAT,RR,,28,,NW,,,,,,$429.61,$0.00,1,1,1,1,1,1,20210101,
E1238,HCPCS,FLD PED WC ADJSTABL W/O SEAT,,,28,,NW,,,,,,"$3,275.30",$0.00,1,1,1,1,1,1,20210101,
E1238,HCPCS,FLD PED WC ADJSTABL W/O SEAT,RR,,28,,NW,,,,,,$426.35,$0.00,1,1,1,1,1,1,20210101,
E1239,HCPCS,PED POWER WHEELCHAIR NOS,,,28,,NW,,,,,,"$3,890.22",$0.00,1,1,1,1,1,1,20210101,
E1240,HCPCS,WHCHR LITWT DET ARM LEG REST,,,28,,NW,,,,,,"$2,094.64",$0.00,1,1,1,1,1,1,20210101,
E1240,HCPCS,WHCHR LITWT DET ARM LEG REST,RR,,28,,NW,,,,,,$272.75,$0.00,1,1,1,1,1,1,20210101,
E1250,HCPCS,WHEELCHAIR LIGHTWT FIXED ARM,,,28,,NW,,,,,,"$1,552.36",$0.00,1,1,1,1,1,1,20210101,
E1260,HCPCS,WHEELCHAIR LIGHTWT FOOT REST,,,28,,NW,,,,,,"$1,803.54",$0.00,1,1,1,1,1,1,20210101,
E1270,HCPCS,WHEELCHAIR LIGHTWEIGHT LEG R,,,28,,NW,,,,,,"$1,701.23",$0.00,1,1,1,1,1,1,20210101,
E1270,HCPCS,WHEELCHAIR LIGHTWEIGHT LEG R,RR,,28,,NW,,,,,,$221.56,$0.00,1,1,1,1,1,1,20210101,
E1280,HCPCS,WHCHR H-DUTY DET ARM LEG RES,,,28,,NW,,,,,,"$2,558.96",$0.00,1,1,1,1,1,1,20210101,
E1280,HCPCS,WHCHR H-DUTY DET ARM LEG RES,RR,,28,,NW,,,,,,$333.17,$0.00,1,1,1,1,1,1,20210101,
E1285,HCPCS,WHEELCHAIR HEAVY DUTY FIXED,,,28,,NW,,,,,,"$2,306.68",$0.00,1,1,1,1,1,1,20210101,
E1290,HCPCS,WHEELCHAIR HVY DUTY DETACH A,,,28,,NW,,,,,,"$2,383.91",$0.00,1,1,1,1,1,1,20210101,
E1295,HCPCS,WHEELCHAIR HEAVY DUTY FIXED,,,28,,NW,,,,,,"$2,437.43",$0.00,1,1,1,1,1,1,20210101,
E1295,HCPCS,WHEELCHAIR HEAVY DUTY FIXED,RR,,28,,NW,,,,,,$317.36,$0.00,1,1,1,1,1,1,20210101,
E1296,HCPCS,WHEELCHAIR SPECIAL SEAT HEIG,,,28,,NW,,,,,,"$1,080.61",$0.00,1,1,1,1,1,1,20210101,
E1296,HCPCS,WHEELCHAIR SPECIAL SEAT HEIG,NU,,28,,NW,,,,,,"$1,080.61",$0.00,1,1,1,1,1,1,20210101,
E1296,HCPCS,WHEELCHAIR SPECIAL SEAT HEIG,RR,,28,,NW,,,,,,$158.58,$0.00,1,1,1,1,1,1,20210101,
E1296,HCPCS,WHEELCHAIR SPECIAL SEAT HEIG,UE,,28,,NW,,,,,,$823.91,$0.00,1,1,1,1,1,1,20210101,
E1297,HCPCS,WHEELCHAIR SPECIAL SEAT DEPT,,,28,,NW,,,,,,$272.57,$0.00,1,1,1,1,1,1,20210101,
E1297,HCPCS,WHEELCHAIR SPECIAL SEAT DEPT,NU,,28,,NW,,,,,,$272.57,$0.00,1,1,1,1,1,1,20210101,
E1297,HCPCS,WHEELCHAIR SPECIAL SEAT DEPT,RR,,28,,NW,,,,,,$39.71,$0.00,1,1,1,1,1,1,20210101,
E1297,HCPCS,WHEELCHAIR SPECIAL SEAT DEPT,UE,,28,,NW,,,,,,$217.88,$0.00,1,1,1,1,1,1,20210101,
E1298,HCPCS,WHEELCHAIR SPEC SEAT DEPTH/W,,,28,,NW,,,,,,$951.36,$0.00,1,1,1,1,1,1,20210101,
E1298,HCPCS,WHEELCHAIR SPEC SEAT DEPTH/W,NU,,28,,NW,,,,,,$951.36,$0.00,1,1,1,1,1,1,20210101,
E1298,HCPCS,WHEELCHAIR SPEC SEAT DEPTH/W,RR,,28,,NW,,,,,,$145.14,$0.00,1,1,1,1,1,1,20210101,
E1298,HCPCS,WHEELCHAIR SPEC SEAT DEPTH/W,UE,,28,,NW,,,,,,$726.97,$0.00,1,1,1,1,1,1,20210101,
E1300,HCPCS,WHIRLPOOL PORTABLE,,,28,,NW,,,,,,$286.49,$0.00,1,1,1,1,1,1,20210101,
E1310,HCPCS,WHIRLPOOL NON-PORTABLE,,,28,,NW,,,,,,"$4,045.91",$0.00,1,1,1,1,1,1,20210101,
E1310,HCPCS,WHIRLPOOL NON-PORTABLE,NU,,28,,NW,,,,,,"$4,045.91",$0.00,1,1,1,1,1,1,20210101,
E1310,HCPCS,WHIRLPOOL NON-PORTABLE,RR,,28,,NW,,,,,,$406.75,$0.00,1,1,1,1,1,1,20210101,
E1310,HCPCS,WHIRLPOOL NON-PORTABLE,UE,,28,,NW,,,,,,"$3,050.17",$0.00,1,1,1,1,1,1,20210101,
E1352,HCPCS,O2 FLOW REG POS INSPIR PRESS,,,28,,NW,,,,,,$147.76,$0.00,1,1,1,1,1,1,20210101,
E1353,HCPCS,OXYGEN SUPPLIES REGULATOR,,,28,,NW,,,,,,$147.76,$0.00,1,1,1,1,1,1,20210101,
E1354,HCPCS,"WHEELED CART, PORT CYL/CONC",,,28,,NW,,,,,,$35.33,$0.00,1,1,1,1,1,1,20210101,
E1355,HCPCS,OXYGEN SUPPLIES STAND/RACK,,,28,,NW,,,,,,$95.59,$0.00,1,1,1,1,1,1,20210101,
E1356,HCPCS,"BATT PACK/CART, PORT CONC",,,28,,NW,,,,,,$39.53,$0.00,1,1,1,1,1,1,20210101,
E1357,HCPCS,"BATTERY CHARGER, PORT CONC",,,28,,NW,,,,,,$178.60,$0.00,1,1,1,1,1,1,20210101,
E1358,HCPCS,"DC POWER ADAPTER, PORT CONC",,,28,,NW,,,,,,$218.73,$0.00,1,1,1,1,1,1,20210101,
E1372,HCPCS,OXY SUPPL HEATER FOR NEBULIZ,,,28,,NW,,,,,,$290.24,$0.00,1,1,1,1,1,1,20210101,
E1372,HCPCS,OXY SUPPL HEATER FOR NEBULIZ,NU,,28,,NW,,,,,,$290.24,$0.00,1,1,1,1,1,1,20210101,
E1372,HCPCS,OXY SUPPL HEATER FOR NEBULIZ,RR,,28,,NW,,,,,,$88.17,$0.00,1,1,1,1,1,1,20210101,
E1372,HCPCS,OXY SUPPL HEATER FOR NEBULIZ,UE,,28,,NW,,,,,,$232.88,$0.00,1,1,1,1,1,1,20210101,
E1390,HCPCS,OXYGEN CONCENTRATOR,,,28,,NW,,,,,,"$3,949.76",$0.00,1,1,1,1,1,1,20210101,
E1390,HCPCS,OXYGEN CONCENTRATOR,RR,,28,,NW,,,,,,$509.03,$0.00,1,1,1,1,1,1,20210101,
E1391,HCPCS,"OXYGEN CONCENTRATOR, DUAL",,,28,,NW,,,,,,"$3,909.20",$0.00,1,1,1,1,1,1,20210101,
E1391,HCPCS,"OXYGEN CONCENTRATOR, DUAL",RR,,28,,NW,,,,,,$504.45,$0.00,1,1,1,1,1,1,20210101,
E1392,HCPCS,PORTABLE OXYGEN CONCENTRATOR,,,28,,NW,,,,,,"$1,505.27",$0.00,1,1,1,1,1,1,20210101,
E1392,HCPCS,PORTABLE OXYGEN CONCENTRATOR,RR,,28,,NW,,,,,,$194.29,$0.00,1,1,1,1,1,1,20210101,
E1399,HCPCS,DURABLE MEDICAL EQUIPMENT MI,,,28,,NW,,,,,,$48.62,$0.00,1,1,1,1,1,1,20210101,
E1405,HCPCS,O2/WATER VAPOR ENRICH W/HEAT,,,28,,NW,,,,,,"$5,378.48",$0.00,1,1,1,1,1,1,20210101,
E1405,HCPCS,O2/WATER VAPOR ENRICH W/HEAT,RR,,28,,NW,,,,,,$689.12,$0.00,1,1,1,1,1,1,20210101,
E1406,HCPCS,O2/WATER VAPOR ENRICH W/O HE,,,28,,NW,,,,,,"$4,311.02",$0.00,1,1,1,1,1,1,20210101,
E1406,HCPCS,O2/WATER VAPOR ENRICH W/O HE,RR,,28,,NW,,,,,,$551.85,$0.00,1,1,1,1,1,1,20210101,
E1500,HCPCS,CENTRIFUGE,,,28,,NW,,,,,,$328.72,$0.00,1,1,1,1,1,1,20210101,
E1510,HCPCS,KIDNEY DIALYSATE DELIVRY SYS,,,28,,NW,,,,,,"$2,930.35",$0.00,1,1,1,1,1,1,20210101,
E1520,HCPCS,HEPARIN INFUSION PUMP,,,28,,NW,,,,,,"$2,213.05",$0.00,1,1,1,1,1,1,20210101,
E1530,HCPCS,REPLACEMENT AIR BUBBLE DETEC,,,28,,NW,,,,,,"$2,147.38",$0.00,1,1,1,1,1,1,20210101,
E1540,HCPCS,REPLACEMENT PRESSURE ALARM,,,28,,NW,,,,,,$249.14,$0.00,1,1,1,1,1,1,20210101,
E1550,HCPCS,BATH CONDUCTIVITY METER,,,28,,NW,,,,,,$122.09,$0.00,1,1,1,1,1,1,20210101,
E1560,HCPCS,REPLACE BLOOD LEAK DETECTOR,,,28,,NW,,,,,,"$2,484.85",$0.00,1,1,1,1,1,1,20210101,
E1570,HCPCS,ADJUSTABLE CHAIR FOR ESRD PT,,,28,,NW,,,,,,$749.03,$0.00,1,1,1,1,1,1,20210101,
E1575,HCPCS,TRANSDUCER PROTECT/FLD BAR,,,28,,NW,,,,,,$130.35,$0.00,1,1,1,1,1,1,20210101,
E1590,HCPCS,HEMODIALYSIS MACHINE,,,28,,NW,,,,,,"$3,314.87",$0.00,1,1,1,1,1,1,20210101,
E1592,HCPCS,AUTO INTERM PERITONEAL DIALY,,,28,,NW,,,,,,$9.83,$0.00,1,1,1,1,1,1,20210101,
E1594,HCPCS,CYCLER DIALYSIS MACHINE,,,28,,NW,,,,,,"$8,750.26",$0.00,1,1,1,1,1,1,20210101,
E1600,HCPCS,DELI/INSTALL CHRG HEMO EQUIP,,,28,,NW,,,,,,$361.48,$0.00,1,1,1,1,1,1,20210101,
E1610,HCPCS,REVERSE OSMOSIS H2O PURI SYS,,,28,,NW,,,,,,"$5,815.88",$0.00,1,1,1,1,1,1,20210101,
E1615,HCPCS,DEIONIZER H2O PURI SYSTEM,,,28,,NW,,,,,,$350.37,$0.00,1,1,1,1,1,1,20210101,
E1620,HCPCS,REPLACEMENT BLOOD PUMP,,,28,,NW,,,,,,$730.20,$0.00,1,1,1,1,1,1,20210101,
E1625,HCPCS,WATER SOFTENING SYSTEM,,,28,,NW,,,,,,"$1,886.87",$0.00,1,1,1,1,1,1,20210101,
E1630,HCPCS,RECIPROCATING PERITONEAL DIA,,,28,,NW,,,,,,$204.08,$0.00,1,1,1,1,1,1,20210101,
E1634,HCPCS,PERITONEAL DIALYSIS CLAMP,,,28,,NW,,,,,,$14.79,$0.00,1,1,1,1,1,1,20210101,
E1635,HCPCS,COMPACT TRAVEL HEMODIALYZER,,,28,,NW,,,,,,$637.25,$0.00,1,1,1,1,1,1,20210101,
E1636,HCPCS,SORBENT CARTRIDGES PER 10,,,28,,NW,,,,,,$274.53,$0.00,1,1,1,1,1,1,20210101,
E1637,HCPCS,"HEMOSTATS FOR DIALYSIS, EACH",,,28,,NW,,,,,,$50.00,$0.00,1,1,1,1,1,1,20210101,
E1639,HCPCS,"SCALE, EACH",,,28,,NW,,,,,,$152.27,$0.00,1,1,1,1,1,1,20210101,
E1699,HCPCS,DIALYSIS EQUIPMENT NOC,,,28,,NW,,,,,,$274.53,$0.00,1,1,1,1,1,1,20210101,
E1700,HCPCS,JAW MOTION REHAB SYSTEM,,,28,,NW,,,,,,$980.32,$0.00,1,1,1,1,1,1,20210101,
E1700,HCPCS,JAW MOTION REHAB SYSTEM,RR,,28,,NW,,,,,,$127.64,$0.00,1,1,1,1,1,1,20210101,
E1701,HCPCS,REPL CUSHIONS FOR JAW MOTION,,,28,,NW,,,,,,$77.97,$0.00,1,1,1,1,1,1,20210101,
E1702,HCPCS,REPL MEASR SCALES JAW MOTION,,,28,,NW,,,,,,$105.23,$0.00,1,1,1,1,1,1,20210101,
E1800,HCPCS,ADJUST ELBOW EXT/FLEX DEVICE,,,28,,NW,,,,,,"$2,208.67",$0.00,1,1,1,1,1,1,20210101,
E1800,HCPCS,ADJUST ELBOW EXT/FLEX DEVICE,RR,,28,,NW,,,,,,$287.32,$0.00,1,1,1,1,1,1,20210101,
E1801,HCPCS,SPS ELBOW DEVICE,,,28,,NW,,,,,,"$2,396.24",$0.00,1,1,1,1,1,1,20210101,
E1801,HCPCS,SPS ELBOW DEVICE,RR,,28,,NW,,,,,,$311.71,$0.00,1,1,1,1,1,1,20210101,
E1802,HCPCS,ADJST FOREARM PRO/SUP DEVICE,,,28,,NW,,,,,,"$5,479.22",$0.00,1,1,1,1,1,1,20210101,
E1802,HCPCS,ADJST FOREARM PRO/SUP DEVICE,RR,,28,,NW,,,,,,$712.50,$0.00,1,1,1,1,1,1,20210101,
E1805,HCPCS,ADJUST WRIST EXT/FLEX DEVICE,,,28,,NW,,,,,,"$2,287.70",$0.00,1,1,1,1,1,1,20210101,
E1805,HCPCS,ADJUST WRIST EXT/FLEX DEVICE,RR,,28,,NW,,,,,,$297.59,$0.00,1,1,1,1,1,1,20210101,
E1806,HCPCS,SPS WRIST DEVICE,,,28,,NW,,,,,,"$2,053.51",$0.00,1,1,1,1,1,1,20210101,
E1806,HCPCS,SPS WRIST DEVICE,RR,,28,,NW,,,,,,$267.16,$0.00,1,1,1,1,1,1,20210101,
E1810,HCPCS,ADJUST KNEE EXT/FLEX DEVICE,,,28,,NW,,,,,,"$2,258.35",$0.00,1,1,1,1,1,1,20210101,
E1810,HCPCS,ADJUST KNEE EXT/FLEX DEVICE,RR,,28,,NW,,,,,,$293.78,$0.00,1,1,1,1,1,1,20210101,
E1811,HCPCS,SPS KNEE DEVICE,,,28,,NW,,,,,,"$2,472.11",$0.00,1,1,1,1,1,1,20210101,
E1811,HCPCS,SPS KNEE DEVICE,RR,,28,,NW,,,,,,$321.57,$0.00,1,1,1,1,1,1,20210101,
E1812,HCPCS,KNEE EXT/FLEX W ACT RES CTRL,,,28,,NW,,,,,,"$1,797.30",$0.00,1,1,1,1,1,1,20210101,
E1812,HCPCS,KNEE EXT/FLEX W ACT RES CTRL,RR,,28,,NW,,,,,,$233.84,$0.00,1,1,1,1,1,1,20210101,
E1815,HCPCS,ADJUST ANKLE EXT/FLEX DEVICE,,,28,,NW,,,,,,"$2,288.96",$0.00,1,1,1,1,1,1,20210101,
E1815,HCPCS,ADJUST ANKLE EXT/FLEX DEVICE,RR,,28,,NW,,,,,,$297.75,$0.00,1,1,1,1,1,1,20210101,
E1816,HCPCS,SPS ANKLE DEVICE,,,28,,NW,,,,,,"$2,503.44",$0.00,1,1,1,1,1,1,20210101,
E1816,HCPCS,SPS ANKLE DEVICE,RR,,28,,NW,,,,,,$325.65,$0.00,1,1,1,1,1,1,20210101,
E1818,HCPCS,SPS FOREARM DEVICE,,,28,,NW,,,,,,"$2,545.62",$0.00,1,1,1,1,1,1,20210101,
E1818,HCPCS,SPS FOREARM DEVICE,RR,,28,,NW,,,,,,$331.13,$0.00,1,1,1,1,1,1,20210101,
E1820,HCPCS,SOFT INTERFACE MATERIAL,,,28,,NW,,,,,,$222.02,$0.00,1,1,1,1,1,1,20210101,
E1820,HCPCS,SOFT INTERFACE MATERIAL,NU,,28,,NW,,,,,,$222.02,$0.00,1,1,1,1,1,1,20210101,
E1820,HCPCS,SOFT INTERFACE MATERIAL,RR,,28,,NW,,,,,,$67.09,$0.00,1,1,1,1,1,1,20210101,
E1820,HCPCS,SOFT INTERFACE MATERIAL,UE,,28,,NW,,,,,,$182.27,$0.00,1,1,1,1,1,1,20210101,
E1821,HCPCS,REPLACEMENT INTERFACE SPSD,,,28,,NW,,,,,,$272.10,$0.00,1,1,1,1,1,1,20210101,
E1821,HCPCS,REPLACEMENT INTERFACE SPSD,NU,,28,,NW,,,,,,$272.10,$0.00,1,1,1,1,1,1,20210101,
E1821,HCPCS,REPLACEMENT INTERFACE SPSD,RR,,28,,NW,,,,,,$78.94,$0.00,1,1,1,1,1,1,20210101,
E1821,HCPCS,REPLACEMENT INTERFACE SPSD,UE,,28,,NW,,,,,,$219.86,$0.00,1,1,1,1,1,1,20210101,
E1825,HCPCS,ADJUST FINGER EXT/FLEX DEVC,,,28,,NW,,,,,,"$2,287.70",$0.00,1,1,1,1,1,1,20210101,
E1825,HCPCS,ADJUST FINGER EXT/FLEX DEVC,RR,,28,,NW,,,,,,$297.59,$0.00,1,1,1,1,1,1,20210101,
E1830,HCPCS,ADJUST TOE EXT/FLEX DEVICE,,,28,,NW,,,,,,"$2,287.70",$0.00,1,1,1,1,1,1,20210101,
E1830,HCPCS,ADJUST TOE EXT/FLEX DEVICE,RR,,28,,NW,,,,,,$297.59,$0.00,1,1,1,1,1,1,20210101,
E1831,HCPCS,STATIC STR TOE DEV EXT/FLEX,,,28,,NW,,,,,,"$1,474.91",$0.00,1,1,1,1,1,1,20210101,
E1831,HCPCS,STATIC STR TOE DEV EXT/FLEX,RR,,28,,NW,,,,,,$191.93,$0.00,1,1,1,1,1,1,20210101,
E1840,HCPCS,ADJ SHOULDER EXT/FLEX DEVICE,,,28,,NW,,,,,,"$6,214.98",$0.00,1,1,1,1,1,1,20210101,
E1840,HCPCS,ADJ SHOULDER EXT/FLEX DEVICE,RR,,28,,NW,,,,,,$808.15,$0.00,1,1,1,1,1,1,20210101,
E1841,HCPCS,STATIC STR SHLDR DEV ROM ADJ,,,28,,NW,,,,,,"$7,408.47",$0.00,1,1,1,1,1,1,20210101,
E1841,HCPCS,STATIC STR SHLDR DEV ROM ADJ,RR,,28,,NW,,,,,,$963.31,$0.00,1,1,1,1,1,1,20210101,
E1902,HCPCS,AAC NON-ELECTRONIC BOARD,,,28,,NW,,,,,,"$1,244.23",$0.00,1,1,1,1,1,1,20210101,
E2000,HCPCS,GASTRIC SUCTION PUMP HME MDL,,,28,,NW,,,,,,"$1,251.18",$0.00,1,1,1,1,1,1,20210101,
E2000,HCPCS,GASTRIC SUCTION PUMP HME MDL,RR,,28,,NW,,,,,,$162.85,$0.00,1,1,1,1,1,1,20210101,
E2100,HCPCS,BLD GLUCOSE MONITOR W VOICE,,,28,,NW,,,,,,"$1,233.87",$0.00,1,1,1,1,1,1,20210101,
E2100,HCPCS,BLD GLUCOSE MONITOR W VOICE,NU,,28,,NW,,,,,,"$1,233.87",$0.00,1,1,1,1,1,1,20210101,
E2100,HCPCS,BLD GLUCOSE MONITOR W VOICE,RR,,28,,NW,,,,,,$181.25,$0.00,1,1,1,1,1,1,20210101,
E2100,HCPCS,BLD GLUCOSE MONITOR W VOICE,UE,,28,,NW,,,,,,$944.12,$0.00,1,1,1,1,1,1,20210101,
E2101,HCPCS,BLD GLUCOSE MONITOR W LANCE,,,28,,NW,,,,,,$437.70,$0.00,1,1,1,1,1,1,20210101,
E2101,HCPCS,BLD GLUCOSE MONITOR W LANCE,NU,,28,,NW,,,,,,$437.70,$0.00,1,1,1,1,1,1,20210101,
E2101,HCPCS,BLD GLUCOSE MONITOR W LANCE,RR,,28,,NW,,,,,,$100.40,$0.00,1,1,1,1,1,1,20210101,
E2101,HCPCS,BLD GLUCOSE MONITOR W LANCE,UE,,28,,NW,,,,,,$344.01,$0.00,1,1,1,1,1,1,20210101,
E2120,HCPCS,PULSE GEN SYS TX ENDOLYMP FL,,,28,,NW,,,,,,"$4,817.38",$0.00,1,1,1,1,1,1,20210101,
E2120,HCPCS,PULSE GEN SYS TX ENDOLYMP FL,RR,,28,,NW,,,,,,$626.46,$0.00,1,1,1,1,1,1,20210101,
E2201,HCPCS,MAN W/CH ACC SEAT W>=20<24,,,28,,NW,,,,,,$686.64,$0.00,1,1,1,1,1,1,20210101,
E2201,HCPCS,MAN W/CH ACC SEAT W>=20<24,NU,,28,,NW,,,,,,$686.64,$0.00,1,1,1,1,1,1,20210101,
E2201,HCPCS,MAN W/CH ACC SEAT W>=20<24,RR,,28,,NW,,,,,,$117.11,$0.00,1,1,1,1,1,1,20210101,
E2201,HCPCS,MAN W/CH ACC SEAT W>=20<24,UE,,28,,NW,,,,,,$528.45,$0.00,1,1,1,1,1,1,20210101,
E2202,HCPCS,SEAT WIDTH 24-27 IN,,,28,,NW,,,,,,$944.16,$0.00,1,1,1,1,1,1,20210101,
E2202,HCPCS,SEAT WIDTH 24-27 IN,NU,,28,,NW,,,,,,$944.16,$0.00,1,1,1,1,1,1,20210101,
E2202,HCPCS,SEAT WIDTH 24-27 IN,RR,,28,,NW,,,,,,$142.92,$0.00,1,1,1,1,1,1,20210101,
E2202,HCPCS,SEAT WIDTH 24-27 IN,UE,,28,,NW,,,,,,$721.59,$0.00,1,1,1,1,1,1,20210101,
E2203,HCPCS,FRAME DEPTH LESS THAN 22 IN,,,28,,NW,,,,,,$907.22,$0.00,1,1,1,1,1,1,20210101,
E2203,HCPCS,FRAME DEPTH LESS THAN 22 IN,NU,,28,,NW,,,,,,$907.22,$0.00,1,1,1,1,1,1,20210101,
E2203,HCPCS,FRAME DEPTH LESS THAN 22 IN,RR,,28,,NW,,,,,,$139.22,$0.00,1,1,1,1,1,1,20210101,
E2203,HCPCS,FRAME DEPTH LESS THAN 22 IN,UE,,28,,NW,,,,,,$693.88,$0.00,1,1,1,1,1,1,20210101,
E2204,HCPCS,FRAME DEPTH 22 TO 25 IN,,,28,,NW,,,,,,"$1,535.65",$0.00,1,1,1,1,1,1,20210101,
E2204,HCPCS,FRAME DEPTH 22 TO 25 IN,NU,,28,,NW,,,,,,"$1,535.65",$0.00,1,1,1,1,1,1,20210101,
E2204,HCPCS,FRAME DEPTH 22 TO 25 IN,RR,,28,,NW,,,,,,$202.07,$0.00,1,1,1,1,1,1,20210101,
E2204,HCPCS,FRAME DEPTH 22 TO 25 IN,UE,,28,,NW,,,,,,"$1,165.21",$0.00,1,1,1,1,1,1,20210101,
E2205,HCPCS,"MANUAL WC ACCESSORY, HANDRIM",,,28,,NW,,,,,,$121.33,$0.00,1,1,1,1,1,1,20210101,
E2205,HCPCS,"MANUAL WC ACCESSORY, HANDRIM",NU,,28,,NW,,,,,,$121.33,$0.00,1,1,1,1,1,1,20210101,
E2205,HCPCS,"MANUAL WC ACCESSORY, HANDRIM",RR,,28,,NW,,,,,,$9.51,$0.00,1,1,1,1,1,1,20210101,
E2205,HCPCS,"MANUAL WC ACCESSORY, HANDRIM",UE,,28,,NW,,,,,,$96.95,$0.00,1,1,1,1,1,1,20210101,
E2206,HCPCS,MAN WC WHL LOCK COMP REPL EA,,,28,,NW,,,,,,$129.85,$0.00,1,1,1,1,1,1,20210101,
E2206,HCPCS,MAN WC WHL LOCK COMP REPL EA,NU,,28,,NW,,,,,,$129.85,$0.00,1,1,1,1,1,1,20210101,
E2206,HCPCS,MAN WC WHL LOCK COMP REPL EA,RR,,28,,NW,,,,,,$10.70,$0.00,1,1,1,1,1,1,20210101,
E2206,HCPCS,MAN WC WHL LOCK COMP REPL EA,UE,,28,,NW,,,,,,$107.42,$0.00,1,1,1,1,1,1,20210101,
E2207,HCPCS,CRUTCH AND CANE HOLDER,,,28,,NW,,,,,,$142.56,$0.00,1,1,1,1,1,1,20210101,
E2207,HCPCS,CRUTCH AND CANE HOLDER,NU,,28,,NW,,,,,,$142.56,$0.00,1,1,1,1,1,1,20210101,
E2207,HCPCS,CRUTCH AND CANE HOLDER,RR,,28,,NW,,,,,,$12.53,$0.00,1,1,1,1,1,1,20210101,
E2207,HCPCS,CRUTCH AND CANE HOLDER,UE,,28,,NW,,,,,,$120.40,$0.00,1,1,1,1,1,1,20210101,
E2208,HCPCS,CYLINDER TANK CARRIER,,,28,,NW,,,,,,$215.42,$0.00,1,1,1,1,1,1,20210101,
E2208,HCPCS,CYLINDER TANK CARRIER,NU,,28,,NW,,,,,,$215.42,$0.00,1,1,1,1,1,1,20210101,
E2208,HCPCS,CYLINDER TANK CARRIER,RR,,28,,NW,,,,,,$22.66,$0.00,1,1,1,1,1,1,20210101,
E2208,HCPCS,CYLINDER TANK CARRIER,UE,,28,,NW,,,,,,$175.04,$0.00,1,1,1,1,1,1,20210101,
E2209,HCPCS,ARM TROUGH EACH,,,28,,NW,,,,,,$221.87,$0.00,1,1,1,1,1,1,20210101,
E2209,HCPCS,ARM TROUGH EACH,NU,,28,,NW,,,,,,$221.87,$0.00,1,1,1,1,1,1,20210101,
E2209,HCPCS,ARM TROUGH EACH,RR,,28,,NW,,,,,,$23.66,$0.00,1,1,1,1,1,1,20210101,
E2209,HCPCS,ARM TROUGH EACH,UE,,28,,NW,,,,,,$179.89,$0.00,1,1,1,1,1,1,20210101,
E2210,HCPCS,WHEELCHAIR BEARINGS,,,28,,NW,,,,,,$15.07,$0.00,1,1,1,1,1,1,20210101,
E2210,HCPCS,WHEELCHAIR BEARINGS,NU,,28,,NW,,,,,,$15.07,$0.00,1,1,1,1,1,1,20210101,
E2210,HCPCS,WHEELCHAIR BEARINGS,RR,,28,,NW,,,,,,$1.51,$0.00,1,1,1,1,1,1,20210101,
E2210,HCPCS,WHEELCHAIR BEARINGS,UE,,28,,NW,,,,,,$11.31,$0.00,1,1,1,1,1,1,20210101,
E2211,HCPCS,PNEUMATIC PROPULSION TIRE,,,28,,NW,,,,,,$123.61,$0.00,1,1,1,1,1,1,20210101,
E2211,HCPCS,PNEUMATIC PROPULSION TIRE,NU,,28,,NW,,,,,,$123.61,$0.00,1,1,1,1,1,1,20210101,
E2211,HCPCS,PNEUMATIC PROPULSION TIRE,RR,,28,,NW,,,,,,$9.81,$0.00,1,1,1,1,1,1,20210101,
E2211,HCPCS,PNEUMATIC PROPULSION TIRE,UE,,28,,NW,,,,,,$99.52,$0.00,1,1,1,1,1,1,20210101,
E2212,HCPCS,PNEUMATIC PROP TIRE TUBE,,,28,,NW,,,,,,$17.06,$0.00,1,1,1,1,1,1,20210101,
E2212,HCPCS,PNEUMATIC PROP TIRE TUBE,NU,,28,,NW,,,,,,$17.06,$0.00,1,1,1,1,1,1,20210101,
E2212,HCPCS,PNEUMATIC PROP TIRE TUBE,RR,,28,,NW,,,,,,$1.73,$0.00,1,1,1,1,1,1,20210101,
E2212,HCPCS,PNEUMATIC PROP TIRE TUBE,UE,,28,,NW,,,,,,$12.80,$0.00,1,1,1,1,1,1,20210101,
E2213,HCPCS,PNEUMATIC PROP TIRE INSERT,,,28,,NW,,,,,,$109.87,$0.00,1,1,1,1,1,1,20210101,
E2213,HCPCS,PNEUMATIC PROP TIRE INSERT,NU,,28,,NW,,,,,,$109.87,$0.00,1,1,1,1,1,1,20210101,
E2213,HCPCS,PNEUMATIC PROP TIRE INSERT,RR,,28,,NW,,,,,,$8.30,$0.00,1,1,1,1,1,1,20210101,
E2213,HCPCS,PNEUMATIC PROP TIRE INSERT,UE,,28,,NW,,,,,,$82.89,$0.00,1,1,1,1,1,1,20210101,
E2214,HCPCS,PNEUMATIC CASTER TIRE EACH,,,28,,NW,,,,,,$118.07,$0.00,1,1,1,1,1,1,20210101,
E2214,HCPCS,PNEUMATIC CASTER TIRE EACH,NU,,28,,NW,,,,,,$118.07,$0.00,1,1,1,1,1,1,20210101,
E2214,HCPCS,PNEUMATIC CASTER TIRE EACH,RR,,28,,NW,,,,,,$9.25,$0.00,1,1,1,1,1,1,20210101,
E2214,HCPCS,PNEUMATIC CASTER TIRE EACH,UE,,28,,NW,,,,,,$92.27,$0.00,1,1,1,1,1,1,20210101,
E2215,HCPCS,PNEUMATIC CASTER TIRE TUBE,,,28,,NW,,,,,,$28.25,$0.00,1,1,1,1,1,1,20210101,
E2215,HCPCS,PNEUMATIC CASTER TIRE TUBE,NU,,28,,NW,,,,,,$28.25,$0.00,1,1,1,1,1,1,20210101,
E2215,HCPCS,PNEUMATIC CASTER TIRE TUBE,RR,,28,,NW,,,,,,$2.80,$0.00,1,1,1,1,1,1,20210101,
E2215,HCPCS,PNEUMATIC CASTER TIRE TUBE,UE,,28,,NW,,,,,,$21.04,$0.00,1,1,1,1,1,1,20210101,
E2216,HCPCS,FOAM FILLED PROPULSION TIRE,,,28,,NW,,,,,,$154.97,$0.00,1,1,1,1,1,1,20210101,
E2216,HCPCS,FOAM FILLED PROPULSION TIRE,NU,,28,,NW,,,,,,$154.97,$0.00,1,1,1,1,1,1,20210101,
E2216,HCPCS,FOAM FILLED PROPULSION TIRE,RR,,28,,NW,,,,,,$14.36,$0.00,1,1,1,1,1,1,20210101,
E2216,HCPCS,FOAM FILLED PROPULSION TIRE,UE,,28,,NW,,,,,,$125.89,$0.00,1,1,1,1,1,1,20210101,
E2217,HCPCS,FOAM FILLED CASTER TIRE EACH,,,28,,NW,,,,,,$151.24,$0.00,1,1,1,1,1,1,20210101,
E2217,HCPCS,FOAM FILLED CASTER TIRE EACH,NU,,28,,NW,,,,,,$151.24,$0.00,1,1,1,1,1,1,20210101,
E2217,HCPCS,FOAM FILLED CASTER TIRE EACH,RR,,28,,NW,,,,,,$11.19,$0.00,1,1,1,1,1,1,20210101,
E2217,HCPCS,FOAM FILLED CASTER TIRE EACH,UE,,28,,NW,,,,,,$102.19,$0.00,1,1,1,1,1,1,20210101,
E2218,HCPCS,FOAM PROPULSION TIRE EACH,,,28,,NW,,,,,,$148.09,$0.00,1,1,1,1,1,1,20210101,
E2218,HCPCS,FOAM PROPULSION TIRE EACH,NU,,28,,NW,,,,,,$148.09,$0.00,1,1,1,1,1,1,20210101,
E2218,HCPCS,FOAM PROPULSION TIRE EACH,RR,,28,,NW,,,,,,$11.02,$0.00,1,1,1,1,1,1,20210101,
E2218,HCPCS,FOAM PROPULSION TIRE EACH,UE,,28,,NW,,,,,,$60.03,$0.00,1,1,1,1,1,1,20210101,
E2219,HCPCS,FOAM CASTER TIRE ANY SIZE EA,,,28,,NW,,,,,,$133.13,$0.00,1,1,1,1,1,1,20210101,
E2219,HCPCS,FOAM CASTER TIRE ANY SIZE EA,NU,,28,,NW,,,,,,$133.13,$0.00,1,1,1,1,1,1,20210101,
E2219,HCPCS,FOAM CASTER TIRE ANY SIZE EA,RR,,28,,NW,,,,,,$11.44,$0.00,1,1,1,1,1,1,20210101,
E2219,HCPCS,FOAM CASTER TIRE ANY SIZE EA,UE,,28,,NW,,,,,,$110.74,$0.00,1,1,1,1,1,1,20210101,
E2220,HCPCS,"SOLID PROPULS TIRE, REPL, EA",,,28,,NW,,,,,,$105.41,$0.00,1,1,1,1,1,1,20210101,
E2220,HCPCS,"SOLID PROPULS TIRE, REPL, EA",NU,,28,,NW,,,,,,$105.41,$0.00,1,1,1,1,1,1,20210101,
E2220,HCPCS,"SOLID PROPULS TIRE, REPL, EA",RR,,28,,NW,,,,,,$7.84,$0.00,1,1,1,1,1,1,20210101,
E2220,HCPCS,"SOLID PROPULS TIRE, REPL, EA",UE,,28,,NW,,,,,,$78.76,$0.00,1,1,1,1,1,1,20210101,
E2221,HCPCS,"SOLID CASTER TIRE REPL, EACH",,,28,,NW,,,,,,$99.43,$0.00,1,1,1,1,1,1,20210101,
E2221,HCPCS,"SOLID CASTER TIRE REPL, EACH",NU,,28,,NW,,,,,,$99.43,$0.00,1,1,1,1,1,1,20210101,
E2221,HCPCS,"SOLID CASTER TIRE REPL, EACH",RR,,28,,NW,,,,,,$7.34,$0.00,1,1,1,1,1,1,20210101,
E2221,HCPCS,"SOLID CASTER TIRE REPL, EACH",UE,,28,,NW,,,,,,$71.26,$0.00,1,1,1,1,1,1,20210101,
E2222,HCPCS,"SOLID CASTER INTEG WHL, REPL",,,28,,NW,,,,,,$81.31,$0.00,1,1,1,1,1,1,20210101,
E2222,HCPCS,"SOLID CASTER INTEG WHL, REPL",NU,,28,,NW,,,,,,$81.31,$0.00,1,1,1,1,1,1,20210101,
E2222,HCPCS,"SOLID CASTER INTEG WHL, REPL",RR,,28,,NW,,,,,,$6.10,$0.00,1,1,1,1,1,1,20210101,
E2222,HCPCS,"SOLID CASTER INTEG WHL, REPL",UE,,28,,NW,,,,,,$56.73,$0.00,1,1,1,1,1,1,20210101,
E2224,HCPCS,PROPULSION WHL EXCL TIRE REP,,,28,,NW,,,,,,$235.26,$0.00,1,1,1,1,1,1,20210101,
E2224,HCPCS,PROPULSION WHL EXCL TIRE REP,NU,,28,,NW,,,,,,$235.26,$0.00,1,1,1,1,1,1,20210101,
E2224,HCPCS,PROPULSION WHL EXCL TIRE REP,RR,,28,,NW,,,,,,$25.87,$0.00,1,1,1,1,1,1,20210101,
E2224,HCPCS,PROPULSION WHL EXCL TIRE REP,UE,,28,,NW,,,,,,$189.84,$0.00,1,1,1,1,1,1,20210101,
E2225,HCPCS,CASTER WHEEL EXCLUDES TIRE,,,28,,NW,,,,,,$65.22,$0.00,1,1,1,1,1,1,20210101,
E2225,HCPCS,CASTER WHEEL EXCLUDES TIRE,NU,,28,,NW,,,,,,$65.22,$0.00,1,1,1,1,1,1,20210101,
E2225,HCPCS,CASTER WHEEL EXCLUDES TIRE,RR,,28,,NW,,,,,,$5.11,$0.00,1,1,1,1,1,1,20210101,
E2225,HCPCS,CASTER WHEEL EXCLUDES TIRE,UE,,28,,NW,,,,,,$44.63,$0.00,1,1,1,1,1,1,20210101,
E2226,HCPCS,CASTER FORK REPLACEMENT ONLY,,,28,,NW,,,,,,$130.70,$0.00,1,1,1,1,1,1,20210101,
E2226,HCPCS,CASTER FORK REPLACEMENT ONLY,NU,,28,,NW,,,,,,$130.70,$0.00,1,1,1,1,1,1,20210101,
E2226,HCPCS,CASTER FORK REPLACEMENT ONLY,RR,,28,,NW,,,,,,$10.84,$0.00,1,1,1,1,1,1,20210101,
E2226,HCPCS,CASTER FORK REPLACEMENT ONLY,UE,,28,,NW,,,,,,$108.04,$0.00,1,1,1,1,1,1,20210101,
E2227,HCPCS,GEAR REDUCTION DRIVE WHEEL,,,28,,NW,,,,,,"$3,621.30",$0.00,1,1,1,1,1,1,20210101,
E2227,HCPCS,GEAR REDUCTION DRIVE WHEEL,RR,,28,,NW,,,,,,$471.37,$0.00,1,1,1,1,1,1,20210101,
E2228,HCPCS,"MWC ACC, WHEELCHAIR BRAKE",,,28,,NW,,,,,,"$1,846.88",$0.00,1,1,1,1,1,1,20210101,
E2228,HCPCS,"MWC ACC, WHEELCHAIR BRAKE",RR,,28,,NW,,,,,,$240.40,$0.00,1,1,1,1,1,1,20210101,
E2230,HCPCS,MANUAL STANDING SYSTEM,,,28,,NW,,,,,,"$1,638.69",$0.00,1,1,1,1,1,1,20210101,
E2231,HCPCS,SOLID SEAT SUPPORT BASE,,,28,,NW,,,,,,$333.87,$0.00,1,1,1,1,1,1,20210101,
E2231,HCPCS,SOLID SEAT SUPPORT BASE,NU,,28,,NW,,,,,,$333.87,$0.00,1,1,1,1,1,1,20210101,
E2231,HCPCS,SOLID SEAT SUPPORT BASE,RR,,28,,NW,,,,,,$46.35,$0.00,1,1,1,1,1,1,20210101,
E2231,HCPCS,SOLID SEAT SUPPORT BASE,UE,,28,,NW,,,,,,$263.87,$0.00,1,1,1,1,1,1,20210101,
E2291,HCPCS,PLANAR BACK FOR PED SIZE WC,,,28,,NW,,,,,,$847.98,$0.00,1,1,1,1,1,1,20210101,
E2292,HCPCS,PLANAR SEAT FOR PED SIZE WC,,,28,,NW,,,,,,$573.50,$0.00,1,1,1,1,1,1,20210101,
E2293,HCPCS,CONTOUR BACK FOR PED SIZE WC,,,28,,NW,,,,,,"$1,144.38",$0.00,1,1,1,1,1,1,20210101,
E2294,HCPCS,CONTOUR SEAT FOR PED SIZE WC,,,28,,NW,,,,,,$871.37,$0.00,1,1,1,1,1,1,20210101,
E2295,HCPCS,PED DYNAMIC SEATING FRAME,,,28,,NW,,,,,,$95.93,$0.00,1,1,1,1,1,1,20210101,
E2300,HCPCS,PWR SEAT ELEVATION SYS,,,28,,NW,,,,,,"$1,109.56",$0.00,1,1,1,1,1,1,20210101,
E2301,HCPCS,PWR STANDING,,,28,,NW,,,,,,"$1,433.00",$0.00,1,1,1,1,1,1,20210101,
E2310,HCPCS,ELECTRO CONNECT BTW CONTROL,,,28,,NW,,,,,,"$2,046.27",$0.00,1,1,1,1,1,1,20210101,
E2310,HCPCS,ELECTRO CONNECT BTW CONTROL,RR,,28,,NW,,,,,,$266.33,$0.00,1,1,1,1,1,1,20210101,
E2311,HCPCS,ELECTRO CONNECT BTW 2 SYS,,,28,,NW,,,,,,"$3,711.50",$0.00,1,1,1,1,1,1,20210101,
E2311,HCPCS,ELECTRO CONNECT BTW 2 SYS,RR,,28,,NW,,,,,,$482.85,$0.00,1,1,1,1,1,1,20210101,
E2312,HCPCS,MINI-PROP REMOTE JOYSTICK,,,28,,NW,,,,,,"$3,871.83",$0.00,1,1,1,1,1,1,20210101,
E2312,HCPCS,MINI-PROP REMOTE JOYSTICK,RR,,28,,NW,,,,,,$503.96,$0.00,1,1,1,1,1,1,20210101,
E2313,HCPCS,"PWC HARNESS, EXPAND CONTROL",,,28,,NW,,,,,,$962.23,$0.00,1,1,1,1,1,1,20210101,
E2313,HCPCS,"PWC HARNESS, EXPAND CONTROL",RR,,28,,NW,,,,,,$125.41,$0.00,1,1,1,1,1,1,20210101,
E2321,HCPCS,HAND INTERFACE JOYSTICK,,,28,,NW,,,,,,"$2,632.26",$0.00,1,1,1,1,1,1,20210101,
E2321,HCPCS,HAND INTERFACE JOYSTICK,RR,,28,,NW,,,,,,$342.52,$0.00,1,1,1,1,1,1,20210101,
E2322,HCPCS,MULT MECH SWITCHES,,,28,,NW,,,,,,"$2,486.26",$0.00,1,1,1,1,1,1,20210101,
E2322,HCPCS,MULT MECH SWITCHES,RR,,28,,NW,,,,,,$323.61,$0.00,1,1,1,1,1,1,20210101,
E2323,HCPCS,SPECIAL JOYSTICK HANDLE,,,28,,NW,,,,,,$185.50,$0.00,1,1,1,1,1,1,20210101,
E2323,HCPCS,SPECIAL JOYSTICK HANDLE,NU,,28,,NW,,,,,,$185.50,$0.00,1,1,1,1,1,1,20210101,
E2323,HCPCS,SPECIAL JOYSTICK HANDLE,RR,,28,,NW,,,,,,$18.58,$0.00,1,1,1,1,1,1,20210101,
E2323,HCPCS,SPECIAL JOYSTICK HANDLE,UE,,28,,NW,,,,,,$152.59,$0.00,1,1,1,1,1,1,20210101,
E2324,HCPCS,CHIN CUP INTERFACE,,,28,,NW,,,,,,$139.64,$0.00,1,1,1,1,1,1,20210101,
E2324,HCPCS,CHIN CUP INTERFACE,NU,,28,,NW,,,,,,$139.64,$0.00,1,1,1,1,1,1,20210101,
E2324,HCPCS,CHIN CUP INTERFACE,RR,,28,,NW,,,,,,$12.07,$0.00,1,1,1,1,1,1,20210101,
E2324,HCPCS,CHIN CUP INTERFACE,UE,,28,,NW,,,,,,$117.34,$0.00,1,1,1,1,1,1,20210101,
E2325,HCPCS,SIP AND PUFF INTERFACE,,,28,,NW,,,,,,"$2,394.24",$0.00,1,1,1,1,1,1,20210101,
E2325,HCPCS,SIP AND PUFF INTERFACE,RR,,28,,NW,,,,,,$311.64,$0.00,1,1,1,1,1,1,20210101,
E2326,HCPCS,BREATH TUBE KIT,,,28,,NW,,,,,,$930.76,$0.00,1,1,1,1,1,1,20210101,
E2326,HCPCS,BREATH TUBE KIT,RR,,28,,NW,,,,,,$121.30,$0.00,1,1,1,1,1,1,20210101,
E2327,HCPCS,HEAD CONTROL INTERFACE MECH,,,28,,NW,,,,,,"$4,283.26",$0.00,1,1,1,1,1,1,20210101,
E2327,HCPCS,HEAD CONTROL INTERFACE MECH,RR,,28,,NW,,,,,,$557.36,$0.00,1,1,1,1,1,1,20210101,
E2328,HCPCS,HEAD/EXTREMITY CONTROL INTER,,,28,,NW,,,,,,"$7,724.75",$0.00,1,1,1,1,1,1,20210101,
E2328,HCPCS,HEAD/EXTREMITY CONTROL INTER,RR,,28,,NW,,,,,,"$1,004.98",$0.00,1,1,1,1,1,1,20210101,
E2329,HCPCS,HEAD CONTROL NONPROPORTIONAL,,,28,,NW,,,,,,"$3,047.10",$0.00,1,1,1,1,1,1,20210101,
E2329,HCPCS,HEAD CONTROL NONPROPORTIONAL,RR,,28,,NW,,,,,,$396.59,$0.00,1,1,1,1,1,1,20210101,
E2330,HCPCS,HEAD CONTROL PROXIMITY SWITC,,,28,,NW,,,,,,"$5,478.85",$0.00,1,1,1,1,1,1,20210101,
E2330,HCPCS,HEAD CONTROL PROXIMITY SWITC,RR,,28,,NW,,,,,,$712.87,$0.00,1,1,1,1,1,1,20210101,
E2331,HCPCS,ATTENDANT CONTROL,,,28,,NW,,,,,,"$1,763.46",$0.00,1,1,1,1,1,1,20210101,
E2340,HCPCS,W/C WDTH 20-23 IN SEAT FRAME,,,28,,NW,,,,,,$868.40,$0.00,1,1,1,1,1,1,20210101,
E2340,HCPCS,W/C WDTH 20-23 IN SEAT FRAME,NU,,28,,NW,,,,,,$868.40,$0.00,1,1,1,1,1,1,20210101,
E2340,HCPCS,W/C WDTH 20-23 IN SEAT FRAME,RR,,28,,NW,,,,,,$135.37,$0.00,1,1,1,1,1,1,20210101,
E2340,HCPCS,W/C WDTH 20-23 IN SEAT FRAME,UE,,28,,NW,,,,,,$664.84,$0.00,1,1,1,1,1,1,20210101,
E2341,HCPCS,W/C WDTH 24-27 IN SEAT FRAME,,,28,,NW,,,,,,"$1,275.75",$0.00,1,1,1,1,1,1,20210101,
E2341,HCPCS,W/C WDTH 24-27 IN SEAT FRAME,NU,,28,,NW,,,,,,"$1,275.75",$0.00,1,1,1,1,1,1,20210101,
E2341,HCPCS,W/C WDTH 24-27 IN SEAT FRAME,RR,,28,,NW,,,,,,$176.06,$0.00,1,1,1,1,1,1,20210101,
E2341,HCPCS,W/C WDTH 24-27 IN SEAT FRAME,UE,,28,,NW,,,,,,$970.30,$0.00,1,1,1,1,1,1,20210101,
E2342,HCPCS,W/C DPTH 20-21 IN SEAT FRAME,,,28,,NW,,,,,,"$1,072.12",$0.00,1,1,1,1,1,1,20210101,
E2342,HCPCS,W/C DPTH 20-21 IN SEAT FRAME,NU,,28,,NW,,,,,,"$1,072.12",$0.00,1,1,1,1,1,1,20210101,
E2342,HCPCS,W/C DPTH 20-21 IN SEAT FRAME,RR,,28,,NW,,,,,,$155.70,$0.00,1,1,1,1,1,1,20210101,
E2342,HCPCS,W/C DPTH 20-21 IN SEAT FRAME,UE,,28,,NW,,,,,,$817.56,$0.00,1,1,1,1,1,1,20210101,
E2343,HCPCS,W/C DPTH 22-25 IN SEAT FRAME,,,28,,NW,,,,,,"$1,683.07",$0.00,1,1,1,1,1,1,20210101,
E2343,HCPCS,W/C DPTH 22-25 IN SEAT FRAME,NU,,28,,NW,,,,,,"$1,683.07",$0.00,1,1,1,1,1,1,20210101,
E2343,HCPCS,W/C DPTH 22-25 IN SEAT FRAME,RR,,28,,NW,,,,,,$216.78,$0.00,1,1,1,1,1,1,20210101,
E2343,HCPCS,W/C DPTH 22-25 IN SEAT FRAME,UE,,28,,NW,,,,,,"$1,275.75",$0.00,1,1,1,1,1,1,20210101,
E2351,HCPCS,ELECTRONIC SGD INTERFACE,,,28,,NW,,,,,,"$1,415.30",$0.00,1,1,1,1,1,1,20210101,
E2351,HCPCS,ELECTRONIC SGD INTERFACE,NU,,28,,NW,,,,,,"$1,415.30",$0.00,1,1,1,1,1,1,20210101,
E2351,HCPCS,ELECTRONIC SGD INTERFACE,RR,,28,,NW,,,,,,$190.03,$0.00,1,1,1,1,1,1,20210101,
E2351,HCPCS,ELECTRONIC SGD INTERFACE,UE,,28,,NW,,,,,,"$1,074.96",$0.00,1,1,1,1,1,1,20210101,
E2358,HCPCS,GR 34 NONSEALED LEADACID,,,28,,NW,,,,,,$347.67,$0.00,1,1,1,1,1,1,20210101,
E2359,HCPCS,GR34 SEALED LEADACID BATTERY,,,28,,NW,,,,,,$386.05,$0.00,1,1,1,1,1,1,20210101,
E2359,HCPCS,GR34 SEALED LEADACID BATTERY,NU,,28,,NW,,,,,,$386.05,$0.00,1,1,1,1,1,1,20210101,
E2359,HCPCS,GR34 SEALED LEADACID BATTERY,RR,,28,,NW,,,,,,$58.32,$0.00,1,1,1,1,1,1,20210101,
E2359,HCPCS,GR34 SEALED LEADACID BATTERY,UE,,28,,NW,,,,,,$303.02,$0.00,1,1,1,1,1,1,20210101,
E2360,HCPCS,22NF NONSEALED LEADACID,,,28,,NW,,,,,,$275.16,$0.00,1,1,1,1,1,1,20210101,
E2360,HCPCS,22NF NONSEALED LEADACID,NU,,28,,NW,,,,,,$275.16,$0.00,1,1,1,1,1,1,20210101,
E2360,HCPCS,22NF NONSEALED LEADACID,RR,,28,,NW,,,,,,$33.04,$0.00,1,1,1,1,1,1,20210101,
E2360,HCPCS,22NF NONSEALED LEADACID,UE,,28,,NW,,,,,,$219.84,$0.00,1,1,1,1,1,1,20210101,
E2361,HCPCS,22NF SEALED LEADACID BATTERY,,,28,,NW,,,,,,$283.18,$0.00,1,1,1,1,1,1,20210101,
E2361,HCPCS,22NF SEALED LEADACID BATTERY,NU,,28,,NW,,,,,,$283.18,$0.00,1,1,1,1,1,1,20210101,
E2361,HCPCS,22NF SEALED LEADACID BATTERY,RR,,28,,NW,,,,,,$34.93,$0.00,1,1,1,1,1,1,20210101,
E2361,HCPCS,22NF SEALED LEADACID BATTERY,UE,,28,,NW,,,,,,$225.86,$0.00,1,1,1,1,1,1,20210101,
E2362,HCPCS,GR24 NONSEALED LEADACID,,,28,,NW,,,,,,$253.12,$0.00,1,1,1,1,1,1,20210101,
E2362,HCPCS,GR24 NONSEALED LEADACID,NU,,28,,NW,,,,,,$253.12,$0.00,1,1,1,1,1,1,20210101,
E2362,HCPCS,GR24 NONSEALED LEADACID,RR,,28,,NW,,,,,,$28.45,$0.00,1,1,1,1,1,1,20210101,
E2362,HCPCS,GR24 NONSEALED LEADACID,UE,,28,,NW,,,,,,$203.30,$0.00,1,1,1,1,1,1,20210101,
E2363,HCPCS,GR24 SEALED LEADACID BATTERY,,,28,,NW,,,,,,$347.49,$0.00,1,1,1,1,1,1,20210101,
E2363,HCPCS,GR24 SEALED LEADACID BATTERY,NU,,28,,NW,,,,,,$347.49,$0.00,1,1,1,1,1,1,20210101,
E2363,HCPCS,GR24 SEALED LEADACID BATTERY,RR,,28,,NW,,,,,,$49.45,$0.00,1,1,1,1,1,1,20210101,
E2363,HCPCS,GR24 SEALED LEADACID BATTERY,UE,,28,,NW,,,,,,$274.09,$0.00,1,1,1,1,1,1,20210101,
E2364,HCPCS,U1NONSEALED LEADACID BATTERY,,,28,,NW,,,,,,$270.36,$0.00,1,1,1,1,1,1,20210101,
E2364,HCPCS,U1NONSEALED LEADACID BATTERY,NU,,28,,NW,,,,,,$270.36,$0.00,1,1,1,1,1,1,20210101,
E2364,HCPCS,U1NONSEALED LEADACID BATTERY,RR,,28,,NW,,,,,,$31.99,$0.00,1,1,1,1,1,1,20210101,
E2364,HCPCS,U1NONSEALED LEADACID BATTERY,UE,,28,,NW,,,,,,$216.24,$0.00,1,1,1,1,1,1,20210101,
E2365,HCPCS,U1 SEALED LEADACID BATTERY,,,28,,NW,,,,,,$213.28,$0.00,1,1,1,1,1,1,20210101,
E2365,HCPCS,U1 SEALED LEADACID BATTERY,NU,,28,,NW,,,,,,$213.28,$0.00,1,1,1,1,1,1,20210101,
E2365,HCPCS,U1 SEALED LEADACID BATTERY,RR,,28,,NW,,,,,,$22.38,$0.00,1,1,1,1,1,1,20210101,
E2365,HCPCS,U1 SEALED LEADACID BATTERY,UE,,28,,NW,,,,,,$173.46,$0.00,1,1,1,1,1,1,20210101,
E2366,HCPCS,"BATTERY CHARGER, SINGLE MODE",,,28,,NW,,,,,,$387.72,$0.00,1,1,1,1,1,1,20210101,
E2366,HCPCS,"BATTERY CHARGER, SINGLE MODE",NU,,28,,NW,,,,,,$387.72,$0.00,1,1,1,1,1,1,20210101,
E2366,HCPCS,"BATTERY CHARGER, SINGLE MODE",RR,,28,,NW,,,,,,$58.39,$0.00,1,1,1,1,1,1,20210101,
E2366,HCPCS,"BATTERY CHARGER, SINGLE MODE",UE,,28,,NW,,,,,,$304.66,$0.00,1,1,1,1,1,1,20210101,
E2367,HCPCS,"BATTERY CHARGER, DUAL MODE",,,28,,NW,,,,,,$765.47,$0.00,1,1,1,1,1,1,20210101,
E2367,HCPCS,"BATTERY CHARGER, DUAL MODE",NU,,28,,NW,,,,,,$765.47,$0.00,1,1,1,1,1,1,20210101,
E2367,HCPCS,"BATTERY CHARGER, DUAL MODE",RR,,28,,NW,,,,,,$125.05,$0.00,1,1,1,1,1,1,20210101,
E2367,HCPCS,"BATTERY CHARGER, DUAL MODE",UE,,28,,NW,,,,,,$587.58,$0.00,1,1,1,1,1,1,20210101,
E2368,HCPCS,PWR WC DRIVEWHEEL MOTOR REPL,,,28,,NW,,,,,,"$1,048.97",$0.00,1,1,1,1,1,1,20210101,
E2368,HCPCS,PWR WC DRIVEWHEEL MOTOR REPL,RR,,28,,NW,,,,,,$136.62,$0.00,1,1,1,1,1,1,20210101,
E2369,HCPCS,PWR WC DRIVEWHEEL GEAR REPL,,,28,,NW,,,,,,$999.97,$0.00,1,1,1,1,1,1,20210101,
E2369,HCPCS,PWR WC DRIVEWHEEL GEAR REPL,RR,,28,,NW,,,,,,$130.27,$0.00,1,1,1,1,1,1,20210101,
E2370,HCPCS,PWR WC DR WH MOTOR/GEAR COMB,,,28,,NW,,,,,,"$1,269.52",$0.00,1,1,1,1,1,1,20210101,
E2370,HCPCS,PWR WC DR WH MOTOR/GEAR COMB,RR,,28,,NW,,,,,,$165.18,$0.00,1,1,1,1,1,1,20210101,
E2371,HCPCS,GR27 SEALED LEADACID BATTERY,,,28,,NW,,,,,,$325.13,$0.00,1,1,1,1,1,1,20210101,
E2371,HCPCS,GR27 SEALED LEADACID BATTERY,NU,,28,,NW,,,,,,$325.13,$0.00,1,1,1,1,1,1,20210101,
E2371,HCPCS,GR27 SEALED LEADACID BATTERY,RR,,28,,NW,,,,,,$44.60,$0.00,1,1,1,1,1,1,20210101,
E2371,HCPCS,GR27 SEALED LEADACID BATTERY,UE,,28,,NW,,,,,,$257.33,$0.00,1,1,1,1,1,1,20210101,
E2372,HCPCS,GR27 NON-SEALED LEADACID,,,28,,NW,,,,,,$210.39,$0.00,1,1,1,1,1,1,20210101,
E2372,HCPCS,GR27 NON-SEALED LEADACID,NU,,28,,NW,,,,,,$210.39,$0.00,1,1,1,1,1,1,20210101,
E2372,HCPCS,GR27 NON-SEALED LEADACID,RR,,28,,NW,,,,,,$22.38,$0.00,1,1,1,1,1,1,20210101,
E2372,HCPCS,GR27 NON-SEALED LEADACID,UE,,28,,NW,,,,,,$158.18,$0.00,1,1,1,1,1,1,20210101,
E2373,HCPCS,HAND/CHIN CTRL SPEC JOYSTICK,,,28,,NW,,,,,,"$1,589.70",$0.00,1,1,1,1,1,1,20210101,
E2373,HCPCS,HAND/CHIN CTRL SPEC JOYSTICK,RR,,28,,NW,,,,,,$207.00,$0.00,1,1,1,1,1,1,20210101,
E2374,HCPCS,HAND/CHIN CTRL STD JOYSTICK,,,28,,NW,,,,,,"$1,164.11",$0.00,1,1,1,1,1,1,20210101,
E2374,HCPCS,HAND/CHIN CTRL STD JOYSTICK,RR,,28,,NW,,,,,,$151.62,$0.00,1,1,1,1,1,1,20210101,
E2375,HCPCS,NON-EXPANDABLE CONTROLLER,,,28,,NW,,,,,,"$1,457.03",$0.00,1,1,1,1,1,1,20210101,
E2375,HCPCS,NON-EXPANDABLE CONTROLLER,RR,,28,,NW,,,,,,$189.65,$0.00,1,1,1,1,1,1,20210101,
E2376,HCPCS,"EXPANDABLE CONTROLLER, REPL",,,28,,NW,,,,,,"$2,283.34",$0.00,1,1,1,1,1,1,20210101,
E2376,HCPCS,"EXPANDABLE CONTROLLER, REPL",RR,,28,,NW,,,,,,$297.15,$0.00,1,1,1,1,1,1,20210101,
E2377,HCPCS,"EXPANDABLE CONTROLLER, INITL",,,28,,NW,,,,,,"$1,102.53",$0.00,1,1,1,1,1,1,20210101,
E2377,HCPCS,"EXPANDABLE CONTROLLER, INITL",RR,,28,,NW,,,,,,$143.62,$0.00,1,1,1,1,1,1,20210101,
E2378,HCPCS,PW ACTUATOR REPLACEMENT,,,28,,NW,,,,,,"$1,253.94",$0.00,1,1,1,1,1,1,20210101,
E2378,HCPCS,PW ACTUATOR REPLACEMENT,RR,,28,,NW,,,,,,$163.34,$0.00,1,1,1,1,1,1,20210101,
E2381,HCPCS,PNEUM DRIVE WHEEL TIRE,,,28,,NW,,,,,,$176.09,$0.00,1,1,1,1,1,1,20210101,
E2381,HCPCS,PNEUM DRIVE WHEEL TIRE,NU,,28,,NW,,,,,,$176.09,$0.00,1,1,1,1,1,1,20210101,
E2381,HCPCS,PNEUM DRIVE WHEEL TIRE,RR,,28,,NW,,,,,,$17.23,$0.00,1,1,1,1,1,1,20210101,
E2381,HCPCS,PNEUM DRIVE WHEEL TIRE,UE,,28,,NW,,,,,,$145.53,$0.00,1,1,1,1,1,1,20210101,
E2382,HCPCS,"TUBE, PNEUM WHEEL DRIVE TIRE",,,28,,NW,,,,,,$64.66,$0.00,1,1,1,1,1,1,20210101,
E2382,HCPCS,"TUBE, PNEUM WHEEL DRIVE TIRE",NU,,28,,NW,,,,,,$64.66,$0.00,1,1,1,1,1,1,20210101,
E2382,HCPCS,"TUBE, PNEUM WHEEL DRIVE TIRE",RR,,28,,NW,,,,,,$5.06,$0.00,1,1,1,1,1,1,20210101,
E2382,HCPCS,"TUBE, PNEUM WHEEL DRIVE TIRE",UE,,28,,NW,,,,,,$44.25,$0.00,1,1,1,1,1,1,20210101,
E2383,HCPCS,"INSERT, PNEUM WHEEL DRIVE",,,28,,NW,,,,,,$306.51,$0.00,1,1,1,1,1,1,20210101,
E2383,HCPCS,"INSERT, PNEUM WHEEL DRIVE",NU,,28,,NW,,,,,,$306.51,$0.00,1,1,1,1,1,1,20210101,
E2383,HCPCS,"INSERT, PNEUM WHEEL DRIVE",RR,,28,,NW,,,,,,$40.23,$0.00,1,1,1,1,1,1,20210101,
E2383,HCPCS,"INSERT, PNEUM WHEEL DRIVE",UE,,28,,NW,,,,,,$243.36,$0.00,1,1,1,1,1,1,20210101,
E2384,HCPCS,PNEUMATIC CASTER TIRE,,,28,,NW,,,,,,$178.42,$0.00,1,1,1,1,1,1,20210101,
E2384,HCPCS,PNEUMATIC CASTER TIRE,NU,,28,,NW,,,,,,$178.42,$0.00,1,1,1,1,1,1,20210101,
E2384,HCPCS,PNEUMATIC CASTER TIRE,RR,,28,,NW,,,,,,$17.54,$0.00,1,1,1,1,1,1,20210101,
E2384,HCPCS,PNEUMATIC CASTER TIRE,UE,,28,,NW,,,,,,$147.29,$0.00,1,1,1,1,1,1,20210101,
E2385,HCPCS,"TUBE, PNEUMATIC CASTER TIRE",,,28,,NW,,,,,,$140.30,$0.00,1,1,1,1,1,1,20210101,
E2385,HCPCS,"TUBE, PNEUMATIC CASTER TIRE",NU,,28,,NW,,,,,,$140.30,$0.00,1,1,1,1,1,1,20210101,
E2385,HCPCS,"TUBE, PNEUMATIC CASTER TIRE",RR,,28,,NW,,,,,,$12.18,$0.00,1,1,1,1,1,1,20210101,
E2385,HCPCS,"TUBE, PNEUMATIC CASTER TIRE",UE,,28,,NW,,,,,,$118.61,$0.00,1,1,1,1,1,1,20210101,
E2386,HCPCS,FOAM FILLED DRIVE WHEEL TIRE,,,28,,NW,,,,,,$267.62,$0.00,1,1,1,1,1,1,20210101,
E2386,HCPCS,FOAM FILLED DRIVE WHEEL TIRE,NU,,28,,NW,,,,,,$267.62,$0.00,1,1,1,1,1,1,20210101,
E2386,HCPCS,FOAM FILLED DRIVE WHEEL TIRE,RR,,28,,NW,,,,,,$31.23,$0.00,1,1,1,1,1,1,20210101,
E2386,HCPCS,FOAM FILLED DRIVE WHEEL TIRE,UE,,28,,NW,,,,,,$214.19,$0.00,1,1,1,1,1,1,20210101,
E2387,HCPCS,FOAM FILLED CASTER TIRE,,,28,,NW,,,,,,$154.35,$0.00,1,1,1,1,1,1,20210101,
E2387,HCPCS,FOAM FILLED CASTER TIRE,NU,,28,,NW,,,,,,$154.35,$0.00,1,1,1,1,1,1,20210101,
E2387,HCPCS,FOAM FILLED CASTER TIRE,RR,,28,,NW,,,,,,$14.14,$0.00,1,1,1,1,1,1,20210101,
E2387,HCPCS,FOAM FILLED CASTER TIRE,UE,,28,,NW,,,,,,$129.24,$0.00,1,1,1,1,1,1,20210101,
E2388,HCPCS,FOAM DRIVE WHEEL TIRE,,,28,,NW,,,,,,$146.75,$0.00,1,1,1,1,1,1,20210101,
E2388,HCPCS,FOAM DRIVE WHEEL TIRE,NU,,28,,NW,,,,,,$146.75,$0.00,1,1,1,1,1,1,20210101,
E2388,HCPCS,FOAM DRIVE WHEEL TIRE,RR,,28,,NW,,,,,,$13.11,$0.00,1,1,1,1,1,1,20210101,
E2388,HCPCS,FOAM DRIVE WHEEL TIRE,UE,,28,,NW,,,,,,$123.55,$0.00,1,1,1,1,1,1,20210101,
E2389,HCPCS,FOAM CASTER TIRE,,,28,,NW,,,,,,$99.26,$0.00,1,1,1,1,1,1,20210101,
E2389,HCPCS,FOAM CASTER TIRE,NU,,28,,NW,,,,,,$99.26,$0.00,1,1,1,1,1,1,20210101,
E2389,HCPCS,FOAM CASTER TIRE,RR,,28,,NW,,,,,,$7.31,$0.00,1,1,1,1,1,1,20210101,
E2389,HCPCS,FOAM CASTER TIRE,UE,,28,,NW,,,,,,$70.99,$0.00,1,1,1,1,1,1,20210101,
E2390,HCPCS,SOLID DRIVE WHEEL TIRE,,,28,,NW,,,,,,$133.98,$0.00,1,1,1,1,1,1,20210101,
E2390,HCPCS,SOLID DRIVE WHEEL TIRE,NU,,28,,NW,,,,,,$133.98,$0.00,1,1,1,1,1,1,20210101,
E2390,HCPCS,SOLID DRIVE WHEEL TIRE,RR,,28,,NW,,,,,,$11.30,$0.00,1,1,1,1,1,1,20210101,
E2390,HCPCS,SOLID DRIVE WHEEL TIRE,UE,,28,,NW,,,,,,$111.51,$0.00,1,1,1,1,1,1,20210101,
E2391,HCPCS,SOLID CASTER TIRE,,,28,,NW,,,,,,$61.97,$0.00,1,1,1,1,1,1,20210101,
E2391,HCPCS,SOLID CASTER TIRE,NU,,28,,NW,,,,,,$61.97,$0.00,1,1,1,1,1,1,20210101,
E2391,HCPCS,SOLID CASTER TIRE,RR,,28,,NW,,,,,,$4.92,$0.00,1,1,1,1,1,1,20210101,
E2391,HCPCS,SOLID CASTER TIRE,UE,,28,,NW,,,,,,$42.22,$0.00,1,1,1,1,1,1,20210101,
E2392,HCPCS,"SOLID CASTER TIRE, INTEGRATE",,,28,,NW,,,,,,$139.59,$0.00,1,1,1,1,1,1,20210101,
E2392,HCPCS,"SOLID CASTER TIRE, INTEGRATE",NU,,28,,NW,,,,,,$139.59,$0.00,1,1,1,1,1,1,20210101,
E2392,HCPCS,"SOLID CASTER TIRE, INTEGRATE",RR,,28,,NW,,,,,,$12.08,$0.00,1,1,1,1,1,1,20210101,
E2392,HCPCS,"SOLID CASTER TIRE, INTEGRATE",UE,,28,,NW,,,,,,$118.14,$0.00,1,1,1,1,1,1,20210101,
E2394,HCPCS,DRIVE WHEEL EXCLUDES TIRE,,,28,,NW,,,,,,$172.26,$0.00,1,1,1,1,1,1,20210101,
E2394,HCPCS,DRIVE WHEEL EXCLUDES TIRE,NU,,28,,NW,,,,,,$172.26,$0.00,1,1,1,1,1,1,20210101,
E2394,HCPCS,DRIVE WHEEL EXCLUDES TIRE,RR,,28,,NW,,,,,,$16.68,$0.00,1,1,1,1,1,1,20210101,
E2394,HCPCS,DRIVE WHEEL EXCLUDES TIRE,UE,,28,,NW,,,,,,$142.67,$0.00,1,1,1,1,1,1,20210101,
E2395,HCPCS,CASTER WHEEL EXCLUDES TIRE,,,28,,NW,,,,,,$141.67,$0.00,1,1,1,1,1,1,20210101,
E2395,HCPCS,CASTER WHEEL EXCLUDES TIRE,NU,,28,,NW,,,,,,$141.67,$0.00,1,1,1,1,1,1,20210101,
E2395,HCPCS,CASTER WHEEL EXCLUDES TIRE,RR,,28,,NW,,,,,,$12.38,$0.00,1,1,1,1,1,1,20210101,
E2395,HCPCS,CASTER WHEEL EXCLUDES TIRE,UE,,28,,NW,,,,,,$119.74,$0.00,1,1,1,1,1,1,20210101,
E2396,HCPCS,CASTER FORK,,,28,,NW,,,,,,$157.88,$0.00,1,1,1,1,1,1,20210101,
E2396,HCPCS,CASTER FORK,NU,,28,,NW,,,,,,$157.88,$0.00,1,1,1,1,1,1,20210101,
E2396,HCPCS,CASTER FORK,RR,,28,,NW,,,,,,$14.84,$0.00,1,1,1,1,1,1,20210101,
E2396,HCPCS,CASTER FORK,UE,,28,,NW,,,,,,$131.90,$0.00,1,1,1,1,1,1,20210101,
E2397,HCPCS,"PWC ACC, LITH-BASED BATTERY",,,28,,NW,,,,,,$913.50,$0.00,1,1,1,1,1,1,20210101,
E2397,HCPCS,"PWC ACC, LITH-BASED BATTERY",NU,,28,,NW,,,,,,$913.50,$0.00,1,1,1,1,1,1,20210101,
E2397,HCPCS,"PWC ACC, LITH-BASED BATTERY",RR,,28,,NW,,,,,,$139.85,$0.00,1,1,1,1,1,1,20210101,
E2397,HCPCS,"PWC ACC, LITH-BASED BATTERY",UE,,28,,NW,,,,,,$698.59,$0.00,1,1,1,1,1,1,20210101,
E2402,HCPCS,NEG PRESS WOUND THERAPY PUMP,,,28,,NW,,,,,,"$11,761.81",$0.00,1,1,1,1,1,1,20210101,
E2402,HCPCS,NEG PRESS WOUND THERAPY PUMP,RR,,28,,NW,,,,,,"$1,522.18",$0.00,1,1,1,1,1,1,20210101,
E2500,HCPCS,SGD DIGITIZED PRE-REC <=8MIN,,,28,,NW,,,,,,$840.18,$0.00,1,1,1,1,1,1,20210101,
E2500,HCPCS,SGD DIGITIZED PRE-REC <=8MIN,NU,,28,,NW,,,,,,$840.18,$0.00,1,1,1,1,1,1,20210101,
E2500,HCPCS,SGD DIGITIZED PRE-REC <=8MIN,RR,,28,,NW,,,,,,$140.66,$0.00,1,1,1,1,1,1,20210101,
E2500,HCPCS,SGD DIGITIZED PRE-REC <=8MIN,UE,,28,,NW,,,,,,$645.87,$0.00,1,1,1,1,1,1,20210101,
E2502,HCPCS,SGD PREREC MSG >8MIN <=20MIN,,,28,,NW,,,,,,"$2,439.72",$0.00,1,1,1,1,1,1,20210101,
E2502,HCPCS,SGD PREREC MSG >8MIN <=20MIN,NU,,28,,NW,,,,,,"$2,439.72",$0.00,1,1,1,1,1,1,20210101,
E2502,HCPCS,SGD PREREC MSG >8MIN <=20MIN,RR,,28,,NW,,,,,,$300.62,$0.00,1,1,1,1,1,1,20210101,
E2502,HCPCS,SGD PREREC MSG >8MIN <=20MIN,UE,,28,,NW,,,,,,"$1,845.57",$0.00,1,1,1,1,1,1,20210101,
E2504,HCPCS,SGD PREREC MSG>20MIN <=40MIN,,,28,,NW,,,,,,"$3,198.26",$0.00,1,1,1,1,1,1,20210101,
E2504,HCPCS,SGD PREREC MSG>20MIN <=40MIN,NU,,28,,NW,,,,,,"$3,198.26",$0.00,1,1,1,1,1,1,20210101,
E2504,HCPCS,SGD PREREC MSG>20MIN <=40MIN,RR,,28,,NW,,,,,,$376.49,$0.00,1,1,1,1,1,1,20210101,
E2504,HCPCS,SGD PREREC MSG>20MIN <=40MIN,UE,,28,,NW,,,,,,"$2,414.44",$0.00,1,1,1,1,1,1,20210101,
E2506,HCPCS,SGD PREREC MSG > 40 MIN,,,28,,NW,,,,,,"$4,660.27",$0.00,1,1,1,1,1,1,20210101,
E2506,HCPCS,SGD PREREC MSG > 40 MIN,NU,,28,,NW,,,,,,"$4,660.27",$0.00,1,1,1,1,1,1,20210101,
E2506,HCPCS,SGD PREREC MSG > 40 MIN,RR,,28,,NW,,,,,,$522.63,$0.00,1,1,1,1,1,1,20210101,
E2506,HCPCS,SGD PREREC MSG > 40 MIN,UE,,28,,NW,,,,,,"$3,510.85",$0.00,1,1,1,1,1,1,20210101,
E2508,HCPCS,SGD SPELLING PHYS CONTACT,,,28,,NW,,,,,,"$7,171.94",$0.00,1,1,1,1,1,1,20210101,
E2508,HCPCS,SGD SPELLING PHYS CONTACT,NU,,28,,NW,,,,,,"$7,171.94",$0.00,1,1,1,1,1,1,20210101,
E2508,HCPCS,SGD SPELLING PHYS CONTACT,RR,,28,,NW,,,,,,$773.82,$0.00,1,1,1,1,1,1,20210101,
E2508,HCPCS,SGD SPELLING PHYS CONTACT,UE,,28,,NW,,,,,,"$5,394.71",$0.00,1,1,1,1,1,1,20210101,
E2510,HCPCS,SGD W MULTI METHODS MSG/ACCS,,,28,,NW,,,,,,"$13,515.81",$0.00,1,1,1,1,1,1,20210101,
E2510,HCPCS,SGD W MULTI METHODS MSG/ACCS,NU,,28,,NW,,,,,,"$13,515.81",$0.00,1,1,1,1,1,1,20210101,
E2510,HCPCS,SGD W MULTI METHODS MSG/ACCS,RR,,28,,NW,,,,,,"$1,408.22",$0.00,1,1,1,1,1,1,20210101,
E2510,HCPCS,SGD W MULTI METHODS MSG/ACCS,UE,,28,,NW,,,,,,"$10,152.56",$0.00,1,1,1,1,1,1,20210101,
E2511,HCPCS,SGD SFTWRE PRGRM FOR PC/PDA,,,28,,NW,,,,,,"$1,269.67",$0.00,1,1,1,1,1,1,20210101,
E2511,HCPCS,SGD SFTWRE PRGRM FOR PC/PDA,NU,,28,,NW,,,,,,"$1,269.67",$0.00,1,1,1,1,1,1,20210101,
E2511,HCPCS,SGD SFTWRE PRGRM FOR PC/PDA,RR,,28,,NW,,,,,,$165.71,$0.00,1,1,1,1,1,1,20210101,
E2511,HCPCS,SGD SFTWRE PRGRM FOR PC/PDA,UE,,28,,NW,,,,,,$970.45,$0.00,1,1,1,1,1,1,20210101,
E2512,HCPCS,"SGD ACCESSORY, MOUNTING SYS",,,28,,NW,,,,,,"$1,953.36",$0.00,1,1,1,1,1,1,20210101,
E2512,HCPCS,"SGD ACCESSORY, MOUNTING SYS",NU,,28,,NW,,,,,,"$1,953.36",$0.00,1,1,1,1,1,1,20210101,
E2512,HCPCS,"SGD ACCESSORY, MOUNTING SYS",RR,,28,,NW,,,,,,$231.95,$0.00,1,1,1,1,1,1,20210101,
E2512,HCPCS,"SGD ACCESSORY, MOUNTING SYS",UE,,28,,NW,,,,,,"$1,465.75",$0.00,1,1,1,1,1,1,20210101,
E2599,HCPCS,SGD ACCESSORY NOC,,,28,,NW,,,,,,$562.32,$0.00,1,1,1,1,1,1,20210101,
E2601,HCPCS,GEN W/C CUSHION WDTH < 22 IN,,,28,,NW,,,,,,$136.04,$0.00,1,1,1,1,1,1,20210101,
E2601,HCPCS,GEN W/C CUSHION WDTH < 22 IN,NU,,28,,NW,,,,,,$136.04,$0.00,1,1,1,1,1,1,20210101,
E2601,HCPCS,GEN W/C CUSHION WDTH < 22 IN,RR,,28,,NW,,,,,,$11.53,$0.00,1,1,1,1,1,1,20210101,
E2601,HCPCS,GEN W/C CUSHION WDTH < 22 IN,UE,,28,,NW,,,,,,$115.19,$0.00,1,1,1,1,1,1,20210101,
E2602,HCPCS,GEN W/C CUSHION WDTH >=22 IN,,,28,,NW,,,,,,$227.24,$0.00,1,1,1,1,1,1,20210101,
E2602,HCPCS,GEN W/C CUSHION WDTH >=22 IN,NU,,28,,NW,,,,,,$227.24,$0.00,1,1,1,1,1,1,20210101,
E2602,HCPCS,GEN W/C CUSHION WDTH >=22 IN,RR,,28,,NW,,,,,,$24.36,$0.00,1,1,1,1,1,1,20210101,
E2602,HCPCS,GEN W/C CUSHION WDTH >=22 IN,UE,,28,,NW,,,,,,$183.90,$0.00,1,1,1,1,1,1,20210101,
E2603,HCPCS,SKIN PROTECT WC CUS WD <22IN,,,28,,NW,,,,,,$268.41,$0.00,1,1,1,1,1,1,20210101,
E2603,HCPCS,SKIN PROTECT WC CUS WD <22IN,NU,,28,,NW,,,,,,$268.41,$0.00,1,1,1,1,1,1,20210101,
E2603,HCPCS,SKIN PROTECT WC CUS WD <22IN,RR,,28,,NW,,,,,,$31.41,$0.00,1,1,1,1,1,1,20210101,
E2603,HCPCS,SKIN PROTECT WC CUS WD <22IN,UE,,28,,NW,,,,,,$214.78,$0.00,1,1,1,1,1,1,20210101,
E2604,HCPCS,SKIN PROTECT WC CUS WD>=22IN,,,28,,NW,,,,,,$348.72,$0.00,1,1,1,1,1,1,20210101,
E2604,HCPCS,SKIN PROTECT WC CUS WD>=22IN,NU,,28,,NW,,,,,,$348.72,$0.00,1,1,1,1,1,1,20210101,
E2604,HCPCS,SKIN PROTECT WC CUS WD>=22IN,RR,,28,,NW,,,,,,$49.72,$0.00,1,1,1,1,1,1,20210101,
E2604,HCPCS,SKIN PROTECT WC CUS WD>=22IN,UE,,28,,NW,,,,,,$275.03,$0.00,1,1,1,1,1,1,20210101,
E2605,HCPCS,POSITION WC CUSH WDTH <22 IN,,,28,,NW,,,,,,$477.49,$0.00,1,1,1,1,1,1,20210101,
E2605,HCPCS,POSITION WC CUSH WDTH <22 IN,NU,,28,,NW,,,,,,$477.49,$0.00,1,1,1,1,1,1,20210101,
E2605,HCPCS,POSITION WC CUSH WDTH <22 IN,RR,,28,,NW,,,,,,$78.91,$0.00,1,1,1,1,1,1,20210101,
E2605,HCPCS,POSITION WC CUSH WDTH <22 IN,UE,,28,,NW,,,,,,$371.60,$0.00,1,1,1,1,1,1,20210101,
E2606,HCPCS,POSITION WC CUSH WDTH>=22 IN,,,28,,NW,,,,,,$730.69,$0.00,1,1,1,1,1,1,20210101,
E2606,HCPCS,POSITION WC CUSH WDTH>=22 IN,NU,,28,,NW,,,,,,$730.69,$0.00,1,1,1,1,1,1,20210101,
E2606,HCPCS,POSITION WC CUSH WDTH>=22 IN,RR,,28,,NW,,,,,,$121.57,$0.00,1,1,1,1,1,1,20210101,
E2606,HCPCS,POSITION WC CUSH WDTH>=22 IN,UE,,28,,NW,,,,,,$561.49,$0.00,1,1,1,1,1,1,20210101,
E2607,HCPCS,SKIN PRO/POS WC CUS WD <22IN,,,28,,NW,,,,,,$476.09,$0.00,1,1,1,1,1,1,20210101,
E2607,HCPCS,SKIN PRO/POS WC CUS WD <22IN,NU,,28,,NW,,,,,,$476.09,$0.00,1,1,1,1,1,1,20210101,
E2607,HCPCS,SKIN PRO/POS WC CUS WD <22IN,RR,,28,,NW,,,,,,$78.39,$0.00,1,1,1,1,1,1,20210101,
E2607,HCPCS,SKIN PRO/POS WC CUS WD <22IN,UE,,28,,NW,,,,,,$370.55,$0.00,1,1,1,1,1,1,20210101,
E2608,HCPCS,SKIN PRO/POS WC CUS WD>=22IN,,,28,,NW,,,,,,$581.69,$0.00,1,1,1,1,1,1,20210101,
E2608,HCPCS,SKIN PRO/POS WC CUS WD>=22IN,NU,,28,,NW,,,,,,$581.69,$0.00,1,1,1,1,1,1,20210101,
E2608,HCPCS,SKIN PRO/POS WC CUS WD>=22IN,RR,,28,,NW,,,,,,$101.34,$0.00,1,1,1,1,1,1,20210101,
E2608,HCPCS,SKIN PRO/POS WC CUS WD>=22IN,UE,,28,,NW,,,,,,$449.75,$0.00,1,1,1,1,1,1,20210101,
E2609,HCPCS,CUSTOM FABRICATE W/C CUSHION,,,28,,NW,,,,,,"$1,893.16",$0.00,1,1,1,1,1,1,20210101,
E2610,HCPCS,POWERED W/C CUSHION,,,28,,NW,,,,,,$506.26,$0.00,1,1,1,1,1,1,20210101,
E2611,HCPCS,GEN USE BACK CUSH WDTH <22IN,,,28,,NW,,,,,,$408.05,$0.00,1,1,1,1,1,1,20210101,
E2611,HCPCS,GEN USE BACK CUSH WDTH <22IN,NU,,28,,NW,,,,,,$408.05,$0.00,1,1,1,1,1,1,20210101,
E2611,HCPCS,GEN USE BACK CUSH WDTH <22IN,RR,,28,,NW,,,,,,$62.30,$0.00,1,1,1,1,1,1,20210101,
E2611,HCPCS,GEN USE BACK CUSH WDTH <22IN,UE,,28,,NW,,,,,,$319.51,$0.00,1,1,1,1,1,1,20210101,
E2612,HCPCS,GEN USE BACK CUSH WDTH>=22IN,,,28,,NW,,,,,,$682.30,$0.00,1,1,1,1,1,1,20210101,
E2612,HCPCS,GEN USE BACK CUSH WDTH>=22IN,NU,,28,,NW,,,,,,$682.30,$0.00,1,1,1,1,1,1,20210101,
E2612,HCPCS,GEN USE BACK CUSH WDTH>=22IN,RR,,28,,NW,,,,,,$116.40,$0.00,1,1,1,1,1,1,20210101,
E2612,HCPCS,GEN USE BACK CUSH WDTH>=22IN,UE,,28,,NW,,,,,,$525.19,$0.00,1,1,1,1,1,1,20210101,
E2613,HCPCS,POSITION BACK CUSH WD <22IN,,,28,,NW,,,,,,$673.43,$0.00,1,1,1,1,1,1,20210101,
E2613,HCPCS,POSITION BACK CUSH WD <22IN,NU,,28,,NW,,,,,,$673.43,$0.00,1,1,1,1,1,1,20210101,
E2613,HCPCS,POSITION BACK CUSH WD <22IN,RR,,28,,NW,,,,,,$114.83,$0.00,1,1,1,1,1,1,20210101,
E2613,HCPCS,POSITION BACK CUSH WD <22IN,UE,,28,,NW,,,,,,$518.54,$0.00,1,1,1,1,1,1,20210101,
E2614,HCPCS,POSITION BACK CUSH WD>=22IN,,,28,,NW,,,,,,$959.22,$0.00,1,1,1,1,1,1,20210101,
E2614,HCPCS,POSITION BACK CUSH WD>=22IN,NU,,28,,NW,,,,,,$959.22,$0.00,1,1,1,1,1,1,20210101,
E2614,HCPCS,POSITION BACK CUSH WD>=22IN,RR,,28,,NW,,,,,,$144.42,$0.00,1,1,1,1,1,1,20210101,
E2614,HCPCS,POSITION BACK CUSH WD>=22IN,UE,,28,,NW,,,,,,$732.89,$0.00,1,1,1,1,1,1,20210101,
E2615,HCPCS,POS BACK POST/LAT WDTH <22IN,,,28,,NW,,,,,,$764.27,$0.00,1,1,1,1,1,1,20210101,
E2615,HCPCS,POS BACK POST/LAT WDTH <22IN,NU,,28,,NW,,,,,,$764.27,$0.00,1,1,1,1,1,1,20210101,
E2615,HCPCS,POS BACK POST/LAT WDTH <22IN,RR,,28,,NW,,,,,,$124.93,$0.00,1,1,1,1,1,1,20210101,
E2615,HCPCS,POS BACK POST/LAT WDTH <22IN,UE,,28,,NW,,,,,,$586.68,$0.00,1,1,1,1,1,1,20210101,
E2616,HCPCS,POS BACK POST/LAT WDTH>=22IN,,,28,,NW,,,,,,"$1,012.58",$0.00,1,1,1,1,1,1,20210101,
E2616,HCPCS,POS BACK POST/LAT WDTH>=22IN,NU,,28,,NW,,,,,,"$1,012.58",$0.00,1,1,1,1,1,1,20210101,
E2616,HCPCS,POS BACK POST/LAT WDTH>=22IN,RR,,28,,NW,,,,,,$149.75,$0.00,1,1,1,1,1,1,20210101,
E2616,HCPCS,POS BACK POST/LAT WDTH>=22IN,UE,,28,,NW,,,,,,$772.91,$0.00,1,1,1,1,1,1,20210101,
E2617,HCPCS,CUSTOM FAB W/C BACK CUSHION,,,28,,NW,,,,,,"$2,179.14",$0.00,1,1,1,1,1,1,20210101,
E2619,HCPCS,REPLACE COVER W/C SEAT CUSH,,,28,,NW,,,,,,$149.33,$0.00,1,1,1,1,1,1,20210101,
