"Version 2.7, Mid Year Update - Professional Services and Supplies Charge Table, Including Ambulance",,,,,,,,,,,,,,,,,,,,,
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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
00100,CPT,Anes-Proc Salivary Glands Incl Bx,,,3 ,,Anesth,,,,,5.0,$1.00,,3,0,1,1,1,1,20060825
00102,CPT,Anes-Proc Plastic Repair Cleft Lip,,,3 ,,Anesth,,,,,6.0,$1.00,,3,0,1,1,1,1,20060825
00103,CPT,Anes-Reconstructive Proc Eyelid,,,3 ,,Anesth,,,,,5.0,$1.00,,3,0,1,1,1,1,20060825
00104,CPT,Anes-Electroculvulsive Therapy,,,3 ,,Anesth,,,,,4.0,$1.00,,3,0,1,1,1,1,20060825
00120,CPT,Anes-Ext Mid&Innr Ear W/Bx; Nos,,,3 ,,Anesth,,,,,5.0,$1.00,,3,0,1,1,1,1,20060825
00124,CPT,Anes-Ext Mid&Innr Ear W/Bx; Otscpy,,,3 ,,Anesth,,,,,4.0,$1.00,,3,0,1,1,1,1,20060825
00126,CPT,Anes-Ext Mid&Innr Ear W/Bx; Tympnot,,,3 ,,Anesth,,,,,4.0,$1.00,,3,0,1,1,1,1,20060825
00140,CPT,Anesthesia Procedures On Eye; Nos,,,3 ,,Anesth,,,,,5.0,$1.00,,3,0,1,1,1,1,20060825
00142,CPT,Anesthesia Proc Eye; Lens Surgery,,,3 ,,Anesth,,,,,4.0,$1.00,,3,0,1,1,1,1,20060825
00144,CPT,Anes-Proc Eye; Corneal Transplant,,,3 ,,Anesth,,,,,6.0,$1.00,,3,0,1,1,1,1,20060825
00145,CPT,Anes-Proc Eye; Vitreoretinal Surg,,,3 ,,Anesth,,,,,6.0,$1.00,,3,0,1,1,1,1,20060825
00147,CPT,Anesthesia Proc Eye; Iridectomy,,,3 ,,Anesth,,,,,4.0,$1.00,,3,0,1,1,1,1,20060825
00148,CPT,Anesthesia Proc Eye; Ophthalmoscopy,,,3 ,,Anesth,,,,,4.0,$1.00,,3,0,1,1,1,1,20060825
00160,CPT,Anes-Proc Nose&Access Sinuses; Nos,,,3 ,,Anesth,,,,,5.0,$1.00,,3,0,1,1,1,1,20060825
00162,CPT,Anes-Nse&Acss Sinuses; Radl Surg,,,3 ,,Anesth,,,,,7.0,$1.00,,3,0,1,1,1,1,20060825
00164,CPT,Anes-Nse&Acss Sinuses; Bx Sft Tiss,,,3 ,,Anesth,,,,,4.0,$1.00,,3,0,1,1,1,1,20060825
00170,CPT,Anes-Intraoral Including Bx; Nos,,,3 ,,Anesth,,,,,5.0,$1.00,,3,0,1,1,1,1,20060825
00172,CPT,Anes-Intraorl W/Bx; Repr Clt Palate,,,3 ,,Anesth,,,,,6.0,$1.00,,3,0,1,1,1,1,20060825
00174,CPT,Anes-Intraoral W/Bx; Exc Tumor,,,3 ,,Anesth,,,,,6.0,$1.00,,3,0,1,1,1,1,20060825
00176,CPT,Anes-Intraorl Incl Bx; Radl Surgery,,,3 ,,Anesth,,,,,7.0,$1.00,,3,0,1,1,1,1,20060825
00190,CPT,Anes-Proc Facial Bones/Skull; Nos,,,3 ,,Anesth,,,,,5.0,$1.00,,3,0,1,1,1,1,20060825
00192,CPT,Anes-Proc Fce Bns/Skull; Radl Surg,,,3 ,,Anesth,,,,,7.0,$1.00,,3,0,1,1,1,1,20060825
00210,CPT,Anes-Intracran; Nos,,,3 ,,Anesth,,,,,11.0,$1.00,,3,0,1,1,1,1,20060825
00212,CPT,Anes-Intracran; Subdural Taps,,,3 ,,Anesth,,,,,5.0,$1.00,,3,0,1,1,1,1,20060825
00214,CPT,Anes-Cran; Burr Holes-Ventricgrph,,,3 ,,Anesth,,,,,9.0,$1.00,,3,0,1,1,1,1,20060825
00215,CPT,Anes-Intracran;Elev Skl Fx-Xtradurl,,,3 ,,Anesth,,,,,9.0,$1.00,,3,0,1,1,1,1,20060825
00216,CPT,Anes-Intracran; Vascular Procedures,,,3 ,,Anesth,,,,,15.0,$1.00,,3,0,1,1,1,1,20060825
00218,CPT,Anes-Intracran; Proc Sitting Pstn,,,3 ,,Anesth,,,,,13.0,$1.00,,3,0,1,1,1,1,20060825
00220,CPT,Anes-Intracran;Cerebrosp Fl Shnting,,,3 ,,Anesth,,,,,10.0,$1.00,,3,0,1,1,1,1,20060825
00222,CPT,Anes-Intracran;Elec-Coag Cran Nerv,,,3 ,,Anesth,,,,,6.0,$1.00,,3,0,1,1,1,1,20060825
00300,CPT,Anes-Integ-Musc&Nerv-Head-Trunk;Nos,,,3 ,,Anesth,,,,,5.0,$1.00,,3,0,1,1,1,1,20060825
00320,CPT,Anes-Esoph Thyrd Trachea;Nos 1 Yr/>,,,3 ,,Anesth,,,,,6.0,$1.00,,3,0,1,1,1,1,20060825
00322,CPT,Anes-Esoph Thyroid Trach;Bx Thyroid,,,3 ,,Anesth,,,,,3.0,$1.00,,3,0,1,1,1,1,20060825
00326,CPT,Anes-Larynx&Trach Chld < 1 Yr Age,,,3 ,,Anesth,,,,,7.0,$1.00,,3,0,1,1,1,1,20060825
00350,CPT,Anes-Proc Major Vessels Neck; Nos,,,3 ,,Anesth,,,,,10.0,$1.00,,3,0,1,1,1,1,20060825
00352,CPT,Anes-Proc Maj Ves Neck; Simple Lig,,,3 ,,Anesth,,,,,5.0,$1.00,,3,0,1,1,1,1,20060825
00400,CPT,Anes-Integ Extrem Trnk Perin; Nos,,,3 ,,Anesth,,,,,3.0,$1.00,,3,0,1,1,1,1,20060825
00402,CPT,Anes-Integ Extrem Trnk; Brst Recon,,,3 ,,Anesth,,,,,5.0,$1.00,,3,0,1,1,1,1,20060825
00404,CPT,Anes-Integ Trunk; Radl Breast Proc,,,3 ,,Anesth,,,,,5.0,$1.00,,3,0,1,1,1,1,20060825
00406,CPT,Anes-Integ;Radl Brst W/Node Dissect,,,3 ,,Anesth,,,,,13.0,$1.00,,3,0,1,1,1,1,20060825
00410,CPT,Anes-Integ Extrm Trnk;Convrt Arryth,,,3 ,,Anesth,,,,,4.0,$1.00,,3,0,1,1,1,1,20060825
00450,CPT,Anes-Proc Clavicle&Scapula; Nos,,,3 ,,Anesth,,,,,5.0,$1.00,,3,0,1,1,1,1,20060825
00452,CPT,Anes-Proc Clav&Scapula; Radl Surg,,,3 ,,Anesth,,,,,6.0,$1.00,,3,0,1,1,1,1,20060825
00454,CPT,Anes-Proc Clav&Scapula; Bx Clav,,,3 ,,Anesth,,,,,3.0,$1.00,,3,0,1,1,1,1,20060825
00470,CPT,Anes-Partial Rib Resection; Nos,,,3 ,,Anesth,,,,,6.0,$1.00,,3,0,1,1,1,1,20060825
00472,CPT,Anes-Part Rib Res; Thoracoplasty,,,3 ,,Anesth,,,,,10.0,$1.00,,3,0,1,1,1,1,20060825
00474,CPT,Anes-Part Rib Resection; Radl Proc,,,3 ,,Anesth,,,,,13.0,$1.00,,3,0,1,1,1,1,20060825
00500,CPT,Anes-On Esophagus,,,3 ,,Anesth,,,,,15.0,$1.00,,3,0,1,1,1,1,20060825
00520,CPT,Anes-Closed Chest; Nos,,,3 ,,Anesth,,,,,6.0,$1.00,,3,0,1,1,1,1,20060825
00522,CPT,Anes-Closed Chest; Needle Bx Pleura,,,3 ,,Anesth,,,,,4.0,$1.00,,3,0,1,1,1,1,20060825
00524,CPT,Anes-Closed Chest; Pneumocentesis,,,3 ,,Anesth,,,,,4.0,$1.00,,3,0,1,1,1,1,20060825
00528,CPT,Anes-Clo Chst;Mediastnscp No 1 Lung,,,3 ,,Anesth,,,,,8.0,$1.00,,3,0,1,1,1,1,20060825
00529,CPT,Anes-Clos Chst; Mediastnscpy 1 Lung,,,3 ,,Anesth,,,,,11.0,$1.00,,3,0,1,1,1,1,20060825
00530,CPT,Anes-Perm Trns Pacemkr Insertion,,,3 ,,Anesth,,,,,4.0,$1.00,,3,0,1,1,1,1,20060825
00532,CPT,Anes-Access Cntrl Venous Circ,,,3 ,,Anesth,,,,,4.0,$1.00,,3,0,1,1,1,1,20060825
00534,CPT,Anes-Trns Insrt/Repl Pacing Defib,,,3 ,,Anesth,,,,,7.0,$1.00,,3,0,1,1,1,1,20060825
00537,CPT,Anes-Card Eps Incl Radiofreq Ablat,,,3 ,,Anesth,,,,,7.0,$1.00,,3,0,1,1,1,1,20060825
00539,CPT,Anes-Tracheobronchial Reconstruct,,,3 ,,Anesth,,,,,18.0,$1.00,,3,0,1,1,1,1,20060825
00540,CPT,Anes-Thoracot; Nos,,,3 ,,Anesth,,,,,12.0,$1.00,,3,0,1,1,1,1,20060825
00541,CPT,Anes-Thoracot; Util 1 Lung Vent,,,3 ,,Anesth,,,,,15.0,$1.00,,3,0,1,1,1,1,20060825
00542,CPT,Anes-Thoracot; Decortication,,,3 ,,Anesth,,,,,15.0,$1.00,,3,0,1,1,1,1,20060825
00546,CPT,Anes-Thoracot Lungs;Thoracoplasty,,,3 ,,Anesth,,,,,15.0,$1.00,,3,0,1,1,1,1,20060825
00548,CPT,Anes-Thoracot Lungs;Intrathor Trach,,,3 ,,Anesth,,,,,17.0,$1.00,,3,0,1,1,1,1,20060825
00550,CPT,Anesthesia For Sternal Debridement,,,3 ,,Anesth,,,,,10.0,$1.00,,3,0,1,1,1,1,20060825
00560,CPT,Anes-Hrt Pericard Sac; W/O Oxygntr,,,3 ,,Anesth,,,,,15.0,$1.00,,3,0,1,1,1,1,20060825
00561,CPT,"Anesth, heart surg < age 1",,,3 ,,Anesth,,,,,25.0,$1.00,,3,0,0,1,1,1,20060825
00562,CPT,Anes-Hrt Pericard Sac; W/Oxygntr,,,3 ,,Anesth,,,,,20.0,$1.00,,3,0,1,1,1,1,20060825
00563,CPT,Anes-Hrt Pericard Sac;Oxygntr&Arrst,,,3 ,,Anesth,,,,,25.0,$1.00,,3,0,1,1,1,1,20060825
00566,CPT,Anes-Direct Cabg W/O Pump Oxygenatr,,,3 ,,Anesth,,,,,25.0,$1.00,,3,0,1,1,1,1,20060825
00580,CPT,Anes-Hrt Tplnt/Hrt/Lung Tplnt,,,3 ,,Anesth,,,,,20.0,$1.00,,3,0,1,1,1,1,20060825
00600,CPT,Anesthesia Proc C-Spine&Cord; Nos,,,3 ,,Anesth,,,,,10.0,$1.00,,3,0,1,1,1,1,20060825
00604,CPT,Anes-Cerv Spine&Cord; Pt Sit Pstn,,,3 ,,Anesth,,,,,13.0,$1.00,,3,0,1,1,1,1,20060825
00620,CPT,Anesthesia Proc T-Spine&Cord; Nos,,,3 ,,Anesth,,,,,10.0,$1.00,,3,0,1,1,1,1,20060825
00622,CPT,Anes-Thoracic;Thoracolum Sympathect,,,3 ,,Anesth,,,,,13.0,$1.00,,3,0,1,1,1,1,20060825
00630,CPT,Anesthesia Proc Lumbar Region; Nos,,,3 ,,Anesth,,,,,8.0,$1.00,,3,0,1,1,1,1,20060825
00632,CPT,Anes-Proc Lumb Rgn; Lumb Sympathect,,,3 ,,Anesth,,,,,7.0,$1.00,,3,0,1,1,1,1,20060825
00634,CPT,Anes-Lumb Rgn; Chemonucleolysis,,,3 ,,Anesth,,,,,10.0,$1.00,,3,0,1,1,1,1,20060825
00635,CPT,Anes-Lumb Rgn; Dx/Tx Lumb Punct,,,3 ,,Anesth,,,,,4.0,$1.00,,3,0,1,1,1,1,20060825
00640,CPT,Anes-Manip Spn/Clos Proc Spn,,,3 ,,Anesth,,,,,3.0,$1.00,,3,0,1,1,1,1,20060825
00670,CPT,Anes-Exten Spine & Spinal Cord,,,3 ,,Anesth,,,,,13.0,$1.00,,3,0,1,1,1,1,20060825
00700,CPT,Anes-Proc Upper Ant Abd Wall; Nos,,,3 ,,Anesth,,,,,4.0,$1.00,,3,0,1,1,1,1,20060825
00702,CPT,Anes-Up Ant Abd Wall; Perq Livr Bx,,,3 ,,Anesth,,,,,4.0,$1.00,,3,0,1,1,1,1,20060825
00730,CPT,Anes-Proc Upper Posterior Abd Wall,,,3 ,,Anesth,,,,,5.0,$1.00,,3,0,1,1,1,1,20060825
00740,CPT,Anes-Ugi Endoscopy-Intro Prox Duod,,,3 ,,Anesth,,,,,5.0,$1.00,,3,0,1,1,1,1,20060825
00750,CPT,Anes-Hernia Repairs Upper Abd; Nos,,,3 ,,Anesth,,,,,4.0,$1.00,,3,0,1,1,1,1,20060825
00752,CPT,Anes-Hernia Repr Up Abd; &/Dehis,,,3 ,,Anesth,,,,,6.0,$1.00,,3,0,1,1,1,1,20060825
00754,CPT,Anes-Hern Repr Up Abd; Omphalocele,,,3 ,,Anesth,,,,,7.0,$1.00,,3,0,1,1,1,1,20060825
00756,CPT,Anes-Hernia Repr Up Abd;Transabd,,,3 ,,Anesth,,,,,7.0,$1.00,,3,0,1,1,1,1,20060825
00770,CPT,Anes-On Major Abd Blood Vessels,,,3 ,,Anesth,,,,,15.0,$1.00,,3,0,1,1,1,1,20060825
00790,CPT,Anes-Intraper Up Abd W/Lap;Nos,,,3 ,,Anesth,,,,,7.0,$1.00,,3,0,1,1,1,1,20060825
00792,CPT,Anes-Intraper Up Abd W/Lap;Hepatec,,,3 ,,Anesth,,,,,13.0,$1.00,,3,0,1,1,1,1,20060825
00794,CPT,Anes-Intraper Up W/Lap;Pancreatect,,,3 ,,Anesth,,,,,8.0,$1.00,,3,0,1,1,1,1,20060825
00796,CPT,Anes-Intraper Up W/Lap;Liver Tplnt,,,3 ,,Anesth,,,,,30.0,$1.00,,3,0,1,1,1,1,20060825
00797,CPT,Anes-Intraper W/Lap; Gastr Restirct,,,3 ,,Anesth,,,,,8.0,$1.00,,3,0,1,1,1,1,20060825
00800,CPT,Anes-Proc Lower Ant Abd Wall; Nos,,,3 ,,Anesth,,,,,4.0,$1.00,,3,0,1,1,1,1,20060825
00802,CPT,Anes-Lw Ant Abd Wall; Panniculect,,,3 ,,Anesth,,,,,5.0,$1.00,,3,0,1,1,1,1,20060825
00810,CPT,Anes-Low Intest Endo-Dist To Duod,,,3 ,,Anesth,,,,,5.0,$1.00,,3,0,1,1,1,1,20060825
00820,CPT,Anes-Proc Lower Posterior Abd Wall,,,3 ,,Anesth,,,,,5.0,$1.00,,3,0,1,1,1,1,20060825
00830,CPT,Anes-Hernia Repairs Lower Abd; Nos,,,3 ,,Anesth,,,,,4.0,$1.00,,3,0,1,1,1,1,20060825
00832,CPT,Anes-Hern Rep ; Ventral&Inci Hern S,,,3 ,,Anesth,,,,,6.0,$1.00,,3,0,1,1,1,1,20060825
00834,CPT,Anes-Hern Repr Nos Under 1 Yr Age,,,3 ,,Anesth,,,,,5.0,$1.00,,3,0,1,1,1,1,20060825
00836,CPT,Anes-Hern Nos<37Wk Brth &<50Wk Surg,,,3 ,,Anesth,,,,,6.0,$1.00,,3,0,1,1,1,1,20060825
00840,CPT,Anes-Intraper W/Laparscpy; Nos,,,3 ,,Anesth,,,,,6.0,$1.00,,3,0,1,1,1,1,20060825
00842,CPT,Anes-Intraper W/Laparscpy; Amnio,,,3 ,,Anesth,,,,,4.0,$1.00,,3,0,1,1,1,1,20060825
00844,CPT,Anes-Intraper;Abd-Perinl Resection,,,3 ,,Anesth,,,,,7.0,$1.00,,3,0,1,1,1,1,20060825
00846,CPT,Anes-Intraper Low W/Lap;Radl Hyst,,,3 ,,Anesth,,,,,8.0,$1.00,,3,0,1,1,1,1,20060825
00848,CPT,Anes-Intraper W/Lap;Pelv Exentratn,,,3 ,,Anesth,,,,,8.0,$1.00,,3,0,1,1,1,1,20060825
00851,CPT,Anes-Intraper W/Lap; Tubal Lig,,,3 ,,Anesth,,,,,6.0,$1.00,,3,0,1,1,1,1,20060825
00860,CPT,Anes-Xtraper W/Urin Tract; Nos,,,3 ,,Anesth,,,,,6.0,$1.00,,3,0,1,1,1,1,20060825
00862,CPT,Anes-Xtraper;Up 1/3 Ureter/Nephrect,,,3 ,,Anesth,,,,,7.0,$1.00,,3,0,1,1,1,1,20060825
00864,CPT,Anes-Xtraper Low Abd;Tot Cystect,,,3 ,,Anesth,,,,,8.0,$1.00,,3,0,1,1,1,1,20060825
00865,CPT,Anes-Xtraper Low;Radl Prostatect,,,3 ,,Anesth,,,,,7.0,$1.00,,3,0,1,1,1,1,20060825
00866,CPT,Anes-Xtraper Low Abd;Adrenalectomy,,,3 ,,Anesth,,,,,10.0,$1.00,,3,0,1,1,1,1,20060825
00868,CPT,Anes-Xtraper Low Abd;Renal Trsplnt,,,3 ,,Anesth,,,,,10.0,$1.00,,3,0,1,1,1,1,20060825
00870,CPT,Anes-Xtraper Low Abd;Cystolithtomy,,,3 ,,Anesth,,,,,5.0,$1.00,,3,0,1,1,1,1,20060825
00872,CPT,Anes-Lith Etracorp;W/Water Bath,,,3 ,,Anesth,,,,,7.0,$1.00,,3,0,1,1,1,1,20060825
00873,CPT,Anes-Lith Xtracorp;W/O Water Bath,,,3 ,,Anesth,,,,,5.0,$1.00,,3,0,1,1,1,1,20060825
00880,CPT,Anes-Proc Major Lower Abd Ves; Nos,,,3 ,,Anesth,,,,,15.0,$1.00,,3,0,1,1,1,1,20060825
00882,CPT,Anes-Maj Ves; Inf Vena Cava Lig,,,3 ,,Anesth,,,,,10.0,$1.00,,3,0,1,1,1,1,20060825
00902,CPT,Anesthesia For; Anorectal Procedure,,,3 ,,Anesth,,,,,5.0,$1.00,,3,0,1,1,1,1,20060825
00904,CPT,Anes-For; Radical Perineal Proc,,,3 ,,Anesth,,,,,7.0,$1.00,,3,0,1,1,1,1,20060825
00906,CPT,Anesthesia For; Vulvectomy,,,3 ,,Anesth,,,,,4.0,$1.00,,3,0,1,1,1,1,20060825
00908,CPT,Anes-For; Perineal Prostatectomy,,,3 ,,Anesth,,,,,6.0,$1.00,,3,0,1,1,1,1,20060825
00910,CPT,Anes-Transurethral; Nos,,,3 ,,Anesth,,,,,3.0,$1.00,,3,0,1,1,1,1,20060825
00912,CPT,Anes-Trnsureth;Resect Bladder Tumor,,,3 ,,Anesth,,,,,5.0,$1.00,,3,0,1,1,1,1,20060825
00914,CPT,Anes-Transurethral ; Turp,,,3 ,,Anesth,,,,,5.0,$1.00,,3,0,1,1,1,1,20060825
00916,CPT,Anes-Trnsureth;Post Resection Bleed,,,3 ,,Anesth,,,,,5.0,$1.00,,3,0,1,1,1,1,20060825
00918,CPT,Anes-Trnsureth;W/Manip&/Remv Calcu,,,3 ,,Anesth,,,,,5.0,$1.00,,3,0,1,1,1,1,20060825
00920,CPT,Anesthesia Proc Male Genitalia; Nos,,,3 ,,Anesth,,,,,3.0,$1.00,,3,0,1,1,1,1,20060825
00921,CPT,Anes-Male Gnt; Vasect Unilat/Bilat,,,3 ,,Anesth,,,,,3.0,$1.00,,3,0,1,1,1,1,20060825
00922,CPT,Anes-Proc Male Gnt; Seminl Vesicles,,,3 ,,Anesth,,,,,6.0,$1.00,,3,0,1,1,1,1,20060825
00924,CPT,Anes-Male;Undescend Testis Uni/Bil,,,3 ,,Anesth,,,,,4.0,$1.00,,3,0,1,1,1,1,20060825
00926,CPT,Anes-Male Gnt; Radl Orchect Ing,,,3 ,,Anesth,,,,,4.0,$1.00,,3,0,1,1,1,1,20060825
00928,CPT,Anes-Male Gnt; Radl Orchect Abd,,,3 ,,Anesth,,,,,6.0,$1.00,,3,0,1,1,1,1,20060825
00930,CPT,Anes-Male Genit;Orchiopexy Uni/Bil,,,3 ,,Anesth,,,,,4.0,$1.00,,3,0,1,1,1,1,20060825
00932,CPT,Anes-Proc Male Gnt; Cmpl Amp Penis,,,3 ,,Anesth,,,,,4.0,$1.00,,3,0,1,1,1,1,20060825
00934,CPT,Anes-Male;Radl Amp Penis-Ing Lymph,,,3 ,,Anesth,,,,,6.0,$1.00,,3,0,1,1,1,1,20060825
00936,CPT,Anes Male;Radl Amp Penis-Ing&Iliac,,,3 ,,Anesth,,,,,8.0,$1.00,,3,0,1,1,1,1,20060825
00938,CPT,Anes-Male Genit;Insrt Penile Prosth,,,3 ,,Anesth,,,,,4.0,$1.00,,3,0,1,1,1,1,20060825
00940,CPT,Anes-Vag; Not Otherwise Specified,,,3 ,,Anesth,,,,,3.0,$1.00,,3,0,1,1,1,1,20060825
00942,CPT,Anes-Vag; Colpot Vaginect&Opn Ureth,,,3 ,,Anesth,,,,,4.0,$1.00,,3,0,1,1,1,1,20060825
00944,CPT,Anes-Vag; Vaginal Hysterectomy,,,3 ,,Anesth,,,,,6.0,$1.00,,3,0,1,1,1,1,20060825
00948,CPT,Anes-Vag; Cervical Cerclage,,,3 ,,Anesth,,,,,4.0,$1.00,,3,0,1,1,1,1,20060825
00950,CPT,Anes-Vag ; Culdoscopy,,,3 ,,Anesth,,,,,5.0,$1.00,,3,0,1,1,1,1,20060825
00952,CPT,Anes-Vag;Hysteroscopy&/Salpingraphy,,,3 ,,Anesth,,,,,4.0,$1.00,,3,0,1,1,1,1,20060825
01112,CPT,Anes-Bn Marrow Asp&/Bx Iliac Crest,,,3 ,,Anesth,,,,,5.0,$1.00,,3,0,1,1,1,1,20060825
01120,CPT,Anesthesia Procedures Bony Pelvis,,,3 ,,Anesth,,,,,6.0,$1.00,,3,0,1,1,1,1,20060825
01130,CPT,Anes-Body Cast Application/Rev,,,3 ,,Anesth,,,,,3.0,$1.00,,3,0,1,1,1,1,20060825
01140,CPT,Anesthesia Interpelviabd Amputation,,,3 ,,Anesth,,,,,15.0,$1.00,,3,0,1,1,1,1,20060825
01150,CPT,Anes-Radl Tumor Pelv No Hndqtr Amp,,,3 ,,Anesth,,,,,10.0,$1.00,,3,0,1,1,1,1,20060825
01160,CPT,Anes-Clos Proc Invlv Pubis/Si Jnt,,,3 ,,Anesth,,,,,4.0,$1.00,,3,0,1,1,1,1,20060825
01170,CPT,Anes-Open Proc Invlv Pubis/Si Jnt,,,3 ,,Anesth,,,,,8.0,$1.00,,3,0,1,1,1,1,20060825
01173,CPT,Anes-Opn Rep Fx Pelv/Column Acetab,,,3 ,,Anesth,,,,,12.0,$1.00,,3,0,1,1,1,1,20060825
01180,CPT,Anes-Obtur Neurectomy; Extrapelvic,,,3 ,,Anesth,,,,,3.0,$1.00,,3,0,1,1,1,1,20060825
01190,CPT,Anes-Obtur Neurectomy; Intrapelvic,,,3 ,,Anesth,,,,,4.0,$1.00,,3,0,1,1,1,1,20060825
01200,CPT,Anes-All Clos Proc Invlv Hip Joint,,,3 ,,Anesth,,,,,4.0,$1.00,,3,0,1,1,1,1,20060825
01202,CPT,Anes-Arthroscopic Proc Hip Joint,,,3 ,,Anesth,,,,,4.0,$1.00,,3,0,1,1,1,1,20060825
01210,CPT,Anes-Open Proc Invlv Hip Joint; Nos,,,3 ,,Anesth,,,,,6.0,$1.00,,3,0,1,1,1,1,20060825
01212,CPT,Anes-Open Proc Invlv Hip;Disartic,,,3 ,,Anesth,,,,,10.0,$1.00,,3,0,1,1,1,1,20060825
01214,CPT,Anes-Opn Hip Jnt; Tot Hip Arthplsty,,,3 ,,Anesth,,,,,8.0,$1.00,,3,0,1,1,1,1,20060825
01215,CPT,Anes-Open Invlv Hip;Total Hip Rev,,,3 ,,Anesth,,,,,10.0,$1.00,,3,0,1,1,1,1,20060825
01220,CPT,Anes-All Clos Proc Invlv Up 2/3 Fem,,,3 ,,Anesth,,,,,4.0,$1.00,,3,0,1,1,1,1,20060825
01230,CPT,Anes-Open Invlv Upper 2/3 Femur;Nos,,,3 ,,Anesth,,,,,6.0,$1.00,,3,0,1,1,1,1,20060825
01232,CPT,Anes-Open Invlv Upper 2/3 Femur;Amp,,,3 ,,Anesth,,,,,5.0,$1.00,,3,0,1,1,1,1,20060825
01234,CPT,Anes-Open Upper 2/3 Femur;Radl Res,,,3 ,,Anesth,,,,,8.0,$1.00,,3,0,1,1,1,1,20060825
01250,CPT,Anes-All Nerv Musc Tend Fasc Up Leg,,,3 ,,Anesth,,,,,4.0,$1.00,,3,0,1,1,1,1,20060825
01260,CPT,Anes-Invlv Vns Upper Leg Incl Expl,,,3 ,,Anesth,,,,,3.0,$1.00,,3,0,1,1,1,1,20060825
01270,CPT,Anes-Invlv Artery Up Leg W/Gft;Nos,,,3 ,,Anesth,,,,,8.0,$1.00,,3,0,1,1,1,1,20060825
01272,CPT,Anes-Invlv Art Up Leg W/Gft;Fem Lig,,,3 ,,Anesth,,,,,4.0,$1.00,,3,0,1,1,1,1,20060825
01274,CPT,Anes-Invlv Art Up Leg W/Gft;Fem Emb,,,3 ,,Anesth,,,,,6.0,$1.00,,3,0,1,1,1,1,20060825
01320,CPT,Anes-Nerv Musc Fasc Burs Knee&/Pop,,,3 ,,Anesth,,,,,4.0,$1.00,,3,0,1,1,1,1,20060825
01340,CPT,Anes-All Clos Proc Lower 1/3 Femur,,,3 ,,Anesth,,,,,4.0,$1.00,,3,0,1,1,1,1,20060825
01360,CPT,Anes-All Open Proc Lower 1/3 Femur,,,3 ,,Anesth,,,,,5.0,$1.00,,3,0,1,1,1,1,20060825
01380,CPT,Anes-All Closed Proc Knee Joint,,,3 ,,Anesth,,,,,3.0,$1.00,,3,0,1,1,1,1,20060825
01382,CPT,Anes-Dx Arthroscopic Proc Knee Jnt,,,3 ,,Anesth,,,,,3.0,$1.00,,3,0,1,1,1,1,20060825
01390,CPT,Anes-All Clos Up Ends Tib Fib&/Pat,,,3 ,,Anesth,,,,,3.0,$1.00,,3,0,1,1,1,1,20060825
01392,CPT,Anes-All Open Up Ends Tib Fib&/Pat,,,3 ,,Anesth,,,,,4.0,$1.00,,3,0,1,1,1,1,20060825
01400,CPT,Anes-Open/Scope Proc Knee Jnt; Nos,,,3 ,,Anesth,,,,,4.0,$1.00,,3,0,1,1,1,1,20060825
01402,CPT,Anes-Open/Scope Knee Jnt; Tot Plsty,,,3 ,,Anesth,,,,,7.0,$1.00,,3,0,1,1,1,1,20060825
01404,CPT,Anes-Open/Scope Knee Jnt; Disartic,,,3 ,,Anesth,,,,,5.0,$1.00,,3,0,1,1,1,1,20060825
01420,CPT,Anes-All Cast Applic/Repr W/Knee,,,3 ,,Anesth,,,,,3.0,$1.00,,3,0,1,1,1,1,20060825
01430,CPT,Anes-Proc Veins Knee&Pop Area; Nos,,,3 ,,Anesth,,,,,3.0,$1.00,,3,0,1,1,1,1,20060825
01432,CPT,Anes-Vns Knee&Pop Area; Av Fist,,,3 ,,Anesth,,,,,6.0,$1.00,,3,0,1,1,1,1,20060825
01440,CPT,Anes-Proc Art Knee&Pop Area; Nos,,,3 ,,Anesth,,,,,8.0,$1.00,,3,0,1,1,1,1,20060825
01442,CPT,Anes-Art Knee;Pop Thrombendartect,,,3 ,,Anesth,,,,,8.0,$1.00,,3,0,1,1,1,1,20060825
01444,CPT,Anes-Art Knee;Pop Exc Occl/Aneur,,,3 ,,Anesth,,,,,8.0,$1.00,,3,0,1,1,1,1,20060825
01462,CPT,Anes-All Clos Proc Low Leg Ank&Foot,,,3 ,,Anesth,,,,,3.0,$1.00,,3,0,1,1,1,1,20060825
01464,CPT,Anes-Arthroscopic Proc Ank &Or Foot,,,3 ,,Anesth,,,,,3.0,$1.00,,3,0,1,1,1,1,20060825
01470,CPT,Anes-Nerv Musc Fasc Leg Ank&Ft;Nos,,,3 ,,Anesth,,,,,3.0,$1.00,,3,0,1,1,1,1,20060825
01472,CPT,Anes-Nerv Musc Leg&Ft;Repr Achilles,,,3 ,,Anesth,,,,,5.0,$1.00,,3,0,1,1,1,1,20060825
01474,CPT,Anes-Nrv Musc Leg&Ft;Gastroc Recess,,,3 ,,Anesth,,,,,5.0,$1.00,,3,0,1,1,1,1,20060825
01480,CPT,Anes-Open Bones Low Leg Ank&Ft;Nos,,,3 ,,Anesth,,,,,3.0,$1.00,,3,0,1,1,1,1,20060825
01482,CPT,Anes-Open Bones Lw Leg;Radl Res/Amp,,,3 ,,Anesth,,,,,4.0,$1.00,,3,0,1,1,1,1,20060825
01484,CPT,Anes-Open Bns Lw Leg;Osteot Tib Fib,,,3 ,,Anesth,,,,,4.0,$1.00,,3,0,1,1,1,1,20060825
01486,CPT,Anes-Open Bones Lw Leg;Tot Ank Repl,,,3 ,,Anesth,,,,,7.0,$1.00,,3,0,1,1,1,1,20060825
01490,CPT,Anes-Lw Leg Cast Applic Removl/Repr,,,3 ,,Anesth,,,,,3.0,$1.00,,3,0,1,1,1,1,20060825
01500,CPT,Anes-Art Lw Leg W/Byps Gft; Nos,,,3 ,,Anesth,,,,,8.0,$1.00,,3,0,1,1,1,1,20060825
01502,CPT,Anes-Art Low Leg W/Gft;Embolectomy,,,3 ,,Anesth,,,,,6.0,$1.00,,3,0,1,1,1,1,20060825
01520,CPT,Anes-Proc Veins Lower Leg; Nos,,,3 ,,Anesth,,,,,3.0,$1.00,,3,0,1,1,1,1,20060825
01522,CPT,Anes-Veins Lw Leg;Thrombect Direct,,,3 ,,Anesth,,,,,5.0,$1.00,,3,0,1,1,1,1,20060825
01610,CPT,Anes-Nerv Musc Tend Fasc Burs Shldr,,,3 ,,Anesth,,,,,5.0,$1.00,,3,0,1,1,1,1,20060825
01620,CPT,Anes-All Clos Hum Sc Ac&Shldr Jnt,,,3 ,,Anesth,,,,,4.0,$1.00,,3,0,1,1,1,1,20060825
01622,CPT,Anes-Dx Arthroscopic Proc Shldr Jnt,,,3 ,,Anesth,,,,,4.0,$1.00,,3,0,1,1,1,1,20060825
01630,CPT,Anes-Open/Scope Hum Sc Ac&Shldr;Nos,,,3 ,,Anesth,,,,,5.0,$1.00,,3,0,1,1,1,1,20060825
01632,CPT,Anes-Opn/Scope Hum Sc&Shldr;Rad Res,,,3 ,,Anesth,,,,,6.0,$1.00,,3,0,1,1,1,1,20060825
01634,CPT,Anes-Opn/Scope Hum Sc&Shldr;Disartc,,,3 ,,Anesth,,,,,9.0,$1.00,,3,0,1,1,1,1,20060825
01636,CPT,Anes-Opn/Scope Hum Sc Ac&Shldr; Amp,,,3 ,,Anesth,,,,,15.0,$1.00,,3,0,1,1,1,1,20060825
01638,CPT,Anes-Open/Scope Hum Ac&Shldr; Repl,,,3 ,,Anesth,,,,,10.0,$1.00,,3,0,1,1,1,1,20060825
01650,CPT,Anes-Proc Art Shoulder&Axilla; Nos,,,3 ,,Anesth,,,,,6.0,$1.00,,3,0,1,1,1,1,20060825
01652,CPT,Anes-Art Shldr&Ax; Ax-Brach Aneur,,,3 ,,Anesth,,,,,10.0,$1.00,,3,0,1,1,1,1,20060825
01654,CPT,Anes-Proc Art Shldr&Ax; Byps Graft,,,3 ,,Anesth,,,,,8.0,$1.00,,3,0,1,1,1,1,20060825
01656,CPT,Anes-Art Shldr&Ax; Ax-Fem Byps Gft,,,3 ,,Anesth,,,,,10.0,$1.00,,3,0,1,1,1,1,20060825
01670,CPT,Anes-On Veins Of Shoulder&Axilla,,,3 ,,Anesth,,,,,4.0,$1.00,,3,0,1,1,1,1,20060825
01680,CPT,Anes-Shldr Cast Applc/Remv/Repr;Nos,,,3 ,,Anesth,,,,,3.0,$1.00,,3,0,1,1,1,1,20060825
01682,CPT,Anes-Shldr Cast Applic/Remv;Spica,,,3 ,,Anesth,,,,,4.0,$1.00,,3,0,1,1,1,1,20060825
01710,CPT,Anes-Nrv Musc Burs Up Arm&Elb;Nos,,,3 ,,Anesth,,,,,3.0,$1.00,,3,0,1,1,1,1,20060825
01712,CPT,Anes-Nrv Musc Burs Up Arm&Elb;Tenot,,,3 ,,Anesth,,,,,5.0,$1.00,,3,0,1,1,1,1,20060825
01714,CPT,Anes-Nrv Musc Up Arm&Elb;Tenoplasty,,,3 ,,Anesth,,,,,5.0,$1.00,,3,0,1,1,1,1,20060825
01716,CPT,Anes-Nrv Musc Up Arm&Elb;Tenodesis,,,3 ,,Anesth,,,,,5.0,$1.00,,3,0,1,1,1,1,20060825
01730,CPT,Anes-All Closed Proc Humerus&Elbow,,,3 ,,Anesth,,,,,3.0,$1.00,,3,0,1,1,1,1,20060825
01732,CPT,Anes-Dx Arthroscopic Proc Elb Joint,,,3 ,,Anesth,,,,,3.0,$1.00,,3,0,1,1,1,1,20060825
01740,CPT,Anes-Open/Surg Scope Proc Elb; Nos,,,3 ,,Anesth,,,,,4.0,$1.00,,3,0,1,1,1,1,20060825
01742,CPT,Anes-Open/Scope Proc Elb;Osteot Hum,,,3 ,,Anesth,,,,,5.0,$1.00,,3,0,1,1,1,1,20060825
01744,CPT,Anes-Open/Scope Elb;Rep Non/Mal Hum,,,3 ,,Anesth,,,,,5.0,$1.00,,3,0,1,1,1,1,20060825
01756,CPT,Anes-Open/Scope Proc Elb; Radl Proc,,,3 ,,Anesth,,,,,6.0,$1.00,,3,0,1,1,1,1,20060825
01758,CPT,Anes-Opn/Scope Elb;Exc Cyst/Tum Hum,,,3 ,,Anesth,,,,,5.0,$1.00,,3,0,1,1,1,1,20060825
01760,CPT,Anes-Open/Scope Elb; Tot Elb Repl,,,3 ,,Anesth,,,,,7.0,$1.00,,3,0,1,1,1,1,20060825
01770,CPT,Anes-Proc Art Upper Arm&Elbow; Nos,,,3 ,,Anesth,,,,,6.0,$1.00,,3,0,1,1,1,1,20060825
01772,CPT,Anes-Proc Art Upper Arm&Elb; Embo,,,3 ,,Anesth,,,,,6.0,$1.00,,3,0,1,1,1,1,20060825
01780,CPT,Anes-Proc Veins Upper Arm&Elb; Nos,,,3 ,,Anesth,,,,,3.0,$1.00,,3,0,1,1,1,1,20060825
01782,CPT,Anes-Proc Vns Up Arm&Elb; Phleborr,,,3 ,,Anesth,,,,,4.0,$1.00,,3,0,1,1,1,1,20060825
01810,CPT,Anes-All Nerv Musc Forarm Wrst&Hnd,,,3 ,,Anesth,,,,,3.0,$1.00,,3,0,1,1,1,1,20060825
01820,CPT,Anes-Clos Radius Ulna Wrst/Hnd Bone,,,3 ,,Anesth,,,,,3.0,$1.00,,3,0,1,1,1,1,20060825
01829,CPT,Anes-Dx Arthroscopic Proc Wrist,,,3 ,,Anesth,,,,,3.0,$1.00,,3,0,1,1,1,1,20060825
01830,CPT,Anes-Opn/Scope/Endo Wrst/Hnd; Nos,,,3 ,,Anesth,,,,,3.0,$1.00,,3,0,1,1,1,1,20060825
01832,CPT,Anes-Open/Scope/Endo Wrst/Hnd; Tot,,,3 ,,Anesth,,,,,6.0,$1.00,,3,0,1,1,1,1,20060825
01840,CPT,Anes-Proc Art Forarm Wrst&Hand; Nos,,,3 ,,Anesth,,,,,6.0,$1.00,,3,0,1,1,1,1,20060825
01842,CPT,Anes-Proc Art Forarm Wrst&Hnd; Embo,,,3 ,,Anesth,,,,,6.0,$1.00,,3,0,1,1,1,1,20060825
01844,CPT,Anes-Vasc Shnt/Shnt Rev Any Type,,,3 ,,Anesth,,,,,6.0,$1.00,,3,0,1,1,1,1,20060825
01850,CPT,Anes-Proc Vns Forarm Wrst&Hand; Nos,,,3 ,,Anesth,,,,,3.0,$1.00,,3,0,1,1,1,1,20060825
01852,CPT,Anes-Vns Forarm Wrst&Hnd; Phleborr,,,3 ,,Anesth,,,,,4.0,$1.00,,3,0,1,1,1,1,20060825
01860,CPT,Anes-Forarm/Hand Cast Applic/Remv,,,3 ,,Anesth,,,,,3.0,$1.00,,3,0,1,1,1,1,20060825
01905,CPT,Anes-Myelgrph Diskgrph Vertplsty,,,3 ,,Anesth,,,,,5.0,$1.00,,3,0,1,1,1,1,20060825
01916,CPT,Anes-Diagnostic Artrgrph/Venography,,,3 ,,Anesth,,,,,5.0,$1.00,,3,0,1,1,1,1,20060825
01920,CPT,Anes-Card Cath Cor Angio&Ventrcgrph,,,3 ,,Anesth,,,,,7.0,$1.00,,3,0,1,1,1,1,20060825
01922,CPT,Anes-Non-Invasive Imaging/Rad Tx,,,3 ,,Anesth,,,,,7.0,$1.00,,3,0,1,1,1,1,20060825
01924,CPT,Anes-Tx Intrvn Rad Art Sys; Nos,,,3 ,,Anesth,,,,,5.0,$1.00,,3,0,1,1,1,1,20060825
01925,CPT,Anes-Tx Intrvn Rad Art; Carotid/Cor,,,3 ,,Anesth,,,,,7.0,$1.00,,3,0,1,1,1,1,20060825
01926,CPT,Anes-Tx Rad Art;Intrcran -Card/Aort,,,3 ,,Anesth,,,,,8.0,$1.00,,3,0,1,1,1,1,20060825
01930,CPT,Anes-Tx Intrvn Rad Venus/Lymph; Nos,,,3 ,,Anesth,,,,,5.0,$1.00,,3,0,1,1,1,1,20060825
01931,CPT,Anes-Tx Rad Venus; Intrahep/Portal,,,3 ,,Anesth,,,,,7.0,$1.00,,3,0,1,1,1,1,20060825
01932,CPT,Anes-Tx Rad Venus; Intrathr/Jugular,,,3 ,,Anesth,,,,,6.0,$1.00,,3,0,1,1,1,1,20060825
01933,CPT,Anes-Tx Rad Venus/Lymph; Intracran,,,3 ,,Anesth,,,,,7.0,$1.00,,3,0,1,1,1,1,20060825
01951,CPT,Anes-2&3 Deg Brn Exc/Debrid; < 4%,,,3 ,,Anesth,,,,,3.0,$1.00,,3,0,1,1,1,1,20060825
01952,CPT,Anes-2&3 Deg Brn Exc/Debrid; 4-9%,,,3 ,,Anesth,,,,,5.0,$1.00,,3,0,1,1,1,1,20060825
01953,CPT,Anes-2-3 Deg Exc/Debrid;Ea Add 9%,,,3 ,,Anesth,,,,,1.0,$1.00,,3,0,1,1,1,1,20060825
01958,CPT,Anes-External Cephalic Version Proc,,,3 ,,Anesth,,,,,5.0,$1.00,,3,0,1,1,1,1,20060825
01960,CPT,Anesthesia Vaginal Delivery Only,,,3 ,,Anesth,,,,,5.0,$1.00,,3,0,1,1,1,1,20060825
01961,CPT,Anesthesia Cesarean Delivery Only,,,3 ,,Anesth,,,,,7.0,$1.00,,3,0,1,1,1,1,20060825
01962,CPT,Anes-Urgent Hyst Follow Deliv,,,3 ,,Anesth,,,,,8.0,$1.00,,3,0,1,1,1,1,20060825
01963,CPT,Anes-C/S Hyst W/O Labr Analg/Anes,,,3 ,,Anesth,,,,,8.0,$1.00,,3,0,1,1,1,1,20060825
01965,CPT,"Anesth, inc/missed ab proc",,,3 ,,Anesth,,,,,4.0,$1.00,,3,0,1,1,1,1,20060825
01966,CPT,"Anesth, induced ab procedure",,,3 ,,Anesth,,,,,4.0,$1.00,,3,0,1,1,1,1,20060825
01967,CPT,Neurax Labr Anlg/Anes-Plan Vag Del,,,3 ,,Anesth,,,,,5.0,$1.00,,3,0,1,1,1,1,20060825
01968,CPT,Anes-Cd Flw Neurax Labr Analg/Anes,,,3 ,,Anesth,,,,,2.0,$1.00,,3,0,1,1,1,1,20060825
01969,CPT,Anes-C/S Hyst Flw Neurax Labr Analg,,,3 ,,Anesth,,,,,5.0,$1.00,,3,0,1,1,1,1,20060825
01990,CPT,Physiolog Supp-Harv Org-Brain Dead,,,3 ,,Anesth,,,,,7.0,$1.00,,3,0,1,1,1,1,20060825
01991,CPT,Anes-Dx/Tx Nrv Blks&Inj; Not Prone,,,3 ,,Anesth,,,,,3.0,$1.00,,3,0,1,1,1,1,20060825
01992,CPT,Anes-Dx/Tx Nrv Blks&Inj; Prone Pstn,,,3 ,,Anesth,,,,,5.0,$1.00,,3,0,1,1,1,1,20060825
01995,CPT,Rgn Iv Admn Loc Anes Agt/Oth Med,,,3 ,,Anesth,,,,,5.0,$1.00,,3,0,1,1,1,1,20060825
01996,CPT,Daily Hos Epidurl/Subarach Cont Rx,,,3 ,,Anesth,,,,,3.0,$1.00,,3,0,1,1,1,1,20060825
01999,CPT,Unlisted Anesthsia Procedure,,,3 ,,Anesth,,,,,5.0,$1.00,,3,0,1,1,1,1,20060825
10021,CPT,Fna w/o image,,,21 ,,RBRVS,1.27 ,0.54 ,2.16 ,,,,,1,0,1,1,1,1,20060825
10022,CPT,Fna w/image,,,21 ,,RBRVS,1.27 ,0.42 ,2.55 ,,,,,1,0,1,1,1,1,20060825
10040,CPT,Acne surgery,,,21 ,,RBRVS,1.18 ,0.79 ,1.01 ,,,,,1,0,1,1,1,1,20060825
10060,CPT,Drainage of skin abscess,,,21 ,,RBRVS,1.17 ,0.93 ,1.21 ,,,,,1,0,1,1,1,1,20060825
10061,CPT,Drainage of skin abscess,,,21 ,,RBRVS,2.40 ,1.50 ,1.83 ,,,,,1,0,1,1,1,1,20060825
10080,CPT,Drainage of pilonidal cyst,,,21 ,,RBRVS,1.17 ,1.11 ,3.11 ,,,,,1,0,1,1,1,1,20060825
10081,CPT,Drainage of pilonidal cyst,,,21 ,,RBRVS,2.45 ,1.50 ,4.08 ,,,,,1,0,1,1,1,1,20060825
10120,CPT,Remove foreign body,,,21 ,,RBRVS,1.22 ,0.97 ,2.18 ,,,,,1,0,1,1,1,1,20060825
10121,CPT,Remove foreign body,,,21 ,,RBRVS,2.69 ,1.79 ,3.52 ,,,,,1,0,1,1,1,1,20060825
10140,CPT,Drainage of hematoma/fluid,,,21 ,,RBRVS,1.53 ,1.29 ,1.78 ,,,,,1,0,1,1,1,1,20060825
10160,CPT,Puncture drainage of lesion,,,21 ,,RBRVS,1.20 ,1.08 ,1.60 ,,,,,1,0,1,1,1,1,20060825
10180,CPT,"Complex drainage, wound",,,21 ,,RBRVS,2.25 ,1.99 ,2.99 ,,,,,1,0,1,1,1,1,20060825
11000,CPT,Debride infected skin,,,21 ,,RBRVS,0.60 ,0.22 ,0.58 ,,,,,1,0,1,1,1,1,20060825
11001,CPT,Debride infected skin add-on,,,21 ,,RBRVS,0.30 ,0.11 ,0.23 ,,,,,1,0,1,1,1,1,20060825
11004,CPT,Debride genitalia & perineum,,,21 ,,RBRVS,10.31 ,3.91 ,3.91 ,,,,,1,0,0,1,1,1,20060825
11005,CPT,Debride abdom wall,,,21 ,,RBRVS,13.75 ,5.58 ,5.58 ,,,,,1,0,0,1,1,1,20060825
11006,CPT,Debride genit/per/abdom wall,,,21 ,,RBRVS,12.61 ,4.86 ,4.86 ,,,,,1,0,0,1,1,1,20060825
11008,CPT,Remove mesh from abd wall,,,21 ,,RBRVS,5.00 ,2.03 ,2.03 ,,,,,1,0,0,1,1,1,20060825
11010,CPT,"Debride skin, fx",,,21 ,,RBRVS,4.19 ,2.63 ,6.89 ,,,,,1,0,1,1,1,1,20060825
11011,CPT,"Debride skin/muscle, fx",,,21 ,,RBRVS,4.94 ,2.35 ,8.18 ,,,,,1,0,1,1,1,1,20060825
11012,CPT,"Debride skin/muscle/bone, fx",,,21 ,,RBRVS,6.87 ,3.85 ,12.14 ,,,,,1,0,1,1,1,1,20060825
11040,CPT,"Debride skin, partial",,,21 ,,RBRVS,0.50 ,0.21 ,0.52 ,,,,,1,0,1,1,1,1,20060825
11041,CPT,"Debride skin, full",,,21 ,,RBRVS,0.82 ,0.33 ,0.66 ,,,,,1,0,1,1,1,1,20060825
11042,CPT,Debride skin/tissue,,,21 ,,RBRVS,1.12 ,0.44 ,0.97 ,,,,,1,0,1,1,1,1,20060825
11043,CPT,Debride tissue/muscle,,,21 ,,RBRVS,2.38 ,2.60 ,3.39 ,,,,,1,0,1,1,1,1,20060825
11044,CPT,Debride tissue/muscle/bone,,,21 ,,RBRVS,3.06 ,3.76 ,4.46 ,,,,,1,0,1,1,1,1,20060825
11055,CPT,Trim skin lesion,,,21 ,,RBRVS,0.43 ,0.17 ,0.56 ,,,,,1,0,1,1,1,1,20060825
11056,CPT,"Trim skin lesions, 2 to 4",,,21 ,,RBRVS,0.61 ,0.23 ,0.64 ,,,,,1,0,1,1,1,1,20060825
11057,CPT,"Trim skin lesions, over 4",,,21 ,,RBRVS,0.79 ,0.30 ,0.74 ,,,,,1,0,1,1,1,1,20060825
11100,CPT,Biopsy of skin lesion,,,21 ,,RBRVS,0.81 ,0.37 ,1.25 ,,,,,1,0,1,1,1,1,20060825
11101,CPT,"Biopsy, skin add-on",,,21 ,,RBRVS,0.41 ,0.19 ,0.33 ,,,,,1,0,1,1,1,1,20060825
11200,CPT,Removal of skin tags,,,21 ,,RBRVS,0.77 ,0.76 ,1.04 ,,,,,1,0,1,1,1,1,20060825
11201,CPT,Remove skin tags add-on,,,21 ,,RBRVS,0.29 ,0.12 ,0.16 ,,,,,1,0,1,1,1,1,20060825
11300,CPT,Shave skin lesion,,,21 ,,RBRVS,0.51 ,0.21 ,0.99 ,,,,,1,0,1,1,1,1,20060825
11301,CPT,Shave skin lesion,,,21 ,,RBRVS,0.85 ,0.38 ,1.11 ,,,,,1,0,1,1,1,1,20060825
11302,CPT,Shave skin lesion,,,21 ,,RBRVS,1.05 ,0.46 ,1.30 ,,,,,1,0,1,1,1,1,20060825
11303,CPT,Shave skin lesion,,,21 ,,RBRVS,1.24 ,0.52 ,1.58 ,,,,,1,0,1,1,1,1,20060825
11305,CPT,Shave skin lesion,,,21 ,,RBRVS,0.67 ,0.27 ,0.85 ,,,,,1,0,1,1,1,1,20060825
11306,CPT,Shave skin lesion,,,21 ,,RBRVS,0.99 ,0.42 ,1.10 ,,,,,1,0,1,1,1,1,20060825
11307,CPT,Shave skin lesion,,,21 ,,RBRVS,1.14 ,0.49 ,1.29 ,,,,,1,0,1,1,1,1,20060825
11308,CPT,Shave skin lesion,,,21 ,,RBRVS,1.41 ,0.59 ,1.45 ,,,,,1,0,1,1,1,1,20060825
11310,CPT,Shave skin lesion,,,21 ,,RBRVS,0.73 ,0.32 ,1.11 ,,,,,1,0,1,1,1,1,20060825
11311,CPT,Shave skin lesion,,,21 ,,RBRVS,1.05 ,0.49 ,1.23 ,,,,,1,0,1,1,1,1,20060825
11312,CPT,Shave skin lesion,,,21 ,,RBRVS,1.20 ,0.55 ,1.42 ,,,,,1,0,1,1,1,1,20060825
11313,CPT,Shave skin lesion,,,21 ,,RBRVS,1.62 ,0.72 ,1.81 ,,,,,1,0,1,1,1,1,20060825
11400,CPT,Exc tr-ext b9+marg 0.5 < cm,,,21 ,,RBRVS,0.85 ,0.88 ,2.00 ,,,,,1,0,1,1,1,1,20060825
11401,CPT,Exc tr-ext b9+marg 0.6-1 cm,,,21 ,,RBRVS,1.23 ,1.02 ,2.06 ,,,,,1,0,1,1,1,1,20060825
11402,CPT,Exc tr-ext b9+marg 1.1-2 cm,,,21 ,,RBRVS,1.51 ,1.08 ,2.23 ,,,,,1,0,1,1,1,1,20060825
11403,CPT,Exc tr-ext b9+marg 2.1-3 cm,,,21 ,,RBRVS,1.79 ,1.32 ,2.40 ,,,,,1,0,1,1,1,1,20060825
11404,CPT,Exc tr-ext b9+marg 3.1-4 cm,,,21 ,,RBRVS,2.06 ,1.40 ,2.71 ,,,,,1,0,1,1,1,1,20060825
11406,CPT,Exc tr-ext b9+marg > 4.0 cm,,,21 ,,RBRVS,2.76 ,1.65 ,3.07 ,,,,,1,0,1,1,1,1,20060825
11420,CPT,Exc h-f-nk-sp b9+marg 0.5 <,,,21 ,,RBRVS,0.98 ,0.93 ,1.77 ,,,,,1,0,1,1,1,1,20060825
11421,CPT,Exc h-f-nk-sp b9+marg 0.6-1,,,21 ,,RBRVS,1.42 ,1.11 ,2.07 ,,,,,1,0,1,1,1,1,20060825
11422,CPT,Exc h-f-nk-sp b9+marg 1.1-2,,,21 ,,RBRVS,1.63 ,1.33 ,2.26 ,,,,,1,0,1,1,1,1,20060825
11423,CPT,Exc h-f-nk-sp b9+marg 2.1-3,,,21 ,,RBRVS,2.01 ,1.45 ,2.59 ,,,,,1,0,1,1,1,1,20060825
11424,CPT,Exc h-f-nk-sp b9+marg 3.1-4,,,21 ,,RBRVS,2.43 ,1.60 ,2.81 ,,,,,1,0,1,1,1,1,20060825
11426,CPT,Exc h-f-nk-sp b9+marg > 4 cm,,,21 ,,RBRVS,3.77 ,2.11 ,3.49 ,,,,,1,0,1,1,1,1,20060825
11440,CPT,Exc face-mm b9+marg 0.5 < cm,,,21 ,,RBRVS,1.06 ,1.31 ,2.21 ,,,,,1,0,1,1,1,1,20060825
11441,CPT,Exc face-mm b9+marg 0.6-1 cm,,,21 ,,RBRVS,1.48 ,1.49 ,2.34 ,,,,,1,0,1,1,1,1,20060825
11442,CPT,Exc face-mm b9+marg 1.1-2 cm,,,21 ,,RBRVS,1.72 ,1.57 ,2.55 ,,,,,1,0,1,1,1,1,20060825
11443,CPT,Exc face-mm b9+marg 2.1-3 cm,,,21 ,,RBRVS,2.29 ,1.82 ,2.92 ,,,,,1,0,1,1,1,1,20060825
11444,CPT,Exc face-mm b9+marg 3.1-4 cm,,,21 ,,RBRVS,3.14 ,2.19 ,3.48 ,,,,,1,0,1,1,1,1,20060825
11446,CPT,Exc face-mm b9+marg > 4 cm,,,21 ,,RBRVS,4.48 ,2.78 ,4.05 ,,,,,1,0,1,1,1,1,20060825
11450,CPT,"Removal, sweat gland lesion",,,21 ,,RBRVS,2.73 ,2.03 ,5.04 ,,,,,1,0,1,1,1,1,20060825
11451,CPT,"Removal, sweat gland lesion",,,21 ,,RBRVS,3.94 ,2.55 ,6.62 ,,,,,1,0,1,1,1,1,20060825
11462,CPT,"Removal, sweat gland lesion",,,21 ,,RBRVS,2.51 ,2.02 ,5.12 ,,,,,1,0,1,1,1,1,20060825
11463,CPT,"Removal, sweat gland lesion",,,21 ,,RBRVS,3.94 ,2.69 ,6.84 ,,,,,1,0,1,1,1,1,20060825
11470,CPT,"Removal, sweat gland lesion",,,21 ,,RBRVS,3.25 ,2.27 ,5.07 ,,,,,1,0,1,1,1,1,20060825
11471,CPT,"Removal, sweat gland lesion",,,21 ,,RBRVS,4.40 ,2.77 ,6.72 ,,,,,1,0,1,1,1,1,20060825
11600,CPT,Exc tr-ext mlg+marg 0.5 < cm,,,21 ,,RBRVS,1.31 ,0.97 ,2.64 ,,,,,1,0,1,1,1,1,20060825
11601,CPT,Exc tr-ext mlg+marg 0.6-1 cm,,,21 ,,RBRVS,1.80 ,1.22 ,2.71 ,,,,,1,0,1,1,1,1,20060825
11602,CPT,Exc tr-ext mlg+marg 1.1-2 cm,,,21 ,,RBRVS,1.95 ,1.26 ,2.83 ,,,,,1,0,1,1,1,1,20060825
11603,CPT,Exc tr-ext mlg+marg 2.1-3 cm,,,21 ,,RBRVS,2.19 ,1.33 ,3.08 ,,,,,1,0,1,1,1,1,20060825
11604,CPT,Exc tr-ext mlg+marg 3.1-4 cm,,,21 ,,RBRVS,2.40 ,1.39 ,3.38 ,,,,,1,0,1,1,1,1,20060825
11606,CPT,Exc tr-ext mlg+marg > 4 cm,,,21 ,,RBRVS,3.42 ,1.74 ,4.07 ,,,,,1,0,1,1,1,1,20060825
11620,CPT,Exc h-f-nk-sp mlg+marg 0.5 <,,,21 ,,RBRVS,1.19 ,0.95 ,2.60 ,,,,,1,0,1,1,1,1,20060825
11621,CPT,Exc h-f-nk-sp mlg+marg 0.6-1,,,21 ,,RBRVS,1.76 ,1.24 ,2.71 ,,,,,1,0,1,1,1,1,20060825
11622,CPT,Exc h-f-nk-sp mlg+marg 1.1-2,,,21 ,,RBRVS,2.09 ,1.39 ,2.97 ,,,,,1,0,1,1,1,1,20060825
11623,CPT,Exc h-f-nk-sp mlg+marg 2.1-3,,,21 ,,RBRVS,2.61 ,1.58 ,3.34 ,,,,,1,0,1,1,1,1,20060825
11624,CPT,Exc h-f-nk-sp mlg+marg 3.1-4,,,21 ,,RBRVS,3.06 ,1.78 ,3.75 ,,,,,1,0,1,1,1,1,20060825
11626,CPT,Exc h-f-nk-sp mlg+mar > 4 cm,,,21 ,,RBRVS,4.29 ,2.40 ,4.64 ,,,,,1,0,1,1,1,1,20060825
11640,CPT,Exc face-mm malig+marg 0.5 <,,,21 ,,RBRVS,1.35 ,1.11 ,2.66 ,,,,,1,0,1,1,1,1,20060825
11641,CPT,Exc face-mm malig+marg 0.6-1,,,21 ,,RBRVS,2.16 ,1.53 ,3.03 ,,,,,1,0,1,1,1,1,20060825
11642,CPT,Exc face-mm malig+marg 1.1-2,,,21 ,,RBRVS,2.59 ,1.71 ,3.41 ,,,,,1,0,1,1,1,1,20060825
11643,CPT,Exc face-mm malig+marg 2.1-3,,,21 ,,RBRVS,3.10 ,1.97 ,3.81 ,,,,,1,0,1,1,1,1,20060825
11644,CPT,Exc face-mm malig+marg 3.1-4,,,21 ,,RBRVS,4.02 ,2.46 ,4.69 ,,,,,1,0,1,1,1,1,20060825
11646,CPT,Exc face-mm mlg+marg > 4 cm,,,21 ,,RBRVS,5.94 ,3.48 ,5.77 ,,,,,1,0,1,1,1,1,20060825
11719,CPT,Trim nail(s),,,21 ,,RBRVS,0.17 ,0.07 ,0.25 ,,,,,1,0,1,1,1,1,20060825
11720,CPT,"Debride nail, 1-5",,,21 ,,RBRVS,0.32 ,0.12 ,0.34 ,,,,,1,0,1,1,1,1,20060825
11721,CPT,"Debride nail, 6 or more",,,21 ,,RBRVS,0.54 ,0.21 ,0.44 ,,,,,1,0,1,1,1,1,20060825
11730,CPT,Removal of nail plate,,,21 ,,RBRVS,1.13 ,0.43 ,1.03 ,,,,,1,0,1,1,1,1,20060825
11732,CPT,"Remove nail plate, add-on",,,21 ,,RBRVS,0.57 ,0.22 ,0.44 ,,,,,1,0,1,1,1,1,20060825
11740,CPT,Drain blood from under nail,,,21 ,,RBRVS,0.37 ,0.35 ,0.55 ,,,,,1,0,1,1,1,1,20060825
11750,CPT,Removal of nail bed,,,21 ,,RBRVS,1.86 ,1.76 ,2.17 ,,,,,1,0,1,1,1,1,20060825
11752,CPT,Remove nail bed/finger tip,,,21 ,,RBRVS,2.67 ,3.00 ,3.00 ,,,,,1,0,1,1,1,1,20060825
11755,CPT,"Biopsy, nail unit",,,21 ,,RBRVS,1.31 ,0.77 ,1.57 ,,,,,1,0,1,1,1,1,20060825
11760,CPT,Repair of nail bed,,,21 ,,RBRVS,1.58 ,1.79 ,2.63 ,,,,,1,0,1,1,1,1,20060825
11762,CPT,Reconstruction of nail bed,,,21 ,,RBRVS,2.89 ,2.35 ,2.89 ,,,,,1,0,1,1,1,1,20060825
11765,CPT,"Excision of nail fold, toe",,,21 ,,RBRVS,0.69 ,0.76 ,1.79 ,,,,,1,0,1,1,1,1,20060825
11770,CPT,Removal of pilonidal lesion,,,21 ,,RBRVS,2.61 ,1.50 ,3.49 ,,,,,1,0,1,1,1,1,20060825
11771,CPT,Removal of pilonidal lesion,,,21 ,,RBRVS,5.73 ,3.32 ,5.66 ,,,,,1,0,1,1,1,1,20060825
11772,CPT,Removal of pilonidal lesion,,,21 ,,RBRVS,6.97 ,5.08 ,7.52 ,,,,,1,0,1,1,1,1,20060825
11900,CPT,Injection into skin lesions,,,21 ,,RBRVS,0.52 ,0.21 ,0.65 ,,,,,1,0,1,1,1,1,20060825
11901,CPT,Added skin lesions injection,,,21 ,,RBRVS,0.80 ,0.35 ,0.66 ,,,,,1,0,1,1,1,1,20060825
11920,CPT,Correct skin color defects,,,21 ,,RBRVS,1.61 ,1.09 ,3.71 ,,,,,1,0,1,1,1,1,20060825
11921,CPT,Correct skin color defects,,,21 ,,RBRVS,1.93 ,1.27 ,3.97 ,,,,,1,0,1,1,1,1,20060825
11922,CPT,Correct skin color defects,,,21 ,,RBRVS,0.49 ,0.25 ,1.14 ,,,,,1,0,1,1,1,1,20060825
11950,CPT,Therapy for contour defects,,,21 ,,RBRVS,0.84 ,0.39 ,1.14 ,,,,,1,0,1,1,1,1,20060825
11951,CPT,Therapy for contour defects,,,21 ,,RBRVS,1.19 ,0.51 ,1.49 ,,,,,1,0,1,1,1,1,20060825
11952,CPT,Therapy for contour defects,,,21 ,,RBRVS,1.69 ,0.68 ,1.86 ,,,,,1,0,1,1,1,1,20060825
11954,CPT,Therapy for contour defects,,,21 ,,RBRVS,1.85 ,0.90 ,2.45 ,,,,,1,0,1,1,1,1,20060825
11960,CPT,Insert tissue expander(s),,,21 ,,RBRVS,9.07 ,10.42 ,10.42 ,,,,,1,0,1,1,1,1,20060825
11970,CPT,Replace tissue expander,,,21 ,,RBRVS,7.05 ,6.15 ,6.15 ,,,,,1,0,1,1,1,1,20060825
11971,CPT,Remove tissue expander(s),,,21 ,,RBRVS,2.13 ,3.80 ,9.14 ,,,,,1,0,1,1,1,1,20060825
11975,CPT,Insert contraceptive cap,,,21 ,,RBRVS,1.48 ,0.57 ,1.42 ,,,,,1,0,1,1,1,1,20060825
11976,CPT,Removal of contraceptive cap,,,21 ,,RBRVS,1.78 ,0.68 ,1.72 ,,,,,1,0,1,1,1,1,20060825
11977,CPT,Removal/reinsert contra cap,,,21 ,,RBRVS,3.30 ,1.26 ,2.28 ,,,,,1,0,1,1,1,1,20060825
11980,CPT,Implant hormone pellet(s),,,21 ,,RBRVS,1.48 ,0.54 ,1.08 ,,,,,1,0,1,1,1,1,20060825
11981,CPT,Insert drug implant device,,,21 ,,RBRVS,1.48 ,0.68 ,1.70 ,,,,,1,0,1,1,1,1,20060825
11982,CPT,Remove drug implant device,,,21 ,,RBRVS,1.78 ,0.83 ,1.95 ,,,,,1,0,1,1,1,1,20060825
11983,CPT,Remove/insert drug implant,,,21 ,,RBRVS,3.30 ,1.47 ,2.29 ,,,,,1,0,1,1,1,1,20060825
12001,CPT,Repair superficial wound(s),,,21 ,,RBRVS,1.70 ,0.77 ,1.99 ,,,,,1,0,1,1,1,1,20060825
12002,CPT,Repair superficial wound(s),,,21 ,,RBRVS,1.86 ,0.90 ,2.05 ,,,,,1,0,1,1,1,1,20060825
12004,CPT,Repair superficial wound(s),,,21 ,,RBRVS,2.24 ,1.01 ,2.33 ,,,,,1,0,1,1,1,1,20060825
12005,CPT,Repair superficial wound(s),,,21 ,,RBRVS,2.86 ,1.20 ,2.83 ,,,,,1,0,1,1,1,1,20060825
12006,CPT,Repair superficial wound(s),,,21 ,,RBRVS,3.66 ,1.51 ,3.40 ,,,,,1,0,1,1,1,1,20060825
12007,CPT,Repair superficial wound(s),,,21 ,,RBRVS,4.11 ,1.82 ,3.83 ,,,,,1,0,1,1,1,1,20060825
12011,CPT,Repair superficial wound(s),,,21 ,,RBRVS,1.76 ,0.78 ,2.14 ,,,,,1,0,1,1,1,1,20060825
12013,CPT,Repair superficial wound(s),,,21 ,,RBRVS,1.99 ,0.93 ,2.28 ,,,,,1,0,1,1,1,1,20060825
12014,CPT,Repair superficial wound(s),,,21 ,,RBRVS,2.46 ,1.06 ,2.58 ,,,,,1,0,1,1,1,1,20060825
12015,CPT,Repair superficial wound(s),,,21 ,,RBRVS,3.19 ,1.25 ,3.14 ,,,,,1,0,1,1,1,1,20060825
12016,CPT,Repair superficial wound(s),,,21 ,,RBRVS,3.92 ,1.52 ,3.56 ,,,,,1,0,1,1,1,1,20060825
12017,CPT,Repair superficial wound(s),,,21 ,,RBRVS,4.70 ,1.90 ,1.90 ,,,,,1,0,1,1,1,1,20060825
12018,CPT,Repair superficial wound(s),,,21 ,,RBRVS,5.52 ,2.26 ,2.26 ,,,,,1,0,1,1,1,1,20060825
12020,CPT,Closure of split wound,,,21 ,,RBRVS,2.62 ,1.93 ,3.83 ,,,,,1,0,1,1,1,1,20060825
12021,CPT,Closure of split wound,,,21 ,,RBRVS,1.84 ,1.41 ,1.83 ,,,,,1,0,1,1,1,1,20060825
12031,CPT,Layer closure of wound(s),,,21 ,,RBRVS,2.15 ,0.96 ,2.29 ,,,,,1,0,1,1,1,1,20060825
12032,CPT,Layer closure of wound(s),,,21 ,,RBRVS,2.47 ,1.80 ,3.85 ,,,,,1,0,1,1,1,1,20060825
12034,CPT,Layer closure of wound(s),,,21 ,,RBRVS,2.92 ,1.45 ,3.20 ,,,,,1,0,1,1,1,1,20060825
12035,CPT,Layer closure of wound(s),,,21 ,,RBRVS,3.42 ,2.16 ,5.21 ,,,,,1,0,1,1,1,1,20060825
12036,CPT,Layer closure of wound(s),,,21 ,,RBRVS,4.04 ,2.55 ,5.57 ,,,,,1,0,1,1,1,1,20060825
12037,CPT,Layer closure of wound(s),,,21 ,,RBRVS,4.66 ,2.97 ,6.11 ,,,,,1,0,1,1,1,1,20060825
12041,CPT,Layer closure of wound(s),,,21 ,,RBRVS,2.37 ,1.13 ,2.55 ,,,,,1,0,1,1,1,1,20060825
12042,CPT,Layer closure of wound(s),,,21 ,,RBRVS,2.74 ,1.46 ,3.27 ,,,,,1,0,1,1,1,1,20060825
12044,CPT,Layer closure of wound(s),,,21 ,,RBRVS,3.14 ,1.60 ,3.22 ,,,,,1,0,1,1,1,1,20060825
12045,CPT,Layer closure of wound(s),,,21 ,,RBRVS,3.63 ,2.29 ,5.28 ,,,,,1,0,1,1,1,1,20060825
12046,CPT,Layer closure of wound(s),,,21 ,,RBRVS,4.24 ,2.76 ,6.52 ,,,,,1,0,1,1,1,1,20060825
12047,CPT,Layer closure of wound(s),,,21 ,,RBRVS,4.64 ,3.09 ,6.36 ,,,,,1,0,1,1,1,1,20060825
12051,CPT,Layer closure of wound(s),,,21 ,,RBRVS,2.47 ,1.45 ,3.28 ,,,,,1,0,1,1,1,1,20060825
12052,CPT,Layer closure of wound(s),,,21 ,,RBRVS,2.77 ,1.43 ,3.23 ,,,,,1,0,1,1,1,1,20060825
12053,CPT,Layer closure of wound(s),,,21 ,,RBRVS,3.12 ,1.53 ,3.25 ,,,,,1,0,1,1,1,1,20060825
12054,CPT,Layer closure of wound(s),,,21 ,,RBRVS,3.45 ,1.63 ,3.57 ,,,,,1,0,1,1,1,1,20060825
12055,CPT,Layer closure of wound(s),,,21 ,,RBRVS,4.42 ,2.13 ,4.49 ,,,,,1,0,1,1,1,1,20060825
12056,CPT,Layer closure of wound(s),,,21 ,,RBRVS,5.23 ,3.06 ,6.77 ,,,,,1,0,1,1,1,1,20060825
12057,CPT,Layer closure of wound(s),,,21 ,,RBRVS,5.95 ,3.76 ,6.15 ,,,,,1,0,1,1,1,1,20060825
13100,CPT,Repair of wound or lesion,,,21 ,,RBRVS,3.12 ,2.31 ,4.06 ,,,,,1,0,1,1,1,1,20060825
13101,CPT,Repair of wound or lesion,,,21 ,,RBRVS,3.91 ,2.69 ,4.67 ,,,,,1,0,1,1,1,1,20060825
13102,CPT,Repair wound/lesion add-on,,,21 ,,RBRVS,1.24 ,0.57 ,1.17 ,,,,,1,0,1,1,1,1,20060825
13120,CPT,Repair of wound or lesion,,,21 ,,RBRVS,3.30 ,2.35 ,4.15 ,,,,,1,0,1,1,1,1,20060825
13121,CPT,Repair of wound or lesion,,,21 ,,RBRVS,4.32 ,2.80 ,4.86 ,,,,,1,0,1,1,1,1,20060825
13122,CPT,Repair wound/lesion add-on,,,21 ,,RBRVS,1.44 ,0.63 ,1.51 ,,,,,1,0,1,1,1,1,20060825
13131,CPT,Repair of wound or lesion,,,21 ,,RBRVS,3.78 ,2.69 ,4.37 ,,,,,1,0,1,1,1,1,20060825
13132,CPT,Repair of wound or lesion,,,21 ,,RBRVS,5.94 ,4.17 ,5.92 ,,,,,1,0,1,1,1,1,20060825
13133,CPT,Repair wound/lesion add-on,,,21 ,,RBRVS,2.19 ,1.03 ,1.66 ,,,,,1,0,1,1,1,1,20060825
13150,CPT,Repair of wound or lesion,,,21 ,,RBRVS,3.80 ,2.77 ,4.88 ,,,,,1,0,1,1,1,1,20060825
13151,CPT,Repair of wound or lesion,,,21 ,,RBRVS,4.44 ,3.15 ,4.81 ,,,,,1,0,1,1,1,1,20060825
13152,CPT,Repair of wound or lesion,,,21 ,,RBRVS,6.32 ,4.05 ,6.05 ,,,,,1,0,1,1,1,1,20060825
13153,CPT,Repair wound/lesion add-on,,,21 ,,RBRVS,2.38 ,1.14 ,1.94 ,,,,,1,0,1,1,1,1,20060825
13160,CPT,Late closure of wound,,,21 ,,RBRVS,10.46 ,7.18 ,7.18 ,,,,,1,0,1,1,1,1,20060825
14000,CPT,Skin tissue rearrangement,,,21 ,,RBRVS,5.88 ,5.48 ,7.87 ,,,,,1,0,1,1,1,1,20060825
14001,CPT,Skin tissue rearrangement,,,21 ,,RBRVS,8.46 ,7.09 ,9.44 ,,,,,1,0,1,1,1,1,20060825
14020,CPT,Skin tissue rearrangement,,,21 ,,RBRVS,6.58 ,6.55 ,8.63 ,,,,,1,0,1,1,1,1,20060825
14021,CPT,Skin tissue rearrangement,,,21 ,,RBRVS,10.04 ,8.30 ,10.01 ,,,,,1,0,1,1,1,1,20060825
14040,CPT,Skin tissue rearrangement,,,21 ,,RBRVS,7.86 ,7.22 ,8.83 ,,,,,1,0,1,1,1,1,20060825
14041,CPT,Skin tissue rearrangement,,,21 ,,RBRVS,11.47 ,8.70 ,10.62 ,,,,,1,0,1,1,1,1,20060825
14060,CPT,Skin tissue rearrangement,,,21 ,,RBRVS,8.49 ,7.45 ,8.81 ,,,,,1,0,1,1,1,1,20060825
14061,CPT,Skin tissue rearrangement,,,21 ,,RBRVS,12.27 ,9.53 ,11.63 ,,,,,1,0,1,1,1,1,20060825
14300,CPT,Skin tissue rearrangement,,,21 ,,RBRVS,11.74 ,9.20 ,11.16 ,,,,,1,0,1,1,1,1,20060825
14350,CPT,Skin tissue rearrangement,,,21 ,,RBRVS,9.60 ,7.16 ,7.16 ,,,,,1,0,1,1,1,1,20060825
15000,CPT,Skin graft,,,21 ,,RBRVS,3.99 ,2.19 ,3.80 ,,,,,1,0,1,1,1,1,20060825
15001,CPT,Skin graft add-on,,,21 ,,RBRVS,1.00 ,0.41 ,1.35 ,,,,,1,0,1,1,1,1,20060825
15040,CPT,Harvest cultured skin graft,,,21 ,,RBRVS,2.00 ,1.13 ,4.57 ,,,,,1,0,1,1,1,1,20060825
15050,CPT,Skin pinch graft,,,21 ,,RBRVS,4.29 ,5.12 ,6.93 ,,,,,1,0,1,1,1,1,20060825
15100,CPT,Skin split graft,,,21 ,,RBRVS,9.04 ,7.84 ,12.62 ,,,,,1,0,1,1,1,1,20060825
15101,CPT,Skin split graft add-on,,,21 ,,RBRVS,1.72 ,1.17 ,3.74 ,,,,,1,0,1,1,1,1,20060825
15110,CPT,Epidrm autogrft trnk/arm/leg,,,21 ,,RBRVS,9.50 ,7.02 ,10.70 ,,,,,1,0,1,1,1,1,20060825
15111,CPT,Epidrm autogrft t/a/l add-on,,,21 ,,RBRVS,1.85 ,0.79 ,1.29 ,,,,,1,0,1,1,1,1,20060825
15115,CPT,Epidrm a-grft face/nck/hf/g,,,21 ,,RBRVS,9.81 ,7.37 ,9.25 ,,,,,1,0,1,1,1,1,20060825
15116,CPT,Epidrm a-grft f/n/hf/g addl,,,21 ,,RBRVS,2.50 ,1.12 ,1.58 ,,,,,1,0,1,1,1,1,20060825
15120,CPT,Skin split graft,,,21 ,,RBRVS,9.82 ,7.80 ,10.75 ,,,,,1,0,1,1,1,1,20060825
15121,CPT,Skin split graft add-on,,,21 ,,RBRVS,2.67 ,1.85 ,4.51 ,,,,,1,0,1,1,1,1,20060825
15130,CPT,"Derm autograft, trnk/arm/leg",,,21 ,,RBRVS,7.00 ,6.36 ,9.89 ,,,,,1,0,1,1,1,1,20060825
15131,CPT,Derm autograft t/a/l add-on,,,21 ,,RBRVS,1.50 ,0.64 ,1.07 ,,,,,1,0,1,1,1,1,20060825
15135,CPT,Derm autograft face/nck/hf/g,,,21 ,,RBRVS,10.50 ,8.15 ,9.90 ,,,,,1,0,1,1,1,1,20060825
15136,CPT,"Derm autograft, f/n/hf/g add",,,21 ,,RBRVS,1.50 ,0.67 ,0.89 ,,,,,1,0,1,1,1,1,20060825
15150,CPT,Cult epiderm grft t/arm/leg,,,21 ,,RBRVS,8.25 ,6.46 ,8.48 ,,,,,1,0,1,1,1,1,20060825
15151,CPT,Cult epiderm grft t/a/l addl,,,21 ,,RBRVS,2.00 ,0.85 ,1.31 ,,,,,1,0,1,1,1,1,20060825
15152,CPT,Cult epiderm graft t/a/l +%,,,21 ,,RBRVS,2.50 ,1.06 ,1.56 ,,,,,1,0,1,1,1,1,20060825
15155,CPT,"Cult epiderm graft, f/n/hf/g",,,21 ,,RBRVS,9.00 ,6.98 ,7.84 ,,,,,1,0,1,1,1,1,20060825
15156,CPT,Cult epidrm grft f/n/hfg add,,,21 ,,RBRVS,2.75 ,1.24 ,1.56 ,,,,,1,0,1,1,1,1,20060825
15157,CPT,Cult epiderm grft f/n/hfg +%,,,21 ,,RBRVS,3.00 ,1.35 ,1.78 ,,,,,1,0,1,1,1,1,20060825
15170,CPT,Cell graft trunk/arms/legs,,,21 ,,RBRVS,5.00 ,2.37 ,3.84 ,,,,,1,0,1,1,1,1,20060825
15171,CPT,Cell graft t/arm/leg add-on,,,21 ,,RBRVS,1.55 ,0.62 ,0.68 ,,,,,1,0,1,1,1,1,20060825
15175,CPT,"Acellular graft, f/n/hf/g",,,21 ,,RBRVS,7.00 ,4.01 ,5.44 ,,,,,1,0,1,1,1,1,20060825
15176,CPT,"Acell graft, f/n/hf/g add-on",,,21 ,,RBRVS,2.45 ,0.99 ,1.11 ,,,,,1,0,1,1,1,1,20060825
15200,CPT,Skin full graft,,,21 ,,RBRVS,8.02 ,6.22 ,9.43 ,,,,,1,0,1,1,1,1,20060825
15201,CPT,Skin full graft add-on,,,21 ,,RBRVS,1.32 ,0.62 ,2.57 ,,,,,1,0,1,1,1,1,20060825
15220,CPT,Skin full graft,,,21 ,,RBRVS,7.86 ,6.70 ,9.21 ,,,,,1,0,1,1,1,1,20060825
15221,CPT,Skin full graft add-on,,,21 ,,RBRVS,1.19 ,0.56 ,2.33 ,,,,,1,0,1,1,1,1,20060825
15240,CPT,Skin full graft,,,21 ,,RBRVS,9.03 ,7.97 ,10.23 ,,,,,1,0,1,1,1,1,20060825
15241,CPT,Skin full graft add-on,,,21 ,,RBRVS,1.86 ,0.91 ,2.45 ,,,,,1,0,1,1,1,1,20060825
15260,CPT,Skin full graft,,,21 ,,RBRVS,10.04 ,8.60 ,10.24 ,,,,,1,0,1,1,1,1,20060825
15261,CPT,Skin full graft add-on,,,21 ,,RBRVS,2.23 ,1.40 ,2.70 ,,,,,1,0,1,1,1,1,20060825
15300,CPT,"Apply skinallogrft, t/arm/lg",,,21 ,,RBRVS,3.99 ,2.24 ,3.21 ,,,,,1,0,1,1,1,1,20060825
15301,CPT,Apply sknallogrft t/a/l addl,,,21 ,,RBRVS,1.00 ,0.40 ,0.47 ,,,,,1,0,1,1,1,1,20060825
15320,CPT,Apply skin allogrft f/n/hf/g,,,21 ,,RBRVS,4.70 ,2.54 ,3.63 ,,,,,1,0,1,1,1,1,20060825
15321,CPT,Aply sknallogrft f/n/hfg add,,,21 ,,RBRVS,1.50 ,0.59 ,0.69 ,,,,,1,0,1,1,1,1,20060825
15330,CPT,Aply acell alogrft t/arm/leg,,,21 ,,RBRVS,3.99 ,2.23 ,3.20 ,,,,,1,0,1,1,1,1,20060825
15331,CPT,Aply acell grft t/a/l add-on,,,21 ,,RBRVS,1.00 ,0.40 ,0.46 ,,,,,1,0,1,1,1,1,20060825
15335,CPT,"Apply acell graft, f/n/hf/g",,,21 ,,RBRVS,4.50 ,2.45 ,3.48 ,,,,,1,0,1,1,1,1,20060825
15336,CPT,Aply acell grft f/n/hf/g add,,,21 ,,RBRVS,1.43 ,0.57 ,0.69 ,,,,,1,0,1,1,1,1,20060825
15340,CPT,Apply cult skin substitute,,,21 ,,RBRVS,3.72 ,2.76 ,4.01 ,,,,,1,0,1,1,1,1,20060825
15341,CPT,Apply cult skin sub add-on,,,21 ,,RBRVS,0.50 ,0.20 ,0.61 ,,,,,1,0,1,1,1,1,20060825
15360,CPT,"Apply cult derm sub, t/a/l",,,21 ,,RBRVS,3.87 ,3.09 ,4.48 ,,,,,1,0,1,1,1,1,20060825
15361,CPT,Aply cult derm sub t/a/l add,,,21 ,,RBRVS,1.15 ,0.46 ,0.58 ,,,,,1,0,1,1,1,1,20060825
15365,CPT,Apply cult derm sub f/n/hf/g,,,21 ,,RBRVS,4.15 ,3.20 ,4.56 ,,,,,1,0,1,1,1,1,20060825
15366,CPT,Apply cult derm f/hf/g add,,,21 ,,RBRVS,1.45 ,0.58 ,0.70 ,,,,,1,0,1,1,1,1,20060825
15400,CPT,Skin heterograft,,,21 ,,RBRVS,3.99 ,4.02 ,4.02 ,,,,,1,0,1,1,1,1,20060825
15401,CPT,Skin heterograft add-on,,,21 ,,RBRVS,1.00 ,0.44 ,1.90 ,,,,,1,0,1,1,1,1,20060825
15420,CPT,"Apply skin xgraft, f/n/hf/g",,,21 ,,RBRVS,4.50 ,3.80 ,4.79 ,,,,,1,0,1,1,1,1,20060825
15421,CPT,Apply skn xgrft f/n/hf/g add,,,21 ,,RBRVS,1.50 ,0.62 ,1.32 ,,,,,1,0,1,1,1,1,20060825
15430,CPT,Apply acellular xenograft,,,21 ,,RBRVS,5.75 ,6.63 ,6.92 ,,,,,1,0,1,1,1,1,20060825
15431,CPT,Apply acellular xgraft add,,,28 ,,NW,,,,,,$337.81,,1,0,1,1,1,1,20060825
15570,CPT,Form skin pedicle flap,,,21 ,,RBRVS,9.20 ,6.78 ,11.33 ,,,,,1,0,1,1,1,1,20060825
15572,CPT,Form skin pedicle flap,,,21 ,,RBRVS,9.26 ,6.47 ,9.52 ,,,,,1,0,1,1,1,1,20060825
15574,CPT,Form skin pedicle flap,,,21 ,,RBRVS,9.87 ,7.81 ,10.71 ,,,,,1,0,1,1,1,1,20060825
15576,CPT,Form skin pedicle flap,,,21 ,,RBRVS,8.68 ,6.90 ,9.78 ,,,,,1,0,1,1,1,1,20060825
15600,CPT,Skin graft,,,21 ,,RBRVS,1.91 ,3.07 ,7.62 ,,,,,1,0,1,1,1,1,20060825
15610,CPT,Skin graft,,,21 ,,RBRVS,2.42 ,3.43 ,4.70 ,,,,,1,0,1,1,1,1,20060825
15620,CPT,Skin graft,,,21 ,,RBRVS,2.94 ,3.89 ,7.80 ,,,,,1,0,1,1,1,1,20060825
15630,CPT,Skin graft,,,21 ,,RBRVS,3.27 ,4.16 ,7.06 ,,,,,1,0,1,1,1,1,20060825
15650,CPT,Transfer skin pedicle flap,,,21 ,,RBRVS,3.96 ,4.22 ,7.16 ,,,,,1,0,1,1,1,1,20060825
15732,CPT,"Muscle-skin graft, head/neck",,,21 ,,RBRVS,17.81 ,12.25 ,18.09 ,,,,,1,0,1,1,1,1,20060825
15734,CPT,"Muscle-skin graft, trunk",,,21 ,,RBRVS,17.76 ,12.41 ,18.16 ,,,,,1,0,1,1,1,1,20060825
15736,CPT,"Muscle-skin graft, arm",,,21 ,,RBRVS,16.25 ,11.25 ,18.28 ,,,,,1,0,1,1,1,1,20060825
15738,CPT,"Muscle-skin graft, leg",,,21 ,,RBRVS,17.89 ,11.75 ,18.02 ,,,,,1,0,1,1,1,1,20060825
15740,CPT,Island pedicle flap graft,,,21 ,,RBRVS,10.23 ,8.28 ,10.16 ,,,,,1,0,1,1,1,1,20060825
15750,CPT,Neurovascular pedicle graft,,,21 ,,RBRVS,11.39 ,9.07 ,9.07 ,,,,,1,0,1,1,1,1,20060825
15756,CPT,Free myo/skin flap microvasc,,,21 ,,RBRVS,35.18 ,20.62 ,20.62 ,,,,,1,0,1,1,1,1,20060825
15757,CPT,"Free skin flap, microvasc",,,21 ,,RBRVS,35.18 ,21.65 ,21.65 ,,,,,1,0,1,1,1,1,20060825
15758,CPT,"Free fascial flap, microvasc",,,21 ,,RBRVS,35.05 ,21.63 ,21.63 ,,,,,1,0,1,1,1,1,20060825
15760,CPT,Composite skin graft,,,21 ,,RBRVS,8.73 ,7.28 ,10.05 ,,,,,1,0,1,1,1,1,20060825
15770,CPT,Derma-fat-fascia graft,,,21 ,,RBRVS,7.51 ,6.70 ,6.70 ,,,,,1,0,1,1,1,1,20060825
15775,CPT,Hair transplant punch grafts,,,21 ,,RBRVS,3.95 ,1.30 ,4.24 ,,,,,1,0,1,1,1,1,20060825
15776,CPT,Hair transplant punch grafts,,,21 ,,RBRVS,5.53 ,2.81 ,5.37 ,,,,,1,0,1,1,1,1,20060825
15780,CPT,Abrasion treatment of skin,,,21 ,,RBRVS,7.28 ,8.27 ,11.55 ,,,,,1,0,1,1,1,1,20060825
15781,CPT,Abrasion treatment of skin,,,21 ,,RBRVS,4.84 ,5.38 ,6.93 ,,,,,1,0,1,1,1,1,20060825
15782,CPT,Abrasion treatment of skin,,,21 ,,RBRVS,4.31 ,6.57 ,9.88 ,,,,,1,0,1,1,1,1,20060825
15783,CPT,Abrasion treatment of skin,,,21 ,,RBRVS,4.28 ,4.19 ,6.89 ,,,,,1,0,1,1,1,1,20060825
15786,CPT,"Abrasion, lesion, single",,,21 ,,RBRVS,2.03 ,1.32 ,3.36 ,,,,,1,0,1,1,1,1,20060825
15787,CPT,"Abrasion, lesions, add-on",,,21 ,,RBRVS,0.33 ,0.16 ,1.09 ,,,,,1,0,1,1,1,1,20060825
15788,CPT,"Chemical peel, face, epiderm",,,21 ,,RBRVS,2.09 ,3.09 ,6.73 ,,,,,1,0,1,1,1,1,20060825
15789,CPT,"Chemical peel, face, dermal",,,21 ,,RBRVS,4.91 ,4.81 ,8.11 ,,,,,1,0,1,1,1,1,20060825
15792,CPT,"Chemical peel, nonfacial",,,21 ,,RBRVS,1.86 ,4.46 ,7.11 ,,,,,1,0,1,1,1,1,20060825
15793,CPT,"Chemical peel, nonfacial",,,21 ,,RBRVS,3.73 ,4.39 ,6.30 ,,,,,1,0,1,1,1,1,20060825
15819,CPT,"Plastic surgery, neck",,,21 ,,RBRVS,9.37 ,7.20 ,7.20 ,,,,,1,0,1,1,1,1,20060825
15820,CPT,Revision of lower eyelid,,,21 ,,RBRVS,5.14 ,5.58 ,6.99 ,,,,,1,0,1,1,1,1,20060825
15821,CPT,Revision of lower eyelid,,,21 ,,RBRVS,5.71 ,5.73 ,7.37 ,,,,,1,0,1,1,1,1,20060825
15822,CPT,Revision of upper eyelid,,,21 ,,RBRVS,4.44 ,4.50 ,5.85 ,,,,,1,0,1,1,1,1,20060825
15823,CPT,Revision of upper eyelid,,,21 ,,RBRVS,7.04 ,6.45 ,7.87 ,,,,,1,0,1,1,1,1,20060825
15824,CPT,Removal of forehead wrinkles,,,21 ,,TotalUnits,,,,17.87 ,,,,1,0,1,1,1,1,20060825
15825,CPT,Removal of neck wrinkles,,,21 ,,TotalUnits,,,,20.42 ,,,,1,0,1,1,1,1,20060825
15826,CPT,Removal of brow wrinkles,,,21 ,,TotalUnits,,,,17.87 ,,,,1,0,1,1,1,1,20060825
15828,CPT,Removal of face wrinkles,,,21 ,,TotalUnits,,,,47.23 ,,,,1,0,1,1,1,1,20060825
15829,CPT,Removal of skin wrinkles,,,21 ,,TotalUnits,,,,52.34 ,,,,1,0,1,1,1,1,20060825
15831,CPT,Excise excessive skin tissue,,,21 ,,RBRVS,12.38 ,8.18 ,8.18 ,,,,,1,0,1,1,1,1,20060825
15832,CPT,Excise excessive skin tissue,,,21 ,,RBRVS,11.57 ,8.36 ,8.36 ,,,,,1,0,1,1,1,1,20060825
15833,CPT,Excise excessive skin tissue,,,21 ,,RBRVS,10.62 ,8.23 ,8.23 ,,,,,1,0,1,1,1,1,20060825
15834,CPT,Excise excessive skin tissue,,,21 ,,RBRVS,10.83 ,7.71 ,7.71 ,,,,,1,0,1,1,1,1,20060825
15835,CPT,Excise excessive skin tissue,,,21 ,,RBRVS,11.65 ,7.56 ,7.56 ,,,,,1,0,1,1,1,1,20060825
15836,CPT,Excise excessive skin tissue,,,21 ,,RBRVS,9.33 ,6.80 ,6.80 ,,,,,1,0,1,1,1,1,20060825
15837,CPT,Excise excessive skin tissue,,,21 ,,RBRVS,8.42 ,7.39 ,8.57 ,,,,,1,0,1,1,1,1,20060825
15838,CPT,Excise excessive skin tissue,,,21 ,,RBRVS,7.12 ,6.08 ,6.08 ,,,,,1,0,1,1,1,1,20060825
15839,CPT,Excise excessive skin tissue,,,21 ,,RBRVS,9.37 ,6.41 ,8.85 ,,,,,1,0,1,1,1,1,20060825
15840,CPT,Graft for face nerve palsy,,,21 ,,RBRVS,13.24 ,10.00 ,10.00 ,,,,,1,0,1,1,1,1,20060825
15841,CPT,Graft for face nerve palsy,,,21 ,,RBRVS,23.23 ,15.03 ,15.03 ,,,,,1,0,1,1,1,1,20060825
15842,CPT,Flap for face nerve palsy,,,21 ,,RBRVS,37.90 ,22.98 ,22.98 ,,,,,1,0,1,1,1,1,20060825
15845,CPT,"Skin and muscle repair, face",,,21 ,,RBRVS,12.55 ,9.33 ,9.33 ,,,,,1,0,1,1,1,1,20060825
15850,CPT,Removal of sutures,,,21 ,,RBRVS,0.78 ,0.30 ,1.56 ,,,,,1,0,1,1,1,1,20060825
15851,CPT,Removal of sutures,,,21 ,,RBRVS,0.86 ,0.31 ,1.68 ,,,,,1,0,1,1,1,1,20060825
15852,CPT,"Dressing change,not for burn",,,21 ,,RBRVS,0.86 ,0.33 ,1.85 ,,,,,1,0,1,1,1,1,20060825
15860,CPT,Test for blood flow in graft,,,21 ,,RBRVS,1.95 ,0.78 ,0.83 ,,,,,1,0,1,1,1,1,20060825
15876,CPT,Suction assisted lipectomy,,,21 ,,TotalUnits,,,,11.19 ,,,,1,0,1,1,1,1,20060825
15877,CPT,Suction assisted lipectomy,,,21 ,,TotalUnits,,,,15.70 ,,,,1,0,1,1,1,1,20060825
15878,CPT,Suction assisted lipectomy,,,21 ,,TotalUnits,,,,14.19 ,,,,1,0,1,1,1,1,20060825
15879,CPT,Suction assisted lipectomy,,,21 ,,TotalUnits,,,,13.98 ,,,,1,0,1,1,1,1,20060825
15920,CPT,Removal of tail bone ulcer,,,21 ,,RBRVS,7.94 ,5.57 ,5.57 ,,,,,1,0,1,1,1,1,20060825
15922,CPT,Removal of tail bone ulcer,,,21 ,,RBRVS,9.89 ,7.23 ,7.23 ,,,,,1,0,1,1,1,1,20060825
15931,CPT,Remove sacrum pressure sore,,,21 ,,RBRVS,9.23 ,5.70 ,5.70 ,,,,,1,0,1,1,1,1,20060825
15933,CPT,Remove sacrum pressure sore,,,21 ,,RBRVS,10.83 ,7.87 ,7.87 ,,,,,1,0,1,1,1,1,20060825
15934,CPT,Remove sacrum pressure sore,,,21 ,,RBRVS,12.67 ,8.06 ,8.06 ,,,,,1,0,1,1,1,1,20060825
15935,CPT,Remove sacrum pressure sore,,,21 ,,RBRVS,14.55 ,10.35 ,10.35 ,,,,,1,0,1,1,1,1,20060825
15936,CPT,Remove sacrum pressure sore,,,21 ,,RBRVS,12.36 ,8.24 ,8.24 ,,,,,1,0,1,1,1,1,20060825
15937,CPT,Remove sacrum pressure sore,,,21 ,,RBRVS,14.19 ,9.85 ,9.85 ,,,,,1,0,1,1,1,1,20060825
15940,CPT,Remove hip pressure sore,,,21 ,,RBRVS,9.33 ,6.19 ,6.19 ,,,,,1,0,1,1,1,1,20060825
15941,CPT,Remove hip pressure sore,,,21 ,,RBRVS,11.41 ,9.48 ,9.48 ,,,,,1,0,1,1,1,1,20060825
15944,CPT,Remove hip pressure sore,,,21 ,,RBRVS,11.44 ,8.62 ,8.62 ,,,,,1,0,1,1,1,1,20060825
15945,CPT,Remove hip pressure sore,,,21 ,,RBRVS,12.67 ,9.67 ,9.67 ,,,,,1,0,1,1,1,1,20060825
15946,CPT,Remove hip pressure sore,,,21 ,,RBRVS,21.54 ,14.41 ,14.41 ,,,,,1,0,1,1,1,1,20060825
15950,CPT,Remove thigh pressure sore,,,21 ,,RBRVS,7.53 ,5.43 ,5.43 ,,,,,1,0,1,1,1,1,20060825
15951,CPT,Remove thigh pressure sore,,,21 ,,RBRVS,10.70 ,7.88 ,7.88 ,,,,,1,0,1,1,1,1,20060825
15952,CPT,Remove thigh pressure sore,,,21 ,,RBRVS,11.37 ,7.77 ,7.77 ,,,,,1,0,1,1,1,1,20060825
15953,CPT,Remove thigh pressure sore,,,21 ,,RBRVS,12.61 ,9.02 ,9.02 ,,,,,1,0,1,1,1,1,20060825
15956,CPT,Remove thigh pressure sore,,,21 ,,RBRVS,15.50 ,10.80 ,10.80 ,,,,,1,0,1,1,1,1,20060825
15958,CPT,Remove thigh pressure sore,,,21 ,,RBRVS,15.46 ,11.07 ,11.07 ,,,,,1,0,1,1,1,1,20060825
15999,CPT,Removal of pressure sore,,,21 ,,TotalUnits,,,,20.99 ,,,,1,0,1,1,1,1,20060825
16000,CPT,Initial treatment of burn(s),,,21 ,,RBRVS,0.89 ,0.26 ,0.86 ,,,,,1,0,1,1,1,1,20060825
16020,CPT,Treatment of burn(s),,,21 ,,RBRVS,0.80 ,0.58 ,1.29 ,,,,,1,0,1,1,1,1,20060825
16025,CPT,Treatment of burn(s),,,21 ,,RBRVS,1.85 ,0.96 ,1.77 ,,,,,1,0,1,1,1,1,20060825
16030,CPT,Treatment of burn(s),,,21 ,,RBRVS,2.08 ,1.12 ,2.18 ,,,,,1,0,1,1,1,1,20060825
16035,CPT,"Incision of burn scab, initi",,,21 ,,RBRVS,3.74 ,1.58 ,1.58 ,,,,,1,0,1,1,1,1,20060825
16036,CPT,"Incise burn scab, addl incis",,,21 ,,RBRVS,1.50 ,0.60 ,0.60 ,,,,,1,0,1,1,1,1,20060825
17000,CPT,Destroy benign/premlg lesion,,,21 ,,RBRVS,0.60 ,0.54 ,0.97 ,,,,,1,0,1,1,1,1,20060825
17003,CPT,"Destroy lesions, 2-14",,,21 ,,RBRVS,0.15 ,0.07 ,0.11 ,,,,,1,0,1,1,1,1,20060825
17004,CPT,"Destroy lesions, 15 or more",,,21 ,,RBRVS,2.79 ,1.59 ,2.31 ,,,,,1,0,1,1,1,1,20060825
17106,CPT,Destruction of skin lesions,,,21 ,,RBRVS,4.58 ,3.34 ,4.61 ,,,,,1,0,1,1,1,1,20060825
17107,CPT,Destruction of skin lesions,,,21 ,,RBRVS,9.15 ,5.47 ,7.22 ,,,,,1,0,1,1,1,1,20060825
17108,CPT,Destruction of skin lesions,,,21 ,,RBRVS,13.18 ,7.68 ,9.29 ,,,,,1,0,1,1,1,1,20060825
17110,CPT,"Destruct lesion, 1-14",,,21 ,,RBRVS,0.65 ,0.70 ,1.62 ,,,,,1,0,1,1,1,1,20060825
17111,CPT,"Destruct lesion, 15 or more",,,21 ,,RBRVS,0.92 ,0.81 ,1.67 ,,,,,1,0,1,1,1,1,20060825
17250,CPT,"Chemical cautery, tissue",,,21 ,,RBRVS,0.50 ,0.34 ,1.22 ,,,,,1,0,1,1,1,1,20060825
17260,CPT,Destruction of skin lesions,,,21 ,,RBRVS,0.91 ,0.67 ,1.28 ,,,,,1,0,1,1,1,1,20060825
17261,CPT,Destruction of skin lesions,,,21 ,,RBRVS,1.17 ,0.83 ,1.61 ,,,,,1,0,1,1,1,1,20060825
17262,CPT,Destruction of skin lesions,,,21 ,,RBRVS,1.58 ,1.02 ,1.89 ,,,,,1,0,1,1,1,1,20060825
17263,CPT,Destruction of skin lesions,,,21 ,,RBRVS,1.79 ,1.09 ,2.06 ,,,,,1,0,1,1,1,1,20060825
17264,CPT,Destruction of skin lesions,,,21 ,,RBRVS,1.94 ,1.12 ,2.23 ,,,,,1,0,1,1,1,1,20060825
17266,CPT,Destruction of skin lesions,,,21 ,,RBRVS,2.34 ,1.22 ,2.51 ,,,,,1,0,1,1,1,1,20060825
17270,CPT,Destruction of skin lesions,,,21 ,,RBRVS,1.32 ,0.87 ,1.70 ,,,,,1,0,1,1,1,1,20060825
17271,CPT,Destruction of skin lesions,,,21 ,,RBRVS,1.49 ,0.98 ,1.78 ,,,,,1,0,1,1,1,1,20060825
17272,CPT,Destruction of skin lesions,,,21 ,,RBRVS,1.77 ,1.11 ,2.00 ,,,,,1,0,1,1,1,1,20060825
17273,CPT,Destruction of skin lesions,,,21 ,,RBRVS,2.05 ,1.21 ,2.21 ,,,,,1,0,1,1,1,1,20060825
17274,CPT,Destruction of skin lesions,,,21 ,,RBRVS,2.59 ,1.44 ,2.57 ,,,,,1,0,1,1,1,1,20060825
17276,CPT,Destruction of skin lesions,,,21 ,,RBRVS,3.20 ,1.68 ,2.95 ,,,,,1,0,1,1,1,1,20060825
17280,CPT,Destruction of skin lesions,,,21 ,,RBRVS,1.17 ,0.81 ,1.61 ,,,,,1,0,1,1,1,1,20060825
17281,CPT,Destruction of skin lesions,,,21 ,,RBRVS,1.72 ,1.09 ,1.91 ,,,,,1,0,1,1,1,1,20060825
17282,CPT,Destruction of skin lesions,,,21 ,,RBRVS,2.04 ,1.24 ,2.16 ,,,,,1,0,1,1,1,1,20060825
17283,CPT,Destruction of skin lesions,,,21 ,,RBRVS,2.64 ,1.49 ,2.55 ,,,,,1,0,1,1,1,1,20060825
17284,CPT,Destruction of skin lesions,,,21 ,,RBRVS,3.21 ,1.76 ,2.93 ,,,,,1,0,1,1,1,1,20060825
17286,CPT,Destruction of skin lesions,,,21 ,,RBRVS,4.43 ,2.45 ,3.68 ,,,,,1,0,1,1,1,1,20060825
17304,CPT,"1 stage mohs, up to 5 spec",,,21 ,,RBRVS,7.59 ,3.57 ,8.26 ,,,,,1,0,1,1,1,1,20060825
17305,CPT,"2 stage mohs, up to 5 spec",,,21 ,,RBRVS,2.85 ,1.34 ,3.90 ,,,,,1,0,1,1,1,1,20060825
17306,CPT,"3 stage mohs, up to 5 spec",,,21 ,,RBRVS,2.85 ,1.35 ,3.92 ,,,,,1,0,1,1,1,1,20060825
17307,CPT,Mohs addl stage up to 5 spec,,,21 ,,RBRVS,2.85 ,1.36 ,3.57 ,,,,,1,0,1,1,1,1,20060825
17310,CPT,Mohs any stage > 5 spec each,,,21 ,,RBRVS,0.95 ,0.46 ,1.62 ,,,,,1,0,1,1,1,1,20060825
17340,CPT,Cryotherapy of skin,,,21 ,,RBRVS,0.76 ,0.36 ,0.37 ,,,,,1,0,1,1,1,1,20060825
17360,CPT,Skin peel therapy,,,21 ,,RBRVS,1.43 ,0.87 ,1.44 ,,,,,1,0,1,1,1,1,20060825
17380,CPT,Hair removal by electrolysis,,,21 ,,TotalUnits,,,,0.76 ,,,,1,0,1,1,1,1,20060825
17999,CPT,Skin tissue procedure,,,21 ,,TotalUnits,,,,1.74 ,,,,1,0,1,1,1,1,20060825
19000,CPT,Drainage of breast lesion,,,21 ,,RBRVS,0.84 ,0.31 ,1.99 ,,,,,1,0,1,1,1,1,20060825
19001,CPT,Drain breast lesion add-on,,,21 ,,RBRVS,0.42 ,0.14 ,0.25 ,,,,,1,0,1,1,1,1,20060825
19020,CPT,Incision of breast lesion,,,21 ,,RBRVS,3.56 ,2.68 ,6.35 ,,,,,1,0,1,1,1,1,20060825
19030,CPT,Injection for breast x-ray,,,21 ,,RBRVS,1.53 ,0.50 ,2.87 ,,,,,1,0,1,1,1,1,20060825
19100,CPT,Bx breast percut w/o image,,,21 ,,RBRVS,1.27 ,0.42 ,2.09 ,,,,,1,0,1,1,1,1,20060825
19101,CPT,"Biopsy of breast, open",,,21 ,,RBRVS,3.18 ,1.92 ,4.51 ,,,,,1,0,1,1,1,1,20060825
19102,CPT,Bx breast percut w/image,,,21 ,,RBRVS,2.00 ,0.66 ,3.84 ,,,,,1,0,1,1,1,1,20060825
19103,CPT,Bx breast percut w/device,,,21 ,,RBRVS,3.69 ,1.23 ,11.52 ,,,,,1,0,1,1,1,1,20060825
19110,CPT,Nipple exploration,,,21 ,,RBRVS,4.29 ,2.87 ,5.81 ,,,,,1,0,1,1,1,1,20060825
19112,CPT,Excise breast duct fistula,,,21 ,,RBRVS,3.66 ,2.69 ,6.08 ,,,,,1,0,1,1,1,1,20060825
19120,CPT,Removal of breast lesion,,,21 ,,RBRVS,5.55 ,3.07 ,4.55 ,,,,,1,0,1,1,1,1,20060825
19125,CPT,"Excision, breast lesion",,,21 ,,RBRVS,6.05 ,3.29 ,4.79 ,,,,,1,0,1,1,1,1,20060825
19126,CPT,"Excision, addl breast lesion",,,21 ,,RBRVS,2.93 ,1.00 ,1.00 ,,,,,1,0,1,1,1,1,20060825
19140,CPT,Removal of breast tissue,,,21 ,,RBRVS,5.13 ,3.40 ,7.16 ,,,,,1,0,1,1,1,1,20060825
19160,CPT,Removal of breast tissue,,,21 ,,RBRVS,5.98 ,3.43 ,3.43 ,,,,,1,0,1,1,1,1,20060825
19162,CPT,"Remove breast tissue, nodes",,,21 ,,RBRVS,13.51 ,6.35 ,6.35 ,,,,,1,0,1,1,1,1,20060825
19180,CPT,Removal of breast,,,21 ,,RBRVS,8.79 ,5.03 ,5.03 ,,,,,1,0,1,1,1,1,20060825
19182,CPT,Removal of breast,,,21 ,,RBRVS,7.72 ,4.76 ,4.76 ,,,,,1,0,1,1,1,1,20060825
19200,CPT,Removal of breast,,,21 ,,RBRVS,15.47 ,7.98 ,7.98 ,,,,,1,0,1,1,1,1,20060825
19220,CPT,Removal of breast,,,21 ,,RBRVS,15.70 ,8.25 ,8.25 ,,,,,1,0,1,1,1,1,20060825
19240,CPT,Removal of breast,,,21 ,,RBRVS,15.98 ,8.22 ,8.22 ,,,,,1,0,1,1,1,1,20060825
19260,CPT,Removal of chest wall lesion,,,21 ,,RBRVS,15.42 ,11.18 ,11.18 ,,,,,1,0,1,1,1,1,20060825
19271,CPT,Revision of chest wall,,,21 ,,RBRVS,18.87 ,18.00 ,18.00 ,,,,,1,0,1,1,1,1,20060825
19272,CPT,Extensive chest wall surgery,,,21 ,,RBRVS,21.52 ,18.98 ,18.98 ,,,,,1,0,1,1,1,1,20060825
19290,CPT,"Place needle wire, breast",,,21 ,,RBRVS,1.27 ,0.42 ,2.86 ,,,,,1,0,1,1,1,1,20060825
19291,CPT,"Place needle wire, breast",,,21 ,,RBRVS,0.63 ,0.21 ,1.21 ,,,,,1,0,1,1,1,1,20060825
19295,CPT,"Place breast clip, percut",,,21 ,,RBRVS,0.00 ,2.70 ,2.70 ,,,,,1,1,1,0,1,1,20060825
19296,CPT,Place po breast cath for rad,,,21 ,,RBRVS,3.63 ,1.53 ,125.75 ,,,,,1,0,1,1,1,1,20060825
19297,CPT,Place breast cath for rad,,,21 ,,RBRVS,1.72 ,0.64 ,0.64 ,,,,,1,0,1,1,1,1,20060825
19298,CPT,Place breast rad tube/caths,,,21 ,,RBRVS,6.00 ,2.42 ,42.28 ,,,,,1,0,1,1,1,1,20060825
19316,CPT,Suspension of breast,,,21 ,,RBRVS,10.67 ,7.53 ,7.53 ,,,,,1,0,1,1,1,1,20060825
19318,CPT,Reduction of large breast,,,21 ,,RBRVS,15.60 ,11.20 ,11.20 ,,,,,1,0,1,1,1,1,20060825
19324,CPT,Enlarge breast,,,21 ,,RBRVS,5.84 ,4.90 ,4.90 ,,,,,1,0,1,1,1,1,20060825
19325,CPT,Enlarge breast with implant,,,21 ,,RBRVS,8.44 ,6.54 ,6.54 ,,,,,1,0,1,1,1,1,20060825
19328,CPT,Removal of breast implant,,,21 ,,RBRVS,5.67 ,5.03 ,5.03 ,,,,,1,0,1,1,1,1,20060825
19330,CPT,Removal of implant material,,,21 ,,RBRVS,7.58 ,6.05 ,6.05 ,,,,,1,0,1,1,1,1,20060825