E2619,HCPCS,REPLACE COVER W/C SEAT CUSH,NU,,28,,NW,,,,,,$149.33,$0.00,1,1,1,1,1,1,20210101,
E2619,HCPCS,REPLACE COVER W/C SEAT CUSH,RR,,28,,NW,,,,,,$13.47,$0.00,1,1,1,1,1,1,20210101,
E2619,HCPCS,REPLACE COVER W/C SEAT CUSH,UE,,28,,NW,,,,,,$125.48,$0.00,1,1,1,1,1,1,20210101,
E2620,HCPCS,WC PLANAR BACK CUSH WD <22IN,,,28,,NW,,,,,,$838.98,$0.00,1,1,1,1,1,1,20210101,
E2620,HCPCS,WC PLANAR BACK CUSH WD <22IN,NU,,28,,NW,,,,,,$838.98,$0.00,1,1,1,1,1,1,20210101,
E2620,HCPCS,WC PLANAR BACK CUSH WD <22IN,RR,,28,,NW,,,,,,$132.40,$0.00,1,1,1,1,1,1,20210101,
E2620,HCPCS,WC PLANAR BACK CUSH WD <22IN,UE,,28,,NW,,,,,,$642.71,$0.00,1,1,1,1,1,1,20210101,
E2621,HCPCS,WC PLANAR BACK CUSH WD>=22IN,,,28,,NW,,,,,,$959.43,$0.00,1,1,1,1,1,1,20210101,
E2621,HCPCS,WC PLANAR BACK CUSH WD>=22IN,NU,,28,,NW,,,,,,$959.43,$0.00,1,1,1,1,1,1,20210101,
E2621,HCPCS,WC PLANAR BACK CUSH WD>=22IN,RR,,28,,NW,,,,,,$144.44,$0.00,1,1,1,1,1,1,20210101,
E2621,HCPCS,WC PLANAR BACK CUSH WD>=22IN,UE,,28,,NW,,,,,,$733.04,$0.00,1,1,1,1,1,1,20210101,
E2622,HCPCS,ADJ SKIN PRO W/C CUS WD<22IN,,,28,,NW,,,,,,$661.26,$0.00,1,1,1,1,1,1,20210101,
E2622,HCPCS,ADJ SKIN PRO W/C CUS WD<22IN,NU,,28,,NW,,,,,,$661.26,$0.00,1,1,1,1,1,1,20210101,
E2622,HCPCS,ADJ SKIN PRO W/C CUS WD<22IN,RR,,28,,NW,,,,,,$112.58,$0.00,1,1,1,1,1,1,20210101,
E2622,HCPCS,ADJ SKIN PRO W/C CUS WD<22IN,UE,,28,,NW,,,,,,$509.40,$0.00,1,1,1,1,1,1,20210101,
E2623,HCPCS,ADJ SKIN PRO WC CUS WD>=22IN,,,28,,NW,,,,,,$822.80,$0.00,1,1,1,1,1,1,20210101,
E2623,HCPCS,ADJ SKIN PRO WC CUS WD>=22IN,NU,,28,,NW,,,,,,$822.80,$0.00,1,1,1,1,1,1,20210101,
E2623,HCPCS,ADJ SKIN PRO WC CUS WD>=22IN,RR,,28,,NW,,,,,,$130.78,$0.00,1,1,1,1,1,1,20210101,
E2623,HCPCS,ADJ SKIN PRO WC CUS WD>=22IN,UE,,28,,NW,,,,,,$630.57,$0.00,1,1,1,1,1,1,20210101,
E2624,HCPCS,ADJ SKIN PRO/POS CUS<22IN,,,28,,NW,,,,,,$670.21,$0.00,1,1,1,1,1,1,20210101,
E2624,HCPCS,ADJ SKIN PRO/POS CUS<22IN,NU,,28,,NW,,,,,,$670.21,$0.00,1,1,1,1,1,1,20210101,
E2624,HCPCS,ADJ SKIN PRO/POS CUS<22IN,RR,,28,,NW,,,,,,$113.87,$0.00,1,1,1,1,1,1,20210101,
E2624,HCPCS,ADJ SKIN PRO/POS CUS<22IN,UE,,28,,NW,,,,,,$516.15,$0.00,1,1,1,1,1,1,20210101,
E2625,HCPCS,ADJ SKIN PRO/POS WC CUS>=22,,,28,,NW,,,,,,$819.75,$0.00,1,1,1,1,1,1,20210101,
E2625,HCPCS,ADJ SKIN PRO/POS WC CUS>=22,NU,,28,,NW,,,,,,$819.75,$0.00,1,1,1,1,1,1,20210101,
E2625,HCPCS,ADJ SKIN PRO/POS WC CUS>=22,RR,,28,,NW,,,,,,$130.47,$0.00,1,1,1,1,1,1,20210101,
E2625,HCPCS,ADJ SKIN PRO/POS WC CUS>=22,UE,,28,,NW,,,,,,$628.28,$0.00,1,1,1,1,1,1,20210101,
E2626,HCPCS,SEO MOBILE ARM SUP ATT TO WC,,,28,,NW,,,,,,"$1,303.90",$0.00,1,1,1,1,1,1,20210101,
E2626,HCPCS,SEO MOBILE ARM SUP ATT TO WC,NU,,28,,NW,,,,,,"$1,303.90",$0.00,1,1,1,1,1,1,20210101,
E2626,HCPCS,SEO MOBILE ARM SUP ATT TO WC,RR,,28,,NW,,,,,,$178.88,$0.00,1,1,1,1,1,1,20210101,
E2626,HCPCS,SEO MOBILE ARM SUP ATT TO WC,UE,,28,,NW,,,,,,$991.38,$0.00,1,1,1,1,1,1,20210101,
E2627,HCPCS,ARM SUPP ATT TO WC RANCHO TY,,,28,,NW,,,,,,"$1,986.44",$0.00,1,1,1,1,1,1,20210101,
E2627,HCPCS,ARM SUPP ATT TO WC RANCHO TY,NU,,28,,NW,,,,,,"$1,986.44",$0.00,1,1,1,1,1,1,20210101,
E2627,HCPCS,ARM SUPP ATT TO WC RANCHO TY,RR,,28,,NW,,,,,,$247.16,$0.00,1,1,1,1,1,1,20210101,
E2627,HCPCS,ARM SUPP ATT TO WC RANCHO TY,UE,,28,,NW,,,,,,"$1,503.29",$0.00,1,1,1,1,1,1,20210101,
E2628,HCPCS,MOBILE ARM SUPPORTS RECLININ,,,28,,NW,,,,,,"$1,544.25",$0.00,1,1,1,1,1,1,20210101,
E2628,HCPCS,MOBILE ARM SUPPORTS RECLININ,NU,,28,,NW,,,,,,"$1,544.25",$0.00,1,1,1,1,1,1,20210101,
E2628,HCPCS,MOBILE ARM SUPPORTS RECLININ,RR,,28,,NW,,,,,,$202.92,$0.00,1,1,1,1,1,1,20210101,
E2628,HCPCS,MOBILE ARM SUPPORTS RECLININ,UE,,28,,NW,,,,,,"$1,171.66",$0.00,1,1,1,1,1,1,20210101,
E2629,HCPCS,FRICTION DAMPENING ARM SUPP,,,28,,NW,,,,,,"$1,952.30",$0.00,1,1,1,1,1,1,20210101,
E2629,HCPCS,FRICTION DAMPENING ARM SUPP,NU,,28,,NW,,,,,,"$1,952.30",$0.00,1,1,1,1,1,1,20210101,
E2629,HCPCS,FRICTION DAMPENING ARM SUPP,RR,,28,,NW,,,,,,$243.72,$0.00,1,1,1,1,1,1,20210101,
E2629,HCPCS,FRICTION DAMPENING ARM SUPP,UE,,28,,NW,,,,,,"$1,477.69",$0.00,1,1,1,1,1,1,20210101,
E2630,HCPCS,MONOSUSPENSION ARM/HAND SUPP,,,28,,NW,,,,,,"$1,344.75",$0.00,1,1,1,1,1,1,20210101,
E2630,HCPCS,MONOSUSPENSION ARM/HAND SUPP,NU,,28,,NW,,,,,,"$1,344.75",$0.00,1,1,1,1,1,1,20210101,
E2630,HCPCS,MONOSUSPENSION ARM/HAND SUPP,RR,,28,,NW,,,,,,$182.98,$0.00,1,1,1,1,1,1,20210101,
E2630,HCPCS,MONOSUSPENSION ARM/HAND SUPP,UE,,28,,NW,,,,,,"$1,022.04",$0.00,1,1,1,1,1,1,20210101,
E2631,HCPCS,ELEVAT PROXIMAL ARM SUPPORT,,,28,,NW,,,,,,$587.01,$0.00,1,1,1,1,1,1,20210101,
E2631,HCPCS,ELEVAT PROXIMAL ARM SUPPORT,NU,,28,,NW,,,,,,$587.01,$0.00,1,1,1,1,1,1,20210101,
E2631,HCPCS,ELEVAT PROXIMAL ARM SUPPORT,RR,,28,,NW,,,,,,$101.68,$0.00,1,1,1,1,1,1,20210101,
E2631,HCPCS,ELEVAT PROXIMAL ARM SUPPORT,UE,,28,,NW,,,,,,$453.73,$0.00,1,1,1,1,1,1,20210101,
E2632,HCPCS,OFFSET/LAT ROCKER ARM W/ELA,,,28,,NW,,,,,,$388.64,$0.00,1,1,1,1,1,1,20210101,
E2632,HCPCS,OFFSET/LAT ROCKER ARM W/ELA,NU,,28,,NW,,,,,,$388.64,$0.00,1,1,1,1,1,1,20210101,
E2632,HCPCS,OFFSET/LAT ROCKER ARM W/ELA,RR,,28,,NW,,,,,,$58.99,$0.00,1,1,1,1,1,1,20210101,
E2632,HCPCS,OFFSET/LAT ROCKER ARM W/ELA,UE,,28,,NW,,,,,,$304.95,$0.00,1,1,1,1,1,1,20210101,
E2633,HCPCS,MOBILE ARM SUPPORT SUPINATOR,,,28,,NW,,,,,,$331.17,$0.00,1,1,1,1,1,1,20210101,
E2633,HCPCS,MOBILE ARM SUPPORT SUPINATOR,NU,,28,,NW,,,,,,$331.17,$0.00,1,1,1,1,1,1,20210101,
E2633,HCPCS,MOBILE ARM SUPPORT SUPINATOR,RR,,28,,NW,,,,,,$45.89,$0.00,1,1,1,1,1,1,20210101,
E2633,HCPCS,MOBILE ARM SUPPORT SUPINATOR,UE,,28,,NW,,,,,,$261.84,$0.00,1,1,1,1,1,1,20210101,
E8000,HCPCS,POSTERIOR GAIT TRAINER,,,28,,NW,,,,,,"$2,616.89",$0.00,1,1,1,1,1,1,20210101,
E8001,HCPCS,UPRIGHT GAIT TRAINER,,,28,,NW,,,,,,"$5,326.51",$0.00,1,1,1,1,1,1,20210101,
E8002,HCPCS,ANTERIOR GAIT TRAINER,,,28,,NW,,,,,,"$4,541.30",$0.00,1,1,1,1,1,1,20210101,
G0008,HCPCS,ADMIN INFLUENZA VIRUS VAC,,,9,,TotalUnits,,,,0.38 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
G0009,HCPCS,ADMIN PNEUMOCOCCAL VACCINE,,,9,,TotalUnits,,,,0.40 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
G0010,HCPCS,ADMIN HEPATITIS B VACCINE,,,9,,TotalUnits,,,,0.43 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
G0027,HCPCS,SEMEN ANALYSIS,,,17,,TotalUnits,,,,0.18 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
G0068,HCPCS,ADM OF INFUSION DRUG IN HOME,,,28,,NW,,,,,,$290.19,$0.00,1,1,1,1,1,1,20210101,
G0069,HCPCS,ADM OF IMMUNE DRUG IN HOME,,,28,,NW,,,,,,$409.04,$0.00,1,1,1,1,1,1,20210101,
G0070,HCPCS,ADM OF CHEMO DRUG IN HOME,,,28,,NW,,,,,,$452.96,$0.00,1,1,1,1,1,1,20210101,
G0071,HCPCS,COMM SVCS BY RHC/FQHC 5 MIN,,,15,,RBRVS,0.40 ,0.25 ,0.25 ,,,$0.00,$0.00,1,1,1,1,1,1,20210101,
G0076,HCPCS,CARE MANAG H VST NEW PT 20 M,,,15,,RBRVS,1.01 ,0.48 ,0.48 ,,,$0.00,$0.00,1,1,1,1,1,1,20210101,
G0077,HCPCS,CARE MANAG H VST NEW PT 30 M,,,15,,RBRVS,1.52 ,0.61 ,0.61 ,,,$0.00,$0.00,1,1,1,1,1,1,20210101,
G0078,HCPCS,CARE MANAG H VST NEW PT 45 M,,,15,,RBRVS,2.53 ,0.97 ,0.97 ,,,$0.00,$0.00,1,1,1,1,1,1,20210101,
G0079,HCPCS,CARE MANAG H VST NEW PT 60 M,,,15,,RBRVS,3.38 ,1.55 ,1.55 ,,,$0.00,$0.00,1,1,1,1,1,1,20210101,
G0080,HCPCS,CARE MANAG H VST NEW PT 75 M,,,15,,RBRVS,4.09 ,1.90 ,1.90 ,,,$0.00,$0.00,1,1,1,1,1,1,20210101,
G0081,HCPCS,CARE MAN H V EXT PT 20 MI,,,15,,RBRVS,1.00 ,0.49 ,0.49 ,,,$0.00,$0.00,1,1,1,1,1,1,20210101,
G0082,HCPCS,CARE MAN H V EXT PT 30 M,,,15,,RBRVS,1.56 ,0.72 ,0.72 ,,,$0.00,$0.00,1,1,1,1,1,1,20210101,
G0083,HCPCS,CARE MAN H V EXT PT 45 M,,,15,,RBRVS,2.33 ,1.17 ,1.17 ,,,$0.00,$0.00,1,1,1,1,1,1,20210101,
G0084,HCPCS,CARE MAN H V EXT PT 60 M,,,15,,RBRVS,3.28 ,1.56 ,1.56 ,,,$0.00,$0.00,1,1,1,1,1,1,20210101,
G0085,HCPCS,CARE MAN H V EXT PT 75 M,,,15,,RBRVS,4.09 ,1.90 ,1.90 ,,,$0.00,$0.00,1,1,1,1,1,1,20210101,
G0086,HCPCS,CARE MAN HOME CARE PLAN 30 M,,,15,,RBRVS,1.25 ,0.85 ,0.85 ,,,$0.00,$0.00,1,1,1,1,1,1,20210101,
G0087,HCPCS,CARE MAN HOME CARE PLAN 60 M,,,15,,RBRVS,1.80 ,1.12 ,1.12 ,,,$0.00,$0.00,1,1,1,1,1,1,20210101,
G0101,HCPCS,CA SCREEN;PELVIC/BREAST EXAM,,,18,,RBRVS,0.45 ,0.28 ,0.60 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
G0102,HCPCS,PROSTATE CA SCREENING; DRE,,,18,,RBRVS,0.17 ,0.07 ,0.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
G0103,HCPCS,PSA SCREENING,,,17,,TotalUnits,,,,0.54 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
G0104,HCPCS,CA SCREEN;FLEXI SIGMOIDSCOPE,,,21,,RBRVS,0.84 ,0.66 ,4.03 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
G0105,HCPCS,COLORECTAL SCRN; HI RISK IND,,,21,,RBRVS,3.26 ,1.68 ,5.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
G0106,HCPCS,COLON CA SCREEN;BARIUM ENEMA,,,20,,RBRVS,0.99 ,4.91 ,4.91 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
G0106,HCPCS,COLON CA SCREEN;BARIUM ENEMA,26,,20,,RBRVS,0.99 ,0.46 ,0.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
G0106,HCPCS,COLON CA SCREEN;BARIUM ENEMA,TC,,20,,RBRVS,,4.45 ,4.45 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
G0108,HCPCS,DIAB MANAGE TRN PER INDIV',,,14,,RBRVS,0.90 ,0.63 ,0.63 ,,,$0.00,$0.00,1,1,1,1,1,1,20210101,
G0109,HCPCS,DIAB MANAGE TRN IND/GROUP,,,14,,RBRVS,0.25 ,0.18 ,0.18 ,,,$0.00,$0.00,1,1,1,1,1,1,20210101,
G0117,HCPCS,GLAUCOMA SCRN HGH RISK DIREC,,,14,,RBRVS,0.45 ,1.10 ,1.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
G0118,HCPCS,GLAUCOMA SCRN HGH RISK DIREC,,,14,,RBRVS,0.17 ,1.04 ,1.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
G0120,HCPCS,COLON CA SCRN; BARIUM ENEMA,,,20,,RBRVS,0.99 ,4.91 ,4.91 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
G0120,HCPCS,COLON CA SCRN; BARIUM ENEMA,26,,20,,RBRVS,0.99 ,0.46 ,0.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
G0120,HCPCS,COLON CA SCRN; BARIUM ENEMA,TC,,20,,RBRVS,,4.45 ,4.45 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
G0121,HCPCS,COLON CA SCRN NOT HI RSK IND,,,21,,RBRVS,3.26 ,1.68 ,5.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
G0122,HCPCS,COLON CA SCRN; BARIUM ENEMA,,,20,,RBRVS,0.99 ,7.71 ,7.71 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
G0122,HCPCS,COLON CA SCRN; BARIUM ENEMA,26,,20,,RBRVS,0.99 ,0.38 ,0.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
G0122,HCPCS,COLON CA SCRN; BARIUM ENEMA,TC,,20,,RBRVS,,7.33 ,7.33 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
G0123,HCPCS,SCREEN CERV/VAG THIN LAYER,,,17,,TotalUnits,,,,0.56 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
G0124,HCPCS,SCREEN C/V THIN LAYER BY MD,,,17,,RBRVS,0.26 ,0.46 ,0.46 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
G0127,HCPCS,TRIM NAIL(S),,,21,,RBRVS,0.17 ,0.04 ,0.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
G0128,HCPCS,CORF SKILLED NURSING SERVICE,,TC,14,,RBRVS,,0.20 ,0.20 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
G0129,HCPCS,PARTIAL HOSP PROG SERVICE,,,19,,TotalUnits,,,,2.60 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
G0130,HCPCS,SINGLE ENERGY X-RAY STUDY,,,20,,RBRVS,0.22 ,0.75 ,0.75 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
G0130,HCPCS,SINGLE ENERGY X-RAY STUDY,26,,20,,RBRVS,0.22 ,0.09 ,0.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
G0130,HCPCS,SINGLE ENERGY X-RAY STUDY,TC,,20,,RBRVS,,0.66 ,0.66 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
G0141,HCPCS,"SCR C/V CYTO,AUTOSYS AND MD",,,17,,RBRVS,0.26 ,0.46 ,0.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
G0143,HCPCS,"SCR C/V CYTO,THINLAYER,RESCR",,,17,,TotalUnits,,,,0.75 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
G0144,HCPCS,"SCR C/V CYTO,THINLAYER,RESCR",,,17,,TotalUnits,,,,1.22 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
G0145,HCPCS,"SCR C/V CYTO,THINLAYER,RESCR",,,17,,TotalUnits,,,,0.73 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
G0147,HCPCS,"SCR C/V CYTO, AUTOMATED SYS",,,17,,TotalUnits,,,,0.42 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
G0148,HCPCS,"SCR C/V CYTO, AUTOSYS, RESCR",,,17,,TotalUnits,,,,0.89 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
G0151,HCPCS,"HHCP-SERV OF PT,EA 15 MIN",,,14,,TotalUnits,,,,1.78 ,,$0.00,$0.00,1,1,1,0,0,1,20210101,
G0152,HCPCS,"HHCP-SERV OF OT,EA 15 MIN",,,14,,TotalUnits,,,,1.87 ,,$0.00,$0.00,1,1,1,0,0,1,20210101,
G0153,HCPCS,"HHCP-SVS OF S/L PATH,EA 15MN",,,14,,TotalUnits,,,,1.90 ,,$0.00,$0.00,1,1,1,0,0,1,20210101,
G0155,HCPCS,"HHCP-SVS OF CSW,EA 15 MIN",,,14,,TotalUnits,,,,2.11 ,,$0.00,$0.00,1,1,1,1,1,1,20210101,
G0156,HCPCS,"HHCP-SVS OF AIDE,EA 15 MIN",,,14,,TotalUnits,,,,0.07 ,,$0.00,$0.00,1,1,1,1,1,1,20210101,
G0157,HCPCS,HHC PT ASSISTANT EA 15,,,14,,TotalUnits,,,,0.21 ,,$0.00,$0.00,1,1,1,1,1,1,20210101,
G0158,HCPCS,HHC OT ASSISTANT EA 15,,,14,,TotalUnits,,,,0.34 ,,$0.00,$0.00,1,1,1,1,1,1,20210101,
G0159,HCPCS,HHC PT MAINT EA 15 MIN,,,14,,TotalUnits,,,,0.21 ,,$0.00,$0.00,1,1,1,1,1,1,20210101,
G0160,HCPCS,HHC OCCUP THERAPY EA 15,,,14,,TotalUnits,,,,0.34 ,,$0.00,$0.00,1,1,1,1,1,1,20210101,
G0161,HCPCS,HHC SLP EA 15 MIN,,,14,,TotalUnits,,,,0.24 ,,$0.00,$0.00,1,1,1,1,1,1,20210101,
G0162,HCPCS,"HHC RN E&M PLAN SVS, 15 MIN",,,14,,TotalUnits,,,,0.33 ,,$0.00,$0.00,1,1,1,1,1,1,20210101,
G0166,HCPCS,"EXTRNL COUNTERPULSE, PER TX",,,14,,RBRVS,,2.86 ,2.86 ,,,$0.00,$0.00,1,1,1,0,0,1,20210101,
G0168,HCPCS,WOUND CLOSURE BY ADHESIVE,,,21,,RBRVS,0.31 ,0.17 ,2.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
G0175,HCPCS,"OPPS SERVICE,SCHED TEAM CONF",,,14,,TotalUnits,,,,0.21 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
G0176,HCPCS,OPPS/PHP;ACTIVITY THERAPY,,,16,,TotalUnits,,,,1.82 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
G0177,HCPCS,OPPS/PHP; TRAIN & EDUC SERV,,,16,,TotalUnits,,,,1.19 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
G0179,HCPCS,MD RECERTIFICATION HHA PT,,,15,,RBRVS,0.45 ,0.67 ,0.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
G0180,HCPCS,MD CERTIFICATION HHA PATIENT,,,15,,RBRVS,0.67 ,0.78 ,0.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
G0181,HCPCS,HOME HEALTH CARE SUPERVISION,,,15,,RBRVS,1.73 ,1.18 ,1.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
G0182,HCPCS,HOSPICE CARE SUPERVISION,,,15,,RBRVS,1.73 ,1.20 ,1.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
G0186,HCPCS,"DSTRY EYE LESN,FDR VSSL TECH",,,14,,TotalUnits,,,,6.72 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
G0219,HCPCS,PET IMG WHOLBOD MELANO NONCO,,,20,,TotalUnits,,,,28.08 ,,$0.00,$0.00,1,0,0,0,0,1,20210101,
G0219,HCPCS,PET IMG WHOLBOD MELANO NONCO,26,,20,,TotalUnits,,,,1.96 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
G0219,HCPCS,PET IMG WHOLBOD MELANO NONCO,TC,,20,,TotalUnits,,,,26.12 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
G0235,HCPCS,PET NOT OTHERWISE SPECIFIED,,,20,,TotalUnits,,,,25.82 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
G0235,HCPCS,PET NOT OTHERWISE SPECIFIED,26,,20,,TotalUnits,,,,3.28 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
G0235,HCPCS,PET NOT OTHERWISE SPECIFIED,TC,,20,,TotalUnits,,,,22.54 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
G0237,HCPCS,THERAPEUTIC PROCD STRG ENDUR,,,14,,RBRVS,,0.25 ,0.25 ,,,$0.00,$0.00,1,1,1,0,0,1,20210101,
G0238,HCPCS,"OTH RESP PROC, INDIV",,,14,,RBRVS,,0.26 ,0.26 ,,,$0.00,$0.00,1,1,1,0,0,1,20210101,
G0239,HCPCS,"OTH RESP PROC, GROUP",,,14,,RBRVS,,0.33 ,0.33 ,,,$0.00,$0.00,1,1,1,0,0,1,20210101,
G0245,HCPCS,INITIAL FOOT EXAM PT LOPS,,,15,,RBRVS,0.88 ,0.28 ,0.94 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
G0246,HCPCS,FOLLOWUP EVAL OF FOOT PT LOP,,,15,,RBRVS,0.45 ,0.12 ,0.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
G0247,HCPCS,ROUTINE FOOTCARE PT W LOPS,,,15,,RBRVS,0.50 ,0.12 ,1.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
G0248,HCPCS,DEMONSTRATE USE HOME INR MON,,TC,14,,RBRVS,,1.62 ,1.62 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
G0249,HCPCS,PROVIDE INR TEST MATER/EQUIP,,TC,14,,RBRVS,,1.63 ,1.63 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
G0250,HCPCS,MD INR TEST REVIE INTER MGMT,,PC,4,,RBRVS,0.18 ,0.07 ,0.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
G0252,HCPCS,PET IMAGING INITIAL DX,,,20,,TotalUnits,,,,2.08 ,,$0.00,$0.00,1,0,0,0,0,1,20210101,
G0252,HCPCS,PET IMAGING INITIAL DX,26,,20,,RBRVS,1.50 ,0.58 ,0.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
G0255,HCPCS,CURRENT PERCEP THRESHOLD TST,,,14,,TotalUnits,,,,1.04 ,,$0.00,$0.00,1,0,0,0,0,1,20210101,
G0255,HCPCS,CURRENT PERCEP THRESHOLD TST,26,,14,,TotalUnits,,,,0.29 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
G0255,HCPCS,CURRENT PERCEP THRESHOLD TST,TC,,14,,TotalUnits,,,,0.75 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
G0257,HCPCS,UNSCHED DIALYSIS ESRD PT HOS,,,14,,TotalUnits,,,,8.75 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
G0259,HCPCS,INJECT FOR SACROILIAC JOINT,,,21,,TotalUnits,,,,4.77 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
G0260,HCPCS,INJ FOR SACROILIAC JT ANESTH,,,21,,TotalUnits,,,,5.15 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
G0268,HCPCS,REMOVAL OF IMPACTED WAX MD,,,14,,RBRVS,0.61 ,0.26 ,0.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
G0269,HCPCS,OCCLUSIVE DEVICE IN VEIN ART,,,21,,TotalUnits,,,,4.12 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
G0270,HCPCS,MNT SUBS TX FOR CHANGE DX,,,14,,RBRVS,0.45 ,0.34 ,0.45 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
G0271,HCPCS,GROUP MNT 2 OR MORE 30 MINS,,,14,,RBRVS,0.25 ,0.19 ,0.22 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
G0276,HCPCS,PILD/PLACEBO CONTROL CLIN TR,,,14,,RBRVS,7.17 ,3.03 ,3.03 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
G0277,HCPCS,"HBOT, FULL BODY CHAMBER, 30M",,TC,14,,RBRVS,,3.81 ,3.81 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
G0278,HCPCS,"ILIAC ART ANGIO,CARDIAC CATH",,,20,,RBRVS,0.25 ,0.09 ,0.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
G0279,HCPCS,"TOMOSYNTHESIS, MAMMO'",,,20,,RBRVS,0.60 ,0.92 ,0.92 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
G0279,HCPCS,"TOMOSYNTHESIS, MAMMO",26,,20,,RBRVS,0.60 ,0.22 ,0.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
G0279,HCPCS,"TOMOSYNTHESIS, MAMMO",TC,,20,,RBRVS,,0.70 ,0.70 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
G0281,HCPCS,ELEC STIM UNATTEND FOR PRESS,,,19,,RBRVS,0.18 ,0.20 ,0.20 ,,,$0.00,$0.00,1,1,1,0,0,1,20210101,
G0282,HCPCS,ELECT STIM WOUND CARE NOT PD,,,19,,TotalUnits,,,,0.60 ,,$0.00,$0.00,1,1,1,0,0,1,20210101,
G0283,HCPCS,ELEC STIM OTHER THAN WOUND,,,19,,RBRVS,0.18 ,0.20 ,0.20 ,,,$0.00,$0.00,1,1,1,0,0,1,20210101,
G0288,HCPCS,"RECON, CTA FOR SURG PLAN",,TC,20,,RBRVS,,0.90 ,0.90 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
G0289,HCPCS,"ARTHRO, LOOSE BODY + CHONDRO",,,21,,RBRVS,1.48 ,0.74 ,0.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
G0293,HCPCS,"NON-COV SURG PROC,CLIN TRIAL",,,14,,TotalUnits,,,,0.24 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
G0295,HCPCS,ELECTROMAGNETIC THERAPY ONC,,,19,,TotalUnits,,,,0.52 ,,$0.00,$0.00,1,1,1,0,0,1,20210101,
G0296,HCPCS,VISIT TO DETERM LDCT ELIG,,,20,,RBRVS,0.52 ,0.20 ,0.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
G0299,HCPCS,HHS/HOSPICE OF RN EA 15 MIN,,,21,,TotalUnits,,,,0.89 ,,$0.00,$0.00,1,1,1,1,1,1,20210101,
G0300,HCPCS,HHS/HOSPICE OF LPN EA 15 MIN,,,21,,TotalUnits,,,,0.73 ,,$0.00,$0.00,1,1,1,1,1,1,20210101,
G0302,HCPCS,PRE-OP SERVICE LVRS COMPLETE,,,21,,TotalUnits,,,,8.90 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
G0303,HCPCS,PRE-OP SERVICE LVRS 10-15DOS,,,21,,TotalUnits,,,,2.51 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
G0304,HCPCS,PRE-OP SERVICE LVRS 1-9 DOS,,,21,,TotalUnits,,,,9.21 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
G0305,HCPCS,POST OP SERVICE LVRS MIN 6,,,21,,TotalUnits,,,,9.24 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
G0306,HCPCS,CBC/DIFFWBC W/O PLATELET,,,17,,TotalUnits,,,,0.22 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
G0307,HCPCS,CBC WITHOUT PLATELET,,,17,,TotalUnits,,,,0.18 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
G0328,HCPCS,FECAL BLOOD SCRN IMMUNOASSAY,,,17,,TotalUnits,,,,0.50 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
G0329,HCPCS,ELECTROMAGNTIC TX FOR ULCERS,,,19,,RBRVS,0.06 ,0.25 ,0.25 ,,,$0.00,$0.00,1,1,1,0,0,1,20210101,
G0333,HCPCS,DISPENSE FEE INITIAL 30 DAY,,,28,,NW,,,,,,$79.20,$0.00,1,1,1,0,0,1,20210101,
G0337,HCPCS,HOSPICE EVALUATION PREELECTI,,,15,,RBRVS,1.42 ,0.55 ,0.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
G0339,HCPCS,"ROBOT LIN-RADSURG COM, FIRST",,,21,,TotalUnits,,,,117.34 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
G0340,HCPCS,ROBT LIN-RADSURG FRACTX 2-5,,,21,,TotalUnits,,,,67.35 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
G0341,HCPCS,PERCUTANEOUS ISLET CELLTRANS,,,21,,RBRVS,6.98 ,2.84 ,52.23 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
G0342,HCPCS,LAPAROSCOPY ISLET CELL TRANS,,,21,,RBRVS,11.92 ,6.71 ,6.71 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
G0343,HCPCS,LAPAROTOMY ISLET CELL TRANSP,,,21,,RBRVS,19.85 ,10.86 ,10.86 ,,,$0.00,$0.00,1,0,0,1,1,1,20210101,
G0372,HCPCS,MD SERVICE REQUIRED FOR PMD,,,14,,RBRVS,0.17 ,0.08 ,0.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
G0378,HCPCS,HOSPITAL OBSERVATION PER HR,,,10,,TotalUnits,,,,0.59 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
G0379,HCPCS,DIRECT REFER HOSPITAL OBSERV,,,10,,TotalUnits,,,,7.42 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
G0380,HCPCS,LEV 1 HOSP TYPE B ED VISIT,,,7,,TotalUnits,,,,1.06 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
G0381,HCPCS,LEV 2 HOSP TYPE B ED VISIT,,,7,,TotalUnits,,,,0.61 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
G0382,HCPCS,LEV 3 HOSP TYPE B ED VISIT,,,7,,TotalUnits,,,,0.83 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
G0383,HCPCS,LEV 4 HOSP TYPE B ED VISIT,,,7,,TotalUnits,,,,2.17 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
G0384,HCPCS,LEV 5 HOSP TYPE B ED VISIT,,,7,,TotalUnits,,,,2.98 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
G0390,HCPCS,TRAUMA RESPONS W/HOSP CRITI,,,10,,TotalUnits,,,,27.61 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
G0396,HCPCS,ALCOHOL/SUBS INTERV 15-30MN,,,16,,RBRVS,0.65 ,0.24 ,0.32 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
G0397,HCPCS,ALCOHOL/SUBS INTERV >30 MIN,,,16,,RBRVS,1.30 ,0.42 ,0.50 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
G0398,HCPCS,HOME SLEEP TEST/TYPE 2 PORTA,,,14,,TotalUnits,,,,5.77 ,,$0.00,$0.00,1,0,0,0,0,1,20210101,
G0398,HCPCS,HOME SLEEP TEST/TYPE 2 PORTA,26,,14,,TotalUnits,,,,1.74 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
G0398,HCPCS,HOME SLEEP TEST/TYPE 2 PORTA,TC,,14,,TotalUnits,,,,4.04 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
G0399,HCPCS,HOME SLEEP TEST/TYPE 3 PORTA,,,14,,TotalUnits,,,,5.23 ,,$0.00,$0.00,1,0,0,0,0,1,20210101,
G0399,HCPCS,HOME SLEEP TEST/TYPE 3 PORTA,,PC,14,,TotalUnits,,,,1.56 ,,$0.00,$0.00,1,0,1,1,1,0,20210101,
G0399,HCPCS,HOME SLEEP TEST/TYPE 3 PORTA,,TC,14,,TotalUnits,,,,3.68 ,,$0.00,$0.00,1,1,1,0,1,0,20210101,
G0400,HCPCS,HOME SLEEP TEST/TYPE 4 PORTA,,,14,,TotalUnits,,,,5.04 ,,$0.00,$0.00,1,0,0,0,0,1,20210101,
G0400,HCPCS,HOME SLEEP TEST/TYPE 4 PORTA,26,,14,,TotalUnits,,,,1.53 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
G0400,HCPCS,HOME SLEEP TEST/TYPE 4 PORTA,TC,,14,,TotalUnits,,,,3.53 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
G0402,HCPCS,INITIAL PREVENTIVE EXAM,,,18,,RBRVS,2.43 ,1.02 ,2.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
G0403,HCPCS,EKG FOR INITIAL PREVENT EXAM,,,18,,RBRVS,0.17 ,0.29 ,0.29 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
G0404,HCPCS,EKG TRACING FOR INITIAL PREV,,TC,18,,RBRVS,,0.23 ,0.23 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
G0405,HCPCS,EKG INTERPRET & REPORT PREVE,,PC,18,,RBRVS,0.17 ,0.06 ,0.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
G0406,HCPCS,INPT/TELE FOLLOW UP 15,,,6,,RBRVS,0.76 ,0.29 ,0.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
G0407,HCPCS,INPT/TELE FOLLOW UP 25,,,6,,RBRVS,1.39 ,0.56 ,0.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
G0408,HCPCS,INPT/TELE FOLLOW UP 35,,,6,,RBRVS,2.00 ,0.81 ,0.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
G0409,HCPCS,CORF RELATED SERV 15 MINS EA,,,16,,RBRVS,,0.36 ,0.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
G0410,HCPCS,GRP PSYCH PARTIAL HOSP 45-50,,,16,,TotalUnits,,,,1.04 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
G0412,HCPCS,OPEN TX ILIAC SPINE UNI/BIL,,,21,,RBRVS,10.45 ,8.48 ,8.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
G0413,HCPCS,PELVIC RING FRACTURE UNI/BIL,,,21,,RBRVS,15.73 ,11.91 ,11.91 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
G0414,HCPCS,PELVIC RING FX TREAT INT FIX,,,21,,RBRVS,14.65 ,11.48 ,11.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
G0415,HCPCS,OPEN TX POST PELVIC FXCTURE,,,21,,RBRVS,20.93 ,14.55 ,14.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
G0416,HCPCS,"PROSTATE BIOPSY, ANY MTHD",,,17,,RBRVS,3.60 ,5.95 ,5.95 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
G0416,HCPCS,"PROSTATE BIOPSY, ANY MTHD",,PC,17,,RBRVS,3.60 ,1.48 ,1.48 ,,,$0.00,$0.00,1,0,1,1,1,0,20210101,
G0416,HCPCS,"PROSTATE BIOPSY, ANY MTHD",,TC,17,,RBRVS,,4.47 ,4.47 ,,,$0.00,$0.00,1,1,1,0,1,0,20210101,
G0420,HCPCS,ED SVC CKD IND PER SESSION,,,14,,RBRVS,2.12 ,0.93 ,0.93 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
G0421,HCPCS,ED SVC CKD GRP PER SESSION,,,14,,RBRVS,0.50 ,0.21 ,0.21 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
G0422,HCPCS,INTENS CARDIAC REHAB W/EXERC,,,4,,RBRVS,1.65 ,1.31 ,1.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
G0423,HCPCS,INTENS CARDIAC REHAB NO EXER,,,4,,RBRVS,1.65 ,1.31 ,1.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
G0424,HCPCS,PULMONARY REHAB W EXER,,,14,,RBRVS,0.28 ,0.10 ,0.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
G0425,HCPCS,INPT/ED TELECONSULT30,,,6,,RBRVS,1.92 ,0.77 ,0.77 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
G0426,HCPCS,INPT/ED TELECONSULT50,,,6,,RBRVS,2.61 ,1.06 ,1.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
G0427,HCPCS,INPT/ED TELECONSULT70,,,6,,RBRVS,3.86 ,1.57 ,1.57 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
G0429,HCPCS,DERMAL FILLER INJECTION(S),,,14,,RBRVS,1.19 ,0.68 ,1.46 ,,,$0.00,$0.00,1,1,1,0,0,1,20210101,
G0432,HCPCS,EIA HIV-1/HIV-2 SCREEN,,,17,,TotalUnits,,,,0.54 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
G0433,HCPCS,ELISA HIV-1/HIV-2 SCREEN,,,17,,TotalUnits,,,,0.51 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
G0435,HCPCS,ORAL HIV-1/HIV-2 SCREEN,,,17,,TotalUnits,,,,0.33 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
G0438,HCPCS,"PPPS, INITIAL VISIT",,,15,,RBRVS,2.43 ,2.23 ,2.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
G0439,HCPCS,"PPPS, SUBSEQ VISIT",,,15,,RBRVS,1.50 ,1.66 ,1.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
G0442,HCPCS,ANNUAL ALCOHOL SCREEN 15 MIN,,,16,,RBRVS,0.18 ,0.08 ,0.32 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
G0443,HCPCS,BRIEF ALCOHOL MISUSE COUNSEL,,,16,,RBRVS,0.45 ,0.19 ,0.26 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
G0444,HCPCS,DEPRESSION SCREEN ANNUAL,,,16,,RBRVS,0.18 ,0.08 ,0.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
G0445,HCPCS,HIGH INTEN BEH COUNS STD 30M,,,16,,RBRVS,0.45 ,0.19 ,0.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
G0446,HCPCS,INTENS BEHAVE THER CARDIO DX,,,16,,RBRVS,0.45 ,0.19 ,0.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
G0447,HCPCS,BEHAVIOR COUNSEL OBESITY 15M,,,16,,RBRVS,0.45 ,0.19 ,0.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
G0451,HCPCS,DEVLOPMENT TEST INTERPT&REP,,,17,,RBRVS,,0.27 ,0.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
G0452,HCPCS,MOLECULAR PATHOLOGY INTERPR,,,17,,RBRVS,0.93 ,0.44 ,0.44 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
G0452,HCPCS,MOLECULAR PATHOLOGY INTERPR,26,,17,,RBRVS,0.93 ,0.36 ,0.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
G0452,HCPCS,MOLECULAR PATHOLOGY INTERPR,TC,,17,,RBRVS,,0.08 ,0.08 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
G0453,HCPCS,CONT INTRAOP NEURO MONITOR,,,14,,RBRVS,0.60 ,0.29 ,0.29 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
G0454,HCPCS,MD DOCUMENT VISIT BY NPP,,,14,,RBRVS,0.18 ,0.07 ,0.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
G0455,HCPCS,FECAL MICROBIOTA PREP INSTIL,,,21,,RBRVS,1.34 ,0.60 ,2.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
G0459,HCPCS,TELEHEALTH INPT PHARM MGMT,,,14,,RBRVS,0.95 ,0.18 ,0.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
G0460,HCPCS,AUTOLOGOUS PRP FOR ULCERS,,,14,,RBRVS,2.25 ,0.99 ,3.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
G0466,HCPCS,FQHC VISIT NEW PATIENT,,,15,,TotalUnits,,,,3.13 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
G0467,HCPCS,"FQHC VISIT, ESTAB PT",,,15,,TotalUnits,,,,2.21 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
G0468,HCPCS,"FQHC VISIT, IPPE OR AWV",,,18,,TotalUnits,,,,3.23 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
G0469,HCPCS,"FQHC VISIT, MH NEW PT",,,16,,TotalUnits,,,,3.28 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
G0470,HCPCS,"FQHC VISIT, MH ESTAB PT",,,16,,TotalUnits,,,,3.11 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
G0471,HCPCS,VEN BLOOD COLL SNF/HHA,,,17,,TotalUnits,,,,0.14 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
G0472,HCPCS,HEP C SCREEN HIGH RISK/OTHER,,TC,17,,TotalUnits,,,,1.28 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
G0473,HCPCS,GROUP BEHAVE COUNS 2-10',,,16,,RBRVS,0.23 ,0.09 ,0.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
G0475,HCPCS,HIV COMBINATION ASSAY,,,17,,TotalUnits,,,,0.67 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
G0476,HCPCS,HPV COMBO ASSAY CA SCREEN,,,17,,TotalUnits,,,,0.97 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
G0480,HCPCS,DRUG TEST DEF 1-7 CLASSES,,,17,,TotalUnits,,,,3.17 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
G0481,HCPCS,DRUG TEST DEF 8-14 CLASSES,,,17,,TotalUnits,,,,4.34 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
G0482,HCPCS,DRUG TEST DEF 15-21 CLASSES,,,17,,TotalUnits,,,,5.51 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
G0483,HCPCS,DRUG TEST DEF 22+ CLASSES,,,17,,TotalUnits,,,,6.84 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
G0490,HCPCS,"HOME VISIT RN, LPN BY RHC/FQ",,,14,,TotalUnits,,,,2.24 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
G0493,HCPCS,RN CARE EA 15 MIN HH/HOSPICE,,,14,,TotalUnits,,,,0.46 ,,$0.00,$0.00,1,1,1,1,1,1,20210101,
G0494,HCPCS,LPN CARE EA 15MIN HH/HOSPICE,,,14,,TotalUnits,,,,0.33 ,,$0.00,$0.00,1,1,1,1,1,1,20210101,
G0495,HCPCS,RN CARE TRAIN/EDU IN HH,,,14,,TotalUnits,,,,0.46 ,,$0.00,$0.00,1,1,1,1,1,1,20210101,
G0496,HCPCS,LPN CARE TRAIN/EDU IN HH,,,14,,TotalUnits,,,,0.33 ,,$0.00,$0.00,1,1,1,1,1,1,20210101,
G0498,HCPCS,CHEMO EXTEND IV INFUS W/PUMP,,,14,,TotalUnits,,,,7.59 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
G0499,HCPCS,HEPB SCREEN HIGH RISK INDIV,,,17,,TotalUnits,,,,0.70 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
G0500,HCPCS,MOD SEDAT ENDO SERVICE >5YRS,,,14,,RBRVS,0.10 ,0.04 ,1.48 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
G0506,HCPCS,COMP ASSES CARE PLAN CCM SVC,,,14,,RBRVS,0.87 ,0.36 ,0.83 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
G0508,HCPCS,CRIT CARE TELEHEA CONSULT 60,,,6,,RBRVS,4.00 ,1.62 ,1.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
G0509,HCPCS,CRIT CARE TELEHEA CONSULT 50,,,6,,RBRVS,3.86 ,1.31 ,1.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
G0511,HCPCS,CCM/BHI BY RHC/FQHC 20MIN MO,,,16,,RBRVS,0.92 ,0.87 ,0.87 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
G0512,HCPCS,COCM BY RHC/FQHC 60 MIN MO,,,16,,RBRVS,1.62 ,2.21 ,2.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
G0513,HCPCS,"PROLONG PREV SVCS, FIRST 30M",,,18,,RBRVS,1.17 ,0.48 ,0.59 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
G0514,HCPCS,"PROLONG PREV SVCS, ADDL 30M",,,18,,RBRVS,1.17 ,0.49 ,0.59 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
G0516,HCPCS,"INSERT DRUG DEL IMPLANT, >=4",,,21,,RBRVS,1.82 ,1.13 ,5.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
G0517,HCPCS,REMOVE DRUG IMPLANT,,,21,,RBRVS,2.10 ,1.06 ,4.71 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
G0518,HCPCS,REMOVE W INSERT DRUG IMPLANT',,,21,,RBRVS,3.55 ,1.95 ,10.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
G0659,HCPCS,DRUG TEST DEF SIMPLE ALL CL,,,17,,TotalUnits,,,,1.72 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
G2000,HCPCS,BLINDED CONV. TX MDD CLIN TR,,,14,,TotalUnits,,,,11.00 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
G2001,HCPCS,POST D/C H VST NEW PT 20 M,,,15,,RBRVS,1.01 ,0.48 ,0.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
G2002,HCPCS,POST-D/C H VST NEW PT 30 M,,,15,,RBRVS,1.52 ,0.61 ,0.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
G2003,HCPCS,POST-D/C H VST NEW PT 45 M,,,15,,RBRVS,2.53 ,0.97 ,0.97 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
G2004,HCPCS,POST-D/C H VST NEW PT 60 M,,,15,,RBRVS,3.38 ,1.55 ,1.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
G2005,HCPCS,POST-D/C H VST NEW PT 75 M,,,15,,RBRVS,4.09 ,1.90 ,1.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
G2006,HCPCS,POST-D/C H VST EXT PT 20 M,,,15,,RBRVS,1.00 ,0.49 ,0.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
G2007,HCPCS,POST-D/C H VST EXT PT 30 M,,,15,,RBRVS,1.56 ,0.72 ,0.72 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
G2008,HCPCS,POST-D/C H VST EXT PT 45 M,,,15,,RBRVS,2.33 ,1.17 ,1.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
G2009,HCPCS,POST-D/C H VST EXT PT 60 M,,,15,,RBRVS,3.28 ,1.56 ,1.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
G2010,HCPCS,REMOT IMAGE SUBMIT BY PT,,,15,,RBRVS,0.18 ,0.07 ,0.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
G2011,HCPCS,ALCOHOL/SUB ABUSE ASSESS,,,16,,RBRVS,0.33 ,0.12 ,0.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
G2012,HCPCS,BRIEF CHECK IN BY MD/QHP,,,15,,RBRVS,0.25 ,0.10 ,0.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
G2013,HCPCS,POST-D/C H VST EXT PT 75 M,,,15,,RBRVS,4.09 ,1.90 ,1.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
G2014,HCPCS,POST-D/C CARE PLAN OVERS 30M,,,15,,RBRVS,1.25 ,0.85 ,0.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
G2015,HCPCS,POST-D/C CARE PLAN OVERS 60M,,,15,,RBRVS,1.80 ,1.12 ,1.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
G2023,HCPCS,SPECIMEN COLLECT COVID-19,,,17,,TotalUnits,,,,0.65 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
G2024,HCPCS,SPEC COLL SNF/LAB COVID-19,,,17,,TotalUnits,,,,0.71 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
G2025,HCPCS,DIS SITE TELE SVCS RHC/FQHC',,,15,,RBRVS,1.44 ,1.01 ,1.01 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
G2061,HCPCS,QUAL NONMD EST PT 5-10M,,,15,,RBRVS,0.25 ,0.08 ,0.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
G2062,HCPCS,QUAL NONMD EST PT 11-20M,,,15,,RBRVS,0.44 ,0.14 ,0.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
G2063,HCPCS,QUAL NONMD EST PT 21>MIN,,,15,,RBRVS,0.69 ,0.21 ,0.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
G2064,HCPCS,MD MANG HIGH RISK DX 30,,,14,,RBRVS,1.45 ,0.62 ,0.99 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
G2065,HCPCS,CLIN MANG H RISK DX 30,,,14,,RBRVS,0.61 ,0.44 ,0.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
G2066,HCPCS,INTER DEVC REMOTE 30D,,TC,4,,TotalUnits,,,,1.11 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
G2067,HCPCS,MED ASSIST TX METH WK,,,16,,TotalUnits,,,,5.05 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
G2076,HCPCS,INTAKE ACT W/MED EXAM,,,16,,TotalUnits,,,,4.77 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
G2077,HCPCS,PERIODIC ASSESSMENT,,,16,,RBRVS,1.50 ,0.62 ,1.46 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
G2082,HCPCS,VISIT ESKETAMINE 56M OR LESS,,,16,,RBRVS,0.48 ,0.18 ,20.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
G2083,HCPCS,"VISIT ESKETAMINE, > 56M",,,16,,RBRVS,0.48 ,0.18 ,30.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
G2086,HCPCS,OFF BASE OPIOID TX 70MIN,,,16,,RBRVS,7.06 ,1.02 ,4.12 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
G2087,HCPCS,"OFF BASE OPIOID TX, 60 M",,,16,,RBRVS,6.89 ,0.99 ,3.06 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
G2088,HCPCS,"OFF BASE OPIOID TX, ADD30",,,16,,RBRVS,0.82 ,0.12 ,1.09 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
G2170,HCPCS,AVF BY TISSUE W THERMAL E',,,21,,TotalUnits,,,,77.32 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
G2171,HCPCS,AVF USE MAGNETIC/ART/VEN',,,21,,TotalUnits,,,,77.32 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
G2211,HCPCS,COMPLEX E/M VISIT ADD ON,,,15,,RBRVS,0.33 ,0.14 ,0.14 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
G2212,HCPCS,PROLONG OUTPT/OFFICE VIS,,,15,,RBRVS,0.61 ,0.27 ,0.31 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
G2213,HCPCS,INITIAT MED ASSIST TX IN ER,,,16,,RBRVS,1.30 ,0.47 ,0.56 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
G2214,HCPCS,INIT/SUB PSYCH CARE M 1ST 30,,,16,,RBRVS,0.77 ,0.30 ,1.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
G2250,HCPCS,"REMOT IMG SUB BY PT, NON E/M",,,15,,RBRVS,0.18 ,0.08 ,0.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
G2251,HCPCS,"BRIEF CHKIN, 5-10, NON-E/M",,,15,,RBRVS,0.25 ,0.11 ,0.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
G2252,HCPCS,"BRIEF CHKIN BY MD/QHP, 11-20",,,15,,RBRVS,0.50 ,0.19 ,0.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
G6001,HCPCS,ECHO GUIDANCE RADIOTHERAPY',,,20,,RBRVS,0.58 ,2.70 ,2.70 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
G6001,HCPCS,ECHO GUIDANCE RADIOTHERAPY,26,,20,,RBRVS,0.58 ,0.31 ,0.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
G6001,HCPCS,ECHO GUIDANCE RADIOTHERAPY,TC,,20,,RBRVS,,2.39 ,2.39 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
G6002,HCPCS,STEREOSCOPIC X-RAY GUIDANCE,,,20,,RBRVS,0.39 ,1.71 ,1.71 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
G6002,HCPCS,STEREOSCOPIC X-RAY GUIDANCE,26,,20,,RBRVS,0.39 ,0.18 ,0.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
G6002,HCPCS,STEREOSCOPIC X-RAY GUIDANCE,TC,,20,,RBRVS,,1.53 ,1.53 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
G6003,HCPCS,RADIATION TREATMENT DELIVERY,,TC,20,,RBRVS,,5.25 ,5.25 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
G6004,HCPCS,RADIATION TREATMENT DELIVERY,,TC,20,,RBRVS,,3.97 ,3.97 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
G6005,HCPCS,RADIATION TREATMENT DELIVERY,,TC,20,,RBRVS,,3.97 ,3.97 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
G6006,HCPCS,RADIATION TREATMENT DELIVERY,,TC,20,,RBRVS,,3.97 ,3.97 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
G6007,HCPCS,RADIATION TREATMENT DELIVERY,,TC,20,,RBRVS,,7.46 ,7.46 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
G6008,HCPCS,RADIATION TREATMENT DELIVERY,,TC,20,,RBRVS,,5.48 ,5.48 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
G6009,HCPCS,RADIATION TREATMENT DELIVERY,,TC,20,,RBRVS,,5.44 ,5.44 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
G6010,HCPCS,RADIATION TREATMENT DELIVERY,,TC,20,,RBRVS,,5.44 ,5.44 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
G6011,HCPCS,RADIATION TREATMENT DELIVERY,,TC,20,,RBRVS,,7.37 ,7.37 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
G6012,HCPCS,RADIATION TREATMENT DELIVERY,,TC,20,,RBRVS,,7.27 ,7.27 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
G6013,HCPCS,RADIATION TREATMENT DELIVERY,,TC,20,,RBRVS,,7.28 ,7.28 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
G6014,HCPCS,RADIATION TREATMENT DELIVERY,,TC,20,,RBRVS,,7.28 ,7.28 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
G6015,HCPCS,RADIATION TX DELIVERY IMRT,,TC,20,,RBRVS,,10.20 ,10.20 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
G6016,HCPCS,DELIVERY COMP IMRT,,TC,20,,RBRVS,,10.20 ,10.20 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
G6017,HCPCS,INTRAFRACTION TRACK MOTION,,,20,,TotalUnits,,,,1.96 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
G9143,HCPCS,WARFARIN RESPON GENETIC TEST,,,17,,TotalUnits,,,,3.35 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
G9148,HCPCS,MEDICAL HOME LEVEL 1,,,14,,TotalUnits,,,,0.02 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
G9149,HCPCS,MEDICAL HOME LEVEL II,,,14,,TotalUnits,,,,0.02 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
G9150,HCPCS,MEDICAL HOME LEVEL III,,,14,,TotalUnits,,,,0.04 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
G9152,HCPCS,MAPCP DEMO COMMUNITY,,,14,,TotalUnits,,,,0.06 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
G9153,HCPCS,MAPCP DEMO PHYSICIAN,,,14,,TotalUnits,,,,0.03 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
G9157,HCPCS,TRANSESOPH DOPPL CARDIAC MON,,PC,4,,RBRVS,2.20 ,0.38 ,0.38 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
G9187,HCPCS,BPCI HOME VISIT,,,15,,RBRVS,0.18 ,1.03 ,1.03 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
G9481,HCPCS,REMOTE E/M NEW PT 10MINS,,,15,,RBRVS,0.48 ,,,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
G9482,HCPCS,REMOTE E/M NEW PT 20MINS,,,15,,RBRVS,0.93 ,,,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
G9483,HCPCS,REMOTE E/M NEW PT 30MINS,,,15,,RBRVS,1.42 ,,,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
G9484,HCPCS,REMOTE E/M NEW PT 45MINS,,,15,,RBRVS,2.43 ,,,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
G9485,HCPCS,REMOTE E/M NEW PT 60MINS,,,15,,RBRVS,3.17 ,,,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
G9486,HCPCS,REMOTE E/M EST. PT 10MINS,,,15,,RBRVS,0.48 ,,,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
G9487,HCPCS,REMOTE E/M EST. PT 15MINS,,,15,,RBRVS,0.97 ,,,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
G9488,HCPCS,REMOTE E/M EST. PT 25MINS,,,15,,RBRVS,1.50 ,,,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
G9489,HCPCS,REMOTE E/M EST. PT 40MINS,,,15,,RBRVS,2.11 ,,,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
G9490,HCPCS,CMMI MOD HOME VISIT,,,15,,RBRVS,0.18 ,1.03 ,1.03 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
G9678,HCPCS,ONCOLOGY CARE MODEL SERVICE,,,14,,TotalUnits,,,,1.42 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
G9685,HCPCS,ACUTE NURSING FACILITY CARE,,,10,,RBRVS,3.86 ,1.57 ,1.57 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
G9868,HCPCS,NEXT GEN ACO MODEL <10MIN,,,14,,RBRVS,0.80 ,,,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
G9869,HCPCS,NEXT GEN ACO MODEL 10-20MIN,,,14,,RBRVS,1.07 ,,,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
G9870,HCPCS,NEXT GEN ACO MODEL >20MIN,,,14,,RBRVS,1.34 ,,,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
G9873,HCPCS,1 EM CORE SESSION,,,14,,TotalUnits,,,,0.69 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
G9874,HCPCS,4 EM CORE SESSIONS,,,14,,TotalUnits,,,,1.39 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
G9875,HCPCS,9 EM CORE SESSIONS,,,14,,TotalUnits,,,,2.50 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
G9876,HCPCS,2 EM CORE MS MO 7-9 NO WL,,,14,,TotalUnits,,,,0.42 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
G9877,HCPCS,2 EM CORE MS MO 10-12 NO WL,,,14,,TotalUnits,,,,0.42 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
G9878,HCPCS,2 EM CORE MS MO 7-9 WL,,,14,,TotalUnits,,,,1.67 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
G9879,HCPCS,2 EM CORE MS MO 10-12 WL,,,14,,TotalUnits,,,,1.67 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
G9880,HCPCS,EM 5 PERCENT WL,,,14,,TotalUnits,,,,4.44 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
G9881,HCPCS,EM 9 PERCENT WL,,,14,,TotalUnits,,,,0.69 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
G9882,HCPCS,2 EM ONGOING MS MO 13-15 WL,,,14,,TotalUnits,,,,1.39 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
G9883,HCPCS,2 EM ONGOING MS MO 16-18 WL,,,14,,TotalUnits,,,,1.39 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
G9884,HCPCS,2 EM ONGOING MS MO 19-21 WL,,,14,,TotalUnits,,,,1.39 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
G9885,HCPCS,2 EM ONGOING MS MO 22-24 WL,,,14,,TotalUnits,,,,1.39 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
G9978,HCPCS,REMOTE E/M NEW PT 10MINS,,,15,,RBRVS,0.48 ,0.22 ,0.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
G9979,HCPCS,REMOTE E/M NEW PT 20MINS,,,15,,RBRVS,0.93 ,0.41 ,0.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
G9980,HCPCS,REMOTE E/M NEW PT 30 MINS,,,15,,RBRVS,1.42 ,0.59 ,0.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
G9981,HCPCS,REMOTE E/M NEW PT 45MINS,,,15,,RBRVS,2.43 ,1.01 ,1.01 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
G9982,HCPCS,REMOTE E/M NEW PT 60MINS,,,15,,RBRVS,3.17 ,1.33 ,1.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
G9983,HCPCS,REMOTE E/M EST. PT 10MINS,,,15,,RBRVS,0.48 ,0.20 ,0.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
G9984,HCPCS,REMOTE E/M EST. PT 15MINS',,,15,,RBRVS,0.97 ,0.40 ,0.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
G9985,HCPCS,REMOTE E/M EST. PT 25MINS,,,15,,RBRVS,1.50 ,0.62 ,0.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
G9986,HCPCS,REMOTE E/M EST. PT 40MINS,,,15,,RBRVS,2.11 ,0.89 ,0.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
G9987,HCPCS,BPCI ADVANCED IN HOME VISIT,,,15,,RBRVS,0.18 ,1.03 ,1.03 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
H0001,HCPCS,ALCOHOL AND/OR DRUG ASSESS,,,16,,TotalUnits,,,,1.86 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
H0002,HCPCS,ALCOHOL AND/OR DRUG SCREENIN,,,16,,TotalUnits,,,,1.63 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
H0003,HCPCS,ALCOHOL AND/OR DRUG SCREENIN,,,16,,TotalUnits,,,,0.39 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
H0004,HCPCS,ALCOHOL AND/OR DRUG SERVICES,,,16,,TotalUnits,,,,0.54 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
H0005,HCPCS,ALCOHOL AND/OR DRUG SERVICES,,,16,,TotalUnits,,,,0.64 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
H0006,HCPCS,ALCOHOL AND/OR DRUG SERVICES,,,16,,TotalUnits,,,,0.46 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
H0010,HCPCS,ALCOHOL AND/OR DRUG SERVICES,,,16,,TotalUnits,,,,3.84 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
H0011,HCPCS,ALCOHOL AND/OR DRUG SERVICES,,,16,,TotalUnits,,,,10.24 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
H0012,HCPCS,ALCOHOL AND/OR DRUG SERVICES,,,16,,TotalUnits,,,,2.78 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
H0014,HCPCS,ALCOHOL AND/OR DRUG SERVICES,,,16,,TotalUnits,,,,5.45 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
H0015,HCPCS,ALCOHOL AND/OR DRUG SERVICES,,,16,,TotalUnits,,,,3.57 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
H0016,HCPCS,ALCOHOL AND/OR DRUG SERVICES,,,16,,TotalUnits,,,,5.45 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
H0017,HCPCS,ALCOHOL AND/OR DRUG SERVICES,,,16,,TotalUnits,,,,2.37 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
H0018,HCPCS,ALCOHOL AND/OR DRUG SERVICES,,,16,,TotalUnits,,,,5.74 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
H0019,HCPCS,ALCOHOL AND/OR DRUG SERVICES,,,16,,TotalUnits,,,,2.07 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
H0020,HCPCS,ALCOHOL AND/OR DRUG SERVICES,,,16,,TotalUnits,,,,0.28 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
H0022,HCPCS,ALCOHOL AND/OR DRUG INTERVEN,,,16,,TotalUnits,,,,0.62 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
H0023,HCPCS,ALCOHOL AND/OR DRUG OUTREACH,,,16,,TotalUnits,,,,3.74 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
H0024,HCPCS,ALCOHOL AND/OR DRUG PREVENTI,,,16,,TotalUnits,,,,0.19 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
H0025,HCPCS,ALCOHOL AND/OR DRUG PREVENTI,,,16,,TotalUnits,,,,0.10 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
H0030,HCPCS,ALCOHOL AND/OR DRUG HOTLINE,,,16,,TotalUnits,,,,1.40 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
H0031,HCPCS,MH HEALTH ASSESS BY NON-MD,,,16,,TotalUnits,,,,1.69 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
H0032,HCPCS,MH SVC PLAN DEV BY NON-MD,,,16,,TotalUnits,,,,0.53 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
H0033,HCPCS,ORAL MED ADM DIRECT OBSERVE,,,16,,TotalUnits,,,,1.31 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
H0034,HCPCS,MED TRNG & SUPPORT PER 15MIN,,,16,,TotalUnits,,,,0.47 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
H0035,HCPCS,MH PARTIAL HOSP TX UNDER 24H,,,16,,TotalUnits,,,,1.91 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
H0036,HCPCS,COMM PSY FACE-FACE PER 15MIN,,,16,,TotalUnits,,,,0.24 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
H0037,HCPCS,COMM PSY SUP TX PGM PER DIEM,,,16,,TotalUnits,,,,1.72 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
H0038,HCPCS,SELF-HELP/PEER SVC PER 15MIN,,,16,,TotalUnits,,,,0.19 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
H0039,HCPCS,ASSER COM TX FACE-FACE/15MIN,,,16,,TotalUnits,,,,0.64 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
H0040,HCPCS,ASSERT COMM TX PGM PER DIEM,,,16,,TotalUnits,,,,1.35 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
H0041,HCPCS,FOS C CHLD NON-THER PER DIEM,,,16,,TotalUnits,,,,1.54 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
H0043,HCPCS,"SUPPORTED HOUSING, PER DIEM",,,16,,TotalUnits,,,,0.72 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
H0044,HCPCS,"SUPPORTED HOUSING, PER MONTH",,,16,,TotalUnits,,,,12.31 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
H0045,HCPCS,RESPITE NOT-IN-HOME PER DIEM,,,16,,TotalUnits,,,,2.94 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
H0046,HCPCS,"MENTAL HEALTH SERVICE, NOS",,,16,,TotalUnits,,,,0.41 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
H0047,HCPCS,ALCOHOL/DRUG ABUSE SVC NOS,,,16,,TotalUnits,,,,0.64 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
H0048,HCPCS,SPEC COLL NON-BLOOD:A/D TEST,,,16,,TotalUnits,,,,0.22 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
H0049,HCPCS,ALCOHOL/DRUG SCREENING,,,16,,TotalUnits,,,,0.77 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
H0050,HCPCS,ALCOHOL/DRUG SERVICE 15 MIN,,,16,,TotalUnits,,,,0.86 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
H1000,HCPCS,PRENATAL CARE ATRISK ASSESSM,,,16,,TotalUnits,,,,1.36 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
H1001,HCPCS,ANTEPARTUM MANAGEMENT,,,16,,TotalUnits,,,,2.96 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
H1002,HCPCS,CARECOORDINATION PRENATAL,,,16,,TotalUnits,,,,0.56 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
H1003,HCPCS,PRENATAL AT RISK EDUCATION,,,16,,TotalUnits,,,,0.28 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
H1004,HCPCS,FOLLOW UP HOME VISIT/PRENTAL,,,16,,TotalUnits,,,,0.97 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
H1005,HCPCS,PRENATALCARE ENHANCED SRV PK,,,16,,TotalUnits,,,,2.52 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
H1010,HCPCS,NONMED FAMILY PLANNING ED,,,16,,TotalUnits,,,,0.47 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
H2000,HCPCS,COMP MULTIDISIPLN EVALUATION,,,16,,TotalUnits,,,,1.50 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
H2001,HCPCS,REHABILITATION PROGRAM 1/2 D,,,16,,TotalUnits,,,,4.49 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
H2010,HCPCS,COMPREHENSIVE MED SVC 15 MIN,,,16,,TotalUnits,,,,1.21 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
H2011,HCPCS,"CRISIS INTERVEN SVC, 15 MIN",,,16,,TotalUnits,,,,0.89 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
H2012,HCPCS,"BEHAV HLTH DAY TREAT, PER HR",,,16,,TotalUnits,,,,1.68 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
H2013,HCPCS,"PSYCH HLTH FAC SVC, PER DIEM",,,16,,TotalUnits,,,,3.00 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
H2014,HCPCS,"SKILLS TRAIN AND DEV, 15 MIN",,,16,,TotalUnits,,,,0.92 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
H2015,HCPCS,"COMP COMM SUPP SVC, 15 MIN",,,16,,TotalUnits,,,,0.29 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
H2016,HCPCS,"COMP COMM SUPP SVC, PER DIEM",,,16,,TotalUnits,,,,3.92 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
H2017,HCPCS,"PSYSOC REHAB SVC, PER 15 MIN",,,16,,TotalUnits,,,,0.23 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
H2018,HCPCS,"PSYSOC REHAB SVC, PER DIEM",,,16,,TotalUnits,,,,1.72 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
H2019,HCPCS,"THER BEHAV SVC, PER 15 MIN",,,16,,TotalUnits,,,,0.33 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
H2020,HCPCS,"THER BEHAV SVC, PER DIEM",,,16,,TotalUnits,,,,2.01 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
H2021,HCPCS,"COM WRAP-AROUND SV, 15 MIN",,,16,,TotalUnits,,,,0.20 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
H2022,HCPCS,"COM WRAP-AROUND SV, PER DIEM",,,16,,TotalUnits,,,,4.03 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
H2023,HCPCS,"SUPPORTED EMPLOY, PER 15 MIN",,,16,,TotalUnits,,,,0.12 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
H2024,HCPCS,"SUPPORTED EMPLOY, PER DIEM",,,16,,TotalUnits,,,,0.72 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
H2025,HCPCS,"SUPP MAINT EMPLOY, 15 MIN",,,16,,TotalUnits,,,,0.17 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
H2026,HCPCS,"SUPP MAINT EMPLOY, PER DIEM",,,16,,TotalUnits,,,,0.63 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
H2027,HCPCS,"PSYCHOED SVC, PER 15 MIN",,,16,,TotalUnits,,,,0.28 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
H2029,HCPCS,"SEX OFFEND TX SVC, PER DIEM",,,16,,TotalUnits,,,,1.20 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
H2030,HCPCS,"MH CLUBHOUSE SVC, PER 15 MIN",,,16,,TotalUnits,,,,0.07 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
H2031,HCPCS,"MH CLUBHOUSE SVC, PER DIEM",,,16,,TotalUnits,,,,3.74 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
H2032,HCPCS,"ACTIVITY THERAPY, PER 15 MIN",,,16,,TotalUnits,,,,0.10 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
H2033,HCPCS,MULTISYS THER/JUVENILE 15MIN,,,16,,TotalUnits,,,,0.39 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
H2034,HCPCS,"A/D HALFWAY HOUSE, PER DIEM",,,16,,TotalUnits,,,,1.88 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
H2035,HCPCS,"A/D TX PROGRAM, PER HOUR",,,16,,TotalUnits,,,,1.39 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
H2036,HCPCS,"A/D TX PROGRAM, PER DIEM",,,16,,TotalUnits,,,,1.81 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
J0120,HCPCS,TETRACYCLIN INJECTION,,,29,,NW,,,,,,$84.22,$0.00,1,1,1,0,0,1,20210101,
J0121,HCPCS,"INJ., OMADACYCLINE, 1 MG",,,29,,NW,,,,,,$16.83,$0.00,1,1,1,0,0,1,20210101,
J0122,HCPCS,"INJ., ERAVACYCLINE, 1 MG",,,29,,NW,,,,,,$13.08,$0.00,1,1,1,0,0,1,20210101,
J0129,HCPCS,ABATACEPT INJECTION,,,29,,NW,,,,,,$111.67,$0.00,1,1,1,0,0,1,20210101,
J0130,HCPCS,ABCIXIMAB INJECTION,,,29,,NW,,,,,,"$2,324.21",$0.00,1,1,1,0,0,1,20210101,
J0131,HCPCS,ACETAMINOPHEN INJECTION,,,29,,NW,,,,,,$2.27,$0.00,1,1,1,0,0,1,20210101,
J0132,HCPCS,ACETYLCYSTEINE INJECTION,,,29,,NW,,,,,,$13.33,$0.00,1,1,1,0,0,1,20210101,
J0133,HCPCS,ACYCLOVIR INJECTION,,,29,,NW,,,,,,$3.43,$0.00,1,1,1,0,0,1,20210101,
J0135,HCPCS,ADALIMUMAB INJECTION,,,29,,NW,,,,,,"$1,868.63",$0.00,1,1,1,0,0,1,20210101,
J0153,HCPCS,ADENOSINE INJ 1MG,,,29,,NW,,,,,,$12.46,$0.00,1,1,1,0,0,1,20210101,
J0171,HCPCS,ADRENALIN EPINEPHRINE INJECT,,,29,,NW,,,,,,$11.80,$0.00,1,1,1,0,0,1,20210101,
J0178,HCPCS,AFLIBERCEPT INJECTION,,,29,,NW,,,,,,"$1,857.41",$0.00,1,1,1,0,0,1,20210101,
J0179,HCPCS,"INJ, BROLUCIZUMAB-DBLL, 1 MG",,,29,,NW,,,,,,$554.43,$0.00,1,1,1,0,0,1,20210101,
J0180,HCPCS,AGALSIDASE BETA INJECTION,,,29,,NW,,,,,,$355.28,$0.00,1,1,1,0,0,1,20210101,
J0185,HCPCS,"INJ., APREPITANT, 1 MG",,,29,,NW,,,,,,$9.29,$0.00,1,1,1,0,0,1,20210101,
J0190,HCPCS,INJ BIPERIDEN LACTATE/5 MG,,,29,,NW,,,,,,$4.87,$0.00,1,1,1,0,0,1,20210101,
J0200,HCPCS,ALATROFLOXACIN MESYLATE,,,29,,NW,,,,,,$30.12,$0.00,1,1,1,0,0,1,20210101,
J0202,HCPCS,"INJECTION, ALEMTUZUMAB",,,29,,NW,,,,,,"$3,648.93",$0.00,1,1,1,0,0,1,20210101,
J0205,HCPCS,ALGLUCERASE INJECTION,,,29,,NW,,,,,,$82.85,$0.00,1,1,1,0,0,1,20210101,
J0207,HCPCS,AMIFOSTINE,,,29,,NW,,,,,,"$2,700.96",$0.00,1,1,1,0,0,1,20210101,
J0210,HCPCS,METHYLDOPATE HCL INJECTION,,,29,,NW,,,,,,$35.76,$0.00,1,1,1,0,0,1,20210101,
J0215,HCPCS,ALEFACEPT,,,29,,NW,,,,,,$99.17,$0.00,1,1,1,0,0,1,20210101,
J0220,HCPCS,ALGLUCOSIDASE ALFA INJECTION,,,29,,NW,,,,,,$437.86,$0.00,1,1,1,0,0,1,20210101,
J0221,HCPCS,LUMIZYME INJECTION,,,29,,NW,,,,,,$332.11,$0.00,1,1,1,0,0,1,20210101,
J0222,HCPCS,"INJ., PATISIRAN, 0.1 MG",,,29,,NW,,,,,,$666.27,$0.00,1,1,1,0,0,1,20210101,
J0223,HCPCS,INJ GIVOSIRAN 0.5 MG,,,29,,NW,,,,,,$195.44,$0.00,1,1,1,0,0,1,20210101,
J0256,HCPCS,ALPHA 1 PROTEINASE INHIBITOR,,,29,,NW,,,,,,$19.94,$0.00,1,1,1,0,0,1,20210101,
J0257,HCPCS,GLASSIA INJECTION,,,29,,NW,,,,,,$20.22,$0.00,1,1,1,0,0,1,20210101,
J0270,HCPCS,ALPROSTADIL FOR INJECTION,,,29,,NW,,,,,,$15.28,$0.00,1,1,1,0,0,1,20210101,
J0275,HCPCS,ALPROSTADIL URETHRAL SUPPOS,,,29,,NW,,,,,,$68.92,$0.00,1,1,1,0,0,1,20210101,
J0278,HCPCS,AMIKACIN SULFATE INJECTION,,,29,,NW,,,,,,$13.99,$0.00,1,1,1,0,0,1,20210101,
J0280,HCPCS,AMINOPHYLLIN 250 MG INJ,,,29,,NW,,,,,,$25.53,$0.00,1,1,1,0,0,1,20210101,
J0282,HCPCS,AMIODARONE HCL,,,29,,NW,,,,,,$18.88,$0.00,1,1,1,0,0,1,20210101,
J0285,HCPCS,AMPHOTERICIN B,,,29,,NW,,,,,,$80.21,$0.00,1,1,1,0,0,1,20210101,
J0287,HCPCS,AMPHOTERICIN B LIPID COMPLEX,,,29,,NW,,,,,,$34.62,$0.00,1,1,1,0,0,1,20210101,
J0288,HCPCS,AMPHO B CHOLESTERYL SULFATE,,,29,,NW,,,,,,$118.70,$0.00,1,1,1,0,0,1,20210101,
J0289,HCPCS,AMPHOTERICIN B LIPOSOME INJ,,,29,,NW,,,,,,$55.99,$0.00,1,1,1,0,0,1,20210101,
J0290,HCPCS,AMPICILLIN 500 MG INJ,,,29,,NW,,,,,,$13.41,$0.00,1,1,1,0,0,1,20210101,
J0291,HCPCS,"INJ., PLAZOMICIN, 5 MG",,,29,,NW,,,,,,$8.57,$0.00,1,1,1,0,0,1,20210101,
J0295,HCPCS,AMPICILLIN SULBACTAM 1.5 GM,,,29,,NW,,,,,,$16.23,$0.00,1,1,1,0,0,1,20210101,
J0300,HCPCS,AMOBARBITAL 125 MG INJ,,,29,,NW,,,,,,$97.17,$0.00,1,1,1,0,0,1,20210101,
J0330,HCPCS,SUCCINYCHOLINE CHLORIDE INJ,,,29,,NW,,,,,,$14.59,$0.00,1,1,1,0,0,1,20210101,
J0348,HCPCS,ANIDULAFUNGIN INJECTION,,,29,,NW,,,,,,$10.62,$0.00,1,1,1,0,0,1,20210101,
J0350,HCPCS,INJECTION ANISTREPLASE 30 U,,,29,,NW,,,,,,$297.31,$0.00,1,1,1,0,0,1,20210101,
J0360,HCPCS,HYDRALAZINE HCL INJECTION,,,29,,NW,,,,,,$17.11,$0.00,1,1,1,0,0,1,20210101,
J0364,HCPCS,APOMORPHINE HYDROCHLORIDE,,,29,,NW,,,,,,$17.96,$0.00,1,1,1,0,0,1,20210101,
J0365,HCPCS,"APROTONIN, 10,000 KIU",,,29,,NW,,,,,,$17.18,$0.00,1,1,1,0,0,1,20210101,
J0380,HCPCS,INJ METARAMINOL BITARTRATE,,,29,,NW,,,,,,$7.28,$0.00,1,1,1,0,0,1,20210101,
J0390,HCPCS,CHLOROQUINE INJECTION,,,29,,NW,,,,,,$251.95,$0.00,1,1,1,0,0,1,20210101,
J0395,HCPCS,ARBUTAMINE HCL INJECTION,,,29,,NW,,,,,,$33.59,$0.00,1,1,1,0,0,1,20210101,
J0400,HCPCS,ARIPIPRAZOLE INJECTION,,,29,,NW,,,,,,$5.23,$0.00,1,1,1,0,0,1,20210101,
J0401,HCPCS,INJ ARIPIPRAZOLE EXT REL 1MG,,,29,,NW,,,,,,$21.36,$0.00,1,1,1,0,0,1,20210101,
J0456,HCPCS,AZITHROMYCIN,,,29,,NW,,,,,,$17.96,$0.00,1,1,1,0,0,1,20210101,
J0461,HCPCS,ATROPINE SULFATE INJECTION,,,29,,NW,,,,,,$3.38,$0.00,1,1,1,0,0,1,20210101,
J0470,HCPCS,DIMECAPROL INJECTION,,,29,,NW,,,,,,$130.93,$0.00,1,1,1,0,0,1,20210101,
J0475,HCPCS,BACLOFEN 10 MG INJECTION,,,29,,NW,,,,,,$350.24,$0.00,1,1,1,0,0,1,20210101,
J0476,HCPCS,BACLOFEN INTRATHECAL TRIAL,,,29,,NW,,,,,,$113.82,$0.00,1,1,1,0,0,1,20210101,
J0480,HCPCS,BASILIXIMAB,,,29,,NW,,,,,,"$7,221.27",$0.00,1,1,1,0,0,1,20210101,
J0485,HCPCS,BELATACEPT INJECTION,,,29,,NW,,,,,,$18.64,$0.00,1,1,1,0,0,1,20210101,
J0490,HCPCS,BELIMUMAB INJECTION,,,29,,NW,,,,,,$96.78,$0.00,1,1,1,0,0,1,20210101,
J0500,HCPCS,DICYCLOMINE INJECTION,,,29,,NW,,,,,,$125.34,$0.00,1,1,1,0,0,1,20210101,
J0515,HCPCS,INJ BENZTROPINE MESYLATE,,,29,,NW,,,,,,$47.21,$0.00,1,1,1,0,0,1,20210101,
J0517,HCPCS,"INJ., BENRALIZUMAB, 1 MG",,,29,,NW,,,,,,$308.50,$0.00,1,1,1,0,0,1,20210101,
J0520,HCPCS,BETHANECHOL CHLORIDE INJECT,,,29,,NW,,,,,,$9.37,$0.00,1,1,1,0,0,1,20210101,
J0558,HCPCS,PENG BENZATHINE/PROCAINE INJ,,,29,,NW,,,,,,$31.64,$0.00,1,1,1,0,0,1,20210101,
J0561,HCPCS,PENICILLIN G BENZATHINE INJ,,,29,,NW,,,,,,$37.42,$0.00,1,1,1,0,0,1,20210101,
J0565,HCPCS,"INJ, BEZLOTOXUMAB, 10 MG",,,29,,NW,,,,,,$110.84,$0.00,1,1,1,0,0,1,20210101,
J0567,HCPCS,"INJ., CERLIPONASE ALFA 1 MG",,,29,,NW,,,,,,$376.69,$0.00,1,1,1,0,0,1,20210101,
J0570,HCPCS,BUPRENORPHINE IMPLANT 74.2MG,,,29,,NW,,,,,,"$2,453.13",$0.00,1,1,1,0,0,1,20210101,
J0572,HCPCS,BUPREN/NAL UP TO 3MG BUPRENO,,,29,,NW,,,,,,$5.62,$0.00,1,1,1,0,0,1,20210101,
J0573,HCPCS,BUPREN/NAL 3.1 TO 6MG BUPREN,,,29,,NW,,,,,,$9.49,$0.00,1,1,1,0,0,1,20210101,
J0574,HCPCS,BUPREN/NAL 6.1 TO 10MG BUPRE,,,29,,NW,,,,,,$13.33,$0.00,1,1,1,0,0,1,20210101,
J0575,HCPCS,BUPREN/NAL OVER 10MG BUPRENO,,,29,,NW,,,,,,$32.86,$0.00,1,1,1,0,0,1,20210101,
J0583,HCPCS,BIVALIRUDIN,,,29,,NW,,,,,,$13.04,$0.00,1,1,1,0,0,1,20210101,
J0584,HCPCS,"INJECTION, BUROSUMAB-TWZA 1M",,,29,,NW,,,,,,$710.62,$0.00,1,1,1,0,0,1,20210101,
J0585,HCPCS,"INJECTION,ONABOTULINUMTOXINA",,,29,,NW,,,,,,$22.96,$0.00,1,1,1,0,0,1,20210101,
J0586,HCPCS,ABOBOTULINUMTOXINA,,,29,,NW,,,,,,$27.15,$0.00,1,1,1,0,0,1,20210101,
J0587,HCPCS,"INJ, RIMABOTULINUMTOXINB",,,29,,NW,,,,,,$34.19,$0.00,1,1,1,0,0,1,20210101,
J0588,HCPCS,INCOBOTULINUMTOXIN A,,,29,,NW,,,,,,$20.88,$0.00,1,1,1,0,0,1,20210101,
J0592,HCPCS,BUPRENORPHINE HYDROCHLORIDE,,,29,,NW,,,,,,$18.73,$0.00,1,1,1,0,0,1,20210101,
J0593,HCPCS,"INJ., LANADELUMAB-FLYO, 1 MG",,,29,,NW,,,,,,$218.05,$0.00,1,1,1,0,0,1,20210101,
J0594,HCPCS,BUSULFAN INJECTION,,,29,,NW,,,,,,$49.30,$0.00,1,1,1,0,0,1,20210101,
J0595,HCPCS,BUTORPHANOL TARTRATE 1 MG,,,29,,NW,,,,,,$16.27,$0.00,1,1,1,0,0,1,20210101,
J0596,HCPCS,"INJECTION, RUCONEST",,,29,,NW,,,,,,$67.40,$0.00,1,1,1,0,0,1,20210101,
J0597,HCPCS,"C-1 ESTERASE, BERINERT",,,29,,NW,,,,,,$107.72,$0.00,1,1,1,0,0,1,20210101,
J0598,HCPCS,"C-1 ESTERASE, CINRYZE",,,29,,NW,,,,,,$120.42,$0.00,1,1,1,0,0,1,20210101,
J0599,HCPCS,"INJ., HAEGARDA 10 UNITS",,,29,,NW,,,,,,$16.69,$0.00,1,1,1,0,0,1,20210101,
J0600,HCPCS,EDETATE CALCIUM DISODIUM INJ,,,29,,NW,,,,,,"$10,819.23",$0.00,1,1,1,0,0,1,20210101,
J0604,HCPCS,"CINACALCET, ESRD ON DIALYSIS",,,29,,NW,,,,,,$1.79,$0.00,1,1,1,0,0,1,20210101,
J0606,HCPCS,"INJ, ETELCALCETIDE, 0.1 MG",,,29,,NW,,,,,,$17.02,$0.00,1,1,1,0,0,1,20210101,
J0610,HCPCS,CALCIUM GLUCONATE INJECTION,,,29,,NW,,,,,,$18.33,$0.00,1,1,1,0,0,1,20210101,
J0620,HCPCS,CALCIUM GLYCER & LACT/10 ML,,,29,,NW,,,,,,$24.98,$0.00,1,1,1,0,0,1,20210101,
J0630,HCPCS,CALCITONIN SALMON INJECTION,,,29,,NW,,,,,,"$4,877.93",$0.00,1,1,1,0,0,1,20210101,
J0636,HCPCS,INJ CALCITRIOL PER 0.1 MCG,,,29,,NW,,,,,,$10.34,$0.00,1,1,1,0,0,1,20210101,
J0637,HCPCS,CASPOFUNGIN ACETATE,,,29,,NW,,,,,,$34.37,$0.00,1,1,1,0,0,1,20210101,
J0638,HCPCS,CANAKINUMAB INJECTION,,,29,,NW,,,,,,$220.34,$0.00,1,1,1,0,0,1,20210101,
J0640,HCPCS,LEUCOVORIN CALCIUM INJECTION,,,29,,NW,,,,,,$16.98,$0.00,1,1,1,0,0,1,20210101,
J0641,HCPCS,INJ LEVOLEUCOVORIN NOS 0.5MG,,,29,,NW,,,,,,$6.78,$0.00,1,1,1,0,0,1,20210101,
J0642,HCPCS,"INJECTION, KHAPZORY, 0.5 MG",,,29,,NW,,,,,,$14.65,$0.00,1,1,1,0,0,1,20210101,
J0670,HCPCS,INJ MEPIVACAINE HCL/10 ML,,,29,,NW,,,,,,$16.58,$0.00,1,1,1,0,0,1,20210101,
J0690,HCPCS,CEFAZOLIN SODIUM INJECTION,,,29,,NW,,,,,,$12.59,$0.00,1,1,1,0,0,1,20210101,
J0691,HCPCS,INJ LEFAMULIN 1 MG,,,29,,NW,,,,,,$12.56,$0.00,1,1,1,0,0,1,20210101,
J0692,HCPCS,CEFEPIME HCL FOR INJECTION,,,29,,NW,,,,,,$15.43,$0.00,1,1,1,0,0,1,20210101,
J0694,HCPCS,CEFOXITIN SODIUM INJECTION,,,29,,NW,,,,,,$21.80,$0.00,1,1,1,0,0,1,20210101,
J0695,HCPCS,INJ CEFTOLOZANE TAZOBACTAM,,,29,,NW,,,,,,$11.99,$0.00,1,1,1,0,0,1,20210101,
J0696,HCPCS,CEFTRIAXONE SODIUM INJECTION,,,29,,NW,,,,,,$11.79,$0.00,1,1,1,0,0,1,20210101,
J0697,HCPCS,STERILE CEFUROXIME INJECTION,,,29,,NW,,,,,,$15.39,$0.00,1,1,1,0,0,1,20210101,
J0698,HCPCS,CEFOTAXIME SODIUM INJECTION,,,29,,NW,,,,,,$21.66,$0.00,1,1,1,0,0,1,20210101,
J0702,HCPCS,BETAMETHASONE ACET&SOD PHOSP,,,29,,NW,,,,,,$25.27,$0.00,1,1,1,0,0,1,20210101,
J0706,HCPCS,CAFFEINE CITRATE INJECTION,,,29,,NW,,,,,,$10.90,$0.00,1,1,1,0,0,1,20210101,
J0710,HCPCS,CEPHAPIRIN SODIUM INJECTION,,,29,,NW,,,,,,$17.77,$0.00,1,1,1,0,0,1,20210101,
J0712,HCPCS,CEFTAROLINE FOSAMIL INJ,,,29,,NW,,,,,,$16.72,$0.00,1,1,1,0,0,1,20210101,
J0713,HCPCS,INJ CEFTAZIDIME PER 500 MG,,,29,,NW,,,,,,$15.18,$0.00,1,1,1,0,0,1,20210101,
J0714,HCPCS,CEFTAZIDIME AND AVIBACTAM,,,29,,NW,,,,,,$218.01,$0.00,1,1,1,0,0,1,20210101,
J0715,HCPCS,CEFTIZOXIME SODIUM / 500 MG,,,29,,NW,,,,,,$53.13,$0.00,1,1,1,0,0,1,20210101,
J0716,HCPCS,CENTRUROIDES IMMUNE F(AB),,,29,,NW,,,,,,"$8,749.77",$0.00,1,1,1,0,0,1,20210101,
J0717,HCPCS,CERTOLIZUMAB PEGOL INJ 1MG,,,29,,NW,,,,,,$26.58,$0.00,1,1,1,0,0,1,20210101,
J0720,HCPCS,CHLORAMPHENICOL SODIUM INJEC,,,29,,NW,,,,,,$81.15,$0.00,1,1,1,0,0,1,20210101,
J0725,HCPCS,CHORIONIC GONADOTROPIN/1000U,,,29,,NW,,,,,,$54.92,$0.00,1,1,1,0,0,1,20210101,
J0735,HCPCS,CLONIDINE HYDROCHLORIDE,,,29,,NW,,,,,,$41.40,$0.00,1,1,1,0,0,1,20210101,
J0740,HCPCS,CIDOFOVIR INJECTION,,,29,,NW,,,,,,"$1,031.71",$0.00,1,1,1,0,0,1,20210101,
J0742,HCPCS,INJ IMIP 4 CILAS 4 RELEB 2MG,,,29,,NW,,,,,,$15.19,$0.00,1,1,1,0,0,1,20210101,
J0743,HCPCS,CILASTATIN SODIUM INJECTION,,,29,,NW,,,,,,$22.12,$0.00,1,1,1,0,0,1,20210101,
J0744,HCPCS,CIPROFLOXACIN IV,,,29,,NW,,,,,,$13.67,$0.00,1,1,1,0,0,1,20210101,
J0745,HCPCS,INJ CODEINE PHOSPHATE /30 MG,,,29,,NW,,,,,,$13.31,$0.00,1,1,1,0,0,1,20210101,
J0770,HCPCS,COLISTIMETHATE SODIUM INJ,,,29,,NW,,,,,,$41.86,$0.00,1,1,1,0,0,1,20210101,
J0775,HCPCS,"COLLAGENASE, CLOST HIST INJ",,,29,,NW,,,,,,$99.24,$0.00,1,1,1,0,0,1,20210101,
J0780,HCPCS,PROCHLORPERAZINE INJECTION,,,29,,NW,,,,,,$27.84,$0.00,1,1,1,0,0,1,20210101,
J0791,HCPCS,INJ CRIZANLIZUMAB-TMCA 5MG,,,29,,NW,,,,,,$221.65,$0.00,1,1,1,0,0,1,20210101,
J0795,HCPCS,CORTICORELIN OVINE TRIFLUTAL,,,29,,NW,,,,,,$28.39,$0.00,1,1,1,0,0,1,20210101,
J0800,HCPCS,CORTICOTROPIN INJECTION,,,29,,NW,,,,,,"$7,427.24",$0.00,1,1,1,0,0,1,20210101,
J0834,HCPCS,"INJ., COSYNTROPIN, 0.25 MG",,,29,,NW,,,,,,$92.97,$0.00,1,1,1,0,0,1,20210101,
J0840,HCPCS,CROTALIDAE POLY IMMUNE FAB,,,29,,NW,,,,,,"$5,863.24",$0.00,1,1,1,0,0,1,20210101,
J0841,HCPCS,INJ CROTALIDAE IM F(AB')2 EQ,,,29,,NW,,,,,,"$3,890.14",$0.00,1,1,1,0,0,1,20210101,
J0850,HCPCS,CYTOMEGALOVIRUS IMM IV /VIAL,,,29,,NW,,,,,,"$2,494.22",$0.00,1,1,1,0,0,1,20210101,
J0875,HCPCS,"INJECTION, DALBAVANCIN",,,29,,NW,,,,,,$40.17,$0.00,1,1,1,0,0,1,20210101,
J0878,HCPCS,DAPTOMYCIN INJECTION,,,29,,NW,,,,,,$5.10,$0.00,1,1,1,0,0,1,20210101,
J0881,HCPCS,"DARBEPOETIN ALFA, NON-ESRD",,,29,,NW,,,,,,$18.66,$0.00,1,1,1,0,0,1,20210101,
J0882,HCPCS,"DARBEPOETIN ALFA, ESRD USE",,,29,,NW,,,,,,$18.66,$0.00,1,1,1,0,0,1,20210101,
J0883,HCPCS,ARGATROBAN NONESRD USE 1MG,,,29,,NW,,,,,,$25.98,$0.00,1,1,1,0,0,1,20210101,
J0884,HCPCS,ARGATROBAN ESRD DIALYSIS 1MG,,,29,,NW,,,,,,$30.10,$0.00,1,1,1,0,0,1,20210101,
J0885,HCPCS,"EPOETIN ALFA, NON-ESRD",,,29,,NW,,,,,,$32.99,$0.00,1,1,1,0,0,1,20210101,
J0887,HCPCS,EPOETIN BETA ESRD USE,,,29,,NW,,,,,,$14.27,$0.00,1,1,1,0,0,1,20210101,
J0888,HCPCS,EPOETIN BETA NON ESRD,,,29,,NW,,,,,,$14.27,$0.00,1,1,1,0,0,1,20210101,
J0890,HCPCS,PEGINESATIDE INJECTION,,,29,,NW,,,,,,$28.80,$0.00,1,1,1,0,0,1,20210101,
J0894,HCPCS,DECITABINE INJECTION,,,29,,NW,,,,,,$32.68,$0.00,1,1,1,0,0,1,20210101,
J0895,HCPCS,DEFEROXAMINE MESYLATE INJ,,,29,,NW,,,,,,$26.65,$0.00,1,1,1,0,0,1,20210101,
J0896,HCPCS,INJ LUSPATERCEPT-AAMT 0.25MG,,,29,,NW,,,,,,$73.69,$0.00,1,1,1,0,0,1,20210101,
J0897,HCPCS,DENOSUMAB INJECTION,,,29,,NW,,,,,,$46.90,$0.00,1,1,1,0,0,1,20210101,
J0945,HCPCS,BROMPHENIRAMINE MALEATE INJ,,,29,,NW,,,,,,$7.61,$0.00,1,1,1,0,0,1,20210101,
J1000,HCPCS,DEPO-ESTRADIOL CYPIONATE INJ,,,29,,NW,,,,,,$52.49,$0.00,1,1,1,0,0,1,20210101,
J1020,HCPCS,METHYLPREDNISOLONE 20 MG INJ,,,29,,NW,,,,,,$20.55,$0.00,1,1,1,0,0,1,20210101,
J1030,HCPCS,METHYLPREDNISOLONE 40 MG INJ,,,29,,NW,,,,,,$23.45,$0.00,1,1,1,0,0,1,20210101,
J1040,HCPCS,METHYLPREDNISOLONE 80 MG INJ,,,29,,NW,,,,,,$34.56,$0.00,1,1,1,0,0,1,20210101,
J1050,HCPCS,MEDROXYPROGESTERONE ACETATE,,,29,,NW,,,,,,$8.96,$0.00,1,1,1,0,0,1,20210101,
J1071,HCPCS,INJ TESTOSTERONE CYPIONATE,,,29,,NW,,,,,,$3.18,$0.00,1,1,1,0,0,1,20210101,
J1094,HCPCS,INJ DEXAMETHASONE ACETATE,,,29,,NW,,,,,,$4.66,$0.00,1,1,1,0,0,1,20210101,
J1095,HCPCS,"INJECTION, DEXAMETHASONE 9%",,,29,,NW,,,,,,$3.96,$0.00,1,1,1,0,0,1,20210101,
J1096,HCPCS,DEXAMETHA OPTH INSERT 0.1 MG,,,29,,NW,,,,,,$398.45,$0.00,1,1,1,0,0,1,20210101,
J1097,HCPCS,PHENYLEP KETOROLAC OPTH SOLN,,,29,,NW,,,,,,$303.26,$0.00,1,1,1,0,0,1,20210101,
J1100,HCPCS,DEXAMETHASONE SODIUM PHOS,,,29,,NW,,,,,,$3.96,$0.00,1,1,1,0,0,1,20210101,
J1110,HCPCS,INJ DIHYDROERGOTAMINE MESYLT,,,29,,NW,,,,,,$197.15,$0.00,1,1,1,0,0,1,20210101,
J1120,HCPCS,ACETAZOLAMID SODIUM INJECTIO,,,29,,NW,,,,,,$47.61,$0.00,1,1,1,0,0,1,20210101,
J1130,HCPCS,INJ DICLOFENAC SODIUM 0.5MG,,,29,,NW,,,,,,$0.39,$0.00,1,1,1,0,0,1,20210101,
J1160,HCPCS,DIGOXIN INJECTION,,,29,,NW,,,,,,$31.54,$0.00,1,1,1,0,0,1,20210101,
J1162,HCPCS,DIGOXIN IMMUNE FAB (OVINE),,,29,,NW,,,,,,"$7,052.04",$0.00,1,1,1,0,0,1,20210101,
J1165,HCPCS,PHENYTOIN SODIUM INJECTION,,,29,,NW,,,,,,$10.39,$0.00,1,1,1,0,0,1,20210101,
J1170,HCPCS,HYDROMORPHONE INJECTION,,,29,,NW,,,,,,$15.47,$0.00,1,1,1,0,0,1,20210101,
J1180,HCPCS,DYPHYLLINE INJECTION,,,29,,NW,,,,,,$21.34,$0.00,1,1,1,0,0,1,20210101,
J1190,HCPCS,DEXRAZOXANE HCL INJECTION,,,29,,NW,,,,,,$428.15,$0.00,1,1,1,0,0,1,20210101,
J1200,HCPCS,DIPHENHYDRAMINE HCL INJECTIO,,,29,,NW,,,,,,$12.55,$0.00,1,1,1,0,0,1,20210101,
J1205,HCPCS,CHLOROTHIAZIDE SODIUM INJ,,,29,,NW,,,,,,$128.36,$0.00,1,1,1,0,0,1,20210101,
J1212,HCPCS,DIMETHYL SULFOXIDE 50% 50 ML,,,29,,NW,,,,,,"$1,144.88",$0.00,1,1,1,0,0,1,20210101,
J1230,HCPCS,METHADONE INJECTION,,,29,,NW,,,,,,$46.96,$0.00,1,1,1,0,0,1,20210101,
J1240,HCPCS,DIMENHYDRINATE INJECTION,,,29,,NW,,,,,,$25.55,$0.00,1,1,1,0,0,1,20210101,
J1245,HCPCS,DIPYRIDAMOLE INJECTION,,,29,,NW,,,,,,$14.81,$0.00,1,1,1,0,0,1,20210101,
J1250,HCPCS,INJ DOBUTAMINE HCL/250 MG,,,29,,NW,,,,,,$22.96,$0.00,1,1,1,0,0,1,20210101,
J1260,HCPCS,DOLASETRON MESYLATE,,,29,,NW,,,,,,$17.17,$0.00,1,1,1,0,0,1,20210101,
J1265,HCPCS,DOPAMINE INJECTION,,,29,,NW,,,,,,$12.51,$0.00,1,1,1,0,0,1,20210101,
J1267,HCPCS,DORIPENEM INJECTION,,,29,,NW,,,,,,$7.27,$0.00,1,1,1,0,0,1,20210101,
J1270,HCPCS,"INJECTION, DOXERCALCIFEROL",,,29,,NW,,,,,,$7.88,$0.00,1,1,1,0,0,1,20210101,
J1290,HCPCS,ECALLANTIDE INJECTION,,,29,,NW,,,,,,$905.73,$0.00,1,1,1,0,0,1,20210101,
J1300,HCPCS,ECULIZUMAB INJECTION,,,29,,NW,,,,,,$453.77,$0.00,1,1,1,0,0,1,20210101,
J1301,HCPCS,"INJECTION, EDARAVONE, 1 MG",,,29,,NW,,,,,,$43.73,$0.00,1,1,1,0,0,1,20210101,
J1303,HCPCS,"INJ., RAVULIZUMAB-CWVZ 10 MG",,,29,,NW,,,,,,$400.04,$0.00,1,1,1,0,0,1,20210101,
J1320,HCPCS,AMITRIPTYLINE INJECTION,,,29,,NW,,,,,,$97.16,$0.00,1,1,1,0,0,1,20210101,
J1322,HCPCS,"ELOSULFASE ALFA, INJECTION",,,29,,NW,,,,,,$427.44,$0.00,1,1,1,0,0,1,20210101,
J1324,HCPCS,ENFUVIRTIDE INJECTION,,,29,,NW,,,,,,$257.28,$0.00,1,1,1,0,0,1,20210101,
J1325,HCPCS,EPOPROSTENOL INJECTION,,,29,,NW,,,,,,$41.78,$0.00,1,1,1,0,0,1,20210101,
J1327,HCPCS,EPTIFIBATIDE INJECTION,,,29,,NW,,,,,,$84.93,$0.00,1,1,1,0,0,1,20210101,
J1330,HCPCS,ERGONOVINE MALEATE INJECTION,,,29,,NW,,,,,,$24.64,$0.00,1,1,1,0,0,1,20210101,
J1335,HCPCS,ERTAPENEM INJECTION,,,29,,NW,,,,,,$99.15,$0.00,1,1,1,0,0,1,20210101,
J1364,HCPCS,ERYTHRO LACTOBIONATE /500 MG,,,29,,NW,,,,,,$153.50,$0.00,1,1,1,0,0,1,20210101,
J1380,HCPCS,ESTRADIOL VALERATE 10 MG INJ,,,29,,NW,,,,,,$26.43,$0.00,1,1,1,0,0,1,20210101,
J1410,HCPCS,INJ ESTROGEN CONJUGATE 25 MG,,,29,,NW,,,,,,$606.22,$0.00,1,1,1,0,0,1,20210101,
J1428,HCPCS,"INJ, ETEPLIRSEN, 10 MG",,,29,,NW,,,,,,$352.95,$0.00,1,1,1,0,0,1,20210101,
J1430,HCPCS,ETHANOLAMINE OLEATE 100 MG,,,29,,NW,,,,,,$864.06,$0.00,1,1,1,0,0,1,20210101,
J1435,HCPCS,INJECTION ESTRONE PER 1 MG,,,29,,NW,,,,,,$15.84,$0.00,1,1,1,0,0,1,20210101,
J1436,HCPCS,ETIDRONATE DISODIUM INJ,,,29,,NW,,,,,,$239.98,$0.00,1,1,1,0,0,1,20210101,
J1438,HCPCS,ETANERCEPT INJECTION,,,29,,NW,,,,,,"$1,974.89",$0.00,1,1,1,0,0,1,20210101,
J1439,HCPCS,INJ FERRIC CARBOXYMALTOS 1MG,,,29,,NW,,,,,,$13.28,$0.00,1,1,1,0,0,1,20210101,
J1442,HCPCS,INJ FILGRASTIM EXCL BIOSIMIL,,,29,,NW,,,,,,$13.10,$0.00,1,1,1,0,0,1,20210101,
J1443,HCPCS,INJ FERRIC PYROPHOSPHATE CIT,,,29,,NW,,,,,,$3.23,$0.00,1,1,1,0,0,1,20210101,
J1444,HCPCS,FE PYRO CIT POW 0.1 MG IRON,,,29,,NW,,,,,,$3.23,$0.00,1,1,1,0,0,1,20210101,
J1447,HCPCS,INJ TBO FILGRASTIM 1 MICROG,,,29,,NW,,,,,,$11.17,$0.00,1,1,1,0,0,1,20210101,
J1450,HCPCS,FLUCONAZOLE,,,29,,NW,,,,,,$29.63,$0.00,1,1,1,0,0,1,20210101,
J1451,HCPCS,"FOMEPIZOLE, 15 MG",,,29,,NW,,,,,,$27.81,$0.00,1,1,1,0,0,1,20210101,
J1452,HCPCS,INTRAOCULAR FOMIVIRSEN NA,,,29,,NW,,,,,,"$2,679.37",$0.00,1,1,1,0,0,1,20210101,
J1453,HCPCS,FOSAPREPITANT INJECTION,,,29,,NW,,,,,,$14.30,$0.00,1,1,1,0,0,1,20210101,
J1454,HCPCS,"INJ FOSNETUPITANT, PALONOSET",,,29,,NW,,,,,,$919.15,$0.00,1,1,1,0,0,1,20210101,
J1455,HCPCS,FOSCARNET SODIUM INJECTION,,,29,,NW,,,,,,$133.74,$0.00,1,1,1,0,0,1,20210101,
J1457,HCPCS,GALLIUM NITRATE INJECTION,,,29,,NW,,,,,,$13.40,$0.00,1,1,1,0,0,1,20210101,
J1458,HCPCS,GALSULFASE INJECTION,,,29,,NW,,,,,,$765.26,$0.00,1,1,1,0,0,1,20210101,
J1459,HCPCS,INJ IVIG PRIVIGEN 500 MG,,,29,,NW,,,,,,$88.04,$0.00,1,1,1,0,0,1,20210101,
J1460,HCPCS,GAMMA GLOBULIN 1 CC INJ,,,29,,NW,,,,,,$84.11,$0.00,1,1,1,0,0,1,20210101,
J1555,HCPCS,"INJ CUVITRU, 100 MG",,,29,,NW,,,,,,$37.68,$0.00,1,1,1,0,0,1,20210101,
J1556,HCPCS,"INJ, IMM GLOB BIVIGAM, 500MG",,,29,,NW,,,,,,$139.20,$0.00,1,1,1,0,0,1,20210101,
J1557,HCPCS,GAMMAPLEX INJECTION,,,29,,NW,,,,,,$99.60,$0.00,1,1,1,0,0,1,20210101,
J1558,HCPCS,"INJ. XEMBIFY, 100 MG",,,29,,NW,,,,,,$40.25,$0.00,1,1,1,0,0,1,20210101,
J1559,HCPCS,HIZENTRA INJECTION,,,29,,NW,,,,,,$30.86,$0.00,1,1,1,0,0,1,20210101,
J1560,HCPCS,GAMMA GLOBULIN > 10 CC INJ,,,29,,NW,,,,,,$738.83,$0.00,1,1,1,0,0,1,20210101,
J1561,HCPCS,GAMUNEX-C/GAMMAKED,,,29,,NW,,,,,,$88.95,$0.00,1,1,1,0,0,1,20210101,
J1562,HCPCS,"VIVAGLOBIN, INJ",,,29,,NW,,,,,,$29.02,$0.00,1,1,1,0,0,1,20210101,
J1566,HCPCS,"IMMUNE GLOBULIN, POWDER",,,29,,NW,,,,,,$105.28,$0.00,1,1,1,0,0,1,20210101,
J1568,HCPCS,OCTAGAM INJECTION,,,29,,NW,,,,,,$83.05,$0.00,1,1,1,0,0,1,20210101,
J1569,HCPCS,GAMMAGARD LIQUID INJECTION,,,29,,NW,,,,,,$88.86,$0.00,1,1,1,0,0,1,20210101,
J1570,HCPCS,GANCICLOVIR SODIUM INJECTION,,,29,,NW,,,,,,$91.13,$0.00,1,1,1,0,0,1,20210101,
J1571,HCPCS,HEPAGAM B IM INJECTION,,,29,,NW,,,,,,$132.34,$0.00,1,1,1,0,0,1,20210101,
J1572,HCPCS,FLEBOGAMMA INJECTION,,,29,,NW,,,,,,$78.41,$0.00,1,1,1,0,0,1,20210101,
J1573,HCPCS,"HEPAGAM B INTRAVENOUS, INJ",,,29,,NW,,,,,,$146.05,$0.00,1,1,1,0,0,1,20210101,
J1575,HCPCS,HYQVIA 100MG IMMUNEGLOBULIN,,,29,,NW,,,,,,$38.03,$0.00,1,1,1,0,0,1,20210101,
J1580,HCPCS,GARAMYCIN GENTAMICIN INJ,,,29,,NW,,,,,,$14.36,$0.00,1,1,1,0,0,1,20210101,
J1595,HCPCS,INJECTION GLATIRAMER ACETATE,,,29,,NW,,,,,,"$2,176.84",$0.00,1,1,1,0,0,1,20210101,
J1599,HCPCS,"IVIG NON-LYOPHILIZED, NOS",,,29,,NW,,,,,,$109.43,$0.00,1,1,1,0,0,1,20210101,
J1600,HCPCS,GOLD SODIUM THIOMALEATE INJ,,,29,,NW,,,,,,$49.29,$0.00,1,1,1,0,0,1,20210101,
J1602,HCPCS,GOLIMUMAB FOR IV USE 1MG,,,29,,NW,,,,,,$54.49,$0.00,1,1,1,0,0,1,20210101,
J1610,HCPCS,GLUCAGON HYDROCHLORIDE/1 MG,,,29,,NW,,,,,,$412.94,$0.00,1,1,1,0,0,1,20210101,
J1620,HCPCS,GONADORELIN HYDROCH/ 100 MCG,,,29,,NW,,,,,,$757.51,$0.00,1,1,1,0,0,1,20210101,
J1626,HCPCS,GRANISETRON HCL INJECTION,,,29,,NW,,,,,,$5.60,$0.00,1,1,1,0,0,1,20210101,
J1627,HCPCS,"INJ, GRANISETRON, XR, 0.1 MG",,,29,,NW,,,,,,$16.92,$0.00,1,1,1,0,0,1,20210101,
J1628,HCPCS,"INJ., GUSELKUMAB, 1 MG",,,29,,NW,,,,,,$240.15,$0.00,1,1,1,0,0,1,20210101,
J1630,HCPCS,HALOPERIDOL INJECTION,,,29,,NW,,,,,,$13.16,$0.00,1,1,1,0,0,1,20210101,
J1631,HCPCS,HALOPERIDOL DECANOATE INJ,,,29,,NW,,,,,,$43.91,$0.00,1,1,1,0,0,1,20210101,
J1632,HCPCS,"Injection, brexanolone, 1 mg",,,29,,NW,,,,,,$215.18,$0.00,1,1,1,0,0,1,20210101,
J1640,HCPCS,"HEMIN, 1 MG",,,29,,NW,,,,,,$56.18,$0.00,1,1,1,0,0,1,20210101,
J1642,HCPCS,INJ HEPARIN SODIUM PER 10 U,,,29,,NW,,,,,,$3.16,$0.00,1,1,1,0,0,1,20210101,
J1644,HCPCS,INJ HEPARIN SODIUM PER 1000U,,,29,,NW,,,,,,$5.47,$0.00,1,1,1,0,0,1,20210101,
J1645,HCPCS,DALTEPARIN SODIUM,,,29,,NW,,,,,,$37.50,$0.00,1,1,1,0,0,1,20210101,
J1650,HCPCS,INJ ENOXAPARIN SODIUM,,,29,,NW,,,,,,$12.61,$0.00,1,1,1,0,0,1,20210101,
J1652,HCPCS,FONDAPARINUX SODIUM,,,29,,NW,,,,,,$15.03,$0.00,1,1,1,0,0,1,20210101,
J1655,HCPCS,TINZAPARIN SODIUM INJECTION,,,29,,NW,,,,,,$12.29,$0.00,1,1,1,0,0,1,20210101,
J1670,HCPCS,TETANUS IMMUNE GLOBULIN INJ,,,29,,NW,,,,,,$961.83,$0.00,1,1,1,0,0,1,20210101,
J1675,HCPCS,HISTRELIN ACETATE,,,29,,NW,,,,,,$13.31,$0.00,1,1,1,0,0,1,20210101,
J1700,HCPCS,HYDROCORTISONE ACETATE INJ,,,29,,NW,,,,,,$12.99,$0.00,1,1,1,0,0,1,20210101,
J1710,HCPCS,HYDROCORTISONE SODIUM PH INJ,,,29,,NW,,,,,,$20.92,$0.00,1,1,1,0,0,1,20210101,
J1720,HCPCS,HYDROCORTISONE SODIUM SUCC I,,,29,,NW,,,,,,$35.31,$0.00,1,1,1,0,0,1,20210101,
J1726,HCPCS,"MAKENA, 10 MG",,,29,,NW,,,,,,$67.35,$0.00,1,1,1,0,0,1,20210101,
J1729,HCPCS,INJ HYDROXYPROGST CAPOAT NOS,,,29,,NW,,,,,,$6.23,$0.00,1,1,1,0,0,1,20210101,
J1730,HCPCS,DIAZOXIDE INJECTION,,,29,,NW,,,,,,$245.88,$0.00,1,1,1,0,0,1,20210101,
J1740,HCPCS,IBANDRONATE SODIUM INJECTION,,,29,,NW,,,,,,$141.52,$0.00,1,1,1,0,0,1,20210101,
J1741,HCPCS,IBUPROFEN INJECTION,,,29,,NW,,,,,,$11.13,$0.00,1,1,1,0,0,1,20210101,
J1742,HCPCS,IBUTILIDE FUMARATE INJECTION,,,29,,NW,,,,,,$428.51,$0.00,1,1,1,0,0,1,20210101,
J1743,HCPCS,IDURSULFASE INJECTION,,,29,,NW,,,,,,"$1,055.16",$0.00,1,1,1,0,0,1,20210101,
J1744,HCPCS,ICATIBANT INJECTION,,,29,,NW,,,,,,$631.50,$0.00,1,1,1,0,0,1,20210101,
J1745,HCPCS,INFLIXIMAB NOT BIOSIMIL 10MG,,,29,,NW,,,,,,$147.08,$0.00,1,1,1,0,0,1,20210101,
J1746,HCPCS,"INJ., IBALIZUMAB-UIYK, 10 MG",,,29,,NW,,,,,,$123.11,$0.00,1,1,1,0,0,1,20210101,
J1750,HCPCS,INJ IRON DEXTRAN,,,29,,NW,,,,,,$37.87,$0.00,1,1,1,0,0,1,20210101,
J1756,HCPCS,IRON SUCROSE INJECTION,,,29,,NW,,,,,,$5.05,$0.00,1,1,1,0,0,1,20210101,
J1786,HCPCS,IMUGLUCERASE INJECTION,,,29,,NW,,,,,,$93.11,$0.00,1,1,1,0,0,1,20210101,
J1790,HCPCS,DROPERIDOL INJECTION,,,29,,NW,,,,,,$14.06,$0.00,1,1,1,0,0,1,20210101,
J1800,HCPCS,PROPRANOLOL INJECTION,,,29,,NW,,,,,,$15.27,$0.00,1,1,1,0,0,1,20210101,
J1810,HCPCS,DROPERIDOL/FENTANYL INJ,,,29,,NW,,,,,,$101.58,$0.00,1,1,1,0,0,1,20210101,
J1815,HCPCS,INSULIN INJECTION,,,29,,NW,,,,,,$12.64,$0.00,1,1,1,0,0,1,20210101,
J1817,HCPCS,INSULIN FOR INSULIN PUMP USE,,,29,,NW,,,,,,$30.56,$0.00,1,1,1,0,0,1,20210101,
J1826,HCPCS,INTERFERON BETA-1A INJ,,,29,,NW,,,,,,"$3,174.41",$0.00,1,1,1,0,0,1,20210101,
J1830,HCPCS,INTERFERON BETA-1B / .25 MG,,,29,,NW,,,,,,$491.91,$0.00,1,1,1,0,0,1,20210101,
J1833,HCPCS,"INJECTION, ISAVUCONAZONIUM",,,29,,NW,,,,,,$3.63,$0.00,1,1,1,0,0,1,20210101,
J1835,HCPCS,ITRACONAZOLE INJECTION,,,29,,NW,,,,,,"$1,107.02",$0.00,1,1,1,0,0,1,20210101,
J1840,HCPCS,KANAMYCIN SULFATE 500 MG INJ,,,29,,NW,,,,,,$19.00,$0.00,1,1,1,0,0,1,20210101,
J1850,HCPCS,KANAMYCIN SULFATE 75 MG INJ,,,29,,NW,,,,,,$10.08,$0.00,1,1,1,0,0,1,20210101,
J1885,HCPCS,KETOROLAC TROMETHAMINE INJ,,,29,,NW,,,,,,$12.30,$0.00,1,1,1,0,0,1,20210101,
J1890,HCPCS,CEPHALOTHIN SODIUM INJECTION,,,29,,NW,,,,,,$19.42,$0.00,1,1,1,0,0,1,20210101,
J1930,HCPCS,LANREOTIDE INJECTION,,,29,,NW,,,,,,$131.65,$0.00,1,1,1,0,0,1,20210101,
J1931,HCPCS,LARONIDASE INJECTION,,,29,,NW,,,,,,$72.29,$0.00,1,1,1,0,0,1,20210101,
J1940,HCPCS,FUROSEMIDE INJECTION,,,29,,NW,,,,,,$12.83,$0.00,1,1,1,0,0,1,20210101,
J1943,HCPCS,"INJ., ARISTADA INITIO, 1 MG",,,29,,NW,,,,,,$10.48,$0.00,1,1,1,0,0,1,20210101,
J1944,HCPCS,ARIPIRAZOLE LAUROXIL 1 MG,,,29,,NW,,,,,,$16.18,$0.00,1,1,1,0,0,1,20210101,
J1945,HCPCS,LEPIRUDIN,,,29,,NW,,,,,,$253.44,$0.00,1,1,1,0,0,1,20210101,
J1950,HCPCS,LEUPROLIDE ACETATE /3.75 MG,,,29,,NW,,,,,,"$2,231.70",$0.00,1,1,1,0,0,1,20210101,
J1953,HCPCS,LEVETIRACETAM INJECTION,,,29,,NW,,,,,,$4.21,$0.00,1,1,1,0,0,1,20210101,
J1955,HCPCS,INJ LEVOCARNITINE PER 1 GM,,,29,,NW,,,,,,$54.42,$0.00,1,1,1,0,0,1,20210101,
J1956,HCPCS,LEVOFLOXACIN INJECTION,,,29,,NW,,,,,,$11.34,$0.00,1,1,1,0,0,1,20210101,
J1960,HCPCS,LEVORPHANOL TARTRATE INJ,,,29,,NW,,,,,,$31.85,$0.00,1,1,1,0,0,1,20210101,
J1980,HCPCS,HYOSCYAMINE SULFATE INJ,,,29,,NW,,,,,,$68.04,$0.00,1,1,1,0,0,1,20210101,
J1990,HCPCS,CHLORDIAZEPOXIDE INJECTION,,,29,,NW,,,,,,$51.69,$0.00,1,1,1,0,0,1,20210101,
J2001,HCPCS,LIDOCAINE INJECTION,,,29,,NW,,,,,,$3.17,$0.00,1,1,1,0,0,1,20210101,
J2010,HCPCS,LINCOMYCIN INJECTION,,,29,,NW,,,,,,$35.03,$0.00,1,1,1,0,0,1,20210101,
J2020,HCPCS,LINEZOLID INJECTION,,,29,,NW,,,,,,$31.53,$0.00,1,1,1,0,0,1,20210101,
J2060,HCPCS,LORAZEPAM INJECTION,,,29,,NW,,,,,,$12.52,$0.00,1,1,1,0,0,1,20210101,
J2062,HCPCS,LOXAPINE FOR INHALATION 1 MG,,,29,,NW,,,,,,$189.56,$0.00,1,1,1,0,0,1,20210101,
J2150,HCPCS,MANNITOL INJECTION,,,29,,NW,,,,,,$15.34,$0.00,1,1,1,0,0,1,20210101,
J2170,HCPCS,MECASERMIN INJECTION,,,29,,NW,,,,,,$27.23,$0.00,1,1,1,0,0,1,20210101,
J2175,HCPCS,MEPERIDINE HYDROCHL /100 MG,,,29,,NW,,,,,,$22.25,$0.00,1,1,1,0,0,1,20210101,
J2180,HCPCS,MEPERIDINE/PROMETHAZINE INJ,,,29,,NW,,,,,,$55.55,$0.00,1,1,1,0,0,1,20210101,
J2182,HCPCS,"INJECTION, MEPOLIZUMAB, 1MG",,,29,,NW,,,,,,$54.22,$0.00,1,1,1,0,0,1,20210101,
J2185,HCPCS,MEROPENEM,,,29,,NW,,,,,,$12.99,$0.00,1,1,1,0,0,1,20210101,
J2186,HCPCS,"INJ., MEROPENEM, VABORBACTAM",,,29,,NW,,,,,,$3.05,$0.00,1,1,1,0,0,1,20210101,
J2210,HCPCS,METHYLERGONOVIN MALEATE INJ,,,29,,NW,,,,,,$43.19,$0.00,1,1,1,0,0,1,20210101,
J2212,HCPCS,METHYLNALTREXONE INJECTION,,,29,,NW,,,,,,$1.58,$0.00,1,1,1,0,0,1,20210101,
J2248,HCPCS,MICAFUNGIN SODIUM INJECTION,,,29,,NW,,,,,,$13.22,$0.00,1,1,1,0,0,1,20210101,
J2250,HCPCS,INJ MIDAZOLAM HYDROCHLORIDE,,,29,,NW,,,,,,$3.92,$0.00,1,1,1,0,0,1,20210101,
J2260,HCPCS,INJ MILRINONE LACTATE / 5 MG,,,29,,NW,,,,,,$14.21,$0.00,1,1,1,0,0,1,20210101,
J2265,HCPCS,MINOCYCLINE HYDROCHLORIDE,,,29,,NW,,,,,,$4.84,$0.00,1,1,1,0,0,1,20210101,
J2270,HCPCS,MORPHINE SULFATE INJECTION,,,29,,NW,,,,,,$16.49,$0.00,1,1,1,0,0,1,20210101,
J2274,HCPCS,INJ MORPHINE PF EPID ITHC,,,29,,NW,,,,,,$32.62,$0.00,1,1,1,0,0,1,20210101,
J2278,HCPCS,ZICONOTIDE INJECTION,,,29,,NW,,,,,,$26.31,$0.00,1,1,1,0,0,1,20210101,
J2280,HCPCS,"INJ, MOXIFLOXACIN 100 MG",,,29,,NW,,,,,,$28.14,$0.00,1,1,1,0,0,1,20210101,
J2300,HCPCS,INJ NALBUPHINE HYDROCHLORIDE,,,29,,NW,,,,,,$15.89,$0.00,1,1,1,0,0,1,20210101,
J2310,HCPCS,INJ NALOXONE HYDROCHLORIDE,,,29,,NW,,,,,,$53.02,$0.00,1,1,1,0,0,1,20210101,
J2315,HCPCS,"NALTREXONE, DEPOT FORM",,,29,,NW,,,,,,$17.41,$0.00,1,1,1,0,0,1,20210101,
J2320,HCPCS,NANDROLONE DECANOATE 50 MG,,,29,,NW,,,,,,$32.16,$0.00,1,1,1,0,0,1,20210101,
J2323,HCPCS,NATALIZUMAB INJECTION,,,29,,NW,,,,,,$50.39,$0.00,1,1,1,0,0,1,20210101,
J2325,HCPCS,NESIRITIDE INJECTION,,,29,,NW,,,,,,$103.80,$0.00,1,1,1,0,0,1,20210101,
J2326,HCPCS,"INJ, NUSINERSEN, 0.1MG",,,29,,NW,,,,,,"$1,998.75",$0.00,1,1,1,0,0,1,20210101,
J2350,HCPCS,"INJECTION, OCRELIZUMAB, 1 MG",,,29,,NW,,,,,,$121.98,$0.00,1,1,1,0,0,1,20210101,
J2353,HCPCS,"OCTREOTIDE INJECTION, DEPOT",,,29,,NW,,,,,,$390.11,$0.00,1,1,1,0,0,1,20210101,
J2354,HCPCS,"OCTREOTIDE INJ, NON-DEPOT",,,29,,NW,,,,,,$12.73,$0.00,1,1,1,0,0,1,20210101,
J2355,HCPCS,OPRELVEKIN INJECTION,,,29,,NW,,,,,,$710.61,$0.00,1,1,1,0,0,1,20210101,
J2357,HCPCS,OMALIZUMAB INJECTION,,,29,,NW,,,,,,$80.73,$0.00,1,1,1,0,0,1,20210101,
J2358,HCPCS,OLANZAPINE LONG-ACTING INJ,,,29,,NW,,,,,,$16.75,$0.00,1,1,1,0,0,1,20210101,
J2360,HCPCS,ORPHENADRINE INJECTION,,,29,,NW,,,,,,$24.60,$0.00,1,1,1,0,0,1,20210101,
J2370,HCPCS,PHENYLEPHRINE HCL INJECTION,,,29,,NW,,,,,,$13.98,$0.00,1,1,1,0,0,1,20210101,
J2400,HCPCS,CHLOROPROCAINE HCL INJECTION,,,29,,NW,,,,,,$53.39,$0.00,1,1,1,0,0,1,20210101,
J2405,HCPCS,ONDANSETRON HCL INJECTION,,,29,,NW,,,,,,$3.74,$0.00,1,1,1,0,0,1,20210101,
J2407,HCPCS,"INJECTION, ORITAVANCIN",,,29,,NW,,,,,,$57.13,$0.00,1,1,1,0,0,1,20210101,
J2410,HCPCS,OXYMORPHONE HCL INJECTION,,,29,,NW,,,,,,$29.26,$0.00,1,1,1,0,0,1,20210101,
J2425,HCPCS,PALIFERMIN INJECTION,,,29,,NW,,,,,,$50.85,$0.00,1,1,1,0,0,1,20210101,
J2426,HCPCS,PALIPERIDONE PALMITATE INJ,,,29,,NW,,,,,,$32.41,$0.00,1,1,1,0,0,1,20210101,
J2430,HCPCS,PAMIDRONATE DISODIUM /30 MG,,,29,,NW,,,,,,$32.53,$0.00,1,1,1,0,0,1,20210101,
J2440,HCPCS,PAPAVERIN HCL INJECTION,,,29,,NW,,,,,,$11.94,$0.00,1,1,1,0,0,1,20210101,
J2460,HCPCS,OXYTETRACYCLINE INJECTION,,,29,,NW,,,,,,$2.50,$0.00,1,1,1,0,0,1,20210101,
J2469,HCPCS,PALONOSETRON HCL,,,29,,NW,,,,,,$36.66,$0.00,1,1,1,0,0,1,20210101,
J2501,HCPCS,PARICALCITOL,,,29,,NW,,,,,,$12.64,$0.00,1,1,1,0,0,1,20210101,
J2502,HCPCS,"INJ, PASIREOTIDE LONG ACTING",,,29,,NW,,,,,,$758.09,$0.00,1,1,1,0,0,1,20210101,
J2503,HCPCS,PEGAPTANIB SODIUM INJECTION,,,29,,NW,,,,,,"$1,490.62",$0.00,1,1,1,0,0,1,20210101,
J2504,HCPCS,"PEGADEMASE BOVINE, 25 IU",,,29,,NW,,,,,,$615.51,$0.00,1,1,1,0,0,1,20210101,
J2505,HCPCS,"INJECTION, PEGFILGRASTIM 6MG",,,29,,NW,,,,,,"$7,987.48",$0.00,1,1,1,0,0,1,20210101,
J2507,HCPCS,PEGLOTICASE INJECTION,,,29,,NW,,,,,,"$4,503.63",$0.00,1,1,1,0,0,1,20210101,
J2510,HCPCS,PENICILLIN G PROCAINE INJ,,,29,,NW,,,,,,$67.91,$0.00,1,1,1,0,0,1,20210101,
J2513,HCPCS,PENTASTARCH 10% SOLUTION,,,29,,NW,,,,,,$10.85,$0.00,1,1,1,0,0,1,20210101,
J2515,HCPCS,PENTOBARBITAL SODIUM INJ,,,29,,NW,,,,,,$95.60,$0.00,1,1,1,0,0,1,20210101,
J2540,HCPCS,PENICILLIN G POTASSIUM INJ,,,29,,NW,,,,,,$13.27,$0.00,1,1,1,0,0,1,20210101,
J2543,HCPCS,PIPERACILLIN/TAZOBACTAM,,,29,,NW,,,,,,$15.68,$0.00,1,1,1,0,0,1,20210101,
J2545,HCPCS,PENTAMIDINE NON-COMP UNIT,,,29,,NW,,,,,,$230.67,$0.00,1,1,1,0,0,1,20210101,
J2547,HCPCS,"INJECTION, PERAMIVIR",,,29,,NW,,,,,,$4.23,$0.00,1,1,1,0,0,1,20210101,
J2550,HCPCS,PROMETHAZINE HCL INJECTION,,,29,,NW,,,,,,$15.68,$0.00,1,1,1,0,0,1,20210101,
J2560,HCPCS,PHENOBARBITAL SODIUM INJ,,,29,,NW,,,,,,$88.19,$0.00,1,1,1,0,0,1,20210101,
J2562,HCPCS,PLERIXAFOR INJECTION,,,29,,NW,,,,,,$660.99,$0.00,1,1,1,0,0,1,20210101,
J2590,HCPCS,OXYTOCIN INJECTION,,,29,,NW,,,,,,$19.97,$0.00,1,1,1,0,0,1,20210101,
J2597,HCPCS,INJ DESMOPRESSIN ACETATE,,,29,,NW,,,,,,$34.65,$0.00,1,1,1,0,0,1,20210101,
J2650,HCPCS,PREDNISOLONE ACETATE INJ,,,29,,NW,,,,,,$8.35,$0.00,1,1,1,0,0,1,20210101,
J2670,HCPCS,TOTAZOLINE HCL INJECTION,,,29,,NW,,,,,,$13.82,$0.00,1,1,1,0,0,1,20210101,
J2675,HCPCS,INJ PROGESTERONE PER 50 MG,,,29,,NW,,,,,,$14.15,$0.00,1,1,1,0,0,1,20210101,
J2680,HCPCS,FLUPHENAZINE DECANOATE 25 MG,,,29,,NW,,,,,,$39.67,$0.00,1,1,1,0,0,1,20210101,
J2690,HCPCS,PROCAINAMIDE HCL INJECTION,,,29,,NW,,,,,,$162.06,$0.00,1,1,1,0,0,1,20210101,
J2700,HCPCS,OXACILLIN SODIUM INJECITON,,,29,,NW,,,,,,$12.58,$0.00,1,1,1,0,0,1,20210101,
J2704,HCPCS,"INJ, PROPOFOL, 10 MG",,,29,,NW,,,,,,$3.88,$0.00,1,1,1,0,0,1,20210101,
J2710,HCPCS,NEOSTIGMINE METHYLSLFTE INJ,,,29,,NW,,,,,,$10.76,$0.00,1,1,1,0,0,1,20210101,
J2720,HCPCS,INJ PROTAMINE SULFATE/10 MG,,,29,,NW,,,,,,$12.78,$0.00,1,1,1,0,0,1,20210101,
J2724,HCPCS,PROTEIN C CONCENTRATE,,,29,,NW,,,,,,$40.32,$0.00,1,1,1,0,0,1,20210101,
J2725,HCPCS,INJ PROTIRELIN PER 250 MCG,,,29,,NW,,,,,,$179.62,$0.00,1,1,1,0,0,1,20210101,
J2730,HCPCS,PRALIDOXIME CHLORIDE INJ,,,29,,NW,,,,,,$195.07,$0.00,1,1,1,0,0,1,20210101,
J2760,HCPCS,PHENTOLAINE MESYLATE INJ,,,29,,NW,,,,,,$391.77,$0.00,1,1,1,0,0,1,20210101,
J2765,HCPCS,METOCLOPRAMIDE HCL INJECTION,,,29,,NW,,,,,,$13.28,$0.00,1,1,1,0,0,1,20210101,
J2770,HCPCS,QUINUPRISTIN/DALFOPRISTIN,,,29,,NW,,,,,,$858.43,$0.00,1,1,1,0,0,1,20210101,
J2778,HCPCS,RANIBIZUMAB INJECTION,,,29,,NW,,,,,,$709.73,$0.00,1,1,1,0,0,1,20210101,
J2780,HCPCS,RANITIDINE HYDROCHLORIDE INJ,,,29,,NW,,,,,,$19.88,$0.00,1,1,1,0,0,1,20210101,
J2783,HCPCS,RASBURICASE,,,29,,NW,,,,,,$551.98,$0.00,1,1,1,0,0,1,20210101,
J2785,HCPCS,REGADENOSON INJECTION,,,29,,NW,,,,,,$122.36,$0.00,1,1,1,0,0,1,20210101,
J2786,HCPCS,"INJECTION, RESLIZUMAB, 1MG",,,29,,NW,,,,,,$23.38,$0.00,1,1,1,0,0,1,20210101,
J2787,HCPCS,RIBOFLAVIN 5’PHOS OPTH<=3ML,,,29,,NW,,,,,,"$3,896.28",$0.00,1,1,1,0,0,1,20210101,
J2788,HCPCS,RHO D IMMUNE GLOBULIN 50 MCG,,,29,,NW,,,,,,$61.94,$0.00,1,1,1,0,0,1,20210101,
J2790,HCPCS,RHO D IMMUNE GLOBULIN INJ,,,29,,NW,,,,,,$169.86,$0.00,1,1,1,0,0,1,20210101,
J2791,HCPCS,RHOPHYLAC INJECTION,,,29,,NW,,,,,,$20.55,$0.00,1,1,1,0,0,1,20210101,
J2792,HCPCS,"RHO(D) IMMUNE GLOBULIN H, SD",,,29,,NW,,,,,,$63.07,$0.00,1,1,1,0,0,1,20210101,
J2793,HCPCS,RILONACEPT INJECTION,,,29,,NW,,,,,,$49.28,$0.00,1,1,1,0,0,1,20210101,
J2794,HCPCS,"RISPERIDONE, LONG ACTING",,,29,,NW,,,,,,$29.59,$0.00,1,1,1,0,0,1,20210101,
J2795,HCPCS,ROPIVACAINE HCL INJECTION,,,29,,NW,,,,,,$3.55,$0.00,1,1,1,0,0,1,20210101,
J2796,HCPCS,ROMIPLOSTIM INJECTION,,,29,,NW,,,,,,$150.12,$0.00,1,1,1,0,0,1,20210101,
J2797,HCPCS,"INJ., ROLAPITANT, 0.5 MG",,,29,,NW,,,,,,$3.24,$0.00,1,1,1,0,0,1,20210101,
J2798,HCPCS,"INJ., PERSERIS, 0.5 MG",,,29,,NW,,,,,,$22.81,$0.00,1,1,1,0,0,1,20210101,
J2800,HCPCS,METHOCARBAMOL INJECTION,,,29,,NW,,,,,,$54.15,$0.00,1,1,1,0,0,1,20210101,
J2805,HCPCS,SINCALIDE INJECTION,,,29,,NW,,,,,,$220.94,$0.00,1,1,1,0,0,1,20210101,
J2810,HCPCS,INJ THEOPHYLLINE PER 40 MG,,,29,,NW,,,,,,$5.34,$0.00,1,1,1,0,0,1,20210101,
J2820,HCPCS,SARGRAMOSTIM INJECTION,,,29,,NW,,,,,,$92.73,$0.00,1,1,1,0,0,1,20210101,
J2840,HCPCS,INJ SEBELIPASE ALFA 1 MG,,,29,,NW,,,,,,"$1,085.32",$0.00,1,1,1,0,0,1,20210101,
J2850,HCPCS,INJ SECRETIN SYNTHETIC HUMAN,,,29,,NW,,,,,,$58.52,$0.00,1,1,1,0,0,1,20210101,
J2860,HCPCS,"INJECTION, SILTUXIMAB",,,29,,NW,,,,,,$118.38,$0.00,1,1,1,0,0,1,20210101,
J2910,HCPCS,AUROTHIOGLUCOSE INJECITON,,,29,,NW,,,,,,$92.46,$0.00,1,1,1,0,0,1,20210101,
J2916,HCPCS,NA FERRIC GLUCONATE COMPLEX,,,29,,NW,,,,,,$15.14,$0.00,1,1,1,0,0,1,20210101,
J2920,HCPCS,METHYLPREDNISOLONE INJECTION,,,29,,NW,,,,,,$19.58,$0.00,1,1,1,0,0,1,20210101,
J2930,HCPCS,METHYLPREDNISOLONE INJECTION,,,29,,NW,,,,,,$23.40,$0.00,1,1,1,0,0,1,20210101,
J2940,HCPCS,SOMATREM INJECTION,,,29,,NW,,,,,,$150.52,$0.00,1,1,1,0,0,1,20210101,
J2941,HCPCS,SOMATROPIN INJECTION,,,29,,NW,,,,,,$143.16,$0.00,1,1,1,0,0,1,20210101,
J2950,HCPCS,PROMAZINE HCL INJECTION,,,29,,NW,,,,,,$26.56,$0.00,1,1,1,0,0,1,20210101,
J2993,HCPCS,RETEPLASE INJECTION,,,29,,NW,,,,,,"$2,995.14",$0.00,1,1,1,0,0,1,20210101,
J2995,HCPCS,INJ STREPTOKINASE /250000 IU,,,29,,NW,,,,,,$180.98,$0.00,1,1,1,0,0,1,20210101,
J2997,HCPCS,ALTEPLASE RECOMBINANT,,,29,,NW,,,,,,$176.98,$0.00,1,1,1,0,0,1,20210101,
J3000,HCPCS,STREPTOMYCIN INJECTION,,,29,,NW,,,,,,$67.43,$0.00,1,1,1,0,0,1,20210101,
J3010,HCPCS,FENTANYL CITRATE INJECTION,,,29,,NW,,,,,,$9.57,$0.00,1,1,1,0,0,1,20210101,
J3030,HCPCS,SUMATRIPTAN SUCCINATE / 6 MG,,,29,,NW,,,,,,$145.59,$0.00,1,1,1,0,0,1,20210101,
J3031,HCPCS,"INJ., FREMANEZUMAB-VFRM 1 MG",,,29,,NW,,,,,,$4.90,$0.00,1,1,1,0,0,1,20210101,
J3032,HCPCS,"Injection, eptinezumab-jjmr, 1 mg",,,29,,NW,,,,,,$38.12,$0.00,1,1,1,0,0,1,20210101,
J3060,HCPCS,"INJ, TALIGLUCERASE ALFA 10 U",,,29,,NW,,,,,,$89.39,$0.00,1,1,1,0,0,1,20210101,
J3070,HCPCS,PENTAZOCINE INJECTION,,,29,,NW,,,,,,$183.73,$0.00,1,1,1,0,0,1,20210101,
J3090,HCPCS,INJ TEDIZOLID PHOSPHATE,,,29,,NW,,,,,,$14.07,$0.00,1,1,1,0,0,1,20210101,
J3095,HCPCS,TELAVANCIN INJECTION,,,29,,NW,,,,,,$21.59,$0.00,1,1,1,0,0,1,20210101,
J3101,HCPCS,TENECTEPLASE INJECTION,,,29,,NW,,,,,,$239.46,$0.00,1,1,1,0,0,1,20210101,
J3105,HCPCS,TERBUTALINE SULFATE INJ,,,29,,NW,,,,,,$14.78,$0.00,1,1,1,0,0,1,20210101,
J3110,HCPCS,TERIPARATIDE INJECTION,,,29,,NW,,,,,,$36.93,$0.00,1,1,1,0,0,1,20210101,
J3111,HCPCS,INJ. ROMOSOZUMAB-AQQG 1 MG,,,29,,NW,,,,,,$26.86,$0.00,1,1,1,0,0,1,20210101,
J3121,HCPCS,INJ TESTOSTERO ENANTHATE 1MG,,,29,,NW,,,,,,$3.22,$0.00,1,1,1,0,0,1,20210101,
J3145,HCPCS,TESTOSTERONE UNDECANOATE 1MG,,,29,,NW,,,,,,$8.33,$0.00,1,1,1,0,0,1,20210101,
J3230,HCPCS,CHLORPROMAZINE HCL INJECTION,,,29,,NW,,,,,,$69.90,$0.00,1,1,1,0,0,1,20210101,
J3240,HCPCS,THYROTROPIN INJECTION,,,29,,NW,,,,,,"$3,234.81",$0.00,1,1,1,0,0,1,20210101,
J3241,HCPCS,"Injection, teprotumumab-trbw, 10 mg""",,,29,,NW,,,,,,$553.97,$0.00,1,1,1,0,0,1,20210101,
J3243,HCPCS,TIGECYCLINE INJECTION,,,29,,NW,,,,,,$15.58,$0.00,1,1,1,0,0,1,20210101,
J3245,HCPCS,"INJ., TILDRAKIZUMAB, 1 MG",,,29,,NW,,,,,,$277.59,$0.00,1,1,1,0,0,1,20210101,
J3246,HCPCS,TIROFIBAN HCL,,,29,,NW,,,,,,$29.37,$0.00,1,1,1,0,0,1,20210101,
J3250,HCPCS,TRIMETHOBENZAMIDE HCL INJ,,,29,,NW,,,,,,$74.49,$0.00,1,1,1,0,0,1,20210101,
J3260,HCPCS,TOBRAMYCIN SULFATE INJECTION,,,29,,NW,,,,,,$17.21,$0.00,1,1,1,0,0,1,20210101,
J3262,HCPCS,TOCILIZUMAB INJECTION,,,29,,NW,,,,,,$20.64,$0.00,1,1,1,0,0,1,20210101,
J3265,HCPCS,INJECTION TORSEMIDE 10 MG/ML,,,29,,NW,,,,,,$16.69,$0.00,1,1,1,0,0,1,20210101,
J3280,HCPCS,THIETHYLPERAZINE MALEATE INJ,,,29,,NW,,,,,,$26.79,$0.00,1,1,1,0,0,1,20210101,
J3285,HCPCS,TREPROSTINIL INJECTION,,,29,,NW,,,,,,$129.67,$0.00,1,1,1,0,0,1,20210101,
J3300,HCPCS,TRIAMCINOLONE A INJ PRS-FREE,,,29,,NW,,,,,,$18.61,$0.00,1,1,1,0,0,1,20210101,
J3301,HCPCS,TRIAMCINOLONE ACET INJ NOS,,,29,,NW,,,,,,$14.36,$0.00,1,1,1,0,0,1,20210101,
J3302,HCPCS,TRIAMCINOLONE DIACETATE INJ,,,29,,NW,,,,,,$4.56,$0.00,1,1,1,0,0,1,20210101,
J3303,HCPCS,TRIAMCINOLONE HEXACETONL INJ,,,29,,NW,,,,,,$17.23,$0.00,1,1,1,0,0,1,20210101,
J3304,HCPCS,INJ TRIAMCINOLONE ACE XR 1MG,,,29,,NW,,,,,,$42.04,$0.00,1,1,1,0,0,1,20210101,
J3305,HCPCS,INJ TRIMETREXATE GLUCORONATE,,,29,,NW,,,,,,$125.96,$0.00,1,1,1,0,0,1,20210101,
J3310,HCPCS,PERPHENAZINE INJECITON,,,29,,NW,,,,,,$36.42,$0.00,1,1,1,0,0,1,20210101,
J3315,HCPCS,TRIPTORELIN PAMOATE,,,29,,NW,,,,,,$687.46,$0.00,1,1,1,0,0,1,20210101,
J3316,HCPCS,"INJ., TRIPTORELIN XR 3.75 MG",,,29,,NW,,,,,,"$5,312.39",$0.00,1,1,1,0,0,1,20210101,
J3320,HCPCS,SPECTINOMYCN DI-HCL INJ,,,29,,NW,,,,,,$101.60,$0.00,1,1,1,0,0,1,20210101,
J3350,HCPCS,UREA INJECTION,,,29,,NW,,,,,,$35.27,$0.00,1,1,1,0,0,1,20210101,
J3355,HCPCS,"UROFOLLITROPIN, 75 IU",,,29,,NW,,,,,,$158.70,$0.00,1,1,1,0,0,1,20210101,
J3357,HCPCS,"USTEKINUMAB SUB CU INJ, 1 MG",,,29,,NW,,,,,,$370.49,$0.00,1,1,1,0,0,1,20210101,
J3358,HCPCS,"USTEKINUMAB, IV INJECT, 1 MG",,,29,,NW,,,,,,$35.41,$0.00,1,1,1,0,0,1,20210101,
J3360,HCPCS,DIAZEPAM INJECTION,,,29,,NW,,,,,,$24.59,$0.00,1,1,1,0,0,1,20210101,
J3364,HCPCS,UROKINASE 5000 IU INJECTION,,,29,,NW,,,,,,$27.88,$0.00,1,1,1,0,0,1,20210101,
J3365,HCPCS,"UROKINASE 250,000 IU INJ",,,29,,NW,,,,,,"$1,372.64",$0.00,1,1,1,0,0,1,20210101,
J3370,HCPCS,VANCOMYCIN HCL INJECTION,,,29,,NW,,,,,,$16.62,$0.00,1,1,1,0,0,1,20210101,
J3380,HCPCS,"INJECTION, VEDOLIZUMAB",,,29,,NW,,,,,,$48.90,$0.00,1,1,1,0,0,1,20210101,
J3385,HCPCS,VELAGLUCERASE ALFA,,,29,,NW,,,,,,$677.09,$0.00,1,1,1,0,0,1,20210101,
J3396,HCPCS,VERTEPORFIN INJECTION,,,29,,NW,,,,,,$32.36,$0.00,1,1,1,0,0,1,20210101,
J3397,HCPCS,"INJ., VESTRONIDASE ALFA-VJBK",,,29,,NW,,,,,,$383.01,$0.00,1,1,1,0,0,1,20210101,
J3398,HCPCS,INJ LUXTURNA 1 BILLION VEC G,,,29,,NW,,,,,,"$5,526.00",$0.00,1,1,1,0,0,1,20210101,
J3400,HCPCS,TRIFLUPROMAZINE HCL INJ,,,29,,NW,,,,,,$45.61,$0.00,1,1,1,0,0,1,20210101,
J3410,HCPCS,HYDROXYZINE HCL INJECTION,,,29,,NW,,,,,,$23.29,$0.00,1,1,1,0,0,1,20210101,
J3411,HCPCS,THIAMINE HCL 100 MG,,,29,,NW,,,,,,$16.71,$0.00,1,1,1,0,0,1,20210101,
J3415,HCPCS,PYRIDOXINE HCL 100 MG,,,29,,NW,,,,,,$27.58,$0.00,1,1,1,0,0,1,20210101,
J3420,HCPCS,VITAMIN B12 INJECTION,,,29,,NW,,,,,,$15.23,$0.00,1,1,1,0,0,1,20210101,
J3430,HCPCS,VITAMIN K PHYTONADIONE INJ,,,29,,NW,,,,,,$18.79,$0.00,1,1,1,0,0,1,20210101,
J3465,HCPCS,"INJECTION, VORICONAZOLE",,,29,,NW,,,,,,$15.12,$0.00,1,1,1,0,0,1,20210101,
J3470,HCPCS,HYALURONIDASE INJECTION,,,29,,NW,,,,,,$58.45,$0.00,1,1,1,0,0,1,20210101,
J3471,HCPCS,"OVINE, UP TO 999 USP UNITS",,,29,,NW,,,,,,$7.75,$0.00,1,1,1,0,0,1,20210101,
J3472,HCPCS,"OVINE, 1000 USP UNITS",,,29,,NW,,,,,,$133.01,$0.00,1,1,1,0,0,1,20210101,
J3473,HCPCS,HYALURONIDASE RECOMBINANT,,,29,,NW,,,,,,$6.72,$0.00,1,1,1,0,0,1,20210101,
J3475,HCPCS,INJ MAGNESIUM SULFATE,,,29,,NW,,,,,,$9.34,$0.00,1,1,1,0,0,1,20210101,
J3480,HCPCS,INJ POTASSIUM CHLORIDE,,,29,,NW,,,,,,$4.68,$0.00,1,1,1,0,0,1,20210101,
J3485,HCPCS,ZIDOVUDINE,,,29,,NW,,,,,,$14.00,$0.00,1,1,1,0,0,1,20210101,
J3486,HCPCS,ZIPRASIDONE MESYLATE,,,29,,NW,,,,,,$50.14,$0.00,1,1,1,0,0,1,20210101,
J3489,HCPCS,ZOLEDRONIC ACID 1MG,,,29,,NW,,,,,,$34.94,$0.00,1,1,1,0,0,1,20210101,
J3490,HCPCS,DRUGS UNCLASSIFIED INJECTION,,,29,,NW,,,,,,$8.31,$0.00,1,1,1,0,0,1,20210101,
J3520,HCPCS,EDETATE DISODIUM PER 150 MG,,,29,,NW,,,,,,$10.49,$0.00,1,1,1,0,0,1,20210101,
J3530,HCPCS,NASAL VACCINE INHALATION,,,29,,NW,,,,,,$61.14,$0.00,1,1,1,0,1,1,20210101,
J3535,HCPCS,METERED DOSE INHALER DRUG,,,29,,NW,,,,,,$14.23,$0.00,1,1,1,0,0,1,20210101,