19340,CPT,Immediate breast prosthesis,,,21 ,,RBRVS,6.32 ,3.12 ,3.12 ,,,,,1,0,1,1,1,1,20060825
19342,CPT,Delayed breast prosthesis,,,21 ,,RBRVS,11.18 ,8.95 ,8.95 ,,,,,1,0,1,1,1,1,20060825
19350,CPT,Breast reconstruction,,,21 ,,RBRVS,8.91 ,7.19 ,13.88 ,,,,,1,0,1,1,1,1,20060825
19355,CPT,Correct inverted nipple(s),,,21 ,,RBRVS,7.56 ,4.71 ,10.28 ,,,,,1,0,1,1,1,1,20060825
19357,CPT,Breast reconstruction,,,21 ,,RBRVS,18.13 ,15.66 ,15.66 ,,,,,1,0,1,1,1,1,20060825
19361,CPT,Breast reconstruction,,,21 ,,RBRVS,19.23 ,12.47 ,12.47 ,,,,,1,0,1,1,1,1,20060825
19364,CPT,Breast reconstruction,,,21 ,,RBRVS,40.94 ,23.61 ,23.61 ,,,,,1,0,1,1,1,1,20060825
19366,CPT,Breast reconstruction,,,21 ,,RBRVS,21.25 ,11.61 ,11.61 ,,,,,1,0,1,1,1,1,20060825
19367,CPT,Breast reconstruction,,,21 ,,RBRVS,25.69 ,16.74 ,16.74 ,,,,,1,0,1,1,1,1,20060825
19368,CPT,Breast reconstruction,,,21 ,,RBRVS,32.37 ,18.97 ,18.97 ,,,,,1,0,1,1,1,1,20060825
19369,CPT,Breast reconstruction,,,21 ,,RBRVS,29.78 ,18.45 ,18.45 ,,,,,1,0,1,1,1,1,20060825
19370,CPT,Surgery of breast capsule,,,21 ,,RBRVS,8.04 ,6.92 ,6.92 ,,,,,1,0,1,1,1,1,20060825
19371,CPT,Removal of breast capsule,,,21 ,,RBRVS,9.34 ,7.84 ,7.84 ,,,,,1,0,1,1,1,1,20060825
19380,CPT,Revise breast reconstruction,,,21 ,,RBRVS,9.13 ,7.72 ,7.72 ,,,,,1,0,1,1,1,1,20060825
19396,CPT,Design custom breast implant,,,21 ,,RBRVS,2.17 ,0.99 ,1.08 ,,,,,1,0,1,1,1,1,20060825
19499,CPT,Breast surgery procedure,,,21 ,,TotalUnits,,,,8.77 ,,,,1,0,1,1,1,1,20060825
20000,CPT,Incision of abscess,,,21 ,,RBRVS,2.12 ,1.74 ,2.70 ,,,,,1,0,1,1,1,1,20060825
20005,CPT,Incision of deep abscess,,,21 ,,RBRVS,3.41 ,2.26 ,3.50 ,,,,,1,0,1,1,1,1,20060825
20100,CPT,"Explore wound, neck",,,21 ,,RBRVS,10.06 ,4.47 ,4.47 ,,,,,1,0,1,1,1,1,20060825
20101,CPT,"Explore wound, chest",,,21 ,,RBRVS,3.22 ,1.62 ,5.94 ,,,,,1,0,1,1,1,1,20060825
20102,CPT,"Explore wound, abdomen",,,21 ,,RBRVS,3.93 ,1.91 ,7.48 ,,,,,1,0,1,1,1,1,20060825
20103,CPT,"Explore wound, extremity",,,21 ,,RBRVS,5.29 ,3.40 ,8.60 ,,,,,1,0,1,1,1,1,20060825
20150,CPT,Excise epiphyseal bar,,,21 ,,RBRVS,13.67 ,7.05 ,7.05 ,,,,,1,0,1,1,1,1,20060825
20200,CPT,Muscle biopsy,,,21 ,,RBRVS,1.46 ,0.75 ,3.04 ,,,,,1,0,1,1,1,1,20060825
20205,CPT,Deep muscle biopsy,,,21 ,,RBRVS,2.35 ,1.19 ,3.90 ,,,,,1,0,1,1,1,1,20060825
20206,CPT,"Needle biopsy, muscle",,,21 ,,RBRVS,0.99 ,0.63 ,6.52 ,,,,,1,0,1,1,1,1,20060825
20220,CPT,"Bone biopsy, trocar/needle",,,21 ,,RBRVS,1.27 ,0.79 ,4.57 ,,,,,1,0,1,1,1,1,20060825
20225,CPT,"Bone biopsy, trocar/needle",,,21 ,,RBRVS,1.87 ,1.13 ,24.52 ,,,,,1,0,1,1,1,1,20060825
20240,CPT,"Bone biopsy, excisional",,,21 ,,RBRVS,3.23 ,2.56 ,2.56 ,,,,,1,0,1,1,1,1,20060825
20245,CPT,"Bone biopsy, excisional",,,21 ,,RBRVS,7.77 ,6.59 ,6.59 ,,,,,1,0,1,1,1,1,20060825
20250,CPT,Open bone biopsy,,,21 ,,RBRVS,5.02 ,3.51 ,3.51 ,,,,,1,0,1,1,1,1,20060825
20251,CPT,Open bone biopsy,,,21 ,,RBRVS,5.55 ,4.17 ,4.17 ,,,,,1,0,1,1,1,1,20060825
20500,CPT,Injection of sinus tract,,,21 ,,RBRVS,1.23 ,1.53 ,2.27 ,,,,,1,0,1,1,1,1,20060825
20501,CPT,Inject sinus tract for x-ray,,,21 ,,RBRVS,0.76 ,0.25 ,2.92 ,,,,,1,0,1,1,1,1,20060825
20520,CPT,Removal of foreign body,,,21 ,,RBRVS,1.85 ,1.77 ,2.92 ,,,,,1,0,1,1,1,1,20060825
20525,CPT,Removal of foreign body,,,21 ,,RBRVS,3.49 ,2.63 ,9.17 ,,,,,1,0,1,1,1,1,20060825
20526,CPT,"Ther injection, carp tunnel",,,21 ,,RBRVS,0.94 ,0.52 ,0.97 ,,,,,1,0,1,1,1,1,20060825
20550,CPT,Inj tendon sheath/ligament,,,21 ,,RBRVS,0.75 ,0.23 ,0.71 ,,,,,1,0,1,1,1,1,20060825
20551,CPT,Inject tendon origin/insert,,,21 ,,RBRVS,0.75 ,0.33 ,0.68 ,,,,,1,0,1,1,1,1,20060825
20552,CPT,"Inject trigger point, 1 or 2",,,21 ,,RBRVS,0.66 ,0.20 ,0.72 ,,,,,1,0,1,1,1,1,20060825
20553,CPT,"Inject trigger points, =/> 3",,,21 ,,RBRVS,0.75 ,0.22 ,0.82 ,,,,,1,0,1,1,1,1,20060825
20600,CPT,"Drain/inject, joint/bursa",,,21 ,,RBRVS,0.66 ,0.35 ,0.65 ,,,,,1,0,1,1,1,1,20060825
20605,CPT,"Drain/inject, joint/bursa",,,21 ,,RBRVS,0.68 ,0.36 ,0.76 ,,,,,1,0,1,1,1,1,20060825
20610,CPT,"Drain/inject, joint/bursa",,,21 ,,RBRVS,0.79 ,0.42 ,0.95 ,,,,,1,0,1,1,1,1,20060825
20612,CPT,Aspirate/inj ganglion cyst,,,21 ,,RBRVS,0.70 ,0.36 ,0.71 ,,,,,1,0,1,1,1,1,20060825
20615,CPT,Treatment of bone cyst,,,21 ,,RBRVS,2.28 ,1.85 ,3.52 ,,,,,1,0,1,1,1,1,20060825
20650,CPT,Insert and remove bone pin,,,21 ,,RBRVS,2.23 ,1.55 ,2.37 ,,,,,1,0,1,1,1,1,20060825
20660,CPT,"Apply, rem fixation device",,,21 ,,RBRVS,2.51 ,1.61 ,3.06 ,,,,,1,0,1,1,1,1,20060825
20661,CPT,Application of head brace,,,21 ,,RBRVS,4.88 ,4.92 ,4.92 ,,,,,1,0,1,1,1,1,20060825
20662,CPT,Application of pelvis brace,,,21 ,,RBRVS,6.06 ,5.54 ,5.54 ,,,,,1,0,1,1,1,1,20060825
20663,CPT,Application of thigh brace,,,21 ,,RBRVS,5.42 ,4.84 ,4.84 ,,,,,1,0,1,1,1,1,20060825
20664,CPT,Halo brace application,,,21 ,,RBRVS,8.05 ,7.06 ,7.06 ,,,,,1,0,1,1,1,1,20060825
20665,CPT,Removal of fixation device,,,21 ,,RBRVS,1.31 ,1.35 ,2.16 ,,,,,1,0,1,1,1,1,20060825
20670,CPT,Removal of support implant,,,21 ,,RBRVS,1.74 ,2.11 ,11.57 ,,,,,1,0,1,1,1,1,20060825
20680,CPT,Removal of support implant,,,21 ,,RBRVS,3.34 ,3.73 ,8.81 ,,,,,1,0,1,1,1,1,20060825
20690,CPT,Apply bone fixation device,,,21 ,,RBRVS,3.51 ,2.52 ,2.52 ,,,,,1,0,1,1,1,1,20060825
20692,CPT,Apply bone fixation device,,,21 ,,RBRVS,6.40 ,3.78 ,3.78 ,,,,,1,0,1,1,1,1,20060825
20693,CPT,Adjust bone fixation device,,,21 ,,RBRVS,5.85 ,5.46 ,5.46 ,,,,,1,0,1,1,1,1,20060825
20694,CPT,Remove bone fixation device,,,21 ,,RBRVS,4.15 ,4.05 ,7.16 ,,,,,1,0,1,1,1,1,20060825
20802,CPT,"Replantation, arm, complete",,,21 ,,RBRVS,41.09 ,21.01 ,21.01 ,,,,,1,0,1,1,1,1,20060825
20805,CPT,"Replant forearm, complete",,,21 ,,RBRVS,49.93 ,34.41 ,34.41 ,,,,,1,0,1,1,1,1,20060825
20808,CPT,"Replantation hand, complete",,,21 ,,RBRVS,61.56 ,42.34 ,42.34 ,,,,,1,0,1,1,1,1,20060825
20816,CPT,"Replantation digit, complete",,,21 ,,RBRVS,30.89 ,37.90 ,37.90 ,,,,,1,0,1,1,1,1,20060825
20822,CPT,"Replantation digit, complete",,,21 ,,RBRVS,25.55 ,34.69 ,34.69 ,,,,,1,0,1,1,1,1,20060825
20824,CPT,"Replantation thumb, complete",,,21 ,,RBRVS,30.89 ,36.65 ,36.65 ,,,,,1,0,1,1,1,1,20060825
20827,CPT,"Replantation thumb, complete",,,21 ,,RBRVS,26.37 ,36.58 ,36.58 ,,,,,1,0,1,1,1,1,20060825
20838,CPT,"Replantation foot, complete",,,21 ,,RBRVS,41.35 ,22.34 ,22.34 ,,,,,1,0,1,1,1,1,20060825
20900,CPT,Removal of bone for graft,,,21 ,,RBRVS,5.57 ,5.69 ,8.45 ,,,,,1,0,1,1,1,1,20060825
20902,CPT,Removal of bone for graft,,,21 ,,RBRVS,7.54 ,6.90 ,6.90 ,,,,,1,0,1,1,1,1,20060825
20910,CPT,Remove cartilage for graft,,,21 ,,RBRVS,5.33 ,5.20 ,5.20 ,,,,,1,0,1,1,1,1,20060825
20912,CPT,Remove cartilage for graft,,,21 ,,RBRVS,6.34 ,5.81 ,5.81 ,,,,,1,0,1,1,1,1,20060825
20920,CPT,Removal of fascia for graft,,,21 ,,RBRVS,5.30 ,4.23 ,4.23 ,,,,,1,0,1,1,1,1,20060825
20922,CPT,Removal of fascia for graft,,,21 ,,RBRVS,6.60 ,4.88 ,7.56 ,,,,,1,0,1,1,1,1,20060825
20924,CPT,Removal of tendon for graft,,,21 ,,RBRVS,6.47 ,5.90 ,5.90 ,,,,,1,0,1,1,1,1,20060825
20926,CPT,Removal of tissue for graft,,,21 ,,RBRVS,5.52 ,4.76 ,4.76 ,,,,,1,0,1,1,1,1,20060825
20930,CPT,Spinal bone allograft,,,21 ,,TotalUnits,,,,3.65 ,,,,1,0,1,1,1,1,20060825
20931,CPT,Spinal bone allograft,,,21 ,,RBRVS,1.81 ,0.93 ,0.93 ,,,,,1,0,1,1,1,1,20060825
20936,CPT,Spinal bone autograft,,,21 ,,TotalUnits,,,,5.55 ,,,,1,0,1,1,1,1,20060825
20937,CPT,Spinal bone autograft,,,21 ,,RBRVS,2.79 ,1.45 ,1.45 ,,,,,1,0,1,1,1,1,20060825
20938,CPT,Spinal bone autograft,,,21 ,,RBRVS,3.02 ,1.56 ,1.56 ,,,,,1,0,1,1,1,1,20060825
20950,CPT,"Fluid pressure, muscle",,,21 ,,RBRVS,1.26 ,0.99 ,6.86 ,,,,,1,0,1,1,1,1,20060825
20955,CPT,"Fibula bone graft, microvasc",,,21 ,,RBRVS,39.15 ,24.34 ,24.34 ,,,,,1,0,1,1,1,1,20060825
20956,CPT,"Iliac bone graft, microvasc",,,21 ,,RBRVS,39.21 ,24.81 ,24.81 ,,,,,1,0,1,1,1,1,20060825
20957,CPT,"Mt bone graft, microvasc",,,21 ,,RBRVS,40.59 ,18.99 ,18.99 ,,,,,1,0,1,1,1,1,20060825
20962,CPT,"Other bone graft, microvasc",,,21 ,,RBRVS,39.21 ,26.60 ,26.60 ,,,,,1,0,1,1,1,1,20060825
20969,CPT,"Bone/skin graft, microvasc",,,21 ,,RBRVS,43.85 ,26.71 ,26.71 ,,,,,1,0,1,1,1,1,20060825
20970,CPT,"Bone/skin graft, iliac crest",,,21 ,,RBRVS,43.00 ,25.45 ,25.45 ,,,,,1,0,1,1,1,1,20060825
20972,CPT,"Bone/skin graft, metatarsal",,,21 ,,RBRVS,42.93 ,20.64 ,20.64 ,,,,,1,0,1,1,1,1,20060825
20973,CPT,"Bone/skin graft, great toe",,,21 ,,RBRVS,45.69 ,25.23 ,25.23 ,,,,,1,0,1,1,1,1,20060825
20974,CPT,Electrical bone stimulation,,,21 ,,RBRVS,0.62 ,0.54 ,0.69 ,,,,,1,1,1,0,1,1,20060825
20975,CPT,Electrical bone stimulation,,,21 ,,RBRVS,2.60 ,1.71 ,1.71 ,,,,,1,0,1,1,1,1,20060825
20979,CPT,Us bone stimulation,,,21 ,,RBRVS,0.62 ,0.34 ,0.80 ,,,,,1,1,1,0,1,1,20060825
20982,CPT,"Ablate, bone tumor(s) perq",,,21 ,,RBRVS,7.27 ,2.98 ,109.86 ,,,,,1,0,1,1,1,1,20060825
20999,CPT,Musculoskeletal surgery,,,21 ,,TotalUnits,,,,1.41 ,,,,1,0,1,1,1,1,20060825
21010,CPT,Incision of jaw joint,,,21 ,,RBRVS,10.12 ,7.11 ,7.11 ,,,,,1,0,1,1,1,1,20060825
21015,CPT,Resection of facial tumor,,,21 ,,RBRVS,5.28 ,5.02 ,5.02 ,,,,,1,0,1,1,1,1,20060825
21025,CPT,"Excision of bone, lower jaw",,,21 ,,RBRVS,10.04 ,9.38 ,12.28 ,,,,,1,0,1,1,1,1,20060825
21026,CPT,Excision of facial bone(s),,,21 ,,RBRVS,4.84 ,6.34 ,7.88 ,,,,,1,0,1,1,1,1,20060825
21029,CPT,Contour of face bone lesion,,,21 ,,RBRVS,7.70 ,7.03 ,9.40 ,,,,,1,0,1,1,1,1,20060825
21030,CPT,Excise max/zygoma b9 tumor,,,21 ,,RBRVS,4.49 ,5.04 ,6.35 ,,,,,1,0,1,1,1,1,20060825
21031,CPT,"Remove exostosis, mandible",,,21 ,,RBRVS,3.24 ,3.63 ,5.18 ,,,,,1,0,1,1,1,1,20060825
21032,CPT,"Remove exostosis, maxilla",,,21 ,,RBRVS,3.24 ,3.52 ,5.36 ,,,,,1,0,1,1,1,1,20060825
21034,CPT,Excise max/zygoma mlg tumor,,,21 ,,RBRVS,16.15 ,12.70 ,15.97 ,,,,,1,0,1,1,1,1,20060825
21040,CPT,Excise mandible lesion,,,21 ,,RBRVS,4.49 ,4.73 ,6.41 ,,,,,1,0,1,1,1,1,20060825
21044,CPT,Removal of jaw bone lesion,,,21 ,,RBRVS,11.84 ,9.40 ,9.40 ,,,,,1,0,1,1,1,1,20060825
21045,CPT,Extensive jaw surgery,,,21 ,,RBRVS,16.15 ,12.39 ,12.39 ,,,,,1,0,1,1,1,1,20060825
21046,CPT,Remove mandible cyst complex,,,21 ,,RBRVS,12.98 ,11.93 ,11.93 ,,,,,1,0,1,1,1,1,20060825
21047,CPT,Excise lwr jaw cyst w/repair,,,21 ,,RBRVS,18.72 ,13.48 ,13.48 ,,,,,1,0,1,1,1,1,20060825
21048,CPT,Remove maxilla cyst complex,,,21 ,,RBRVS,13.48 ,12.17 ,12.17 ,,,,,1,0,1,1,1,1,20060825
21049,CPT,Excis uppr jaw cyst w/repair,,,21 ,,RBRVS,17.97 ,13.06 ,13.06 ,,,,,1,0,1,1,1,1,20060825
21050,CPT,Removal of jaw joint,,,21 ,,RBRVS,10.75 ,9.47 ,9.47 ,,,,,1,0,1,1,1,1,20060825
21060,CPT,Remove jaw joint cartilage,,,21 ,,RBRVS,10.21 ,8.63 ,8.63 ,,,,,1,0,1,1,1,1,20060825
21070,CPT,Remove coronoid process,,,21 ,,RBRVS,8.19 ,7.12 ,7.12 ,,,,,1,0,1,1,1,1,20060825
21076,CPT,Prepare face/oral prosthesis,,,21 ,,RBRVS,13.40 ,10.03 ,12.39 ,,,,,1,0,1,1,1,1,20060825
21077,CPT,Prepare face/oral prosthesis,,,21 ,,RBRVS,33.70 ,26.08 ,31.42 ,,,,,1,0,1,1,1,1,20060825
21079,CPT,Prepare face/oral prosthesis,,,21 ,,RBRVS,22.31 ,17.20 ,21.56 ,,,,,1,0,1,1,1,1,20060825
21080,CPT,Prepare face/oral prosthesis,,,21 ,,RBRVS,25.06 ,19.42 ,24.56 ,,,,,1,0,1,1,1,1,20060825
21081,CPT,Prepare face/oral prosthesis,,,21 ,,RBRVS,22.85 ,17.54 ,22.36 ,,,,,1,0,1,1,1,1,20060825
21082,CPT,Prepare face/oral prosthesis,,,21 ,,RBRVS,20.84 ,15.78 ,19.40 ,,,,,1,0,1,1,1,1,20060825
21083,CPT,Prepare face/oral prosthesis,,,21 ,,RBRVS,19.27 ,14.47 ,18.84 ,,,,,1,0,1,1,1,1,20060825
21084,CPT,Prepare face/oral prosthesis,,,21 ,,RBRVS,22.48 ,17.75 ,22.50 ,,,,,1,0,1,1,1,1,20060825
21085,CPT,Prepare face/oral prosthesis,,,21 ,,RBRVS,8.99 ,6.80 ,8.31 ,,,,,1,0,1,1,1,1,20060825
21086,CPT,Prepare face/oral prosthesis,,,21 ,,RBRVS,24.88 ,19.49 ,23.81 ,,,,,1,0,1,1,1,1,20060825
21087,CPT,Prepare face/oral prosthesis,,,21 ,,RBRVS,24.88 ,19.25 ,23.35 ,,,,,1,0,1,1,1,1,20060825
21088,CPT,Prepare face/oral prosthesis,,,21 ,,TotalUnits,,,,10.85 ,,,,1,0,1,1,1,1,20060825
21089,CPT,Prepare face/oral prosthesis,,,21 ,,TotalUnits,,,,16.97 ,,,,1,0,1,1,1,1,20060825
21100,CPT,Maxillofacial fixation,,,21 ,,RBRVS,4.21 ,4.75 ,11.56 ,,,,,1,0,1,1,1,1,20060825
21110,CPT,Interdental fixation,,,21 ,,RBRVS,5.20 ,8.38 ,9.59 ,,,,,1,0,1,1,1,1,20060825
21116,CPT,"Injection, jaw joint x-ray",,,21 ,,RBRVS,0.81 ,0.33 ,4.34 ,,,,,1,0,1,1,1,1,20060825
21120,CPT,Reconstruction of chin,,,21 ,,RBRVS,4.92 ,7.51 ,10.61 ,,,,,1,0,1,1,1,1,20060825
21121,CPT,Reconstruction of chin,,,21 ,,RBRVS,7.63 ,7.84 ,9.76 ,,,,,1,0,1,1,1,1,20060825
21122,CPT,Reconstruction of chin,,,21 ,,RBRVS,8.51 ,8.64 ,8.64 ,,,,,1,0,1,1,1,1,20060825
21123,CPT,Reconstruction of chin,,,21 ,,RBRVS,11.14 ,10.83 ,10.83 ,,,,,1,0,1,1,1,1,20060825
21125,CPT,"Augmentation, lower jaw bone",,,21 ,,RBRVS,10.60 ,8.34 ,55.38 ,,,,,1,0,1,1,1,1,20060825
21127,CPT,"Augmentation, lower jaw bone",,,21 ,,RBRVS,11.10 ,9.48 ,42.92 ,,,,,1,0,1,1,1,1,20060825
21137,CPT,Reduction of forehead,,,21 ,,RBRVS,9.81 ,7.75 ,7.75 ,,,,,1,0,1,1,1,1,20060825
21138,CPT,Reduction of forehead,,,21 ,,RBRVS,12.17 ,9.56 ,9.56 ,,,,,1,0,1,1,1,1,20060825
21139,CPT,Reduction of forehead,,,21 ,,RBRVS,14.59 ,11.09 ,11.09 ,,,,,1,0,1,1,1,1,20060825
21141,CPT,"Reconstruct midface, lefort",,,21 ,,RBRVS,18.07 ,13.69 ,13.69 ,,,,,1,0,1,1,1,1,20060825
21142,CPT,"Reconstruct midface, lefort",,,21 ,,RBRVS,18.78 ,12.86 ,12.86 ,,,,,1,0,1,1,1,1,20060825
21143,CPT,"Reconstruct midface, lefort",,,21 ,,RBRVS,19.55 ,14.35 ,14.35 ,,,,,1,0,1,1,1,1,20060825
21145,CPT,"Reconstruct midface, lefort",,,21 ,,RBRVS,19.91 ,13.94 ,13.94 ,,,,,1,0,1,1,1,1,20060825
21146,CPT,"Reconstruct midface, lefort",,,21 ,,RBRVS,20.68 ,15.37 ,15.37 ,,,,,1,0,1,1,1,1,20060825
21147,CPT,"Reconstruct midface, lefort",,,21 ,,RBRVS,21.74 ,15.09 ,15.09 ,,,,,1,0,1,1,1,1,20060825
21150,CPT,"Reconstruct midface, lefort",,,21 ,,RBRVS,25.20 ,16.81 ,16.81 ,,,,,1,0,1,1,1,1,20060825
21151,CPT,"Reconstruct midface, lefort",,,21 ,,RBRVS,28.26 ,23.02 ,23.02 ,,,,,1,0,1,1,1,1,20060825
21154,CPT,"Reconstruct midface, lefort",,,21 ,,RBRVS,30.47 ,23.19 ,23.19 ,,,,,1,0,1,1,1,1,20060825
21155,CPT,"Reconstruct midface, lefort",,,21 ,,RBRVS,34.40 ,23.96 ,23.96 ,,,,,1,0,1,1,1,1,20060825
21159,CPT,"Reconstruct midface, lefort",,,21 ,,RBRVS,42.32 ,29.16 ,29.16 ,,,,,1,0,1,1,1,1,20060825
21160,CPT,"Reconstruct midface, lefort",,,21 ,,RBRVS,46.37 ,27.55 ,27.55 ,,,,,1,0,1,1,1,1,20060825
21172,CPT,Reconstruct orbit/forehead,,,21 ,,RBRVS,27.76 ,13.79 ,13.79 ,,,,,1,0,1,1,1,1,20060825
21175,CPT,Reconstruct orbit/forehead,,,21 ,,RBRVS,33.12 ,17.84 ,17.84 ,,,,,1,0,1,1,1,1,20060825
21179,CPT,Reconstruct entire forehead,,,21 ,,RBRVS,22.22 ,14.17 ,14.17 ,,,,,1,0,1,1,1,1,20060825
21180,CPT,Reconstruct entire forehead,,,21 ,,RBRVS,25.15 ,15.42 ,15.42 ,,,,,1,0,1,1,1,1,20060825
21181,CPT,Contour cranial bone lesion,,,21 ,,RBRVS,9.89 ,7.48 ,7.48 ,,,,,1,0,1,1,1,1,20060825
21182,CPT,Reconstruct cranial bone,,,21 ,,RBRVS,32.14 ,19.17 ,19.17 ,,,,,1,0,1,1,1,1,20060825
21183,CPT,Reconstruct cranial bone,,,21 ,,RBRVS,35.26 ,20.89 ,20.89 ,,,,,1,0,1,1,1,1,20060825
21184,CPT,Reconstruct cranial bone,,,21 ,,RBRVS,38.18 ,22.00 ,22.00 ,,,,,1,0,1,1,1,1,20060825
21188,CPT,Reconstruction of midface,,,21 ,,RBRVS,22.43 ,18.92 ,18.92 ,,,,,1,0,1,1,1,1,20060825
21193,CPT,Reconst lwr jaw w/o graft,,,21 ,,RBRVS,17.12 ,12.69 ,12.69 ,,,,,1,0,1,1,1,1,20060825
21194,CPT,Reconst lwr jaw w/graft,,,21 ,,RBRVS,19.81 ,13.79 ,13.79 ,,,,,1,0,1,1,1,1,20060825
21195,CPT,Reconst lwr jaw w/o fixation,,,21 ,,RBRVS,17.21 ,14.86 ,14.86 ,,,,,1,0,1,1,1,1,20060825
21196,CPT,Reconst lwr jaw w/fixation,,,21 ,,RBRVS,18.88 ,15.74 ,15.74 ,,,,,1,0,1,1,1,1,20060825
21198,CPT,Reconstr lwr jaw segment,,,21 ,,RBRVS,14.14 ,12.74 ,12.74 ,,,,,1,0,1,1,1,1,20060825
21199,CPT,Reconstr lwr jaw w/advance,,,21 ,,RBRVS,15.98 ,9.14 ,9.14 ,,,,,1,0,1,1,1,1,20060825
21206,CPT,Reconstruct upper jaw bone,,,21 ,,RBRVS,14.08 ,12.67 ,12.67 ,,,,,1,0,1,1,1,1,20060825
21208,CPT,Augmentation of facial bones,,,21 ,,RBRVS,10.21 ,9.61 ,22.39 ,,,,,1,0,1,1,1,1,20060825
21209,CPT,Reduction of facial bones,,,21 ,,RBRVS,6.71 ,8.09 ,10.83 ,,,,,1,0,1,1,1,1,20060825
21210,CPT,Face bone graft,,,21 ,,RBRVS,10.21 ,9.38 ,24.94 ,,,,,1,0,1,1,1,1,20060825
21215,CPT,Lower jaw bone graft,,,21 ,,RBRVS,10.75 ,9.39 ,42.00 ,,,,,1,0,1,1,1,1,20060825
21230,CPT,Rib cartilage graft,,,21 ,,RBRVS,10.75 ,8.06 ,8.06 ,,,,,1,0,1,1,1,1,20060825
21235,CPT,Ear cartilage graft,,,21 ,,RBRVS,6.71 ,6.43 ,9.87 ,,,,,1,0,1,1,1,1,20060825
21240,CPT,Reconstruction of jaw joint,,,21 ,,RBRVS,14.03 ,12.08 ,12.08 ,,,,,1,0,1,1,1,1,20060825
21242,CPT,Reconstruction of jaw joint,,,21 ,,RBRVS,12.93 ,11.54 ,11.54 ,,,,,1,0,1,1,1,1,20060825
21243,CPT,Reconstruction of jaw joint,,,21 ,,RBRVS,20.76 ,17.48 ,17.48 ,,,,,1,0,1,1,1,1,20060825
21244,CPT,Reconstruction of lower jaw,,,21 ,,RBRVS,11.84 ,12.13 ,12.13 ,,,,,1,0,1,1,1,1,20060825
21245,CPT,Reconstruction of jaw,,,21 ,,RBRVS,11.84 ,9.88 ,14.44 ,,,,,1,0,1,1,1,1,20060825
21246,CPT,Reconstruction of jaw,,,21 ,,RBRVS,12.45 ,9.07 ,9.07 ,,,,,1,0,1,1,1,1,20060825
21247,CPT,Reconstruct lower jaw bone,,,21 ,,RBRVS,22.60 ,17.40 ,17.40 ,,,,,1,0,1,1,1,1,20060825
21248,CPT,Reconstruction of jaw,,,21 ,,RBRVS,11.46 ,9.43 ,12.17 ,,,,,1,0,1,1,1,1,20060825
21249,CPT,Reconstruction of jaw,,,21 ,,RBRVS,17.49 ,12.73 ,16.77 ,,,,,1,0,1,1,1,1,20060825
21255,CPT,Reconstruct lower jaw bone,,,21 ,,RBRVS,16.69 ,16.18 ,16.18 ,,,,,1,0,1,1,1,1,20060825
21256,CPT,Reconstruction of orbit,,,21 ,,RBRVS,16.17 ,11.85 ,11.85 ,,,,,1,0,1,1,1,1,20060825
21260,CPT,Revise eye sockets,,,21 ,,RBRVS,16.50 ,12.80 ,12.80 ,,,,,1,0,1,1,1,1,20060825
21261,CPT,Revise eye sockets,,,21 ,,RBRVS,31.44 ,24.30 ,24.30 ,,,,,1,0,1,1,1,1,20060825
21263,CPT,Revise eye sockets,,,21 ,,RBRVS,28.38 ,19.13 ,19.13 ,,,,,1,0,1,1,1,1,20060825
21267,CPT,Revise eye sockets,,,21 ,,RBRVS,18.87 ,19.83 ,19.83 ,,,,,1,0,1,1,1,1,20060825
21268,CPT,Revise eye sockets,,,21 ,,RBRVS,24.44 ,20.27 ,20.27 ,,,,,1,0,1,1,1,1,20060825
21270,CPT,"Augmentation, cheek bone",,,21 ,,RBRVS,10.21 ,7.27 ,11.68 ,,,,,1,0,1,1,1,1,20060825
21275,CPT,"Revision, orbitofacial bones",,,21 ,,RBRVS,11.22 ,8.18 ,8.18 ,,,,,1,0,1,1,1,1,20060825
21280,CPT,Revision of eyelid,,,21 ,,RBRVS,6.02 ,5.94 ,5.94 ,,,,,1,0,1,1,1,1,20060825
21282,CPT,Revision of eyelid,,,21 ,,RBRVS,3.48 ,4.49 ,4.49 ,,,,,1,0,1,1,1,1,20060825
21295,CPT,Revision of jaw muscle/bone,,,21 ,,RBRVS,1.53 ,2.54 ,2.54 ,,,,,1,0,1,1,1,1,20060825
21296,CPT,Revision of jaw muscle/bone,,,21 ,,RBRVS,4.24 ,4.92 ,4.92 ,,,,,1,0,1,1,1,1,20060825
21299,CPT,Cranio/maxillofacial surgery,,,21 ,,TotalUnits,,,,20.01 ,,,,1,0,1,1,1,1,20060825
21300,CPT,Treatment of skull fracture,,,21 ,,RBRVS,0.72 ,0.26 ,2.37 ,,,,,1,0,1,1,1,1,20060825
21310,CPT,Treatment of nose fracture,,,21 ,,RBRVS,0.58 ,0.15 ,2.29 ,,,,,1,0,1,1,1,1,20060825
21315,CPT,Treatment of nose fracture,,,21 ,,RBRVS,1.51 ,1.89 ,4.24 ,,,,,1,0,1,1,1,1,20060825
21320,CPT,Treatment of nose fracture,,,21 ,,RBRVS,1.85 ,1.62 ,3.92 ,,,,,1,0,1,1,1,1,20060825
21325,CPT,Treatment of nose fracture,,,21 ,,RBRVS,3.76 ,8.64 ,8.64 ,,,,,1,0,1,1,1,1,20060825
21330,CPT,Treatment of nose fracture,,,21 ,,RBRVS,5.37 ,9.73 ,9.73 ,,,,,1,0,1,1,1,1,20060825
21335,CPT,Treatment of nose fracture,,,21 ,,RBRVS,8.60 ,9.65 ,9.65 ,,,,,1,0,1,1,1,1,20060825
21336,CPT,Treat nasal septal fracture,,,21 ,,RBRVS,5.71 ,9.64 ,9.64 ,,,,,1,0,1,1,1,1,20060825
21337,CPT,Treat nasal septal fracture,,,21 ,,RBRVS,2.70 ,3.58 ,6.14 ,,,,,1,0,1,1,1,1,20060825
21338,CPT,Treat nasoethmoid fracture,,,21 ,,RBRVS,6.45 ,14.06 ,14.06 ,,,,,1,0,1,1,1,1,20060825
21339,CPT,Treat nasoethmoid fracture,,,21 ,,RBRVS,8.08 ,13.94 ,13.94 ,,,,,1,0,1,1,1,1,20060825
21340,CPT,Treatment of nose fracture,,,21 ,,RBRVS,10.75 ,8.42 ,8.42 ,,,,,1,0,1,1,1,1,20060825
21343,CPT,Treatment of sinus fracture,,,21 ,,RBRVS,12.93 ,15.51 ,15.51 ,,,,,1,0,1,1,1,1,20060825
21344,CPT,Treatment of sinus fracture,,,21 ,,RBRVS,19.69 ,16.55 ,16.55 ,,,,,1,0,1,1,1,1,20060825
21345,CPT,Treat nose/jaw fracture,,,21 ,,RBRVS,8.15 ,7.19 ,9.87 ,,,,,1,0,1,1,1,1,20060825
21346,CPT,Treat nose/jaw fracture,,,21 ,,RBRVS,10.59 ,12.24 ,12.24 ,,,,,1,0,1,1,1,1,20060825
21347,CPT,Treat nose/jaw fracture,,,21 ,,RBRVS,12.67 ,16.24 ,16.24 ,,,,,1,0,1,1,1,1,20060825
21348,CPT,Treat nose/jaw fracture,,,21 ,,RBRVS,16.66 ,11.14 ,11.14 ,,,,,1,0,1,1,1,1,20060825
21355,CPT,Treat cheek bone fracture,,,21 ,,RBRVS,3.76 ,3.49 ,6.25 ,,,,,1,0,1,1,1,1,20060825
21356,CPT,Treat cheek bone fracture,,,21 ,,RBRVS,4.14 ,4.56 ,7.14 ,,,,,1,0,1,1,1,1,20060825
21360,CPT,Treat cheek bone fracture,,,21 ,,RBRVS,6.45 ,5.95 ,5.95 ,,,,,1,0,1,1,1,1,20060825
21365,CPT,Treat cheek bone fracture,,,21 ,,RBRVS,14.93 ,10.86 ,10.86 ,,,,,1,0,1,1,1,1,20060825
21366,CPT,Treat cheek bone fracture,,,21 ,,RBRVS,17.74 ,11.36 ,11.36 ,,,,,1,0,1,1,1,1,20060825
21385,CPT,Treat eye socket fracture,,,21 ,,RBRVS,9.15 ,8.30 ,8.30 ,,,,,1,0,1,1,1,1,20060825
21386,CPT,Treat eye socket fracture,,,21 ,,RBRVS,9.15 ,7.09 ,7.09 ,,,,,1,0,1,1,1,1,20060825
21387,CPT,Treat eye socket fracture,,,21 ,,RBRVS,9.69 ,8.98 ,8.98 ,,,,,1,0,1,1,1,1,20060825
21390,CPT,Treat eye socket fracture,,,21 ,,RBRVS,10.11 ,7.82 ,7.82 ,,,,,1,0,1,1,1,1,20060825
21395,CPT,Treat eye socket fracture,,,21 ,,RBRVS,12.66 ,9.05 ,9.05 ,,,,,1,0,1,1,1,1,20060825
21400,CPT,Treat eye socket fracture,,,21 ,,RBRVS,1.40 ,1.88 ,2.62 ,,,,,1,0,1,1,1,1,20060825
21401,CPT,Treat eye socket fracture,,,21 ,,RBRVS,3.26 ,3.50 ,8.01 ,,,,,1,0,1,1,1,1,20060825
21406,CPT,Treat eye socket fracture,,,21 ,,RBRVS,7.00 ,6.10 ,6.10 ,,,,,1,0,1,1,1,1,20060825
21407,CPT,Treat eye socket fracture,,,21 ,,RBRVS,8.60 ,6.88 ,6.88 ,,,,,1,0,1,1,1,1,20060825
21408,CPT,Treat eye socket fracture,,,21 ,,RBRVS,12.36 ,8.91 ,8.91 ,,,,,1,0,1,1,1,1,20060825
21421,CPT,Treat mouth roof fracture,,,21 ,,RBRVS,5.13 ,8.33 ,9.36 ,,,,,1,0,1,1,1,1,20060825
21422,CPT,Treat mouth roof fracture,,,21 ,,RBRVS,8.31 ,8.10 ,8.10 ,,,,,1,0,1,1,1,1,20060825
21423,CPT,Treat mouth roof fracture,,,21 ,,RBRVS,10.38 ,9.35 ,9.35 ,,,,,1,0,1,1,1,1,20060825
21431,CPT,Treat craniofacial fracture,,,21 ,,RBRVS,7.04 ,9.55 ,9.55 ,,,,,1,0,1,1,1,1,20060825
21432,CPT,Treat craniofacial fracture,,,21 ,,RBRVS,8.60 ,8.08 ,8.08 ,,,,,1,0,1,1,1,1,20060825
21433,CPT,Treat craniofacial fracture,,,21 ,,RBRVS,25.31 ,16.45 ,16.45 ,,,,,1,0,1,1,1,1,20060825
21435,CPT,Treat craniofacial fracture,,,21 ,,RBRVS,17.22 ,12.74 ,12.74 ,,,,,1,0,1,1,1,1,20060825
21436,CPT,Treat craniofacial fracture,,,21 ,,RBRVS,28.00 ,18.27 ,18.27 ,,,,,1,0,1,1,1,1,20060825
21440,CPT,Treat dental ridge fracture,,,21 ,,RBRVS,2.70 ,6.18 ,7.12 ,,,,,1,0,1,1,1,1,20060825
21445,CPT,Treat dental ridge fracture,,,21 ,,RBRVS,5.37 ,8.39 ,9.78 ,,,,,1,0,1,1,1,1,20060825
21450,CPT,Treat lower jaw fracture,,,21 ,,RBRVS,2.97 ,6.89 ,7.40 ,,,,,1,0,1,1,1,1,20060825
21451,CPT,Treat lower jaw fracture,,,21 ,,RBRVS,4.86 ,8.42 ,9.38 ,,,,,1,0,1,1,1,1,20060825
21452,CPT,Treat lower jaw fracture,,,21 ,,RBRVS,1.98 ,4.62 ,13.06 ,,,,,1,0,1,1,1,1,20060825
21453,CPT,Treat lower jaw fracture,,,21 ,,RBRVS,5.53 ,10.76 ,10.77 ,,,,,1,0,1,1,1,1,20060825
21454,CPT,Treat lower jaw fracture,,,21 ,,RBRVS,6.45 ,6.28 ,6.28 ,,,,,1,0,1,1,1,1,20060825
21461,CPT,Treat lower jaw fracture,,,21 ,,RBRVS,8.08 ,12.70 ,24.53 ,,,,,1,0,1,1,1,1,20060825
21462,CPT,Treat lower jaw fracture,,,21 ,,RBRVS,9.78 ,12.75 ,27.69 ,,,,,1,0,1,1,1,1,20060825
21465,CPT,Treat lower jaw fracture,,,21 ,,RBRVS,11.89 ,9.84 ,9.84 ,,,,,1,0,1,1,1,1,20060825
21470,CPT,Treat lower jaw fracture,,,21 ,,RBRVS,15.32 ,12.05 ,12.05 ,,,,,1,0,1,1,1,1,20060825
21480,CPT,Reset dislocated jaw,,,21 ,,RBRVS,0.61 ,0.19 ,1.78 ,,,,,1,0,1,1,1,1,20060825
21485,CPT,Reset dislocated jaw,,,21 ,,RBRVS,3.98 ,7.68 ,8.24 ,,,,,1,0,1,1,1,1,20060825
21490,CPT,Repair dislocated jaw,,,21 ,,RBRVS,11.84 ,9.72 ,9.72 ,,,,,1,0,1,1,1,1,20060825
21495,CPT,Treat hyoid bone fracture,,,21 ,,RBRVS,5.68 ,8.44 ,8.44 ,,,,,1,0,1,1,1,1,20060825
21497,CPT,Interdental wiring,,,21 ,,RBRVS,3.85 ,7.66 ,8.47 ,,,,,1,0,1,1,1,1,20060825
21499,CPT,Head surgery procedure,,,21 ,,TotalUnits,,,,7.51 ,,,,1,0,1,1,1,1,20060825
21501,CPT,Drain neck/chest lesion,,,21 ,,RBRVS,3.80 ,3.83 ,6.44 ,,,,,1,0,1,1,1,1,20060825
21502,CPT,Drain chest lesion,,,21 ,,RBRVS,7.11 ,5.65 ,5.65 ,,,,,1,0,1,1,1,1,20060825
21510,CPT,Drainage of bone lesion,,,21 ,,RBRVS,5.73 ,5.68 ,5.68 ,,,,,1,0,1,1,1,1,20060825
21550,CPT,Biopsy of neck/chest,,,21 ,,RBRVS,2.06 ,1.72 ,3.59 ,,,,,1,0,1,1,1,1,20060825
21555,CPT,"Remove lesion, neck/chest",,,21 ,,RBRVS,4.34 ,3.20 ,5.53 ,,,,,1,0,1,1,1,1,20060825
21556,CPT,"Remove lesion, neck/chest",,,21 ,,RBRVS,5.56 ,4.11 ,4.11 ,,,,,1,0,1,1,1,1,20060825
21557,CPT,"Remove tumor, neck/chest",,,21 ,,RBRVS,8.87 ,5.37 ,5.37 ,,,,,1,0,1,1,1,1,20060825
21600,CPT,Partial removal of rib,,,21 ,,RBRVS,6.88 ,5.75 ,5.75 ,,,,,1,0,1,1,1,1,20060825
21610,CPT,Partial removal of rib,,,21 ,,RBRVS,14.59 ,8.89 ,8.89 ,,,,,1,0,1,1,1,1,20060825
21615,CPT,Removal of rib,,,21 ,,RBRVS,9.86 ,6.70 ,6.70 ,,,,,1,0,1,1,1,1,20060825
21616,CPT,Removal of rib and nerves,,,21 ,,RBRVS,12.02 ,8.04 ,8.04 ,,,,,1,0,1,1,1,1,20060825
21620,CPT,Partial removal of sternum,,,21 ,,RBRVS,6.78 ,5.99 ,5.99 ,,,,,1,0,1,1,1,1,20060825
21627,CPT,Sternal debridement,,,21 ,,RBRVS,6.80 ,6.32 ,6.32 ,,,,,1,0,1,1,1,1,20060825
21630,CPT,Extensive sternum surgery,,,21 ,,RBRVS,17.35 ,11.87 ,11.87 ,,,,,1,0,1,1,1,1,20060825
21632,CPT,Extensive sternum surgery,,,21 ,,RBRVS,18.11 ,11.14 ,11.14 ,,,,,1,0,1,1,1,1,20060825
21685,CPT,Hyoid myotomy & suspension,,,21 ,,RBRVS,12.98 ,10.00 ,10.00 ,,,,,1,0,1,1,1,1,20060825
21700,CPT,Revision of neck muscle,,,21 ,,RBRVS,6.18 ,4.45 ,4.45 ,,,,,1,0,1,1,1,1,20060825
21705,CPT,Revision of neck muscle/rib,,,21 ,,RBRVS,9.59 ,5.60 ,5.60 ,,,,,1,0,1,1,1,1,20060825
21720,CPT,Revision of neck muscle,,,21 ,,RBRVS,5.67 ,2.47 ,2.47 ,,,,,1,0,1,1,1,1,20060825
21725,CPT,Revision of neck muscle,,,21 ,,RBRVS,6.98 ,5.46 ,5.46 ,,,,,1,0,1,1,1,1,20060825
21740,CPT,Reconstruction of sternum,,,21 ,,RBRVS,16.48 ,8.54 ,8.54 ,,,,,1,0,1,1,1,1,20060825
21742,CPT,Repair stern/nuss w/o scope,,,21 ,,TotalUnits,,,,25.36 ,,,,1,0,1,1,1,1,20060825
21743,CPT,Repair sternum/nuss w/scope,,,21 ,,TotalUnits,,,,33.37 ,,,,1,0,1,1,1,1,20060825
21750,CPT,Repair of sternum separation,,,21 ,,RBRVS,10.75 ,6.13 ,6.13 ,,,,,1,0,1,1,1,1,20060825
21800,CPT,Treatment of rib fracture,,,21 ,,RBRVS,0.96 ,1.34 ,1.34 ,,,,,1,0,1,1,1,1,20060825
21805,CPT,Treatment of rib fracture,,,21 ,,RBRVS,2.75 ,3.21 ,3.21 ,,,,,1,0,1,1,1,1,20060825
21810,CPT,Treatment of rib fracture(s),,,21 ,,RBRVS,6.85 ,4.98 ,4.98 ,,,,,1,0,1,1,1,1,20060825
21820,CPT,Treat sternum fracture,,,21 ,,RBRVS,1.28 ,1.77 ,1.83 ,,,,,1,0,1,1,1,1,20060825
21825,CPT,Treat sternum fracture,,,21 ,,RBRVS,7.40 ,6.41 ,6.41 ,,,,,1,0,1,1,1,1,20060825
21899,CPT,Neck/chest surgery procedure,,,21 ,,TotalUnits,,,,7.88 ,,,,1,0,1,1,1,1,20060825
21920,CPT,Biopsy soft tissue of back,,,21 ,,RBRVS,2.06 ,1.47 ,3.29 ,,,,,1,0,1,1,1,1,20060825
21925,CPT,Biopsy soft tissue of back,,,21 ,,RBRVS,4.48 ,3.25 ,5.18 ,,,,,1,0,1,1,1,1,20060825
21930,CPT,"Remove lesion, back or flank",,,21 ,,RBRVS,4.99 ,3.41 ,5.73 ,,,,,1,0,1,1,1,1,20060825
21935,CPT,"Remove tumor, back",,,21 ,,RBRVS,17.93 ,9.65 ,9.65 ,,,,,1,0,1,1,1,1,20060825
22010,CPT,"I&d, p-spine, c/t/cerv-thor",,,21 ,,RBRVS,11.05 ,8.91 ,8.91 ,,,,,1,0,0,1,1,1,20060825
22015,CPT,"I&d, p-spine, l/s/ls",,,21 ,,RBRVS,10.94 ,8.85 ,8.85 ,,,,,1,0,0,1,1,1,20060825
22100,CPT,Remove part of neck vertebra,,,21 ,,RBRVS,9.72 ,7.55 ,7.55 ,,,,,1,0,1,1,1,1,20060825
22101,CPT,"Remove part, thorax vertebra",,,21 ,,RBRVS,9.80 ,7.77 ,7.77 ,,,,,1,0,1,1,1,1,20060825
22102,CPT,"Remove part, lumbar vertebra",,,21 ,,RBRVS,9.80 ,8.13 ,8.13 ,,,,,1,0,1,1,1,1,20060825
22103,CPT,Remove extra spine segment,,,21 ,,RBRVS,2.34 ,1.21 ,1.21 ,,,,,1,0,1,1,1,1,20060825
22110,CPT,Remove part of neck vertebra,,,21 ,,RBRVS,12.72 ,9.19 ,9.19 ,,,,,1,0,1,1,1,1,20060825
22112,CPT,"Remove part, thorax vertebra",,,21 ,,RBRVS,12.79 ,9.30 ,9.30 ,,,,,1,0,1,1,1,1,20060825
22114,CPT,"Remove part, lumbar vertebra",,,21 ,,RBRVS,12.79 ,9.28 ,9.28 ,,,,,1,0,1,1,1,1,20060825
22116,CPT,Remove extra spine segment,,,21 ,,RBRVS,2.32 ,1.17 ,1.17 ,,,,,1,0,1,1,1,1,20060825
22210,CPT,Revision of neck spine,,,21 ,,RBRVS,23.78 ,15.45 ,15.45 ,,,,,1,0,1,1,1,1,20060825
22212,CPT,Revision of thorax spine,,,21 ,,RBRVS,19.39 ,13.31 ,13.31 ,,,,,1,0,1,1,1,1,20060825
22214,CPT,Revision of lumbar spine,,,21 ,,RBRVS,19.42 ,13.85 ,13.85 ,,,,,1,0,1,1,1,1,20060825
22216,CPT,"Revise, extra spine segment",,,21 ,,RBRVS,6.03 ,3.14 ,3.14 ,,,,,1,0,1,1,1,1,20060825
22220,CPT,Revision of neck spine,,,21 ,,RBRVS,21.34 ,13.66 ,13.66 ,,,,,1,0,1,1,1,1,20060825
22222,CPT,Revision of thorax spine,,,21 ,,RBRVS,21.49 ,11.16 ,11.16 ,,,,,1,0,1,1,1,1,20060825
22224,CPT,Revision of lumbar spine,,,21 ,,RBRVS,21.49 ,14.26 ,14.26 ,,,,,1,0,1,1,1,1,20060825
22226,CPT,"Revise, extra spine segment",,,21 ,,RBRVS,6.03 ,3.10 ,3.10 ,,,,,1,0,1,1,1,1,20060825
22305,CPT,Treat spine process fracture,,,21 ,,RBRVS,2.05 ,1.93 ,2.32 ,,,,,1,0,1,1,1,1,20060825
22310,CPT,Treat spine fracture,,,21 ,,RBRVS,2.61 ,2.36 ,2.81 ,,,,,1,0,1,1,1,1,20060825
22315,CPT,Treat spine fracture,,,21 ,,RBRVS,8.83 ,7.35 ,9.71 ,,,,,1,0,1,1,1,1,20060825
22318,CPT,Treat odontoid fx w/o graft,,,21 ,,RBRVS,21.47 ,13.42 ,13.42 ,,,,,1,0,1,1,1,1,20060825
22319,CPT,Treat odontoid fx w/graft,,,21 ,,RBRVS,23.96 ,14.75 ,14.75 ,,,,,1,0,1,1,1,1,20060825
22325,CPT,Treat spine fracture,,,21 ,,RBRVS,18.27 ,12.11 ,12.11 ,,,,,1,0,1,1,1,1,20060825
22326,CPT,Treat neck spine fracture,,,21 ,,RBRVS,19.56 ,12.74 ,12.74 ,,,,,1,0,1,1,1,1,20060825
22327,CPT,Treat thorax spine fracture,,,21 ,,RBRVS,19.17 ,12.40 ,12.40 ,,,,,1,0,1,1,1,1,20060825
22328,CPT,Treat each add spine fx,,,21 ,,RBRVS,4.60 ,2.27 ,2.27 ,,,,,1,0,1,1,1,1,20060825
22505,CPT,Manipulation of spine,,,21 ,,RBRVS,1.87 ,0.94 ,0.94 ,,,,,1,0,1,1,1,1,20060825
22520,CPT,Percut vertebroplasty thor,,,21 ,,RBRVS,8.90 ,5.11 ,61.84 ,,,,,1,0,1,1,1,1,20060825
22521,CPT,Percut vertebroplasty lumb,,,21 ,,RBRVS,8.33 ,4.96 ,56.13 ,,,,,1,0,1,1,1,1,20060825
22522,CPT,Percut vertebroplasty addl,,,21 ,,RBRVS,4.30 ,1.68 ,1.68 ,,,,,1,0,1,1,1,1,20060825
22523,CPT,"Percut kyphoplasty, thor",,,21 ,,RBRVS,8.94 ,5.92 ,5.92 ,,,,,1,0,1,1,1,1,20060825
22524,CPT,"Percut kyphoplasty, lumbar",,,21 ,,RBRVS,8.54 ,5.71 ,5.71 ,,,,,1,0,1,1,1,1,20060825
22525,CPT,"Percut kyphoplasty, add-on",,,21 ,,RBRVS,4.47 ,2.28 ,2.28 ,,,,,1,0,1,1,1,1,20060825
22532,CPT,Lat thorax spine fusion,,,21 ,,RBRVS,23.96 ,14.86 ,14.86 ,,,,,1,0,1,1,1,1,20060825
22533,CPT,Lat lumbar spine fusion,,,21 ,,RBRVS,23.09 ,13.63 ,13.63 ,,,,,1,0,1,1,1,1,20060825
22534,CPT,"Lat thor/lumb, add?l seg",,,21 ,,RBRVS,5.99 ,3.04 ,3.04 ,,,,,1,0,1,1,1,1,20060825
22548,CPT,Neck spine fusion,,,21 ,,RBRVS,25.78 ,15.85 ,15.85 ,,,,,1,0,1,1,1,1,20060825
22554,CPT,Neck spine fusion,,,21 ,,RBRVS,18.59 ,12.38 ,12.38 ,,,,,1,0,1,1,1,1,20060825
22556,CPT,Thorax spine fusion,,,21 ,,RBRVS,23.42 ,14.77 ,14.77 ,,,,,1,0,1,1,1,1,20060825
22558,CPT,Lumbar spine fusion,,,21 ,,RBRVS,22.25 ,13.33 ,13.33 ,,,,,1,0,1,1,1,1,20060825
22585,CPT,Additional spinal fusion,,,21 ,,RBRVS,5.52 ,2.80 ,2.80 ,,,,,1,0,1,1,1,1,20060825
22590,CPT,Spine & skull spinal fusion,,,21 ,,RBRVS,20.48 ,13.36 ,13.36 ,,,,,1,0,1,1,1,1,20060825
22595,CPT,Neck spinal fusion,,,21 ,,RBRVS,19.36 ,12.87 ,12.87 ,,,,,1,0,1,1,1,1,20060825
22600,CPT,Neck spine fusion,,,21 ,,RBRVS,16.12 ,11.22 ,11.22 ,,,,,1,0,1,1,1,1,20060825
22610,CPT,Thorax spine fusion,,,21 ,,RBRVS,16.00 ,11.44 ,11.44 ,,,,,1,0,1,1,1,1,20060825
22612,CPT,Lumbar spine fusion,,,21 ,,RBRVS,20.97 ,14.24 ,14.24 ,,,,,1,0,1,1,1,1,20060825
22614,CPT,"Spine fusion, extra segment",,,21 ,,RBRVS,6.43 ,3.36 ,3.36 ,,,,,1,0,1,1,1,1,20060825
22630,CPT,Lumbar spine fusion,,,21 ,,RBRVS,20.81 ,13.64 ,13.64 ,,,,,1,0,1,1,1,1,20060825
22632,CPT,"Spine fusion, extra segment",,,21 ,,RBRVS,5.22 ,2.67 ,2.67 ,,,,,1,0,1,1,1,1,20060825
22800,CPT,Fusion of spine,,,21 ,,RBRVS,18.22 ,12.81 ,12.81 ,,,,,1,0,1,1,1,1,20060825
22802,CPT,Fusion of spine,,,21 ,,RBRVS,30.83 ,19.65 ,19.65 ,,,,,1,0,1,1,1,1,20060825
22804,CPT,Fusion of spine,,,21 ,,RBRVS,36.22 ,22.76 ,22.76 ,,,,,1,0,1,1,1,1,20060825
22808,CPT,Fusion of spine,,,21 ,,RBRVS,26.23 ,16.35 ,16.35 ,,,,,1,0,1,1,1,1,20060825
22810,CPT,Fusion of spine,,,21 ,,RBRVS,30.22 ,18.41 ,18.41 ,,,,,1,0,1,1,1,1,20060825
22812,CPT,Fusion of spine,,,21 ,,RBRVS,32.65 ,20.12 ,20.12 ,,,,,1,0,1,1,1,1,20060825
22818,CPT,"Kyphectomy, 1-2 segments",,,21 ,,RBRVS,31.78 ,18.92 ,18.92 ,,,,,1,0,1,1,1,1,20060825
22819,CPT,"Kyphectomy, 3 or more",,,21 ,,RBRVS,36.39 ,20.11 ,20.11 ,,,,,1,0,1,1,1,1,20060825
22830,CPT,Exploration of spinal fusion,,,21 ,,RBRVS,10.83 ,7.98 ,7.98 ,,,,,1,0,1,1,1,1,20060825
22840,CPT,Insert spine fixation device,,,21 ,,RBRVS,12.52 ,6.51 ,6.51 ,,,,,1,0,1,1,1,1,20060825
22841,CPT,Insert spine fixation device,,,21 ,,TotalUnits,,,,9.26 ,,,,1,0,1,1,1,1,20060825
22842,CPT,Insert spine fixation device,,,21 ,,RBRVS,12.56 ,6.52 ,6.52 ,,,,,1,0,1,1,1,1,20060825
22843,CPT,Insert spine fixation device,,,21 ,,RBRVS,13.44 ,6.62 ,6.62 ,,,,,1,0,1,1,1,1,20060825
22844,CPT,Insert spine fixation device,,,21 ,,RBRVS,16.42 ,8.78 ,8.78 ,,,,,1,0,1,1,1,1,20060825
22845,CPT,Insert spine fixation device,,,21 ,,RBRVS,11.94 ,6.09 ,6.09 ,,,,,1,0,1,1,1,1,20060825
22846,CPT,Insert spine fixation device,,,21 ,,RBRVS,12.40 ,6.35 ,6.35 ,,,,,1,0,1,1,1,1,20060825
22847,CPT,Insert spine fixation device,,,21 ,,RBRVS,13.78 ,7.04 ,7.04 ,,,,,1,0,1,1,1,1,20060825
22848,CPT,Insert pelv fixation device,,,21 ,,RBRVS,5.99 ,3.19 ,3.19 ,,,,,1,0,1,1,1,1,20060825
22849,CPT,Reinsert spinal fixation,,,21 ,,RBRVS,18.48 ,11.76 ,11.76 ,,,,,1,0,1,1,1,1,20060825
22850,CPT,Remove spine fixation device,,,21 ,,RBRVS,9.51 ,7.01 ,7.01 ,,,,,1,0,1,1,1,1,20060825
22851,CPT,Apply spine prosth device,,,21 ,,RBRVS,6.70 ,3.37 ,3.37 ,,,,,1,0,1,1,1,1,20060825
22852,CPT,Remove spine fixation device,,,21 ,,RBRVS,9.00 ,6.81 ,6.81 ,,,,,1,0,1,1,1,1,20060825
22855,CPT,Remove spine fixation device,,,21 ,,RBRVS,15.11 ,9.69 ,9.69 ,,,,,1,0,1,1,1,1,20060825
22899,CPT,Spine surgery procedure,,,21 ,,TotalUnits,,,,19.09 ,,,,1,0,1,1,1,1,20060825
22900,CPT,Remove abdominal wall lesion,,,21 ,,RBRVS,5.79 ,3.23 ,3.23 ,,,,,1,0,1,1,1,1,20060825
22999,CPT,Abdomen surgery procedure,,,21 ,,TotalUnits,,,,9.07 ,,,,1,0,1,1,1,1,20060825
23000,CPT,Removal of calcium deposits,,,21 ,,RBRVS,4.35 ,4.43 ,8.55 ,,,,,1,0,1,1,1,1,20060825
23020,CPT,Release shoulder joint,,,21 ,,RBRVS,8.92 ,7.58 ,7.58 ,,,,,1,0,1,1,1,1,20060825
23030,CPT,Drain shoulder lesion,,,21 ,,RBRVS,3.42 ,2.91 ,7.41 ,,,,,1,0,1,1,1,1,20060825
23031,CPT,Drain shoulder bursa,,,21 ,,RBRVS,2.74 ,2.73 ,7.88 ,,,,,1,0,1,1,1,1,20060825
23035,CPT,Drain shoulder bone lesion,,,21 ,,RBRVS,8.60 ,8.29 ,8.29 ,,,,,1,0,1,1,1,1,20060825
23040,CPT,Exploratory shoulder surgery,,,21 ,,RBRVS,9.19 ,7.88 ,7.88 ,,,,,1,0,1,1,1,1,20060825
23044,CPT,Exploratory shoulder surgery,,,21 ,,RBRVS,7.11 ,6.45 ,6.45 ,,,,,1,0,1,1,1,1,20060825
23065,CPT,Biopsy shoulder tissues,,,21 ,,RBRVS,2.27 ,1.62 ,2.49 ,,,,,1,0,1,1,1,1,20060825
23066,CPT,Biopsy shoulder tissues,,,21 ,,RBRVS,4.15 ,3.99 ,7.69 ,,,,,1,0,1,1,1,1,20060825
23075,CPT,Removal of shoulder lesion,,,21 ,,RBRVS,2.39 ,1.79 ,3.67 ,,,,,1,0,1,1,1,1,20060825
23076,CPT,Removal of shoulder lesion,,,21 ,,RBRVS,7.62 ,5.57 ,5.57 ,,,,,1,0,1,1,1,1,20060825
23077,CPT,Remove tumor of shoulder,,,21 ,,RBRVS,16.07 ,10.24 ,10.24 ,,,,,1,0,1,1,1,1,20060825
23100,CPT,Biopsy of shoulder joint,,,21 ,,RBRVS,6.02 ,5.67 ,5.67 ,,,,,1,0,1,1,1,1,20060825
23101,CPT,Shoulder joint surgery,,,21 ,,RBRVS,5.57 ,5.35 ,5.35 ,,,,,1,0,1,1,1,1,20060825
23105,CPT,Remove shoulder joint lining,,,21 ,,RBRVS,8.22 ,7.14 ,7.14 ,,,,,1,0,1,1,1,1,20060825
23106,CPT,Incision of collarbone joint,,,21 ,,RBRVS,5.95 ,5.72 ,5.72 ,,,,,1,0,1,1,1,1,20060825
23107,CPT,Explore treat shoulder joint,,,21 ,,RBRVS,8.61 ,7.41 ,7.41 ,,,,,1,0,1,1,1,1,20060825
23120,CPT,"Partial removal, collar bone",,,21 ,,RBRVS,7.10 ,6.48 ,6.48 ,,,,,1,0,1,1,1,1,20060825
23125,CPT,Removal of collar bone,,,21 ,,RBRVS,9.38 ,7.58 ,7.58 ,,,,,1,0,1,1,1,1,20060825
23130,CPT,"Remove shoulder bone, part",,,21 ,,RBRVS,7.54 ,7.15 ,7.15 ,,,,,1,0,1,1,1,1,20060825
23140,CPT,Removal of bone lesion,,,21 ,,RBRVS,6.88 ,5.24 ,5.24 ,,,,,1,0,1,1,1,1,20060825
23145,CPT,Removal of bone lesion,,,21 ,,RBRVS,9.08 ,7.46 ,7.46 ,,,,,1,0,1,1,1,1,20060825
23146,CPT,Removal of bone lesion,,,21 ,,RBRVS,7.82 ,7.13 ,7.13 ,,,,,1,0,1,1,1,1,20060825
23150,CPT,Removal of humerus lesion,,,21 ,,RBRVS,8.47 ,6.94 ,6.94 ,,,,,1,0,1,1,1,1,20060825
23155,CPT,Removal of humerus lesion,,,21 ,,RBRVS,10.33 ,8.35 ,8.35 ,,,,,1,0,1,1,1,1,20060825
23156,CPT,Removal of humerus lesion,,,21 ,,RBRVS,8.67 ,7.40 ,7.40 ,,,,,1,0,1,1,1,1,20060825
23170,CPT,Remove collar bone lesion,,,21 ,,RBRVS,6.85 ,6.04 ,6.04 ,,,,,1,0,1,1,1,1,20060825
23172,CPT,Remove shoulder blade lesion,,,21 ,,RBRVS,6.89 ,6.30 ,6.30 ,,,,,1,0,1,1,1,1,20060825
23174,CPT,Remove humerus lesion,,,21 ,,RBRVS,9.50 ,8.38 ,8.38 ,,,,,1,0,1,1,1,1,20060825
23180,CPT,Remove collar bone lesion,,,21 ,,RBRVS,8.52 ,9.02 ,9.02 ,,,,,1,0,1,1,1,1,20060825
23182,CPT,Remove shoulder blade lesion,,,21 ,,RBRVS,8.14 ,8.57 ,8.57 ,,,,,1,0,1,1,1,1,20060825
23184,CPT,Remove humerus lesion,,,21 ,,RBRVS,9.37 ,9.34 ,9.34 ,,,,,1,0,1,1,1,1,20060825
23190,CPT,Partial removal of scapula,,,21 ,,RBRVS,7.23 ,6.19 ,6.19 ,,,,,1,0,1,1,1,1,20060825
23195,CPT,Removal of head of humerus,,,21 ,,RBRVS,9.80 ,7.75 ,7.75 ,,,,,1,0,1,1,1,1,20060825
23200,CPT,Removal of collar bone,,,21 ,,RBRVS,12.06 ,8.75 ,8.75 ,,,,,1,0,1,1,1,1,20060825
23210,CPT,Removal of shoulder blade,,,21 ,,RBRVS,12.47 ,9.02 ,9.02 ,,,,,1,0,1,1,1,1,20060825
23220,CPT,Partial removal of humerus,,,21 ,,RBRVS,14.54 ,10.85 ,10.85 ,,,,,1,0,1,1,1,1,20060825
23221,CPT,Partial removal of humerus,,,21 ,,RBRVS,17.71 ,11.75 ,11.75 ,,,,,1,0,1,1,1,1,20060825
23222,CPT,Partial removal of humerus,,,21 ,,RBRVS,23.88 ,15.83 ,15.83 ,,,,,1,0,1,1,1,1,20060825
23330,CPT,Remove shoulder foreign body,,,21 ,,RBRVS,1.85 ,1.89 ,3.69 ,,,,,1,0,1,1,1,1,20060825
23331,CPT,Remove shoulder foreign body,,,21 ,,RBRVS,7.37 ,6.81 ,6.81 ,,,,,1,0,1,1,1,1,20060825
23332,CPT,Remove shoulder foreign body,,,21 ,,RBRVS,11.60 ,9.35 ,9.35 ,,,,,1,0,1,1,1,1,20060825
23350,CPT,Injection for shoulder x-ray,,,21 ,,RBRVS,1.00 ,0.33 ,3.47 ,,,,,1,0,1,1,1,1,20060825
23395,CPT,"Muscle transfer,shoulder/arm",,,21 ,,RBRVS,16.82 ,12.90 ,12.90 ,,,,,1,0,1,1,1,1,20060825
23397,CPT,Muscle transfers,,,21 ,,RBRVS,16.11 ,11.40 ,11.40 ,,,,,1,0,1,1,1,1,20060825
23400,CPT,Fixation of shoulder blade,,,21 ,,RBRVS,13.52 ,10.10 ,10.10 ,,,,,1,0,1,1,1,1,20060825
23405,CPT,Incision of tendon & muscle,,,21 ,,RBRVS,8.36 ,6.94 ,6.94 ,,,,,1,0,1,1,1,1,20060825
23406,CPT,Incise tendon(s) & muscle(s),,,21 ,,RBRVS,10.77 ,8.36 ,8.36 ,,,,,1,0,1,1,1,1,20060825
23410,CPT,"Repair rotator cuff, acute",,,21 ,,RBRVS,12.43 ,9.43 ,9.43 ,,,,,1,0,1,1,1,1,20060825
23412,CPT,"Repair rotator cuff, chronic",,,21 ,,RBRVS,13.29 ,9.92 ,9.92 ,,,,,1,0,1,1,1,1,20060825
23415,CPT,Release of shoulder ligament,,,21 ,,RBRVS,9.96 ,8.01 ,8.01 ,,,,,1,0,1,1,1,1,20060825
23420,CPT,Repair of shoulder,,,21 ,,RBRVS,13.28 ,10.87 ,10.87 ,,,,,1,0,1,1,1,1,20060825
23430,CPT,Repair biceps tendon,,,21 ,,RBRVS,9.97 ,8.12 ,8.12 ,,,,,1,0,1,1,1,1,20060825
23440,CPT,Remove/transplant tendon,,,21 ,,RBRVS,10.46 ,8.28 ,8.28 ,,,,,1,0,1,1,1,1,20060825
23450,CPT,Repair shoulder capsule,,,21 ,,RBRVS,13.38 ,9.87 ,9.87 ,,,,,1,0,1,1,1,1,20060825
23455,CPT,Repair shoulder capsule,,,21 ,,RBRVS,14.35 ,10.47 ,10.47 ,,,,,1,0,1,1,1,1,20060825
23460,CPT,Repair shoulder capsule,,,21 ,,RBRVS,15.35 ,11.40 ,11.40 ,,,,,1,0,1,1,1,1,20060825
23462,CPT,Repair shoulder capsule,,,21 ,,RBRVS,15.28 ,10.78 ,10.78 ,,,,,1,0,1,1,1,1,20060825
23465,CPT,Repair shoulder capsule,,,21 ,,RBRVS,15.83 ,11.21 ,11.21 ,,,,,1,0,1,1,1,1,20060825
23466,CPT,Repair shoulder capsule,,,21 ,,RBRVS,14.20 ,11.40 ,11.40 ,,,,,1,0,1,1,1,1,20060825
23470,CPT,Reconstruct shoulder joint,,,21 ,,RBRVS,17.12 ,12.29 ,12.29 ,,,,,1,0,1,1,1,1,20060825
23472,CPT,Reconstruct shoulder joint,,,21 ,,RBRVS,21.07 ,14.45 ,14.45 ,,,,,1,0,1,1,1,1,20060825
23480,CPT,Revision of collar bone,,,21 ,,RBRVS,11.16 ,8.80 ,8.80 ,,,,,1,0,1,1,1,1,20060825
23485,CPT,Revision of collar bone,,,21 ,,RBRVS,13.41 ,9.92 ,9.92 ,,,,,1,0,1,1,1,1,20060825
23490,CPT,Reinforce clavicle,,,21 ,,RBRVS,11.84 ,8.72 ,8.72 ,,,,,1,0,1,1,1,1,20060825
23491,CPT,Reinforce shoulder bones,,,21 ,,RBRVS,14.19 ,10.74 ,10.74 ,,,,,1,0,1,1,1,1,20060825
23500,CPT,Treat clavicle fracture,,,21 ,,RBRVS,2.08 ,2.53 ,2.88 ,,,,,1,0,1,1,1,1,20060825
23505,CPT,Treat clavicle fracture,,,21 ,,RBRVS,3.68 ,3.85 ,4.42 ,,,,,1,0,1,1,1,1,20060825
23515,CPT,Treat clavicle fracture,,,21 ,,RBRVS,7.40 ,6.57 ,6.57 ,,,,,1,0,1,1,1,1,20060825
23520,CPT,Treat clavicle dislocation,,,21 ,,RBRVS,2.16 ,2.75 ,2.86 ,,,,,1,0,1,1,1,1,20060825
23525,CPT,Treat clavicle dislocation,,,21 ,,RBRVS,3.59 ,3.95 ,4.55 ,,,,,1,0,1,1,1,1,20060825
23530,CPT,Treat clavicle dislocation,,,21 ,,RBRVS,7.30 ,5.95 ,5.95 ,,,,,1,0,1,1,1,1,20060825
23532,CPT,Treat clavicle dislocation,,,21 ,,RBRVS,8.00 ,6.99 ,6.99 ,,,,,1,0,1,1,1,1,20060825
23540,CPT,Treat clavicle dislocation,,,21 ,,RBRVS,2.23 ,2.37 ,2.87 ,,,,,1,0,1,1,1,1,20060825
23545,CPT,Treat clavicle dislocation,,,21 ,,RBRVS,3.25 ,3.37 ,4.20 ,,,,,1,0,1,1,1,1,20060825
23550,CPT,Treat clavicle dislocation,,,21 ,,RBRVS,7.23 ,6.39 ,6.39 ,,,,,1,0,1,1,1,1,20060825
23552,CPT,Treat clavicle dislocation,,,21 ,,RBRVS,8.44 ,7.34 ,7.34 ,,,,,1,0,1,1,1,1,20060825
23570,CPT,Treat shoulder blade fx,,,21 ,,RBRVS,2.23 ,2.90 ,3.02 ,,,,,1,0,1,1,1,1,20060825
23575,CPT,Treat shoulder blade fx,,,21 ,,RBRVS,4.05 ,4.32 ,4.89 ,,,,,1,0,1,1,1,1,20060825
23585,CPT,Treat scapula fracture,,,21 ,,RBRVS,8.95 ,7.66 ,7.66 ,,,,,1,0,1,1,1,1,20060825
23600,CPT,Treat humerus fracture,,,21 ,,RBRVS,2.93 ,3.56 ,4.56 ,,,,,1,0,1,1,1,1,20060825
23605,CPT,Treat humerus fracture,,,21 ,,RBRVS,4.86 ,5.12 ,6.17 ,,,,,1,0,1,1,1,1,20060825
23615,CPT,Treat humerus fracture,,,21 ,,RBRVS,9.34 ,8.86 ,8.86 ,,,,,1,0,1,1,1,1,20060825
23616,CPT,Treat humerus fracture,,,21 ,,RBRVS,21.24 ,14.18 ,14.18 ,,,,,1,0,1,1,1,1,20060825
23620,CPT,Treat humerus fracture,,,21 ,,RBRVS,2.40 ,2.99 ,3.62 ,,,,,1,0,1,1,1,1,20060825
23625,CPT,Treat humerus fracture,,,21 ,,RBRVS,3.92 ,4.29 ,4.95 ,,,,,1,0,1,1,1,1,20060825
23630,CPT,Treat humerus fracture,,,21 ,,RBRVS,7.34 ,6.65 ,6.65 ,,,,,1,0,1,1,1,1,20060825
23650,CPT,Treat shoulder dislocation,,,21 ,,RBRVS,3.38 ,2.77 ,3.78 ,,,,,1,0,1,1,1,1,20060825
23655,CPT,Treat shoulder dislocation,,,21 ,,RBRVS,4.56 ,4.18 ,4.18 ,,,,,1,0,1,1,1,1,20060825
23660,CPT,Treat shoulder dislocation,,,21 ,,RBRVS,7.48 ,6.40 ,6.40 ,,,,,1,0,1,1,1,1,20060825
23665,CPT,Treat dislocation/fracture,,,21 ,,RBRVS,4.46 ,4.73 ,5.35 ,,,,,1,0,1,1,1,1,20060825
23670,CPT,Treat dislocation/fracture,,,21 ,,RBRVS,7.89 ,6.85 ,6.85 ,,,,,1,0,1,1,1,1,20060825
23675,CPT,Treat dislocation/fracture,,,21 ,,RBRVS,6.04 ,5.85 ,6.85 ,,,,,1,0,1,1,1,1,20060825
23680,CPT,Treat dislocation/fracture,,,21 ,,RBRVS,10.04 ,8.13 ,8.13 ,,,,,1,0,1,1,1,1,20060825
23700,CPT,Fixation of shoulder,,,21 ,,RBRVS,2.52 ,2.18 ,2.18 ,,,,,1,0,1,1,1,1,20060825
23800,CPT,Fusion of shoulder joint,,,21 ,,RBRVS,14.14 ,10.44 ,10.44 ,,,,,1,0,1,1,1,1,20060825
23802,CPT,Fusion of shoulder joint,,,21 ,,RBRVS,16.58 ,10.20 ,10.20 ,,,,,1,0,1,1,1,1,20060825
23900,CPT,Amputation of arm & girdle,,,21 ,,RBRVS,19.69 ,11.74 ,11.74 ,,,,,1,0,1,1,1,1,20060825
23920,CPT,Amputation at shoulder joint,,,21 ,,RBRVS,14.59 ,9.95 ,9.95 ,,,,,1,0,1,1,1,1,20060825
23921,CPT,Amputation follow-up surgery,,,21 ,,RBRVS,5.48 ,5.09 ,5.09 ,,,,,1,0,1,1,1,1,20060825
23929,CPT,Shoulder surgery procedure,,,21 ,,TotalUnits,,,,13.58 ,,,,1,0,1,1,1,1,20060825
23930,CPT,Drainage of arm lesion,,,21 ,,RBRVS,2.94 ,2.32 ,6.34 ,,,,,1,0,1,1,1,1,20060825
23931,CPT,Drainage of arm bursa,,,21 ,,RBRVS,1.79 ,2.18 ,5.93 ,,,,,1,0,1,1,1,1,20060825
23935,CPT,Drain arm/elbow bone lesion,,,21 ,,RBRVS,6.08 ,5.93 ,5.93 ,,,,,1,0,1,1,1,1,20060825
24000,CPT,Exploratory elbow surgery,,,21 ,,RBRVS,5.81 ,5.43 ,5.43 ,,,,,1,0,1,1,1,1,20060825
24006,CPT,Release elbow joint,,,21 ,,RBRVS,9.30 ,7.77 ,7.77 ,,,,,1,0,1,1,1,1,20060825
24065,CPT,Biopsy arm/elbow soft tissue,,,21 ,,RBRVS,2.08 ,1.75 ,3.22 ,,,,,1,0,1,1,1,1,20060825
24066,CPT,Biopsy arm/elbow soft tissue,,,21 ,,RBRVS,5.20 ,4.14 ,8.96 ,,,,,1,0,1,1,1,1,20060825
24075,CPT,Remove arm/elbow lesion,,,21 ,,RBRVS,3.91 ,3.41 ,7.37 ,,,,,1,0,1,1,1,1,20060825
24076,CPT,Remove arm/elbow lesion,,,21 ,,RBRVS,6.29 ,4.87 ,4.87 ,,,,,1,0,1,1,1,1,20060825
24077,CPT,Remove tumor of arm/elbow,,,21 ,,RBRVS,11.74 ,7.76 ,7.76 ,,,,,1,0,1,1,1,1,20060825
24100,CPT,Biopsy elbow joint lining,,,21 ,,RBRVS,4.92 ,4.53 ,4.53 ,,,,,1,0,1,1,1,1,20060825
24101,CPT,Explore/treat elbow joint,,,21 ,,RBRVS,6.12 ,5.95 ,5.95 ,,,,,1,0,1,1,1,1,20060825
24102,CPT,Remove elbow joint lining,,,21 ,,RBRVS,8.02 ,6.88 ,6.88 ,,,,,1,0,1,1,1,1,20060825
24105,CPT,Removal of elbow bursa,,,21 ,,RBRVS,3.60 ,4.40 ,4.40 ,,,,,1,0,1,1,1,1,20060825
24110,CPT,Remove humerus lesion,,,21 ,,RBRVS,7.38 ,6.68 ,6.68 ,,,,,1,0,1,1,1,1,20060825
24115,CPT,Remove/graft bone lesion,,,21 ,,RBRVS,9.62 ,7.23 ,7.23 ,,,,,1,0,1,1,1,1,20060825
24116,CPT,Remove/graft bone lesion,,,21 ,,RBRVS,11.79 ,9.10 ,9.10 ,,,,,1,0,1,1,1,1,20060825
24120,CPT,Remove elbow lesion,,,21 ,,RBRVS,6.64 ,5.94 ,5.94 ,,,,,1,0,1,1,1,1,20060825
24125,CPT,Remove/graft bone lesion,,,21 ,,RBRVS,7.88 ,6.18 ,6.18 ,,,,,1,0,1,1,1,1,20060825
24126,CPT,Remove/graft bone lesion,,,21 ,,RBRVS,8.30 ,7.04 ,7.04 ,,,,,1,0,1,1,1,1,20060825
24130,CPT,Removal of head of radius,,,21 ,,RBRVS,6.24 ,6.04 ,6.04 ,,,,,1,0,1,1,1,1,20060825
24134,CPT,Removal of arm bone lesion,,,21 ,,RBRVS,9.72 ,8.88 ,8.88 ,,,,,1,0,1,1,1,1,20060825
24136,CPT,Remove radius bone lesion,,,21 ,,RBRVS,7.98 ,7.24 ,7.24 ,,,,,1,0,1,1,1,1,20060825
24138,CPT,Remove elbow bone lesion,,,21 ,,RBRVS,8.04 ,7.80 ,7.80 ,,,,,1,0,1,1,1,1,20060825
24140,CPT,Partial removal of arm bone,,,21 ,,RBRVS,9.17 ,9.13 ,9.13 ,,,,,1,0,1,1,1,1,20060825
24145,CPT,Partial removal of radius,,,21 ,,RBRVS,7.57 ,8.08 ,8.08 ,,,,,1,0,1,1,1,1,20060825
24147,CPT,Partial removal of elbow,,,21 ,,RBRVS,7.53 ,8.62 ,8.62 ,,,,,1,0,1,1,1,1,20060825
24149,CPT,Radical resection of elbow,,,21 ,,RBRVS,14.18 ,11.65 ,11.65 ,,,,,1,0,1,1,1,1,20060825
24150,CPT,Extensive humerus surgery,,,21 ,,RBRVS,13.25 ,10.02 ,10.02 ,,,,,1,0,1,1,1,1,20060825
24151,CPT,Extensive humerus surgery,,,21 ,,RBRVS,15.56 ,11.54 ,11.54 ,,,,,1,0,1,1,1,1,20060825
24152,CPT,Extensive radius surgery,,,21 ,,RBRVS,10.04 ,7.75 ,7.75 ,,,,,1,0,1,1,1,1,20060825
24153,CPT,Extensive radius surgery,,,21 ,,RBRVS,11.52 ,5.59 ,5.59 ,,,,,1,0,1,1,1,1,20060825
24155,CPT,Removal of elbow joint,,,21 ,,RBRVS,11.71 ,8.42 ,8.42 ,,,,,1,0,1,1,1,1,20060825
24160,CPT,Remove elbow joint implant,,,21 ,,RBRVS,7.82 ,6.91 ,6.91 ,,,,,1,0,1,1,1,1,20060825
24164,CPT,Remove radius head implant,,,21 ,,RBRVS,6.22 ,5.79 ,5.79 ,,,,,1,0,1,1,1,1,20060825
24200,CPT,Removal of arm foreign body,,,21 ,,RBRVS,1.76 ,1.63 ,3.42 ,,,,,1,0,1,1,1,1,20060825
24201,CPT,Removal of arm foreign body,,,21 ,,RBRVS,4.55 ,4.24 ,9.84 ,,,,,1,0,1,1,1,1,20060825
24220,CPT,Injection for elbow x-ray,,,21 ,,RBRVS,1.31 ,0.44 ,3.64 ,,,,,1,0,1,1,1,1,20060825
24300,CPT,Manipulate elbow w/anesth,,,21 ,,RBRVS,3.74 ,5.73 ,5.73 ,,,,,1,0,1,1,1,1,20060825
24301,CPT,Muscle/tendon transfer,,,21 ,,RBRVS,10.18 ,8.20 ,8.20 ,,,,,1,0,1,1,1,1,20060825
24305,CPT,Arm tendon lengthening,,,21 ,,RBRVS,7.44 ,6.73 ,6.73 ,,,,,1,0,1,1,1,1,20060825
24310,CPT,Revision of arm tendon,,,21 ,,RBRVS,5.97 ,5.60 ,5.60 ,,,,,1,0,1,1,1,1,20060825
24320,CPT,Repair of arm tendon,,,21 ,,RBRVS,10.54 ,7.55 ,7.55 ,,,,,1,0,1,1,1,1,20060825
24330,CPT,Revision of arm muscles,,,21 ,,RBRVS,9.59 ,7.90 ,7.90 ,,,,,1,0,1,1,1,1,20060825
24331,CPT,Revision of arm muscles,,,21 ,,RBRVS,10.63 ,8.70 ,8.70 ,,,,,1,0,1,1,1,1,20060825
24332,CPT,"Tenolysis, triceps",,,21 ,,RBRVS,7.44 ,6.79 ,6.79 ,,,,,1,0,1,1,1,1,20060825
24340,CPT,Repair of biceps tendon,,,21 ,,RBRVS,7.88 ,7.00 ,7.00 ,,,,,1,0,1,1,1,1,20060825
24341,CPT,Repair arm tendon/muscle,,,21 ,,RBRVS,7.89 ,7.94 ,7.94 ,,,,,1,0,1,1,1,1,20060825
24342,CPT,Repair of ruptured tendon,,,21 ,,RBRVS,10.60 ,8.54 ,8.54 ,,,,,1,0,1,1,1,1,20060825
24343,CPT,Repr elbow lat ligmnt w/tiss,,,21 ,,RBRVS,8.64 ,8.17 ,8.17 ,,,,,1,0,1,1,1,1,20060825
24344,CPT,Reconstruct elbow lat ligmnt,,,21 ,,RBRVS,13.98 ,11.55 ,11.55 ,,,,,1,0,1,1,1,1,20060825
24345,CPT,Repr elbw med ligmnt w/tissu,,,21 ,,RBRVS,8.64 ,8.04 ,8.04 ,,,,,1,0,1,1,1,1,20060825
24346,CPT,Reconstruct elbow med ligmnt,,,21 ,,RBRVS,13.98 ,11.37 ,11.37 ,,,,,1,0,1,1,1,1,20060825
24350,CPT,Repair of tennis elbow,,,21 ,,RBRVS,5.24 ,5.60 ,5.60 ,,,,,1,0,1,1,1,1,20060825
24351,CPT,Repair of tennis elbow,,,21 ,,RBRVS,5.90 ,5.94 ,5.94 ,,,,,1,0,1,1,1,1,20060825
24352,CPT,Repair of tennis elbow,,,21 ,,RBRVS,6.42 ,6.20 ,6.20 ,,,,,1,0,1,1,1,1,20060825
24354,CPT,Repair of tennis elbow,,,21 ,,RBRVS,6.47 ,6.17 ,6.17 ,,,,,1,0,1,1,1,1,20060825
24356,CPT,Revision of tennis elbow,,,21 ,,RBRVS,6.67 ,6.33 ,6.33 ,,,,,1,0,1,1,1,1,20060825
24360,CPT,Reconstruct elbow joint,,,21 ,,RBRVS,12.32 ,9.50 ,9.50 ,,,,,1,0,1,1,1,1,20060825
24361,CPT,Reconstruct elbow joint,,,21 ,,RBRVS,14.06 ,10.61 ,10.61 ,,,,,1,0,1,1,1,1,20060825
24362,CPT,Reconstruct elbow joint,,,21 ,,RBRVS,14.97 ,10.07 ,10.07 ,,,,,1,0,1,1,1,1,20060825
24363,CPT,Replace elbow joint,,,21 ,,RBRVS,18.46 ,13.75 ,13.75 ,,,,,1,0,1,1,1,1,20060825
24365,CPT,Reconstruct head of radius,,,21 ,,RBRVS,8.38 ,7.22 ,7.22 ,,,,,1,0,1,1,1,1,20060825
24366,CPT,Reconstruct head of radius,,,21 ,,RBRVS,9.12 ,7.56 ,7.56 ,,,,,1,0,1,1,1,1,20060825
24400,CPT,Revision of humerus,,,21 ,,RBRVS,11.04 ,8.88 ,8.88 ,,,,,1,0,1,1,1,1,20060825
24410,CPT,Revision of humerus,,,21 ,,RBRVS,14.80 ,10.34 ,10.34 ,,,,,1,0,1,1,1,1,20060825
24420,CPT,Revision of humerus,,,21 ,,RBRVS,13.42 ,10.57 ,10.57 ,,,,,1,0,1,1,1,1,20060825
24430,CPT,Repair of humerus,,,21 ,,RBRVS,12.79 ,9.77 ,9.77 ,,,,,1,0,1,1,1,1,20060825
24435,CPT,Repair humerus with graft,,,21 ,,RBRVS,13.15 ,10.91 ,10.91 ,,,,,1,0,1,1,1,1,20060825
24470,CPT,Revision of elbow joint,,,21 ,,RBRVS,8.73 ,7.74 ,7.74 ,,,,,1,0,1,1,1,1,20060825
24495,CPT,Decompression of forearm,,,21 ,,RBRVS,8.11 ,8.77 ,8.77 ,,,,,1,0,1,1,1,1,20060825
24498,CPT,Reinforce humerus,,,21 ,,RBRVS,11.90 ,9.29 ,9.29 ,,,,,1,0,1,1,1,1,20060825
24500,CPT,Treat humerus fracture,,,21 ,,RBRVS,3.21 ,3.69 ,4.86 ,,,,,1,0,1,1,1,1,20060825
24505,CPT,Treat humerus fracture,,,21 ,,RBRVS,5.16 ,5.41 ,6.62 ,,,,,1,0,1,1,1,1,20060825
24515,CPT,Treat humerus fracture,,,21 ,,RBRVS,11.63 ,9.41 ,9.41 ,,,,,1,0,1,1,1,1,20060825
24516,CPT,Treat humerus fracture,,,21 ,,RBRVS,11.63 ,9.14 ,9.14 ,,,,,1,0,1,1,1,1,20060825
24530,CPT,Treat humerus fracture,,,21 ,,RBRVS,3.49 ,4.05 ,5.22 ,,,,,1,0,1,1,1,1,20060825
24535,CPT,Treat humerus fracture,,,21 ,,RBRVS,6.86 ,6.64 ,7.86 ,,,,,1,0,1,1,1,1,20060825
24538,CPT,Treat humerus fracture,,,21 ,,RBRVS,9.42 ,8.73 ,8.73 ,,,,,1,0,1,1,1,1,20060825
24545,CPT,Treat humerus fracture,,,21 ,,RBRVS,10.44 ,8.47 ,8.47 ,,,,,1,0,1,1,1,1,20060825
24546,CPT,Treat humerus fracture,,,21 ,,RBRVS,15.67 ,11.35 ,11.35 ,,,,,1,0,1,1,1,1,20060825
24560,CPT,Treat humerus fracture,,,21 ,,RBRVS,2.80 ,3.20 ,4.49 ,,,,,1,0,1,1,1,1,20060825
24565,CPT,Treat humerus fracture,,,21 ,,RBRVS,5.55 ,5.54 ,6.63 ,,,,,1,0,1,1,1,1,20060825
24566,CPT,Treat humerus fracture,,,21 ,,RBRVS,7.78 ,8.18 ,8.18 ,,,,,1,0,1,1,1,1,20060825
24575,CPT,Treat humerus fracture,,,21 ,,RBRVS,10.64 ,8.42 ,8.42 ,,,,,1,0,1,1,1,1,20060825
24576,CPT,Treat humerus fracture,,,21 ,,RBRVS,2.86 ,3.72 ,4.77 ,,,,,1,0,1,1,1,1,20060825
24577,CPT,Treat humerus fracture,,,21 ,,RBRVS,5.78 ,5.86 ,6.95 ,,,,,1,0,1,1,1,1,20060825
24579,CPT,Treat humerus fracture,,,21 ,,RBRVS,11.58 ,8.86 ,8.86 ,,,,,1,0,1,1,1,1,20060825
24582,CPT,Treat humerus fracture,,,21 ,,RBRVS,8.54 ,9.14 ,9.14 ,,,,,1,0,1,1,1,1,20060825
24586,CPT,Treat elbow fracture,,,21 ,,RBRVS,15.19 ,11.26 ,11.26 ,,,,,1,0,1,1,1,1,20060825
24587,CPT,Treat elbow fracture,,,21 ,,RBRVS,15.14 ,11.05 ,11.05 ,,,,,1,0,1,1,1,1,20060825
24600,CPT,Treat elbow dislocation,,,21 ,,RBRVS,4.22 ,3.51 ,4.87 ,,,,,1,0,1,1,1,1,20060825
24605,CPT,Treat elbow dislocation,,,21 ,,RBRVS,5.41 ,5.38 ,5.38 ,,,,,1,0,1,1,1,1,20060825
24615,CPT,Treat elbow dislocation,,,21 ,,RBRVS,9.41 ,7.84 ,7.84 ,,,,,1,0,1,1,1,1,20060825
24620,CPT,Treat elbow fracture,,,21 ,,RBRVS,6.97 ,6.27 ,6.27 ,,,,,1,0,1,1,1,1,20060825
24635,CPT,Treat elbow fracture,,,21 ,,RBRVS,13.17 ,14.09 ,14.09 ,,,,,1,0,1,1,1,1,20060825
24640,CPT,Treat elbow dislocation,,,21 ,,RBRVS,1.20 ,0.80 ,1.85 ,,,,,1,0,1,1,1,1,20060825
24650,CPT,Treat radius fracture,,,21 ,,RBRVS,2.16 ,2.76 ,3.79 ,,,,,1,0,1,1,1,1,20060825
24655,CPT,Treat radius fracture,,,21 ,,RBRVS,4.39 ,4.80 ,5.97 ,,,,,1,0,1,1,1,1,20060825
24665,CPT,Treat radius fracture,,,21 ,,RBRVS,8.13 ,7.53 ,7.53 ,,,,,1,0,1,1,1,1,20060825
24666,CPT,Treat radius fracture,,,21 ,,RBRVS,9.48 ,8.09 ,8.09 ,,,,,1,0,1,1,1,1,20060825
24670,CPT,Treat ulnar fracture,,,21 ,,RBRVS,2.54 ,3.08 ,4.12 ,,,,,1,0,1,1,1,1,20060825
24675,CPT,Treat ulnar fracture,,,21 ,,RBRVS,4.71 ,4.98 ,6.02 ,,,,,1,0,1,1,1,1,20060825
24685,CPT,Treat ulnar fracture,,,21 ,,RBRVS,8.79 ,7.54 ,7.54 ,,,,,1,0,1,1,1,1,20060825
24800,CPT,Fusion of elbow joint,,,21 ,,RBRVS,11.18 ,8.77 ,8.77 ,,,,,1,0,1,1,1,1,20060825
24802,CPT,Fusion/graft of elbow joint,,,21 ,,RBRVS,13.67 ,10.41 ,10.41 ,,,,,1,0,1,1,1,1,20060825
24900,CPT,Amputation of upper arm,,,21 ,,RBRVS,9.59 ,7.08 ,7.08 ,,,,,1,0,1,1,1,1,20060825
24920,CPT,Amputation of upper arm,,,21 ,,RBRVS,9.53 ,6.96 ,6.96 ,,,,,1,0,1,1,1,1,20060825
24925,CPT,Amputation follow-up surgery,,,21 ,,RBRVS,7.06 ,6.10 ,6.10 ,,,,,1,0,1,1,1,1,20060825
24930,CPT,Amputation follow-up surgery,,,21 ,,RBRVS,10.23 ,7.26 ,7.26 ,,,,,1,0,1,1,1,1,20060825
24931,CPT,Amputate upper arm & implant,,,21 ,,RBRVS,12.70 ,5.74 ,5.74 ,,,,,1,0,1,1,1,1,20060825
24935,CPT,Revision of amputation,,,21 ,,RBRVS,15.54 ,8.04 ,8.04 ,,,,,1,0,1,1,1,1,20060825
24940,CPT,Revision of upper arm,,,21 ,,TotalUnits,,,,23.19 ,,,,1,0,1,1,1,1,20060825
24999,CPT,Upper arm/elbow surgery,,,21 ,,TotalUnits,,,,8.53 ,,,,1,0,1,1,1,1,20060825
25000,CPT,Incision of tendon sheath,,,21 ,,RBRVS,3.37 ,6.89 ,6.89 ,,,,,1,0,1,1,1,1,20060825
25001,CPT,Incise flexor carpi radialis,,,21 ,,RBRVS,3.37 ,4.24 ,4.24 ,,,,,1,0,1,1,1,1,20060825
25020,CPT,Decompress forearm 1 space,,,21 ,,RBRVS,5.91 ,9.59 ,9.59 ,,,,,1,0,1,1,1,1,20060825
25023,CPT,Decompress forearm 1 space,,,21 ,,RBRVS,12.94 ,14.98 ,14.98 ,,,,,1,0,1,1,1,1,20060825
25024,CPT,Decompress forearm 2 spaces,,,21 ,,RBRVS,9.49 ,7.49 ,7.49 ,,,,,1,0,1,1,1,1,20060825
25025,CPT,Decompress forarm 2 spaces,,,21 ,,RBRVS,16.52 ,10.00 ,10.00 ,,,,,1,0,1,1,1,1,20060825
25028,CPT,Drainage of forearm lesion,,,21 ,,RBRVS,5.24 ,8.18 ,8.18 ,,,,,1,0,1,1,1,1,20060825
25031,CPT,Drainage of forearm bursa,,,21 ,,RBRVS,4.13 ,7.94 ,7.94 ,,,,,1,0,1,1,1,1,20060825
25035,CPT,Treat forearm bone lesion,,,21 ,,RBRVS,7.35 ,13.63 ,13.63 ,,,,,1,0,1,1,1,1,20060825
25040,CPT,Explore/treat wrist joint,,,21 ,,RBRVS,7.17 ,7.32 ,7.32 ,,,,,1,0,1,1,1,1,20060825
25065,CPT,Biopsy forearm soft tissues,,,21 ,,RBRVS,1.99 ,1.91 ,3.23 ,,,,,1,0,1,1,1,1,20060825
25066,CPT,Biopsy forearm soft tissues,,,21 ,,RBRVS,4.12 ,7.08 ,7.08 ,,,,,1,0,1,1,1,1,20060825
25075,CPT,Removel forearm lesion subcu,,,21 ,,RBRVS,3.73 ,5.91 ,5.91 ,,,,,1,0,1,1,1,1,20060825
25076,CPT,Removel forearm lesion deep,,,21 ,,RBRVS,4.91 ,9.57 ,9.57 ,,,,,1,0,1,1,1,1,20060825
25077,CPT,"Remove tumor, forearm/wrist",,,21 ,,RBRVS,9.75 ,12.12 ,12.12 ,,,,,1,0,1,1,1,1,20060825
25085,CPT,Incision of wrist capsule,,,21 ,,RBRVS,5.49 ,7.14 ,7.14 ,,,,,1,0,1,1,1,1,20060825
25100,CPT,Biopsy of wrist joint,,,21 ,,RBRVS,3.89 ,5.29 ,5.29 ,,,,,1,0,1,1,1,1,20060825
25101,CPT,Explore/treat wrist joint,,,21 ,,RBRVS,4.68 ,5.91 ,5.91 ,,,,,1,0,1,1,1,1,20060825
25105,CPT,Remove wrist joint lining,,,21 ,,RBRVS,5.84 ,7.32 ,7.32 ,,,,,1,0,1,1,1,1,20060825
25107,CPT,Remove wrist joint cartilage,,,21 ,,RBRVS,6.42 ,8.36 ,8.36 ,,,,,1,0,1,1,1,1,20060825
25110,CPT,Remove wrist tendon lesion,,,21 ,,RBRVS,3.91 ,7.07 ,7.07 ,,,,,1,0,1,1,1,1,20060825
25111,CPT,Remove wrist tendon lesion,,,21 ,,RBRVS,3.38 ,4.71 ,4.71 ,,,,,1,0,1,1,1,1,20060825
25112,CPT,Reremove wrist tendon lesion,,,21 ,,RBRVS,4.52 ,5.27 ,5.27 ,,,,,1,0,1,1,1,1,20060825
25115,CPT,Remove wrist/forearm lesion,,,21 ,,RBRVS,8.81 ,14.07 ,14.07 ,,,,,1,0,1,1,1,1,20060825
25116,CPT,Remove wrist/forearm lesion,,,21 ,,RBRVS,7.10 ,13.18 ,13.18 ,,,,,1,0,1,1,1,1,20060825
25118,CPT,Excise wrist tendon sheath,,,21 ,,RBRVS,4.36 ,5.76 ,5.76 ,,,,,1,0,1,1,1,1,20060825
25119,CPT,Partial removal of ulna,,,21 ,,RBRVS,6.03 ,7.62 ,7.62 ,,,,,1,0,1,1,1,1,20060825
25120,CPT,Removal of forearm lesion,,,21 ,,RBRVS,6.09 ,12.12 ,12.12 ,,,,,1,0,1,1,1,1,20060825
25125,CPT,Remove/graft forearm lesion,,,21 ,,RBRVS,7.47 ,12.88 ,12.88 ,,,,,1,0,1,1,1,1,20060825
25126,CPT,Remove/graft forearm lesion,,,21 ,,RBRVS,7.54 ,13.05 ,13.05 ,,,,,1,0,1,1,1,1,20060825
25130,CPT,Removal of wrist lesion,,,21 ,,RBRVS,5.25 ,6.44 ,6.44 ,,,,,1,0,1,1,1,1,20060825
25135,CPT,Remove & graft wrist lesion,,,21 ,,RBRVS,6.88 ,7.53 ,7.53 ,,,,,1,0,1,1,1,1,20060825
25136,CPT,Remove & graft wrist lesion,,,21 ,,RBRVS,5.96 ,6.61 ,6.61 ,,,,,1,0,1,1,1,1,20060825
25145,CPT,Remove forearm bone lesion,,,21 ,,RBRVS,6.36 ,12.09 ,12.09 ,,,,,1,0,1,1,1,1,20060825
25150,CPT,Partial removal of ulna,,,21 ,,RBRVS,7.08 ,8.23 ,8.23 ,,,,,1,0,1,1,1,1,20060825
25151,CPT,Partial removal of radius,,,21 ,,RBRVS,7.38 ,12.76 ,12.76 ,,,,,1,0,1,1,1,1,20060825
25170,CPT,Extensive forearm surgery,,,21 ,,RBRVS,11.07 ,15.19 ,15.19 ,,,,,1,0,1,1,1,1,20060825
25210,CPT,Removal of wrist bone,,,21 ,,RBRVS,5.94 ,6.81 ,6.81 ,,,,,1,0,1,1,1,1,20060825
25215,CPT,Removal of wrist bones,,,21 ,,RBRVS,7.88 ,8.78 ,8.78 ,,,,,1,0,1,1,1,1,20060825
25230,CPT,Partial removal of radius,,,21 ,,RBRVS,5.22 ,6.16 ,6.16 ,,,,,1,0,1,1,1,1,20060825
25240,CPT,Partial removal of ulna,,,21 ,,RBRVS,5.16 ,6.97 ,6.97 ,,,,,1,0,1,1,1,1,20060825
25246,CPT,Injection for wrist x-ray,,,21 ,,RBRVS,1.45 ,0.48 ,3.45 ,,,,,1,0,1,1,1,1,20060825
25248,CPT,Remove forearm foreign body,,,21 ,,RBRVS,5.13 ,8.54 ,8.54 ,,,,,1,0,1,1,1,1,20060825
25250,CPT,Removal of wrist prosthesis,,,21 ,,RBRVS,6.59 ,6.12 ,6.12 ,,,,,1,0,1,1,1,1,20060825
25251,CPT,Removal of wrist prosthesis,,,21 ,,RBRVS,9.56 ,7.94 ,7.94 ,,,,,1,0,1,1,1,1,20060825
25259,CPT,Manipulate wrist w/anesthes,,,21 ,,RBRVS,3.74 ,5.74 ,5.74 ,,,,,1,0,1,1,1,1,20060825
25260,CPT,Repair forearm tendon/muscle,,,21 ,,RBRVS,7.79 ,13.35 ,13.35 ,,,,,1,0,1,1,1,1,20060825
25263,CPT,Repair forearm tendon/muscle,,,21 ,,RBRVS,7.81 ,13.30 ,13.30 ,,,,,1,0,1,1,1,1,20060825
25265,CPT,Repair forearm tendon/muscle,,,21 ,,RBRVS,9.87 ,14.35 ,14.35 ,,,,,1,0,1,1,1,1,20060825
25270,CPT,Repair forearm tendon/muscle,,,21 ,,RBRVS,5.99 ,12.06 ,12.06 ,,,,,1,0,1,1,1,1,20060825
25272,CPT,Repair forearm tendon/muscle,,,21 ,,RBRVS,7.03 ,12.83 ,12.83 ,,,,,1,0,1,1,1,1,20060825
25274,CPT,Repair forearm tendon/muscle,,,21 ,,RBRVS,8.74 ,13.66 ,13.66 ,,,,,1,0,1,1,1,1,20060825
25275,CPT,Repair forearm tendon sheath,,,21 ,,RBRVS,8.49 ,7.60 ,7.60 ,,,,,1,0,1,1,1,1,20060825
25280,CPT,Revise wrist/forearm tendon,,,21 ,,RBRVS,7.21 ,12.67 ,12.67 ,,,,,1,0,1,1,1,1,20060825
25290,CPT,Incise wrist/forearm tendon,,,21 ,,RBRVS,5.28 ,15.03 ,15.03 ,,,,,1,0,1,1,1,1,20060825
25295,CPT,Release wrist/forearm tendon,,,21 ,,RBRVS,6.54 ,12.19 ,12.19 ,,,,,1,0,1,1,1,1,20060825
25300,CPT,Fusion of tendons at wrist,,,21 ,,RBRVS,8.79 ,8.47 ,8.47 ,,,,,1,0,1,1,1,1,20060825
25301,CPT,Fusion of tendons at wrist,,,21 ,,RBRVS,8.39 ,8.08 ,8.08 ,,,,,1,0,1,1,1,1,20060825
25310,CPT,Transplant forearm tendon,,,21 ,,RBRVS,8.13 ,13.07 ,13.07 ,,,,,1,0,1,1,1,1,20060825
25312,CPT,Transplant forearm tendon,,,21 ,,RBRVS,9.56 ,13.98 ,13.98 ,,,,,1,0,1,1,1,1,20060825
25315,CPT,Revise palsy hand tendon(s),,,21 ,,RBRVS,10.18 ,14.44 ,14.44 ,,,,,1,0,1,1,1,1,20060825
25316,CPT,Revise palsy hand tendon(s),,,21 ,,RBRVS,12.31 ,16.27 ,16.27 ,,,,,1,0,1,1,1,1,20060825
25320,CPT,Repair/revise wrist joint,,,21 ,,RBRVS,10.75 ,11.42 ,11.42 ,,,,,1,0,1,1,1,1,20060825
25332,CPT,Revise wrist joint,,,21 ,,RBRVS,11.39 ,9.20 ,9.20 ,,,,,1,0,1,1,1,1,20060825
25335,CPT,Realignment of hand,,,21 ,,RBRVS,12.86 ,11.62 ,11.62 ,,,,,1,0,1,1,1,1,20060825
25337,CPT,Reconstruct ulna/radioulnar,,,21 ,,RBRVS,10.15 ,11.11 ,11.11 ,,,,,1,0,1,1,1,1,20060825
25350,CPT,Revision of radius,,,21 ,,RBRVS,8.77 ,14.01 ,14.01 ,,,,,1,0,1,1,1,1,20060825
25355,CPT,Revision of radius,,,21 ,,RBRVS,10.15 ,14.65 ,14.65 ,,,,,1,0,1,1,1,1,20060825
25360,CPT,Revision of ulna,,,21 ,,RBRVS,8.42 ,13.91 ,13.91 ,,,,,1,0,1,1,1,1,20060825
25365,CPT,Revise radius & ulna,,,21 ,,RBRVS,12.38 ,15.69 ,15.69 ,,,,,1,0,1,1,1,1,20060825
25370,CPT,Revise radius or ulna,,,21 ,,RBRVS,13.34 ,16.12 ,16.12 ,,,,,1,0,1,1,1,1,20060825
25375,CPT,Revise radius & ulna,,,21 ,,RBRVS,13.02 ,16.47 ,16.47 ,,,,,1,0,1,1,1,1,20060825
25390,CPT,Shorten radius or ulna,,,21 ,,RBRVS,10.38 ,14.62 ,14.62 ,,,,,1,0,1,1,1,1,20060825
25391,CPT,Lengthen radius or ulna,,,21 ,,RBRVS,13.63 ,16.60 ,16.60 ,,,,,1,0,1,1,1,1,20060825
25392,CPT,Shorten radius & ulna,,,21 ,,RBRVS,13.93 ,16.01 ,16.01 ,,,,,1,0,1,1,1,1,20060825
25393,CPT,Lengthen radius & ulna,,,21 ,,RBRVS,15.85 ,17.63 ,17.63 ,,,,,1,0,1,1,1,1,20060825
25394,CPT,"Repair carpal bone, shorten",,,21 ,,RBRVS,10.38 ,8.08 ,8.08 ,,,,,1,0,1,1,1,1,20060825
25400,CPT,Repair radius or ulna,,,21 ,,RBRVS,10.90 ,15.23 ,15.23 ,,,,,1,0,1,1,1,1,20060825
25405,CPT,Repair/graft radius or ulna,,,21 ,,RBRVS,14.36 ,17.32 ,17.32 ,,,,,1,0,1,1,1,1,20060825
25415,CPT,Repair radius & ulna,,,21 ,,RBRVS,13.33 ,16.56 ,16.56 ,,,,,1,0,1,1,1,1,20060825
25420,CPT,Repair/graft radius & ulna,,,21 ,,RBRVS,16.31 ,18.32 ,18.32 ,,,,,1,0,1,1,1,1,20060825
25425,CPT,Repair/graft radius or ulna,,,21 ,,RBRVS,13.19 ,21.45 ,21.45 ,,,,,1,0,1,1,1,1,20060825
25426,CPT,Repair/graft radius & ulna,,,21 ,,RBRVS,15.80 ,16.60 ,16.60 ,,,,,1,0,1,1,1,1,20060825
25430,CPT,Vasc graft into carpal bone,,,21 ,,RBRVS,9.24 ,7.36 ,7.36 ,,,,,1,0,1,1,1,1,20060825
25431,CPT,Repair nonunion carpal bone,,,21 ,,RBRVS,10.42 ,8.42 ,8.42 ,,,,,1,0,1,1,1,1,20060825
25440,CPT,Repair/graft wrist bone,,,21 ,,RBRVS,10.42 ,9.43 ,9.43 ,,,,,1,0,1,1,1,1,20060825
25441,CPT,Reconstruct wrist joint,,,21 ,,RBRVS,12.88 ,10.03 ,10.03 ,,,,,1,0,1,1,1,1,20060825
25442,CPT,Reconstruct wrist joint,,,21 ,,RBRVS,10.83 ,8.91 ,8.91 ,,,,,1,0,1,1,1,1,20060825
25443,CPT,Reconstruct wrist joint,,,21 ,,RBRVS,10.37 ,8.80 ,8.80 ,,,,,1,0,1,1,1,1,20060825
25444,CPT,Reconstruct wrist joint,,,21 ,,RBRVS,11.13 ,9.06 ,9.06 ,,,,,1,0,1,1,1,1,20060825
25445,CPT,Reconstruct wrist joint,,,21 ,,RBRVS,9.68 ,8.01 ,8.01 ,,,,,1,0,1,1,1,1,20060825