J3570,HCPCS,LAETRILE AMYGDALIN VIT B17,,,29,,NW,,,,,,$32.37,$0.00,1,1,1,0,0,1,20210101,
J3590,HCPCS,UNCLASSIFIED BIOLOGICS,,,29,,NW,,,,,,$114.32,$0.00,1,1,1,0,0,1,20210101,
J7030,HCPCS,NORMAL SALINE SOLUTION INFUS,,,29,,NW,,,,,,$15.66,$0.00,1,1,1,0,0,1,20210101,
J7040,HCPCS,NORMAL SALINE SOLUTION INFUS,,,29,,NW,,,,,,$13.41,$0.00,1,1,1,0,0,1,20210101,
J7042,HCPCS,5% DEXTROSE/NORMAL SALINE,,,29,,NW,,,,,,$13.10,$0.00,1,1,1,0,0,1,20210101,
J7050,HCPCS,NORMAL SALINE SOLUTION INFUS,,,29,,NW,,,,,,$11.57,$0.00,1,1,1,0,0,1,20210101,
J7060,HCPCS,5% DEXTROSE/WATER,,,29,,NW,,,,,,$15.21,$0.00,1,1,1,0,0,1,20210101,
J7070,HCPCS,D5W INFUSION,,,29,,NW,,,,,,$18.62,$0.00,1,1,1,0,0,1,20210101,
J7100,HCPCS,DEXTRAN 40 INFUSION,,,29,,NW,,,,,,$108.60,$0.00,1,1,1,0,0,1,20210101,
J7110,HCPCS,DEXTRAN 75 INFUSION,,,29,,NW,,,,,,$233.15,$0.00,1,1,1,0,0,1,20210101,
J7120,HCPCS,RINGERS LACTATE INFUSION,,,29,,NW,,,,,,$16.07,$0.00,1,1,1,0,0,1,20210101,
J7121,HCPCS,5% DEXTROSE IN LAC RINGERS,,,29,,NW,,,,,,$39.50,$0.00,1,1,1,0,0,1,20210101,
J7131,HCPCS,HYPERTONIC SALINE SOL,,,29,,NW,,,,,,$1.33,$0.00,1,1,1,0,0,1,20210101,
J7169,HCPCS,"INJ ANDEXXA, 10 MG",,,29,,NW,,,,,,$347.36,$0.00,1,1,1,0,0,1,20210101,
J7170,HCPCS,"INJ., EMICIZUMAB-KXWH 0.5 MG",,,29,,NW,,,,,,$100.10,$0.00,1,1,1,0,0,1,20210101,
J7175,HCPCS,"INJ, FACTOR X, (HUMAN), 1IU",,,29,,NW,,,,,,$19.43,$0.00,1,1,1,0,0,1,20210101,
J7177,HCPCS,"INJ., FIBRYGA, 1 MG",,,29,,NW,,,,,,$7.84,$0.00,1,1,1,0,0,1,20210101,
J7178,HCPCS,INJ HUMAN FIBRINOGEN CON NOS,,,29,,NW,,,,,,$7.39,$0.00,1,1,1,0,0,1,20210101,
J7179,HCPCS,VONVENDI INJ 1 IU VWF:RCO,,,29,,NW,,,,,,$9.68,$0.00,1,1,1,0,0,1,20210101,
J7180,HCPCS,FACTOR XIII ANTI-HEM FACTOR,,,29,,NW,,,,,,$27.59,$0.00,1,1,1,0,0,1,20210101,
J7181,HCPCS,FACTOR XIII RECOMB A-SUBUNIT,,,29,,NW,,,,,,$32.00,$0.00,1,1,1,0,0,1,20210101,
J7182,HCPCS,FACTOR VIII RECOMB NOVOEIGHT,,,29,,NW,,,,,,$13.52,$0.00,1,1,1,0,0,1,20210101,
J7183,HCPCS,WILATE INJECTION,,,29,,NW,,,,,,$13.15,$0.00,1,1,1,0,0,1,20210101,
J7185,HCPCS,XYNTHA INJ,,,29,,NW,,,,,,$13.69,$0.00,1,1,1,0,0,1,20210101,
J7186,HCPCS,ANTIHEMOPHILIC VIII/VWF COMP,,,29,,NW,,,,,,$13.27,$0.00,1,1,1,0,0,1,20210101,
J7187,HCPCS,"HUMATE-P, INJ",,,29,,NW,,,,,,$13.35,$0.00,1,1,1,0,0,1,20210101,
J7188,HCPCS,FACTOR VIII RECOMB OBIZUR,,,29,,NW,,,,,,$17.05,$0.00,1,1,1,0,0,1,20210101,
J7189,HCPCS,FACTOR VIIA,,,29,,NW,,,,,,$15.31,$0.00,1,1,1,0,0,1,20210101,
J7190,HCPCS,FACTOR VIII,,,29,,NW,,,,,,$13.34,$0.00,1,1,1,0,0,1,20210101,
J7191,HCPCS,FACTOR VIII (PORCINE),,,29,,NW,,,,,,$7.36,$0.00,1,1,1,0,0,1,20210101,
J7192,HCPCS,FACTOR VIII RECOMBINANT NOS,,,29,,NW,,,,,,$13.79,$0.00,1,1,1,0,0,1,20210101,
J7193,HCPCS,FACTOR IX NON-RECOMBINANT,,,29,,NW,,,,,,$13.31,$0.00,1,1,1,0,0,1,20210101,
J7194,HCPCS,FACTOR IX COMPLEX,,,29,,NW,,,,,,$13.99,$0.00,1,1,1,0,0,1,20210101,
J7195,HCPCS,FACTOR IX RECOMBINANT NOS,,,29,,NW,,,,,,$14.02,$0.00,1,1,1,0,0,1,20210101,
J7196,HCPCS,ANTITHROMBIN RECOMBINANT,,,29,,NW,,,,,,$12.13,$0.00,1,1,1,0,0,1,20210101,
J7197,HCPCS,ANTITHROMBIN III INJECTION,,,29,,NW,,,,,,$17.91,$0.00,1,1,1,0,0,1,20210101,
J7198,HCPCS,ANTI-INHIBITOR,,,29,,NW,,,,,,$15.12,$0.00,1,1,1,0,0,1,20210101,
J7199,HCPCS,HEMOPHILIA CLOT FACTOR NOC,,,29,,NW,,,,,,$1.61,$0.00,1,1,1,0,0,1,20210101,
J7200,HCPCS,FACTOR IX RECOMBINAN RIXUBIS,,,29,,NW,,,,,,$13.86,$0.00,1,1,1,0,0,1,20210101,
J7201,HCPCS,FACTOR IX ALPROLIX RECOMB,,,29,,NW,,,,,,$17.04,$0.00,1,1,1,0,0,1,20210101,
J7202,HCPCS,FACTOR IX IDELVION INJ,,,29,,NW,,,,,,$13.97,$0.00,1,1,1,0,0,1,20210101,
J7203,HCPCS,FACTOR IX RECOMB GLY REBINYN,,,29,,NW,,,,,,$13.39,$0.00,1,1,1,0,0,1,20210101,
J7204,HCPCS,INJ RECOMBIN ESPEROCT PER IU,,,29,,NW,,,,,,$15.18,$0.00,1,1,1,0,0,1,20210101,
J7205,HCPCS,FACTOR VIII FC FUSION RECOMB,,,29,,NW,,,,,,$15.33,$0.00,1,1,1,0,0,1,20210101,
J7207,HCPCS,FACTOR VIII PEGYLATED RECOMB,,,29,,NW,,,,,,$8.92,$0.00,1,1,1,0,0,1,20210101,
J7208,HCPCS,INJ. JIVI 1 IU,,,29,,NW,,,,,,$14.78,$0.00,1,1,1,0,0,1,20210101,
J7209,HCPCS,FACTOR VIII NUWIQ RECOMB 1IU,,,29,,NW,,,,,,$8.43,$0.00,1,1,1,0,0,1,20210101,
J7210,HCPCS,"INJ, AFSTYLA, 1 I.U.",,,29,,NW,,,,,,$10.88,$0.00,1,1,1,0,0,1,20210101,
J7211,HCPCS,"INJ, KOVALTRY, 1 I.U.",,,29,,NW,,,,,,$9.41,$0.00,1,1,1,0,0,1,20210101,
J7296,HCPCS,"KYLEENA, 19.5 MG",,,29,,NW,,,,,,"$2,150.59",$0.00,1,1,1,0,0,1,20210101,
J7297,HCPCS,"LILETTA, 52 MG",,,29,,NW,,,,,,"$1,610.41",$0.00,1,1,1,0,0,1,20210101,
J7298,HCPCS,"MIRENA, 52 MG",,,29,,NW,,,,,,"$1,854.74",$0.00,1,1,1,0,0,1,20210101,
J7300,HCPCS,INTRAUT COPPER CONTRACEPTIVE,,,29,,NW,,,,,,"$1,155.81",$0.00,1,1,1,1,1,1,20210101,
J7301,HCPCS,"SKYLA, 13.5 MG",,,29,,NW,,,,,,"$1,706.97",$0.00,1,1,1,1,1,1,20210101,
J7303,HCPCS,CONTRACEPTIVE VAGINAL RING,,,29,,NW,,,,,,$142.47,$0.00,1,1,1,1,1,1,20210101,
J7304,HCPCS,CONTRACEPTIVE HORMONE PATCH,,,29,,NW,,,,,,$70.24,$0.00,1,1,1,1,1,1,20210101,
J7306,HCPCS,LEVONORGESTREL IMPLANT SYS,,,29,,NW,,,,,,"$1,215.59",$0.00,1,1,1,1,1,1,20210101,
J7307,HCPCS,ETONOGESTREL IMPLANT SYSTEM,,,29,,NW,,,,,,"$1,803.54",$0.00,1,1,1,1,1,1,20210101,
J7308,HCPCS,AMINOLEVULINIC ACID HCL TOP,,,29,,NW,,,,,,$775.19,$0.00,1,1,1,0,0,1,20210101,
J7309,HCPCS,"METHYL AMINOLEVULINATE, TOP",,,29,,NW,,,,,,$236.27,$0.00,1,1,1,0,0,1,20210101,
J7310,HCPCS,GANCICLOVIR LONG ACT IMPLANT,,,29,,NW,,,,,,"$9,815.48",$0.00,1,1,1,0,0,1,20210101,
J7311,HCPCS,FLUOCINOLONE ACETONIDE IMPLT,,,29,,NW,,,,,,$597.64,$0.00,1,1,1,0,0,1,20210101,
J7312,HCPCS,DEXAMETHASONE INTRA IMPLANT,,,29,,NW,,,,,,$398.38,$0.00,1,1,1,0,0,1,20210101,
J7313,HCPCS,FLUOCINOL ACET INTRAVIT IMP,,,29,,NW,,,,,,$959.44,$0.00,1,1,1,0,0,1,20210101,
J7314,HCPCS,"INJ., YUTIQ, 0.01 MG",,,29,,NW,,,,,,$855.05,$0.00,1,1,1,0,0,1,20210101,
J7315,HCPCS,OPHTHALMIC MITOMYCIN,,,29,,NW,,,,,,$707.52,$0.00,1,1,1,0,0,1,20210101,
J7316,HCPCS,"INJ, OCRIPLASMIN, 0.125 MG",,,29,,NW,,,,,,"$2,449.17",$0.00,1,1,1,0,0,1,20210101,
J7318,HCPCS,"INJ, DUROLANE 1 MG",,,29,,NW,,,,,,$36.40,$0.00,1,1,1,0,0,1,20210101,
J7320,HCPCS,"GENVISC 850, INJ, 1MG",,,29,,NW,,,,,,$23.73,$0.00,1,1,1,0,0,1,20210101,
J7321,HCPCS,HYALGAN OR SUPARTZ INJ DOSE,,,29,,NW,,,,,,$168.31,$0.00,1,1,1,0,0,1,20210101,
J7322,HCPCS,HYMOVIS INJECTION 1 MG,,,29,,NW,,,,,,$43.33,$0.00,1,1,1,0,0,1,20210101,
J7323,HCPCS,EUFLEXXA INJ PER DOSE,,,29,,NW,,,,,,$305.65,$0.00,1,1,1,0,0,1,20210101,
J7324,HCPCS,ORTHOVISC INJ PER DOSE,,,29,,NW,,,,,,$279.73,$0.00,1,1,1,0,0,1,20210101,
J7325,HCPCS,SYNVISC OR SYNVISC-ONE,,,29,,NW,,,,,,$33.99,$0.00,1,1,1,0,0,1,20210101,
J7326,HCPCS,GEL-ONE,,,29,,NW,,,,,,"$1,353.52",$0.00,1,1,1,0,0,1,20210101,
J7327,HCPCS,MONOVISC INJ PER DOSE,,,29,,NW,,,,,,"$1,591.13",$0.00,1,1,1,0,0,1,20210101,
J7328,HCPCS,GELSYN-3 INJECTION 0.1 MG,,,29,,NW,,,,,,$3.30,$0.00,1,1,1,0,0,1,20210101,
J7329,HCPCS,"INJ, TRIVISC 1 MG",,,29,,NW,,,,,,$20.65,$0.00,1,1,1,0,0,1,20210101,
J7330,HCPCS,CULTURED CHONDROCYTES IMPLNT,,,29,,NW,,,,,,"$70,796.57",$0.00,1,1,1,0,0,1,20210101,
J7331,HCPCS,"SYNOJOYNT, INJ., 1 MG",,,29,,NW,,,,,,$42.26,$0.00,1,1,1,0,0,1,20210101,
J7332,HCPCS,"INJ., TRILURON, 1 MG",,,29,,NW,,,,,,$38.19,$0.00,1,1,1,0,0,1,20210101,
J7333,HCPCS,VISCO-3 INJ DOSE,,,29,,NW,,,,,,$195.21,$0.00,1,1,1,0,0,1,20210101,
J7336,HCPCS,CAPSAICIN 8% PATCH,,,29,,NW,,,,,,$17.33,$0.00,1,1,1,0,0,1,20210101,
J7340,HCPCS,CARBIDOPA LEVODOPA ENT 100ML,,,29,,NW,,,,,,$199.75,$0.00,1,1,1,0,0,1,20210101,
J7342,HCPCS,CIPROFLOXACIN OTIC SUSP 6 MG,,,29,,NW,,,,,,$74.08,$0.00,1,1,1,0,0,1,20210101,
J7345,HCPCS,"AMINOLEVULINIC ACID, 10% GEL",,,29,,NW,,,,,,$8.68,$0.00,1,1,1,0,0,1,20210101,
J7351,HCPCS,"Injection, bimatoprost, intracameral implant, 1 microgram",,,29,,NW,,,,,,$365.85,$0.00,1,1,1,0,0,1,20210101,
J7401,HCPCS,MOMETASONE FUROATE SINUS IMP,,,29,,NW,,,,,,$35.81,$0.00,1,1,1,0,0,1,20210101,
J7500,HCPCS,AZATHIOPRINE ORAL 50MG,,,29,,NW,,,,,,$9.38,$0.00,1,1,1,0,0,1,20210101,
J7501,HCPCS,AZATHIOPRINE PARENTERAL,,,29,,NW,,,,,,$238.51,$0.00,1,1,1,0,0,1,20210101,
J7502,HCPCS,CYCLOSPORINE ORAL 100 MG,,,29,,NW,,,,,,$15.77,$0.00,1,1,1,0,0,1,20210101,
J7503,HCPCS,TACROL ENVARSUS EX REL ORAL,,,29,,NW,,,,,,$13.50,$0.00,1,1,1,0,0,1,20210101,
J7504,HCPCS,LYMPHOCYTE IMMUNE GLOBULIN,,,29,,NW,,,,,,"$3,889.93",$0.00,1,1,1,0,0,1,20210101,
J7505,HCPCS,MONOCLONAL ANTIBODIES,,,29,,NW,,,,,,"$2,085.47",$0.00,1,1,1,0,0,1,20210101,
J7507,HCPCS,TACROLIMUS IMME REL ORAL 1MG,,,29,,NW,,,,,,$12.43,$0.00,1,1,1,0,0,1,20210101,
J7508,HCPCS,TACROL ASTAGRAF EX REL ORAL,,,29,,NW,,,,,,$8.06,$0.00,1,1,1,0,0,1,20210101,
J7509,HCPCS,METHYLPREDNISOLONE ORAL,,,29,,NW,,,,,,$6.47,$0.00,1,1,1,0,0,1,20210101,
J7510,HCPCS,PREDNISOLONE ORAL PER 5 MG,,,29,,NW,,,,,,$4.02,$0.00,1,1,1,0,0,1,20210101,
J7511,HCPCS,ANTITHYMOCYTE GLOBULN RABBIT,,,29,,NW,,,,,,"$1,438.67",$0.00,1,1,1,0,0,1,20210101,
J7512,HCPCS,PREDNISONE IR OR DR ORAL 1MG,,,29,,NW,,,,,,$3.16,$0.00,1,1,1,0,0,1,20210101,
J7513,HCPCS,"DACLIZUMAB, PARENTERAL",,,29,,NW,,,,,,$469.12,$0.00,1,1,1,0,0,1,20210101,
J7515,HCPCS,CYCLOSPORINE ORAL 25 MG,,,29,,NW,,,,,,$12.53,$0.00,1,1,1,0,0,1,20210101,
J7516,HCPCS,CYCLOSPORIN PARENTERAL 250MG,,,29,,NW,,,,,,$108.71,$0.00,1,1,1,0,0,1,20210101,
J7517,HCPCS,MYCOPHENOLATE MOFETIL ORAL,,,29,,NW,,,,,,$10.47,$0.00,1,1,1,0,0,1,20210101,
J7518,HCPCS,MYCOPHENOLIC ACID,,,29,,NW,,,,,,$15.92,$0.00,1,1,1,0,0,1,20210101,
J7520,HCPCS,"SIROLIMUS, ORAL",,,29,,NW,,,,,,$25.12,$0.00,1,1,1,0,0,1,20210101,
J7525,HCPCS,TACROLIMUS INJECTION,,,29,,NW,,,,,,$390.80,$0.00,1,1,1,0,0,1,20210101,
J7527,HCPCS,ORAL EVEROLIMUS,,,29,,NW,,,,,,$27.59,$0.00,1,1,1,0,0,1,20210101,
J7599,HCPCS,IMMUNOSUPPRESSIVE DRUG NOC,,,29,,NW,,,,,,$9.29,$0.00,1,1,1,0,0,1,20210101,
J7604,HCPCS,ACETYLCYSTEINE COMP UNIT,,,29,,NW,,,,,,$129.50,$0.00,1,1,1,0,0,1,20210101,
J7605,HCPCS,ARFORMOTEROL NON-COMP UNIT,,,29,,NW,,,,,,$30.74,$0.00,1,1,1,0,0,1,20210101,
J7606,HCPCS,"FORMOTEROL FUMARATE, INH",,,29,,NW,,,,,,$32.35,$0.00,1,1,1,0,0,1,20210101,
J7607,HCPCS,LEVALBUTEROL COMP CON,,,29,,NW,,,,,,$33.56,$0.00,1,1,1,0,0,1,20210101,
J7608,HCPCS,ACETYLCYSTEINE NON-COMP UNIT,,,29,,NW,,,,,,$21.38,$0.00,1,1,1,0,0,1,20210101,
J7609,HCPCS,ALBUTEROL COMP UNIT,,,29,,NW,,,,,,$14.91,$0.00,1,1,1,0,0,1,20210101,
J7610,HCPCS,ALBUTEROL COMP CON,,,29,,NW,,,,,,$17.94,$0.00,1,1,1,0,0,1,20210101,
J7611,HCPCS,ALBUTEROL NON-COMP CON,,,29,,NW,,,,,,$5.31,$0.00,1,1,1,0,0,1,20210101,
J7612,HCPCS,LEVALBUTEROL NON-COMP CON,,,29,,NW,,,,,,$5.91,$0.00,1,1,1,0,0,1,20210101,
J7613,HCPCS,ALBUTEROL NON-COMP UNIT,,,29,,NW,,,,,,$3.22,$0.00,1,1,1,0,0,1,20210101,
J7614,HCPCS,LEVALBUTEROL NON-COMP UNIT,,,29,,NW,,,,,,$3.33,$0.00,1,1,1,0,0,1,20210101,
J7615,HCPCS,LEVALBUTEROL COMP UNIT,,,29,,NW,,,,,,$18.68,$0.00,1,1,1,0,0,1,20210101,
J7620,HCPCS,ALBUTEROL IPRATROP NON-COMP,,,29,,NW,,,,,,$4.17,$0.00,1,1,1,0,0,1,20210101,
J7622,HCPCS,BECLOMETHASONE COMP UNIT,,,29,,NW,,,,,,$16.80,$0.00,1,1,1,0,0,1,20210101,
J7624,HCPCS,BETAMETHASONE COMP UNIT,,,29,,NW,,,,,,$6.09,$0.00,1,1,1,0,0,1,20210101,
J7626,HCPCS,BUDESONIDE NON-COMP UNIT,,,29,,NW,,,,,,$16.25,$0.00,1,1,1,0,0,1,20210101,
J7627,HCPCS,BUDESONIDE COMP UNIT,,,29,,NW,,,,,,$16.08,$0.00,1,1,1,0,0,1,20210101,
J7628,HCPCS,BITOLTEROL MESYLATE COMP CON,,,29,,NW,,,,,,$6.82,$0.00,1,1,1,0,0,1,20210101,
J7629,HCPCS,BITOLTEROL MESYLATE COMP UNT,,,29,,NW,,,,,,$6.82,$0.00,1,1,1,0,0,1,20210101,
J7631,HCPCS,CROMOLYN SODIUM NONCOMP UNIT,,,29,,NW,,,,,,$15.39,$0.00,1,1,1,0,0,1,20210101,
J7632,HCPCS,CROMOLYN SODIUM COMP UNIT,,,29,,NW,,,,,,$7.26,$0.00,1,1,1,0,0,1,20210101,
J7633,HCPCS,BUDESONIDE NON-COMP CON,,,29,,NW,,,,,,$26.07,$0.00,1,1,1,0,0,1,20210101,
J7634,HCPCS,BUDESONIDE COMP CON,,,29,,NW,,,,,,$56.70,$0.00,1,1,1,0,0,1,20210101,
J7635,HCPCS,ATROPINE COMP CON,,,29,,NW,,,,,,$42.45,$0.00,1,1,1,0,0,1,20210101,
J7636,HCPCS,ATROPINE COMP UNIT,,,29,,NW,,,,,,$26.23,$0.00,1,1,1,0,0,1,20210101,
J7637,HCPCS,DEXAMETHASONE COMP CON,,,29,,NW,,,,,,$19.19,$0.00,1,1,1,0,0,1,20210101,
J7638,HCPCS,DEXAMETHASONE COMP UNIT,,,29,,NW,,,,,,$19.19,$0.00,1,1,1,0,0,1,20210101,
J7639,HCPCS,DORNASE ALFA NON-COMP UNIT,,,29,,NW,,,,,,$100.14,$0.00,1,1,1,0,0,1,20210101,
J7640,HCPCS,FORMOTEROL COMP UNIT,,,29,,NW,,,,,,$27.79,$0.00,1,1,1,0,0,1,20210101,
J7641,HCPCS,FLUNISOLIDE COMP UNIT,,,29,,NW,,,,,,$18.11,$0.00,1,1,1,0,0,1,20210101,
J7642,HCPCS,GLYCOPYRROLATE COMP CON,,,29,,NW,,,,,,$8.40,$0.00,1,1,1,0,0,1,20210101,
J7643,HCPCS,GLYCOPYRROLATE COMP UNIT,,,29,,NW,,,,,,$8.40,$0.00,1,1,1,0,0,1,20210101,
J7644,HCPCS,IPRATROPIUM BROMIDE NON-COMP,,,29,,NW,,,,,,$5.01,$0.00,1,1,1,0,0,1,20210101,
J7645,HCPCS,IPRATROPIUM BROMIDE COMP,,,29,,NW,,,,,,$18.57,$0.00,1,1,1,0,0,1,20210101,
J7647,HCPCS,ISOETHARINE COMP CON,,,29,,NW,,,,,,$7.40,$0.00,1,1,1,0,0,1,20210101,
J7648,HCPCS,ISOETHARINE NON-COMP CON,,,29,,NW,,,,,,$2.50,$0.00,1,1,1,0,0,1,20210101,
J7649,HCPCS,ISOETHARINE NON-COMP UNIT,,,29,,NW,,,,,,$2.50,$0.00,1,1,1,0,0,1,20210101,
J7650,HCPCS,ISOETHARINE COMP UNIT,,,29,,NW,,,,,,$7.40,$0.00,1,1,1,0,0,1,20210101,
J7657,HCPCS,ISOPROTERENOL COMP CON,,,29,,NW,,,,,,$10.07,$0.00,1,1,1,0,0,1,20210101,
J7658,HCPCS,ISOPROTERENOL NON-COMP CON,,,29,,NW,,,,,,$13.82,$0.00,1,1,1,0,0,1,20210101,
J7659,HCPCS,ISOPROTERENOL NON-COMP UNIT,,,29,,NW,,,,,,$13.82,$0.00,1,1,1,0,0,1,20210101,
J7660,HCPCS,ISOPROTERENOL COMP UNIT,,,29,,NW,,,,,,$1.67,$0.00,1,1,1,0,0,1,20210101,
J7665,HCPCS,MANNITOL FOR INHALER,,,29,,NW,,,,,,$6.20,$0.00,1,1,1,0,0,1,20210101,
J7667,HCPCS,METAPROTERENOL COMP CON,,,29,,NW,,,,,,$13.43,$0.00,1,1,1,0,0,1,20210101,
J7668,HCPCS,METAPROTERENOL NON-COMP CON,,,29,,NW,,,,,,$0.29,$0.00,1,1,1,0,0,1,20210101,
J7669,HCPCS,METAPROTERENOL NON-COMP UNIT,,,29,,NW,,,,,,$1.36,$0.00,1,1,1,0,0,1,20210101,
J7670,HCPCS,METAPROTERENOL COMP UNIT,,,29,,NW,,,,,,$8.70,$0.00,1,1,1,0,0,1,20210101,
J7674,HCPCS,"METHACHOLINE CHLORIDE, NEB",,,29,,NW,,,,,,$9.45,$0.00,1,1,1,0,0,1,20210101,
J7676,HCPCS,PENTAMIDINE COMP UNIT DOSE,,,29,,NW,,,,,,$608.93,$0.00,1,1,1,0,0,1,20210101,
J7677,HCPCS,REVEFENACIN INH NON-COM 1MCG,,,29,,NW,,,,,,$3.48,$0.00,1,1,1,0,0,1,20210101,
J7680,HCPCS,TERBUTALINE SULF COMP CON,,,29,,NW,,,,,,$41.13,$0.00,1,1,1,0,0,1,20210101,
J7681,HCPCS,TERBUTALINE SULF COMP UNIT,,,29,,NW,,,,,,$52.33,$0.00,1,1,1,0,0,1,20210101,
J7682,HCPCS,TOBRAMYCIN NON-COMP UNIT,,,29,,NW,,,,,,$81.43,$0.00,1,1,1,0,0,1,20210101,
J7683,HCPCS,TRIAMCINOLONE COMP CON,,,29,,NW,,,,,,$26.81,$0.00,1,1,1,0,0,1,20210101,
J7684,HCPCS,TRIAMCINOLONE COMP UNIT,,,29,,NW,,,,,,$12.66,$0.00,1,1,1,0,0,1,20210101,
J7685,HCPCS,TOBRAMYCIN COMP UNIT,,,29,,NW,,,,,,$149.30,$0.00,1,1,1,0,0,1,20210101,
J7686,HCPCS,"TREPROSTINIL, NON-COMP UNIT",,,29,,NW,,,,,,"$1,154.89",$0.00,1,1,1,0,0,1,20210101,
J7699,HCPCS,INHALATION SOLUTION FOR DME,,,29,,NW,,,,,,$5.77,$0.00,1,1,1,0,0,1,20210101,
J7799,HCPCS,NON-INHALATION DRUG FOR DME,,,29,,NW,,,,,,$14.14,$0.00,1,1,1,0,0,1,20210101,
J7999,HCPCS,"COMPOUNDED DRUG, NOC",,,29,,NW,,,,,,$102.86,$0.00,1,1,1,0,0,1,20210101,
J8498,HCPCS,ANTIEMETIC RECTAL/SUPP NOS,,,29,,NW,,,,,,$1.61,$0.00,1,1,1,0,0,1,20210101,
J8499,HCPCS,ORAL PRESCRIP DRUG NON CHEMO,,,29,,NW,,,,,,$1.32,$0.00,1,1,1,0,0,1,20210101,
J8501,HCPCS,ORAL APREPITANT,,,29,,NW,,,,,,$23.98,$0.00,1,1,1,0,0,1,20210101,
J8510,HCPCS,ORAL BUSULFAN,,,29,,NW,,,,,,$83.34,$0.00,1,1,1,0,0,1,20210101,
J8515,HCPCS,"CABERGOLINE, ORAL 0.25MG",,,29,,NW,,,,,,$43.45,$0.00,1,1,1,0,0,1,20210101,
J8520,HCPCS,"CAPECITABINE, ORAL, 150 MG",,,29,,NW,,,,,,$11.34,$0.00,1,1,1,0,0,1,20210101,
J8521,HCPCS,"CAPECITABINE, ORAL, 500 MG",,,29,,NW,,,,,,$22.15,$0.00,1,1,1,0,0,1,20210101,
J8530,HCPCS,CYCLOPHOSPHAMIDE ORAL 25 MG,,,29,,NW,,,,,,$14.40,$0.00,1,1,1,0,0,1,20210101,
J8540,HCPCS,ORAL DEXAMETHASONE,,,29,,NW,,,,,,$3.82,$0.00,1,1,1,0,0,1,20210101,
J8560,HCPCS,ETOPOSIDE ORAL 50 MG,,,29,,NW,,,,,,$241.80,$0.00,1,1,1,0,0,1,20210101,
J8562,HCPCS,ORAL FLUDARABINE PHOSPHATE,,,29,,NW,,,,,,$252.14,$0.00,1,1,1,0,0,1,20210101,
J8565,HCPCS,GEFITINIB ORAL,,,29,,NW,,,,,,$134.61,$0.00,1,1,1,0,0,1,20210101,
J8597,HCPCS,ANTIEMETIC DRUG ORAL NOS,,,29,,NW,,,,,,$154.98,$0.00,1,1,1,0,0,1,20210101,
J8600,HCPCS,MELPHALAN ORAL 2 MG,,,29,,NW,,,,,,$43.73,$0.00,1,1,1,0,0,1,20210101,
J8610,HCPCS,METHOTREXATE ORAL 2.5 MG,,,29,,NW,,,,,,$6.91,$0.00,1,1,1,0,0,1,20210101,
J8650,HCPCS,NABILONE ORAL,,,29,,NW,,,,,,$47.31,$0.00,1,1,1,0,0,1,20210101,
J8655,HCPCS,"ORAL NETUPITANT, PALONOSETRO",,,29,,NW,,,,,,$654.11,$0.00,1,1,1,0,0,1,20210101,
J8670,HCPCS,"ROLAPITANT, ORAL, 1MG",,,29,,NW,,,,,,$24.86,$0.00,1,1,1,0,0,1,20210101,
J8700,HCPCS,TEMOZOLOMIDE,,,29,,NW,,,,,,$8.85,$0.00,1,1,1,0,0,1,20210101,
J8705,HCPCS,TOPOTECAN ORAL,,,29,,NW,,,,,,$336.29,$0.00,1,1,1,0,0,1,20210101,
J8999,HCPCS,ORAL PRESCRIPTION DRUG CHEMO,,,29,,NW,,,,,,$56.46,$0.00,1,1,1,0,0,1,20210101,
J9000,HCPCS,DOXORUBICIN HCL INJECTION,,,29,,NW,,,,,,$15.45,$0.00,1,1,1,0,0,1,20210101,
J9015,HCPCS,ALDESLEUKIN INJECTION,,,29,,NW,,,,,,"$3,840.02",$0.00,1,1,1,0,0,1,20210101,
J9017,HCPCS,ARSENIC TRIOXIDE INJECTION,,,29,,NW,,,,,,$164.80,$0.00,1,1,1,0,0,1,20210101,
J9019,HCPCS,ERWINAZE INJECTION,,,29,,NW,,,,,,"$1,287.71",$0.00,1,1,1,0,0,1,20210101,
J9020,HCPCS,"ASPARAGINASE, NOS",,,29,,NW,,,,,,$191.74,$0.00,1,1,1,0,0,1,20210101,
J9022,HCPCS,"INJ, ATEZOLIZUMAB,10 MG",,,29,,NW,,,,,,$243.74,$0.00,1,1,1,0,0,1,20210101,
J9023,HCPCS,"INJECTION, AVELUMAB, 10 MG",,,29,,NW,,,,,,$169.42,$0.00,1,1,1,0,0,1,20210101,
J9025,HCPCS,AZACITIDINE INJECTION,,,29,,NW,,,,,,$9.90,$0.00,1,1,1,0,0,1,20210101,
J9027,HCPCS,CLOFARABINE INJECTION,,,29,,NW,,,,,,$218.88,$0.00,1,1,1,0,0,1,20210101,
J9030,HCPCS,BCG LIVE INTRAVESICAL 1MG,,,29,,NW,,,,,,$10.86,$0.00,1,1,1,0,0,1,20210101,
J9032,HCPCS,"INJECTION, BELINOSTAT, 10MG",,,29,,NW,,,,,,$125.43,$0.00,1,1,1,0,0,1,20210101,
J9033,HCPCS,"INJ., TREANDA 1 MG",,,29,,NW,,,,,,$89.61,$0.00,1,1,1,0,0,1,20210101,
J9034,HCPCS,"INJ., BENDEKA 1 MG",,,29,,NW,,,,,,$72.01,$0.00,1,1,1,0,0,1,20210101,
J9035,HCPCS,BEVACIZUMAB INJECTION,,,29,,NW,,,,,,$160.05,$0.00,1,1,1,0,0,1,20210101,
J9036,HCPCS,INJ. BELRAPZO/BENDAMUSTINE,,,29,,NW,,,,,,$56.70,$0.00,1,1,1,0,0,1,20210101,
J9039,HCPCS,"INJECTION, BLINATUMOMAB",,,29,,NW,,,,,,$351.71,$0.00,1,1,1,0,0,1,20210101,
J9040,HCPCS,BLEOMYCIN SULFATE INJECTION,,,29,,NW,,,,,,$97.47,$0.00,1,1,1,0,0,1,20210101,
J9041,HCPCS,"INJ., VELCADE 0.1 MG",,,29,,NW,,,,,,$99.92,$0.00,1,1,1,0,0,1,20210101,
J9042,HCPCS,BRENTUXIMAB VEDOTIN INJ,,,29,,NW,,,,,,$510.23,$0.00,1,1,1,0,0,1,20210101,
J9043,HCPCS,CABAZITAXEL INJECTION,,,29,,NW,,,,,,$547.71,$0.00,1,1,1,0,0,1,20210101,
J9044,HCPCS,"INJ, BORTEZOMIB, NOS, 0.1 MG",,,29,,NW,,,,,,$68.04,$0.00,1,1,1,0,0,1,20210101,
J9045,HCPCS,CARBOPLATIN INJECTION,,,29,,NW,,,,,,$14.52,$0.00,1,1,1,0,0,1,20210101,
J9047,HCPCS,"INJECTION, CARFILZOMIB, 1 MG",,,29,,NW,,,,,,$115.67,$0.00,1,1,1,0,0,1,20210101,
J9050,HCPCS,CARMUSTINE INJECTION,,,29,,NW,,,,,,"$6,390.35",$0.00,1,1,1,0,0,1,20210101,
J9055,HCPCS,CETUXIMAB INJECTION,,,29,,NW,,,,,,$129.74,$0.00,1,1,1,0,0,1,20210101,
J9057,HCPCS,"INJ., COPANLISIB, 1 MG",,,29,,NW,,,,,,$167.89,$0.00,1,1,1,0,0,1,20210101,
J9060,HCPCS,CISPLATIN 10 MG INJECTION,,,29,,NW,,,,,,$10.93,$0.00,1,1,1,0,0,1,20210101,
J9065,HCPCS,INJ CLADRIBINE PER 1 MG,,,29,,NW,,,,,,$67.51,$0.00,1,1,1,0,0,1,20210101,
J9070,HCPCS,CYCLOPHOSPHAMIDE 100 MG INJ,,,29,,NW,,,,,,$125.65,$0.00,1,1,1,0,0,1,20210101,
J9098,HCPCS,CYTARABINE LIPOSOME INJ,,,29,,NW,,,,,,"$1,367.33",$0.00,1,1,1,0,0,1,20210101,
J9100,HCPCS,CYTARABINE HCL 100 MG INJ,,,29,,NW,,,,,,$7.75,$0.00,1,1,1,0,0,1,20210101,
J9119,HCPCS,"INJ., CEMIPLIMAB-RWLC, 1 MG",,,29,,NW,,,,,,$50.86,$0.00,1,1,1,0,0,1,20210101,
J9120,HCPCS,DACTINOMYCIN INJECTION,,,29,,NW,,,,,,"$3,079.92",$0.00,1,1,1,0,0,1,20210101,
J9130,HCPCS,DACARBAZINE 100 MG INJ,,,29,,NW,,,,,,$16.73,$0.00,1,1,1,0,0,1,20210101,
J9144,HCPCS,"DARATUMUMAB, HYALURONIDASE",,,29,,NW,,,,,,$120.41,$0.00,1,1,1,0,0,1,20210101,
J9145,HCPCS,"INJECTION, DARATUMUMAB 10 MG",,,29,,NW,,,,,,$177.49,$0.00,1,1,1,0,0,1,20210101,
J9150,HCPCS,DAUNORUBICIN INJECTION,,,29,,NW,,,,,,$142.81,$0.00,1,1,1,0,0,1,20210101,
J9151,HCPCS,DAUNORUBICIN CITRATE INJ,,,29,,NW,,,,,,$110.59,$0.00,1,1,1,0,0,1,20210101,
J9153,HCPCS,"INJ DAUNORUBICIN, CYTARABINE",,,29,,NW,,,,,,$472.45,$0.00,1,1,1,0,0,1,20210101,
J9155,HCPCS,DEGARELIX INJECTION,,,29,,NW,,,,,,$18.43,$0.00,1,1,1,0,0,1,20210101,
J9160,HCPCS,DENILEUKIN DIFTITOX INJ,,,29,,NW,,,,,,"$3,018.02",$0.00,1,1,1,0,0,1,20210101,
J9165,HCPCS,DIETHYLSTILBESTROL INJECTION,,,29,,NW,,,,,,$68.88,$0.00,1,1,1,0,0,1,20210101,
J9171,HCPCS,DOCETAXEL INJECTION,,,29,,NW,,,,,,$13.83,$0.00,1,1,1,0,0,1,20210101,
J9173,HCPCS,"INJ., DURVALUMAB, 10 MG",,,29,,NW,,,,,,$151.98,$0.00,1,1,1,0,0,1,20210101,
J9175,HCPCS,ELLIOTTS B SOLUTION PER ML,,,29,,NW,,,,,,$19.50,$0.00,1,1,1,0,0,1,20210101,
J9176,HCPCS,"INJECTION, ELOTUZUMAB, 1MG",,,29,,NW,,,,,,$23.75,$0.00,1,1,1,0,0,1,20210101,
J9177,HCPCS,INJ ENFORT VEDO-EJFV 0.25MG,,,29,,NW,,,,,,$73.63,$0.00,1,1,1,0,0,1,20210101,
J9178,HCPCS,"INJ, EPIRUBICIN HCL, 2 MG",,,29,,NW,,,,,,$14.01,$0.00,1,1,1,0,0,1,20210101,
J9179,HCPCS,ERIBULIN MESYLATE INJECTION,,,29,,NW,,,,,,$367.48,$0.00,1,1,1,0,0,1,20210101,
J9181,HCPCS,ETOPOSIDE INJECTION,,,29,,NW,,,,,,$7.68,$0.00,1,1,1,0,0,1,20210101,
J9185,HCPCS,FLUDARABINE PHOSPHATE INJ,,,29,,NW,,,,,,$216.00,$0.00,1,1,1,0,0,1,20210101,
J9190,HCPCS,FLUOROURACIL INJECTION,,,29,,NW,,,,,,$10.03,$0.00,1,1,1,0,0,1,20210101,
J9200,HCPCS,FLOXURIDINE INJECTION,,,29,,NW,,,,,,$222.86,$0.00,1,1,1,0,0,1,20210101,
J9201,HCPCS,IN GEMCITABINE HCL NOS 200MG,,,29,,NW,,,,,,$20.52,$0.00,1,1,1,0,0,1,20210101,
J9202,HCPCS,GOSERELIN ACETATE IMPLANT,,,29,,NW,,,,,,"$1,383.64",$0.00,1,1,1,0,0,1,20210101,
J9203,HCPCS,GEMTUZUMAB OZOGAMICIN 0.1 MG,,,29,,NW,,,,,,$628.63,$0.00,1,1,1,0,0,1,20210101,
J9204,HCPCS,"INJ MOGAMULIZUMAB-KPKC, 1 MG",,,29,,NW,,,,,,$446.80,$0.00,1,1,1,0,0,1,20210101,
J9205,HCPCS,INJ IRINOTECAN LIPOSOME 1 MG,,,29,,NW,,,,,,$154.03,$0.00,1,1,1,0,0,1,20210101,
J9206,HCPCS,IRINOTECAN INJECTION,,,29,,NW,,,,,,$14.45,$0.00,1,1,1,0,0,1,20210101,
J9207,HCPCS,IXABEPILONE INJECTION,,,29,,NW,,,,,,$277.59,$0.00,1,1,1,0,0,1,20210101,
J9208,HCPCS,IFOSFAMIDE INJECTION,,,29,,NW,,,,,,$86.58,$0.00,1,1,1,0,0,1,20210101,
J9209,HCPCS,MESNA INJECTION,,,29,,NW,,,,,,$10.59,$0.00,1,1,1,0,0,1,20210101,
J9210,HCPCS,"INJ., EMAPALUMAB-LZSG, 1 MG",,,29,,NW,,,,,,"$1,148.68",$0.00,1,1,1,0,0,1,20210101,
J9211,HCPCS,IDARUBICIN HCL INJECTION,,,29,,NW,,,,,,$129.87,$0.00,1,1,1,0,0,1,20210101,
J9212,HCPCS,INTERFERON ALFACON-1 INJ,,,29,,NW,,,,,,$28.72,$0.00,1,1,1,0,0,1,20210101,
J9213,HCPCS,INTERFERON ALFA-2A INJ,,,29,,NW,,,,,,$261.79,$0.00,1,1,1,0,0,1,20210101,
J9214,HCPCS,INTERFERON ALFA-2B INJ,,,29,,NW,,,,,,$104.73,$0.00,1,1,1,0,0,1,20210101,
J9215,HCPCS,INTERFERON ALFA-N3 INJ,,,29,,NW,,,,,,$73.80,$0.00,1,1,1,0,0,1,20210101,
J9216,HCPCS,INTERFERON GAMMA 1-B INJ,,,29,,NW,,,,,,"$5,206.85",$0.00,1,1,1,0,0,1,20210101,
J9217,HCPCS,LEUPROLIDE ACETATE SUSPNSION,,,29,,NW,,,,,,$679.63,$0.00,1,1,1,0,0,1,20210101,
J9218,HCPCS,LEUPROLIDE ACETATE INJECITON,,,29,,NW,,,,,,$69.57,$0.00,1,1,1,0,0,1,20210101,
J9219,HCPCS,LEUPROLIDE ACETATE IMPLANT,,,29,,NW,,,,,,"$7,656.93",$0.00,1,1,1,0,0,1,20210101,
J9225,HCPCS,VANTAS IMPLANT,,,29,,NW,,,,,,"$7,477.90",$0.00,1,1,1,0,0,1,20210101,
J9226,HCPCS,SUPPRELIN LA IMPLANT,,,29,,NW,,,,,,"$59,233.11",$0.00,1,1,1,0,0,1,20210101,
J9227,HCPCS,"Injection, isatuximab-irfc, 10 mg",,,29,,NW,,,,,,$186.71,$0.00,1,1,1,0,0,1,20210101,
J9228,HCPCS,IPILIMUMAB INJECTION,,,29,,NW,,,,,,$490.02,$0.00,1,1,1,0,0,1,20210101,
J9229,HCPCS,INJ INOTUZUMAB OZOGAM 0.1 MG,,,29,,NW,,,,,,"$5,622.00",$0.00,1,1,1,0,0,1,20210101,
J9230,HCPCS,MECHLORETHAMINE HCL INJ,,,29,,NW,,,,,,$859.89,$0.00,1,1,1,0,0,1,20210101,
J9245,HCPCS,INJ MELPHA HYDROCH NOS 50 MG,,,29,,NW,,,,,,"$1,731.82",$0.00,1,1,1,0,0,1,20210101,
J9246,HCPCS,"INJ., EVOMELA, 1 MG",,,29,,NW,,,,,,$58.69,$0.00,1,1,1,0,0,1,20210101,
J9250,HCPCS,METHOTREXATE SODIUM INJ,,,29,,NW,,,,,,$6.69,$0.00,1,1,1,0,0,1,20210101,
J9260,HCPCS,METHOTREXATE SODIUM INJ,,,29,,NW,,,,,,$12.87,$0.00,1,1,1,0,0,1,20210101,
J9261,HCPCS,NELARABINE INJECTION,,,29,,NW,,,,,,$305.26,$0.00,1,1,1,0,0,1,20210101,
J9262,HCPCS,"INJ, OMACETAXINE MEP, 0.01MG",,,29,,NW,,,,,,$13.32,$0.00,1,1,1,0,0,1,20210101,
J9263,HCPCS,OXALIPLATIN,,,29,,NW,,,,,,$6.64,$0.00,1,1,1,0,0,1,20210101,
J9264,HCPCS,PACLITAXEL PROTEIN BOUND,,,29,,NW,,,,,,$34.34,$0.00,1,1,1,0,0,1,20210101,
J9266,HCPCS,PEGASPARGASE INJECTION,,,29,,NW,,,,,,"$29,866.54",$0.00,1,1,1,0,0,1,20210101,
J9267,HCPCS,PACLITAXEL INJECTION,,,29,,NW,,,,,,$6.65,$0.00,1,1,1,0,0,1,20210101,
J9268,HCPCS,PENTOSTATIN INJECTION,,,29,,NW,,,,,,"$4,846.85",$0.00,1,1,1,0,0,1,20210101,
J9269,HCPCS,INJ. TAGRAXOFUSP-ERZS 10 MCG,,,29,,NW,,,,,,$825.36,$0.00,1,1,1,0,0,1,20210101,
J9270,HCPCS,PLICAMYCIN (MITHRAMYCIN) INJ,,,29,,NW,,,,,,$277.31,$0.00,1,1,1,0,0,1,20210101,
J9271,HCPCS,INJ PEMBROLIZUMAB,,,29,,NW,,,,,,$159.55,$0.00,1,1,1,0,0,1,20210101,
J9280,HCPCS,MITOMYCIN INJECTION,,,29,,NW,,,,,,$320.65,$0.00,1,1,1,0,0,1,20210101,
J9281,HCPCS,MITOMYCIN INSTILLATION,,,29,,NW,,,,,,$496.07,$0.00,1,1,1,0,0,1,20210101,
J9285,HCPCS,"INJ, OLARATUMAB, 10 MG",,,29,,NW,,,,,,$160.96,$0.00,1,1,1,0,0,1,20210101,
J9293,HCPCS,MITOXANTRONE HYDROCHL / 5 MG,,,29,,NW,,,,,,$101.10,$0.00,1,1,1,0,0,1,20210101,
J9295,HCPCS,"INJECTION, NECITUMUMAB, 1 MG",,,29,,NW,,,,,,$20.63,$0.00,1,1,1,0,0,1,20210101,
J9299,HCPCS,"INJECTION, NIVOLUMAB",,,29,,NW,,,,,,$89.21,$0.00,1,1,1,0,0,1,20210101,
J9301,HCPCS,OBINUTUZUMAB INJ,,,29,,NW,,,,,,$200.08,$0.00,1,1,1,0,0,1,20210101,
J9302,HCPCS,OFATUMUMAB INJECTION,,,29,,NW,,,,,,$189.62,$0.00,1,1,1,0,0,1,20210101,
J9303,HCPCS,PANITUMUMAB INJECTION,,,29,,NW,,,,,,$375.94,$0.00,1,1,1,0,0,1,20210101,
J9305,HCPCS,PEMETREXED INJECTION,,,29,,NW,,,,,,$143.88,$0.00,1,1,1,0,0,1,20210101,
J9306,HCPCS,"INJECTION, PERTUZUMAB, 1 MG",,,29,,NW,,,,,,$37.49,$0.00,1,1,1,0,0,1,20210101,
J9307,HCPCS,PRALATREXATE INJECTION,,,29,,NW,,,,,,$895.65,$0.00,1,1,1,0,0,1,20210101,
J9308,HCPCS,"INJECTION, RAMUCIRUMAB",,,29,,NW,,,,,,$190.39,$0.00,1,1,1,0,0,1,20210101,
J9309,HCPCS,"INJ, POLATUZUMAB VEDOTIN 1MG",,,29,,NW,,,,,,$318.96,$0.00,1,1,1,0,0,1,20210101,
J9311,HCPCS,"INJ RITUXIMAB, HYALURONIDASE",,,29,,NW,,,,,,$97.96,$0.00,1,1,1,0,0,1,20210101,
J9312,HCPCS,"INJ., RITUXIMAB, 10 MG",,,29,,NW,,,,,,$224.35,$0.00,1,1,1,0,0,1,20210101,
J9313,HCPCS,"INJ., LUMOXITI, 0.01 MG",,,29,,NW,,,,,,$57.49,$0.00,1,1,1,0,0,1,20210101,
J9315,HCPCS,ROMIDEPSIN INJECTION,,,29,,NW,,,,,,"$1,062.52",$0.00,1,1,1,0,0,1,20210101,
J9317,HCPCS,SACITUZUMAB GOVITECAN-HZIY,,,29,,NW,,,,,,$78.18,$0.00,1,1,1,0,0,1,20210101,
J9320,HCPCS,STREPTOZOCIN INJECTION,,,29,,NW,,,,,,"$1,107.15",$0.00,1,1,1,0,0,1,20210101,
J9325,HCPCS,INJ TALIMOGENE LAHERPAREPVEC,,,29,,NW,,,,,,$108.34,$0.00,1,1,1,0,0,1,20210101,
J9328,HCPCS,TEMOZOLOMIDE INJECTION,,,29,,NW,,,,,,$32.11,$0.00,1,1,1,0,0,1,20210101,
J9330,HCPCS,TEMSIROLIMUS INJECTION,,,29,,NW,,,,,,$190.31,$0.00,1,1,1,0,0,1,20210101,
J9340,HCPCS,THIOTEPA INJECTION,,,29,,NW,,,,,,$819.59,$0.00,1,1,1,0,0,1,20210101,
J9351,HCPCS,TOPOTECAN INJECTION,,,29,,NW,,,,,,$9.04,$0.00,1,1,1,0,0,1,20210101,
J9352,HCPCS,INJECTION TRABECTEDIN 0.1MG,,,29,,NW,,,,,,$978.75,$0.00,1,1,1,0,0,1,20210101,
J9354,HCPCS,"INJ, ADO-TRASTUZUMAB EMT 1MG",,,29,,NW,,,,,,$101.51,$0.00,1,1,1,0,0,1,20210101,
J9355,HCPCS,TRASTUZUMAB INJECTION,,,29,,NW,,,,,,$205.64,$0.00,1,1,1,0,0,1,20210101,
J9356,HCPCS,"INJ. HERCEPTIN HYLECTA, 10MG",,,29,,NW,,,,,,$216.44,$0.00,1,1,1,0,0,1,20210101,
J9357,HCPCS,VALRUBICIN INJECTION,,,29,,NW,,,,,,"$2,506.00",$0.00,1,1,1,0,0,1,20210101,
J9358,HCPCS,INJ FAM-TRASTU DERU-NXKI 1MG,,,29,,NW,,,,,,$62.53,$0.00,1,1,1,0,0,1,20210101,
J9360,HCPCS,VINBLASTINE SULFATE INJ,,,29,,NW,,,,,,$15.29,$0.00,1,1,1,0,0,1,20210101,
J9370,HCPCS,VINCRISTINE SULFATE 1 MG INJ,,,29,,NW,,,,,,$18.65,$0.00,1,1,1,0,0,1,20210101,
J9371,HCPCS,"INJ, VINCRISTINE SUL LIP 1MG",,,29,,NW,,,,,,"$6,319.61",$0.00,1,1,1,0,0,1,20210101,
J9390,HCPCS,VINORELBINE TARTRATE INJ,,,29,,NW,,,,,,$26.41,$0.00,1,1,1,0,0,1,20210101,
J9395,HCPCS,"INJECTION, FULVESTRANT",,,29,,NW,,,,,,$157.48,$0.00,1,1,1,0,0,1,20210101,
J9400,HCPCS,"INJ, ZIV-AFLIBERCEPT, 1MG",,,29,,NW,,,,,,$26.69,$0.00,1,1,1,0,0,1,20210101,
J9600,HCPCS,PORFIMER SODIUM INJECTION,,,29,,NW,,,,,,"$15,172.82",$0.00,1,1,1,0,0,1,20210101,
K0001,HCPCS,STANDARD WHEELCHAIR,,,28,,NW,,,,,,$858.94,$0.00,1,1,1,1,1,1,20210101,
K0001,HCPCS,STANDARD WHEELCHAIR,RR,,28,,NW,,,,,,$111.69,$0.00,1,1,1,1,1,1,20210101,
K0002,HCPCS,STND HEMI (LOW SEAT) WHLCHR,,,28,,NW,,,,,,"$1,152.77",$0.00,1,1,1,1,1,1,20210101,
K0002,HCPCS,STND HEMI (LOW SEAT) WHLCHR,RR,,28,,NW,,,,,,$149.82,$0.00,1,1,1,1,1,1,20210101,
K0003,HCPCS,LIGHTWEIGHT WHEELCHAIR,,,28,,NW,,,,,,"$1,104.99",$0.00,1,1,1,1,1,1,20210101,
K0003,HCPCS,LIGHTWEIGHT WHEELCHAIR,RR,,28,,NW,,,,,,$143.50,$0.00,1,1,1,1,1,1,20210101,
K0004,HCPCS,HIGH STRENGTH LTWT WHLCHR,,,28,,NW,,,,,,"$1,330.96",$0.00,1,1,1,1,1,1,20210101,
K0004,HCPCS,HIGH STRENGTH LTWT WHLCHR,RR,,28,,NW,,,,,,$172.60,$0.00,1,1,1,1,1,1,20210101,
K0005,HCPCS,ULTRALIGHTWEIGHT WHEELCHAIR,,,28,,NW,,,,,,"$4,240.80",$0.00,1,1,1,1,1,1,20210101,
K0005,HCPCS,ULTRALIGHTWEIGHT WHEELCHAIR,NU,,28,,NW,,,,,,"$4,240.80",$0.00,1,1,1,1,1,1,20210101,
K0005,HCPCS,ULTRALIGHTWEIGHT WHEELCHAIR,RR,,28,,NW,,,,,,$472.38,$0.00,1,1,1,1,1,1,20210101,
K0005,HCPCS,ULTRALIGHTWEIGHT WHEELCHAIR,UE,,28,,NW,,,,,,"$3,194.00",$0.00,1,1,1,1,1,1,20210101,
K0006,HCPCS,HEAVY DUTY WHEELCHAIR,,,28,,NW,,,,,,"$1,567.23",$0.00,1,1,1,1,1,1,20210101,
K0006,HCPCS,HEAVY DUTY WHEELCHAIR,RR,,28,,NW,,,,,,$203.58,$0.00,1,1,1,1,1,1,20210101,
K0007,HCPCS,EXTRA HEAVY DUTY WHEELCHAIR,,,28,,NW,,,,,,"$2,057.29",$0.00,1,1,1,1,1,1,20210101,
K0007,HCPCS,EXTRA HEAVY DUTY WHEELCHAIR,RR,,28,,NW,,,,,,$267.02,$0.00,1,1,1,1,1,1,20210101,
K0008,HCPCS,CSTM MANUAL WHEELCHAIR/BASE,,,28,,NW,,,,,,$747.63,$0.00,1,1,1,1,1,1,20210101,
K0009,HCPCS,OTHER MANUAL WHEELCHAIR/BASE,,,28,,NW,,,,,,"$1,688.13",$0.00,1,1,1,1,1,1,20210101,
K0009,HCPCS,OTHER MANUAL WHEELCHAIR/BASE,RR,,28,,NW,,,,,,$219.86,$0.00,1,1,1,1,1,1,20210101,
K0010,HCPCS,STND WT FRAME POWER WHLCHR,,,28,,NW,,,,,,"$7,272.48",$0.00,1,1,1,1,1,1,20210101,
K0010,HCPCS,STND WT FRAME POWER WHLCHR,RR,,28,,NW,,,,,,$946.42,$0.00,1,1,1,1,1,1,20210101,
K0011,HCPCS,STND WT PWR WHLCHR W CONTROL,,,28,,NW,,,,,,"$9,246.08",$0.00,1,1,1,1,1,1,20210101,
K0011,HCPCS,STND WT PWR WHLCHR W CONTROL,RR,,28,,NW,,,,,,"$1,203.17",$0.00,1,1,1,1,1,1,20210101,
K0012,HCPCS,LTWT PORTBL POWER WHLCHR,,,28,,NW,,,,,,"$5,921.55",$0.00,1,1,1,1,1,1,20210101,
K0012,HCPCS,LTWT PORTBL POWER WHLCHR,RR,,28,,NW,,,,,,$770.66,$0.00,1,1,1,1,1,1,20210101,
K0013,HCPCS,CUSTOM POWER WHLCHR BASE,,,28,,NW,,,,,,"$1,319.96",$0.00,1,1,1,1,1,1,20210101,
K0014,HCPCS,OTHER POWER WHLCHR BASE,,,28,,NW,,,,,,$446.84,$0.00,1,1,1,1,1,1,20210101,
K0015,HCPCS,DETACH NON-ADJ HT ARMRST REP,,,28,,NW,,,,,,$366.52,$0.00,1,1,1,1,1,1,20210101,
K0015,HCPCS,DETACH NON-ADJ HT ARMRST REP,RR,,28,,NW,,,,,,$47.85,$0.00,1,1,1,1,1,1,20210101,
K0017,HCPCS,DETACH ADJUST ARMREST BASE,,,28,,NW,,,,,,$146.27,$0.00,1,1,1,1,1,1,20210101,
K0017,HCPCS,DETACH ADJUST ARMREST BASE,NU,,28,,NW,,,,,,$146.27,$0.00,1,1,1,1,1,1,20210101,
K0017,HCPCS,DETACH ADJUST ARMREST BASE,RR,,28,,NW,,,,,,$13.04,$0.00,1,1,1,1,1,1,20210101,
K0017,HCPCS,DETACH ADJUST ARMREST BASE,UE,,28,,NW,,,,,,$123.17,$0.00,1,1,1,1,1,1,20210101,
K0018,HCPCS,DETACH ADJUST ARMRST UPPER,,,28,,NW,,,,,,$100.05,$0.00,1,1,1,1,1,1,20210101,
K0018,HCPCS,DETACH ADJUST ARMRST UPPER,NU,,28,,NW,,,,,,$100.05,$0.00,1,1,1,1,1,1,20210101,
K0018,HCPCS,DETACH ADJUST ARMRST UPPER,RR,,28,,NW,,,,,,$7.36,$0.00,1,1,1,1,1,1,20210101,
K0018,HCPCS,DETACH ADJUST ARMRST UPPER,UE,,28,,NW,,,,,,$71.75,$0.00,1,1,1,1,1,1,20210101,
K0019,HCPCS,"ARM PAD REPL, EACH",,,28,,NW,,,,,,$43.66,$0.00,1,1,1,1,1,1,20210101,
K0019,HCPCS,"ARM PAD REPL, EACH",NU,,28,,NW,,,,,,$43.66,$0.00,1,1,1,1,1,1,20210101,
K0019,HCPCS,"ARM PAD REPL, EACH",RR,,28,,NW,,,,,,$3.77,$0.00,1,1,1,1,1,1,20210101,
K0019,HCPCS,"ARM PAD REPL, EACH",UE,,28,,NW,,,,,,$28.73,$0.00,1,1,1,1,1,1,20210101,
K0020,HCPCS,FIXED ADJUST ARMREST PAIR,,,28,,NW,,,,,,$143.22,$0.00,1,1,1,1,1,1,20210101,
K0020,HCPCS,FIXED ADJUST ARMREST PAIR,NU,,28,,NW,,,,,,$143.22,$0.00,1,1,1,1,1,1,20210101,
K0020,HCPCS,FIXED ADJUST ARMREST PAIR,RR,,28,,NW,,,,,,$12.61,$0.00,1,1,1,1,1,1,20210101,
K0020,HCPCS,FIXED ADJUST ARMREST PAIR,UE,,28,,NW,,,,,,$120.88,$0.00,1,1,1,1,1,1,20210101,
K0037,HCPCS,HI MOUNT FLIP-UP FOOTREST EA,,,28,,NW,,,,,,$139.18,$0.00,1,1,1,1,1,1,20210101,
K0037,HCPCS,HI MOUNT FLIP-UP FOOTREST EA,NU,,28,,NW,,,,,,$139.18,$0.00,1,1,1,1,1,1,20210101,
K0037,HCPCS,HI MOUNT FLIP-UP FOOTREST EA,RR,,28,,NW,,,,,,$11.42,$0.00,1,1,1,1,1,1,20210101,
K0037,HCPCS,HI MOUNT FLIP-UP FOOTREST EA,UE,,28,,NW,,,,,,$117.19,$0.00,1,1,1,1,1,1,20210101,
K0038,HCPCS,LEG STRAP EACH,,,28,,NW,,,,,,$86.98,$0.00,1,1,1,1,1,1,20210101,
K0038,HCPCS,LEG STRAP EACH,NU,,28,,NW,,,,,,$86.98,$0.00,1,1,1,1,1,1,20210101,
K0038,HCPCS,LEG STRAP EACH,RR,,28,,NW,,,,,,$6.45,$0.00,1,1,1,1,1,1,20210101,
K0038,HCPCS,LEG STRAP EACH,UE,,28,,NW,,,,,,$60.92,$0.00,1,1,1,1,1,1,20210101,
K0039,HCPCS,LEG STRAP H STYLE EACH,,,28,,NW,,,,,,$152.71,$0.00,1,1,1,1,1,1,20210101,
K0039,HCPCS,LEG STRAP H STYLE EACH,NU,,28,,NW,,,,,,$152.71,$0.00,1,1,1,1,1,1,20210101,
K0039,HCPCS,LEG STRAP H STYLE EACH,RR,,28,,NW,,,,,,$13.95,$0.00,1,1,1,1,1,1,20210101,
K0039,HCPCS,LEG STRAP H STYLE EACH,UE,,28,,NW,,,,,,$128.01,$0.00,1,1,1,1,1,1,20210101,
K0040,HCPCS,ADJUSTABLE ANGLE FOOTPLATE,,,28,,NW,,,,,,$162.69,$0.00,1,1,1,1,1,1,20210101,
K0040,HCPCS,ADJUSTABLE ANGLE FOOTPLATE,NU,,28,,NW,,,,,,$162.69,$0.00,1,1,1,1,1,1,20210101,
K0040,HCPCS,ADJUSTABLE ANGLE FOOTPLATE,RR,,28,,NW,,,,,,$15.29,$0.00,1,1,1,1,1,1,20210101,
K0040,HCPCS,ADJUSTABLE ANGLE FOOTPLATE,UE,,28,,NW,,,,,,$135.48,$0.00,1,1,1,1,1,1,20210101,
K0041,HCPCS,LARGE SIZE FOOTPLATE EACH,,,28,,NW,,,,,,$148.79,$0.00,1,1,1,1,1,1,20210101,
K0041,HCPCS,LARGE SIZE FOOTPLATE EACH,NU,,28,,NW,,,,,,$148.79,$0.00,1,1,1,1,1,1,20210101,
K0041,HCPCS,LARGE SIZE FOOTPLATE EACH,RR,,28,,NW,,,,,,$13.40,$0.00,1,1,1,1,1,1,20210101,
K0041,HCPCS,LARGE SIZE FOOTPLATE EACH,UE,,28,,NW,,,,,,$125.07,$0.00,1,1,1,1,1,1,20210101,
K0042,HCPCS,STANDARD SIZE FTPLATE REP EA,,,28,,NW,,,,,,$113.26,$0.00,1,1,1,1,1,1,20210101,
K0042,HCPCS,STANDARD SIZE FTPLATE REP EA,NU,,28,,NW,,,,,,$113.26,$0.00,1,1,1,1,1,1,20210101,
K0042,HCPCS,STANDARD SIZE FTPLATE REP EA,RR,,28,,NW,,,,,,$8.63,$0.00,1,1,1,1,1,1,20210101,
K0042,HCPCS,STANDARD SIZE FTPLATE REP EA,UE,,28,,NW,,,,,,$87.01,$0.00,1,1,1,1,1,1,20210101,
K0043,HCPCS,FTRST LOWR EXTEN TUBE REP EA,,,28,,NW,,,,,,$67.40,$0.00,1,1,1,1,1,1,20210101,
K0043,HCPCS,FTRST LOWR EXTEN TUBE REP EA,NU,,28,,NW,,,,,,$67.40,$0.00,1,1,1,1,1,1,20210101,
K0043,HCPCS,FTRST LOWR EXTEN TUBE REP EA,RR,,28,,NW,,,,,,$5.24,$0.00,1,1,1,1,1,1,20210101,
K0043,HCPCS,FTRST LOWR EXTEN TUBE REP EA,UE,,28,,NW,,,,,,$46.29,$0.00,1,1,1,1,1,1,20210101,
K0044,HCPCS,FTRST UPR HANGER BRAC REP EA,,,28,,NW,,,,,,$56.15,$0.00,1,1,1,1,1,1,20210101,
K0044,HCPCS,FTRST UPR HANGER BRAC REP EA,NU,,28,,NW,,,,,,$56.15,$0.00,1,1,1,1,1,1,20210101,
K0044,HCPCS,FTRST UPR HANGER BRAC REP EA,RR,,28,,NW,,,,,,$4.56,$0.00,1,1,1,1,1,1,20210101,
K0044,HCPCS,FTRST UPR HANGER BRAC REP EA,UE,,28,,NW,,,,,,$37.82,$0.00,1,1,1,1,1,1,20210101,
K0045,HCPCS,FTRST COMPL ASSEMBLY REPL EA,,,28,,NW,,,,,,$160.09,$0.00,1,1,1,1,1,1,20210101,
K0045,HCPCS,FTRST COMPL ASSEMBLY REPL EA,NU,,28,,NW,,,,,,$160.09,$0.00,1,1,1,1,1,1,20210101,
K0045,HCPCS,FTRST COMPL ASSEMBLY REPL EA,RR,,28,,NW,,,,,,$15.08,$0.00,1,1,1,1,1,1,20210101,
K0045,HCPCS,FTRST COMPL ASSEMBLY REPL EA,UE,,28,,NW,,,,,,$133.54,$0.00,1,1,1,1,1,1,20210101,
K0046,HCPCS,ELEV LGRST LWR EXTEN REPL EA,,,28,,NW,,,,,,$67.91,$0.00,1,1,1,1,1,1,20210101,
K0046,HCPCS,ELEV LGRST LWR EXTEN REPL EA,NU,,28,,NW,,,,,,$67.91,$0.00,1,1,1,1,1,1,20210101,
K0046,HCPCS,ELEV LGRST LWR EXTEN REPL EA,RR,,28,,NW,,,,,,$5.27,$0.00,1,1,1,1,1,1,20210101,
K0046,HCPCS,ELEV LGRST LWR EXTEN REPL EA,UE,,28,,NW,,,,,,$46.67,$0.00,1,1,1,1,1,1,20210101,
K0047,HCPCS,ELEV LEGRST UPR HANGR REP EA,,,28,,NW,,,,,,$188.33,$0.00,1,1,1,1,1,1,20210101,
K0047,HCPCS,ELEV LEGRST UPR HANGR REP EA,NU,,28,,NW,,,,,,$188.33,$0.00,1,1,1,1,1,1,20210101,
K0047,HCPCS,ELEV LEGRST UPR HANGR REP EA,RR,,28,,NW,,,,,,$18.96,$0.00,1,1,1,1,1,1,20210101,
K0047,HCPCS,ELEV LEGRST UPR HANGR REP EA,UE,,28,,NW,,,,,,$154.72,$0.00,1,1,1,1,1,1,20210101,
K0050,HCPCS,RATCHET ASSEMBLY REPLACEMENT,,,28,,NW,,,,,,$113.40,$0.00,1,1,1,1,1,1,20210101,
K0050,HCPCS,RATCHET ASSEMBLY REPLACEMENT,NU,,28,,NW,,,,,,$113.40,$0.00,1,1,1,1,1,1,20210101,
K0050,HCPCS,RATCHET ASSEMBLY REPLACEMENT,RR,,28,,NW,,,,,,$8.67,$0.00,1,1,1,1,1,1,20210101,
K0050,HCPCS,RATCHET ASSEMBLY REPLACEMENT,UE,,28,,NW,,,,,,$87.67,$0.00,1,1,1,1,1,1,20210101,
K0051,HCPCS,CAM REL ASM FT/LEGRST REP EA,,,28,,NW,,,,,,$151.43,$0.00,1,1,1,1,1,1,20210101,
K0051,HCPCS,CAM REL ASM FT/LEGRST REP EA,NU,,28,,NW,,,,,,$151.43,$0.00,1,1,1,1,1,1,20210101,
K0051,HCPCS,CAM REL ASM FT/LEGRST REP EA,RR,,28,,NW,,,,,,$13.78,$0.00,1,1,1,1,1,1,20210101,
K0051,HCPCS,CAM REL ASM FT/LEGRST REP EA,UE,,28,,NW,,,,,,$127.03,$0.00,1,1,1,1,1,1,20210101,
K0052,HCPCS,SWINGAWAY DETACH FTREST REPL,,,28,,NW,,,,,,$197.64,$0.00,1,1,1,1,1,1,20210101,
K0052,HCPCS,SWINGAWAY DETACH FTREST REPL,NU,,28,,NW,,,,,,$197.64,$0.00,1,1,1,1,1,1,20210101,
K0052,HCPCS,SWINGAWAY DETACH FTREST REPL,RR,,28,,NW,,,,,,$20.25,$0.00,1,1,1,1,1,1,20210101,
K0052,HCPCS,SWINGAWAY DETACH FTREST REPL,UE,,28,,NW,,,,,,$161.70,$0.00,1,1,1,1,1,1,20210101,
K0053,HCPCS,ELEVATE FOOTREST ARTICULATE,,,28,,NW,,,,,,$222.04,$0.00,1,1,1,1,1,1,20210101,
K0053,HCPCS,ELEVATE FOOTREST ARTICULATE,NU,,28,,NW,,,,,,$222.04,$0.00,1,1,1,1,1,1,20210101,
K0053,HCPCS,ELEVATE FOOTREST ARTICULATE,RR,,28,,NW,,,,,,$23.70,$0.00,1,1,1,1,1,1,20210101,
K0053,HCPCS,ELEVATE FOOTREST ARTICULATE,UE,,28,,NW,,,,,,$180.00,$0.00,1,1,1,1,1,1,20210101,
K0056,HCPCS,SEAT HT <17 OR >=21 LTWT WC,,,28,,NW,,,,,,$239.84,$0.00,1,1,1,1,1,1,20210101,
K0056,HCPCS,SEAT HT <17 OR >=21 LTWT WC,NU,,28,,NW,,,,,,$239.84,$0.00,1,1,1,1,1,1,20210101,
K0056,HCPCS,SEAT HT <17 OR >=21 LTWT WC,RR,,28,,NW,,,,,,$26.24,$0.00,1,1,1,1,1,1,20210101,
K0056,HCPCS,SEAT HT <17 OR >=21 LTWT WC,UE,,28,,NW,,,,,,$193.37,$0.00,1,1,1,1,1,1,20210101,
K0065,HCPCS,SPOKE PROTECTORS,,,28,,NW,,,,,,$145.00,$0.00,1,1,1,1,1,1,20210101,
K0065,HCPCS,SPOKE PROTECTORS,NU,,28,,NW,,,,,,$145.00,$0.00,1,1,1,1,1,1,20210101,
K0065,HCPCS,SPOKE PROTECTORS,RR,,28,,NW,,,,,,$12.87,$0.00,1,1,1,1,1,1,20210101,
K0065,HCPCS,SPOKE PROTECTORS,UE,,28,,NW,,,,,,$122.23,$0.00,1,1,1,1,1,1,20210101,
K0069,HCPCS,RR WHL COMPL SOL TIRE REP EA,,,28,,NW,,,,,,$243.34,$0.00,1,1,1,1,1,1,20210101,
K0069,HCPCS,RR WHL COMPL SOL TIRE REP EA,NU,,28,,NW,,,,,,$243.34,$0.00,1,1,1,1,1,1,20210101,
K0069,HCPCS,RR WHL COMPL SOL TIRE REP EA,RR,,28,,NW,,,,,,$26.82,$0.00,1,1,1,1,1,1,20210101,
K0069,HCPCS,RR WHL COMPL SOL TIRE REP EA,UE,,28,,NW,,,,,,$195.99,$0.00,1,1,1,1,1,1,20210101,
K0070,HCPCS,RR WHL COMPL PNE TIRE REP EA,,,28,,NW,,,,,,$431.94,$0.00,1,1,1,1,1,1,20210101,
K0070,HCPCS,RR WHL COMPL PNE TIRE REP EA,RR,,28,,NW,,,,,,$56.38,$0.00,1,1,1,1,1,1,20210101,
K0071,HCPCS,FR CSTR COMP PNE TIRE REP EA,,,28,,NW,,,,,,$269.22,$0.00,1,1,1,1,1,1,20210101,
K0071,HCPCS,FR CSTR COMP PNE TIRE REP EA,NU,,28,,NW,,,,,,$269.22,$0.00,1,1,1,1,1,1,20210101,
K0071,HCPCS,FR CSTR COMP PNE TIRE REP EA,RR,,28,,NW,,,,,,$31.80,$0.00,1,1,1,1,1,1,20210101,
K0071,HCPCS,FR CSTR COMP PNE TIRE REP EA,UE,,28,,NW,,,,,,$215.38,$0.00,1,1,1,1,1,1,20210101,
K0072,HCPCS,FR CSTR SEMI-PNE TIRE REP EA,,,28,,NW,,,,,,$186.75,$0.00,1,1,1,1,1,1,20210101,
K0072,HCPCS,FR CSTR SEMI-PNE TIRE REP EA,NU,,28,,NW,,,,,,$186.75,$0.00,1,1,1,1,1,1,20210101,
K0072,HCPCS,FR CSTR SEMI-PNE TIRE REP EA,RR,,28,,NW,,,,,,$18.76,$0.00,1,1,1,1,1,1,20210101,
K0072,HCPCS,FR CSTR SEMI-PNE TIRE REP EA,UE,,28,,NW,,,,,,$153.53,$0.00,1,1,1,1,1,1,20210101,
K0073,HCPCS,CASTER PIN LOCK EACH,,,28,,NW,,,,,,$123.28,$0.00,1,1,1,1,1,1,20210101,
K0073,HCPCS,CASTER PIN LOCK EACH,NU,,28,,NW,,,,,,$123.28,$0.00,1,1,1,1,1,1,20210101,
K0073,HCPCS,CASTER PIN LOCK EACH,RR,,28,,NW,,,,,,$9.80,$0.00,1,1,1,1,1,1,20210101,
K0073,HCPCS,CASTER PIN LOCK EACH,UE,,28,,NW,,,,,,$99.83,$0.00,1,1,1,1,1,1,20210101,
K0077,HCPCS,FR CSTR ASMB SOL TIRE REP EA,,,28,,NW,,,,,,$162.20,$0.00,1,1,1,1,1,1,20210101,
K0077,HCPCS,FR CSTR ASMB SOL TIRE REP EA,NU,,28,,NW,,,,,,$162.20,$0.00,1,1,1,1,1,1,20210101,
K0077,HCPCS,FR CSTR ASMB SOL TIRE REP EA,RR,,28,,NW,,,,,,$15.25,$0.00,1,1,1,1,1,1,20210101,
K0077,HCPCS,FR CSTR ASMB SOL TIRE REP EA,UE,,28,,NW,,,,,,$135.12,$0.00,1,1,1,1,1,1,20210101,
K0098,HCPCS,"DRIVE BELT FOR PWC, REPL",,,28,,NW,,,,,,$89.45,$0.00,1,1,1,1,1,1,20210101,
K0098,HCPCS,"DRIVE BELT FOR PWC, REPL",NU,,28,,NW,,,,,,$89.45,$0.00,1,1,1,1,1,1,20210101,
K0098,HCPCS,"DRIVE BELT FOR PWC, REPL",RR,,28,,NW,,,,,,$6.65,$0.00,1,1,1,1,1,1,20210101,
K0098,HCPCS,"DRIVE BELT FOR PWC, REPL",UE,,28,,NW,,,,,,$62.90,$0.00,1,1,1,1,1,1,20210101,
K0105,HCPCS,IV HANGER,,,28,,NW,,,,,,$250.31,$0.00,1,1,1,1,1,1,20210101,
K0105,HCPCS,IV HANGER,NU,,28,,NW,,,,,,$250.31,$0.00,1,1,1,1,1,1,20210101,
K0105,HCPCS,IV HANGER,RR,,28,,NW,,,,,,$27.87,$0.00,1,1,1,1,1,1,20210101,
K0105,HCPCS,IV HANGER,UE,,28,,NW,,,,,,$201.22,$0.00,1,1,1,1,1,1,20210101,
K0108,HCPCS,W/C COMPONENT-ACCESSORY NOS,,,28,,NW,,,,,,$227.56,$0.00,1,1,1,1,1,1,20210101,
K0195,HCPCS,ELEVATING WHLCHAIR LEG RESTS,,,28,,NW,,,,,,$287.79,$0.00,1,1,1,1,1,1,20210101,
K0195,HCPCS,ELEVATING WHLCHAIR LEG RESTS,RR,,28,,NW,,,,,,$37.46,$0.00,1,1,1,1,1,1,20210101,
K0455,HCPCS,PUMP UNINTERRUPTED INFUSION,,,28,,NW,,,,,,"$4,362.86",$0.00,1,1,1,1,1,1,20210101,
K0455,HCPCS,PUMP UNINTERRUPTED INFUSION,RR,,28,,NW,,,,,,$567.39,$0.00,1,1,1,1,1,1,20210101,
K0462,HCPCS,TEMPORARY REPLACEMENT EQPMNT,,,28,,NW,,,,,,$588.31,$0.00,1,1,1,1,1,1,20210101,
K0552,HCPCS,SUP/EXT NON-INS INF PUMP SYR,,,28,,NW,,,,,,$18.65,$0.00,1,1,1,1,1,1,20210101,
K0553,HCPCS,THER CGM SUPPLY ALLOWANCE',,,28,,NW,,,,,,$460.20,$0.00,1,1,1,1,1,1,20210101,
K0553,HCPCS,THER CGM SUPPLY ALLOWANCE,KF,,28,,NW,,,,,,$464.90,$0.00,1,1,1,1,1,1,20210101,
K0554,HCPCS,THER CGM RECEIVER/MONITOR',,,28,,NW,,,,,,$483.88,$0.00,1,1,1,1,1,1,20210101,
K0554,HCPCS,THER CGM RECEIVER/MONITOR,NU,,28,,NW,,,,,,$483.88,$0.00,1,1,1,1,1,1,20210101,
K0554,HCPCS,THER CGM RECEIVER/MONITOR,RR,,28,,NW,,,,,,$105.03,$0.00,1,1,1,1,1,1,20210101,
K0554,HCPCS,THER CGM RECEIVER/MONITOR,UE,,28,,NW,,,,,,$378.65,$0.00,1,1,1,1,1,1,20210101,
K0601,HCPCS,REPL BATT SILVER OXIDE 1.5 V,,,28,,NW,,,,,,$6.15,$0.00,1,1,1,1,1,1,20210101,
K0601,HCPCS,REPL BATT SILVER OXIDE 1.5 V,NU,,28,,NW,,,,,,$6.15,$0.00,1,1,1,1,1,1,20210101,
K0602,HCPCS,REPL BATT SILVER OXIDE 3 V,,,28,,NW,,,,,,$34.08,$0.00,1,1,1,1,1,1,20210101,
K0602,HCPCS,REPL BATT SILVER OXIDE 3 V,NU,,28,,NW,,,,,,$34.08,$0.00,1,1,1,1,1,1,20210101,
K0603,HCPCS,REPL BATT ALKALINE 1.5 V,,,28,,NW,,,,,,$3.10,$0.00,1,1,1,1,1,1,20210101,
K0603,HCPCS,REPL BATT ALKALINE 1.5 V,NU,,28,,NW,,,,,,$3.10,$0.00,1,1,1,1,1,1,20210101,
K0604,HCPCS,REPL BATT LITHIUM 3.6 V,,,28,,NW,,,,,,$33.26,$0.00,1,1,1,1,1,1,20210101,
K0604,HCPCS,REPL BATT LITHIUM 3.6 V,NU,,28,,NW,,,,,,$33.26,$0.00,1,1,1,1,1,1,20210101,
K0605,HCPCS,REPL BATT LITHIUM 4.5 V,,,28,,NW,,,,,,$81.56,$0.00,1,1,1,1,1,1,20210101,
K0605,HCPCS,REPL BATT LITHIUM 4.5 V,NU,,28,,NW,,,,,,$81.56,$0.00,1,1,1,1,1,1,20210101,
K0606,HCPCS,AED GARMENT W ELEC ANALYSIS,,,28,,NW,,,,,,"$38,962.35",$0.00,1,1,1,1,1,1,20210101,
K0606,HCPCS,AED GARMENT W ELEC ANALYSIS,RR,,28,,NW,,,,,,"$5,065.30",$0.00,1,1,1,1,1,1,20210101,
K0607,HCPCS,REPL BATT FOR AED,,,28,,NW,,,,,,$779.60,$0.00,1,1,1,1,1,1,20210101,
K0607,HCPCS,REPL BATT FOR AED,RR,,28,,NW,,,,,,$101.54,$0.00,1,1,1,1,1,1,20210101,
K0608,HCPCS,REPL GARMENT FOR AED,,,28,,NW,,,,,,$303.84,$0.00,1,1,1,1,1,1,20210101,
K0608,HCPCS,REPL GARMENT FOR AED,NU,,28,,NW,,,,,,$303.84,$0.00,1,1,1,1,1,1,20210101,
K0608,HCPCS,REPL GARMENT FOR AED,RR,,28,,NW,,,,,,$86.33,$0.00,1,1,1,1,1,1,20210101,
K0608,HCPCS,REPL GARMENT FOR AED,UE,,28,,NW,,,,,,$243.60,$0.00,1,1,1,1,1,1,20210101,
K0609,HCPCS,REPL ELECTRODE FOR AED,,,28,,NW,,,,,,"$1,665.13",$0.00,1,1,1,1,1,1,20210101,
K0609,HCPCS,REPL ELECTRODE FOR AED,KF,,28,,NW,,,,,,"$1,665.13",$0.00,1,1,1,1,1,1,20210101,
K0669,HCPCS,SEAT/BACK CUS NO DMEPDAC VER,,,28,,NW,,,,,,$983.61,$0.00,1,1,1,1,1,1,20210101,
K0672,HCPCS,REMOVABLE SOFT INTERFACE LE,,,28,,NW,,,,,,$207.22,$0.00,1,1,1,1,1,1,20210101,
K0730,HCPCS,CTRL DOSE INH DRUG DELIV SYS,,,28,,NW,,,,,,"$3,116.78",$0.00,1,1,1,1,1,1,20210101,
K0730,HCPCS,CTRL DOSE INH DRUG DELIV SYS,RR,,28,,NW,,,,,,$405.38,$0.00,1,1,1,1,1,1,20210101,
K0733,HCPCS,12-24HR SEALED LEAD ACID,,,28,,NW,,,,,,$104.17,$0.00,1,1,1,1,1,1,20210101,
K0733,HCPCS,12-24HR SEALED LEAD ACID,NU,,28,,NW,,,,,,$104.17,$0.00,1,1,1,1,1,1,20210101,
K0733,HCPCS,12-24HR SEALED LEAD ACID,RR,,28,,NW,,,,,,$7.80,$0.00,1,1,1,1,1,1,20210101,
K0733,HCPCS,12-24HR SEALED LEAD ACID,UE,,28,,NW,,,,,,$76.83,$0.00,1,1,1,1,1,1,20210101,
K0738,HCPCS,PORTABLE GAS OXYGEN SYSTEM,,,28,,NW,,,,,,"$1,510.41",$0.00,1,1,1,1,1,1,20210101,
K0738,HCPCS,PORTABLE GAS OXYGEN SYSTEM,RR,,28,,NW,,,,,,$194.29,$0.00,1,1,1,1,1,1,20210101,
K0739,HCPCS,REPAIR/SVC DME NON-OXYGEN EQ,,,28,,NW,,,,,,$60.34,$0.00,1,1,1,1,1,1,20210101,
K0740,HCPCS,REPAIR/SVC OXYGEN EQUIPMENT,,,28,,NW,,,,,,$91.82,$0.00,1,1,1,1,1,1,20210101,
K0743,HCPCS,PORTABLE HOME SUCTION PUMP,,,28,,NW,,,,,,$158.29,$0.00,1,1,1,1,1,1,20210101,
K0744,HCPCS,ABSORP DRG <= 16 SUC PUMP,,,28,,NW,,,,,,$5.17,$0.00,1,1,1,1,1,1,20210101,
K0745,HCPCS,ABSORP DRG >16<=48 SUC PUMP,,,28,,NW,,,,,,$6.80,$0.00,1,1,1,1,1,1,20210101,
K0746,HCPCS,ABSORP DRG >48 SUC PUMP,,,28,,NW,,,,,,$16.81,$0.00,1,1,1,1,1,1,20210101,
K0800,HCPCS,POV GROUP 1 STD UP TO 300LBS,,,28,,NW,,,,,,"$1,833.22",$0.00,1,1,1,1,1,1,20210101,
K0800,HCPCS,POV GROUP 1 STD UP TO 300LBS,NU,,28,,NW,,,,,,"$1,833.22",$0.00,1,1,1,1,1,1,20210101,
K0800,HCPCS,POV GROUP 1 STD UP TO 300LBS,RR,,28,,NW,,,,,,$231.83,$0.00,1,1,1,1,1,1,20210101,
K0800,HCPCS,POV GROUP 1 STD UP TO 300LBS,UE,,28,,NW,,,,,,"$1,388.40",$0.00,1,1,1,1,1,1,20210101,
K0801,HCPCS,POV GROUP 1 HD 301-450 LBS,,,28,,NW,,,,,,"$3,193.63",$0.00,1,1,1,1,1,1,20210101,
K0801,HCPCS,POV GROUP 1 HD 301-450 LBS,NU,,28,,NW,,,,,,"$3,193.63",$0.00,1,1,1,1,1,1,20210101,
K0801,HCPCS,POV GROUP 1 HD 301-450 LBS,RR,,28,,NW,,,,,,$367.85,$0.00,1,1,1,1,1,1,20210101,
K0801,HCPCS,POV GROUP 1 HD 301-450 LBS,UE,,28,,NW,,,,,,"$2,408.70",$0.00,1,1,1,1,1,1,20210101,
K0802,HCPCS,POV GROUP 1 VHD 451-600 LBS,,,28,,NW,,,,,,"$4,106.47",$0.00,1,1,1,1,1,1,20210101,
K0802,HCPCS,POV GROUP 1 VHD 451-600 LBS,NU,,28,,NW,,,,,,"$4,106.47",$0.00,1,1,1,1,1,1,20210101,
K0802,HCPCS,POV GROUP 1 VHD 451-600 LBS,RR,,28,,NW,,,,,,$459.15,$0.00,1,1,1,1,1,1,20210101,
K0802,HCPCS,POV GROUP 1 VHD 451-600 LBS,UE,,28,,NW,,,,,,"$3,093.34",$0.00,1,1,1,1,1,1,20210101,
K0806,HCPCS,POV GROUP 2 STD UP TO 300LBS,,,28,,NW,,,,,,"$2,809.66",$0.00,1,1,1,1,1,1,20210101,
K0806,HCPCS,POV GROUP 2 STD UP TO 300LBS,NU,,28,,NW,,,,,,"$2,809.66",$0.00,1,1,1,1,1,1,20210101,
K0806,HCPCS,POV GROUP 2 STD UP TO 300LBS,RR,,28,,NW,,,,,,$329.46,$0.00,1,1,1,1,1,1,20210101,
K0806,HCPCS,POV GROUP 2 STD UP TO 300LBS,UE,,28,,NW,,,,,,"$2,120.72",$0.00,1,1,1,1,1,1,20210101,
K0807,HCPCS,POV GROUP 2 HD 301-450 LBS,,,28,,NW,,,,,,"$4,308.20",$0.00,1,1,1,1,1,1,20210101,
K0807,HCPCS,POV GROUP 2 HD 301-450 LBS,NU,,28,,NW,,,,,,"$4,308.20",$0.00,1,1,1,1,1,1,20210101,
K0807,HCPCS,POV GROUP 2 HD 301-450 LBS,RR,,28,,NW,,,,,,$479.32,$0.00,1,1,1,1,1,1,20210101,
K0807,HCPCS,POV GROUP 2 HD 301-450 LBS,UE,,28,,NW,,,,,,"$3,244.63",$0.00,1,1,1,1,1,1,20210101,
K0808,HCPCS,POV GROUP 2 VHD 451-600 LBS,,,28,,NW,,,,,,"$6,631.40",$0.00,1,1,1,1,1,1,20210101,
K0808,HCPCS,POV GROUP 2 VHD 451-600 LBS,NU,,28,,NW,,,,,,"$6,631.40",$0.00,1,1,1,1,1,1,20210101,
K0808,HCPCS,POV GROUP 2 VHD 451-600 LBS,RR,,28,,NW,,,,,,$711.64,$0.00,1,1,1,1,1,1,20210101,
K0808,HCPCS,POV GROUP 2 VHD 451-600 LBS,UE,,28,,NW,,,,,,"$4,987.02",$0.00,1,1,1,1,1,1,20210101,
K0812,HCPCS,POWER OPERATED VEHICLE NOC,,,28,,NW,,,,,,"$5,283.65",$0.00,1,1,1,1,1,1,20210101,
K0813,HCPCS,PWC GP 1 STD PORT SEAT/BACK,,,28,,NW,,,,,,"$4,588.53",$0.00,1,1,1,1,1,1,20210101,
K0813,HCPCS,PWC GP 1 STD PORT SEAT/BACK,RR,,28,,NW,,,,,,$596.46,$0.00,1,1,1,1,1,1,20210101,
K0814,HCPCS,PWC GP 1 STD PORT CAP CHAIR,,,28,,NW,,,,,,"$4,962.77",$0.00,1,1,1,1,1,1,20210101,
K0814,HCPCS,PWC GP 1 STD PORT CAP CHAIR,RR,,28,,NW,,,,,,$644.42,$0.00,1,1,1,1,1,1,20210101,
K0815,HCPCS,PWC GP 1 STD SEAT/BACK,,,28,,NW,,,,,,"$5,471.16",$0.00,1,1,1,1,1,1,20210101,
K0815,HCPCS,PWC GP 1 STD SEAT/BACK,RR,,28,,NW,,,,,,$710.28,$0.00,1,1,1,1,1,1,20210101,
K0816,HCPCS,PWC GP 1 STD CAP CHAIR,,,28,,NW,,,,,,"$5,174.04",$0.00,1,1,1,1,1,1,20210101,
K0816,HCPCS,PWC GP 1 STD CAP CHAIR,RR,,28,,NW,,,,,,$671.64,$0.00,1,1,1,1,1,1,20210101,
K0820,HCPCS,PWC GP 2 STD PORT SEAT/BACK,,,28,,NW,,,,,,"$4,737.05",$0.00,1,1,1,1,1,1,20210101,
K0820,HCPCS,PWC GP 2 STD PORT SEAT/BACK,RR,,28,,NW,,,,,,$615.65,$0.00,1,1,1,1,1,1,20210101,
K0821,HCPCS,PWC GP 2 STD PORT CAP CHAIR,,,28,,NW,,,,,,"$5,158.68",$0.00,1,1,1,1,1,1,20210101,
K0821,HCPCS,PWC GP 2 STD PORT CAP CHAIR,RR,,28,,NW,,,,,,$669.72,$0.00,1,1,1,1,1,1,20210101,
K0822,HCPCS,PWC GP 2 STD SEAT/BACK,,,28,,NW,,,,,,"$5,673.87",$0.00,1,1,1,1,1,1,20210101,
K0822,HCPCS,PWC GP 2 STD SEAT/BACK,RR,,28,,NW,,,,,,$736.09,$0.00,1,1,1,1,1,1,20210101,
K0823,HCPCS,PWC GP 2 STD CAP CHAIR,,,28,,NW,,,,,,"$5,452.77",$0.00,1,1,1,1,1,1,20210101,
K0823,HCPCS,PWC GP 2 STD CAP CHAIR,RR,,28,,NW,,,,,,$707.14,$0.00,1,1,1,1,1,1,20210101,
K0824,HCPCS,PWC GP 2 HD SEAT/BACK,,,28,,NW,,,,,,"$7,632.21",$0.00,1,1,1,1,1,1,20210101,
K0824,HCPCS,PWC GP 2 HD SEAT/BACK,RR,,28,,NW,,,,,,$990.95,$0.00,1,1,1,1,1,1,20210101,
K0825,HCPCS,PWC GP 2 HD CAP CHAIR,,,28,,NW,,,,,,"$7,086.54",$0.00,1,1,1,1,1,1,20210101,
K0825,HCPCS,PWC GP 2 HD CAP CHAIR,RR,,28,,NW,,,,,,$920.19,$0.00,1,1,1,1,1,1,20210101,
K0826,HCPCS,PWC GP 2 VHD SEAT/BACK,,,28,,NW,,,,,,"$11,826.87",$0.00,1,1,1,1,1,1,20210101,
K0826,HCPCS,PWC GP 2 VHD SEAT/BACK,RR,,28,,NW,,,,,,"$1,537.41",$0.00,1,1,1,1,1,1,20210101,
K0827,HCPCS,PWC GP VHD CAP CHAIR,,,28,,NW,,,,,,"$10,338.89",$0.00,1,1,1,1,1,1,20210101,
K0827,HCPCS,PWC GP VHD CAP CHAIR,RR,,28,,NW,,,,,,"$1,344.18",$0.00,1,1,1,1,1,1,20210101,
K0828,HCPCS,PWC GP 2 XTRA HD SEAT/BACK,,,28,,NW,,,,,,"$14,141.60",$0.00,1,1,1,1,1,1,20210101,
K0828,HCPCS,PWC GP 2 XTRA HD SEAT/BACK,RR,,28,,NW,,,,,,"$1,839.14",$0.00,1,1,1,1,1,1,20210101,
K0829,HCPCS,PWC GP 2 XTRA HD CAP CHAIR,,,28,,NW,,,,,,"$13,564.52",$0.00,1,1,1,1,1,1,20210101,
K0829,HCPCS,PWC GP 2 XTRA HD CAP CHAIR,RR,,28,,NW,,,,,,"$1,764.45",$0.00,1,1,1,1,1,1,20210101,
K0830,HCPCS,PWC GP2 STD SEAT ELEVATE S/B,,,28,,NW,,,,,,$502.92,$0.00,1,1,1,1,1,1,20210101,
K0831,HCPCS,PWC GP2 STD SEAT ELEVATE CAP,,,28,,NW,,,,,,"$1,057.98",$0.00,1,1,1,1,1,1,20210101,
K0835,HCPCS,PWC GP2 STD SING POW OPT S/B,,,28,,NW,,,,,,"$6,388.82",$0.00,1,1,1,1,1,1,20210101,
K0835,HCPCS,PWC GP2 STD SING POW OPT S/B,RR,,28,,NW,,,,,,$829.19,$0.00,1,1,1,1,1,1,20210101,
K0836,HCPCS,PWC GP2 STD SING POW OPT CAP,,,28,,NW,,,,,,"$6,610.91",$0.00,1,1,1,1,1,1,20210101,
K0836,HCPCS,PWC GP2 STD SING POW OPT CAP,RR,,28,,NW,,,,,,$858.00,$0.00,1,1,1,1,1,1,20210101,
K0837,HCPCS,PWC GP 2 HD SING POW OPT S/B,,,28,,NW,,,,,,"$7,938.92",$0.00,1,1,1,1,1,1,20210101,
K0837,HCPCS,PWC GP 2 HD SING POW OPT S/B,RR,,28,,NW,,,,,,"$1,030.68",$0.00,1,1,1,1,1,1,20210101,
K0838,HCPCS,PWC GP 2 HD SING POW OPT CAP,,,28,,NW,,,,,,"$7,098.78",$0.00,1,1,1,1,1,1,20210101,
K0838,HCPCS,PWC GP 2 HD SING POW OPT CAP,RR,,28,,NW,,,,,,$921.60,$0.00,1,1,1,1,1,1,20210101,
K0839,HCPCS,PWC GP2 VHD SING POW OPT S/B,,,28,,NW,,,,,,"$10,347.40",$0.00,1,1,1,1,1,1,20210101,
K0839,HCPCS,PWC GP2 VHD SING POW OPT S/B,RR,,28,,NW,,,,,,"$1,343.43",$0.00,1,1,1,1,1,1,20210101,
K0840,HCPCS,PWC GP2 XHD SING POW OPT S/B,,,28,,NW,,,,,,"$15,616.70",$0.00,1,1,1,1,1,1,20210101,
K0840,HCPCS,PWC GP2 XHD SING POW OPT S/B,RR,,28,,NW,,,,,,"$2,027.54",$0.00,1,1,1,1,1,1,20210101,
K0841,HCPCS,PWC GP2 STD MULT POW OPT S/B,,,28,,NW,,,,,,"$7,049.77",$0.00,1,1,1,1,1,1,20210101,
K0841,HCPCS,PWC GP2 STD MULT POW OPT S/B,RR,,28,,NW,,,,,,$915.21,$0.00,1,1,1,1,1,1,20210101,
K0842,HCPCS,PWC GP2 STD MULT POW OPT CAP,,,28,,NW,,,,,,"$7,042.63",$0.00,1,1,1,1,1,1,20210101,
K0842,HCPCS,PWC GP2 STD MULT POW OPT CAP,RR,,28,,NW,,,,,,$914.28,$0.00,1,1,1,1,1,1,20210101,
K0843,HCPCS,PWC GP2 HD MULT POW OPT S/B,,,28,,NW,,,,,,"$8,311.28",$0.00,1,1,1,1,1,1,20210101,
K0843,HCPCS,PWC GP2 HD MULT POW OPT S/B,RR,,28,,NW,,,,,,"$1,078.83",$0.00,1,1,1,1,1,1,20210101,
K0848,HCPCS,PWC GP 3 STD SEAT/BACK,,,28,,NW,,,,,,"$12,344.21",$0.00,1,1,1,1,1,1,20210101,
K0848,HCPCS,PWC GP 3 STD SEAT/BACK,RR,,28,,NW,,,,,,"$1,606.25",$0.00,1,1,1,1,1,1,20210101,
K0849,HCPCS,PWC GP 3 STD CAP CHAIR,,,28,,NW,,,,,,"$11,883.93",$0.00,1,1,1,1,1,1,20210101,
K0849,HCPCS,PWC GP 3 STD CAP CHAIR,RR,,28,,NW,,,,,,"$1,546.36",$0.00,1,1,1,1,1,1,20210101,
K0850,HCPCS,PWC GP 3 HD SEAT/BACK,,,28,,NW,,,,,,"$14,252.56",$0.00,1,1,1,1,1,1,20210101,
K0850,HCPCS,PWC GP 3 HD SEAT/BACK,RR,,28,,NW,,,,,,"$1,854.53",$0.00,1,1,1,1,1,1,20210101,
K0851,HCPCS,PWC GP 3 HD CAP CHAIR,,,28,,NW,,,,,,"$13,719.89",$0.00,1,1,1,1,1,1,20210101,
K0851,HCPCS,PWC GP 3 HD CAP CHAIR,RR,,28,,NW,,,,,,"$1,785.23",$0.00,1,1,1,1,1,1,20210101,
K0852,HCPCS,PWC GP 3 VHD SEAT/BACK,,,28,,NW,,,,,,"$16,403.88",$0.00,1,1,1,1,1,1,20210101,
K0852,HCPCS,PWC GP 3 VHD SEAT/BACK,RR,,28,,NW,,,,,,"$2,134.42",$0.00,1,1,1,1,1,1,20210101,
K0853,HCPCS,PWC GP 3 VHD CAP CHAIR,,,28,,NW,,,,,,"$16,839.80",$0.00,1,1,1,1,1,1,20210101,
K0853,HCPCS,PWC GP 3 VHD CAP CHAIR,RR,,28,,NW,,,,,,"$2,191.14",$0.00,1,1,1,1,1,1,20210101,
K0854,HCPCS,PWC GP 3 XHD SEAT/BACK,,,28,,NW,,,,,,"$22,175.01",$0.00,1,1,1,1,1,1,20210101,
K0854,HCPCS,PWC GP 3 XHD SEAT/BACK,RR,,28,,NW,,,,,,"$2,885.27",$0.00,1,1,1,1,1,1,20210101,
K0855,HCPCS,PWC GP 3 XHD CAP CHAIR,,,28,,NW,,,,,,"$20,970.42",$0.00,1,1,1,1,1,1,20210101,
K0855,HCPCS,PWC GP 3 XHD CAP CHAIR,RR,,28,,NW,,,,,,"$2,728.55",$0.00,1,1,1,1,1,1,20210101,
K0856,HCPCS,PWC GP3 STD SING POW OPT S/B,,,28,,NW,,,,,,"$13,219.61",$0.00,1,1,1,1,1,1,20210101,
K0856,HCPCS,PWC GP3 STD SING POW OPT S/B,RR,,28,,NW,,,,,,"$1,720.14",$0.00,1,1,1,1,1,1,20210101,
K0857,HCPCS,PWC GP3 STD SING POW OPT CAP,,,28,,NW,,,,,,"$13,476.39",$0.00,1,1,1,1,1,1,20210101,
K0857,HCPCS,PWC GP3 STD SING POW OPT CAP,RR,,28,,NW,,,,,,"$1,753.55",$0.00,1,1,1,1,1,1,20210101,
K0858,HCPCS,PWC GP3 HD SING POW OPT S/B,,,28,,NW,,,,,,"$16,302.56",$0.00,1,1,1,1,1,1,20210101,
K0858,HCPCS,PWC GP3 HD SING POW OPT S/B,RR,,28,,NW,,,,,,"$2,121.24",$0.00,1,1,1,1,1,1,20210101,
K0859,HCPCS,PWC GP3 HD SING POW OPT CAP,,,28,,NW,,,,,,"$15,566.70",$0.00,1,1,1,1,1,1,20210101,
K0859,HCPCS,PWC GP3 HD SING POW OPT CAP,RR,,28,,NW,,,,,,"$2,025.50",$0.00,1,1,1,1,1,1,20210101,
K0860,HCPCS,PWC GP3 VHD SING POW OPT S/B,,,28,,NW,,,,,,"$23,113.49",$0.00,1,1,1,1,1,1,20210101,
K0860,HCPCS,PWC GP3 VHD SING POW OPT S/B,RR,,28,,NW,,,,,,"$3,007.37",$0.00,1,1,1,1,1,1,20210101,
K0861,HCPCS,PWC GP3 STD MULT POW OPT S/B,,,28,,NW,,,,,,"$13,240.08",$0.00,1,1,1,1,1,1,20210101,
K0861,HCPCS,PWC GP3 STD MULT POW OPT S/B,RR,,28,,NW,,,,,,"$1,722.80",$0.00,1,1,1,1,1,1,20210101,
K0862,HCPCS,PWC GP3 HD MULT POW OPT S/B,,,28,,NW,,,,,,"$16,302.56",$0.00,1,1,1,1,1,1,20210101,
K0862,HCPCS,PWC GP3 HD MULT POW OPT S/B,RR,,28,,NW,,,,,,"$2,121.24",$0.00,1,1,1,1,1,1,20210101,
K0863,HCPCS,PWC GP3 VHD MULT POW OPT S/B,,,28,,NW,,,,,,"$23,113.49",$0.00,1,1,1,1,1,1,20210101,
K0863,HCPCS,PWC GP3 VHD MULT POW OPT S/B,RR,,28,,NW,,,,,,"$3,007.37",$0.00,1,1,1,1,1,1,20210101,
K0864,HCPCS,PWC GP3 XHD MULT POW OPT S/B,,,28,,NW,,,,,,"$27,426.74",$0.00,1,1,1,1,1,1,20210101,
K0864,HCPCS,PWC GP3 XHD MULT POW OPT S/B,RR,,28,,NW,,,,,,"$3,568.54",$0.00,1,1,1,1,1,1,20210101,
K0868,HCPCS,PWC GP 4 STD SEAT/BACK,,,28,,NW,,,,,,$880.56,$0.00,1,1,1,1,1,1,20210101,
K0869,HCPCS,PWC GP 4 STD CAP CHAIR,,,28,,NW,,,,,,"$2,790.83",$0.00,1,1,1,1,1,1,20210101,
K0870,HCPCS,PWC GP 4 HD SEAT/BACK,,,28,,NW,,,,,,"$1,891.32",$0.00,1,1,1,1,1,1,20210101,
K0871,HCPCS,PWC GP 4 VHD SEAT/BACK,,,28,,NW,,,,,,"$7,637.98",$0.00,1,1,1,1,1,1,20210101,
K0877,HCPCS,PWC GP4 STD SING POW OPT S/B,,,28,,NW,,,,,,"$1,154.08",$0.00,1,1,1,1,1,1,20210101,
K0878,HCPCS,PWC GP4 STD SING POW OPT CAP,,,28,,NW,,,,,,"$2,011.81",$0.00,1,1,1,1,1,1,20210101,
K0879,HCPCS,PWC GP4 HD SING POW OPT S/B,,,28,,NW,,,,,,"$2,433.41",$0.00,1,1,1,1,1,1,20210101,
K0880,HCPCS,PWC GP4 VHD SING POW OPT S/B,,,28,,NW,,,,,,"$2,604.39",$0.00,1,1,1,1,1,1,20210101,
K0884,HCPCS,PWC GP4 STD MULT POW OPT S/B,,,28,,NW,,,,,,"$2,061.35",$0.00,1,1,1,1,1,1,20210101,
K0885,HCPCS,PWC GP4 STD MULT POW OPT CAP,,,28,,NW,,,,,,"$3,716.76",$0.00,1,1,1,1,1,1,20210101,
K0886,HCPCS,PWC GP4 HD MULT POW S/B,,,28,,NW,,,,,,"$3,112.25",$0.00,1,1,1,1,1,1,20210101,
K0890,HCPCS,PWC GP5 PED SING POW OPT S/B,,,28,,NW,,,,,,"$2,377.26",$0.00,1,1,1,1,1,1,20210101,
K0891,HCPCS,PWC GP5 PED MULT POW OPT S/B,,,28,,NW,,,,,,"$1,506.43",$0.00,1,1,1,1,1,1,20210101,
K0898,HCPCS,POWER WHEELCHAIR NOC,,,28,,NW,,,,,,"$5,307.44",$0.00,1,1,1,1,1,1,20210101,
K0899,HCPCS,POW MOBIL DEV NO DMEPDAC,,,28,,NW,,,,,,"$2,204.68",$0.00,1,1,1,1,1,1,20210101,
L0112,HCPCS,CRANIAL CERVICAL ORTHOSIS,,,28,,NW,,,,,,"$2,108.63",$0.00,1,1,1,1,1,1,20210101,
L0113,HCPCS,CRANIAL CERVICAL TORTICOLLIS,,,28,,NW,,,,,,$416.96,$0.00,1,1,1,1,1,1,20210101,
L0120,HCPCS,CERV FLEX N/ADJ FOAM PRE OTS,,,28,,NW,,,,,,$26.57,$0.00,1,1,1,1,1,1,20210101,
L0130,HCPCS,FLEX THERMOPLASTIC COLLAR MO,,,28,,NW,,,,,,$252.86,$0.00,1,1,1,1,1,1,20210101,
L0140,HCPCS,CERVICAL SEMI-RIGID ADJUSTAB,,,28,,NW,,,,,,$83.17,$0.00,1,1,1,1,1,1,20210101,
L0150,HCPCS,CERV SEMI-RIG ADJ MOLDED CHN,,,28,,NW,,,,,,$159.83,$0.00,1,1,1,1,1,1,20210101,
L0160,HCPCS,CERV SR WIRE OCC/MAN PRE OTS,,,28,,NW,,,,,,$235.65,$0.00,1,1,1,1,1,1,20210101,
L0170,HCPCS,CERVICAL COLLAR MOLDED TO PT,,,28,,NW,,,,,,"$1,060.79",$0.00,1,1,1,1,1,1,20210101,
L0172,HCPCS,CERV COL SR FOAM 2PC PRE OTS,,,28,,NW,,,,,,$193.16,$0.00,1,1,1,1,1,1,20210101,
L0174,HCPCS,CERV SR 2PC THOR EXT PRE OTS,,,28,,NW,,,,,,$412.20,$0.00,1,1,1,1,1,1,20210101,
L0180,HCPCS,CER POST COL OCC/MAN SUP ADJ,,,28,,NW,,,,,,$587.94,$0.00,1,1,1,1,1,1,20210101,
L0190,HCPCS,CERV COLLAR SUPP ADJ CERV BA,,,28,,NW,,,,,,$794.14,$0.00,1,1,1,1,1,1,20210101,
L0200,HCPCS,CERV COL SUPP ADJ BAR & THOR,,,28,,NW,,,,,,$829.39,$0.00,1,1,1,1,1,1,20210101,
L0220,HCPCS,THOR RIB BELT CUSTOM FABRICA,,,28,,NW,,,,,,$177.78,$0.00,1,1,1,1,1,1,20210101,
L0450,HCPCS,TLSO FLEX TRUNK/THOR PRE OTS,,,28,,NW,,,,,,$266.35,$0.00,1,1,1,1,1,1,20210101,
L0452,HCPCS,TLSO FLEX CUSTOM FAB THORACI,,,28,,NW,,,,,,$389.71,$0.00,1,1,1,1,1,1,20210101,
L0454,HCPCS,TLSO TRNK SJ-T9 PRE CST,,,28,,NW,,,,,,$509.90,$0.00,1,1,1,1,1,1,20210101,
L0455,HCPCS,TLSO FLEX TRNK SJ-T9 PRE OTS,,,28,,NW,,,,,,$509.90,$0.00,1,1,1,1,1,1,20210101,
L0456,HCPCS,TLSO FLEX TRNK SJ-SS PRE CST,,,28,,NW,,,,,,"$1,493.56",$0.00,1,1,1,1,1,1,20210101,
L0457,HCPCS,TLSO FLEX TRNK SJ-SS PRE OTS,,,28,,NW,,,,,,"$1,493.56",$0.00,1,1,1,1,1,1,20210101,
L0458,HCPCS,TLSO 2MOD SYMPHIS-XIPHO PRE,,,28,,NW,,,,,,"$1,337.54",$0.00,1,1,1,1,1,1,20210101,
L0460,HCPCS,TLSO 2 SHL SYMPHYS-STERN CST,,,28,,NW,,,,,,"$1,507.62",$0.00,1,1,1,1,1,1,20210101,
L0462,HCPCS,TLSO 3MOD SACRO-SCAP PRE,,,28,,NW,,,,,,"$1,879.30",$0.00,1,1,1,1,1,1,20210101,
L0464,HCPCS,TLSO 4MOD SACRO-SCAP PRE,,,28,,NW,,,,,,"$2,240.47",$0.00,1,1,1,1,1,1,20210101,
L0466,HCPCS,TLSO R FRAM SOFT ANT PRE CST,,,28,,NW,,,,,,$583.96,$0.00,1,1,1,1,1,1,20210101,
L0467,HCPCS,TLSO R FRAM SOFT PRE OTS,,,28,,NW,,,,,,$583.96,$0.00,1,1,1,1,1,1,20210101,
L0468,HCPCS,TLSO RIG FRAM PELVIC PRE CST,,,28,,NW,,,,,,$729.76,$0.00,1,1,1,1,1,1,20210101,
L0469,HCPCS,TLSO RIG FRAM PELVIC PRE OTS,,,28,,NW,,,,,,$729.76,$0.00,1,1,1,1,1,1,20210101,
L0470,HCPCS,TLSO RIGID FRAME PRE SUBCLAV,,,28,,NW,,,,,,"$1,017.61",$0.00,1,1,1,1,1,1,20210101,
L0472,HCPCS,TLSO RIGID FRAME HYPEREX PRE,,,28,,NW,,,,,,$646.73,$0.00,1,1,1,1,1,1,20210101,
L0480,HCPCS,TLSO RIGID PLASTIC CUSTOM FA,,,28,,NW,,,,,,"$2,240.91",$0.00,1,1,1,1,1,1,20210101,
L0482,HCPCS,TLSO RIGID LINED CUSTOM FAB,,,28,,NW,,,,,,"$2,467.86",$0.00,1,1,1,1,1,1,20210101,
L0484,HCPCS,TLSO RIGID PLASTIC CUST FAB,,,28,,NW,,,,,,"$2,748.26",$0.00,1,1,1,1,1,1,20210101,
L0486,HCPCS,TLSO RIGIDLINED CUST FAB TWO,,,28,,NW,,,,,,"$2,918.30",$0.00,1,1,1,1,1,1,20210101,
L0488,HCPCS,TLSO RIGID LINED PRE ONE PIE,,,28,,NW,,,,,,"$1,507.62",$0.00,1,1,1,1,1,1,20210101,
L0490,HCPCS,TLSO RIGID PLASTIC PRE ONE,,,28,,NW,,,,,,$412.95,$0.00,1,1,1,1,1,1,20210101,
L0491,HCPCS,TLSO 2 PIECE RIGID SHELL,,,28,,NW,,,,,,"$1,149.48",$0.00,1,1,1,1,1,1,20210101,
L0492,HCPCS,TLSO 3 PIECE RIGID SHELL,,,28,,NW,,,,,,$747.21,$0.00,1,1,1,1,1,1,20210101,
L0621,HCPCS,SIO FLEX PELVIC/SACR PRE OTS,,,28,,NW,,,,,,$130.34,$0.00,1,1,1,1,1,1,20210101,
L0622,HCPCS,SIO FLEX PELVISACRAL CUSTOM,,,28,,NW,,,,,,$397.78,$0.00,1,1,1,1,1,1,20210101,
L0623,HCPCS,SIO RIG PNL PELV/SAC PRE OTS,,,28,,NW,,,,,,$159.18,$0.00,1,1,1,1,1,1,20210101,
L0624,HCPCS,SIO PANEL CUSTOM,,,28,,NW,,,,,,$119.28,$0.00,1,1,1,1,1,1,20210101,
L0625,HCPCS,LO FLEX L1-BELOW L5 PRE OTS,,,28,,NW,,,,,,$66.91,$0.00,1,1,1,1,1,1,20210101,
L0626,HCPCS,LO SAG RIG PNL STAYS PRE CST,,,28,,NW,,,,,,$101.62,$0.00,1,1,1,1,1,1,20210101,
L0627,HCPCS,LO SAG RI AN/POS PNL PRE CST,,,28,,NW,,,,,,$607.50,$0.00,1,1,1,1,1,1,20210101,
L0628,HCPCS,LSO FLEX NO RI STAYS PRE OTS,,,28,,NW,,,,,,$110.63,$0.00,1,1,1,1,1,1,20210101,
L0629,HCPCS,LSO FLEX W/RIGID STAYS CUST,,,28,,NW,,,,,,$171.93,$0.00,1,1,1,1,1,1,20210101,
L0630,HCPCS,LSO R POST PNL SJ-T9 PRE CST,,,28,,NW,,,,,,$229.19,$0.00,1,1,1,1,1,1,20210101,
L0631,HCPCS,LSO SAG R AN/POS PNL PRE CST,,,28,,NW,,,,,,"$1,542.26",$0.00,1,1,1,1,1,1,20210101,
L0632,HCPCS,LSO SAG RIGID FRAME CUST,,,28,,NW,,,,,,"$2,471.26",$0.00,1,1,1,1,1,1,20210101,
L0633,HCPCS,LSO SC R POS/LAT PNL PRE CST,,,28,,NW,,,,,,$418.74,$0.00,1,1,1,1,1,1,20210101,
L0634,HCPCS,LSO FLEXION CONTROL CUSTOM,,,28,,NW,,,,,,$567.76,$0.00,1,1,1,1,1,1,20210101,
L0635,HCPCS,LSO SAGIT RIGID PANEL PREFAB,,,28,,NW,,,,,,"$1,552.32",$0.00,1,1,1,1,1,1,20210101,
L0636,HCPCS,LSO SAGITTAL RIGID PANEL CUS,,,28,,NW,,,,,,"$2,267.29",$0.00,1,1,1,1,1,1,20210101,
L0637,HCPCS,LSO SC R ANT/POS PNL PRE CST,,,28,,NW,,,,,,"$1,836.38",$0.00,1,1,1,1,1,1,20210101,
L0638,HCPCS,LSO SAG-CORONAL PANEL CUSTOM,,,28,,NW,,,,,,"$1,986.08",$0.00,1,1,1,1,1,1,20210101,
L0639,HCPCS,LSO S/C SHELL/PANEL PREFAB,,,28,,NW,,,,,,"$1,836.38",$0.00,1,1,1,1,1,1,20210101,
L0640,HCPCS,LSO S/C SHELL/PANEL CUSTOM,,,28,,NW,,,,,,"$1,572.26",$0.00,1,1,1,1,1,1,20210101,
L0641,HCPCS,LO RIG POS PNL L1-L5 PRE OTS,,,28,,NW,,,,,,$101.62,$0.00,1,1,1,1,1,1,20210101,
L0642,HCPCS,LO SAG RI AN/POS PNL PRE OTS,,,28,,NW,,,,,,$607.50,$0.00,1,1,1,1,1,1,20210101,
L0643,HCPCS,LSO SAG CTR RIGI POS PRE OTS,,,28,,NW,,,,,,$229.19,$0.00,1,1,1,1,1,1,20210101,
L0648,HCPCS,LSO SAG R AN/POS PNL PRE OTS,,,28,,NW,,,,,,"$1,542.26",$0.00,1,1,1,1,1,1,20210101,
L0649,HCPCS,LSO SC R POS/LAT PNL PRE OTS,,,28,,NW,,,,,,$418.74,$0.00,1,1,1,1,1,1,20210101,
L0650,HCPCS,LSO SC R ANT/POS PNL PRE OTS,,,28,,NW,,,,,,"$1,836.38",$0.00,1,1,1,1,1,1,20210101,
L0651,HCPCS,LSO SAG-CO SHELL PNL PRE OTS,,,28,,NW,,,,,,"$1,836.38",$0.00,1,1,1,1,1,1,20210101,
L0700,HCPCS,CTLSO A-P-L CONTROL MOLDED,,,28,,NW,,,,,,"$3,202.16",$0.00,1,1,1,1,1,1,20210101,
L0710,HCPCS,CTLSO A-P-L CONTROL W/ INTER,,,28,,NW,,,,,,"$3,391.40",$0.00,1,1,1,1,1,1,20210101,
L0810,HCPCS,HALO CERVICAL INTO JCKT VEST,,,28,,NW,,,,,,"$4,077.35",$0.00,1,1,1,1,1,1,20210101,
L0820,HCPCS,HALO CERVICAL INTO BODY JACK,,,28,,NW,,,,,,"$3,356.10",$0.00,1,1,1,1,1,1,20210101,
L0830,HCPCS,HALO CERV INTO MILWAUKEE TYP,,,28,,NW,,,,,,"$4,981.86",$0.00,1,1,1,1,1,1,20210101,
L0859,HCPCS,MRI COMPATIBLE SYSTEM,,,28,,NW,,,,,,"$1,840.05",$0.00,1,1,1,1,1,1,20210101,
L0861,HCPCS,HALO REPL LINER/INTERFACE,,,28,,NW,,,,,,$310.55,$0.00,1,1,1,1,1,1,20210101,
L0970,HCPCS,TLSO CORSET FRONT,,,28,,NW,,,,,,$165.30,$0.00,1,1,1,1,1,1,20210101,
L0972,HCPCS,LSO CORSET FRONT,,,28,,NW,,,,,,$151.84,$0.00,1,1,1,1,1,1,20210101,
L0974,HCPCS,TLSO FULL CORSET,,,28,,NW,,,,,,$278.30,$0.00,1,1,1,1,1,1,20210101,
L0976,HCPCS,LSO FULL CORSET,,,28,,NW,,,,,,$239.51,$0.00,1,1,1,1,1,1,20210101,
L0978,HCPCS,AXILLARY CRUTCH EXTENSION,,,28,,NW,,,,,,$286.13,$0.00,1,1,1,1,1,1,20210101,
L0980,HCPCS,PERONEAL STRAPS PAIR PRE OTS,,,28,,NW,,,,,,$16.84,$0.00,1,1,1,1,1,1,20210101,
L0982,HCPCS,STOCKING SUP GRIPS 4 PRE OTS,,,28,,NW,,,,,,$15.99,$0.00,1,1,1,1,1,1,20210101,
L0984,HCPCS,PROTECT BODY SOCK EA PRE OTS,,,28,,NW,,,,,,$78.11,$0.00,1,1,1,1,1,1,20210101,
L0999,HCPCS,ADD TO SPINAL ORTHOSIS NOS,,,28,,NW,,,,,,$163.28,$0.00,1,1,1,1,1,1,20210101,
L1000,HCPCS,CTLSO MILWAUKE INITIAL MODEL,,,28,,NW,,,,,,"$3,187.79",$0.00,1,1,1,1,1,1,20210101,
L1001,HCPCS,CTLSO INFANT IMMOBILIZER,,,28,,NW,,,,,,$72.33,$0.00,1,1,1,1,1,1,20210101,
L1005,HCPCS,TENSION BASED SCOLIOSIS ORTH,,,28,,NW,,,,,,"$4,843.59",$0.00,1,1,1,1,1,1,20210101,
L1010,HCPCS,CTLSO AXILLA SLING,,,28,,NW,,,,,,$93.94,$0.00,1,1,1,1,1,1,20210101,
L1020,HCPCS,KYPHOSIS PAD,,,28,,NW,,,,,,$132.52,$0.00,1,1,1,1,1,1,20210101,
L1025,HCPCS,KYPHOSIS PAD FLOATING,,,28,,NW,,,,,,$191.23,$0.00,1,1,1,1,1,1,20210101,
L1030,HCPCS,LUMBAR BOLSTER PAD,,,28,,NW,,,,,,$89.78,$0.00,1,1,1,1,1,1,20210101,
L1040,HCPCS,LUMBAR OR LUMBAR RIB PAD,,,28,,NW,,,,,,$115.51,$0.00,1,1,1,1,1,1,20210101,
L1050,HCPCS,STERNAL PAD,,,28,,NW,,,,,,$122.92,$0.00,1,1,1,1,1,1,20210101,
L1060,HCPCS,THORACIC PAD,,,28,,NW,,,,,,$139.25,$0.00,1,1,1,1,1,1,20210101,
L1070,HCPCS,TRAPEZIUS SLING,,,28,,NW,,,,,,$135.55,$0.00,1,1,1,1,1,1,20210101,
L1080,HCPCS,OUTRIGGER,,,28,,NW,,,,,,$72.22,$0.00,1,1,1,1,1,1,20210101,
L1085,HCPCS,OUTRIGGER BIL W/ VERT EXTENS,,,28,,NW,,,,,,$242.98,$0.00,1,1,1,1,1,1,20210101,
L1090,HCPCS,LUMBAR SLING,,,28,,NW,,,,,,$132.29,$0.00,1,1,1,1,1,1,20210101,
L1100,HCPCS,RING FLANGE PLASTIC/LEATHER,,,28,,NW,,,,,,$245.47,$0.00,1,1,1,1,1,1,20210101,
L1110,HCPCS,RING FLANGE PLAS/LEATHER MOL,,,28,,NW,,,,,,$403.53,$0.00,1,1,1,1,1,1,20210101,
L1120,HCPCS,COVERS FOR UPRIGHT EACH,,,28,,NW,,,,,,$46.98,$0.00,1,1,1,1,1,1,20210101,
L1200,HCPCS,FURNSH INITIAL ORTHOSIS ONLY,,,28,,NW,,,,,,"$2,597.85",$0.00,1,1,1,1,1,1,20210101,
L1210,HCPCS,LATERAL THORACIC EXTENSION,,,28,,NW,,,,,,$393.46,$0.00,1,1,1,1,1,1,20210101,
L1220,HCPCS,ANTERIOR THORACIC EXTENSION,,,28,,NW,,,,,,$348.51,$0.00,1,1,1,1,1,1,20210101,
L1230,HCPCS,MILWAUKEE TYPE SUPERSTRUCTUR,,,28,,NW,,,,,,$887.18,$0.00,1,1,1,1,1,1,20210101,
L1240,HCPCS,LUMBAR DEROTATION PAD,,,28,,NW,,,,,,$113.97,$0.00,1,1,1,1,1,1,20210101,
L1250,HCPCS,ANTERIOR ASIS PAD,,,28,,NW,,,,,,$103.63,$0.00,1,1,1,1,1,1,20210101,
L1260,HCPCS,ANTERIOR THORACIC DEROTATION,,,28,,NW,,,,,,$111.34,$0.00,1,1,1,1,1,1,20210101,
L1270,HCPCS,ABDOMINAL PAD,,,28,,NW,,,,,,$111.48,$0.00,1,1,1,1,1,1,20210101,
L1280,HCPCS,RIB GUSSET (ELASTIC) EACH,,,28,,NW,,,,,,$120.77,$0.00,1,1,1,1,1,1,20210101,
L1290,HCPCS,LATERAL TROCHANTERIC PAD,,,28,,NW,,,,,,$110.61,$0.00,1,1,1,1,1,1,20210101,
L1300,HCPCS,BODY JACKET MOLD TO PATIENT,,,28,,NW,,,,,,"$2,714.10",$0.00,1,1,1,1,1,1,20210101,
L1310,HCPCS,POST-OPERATIVE BODY JACKET,,,28,,NW,,,,,,"$2,743.54",$0.00,1,1,1,1,1,1,20210101,
L1499,HCPCS,SPINAL ORTHOSIS NOS,,,28,,NW,,,,,,"$3,035.69",$0.00,1,1,1,1,1,1,20210101,
L1600,HCPCS,HO FLEX FREJKA W/COV PRE CST,,,28,,NW,,,,,,$186.97,$0.00,1,1,1,1,1,1,20210101,
L1610,HCPCS,HO FREJKA COV ONLY PRE CST,,,28,,NW,,,,,,$56.06,$0.00,1,1,1,1,1,1,20210101,
L1620,HCPCS,HO FLEX PAVLIK HARNS PRE CST,,,28,,NW,,,,,,$201.22,$0.00,1,1,1,1,1,1,20210101,
L1630,HCPCS,ABDUCT CONTROL HIP SEMI-FLEX,,,28,,NW,,,,,,$248.97,$0.00,1,1,1,1,1,1,20210101,
L1640,HCPCS,PELV BAND/SPREAD BAR THIGH C,,,28,,NW,,,,,,$706.38,$0.00,1,1,1,1,1,1,20210101,
L1650,HCPCS,HO ABDUCTION HIP ADJUSTABLE,,,28,,NW,,,,,,$347.76,$0.00,1,1,1,1,1,1,20210101,
L1652,HCPCS,HO BI THIGHCUFFS W SPRDR BAR,,,28,,NW,,,,,,$524.57,$0.00,1,1,1,1,1,1,20210101,
L1660,HCPCS,HO ABDUCTION STATIC PLASTIC,,,28,,NW,,,,,,$246.29,$0.00,1,1,1,1,1,1,20210101,
L1680,HCPCS,PELVIC & HIP CONTROL THIGH C,,,28,,NW,,,,,,"$1,957.87",$0.00,1,1,1,1,1,1,20210101,
L1685,HCPCS,POST-OP HIP ABDUCT CUSTOM FA,,,28,,NW,,,,,,"$1,902.46",$0.00,1,1,1,1,1,1,20210101,
L1686,HCPCS,HO POST-OP HIP ABDUCTION,,,28,,NW,,,,,,"$1,489.91",$0.00,1,1,1,1,1,1,20210101,
L1690,HCPCS,COMBINATION BILATERAL HO,,,28,,NW,,,,,,"$2,920.64",$0.00,1,1,1,1,1,1,20210101,
L1700,HCPCS,LEG PERTHES ORTH TORONTO TYP,,,28,,NW,,,,,,"$2,454.10",$0.00,1,1,1,1,1,1,20210101,
L1710,HCPCS,LEGG PERTHES ORTH NEWINGTON,,,28,,NW,,,,,,"$2,949.87",$0.00,1,1,1,1,1,1,20210101,
L1720,HCPCS,LEGG PERTHES ORTHOSIS TRILAT,,,28,,NW,,,,,,"$2,158.38",$0.00,1,1,1,1,1,1,20210101,
L1730,HCPCS,LEGG PERTHES ORTH SCOTTISH R,,,28,,NW,,,,,,"$1,797.46",$0.00,1,1,1,1,1,1,20210101,
L1755,HCPCS,LEGG PERTHES PATTEN BOTTOM T,,,28,,NW,,,,,,"$2,534.66",$0.00,1,1,1,1,1,1,20210101,
L1810,HCPCS,KO ELASTIC WITH JOINTS,,,28,,NW,,,,,,$147.46,$0.00,1,1,1,1,1,1,20210101,
L1812,HCPCS,KO ELASTIC W/JOINTS PRE OTS,,,28,,NW,,,,,,$147.46,$0.00,1,1,1,1,1,1,20210101,
L1820,HCPCS,KO ELAS W/ CONDYLE PADS & JO,,,28,,NW,,,,,,$191.35,$0.00,1,1,1,1,1,1,20210101,
L1830,HCPCS,KO IMMOB CANVAS LONG PRE OTS,,,28,,NW,,,,,,$126.87,$0.00,1,1,1,1,1,1,20210101,
L1831,HCPCS,KNEE ORTH POS LOCKING JOINT,,,28,,NW,,,,,,$430.17,$0.00,1,1,1,1,1,1,20210101,
L1832,HCPCS,KO ADJ JNT POS R SUP PRE CST,,,28,,NW,,,,,,"$1,027.74",$0.00,1,1,1,1,1,1,20210101,
L1833,HCPCS,KO ADJ JNT POS R SUP PRE OTS,,,28,,NW,,,,,,"$1,027.74",$0.00,1,1,1,1,1,1,20210101,
L1834,HCPCS,KO W/0 JOINT RIGID MOLDED TO,,,28,,NW,,,,,,"$1,232.77",$0.00,1,1,1,1,1,1,20210101,
L1836,HCPCS,KO RIGID W/O JOINTS PRE OTS,,,28,,NW,,,,,,$185.86,$0.00,1,1,1,1,1,1,20210101,
L1840,HCPCS,KO DEROT ANT CRUCIATE CUSTOM,,,28,,NW,,,,,,"$1,492.39",$0.00,1,1,1,1,1,1,20210101,
L1843,HCPCS,KO SINGLE UPRIGHT PRE CST,,,28,,NW,,,,,,"$1,345.79",$0.00,1,1,1,1,1,1,20210101,
L1844,HCPCS,KO W/ADJ JT ROT CNTRL MOLDED,,,28,,NW,,,,,,"$2,502.75",$0.00,1,1,1,1,1,1,20210101,
L1845,HCPCS,KO DOUBLE UPRIGHT PRE CST,,,28,,NW,,,,,,"$1,306.52",$0.00,1,1,1,1,1,1,20210101,
L1846,HCPCS,KO W ADJ FLEX/EXT ROTAT MOLD,,,28,,NW,,,,,,"$1,816.72",$0.00,1,1,1,1,1,1,20210101,
L1847,HCPCS,KO DBL UPRIGHT W/AIR PRE CST,,,28,,NW,,,,,,$856.94,$0.00,1,1,1,1,1,1,20210101,
L1848,HCPCS,KO DBL UPRIGHT W/AIR PRE OTS,,,28,,NW,,,,,,$856.94,$0.00,1,1,1,1,1,1,20210101,
L1850,HCPCS,KO SWEDISH TYPE PRE OTS,,,28,,NW,,,,,,$443.42,$0.00,1,1,1,1,1,1,20210101,
L1851,HCPCS,KO SINGLE UPRIGHT PREFAB OTS,,,28,,NW,,,,,,"$1,345.79",$0.00,1,1,1,1,1,1,20210101,
L1852,HCPCS,KO DOUBLE UPRIGHT PREFAB OTS,,,28,,NW,,,,,,"$1,306.52",$0.00,1,1,1,1,1,1,20210101,
L1860,HCPCS,KO SUPRACONDYLAR SOCKET MOLD,,,28,,NW,,,,,,"$1,744.31",$0.00,1,1,1,1,1,1,20210101,
L1900,HCPCS,AFO SPRNG WIR DRSFLX CALF BD,,,28,,NW,,,,,,$414.84,$0.00,1,1,1,1,1,1,20210101,
L1902,HCPCS,AFO ANKLE GAUNTLET PRE OTS,,,28,,NW,,,,,,$112.38,$0.00,1,1,1,1,1,1,20210101,
L1904,HCPCS,AFO MOLDED ANKLE GAUNTLET,,,28,,NW,,,,,,$720.48,$0.00,1,1,1,1,1,1,20210101,
L1906,HCPCS,AFO MULTILIG ANK SUP PRE OTS,,,28,,NW,,,,,,$173.15,$0.00,1,1,1,1,1,1,20210101,
L1907,HCPCS,AFO SUPRAMALLEOLAR CUSTOM,,,28,,NW,,,,,,$837.72,$0.00,1,1,1,1,1,1,20210101,
L1910,HCPCS,AFO SING BAR CLASP ATTACH SH,,,28,,NW,,,,,,$417.01,$0.00,1,1,1,1,1,1,20210101,
L1920,HCPCS,AFO SING UPRIGHT W/ ADJUST S,,,28,,NW,,,,,,$532.30,$0.00,1,1,1,1,1,1,20210101,
L1930,HCPCS,AFO PLASTIC,,,28,,NW,,,,,,$368.19,$0.00,1,1,1,1,1,1,20210101,
L1932,HCPCS,AFO RIG ANT TIB PREFAB TCF/=,,,28,,NW,,,,,,"$1,338.33",$0.00,1,1,1,1,1,1,20210101,
L1940,HCPCS,AFO MOLDED TO PATIENT PLASTI,,,28,,NW,,,,,,$784.65,$0.00,1,1,1,1,1,1,20210101,
L1945,HCPCS,AFO MOLDED PLAS RIG ANT TIB,,,28,,NW,,,,,,"$1,521.19",$0.00,1,1,1,1,1,1,20210101,
L1950,HCPCS,AFO SPIRAL MOLDED TO PT PLAS,,,28,,NW,,,,,,"$1,195.05",$0.00,1,1,1,1,1,1,20210101,
L1951,HCPCS,AFO SPIRAL PREFABRICATED,,,28,,NW,,,,,,"$1,258.56",$0.00,1,1,1,1,1,1,20210101,
L1960,HCPCS,AFO POS SOLID ANK PLASTIC MO,,,28,,NW,,,,,,$887.86,$0.00,1,1,1,1,1,1,20210101,
L1970,HCPCS,AFO PLASTIC MOLDED W/ANKLE J,,,28,,NW,,,,,,"$1,115.61",$0.00,1,1,1,1,1,1,20210101,
L1971,HCPCS,"AFO W/ANKLE JOINT, PREFAB",,,28,,NW,,,,,,$695.02,$0.00,1,1,1,1,1,1,20210101,
L1980,HCPCS,AFO SING SOLID STIRRUP CALF,,,28,,NW,,,,,,$577.31,$0.00,1,1,1,1,1,1,20210101,
L1990,HCPCS,AFO DOUB SOLID STIRRUP CALF,,,28,,NW,,,,,,$708.89,$0.00,1,1,1,1,1,1,20210101,
L2000,HCPCS,KAFO SING FRE STIRR THI/CALF,,,28,,NW,,,,,,"$1,610.95",$0.00,1,1,1,1,1,1,20210101,
L2005,HCPCS,KAFO SNG/DBL MECHANICAL ACT,,,28,,NW,,,,,,"$6,206.25",$0.00,1,1,1,1,1,1,20210101,
L2010,HCPCS,KAFO SNG SOLID STIRRUP W/O J,,,28,,NW,,,,,,"$1,473.71",$0.00,1,1,1,1,1,1,20210101,
L2020,HCPCS,KAFO DBL SOLID STIRRUP BAND/,,,28,,NW,,,,,,"$1,819.96",$0.00,1,1,1,1,1,1,20210101,
L2030,HCPCS,KAFO DBL SOLID STIRRUP W/O J,,,28,,NW,,,,,,"$1,634.58",$0.00,1,1,1,1,1,1,20210101,
L2034,HCPCS,KAFO PLA SIN UP W/WO K/A CUS,,,28,,NW,,,,,,"$3,094.22",$0.00,1,1,1,1,1,1,20210101,
L2035,HCPCS,KAFO PLASTIC PEDIATRIC SIZE,,,28,,NW,,,,,,$247.69,$0.00,1,1,1,1,1,1,20210101,
L2036,HCPCS,KAFO PLAS DOUB FREE KNEE MOL,,,28,,NW,,,,,,"$2,942.78",$0.00,1,1,1,1,1,1,20210101,
L2037,HCPCS,KAFO PLAS SING FREE KNEE MOL,,,28,,NW,,,,,,"$2,672.01",$0.00,1,1,1,1,1,1,20210101,
L2038,HCPCS,KAFO W/O JOINT MULTI-AXIS AN,,,28,,NW,,,,,,"$2,234.99",$0.00,1,1,1,1,1,1,20210101,
L2040,HCPCS,HKAFO TORSION BIL ROT STRAPS,,,28,,NW,,,,,,$262.83,$0.00,1,1,1,1,1,1,20210101,
L2050,HCPCS,HKAFO TORSION CABLE HIP PELV,,,28,,NW,,,,,,$744.71,$0.00,1,1,1,1,1,1,20210101,
L2060,HCPCS,HKAFO TORSION BALL BEARING J,,,28,,NW,,,,,,$917.81,$0.00,1,1,1,1,1,1,20210101,
L2070,HCPCS,HKAFO TORSION UNILAT ROT STR,,,28,,NW,,,,,,$204.08,$0.00,1,1,1,1,1,1,20210101,
L2080,HCPCS,HKAFO UNILAT TORSION CABLE,,,28,,NW,,,,,,$561.28,$0.00,1,1,1,1,1,1,20210101,
L2090,HCPCS,HKAFO UNILAT TORSION BALL BR,,,28,,NW,,,,,,$695.27,$0.00,1,1,1,1,1,1,20210101,
L2106,HCPCS,AFO TIB FX CAST PLASTER MOLD,,,28,,NW,,,,,,"$1,114.43",$0.00,1,1,1,1,1,1,20210101,
L2108,HCPCS,AFO TIB FX CAST MOLDED TO PT,,,28,,NW,,,,,,"$1,700.73",$0.00,1,1,1,1,1,1,20210101,
L2112,HCPCS,AFO TIBIAL FRACTURE SOFT,,,28,,NW,,,,,,$755.98,$0.00,1,1,1,1,1,1,20210101,
L2114,HCPCS,AFO TIB FX SEMI-RIGID,,,28,,NW,,,,,,$943.00,$0.00,1,1,1,1,1,1,20210101,
L2116,HCPCS,AFO TIBIAL FRACTURE RIGID,,,28,,NW,,,,,,"$1,153.95",$0.00,1,1,1,1,1,1,20210101,
L2126,HCPCS,KAFO FEM FX CAST THERMOPLAS,,,28,,NW,,,,,,"$1,918.01",$0.00,1,1,1,1,1,1,20210101,
L2128,HCPCS,KAFO FEM FX CAST MOLDED TO P,,,28,,NW,,,,,,"$2,670.43",$0.00,1,1,1,1,1,1,20210101,
L2132,HCPCS,KAFO FEMORAL FX CAST SOFT,,,28,,NW,,,,,,"$1,295.69",$0.00,1,1,1,1,1,1,20210101,
L2134,HCPCS,KAFO FEM FX CAST SEMI-RIGID,,,28,,NW,,,,,,"$1,605.73",$0.00,1,1,1,1,1,1,20210101,
L2136,HCPCS,KAFO FEMORAL FX CAST RIGID,,,28,,NW,,,,,,"$1,908.81",$0.00,1,1,1,1,1,1,20210101,
L2180,HCPCS,PLAS SHOE INSERT W ANK JOINT,,,28,,NW,,,,,,$175.08,$0.00,1,1,1,1,1,1,20210101,
L2182,HCPCS,DROP LOCK KNEE,,,28,,NW,,,,,,$134.10,$0.00,1,1,1,1,1,1,20210101,
L2184,HCPCS,LIMITED MOTION KNEE JOINT,,,28,,NW,,,,,,$179.33,$0.00,1,1,1,1,1,1,20210101,
L2186,HCPCS,ADJ MOTION KNEE JNT LERMAN T,,,28,,NW,,,,,,$222.43,$0.00,1,1,1,1,1,1,20210101,
L2188,HCPCS,QUADRILATERAL BRIM,,,28,,NW,,,,,,$476.47,$0.00,1,1,1,1,1,1,20210101,
L2190,HCPCS,WAIST BELT,,,28,,NW,,,,,,$120.25,$0.00,1,1,1,1,1,1,20210101,
L2192,HCPCS,PELVIC BAND & BELT THIGH FLA,,,28,,NW,,,,,,$557.87,$0.00,1,1,1,1,1,1,20210101,
L2200,HCPCS,LIMITED ANKLE MOTION EA JNT,,,28,,NW,,,,,,$61.10,$0.00,1,1,1,1,1,1,20210101,
L2210,HCPCS,DORSIFLEXION ASSIST EACH JOI,,,28,,NW,,,,,,$89.91,$0.00,1,1,1,1,1,1,20210101,
L2220,HCPCS,DORSI & PLANTAR FLEX ASS/RES,,,28,,NW,,,,,,$114.36,$0.00,1,1,1,1,1,1,20210101,
L2230,HCPCS,SPLIT FLAT CALIPER STIRR & P,,,28,,NW,,,,,,$107.30,$0.00,1,1,1,1,1,1,20210101,
L2232,HCPCS,"ROCKER BOTTOM, CONTACT AFO",,,28,,NW,,,,,,$131.96,$0.00,1,1,1,1,1,1,20210101,
L2240,HCPCS,ROUND CALIPER AND PLATE ATTA,,,28,,NW,,,,,,$116.84,$0.00,1,1,1,1,1,1,20210101,
L2250,HCPCS,FOOT PLATE MOLDED STIRRUP AT,,,28,,NW,,,,,,$538.49,$0.00,1,1,1,1,1,1,20210101,
L2260,HCPCS,REINFORCED SOLID STIRRUP,,,28,,NW,,,,,,$301.54,$0.00,1,1,1,1,1,1,20210101,
L2265,HCPCS,LONG TONGUE STIRRUP,,,28,,NW,,,,,,$177.01,$0.00,1,1,1,1,1,1,20210101,
L2270,HCPCS,VARUS/VALGUS STRAP PADDED/LI,,,28,,NW,,,,,,$69.82,$0.00,1,1,1,1,1,1,20210101,
L2275,HCPCS,PLASTIC MOD LOW EXT PAD/LINE,,,28,,NW,,,,,,$181.78,$0.00,1,1,1,1,1,1,20210101,
L2280,HCPCS,MOLDED INNER BOOT,,,28,,NW,,,,,,$723.35,$0.00,1,1,1,1,1,1,20210101,
L2300,HCPCS,ABDUCTION BAR JOINTED ADJUST,,,28,,NW,,,,,,$423.07,$0.00,1,1,1,1,1,1,20210101,
L2310,HCPCS,ABDUCTION BAR-STRAIGHT,,,28,,NW,,,,,,$181.24,$0.00,1,1,1,1,1,1,20210101,
L2320,HCPCS,NON-MOLDED LACER,,,28,,NW,,,,,,$310.94,$0.00,1,1,1,1,1,1,20210101,
L2330,HCPCS,LACER MOLDED TO PATIENT MODE,,,28,,NW,,,,,,$612.24,$0.00,1,1,1,1,1,1,20210101,
L2335,HCPCS,ANTERIOR SWING BAND,,,28,,NW,,,,,,$360.55,$0.00,1,1,1,1,1,1,20210101,
L2340,HCPCS,PRE-TIBIAL SHELL MOLDED TO P,,,28,,NW,,,,,,$732.21,$0.00,1,1,1,1,1,1,20210101,
L2350,HCPCS,PROSTHETIC TYPE SOCKET MOLDE,,,28,,NW,,,,,,"$1,413.01",$0.00,1,1,1,1,1,1,20210101,
L2360,HCPCS,EXTENDED STEEL SHANK,,,28,,NW,,,,,,$68.35,$0.00,1,1,1,1,1,1,20210101,
L2370,HCPCS,PATTEN BOTTOM,,,28,,NW,,,,,,$426.95,$0.00,1,1,1,1,1,1,20210101,
L2375,HCPCS,TORSION ANK & HALF SOLID STI,,,28,,NW,,,,,,$168.76,$0.00,1,1,1,1,1,1,20210101,
L2380,HCPCS,TORSION STRAIGHT KNEE JOINT,,,28,,NW,,,,,,$182.20,$0.00,1,1,1,1,1,1,20210101,
L2385,HCPCS,STRAIGHT KNEE JOINT HEAVY DU,,,28,,NW,,,,,,$200.82,$0.00,1,1,1,1,1,1,20210101,
L2387,HCPCS,ADD LE POLY KNEE CUSTOM KAFO,,,28,,NW,,,,,,$255.57,$0.00,1,1,1,1,1,1,20210101,
L2390,HCPCS,OFFSET KNEE JOINT EACH,,,28,,NW,,,,,,$153.45,$0.00,1,1,1,1,1,1,20210101,
L2395,HCPCS,OFFSET KNEE JOINT HEAVY DUTY,,,28,,NW,,,,,,$231.71,$0.00,1,1,1,1,1,1,20210101,
L2397,HCPCS,SUSPENSION SLEEVE LOWER EXT,,,28,,NW,,,,,,$161.12,$0.00,1,1,1,1,1,1,20210101,
L2405,HCPCS,KNEE JOINT DROP LOCK EA JNT,,,28,,NW,,,,,,$115.64,$0.00,1,1,1,1,1,1,20210101,
L2415,HCPCS,KNEE JOINT CAM LOCK EACH JOI,,,28,,NW,,,,,,$167.71,$0.00,1,1,1,1,1,1,20210101,
L2425,HCPCS,KNEE DISC/DIAL LOCK/ADJ FLEX,,,28,,NW,,,,,,$200.92,$0.00,1,1,1,1,1,1,20210101,
L2430,HCPCS,KNEE JNT RATCHET LOCK EA JNT,,,28,,NW,,,,,,$200.92,$0.00,1,1,1,1,1,1,20210101,
L2492,HCPCS,KNEE LIFT LOOP DROP LOCK RIN,,,28,,NW,,,,,,$149.48,$0.00,1,1,1,1,1,1,20210101,
L2500,HCPCS,THI/GLUT/ISCHIA WGT BEARING,,,28,,NW,,,,,,$480.21,$0.00,1,1,1,1,1,1,20210101,
L2510,HCPCS,TH/WGHT BEAR QUAD-LAT BRIM M,,,28,,NW,,,,,,"$1,194.28",$0.00,1,1,1,1,1,1,20210101,
L2520,HCPCS,TH/WGHT BEAR QUAD-LAT BRIM C,,,28,,NW,,,,,,$743.79,$0.00,1,1,1,1,1,1,20210101,
L2525,HCPCS,TH/WGHT BEAR NAR M-L BRIM MO,,,28,,NW,,,,,,"$1,985.44",$0.00,1,1,1,1,1,1,20210101,
L2526,HCPCS,TH/WGHT BEAR NAR M-L BRIM CU,,,28,,NW,,,,,,"$1,099.05",$0.00,1,1,1,1,1,1,20210101,
L2530,HCPCS,THIGH/WGHT BEAR LACER NON-MO,,,28,,NW,,,,,,$360.55,$0.00,1,1,1,1,1,1,20210101,
L2540,HCPCS,THIGH/WGHT BEAR LACER MOLDED,,,28,,NW,,,,,,$659.33,$0.00,1,1,1,1,1,1,20210101,
L2550,HCPCS,THIGH/WGHT BEAR HIGH ROLL CU,,,28,,NW,,,,,,$447.27,$0.00,1,1,1,1,1,1,20210101,
L2570,HCPCS,HIP CLEVIS TYPE 2 POSIT JNT,,,28,,NW,,,,,,$782.00,$0.00,1,1,1,1,1,1,20210101,
L2580,HCPCS,PELVIC CONTROL PELVIC SLING,,,28,,NW,,,,,,$748.14,$0.00,1,1,1,1,1,1,20210101,
L2600,HCPCS,HIP CLEVIS/THRUST BEARING FR,,,28,,NW,,,,,,$318.99,$0.00,1,1,1,1,1,1,20210101,
L2610,HCPCS,HIP CLEVIS/THRUST BEARING LO,,,28,,NW,,,,,,$376.56,$0.00,1,1,1,1,1,1,20210101,
L2620,HCPCS,PELVIC CONTROL HIP HEAVY DUT,,,28,,NW,,,,,,$423.05,$0.00,1,1,1,1,1,1,20210101,
L2622,HCPCS,HIP JOINT ADJUSTABLE FLEXION,,,28,,NW,,,,,,$482.86,$0.00,1,1,1,1,1,1,20210101,
L2624,HCPCS,HIP ADJ FLEX EXT ABDUCT CONT,,,28,,NW,,,,,,$540.31,$0.00,1,1,1,1,1,1,20210101,
L2627,HCPCS,PLASTIC MOLD RECIPRO HIP & C,,,28,,NW,,,,,,"$2,698.66",$0.00,1,1,1,1,1,1,20210101,
L2628,HCPCS,METAL FRAME RECIPRO HIP & CA,,,28,,NW,,,,,,"$2,642.02",$0.00,1,1,1,1,1,1,20210101,
L2630,HCPCS,PELVIC CONTROL BAND & BELT U,,,28,,NW,,,,,,$381.01,$0.00,1,1,1,1,1,1,20210101,
L2640,HCPCS,PELVIC CONTROL BAND & BELT B,,,28,,NW,,,,,,$527.00,$0.00,1,1,1,1,1,1,20210101,
L2650,HCPCS,PELV & THOR CONTROL GLUTEAL,,,28,,NW,,,,,,$176.20,$0.00,1,1,1,1,1,1,20210101,
L2660,HCPCS,THORACIC CONTROL THORACIC BA,,,28,,NW,,,,,,$277.55,$0.00,1,1,1,1,1,1,20210101,
L2670,HCPCS,THORAC CONT PARASPINAL UPRIG,,,28,,NW,,,,,,$253.27,$0.00,1,1,1,1,1,1,20210101,
L2680,HCPCS,THORAC CONT LAT SUPPORT UPRI,,,28,,NW,,,,,,$232.68,$0.00,1,1,1,1,1,1,20210101,
L2750,HCPCS,PLATING CHROME/NICKEL PR BAR,,,28,,NW,,,,,,$112.25,$0.00,1,1,1,1,1,1,20210101,
L2755,HCPCS,CARBON GRAPHITE LAMINATION,,,28,,NW,,,,,,$181.75,$0.00,1,1,1,1,1,1,20210101,
L2760,HCPCS,EXTENSION PER EXTENSION PER,,,28,,NW,,,,,,$81.10,$0.00,1,1,1,1,1,1,20210101,
L2768,HCPCS,ORTHO SIDEBAR DISCONNECT,,,28,,NW,,,,,,$181.09,$0.00,1,1,1,1,1,1,20210101,
L2780,HCPCS,NON-CORROSIVE FINISH,,,28,,NW,,,,,,$90.82,$0.00,1,1,1,1,1,1,20210101,
L2785,HCPCS,DROP LOCK RETAINER EACH,,,28,,NW,,,,,,$35.54,$0.00,1,1,1,1,1,1,20210101,
L2795,HCPCS,KNEE CONTROL FULL KNEECAP,,,28,,NW,,,,,,$118.54,$0.00,1,1,1,1,1,1,20210101,
L2800,HCPCS,KNEE CAP MEDIAL OR LATERAL P,,,28,,NW,,,,,,$151.51,$0.00,1,1,1,1,1,1,20210101,
L2810,HCPCS,KNEE CONTROL CONDYLAR PAD,,,28,,NW,,,,,,$110.05,$0.00,1,1,1,1,1,1,20210101,
L2820,HCPCS,SOFT INTERFACE BELOW KNEE SE,,,28,,NW,,,,,,$120.82,$0.00,1,1,1,1,1,1,20210101,
L2830,HCPCS,SOFT INTERFACE ABOVE KNEE SE,,,28,,NW,,,,,,$133.64,$0.00,1,1,1,1,1,1,20210101,
L2840,HCPCS,TIBIAL LENGTH SOCK FX OR EQU,,,28,,NW,,,,,,$54.93,$0.00,1,1,1,1,1,1,20210101,
L2850,HCPCS,FEMORAL LGTH SOCK FX OR EQUA,,,28,,NW,,,,,,$80.05,$0.00,1,1,1,1,1,1,20210101,
L2861,HCPCS,TORSION MECHANISM KNEE/ANKLE,,,28,,NW,,,,,,$471.79,$0.00,1,1,1,1,1,1,20210101,
L2999,HCPCS,LOWER EXTREMITY ORTHOSIS NOS,,,28,,NW,,,,,,$125.34,$0.00,1,1,1,1,1,1,20210101,
L3000,HCPCS,FT INSERT UCB BERKELEY SHELL,,,28,,NW,,,,,,$460.27,$0.00,1,1,1,1,1,1,20210101,
L3001,HCPCS,FOOT INSERT REMOV MOLDED SPE,,,28,,NW,,,,,,$184.09,$0.00,1,1,1,1,1,1,20210101,
L3002,HCPCS,FOOT INSERT PLASTAZOTE OR EQ,,,28,,NW,,,,,,$228.49,$0.00,1,1,1,1,1,1,20210101,
L3003,HCPCS,FOOT INSERT SILICONE GEL EAC,,,28,,NW,,,,,,$247.86,$0.00,1,1,1,1,1,1,20210101,
L3010,HCPCS,FOOT LONGITUDINAL ARCH SUPPO,,,28,,NW,,,,,,$247.86,$0.00,1,1,1,1,1,1,20210101,
L3020,HCPCS,FOOT LONGITUD/METATARSAL SUP,,,28,,NW,,,,,,$284.52,$0.00,1,1,1,1,1,1,20210101,
L3030,HCPCS,FOOT ARCH SUPPORT REMOV PREM,,,28,,NW,,,,,,$99.13,$0.00,1,1,1,1,1,1,20210101,
L3031,HCPCS,FOOT LAMIN/PREPREG COMPOSITE,,,28,,NW,,,,,,$169.52,$0.00,1,1,1,1,1,1,20210101,
L3040,HCPCS,FT ARCH SUPRT PREMOLD LONGIT,,,28,,NW,,,,,,$54.72,$0.00,1,1,1,1,1,1,20210101,
L3050,HCPCS,FOOT ARCH SUPP PREMOLD METAT,,,28,,NW,,,,,,$54.72,$0.00,1,1,1,1,1,1,20210101,
L3060,HCPCS,FOOT ARCH SUPP LONGITUD/META,,,28,,NW,,,,,,$95.24,$0.00,1,1,1,1,1,1,20210101,
L3070,HCPCS,ARCH SUPRT ATT TO SHO LONGIT,,,28,,NW,,,,,,$31.70,$0.00,1,1,1,1,1,1,20210101,
L3080,HCPCS,ARCH SUPP ATT TO SHOE METATA,,,28,,NW,,,,,,$31.70,$0.00,1,1,1,1,1,1,20210101,
L3090,HCPCS,ARCH SUPP ATT TO SHOE LONG/M,,,28,,NW,,,,,,$45.06,$0.00,1,1,1,1,1,1,20210101,
L3100,HCPCS,HALLUS-VALGUS NT DYN PRE OTS,,,28,,NW,,,,,,$48.90,$0.00,1,1,1,1,1,1,20210101,
L3140,HCPCS,ABDUCTION ROTATION BAR SHOE,,,28,,NW,,,,,,$118.45,$0.00,1,1,1,1,1,1,20210101,
L3150,HCPCS,ABDUCT ROTATION BAR W/O SHOE,,,28,,NW,,,,,,$106.85,$0.00,1,1,1,1,1,1,20210101,
L3160,HCPCS,SHOE STYLED POSITIONING DEV,,,28,,NW,,,,,,$89.88,$0.00,1,1,1,1,1,1,20210101,
L3170,HCPCS,FOOT PLAS HEEL STABI PRE OTS,,,28,,NW,,,,,,$60.51,$0.00,1,1,1,1,1,1,20210101,
L3201,HCPCS,OXFORD W SUPINAT/PRONAT INF,,,28,,NW,,,,,,$58.32,$0.00,1,1,1,1,1,1,20210101,
L3202,HCPCS,OXFORD W/ SUPINAT/PRONATOR C,,,28,,NW,,,,,,$62.14,$0.00,1,1,1,1,1,1,20210101,
L3203,HCPCS,OXFORD W/ SUPINATOR/PRONATOR,,,28,,NW,,,,,,$63.81,$0.00,1,1,1,1,1,1,20210101,
L3204,HCPCS,HIGHTOP W/ SUPP/PRONATOR INF,,,28,,NW,,,,,,$56.69,$0.00,1,1,1,1,1,1,20210101,
L3206,HCPCS,HIGHTOP W/ SUPP/PRONATOR CHI,,,28,,NW,,,,,,$62.68,$0.00,1,1,1,1,1,1,20210101,
L3207,HCPCS,HIGHTOP W/ SUPP/PRONATOR JUN,,,28,,NW,,,,,,$68.50,$0.00,1,1,1,1,1,1,20210101,
L3208,HCPCS,SURGICAL BOOT EACH INFANT,,,28,,NW,,,,,,$37.73,$0.00,1,1,1,1,1,1,20210101,
L3209,HCPCS,SURGICAL BOOT EACH CHILD,,,28,,NW,,,,,,$40.74,$0.00,1,1,1,1,1,1,20210101,
L3211,HCPCS,SURGICAL BOOT EACH JUNIOR,,,28,,NW,,,,,,$46.00,$0.00,1,1,1,1,1,1,20210101,
L3212,HCPCS,BENESCH BOOT PAIR INFANT,,,28,,NW,,,,,,$64.77,$0.00,1,1,1,1,1,1,20210101,
L3213,HCPCS,BENESCH BOOT PAIR CHILD,,,28,,NW,,,,,,$90.70,$0.00,1,1,1,1,1,1,20210101,
L3214,HCPCS,BENESCH BOOT PAIR JUNIOR,,,28,,NW,,,,,,$96.73,$0.00,1,1,1,1,1,1,20210101,
L3215,HCPCS,ORTHOPEDIC FTWEAR LADIES OXF,,,28,,NW,,,,,,$116.54,$0.00,1,1,1,1,1,1,20210101,
L3216,HCPCS,ORTHOPED LADIES SHOES DPTH I,,,28,,NW,,,,,,$126.00,$0.00,1,1,1,1,1,1,20210101,
L3217,HCPCS,LADIES SHOES HIGHTOP DEPTH I,,,28,,NW,,,,,,$169.18,$0.00,1,1,1,1,1,1,20210101,
L3219,HCPCS,ORTHOPEDIC MENS SHOES OXFORD,,,28,,NW,,,,,,$134.54,$0.00,1,1,1,1,1,1,20210101,
L3221,HCPCS,ORTHOPEDIC MENS SHOES DPTH I,,,28,,NW,,,,,,$144.47,$0.00,1,1,1,1,1,1,20210101,
L3222,HCPCS,MENS SHOES HIGHTOP DEPTH INL,,,28,,NW,,,,,,$198.28,$0.00,1,1,1,1,1,1,20210101,
L3224,HCPCS,WOMAN'S SHOE OXFORD BRACE,,,28,,NW,,,,,,$79.23,$0.00,1,1,1,1,1,1,20210101,
L3225,HCPCS,MAN'S SHOE OXFORD BRACE,,,28,,NW,,,,,,$92.24,$0.00,1,1,1,1,1,1,20210101,
L3230,HCPCS,CUSTOM SHOES DEPTH INLAY,,,28,,NW,,,,,,$349.98,$0.00,1,1,1,1,1,1,20210101,
L3250,HCPCS,CUSTOM MOLD SHOE REMOV PROST,,,28,,NW,,,,,,$390.38,$0.00,1,1,1,1,1,1,20210101,
L3251,HCPCS,SHOE MOLDED TO PT SILICONE S,,,28,,NW,,,,,,$382.92,$0.00,1,1,1,1,1,1,20210101,
L3252,HCPCS,SHOE MOLDED PLASTAZOTE CUST,,,28,,NW,,,,,,$317.33,$0.00,1,1,1,1,1,1,20210101,
L3253,HCPCS,SHOE MOLDED PLASTAZOTE CUST,,,28,,NW,,,,,,$64.30,$0.00,1,1,1,1,1,1,20210101,
L3254,HCPCS,ORTH FOOT NON-STNDARD SIZE/W,,,28,,NW,,,,,,$28.79,$0.00,1,1,1,1,1,1,20210101,
L3255,HCPCS,ORTH FOOT NON-STANDARD SIZE/,,,28,,NW,,,,,,$44.57,$0.00,1,1,1,1,1,1,20210101,
L3257,HCPCS,ORTH FOOT ADD CHARGE SPLIT S,,,28,,NW,,,,,,$66.36,$0.00,1,1,1,1,1,1,20210101,
L3260,HCPCS,AMBULATORY SURGICAL BOOT EAC,,,28,,NW,,,,,,$29.72,$0.00,1,1,1,1,1,1,20210101,
L3265,HCPCS,PLASTAZOTE SANDAL EACH,,,28,,NW,,,,,,$27.43,$0.00,1,1,1,1,1,1,20210101,
L3300,HCPCS,SHO LIFT TAPER TO METATARSAL,,,28,,NW,,,,,,$62.42,$0.00,1,1,1,1,1,1,20210101,
L3310,HCPCS,SHOE LIFT ELEV HEEL/SOLE NEO,,,28,,NW,,,,,,$106.85,$0.00,1,1,1,1,1,1,20210101,
L3320,HCPCS,SHOE LIFT ELEV HEEL/SOLE COR,,,28,,NW,,,,,,$162.57,$0.00,1,1,1,1,1,1,20210101,
L3330,HCPCS,LIFTS ELEVATION METAL EXTENS,,,28,,NW,,,,,,$842.66,$0.00,1,1,1,1,1,1,20210101,
L3332,HCPCS,SHOE LIFTS TAPERED TO ONE-HA,,,28,,NW,,,,,,$95.24,$0.00,1,1,1,1,1,1,20210101,
L3334,HCPCS,SHOE LIFTS ELEVATION HEEL /I,,,28,,NW,,,,,,$41.19,$0.00,1,1,1,1,1,1,20210101,
L3340,HCPCS,SHOE WEDGE SACH,,,28,,NW,,,,,,$112.67,$0.00,1,1,1,1,1,1,20210101,
L3350,HCPCS,SHOE HEEL WEDGE,,,28,,NW,,,,,,$21.27,$0.00,1,1,1,1,1,1,20210101,
L3360,HCPCS,SHOE SOLE WEDGE OUTSIDE SOLE,,,28,,NW,,,,,,$37.32,$0.00,1,1,1,1,1,1,20210101,
L3370,HCPCS,SHOE SOLE WEDGE BETWEEN SOLE,,,28,,NW,,,,,,$58.54,$0.00,1,1,1,1,1,1,20210101,
L3380,HCPCS,SHOE CLUBFOOT WEDGE,,,28,,NW,,,,,,$58.54,$0.00,1,1,1,1,1,1,20210101,
L3390,HCPCS,SHOE OUTFLARE WEDGE,,,28,,NW,,,,,,$58.54,$0.00,1,1,1,1,1,1,20210101,
L3400,HCPCS,SHOE METATARSAL BAR WEDGE RO,,,28,,NW,,,,,,$45.06,$0.00,1,1,1,1,1,1,20210101,
L3410,HCPCS,SHOE METATARSAL BAR BETWEEN,,,28,,NW,,,,,,$124.24,$0.00,1,1,1,1,1,1,20210101,
L3420,HCPCS,FULL SOLE/HEEL WEDGE BTWEEN,,,28,,NW,,,,,,$66.30,$0.00,1,1,1,1,1,1,20210101,
L3430,HCPCS,SHO HEEL COUNT PLAST REINFOR,,,28,,NW,,,,,,$226.59,$0.00,1,1,1,1,1,1,20210101,
L3440,HCPCS,HEEL LEATHER REINFORCED,,,28,,NW,,,,,,$99.13,$0.00,1,1,1,1,1,1,20210101,
L3450,HCPCS,SHOE HEEL SACH CUSHION TYPE,,,28,,NW,,,,,,$143.53,$0.00,1,1,1,1,1,1,20210101,
L3455,HCPCS,SHOE HEEL NEW LEATHER STANDA,,,28,,NW,,,,,,$45.06,$0.00,1,1,1,1,1,1,20210101,
L3460,HCPCS,SHOE HEEL NEW RUBBER STANDAR,,,28,,NW,,,,,,$35.37,$0.00,1,1,1,1,1,1,20210101,
L3465,HCPCS,SHOE HEEL THOMAS WITH WEDGE,,,28,,NW,,,,,,$72.09,$0.00,1,1,1,1,1,1,20210101,
L3470,HCPCS,SHOE HEEL THOMAS EXTEND TO B,,,28,,NW,,,,,,$77.86,$0.00,1,1,1,1,1,1,20210101,
L3480,HCPCS,SHOE HEEL PAD & DEPRESS FOR,,,28,,NW,,,,,,$77.86,$0.00,1,1,1,1,1,1,20210101,
L3485,HCPCS,SHOE HEEL PAD REMOVABLE FOR,,,28,,NW,,,,,,$28.30,$0.00,1,1,1,1,1,1,20210101,
L3500,HCPCS,ORTHO SHOE ADD LEATHER INSOL,,,28,,NW,,,,,,$28.05,$0.00,1,1,1,1,1,1,20210101,
L3510,HCPCS,ORTHOPEDIC SHOE ADD RUB INSL,,,28,,NW,,,,,,$28.05,$0.00,1,1,1,1,1,1,20210101,
L3520,HCPCS,O SHOE ADD FELT W LEATH INSL,,,28,,NW,,,,,,$31.70,$0.00,1,1,1,1,1,1,20210101,
L3530,HCPCS,ORTHO SHOE ADD HALF SOLE,,,28,,NW,,,,,,$31.70,$0.00,1,1,1,1,1,1,20210101,
L3540,HCPCS,ORTHO SHOE ADD FULL SOLE,,,28,,NW,,,,,,$60.51,$0.00,1,1,1,1,1,1,20210101,
L3550,HCPCS,O SHOE ADD STANDARD TOE TAP,,,28,,NW,,,,,,$10.15,$0.00,1,1,1,1,1,1,20210101,
L3560,HCPCS,O SHOE ADD HORSESHOE TOE TAP,,,28,,NW,,,,,,$21.27,$0.00,1,1,1,1,1,1,20210101,
L3570,HCPCS,O SHOE ADD INSTEP EXTENSION,,,28,,NW,,,,,,$112.67,$0.00,1,1,1,1,1,1,20210101,
L3580,HCPCS,O SHOE ADD INSTEP VELCRO CLO,,,28,,NW,,,,,,$81.73,$0.00,1,1,1,1,1,1,20210101,
L3590,HCPCS,O SHOE CONVERT TO SOF COUNTE,,,28,,NW,,,,,,$64.36,$0.00,1,1,1,1,1,1,20210101,
L3595,HCPCS,ORTHO SHOE ADD MARCH BAR,,,28,,NW,,,,,,$46.95,$0.00,1,1,1,1,1,1,20210101,
L3600,HCPCS,TRANS SHOE CALIP PLATE EXIST,,,28,,NW,,,,,,$99.13,$0.00,1,1,1,1,1,1,20210101,
L3610,HCPCS,TRANS SHOE CALIPER PLATE NEW,,,28,,NW,,,,,,$135.82,$0.00,1,1,1,1,1,1,20210101,
L3620,HCPCS,TRANS SHOE SOLID STIRRUP EXI,,,28,,NW,,,,,,$99.13,$0.00,1,1,1,1,1,1,20210101,
L3630,HCPCS,TRANS SHOE SOLID STIRRUP NEW,,,28,,NW,,,,,,$135.82,$0.00,1,1,1,1,1,1,20210101,
L3640,HCPCS,SHOE DENNIS BROWNE SPLINT BO,,,28,,NW,,,,,,$48.90,$0.00,1,1,1,1,1,1,20210101,
L3649,HCPCS,ORTHOPEDIC SHOE MODIFICA NOS,,,28,,NW,,,,,,$136.95,$0.00,1,1,1,1,1,1,20210101,
L3650,HCPCS,SO 8 ABD RESTRAINT PRE OTS,,,28,,NW,,,,,,$78.79,$0.00,1,1,1,1,1,1,20210101,
L3660,HCPCS,SO 8 AB RSTR CAN/WEB PRE OTS,,,28,,NW,,,,,,$136.87,$0.00,1,1,1,1,1,1,20210101,
L3670,HCPCS,SO ACRO/CLAV CAN WEB PRE OTS,,,28,,NW,,,,,,$167.99,$0.00,1,1,1,1,1,1,20210101,
L3671,HCPCS,SO CAP DESIGN W/O JNTS CF,,,28,,NW,,,,,,"$1,228.54",$0.00,1,1,1,1,1,1,20210101,
L3674,HCPCS,SO AIRPLANE W/WO JOINT CF,,,28,,NW,,,,,,"$1,616.85",$0.00,1,1,1,1,1,1,20210101,
L3675,HCPCS,SO VEST CANVAS/WEB PRE OTS,,,28,,NW,,,,,,$225.86,$0.00,1,1,1,1,1,1,20210101,
L3677,HCPCS,SO HARD PLAS STABILI PRE CST,,,28,,NW,,,,,,$173.06,$0.00,1,1,1,1,1,1,20210101,
L3678,HCPCS,SO HARD PLAS STABILI PRE OTS,,,28,,NW,,,,,,$158.39,$0.00,1,1,1,1,1,1,20210101,
L3702,HCPCS,EO W/O JOINTS CF,,,28,,NW,,,,,,$382.31,$0.00,1,1,1,1,1,1,20210101,
L3710,HCPCS,EO ELAS W/METAL JNTS PRE OTS,,,28,,NW,,,,,,$181.21,$0.00,1,1,1,1,1,1,20210101,
L3720,HCPCS,FOREARM/ARM CUFFS FREE MOTIO,,,28,,NW,,,,,,"$1,033.56",$0.00,1,1,1,1,1,1,20210101,
L3730,HCPCS,FOREARM/ARM CUFFS EXT/FLEX A,,,28,,NW,,,,,,"$1,431.34",$0.00,1,1,1,1,1,1,20210101,
L3740,HCPCS,CUFFS ADJ LOCK W/ ACTIVE CON,,,28,,NW,,,,,,"$1,678.92",$0.00,1,1,1,1,1,1,20210101,
L3760,HCPCS,EO ADJ JT PREFAB CUSTOM FIT,,,28,,NW,,,,,,$674.59,$0.00,1,1,1,1,1,1,20210101,
L3761,HCPCS,"EO, ADJ LOCK JOINT PREFAB OT",,,28,,NW,,,,,,$674.59,$0.00,1,1,1,1,1,1,20210101,
L3762,HCPCS,EO RIGID W/O JOINTS PRE OTS,,,28,,NW,,,,,,$131.85,$0.00,1,1,1,1,1,1,20210101,
L3763,HCPCS,EWHO RIGID W/O JNTS CF,,,28,,NW,,,,,,"$1,029.51",$0.00,1,1,1,1,1,1,20210101,
L3764,HCPCS,EWHO W/JOINT(S) CF,,,28,,NW,,,,,,"$1,152.73",$0.00,1,1,1,1,1,1,20210101,
L3765,HCPCS,EWHFO RIGID W/O JNTS CF,,,28,,NW,,,,,,"$1,755.32",$0.00,1,1,1,1,1,1,20210101,
L3766,HCPCS,EWHFO W/JOINT(S) CF,,,28,,NW,,,,,,"$1,859.75",$0.00,1,1,1,1,1,1,20210101,
L3806,HCPCS,WHFO W/JOINT(S) CUSTOM FAB,,,28,,NW,,,,,,$611.02,$0.00,1,1,1,1,1,1,20210101,
L3807,HCPCS,WHFO W/O JOINTS PRE CST,,,28,,NW,,,,,,$328.93,$0.00,1,1,1,1,1,1,20210101,
L3808,HCPCS,"WHFO, RIGID W/O JOINTS",,,28,,NW,,,,,,$498.94,$0.00,1,1,1,1,1,1,20210101,
L3809,HCPCS,WHFO W/O JOINTS PRE OTS,,,28,,NW,,,,,,$328.93,$0.00,1,1,1,1,1,1,20210101,
L3891,HCPCS,TORSION MECHANISM WRIST/ELBO,,,28,,NW,,,,,,$347.59,$0.00,1,1,1,1,1,1,20210101,
L3900,HCPCS,HINGE EXTENSION/FLEX WRIST/F,,,28,,NW,,,,,,"$2,057.15",$0.00,1,1,1,1,1,1,20210101,
L3901,HCPCS,HINGE EXT/FLEX WRIST FINGER,,,28,,NW,,,,,,"$2,534.53",$0.00,1,1,1,1,1,1,20210101,
L3904,HCPCS,WHFO ELECTRIC CUSTOM FITTED,,,28,,NW,,,,,,"$4,642.23",$0.00,1,1,1,1,1,1,20210101,
L3905,HCPCS,WHO W/NONTORSION JNT(S) CF,,,28,,NW,,,,,,"$1,353.79",$0.00,1,1,1,1,1,1,20210101,
L3906,HCPCS,WHO W/O JOINTS CF,,,28,,NW,,,,,,$610.39,$0.00,1,1,1,1,1,1,20210101,
L3908,HCPCS,WHO COCK-UP NONMOLDE PRE OTS,,,28,,NW,,,,,,$80.61,$0.00,1,1,1,1,1,1,20210101,
L3912,HCPCS,HFO FLEXION GLOVE PRE OTS,,,28,,NW,,,,,,$136.36,$0.00,1,1,1,1,1,1,20210101,
L3913,HCPCS,HFO W/O JOINTS CF,,,28,,NW,,,,,,$357.55,$0.00,1,1,1,1,1,1,20210101,
L3915,HCPCS,WHO NONTORSION JNTS PRE CST,,,28,,NW,,,,,,$717.89,$0.00,1,1,1,1,1,1,20210101,
L3916,HCPCS,WHO NONTORSION JNTS PRE OTS,,,28,,NW,,,,,,$717.89,$0.00,1,1,1,1,1,1,20210101,
L3917,HCPCS,METACARP FX ORTHOSIS PRE CST,,,28,,NW,,,,,,$129.25,$0.00,1,1,1,1,1,1,20210101,
L3918,HCPCS,METACARP FX ORTHOSIS PRE OTS,,,28,,NW,,,,,,$129.25,$0.00,1,1,1,1,1,1,20210101,
L3919,HCPCS,HO W/O JOINTS CF,,,28,,NW,,,,,,$357.55,$0.00,1,1,1,1,1,1,20210101,
L3921,HCPCS,HFO W/JOINT(S) CF,,,28,,NW,,,,,,$427.14,$0.00,1,1,1,1,1,1,20210101,
L3923,HCPCS,HFO WITHOUT JOINTS PRE CST,,,28,,NW,,,,,,$110.53,$0.00,1,1,1,1,1,1,20210101,
L3924,HCPCS,HFO WITHOUT JOINTS PRE OTS,,,28,,NW,,,,,,$110.53,$0.00,1,1,1,1,1,1,20210101,
L3925,HCPCS,FO PIP DIP JNT/SPRNG PRE OTS,,,28,,NW,,,,,,$62.71,$0.00,1,1,1,1,1,1,20210101,
L3927,HCPCS,FO PIP DIP NO JT SPR PRE OTS,,,28,,NW,,,,,,$31.77,$0.00,1,1,1,1,1,1,20210101,
L3929,HCPCS,HFO NONTORSION JNTS PRE CST,,,28,,NW,,,,,,$109.03,$0.00,1,1,1,1,1,1,20210101,
L3930,HCPCS,HFO NONTORSION JNTS PRE OTS,,,28,,NW,,,,,,$109.03,$0.00,1,1,1,1,1,1,20210101,
L3931,HCPCS,WHFO NONTORSION JOINT PREFAB,,,28,,NW,,,,,,$270.98,$0.00,1,1,1,1,1,1,20210101,
L3933,HCPCS,FO W/O JOINTS CF,,,28,,NW,,,,,,$278.11,$0.00,1,1,1,1,1,1,20210101,
L3935,HCPCS,FO NONTORSION JOINT CF,,,28,,NW,,,,,,$288.57,$0.00,1,1,1,1,1,1,20210101,
L3956,HCPCS,ADD JOINT UPPER EXT ORTHOSIS,,,28,,NW,,,,,,$113.72,$0.00,1,1,1,1,1,1,20210101,
L3960,HCPCS,SEWHO AIRPLAN DESIG ABDU POS,,,28,,NW,,,,,,"$1,151.66",$0.00,1,1,1,1,1,1,20210101,
L3961,HCPCS,SEWHO CAP DESIGN W/O JNTS CF,,,28,,NW,,,,,,"$2,305.20",$0.00,1,1,1,1,1,1,20210101,
L3962,HCPCS,SEWHO ERBS PALSEY DESIGN ABD,,,28,,NW,,,,,,"$1,112.93",$0.00,1,1,1,1,1,1,20210101,
L3967,HCPCS,SEWHO AIRPLANE W/O JNTS CF,,,28,,NW,,,,,,"$2,724.68",$0.00,1,1,1,1,1,1,20210101,
L3971,HCPCS,SEWHO CAP DESIGN W/JNT(S) CF,,,28,,NW,,,,,,"$2,585.50",$0.00,1,1,1,1,1,1,20210101,
L3973,HCPCS,SEWHO AIRPLANE W/JNT(S) CF,,,28,,NW,,,,,,"$2,724.68",$0.00,1,1,1,1,1,1,20210101,
L3975,HCPCS,SEWHFO CAP DESIGN W/O JNT CF,,,28,,NW,,,,,,"$2,305.20",$0.00,1,1,1,1,1,1,20210101,
L3976,HCPCS,SEWHFO AIRPLANE W/O JNTS CF,,,28,,NW,,,,,,"$2,305.20",$0.00,1,1,1,1,1,1,20210101,
L3977,HCPCS,SEWHFO CAP DESGN W/JNT(S) CF,,,28,,NW,,,,,,"$2,585.50",$0.00,1,1,1,1,1,1,20210101,
L3978,HCPCS,SEWHFO AIRPLANE W/JNT(S) CF,,,28,,NW,,,,,,"$2,724.68",$0.00,1,1,1,1,1,1,20210101,
L3980,HCPCS,UP EXT FX ORTHOS HUMERAL NOS,,,28,,NW,,,,,,$487.10,$0.00,1,1,1,1,1,1,20210101,
L3981,HCPCS,UE FX ORTH SHOUL CAP FOREARM,,,28,,NW,,,,,,"$1,374.43",$0.00,1,1,1,1,1,1,20210101,
L3982,HCPCS,UPPER EXT FX ORTHOSIS RAD/UL,,,28,,NW,,,,,,$572.75,$0.00,1,1,1,1,1,1,20210101,
L3984,HCPCS,UPPER EXT FX ORTHOSIS WRIST,,,28,,NW,,,,,,$527.20,$0.00,1,1,1,1,1,1,20210101,
L3995,HCPCS,SOCK FRACTURE OR EQUAL EACH,,,28,,NW,,,,,,$36.95,$0.00,1,1,1,1,1,1,20210101,
L3999,HCPCS,UPPER LIMB ORTHOSIS NOS,,,28,,NW,,,,,,$76.22,$0.00,1,1,1,1,1,1,20210101,
L4000,HCPCS,REPL GIRDLE MILWAUKEE ORTH,,,28,,NW,,,,,,"$2,011.93",$0.00,1,1,1,1,1,1,20210101,
L4002,HCPCS,"REPLACE STRAP, ANY ORTHOSIS",,,28,,NW,,,,,,$37.81,$0.00,1,1,1,1,1,1,20210101,
L4010,HCPCS,REPLACE TRILATERAL SOCKET BR,,,28,,NW,,,,,,"$1,091.95",$0.00,1,1,1,1,1,1,20210101,
L4020,HCPCS,REPLACE QUADLAT SOCKET BRIM,,,28,,NW,,,,,,"$1,415.45",$0.00,1,1,1,1,1,1,20210101,
L4030,HCPCS,REPLACE SOCKET BRIM CUST FIT,,,28,,NW,,,,,,$837.61,$0.00,1,1,1,1,1,1,20210101,
L4040,HCPCS,REPLACE MOLDED THIGH LACER,,,28,,NW,,,,,,$636.29,$0.00,1,1,1,1,1,1,20210101,
L4045,HCPCS,REPLACE NON-MOLDED THIGH LAC,,,28,,NW,,,,,,$490.34,$0.00,1,1,1,1,1,1,20210101,
L4050,HCPCS,REPLACE MOLDED CALF LACER,,,28,,NW,,,,,,$648.15,$0.00,1,1,1,1,1,1,20210101,
L4055,HCPCS,REPLACE NON-MOLDED CALF LACE,,,28,,NW,,,,,,$396.09,$0.00,1,1,1,1,1,1,20210101,
L4060,HCPCS,REPLACE HIGH ROLL CUFF,,,28,,NW,,,,,,$480.36,$0.00,1,1,1,1,1,1,20210101,
L4070,HCPCS,REPLACE PROX & DIST UPRIGHT,,,28,,NW,,,,,,$436.20,$0.00,1,1,1,1,1,1,20210101,
L4080,HCPCS,REPL MET BAND KAFO-AFO PROX,,,28,,NW,,,,,,$141.26,$0.00,1,1,1,1,1,1,20210101,