25446,CPT,Wrist replacement,,,21 ,,RBRVS,16.53 ,11.95 ,11.95 ,,,,,1,0,1,1,1,1,20060825
25447,CPT,Repair wrist joint(s),,,21 ,,RBRVS,10.35 ,8.68 ,8.68 ,,,,,1,0,1,1,1,1,20060825
25449,CPT,Remove wrist joint implant,,,21 ,,RBRVS,14.47 ,10.70 ,10.70 ,,,,,1,0,1,1,1,1,20060825
25450,CPT,Revision of wrist joint,,,21 ,,RBRVS,7.86 ,10.22 ,10.22 ,,,,,1,0,1,1,1,1,20060825
25455,CPT,Revision of wrist joint,,,21 ,,RBRVS,9.48 ,10.89 ,10.89 ,,,,,1,0,1,1,1,1,20060825
25490,CPT,Reinforce radius,,,21 ,,RBRVS,9.53 ,13.77 ,13.77 ,,,,,1,0,1,1,1,1,20060825
25491,CPT,Reinforce ulna,,,21 ,,RBRVS,9.95 ,14.50 ,14.50 ,,,,,1,0,1,1,1,1,20060825
25492,CPT,Reinforce radius and ulna,,,21 ,,RBRVS,12.31 ,15.34 ,15.34 ,,,,,1,0,1,1,1,1,20060825
25500,CPT,Treat fracture of radius,,,21 ,,RBRVS,2.45 ,2.72 ,3.58 ,,,,,1,0,1,1,1,1,20060825
25505,CPT,Treat fracture of radius,,,21 ,,RBRVS,5.20 ,5.44 ,6.56 ,,,,,1,0,1,1,1,1,20060825
25515,CPT,Treat fracture of radius,,,21 ,,RBRVS,9.17 ,7.48 ,7.48 ,,,,,1,0,1,1,1,1,20060825
25520,CPT,Treat fracture of radius,,,21 ,,RBRVS,6.25 ,6.08 ,6.88 ,,,,,1,0,1,1,1,1,20060825
25525,CPT,Treat fracture of radius,,,21 ,,RBRVS,12.22 ,10.02 ,10.02 ,,,,,1,0,1,1,1,1,20060825
25526,CPT,Treat fracture of radius,,,21 ,,RBRVS,12.96 ,13.54 ,13.54 ,,,,,1,0,1,1,1,1,20060825
25530,CPT,Treat fracture of ulna,,,21 ,,RBRVS,2.09 ,2.87 ,3.77 ,,,,,1,0,1,1,1,1,20060825
25535,CPT,Treat fracture of ulna,,,21 ,,RBRVS,5.13 ,5.31 ,6.03 ,,,,,1,0,1,1,1,1,20060825
25545,CPT,Treat fracture of ulna,,,21 ,,RBRVS,8.89 ,7.68 ,7.68 ,,,,,1,0,1,1,1,1,20060825
25560,CPT,Treat fracture radius & ulna,,,21 ,,RBRVS,2.44 ,2.61 ,3.70 ,,,,,1,0,1,1,1,1,20060825
25565,CPT,Treat fracture radius & ulna,,,21 ,,RBRVS,5.62 ,5.44 ,6.72 ,,,,,1,0,1,1,1,1,20060825
25574,CPT,Treat fracture radius & ulna,,,21 ,,RBRVS,7.00 ,7.22 ,7.22 ,,,,,1,0,1,1,1,1,20060825
25575,CPT,Treat fracture radius/ulna,,,21 ,,RBRVS,10.43 ,9.54 ,9.54 ,,,,,1,0,1,1,1,1,20060825
25600,CPT,Treat fracture radius/ulna,,,21 ,,RBRVS,2.63 ,2.98 ,4.10 ,,,,,1,0,1,1,1,1,20060825
25605,CPT,Treat fracture radius/ulna,,,21 ,,RBRVS,5.80 ,6.24 ,7.25 ,,,,,1,0,1,1,1,1,20060825
25611,CPT,Treat fracture radius/ulna,,,21 ,,RBRVS,7.76 ,8.99 ,8.99 ,,,,,1,0,1,1,1,1,20060825
25620,CPT,Treat fracture radius/ulna,,,21 ,,RBRVS,8.54 ,7.28 ,7.28 ,,,,,1,0,1,1,1,1,20060825
25622,CPT,Treat wrist bone fracture,,,21 ,,RBRVS,2.61 ,3.11 ,4.28 ,,,,,1,0,1,1,1,1,20060825
25624,CPT,Treat wrist bone fracture,,,21 ,,RBRVS,4.52 ,5.08 ,6.32 ,,,,,1,0,1,1,1,1,20060825
25628,CPT,Treat wrist bone fracture,,,21 ,,RBRVS,8.42 ,7.84 ,7.84 ,,,,,1,0,1,1,1,1,20060825
25630,CPT,Treat wrist bone fracture,,,21 ,,RBRVS,2.88 ,2.95 ,4.19 ,,,,,1,0,1,1,1,1,20060825
25635,CPT,Treat wrist bone fracture,,,21 ,,RBRVS,4.38 ,3.91 ,5.96 ,,,,,1,0,1,1,1,1,20060825
25645,CPT,Treat wrist bone fracture,,,21 ,,RBRVS,7.24 ,6.65 ,6.65 ,,,,,1,0,1,1,1,1,20060825
25650,CPT,Treat wrist bone fracture,,,21 ,,RBRVS,3.05 ,3.18 ,4.32 ,,,,,1,0,1,1,1,1,20060825
25651,CPT,Pin ulnar styloid fracture,,,21 ,,RBRVS,5.35 ,5.50 ,5.50 ,,,,,1,0,1,1,1,1,20060825
25652,CPT,Treat fracture ulnar styloid,,,21 ,,RBRVS,7.59 ,7.02 ,7.02 ,,,,,1,0,1,1,1,1,20060825
25660,CPT,Treat wrist dislocation,,,21 ,,RBRVS,4.75 ,4.72 ,4.72 ,,,,,1,0,1,1,1,1,20060825
25670,CPT,Treat wrist dislocation,,,21 ,,RBRVS,7.91 ,7.01 ,7.01 ,,,,,1,0,1,1,1,1,20060825
25671,CPT,Pin radioulnar dislocation,,,21 ,,RBRVS,5.99 ,6.17 ,6.17 ,,,,,1,0,1,1,1,1,20060825
25675,CPT,Treat wrist dislocation,,,21 ,,RBRVS,4.66 ,4.66 ,5.67 ,,,,,1,0,1,1,1,1,20060825
25676,CPT,Treat wrist dislocation,,,21 ,,RBRVS,8.03 ,7.32 ,7.32 ,,,,,1,0,1,1,1,1,20060825
25680,CPT,Treat wrist fracture,,,21 ,,RBRVS,5.98 ,4.75 ,4.75 ,,,,,1,0,1,1,1,1,20060825
25685,CPT,Treat wrist fracture,,,21 ,,RBRVS,9.77 ,7.82 ,7.82 ,,,,,1,0,1,1,1,1,20060825
25690,CPT,Treat wrist dislocation,,,21 ,,RBRVS,5.49 ,5.52 ,5.52 ,,,,,1,0,1,1,1,1,20060825
25695,CPT,Treat wrist dislocation,,,21 ,,RBRVS,8.33 ,7.11 ,7.11 ,,,,,1,0,1,1,1,1,20060825
25800,CPT,Fusion of wrist joint,,,21 ,,RBRVS,9.75 ,9.12 ,9.12 ,,,,,1,0,1,1,1,1,20060825
25805,CPT,Fusion/graft of wrist joint,,,21 ,,RBRVS,11.26 ,10.28 ,10.28 ,,,,,1,0,1,1,1,1,20060825
25810,CPT,Fusion/graft of wrist joint,,,21 ,,RBRVS,10.55 ,9.93 ,9.93 ,,,,,1,0,1,1,1,1,20060825
25820,CPT,Fusion of hand bones,,,21 ,,RBRVS,7.44 ,7.87 ,7.87 ,,,,,1,0,1,1,1,1,20060825
25825,CPT,Fuse hand bones with graft,,,21 ,,RBRVS,9.26 ,9.26 ,9.26 ,,,,,1,0,1,1,1,1,20060825
25830,CPT,"Fusion, radioulnar jnt/ulna",,,21 ,,RBRVS,10.04 ,14.45 ,14.45 ,,,,,1,0,1,1,1,1,20060825
25900,CPT,Amputation of forearm,,,21 ,,RBRVS,9.00 ,12.60 ,12.60 ,,,,,1,0,1,1,1,1,20060825
25905,CPT,Amputation of forearm,,,21 ,,RBRVS,9.11 ,12.33 ,12.33 ,,,,,1,0,1,1,1,1,20060825
25907,CPT,Amputation follow-up surgery,,,21 ,,RBRVS,7.79 ,11.79 ,11.79 ,,,,,1,0,1,1,1,1,20060825
25909,CPT,Amputation follow-up surgery,,,21 ,,RBRVS,8.95 ,12.31 ,12.31 ,,,,,1,0,1,1,1,1,20060825
25915,CPT,Amputation of forearm,,,21 ,,RBRVS,17.05 ,18.93 ,18.93 ,,,,,1,0,1,1,1,1,20060825
25920,CPT,Amputate hand at wrist,,,21 ,,RBRVS,8.67 ,7.87 ,7.87 ,,,,,1,0,1,1,1,1,20060825
25922,CPT,Amputate hand at wrist,,,21 ,,RBRVS,7.41 ,7.07 ,7.07 ,,,,,1,0,1,1,1,1,20060825
25924,CPT,Amputation follow-up surgery,,,21 ,,RBRVS,8.45 ,8.11 ,8.11 ,,,,,1,0,1,1,1,1,20060825
25927,CPT,Amputation of hand,,,21 ,,RBRVS,8.79 ,11.71 ,11.71 ,,,,,1,0,1,1,1,1,20060825
25929,CPT,Amputation follow-up surgery,,,21 ,,RBRVS,7.58 ,5.89 ,5.89 ,,,,,1,0,1,1,1,1,20060825
25931,CPT,Amputation follow-up surgery,,,21 ,,RBRVS,7.80 ,11.49 ,11.49 ,,,,,1,0,1,1,1,1,20060825
25999,CPT,Forearm or wrist surgery,,,21 ,,TotalUnits,,,,8.21 ,,,,1,0,1,1,1,1,20060825
26010,CPT,Drainage of finger abscess,,,21 ,,RBRVS,1.54 ,1.63 ,5.58 ,,,,,1,0,1,1,1,1,20060825
26011,CPT,Drainage of finger abscess,,,21 ,,RBRVS,2.19 ,2.33 ,8.84 ,,,,,1,0,1,1,1,1,20060825
26020,CPT,Drain hand tendon sheath,,,21 ,,RBRVS,4.66 ,5.37 ,5.37 ,,,,,1,0,1,1,1,1,20060825
26025,CPT,Drainage of palm bursa,,,21 ,,RBRVS,4.81 ,5.13 ,5.13 ,,,,,1,0,1,1,1,1,20060825
26030,CPT,Drainage of palm bursa(s),,,21 ,,RBRVS,5.92 ,5.74 ,5.74 ,,,,,1,0,1,1,1,1,20060825
26034,CPT,Treat hand bone lesion,,,21 ,,RBRVS,6.22 ,6.37 ,6.37 ,,,,,1,0,1,1,1,1,20060825
26035,CPT,Decompress fingers/hand,,,21 ,,RBRVS,9.50 ,7.89 ,7.89 ,,,,,1,0,1,1,1,1,20060825
26037,CPT,Decompress fingers/hand,,,21 ,,RBRVS,7.24 ,6.34 ,6.34 ,,,,,1,0,1,1,1,1,20060825
26040,CPT,Release palm contracture,,,21 ,,RBRVS,3.33 ,4.06 ,4.06 ,,,,,1,0,1,1,1,1,20060825
26045,CPT,Release palm contracture,,,21 ,,RBRVS,5.55 ,5.66 ,5.66 ,,,,,1,0,1,1,1,1,20060825
26055,CPT,Incise finger tendon sheath,,,21 ,,RBRVS,2.69 ,3.95 ,14.39 ,,,,,1,0,1,1,1,1,20060825
26060,CPT,Incision of finger tendon,,,21 ,,RBRVS,2.81 ,3.52 ,3.52 ,,,,,1,0,1,1,1,1,20060825
26070,CPT,Explore/treat hand joint,,,21 ,,RBRVS,3.68 ,3.37 ,3.37 ,,,,,1,0,1,1,1,1,20060825
26075,CPT,Explore/treat finger joint,,,21 ,,RBRVS,3.78 ,3.79 ,3.79 ,,,,,1,0,1,1,1,1,20060825
26080,CPT,Explore/treat finger joint,,,21 ,,RBRVS,4.23 ,4.86 ,4.86 ,,,,,1,0,1,1,1,1,20060825
26100,CPT,Biopsy hand joint lining,,,21 ,,RBRVS,3.66 ,4.14 ,4.14 ,,,,,1,0,1,1,1,1,20060825
26105,CPT,Biopsy finger joint lining,,,21 ,,RBRVS,3.70 ,4.24 ,4.24 ,,,,,1,0,1,1,1,1,20060825
26110,CPT,Biopsy finger joint lining,,,21 ,,RBRVS,3.52 ,4.05 ,4.05 ,,,,,1,0,1,1,1,1,20060825
26115,CPT,Removel hand lesion subcut,,,21 ,,RBRVS,3.85 ,4.78 ,13.13 ,,,,,1,0,1,1,1,1,20060825
26116,CPT,"Removel hand lesion, deep",,,21 ,,RBRVS,5.52 ,6.02 ,6.02 ,,,,,1,0,1,1,1,1,20060825
26117,CPT,"Remove tumor, hand/finger",,,21 ,,RBRVS,8.54 ,7.08 ,7.08 ,,,,,1,0,1,1,1,1,20060825
26121,CPT,Release palm contracture,,,21 ,,RBRVS,7.53 ,6.98 ,6.98 ,,,,,1,0,1,1,1,1,20060825
26123,CPT,Release palm contracture,,,21 ,,RBRVS,9.28 ,8.88 ,8.88 ,,,,,1,0,1,1,1,1,20060825
26125,CPT,Release palm contracture,,,21 ,,RBRVS,4.60 ,2.45 ,2.45 ,,,,,1,0,1,1,1,1,20060825
26130,CPT,Remove wrist joint lining,,,21 ,,RBRVS,5.41 ,5.36 ,5.36 ,,,,,1,0,1,1,1,1,20060825
26135,CPT,"Revise finger joint, each",,,21 ,,RBRVS,6.95 ,6.48 ,6.48 ,,,,,1,0,1,1,1,1,20060825
26140,CPT,"Revise finger joint, each",,,21 ,,RBRVS,6.16 ,6.06 ,6.06 ,,,,,1,0,1,1,1,1,20060825
26145,CPT,"Tendon excision, palm/finger",,,21 ,,RBRVS,6.31 ,6.07 ,6.07 ,,,,,1,0,1,1,1,1,20060825
26160,CPT,Remove tendon sheath lesion,,,21 ,,RBRVS,3.15 ,4.13 ,12.41 ,,,,,1,0,1,1,1,1,20060825
26170,CPT,"Removal of palm tendon, each",,,21 ,,RBRVS,4.76 ,4.95 ,4.95 ,,,,,1,0,1,1,1,1,20060825
26180,CPT,Removal of finger tendon,,,21 ,,RBRVS,5.17 ,5.43 ,5.43 ,,,,,1,0,1,1,1,1,20060825
26185,CPT,Remove finger bone,,,21 ,,RBRVS,5.24 ,6.05 ,6.05 ,,,,,1,0,1,1,1,1,20060825
26200,CPT,Remove hand bone lesion,,,21 ,,RBRVS,5.50 ,5.37 ,5.37 ,,,,,1,0,1,1,1,1,20060825
26205,CPT,Remove/graft bone lesion,,,21 ,,RBRVS,7.69 ,6.91 ,6.91 ,,,,,1,0,1,1,1,1,20060825
26210,CPT,Removal of finger lesion,,,21 ,,RBRVS,5.14 ,5.44 ,5.44 ,,,,,1,0,1,1,1,1,20060825
26215,CPT,Remove/graft finger lesion,,,21 ,,RBRVS,7.09 ,6.33 ,6.33 ,,,,,1,0,1,1,1,1,20060825
26230,CPT,Partial removal of hand bone,,,21 ,,RBRVS,6.32 ,5.93 ,5.93 ,,,,,1,0,1,1,1,1,20060825
26235,CPT,"Partial removal, finger bone",,,21 ,,RBRVS,6.18 ,5.83 ,5.83 ,,,,,1,0,1,1,1,1,20060825
26236,CPT,"Partial removal, finger bone",,,21 ,,RBRVS,5.31 ,5.34 ,5.34 ,,,,,1,0,1,1,1,1,20060825
26250,CPT,Extensive hand surgery,,,21 ,,RBRVS,7.54 ,6.45 ,6.45 ,,,,,1,0,1,1,1,1,20060825
26255,CPT,Extensive hand surgery,,,21 ,,RBRVS,12.41 ,9.40 ,9.40 ,,,,,1,0,1,1,1,1,20060825
26260,CPT,Extensive finger surgery,,,21 ,,RBRVS,7.02 ,6.20 ,6.20 ,,,,,1,0,1,1,1,1,20060825
26261,CPT,Extensive finger surgery,,,21 ,,RBRVS,9.08 ,6.19 ,6.19 ,,,,,1,0,1,1,1,1,20060825
26262,CPT,Partial removal of finger,,,21 ,,RBRVS,5.66 ,5.35 ,5.35 ,,,,,1,0,1,1,1,1,20060825
26320,CPT,Removal of implant from hand,,,21 ,,RBRVS,3.97 ,4.32 ,4.32 ,,,,,1,0,1,1,1,1,20060825
26340,CPT,Manipulate finger w/anesth,,,21 ,,RBRVS,2.50 ,4.89 ,4.89 ,,,,,1,0,1,1,1,1,20060825
26350,CPT,Repair finger/hand tendon,,,21 ,,RBRVS,5.98 ,14.65 ,14.65 ,,,,,1,0,1,1,1,1,20060825
26352,CPT,Repair/graft hand tendon,,,21 ,,RBRVS,7.67 ,15.40 ,15.40 ,,,,,1,0,1,1,1,1,20060825
26356,CPT,Repair finger/hand tendon,,,21 ,,RBRVS,8.06 ,18.42 ,18.42 ,,,,,1,0,1,1,1,1,20060825
26357,CPT,Repair finger/hand tendon,,,21 ,,RBRVS,8.57 ,15.68 ,15.68 ,,,,,1,0,1,1,1,1,20060825
26358,CPT,Repair/graft hand tendon,,,21 ,,RBRVS,9.13 ,16.69 ,16.69 ,,,,,1,0,1,1,1,1,20060825
26370,CPT,Repair finger/hand tendon,,,21 ,,RBRVS,7.10 ,15.15 ,15.15 ,,,,,1,0,1,1,1,1,20060825
26372,CPT,Repair/graft hand tendon,,,21 ,,RBRVS,8.75 ,16.58 ,16.58 ,,,,,1,0,1,1,1,1,20060825
26373,CPT,Repair finger/hand tendon,,,21 ,,RBRVS,8.15 ,16.09 ,16.09 ,,,,,1,0,1,1,1,1,20060825
26390,CPT,Revise hand/finger tendon,,,21 ,,RBRVS,9.18 ,13.32 ,13.32 ,,,,,1,0,1,1,1,1,20060825
26392,CPT,Repair/graft hand tendon,,,21 ,,RBRVS,10.24 ,16.77 ,16.77 ,,,,,1,0,1,1,1,1,20060825
26410,CPT,Repair hand tendon,,,21 ,,RBRVS,4.62 ,11.97 ,11.97 ,,,,,1,0,1,1,1,1,20060825
26412,CPT,Repair/graft hand tendon,,,21 ,,RBRVS,6.30 ,13.31 ,13.31 ,,,,,1,0,1,1,1,1,20060825
26415,CPT,"Excision, hand/finger tendon",,,21 ,,RBRVS,8.33 ,11.81 ,11.81 ,,,,,1,0,1,1,1,1,20060825
26416,CPT,Graft hand or finger tendon,,,21 ,,RBRVS,9.36 ,14.63 ,14.63 ,,,,,1,0,1,1,1,1,20060825
26418,CPT,Repair finger tendon,,,21 ,,RBRVS,4.24 ,12.36 ,12.36 ,,,,,1,0,1,1,1,1,20060825
26420,CPT,Repair/graft finger tendon,,,21 ,,RBRVS,6.76 ,13.67 ,13.67 ,,,,,1,0,1,1,1,1,20060825
26426,CPT,Repair finger/hand tendon,,,21 ,,RBRVS,6.14 ,13.20 ,13.20 ,,,,,1,0,1,1,1,1,20060825
26428,CPT,Repair/graft finger tendon,,,21 ,,RBRVS,7.20 ,13.90 ,13.90 ,,,,,1,0,1,1,1,1,20060825
26432,CPT,Repair finger tendon,,,21 ,,RBRVS,4.01 ,10.29 ,10.29 ,,,,,1,0,1,1,1,1,20060825
26433,CPT,Repair finger tendon,,,21 ,,RBRVS,4.55 ,10.82 ,10.82 ,,,,,1,0,1,1,1,1,20060825
26434,CPT,Repair/graft finger tendon,,,21 ,,RBRVS,6.08 ,11.57 ,11.57 ,,,,,1,0,1,1,1,1,20060825
26437,CPT,Realignment of tendons,,,21 ,,RBRVS,5.81 ,11.60 ,11.60 ,,,,,1,0,1,1,1,1,20060825
26440,CPT,Release palm/finger tendon,,,21 ,,RBRVS,5.01 ,13.47 ,13.47 ,,,,,1,0,1,1,1,1,20060825
26442,CPT,Release palm & finger tendon,,,21 ,,RBRVS,8.15 ,15.99 ,15.99 ,,,,,1,0,1,1,1,1,20060825
26445,CPT,Release hand/finger tendon,,,21 ,,RBRVS,4.30 ,13.18 ,13.18 ,,,,,1,0,1,1,1,1,20060825
26449,CPT,Release forearm/hand tendon,,,21 ,,RBRVS,6.99 ,15.82 ,15.82 ,,,,,1,0,1,1,1,1,20060825
26450,CPT,Incision of palm tendon,,,21 ,,RBRVS,3.66 ,7.35 ,7.35 ,,,,,1,0,1,1,1,1,20060825
26455,CPT,Incision of finger tendon,,,21 ,,RBRVS,3.63 ,7.30 ,7.30 ,,,,,1,0,1,1,1,1,20060825
26460,CPT,Incise hand/finger tendon,,,21 ,,RBRVS,3.45 ,7.16 ,7.16 ,,,,,1,0,1,1,1,1,20060825
26471,CPT,Fusion of finger tendons,,,21 ,,RBRVS,5.72 ,11.27 ,11.27 ,,,,,1,0,1,1,1,1,20060825
26474,CPT,Fusion of finger tendons,,,21 ,,RBRVS,5.31 ,11.42 ,11.42 ,,,,,1,0,1,1,1,1,20060825
26476,CPT,Tendon lengthening,,,21 ,,RBRVS,5.17 ,10.96 ,10.96 ,,,,,1,0,1,1,1,1,20060825
26477,CPT,Tendon shortening,,,21 ,,RBRVS,5.14 ,11.09 ,11.09 ,,,,,1,0,1,1,1,1,20060825
26478,CPT,Lengthening of hand tendon,,,21 ,,RBRVS,5.79 ,11.87 ,11.87 ,,,,,1,0,1,1,1,1,20060825
26479,CPT,Shortening of hand tendon,,,21 ,,RBRVS,5.73 ,11.59 ,11.59 ,,,,,1,0,1,1,1,1,20060825
26480,CPT,Transplant hand tendon,,,21 ,,RBRVS,6.68 ,15.08 ,15.08 ,,,,,1,0,1,1,1,1,20060825
26483,CPT,Transplant/graft hand tendon,,,21 ,,RBRVS,8.28 ,15.54 ,15.54 ,,,,,1,0,1,1,1,1,20060825
26485,CPT,Transplant palm tendon,,,21 ,,RBRVS,7.69 ,15.40 ,15.40 ,,,,,1,0,1,1,1,1,20060825
26489,CPT,Transplant/graft palm tendon,,,21 ,,RBRVS,9.54 ,12.09 ,12.09 ,,,,,1,0,1,1,1,1,20060825
26490,CPT,Revise thumb tendon,,,21 ,,RBRVS,8.40 ,12.86 ,12.86 ,,,,,1,0,1,1,1,1,20060825
26492,CPT,Tendon transfer with graft,,,21 ,,RBRVS,9.61 ,13.64 ,13.64 ,,,,,1,0,1,1,1,1,20060825
26494,CPT,Hand tendon/muscle transfer,,,21 ,,RBRVS,8.46 ,13.01 ,13.01 ,,,,,1,0,1,1,1,1,20060825
26496,CPT,Revise thumb tendon,,,21 ,,RBRVS,9.58 ,13.27 ,13.27 ,,,,,1,0,1,1,1,1,20060825
26497,CPT,Finger tendon transfer,,,21 ,,RBRVS,9.56 ,13.61 ,13.61 ,,,,,1,0,1,1,1,1,20060825
26498,CPT,Finger tendon transfer,,,21 ,,RBRVS,13.98 ,16.21 ,16.21 ,,,,,1,0,1,1,1,1,20060825
26499,CPT,Revision of finger,,,21 ,,RBRVS,8.97 ,13.08 ,13.08 ,,,,,1,0,1,1,1,1,20060825
26500,CPT,Hand tendon reconstruction,,,21 ,,RBRVS,5.95 ,11.47 ,11.47 ,,,,,1,0,1,1,1,1,20060825
26502,CPT,Hand tendon reconstruction,,,21 ,,RBRVS,7.13 ,12.05 ,12.05 ,,,,,1,0,1,1,1,1,20060825
26504,CPT,Hand tendon reconstruction,,,21 ,,RBRVS,7.46 ,12.62 ,12.62 ,,,,,1,0,1,1,1,1,20060825
26508,CPT,Release thumb contracture,,,21 ,,RBRVS,6.00 ,11.71 ,11.71 ,,,,,1,0,1,1,1,1,20060825
26510,CPT,Thumb tendon transfer,,,21 ,,RBRVS,5.42 ,11.37 ,11.37 ,,,,,1,0,1,1,1,1,20060825
26516,CPT,Fusion of knuckle joint,,,21 ,,RBRVS,7.14 ,12.27 ,12.27 ,,,,,1,0,1,1,1,1,20060825
26517,CPT,Fusion of knuckle joints,,,21 ,,RBRVS,8.82 ,13.54 ,13.54 ,,,,,1,0,1,1,1,1,20060825
26518,CPT,Fusion of knuckle joints,,,21 ,,RBRVS,9.01 ,13.43 ,13.43 ,,,,,1,0,1,1,1,1,20060825
26520,CPT,Release knuckle contracture,,,21 ,,RBRVS,5.29 ,13.93 ,13.93 ,,,,,1,0,1,1,1,1,20060825
26525,CPT,Release finger contracture,,,21 ,,RBRVS,5.32 ,14.01 ,14.01 ,,,,,1,0,1,1,1,1,20060825
26530,CPT,Revise knuckle joint,,,21 ,,RBRVS,6.68 ,6.16 ,6.16 ,,,,,1,0,1,1,1,1,20060825
26531,CPT,Revise knuckle with implant,,,21 ,,RBRVS,7.90 ,7.14 ,7.14 ,,,,,1,0,1,1,1,1,20060825
26535,CPT,Revise finger joint,,,21 ,,RBRVS,5.23 ,3.75 ,3.75 ,,,,,1,0,1,1,1,1,20060825
26536,CPT,Revise/implant finger joint,,,21 ,,RBRVS,6.36 ,9.68 ,9.68 ,,,,,1,0,1,1,1,1,20060825
26540,CPT,Repair hand joint,,,21 ,,RBRVS,6.42 ,11.90 ,11.90 ,,,,,1,0,1,1,1,1,20060825
26541,CPT,Repair hand joint with graft,,,21 ,,RBRVS,8.61 ,13.43 ,13.43 ,,,,,1,0,1,1,1,1,20060825
26542,CPT,Repair hand joint with graft,,,21 ,,RBRVS,6.77 ,12.06 ,12.06 ,,,,,1,0,1,1,1,1,20060825
26545,CPT,Reconstruct finger joint,,,21 ,,RBRVS,6.91 ,12.17 ,12.17 ,,,,,1,0,1,1,1,1,20060825
26546,CPT,Repair nonunion hand,,,21 ,,RBRVS,8.91 ,15.07 ,15.07 ,,,,,1,0,1,1,1,1,20060825
26548,CPT,Reconstruct finger joint,,,21 ,,RBRVS,8.02 ,12.89 ,12.89 ,,,,,1,0,1,1,1,1,20060825
26550,CPT,Construct thumb replacement,,,21 ,,RBRVS,21.21 ,17.63 ,17.63 ,,,,,1,0,1,1,1,1,20060825
26551,CPT,Great toe-hand transfer,,,21 ,,RBRVS,46.51 ,32.53 ,32.53 ,,,,,1,0,1,1,1,1,20060825
26553,CPT,"Single transfer, toe-hand",,,21 ,,RBRVS,46.20 ,22.75 ,22.75 ,,,,,1,0,1,1,1,1,20060825
26554,CPT,"Double transfer, toe-hand",,,21 ,,RBRVS,54.87 ,37.64 ,37.64 ,,,,,1,0,1,1,1,1,20060825
26555,CPT,Positional change of finger,,,21 ,,RBRVS,16.61 ,18.23 ,18.23 ,,,,,1,0,1,1,1,1,20060825
26556,CPT,Toe joint transfer,,,21 ,,RBRVS,47.19 ,33.42 ,33.42 ,,,,,1,0,1,1,1,1,20060825
26560,CPT,Repair of web finger,,,21 ,,RBRVS,5.37 ,9.83 ,9.83 ,,,,,1,0,1,1,1,1,20060825
26561,CPT,Repair of web finger,,,21 ,,RBRVS,10.90 ,12.38 ,12.38 ,,,,,1,0,1,1,1,1,20060825
26562,CPT,Repair of web finger,,,21 ,,RBRVS,14.98 ,17.19 ,17.19 ,,,,,1,0,1,1,1,1,20060825
26565,CPT,Correct metacarpal flaw,,,21 ,,RBRVS,6.73 ,12.04 ,12.04 ,,,,,1,0,1,1,1,1,20060825
26567,CPT,Correct finger deformity,,,21 ,,RBRVS,6.81 ,11.98 ,11.98 ,,,,,1,0,1,1,1,1,20060825
26568,CPT,Lengthen metacarpal/finger,,,21 ,,RBRVS,9.07 ,15.47 ,15.47 ,,,,,1,0,1,1,1,1,20060825
26580,CPT,Repair hand deformity,,,21 ,,RBRVS,18.15 ,13.68 ,13.68 ,,,,,1,0,1,1,1,1,20060825
26587,CPT,Reconstruct extra finger,,,21 ,,RBRVS,14.03 ,9.24 ,9.24 ,,,,,1,0,1,1,1,1,20060825
26590,CPT,Repair finger deformity,,,21 ,,RBRVS,17.93 ,13.98 ,13.98 ,,,,,1,0,1,1,1,1,20060825
26591,CPT,Repair muscles of hand,,,21 ,,RBRVS,3.25 ,9.65 ,9.65 ,,,,,1,0,1,1,1,1,20060825
26593,CPT,Release muscles of hand,,,21 ,,RBRVS,5.30 ,11.16 ,11.16 ,,,,,1,0,1,1,1,1,20060825
26596,CPT,Excision constricting tissue,,,21 ,,RBRVS,8.94 ,8.85 ,8.85 ,,,,,1,0,1,1,1,1,20060825
26600,CPT,Treat metacarpal fracture,,,21 ,,RBRVS,1.96 ,2.66 ,3.62 ,,,,,1,0,1,1,1,1,20060825
26605,CPT,Treat metacarpal fracture,,,21 ,,RBRVS,2.85 ,3.66 ,4.57 ,,,,,1,0,1,1,1,1,20060825
26607,CPT,Treat metacarpal fracture,,,21 ,,RBRVS,5.35 ,6.29 ,6.29 ,,,,,1,0,1,1,1,1,20060825
26608,CPT,Treat metacarpal fracture,,,21 ,,RBRVS,5.35 ,6.27 ,6.27 ,,,,,1,0,1,1,1,1,20060825
26615,CPT,Treat metacarpal fracture,,,21 ,,RBRVS,5.32 ,5.32 ,5.32 ,,,,,1,0,1,1,1,1,20060825
26641,CPT,Treat thumb dislocation,,,21 ,,RBRVS,3.93 ,3.54 ,4.58 ,,,,,1,0,1,1,1,1,20060825
26645,CPT,Treat thumb fracture,,,21 ,,RBRVS,4.40 ,4.20 ,5.18 ,,,,,1,0,1,1,1,1,20060825
26650,CPT,Treat thumb fracture,,,21 ,,RBRVS,5.71 ,6.71 ,6.71 ,,,,,1,0,1,1,1,1,20060825
26665,CPT,Treat thumb fracture,,,21 ,,RBRVS,7.59 ,6.63 ,6.63 ,,,,,1,0,1,1,1,1,20060825
26670,CPT,Treat hand dislocation,,,21 ,,RBRVS,3.68 ,2.95 ,4.27 ,,,,,1,0,1,1,1,1,20060825
26675,CPT,Treat hand dislocation,,,21 ,,RBRVS,4.63 ,4.48 ,5.49 ,,,,,1,0,1,1,1,1,20060825
26676,CPT,Pin hand dislocation,,,21 ,,RBRVS,5.51 ,6.71 ,6.71 ,,,,,1,0,1,1,1,1,20060825
26685,CPT,Treat hand dislocation,,,21 ,,RBRVS,6.97 ,6.16 ,6.16 ,,,,,1,0,1,1,1,1,20060825
26686,CPT,Treat hand dislocation,,,21 ,,RBRVS,7.93 ,6.92 ,6.92 ,,,,,1,0,1,1,1,1,20060825
26700,CPT,Treat knuckle dislocation,,,21 ,,RBRVS,3.68 ,2.87 ,3.77 ,,,,,1,0,1,1,1,1,20060825
26705,CPT,Treat knuckle dislocation,,,21 ,,RBRVS,4.18 ,4.31 ,5.35 ,,,,,1,0,1,1,1,1,20060825
26706,CPT,Pin knuckle dislocation,,,21 ,,RBRVS,5.11 ,5.10 ,5.10 ,,,,,1,0,1,1,1,1,20060825
26715,CPT,Treat knuckle dislocation,,,21 ,,RBRVS,5.73 ,5.53 ,5.53 ,,,,,1,0,1,1,1,1,20060825
26720,CPT,"Treat finger fracture, each",,,21 ,,RBRVS,1.66 ,2.06 ,2.79 ,,,,,1,0,1,1,1,1,20060825
26725,CPT,"Treat finger fracture, each",,,21 ,,RBRVS,3.33 ,3.51 ,4.78 ,,,,,1,0,1,1,1,1,20060825
26727,CPT,"Treat finger fracture, each",,,21 ,,RBRVS,5.22 ,6.25 ,6.25 ,,,,,1,0,1,1,1,1,20060825
26735,CPT,"Treat finger fracture, each",,,21 ,,RBRVS,5.97 ,5.57 ,5.57 ,,,,,1,0,1,1,1,1,20060825
26740,CPT,"Treat finger fracture, each",,,21 ,,RBRVS,1.94 ,2.71 ,3.14 ,,,,,1,0,1,1,1,1,20060825
26742,CPT,"Treat finger fracture, each",,,21 ,,RBRVS,3.84 ,3.89 ,5.00 ,,,,,1,0,1,1,1,1,20060825
26746,CPT,"Treat finger fracture, each",,,21 ,,RBRVS,5.80 ,5.58 ,5.58 ,,,,,1,0,1,1,1,1,20060825
26750,CPT,"Treat finger fracture, each",,,21 ,,RBRVS,1.70 ,2.02 ,2.49 ,,,,,1,0,1,1,1,1,20060825
26755,CPT,"Treat finger fracture, each",,,21 ,,RBRVS,3.10 ,3.01 ,4.43 ,,,,,1,0,1,1,1,1,20060825
26756,CPT,"Pin finger fracture, each",,,21 ,,RBRVS,4.38 ,5.74 ,5.74 ,,,,,1,0,1,1,1,1,20060825
26765,CPT,"Treat finger fracture, each",,,21 ,,RBRVS,4.16 ,4.40 ,4.40 ,,,,,1,0,1,1,1,1,20060825
26770,CPT,Treat finger dislocation,,,21 ,,RBRVS,3.02 ,2.42 ,3.44 ,,,,,1,0,1,1,1,1,20060825
26775,CPT,Treat finger dislocation,,,21 ,,RBRVS,3.70 ,3.82 ,5.21 ,,,,,1,0,1,1,1,1,20060825
26776,CPT,Pin finger dislocation,,,21 ,,RBRVS,4.79 ,6.02 ,6.02 ,,,,,1,0,1,1,1,1,20060825
26785,CPT,Treat finger dislocation,,,21 ,,RBRVS,4.20 ,4.54 ,4.54 ,,,,,1,0,1,1,1,1,20060825
26820,CPT,Thumb fusion with graft,,,21 ,,RBRVS,8.25 ,13.29 ,13.29 ,,,,,1,0,1,1,1,1,20060825
26841,CPT,Fusion of thumb,,,21 ,,RBRVS,7.12 ,13.27 ,13.27 ,,,,,1,0,1,1,1,1,20060825
26842,CPT,Thumb fusion with graft,,,21 ,,RBRVS,8.23 ,13.41 ,13.41 ,,,,,1,0,1,1,1,1,20060825
26843,CPT,Fusion of hand joint,,,21 ,,RBRVS,7.60 ,12.39 ,12.39 ,,,,,1,0,1,1,1,1,20060825
26844,CPT,Fusion/graft of hand joint,,,21 ,,RBRVS,8.72 ,13.40 ,13.40 ,,,,,1,0,1,1,1,1,20060825
26850,CPT,Fusion of knuckle,,,21 ,,RBRVS,6.96 ,12.24 ,12.24 ,,,,,1,0,1,1,1,1,20060825
26852,CPT,Fusion of knuckle with graft,,,21 ,,RBRVS,8.45 ,12.93 ,12.93 ,,,,,1,0,1,1,1,1,20060825
26860,CPT,Fusion of finger joint,,,21 ,,RBRVS,4.68 ,11.22 ,11.22 ,,,,,1,0,1,1,1,1,20060825
26861,CPT,"Fusion of finger jnt, add-on",,,21 ,,RBRVS,1.74 ,0.93 ,0.93 ,,,,,1,0,1,1,1,1,20060825
26862,CPT,Fusion/graft of finger joint,,,21 ,,RBRVS,7.36 ,12.38 ,12.38 ,,,,,1,0,1,1,1,1,20060825
26863,CPT,Fuse/graft added joint,,,21 ,,RBRVS,3.89 ,2.12 ,2.12 ,,,,,1,0,1,1,1,1,20060825
26910,CPT,Amputate metacarpal bone,,,21 ,,RBRVS,7.59 ,11.25 ,11.25 ,,,,,1,0,1,1,1,1,20060825
26951,CPT,Amputation of finger/thumb,,,21 ,,RBRVS,4.58 ,10.18 ,10.18 ,,,,,1,0,1,1,1,1,20060825
26952,CPT,Amputation of finger/thumb,,,21 ,,RBRVS,6.30 ,11.69 ,11.69 ,,,,,1,0,1,1,1,1,20060825
26989,CPT,Hand/finger surgery,,,21 ,,TotalUnits,,,,7.89 ,,,,1,0,1,1,1,1,20060825
26990,CPT,Drainage of pelvis lesion,,,21 ,,RBRVS,7.47 ,7.23 ,7.23 ,,,,,1,0,1,1,1,1,20060825
26991,CPT,Drainage of pelvis bursa,,,21 ,,RBRVS,6.67 ,5.45 ,11.19 ,,,,,1,0,1,1,1,1,20060825
26992,CPT,Drainage of bone lesion,,,21 ,,RBRVS,13.00 ,10.41 ,10.41 ,,,,,1,0,1,1,1,1,20060825
27000,CPT,Incision of hip tendon,,,21 ,,RBRVS,5.61 ,5.30 ,5.30 ,,,,,1,0,1,1,1,1,20060825
27001,CPT,Incision of hip tendon,,,21 ,,RBRVS,6.93 ,6.11 ,6.11 ,,,,,1,0,1,1,1,1,20060825
27003,CPT,Incision of hip tendon,,,21 ,,RBRVS,7.33 ,6.50 ,6.50 ,,,,,1,0,1,1,1,1,20060825
27005,CPT,Incision of hip tendon,,,21 ,,RBRVS,9.65 ,7.84 ,7.84 ,,,,,1,0,1,1,1,1,20060825
27006,CPT,Incision of hip tendons,,,21 ,,RBRVS,9.67 ,8.00 ,8.00 ,,,,,1,0,1,1,1,1,20060825
27025,CPT,Incision of hip/thigh fascia,,,21 ,,RBRVS,11.14 ,8.57 ,8.57 ,,,,,1,0,1,1,1,1,20060825
27030,CPT,Drainage of hip joint,,,21 ,,RBRVS,12.99 ,9.67 ,9.67 ,,,,,1,0,1,1,1,1,20060825
27033,CPT,Exploration of hip joint,,,21 ,,RBRVS,13.37 ,9.95 ,9.95 ,,,,,1,0,1,1,1,1,20060825
27035,CPT,Denervation of hip joint,,,21 ,,RBRVS,16.66 ,11.26 ,11.26 ,,,,,1,0,1,1,1,1,20060825
27036,CPT,Excision of hip joint/muscle,,,21 ,,RBRVS,12.86 ,10.03 ,10.03 ,,,,,1,0,1,1,1,1,20060825
27040,CPT,Biopsy of soft tissues,,,21 ,,RBRVS,2.87 ,2.02 ,5.25 ,,,,,1,0,1,1,1,1,20060825
27041,CPT,Biopsy of soft tissues,,,21 ,,RBRVS,9.88 ,6.66 ,6.66 ,,,,,1,0,1,1,1,1,20060825
27047,CPT,Remove hip/pelvis lesion,,,21 ,,RBRVS,7.44 ,4.78 ,7.13 ,,,,,1,0,1,1,1,1,20060825
27048,CPT,Remove hip/pelvis lesion,,,21 ,,RBRVS,6.24 ,4.81 ,4.81 ,,,,,1,0,1,1,1,1,20060825
27049,CPT,"Remove tumor, hip/pelvis",,,21 ,,RBRVS,13.64 ,8.42 ,8.42 ,,,,,1,0,1,1,1,1,20060825
27050,CPT,Biopsy of sacroiliac joint,,,21 ,,RBRVS,4.35 ,4.43 ,4.43 ,,,,,1,0,1,1,1,1,20060825
27052,CPT,Biopsy of hip joint,,,21 ,,RBRVS,6.22 ,5.90 ,5.90 ,,,,,1,0,1,1,1,1,20060825
27054,CPT,Removal of hip joint lining,,,21 ,,RBRVS,8.53 ,7.36 ,7.36 ,,,,,1,0,1,1,1,1,20060825
27060,CPT,Removal of ischial bursa,,,21 ,,RBRVS,5.42 ,4.38 ,4.38 ,,,,,1,0,1,1,1,1,20060825
27062,CPT,Remove femur lesion/bursa,,,21 ,,RBRVS,5.36 ,5.21 ,5.21 ,,,,,1,0,1,1,1,1,20060825
27065,CPT,Removal of hip bone lesion,,,21 ,,RBRVS,5.89 ,5.46 ,5.46 ,,,,,1,0,1,1,1,1,20060825
27066,CPT,Removal of hip bone lesion,,,21 ,,RBRVS,10.31 ,8.46 ,8.46 ,,,,,1,0,1,1,1,1,20060825
27067,CPT,Remove/graft hip bone lesion,,,21 ,,RBRVS,13.81 ,10.69 ,10.69 ,,,,,1,0,1,1,1,1,20060825
27070,CPT,Partial removal of hip bone,,,21 ,,RBRVS,10.70 ,9.16 ,9.16 ,,,,,1,0,1,1,1,1,20060825
27071,CPT,Partial removal of hip bone,,,21 ,,RBRVS,11.44 ,10.15 ,10.15 ,,,,,1,0,1,1,1,1,20060825
27075,CPT,Extensive hip surgery,,,21 ,,RBRVS,34.95 ,19.26 ,19.26 ,,,,,1,0,1,1,1,1,20060825
27076,CPT,Extensive hip surgery,,,21 ,,RBRVS,22.09 ,14.55 ,14.55 ,,,,,1,0,1,1,1,1,20060825
27077,CPT,Extensive hip surgery,,,21 ,,RBRVS,39.94 ,22.73 ,22.73 ,,,,,1,0,1,1,1,1,20060825
27078,CPT,Extensive hip surgery,,,21 ,,RBRVS,13.42 ,9.97 ,9.97 ,,,,,1,0,1,1,1,1,20060825
27079,CPT,Extensive hip surgery,,,21 ,,RBRVS,13.73 ,9.57 ,9.57 ,,,,,1,0,1,1,1,1,20060825
27080,CPT,Removal of tail bone,,,21 ,,RBRVS,6.38 ,4.84 ,4.84 ,,,,,1,0,1,1,1,1,20060825
27086,CPT,Remove hip foreign body,,,21 ,,RBRVS,1.87 ,1.83 ,4.56 ,,,,,1,0,1,1,1,1,20060825
27087,CPT,Remove hip foreign body,,,21 ,,RBRVS,8.53 ,6.68 ,6.68 ,,,,,1,0,1,1,1,1,20060825
27090,CPT,Removal of hip prosthesis,,,21 ,,RBRVS,11.13 ,8.81 ,8.81 ,,,,,1,0,1,1,1,1,20060825
27091,CPT,Removal of hip prosthesis,,,21 ,,RBRVS,22.11 ,14.03 ,14.03 ,,,,,1,0,1,1,1,1,20060825
27093,CPT,Injection for hip x-ray,,,21 ,,RBRVS,1.30 ,0.48 ,4.47 ,,,,,1,0,1,1,1,1,20060825
27095,CPT,Injection for hip x-ray,,,21 ,,RBRVS,1.50 ,0.52 ,5.74 ,,,,,1,0,1,1,1,1,20060825
27096,CPT,Inject sacroiliac joint,,,21 ,,RBRVS,1.40 ,0.33 ,4.36 ,,,,,1,0,1,1,1,1,20060825
27097,CPT,Revision of hip tendon,,,21 ,,RBRVS,8.79 ,6.43 ,6.43 ,,,,,1,0,1,1,1,1,20060825
27098,CPT,Transfer tendon to pelvis,,,21 ,,RBRVS,8.82 ,7.04 ,7.04 ,,,,,1,0,1,1,1,1,20060825
27100,CPT,Transfer of abdominal muscle,,,21 ,,RBRVS,11.06 ,8.69 ,8.69 ,,,,,1,0,1,1,1,1,20060825
27105,CPT,Transfer of spinal muscle,,,21 ,,RBRVS,11.75 ,9.19 ,9.19 ,,,,,1,0,1,1,1,1,20060825
27110,CPT,Transfer of iliopsoas muscle,,,21 ,,RBRVS,13.24 ,9.14 ,9.14 ,,,,,1,0,1,1,1,1,20060825
27111,CPT,Transfer of iliopsoas muscle,,,21 ,,RBRVS,12.13 ,9.16 ,9.16 ,,,,,1,0,1,1,1,1,20060825
27120,CPT,Reconstruction of hip socket,,,21 ,,RBRVS,17.98 ,11.87 ,11.87 ,,,,,1,0,1,1,1,1,20060825
27122,CPT,Reconstruction of hip socket,,,21 ,,RBRVS,14.96 ,11.07 ,11.07 ,,,,,1,0,1,1,1,1,20060825
27125,CPT,Partial hip replacement,,,21 ,,RBRVS,14.67 ,10.65 ,10.65 ,,,,,1,0,1,1,1,1,20060825
27130,CPT,Total hip arthroplasty,,,21 ,,RBRVS,20.09 ,13.34 ,13.34 ,,,,,1,0,1,1,1,1,20060825
27132,CPT,Total hip arthroplasty,,,21 ,,RBRVS,23.27 ,15.68 ,15.68 ,,,,,1,0,1,1,1,1,20060825
27134,CPT,Revise hip joint replacement,,,21 ,,RBRVS,28.48 ,17.84 ,17.84 ,,,,,1,0,1,1,1,1,20060825
27137,CPT,Revise hip joint replacement,,,21 ,,RBRVS,21.14 ,13.97 ,13.97 ,,,,,1,0,1,1,1,1,20060825
27138,CPT,Revise hip joint replacement,,,21 ,,RBRVS,22.14 ,14.43 ,14.43 ,,,,,1,0,1,1,1,1,20060825
27140,CPT,Transplant femur ridge,,,21 ,,RBRVS,12.22 ,9.44 ,9.44 ,,,,,1,0,1,1,1,1,20060825
27146,CPT,Incision of hip bone,,,21 ,,RBRVS,17.40 ,12.17 ,12.17 ,,,,,1,0,1,1,1,1,20060825
27147,CPT,Revision of hip bone,,,21 ,,RBRVS,20.55 ,13.29 ,13.29 ,,,,,1,0,1,1,1,1,20060825
27151,CPT,Incision of hip bones,,,21 ,,RBRVS,22.48 ,7.97 ,7.97 ,,,,,1,0,1,1,1,1,20060825
27156,CPT,Revision of hip bones,,,21 ,,RBRVS,24.59 ,16.11 ,16.11 ,,,,,1,0,1,1,1,1,20060825
27158,CPT,Revision of pelvis,,,21 ,,RBRVS,19.71 ,11.00 ,11.00 ,,,,,1,0,1,1,1,1,20060825
27161,CPT,Incision of neck of femur,,,21 ,,RBRVS,16.68 ,12.14 ,12.14 ,,,,,1,0,1,1,1,1,20060825
27165,CPT,Incision/fixation of femur,,,21 ,,RBRVS,17.88 ,12.95 ,12.95 ,,,,,1,0,1,1,1,1,20060825
27170,CPT,Repair/graft femur head/neck,,,21 ,,RBRVS,16.05 ,11.33 ,11.33 ,,,,,1,0,1,1,1,1,20060825
27175,CPT,Treat slipped epiphysis,,,21 ,,RBRVS,8.45 ,6.69 ,6.69 ,,,,,1,0,1,1,1,1,20060825
27176,CPT,Treat slipped epiphysis,,,21 ,,RBRVS,12.03 ,9.04 ,9.04 ,,,,,1,0,1,1,1,1,20060825
27177,CPT,Treat slipped epiphysis,,,21 ,,RBRVS,15.06 ,10.92 ,10.92 ,,,,,1,0,1,1,1,1,20060825
27178,CPT,Treat slipped epiphysis,,,21 ,,RBRVS,11.97 ,8.44 ,8.44 ,,,,,1,0,1,1,1,1,20060825
27179,CPT,Revise head/neck of femur,,,21 ,,RBRVS,12.96 ,10.02 ,10.02 ,,,,,1,0,1,1,1,1,20060825
27181,CPT,Treat slipped epiphysis,,,21 ,,RBRVS,14.66 ,10.23 ,10.23 ,,,,,1,0,1,1,1,1,20060825
27185,CPT,Revision of femur epiphysis,,,21 ,,RBRVS,9.17 ,7.54 ,7.54 ,,,,,1,0,1,1,1,1,20060825
27187,CPT,Reinforce hip bones,,,21 ,,RBRVS,13.52 ,10.35 ,10.35 ,,,,,1,0,1,1,1,1,20060825
27193,CPT,Treat pelvic ring fracture,,,21 ,,RBRVS,5.55 ,5.10 ,5.10 ,,,,,1,0,1,1,1,1,20060825
27194,CPT,Treat pelvic ring fracture,,,21 ,,RBRVS,9.64 ,7.67 ,7.67 ,,,,,1,0,1,1,1,1,20060825
27200,CPT,Treat tail bone fracture,,,21 ,,RBRVS,1.84 ,2.16 ,2.23 ,,,,,1,0,1,1,1,1,20060825
27202,CPT,Treat tail bone fracture,,,21 ,,RBRVS,7.03 ,16.91 ,16.91 ,,,,,1,0,1,1,1,1,20060825
27215,CPT,Treat pelvic fracture(s),,,21 ,,RBRVS,10.03 ,7.10 ,7.10 ,,,,,1,0,1,1,1,1,20060825
27216,CPT,Treat pelvic ring fracture,,,21 ,,RBRVS,15.17 ,9.62 ,9.62 ,,,,,1,0,1,1,1,1,20060825
27217,CPT,Treat pelvic ring fracture,,,21 ,,RBRVS,14.09 ,10.17 ,10.17 ,,,,,1,0,1,1,1,1,20060825
27218,CPT,Treat pelvic ring fracture,,,21 ,,RBRVS,20.12 ,11.43 ,11.43 ,,,,,1,0,1,1,1,1,20060825
27220,CPT,Treat hip socket fracture,,,21 ,,RBRVS,6.17 ,5.65 ,5.74 ,,,,,1,0,1,1,1,1,20060825
27222,CPT,Treat hip socket fracture,,,21 ,,RBRVS,12.68 ,10.00 ,10.00 ,,,,,1,0,1,1,1,1,20060825
27226,CPT,Treat hip wall fracture,,,21 ,,RBRVS,14.89 ,7.83 ,7.83 ,,,,,1,0,1,1,1,1,20060825
27227,CPT,Treat hip fracture(s),,,21 ,,RBRVS,23.41 ,15.44 ,15.44 ,,,,,1,0,1,1,1,1,20060825
27228,CPT,Treat hip fracture(s),,,21 ,,RBRVS,27.12 ,17.67 ,17.67 ,,,,,1,0,1,1,1,1,20060825
27230,CPT,Treat thigh fracture,,,21 ,,RBRVS,5.49 ,5.11 ,5.53 ,,,,,1,0,1,1,1,1,20060825
27232,CPT,Treat thigh fracture,,,21 ,,RBRVS,10.66 ,7.19 ,7.19 ,,,,,1,0,1,1,1,1,20060825
27235,CPT,Treat thigh fracture,,,21 ,,RBRVS,12.14 ,9.48 ,9.48 ,,,,,1,0,1,1,1,1,20060825
27236,CPT,Treat thigh fracture,,,21 ,,RBRVS,15.58 ,11.08 ,11.08 ,,,,,1,0,1,1,1,1,20060825
27238,CPT,Treat thigh fracture,,,21 ,,RBRVS,5.51 ,5.15 ,5.15 ,,,,,1,0,1,1,1,1,20060825
27240,CPT,Treat thigh fracture,,,21 ,,RBRVS,12.48 ,9.50 ,9.50 ,,,,,1,0,1,1,1,1,20060825
27244,CPT,Treat thigh fracture,,,21 ,,RBRVS,15.92 ,11.33 ,11.33 ,,,,,1,0,1,1,1,1,20060825
27245,CPT,Treat thigh fracture,,,21 ,,RBRVS,20.28 ,13.78 ,13.78 ,,,,,1,0,1,1,1,1,20060825
27246,CPT,Treat thigh fracture,,,21 ,,RBRVS,4.70 ,4.43 ,4.47 ,,,,,1,0,1,1,1,1,20060825
27248,CPT,Treat thigh fracture,,,21 ,,RBRVS,10.43 ,8.23 ,8.23 ,,,,,1,0,1,1,1,1,20060825
27250,CPT,Treat hip dislocation,,,21 ,,RBRVS,6.94 ,4.63 ,4.63 ,,,,,1,0,1,1,1,1,20060825
27252,CPT,Treat hip dislocation,,,21 ,,RBRVS,10.37 ,7.45 ,7.45 ,,,,,1,0,1,1,1,1,20060825
27253,CPT,Treat hip dislocation,,,21 ,,RBRVS,12.90 ,9.81 ,9.81 ,,,,,1,0,1,1,1,1,20060825
27254,CPT,Treat hip dislocation,,,21 ,,RBRVS,18.23 ,12.05 ,12.05 ,,,,,1,0,1,1,1,1,20060825
27256,CPT,Treat hip dislocation,,,21 ,,RBRVS,4.11 ,2.09 ,3.53 ,,,,,1,0,1,1,1,1,20060825
27257,CPT,Treat hip dislocation,,,21 ,,RBRVS,5.21 ,2.82 ,2.82 ,,,,,1,0,1,1,1,1,20060825
27258,CPT,Treat hip dislocation,,,21 ,,RBRVS,15.41 ,10.90 ,10.90 ,,,,,1,0,1,1,1,1,20060825
27259,CPT,Treat hip dislocation,,,21 ,,RBRVS,21.52 ,14.16 ,14.16 ,,,,,1,0,1,1,1,1,20060825
27265,CPT,Treat hip dislocation,,,21 ,,RBRVS,5.04 ,4.80 ,4.80 ,,,,,1,0,1,1,1,1,20060825
27266,CPT,Treat hip dislocation,,,21 ,,RBRVS,7.48 ,6.36 ,6.36 ,,,,,1,0,1,1,1,1,20060825
27275,CPT,Manipulation of hip joint,,,21 ,,RBRVS,2.27 ,2.11 ,2.11 ,,,,,1,0,1,1,1,1,20060825
27280,CPT,Fusion of sacroiliac joint,,,21 ,,RBRVS,13.37 ,10.29 ,10.29 ,,,,,1,0,1,1,1,1,20060825
27282,CPT,Fusion of pubic bones,,,21 ,,RBRVS,11.32 ,8.02 ,8.02 ,,,,,1,0,1,1,1,1,20060825
27284,CPT,Fusion of hip joint,,,21 ,,RBRVS,23.41 ,14.80 ,14.80 ,,,,,1,0,1,1,1,1,20060825
27286,CPT,Fusion of hip joint,,,21 ,,RBRVS,23.41 ,15.84 ,15.84 ,,,,,1,0,1,1,1,1,20060825
27290,CPT,Amputation of leg at hip,,,21 ,,RBRVS,23.25 ,14.10 ,14.10 ,,,,,1,0,1,1,1,1,20060825
27295,CPT,Amputation of leg at hip,,,21 ,,RBRVS,18.62 ,11.34 ,11.34 ,,,,,1,0,1,1,1,1,20060825
27299,CPT,Pelvis/hip joint surgery,,,21 ,,TotalUnits,,,,33.30 ,,,,1,0,1,1,1,1,20060825
27301,CPT,Drain thigh/knee lesion,,,21 ,,RBRVS,6.48 ,5.15 ,10.10 ,,,,,1,0,1,1,1,1,20060825
27303,CPT,Drainage of bone lesion,,,21 ,,RBRVS,8.27 ,7.00 ,7.00 ,,,,,1,0,1,1,1,1,20060825
27305,CPT,Incise thigh tendon & fascia,,,21 ,,RBRVS,5.91 ,5.20 ,5.20 ,,,,,1,0,1,1,1,1,20060825
27306,CPT,Incision of thigh tendon,,,21 ,,RBRVS,4.61 ,4.73 ,4.73 ,,,,,1,0,1,1,1,1,20060825
27307,CPT,Incision of thigh tendons,,,21 ,,RBRVS,5.79 ,5.40 ,5.40 ,,,,,1,0,1,1,1,1,20060825
27310,CPT,Exploration of knee joint,,,21 ,,RBRVS,9.26 ,7.60 ,7.60 ,,,,,1,0,1,1,1,1,20060825
27315,CPT,"Partial removal, thigh nerve",,,21 ,,RBRVS,6.96 ,4.96 ,4.96 ,,,,,1,0,1,1,1,1,20060825
27320,CPT,"Partial removal, thigh nerve",,,21 ,,RBRVS,6.29 ,5.25 ,5.25 ,,,,,1,0,1,1,1,1,20060825
27323,CPT,"Biopsy, thigh soft tissues",,,21 ,,RBRVS,2.28 ,1.89 ,3.52 ,,,,,1,0,1,1,1,1,20060825
27324,CPT,"Biopsy, thigh soft tissues",,,21 ,,RBRVS,4.89 ,4.19 ,4.19 ,,,,,1,0,1,1,1,1,20060825
27327,CPT,Removal of thigh lesion,,,21 ,,RBRVS,4.46 ,3.73 ,6.01 ,,,,,1,0,1,1,1,1,20060825
27328,CPT,Removal of thigh lesion,,,21 ,,RBRVS,5.56 ,4.38 ,4.38 ,,,,,1,0,1,1,1,1,20060825
27329,CPT,"Remove tumor, thigh/knee",,,21 ,,RBRVS,14.12 ,9.05 ,9.05 ,,,,,1,0,1,1,1,1,20060825
27330,CPT,"Biopsy, knee joint lining",,,21 ,,RBRVS,4.96 ,4.58 ,4.58 ,,,,,1,0,1,1,1,1,20060825
27331,CPT,Explore/treat knee joint,,,21 ,,RBRVS,5.87 ,5.54 ,5.54 ,,,,,1,0,1,1,1,1,20060825
27332,CPT,Removal of knee cartilage,,,21 ,,RBRVS,8.26 ,7.14 ,7.14 ,,,,,1,0,1,1,1,1,20060825
27333,CPT,Removal of knee cartilage,,,21 ,,RBRVS,7.29 ,6.69 ,6.69 ,,,,,1,0,1,1,1,1,20060825
27334,CPT,Remove knee joint lining,,,21 ,,RBRVS,8.69 ,7.43 ,7.43 ,,,,,1,0,1,1,1,1,20060825
27335,CPT,Remove knee joint lining,,,21 ,,RBRVS,9.99 ,8.24 ,8.24 ,,,,,1,0,1,1,1,1,20060825
27340,CPT,Removal of kneecap bursa,,,21 ,,RBRVS,4.17 ,4.57 ,4.57 ,,,,,1,0,1,1,1,1,20060825
27345,CPT,Removal of knee cyst,,,21 ,,RBRVS,5.91 ,5.64 ,5.64 ,,,,,1,0,1,1,1,1,20060825
27347,CPT,Remove knee cyst,,,21 ,,RBRVS,5.77 ,5.44 ,5.44 ,,,,,1,0,1,1,1,1,20060825
27350,CPT,Removal of kneecap,,,21 ,,RBRVS,8.16 ,7.26 ,7.26 ,,,,,1,0,1,1,1,1,20060825
27355,CPT,Remove femur lesion,,,21 ,,RBRVS,7.64 ,6.79 ,6.79 ,,,,,1,0,1,1,1,1,20060825
27356,CPT,Remove femur lesion/graft,,,21 ,,RBRVS,9.47 ,7.87 ,7.87 ,,,,,1,0,1,1,1,1,20060825
27357,CPT,Remove femur lesion/graft,,,21 ,,RBRVS,10.51 ,8.73 ,8.73 ,,,,,1,0,1,1,1,1,20060825
27358,CPT,Remove femur lesion/fixation,,,21 ,,RBRVS,4.73 ,2.53 ,2.53 ,,,,,1,0,1,1,1,1,20060825
27360,CPT,"Partial removal, leg bone(s)",,,21 ,,RBRVS,10.48 ,9.58 ,9.58 ,,,,,1,0,1,1,1,1,20060825
27365,CPT,Extensive leg surgery,,,21 ,,RBRVS,16.25 ,11.71 ,11.71 ,,,,,1,0,1,1,1,1,20060825
27370,CPT,Injection for knee x-ray,,,21 ,,RBRVS,0.96 ,0.32 ,3.73 ,,,,,1,0,1,1,1,1,20060825
27372,CPT,Removal of foreign body,,,21 ,,RBRVS,5.06 ,4.70 ,10.08 ,,,,,1,0,1,1,1,1,20060825
27380,CPT,Repair of kneecap tendon,,,21 ,,RBRVS,7.15 ,7.30 ,7.30 ,,,,,1,0,1,1,1,1,20060825
27381,CPT,Repair/graft kneecap tendon,,,21 ,,RBRVS,10.32 ,9.12 ,9.12 ,,,,,1,0,1,1,1,1,20060825
27385,CPT,Repair of thigh muscle,,,21 ,,RBRVS,7.75 ,7.65 ,7.65 ,,,,,1,0,1,1,1,1,20060825
27386,CPT,Repair/graft of thigh muscle,,,21 ,,RBRVS,10.54 ,9.54 ,9.54 ,,,,,1,0,1,1,1,1,20060825
27390,CPT,Incision of thigh tendon,,,21 ,,RBRVS,5.32 ,5.12 ,5.12 ,,,,,1,0,1,1,1,1,20060825
27391,CPT,Incision of thigh tendons,,,21 ,,RBRVS,7.19 ,6.58 ,6.58 ,,,,,1,0,1,1,1,1,20060825
27392,CPT,Incision of thigh tendons,,,21 ,,RBRVS,9.19 ,7.61 ,7.61 ,,,,,1,0,1,1,1,1,20060825
27393,CPT,Lengthening of thigh tendon,,,21 ,,RBRVS,6.38 ,5.85 ,5.85 ,,,,,1,0,1,1,1,1,20060825
27394,CPT,Lengthening of thigh tendons,,,21 ,,RBRVS,8.49 ,7.24 ,7.24 ,,,,,1,0,1,1,1,1,20060825
27395,CPT,Lengthening of thigh tendons,,,21 ,,RBRVS,11.71 ,9.35 ,9.35 ,,,,,1,0,1,1,1,1,20060825
27396,CPT,Transplant of thigh tendon,,,21 ,,RBRVS,7.85 ,7.02 ,7.02 ,,,,,1,0,1,1,1,1,20060825
27397,CPT,Transplants of thigh tendons,,,21 ,,RBRVS,11.26 ,9.07 ,9.07 ,,,,,1,0,1,1,1,1,20060825
27400,CPT,Revise thigh muscles/tendons,,,21 ,,RBRVS,9.01 ,7.27 ,7.27 ,,,,,1,0,1,1,1,1,20060825
27403,CPT,Repair of knee cartilage,,,21 ,,RBRVS,8.32 ,7.20 ,7.20 ,,,,,1,0,1,1,1,1,20060825
27405,CPT,Repair of knee ligament,,,21 ,,RBRVS,8.64 ,7.51 ,7.51 ,,,,,1,0,1,1,1,1,20060825
27407,CPT,Repair of knee ligament,,,21 ,,RBRVS,10.26 ,8.34 ,8.34 ,,,,,1,0,1,1,1,1,20060825
27409,CPT,Repair of knee ligaments,,,21 ,,RBRVS,12.88 ,9.98 ,9.98 ,,,,,1,0,1,1,1,1,20060825
27412,CPT,Autochondrocyte implant knee,,,21 ,,RBRVS,23.23 ,14.84 ,14.84 ,,,,,1,0,1,1,1,1,20060825
27415,CPT,Osteochondral knee allograft,,,21 ,,RBRVS,18.49 ,12.59 ,12.59 ,,,,,1,0,1,1,1,1,20060825
27418,CPT,Repair degenerated kneecap,,,21 ,,RBRVS,10.83 ,8.93 ,8.93 ,,,,,1,0,1,1,1,1,20060825
27420,CPT,Revision of unstable kneecap,,,21 ,,RBRVS,9.82 ,8.13 ,8.13 ,,,,,1,0,1,1,1,1,20060825
27422,CPT,Revision of unstable kneecap,,,21 ,,RBRVS,9.77 ,8.14 ,8.14 ,,,,,1,0,1,1,1,1,20060825
27424,CPT,Revision/removal of kneecap,,,21 ,,RBRVS,9.80 ,8.11 ,8.11 ,,,,,1,0,1,1,1,1,20060825
27425,CPT,Lat retinacular release open,,,21 ,,RBRVS,5.21 ,5.54 ,5.54 ,,,,,1,0,1,1,1,1,20060825
27427,CPT,"Reconstruction, knee",,,21 ,,RBRVS,9.35 ,7.82 ,7.82 ,,,,,1,0,1,1,1,1,20060825
27428,CPT,"Reconstruction, knee",,,21 ,,RBRVS,13.98 ,11.27 ,11.27 ,,,,,1,0,1,1,1,1,20060825
27429,CPT,"Reconstruction, knee",,,21 ,,RBRVS,15.50 ,12.45 ,12.45 ,,,,,1,0,1,1,1,1,20060825
27430,CPT,Revision of thigh muscles,,,21 ,,RBRVS,9.66 ,8.02 ,8.02 ,,,,,1,0,1,1,1,1,20060825
27435,CPT,Incision of knee joint,,,21 ,,RBRVS,9.48 ,8.50 ,8.50 ,,,,,1,0,1,1,1,1,20060825
27437,CPT,Revise kneecap,,,21 ,,RBRVS,8.45 ,7.26 ,7.26 ,,,,,1,0,1,1,1,1,20060825
27438,CPT,Revise kneecap with implant,,,21 ,,RBRVS,11.21 ,8.56 ,8.56 ,,,,,1,0,1,1,1,1,20060825
27440,CPT,Revision of knee joint,,,21 ,,RBRVS,10.41 ,6.01 ,6.01 ,,,,,1,0,1,1,1,1,20060825
27441,CPT,Revision of knee joint,,,21 ,,RBRVS,10.80 ,6.73 ,6.73 ,,,,,1,0,1,1,1,1,20060825
27442,CPT,Revision of knee joint,,,21 ,,RBRVS,11.87 ,8.94 ,8.94 ,,,,,1,0,1,1,1,1,20060825
27443,CPT,Revision of knee joint,,,21 ,,RBRVS,10.91 ,8.75 ,8.75 ,,,,,1,0,1,1,1,1,20060825
27445,CPT,Revision of knee joint,,,21 ,,RBRVS,17.65 ,12.39 ,12.39 ,,,,,1,0,1,1,1,1,20060825
27446,CPT,Revision of knee joint,,,21 ,,RBRVS,15.82 ,11.30 ,11.30 ,,,,,1,0,1,1,1,1,20060825
27447,CPT,Total knee arthroplasty,,,21 ,,RBRVS,21.45 ,14.64 ,14.64 ,,,,,1,0,1,1,1,1,20060825
27448,CPT,Incision of thigh,,,21 ,,RBRVS,11.04 ,8.62 ,8.62 ,,,,,1,0,1,1,1,1,20060825
27450,CPT,Incision of thigh,,,21 ,,RBRVS,13.96 ,10.61 ,10.61 ,,,,,1,0,1,1,1,1,20060825
27454,CPT,Realignment of thigh bone,,,21 ,,RBRVS,17.53 ,12.54 ,12.54 ,,,,,1,0,1,1,1,1,20060825
27455,CPT,Realignment of knee,,,21 ,,RBRVS,12.80 ,9.91 ,9.91 ,,,,,1,0,1,1,1,1,20060825
27457,CPT,Realignment of knee,,,21 ,,RBRVS,13.43 ,9.95 ,9.95 ,,,,,1,0,1,1,1,1,20060825
27465,CPT,Shortening of thigh bone,,,21 ,,RBRVS,13.85 ,10.25 ,10.25 ,,,,,1,0,1,1,1,1,20060825
27466,CPT,Lengthening of thigh bone,,,21 ,,RBRVS,16.31 ,11.86 ,11.86 ,,,,,1,0,1,1,1,1,20060825
27468,CPT,Shorten/lengthen thighs,,,21 ,,RBRVS,18.94 ,12.39 ,12.39 ,,,,,1,0,1,1,1,1,20060825
27470,CPT,Repair of thigh,,,21 ,,RBRVS,16.05 ,11.82 ,11.82 ,,,,,1,0,1,1,1,1,20060825
27472,CPT,Repair/graft of thigh,,,21 ,,RBRVS,17.69 ,12.72 ,12.72 ,,,,,1,0,1,1,1,1,20060825
27475,CPT,Surgery to stop leg growth,,,21 ,,RBRVS,8.63 ,7.23 ,7.23 ,,,,,1,0,1,1,1,1,20060825
27477,CPT,Surgery to stop leg growth,,,21 ,,RBRVS,9.84 ,7.75 ,7.75 ,,,,,1,0,1,1,1,1,20060825
27479,CPT,Surgery to stop leg growth,,,21 ,,RBRVS,12.78 ,9.67 ,9.67 ,,,,,1,0,1,1,1,1,20060825
27485,CPT,Surgery to stop leg growth,,,21 ,,RBRVS,8.83 ,7.42 ,7.42 ,,,,,1,0,1,1,1,1,20060825
27486,CPT,Revise/replace knee joint,,,21 ,,RBRVS,19.24 ,13.53 ,13.53 ,,,,,1,0,1,1,1,1,20060825
27487,CPT,Revise/replace knee joint,,,21 ,,RBRVS,25.23 ,16.60 ,16.60 ,,,,,1,0,1,1,1,1,20060825
27488,CPT,Removal of knee prosthesis,,,21 ,,RBRVS,15.72 ,11.73 ,11.73 ,,,,,1,0,1,1,1,1,20060825
27495,CPT,Reinforce thigh,,,21 ,,RBRVS,15.53 ,11.44 ,11.44 ,,,,,1,0,1,1,1,1,20060825
27496,CPT,Decompression of thigh/knee,,,21 ,,RBRVS,6.10 ,5.62 ,5.62 ,,,,,1,0,1,1,1,1,20060825
27497,CPT,Decompression of thigh/knee,,,21 ,,RBRVS,7.16 ,5.45 ,5.45 ,,,,,1,0,1,1,1,1,20060825
27498,CPT,Decompression of thigh/knee,,,21 ,,RBRVS,7.98 ,5.97 ,5.97 ,,,,,1,0,1,1,1,1,20060825
27499,CPT,Decompression of thigh/knee,,,21 ,,RBRVS,8.99 ,6.84 ,6.84 ,,,,,1,0,1,1,1,1,20060825
27500,CPT,Treatment of thigh fracture,,,21 ,,RBRVS,5.91 ,5.00 ,6.14 ,,,,,1,0,1,1,1,1,20060825
27501,CPT,Treatment of thigh fracture,,,21 ,,RBRVS,5.91 ,5.40 ,5.81 ,,,,,1,0,1,1,1,1,20060825
27502,CPT,Treatment of thigh fracture,,,21 ,,RBRVS,10.56 ,8.13 ,8.13 ,,,,,1,0,1,1,1,1,20060825
27503,CPT,Treatment of thigh fracture,,,21 ,,RBRVS,10.56 ,8.31 ,8.31 ,,,,,1,0,1,1,1,1,20060825
27506,CPT,Treatment of thigh fracture,,,21 ,,RBRVS,17.42 ,12.82 ,12.82 ,,,,,1,0,1,1,1,1,20060825
27507,CPT,Treatment of thigh fracture,,,21 ,,RBRVS,13.97 ,9.87 ,9.87 ,,,,,1,0,1,1,1,1,20060825
27508,CPT,Treatment of thigh fracture,,,21 ,,RBRVS,5.82 ,5.50 ,6.48 ,,,,,1,0,1,1,1,1,20060825
27509,CPT,Treatment of thigh fracture,,,21 ,,RBRVS,7.70 ,7.98 ,7.98 ,,,,,1,0,1,1,1,1,20060825
27510,CPT,Treatment of thigh fracture,,,21 ,,RBRVS,9.12 ,7.35 ,7.35 ,,,,,1,0,1,1,1,1,20060825
27511,CPT,Treatment of thigh fracture,,,21 ,,RBRVS,13.62 ,11.23 ,11.23 ,,,,,1,0,1,1,1,1,20060825
27513,CPT,Treatment of thigh fracture,,,21 ,,RBRVS,17.89 ,13.92 ,13.92 ,,,,,1,0,1,1,1,1,20060825
27514,CPT,Treatment of thigh fracture,,,21 ,,RBRVS,17.27 ,13.39 ,13.39 ,,,,,1,0,1,1,1,1,20060825
27516,CPT,Treat thigh fx growth plate,,,21 ,,RBRVS,5.36 ,5.53 ,6.37 ,,,,,1,0,1,1,1,1,20060825
27517,CPT,Treat thigh fx growth plate,,,21 ,,RBRVS,8.77 ,7.47 ,7.47 ,,,,,1,0,1,1,1,1,20060825
27519,CPT,Treat thigh fx growth plate,,,21 ,,RBRVS,15.00 ,11.62 ,11.62 ,,,,,1,0,1,1,1,1,20060825
27520,CPT,Treat kneecap fracture,,,21 ,,RBRVS,2.86 ,3.45 ,4.55 ,,,,,1,0,1,1,1,1,20060825
27524,CPT,Treat kneecap fracture,,,21 ,,RBRVS,9.99 ,8.25 ,8.25 ,,,,,1,0,1,1,1,1,20060825
27530,CPT,Treat knee fracture,,,21 ,,RBRVS,3.77 ,4.43 ,5.33 ,,,,,1,0,1,1,1,1,20060825
27532,CPT,Treat knee fracture,,,21 ,,RBRVS,7.29 ,6.47 ,7.38 ,,,,,1,0,1,1,1,1,20060825
27535,CPT,Treat knee fracture,,,21 ,,RBRVS,11.48 ,10.14 ,10.14 ,,,,,1,0,1,1,1,1,20060825
27536,CPT,Treat knee fracture,,,21 ,,RBRVS,15.63 ,11.64 ,11.64 ,,,,,1,0,1,1,1,1,20060825
27538,CPT,Treat knee fracture(s),,,21 ,,RBRVS,4.86 ,5.21 ,6.15 ,,,,,1,0,1,1,1,1,20060825
27540,CPT,Treat knee fracture,,,21 ,,RBRVS,13.08 ,9.54 ,9.54 ,,,,,1,0,1,1,1,1,20060825
27550,CPT,Treat knee dislocation,,,21 ,,RBRVS,5.75 ,4.94 ,6.03 ,,,,,1,0,1,1,1,1,20060825
27552,CPT,Treat knee dislocation,,,21 ,,RBRVS,7.89 ,6.97 ,6.97 ,,,,,1,0,1,1,1,1,20060825
27556,CPT,Treat knee dislocation,,,21 ,,RBRVS,14.39 ,11.68 ,11.68 ,,,,,1,0,1,1,1,1,20060825
27557,CPT,Treat knee dislocation,,,21 ,,RBRVS,16.74 ,13.16 ,13.16 ,,,,,1,0,1,1,1,1,20060825
27558,CPT,Treat knee dislocation,,,21 ,,RBRVS,17.69 ,13.08 ,13.08 ,,,,,1,0,1,1,1,1,20060825
27560,CPT,Treat kneecap dislocation,,,21 ,,RBRVS,3.81 ,3.19 ,4.85 ,,,,,1,0,1,1,1,1,20060825
27562,CPT,Treat kneecap dislocation,,,21 ,,RBRVS,5.78 ,4.78 ,4.78 ,,,,,1,0,1,1,1,1,20060825
27566,CPT,Treat kneecap dislocation,,,21 ,,RBRVS,12.21 ,9.35 ,9.35 ,,,,,1,0,1,1,1,1,20060825
27570,CPT,Fixation of knee joint,,,21 ,,RBRVS,1.74 ,1.78 ,1.78 ,,,,,1,0,1,1,1,1,20060825
27580,CPT,Fusion of knee,,,21 ,,RBRVS,19.34 ,14.84 ,14.84 ,,,,,1,0,1,1,1,1,20060825
27590,CPT,Amputate leg at thigh,,,21 ,,RBRVS,12.01 ,6.69 ,6.69 ,,,,,1,0,1,1,1,1,20060825
27591,CPT,Amputate leg at thigh,,,21 ,,RBRVS,12.66 ,8.67 ,8.67 ,,,,,1,0,1,1,1,1,20060825
27592,CPT,Amputate leg at thigh,,,21 ,,RBRVS,10.00 ,6.19 ,6.19 ,,,,,1,0,1,1,1,1,20060825
27594,CPT,Amputation follow-up surgery,,,21 ,,RBRVS,6.91 ,5.18 ,5.18 ,,,,,1,0,1,1,1,1,20060825
27596,CPT,Amputation follow-up surgery,,,21 ,,RBRVS,10.58 ,6.83 ,6.83 ,,,,,1,0,1,1,1,1,20060825
27598,CPT,Amputate lower leg at knee,,,21 ,,RBRVS,10.51 ,7.04 ,7.04 ,,,,,1,0,1,1,1,1,20060825
27599,CPT,Leg surgery procedure,,,21 ,,TotalUnits,,,,19.68 ,,,,1,0,1,1,1,1,20060825
27600,CPT,Decompression of lower leg,,,21 ,,RBRVS,5.64 ,4.54 ,4.54 ,,,,,1,0,1,1,1,1,20060825
27601,CPT,Decompression of lower leg,,,21 ,,RBRVS,5.63 ,4.86 ,4.86 ,,,,,1,0,1,1,1,1,20060825
27602,CPT,Decompression of lower leg,,,21 ,,RBRVS,7.34 ,5.14 ,5.14 ,,,,,1,0,1,1,1,1,20060825
27603,CPT,Drain lower leg lesion,,,21 ,,RBRVS,4.93 ,4.17 ,7.51 ,,,,,1,0,1,1,1,1,20060825
27604,CPT,Drain lower leg bursa,,,21 ,,RBRVS,4.46 ,3.97 ,6.10 ,,,,,1,0,1,1,1,1,20060825
27605,CPT,Incision of achilles tendon,,,21 ,,RBRVS,2.87 ,2.33 ,7.70 ,,,,,1,0,1,1,1,1,20060825
27606,CPT,Incision of achilles tendon,,,21 ,,RBRVS,4.13 ,3.37 ,3.37 ,,,,,1,0,1,1,1,1,20060825
27607,CPT,Treat lower leg bone lesion,,,21 ,,RBRVS,7.96 ,6.19 ,6.19 ,,,,,1,0,1,1,1,1,20060825
27610,CPT,Explore/treat ankle joint,,,21 ,,RBRVS,8.33 ,7.02 ,7.02 ,,,,,1,0,1,1,1,1,20060825
27612,CPT,Exploration of ankle joint,,,21 ,,RBRVS,7.32 ,6.11 ,6.11 ,,,,,1,0,1,1,1,1,20060825
27613,CPT,Biopsy lower leg soft tissue,,,21 ,,RBRVS,2.17 ,1.81 ,3.24 ,,,,,1,0,1,1,1,1,20060825
27614,CPT,Biopsy lower leg soft tissue,,,21 ,,RBRVS,5.65 ,4.45 ,7.15 ,,,,,1,0,1,1,1,1,20060825
27615,CPT,"Remove tumor, lower leg",,,21 ,,RBRVS,12.54 ,9.42 ,9.42 ,,,,,1,0,1,1,1,1,20060825
27618,CPT,Remove lower leg lesion,,,21 ,,RBRVS,5.08 ,4.00 ,6.03 ,,,,,1,0,1,1,1,1,20060825
27619,CPT,Remove lower leg lesion,,,21 ,,RBRVS,8.39 ,5.97 ,9.54 ,,,,,1,0,1,1,1,1,20060825
27620,CPT,Explore/treat ankle joint,,,21 ,,RBRVS,5.97 ,5.48 ,5.48 ,,,,,1,0,1,1,1,1,20060825
27625,CPT,Remove ankle joint lining,,,21 ,,RBRVS,8.29 ,6.48 ,6.48 ,,,,,1,0,1,1,1,1,20060825
27626,CPT,Remove ankle joint lining,,,21 ,,RBRVS,8.90 ,6.94 ,6.94 ,,,,,1,0,1,1,1,1,20060825
27630,CPT,Removal of tendon lesion,,,21 ,,RBRVS,4.79 ,4.39 ,7.58 ,,,,,1,0,1,1,1,1,20060825
27635,CPT,Remove lower leg bone lesion,,,21 ,,RBRVS,7.77 ,6.76 ,6.76 ,,,,,1,0,1,1,1,1,20060825
27637,CPT,Remove/graft leg bone lesion,,,21 ,,RBRVS,9.84 ,8.31 ,8.31 ,,,,,1,0,1,1,1,1,20060825
27638,CPT,Remove/graft leg bone lesion,,,21 ,,RBRVS,10.55 ,8.31 ,8.31 ,,,,,1,0,1,1,1,1,20060825
27640,CPT,Partial removal of tibia,,,21 ,,RBRVS,11.35 ,10.34 ,10.34 ,,,,,1,0,1,1,1,1,20060825
27641,CPT,Partial removal of fibula,,,21 ,,RBRVS,9.23 ,8.36 ,8.36 ,,,,,1,0,1,1,1,1,20060825
27645,CPT,Extensive lower leg surgery,,,21 ,,RBRVS,14.15 ,12.08 ,12.08 ,,,,,1,0,1,1,1,1,20060825
27646,CPT,Extensive lower leg surgery,,,21 ,,RBRVS,12.64 ,11.06 ,11.06 ,,,,,1,0,1,1,1,1,20060825
27647,CPT,Extensive ankle/heel surgery,,,21 ,,RBRVS,12.22 ,7.63 ,7.63 ,,,,,1,0,1,1,1,1,20060825
27648,CPT,Injection for ankle x-ray,,,21 ,,RBRVS,0.96 ,0.33 ,3.53 ,,,,,1,0,1,1,1,1,20060825
27650,CPT,Repair achilles tendon,,,21 ,,RBRVS,9.68 ,7.53 ,7.53 ,,,,,1,0,1,1,1,1,20060825
27652,CPT,Repair/graft achilles tendon,,,21 ,,RBRVS,10.31 ,8.05 ,8.05 ,,,,,1,0,1,1,1,1,20060825
27654,CPT,Repair of achilles tendon,,,21 ,,RBRVS,10.00 ,7.16 ,7.16 ,,,,,1,0,1,1,1,1,20060825
27656,CPT,Repair leg fascia defect,,,21 ,,RBRVS,4.56 ,3.78 ,8.55 ,,,,,1,0,1,1,1,1,20060825
27658,CPT,"Repair of leg tendon, each",,,21 ,,RBRVS,4.97 ,4.57 ,4.57 ,,,,,1,0,1,1,1,1,20060825
27659,CPT,"Repair of leg tendon, each",,,21 ,,RBRVS,6.80 ,5.66 ,5.66 ,,,,,1,0,1,1,1,1,20060825
27664,CPT,"Repair of leg tendon, each",,,21 ,,RBRVS,4.58 ,4.56 ,4.56 ,,,,,1,0,1,1,1,1,20060825
27665,CPT,"Repair of leg tendon, each",,,21 ,,RBRVS,5.39 ,4.98 ,4.98 ,,,,,1,0,1,1,1,1,20060825
27675,CPT,Repair lower leg tendons,,,21 ,,RBRVS,7.17 ,5.75 ,5.75 ,,,,,1,0,1,1,1,1,20060825
27676,CPT,Repair lower leg tendons,,,21 ,,RBRVS,8.41 ,6.77 ,6.77 ,,,,,1,0,1,1,1,1,20060825
27680,CPT,Release of lower leg tendon,,,21 ,,RBRVS,5.73 ,5.12 ,5.12 ,,,,,1,0,1,1,1,1,20060825
27681,CPT,Release of lower leg tendons,,,21 ,,RBRVS,6.81 ,5.93 ,5.93 ,,,,,1,0,1,1,1,1,20060825
27685,CPT,Revision of lower leg tendon,,,21 ,,RBRVS,6.49 ,5.48 ,7.31 ,,,,,1,0,1,1,1,1,20060825
27686,CPT,Revise lower leg tendons,,,21 ,,RBRVS,7.45 ,6.51 ,6.51 ,,,,,1,0,1,1,1,1,20060825
27687,CPT,Revision of calf tendon,,,21 ,,RBRVS,6.23 ,5.33 ,5.33 ,,,,,1,0,1,1,1,1,20060825
27690,CPT,Revise lower leg tendon,,,21 ,,RBRVS,8.70 ,6.37 ,6.37 ,,,,,1,0,1,1,1,1,20060825
27691,CPT,Revise lower leg tendon,,,21 ,,RBRVS,9.95 ,7.78 ,7.78 ,,,,,1,0,1,1,1,1,20060825
27692,CPT,Revise additional leg tendon,,,21 ,,RBRVS,1.87 ,0.93 ,0.93 ,,,,,1,0,1,1,1,1,20060825
27695,CPT,Repair of ankle ligament,,,21 ,,RBRVS,6.50 ,5.89 ,5.89 ,,,,,1,0,1,1,1,1,20060825
27696,CPT,Repair of ankle ligaments,,,21 ,,RBRVS,8.26 ,6.45 ,6.45 ,,,,,1,0,1,1,1,1,20060825
27698,CPT,Repair of ankle ligament,,,21 ,,RBRVS,9.35 ,6.96 ,6.96 ,,,,,1,0,1,1,1,1,20060825
27700,CPT,Revision of ankle joint,,,21 ,,RBRVS,9.28 ,5.70 ,5.70 ,,,,,1,0,1,1,1,1,20060825
27702,CPT,Reconstruct ankle joint,,,21 ,,RBRVS,13.65 ,10.49 ,10.49 ,,,,,1,0,1,1,1,1,20060825
27703,CPT,"Reconstruction, ankle joint",,,21 ,,RBRVS,15.85 ,11.26 ,11.26 ,,,,,1,0,1,1,1,1,20060825
27704,CPT,Removal of ankle implant,,,21 ,,RBRVS,7.61 ,5.61 ,5.61 ,,,,,1,0,1,1,1,1,20060825
27705,CPT,Incision of tibia,,,21 ,,RBRVS,10.36 ,8.19 ,8.19 ,,,,,1,0,1,1,1,1,20060825
27707,CPT,Incision of fibula,,,21 ,,RBRVS,4.36 ,4.95 ,4.95 ,,,,,1,0,1,1,1,1,20060825
27709,CPT,Incision of tibia & fibula,,,21 ,,RBRVS,9.94 ,8.15 ,8.15 ,,,,,1,0,1,1,1,1,20060825
27712,CPT,Realignment of lower leg,,,21 ,,RBRVS,14.23 ,10.77 ,10.77 ,,,,,1,0,1,1,1,1,20060825
27715,CPT,Revision of lower leg,,,21 ,,RBRVS,14.37 ,10.80 ,10.80 ,,,,,1,0,1,1,1,1,20060825
27720,CPT,Repair of tibia,,,21 ,,RBRVS,11.77 ,9.43 ,9.43 ,,,,,1,0,1,1,1,1,20060825
27722,CPT,Repair/graft of tibia,,,21 ,,RBRVS,11.80 ,9.16 ,9.16 ,,,,,1,0,1,1,1,1,20060825
27724,CPT,Repair/graft of tibia,,,21 ,,RBRVS,18.17 ,12.40 ,12.40 ,,,,,1,0,1,1,1,1,20060825
27725,CPT,Repair of lower leg,,,21 ,,RBRVS,15.57 ,11.94 ,11.94 ,,,,,1,0,1,1,1,1,20060825
27727,CPT,Repair of lower leg,,,21 ,,RBRVS,13.99 ,10.37 ,10.37 ,,,,,1,0,1,1,1,1,20060825
27730,CPT,Repair of tibia epiphysis,,,21 ,,RBRVS,7.40 ,6.44 ,6.44 ,,,,,1,0,1,1,1,1,20060825
27732,CPT,Repair of fibula epiphysis,,,21 ,,RBRVS,5.31 ,4.94 ,4.94 ,,,,,1,0,1,1,1,1,20060825
27734,CPT,Repair lower leg epiphyses,,,21 ,,RBRVS,8.47 ,6.30 ,6.30 ,,,,,1,0,1,1,1,1,20060825
27740,CPT,Repair of leg epiphyses,,,21 ,,RBRVS,9.29 ,8.01 ,8.01 ,,,,,1,0,1,1,1,1,20060825
27742,CPT,Repair of leg epiphyses,,,21 ,,RBRVS,10.28 ,5.58 ,5.58 ,,,,,1,0,1,1,1,1,20060825
27745,CPT,Reinforce tibia,,,21 ,,RBRVS,10.05 ,8.19 ,8.19 ,,,,,1,0,1,1,1,1,20060825
27750,CPT,Treatment of tibia fracture,,,21 ,,RBRVS,3.19 ,3.86 ,4.77 ,,,,,1,0,1,1,1,1,20060825
27752,CPT,Treatment of tibia fracture,,,21 ,,RBRVS,5.83 ,5.69 ,6.67 ,,,,,1,0,1,1,1,1,20060825
27756,CPT,Treatment of tibia fracture,,,21 ,,RBRVS,6.77 ,6.48 ,6.48 ,,,,,1,0,1,1,1,1,20060825
27758,CPT,Treatment of tibia fracture,,,21 ,,RBRVS,11.65 ,9.21 ,9.21 ,,,,,1,0,1,1,1,1,20060825
27759,CPT,Treatment of tibia fracture,,,21 ,,RBRVS,13.74 ,10.34 ,10.34 ,,,,,1,0,1,1,1,1,20060825
27760,CPT,Treatment of ankle fracture,,,21 ,,RBRVS,3.01 ,3.60 ,4.69 ,,,,,1,0,1,1,1,1,20060825
27762,CPT,Treatment of ankle fracture,,,21 ,,RBRVS,5.24 ,5.29 ,6.35 ,,,,,1,0,1,1,1,1,20060825
27766,CPT,Treatment of ankle fracture,,,21 ,,RBRVS,8.35 ,7.24 ,7.24 ,,,,,1,0,1,1,1,1,20060825
27780,CPT,Treatment of fibula fracture,,,21 ,,RBRVS,2.65 ,3.22 ,4.19 ,,,,,1,0,1,1,1,1,20060825
27781,CPT,Treatment of fibula fracture,,,21 ,,RBRVS,4.39 ,4.65 ,5.51 ,,,,,1,0,1,1,1,1,20060825
27784,CPT,Treatment of fibula fracture,,,21 ,,RBRVS,7.10 ,6.49 ,6.49 ,,,,,1,0,1,1,1,1,20060825
27786,CPT,Treatment of ankle fracture,,,21 ,,RBRVS,2.84 ,3.34 ,4.47 ,,,,,1,0,1,1,1,1,20060825
27788,CPT,Treatment of ankle fracture,,,21 ,,RBRVS,4.44 ,4.66 ,5.66 ,,,,,1,0,1,1,1,1,20060825
27792,CPT,Treatment of ankle fracture,,,21 ,,RBRVS,7.65 ,6.98 ,6.98 ,,,,,1,0,1,1,1,1,20060825
27808,CPT,Treatment of ankle fracture,,,21 ,,RBRVS,2.83 ,3.71 ,4.81 ,,,,,1,0,1,1,1,1,20060825
27810,CPT,Treatment of ankle fracture,,,21 ,,RBRVS,5.12 ,5.16 ,6.26 ,,,,,1,0,1,1,1,1,20060825
27814,CPT,Treatment of ankle fracture,,,21 ,,RBRVS,10.66 ,8.58 ,8.58 ,,,,,1,0,1,1,1,1,20060825
27816,CPT,Treatment of ankle fracture,,,21 ,,RBRVS,2.89 ,3.42 ,4.39 ,,,,,1,0,1,1,1,1,20060825
27818,CPT,Treatment of ankle fracture,,,21 ,,RBRVS,5.49 ,5.18 ,6.39 ,,,,,1,0,1,1,1,1,20060825
27822,CPT,Treatment of ankle fracture,,,21 ,,RBRVS,10.98 ,10.68 ,10.68 ,,,,,1,0,1,1,1,1,20060825
27823,CPT,Treatment of ankle fracture,,,21 ,,RBRVS,12.98 ,11.50 ,11.50 ,,,,,1,0,1,1,1,1,20060825
27824,CPT,Treat lower leg fracture,,,21 ,,RBRVS,2.89 ,3.57 ,4.07 ,,,,,1,0,1,1,1,1,20060825
27825,CPT,Treat lower leg fracture,,,21 ,,RBRVS,6.18 ,5.40 ,6.62 ,,,,,1,0,1,1,1,1,20060825
27826,CPT,Treat lower leg fracture,,,21 ,,RBRVS,8.53 ,8.85 ,8.85 ,,,,,1,0,1,1,1,1,20060825
27827,CPT,Treat lower leg fracture,,,21 ,,RBRVS,14.04 ,12.80 ,12.80 ,,,,,1,0,1,1,1,1,20060825
27828,CPT,Treat lower leg fracture,,,21 ,,RBRVS,16.21 ,13.97 ,13.97 ,,,,,1,0,1,1,1,1,20060825
27829,CPT,Treat lower leg joint,,,21 ,,RBRVS,5.48 ,6.80 ,6.80 ,,,,,1,0,1,1,1,1,20060825
27830,CPT,Treat lower leg dislocation,,,21 ,,RBRVS,3.78 ,3.86 ,4.40 ,,,,,1,0,1,1,1,1,20060825
27831,CPT,Treat lower leg dislocation,,,21 ,,RBRVS,4.55 ,4.47 ,4.47 ,,,,,1,0,1,1,1,1,20060825
27832,CPT,Treat lower leg dislocation,,,21 ,,RBRVS,6.48 ,6.19 ,6.19 ,,,,,1,0,1,1,1,1,20060825
27840,CPT,Treat ankle dislocation,,,21 ,,RBRVS,4.57 ,3.77 ,3.77 ,,,,,1,0,1,1,1,1,20060825
27842,CPT,Treat ankle dislocation,,,21 ,,RBRVS,6.20 ,5.13 ,5.13 ,,,,,1,0,1,1,1,1,20060825
27846,CPT,Treat ankle dislocation,,,21 ,,RBRVS,9.78 ,7.95 ,7.95 ,,,,,1,0,1,1,1,1,20060825
27848,CPT,Treat ankle dislocation,,,21 ,,RBRVS,11.18 ,9.74 ,9.74 ,,,,,1,0,1,1,1,1,20060825
27860,CPT,Fixation of ankle joint,,,21 ,,RBRVS,2.34 ,1.99 ,1.99 ,,,,,1,0,1,1,1,1,20060825
27870,CPT,"Fusion of ankle joint, open",,,21 ,,RBRVS,13.89 ,10.55 ,10.55 ,,,,,1,0,1,1,1,1,20060825
27871,CPT,Fusion of tibiofibular joint,,,21 ,,RBRVS,9.16 ,7.60 ,7.60 ,,,,,1,0,1,1,1,1,20060825
27880,CPT,Amputation of lower leg,,,21 ,,RBRVS,11.83 ,7.15 ,7.15 ,,,,,1,0,1,1,1,1,20060825
27881,CPT,Amputation of lower leg,,,21 ,,RBRVS,12.32 ,8.87 ,8.87 ,,,,,1,0,1,1,1,1,20060825
27882,CPT,Amputation of lower leg,,,21 ,,RBRVS,8.93 ,6.50 ,6.50 ,,,,,1,0,1,1,1,1,20060825
27884,CPT,Amputation follow-up surgery,,,21 ,,RBRVS,8.20 ,5.77 ,5.77 ,,,,,1,0,1,1,1,1,20060825
27886,CPT,Amputation follow-up surgery,,,21 ,,RBRVS,9.31 ,6.53 ,6.53 ,,,,,1,0,1,1,1,1,20060825
27888,CPT,Amputation of foot at ankle,,,21 ,,RBRVS,9.66 ,7.52 ,7.52 ,,,,,1,0,1,1,1,1,20060825
27889,CPT,Amputation of foot at ankle,,,21 ,,RBRVS,9.97 ,6.49 ,6.49 ,,,,,1,0,1,1,1,1,20060825
27892,CPT,Decompression of leg,,,21 ,,RBRVS,7.38 ,5.61 ,5.61 ,,,,,1,0,1,1,1,1,20060825
27893,CPT,Decompression of leg,,,21 ,,RBRVS,7.34 ,5.48 ,5.48 ,,,,,1,0,1,1,1,1,20060825
27894,CPT,Decompression of leg,,,21 ,,RBRVS,10.47 ,7.79 ,7.79 ,,,,,1,0,1,1,1,1,20060825
27899,CPT,Leg/ankle surgery procedure,,,21 ,,TotalUnits,,,,11.65 ,,,,1,0,1,1,1,1,20060825
28001,CPT,Drainage of bursa of foot,,,21 ,,RBRVS,2.73 ,1.96 ,2.99 ,,,,,1,0,1,1,1,1,20060825
28002,CPT,Treatment of foot infection,,,21 ,,RBRVS,4.61 ,3.78 ,5.00 ,,,,,1,0,1,1,1,1,20060825
28003,CPT,Treatment of foot infection,,,21 ,,RBRVS,8.40 ,5.24 ,6.25 ,,,,,1,0,1,1,1,1,20060825
28005,CPT,Treat foot bone lesion,,,21 ,,RBRVS,8.67 ,6.06 ,6.06 ,,,,,1,0,1,1,1,1,20060825
28008,CPT,Incision of foot fascia,,,21 ,,RBRVS,4.44 ,3.21 ,4.56 ,,,,,1,0,1,1,1,1,20060825
28010,CPT,Incision of toe tendon,,,21 ,,RBRVS,2.84 ,2.38 ,2.38 ,,,,,1,0,1,1,1,1,20060825
28011,CPT,Incision of toe tendons,,,21 ,,RBRVS,4.13 ,3.31 ,3.31 ,,,,,1,0,1,1,1,1,20060825
28020,CPT,Exploration of foot joint,,,21 ,,RBRVS,5.00 ,4.14 ,6.03 ,,,,,1,0,1,1,1,1,20060825
28022,CPT,Exploration of foot joint,,,21 ,,RBRVS,4.66 ,3.86 ,5.21 ,,,,,1,0,1,1,1,1,20060825
28024,CPT,Exploration of toe joint,,,21 ,,RBRVS,4.37 ,3.93 ,5.23 ,,,,,1,0,1,1,1,1,20060825
28030,CPT,Removal of foot nerve,,,21 ,,RBRVS,6.14 ,3.66 ,3.66 ,,,,,1,0,1,1,1,1,20060825
28035,CPT,Decompression of tibia nerve,,,21 ,,RBRVS,5.08 ,4.10 ,5.87 ,,,,,1,0,1,1,1,1,20060825
28043,CPT,Excision of foot lesion,,,21 ,,RBRVS,3.53 ,3.18 ,3.82 ,,,,,1,0,1,1,1,1,20060825
28045,CPT,Excision of foot lesion,,,21 ,,RBRVS,4.71 ,3.61 ,5.39 ,,,,,1,0,1,1,1,1,20060825
28046,CPT,"Resection of tumor, foot",,,21 ,,RBRVS,10.16 ,6.49 ,8.79 ,,,,,1,0,1,1,1,1,20060825
28050,CPT,Biopsy of foot joint lining,,,21 ,,RBRVS,4.24 ,3.60 ,4.90 ,,,,,1,0,1,1,1,1,20060825
28052,CPT,Biopsy of foot joint lining,,,21 ,,RBRVS,3.93 ,3.44 ,4.92 ,,,,,1,0,1,1,1,1,20060825
28054,CPT,Biopsy of toe joint lining,,,21 ,,RBRVS,3.44 ,3.24 ,4.73 ,,,,,1,0,1,1,1,1,20060825
28060,CPT,"Partial removal, foot fascia",,,21 ,,RBRVS,5.22 ,3.88 ,5.49 ,,,,,1,0,1,1,1,1,20060825
28062,CPT,Removal of foot fascia,,,21 ,,RBRVS,6.51 ,4.02 ,6.53 ,,,,,1,0,1,1,1,1,20060825
28070,CPT,Removal of foot joint lining,,,21 ,,RBRVS,5.09 ,3.82 ,5.23 ,,,,,1,0,1,1,1,1,20060825
28072,CPT,Removal of foot joint lining,,,21 ,,RBRVS,4.57 ,4.31 ,5.54 ,,,,,1,0,1,1,1,1,20060825
28080,CPT,Removal of foot lesion,,,21 ,,RBRVS,3.57 ,3.69 ,5.12 ,,,,,1,0,1,1,1,1,20060825
28086,CPT,Excise foot tendon sheath,,,21 ,,RBRVS,4.77 ,4.69 ,8.00 ,,,,,1,0,1,1,1,1,20060825
28088,CPT,Excise foot tendon sheath,,,21 ,,RBRVS,3.85 ,3.90 ,5.77 ,,,,,1,0,1,1,1,1,20060825
28090,CPT,Removal of foot lesion,,,21 ,,RBRVS,4.40 ,3.46 ,5.15 ,,,,,1,0,1,1,1,1,20060825
28092,CPT,Removal of toe lesions,,,21 ,,RBRVS,3.63 ,3.53 ,5.23 ,,,,,1,0,1,1,1,1,20060825
28100,CPT,Removal of ankle/heel lesion,,,21 ,,RBRVS,5.65 ,4.70 ,7.98 ,,,,,1,0,1,1,1,1,20060825
28102,CPT,Remove/graft foot lesion,,,21 ,,RBRVS,7.72 ,5.96 ,5.96 ,,,,,1,0,1,1,1,1,20060825
28103,CPT,Remove/graft foot lesion,,,21 ,,RBRVS,6.49 ,4.62 ,4.62 ,,,,,1,0,1,1,1,1,20060825
28104,CPT,Removal of foot lesion,,,21 ,,RBRVS,5.11 ,3.93 ,5.50 ,,,,,1,0,1,1,1,1,20060825
28106,CPT,Remove/graft foot lesion,,,21 ,,RBRVS,7.15 ,4.44 ,4.44 ,,,,,1,0,1,1,1,1,20060825
28107,CPT,Remove/graft foot lesion,,,21 ,,RBRVS,5.55 ,4.21 ,6.54 ,,,,,1,0,1,1,1,1,20060825
28108,CPT,Removal of toe lesions,,,21 ,,RBRVS,4.15 ,3.26 ,4.60 ,,,,,1,0,1,1,1,1,20060825
28110,CPT,Part removal of metatarsal,,,21 ,,RBRVS,4.07 ,3.23 ,5.23 ,,,,,1,0,1,1,1,1,20060825
28111,CPT,Part removal of metatarsal,,,21 ,,RBRVS,5.00 ,3.66 ,6.29 ,,,,,1,0,1,1,1,1,20060825
28112,CPT,Part removal of metatarsal,,,21 ,,RBRVS,4.48 ,3.58 ,5.82 ,,,,,1,0,1,1,1,1,20060825
28113,CPT,Part removal of metatarsal,,,21 ,,RBRVS,4.78 ,4.32 ,6.07 ,,,,,1,0,1,1,1,1,20060825
28114,CPT,Removal of metatarsal heads,,,21 ,,RBRVS,9.78 ,8.39 ,11.65 ,,,,,1,0,1,1,1,1,20060825
28116,CPT,Revision of foot,,,21 ,,RBRVS,7.74 ,5.18 ,6.81 ,,,,,1,0,1,1,1,1,20060825
28118,CPT,Removal of heel bone,,,21 ,,RBRVS,5.95 ,4.35 ,6.26 ,,,,,1,0,1,1,1,1,20060825
28119,CPT,Removal of heel spur,,,21 ,,RBRVS,5.38 ,3.73 ,5.44 ,,,,,1,0,1,1,1,1,20060825
28120,CPT,Part removal of ankle/heel,,,21 ,,RBRVS,5.39 ,4.42 ,7.30 ,,,,,1,0,1,1,1,1,20060825
28122,CPT,Partial removal of foot bone,,,21 ,,RBRVS,7.28 ,5.28 ,6.85 ,,,,,1,0,1,1,1,1,20060825
28124,CPT,Partial removal of toe,,,21 ,,RBRVS,4.80 ,3.66 ,5.00 ,,,,,1,0,1,1,1,1,20060825
28126,CPT,Partial removal of toe,,,21 ,,RBRVS,3.51 ,3.00 ,4.22 ,,,,,1,0,1,1,1,1,20060825
28130,CPT,Removal of ankle bone,,,21 ,,RBRVS,8.10 ,6.73 ,6.73 ,,,,,1,0,1,1,1,1,20060825
28140,CPT,Removal of metatarsal,,,21 ,,RBRVS,6.90 ,4.77 ,7.24 ,,,,,1,0,1,1,1,1,20060825
28150,CPT,Removal of toe,,,21 ,,RBRVS,4.08 ,3.29 ,4.84 ,,,,,1,0,1,1,1,1,20060825
28153,CPT,Partial removal of toe,,,21 ,,RBRVS,3.65 ,2.69 ,4.32 ,,,,,1,0,1,1,1,1,20060825
28160,CPT,Partial removal of toe,,,21 ,,RBRVS,3.73 ,3.34 ,4.57 ,,,,,1,0,1,1,1,1,20060825
28171,CPT,Extensive foot surgery,,,21 ,,RBRVS,9.59 ,5.44 ,5.44 ,,,,,1,0,1,1,1,1,20060825
28173,CPT,Extensive foot surgery,,,21 ,,RBRVS,8.79 ,5.21 ,7.61 ,,,,,1,0,1,1,1,1,20060825
28175,CPT,Extensive foot surgery,,,21 ,,RBRVS,6.04 ,3.71 ,5.72 ,,,,,1,0,1,1,1,1,20060825
28190,CPT,Removal of foot foreign body,,,21 ,,RBRVS,1.96 ,1.48 ,3.40 ,,,,,1,0,1,1,1,1,20060825
28192,CPT,Removal of foot foreign body,,,21 ,,RBRVS,4.63 ,3.65 ,5.49 ,,,,,1,0,1,1,1,1,20060825
28193,CPT,Removal of foot foreign body,,,21 ,,RBRVS,5.72 ,3.93 ,5.62 ,,,,,1,0,1,1,1,1,20060825
28200,CPT,Repair of foot tendon,,,21 ,,RBRVS,4.59 ,3.56 ,5.10 ,,,,,1,0,1,1,1,1,20060825
28202,CPT,Repair/graft of foot tendon,,,21 ,,RBRVS,6.83 ,4.50 ,7.23 ,,,,,1,0,1,1,1,1,20060825
28208,CPT,Repair of foot tendon,,,21 ,,RBRVS,4.36 ,3.31 ,4.82 ,,,,,1,0,1,1,1,1,20060825
28210,CPT,Repair/graft of foot tendon,,,21 ,,RBRVS,6.34 ,4.03 ,6.23 ,,,,,1,0,1,1,1,1,20060825
28220,CPT,Release of foot tendon,,,21 ,,RBRVS,4.52 ,3.43 ,4.68 ,,,,,1,0,1,1,1,1,20060825
28222,CPT,Release of foot tendons,,,21 ,,RBRVS,5.61 ,4.13 ,5.25 ,,,,,1,0,1,1,1,1,20060825
28225,CPT,Release of foot tendon,,,21 ,,RBRVS,3.65 ,2.91 ,4.29 ,,,,,1,0,1,1,1,1,20060825
28226,CPT,Release of foot tendons,,,21 ,,RBRVS,4.52 ,3.75 ,4.80 ,,,,,1,0,1,1,1,1,20060825
28230,CPT,Incision of foot tendon(s),,,21 ,,RBRVS,4.23 ,3.68 ,4.68 ,,,,,1,0,1,1,1,1,20060825
28232,CPT,Incision of toe tendon,,,21 ,,RBRVS,3.38 ,3.32 ,4.53 ,,,,,1,0,1,1,1,1,20060825
28234,CPT,Incision of foot tendon,,,21 ,,RBRVS,3.36 ,3.36 ,4.68 ,,,,,1,0,1,1,1,1,20060825
28238,CPT,Revision of foot tendon,,,21 ,,RBRVS,7.72 ,4.94 ,7.26 ,,,,,1,0,1,1,1,1,20060825
28240,CPT,Release of big toe,,,21 ,,RBRVS,4.35 ,3.49 ,4.64 ,,,,,1,0,1,1,1,1,20060825
28250,CPT,Revision of foot fascia,,,21 ,,RBRVS,5.91 ,4.14 ,5.64 ,,,,,1,0,1,1,1,1,20060825
28260,CPT,Release of midfoot joint,,,21 ,,RBRVS,7.95 ,5.00 ,6.34 ,,,,,1,0,1,1,1,1,20060825
28261,CPT,Revision of foot tendon,,,21 ,,RBRVS,11.71 ,7.32 ,8.63 ,,,,,1,0,1,1,1,1,20060825
28262,CPT,Revision of foot and ankle,,,21 ,,RBRVS,15.81 ,10.94 ,13.59 ,,,,,1,0,1,1,1,1,20060825
28264,CPT,Release of midfoot joint,,,21 ,,RBRVS,10.33 ,7.30 ,7.75 ,,,,,1,0,1,1,1,1,20060825
28270,CPT,Release of foot contracture,,,21 ,,RBRVS,4.75 ,3.74 ,4.90 ,,,,,1,0,1,1,1,1,20060825
28272,CPT,"Release of toe joint, each",,,21 ,,RBRVS,3.79 ,2.86 ,4.19 ,,,,,1,0,1,1,1,1,20060825
28280,CPT,Fusion of toes,,,21 ,,RBRVS,5.18 ,4.49 ,6.26 ,,,,,1,0,1,1,1,1,20060825
28285,CPT,Repair of hammertoe,,,21 ,,RBRVS,4.58 ,3.43 ,4.87 ,,,,,1,0,1,1,1,1,20060825
28286,CPT,Repair of hammertoe,,,21 ,,RBRVS,4.55 ,3.26 ,4.80 ,,,,,1,0,1,1,1,1,20060825
28288,CPT,Partial removal of foot bone,,,21 ,,RBRVS,4.73 ,4.89 ,5.95 ,,,,,1,0,1,1,1,1,20060825
28289,CPT,Repair hallux rigidus,,,21 ,,RBRVS,7.03 ,5.78 ,8.00 ,,,,,1,0,1,1,1,1,20060825
28290,CPT,Correction of bunion,,,21 ,,RBRVS,5.65 ,4.73 ,6.27 ,,,,,1,0,1,1,1,1,20060825
28292,CPT,Correction of bunion,,,21 ,,RBRVS,7.03 ,5.55 ,7.48 ,,,,,1,0,1,1,1,1,20060825
28293,CPT,Correction of bunion,,,21 ,,RBRVS,9.14 ,6.12 ,10.77 ,,,,,1,0,1,1,1,1,20060825
28294,CPT,Correction of bunion,,,21 ,,RBRVS,8.55 ,4.72 ,7.45 ,,,,,1,0,1,1,1,1,20060825
28296,CPT,Correction of bunion,,,21 ,,RBRVS,9.17 ,5.43 ,8.17 ,,,,,1,0,1,1,1,1,20060825
28297,CPT,Correction of bunion,,,21 ,,RBRVS,9.17 ,6.27 ,8.97 ,,,,,1,0,1,1,1,1,20060825
28298,CPT,Correction of bunion,,,21 ,,RBRVS,7.93 ,5.01 ,7.23 ,,,,,1,0,1,1,1,1,20060825
28299,CPT,Correction of bunion,,,21 ,,RBRVS,10.56 ,6.08 ,8.79 ,,,,,1,0,1,1,1,1,20060825
28300,CPT,Incision of heel bone,,,21 ,,RBRVS,9.53 ,7.05 ,7.05 ,,,,,1,0,1,1,1,1,20060825
28302,CPT,Incision of ankle bone,,,21 ,,RBRVS,9.54 ,6.90 ,6.90 ,,,,,1,0,1,1,1,1,20060825
28304,CPT,Incision of midfoot bones,,,21 ,,RBRVS,9.15 ,5.75 ,7.96 ,,,,,1,0,1,1,1,1,20060825
28305,CPT,Incise/graft midfoot bones,,,21 ,,RBRVS,10.48 ,6.74 ,6.74 ,,,,,1,0,1,1,1,1,20060825
28306,CPT,Incision of metatarsal,,,21 ,,RBRVS,5.85 ,4.18 ,6.85 ,,,,,1,0,1,1,1,1,20060825
28307,CPT,Incision of metatarsal,,,21 ,,RBRVS,6.32 ,5.30 ,11.05 ,,,,,1,0,1,1,1,1,20060825
28308,CPT,Incision of metatarsal,,,21 ,,RBRVS,5.28 ,3.69 ,5.76 ,,,,,1,0,1,1,1,1,20060825
28309,CPT,Incision of metatarsals,,,21 ,,RBRVS,12.76 ,7.97 ,7.97 ,,,,,1,0,1,1,1,1,20060825
28310,CPT,Revision of big toe,,,21 ,,RBRVS,5.42 ,3.56 ,5.76 ,,,,,1,0,1,1,1,1,20060825
28312,CPT,Revision of toe,,,21 ,,RBRVS,4.54 ,3.64 ,5.45 ,,,,,1,0,1,1,1,1,20060825
28313,CPT,Repair deformity of toe,,,21 ,,RBRVS,5.00 ,4.84 ,5.29 ,,,,,1,0,1,1,1,1,20060825
28315,CPT,Removal of sesamoid bone,,,21 ,,RBRVS,4.85 ,3.34 ,4.90 ,,,,,1,0,1,1,1,1,20060825
28320,CPT,Repair of foot bones,,,21 ,,RBRVS,9.17 ,6.73 ,6.73 ,,,,,1,0,1,1,1,1,20060825
28322,CPT,Repair of metatarsals,,,21 ,,RBRVS,8.33 ,6.35 ,9.20 ,,,,,1,0,1,1,1,1,20060825
28340,CPT,Resect enlarged toe tissue,,,21 ,,RBRVS,6.97 ,4.25 ,6.46 ,,,,,1,0,1,1,1,1,20060825
28341,CPT,Resect enlarged toe,,,21 ,,RBRVS,8.40 ,4.82 ,6.95 ,,,,,1,0,1,1,1,1,20060825
28344,CPT,Repair extra toe(s),,,21 ,,RBRVS,4.25 ,3.64 ,5.76 ,,,,,1,0,1,1,1,1,20060825
28345,CPT,Repair webbed toe(s),,,21 ,,RBRVS,5.91 ,4.69 ,6.21 ,,,,,1,0,1,1,1,1,20060825
28360,CPT,Reconstruct cleft foot,,,21 ,,RBRVS,13.32 ,10.52 ,10.52 ,,,,,1,0,1,1,1,1,20060825
28400,CPT,Treatment of heel fracture,,,21 ,,RBRVS,2.16 ,3.06 ,3.64 ,,,,,1,0,1,1,1,1,20060825
28405,CPT,Treatment of heel fracture,,,21 ,,RBRVS,4.56 ,4.63 ,4.84 ,,,,,1,0,1,1,1,1,20060825
28406,CPT,Treatment of heel fracture,,,21 ,,RBRVS,6.30 ,6.81 ,6.81 ,,,,,1,0,1,1,1,1,20060825
28415,CPT,Treat heel fracture,,,21 ,,RBRVS,15.95 ,13.32 ,13.32 ,,,,,1,0,1,1,1,1,20060825
28420,CPT,Treat/graft heel fracture,,,21 ,,RBRVS,16.62 ,12.95 ,12.95 ,,,,,1,0,1,1,1,1,20060825
28430,CPT,Treatment of ankle fracture,,,21 ,,RBRVS,2.09 ,2.57 ,3.40 ,,,,,1,0,1,1,1,1,20060825
28435,CPT,Treatment of ankle fracture,,,21 ,,RBRVS,3.39 ,3.75 ,3.89 ,,,,,1,0,1,1,1,1,20060825
28436,CPT,Treatment of ankle fracture,,,21 ,,RBRVS,4.70 ,5.93 ,5.93 ,,,,,1,0,1,1,1,1,20060825
28445,CPT,Treat ankle fracture,,,21 ,,RBRVS,15.60 ,11.06 ,11.06 ,,,,,1,0,1,1,1,1,20060825
28450,CPT,"Treat midfoot fracture, each",,,21 ,,RBRVS,1.90 ,2.48 ,3.12 ,,,,,1,0,1,1,1,1,20060825
28455,CPT,"Treat midfoot fracture, each",,,21 ,,RBRVS,3.09 ,3.43 ,3.43 ,,,,,1,0,1,1,1,1,20060825
28456,CPT,Treat midfoot fracture,,,21 ,,RBRVS,2.68 ,4.16 ,4.16 ,,,,,1,0,1,1,1,1,20060825
28465,CPT,"Treat midfoot fracture, each",,,21 ,,RBRVS,7.00 ,6.33 ,6.33 ,,,,,1,0,1,1,1,1,20060825
28470,CPT,Treat metatarsal fracture,,,21 ,,RBRVS,1.99 ,2.45 ,3.13 ,,,,,1,0,1,1,1,1,20060825
28475,CPT,Treat metatarsal fracture,,,21 ,,RBRVS,2.97 ,3.22 ,3.34 ,,,,,1,0,1,1,1,1,20060825
28476,CPT,Treat metatarsal fracture,,,21 ,,RBRVS,3.37 ,4.99 ,4.99 ,,,,,1,0,1,1,1,1,20060825
28485,CPT,Treat metatarsal fracture,,,21 ,,RBRVS,5.70 ,5.46 ,5.46 ,,,,,1,0,1,1,1,1,20060825
28490,CPT,Treat big toe fracture,,,21 ,,RBRVS,1.09 ,1.64 ,2.02 ,,,,,1,0,1,1,1,1,20060825
28495,CPT,Treat big toe fracture,,,21 ,,RBRVS,1.58 ,2.07 ,2.18 ,,,,,1,0,1,1,1,1,20060825
28496,CPT,Treat big toe fracture,,,21 ,,RBRVS,2.33 ,3.20 ,8.27 ,,,,,1,0,1,1,1,1,20060825
28505,CPT,Treat big toe fracture,,,21 ,,RBRVS,3.80 ,3.91 ,8.12 ,,,,,1,0,1,1,1,1,20060825
28510,CPT,Treatment of toe fracture,,,21 ,,RBRVS,1.09 ,1.53 ,1.53 ,,,,,1,0,1,1,1,1,20060825
28515,CPT,Treatment of toe fracture,,,21 ,,RBRVS,1.46 ,1.90 ,1.90 ,,,,,1,0,1,1,1,1,20060825
28525,CPT,Treat toe fracture,,,21 ,,RBRVS,3.32 ,3.44 ,7.53 ,,,,,1,0,1,1,1,1,20060825
28530,CPT,Treat sesamoid bone fracture,,,21 ,,RBRVS,1.06 ,1.44 ,1.44 ,,,,,1,0,1,1,1,1,20060825
28531,CPT,Treat sesamoid bone fracture,,,21 ,,RBRVS,2.35 ,2.07 ,7.28 ,,,,,1,0,1,1,1,1,20060825
28540,CPT,Treat foot dislocation,,,21 ,,RBRVS,2.04 ,2.41 ,2.41 ,,,,,1,0,1,1,1,1,20060825
28545,CPT,Treat foot dislocation,,,21 ,,RBRVS,2.45 ,2.35 ,2.35 ,,,,,1,0,1,1,1,1,20060825
28546,CPT,Treat foot dislocation,,,21 ,,RBRVS,3.20 ,4.39 ,6.93 ,,,,,1,0,1,1,1,1,20060825
28555,CPT,Repair foot dislocation,,,21 ,,RBRVS,6.29 ,5.69 ,9.93 ,,,,,1,0,1,1,1,1,20060825
28570,CPT,Treat foot dislocation,,,21 ,,RBRVS,1.66 ,2.34 ,2.43 ,,,,,1,0,1,1,1,1,20060825
28575,CPT,Treat foot dislocation,,,21 ,,RBRVS,3.31 ,3.73 ,3.73 ,,,,,1,0,1,1,1,1,20060825
28576,CPT,Treat foot dislocation,,,21 ,,RBRVS,4.16 ,4.18 ,4.18 ,,,,,1,0,1,1,1,1,20060825
28585,CPT,Repair foot dislocation,,,21 ,,RBRVS,7.98 ,5.85 ,7.34 ,,,,,1,0,1,1,1,1,20060825
28600,CPT,Treat foot dislocation,,,21 ,,RBRVS,1.89 ,2.69 ,2.82 ,,,,,1,0,1,1,1,1,20060825
28605,CPT,Treat foot dislocation,,,21 ,,RBRVS,2.71 ,3.13 ,3.13 ,,,,,1,0,1,1,1,1,20060825
28606,CPT,Treat foot dislocation,,,21 ,,RBRVS,4.89 ,4.70 ,4.70 ,,,,,1,0,1,1,1,1,20060825
28615,CPT,Repair foot dislocation,,,21 ,,RBRVS,7.76 ,8.06 ,8.06 ,,,,,1,0,1,1,1,1,20060825
28630,CPT,Treat toe dislocation,,,21 ,,RBRVS,1.70 ,1.00 ,1.57 ,,,,,1,0,1,1,1,1,20060825
28635,CPT,Treat toe dislocation,,,21 ,,RBRVS,1.91 ,1.53 ,2.03 ,,,,,1,0,1,1,1,1,20060825
28636,CPT,Treat toe dislocation,,,21 ,,RBRVS,2.77 ,2.63 ,3.88 ,,,,,1,0,1,1,1,1,20060825
28645,CPT,Repair toe dislocation,,,21 ,,RBRVS,4.21 ,3.28 ,4.96 ,,,,,1,0,1,1,1,1,20060825
28660,CPT,Treat toe dislocation,,,21 ,,RBRVS,1.23 ,0.79 ,1.26 ,,,,,1,0,1,1,1,1,20060825
28665,CPT,Treat toe dislocation,,,21 ,,RBRVS,1.92 ,1.43 ,1.43 ,,,,,1,0,1,1,1,1,20060825
28666,CPT,Treat toe dislocation,,,21 ,,RBRVS,2.66 ,2.59 ,5.90 ,,,,,1,0,1,1,1,1,20060825
28675,CPT,Repair of toe dislocation,,,21 ,,RBRVS,2.92 ,3.36 ,7.16 ,,,,,1,0,1,1,1,1,20060825
28705,CPT,Fusion of foot bones,,,21 ,,RBRVS,18.77 ,12.47 ,12.47 ,,,,,1,0,1,1,1,1,20060825
28715,CPT,Fusion of foot bones,,,21 ,,RBRVS,13.08 ,9.78 ,9.78 ,,,,,1,0,1,1,1,1,20060825
28725,CPT,Fusion of foot bones,,,21 ,,RBRVS,11.59 ,8.26 ,8.26 ,,,,,1,0,1,1,1,1,20060825
28730,CPT,Fusion of foot bones,,,21 ,,RBRVS,10.74 ,8.50 ,8.50 ,,,,,1,0,1,1,1,1,20060825
28735,CPT,Fusion of foot bones,,,21 ,,RBRVS,10.83 ,7.84 ,7.84 ,,,,,1,0,1,1,1,1,20060825
28737,CPT,Revision of foot bones,,,21 ,,RBRVS,9.63 ,6.82 ,6.82 ,,,,,1,0,1,1,1,1,20060825
28740,CPT,Fusion of foot bones,,,21 ,,RBRVS,8.01 ,6.48 ,10.89 ,,,,,1,0,1,1,1,1,20060825
28750,CPT,Fusion of big toe joint,,,21 ,,RBRVS,7.29 ,6.68 ,11.94 ,,,,,1,0,1,1,1,1,20060825
28755,CPT,Fusion of big toe joint,,,21 ,,RBRVS,4.73 ,3.76 ,6.12 ,,,,,1,0,1,1,1,1,20060825
28760,CPT,Fusion of big toe joint,,,21 ,,RBRVS,7.74 ,5.53 ,7.99 ,,,,,1,0,1,1,1,1,20060825
28800,CPT,Amputation of midfoot,,,21 ,,RBRVS,8.20 ,5.81 ,5.81 ,,,,,1,0,1,1,1,1,20060825
28805,CPT,Amputation thru metatarsal,,,21 ,,RBRVS,8.38 ,5.66 ,5.66 ,,,,,1,0,1,1,1,1,20060825
28810,CPT,Amputation toe & metatarsal,,,21 ,,RBRVS,6.20 ,4.48 ,4.48 ,,,,,1,0,1,1,1,1,20060825
28820,CPT,Amputation of toe,,,21 ,,RBRVS,4.40 ,3.79 ,7.57 ,,,,,1,0,1,1,1,1,20060825
28825,CPT,Partial amputation of toe,,,21 ,,RBRVS,3.58 ,3.49 ,7.01 ,,,,,1,0,1,1,1,1,20060825
28890,CPT,"High energy eswt, plantar f",,,21 ,,RBRVS,3.30 ,2.09 ,5.73 ,,,,,1,0,1,1,1,1,20060825
28899,CPT,Foot/toes surgery procedure,,,21 ,,TotalUnits,,,,9.04 ,,,,1,0,1,1,1,1,20060825
29000,CPT,Application of body cast,,,21 ,,RBRVS,2.25 ,1.74 ,2.97 ,,,,,1,0,1,1,1,1,20060825
29010,CPT,Application of body cast,,,21 ,,RBRVS,2.06 ,1.78 ,3.29 ,,,,,1,0,1,1,1,1,20060825
29015,CPT,Application of body cast,,,21 ,,RBRVS,2.41 ,1.60 ,2.98 ,,,,,1,0,1,1,1,1,20060825
29020,CPT,Application of body cast,,,21 ,,RBRVS,2.11 ,1.41 ,3.19 ,,,,,1,0,1,1,1,1,20060825
29025,CPT,Application of body cast,,,21 ,,RBRVS,2.40 ,1.86 ,3.15 ,,,,,1,0,1,1,1,1,20060825
29035,CPT,Application of body cast,,,21 ,,RBRVS,1.77 ,1.58 ,3.62 ,,,,,1,0,1,1,1,1,20060825
29040,CPT,Application of body cast,,,21 ,,RBRVS,2.22 ,1.51 ,2.47 ,,,,,1,0,1,1,1,1,20060825
29044,CPT,Application of body cast,,,21 ,,RBRVS,2.12 ,1.91 ,3.98 ,,,,,1,0,1,1,1,1,20060825
29046,CPT,Application of body cast,,,21 ,,RBRVS,2.41 ,2.10 ,3.24 ,,,,,1,0,1,1,1,1,20060825
29049,CPT,Application of figure eight,,,21 ,,RBRVS,0.89 ,0.53 ,1.30 ,,,,,1,0,1,1,1,1,20060825
29055,CPT,Application of shoulder cast,,,21 ,,RBRVS,1.78 ,1.47 ,2.99 ,,,,,1,0,1,1,1,1,20060825
29058,CPT,Application of shoulder cast,,,21 ,,RBRVS,1.31 ,0.72 ,1.56 ,,,,,1,0,1,1,1,1,20060825
29065,CPT,Application of long arm cast,,,21 ,,RBRVS,0.87 ,0.75 ,1.33 ,,,,,1,0,1,1,1,1,20060825
29075,CPT,Application of forearm cast,,,21 ,,RBRVS,0.77 ,0.68 ,1.26 ,,,,,1,0,1,1,1,1,20060825
29085,CPT,Apply hand/wrist cast,,,21 ,,RBRVS,0.87 ,0.63 ,1.28 ,,,,,1,0,1,1,1,1,20060825
29086,CPT,Apply finger cast,,,21 ,,RBRVS,0.62 ,0.49 ,0.96 ,,,,,1,0,1,1,1,1,20060825
29105,CPT,Apply long arm splint,,,21 ,,RBRVS,0.87 ,0.51 ,1.23 ,,,,,1,0,1,1,1,1,20060825
29125,CPT,Apply forearm splint,,,21 ,,RBRVS,0.59 ,0.39 ,1.02 ,,,,,1,0,1,1,1,1,20060825
29126,CPT,Apply forearm splint,,,21 ,,RBRVS,0.77 ,0.46 ,1.21 ,,,,,1,0,1,1,1,1,20060825
29130,CPT,Application of finger splint,,,21 ,,RBRVS,0.50 ,0.17 ,0.47 ,,,,,1,0,1,1,1,1,20060825
29131,CPT,Application of finger splint,,,21 ,,RBRVS,0.55 ,0.24 ,0.74 ,,,,,1,0,1,1,1,1,20060825
29200,CPT,Strapping of chest,,,21 ,,RBRVS,0.65 ,0.34 ,0.72 ,,,,,1,0,1,1,1,1,20060825
29220,CPT,Strapping of low back,,,21 ,,RBRVS,0.64 ,0.39 ,0.72 ,,,,,1,0,1,1,1,1,20060825
29240,CPT,Strapping of shoulder,,,21 ,,RBRVS,0.71 ,0.36 ,0.85 ,,,,,1,0,1,1,1,1,20060825
29260,CPT,Strapping of elbow or wrist,,,21 ,,RBRVS,0.55 ,0.32 ,0.74 ,,,,,1,0,1,1,1,1,20060825
29280,CPT,Strapping of hand or finger,,,21 ,,RBRVS,0.51 ,0.32 ,0.80 ,,,,,1,0,1,1,1,1,20060825
29305,CPT,Application of hip cast,,,21 ,,RBRVS,2.03 ,1.77 ,3.35 ,,,,,1,0,1,1,1,1,20060825
29325,CPT,Application of hip casts,,,21 ,,RBRVS,2.32 ,1.96 ,3.54 ,,,,,1,0,1,1,1,1,20060825
29345,CPT,Application of long leg cast,,,21 ,,RBRVS,1.40 ,1.06 ,1.77 ,,,,,1,0,1,1,1,1,20060825
29355,CPT,Application of long leg cast,,,21 ,,RBRVS,1.53 ,1.12 ,1.71 ,,,,,1,0,1,1,1,1,20060825
29358,CPT,Apply long leg cast brace,,,21 ,,RBRVS,1.43 ,1.09 ,2.07 ,,,,,1,0,1,1,1,1,20060825
29365,CPT,Application of long leg cast,,,21 ,,RBRVS,1.18 ,0.95 ,1.66 ,,,,,1,0,1,1,1,1,20060825
29405,CPT,Apply short leg cast,,,21 ,,RBRVS,0.86 ,0.71 ,1.22 ,,,,,1,0,1,1,1,1,20060825
29425,CPT,Apply short leg cast,,,21 ,,RBRVS,1.01 ,0.74 ,1.23 ,,,,,1,0,1,1,1,1,20060825
29435,CPT,Apply short leg cast,,,21 ,,RBRVS,1.18 ,0.93 ,1.56 ,,,,,1,0,1,1,1,1,20060825
29440,CPT,Addition of walker to cast,,,21 ,,RBRVS,0.57 ,0.27 ,0.69 ,,,,,1,0,1,1,1,1,20060825
29445,CPT,Apply rigid leg cast,,,21 ,,RBRVS,1.78 ,0.96 ,1.81 ,,,,,1,0,1,1,1,1,20060825
29450,CPT,Application of leg cast,,,21 ,,RBRVS,2.08 ,1.09 ,1.47 ,,,,,1,0,1,1,1,1,20060825
29505,CPT,"Application, long leg splint",,,21 ,,RBRVS,0.69 ,0.45 ,1.18 ,,,,,1,0,1,1,1,1,20060825
29515,CPT,Application lower leg splint,,,21 ,,RBRVS,0.73 ,0.46 ,0.87 ,,,,,1,0,1,1,1,1,20060825
29520,CPT,Strapping of hip,,,21 ,,RBRVS,0.54 ,0.47 ,0.85 ,,,,,1,0,1,1,1,1,20060825
29530,CPT,Strapping of knee,,,21 ,,RBRVS,0.57 ,0.33 ,0.79 ,,,,,1,0,1,1,1,1,20060825
29540,CPT,Strapping of ankle and/or ft,,,21 ,,RBRVS,0.51 ,0.31 ,0.42 ,,,,,1,0,1,1,1,1,20060825
29550,CPT,Strapping of toes,,,21 ,,RBRVS,0.47 ,0.28 ,0.42 ,,,,,1,0,1,1,1,1,20060825
29580,CPT,Application of paste boot,,,21 ,,RBRVS,0.57 ,0.35 ,0.65 ,,,,,1,0,1,1,1,1,20060825
29590,CPT,Application of foot splint,,,21 ,,RBRVS,0.76 ,0.29 ,0.51 ,,,,,1,0,1,1,1,1,20060825
29700,CPT,Removal/revision of cast,,,21 ,,RBRVS,0.57 ,0.28 ,0.89 ,,,,,1,0,1,1,1,1,20060825
29705,CPT,Removal/revision of cast,,,21 ,,RBRVS,0.76 ,0.38 ,0.82 ,,,,,1,0,1,1,1,1,20060825
29710,CPT,Removal/revision of cast,,,21 ,,RBRVS,1.34 ,0.70 ,1.53 ,,,,,1,0,1,1,1,1,20060825
29715,CPT,Removal/revision of cast,,,21 ,,RBRVS,0.94 ,0.40 ,1.17 ,,,,,1,0,1,1,1,1,20060825
29720,CPT,Repair of body cast,,,21 ,,RBRVS,0.68 ,0.39 ,1.16 ,,,,,1,0,1,1,1,1,20060825
29730,CPT,Windowing of cast,,,21 ,,RBRVS,0.75 ,0.35 ,0.81 ,,,,,1,0,1,1,1,1,20060825
29740,CPT,Wedging of cast,,,21 ,,RBRVS,1.12 ,0.49 ,1.15 ,,,,,1,0,1,1,1,1,20060825
29750,CPT,Wedging of clubfoot cast,,,21 ,,RBRVS,1.26 ,0.58 ,1.06 ,,,,,1,0,1,1,1,1,20060825
29799,CPT,Casting/strapping procedure,,,21 ,,TotalUnits,,,,1.43 ,,,,1,0,1,1,1,1,20060825
29800,CPT,Jaw arthroscopy/surgery,,,21 ,,RBRVS,6.42 ,6.99 ,6.99 ,,,,,1,0,1,1,1,1,20060825
29804,CPT,Jaw arthroscopy/surgery,,,21 ,,RBRVS,8.13 ,7.64 ,7.64 ,,,,,1,0,1,1,1,1,20060825
29805,CPT,"Shoulder arthroscopy, dx",,,21 ,,RBRVS,5.88 ,5.69 ,5.69 ,,,,,1,0,1,1,1,1,20060825
29806,CPT,Shoulder arthroscopy/surgery,,,21 ,,RBRVS,14.35 ,11.19 ,11.19 ,,,,,1,0,1,1,1,1,20060825
29807,CPT,Shoulder arthroscopy/surgery,,,21 ,,RBRVS,13.88 ,11.02 ,11.02 ,,,,,1,0,1,1,1,1,20060825
29819,CPT,Shoulder arthroscopy/surgery,,,21 ,,RBRVS,7.61 ,6.81 ,6.81 ,,,,,1,0,1,1,1,1,20060825
29820,CPT,Shoulder arthroscopy/surgery,,,21 ,,RBRVS,7.06 ,6.24 ,6.24 ,,,,,1,0,1,1,1,1,20060825
29821,CPT,Shoulder arthroscopy/surgery,,,21 ,,RBRVS,7.71 ,6.82 ,6.82 ,,,,,1,0,1,1,1,1,20060825
29822,CPT,Shoulder arthroscopy/surgery,,,21 ,,RBRVS,7.42 ,6.71 ,6.71 ,,,,,1,0,1,1,1,1,20060825
29823,CPT,Shoulder arthroscopy/surgery,,,21 ,,RBRVS,8.16 ,7.24 ,7.24 ,,,,,1,0,1,1,1,1,20060825
29824,CPT,Shoulder arthroscopy/surgery,,,21 ,,RBRVS,8.24 ,7.55 ,7.55 ,,,,,1,0,1,1,1,1,20060825
29825,CPT,Shoulder arthroscopy/surgery,,,21 ,,RBRVS,7.61 ,6.78 ,6.78 ,,,,,1,0,1,1,1,1,20060825
29826,CPT,Shoulder arthroscopy/surgery,,,21 ,,RBRVS,8.98 ,7.55 ,7.55 ,,,,,1,0,1,1,1,1,20060825
29827,CPT,Arthroscop rotator cuff repr,,,21 ,,RBRVS,15.34 ,11.56 ,11.56 ,,,,,1,0,1,1,1,1,20060825
29830,CPT,Elbow arthroscopy,,,21 ,,RBRVS,5.75 ,5.36 ,5.36 ,,,,,1,0,1,1,1,1,20060825
29834,CPT,Elbow arthroscopy/surgery,,,21 ,,RBRVS,6.27 ,5.85 ,5.85 ,,,,,1,0,1,1,1,1,20060825
29835,CPT,Elbow arthroscopy/surgery,,,21 ,,RBRVS,6.47 ,5.90 ,5.90 ,,,,,1,0,1,1,1,1,20060825
29836,CPT,Elbow arthroscopy/surgery,,,21 ,,RBRVS,7.54 ,6.81 ,6.81 ,,,,,1,0,1,1,1,1,20060825
29837,CPT,Elbow arthroscopy/surgery,,,21 ,,RBRVS,6.86 ,6.15 ,6.15 ,,,,,1,0,1,1,1,1,20060825
29838,CPT,Elbow arthroscopy/surgery,,,21 ,,RBRVS,7.70 ,6.91 ,6.91 ,,,,,1,0,1,1,1,1,20060825
29840,CPT,Wrist arthroscopy,,,21 ,,RBRVS,5.53 ,5.34 ,5.34 ,,,,,1,0,1,1,1,1,20060825
29843,CPT,Wrist arthroscopy/surgery,,,21 ,,RBRVS,6.00 ,5.64 ,5.64 ,,,,,1,0,1,1,1,1,20060825
29844,CPT,Wrist arthroscopy/surgery,,,21 ,,RBRVS,6.36 ,5.84 ,5.84 ,,,,,1,0,1,1,1,1,20060825
29845,CPT,Wrist arthroscopy/surgery,,,21 ,,RBRVS,7.51 ,6.49 ,6.49 ,,,,,1,0,1,1,1,1,20060825
29846,CPT,Wrist arthroscopy/surgery,,,21 ,,RBRVS,6.74 ,6.07 ,6.07 ,,,,,1,0,1,1,1,1,20060825
29847,CPT,Wrist arthroscopy/surgery,,,21 ,,RBRVS,7.07 ,6.21 ,6.21 ,,,,,1,0,1,1,1,1,20060825
29848,CPT,Wrist endoscopy/surgery,,,21 ,,RBRVS,5.43 ,5.62 ,5.62 ,,,,,1,0,1,1,1,1,20060825
29850,CPT,Knee arthroscopy/surgery,,,21 ,,RBRVS,8.18 ,5.05 ,5.05 ,,,,,1,0,1,1,1,1,20060825
29851,CPT,Knee arthroscopy/surgery,,,21 ,,RBRVS,13.08 ,9.82 ,9.82 ,,,,,1,0,1,1,1,1,20060825
29855,CPT,Tibial arthroscopy/surgery,,,21 ,,RBRVS,10.60 ,8.79 ,8.79 ,,,,,1,0,1,1,1,1,20060825
29856,CPT,Tibial arthroscopy/surgery,,,21 ,,RBRVS,14.12 ,10.70 ,10.70 ,,,,,1,0,1,1,1,1,20060825
29860,CPT,"Hip arthroscopy, dx",,,21 ,,RBRVS,8.04 ,6.97 ,6.97 ,,,,,1,0,1,1,1,1,20060825
29861,CPT,Hip arthroscopy/surgery,,,21 ,,RBRVS,9.14 ,7.36 ,7.36 ,,,,,1,0,1,1,1,1,20060825
29862,CPT,Hip arthroscopy/surgery,,,21 ,,RBRVS,9.89 ,8.58 ,8.58 ,,,,,1,0,1,1,1,1,20060825
29863,CPT,Hip arthroscopy/surgery,,,21 ,,RBRVS,9.89 ,8.53 ,8.53 ,,,,,1,0,1,1,1,1,20060825
29866,CPT,"Autgrft implnt, knee w/scope",,,21 ,,RBRVS,13.88 ,11.38 ,11.38 ,,,,,1,0,1,1,1,1,20060825
29867,CPT,"Allgrft implnt, knee w/scope",,,21 ,,RBRVS,17.00 ,13.26 ,13.26 ,,,,,1,0,1,1,1,1,20060825
29868,CPT,"Meniscal trnspl, knee w/scpe",,,21 ,,RBRVS,23.59 ,16.84 ,16.84 ,,,,,1,0,1,1,1,1,20060825
29870,CPT,"Knee arthroscopy, dx",,,21 ,,RBRVS,5.06 ,4.90 ,4.90 ,,,,,1,0,1,1,1,1,20060825
29871,CPT,Knee arthroscopy/drainage,,,21 ,,RBRVS,6.54 ,5.89 ,5.89 ,,,,,1,0,1,1,1,1,20060825
29873,CPT,Knee arthroscopy/surgery,,,21 ,,RBRVS,5.99 ,6.59 ,6.59 ,,,,,1,0,1,1,1,1,20060825
29874,CPT,Knee arthroscopy/surgery,,,21 ,,RBRVS,7.04 ,6.09 ,6.09 ,,,,,1,0,1,1,1,1,20060825
29875,CPT,Knee arthroscopy/surgery,,,21 ,,RBRVS,6.30 ,5.87 ,5.87 ,,,,,1,0,1,1,1,1,20060825
29876,CPT,Knee arthroscopy/surgery,,,21 ,,RBRVS,7.91 ,7.04 ,7.04 ,,,,,1,0,1,1,1,1,20060825
29877,CPT,Knee arthroscopy/surgery,,,21 ,,RBRVS,7.34 ,6.76 ,6.76 ,,,,,1,0,1,1,1,1,20060825
29879,CPT,Knee arthroscopy/surgery,,,21 ,,RBRVS,8.03 ,7.14 ,7.14 ,,,,,1,0,1,1,1,1,20060825
29880,CPT,Knee arthroscopy/surgery,,,21 ,,RBRVS,8.49 ,7.38 ,7.38 ,,,,,1,0,1,1,1,1,20060825
29881,CPT,Knee arthroscopy/surgery,,,21 ,,RBRVS,7.75 ,6.98 ,6.98 ,,,,,1,0,1,1,1,1,20060825
29882,CPT,Knee arthroscopy/surgery,,,21 ,,RBRVS,8.64 ,7.26 ,7.26 ,,,,,1,0,1,1,1,1,20060825
29883,CPT,Knee arthroscopy/surgery,,,21 ,,RBRVS,11.03 ,9.09 ,9.09 ,,,,,1,0,1,1,1,1,20060825
29884,CPT,Knee arthroscopy/surgery,,,21 ,,RBRVS,7.32 ,6.72 ,6.72 ,,,,,1,0,1,1,1,1,20060825
29885,CPT,Knee arthroscopy/surgery,,,21 ,,RBRVS,9.08 ,7.99 ,7.99 ,,,,,1,0,1,1,1,1,20060825
29886,CPT,Knee arthroscopy/surgery,,,21 ,,RBRVS,7.53 ,6.87 ,6.87 ,,,,,1,0,1,1,1,1,20060825
29887,CPT,Knee arthroscopy/surgery,,,21 ,,RBRVS,9.03 ,7.95 ,7.95 ,,,,,1,0,1,1,1,1,20060825
29888,CPT,Knee arthroscopy/surgery,,,21 ,,RBRVS,13.88 ,10.23 ,10.23 ,,,,,1,0,1,1,1,1,20060825
29889,CPT,Knee arthroscopy/surgery,,,21 ,,RBRVS,15.98 ,12.47 ,12.47 ,,,,,1,0,1,1,1,1,20060825
29891,CPT,Ankle arthroscopy/surgery,,,21 ,,RBRVS,8.39 ,7.53 ,7.53 ,,,,,1,0,1,1,1,1,20060825
29892,CPT,Ankle arthroscopy/surgery,,,21 ,,RBRVS,8.99 ,7.76 ,7.76 ,,,,,1,0,1,1,1,1,20060825
29893,CPT,"Scope, plantar fasciotomy",,,21 ,,RBRVS,5.21 ,4.00 ,6.30 ,,,,,1,0,1,1,1,1,20060825
29894,CPT,Ankle arthroscopy/surgery,,,21 ,,RBRVS,7.20 ,5.49 ,5.49 ,,,,,1,0,1,1,1,1,20060825
29895,CPT,Ankle arthroscopy/surgery,,,21 ,,RBRVS,6.98 ,5.49 ,5.49 ,,,,,1,0,1,1,1,1,20060825
29897,CPT,Ankle arthroscopy/surgery,,,21 ,,RBRVS,7.17 ,5.90 ,5.90 ,,,,,1,0,1,1,1,1,20060825
29898,CPT,Ankle arthroscopy/surgery,,,21 ,,RBRVS,8.31 ,6.21 ,6.21 ,,,,,1,0,1,1,1,1,20060825
29899,CPT,Ankle arthroscopy/surgery,,,21 ,,RBRVS,13.89 ,10.57 ,10.57 ,,,,,1,0,1,1,1,1,20060825
29900,CPT,"Mcp joint arthroscopy, dx",,,21 ,,RBRVS,5.41 ,5.88 ,5.88 ,,,,,1,0,1,1,1,1,20060825
29901,CPT,"Mcp joint arthroscopy, surg",,,21 ,,RBRVS,6.12 ,6.28 ,6.28 ,,,,,1,0,1,1,1,1,20060825
29902,CPT,"Mcp joint arthroscopy, surg",,,21 ,,RBRVS,6.69 ,6.56 ,6.56 ,,,,,1,0,1,1,1,1,20060825
29999,CPT,Arthroscopy of joint,,,21 ,,TotalUnits,,,,14.57 ,,,,1,0,1,1,1,1,20060825
30000,CPT,Drainage of nose lesion,,,21 ,,RBRVS,1.43 ,1.39 ,4.08 ,,,,,1,0,1,1,1,1,20060825
30020,CPT,Drainage of nose lesion,,,21 ,,RBRVS,1.43 ,1.47 ,3.28 ,,,,,1,0,1,1,1,1,20060825
30100,CPT,Intranasal biopsy,,,21 ,,RBRVS,0.94 ,0.82 ,1.98 ,,,,,1,0,1,1,1,1,20060825
30110,CPT,Removal of nose polyp(s),,,21 ,,RBRVS,1.63 ,1.57 ,3.25 ,,,,,1,0,1,1,1,1,20060825
30115,CPT,Removal of nose polyp(s),,,21 ,,RBRVS,4.34 ,5.78 ,5.78 ,,,,,1,0,1,1,1,1,20060825
30117,CPT,Removal of intranasal lesion,,,21 ,,RBRVS,3.16 ,4.64 ,13.18 ,,,,,1,0,1,1,1,1,20060825
30118,CPT,Removal of intranasal lesion,,,21 ,,RBRVS,9.68 ,9.22 ,9.22 ,,,,,1,0,1,1,1,1,20060825
30120,CPT,Revision of nose,,,21 ,,RBRVS,5.26 ,6.02 ,6.51 ,,,,,1,0,1,1,1,1,20060825
30124,CPT,Removal of nose lesion,,,21 ,,RBRVS,3.10 ,3.62 ,3.62 ,,,,,1,0,1,1,1,1,20060825
30125,CPT,Removal of nose lesion,,,21 ,,RBRVS,7.15 ,8.34 ,8.34 ,,,,,1,0,1,1,1,1,20060825
30130,CPT,Removal of turbinate bones,,,21 ,,RBRVS,3.37 ,5.61 ,5.61 ,,,,,1,0,1,1,1,1,20060825
30140,CPT,Removal of turbinate bones,,,21 ,,RBRVS,3.42 ,6.21 ,6.21 ,,,,,1,0,1,1,1,1,20060825
30150,CPT,Partial removal of nose,,,21 ,,RBRVS,9.13 ,11.04 ,11.04 ,,,,,1,0,1,1,1,1,20060825
30160,CPT,Removal of nose,,,21 ,,RBRVS,9.57 ,10.24 ,10.24 ,,,,,1,0,1,1,1,1,20060825
30200,CPT,Injection treatment of nose,,,21 ,,RBRVS,0.78 ,0.74 ,1.62 ,,,,,1,0,1,1,1,1,20060825
30210,CPT,Nasal sinus therapy,,,21 ,,RBRVS,1.08 ,1.31 ,2.11 ,,,,,1,0,1,1,1,1,20060825
30220,CPT,Insert nasal septal button,,,21 ,,RBRVS,1.54 ,1.53 ,4.24 ,,,,,1,0,1,1,1,1,20060825
30300,CPT,Remove nasal foreign body,,,21 ,,RBRVS,1.04 ,1.92 ,4.64 ,,,,,1,0,1,1,1,1,20060825
30310,CPT,Remove nasal foreign body,,,21 ,,RBRVS,1.96 ,3.11 ,3.11 ,,,,,1,0,1,1,1,1,20060825
30320,CPT,Remove nasal foreign body,,,21 ,,RBRVS,4.51 ,7.06 ,7.06 ,,,,,1,0,1,1,1,1,20060825
30400,CPT,Reconstruction of nose,,,21 ,,RBRVS,9.82 ,15.53 ,15.53 ,,,,,1,0,1,1,1,1,20060825
30410,CPT,Reconstruction of nose,,,21 ,,RBRVS,12.96 ,18.42 ,18.42 ,,,,,1,0,1,1,1,1,20060825
30420,CPT,Reconstruction of nose,,,21 ,,RBRVS,15.86 ,17.96 ,17.96 ,,,,,1,0,1,1,1,1,20060825
30430,CPT,Revision of nose,,,21 ,,RBRVS,7.20 ,16.06 ,16.06 ,,,,,1,0,1,1,1,1,20060825
30435,CPT,Revision of nose,,,21 ,,RBRVS,11.69 ,19.41 ,19.41 ,,,,,1,0,1,1,1,1,20060825
30450,CPT,Revision of nose,,,21 ,,RBRVS,18.62 ,21.95 ,21.95 ,,,,,1,0,1,1,1,1,20060825
30460,CPT,Revision of nose,,,21 ,,RBRVS,9.95 ,9.97 ,9.97 ,,,,,1,0,1,1,1,1,20060825
30462,CPT,Revision of nose,,,21 ,,RBRVS,19.54 ,20.30 ,20.30 ,,,,,1,0,1,1,1,1,20060825
30465,CPT,Repair nasal stenosis,,,21 ,,RBRVS,11.62 ,12.00 ,12.00 ,,,,,1,0,1,1,1,1,20060825
30520,CPT,Repair of nasal septum,,,21 ,,RBRVS,5.69 ,6.68 ,6.68 ,,,,,1,0,1,1,1,1,20060825
30540,CPT,Repair nasal defect,,,21 ,,RBRVS,7.74 ,9.30 ,9.30 ,,,,,1,0,1,1,1,1,20060825
30545,CPT,Repair nasal defect,,,21 ,,RBRVS,11.36 ,11.93 ,11.93 ,,,,,1,0,1,1,1,1,20060825
30560,CPT,Release of nasal adhesions,,,21 ,,RBRVS,1.26 ,2.14 ,4.78 ,,,,,1,0,1,1,1,1,20060825
30580,CPT,Repair upper jaw fistula,,,21 ,,RBRVS,6.68 ,5.81 ,7.79 ,,,,,1,0,1,1,1,1,20060825
30600,CPT,Repair mouth/nose fistula,,,21 ,,RBRVS,6.01 ,5.03 ,7.54 ,,,,,1,0,1,1,1,1,20060825
30620,CPT,Intranasal reconstruction,,,21 ,,RBRVS,5.96 ,8.86 ,8.86 ,,,,,1,0,1,1,1,1,20060825
30630,CPT,Repair nasal septum defect,,,21 ,,RBRVS,7.11 ,7.97 ,7.97 ,,,,,1,0,1,1,1,1,20060825
30801,CPT,"Cauterization, inner nose",,,21 ,,RBRVS,1.09 ,1.93 ,4.14 ,,,,,1,0,1,1,1,1,20060825
30802,CPT,"Cauterization, inner nose",,,21 ,,RBRVS,2.03 ,2.37 ,4.62 ,,,,,1,0,1,1,1,1,20060825
30901,CPT,Control of nosebleed,,,21 ,,RBRVS,1.21 ,0.32 ,1.36 ,,,,,1,0,1,1,1,1,20060825
30903,CPT,Control of nosebleed,,,21 ,,RBRVS,1.54 ,0.50 ,2.72 ,,,,,1,0,1,1,1,1,20060825
30905,CPT,Control of nosebleed,,,21 ,,RBRVS,1.97 ,0.76 ,3.52 ,,,,,1,0,1,1,1,1,20060825
30906,CPT,Repeat control of nosebleed,,,21 ,,RBRVS,2.45 ,1.20 ,3.90 ,,,,,1,0,1,1,1,1,20060825
30915,CPT,"Ligation, nasal sinus artery",,,21 ,,RBRVS,7.19 ,6.71 ,6.71 ,,,,,1,0,1,1,1,1,20060825
30920,CPT,"Ligation, upper jaw artery",,,21 ,,RBRVS,9.82 ,9.00 ,9.00 ,,,,,1,0,1,1,1,1,20060825
30930,CPT,"Therapy, fracture of nose",,,21 ,,RBRVS,1.26 ,1.62 ,1.62 ,,,,,1,0,1,1,1,1,20060825
30999,CPT,Nasal surgery procedure,,,21 ,,TotalUnits,,,,6.88 ,,,,1,0,1,1,1,1,20060825
31000,CPT,"Irrigation, maxillary sinus",,,21 ,,RBRVS,1.15 ,1.40 ,2.85 ,,,,,1,0,1,1,1,1,20060825
31002,CPT,"Irrigation, sphenoid sinus",,,21 ,,RBRVS,1.91 ,3.25 ,3.25 ,,,,,1,0,1,1,1,1,20060825
31020,CPT,"Exploration, maxillary sinus",,,21 ,,RBRVS,2.94 ,5.20 ,8.55 ,,,,,1,0,1,1,1,1,20060825
31030,CPT,"Exploration, maxillary sinus",,,21 ,,RBRVS,5.91 ,6.68 ,11.53 ,,,,,1,0,1,1,1,1,20060825
31032,CPT,"Explore sinus, remove polyps",,,21 ,,RBRVS,6.56 ,7.25 ,7.25 ,,,,,1,0,1,1,1,1,20060825
31040,CPT,Exploration behind upper jaw,,,21 ,,RBRVS,9.41 ,9.85 ,9.85 ,,,,,1,0,1,1,1,1,20060825
31050,CPT,"Exploration, sphenoid sinus",,,21 ,,RBRVS,5.27 ,6.37 ,6.37 ,,,,,1,0,1,1,1,1,20060825
31051,CPT,Sphenoid sinus surgery,,,21 ,,RBRVS,7.10 ,8.26 ,8.26 ,,,,,1,0,1,1,1,1,20060825
31070,CPT,Exploration of frontal sinus,,,21 ,,RBRVS,4.27 ,5.95 ,5.95 ,,,,,1,0,1,1,1,1,20060825
31075,CPT,Exploration of frontal sinus,,,21 ,,RBRVS,9.15 ,9.76 ,9.76 ,,,,,1,0,1,1,1,1,20060825
31080,CPT,Removal of frontal sinus,,,21 ,,RBRVS,11.40 ,13.57 ,13.57 ,,,,,1,0,1,1,1,1,20060825
31081,CPT,Removal of frontal sinus,,,21 ,,RBRVS,12.73 ,14.04 ,14.04 ,,,,,1,0,1,1,1,1,20060825
31084,CPT,Removal of frontal sinus,,,21 ,,RBRVS,13.49 ,13.54 ,13.54 ,,,,,1,0,1,1,1,1,20060825
31085,CPT,Removal of frontal sinus,,,21 ,,RBRVS,14.18 ,14.00 ,14.00 ,,,,,1,0,1,1,1,1,20060825
31086,CPT,Removal of frontal sinus,,,21 ,,RBRVS,12.84 ,13.32 ,13.32 ,,,,,1,0,1,1,1,1,20060825
31087,CPT,Removal of frontal sinus,,,21 ,,RBRVS,13.08 ,12.57 ,12.57 ,,,,,1,0,1,1,1,1,20060825
31090,CPT,Exploration of sinuses,,,21 ,,RBRVS,9.52 ,12.59 ,12.59 ,,,,,1,0,1,1,1,1,20060825
31200,CPT,Removal of ethmoid sinus,,,21 ,,RBRVS,4.96 ,9.24 ,9.24 ,,,,,1,0,1,1,1,1,20060825
31201,CPT,Removal of ethmoid sinus,,,21 ,,RBRVS,8.36 ,9.20 ,9.20 ,,,,,1,0,1,1,1,1,20060825
31205,CPT,Removal of ethmoid sinus,,,21 ,,RBRVS,10.22 ,11.91 ,11.91 ,,,,,1,0,1,1,1,1,20060825
31225,CPT,Removal of upper jaw,,,21 ,,RBRVS,19.20 ,17.87 ,17.87 ,,,,,1,0,1,1,1,1,20060825
31230,CPT,Removal of upper jaw,,,21 ,,RBRVS,21.91 ,19.42 ,19.42 ,,,,,1,0,1,1,1,1,20060825
31231,CPT,"Nasal endoscopy, dx",,,21 ,,RBRVS,1.10 ,0.88 ,3.39 ,,,,,1,0,1,1,1,1,20060825
31233,CPT,"Nasal/sinus endoscopy, dx",,,21 ,,RBRVS,2.18 ,1.48 ,4.31 ,,,,,1,0,1,1,1,1,20060825
31235,CPT,"Nasal/sinus endoscopy, dx",,,21 ,,RBRVS,2.64 ,1.72 ,4.92 ,,,,,1,0,1,1,1,1,20060825
31237,CPT,"Nasal/sinus endoscopy, surg",,,21 ,,RBRVS,2.98 ,1.89 ,5.21 ,,,,,1,0,1,1,1,1,20060825
31238,CPT,"Nasal/sinus endoscopy, surg",,,21 ,,RBRVS,3.26 ,2.10 ,5.25 ,,,,,1,0,1,1,1,1,20060825
31239,CPT,"Nasal/sinus endoscopy, surg",,,21 ,,RBRVS,8.69 ,8.02 ,8.02 ,,,,,1,0,1,1,1,1,20060825
31240,CPT,"Nasal/sinus endoscopy, surg",,,21 ,,RBRVS,2.61 ,1.74 ,1.74 ,,,,,1,0,1,1,1,1,20060825
31254,CPT,Revision of ethmoid sinus,,,21 ,,RBRVS,4.64 ,2.86 ,2.86 ,,,,,1,0,1,1,1,1,20060825
31255,CPT,Removal of ethmoid sinus,,,21 ,,RBRVS,6.95 ,4.12 ,4.12 ,,,,,1,0,1,1,1,1,20060825
31256,CPT,Exploration maxillary sinus,,,21 ,,RBRVS,3.29 ,2.12 ,2.12 ,,,,,1,0,1,1,1,1,20060825
31267,CPT,"Endoscopy, maxillary sinus",,,21 ,,RBRVS,5.45 ,3.30 ,3.30 ,,,,,1,0,1,1,1,1,20060825
31276,CPT,"Sinus endoscopy, surgical",,,21 ,,RBRVS,8.84 ,5.13 ,5.13 ,,,,,1,0,1,1,1,1,20060825
31287,CPT,"Nasal/sinus endoscopy, surg",,,21 ,,RBRVS,3.91 ,2.46 ,2.46 ,,,,,1,0,1,1,1,1,20060825
31288,CPT,"Nasal/sinus endoscopy, surg",,,21 ,,RBRVS,4.57 ,2.82 ,2.82 ,,,,,1,0,1,1,1,1,20060825
31290,CPT,"Nasal/sinus endoscopy, surg",,,21 ,,RBRVS,17.21 ,12.08 ,12.08 ,,,,,1,0,1,1,1,1,20060825
31291,CPT,"Nasal/sinus endoscopy, surg",,,21 ,,RBRVS,18.16 ,12.51 ,12.51 ,,,,,1,0,1,1,1,1,20060825
31292,CPT,"Nasal/sinus endoscopy, surg",,,21 ,,RBRVS,14.74 ,10.64 ,10.64 ,,,,,1,0,1,1,1,1,20060825
31293,CPT,"Nasal/sinus endoscopy, surg",,,21 ,,RBRVS,16.19 ,11.41 ,11.41 ,,,,,1,0,1,1,1,1,20060825
31294,CPT,"Nasal/sinus endoscopy, surg",,,21 ,,RBRVS,19.03 ,12.91 ,12.91 ,,,,,1,0,1,1,1,1,20060825
31299,CPT,Sinus surgery procedure,,,21 ,,TotalUnits,,,,5.43 ,,,,1,0,1,1,1,1,20060825
31300,CPT,Removal of larynx lesion,,,21 ,,RBRVS,14.27 ,15.02 ,15.02 ,,,,,1,0,1,1,1,1,20060825
31320,CPT,"Diagnostic incision, larynx",,,21 ,,RBRVS,5.25 ,10.33 ,10.33 ,,,,,1,0,1,1,1,1,20060825
31360,CPT,Removal of larynx,,,21 ,,RBRVS,17.05 ,16.77 ,16.77 ,,,,,1,0,1,1,1,1,20060825
31365,CPT,Removal of larynx,,,21 ,,RBRVS,24.12 ,20.42 ,20.42 ,,,,,1,0,1,1,1,1,20060825
31367,CPT,Partial removal of larynx,,,21 ,,RBRVS,21.83 ,21.95 ,21.95 ,,,,,1,0,1,1,1,1,20060825
31368,CPT,Partial removal of larynx,,,21 ,,RBRVS,27.05 ,25.56 ,25.56 ,,,,,1,0,1,1,1,1,20060825
31370,CPT,Partial removal of larynx,,,21 ,,RBRVS,21.35 ,22.32 ,22.32 ,,,,,1,0,1,1,1,1,20060825
31375,CPT,Partial removal of larynx,,,21 ,,RBRVS,20.18 ,20.44 ,20.44 ,,,,,1,0,1,1,1,1,20060825
31380,CPT,Partial removal of larynx,,,21 ,,RBRVS,20.18 ,20.66 ,20.66 ,,,,,1,0,1,1,1,1,20060825
31382,CPT,Partial removal of larynx,,,21 ,,RBRVS,20.49 ,21.67 ,21.67 ,,,,,1,0,1,1,1,1,20060825
31390,CPT,Removal of larynx & pharynx,,,21 ,,RBRVS,27.49 ,24.45 ,24.45 ,,,,,1,0,1,1,1,1,20060825
31395,CPT,Reconstruct larynx & pharynx,,,21 ,,RBRVS,31.04 ,28.38 ,28.38 ,,,,,1,0,1,1,1,1,20060825
31400,CPT,Revision of larynx,,,21 ,,RBRVS,10.29 ,13.81 ,13.81 ,,,,,1,0,1,1,1,1,20060825
31420,CPT,Removal of epiglottis,,,21 ,,RBRVS,10.20 ,9.57 ,9.57 ,,,,,1,0,1,1,1,1,20060825
31500,CPT,Insert emergency airway,,,21 ,,RBRVS,2.33 ,0.55 ,0.55 ,,,,,1,0,1,1,1,1,20060825
31502,CPT,Change of windpipe airway,,,21 ,,RBRVS,0.65 ,0.28 ,0.31 ,,,,,1,0,1,1,1,1,20060825
31505,CPT,Diagnostic laryngoscopy,,,21 ,,RBRVS,0.61 ,0.61 ,1.45 ,,,,,1,0,1,1,1,1,20060825
31510,CPT,Laryngoscopy with biopsy,,,21 ,,RBRVS,1.92 ,1.25 ,3.31 ,,,,,1,0,1,1,1,1,20060825
31511,CPT,"Remove foreign body, larynx",,,21 ,,RBRVS,2.16 ,1.06 ,3.13 ,,,,,1,0,1,1,1,1,20060825
31512,CPT,Removal of larynx lesion,,,21 ,,RBRVS,2.07 ,1.36 ,3.21 ,,,,,1,0,1,1,1,1,20060825
31513,CPT,Injection into vocal cord,,,21 ,,RBRVS,2.10 ,1.46 ,1.46 ,,,,,1,0,1,1,1,1,20060825
31515,CPT,Laryngoscopy for aspiration,,,21 ,,RBRVS,1.80 ,1.06 ,3.55 ,,,,,1,0,1,1,1,1,20060825
31520,CPT,Diagnostic laryngoscopy,,,21 ,,RBRVS,2.56 ,1.56 ,1.56 ,,,,,1,0,1,1,1,1,20060825
31525,CPT,Diagnostic laryngoscopy,,,21 ,,RBRVS,2.63 ,1.66 ,3.65 ,,,,,1,0,1,1,1,1,20060825
31526,CPT,Diagnostic laryngoscopy,,,21 ,,RBRVS,2.57 ,1.72 ,1.72 ,,,,,1,0,1,1,1,1,20060825
31527,CPT,Laryngoscopy for treatment,,,21 ,,RBRVS,3.27 ,1.88 ,1.88 ,,,,,1,0,1,1,1,1,20060825
31528,CPT,Laryngoscopy and dilation,,,21 ,,RBRVS,2.37 ,1.46 ,1.46 ,,,,,1,0,1,1,1,1,20060825
31529,CPT,Laryngoscopy and dilation,,,21 ,,RBRVS,2.68 ,1.71 ,1.71 ,,,,,1,0,1,1,1,1,20060825
31530,CPT,Operative laryngoscopy,,,21 ,,RBRVS,3.38 ,1.96 ,1.96 ,,,,,1,0,1,1,1,1,20060825
31531,CPT,Operative laryngoscopy,,,21 ,,RBRVS,3.58 ,2.28 ,2.28 ,,,,,1,0,1,1,1,1,20060825
31535,CPT,Operative laryngoscopy,,,21 ,,RBRVS,3.16 ,2.00 ,2.00 ,,,,,1,0,1,1,1,1,20060825
31536,CPT,Operative laryngoscopy,,,21 ,,RBRVS,3.55 ,2.26 ,2.26 ,,,,,1,0,1,1,1,1,20060825
31540,CPT,Operative laryngoscopy,,,21 ,,RBRVS,4.12 ,2.55 ,2.55 ,,,,,1,0,1,1,1,1,20060825
31541,CPT,Operative laryngoscopy,,,21 ,,RBRVS,4.52 ,2.79 ,2.79 ,,,,,1,0,1,1,1,1,20060825
31545,CPT,Remove vc lesion w/scope,,,21 ,,RBRVS,6.30 ,3.48 ,3.48 ,,,,,1,0,1,1,1,1,20060825
31546,CPT,Remove vc lesion scope/graft,,,21 ,,RBRVS,9.73 ,4.98 ,4.98 ,,,,,1,0,1,1,1,1,20060825
31560,CPT,Operative laryngoscopy,,,21 ,,RBRVS,5.45 ,3.16 ,3.16 ,,,,,1,0,1,1,1,1,20060825
31561,CPT,Operative laryngoscopy,,,21 ,,RBRVS,5.99 ,3.38 ,3.38 ,,,,,1,0,1,1,1,1,20060825
31570,CPT,Laryngoscopy with injection,,,21 ,,RBRVS,3.86 ,2.39 ,5.69 ,,,,,1,0,1,1,1,1,20060825
31571,CPT,Laryngoscopy with injection,,,21 ,,RBRVS,4.26 ,2.61 ,2.61 ,,,,,1,0,1,1,1,1,20060825
31575,CPT,Diagnostic laryngoscopy,,,21 ,,RBRVS,1.10 ,0.89 ,1.91 ,,,,,1,0,1,1,1,1,20060825
31576,CPT,Laryngoscopy with biopsy,,,21 ,,RBRVS,1.97 ,1.29 ,3.67 ,,,,,1,0,1,1,1,1,20060825
31577,CPT,"Remove foreign body, larynx",,,21 ,,RBRVS,2.47 ,1.53 ,3.77 ,,,,,1,0,1,1,1,1,20060825
31578,CPT,Removal of larynx lesion,,,21 ,,RBRVS,2.84 ,1.52 ,4.29 ,,,,,1,0,1,1,1,1,20060825
31579,CPT,Diagnostic laryngoscopy,,,21 ,,RBRVS,2.26 ,1.48 ,3.79 ,,,,,1,0,1,1,1,1,20060825
31580,CPT,Revision of larynx,,,21 ,,RBRVS,12.36 ,15.96 ,15.96 ,,,,,1,0,1,1,1,1,20060825
31582,CPT,Revision of larynx,,,21 ,,RBRVS,21.59 ,25.87 ,25.87 ,,,,,1,0,1,1,1,1,20060825
31584,CPT,Treat larynx fracture,,,21 ,,RBRVS,19.61 ,18.20 ,18.20 ,,,,,1,0,1,1,1,1,20060825
31587,CPT,Revision of larynx,,,21 ,,RBRVS,11.97 ,9.29 ,9.29 ,,,,,1,0,1,1,1,1,20060825
31588,CPT,Revision of larynx,,,21 ,,RBRVS,13.09 ,13.65 ,13.65 ,,,,,1,0,1,1,1,1,20060825
31590,CPT,Reinnervate larynx,,,21 ,,RBRVS,6.96 ,15.58 ,15.58 ,,,,,1,0,1,1,1,1,20060825
31595,CPT,Larynx nerve surgery,,,21 ,,RBRVS,8.33 ,10.58 ,10.58 ,,,,,1,0,1,1,1,1,20060825
31599,CPT,Larynx surgery procedure,,,21 ,,TotalUnits,,,,2.88 ,,,,1,0,1,1,1,1,20060825
31600,CPT,Incision of windpipe,,,21 ,,RBRVS,7.17 ,3.20 ,3.20 ,,,,,1,0,1,1,1,1,20060825
31601,CPT,Incision of windpipe,,,21 ,,RBRVS,4.44 ,2.41 ,2.41 ,,,,,1,0,1,1,1,1,20060825
31603,CPT,Incision of windpipe,,,21 ,,RBRVS,4.14 ,1.71 ,1.71 ,,,,,1,0,1,1,1,1,20060825
31605,CPT,Incision of windpipe,,,21 ,,RBRVS,3.57 ,1.19 ,1.19 ,,,,,1,0,1,1,1,1,20060825
31610,CPT,Incision of windpipe,,,21 ,,RBRVS,8.75 ,8.28 ,8.28 ,,,,,1,0,1,1,1,1,20060825
31611,CPT,Surgery/speech prosthesis,,,21 ,,RBRVS,5.63 ,7.08 ,7.08 ,,,,,1,0,1,1,1,1,20060825
31612,CPT,Puncture/clear windpipe,,,21 ,,RBRVS,0.91 ,0.35 ,1.10 ,,,,,1,0,1,1,1,1,20060825
31613,CPT,Repair windpipe opening,,,21 ,,RBRVS,4.58 ,6.01 ,6.01 ,,,,,1,0,1,1,1,1,20060825
31614,CPT,Repair windpipe opening,,,21 ,,RBRVS,7.11 ,8.74 ,8.74 ,,,,,1,0,1,1,1,1,20060825
31615,CPT,Visualization of windpipe,,,21 ,,RBRVS,2.09 ,1.20 ,2.60 ,,,,,1,0,1,1,1,1,20060825
31620,CPT,Endobronchial us add-on,,,21 ,,RBRVS,1.40 ,0.55 ,5.66 ,,,,,1,0,1,1,1,1,20060825
31622,CPT,Dx bronchoscope/wash,,,21 ,,RBRVS,2.78 ,1.06 ,5.67 ,,,,,1,0,1,1,1,1,20060825
31623,CPT,Dx bronchoscope/brush,,,21 ,,RBRVS,2.88 ,1.05 ,6.44 ,,,,,1,0,1,1,1,1,20060825
31624,CPT,Dx bronchoscope/lavage,,,21 ,,RBRVS,2.88 ,1.05 ,5.79 ,,,,,1,0,1,1,1,1,20060825
31625,CPT,Bronchoscopy w/biopsy(s),,,21 ,,RBRVS,3.36 ,1.21 ,5.83 ,,,,,1,0,1,1,1,1,20060825
31628,CPT,"Bronchoscopy/lung bx, each",,,21 ,,RBRVS,3.80 ,1.30 ,7.04 ,,,,,1,0,1,1,1,1,20060825
31629,CPT,"Bronchoscopy/needle bx, each",,,21 ,,RBRVS,4.09 ,1.40 ,14.29 ,,,,,1,0,1,1,1,1,20060825
31630,CPT,Bronchoscopy dilate/fx repr,,,21 ,,RBRVS,3.81 ,1.72 ,1.72 ,,,,,1,0,1,1,1,1,20060825
31631,CPT,"Bronchoscopy, dilate w/stent",,,21 ,,RBRVS,4.36 ,1.77 ,1.77 ,,,,,1,0,1,1,1,1,20060825
31632,CPT,"Bronchoscopy/lung bx, add?l",,,21 ,,RBRVS,1.03 ,0.31 ,0.81 ,,,,,1,0,1,1,1,1,20060825
31633,CPT,Bronchoscopy/needle bx add?l,,,21 ,,RBRVS,1.32 ,0.40 ,0.92 ,,,,,1,0,1,1,1,1,20060825
31635,CPT,Bronchoscopy w/fb removal,,,21 ,,RBRVS,3.67 ,1.43 ,6.13 ,,,,,1,0,1,1,1,1,20060825
31636,CPT,"Bronchoscopy, bronch stents",,,21 ,,RBRVS,4.30 ,1.77 ,1.77 ,,,,,1,0,1,1,1,1,20060825
31637,CPT,"Bronchoscopy, stent add-on",,,21 ,,RBRVS,1.58 ,0.56 ,0.56 ,,,,,1,0,1,1,1,1,20060825
31638,CPT,"Bronchoscopy, revise stent",,,21 ,,RBRVS,4.88 ,1.98 ,1.98 ,,,,,1,0,1,1,1,1,20060825
31640,CPT,Bronchoscopy w/tumor excise,,,21 ,,RBRVS,4.93 ,2.08 ,2.08 ,,,,,1,0,1,1,1,1,20060825
31641,CPT,"Bronchoscopy, treat blockage",,,21 ,,RBRVS,5.02 ,1.89 ,1.89 ,,,,,1,0,1,1,1,1,20060825
31643,CPT,Diag bronchoscope/catheter,,,21 ,,RBRVS,3.49 ,1.23 ,1.23 ,,,,,1,0,1,1,1,1,20060825
31645,CPT,"Bronchoscopy, clear airways",,,21 ,,RBRVS,3.16 ,1.12 ,5.15 ,,,,,1,0,1,1,1,1,20060825
31646,CPT,"Bronchoscopy, reclear airway",,,21 ,,RBRVS,2.72 ,1.00 ,4.87 ,,,,,1,0,1,1,1,1,20060825
31656,CPT,"Bronchoscopy, inj for x-ray",,,21 ,,RBRVS,2.17 ,0.83 ,7.31 ,,,,,1,0,1,1,1,1,20060825
31700,CPT,Insertion of airway catheter,,,21 ,,RBRVS,1.34 ,0.68 ,2.16 ,,,,,1,0,1,1,1,1,20060825
31708,CPT,Instill airway contrast dye,,,21 ,,RBRVS,1.41 ,0.46 ,2.04 ,,,,,1,0,1,1,1,1,20060825
31710,CPT,Insertion of airway catheter,,,21 ,,RBRVS,1.30 ,0.41 ,0.41 ,,,,,1,0,1,1,1,1,20060825
31715,CPT,Injection for bronchus x-ray,,,21 ,,RBRVS,1.11 ,0.34 ,0.34 ,,,,,1,0,1,1,1,1,20060825
31717,CPT,Bronchial brush biopsy,,,21 ,,RBRVS,2.12 ,0.79 ,8.27 ,,,,,1,0,1,1,1,1,20060825
31720,CPT,Clearance of airways,,,21 ,,RBRVS,1.06 ,0.33 ,0.33 ,,,,,1,0,1,1,1,1,20060825
31725,CPT,Clearance of airways,,,21 ,,RBRVS,1.96 ,0.58 ,0.65 ,,,,,1,0,1,1,1,1,20060825
31730,CPT,"Intro, windpipe wire/tube",,,21 ,,RBRVS,2.85 ,1.00 ,2.20 ,,,,,1,0,1,1,1,1,20060825
31750,CPT,Repair of windpipe,,,21 ,,RBRVS,13.00 ,17.60 ,17.60 ,,,,,1,0,1,1,1,1,20060825
31755,CPT,Repair of windpipe,,,21 ,,RBRVS,15.91 ,24.59 ,24.59 ,,,,,1,0,1,1,1,1,20060825
31760,CPT,Repair of windpipe,,,21 ,,RBRVS,22.32 ,10.74 ,10.74 ,,,,,1,0,1,1,1,1,20060825
31766,CPT,Reconstruction of windpipe,,,21 ,,RBRVS,30.38 ,13.69 ,13.69 ,,,,,1,0,1,1,1,1,20060825
31770,CPT,Repair/graft of bronchus,,,21 ,,RBRVS,22.48 ,10.27 ,10.27 ,,,,,1,0,1,1,1,1,20060825
31775,CPT,Reconstruct bronchus,,,21 ,,RBRVS,23.50 ,11.82 ,11.82 ,,,,,1,0,1,1,1,1,20060825
31780,CPT,Reconstruct windpipe,,,21 ,,RBRVS,17.69 ,11.08 ,11.08 ,,,,,1,0,1,1,1,1,20060825
31781,CPT,Reconstruct windpipe,,,21 ,,RBRVS,23.49 ,12.16 ,12.16 ,,,,,1,0,1,1,1,1,20060825
31785,CPT,Remove windpipe lesion,,,21 ,,RBRVS,17.20 ,10.21 ,10.21 ,,,,,1,0,1,1,1,1,20060825
31786,CPT,Remove windpipe lesion,,,21 ,,RBRVS,23.94 ,13.13 ,13.13 ,,,,,1,0,1,1,1,1,20060825
31800,CPT,Repair of windpipe injury,,,21 ,,RBRVS,7.42 ,9.27 ,9.27 ,,,,,1,0,1,1,1,1,20060825
31805,CPT,Repair of windpipe injury,,,21 ,,RBRVS,13.11 ,7.23 ,7.23 ,,,,,1,0,1,1,1,1,20060825
31820,CPT,Closure of windpipe lesion,,,21 ,,RBRVS,4.48 ,3.66 ,5.68 ,,,,,1,0,1,1,1,1,20060825
31825,CPT,Repair of windpipe defect,,,21 ,,RBRVS,6.80 ,5.39 ,7.68 ,,,,,1,0,1,1,1,1,20060825
31830,CPT,Revise windpipe scar,,,21 ,,RBRVS,4.49 ,3.99 ,5.78 ,,,,,1,0,1,1,1,1,20060825
31899,CPT,Airways surgical procedure,,,21 ,,TotalUnits,,,,4.39 ,,,,1,0,1,1,1,1,20060825
32000,CPT,Drainage of chest,,,21 ,,RBRVS,1.54 ,0.48 ,3.06 ,,,,,1,0,1,1,1,1,20060825
32002,CPT,Treatment of collapsed lung,,,21 ,,RBRVS,2.19 ,1.06 ,3.22 ,,,,,1,0,1,1,1,1,20060825
32005,CPT,Treat lung lining chemically,,,21 ,,RBRVS,2.19 ,0.70 ,6.47 ,,,,,1,0,1,1,1,1,20060825
32019,CPT,Insert pleural catheter,,,21 ,,RBRVS,4.17 ,1.65 ,20.02 ,,,,,1,0,1,1,1,1,20060825
32020,CPT,Insertion of chest tube,,,21 ,,RBRVS,3.97 ,1.35 ,1.35 ,,,,,1,0,1,1,1,1,20060825
32035,CPT,Exploration of chest,,,21 ,,RBRVS,8.66 ,5.87 ,5.87 ,,,,,1,0,1,1,1,1,20060825
32036,CPT,Exploration of chest,,,21 ,,RBRVS,9.67 ,6.45 ,6.45 ,,,,,1,0,1,1,1,1,20060825
32095,CPT,Biopsy through chest wall,,,21 ,,RBRVS,8.35 ,5.38 ,5.38 ,,,,,1,0,1,1,1,1,20060825
32100,CPT,Exploration/biopsy of chest,,,21 ,,RBRVS,15.22 ,7.84 ,7.84 ,,,,,1,0,1,1,1,1,20060825
32110,CPT,Explore/repair chest,,,21 ,,RBRVS,22.97 ,10.76 ,10.76 ,,,,,1,0,1,1,1,1,20060825
32120,CPT,Re-exploration of chest,,,21 ,,RBRVS,11.52 ,7.09 ,7.09 ,,,,,1,0,1,1,1,1,20060825
32124,CPT,Explore chest free adhesions,,,21 ,,RBRVS,12.70 ,7.23 ,7.23 ,,,,,1,0,1,1,1,1,20060825
32140,CPT,Removal of lung lesion(s),,,21 ,,RBRVS,13.91 ,7.70 ,7.70 ,,,,,1,0,1,1,1,1,20060825
32141,CPT,Remove/treat lung lesions,,,21 ,,RBRVS,13.98 ,7.57 ,7.57 ,,,,,1,0,1,1,1,1,20060825
32150,CPT,Removal of lung lesion(s),,,21 ,,RBRVS,14.13 ,7.62 ,7.62 ,,,,,1,0,1,1,1,1,20060825
32151,CPT,Remove lung foreign body,,,21 ,,RBRVS,14.19 ,8.02 ,8.02 ,,,,,1,0,1,1,1,1,20060825
32160,CPT,Open chest heart massage,,,21 ,,RBRVS,9.29 ,5.28 ,5.28 ,,,,,1,0,1,1,1,1,20060825
32200,CPT,"Drain, open, lung lesion",,,21 ,,RBRVS,15.27 ,8.63 ,8.63 ,,,,,1,0,1,1,1,1,20060825
32201,CPT,"Drain, percut, lung lesion",,,21 ,,RBRVS,3.99 ,1.30 ,20.76 ,,,,,1,0,1,1,1,1,20060825
32215,CPT,Treat chest lining,,,21 ,,RBRVS,11.31 ,6.92 ,6.92 ,,,,,1,0,1,1,1,1,20060825
32220,CPT,Release of lung,,,21 ,,RBRVS,23.96 ,12.99 ,12.99 ,,,,,1,0,1,1,1,1,20060825
32225,CPT,Partial release of lung,,,21 ,,RBRVS,13.94 ,7.67 ,7.67 ,,,,,1,0,1,1,1,1,20060825
32310,CPT,Removal of chest lining,,,21 ,,RBRVS,13.42 ,7.41 ,7.41 ,,,,,1,0,1,1,1,1,20060825
32320,CPT,Free/remove chest lining,,,21 ,,RBRVS,23.96 ,12.19 ,12.19 ,,,,,1,0,1,1,1,1,20060825
32400,CPT,Needle biopsy chest lining,,,21 ,,RBRVS,1.76 ,0.55 ,2.13 ,,,,,1,0,1,1,1,1,20060825
32402,CPT,Open biopsy chest lining,,,21 ,,RBRVS,7.55 ,5.12 ,5.12 ,,,,,1,0,1,1,1,1,20060825
32405,CPT,"Biopsy, lung or mediastinum",,,21 ,,RBRVS,1.93 ,0.63 ,0.67 ,,,,,1,0,1,1,1,1,20060825
32420,CPT,Puncture/clear lung,,,21 ,,RBRVS,2.18 ,0.68 ,0.68 ,,,,,1,0,1,1,1,1,20060825
32440,CPT,Removal of lung,,,21 ,,RBRVS,24.96 ,12.93 ,12.93 ,,,,,1,0,1,1,1,1,20060825
32442,CPT,Sleeve pneumonectomy,,,21 ,,RBRVS,26.20 ,14.80 ,14.80 ,,,,,1,0,1,1,1,1,20060825
32445,CPT,Removal of lung,,,21 ,,RBRVS,25.05 ,14.10 ,14.10 ,,,,,1,0,1,1,1,1,20060825
32480,CPT,Partial removal of lung,,,21 ,,RBRVS,23.71 ,12.09 ,12.09 ,,,,,1,0,1,1,1,1,20060825
32482,CPT,Bilobectomy,,,21 ,,RBRVS,24.96 ,12.95 ,12.95 ,,,,,1,0,1,1,1,1,20060825
32484,CPT,Segmentectomy,,,21 ,,RBRVS,20.66 ,11.41 ,11.41 ,,,,,1,0,1,1,1,1,20060825
32486,CPT,Sleeve lobectomy,,,21 ,,RBRVS,23.88 ,13.28 ,13.28 ,,,,,1,0,1,1,1,1,20060825
32488,CPT,Completion pneumonectomy,,,21 ,,RBRVS,25.67 ,13.82 ,13.82 ,,,,,1,0,1,1,1,1,20060825
32491,CPT,Lung volume reduction,,,21 ,,RBRVS,21.22 ,12.66 ,12.66 ,,,,,1,0,1,1,1,1,20060825
32500,CPT,Partial removal of lung,,,21 ,,RBRVS,21.97 ,12.39 ,12.39 ,,,,,1,0,1,1,1,1,20060825
32501,CPT,Repair bronchus add-on,,,21 ,,RBRVS,4.68 ,1.54 ,1.54 ,,,,,1,0,1,1,1,1,20060825
32503,CPT,Resect apical lung tumor,,,21 ,,RBRVS,30.00 ,15.11 ,15.11 ,,,,,1,0,0,1,1,1,20060825
32504,CPT,Resect apical lung tum/chest,,,21 ,,RBRVS,34.80 ,16.72 ,16.72 ,,,,,1,0,0,1,1,1,20060825
32540,CPT,Removal of lung lesion,,,21 ,,RBRVS,14.62 ,9.66 ,9.66 ,,,,,1,0,1,1,1,1,20060825
32601,CPT,"Thoracoscopy, diagnostic",,,21 ,,RBRVS,5.45 ,2.36 ,2.36 ,,,,,1,0,1,1,1,1,20060825
32602,CPT,"Thoracoscopy, diagnostic",,,21 ,,RBRVS,5.95 ,2.53 ,2.53 ,,,,,1,0,1,1,1,1,20060825
32603,CPT,"Thoracoscopy, diagnostic",,,21 ,,RBRVS,7.80 ,3.04 ,3.04 ,,,,,1,0,1,1,1,1,20060825
32604,CPT,"Thoracoscopy, diagnostic",,,21 ,,RBRVS,8.77 ,3.46 ,3.46 ,,,,,1,0,1,1,1,1,20060825
32605,CPT,"Thoracoscopy, diagnostic",,,21 ,,RBRVS,6.92 ,2.91 ,2.91 ,,,,,1,0,1,1,1,1,20060825
32606,CPT,"Thoracoscopy, diagnostic",,,21 ,,RBRVS,8.39 ,3.34 ,3.34 ,,,,,1,0,1,1,1,1,20060825
32650,CPT,"Thoracoscopy, surgical",,,21 ,,RBRVS,10.73 ,6.78 ,6.78 ,,,,,1,0,1,1,1,1,20060825
32651,CPT,"Thoracoscopy, surgical",,,21 ,,RBRVS,12.89 ,7.25 ,7.25 ,,,,,1,0,1,1,1,1,20060825
32652,CPT,"Thoracoscopy, surgical",,,21 ,,RBRVS,18.63 ,10.17 ,10.17 ,,,,,1,0,1,1,1,1,20060825
32653,CPT,"Thoracoscopy, surgical",,,21 ,,RBRVS,12.85 ,6.99 ,6.99 ,,,,,1,0,1,1,1,1,20060825
32654,CPT,"Thoracoscopy, surgical",,,21 ,,RBRVS,12.42 ,7.55 ,7.55 ,,,,,1,0,1,1,1,1,20060825
32655,CPT,"Thoracoscopy, surgical",,,21 ,,RBRVS,13.08 ,7.26 ,7.26 ,,,,,1,0,1,1,1,1,20060825
32656,CPT,"Thoracoscopy, surgical",,,21 ,,RBRVS,12.89 ,7.96 ,7.96 ,,,,,1,0,1,1,1,1,20060825
32657,CPT,"Thoracoscopy, surgical",,,21 ,,RBRVS,13.63 ,7.70 ,7.70 ,,,,,1,0,1,1,1,1,20060825
32658,CPT,"Thoracoscopy, surgical",,,21 ,,RBRVS,11.61 ,7.37 ,7.37 ,,,,,1,0,1,1,1,1,20060825
32659,CPT,"Thoracoscopy, surgical",,,21 ,,RBRVS,11.57 ,7.47 ,7.47 ,,,,,1,0,1,1,1,1,20060825
32660,CPT,"Thoracoscopy, surgical",,,21 ,,RBRVS,17.40 ,9.51 ,9.51 ,,,,,1,0,1,1,1,1,20060825
32661,CPT,"Thoracoscopy, surgical",,,21 ,,RBRVS,13.23 ,7.81 ,7.81 ,,,,,1,0,1,1,1,1,20060825
32662,CPT,"Thoracoscopy, surgical",,,21 ,,RBRVS,16.42 ,8.85 ,8.85 ,,,,,1,0,1,1,1,1,20060825
32663,CPT,"Thoracoscopy, surgical",,,21 ,,RBRVS,18.44 ,10.79 ,10.79 ,,,,,1,0,1,1,1,1,20060825
32664,CPT,"Thoracoscopy, surgical",,,21 ,,RBRVS,14.18 ,7.65 ,7.65 ,,,,,1,0,1,1,1,1,20060825
32665,CPT,"Thoracoscopy, surgical",,,21 ,,RBRVS,15.52 ,8.15 ,8.15 ,,,,,1,0,1,1,1,1,20060825
32800,CPT,Repair lung hernia,,,21 ,,RBRVS,13.67 ,7.43 ,7.43 ,,,,,1,0,1,1,1,1,20060825
32810,CPT,Close chest after drainage,,,21 ,,RBRVS,13.03 ,7.54 ,7.54 ,,,,,1,0,1,1,1,1,20060825
32815,CPT,Close bronchial fistula,,,21 ,,RBRVS,23.12 ,11.00 ,11.00 ,,,,,1,0,1,1,1,1,20060825
32820,CPT,Reconstruct injured chest,,,21 ,,RBRVS,21.45 ,12.20 ,12.20 ,,,,,1,0,1,1,1,1,20060825
32851,CPT,"Lung transplant, single",,,21 ,,RBRVS,38.57 ,27.74 ,27.74 ,,,,,1,0,1,1,1,1,20060825
32852,CPT,Lung transplant with bypass,,,21 ,,RBRVS,41.74 ,33.26 ,33.26 ,,,,,1,0,1,1,1,1,20060825
32853,CPT,"Lung transplant, double",,,21 ,,RBRVS,47.74 ,31.84 ,31.84 ,,,,,1,0,1,1,1,1,20060825
32854,CPT,Lung transplant with bypass,,,21 ,,RBRVS,50.90 ,34.83 ,34.83 ,,,,,1,0,1,1,1,1,20060825
32900,CPT,Removal of rib(s),,,21 ,,RBRVS,20.24 ,9.91 ,9.91 ,,,,,1,0,1,1,1,1,20060825
32905,CPT,Revise & repair chest wall,,,21 ,,RBRVS,20.72 ,10.16 ,10.16 ,,,,,1,0,1,1,1,1,20060825
32906,CPT,Revise & repair chest wall,,,21 ,,RBRVS,26.73 ,12.09 ,12.09 ,,,,,1,0,1,1,1,1,20060825
32940,CPT,Revision of lung,,,21 ,,RBRVS,19.40 ,9.50 ,9.50 ,,,,,1,0,1,1,1,1,20060825
32960,CPT,Therapeutic pneumothorax,,,21 ,,RBRVS,1.84 ,0.56 ,1.74 ,,,,,1,0,1,1,1,1,20060825
32997,CPT,Total lung lavage,,,21 ,,RBRVS,5.99 ,1.92 ,1.92 ,,,,,1,0,1,1,1,1,20060825
32999,CPT,Chest surgery procedure,,,21 ,,TotalUnits,,,,5.42 ,,,,1,0,1,1,1,1,20060825
33010,CPT,Drainage of heart sac,,,21 ,,RBRVS,2.24 ,0.78 ,0.78 ,,,,,1,0,1,1,1,1,20060825
33011,CPT,Repeat drainage of heart sac,,,21 ,,RBRVS,2.24 ,0.81 ,0.81 ,,,,,1,0,1,1,1,1,20060825
33015,CPT,Incision of heart sac,,,21 ,,RBRVS,6.79 ,4.96 ,4.96 ,,,,,1,0,1,1,1,1,20060825
33020,CPT,Incision of heart sac,,,21 ,,RBRVS,12.59 ,6.80 ,6.80 ,,,,,1,0,1,1,1,1,20060825
33025,CPT,Incision of heart sac,,,21 ,,RBRVS,12.07 ,6.37 ,6.37 ,,,,,1,0,1,1,1,1,20060825
33030,CPT,Partial removal of heart sac,,,21 ,,RBRVS,18.68 ,9.55 ,9.55 ,,,,,1,0,1,1,1,1,20060825
33031,CPT,Partial removal of heart sac,,,21 ,,RBRVS,21.76 ,10.06 ,10.06 ,,,,,1,0,1,1,1,1,20060825
33050,CPT,Removal of heart sac lesion,,,21 ,,RBRVS,14.34 ,7.86 ,7.86 ,,,,,1,0,1,1,1,1,20060825
33120,CPT,Removal of heart lesion,,,21 ,,RBRVS,24.52 ,11.61 ,11.61 ,,,,,1,0,1,1,1,1,20060825
33130,CPT,Removal of heart lesion,,,21 ,,RBRVS,21.36 ,10.14 ,10.14 ,,,,,1,0,1,1,1,1,20060825
33140,CPT,Heart revascularize (tmr),,,21 ,,RBRVS,19.97 ,10.91 ,10.91 ,,,,,1,0,1,1,1,1,20060825
33141,CPT,Heart tmr w/other procedure,,,21 ,,RBRVS,4.83 ,1.58 ,1.58 ,,,,,1,0,1,1,1,1,20060825
33200,CPT,Insertion of heart pacemaker,,,21 ,,RBRVS,12.46 ,6.86 ,6.86 ,,,,,1,0,1,1,1,1,20060825
33201,CPT,Insertion of heart pacemaker,,,21 ,,RBRVS,10.16 ,6.60 ,6.60 ,,,,,1,0,1,1,1,1,20060825
33206,CPT,Insertion of heart pacemaker,,,21 ,,RBRVS,6.66 ,4.47 ,4.47 ,,,,,1,0,1,1,1,1,20060825
33207,CPT,Insertion of heart pacemaker,,,21 ,,RBRVS,8.03 ,4.67 ,4.67 ,,,,,1,0,1,1,1,1,20060825
33208,CPT,Insertion of heart pacemaker,,,21 ,,RBRVS,8.12 ,4.78 ,4.78 ,,,,,1,0,1,1,1,1,20060825
33210,CPT,Insertion of heart electrode,,,21 ,,RBRVS,3.30 ,1.25 ,1.25 ,,,,,1,0,1,1,1,1,20060825
33211,CPT,Insertion of heart electrode,,,21 ,,RBRVS,3.39 ,1.31 ,1.31 ,,,,,1,0,1,1,1,1,20060825
33212,CPT,Insertion of pulse generator,,,21 ,,RBRVS,5.51 ,3.37 ,3.37 ,,,,,1,0,1,1,1,1,20060825
33213,CPT,Insertion of pulse generator,,,21 ,,RBRVS,6.36 ,3.73 ,3.73 ,,,,,1,0,1,1,1,1,20060825
33214,CPT,Upgrade of pacemaker system,,,21 ,,RBRVS,7.74 ,4.90 ,4.90 ,,,,,1,0,1,1,1,1,20060825
33215,CPT,Reposition pacing-defib lead,,,21 ,,RBRVS,4.75 ,3.19 ,3.19 ,,,,,1,0,1,1,1,1,20060825
33216,CPT,"Insert lead pace-defib, one",,,21 ,,RBRVS,5.77 ,4.21 ,4.21 ,,,,,1,0,1,1,1,1,20060825
33217,CPT,"Insert lead pace-defib, dual",,,21 ,,RBRVS,5.74 ,4.24 ,4.24 ,,,,,1,0,1,1,1,1,20060825
33218,CPT,"Repair lead pace-defib, one",,,21 ,,RBRVS,5.43 ,4.31 ,4.31 ,,,,,1,0,1,1,1,1,20060825
33220,CPT,"Repair lead pace-defib, dual",,,21 ,,RBRVS,5.51 ,4.28 ,4.28 ,,,,,1,0,1,1,1,1,20060825
33222,CPT,"Revise pocket, pacemaker",,,21 ,,RBRVS,4.95 ,4.30 ,4.30 ,,,,,1,0,1,1,1,1,20060825
33223,CPT,"Revise pocket, pacing-defib",,,21 ,,RBRVS,6.45 ,4.60 ,4.60 ,,,,,1,0,1,1,1,1,20060825
33224,CPT,Insert pacing lead & connect,,,21 ,,RBRVS,9.04 ,4.01 ,4.01 ,,,,,1,0,1,1,1,1,20060825
33225,CPT,L ventric pacing lead add-on,,,21 ,,RBRVS,8.33 ,3.26 ,3.26 ,,,,,1,0,1,1,1,1,20060825
33226,CPT,Reposition l ventric lead,,,21 ,,RBRVS,8.68 ,3.83 ,3.83 ,,,,,1,0,1,1,1,1,20060825
33233,CPT,Removal of pacemaker system,,,21 ,,RBRVS,3.29 ,3.28 ,3.28 ,,,,,1,0,1,1,1,1,20060825
33234,CPT,Removal of pacemaker system,,,21 ,,RBRVS,7.81 ,4.92 ,4.92 ,,,,,1,0,1,1,1,1,20060825
33235,CPT,Removal pacemaker electrode,,,21 ,,RBRVS,9.39 ,6.83 ,6.83 ,,,,,1,0,1,1,1,1,20060825
33236,CPT,Remove electrode/thoracotomy,,,21 ,,RBRVS,12.58 ,7.45 ,7.45 ,,,,,1,0,1,1,1,1,20060825
33237,CPT,Remove electrode/thoracotomy,,,21 ,,RBRVS,13.69 ,7.80 ,7.80 ,,,,,1,0,1,1,1,1,20060825
33238,CPT,Remove electrode/thoracotomy,,,21 ,,RBRVS,15.20 ,8.22 ,8.22 ,,,,,1,0,1,1,1,1,20060825
33240,CPT,Insert pulse generator,,,21 ,,RBRVS,7.59 ,4.59 ,4.59 ,,,,,1,0,1,1,1,1,20060825
33241,CPT,Remove pulse generator,,,21 ,,RBRVS,3.24 ,2.97 ,2.97 ,,,,,1,0,1,1,1,1,20060825
33243,CPT,Remove eltrd/thoracotomy,,,21 ,,RBRVS,22.61 ,11.49 ,11.49 ,,,,,1,0,1,1,1,1,20060825
33244,CPT,"Remove eltrd, transven",,,21 ,,RBRVS,13.74 ,8.92 ,8.92 ,,,,,1,0,1,1,1,1,20060825
33245,CPT,Insert epic eltrd pace-defib,,,21 ,,RBRVS,14.28 ,7.92 ,7.92 ,,,,,1,0,1,1,1,1,20060825
33246,CPT,Insert epic eltrd/generator,,,21 ,,RBRVS,20.68 ,10.31 ,10.31 ,,,,,1,0,1,1,1,1,20060825
33249,CPT,Eltrd/insert pace-defib,,,21 ,,RBRVS,14.21 ,8.38 ,8.38 ,,,,,1,0,1,1,1,1,20060825
33250,CPT,Ablate heart dysrhythm focus,,,21 ,,RBRVS,21.82 ,11.05 ,11.05 ,,,,,1,0,1,1,1,1,20060825
33251,CPT,Ablate heart dysrhythm focus,,,21 ,,RBRVS,24.84 ,11.69 ,11.69 ,,,,,1,0,1,1,1,1,20060825
33253,CPT,Reconstruct atria,,,21 ,,RBRVS,31.01 ,13.86 ,13.86 ,,,,,1,0,1,1,1,1,20060825
33261,CPT,Ablate heart dysrhythm focus,,,21 ,,RBRVS,24.84 ,11.80 ,11.80 ,,,,,1,0,1,1,1,1,20060825
33282,CPT,Implant pat-active ht record,,,21 ,,RBRVS,4.16 ,4.03 ,4.03 ,,,,,1,0,1,1,1,1,20060825
33284,CPT,Remove pat-active ht record,,,21 ,,RBRVS,2.50 ,3.54 ,3.54 ,,,,,1,0,1,1,1,1,20060825
33300,CPT,Repair of heart wound,,,21 ,,RBRVS,17.89 ,9.26 ,9.26 ,,,,,1,0,1,1,1,1,20060825
33305,CPT,Repair of heart wound,,,21 ,,RBRVS,21.41 ,10.64 ,10.64 ,,,,,1,0,1,1,1,1,20060825
33310,CPT,Exploratory heart surgery,,,21 ,,RBRVS,18.48 ,9.61 ,9.61 ,,,,,1,0,1,1,1,1,20060825
33315,CPT,Exploratory heart surgery,,,21 ,,RBRVS,22.34 ,10.91 ,10.91 ,,,,,1,0,1,1,1,1,20060825
33320,CPT,Repair major blood vessel(s),,,21 ,,RBRVS,16.76 ,8.24 ,8.24 ,,,,,1,0,1,1,1,1,20060825
33321,CPT,Repair major vessel,,,21 ,,RBRVS,20.17 ,9.81 ,9.81 ,,,,,1,0,1,1,1,1,20060825
33322,CPT,Repair major blood vessel(s),,,21 ,,RBRVS,20.59 ,10.39 ,10.39 ,,,,,1,0,1,1,1,1,20060825
33330,CPT,Insert major vessel graft,,,21 ,,RBRVS,21.40 ,10.29 ,10.29 ,,,,,1,0,1,1,1,1,20060825
33332,CPT,Insert major vessel graft,,,21 ,,RBRVS,23.92 ,10.54 ,10.54 ,,,,,1,0,1,1,1,1,20060825
33335,CPT,Insert major vessel graft,,,21 ,,RBRVS,29.96 ,13.37 ,13.37 ,,,,,1,0,1,1,1,1,20060825
33400,CPT,Repair of aortic valve,,,21 ,,RBRVS,28.46 ,15.71 ,15.71 ,,,,,1,0,1,1,1,1,20060825
33401,CPT,"Valvuloplasty, open",,,21 ,,RBRVS,23.87 ,13.54 ,13.54 ,,,,,1,0,1,1,1,1,20060825
33403,CPT,"Valvuloplasty, w/cp bypass",,,21 ,,RBRVS,24.85 ,14.34 ,14.34 ,,,,,1,0,1,1,1,1,20060825
33404,CPT,Prepare heart-aorta conduit,,,21 ,,RBRVS,28.50 ,14.58 ,14.58 ,,,,,1,0,1,1,1,1,20060825
33405,CPT,Replacement of aortic valve,,,21 ,,RBRVS,34.95 ,18.34 ,18.34 ,,,,,1,0,1,1,1,1,20060825
33406,CPT,Replacement of aortic valve,,,21 ,,RBRVS,37.44 ,19.18 ,19.18 ,,,,,1,0,1,1,1,1,20060825
33410,CPT,Replacement of aortic valve,,,21 ,,RBRVS,32.41 ,16.63 ,16.63 ,,,,,1,0,1,1,1,1,20060825
33411,CPT,Replacement of aortic valve,,,21 ,,RBRVS,36.20 ,18.79 ,18.79 ,,,,,1,0,1,1,1,1,20060825
33412,CPT,Replacement of aortic valve,,,21 ,,RBRVS,41.94 ,20.46 ,20.46 ,,,,,1,0,1,1,1,1,20060825
33413,CPT,Replacement of aortic valve,,,21 ,,RBRVS,43.43 ,20.87 ,20.87 ,,,,,1,0,1,1,1,1,20060825
33414,CPT,Repair of aortic valve,,,21 ,,RBRVS,30.30 ,14.17 ,14.17 ,,,,,1,0,1,1,1,1,20060825
33415,CPT,"Revision, subvalvular tissue",,,21 ,,RBRVS,27.11 ,12.05 ,12.05 ,,,,,1,0,1,1,1,1,20060825
33416,CPT,Revise ventricle muscle,,,21 ,,RBRVS,30.30 ,13.54 ,13.54 ,,,,,1,0,1,1,1,1,20060825
33417,CPT,Repair of aortic valve,,,21 ,,RBRVS,28.49 ,13.65 ,13.65 ,,,,,1,0,1,1,1,1,20060825
33420,CPT,Revision of mitral valve,,,21 ,,RBRVS,22.67 ,9.59 ,9.59 ,,,,,1,0,1,1,1,1,20060825
33422,CPT,Revision of mitral valve,,,21 ,,RBRVS,25.90 ,13.69 ,13.69 ,,,,,1,0,1,1,1,1,20060825
33425,CPT,Repair of mitral valve,,,21 ,,RBRVS,26.96 ,13.09 ,13.09 ,,,,,1,0,1,1,1,1,20060825
33426,CPT,Repair of mitral valve,,,21 ,,RBRVS,32.95 ,17.18 ,17.18 ,,,,,1,0,1,1,1,1,20060825
33427,CPT,Repair of mitral valve,,,21 ,,RBRVS,39.94 ,19.42 ,19.42 ,,,,,1,0,1,1,1,1,20060825
33430,CPT,Replacement of mitral valve,,,21 ,,RBRVS,33.45 ,17.34 ,17.34 ,,,,,1,0,1,1,1,1,20060825
33460,CPT,Revision of tricuspid valve,,,21 ,,RBRVS,23.56 ,11.33 ,11.33 ,,,,,1,0,1,1,1,1,20060825
33463,CPT,"Valvuloplasty, tricuspid",,,21 ,,RBRVS,25.58 ,12.95 ,12.95 ,,,,,1,0,1,1,1,1,20060825
33464,CPT,"Valvuloplasty, tricuspid",,,21 ,,RBRVS,27.29 ,13.56 ,13.56 ,,,,,1,0,1,1,1,1,20060825
33465,CPT,Replace tricuspid valve,,,21 ,,RBRVS,28.75 ,13.00 ,13.00 ,,,,,1,0,1,1,1,1,20060825
33468,CPT,Revision of tricuspid valve,,,21 ,,RBRVS,30.07 ,13.69 ,13.69 ,,,,,1,0,1,1,1,1,20060825
33470,CPT,Revision of pulmonary valve,,,21 ,,RBRVS,20.78 ,10.72 ,10.72 ,,,,,1,0,1,1,1,1,20060825
33471,CPT,"Valvotomy, pulmonary valve",,,21 ,,RBRVS,22.22 ,9.78 ,9.78 ,,,,,1,0,1,1,1,1,20060825
33472,CPT,Revision of pulmonary valve,,,21 ,,RBRVS,22.22 ,11.89 ,11.89 ,,,,,1,0,1,1,1,1,20060825
33474,CPT,Revision of pulmonary valve,,,21 ,,RBRVS,23.01 ,10.91 ,10.91 ,,,,,1,0,1,1,1,1,20060825
33475,CPT,"Replacement, pulmonary valve",,,21 ,,RBRVS,32.95 ,15.41 ,15.41 ,,,,,1,0,1,1,1,1,20060825
33476,CPT,Revision of heart chamber,,,21 ,,RBRVS,25.73 ,11.99 ,11.99 ,,,,,1,0,1,1,1,1,20060825
33478,CPT,Revision of heart chamber,,,21 ,,RBRVS,26.70 ,13.09 ,13.09 ,,,,,1,0,1,1,1,1,20060825
33496,CPT,"Repair, prosth valve clot",,,21 ,,RBRVS,27.21 ,12.78 ,12.78 ,,,,,1,0,1,1,1,1,20060825
33500,CPT,Repair heart vessel fistula,,,21 ,,RBRVS,25.51 ,11.49 ,11.49 ,,,,,1,0,1,1,1,1,20060825
33501,CPT,Repair heart vessel fistula,,,21 ,,RBRVS,17.75 ,8.30 ,8.30 ,,,,,1,0,1,1,1,1,20060825
33502,CPT,Coronary artery correction,,,21 ,,RBRVS,21.01 ,11.10 ,11.10 ,,,,,1,0,1,1,1,1,20060825
33503,CPT,Coronary artery graft,,,21 ,,RBRVS,21.75 ,9.76 ,9.76 ,,,,,1,0,1,1,1,1,20060825
33504,CPT,Coronary artery graft,,,21 ,,RBRVS,24.62 ,11.84 ,11.84 ,,,,,1,0,1,1,1,1,20060825
33505,CPT,Repair artery w/tunnel,,,21 ,,RBRVS,26.80 ,12.94 ,12.94 ,,,,,1,0,1,1,1,1,20060825
33506,CPT,"Repair artery, translocation",,,21 ,,RBRVS,35.45 ,14.60 ,14.60 ,,,,,1,0,1,1,1,1,20060825
33507,CPT,"Repair art, intramural",,,21 ,,RBRVS,30.00 ,13.68 ,13.68 ,,,,,1,0,0,1,1,1,20060825
33508,CPT,Endoscopic vein harvest,,,21 ,,RBRVS,0.31 ,0.10 ,0.10 ,,,,,1,0,1,1,1,1,20060825
33510,CPT,"CABG, vein, single",,,21 ,,RBRVS,28.96 ,16.38 ,16.38 ,,,,,1,0,1,1,1,1,20060825
33511,CPT,"CABG, vein, two",,,21 ,,RBRVS,29.96 ,17.12 ,17.12 ,,,,,1,0,1,1,1,1,20060825
33512,CPT,"CABG, vein, three",,,21 ,,RBRVS,31.75 ,17.65 ,17.65 ,,,,,1,0,1,1,1,1,20060825
33513,CPT,"CABG, vein, four",,,21 ,,RBRVS,31.95 ,17.83 ,17.83 ,,,,,1,0,1,1,1,1,20060825
33514,CPT,"CABG, vein, five",,,21 ,,RBRVS,32.70 ,18.10 ,18.10 ,,,,,1,0,1,1,1,1,20060825
33516,CPT,"Cabg, vein, six or more",,,21 ,,RBRVS,34.95 ,18.85 ,18.85 ,,,,,1,0,1,1,1,1,20060825
33517,CPT,"CABG, artery-vein, single",,,21 ,,RBRVS,2.57 ,0.84 ,0.84 ,,,,,1,0,1,1,1,1,20060825
33518,CPT,"CABG, artery-vein, two",,,21 ,,RBRVS,4.84 ,1.58 ,1.58 ,,,,,1,0,1,1,1,1,20060825
33519,CPT,"CABG, artery-vein, three",,,21 ,,RBRVS,7.11 ,2.33 ,2.33 ,,,,,1,0,1,1,1,1,20060825
33521,CPT,"CABG, artery-vein, four",,,21 ,,RBRVS,9.39 ,3.08 ,3.08 ,,,,,1,0,1,1,1,1,20060825
33522,CPT,"CABG, artery-vein, five",,,21 ,,RBRVS,11.65 ,3.82 ,3.82 ,,,,,1,0,1,1,1,1,20060825
33523,CPT,"Cabg, art-vein, six or more",,,21 ,,RBRVS,13.93 ,4.54 ,4.54 ,,,,,1,0,1,1,1,1,20060825
33530,CPT,"Coronary artery, bypass/reop",,,21 ,,RBRVS,5.85 ,1.92 ,1.92 ,,,,,1,0,1,1,1,1,20060825
33533,CPT,"CABG, arterial, single",,,21 ,,RBRVS,29.96 ,16.51 ,16.51 ,,,,,1,0,1,1,1,1,20060825
33534,CPT,"CABG, arterial, two",,,21 ,,RBRVS,32.15 ,17.76 ,17.76 ,,,,,1,0,1,1,1,1,20060825
33535,CPT,"CABG, arterial, three",,,21 ,,RBRVS,34.45 ,18.18 ,18.18 ,,,,,1,0,1,1,1,1,20060825
33536,CPT,"Cabg, arterial, four or more",,,21 ,,RBRVS,37.44 ,18.34 ,18.34 ,,,,,1,0,1,1,1,1,20060825
33542,CPT,Removal of heart lesion,,,21 ,,RBRVS,28.81 ,13.03 ,13.03 ,,,,,1,0,1,1,1,1,20060825
33545,CPT,Repair of heart damage,,,21 ,,RBRVS,36.72 ,15.67 ,15.67 ,,,,,1,0,1,1,1,1,20060825
33548,CPT,"Restore/remodel, ventricle",,,21 ,,RBRVS,37.97 ,19.35 ,19.35 ,,,,,1,0,0,1,1,1,20060825
33572,CPT,Open coronary endarterectomy,,,21 ,,RBRVS,4.44 ,1.45 ,1.45 ,,,,,1,0,1,1,1,1,20060825
33600,CPT,Closure of valve,,,21 ,,RBRVS,29.47 ,12.55 ,12.55 ,,,,,1,0,1,1,1,1,20060825
33602,CPT,Closure of valve,,,21 ,,RBRVS,28.50 ,12.48 ,12.48 ,,,,,1,0,1,1,1,1,20060825
33606,CPT,Anastomosis/artery-aorta,,,21 ,,RBRVS,30.69 ,13.71 ,13.71 ,,,,,1,0,1,1,1,1,20060825
33608,CPT,Repair anomaly w/conduit,,,21 ,,RBRVS,31.04 ,14.14 ,14.14 ,,,,,1,0,1,1,1,1,20060825
33610,CPT,Repair by enlargement,,,21 ,,RBRVS,30.56 ,13.64 ,13.64 ,,,,,1,0,1,1,1,1,20060825
33611,CPT,Repair double ventricle,,,21 ,,RBRVS,33.95 ,14.17 ,14.17 ,,,,,1,0,1,1,1,1,20060825
33612,CPT,Repair double ventricle,,,21 ,,RBRVS,34.95 ,15.19 ,15.19 ,,,,,1,0,1,1,1,1,20060825
33615,CPT,"Repair, modified fontan",,,21 ,,RBRVS,33.95 ,13.18 ,13.18 ,,,,,1,0,1,1,1,1,20060825
33617,CPT,Repair single ventricle,,,21 ,,RBRVS,36.94 ,16.04 ,16.04 ,,,,,1,0,1,1,1,1,20060825
33619,CPT,Repair single ventricle,,,21 ,,RBRVS,44.93 ,20.86 ,20.86 ,,,,,1,0,1,1,1,1,20060825
33641,CPT,Repair heart septum defect,,,21 ,,RBRVS,21.36 ,9.60 ,9.60 ,,,,,1,0,1,1,1,1,20060825
33645,CPT,Revision of heart veins,,,21 ,,RBRVS,24.78 ,11.80 ,11.80 ,,,,,1,0,1,1,1,1,20060825
33647,CPT,Repair heart septum defects,,,21 ,,RBRVS,28.69 ,13.81 ,13.81 ,,,,,1,0,1,1,1,1,20060825
33660,CPT,Repair of heart defects,,,21 ,,RBRVS,29.96 ,13.52 ,13.52 ,,,,,1,0,1,1,1,1,20060825
33665,CPT,Repair of heart defects,,,21 ,,RBRVS,28.56 ,13.87 ,13.87 ,,,,,1,0,1,1,1,1,20060825
33670,CPT,Repair of heart chambers,,,21 ,,RBRVS,34.95 ,13.21 ,13.21 ,,,,,1,0,1,1,1,1,20060825
33681,CPT,Repair heart septum defect,,,21 ,,RBRVS,30.56 ,14.72 ,14.72 ,,,,,1,0,1,1,1,1,20060825
33684,CPT,Repair heart septum defect,,,21 ,,RBRVS,29.61 ,13.66 ,13.66 ,,,,,1,0,1,1,1,1,20060825
33688,CPT,Repair heart septum defect,,,21 ,,RBRVS,30.57 ,10.50 ,10.50 ,,,,,1,0,1,1,1,1,20060825
33690,CPT,Reinforce pulmonary artery,,,21 ,,RBRVS,19.52 ,10.19 ,10.19 ,,,,,1,0,1,1,1,1,20060825
33692,CPT,Repair of heart defects,,,21 ,,RBRVS,30.70 ,13.96 ,13.96 ,,,,,1,0,1,1,1,1,20060825
33694,CPT,Repair of heart defects,,,21 ,,RBRVS,33.95 ,14.26 ,14.26 ,,,,,1,0,1,1,1,1,20060825
33697,CPT,Repair of heart defects,,,21 ,,RBRVS,35.95 ,14.91 ,14.91 ,,,,,1,0,1,1,1,1,20060825
33702,CPT,Repair of heart defects,,,21 ,,RBRVS,26.50 ,12.60 ,12.60 ,,,,,1,0,1,1,1,1,20060825
33710,CPT,Repair of heart defects,,,21 ,,RBRVS,29.67 ,14.00 ,14.00 ,,,,,1,0,1,1,1,1,20060825
33720,CPT,Repair of heart defect,,,21 ,,RBRVS,26.52 ,12.32 ,12.32 ,,,,,1,0,1,1,1,1,20060825
33722,CPT,Repair of heart defect,,,21 ,,RBRVS,28.37 ,13.89 ,13.89 ,,,,,1,0,1,1,1,1,20060825
33730,CPT,Repair heart-vein defect(s),,,21 ,,RBRVS,34.20 ,14.16 ,14.16 ,,,,,1,0,1,1,1,1,20060825
33732,CPT,Repair heart-vein defect,,,21 ,,RBRVS,28.12 ,13.42 ,13.42 ,,,,,1,0,1,1,1,1,20060825
33735,CPT,Revision of heart chamber,,,21 ,,RBRVS,21.36 ,8.98 ,8.98 ,,,,,1,0,1,1,1,1,20060825
33736,CPT,Revision of heart chamber,,,21 ,,RBRVS,23.48 ,11.88 ,11.88 ,,,,,1,0,1,1,1,1,20060825
33737,CPT,Revision of heart chamber,,,21 ,,RBRVS,21.73 ,10.96 ,10.96 ,,,,,1,0,1,1,1,1,20060825
33750,CPT,Major vessel shunt,,,21 ,,RBRVS,21.38 ,10.24 ,10.24 ,,,,,1,0,1,1,1,1,20060825
33755,CPT,Major vessel shunt,,,21 ,,RBRVS,21.76 ,8.83 ,8.83 ,,,,,1,0,1,1,1,1,20060825
33762,CPT,Major vessel shunt,,,21 ,,RBRVS,21.76 ,10.18 ,10.18 ,,,,,1,0,1,1,1,1,20060825
33764,CPT,Major vessel shunt & graft,,,21 ,,RBRVS,21.76 ,10.25 ,10.25 ,,,,,1,0,1,1,1,1,20060825
33766,CPT,Major vessel shunt,,,21 ,,RBRVS,22.73 ,11.70 ,11.70 ,,,,,1,0,1,1,1,1,20060825
33767,CPT,Major vessel shunt,,,21 ,,RBRVS,24.46 ,11.75 ,11.75 ,,,,,1,0,1,1,1,1,20060825
33768,CPT,Cavopulmonary Shunting,,,21 ,,RBRVS,8.00 ,2.67 ,2.67 ,,,,,1,0,0,1,1,1,20060825
33770,CPT,Repair great vessels defect,,,21 ,,RBRVS,36.94 ,14.72 ,14.72 ,,,,,1,0,1,1,1,1,20060825
33771,CPT,Repair great vessels defect,,,21 ,,RBRVS,34.60 ,12.42 ,12.42 ,,,,,1,0,1,1,1,1,20060825
33774,CPT,Repair great vessels defect,,,21 ,,RBRVS,30.93 ,14.70 ,14.70 ,,,,,1,0,1,1,1,1,20060825
33775,CPT,Repair great vessels defect,,,21 ,,RBRVS,32.15 ,15.03 ,15.03 ,,,,,1,0,1,1,1,1,20060825
33776,CPT,Repair great vessels defect,,,21 ,,RBRVS,33.99 ,15.85 ,15.85 ,,,,,1,0,1,1,1,1,20060825
33777,CPT,Repair great vessels defect,,,21 ,,RBRVS,33.41 ,15.66 ,15.66 ,,,,,1,0,1,1,1,1,20060825
33778,CPT,Repair great vessels defect,,,21 ,,RBRVS,39.94 ,16.94 ,16.94 ,,,,,1,0,1,1,1,1,20060825
33779,CPT,Repair great vessels defect,,,21 ,,RBRVS,36.16 ,15.41 ,15.41 ,,,,,1,0,1,1,1,1,20060825
33780,CPT,Repair great vessels defect,,,21 ,,RBRVS,41.69 ,19.14 ,19.14 ,,,,,1,0,1,1,1,1,20060825
33781,CPT,Repair great vessels defect,,,21 ,,RBRVS,36.40 ,13.37 ,13.37 ,,,,,1,0,1,1,1,1,20060825