L4090,HCPCS,REPL MET BAND KAFO-AFO CALF/,,,28,,NW,,,,,,$128.87,$0.00,1,1,1,1,1,1,20210101,
L4100,HCPCS,REPL LEATH CUFF KAFO PROX TH,,,28,,NW,,,,,,$152.82,$0.00,1,1,1,1,1,1,20210101,
L4110,HCPCS,REPL LEATH CUFF KAFO-AFO CAL,,,28,,NW,,,,,,$120.10,$0.00,1,1,1,1,1,1,20210101,
L4130,HCPCS,REPLACE PRETIBIAL SHELL,,,28,,NW,,,,,,$790.05,$0.00,1,1,1,1,1,1,20210101,
L4205,HCPCS,ORTHO DVC REPAIR PER 15 MIN,,,28,,NW,,,,,,$29.09,$0.00,1,1,1,1,1,1,20210101,
L4210,HCPCS,ORTH DEV REPAIR/REPL MINOR P,,,28,,NW,,,,,,$42.55,$0.00,1,1,1,1,1,1,20210101,
L4350,HCPCS,ANKLE CONTROL ORTHO PRE OTS,,,28,,NW,,,,,,$129.51,$0.00,1,1,1,1,1,1,20210101,
L4360,HCPCS,PNEUMAT WALKING BOOT PRE CST,,,28,,NW,,,,,,$413.39,$0.00,1,1,1,1,1,1,20210101,
L4361,HCPCS,PNEUMA/VAC WALK BOOT PRE OTS,,,28,,NW,,,,,,$413.39,$0.00,1,1,1,1,1,1,20210101,
L4370,HCPCS,PNEUM FULL LEG SPLNT PRE OTS,,,28,,NW,,,,,,$279.22,$0.00,1,1,1,1,1,1,20210101,
L4386,HCPCS,NON-PNEUM WALK BOOT PRE CST,,,28,,NW,,,,,,$224.00,$0.00,1,1,1,1,1,1,20210101,
L4387,HCPCS,NON-PNEUM WALK BOOT PRE OTS,,,28,,NW,,,,,,$224.00,$0.00,1,1,1,1,1,1,20210101,
L4392,HCPCS,REPLACE AFO SOFT INTERFACE,,,28,,NW,,,,,,$21.80,$0.00,1,1,1,1,1,1,20210101,
L4394,HCPCS,REPLACE FOOT DROP SPINT,,,28,,NW,,,,,,$16.01,$0.00,1,1,1,1,1,1,20210101,
L4396,HCPCS,STATIC OR DYNAMI AFO PRE CST,,,28,,NW,,,,,,$237.36,$0.00,1,1,1,1,1,1,20210101,
L4397,HCPCS,STATIC OR DYNAMI AFO PRE OTS,,,28,,NW,,,,,,$237.36,$0.00,1,1,1,1,1,1,20210101,
L4398,HCPCS,FOOT DROP SPLINT PRE OTS,,,28,,NW,,,,,,$100.22,$0.00,1,1,1,1,1,1,20210101,
L4631,HCPCS,"AFO, WALK BOOT TYPE, CUS FAB",,,28,,NW,,,,,,"$2,395.02",$0.00,1,1,1,1,1,1,20210101,
L5000,HCPCS,SHO INSERT W ARCH TOE FILLER,,,28,,NW,,,,,,$841.58,$0.00,1,1,1,1,1,1,20210101,
L5010,HCPCS,MOLD SOCKET ANK HGT W/ TOE F,,,28,,NW,,,,,,"$2,106.94",$0.00,1,1,1,1,1,1,20210101,
L5020,HCPCS,TIBIAL TUBERCLE HGT W/ TOE F,,,28,,NW,,,,,,"$3,447.97",$0.00,1,1,1,1,1,1,20210101,
L5050,HCPCS,ANK SYMES MOLD SCKT SACH FT,,,28,,NW,,,,,,"$3,914.43",$0.00,1,1,1,1,1,1,20210101,
L5060,HCPCS,SYMES MET FR LEATH SOCKET AR,,,28,,NW,,,,,,"$4,871.42",$0.00,1,1,1,1,1,1,20210101,
L5100,HCPCS,MOLDED SOCKET SHIN SACH FOOT,,,28,,NW,,,,,,"$3,961.20",$0.00,1,1,1,1,1,1,20210101,
L5105,HCPCS,PLAST SOCKET JTS/THGH LACER,,,28,,NW,,,,,,"$5,933.08",$0.00,1,1,1,1,1,1,20210101,
L5150,HCPCS,MOLD SCKT EXT KNEE SHIN SACH,,,28,,NW,,,,,,"$6,081.35",$0.00,1,1,1,1,1,1,20210101,
L5160,HCPCS,MOLD SOCKET BENT KNEE SHIN S,,,28,,NW,,,,,,"$6,594.19",$0.00,1,1,1,1,1,1,20210101,
L5200,HCPCS,KNE SING AXIS FRIC SHIN SACH,,,28,,NW,,,,,,"$5,609.09",$0.00,1,1,1,1,1,1,20210101,
L5210,HCPCS,NO KNEE/ANKLE JOINTS W/ FT B,,,28,,NW,,,,,,"$4,201.52",$0.00,1,1,1,1,1,1,20210101,
L5220,HCPCS,NO KNEE JOINT WITH ARTIC ALI,,,28,,NW,,,,,,"$4,776.86",$0.00,1,1,1,1,1,1,20210101,
L5230,HCPCS,FEM FOCAL DEFIC CONSTANT FRI,,,28,,NW,,,,,,"$6,552.22",$0.00,1,1,1,1,1,1,20210101,
L5250,HCPCS,HIP CANAD SING AXI CONS FRIC,,,28,,NW,,,,,,"$8,780.62",$0.00,1,1,1,1,1,1,20210101,
L5270,HCPCS,TILT TABLE LOCKING HIP SING,,,28,,NW,,,,,,"$8,831.67",$0.00,1,1,1,1,1,1,20210101,
L5280,HCPCS,HEMIPELVECT CANAD SING AXIS,,,28,,NW,,,,,,"$8,898.68",$0.00,1,1,1,1,1,1,20210101,
L5301,HCPCS,BK MOLD SOCKET SACH FT ENDO,,,28,,NW,,,,,,"$4,057.16",$0.00,1,1,1,1,1,1,20210101,
L5312,HCPCS,"KNEE DISART, SACH FT, ENDO",,,28,,NW,,,,,,"$5,808.09",$0.00,1,1,1,1,1,1,20210101,
L5321,HCPCS,AK OPEN END SACH,,,28,,NW,,,,,,"$5,740.68",$0.00,1,1,1,1,1,1,20210101,
L5331,HCPCS,HIP DISART CANADIAN SACH FT,,,28,,NW,,,,,,"$8,068.85",$0.00,1,1,1,1,1,1,20210101,
L5341,HCPCS,HEMIPELVECTOMY CANADIAN SACH,,,28,,NW,,,,,,"$8,671.62",$0.00,1,1,1,1,1,1,20210101,
L5400,HCPCS,POSTOP DRESS & 1 CAST CHG BK,,,28,,NW,,,,,,"$2,114.96",$0.00,1,1,1,1,1,1,20210101,
L5410,HCPCS,POSTOP DSG BK EA ADD CAST CH,,,28,,NW,,,,,,$680.96,$0.00,1,1,1,1,1,1,20210101,
L5420,HCPCS,POSTOP DSG & 1 CAST CHG AK/D,,,28,,NW,,,,,,"$2,680.33",$0.00,1,1,1,1,1,1,20210101,
L5430,HCPCS,POSTOP DSG AK EA ADD CAST CH,,,28,,NW,,,,,,$864.28,$0.00,1,1,1,1,1,1,20210101,
L5450,HCPCS,POSTOP APP NON-WGT BEAR DSG,,,28,,NW,,,,,,$666.75,$0.00,1,1,1,1,1,1,20210101,
L5460,HCPCS,POSTOP APP NON-WGT BEAR DSG,,,28,,NW,,,,,,$892.09,$0.00,1,1,1,1,1,1,20210101,
L5500,HCPCS,INIT BK PTB PLASTER DIRECT,,,28,,NW,,,,,,"$2,177.88",$0.00,1,1,1,1,1,1,20210101,
L5505,HCPCS,INIT AK ISCHAL PLSTR DIRECT,,,28,,NW,,,,,,"$3,025.57",$0.00,1,1,1,1,1,1,20210101,
L5510,HCPCS,PREP BK PTB PLASTER MOLDED,,,28,,NW,,,,,,"$2,465.73",$0.00,1,1,1,1,1,1,20210101,
L5520,HCPCS,PERP BK PTB THERMOPLS DIRECT,,,28,,NW,,,,,,"$2,512.17",$0.00,1,1,1,1,1,1,20210101,
L5530,HCPCS,PREP BK PTB THERMOPLS MOLDED,,,28,,NW,,,,,,"$2,954.55",$0.00,1,1,1,1,1,1,20210101,
L5535,HCPCS,PREP BK PTB OPEN END SOCKET,,,28,,NW,,,,,,"$2,944.72",$0.00,1,1,1,1,1,1,20210101,
L5540,HCPCS,PREP BK PTB LAMINATED SOCKET,,,28,,NW,,,,,,"$3,100.46",$0.00,1,1,1,1,1,1,20210101,
L5560,HCPCS,PREP AK ISCHIAL PLAST MOLDED,,,28,,NW,,,,,,"$3,356.43",$0.00,1,1,1,1,1,1,20210101,
L5570,HCPCS,PREP AK ISCHIAL DIRECT FORM,,,28,,NW,,,,,,"$3,473.29",$0.00,1,1,1,1,1,1,20210101,
L5580,HCPCS,PREP AK ISCHIAL THERMO MOLD,,,28,,NW,,,,,,"$4,048.97",$0.00,1,1,1,1,1,1,20210101,
L5585,HCPCS,PREP AK ISCHIAL OPEN END,,,28,,NW,,,,,,"$4,356.25",$0.00,1,1,1,1,1,1,20210101,
L5590,HCPCS,PREP AK ISCHIAL LAMINATED,,,28,,NW,,,,,,"$4,173.18",$0.00,1,1,1,1,1,1,20210101,
L5595,HCPCS,HIP DISARTIC SACH THERMOPLS,,,28,,NW,,,,,,"$6,874.97",$0.00,1,1,1,1,1,1,20210101,
L5600,HCPCS,HIP DISART SACH LAMINAT MOLD,,,28,,NW,,,,,,"$7,642.29",$0.00,1,1,1,1,1,1,20210101,
L5610,HCPCS,ABOVE KNEE HYDRACADENCE,,,28,,NW,,,,,,"$3,549.92",$0.00,1,1,1,1,1,1,20210101,
L5611,HCPCS,AK 4 BAR LINK W/FRIC SWING,,,28,,NW,,,,,,"$2,618.01",$0.00,1,1,1,1,1,1,20210101,
L5613,HCPCS,AK 4 BAR LING W/HYDRAUL SWIG,,,28,,NW,,,,,,"$4,062.05",$0.00,1,1,1,1,1,1,20210101,
L5614,HCPCS,4-BAR LINK ABOVE KNEE W/SWNG,,,28,,NW,,,,,,"$2,551.73",$0.00,1,1,1,1,1,1,20210101,
L5616,HCPCS,AK UNIV MULTIPLEX SYS FRICT,,,28,,NW,,,,,,"$2,226.99",$0.00,1,1,1,1,1,1,20210101,
L5617,HCPCS,AK/BK SELF-ALIGNING UNIT EA,,,28,,NW,,,,,,$838.32,$0.00,1,1,1,1,1,1,20210101,
L5618,HCPCS,TEST SOCKET SYMES,,,28,,NW,,,,,,$454.53,$0.00,1,1,1,1,1,1,20210101,
L5620,HCPCS,TEST SOCKET BELOW KNEE,,,28,,NW,,,,,,$447.93,$0.00,1,1,1,1,1,1,20210101,
L5622,HCPCS,TEST SOCKET KNEE DISARTICULA,,,28,,NW,,,,,,$610.53,$0.00,1,1,1,1,1,1,20210101,
L5624,HCPCS,TEST SOCKET ABOVE KNEE,,,28,,NW,,,,,,$605.40,$0.00,1,1,1,1,1,1,20210101,
L5626,HCPCS,TEST SOCKET HIP DISARTICULAT,,,28,,NW,,,,,,$806.07,$0.00,1,1,1,1,1,1,20210101,
L5628,HCPCS,TEST SOCKET HEMIPELVECTOMY,,,28,,NW,,,,,,$812.31,$0.00,1,1,1,1,1,1,20210101,
L5629,HCPCS,BELOW KNEE ACRYLIC SOCKET,,,28,,NW,,,,,,$523.32,$0.00,1,1,1,1,1,1,20210101,
L5630,HCPCS,SYME TYP EXPANDABL WALL SCKT,,,28,,NW,,,,,,$748.03,$0.00,1,1,1,1,1,1,20210101,
L5631,HCPCS,AK/KNEE DISARTIC ACRYLIC SOC,,,28,,NW,,,,,,$726.29,$0.00,1,1,1,1,1,1,20210101,
L5632,HCPCS,SYMES TYPE PTB BRIM DESIGN S,,,28,,NW,,,,,,$358.59,$0.00,1,1,1,1,1,1,20210101,
L5634,HCPCS,SYMES TYPE POSTER OPENING SO,,,28,,NW,,,,,,$502.65,$0.00,1,1,1,1,1,1,20210101,
L5636,HCPCS,SYMES TYPE MEDIAL OPENING SO,,,28,,NW,,,,,,$398.33,$0.00,1,1,1,1,1,1,20210101,
L5637,HCPCS,BELOW KNEE TOTAL CONTACT,,,28,,NW,,,,,,$512.40,$0.00,1,1,1,1,1,1,20210101,
L5638,HCPCS,BELOW KNEE LEATHER SOCKET,,,28,,NW,,,,,,$836.37,$0.00,1,1,1,1,1,1,20210101,
L5639,HCPCS,BELOW KNEE WOOD SOCKET,,,28,,NW,,,,,,"$1,891.63",$0.00,1,1,1,1,1,1,20210101,
L5640,HCPCS,KNEE DISARTICULAT LEATHER SO,,,28,,NW,,,,,,"$1,075.13",$0.00,1,1,1,1,1,1,20210101,
L5642,HCPCS,ABOVE KNEE LEATHER SOCKET,,,28,,NW,,,,,,$986.06,$0.00,1,1,1,1,1,1,20210101,
L5643,HCPCS,HIP FLEX INNER SOCKET EXT FR,,,28,,NW,,,,,,"$2,569.81",$0.00,1,1,1,1,1,1,20210101,
L5644,HCPCS,ABOVE KNEE WOOD SOCKET,,,28,,NW,,,,,,$933.97,$0.00,1,1,1,1,1,1,20210101,
L5645,HCPCS,BK FLEX INNER SOCKET EXT FRA,,,28,,NW,,,,,,"$1,290.15",$0.00,1,1,1,1,1,1,20210101,
L5646,HCPCS,BELOW KNEE CUSHION SOCKET,,,28,,NW,,,,,,$893.43,$0.00,1,1,1,1,1,1,20210101,
L5647,HCPCS,BELOW KNEE SUCTION SOCKET,,,28,,NW,,,,,,"$1,309.74",$0.00,1,1,1,1,1,1,20210101,
L5648,HCPCS,ABOVE KNEE CUSHION SOCKET,,,28,,NW,,,,,,"$1,050.22",$0.00,1,1,1,1,1,1,20210101,
L5649,HCPCS,ISCH CONTAINMT/NARROW M-L SO,,,28,,NW,,,,,,"$3,310.69",$0.00,1,1,1,1,1,1,20210101,
L5650,HCPCS,TOT CONTACT AK/KNEE DISART S,,,28,,NW,,,,,,$818.56,$0.00,1,1,1,1,1,1,20210101,
L5651,HCPCS,AK FLEX INNER SOCKET EXT FRA,,,28,,NW,,,,,,"$1,990.77",$0.00,1,1,1,1,1,1,20210101,
L5652,HCPCS,SUCTION SUSP AK/KNEE DISART,,,28,,NW,,,,,,$677.15,$0.00,1,1,1,1,1,1,20210101,
L5653,HCPCS,KNEE DISART EXPAND WALL SOCK,,,28,,NW,,,,,,$944.65,$0.00,1,1,1,1,1,1,20210101,
L5654,HCPCS,SOCKET INSERT SYMES,,,28,,NW,,,,,,$549.20,$0.00,1,1,1,1,1,1,20210101,
L5655,HCPCS,SOCKET INSERT BELOW KNEE,,,28,,NW,,,,,,$449.54,$0.00,1,1,1,1,1,1,20210101,
L5656,HCPCS,SOCKET INSERT KNEE ARTICULAT,,,28,,NW,,,,,,$628.37,$0.00,1,1,1,1,1,1,20210101,
L5658,HCPCS,SOCKET INSERT ABOVE KNEE,,,28,,NW,,,,,,$593.11,$0.00,1,1,1,1,1,1,20210101,
L5661,HCPCS,MULTI-DUROMETER SYMES,,,28,,NW,,,,,,$985.26,$0.00,1,1,1,1,1,1,20210101,
L5665,HCPCS,MULTI-DUROMETER BELOW KNEE,,,28,,NW,,,,,,$851.94,$0.00,1,1,1,1,1,1,20210101,
L5666,HCPCS,BELOW KNEE CUFF SUSPENSION,,,28,,NW,,,,,,$104.97,$0.00,1,1,1,1,1,1,20210101,
L5668,HCPCS,BK MOLDED DISTAL CUSHION,,,28,,NW,,,,,,$161.38,$0.00,1,1,1,1,1,1,20210101,
L5670,HCPCS,BK MOLDED SUPRACONDYLAR SUSP,,,28,,NW,,,,,,$447.34,$0.00,1,1,1,1,1,1,20210101,
L5671,HCPCS,BK/AK LOCKING MECHANISM,,,28,,NW,,,,,,$851.34,$0.00,1,1,1,1,1,1,20210101,
L5672,HCPCS,BK REMOVABLE MEDIAL BRIM SUS,,,28,,NW,,,,,,$479.58,$0.00,1,1,1,1,1,1,20210101,
L5673,HCPCS,SOCKET INSERT W LOCK MECH,,,28,,NW,,,,,,"$1,112.62",$0.00,1,1,1,1,1,1,20210101,
L5676,HCPCS,BK KNEE JOINTS SINGLE AXIS P,,,28,,NW,,,,,,$600.68,$0.00,1,1,1,1,1,1,20210101,
L5677,HCPCS,BK KNEE JOINTS POLYCENTRIC P,,,28,,NW,,,,,,$834.59,$0.00,1,1,1,1,1,1,20210101,
L5678,HCPCS,BK JOINT COVERS PAIR,,,28,,NW,,,,,,$50.70,$0.00,1,1,1,1,1,1,20210101,
L5679,HCPCS,SOCKET INSERT W/O LOCK MECH,,,28,,NW,,,,,,$924.36,$0.00,1,1,1,1,1,1,20210101,
L5680,HCPCS,BK THIGH LACER NON-MOLDED,,,28,,NW,,,,,,$493.11,$0.00,1,1,1,1,1,1,20210101,
L5681,HCPCS,INTL CUSTM CONG/LATYP INSERT,,,28,,NW,,,,,,"$1,984.77",$0.00,1,1,1,1,1,1,20210101,
L5682,HCPCS,BK THIGH LACER GLUT/ISCHIA M,,,28,,NW,,,,,,"$1,010.26",$0.00,1,1,1,1,1,1,20210101,
L5683,HCPCS,INITIAL CUSTOM SOCKET INSERT,,,28,,NW,,,,,,"$1,984.77",$0.00,1,1,1,1,1,1,20210101,
L5684,HCPCS,BK FORK STRAP,,,28,,NW,,,,,,$64.07,$0.00,1,1,1,1,1,1,20210101,
L5685,HCPCS,BELOW KNEE SUS/SEAL SLEEVE,,,28,,NW,,,,,,$178.13,$0.00,1,1,1,1,1,1,20210101,
L5686,HCPCS,BK BACK CHECK,,,28,,NW,,,,,,$72.43,$0.00,1,1,1,1,1,1,20210101,
L5688,HCPCS,BK WAIST BELT WEBBING,,,28,,NW,,,,,,$89.10,$0.00,1,1,1,1,1,1,20210101,
L5690,HCPCS,BK WAIST BELT PADDED AND LIN,,,28,,NW,,,,,,$155.51,$0.00,1,1,1,1,1,1,20210101,
L5692,HCPCS,AK PELVIC CONTROL BELT LIGHT,,,28,,NW,,,,,,$209.92,$0.00,1,1,1,1,1,1,20210101,
L5694,HCPCS,AK PELVIC CONTROL BELT PAD/L,,,28,,NW,,,,,,$293.90,$0.00,1,1,1,1,1,1,20210101,
L5695,HCPCS,AK SLEEVE SUSP NEOPRENE/EQUA,,,28,,NW,,,,,,$266.20,$0.00,1,1,1,1,1,1,20210101,
L5696,HCPCS,AK/KNEE DISARTIC PELVIC JOIN,,,28,,NW,,,,,,$303.31,$0.00,1,1,1,1,1,1,20210101,
L5697,HCPCS,AK/KNEE DISARTIC PELVIC BAND,,,28,,NW,,,,,,$119.81,$0.00,1,1,1,1,1,1,20210101,
L5698,HCPCS,AK/KNEE DISARTIC SILESIAN BA,,,28,,NW,,,,,,$172.53,$0.00,1,1,1,1,1,1,20210101,
L5699,HCPCS,SHOULDER HARNESS,,,28,,NW,,,,,,$311.08,$0.00,1,1,1,1,1,1,20210101,
L5700,HCPCS,REPLACE SOCKET BELOW KNEE,,,28,,NW,,,,,,"$4,660.06",$0.00,1,1,1,1,1,1,20210101,
L5701,HCPCS,REPLACE SOCKET ABOVE KNEE,,,28,,NW,,,,,,"$5,724.71",$0.00,1,1,1,1,1,1,20210101,
L5702,HCPCS,REPLACE SOCKET HIP,,,28,,NW,,,,,,"$7,315.10",$0.00,1,1,1,1,1,1,20210101,
L5703,HCPCS,SYMES ANKLE W/O (SACH) FOOT,,,28,,NW,,,,,,"$3,597.71",$0.00,1,1,1,1,1,1,20210101,
L5704,HCPCS,CUSTOM SHAPE COVER BK,,,28,,NW,,,,,,$871.47,$0.00,1,1,1,1,1,1,20210101,
L5705,HCPCS,CUSTOM SHAPE COVER AK,,,28,,NW,,,,,,"$1,553.11",$0.00,1,1,1,1,1,1,20210101,
L5706,HCPCS,CUSTOM SHAPE CVR KNEE DISART,,,28,,NW,,,,,,"$1,522.98",$0.00,1,1,1,1,1,1,20210101,
L5707,HCPCS,CUSTOM SHAPE CVR HIP DISART,,,28,,NW,,,,,,"$2,068.51",$0.00,1,1,1,1,1,1,20210101,
L5710,HCPCS,KNE-SHIN EXO SNG AXI MNL LOC,,,28,,NW,,,,,,$596.53,$0.00,1,1,1,1,1,1,20210101,
L5711,HCPCS,KNEE-SHIN EXO MNL LOCK ULTRA,,,28,,NW,,,,,,$874.64,$0.00,1,1,1,1,1,1,20210101,
L5712,HCPCS,KNEE-SHIN EXO FRICT SWG & ST,,,28,,NW,,,,,,$725.86,$0.00,1,1,1,1,1,1,20210101,
L5714,HCPCS,KNEE-SHIN EXO VARIABLE FRICT,,,28,,NW,,,,,,$684.21,$0.00,1,1,1,1,1,1,20210101,
L5716,HCPCS,KNEE-SHIN EXO MECH STANCE PH,,,28,,NW,,,,,,"$1,234.62",$0.00,1,1,1,1,1,1,20210101,
L5718,HCPCS,KNEE-SHIN EXO FRCT SWG & STA,,,28,,NW,,,,,,"$1,493.86",$0.00,1,1,1,1,1,1,20210101,
L5722,HCPCS,KNEE-SHIN PNEUM SWG FRCT EXO,,,28,,NW,,,,,,"$1,518.48",$0.00,1,1,1,1,1,1,20210101,
L5724,HCPCS,KNEE-SHIN EXO FLUID SWING PH,,,28,,NW,,,,,,"$2,633.51",$0.00,1,1,1,1,1,1,20210101,
L5726,HCPCS,KNEE-SHIN EXT JNTS FLD SWG E,,,28,,NW,,,,,,"$2,978.88",$0.00,1,1,1,1,1,1,20210101,
L5728,HCPCS,KNEE-SHIN FLUID SWG & STANCE,,,28,,NW,,,,,,"$3,982.68",$0.00,1,1,1,1,1,1,20210101,
L5780,HCPCS,KNEE-SHIN PNEUM/HYDRA PNEUM,,,28,,NW,,,,,,"$1,933.86",$0.00,1,1,1,1,1,1,20210101,
L5781,HCPCS,LOWER LIMB PROS VACUUM PUMP,,,28,,NW,,,,,,"$6,071.09",$0.00,1,1,1,1,1,1,20210101,
L5782,HCPCS,HD LOW LIMB PROS VACUUM PUMP,,,28,,NW,,,,,,"$6,401.20",$0.00,1,1,1,1,1,1,20210101,
L5785,HCPCS,EXOSKELETAL BK ULTRALT MATER,,,28,,NW,,,,,,$852.57,$0.00,1,1,1,1,1,1,20210101,
L5790,HCPCS,EXOSKELETAL AK ULTRA-LIGHT M,,,28,,NW,,,,,,"$1,189.05",$0.00,1,1,1,1,1,1,20210101,
L5795,HCPCS,EXOSKEL HIP ULTRA-LIGHT MATE,,,28,,NW,,,,,,"$1,837.19",$0.00,1,1,1,1,1,1,20210101,
L5810,HCPCS,ENDOSKEL KNEE-SHIN MNL LOCK,,,28,,NW,,,,,,$817.60,$0.00,1,1,1,1,1,1,20210101,
L5811,HCPCS,ENDO KNEE-SHIN MNL LCK ULTRA,,,28,,NW,,,,,,"$1,213.60",$0.00,1,1,1,1,1,1,20210101,
L5812,HCPCS,ENDO KNEE-SHIN FRCT SWG & ST,,,28,,NW,,,,,,$930.77,$0.00,1,1,1,1,1,1,20210101,
L5814,HCPCS,ENDO KNEE-SHIN HYDRAL SWG PH,,,28,,NW,,,,,,"$5,636.13",$0.00,1,1,1,1,1,1,20210101,
L5816,HCPCS,ENDO KNEE-SHIN POLYC MCH STA,,,28,,NW,,,,,,"$1,388.54",$0.00,1,1,1,1,1,1,20210101,
L5818,HCPCS,ENDO KNEE-SHIN FRCT SWG & ST,,,28,,NW,,,,,,"$1,586.98",$0.00,1,1,1,1,1,1,20210101,
L5822,HCPCS,ENDO KNEE-SHIN PNEUM SWG FRC,,,28,,NW,,,,,,"$2,723.54",$0.00,1,1,1,1,1,1,20210101,
L5824,HCPCS,ENDO KNEE-SHIN FLUID SWING P,,,28,,NW,,,,,,"$2,627.42",$0.00,1,1,1,1,1,1,20210101,
L5826,HCPCS,MINIATURE KNEE JOINT,,,28,,NW,,,,,,"$4,759.60",$0.00,1,1,1,1,1,1,20210101,
L5828,HCPCS,ENDO KNEE-SHIN FLUID SWG/STA,,,28,,NW,,,,,,"$4,730.60",$0.00,1,1,1,1,1,1,20210101,
L5830,HCPCS,ENDO KNEE-SHIN PNEUM/SWG PHA,,,28,,NW,,,,,,"$3,224.42",$0.00,1,1,1,1,1,1,20210101,
L5840,HCPCS,MULTI-AXIAL KNEE/SHIN SYSTEM,,,28,,NW,,,,,,"$5,696.41",$0.00,1,1,1,1,1,1,20210101,
L5845,HCPCS,KNEE-SHIN SYS STANCE FLEXION,,,28,,NW,,,,,,"$2,710.36",$0.00,1,1,1,1,1,1,20210101,
L5848,HCPCS,KNEE-SHIN SYS HYDRAUL STANCE,,,28,,NW,,,,,,"$1,619.35",$0.00,1,1,1,1,1,1,20210101,
L5850,HCPCS,ENDO AK/HIP KNEE EXTENS ASSI,,,28,,NW,,,,,,$189.39,$0.00,1,1,1,1,1,1,20210101,
L5855,HCPCS,MECH HIP EXTENSION ASSIST,,,28,,NW,,,,,,$513.46,$0.00,1,1,1,1,1,1,20210101,
L5856,HCPCS,ELEC KNEE-SHIN SWING/STANCE,,,28,,NW,,,,,,"$36,545.13",$0.00,1,1,1,1,1,1,20210101,
L5857,HCPCS,ELEC KNEE-SHIN SWING ONLY,,,28,,NW,,,,,,"$12,980.44",$0.00,1,1,1,1,1,1,20210101,
L5858,HCPCS,STANCE PHASE ONLY,,,28,,NW,,,,,,"$28,260.87",$0.00,1,1,1,1,1,1,20210101,
L5859,HCPCS,KNEE-SHIN PRO FLEX/EXT CONT,,,28,,NW,,,,,,"$22,111.18",$0.00,1,1,1,1,1,1,20210101,
L5910,HCPCS,ENDO BELOW KNEE ALIGNABLE SY,,,28,,NW,,,,,,$578.06,$0.00,1,1,1,1,1,1,20210101,
L5920,HCPCS,ENDO AK/HIP ALIGNABLE SYSTEM,,,28,,NW,,,,,,$849.18,$0.00,1,1,1,1,1,1,20210101,
L5925,HCPCS,ABOVE KNEE MANUAL LOCK,,,28,,NW,,,,,,$594.90,$0.00,1,1,1,1,1,1,20210101,
L5930,HCPCS,HIGH ACTIVITY KNEE FRAME,,,28,,NW,,,,,,"$5,127.29",$0.00,1,1,1,1,1,1,20210101,
L5940,HCPCS,ENDO BK ULTRA-LIGHT MATERIAL,,,28,,NW,,,,,,$820.13,$0.00,1,1,1,1,1,1,20210101,
L5950,HCPCS,ENDO AK ULTRA-LIGHT MATERIAL,,,28,,NW,,,,,,"$1,271.20",$0.00,1,1,1,1,1,1,20210101,
L5960,HCPCS,ENDO HIP ULTRA-LIGHT MATERIA,,,28,,NW,,,,,,"$1,635.38",$0.00,1,1,1,1,1,1,20210101,
L5961,HCPCS,"ENDO POLY HIP, PNEU/HYD/ROT",,,28,,NW,,,,,,"$7,212.36",$0.00,1,1,1,1,1,1,20210101,
L5962,HCPCS,BELOW KNEE FLEX COVER SYSTEM,,,28,,NW,,,,,,$980.92,$0.00,1,1,1,1,1,1,20210101,
L5964,HCPCS,ABOVE KNEE FLEX COVER SYSTEM,,,28,,NW,,,,,,"$1,574.80",$0.00,1,1,1,1,1,1,20210101,
L5966,HCPCS,HIP FLEXIBLE COVER SYSTEM,,,28,,NW,,,,,,"$2,028.94",$0.00,1,1,1,1,1,1,20210101,
L5968,HCPCS,MULTIAXIAL ANKLE W DORSIFLEX,,,28,,NW,,,,,,"$5,514.01",$0.00,1,1,1,1,1,1,20210101,
L5969,HCPCS,AK/FT POWER ASST INCL MOTORS,,,28,,NW,,,,,,"$19,046.19",$0.00,1,1,1,1,1,1,20210101,
L5970,HCPCS,FOOT EXTERNAL KEEL SACH FOOT,,,28,,NW,,,,,,$325.17,$0.00,1,1,1,1,1,1,20210101,
L5971,HCPCS,"SACH FOOT, REPLACEMENT",,,28,,NW,,,,,,$325.17,$0.00,1,1,1,1,1,1,20210101,
L5972,HCPCS,FLEXIBLE KEEL FOOT,,,28,,NW,,,,,,$595.14,$0.00,1,1,1,1,1,1,20210101,
L5973,HCPCS,ANK-FOOT SYS DORS-PLANT FLEX,,,28,,NW,,,,,,"$26,518.04",$0.00,1,1,1,1,1,1,20210101,
L5974,HCPCS,FOOT SINGLE AXIS ANKLE/FOOT,,,28,,NW,,,,,,$384.81,$0.00,1,1,1,1,1,1,20210101,
L5975,HCPCS,COMBO ANKLE/FOOT PROSTHESIS,,,28,,NW,,,,,,$688.83,$0.00,1,1,1,1,1,1,20210101,
L5976,HCPCS,ENERGY STORING FOOT,,,28,,NW,,,,,,$939.58,$0.00,1,1,1,1,1,1,20210101,
L5978,HCPCS,FT PROSTH MULTIAXIAL ANKL/FT,,,28,,NW,,,,,,$481.25,$0.00,1,1,1,1,1,1,20210101,
L5979,HCPCS,MULTI-AXIAL ANKLE/FT PROSTH,,,28,,NW,,,,,,"$3,821.23",$0.00,1,1,1,1,1,1,20210101,
L5980,HCPCS,FLEX FOOT SYSTEM,,,28,,NW,,,,,,"$6,153.58",$0.00,1,1,1,1,1,1,20210101,
L5981,HCPCS,FLEX-WALK SYS LOW EXT PROSTH,,,28,,NW,,,,,,"$4,844.76",$0.00,1,1,1,1,1,1,20210101,
L5982,HCPCS,EXOSKELETAL AXIAL ROTATION U,,,28,,NW,,,,,,$974.31,$0.00,1,1,1,1,1,1,20210101,
L5984,HCPCS,ENDOSKELETAL AXIAL ROTATION,,,28,,NW,,,,,,$960.39,$0.00,1,1,1,1,1,1,20210101,
L5985,HCPCS,LWR EXT DYNAMIC PROSTH PYLON,,,28,,NW,,,,,,$414.81,$0.00,1,1,1,1,1,1,20210101,
L5986,HCPCS,MULTI-AXIAL ROTATION UNIT,,,28,,NW,,,,,,"$1,066.65",$0.00,1,1,1,1,1,1,20210101,
L5987,HCPCS,SHANK FT W VERT LOAD PYLON,,,28,,NW,,,,,,"$10,932.86",$0.00,1,1,1,1,1,1,20210101,
L5988,HCPCS,VERTICAL SHOCK REDUCING PYLO,,,28,,NW,,,,,,"$3,023.71",$0.00,1,1,1,1,1,1,20210101,
L5990,HCPCS,USER ADJUSTABLE HEEL HEIGHT,,,28,,NW,,,,,,"$2,743.58",$0.00,1,1,1,1,1,1,20210101,
L5999,HCPCS,LOWR EXTREMITY PROSTHES NOS,,,28,,NW,,,,,,"$2,174.15",$0.00,1,1,1,1,1,1,20210101,
L6000,HCPCS,PART HAND THUMB REM,,,28,,NW,,,,,,"$2,312.47",$0.00,1,1,1,1,1,1,20210101,
L6010,HCPCS,PART HAND LITTLE/RING,,,28,,NW,,,,,,"$2,558.04",$0.00,1,1,1,1,1,1,20210101,
L6020,HCPCS,PART HAND NO FINGERS,,,28,,NW,,,,,,"$2,390.54",$0.00,1,1,1,1,1,1,20210101,
L6026,HCPCS,PART HAND MYO EXCLU TERM DEV,,,28,,NW,,,,,,"$6,753.04",$0.00,1,1,1,1,1,1,20210101,
L6050,HCPCS,WRST MLD SCK FLX HNG TRI PAD,,,28,,NW,,,,,,"$3,349.40",$0.00,1,1,1,1,1,1,20210101,
L6055,HCPCS,WRST MOLD SOCK W/EXP INTERFA,,,28,,NW,,,,,,"$4,521.37",$0.00,1,1,1,1,1,1,20210101,
L6100,HCPCS,ELB MOLD SOCK FLEX HINGE PAD,,,28,,NW,,,,,,"$3,348.15",$0.00,1,1,1,1,1,1,20210101,
L6110,HCPCS,ELBOW MOLD SOCK SUSPENSION T,,,28,,NW,,,,,,"$3,647.76",$0.00,1,1,1,1,1,1,20210101,
L6120,HCPCS,ELBOW MOLD DOUB SPLT SOC STE,,,28,,NW,,,,,,"$4,193.60",$0.00,1,1,1,1,1,1,20210101,
L6130,HCPCS,ELBOW STUMP ACTIVATED LOCK H,,,28,,NW,,,,,,"$4,485.48",$0.00,1,1,1,1,1,1,20210101,
L6200,HCPCS,ELBOW MOLD OUTSID LOCK HINGE,,,28,,NW,,,,,,"$4,714.85",$0.00,1,1,1,1,1,1,20210101,
L6205,HCPCS,ELBOW MOLDED W/ EXPAND INTER,,,28,,NW,,,,,,"$6,277.67",$0.00,1,1,1,1,1,1,20210101,
L6250,HCPCS,ELBOW INTER LOC ELBOW FORARM,,,28,,NW,,,,,,"$4,682.31",$0.00,1,1,1,1,1,1,20210101,
L6300,HCPCS,SHLDER DISART INT LOCK ELBOW,,,28,,NW,,,,,,"$6,476.35",$0.00,1,1,1,1,1,1,20210101,
L6310,HCPCS,SHOULDER PASSIVE RESTOR COMP,,,28,,NW,,,,,,"$5,303.22",$0.00,1,1,1,1,1,1,20210101,
L6320,HCPCS,SHOULDER PASSIVE RESTOR CAP,,,28,,NW,,,,,,"$2,918.31",$0.00,1,1,1,1,1,1,20210101,
L6350,HCPCS,THORACIC INTERN LOCK ELBOW,,,28,,NW,,,,,,"$6,833.77",$0.00,1,1,1,1,1,1,20210101,
L6360,HCPCS,THORACIC PASSIVE RESTOR COMP,,,28,,NW,,,,,,"$5,535.15",$0.00,1,1,1,1,1,1,20210101,
L6370,HCPCS,THORACIC PASSIVE RESTOR CAP,,,28,,NW,,,,,,"$3,571.88",$0.00,1,1,1,1,1,1,20210101,
L6380,HCPCS,POSTOP DSG CAST CHG WRST/ELB,,,28,,NW,,,,,,"$1,975.25",$0.00,1,1,1,1,1,1,20210101,
L6382,HCPCS,POSTOP DSG CAST CHG ELB DIS/,,,28,,NW,,,,,,"$2,565.13",$0.00,1,1,1,1,1,1,20210101,
L6384,HCPCS,POSTOP DSG CAST CHG SHLDER/T,,,28,,NW,,,,,,"$3,327.13",$0.00,1,1,1,1,1,1,20210101,
L6386,HCPCS,POSTOP EA CAST CHG & REALIGN,,,28,,NW,,,,,,$693.32,$0.00,1,1,1,1,1,1,20210101,
L6388,HCPCS,POSTOP APPLICAT RIGID DSG ON,,,28,,NW,,,,,,$728.45,$0.00,1,1,1,1,1,1,20210101,
L6400,HCPCS,BELOW ELBOW PROSTH TISS SHAP,,,28,,NW,,,,,,"$3,953.04",$0.00,1,1,1,1,1,1,20210101,
L6450,HCPCS,ELB DISART PROSTH TISS SHAP,,,28,,NW,,,,,,"$5,143.26",$0.00,1,1,1,1,1,1,20210101,
L6500,HCPCS,ABOVE ELBOW PROSTH TISS SHAP,,,28,,NW,,,,,,"$5,092.04",$0.00,1,1,1,1,1,1,20210101,
L6550,HCPCS,SHLDR DISAR PROSTH TISS SHAP,,,28,,NW,,,,,,"$6,458.06",$0.00,1,1,1,1,1,1,20210101,
L6570,HCPCS,SCAP THORAC PROSTH TISS SHAP,,,28,,NW,,,,,,"$7,435.80",$0.00,1,1,1,1,1,1,20210101,
L6580,HCPCS,WRIST/ELBOW BOWDEN CABLE MOL,,,28,,NW,,,,,,"$2,637.07",$0.00,1,1,1,1,1,1,20210101,
L6582,HCPCS,WRIST/ELBOW BOWDEN CBL DIR F,,,28,,NW,,,,,,"$2,275.79",$0.00,1,1,1,1,1,1,20210101,
L6584,HCPCS,ELBOW FAIR LEAD CABLE MOLDED,,,28,,NW,,,,,,"$3,494.71",$0.00,1,1,1,1,1,1,20210101,
L6586,HCPCS,ELBOW FAIR LEAD CABLE DIR FO,,,28,,NW,,,,,,"$3,170.25",$0.00,1,1,1,1,1,1,20210101,
L6588,HCPCS,SHDR FAIR LEAD CABLE MOLDED,,,28,,NW,,,,,,"$4,814.80",$0.00,1,1,1,1,1,1,20210101,
L6590,HCPCS,SHDR FAIR LEAD CABLE DIRECT,,,28,,NW,,,,,,"$4,411.47",$0.00,1,1,1,1,1,1,20210101,
L6600,HCPCS,POLYCENTRIC HINGE PAIR,,,28,,NW,,,,,,$316.41,$0.00,1,1,1,1,1,1,20210101,
L6605,HCPCS,SINGLE PIVOT HINGE PAIR,,,28,,NW,,,,,,$312.48,$0.00,1,1,1,1,1,1,20210101,
L6610,HCPCS,FLEXIBLE METAL HINGE PAIR,,,28,,NW,,,,,,$275.80,$0.00,1,1,1,1,1,1,20210101,
L6611,HCPCS,"ADDITIONAL SWITCH, EXT POWER",,,28,,NW,,,,,,$609.69,$0.00,1,1,1,1,1,1,20210101,
L6615,HCPCS,DISCONNECT LOCKING WRIST UNI,,,28,,NW,,,,,,$280.77,$0.00,1,1,1,1,1,1,20210101,
L6616,HCPCS,DISCONNECT INSERT LOCKING WR,,,28,,NW,,,,,,$93.32,$0.00,1,1,1,1,1,1,20210101,
L6620,HCPCS,FLEXION/EXTENSION WRIST UNIT,,,28,,NW,,,,,,$501.86,$0.00,1,1,1,1,1,1,20210101,
L6621,HCPCS,FLEX/EXT WRIST W/WO FRICTION,,,28,,NW,,,,,,"$3,463.41",$0.00,1,1,1,1,1,1,20210101,
L6623,HCPCS,SPRING-ASS ROT WRST W/ LATCH,,,28,,NW,,,,,,"$1,082.50",$0.00,1,1,1,1,1,1,20210101,
L6624,HCPCS,FLEX/EXT/ROTATION WRIST UNIT,,,28,,NW,,,,,,"$5,713.40",$0.00,1,1,1,1,1,1,20210101,
L6625,HCPCS,ROTATION WRST W/ CABLE LOCK,,,28,,NW,,,,,,$909.75,$0.00,1,1,1,1,1,1,20210101,
L6628,HCPCS,QUICK DISCONN HOOK ADAPTER O,,,28,,NW,,,,,,$779.76,$0.00,1,1,1,1,1,1,20210101,
L6629,HCPCS,LAMINATION COLLAR W/ COUPLIN,,,28,,NW,,,,,,$236.97,$0.00,1,1,1,1,1,1,20210101,
L6630,HCPCS,STAINLESS STEEL ANY WRIST,,,28,,NW,,,,,,$346.89,$0.00,1,1,1,1,1,1,20210101,
L6632,HCPCS,LATEX SUSPENSION SLEEVE EACH,,,28,,NW,,,,,,$88.36,$0.00,1,1,1,1,1,1,20210101,
L6635,HCPCS,LIFT ASSIST FOR ELBOW,,,28,,NW,,,,,,$292.23,$0.00,1,1,1,1,1,1,20210101,
L6637,HCPCS,NUDGE CONTROL ELBOW LOCK,,,28,,NW,,,,,,$601.66,$0.00,1,1,1,1,1,1,20210101,
L6638,HCPCS,ELEC LOCK ON MANUAL PW ELBOW,,,28,,NW,,,,,,"$3,788.15",$0.00,1,1,1,1,1,1,20210101,
L6640,HCPCS,SHOULDER ABDUCTION JOINT PAI,,,28,,NW,,,,,,$474.55,$0.00,1,1,1,1,1,1,20210101,
L6641,HCPCS,EXCURSION AMPLIFIER PULLEY T,,,28,,NW,,,,,,$269.93,$0.00,1,1,1,1,1,1,20210101,
L6642,HCPCS,EXCURSION AMPLIFIER LEVER TY,,,28,,NW,,,,,,$372.69,$0.00,1,1,1,1,1,1,20210101,
L6645,HCPCS,SHOULDER FLEXION-ABDUCTION J,,,28,,NW,,,,,,$554.86,$0.00,1,1,1,1,1,1,20210101,
L6646,HCPCS,MULTIPO LOCKING SHOULDER JNT,,,28,,NW,,,,,,"$4,782.09",$0.00,1,1,1,1,1,1,20210101,
L6647,HCPCS,SHOULDER LOCK ACTUATOR,,,28,,NW,,,,,,$773.27,$0.00,1,1,1,1,1,1,20210101,
L6648,HCPCS,EXT PWRD SHLDER LOCK/UNLOCK,,,28,,NW,,,,,,"$4,932.56",$0.00,1,1,1,1,1,1,20210101,
L6650,HCPCS,SHOULDER UNIVERSAL JOINT,,,28,,NW,,,,,,$589.62,$0.00,1,1,1,1,1,1,20210101,
L6655,HCPCS,STANDARD CONTROL CABLE EXTRA,,,28,,NW,,,,,,$113.19,$0.00,1,1,1,1,1,1,20210101,
L6660,HCPCS,HEAVY DUTY CONTROL CABLE,,,28,,NW,,,,,,$139.72,$0.00,1,1,1,1,1,1,20210101,
L6665,HCPCS,TEFLON OR EQUAL CABLE LINING,,,28,,NW,,,,,,$59.78,$0.00,1,1,1,1,1,1,20210101,
L6670,HCPCS,HOOK TO HAND CABLE ADAPTER,,,28,,NW,,,,,,$66.94,$0.00,1,1,1,1,1,1,20210101,
L6672,HCPCS,HARNESS CHEST/SHLDER SADDLE,,,28,,NW,,,,,,$288.56,$0.00,1,1,1,1,1,1,20210101,
L6675,HCPCS,HARNESS FIGURE OF 8 SING CON,,,28,,NW,,,,,,$179.96,$0.00,1,1,1,1,1,1,20210101,
L6676,HCPCS,HARNESS FIGURE OF 8 DUAL CON,,,28,,NW,,,,,,$193.34,$0.00,1,1,1,1,1,1,20210101,
L6677,HCPCS,UE TRIPLE CONTROL HARNESS,,,28,,NW,,,,,,$434.61,$0.00,1,1,1,1,1,1,20210101,
L6680,HCPCS,TEST SOCK WRIST DISART/BEL E,,,28,,NW,,,,,,$400.31,$0.00,1,1,1,1,1,1,20210101,
L6682,HCPCS,TEST SOCK ELBW DISART/ABOVE,,,28,,NW,,,,,,$432.84,$0.00,1,1,1,1,1,1,20210101,
L6684,HCPCS,TEST SOCKET SHLDR DISART/THO,,,28,,NW,,,,,,$600.55,$0.00,1,1,1,1,1,1,20210101,
L6686,HCPCS,SUCTION SOCKET,,,28,,NW,,,,,,"$1,058.96",$0.00,1,1,1,1,1,1,20210101,
L6687,HCPCS,FRAME TYP SOCKET BEL ELBOW/W,,,28,,NW,,,,,,$879.00,$0.00,1,1,1,1,1,1,20210101,
L6688,HCPCS,FRAME TYP SOCK ABOVE ELB/DIS,,,28,,NW,,,,,,$907.45,$0.00,1,1,1,1,1,1,20210101,
L6689,HCPCS,FRAME TYP SOCKET SHOULDER DI,,,28,,NW,,,,,,"$1,115.28",$0.00,1,1,1,1,1,1,20210101,
L6690,HCPCS,FRAME TYP SOCK INTERSCAP-THO,,,28,,NW,,,,,,"$1,194.47",$0.00,1,1,1,1,1,1,20210101,
L6691,HCPCS,REMOVABLE INSERT EACH,,,28,,NW,,,,,,$572.85,$0.00,1,1,1,1,1,1,20210101,
L6692,HCPCS,SILICONE GEL INSERT OR EQUAL,,,28,,NW,,,,,,$941.96,$0.00,1,1,1,1,1,1,20210101,
L6693,HCPCS,LOCKINGELBOW FOREARM CNTRBAL,,,28,,NW,,,,,,"$4,304.15",$0.00,1,1,1,1,1,1,20210101,
L6694,HCPCS,ELBOW SOCKET INS USE W/LOCK,,,28,,NW,,,,,,"$1,112.62",$0.00,1,1,1,1,1,1,20210101,
L6695,HCPCS,ELBOW SOCKET INS USE W/O LCK,,,28,,NW,,,,,,$924.36,$0.00,1,1,1,1,1,1,20210101,
L6696,HCPCS,CUS ELBO SKT IN FOR CON/ATYP,,,28,,NW,,,,,,"$1,984.77",$0.00,1,1,1,1,1,1,20210101,
L6697,HCPCS,CUS ELBO SKT IN NOT CON/ATYP,,,28,,NW,,,,,,"$1,984.77",$0.00,1,1,1,1,1,1,20210101,
L6698,HCPCS,BELOW/ABOVE ELBOW LOCK MECH,,,28,,NW,,,,,,$851.34,$0.00,1,1,1,1,1,1,20210101,
L6703,HCPCS,"TERM DEV, PASSIVE HAND MITT",,,28,,NW,,,,,,$534.87,$0.00,1,1,1,1,1,1,20210101,
L6704,HCPCS,"TERM DEV, SPORT/REC/WORK ATT",,,28,,NW,,,,,,$991.96,$0.00,1,1,1,1,1,1,20210101,
L6706,HCPCS,TERM DEV MECH HOOK VOL OPEN,,,28,,NW,,,,,,$578.04,$0.00,1,1,1,1,1,1,20210101,
L6707,HCPCS,TERM DEV MECH HOOK VOL CLOSE,,,28,,NW,,,,,,"$2,183.73",$0.00,1,1,1,1,1,1,20210101,
L6708,HCPCS,TERM DEV MECH HAND VOL OPEN,,,28,,NW,,,,,,"$1,426.86",$0.00,1,1,1,1,1,1,20210101,
L6709,HCPCS,TERM DEV MECH HAND VOL CLOSE,,,28,,NW,,,,,,"$2,072.48",$0.00,1,1,1,1,1,1,20210101,
L6711,HCPCS,"PED TERM DEV, HOOK, VOL OPEN",,,28,,NW,,,,,,"$1,006.17",$0.00,1,1,1,1,1,1,20210101,
L6712,HCPCS,"PED TERM DEV, HOOK, VOL CLOS",,,28,,NW,,,,,,"$1,866.68",$0.00,1,1,1,1,1,1,20210101,
L6713,HCPCS,"PED TERM DEV, HAND, VOL OPEN",,,28,,NW,,,,,,"$2,360.31",$0.00,1,1,1,1,1,1,20210101,
L6714,HCPCS,"PED TERM DEV, HAND, VOL CLOS",,,28,,NW,,,,,,"$1,996.62",$0.00,1,1,1,1,1,1,20210101,
L6715,HCPCS,"TERM DEVICE, MULTI ART DIGIT",,,28,,NW,,,,,,"$4,787.20",$0.00,1,1,1,1,1,1,20210101,
L6721,HCPCS,"HOOK/HAND, HVY DTY, VOL OPEN",,,28,,NW,,,,,,"$3,561.78",$0.00,1,1,1,1,1,1,20210101,
L6722,HCPCS,"HOOK/HAND, HVY DTY, VOL CLOS",,,28,,NW,,,,,,"$3,068.21",$0.00,1,1,1,1,1,1,20210101,
L6805,HCPCS,TERM DEV MODIFIER WRIST UNIT,,,28,,NW,,,,,,$572.19,$0.00,1,1,1,1,1,1,20210101,
L6810,HCPCS,TERM DEV PRECISION PINCH DEV,,,28,,NW,,,,,,$297.62,$0.00,1,1,1,1,1,1,20210101,
L6880,HCPCS,ELEC HAND IND ART DIGITS,,,28,,NW,,,,,,"$36,338.41",$0.00,1,1,1,1,1,1,20210101,
L6881,HCPCS,TERM DEV AUTO GRASP FEATURE,,,28,,NW,,,,,,"$6,203.55",$0.00,1,1,1,1,1,1,20210101,
L6882,HCPCS,MICROPROCESSOR CONTROL UPLMB,,,28,,NW,,,,,,"$4,701.66",$0.00,1,1,1,1,1,1,20210101,
L6883,HCPCS,REPLC SOCKT BELOW E/W DISA,,,28,,NW,,,,,,"$2,725.45",$0.00,1,1,1,1,1,1,20210101,
L6884,HCPCS,REPLC SOCKT ABOVE ELBOW DISA,,,28,,NW,,,,,,"$3,901.98",$0.00,1,1,1,1,1,1,20210101,
L6885,HCPCS,REPLC SOCKT SHLDR DIS/INTERC,,,28,,NW,,,,,,"$5,535.15",$0.00,1,1,1,1,1,1,20210101,
L6890,HCPCS,PREFAB GLOVE FOR TERM DEVICE,,,28,,NW,,,,,,$282.95,$0.00,1,1,1,1,1,1,20210101,
L6895,HCPCS,CUSTOM GLOVE FOR TERM DEVICE,,,28,,NW,,,,,,$916.70,$0.00,1,1,1,1,1,1,20210101,
L6900,HCPCS,HAND RESTORAT THUMB/1 FINGER,,,28,,NW,,,,,,"$2,717.10",$0.00,1,1,1,1,1,1,20210101,
L6905,HCPCS,HAND RESTORATION MULTIPLE FI,,,28,,NW,,,,,,"$2,646.26",$0.00,1,1,1,1,1,1,20210101,
L6910,HCPCS,HAND RESTORATION NO FINGERS,,,28,,NW,,,,,,"$2,558.18",$0.00,1,1,1,1,1,1,20210101,
L6915,HCPCS,HAND RESTORATION REPLACMNT G,,,28,,NW,,,,,,"$1,096.96",$0.00,1,1,1,1,1,1,20210101,
L6920,HCPCS,WRIST DISARTICUL SWITCH CTRL,,,28,,NW,,,,,,"$11,329.48",$0.00,1,1,1,1,1,1,20210101,
L6925,HCPCS,WRIST DISART MYOELECTRONIC C,,,28,,NW,,,,,,"$13,002.02",$0.00,1,1,1,1,1,1,20210101,
L6930,HCPCS,BELOW ELBOW SWITCH CONTROL,,,28,,NW,,,,,,"$11,213.86",$0.00,1,1,1,1,1,1,20210101,
L6935,HCPCS,BELOW ELBOW MYOELECTRONIC CT,,,28,,NW,,,,,,"$13,182.52",$0.00,1,1,1,1,1,1,20210101,
L6940,HCPCS,ELBOW DISARTICULATION SWITCH,,,28,,NW,,,,,,"$14,462.34",$0.00,1,1,1,1,1,1,20210101,
L6945,HCPCS,ELBOW DISART MYOELECTRONIC C,,,28,,NW,,,,,,"$16,644.52",$0.00,1,1,1,1,1,1,20210101,
L6950,HCPCS,ABOVE ELBOW SWITCH CONTROL,,,28,,NW,,,,,,"$15,641.34",$0.00,1,1,1,1,1,1,20210101,
L6955,HCPCS,ABOVE ELBOW MYOELECTRONIC CT,,,28,,NW,,,,,,"$18,724.27",$0.00,1,1,1,1,1,1,20210101,
L6960,HCPCS,SHLDR DISARTIC SWITCH CONTRO,,,28,,NW,,,,,,"$19,878.42",$0.00,1,1,1,1,1,1,20210101,
L6965,HCPCS,SHLDR DISARTIC MYOELECTRONIC,,,28,,NW,,,,,,"$23,330.18",$0.00,1,1,1,1,1,1,20210101,
L6970,HCPCS,INTERSCAPULAR-THOR SWITCH CT,,,28,,NW,,,,,,"$24,408.72",$0.00,1,1,1,1,1,1,20210101,
L6975,HCPCS,INTERSCAP-THOR MYOELECTRONIC,,,28,,NW,,,,,,"$26,828.50",$0.00,1,1,1,1,1,1,20210101,
L7007,HCPCS,ADULT ELECTRIC HAND,,,28,,NW,,,,,,"$5,605.20",$0.00,1,1,1,1,1,1,20210101,
L7008,HCPCS,PEDIATRIC ELECTRIC HAND,,,28,,NW,,,,,,"$9,045.90",$0.00,1,1,1,1,1,1,20210101,
L7009,HCPCS,ADULT ELECTRIC HOOK,,,28,,NW,,,,,,"$5,707.10",$0.00,1,1,1,1,1,1,20210101,
L7040,HCPCS,PREHENSILE ACTUATOR,,,28,,NW,,,,,,"$4,580.72",$0.00,1,1,1,1,1,1,20210101,
L7045,HCPCS,PEDIATRIC ELECTRIC HOOK,,,28,,NW,,,,,,"$2,540.41",$0.00,1,1,1,1,1,1,20210101,
L7170,HCPCS,ELECTRONIC ELBOW HOSMER SWIT,,,28,,NW,,,,,,"$9,862.15",$0.00,1,1,1,1,1,1,20210101,
L7180,HCPCS,ELECTRONIC ELBOW SEQUENTIAL,,,28,,NW,,,,,,"$55,401.42",$0.00,1,1,1,1,1,1,20210101,
L7181,HCPCS,ELECTRONIC ELBO SIMULTANEOUS,,,28,,NW,,,,,,"$60,947.34",$0.00,1,1,1,1,1,1,20210101,
L7185,HCPCS,ELECTRON ELBOW ADOLESCENT SW,,,28,,NW,,,,,,"$10,220.26",$0.00,1,1,1,1,1,1,20210101,
L7186,HCPCS,ELECTRON ELBOW CHILD SWITCH,,,28,,NW,,,,,,"$15,083.22",$0.00,1,1,1,1,1,1,20210101,
L7190,HCPCS,ELBOW ADOLESCENT MYOELECTRON,,,28,,NW,,,,,,"$12,806.35",$0.00,1,1,1,1,1,1,20210101,
L7191,HCPCS,ELBOW CHILD MYOELECTRONIC CT,,,28,,NW,,,,,,"$15,778.07",$0.00,1,1,1,1,1,1,20210101,
L7259,HCPCS,ELECTRONIC WRIST ROTATOR ANY,,,28,,NW,,,,,,"$5,738.43",$0.00,1,1,1,1,1,1,20210101,
L7360,HCPCS,SIX VOLT BAT OTTO BOCK/EQ EA,,,28,,NW,,,,,,$377.03,$0.00,1,1,1,1,1,1,20210101,
L7362,HCPCS,BATTERY CHRGR SIX VOLT OTTO,,,28,,NW,,,,,,$401.19,$0.00,1,1,1,1,1,1,20210101,
L7364,HCPCS,TWELVE VOLT BATTERY UTAH/EQU,,,28,,NW,,,,,,$715.68,$0.00,1,1,1,1,1,1,20210101,
L7366,HCPCS,BATTERY CHRGR 12 VOLT UTAH/E,,,28,,NW,,,,,,$963.43,$0.00,1,1,1,1,1,1,20210101,
L7367,HCPCS,REPLACEMNT LITHIUM IONBATTER,,,28,,NW,,,,,,$575.60,$0.00,1,1,1,1,1,1,20210101,
L7368,HCPCS,LITHIUM ION BATTERY CHARGER,,,28,,NW,,,,,,$751.14,$0.00,1,1,1,1,1,1,20210101,
L7400,HCPCS,"ADD UE PROST BE/WD, ULTLITE",,,28,,NW,,,,,,$449.58,$0.00,1,1,1,1,1,1,20210101,
L7401,HCPCS,ADD UE PROST A/E ULTLITE MAT,,,28,,NW,,,,,,$505.29,$0.00,1,1,1,1,1,1,20210101,
L7402,HCPCS,ADD UE PROST S/D ULTLITE MAT,,,28,,NW,,,,,,$547.02,$0.00,1,1,1,1,1,1,20210101,
L7403,HCPCS,ADD UE PROST B/E ACRYLIC,,,28,,NW,,,,,,$543.56,$0.00,1,1,1,1,1,1,20210101,
L7404,HCPCS,ADD UE PROST A/E ACRYLIC,,,28,,NW,,,,,,$828.92,$0.00,1,1,1,1,1,1,20210101,
L7405,HCPCS,ADD UE PROST S/D ACRYLIC,,,28,,NW,,,,,,"$1,089.27",$0.00,1,1,1,1,1,1,20210101,
L7499,HCPCS,UPPER EXTREMITY PROSTHES NOS,,,28,,NW,,,,,,"$1,978.46",$0.00,1,1,1,1,1,1,20210101,
L7510,HCPCS,PROSTHETIC DEVICE REPAIR REP,,,28,,NW,,,,,,$87.58,$0.00,1,1,1,1,1,1,20210101,
L7520,HCPCS,REPAIR PROSTHESIS PER 15 MIN,,,28,,NW,,,,,,$40.14,$0.00,1,1,1,1,1,1,20210101,
L7600,HCPCS,PROSTHETIC DONNING SLEEVE,,,28,,NW,,,,,,$113.76,$0.00,1,1,1,1,1,1,20210101,
L7700,HCPCS,PROS SOC INSERT GASKET/SEAL,,,28,,NW,,,,,,$173.58,$0.00,1,1,1,1,1,1,20210101,
L7900,HCPCS,MALE VACUUM ERECTION SYSTEM,,,28,,NW,,,,,,$581.12,$0.00,1,1,1,1,1,1,20210101,
L7902,HCPCS,"TENSION RING, VAC ERECT DEV",,,28,,NW,,,,,,$30.17,$0.00,1,1,1,1,1,1,20210101,
L8000,HCPCS,MASTECTOMY BRA,,,28,,NW,,,,,,$46.69,$0.00,1,1,1,1,1,1,20210101,
L8001,HCPCS,BREAST PROSTHESIS BRA & FORM,,,28,,NW,,,,,,$174.10,$0.00,1,1,1,1,1,1,20210101,
L8002,HCPCS,BRST PRSTH BRA & BILAT FORM,,,28,,NW,,,,,,$234.26,$0.00,1,1,1,1,1,1,20210101,
L8010,HCPCS,MASTECTOMY SLEEVE,,,28,,NW,,,,,,$72.62,$0.00,1,1,1,1,1,1,20210101,
L8015,HCPCS,EXT BREASTPROSTHESIS GARMENT,,,28,,NW,,,,,,$74.58,$0.00,1,1,1,1,1,1,20210101,
L8020,HCPCS,MASTECTOMY FORM,,,28,,NW,,,,,,$329.89,$0.00,1,1,1,1,1,1,20210101,
L8030,HCPCS,BREAST PROSTHES W/O ADHESIVE,,,28,,NW,,,,,,$511.54,$0.00,1,1,1,1,1,1,20210101,
L8031,HCPCS,BREAST PROSTHESIS W ADHESIVE,,,28,,NW,,,,,,$511.54,$0.00,1,1,1,1,1,1,20210101,
L8032,HCPCS,REUSABLE NIPPLE PROTHESIS,,,28,,NW,,,,,,$42.93,$0.00,1,1,1,1,1,1,20210101,
L8035,HCPCS,CUSTOM BREAST PROSTHESIS,,,28,,NW,,,,,,"$5,559.23",$0.00,1,1,1,1,1,1,20210101,
L8039,HCPCS,BREAST PROSTHESIS NOS,,,28,,NW,,,,,,$49.31,$0.00,1,1,1,1,1,1,20210101,
L8040,HCPCS,NASAL PROSTHESIS,,,28,,NW,,,,,,"$3,793.75",$0.00,1,1,1,1,1,1,20210101,
L8040,HCPCS,NASAL PROSTHESIS,KM,,28,,NW,,,,,,"$3,603.23",$0.00,1,1,1,1,1,1,20210101,
L8040,HCPCS,NASAL PROSTHESIS,KN,,28,,NW,,,,,,"$1,507.44",$0.00,1,1,1,1,1,1,20210101,
L8041,HCPCS,MIDFACIAL PROSTHESIS,,,28,,NW,,,,,,"$4,576.15",$0.00,1,1,1,1,1,1,20210101,
L8041,HCPCS,MIDFACIAL PROSTHESIS,KM,,28,,NW,,,,,,"$4,346.48",$0.00,1,1,1,1,1,1,20210101,
L8041,HCPCS,MIDFACIAL PROSTHESIS,KN,,28,,NW,,,,,,"$1,820.42",$0.00,1,1,1,1,1,1,20210101,
L8042,HCPCS,ORBITAL PROSTHESIS,,,28,,NW,,,,,,"$5,143.80",$0.00,1,1,1,1,1,1,20210101,
L8042,HCPCS,ORBITAL PROSTHESIS,KM,,28,,NW,,,,,,"$4,885.76",$0.00,1,1,1,1,1,1,20210101,
L8042,HCPCS,ORBITAL PROSTHESIS,KN,,28,,NW,,,,,,"$2,047.48",$0.00,1,1,1,1,1,1,20210101,
L8043,HCPCS,UPPER FACIAL PROSTHESIS,,,28,,NW,,,,,,"$5,763.08",$0.00,1,1,1,1,1,1,20210101,
L8043,HCPCS,UPPER FACIAL PROSTHESIS,KM,,28,,NW,,,,,,"$5,474.07",$0.00,1,1,1,1,1,1,20210101,
L8043,HCPCS,UPPER FACIAL PROSTHESIS,KN,,28,,NW,,,,,,"$2,295.17",$0.00,1,1,1,1,1,1,20210101,
L8044,HCPCS,HEMI-FACIAL PROSTHESIS,,,28,,NW,,,,,,"$6,382.32",$0.00,1,1,1,1,1,1,20210101,
L8044,HCPCS,HEMI-FACIAL PROSTHESIS,KM,,28,,NW,,,,,,"$6,062.38",$0.00,1,1,1,1,1,1,20210101,
L8044,HCPCS,HEMI-FACIAL PROSTHESIS,KN,,28,,NW,,,,,,"$2,542.89",$0.00,1,1,1,1,1,1,20210101,
L8045,HCPCS,AURICULAR PROSTHESIS,,,28,,NW,,,,,,"$4,209.27",$0.00,1,1,1,1,1,1,20210101,
L8045,HCPCS,AURICULAR PROSTHESIS,KM,,28,,NW,,,,,,"$3,997.97",$0.00,1,1,1,1,1,1,20210101,
L8045,HCPCS,AURICULAR PROSTHESIS,KN,,28,,NW,,,,,,"$1,673.66",$0.00,1,1,1,1,1,1,20210101,
L8046,HCPCS,PARTIAL FACIAL PROSTHESIS,,,28,,NW,,,,,,"$4,111.69",$0.00,1,1,1,1,1,1,20210101,
L8046,HCPCS,PARTIAL FACIAL PROSTHESIS,KM,,28,,NW,,,,,,"$3,905.27",$0.00,1,1,1,1,1,1,20210101,
L8046,HCPCS,PARTIAL FACIAL PROSTHESIS,KN,,28,,NW,,,,,,"$1,634.61",$0.00,1,1,1,1,1,1,20210101,
L8047,HCPCS,NASAL SEPTAL PROSTHESIS,,,28,,NW,,,,,,"$2,099.06",$0.00,1,1,1,1,1,1,20210101,
L8047,HCPCS,NASAL SEPTAL PROSTHESIS,KM,,28,,NW,,,,,,"$1,993.28",$0.00,1,1,1,1,1,1,20210101,
L8047,HCPCS,NASAL SEPTAL PROSTHESIS,KN,,28,,NW,,,,,,$829.58,$0.00,1,1,1,1,1,1,20210101,
L8048,HCPCS,UNSPEC MAXILLOFACIAL PROSTH,,,28,,NW,,,,,,"$1,027.44",$0.00,1,1,1,1,1,1,20210101,
L8049,HCPCS,REPAIR MAXILLOFACIAL PROSTH,,,28,,NW,,,,,,$70.30,$0.00,1,1,1,1,1,1,20210101,
L8300,HCPCS,TRUSS SINGLE W/ STANDARD PAD,,,28,,NW,,,,,,$127.44,$0.00,1,1,1,1,1,1,20210101,
L8310,HCPCS,TRUSS DOUBLE W/ STANDARD PAD,,,28,,NW,,,,,,$217.22,$0.00,1,1,1,1,1,1,20210101,
L8320,HCPCS,TRUSS ADDITION TO STD PAD WA,,,28,,NW,,,,,,$78.64,$0.00,1,1,1,1,1,1,20210101,
L8330,HCPCS,TRUSS ADD TO STD PAD SCROTAL,,,28,,NW,,,,,,$71.50,$0.00,1,1,1,1,1,1,20210101,
L8400,HCPCS,SHEATH BELOW KNEE,,,28,,NW,,,,,,$17.10,$0.00,1,1,1,1,1,1,20210101,
L8410,HCPCS,SHEATH ABOVE KNEE,,,28,,NW,,,,,,$21.86,$0.00,1,1,1,1,1,1,20210101,
L8415,HCPCS,SHEATH UPPER LIMB,,,28,,NW,,,,,,$21.65,$0.00,1,1,1,1,1,1,20210101,
L8417,HCPCS,PROS SHEATH/SOCK W GEL CUSHN,,,28,,NW,,,,,,$97.68,$0.00,1,1,1,1,1,1,20210101,
L8420,HCPCS,PROSTHETIC SOCK MULTI PLY BK,,,28,,NW,,,,,,$21.14,$0.00,1,1,1,1,1,1,20210101,
L8430,HCPCS,PROSTHETIC SOCK MULTI PLY AK,,,28,,NW,,,,,,$23.64,$0.00,1,1,1,1,1,1,20210101,
L8435,HCPCS,PROS SOCK MULTI PLY UPPER LM,,,28,,NW,,,,,,$22.32,$0.00,1,1,1,1,1,1,20210101,
L8440,HCPCS,SHRINKER BELOW KNEE,,,28,,NW,,,,,,$57.66,$0.00,1,1,1,1,1,1,20210101,
L8460,HCPCS,SHRINKER ABOVE KNEE,,,28,,NW,,,,,,$96.50,$0.00,1,1,1,1,1,1,20210101,
L8465,HCPCS,SHRINKER UPPER LIMB,,,28,,NW,,,,,,$68.79,$0.00,1,1,1,1,1,1,20210101,
L8470,HCPCS,PROS SOCK SINGLE PLY BK,,,28,,NW,,,,,,$8.57,$0.00,1,1,1,1,1,1,20210101,
L8480,HCPCS,PROS SOCK SINGLE PLY AK,,,28,,NW,,,,,,$10.88,$0.00,1,1,1,1,1,1,20210101,
L8485,HCPCS,PROS SOCK SINGLE PLY UPPER L,,,28,,NW,,,,,,$12.58,$0.00,1,1,1,1,1,1,20210101,
L8499,HCPCS,UNLISTED MISC PROSTHETIC SER,,,28,,NW,,,,,,$7.63,$0.00,1,1,1,1,1,1,20210101,
L8500,HCPCS,ARTIFICIAL LARYNX,,,28,,NW,,,,,,"$1,077.28",$0.00,1,1,1,1,1,1,20210101,
L8501,HCPCS,TRACHEOSTOMY SPEAKING VALVE,,,28,,NW,,,,,,$178.55,$0.00,1,1,1,1,1,1,20210101,
L8505,HCPCS,"ARTIFICIAL LARYNX, ACCESSORY",,,28,,NW,,,,,,$45.29,$0.00,1,1,1,1,1,1,20210101,
L8507,HCPCS,TRACH-ESOPH VOICE PROS PT IN,,,28,,NW,,,,,,$46.97,$0.00,1,1,1,1,1,1,20210101,
L8509,HCPCS,TRACH-ESOPH VOICE PROS MD IN,,,28,,NW,,,,,,$149.41,$0.00,1,1,1,1,1,1,20210101,
L8510,HCPCS,VOICE AMPLIFIER,,,28,,NW,,,,,,$367.73,$0.00,1,1,1,1,1,1,20210101,
L8511,HCPCS,INDWELLING TRACH INSERT,,,28,,NW,,,,,,$93.93,$0.00,1,1,1,1,1,1,20210101,
L8512,HCPCS,GEL CAP FOR TRACH VOICE PROS,,,28,,NW,,,,,,$2.58,$0.00,1,1,1,1,1,1,20210101,
L8513,HCPCS,TRACH PROS CLEANING DEVICE,,,28,,NW,,,,,,$6.16,$0.00,1,1,1,1,1,1,20210101,
L8514,HCPCS,REPL TRACH PUNCTURE DILATOR,,,28,,NW,,,,,,$126.77,$0.00,1,1,1,1,1,1,20210101,
L8515,HCPCS,GEL CAP APP DEVICE FOR TRACH,,,28,,NW,,,,,,$79.28,$0.00,1,1,1,1,1,1,20210101,
L8600,HCPCS,IMPLANT BREAST SILICONE/EQ,,,28,,NW,,,,,,"$1,016.63",$0.00,1,1,1,1,1,1,20210101,
L8603,HCPCS,COLLAGEN IMP URINARY 2.5 ML,,,28,,NW,,,,,,$650.35,$0.00,1,1,1,1,1,1,20210101,
L8605,HCPCS,INJ BULKING AGENT ANAL CANAL,,,28,,NW,,,,,,"$1,073.07",$0.00,1,1,1,1,1,1,20210101,
L8606,HCPCS,SYNTHETIC IMPLNT URINARY 1ML,,,28,,NW,,,,,,$318.68,$0.00,1,1,1,1,1,1,20210101,
L8607,HCPCS,INJ VOCAL CORD BULKING AGENT,,,28,,NW,,,,,,$48.51,$0.00,1,1,1,0,0,1,20210101,
L8608,HCPCS,ARG II EXT COM/SUP/ACC MISC,,,28,,NW,,,,,,$961.55,$0.00,1,1,1,1,1,1,20210101,
L8609,HCPCS,ARTIFICIAL CORNEA,,,28,,NW,,,,,,"$9,880.32",$0.00,1,1,1,1,1,1,20210101,
L8610,HCPCS,OCULAR IMPLANT,,,28,,NW,,,,,,$961.55,$0.00,1,1,1,1,1,1,20210101,
L8612,HCPCS,AQUEOUS SHUNT PROSTHESIS,,,28,,NW,,,,,,"$1,053.00",$0.00,1,1,1,1,1,1,20210101,
L8613,HCPCS,OSSICULAR IMPLANT,,,28,,NW,,,,,,$453.34,$0.00,1,1,1,1,1,1,20210101,
L8614,HCPCS,COCHLEAR DEVICE,,,28,,NW,,,,,,"$29,473.02",$0.00,1,1,1,1,1,1,20210101,
L8615,HCPCS,COCH IMPLANT HEADSET REPLACE,,,28,,NW,,,,,,$668.35,$0.00,1,1,1,1,1,1,20210101,
L8616,HCPCS,COCH IMPLANT MICROPHONE REPL,,,28,,NW,,,,,,$142.81,$0.00,1,1,1,1,1,1,20210101,
L8617,HCPCS,COCH IMPLANT TRANS COIL REPL,,,28,,NW,,,,,,$122.63,$0.00,1,1,1,1,1,1,20210101,
L8618,HCPCS,COCH IMPLANT TRAN CABLE REPL,,,28,,NW,,,,,,$24.52,$0.00,1,1,1,1,1,1,20210101,
L8619,HCPCS,COCH IMP EXT PROC/CONTR RPLC,,,28,,NW,,,,,,"$12,640.91",$0.00,1,1,1,1,1,1,20210101,
L8621,HCPCS,REPL ZINC AIR BATTERY,,,28,,NW,,,,,,$0.73,$0.00,1,1,1,1,1,1,20210101,
L8622,HCPCS,REPL ALKALINE BATTERY,,,28,,NW,,,,,,$0.38,$0.00,1,1,1,1,1,1,20210101,
L8623,HCPCS,"LITH ION BATT CID,NON-EARLVL",,,28,,NW,,,,,,$81.50,$0.00,1,1,1,1,1,1,20210101,
L8624,HCPCS,"LITH ION BATT CID, EAR LEVEL",,,28,,NW,,,,,,$228.19,$0.00,1,1,1,1,1,1,20210101,
L8625,HCPCS,CHARGER COCH IMPL/AOI BATTRY,,,28,,NW,,,,,,$260.48,$0.00,1,1,1,1,1,1,20210101,
L8627,HCPCS,CID EXT SPEECH PROCESS REPL,,,28,,NW,,,,,,"$10,747.57",$0.00,1,1,1,1,1,1,20210101,
L8628,HCPCS,CID EXT CONTROLLER REPL,,,28,,NW,,,,,,"$1,892.59",$0.00,1,1,1,1,1,1,20210101,
L8629,HCPCS,CID TRANSMIT COIL AND CABLE,,,28,,NW,,,,,,$255.70,$0.00,1,1,1,1,1,1,20210101,
L8630,HCPCS,METACARPOPHALANGEAL IMPLANT,,,28,,NW,,,,,,$538.43,$0.00,1,1,1,1,1,1,20210101,
L8631,HCPCS,MCP JOINT REPL 2 PC OR MORE,,,28,,NW,,,,,,"$3,342.56",$0.00,1,1,1,1,1,1,20210101,
L8641,HCPCS,METATARSAL JOINT IMPLANT,,,28,,NW,,,,,,$543.94,$0.00,1,1,1,1,1,1,20210101,
L8642,HCPCS,HALLUX IMPLANT,,,28,,NW,,,,,,$461.93,$0.00,1,1,1,1,1,1,20210101,
L8658,HCPCS,INTERPHALANGEAL JOINT SPACER,,,28,,NW,,,,,,$473.33,$0.00,1,1,1,1,1,1,20210101,
L8659,HCPCS,INTERPHALANGEAL JOINT REPL,,,28,,NW,,,,,,"$2,914.47",$0.00,1,1,1,1,1,1,20210101,
L8670,HCPCS,"VASCULAR GRAFT, SYNTHETIC",,,28,,NW,,,,,,$830.86,$0.00,1,1,1,1,1,1,20210101,
L8679,HCPCS,IMP NEUROSTI PLS GN ANY TYPE,,,28,,NW,,,,,,"$12,839.20",$0.00,1,1,1,1,1,1,20210101,
L8680,HCPCS,IMPLT NEUROSTIM ELCTR EACH,,,28,,NW,,,,,,$711.21,$0.00,1,1,1,1,1,1,20210101,
L8681,HCPCS,PT PRGRM FOR IMPLT NEUROSTIM,,,28,,NW,,,,,,"$1,739.64",$0.00,1,1,1,1,1,1,20210101,
L8682,HCPCS,IMPLT NEUROSTIM RADIOFQ REC,,,28,,NW,,,,,,"$9,168.58",$0.00,1,1,1,1,1,1,20210101,
L8683,HCPCS,RADIOFQ TRSMTR FOR IMPLT NEU,,,28,,NW,,,,,,"$8,068.44",$0.00,1,1,1,1,1,1,20210101,
L8684,HCPCS,RADIOF TRSMTR IMPLT SCRL NEU,,,28,,NW,,,,,,"$1,150.90",$0.00,1,1,1,1,1,1,20210101,
L8685,HCPCS,IMPLT NROSTM PLS GEN SNG REC,,,28,,NW,,,,,,"$16,294.12",$0.00,1,1,1,1,1,1,20210101,
L8686,HCPCS,IMPLT NROSTM PLS GEN SNG NON,,,28,,NW,,,,,,"$10,391.13",$0.00,1,1,1,1,1,1,20210101,
L8687,HCPCS,IMPLT NROSTM PLS GEN DUA REC,,,28,,NW,,,,,,"$21,210.65",$0.00,1,1,1,1,1,1,20210101,
L8688,HCPCS,IMPLT NROSTM PLS GEN DUA NON,,,28,,NW,,,,,,"$13,528.27",$0.00,1,1,1,1,1,1,20210101,
L8689,HCPCS,EXTERNAL RECHARG SYS INTERN,,,28,,NW,,,,,,"$2,607.95",$0.00,1,1,1,1,1,1,20210101,
L8690,HCPCS,"AUD OSSEO DEV, INT/EXT COMP",,,28,,NW,,,,,,"$7,221.82",$0.00,1,1,1,1,1,1,20210101,
L8691,HCPCS,AOI SND PROC REPL EXCL ACTUA,,,28,,NW,,,,,,"$2,801.72",$0.00,1,1,1,1,1,1,20210101,
L8692,HCPCS,NON-OSSEOINTEGRATED SND PROC,,,28,,NW,,,,,,$420.30,$0.00,1,1,1,1,1,1,20210101,
L8693,HCPCS,"AUD OSSEO DEV, ABUTMENT",,,28,,NW,,,,,,"$2,286.59",$0.00,1,1,1,1,1,1,20210101,
L8694,HCPCS,AOI TRANSDUCER/ACTUATOR REPL,,,28,,NW,,,,,,"$1,367.07",$0.00,1,1,1,1,1,1,20210101,
L8695,HCPCS,EXTERNAL RECHARG SYS EXTERN,,,28,,NW,,,,,,$15.66,$0.00,1,1,1,1,1,1,20210101,
L8696,HCPCS,EXT ANTENNA PHREN NERVE STIM,,,28,,NW,,,,,,$313.05,$0.00,1,1,1,1,1,1,20210101,
L8698,HCPCS,MISC USED WITH TOT ART HEART,,,28,,NW,,,,,,$282.72,$0.00,1,1,1,1,1,1,20210101,
L8699,HCPCS,PROSTHETIC IMPLANT NOS,,,28,,NW,,,,,,$290.97,$0.00,1,1,1,1,1,1,20210101,
L9900,HCPCS,O&P SUPPLY/ACCESSORY/SERVICE,,,28,,NW,,,,,,$282.72,$0.00,1,1,1,1,1,1,20210101,
M0076,HCPCS,PROLOTHERAPY,,,14,,TotalUnits,,,,2.20 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
M0300,HCPCS,IV CHELATIONTHERAPY,,,4,,TotalUnits,,,,0.64 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
P2028,HCPCS,CEPHALIN FLOCULATION TEST,,,17,,TotalUnits,,,,0.14 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
P2029,HCPCS,CONGO RED BLOOD TEST,,,17,,TotalUnits,,,,0.14 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
P2031,HCPCS,HAIR ANALYSIS,,,17,,TotalUnits,,,,0.14 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
P2033,HCPCS,BLOOD THYMOL TURBIDITY,,,17,,TotalUnits,,,,0.14 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
P2038,HCPCS,BLOOD MUCOPROTEIN,,,17,,TotalUnits,,,,0.14 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
P3000,HCPCS,SCREEN PAP BY TECH W MD SUPV,,,17,,TotalUnits,,,,0.42 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
P3001,HCPCS,SCREENING PAP SMEAR BY PHYS,,,17,,RBRVS,0.26 ,0.46 ,0.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
P7001,HCPCS,CULTURE BACTERIAL URINE,,,17,,TotalUnits,,,,0.54 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
P9010,HCPCS,WHOLE BLOOD FOR TRANSFUSION,,,14,,TotalUnits,,,,2.27 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
P9011,HCPCS,BLOOD SPLIT UNIT,,,14,,TotalUnits,,,,3.23 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
P9012,HCPCS,CRYOPRECIPITATE EACH UNIT,,,14,,TotalUnits,,,,0.67 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
P9016,HCPCS,RBC LEUKOCYTES REDUCED,,,14,,TotalUnits,,,,6.84 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
P9017,HCPCS,PLASMA 1 DONOR FRZ W/IN 8 HR,,,14,,TotalUnits,,,,0.12 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
P9019,HCPCS,"PLATELETS, EACH UNIT",,,14,,TotalUnits,,,,1.06 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
P9020,HCPCS,PLAELET RICH PLASMA UNIT,,,14,,TotalUnits,,,,6.07 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
P9021,HCPCS,RED BLOOD CELLS UNIT,,,14,,TotalUnits,,,,4.55 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
P9022,HCPCS,WASHED RED BLOOD CELLS UNIT,,,14,,TotalUnits,,,,6.67 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
P9023,HCPCS,"FROZEN PLASMA, POOLED, SD",,,14,,TotalUnits,,,,0.93 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
P9031,HCPCS,PLATELETS LEUKOCYTES REDUCED,,,14,,TotalUnits,,,,2.37 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
P9032,HCPCS,"PLATELETS, IRRADIATED",,,14,,TotalUnits,,,,1.68 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
P9033,HCPCS,PLATELETS LEUKOREDUCED IRRAD,,,14,,TotalUnits,,,,8.20 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
P9034,HCPCS,"PLATELETS, PHERESIS",,,14,,TotalUnits,,,,5.43 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
P9035,HCPCS,PLATELET PHERES LEUKOREDUCED,,,14,,TotalUnits,,,,16.97 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
P9036,HCPCS,PLATELET PHERESIS IRRADIATED,,,14,,TotalUnits,,,,18.56 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
P9037,HCPCS,PLATE PHERES LEUKOREDU IRRAD,,,14,,TotalUnits,,,,19.75 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
P9038,HCPCS,RBC IRRADIATED,,,14,,TotalUnits,,,,4.36 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
P9039,HCPCS,RBC DEGLYCEROLIZED,,,14,,TotalUnits,,,,10.90 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
P9040,HCPCS,RBC LEUKOREDUCED IRRADIATED,,,14,,TotalUnits,,,,9.29 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
P9041,HCPCS,"ALBUMIN (HUMAN),5%, 50ML",,,14,,TotalUnits,,,,0.52 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
P9043,HCPCS,"PLASMA PROTEIN FRACT,5%,50ML",,,14,,TotalUnits,,,,0.75 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
P9044,HCPCS,CRYOPRECIPITATEREDUCEDPLASMA,,,14,,TotalUnits,,,,1.33 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
P9045,HCPCS,"ALBUMIN (HUMAN), 5%, 250 ML",,,14,,TotalUnits,,,,2.31 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
P9046,HCPCS,"ALBUMIN (HUMAN), 25%, 20 ML",,,14,,TotalUnits,,,,0.75 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
P9047,HCPCS,"ALBUMIN (HUMAN), 25%, 50ML",,,14,,TotalUnits,,,,1.87 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
P9048,HCPCS,"PLASMAPROTEIN FRACT,5%,250ML",,,14,,TotalUnits,,,,1.51 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
P9051,HCPCS,"BLOOD, L/R, CMV-NEG",,,14,,TotalUnits,,,,4.65 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