33786,CPT,Repair arterial trunk,,,21 ,,RBRVS,38.94 ,16.76 ,16.76 ,,,,,1,0,1,1,1,1,20060825
33788,CPT,Revision of pulmonary artery,,,21 ,,RBRVS,26.58 ,11.98 ,11.98 ,,,,,1,0,1,1,1,1,20060825
33800,CPT,Aortic suspension,,,21 ,,RBRVS,16.22 ,8.13 ,8.13 ,,,,,1,0,1,1,1,1,20060825
33802,CPT,Repair vessel defect,,,21 ,,RBRVS,17.63 ,9.25 ,9.25 ,,,,,1,0,1,1,1,1,20060825
33803,CPT,Repair vessel defect,,,21 ,,RBRVS,19.57 ,9.79 ,9.79 ,,,,,1,0,1,1,1,1,20060825
33813,CPT,Repair septal defect,,,21 ,,RBRVS,20.62 ,10.94 ,10.94 ,,,,,1,0,1,1,1,1,20060825
33814,CPT,Repair septal defect,,,21 ,,RBRVS,25.73 ,12.68 ,12.68 ,,,,,1,0,1,1,1,1,20060825
33820,CPT,Revise major vessel,,,21 ,,RBRVS,16.27 ,8.38 ,8.38 ,,,,,1,0,1,1,1,1,20060825
33822,CPT,Revise major vessel,,,21 ,,RBRVS,17.29 ,8.98 ,8.98 ,,,,,1,0,1,1,1,1,20060825
33824,CPT,Revise major vessel,,,21 ,,RBRVS,19.49 ,10.01 ,10.01 ,,,,,1,0,1,1,1,1,20060825
33840,CPT,Remove aorta constriction,,,21 ,,RBRVS,20.60 ,10.32 ,10.32 ,,,,,1,0,1,1,1,1,20060825
33845,CPT,Remove aorta constriction,,,21 ,,RBRVS,22.09 ,11.38 ,11.38 ,,,,,1,0,1,1,1,1,20060825
33851,CPT,Remove aorta constriction,,,21 ,,RBRVS,21.24 ,10.71 ,10.71 ,,,,,1,0,1,1,1,1,20060825
33852,CPT,Repair septal defect,,,21 ,,RBRVS,23.67 ,11.39 ,11.39 ,,,,,1,0,1,1,1,1,20060825
33853,CPT,Repair septal defect,,,21 ,,RBRVS,31.67 ,14.86 ,14.86 ,,,,,1,0,1,1,1,1,20060825
33860,CPT,Ascending aortic graft,,,21 ,,RBRVS,37.94 ,16.50 ,16.50 ,,,,,1,0,1,1,1,1,20060825
33861,CPT,Ascending aortic graft,,,21 ,,RBRVS,41.94 ,17.76 ,17.76 ,,,,,1,0,1,1,1,1,20060825
33863,CPT,Ascending aortic graft,,,21 ,,RBRVS,44.93 ,18.74 ,18.74 ,,,,,1,0,1,1,1,1,20060825
33870,CPT,Transverse aortic arch graft,,,21 ,,RBRVS,43.93 ,18.43 ,18.43 ,,,,,1,0,1,1,1,1,20060825
33875,CPT,Thoracic aortic graft,,,21 ,,RBRVS,33.01 ,14.13 ,14.13 ,,,,,1,0,1,1,1,1,20060825
33877,CPT,Thoracoabdominal graft,,,21 ,,RBRVS,42.54 ,16.36 ,16.36 ,,,,,1,0,1,1,1,1,20060825
33880,CPT,Endovasc taa repr incl subcl,,,21 ,,RBRVS,33.00 ,13.51 ,13.51 ,,,,,1,0,0,1,1,1,20060825
33881,CPT,Endovasc taa repr w/o subcl,,,21 ,,RBRVS,28.00 ,11.99 ,11.99 ,,,,,1,0,0,1,1,1,20060825
33883,CPT,"Insert endovasc prosth, taa",,,21 ,,RBRVS,20.00 ,9.21 ,9.21 ,,,,,1,0,0,1,1,1,20060825
33884,CPT,"Endovasc prosth, taa, add-on",,,21 ,,RBRVS,8.20 ,2.58 ,2.58 ,,,,,1,0,0,1,1,1,20060825
33886,CPT,"Endovasc prosth, delayed",,,21 ,,RBRVS,17.00 ,8.25 ,8.25 ,,,,,1,0,0,1,1,1,20060825
33889,CPT,Artery transpose/endovas taa,,,21 ,,RBRVS,15.92 ,5.19 ,5.19 ,,,,,1,0,0,1,1,1,20060825
33891,CPT,Car-car bp grft/endovas taa,,,21 ,,RBRVS,20.00 ,6.98 ,6.98 ,,,,,1,0,0,1,1,1,20060825
33910,CPT,Remove lung artery emboli,,,21 ,,RBRVS,24.55 ,11.46 ,11.46 ,,,,,1,0,1,1,1,1,20060825
33915,CPT,Remove lung artery emboli,,,21 ,,RBRVS,20.99 ,9.66 ,9.66 ,,,,,1,0,1,1,1,1,20060825
33916,CPT,Surgery of great vessel,,,21 ,,RBRVS,25.79 ,11.37 ,11.37 ,,,,,1,0,1,1,1,1,20060825
33917,CPT,Repair pulmonary artery,,,21 ,,RBRVS,24.46 ,12.22 ,12.22 ,,,,,1,0,1,1,1,1,20060825
33920,CPT,Repair pulmonary atresia,,,21 ,,RBRVS,31.90 ,13.86 ,13.86 ,,,,,1,0,1,1,1,1,20060825
33922,CPT,Transect pulmonary artery,,,21 ,,RBRVS,23.48 ,10.93 ,10.93 ,,,,,1,0,1,1,1,1,20060825
33924,CPT,Remove pulmonary shunt,,,21 ,,RBRVS,5.49 ,1.85 ,1.85 ,,,,,1,0,1,1,1,1,20060825
33925,CPT,Rpr pul art unifocal w/o cpb,,,21 ,,RBRVS,29.50 ,14.70 ,14.70 ,,,,,1,0,0,1,1,1,20060825
33926,CPT,"Repr pul art, unifocal w/cpb",,,21 ,,RBRVS,42.00 ,17.73 ,17.73 ,,,,,1,0,0,1,1,1,20060825
33935,CPT,"Transplantation, heart/lung",,,21 ,,RBRVS,60.87 ,28.85 ,28.85 ,,,,,1,0,1,1,1,1,20060825
33940,CPT,Removal of donor heart,,,21 ,,TotalUnits,,,,46.15 ,,,,1,0,1,1,1,1,20060825
33945,CPT,Transplantation of heart,,,21 ,,RBRVS,42.04 ,21.45 ,21.45 ,,,,,1,0,1,1,1,1,20060825
33960,CPT,External circulation assist,,,21 ,,RBRVS,19.33 ,4.92 ,4.92 ,,,,,1,0,1,1,1,1,20060825
33961,CPT,External circulation assist,,,21 ,,RBRVS,10.91 ,3.62 ,3.62 ,,,,,1,0,1,1,1,1,20060825
33967,CPT,Insert ia percut device,,,21 ,,RBRVS,4.84 ,1.85 ,1.85 ,,,,,1,0,1,1,1,1,20060825
33968,CPT,Remove aortic assist device,,,21 ,,RBRVS,0.64 ,0.23 ,0.23 ,,,,,1,0,1,1,1,1,20060825
33970,CPT,Aortic circulation assist,,,21 ,,RBRVS,6.74 ,2.29 ,2.29 ,,,,,1,0,1,1,1,1,20060825
33971,CPT,Aortic circulation assist,,,21 ,,RBRVS,9.68 ,6.02 ,6.02 ,,,,,1,0,1,1,1,1,20060825
33973,CPT,Insert balloon device,,,21 ,,RBRVS,9.75 ,3.32 ,3.32 ,,,,,1,0,1,1,1,1,20060825
33974,CPT,Remove intra-aortic balloon,,,21 ,,RBRVS,14.39 ,7.90 ,7.90 ,,,,,1,0,1,1,1,1,20060825
33975,CPT,Implant ventricular device,,,21 ,,RBRVS,20.97 ,6.30 ,6.30 ,,,,,1,0,1,1,1,1,20060825
33976,CPT,Implant ventricular device,,,21 ,,RBRVS,22.97 ,7.57 ,7.57 ,,,,,1,0,1,1,1,1,20060825
33977,CPT,Remove ventricular device,,,21 ,,RBRVS,19.26 ,11.10 ,11.10 ,,,,,1,0,1,1,1,1,20060825
33978,CPT,Remove ventricular device,,,21 ,,RBRVS,21.70 ,11.78 ,11.78 ,,,,,1,0,1,1,1,1,20060825
33979,CPT,Insert intracorporeal device,,,21 ,,RBRVS,45.93 ,14.96 ,14.96 ,,,,,1,0,1,1,1,1,20060825
33980,CPT,Remove intracorporeal device,,,21 ,,RBRVS,56.17 ,25.31 ,25.31 ,,,,,1,0,1,1,1,1,20060825
33999,CPT,Cardiac surgery procedure,,,21 ,,TotalUnits,,,,40.06 ,,,,1,0,1,1,1,1,20060825
34001,CPT,Removal of artery clot,,,21 ,,RBRVS,12.89 ,6.73 ,6.73 ,,,,,1,0,1,1,1,1,20060825
34051,CPT,Removal of artery clot,,,21 ,,RBRVS,15.19 ,7.80 ,7.80 ,,,,,1,0,1,1,1,1,20060825
34101,CPT,Removal of artery clot,,,21 ,,RBRVS,9.99 ,5.37 ,5.37 ,,,,,1,0,1,1,1,1,20060825
34111,CPT,Removal of arm artery clot,,,21 ,,RBRVS,9.99 ,5.37 ,5.37 ,,,,,1,0,1,1,1,1,20060825
34151,CPT,Removal of artery clot,,,21 ,,RBRVS,24.96 ,10.43 ,10.43 ,,,,,1,0,1,1,1,1,20060825
34201,CPT,Removal of artery clot,,,21 ,,RBRVS,10.01 ,5.43 ,5.43 ,,,,,1,0,1,1,1,1,20060825
34203,CPT,Removal of leg artery clot,,,21 ,,RBRVS,16.48 ,8.08 ,8.08 ,,,,,1,0,1,1,1,1,20060825
34401,CPT,Removal of vein clot,,,21 ,,RBRVS,24.96 ,10.69 ,10.69 ,,,,,1,0,1,1,1,1,20060825
34421,CPT,Removal of vein clot,,,21 ,,RBRVS,11.98 ,6.31 ,6.31 ,,,,,1,0,1,1,1,1,20060825
34451,CPT,Removal of vein clot,,,21 ,,RBRVS,26.96 ,11.47 ,11.47 ,,,,,1,0,1,1,1,1,20060825
34471,CPT,Removal of vein clot,,,21 ,,RBRVS,10.16 ,5.32 ,5.32 ,,,,,1,0,1,1,1,1,20060825
34490,CPT,Removal of vein clot,,,21 ,,RBRVS,9.85 ,5.44 ,5.44 ,,,,,1,0,1,1,1,1,20060825
34501,CPT,"Repair valve, femoral vein",,,21 ,,RBRVS,15.98 ,8.51 ,8.51 ,,,,,1,0,1,1,1,1,20060825
34502,CPT,Reconstruct vena cava,,,21 ,,RBRVS,26.91 ,12.33 ,12.33 ,,,,,1,0,1,1,1,1,20060825
34510,CPT,Transposition of vein valve,,,21 ,,RBRVS,18.92 ,9.44 ,9.44 ,,,,,1,0,1,1,1,1,20060825
34520,CPT,Cross-over vein graft,,,21 ,,RBRVS,17.92 ,8.47 ,8.47 ,,,,,1,0,1,1,1,1,20060825
34530,CPT,Leg vein fusion,,,21 ,,RBRVS,16.62 ,8.63 ,8.63 ,,,,,1,0,1,1,1,1,20060825
34800,CPT,Endovasc abdo repair w/tube,,,21 ,,RBRVS,20.72 ,9.19 ,9.19 ,,,,,1,0,1,1,1,1,20060825
34802,CPT,Endovasc abdo repr w/device,,,21 ,,RBRVS,22.97 ,9.81 ,9.81 ,,,,,1,0,1,1,1,1,20060825
34803,CPT,Endovas aaa repr w/3-p part,,,21 ,,RBRVS,24.00 ,10.24 ,10.24 ,,,,,1,0,0,1,1,1,20060825
34804,CPT,Endovasc abdo repr w/device,,,21 ,,RBRVS,22.97 ,9.83 ,9.83 ,,,,,1,0,1,1,1,1,20060825
34805,CPT,Endovasc abdo repair w/pros,,,21 ,,RBRVS,21.85 ,9.67 ,9.67 ,,,,,1,0,1,1,1,1,20060825
34808,CPT,Endovasc abdo occlud device,,,21 ,,RBRVS,4.12 ,1.37 ,1.37 ,,,,,1,0,1,1,1,1,20060825
34812,CPT,"Xpose for endoprosth, femorl",,,21 ,,RBRVS,6.74 ,2.24 ,2.24 ,,,,,1,0,1,1,1,1,20060825
34813,CPT,Femoral endovas graft add-on,,,21 ,,RBRVS,4.79 ,1.57 ,1.57 ,,,,,1,0,1,1,1,1,20060825
34820,CPT,"Xpose for endoprosth, iliac",,,21 ,,RBRVS,9.74 ,3.24 ,3.24 ,,,,,1,0,1,1,1,1,20060825
34825,CPT,"Endovasc extend prosth, init",,,21 ,,RBRVS,11.98 ,6.16 ,6.16 ,,,,,1,0,1,1,1,1,20060825
34826,CPT,"Endovasc exten prosth, addl",,,21 ,,RBRVS,4.12 ,1.37 ,1.37 ,,,,,1,0,1,1,1,1,20060825
34830,CPT,Open aortic tube prosth repr,,,21 ,,RBRVS,32.54 ,13.73 ,13.73 ,,,,,1,0,1,1,1,1,20060825
34831,CPT,Open aortoiliac prosth repr,,,21 ,,RBRVS,35.29 ,11.76 ,11.76 ,,,,,1,0,1,1,1,1,20060825
34832,CPT,Open aortofemor prosth repr,,,21 ,,RBRVS,35.29 ,14.66 ,14.66 ,,,,,1,0,1,1,1,1,20060825
34833,CPT,"Xpose for endoprosth, iliac",,,21 ,,RBRVS,11.98 ,4.44 ,4.44 ,,,,,1,0,1,1,1,1,20060825
34834,CPT,"Xpose, endoprosth, brachial",,,21 ,,RBRVS,5.34 ,2.20 ,2.20 ,,,,,1,0,1,1,1,1,20060825
34900,CPT,Endovasc iliac repr w/graft,,,21 ,,RBRVS,16.36 ,7.60 ,7.60 ,,,,,1,0,1,1,1,1,20060825
35001,CPT,Repair defect of artery,,,21 ,,RBRVS,19.61 ,9.58 ,9.58 ,,,,,1,0,1,1,1,1,20060825
35002,CPT,"Repair artery rupture, neck",,,21 ,,RBRVS,20.97 ,9.72 ,9.72 ,,,,,1,0,1,1,1,1,20060825
35005,CPT,Repair defect of artery,,,21 ,,RBRVS,18.09 ,8.87 ,8.87 ,,,,,1,0,1,1,1,1,20060825
35011,CPT,Repair defect of artery,,,21 ,,RBRVS,17.97 ,8.00 ,8.00 ,,,,,1,0,1,1,1,1,20060825
35013,CPT,"Repair artery rupture, arm",,,21 ,,RBRVS,21.97 ,9.70 ,9.70 ,,,,,1,0,1,1,1,1,20060825
35021,CPT,Repair defect of artery,,,21 ,,RBRVS,19.62 ,9.44 ,9.44 ,,,,,1,0,1,1,1,1,20060825
35022,CPT,"Repair artery rupture, chest",,,21 ,,RBRVS,23.15 ,9.88 ,9.88 ,,,,,1,0,1,1,1,1,20060825
35045,CPT,Repair defect of arm artery,,,21 ,,RBRVS,17.54 ,7.52 ,7.52 ,,,,,1,0,1,1,1,1,20060825
35081,CPT,Repair defect of artery,,,21 ,,RBRVS,27.97 ,11.49 ,11.49 ,,,,,1,0,1,1,1,1,20060825
35082,CPT,"Repair artery rupture, aorta",,,21 ,,RBRVS,38.44 ,15.33 ,15.33 ,,,,,1,0,1,1,1,1,20060825
35091,CPT,Repair defect of artery,,,21 ,,RBRVS,35.35 ,13.60 ,13.60 ,,,,,1,0,1,1,1,1,20060825
35092,CPT,"Repair artery rupture, aorta",,,21 ,,RBRVS,44.93 ,17.68 ,17.68 ,,,,,1,0,1,1,1,1,20060825
35102,CPT,Repair defect of artery,,,21 ,,RBRVS,30.71 ,12.39 ,12.39 ,,,,,1,0,1,1,1,1,20060825
35103,CPT,"Repair artery rupture, groin",,,21 ,,RBRVS,40.44 ,15.89 ,15.89 ,,,,,1,0,1,1,1,1,20060825
35111,CPT,Repair defect of artery,,,21 ,,RBRVS,24.96 ,10.49 ,10.49 ,,,,,1,0,1,1,1,1,20060825
35112,CPT,"Repair artery rupture,spleen",,,21 ,,RBRVS,29.96 ,11.99 ,11.99 ,,,,,1,0,1,1,1,1,20060825
35121,CPT,Repair defect of artery,,,21 ,,RBRVS,29.96 ,12.40 ,12.40 ,,,,,1,0,1,1,1,1,20060825
35122,CPT,"Repair artery rupture, belly",,,21 ,,RBRVS,34.95 ,13.84 ,13.84 ,,,,,1,0,1,1,1,1,20060825
35131,CPT,Repair defect of artery,,,21 ,,RBRVS,24.96 ,10.77 ,10.77 ,,,,,1,0,1,1,1,1,20060825
35132,CPT,"Repair artery rupture, groin",,,21 ,,RBRVS,29.96 ,12.41 ,12.41 ,,,,,1,0,1,1,1,1,20060825
35141,CPT,Repair defect of artery,,,21 ,,RBRVS,19.97 ,8.94 ,8.94 ,,,,,1,0,1,1,1,1,20060825
35142,CPT,"Repair artery rupture, thigh",,,21 ,,RBRVS,23.27 ,10.39 ,10.39 ,,,,,1,0,1,1,1,1,20060825
35151,CPT,Repair defect of artery,,,21 ,,RBRVS,22.61 ,10.01 ,10.01 ,,,,,1,0,1,1,1,1,20060825
35152,CPT,"Repair artery rupture, knee",,,21 ,,RBRVS,25.58 ,11.40 ,11.40 ,,,,,1,0,1,1,1,1,20060825
35180,CPT,Repair blood vessel lesion,,,21 ,,RBRVS,13.60 ,6.96 ,6.96 ,,,,,1,0,1,1,1,1,20060825
35182,CPT,Repair blood vessel lesion,,,21 ,,RBRVS,29.96 ,12.83 ,12.83 ,,,,,1,0,1,1,1,1,20060825
35184,CPT,Repair blood vessel lesion,,,21 ,,RBRVS,17.97 ,8.31 ,8.31 ,,,,,1,0,1,1,1,1,20060825
35188,CPT,Repair blood vessel lesion,,,21 ,,RBRVS,14.26 ,7.65 ,7.65 ,,,,,1,0,1,1,1,1,20060825
35189,CPT,Repair blood vessel lesion,,,21 ,,RBRVS,27.96 ,11.98 ,11.98 ,,,,,1,0,1,1,1,1,20060825
35190,CPT,Repair blood vessel lesion,,,21 ,,RBRVS,12.73 ,6.49 ,6.49 ,,,,,1,0,1,1,1,1,20060825
35201,CPT,Repair blood vessel lesion,,,21 ,,RBRVS,16.12 ,8.01 ,8.01 ,,,,,1,0,1,1,1,1,20060825
35206,CPT,Repair blood vessel lesion,,,21 ,,RBRVS,13.23 ,6.57 ,6.57 ,,,,,1,0,1,1,1,1,20060825
35207,CPT,Repair blood vessel lesion,,,21 ,,RBRVS,10.13 ,7.37 ,7.37 ,,,,,1,0,1,1,1,1,20060825
35211,CPT,Repair blood vessel lesion,,,21 ,,RBRVS,22.09 ,10.64 ,10.64 ,,,,,1,0,1,1,1,1,20060825
35216,CPT,Repair blood vessel lesion,,,21 ,,RBRVS,18.72 ,9.00 ,9.00 ,,,,,1,0,1,1,1,1,20060825
35221,CPT,Repair blood vessel lesion,,,21 ,,RBRVS,24.35 ,9.96 ,9.96 ,,,,,1,0,1,1,1,1,20060825
35226,CPT,Repair blood vessel lesion,,,21 ,,RBRVS,14.48 ,7.45 ,7.45 ,,,,,1,0,1,1,1,1,20060825
35231,CPT,Repair blood vessel lesion,,,21 ,,RBRVS,19.97 ,9.79 ,9.79 ,,,,,1,0,1,1,1,1,20060825
35236,CPT,Repair blood vessel lesion,,,21 ,,RBRVS,17.08 ,7.90 ,7.90 ,,,,,1,0,1,1,1,1,20060825
35241,CPT,Repair blood vessel lesion,,,21 ,,RBRVS,23.09 ,11.15 ,11.15 ,,,,,1,0,1,1,1,1,20060825
35246,CPT,Repair blood vessel lesion,,,21 ,,RBRVS,26.41 ,11.45 ,11.45 ,,,,,1,0,1,1,1,1,20060825
35251,CPT,Repair blood vessel lesion,,,21 ,,RBRVS,30.15 ,11.82 ,11.82 ,,,,,1,0,1,1,1,1,20060825
35256,CPT,Repair blood vessel lesion,,,21 ,,RBRVS,18.33 ,8.37 ,8.37 ,,,,,1,0,1,1,1,1,20060825
35261,CPT,Repair blood vessel lesion,,,21 ,,RBRVS,17.77 ,8.03 ,8.03 ,,,,,1,0,1,1,1,1,20060825
35266,CPT,Repair blood vessel lesion,,,21 ,,RBRVS,14.89 ,7.02 ,7.02 ,,,,,1,0,1,1,1,1,20060825
35271,CPT,Repair blood vessel lesion,,,21 ,,RBRVS,22.09 ,10.54 ,10.54 ,,,,,1,0,1,1,1,1,20060825
35276,CPT,Repair blood vessel lesion,,,21 ,,RBRVS,24.21 ,11.23 ,11.23 ,,,,,1,0,1,1,1,1,20060825
35281,CPT,Repair blood vessel lesion,,,21 ,,RBRVS,27.96 ,11.73 ,11.73 ,,,,,1,0,1,1,1,1,20060825
35286,CPT,Repair blood vessel lesion,,,21 ,,RBRVS,16.14 ,8.07 ,8.07 ,,,,,1,0,1,1,1,1,20060825
35301,CPT,Rechanneling of artery,,,21 ,,RBRVS,18.67 ,8.45 ,8.45 ,,,,,1,0,1,1,1,1,20060825
35311,CPT,Rechanneling of artery,,,21 ,,RBRVS,26.96 ,11.77 ,11.77 ,,,,,1,0,1,1,1,1,20060825
35321,CPT,Rechanneling of artery,,,21 ,,RBRVS,15.98 ,7.40 ,7.40 ,,,,,1,0,1,1,1,1,20060825
35331,CPT,Rechanneling of artery,,,21 ,,RBRVS,26.16 ,11.26 ,11.26 ,,,,,1,0,1,1,1,1,20060825
35341,CPT,Rechanneling of artery,,,21 ,,RBRVS,25.07 ,10.89 ,10.89 ,,,,,1,0,1,1,1,1,20060825
35351,CPT,Rechanneling of artery,,,21 ,,RBRVS,22.97 ,9.62 ,9.62 ,,,,,1,0,1,1,1,1,20060825
35355,CPT,Rechanneling of artery,,,21 ,,RBRVS,18.47 ,8.10 ,8.10 ,,,,,1,0,1,1,1,1,20060825
35361,CPT,Rechanneling of artery,,,21 ,,RBRVS,28.16 ,11.73 ,11.73 ,,,,,1,0,1,1,1,1,20060825
35363,CPT,Rechanneling of artery,,,21 ,,RBRVS,30.15 ,12.62 ,12.62 ,,,,,1,0,1,1,1,1,20060825
35371,CPT,Rechanneling of artery,,,21 ,,RBRVS,14.70 ,6.97 ,6.97 ,,,,,1,0,1,1,1,1,20060825
35372,CPT,Rechanneling of artery,,,21 ,,RBRVS,17.97 ,8.06 ,8.06 ,,,,,1,0,1,1,1,1,20060825
35381,CPT,Rechanneling of artery,,,21 ,,RBRVS,15.79 ,7.83 ,7.83 ,,,,,1,0,1,1,1,1,20060825
35390,CPT,"Reoperation, carotid add-on",,,21 ,,RBRVS,3.19 ,1.06 ,1.06 ,,,,,1,0,1,1,1,1,20060825
35400,CPT,Angioscopy,,,21 ,,RBRVS,3.00 ,1.11 ,1.11 ,,,,,1,0,1,1,1,1,20060825
35450,CPT,Repair arterial blockage,,,21 ,,RBRVS,10.05 ,3.57 ,3.57 ,,,,,1,0,1,1,1,1,20060825
35452,CPT,Repair arterial blockage,,,21 ,,RBRVS,6.90 ,2.61 ,2.61 ,,,,,1,0,1,1,1,1,20060825
35454,CPT,Repair arterial blockage,,,21 ,,RBRVS,6.03 ,2.32 ,2.32 ,,,,,1,0,1,1,1,1,20060825
35456,CPT,Repair arterial blockage,,,21 ,,RBRVS,7.34 ,2.77 ,2.77 ,,,,,1,0,1,1,1,1,20060825
35458,CPT,Repair arterial blockage,,,21 ,,RBRVS,9.48 ,3.48 ,3.48 ,,,,,1,0,1,1,1,1,20060825
35459,CPT,Repair arterial blockage,,,21 ,,RBRVS,8.62 ,3.18 ,3.18 ,,,,,1,0,1,1,1,1,20060825
35460,CPT,Repair venous blockage,,,21 ,,RBRVS,6.03 ,2.28 ,2.28 ,,,,,1,0,1,1,1,1,20060825
35470,CPT,Repair arterial blockage,,,21 ,,RBRVS,8.62 ,3.36 ,89.12 ,,,,,1,0,1,1,1,1,20060825
35471,CPT,Repair arterial blockage,,,21 ,,RBRVS,10.05 ,3.96 ,100.55 ,,,,,1,0,1,1,1,1,20060825
35472,CPT,Repair arterial blockage,,,21 ,,RBRVS,6.90 ,2.75 ,64.54 ,,,,,1,0,1,1,1,1,20060825
35473,CPT,Repair arterial blockage,,,21 ,,RBRVS,6.03 ,2.43 ,60.01 ,,,,,1,0,1,1,1,1,20060825
35474,CPT,Repair arterial blockage,,,21 ,,RBRVS,7.35 ,2.90 ,87.98 ,,,,,1,0,1,1,1,1,20060825
35475,CPT,Repair arterial blockage,,,21 ,,RBRVS,9.48 ,3.57 ,56.26 ,,,,,1,0,1,1,1,1,20060825
35476,CPT,Repair venous blockage,,,21 ,,RBRVS,6.03 ,2.36 ,44.86 ,,,,,1,0,1,1,1,1,20060825
35480,CPT,"Atherectomy, open",,,21 ,,RBRVS,11.06 ,4.05 ,4.05 ,,,,,1,0,1,1,1,1,20060825
35481,CPT,"Atherectomy, open",,,21 ,,RBRVS,7.60 ,2.88 ,2.88 ,,,,,1,0,1,1,1,1,20060825
35482,CPT,"Atherectomy, open",,,21 ,,RBRVS,6.64 ,2.57 ,2.57 ,,,,,1,0,1,1,1,1,20060825
35483,CPT,"Atherectomy, open",,,21 ,,RBRVS,8.09 ,3.03 ,3.03 ,,,,,1,0,1,1,1,1,20060825
35484,CPT,"Atherectomy, open",,,21 ,,RBRVS,10.42 ,3.78 ,3.78 ,,,,,1,0,1,1,1,1,20060825
35485,CPT,"Atherectomy, open",,,21 ,,RBRVS,9.48 ,3.54 ,3.54 ,,,,,1,0,1,1,1,1,20060825
35490,CPT,"Atherectomy, percutaneous",,,21 ,,RBRVS,11.06 ,4.71 ,4.71 ,,,,,1,0,1,1,1,1,20060825
35491,CPT,"Atherectomy, percutaneous",,,21 ,,RBRVS,7.60 ,3.30 ,3.30 ,,,,,1,0,1,1,1,1,20060825
35492,CPT,"Atherectomy, percutaneous",,,21 ,,RBRVS,6.64 ,3.20 ,3.20 ,,,,,1,0,1,1,1,1,20060825
35493,CPT,"Atherectomy, percutaneous",,,21 ,,RBRVS,8.09 ,3.81 ,3.81 ,,,,,1,0,1,1,1,1,20060825
35494,CPT,"Atherectomy, percutaneous",,,21 ,,RBRVS,10.42 ,4.47 ,4.47 ,,,,,1,0,1,1,1,1,20060825
35495,CPT,"Atherectomy, percutaneous",,,21 ,,RBRVS,9.48 ,4.40 ,4.40 ,,,,,1,0,1,1,1,1,20060825
35500,CPT,Harvest vein for bypass,,,21 ,,RBRVS,6.44 ,2.03 ,2.03 ,,,,,1,0,1,1,1,1,20060825
35501,CPT,Artery bypass graft,,,21 ,,RBRVS,19.16 ,8.48 ,8.48 ,,,,,1,0,1,1,1,1,20060825
35506,CPT,Artery bypass graft,,,21 ,,RBRVS,19.64 ,9.49 ,9.49 ,,,,,1,0,1,1,1,1,20060825
35507,CPT,Artery bypass graft,,,21 ,,RBRVS,19.64 ,9.45 ,9.45 ,,,,,1,0,1,1,1,1,20060825
35508,CPT,Artery bypass graft,,,21 ,,RBRVS,18.62 ,9.47 ,9.47 ,,,,,1,0,1,1,1,1,20060825
35509,CPT,Artery bypass graft,,,21 ,,RBRVS,18.04 ,8.79 ,8.79 ,,,,,1,0,1,1,1,1,20060825
35510,CPT,Artery bypass graft,,,21 ,,RBRVS,22.97 ,10.20 ,10.20 ,,,,,1,0,1,1,1,1,20060825
35511,CPT,Artery bypass graft,,,21 ,,RBRVS,21.17 ,9.38 ,9.38 ,,,,,1,0,1,1,1,1,20060825
35512,CPT,Artery bypass graft,,,21 ,,RBRVS,22.47 ,10.03 ,10.03 ,,,,,1,0,1,1,1,1,20060825
35515,CPT,Artery bypass graft,,,21 ,,RBRVS,18.62 ,9.31 ,9.31 ,,,,,1,0,1,1,1,1,20060825
35516,CPT,Artery bypass graft,,,21 ,,RBRVS,16.30 ,6.82 ,6.82 ,,,,,1,0,1,1,1,1,20060825
35518,CPT,Artery bypass graft,,,21 ,,RBRVS,21.17 ,9.00 ,9.00 ,,,,,1,0,1,1,1,1,20060825
35521,CPT,Artery bypass graft,,,21 ,,RBRVS,22.17 ,9.86 ,9.86 ,,,,,1,0,1,1,1,1,20060825
35522,CPT,Artery bypass graft,,,21 ,,RBRVS,21.73 ,9.78 ,9.78 ,,,,,1,0,1,1,1,1,20060825
35525,CPT,Artery bypass graft,,,21 ,,RBRVS,20.60 ,9.40 ,9.40 ,,,,,1,0,1,1,1,1,20060825
35526,CPT,Artery bypass graft,,,21 ,,RBRVS,29.91 ,12.54 ,12.54 ,,,,,1,0,1,1,1,1,20060825
35531,CPT,Artery bypass graft,,,21 ,,RBRVS,36.15 ,14.51 ,14.51 ,,,,,1,0,1,1,1,1,20060825
35533,CPT,Artery bypass graft,,,21 ,,RBRVS,27.96 ,11.75 ,11.75 ,,,,,1,0,1,1,1,1,20060825
35536,CPT,Artery bypass graft,,,21 ,,RBRVS,31.65 ,12.98 ,12.98 ,,,,,1,0,1,1,1,1,20060825
35541,CPT,Artery bypass graft,,,21 ,,RBRVS,25.76 ,11.23 ,11.23 ,,,,,1,0,1,1,1,1,20060825
35546,CPT,Artery bypass graft,,,21 ,,RBRVS,25.50 ,10.89 ,10.89 ,,,,,1,0,1,1,1,1,20060825
35548,CPT,Artery bypass graft,,,21 ,,RBRVS,21.54 ,9.45 ,9.45 ,,,,,1,0,1,1,1,1,20060825
35549,CPT,Artery bypass graft,,,21 ,,RBRVS,23.31 ,10.40 ,10.40 ,,,,,1,0,1,1,1,1,20060825
35551,CPT,Artery bypass graft,,,21 ,,RBRVS,26.63 ,11.52 ,11.52 ,,,,,1,0,1,1,1,1,20060825
35556,CPT,Artery bypass graft,,,21 ,,RBRVS,21.73 ,9.75 ,9.75 ,,,,,1,0,1,1,1,1,20060825
35558,CPT,Artery bypass graft,,,21 ,,RBRVS,21.17 ,9.57 ,9.57 ,,,,,1,0,1,1,1,1,20060825
35560,CPT,Artery bypass graft,,,21 ,,RBRVS,31.95 ,13.35 ,13.35 ,,,,,1,0,1,1,1,1,20060825
35563,CPT,Artery bypass graft,,,21 ,,RBRVS,24.16 ,10.55 ,10.55 ,,,,,1,0,1,1,1,1,20060825
35565,CPT,Artery bypass graft,,,21 ,,RBRVS,23.17 ,10.16 ,10.16 ,,,,,1,0,1,1,1,1,20060825
35566,CPT,Artery bypass graft,,,21 ,,RBRVS,26.88 ,11.41 ,11.41 ,,,,,1,0,1,1,1,1,20060825
35571,CPT,Artery bypass graft,,,21 ,,RBRVS,24.02 ,10.87 ,10.87 ,,,,,1,0,1,1,1,1,20060825
35572,CPT,Harvest femoropopliteal vein,,,21 ,,RBRVS,6.81 ,2.25 ,2.25 ,,,,,1,0,1,1,1,1,20060825
35583,CPT,Vein bypass graft,,,21 ,,RBRVS,22.34 ,10.18 ,10.18 ,,,,,1,0,1,1,1,1,20060825
35585,CPT,Vein bypass graft,,,21 ,,RBRVS,28.35 ,12.25 ,12.25 ,,,,,1,0,1,1,1,1,20060825
35587,CPT,Vein bypass graft,,,21 ,,RBRVS,24.71 ,11.48 ,11.48 ,,,,,1,0,1,1,1,1,20060825
35600,CPT,Harvest artery for cabg,,,21 ,,RBRVS,4.94 ,1.62 ,1.62 ,,,,,1,0,1,1,1,1,20060825
35601,CPT,Artery bypass graft,,,21 ,,RBRVS,17.47 ,8.64 ,8.64 ,,,,,1,0,1,1,1,1,20060825
35606,CPT,Artery bypass graft,,,21 ,,RBRVS,18.68 ,9.04 ,9.04 ,,,,,1,0,1,1,1,1,20060825
35612,CPT,Artery bypass graft,,,21 ,,RBRVS,15.74 ,7.90 ,7.90 ,,,,,1,0,1,1,1,1,20060825
35616,CPT,Artery bypass graft,,,21 ,,RBRVS,15.68 ,8.12 ,8.12 ,,,,,1,0,1,1,1,1,20060825
35621,CPT,Artery bypass graft,,,21 ,,RBRVS,19.97 ,8.70 ,8.70 ,,,,,1,0,1,1,1,1,20060825
35623,CPT,"Bypass graft, not vein",,,21 ,,RBRVS,23.96 ,10.52 ,10.52 ,,,,,1,0,1,1,1,1,20060825
35626,CPT,Artery bypass graft,,,21 ,,RBRVS,27.71 ,12.00 ,12.00 ,,,,,1,0,1,1,1,1,20060825
35631,CPT,Artery bypass graft,,,21 ,,RBRVS,33.95 ,13.87 ,13.87 ,,,,,1,0,1,1,1,1,20060825
35636,CPT,Artery bypass graft,,,21 ,,RBRVS,29.46 ,12.33 ,12.33 ,,,,,1,0,1,1,1,1,20060825
35641,CPT,Artery bypass graft,,,21 ,,RBRVS,24.53 ,11.09 ,11.09 ,,,,,1,0,1,1,1,1,20060825
35642,CPT,Artery bypass graft,,,21 ,,RBRVS,17.95 ,8.71 ,8.71 ,,,,,1,0,1,1,1,1,20060825
35645,CPT,Artery bypass graft,,,21 ,,RBRVS,17.44 ,8.29 ,8.29 ,,,,,1,0,1,1,1,1,20060825
35646,CPT,Artery bypass graft,,,21 ,,RBRVS,30.95 ,13.14 ,13.14 ,,,,,1,0,1,1,1,1,20060825
35647,CPT,Artery bypass graft,,,21 ,,RBRVS,27.96 ,11.80 ,11.80 ,,,,,1,0,1,1,1,1,20060825
35650,CPT,Artery bypass graft,,,21 ,,RBRVS,18.97 ,8.38 ,8.38 ,,,,,1,0,1,1,1,1,20060825
35651,CPT,Artery bypass graft,,,21 ,,RBRVS,25.00 ,10.75 ,10.75 ,,,,,1,0,1,1,1,1,20060825
35654,CPT,Artery bypass graft,,,21 ,,RBRVS,24.96 ,10.68 ,10.68 ,,,,,1,0,1,1,1,1,20060825
35656,CPT,Artery bypass graft,,,21 ,,RBRVS,19.50 ,8.62 ,8.62 ,,,,,1,0,1,1,1,1,20060825
35661,CPT,Artery bypass graft,,,21 ,,RBRVS,18.97 ,8.95 ,8.95 ,,,,,1,0,1,1,1,1,20060825
35663,CPT,Artery bypass graft,,,21 ,,RBRVS,21.97 ,10.00 ,10.00 ,,,,,1,0,1,1,1,1,20060825
35665,CPT,Artery bypass graft,,,21 ,,RBRVS,20.97 ,9.47 ,9.47 ,,,,,1,0,1,1,1,1,20060825
35666,CPT,Artery bypass graft,,,21 ,,RBRVS,22.16 ,10.67 ,10.67 ,,,,,1,0,1,1,1,1,20060825
35671,CPT,Artery bypass graft,,,21 ,,RBRVS,19.30 ,9.39 ,9.39 ,,,,,1,0,1,1,1,1,20060825
35681,CPT,Composite bypass graft,,,21 ,,RBRVS,1.60 ,0.53 ,0.53 ,,,,,1,0,1,1,1,1,20060825
35682,CPT,Composite bypass graft,,,21 ,,RBRVS,7.19 ,2.39 ,2.39 ,,,,,1,0,1,1,1,1,20060825
35683,CPT,Composite bypass graft,,,21 ,,RBRVS,8.49 ,2.83 ,2.83 ,,,,,1,0,1,1,1,1,20060825
35685,CPT,Bypass graft patency/patch,,,21 ,,RBRVS,4.04 ,1.35 ,1.35 ,,,,,1,0,1,1,1,1,20060825
35686,CPT,Bypass graft/av fist patency,,,21 ,,RBRVS,3.34 ,1.13 ,1.13 ,,,,,1,0,1,1,1,1,20060825
35691,CPT,Arterial transposition,,,21 ,,RBRVS,18.02 ,8.42 ,8.42 ,,,,,1,0,1,1,1,1,20060825
35693,CPT,Arterial transposition,,,21 ,,RBRVS,15.34 ,7.74 ,7.74 ,,,,,1,0,1,1,1,1,20060825
35694,CPT,Arterial transposition,,,21 ,,RBRVS,19.13 ,8.62 ,8.62 ,,,,,1,0,1,1,1,1,20060825
35695,CPT,Arterial transposition,,,21 ,,RBRVS,19.13 ,8.57 ,8.57 ,,,,,1,0,1,1,1,1,20060825
35697,CPT,Reimplant artery each,,,21 ,,RBRVS,3.00 ,1.02 ,1.02 ,,,,,1,0,1,1,1,1,20060825
35700,CPT,"Reoperation, bypass graft",,,21 ,,RBRVS,3.08 ,1.02 ,1.02 ,,,,,1,0,1,1,1,1,20060825
35701,CPT,"Exploration, carotid artery",,,21 ,,RBRVS,8.49 ,5.16 ,5.16 ,,,,,1,0,1,1,1,1,20060825
35721,CPT,"Exploration, femoral artery",,,21 ,,RBRVS,7.17 ,4.44 ,4.44 ,,,,,1,0,1,1,1,1,20060825
35741,CPT,Exploration popliteal artery,,,21 ,,RBRVS,7.99 ,4.67 ,4.67 ,,,,,1,0,1,1,1,1,20060825
35761,CPT,Exploration of artery/vein,,,21 ,,RBRVS,5.36 ,4.02 ,4.02 ,,,,,1,0,1,1,1,1,20060825
35800,CPT,Explore neck vessels,,,21 ,,RBRVS,7.01 ,4.66 ,4.66 ,,,,,1,0,1,1,1,1,20060825
35820,CPT,Explore chest vessels,,,21 ,,RBRVS,12.86 ,7.22 ,7.22 ,,,,,1,0,1,1,1,1,20060825
35840,CPT,Explore abdominal vessels,,,21 ,,RBRVS,9.76 ,5.30 ,5.30 ,,,,,1,0,1,1,1,1,20060825
35860,CPT,Explore limb vessels,,,21 ,,RBRVS,5.54 ,4.04 ,4.04 ,,,,,1,0,1,1,1,1,20060825
35870,CPT,Repair vessel graft defect,,,21 ,,RBRVS,22.14 ,9.79 ,9.79 ,,,,,1,0,1,1,1,1,20060825
35875,CPT,Removal of clot in graft,,,21 ,,RBRVS,10.11 ,5.20 ,5.20 ,,,,,1,0,1,1,1,1,20060825
35876,CPT,Removal of clot in graft,,,21 ,,RBRVS,16.97 ,7.53 ,7.53 ,,,,,1,0,1,1,1,1,20060825
35879,CPT,Revise graft w/vein,,,21 ,,RBRVS,15.98 ,7.71 ,7.71 ,,,,,1,0,1,1,1,1,20060825
35881,CPT,Revise graft w/vein,,,21 ,,RBRVS,17.97 ,8.69 ,8.69 ,,,,,1,0,1,1,1,1,20060825
35901,CPT,"Excision, graft, neck",,,21 ,,RBRVS,8.18 ,5.32 ,5.32 ,,,,,1,0,1,1,1,1,20060825
35903,CPT,"Excision, graft, extremity",,,21 ,,RBRVS,9.38 ,6.17 ,6.17 ,,,,,1,0,1,1,1,1,20060825
35905,CPT,"Excision, graft, thorax",,,21 ,,RBRVS,31.20 ,13.22 ,13.22 ,,,,,1,0,1,1,1,1,20060825
35907,CPT,"Excision, graft, abdomen",,,21 ,,RBRVS,34.95 ,14.20 ,14.20 ,,,,,1,0,1,1,1,1,20060825
36000,CPT,Place needle in vein,,,21 ,,RBRVS,0.18 ,0.05 ,0.57 ,,,,,1,0,1,1,1,1,20060825
36002,CPT,Pseudoaneurysm injection trt,,,21 ,,RBRVS,1.96 ,0.97 ,2.87 ,,,,,1,0,1,1,1,1,20060825
36005,CPT,Injection ext venography,,,21 ,,RBRVS,0.95 ,0.31 ,7.67 ,,,,,1,0,1,1,1,1,20060825
36010,CPT,Place catheter in vein,,,21 ,,RBRVS,2.43 ,0.79 ,19.36 ,,,,,1,0,1,1,1,1,20060825
36011,CPT,Place catheter in vein,,,21 ,,RBRVS,3.14 ,1.06 ,27.90 ,,,,,1,0,1,1,1,1,20060825
36012,CPT,Place catheter in vein,,,21 ,,RBRVS,3.51 ,1.19 ,19.00 ,,,,,1,0,1,1,1,1,20060825
36013,CPT,Place catheter in artery,,,21 ,,RBRVS,2.52 ,0.69 ,21.42 ,,,,,1,0,1,1,1,1,20060825
36014,CPT,Place catheter in artery,,,21 ,,RBRVS,3.02 ,1.03 ,20.18 ,,,,,1,0,1,1,1,1,20060825
36015,CPT,Place catheter in artery,,,21 ,,RBRVS,3.51 ,1.19 ,23.73 ,,,,,1,0,1,1,1,1,20060825
36100,CPT,Establish access to artery,,,21 ,,RBRVS,3.02 ,1.11 ,12.11 ,,,,,1,0,1,1,1,1,20060825
36120,CPT,Establish access to artery,,,21 ,,RBRVS,2.01 ,0.65 ,10.73 ,,,,,1,0,1,1,1,1,20060825
36140,CPT,Establish access to artery,,,21 ,,RBRVS,2.01 ,0.64 ,12.81 ,,,,,1,0,1,1,1,1,20060825
36145,CPT,Artery to vein shunt,,,21 ,,RBRVS,2.01 ,0.66 ,12.59 ,,,,,1,0,1,1,1,1,20060825
36160,CPT,Establish access to aorta,,,21 ,,RBRVS,2.52 ,0.84 ,13.52 ,,,,,1,0,1,1,1,1,20060825
36200,CPT,Place catheter in aorta,,,21 ,,RBRVS,3.02 ,1.01 ,16.56 ,,,,,1,0,1,1,1,1,20060825
36215,CPT,Place catheter in artery,,,21 ,,RBRVS,4.67 ,1.61 ,27.11 ,,,,,1,0,1,1,1,1,20060825
36216,CPT,Place catheter in artery,,,21 ,,RBRVS,5.27 ,1.80 ,29.16 ,,,,,1,0,1,1,1,1,20060825
36217,CPT,Place catheter in artery,,,21 ,,RBRVS,6.29 ,2.18 ,55.60 ,,,,,1,0,1,1,1,1,20060825
36218,CPT,Place catheter in artery,,,21 ,,RBRVS,1.01 ,0.34 ,5.10 ,,,,,1,0,1,1,1,1,20060825
36245,CPT,Place catheter in artery,,,21 ,,RBRVS,4.67 ,1.68 ,32.18 ,,,,,1,0,1,1,1,1,20060825
36246,CPT,Place catheter in artery,,,21 ,,RBRVS,5.27 ,1.83 ,30.05 ,,,,,1,0,1,1,1,1,20060825
36247,CPT,Place catheter in artery,,,21 ,,RBRVS,6.29 ,2.15 ,49.65 ,,,,,1,0,1,1,1,1,20060825
36248,CPT,Place catheter in artery,,,21 ,,RBRVS,1.01 ,0.34 ,4.05 ,,,,,1,0,1,1,1,1,20060825
36260,CPT,Insertion of infusion pump,,,21 ,,RBRVS,9.70 ,4.89 ,4.89 ,,,,,1,0,1,1,1,1,20060825
36261,CPT,Revision of infusion pump,,,21 ,,RBRVS,5.44 ,3.67 ,3.67 ,,,,,1,0,1,1,1,1,20060825
36262,CPT,Removal of infusion pump,,,21 ,,RBRVS,4.01 ,2.76 ,2.76 ,,,,,1,0,1,1,1,1,20060825
36299,CPT,Vessel injection procedure,,,21 ,,TotalUnits,,,,4.04 ,,,,1,0,1,1,1,1,20060825
36400,CPT,Bl draw < 3 yrs fem/jugular,,,21 ,2,RBRVS,0.38 ,0.09 ,0.28 ,,,,,1,1,1,0,1,1,20060825
36405,CPT,Bl draw < 3 yrs scalp vein,,,21 ,2,RBRVS,0.31 ,0.08 ,0.26 ,,,,,1,1,1,0,1,1,20060825
36406,CPT,Bl draw < 3 yrs other vein,,,21 ,2,RBRVS,0.18 ,0.05 ,0.28 ,,,,,1,1,1,0,1,1,20060825
36410,CPT,Non-routine bl draw > 3 yrs,,,21 ,2,RBRVS,0.18 ,0.05 ,0.29 ,,,,,1,1,1,0,1,1,20060825
36415,CPT,Routine venipuncture,,,14 ,,TotalUnits,,,,0.19 ,,,,1,1,1,0,1,1,20060825
36416,CPT,Capillary blood draw,,,14 ,,TotalUnits,,,,0.19 ,,,,1,1,1,0,1,1,20060825
36420,CPT,Vein access cutdown < 1 yr,,,21 ,,RBRVS,1.01 ,0.27 ,0.34 ,,,,,1,1,1,0,1,1,20060825
36425,CPT,Vein access cutdown > 1 yr,,,21 ,,RBRVS,0.76 ,0.22 ,0.22 ,,,,,1,1,1,0,1,1,20060825
36430,CPT,Blood transfusion service,,,21 ,,RBRVS,0.00 ,1.01 ,1.01 ,,,,,1,1,1,0,1,1,20060825
36440,CPT,"Bl push transfuse, 2 yr or <",,,21 ,,RBRVS,1.03 ,0.29 ,0.29 ,,,,,1,1,1,0,1,1,20060825
36450,CPT,"Bl exchange/transfuse, nb",,,21 ,,RBRVS,2.23 ,0.71 ,0.71 ,,,,,1,1,1,0,1,1,20060825
36455,CPT,Bl exchange/transfuse non-nb,,,21 ,,RBRVS,2.43 ,1.01 ,1.01 ,,,,,1,1,1,0,1,1,20060825
36460,CPT,"Transfusion service, fetal",,,21 ,,RBRVS,6.58 ,2.25 ,2.25 ,,,,,1,1,1,0,1,1,20060825
36468,CPT,"Injection(s), spider veins",,,21 ,,TotalUnits,,,,1.97 ,,,,1,0,1,1,1,1,20060825
36469,CPT,"Injection(s), spider veins",,,21 ,,TotalUnits,,,,2.10 ,,,,1,0,1,1,1,1,20060825
36470,CPT,Injection therapy of vein,,,21 ,,RBRVS,1.09 ,0.73 ,2.69 ,,,,,1,0,1,1,1,1,20060825
36471,CPT,Injection therapy of veins,,,21 ,,RBRVS,1.57 ,0.96 ,3.08 ,,,,,1,0,1,1,1,1,20060825
36475,CPT,"Endovenous rf, 1st vein",,,21 ,,RBRVS,6.72 ,2.54 ,51.54 ,,,,,1,0,1,1,1,1,20060825
36476,CPT,"Endovenous rf, vein add-on",,,21 ,,RBRVS,3.38 ,1.14 ,7.90 ,,,,,1,0,1,1,1,1,20060825
36478,CPT,"Endovenous laser, 1st vein",,,21 ,,RBRVS,6.72 ,2.54 ,46.91 ,,,,,1,0,1,1,1,1,20060825
36479,CPT,Endovenous laser vein addon,,,21 ,,RBRVS,3.38 ,1.14 ,8.01 ,,,,,1,0,1,1,1,1,20060825
36481,CPT,"Insertion of catheter, vein",,,21 ,,RBRVS,6.98 ,2.60 ,5.75 ,,,,,1,0,1,1,1,1,20060825
36500,CPT,"Insertion of catheter, vein",,,21 ,,RBRVS,3.51 ,1.37 ,1.37 ,,,,,1,0,1,1,1,1,20060825
36510,CPT,"Insertion of catheter, vein",,,21 ,,RBRVS,1.09 ,0.61 ,3.90 ,,,,,1,0,1,1,1,1,20060825
36511,CPT,Apheresis wbc,,,21 ,,RBRVS,1.74 ,0.73 ,0.73 ,,,,,1,1,1,0,1,1,20060825
36512,CPT,Apheresis rbc,,,21 ,,RBRVS,1.74 ,0.74 ,0.74 ,,,,,1,1,1,0,1,1,20060825
36513,CPT,Apheresis platelets,,,21 ,,RBRVS,1.74 ,0.73 ,0.73 ,,,,,1,1,1,0,1,1,20060825
36514,CPT,Apheresis plasma,,,21 ,,RBRVS,1.74 ,0.71 ,17.02 ,,,,,1,1,1,0,1,1,20060825
36515,CPT,"Apheresis, adsorp/reinfuse",,,21 ,,RBRVS,1.74 ,0.66 ,66.49 ,,,,,1,1,1,0,1,1,20060825
36516,CPT,"Apheresis, selective",,,21 ,,RBRVS,1.22 ,0.48 ,84.29 ,,,,,1,1,1,0,1,1,20060825
36522,CPT,Photopheresis,,,21 ,,RBRVS,1.67 ,0.96 ,32.46 ,,,,,1,1,1,0,1,1,20060825
36540,CPT,Collect blood venous device,,,21 ,2,TotalUnits,,,,0.48 ,,,,1,1,1,0,1,1,20060825
36550,CPT,Declot vascular device,,,21 ,,RBRVS,0.00 ,0.39 ,0.39 ,,,,,1,1,1,0,1,1,20060825
36555,CPT,Insert non-tunnel cv cath,,,21 ,,RBRVS,2.68 ,0.80 ,5.77 ,,,,,1,0,1,1,1,1,20060825
36556,CPT,Insert non-tunnel cv cath,,,21 ,,RBRVS,2.50 ,0.74 ,5.64 ,,,,,1,0,1,1,1,1,20060825
36557,CPT,Insert tunneled cv cath,,,21 ,,RBRVS,5.09 ,2.66 ,21.20 ,,,,,1,0,1,1,1,1,20060825
36558,CPT,Insert tunneled cv cath,,,21 ,,RBRVS,4.79 ,2.56 ,21.10 ,,,,,1,0,1,1,1,1,20060825
36560,CPT,Insert tunneled cv cath,,,21 ,,RBRVS,6.24 ,3.04 ,29.76 ,,,,,1,0,1,1,1,1,20060825
36561,CPT,Insert tunneled cv cath,,,21 ,,RBRVS,5.99 ,2.96 ,29.67 ,,,,,1,0,1,1,1,1,20060825
36563,CPT,Insert tunneled cv cath,,,21 ,,RBRVS,6.19 ,2.99 ,26.82 ,,,,,1,0,1,1,1,1,20060825
36565,CPT,Insert tunneled cv cath,,,21 ,,RBRVS,5.99 ,2.96 ,24.77 ,,,,,1,0,1,1,1,1,20060825
36566,CPT,Insert tunneled cv cath,,,21 ,,RBRVS,6.49 ,3.12 ,25.57 ,,,,,1,0,1,1,1,1,20060825
36568,CPT,Insert tunneled cv cath,,,21 ,,RBRVS,1.92 ,0.58 ,7.55 ,,,,,1,0,1,1,1,1,20060825
36569,CPT,Insert tunneled cv cath,,,21 ,,RBRVS,1.82 ,0.57 ,7.36 ,,,,,1,0,1,1,1,1,20060825
36570,CPT,Insert tunneled cv cath,,,21 ,,RBRVS,5.31 ,2.73 ,33.27 ,,,,,1,0,1,1,1,1,20060825
36571,CPT,Insert tunneled cv cath,,,21 ,,RBRVS,5.29 ,2.72 ,33.34 ,,,,,1,0,1,1,1,1,20060825
36575,CPT,Repair tunneled cv cath,,,21 ,,RBRVS,0.67 ,0.26 ,4.06 ,,,,,1,0,1,1,1,1,20060825
36576,CPT,Repair tunneled cv cath,,,21 ,,RBRVS,3.19 ,1.85 ,6.96 ,,,,,1,0,1,1,1,1,20060825
36578,CPT,Replace tunneled cv cath,,,21 ,,RBRVS,3.49 ,2.31 ,11.16 ,,,,,1,0,1,1,1,1,20060825
36580,CPT,Replace tunneled cv cath,,,21 ,,RBRVS,1.31 ,0.41 ,6.96 ,,,,,1,0,1,1,1,1,20060825
36581,CPT,Replace tunneled cv cath,,,21 ,,RBRVS,3.43 ,1.93 ,19.55 ,,,,,1,0,1,1,1,1,20060825
36582,CPT,Replace tunneled cv cath,,,21 ,,RBRVS,5.19 ,2.87 ,26.09 ,,,,,1,0,1,1,1,1,20060825
36583,CPT,Replace tunneled cv cath,,,21 ,,RBRVS,5.24 ,2.89 ,26.11 ,,,,,1,0,1,1,1,1,20060825
36584,CPT,Replace tunneled cv cath,,,21 ,,RBRVS,1.20 ,0.55 ,6.99 ,,,,,1,0,1,1,1,1,20060825
36585,CPT,Replace tunneled cv cath,,,21 ,,RBRVS,4.79 ,2.74 ,27.90 ,,,,,1,0,1,1,1,1,20060825
36589,CPT,Removal tunneled cv cath,,,21 ,,RBRVS,2.27 ,1.39 ,2.25 ,,,,,1,0,1,1,1,1,20060825
36590,CPT,Removal tunneled cv cath,,,21 ,,RBRVS,3.30 ,1.72 ,3.38 ,,,,,1,0,1,1,1,1,20060825
36595,CPT,Mech remov tunneled cv cath,,,21 ,,RBRVS,3.59 ,1.45 ,17.30 ,,,,,1,0,1,1,1,1,20060825
36596,CPT,Mech remov tunneled cv cath,,,21 ,,RBRVS,0.75 ,0.50 ,3.70 ,,,,,1,0,1,1,1,1,20060825
36597,CPT,Reposition venous catheter,,,21 ,,RBRVS,1.21 ,0.44 ,2.41 ,,,,,1,0,1,1,1,1,20060825
36598,CPT,"Inj w/fluor, eval cv device",,,21 ,,RBRVS,0.74 ,2.65 ,2.65 ,,,,,1,0,1,1,1,1,20060825
36600,CPT,Withdrawal of arterial blood,,,21 ,,RBRVS,0.32 ,0.09 ,0.49 ,,,,,1,0,1,1,1,1,20060825
36620,CPT,"Insertion catheter, artery",,,21 ,,RBRVS,1.15 ,0.23 ,0.23 ,,,,,1,0,1,1,1,1,20060825
36625,CPT,"Insertion catheter, artery",,,21 ,,RBRVS,2.11 ,0.53 ,0.53 ,,,,,1,0,1,1,1,1,20060825
36640,CPT,"Insertion catheter, artery",,,21 ,,RBRVS,2.10 ,1.04 ,1.04 ,,,,,1,0,1,1,1,1,20060825
36660,CPT,"Insertion catheter, artery",,,21 ,,RBRVS,1.40 ,0.44 ,0.44 ,,,,,1,0,1,1,1,1,20060825
36680,CPT,"Insert needle, bone cavity",,,21 ,,RBRVS,1.20 ,0.49 ,0.49 ,,,,,1,0,1,1,1,1,20060825
36800,CPT,Insertion of cannula,,,21 ,,RBRVS,2.43 ,1.81 ,1.81 ,,,,,1,0,1,1,1,1,20060825
36810,CPT,Insertion of cannula,,,21 ,,RBRVS,3.96 ,1.68 ,1.68 ,,,,,1,0,1,1,1,1,20060825
36815,CPT,Insertion of cannula,,,21 ,,RBRVS,2.62 ,1.17 ,1.17 ,,,,,1,0,1,1,1,1,20060825
36818,CPT,"Av fuse, uppr arm, cephalic",,,21 ,,RBRVS,11.52 ,6.05 ,6.05 ,,,,,1,0,1,1,1,1,20060825
36819,CPT,Av fusion/uppr arm vein,,,21 ,,RBRVS,13.98 ,6.39 ,6.39 ,,,,,1,0,1,1,1,1,20060825
36820,CPT,Av fusion/forearm vein,,,21 ,,RBRVS,13.98 ,6.40 ,6.40 ,,,,,1,0,1,1,1,1,20060825
36821,CPT,Av fusion direct any site,,,21 ,,RBRVS,8.92 ,4.66 ,4.66 ,,,,,1,0,1,1,1,1,20060825
36822,CPT,Insertion of cannula(s),,,21 ,,RBRVS,5.41 ,4.39 ,4.39 ,,,,,1,0,1,1,1,1,20060825
36823,CPT,Insertion of cannula(s),,,21 ,,RBRVS,20.97 ,9.40 ,9.40 ,,,,,1,0,1,1,1,1,20060825
36825,CPT,Artery-vein autograft,,,21 ,,RBRVS,9.83 ,5.06 ,5.06 ,,,,,1,0,1,1,1,1,20060825
36830,CPT,Artery-vein nonautograft,,,21 ,,RBRVS,11.98 ,5.25 ,5.25 ,,,,,1,0,1,1,1,1,20060825
36831,CPT,Open thrombect av fistula,,,21 ,,RBRVS,7.99 ,3.95 ,3.95 ,,,,,1,0,1,1,1,1,20060825
36832,CPT,"Av fistula revision, open",,,21 ,,RBRVS,10.48 ,4.73 ,4.73 ,,,,,1,0,1,1,1,1,20060825
36833,CPT,Av fistula revision,,,21 ,,RBRVS,11.93 ,5.22 ,5.22 ,,,,,1,0,1,1,1,1,20060825
36834,CPT,Repair A-V aneurysm,,,21 ,,RBRVS,9.92 ,4.80 ,4.80 ,,,,,1,0,1,1,1,1,20060825
36835,CPT,Artery to vein shunt,,,21 ,,RBRVS,7.14 ,4.33 ,4.33 ,,,,,1,0,1,1,1,1,20060825
36838,CPT,"Dist revas ligation, hemo",,,21 ,,RBRVS,20.60 ,9.41 ,9.41 ,,,,,1,0,1,1,1,1,20060825
36860,CPT,External cannula declotting,,,21 ,,RBRVS,2.01 ,0.68 ,1.78 ,,,,,1,0,1,1,1,1,20060825
36861,CPT,Cannula declotting,,,21 ,,RBRVS,2.52 ,1.49 ,1.49 ,,,,,1,0,1,1,1,1,20060825
36870,CPT,Percut thrombect av fistula,,,21 ,,RBRVS,5.15 ,3.16 ,53.18 ,,,,,1,0,1,1,1,1,20060825
37140,CPT,Revision of circulation,,,21 ,,RBRVS,23.56 ,10.51 ,10.51 ,,,,,1,0,1,1,1,1,20060825
37145,CPT,Revision of circulation,,,21 ,,RBRVS,24.57 ,10.89 ,10.89 ,,,,,1,0,1,1,1,1,20060825
37160,CPT,Revision of circulation,,,21 ,,RBRVS,21.57 ,9.28 ,9.28 ,,,,,1,0,1,1,1,1,20060825
37180,CPT,Revision of circulation,,,21 ,,RBRVS,24.57 ,10.32 ,10.32 ,,,,,1,0,1,1,1,1,20060825
37181,CPT,Splice spleen/kidney veins,,,21 ,,RBRVS,26.64 ,11.03 ,11.03 ,,,,,1,0,1,1,1,1,20060825
37182,CPT,Insert hepatic shunt (tips),,,21 ,,RBRVS,16.97 ,6.08 ,6.08 ,,,,,1,0,1,1,1,1,20060825
37183,CPT,Remove hepatic shunt (tips),,,21 ,,RBRVS,7.99 ,3.02 ,3.02 ,,,,,1,0,1,1,1,1,20060825
37184,CPT,Prim art mech thrombectomy,,,21 ,,RBRVS,8.66 ,3.36 ,71.90 ,,,,,1,0,1,1,1,1,20060825
37185,CPT,Prim art m-thrombect add-on,,,21 ,,RBRVS,3.28 ,1.11 ,22.95 ,,,,,1,0,1,1,1,1,20060825
37186,CPT,Sec art m-thrombect add-on,,,21 ,,RBRVS,4.92 ,1.66 ,49.53 ,,,,,1,0,1,1,1,1,20060825
37187,CPT,Venous mech thrombectomy,,,21 ,,RBRVS,8.03 ,3.15 ,70.38 ,,,,,1,0,1,1,1,1,20060825
37188,CPT,Venous m-thrombectomy add-on,,,21 ,,RBRVS,5.71 ,2.37 ,62.15 ,,,,,1,0,1,1,1,1,20060825
37195,CPT,"Thrombolytic therapy, stroke",,,21 ,,RBRVS,4.99 ,2.55 ,2.55 ,,,,,1,0,1,1,1,1,20060825
37200,CPT,Transcatheter biopsy,,,21 ,,RBRVS,4.55 ,1.50 ,1.50 ,,,,,1,0,1,1,1,1,20060825
37201,CPT,Transcatheter therapy infuse,,,21 ,,RBRVS,4.99 ,2.55 ,2.55 ,,,,,1,0,1,1,1,1,20060825
37202,CPT,Transcatheter therapy infuse,,,21 ,,RBRVS,5.67 ,3.04 ,3.04 ,,,,,1,0,1,1,1,1,20060825
37203,CPT,Transcatheter retrieval,,,21 ,,RBRVS,5.02 ,2.04 ,32.97 ,,,,,1,0,1,1,1,1,20060825
37204,CPT,Transcatheter occlusion,,,21 ,,RBRVS,18.11 ,5.92 ,5.92 ,,,,,1,0,1,1,1,1,20060825
37205,CPT,Transcatheter stent,,,21 ,,RBRVS,8.27 ,3.76 ,3.76 ,,,,,1,0,1,1,1,1,20060825
37206,CPT,Transcatheter stent add-on,,,21 ,,RBRVS,4.12 ,1.43 ,1.43 ,,,,,1,0,1,1,1,1,20060825
37207,CPT,Transcatheter stent,,,21 ,,RBRVS,8.27 ,3.17 ,3.17 ,,,,,1,0,1,1,1,1,20060825
37208,CPT,Transcatheter stent add-on,,,21 ,,RBRVS,4.12 ,1.38 ,1.38 ,,,,,1,0,1,1,1,1,20060825
37209,CPT,Exchange arterial catheter,,,21 ,,RBRVS,2.27 ,0.74 ,0.74 ,,,,,1,0,1,1,1,1,20060825
37215,CPT,"Transcath stent, cca w/eps",,,21 ,,RBRVS,18.71 ,9.12 ,9.12 ,,,,,1,0,0,1,1,1,20060825
37216,CPT,"Transcath stent, cca w/o eps",,,21 ,,RBRVS,17.98 ,8.84 ,8.84 ,,,,,1,0,0,1,1,1,20060825
37250,CPT,Iv us first vessel add-on,,,21 ,,RBRVS,2.10 ,0.75 ,0.75 ,,,,,1,0,1,1,1,1,20060825
37251,CPT,Iv us each add vessel add-on,,,21 ,,RBRVS,1.60 ,0.55 ,0.55 ,,,,,1,0,1,1,1,1,20060825
37500,CPT,Endoscopy ligate perf veins,,,21 ,,RBRVS,10.98 ,6.87 ,6.87 ,,,,,1,0,1,1,1,1,20060825
37501,CPT,Vascular endoscopy procedure,,,21 ,,TotalUnits,,,,18.10 ,,,,1,0,1,1,1,1,20060825
37565,CPT,Ligation of neck vein,,,21 ,,RBRVS,10.86 ,5.64 ,5.64 ,,,,,1,0,1,1,1,1,20060825
37600,CPT,Ligation of neck artery,,,21 ,,RBRVS,11.23 ,6.65 ,6.65 ,,,,,1,0,1,1,1,1,20060825
37605,CPT,Ligation of neck artery,,,21 ,,RBRVS,13.09 ,6.92 ,6.92 ,,,,,1,0,1,1,1,1,20060825
37606,CPT,Ligation of neck artery,,,21 ,,RBRVS,6.27 ,4.57 ,4.57 ,,,,,1,0,1,1,1,1,20060825
37607,CPT,Ligation of a-v fistula,,,21 ,,RBRVS,6.15 ,3.57 ,3.57 ,,,,,1,0,1,1,1,1,20060825
37609,CPT,Temporal artery procedure,,,21 ,,RBRVS,3.00 ,1.97 ,4.51 ,,,,,1,0,1,1,1,1,20060825
37615,CPT,Ligation of neck artery,,,21 ,,RBRVS,5.72 ,4.12 ,4.12 ,,,,,1,0,1,1,1,1,20060825
37616,CPT,Ligation of chest artery,,,21 ,,RBRVS,16.47 ,8.10 ,8.10 ,,,,,1,0,1,1,1,1,20060825
37617,CPT,Ligation of abdomen artery,,,21 ,,RBRVS,22.03 ,9.20 ,9.20 ,,,,,1,0,1,1,1,1,20060825
37618,CPT,Ligation of extremity artery,,,21 ,,RBRVS,4.83 ,3.62 ,3.62 ,,,,,1,0,1,1,1,1,20060825
37620,CPT,Revision of major vein,,,21 ,,RBRVS,10.54 ,5.73 ,5.73 ,,,,,1,0,1,1,1,1,20060825
37650,CPT,Revision of major vein,,,21 ,,RBRVS,7.79 ,4.69 ,4.69 ,,,,,1,0,1,1,1,1,20060825
37660,CPT,Revision of major vein,,,21 ,,RBRVS,20.97 ,9.08 ,9.08 ,,,,,1,0,1,1,1,1,20060825
37700,CPT,Revise leg vein,,,21 ,,RBRVS,3.72 ,2.80 ,2.80 ,,,,,1,0,1,1,1,1,20060825
37718,CPT,Ligate/strip short leg vein,,,21 ,,RBRVS,6.76 ,4.07 ,4.07 ,,,,,1,0,1,1,1,1,20060825
37722,CPT,Ligate/strip long leg vein,,,21 ,,RBRVS,7.79 ,4.42 ,4.42 ,,,,,1,0,1,1,1,1,20060825
37735,CPT,Removal of leg veins/lesion,,,21 ,,RBRVS,10.51 ,5.52 ,5.52 ,,,,,1,0,1,1,1,1,20060825
37760,CPT,"Ligation, leg veins, open",,,21 ,,RBRVS,10.45 ,5.36 ,5.36 ,,,,,1,0,1,1,1,1,20060825
37765,CPT,Phleb veins - extrem - to 20,,,21 ,,RBRVS,7.34 ,4.63 ,4.63 ,,,,,1,0,1,1,1,1,20060825
37766,CPT,Phleb veins - extrem 20+,,,21 ,,RBRVS,9.29 ,5.34 ,5.34 ,,,,,1,0,1,1,1,1,20060825
37780,CPT,Revision of leg vein,,,21 ,,RBRVS,3.83 ,2.86 ,2.86 ,,,,,1,0,1,1,1,1,20060825
37785,CPT,Revise secondary varicosity,,,21 ,,RBRVS,3.83 ,2.73 ,5.21 ,,,,,1,0,1,1,1,1,20060825
37788,CPT,"Revascularization, penis",,,21 ,,RBRVS,21.98 ,9.11 ,9.11 ,,,,,1,0,1,1,1,1,20060825
37790,CPT,Penile venous occlusion,,,21 ,,RBRVS,8.33 ,4.38 ,4.38 ,,,,,1,0,1,1,1,1,20060825
37799,CPT,Vascular surgery procedure,,,21 ,,TotalUnits,,,,0.11 ,,,,1,0,1,1,1,1,20060825
38100,CPT,"Removal of spleen, total",,,21 ,,RBRVS,14.48 ,6.19 ,6.19 ,,,,,1,0,1,1,1,1,20060825
38101,CPT,"Removal of spleen, partial",,,21 ,,RBRVS,15.29 ,6.54 ,6.54 ,,,,,1,0,1,1,1,1,20060825
38102,CPT,"Removal of spleen, total",,,21 ,,RBRVS,4.79 ,1.64 ,1.64 ,,,,,1,0,1,1,1,1,20060825
38115,CPT,Repair of ruptured spleen,,,21 ,,RBRVS,15.80 ,6.66 ,6.66 ,,,,,1,0,1,1,1,1,20060825
38120,CPT,"Laparoscopy, splenectomy",,,21 ,,RBRVS,16.97 ,7.40 ,7.40 ,,,,,1,0,1,1,1,1,20060825
38129,CPT,"Laparoscope proc, spleen",,,21 ,,TotalUnits,,,,24.40 ,,,,1,0,1,1,1,1,20060825
38200,CPT,Injection for spleen x-ray,,,21 ,,RBRVS,2.64 ,0.89 ,0.89 ,,,,,1,0,1,1,1,1,20060825
38204,CPT,MGMT RECIP HEM PROGNATOR CELLS DONR SEARCH&ACQN,,,28 ,,NW,,,,,,$132.94,,1,0,1,1,1,1,20060825
38205,CPT,Harvest allogenic stem cells,,,21 ,,RBRVS,1.50 ,0.67 ,0.67 ,,,,,1,0,1,1,1,1,20060825
38206,CPT,Harvest auto stem cells,,,21 ,,RBRVS,1.50 ,0.67 ,0.67 ,,,,,1,0,1,1,1,1,20060825
38207,CPT,Cryopreserve stem cells,,,21 ,,TotalUnits,,,,1.75 ,,,,1,1,1,0,1,1,20060825
38208,CPT,Thaw preserved stem cells,,,21 ,,TotalUnits,,,,1.91 ,,,,1,1,1,0,1,1,20060825
38209,CPT,Wash harvest stem cells,,,21 ,,TotalUnits,,,,1.68 ,,,,1,1,1,0,1,1,20060825
38210,CPT,T-cell depletion of harvest,,,21 ,,TotalUnits,,,,1.83 ,,,,1,1,1,0,1,1,20060825
38211,CPT,Tumor cell deplete of harvst,,,21 ,,TotalUnits,,,,1.83 ,,,,1,1,1,0,1,1,20060825
38212,CPT,Rbc depletion of harvest,,,21 ,,TotalUnits,,,,1.83 ,,,,1,1,1,0,1,1,20060825
38213,CPT,Platelet deplete of harvest,,,21 ,,TotalUnits,,,,1.83 ,,,,1,1,1,0,1,1,20060825
38214,CPT,Volume deplete of harvest,,,21 ,,TotalUnits,,,,1.52 ,,,,1,1,1,0,1,1,20060825
38215,CPT,Harvest stem cell concentrte,,,21 ,,TotalUnits,,,,1.83 ,,,,1,1,1,0,1,1,20060825
38220,CPT,Bone marrow aspiration,,,21 ,,RBRVS,1.08 ,0.52 ,3.73 ,,,,,1,0,1,1,1,1,20060825
38221,CPT,Bone marrow biopsy,,,21 ,,RBRVS,1.37 ,0.65 ,3.94 ,,,,,1,0,1,1,1,1,20060825
38230,CPT,Bone marrow collection,,,21 ,,RBRVS,4.53 ,3.23 ,3.23 ,,,,,1,0,1,1,1,1,20060825
38240,CPT,Bone marrow/stem transplant,,,21 ,,RBRVS,2.24 ,1.03 ,1.03 ,,,,,1,0,1,1,1,1,20060825
38241,CPT,Bone marrow/stem transplant,,,21 ,,RBRVS,2.24 ,1.04 ,1.04 ,,,,,1,0,1,1,1,1,20060825
38242,CPT,Lymphocyte infuse transplant,,,21 ,,RBRVS,1.71 ,0.78 ,0.78 ,,,,,1,0,1,1,1,1,20060825
38300,CPT,"Drainage, lymph node lesion",,,21 ,,RBRVS,1.99 ,2.06 ,4.31 ,,,,,1,0,1,1,1,1,20060825
38305,CPT,"Drainage, lymph node lesion",,,21 ,,RBRVS,5.99 ,4.45 ,4.45 ,,,,,1,0,1,1,1,1,20060825
38308,CPT,Incision of lymph channels,,,21 ,,RBRVS,6.44 ,3.75 ,3.75 ,,,,,1,0,1,1,1,1,20060825
38380,CPT,Thoracic duct procedure,,,21 ,,RBRVS,7.45 ,5.70 ,5.70 ,,,,,1,0,1,1,1,1,20060825
38381,CPT,Thoracic duct procedure,,,21 ,,RBRVS,12.86 ,6.90 ,6.90 ,,,,,1,0,1,1,1,1,20060825
38382,CPT,Thoracic duct procedure,,,21 ,,RBRVS,10.06 ,5.77 ,5.77 ,,,,,1,0,1,1,1,1,20060825
38500,CPT,"Biopsy/removal, lymph nodes",,,21 ,,RBRVS,3.74 ,2.09 ,3.70 ,,,,,1,0,1,1,1,1,20060825
38505,CPT,"Needle biopsy, lymph nodes",,,21 ,,RBRVS,1.14 ,0.78 ,2.06 ,,,,,1,0,1,1,1,1,20060825
38510,CPT,"Biopsy/removal, lymph nodes",,,21 ,,RBRVS,6.42 ,3.49 ,5.56 ,,,,,1,0,1,1,1,1,20060825
38520,CPT,"Biopsy/removal, lymph nodes",,,21 ,,RBRVS,6.66 ,4.06 ,4.06 ,,,,,1,0,1,1,1,1,20060825
38525,CPT,"Biopsy/removal, lymph nodes",,,21 ,,RBRVS,6.06 ,3.30 ,3.30 ,,,,,1,0,1,1,1,1,20060825
38530,CPT,"Biopsy/removal, lymph nodes",,,21 ,,RBRVS,7.97 ,4.40 ,4.40 ,,,,,1,0,1,1,1,1,20060825
38542,CPT,"Explore deep node(s), neck",,,21 ,,RBRVS,5.90 ,4.49 ,4.49 ,,,,,1,0,1,1,1,1,20060825
38550,CPT,"Removal, neck/armpit lesion",,,21 ,,RBRVS,6.91 ,3.92 ,3.92 ,,,,,1,0,1,1,1,1,20060825
38555,CPT,"Removal, neck/armpit lesion",,,21 ,,RBRVS,14.12 ,8.55 ,8.55 ,,,,,1,0,1,1,1,1,20060825
38562,CPT,"Removal, pelvic lymph nodes",,,21 ,,RBRVS,10.47 ,5.79 ,5.79 ,,,,,1,0,1,1,1,1,20060825
38564,CPT,"Removal, abdomen lymph nodes",,,21 ,,RBRVS,10.81 ,5.26 ,5.26 ,,,,,1,0,1,1,1,1,20060825
38570,CPT,"Laparoscopy, lymph node biop",,,21 ,,RBRVS,9.24 ,3.98 ,3.98 ,,,,,1,0,1,1,1,1,20060825
38571,CPT,"Laparoscopy, lymphadenectomy",,,21 ,,RBRVS,14.66 ,5.66 ,5.66 ,,,,,1,0,1,1,1,1,20060825
38572,CPT,"Laparoscopy, lymphadenectomy",,,21 ,,RBRVS,16.57 ,7.09 ,7.09 ,,,,,1,0,1,1,1,1,20060825
38589,CPT,"Laparoscope proc, lymphatic",,,21 ,,TotalUnits,,,,13.18 ,,,,1,0,1,1,1,1,20060825
38700,CPT,"Removal of lymph nodes, neck",,,21 ,,RBRVS,8.23 ,6.25 ,6.25 ,,,,,1,0,1,1,1,1,20060825
38720,CPT,"Removal of lymph nodes, neck",,,21 ,,RBRVS,13.59 ,9.38 ,9.38 ,,,,,1,0,1,1,1,1,20060825
38724,CPT,"Removal of lymph nodes, neck",,,21 ,,RBRVS,14.52 ,9.86 ,9.86 ,,,,,1,0,1,1,1,1,20060825
38740,CPT,Remove armpit lymph nodes,,,21 ,,RBRVS,10.01 ,4.95 ,4.95 ,,,,,1,0,1,1,1,1,20060825
38745,CPT,Remove armpit lymph nodes,,,21 ,,RBRVS,13.08 ,6.09 ,6.09 ,,,,,1,0,1,1,1,1,20060825
38746,CPT,Remove thoracic lymph nodes,,,21 ,,RBRVS,4.88 ,1.61 ,1.61 ,,,,,1,0,1,1,1,1,20060825
38747,CPT,Remove abdominal lymph nodes,,,21 ,,RBRVS,4.88 ,1.67 ,1.67 ,,,,,1,0,1,1,1,1,20060825
38760,CPT,Remove groin lymph nodes,,,21 ,,RBRVS,12.93 ,6.14 ,6.14 ,,,,,1,0,1,1,1,1,20060825
38765,CPT,Remove groin lymph nodes,,,21 ,,RBRVS,19.95 ,8.83 ,8.83 ,,,,,1,0,1,1,1,1,20060825
38770,CPT,Remove pelvis lymph nodes,,,21 ,,RBRVS,13.21 ,5.76 ,5.76 ,,,,,1,0,1,1,1,1,20060825
38780,CPT,Remove abdomen lymph nodes,,,21 ,,RBRVS,16.57 ,8.22 ,8.22 ,,,,,1,0,1,1,1,1,20060825
38790,CPT,Inject for lymphatic x-ray,,,21 ,,RBRVS,1.29 ,0.76 ,7.37 ,,,,,1,0,1,1,1,1,20060825
38792,CPT,Identify sentinel node,,,21 ,,RBRVS,0.52 ,0.44 ,0.44 ,,,,,1,0,1,1,1,1,20060825
38794,CPT,Access thoracic lymph duct,,,21 ,,RBRVS,4.44 ,3.46 ,3.46 ,,,,,1,0,1,1,1,1,20060825
38999,CPT,Blood/lymph system procedure,,,21 ,,TotalUnits,,,,5.81 ,,,,1,0,1,1,1,1,20060825
39000,CPT,Exploration of chest,,,21 ,,RBRVS,6.09 ,4.66 ,4.66 ,,,,,1,0,1,1,1,1,20060825
39010,CPT,Exploration of chest,,,21 ,,RBRVS,11.77 ,7.56 ,7.56 ,,,,,1,0,1,1,1,1,20060825
39200,CPT,Removal chest lesion,,,21 ,,RBRVS,13.60 ,7.55 ,7.55 ,,,,,1,0,1,1,1,1,20060825
39220,CPT,Removal chest lesion,,,21 ,,RBRVS,17.39 ,9.39 ,9.39 ,,,,,1,0,1,1,1,1,20060825
39400,CPT,Visualization of chest,,,21 ,,RBRVS,5.60 ,4.86 ,4.86 ,,,,,1,0,1,1,1,1,20060825
39499,CPT,Chest procedure,,,21 ,,TotalUnits,,,,10.47 ,,,,1,0,1,1,1,1,20060825
39501,CPT,Repair diaphragm laceration,,,21 ,,RBRVS,13.17 ,6.47 ,6.47 ,,,,,1,0,1,1,1,1,20060825
39502,CPT,Repair paraesophageal hernia,,,21 ,,RBRVS,16.31 ,7.16 ,7.16 ,,,,,1,0,1,1,1,1,20060825
39503,CPT,Repair of diaphragm hernia,,,21 ,,RBRVS,94.86 ,33.47 ,33.47 ,,,,,1,0,1,1,1,1,20060825
39520,CPT,Repair of diaphragm hernia,,,21 ,,RBRVS,16.08 ,8.06 ,8.06 ,,,,,1,0,1,1,1,1,20060825
39530,CPT,Repair of diaphragm hernia,,,21 ,,RBRVS,15.39 ,7.15 ,7.15 ,,,,,1,0,1,1,1,1,20060825
39531,CPT,Repair of diaphragm hernia,,,21 ,,RBRVS,16.40 ,7.40 ,7.40 ,,,,,1,0,1,1,1,1,20060825
39540,CPT,Repair of diaphragm hernia,,,21 ,,RBRVS,13.30 ,6.24 ,6.24 ,,,,,1,0,1,1,1,1,20060825
39541,CPT,Repair of diaphragm hernia,,,21 ,,RBRVS,14.39 ,6.60 ,6.60 ,,,,,1,0,1,1,1,1,20060825
39545,CPT,Revision of diaphragm,,,21 ,,RBRVS,13.35 ,7.56 ,7.56 ,,,,,1,0,1,1,1,1,20060825
39560,CPT,"Resect diaphragm, simple",,,21 ,,RBRVS,11.98 ,6.30 ,6.30 ,,,,,1,0,1,1,1,1,20060825
39561,CPT,"Resect diaphragm, complex",,,21 ,,RBRVS,17.47 ,9.36 ,9.36 ,,,,,1,0,1,1,1,1,20060825
39599,CPT,Diaphragm surgery procedure,,,21 ,,TotalUnits,,,,21.04 ,,,,1,0,1,1,1,1,20060825
40490,CPT,Biopsy of lip,,,21 ,,RBRVS,1.22 ,0.61 ,1.63 ,,,,,1,0,1,1,1,1,20060825
40500,CPT,Partial excision of lip,,,21 ,,RBRVS,4.27 ,4.34 ,6.91 ,,,,,1,0,1,1,1,1,20060825
40510,CPT,Partial excision of lip,,,21 ,,RBRVS,4.69 ,4.02 ,6.63 ,,,,,1,0,1,1,1,1,20060825
40520,CPT,Partial excision of lip,,,21 ,,RBRVS,4.66 ,4.12 ,7.56 ,,,,,1,0,1,1,1,1,20060825
40525,CPT,Reconstruct lip with flap,,,21 ,,RBRVS,7.54 ,6.32 ,6.32 ,,,,,1,0,1,1,1,1,20060825
40527,CPT,Reconstruct lip with flap,,,21 ,,RBRVS,9.12 ,7.37 ,7.37 ,,,,,1,0,1,1,1,1,20060825
40530,CPT,Partial removal of lip,,,21 ,,RBRVS,5.39 ,4.59 ,7.83 ,,,,,1,0,1,1,1,1,20060825
40650,CPT,Repair lip,,,21 ,,RBRVS,3.63 ,3.30 ,6.81 ,,,,,1,0,1,1,1,1,20060825
40652,CPT,Repair lip,,,21 ,,RBRVS,4.25 ,4.27 ,7.76 ,,,,,1,0,1,1,1,1,20060825
40654,CPT,Repair lip,,,21 ,,RBRVS,5.30 ,4.94 ,8.62 ,,,,,1,0,1,1,1,1,20060825
40700,CPT,Repair cleft lip/nasal,,,21 ,,RBRVS,12.77 ,9.10 ,9.10 ,,,,,1,0,1,1,1,1,20060825
40701,CPT,Repair cleft lip/nasal,,,21 ,,RBRVS,15.83 ,11.36 ,11.36 ,,,,,1,0,1,1,1,1,20060825
40702,CPT,Repair cleft lip/nasal,,,21 ,,RBRVS,13.02 ,8.27 ,8.27 ,,,,,1,0,1,1,1,1,20060825
40720,CPT,Repair cleft lip/nasal,,,21 ,,RBRVS,13.53 ,9.92 ,9.92 ,,,,,1,0,1,1,1,1,20060825
40761,CPT,Repair cleft lip/nasal,,,21 ,,RBRVS,14.70 ,10.30 ,10.30 ,,,,,1,0,1,1,1,1,20060825
40799,CPT,Lip surgery procedure,,,21 ,,TotalUnits,,,,2.91 ,,,,1,0,1,1,1,1,20060825
40800,CPT,Drainage of mouth lesion,,,21 ,,RBRVS,1.17 ,1.78 ,2.97 ,,,,,1,0,1,1,1,1,20060825
40801,CPT,Drainage of mouth lesion,,,21 ,,RBRVS,2.53 ,2.75 ,4.03 ,,,,,1,0,1,1,1,1,20060825
40804,CPT,"Removal, foreign body, mouth",,,21 ,,RBRVS,1.24 ,1.86 ,3.40 ,,,,,1,0,1,1,1,1,20060825
40805,CPT,"Removal, foreign body, mouth",,,21 ,,RBRVS,2.69 ,2.82 ,4.49 ,,,,,1,0,1,1,1,1,20060825
40806,CPT,Incision of lip fold,,,21 ,,RBRVS,0.31 ,0.50 ,1.84 ,,,,,1,0,1,1,1,1,20060825
40808,CPT,Biopsy of mouth lesion,,,21 ,,RBRVS,0.96 ,1.48 ,2.66 ,,,,,1,0,1,1,1,1,20060825
40810,CPT,Excision of mouth lesion,,,21 ,,RBRVS,1.31 ,1.66 ,2.89 ,,,,,1,0,1,1,1,1,20060825
40812,CPT,Excise/repair mouth lesion,,,21 ,,RBRVS,2.31 ,2.41 ,3.73 ,,,,,1,0,1,1,1,1,20060825
40814,CPT,Excise/repair mouth lesion,,,21 ,,RBRVS,3.41 ,3.90 ,4.95 ,,,,,1,0,1,1,1,1,20060825
40816,CPT,Excision of mouth lesion,,,21 ,,RBRVS,3.66 ,4.01 ,5.18 ,,,,,1,0,1,1,1,1,20060825
40818,CPT,Excise oral mucosa for graft,,,21 ,,RBRVS,2.41 ,3.98 ,5.18 ,,,,,1,0,1,1,1,1,20060825
40819,CPT,Excise lip or cheek fold,,,21 ,,RBRVS,2.41 ,3.10 ,4.09 ,,,,,1,0,1,1,1,1,20060825
40820,CPT,Treatment of mouth lesion,,,21 ,,RBRVS,1.28 ,2.45 ,3.94 ,,,,,1,0,1,1,1,1,20060825
40830,CPT,Repair mouth laceration,,,21 ,,RBRVS,1.76 ,2.10 ,3.73 ,,,,,1,0,1,1,1,1,20060825
40831,CPT,Repair mouth laceration,,,21 ,,RBRVS,2.46 ,3.06 ,4.67 ,,,,,1,0,1,1,1,1,20060825
40840,CPT,Reconstruction of mouth,,,21 ,,RBRVS,8.72 ,6.99 ,9.81 ,,,,,1,0,1,1,1,1,20060825
40842,CPT,Reconstruction of mouth,,,21 ,,RBRVS,8.72 ,6.80 ,10.09 ,,,,,1,0,1,1,1,1,20060825
40843,CPT,Reconstruction of mouth,,,21 ,,RBRVS,12.08 ,7.83 ,11.98 ,,,,,1,0,1,1,1,1,20060825
40844,CPT,Reconstruction of mouth,,,21 ,,RBRVS,15.99 ,11.59 ,15.81 ,,,,,1,0,1,1,1,1,20060825
40845,CPT,Reconstruction of mouth,,,21 ,,RBRVS,18.55 ,13.25 ,17.11 ,,,,,1,0,1,1,1,1,20060825
40899,CPT,Mouth surgery procedure,,,21 ,,TotalUnits,,,,5.25 ,,,,1,0,1,1,1,1,20060825
41000,CPT,Drainage of mouth lesion,,,21 ,,RBRVS,1.30 ,1.41 ,2.32 ,,,,,1,0,1,1,1,1,20060825
41005,CPT,Drainage of mouth lesion,,,21 ,,RBRVS,1.26 ,1.72 ,3.34 ,,,,,1,0,1,1,1,1,20060825
41006,CPT,Drainage of mouth lesion,,,21 ,,RBRVS,3.24 ,3.18 ,4.80 ,,,,,1,0,1,1,1,1,20060825
41007,CPT,Drainage of mouth lesion,,,21 ,,RBRVS,3.10 ,3.03 ,5.15 ,,,,,1,0,1,1,1,1,20060825
41008,CPT,Drainage of mouth lesion,,,21 ,,RBRVS,3.36 ,3.21 ,4.69 ,,,,,1,0,1,1,1,1,20060825
41009,CPT,Drainage of mouth lesion,,,21 ,,RBRVS,3.58 ,3.58 ,4.98 ,,,,,1,0,1,1,1,1,20060825
41010,CPT,Incision of tongue fold,,,21 ,,RBRVS,1.06 ,1.60 ,3.43 ,,,,,1,0,1,1,1,1,20060825
41015,CPT,Drainage of mouth lesion,,,21 ,,RBRVS,3.95 ,4.15 ,5.42 ,,,,,1,0,1,1,1,1,20060825
41016,CPT,Drainage of mouth lesion,,,21 ,,RBRVS,4.06 ,4.23 ,5.63 ,,,,,1,0,1,1,1,1,20060825
41017,CPT,Drainage of mouth lesion,,,21 ,,RBRVS,4.06 ,4.31 ,5.65 ,,,,,1,0,1,1,1,1,20060825
41018,CPT,Drainage of mouth lesion,,,21 ,,RBRVS,5.09 ,4.58 ,6.15 ,,,,,1,0,1,1,1,1,20060825
41100,CPT,Biopsy of tongue,,,21 ,,RBRVS,1.63 ,1.42 ,2.43 ,,,,,1,0,1,1,1,1,20060825
41105,CPT,Biopsy of tongue,,,21 ,,RBRVS,1.42 ,1.32 ,2.31 ,,,,,1,0,1,1,1,1,20060825
41108,CPT,Biopsy of floor of mouth,,,21 ,,RBRVS,1.05 ,1.13 ,2.08 ,,,,,1,0,1,1,1,1,20060825
41110,CPT,Excision of tongue lesion,,,21 ,,RBRVS,1.51 ,1.64 ,2.99 ,,,,,1,0,1,1,1,1,20060825
41112,CPT,Excision of tongue lesion,,,21 ,,RBRVS,2.73 ,3.23 ,4.48 ,,,,,1,0,1,1,1,1,20060825
41113,CPT,Excision of tongue lesion,,,21 ,,RBRVS,3.19 ,3.48 ,4.75 ,,,,,1,0,1,1,1,1,20060825
41114,CPT,Excision of tongue lesion,,,21 ,,RBRVS,8.46 ,7.21 ,7.21 ,,,,,1,0,1,1,1,1,20060825
41115,CPT,Excision of tongue fold,,,21 ,,RBRVS,1.74 ,1.86 ,3.30 ,,,,,1,0,1,1,1,1,20060825
41116,CPT,Excision of mouth lesion,,,21 ,,RBRVS,2.44 ,2.81 ,4.36 ,,,,,1,0,1,1,1,1,20060825
41120,CPT,Partial removal of tongue,,,21 ,,RBRVS,9.76 ,15.35 ,15.35 ,,,,,1,0,1,1,1,1,20060825
41130,CPT,Partial removal of tongue,,,21 ,,RBRVS,11.13 ,16.24 ,16.24 ,,,,,1,0,1,1,1,1,20060825
41135,CPT,Tongue and neck surgery,,,21 ,,RBRVS,23.06 ,23.29 ,23.29 ,,,,,1,0,1,1,1,1,20060825
41140,CPT,Removal of tongue,,,21 ,,RBRVS,25.46 ,26.75 ,26.75 ,,,,,1,0,1,1,1,1,20060825
41145,CPT,"Tongue removal, neck surgery",,,21 ,,RBRVS,30.01 ,30.63 ,30.63 ,,,,,1,0,1,1,1,1,20060825
41150,CPT,"Tongue, mouth, jaw surgery",,,21 ,,RBRVS,23.01 ,24.78 ,24.78 ,,,,,1,0,1,1,1,1,20060825
41153,CPT,"Tongue, mouth, neck surgery",,,21 ,,RBRVS,23.73 ,25.09 ,25.09 ,,,,,1,0,1,1,1,1,20060825
41155,CPT,"Tongue, jaw, & neck surgery",,,21 ,,RBRVS,27.68 ,26.88 ,26.88 ,,,,,1,0,1,1,1,1,20060825
41250,CPT,Repair tongue laceration,,,21 ,,RBRVS,1.91 ,1.18 ,2.75 ,,,,,1,0,1,1,1,1,20060825
41251,CPT,Repair tongue laceration,,,21 ,,RBRVS,2.27 ,1.55 ,3.28 ,,,,,1,0,1,1,1,1,20060825
41252,CPT,Repair tongue laceration,,,21 ,,RBRVS,2.97 ,2.26 ,3.90 ,,,,,1,0,1,1,1,1,20060825
41500,CPT,Fixation of tongue,,,21 ,,RBRVS,3.70 ,7.47 ,7.47 ,,,,,1,0,1,1,1,1,20060825
41510,CPT,Tongue to lip surgery,,,21 ,,RBRVS,3.41 ,7.95 ,7.95 ,,,,,1,0,1,1,1,1,20060825
41520,CPT,"Reconstruction, tongue fold",,,21 ,,RBRVS,2.73 ,3.63 ,4.63 ,,,,,1,0,1,1,1,1,20060825
41599,CPT,Tongue and mouth surgery,,,21 ,,TotalUnits,,,,4.52 ,,,,1,0,1,1,1,1,20060825
41800,CPT,Drainage of gum lesion,,,21 ,,RBRVS,1.17 ,1.28 ,2.60 ,,,,,1,0,1,1,1,1,20060825
41805,CPT,"Removal foreign body, gum",,,21 ,,RBRVS,1.24 ,2.22 ,2.68 ,,,,,1,0,1,1,1,1,20060825
41806,CPT,"Removal foreign body,jawbone",,,21 ,,RBRVS,2.69 ,3.04 ,3.59 ,,,,,1,0,1,1,1,1,20060825
41820,CPT,"Excision, gum, each quadrant",,,21 ,,TotalUnits,,,,4.89 ,,,,1,0,1,1,1,1,20060825
41821,CPT,Excision of gum flap,,,21 ,,TotalUnits,,,,1.10 ,,,,1,0,1,1,1,1,20060825
41822,CPT,Excision of gum lesion,,,21 ,,RBRVS,2.31 ,1.88 ,3.90 ,,,,,1,0,1,1,1,1,20060825
41823,CPT,Excision of gum lesion,,,21 ,,RBRVS,3.30 ,4.02 ,5.58 ,,,,,1,0,1,1,1,1,20060825
41825,CPT,Excision of gum lesion,,,21 ,,RBRVS,1.31 ,2.25 ,3.07 ,,,,,1,0,1,1,1,1,20060825
41826,CPT,Excision of gum lesion,,,21 ,,RBRVS,2.31 ,2.11 ,2.44 ,,,,,1,0,1,1,1,1,20060825
41827,CPT,Excision of gum lesion,,,21 ,,RBRVS,3.41 ,3.67 ,5.53 ,,,,,1,0,1,1,1,1,20060825
41828,CPT,Excision of gum lesion,,,21 ,,RBRVS,3.09 ,2.97 ,3.81 ,,,,,1,0,1,1,1,1,20060825
41830,CPT,Removal of gum tissue,,,21 ,,RBRVS,3.34 ,3.63 ,4.97 ,,,,,1,0,1,1,1,1,20060825
41850,CPT,Treatment of gum lesion,,,21 ,,TotalUnits,,,,2.45 ,,,,1,0,1,1,1,1,20060825
41870,CPT,Gum graft,,,21 ,,TotalUnits,,,,6.12 ,,,,1,0,1,1,1,1,20060825
41872,CPT,Repair gum,,,21 ,,RBRVS,2.59 ,3.47 ,5.03 ,,,,,1,0,1,1,1,1,20060825
41874,CPT,Repair tooth socket,,,21 ,,RBRVS,3.09 ,3.18 ,4.85 ,,,,,1,0,1,1,1,1,20060825
41899,CPT,Dental surgery procedure,,,21 ,,TotalUnits,,,,5.92 ,,,,1,0,1,1,1,1,20060825
42000,CPT,Drainage mouth roof lesion,,,21 ,,RBRVS,1.23 ,1.25 ,2.57 ,,,,,1,0,1,1,1,1,20060825
42100,CPT,Biopsy roof of mouth,,,21 ,,RBRVS,1.31 ,1.36 ,2.09 ,,,,,1,0,1,1,1,1,20060825
42104,CPT,"Excision lesion, mouth roof",,,21 ,,RBRVS,1.64 ,1.55 ,2.55 ,,,,,1,0,1,1,1,1,20060825
42106,CPT,"Excision lesion, mouth roof",,,21 ,,RBRVS,2.10 ,2.45 ,3.23 ,,,,,1,0,1,1,1,1,20060825
42107,CPT,"Excision lesion, mouth roof",,,21 ,,RBRVS,4.43 ,3.96 ,5.73 ,,,,,1,0,1,1,1,1,20060825
42120,CPT,Remove palate/lesion,,,21 ,,RBRVS,6.16 ,11.80 ,11.80 ,,,,,1,0,1,1,1,1,20060825
42140,CPT,Excision of uvula,,,21 ,,RBRVS,1.62 ,2.10 ,3.73 ,,,,,1,0,1,1,1,1,20060825
42145,CPT,"Repair palate, pharynx/uvula",,,21 ,,RBRVS,8.04 ,7.51 ,7.51 ,,,,,1,0,1,1,1,1,20060825
42160,CPT,Treatment mouth roof lesion,,,21 ,,RBRVS,1.80 ,2.30 ,4.26 ,,,,,1,0,1,1,1,1,20060825
42180,CPT,Repair palate,,,21 ,,RBRVS,2.50 ,2.11 ,3.08 ,,,,,1,0,1,1,1,1,20060825
42182,CPT,Repair palate,,,21 ,,RBRVS,3.82 ,3.04 ,3.88 ,,,,,1,0,1,1,1,1,20060825
42200,CPT,Reconstruct cleft palate,,,21 ,,RBRVS,11.98 ,10.24 ,10.24 ,,,,,1,0,1,1,1,1,20060825
42205,CPT,Reconstruct cleft palate,,,21 ,,RBRVS,13.27 ,10.10 ,10.10 ,,,,,1,0,1,1,1,1,20060825
42210,CPT,Reconstruct cleft palate,,,21 ,,RBRVS,14.48 ,11.49 ,11.49 ,,,,,1,0,1,1,1,1,20060825
42215,CPT,Reconstruct cleft palate,,,21 ,,RBRVS,8.81 ,9.10 ,9.10 ,,,,,1,0,1,1,1,1,20060825
42220,CPT,Reconstruct cleft palate,,,21 ,,RBRVS,7.01 ,6.80 ,6.80 ,,,,,1,0,1,1,1,1,20060825
42225,CPT,Reconstruct cleft palate,,,21 ,,RBRVS,9.53 ,17.11 ,17.11 ,,,,,1,0,1,1,1,1,20060825
42226,CPT,Lengthening of palate,,,21 ,,RBRVS,9.99 ,14.74 ,14.74 ,,,,,1,0,1,1,1,1,20060825
42227,CPT,Lengthening of palate,,,21 ,,RBRVS,9.51 ,15.59 ,15.59 ,,,,,1,0,1,1,1,1,20060825
42235,CPT,Repair palate,,,21 ,,RBRVS,7.86 ,11.89 ,11.89 ,,,,,1,0,1,1,1,1,20060825
42260,CPT,Repair nose to lip fistula,,,21 ,,RBRVS,9.79 ,7.08 ,10.22 ,,,,,1,0,1,1,1,1,20060825
42280,CPT,"Preparation, palate mold",,,21 ,,RBRVS,1.54 ,1.14 ,1.97 ,,,,,1,0,1,1,1,1,20060825
42281,CPT,"Insertion, palate prosthesis",,,21 ,,RBRVS,1.93 ,1.88 ,2.64 ,,,,,1,0,1,1,1,1,20060825
42299,CPT,Palate/uvula surgery,,,21 ,,TotalUnits,,,,14.65 ,,,,1,0,1,1,1,1,20060825
42300,CPT,Drainage of salivary gland,,,21 ,,RBRVS,1.93 ,1.82 ,2.83 ,,,,,1,0,1,1,1,1,20060825
42305,CPT,Drainage of salivary gland,,,21 ,,RBRVS,6.06 ,4.73 ,4.73 ,,,,,1,0,1,1,1,1,20060825
42310,CPT,Drainage of salivary gland,,,21 ,,RBRVS,1.56 ,1.54 ,2.27 ,,,,,1,0,1,1,1,1,20060825
42320,CPT,Drainage of salivary gland,,,21 ,,RBRVS,2.35 ,2.10 ,3.28 ,,,,,1,0,1,1,1,1,20060825
42330,CPT,Removal of salivary stone,,,21 ,,RBRVS,2.21 ,1.85 ,3.15 ,,,,,1,0,1,1,1,1,20060825
42335,CPT,Removal of salivary stone,,,21 ,,RBRVS,3.31 ,3.15 ,4.91 ,,,,,1,0,1,1,1,1,20060825
42340,CPT,Removal of salivary stone,,,21 ,,RBRVS,4.59 ,3.94 ,6.06 ,,,,,1,0,1,1,1,1,20060825
42400,CPT,Biopsy of salivary gland,,,21 ,,RBRVS,0.78 ,0.72 ,1.65 ,,,,,1,0,1,1,1,1,20060825
42405,CPT,Biopsy of salivary gland,,,21 ,,RBRVS,3.29 ,2.46 ,4.01 ,,,,,1,0,1,1,1,1,20060825
42408,CPT,Excision of salivary cyst,,,21 ,,RBRVS,4.53 ,3.62 ,5.93 ,,,,,1,0,1,1,1,1,20060825
42409,CPT,Drainage of salivary cyst,,,21 ,,RBRVS,2.81 ,2.77 ,4.53 ,,,,,1,0,1,1,1,1,20060825
42410,CPT,Excise parotid gland/lesion,,,21 ,,RBRVS,9.33 ,6.24 ,6.24 ,,,,,1,0,1,1,1,1,20060825
42415,CPT,Excise parotid gland/lesion,,,21 ,,RBRVS,16.86 ,10.89 ,10.89 ,,,,,1,0,1,1,1,1,20060825
42420,CPT,Excise parotid gland/lesion,,,21 ,,RBRVS,19.56 ,12.41 ,12.41 ,,,,,1,0,1,1,1,1,20060825
42425,CPT,Excise parotid gland/lesion,,,21 ,,RBRVS,13.00 ,8.63 ,8.63 ,,,,,1,0,1,1,1,1,20060825
42426,CPT,Excise parotid gland/lesion,,,21 ,,RBRVS,21.23 ,13.05 ,13.05 ,,,,,1,0,1,1,1,1,20060825
42440,CPT,Excise submaxillary gland,,,21 ,,RBRVS,6.96 ,4.80 ,4.80 ,,,,,1,0,1,1,1,1,20060825
42450,CPT,Excise sublingual gland,,,21 ,,RBRVS,4.61 ,4.26 ,5.92 ,,,,,1,0,1,1,1,1,20060825
42500,CPT,Repair salivary duct,,,21 ,,RBRVS,4.29 ,4.19 ,5.70 ,,,,,1,0,1,1,1,1,20060825
42505,CPT,Repair salivary duct,,,21 ,,RBRVS,6.17 ,5.38 ,7.14 ,,,,,1,0,1,1,1,1,20060825
42507,CPT,Parotid duct diversion,,,21 ,,RBRVS,6.10 ,6.55 ,6.55 ,,,,,1,0,1,1,1,1,20060825
42508,CPT,Parotid duct diversion,,,21 ,,RBRVS,9.09 ,8.36 ,8.36 ,,,,,1,0,1,1,1,1,20060825
42509,CPT,Parotid duct diversion,,,21 ,,RBRVS,11.52 ,10.22 ,10.22 ,,,,,1,0,1,1,1,1,20060825
42510,CPT,Parotid duct diversion,,,21 ,,RBRVS,8.14 ,7.81 ,7.81 ,,,,,1,0,1,1,1,1,20060825
42550,CPT,Injection for salivary x-ray,,,21 ,,RBRVS,1.25 ,0.41 ,3.22 ,,,,,1,0,1,1,1,1,20060825
42600,CPT,Closure of salivary fistula,,,21 ,,RBRVS,4.81 ,4.13 ,6.60 ,,,,,1,0,1,1,1,1,20060825
42650,CPT,Dilation of salivary duct,,,21 ,,RBRVS,0.77 ,0.71 ,1.10 ,,,,,1,0,1,1,1,1,20060825
42660,CPT,Dilation of salivary duct,,,21 ,,RBRVS,1.13 ,0.85 ,1.35 ,,,,,1,0,1,1,1,1,20060825
42665,CPT,Ligation of salivary duct,,,21 ,,RBRVS,2.53 ,2.60 ,4.18 ,,,,,1,0,1,1,1,1,20060825
42699,CPT,Salivary surgery procedure,,,21 ,,TotalUnits,,,,12.02 ,,,,1,0,1,1,1,1,20060825
42700,CPT,Drainage of tonsil abscess,,,21 ,,RBRVS,1.62 ,1.70 ,2.66 ,,,,,1,0,1,1,1,1,20060825
42720,CPT,Drainage of throat abscess,,,21 ,,RBRVS,5.41 ,3.80 ,4.84 ,,,,,1,0,1,1,1,1,20060825
42725,CPT,Drainage of throat abscess,,,21 ,,RBRVS,10.70 ,8.24 ,8.24 ,,,,,1,0,1,1,1,1,20060825
42800,CPT,Biopsy of throat,,,21 ,,RBRVS,1.39 ,1.40 ,2.19 ,,,,,1,0,1,1,1,1,20060825
42802,CPT,Biopsy of throat,,,21 ,,RBRVS,1.54 ,2.07 ,4.77 ,,,,,1,0,1,1,1,1,20060825
42804,CPT,Biopsy of upper nose/throat,,,21 ,,RBRVS,1.24 ,1.74 ,3.75 ,,,,,1,0,1,1,1,1,20060825
42806,CPT,Biopsy of upper nose/throat,,,21 ,,RBRVS,1.58 ,1.94 ,4.08 ,,,,,1,0,1,1,1,1,20060825
42808,CPT,Excise pharynx lesion,,,21 ,,RBRVS,2.30 ,1.94 ,3.10 ,,,,,1,0,1,1,1,1,20060825
42809,CPT,Remove pharynx foreign body,,,21 ,,RBRVS,1.81 ,1.33 ,2.34 ,,,,,1,0,1,1,1,1,20060825
42810,CPT,Excision of neck cyst,,,21 ,,RBRVS,3.25 ,3.55 ,5.73 ,,,,,1,0,1,1,1,1,20060825
42815,CPT,Excision of neck cyst,,,21 ,,RBRVS,7.06 ,6.43 ,6.43 ,,,,,1,0,1,1,1,1,20060825
42820,CPT,Remove tonsils and adenoids,,,21 ,,RBRVS,3.90 ,3.30 ,3.30 ,,,,,1,0,1,1,1,1,20060825
42821,CPT,Remove tonsils and adenoids,,,21 ,,RBRVS,4.28 ,3.51 ,3.51 ,,,,,1,0,1,1,1,1,20060825
42825,CPT,Removal of tonsils,,,21 ,,RBRVS,3.41 ,3.18 ,3.18 ,,,,,1,0,1,1,1,1,20060825
42826,CPT,Removal of tonsils,,,21 ,,RBRVS,3.37 ,3.04 ,3.04 ,,,,,1,0,1,1,1,1,20060825
42830,CPT,Removal of adenoids,,,21 ,,RBRVS,2.57 ,2.57 ,2.57 ,,,,,1,0,1,1,1,1,20060825
42831,CPT,Removal of adenoids,,,21 ,,RBRVS,2.71 ,2.85 ,2.85 ,,,,,1,0,1,1,1,1,20060825
42835,CPT,Removal of adenoids,,,21 ,,RBRVS,2.30 ,2.47 ,2.47 ,,,,,1,0,1,1,1,1,20060825
42836,CPT,Removal of adenoids,,,21 ,,RBRVS,3.18 ,2.97 ,2.97 ,,,,,1,0,1,1,1,1,20060825
42842,CPT,Extensive surgery of throat,,,21 ,,RBRVS,8.75 ,11.02 ,11.02 ,,,,,1,0,1,1,1,1,20060825
42844,CPT,Extensive surgery of throat,,,21 ,,RBRVS,14.29 ,16.28 ,16.28 ,,,,,1,0,1,1,1,1,20060825