P9052,HCPCS,"PLATELETS, HLA-M, L/R, UNIT",,,14,,TotalUnits,,,,25.57 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
P9053,HCPCS,"PLT, PHER, L/R CMV-NEG, IRR",,,14,,TotalUnits,,,,17.05 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
P9054,HCPCS,"BLOOD, L/R, FROZ/DEGLY/WASH",,,14,,TotalUnits,,,,3.49 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
P9055,HCPCS,"PLT, APH/PHER, L/R, CMV-NEG",,,14,,TotalUnits,,,,11.49 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
P9056,HCPCS,"BLOOD, L/R, IRRADIATED",,,14,,TotalUnits,,,,5.33 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
P9057,HCPCS,"RBC, FRZ/DEG/WSH, L/R, IRRAD",,,14,,TotalUnits,,,,3.73 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
P9058,HCPCS,"RBC, L/R, CMV-NEG, IRRAD",,,14,,TotalUnits,,,,9.13 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
P9059,HCPCS,"PLASMA, FRZ BETWEEN 8-24HOUR",,,14,,TotalUnits,,,,1.01 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
P9060,HCPCS,FR FRZ PLASMA DONOR RETESTED,,,14,,TotalUnits,,,,0.81 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
P9070,HCPCS,PATHOGEN REDUCED PLASMA POOL,,,14,,TotalUnits,,,,0.92 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
P9071,HCPCS,PATHOGEN REDUCED PLASMA SING,,,14,,TotalUnits,,,,0.33 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
P9073,HCPCS,PLATELETS PHERESIS PATH REDU,,,14,,TotalUnits,,,,12.97 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
P9100,HCPCS,PATHOGEN TEST FOR PLATELETS,,,14,,TotalUnits,,,,0.41 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
P9603,HCPCS,ONE-WAY ALLOW PRORATED MILES,,,17,,TotalUnits,,,,0.01 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
P9604,HCPCS,ONE-WAY ALLOW PRORATED TRIP,,,17,,TotalUnits,,,,0.16 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
P9612,HCPCS,CATHETERIZE FOR URINE SPEC,,,17,,TotalUnits,,,,0.08 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
P9615,HCPCS,URINE SPECIMEN COLLECT MULT,,,17,,TotalUnits,,,,0.08 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
Q0035,HCPCS,CARDIOKYMOGRAPHY,,,4,,RBRVS,0.17 ,0.34 ,0.34 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
Q0035,HCPCS,CARDIOKYMOGRAPHY,26,,4,,RBRVS,0.17 ,0.06 ,0.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
Q0035,HCPCS,CARDIOKYMOGRAPHY,TC,,4,,RBRVS,,0.28 ,0.28 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
Q0081,HCPCS,INFUSION THER OTHER THAN CHE,,,22,,TotalUnits,,,,1.69 ,,$0.00,$0.00,1,1,1,0,0,1,20210101,
Q0083,HCPCS,CHEMO BY OTHER THAN INFUSION,,,14,,TotalUnits,,,,0.91 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
Q0084,HCPCS,CHEMOTHERAPY BY INFUSION,,,14,,TotalUnits,,,,1.88 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
Q0085,HCPCS,CHEMO BY BOTH INFUSION AND O,,,14,,TotalUnits,,,,6.14 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
Q0091,HCPCS,OBTAINING SCREEN PAP SMEAR,,,17,,RBRVS,0.37 ,0.14 ,0.81 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
Q0092,HCPCS,SET UP PORT XRAY EQUIPMENT,,TC,20,,RBRVS,,0.65 ,0.65 ,,,$0.00,$0.00,1,1,1,0,1,1,20210101,
Q0111,HCPCS,WET MOUNTS/ W PREPARATIONS,,,17,,TotalUnits,,,,0.42 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
Q0112,HCPCS,POTASSIUM HYDROXIDE PREPS,,,17,,TotalUnits,,,,0.16 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
Q0113,HCPCS,PINWORM EXAMINATIONS,,,17,,TotalUnits,,,,0.12 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
Q0114,HCPCS,FERN TEST,,,17,,TotalUnits,,,,0.27 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
Q0115,HCPCS,POST-COITAL MUCOUS EXAM,,,17,,TotalUnits,,,,0.69 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
Q0138,HCPCS,"FERUMOXYTOL, NON-ESRD",,,29,,NW,,,,,,$13.13,$0.00,1,1,1,0,0,1,20210101,
Q0139,HCPCS,"FERUMOXYTOL, ESRD USE",,,29,,NW,,,,,,$7.81,$0.00,1,1,1,0,0,1,20210101,
Q0144,HCPCS,"AZITHROMYCIN DIHYDRATE, ORAL",,,29,,NW,,,,,,$42.75,$0.00,1,1,1,0,0,1,20210101,
Q0161,HCPCS,CHLORPROMAZINE HCL 5MG ORAL,,,29,,NW,,,,,,$1.77,$0.00,1,1,1,0,0,1,20210101,
Q0162,HCPCS,ONDANSETRON ORAL,,,29,,NW,,,,,,$6.55,$0.00,1,1,1,0,0,1,20210101,
Q0163,HCPCS,DIPHENHYDRAMINE HCL 50MG,,,29,,NW,,,,,,$1.44,$0.00,1,1,1,0,0,1,20210101,
Q0164,HCPCS,PROCHLORPERAZINE MALEATE 5MG,,,29,,NW,,,,,,$6.69,$0.00,1,1,1,0,0,1,20210101,
Q0166,HCPCS,GRANISETRON HCL 1 MG ORAL,,,29,,NW,,,,,,$11.10,$0.00,1,1,1,0,0,1,20210101,
Q0167,HCPCS,DRONABINOL 2.5MG ORAL,,,29,,NW,,,,,,$12.95,$0.00,1,1,1,0,0,1,20210101,
Q0169,HCPCS,PROMETHAZINE HCL 12.5MG ORAL,,,29,,NW,,,,,,$2.56,$0.00,1,1,1,0,0,1,20210101,
Q0173,HCPCS,TRIMETHOBENZAMIDE HCL 250MG,,,29,,NW,,,,,,$4.50,$0.00,1,1,1,0,0,1,20210101,
Q0174,HCPCS,THIETHYLPERAZINE MALEATE10MG,,,29,,NW,,,,,,$2.07,$0.00,1,1,1,0,0,1,20210101,
Q0175,HCPCS,PERPHENAZINE 4MG ORAL,,,29,,NW,,,,,,$2.90,$0.00,1,1,1,0,0,1,20210101,
Q0177,HCPCS,HYDROXYZINE PAMOATE 25MG,,,29,,NW,,,,,,$5.76,$0.00,1,1,1,0,0,1,20210101,
Q0180,HCPCS,DOLASETRON MESYLATE ORAL,,,29,,NW,,,,,,$174.37,$0.00,1,1,1,0,0,1,20210101,
Q0181,HCPCS,UNSPECIFIED ORAL ANTI-EMETIC,,,29,,NW,,,,,,$55.89,$0.00,1,1,1,0,0,1,20210101,
Q0239,HCPCS,BAMLANIVIMAB-XXXX,,,29,,NW,,,,,,$0.01,$0.00,1,1,1,0,0,1,20210101,
Q0243,HCPCS,CASIRIVIMAB AND IMDEVIMAB,,,29,,NW,,,,,,$0.01,$0.00,1,1,1,0,0,1,20210101,
Q0477,HCPCS,PWR MODULE PT CABLE LVAD RPL,,,28,,NW,,,,,,"$1,153.57",$0.00,1,1,1,1,1,1,20210101,
Q0478,HCPCS,"POWER ADAPTER, COMBO VAD",,,28,,NW,,,,,,$262.38,$0.00,1,1,1,0,0,1,20210101,
Q0479,HCPCS,"POWER MODULE COMBO VAD, REP",,,28,,NW,,,,,,"$18,209.57",$0.00,1,1,1,0,0,1,20210101,
Q0480,HCPCS,"DRIVER PNEUMATIC VAD, REP",,,28,,NW,,,,,,"$137,026.75",$0.00,1,1,1,0,0,1,20210101,
Q0481,HCPCS,"MICROPRCSR CU ELEC VAD, REP",,,28,,NW,,,,,,"$22,093.62",$0.00,1,1,1,0,0,1,20210101,
Q0482,HCPCS,"MICROPRCSR CU COMBO VAD, REP",,,28,,NW,,,,,,"$6,908.64",$0.00,1,1,1,0,0,1,20210101,
Q0483,HCPCS,"MONITOR ELEC VAD, REP",,,28,,NW,,,,,,"$28,512.73",$0.00,1,1,1,0,0,1,20210101,
Q0484,HCPCS,MONITOR ELEC OR COMB VAD REP,,,28,,NW,,,,,,"$5,523.59",$0.00,1,1,1,0,0,1,20210101,
Q0485,HCPCS,"MONITOR CABLE ELEC VAD, REP",,,28,,NW,,,,,,$518.15,$0.00,1,1,1,0,0,1,20210101,
Q0486,HCPCS,MON CABLE ELEC/PNEUM VAD REP,,,28,,NW,,,,,,$428.45,$0.00,1,1,1,0,0,1,20210101,
Q0487,HCPCS,"LEADS ANY TYPE VAD, REP ONLY",,,28,,NW,,,,,,$502.65,$0.00,1,1,1,0,0,1,20210101,
Q0488,HCPCS,"PWR PACK BASE ELEC VAD, REP",,,28,,NW,,,,,,"$25,854.02",$0.00,1,1,1,0,0,1,20210101,
Q0489,HCPCS,"PWR PCK BASE COMBO VAD, REP",,,28,,NW,,,,,,"$24,716.75",$0.00,1,1,1,0,0,1,20210101,
Q0490,HCPCS,"EMR PWR SOURCE ELEC VAD, REP",,,28,,NW,,,,,,"$1,053.11",$0.00,1,1,1,0,0,1,20210101,
Q0491,HCPCS,EMR PWR SOURCE COMBO VAD REP,,,28,,NW,,,,,,"$1,665.16",$0.00,1,1,1,0,0,1,20210101,
Q0492,HCPCS,"EMR PWR CBL ELEC VAD, REP",,,28,,NW,,,,,,$118.76,$0.00,1,1,1,0,0,1,20210101,
Q0493,HCPCS,"EMR PWR CBL COMBO VAD, REP",,,28,,NW,,,,,,$369.06,$0.00,1,1,1,0,0,1,20210101,
Q0494,HCPCS,"EMR HD PMP ELEC/COMBO, REP",,,28,,NW,,,,,,$309.72,$0.00,1,1,1,0,0,1,20210101,
Q0495,HCPCS,"CHARGER ELEC/COMBO VAD, REP",,,28,,NW,,,,,,"$6,339.14",$0.00,1,1,1,0,0,1,20210101,
Q0496,HCPCS,"BATTERY ELEC/COMBO VAD, REP",,,28,,NW,,,,,,"$2,264.47",$0.00,1,1,1,0,0,1,20210101,
Q0497,HCPCS,"BAT CLPS ELEC/COMB VAD, REP",,,28,,NW,,,,,,$695.57,$0.00,1,1,1,0,0,1,20210101,
Q0498,HCPCS,"HOLSTER ELEC/COMBO VAD, REP",,,28,,NW,,,,,,$764.82,$0.00,1,1,1,0,0,1,20210101,
Q0499,HCPCS,BELT/VEST ELEC/COMBO VAD REP,,,28,,NW,,,,,,$237.19,$0.00,1,1,1,0,0,1,20210101,
Q0500,HCPCS,"FILTERS ELEC/COMBO VAD, REP",,,28,,NW,,,,,,$29.99,$0.00,1,1,1,0,0,1,20210101,
Q0501,HCPCS,"SHWR COV ELEC/COMBO VAD, REP",,,28,,NW,,,,,,$760.31,$0.00,1,1,1,0,0,1,20210101,
Q0502,HCPCS,"MOBILITY CART PNEUM VAD, REP",,,28,,NW,,,,,,$972.56,$0.00,1,1,1,0,0,1,20210101,
Q0503,HCPCS,BATTERY PNEUM VAD REPLACEMNT,,,28,,NW,,,,,,"$1,961.91",$0.00,1,1,1,0,0,1,20210101,
Q0504,HCPCS,"PWR ADPT PNEUM VAD, REP VEH",,,28,,NW,,,,,,"$1,027.34",$0.00,1,1,1,0,0,1,20210101,
Q0506,HCPCS,LITH-ION BATT ELEC/PNEUM VAD,,,28,,NW,,,,,,"$1,282.89",$0.00,1,1,1,0,0,1,20210101,
Q0507,HCPCS,MISC SUP/ACC EXT VAD,,,28,,NW,,,,,,$258.56,$0.00,1,1,1,0,0,1,20210101,
Q0508,HCPCS,MIS SUP/ACC IMP VAD,,,28,,NW,,,,,,$89.35,$0.00,1,1,1,0,0,1,20210101,
Q0509,HCPCS,MIS SUP/AC IMP VAD NOPAY MED,,,28,,NW,,,,,,$318.44,$0.00,1,1,1,0,0,1,20210101,
Q0510,HCPCS,DISPENS FEE IMMUNOSUPRESSIVE,,,29,,NW,,,,,,$71.31,$0.00,1,1,1,0,0,1,20210101,
Q0511,HCPCS,"SUP FEE ANTIEM,ANTICA,IMMUNO",,,29,,NW,,,,,,$34.16,$0.00,1,1,1,0,0,1,20210101,
Q0512,HCPCS,PX SUP FEE ANTI-CAN SUB PRES,,,29,,NW,,,,,,$22.76,$0.00,1,1,1,0,0,1,20210101,
Q0513,HCPCS,DISP FEE INHAL DRUGS/30 DAYS,,,29,,NW,,,,,,$46.98,$0.00,1,1,1,0,0,1,20210101,
Q0514,HCPCS,DISP FEE INHAL DRUGS/90 DAYS,,,29,,NW,,,,,,$94.00,$0.00,1,1,1,0,0,1,20210101,
Q0515,HCPCS,SERMORELIN ACETATE INJECTION,,,29,,NW,,,,,,$14.08,$0.00,1,1,1,0,0,1,20210101,
Q2004,HCPCS,BLADDER CALCULI IRRIG SOL,,,29,,NW,,,,,,$44.22,$0.00,1,1,1,0,0,1,20210101,
Q2009,HCPCS,FOSPHENYTOIN INJ PE,,,29,,NW,,,,,,$17.00,$0.00,1,1,1,0,0,1,20210101,
Q2017,HCPCS,"TENIPOSIDE, 50 MG",,,29,,NW,,,,,,"$2,336.45",$0.00,1,1,1,0,0,1,20210101,
Q2026,HCPCS,RADIESSE INJECTION,,,14,,TotalUnits,,,,1.75 ,,$0.00,$0.00,1,1,1,0,0,1,20210101,
Q2028,HCPCS,"INJ, SCULPTRA, 0.5MG",,,14,,TotalUnits,,,,0.06 ,,$0.00,$0.00,1,1,1,0,0,1,20210101,
Q2034,HCPCS,AGRIFLU VACCINE,,,29,,NW,,,,,,$39.27,$0.00,1,1,1,0,1,1,20210101,
Q2035,HCPCS,"AFLURIA VACC, 3 YRS & >, IM",,,9,,TotalUnits,,,,0.30 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
Q2036,HCPCS,"FLULAVAL VACC, 3 YRS & >, IM",,,9,,TotalUnits,,,,0.28 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
Q2037,HCPCS,"FLUVIRIN VACC, 3 YRS & >, IM",,,9,,TotalUnits,,,,0.30 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
Q2038,HCPCS,"FLUZONE VACC, 3 YRS & >, IM",,,9,,TotalUnits,,,,0.31 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
Q2039,HCPCS,"INFLUENZA VIRUS VACCINE, NOS",,,9,,TotalUnits,,,,0.30 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
Q2043,HCPCS,SIPULEUCEL-T AUTO CD54+,,,29,,NW,,,,,,"$83,785.55",$0.00,1,1,1,0,0,1,20210101,
Q2049,HCPCS,IMPORTED LIPODOX INJ,,,29,,NW,,,,,,"$1,378.11",$0.00,1,1,1,0,0,1,20210101,
Q2050,HCPCS,DOXORUBICIN INJ 10MG,,,29,,NW,,,,,,"$1,131.13",$0.00,1,1,1,0,0,1,20210101,
Q2052,HCPCS,"IVIG DEMO, SERVICES/SUPPLIES",,,29,,NW,,,,,,"$1,173.33",$0.00,1,1,1,1,1,1,20210101,
Q3001,HCPCS,BRACHYTHERAPY RADIOELEMENTS,,,28,,NW,,,,,,$130.99,$0.00,1,1,1,0,0,1,20210101,
Q3014,HCPCS,TELEHEALTH FACILITY FEE,,,14,,TotalUnits,,,,0.46 ,,$0.00,$0.00,1,1,1,0,0,0,20210101,
Q3027,HCPCS,INJ BETA INTERFERON IM 1 MCG,,,29,,NW,,,,,,$110.33,$0.00,1,1,1,0,0,1,20210101,
Q3028,HCPCS,INJ BETA INTERFERON SQ 1 MCG,,,29,,NW,,,,,,$18.36,$0.00,1,1,1,0,0,1,20210101,
Q4001,HCPCS,CAST SUP BODY CAST PLASTER,,,28,,NW,,,,,,$78.10,$0.00,1,1,1,0,0,1,20210101,
Q4002,HCPCS,CAST SUP BODY CAST FIBERGLAS,,,28,,NW,,,,,,$289.44,$0.00,1,1,1,0,0,1,20210101,
Q4003,HCPCS,CAST SUP SHOULDER CAST PLSTR,,,28,,NW,,,,,,$56.64,$0.00,1,1,1,0,0,1,20210101,
Q4004,HCPCS,CAST SUP SHOULDER CAST FBRGL,,,28,,NW,,,,,,$191.12,$0.00,1,1,1,0,0,1,20210101,
Q4005,HCPCS,CAST SUP LONG ARM ADULT PLST,,,28,,NW,,,,,,$22.17,$0.00,1,1,1,0,0,1,20210101,
Q4006,HCPCS,CAST SUP LONG ARM ADULT FBRG,,,28,,NW,,,,,,$47.40,$0.00,1,1,1,0,0,1,20210101,
Q4007,HCPCS,CAST SUP LONG ARM PED PLSTER,,,28,,NW,,,,,,$12.10,$0.00,1,1,1,0,0,1,20210101,
Q4008,HCPCS,CAST SUP LONG ARM PED FBRGLS,,,28,,NW,,,,,,$24.70,$0.00,1,1,1,0,0,1,20210101,
Q4009,HCPCS,CAST SUP SHT ARM ADULT PLSTR,,,28,,NW,,,,,,$15.48,$0.00,1,1,1,0,0,1,20210101,
Q4010,HCPCS,CAST SUP SHT ARM ADULT FBRGL,,,28,,NW,,,,,,$32.28,$0.00,1,1,1,0,0,1,20210101,
Q4011,HCPCS,CAST SUP SHT ARM PED PLASTER,,,28,,NW,,,,,,$8.73,$0.00,1,1,1,0,0,1,20210101,
Q4012,HCPCS,CAST SUP SHT ARM PED FBRGLAS,,,28,,NW,,,,,,$17.18,$0.00,1,1,1,0,0,1,20210101,
Q4013,HCPCS,CAST SUP GAUNTLET PLASTER,,,28,,NW,,,,,,$26.50,$0.00,1,1,1,0,0,1,20210101,
Q4014,HCPCS,CAST SUP GAUNTLET FIBERGLASS,,,28,,NW,,,,,,$43.29,$0.00,1,1,1,0,0,1,20210101,
Q4015,HCPCS,CAST SUP GAUNTLET PED PLSTER,,,28,,NW,,,,,,$14.28,$0.00,1,1,1,0,0,1,20210101,
Q4016,HCPCS,CAST SUP GAUNTLET PED FBRGLS,,,28,,NW,,,,,,$22.66,$0.00,1,1,1,0,0,1,20210101,
Q4017,HCPCS,CAST SUP LNG ARM SPLINT PLST,,,28,,NW,,,,,,$16.17,$0.00,1,1,1,0,0,1,20210101,
Q4018,HCPCS,CAST SUP LNG ARM SPLINT FBRG,,,28,,NW,,,,,,$24.58,$0.00,1,1,1,0,0,1,20210101,
Q4019,HCPCS,CAST SUP LNG ARM SPLNT PED P,,,28,,NW,,,,,,$9.12,$0.00,1,1,1,0,0,1,20210101,
Q4020,HCPCS,CAST SUP LNG ARM SPLNT PED F,,,28,,NW,,,,,,$13.34,$0.00,1,1,1,0,0,1,20210101,
Q4021,HCPCS,CAST SUP SHT ARM SPLINT PLST,,,28,,NW,,,,,,$12.50,$0.00,1,1,1,0,0,1,20210101,
Q4022,HCPCS,CAST SUP SHT ARM SPLINT FBRG,,,28,,NW,,,,,,$20.91,$0.00,1,1,1,0,0,1,20210101,
Q4023,HCPCS,CAST SUP SHT ARM SPLNT PED P,,,28,,NW,,,,,,$7.29,$0.00,1,1,1,0,0,1,20210101,
Q4024,HCPCS,CAST SUP SHT ARM SPLNT PED F,,,28,,NW,,,,,,$11.49,$0.00,1,1,1,0,0,1,20210101,
Q4025,HCPCS,CAST SUP HIP SPICA PLASTER,,,28,,NW,,,,,,$60.73,$0.00,1,1,1,0,0,1,20210101,
Q4026,HCPCS,CAST SUP HIP SPICA FIBERGLAS,,,28,,NW,,,,,,$185.37,$0.00,1,1,1,0,0,1,20210101,
Q4027,HCPCS,CAST SUP HIP SPICA PED PLSTR,,,28,,NW,,,,,,$31.41,$0.00,1,1,1,0,0,1,20210101,
Q4028,HCPCS,CAST SUP HIP SPICA PED FBRGL,,,28,,NW,,,,,,$93.76,$0.00,1,1,1,0,0,1,20210101,
Q4029,HCPCS,CAST SUP LONG LEG PLASTER,,,28,,NW,,,,,,$46.94,$0.00,1,1,1,0,0,1,20210101,
Q4030,HCPCS,CAST SUP LONG LEG FIBERGLASS,,,28,,NW,,,,,,$120.24,$0.00,1,1,1,0,0,1,20210101,
Q4031,HCPCS,CAST SUP LNG LEG PED PLASTER,,,28,,NW,,,,,,$24.46,$0.00,1,1,1,0,0,1,20210101,
Q4032,HCPCS,CAST SUP LNG LEG PED FBRGLS,,,28,,NW,,,,,,$61.13,$0.00,1,1,1,0,0,1,20210101,
Q4033,HCPCS,CAST SUP LNG LEG CYLINDER PL,,,28,,NW,,,,,,$43.92,$0.00,1,1,1,0,0,1,20210101,
Q4034,HCPCS,CAST SUP LNG LEG CYLINDER FB,,,28,,NW,,,,,,$106.18,$0.00,1,1,1,0,0,1,20210101,
Q4035,HCPCS,CAST SUP LNGLEG CYLNDR PED P,,,28,,NW,,,,,,$22.97,$0.00,1,1,1,0,0,1,20210101,
Q4036,HCPCS,CAST SUP LNGLEG CYLNDR PED F,,,28,,NW,,,,,,$54.14,$0.00,1,1,1,0,0,1,20210101,
Q4037,HCPCS,CAST SUP SHRT LEG PLASTER,,,28,,NW,,,,,,$27.56,$0.00,1,1,1,0,0,1,20210101,
Q4038,HCPCS,CAST SUP SHRT LEG FIBERGLASS,,,28,,NW,,,,,,$66.02,$0.00,1,1,1,0,0,1,20210101,
Q4039,HCPCS,CAST SUP SHRT LEG PED PLSTER,,,28,,NW,,,,,,$14.83,$0.00,1,1,1,0,0,1,20210101,
Q4040,HCPCS,CAST SUP SHRT LEG PED FBRGLS,,,28,,NW,,,,,,$34.03,$0.00,1,1,1,0,0,1,20210101,
Q4041,HCPCS,CAST SUP LNG LEG SPLNT PLSTR,,,28,,NW,,,,,,$33.10,$0.00,1,1,1,0,0,1,20210101,
Q4042,HCPCS,CAST SUP LNG LEG SPLNT FBRGL,,,28,,NW,,,,,,$55.07,$0.00,1,1,1,0,0,1,20210101,
Q4043,HCPCS,CAST SUP LNG LEG SPLNT PED P,,,28,,NW,,,,,,$17.58,$0.00,1,1,1,0,0,1,20210101,
Q4044,HCPCS,CAST SUP LNG LEG SPLNT PED F,,,28,,NW,,,,,,$28.56,$0.00,1,1,1,0,0,1,20210101,
Q4045,HCPCS,CAST SUP SHT LEG SPLNT PLSTR,,,28,,NW,,,,,,$20.07,$0.00,1,1,1,0,0,1,20210101,
Q4046,HCPCS,CAST SUP SHT LEG SPLNT FBRGL,,,28,,NW,,,,,,$31.03,$0.00,1,1,1,0,0,1,20210101,
Q4047,HCPCS,CAST SUP SHT LEG SPLNT PED P,,,28,,NW,,,,,,$11.01,$0.00,1,1,1,0,0,1,20210101,
Q4048,HCPCS,CAST SUP SHT LEG SPLNT PED F,,,28,,NW,,,,,,$16.54,$0.00,1,1,1,0,0,1,20210101,
Q4049,HCPCS,"FINGER SPLINT, STATIC",,,28,,NW,,,,,,$5.30,$0.00,1,1,1,0,0,1,20210101,
Q4050,HCPCS,CAST SUPPLIES UNLISTED,,,28,,NW,,,,,,$38.42,$0.00,1,1,1,0,0,1,20210101,
Q4051,HCPCS,SPLINT SUPPLIES MISC,,,28,,NW,,,,,,$36.95,$0.00,1,1,1,0,0,1,20210101,
Q4074,HCPCS,ILOPROST NON-COMP UNIT DOSE,,,29,,NW,,,,,,$269.89,$0.00,1,1,1,0,0,1,20210101,
Q4081,HCPCS,"EPOETIN ALFA, 100 UNITS ESRD",,,29,,NW,,,,,,$13.24,$0.00,1,1,1,0,0,1,20210101,
Q4082,HCPCS,DRUG/BIO NOC PART B DRUG CAP,,,29,,NW,,,,,,"$3,314.00",$0.00,1,1,1,0,0,1,20210101,
Q4100,HCPCS,"SKIN SUBSTITUTE, NOS",,,29,,NW,,,,,,"$2,963.29",$0.00,1,1,1,0,0,1,20210101,
Q4101,HCPCS,APLIGRAF,,,29,,NW,,,,,,$70.55,$0.00,1,1,1,0,0,1,20210101,
Q4102,HCPCS,OASIS WOUND MATRIX,,,29,,NW,,,,,,$32.31,$0.00,1,1,1,0,0,1,20210101,
Q4103,HCPCS,OASIS BURN MATRIX,,,29,,NW,,,,,,$293.44,$0.00,1,1,1,0,0,1,20210101,
Q4104,HCPCS,INTEGRA BMWD,,,29,,NW,,,,,,$80.61,$0.00,1,1,1,0,0,1,20210101,
Q4105,HCPCS,INTEGRA DRT OR OMNIGRAFT,,,29,,NW,,,,,,$116.40,$0.00,1,1,1,0,0,1,20210101,
Q4106,HCPCS,DERMAGRAFT,,,29,,NW,,,,,,$74.32,$0.00,1,1,1,0,0,1,20210101,
Q4107,HCPCS,GRAFTJACKET,,,29,,NW,,,,,,$250.57,$0.00,1,1,1,0,0,1,20210101,
Q4108,HCPCS,INTEGRA MATRIX,,,29,,NW,,,,,,$83.77,$0.00,1,1,1,0,0,1,20210101,
Q4110,HCPCS,PRIMATRIX,,,29,,NW,,,,,,$80.83,$0.00,1,1,1,0,0,1,20210101,
Q4111,HCPCS,GAMMAGRAFT,,,29,,NW,,,,,,$24.89,$0.00,1,1,1,0,0,1,20210101,
Q4112,HCPCS,CYMETRA INJECTABLE,,,29,,NW,,,,,,$844.03,$0.00,1,1,1,0,0,1,20210101,
Q4113,HCPCS,GRAFTJACKET XPRESS,,,29,,NW,,,,,,$844.03,$0.00,1,1,1,0,0,1,20210101,
Q4114,HCPCS,INTEGRA FLOWABLE WOUND MATRI,,,29,,NW,,,,,,"$3,666.00",$0.00,1,1,1,0,0,1,20210101,
Q4115,HCPCS,ALLOSKIN,,,29,,NW,,,,,,$24.23,$0.00,1,1,1,0,0,1,20210101,
Q4116,HCPCS,ALLODERM,,,29,,NW,,,,,,$59.15,$0.00,1,1,1,0,0,1,20210101,
Q4117,HCPCS,HYALOMATRIX,,,29,,NW,,,,,,$18.34,$0.00,1,1,1,0,0,1,20210101,
Q4118,HCPCS,MATRISTEM MICROMATRIX,,,29,,NW,,,,,,$9.11,$0.00,1,1,1,0,0,1,20210101,
Q4121,HCPCS,THERASKIN,,,29,,NW,,,,,,$93.34,$0.00,1,1,1,0,0,1,20210101,
Q4122,HCPCS,DERMACELL,,,29,,NW,,,,,,$117.51,$0.00,1,1,1,0,0,1,20210101,
Q4123,HCPCS,ALLOSKIN,,,29,,NW,,,,,,$77.95,$0.00,1,1,1,0,0,1,20210101,
Q4124,HCPCS,OASIS TRI-LAYER WOUND MATRIX,,,29,,NW,,,,,,$29.57,$0.00,1,1,1,0,0,1,20210101,
Q4125,HCPCS,ARTHROFLEX,,,29,,NW,,,,,,$215.44,$0.00,1,1,1,0,0,1,20210101,
Q4126,HCPCS,MEMODERM/DERMA/TRANZ/INTEGUP,,,29,,NW,,,,,,$432.46,$0.00,1,1,1,0,0,1,20210101,
Q4127,HCPCS,TALYMED,,,29,,NW,,,,,,$3.24,$0.00,1,1,1,0,0,1,20210101,
Q4128,HCPCS,FLEXHD/ALLOPATCHHD/MATRIXHD,,,29,,NW,,,,,,$383.02,$0.00,1,1,1,0,0,1,20210101,
Q4130,HCPCS,STRATTICE TM,,,29,,NW,,,,,,$788.48,$0.00,1,1,1,0,0,1,20210101,
Q4132,HCPCS,"GRAFIX CORE, GRAFIXPL CORE",,,29,,NW,,,,,,$246.52,$0.00,1,1,1,0,0,1,20210101,
Q4133,HCPCS,GRAFIX STRAVIX PRIME PL SQCM,,,29,,NW,,,,,,$257.91,$0.00,1,1,1,0,0,1,20210101,
Q4134,HCPCS,HMATRIX,,,29,,NW,,,,,,$260.31,$0.00,1,1,1,0,0,1,20210101,
Q4136,HCPCS,EZDERM,,,29,,NW,,,,,,$6.83,$0.00,1,1,1,0,0,1,20210101,
Q4137,HCPCS,AMNIOEXCEL BIODEXCEL 1SQ CM,,,29,,NW,,,,,,$130.19,$0.00,1,1,1,0,0,1,20210101,
Q4138,HCPCS,"BIODFENCE DRYFLEX, 1CM",,,29,,NW,,,,,,$204.12,$0.00,1,1,1,0,0,1,20210101,
Q4139,HCPCS,"AMNIO OR BIODMATRIX, INJ 1CC",,,29,,NW,,,,,,"$2,100.15",$0.00,1,1,1,0,0,1,20210101,
Q4140,HCPCS,BIODFENCE 1CM,,,29,,NW,,,,,,$197.99,$0.00,1,1,1,0,0,1,20210101,
Q4141,HCPCS,"ALLOSKIN AC, 1 CM",,,29,,NW,,,,,,$145.25,$0.00,1,1,1,0,0,1,20210101,
Q4142,HCPCS,XCM BIOLOGIC TISS MATRIX 1CM,,,29,,NW,,,,,,$364.39,$0.00,1,1,1,0,0,1,20210101,
Q4143,HCPCS,"REPRIZA, 1CM",,,29,,NW,,,,,,$191.65,$0.00,1,1,1,0,0,1,20210101,
Q4145,HCPCS,"EPIFIX, INJ, 1MG",,,29,,NW,,,,,,$62.87,$0.00,1,1,1,0,0,1,20210101,
Q4146,HCPCS,"TENSIX, 1CM",,,29,,NW,,,,,,$237.83,$0.00,1,1,1,0,0,1,20210101,
Q4147,HCPCS,ARCHITECT ECM PX FX 1 SQ CM,,,29,,NW,,,,,,$92.26,$0.00,1,1,1,0,0,1,20210101,
Q4148,HCPCS,NEOX NEOX RT OR CLARIX CORD,,,29,,NW,,,,,,$159.66,$0.00,1,1,1,0,0,1,20210101,
Q4150,HCPCS,ALLOWRAP DS OR DRY 1 SQ CM,,,29,,NW,,,,,,$496.56,$0.00,1,1,1,0,0,1,20210101,
Q4151,HCPCS,"AMNIOBAND, GUARDIAN 1 SQ CM",,,29,,NW,,,,,,$198.92,$0.00,1,1,1,0,0,1,20210101,
Q4152,HCPCS,DERMAPURE 1 SQUARE CM,,,29,,NW,,,,,,$148.04,$0.00,1,1,1,0,0,1,20210101,
Q4153,HCPCS,"DERMAVEST, PLURIVEST SQ CM",,,29,,NW,,,,,,$443.56,$0.00,1,1,1,0,0,1,20210101,
Q4154,HCPCS,BIOVANCE 1 SQUARE CM,,,29,,NW,,,,,,$194.97,$0.00,1,1,1,0,0,1,20210101,
Q4155,HCPCS,NEOXFLO OR CLARIXFLO 1 MG,,,29,,NW,,,,,,$93.01,$0.00,1,1,1,0,0,1,20210101,
Q4156,HCPCS,NEOX 100 OR CLARIX 100,,,29,,NW,,,,,,$255.95,$0.00,1,1,1,0,0,1,20210101,
Q4158,HCPCS,"KERECIS OMEGA3, PER SQ CM",,,29,,NW,,,,,,$54.99,$0.00,1,1,1,0,0,1,20210101,
Q4159,HCPCS,AFFINITY1 SQUARE CM,,,29,,NW,,,,,,$81.37,$0.00,1,1,1,0,0,1,20210101,
Q4160,HCPCS,NUSHIELD 1 SQUARE CM,,,29,,NW,,,,,,$147.78,$0.00,1,1,1,0,0,1,20210101,
Q4161,HCPCS,BIO-CONNEKT PER SQUARE CM,,,29,,NW,,,,,,$378.19,$0.00,1,1,1,0,0,1,20210101,
Q4162,HCPCS,"WNDEX FLW, BIOSKN FLW, 0.5CC",,,29,,NW,,,,,,"$1,067.50",$0.00,1,1,1,0,0,1,20210101,
Q4163,HCPCS,"WOUNDEX, BIOSKIN, PER SQ CM",,,29,,NW,,,,,,$267.57,$0.00,1,1,1,0,0,1,20210101,
Q4164,HCPCS,"HELICOLL, PER SQUARE CM",,,29,,NW,,,,,,$196.73,$0.00,1,1,1,0,0,1,20210101,
Q4165,HCPCS,"KERAMATRIX, PER SQUARE CM",,,29,,NW,,,,,,$459.74,$0.00,1,1,1,0,0,1,20210101,
Q4166,HCPCS,"CYTAL, PER SQUARE CENTIMETER",,,29,,NW,,,,,,$66.78,$0.00,1,1,1,0,0,1,20210101,
Q4168,HCPCS,"AMNIOBAND, 1 MG",,,29,,NW,,,,,,$62.82,$0.00,1,1,1,0,0,1,20210101,
Q4169,HCPCS,"ARTACENT WOUND, PER SQ CM",,,29,,NW,,,,,,$179.82,$0.00,1,1,1,0,0,1,20210101,
Q4171,HCPCS,"INTERFYL, 1 MG",,,29,,NW,,,,,,$22.68,$0.00,1,1,1,0,0,1,20210101,
Q4173,HCPCS,PALINGEN OR PALINGEN XPLUS,,,29,,NW,,,,,,$350.35,$0.00,1,1,1,0,0,1,20210101,
Q4174,HCPCS,PALINGEN OR PROMATRX,,,29,,NW,,,,,,"$1,564.54",$0.00,1,1,1,0,0,1,20210101,
Q4176,HCPCS,"NEOPATCH OR THERION, 1 SQ CM",,,29,,NW,,,,,,$174.21,$0.00,1,1,1,0,0,1,20210101,
Q4177,HCPCS,"FLOWERAMNIOFLO, 0.1 CC",,,29,,NW,,,,,,$227.16,$0.00,1,1,1,0,0,1,20210101,
Q4178,HCPCS,"FLOWERAMNIOPATCH, PER SQ CM",,,29,,NW,,,,,,$567.06,$0.00,1,1,1,0,0,1,20210101,
Q4179,HCPCS,"FLOWERDERM, PER SQ CM",,,29,,NW,,,,,,$203.64,$0.00,1,1,1,0,0,1,20210101,
Q4180,HCPCS,"REVITA, PER SQ CM",,,29,,NW,,,,,,$195.59,$0.00,1,1,1,0,0,1,20210101,
Q4181,HCPCS,"AMNIO WOUND, PER SQUARE CM",,,29,,NW,,,,,,$132.89,$0.00,1,1,1,0,0,1,20210101,
Q4182,HCPCS,"TRANSCYTE, PER SQ CENTIMETER",,,29,,NW,,,,,,$4.60,$0.00,1,1,1,0,0,1,20210101,
Q4185,HCPCS,CELLESTA FLOWAB AMNION 0.5CC,,,29,,NW,,,,,,"$1,900.05",$0.00,1,1,1,0,0,1,20210101,
Q4186,HCPCS,EPIFIX 1 SQ CM,,,29,,NW,,,,,,$344.99,$0.00,1,1,1,0,0,1,20210101,
Q4187,HCPCS,EPICORD 1 SQ CM,,,29,,NW,,,,,,$393.42,$0.00,1,1,1,0,0,1,20210101,
Q4188,HCPCS,AMNIOARMOR 1 SQ CM,,,29,,NW,,,,,,$144.42,$0.00,1,1,1,0,0,1,20210101,
Q4191,HCPCS,RESTORIGIN 1 SQ CM,,,29,,NW,,,,,,$46.81,$0.00,1,1,1,0,0,1,20210101,
Q4195,HCPCS,PURAPLY 1 SQ CM,,,29,,NW,,,,,,$185.84,$0.00,1,1,1,0,0,1,20210101,
Q4196,HCPCS,PURAPLY AM 1 SQ CM,,,29,,NW,,,,,,$188.48,$0.00,1,1,1,0,0,1,20210101,
Q4197,HCPCS,PURAPLY XT 1 SQ CM,,,29,,NW,,,,,,$243.66,$0.00,1,1,1,0,0,1,20210101,
Q4200,HCPCS,SKIN TE 1 SQ CM,,,29,,NW,,,,,,$2.14,$0.00,1,1,1,0,0,1,20210101,
Q4201,HCPCS,MATRION 1 SQ CM,,,29,,NW,,,,,,$54.10,$0.00,1,1,1,0,0,1,20210101,
Q4227,HCPCS,AMNIOCORE PER SQ CM,,,29,,NW,,,,,,"$2,963.29",$0.00,1,1,1,0,0,1,20210101,
Q4228,HCPCS,"BIONEXTPATCH, PER SQ CM",,,29,,NW,,,,,,"$2,963.29",$0.00,1,1,1,0,0,1,20210101,
Q4234,HCPCS,"XCELLERATE, PER SQ CM",,,29,,NW,,,,,,"$2,963.29",$0.00,1,1,1,0,0,1,20210101,
Q4235,HCPCS,AMNIOREPAIR OR ALTIPLY SQ CM,,,29,,NW,,,,,,"$2,963.29",$0.00,1,1,1,0,0,1,20210101,
Q4237,HCPCS,"CRYO-CORD, PER SQ CM",,,29,,NW,,,,,,"$2,963.29",$0.00,1,1,1,0,0,1,20210101,
Q4238,HCPCS,"DERM-MAXX, PER SQ CM",,,29,,NW,,,,,,"$2,963.29",$0.00,1,1,1,0,0,1,20210101,
Q4239,HCPCS,AMNIO-MAXX OR LITE PER SQ CM,,,29,,NW,,,,,,"$2,963.29",$0.00,1,1,1,0,0,1,20210101,
Q5001,HCPCS,HOSPICE OR HOME HLTH IN HOME,,,14,,TotalUnits,,,,1.35 ,,$0.00,$0.00,1,1,1,1,1,1,20210101,
Q5002,HCPCS,HOSPICE/HOME HLTH IN ASST LV,,,14,,TotalUnits,,,,1.96 ,,$0.00,$0.00,1,1,1,1,1,1,20210101,
Q5003,HCPCS,HOSPICE IN LT/NON-SKILLED NF,,,14,,TotalUnits,,,,0.07 ,,$0.00,$0.00,1,1,1,1,1,1,20210101,
Q5004,HCPCS,HOSPICE IN SNF,,,14,,TotalUnits,,,,1.52 ,,$0.00,$0.00,1,1,1,1,1,1,20210101,
Q5005,HCPCS,"HOSPICE, INPATIENT HOSPITAL",,,14,,TotalUnits,,,,6.11 ,,$0.00,$0.00,1,1,1,1,1,1,20210101,
Q5006,HCPCS,HOSPICE IN HOSPICE FACILITY,,,14,,TotalUnits,,,,7.62 ,,$0.00,$0.00,1,1,1,1,1,1,20210101,
Q5009,HCPCS,"HOSPICE/HOME HLTH, PLACE NOS",,,14,,TotalUnits,,,,1.35 ,,$0.00,$0.00,1,1,1,1,1,1,20210101,
Q5010,HCPCS,HOSPICE HOME CARE IN HOSPICE,,,14,,TotalUnits,,,,6.27 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
Q5101,HCPCS,"INJECTION, ZARXIO",,,29,,NW,,,,,,$11.25,$0.00,1,1,1,0,0,1,20210101,
Q5103,HCPCS,"INJECTION, INFLECTRA",,,29,,NW,,,,,,$162.11,$0.00,1,1,1,0,0,1,20210101,
Q5104,HCPCS,"INJECTION, RENFLEXIS",,,29,,NW,,,,,,$160.01,$0.00,1,1,1,0,0,1,20210101,
Q5105,HCPCS,INJ RETACRIT ESRD ON DIALYSI,,,29,,NW,,,,,,$14.45,$0.00,1,1,1,0,0,1,20210101,
Q5106,HCPCS,INJ RETACRIT NON-ESRD USE,,,29,,NW,,,,,,$31.17,$0.00,1,1,1,0,0,1,20210101,
Q5107,HCPCS,INJ MVASI 10 MG,,,29,,NW,,,,,,$118.55,$0.00,1,1,1,0,0,1,20210101,
Q5108,HCPCS,"INJECTION, FULPHILA",,,29,,NW,,,,,,$721.15,$0.00,1,1,1,0,0,1,20210101,
Q5109,HCPCS,"INJECTION, IXIFI, 10 MG",,,29,,NW,,,,,,$161.06,$0.00,1,1,1,0,0,1,20210101,
Q5110,HCPCS,NIVESTYM,,,29,,NW,,,,,,$7.17,$0.00,1,1,1,0,0,1,20210101,
Q5111,HCPCS,"INJECTION, UDENYCA 0.5 MG",,,29,,NW,,,,,,$576.21,$0.00,1,1,1,0,0,1,20210101,
Q5112,HCPCS,INJ ONTRUZANT 10 MG,,,29,,NW,,,,,,$259.09,$0.00,1,1,1,0,0,1,20210101,
Q5113,HCPCS,INJ HERZUMA 10 MG,,,29,,NW,,,,,,$274.82,$0.00,1,1,1,0,0,1,20210101,
Q5114,HCPCS,INJ  OGIVRI 10 MG,,,29,,NW,,,,,,$266.01,$0.00,1,1,1,0,0,1,20210101,
Q5115,HCPCS,INJ TRUXIMA 10 MG,,,29,,NW,,,,,,$195.01,$0.00,1,1,1,0,0,1,20210101,
Q5116,HCPCS,"INJ., TRAZIMERA, 10 MG",,,29,,NW,,,,,,$236.13,$0.00,1,1,1,0,0,1,20210101,
Q5117,HCPCS,"INJ., KANJINTI, 10 MG",,,29,,NW,,,,,,$229.52,$0.00,1,1,1,0,0,1,20210101,
Q5118,HCPCS,"INJ., ZIRABEV, 10 MG",,,29,,NW,,,,,,$177.31,$0.00,1,1,1,0,0,1,20210101,
Q5119,HCPCS,"INJ RUXIENCE, 10 MG",,,29,,NW,,,,,,$195.60,$0.00,1,1,1,0,0,1,20210101,
Q5120,HCPCS,INJ PEGFILGRASTIM-BMEZ 0.5MG,,,29,,NW,,,,,,$665.18,$0.00,1,1,1,0,0,1,20210101,
Q5121,HCPCS,"INJ. AVSOLA, 10 MG",,,29,,NW,,,,,,$99.51,$0.00,1,1,1,0,0,1,20210101,
Q9950,HCPCS,INJ SULF HEXA LIPID MICROSPH,,,28,,NW,,,,,,$68.42,$0.00,1,1,1,0,0,1,20210101,
Q9951,HCPCS,"LOCM >= 400 MG/ML IODINE,1ML",,,28,,NW,,,,,,$4.70,$0.00,1,1,1,0,0,1,20210101,
Q9953,HCPCS,"INJ FE-BASED MR CONTRAST,1ML",,,28,,NW,,,,,,$58.78,$0.00,1,1,1,0,0,1,20210101,
Q9954,HCPCS,"ORAL MR CONTRAST, 100 ML",,,28,,NW,,,,,,$17.76,$0.00,1,1,1,0,0,1,20210101,
Q9955,HCPCS,"INJ PERFLEXANE LIP MICROS,ML",,,28,,NW,,,,,,$4.87,$0.00,1,1,1,0,0,1,20210101,
Q9956,HCPCS,"INJ OCTAFLUOROPROPANE MIC,ML",,,28,,NW,,,,,,$113.59,$0.00,1,1,1,0,0,1,20210101,
Q9957,HCPCS,"INJ PERFLUTREN LIP MICROS,ML",,,28,,NW,,,,,,$204.58,$0.00,1,1,1,0,0,1,20210101,
Q9958,HCPCS,"HOCM <=149 MG/ML IODINE, 1ML",,,28,,NW,,,,,,$0.30,$0.00,1,1,1,0,0,1,20210101,
Q9959,HCPCS,"HOCM 150-199MG/ML IODINE,1ML",,,28,,NW,,,,,,$0.64,$0.00,1,1,1,0,0,1,20210101,
Q9960,HCPCS,"HOCM 200-249MG/ML IODINE,1ML",,,28,,NW,,,,,,$1.27,$0.00,1,1,1,0,0,1,20210101,
Q9961,HCPCS,"HOCM 250-299MG/ML IODINE,1ML",,,28,,NW,,,,,,$1.61,$0.00,1,1,1,0,0,1,20210101,
Q9962,HCPCS,"HOCM 300-349MG/ML IODINE,1ML",,,28,,NW,,,,,,$1.94,$0.00,1,1,1,0,0,1,20210101,
Q9963,HCPCS,"HOCM 350-399MG/ML IODINE,1ML",,,28,,NW,,,,,,$1.88,$0.00,1,1,1,0,0,1,20210101,
Q9964,HCPCS,"HOCM>= 400MG/ML IODINE, 1ML",,,28,,NW,,,,,,$2.88,$0.00,1,1,1,0,0,1,20210101,
Q9965,HCPCS,"LOCM 100-199MG/ML IODINE,1ML",,,28,,NW,,,,,,$3.13,$0.00,1,1,1,0,0,1,20210101,
Q9966,HCPCS,"LOCM 200-299MG/ML IODINE,1ML",,,28,,NW,,,,,,$2.77,$0.00,1,1,1,0,0,1,20210101,
Q9967,HCPCS,"LOCM 300-399MG/ML IODINE,1ML",,,28,,NW,,,,,,$1.47,$0.00,1,1,1,0,0,1,20210101,
Q9968,HCPCS,VISUALIZATION ADJUNCT,,,28,,NW,,,,,,$23.96,$0.00,1,1,1,0,0,1,20210101,
Q9969,HCPCS,NON-HEU TC-99M ADD-ON/DOSE,,,28,,NW,,,,,,$26.39,$0.00,1,1,1,0,0,1,20210101,
Q9982,HCPCS,FLUTEMETAMOL F18 DIAGNOSTIC,,,28,,NW,,,,,,"$5,324.42",$0.00,1,1,1,0,0,1,20210101,
Q9983,HCPCS,FLORBETABEN F18 DIAGNOSTIC,,,28,,NW,,,,,,"$4,154.95",$0.00,1,1,1,0,0,1,20210101,
Q9991,HCPCS,BUPRENORPH XR 100 MG OR LESS,,,29,,NW,,,,,,"$2,583.45",$0.00,1,1,1,0,0,1,20210101,
Q9992,HCPCS,BUPRENORPHINE XR OVER 100 MG,,,29,,NW,,,,,,"$2,583.45",$0.00,1,1,1,0,0,1,20210101,
R0070,HCPCS,TRANSPORT PORTABLE X-RAY,,TC,20,,TotalUnits,,,,2.05 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
R0075,HCPCS,TRANSPORT PORT X-RAY MULTIPL,,TC,20,,TotalUnits,,,,1.20 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
R0076,HCPCS,TRANSPORT PORTABLE EKG,,,20,,TotalUnits,,,,0.59 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
S0012,HCPCS,"BUTORPHANOL TARTRATE, NASAL",,,28,,NW,,,,,,$235.12,$0.00,1,1,1,0,0,1,20210101,
S0014,HCPCS,"TACRINE HYDROCHLORIDE, 10 MG",,,28,,NW,,,,,,$15.27,$0.00,1,1,1,0,0,1,20210101,
S0017,HCPCS,"INJECTION, AMINOCAPROIC ACID",,,28,,NW,,,,,,$45.66,$0.00,1,1,1,0,0,1,20210101,
S0020,HCPCS,"INJECTION, BUPIVICAINE HYDRO",,,28,,NW,,,,,,$10.56,$0.00,1,1,1,0,0,1,20210101,
S0021,HCPCS,"INJECTION, CEFOPERAZONE SOD",,,28,,NW,,,,,,$8.15,$0.00,1,1,1,0,0,1,20210101,
S0023,HCPCS,"INJECTION, CIMETIDINE HYDROC",,,28,,NW,,,,,,$13.64,$0.00,1,1,1,0,0,1,20210101,
S0028,HCPCS,"INJECTION, FAMOTIDINE, 20 MG",,,28,,NW,,,,,,$10.67,$0.00,1,1,1,0,0,1,20210101,
S0030,HCPCS,"INJECTION, METRONIDAZOLE",,,28,,NW,,,,,,$33.49,$0.00,1,1,1,0,0,1,20210101,
S0032,HCPCS,"INJECTION, NAFCILLIN SODIUM",,,28,,NW,,,,,,$104.98,$0.00,1,1,1,0,0,1,20210101,
S0034,HCPCS,"INJECTION, OFLOXACIN, 400 MG",,,28,,NW,,,,,,$36.58,$0.00,1,1,1,0,0,1,20210101,
S0039,HCPCS,"INJECTION, SULFAMETHOXAZOLE",,,28,,NW,,,,,,$4.85,$0.00,1,1,1,0,0,1,20210101,
S0040,HCPCS,"INJECTION, TICARCILLIN DISOD",,,28,,NW,,,,,,$42.70,$0.00,1,1,1,0,0,1,20210101,
S0073,HCPCS,"INJECTION, AZTREONAM, 500 MG",,,28,,NW,,,,,,$81.02,$0.00,1,1,1,0,0,1,20210101,
S0074,HCPCS,"INJECTION, CEFOTETAN DISODIU",,,28,,NW,,,,,,$63.52,$0.00,1,1,1,0,0,1,20210101,
S0077,HCPCS,"INJECTION, CLINDAMYCIN PHOSP",,,28,,NW,,,,,,$18.46,$0.00,1,1,1,0,0,1,20210101,
S0078,HCPCS,"INJECTION, FOSPHENYTOIN SODI",,,28,,NW,,,,,,$450.02,$0.00,1,1,1,0,0,1,20210101,
S0080,HCPCS,"INJECTION, PENTAMIDINE ISETH",,,28,,NW,,,,,,$255.20,$0.00,1,1,1,0,0,1,20210101,
S0081,HCPCS,"INJECTION, PIPERACILLIN SODI",,,28,,NW,,,,,,$6.04,$0.00,1,1,1,0,0,1,20210101,
S0088,HCPCS,IMATINIB 100 MG,,,28,,NW,,,,,,$120.54,$0.00,1,1,1,0,0,1,20210101,
S0090,HCPCS,"SILDENAFIL CITRATE, 25 MG",,,28,,NW,,,,,,$76.50,$0.00,1,1,1,0,0,1,20210101,
S0091,HCPCS,GRANISETRON 1MG,,,28,,NW,,,,,,$195.06,$0.00,1,1,1,0,0,1,20210101,
S0092,HCPCS,HYDROMORPHONE 250 MG,,,28,,NW,,,,,,$366.49,$0.00,1,1,1,0,0,1,20210101,
S0093,HCPCS,MORPHINE 500 MG,,,28,,NW,,,,,,"$1,069.13",$0.00,1,1,1,0,0,1,20210101,
S0104,HCPCS,"ZIDOVUDINE, ORAL, 100 MG",,,28,,NW,,,,,,$8.14,$0.00,1,1,1,0,0,1,20210101,
S0106,HCPCS,BUPROPION HCL SR 60 TABLETS,,,28,,NW,,,,,,$491.80,$0.00,1,1,1,0,0,1,20210101,
S0108,HCPCS,MERCAPTOPURINE 50 MG,,,28,,NW,,,,,,$16.96,$0.00,1,1,1,0,0,1,20210101,
S0109,HCPCS,METHADONE ORAL 5MG,,,28,,NW,,,,,,$1.16,$0.00,1,1,1,0,0,1,20210101,
S0119,HCPCS,ONDANSETRON 4 MG,,,28,,NW,,,,,,$41.48,$0.00,1,1,1,0,0,1,20210101,
S0122,HCPCS,INJ MENOTROPINS 75 IU,,,28,,NW,,,,,,$270.07,$0.00,1,1,1,0,0,1,20210101,
S0126,HCPCS,INJ FOLLITROPIN ALFA 75 IU,,,28,,NW,,,,,,"$1,387.16",$0.00,1,1,1,0,0,1,20210101,
S0128,HCPCS,INJ FOLLITROPIN BETA 75 IU,,,28,,NW,,,,,,$999.60,$0.00,1,1,1,0,0,1,20210101,
S0132,HCPCS,INJ GANIRELIX ACETAT 250 MCG,,,28,,NW,,,,,,$346.77,$0.00,1,1,1,0,0,1,20210101,
S0136,HCPCS,"CLOZAPINE, 25 MG",,,28,,NW,,,,,,$5.83,$0.00,1,1,1,0,0,1,20210101,
S0137,HCPCS,"DIDANOSINE, 25 MG",,,28,,NW,,,,,,$18.31,$0.00,1,1,1,0,0,1,20210101,
S0138,HCPCS,"FINASTERIDE, 5 MG",,,28,,NW,,,,,,$9.52,$0.00,1,1,1,0,0,1,20210101,
S0139,HCPCS,"MINOXIDIL, 10 MG",,,28,,NW,,,,,,$3.76,$0.00,1,1,1,0,0,1,20210101,
S0140,HCPCS,"SAQUINAVIR, 200 MG",,,28,,NW,,,,,,$8.46,$0.00,1,1,1,0,0,1,20210101,
S0142,HCPCS,COLISTIMETHATE INH SOL MG,,,28,,NW,,,,,,$3.11,$0.00,1,1,1,0,0,1,20210101,
S0145,HCPCS,PEG INTERFERON ALFA-2A/180,,,28,,NW,,,,,,$76.61,$0.00,1,1,1,0,0,1,20210101,
S0148,HCPCS,PEG INTERFERON ALFA-2B/10,,,28,,NW,,,,,,$272.03,$0.00,1,1,1,0,0,1,20210101,
S0155,HCPCS,EPOPROSTENOL DILUTANT,,,28,,NW,,,,,,$4.41,$0.00,1,1,1,0,0,1,20210101,
S0156,HCPCS,"EXEMESTANE, 25 MG",,,28,,NW,,,,,,$87.84,$0.00,1,1,1,0,0,1,20210101,
S0157,HCPCS,"BECAPLERMIN GEL 1%, 0.5 GM",,,28,,NW,,,,,,$323.28,$0.00,1,1,1,0,0,1,20210101,
S0160,HCPCS,DEXTROAMPHETAMINE,,,28,,NW,,,,,,$25.86,$0.00,1,1,1,0,0,1,20210101,
S0164,HCPCS,INJECTION PANTROPRAZOLE,,,28,,NW,,,,,,$40.38,$0.00,1,1,1,0,0,1,20210101,
S0166,HCPCS,INJ OLANZAPINE 2.5MG,,,28,,NW,,,,,,$26.49,$0.00,1,1,1,0,0,1,20210101,
S0169,HCPCS,CALCITROL,,,28,,NW,,,,,,$1.86,$0.00,1,1,1,0,0,1,20210101,
S0170,HCPCS,ANASTROZOLE 1 MG,,,28,,NW,,,,,,$26.30,$0.00,1,1,1,0,0,1,20210101,
S0171,HCPCS,BUMETANIDE 0.5 MG,,,28,,NW,,,,,,$5.90,$0.00,1,1,1,0,0,1,20210101,
S0172,HCPCS,CHLORAMBUCIL 2 MG,,,28,,NW,,,,,,$23.18,$0.00,1,1,1,0,0,1,20210101,
S0174,HCPCS,DOLASETRON 50 MG,,,28,,NW,,,,,,$232.94,$0.00,1,1,1,0,0,1,20210101,
S0175,HCPCS,FLUTAMIDE 125 MG,,,28,,NW,,,,,,$9.63,$0.00,1,1,1,0,0,1,20210101,
S0176,HCPCS,HYDROXYUREA 500 MG,,,28,,NW,,,,,,$15.04,$0.00,1,1,1,0,0,1,20210101,
S0177,HCPCS,LEVAMISOLE 50 MG,,,28,,NW,,,,,,$22.39,$0.00,1,1,1,0,0,1,20210101,
S0178,HCPCS,LOMUSTINE 10 MG,,,28,,NW,,,,,,$91.57,$0.00,1,1,1,0,0,1,20210101,
S0179,HCPCS,MEGESTROL 20 MG,,,28,,NW,,,,,,$2.06,$0.00,1,1,1,0,0,1,20210101,
S0182,HCPCS,"PROCARBAZINE, ORAL",,,28,,NW,,,,,,$232.26,$0.00,1,1,1,0,0,1,20210101,
S0183,HCPCS,PROCHLORPERAZINE 5 MG,,,28,,NW,,,,,,$3.35,$0.00,1,1,1,0,0,1,20210101,
S0187,HCPCS,TAMOXIFEN 10 MG,,,28,,NW,,,,,,$16.29,$0.00,1,1,1,0,0,1,20210101,
S0189,HCPCS,TESTOSTERONE PELLET 75 MG,,,28,,NW,,,,,,$178.36,$0.00,1,1,1,0,0,1,20210101,
S0190,HCPCS,"MIFEPRISTONE, ORAL, 200 MG",,,28,,NW,,,,,,$238.27,$0.00,1,1,1,0,0,1,20210101,
S0191,HCPCS,"MISOPROSTOL, ORAL, 200 MCG",,,28,,NW,,,,,,$11.98,$0.00,1,1,1,0,0,1,20210101,
S0197,HCPCS,PRENATAL VITAMINS 30 DAY,,,28,,NW,,,,,,$12.32,$0.00,1,1,1,0,0,1,20210101,
S0199,HCPCS,MED ABORTION INC ALL EX DRUG,,,12,,TotalUnits,,,,5.76 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
S0201,HCPCS,PARTIAL HOSPITALIZATION SERV,,,14,,TotalUnits,,,,1.05 ,,$0.00,$0.00,1,1,1,0,0,1,20210101,
S0207,HCPCS,PARAMEDICINTERCEP NONHOSPALS,,,14,,TotalUnits,,,,7.95 ,,$0.00,$0.00,1,1,1,1,1,1,20210101,
S0208,HCPCS,PARAMED INTRCEPT NONVOL,,,14,,TotalUnits,,,,8.32 ,,$0.00,$0.00,1,1,1,1,1,1,20210101,
S0209,HCPCS,WC VAN MILEAGE PER MI,,,14,,TotalUnits,,,,0.03 ,,$0.00,$0.00,1,1,1,1,1,1,20210101,
S0215,HCPCS,NONEMERG TRANSP MILEAGE,,,14,,TotalUnits,,,,0.02 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
S0220,HCPCS,MEDICAL CONFERENCE BY PHYSIC,,,15,,TotalUnits,,,,2.10 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
S0221,HCPCS,"MEDICAL CONFERENCE, 60 MIN",,,15,,RBRVS,1.42 ,0.44 ,1.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
S0255,HCPCS,HOSPICE REFER VISIT NONMD,,,15,,RBRVS,0.48 ,0.11 ,0.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
S0257,HCPCS,END OF LIFE COUNSELING,,,15,,TotalUnits,,,,0.51 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
S0260,HCPCS,H&P FOR SURGERY,,,15,,TotalUnits,,,,6.07 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
S0265,HCPCS,GENETIC COUNSEL 15 MINS,,,14,,TotalUnits,,,,0.84 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
S0280,HCPCS,"MEDICAL HOME, INITIAL PLAN",,,14,,TotalUnits,,,,0.68 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
S0281,HCPCS,"MEDICAL HOME, MAINTENANCE",,,14,,TotalUnits,,,,0.34 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
S0285,HCPCS,CNSLT BEFORE SCREEN COLONOSC,,,15,,TotalUnits,,,,3.03 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
S0302,HCPCS,COMPLETED EPSDT,,,18,,TotalUnits,,,,0.40 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
S0310,HCPCS,HOSPITALIST VISIT,,,10,,TotalUnits,,,,1.02 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
S0315,HCPCS,DISEASE MANAGEMENT PROGRAM,,,14,,TotalUnits,,,,1.36 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
S0316,HCPCS,FOLLOW-UP/REASSESSMENT,,,14,,TotalUnits,,,,1.01 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
S0317,HCPCS,DISEASE MGMT PER DIEM,,,14,,TotalUnits,,,,1.79 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
S0340,HCPCS,LIFESTYLE MOD 1ST STAGE,,,14,,TotalUnits,,,,0.38 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
S0353,HCPCS,CANCER TREATMENTPLAN INITIAL,,,14,,TotalUnits,,,,6.35 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
S0354,HCPCS,CANCER TREATMENT PLAN CHANGE,,,14,,TotalUnits,,,,4.16 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
S0390,HCPCS,ROUT FOOT CARE PER VISIT,,,14,,TotalUnits,,,,0.96 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
S0395,HCPCS,IMPRESSION CASTING FT,,,28,,NW,,,,,,$124.67,$0.00,1,1,1,0,0,1,20210101,
S0400,HCPCS,GLOBAL ESWL KIDNEY,,,21,,RBRVS,9.64 ,6.13 ,17.10 ,,,$0.00,$0.00,1,0,0,0,0,1,20210101,
S0500,HCPCS,DISPOS CONT LENS,,,28,,NW,,,,,,$163.07,$0.00,1,1,1,1,1,1,20210101,
S0504,HCPCS,SINGL PRSCRP LENS,,,28,,NW,,,,,,$107.61,$0.00,1,1,1,1,1,1,20210101,
S0506,HCPCS,BIFOC PRSCP LENS,,,28,,NW,,,,,,$134.90,$0.00,1,1,1,1,1,1,20210101,
S0508,HCPCS,TRIFOC PRSCRP LENS,,,28,,NW,,,,,,$212.36,$0.00,1,1,1,1,1,1,20210101,
S0510,HCPCS,NON-PRSCRP LENS,,,28,,NW,,,,,,$101.83,$0.00,1,1,1,1,1,1,20210101,
S0512,HCPCS,DAILY CONT LENS,,,28,,NW,,,,,,$190.32,$0.00,1,1,1,1,1,1,20210101,
S0514,HCPCS,COLOR CONT LENS,,,28,,NW,,,,,,$224.15,$0.00,1,1,1,1,1,1,20210101,
S0515,HCPCS,SCLERAL LENS LIQUID BANDAGE,,,28,,NW,,,,,,$557.83,$0.00,1,1,1,1,1,1,20210101,
S0516,HCPCS,SAFETY FRAMES,,,28,,NW,,,,,,$104.58,$0.00,1,1,1,1,1,1,20210101,
S0518,HCPCS,SUNGLASS FRAMES,,,28,,NW,,,,,,$178.58,$0.00,1,1,1,1,1,1,20210101,
S0580,HCPCS,POLYCARB LENS,,,28,,NW,,,,,,$69.70,$0.00,1,1,1,1,1,1,20210101,
S0581,HCPCS,NONSTND LENS,,,28,,NW,,,,,,$291.30,$0.00,1,1,1,1,1,1,20210101,
S0592,HCPCS,COMP CONT LENS EVAL,,,23,,TotalUnits,,,,1.03 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
S0595,HCPCS,NEW LENSES IN PTS OLD FRAME,,,28,,NW,,,,,,$42.77,$0.00,1,1,1,1,1,1,20210101,
S0601,HCPCS,SCREENING PROCTOSCOPY,,,21,,RBRVS,0.55 ,0.38 ,1.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
S0610,HCPCS,ANNUAL GYNECOLOGICAL EXAMINA,,,18,,TotalUnits,,,,4.43 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
S0612,HCPCS,ANNUAL GYNECOLOGICAL EXAMINA,,,18,,TotalUnits,,,,3.38 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
S0613,HCPCS,ANN BREAST EXAM,,,18,,TotalUnits,,,,1.84 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
S0618,HCPCS,AUDIOMETRY FOR HEARING AID,,,8,,TotalUnits,,,,1.39 ,,$0.00,$0.00,1,1,1,0,0,1,20210101,
S0620,HCPCS,ROUTINE OPHTHALMOLOGICAL EXA,,,23,,TotalUnits,,,,0.63 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
S0621,HCPCS,ROUTINE OPHTHALMOLOGICAL EXA,,,23,,TotalUnits,,,,0.63 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
S0622,HCPCS,PHYS EXAM FOR COLLEGE,,,14,,TotalUnits,,,,0.56 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
S0630,HCPCS,REMOVAL OF SUTURES,,,14,,TotalUnits,,,,1.02 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
S0800,HCPCS,LASER IN SITU KERATOMILEUSIS,,,14,,TotalUnits,,,,27.39 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
S0810,HCPCS,PHOTOREFRACTIVE KERATECTOMY,,,14,,TotalUnits,,,,34.23 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
S0812,HCPCS,PHOTOTHERAP KERATECT,,,14,,TotalUnits,,,,3.65 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
S1001,HCPCS,DELUXE ITEM,,,28,,NW,,,,,,$33.84,$0.00,1,1,1,1,1,1,20210101,
S1002,HCPCS,CUSTOM ITEM,,,28,,NW,,,,,,$34.31,$0.00,1,1,1,1,1,1,20210101,
S1015,HCPCS,IV TUBING EXTENSION SET,,,28,,NW,,,,,,$57.60,$0.00,1,1,1,0,0,1,20210101,
S1016,HCPCS,NON-PVC INTRAVENOUS ADMINIST,,,28,,NW,,,,,,$137.72,$0.00,1,1,1,0,0,1,20210101,
S1034,HCPCS,ART PANCREAS SYSTEM,,,28,,NW,,,,,,"$10,000.07",$0.00,1,1,1,1,1,1,20210101,
S1036,HCPCS,ART PANCREAS EXT TRANSMITTER,,,28,,NW,,,,,,$989.33,$0.00,1,1,1,1,1,1,20210101,
S1040,HCPCS,CRANIAL REMOLDING ORTHOSIS,,,28,,NW,,,,,,$590.98,$0.00,1,1,1,0,0,1,20210101,
S2053,HCPCS,TRANSPLANTATION OF SMALL INT,,,21,,RBRVS,83.29 ,27.76 ,27.76 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
S2054,HCPCS,TRANSPLANTATION OF MULTIVISC,,,21,,RBRVS,61.68 ,22.96 ,22.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
S2055,HCPCS,HARVESTING OF DONOR MULTIVIS,,,21,,RBRVS,61.68 ,22.96 ,22.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
S2060,HCPCS,LOBAR LUNG TRANSPLANTATION,,,21,,RBRVS,40.94 ,20.19 ,20.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
S2065,HCPCS,SIMULT PANC KIDN TRANS,,,21,,RBRVS,61.68 ,22.96 ,22.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
S2066,HCPCS,BREAST GAP FLAP RECONST,,,21,,TotalUnits,,,,256.95 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
S2067,HCPCS,BREAST STACKED DIEP/GAP,,,21,,TotalUnits,,,,500.96 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
S2068,HCPCS,BREAST DIEP OR SIEA FLAP,,,21,,TotalUnits,,,,259.97 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
S2070,HCPCS,CYSTO LASER TX URETERAL CALC,,,21,,RBRVS,6.87 ,3.46 ,3.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
S2080,HCPCS,LAUP,,,21,,RBRVS,9.63 ,7.49 ,7.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
S2083,HCPCS,ADJUSTMENT GASTRIC BAND,,,21,,TotalUnits,,,,2.80 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
S2095,HCPCS,TRANSCATH EMBOLIZ MICROSPHER,,,21,,RBRVS,18.11 ,6.24 ,6.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
S2102,HCPCS,ISLET CELL TISSUE TRANSPLANT,,,21,,TotalUnits,,,,48.84 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
S2115,HCPCS,PERIACETABULAR OSTEOTOMY,,,21,,TotalUnits,,,,41.61 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
S2118,HCPCS,TOTAL HIP RESURFACING,,,21,,TotalUnits,,,,96.10 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
S2120,HCPCS,LOW DENSITY LIPOPROTEIN(LDL),,,17,,TotalUnits,,,,41.06 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
S2140,HCPCS,CORD BLOOD HARVESTING,,,21,,TotalUnits,,,,2.35 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
S2142,HCPCS,CORD BLOOD-DERIVED STEM-CELL,,,21,,TotalUnits,,,,1.62 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
S2150,HCPCS,BMT HARV/TRANSPL 28D PKG,,,21,,RBRVS,2.24 ,0.94 ,0.94 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
S2202,HCPCS,ECHOSCLEROTHERAPY,,,14,,TotalUnits,,,,7.65 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
S2205,HCPCS,MINIMALLY INVASIVE DIRECT CO,,,21,,RBRVS,33.64 ,12.57 ,12.57 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
S2206,HCPCS,MINIMALLY INVASIVE DIRECT CO,,,21,,RBRVS,39.77 ,14.75 ,14.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
S2207,HCPCS,MINIMALLY INVASIVE DIRECT CO,,,21,,RBRVS,34.87 ,12.92 ,12.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
S2225,HCPCS,MYRINGOTOMY LASER-ASSIST,,,21,,RBRVS,1.35 ,1.56 ,3.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
S2230,HCPCS,IMPLANT SEMI-IMP HEAR,,,21,,TotalUnits,,,,15.48 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
S2235,HCPCS,IMPLANT AUDITORY BRAIN IMP,,,21,,RBRVS,0.73 ,8.52 ,8.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
S2260,HCPCS,INDUCED ABORTION 17-24 WEEKS,,,12,,TotalUnits,,,,10.35 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
S2265,HCPCS,INDUCED ABORTION 25-28 WKS,,,12,,RBRVS,5.90 ,2.46 ,2.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
S2266,HCPCS,INDUCED ABORTION 29-31 WKS,,,12,,RBRVS,5.90 ,2.46 ,2.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
S2267,HCPCS,INDUCED ABORTION 32 OR MORE,,,12,,RBRVS,5.90 ,2.46 ,2.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
S2300,HCPCS,"ARTHROSCOPY, SHOULDER, SURGI",,,21,,TotalUnits,,,,12.49 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
S2325,HCPCS,HIP CORE DECOMPRESSION,,,21,,TotalUnits,,,,24.10 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
S2340,HCPCS,CHEMODENERVATION OF ABDUCTOR,,,21,,RBRVS,3.86 ,1.65 ,4.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
S2341,HCPCS,CHEMODENERV ADDUCT VOCAL,,,21,,RBRVS,3.86 ,1.65 ,4.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
S2342,HCPCS,NASAL ENDOSCOP PO DEBRID,,,21,,TotalUnits,,,,5.69 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
S2348,HCPCS,DECOMPRESS DISC RF LUMBAR,,,21,,RBRVS,8.88 ,4.30 ,4.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
S2350,HCPCS,"DISKECTOMY, ANTERIOR, WITH D",,,21,,TotalUnits,,,,44.21 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
S2351,HCPCS,"DISKECTOMY, ANTERIOR, WITH D",,,21,,RBRVS,3.28 ,1.21 ,1.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
S2404,HCPCS,FETAL SURG MYELOMENINGO,,,21,,TotalUnits,,,,77.40 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
S2411,HCPCS,FETOSCOP LASER THER TTTS,,,21,,TotalUnits,,,,72.11 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
S2900,HCPCS,ROBOTIC SURGICAL SYSTEM,,,21,,TotalUnits,,,,12.56 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
S3000,HCPCS,BILAT DIL RETINAL EXAM,,,23,,RBRVS,0.88 ,0.45 ,1.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
S3005,HCPCS,EVAL SELF-ASSESS DEPRESSION,,,16,,TotalUnits,,,,1.02 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
S3600,HCPCS,STAT LAB,,,17,,TotalUnits,,,,0.23 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
S3601,HCPCS,STAT LAB HOME/NF,,,17,,TotalUnits,,,,0.41 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
S3620,HCPCS,NEWBORN METABOLIC SCREENING,,,17,,TotalUnits,,,,0.45 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
S3630,HCPCS,EOSINOPHIL BLOOD COUNT,,,17,,TotalUnits,,,,0.21 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
S3645,HCPCS,HIV-1 ANTIBODY TESTING OF OR,,,17,,TotalUnits,,,,0.19 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
S3650,HCPCS,"SALIVA TEST, HORMONE LEVEL;",,,17,,TotalUnits,,,,2.21 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
S3652,HCPCS,"SALIVA TEST, HORMONE LEVEL;",,,17,,TotalUnits,,,,2.51 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
S3655,HCPCS,ANTISPERM ANTIBODIES TEST,,,17,,TotalUnits,,,,0.51 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
S3854,HCPCS,GENE PROFILE PANEL BREAST,,,17,,TotalUnits,,,,27.04 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
S3870,HCPCS,CGH TEST DEVELOPMENTAL DELAY,,,17,,TotalUnits,,,,19.47 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
S3900,HCPCS,SURFACE EMG,,,17,,TotalUnits,,,,1.41 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
S4005,HCPCS,INTERIM LABOR FACILITY GLOBA,,,12,,TotalUnits,,,,23.65 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
S4011,HCPCS,IVF PACKAGE,,,14,,TotalUnits,,,,79.16 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
S4015,HCPCS,COMPLETE IVF NOS CASE RATE,,,14,,TotalUnits,,,,123.11 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
S4016,HCPCS,FROZEN IVF CASE RATE,,,14,,TotalUnits,,,,45.43 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
S4017,HCPCS,IVF CANC A STIM CASE RATE,,,14,,TotalUnits,,,,12.76 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
S4018,HCPCS,F EMB TRNS CANC CASE RATE,,,14,,TotalUnits,,,,11.52 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
S4020,HCPCS,IVF CANC A ASPIR CASE RATE,,,14,,TotalUnits,,,,29.08 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
S4021,HCPCS,IVF CANC P ASPIR CASE RATE,,,14,,TotalUnits,,,,87.87 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
S4022,HCPCS,ASST OOCYTE FERT CASE RATE,,,14,,TotalUnits,,,,28.36 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
S4023,HCPCS,INCOMPL DONOR EGG CASE RATE,,,14,,TotalUnits,,,,100.14 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
S4026,HCPCS,PROCURE DONOR SPERM,,,14,,TotalUnits,,,,10.22 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
S4027,HCPCS,STORE PREV FROZ EMBRYOS,,,14,,TotalUnits,,,,0.51 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
S4028,HCPCS,MICROSURG EPI SPERM ASP,,,14,,TotalUnits,,,,35.16 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
S4035,HCPCS,STIMULATED IUI CASE RATE,,,14,,TotalUnits,,,,28.95 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
S4037,HCPCS,CRYO EMBRYO TRANSF CASE RATE,,,14,,TotalUnits,,,,42.76 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
S4040,HCPCS,MONIT STORE CRYO EMBRYO 30 D,,,14,,TotalUnits,,,,1.14 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
S4042,HCPCS,OVULATION MGMT PER CYCLE,,,14,,TotalUnits,,,,5.98 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
S4981,HCPCS,INSERT LEVONORGESTREL IUS,,,14,,TotalUnits,,,,3.10 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
S4989,HCPCS,CONTRACEPT IUD,,,28,,NW,,,,,,$938.13,$0.00,1,1,1,1,1,1,20210101,
S4990,HCPCS,NICOTINE PATCH LEGEND,,,28,,NW,,,,,,$35.11,$0.00,1,1,1,0,0,1,20210101,
S4993,HCPCS,CONTRACEPTIVE PILLS FOR BC,,,28,,NW,,,,,,$33.08,$0.00,1,1,1,1,1,1,20210101,