42845,CPT,Extensive surgery of throat,,,21 ,,RBRVS,24.25 ,23.25 ,23.25 ,,,,,1,0,1,1,1,1,20060825
42860,CPT,Excision of tonsil tags,,,21 ,,RBRVS,2.22 ,2.41 ,2.41 ,,,,,1,0,1,1,1,1,20060825
42870,CPT,Excision of lingual tonsil,,,21 ,,RBRVS,5.39 ,8.59 ,8.59 ,,,,,1,0,1,1,1,1,20060825
42890,CPT,Partial removal of pharynx,,,21 ,,RBRVS,12.92 ,14.19 ,14.19 ,,,,,1,0,1,1,1,1,20060825
42892,CPT,Revision of pharyngeal walls,,,21 ,,RBRVS,15.81 ,17.22 ,17.22 ,,,,,1,0,1,1,1,1,20060825
42894,CPT,Revision of pharyngeal walls,,,21 ,,RBRVS,22.85 ,22.08 ,22.08 ,,,,,1,0,1,1,1,1,20060825
42900,CPT,Repair throat wound,,,21 ,,RBRVS,5.24 ,3.67 ,3.67 ,,,,,1,0,1,1,1,1,20060825
42950,CPT,Reconstruction of throat,,,21 ,,RBRVS,8.09 ,11.90 ,11.90 ,,,,,1,0,1,1,1,1,20060825
42953,CPT,"Repair throat, esophagus",,,21 ,,RBRVS,8.95 ,17.38 ,17.38 ,,,,,1,0,1,1,1,1,20060825
42955,CPT,Surgical opening of throat,,,21 ,,RBRVS,7.38 ,10.70 ,10.70 ,,,,,1,0,1,1,1,1,20060825
42960,CPT,Control throat bleeding,,,21 ,,RBRVS,2.33 ,1.97 ,1.97 ,,,,,1,0,1,1,1,1,20060825
42961,CPT,Control throat bleeding,,,21 ,,RBRVS,5.58 ,4.97 ,4.97 ,,,,,1,0,1,1,1,1,20060825
42962,CPT,Control throat bleeding,,,21 ,,RBRVS,7.13 ,5.93 ,5.93 ,,,,,1,0,1,1,1,1,20060825
42970,CPT,Control nose/throat bleeding,,,21 ,,RBRVS,5.42 ,4.19 ,4.19 ,,,,,1,0,1,1,1,1,20060825
42971,CPT,Control nose/throat bleeding,,,21 ,,RBRVS,6.20 ,5.13 ,5.13 ,,,,,1,0,1,1,1,1,20060825
42972,CPT,Control nose/throat bleeding,,,21 ,,RBRVS,7.19 ,5.72 ,5.72 ,,,,,1,0,1,1,1,1,20060825
42999,CPT,Throat surgery procedure,,,21 ,,TotalUnits,,,,7.37 ,,,,1,0,1,1,1,1,20060825
43020,CPT,Incision of esophagus,,,21 ,,RBRVS,8.08 ,5.43 ,5.43 ,,,,,1,0,1,1,1,1,20060825
43030,CPT,Throat muscle surgery,,,21 ,,RBRVS,7.68 ,5.51 ,5.51 ,,,,,1,0,1,1,1,1,20060825
43045,CPT,Incision of esophagus,,,21 ,,RBRVS,20.09 ,10.73 ,10.73 ,,,,,1,0,1,1,1,1,20060825
43100,CPT,Excision of esophagus lesion,,,21 ,,RBRVS,9.18 ,6.24 ,6.24 ,,,,,1,0,1,1,1,1,20060825
43101,CPT,Excision of esophagus lesion,,,21 ,,RBRVS,16.22 ,7.90 ,7.90 ,,,,,1,0,1,1,1,1,20060825
43107,CPT,Removal of esophagus,,,21 ,,RBRVS,39.94 ,18.31 ,18.31 ,,,,,1,0,1,1,1,1,20060825
43108,CPT,Removal of esophagus,,,21 ,,RBRVS,34.14 ,14.25 ,14.25 ,,,,,1,0,1,1,1,1,20060825
43112,CPT,Removal of esophagus,,,21 ,,RBRVS,43.43 ,19.42 ,19.42 ,,,,,1,0,1,1,1,1,20060825
43113,CPT,Removal of esophagus,,,21 ,,RBRVS,35.22 ,15.15 ,15.15 ,,,,,1,0,1,1,1,1,20060825
43116,CPT,Partial removal of esophagus,,,21 ,,RBRVS,31.17 ,16.74 ,16.74 ,,,,,1,0,1,1,1,1,20060825
43117,CPT,Partial removal of esophagus,,,21 ,,RBRVS,39.94 ,17.32 ,17.32 ,,,,,1,0,1,1,1,1,20060825
43118,CPT,Partial removal of esophagus,,,21 ,,RBRVS,33.15 ,13.82 ,13.82 ,,,,,1,0,1,1,1,1,20060825
43121,CPT,Partial removal of esophagus,,,21 ,,RBRVS,29.15 ,13.71 ,13.71 ,,,,,1,0,1,1,1,1,20060825
43122,CPT,Partial removal of esophagus,,,21 ,,RBRVS,39.94 ,17.44 ,17.44 ,,,,,1,0,1,1,1,1,20060825
43123,CPT,Partial removal of esophagus,,,21 ,,RBRVS,33.15 ,14.14 ,14.14 ,,,,,1,0,1,1,1,1,20060825
43124,CPT,Removal of esophagus,,,21 ,,RBRVS,27.28 ,13.12 ,13.12 ,,,,,1,0,1,1,1,1,20060825
43130,CPT,Removal of esophagus pouch,,,21 ,,RBRVS,11.73 ,7.58 ,7.58 ,,,,,1,0,1,1,1,1,20060825
43135,CPT,Removal of esophagus pouch,,,21 ,,RBRVS,16.08 ,8.11 ,8.11 ,,,,,1,0,1,1,1,1,20060825
43200,CPT,Esophagus endoscopy,,,21 ,,RBRVS,1.59 ,1.07 ,4.14 ,,,,,1,0,1,1,1,1,20060825
43201,CPT,Esoph scope w/submucous inj,,,21 ,,RBRVS,2.09 ,1.10 ,4.64 ,,,,,1,0,1,1,1,1,20060825
43202,CPT,"Esophagus endoscopy, biopsy",,,21 ,,RBRVS,1.89 ,0.94 ,5.56 ,,,,,1,0,1,1,1,1,20060825
43204,CPT,Esoph scope w/sclerosis inj,,,21 ,,RBRVS,3.76 ,1.52 ,1.52 ,,,,,1,0,1,1,1,1,20060825
43205,CPT,Esophagus endoscopy/ligation,,,21 ,,RBRVS,3.78 ,1.52 ,1.52 ,,,,,1,0,1,1,1,1,20060825
43215,CPT,Esophagus endoscopy,,,21 ,,RBRVS,2.60 ,1.20 ,1.20 ,,,,,1,0,1,1,1,1,20060825
43216,CPT,Esophagus endoscopy/lesion,,,21 ,,RBRVS,2.40 ,1.06 ,1.06 ,,,,,1,0,1,1,1,1,20060825
43217,CPT,Esophagus endoscopy,,,21 ,,RBRVS,2.90 ,1.19 ,6.97 ,,,,,1,0,1,1,1,1,20060825
43219,CPT,Esophagus endoscopy,,,21 ,,RBRVS,2.80 ,1.35 ,1.35 ,,,,,1,0,1,1,1,1,20060825
43220,CPT,"Esoph endoscopy, dilation",,,21 ,,RBRVS,2.10 ,0.97 ,0.97 ,,,,,1,0,1,1,1,1,20060825
43226,CPT,"Esoph endoscopy, dilation",,,21 ,,RBRVS,2.34 ,1.03 ,1.03 ,,,,,1,0,1,1,1,1,20060825
43227,CPT,"Esoph endoscopy, repair",,,21 ,,RBRVS,3.59 ,1.45 ,1.45 ,,,,,1,0,1,1,1,1,20060825
43228,CPT,"Esoph endoscopy, ablation",,,21 ,,RBRVS,3.76 ,1.55 ,1.55 ,,,,,1,0,1,1,1,1,20060825
43231,CPT,Esoph endoscopy w/us exam,,,21 ,,RBRVS,3.19 ,1.31 ,1.31 ,,,,,1,0,1,1,1,1,20060825
43232,CPT,Esoph endoscopy w/us fn bx,,,21 ,,RBRVS,4.47 ,1.82 ,1.82 ,,,,,1,0,1,1,1,1,20060825
43234,CPT,"Upper GI endoscopy, exam",,,21 ,,RBRVS,2.01 ,0.87 ,5.34 ,,,,,1,0,1,1,1,1,20060825
43235,CPT,"Uppr gi endoscopy, diagnosis",,,21 ,,RBRVS,2.39 ,1.02 ,5.18 ,,,,,1,0,1,1,1,1,20060825
43236,CPT,Uppr gi scope w/submuc inj,,,21 ,,RBRVS,2.92 ,1.22 ,6.42 ,,,,,1,0,1,1,1,1,20060825
43237,CPT,"Endoscopic us exam, esoph",,,21 ,,RBRVS,3.98 ,1.59 ,1.59 ,,,,,1,0,1,1,1,1,20060825
43238,CPT,Uppr gi endoscopy w/us fn bx,,,21 ,,RBRVS,5.02 ,1.97 ,1.97 ,,,,,1,0,1,1,1,1,20060825
43239,CPT,"Upper GI endoscopy, biopsy",,,21 ,,RBRVS,2.87 ,1.19 ,5.73 ,,,,,1,0,1,1,1,1,20060825
43240,CPT,Esoph endoscope w/drain cyst,,,21 ,,RBRVS,6.85 ,2.61 ,2.61 ,,,,,1,0,1,1,1,1,20060825
43241,CPT,Upper GI endoscopy with tube,,,21 ,,RBRVS,2.59 ,1.10 ,1.10 ,,,,,1,0,1,1,1,1,20060825
43242,CPT,Uppr gi endoscopy w/us fn bx,,,21 ,,RBRVS,7.30 ,2.74 ,2.74 ,,,,,1,0,1,1,1,1,20060825
43243,CPT,Upper gi endoscopy & inject,,,21 ,,RBRVS,4.56 ,1.80 ,1.80 ,,,,,1,0,1,1,1,1,20060825
43244,CPT,Upper GI endoscopy/ligation,,,21 ,,RBRVS,5.04 ,1.97 ,1.97 ,,,,,1,0,1,1,1,1,20060825
43245,CPT,Uppr gi scope dilate strictr,,,21 ,,RBRVS,3.18 ,1.30 ,1.30 ,,,,,1,0,1,1,1,1,20060825
43246,CPT,Place gastrostomy tube,,,21 ,,RBRVS,4.32 ,1.69 ,1.69 ,,,,,1,0,1,1,1,1,20060825
43247,CPT,Operative upper GI endoscopy,,,21 ,,RBRVS,3.38 ,1.37 ,1.37 ,,,,,1,0,1,1,1,1,20060825
43248,CPT,Uppr gi endoscopy/guide wire,,,21 ,,RBRVS,3.15 ,1.31 ,1.31 ,,,,,1,0,1,1,1,1,20060825
43249,CPT,"Esoph endoscopy, dilation",,,21 ,,RBRVS,2.90 ,1.21 ,1.21 ,,,,,1,0,1,1,1,1,20060825
43250,CPT,Upper GI endoscopy/tumor,,,21 ,,RBRVS,3.20 ,1.31 ,1.31 ,,,,,1,0,1,1,1,1,20060825
43251,CPT,Operative upper GI endoscopy,,,21 ,,RBRVS,3.69 ,1.48 ,1.48 ,,,,,1,0,1,1,1,1,20060825
43255,CPT,Operative upper GI endoscopy,,,21 ,,RBRVS,4.81 ,1.89 ,1.89 ,,,,,1,0,1,1,1,1,20060825
43256,CPT,Uppr gi endoscopy w stent,,,21 ,,RBRVS,4.34 ,1.71 ,1.71 ,,,,,1,0,1,1,1,1,20060825
43257,CPT,Uppr gi scope w/thrml txmnt,,,21 ,,RBRVS,5.50 ,2.21 ,2.21 ,,,,,1,0,1,1,1,1,20060825
43258,CPT,Operative upper GI endoscopy,,,21 ,,RBRVS,4.54 ,1.79 ,1.79 ,,,,,1,0,1,1,1,1,20060825
43259,CPT,Endoscopic ultrasound exam,,,21 ,,RBRVS,5.19 ,2.00 ,2.00 ,,,,,1,0,1,1,1,1,20060825
43260,CPT,Endo cholangiopancreatograph,,,21 ,,RBRVS,5.95 ,2.29 ,2.29 ,,,,,1,0,1,1,1,1,20060825
43261,CPT,Endo cholangiopancreatograph,,,21 ,,RBRVS,6.26 ,2.40 ,2.40 ,,,,,1,0,1,1,1,1,20060825
43262,CPT,Endo cholangiopancreatograph,,,21 ,,RBRVS,7.38 ,2.79 ,2.79 ,,,,,1,0,1,1,1,1,20060825
43263,CPT,Endo cholangiopancreatograph,,,21 ,,RBRVS,7.28 ,2.77 ,2.77 ,,,,,1,0,1,1,1,1,20060825
43264,CPT,Endo cholangiopancreatograph,,,21 ,,RBRVS,8.89 ,3.32 ,3.32 ,,,,,1,0,1,1,1,1,20060825
43265,CPT,Endo cholangiopancreatograph,,,21 ,,RBRVS,10.00 ,3.70 ,3.70 ,,,,,1,0,1,1,1,1,20060825
43267,CPT,Endo cholangiopancreatograph,,,21 ,,RBRVS,7.38 ,2.79 ,2.79 ,,,,,1,0,1,1,1,1,20060825
43268,CPT,Endo cholangiopancreatograph,,,21 ,,RBRVS,7.38 ,2.89 ,2.89 ,,,,,1,0,1,1,1,1,20060825
43269,CPT,Endo cholangiopancreatograph,,,21 ,,RBRVS,8.20 ,3.08 ,3.08 ,,,,,1,0,1,1,1,1,20060825
43271,CPT,Endo cholangiopancreatograph,,,21 ,,RBRVS,7.38 ,2.79 ,2.79 ,,,,,1,0,1,1,1,1,20060825
43272,CPT,Endo cholangiopancreatograph,,,21 ,,RBRVS,7.38 ,2.79 ,2.79 ,,,,,1,0,1,1,1,1,20060825
43280,CPT,"Laparoscopy, fundoplasty",,,21 ,,RBRVS,17.22 ,7.29 ,7.29 ,,,,,1,0,1,1,1,1,20060825
43289,CPT,"Laparoscope proc, esoph",,,21 ,,TotalUnits,,,,24.55 ,,,,1,0,1,1,1,1,20060825
43300,CPT,Repair of esophagus,,,21 ,,RBRVS,9.13 ,6.39 ,6.39 ,,,,,1,0,1,1,1,1,20060825
43305,CPT,Repair esophagus and fistula,,,21 ,,RBRVS,17.36 ,10.72 ,10.72 ,,,,,1,0,1,1,1,1,20060825
43310,CPT,Repair of esophagus,,,21 ,,RBRVS,25.35 ,11.09 ,11.09 ,,,,,1,0,1,1,1,1,20060825
43312,CPT,Repair esophagus and fistula,,,21 ,,RBRVS,28.38 ,11.92 ,11.92 ,,,,,1,0,1,1,1,1,20060825
43313,CPT,Esophagoplasty congenital,,,21 ,,RBRVS,45.21 ,18.86 ,18.86 ,,,,,1,0,1,1,1,1,20060825
43314,CPT,Tracheo-esophagoplasty cong,,,21 ,,RBRVS,50.19 ,19.24 ,19.24 ,,,,,1,0,1,1,1,1,20060825
43320,CPT,Fuse esophagus & stomach,,,21 ,,RBRVS,19.90 ,9.23 ,9.23 ,,,,,1,0,1,1,1,1,20060825
43324,CPT,Revise esophagus & stomach,,,21 ,,RBRVS,20.54 ,8.79 ,8.79 ,,,,,1,0,1,1,1,1,20060825
43325,CPT,Revise esophagus & stomach,,,21 ,,RBRVS,20.03 ,8.81 ,8.81 ,,,,,1,0,1,1,1,1,20060825
43326,CPT,Revise esophagus & stomach,,,21 ,,RBRVS,19.71 ,9.32 ,9.32 ,,,,,1,0,1,1,1,1,20060825
43330,CPT,Repair of esophagus,,,21 ,,RBRVS,19.74 ,8.55 ,8.55 ,,,,,1,0,1,1,1,1,20060825
43331,CPT,Repair of esophagus,,,21 ,,RBRVS,20.10 ,9.81 ,9.81 ,,,,,1,0,1,1,1,1,20060825
43340,CPT,Fuse esophagus & intestine,,,21 ,,RBRVS,19.58 ,8.99 ,8.99 ,,,,,1,0,1,1,1,1,20060825
43341,CPT,Fuse esophagus & intestine,,,21 ,,RBRVS,20.82 ,10.04 ,10.04 ,,,,,1,0,1,1,1,1,20060825
43350,CPT,"Surgical opening, esophagus",,,21 ,,RBRVS,15.76 ,8.46 ,8.46 ,,,,,1,0,1,1,1,1,20060825
43351,CPT,"Surgical opening, esophagus",,,21 ,,RBRVS,18.32 ,9.82 ,9.82 ,,,,,1,0,1,1,1,1,20060825
43352,CPT,"Surgical opening, esophagus",,,21 ,,RBRVS,15.24 ,8.40 ,8.40 ,,,,,1,0,1,1,1,1,20060825
43360,CPT,Gastrointestinal repair,,,21 ,,RBRVS,35.65 ,15.11 ,15.11 ,,,,,1,0,1,1,1,1,20060825
43361,CPT,Gastrointestinal repair,,,21 ,,RBRVS,40.44 ,16.93 ,16.93 ,,,,,1,0,1,1,1,1,20060825
43400,CPT,Ligate esophagus veins,,,21 ,,RBRVS,21.17 ,9.46 ,9.46 ,,,,,1,0,1,1,1,1,20060825
43401,CPT,Esophagus surgery for veins,,,21 ,,RBRVS,22.06 ,9.51 ,9.51 ,,,,,1,0,1,1,1,1,20060825
43405,CPT,Ligate/staple esophagus,,,21 ,,RBRVS,19.98 ,9.61 ,9.61 ,,,,,1,0,1,1,1,1,20060825
43410,CPT,Repair esophagus wound,,,21 ,,RBRVS,13.45 ,7.65 ,7.65 ,,,,,1,0,1,1,1,1,20060825
43415,CPT,Repair esophagus wound,,,21 ,,RBRVS,24.96 ,11.77 ,11.77 ,,,,,1,0,1,1,1,1,20060825
43420,CPT,Repair esophagus opening,,,21 ,,RBRVS,14.33 ,7.42 ,7.42 ,,,,,1,0,1,1,1,1,20060825
43425,CPT,Repair esophagus opening,,,21 ,,RBRVS,21.00 ,10.00 ,10.00 ,,,,,1,0,1,1,1,1,20060825
43450,CPT,Dilate esophagus,,,21 ,,RBRVS,1.38 ,0.69 ,2.64 ,,,,,1,0,1,1,1,1,20060825
43453,CPT,Dilate esophagus,,,21 ,,RBRVS,1.51 ,0.73 ,6.08 ,,,,,1,0,1,1,1,1,20060825
43456,CPT,Dilate esophagus,,,21 ,,RBRVS,2.57 ,1.10 ,13.78 ,,,,,1,0,1,1,1,1,20060825
43458,CPT,Dilate esophagus,,,21 ,,RBRVS,3.06 ,1.28 ,6.67 ,,,,,1,0,1,1,1,1,20060825
43460,CPT,Pressure treatment esophagus,,,21 ,,RBRVS,3.79 ,1.49 ,1.49 ,,,,,1,0,1,1,1,1,20060825
43496,CPT,"Free jejunum flap, microvasc",,,21 ,,TotalUnits,,,,4.58,,,,1,0,0,1,1,1,20060825
43499,CPT,Esophagus surgery procedure,,,21 ,,TotalUnits,,,,4.58,,,,1,0,1,1,1,1,20060825
43500,CPT,Surgical opening of stomach,,,21 ,,RBRVS,11.03 ,4.98 ,4.98 ,,,,,1,0,1,1,1,1,20060825
43501,CPT,Surgical repair of stomach,,,21 ,,RBRVS,20.01 ,8.32 ,8.32 ,,,,,1,0,1,1,1,1,20060825
43502,CPT,Surgical repair of stomach,,,21 ,,RBRVS,23.10 ,9.48 ,9.48 ,,,,,1,0,1,1,1,1,20060825
43510,CPT,Surgical opening of stomach,,,21 ,,RBRVS,13.06 ,6.60 ,6.60 ,,,,,1,0,1,1,1,1,20060825
43520,CPT,Incision of pyloric muscle,,,21 ,,RBRVS,9.98 ,5.27 ,5.27 ,,,,,1,0,1,1,1,1,20060825
43600,CPT,Biopsy of stomach,,,21 ,,RBRVS,1.91 ,0.66 ,0.66 ,,,,,1,0,1,1,1,1,20060825
43605,CPT,Biopsy of stomach,,,21 ,,RBRVS,11.96 ,5.30 ,5.30 ,,,,,1,0,1,1,1,1,20060825
43610,CPT,Excision of stomach lesion,,,21 ,,RBRVS,14.58 ,6.16 ,6.16 ,,,,,1,0,1,1,1,1,20060825
43611,CPT,Excision of stomach lesion,,,21 ,,RBRVS,17.81 ,7.58 ,7.58 ,,,,,1,0,1,1,1,1,20060825
43620,CPT,Removal of stomach,,,21 ,,RBRVS,29.99 ,11.82 ,11.82 ,,,,,1,0,1,1,1,1,20060825
43621,CPT,Removal of stomach,,,21 ,,RBRVS,30.68 ,12.00 ,12.00 ,,,,,1,0,1,1,1,1,20060825
43622,CPT,Removal of stomach,,,21 ,,RBRVS,32.48 ,12.62 ,12.62 ,,,,,1,0,1,1,1,1,20060825
43631,CPT,"Removal of stomach, partial",,,21 ,,RBRVS,22.56 ,9.18 ,9.18 ,,,,,1,0,1,1,1,1,20060825
43632,CPT,"Removal of stomach, partial",,,21 ,,RBRVS,22.56 ,9.18 ,9.18 ,,,,,1,0,1,1,1,1,20060825
43633,CPT,"Removal of stomach, partial",,,21 ,,RBRVS,23.07 ,9.35 ,9.35 ,,,,,1,0,1,1,1,1,20060825
43634,CPT,"Removal of stomach, partial",,,21 ,,RBRVS,25.08 ,10.11 ,10.11 ,,,,,1,0,1,1,1,1,20060825
43635,CPT,"Removal of stomach, partial",,,21 ,,RBRVS,2.06 ,0.70 ,0.70 ,,,,,1,0,1,1,1,1,20060825
43640,CPT,Vagotomy & pylorus repair,,,21 ,,RBRVS,16.99 ,7.27 ,7.27 ,,,,,1,0,1,1,1,1,20060825
43641,CPT,Vagotomy & pylorus repair,,,21 ,,RBRVS,17.24 ,7.38 ,7.38 ,,,,,1,0,1,1,1,1,20060825
43644,CPT,Lap gastric bypass/roux-en-y,,,21 ,,RBRVS,27.83 ,11.24 ,11.24 ,,,,,1,0,0,1,1,1,20060825
43645,CPT,Lap gastr bypass incl smll i,,,21 ,,RBRVS,29.96 ,12.04 ,12.04 ,,,,,1,0,0,1,1,1,20060825
43651,CPT,"Laparoscopy, vagus nerve",,,21 ,,RBRVS,10.13 ,4.77 ,4.77 ,,,,,1,0,1,1,1,1,20060825
43652,CPT,"Laparoscopy, vagus nerve",,,21 ,,RBRVS,12.13 ,5.77 ,5.77 ,,,,,1,0,1,1,1,1,20060825
43653,CPT,"Laparoscopy, gastrostomy",,,21 ,,RBRVS,7.72 ,4.19 ,4.19 ,,,,,1,0,1,1,1,1,20060825
43659,CPT,"Laparoscope proc, stom",,,21 ,,TotalUnits,,,,14.93 ,,,,1,0,1,1,1,1,20060825
43750,CPT,Place gastrostomy tube,,,21 ,,RBRVS,4.48 ,2.20 ,2.20 ,,,,,1,0,1,1,1,1,20060825
43752,CPT,Nasal/orogastric w/stent,,,21 ,,RBRVS,0.81 ,0.26 ,0.28 ,,,,,1,0,1,1,1,1,20060825
43760,CPT,Change gastrostomy tube,,,21 ,,RBRVS,1.10 ,0.45 ,2.09 ,,,,,1,0,1,1,1,1,20060825
43761,CPT,Reposition gastrostomy tube,,,21 ,,RBRVS,2.01 ,0.66 ,1.17 ,,,,,1,0,1,1,1,1,20060825
43770,CPT,"Lap, place gastr adjust band",,,21 ,,RBRVS,16.71 ,7.73 ,7.73 ,,,,,1,0,0,1,1,1,20060825
43771,CPT,"Lap, revise adjust gast band",,,21 ,,RBRVS,19.50 ,8.61 ,8.61 ,,,,,1,0,0,1,1,1,20060825
43772,CPT,"Lap, remove adjust gast band",,,21 ,,RBRVS,15.00 ,6.44 ,6.44 ,,,,,1,0,0,1,1,1,20060825
43773,CPT,"Lap, change adjust gast band",,,21 ,,RBRVS,19.50 ,8.61 ,8.61 ,,,,,1,0,0,1,1,1,20060825
43774,CPT,Lap remov adj gast band/port,,,21 ,,RBRVS,15.00 ,6.58 ,6.58 ,,,,,1,0,0,1,1,1,20060825
43800,CPT,Reconstruction of pylorus,,,21 ,,RBRVS,13.67 ,5.91 ,5.91 ,,,,,1,0,1,1,1,1,20060825
43810,CPT,Fusion of stomach and bowel,,,21 ,,RBRVS,14.63 ,6.19 ,6.19 ,,,,,1,0,1,1,1,1,20060825
43820,CPT,Fusion of stomach and bowel,,,21 ,,RBRVS,15.35 ,6.42 ,6.42 ,,,,,1,0,1,1,1,1,20060825
43825,CPT,Fusion of stomach and bowel,,,21 ,,RBRVS,19.19 ,8.03 ,8.03 ,,,,,1,0,1,1,1,1,20060825
43830,CPT,Place gastrostomy tube,,,21 ,,RBRVS,9.52 ,4.85 ,4.85 ,,,,,1,0,1,1,1,1,20060825
43831,CPT,Place gastrostomy tube,,,21 ,,RBRVS,7.83 ,4.52 ,4.52 ,,,,,1,0,1,1,1,1,20060825
43832,CPT,Place gastrostomy tube,,,21 ,,RBRVS,15.58 ,6.86 ,6.86 ,,,,,1,0,1,1,1,1,20060825
43840,CPT,Repair of stomach lesion,,,21 ,,RBRVS,15.54 ,6.78 ,6.78 ,,,,,1,0,1,1,1,1,20060825
43842,CPT,Gastroplasty for obesity,,,21 ,,RBRVS,18.44 ,7.81 ,7.81 ,,,,,1,0,1,1,1,1,20060825
43843,CPT,Gastroplasty for obesity,,,21 ,,RBRVS,18.62 ,7.78 ,7.78 ,,,,,1,0,1,1,1,1,20060825
43845,CPT,Gastroplasty duodenal switch,,,21 ,,RBRVS,31.00 ,10.80 ,10.80 ,,,,,1,0,0,1,1,1,20060825
43846,CPT,Gastric bypass for obesity,,,21 ,,RBRVS,24.01 ,10.05 ,10.05 ,,,,,1,0,1,1,1,1,20060825
43847,CPT,Gastric bypass for obesity,,,21 ,,RBRVS,26.88 ,10.92 ,10.92 ,,,,,1,0,1,1,1,1,20060825
43848,CPT,Revision gastroplasty,,,21 ,,RBRVS,29.35 ,11.84 ,11.84 ,,,,,1,0,1,1,1,1,20060825
43850,CPT,Revise stomach-bowel fusion,,,21 ,,RBRVS,24.68 ,9.84 ,9.84 ,,,,,1,0,1,1,1,1,20060825
43855,CPT,Revise stomach-bowel fusion,,,21 ,,RBRVS,26.12 ,10.35 ,10.35 ,,,,,1,0,1,1,1,1,20060825
43860,CPT,Revise stomach-bowel fusion,,,21 ,,RBRVS,24.96 ,9.99 ,9.99 ,,,,,1,0,1,1,1,1,20060825
43865,CPT,Revise stomach-bowel fusion,,,21 ,,RBRVS,26.48 ,10.53 ,10.53 ,,,,,1,0,1,1,1,1,20060825
43870,CPT,Repair stomach opening,,,21 ,,RBRVS,9.68 ,4.52 ,4.52 ,,,,,1,0,1,1,1,1,20060825
43880,CPT,Repair stomach-bowel fistula,,,21 ,,RBRVS,24.61 ,9.92 ,9.92 ,,,,,1,0,1,1,1,1,20060825
43886,CPT,"Revise gastric port, open",,,28 ,,NW,,,,,,$337.81,,1,0,1,1,1,1,20060825
43887,CPT,"Remove gastric port, open",,,28 ,,NW,,,,,,$337.81,,1,0,1,1,1,1,20060825
43888,CPT,"Change gastric port, open",,,28 ,,NW,,,,,,$859.47,,1,0,1,1,1,1,20060825
43999,CPT,Stomach surgery procedure,,,21 ,,TotalUnits,,,,21.80 ,,,,1,0,1,1,1,1,20060825
44005,CPT,Freeing of bowel adhesion,,,21 ,,RBRVS,16.21 ,6.73 ,6.73 ,,,,,1,0,1,1,1,1,20060825
44010,CPT,Incision of small bowel,,,21 ,,RBRVS,12.50 ,5.46 ,5.46 ,,,,,1,0,1,1,1,1,20060825
44015,CPT,Insert needle cath bowel,,,21 ,,RBRVS,2.62 ,0.88 ,0.88 ,,,,,1,0,1,1,1,1,20060825
44020,CPT,Explore small intestine,,,21 ,,RBRVS,13.97 ,5.95 ,5.95 ,,,,,1,0,1,1,1,1,20060825
44021,CPT,Decompress small bowel,,,21 ,,RBRVS,14.06 ,5.98 ,5.98 ,,,,,1,0,1,1,1,1,20060825
44025,CPT,Incision of large bowel,,,21 ,,RBRVS,14.26 ,6.04 ,6.04 ,,,,,1,0,1,1,1,1,20060825
44050,CPT,Reduce bowel obstruction,,,21 ,,RBRVS,14.01 ,5.97 ,5.97 ,,,,,1,0,1,1,1,1,20060825
44055,CPT,Correct malrotation of bowel,,,21 ,,RBRVS,21.97 ,8.75 ,8.75 ,,,,,1,0,1,1,1,1,20060825
44100,CPT,Biopsy of bowel,,,21 ,,RBRVS,2.01 ,0.71 ,0.71 ,,,,,1,0,1,1,1,1,20060825
44110,CPT,Excise intestine lesion(s),,,21 ,,RBRVS,11.79 ,5.24 ,5.24 ,,,,,1,0,1,1,1,1,20060825
44111,CPT,Excision of bowel lesion(s),,,21 ,,RBRVS,14.27 ,6.12 ,6.12 ,,,,,1,0,1,1,1,1,20060825
44120,CPT,Removal of small intestine,,,21 ,,RBRVS,16.97 ,7.09 ,7.09 ,,,,,1,0,1,1,1,1,20060825
44121,CPT,Removal of small intestine,,,21 ,,RBRVS,4.44 ,1.52 ,1.52 ,,,,,1,0,1,1,1,1,20060825
44125,CPT,Removal of small intestine,,,21 ,,RBRVS,17.51 ,7.27 ,7.27 ,,,,,1,0,1,1,1,1,20060825
44126,CPT,"Enterectomy w/o taper, cong",,,21 ,,RBRVS,35.45 ,14.15 ,14.15 ,,,,,1,0,1,1,1,1,20060825
44127,CPT,"Enterectomy w/taper, cong",,,21 ,,RBRVS,40.94 ,15.76 ,15.76 ,,,,,1,0,1,1,1,1,20060825
44128,CPT,"Enterectomy cong, add-on",,,21 ,,RBRVS,4.44 ,1.53 ,1.53 ,,,,,1,0,1,1,1,1,20060825
44130,CPT,Bowel to bowel fusion,,,21 ,,RBRVS,14.47 ,6.23 ,6.23 ,,,,,1,0,1,1,1,1,20060825
44132,CPT,"Enterectomy, cadaver donor",,,21 ,,RBRVS,4.44 ,1.52 ,1.52 ,,,,,1,0,0,1,1,1,20060825
44133,CPT,"Enterectomy, live donor",,,21 ,,RBRVS,4.44 ,1.52 ,1.52 ,,,,,1,0,0,1,1,1,20060825
44139,CPT,Mobilization of colon,,,21 ,,RBRVS,2.23 ,0.76 ,0.76 ,,,,,1,0,1,1,1,1,20060825
44140,CPT,Partial removal of colon,,,21 ,,RBRVS,20.97 ,8.67 ,8.67 ,,,,,1,0,1,1,1,1,20060825
44141,CPT,Partial removal of colon,,,21 ,,RBRVS,19.48 ,10.07 ,10.07 ,,,,,1,0,1,1,1,1,20060825
44143,CPT,Partial removal of colon,,,21 ,,RBRVS,22.96 ,10.71 ,10.71 ,,,,,1,0,1,1,1,1,20060825
44144,CPT,Partial removal of colon,,,21 ,,RBRVS,21.50 ,9.64 ,9.64 ,,,,,1,0,1,1,1,1,20060825
44145,CPT,Partial removal of colon,,,21 ,,RBRVS,26.38 ,10.83 ,10.83 ,,,,,1,0,1,1,1,1,20060825
44146,CPT,Partial removal of colon,,,21 ,,RBRVS,27.50 ,12.89 ,12.89 ,,,,,1,0,1,1,1,1,20060825
44147,CPT,Partial removal of colon,,,21 ,,RBRVS,20.68 ,8.71 ,8.71 ,,,,,1,0,1,1,1,1,20060825
44150,CPT,Removal of colon,,,21 ,,RBRVS,23.91 ,12.05 ,12.05 ,,,,,1,0,1,1,1,1,20060825
44151,CPT,Removal of colon/ileostomy,,,21 ,,RBRVS,26.84 ,13.43 ,13.43 ,,,,,1,0,1,1,1,1,20060825
44152,CPT,Removal of colon/ileostomy,,,21 ,,RBRVS,27.79 ,11.62 ,11.62 ,,,,,1,0,1,1,1,1,20060825
44153,CPT,Removal of colon/ileostomy,,,21 ,,RBRVS,30.54 ,14.41 ,14.41 ,,,,,1,0,1,1,1,1,20060825
44155,CPT,Removal of colon/ileostomy,,,21 ,,RBRVS,27.82 ,13.34 ,13.34 ,,,,,1,0,1,1,1,1,20060825
44156,CPT,Removal of colon/ileostomy,,,21 ,,RBRVS,30.74 ,15.07 ,15.07 ,,,,,1,0,1,1,1,1,20060825
44160,CPT,Removal of colon,,,21 ,,RBRVS,18.59 ,7.76 ,7.76 ,,,,,1,0,1,1,1,1,20060825
44180,CPT,"Lap, enterolysis",,,21 ,,RBRVS,14.42 ,6.25 ,6.25 ,,,,,1,0,1,1,1,1,20060825
44186,CPT,"Lap, jejunostomy",,,21 ,,RBRVS,9.77 ,4.80 ,4.80 ,,,,,1,0,1,1,1,1,20060825
44187,CPT,"Lap, ileo/jejuno-stomy",,,21 ,,RBRVS,15.93 ,8.29 ,8.29 ,,,,,1,0,0,1,1,1,20060825
44188,CPT,"Lap, colostomy",,,21 ,,RBRVS,17.61 ,8.87 ,8.87 ,,,,,1,0,0,1,1,1,20060825
44202,CPT,Lap resect s/intestine singl,,,21 ,,RBRVS,22.01 ,8.95 ,8.95 ,,,,,1,0,1,1,1,1,20060825
44203,CPT,"Lap resect s/intestine, addl",,,21 ,,RBRVS,4.44 ,1.50 ,1.50 ,,,,,1,0,1,1,1,1,20060825
44204,CPT,Laparo partial colectomy,,,21 ,,RBRVS,25.04 ,9.98 ,9.98 ,,,,,1,0,1,1,1,1,20060825
44205,CPT,Lap colectomy part w/ileum,,,21 ,,RBRVS,22.20 ,8.87 ,8.87 ,,,,,1,0,1,1,1,1,20060825
44206,CPT,Lap part colectomy w/stoma,,,21 ,,RBRVS,26.96 ,11.28 ,11.28 ,,,,,1,0,1,1,1,1,20060825
44207,CPT,L colectomy/coloproctostomy,,,21 ,,RBRVS,29.96 ,11.51 ,11.51 ,,,,,1,0,1,1,1,1,20060825
44208,CPT,L colectomy/coloproctostomy,,,21 ,,RBRVS,31.95 ,13.17 ,13.17 ,,,,,1,0,1,1,1,1,20060825
44210,CPT,Laparo total proctocolectomy,,,21 ,,RBRVS,27.96 ,11.90 ,11.90 ,,,,,1,0,1,1,1,1,20060825
44211,CPT,Laparo total proctocolectomy,,,21 ,,RBRVS,34.95 ,14.71 ,14.71 ,,,,,1,0,1,1,1,1,20060825
44212,CPT,Laparo total proctocolectomy,,,21 ,,RBRVS,32.45 ,13.72 ,13.72 ,,,,,1,0,1,1,1,1,20060825
44213,CPT,"Lap, mobil splenic fl add-on",,,21 ,,RBRVS,3.50 ,1.22 ,1.22 ,,,,,1,0,1,1,1,1,20060825
44227,CPT,"Lap, close enterostomy",,,21 ,,RBRVS,26.50 ,10.65 ,10.65 ,,,,,1,0,0,1,1,1,20060825
44238,CPT,"Laparoscope proc, intestine",,,21 ,,TotalUnits,,,,20.65 ,,,,1,0,1,1,1,1,20060825
44300,CPT,Open bowel to skin,,,21 ,,RBRVS,12.09 ,5.50 ,5.50 ,,,,,1,0,1,1,1,1,20060825
44310,CPT,Ileostomy/jejunostomy,,,21 ,,RBRVS,15.93 ,6.71 ,6.71 ,,,,,1,0,1,1,1,1,20060825
44312,CPT,Revision of ileostomy,,,21 ,,RBRVS,8.01 ,4.00 ,4.00 ,,,,,1,0,1,1,1,1,20060825
44314,CPT,Revision of ileostomy,,,21 ,,RBRVS,15.03 ,6.57 ,6.57 ,,,,,1,0,1,1,1,1,20060825
44316,CPT,Devise bowel pouch,,,21 ,,RBRVS,21.06 ,8.56 ,8.56 ,,,,,1,0,1,1,1,1,20060825
44320,CPT,Colostomy,,,21 ,,RBRVS,17.61 ,7.67 ,7.67 ,,,,,1,0,1,1,1,1,20060825
44322,CPT,Colostomy with biopsies,,,21 ,,RBRVS,11.96 ,8.59 ,8.59 ,,,,,1,0,1,1,1,1,20060825
44340,CPT,Revision of colostomy,,,21 ,,RBRVS,7.71 ,4.27 ,4.27 ,,,,,1,0,1,1,1,1,20060825
44345,CPT,Revision of colostomy,,,21 ,,RBRVS,15.41 ,6.90 ,6.90 ,,,,,1,0,1,1,1,1,20060825
44346,CPT,Revision of colostomy,,,21 ,,RBRVS,16.96 ,7.40 ,7.40 ,,,,,1,0,1,1,1,1,20060825
44360,CPT,Small bowel endoscopy,,,21 ,,RBRVS,2.59 ,1.10 ,1.10 ,,,,,1,0,1,1,1,1,20060825
44361,CPT,Small bowel endoscopy/biopsy,,,21 ,,RBRVS,2.87 ,1.20 ,1.20 ,,,,,1,0,1,1,1,1,20060825
44363,CPT,Small bowel endoscopy,,,21 ,,RBRVS,3.49 ,1.38 ,1.38 ,,,,,1,0,1,1,1,1,20060825
44364,CPT,Small bowel endoscopy,,,21 ,,RBRVS,3.73 ,1.49 ,1.49 ,,,,,1,0,1,1,1,1,20060825
44365,CPT,Small bowel endoscopy,,,21 ,,RBRVS,3.31 ,1.36 ,1.36 ,,,,,1,0,1,1,1,1,20060825
44366,CPT,Small bowel endoscopy,,,21 ,,RBRVS,4.40 ,1.74 ,1.74 ,,,,,1,0,1,1,1,1,20060825
44369,CPT,Small bowel endoscopy,,,21 ,,RBRVS,4.51 ,1.74 ,1.74 ,,,,,1,0,1,1,1,1,20060825
44370,CPT,Small bowel endoscopy/stent,,,21 ,,RBRVS,4.79 ,1.98 ,1.98 ,,,,,1,0,1,1,1,1,20060825
44372,CPT,Small bowel endoscopy,,,21 ,,RBRVS,4.40 ,1.74 ,1.74 ,,,,,1,0,1,1,1,1,20060825
44373,CPT,Small bowel endoscopy,,,21 ,,RBRVS,3.49 ,1.42 ,1.42 ,,,,,1,0,1,1,1,1,20060825
44376,CPT,Small bowel endoscopy,,,21 ,,RBRVS,5.25 ,2.03 ,2.03 ,,,,,1,0,1,1,1,1,20060825
44377,CPT,Small bowel endoscopy/biopsy,,,21 ,,RBRVS,5.52 ,2.14 ,2.14 ,,,,,1,0,1,1,1,1,20060825
44378,CPT,Small bowel endoscopy,,,21 ,,RBRVS,7.12 ,2.70 ,2.70 ,,,,,1,0,1,1,1,1,20060825
44379,CPT,S bowel endoscope w/stent,,,21 ,,RBRVS,7.46 ,2.92 ,2.92 ,,,,,1,0,1,1,1,1,20060825
44380,CPT,Small bowel endoscopy,,,21 ,,RBRVS,1.05 ,0.55 ,0.55 ,,,,,1,0,1,1,1,1,20060825
44382,CPT,Small bowel endoscopy,,,21 ,,RBRVS,1.27 ,0.63 ,0.63 ,,,,,1,0,1,1,1,1,20060825
44383,CPT,Ileoscopy w/stent,,,21 ,,RBRVS,2.94 ,1.27 ,1.27 ,,,,,1,0,1,1,1,1,20060825
44385,CPT,Endoscopy of bowel pouch,,,21 ,,RBRVS,1.82 ,0.75 ,3.36 ,,,,,1,0,1,1,1,1,20060825
44386,CPT,"Endoscopy, bowel pouch/biop",,,21 ,,RBRVS,2.12 ,0.88 ,6.66 ,,,,,1,0,1,1,1,1,20060825
44388,CPT,Colon endoscopy,,,21 ,,RBRVS,2.82 ,1.15 ,5.09 ,,,,,1,0,1,1,1,1,20060825
44389,CPT,Colonoscopy with biopsy,,,21 ,,RBRVS,3.13 ,1.27 ,6.64 ,,,,,1,0,1,1,1,1,20060825
44390,CPT,Colonoscopy for foreign body,,,21 ,,RBRVS,3.82 ,1.49 ,7.13 ,,,,,1,0,1,1,1,1,20060825
44391,CPT,Colonoscopy for bleeding,,,21 ,,RBRVS,4.31 ,1.69 ,8.75 ,,,,,1,0,1,1,1,1,20060825
44392,CPT,Colonoscopy & polypectomy,,,21 ,,RBRVS,3.81 ,1.49 ,6.60 ,,,,,1,0,1,1,1,1,20060825
44393,CPT,"Colonoscopy, lesion removal",,,21 ,,RBRVS,4.83 ,1.87 ,6.92 ,,,,,1,0,1,1,1,1,20060825
44394,CPT,Colonoscopy w/snare,,,21 ,,RBRVS,4.42 ,1.72 ,7.83 ,,,,,1,0,1,1,1,1,20060825
44397,CPT,Colonoscopy w/stent,,,21 ,,RBRVS,4.70 ,1.80 ,1.80 ,,,,,1,0,1,1,1,1,20060825
44500,CPT,"Intro, gastrointestinal tube",,,21 ,,RBRVS,0.49 ,0.16 ,0.16 ,,,,,1,0,1,1,1,1,20060825
44602,CPT,"Suture, small intestine",,,21 ,,RBRVS,16.01 ,6.41 ,6.41 ,,,,,1,0,1,1,1,1,20060825
44603,CPT,"Suture, small intestine",,,21 ,,RBRVS,18.63 ,7.29 ,7.29 ,,,,,1,0,1,1,1,1,20060825
44604,CPT,"Suture, large intestine",,,21 ,,RBRVS,16.01 ,6.47 ,6.47 ,,,,,1,0,1,1,1,1,20060825
44605,CPT,Repair of bowel lesion,,,21 ,,RBRVS,19.50 ,8.41 ,8.41 ,,,,,1,0,1,1,1,1,20060825
44615,CPT,Intestinal stricturoplasty,,,21 ,,RBRVS,15.91 ,6.69 ,6.69 ,,,,,1,0,1,1,1,1,20060825
44620,CPT,Repair bowel opening,,,21 ,,RBRVS,12.18 ,5.34 ,5.34 ,,,,,1,0,1,1,1,1,20060825
44625,CPT,Repair bowel opening,,,21 ,,RBRVS,15.03 ,6.32 ,6.32 ,,,,,1,0,1,1,1,1,20060825
44626,CPT,Repair bowel opening,,,21 ,,RBRVS,25.32 ,9.84 ,9.84 ,,,,,1,0,1,1,1,1,20060825
44640,CPT,Repair bowel-skin fistula,,,21 ,,RBRVS,21.62 ,8.59 ,8.59 ,,,,,1,0,1,1,1,1,20060825
44650,CPT,Repair bowel fistula,,,21 ,,RBRVS,22.54 ,8.91 ,8.91 ,,,,,1,0,1,1,1,1,20060825
44660,CPT,Repair bowel-bladder fistula,,,21 ,,RBRVS,21.33 ,8.36 ,8.36 ,,,,,1,0,1,1,1,1,20060825
44661,CPT,Repair bowel-bladder fistula,,,21 ,,RBRVS,24.77 ,9.58 ,9.58 ,,,,,1,0,1,1,1,1,20060825
44680,CPT,"Surgical revision, intestine",,,21 ,,RBRVS,15.38 ,6.46 ,6.46 ,,,,,1,0,1,1,1,1,20060825
44700,CPT,Suspend bowel w/prosthesis,,,21 ,,RBRVS,16.09 ,6.68 ,6.68 ,,,,,1,0,1,1,1,1,20060825
44701,CPT,Intraop colon lavage add-on,,,21 ,,RBRVS,3.10 ,1.06 ,1.06 ,,,,,1,0,1,1,1,1,20060825
44720,CPT,Prep donor intestine/venous,,,21 ,,RBRVS,5.00 ,1.71 ,1.71 ,,,,,1,0,0,1,1,1,20060825
44721,CPT,Prep donor intestine/artery,,,21 ,,RBRVS,7.00 ,2.40 ,2.40 ,,,,,1,0,0,1,1,1,20060825
44799,CPT,Intestine surgery procedure,,,21 ,,TotalUnits,,,,24.09 ,,,,1,0,1,1,1,1,20060825
44800,CPT,Excision of bowel pouch,,,21 ,,RBRVS,11.21 ,5.40 ,5.40 ,,,,,1,0,1,1,1,1,20060825
44820,CPT,Excision of mesentery lesion,,,21 ,,RBRVS,12.07 ,5.50 ,5.50 ,,,,,1,0,1,1,1,1,20060825
44850,CPT,Repair of mesentery,,,21 ,,RBRVS,10.72 ,5.01 ,5.01 ,,,,,1,0,1,1,1,1,20060825
44899,CPT,Bowel surgery procedure,,,21 ,,TotalUnits,,,,16.64 ,,,,1,0,1,1,1,1,20060825
44900,CPT,"Drain app abscess, open",,,21 ,,RBRVS,10.12 ,4.70 ,4.70 ,,,,,1,0,1,1,1,1,20060825
44901,CPT,"Drain app abscess, percut",,,21 ,,RBRVS,3.37 ,1.11 ,27.97 ,,,,,1,0,1,1,1,1,20060825
44950,CPT,Appendectomy,,,21 ,,RBRVS,9.99 ,4.32 ,4.32 ,,,,,1,0,1,1,1,1,20060825
44955,CPT,Appendectomy add-on,,,21 ,,RBRVS,1.53 ,0.54 ,0.54 ,,,,,1,0,1,1,1,1,20060825
44960,CPT,Appendectomy,,,21 ,,RBRVS,12.32 ,5.35 ,5.35 ,,,,,1,0,1,1,1,1,20060825
44970,CPT,"Laparoscopy, appendectomy",,,21 ,,RBRVS,8.69 ,4.09 ,4.09 ,,,,,1,0,1,1,1,1,20060825
44979,CPT,"Laparoscope proc, app",,,21 ,,TotalUnits,,,,12.92 ,,,,1,0,1,1,1,1,20060825
45000,CPT,Drainage of pelvic abscess,,,21 ,,RBRVS,4.51 ,2.97 ,2.97 ,,,,,1,0,1,1,1,1,20060825
45005,CPT,Drainage of rectal abscess,,,21 ,,RBRVS,1.99 ,1.58 ,4.06 ,,,,,1,0,1,1,1,1,20060825
45020,CPT,Drainage of rectal abscess,,,21 ,,RBRVS,4.71 ,3.28 ,3.28 ,,,,,1,0,1,1,1,1,20060825
45100,CPT,Biopsy of rectum,,,21 ,,RBRVS,3.67 ,2.37 ,2.37 ,,,,,1,0,1,1,1,1,20060825
45108,CPT,Removal of anorectal lesion,,,21 ,,RBRVS,4.75 ,2.78 ,2.78 ,,,,,1,0,1,1,1,1,20060825
45110,CPT,Removal of rectum,,,21 ,,RBRVS,27.96 ,12.43 ,12.43 ,,,,,1,0,1,1,1,1,20060825
45111,CPT,Partial removal of rectum,,,21 ,,RBRVS,16.46 ,7.18 ,7.18 ,,,,,1,0,1,1,1,1,20060825
45112,CPT,Removal of rectum,,,21 ,,RBRVS,30.49 ,11.79 ,11.79 ,,,,,1,0,1,1,1,1,20060825
45113,CPT,Partial proctectomy,,,21 ,,RBRVS,30.53 ,12.63 ,12.63 ,,,,,1,0,1,1,1,1,20060825
45114,CPT,Partial removal of rectum,,,21 ,,RBRVS,27.28 ,10.90 ,10.90 ,,,,,1,0,1,1,1,1,20060825
45116,CPT,Partial removal of rectum,,,21 ,,RBRVS,24.54 ,10.05 ,10.05 ,,,,,1,0,1,1,1,1,20060825
45119,CPT,Remove rectum w/reservoir,,,21 ,,RBRVS,30.79 ,12.49 ,12.49 ,,,,,1,0,1,1,1,1,20060825
45120,CPT,Removal of rectum,,,21 ,,RBRVS,24.56 ,10.15 ,10.15 ,,,,,1,0,1,1,1,1,20060825
45121,CPT,Removal of rectum and colon,,,21 ,,RBRVS,27.00 ,11.13 ,11.13 ,,,,,1,0,1,1,1,1,20060825
45123,CPT,Partial proctectomy,,,21 ,,RBRVS,16.68 ,6.87 ,6.87 ,,,,,1,0,1,1,1,1,20060825
45126,CPT,Pelvic exenteration,,,21 ,,RBRVS,45.09 ,19.26 ,19.26 ,,,,,1,0,1,1,1,1,20060825
45130,CPT,Excision of rectal prolapse,,,21 ,,RBRVS,16.42 ,6.78 ,6.78 ,,,,,1,0,1,1,1,1,20060825
45135,CPT,Excision of rectal prolapse,,,21 ,,RBRVS,19.25 ,8.43 ,8.43 ,,,,,1,0,1,1,1,1,20060825
45136,CPT,Excise ileoanal reservior,,,21 ,,RBRVS,27.26 ,12.55 ,12.55 ,,,,,1,0,1,1,1,1,20060825
45150,CPT,Excision of rectal stricture,,,21 ,,RBRVS,5.66 ,2.97 ,2.97 ,,,,,1,0,1,1,1,1,20060825
45160,CPT,Excision of rectal lesion,,,21 ,,RBRVS,15.30 ,6.66 ,6.66 ,,,,,1,0,1,1,1,1,20060825
45170,CPT,Excision of rectal lesion,,,21 ,,RBRVS,11.47 ,5.25 ,5.25 ,,,,,1,0,1,1,1,1,20060825
45190,CPT,"Destruction, rectal tumor",,,21 ,,RBRVS,9.73 ,4.63 ,4.63 ,,,,,1,0,1,1,1,1,20060825
45300,CPT,Proctosigmoidoscopy dx,,,21 ,,RBRVS,0.38 ,0.28 ,1.53 ,,,,,1,0,1,1,1,1,20060825
45303,CPT,Proctosigmoidoscopy dilate,,,21 ,,RBRVS,0.44 ,0.33 ,18.73 ,,,,,1,0,1,1,1,1,20060825
45305,CPT,Proctosigmoidoscopy w/bx,,,21 ,,RBRVS,1.01 ,0.50 ,2.64 ,,,,,1,0,1,1,1,1,20060825
45307,CPT,Proctosigmoidoscopy fb,,,21 ,,RBRVS,0.94 ,0.48 ,3.04 ,,,,,1,0,1,1,1,1,20060825
45308,CPT,Proctosigmoidoscopy removal,,,21 ,,RBRVS,0.83 ,0.44 ,2.00 ,,,,,1,0,1,1,1,1,20060825
45309,CPT,Proctosigmoidoscopy removal,,,21 ,,RBRVS,2.01 ,0.84 ,2.82 ,,,,,1,0,1,1,1,1,20060825
45315,CPT,Proctosigmoidoscopy removal,,,21 ,,RBRVS,1.40 ,0.63 ,2.87 ,,,,,1,0,1,1,1,1,20060825
45317,CPT,Proctosigmoidoscopy bleed,,,21 ,,RBRVS,1.50 ,0.66 ,2.44 ,,,,,1,0,1,1,1,1,20060825
45320,CPT,Proctosigmoidoscopy ablate,,,21 ,,RBRVS,1.58 ,0.71 ,2.92 ,,,,,1,0,1,1,1,1,20060825
45321,CPT,Proctosigmoidoscopy volvul,,,21 ,,RBRVS,1.17 ,0.56 ,0.56 ,,,,,1,0,1,1,1,1,20060825
45327,CPT,Proctosigmoidoscopy w/stent,,,21 ,,RBRVS,1.65 ,0.69 ,0.69 ,,,,,1,0,1,1,1,1,20060825
45330,CPT,Diagnostic sigmoidoscopy,,,21 ,,RBRVS,0.96 ,0.50 ,2.28 ,,,,,1,0,1,1,1,1,20060825
45331,CPT,Sigmoidoscopy and biopsy,,,21 ,,RBRVS,1.15 ,0.59 ,3.08 ,,,,,1,0,1,1,1,1,20060825
45332,CPT,Sigmoidoscopy w/fb removal,,,21 ,,RBRVS,1.79 ,0.80 ,5.01 ,,,,,1,0,1,1,1,1,20060825
45333,CPT,Sigmoidoscopy & polypectomy,,,21 ,,RBRVS,1.79 ,0.80 ,4.88 ,,,,,1,0,1,1,1,1,20060825
45334,CPT,Sigmoidoscopy for bleeding,,,21 ,,RBRVS,2.73 ,1.14 ,1.14 ,,,,,1,0,1,1,1,1,20060825
45335,CPT,Sigmoidoscope w/submuc inj,,,21 ,,RBRVS,1.46 ,0.69 ,3.22 ,,,,,1,0,1,1,1,1,20060825
45337,CPT,Sigmoidoscopy & decompress,,,21 ,,RBRVS,2.36 ,1.00 ,1.00 ,,,,,1,0,1,1,1,1,20060825
45338,CPT,Sigmoidoscpy w/tumr remove,,,21 ,,RBRVS,2.34 ,1.00 ,5.23 ,,,,,1,0,1,1,1,1,20060825
45339,CPT,Sigmoidoscopy w/ablate tumr,,,21 ,,RBRVS,3.14 ,1.28 ,3.47 ,,,,,1,0,1,1,1,1,20060825
45340,CPT,Sig w/balloon dilation,,,21 ,,RBRVS,1.89 ,0.83 ,6.19 ,,,,,1,0,1,1,1,1,20060825
45341,CPT,Sigmoidoscopy w/ultrasound,,,21 ,,RBRVS,2.60 ,1.07 ,1.07 ,,,,,1,0,1,1,1,1,20060825
45342,CPT,Sigmoidoscopy w/us guide bx,,,21 ,,RBRVS,4.05 ,1.54 ,1.54 ,,,,,1,0,1,1,1,1,20060825
45345,CPT,Sigmoidoscopy w/stent,,,21 ,,RBRVS,2.92 ,1.16 ,1.16 ,,,,,1,0,1,1,1,1,20060825
45355,CPT,Surgical colonoscopy,,,21 ,,RBRVS,3.51 ,1.38 ,1.38 ,,,,,1,0,1,1,1,1,20060825
45378,CPT,Diagnostic colonoscopy,,,21 ,,RBRVS,3.69 ,1.47 ,6.16 ,,,,,1,0,1,1,1,1,20060825
45379,CPT,Colonoscopy w/fb removal,,,21 ,,RBRVS,4.68 ,1.82 ,7.68 ,,,,,1,0,1,1,1,1,20060825
45380,CPT,Colonoscopy and biopsy,,,21 ,,RBRVS,4.43 ,1.74 ,7.21 ,,,,,1,0,1,1,1,1,20060825
45381,CPT,"Colonoscope, submucous inj",,,21 ,,RBRVS,4.19 ,1.65 ,7.13 ,,,,,1,0,1,1,1,1,20060825
45382,CPT,Colonoscopy/control bleeding,,,21 ,,RBRVS,5.68 ,2.19 ,9.97 ,,,,,1,0,1,1,1,1,20060825
45383,CPT,Lesion removal colonoscopy,,,21 ,,RBRVS,5.86 ,2.23 ,7.94 ,,,,,1,0,1,1,1,1,20060825
45384,CPT,Lesion remove colonoscopy,,,21 ,,RBRVS,4.69 ,1.83 ,6.82 ,,,,,1,0,1,1,1,1,20060825
45385,CPT,Lesion removal colonoscopy,,,21 ,,RBRVS,5.30 ,2.04 ,7.82 ,,,,,1,0,1,1,1,1,20060825
45386,CPT,Colonoscope dilate stricture,,,21 ,,RBRVS,4.57 ,1.79 ,12.44 ,,,,,1,0,1,1,1,1,20060825
45387,CPT,Colonoscopy w/stent,,,21 ,,RBRVS,5.90 ,2.34 ,2.34 ,,,,,1,0,1,1,1,1,20060825
45391,CPT,Colonoscopy w/endoscope us,,,21 ,,RBRVS,5.09 ,1.98 ,1.98 ,,,,,1,0,1,1,1,1,20060825
45392,CPT,Colonoscopy w/endoscopic fnb,,,21 ,,RBRVS,6.54 ,2.49 ,2.49 ,,,,,1,0,1,1,1,1,20060825
45395,CPT,"Lap, removal of rectum",,,21 ,,RBRVS,30.50 ,13.71 ,13.71 ,,,,,1,0,0,1,1,1,20060825
45397,CPT,"Lap, remove rectum w/pouch",,,21 ,,RBRVS,34.00 ,14.30 ,14.30 ,,,,,1,0,0,1,1,1,20060825
45400,CPT,Laparoscopic proctopexy,,,21 ,,RBRVS,18.06 ,7.85 ,7.85 ,,,,,1,0,0,1,1,1,20060825
45402,CPT,Lap proctopexy w/sig resect,,,21 ,,RBRVS,25.04 ,10.01 ,10.01 ,,,,,1,0,0,1,1,1,20060825
45499,CPT,"Laparoscope proc, rectum",,,28 ,,NW,,,,,,"$2,029.72",,1,0,1,1,1,1,20060825
45500,CPT,Repair of rectum,,,21 ,,RBRVS,7.28 ,3.54 ,3.54 ,,,,,1,0,1,1,1,1,20060825
45505,CPT,Repair of rectum,,,21 ,,RBRVS,7.57 ,3.86 ,3.86 ,,,,,1,0,1,1,1,1,20060825
45520,CPT,Treatment of rectal prolapse,,,21 ,,RBRVS,0.55 ,0.37 ,1.64 ,,,,,1,0,1,1,1,1,20060825
45540,CPT,Correct rectal prolapse,,,21 ,,RBRVS,16.25 ,6.81 ,6.81 ,,,,,1,0,1,1,1,1,20060825
45541,CPT,Correct rectal prolapse,,,21 ,,RBRVS,13.38 ,5.96 ,5.96 ,,,,,1,0,1,1,1,1,20060825
45550,CPT,Repair rectum/remove sigmoid,,,21 ,,RBRVS,22.97 ,9.24 ,9.24 ,,,,,1,0,1,1,1,1,20060825
45560,CPT,Repair of rectocele,,,21 ,,RBRVS,10.56 ,5.06 ,5.06 ,,,,,1,0,1,1,1,1,20060825
45562,CPT,Exploration/repair of rectum,,,21 ,,RBRVS,15.36 ,7.00 ,7.00 ,,,,,1,0,1,1,1,1,20060825
45563,CPT,Exploration/repair of rectum,,,21 ,,RBRVS,23.43 ,10.54 ,10.54 ,,,,,1,0,1,1,1,1,20060825
45800,CPT,Repair rect/bladder fistula,,,21 ,,RBRVS,17.74 ,7.44 ,7.44 ,,,,,1,0,1,1,1,1,20060825
45805,CPT,Repair fistula w/colostomy,,,21 ,,RBRVS,20.75 ,9.53 ,9.53 ,,,,,1,0,1,1,1,1,20060825
45820,CPT,Repair rectourethral fistula,,,21 ,,RBRVS,18.45 ,7.64 ,7.64 ,,,,,1,0,1,1,1,1,20060825
45825,CPT,Repair fistula w/colostomy,,,21 ,,RBRVS,21.22 ,9.84 ,9.84 ,,,,,1,0,1,1,1,1,20060825
45900,CPT,Reduction of rectal prolapse,,,21 ,,RBRVS,2.61 ,1.50 ,1.50 ,,,,,1,0,1,1,1,1,20060825
45905,CPT,Dilation of anal sphincter,,,21 ,,RBRVS,2.30 ,1.43 ,1.43 ,,,,,1,0,1,1,1,1,20060825
45910,CPT,Dilation of rectal narrowing,,,21 ,,RBRVS,2.80 ,1.66 ,1.66 ,,,,,1,0,1,1,1,1,20060825
45915,CPT,Remove rectal obstruction,,,21 ,,RBRVS,3.14 ,2.10 ,4.33 ,,,,,1,0,1,1,1,1,20060825
45990,CPT,"Surg dx exam, anorectal",,,21 ,,RBRVS,1.80 ,0.79 ,0.79 ,,,,,1,0,1,1,1,1,20060825
45999,CPT,Rectum surgery procedure,,,21 ,,TotalUnits,,,,5.83 ,,,,1,0,1,1,1,1,20060825
46020,CPT,Placement of seton,,,21 ,,RBRVS,2.90 ,1.86 ,2.34 ,,,,,1,0,1,1,1,1,20060825
46030,CPT,Removal of rectal marker,,,21 ,,RBRVS,1.23 ,0.71 ,1.35 ,,,,,1,0,1,1,1,1,20060825
46040,CPT,Incision of rectal abscess,,,21 ,,RBRVS,4.95 ,3.59 ,5.51 ,,,,,1,0,1,1,1,1,20060825
46045,CPT,Incision of rectal abscess,,,21 ,,RBRVS,4.31 ,2.90 ,2.90 ,,,,,1,0,1,1,1,1,20060825
46050,CPT,Incision of anal abscess,,,21 ,,RBRVS,1.19 ,0.84 ,2.55 ,,,,,1,0,1,1,1,1,20060825
46060,CPT,Incision of rectal abscess,,,21 ,,RBRVS,5.68 ,3.25 ,3.25 ,,,,,1,0,1,1,1,1,20060825
46070,CPT,Incision of anal septum,,,21 ,,RBRVS,2.71 ,1.84 ,1.84 ,,,,,1,0,1,1,1,1,20060825
46080,CPT,Incision of anal sphincter,,,21 ,,RBRVS,2.49 ,1.13 ,2.37 ,,,,,1,0,1,1,1,1,20060825
46083,CPT,Incise external hemorrhoid,,,21 ,,RBRVS,1.40 ,0.92 ,2.53 ,,,,,1,0,1,1,1,1,20060825
46200,CPT,Removal of anal fissure,,,21 ,,RBRVS,3.41 ,2.87 ,3.86 ,,,,,1,0,1,1,1,1,20060825
46210,CPT,Removal of anal crypt,,,21 ,,RBRVS,2.67 ,2.63 ,5.12 ,,,,,1,0,1,1,1,1,20060825
46211,CPT,Removal of anal crypts,,,21 ,,RBRVS,4.24 ,3.51 ,5.42 ,,,,,1,0,1,1,1,1,20060825
46220,CPT,Removal of anal tag,,,21 ,,RBRVS,1.56 ,0.95 ,2.30 ,,,,,1,0,1,1,1,1,20060825
46221,CPT,Ligation of hemorrhoid(s),,,21 ,,RBRVS,2.04 ,1.75 ,2.65 ,,,,,1,0,1,1,1,1,20060825
46230,CPT,Removal of anal tags,,,21 ,,RBRVS,2.57 ,1.29 ,3.08 ,,,,,1,0,1,1,1,1,20060825
46250,CPT,Hemorrhoidectomy,,,21 ,,RBRVS,3.88 ,2.62 ,5.32 ,,,,,1,0,1,1,1,1,20060825
46255,CPT,Hemorrhoidectomy,,,21 ,,RBRVS,4.59 ,2.84 ,5.85 ,,,,,1,0,1,1,1,1,20060825
46257,CPT,Remove hemorrhoids & fissure,,,21 ,,RBRVS,5.39 ,2.88 ,2.88 ,,,,,1,0,1,1,1,1,20060825
46258,CPT,Remove hemorrhoids & fistula,,,21 ,,RBRVS,5.72 ,3.28 ,3.28 ,,,,,1,0,1,1,1,1,20060825
46260,CPT,Hemorrhoidectomy,,,21 ,,RBRVS,6.36 ,3.19 ,3.19 ,,,,,1,0,1,1,1,1,20060825
46261,CPT,Remove hemorrhoids & fissure,,,21 ,,RBRVS,7.07 ,3.61 ,3.61 ,,,,,1,0,1,1,1,1,20060825
46262,CPT,Remove hemorrhoids & fistula,,,21 ,,RBRVS,7.49 ,3.74 ,3.74 ,,,,,1,0,1,1,1,1,20060825
46270,CPT,Removal of anal fistula,,,21 ,,RBRVS,3.71 ,2.84 ,5.00 ,,,,,1,0,1,1,1,1,20060825
46275,CPT,Removal of anal fistula,,,21 ,,RBRVS,4.55 ,2.98 ,4.64 ,,,,,1,0,1,1,1,1,20060825
46280,CPT,Removal of anal fistula,,,21 ,,RBRVS,5.97 ,3.26 ,3.26 ,,,,,1,0,1,1,1,1,20060825
46285,CPT,Removal of anal fistula,,,21 ,,RBRVS,4.08 ,2.75 ,3.77 ,,,,,1,0,1,1,1,1,20060825
46288,CPT,Repair anal fistula,,,21 ,,RBRVS,7.12 ,3.68 ,3.68 ,,,,,1,0,1,1,1,1,20060825
46320,CPT,Removal of hemorrhoid clot,,,21 ,,RBRVS,1.61 ,0.85 ,2.13 ,,,,,1,0,1,1,1,1,20060825
46500,CPT,Injection into hemorrhoid(s),,,21 ,,RBRVS,1.61 ,1.15 ,2.12 ,,,,,1,0,1,1,1,1,20060825
46505,CPT,Chemodenervation anal musc,,,21 ,,RBRVS,2.86 ,1.97 ,3.05 ,,,,,1,0,1,1,1,1,20060825
46600,CPT,Diagnostic anoscopy,,,21 ,,RBRVS,0.50 ,0.34 ,1.56 ,,,,,1,0,1,1,1,1,20060825
46604,CPT,Anoscopy and dilation,,,21 ,,RBRVS,1.31 ,0.62 ,9.15 ,,,,,1,0,1,1,1,1,20060825
46606,CPT,Anoscopy and biopsy,,,21 ,,RBRVS,0.81 ,0.43 ,3.79 ,,,,,1,0,1,1,1,1,20060825
46608,CPT,"Anoscopy, remove for body",,,21 ,,RBRVS,1.51 ,0.65 ,4.41 ,,,,,1,0,1,1,1,1,20060825
46610,CPT,"Anoscopy, remove lesion",,,21 ,,RBRVS,1.32 ,0.61 ,4.04 ,,,,,1,0,1,1,1,1,20060825
46611,CPT,Anoscopy,,,21 ,,RBRVS,1.81 ,0.78 ,3.34 ,,,,,1,0,1,1,1,1,20060825
46612,CPT,"Anoscopy, remove lesions",,,21 ,,RBRVS,2.34 ,0.98 ,5.20 ,,,,,1,0,1,1,1,1,20060825
46614,CPT,"Anoscopy, control bleeding",,,21 ,,RBRVS,2.01 ,0.84 ,2.33 ,,,,,1,0,1,1,1,1,20060825
46615,CPT,Anoscopy,,,21 ,,RBRVS,2.68 ,1.07 ,2.49 ,,,,,1,0,1,1,1,1,20060825
46700,CPT,Repair of anal stricture,,,21 ,,RBRVS,9.12 ,4.21 ,4.21 ,,,,,1,0,1,1,1,1,20060825
46705,CPT,Repair of anal stricture,,,21 ,,RBRVS,6.89 ,3.69 ,3.69 ,,,,,1,0,1,1,1,1,20060825
46706,CPT,Repr of anal fistula w/glue,,,21 ,,RBRVS,2.39 ,1.25 ,1.25 ,,,,,1,0,1,1,1,1,20060825
46710,CPT,Repr per/vag pouch sngl proc,,,21 ,,RBRVS,16.00 ,7.77 ,7.77 ,,,,,1,0,0,1,1,1,20060825
46712,CPT,Repr per/vag pouch dbl proc,,,21 ,,RBRVS,34.00 ,15.08 ,15.08 ,,,,,1,0,0,1,1,1,20060825
46715,CPT,Repair of anovaginal fistula,,,21 ,,RBRVS,7.19 ,3.58 ,3.58 ,,,,,1,0,1,1,1,1,20060825
46716,CPT,Repair of anovaginal fistula,,,21 ,,RBRVS,15.05 ,7.99 ,7.99 ,,,,,1,0,1,1,1,1,20060825
46730,CPT,Construction of absent anus,,,21 ,,RBRVS,26.71 ,12.05 ,12.05 ,,,,,1,0,1,1,1,1,20060825
46735,CPT,Construction of absent anus,,,21 ,,RBRVS,32.12 ,13.58 ,13.58 ,,,,,1,0,1,1,1,1,20060825
46740,CPT,Construction of absent anus,,,21 ,,RBRVS,29.96 ,13.26 ,13.26 ,,,,,1,0,1,1,1,1,20060825
46742,CPT,Repair of imperforated anus,,,21 ,,RBRVS,35.75 ,17.43 ,17.43 ,,,,,1,0,1,1,1,1,20060825
46744,CPT,Repair of cloacal anomaly,,,21 ,,RBRVS,52.55 ,21.17 ,21.17 ,,,,,1,0,1,1,1,1,20060825
46746,CPT,Repair of cloacal anomaly,,,21 ,,RBRVS,58.13 ,25.21 ,25.21 ,,,,,1,0,1,1,1,1,20060825
46748,CPT,Repair of cloacal anomaly,,,21 ,,RBRVS,64.11 ,23.70 ,23.70 ,,,,,1,0,1,1,1,1,20060825
46750,CPT,Repair of anal sphincter,,,21 ,,RBRVS,10.23 ,5.06 ,5.06 ,,,,,1,0,1,1,1,1,20060825
46751,CPT,Repair of anal sphincter,,,21 ,,RBRVS,8.76 ,5.43 ,5.43 ,,,,,1,0,1,1,1,1,20060825
46753,CPT,Reconstruction of anus,,,21 ,,RBRVS,8.28 ,3.85 ,3.85 ,,,,,1,0,1,1,1,1,20060825
46754,CPT,Removal of suture from anus,,,21 ,,RBRVS,2.20 ,1.67 ,3.60 ,,,,,1,0,1,1,1,1,20060825
46760,CPT,Repair of anal sphincter,,,21 ,,RBRVS,14.41 ,7.10 ,7.10 ,,,,,1,0,1,1,1,1,20060825
46761,CPT,Repair of anal sphincter,,,21 ,,RBRVS,13.82 ,6.02 ,6.02 ,,,,,1,0,1,1,1,1,20060825
46762,CPT,Implant artificial sphincter,,,21 ,,RBRVS,12.69 ,5.53 ,5.53 ,,,,,1,0,1,1,1,1,20060825
46900,CPT,"Destruction, anal lesion(s)",,,21 ,,RBRVS,1.91 ,1.27 ,2.59 ,,,,,1,0,1,1,1,1,20060825
46910,CPT,"Destruction, anal lesion(s)",,,21 ,,RBRVS,1.86 ,1.06 ,2.91 ,,,,,1,0,1,1,1,1,20060825
46916,CPT,"Cryosurgery, anal lesion(s)",,,21 ,,RBRVS,1.86 ,1.39 ,3.16 ,,,,,1,0,1,1,1,1,20060825
46917,CPT,"Laser surgery, anal lesions",,,21 ,,RBRVS,1.86 ,1.12 ,9.15 ,,,,,1,0,1,1,1,1,20060825
46922,CPT,Excision of anal lesion(s),,,21 ,,RBRVS,1.86 ,1.07 ,3.28 ,,,,,1,0,1,1,1,1,20060825
46924,CPT,"Destruction, anal lesion(s)",,,21 ,,RBRVS,2.76 ,1.35 ,8.71 ,,,,,1,0,1,1,1,1,20060825
46934,CPT,Destruction of hemorrhoids,,,21 ,,RBRVS,3.50 ,2.96 ,5.08 ,,,,,1,0,1,1,1,1,20060825
46935,CPT,Destruction of hemorrhoids,,,21 ,,RBRVS,2.43 ,1.21 ,3.47 ,,,,,1,0,1,1,1,1,20060825
46936,CPT,Destruction of hemorrhoids,,,21 ,,RBRVS,3.68 ,2.50 ,4.88 ,,,,,1,0,1,1,1,1,20060825
46937,CPT,Cryotherapy of rectal lesion,,,21 ,,RBRVS,2.69 ,1.22 ,2.78 ,,,,,1,0,1,1,1,1,20060825
46938,CPT,Cryotherapy of rectal lesion,,,21 ,,RBRVS,4.65 ,3.06 ,4.00 ,,,,,1,0,1,1,1,1,20060825
46940,CPT,Treatment of anal fissure,,,21 ,,RBRVS,2.32 ,1.09 ,2.00 ,,,,,1,0,1,1,1,1,20060825
46942,CPT,Treatment of anal fissure,,,21 ,,RBRVS,2.04 ,1.02 ,1.84 ,,,,,1,0,1,1,1,1,20060825
46945,CPT,Ligation of hemorrhoids,,,21 ,,RBRVS,1.84 ,2.48 ,3.27 ,,,,,1,0,1,1,1,1,20060825
46946,CPT,Ligation of hemorrhoids,,,21 ,,RBRVS,2.58 ,2.40 ,3.73 ,,,,,1,0,1,1,1,1,20060825
46947,CPT,Hemorrhoidopexy by stapling,,,21 ,,RBRVS,5.20 ,2.72 ,2.72 ,,,,,1,0,1,1,1,1,20060825
46999,CPT,Anus surgery procedure,,,21 ,,TotalUnits,,,,3.55 ,,,,1,0,1,1,1,1,20060825
47000,CPT,Needle biopsy of liver,,,21 ,,RBRVS,1.90 ,0.63 ,3.08 ,,,,,1,0,1,1,1,1,20060825
47001,CPT,"Needle biopsy, liver add-on",,,21 ,,RBRVS,1.90 ,0.65 ,0.65 ,,,,,1,0,1,1,1,1,20060825
47010,CPT,"Open drainage, liver lesion",,,21 ,,RBRVS,15.99 ,8.41 ,8.41 ,,,,,1,0,1,1,1,1,20060825
47011,CPT,"Percut drain, liver lesion",,,21 ,,RBRVS,3.69 ,1.21 ,1.21 ,,,,,1,0,1,1,1,1,20060825
47015,CPT,Inject/aspirate liver cyst,,,21 ,,RBRVS,15.09 ,7.50 ,7.50 ,,,,,1,0,1,1,1,1,20060825
47100,CPT,Wedge biopsy of liver,,,21 ,,RBRVS,11.65 ,6.05 ,6.05 ,,,,,1,0,1,1,1,1,20060825
47120,CPT,Partial removal of liver,,,21 ,,RBRVS,35.45 ,15.18 ,15.18 ,,,,,1,0,1,1,1,1,20060825
47122,CPT,Extensive removal of liver,,,21 ,,RBRVS,55.05 ,21.50 ,21.50 ,,,,,1,0,1,1,1,1,20060825
47125,CPT,Partial removal of liver,,,21 ,,RBRVS,49.12 ,19.56 ,19.56 ,,,,,1,0,1,1,1,1,20060825
47130,CPT,Partial removal of liver,,,21 ,,RBRVS,53.27 ,21.02 ,21.02 ,,,,,1,0,1,1,1,1,20060825
47135,CPT,Transplantation of liver,,,21 ,,RBRVS,81.40 ,31.59 ,31.59 ,,,,,1,0,1,1,1,1,20060825
47136,CPT,Transplantation of liver,,,21 ,,RBRVS,68.50 ,27.09 ,27.09 ,,,,,1,0,1,1,1,1,20060825
47140,CPT,"Partial removal, donor liver",,,21 ,,RBRVS,54.92 ,22.33 ,22.33 ,,,,,1,0,1,1,1,1,20060825
47141,CPT,"Partial removal, donor liver",,,21 ,,RBRVS,67.40 ,26.98 ,26.98 ,,,,,1,0,1,1,1,1,20060825
47142,CPT,"Partial removal, donor liver",,,21 ,,RBRVS,74.89 ,29.55 ,29.55 ,,,,,1,0,1,1,1,1,20060825
47146,CPT,Prep donor liver/venous,,,21 ,,RBRVS,6.00 ,2.06 ,2.06 ,,,,,1,0,0,1,1,1,20060825
47147,CPT,Prep donor liver/arterial,,,21 ,,RBRVS,7.00 ,2.40 ,2.40 ,,,,,1,0,0,1,1,1,20060825
47300,CPT,Surgery for liver lesion,,,21 ,,RBRVS,15.06 ,7.24 ,7.24 ,,,,,1,0,1,1,1,1,20060825
47350,CPT,Repair liver wound,,,21 ,,RBRVS,19.53 ,8.89 ,8.89 ,,,,,1,0,1,1,1,1,20060825
47360,CPT,Repair liver wound,,,21 ,,RBRVS,26.88 ,11.60 ,11.60 ,,,,,1,0,1,1,1,1,20060825
47361,CPT,Repair liver wound,,,21 ,,RBRVS,47.05 ,18.56 ,18.56 ,,,,,1,0,1,1,1,1,20060825
47362,CPT,Repair liver wound,,,21 ,,RBRVS,18.48 ,8.74 ,8.74 ,,,,,1,0,1,1,1,1,20060825
47370,CPT,Laparo ablate liver tumor rf,,,21 ,,RBRVS,19.66 ,8.15 ,8.15 ,,,,,1,0,1,1,1,1,20060825
47371,CPT,Laparo ablate liver cryosurg,,,21 ,,RBRVS,19.66 ,8.16 ,8.16 ,,,,,1,0,1,1,1,1,20060825
47379,CPT,"Laparoscope procedure, liver",,,21 ,,TotalUnits,,,,27.85 ,,,,1,0,1,1,1,1,20060825
47380,CPT,Open ablate liver tumor rf,,,21 ,,RBRVS,22.97 ,9.38 ,9.38 ,,,,,1,0,1,1,1,1,20060825
47381,CPT,Open ablate liver tumor cryo,,,21 ,,RBRVS,23.24 ,9.61 ,9.61 ,,,,,1,0,1,1,1,1,20060825
47382,CPT,Percut ablate liver rf,,,21 ,,RBRVS,15.17 ,6.09 ,6.09 ,,,,,1,0,1,1,1,1,20060825
47399,CPT,Liver surgery procedure,,,21 ,,TotalUnits,,,,2.66 ,,,,1,0,1,1,1,1,20060825
47400,CPT,Incision of liver duct,,,21 ,,RBRVS,32.44 ,13.47 ,13.47 ,,,,,1,0,1,1,1,1,20060825
47420,CPT,Incision of bile duct,,,21 ,,RBRVS,19.85 ,8.78 ,8.78 ,,,,,1,0,1,1,1,1,20060825
47425,CPT,Incision of bile duct,,,21 ,,RBRVS,19.80 ,8.83 ,8.83 ,,,,,1,0,1,1,1,1,20060825
47460,CPT,Incise bile duct sphincter,,,21 ,,RBRVS,18.01 ,8.38 ,8.38 ,,,,,1,0,1,1,1,1,20060825
47480,CPT,Incision of gallbladder,,,21 ,,RBRVS,10.80 ,5.92 ,5.92 ,,,,,1,0,1,1,1,1,20060825
47490,CPT,Incision of gallbladder,,,21 ,,RBRVS,7.22 ,5.58 ,5.58 ,,,,,1,0,1,1,1,1,20060825
47500,CPT,Injection for liver x-rays,,,21 ,,RBRVS,1.96 ,0.64 ,0.64 ,,,,,1,0,1,1,1,1,20060825
47505,CPT,Injection for liver x-rays,,,21 ,,RBRVS,0.76 ,0.25 ,0.25 ,,,,,1,0,1,1,1,1,20060825
47510,CPT,"Insert catheter, bile duct",,,21 ,,RBRVS,7.82 ,5.02 ,5.02 ,,,,,1,0,1,1,1,1,20060825
47511,CPT,Insert bile duct drain,,,21 ,,RBRVS,10.48 ,5.09 ,5.09 ,,,,,1,0,1,1,1,1,20060825
47525,CPT,Change bile duct catheter,,,21 ,,RBRVS,5.54 ,2.81 ,15.13 ,,,,,1,0,1,1,1,1,20060825
47530,CPT,Revise/reinsert bile tube,,,21 ,,RBRVS,5.84 ,3.72 ,33.88 ,,,,,1,0,1,1,1,1,20060825
47550,CPT,Bile duct endoscopy add-on,,,21 ,,RBRVS,3.02 ,1.02 ,1.02 ,,,,,1,0,1,1,1,1,20060825
47552,CPT,Biliary endoscopy thru skin,,,21 ,,RBRVS,6.03 ,2.38 ,2.38 ,,,,,1,0,1,1,1,1,20060825
47553,CPT,Biliary endoscopy thru skin,,,21 ,,RBRVS,6.34 ,2.07 ,2.07 ,,,,,1,0,1,1,1,1,20060825
47554,CPT,Biliary endoscopy thru skin,,,21 ,,RBRVS,9.05 ,3.36 ,3.36 ,,,,,1,0,1,1,1,1,20060825
47555,CPT,Biliary endoscopy thru skin,,,21 ,,RBRVS,7.55 ,2.47 ,2.47 ,,,,,1,0,1,1,1,1,20060825
47556,CPT,Biliary endoscopy thru skin,,,21 ,,RBRVS,8.55 ,2.79 ,2.79 ,,,,,1,0,1,1,1,1,20060825
47560,CPT,Laparoscopy w/cholangio,,,21 ,,RBRVS,4.88 ,1.67 ,1.67 ,,,,,1,0,1,1,1,1,20060825
47561,CPT,Laparo w/cholangio/biopsy,,,21 ,,RBRVS,5.17 ,1.92 ,1.92 ,,,,,1,0,1,1,1,1,20060825
47562,CPT,Laparoscopic cholecystectomy,,,21 ,,RBRVS,11.07 ,4.99 ,4.99 ,,,,,1,0,1,1,1,1,20060825
47563,CPT,Laparo cholecystectomy/graph,,,21 ,,RBRVS,11.92 ,5.31 ,5.31 ,,,,,1,0,1,1,1,1,20060825
47564,CPT,Laparo cholecystectomy/explr,,,21 ,,RBRVS,14.21 ,5.96 ,5.96 ,,,,,1,0,1,1,1,1,20060825
47570,CPT,Laparo cholecystoenterostomy,,,21 ,,RBRVS,12.56 ,5.38 ,5.38 ,,,,,1,0,1,1,1,1,20060825
47579,CPT,"Laparoscope proc, biliary",,,21 ,,TotalUnits,,,,16.07 ,,,,1,0,1,1,1,1,20060825
47600,CPT,Removal of gallbladder,,,21 ,,RBRVS,13.56 ,6.14 ,6.14 ,,,,,1,0,1,1,1,1,20060825
47605,CPT,Removal of gallbladder,,,21 ,,RBRVS,14.67 ,6.51 ,6.51 ,,,,,1,0,1,1,1,1,20060825
47610,CPT,Removal of gallbladder,,,21 ,,RBRVS,18.79 ,7.94 ,7.94 ,,,,,1,0,1,1,1,1,20060825
47612,CPT,Removal of gallbladder,,,21 ,,RBRVS,18.75 ,7.89 ,7.89 ,,,,,1,0,1,1,1,1,20060825
47620,CPT,Removal of gallbladder,,,21 ,,RBRVS,20.61 ,8.53 ,8.53 ,,,,,1,0,1,1,1,1,20060825
47630,CPT,Remove bile duct stone,,,21 ,,RBRVS,9.10 ,4.89 ,4.89 ,,,,,1,0,1,1,1,1,20060825
47700,CPT,Exploration of bile ducts,,,21 ,,RBRVS,15.60 ,7.42 ,7.42 ,,,,,1,0,1,1,1,1,20060825
47701,CPT,Bile duct revision,,,21 ,,RBRVS,27.77 ,11.50 ,11.50 ,,,,,1,0,1,1,1,1,20060825
47711,CPT,Excision of bile duct tumor,,,21 ,,RBRVS,23.00 ,9.94 ,9.94 ,,,,,1,0,1,1,1,1,20060825
47712,CPT,Excision of bile duct tumor,,,21 ,,RBRVS,30.19 ,12.44 ,12.44 ,,,,,1,0,1,1,1,1,20060825
47715,CPT,Excision of bile duct cyst,,,21 ,,RBRVS,18.77 ,8.44 ,8.44 ,,,,,1,0,1,1,1,1,20060825
47716,CPT,Fusion of bile duct cyst,,,21 ,,RBRVS,16.42 ,7.83 ,7.83 ,,,,,1,0,1,1,1,1,20060825
47720,CPT,Fuse gallbladder & bowel,,,21 ,,RBRVS,15.89 ,7.48 ,7.48 ,,,,,1,0,1,1,1,1,20060825
47721,CPT,Fuse upper gi structures,,,21 ,,RBRVS,19.09 ,8.57 ,8.57 ,,,,,1,0,1,1,1,1,20060825
47740,CPT,Fuse gallbladder & bowel,,,21 ,,RBRVS,18.45 ,8.38 ,8.38 ,,,,,1,0,1,1,1,1,20060825
47741,CPT,Fuse gallbladder & bowel,,,21 ,,RBRVS,21.31 ,9.30 ,9.30 ,,,,,1,0,1,1,1,1,20060825
47760,CPT,Fuse bile ducts and bowel,,,21 ,,RBRVS,25.81 ,10.86 ,10.86 ,,,,,1,0,1,1,1,1,20060825
47765,CPT,Fuse liver ducts & bowel,,,21 ,,RBRVS,24.84 ,10.81 ,10.81 ,,,,,1,0,1,1,1,1,20060825
47780,CPT,Fuse bile ducts and bowel,,,21 ,,RBRVS,26.46 ,11.22 ,11.22 ,,,,,1,0,1,1,1,1,20060825
47785,CPT,Fuse bile ducts and bowel,,,21 ,,RBRVS,31.13 ,12.93 ,12.93 ,,,,,1,0,1,1,1,1,20060825
47800,CPT,Reconstruction of bile ducts,,,21 ,,RBRVS,23.27 ,10.07 ,10.07 ,,,,,1,0,1,1,1,1,20060825
47801,CPT,"Placement, bile duct support",,,21 ,,RBRVS,15.15 ,8.16 ,8.16 ,,,,,1,0,1,1,1,1,20060825
47802,CPT,Fuse liver duct & intestine,,,21 ,,RBRVS,21.52 ,9.68 ,9.68 ,,,,,1,0,1,1,1,1,20060825
47900,CPT,Suture bile duct injury,,,21 ,,RBRVS,19.87 ,8.88 ,8.88 ,,,,,1,0,1,1,1,1,20060825
47999,CPT,Bile tract surgery procedure,,,21 ,,TotalUnits,,,,19.76 ,,,,1,0,1,1,1,1,20060825
48000,CPT,Drainage of abdomen,,,21 ,,RBRVS,28.03 ,11.52 ,11.52 ,,,,,1,0,1,1,1,1,20060825
48001,CPT,"Placement of drain, pancreas",,,21 ,,RBRVS,35.40 ,13.90 ,13.90 ,,,,,1,0,1,1,1,1,20060825
48005,CPT,Resect/debride pancreas,,,21 ,,RBRVS,42.11 ,16.59 ,16.59 ,,,,,1,0,1,1,1,1,20060825
48020,CPT,Removal of pancreatic stone,,,21 ,,RBRVS,15.68 ,7.31 ,7.31 ,,,,,1,0,1,1,1,1,20060825
48100,CPT,"Biopsy of pancreas, open",,,21 ,,RBRVS,12.21 ,5.60 ,5.60 ,,,,,1,0,1,1,1,1,20060825
48102,CPT,"Needle biopsy, pancreas",,,21 ,,RBRVS,4.67 ,1.95 ,7.97 ,,,,,1,0,1,1,1,1,20060825
48120,CPT,Removal of pancreas lesion,,,21 ,,RBRVS,15.83 ,6.86 ,6.86 ,,,,,1,0,1,1,1,1,20060825
48140,CPT,Partial removal of pancreas,,,21 ,,RBRVS,22.91 ,9.55 ,9.55 ,,,,,1,0,1,1,1,1,20060825
48145,CPT,Partial removal of pancreas,,,21 ,,RBRVS,23.98 ,9.84 ,9.84 ,,,,,1,0,1,1,1,1,20060825
48146,CPT,Pancreatectomy,,,21 ,,RBRVS,26.36 ,12.00 ,12.00 ,,,,,1,0,1,1,1,1,20060825
48148,CPT,Removal of pancreatic duct,,,21 ,,RBRVS,17.31 ,7.61 ,7.61 ,,,,,1,0,1,1,1,1,20060825
48150,CPT,Partial removal of pancreas,,,21 ,,RBRVS,47.93 ,19.54 ,19.54 ,,,,,1,0,1,1,1,1,20060825
48152,CPT,Pancreatectomy,,,21 ,,RBRVS,43.68 ,18.23 ,18.23 ,,,,,1,0,1,1,1,1,20060825
48153,CPT,Pancreatectomy,,,21 ,,RBRVS,47.82 ,19.58 ,19.58 ,,,,,1,0,1,1,1,1,20060825
48154,CPT,Pancreatectomy,,,21 ,,RBRVS,44.03 ,18.26 ,18.26 ,,,,,1,0,1,1,1,1,20060825
48155,CPT,Removal of pancreas,,,21 ,,RBRVS,24.60 ,11.68 ,11.68 ,,,,,1,0,1,1,1,1,20060825
48160,CPT,Pancreas removal/transplant,,,21 ,,TotalUnits,,,,56.97 ,,,,1,0,1,1,1,1,20060825
48180,CPT,Fuse pancreas and bowel,,,21 ,,RBRVS,24.68 ,10.17 ,10.17 ,,,,,1,0,1,1,1,1,20060825
48400,CPT,"Injection, intraop add-on",,,21 ,,RBRVS,1.95 ,0.64 ,0.64 ,,,,,1,0,1,1,1,1,20060825
48500,CPT,Surgery of pancreatic cyst,,,21 ,,RBRVS,15.26 ,7.34 ,7.34 ,,,,,1,0,1,1,1,1,20060825
48510,CPT,Drain pancreatic pseudocyst,,,21 ,,RBRVS,14.29 ,7.45 ,7.45 ,,,,,1,0,1,1,1,1,20060825
48511,CPT,Drain pancreatic pseudocyst,,,21 ,,RBRVS,3.99 ,1.31 ,20.95 ,,,,,1,0,1,1,1,1,20060825
48520,CPT,Fuse pancreas cyst and bowel,,,21 ,,RBRVS,15.57 ,6.71 ,6.71 ,,,,,1,0,1,1,1,1,20060825
48540,CPT,Fuse pancreas cyst and bowel,,,21 ,,RBRVS,19.69 ,8.12 ,8.12 ,,,,,1,0,1,1,1,1,20060825
48545,CPT,Pancreatorrhaphy,,,21 ,,RBRVS,18.15 ,7.99 ,7.99 ,,,,,1,0,1,1,1,1,20060825
48547,CPT,Duodenal exclusion,,,21 ,,RBRVS,25.79 ,10.50 ,10.50 ,,,,,1,0,1,1,1,1,20060825
48552,CPT,Prep donor pancreas/venous,,,21 ,,RBRVS,4.30 ,1.46 ,1.46 ,,,,,1,0,0,1,1,1,20060825
48554,CPT,Transpl allograft pancreas,,,21 ,,RBRVS,34.12 ,18.30 ,18.30 ,,,,,1,0,1,1,1,1,20060825
48556,CPT,"Removal, allograft pancreas",,,21 ,,RBRVS,15.69 ,8.08 ,8.08 ,,,,,1,0,1,1,1,1,20060825
48999,CPT,Pancreas surgery procedure,,,21 ,,TotalUnits,,,,34.90 ,,,,1,0,1,1,1,1,20060825
49000,CPT,Exploration of abdomen,,,21 ,,RBRVS,11.66 ,5.39 ,5.39 ,,,,,1,0,1,1,1,1,20060825
49002,CPT,Reopening of abdomen,,,21 ,,RBRVS,10.47 ,5.02 ,5.02 ,,,,,1,0,1,1,1,1,20060825
49010,CPT,Exploration behind abdomen,,,21 ,,RBRVS,12.26 ,5.91 ,5.91 ,,,,,1,0,1,1,1,1,20060825
49020,CPT,Drain abdominal abscess,,,21 ,,RBRVS,22.81 ,10.21 ,10.21 ,,,,,1,0,1,1,1,1,20060825
49021,CPT,Drain abdominal abscess,,,21 ,,RBRVS,3.37 ,1.11 ,21.11 ,,,,,1,0,1,1,1,1,20060825
49040,CPT,"Drain, open, abdom abscess",,,21 ,,RBRVS,13.50 ,6.43 ,6.43 ,,,,,1,0,1,1,1,1,20060825
49041,CPT,"Drain, percut, abdom abscess",,,21 ,,RBRVS,3.99 ,1.31 ,19.57 ,,,,,1,0,1,1,1,1,20060825
49060,CPT,"Drain, open, retrop abscess",,,21 ,,RBRVS,15.84 ,7.44 ,7.44 ,,,,,1,0,1,1,1,1,20060825
49061,CPT,"Drain, percut, retroper absc",,,21 ,,RBRVS,3.69 ,1.21 ,19.68 ,,,,,1,0,1,1,1,1,20060825
49062,CPT,Drain to peritoneal cavity,,,21 ,,RBRVS,11.34 ,5.44 ,5.44 ,,,,,1,0,1,1,1,1,20060825
49080,CPT,"Puncture, peritoneal cavity",,,21 ,,RBRVS,1.35 ,0.46 ,3.99 ,,,,,1,0,1,1,1,1,20060825
49081,CPT,Removal of abdominal fluid,,,21 ,,RBRVS,1.26 ,0.43 ,2.59 ,,,,,1,0,1,1,1,1,20060825
49085,CPT,Remove abdomen foreign body,,,21 ,,RBRVS,12.12 ,5.51 ,5.51 ,,,,,1,0,1,1,1,1,20060825
49180,CPT,"Biopsy, abdominal mass",,,21 ,,RBRVS,1.73 ,0.57 ,3.11 ,,,,,1,0,1,1,1,1,20060825
49200,CPT,Removal of abdominal lesion,,,21 ,,RBRVS,10.23 ,5.03 ,5.03 ,,,,,1,0,1,1,1,1,20060825
49201,CPT,"Remove abdom lesion, complex",,,21 ,,RBRVS,14.82 ,7.04 ,7.04 ,,,,,1,0,1,1,1,1,20060825
49215,CPT,Excise sacral spine tumor,,,21 ,,RBRVS,33.45 ,14.08 ,14.08 ,,,,,1,0,1,1,1,1,20060825
49220,CPT,"Multiple surgery, abdomen",,,21 ,,RBRVS,14.86 ,6.64 ,6.64 ,,,,,1,0,1,1,1,1,20060825
49250,CPT,Excision of umbilicus,,,21 ,,RBRVS,8.34 ,4.27 ,4.27 ,,,,,1,0,1,1,1,1,20060825
49255,CPT,Removal of omentum,,,21 ,,RBRVS,11.12 ,5.62 ,5.62 ,,,,,1,0,1,1,1,1,20060825
49320,CPT,Diag laparo separate proc,,,21 ,,RBRVS,5.09 ,2.64 ,2.64 ,,,,,1,0,1,1,1,1,20060825
49321,CPT,"Laparoscopy, biopsy",,,21 ,,RBRVS,5.39 ,2.65 ,2.65 ,,,,,1,0,1,1,1,1,20060825
49322,CPT,"Laparoscopy, aspiration",,,21 ,,RBRVS,5.69 ,3.00 ,3.00 ,,,,,1,0,1,1,1,1,20060825
49323,CPT,Laparo drain lymphocele,,,21 ,,RBRVS,9.47 ,4.50 ,4.50 ,,,,,1,0,1,1,1,1,20060825
49329,CPT,"Laparo proc, abdm/per/oment",,,21 ,,TotalUnits,,,,7.73 ,,,,1,0,1,1,1,1,20060825
49400,CPT,Air injection into abdomen,,,21 ,,RBRVS,1.88 ,0.62 ,3.08 ,,,,,1,0,1,1,1,1,20060825
49419,CPT,Insrt abdom cath for chemotx,,,21 ,,RBRVS,6.64 ,3.57 ,3.57 ,,,,,1,0,1,1,1,1,20060825
49420,CPT,"Insert abdom drain, temp",,,21 ,,RBRVS,2.22 ,1.09 ,1.09 ,,,,,1,0,1,1,1,1,20060825
49421,CPT,"Insert abdom drain, perm",,,21 ,,RBRVS,5.53 ,3.16 ,3.16 ,,,,,1,0,1,1,1,1,20060825
49422,CPT,Remove perm cannula/catheter,,,21 ,,RBRVS,6.24 ,2.90 ,2.90 ,,,,,1,0,1,1,1,1,20060825
49423,CPT,Exchange drainage catheter,,,21 ,,RBRVS,1.46 ,0.52 ,14.11 ,,,,,1,0,1,1,1,1,20060825
49424,CPT,"Assess cyst, contrast inject",,,21 ,,RBRVS,0.76 ,0.29 ,3.72 ,,,,,1,0,1,1,1,1,20060825
49425,CPT,Insert abdomen-venous drain,,,21 ,,RBRVS,11.35 ,5.61 ,5.61 ,,,,,1,0,1,1,1,1,20060825
49426,CPT,Revise abdomen-venous shunt,,,21 ,,RBRVS,9.62 ,4.77 ,4.77 ,,,,,1,0,1,1,1,1,20060825
49427,CPT,"Injection, abdominal shunt",,,21 ,,RBRVS,0.89 ,0.30 ,0.30 ,,,,,1,0,1,1,1,1,20060825
49428,CPT,Ligation of shunt,,,21 ,,RBRVS,6.05 ,3.93 ,3.93 ,,,,,1,0,1,1,1,1,20060825
49429,CPT,Removal of shunt,,,21 ,,RBRVS,7.39 ,3.43 ,3.43 ,,,,,1,0,1,1,1,1,20060825
49491,CPT,Rpr hern preemie reduc,,,21 ,,RBRVS,11.11 ,5.06 ,5.06 ,,,,,1,0,1,1,1,1,20060825
49492,CPT,"Rpr ing hern premie, blocked",,,21 ,,RBRVS,14.01 ,6.12 ,6.12 ,,,,,1,0,1,1,1,1,20060825
49495,CPT,"Rpr ing hernia baby, reduc",,,21 ,,RBRVS,5.88 ,2.96 ,2.96 ,,,,,1,0,1,1,1,1,20060825
49496,CPT,"Rpr ing hernia baby, blocked",,,21 ,,RBRVS,8.78 ,4.28 ,4.28 ,,,,,1,0,1,1,1,1,20060825
49500,CPT,"Rpr ing hernia, init, reduce",,,21 ,,RBRVS,5.47 ,3.12 ,3.12 ,,,,,1,0,1,1,1,1,20060825
49501,CPT,"Rpr ing hernia, init blocked",,,21 ,,RBRVS,8.87 ,4.21 ,4.21 ,,,,,1,0,1,1,1,1,20060825
49505,CPT,Prp i/hern init reduc>5 yr,,,21 ,,RBRVS,7.59 ,3.75 ,3.75 ,,,,,1,0,1,1,1,1,20060825
49507,CPT,Prp i/hern init block>5 yr,,,21 ,,RBRVS,9.56 ,4.46 ,4.46 ,,,,,1,0,1,1,1,1,20060825
49520,CPT,"Rerepair ing hernia, reduce",,,21 ,,RBRVS,9.62 ,4.44 ,4.44 ,,,,,1,0,1,1,1,1,20060825
49521,CPT,"Rerepair ing hernia, blocked",,,21 ,,RBRVS,11.95 ,5.25 ,5.25 ,,,,,1,0,1,1,1,1,20060825
49525,CPT,"Repair ing hernia, sliding",,,21 ,,RBRVS,8.56 ,4.08 ,4.08 ,,,,,1,0,1,1,1,1,20060825
49540,CPT,Repair lumbar hernia,,,21 ,,RBRVS,10.37 ,4.75 ,4.75 ,,,,,1,0,1,1,1,1,20060825
49550,CPT,"Rpr rem hernia, init, reduce",,,21 ,,RBRVS,8.62 ,4.13 ,4.13 ,,,,,1,0,1,1,1,1,20060825
49553,CPT,"Rpr fem hernia, init blocked",,,21 ,,RBRVS,9.43 ,4.42 ,4.42 ,,,,,1,0,1,1,1,1,20060825
49555,CPT,"Rerepair fem hernia, reduce",,,21 ,,RBRVS,9.02 ,4.27 ,4.27 ,,,,,1,0,1,1,1,1,20060825
49557,CPT,"Rerepair fem hernia, blocked",,,21 ,,RBRVS,11.13 ,4.99 ,4.99 ,,,,,1,0,1,1,1,1,20060825
49560,CPT,"Rpr ventral hern init, reduc",,,21 ,,RBRVS,11.55 ,5.15 ,5.15 ,,,,,1,0,1,1,1,1,20060825
49561,CPT,"Rpr ventral hern init, block",,,21 ,,RBRVS,14.23 ,6.07 ,6.07 ,,,,,1,0,1,1,1,1,20060825
49565,CPT,"Rerepair ventrl hern, reduce",,,21 ,,RBRVS,11.55 ,5.23 ,5.23 ,,,,,1,0,1,1,1,1,20060825
49566,CPT,"Rerepair ventrl hern, block",,,21 ,,RBRVS,14.38 ,6.14 ,6.14 ,,,,,1,0,1,1,1,1,20060825
49568,CPT,Hernia repair w/mesh,,,21 ,,RBRVS,4.88 ,1.67 ,1.67 ,,,,,1,0,1,1,1,1,20060825
49570,CPT,"Rpr epigastric hern, reduce",,,21 ,,RBRVS,5.68 ,3.17 ,3.17 ,,,,,1,0,1,1,1,1,20060825
49572,CPT,"Rpr epigastric hern, blocked",,,21 ,,RBRVS,6.72 ,3.47 ,3.47 ,,,,,1,0,1,1,1,1,20060825
49580,CPT,"Rpr umbil hern, reduc < 5 yr",,,21 ,,RBRVS,4.10 ,2.60 ,2.60 ,,,,,1,0,1,1,1,1,20060825
49582,CPT,"Rpr umbil hern, block < 5 yr",,,21 ,,RBRVS,6.64 ,3.47 ,3.47 ,,,,,1,0,1,1,1,1,20060825
49585,CPT,"Rpr umbil hern, reduc > 5 yr",,,21 ,,RBRVS,6.22 ,3.30 ,3.30 ,,,,,1,0,1,1,1,1,20060825
49587,CPT,"Rpr umbil hern, block > 5 yr",,,21 ,,RBRVS,7.55 ,3.74 ,3.74 ,,,,,1,0,1,1,1,1,20060825
49590,CPT,Repair spigilian hernia,,,21 ,,RBRVS,8.53 ,4.09 ,4.09 ,,,,,1,0,1,1,1,1,20060825
49600,CPT,Repair umbilical lesion,,,21 ,,RBRVS,10.94 ,5.34 ,5.34 ,,,,,1,0,1,1,1,1,20060825
49605,CPT,Repair umbilical lesion,,,21 ,,RBRVS,75.89 ,28.58 ,28.58 ,,,,,1,0,1,1,1,1,20060825
49606,CPT,Repair umbilical lesion,,,21 ,,RBRVS,18.57 ,7.70 ,7.70 ,,,,,1,0,1,1,1,1,20060825
49610,CPT,Repair umbilical lesion,,,21 ,,RBRVS,10.48 ,5.21 ,5.21 ,,,,,1,0,1,1,1,1,20060825
49611,CPT,Repair umbilical lesion,,,21 ,,RBRVS,8.91 ,6.99 ,6.99 ,,,,,1,0,1,1,1,1,20060825
49650,CPT,Laparo hernia repair initial,,,21 ,,RBRVS,6.26 ,3.20 ,3.20 ,,,,,1,0,1,1,1,1,20060825
49651,CPT,Laparo hernia repair recur,,,21 ,,RBRVS,8.23 ,4.05 ,4.05 ,,,,,1,0,1,1,1,1,20060825
49659,CPT,"Laparo proc, hernia repair",,,21 ,,TotalUnits,,,,9.49 ,,,,1,0,1,1,1,1,20060825
49900,CPT,Repair of abdominal wall,,,21 ,,RBRVS,12.26 ,6.24 ,6.24 ,,,,,1,0,1,1,1,1,20060825
49904,CPT,"Omental flap, extra-abdom",,,21 ,,RBRVS,19.97 ,15.25 ,15.25 ,,,,,1,0,1,1,1,1,20060825
49905,CPT,"Omental flap, intra-abdom",,,21 ,,RBRVS,6.54 ,2.30 ,2.30 ,,,,,1,0,1,1,1,1,20060825
49999,CPT,Abdomen surgery procedure,,,21 ,,TotalUnits,,,,11.47 ,,,,1,0,1,1,1,1,20060825
50010,CPT,Exploration of kidney,,,21 ,,RBRVS,10.96 ,5.23 ,5.23 ,,,,,1,0,1,1,1,1,20060825
50020,CPT,"Renal abscess, open drain",,,21 ,,RBRVS,14.64 ,7.76 ,7.76 ,,,,,1,0,1,1,1,1,20060825
50021,CPT,"Renal abscess, percut drain",,,21 ,,RBRVS,3.37 ,1.10 ,21.71 ,,,,,1,0,1,1,1,1,20060825
50040,CPT,Drainage of kidney,,,21 ,,RBRVS,14.92 ,6.82 ,6.82 ,,,,,1,0,1,1,1,1,20060825
50045,CPT,Exploration of kidney,,,21 ,,RBRVS,15.44 ,6.61 ,6.61 ,,,,,1,0,1,1,1,1,20060825
50060,CPT,Removal of kidney stone,,,21 ,,RBRVS,19.27 ,7.84 ,7.84 ,,,,,1,0,1,1,1,1,20060825
50065,CPT,Incision of kidney,,,21 ,,RBRVS,20.76 ,6.09 ,6.09 ,,,,,1,0,1,1,1,1,20060825
50070,CPT,Incision of kidney,,,21 ,,RBRVS,20.29 ,8.23 ,8.23 ,,,,,1,0,1,1,1,1,20060825
50075,CPT,Removal of kidney stone,,,21 ,,RBRVS,25.30 ,9.92 ,9.92 ,,,,,1,0,1,1,1,1,20060825
50080,CPT,Removal of kidney stone,,,21 ,,RBRVS,14.69 ,6.29 ,6.29 ,,,,,1,0,1,1,1,1,20060825
50081,CPT,Removal of kidney stone,,,21 ,,RBRVS,21.77 ,8.78 ,8.78 ,,,,,1,0,1,1,1,1,20060825
50100,CPT,Revise kidney blood vessels,,,21 ,,RBRVS,16.07 ,7.80 ,7.80 ,,,,,1,0,1,1,1,1,20060825
50120,CPT,Exploration of kidney,,,21 ,,RBRVS,15.89 ,6.78 ,6.78 ,,,,,1,0,1,1,1,1,20060825
50125,CPT,Explore and drain kidney,,,21 ,,RBRVS,16.50 ,6.98 ,6.98 ,,,,,1,0,1,1,1,1,20060825
50130,CPT,Removal of kidney stone,,,21 ,,RBRVS,17.26 ,7.18 ,7.18 ,,,,,1,0,1,1,1,1,20060825
50135,CPT,Exploration of kidney,,,21 ,,RBRVS,19.15 ,7.79 ,7.79 ,,,,,1,0,1,1,1,1,20060825
50200,CPT,Biopsy of kidney,,,21 ,,RBRVS,2.63 ,1.29 ,1.29 ,,,,,1,0,1,1,1,1,20060825
50205,CPT,Biopsy of kidney,,,21 ,,RBRVS,11.29 ,5.02 ,5.02 ,,,,,1,0,1,1,1,1,20060825
50220,CPT,"Remove kidney, open",,,21 ,,RBRVS,17.12 ,7.25 ,7.25 ,,,,,1,0,1,1,1,1,20060825
50225,CPT,"Removal kidney open, complex",,,21 ,,RBRVS,20.20 ,8.16 ,8.16 ,,,,,1,0,1,1,1,1,20060825
50230,CPT,"Removal kidney open, radical",,,21 ,,RBRVS,22.04 ,8.59 ,8.59 ,,,,,1,0,1,1,1,1,20060825
50234,CPT,Removal of kidney & ureter,,,21 ,,RBRVS,22.37 ,8.85 ,8.85 ,,,,,1,0,1,1,1,1,20060825
50236,CPT,Removal of kidney & ureter,,,21 ,,RBRVS,24.82 ,10.27 ,10.27 ,,,,,1,0,1,1,1,1,20060825
50240,CPT,Partial removal of kidney,,,21 ,,RBRVS,21.97 ,9.03 ,9.03 ,,,,,1,0,1,1,1,1,20060825
50250,CPT,Cryoablate renal mass open,,,21 ,,RBRVS,19.97 ,9.18 ,9.18 ,,,,,1,0,0,1,1,1,20060825
50280,CPT,Removal of kidney lesion,,,21 ,,RBRVS,15.65 ,6.70 ,6.70 ,,,,,1,0,1,1,1,1,20060825
50290,CPT,Removal of kidney lesion,,,21 ,,RBRVS,14.71 ,6.47 ,6.47 ,,,,,1,0,1,1,1,1,20060825
50300,CPT,Removal of donor kidney,,,21 ,,TotalUnits,,,,26.89 ,,,,1,0,1,1,1,1,20060825
50320,CPT,Removal of donor kidney,,,21 ,,RBRVS,22.18 ,10.68 ,10.68 ,,,,,1,0,1,1,1,1,20060825
50323,CPT,Prep cadaver renal allograft,,,21 ,,RBRVS,4.00 ,1.35 ,1.35 ,,,,,1,0,0,1,1,1,20060825
50325,CPT,Prep donor renal graft,,,21 ,,RBRVS,4.00 ,1.35 ,1.35 ,,,,,1,0,0,1,1,1,20060825
50327,CPT,Prep renal graft/venous,,,21 ,,RBRVS,4.00 ,1.35 ,1.35 ,,,,,1,0,0,1,1,1,20060825
50328,CPT,Prep renal graft/arterial,,,21 ,,RBRVS,3.50 ,1.18 ,1.18 ,,,,,1,0,0,1,1,1,20060825
50329,CPT,Prep renal graft/ureteral,,,21 ,,RBRVS,3.34 ,1.13 ,1.13 ,,,,,1,0,0,1,1,1,20060825
50340,CPT,Removal of kidney,,,21 ,,RBRVS,12.13 ,6.51 ,6.51 ,,,,,1,0,1,1,1,1,20060825
50360,CPT,Transplantation of kidney,,,21 ,,RBRVS,31.48 ,15.51 ,15.51 ,,,,,1,0,1,1,1,1,20060825
50365,CPT,Transplantation of kidney,,,21 ,,RBRVS,36.75 ,18.24 ,18.24 ,,,,,1,0,1,1,1,1,20060825
50370,CPT,Remove transplanted kidney,,,21 ,,RBRVS,13.70 ,7.16 ,7.16 ,,,,,1,0,1,1,1,1,20060825
50380,CPT,Reimplantation of kidney,,,21 ,,RBRVS,20.73 ,12.05 ,12.05 ,,,,,1,0,1,1,1,1,20060825
50382,CPT,"Change ureter stent, percut",,,21 ,,RBRVS,5.50 ,1.87 ,36.22 ,,,,,1,0,1,1,1,1,20060825
50384,CPT,"Remove ureter stent, percut",,,21 ,,RBRVS,5.00 ,1.71 ,35.32 ,,,,,1,0,1,1,1,1,20060825
50387,CPT,Change ext/int ureter stent,,,21 ,,RBRVS,2.00 ,0.67 ,18.26 ,,,,,1,0,1,1,1,1,20060825
50389,CPT,Remove renal tube w/fluoro,,,21 ,,RBRVS,1.10 ,0.37 ,12.78 ,,,,,1,0,1,1,1,1,20060825
50390,CPT,Drainage of kidney lesion,,,21 ,,RBRVS,1.96 ,0.64 ,0.64 ,,,,,1,0,1,1,1,1,20060825
50391,CPT,Instll rx agnt into rnal tub,,,21 ,,RBRVS,1.96 ,0.63 ,1.58 ,,,,,1,0,1,1,1,1,20060825
50392,CPT,Insert kidney drain,,,21 ,,RBRVS,3.37 ,1.52 ,1.52 ,,,,,1,0,1,1,1,1,20060825
50393,CPT,Insert ureteral tube,,,21 ,,RBRVS,4.15 ,1.79 ,1.79 ,,,,,1,0,1,1,1,1,20060825
50394,CPT,Injection for kidney x-ray,,,21 ,,RBRVS,0.76 ,0.66 ,2.69 ,,,,,1,0,1,1,1,1,20060825
50395,CPT,Create passage to kidney,,,21 ,,RBRVS,3.37 ,1.50 ,1.50 ,,,,,1,0,1,1,1,1,20060825
50396,CPT,Measure kidney pressure,,,21 ,,RBRVS,2.09 ,1.08 ,1.08 ,,,,,1,0,1,1,1,1,20060825
50398,CPT,Change kidney tube,,,21 ,,RBRVS,1.46 ,0.52 ,16.36 ,,,,,1,0,1,1,1,1,20060825
50400,CPT,Revision of kidney/ureter,,,21 ,,RBRVS,19.47 ,7.89 ,7.89 ,,,,,1,0,1,1,1,1,20060825
50405,CPT,Revision of kidney/ureter,,,21 ,,RBRVS,23.89 ,9.05 ,9.05 ,,,,,1,0,1,1,1,1,20060825
50500,CPT,Repair of kidney wound,,,21 ,,RBRVS,19.54 ,8.40 ,8.40 ,,,,,1,0,1,1,1,1,20060825
50520,CPT,Close kidney-skin fistula,,,21 ,,RBRVS,17.20 ,7.44 ,7.44 ,,,,,1,0,1,1,1,1,20060825
50525,CPT,Repair renal-abdomen fistula,,,21 ,,RBRVS,22.24 ,9.02 ,9.02 ,,,,,1,0,1,1,1,1,20060825
50526,CPT,Repair renal-abdomen fistula,,,21 ,,RBRVS,23.98 ,9.88 ,9.88 ,,,,,1,0,1,1,1,1,20060825
50540,CPT,Revision of horseshoe kidney,,,21 ,,RBRVS,19.90 ,8.34 ,8.34 ,,,,,1,0,1,1,1,1,20060825
50541,CPT,Laparo ablate renal cyst,,,21 ,,RBRVS,15.98 ,6.50 ,6.50 ,,,,,1,0,1,1,1,1,20060825
50542,CPT,Laparo ablate renal mass,,,21 ,,RBRVS,19.97 ,8.15 ,8.15 ,,,,,1,0,1,1,1,1,20060825
50543,CPT,Laparo partial nephrectomy,,,21 ,,RBRVS,25.46 ,10.22 ,10.22 ,,,,,1,0,1,1,1,1,20060825
50544,CPT,"Laparoscopy, pyeloplasty",,,21 ,,RBRVS,22.37 ,8.54 ,8.54 ,,,,,1,0,1,1,1,1,20060825
50545,CPT,Laparo radical nephrectomy,,,21 ,,RBRVS,23.96 ,9.21 ,9.21 ,,,,,1,0,1,1,1,1,20060825
50546,CPT,Laparoscopic nephrectomy,,,21 ,,RBRVS,20.45 ,8.38 ,8.38 ,,,,,1,0,1,1,1,1,20060825
50547,CPT,Laparo removal donor kidney,,,21 ,,RBRVS,25.46 ,11.13 ,11.13 ,,,,,1,0,1,1,1,1,20060825
50548,CPT,Laparo remove k/ureter,,,21 ,,RBRVS,24.36 ,9.20 ,9.20 ,,,,,1,0,1,1,1,1,20060825
50549,CPT,"Laparoscope proc, renal",,,21 ,,TotalUnits,,,,28.75 ,,,,1,0,1,1,1,1,20060825
50551,CPT,Kidney endoscopy,,,21 ,,RBRVS,5.59 ,1.98 ,4.15 ,,,,,1,0,1,1,1,1,20060825
50553,CPT,Kidney endoscopy,,,21 ,,RBRVS,5.98 ,2.18 ,4.37 ,,,,,1,0,1,1,1,1,20060825
50555,CPT,Kidney endoscopy & biopsy,,,21 ,,RBRVS,6.52 ,2.34 ,4.82 ,,,,,1,0,1,1,1,1,20060825
50557,CPT,Kidney endoscopy & treatment,,,21 ,,RBRVS,6.61 ,2.30 ,4.59 ,,,,,1,0,1,1,1,1,20060825
50561,CPT,Kidney endoscopy & treatment,,,21 ,,RBRVS,7.58 ,2.65 ,5.09 ,,,,,1,0,1,1,1,1,20060825
50562,CPT,Renal scope w/tumor resect,,,21 ,,RBRVS,10.90 ,4.32 ,4.32 ,,,,,1,0,1,1,1,1,20060825
50570,CPT,Kidney endoscopy,,,21 ,,RBRVS,9.53 ,3.22 ,3.22 ,,,,,1,0,1,1,1,1,20060825
50572,CPT,Kidney endoscopy,,,21 ,,RBRVS,10.33 ,3.51 ,3.51 ,,,,,1,0,1,1,1,1,20060825
50574,CPT,Kidney endoscopy & biopsy,,,21 ,,RBRVS,11.00 ,3.75 ,3.75 ,,,,,1,0,1,1,1,1,20060825
50575,CPT,Kidney endoscopy,,,21 ,,RBRVS,13.96 ,4.64 ,4.64 ,,,,,1,0,1,1,1,1,20060825
50576,CPT,Kidney endoscopy & treatment,,,21 ,,RBRVS,10.97 ,3.67 ,3.67 ,,,,,1,0,1,1,1,1,20060825
50580,CPT,Kidney endoscopy & treatment,,,21 ,,RBRVS,11.84 ,3.97 ,3.97 ,,,,,1,0,1,1,1,1,20060825
50590,CPT,Fragmenting of kidney stone,,,21 ,,RBRVS,9.08 ,4.12 ,12.43 ,,,,,1,0,1,1,1,1,20060825
50592,CPT,Perc rf ablate renal tumor,,,21 ,,RBRVS,6.75 ,2.99 ,149.45 ,,,,,1,0,1,1,1,1,20060825
50600,CPT,Exploration of ureter,,,21 ,,RBRVS,15.82 ,6.68 ,6.68 ,,,,,1,0,1,1,1,1,20060825
50605,CPT,Insert ureteral support,,,21 ,,RBRVS,15.44 ,6.75 ,6.75 ,,,,,1,0,1,1,1,1,20060825
50610,CPT,Removal of ureter stone,,,21 ,,RBRVS,15.90 ,6.98 ,6.98 ,,,,,1,0,1,1,1,1,20060825
50620,CPT,Removal of ureter stone,,,21 ,,RBRVS,15.14 ,6.35 ,6.35 ,,,,,1,0,1,1,1,1,20060825
50630,CPT,Removal of ureter stone,,,21 ,,RBRVS,14.92 ,6.29 ,6.29 ,,,,,1,0,1,1,1,1,20060825
50650,CPT,Removal of ureter,,,21 ,,RBRVS,17.38 ,7.24 ,7.24 ,,,,,1,0,1,1,1,1,20060825
50660,CPT,Removal of ureter,,,21 ,,RBRVS,19.52 ,7.97 ,7.97 ,,,,,1,0,1,1,1,1,20060825
50684,CPT,Injection for ureter x-ray,,,21 ,,RBRVS,0.76 ,0.47 ,4.98 ,,,,,1,0,1,1,1,1,20060825
50686,CPT,Measure ureter pressure,,,21 ,,RBRVS,1.51 ,0.82 ,3.45 ,,,,,1,0,1,1,1,1,20060825
50688,CPT,Change of ureter tube,,,21 ,,RBRVS,1.17 ,1.06 ,1.06 ,,,,,1,0,1,1,1,1,20060825
50690,CPT,Injection for ureter x-ray,,,21 ,,RBRVS,1.16 ,0.72 ,1.83 ,,,,,1,0,1,1,1,1,20060825
50700,CPT,Revision of ureter,,,21 ,,RBRVS,15.19 ,7.13 ,7.13 ,,,,,1,0,1,1,1,1,20060825
50715,CPT,Release of ureter,,,21 ,,RBRVS,18.87 ,8.76 ,8.76 ,,,,,1,0,1,1,1,1,20060825
50722,CPT,Release of ureter,,,21 ,,RBRVS,16.33 ,7.82 ,7.82 ,,,,,1,0,1,1,1,1,20060825
50725,CPT,Release/revise ureter,,,21 ,,RBRVS,18.46 ,8.06 ,8.06 ,,,,,1,0,1,1,1,1,20060825
50727,CPT,Revise ureter,,,21 ,,RBRVS,8.17 ,4.28 ,4.28 ,,,,,1,0,1,1,1,1,20060825
50728,CPT,Revise ureter,,,21 ,,RBRVS,12.00 ,5.57 ,5.57 ,,,,,1,0,1,1,1,1,20060825
50740,CPT,Fusion of ureter & kidney,,,21 ,,RBRVS,18.39 ,7.75 ,7.75 ,,,,,1,0,1,1,1,1,20060825
50750,CPT,Fusion of ureter & kidney,,,21 ,,RBRVS,19.48 ,8.00 ,8.00 ,,,,,1,0,1,1,1,1,20060825
50760,CPT,Fusion of ureters,,,21 ,,RBRVS,18.39 ,7.69 ,7.69 ,,,,,1,0,1,1,1,1,20060825
50770,CPT,Splicing of ureters,,,21 ,,RBRVS,19.48 ,7.99 ,7.99 ,,,,,1,0,1,1,1,1,20060825
50780,CPT,Reimplant ureter in bladder,,,21 ,,RBRVS,18.33 ,7.60 ,7.60 ,,,,,1,0,1,1,1,1,20060825
50782,CPT,Reimplant ureter in bladder,,,21 ,,RBRVS,19.51 ,8.79 ,8.79 ,,,,,1,0,1,1,1,1,20060825
50783,CPT,Reimplant ureter in bladder,,,21 ,,RBRVS,20.52 ,8.23 ,8.23 ,,,,,1,0,1,1,1,1,20060825
50785,CPT,Reimplant ureter in bladder,,,21 ,,RBRVS,20.49 ,8.31 ,8.31 ,,,,,1,0,1,1,1,1,20060825
50800,CPT,Implant ureter in bowel,,,21 ,,RBRVS,14.50 ,6.48 ,6.48 ,,,,,1,0,1,1,1,1,20060825
50810,CPT,Fusion of ureter & bowel,,,21 ,,RBRVS,20.02 ,9.11 ,9.11 ,,,,,1,0,1,1,1,1,20060825
50815,CPT,Urine shunt to intestine,,,21 ,,RBRVS,19.90 ,8.46 ,8.46 ,,,,,1,0,1,1,1,1,20060825
50820,CPT,Construct bowel bladder,,,21 ,,RBRVS,21.86 ,8.66 ,8.66 ,,,,,1,0,1,1,1,1,20060825
50825,CPT,Construct bowel bladder,,,21 ,,RBRVS,28.14 ,11.15 ,11.15 ,,,,,1,0,1,1,1,1,20060825
50830,CPT,Revise urine flow,,,21 ,,RBRVS,31.23 ,12.20 ,12.20 ,,,,,1,0,1,1,1,1,20060825
50840,CPT,Replace ureter by bowel,,,21 ,,RBRVS,19.97 ,8.44 ,8.44 ,,,,,1,0,1,1,1,1,20060825
50845,CPT,Appendico-vesicostomy,,,21 ,,RBRVS,20.86 ,8.92 ,8.92 ,,,,,1,0,1,1,1,1,20060825
50860,CPT,Transplant ureter to skin,,,21 ,,RBRVS,15.34 ,6.63 ,6.63 ,,,,,1,0,1,1,1,1,20060825
50900,CPT,Repair of ureter,,,21 ,,RBRVS,13.60 ,6.15 ,6.15 ,,,,,1,0,1,1,1,1,20060825
50920,CPT,Closure ureter/skin fistula,,,21 ,,RBRVS,14.31 ,6.58 ,6.58 ,,,,,1,0,1,1,1,1,20060825
50930,CPT,Closure ureter/bowel fistula,,,21 ,,RBRVS,18.69 ,7.98 ,7.98 ,,,,,1,0,1,1,1,1,20060825
50940,CPT,Release of ureter,,,21 ,,RBRVS,14.49 ,6.41 ,6.41 ,,,,,1,0,1,1,1,1,20060825
50945,CPT,Laparoscopy ureterolithotomy,,,21 ,,RBRVS,16.97 ,7.05 ,7.05 ,,,,,1,0,1,1,1,1,20060825
50947,CPT,Laparo new ureter/bladder,,,21 ,,RBRVS,24.46 ,9.71 ,9.71 ,,,,,1,0,1,1,1,1,20060825
50948,CPT,Laparo new ureter/bladder,,,21 ,,RBRVS,22.47 ,8.71 ,8.71 ,,,,,1,0,1,1,1,1,20060825
50949,CPT,"Laparoscope proc, ureter",,,21 ,,TotalUnits,,,,31.09 ,,,,1,0,1,1,1,1,20060825
50951,CPT,Endoscopy of ureter,,,21 ,,RBRVS,5.83 ,2.06 ,4.30 ,,,,,1,0,1,1,1,1,20060825
50953,CPT,Endoscopy of ureter,,,21 ,,RBRVS,6.23 ,2.37 ,4.41 ,,,,,1,0,1,1,1,1,20060825
50955,CPT,Ureter endoscopy & biopsy,,,21 ,,RBRVS,6.74 ,2.69 ,6.43 ,,,,,1,0,1,1,1,1,20060825
50957,CPT,Ureter endoscopy & treatment,,,21 ,,RBRVS,6.78 ,2.38 ,4.57 ,,,,,1,0,1,1,1,1,20060825
50961,CPT,Ureter endoscopy & treatment,,,21 ,,RBRVS,6.04 ,2.19 ,4.37 ,,,,,1,0,1,1,1,1,20060825
50970,CPT,Ureter endoscopy,,,21 ,,RBRVS,7.13 ,2.47 ,2.47 ,,,,,1,0,1,1,1,1,20060825
50972,CPT,Ureter endoscopy & catheter,,,21 ,,RBRVS,6.88 ,2.47 ,2.47 ,,,,,1,0,1,1,1,1,20060825
50974,CPT,Ureter endoscopy & biopsy,,,21 ,,RBRVS,9.16 ,3.11 ,3.11 ,,,,,1,0,1,1,1,1,20060825
50976,CPT,Ureter endoscopy & treatment,,,21 ,,RBRVS,9.03 ,3.07 ,3.07 ,,,,,1,0,1,1,1,1,20060825
50980,CPT,Ureter endoscopy & treatment,,,21 ,,RBRVS,6.84 ,2.38 ,2.38 ,,,,,1,0,1,1,1,1,20060825
51000,CPT,Drainage of bladder,,,21 ,,RBRVS,0.78 ,0.24 ,1.95 ,,,,,1,0,1,1,1,1,20060825
51005,CPT,Drainage of bladder,,,21 ,,RBRVS,1.02 ,0.34 ,4.71 ,,,,,1,0,1,1,1,1,20060825
51010,CPT,Drainage of bladder,,,21 ,,RBRVS,3.52 ,1.88 ,5.62 ,,,,,1,0,1,1,1,1,20060825
51020,CPT,Incise & treat bladder,,,21 ,,RBRVS,6.70 ,3.86 ,3.86 ,,,,,1,0,1,1,1,1,20060825
51030,CPT,Incise & treat bladder,,,21 ,,RBRVS,6.76 ,3.98 ,3.98 ,,,,,1,0,1,1,1,1,20060825
51040,CPT,Incise & drain bladder,,,21 ,,RBRVS,4.39 ,2.77 ,2.77 ,,,,,1,0,1,1,1,1,20060825
51045,CPT,Incise bladder/drain ureter,,,21 ,,RBRVS,6.76 ,3.93 ,3.93 ,,,,,1,0,1,1,1,1,20060825
51050,CPT,Removal of bladder stone,,,21 ,,RBRVS,6.91 ,3.65 ,3.65 ,,,,,1,0,1,1,1,1,20060825
51060,CPT,Removal of ureter stone,,,21 ,,RBRVS,8.84 ,4.51 ,4.51 ,,,,,1,0,1,1,1,1,20060825
51065,CPT,Remove ureter calculus,,,21 ,,RBRVS,8.84 ,4.36 ,4.36 ,,,,,1,0,1,1,1,1,20060825
51080,CPT,Drainage of bladder abscess,,,21 ,,RBRVS,5.95 ,3.55 ,3.55 ,,,,,1,0,1,1,1,1,20060825
51500,CPT,Removal of bladder cyst,,,21 ,,RBRVS,10.12 ,5.01 ,5.01 ,,,,,1,0,1,1,1,1,20060825
51520,CPT,Removal of bladder lesion,,,21 ,,RBRVS,9.28 ,4.68 ,4.68 ,,,,,1,0,1,1,1,1,20060825
51525,CPT,Removal of bladder lesion,,,21 ,,RBRVS,13.95 ,6.14 ,6.14 ,,,,,1,0,1,1,1,1,20060825
51530,CPT,Removal of bladder lesion,,,21 ,,RBRVS,12.36 ,5.76 ,5.76 ,,,,,1,0,1,1,1,1,20060825
51535,CPT,Repair of ureter lesion,,,21 ,,RBRVS,12.55 ,6.12 ,6.12 ,,,,,1,0,1,1,1,1,20060825
51550,CPT,Partial removal of bladder,,,21 ,,RBRVS,15.64 ,6.74 ,6.74 ,,,,,1,0,1,1,1,1,20060825
51555,CPT,Partial removal of bladder,,,21 ,,RBRVS,21.20 ,8.68 ,8.68 ,,,,,1,0,1,1,1,1,20060825
51565,CPT,Revise bladder & ureter(s),,,21 ,,RBRVS,21.59 ,8.98 ,8.98 ,,,,,1,0,1,1,1,1,20060825
51570,CPT,Removal of bladder,,,21 ,,RBRVS,24.20 ,9.76 ,9.76 ,,,,,1,0,1,1,1,1,20060825
51575,CPT,Removal of bladder & nodes,,,21 ,,RBRVS,30.40 ,12.05 ,12.05 ,,,,,1,0,1,1,1,1,20060825
51580,CPT,Remove bladder/revise tract,,,21 ,,RBRVS,31.03 ,12.52 ,12.52 ,,,,,1,0,1,1,1,1,20060825
51585,CPT,Removal of bladder & nodes,,,21 ,,RBRVS,35.18 ,13.73 ,13.73 ,,,,,1,0,1,1,1,1,20060825
51590,CPT,Remove bladder/revise tract,,,21 ,,RBRVS,32.61 ,12.64 ,12.64 ,,,,,1,0,1,1,1,1,20060825
51595,CPT,Remove bladder/revise tract,,,21 ,,RBRVS,37.08 ,14.16 ,14.16 ,,,,,1,0,1,1,1,1,20060825
51596,CPT,Remove bladder/create pouch,,,21 ,,RBRVS,39.46 ,15.26 ,15.26 ,,,,,1,0,1,1,1,1,20060825
51597,CPT,Removal of pelvic structures,,,21 ,,RBRVS,38.29 ,14.86 ,14.86 ,,,,,1,0,1,1,1,1,20060825
51600,CPT,Injection for bladder x-ray,,,21 ,,RBRVS,0.88 ,0.29 ,5.06 ,,,,,1,0,1,1,1,1,20060825
51605,CPT,Preparation for bladder xray,,,21 ,,RBRVS,0.64 ,0.35 ,6.07 ,,,,,1,0,1,1,1,1,20060825
51610,CPT,Injection for bladder x-ray,,,21 ,,RBRVS,1.05 ,0.60 ,2.29 ,,,,,1,0,1,1,1,1,20060825
51700,CPT,Irrigation of bladder,,,21 ,,RBRVS,0.88 ,0.28 ,1.60 ,,,,,1,0,1,1,1,1,20060825
51701,CPT,Insert bladder catheter,,,21 ,,RBRVS,0.50 ,0.19 ,1.58 ,,,,,1,0,1,1,1,1,20060825
51702,CPT,Insert temp bladder cath,,,21 ,,RBRVS,0.50 ,0.24 ,2.09 ,,,,,1,0,1,1,1,1,20060825
51703,CPT,"Insert bladder cath, complex",,,21 ,,RBRVS,1.47 ,0.56 ,2.74 ,,,,,1,0,1,1,1,1,20060825
51705,CPT,Change of bladder tube,,,21 ,,RBRVS,1.02 ,0.61 ,2.28 ,,,,,1,0,1,1,1,1,20060825
51710,CPT,Change of bladder tube,,,21 ,,RBRVS,1.49 ,0.77 ,3.34 ,,,,,1,0,1,1,1,1,20060825
51715,CPT,Endoscopic injection/implant,,,21 ,,RBRVS,3.73 ,1.35 ,3.91 ,,,,,1,0,1,1,1,1,20060825
51720,CPT,Treatment of bladder lesion,,,21 ,,RBRVS,1.96 ,0.69 ,1.75 ,,,,,1,0,1,1,1,1,20060825
51725,CPT,Simple cystometrogram,TC,,21 ,,RBRVS,0.00 ,5.11 ,5.11 ,,,,,1,1,1,0,1,1,20060825
51725,CPT,Simple cystometrogram,26,,21 ,,RBRVS,1.51 ,0.49 ,0.49 ,,,,,1,0,1,1,1,1,20060825
51726,CPT,Complex cystometrogram,TC,,21 ,,RBRVS,0.00 ,6.96 ,6.96 ,,,,,1,1,1,0,1,1,20060825
51726,CPT,Complex cystometrogram,26,,21 ,,RBRVS,1.71 ,0.56 ,0.56 ,,,,,1,0,1,1,1,1,20060825
51736,CPT,Urine flow measurement,TC,,21 ,,RBRVS,0.00 ,0.38 ,0.38 ,,,,,1,1,1,0,1,1,20060825
51736,CPT,Urine flow measurement,26,,21 ,,RBRVS,0.61 ,0.20 ,0.20 ,,,,,1,0,1,1,1,1,20060825
51741,CPT,"Electro-uroflowmetry, first",TC,,21 ,,RBRVS,0.00 ,0.42 ,0.42 ,,,,,1,1,1,0,1,1,20060825
51741,CPT,"Electro-uroflowmetry, first",26,,21 ,,RBRVS,1.14 ,0.37 ,0.37 ,,,,,1,0,1,1,1,1,20060825
51772,CPT,Urethra pressure profile,TC,,21 ,,RBRVS,0.00 ,5.04 ,5.04 ,,,,,1,1,1,0,1,1,20060825
51772,CPT,Urethra pressure profile,26,,21 ,,RBRVS,1.61 ,0.55 ,0.55 ,,,,,1,0,1,1,1,1,20060825
51784,CPT,Anal/urinary muscle study,TC,,21 ,,RBRVS,0.00 ,3.49 ,3.49 ,,,,,1,1,1,0,1,1,20060825
51784,CPT,Anal/urinary muscle study,26,,21 ,,RBRVS,1.53 ,0.50 ,0.50 ,,,,,1,0,1,1,1,1,20060825
51785,CPT,Anal/urinary muscle study,TC,,21 ,,RBRVS,0.00 ,3.95 ,3.95 ,,,,,1,1,1,0,1,1,20060825
51785,CPT,Anal/urinary muscle study,26,,21 ,,RBRVS,1.53 ,0.50 ,0.50 ,,,,,1,0,1,1,1,1,20060825
51792,CPT,Urinary reflex study,TC,,21 ,,RBRVS,0.00 ,5.60 ,5.60 ,,,,,1,1,1,0,1,1,20060825
51792,CPT,Urinary reflex study,26,,21 ,,RBRVS,1.10 ,0.41 ,0.41 ,,,,,1,0,1,1,1,1,20060825
51795,CPT,Urine voiding pressure study,TC,,21 ,,RBRVS,0.00 ,6.81 ,6.81 ,,,,,1,1,1,0,1,1,20060825
51795,CPT,Urine voiding pressure study,26,,21 ,,RBRVS,1.53 ,0.50 ,0.50 ,,,,,1,0,1,1,1,1,20060825
51797,CPT,Intraabdominal pressure test,TC,,21 ,,RBRVS,0.00 ,5.27 ,5.27 ,,,,,1,1,1,0,1,1,20060825
51797,CPT,Intraabdominal pressure test,26,,21 ,,RBRVS,1.60 ,0.53 ,0.53 ,,,,,1,0,1,1,1,1,20060825
51798,CPT,Us urine capacity measure,,,21 ,,RBRVS,0.00 ,0.34 ,0.34 ,,,,,1,1,1,0,1,1,20060825
51800,CPT,Revision of bladder/urethra,,,21 ,,RBRVS,17.39 ,7.58 ,7.58 ,,,,,1,0,1,1,1,1,20060825
51820,CPT,Revision of urinary tract,,,21 ,,RBRVS,17.86 ,8.30 ,8.30 ,,,,,1,0,1,1,1,1,20060825
51840,CPT,Attach bladder/urethra,,,21 ,,RBRVS,10.69 ,5.58 ,5.58 ,,,,,1,0,1,1,1,1,20060825
51841,CPT,Attach bladder/urethra,,,21 ,,RBRVS,13.01 ,6.39 ,6.39 ,,,,,1,0,1,1,1,1,20060825
51845,CPT,Repair bladder neck,,,21 ,,RBRVS,9.72 ,4.75 ,4.75 ,,,,,1,0,1,1,1,1,20060825
51860,CPT,Repair of bladder wound,,,21 ,,RBRVS,12.00 ,5.77 ,5.77 ,,,,,1,0,1,1,1,1,20060825
51865,CPT,Repair of bladder wound,,,21 ,,RBRVS,15.02 ,6.69 ,6.69 ,,,,,1,0,1,1,1,1,20060825
51880,CPT,Repair of bladder opening,,,21 ,,RBRVS,7.65 ,3.96 ,3.96 ,,,,,1,0,1,1,1,1,20060825
51900,CPT,Repair bladder/vagina lesion,,,21 ,,RBRVS,12.95 ,6.08 ,6.08 ,,,,,1,0,1,1,1,1,20060825
51920,CPT,Close bladder-uterus fistula,,,21 ,,RBRVS,11.79 ,5.65 ,5.65 ,,,,,1,0,1,1,1,1,20060825
51925,CPT,Hysterectomy/bladder repair,,,21 ,,RBRVS,15.56 ,8.63 ,8.63 ,,,,,1,0,1,1,1,1,20060825
51940,CPT,Correction of bladder defect,,,21 ,,RBRVS,28.39 ,12.11 ,12.11 ,,,,,1,0,1,1,1,1,20060825
51960,CPT,Revision of bladder & bowel,,,21 ,,RBRVS,22.98 ,9.66 ,9.66 ,,,,,1,0,1,1,1,1,20060825
51980,CPT,Construct bladder opening,,,21 ,,RBRVS,11.34 ,5.39 ,5.39 ,,,,,1,0,1,1,1,1,20060825
51990,CPT,Laparo urethral suspension,,,21 ,,RBRVS,12.48 ,6.16 ,6.16 ,,,,,1,0,1,1,1,1,20060825
51992,CPT,Laparo sling operation,,,21 ,,RBRVS,13.99 ,6.22 ,6.22 ,,,,,1,0,1,1,1,1,20060825
51999,CPT,"Laparoscope proc, bladder",,,28 ,,NW,,,,,,"$2,029.72",,1,0,1,1,1,1,20060825
52000,CPT,Cystoscopy,,,21 ,,RBRVS,2.01 ,0.76 ,3.31 ,,,,,1,0,1,1,1,1,20060825
52001,CPT,"Cystoscopy, removal of clots",,,21 ,,RBRVS,5.44 ,1.87 ,5.08 ,,,,,1,0,1,1,1,1,20060825
52005,CPT,Cystoscopy & ureter catheter,,,21 ,,RBRVS,2.37 ,0.89 ,5.58 ,,,,,1,0,1,1,1,1,20060825
52007,CPT,Cystoscopy and biopsy,,,21 ,,RBRVS,3.02 ,1.15 ,16.49 ,,,,,1,0,1,1,1,1,20060825
52010,CPT,Cystoscopy & duct catheter,,,21 ,,RBRVS,3.02 ,1.15 ,10.78 ,,,,,1,0,1,1,1,1,20060825
52204,CPT,Cystoscopy,,,21 ,,RBRVS,2.37 ,0.90 ,14.55 ,,,,,1,0,1,1,1,1,20060825
52214,CPT,Cystoscopy and treatment,,,21 ,,RBRVS,3.70 ,1.33 ,38.21 ,,,,,1,0,1,1,1,1,20060825
52224,CPT,Cystoscopy and treatment,,,21 ,,RBRVS,3.14 ,1.15 ,36.56 ,,,,,1,0,1,1,1,1,20060825
52234,CPT,Cystoscopy and treatment,,,21 ,,RBRVS,4.62 ,1.66 ,1.66 ,,,,,1,0,1,1,1,1,20060825
52235,CPT,Cystoscopy and treatment,,,21 ,,RBRVS,5.44 ,1.94 ,1.94 ,,,,,1,0,1,1,1,1,20060825
52240,CPT,Cystoscopy and treatment,,,21 ,,RBRVS,9.71 ,3.31 ,3.31 ,,,,,1,0,1,1,1,1,20060825
52250,CPT,Cystoscopy and radiotracer,,,21 ,,RBRVS,4.49 ,1.65 ,1.65 ,,,,,1,0,1,1,1,1,20060825
52260,CPT,Cystoscopy and treatment,,,21 ,,RBRVS,3.91 ,1.42 ,1.42 ,,,,,1,0,1,1,1,1,20060825
52265,CPT,Cystoscopy and treatment,,,21 ,,RBRVS,2.94 ,1.11 ,13.38 ,,,,,1,0,1,1,1,1,20060825
52270,CPT,Cystoscopy & revise urethra,,,21 ,,RBRVS,3.36 ,1.24 ,11.06 ,,,,,1,0,1,1,1,1,20060825
52275,CPT,Cystoscopy & revise urethra,,,21 ,,RBRVS,4.69 ,1.66 ,15.60 ,,,,,1,0,1,1,1,1,20060825
52276,CPT,Cystoscopy and treatment,,,21 ,,RBRVS,4.99 ,1.79 ,1.79 ,,,,,1,0,1,1,1,1,20060825
52277,CPT,Cystoscopy and treatment,,,21 ,,RBRVS,6.16 ,2.23 ,2.23 ,,,,,1,0,1,1,1,1,20060825
52281,CPT,Cystoscopy and treatment,,,21 ,,RBRVS,2.80 ,1.08 ,7.11 ,,,,,1,0,1,1,1,1,20060825
52282,CPT,"Cystoscopy, implant stent",,,21 ,,RBRVS,6.39 ,2.24 ,2.24 ,,,,,1,0,1,1,1,1,20060825
52283,CPT,Cystoscopy and treatment,,,21 ,,RBRVS,3.73 ,1.38 ,3.95 ,,,,,1,0,1,1,1,1,20060825
52285,CPT,Cystoscopy and treatment,,,21 ,,RBRVS,3.60 ,1.33 ,4.02 ,,,,,1,0,1,1,1,1,20060825
52290,CPT,Cystoscopy and treatment,,,21 ,,RBRVS,4.58 ,1.65 ,1.65 ,,,,,1,0,1,1,1,1,20060825
52300,CPT,Cystoscopy and treatment,,,21 ,,RBRVS,5.30 ,1.91 ,1.91 ,,,,,1,0,1,1,1,1,20060825
52301,CPT,Cystoscopy and treatment,,,21 ,,RBRVS,5.50 ,1.99 ,1.99 ,,,,,1,0,1,1,1,1,20060825
52305,CPT,Cystoscopy and treatment,,,21 ,,RBRVS,5.30 ,1.86 ,1.86 ,,,,,1,0,1,1,1,1,20060825
52310,CPT,Cystoscopy and treatment,,,21 ,,RBRVS,2.81 ,1.03 ,4.70 ,,,,,1,0,1,1,1,1,20060825
52315,CPT,Cystoscopy and treatment,,,21 ,,RBRVS,5.20 ,1.84 ,8.69 ,,,,,1,0,1,1,1,1,20060825
52317,CPT,Remove bladder stone,,,21 ,,RBRVS,6.71 ,2.29 ,29.02 ,,,,,1,0,1,1,1,1,20060825
52318,CPT,Remove bladder stone,,,21 ,,RBRVS,9.18 ,3.10 ,3.10 ,,,,,1,0,1,1,1,1,20060825
52320,CPT,Cystoscopy and treatment,,,21 ,,RBRVS,4.69 ,1.63 ,1.63 ,,,,,1,0,1,1,1,1,20060825
52325,CPT,"Cystoscopy, stone removal",,,21 ,,RBRVS,6.15 ,2.12 ,2.12 ,,,,,1,0,1,1,1,1,20060825
52327,CPT,"Cystoscopy, inject material",,,21 ,,RBRVS,5.18 ,1.82 ,31.90 ,,,,,1,0,1,1,1,1,20060825
52330,CPT,Cystoscopy and treatment,,,21 ,,RBRVS,5.03 ,1.76 ,38.93 ,,,,,1,0,1,1,1,1,20060825
52332,CPT,Cystoscopy and treatment,,,21 ,,RBRVS,2.83 ,1.05 ,5.76 ,,,,,1,0,1,1,1,1,20060825
52334,CPT,Create passage to kidney,,,21 ,,RBRVS,4.82 ,1.74 ,1.74 ,,,,,1,0,1,1,1,1,20060825
52341,CPT,Cysto w/ureter stricture tx,,,21 ,,RBRVS,5.99 ,2.22 ,2.22 ,,,,,1,0,1,1,1,1,20060825
52342,CPT,Cysto w/up stricture tx,,,21 ,,RBRVS,6.49 ,2.35 ,2.35 ,,,,,1,0,1,1,1,1,20060825
52343,CPT,Cysto w/renal stricture tx,,,21 ,,RBRVS,7.19 ,2.59 ,2.59 ,,,,,1,0,1,1,1,1,20060825
52344,CPT,"Cysto/uretero, stone remove",,,21 ,,RBRVS,7.69 ,2.80 ,2.80 ,,,,,1,0,1,1,1,1,20060825
52345,CPT,Cysto/uretero w/up stricture,,,21 ,,RBRVS,8.19 ,2.96 ,2.96 ,,,,,1,0,1,1,1,1,20060825
52346,CPT,Cystouretero w/renal strict,,,21 ,,RBRVS,9.22 ,3.29 ,3.29 ,,,,,1,0,1,1,1,1,20060825
52351,CPT,Cystouretero & or pyeloscope,,,21 ,,RBRVS,5.85 ,2.15 ,2.15 ,,,,,1,0,1,1,1,1,20060825
52352,CPT,Cystouretero w/stone remove,,,21 ,,RBRVS,6.87 ,2.51 ,2.51 ,,,,,1,0,1,1,1,1,20060825
52353,CPT,Cystouretero w/lithotripsy,,,21 ,,RBRVS,7.96 ,2.86 ,2.86 ,,,,,1,0,1,1,1,1,20060825
52354,CPT,Cystouretero w/biopsy,,,21 ,,RBRVS,7.33 ,2.68 ,2.68 ,,,,,1,0,1,1,1,1,20060825
52355,CPT,Cystouretero w/excise tumor,,,21 ,,RBRVS,8.81 ,3.15 ,3.15 ,,,,,1,0,1,1,1,1,20060825
52400,CPT,Cystouretero w/congen repr,,,21 ,,RBRVS,9.67 ,3.74 ,3.74 ,,,,,1,0,1,1,1,1,20060825
52402,CPT,Cystourethro cut ejacul duct,,,21 ,,RBRVS,5.27 ,1.70 ,1.70 ,,,,,1,0,1,1,1,1,20060825
52450,CPT,Incision of prostate,,,21 ,,RBRVS,7.63 ,3.68 ,3.68 ,,,,,1,0,1,1,1,1,20060825
52500,CPT,Revision of bladder neck,,,21 ,,RBRVS,8.46 ,3.93 ,3.93 ,,,,,1,0,1,1,1,1,20060825
52510,CPT,Dilation prostatic urethra,,,21 ,,RBRVS,6.71 ,3.12 ,3.12 ,,,,,1,0,1,1,1,1,20060825
52601,CPT,Prostatectomy (TURP),,,21 ,,RBRVS,12.35 ,5.11 ,5.11 ,,,,,1,0,1,1,1,1,20060825
52606,CPT,Control postop bleeding,,,21 ,,RBRVS,8.12 ,3.56 ,3.56 ,,,,,1,0,1,1,1,1,20060825
52612,CPT,"Prostatectomy, first stage",,,21 ,,RBRVS,7.97 ,3.74 ,3.74 ,,,,,1,0,1,1,1,1,20060825
52614,CPT,"Prostatectomy, second stage",,,21 ,,RBRVS,6.83 ,3.35 ,3.35 ,,,,,1,0,1,1,1,1,20060825
52620,CPT,Remove residual prostate,,,21 ,,RBRVS,6.60 ,2.99 ,2.99 ,,,,,1,0,1,1,1,1,20060825
52630,CPT,Remove prostate regrowth,,,21 ,,RBRVS,7.25 ,3.20 ,3.20 ,,,,,1,0,1,1,1,1,20060825
52640,CPT,Relieve bladder contracture,,,21 ,,RBRVS,6.61 ,2.97 ,2.97 ,,,,,1,0,1,1,1,1,20060825
52647,CPT,Laser surgery of prostate,,,21 ,,RBRVS,10.34 ,4.54 ,74.15 ,,,,,1,0,1,1,1,1,20060825
52648,CPT,Laser surgery of prostate,,,21 ,,RBRVS,11.19 ,4.80 ,4.80 ,,,,,1,0,1,1,1,1,20060825
52700,CPT,Drainage of prostate abscess,,,21 ,,RBRVS,6.79 ,3.19 ,3.19 ,,,,,1,0,1,1,1,1,20060825
53000,CPT,Incision of urethra,,,21 ,,RBRVS,2.28 ,1.54 ,1.54 ,,,,,1,0,1,1,1,1,20060825
53010,CPT,Incision of urethra,,,21 ,,RBRVS,3.63 ,2.92 ,2.92 ,,,,,1,0,1,1,1,1,20060825
53020,CPT,Incision of urethra,,,21 ,,RBRVS,1.77 ,0.67 ,3.01 ,,,,,1,0,1,1,1,1,20060825
53025,CPT,Incision of urethra,,,21 ,,RBRVS,1.13 ,0.51 ,3.74 ,,,,,1,0,1,1,1,1,20060825
53040,CPT,Drainage of urethra abscess,,,21 ,,RBRVS,6.39 ,3.44 ,3.44 ,,,,,1,0,1,1,1,1,20060825
53060,CPT,Drainage of urethra abscess,,,21 ,,RBRVS,2.63 ,1.37 ,2.09 ,,,,,1,0,1,1,1,1,20060825
53080,CPT,Drainage of urinary leakage,,,21 ,,RBRVS,6.28 ,5.97 ,5.97 ,,,,,1,0,1,1,1,1,20060825
53085,CPT,Drainage of urinary leakage,,,21 ,,RBRVS,10.25 ,7.42 ,7.42 ,,,,,1,0,1,1,1,1,20060825
53200,CPT,Biopsy of urethra,,,21 ,,RBRVS,2.59 ,0.98 ,1.32 ,,,,,1,0,1,1,1,1,20060825
53210,CPT,Removal of urethra,,,21 ,,RBRVS,12.55 ,5.85 ,5.85 ,,,,,1,0,1,1,1,1,20060825
53215,CPT,Removal of urethra,,,21 ,,RBRVS,15.56 ,6.64 ,6.64 ,,,,,1,0,1,1,1,1,20060825
53220,CPT,Treatment of urethra lesion,,,21 ,,RBRVS,6.99 ,3.72 ,3.72 ,,,,,1,0,1,1,1,1,20060825
53230,CPT,Removal of urethra lesion,,,21 ,,RBRVS,9.57 ,4.72 ,4.72 ,,,,,1,0,1,1,1,1,20060825
53235,CPT,Removal of urethra lesion,,,21 ,,RBRVS,10.12 ,4.91 ,4.91 ,,,,,1,0,1,1,1,1,20060825
53240,CPT,Surgery for urethra pouch,,,21 ,,RBRVS,6.44 ,3.53 ,3.53 ,,,,,1,0,1,1,1,1,20060825
53250,CPT,Removal of urethra gland,,,21 ,,RBRVS,5.88 ,3.30 ,3.30 ,,,,,1,0,1,1,1,1,20060825
53260,CPT,Treatment of urethra lesion,,,21 ,,RBRVS,2.98 ,1.42 ,2.25 ,,,,,1,0,1,1,1,1,20060825
53265,CPT,Treatment of urethra lesion,,,21 ,,RBRVS,3.12 ,1.42 ,2.72 ,,,,,1,0,1,1,1,1,20060825
53270,CPT,Removal of urethra gland,,,21 ,,RBRVS,3.09 ,1.54 ,2.21 ,,,,,1,0,1,1,1,1,20060825
53275,CPT,Repair of urethra defect,,,21 ,,RBRVS,4.52 ,2.26 ,2.26 ,,,,,1,0,1,1,1,1,20060825
53400,CPT,"Revise urethra, stage 1",,,21 ,,RBRVS,12.75 ,6.04 ,6.04 ,,,,,1,0,1,1,1,1,20060825
53405,CPT,"Revise urethra, stage 2",,,21 ,,RBRVS,14.46 ,6.33 ,6.33 ,,,,,1,0,1,1,1,1,20060825
53410,CPT,Reconstruction of urethra,,,21 ,,RBRVS,16.42 ,7.07 ,7.07 ,,,,,1,0,1,1,1,1,20060825
53415,CPT,Reconstruction of urethra,,,21 ,,RBRVS,19.38 ,7.35 ,7.35 ,,,,,1,0,1,1,1,1,20060825
53420,CPT,"Reconstruct urethra, stage 1",,,21 ,,RBRVS,14.06 ,6.30 ,6.30 ,,,,,1,0,1,1,1,1,20060825
53425,CPT,"Reconstruct urethra, stage 2",,,21 ,,RBRVS,15.96 ,6.90 ,6.90 ,,,,,1,0,1,1,1,1,20060825
53430,CPT,Reconstruction of urethra,,,21 ,,RBRVS,16.32 ,7.01 ,7.01 ,,,,,1,0,1,1,1,1,20060825
53431,CPT,Reconstruct urethra/bladder,,,21 ,,RBRVS,19.86 ,8.07 ,8.07 ,,,,,1,0,1,1,1,1,20060825
53440,CPT,Male sling procedure,,,21 ,,RBRVS,13.60 ,5.99 ,5.99 ,,,,,1,0,1,1,1,1,20060825
53442,CPT,Remove/revise male sling,,,21 ,,RBRVS,11.55 ,5.45 ,5.45 ,,,,,1,0,1,1,1,1,20060825
53444,CPT,Insert tandem cuff,,,21 ,,RBRVS,13.38 ,5.89 ,5.89 ,,,,,1,0,1,1,1,1,20060825
53445,CPT,Insert uro/ves nck sphincter,,,21 ,,RBRVS,14.04 ,7.10 ,7.10 ,,,,,1,0,1,1,1,1,20060825
53446,CPT,Remove uro sphincter,,,21 ,,RBRVS,10.21 ,5.23 ,5.23 ,,,,,1,0,1,1,1,1,20060825
53447,CPT,Remove/replace ur sphincter,,,21 ,,RBRVS,13.47 ,6.44 ,6.44 ,,,,,1,0,1,1,1,1,20060825
53448,CPT,Remov/replc ur sphinctr comp,,,21 ,,RBRVS,21.12 ,9.07 ,9.07 ,,,,,1,0,1,1,1,1,20060825
53449,CPT,Repair uro sphincter,,,21 ,,RBRVS,9.69 ,4.73 ,4.73 ,,,,,1,0,1,1,1,1,20060825
53450,CPT,Revision of urethra,,,21 ,,RBRVS,6.13 ,3.30 ,3.30 ,,,,,1,0,1,1,1,1,20060825
53460,CPT,Revision of urethra,,,21 ,,RBRVS,7.11 ,3.70 ,3.70 ,,,,,1,0,1,1,1,1,20060825
53500,CPT,"Urethrlys, transvag w/ scope",,,21 ,,RBRVS,12.19 ,6.22 ,6.22 ,,,,,1,0,1,1,1,1,20060825
53502,CPT,Repair of urethra injury,,,21 ,,RBRVS,7.62 ,3.99 ,3.99 ,,,,,1,0,1,1,1,1,20060825
53505,CPT,Repair of urethra injury,,,21 ,,RBRVS,7.62 ,3.87 ,3.87 ,,,,,1,0,1,1,1,1,20060825
53510,CPT,Repair of urethra injury,,,21 ,,RBRVS,10.09 ,5.17 ,5.17 ,,,,,1,0,1,1,1,1,20060825
53515,CPT,Repair of urethra injury,,,21 ,,RBRVS,13.29 ,5.94 ,5.94 ,,,,,1,0,1,1,1,1,20060825
53520,CPT,Repair of urethra defect,,,21 ,,RBRVS,8.67 ,4.48 ,4.48 ,,,,,1,0,1,1,1,1,20060825
53600,CPT,Dilate urethra stricture,,,21 ,,RBRVS,1.21 ,0.43 ,1.14 ,,,,,1,0,1,1,1,1,20060825
53601,CPT,Dilate urethra stricture,,,21 ,,RBRVS,0.98 ,0.37 ,1.27 ,,,,,1,0,1,1,1,1,20060825
53605,CPT,Dilate urethra stricture,,,21 ,,RBRVS,1.28 ,0.41 ,0.41 ,,,,,1,0,1,1,1,1,20060825
53620,CPT,Dilate urethra stricture,,,21 ,,RBRVS,1.62 ,0.59 ,2.00 ,,,,,1,0,1,1,1,1,20060825
53621,CPT,Dilate urethra stricture,,,21 ,,RBRVS,1.35 ,0.49 ,2.08 ,,,,,1,0,1,1,1,1,20060825
53660,CPT,Dilation of urethra,,,21 ,,RBRVS,0.71 ,0.31 ,1.31 ,,,,,1,0,1,1,1,1,20060825
53661,CPT,Dilation of urethra,,,21 ,,RBRVS,0.72 ,0.29 ,1.30 ,,,,,1,0,1,1,1,1,20060825
53665,CPT,Dilation of urethra,,,21 ,,RBRVS,0.76 ,0.25 ,0.25 ,,,,,1,0,1,1,1,1,20060825
53850,CPT,Prostatic microwave thermotx,,,21 ,,RBRVS,9.44 ,3.95 ,94.33 ,,,,,1,0,1,1,1,1,20060825
53852,CPT,Prostatic rf thermotx,,,21 ,,RBRVS,9.87 ,4.38 ,89.03 ,,,,,1,0,1,1,1,1,20060825
53853,CPT,Prostatic water thermother,,,21 ,,RBRVS,5.23 ,2.86 ,55.50 ,,,,,1,0,1,1,1,1,20060825
53899,CPT,Urology surgery procedure,,,21 ,,TotalUnits,,,,4.60 ,,,,1,0,1,1,1,1,20060825
54000,CPT,Slitting of prepuce,,,21 ,,RBRVS,1.54 ,0.93 ,2.92 ,,,,,1,0,1,1,1,1,20060825
54001,CPT,Slitting of prepuce,,,21 ,,RBRVS,2.19 ,1.11 ,3.19 ,,,,,1,0,1,1,1,1,20060825
54015,CPT,Drain penis lesion,,,21 ,,RBRVS,5.31 ,2.56 ,2.56 ,,,,,1,0,1,1,1,1,20060825
54050,CPT,"Destruction, penis lesion(s)",,,21 ,,RBRVS,1.24 ,1.03 ,1.66 ,,,,,1,0,1,1,1,1,20060825
54055,CPT,"Destruction, penis lesion(s)",,,21 ,,RBRVS,1.22 ,0.80 ,1.57 ,,,,,1,0,1,1,1,1,20060825
54056,CPT,"Cryosurgery, penis lesion(s)",,,21 ,,RBRVS,1.24 ,1.13 ,1.69 ,,,,,1,0,1,1,1,1,20060825
54057,CPT,"Laser surg, penis lesion(s)",,,21 ,,RBRVS,1.24 ,0.83 ,2.22 ,,,,,1,0,1,1,1,1,20060825
54060,CPT,Excision of penis lesion(s),,,21 ,,RBRVS,1.93 ,1.06 ,3.11 ,,,,,1,0,1,1,1,1,20060825
54065,CPT,"Destruction, penis lesion(s)",,,21 ,,RBRVS,2.42 ,1.23 ,2.64 ,,,,,1,0,1,1,1,1,20060825
54100,CPT,Biopsy of penis,,,21 ,,RBRVS,1.90 ,0.82 ,2.81 ,,,,,1,0,1,1,1,1,20060825
54105,CPT,Biopsy of penis,,,21 ,,RBRVS,3.49 ,1.94 ,4.29 ,,,,,1,0,1,1,1,1,20060825
54110,CPT,Treatment of penis lesion,,,21 ,,RBRVS,10.11 ,4.76 ,4.76 ,,,,,1,0,1,1,1,1,20060825
54111,CPT,"Treat penis lesion, graft",,,21 ,,RBRVS,13.55 ,5.78 ,5.78 ,,,,,1,0,1,1,1,1,20060825
54112,CPT,"Treat penis lesion, graft",,,21 ,,RBRVS,15.84 ,6.81 ,6.81 ,,,,,1,0,1,1,1,1,20060825
54115,CPT,Treatment of penis lesion,,,21 ,,RBRVS,6.14 ,3.46 ,4.38 ,,,,,1,0,1,1,1,1,20060825
54120,CPT,Partial removal of penis,,,21 ,,RBRVS,9.96 ,4.68 ,4.68 ,,,,,1,0,1,1,1,1,20060825
54125,CPT,Removal of penis,,,21 ,,RBRVS,13.51 ,5.84 ,5.84 ,,,,,1,0,1,1,1,1,20060825
54130,CPT,Remove penis & nodes,,,21 ,,RBRVS,20.11 ,8.19 ,8.19 ,,,,,1,0,1,1,1,1,20060825
54135,CPT,Remove penis & nodes,,,21 ,,RBRVS,26.32 ,10.19 ,10.19 ,,,,,1,0,1,1,1,1,20060825
54150,CPT,Circumcision,,,21 ,,RBRVS,1.81 ,0.70 ,4.36 ,,,,,1,0,1,1,1,1,20060825
54152,CPT,Circumcision,,,21 ,,RBRVS,2.31 ,1.20 ,1.20 ,,,,,1,0,1,1,1,1,20060825
54160,CPT,Circumcision,,,21 ,,RBRVS,2.48 ,1.09 ,4.15 ,,,,,1,0,1,1,1,1,20060825
54161,CPT,Circumcision,,,21 ,,RBRVS,3.27 ,1.56 ,1.56 ,,,,,1,0,1,1,1,1,20060825
54162,CPT,Lysis penil circumic lesion,,,21 ,,RBRVS,3.00 ,1.44 ,4.66 ,,,,,1,0,1,1,1,1,20060825
54163,CPT,Repair of circumcision,,,21 ,,RBRVS,3.00 ,2.01 ,2.01 ,,,,,1,0,1,1,1,1,20060825
54164,CPT,Frenulotomy of penis,,,21 ,,RBRVS,2.50 ,1.84 ,1.84 ,,,,,1,0,1,1,1,1,20060825
54200,CPT,Treatment of penis lesion,,,21 ,,RBRVS,1.06 ,0.97 ,1.80 ,,,,,1,0,1,1,1,1,20060825
54205,CPT,Treatment of penis lesion,,,21 ,,RBRVS,7.92 ,4.69 ,4.69 ,,,,,1,0,1,1,1,1,20060825
54220,CPT,Treatment of penis lesion,,,21 ,,RBRVS,2.42 ,0.95 ,3.85 ,,,,,1,0,1,1,1,1,20060825
54230,CPT,Prepare penis study,,,21 ,,RBRVS,1.34 ,0.63 ,1.08 ,,,,,1,0,1,1,1,1,20060825
54231,CPT,Dynamic cavernosometry,,,21 ,,RBRVS,2.04 ,0.87 ,1.37 ,,,,,1,0,1,1,1,1,20060825
54235,CPT,Penile injection,,,21 ,,RBRVS,1.19 ,0.58 ,0.96 ,,,,,1,0,1,1,1,1,20060825
54240,CPT,Penis study,TC,,21 ,,RBRVS,0.00 ,0.60 ,0.60 ,,,,,1,1,1,0,1,1,20060825
54240,CPT,Penis study,26,,21 ,,RBRVS,1.31 ,0.43 ,0.43 ,,,,,1,0,1,1,1,1,20060825
54250,CPT,Penis study,TC,,21 ,,RBRVS,0.00 ,0.20 ,0.20 ,,,,,1,1,1,0,1,1,20060825
54250,CPT,Penis study,26,,21 ,,RBRVS,2.22 ,0.71 ,0.71 ,,,,,1,0,1,1,1,1,20060825
54300,CPT,Revision of penis,,,21 ,,RBRVS,10.39 ,5.58 ,5.58 ,,,,,1,0,1,1,1,1,20060825
54304,CPT,Revision of penis,,,21 ,,RBRVS,12.47 ,6.34 ,6.34 ,,,,,1,0,1,1,1,1,20060825
54308,CPT,Reconstruction of urethra,,,21 ,,RBRVS,11.81 ,5.97 ,5.97 ,,,,,1,0,1,1,1,1,20060825
54312,CPT,Reconstruction of urethra,,,21 ,,RBRVS,13.55 ,7.00 ,7.00 ,,,,,1,0,1,1,1,1,20060825
54316,CPT,Reconstruction of urethra,,,21 ,,RBRVS,16.79 ,7.96 ,7.96 ,,,,,1,0,1,1,1,1,20060825
54318,CPT,Reconstruction of urethra,,,21 ,,RBRVS,11.23 ,5.80 ,5.80 ,,,,,1,0,1,1,1,1,20060825
54322,CPT,Reconstruction of urethra,,,21 ,,RBRVS,12.99 ,6.47 ,6.47 ,,,,,1,0,1,1,1,1,20060825
54324,CPT,Reconstruction of urethra,,,21 ,,RBRVS,16.29 ,7.97 ,7.97 ,,,,,1,0,1,1,1,1,20060825
54326,CPT,Reconstruction of urethra,,,21 ,,RBRVS,15.70 ,7.79 ,7.79 ,,,,,1,0,1,1,1,1,20060825
54328,CPT,Revise penis/urethra,,,21 ,,RBRVS,15.63 ,7.26 ,7.26 ,,,,,1,0,1,1,1,1,20060825
54332,CPT,Revise penis/urethra,,,21 ,,RBRVS,17.05 ,7.74 ,7.74 ,,,,,1,0,1,1,1,1,20060825
54336,CPT,Revise penis/urethra,,,21 ,,RBRVS,20.01 ,10.31 ,10.31 ,,,,,1,0,1,1,1,1,20060825
54340,CPT,Secondary urethral surgery,,,21 ,,RBRVS,8.90 ,5.04 ,5.04 ,,,,,1,0,1,1,1,1,20060825
54344,CPT,Secondary urethral surgery,,,21 ,,RBRVS,15.92 ,7.76 ,7.76 ,,,,,1,0,1,1,1,1,20060825
54348,CPT,Secondary urethral surgery,,,21 ,,RBRVS,17.12 ,8.36 ,8.36 ,,,,,1,0,1,1,1,1,20060825
54352,CPT,Reconstruct urethra/penis,,,21 ,,RBRVS,24.70 ,11.20 ,11.20 ,,,,,1,0,1,1,1,1,20060825
54360,CPT,Penis plastic surgery,,,21 ,,RBRVS,11.91 ,6.04 ,6.04 ,,,,,1,0,1,1,1,1,20060825
54380,CPT,Repair penis,,,21 ,,RBRVS,13.16 ,6.62 ,6.62 ,,,,,1,0,1,1,1,1,20060825
54385,CPT,Repair penis,,,21 ,,RBRVS,15.37 ,8.27 ,8.27 ,,,,,1,0,1,1,1,1,20060825
54390,CPT,Repair penis and bladder,,,21 ,,RBRVS,21.58 ,9.43 ,9.43 ,,,,,1,0,1,1,1,1,20060825
54400,CPT,Insert semi-rigid prosthesis,,,21 ,,RBRVS,8.98 ,4.35 ,4.35 ,,,,,1,0,1,1,1,1,20060825
54401,CPT,Insert self-contd prosthesis,,,21 ,,RBRVS,10.26 ,5.74 ,5.74 ,,,,,1,0,1,1,1,1,20060825
54405,CPT,Insert multi-comp penis pros,,,21 ,,RBRVS,13.41 ,5.93 ,5.93 ,,,,,1,0,1,1,1,1,20060825
54406,CPT,Remove muti-comp penis pros,,,21 ,,RBRVS,12.08 ,5.43 ,5.43 ,,,,,1,0,1,1,1,1,20060825
54408,CPT,Repair multi-comp penis pros,,,21 ,,RBRVS,12.73 ,5.74 ,5.74 ,,,,,1,0,1,1,1,1,20060825
54410,CPT,Remove/replace penis prosth,,,21 ,,RBRVS,15.48 ,6.63 ,6.63 ,,,,,1,0,1,1,1,1,20060825
54411,CPT,"Remov/replc penis pros, comp",,,21 ,,RBRVS,15.98 ,7.05 ,7.05 ,,,,,1,0,1,1,1,1,20060825
54415,CPT,Remove self-contd penis pros,,,21 ,,RBRVS,8.19 ,4.20 ,4.20 ,,,,,1,0,1,1,1,1,20060825
54416,CPT,Remv/repl penis contain pros,,,21 ,,RBRVS,10.85 ,5.38 ,5.38 ,,,,,1,0,1,1,1,1,20060825
54417,CPT,"Remv/replc penis pros, compl",,,21 ,,RBRVS,14.17 ,6.18 ,6.18 ,,,,,1,0,1,1,1,1,20060825
54420,CPT,Revision of penis,,,21 ,,RBRVS,11.40 ,5.58 ,5.58 ,,,,,1,0,1,1,1,1,20060825
54430,CPT,Revision of penis,,,21 ,,RBRVS,10.13 ,5.11 ,5.11 ,,,,,1,0,1,1,1,1,20060825
54435,CPT,Revision of penis,,,21 ,,RBRVS,6.11 ,3.62 ,3.62 ,,,,,1,0,1,1,1,1,20060825
54440,CPT,Repair of penis,,,21 ,,TotalUnits,,,,14.95 ,,,,1,0,1,1,1,1,20060825
54450,CPT,Preputial stretching,,,21 ,,RBRVS,1.12 ,0.44 ,0.95 ,,,,,1,0,1,1,1,1,20060825
54500,CPT,Biopsy of testis,,,21 ,,RBRVS,1.31 ,0.56 ,0.61 ,,,,,1,0,1,1,1,1,20060825
54505,CPT,Biopsy of testis,,,21 ,,RBRVS,3.45 ,1.92 ,1.92 ,,,,,1,0,1,1,1,1,20060825
54512,CPT,Excise lesion testis,,,21 ,,RBRVS,8.57 ,4.13 ,4.13 ,,,,,1,0,1,1,1,1,20060825
54520,CPT,Removal of testis,,,21 ,,RBRVS,5.22 ,2.79 ,2.79 ,,,,,1,0,1,1,1,1,20060825
54522,CPT,"Orchiectomy, partial",,,21 ,,RBRVS,9.49 ,4.87 ,4.87 ,,,,,1,0,1,1,1,1,20060825
54530,CPT,Removal of testis,,,21 ,,RBRVS,8.57 ,4.24 ,4.24 ,,,,,1,0,1,1,1,1,20060825
54535,CPT,Extensive testis surgery,,,21 ,,RBRVS,12.14 ,5.55 ,5.55 ,,,,,1,0,1,1,1,1,20060825
54550,CPT,Exploration for testis,,,21 ,,RBRVS,7.77 ,3.81 ,3.81 ,,,,,1,0,1,1,1,1,20060825
54560,CPT,Exploration for testis,,,21 ,,RBRVS,11.11 ,5.16 ,5.16 ,,,,,1,0,1,1,1,1,20060825
54600,CPT,Reduce testis torsion,,,21 ,,RBRVS,7.00 ,3.55 ,3.55 ,,,,,1,0,1,1,1,1,20060825
54620,CPT,Suspension of testis,,,21 ,,RBRVS,4.89 ,2.44 ,2.44 ,,,,,1,0,1,1,1,1,20060825
54640,CPT,Suspension of testis,,,21 ,,RBRVS,6.89 ,3.74 ,3.74 ,,,,,1,0,1,1,1,1,20060825
54650,CPT,Orchiopexy (Fowler-Stephens),,,21 ,,RBRVS,11.43 ,5.41 ,5.41 ,,,,,1,0,1,1,1,1,20060825
54660,CPT,Revision of testis,,,21 ,,RBRVS,5.10 ,3.00 ,3.00 ,,,,,1,0,1,1,1,1,20060825
54670,CPT,Repair testis injury,,,21 ,,RBRVS,6.40 ,3.54 ,3.54 ,,,,,1,0,1,1,1,1,20060825
54680,CPT,Relocation of testis(es),,,21 ,,RBRVS,12.63 ,6.16 ,6.16 ,,,,,1,0,1,1,1,1,20060825
54690,CPT,"Laparoscopy, orchiectomy",,,21 ,,RBRVS,10.94 ,4.94 ,4.94 ,,,,,1,0,1,1,1,1,20060825
54692,CPT,"Laparoscopy, orchiopexy",,,21 ,,RBRVS,12.86 ,5.44 ,5.44 ,,,,,1,0,1,1,1,1,20060825
54699,CPT,"Laparoscope proc, testis",,,21 ,,TotalUnits,,,,18.31 ,,,,1,0,1,1,1,1,20060825
54700,CPT,Drainage of scrotum,,,21 ,,RBRVS,3.42 ,1.94 ,1.94 ,,,,,1,0,1,1,1,1,20060825
54800,CPT,Biopsy of epididymis,,,21 ,,RBRVS,2.33 ,0.90 ,0.94 ,,,,,1,0,1,1,1,1,20060825
54820,CPT,Exploration of epididymis,,,21 ,,RBRVS,5.13 ,2.94 ,2.94 ,,,,,1,0,1,1,1,1,20060825
54830,CPT,Remove epididymis lesion,,,21 ,,RBRVS,5.37 ,3.02 ,3.02 ,,,,,1,0,1,1,1,1,20060825
54840,CPT,Remove epididymis lesion,,,21 ,,RBRVS,5.19 ,2.78 ,2.78 ,,,,,1,0,1,1,1,1,20060825
54860,CPT,Removal of epididymis,,,21 ,,RBRVS,6.31 ,3.31 ,3.31 ,,,,,1,0,1,1,1,1,20060825
54861,CPT,Removal of epididymis,,,21 ,,RBRVS,8.89 ,4.31 ,4.31 ,,,,,1,0,1,1,1,1,20060825
54900,CPT,Fusion of spermatic ducts,,,21 ,,RBRVS,13.18 ,5.80 ,5.80 ,,,,,1,0,1,1,1,1,20060825
54901,CPT,Fusion of spermatic ducts,,,21 ,,RBRVS,17.91 ,7.53 ,7.53 ,,,,,1,0,1,1,1,1,20060825
55000,CPT,Drainage of hydrocele,,,21 ,,RBRVS,1.43 ,0.65 ,2.07 ,,,,,1,0,1,1,1,1,20060825
55040,CPT,Removal of hydrocele,,,21 ,,RBRVS,5.35 ,2.90 ,2.90 ,,,,,1,0,1,1,1,1,20060825
55041,CPT,Removal of hydroceles,,,21 ,,RBRVS,7.73 ,3.97 ,3.97 ,,,,,1,0,1,1,1,1,20060825
55060,CPT,Repair of hydrocele,,,21 ,,RBRVS,5.51 ,3.08 ,3.08 ,,,,,1,0,1,1,1,1,20060825
55100,CPT,Drainage of scrotum abscess,,,21 ,,RBRVS,2.13 ,1.56 ,3.68 ,,,,,1,0,1,1,1,1,20060825
55110,CPT,Explore scrotum,,,21 ,,RBRVS,5.69 ,3.13 ,3.13 ,,,,,1,0,1,1,1,1,20060825
55120,CPT,Removal of scrotum lesion,,,21 ,,RBRVS,5.08 ,2.95 ,2.95 ,,,,,1,0,1,1,1,1,20060825
55150,CPT,Removal of scrotum,,,21 ,,RBRVS,7.21 ,3.84 ,3.84 ,,,,,1,0,1,1,1,1,20060825
55175,CPT,Revision of scrotum,,,21 ,,RBRVS,5.23 ,3.01 ,3.01 ,,,,,1,0,1,1,1,1,20060825
55180,CPT,Revision of scrotum,,,21 ,,RBRVS,10.70 ,5.37 ,5.37 ,,,,,1,0,1,1,1,1,20060825
55200,CPT,Incision of sperm duct,,,21 ,,RBRVS,4.23 ,2.38 ,12.35 ,,,,,1,0,1,1,1,1,20060825
55250,CPT,Removal of sperm duct(s),,,21 ,,RBRVS,3.29 ,2.22 ,11.50 ,,,,,1,0,1,1,1,1,20060825
55300,CPT,"Prepare, sperm duct x-ray",,,21 ,,RBRVS,3.50 ,1.31 ,1.31 ,,,,,1,0,1,1,1,1,20060825
55400,CPT,Repair of sperm duct,,,21 ,,RBRVS,8.48 ,4.06 ,4.06 ,,,,,1,0,1,1,1,1,20060825
55450,CPT,Ligation of sperm duct,,,21 ,,RBRVS,4.11 ,1.87 ,7.01 ,,,,,1,0,1,1,1,1,20060825
55500,CPT,Removal of hydrocele,,,21 ,,RBRVS,5.58 ,3.09 ,3.09 ,,,,,1,0,1,1,1,1,20060825
55520,CPT,Removal of sperm cord lesion,,,21 ,,RBRVS,6.02 ,3.25 ,3.25 ,,,,,1,0,1,1,1,1,20060825
55530,CPT,Revise spermatic cord veins,,,21 ,,RBRVS,5.65 ,3.01 ,3.01 ,,,,,1,0,1,1,1,1,20060825
55535,CPT,Revise spermatic cord veins,,,21 ,,RBRVS,6.55 ,3.40 ,3.40 ,,,,,1,0,1,1,1,1,20060825
55540,CPT,Revise hernia & sperm veins,,,21 ,,RBRVS,7.66 ,3.80 ,3.80 ,,,,,1,0,1,1,1,1,20060825
55550,CPT,Laparo ligate spermatic vein,,,21 ,,RBRVS,6.56 ,3.30 ,3.30 ,,,,,1,0,1,1,1,1,20060825
55559,CPT,"Laparo proc, spermatic cord",,,21 ,,TotalUnits,,,,9.88 ,,,,1,0,1,1,1,1,20060825
55600,CPT,Incise sperm duct pouch,,,21 ,,RBRVS,6.37 ,3.33 ,3.33 ,,,,,1,0,1,1,1,1,20060825
55605,CPT,Incise sperm duct pouch,,,21 ,,RBRVS,7.95 ,4.29 ,4.29 ,,,,,1,0,1,1,1,1,20060825
55650,CPT,Remove sperm duct pouch,,,21 ,,RBRVS,11.78 ,5.28 ,5.28 ,,,,,1,0,1,1,1,1,20060825
55680,CPT,Remove sperm pouch lesion,,,21 ,,RBRVS,5.18 ,2.97 ,2.97 ,,,,,1,0,1,1,1,1,20060825
55700,CPT,Biopsy of prostate,,,21 ,,RBRVS,1.57 ,0.64 ,4.20 ,,,,,1,0,1,1,1,1,20060825
55705,CPT,Biopsy of prostate,,,21 ,,RBRVS,4.56 ,2.30 ,2.30 ,,,,,1,0,1,1,1,1,20060825
55720,CPT,Drainage of prostate abscess,,,21 ,,RBRVS,7.63 ,3.82 ,3.82 ,,,,,1,0,1,1,1,1,20060825
55725,CPT,Drainage of prostate abscess,,,21 ,,RBRVS,8.67 ,4.49 ,4.49 ,,,,,1,0,1,1,1,1,20060825
55801,CPT,Removal of prostate,,,21 ,,RBRVS,17.77 ,7.62 ,7.62 ,,,,,1,0,1,1,1,1,20060825
55810,CPT,Extensive prostate surgery,,,21 ,,RBRVS,22.55 ,8.95 ,8.95 ,,,,,1,0,1,1,1,1,20060825
55812,CPT,Extensive prostate surgery,,,21 ,,RBRVS,27.47 ,10.99 ,10.99 ,,,,,1,0,1,1,1,1,20060825
55815,CPT,Extensive prostate surgery,,,21 ,,RBRVS,30.41 ,11.90 ,11.90 ,,,,,1,0,1,1,1,1,20060825
55821,CPT,Removal of prostate,,,21 ,,RBRVS,14.23 ,6.21 ,6.21 ,,,,,1,0,1,1,1,1,20060825
55831,CPT,Removal of prostate,,,21 ,,RBRVS,15.60 ,6.66 ,6.66 ,,,,,1,0,1,1,1,1,20060825
55840,CPT,Extensive prostate surgery,,,21 ,,RBRVS,22.66 ,9.29 ,9.29 ,,,,,1,0,1,1,1,1,20060825
55842,CPT,Extensive prostate surgery,,,21 ,,RBRVS,24.34 ,9.85 ,9.85 ,,,,,1,0,1,1,1,1,20060825
55845,CPT,Extensive prostate surgery,,,21 ,,RBRVS,28.51 ,10.94 ,10.94 ,,,,,1,0,1,1,1,1,20060825
55859,CPT,"Percut/needle insert, pros",,,21 ,,RBRVS,12.50 ,5.85 ,5.85 ,,,,,1,0,1,1,1,1,20060825
55860,CPT,"Surgical exposure, prostate",,,21 ,,RBRVS,14.43 ,6.41 ,6.41 ,,,,,1,0,1,1,1,1,20060825
55862,CPT,Extensive prostate surgery,,,21 ,,RBRVS,18.36 ,7.85 ,7.85 ,,,,,1,0,1,1,1,1,20060825
55865,CPT,Extensive prostate surgery,,,21 ,,RBRVS,22.84 ,9.27 ,9.27 ,,,,,1,0,1,1,1,1,20060825
55866,CPT,Laparo radical prostatectomy,,,21 ,,RBRVS,30.69 ,11.73 ,11.73 ,,,,,1,0,1,1,1,1,20060825
55870,CPT,Vag hyst w/enterocele repair,,,21 ,,RBRVS,2.58 ,1.08 ,1.53 ,,,,,1,0,1,1,1,1,20060825
55873,CPT,Cryoablate prostate,,,21 ,,RBRVS,19.44 ,8.96 ,8.96 ,,,,,1,0,1,1,1,1,20060825
55899,CPT,Genital surgery procedure,,,21 ,,TotalUnits,,,,4.69 ,,,,1,0,1,1,1,1,20060825
56405,CPT,I & D of vulva/perineum,,,21 ,,RBRVS,1.44 ,1.14 ,1.33 ,,,,,1,0,1,1,1,1,20060825
56420,CPT,Drainage of gland abscess,,,21 ,,RBRVS,1.39 ,1.04 ,2.28 ,,,,,1,0,1,1,1,1,20060825
56440,CPT,Surgery for vulva lesion,,,21 ,,RBRVS,2.84 ,1.71 ,1.71 ,,,,,1,0,1,1,1,1,20060825
56441,CPT,Lysis of labial lesion(s),,,21 ,,RBRVS,1.97 ,1.41 ,1.82 ,,,,,1,0,1,1,1,1,20060825
56501,CPT,"Destroy, vulva lesions, sim",,,21 ,,RBRVS,1.53 ,1.24 ,1.79 ,,,,,1,0,1,1,1,1,20060825
56515,CPT,Destroy vulva lesion/s compl,,,21 ,,RBRVS,2.76 ,1.82 ,2.55 ,,,,,1,0,1,1,1,1,20060825
56605,CPT,Biopsy of vulva/perineum,,,21 ,,RBRVS,1.10 ,0.46 ,1.07 ,,,,,1,0,1,1,1,1,20060825
56606,CPT,Biopsy of vulva/perineum,,,21 ,,RBRVS,0.55 ,0.22 ,0.49 ,,,,,1,0,1,1,1,1,20060825
56620,CPT,Partial removal of vulva,,,21 ,,RBRVS,7.46 ,4.80 ,4.80 ,,,,,1,0,1,1,1,1,20060825
56625,CPT,Complete removal of vulva,,,21 ,,RBRVS,8.39 ,5.33 ,5.33 ,,,,,1,0,1,1,1,1,20060825
56630,CPT,Extensive vulva surgery,,,21 ,,RBRVS,12.34 ,6.85 ,6.85 ,,,,,1,0,1,1,1,1,20060825
56631,CPT,Extensive vulva surgery,,,21 ,,RBRVS,16.18 ,8.83 ,8.83 ,,,,,1,0,1,1,1,1,20060825
56632,CPT,Extensive vulva surgery,,,21 ,,RBRVS,20.26 ,9.54 ,9.54 ,,,,,1,0,1,1,1,1,20060825
56633,CPT,Extensive vulva surgery,,,21 ,,RBRVS,16.45 ,8.61 ,8.61 ,,,,,1,0,1,1,1,1,20060825
56634,CPT,Extensive vulva surgery,,,21 ,,RBRVS,17.85 ,9.45 ,9.45 ,,,,,1,0,1,1,1,1,20060825
56637,CPT,Extensive vulva surgery,,,21 ,,RBRVS,21.94 ,11.09 ,11.09 ,,,,,1,0,1,1,1,1,20060825
56640,CPT,Extensive vulva surgery,,,21 ,,RBRVS,22.14 ,10.64 ,10.64 ,,,,,1,0,1,1,1,1,20060825
56700,CPT,Partial removal of hymen,,,21 ,,RBRVS,2.52 ,1.84 ,1.84 ,,,,,1,0,1,1,1,1,20060825
56720,CPT,Incision of hymen,,,21 ,,RBRVS,0.68 ,0.51 ,0.51 ,,,,,1,0,1,1,1,1,20060825
56740,CPT,Remove vagina gland lesion,,,21 ,,RBRVS,4.56 ,2.57 ,2.57 ,,,,,1,0,1,1,1,1,20060825
56800,CPT,Repair of vagina,,,21 ,,RBRVS,3.88 ,2.20 ,2.20 ,,,,,1,0,1,1,1,1,20060825
56805,CPT,Repair clitoris,,,21 ,,RBRVS,18.83 ,9.44 ,9.44 ,,,,,1,0,1,1,1,1,20060825
56810,CPT,Repair of perineum,,,21 ,,RBRVS,4.12 ,2.30 ,2.30 ,,,,,1,0,1,1,1,1,20060825
56820,CPT,Exam of vulva w/scope,,,21 ,,RBRVS,1.50 ,0.65 ,1.31 ,,,,,1,0,1,1,1,1,20060825
56821,CPT,Exam/biopsy of vulva w/scope,,,21 ,,RBRVS,2.05 ,0.91 ,1.76 ,,,,,1,0,1,1,1,1,20060825
57000,CPT,Exploration of vagina,,,21 ,,RBRVS,2.97 ,1.72 ,1.72 ,,,,,1,0,1,1,1,1,20060825
57010,CPT,Drainage of pelvic abscess,,,21 ,,RBRVS,6.02 ,3.81 ,3.81 ,,,,,1,0,1,1,1,1,20060825
57020,CPT,Drainage of pelvic fluid,,,21 ,,RBRVS,1.50 ,0.59 ,0.94 ,,,,,1,0,1,1,1,1,20060825
57022,CPT,"I & d vaginal hematoma, pp",,,21 ,,RBRVS,2.56 ,1.49 ,1.49 ,,,,,1,0,1,1,1,1,20060825
57023,CPT,"I & d vag hematoma, non-ob",,,21 ,,RBRVS,4.74 ,2.58 ,2.58 ,,,,,1,0,1,1,1,1,20060825
57061,CPT,"Destroy vag lesions, simple",,,21 ,,RBRVS,1.25 ,1.12 ,1.65 ,,,,,1,0,1,1,1,1,20060825
57065,CPT,"Destroy vag lesions, complex",,,21 ,,RBRVS,2.61 ,1.67 ,2.30 ,,,,,1,0,1,1,1,1,20060825
57100,CPT,Biopsy of vagina,,,21 ,,RBRVS,1.20 ,0.48 ,1.08 ,,,,,1,0,1,1,1,1,20060825
57105,CPT,Biopsy of vagina,,,21 ,,RBRVS,1.69 ,1.42 ,1.80 ,,,,,1,0,1,1,1,1,20060825
57106,CPT,"Remove vagina wall, partial",,,21 ,,RBRVS,6.35 ,4.19 ,4.19 ,,,,,1,0,1,1,1,1,20060825
57107,CPT,"Remove vagina tissue, part",,,21 ,,RBRVS,22.97 ,10.49 ,10.49 ,,,,,1,0,1,1,1,1,20060825
57109,CPT,Vaginectomy partial w/nodes,,,21 ,,RBRVS,26.96 ,11.27 ,11.27 ,,,,,1,0,1,1,1,1,20060825
57110,CPT,"Remove vagina wall, complete",,,21 ,,RBRVS,14.27 ,7.29 ,7.29 ,,,,,1,0,1,1,1,1,20060825
57111,CPT,"Remove vagina tissue, compl",,,21 ,,RBRVS,26.96 ,12.65 ,12.65 ,,,,,1,0,1,1,1,1,20060825
57112,CPT,"Vaginectomy w/nodes, compl",,,21 ,,RBRVS,28.96 ,12.13 ,12.13 ,,,,,1,0,1,1,1,1,20060825
57120,CPT,Closure of vagina,,,21 ,,RBRVS,7.40 ,4.61 ,4.61 ,,,,,1,0,1,1,1,1,20060825
57130,CPT,Remove vagina lesion,,,21 ,,RBRVS,2.43 ,1.54 ,2.16 ,,,,,1,0,1,1,1,1,20060825
57135,CPT,Remove vagina lesion,,,21 ,,RBRVS,2.67 ,1.65 ,2.27 ,,,,,1,0,1,1,1,1,20060825
57150,CPT,Treat vagina infection,,,21 ,,RBRVS,0.55 ,0.21 ,1.10 ,,,,,1,0,1,1,1,1,20060825
57155,CPT,Insert uteri tandems/ovoids,,,21 ,,RBRVS,6.26 ,4.57 ,4.57 ,,,,,1,0,1,1,1,1,20060825
57160,CPT,Insert pessary/other device,,,21 ,,RBRVS,0.89 ,0.34 ,1.01 ,,,,,1,0,1,1,1,1,20060825
57170,CPT,Fitting of diaphragm/cap,,,21 ,,RBRVS,0.91 ,0.33 ,1.48 ,,,,,1,0,1,1,1,1,20060825
57180,CPT,Treat vaginal bleeding,,,21 ,,RBRVS,1.58 ,1.26 ,2.17 ,,,,,1,0,1,1,1,1,20060825
57200,CPT,Repair of vagina,,,21 ,,RBRVS,3.93 ,2.90 ,2.90 ,,,,,1,0,1,1,1,1,20060825
57210,CPT,Repair vagina/perineum,,,21 ,,RBRVS,5.16 ,3.44 ,3.44 ,,,,,1,0,1,1,1,1,20060825
57220,CPT,Revision of urethra,,,21 ,,RBRVS,4.30 ,3.11 ,3.11 ,,,,,1,0,1,1,1,1,20060825
57230,CPT,Repair of urethral lesion,,,21 ,,RBRVS,5.63 ,3.41 ,3.41 ,,,,,1,0,1,1,1,1,20060825
57240,CPT,Repair bladder & vagina,,,21 ,,RBRVS,6.06 ,3.82 ,3.82 ,,,,,1,0,1,1,1,1,20060825
57250,CPT,Repair rectum & vagina,,,21 ,,RBRVS,5.52 ,3.58 ,3.58 ,,,,,1,0,1,1,1,1,20060825
57260,CPT,Repair of vagina,,,21 ,,RBRVS,8.26 ,4.84 ,4.84 ,,,,,1,0,1,1,1,1,20060825
57265,CPT,Extensive repair of vagina,,,21 ,,RBRVS,11.32 ,6.05 ,6.05 ,,,,,1,0,1,1,1,1,20060825
57267,CPT,Insert mesh/pelvic flr addon,,,21 ,,RBRVS,4.88 ,1.98 ,1.98 ,,,,,1,0,1,1,1,1,20060825
57268,CPT,Repair of bowel bulge,,,21 ,,RBRVS,6.75 ,4.20 ,4.20 ,,,,,1,0,1,1,1,1,20060825
57270,CPT,Repair of bowel pouch,,,21 ,,RBRVS,12.09 ,6.26 ,6.26 ,,,,,1,0,1,1,1,1,20060825
57280,CPT,Suspension of vagina,,,21 ,,RBRVS,15.02 ,7.38 ,7.38 ,,,,,1,0,1,1,1,1,20060825
57282,CPT,Repair of vaginal prolapse,,,21 ,,RBRVS,6.86 ,4.51 ,4.51 ,,,,,1,0,1,1,1,1,20060825
57283,CPT,"Colpopexy, intraperitoneal",,,21 ,,RBRVS,10.84 ,5.93 ,5.93 ,,,,,1,0,0,1,1,1,20060825
57284,CPT,Repair paravaginal defect,,,21 ,,RBRVS,12.68 ,7.16 ,7.16 ,,,,,1,0,1,1,1,1,20060825
57287,CPT,Revise/remove sling repair,,,21 ,,RBRVS,10.69 ,5.49 ,5.49 ,,,,,1,0,1,1,1,1,20060825
57288,CPT,Repair bladder defect,,,21 ,,RBRVS,13.00 ,5.92 ,5.92 ,,,,,1,0,1,1,1,1,20060825
57289,CPT,Repair bladder & vagina,,,21 ,,RBRVS,11.56 ,6.05 ,6.05 ,,,,,1,0,1,1,1,1,20060825
57291,CPT,Construction of vagina,,,21 ,,RBRVS,7.94 ,4.93 ,4.93 ,,,,,1,0,1,1,1,1,20060825
57292,CPT,Construct vagina with graft,,,21 ,,RBRVS,13.07 ,6.95 ,6.95 ,,,,,1,0,1,1,1,1,20060825
57295,CPT,Change vaginal graft,,,21 ,,RBRVS,7.45 ,4.44 ,4.44 ,,,,,1,0,1,1,1,1,20060825
57300,CPT,Repair rectum-vagina fistula,,,21 ,,RBRVS,7.60 ,4.29 ,4.29 ,,,,,1,0,1,1,1,1,20060825
57305,CPT,Repair rectum-vagina fistula,,,21 ,,RBRVS,13.75 ,6.28 ,6.28 ,,,,,1,0,1,1,1,1,20060825
57307,CPT,Fistula repair & colostomy,,,21 ,,RBRVS,15.91 ,7.01 ,7.01 ,,,,,1,0,1,1,1,1,20060825
57308,CPT,"Fistula repair, transperine",,,21 ,,RBRVS,9.93 ,5.10 ,5.10 ,,,,,1,0,1,1,1,1,20060825
57310,CPT,Repair urethrovaginal lesion,,,21 ,,RBRVS,6.77 ,3.84 ,3.84 ,,,,,1,0,1,1,1,1,20060825
57311,CPT,Repair urethrovaginal lesion,,,21 ,,RBRVS,7.97 ,4.12 ,4.12 ,,,,,1,0,1,1,1,1,20060825
57320,CPT,Repair bladder-vagina lesion,,,21 ,,RBRVS,8.00 ,4.37 ,4.37 ,,,,,1,0,1,1,1,1,20060825
57330,CPT,Repair bladder-vagina lesion,,,21 ,,RBRVS,12.33 ,5.72 ,5.72 ,,,,,1,0,1,1,1,1,20060825
57335,CPT,Repair vagina,,,21 ,,RBRVS,18.70 ,9.05 ,9.05 ,,,,,1,0,1,1,1,1,20060825
57400,CPT,Dilation of vagina,,,21 ,,RBRVS,2.27 ,1.11 ,1.11 ,,,,,1,0,1,1,1,1,20060825
57410,CPT,Pelvic examination,,,21 ,,RBRVS,1.75 ,0.89 ,2.02 ,,,,,1,0,1,1,1,1,20060825
57415,CPT,Remove vaginal foreign body,,,21 ,,RBRVS,2.17 ,1.42 ,1.42 ,,,,,1,0,1,1,1,1,20060825
57420,CPT,Exam of vagina w/scope,,,21 ,,RBRVS,1.60 ,0.67 ,1.35 ,,,,,1,0,1,1,1,1,20060825
57421,CPT,Exam/biopsy of vag w/scope,,,21 ,,RBRVS,2.20 ,0.96 ,1.85 ,,,,,1,0,1,1,1,1,20060825
57425,CPT,"Laparoscopy, surg, colpopexy",,,21 ,,RBRVS,15.73 ,6.65 ,6.65 ,,,,,1,0,1,1,1,1,20060825
57452,CPT,Exam of cervix w/scope,,,21 ,,RBRVS,1.50 ,0.76 ,1.28 ,,,,,1,0,1,1,1,1,20060825
57454,CPT,Bx/curett of cervix w/scope,,,21 ,,RBRVS,2.33 ,1.15 ,1.64 ,,,,,1,0,1,1,1,1,20060825
57455,CPT,Biopsy of cervix w/scope,,,21 ,,RBRVS,1.99 ,0.87 ,1.72 ,,,,,1,0,1,1,1,1,20060825
57456,CPT,Endocerv curettage w/scope,,,21 ,,RBRVS,1.85 ,0.82 ,1.65 ,,,,,1,0,1,1,1,1,20060825
57460,CPT,"Bx of cervix w/scope, leep",,,21 ,,RBRVS,2.83 ,1.38 ,5.86 ,,,,,1,0,1,1,1,1,20060825
57461,CPT,"Conz of cervix w/scope, leep",,,21 ,,RBRVS,3.43 ,1.47 ,6.12 ,,,,,1,0,1,1,1,1,20060825
57500,CPT,Biopsy of cervix,,,21 ,,RBRVS,0.97 ,0.63 ,2.55 ,,,,,1,0,1,1,1,1,20060825
57505,CPT,Endocervical curettage,,,21 ,,RBRVS,1.14 ,1.10 ,1.46 ,,,,,1,0,1,1,1,1,20060825
57510,CPT,Cauterization of cervix,,,21 ,,RBRVS,1.90 ,1.04 ,1.56 ,,,,,1,0,1,1,1,1,20060825
57511,CPT,Cryocautery of cervix,,,21 ,,RBRVS,1.90 ,1.37 ,1.83 ,,,,,1,0,1,1,1,1,20060825
57513,CPT,Laser surgery of cervix,,,21 ,,RBRVS,1.90 ,1.40 ,1.72 ,,,,,1,0,1,1,1,1,20060825
57520,CPT,Conization of cervix,,,21 ,,RBRVS,4.03 ,2.88 ,3.94 ,,,,,1,0,1,1,1,1,20060825
57522,CPT,Conization of cervix,,,21 ,,RBRVS,3.35 ,2.46 ,3.16 ,,,,,1,0,1,1,1,1,20060825
57530,CPT,Removal of cervix,,,21 ,,RBRVS,4.78 ,3.39 ,3.39 ,,,,,1,0,1,1,1,1,20060825
57531,CPT,"Removal of cervix, radical",,,21 ,,RBRVS,27.96 ,13.20 ,13.20 ,,,,,1,0,1,1,1,1,20060825
57540,CPT,Removal of residual cervix,,,21 ,,RBRVS,12.20 ,6.25 ,6.25 ,,,,,1,0,1,1,1,1,20060825
57545,CPT,Remove cervix/repair pelvis,,,21 ,,RBRVS,13.01 ,6.69 ,6.69 ,,,,,1,0,1,1,1,1,20060825
57550,CPT,Removal of residual cervix,,,21 ,,RBRVS,5.52 ,3.83 ,3.83 ,,,,,1,0,1,1,1,1,20060825
57555,CPT,Remove cervix/repair vagina,,,21 ,,RBRVS,8.94 ,5.09 ,5.09 ,,,,,1,0,1,1,1,1,20060825
57556,CPT,"Remove cervix, repair bowel",,,21 ,,RBRVS,8.36 ,4.86 ,4.86 ,,,,,1,0,1,1,1,1,20060825
57700,CPT,Revision of cervix,,,21 ,,RBRVS,3.54 ,3.11 ,3.11 ,,,,,1,0,1,1,1,1,20060825
57720,CPT,Revision of cervix,,,21 ,,RBRVS,4.12 ,3.11 ,3.11 ,,,,,1,0,1,1,1,1,20060825
57800,CPT,Dilation of cervical canal,,,21 ,,RBRVS,0.77 ,0.47 ,0.76 ,,,,,1,0,1,1,1,1,20060825
57820,CPT,D & c of residual cervix,,,21 ,,RBRVS,1.67 ,1.14 ,1.47 ,,,,,1,0,1,1,1,1,20060825
58100,CPT,Biopsy of uterus lining,,,21 ,,RBRVS,1.53 ,0.72 ,1.32 ,,,,,1,0,1,1,1,1,20060825
58110,CPT,Bx done w/colposcopy add-on,,,21 ,,RBRVS,0.77 ,0.31 ,0.55 ,,,,,1,0,1,1,1,1,20060825
58120,CPT,Dilation and curettage,,,21 ,,RBRVS,3.27 ,1.88 ,2.31 ,,,,,1,0,1,1,1,1,20060825
58140,CPT,Myomectomy abdom method,,,21 ,,RBRVS,14.58 ,7.12 ,7.12 ,,,,,1,0,1,1,1,1,20060825
58145,CPT,Myomectomy vag method,,,21 ,,RBRVS,8.03 ,4.80 ,4.80 ,,,,,1,0,1,1,1,1,20060825
58146,CPT,Myomectomy abdom complex,,,21 ,,RBRVS,18.97 ,9.03 ,9.03 ,,,,,1,0,1,1,1,1,20060825
58150,CPT,Total hysterectomy,,,21 ,,RBRVS,15.22 ,7.50 ,7.50 ,,,,,1,0,1,1,1,1,20060825
58152,CPT,Total hysterectomy,,,21 ,,RBRVS,20.57 ,9.88 ,9.88 ,,,,,1,0,1,1,1,1,20060825
58180,CPT,Partial hysterectomy,,,21 ,,RBRVS,15.27 ,7.47 ,7.47 ,,,,,1,0,1,1,1,1,20060825
58200,CPT,Extensive hysterectomy,,,21 ,,RBRVS,21.56 ,10.02 ,10.02 ,,,,,1,0,1,1,1,1,20060825
58210,CPT,Extensive hysterectomy,,,21 ,,RBRVS,28.81 ,13.23 ,13.23 ,,,,,1,0,1,1,1,1,20060825
58240,CPT,Removal of pelvis contents,,,21 ,,RBRVS,38.33 ,17.66 ,17.66 ,,,,,1,0,1,1,1,1,20060825
58260,CPT,Vaginal hysterectomy,,,21 ,,RBRVS,12.96 ,6.71 ,6.71 ,,,,,1,0,1,1,1,1,20060825
58262,CPT,Vag hyst including t/o,,,21 ,,RBRVS,14.75 ,7.40 ,7.40 ,,,,,1,0,1,1,1,1,20060825
58263,CPT,Vag hyst w/t/o & vag repair,,,21 ,,RBRVS,16.04 ,7.90 ,7.90 ,,,,,1,0,1,1,1,1,20060825
58267,CPT,Vag hyst w/urinary repair,,,21 ,,RBRVS,17.01 ,8.39 ,8.39 ,,,,,1,0,1,1,1,1,20060825
58270,CPT,Vag hyst w/enterocele repair,,,21 ,,RBRVS,14.24 ,7.08 ,7.08 ,,,,,1,0,1,1,1,1,20060825
58275,CPT,Hysterectomy/revise vagina,,,21 ,,RBRVS,15.74 ,7.79 ,7.79 ,,,,,1,0,1,1,1,1,20060825
58280,CPT,Hysterectomy/revise vagina,,,21 ,,RBRVS,16.98 ,8.27 ,8.27 ,,,,,1,0,1,1,1,1,20060825
58285,CPT,Extensive hysterectomy,,,21 ,,RBRVS,22.23 ,9.97 ,9.97 ,,,,,1,0,1,1,1,1,20060825
58290,CPT,Vag hyst complex,,,21 ,,RBRVS,18.97 ,9.15 ,9.15 ,,,,,1,0,1,1,1,1,20060825
58291,CPT,"Vag hyst incl t/o, complex",,,21 ,,RBRVS,20.76 ,9.90 ,9.90 ,,,,,1,0,1,1,1,1,20060825
58292,CPT,"Vag hyst t/o & repair, compl",,,21 ,,RBRVS,22.05 ,10.39 ,10.39 ,,,,,1,0,1,1,1,1,20060825
58293,CPT,"Vag hyst w/uro repair, compl",,,21 ,,RBRVS,23.03 ,10.68 ,10.68 ,,,,,1,0,1,1,1,1,20060825
58294,CPT,"Vag hyst w/enterocele, compl",,,21 ,,RBRVS,20.25 ,9.58 ,9.58 ,,,,,1,0,1,1,1,1,20060825
58300,CPT,Insert intrauterine device,,,21 ,,RBRVS,1.01 ,0.38 ,1.42 ,,,,,1,0,1,1,1,1,20060825
58301,CPT,Remove intrauterine device,,,21 ,,RBRVS,1.27 ,0.48 ,1.32 ,,,,,1,0,1,1,1,1,20060825
58321,CPT,Artificial insemination,,,21 ,,RBRVS,0.92 ,0.37 ,1.15 ,,,,,1,0,1,1,1,1,20060825
58322,CPT,Artificial insemination,,,21 ,,RBRVS,1.10 ,0.42 ,1.20 ,,,,,1,0,1,1,1,1,20060825
58323,CPT,Sperm washing,,,21 ,,RBRVS,0.23 ,0.09 ,0.53 ,,,,,1,0,1,1,1,1,20060825
58340,CPT,Catheter for hysterography,,,21 ,,RBRVS,0.88 ,0.65 ,3.17 ,,,,,1,0,1,1,1,1,20060825
58345,CPT,Reopen fallopian tube,,,21 ,,RBRVS,4.65 ,2.44 ,2.44 ,,,,,1,0,1,1,1,1,20060825
58346,CPT,Insert heyman uteri capsule,,,21 ,,RBRVS,6.74 ,3.93 ,3.93 ,,,,,1,0,1,1,1,1,20060825
58350,CPT,Reopen fallopian tube,,,21 ,,RBRVS,1.01 ,0.92 ,1.49 ,,,,,1,0,1,1,1,1,20060825
58353,CPT,"Endometr ablate, thermal",,,21 ,,RBRVS,3.55 ,2.06 ,35.76 ,,,,,1,0,1,1,1,1,20060825
58356,CPT,Endometrial cryoablation,,,21 ,,RBRVS,6.36 ,2.70 ,61.61 ,,,,,1,0,1,1,1,1,20060825
58400,CPT,Suspension of uterus,,,21 ,,RBRVS,6.35 ,3.94 ,3.94 ,,,,,1,0,1,1,1,1,20060825
58410,CPT,Suspension of uterus,,,21 ,,RBRVS,12.71 ,6.45 ,6.45 ,,,,,1,0,1,1,1,1,20060825
58520,CPT,Repair of ruptured uterus,,,21 ,,RBRVS,11.90 ,6.05 ,6.05 ,,,,,1,0,1,1,1,1,20060825
58540,CPT,Revision of uterus,,,21 ,,RBRVS,14.62 ,6.97 ,6.97 ,,,,,1,0,1,1,1,1,20060825
58545,CPT,Laparoscopic myomectomy,,,21 ,,RBRVS,14.58 ,7.20 ,7.20 ,,,,,1,0,1,1,1,1,20060825
58546,CPT,"Laparo-myomectomy, complex",,,21 ,,RBRVS,18.97 ,8.94 ,8.94 ,,,,,1,0,1,1,1,1,20060825
58550,CPT,Laparo-asst vag hysterectomy,,,21 ,,RBRVS,14.17 ,7.31 ,7.31 ,,,,,1,0,1,1,1,1,20060825
58552,CPT,Laparo-vag hyst incl t/o,,,21 ,,RBRVS,15.98 ,8.03 ,8.03 ,,,,,1,0,1,1,1,1,20060825
58553,CPT,"Laparo-vag hyst, complex",,,21 ,,RBRVS,18.97 ,8.94 ,8.94 ,,,,,1,0,1,1,1,1,20060825
58554,CPT,"Laparo-vag hyst w/t/o, compl",,,21 ,,RBRVS,21.97 ,10.42 ,10.42 ,,,,,1,0,1,1,1,1,20060825
58555,CPT,"Hysteroscopy, dx, sep proc",,,21 ,,RBRVS,3.33 ,1.55 ,2.20 ,,,,,1,0,1,1,1,1,20060825
58558,CPT,"Hysteroscopy, biopsy",,,21 ,,RBRVS,4.74 ,2.18 ,2.18 ,,,,,1,0,1,1,1,1,20060825
58559,CPT,"Hysteroscopy, lysis",,,21 ,,RBRVS,6.16 ,2.74 ,2.74 ,,,,,1,0,1,1,1,1,20060825
58560,CPT,"Hysteroscopy, resect septum",,,21 ,,RBRVS,6.99 ,3.09 ,3.09 ,,,,,1,0,1,1,1,1,20060825
58561,CPT,"Hysteroscopy, remove myoma",,,21 ,,RBRVS,9.99 ,4.29 ,4.29 ,,,,,1,0,1,1,1,1,20060825
58562,CPT,"Hysteroscopy, remove fb",,,21 ,,RBRVS,5.20 ,2.36 ,2.36 ,,,,,1,0,1,1,1,1,20060825
58563,CPT,"Hysteroscopy, ablation",,,21 ,,RBRVS,6.16 ,2.76 ,56.35 ,,,,,1,0,1,1,1,1,20060825
58565,CPT,"Hysteroscopy, sterilization",,,21 ,,RBRVS,7.02 ,3.91 ,49.70 ,,,,,1,0,1,1,1,1,20060825
58578,CPT,"Laparo proc, uterus",,,21 ,,TotalUnits,,,,21.48 ,,,,1,0,1,1,1,1,20060825
58579,CPT,Hysteroscope procedure,,,21 ,,TotalUnits,,,,6.80 ,,,,1,0,1,1,1,1,20060825
58600,CPT,Division of fallopian tube,,,21 ,,RBRVS,5.59 ,3.34 ,3.34 ,,,,,1,0,1,1,1,1,20060825
58605,CPT,Division of fallopian tube,,,21 ,,RBRVS,4.99 ,3.12 ,3.12 ,,,,,1,0,1,1,1,1,20060825
58611,CPT,Ligate oviduct(s) add-on,,,21 ,,RBRVS,1.45 ,0.57 ,0.57 ,,,,,1,0,1,1,1,1,20060825
58615,CPT,Occlude fallopian tube(s),,,21 ,,RBRVS,3.89 ,2.71 ,2.71 ,,,,,1,0,1,1,1,1,20060825
58660,CPT,"Laparoscopy, lysis",,,21 ,,RBRVS,11.27 ,5.27 ,5.27 ,,,,,1,0,1,1,1,1,20060825
58661,CPT,"Laparoscopy, remove adnexa",,,21 ,,RBRVS,11.03 ,5.13 ,5.13 ,,,,,1,0,1,1,1,1,20060825
58662,CPT,"Laparoscopy, excise lesions",,,21 ,,RBRVS,11.77 ,5.80 ,5.80 ,,,,,1,0,1,1,1,1,20060825
58670,CPT,"Laparoscopy, tubal cautery",,,21 ,,RBRVS,5.59 ,3.28 ,3.28 ,,,,,1,0,1,1,1,1,20060825
58671,CPT,"Laparoscopy, tubal block",,,21 ,,RBRVS,5.59 ,3.28 ,3.28 ,,,,,1,0,1,1,1,1,20060825
58672,CPT,"Laparoscopy, fimbrioplasty",,,21 ,,RBRVS,12.86 ,6.20 ,6.20 ,,,,,1,0,1,1,1,1,20060825
58673,CPT,"Laparoscopy, salpingostomy",,,21 ,,RBRVS,13.72 ,6.59 ,6.59 ,,,,,1,0,1,1,1,1,20060825
58679,CPT,"Laparo proc, oviduct-ovary",,,21 ,,TotalUnits,,,,16.17 ,,,,1,0,1,1,1,1,20060825
58700,CPT,Removal of fallopian tube,,,21 ,,RBRVS,12.03 ,6.00 ,6.00 ,,,,,1,0,1,1,1,1,20060825
58720,CPT,Removal of ovary/tube(s),,,21 ,,RBRVS,11.34 ,5.79 ,5.79 ,,,,,1,0,1,1,1,1,20060825
58740,CPT,Revise fallopian tube(s),,,21 ,,RBRVS,13.98 ,7.15 ,7.15 ,,,,,1,0,1,1,1,1,20060825
58750,CPT,Repair oviduct,,,21 ,,RBRVS,14.82 ,7.38 ,7.38 ,,,,,1,0,1,1,1,1,20060825
58752,CPT,Revise ovarian tube(s),,,21 ,,RBRVS,14.82 ,6.96 ,6.96 ,,,,,1,0,1,1,1,1,20060825
58760,CPT,Remove tubal obstruction,,,21 ,,RBRVS,13.11 ,6.73 ,6.73 ,,,,,1,0,1,1,1,1,20060825
58770,CPT,Create new tubal opening,,,21 ,,RBRVS,13.95 ,6.92 ,6.92 ,,,,,1,0,1,1,1,1,20060825
58800,CPT,Drainage of ovarian cyst(s),,,21 ,,RBRVS,4.13 ,2.91 ,3.65 ,,,,,1,0,1,1,1,1,20060825
58805,CPT,Drainage of ovarian cyst(s),,,21 ,,RBRVS,5.87 ,3.51 ,3.51 ,,,,,1,0,1,1,1,1,20060825
58820,CPT,"Drain ovary abscess, open",,,21 ,,RBRVS,4.21 ,3.30 ,3.30 ,,,,,1,0,1,1,1,1,20060825
58822,CPT,"Drain ovary abscess, percut",,,21 ,,RBRVS,10.11 ,5.23 ,5.23 ,,,,,1,0,1,1,1,1,20060825
58823,CPT,"Drain pelvic abscess, percut",,,21 ,,RBRVS,3.37 ,1.12 ,21.38 ,,,,,1,0,1,1,1,1,20060825
58825,CPT,"Transposition, ovary(s)",,,21 ,,RBRVS,10.96 ,5.81 ,5.81 ,,,,,1,0,1,1,1,1,20060825
58900,CPT,Biopsy of ovary(s),,,21 ,,RBRVS,5.98 ,3.58 ,3.58 ,,,,,1,0,1,1,1,1,20060825
58920,CPT,Partial removal of ovary(s),,,21 ,,RBRVS,11.34 ,5.59 ,5.59 ,,,,,1,0,1,1,1,1,20060825
58925,CPT,Removal of ovarian cyst(s),,,21 ,,RBRVS,11.34 ,5.70 ,5.70 ,,,,,1,0,1,1,1,1,20060825
58940,CPT,Removal of ovary(s),,,21 ,,RBRVS,7.28 ,4.11 ,4.11 ,,,,,1,0,1,1,1,1,20060825
58943,CPT,Removal of ovary(s),,,21 ,,RBRVS,18.40 ,8.67 ,8.67 ,,,,,1,0,1,1,1,1,20060825
58950,CPT,Resect ovarian malignancy,,,21 ,,RBRVS,16.90 ,8.42 ,8.42 ,,,,,1,0,1,1,1,1,20060825
58951,CPT,Resect ovarian malignancy,,,21 ,,RBRVS,22.35 ,10.47 ,10.47 ,,,,,1,0,1,1,1,1,20060825
58952,CPT,Resect ovarian malignancy,,,21 ,,RBRVS,24.97 ,11.78 ,11.78 ,,,,,1,0,1,1,1,1,20060825
58953,CPT,"Tah, rad dissect for debulk",,,21 ,,RBRVS,31.95 ,14.58 ,14.58 ,,,,,1,0,1,1,1,1,20060825
58954,CPT,Tah rad debulk/lymph remove,,,21 ,,RBRVS,34.95 ,15.75 ,15.75 ,,,,,1,0,1,1,1,1,20060825
58956,CPT,"Bso, omentectomy w/tah",,,21 ,,RBRVS,20.78 ,10.34 ,10.34 ,,,,,1,0,0,1,1,1,20060825
58960,CPT,Exploration of abdomen,,,21 ,,RBRVS,14.63 ,7.37 ,7.37 ,,,,,1,0,1,1,1,1,20060825
58970,CPT,Retrieval of oocyte,,,21 ,,RBRVS,3.52 ,1.49 ,2.32 ,,,,,1,0,1,1,1,1,20060825
58974,CPT,Transfer of embryo,,,21 ,,TotalUnits,,,,4.54 ,,,,1,0,1,1,1,1,20060825
58976,CPT,Transfer of embryo,,,21 ,,RBRVS,3.82 ,1.83 ,2.69 ,,,,,1,0,1,1,1,1,20060825
58999,CPT,Genital surgery procedure,,,21 ,,TotalUnits,,,,4.00 ,,,,1,0,1,1,1,1,20060825
59000,CPT,"Amniocentesis, diagnostic",,,12 ,,RBRVS,1.30 ,0.67 ,2.08 ,,,,,1,0,1,1,1,1,20060825
59001,CPT,"Amniocentesis, therapeutic",,,12 ,,RBRVS,3.00 ,1.41 ,1.41 ,,,,,1,0,1,1,1,1,20060825
59012,CPT,"Fetal cord puncture,prenatal",,,12 ,,RBRVS,3.44 ,1.54 ,1.54 ,,,,,1,0,1,1,1,1,20060825
59015,CPT,Chorion biopsy,,,12 ,,RBRVS,2.20 ,1.04 ,1.55 ,,,,,1,0,1,1,1,1,20060825
59020,CPT,Fetal contract stress test,TC,,12 ,,RBRVS,0.00 ,0.52 ,0.52 ,,,,,1,1,1,0,1,1,20060825
59020,CPT,Fetal contract stress test,26,,12 ,,RBRVS,0.66 ,0.26 ,0.26 ,,,,,1,0,1,1,1,1,20060825
59025,CPT,Fetal non-stress test,TC,,12 ,,RBRVS,0.00 ,0.23 ,0.23 ,,,,,1,1,1,0,1,1,20060825
59025,CPT,Fetal non-stress test,26,,12 ,,RBRVS,0.53 ,0.21 ,0.21 ,,,,,1,0,1,1,1,1,20060825
59030,CPT,Fetal scalp blood sample,,,12 ,,RBRVS,1.99 ,0.77 ,0.77 ,,,,,1,0,1,1,1,1,20060825
59050,CPT,Fetal monitor w/report,,,12 ,,RBRVS,0.89 ,0.35 ,0.35 ,,,,,1,0,1,1,1,1,20060825
59051,CPT,Fetal monitor/interpret only,,,12 ,,RBRVS,0.74 ,0.29 ,0.29 ,,,,,1,0,1,1,1,1,20060825
59070,CPT,Transabdom amnioinfus w/ us,,,12 ,,RBRVS,5.24 ,2.32 ,5.16 ,,,,,1,0,1,1,1,1,20060825
59072,CPT,Umbilical cord occlud w/ us,,,12 ,,RBRVS,8.99 ,3.13 ,3.13 ,,,,,1,0,1,1,1,1,20060825
59074,CPT,Fetal fluid drainage w/ us,,,12 ,,RBRVS,5.24 ,2.32 ,4.58 ,,,,,1,0,1,1,1,1,20060825
59076,CPT,"Fetal shunt placement, w/ us",,,12 ,,RBRVS,8.99 ,3.13 ,3.13 ,,,,,1,0,1,1,1,1,20060825
59100,CPT,Remove uterus lesion,,,12 ,,RBRVS,12.33 ,6.47 ,6.47 ,,,,,1,0,1,1,1,1,20060825
59120,CPT,Treat ectopic pregnancy,,,12 ,,RBRVS,11.47 ,6.26 ,6.26 ,,,,,1,0,1,1,1,1,20060825
59121,CPT,Treat ectopic pregnancy,,,12 ,,RBRVS,11.65 ,6.34 ,6.34 ,,,,,1,0,1,1,1,1,20060825
59130,CPT,Treat ectopic pregnancy,,,12 ,,RBRVS,14.20 ,4.80 ,4.80 ,,,,,1,0,1,1,1,1,20060825
59135,CPT,Treat ectopic pregnancy,,,12 ,,RBRVS,13.86 ,7.24 ,7.24 ,,,,,1,0,1,1,1,1,20060825
59136,CPT,Treat ectopic pregnancy,,,12 ,,RBRVS,13.16 ,6.62 ,6.62 ,,,,,1,0,1,1,1,1,20060825
59140,CPT,Treat ectopic pregnancy,,,12 ,,RBRVS,5.45 ,2.22 ,2.22 ,,,,,1,0,1,1,1,1,20060825
59150,CPT,Treat ectopic pregnancy,,,12 ,,RBRVS,11.65 ,6.01 ,6.01 ,,,,,1,0,1,1,1,1,20060825
59151,CPT,Treat ectopic pregnancy,,,12 ,,RBRVS,11.47 ,6.07 ,6.07 ,,,,,1,0,1,1,1,1,20060825
59160,CPT,D & c after delivery,,,12 ,,RBRVS,2.71 ,2.14 ,3.30 ,,,,,1,0,1,1,1,1,20060825
59200,CPT,Insert cervical dilator,,,12 ,,RBRVS,0.79 ,0.30 ,1.19 ,,,,,1,0,1,1,1,1,20060825