S4995,HCPCS,SMOKING CESSATION GUM,,,28,,NW,,,,,,$74.75,$0.00,1,1,1,0,0,1,20210101,
S5000,HCPCS,"PRESCRIPTION DRUG, GENERIC",,,28,,NW,,,,,,$26.13,$0.00,1,1,1,0,0,1,20210101,
S5001,HCPCS,"PRESCRIPTION DRUG,BRAND NAME",,,28,,NW,,,,,,$111.70,$0.00,1,1,1,0,0,1,20210101,
S5010,HCPCS,5% DEXTROSE AND 0.45% SALINE,,,28,,NW,,,,,,$22.32,$0.00,1,1,1,0,0,1,20210101,
S5012,HCPCS,5% DEXTROSE WITH POTASSIUM,,,28,,NW,,,,,,$93.05,$0.00,1,1,1,0,0,1,20210101,
S5013,HCPCS,5%DEXTROSE/0.45%SALINE1000ML,,,28,,NW,,,,,,$53.10,$0.00,1,1,1,0,0,1,20210101,
S5014,HCPCS,D5W/0.45NS W KCL AND MGS04,,,28,,NW,,,,,,$15.63,$0.00,1,1,1,0,0,1,20210101,
S5035,HCPCS,HIT ROUTINE DEVICE MAINT,,,14,,RBRVS,0.18 ,0.37 ,0.37 ,,,$0.00,$0.00,1,1,1,1,1,1,20210101,
S5100,HCPCS,ADULT DAYCARE SERVICES 15MIN,,,14,,TotalUnits,,,,0.04 ,,$0.00,$0.00,1,1,1,1,1,1,20210101,
S5101,HCPCS,ADULT DAY CARE PER HALF DAY,,,14,,TotalUnits,,,,0.20 ,,$0.00,$0.00,1,1,1,1,1,1,20210101,
S5102,HCPCS,ADULT DAY CARE PER DIEM,,,14,,TotalUnits,,,,0.99 ,,$0.00,$0.00,1,1,1,1,1,1,20210101,
S5105,HCPCS,CENTERBASED DAY CARE PERDIEM,,,14,,TotalUnits,,,,1.02 ,,$0.00,$0.00,1,1,1,1,1,1,20210101,
S5108,HCPCS,HOMECARE TRAIN PT 15 MIN,,,14,,TotalUnits,,,,0.39 ,,$0.00,$0.00,1,1,1,1,1,1,20210101,
S5109,HCPCS,HOMECARE TRAIN PT SESSION,,,14,,TotalUnits,,,,2.29 ,,$0.00,$0.00,1,1,1,1,1,1,20210101,
S5110,HCPCS,FAMILY HOMECARE TRAINING 15M,,,14,,TotalUnits,,,,0.20 ,,$0.00,$0.00,1,1,1,1,1,1,20210101,
S5111,HCPCS,FAMILY HOMECARE TRAIN/SESSIO,,,14,,TotalUnits,,,,1.31 ,,$0.00,$0.00,1,1,1,1,1,1,20210101,
S5115,HCPCS,NONFAMILY HOMECARE TRAIN/15M,,,14,,TotalUnits,,,,1.68 ,,$0.00,$0.00,1,1,1,1,1,1,20210101,
S5116,HCPCS,NONFAMILY HC TRAIN/SESSION,,,14,,TotalUnits,,,,0.79 ,,$0.00,$0.00,1,1,1,1,1,1,20210101,
S5125,HCPCS,ATTENDANT CARE SERVICE /15M,,,14,,TotalUnits,,,,0.07 ,,$0.00,$0.00,1,1,1,1,1,1,20210101,
S5126,HCPCS,ATTENDANT CARE SERVICE /DIEM,,,14,,TotalUnits,,,,0.26 ,,$0.00,$0.00,1,1,1,1,1,1,20210101,
S5135,HCPCS,ADULT COMPANIONCARE PER 15M,,,14,,TotalUnits,,,,0.04 ,,$0.00,$0.00,1,1,1,1,1,1,20210101,
S5136,HCPCS,ADULT COMPANIONCARE PER DIEM,,,14,,TotalUnits,,,,0.71 ,,$0.00,$0.00,1,1,1,1,1,1,20210101,
S5140,HCPCS,ADULT FOSTER CARE PER DIEM,,,14,,TotalUnits,,,,0.51 ,,$0.00,$0.00,1,1,1,1,1,1,20210101,
S5145,HCPCS,CHILD FOSTERCARE TH PER DIEM,,,14,,TotalUnits,,,,2.34 ,,$0.00,$0.00,1,1,1,1,1,1,20210101,
S5150,HCPCS,UNSKILLED RESPITE CARE /15M,,,14,,TotalUnits,,,,0.08 ,,$0.00,$0.00,1,1,1,1,1,1,20210101,
S5151,HCPCS,UNSKILLED RESPITECARE /DIEM,,,14,,TotalUnits,,,,1.54 ,,$0.00,$0.00,1,1,1,1,1,1,20210101,
S5160,HCPCS,EMER RESPONSE SYS INSTAL&TST,,,14,,TotalUnits,,,,0.43 ,,$0.00,$0.00,1,1,1,1,1,1,20210101,
S5161,HCPCS,EMER RSPNS SYS SERV PERMONTH,,,14,,TotalUnits,,,,0.34 ,,$0.00,$0.00,1,1,1,1,1,1,20210101,
S5165,HCPCS,HOME MODIFICATIONS PER SERV,,,14,,TotalUnits,,,,25.44 ,,$0.00,$0.00,1,1,1,1,1,1,20210101,
S5170,HCPCS,HOMEDELIVERED PREPARED MEAL,,,14,,TotalUnits,,,,0.08 ,,$0.00,$0.00,1,1,1,1,1,1,20210101,
S5175,HCPCS,"LAUNDRY SERV,EXT,PROF,/ORDER",,,14,,TotalUnits,,,,0.25 ,,$0.00,$0.00,1,1,1,1,1,1,20210101,
S5180,HCPCS,HH RESPIRATORY THRPY IN EVAL,,,14,,TotalUnits,,,,1.54 ,,$0.00,$0.00,1,1,1,1,1,1,20210101,
S5181,HCPCS,HH RESPIRATORY THRPY NOS/DAY,,,14,,TotalUnits,,,,1.47 ,,$0.00,$0.00,1,1,1,1,1,1,20210101,
S5185,HCPCS,MED REMINDER SERV PER MONTH,,,14,,TotalUnits,,,,0.20 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
S5190,HCPCS,WELLNESS ASSESSMENT BY NONPH,,,14,,TotalUnits,,,,0.92 ,,$0.00,$0.00,1,1,1,0,0,1,20210101,
S5199,HCPCS,PERSONAL CARE ITEM NOS EACH,,,28,,NW,,,,,,$110.93,$0.00,1,1,1,0,0,1,20210101,
S5497,HCPCS,HIT CATH CARE NOC,,,28,,NW,,,,,,$110.93,$0.00,1,1,1,1,1,1,20210101,
S5498,HCPCS,HIT SIMPLE CATH CARE,,,28,,NW,,,,,,$56.00,$0.00,1,1,1,1,1,1,20210101,
S5501,HCPCS,HIT COMPLEX CATH CARE,,,28,,NW,,,,,,$61.06,$0.00,1,1,1,1,1,1,20210101,
S5502,HCPCS,HIT INTERIM CATH CARE,,,28,,NW,,,,,,$97.92,$0.00,1,1,1,1,1,1,20210101,
S5517,HCPCS,HIT DECLOTTING KIT,,,28,,NW,,,,,,$124.35,$0.00,1,1,1,1,1,1,20210101,
S5520,HCPCS,HIT PICC INSERT KIT,,,28,,NW,,,,,,$90.34,$0.00,1,1,1,1,1,1,20210101,
S5521,HCPCS,HIT MIDLINE CATH INSERT KIT,,,28,,NW,,,,,,$222.65,$0.00,1,1,1,1,1,1,20210101,
S5522,HCPCS,HIT PICC INSERT NO SUPP,,,14,,TotalUnits,,,,1.76 ,,$0.00,$0.00,1,1,1,1,1,1,20210101,
S5523,HCPCS,HIP MIDLINE CATH INSERT KIT,,,14,,TotalUnits,,,,3.34 ,,$0.00,$0.00,1,1,1,1,1,1,20210101,
S5550,HCPCS,INSULIN RAPID 5 U,,,28,,NW,,,,,,$0.17,$0.00,1,1,1,0,0,1,20210101,
S5551,HCPCS,INSULIN MOST RAPID 5 U,,,28,,NW,,,,,,$0.17,$0.00,1,1,1,0,0,1,20210101,
S5552,HCPCS,INSULIN INTERMED 5 U,,,28,,NW,,,,,,$0.17,$0.00,1,1,1,0,0,1,20210101,
S5553,HCPCS,INSULIN LONG ACTING 5 U,,,28,,NW,,,,,,$0.21,$0.00,1,1,1,0,0,1,20210101,
S5560,HCPCS,INSULIN REUSE PEN 1.5 ML,,,28,,NW,,,,,,$4.33,$0.00,1,1,1,1,1,1,20210101,
S8030,HCPCS,TANTALUM RING APPLICATION,,,20,,RBRVS,9.46 ,7.66 ,7.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20210101,
S8037,HCPCS,MRCP,,,20,,TotalUnits,,,,9.70 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
S8040,HCPCS,TOPOGRAPHIC BRAIN MAPPING,,,14,,TotalUnits,,,,5.14 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
S8080,HCPCS,SCINTIMAMMOGRAPHY,,,20,,TotalUnits,,,,3.57 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
S8085,HCPCS,FLUORINE-18 FLUORODEOXYGLUCO,,,20,,TotalUnits,,,,2.91 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
S8092,HCPCS,ELECTRON BEAM COMPUTED TOMOG,,,20,,TotalUnits,,,,2.28 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
S8096,HCPCS,PORTABLE PEAK FLOW METER,,,28,,NW,,,,,,$39.31,$0.00,1,1,1,1,1,1,20210101,
S8097,HCPCS,ASTHMA KIT,,,28,,NW,,,,,,$67.58,$0.00,1,1,1,0,0,1,20210101,
S8100,HCPCS,SPACER WITHOUT MASK,,,28,,NW,,,,,,$54.43,$0.00,1,1,1,0,0,1,20210101,
S8101,HCPCS,SPACER WITH MASK,,,28,,NW,,,,,,$76.81,$0.00,1,1,1,0,0,1,20210101,
S8110,HCPCS,PEAK EXPIRATORY FLOW RATE (P,,,14,,TotalUnits,,,,0.49 ,,$0.00,$0.00,1,1,1,0,0,1,20210101,
S8120,HCPCS,O2 CONTENTS GAS CUBIC FT,,,14,,TotalUnits,,,,0.03 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
S8121,HCPCS,O2 CONTENTS LIQUID LB,,,14,,TotalUnits,,,,0.03 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
S8130,HCPCS,INTERFERENTIAL STIM 2 CHAN,,,28,,NW,,,,,,"$6,135.93",$0.00,1,1,1,0,0,1,20210101,
S8131,HCPCS,INTERFERENTIAL STIM 4 CHAN,,,28,,NW,,,,,,"$1,596.10",$0.00,1,1,1,0,0,1,20210101,
S8185,HCPCS,FLUTTER DEVICE,,,28,,NW,,,,,,$58.49,$0.00,1,1,1,0,0,1,20210101,
S8186,HCPCS,SWIVEL ADAPTOR,,,28,,NW,,,,,,$8.58,$0.00,1,1,1,0,0,1,20210101,
S8189,HCPCS,TRACH SUPPLY NOC,,,28,,NW,,,,,,$81.10,$0.00,1,1,1,0,0,1,20210101,
S8210,HCPCS,MUCUS TRAP,,,28,,NW,,,,,,$1.53,$0.00,1,1,1,0,0,1,20210101,
S8265,HCPCS,HABERMAN FEEDER,,,28,,NW,,,,,,$70.32,$0.00,1,1,1,0,0,1,20210101,
S8270,HCPCS,ENURESIS ALARM,,,28,,NW,,,,,,$326.27,$0.00,1,1,1,0,0,1,20210101,
S8301,HCPCS,INFECT CONTROL SUPPLIES NOS,,,28,,NW,,,,,,$138.66,$0.00,1,1,1,0,0,1,20210101,
S8415,HCPCS,SUPPLIES FOR HOME DELIVERY,,,28,,NW,,,,,,$349.05,$0.00,1,1,1,0,0,1,20210101,
S8420,HCPCS,CUSTOM GRADIENT SLEEV/GLOV,,,28,,NW,,,,,,$725.45,$0.00,1,1,1,0,0,1,20210101,
S8421,HCPCS,READY GRADIENT SLEEV/GLOV,,,28,,NW,,,,,,$211.43,$0.00,1,1,1,0,0,1,20210101,
S8422,HCPCS,CUSTOM GRAD SLEEVE MED,,,28,,NW,,,,,,$381.10,$0.00,1,1,1,0,0,1,20210101,
S8423,HCPCS,CUSTOM GRAD SLEEVE HEAVY,,,28,,NW,,,,,,$352.61,$0.00,1,1,1,0,0,1,20210101,
S8424,HCPCS,READY GRADIENT SLEEVE,,,28,,NW,,,,,,$143.27,$0.00,1,1,1,0,0,1,20210101,
S8425,HCPCS,CUSTOM GRAD GLOVE MED,,,28,,NW,,,,,,$342.32,$0.00,1,1,1,0,0,1,20210101,
S8426,HCPCS,CUSTOM GRAD GLOVE HEAVY,,,28,,NW,,,,,,$374.62,$0.00,1,1,1,0,0,1,20210101,
S8427,HCPCS,READY GRADIENT GLOVE,,,28,,NW,,,,,,$194.01,$0.00,1,1,1,0,0,1,20210101,
S8428,HCPCS,READY GRADIENT GAUNTLET,,,28,,NW,,,,,,$100.45,$0.00,1,1,1,0,0,1,20210101,
S8429,HCPCS,GRADIENT PRESSURE WRAP,,,28,,NW,,,,,,$306.02,$0.00,1,1,1,0,0,1,20210101,
S8430,HCPCS,PADDING FOR COMPRSSN BDG,,,28,,NW,,,,,,$20.96,$0.00,1,1,1,0,0,1,20210101,
S8431,HCPCS,COMPRESSION BANDAGE,,,28,,NW,,,,,,$19.56,$0.00,1,1,1,0,0,1,20210101,
S8450,HCPCS,SPLINT DIGIT,,,28,,NW,,,,,,$20.31,$0.00,1,1,1,0,0,1,20210101,
S8451,HCPCS,SPLINT WRIST OR ANKLE,,,28,,NW,,,,,,$46.95,$0.00,1,1,1,0,0,1,20210101,
S8452,HCPCS,SPLINT ELBOW,,,28,,NW,,,,,,$35.81,$0.00,1,1,1,0,0,1,20210101,
S8460,HCPCS,CAMISOLE POST-MAST,,,28,,NW,,,,,,$101.99,$0.00,1,1,1,0,0,1,20210101,
S8490,HCPCS,100 INSULIN SYRINGES,,,28,,NW,,,,,,$1.53,$0.00,1,1,1,1,1,1,20210101,
S8930,HCPCS,AURICULAR ELECTROSTIMULATION,,,14,,TotalUnits,,,,0.86 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
S8940,HCPCS,HIPPOTHERAPY PER SESSION,,,19,,TotalUnits,,,,0.30 ,,$0.00,$0.00,1,1,1,0,0,1,20210101,
S8948,HCPCS,LOW-LEVEL LASER TRMT 15 MIN,,,14,,TotalUnits,,,,0.68 ,,$0.00,$0.00,1,1,1,0,0,1,20210101,
S8950,HCPCS,"COMPLEX LYMPHEDEMA THERAPY,",,,14,,TotalUnits,,,,1.14 ,,$0.00,$0.00,1,1,1,0,0,1,20210101,
S8990,HCPCS,PT OR MANIP FOR MAINT,,,19,,TotalUnits,,,,0.66 ,,$0.00,$0.00,1,1,1,0,0,1,20210101,
S8999,HCPCS,RESUSCITATION BAG,,,28,,NW,,,,,,$121.41,$0.00,1,1,1,0,0,1,20210101,
S9001,HCPCS,HOME UTERINE MONITOR WITH OR,,,28,,NW,,,,,,$140.17,$0.00,1,1,1,0,0,1,20210101,
S9024,HCPCS,PARANASAL SINUS ULTRASOUND,,,20,,TotalUnits,,,,2.17 ,,$0.00,$0.00,1,1,1,0,0,1,20210101,
S9034,HCPCS,ESWL FOR GALLSTONES,,,21,,RBRVS,9.64 ,6.13 ,17.10 ,,,$0.00,$0.00,1,1,1,0,0,1,20210101,
S9061,HCPCS,MEDICAL SUPPLIES AND EQUIPME,,,28,,NW,,,,,,$69.08,$0.00,1,1,1,0,0,1,20210101,
S9083,HCPCS,URGENT CARE CENTER GLOBAL,,,15,,TotalUnits,,,,3.27 ,,$0.00,$0.00,1,1,1,0,0,1,20210101,
S9088,HCPCS,SERVICES PROVIDED IN URGENT,,,15,,TotalUnits,,,,0.89 ,,$0.00,$0.00,1,1,1,0,0,1,20210101,
S9090,HCPCS,VERTEBRAL AXIAL DECOMPRESSIO,,,14,,TotalUnits,,,,1.31 ,,$0.00,$0.00,1,1,1,0,0,1,20210101,
S9097,HCPCS,HOME VISIT WOUND CARE,,,14,,TotalUnits,,,,2.51 ,,$0.00,$0.00,1,1,1,1,1,1,20210101,
S9098,HCPCS,HOME PHOTOTHERAPY VISIT,,,14,,TotalUnits,,,,4.13 ,,$0.00,$0.00,1,1,1,1,1,1,20210101,
S9110,HCPCS,TELEMONITORING/HOME PER MNTH,,,14,,TotalUnits,,,,0.80 ,,$0.00,$0.00,1,1,1,1,1,1,20210101,
S9117,HCPCS,BACK SCHOOL VISIT,,,14,,RBRVS,0.17 ,0.06 ,0.32 ,,,$0.00,$0.00,1,1,1,0,0,1,20210101,
S9122,HCPCS,HOME HEALTH AIDE OR CERTIFIE,,,14,,TotalUnits,,,,0.36 ,,$0.00,$0.00,1,1,1,1,1,1,20210101,
S9123,HCPCS,NURSING CARE IN HOME RN,,,14,,TotalUnits,,,,0.94 ,,$0.00,$0.00,1,1,1,1,1,1,20210101,
S9124,HCPCS,"NURSING CARE, IN THE HOME; B",,,14,,TotalUnits,,,,0.72 ,,$0.00,$0.00,1,1,1,1,1,1,20210101,
S9125,HCPCS,"RESPITE CARE, IN THE HOME, P",,,14,,TotalUnits,,,,0.52 ,,$0.00,$0.00,1,1,1,1,1,1,20210101,
S9126,HCPCS,"HOSPICE CARE, IN THE HOME, P",,,14,,TotalUnits,,,,2.47 ,,$0.00,$0.00,1,1,1,1,1,1,20210101,
S9127,HCPCS,"SOCIAL WORK VISIT, IN THE HO",,,14,,TotalUnits,,,,2.58 ,,$0.00,$0.00,1,1,1,0,0,1,20210101,
S9128,HCPCS,"SPEECH THERAPY, IN THE HOME,",,,14,,TotalUnits,,,,2.23 ,,$0.00,$0.00,1,1,1,0,0,1,20210101,
S9129,HCPCS,"OCCUPATIONAL THERAPY, IN THE",,,14,,TotalUnits,,,,2.24 ,,$0.00,$0.00,1,1,1,0,0,1,20210101,
S9131,HCPCS,PT IN THE HOME PER DIEM,,,14,,TotalUnits,,,,2.18 ,,$0.00,$0.00,1,1,1,0,0,1,20210101,
S9140,HCPCS,"DIABETIC MANAGEMENT PROGRAM,",,,14,,TotalUnits,,,,0.99 ,,$0.00,$0.00,1,1,1,1,1,1,20210101,
S9141,HCPCS,"DIABETIC MANAGEMENT PROGRAM,",,,14,,TotalUnits,,,,0.86 ,,$0.00,$0.00,1,1,1,1,1,1,20210101,
S9145,HCPCS,INSULIN PUMP INITIATION,,,14,,TotalUnits,,,,4.63 ,,$0.00,$0.00,1,1,1,1,1,1,20210101,
S9150,HCPCS,EVALUATION BY OCULARIST,,,14,,TotalUnits,,,,2.42 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
S9152,HCPCS,"SPEECH THERAPY, RE-EVAL",,,8,,TotalUnits,,,,3.51 ,,$0.00,$0.00,1,1,1,0,0,1,20210101,
S9208,HCPCS,HOME MGMT PRETERM LABOR,,,28,,NW,,,,,,$247.14,$0.00,1,1,1,1,1,1,20210101,
S9209,HCPCS,HOME MGMT PPROM,,,28,,NW,,,,,,$54.80,$0.00,1,1,1,1,1,1,20210101,
S9211,HCPCS,HOME MGMT GEST HYPERTENSION,,,28,,NW,,,,,,$121.31,$0.00,1,1,1,1,1,1,20210101,
S9212,HCPCS,HM POSTPAR HYPER PER DIEM,,,28,,NW,,,,,,$152.59,$0.00,1,1,1,1,1,1,20210101,
S9213,HCPCS,HM PREECLAMP PER DIEM,,,28,,NW,,,,,,$175.92,$0.00,1,1,1,1,1,1,20210101,
S9214,HCPCS,HM GEST DM PER DIEM,,,28,,NW,,,,,,$344.66,$0.00,1,1,1,1,1,1,20210101,
S9325,HCPCS,HIT PAIN MGMT PER DIEM,,,28,,NW,,,,,,$141.12,$0.00,1,1,1,1,1,1,20210101,
S9326,HCPCS,HIT CONT PAIN PER DIEM,,,28,,NW,,,,,,$276.12,$0.00,1,1,1,1,1,1,20210101,
S9327,HCPCS,HIT INT PAIN PER DIEM,,,28,,NW,,,,,,$265.02,$0.00,1,1,1,1,1,1,20210101,
S9328,HCPCS,HIT PAIN IMP PUMP DIEM,,,28,,NW,,,,,,$154.35,$0.00,1,1,1,1,1,1,20210101,
S9329,HCPCS,HIT CHEMO PER DIEM,,,28,,NW,,,,,,$296.93,$0.00,1,1,1,1,1,1,20210101,
S9330,HCPCS,HIT CONT CHEM DIEM,,,28,,NW,,,,,,$241.11,$0.00,1,1,1,1,1,1,20210101,
S9331,HCPCS,HIT INTERMIT CHEMO DIEM,,,28,,NW,,,,,,$325.18,$0.00,1,1,1,1,1,1,20210101,
S9335,HCPCS,HT HEMODIALYSIS DIEM,,,28,,NW,,,,,,$829.39,$0.00,1,1,1,1,1,1,20210101,
S9336,HCPCS,HIT CONT ANTICOAG DIEM,,,28,,NW,,,,,,$279.28,$0.00,1,1,1,1,1,1,20210101,
S9338,HCPCS,HIT IMMUNOTHERAPY DIEM,,,28,,NW,,,,,,$338.89,$0.00,1,1,1,1,1,1,20210101,
S9339,HCPCS,HIT PERITON DIALYSIS DIEM,,,28,,NW,,,,,,$574.93,$0.00,1,1,1,1,1,1,20210101,
S9340,HCPCS,HIT ENTERAL PER DIEM,,,28,,NW,,,,,,$69.24,$0.00,1,1,1,1,1,1,20210101,
S9341,HCPCS,HIT ENTERAL GRAV DIEM,,,28,,NW,,,,,,$47.53,$0.00,1,1,1,1,1,1,20210101,
S9342,HCPCS,HIT ENTERAL PUMP DIEM,,,28,,NW,,,,,,$75.25,$0.00,1,1,1,1,1,1,20210101,
S9343,HCPCS,HIT ENTERAL BOLUS NURS,,,28,,NW,,,,,,$52.79,$0.00,1,1,1,1,1,1,20210101,
S9345,HCPCS,HIT ANTI-HEMOPHIL DIEM,,,28,,NW,,,,,,$176.14,$0.00,1,1,1,1,1,1,20210101,
S9346,HCPCS,HIT ALPHA-1-PROTEINAS DIEM,,,28,,NW,,,,,,$75.17,$0.00,1,1,1,1,1,1,20210101,
S9347,HCPCS,HIT LONGTERM INFUSION DIEM,,,28,,NW,,,,,,$120.40,$0.00,1,1,1,1,1,1,20210101,
S9348,HCPCS,HIT SYMPATHOMIM DIEM,,,28,,NW,,,,,,$304.87,$0.00,1,1,1,1,1,1,20210101,
S9349,HCPCS,HIT TOCOLYSIS DIEM,,,28,,NW,,,,,,$351.79,$0.00,1,1,1,1,1,1,20210101,
S9351,HCPCS,HIT CONT ANTIEMETIC DIEM,,,28,,NW,,,,,,$368.60,$0.00,1,1,1,1,1,1,20210101,
S9353,HCPCS,HIT CONT INSULIN DIEM,,,28,,NW,,,,,,$491.44,$0.00,1,1,1,1,1,1,20210101,
S9355,HCPCS,HIT CHELATION DIEM,,,28,,NW,,,,,,$228.44,$0.00,1,1,1,1,1,1,20210101,
S9357,HCPCS,HIT ENZYME REPLACE DIEM,,,28,,NW,,,,,,$212.93,$0.00,1,1,1,1,1,1,20210101,
S9359,HCPCS,HIT ANTI-TNF PER DIEM,,,28,,NW,,,,,,$416.53,$0.00,1,1,1,1,1,1,20210101,
S9361,HCPCS,HIT DIURETIC INFUS DIEM,,,28,,NW,,,,,,$165.37,$0.00,1,1,1,1,1,1,20210101,
S9363,HCPCS,HIT ANTI-SPASMOTIC DIEM,,,28,,NW,,,,,,$200.09,$0.00,1,1,1,1,1,1,20210101,
S9364,HCPCS,HIT TPN TOTAL DIEM,,,28,,NW,,,,,,$519.94,$0.00,1,1,1,1,1,1,20210101,
S9365,HCPCS,HIT TPN 1 LITER DIEM,,,28,,NW,,,,,,$479.92,$0.00,1,1,1,1,1,1,20210101,
S9366,HCPCS,HIT TPN 2 LITER DIEM,,,28,,NW,,,,,,$659.38,$0.00,1,1,1,1,1,1,20210101,
S9367,HCPCS,HIT TPN 3 LITER DIEM,,,28,,NW,,,,,,$713.04,$0.00,1,1,1,1,1,1,20210101,
S9368,HCPCS,HIT TPN OVER 3L DIEM,,,28,,NW,,,,,,"$1,043.12",$0.00,1,1,1,1,1,1,20210101,
S9370,HCPCS,HT INJ ANTIEMETIC DIEM,,,28,,NW,,,,,,$211.31,$0.00,1,1,1,1,1,1,20210101,
S9372,HCPCS,HT INJ ANTICOAG DIEM,,,28,,NW,,,,,,$142.20,$0.00,1,1,1,1,1,1,20210101,
S9373,HCPCS,HIT HYDRA TOTAL DIEM,,,28,,NW,,,,,,$160.45,$0.00,1,1,1,1,1,1,20210101,
S9374,HCPCS,HIT HYDRA 1 LITER DIEM,,,28,,NW,,,,,,$196.31,$0.00,1,1,1,1,1,1,20210101,
S9375,HCPCS,HIT HYDRA 2 LITER DIEM,,,28,,NW,,,,,,$237.97,$0.00,1,1,1,1,1,1,20210101,
S9376,HCPCS,HIT HYDRA 3 LITER DIEM,,,28,,NW,,,,,,$270.21,$0.00,1,1,1,1,1,1,20210101,
S9377,HCPCS,HIT HYDRA OVER 3L DIEM,,,28,,NW,,,,,,$210.29,$0.00,1,1,1,1,1,1,20210101,
S9379,HCPCS,HIT NOC PER DIEM,,,28,,NW,,,,,,$110.93,$0.00,1,1,1,1,1,1,20210101,
S9401,HCPCS,ANTICOAG CLINIC PER SESSION,,,14,,TotalUnits,,,,0.38 ,,$0.00,$0.00,1,1,1,0,0,1,20210101,
S9430,HCPCS,PHARMACY COMP/DISP SERV,,,14,,TotalUnits,,,,0.80 ,,$0.00,$0.00,1,1,1,0,0,1,20210101,
S9433,HCPCS,MEDICAL FOOD ORAL 100% NUTR,,,28,,NW,,,,,,$46.77,$0.00,1,1,1,0,1,1,20210101,
S9434,HCPCS,MOD SOLID FOOD SUPPL,,,28,,NW,,,,,,$104.18,$0.00,1,1,1,0,1,1,20210101,
S9435,HCPCS,MEDICAL FOODS FOR INBORN ERR,,,28,,NW,,,,,,$25.79,$0.00,1,1,1,0,1,1,20210101,
S9436,HCPCS,LAMAZE CLASS,,,14,,TotalUnits,,,,1.29 ,,$0.00,$0.00,1,1,1,0,0,1,20210101,
S9441,HCPCS,ASTHMA EDUCATION,,,14,,TotalUnits,,,,0.54 ,,$0.00,$0.00,1,1,1,0,0,1,20210101,
S9442,HCPCS,BIRTHING CLASS,,,14,,TotalUnits,,,,0.52 ,,$0.00,$0.00,1,1,1,0,0,1,20210101,
S9443,HCPCS,LACTATION CLASS,,,14,,TotalUnits,,,,0.58 ,,$0.00,$0.00,1,1,1,0,0,1,20210101,
S9444,HCPCS,PARENTING CLASS,,,14,,TotalUnits,,,,0.98 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
S9447,HCPCS,INFANT SAFETY CLASS,,,14,,TotalUnits,,,,1.34 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
S9449,HCPCS,WEIGHT MGMT CLASS,,,14,,TotalUnits,,,,0.85 ,,$0.00,$0.00,1,1,1,0,0,1,20210101,
S9451,HCPCS,EXERCISE CLASS,,,14,,TotalUnits,,,,0.49 ,,$0.00,$0.00,1,1,1,0,0,1,20210101,
S9452,HCPCS,NUTRITION CLASS,,,14,,TotalUnits,,,,0.26 ,,$0.00,$0.00,1,1,1,0,0,1,20210101,
S9453,HCPCS,SMOKING CESSATION CLASS,,,14,,TotalUnits,,,,1.66 ,,$0.00,$0.00,1,1,1,0,0,1,20210101,
S9454,HCPCS,STRESS MGMT CLASS,,,14,,TotalUnits,,,,2.55 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
S9455,HCPCS,"DIABETIC MANAGEMENT PROGRAM,",,,14,,TotalUnits,,,,0.87 ,,$0.00,$0.00,1,1,1,1,1,1,20210101,
S9460,HCPCS,"DIABETIC MANAGEMENT PROGRAM,",,,14,,TotalUnits,,,,0.84 ,,$0.00,$0.00,1,1,1,1,1,1,20210101,
S9465,HCPCS,"DIABETIC MANAGEMENT PROGRAM,",,,14,,TotalUnits,,,,1.53 ,,$0.00,$0.00,1,1,1,1,1,1,20210101,
S9470,HCPCS,"NUTRITIONAL COUNSELING, DIET",,,14,,TotalUnits,,,,1.14 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
S9472,HCPCS,CARDIAC REHABILITATION PROGR,,,4,,TotalUnits,,,,0.65 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
S9474,HCPCS,ENTEROSTOMAL THERAPY BY A RE,,,14,,TotalUnits,,,,0.67 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
S9475,HCPCS,AMBULATORY SETTING SUBSTANCE,,,16,,TotalUnits,,,,2.30 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
S9476,HCPCS,VESTIBULAR REHAB PER DIEM,,,14,,TotalUnits,,,,5.09 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
S9480,HCPCS,INTENSIVE OUTPATIENT PSYCHIA,,,16,,TotalUnits,,,,6.16 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
S9482,HCPCS,FAMILY STABILIZATION 15 MIN,,,16,,TotalUnits,,,,0.15 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
S9484,HCPCS,CRISIS INTERVENTION PER HOUR,,,16,,TotalUnits,,,,0.43 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
S9485,HCPCS,CRISIS INTERVENTION MENTAL H,,,16,,TotalUnits,,,,9.79 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
S9490,HCPCS,HIT CORTICOSTEROID/DIEM,,,28,,NW,,,,,,$304.75,$0.00,1,1,1,1,1,1,20210101,
S9494,HCPCS,HIT ANTIBIOTIC TOTAL DIEM,,,28,,NW,,,,,,$286.87,$0.00,1,1,1,1,1,1,20210101,
S9497,HCPCS,HIT ANTIBIOTIC Q3H DIEM,,,28,,NW,,,,,,$262.74,$0.00,1,1,1,1,1,1,20210101,
S9500,HCPCS,HIT ANTIBIOTIC Q24H DIEM,,,28,,NW,,,,,,$370.45,$0.00,1,1,1,1,1,1,20210101,
S9501,HCPCS,HIT ANTIBIOTIC Q12H DIEM,,,28,,NW,,,,,,$369.88,$0.00,1,1,1,1,1,1,20210101,
S9502,HCPCS,HIT ANTIBIOTIC Q8H DIEM,,,28,,NW,,,,,,$435.08,$0.00,1,1,1,1,1,1,20210101,
S9503,HCPCS,HIT ANTIBIOTIC Q6H DIEM,,,28,,NW,,,,,,$405.74,$0.00,1,1,1,1,1,1,20210101,
S9504,HCPCS,HIT ANTIBIOTIC Q4H DIEM,,,28,,NW,,,,,,$370.95,$0.00,1,1,1,1,1,1,20210101,
S9529,HCPCS,VENIPUNCTURE HOME/SNF,,,28,,NW,,,,,,$119.77,$0.00,1,1,1,0,1,1,20210101,
S9537,HCPCS,HT HEM HORM INJ DIEM,,,28,,NW,,,,,,$86.08,$0.00,1,1,1,1,1,1,20210101,
S9538,HCPCS,HIT BLOOD PRODUCTS DIEM,,,28,,NW,,,,,,$386.27,$0.00,1,1,1,1,1,1,20210101,
S9542,HCPCS,HT INJ NOC PER DIEM,,,28,,NW,,,,,,$110.93,$0.00,1,1,1,1,1,1,20210101,
S9558,HCPCS,HT INJ GROWTH HORM DIEM,,,28,,NW,,,,,,$41.41,$0.00,1,1,1,1,1,1,20210101,
S9559,HCPCS,HIT INJ INTERFERON DIEM,,,28,,NW,,,,,,$314.95,$0.00,1,1,1,1,1,1,20210101,
S9560,HCPCS,HT INJ HORMONE DIEM,,,28,,NW,,,,,,$479.33,$0.00,1,1,1,1,1,1,20210101,
S9562,HCPCS,HT INJ PALIVIZUMAB DIEM,,,28,,NW,,,,,,$129.90,$0.00,1,1,1,1,1,1,20210101,
S9590,HCPCS,HT IRRIGATION DIEM,,,28,,NW,,,,,,$178.05,$0.00,1,1,1,1,1,1,20210101,
S9810,HCPCS,HT PHARM PER HOUR,,,28,,NW,,,,,,$90.13,$0.00,1,1,1,0,0,1,20210101,
S9900,HCPCS,CHRISTIAN SCI PRACT VISIT,,,14,,TotalUnits,,,,0.10 ,,$0.00,$0.00,1,1,1,0,0,1,20210101,
S9970,HCPCS,HEALTH CLUB MEMBERSHIP YR,,,14,,TotalUnits,,,,1.46 ,,$0.00,$0.00,1,1,1,0,0,1,20210101,
S9975,HCPCS,TRANSPLANT RELATED PER DIEM,,,14,,TotalUnits,,,,0.57 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
S9981,HCPCS,MED RECORD COPY ADMIN,,,14,,TotalUnits,,,,0.30 ,,$0.00,$0.00,1,1,1,0,0,1,20210101,
S9982,HCPCS,MED RECORD COPY PER PAGE,,,14,,TotalUnits,,,,0.02 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
S9986,HCPCS,NOT MEDICALLY NECESSARY SVC,,,14,,TotalUnits,,,,5.09 ,,$0.00,$0.00,1,1,1,0,0,1,20210101,
S9988,HCPCS,SERV PART OF PHASE I TRIAL,,,14,,TotalUnits,,,,0.06 ,,$0.00,$0.00,1,1,1,0,0,1,20210101,
S9990,HCPCS,SERVICES PROVIDED AS PART OF,,,14,,TotalUnits,,,,1.04 ,,$0.00,$0.00,1,1,1,0,0,1,20210101,
S9999,HCPCS,SALES TAX,,,14,,TotalUnits,,,,0.50 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
T1000,HCPCS,PRIVATE DUTY/INDEPENDENT NSG,,,15,,TotalUnits,,,,0.22 ,,$0.00,$0.00,1,1,1,1,1,1,20210101,
T1001,HCPCS,NURSING ASSESSMENT/EVALUATN,,,15,,TotalUnits,,,,0.70 ,,$0.00,$0.00,1,1,1,1,1,1,20210101,
T1002,HCPCS,RN SERVICES UP TO 15 MINUTES,,,15,,TotalUnits,,,,0.55 ,,$0.00,$0.00,1,1,1,1,1,1,20210101,
T1003,HCPCS,LPN/LVN SERVICES UP TO 15MIN,,,15,,TotalUnits,,,,0.40 ,,$0.00,$0.00,1,1,1,1,1,1,20210101,
T1004,HCPCS,NSG AIDE SERVICE UP TO 15MIN,,,15,,TotalUnits,,,,0.19 ,,$0.00,$0.00,1,1,1,1,1,1,20210101,
T1005,HCPCS,RESPITE CARE SERVICE 15 MIN,,,15,,TotalUnits,,,,0.10 ,,$0.00,$0.00,1,1,1,1,1,1,20210101,
T1006,HCPCS,FAMILY/COUPLE COUNSELING,,,16,,TotalUnits,,,,0.47 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
T1007,HCPCS,TREATMENT PLAN DEVELOPMENT,,,16,,TotalUnits,,,,1.81 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
T1009,HCPCS,CHILD SITTING SERVICES,,,14,,TotalUnits,,,,0.06 ,,$0.00,$0.00,1,1,1,0,0,1,20210101,
T1010,HCPCS,MEALS WHEN RECEIVE SERVICES,,,14,,TotalUnits,,,,0.24 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
T1012,HCPCS,ALCOHOL/SUBSTANCE ABUSE SKIL,,,16,,TotalUnits,,,,0.10 ,,$0.00,$0.00,1,1,1,0,0,1,20210101,
T1013,HCPCS,SIGN LANG/ORAL INTERPRETER,,,14,,TotalUnits,,,,0.25 ,,$0.00,$0.00,1,1,1,0,0,1,20210101,
T1015,HCPCS,CLINIC SERVICE,,,15,,TotalUnits,,,,1.39 ,,$0.00,$0.00,1,1,1,0,0,1,20210101,
T1016,HCPCS,CASE MANAGEMENT,,,15,,TotalUnits,,,,0.65 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
T1017,HCPCS,TARGETED CASE MANAGEMENT,,,15,,TotalUnits,,,,0.17 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
T1018,HCPCS,SCHOOL-BASED IEP SER BUNDLED,,,15,,TotalUnits,,,,0.16 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
T1019,HCPCS,PERSONAL CARE SER PER 15 MIN,,,15,,TotalUnits,,,,0.07 ,,$0.00,$0.00,1,1,1,1,1,1,20210101,
T1020,HCPCS,PERSONAL CARE SER PER DIEM,,,15,,TotalUnits,,,,2.34 ,,$0.00,$0.00,1,1,1,1,1,1,20210101,
T1021,HCPCS,HH AIDE OR CN AIDE PER VISIT,,,15,,TotalUnits,,,,0.79 ,,$0.00,$0.00,1,1,1,1,1,1,20210101,
T1022,HCPCS,CONTRACTED SERVICES PER DAY,,,15,,TotalUnits,,,,1.90 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
T1023,HCPCS,PROGRAM INTAKE ASSESSMENT,,,15,,TotalUnits,,,,0.78 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
T1024,HCPCS,TEAM EVALUATION & MANAGEMENT,,,15,,TotalUnits,,,,0.40 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
T1025,HCPCS,"PED COMPR CARE PKG, PER DIEM",,,15,,TotalUnits,,,,4.23 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
T1026,HCPCS,"PED COMPR CARE PKG, PER HOUR",,,15,,TotalUnits,,,,0.72 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
T1027,HCPCS,FAMILY TRAINING & COUNSELING,,,16,,TotalUnits,,,,0.18 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
T1028,HCPCS,HOME ENVIRONMENT ASSESSMENT,,,16,,TotalUnits,,,,0.33 ,,$0.00,$0.00,1,1,1,1,1,1,20210101,
T1029,HCPCS,DWELLING LEAD INVESTIGATION,,,14,,TotalUnits,,,,0.77 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
T1030,HCPCS,RN HOME CARE PER DIEM,,,15,,TotalUnits,,,,2.25 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
T1031,HCPCS,LPN HOME CARE PER DIEM,,,15,,TotalUnits,,,,0.80 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
T1040,HCPCS,COMM BH CLINIC SVC PER DIEM,,,16,,TotalUnits,,,,4.26 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
T1041,HCPCS,COMM BH CLINIC SVC PER MONTH,,,16,,TotalUnits,,,,12.80 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
T1502,HCPCS,MEDICATION ADMIN VISIT,,,15,,TotalUnits,,,,0.25 ,,$0.00,$0.00,1,1,1,0,0,1,20210101,
T1503,HCPCS,"MED ADMIN, NOT ORAL/INJECT",,,15,,TotalUnits,,,,0.41 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
T2002,HCPCS,N-ET; PER DIEM,,,14,,TotalUnits,,,,0.13 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
T2003,HCPCS,N-ET; ENCOUNTER/TRIP,,,14,,TotalUnits,,,,0.50 ,,$0.00,$0.00,1,1,1,1,1,1,20210101,
T2004,HCPCS,N-ET; COMMERC CARRIER PASS,,,14,,TotalUnits,,,,0.07 ,,$0.00,$0.00,1,1,1,1,1,1,20210101,
T2005,HCPCS,N-ET; STRETCHER VAN,,,14,,TotalUnits,,,,0.16 ,,$0.00,$0.00,1,1,1,1,1,1,20210101,
T2007,HCPCS,NON-EMER TRANSPORT WAIT TIME,,,14,,TotalUnits,,,,0.32 ,,$0.00,$0.00,1,1,1,1,1,1,20210101,
T2013,HCPCS,HABIL ED WAIVER PER HOUR,,,14,,TotalUnits,,,,0.52 ,,$0.00,$0.00,1,1,1,0,0,1,20210101,
T2014,HCPCS,"HABIL PREVOC WAIVER, PER D",,,14,,TotalUnits,,,,0.57 ,,$0.00,$0.00,1,1,1,0,0,1,20210101,
T2016,HCPCS,HABIL RES WAIVER PER DIEM,,,14,,TotalUnits,,,,2.18 ,,$0.00,$0.00,1,1,1,0,0,1,20210101,
T2017,HCPCS,HABIL RES WAIVER 15 MIN,,,14,,TotalUnits,,,,0.08 ,,$0.00,$0.00,1,1,1,0,0,1,20210101,
T2018,HCPCS,HABIL SUP EMPL WAIVER/DIEM,,,14,,TotalUnits,,,,1.82 ,,$0.00,$0.00,1,1,1,0,0,1,20210101,
T2020,HCPCS,DAY HABIL WAIVER PER DIEM,,,14,,TotalUnits,,,,1.05 ,,$0.00,$0.00,1,1,1,0,0,1,20210101,
T2021,HCPCS,DAY HABIL WAIVER PER 15 MIN,,,14,,TotalUnits,,,,0.16 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
T2022,HCPCS,"CASE MANAGEMENT, PER MONTH",,,14,,TotalUnits,,,,0.77 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
T2023,HCPCS,TARGETED CASE MGMT PER MONTH,,,14,,TotalUnits,,,,1.10 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
T2024,HCPCS,SERV ASMNT/CARE PLAN WAIVER,,,14,,TotalUnits,,,,0.76 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
T2025,HCPCS,"WAIVER SERVICE, NOS",,,14,,TotalUnits,,,,0.22 ,,$0.00,$0.00,1,1,1,0,0,1,20210101,
T2030,HCPCS,ASSIST LIVING WAIVER/MONTH,,,14,,TotalUnits,,,,0.47 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
T2031,HCPCS,ASSIST LIVING WAIVER/DIEM,,,14,,TotalUnits,,,,1.80 ,,$0.00,$0.00,1,1,1,1,1,1,20210101,
T2032,HCPCS,"RES CARE, NOS WAIVER/MONTH",,,14,,TotalUnits,,,,2.48 ,,$0.00,$0.00,1,1,1,1,1,1,20210101,
T2033,HCPCS,"RES, NOS WAIVER PER DIEM",,,14,,TotalUnits,,,,1.65 ,,$0.00,$0.00,1,1,1,1,1,1,20210101,
T2034,HCPCS,CRISIS INTERVEN WAIVER/DIEM,,,14,,TotalUnits,,,,1.59 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
T2038,HCPCS,COMM TRANS WAIVER/SERVICE,,,14,,TotalUnits,,,,0.52 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
T2039,HCPCS,VEHICLE MOD WAIVER/SERVICE,,,14,,TotalUnits,,,,18.40 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
T2040,HCPCS,FINANCIAL MGT WAIVER/15MIN,,,14,,TotalUnits,,,,0.09 ,,$0.00,$0.00,1,1,1,1,1,1,20210101,
T2041,HCPCS,SUPPORT BROKER WAIVER/15 MIN,,,14,,TotalUnits,,,,0.18 ,,$0.00,$0.00,1,0,1,1,1,1,20210101,
T2042,HCPCS,HOSPICE ROUTINE HOME CARE,,,14,,TotalUnits,,,,1.46 ,,$0.00,$0.00,1,1,1,1,1,1,20210101,
T2043,HCPCS,HOSPICE CONTINUOUS HOME CARE,,,14,,TotalUnits,,,,0.28 ,,$0.00,$0.00,1,1,1,1,1,1,20210101,
T2045,HCPCS,HOSPICE GENERAL CARE,,,14,,TotalUnits,,,,6.93 ,,$0.00,$0.00,1,1,1,1,1,1,20210101,
T2046,HCPCS,"HOSPICE LONG TERM CARE, R&B",,,14,,TotalUnits,,,,1.67 ,,$0.00,$0.00,1,1,1,1,1,1,20210101,
T2048,HCPCS,"BH LTC RES R&B, PER DIEM",,,14,,TotalUnits,,,,2.77 ,,$0.00,$0.00,1,1,1,1,1,1,20210101,
T2049,HCPCS,"N-ET; STRETCHER VAN, MILEAGE",,,14,,TotalUnits,,,,0.07 ,,$0.00,$0.00,1,1,1,1,1,1,20210101,
T4521,HCPCS,ADULT SIZE BRIEF/DIAPER SM,,,28,,NW,,,,,,$1.40,$0.00,1,1,1,0,0,1,20210101,
T4522,HCPCS,ADULT SIZE BRIEF/DIAPER MED,,,28,,NW,,,,,,$1.41,$0.00,1,1,1,0,0,1,20210101,
T4523,HCPCS,ADULT SIZE BRIEF/DIAPER LG,,,28,,NW,,,,,,$1.55,$0.00,1,1,1,0,0,1,20210101,
T4524,HCPCS,ADULT SIZE BRIEF/DIAPER XL,,,28,,NW,,,,,,$1.81,$0.00,1,1,1,0,0,1,20210101,
T4525,HCPCS,ADULT SIZE PULL-ON SM,,,28,,NW,,,,,,$1.70,$0.00,1,1,1,0,0,1,20210101,
T4526,HCPCS,ADULT SIZE PULL-ON MED,,,28,,NW,,,,,,$1.73,$0.00,1,1,1,0,0,1,20210101,
T4527,HCPCS,ADULT SIZE PULL-ON LG,,,28,,NW,,,,,,$1.75,$0.00,1,1,1,0,0,1,20210101,
T4528,HCPCS,ADULT SIZE PULL-ON XL,,,28,,NW,,,,,,$1.89,$0.00,1,1,1,0,0,1,20210101,
T4529,HCPCS,PED SIZE BRIEF/DIAPER SM/MED,,,28,,NW,,,,,,$1.20,$0.00,1,1,1,0,0,1,20210101,
T4530,HCPCS,PED SIZE BRIEF/DIAPER LG,,,28,,NW,,,,,,$1.41,$0.00,1,1,1,0,0,1,20210101,
T4531,HCPCS,PED SIZE PULL-ON SM/MED,,,28,,NW,,,,,,$1.77,$0.00,1,1,1,0,0,1,20210101,
T4532,HCPCS,PED SIZE PULL-ON LG,,,28,,NW,,,,,,$1.94,$0.00,1,1,1,0,0,1,20210101,
T4533,HCPCS,YOUTH SIZE BRIEF/DIAPER,,,28,,NW,,,,,,$1.50,$0.00,1,1,1,0,0,1,20210101,
T4534,HCPCS,YOUTH SIZE PULL-ON,,,28,,NW,,,,,,$1.91,$0.00,1,1,1,0,0,1,20210101,
T4535,HCPCS,DISPOSABLE LINER/SHIELD/PAD,,,28,,NW,,,,,,$1.23,$0.00,1,1,1,0,0,1,20210101,
T4536,HCPCS,REUSABLE PULL-ON ANY SIZE,,,28,,NW,,,,,,$2.09,$0.00,1,1,1,0,0,1,20210101,
T4537,HCPCS,REUSABLE UNDERPAD BED SIZE,,,28,,NW,,,,,,$26.77,$0.00,1,1,1,0,0,1,20210101,
T4539,HCPCS,REUSE DIAPER/BRIEF ANY SIZE,,,28,,NW,,,,,,$10.12,$0.00,1,1,1,0,0,1,20210101,
T4540,HCPCS,REUSABLE UNDERPAD CHAIR SIZE,,,28,,NW,,,,,,$13.41,$0.00,1,1,1,0,0,1,20210101,
T4541,HCPCS,LARGE DISPOSABLE UNDERPAD,,,28,,NW,,,,,,$1.10,$0.00,1,1,1,0,0,1,20210101,
T4542,HCPCS,SMALL DISPOSABLE UNDERPAD,,,28,,NW,,,,,,$1.20,$0.00,1,1,1,0,0,1,20210101,
T4543,HCPCS,ADULT DISP BRIEF/DIAP ABV XL,,,28,,NW,,,,,,$2.83,$0.00,1,1,1,0,0,1,20210101,
T4544,HCPCS,ADLT DISP UND/PULL ON ABV XL,,,28,,NW,,,,,,$2.92,$0.00,1,1,1,0,0,1,20210101,
T5001,HCPCS,POSITION SEAT SPEC ORTH NEED,,,28,,NW,,,,,,"$1,024.88",$0.00,1,1,1,1,1,1,20210101,
T5999,HCPCS,"SUPPLY, NOS",,,28,,NW,,,,,,$27.13,$0.00,1,1,1,0,0,1,20210101,
U0001,HCPCS,2019-NCOV DIAGNOSTIC P',,,17,,TotalUnits,,,,0.99 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
U0002,HCPCS,COVID-19 LAB TEST NON-CDC',,,17,,TotalUnits,,,,1.23 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
U0003,HCPCS,COV-19 AMP PRB HGH THRUPUT,,,17,,TotalUnits,,,,2.77 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
U0004,HCPCS,COV-19 TEST NON-CDC HGH THRU,,,17,,TotalUnits,,,,2.77 ,,$0.00,$0.00,1,1,1,0,1,1,20210101,
V2020,HCPCS,VISION SVCS FRAMES PURCHASES,,,28,,NW,,,,,,$144.10,$0.00,1,1,1,1,1,1,20210101,
V2025,HCPCS,EYEGLASSES DELUX FRAMES,,,28,,NW,,,,,,$131.44,$0.00,1,1,1,1,1,1,20210101,
V2100,HCPCS,LENS SPHER SINGLE PLANO 4.00,,,28,,NW,,,,,,$68.75,$0.00,1,1,1,1,1,1,20210101,
V2101,HCPCS,SINGLE VISN SPHERE 4.12-7.00,,,28,,NW,,,,,,$72.24,$0.00,1,1,1,1,1,1,20210101,
V2102,HCPCS,SINGL VISN SPHERE 7.12-20.00,,,28,,NW,,,,,,$91.48,$0.00,1,1,1,1,1,1,20210101,
V2103,HCPCS,SPHEROCYLINDR 4.00D/12-2.00D,,,28,,NW,,,,,,$63.49,$0.00,1,1,1,1,1,1,20210101,
V2104,HCPCS,SPHEROCYLINDR 4.00D/2.12-4D,,,28,,NW,,,,,,$66.68,$0.00,1,1,1,1,1,1,20210101,
V2105,HCPCS,SPHEROCYLINDER 4.00D/4.25-6D,,,28,,NW,,,,,,$71.09,$0.00,1,1,1,1,1,1,20210101,
V2106,HCPCS,SPHEROCYLINDER 4.00D/>6.00D,,,28,,NW,,,,,,$75.90,$0.00,1,1,1,1,1,1,20210101,
V2107,HCPCS,SPHEROCYLINDER 4.25D/12-2D,,,28,,NW,,,,,,$75.24,$0.00,1,1,1,1,1,1,20210101,
V2108,HCPCS,SPHEROCYLINDER 4.25D/2.12-4D,,,28,,NW,,,,,,$75.18,$0.00,1,1,1,1,1,1,20210101,
V2109,HCPCS,SPHEROCYLINDER 4.25D/4.25-6D,,,28,,NW,,,,,,$82.15,$0.00,1,1,1,1,1,1,20210101,
V2110,HCPCS,SPHEROCYLINDER 4.25D/OVER 6D,,,28,,NW,,,,,,$80.02,$0.00,1,1,1,1,1,1,20210101,
V2111,HCPCS,SPHEROCYLINDR 7.25D/.25-2.25,,,28,,NW,,,,,,$84.06,$0.00,1,1,1,1,1,1,20210101,
V2112,HCPCS,SPHEROCYLINDR 7.25D/2.25-4D,,,28,,NW,,,,,,$91.66,$0.00,1,1,1,1,1,1,20210101,
V2113,HCPCS,SPHEROCYLINDR 7.25D/4.25-6D,,,28,,NW,,,,,,$101.69,$0.00,1,1,1,1,1,1,20210101,
V2114,HCPCS,SPHEROCYLINDER OVER 12.00D,,,28,,NW,,,,,,$109.44,$0.00,1,1,1,1,1,1,20210101,
V2115,HCPCS,LENS LENTICULAR BIFOCAL,,,28,,NW,,,,,,$116.57,$0.00,1,1,1,1,1,1,20210101,
V2118,HCPCS,LENS ANISEIKONIC SINGLE,,,28,,NW,,,,,,$118.08,$0.00,1,1,1,1,1,1,20210101,
V2121,HCPCS,"LENTICULAR LENS, SINGLE",,,28,,NW,,,,,,$120.02,$0.00,1,1,1,1,1,1,20210101,
V2199,HCPCS,LENS SINGLE VISION NOT OTH C,,,28,,NW,,,,,,$73.05,$0.00,1,1,1,1,1,1,20210101,
V2200,HCPCS,LENS SPHER BIFOC PLANO 4.00D,,,28,,NW,,,,,,$80.98,$0.00,1,1,1,1,1,1,20210101,
V2201,HCPCS,LENS SPHERE BIFOCAL 4.12-7.0,,,28,,NW,,,,,,$88.61,$0.00,1,1,1,1,1,1,20210101,
V2202,HCPCS,LENS SPHERE BIFOCAL 7.12-20.,,,28,,NW,,,,,,$99.95,$0.00,1,1,1,1,1,1,20210101,
V2203,HCPCS,LENS SPHCYL BIFOCAL 4.00D/.1,,,28,,NW,,,,,,$82.53,$0.00,1,1,1,1,1,1,20210101,
V2204,HCPCS,LENS SPHCY BIFOCAL 4.00D/2.1,,,28,,NW,,,,,,$85.61,$0.00,1,1,1,1,1,1,20210101,
V2205,HCPCS,LENS SPHCY BIFOCAL 4.00D/4.2,,,28,,NW,,,,,,$91.25,$0.00,1,1,1,1,1,1,20210101,
V2206,HCPCS,LENS SPHCY BIFOCAL 4.00D/OVE,,,28,,NW,,,,,,$100.28,$0.00,1,1,1,1,1,1,20210101,
V2207,HCPCS,LENS SPHCY BIFOCAL 4.25-7D/.,,,28,,NW,,,,,,$90.61,$0.00,1,1,1,1,1,1,20210101,
V2208,HCPCS,LENS SPHCY BIFOCAL 4.25-7/2.,,,28,,NW,,,,,,$94.52,$0.00,1,1,1,1,1,1,20210101,
V2209,HCPCS,LENS SPHCY BIFOCAL 4.25-7/4.,,,28,,NW,,,,,,$100.11,$0.00,1,1,1,1,1,1,20210101,
V2210,HCPCS,LENS SPHCY BIFOCAL 4.25-7/OV,,,28,,NW,,,,,,$111.91,$0.00,1,1,1,1,1,1,20210101,
V2211,HCPCS,LENS SPHCY BIFO 7.25-12/.25-,,,28,,NW,,,,,,$112.63,$0.00,1,1,1,1,1,1,20210101,
V2212,HCPCS,LENS SPHCYL BIFO 7.25-12/2.2,,,28,,NW,,,,,,$115.97,$0.00,1,1,1,1,1,1,20210101,
V2213,HCPCS,LENS SPHCYL BIFO 7.25-12/4.2,,,28,,NW,,,,,,$116.45,$0.00,1,1,1,1,1,1,20210101,
V2214,HCPCS,LENS SPHCYL BIFOCAL OVER 12.,,,28,,NW,,,,,,$127.65,$0.00,1,1,1,1,1,1,20210101,
V2215,HCPCS,LENS LENTICULAR BIFOCAL,,,28,,NW,,,,,,$138.01,$0.00,1,1,1,1,1,1,20210101,
V2218,HCPCS,LENS ANISEIKONIC BIFOCAL,,,28,,NW,,,,,,$152.98,$0.00,1,1,1,1,1,1,20210101,
V2219,HCPCS,LENS BIFOCAL SEG WIDTH OVER,,,28,,NW,,,,,,$73.44,$0.00,1,1,1,1,1,1,20210101,
V2220,HCPCS,LENS BIFOCAL ADD OVER 3.25D,,,28,,NW,,,,,,$67.35,$0.00,1,1,1,1,1,1,20210101,
V2221,HCPCS,"LENTICULAR LENS, BIFOCAL",,,28,,NW,,,,,,$136.24,$0.00,1,1,1,1,1,1,20210101,
V2299,HCPCS,LENS BIFOCAL SPECIALITY,,,28,,NW,,,,,,$77.76,$0.00,1,1,1,1,1,1,20210101,
V2300,HCPCS,LENS SPHERE TRIFOCAL 4.00D,,,28,,NW,,,,,,$101.98,$0.00,1,1,1,1,1,1,20210101,
V2301,HCPCS,LENS SPHERE TRIFOCAL 4.12-7.,,,28,,NW,,,,,,$119.76,$0.00,1,1,1,1,1,1,20210101,
V2302,HCPCS,LENS SPHERE TRIFOCAL 7.12-20,,,28,,NW,,,,,,$122.77,$0.00,1,1,1,1,1,1,20210101,
V2303,HCPCS,LENS SPHCY TRIFOCAL 4.0/.12-,,,28,,NW,,,,,,$101.40,$0.00,1,1,1,1,1,1,20210101,
V2304,HCPCS,LENS SPHCY TRIFOCAL 4.0/2.25,,,28,,NW,,,,,,$105.42,$0.00,1,1,1,1,1,1,20210101,
V2305,HCPCS,LENS SPHCY TRIFOCAL 4.0/4.25,,,28,,NW,,,,,,$119.39,$0.00,1,1,1,1,1,1,20210101,
V2306,HCPCS,LENS SPHCYL TRIFOCAL 4.00/>6,,,28,,NW,,,,,,$122.59,$0.00,1,1,1,1,1,1,20210101,
V2307,HCPCS,LENS SPHCY TRIFOCAL 4.25-7/.,,,28,,NW,,,,,,$116.90,$0.00,1,1,1,1,1,1,20210101,
V2308,HCPCS,LENS SPHC TRIFOCAL 4.25-7/2.,,,28,,NW,,,,,,$121.63,$0.00,1,1,1,1,1,1,20210101,
V2309,HCPCS,LENS SPHC TRIFOCAL 4.25-7/4.,,,28,,NW,,,,,,$134.46,$0.00,1,1,1,1,1,1,20210101,
V2310,HCPCS,LENS SPHC TRIFOCAL 4.25-7/>6,,,28,,NW,,,,,,$133.43,$0.00,1,1,1,1,1,1,20210101,
V2311,HCPCS,LENS SPHC TRIFO 7.25-12/.25-,,,28,,NW,,,,,,$141.67,$0.00,1,1,1,1,1,1,20210101,
V2312,HCPCS,LENS SPHC TRIFO 7.25-12/2.25,,,28,,NW,,,,,,$138.58,$0.00,1,1,1,1,1,1,20210101,
V2313,HCPCS,LENS SPHC TRIFO 7.25-12/4.25,,,28,,NW,,,,,,$158.07,$0.00,1,1,1,1,1,1,20210101,
V2314,HCPCS,LENS SPHCYL TRIFOCAL OVER 12,,,28,,NW,,,,,,$165.60,$0.00,1,1,1,1,1,1,20210101,
V2315,HCPCS,LENS LENTICULAR TRIFOCAL,,,28,,NW,,,,,,$187.44,$0.00,1,1,1,1,1,1,20210101,
V2318,HCPCS,LENS ANISEIKONIC TRIFOCAL,,,28,,NW,,,,,,$226.00,$0.00,1,1,1,1,1,1,20210101,
V2319,HCPCS,LENS TRIFOCAL SEG WIDTH > 28,,,28,,NW,,,,,,$79.13,$0.00,1,1,1,1,1,1,20210101,
V2320,HCPCS,LENS TRIFOCAL ADD OVER 3.25D,,,28,,NW,,,,,,$86.52,$0.00,1,1,1,1,1,1,20210101,
V2321,HCPCS,"LENTICULAR LENS, TRIFOCAL",,,28,,NW,,,,,,$183.79,$0.00,1,1,1,1,1,1,20210101,
V2399,HCPCS,LENS TRIFOCAL SPECIALITY,,,28,,NW,,,,,,$189.41,$0.00,1,1,1,1,1,1,20210101,
V2410,HCPCS,LENS VARIAB ASPHERICITY SING,,,28,,NW,,,,,,$142.05,$0.00,1,1,1,1,1,1,20210101,
V2430,HCPCS,LENS VARIABLE ASPHERICITY BI,,,28,,NW,,,,,,$167.49,$0.00,1,1,1,1,1,1,20210101,
V2499,HCPCS,VARIABLE ASPHERICITY LENS,,,28,,NW,,,,,,$139.79,$0.00,1,1,1,1,1,1,20210101,
V2500,HCPCS,CONTACT LENS PMMA SPHERICAL,,,28,,NW,,,,,,$129.36,$0.00,1,1,1,1,1,1,20210101,
V2501,HCPCS,CNTCT LENS PMMA-TORIC/PRISM,,,28,,NW,,,,,,$189.25,$0.00,1,1,1,1,1,1,20210101,
V2502,HCPCS,CONTACT LENS PMMA BIFOCAL,,,28,,NW,,,,,,$240.82,$0.00,1,1,1,1,1,1,20210101,
V2503,HCPCS,CNTCT LENS PMMA COLOR VISION,,,28,,NW,,,,,,$215.35,$0.00,1,1,1,1,1,1,20210101,
V2510,HCPCS,CNTCT GAS PERMEABLE SPHERICL,,,28,,NW,,,,,,$172.78,$0.00,1,1,1,1,1,1,20210101,
V2511,HCPCS,CNTCT TORIC PRISM BALLAST,,,28,,NW,,,,,,$249.52,$0.00,1,1,1,1,1,1,20210101,
V2512,HCPCS,CNTCT LENS GAS PERMBL BIFOCL,,,28,,NW,,,,,,$295.18,$0.00,1,1,1,1,1,1,20210101,
V2513,HCPCS,CONTACT LENS EXTENDED WEAR,,,28,,NW,,,,,,$257.17,$0.00,1,1,1,1,1,1,20210101,
V2520,HCPCS,CONTACT LENS HYDROPHILIC,,,28,,NW,,,,,,$162.77,$0.00,1,1,1,1,1,1,20210101,
V2521,HCPCS,CNTCT LENS HYDROPHILIC TORIC,,,28,,NW,,,,,,$276.95,$0.00,1,1,1,1,1,1,20210101,
V2522,HCPCS,CNTCT LENS HYDROPHIL BIFOCL,,,28,,NW,,,,,,$277.88,$0.00,1,1,1,1,1,1,20210101,
V2523,HCPCS,CNTCT LENS HYDROPHIL EXTEND,,,28,,NW,,,,,,$231.17,$0.00,1,1,1,1,1,1,20210101,
V2530,HCPCS,CONTACT LENS GAS IMPERMEABLE,,,28,,NW,,,,,,$336.03,$0.00,1,1,1,1,1,1,20210101,
V2531,HCPCS,CONTACT LENS GAS PERMEABLE,,,28,,NW,,,,,,$726.55,$0.00,1,1,1,1,1,1,20210101,
V2599,HCPCS,CONTACT LENS/ES OTHER TYPE,,,28,,NW,,,,,,$149.04,$0.00,1,1,1,1,1,1,20210101,
V2600,HCPCS,HAND HELD LOW VISION AIDS,,,28,,NW,,,,,,$133.79,$0.00,1,1,1,1,1,1,20210101,
V2610,HCPCS,SINGLE LENS SPECTACLE MOUNT,,,28,,NW,,,,,,$234.37,$0.00,1,1,1,1,1,1,20210101,
V2615,HCPCS,TELESCOP/OTHR COMPOUND LENS,,,28,,NW,,,,,,$403.87,$0.00,1,1,1,1,1,1,20210101,
V2623,HCPCS,PLASTIC EYE PROSTH CUSTOM,,,28,,NW,,,,,,"$3,211.84",$0.00,1,1,1,1,1,1,20210101,
V2624,HCPCS,POLISHING ARTIFICAL EYE,,,28,,NW,,,,,,$103.59,$0.00,1,1,1,1,1,1,20210101,
V2625,HCPCS,ENLARGEMNT OF EYE PROSTHESIS,,,28,,NW,,,,,,"$1,276.71",$0.00,1,1,1,1,1,1,20210101,
V2626,HCPCS,REDUCTION OF EYE PROSTHESIS,,,28,,NW,,,,,,$684.37,$0.00,1,1,1,1,1,1,20210101,
V2627,HCPCS,SCLERAL COVER SHELL,,,28,,NW,,,,,,"$4,469.69",$0.00,1,1,1,1,1,1,20210101,
V2628,HCPCS,FABRICATION & FITTING,,,28,,NW,,,,,,$997.44,$0.00,1,1,1,1,1,1,20210101,
V2629,HCPCS,PROSTHETIC EYE OTHER TYPE,,,28,,NW,,,,,,"$1,592.20",$0.00,1,1,1,1,1,1,20210101,
V2630,HCPCS,ANTER CHAMBER INTRAOCUL LENS,,,28,,NW,,,,,,$318.27,$0.00,1,1,1,0,1,1,20210101,
V2631,HCPCS,IRIS SUPPORT INTRAOCLR LENS,,,28,,NW,,,,,,$318.27,$0.00,1,1,1,0,1,1,20210101,
V2632,HCPCS,POST CHMBR INTRAOCULAR LENS,,,28,,NW,,,,,,$318.27,$0.00,1,1,1,0,1,1,20210101,
V2700,HCPCS,BALANCE LENS,,,28,,NW,,,,,,$73.61,$0.00,1,1,1,1,1,1,20210101,
V2702,HCPCS,DELUXE LENS FEATURE,,,28,,NW,,,,,,$39.10,$0.00,1,1,1,1,1,1,20210101,
V2710,HCPCS,GLASS/PLASTIC SLAB OFF PRISM,,,28,,NW,,,,,,$103.28,$0.00,1,1,1,1,1,1,20210101,
V2715,HCPCS,PRISM LENS/ES,,,28,,NW,,,,,,$40.69,$0.00,1,1,1,1,1,1,20210101,
V2718,HCPCS,FRESNELL PRISM PRESS-ON LENS,,,28,,NW,,,,,,$57.79,$0.00,1,1,1,1,1,1,20210101,
V2730,HCPCS,SPECIAL BASE CURVE,,,28,,NW,,,,,,$49.81,$0.00,1,1,1,1,1,1,20210101,
V2744,HCPCS,TINT PHOTOCHROMATIC LENS/ES,,,28,,NW,,,,,,$44.96,$0.00,1,1,1,1,1,1,20210101,
V2745,HCPCS,"TINT, ANY COLOR/SOLID/GRAD",,,28,,NW,,,,,,$36.88,$0.00,1,1,1,1,1,1,20210101,
V2750,HCPCS,ANTI-REFLECTIVE COATING,,,28,,NW,,,,,,$48.85,$0.00,1,1,1,1,1,1,20210101,
V2755,HCPCS,UV LENS/ES,,,28,,NW,,,,,,$44.58,$0.00,1,1,1,1,1,1,20210101,
V2756,HCPCS,EYE GLASS CASE,,,28,,NW,,,,,,$4.21,$0.00,1,1,1,1,1,1,20210101,
V2760,HCPCS,SCRATCH RESISTANT COATING,,,28,,NW,,,,,,$44.50,$0.00,1,1,1,1,1,1,20210101,
V2761,HCPCS,MIRROR COATING,,,28,,NW,,,,,,$52.70,$0.00,1,1,1,1,1,1,20210101,
V2762,HCPCS,"POLARIZATION, ANY LENS",,,28,,NW,,,,,,$83.71,$0.00,1,1,1,1,1,1,20210101,
V2770,HCPCS,OCCLUDER LENS/ES,,,28,,NW,,,,,,$48.39,$0.00,1,1,1,1,1,1,20210101,
V2780,HCPCS,OVERSIZE LENS/ES,,,28,,NW,,,,,,$41.11,$0.00,1,1,1,1,1,1,20210101,
V2781,HCPCS,PROGRESSIVE LENS PER LENS,,,28,,NW,,,,,,$82.03,$0.00,1,1,1,1,1,1,20210101,
V2782,HCPCS,"LENS, 1.54-1.65 P/1.60-1.79G",,,28,,NW,,,,,,$90.04,$0.00,1,1,1,1,1,1,20210101,
V2783,HCPCS,"LENS, >= 1.66 P/>=1.80 G",,,28,,NW,,,,,,$100.94,$0.00,1,1,1,1,1,1,20210101,
V2784,HCPCS,LENS POLYCARB OR EQUAL,,,28,,NW,,,,,,$71.46,$0.00,1,1,1,1,1,1,20210101,
V2785,HCPCS,CORNEAL TISSUE PROCESSING,,,28,,NW,,,,,,"$6,081.27",$0.00,1,1,1,1,1,1,20210101,
V2786,HCPCS,OCCUPATIONAL MULTIFOCAL LENS,,,28,,NW,,,,,,$119.05,$0.00,1,1,1,1,1,1,20210101,
V2787,HCPCS,ASTIGMATISM-CORRECT FUNCTION,,,28,,NW,,,,,,$867.46,$0.00,1,1,1,1,1,1,20210101,
V2788,HCPCS,PRESBYOPIA-CORRECT FUNCTION,,,28,,NW,,,,,,"$1,523.16",$0.00,1,1,1,1,1,1,20210101,
V2790,HCPCS,AMNIOTIC MEMBRANE,,,28,,NW,,,,,,"$1,280.96",$0.00,1,1,1,0,1,1,20210101,
V2797,HCPCS,VIS ITEM/SVC IN OTHER CODE,,,28,,NW,,,,,,$206.06,$0.00,1,1,1,1,1,1,20210101,
V2799,HCPCS,MISC VISION ITEM OR SERVICE,,,28,,NW,,,,,,$20.15,$0.00,1,1,1,0,1,1,20210101,
V5008,HCPCS,HEARING SCREENING,,,8,,TotalUnits,,,,1.02 ,,$0.00,$0.00,1,1,1,0,0,1,20210101,
V5010,HCPCS,ASSESSMENT FOR HEARING AID,,,8,,TotalUnits,,,,1.71 ,,$0.00,$0.00,1,1,1,0,0,1,20210101,
V5011,HCPCS,HEARING AID FITTING/CHECKING,,,28,,NW,,,,,,$224.57,$0.00,1,1,1,1,1,1,20210101,
V5014,HCPCS,HEARING AID REPAIR/MODIFYING,,,28,,NW,,,,,,$223.50,$0.00,1,1,1,1,1,1,20210101,
V5020,HCPCS,CONFORMITY EVALUATION,,,28,,NW,,,,,,$132.03,$0.00,1,1,1,1,1,1,20210101,
V5030,HCPCS,BODY-WORN HEARING AID AIR,,,28,,NW,,,,,,"$1,802.57",$0.00,1,1,1,1,1,1,20210101,
V5040,HCPCS,BODY-WORN HEARING AID BONE,,,28,,NW,,,,,,"$1,597.61",$0.00,1,1,1,1,1,1,20210101,
V5050,HCPCS,HEARING AID MONAURAL IN EAR,,,28,,NW,,,,,,"$2,019.07",$0.00,1,1,1,1,1,1,20210101,
V5060,HCPCS,BEHIND EAR HEARING AID,,,28,,NW,,,,,,"$2,423.32",$0.00,1,1,1,1,1,1,20210101,
V5070,HCPCS,GLASSES AIR CONDUCTION,,,28,,NW,,,,,,$766.01,$0.00,1,1,1,1,1,1,20210101,
V5080,HCPCS,GLASSES BONE CONDUCTION,,,28,,NW,,,,,,"$5,125.91",$0.00,1,1,1,1,1,1,20210101,
V5090,HCPCS,HEARING AID DISPENSING FEE,,,28,,NW,,,,,,$546.99,$0.00,1,1,1,1,1,1,20210101,
V5100,HCPCS,BODY-WORN BILAT HEARING AID,,,28,,NW,,,,,,"$3,668.64",$0.00,1,1,1,1,1,1,20210101,
V5110,HCPCS,HEARING AID DISPENSING FEE,,,28,,NW,,,,,,$690.88,$0.00,1,1,1,1,1,1,20210101,
V5120,HCPCS,BODY-WORN BINAUR HEARING AID,,,28,,NW,,,,,,"$2,788.75",$0.00,1,1,1,1,1,1,20210101,
V5130,HCPCS,IN EAR BINAURAL HEARING AID,,,28,,NW,,,,,,"$3,844.53",$0.00,1,1,1,1,1,1,20210101,
V5140,HCPCS,BEHIND EAR BINAUR HEARING AI,,,28,,NW,,,,,,"$5,114.63",$0.00,1,1,1,1,1,1,20210101,
V5150,HCPCS,GLASSES BINAURAL HEARING AID,,,28,,NW,,,,,,"$2,884.05",$0.00,1,1,1,1,1,1,20210101,
V5160,HCPCS,DISPENSING FEE BINAURAL,,,28,,NW,,,,,,$797.88,$0.00,1,1,1,1,1,1,20210101,
V5181,HCPCS,HEARING AID MONAURAL BTE,,,28,,NW,,,,,,"$2,273.75",$0.00,1,1,1,1,1,1,20210101,
V5190,HCPCS,HEARING AID MONAURAL GLASSES,,,28,,NW,,,,,,"$2,351.47",$0.00,1,1,1,1,1,1,20210101,
V5200,HCPCS,DISP FEE CONTRALATERAL MONAU,,,28,,NW,,,,,,$618.43,$0.00,1,1,1,1,1,1,20210101,
V5215,HCPCS,HEARING AID BINAURAL ITC/BTE,,,28,,NW,,,,,,"$4,137.83",$0.00,1,1,1,1,1,1,20210101,
V5221,HCPCS,HEARING AID BINAURAL BTE/BTE,,,28,,NW,,,,,,"$3,446.13",$0.00,1,1,1,1,1,1,20210101,
V5230,HCPCS,HEARING AID BINAURAL GLASSES,,,28,,NW,,,,,,"$2,501.35",$0.00,1,1,1,1,1,1,20210101,
V5240,HCPCS,DISP FEE CONTRALATERAL BINAU,,,28,,NW,,,,,,$735.22,$0.00,1,1,1,1,1,1,20210101,
V5241,HCPCS,"DISPENSING FEE, MONAURAL",,,28,,NW,,,,,,$484.43,$0.00,1,1,1,1,1,1,20210101,
V5242,HCPCS,"HEARING AID, MONAURAL, CIC",,,28,,NW,,,,,,"$2,174.91",$0.00,1,1,1,1,1,1,20210101,
V5243,HCPCS,"HEARING AID, MONAURAL, ITC",,,28,,NW,,,,,,"$2,290.82",$0.00,1,1,1,1,1,1,20210101,
V5244,HCPCS,"HEARING AID, PROG, MON, CIC",,,28,,NW,,,,,,"$3,575.85",$0.00,1,1,1,1,1,1,20210101,
V5245,HCPCS,"HEARING AID, PROG, MON, ITC",,,28,,NW,,,,,,"$3,129.64",$0.00,1,1,1,1,1,1,20210101,
V5246,HCPCS,"HEARING AID, PROG, MON, ITE",,,28,,NW,,,,,,"$2,307.17",$0.00,1,1,1,1,1,1,20210101,
V5247,HCPCS,"HEARING AID, PROG, MON, BTE",,,28,,NW,,,,,,"$2,841.48",$0.00,1,1,1,1,1,1,20210101,
V5248,HCPCS,"HEARING AID, BINAURAL, CIC",,,28,,NW,,,,,,"$3,500.23",$0.00,1,1,1,1,1,1,20210101,
V5249,HCPCS,"HEARING AID, BINAURAL, ITC",,,28,,NW,,,,,,"$2,245.17",$0.00,1,1,1,1,1,1,20210101,
V5250,HCPCS,"HEARING AID, PROG, BIN, CIC",,,28,,NW,,,,,,"$5,846.52",$0.00,1,1,1,1,1,1,20210101,
V5251,HCPCS,"HEARING AID, PROG, BIN, ITC",,,28,,NW,,,,,,"$5,393.64",$0.00,1,1,1,1,1,1,20210101,
V5252,HCPCS,"HEARING AID, PROG, BIN, ITE",,,28,,NW,,,,,,"$6,973.18",$0.00,1,1,1,1,1,1,20210101,
V5253,HCPCS,"HEARING AID, PROG, BIN, BTE",,,28,,NW,,,,,,"$4,809.64",$0.00,1,1,1,1,1,1,20210101,
V5254,HCPCS,"HEARING ID, DIGIT, MON, CIC",,,28,,NW,,,,,,"$1,353.93",$0.00,1,1,1,1,1,1,20210101,
V5255,HCPCS,"HEARING AID, DIGIT, MON, ITC",,,28,,NW,,,,,,$956.12,$0.00,1,1,1,1,1,1,20210101,
V5256,HCPCS,"HEARING AID, DIGIT, MON, ITE",,,28,,NW,,,,,,$866.00,$0.00,1,1,1,1,1,1,20210101,
V5257,HCPCS,"HEARING AID, DIGIT, MON, BTE",,,28,,NW,,,,,,"$3,348.80",$0.00,1,1,1,1,1,1,20210101,
V5258,HCPCS,"HEARING AID, DIGIT, BIN, CIC",,,28,,NW,,,,,,"$7,105.61",$0.00,1,1,1,1,1,1,20210101,
V5259,HCPCS,"HEARING AID, DIGIT, BIN, ITC",,,28,,NW,,,,,,"$5,322.36",$0.00,1,1,1,1,1,1,20210101,
V5260,HCPCS,"HEARING AID, DIGIT, BIN, ITE",,,28,,NW,,,,,,"$5,017.30",$0.00,1,1,1,1,1,1,20210101,
V5261,HCPCS,"HEARING AID, DIGIT, BIN, BTE",,,28,,NW,,,,,,"$6,399.92",$0.00,1,1,1,1,1,1,20210101,
V5262,HCPCS,"HEARING AID, DISP, MONAURAL",,,28,,NW,,,,,,$383.79,$0.00,1,1,1,1,1,1,20210101,
V5263,HCPCS,"HEARING AID, DISP, BINAURAL",,,28,,NW,,,,,,$292.75,$0.00,1,1,1,1,1,1,20210101,
V5264,HCPCS,EAR MOLD/INSERT,,,28,,NW,,,,,,$117.27,$0.00,1,1,1,1,1,1,20210101,
V5265,HCPCS,"EAR MOLD/INSERT, DISP",,,28,,NW,,,,,,$69.07,$0.00,1,1,1,1,1,1,20210101,
V5266,HCPCS,BATTERY FOR HEARING DEVICE,,,28,,NW,,,,,,$1.86,$0.00,1,1,1,1,1,1,20210101,
V5267,HCPCS,HEARING AID SUP/ACCESS/DEV,,,28,,NW,,,,,,$15.90,$0.00,1,1,1,1,1,1,20210101,
V5268,HCPCS,ALD TELEPHONE AMPLIFIER,,,28,,NW,,,,,,$175.67,$0.00,1,1,1,1,1,1,20210101,
V5269,HCPCS,"ALERTING DEVICE, ANY TYPE",,,28,,NW,,,,,,$256.45,$0.00,1,1,1,1,1,1,20210101,
V5270,HCPCS,"ALD, TV AMPLIFIER, ANY TYPE",,,28,,NW,,,,,,$351.08,$0.00,1,1,1,1,1,1,20210101,
V5271,HCPCS,"ALD, TV CAPTION DECODER",,,28,,NW,,,,,,$536.10,$0.00,1,1,1,1,1,1,20210101,
V5272,HCPCS,TDD,,,28,,NW,,,,,,$380.25,$0.00,1,1,1,1,1,1,20210101,
V5273,HCPCS,ALD FOR COCHLEAR IMPLANT,,,28,,NW,,,,,,$698.36,$0.00,1,1,1,1,1,1,20210101,
V5274,HCPCS,ALD UNSPECIFIED,,,28,,NW,,,,,,$139.82,$0.00,1,1,1,1,1,1,20210101,
V5275,HCPCS,EAR IMPRESSION,,,28,,NW,,,,,,$96.06,$0.00,1,1,1,1,1,1,20210101,
V5281,HCPCS,"ALD FM/DM SYSTEM, MONAURAL",,,28,,NW,,,,,,$161.05,$0.00,1,1,1,1,1,1,20210101,
V5282,HCPCS,ALD FM/DM SYSTEM BINAURAL,,,28,,NW,,,,,,$779.56,$0.00,1,1,1,1,1,1,20210101,
V5283,HCPCS,"ALD NECK, LOOP IND RECEIVER",,,28,,NW,,,,,,$339.90,$0.00,1,1,1,1,1,1,20210101,
V5284,HCPCS,ALD FM/DM EAR LEVEL RECEIVER,,,28,,NW,,,,,,$456.35,$0.00,1,1,1,1,1,1,20210101,
V5285,HCPCS,ALD FM/DM AUD INPUT RECEIVER,,,28,,NW,,,,,,$409.16,$0.00,1,1,1,1,1,1,20210101,
V5286,HCPCS,ALD BLU TOOTH FM/DM RECEIVER,,,28,,NW,,,,,,$273.16,$0.00,1,1,1,1,1,1,20210101,
V5287,HCPCS,"ALD FM/DM RECEIVER, NOS",,,28,,NW,,,,,,$458.79,$0.00,1,1,1,1,1,1,20210101,
V5288,HCPCS,ALD FM/DM TRANSMITTER ALD,,,28,,NW,,,,,,$532.50,$0.00,1,1,1,1,1,1,20210101,
V5289,HCPCS,ALD FM/DM ADAPT/BOOT COUPLIN,,,28,,NW,,,,,,$138.55,$0.00,1,1,1,1,1,1,20210101,
V5290,HCPCS,ALD TRANSMITTER MICROPHONE,,,28,,NW,,,,,,$276.96,$0.00,1,1,1,1,1,1,20210101,
V5298,HCPCS,HEARING AID NOC,,,28,,NW,,,,,,$505.60,$0.00,1,1,1,1,1,1,20210101,
V5299,HCPCS,HEARING SERVICE,,,28,,NW,,,,,,$224.27,$0.00,1,1,1,0,0,1,20210101,
V5362,HCPCS,SPEECH SCREENING,,,8,,RBRVS,0.86 ,0.28 ,3.50 ,,,$0.00,$0.00,1,1,1,0,0,1,20210101,
V5363,HCPCS,LANGUAGE SCREENING,,,8,,RBRVS,0.86 ,0.28 ,3.50 ,,,$0.00,$0.00,1,1,1,0,0,1,20210101,
V5364,HCPCS,DYSPHAGIA SCREENING,,,8,,RBRVS,,1.70 ,1.70 ,,,$0.00,$0.00,1,1,1,0,0,1,20210101,