59300,CPT,Episiotomy or vaginal repair,,,12 ,,RBRVS,2.41 ,0.96 ,2.18 ,,,,,1,0,1,1,1,1,20060825
59320,CPT,Revision of cervix,,,12 ,,RBRVS,2.48 ,1.24 ,1.24 ,,,,,1,0,1,1,1,1,20060825
59325,CPT,Revision of cervix,,,12 ,,RBRVS,4.06 ,1.90 ,1.90 ,,,,,1,0,1,1,1,1,20060825
59350,CPT,Repair of uterus,,,12 ,,RBRVS,4.94 ,1.88 ,1.88 ,,,,,1,0,1,1,1,1,20060825
59400,CPT,Obstetrical care,,,13 ,,RBRVS,23.03 ,15.36 ,15.36 ,,,,,1,0,1,1,1,1,20060825
59409,CPT,Obstetrical care,,,13 ,,RBRVS,13.48 ,5.32 ,5.32 ,,,,,1,0,1,1,1,1,20060825
59410,CPT,Obstetrical care,,,13 ,,RBRVS,14.76 ,6.32 ,6.32 ,,,,,1,0,1,1,1,1,20060825
59412,CPT,Antepartum manipulation,,,13 ,,RBRVS,1.71 ,0.81 ,0.81 ,,,,,1,0,1,1,1,1,20060825
59414,CPT,Deliver placenta,,,13 ,,RBRVS,1.61 ,0.64 ,0.64 ,,,,,1,0,1,1,1,1,20060825
59425,CPT,Antepartum care only,,,13 ,,RBRVS,4.80 ,1.86 ,4.21 ,,,,,1,0,1,1,1,1,20060825
59426,CPT,Antepartum care only,,,13 ,,RBRVS,8.27 ,3.23 ,7.56 ,,,,,1,0,1,1,1,1,20060825
59430,CPT,Care after delivery,,,13 ,,RBRVS,2.13 ,0.94 ,1.23 ,,,,,1,0,1,1,1,1,20060825
59510,CPT,Cesarean delivery,,,11 ,,RBRVS,26.18 ,17.31 ,17.31 ,,,,,1,0,1,1,1,1,20060825
59514,CPT,Cesarean delivery only,,,11 ,,RBRVS,15.95 ,6.23 ,6.23 ,,,,,1,0,1,1,1,1,20060825
59515,CPT,Cesarean delivery,,,11 ,,RBRVS,17.34 ,7.85 ,7.85 ,,,,,1,0,1,1,1,1,20060825
59525,CPT,Remove uterus after cesarean,,,21 ,,RBRVS,8.53 ,3.31 ,3.31 ,,,,,1,0,1,1,1,1,20060825
59610,CPT,Vbac delivery,,,13 ,,RBRVS,24.58 ,15.91 ,15.91 ,,,,,1,0,1,1,1,1,20060825
59612,CPT,Vbac delivery only,,,13 ,,RBRVS,15.04 ,6.07 ,6.07 ,,,,,1,0,1,1,1,1,20060825
59614,CPT,Vbac care after delivery,,,13 ,,RBRVS,16.32 ,6.95 ,6.95 ,,,,,1,0,1,1,1,1,20060825
59618,CPT,Attempted vbac delivery,,,11 ,,RBRVS,27.74 ,18.28 ,18.28 ,,,,,1,0,1,1,1,1,20060825
59620,CPT,Attempted vbac delivery only,,,11 ,,RBRVS,17.50 ,6.78 ,6.78 ,,,,,1,0,1,1,1,1,20060825
59622,CPT,Attempted vbac after care,,,11 ,,RBRVS,18.90 ,8.66 ,8.66 ,,,,,1,0,1,1,1,1,20060825
59812,CPT,Treatment of miscarriage,,,12 ,,RBRVS,4.00 ,2.55 ,2.55 ,,,,,1,0,1,1,1,1,20060825
59820,CPT,Care of miscarriage,,,12 ,,RBRVS,4.00 ,3.57 ,4.43 ,,,,,1,0,1,1,1,1,20060825
59821,CPT,Treatment of miscarriage,,,12 ,,RBRVS,4.46 ,3.41 ,4.28 ,,,,,1,0,1,1,1,1,20060825
59830,CPT,Treat uterus infection,,,12 ,,RBRVS,6.10 ,3.99 ,3.99 ,,,,,1,0,1,1,1,1,20060825
59840,CPT,Abortion,,,12 ,,RBRVS,3.01 ,2.13 ,2.13 ,,,,,1,0,1,1,1,1,20060825
59841,CPT,Abortion,,,12 ,,RBRVS,5.23 ,2.98 ,3.50 ,,,,,1,0,1,1,1,1,20060825
59850,CPT,Abortion,,,12 ,,RBRVS,5.90 ,3.26 ,3.26 ,,,,,1,0,1,1,1,1,20060825
59851,CPT,Abortion,,,12 ,,RBRVS,5.92 ,3.75 ,3.75 ,,,,,1,0,1,1,1,1,20060825
59852,CPT,Abortion,,,12 ,,RBRVS,8.23 ,5.05 ,5.05 ,,,,,1,0,1,1,1,1,20060825
59855,CPT,Abortion,,,12 ,,RBRVS,6.11 ,3.55 ,3.55 ,,,,,1,0,1,1,1,1,20060825
59856,CPT,Abortion,,,12 ,,RBRVS,7.47 ,4.07 ,4.07 ,,,,,1,0,1,1,1,1,20060825
59857,CPT,Abortion,,,12 ,,RBRVS,9.28 ,4.72 ,4.72 ,,,,,1,0,1,1,1,1,20060825
59866,CPT,Abortion (mpr),,,12 ,,RBRVS,3.99 ,1.90 ,1.90 ,,,,,1,0,1,1,1,1,20060825
59870,CPT,Evacuate mole of uterus,,,12 ,,RBRVS,6.00 ,4.49 ,4.49 ,,,,,1,0,1,1,1,1,20060825
59871,CPT,Remove cerclage suture,,,12 ,,RBRVS,2.13 ,1.13 ,1.75 ,,,,,1,0,1,1,1,1,20060825
59897,CPT,Fetal invas px w/ us,,,12 ,,TotalUnits,,,,0.98 ,,,,1,0,1,1,1,1,20060825
59898,CPT,"Laparo proc, ob care/deliver",,,12 ,,TotalUnits,,,,17.56 ,,,,1,0,1,1,1,1,20060825
59899,CPT,Maternity care procedure,,,12 ,,TotalUnits,,,,20.51 ,,,,1,0,1,1,1,1,20060825
60000,CPT,Drain thyroid/tongue cyst,,,21 ,,RBRVS,1.76 ,1.71 ,1.93 ,,,,,1,0,1,1,1,1,20060825
60001,CPT,Aspirate/inject thyriod cyst,,,21 ,,RBRVS,0.97 ,0.33 ,1.41 ,,,,,1,0,1,1,1,1,20060825
60100,CPT,Biopsy of thyroid,,,21 ,,RBRVS,1.56 ,0.53 ,1.40 ,,,,,1,0,1,1,1,1,20060825
60200,CPT,Remove thyroid lesion,,,21 ,,RBRVS,9.54 ,6.00 ,6.00 ,,,,,1,0,1,1,1,1,20060825
60210,CPT,Partial thyroid excision,,,21 ,,RBRVS,10.86 ,5.65 ,5.65 ,,,,,1,0,1,1,1,1,20060825
60212,CPT,Partial thyroid excision,,,21 ,,RBRVS,16.01 ,7.69 ,7.69 ,,,,,1,0,1,1,1,1,20060825
60220,CPT,Partial removal of thyroid,,,21 ,,RBRVS,11.88 ,6.16 ,6.16 ,,,,,1,0,1,1,1,1,20060825
60225,CPT,Partial removal of thyroid,,,21 ,,RBRVS,14.17 ,7.42 ,7.42 ,,,,,1,0,1,1,1,1,20060825
60240,CPT,Removal of thyroid,,,21 ,,RBRVS,16.04 ,7.60 ,7.60 ,,,,,1,0,1,1,1,1,20060825
60252,CPT,Removal of thyroid,,,21 ,,RBRVS,20.54 ,10.12 ,10.12 ,,,,,1,0,1,1,1,1,20060825
60254,CPT,Extensive thyroid surgery,,,21 ,,RBRVS,26.95 ,14.18 ,14.18 ,,,,,1,0,1,1,1,1,20060825
60260,CPT,Repeat thyroid surgery,,,21 ,,RBRVS,17.44 ,8.67 ,8.67 ,,,,,1,0,1,1,1,1,20060825
60270,CPT,Removal of thyroid,,,21 ,,RBRVS,20.24 ,10.48 ,10.48 ,,,,,1,0,1,1,1,1,20060825
60271,CPT,Removal of thyroid,,,21 ,,RBRVS,16.80 ,8.60 ,8.60 ,,,,,1,0,1,1,1,1,20060825
60280,CPT,Remove thyroid duct lesion,,,21 ,,RBRVS,5.86 ,4.67 ,4.67 ,,,,,1,0,1,1,1,1,20060825
60281,CPT,Remove thyroid duct lesion,,,21 ,,RBRVS,8.52 ,5.85 ,5.85 ,,,,,1,0,1,1,1,1,20060825
60500,CPT,Explore parathyroid glands,,,21 ,,RBRVS,16.21 ,7.42 ,7.42 ,,,,,1,0,1,1,1,1,20060825
60502,CPT,Re-explore parathyroids,,,21 ,,RBRVS,20.32 ,9.38 ,9.38 ,,,,,1,0,1,1,1,1,20060825
60505,CPT,Explore parathyroid glands,,,21 ,,RBRVS,21.46 ,10.95 ,10.95 ,,,,,1,0,1,1,1,1,20060825
60512,CPT,Autotransplant parathyroid,,,21 ,,RBRVS,4.44 ,1.62 ,1.62 ,,,,,1,0,1,1,1,1,20060825
60520,CPT,Removal of thymus gland,,,21 ,,RBRVS,16.78 ,8.31 ,8.31 ,,,,,1,0,1,1,1,1,20060825
60521,CPT,Removal of thymus gland,,,21 ,,RBRVS,18.84 ,9.57 ,9.57 ,,,,,1,0,1,1,1,1,20060825
60522,CPT,Removal of thymus gland,,,21 ,,RBRVS,23.06 ,11.29 ,11.29 ,,,,,1,0,1,1,1,1,20060825
60540,CPT,Explore adrenal gland,,,21 ,,RBRVS,17.00 ,7.60 ,7.60 ,,,,,1,0,1,1,1,1,20060825
60545,CPT,Explore adrenal gland,,,21 ,,RBRVS,19.85 ,8.55 ,8.55 ,,,,,1,0,1,1,1,1,20060825
60600,CPT,Remove carotid body lesion,,,21 ,,RBRVS,17.90 ,10.99 ,10.99 ,,,,,1,0,1,1,1,1,20060825
60605,CPT,Remove carotid body lesion,,,21 ,,RBRVS,20.21 ,12.29 ,12.29 ,,,,,1,0,1,1,1,1,20060825
60650,CPT,Laparoscopy adrenalectomy,,,21 ,,RBRVS,19.97 ,8.00 ,8.00 ,,,,,1,0,1,1,1,1,20060825
60659,CPT,"Laparo proc, endocrine",,,21 ,,TotalUnits,,,,27.96 ,,,,1,0,1,1,1,1,20060825
60699,CPT,Endocrine surgery procedure,,,21 ,,TotalUnits,,,,18.18 ,,,,1,0,1,1,1,1,20060825
61000,CPT,Remove cranial cavity fluid,,,21 ,,RBRVS,1.58 ,0.95 ,0.95 ,,,,,1,0,1,1,1,1,20060825
61001,CPT,Remove cranial cavity fluid,,,21 ,,RBRVS,1.49 ,1.06 ,1.06 ,,,,,1,0,1,1,1,1,20060825
61020,CPT,Remove brain cavity fluid,,,21 ,,RBRVS,1.51 ,1.34 ,1.34 ,,,,,1,0,1,1,1,1,20060825
61026,CPT,Injection into brain canal,,,21 ,,RBRVS,1.69 ,1.39 ,1.39 ,,,,,1,0,1,1,1,1,20060825
61050,CPT,Remove brain canal fluid,,,21 ,,RBRVS,1.51 ,1.27 ,1.27 ,,,,,1,0,1,1,1,1,20060825
61055,CPT,Injection into brain canal,,,21 ,,RBRVS,2.10 ,1.42 ,1.42 ,,,,,1,0,1,1,1,1,20060825
61070,CPT,Brain canal shunt procedure,,,21 ,,RBRVS,0.89 ,1.01 ,1.01 ,,,,,1,0,1,1,1,1,20060825
61105,CPT,Twist drill hole,,,21 ,,RBRVS,5.13 ,3.94 ,3.94 ,,,,,1,0,1,1,1,1,20060825
61107,CPT,Drill skull for implantation,,,21 ,,RBRVS,4.99 ,2.54 ,2.54 ,,,,,1,0,1,1,1,1,20060825
61108,CPT,Drill skull for drainage,,,21 ,,RBRVS,10.17 ,7.16 ,7.16 ,,,,,1,0,1,1,1,1,20060825
61120,CPT,Burr hole for puncture,,,21 ,,RBRVS,8.75 ,6.01 ,6.01 ,,,,,1,0,1,1,1,1,20060825
61140,CPT,Pierce skull for biopsy,,,21 ,,RBRVS,15.88 ,9.91 ,9.91 ,,,,,1,0,1,1,1,1,20060825
61150,CPT,Pierce skull for drainage,,,21 ,,RBRVS,17.54 ,10.40 ,10.40 ,,,,,1,0,1,1,1,1,20060825
61151,CPT,Pierce skull for drainage,,,21 ,,RBRVS,12.40 ,7.83 ,7.83 ,,,,,1,0,1,1,1,1,20060825
61154,CPT,Pierce skull & remove clot,,,21 ,,RBRVS,14.97 ,9.51 ,9.51 ,,,,,1,0,1,1,1,1,20060825
61156,CPT,Pierce skull for drainage,,,21 ,,RBRVS,16.30 ,9.86 ,9.86 ,,,,,1,0,1,1,1,1,20060825
61210,CPT,"Pierce skull, implant device",,,21 ,,RBRVS,5.83 ,2.92 ,2.92 ,,,,,1,0,1,1,1,1,20060825
61215,CPT,Insert brain-fluid device,,,21 ,,RBRVS,4.88 ,4.01 ,4.01 ,,,,,1,0,1,1,1,1,20060825
61250,CPT,Pierce skull & explore,,,21 ,,RBRVS,10.40 ,6.87 ,6.87 ,,,,,1,0,1,1,1,1,20060825
61253,CPT,Pierce skull & explore,,,21 ,,RBRVS,12.34 ,7.74 ,7.74 ,,,,,1,0,1,1,1,1,20060825
61304,CPT,Open skull for exploration,,,21 ,,RBRVS,21.93 ,12.87 ,12.87 ,,,,,1,0,1,1,1,1,20060825
61305,CPT,Open skull for exploration,,,21 ,,RBRVS,26.57 ,15.35 ,15.35 ,,,,,1,0,1,1,1,1,20060825
61312,CPT,Open skull for drainage,,,21 ,,RBRVS,24.53 ,15.08 ,15.08 ,,,,,1,0,1,1,1,1,20060825
61313,CPT,Open skull for drainage,,,21 ,,RBRVS,24.89 ,14.84 ,14.84 ,,,,,1,0,1,1,1,1,20060825
61314,CPT,Open skull for drainage,,,21 ,,RBRVS,24.19 ,13.07 ,13.07 ,,,,,1,0,1,1,1,1,20060825
61315,CPT,Open skull for drainage,,,21 ,,RBRVS,27.64 ,16.06 ,16.06 ,,,,,1,0,1,1,1,1,20060825
61316,CPT,Implt cran bone flap to abdo,,,21 ,,RBRVS,1.39 ,0.60 ,0.60 ,,,,,1,0,1,1,1,1,20060825
61320,CPT,Open skull for drainage,,,21 ,,RBRVS,25.58 ,14.79 ,14.79 ,,,,,1,0,1,1,1,1,20060825
61321,CPT,Open skull for drainage,,,21 ,,RBRVS,28.46 ,16.17 ,16.17 ,,,,,1,0,1,1,1,1,20060825
61322,CPT,Decompressive craniotomy,,,21 ,,RBRVS,29.46 ,15.71 ,15.71 ,,,,,1,0,1,1,1,1,20060825
61323,CPT,Decompressive lobectomy,,,21 ,,RBRVS,30.95 ,16.13 ,16.13 ,,,,,1,0,1,1,1,1,20060825
61330,CPT,Decompress eye socket,,,21 ,,RBRVS,23.29 ,13.76 ,13.76 ,,,,,1,0,1,1,1,1,20060825
61332,CPT,Explore/biopsy eye socket,,,21 ,,RBRVS,27.24 ,15.64 ,15.64 ,,,,,1,0,1,1,1,1,20060825
61333,CPT,Explore orbit/remove lesion,,,21 ,,RBRVS,27.91 ,15.62 ,15.62 ,,,,,1,0,1,1,1,1,20060825
61334,CPT,Explore orbit/remove object,,,21 ,,RBRVS,18.24 ,10.66 ,10.66 ,,,,,1,0,1,1,1,1,20060825
61340,CPT,Subtemporal decompression,,,21 ,,RBRVS,18.63 ,11.15 ,11.15 ,,,,,1,0,1,1,1,1,20060825
61343,CPT,Incise skull (press relief),,,21 ,,RBRVS,29.73 ,16.85 ,16.85 ,,,,,1,0,1,1,1,1,20060825
61345,CPT,Relieve cranial pressure,,,21 ,,RBRVS,27.16 ,15.43 ,15.43 ,,,,,1,0,1,1,1,1,20060825
61440,CPT,Incise skull for surgery,,,21 ,,RBRVS,26.59 ,14.24 ,14.24 ,,,,,1,0,1,1,1,1,20060825
61450,CPT,Incise skull for surgery,,,21 ,,RBRVS,25.91 ,14.32 ,14.32 ,,,,,1,0,1,1,1,1,20060825
61458,CPT,Incise skull for brain wound,,,21 ,,RBRVS,27.25 ,15.55 ,15.55 ,,,,,1,0,1,1,1,1,20060825
61460,CPT,Incise skull for surgery,,,21 ,,RBRVS,28.35 ,16.46 ,16.46 ,,,,,1,0,1,1,1,1,20060825
61470,CPT,Incise skull for surgery,,,21 ,,RBRVS,26.02 ,13.89 ,13.89 ,,,,,1,0,1,1,1,1,20060825
61480,CPT,Incise skull for surgery,,,21 ,,RBRVS,26.45 ,15.31 ,15.31 ,,,,,1,0,1,1,1,1,20060825
61490,CPT,Incise skull for surgery,,,21 ,,RBRVS,25.62 ,14.36 ,14.36 ,,,,,1,0,1,1,1,1,20060825
61500,CPT,Removal of skull lesion,,,21 ,,RBRVS,17.89 ,10.83 ,10.83 ,,,,,1,0,1,1,1,1,20060825
61501,CPT,Remove infected skull bone,,,21 ,,RBRVS,14.82 ,9.23 ,9.23 ,,,,,1,0,1,1,1,1,20060825
61510,CPT,Removal of brain lesion,,,21 ,,RBRVS,28.41 ,16.74 ,16.74 ,,,,,1,0,1,1,1,1,20060825
61512,CPT,Remove brain lining lesion,,,21 ,,RBRVS,35.04 ,19.73 ,19.73 ,,,,,1,0,1,1,1,1,20060825
61514,CPT,Removal of brain abscess,,,21 ,,RBRVS,25.22 ,14.47 ,14.47 ,,,,,1,0,1,1,1,1,20060825
61516,CPT,Removal of brain lesion,,,21 ,,RBRVS,24.57 ,14.30 ,14.30 ,,,,,1,0,1,1,1,1,20060825
61517,CPT,Implt brain chemotx add-on,,,21 ,,RBRVS,1.38 ,0.64 ,0.64 ,,,,,1,0,1,1,1,1,20060825
61518,CPT,Removal of brain lesion,,,21 ,,RBRVS,37.26 ,21.15 ,21.15 ,,,,,1,0,1,1,1,1,20060825
61519,CPT,Remove brain lining lesion,,,21 ,,RBRVS,41.33 ,22.71 ,22.71 ,,,,,1,0,1,1,1,1,20060825
61520,CPT,Removal of brain lesion,,,21 ,,RBRVS,54.76 ,30.41 ,30.41 ,,,,,1,0,1,1,1,1,20060825
61521,CPT,Removal of brain lesion,,,21 ,,RBRVS,44.41 ,24.28 ,24.28 ,,,,,1,0,1,1,1,1,20060825
61522,CPT,Removal of brain abscess,,,21 ,,RBRVS,29.41 ,16.46 ,16.46 ,,,,,1,0,1,1,1,1,20060825
61524,CPT,Removal of brain lesion,,,21 ,,RBRVS,27.82 ,15.71 ,15.71 ,,,,,1,0,1,1,1,1,20060825
61526,CPT,Removal of brain lesion,,,21 ,,RBRVS,52.09 ,29.57 ,29.57 ,,,,,1,0,1,1,1,1,20060825
61530,CPT,Removal of brain lesion,,,21 ,,RBRVS,43.79 ,25.12 ,25.12 ,,,,,1,0,1,1,1,1,20060825
61531,CPT,Implant brain electrodes,,,21 ,,RBRVS,14.61 ,9.15 ,9.15 ,,,,,1,0,1,1,1,1,20060825
61533,CPT,Implant brain electrodes,,,21 ,,RBRVS,19.68 ,11.56 ,11.56 ,,,,,1,0,1,1,1,1,20060825
61534,CPT,Removal of brain lesion,,,21 ,,RBRVS,20.94 ,12.12 ,12.12 ,,,,,1,0,1,1,1,1,20060825
61535,CPT,Remove brain electrodes,,,21 ,,RBRVS,11.61 ,7.44 ,7.44 ,,,,,1,0,1,1,1,1,20060825
61536,CPT,Removal of brain lesion,,,21 ,,RBRVS,35.47 ,19.84 ,19.84 ,,,,,1,0,1,1,1,1,20060825
61537,CPT,Removal of brain tissue,,,21 ,,RBRVS,24.96 ,14.78 ,14.78 ,,,,,1,0,1,1,1,1,20060825
61538,CPT,Removal of brain tissue,,,21 ,,RBRVS,26.77 ,15.35 ,15.35 ,,,,,1,0,1,1,1,1,20060825
61539,CPT,Removal of brain tissue,,,21 ,,RBRVS,32.03 ,17.81 ,17.81 ,,,,,1,0,1,1,1,1,20060825
61540,CPT,Removal of brain tissue,,,21 ,,RBRVS,29.96 ,17.29 ,17.29 ,,,,,1,0,1,1,1,1,20060825
61541,CPT,Incision of brain tissue,,,21 ,,RBRVS,28.81 ,16.25 ,16.25 ,,,,,1,0,1,1,1,1,20060825
61542,CPT,Removal of brain tissue,,,21 ,,RBRVS,30.97 ,17.87 ,17.87 ,,,,,1,0,1,1,1,1,20060825
61543,CPT,Removal of brain tissue,,,21 ,,RBRVS,29.18 ,16.43 ,16.43 ,,,,,1,0,1,1,1,1,20060825
61544,CPT,Remove & treat brain lesion,,,21 ,,RBRVS,25.46 ,13.86 ,13.86 ,,,,,1,0,1,1,1,1,20060825
61545,CPT,Excision of brain tumor,,,21 ,,RBRVS,43.73 ,24.28 ,24.28 ,,,,,1,0,1,1,1,1,20060825
61546,CPT,Removal of pituitary gland,,,21 ,,RBRVS,31.25 ,17.54 ,17.54 ,,,,,1,0,1,1,1,1,20060825
61548,CPT,Removal of pituitary gland,,,21 ,,RBRVS,21.50 ,12.82 ,12.82 ,,,,,1,0,1,1,1,1,20060825
61550,CPT,Release of skull seams,,,21 ,,RBRVS,14.63 ,6.95 ,6.95 ,,,,,1,0,1,1,1,1,20060825
61552,CPT,Release of skull seams,,,21 ,,RBRVS,19.53 ,9.14 ,9.14 ,,,,,1,0,1,1,1,1,20060825
61556,CPT,Incise skull/sutures,,,21 ,,RBRVS,22.23 ,11.39 ,11.39 ,,,,,1,0,1,1,1,1,20060825
61557,CPT,Incise skull/sutures,,,21 ,,RBRVS,22.35 ,13.66 ,13.66 ,,,,,1,0,1,1,1,1,20060825
61558,CPT,Excision of skull/sutures,,,21 ,,RBRVS,25.54 ,14.23 ,14.23 ,,,,,1,0,1,1,1,1,20060825
61559,CPT,Excision of skull/sutures,,,21 ,,RBRVS,32.74 ,19.37 ,19.37 ,,,,,1,0,1,1,1,1,20060825
61563,CPT,Excision of skull tumor,,,21 ,,RBRVS,26.79 ,15.28 ,15.28 ,,,,,1,0,1,1,1,1,20060825
61564,CPT,Excision of skull tumor,,,21 ,,RBRVS,33.78 ,18.33 ,18.33 ,,,,,1,0,1,1,1,1,20060825
61566,CPT,Removal of brain tissue,,,21 ,,RBRVS,30.95 ,17.82 ,17.82 ,,,,,1,0,1,1,1,1,20060825
61567,CPT,Incision of brain tissue,,,21 ,,RBRVS,35.45 ,20.73 ,20.73 ,,,,,1,0,1,1,1,1,20060825
61570,CPT,"Remove foreign body, brain",,,21 ,,RBRVS,24.56 ,13.95 ,13.95 ,,,,,1,0,1,1,1,1,20060825
61571,CPT,Incise skull for brain wound,,,21 ,,RBRVS,26.35 ,15.18 ,15.18 ,,,,,1,0,1,1,1,1,20060825
61575,CPT,Skull base/brainstem surgery,,,21 ,,RBRVS,34.31 ,19.69 ,19.69 ,,,,,1,0,1,1,1,1,20060825
61576,CPT,Skull base/brainstem surgery,,,21 ,,RBRVS,52.35 ,34.83 ,34.83 ,,,,,1,0,1,1,1,1,20060825
61580,CPT,"Craniofacial approach, skull",,,21 ,,RBRVS,30.30 ,25.65 ,25.65 ,,,,,1,0,1,1,1,1,20060825
61581,CPT,"Craniofacial approach, skull",,,21 ,,RBRVS,34.55 ,23.51 ,23.51 ,,,,,1,0,1,1,1,1,20060825
61582,CPT,"Craniofacial approach, skull",,,21 ,,RBRVS,31.61 ,27.38 ,27.38 ,,,,,1,0,1,1,1,1,20060825
61583,CPT,"Craniofacial approach, skull",,,21 ,,RBRVS,36.16 ,25.18 ,25.18 ,,,,,1,0,1,1,1,1,20060825
61584,CPT,Orbitocranial approach/skull,,,21 ,,RBRVS,34.60 ,24.59 ,24.59 ,,,,,1,0,1,1,1,1,20060825
61585,CPT,Orbitocranial approach/skull,,,21 ,,RBRVS,38.55 ,26.57 ,26.57 ,,,,,1,0,1,1,1,1,20060825
61586,CPT,"Resect nasopharynx, skull",,,21 ,,RBRVS,25.06 ,22.65 ,22.65 ,,,,,1,0,1,1,1,1,20060825
61590,CPT,Infratemporal approach/skull,,,21 ,,RBRVS,41.72 ,28.70 ,28.70 ,,,,,1,0,1,1,1,1,20060825
61591,CPT,Infratemporal approach/skull,,,21 ,,RBRVS,43.61 ,29.61 ,29.61 ,,,,,1,0,1,1,1,1,20060825
61592,CPT,Orbitocranial approach/skull,,,21 ,,RBRVS,39.58 ,26.58 ,26.58 ,,,,,1,0,1,1,1,1,20060825
61595,CPT,Transtemporal approach/skull,,,21 ,,RBRVS,29.53 ,22.41 ,22.41 ,,,,,1,0,1,1,1,1,20060825
61596,CPT,Transcochlear approach/skull,,,21 ,,RBRVS,35.58 ,24.51 ,24.51 ,,,,,1,0,1,1,1,1,20060825
61597,CPT,Transcondylar approach/skull,,,21 ,,RBRVS,37.90 ,23.06 ,23.06 ,,,,,1,0,1,1,1,1,20060825
61598,CPT,Transpetrosal approach/skull,,,21 ,,RBRVS,33.36 ,23.30 ,23.30 ,,,,,1,0,1,1,1,1,20060825
61600,CPT,Resect/excise cranial lesion,,,21 ,,RBRVS,25.81 ,19.83 ,19.83 ,,,,,1,0,1,1,1,1,20060825
61601,CPT,Resect/excise cranial lesion,,,21 ,,RBRVS,27.85 ,20.55 ,20.55 ,,,,,1,0,1,1,1,1,20060825
61605,CPT,Resect/excise cranial lesion,,,21 ,,RBRVS,29.29 ,22.02 ,22.02 ,,,,,1,0,1,1,1,1,20060825
61606,CPT,Resect/excise cranial lesion,,,21 ,,RBRVS,38.77 ,25.22 ,25.22 ,,,,,1,0,1,1,1,1,20060825
61607,CPT,Resect/excise cranial lesion,,,21 ,,RBRVS,36.22 ,23.85 ,23.85 ,,,,,1,0,1,1,1,1,20060825
61608,CPT,Resect/excise cranial lesion,,,21 ,,RBRVS,42.04 ,26.66 ,26.66 ,,,,,1,0,1,1,1,1,20060825
61609,CPT,"Transect artery, sinus",,,21 ,,RBRVS,9.88 ,4.86 ,4.86 ,,,,,1,0,1,1,1,1,20060825
61610,CPT,"Transect artery, sinus",,,21 ,,RBRVS,29.63 ,13.18 ,13.18 ,,,,,1,0,1,1,1,1,20060825
61611,CPT,"Transect artery, sinus",,,21 ,,RBRVS,7.41 ,3.83 ,3.83 ,,,,,1,0,1,1,1,1,20060825
61612,CPT,"Transect artery, sinus",,,21 ,,RBRVS,27.84 ,13.35 ,13.35 ,,,,,1,0,1,1,1,1,20060825
61613,CPT,"Remove aneurysm, sinus",,,21 ,,RBRVS,40.80 ,26.34 ,26.34 ,,,,,1,0,1,1,1,1,20060825
61615,CPT,"Resect/excise lesion, skull",,,21 ,,RBRVS,32.02 ,22.79 ,22.79 ,,,,,1,0,1,1,1,1,20060825
61616,CPT,"Resect/excise lesion, skull",,,21 ,,RBRVS,43.27 ,28.73 ,28.73 ,,,,,1,0,1,1,1,1,20060825
61618,CPT,Repair dura,,,21 ,,RBRVS,16.96 ,10.47 ,10.47 ,,,,,1,0,1,1,1,1,20060825
61619,CPT,Repair dura,,,21 ,,RBRVS,20.68 ,12.28 ,12.28 ,,,,,1,0,1,1,1,1,20060825
61623,CPT,Endovasc tempory vessel occl,,,21 ,,RBRVS,9.95 ,4.09 ,4.09 ,,,,,1,0,1,1,1,1,20060825
61624,CPT,"Transcath occlusion, cns",,,21 ,,RBRVS,20.12 ,6.91 ,6.91 ,,,,,1,0,1,1,1,1,20060825
61626,CPT,"Transcath occlusion, non-cns",,,21 ,,RBRVS,16.60 ,5.53 ,5.53 ,,,,,1,0,1,1,1,1,20060825
61630,CPT,Intracranial angioplasty,,,28 ,,NW,,,,,,"$2,691.40",,1,0,1,1,1,1,20060825
61635,CPT,Intracran angioplsty w/stent,,,28 ,,NW,,,,,,"$2,691.40",,1,0,1,1,1,1,20060825
61640,CPT,"Dilate ic vasospasm, init",,,28 ,,NW,,,,,,"$2,691.40",,1,0,1,1,1,1,20060825
61641,CPT,Dilate ic vasospasm add-on,,,28 ,,NW,,,,,,"$2,691.40",,1,0,1,1,1,1,20060825
61642,CPT,Dilate ic vasospasm add-on,,,28 ,,NW,,,,,,"$2,691.40",,1,0,1,1,1,1,20060825
61680,CPT,Intracranial vessel surgery,,,21 ,,RBRVS,30.66 ,17.48 ,17.48 ,,,,,1,0,1,1,1,1,20060825
61682,CPT,Intracranial vessel surgery,,,21 ,,RBRVS,61.48 ,32.30 ,32.30 ,,,,,1,0,1,1,1,1,20060825
61684,CPT,Intracranial vessel surgery,,,21 ,,RBRVS,39.75 ,22.06 ,22.06 ,,,,,1,0,1,1,1,1,20060825
61686,CPT,Intracranial vessel surgery,,,21 ,,RBRVS,64.39 ,34.82 ,34.82 ,,,,,1,0,1,1,1,1,20060825
61690,CPT,Intracranial vessel surgery,,,21 ,,RBRVS,29.27 ,16.77 ,16.77 ,,,,,1,0,1,1,1,1,20060825
61692,CPT,Intracranial vessel surgery,,,21 ,,RBRVS,51.79 ,27.55 ,27.55 ,,,,,1,0,1,1,1,1,20060825
61697,CPT,"Brain aneurysm repr, complx",,,21 ,,RBRVS,50.44 ,28.09 ,28.09 ,,,,,1,0,1,1,1,1,20060825
61698,CPT,"Brain aneurysm repr, complx",,,21 ,,RBRVS,48.34 ,26.77 ,26.77 ,,,,,1,0,1,1,1,1,20060825
61700,CPT,"Brain aneurysm repr, simple",,,21 ,,RBRVS,50.44 ,27.88 ,27.88 ,,,,,1,0,1,1,1,1,20060825
61702,CPT,Inner skull vessel surgery,,,21 ,,RBRVS,48.34 ,26.11 ,26.11 ,,,,,1,0,1,1,1,1,20060825
61703,CPT,Clamp neck artery,,,21 ,,RBRVS,17.44 ,10.49 ,10.49 ,,,,,1,0,1,1,1,1,20060825
61705,CPT,Revise circulation to head,,,21 ,,RBRVS,36.15 ,19.31 ,19.31 ,,,,,1,0,1,1,1,1,20060825
61708,CPT,Revise circulation to head,,,21 ,,RBRVS,35.25 ,15.19 ,15.19 ,,,,,1,0,1,1,1,1,20060825
61710,CPT,Revise circulation to head,,,21 ,,RBRVS,29.63 ,13.68 ,13.68 ,,,,,1,0,1,1,1,1,20060825
61711,CPT,Fusion of skull arteries,,,21 ,,RBRVS,36.28 ,19.86 ,19.86 ,,,,,1,0,1,1,1,1,20060825
61720,CPT,Incise skull/brain surgery,,,21 ,,RBRVS,16.74 ,10.00 ,10.00 ,,,,,1,0,1,1,1,1,20060825
61735,CPT,Incise skull/brain surgery,,,21 ,,RBRVS,20.40 ,12.20 ,12.20 ,,,,,1,0,1,1,1,1,20060825
61750,CPT,Incise skull/brain biopsy,,,21 ,,RBRVS,18.17 ,10.64 ,10.64 ,,,,,1,0,1,1,1,1,20060825
61751,CPT,Brain biopsy w/ct/mr guide,,,21 ,,RBRVS,17.59 ,10.85 ,10.85 ,,,,,1,0,1,1,1,1,20060825
61760,CPT,Implant brain electrodes,,,21 ,,RBRVS,22.24 ,8.74 ,8.74 ,,,,,1,0,1,1,1,1,20060825
61770,CPT,Incise skull for treatment,,,21 ,,RBRVS,21.41 ,12.29 ,12.29 ,,,,,1,0,1,1,1,1,20060825
61790,CPT,Treat trigeminal nerve,,,21 ,,RBRVS,10.84 ,5.93 ,5.93 ,,,,,1,0,1,1,1,1,20060825
61791,CPT,Treat trigeminal tract,,,21 ,,RBRVS,14.59 ,8.94 ,8.94 ,,,,,1,0,1,1,1,1,20060825
61793,CPT,Focus radiation beam,,,21 ,,RBRVS,17.21 ,10.15 ,10.15 ,,,,,1,0,1,1,1,1,20060825
61795,CPT,Brain surgery using computer,,,21 ,,RBRVS,4.03 ,2.04 ,2.04 ,,,,,1,0,1,1,1,1,20060825
61850,CPT,Implant neuroelectrodes,,,21 ,,RBRVS,12.37 ,7.69 ,7.69 ,,,,,1,0,1,1,1,1,20060825
61860,CPT,Implant neuroelectrodes,,,21 ,,RBRVS,20.84 ,12.09 ,12.09 ,,,,,1,0,1,1,1,1,20060825
61863,CPT,Implant neuroelectrode,,,21 ,,RBRVS,18.97 ,11.80 ,11.80 ,,,,,1,0,1,1,1,1,20060825
61864,CPT,"Implant neuroelectrde, add?l",,,21 ,,RBRVS,4.49 ,2.29 ,2.29 ,,,,,1,0,1,1,1,1,20060825
61867,CPT,Implant neuroelectrode,,,21 ,,RBRVS,31.29 ,18.07 ,18.07 ,,,,,1,0,1,1,1,1,20060825
61868,CPT,"Implant neuroelectrde, add?l",,,21 ,,RBRVS,7.91 ,4.02 ,4.02 ,,,,,1,0,1,1,1,1,20060825
61870,CPT,Implant neuroelectrodes,,,21 ,,RBRVS,14.92 ,9.73 ,9.73 ,,,,,1,0,1,1,1,1,20060825
61875,CPT,Implant neuroelectrodes,,,21 ,,RBRVS,15.04 ,8.59 ,8.59 ,,,,,1,0,1,1,1,1,20060825
61880,CPT,Revise/remove neuroelectrode,,,21 ,,RBRVS,6.28 ,4.58 ,4.58 ,,,,,1,0,1,1,1,1,20060825
61885,CPT,Implant neurostim one array,,,21 ,,RBRVS,5.84 ,5.32 ,5.32 ,,,,,1,0,1,1,1,1,20060825
61886,CPT,Implant neurostim arrays,,,21 ,,RBRVS,7.99 ,6.37 ,6.37 ,,,,,1,0,1,1,1,1,20060825
61888,CPT,Revise/remove neuroreceiver,,,21 ,,RBRVS,5.06 ,3.68 ,3.68 ,,,,,1,0,1,1,1,1,20060825
62000,CPT,Treat skull fracture,,,21 ,,RBRVS,12.51 ,5.53 ,5.53 ,,,,,1,0,1,1,1,1,20060825
62005,CPT,Treat skull fracture,,,21 ,,RBRVS,16.15 ,8.82 ,8.82 ,,,,,1,0,1,1,1,1,20060825
62010,CPT,Treatment of head injury,,,21 ,,RBRVS,19.78 ,11.74 ,11.74 ,,,,,1,0,1,1,1,1,20060825
62100,CPT,Repair brain fluid leakage,,,21 ,,RBRVS,22.00 ,12.82 ,12.82 ,,,,,1,0,1,1,1,1,20060825
62115,CPT,Reduction of skull defect,,,21 ,,RBRVS,21.63 ,11.67 ,11.67 ,,,,,1,0,1,1,1,1,20060825
62116,CPT,Reduction of skull defect,,,21 ,,RBRVS,23.55 ,13.40 ,13.40 ,,,,,1,0,1,1,1,1,20060825
62117,CPT,Reduction of skull defect,,,21 ,,RBRVS,26.56 ,15.41 ,15.41 ,,,,,1,0,1,1,1,1,20060825
62120,CPT,Repair skull cavity lesion,,,21 ,,RBRVS,23.31 ,18.53 ,18.53 ,,,,,1,0,1,1,1,1,20060825
62121,CPT,Incise skull repair,,,21 ,,RBRVS,21.55 ,15.49 ,15.49 ,,,,,1,0,1,1,1,1,20060825
62140,CPT,Repair of skull defect,,,21 ,,RBRVS,13.49 ,8.34 ,8.34 ,,,,,1,0,1,1,1,1,20060825
62141,CPT,Repair of skull defect,,,21 ,,RBRVS,14.89 ,9.07 ,9.07 ,,,,,1,0,1,1,1,1,20060825
62142,CPT,Remove skull plate/flap,,,21 ,,RBRVS,10.77 ,7.01 ,7.01 ,,,,,1,0,1,1,1,1,20060825
62143,CPT,Replace skull plate/flap,,,21 ,,RBRVS,13.03 ,8.06 ,8.06 ,,,,,1,0,1,1,1,1,20060825
62145,CPT,Repair of skull & brain,,,21 ,,RBRVS,18.79 ,10.92 ,10.92 ,,,,,1,0,1,1,1,1,20060825
62146,CPT,Repair of skull with graft,,,21 ,,RBRVS,16.10 ,9.66 ,9.66 ,,,,,1,0,1,1,1,1,20060825
62147,CPT,Repair of skull with graft,,,21 ,,RBRVS,19.31 ,11.33 ,11.33 ,,,,,1,0,1,1,1,1,20060825
62148,CPT,Retr bone flap to fix skull,,,21 ,,RBRVS,2.00 ,0.86 ,0.86 ,,,,,1,0,1,1,1,1,20060825
62160,CPT,Neuroendoscopy add-on,,,21 ,,RBRVS,3.00 ,1.53 ,1.53 ,,,,,1,0,1,1,1,1,20060825
62161,CPT,Dissect brain w/scope,,,21 ,,RBRVS,19.97 ,12.13 ,12.13 ,,,,,1,0,1,1,1,1,20060825
62162,CPT,Remove colloid cyst w/scope,,,21 ,,RBRVS,25.21 ,14.89 ,14.89 ,,,,,1,0,1,1,1,1,20060825
62163,CPT,Neuroendoscopy w/fb removal,,,21 ,,RBRVS,15.48 ,9.95 ,9.95 ,,,,,1,0,1,1,1,1,20060825
62164,CPT,Remove brain tumor w/scope,,,21 ,,RBRVS,27.46 ,14.99 ,14.99 ,,,,,1,0,1,1,1,1,20060825
62165,CPT,Remove pituit tumor w/scope,,,21 ,,RBRVS,21.97 ,13.42 ,13.42 ,,,,,1,0,1,1,1,1,20060825
62180,CPT,Establish brain cavity shunt,,,21 ,,RBRVS,21.03 ,12.32 ,12.32 ,,,,,1,0,1,1,1,1,20060825
62190,CPT,Establish brain cavity shunt,,,21 ,,RBRVS,11.05 ,7.10 ,7.10 ,,,,,1,0,1,1,1,1,20060825
62192,CPT,Establish brain cavity shunt,,,21 ,,RBRVS,12.23 ,7.64 ,7.64 ,,,,,1,0,1,1,1,1,20060825
62194,CPT,Replace/irrigate catheter,,,21 ,,RBRVS,5.02 ,2.44 ,2.44 ,,,,,1,0,1,1,1,1,20060825
62200,CPT,Establish brain cavity shunt,,,21 ,,RBRVS,18.29 ,10.87 ,10.87 ,,,,,1,0,1,1,1,1,20060825
62201,CPT,Brain cavity shunt w/scope,,,21 ,,RBRVS,14.84 ,9.47 ,9.47 ,,,,,1,0,1,1,1,1,20060825
62220,CPT,Establish brain cavity shunt,,,21 ,,RBRVS,12.98 ,8.00 ,8.00 ,,,,,1,0,1,1,1,1,20060825
62223,CPT,Establish brain cavity shunt,,,21 ,,RBRVS,12.85 ,8.26 ,8.26 ,,,,,1,0,1,1,1,1,20060825
62225,CPT,Replace/irrigate catheter,,,21 ,,RBRVS,5.40 ,4.10 ,4.10 ,,,,,1,0,1,1,1,1,20060825
62230,CPT,Replace/revise brain shunt,,,21 ,,RBRVS,10.52 ,6.50 ,6.50 ,,,,,1,0,1,1,1,1,20060825
62252,CPT,Csf shunt reprogram,,,21 ,,RBRVS,0.74 ,1.47 ,1.47 ,,,,,1,1,1,0,1,0,20060825
62252,CPT,Csf shunt reprogram,,,21 ,,RBRVS,0.74 ,1.47 ,1.47 ,,,,,1,0,1,1,1,1,20060825
62256,CPT,Remove brain cavity shunt,,,21 ,,RBRVS,6.59 ,4.70 ,4.70 ,,,,,1,0,1,1,1,1,20060825
62258,CPT,Replace brain cavity shunt,,,21 ,,RBRVS,14.52 ,8.74 ,8.74 ,,,,,1,0,1,1,1,1,20060825
62263,CPT,Epidural lysis mult sessions,,,21 ,,RBRVS,6.13 ,3.20 ,12.73 ,,,,,1,0,1,1,1,1,20060825
62264,CPT,Epidural lysis on single day,,,21 ,,RBRVS,4.42 ,1.42 ,7.75 ,,,,,1,0,1,1,1,1,20060825
62268,CPT,Drain spinal cord cyst,,,21 ,,RBRVS,4.73 ,2.15 ,11.56 ,,,,,1,0,1,1,1,1,20060825
62269,CPT,"Needle biopsy, spinal cord",,,21 ,,RBRVS,5.01 ,1.98 ,14.72 ,,,,,1,0,1,1,1,1,20060825
62270,CPT,"Spinal fluid tap, diagnostic",,,21 ,,RBRVS,1.13 ,0.56 ,3.00 ,,,,,1,0,1,1,1,1,20060825
62272,CPT,Drain cerebro spinal fluid,,,21 ,,RBRVS,1.35 ,0.71 ,3.62 ,,,,,1,0,1,1,1,1,20060825
62273,CPT,Treat epidural spine lesion,,,21 ,,RBRVS,2.15 ,0.71 ,2.72 ,,,,,1,0,1,1,1,1,20060825
62280,CPT,Treat spinal cord lesion,,,21 ,,RBRVS,2.63 ,1.01 ,6.95 ,,,,,1,0,1,1,1,1,20060825
62281,CPT,Treat spinal cord lesion,,,21 ,,RBRVS,2.66 ,0.89 ,5.67 ,,,,,1,0,1,1,1,1,20060825
62282,CPT,Treat spinal canal lesion,,,21 ,,RBRVS,2.33 ,0.92 ,8.38 ,,,,,1,0,1,1,1,1,20060825
62284,CPT,Injection for myelogram,,,21 ,,RBRVS,1.54 ,0.68 ,4.97 ,,,,,1,0,1,1,1,1,20060825
62287,CPT,Percutaneous diskectomy,,,21 ,,RBRVS,8.07 ,5.57 ,5.57 ,,,,,1,0,1,1,1,1,20060825
62290,CPT,Inject for spine disk x-ray,,,21 ,,RBRVS,3.00 ,1.38 ,7.15 ,,,,,1,0,1,1,1,1,20060825
62291,CPT,Inject for spine disk x-ray,,,21 ,,RBRVS,2.91 ,1.23 ,5.95 ,,,,,1,0,1,1,1,1,20060825
62292,CPT,Injection into disk lesion,,,21 ,,RBRVS,7.85 ,4.48 ,4.48 ,,,,,1,0,1,1,1,1,20060825
62294,CPT,Injection into spinal artery,,,21 ,,RBRVS,11.81 ,5.60 ,5.60 ,,,,,1,0,1,1,1,1,20060825
62310,CPT,Inject spine c/t,,,21 ,,RBRVS,1.91 ,0.65 ,4.82 ,,,,,1,0,1,1,1,1,20060825
62311,CPT,Inject spine l/s (cd),,,21 ,,RBRVS,1.54 ,0.59 ,4.93 ,,,,,1,0,1,1,1,1,20060825
62318,CPT,"Inject spine w/cath, c/t",,,21 ,,RBRVS,2.04 ,0.65 ,5.74 ,,,,,1,0,1,1,1,1,20060825
62319,CPT,Inject spine w/cath l/s (cd),,,21 ,,RBRVS,1.87 ,0.61 ,4.99 ,,,,,1,0,1,1,1,1,20060825
62350,CPT,Implant spinal canal cath,,,21 ,,RBRVS,6.86 ,3.95 ,3.95 ,,,,,1,0,1,1,1,1,20060825
62351,CPT,Implant spinal canal cath,,,21 ,,RBRVS,9.99 ,7.14 ,7.14 ,,,,,1,0,1,1,1,1,20060825
62355,CPT,Remove spinal canal catheter,,,21 ,,RBRVS,5.44 ,3.17 ,3.17 ,,,,,1,0,1,1,1,1,20060825
62360,CPT,Insert spine infusion device,,,21 ,,RBRVS,2.62 ,2.69 ,2.69 ,,,,,1,0,1,1,1,1,20060825
62361,CPT,Implant spine infusion pump,,,21 ,,RBRVS,5.41 ,3.93 ,3.93 ,,,,,1,0,1,1,1,1,20060825
62362,CPT,Implant spine infusion pump,,,21 ,,RBRVS,7.03 ,4.37 ,4.37 ,,,,,1,0,1,1,1,1,20060825
62365,CPT,Remove spine infusion device,,,21 ,,RBRVS,5.41 ,3.59 ,3.59 ,,,,,1,0,1,1,1,1,20060825
62367,CPT,Analyze spine infusion pump,,,21 ,,TotalUnits,,,,0.56 ,,,,1,0,1,1,1,1,20060825
62368,CPT,Analyze spine infusion pump,,,21 ,,TotalUnits,,,,1.50 ,,,,1,0,1,1,1,1,20060825
63001,CPT,Removal of spinal lamina,,,21 ,,RBRVS,15.80 ,9.54 ,9.54 ,,,,,1,0,1,1,1,1,20060825
63003,CPT,Removal of spinal lamina,,,21 ,,RBRVS,15.93 ,9.89 ,9.89 ,,,,,1,0,1,1,1,1,20060825
63005,CPT,Removal of spinal lamina,,,21 ,,RBRVS,14.90 ,10.00 ,10.00 ,,,,,1,0,1,1,1,1,20060825
63011,CPT,Removal of spinal lamina,,,21 ,,RBRVS,14.50 ,8.29 ,8.29 ,,,,,1,0,1,1,1,1,20060825
63012,CPT,Removal of spinal lamina,,,21 ,,RBRVS,15.38 ,10.15 ,10.15 ,,,,,1,0,1,1,1,1,20060825
63015,CPT,Removal of spinal lamina,,,21 ,,RBRVS,19.32 ,11.90 ,11.90 ,,,,,1,0,1,1,1,1,20060825
63016,CPT,Removal of spinal lamina,,,21 ,,RBRVS,19.17 ,11.81 ,11.81 ,,,,,1,0,1,1,1,1,20060825
63017,CPT,Removal of spinal lamina,,,21 ,,RBRVS,15.92 ,10.42 ,10.42 ,,,,,1,0,1,1,1,1,20060825
63020,CPT,Neck spine disk surgery,,,21 ,,RBRVS,14.79 ,9.70 ,9.70 ,,,,,1,0,1,1,1,1,20060825
63030,CPT,Low back disk surgery,,,21 ,,RBRVS,11.98 ,8.44 ,8.44 ,,,,,1,0,1,1,1,1,20060825
63035,CPT,Spinal disk surgery add-on,,,21 ,,RBRVS,3.15 ,1.59 ,1.59 ,,,,,1,0,1,1,1,1,20060825
63040,CPT,"Laminotomy, single cervical",,,21 ,,RBRVS,18.78 ,11.53 ,11.53 ,,,,,1,0,1,1,1,1,20060825
63042,CPT,"Laminotomy, single lumbar",,,21 ,,RBRVS,17.44 ,11.37 ,11.37 ,,,,,1,0,1,1,1,1,20060825
63043,CPT,"Laminotomy, addl cervical",,,21 ,,TotalUnits,,,,15.61 ,,,,1,0,1,1,1,1,20060825
63044,CPT,"Laminotomy, addl lumbar",,,21 ,,TotalUnits,,,,14.83 ,,,,1,0,1,1,1,1,20060825
63045,CPT,Removal of spinal lamina,,,21 ,,RBRVS,16.48 ,10.38 ,10.38 ,,,,,1,0,1,1,1,1,20060825
63046,CPT,Removal of spinal lamina,,,21 ,,RBRVS,15.78 ,10.21 ,10.21 ,,,,,1,0,1,1,1,1,20060825
63047,CPT,Removal of spinal lamina,,,21 ,,RBRVS,14.59 ,9.92 ,9.92 ,,,,,1,0,1,1,1,1,20060825
63048,CPT,Remove spinal lamina add-on,,,21 ,,RBRVS,3.26 ,1.66 ,1.66 ,,,,,1,0,1,1,1,1,20060825
63050,CPT,Cervical laminoplasty,,,21 ,,RBRVS,20.75 ,11.87 ,11.87 ,,,,,1,0,0,1,1,1,20060825
63051,CPT,C-laminoplasty w/graft/plate,,,21 ,,RBRVS,24.25 ,13.51 ,13.51 ,,,,,1,0,0,1,1,1,20060825
63055,CPT,Decompress spinal cord,,,21 ,,RBRVS,21.96 ,13.17 ,13.17 ,,,,,1,0,1,1,1,1,20060825
63056,CPT,Decompress spinal cord,,,21 ,,RBRVS,20.33 ,12.60 ,12.60 ,,,,,1,0,1,1,1,1,20060825
63057,CPT,Decompress spine cord add-on,,,21 ,,RBRVS,5.25 ,2.64 ,2.64 ,,,,,1,0,1,1,1,1,20060825
63064,CPT,Decompress spinal cord,,,21 ,,RBRVS,24.57 ,14.46 ,14.46 ,,,,,1,0,1,1,1,1,20060825
63066,CPT,Decompress spine cord add-on,,,21 ,,RBRVS,3.26 ,1.66 ,1.66 ,,,,,1,0,1,1,1,1,20060825
63075,CPT,Neck spine disk surgery,,,21 ,,RBRVS,19.38 ,12.12 ,12.12 ,,,,,1,0,1,1,1,1,20060825
63076,CPT,Neck spine disk surgery,,,21 ,,RBRVS,4.04 ,2.06 ,2.06 ,,,,,1,0,1,1,1,1,20060825
63077,CPT,"Spine disk surgery, thorax",,,21 ,,RBRVS,21.41 ,12.83 ,12.83 ,,,,,1,0,1,1,1,1,20060825
63078,CPT,"Spine disk surgery, thorax",,,21 ,,RBRVS,3.28 ,1.64 ,1.64 ,,,,,1,0,1,1,1,1,20060825
63081,CPT,Removal of vertebral body,,,21 ,,RBRVS,23.69 ,14.36 ,14.36 ,,,,,1,0,1,1,1,1,20060825
63082,CPT,Remove vertebral body add-on,,,21 ,,RBRVS,4.36 ,2.23 ,2.23 ,,,,,1,0,1,1,1,1,20060825
63085,CPT,Removal of vertebral body,,,21 ,,RBRVS,26.88 ,15.51 ,15.51 ,,,,,1,0,1,1,1,1,20060825
63086,CPT,Remove vertebral body add-on,,,21 ,,RBRVS,3.19 ,1.59 ,1.59 ,,,,,1,0,1,1,1,1,20060825
63087,CPT,Removal of vertebral body,,,21 ,,RBRVS,35.52 ,19.51 ,19.51 ,,,,,1,0,1,1,1,1,20060825
63088,CPT,Remove vertebral body add-on,,,21 ,,RBRVS,4.32 ,2.18 ,2.18 ,,,,,1,0,1,1,1,1,20060825
63090,CPT,Removal of vertebral body,,,21 ,,RBRVS,28.12 ,16.08 ,16.08 ,,,,,1,0,1,1,1,1,20060825
63091,CPT,Remove vertebral body add-on,,,21 ,,RBRVS,3.03 ,1.46 ,1.46 ,,,,,1,0,1,1,1,1,20060825
63101,CPT,Removal of vertebral body,,,21 ,,RBRVS,31.95 ,19.33 ,19.33 ,,,,,1,0,1,1,1,1,20060825
63102,CPT,Removal of vertebral body,,,21 ,,RBRVS,31.95 ,19.33 ,19.33 ,,,,,1,0,1,1,1,1,20060825
63103,CPT,Remove vertebral body add-on,,,21 ,,RBRVS,4.82 ,2.51 ,2.51 ,,,,,1,0,1,1,1,1,20060825
63170,CPT,Incise spinal cord tract(s),,,21 ,,RBRVS,19.80 ,11.89 ,11.89 ,,,,,1,0,1,1,1,1,20060825
63172,CPT,Drainage of spinal cyst,,,21 ,,RBRVS,17.63 ,10.67 ,10.67 ,,,,,1,0,1,1,1,1,20060825
63173,CPT,Drainage of spinal cyst,,,21 ,,RBRVS,21.96 ,12.84 ,12.84 ,,,,,1,0,1,1,1,1,20060825
63180,CPT,Revise spinal cord ligaments,,,21 ,,RBRVS,18.24 ,11.01 ,11.01 ,,,,,1,0,1,1,1,1,20060825
63182,CPT,Revise spinal cord ligaments,,,21 ,,RBRVS,20.47 ,10.98 ,10.98 ,,,,,1,0,1,1,1,1,20060825
63185,CPT,Incise spinal column/nerves,,,21 ,,RBRVS,15.02 ,8.11 ,8.11 ,,,,,1,0,1,1,1,1,20060825
63190,CPT,Incise spinal column/nerves,,,21 ,,RBRVS,17.42 ,10.16 ,10.16 ,,,,,1,0,1,1,1,1,20060825
63191,CPT,Incise spinal column/nerves,,,21 ,,RBRVS,17.51 ,10.50 ,10.50 ,,,,,1,0,1,1,1,1,20060825
63194,CPT,Incise spinal column & cord,,,21 ,,RBRVS,19.16 ,11.74 ,11.74 ,,,,,1,0,1,1,1,1,20060825
63195,CPT,Incise spinal column & cord,,,21 ,,RBRVS,18.81 ,11.07 ,11.07 ,,,,,1,0,1,1,1,1,20060825
63196,CPT,Incise spinal column & cord,,,21 ,,RBRVS,22.27 ,13.42 ,13.42 ,,,,,1,0,1,1,1,1,20060825
63197,CPT,Incise spinal column & cord,,,21 ,,RBRVS,21.08 ,12.24 ,12.24 ,,,,,1,0,1,1,1,1,20060825
63198,CPT,Incise spinal column & cord,,,21 ,,RBRVS,25.34 ,8.45 ,8.45 ,,,,,1,0,1,1,1,1,20060825
63199,CPT,Incise spinal column & cord,,,21 ,,RBRVS,26.85 ,15.07 ,15.07 ,,,,,1,0,1,1,1,1,20060825
63200,CPT,Release of spinal cord,,,21 ,,RBRVS,19.15 ,11.32 ,11.32 ,,,,,1,0,1,1,1,1,20060825
63250,CPT,Revise spinal cord vessels,,,21 ,,RBRVS,40.70 ,19.98 ,19.98 ,,,,,1,0,1,1,1,1,20060825
63251,CPT,Revise spinal cord vessels,,,21 ,,RBRVS,41.14 ,22.65 ,22.65 ,,,,,1,0,1,1,1,1,20060825
63252,CPT,Revise spinal cord vessels,,,21 ,,RBRVS,41.13 ,22.29 ,22.29 ,,,,,1,0,1,1,1,1,20060825
63265,CPT,Excise intraspinal lesion,,,21 ,,RBRVS,21.53 ,12.80 ,12.80 ,,,,,1,0,1,1,1,1,20060825
63266,CPT,Excise intraspinal lesion,,,21 ,,RBRVS,22.27 ,13.21 ,13.21 ,,,,,1,0,1,1,1,1,20060825
63267,CPT,Excise intraspinal lesion,,,21 ,,RBRVS,17.92 ,11.10 ,11.10 ,,,,,1,0,1,1,1,1,20060825
63268,CPT,Excise intraspinal lesion,,,21 ,,RBRVS,18.49 ,10.39 ,10.39 ,,,,,1,0,1,1,1,1,20060825
63270,CPT,Excise intraspinal lesion,,,21 ,,RBRVS,26.76 ,15.50 ,15.50 ,,,,,1,0,1,1,1,1,20060825
63271,CPT,Excise intraspinal lesion,,,21 ,,RBRVS,26.88 ,15.61 ,15.61 ,,,,,1,0,1,1,1,1,20060825
63272,CPT,Excise intraspinal lesion,,,21 ,,RBRVS,25.28 ,14.72 ,14.72 ,,,,,1,0,1,1,1,1,20060825
63273,CPT,Excise intraspinal lesion,,,21 ,,RBRVS,24.25 ,14.37 ,14.37 ,,,,,1,0,1,1,1,1,20060825
63275,CPT,Biopsy/excise spinal tumor,,,21 ,,RBRVS,23.64 ,13.80 ,13.80 ,,,,,1,0,1,1,1,1,20060825
63276,CPT,Biopsy/excise spinal tumor,,,21 ,,RBRVS,23.41 ,13.71 ,13.71 ,,,,,1,0,1,1,1,1,20060825
63277,CPT,Biopsy/excise spinal tumor,,,21 ,,RBRVS,20.80 ,12.55 ,12.55 ,,,,,1,0,1,1,1,1,20060825
63278,CPT,Biopsy/excise spinal tumor,,,21 ,,RBRVS,20.53 ,12.42 ,12.42 ,,,,,1,0,1,1,1,1,20060825
63280,CPT,Biopsy/excise spinal tumor,,,21 ,,RBRVS,28.31 ,16.35 ,16.35 ,,,,,1,0,1,1,1,1,20060825
63281,CPT,Biopsy/excise spinal tumor,,,21 ,,RBRVS,28.01 ,16.21 ,16.21 ,,,,,1,0,1,1,1,1,20060825
63282,CPT,Biopsy/excise spinal tumor,,,21 ,,RBRVS,26.35 ,15.36 ,15.36 ,,,,,1,0,1,1,1,1,20060825
63283,CPT,Biopsy/excise spinal tumor,,,21 ,,RBRVS,24.96 ,14.69 ,14.69 ,,,,,1,0,1,1,1,1,20060825
63285,CPT,Biopsy/excise spinal tumor,,,21 ,,RBRVS,35.95 ,19.99 ,19.99 ,,,,,1,0,1,1,1,1,20060825
63286,CPT,Biopsy/excise spinal tumor,,,21 ,,RBRVS,35.58 ,19.95 ,19.95 ,,,,,1,0,1,1,1,1,20060825
63287,CPT,Biopsy/excise spinal tumor,,,21 ,,RBRVS,36.64 ,20.47 ,20.47 ,,,,,1,0,1,1,1,1,20060825
63290,CPT,Biopsy/excise spinal tumor,,,21 ,,RBRVS,37.32 ,20.64 ,20.64 ,,,,,1,0,1,1,1,1,20060825
63295,CPT,Repair of laminectomy defect,,,21 ,,RBRVS,5.25 ,2.15 ,2.15 ,,,,,1,0,0,1,1,1,20060825
63300,CPT,Removal of vertebral body,,,21 ,,RBRVS,24.39 ,14.33 ,14.33 ,,,,,1,0,1,1,1,1,20060825
63301,CPT,Removal of vertebral body,,,21 ,,RBRVS,27.56 ,15.59 ,15.59 ,,,,,1,0,1,1,1,1,20060825
63302,CPT,Removal of vertebral body,,,21 ,,RBRVS,27.77 ,15.89 ,15.89 ,,,,,1,0,1,1,1,1,20060825
63303,CPT,Removal of vertebral body,,,21 ,,RBRVS,30.45 ,16.95 ,16.95 ,,,,,1,0,1,1,1,1,20060825
63304,CPT,Removal of vertebral body,,,21 ,,RBRVS,30.28 ,17.31 ,17.31 ,,,,,1,0,1,1,1,1,20060825
63305,CPT,Removal of vertebral body,,,21 ,,RBRVS,31.98 ,18.09 ,18.09 ,,,,,1,0,1,1,1,1,20060825
63306,CPT,Removal of vertebral body,,,21 ,,RBRVS,32.17 ,17.84 ,17.84 ,,,,,1,0,1,1,1,1,20060825
63307,CPT,Removal of vertebral body,,,21 ,,RBRVS,31.58 ,16.85 ,16.85 ,,,,,1,0,1,1,1,1,20060825
63308,CPT,Remove vertebral body add-on,,,21 ,,RBRVS,5.24 ,2.61 ,2.61 ,,,,,1,0,1,1,1,1,20060825
63600,CPT,Remove spinal cord lesion,,,21 ,,RBRVS,14.00 ,5.41 ,5.41 ,,,,,1,0,1,1,1,1,20060825
63610,CPT,Stimulation of spinal cord,,,21 ,,RBRVS,8.72 ,2.26 ,59.85 ,,,,,1,0,1,1,1,1,20060825
63615,CPT,Remove lesion of spinal cord,,,21 ,,RBRVS,16.26 ,9.29 ,9.29 ,,,,,1,0,1,1,1,1,20060825
63650,CPT,Implant neuroelectrodes,,,21 ,,RBRVS,6.73 ,3.18 ,3.18 ,,,,,1,0,1,1,1,1,20060825
63655,CPT,Implant neuroelectrodes,,,21 ,,RBRVS,10.27 ,6.91 ,6.91 ,,,,,1,0,1,1,1,1,20060825
63660,CPT,Revise/remove neuroelectrode,,,21 ,,RBRVS,6.15 ,3.62 ,3.62 ,,,,,1,0,1,1,1,1,20060825
63685,CPT,Implant neuroreceiver,,,21 ,,RBRVS,7.03 ,4.15 ,4.15 ,,,,,1,0,1,1,1,1,20060825
63688,CPT,Revise/remove neuroreceiver,,,21 ,,RBRVS,5.38 ,3.56 ,3.56 ,,,,,1,0,1,1,1,1,20060825
63700,CPT,Repair of spinal herniation,,,21 ,,RBRVS,16.51 ,10.33 ,10.33 ,,,,,1,0,1,1,1,1,20060825
63702,CPT,Repair of spinal herniation,,,21 ,,RBRVS,18.45 ,11.06 ,11.06 ,,,,,1,0,1,1,1,1,20060825
63704,CPT,Repair of spinal herniation,,,21 ,,RBRVS,21.15 ,12.95 ,12.95 ,,,,,1,0,1,1,1,1,20060825
63706,CPT,Repair of spinal herniation,,,21 ,,RBRVS,24.07 ,13.61 ,13.61 ,,,,,1,0,1,1,1,1,20060825
63707,CPT,Repair spinal fluid leakage,,,21 ,,RBRVS,11.24 ,7.72 ,7.72 ,,,,,1,0,1,1,1,1,20060825
63709,CPT,Repair spinal fluid leakage,,,21 ,,RBRVS,14.30 ,9.42 ,9.42 ,,,,,1,0,1,1,1,1,20060825
63710,CPT,Graft repair of spine defect,,,21 ,,RBRVS,14.05 ,9.06 ,9.06 ,,,,,1,0,1,1,1,1,20060825
63740,CPT,Install spinal shunt,,,21 ,,RBRVS,11.34 ,7.36 ,7.36 ,,,,,1,0,1,1,1,1,20060825
63741,CPT,Install spinal shunt,,,21 ,,RBRVS,8.24 ,4.76 ,4.76 ,,,,,1,0,1,1,1,1,20060825
63744,CPT,Revision of spinal shunt,,,21 ,,RBRVS,8.09 ,5.27 ,5.27 ,,,,,1,0,1,1,1,1,20060825
63746,CPT,Removal of spinal shunt,,,21 ,,RBRVS,6.42 ,3.78 ,3.78 ,,,,,1,0,1,1,1,1,20060825
64400,CPT,"N block inj, trigeminal",,,21 ,,RBRVS,1.11 ,0.43 ,1.90 ,,,,,1,0,1,1,1,1,20060825
64402,CPT,"N block inj, facial",,,21 ,,RBRVS,1.25 ,0.60 ,1.61 ,,,,,1,0,1,1,1,1,20060825
64405,CPT,"N block inj, occipital",,,21 ,,RBRVS,1.32 ,0.46 ,1.46 ,,,,,1,0,1,1,1,1,20060825
64408,CPT,"N block inj, vagus",,,21 ,,RBRVS,1.41 ,0.85 ,1.58 ,,,,,1,0,1,1,1,1,20060825
64410,CPT,"N block inj, phrenic",,,21 ,,RBRVS,1.43 ,0.46 ,2.51 ,,,,,1,0,1,1,1,1,20060825
64412,CPT,"N block inj, spinal accessor",,,21 ,,RBRVS,1.18 ,0.43 ,2.66 ,,,,,1,0,1,1,1,1,20060825
64413,CPT,"N block inj, cervical plexus",,,21 ,,RBRVS,1.40 ,0.50 ,1.85 ,,,,,1,0,1,1,1,1,20060825
64415,CPT,"N block inj, brachial plexus",,,21 ,,RBRVS,1.48 ,0.46 ,2.81 ,,,,,1,0,1,1,1,1,20060825
64416,CPT,"N block cont infuse, b plex",,,21 ,,RBRVS,3.49 ,0.79 ,0.79 ,,,,,1,0,1,1,1,1,20060825
64417,CPT,"N block inj, axillary",,,21 ,,RBRVS,1.44 ,0.49 ,3.04 ,,,,,1,0,1,1,1,1,20060825
64418,CPT,"N block inj, suprascapular",,,21 ,,RBRVS,1.32 ,0.44 ,2.63 ,,,,,1,0,1,1,1,1,20060825
64420,CPT,"N block inj, intercost, sng",,,21 ,,RBRVS,1.18 ,0.42 ,3.89 ,,,,,1,0,1,1,1,1,20060825
64421,CPT,"N block inj, intercost, mlt",,,21 ,,RBRVS,1.68 ,0.52 ,6.10 ,,,,,1,0,1,1,1,1,20060825
64425,CPT,N block inj ilio-ing/hypogi,,,21 ,,RBRVS,1.75 ,0.54 ,1.65 ,,,,,1,0,1,1,1,1,20060825
64430,CPT,"N block inj, pudendal",,,21 ,,RBRVS,1.46 ,0.55 ,2.52 ,,,,,1,0,1,1,1,1,20060825
64435,CPT,"N block inj, paracervical",,,21 ,,RBRVS,1.45 ,0.69 ,2.53 ,,,,,1,0,1,1,1,1,20060825
64445,CPT,"N block inj, sciatic, sng",,,21 ,,RBRVS,1.48 ,0.50 ,2.68 ,,,,,1,0,1,1,1,1,20060825
64446,CPT,"N blk inj, sciatic, cont inf",,,21 ,,RBRVS,3.25 ,1.00 ,1.00 ,,,,,1,0,1,1,1,1,20060825
64447,CPT,"N block inj fem, single",,,21 ,,RBRVS,1.50 ,0.43 ,0.43 ,,,,,1,0,1,1,1,1,20060825
64448,CPT,"N block inj fem, cont inf",,,21 ,,RBRVS,3.00 ,0.81 ,0.81 ,,,,,1,0,1,1,1,1,20060825
64449,CPT,"N block inj, lumbar plexus",,,21 ,,RBRVS,3.00 ,0.96 ,0.96 ,,,,,1,0,1,1,1,1,20060825
64450,CPT,"N block, other peripheral",,,21 ,,RBRVS,1.27 ,0.48 ,1.24 ,,,,,1,0,1,1,1,1,20060825
64470,CPT,Inj paravertebral c/t,,,21 ,,RBRVS,1.85 ,0.71 ,7.25 ,,,,,1,0,1,1,1,1,20060825
64472,CPT,Inj paravertebral c/t add-on,,,21 ,,RBRVS,1.29 ,0.34 ,2.34 ,,,,,1,0,1,1,1,1,20060825
64475,CPT,Inj paravertebral l/s,,,21 ,,RBRVS,1.41 ,0.63 ,6.90 ,,,,,1,0,1,1,1,1,20060825
64476,CPT,Inj paravertebral l/s add-on,,,21 ,,RBRVS,0.98 ,0.24 ,2.13 ,,,,,1,0,1,1,1,1,20060825
64479,CPT,Inj foramen epidural c/t,,,21 ,,RBRVS,2.20 ,0.89 ,7.51 ,,,,,1,0,1,1,1,1,20060825
64480,CPT,Inj foramen epidural add-on,,,21 ,,RBRVS,1.54 ,0.47 ,2.85 ,,,,,1,0,1,1,1,1,20060825
64483,CPT,Inj foramen epidural l/s,,,21 ,,RBRVS,1.90 ,0.83 ,7.91 ,,,,,1,0,1,1,1,1,20060825
64484,CPT,Inj foramen epidural add-on,,,21 ,,RBRVS,1.33 ,0.37 ,3.29 ,,,,,1,0,1,1,1,1,20060825
64505,CPT,"N block, spenopalatine gangl",,,21 ,,RBRVS,1.36 ,0.66 ,1.24 ,,,,,1,0,1,1,1,1,20060825
64508,CPT,"N block, carotid sinus s/p",,,21 ,,RBRVS,1.12 ,0.74 ,3.33 ,,,,,1,0,1,1,1,1,20060825
64510,CPT,"N block, stellate ganglion",,,21 ,,RBRVS,1.22 ,0.51 ,3.46 ,,,,,1,0,1,1,1,1,20060825
64517,CPT,"N block inj, hypogas plxs",,,21 ,,RBRVS,2.20 ,0.87 ,2.73 ,,,,,1,0,1,1,1,1,20060825
64520,CPT,"N block, lumbar/thoracic",,,21 ,,RBRVS,1.35 ,0.55 ,5.15 ,,,,,1,0,1,1,1,1,20060825
64530,CPT,"N block inj, celiac pelus",,,21 ,,RBRVS,1.58 ,0.65 ,4.46 ,,,,,1,0,1,1,1,1,20060825
64550,CPT,Apply neurostimulator,,,21 ,,RBRVS,0.18 ,0.05 ,0.28 ,,,,,1,1,1,0,1,1,20060825
64553,CPT,Implant neuroelectrodes,,,21 ,,RBRVS,2.31 ,1.86 ,2.84 ,,,,,1,0,1,1,1,1,20060825
64555,CPT,Implant neuroelectrodes,,,21 ,,RBRVS,2.27 ,1.19 ,3.11 ,,,,,1,0,1,1,1,1,20060825
64560,CPT,Implant neuroelectrodes,,,21 ,,RBRVS,2.36 ,1.28 ,2.64 ,,,,,1,0,1,1,1,1,20060825
64561,CPT,Implant neuroelectrodes,,,21 ,,RBRVS,6.73 ,2.78 ,30.14 ,,,,,1,0,1,1,1,1,20060825
64565,CPT,Implant neuroelectrodes,,,21 ,,RBRVS,1.76 ,1.26 ,3.29 ,,,,,1,0,1,1,1,1,20060825
64573,CPT,Implant neuroelectrodes,,,21 ,,RBRVS,7.49 ,5.26 ,5.26 ,,,,,1,0,1,1,1,1,20060825
64575,CPT,Implant neuroelectrodes,,,21 ,,RBRVS,4.34 ,2.68 ,2.68 ,,,,,1,0,1,1,1,1,20060825
64577,CPT,Implant neuroelectrodes,,,21 ,,RBRVS,4.61 ,3.29 ,3.29 ,,,,,1,0,1,1,1,1,20060825
64580,CPT,Implant neuroelectrodes,,,21 ,,RBRVS,4.11 ,3.56 ,3.56 ,,,,,1,0,1,1,1,1,20060825
64581,CPT,Implant neuroelectrodes,,,21 ,,RBRVS,13.48 ,5.39 ,5.39 ,,,,,1,0,1,1,1,1,20060825
64585,CPT,Revise/remove neuroelectrode,,,21 ,,RBRVS,2.06 ,2.14 ,11.31 ,,,,,1,0,1,1,1,1,20060825
64590,CPT,Implant neuroreceiver,,,21 ,,RBRVS,2.40 ,2.29 ,7.16 ,,,,,1,0,1,1,1,1,20060825
64595,CPT,Revise/remove neuroreceiver,,,21 ,,RBRVS,1.73 ,1.93 ,10.42 ,,,,,1,0,1,1,1,1,20060825
64600,CPT,Injection treatment of nerve,,,21 ,,RBRVS,3.44 ,1.65 ,9.38 ,,,,,1,0,1,1,1,1,20060825
64605,CPT,Injection treatment of nerve,,,21 ,,RBRVS,5.60 ,2.19 ,9.58 ,,,,,1,0,1,1,1,1,20060825
64610,CPT,Injection treatment of nerve,,,21 ,,RBRVS,7.15 ,3.72 ,8.89 ,,,,,1,0,1,1,1,1,20060825
64612,CPT,"Destroy nerve, face muscle",,,21 ,,RBRVS,1.96 ,1.32 ,2.49 ,,,,,1,0,1,1,1,1,20060825
64613,CPT,"Destroy nerve, spine muscle",,,21 ,,RBRVS,1.96 ,1.22 ,2.94 ,,,,,1,0,1,1,1,1,20060825
64614,CPT,"Destroy nerve, extrem musc",,,21 ,,RBRVS,2.20 ,1.31 ,3.23 ,,,,,1,0,1,1,1,1,20060825
64620,CPT,Injection treatment of nerve,,,21 ,,RBRVS,2.84 ,1.33 ,5.07 ,,,,,1,0,1,1,1,1,20060825
64622,CPT,Destr paravertebrl nerve l/s,,,21 ,,RBRVS,3.00 ,1.37 ,7.78 ,,,,,1,0,1,1,1,1,20060825
64623,CPT,Destr paravertebral n add-on,,,21 ,,RBRVS,0.99 ,0.22 ,2.97 ,,,,,1,0,1,1,1,1,20060825
64626,CPT,Destr paravertebrl nerve c/t,,,21 ,,RBRVS,3.28 ,1.97 ,7.80 ,,,,,1,0,1,1,1,1,20060825
64627,CPT,Destr paravertebral n add-on,,,21 ,,RBRVS,1.16 ,0.27 ,4.54 ,,,,,1,0,1,1,1,1,20060825
64630,CPT,Injection treatment of nerve,,,21 ,,RBRVS,3.00 ,1.41 ,2.74 ,,,,,1,0,1,1,1,1,20060825
64640,CPT,Injection treatment of nerve,,,21 ,,RBRVS,2.76 ,1.85 ,4.19 ,,,,,1,0,1,1,1,1,20060825
64650,CPT,Chemodenerv eccrine glands,,,21 ,,RBRVS,0.70 ,0.30 ,0.87 ,,,,,1,0,1,1,1,1,20060825
64653,CPT,Chemodenerv eccrine glands,,,21 ,,RBRVS,0.88 ,0.38 ,0.92 ,,,,,1,0,1,1,1,1,20060825
64680,CPT,Injection treatment of nerve,,,21 ,,RBRVS,2.62 ,1.43 ,6.73 ,,,,,1,0,1,1,1,1,20060825
64681,CPT,Injection treatment of nerve,,,21 ,,RBRVS,3.54 ,2.07 ,9.32 ,,,,,1,0,1,1,1,1,20060825
64702,CPT,Revise finger/toe nerve,,,21 ,,RBRVS,4.22 ,3.87 ,3.87 ,,,,,1,0,1,1,1,1,20060825
64704,CPT,Revise hand/foot nerve,,,21 ,,RBRVS,4.56 ,3.32 ,3.32 ,,,,,1,0,1,1,1,1,20060825
64708,CPT,Revise arm/leg nerve,,,21 ,,RBRVS,6.11 ,4.87 ,4.87 ,,,,,1,0,1,1,1,1,20060825
64712,CPT,Revision of sciatic nerve,,,21 ,,RBRVS,7.74 ,4.97 ,4.97 ,,,,,1,0,1,1,1,1,20060825
64713,CPT,Revision of arm nerve(s),,,21 ,,RBRVS,10.98 ,5.89 ,5.89 ,,,,,1,0,1,1,1,1,20060825
64714,CPT,Revise low back nerve(s),,,21 ,,RBRVS,10.31 ,4.21 ,4.21 ,,,,,1,0,1,1,1,1,20060825
64716,CPT,Revision of cranial nerve,,,21 ,,RBRVS,6.30 ,5.99 ,5.99 ,,,,,1,0,1,1,1,1,20060825
64718,CPT,Revise ulnar nerve at elbow,,,21 ,,RBRVS,5.98 ,6.01 ,6.01 ,,,,,1,0,1,1,1,1,20060825
64719,CPT,Revise ulnar nerve at wrist,,,21 ,,RBRVS,4.84 ,4.53 ,4.53 ,,,,,1,0,1,1,1,1,20060825
64721,CPT,Carpal tunnel surgery,,,21 ,,RBRVS,4.28 ,5.38 ,5.38 ,,,,,1,0,1,1,1,1,20060825
64722,CPT,Relieve pressure on nerve(s),,,21 ,,RBRVS,4.69 ,3.05 ,3.05 ,,,,,1,0,1,1,1,1,20060825
64726,CPT,Release foot/toe nerve,,,21 ,,RBRVS,4.17 ,2.80 ,2.80 ,,,,,1,0,1,1,1,1,20060825
64727,CPT,Internal nerve revision,,,21 ,,RBRVS,3.10 ,1.50 ,1.50 ,,,,,1,0,1,1,1,1,20060825
64732,CPT,Incision of brow nerve,,,21 ,,RBRVS,4.40 ,3.51 ,3.51 ,,,,,1,0,1,1,1,1,20060825
64734,CPT,Incision of cheek nerve,,,21 ,,RBRVS,4.91 ,4.06 ,4.06 ,,,,,1,0,1,1,1,1,20060825
64736,CPT,Incision of chin nerve,,,21 ,,RBRVS,4.59 ,4.03 ,4.03 ,,,,,1,0,1,1,1,1,20060825
64738,CPT,Incision of jaw nerve,,,21 ,,RBRVS,5.72 ,4.62 ,4.62 ,,,,,1,0,1,1,1,1,20060825
64740,CPT,Incision of tongue nerve,,,21 ,,RBRVS,5.58 ,5.13 ,5.13 ,,,,,1,0,1,1,1,1,20060825
64742,CPT,Incision of facial nerve,,,21 ,,RBRVS,6.21 ,4.71 ,4.71 ,,,,,1,0,1,1,1,1,20060825
64744,CPT,"Incise nerve, back of head",,,21 ,,RBRVS,5.23 ,3.78 ,3.78 ,,,,,1,0,1,1,1,1,20060825
64746,CPT,Incise diaphragm nerve,,,21 ,,RBRVS,5.92 ,4.51 ,4.51 ,,,,,1,0,1,1,1,1,20060825
64752,CPT,Incision of vagus nerve,,,21 ,,RBRVS,7.05 ,4.29 ,4.29 ,,,,,1,0,1,1,1,1,20060825
64755,CPT,Incision of stomach nerves,,,21 ,,RBRVS,13.50 ,5.65 ,5.65 ,,,,,1,0,1,1,1,1,20060825
64760,CPT,Incision of vagus nerve,,,21 ,,RBRVS,6.95 ,3.46 ,3.46 ,,,,,1,0,1,1,1,1,20060825
64761,CPT,Incision of pelvis nerve,,,21 ,,RBRVS,6.40 ,3.53 ,3.53 ,,,,,1,0,1,1,1,1,20060825
64763,CPT,Incise hip/thigh nerve,,,21 ,,RBRVS,6.92 ,5.21 ,5.21 ,,,,,1,0,1,1,1,1,20060825
64766,CPT,Incise hip/thigh nerve,,,21 ,,RBRVS,8.66 ,5.26 ,5.26 ,,,,,1,0,1,1,1,1,20060825
64771,CPT,Sever cranial nerve,,,21 ,,RBRVS,7.34 ,5.57 ,5.57 ,,,,,1,0,1,1,1,1,20060825
64772,CPT,Incision of spinal nerve,,,21 ,,RBRVS,7.20 ,4.93 ,4.93 ,,,,,1,0,1,1,1,1,20060825
64774,CPT,Remove skin nerve lesion,,,21 ,,RBRVS,5.16 ,3.84 ,3.84 ,,,,,1,0,1,1,1,1,20060825
64776,CPT,Remove digit nerve lesion,,,21 ,,RBRVS,5.11 ,3.69 ,3.69 ,,,,,1,0,1,1,1,1,20060825
64778,CPT,Digit nerve surgery add-on,,,21 ,,RBRVS,3.11 ,1.50 ,1.50 ,,,,,1,0,1,1,1,1,20060825
64782,CPT,Remove limb nerve lesion,,,21 ,,RBRVS,6.22 ,3.78 ,3.78 ,,,,,1,0,1,1,1,1,20060825
64783,CPT,Limb nerve surgery add-on,,,21 ,,RBRVS,3.71 ,1.84 ,1.84 ,,,,,1,0,1,1,1,1,20060825
64784,CPT,Remove nerve lesion,,,21 ,,RBRVS,9.81 ,6.61 ,6.61 ,,,,,1,0,1,1,1,1,20060825
64786,CPT,Remove sciatic nerve lesion,,,21 ,,RBRVS,15.44 ,9.86 ,9.86 ,,,,,1,0,1,1,1,1,20060825
64787,CPT,Implant nerve end,,,21 ,,RBRVS,4.29 ,2.13 ,2.13 ,,,,,1,0,1,1,1,1,20060825
64788,CPT,Remove skin nerve lesion,,,21 ,,RBRVS,4.60 ,3.47 ,3.47 ,,,,,1,0,1,1,1,1,20060825
64790,CPT,Removal of nerve lesion,,,21 ,,RBRVS,11.29 ,7.22 ,7.22 ,,,,,1,0,1,1,1,1,20060825
64792,CPT,Removal of nerve lesion,,,21 ,,RBRVS,14.90 ,8.85 ,8.85 ,,,,,1,0,1,1,1,1,20060825
64795,CPT,Biopsy of nerve,,,21 ,,RBRVS,3.01 ,1.56 ,1.56 ,,,,,1,0,1,1,1,1,20060825
64802,CPT,Remove sympathetic nerves,,,21 ,,RBRVS,9.14 ,5.14 ,5.14 ,,,,,1,0,1,1,1,1,20060825
64804,CPT,Remove sympathetic nerves,,,21 ,,RBRVS,14.62 ,7.18 ,7.18 ,,,,,1,0,1,1,1,1,20060825
64809,CPT,Remove sympathetic nerves,,,21 ,,RBRVS,13.65 ,5.78 ,5.78 ,,,,,1,0,1,1,1,1,20060825
64818,CPT,Remove sympathetic nerves,,,21 ,,RBRVS,10.28 ,5.30 ,5.30 ,,,,,1,0,1,1,1,1,20060825
64820,CPT,Remove sympathetic nerves,,,21 ,,RBRVS,10.35 ,7.14 ,7.14 ,,,,,1,0,1,1,1,1,20060825
64821,CPT,Remove sympathestic nerves,,,21 ,,RBRVS,8.74 ,7.36 ,7.36 ,,,,,1,0,1,1,1,1,20060825
64822,CPT,Remove sympathetic nerves,,,21 ,,RBRVS,8.74 ,7.25 ,7.25 ,,,,,1,0,1,1,1,1,20060825
64823,CPT,Remove sympathetic nerves,,,21 ,,RBRVS,10.35 ,8.15 ,8.15 ,,,,,1,0,1,1,1,1,20060825
64831,CPT,Repair of digit nerve,,,21 ,,RBRVS,9.43 ,7.09 ,7.09 ,,,,,1,0,1,1,1,1,20060825
64832,CPT,Repair nerve add-on,,,21 ,,RBRVS,5.65 ,2.94 ,2.94 ,,,,,1,0,1,1,1,1,20060825
64834,CPT,Repair of hand or foot nerve,,,21 ,,RBRVS,10.17 ,7.11 ,7.11 ,,,,,1,0,1,1,1,1,20060825
64835,CPT,Repair of hand or foot nerve,,,21 ,,RBRVS,10.92 ,7.71 ,7.71 ,,,,,1,0,1,1,1,1,20060825
64836,CPT,Repair of hand or foot nerve,,,21 ,,RBRVS,10.92 ,7.68 ,7.68 ,,,,,1,0,1,1,1,1,20060825
64837,CPT,Repair nerve add-on,,,21 ,,RBRVS,6.25 ,3.24 ,3.24 ,,,,,1,0,1,1,1,1,20060825
64840,CPT,Repair of leg nerve,,,21 ,,RBRVS,13.00 ,8.27 ,8.27 ,,,,,1,0,1,1,1,1,20060825
64856,CPT,Repair/transpose nerve,,,21 ,,RBRVS,13.78 ,9.21 ,9.21 ,,,,,1,0,1,1,1,1,20060825
64857,CPT,Repair arm/leg nerve,,,21 ,,RBRVS,14.47 ,9.66 ,9.66 ,,,,,1,0,1,1,1,1,20060825
64858,CPT,Repair sciatic nerve,,,21 ,,RBRVS,16.47 ,10.80 ,10.80 ,,,,,1,0,1,1,1,1,20060825
64859,CPT,Nerve surgery,,,21 ,,RBRVS,4.25 ,2.20 ,2.20 ,,,,,1,0,1,1,1,1,20060825
64861,CPT,Repair of arm nerves,,,21 ,,RBRVS,19.21 ,11.80 ,11.80 ,,,,,1,0,1,1,1,1,20060825
64862,CPT,Repair of low back nerves,,,21 ,,RBRVS,19.41 ,11.96 ,11.96 ,,,,,1,0,1,1,1,1,20060825
64864,CPT,Repair of facial nerve,,,21 ,,RBRVS,12.53 ,8.79 ,8.79 ,,,,,1,0,1,1,1,1,20060825
64865,CPT,Repair of facial nerve,,,21 ,,RBRVS,15.22 ,13.56 ,13.56 ,,,,,1,0,1,1,1,1,20060825
64866,CPT,Fusion of facial/other nerve,,,21 ,,RBRVS,15.72 ,13.20 ,13.20 ,,,,,1,0,1,1,1,1,20060825
64868,CPT,Fusion of facial/other nerve,,,21 ,,RBRVS,14.02 ,11.46 ,11.46 ,,,,,1,0,1,1,1,1,20060825
64870,CPT,Fusion of facial/other nerve,,,21 ,,RBRVS,15.97 ,8.75 ,8.75 ,,,,,1,0,1,1,1,1,20060825
64872,CPT,Subsequent repair of nerve,,,21 ,,RBRVS,1.99 ,1.08 ,1.08 ,,,,,1,0,1,1,1,1,20060825
64874,CPT,Repair & revise nerve add-on,,,21 ,,RBRVS,2.98 ,1.53 ,1.53 ,,,,,1,0,1,1,1,1,20060825
64876,CPT,Repair nerve/shorten bone,,,21 ,,RBRVS,3.37 ,1.75 ,1.75 ,,,,,1,0,1,1,1,1,20060825
64885,CPT,"Nerve graft, head or neck",,,21 ,,RBRVS,17.50 ,11.63 ,11.63 ,,,,,1,0,1,1,1,1,20060825
64886,CPT,"Nerve graft, head or neck",,,21 ,,RBRVS,20.72 ,13.58 ,13.58 ,,,,,1,0,1,1,1,1,20060825
64890,CPT,"Nerve graft, hand or foot",,,21 ,,RBRVS,15.13 ,10.02 ,10.02 ,,,,,1,0,1,1,1,1,20060825
64891,CPT,"Nerve graft, hand or foot",,,21 ,,RBRVS,16.12 ,7.60 ,7.60 ,,,,,1,0,1,1,1,1,20060825
64892,CPT,"Nerve graft, arm or leg",,,21 ,,RBRVS,14.63 ,8.89 ,8.89 ,,,,,1,0,1,1,1,1,20060825
64893,CPT,"Nerve graft, arm or leg",,,21 ,,RBRVS,15.58 ,9.89 ,9.89 ,,,,,1,0,1,1,1,1,20060825
64895,CPT,"Nerve graft, hand or foot",,,21 ,,RBRVS,19.22 ,9.68 ,9.68 ,,,,,1,0,1,1,1,1,20060825
64896,CPT,"Nerve graft, hand or foot",,,21 ,,RBRVS,20.46 ,11.01 ,11.01 ,,,,,1,0,1,1,1,1,20060825
64897,CPT,"Nerve graft, arm or leg",,,21 ,,RBRVS,18.21 ,10.72 ,10.72 ,,,,,1,0,1,1,1,1,20060825
64898,CPT,"Nerve graft, arm or leg",,,21 ,,RBRVS,19.47 ,11.82 ,11.82 ,,,,,1,0,1,1,1,1,20060825
64901,CPT,Nerve graft add-on,,,21 ,,RBRVS,10.20 ,5.28 ,5.28 ,,,,,1,0,1,1,1,1,20060825
64902,CPT,Nerve graft add-on,,,21 ,,RBRVS,11.81 ,5.98 ,5.98 ,,,,,1,0,1,1,1,1,20060825
64905,CPT,Nerve pedicle transfer,,,21 ,,RBRVS,14.00 ,8.51 ,8.51 ,,,,,1,0,1,1,1,1,20060825
64907,CPT,Nerve pedicle transfer,,,21 ,,RBRVS,18.80 ,12.56 ,12.56 ,,,,,1,0,1,1,1,1,20060825
64999,CPT,Nervous system surgery,,,21 ,,TotalUnits,,,,8.64 ,,,,1,0,1,1,1,1,20060825
65091,CPT,Revise eye,,,21 ,,RBRVS,6.45 ,8.37 ,8.37 ,,,,,1,0,1,1,1,1,20060825
65093,CPT,Revise eye with implant,,,21 ,,RBRVS,6.86 ,8.74 ,8.74 ,,,,,1,0,1,1,1,1,20060825
65101,CPT,Removal of eye,,,21 ,,RBRVS,7.02 ,9.55 ,9.55 ,,,,,1,0,1,1,1,1,20060825
65103,CPT,Remove eye/insert implant,,,21 ,,RBRVS,7.56 ,9.76 ,9.76 ,,,,,1,0,1,1,1,1,20060825
65105,CPT,Remove eye/attach implant,,,21 ,,RBRVS,8.48 ,10.49 ,10.49 ,,,,,1,0,1,1,1,1,20060825
65110,CPT,Removal of eye,,,21 ,,RBRVS,13.93 ,13.71 ,13.71 ,,,,,1,0,1,1,1,1,20060825
65112,CPT,Remove eye/revise socket,,,21 ,,RBRVS,16.36 ,16.18 ,16.18 ,,,,,1,0,1,1,1,1,20060825
65114,CPT,Remove eye/revise socket,,,21 ,,RBRVS,17.50 ,16.39 ,16.39 ,,,,,1,0,1,1,1,1,20060825
65125,CPT,Revise ocular implant,,,21 ,,RBRVS,3.12 ,3.61 ,8.83 ,,,,,1,0,1,1,1,1,20060825
65130,CPT,Insert ocular implant,,,21 ,,RBRVS,7.14 ,9.19 ,9.19 ,,,,,1,0,1,1,1,1,20060825
65135,CPT,Insert ocular implant,,,21 ,,RBRVS,7.32 ,9.34 ,9.34 ,,,,,1,0,1,1,1,1,20060825
65140,CPT,Attach ocular implant,,,21 ,,RBRVS,8.01 ,9.90 ,9.90 ,,,,,1,0,1,1,1,1,20060825
65150,CPT,Revise ocular implant,,,21 ,,RBRVS,6.25 ,7.99 ,7.99 ,,,,,1,0,1,1,1,1,20060825
65155,CPT,Reinsert ocular implant,,,21 ,,RBRVS,8.65 ,10.51 ,10.51 ,,,,,1,0,1,1,1,1,20060825
65175,CPT,Removal of ocular implant,,,21 ,,RBRVS,6.27 ,8.50 ,8.50 ,,,,,1,0,1,1,1,1,20060825
65205,CPT,Remove foreign body from eye,,,21 ,,RBRVS,0.71 ,0.29 ,0.64 ,,,,,1,0,1,1,1,1,20060825
65210,CPT,Remove foreign body from eye,,,21 ,,RBRVS,0.84 ,0.38 ,0.81 ,,,,,1,0,1,1,1,1,20060825
65220,CPT,Remove foreign body from eye,,,21 ,,RBRVS,0.71 ,0.28 ,0.64 ,,,,,1,0,1,1,1,1,20060825
65222,CPT,Remove foreign body from eye,,,21 ,,RBRVS,0.93 ,0.38 ,0.89 ,,,,,1,0,1,1,1,1,20060825
65235,CPT,Remove foreign body from eye,,,21 ,,RBRVS,7.56 ,6.76 ,6.76 ,,,,,1,0,1,1,1,1,20060825
65260,CPT,Remove foreign body from eye,,,21 ,,RBRVS,10.94 ,9.68 ,9.68 ,,,,,1,0,1,1,1,1,20060825
65265,CPT,Remove foreign body from eye,,,21 ,,RBRVS,12.57 ,10.65 ,10.65 ,,,,,1,0,1,1,1,1,20060825
65270,CPT,Repair of eye wound,,,21 ,,RBRVS,1.90 ,1.39 ,5.24 ,,,,,1,0,1,1,1,1,20060825
65272,CPT,Repair of eye wound,,,21 ,,RBRVS,3.81 ,3.30 ,7.73 ,,,,,1,0,1,1,1,1,20060825
65273,CPT,Repair of eye wound,,,21 ,,RBRVS,4.35 ,3.59 ,3.59 ,,,,,1,0,1,1,1,1,20060825
65275,CPT,Repair of eye wound,,,21 ,,RBRVS,5.33 ,3.95 ,6.33 ,,,,,1,0,1,1,1,1,20060825
65280,CPT,Repair of eye wound,,,21 ,,RBRVS,7.65 ,6.25 ,6.25 ,,,,,1,0,1,1,1,1,20060825
65285,CPT,Repair of eye wound,,,21 ,,RBRVS,12.88 ,9.24 ,9.24 ,,,,,1,0,1,1,1,1,20060825
65286,CPT,Repair of eye wound,,,21 ,,RBRVS,5.50 ,4.63 ,11.17 ,,,,,1,0,1,1,1,1,20060825
65290,CPT,Repair of eye socket wound,,,21 ,,RBRVS,5.40 ,4.75 ,4.75 ,,,,,1,0,1,1,1,1,20060825
65400,CPT,Removal of eye lesion,,,21 ,,RBRVS,6.05 ,6.14 ,8.35 ,,,,,1,0,1,1,1,1,20060825
65410,CPT,Biopsy of cornea,,,21 ,,RBRVS,1.47 ,0.97 ,2.12 ,,,,,1,0,1,1,1,1,20060825
65420,CPT,Removal of eye lesion,,,21 ,,RBRVS,4.16 ,4.45 ,8.88 ,,,,,1,0,1,1,1,1,20060825
65426,CPT,Removal of eye lesion,,,21 ,,RBRVS,5.24 ,4.93 ,10.20 ,,,,,1,0,1,1,1,1,20060825
65430,CPT,Corneal smear,,,21 ,,RBRVS,1.47 ,0.98 ,1.29 ,,,,,1,0,1,1,1,1,20060825
65435,CPT,Curette/treat cornea,,,21 ,,RBRVS,0.92 ,0.71 ,1.00 ,,,,,1,0,1,1,1,1,20060825
65436,CPT,Curette/treat cornea,,,21 ,,RBRVS,4.18 ,3.68 ,4.10 ,,,,,1,0,1,1,1,1,20060825
65450,CPT,Treatment of corneal lesion,,,21 ,,RBRVS,3.27 ,3.95 ,4.08 ,,,,,1,0,1,1,1,1,20060825
65600,CPT,Revision of cornea,,,21 ,,RBRVS,3.39 ,3.36 ,5.02 ,,,,,1,0,1,1,1,1,20060825
65710,CPT,Corneal transplant,,,21 ,,RBRVS,12.33 ,11.23 ,11.23 ,,,,,1,0,1,1,1,1,20060825
65730,CPT,Corneal transplant,,,21 ,,RBRVS,14.23 ,12.05 ,12.05 ,,,,,1,0,1,1,1,1,20060825
65750,CPT,Corneal transplant,,,21 ,,RBRVS,14.98 ,12.00 ,12.00 ,,,,,1,0,1,1,1,1,20060825
65755,CPT,Corneal transplant,,,21 ,,RBRVS,14.87 ,11.92 ,11.92 ,,,,,1,0,1,1,1,1,20060825
65760,CPT,Revision of cornea,,,21 ,,TotalUnits,,,,30.91 ,,,,1,0,1,1,1,1,20060825
65765,CPT,Revision of cornea,,,21 ,,TotalUnits,,,,35.86 ,,,,1,0,1,1,1,1,20060825
65767,CPT,Corneal tissue transplant,,,21 ,,TotalUnits,,,,33.39 ,,,,1,0,1,1,1,1,20060825
65770,CPT,Revise cornea with implant,,,21 ,,RBRVS,17.53 ,13.24 ,13.24 ,,,,,1,0,1,1,1,1,20060825
65771,CPT,Radial keratotomy,,,21 ,,TotalUnits,,,,18.18 ,,,,1,0,1,1,1,1,20060825
65772,CPT,Correction of astigmatism,,,21 ,,RBRVS,4.28 ,4.14 ,5.55 ,,,,,1,0,1,1,1,1,20060825
65775,CPT,Correction of astigmatism,,,21 ,,RBRVS,5.78 ,5.97 ,5.97 ,,,,,1,0,1,1,1,1,20060825
65780,CPT,"Ocular reconst, transplant",,,21 ,,RBRVS,10.23 ,10.32 ,10.32 ,,,,,1,0,1,1,1,1,20060825
65781,CPT,"Ocular reconst, transplant",,,21 ,,RBRVS,17.64 ,13.71 ,13.71 ,,,,,1,0,1,1,1,1,20060825
65782,CPT,"Ocular reconst, transplant",,,21 ,,RBRVS,14.98 ,12.02 ,12.02 ,,,,,1,0,1,1,1,1,20060825
65800,CPT,Drainage of eye,,,21 ,,RBRVS,1.91 ,1.18 ,1.80 ,,,,,1,0,1,1,1,1,20060825
65805,CPT,Drainage of eye,,,21 ,,RBRVS,1.91 ,1.19 ,2.18 ,,,,,1,0,1,1,1,1,20060825
65810,CPT,Drainage of eye,,,21 ,,RBRVS,4.86 ,4.71 ,4.71 ,,,,,1,0,1,1,1,1,20060825
65815,CPT,Drainage of eye,,,21 ,,RBRVS,5.04 ,4.82 ,10.03 ,,,,,1,0,1,1,1,1,20060825
65820,CPT,Relieve inner eye pressure,,,21 ,,RBRVS,8.12 ,9.08 ,9.08 ,,,,,1,0,1,1,1,1,20060825
65850,CPT,Incision of eye,,,21 ,,RBRVS,10.50 ,8.46 ,8.46 ,,,,,1,0,1,1,1,1,20060825
65855,CPT,Laser surgery of eye,,,21 ,,RBRVS,3.84 ,3.11 ,4.32 ,,,,,1,0,1,1,1,1,20060825
65860,CPT,Incise inner eye adhesions,,,21 ,,RBRVS,3.54 ,2.51 ,4.05 ,,,,,1,0,1,1,1,1,20060825
65865,CPT,Incise inner eye adhesions,,,21 ,,RBRVS,5.59 ,5.64 ,5.64 ,,,,,1,0,1,1,1,1,20060825
65870,CPT,Incise inner eye adhesions,,,21 ,,RBRVS,6.26 ,6.43 ,6.43 ,,,,,1,0,1,1,1,1,20060825
65875,CPT,Incise inner eye adhesions,,,21 ,,RBRVS,6.53 ,6.81 ,6.81 ,,,,,1,0,1,1,1,1,20060825
65880,CPT,Incise inner eye adhesions,,,21 ,,RBRVS,7.08 ,7.05 ,7.05 ,,,,,1,0,1,1,1,1,20060825
65900,CPT,Remove eye lesion,,,21 ,,RBRVS,10.91 ,10.28 ,10.28 ,,,,,1,0,1,1,1,1,20060825
65920,CPT,Remove implant of eye,,,21 ,,RBRVS,8.39 ,8.19 ,8.19 ,,,,,1,0,1,1,1,1,20060825
65930,CPT,Remove blood clot from eye,,,21 ,,RBRVS,7.43 ,6.85 ,6.85 ,,,,,1,0,1,1,1,1,20060825
66020,CPT,Injection treatment of eye,,,21 ,,RBRVS,1.59 ,1.44 ,3.13 ,,,,,1,0,1,1,1,1,20060825
66030,CPT,Injection treatment of eye,,,21 ,,RBRVS,1.25 ,1.28 ,2.97 ,,,,,1,0,1,1,1,1,20060825
66130,CPT,Remove eye lesion,,,21 ,,RBRVS,7.68 ,5.63 ,9.65 ,,,,,1,0,1,1,1,1,20060825
66150,CPT,Glaucoma surgery,,,21 ,,RBRVS,8.29 ,9.43 ,9.43 ,,,,,1,0,1,1,1,1,20060825
66155,CPT,Glaucoma surgery,,,21 ,,RBRVS,8.28 ,9.38 ,9.38 ,,,,,1,0,1,1,1,1,20060825
66160,CPT,Glaucoma surgery,,,21 ,,RBRVS,10.15 ,10.22 ,10.22 ,,,,,1,0,1,1,1,1,20060825
66165,CPT,Glaucoma surgery,,,21 ,,RBRVS,8.00 ,9.27 ,9.27 ,,,,,1,0,1,1,1,1,20060825
66170,CPT,Glaucoma surgery,,,21 ,,RBRVS,12.14 ,12.26 ,12.26 ,,,,,1,0,1,1,1,1,20060825
66172,CPT,Incision of eye,,,21 ,,RBRVS,15.02 ,15.24 ,15.24 ,,,,,1,0,1,1,1,1,20060825
66180,CPT,Implant eye shunt,,,21 ,,RBRVS,14.53 ,10.79 ,10.79 ,,,,,1,0,1,1,1,1,20060825
66185,CPT,Revise eye shunt,,,21 ,,RBRVS,8.13 ,7.40 ,7.40 ,,,,,1,0,1,1,1,1,20060825
66220,CPT,Repair eye lesion,,,21 ,,RBRVS,7.76 ,7.12 ,7.12 ,,,,,1,0,1,1,1,1,20060825
66225,CPT,Repair/graft eye lesion,,,21 ,,RBRVS,11.03 ,8.76 ,8.76 ,,,,,1,0,1,1,1,1,20060825
66250,CPT,Follow-up surgery of eye,,,21 ,,RBRVS,5.97 ,5.50 ,11.72 ,,,,,1,0,1,1,1,1,20060825
66500,CPT,Incision of iris,,,21 ,,RBRVS,3.70 ,4.65 ,4.65 ,,,,,1,0,1,1,1,1,20060825
66505,CPT,Incision of iris,,,21 ,,RBRVS,4.07 ,5.00 ,5.00 ,,,,,1,0,1,1,1,1,20060825
66600,CPT,Remove iris and lesion,,,21 ,,RBRVS,8.67 ,8.24 ,8.24 ,,,,,1,0,1,1,1,1,20060825
66605,CPT,Removal of iris,,,21 ,,RBRVS,12.77 ,10.05 ,10.05 ,,,,,1,0,1,1,1,1,20060825
66625,CPT,Removal of iris,,,21 ,,RBRVS,5.12 ,4.74 ,4.74 ,,,,,1,0,1,1,1,1,20060825
66630,CPT,Removal of iris,,,21 ,,RBRVS,6.15 ,5.73 ,5.73 ,,,,,1,0,1,1,1,1,20060825
66635,CPT,Removal of iris,,,21 ,,RBRVS,6.24 ,5.76 ,5.76 ,,,,,1,0,1,1,1,1,20060825
66680,CPT,Repair iris & ciliary body,,,21 ,,RBRVS,5.43 ,5.29 ,5.29 ,,,,,1,0,1,1,1,1,20060825
66682,CPT,Repair iris & ciliary body,,,21 ,,RBRVS,6.20 ,6.63 ,6.63 ,,,,,1,0,1,1,1,1,20060825
66700,CPT,"Destruction, ciliary body",,,21 ,,RBRVS,4.77 ,3.94 ,5.26 ,,,,,1,0,1,1,1,1,20060825
66710,CPT,"Destruction, ciliary body",,,21 ,,RBRVS,4.77 ,3.85 ,5.18 ,,,,,1,0,1,1,1,1,20060825
66711,CPT,Ciliary endoscopic ablation,,,21 ,,RBRVS,6.60 ,6.49 ,6.49 ,,,,,1,0,1,1,1,1,20060825
66720,CPT,"Destruction, ciliary body",,,21 ,,RBRVS,4.77 ,4.73 ,5.81 ,,,,,1,0,1,1,1,1,20060825
66740,CPT,"Destruction, ciliary body",,,21 ,,RBRVS,4.77 ,3.98 ,5.10 ,,,,,1,0,1,1,1,1,20060825
66761,CPT,Revision of iris,,,21 ,,RBRVS,4.06 ,4.32 ,5.61 ,,,,,1,0,1,1,1,1,20060825
66762,CPT,Revision of iris,,,21 ,,RBRVS,4.57 ,4.30 ,5.67 ,,,,,1,0,1,1,1,1,20060825
66770,CPT,Removal of inner eye lesion,,,21 ,,RBRVS,5.17 ,4.81 ,6.10 ,,,,,1,0,1,1,1,1,20060825
66820,CPT,"Incision, secondary cataract",,,21 ,,RBRVS,3.88 ,5.83 ,5.83 ,,,,,1,0,1,1,1,1,20060825
66821,CPT,After cataract laser surgery,,,21 ,,RBRVS,2.35 ,3.63 ,4.10 ,,,,,1,0,1,1,1,1,20060825
66825,CPT,Reposition intraocular lens,,,21 ,,RBRVS,8.22 ,9.09 ,9.09 ,,,,,1,0,1,1,1,1,20060825
66830,CPT,Removal of lens lesion,,,21 ,,RBRVS,8.19 ,6.97 ,6.97 ,,,,,1,0,1,1,1,1,20060825
66840,CPT,Removal of lens material,,,21 ,,RBRVS,7.90 ,6.88 ,6.88 ,,,,,1,0,1,1,1,1,20060825
66850,CPT,Removal of lens material,,,21 ,,RBRVS,9.10 ,7.66 ,7.66 ,,,,,1,0,1,1,1,1,20060825
66852,CPT,Removal of lens material,,,21 ,,RBRVS,9.96 ,8.12 ,8.12 ,,,,,1,0,1,1,1,1,20060825
66920,CPT,Extraction of lens,,,21 ,,RBRVS,8.85 ,7.32 ,7.32 ,,,,,1,0,1,1,1,1,20060825
66930,CPT,Extraction of lens,,,21 ,,RBRVS,10.16 ,8.16 ,8.16 ,,,,,1,0,1,1,1,1,20060825
66940,CPT,Extraction of lens,,,21 ,,RBRVS,8.92 ,7.62 ,7.62 ,,,,,1,0,1,1,1,1,20060825
66982,CPT,"Cataract surgery, complex",,,21 ,,RBRVS,13.48 ,9.89 ,9.89 ,,,,,1,0,1,1,1,1,20060825
66983,CPT,"Cataract surg w/iol, 1 stage",,,21 ,,RBRVS,8.98 ,6.13 ,6.13 ,,,,,1,0,1,1,1,1,20060825
66984,CPT,"Cataract surg w/iol, 1 stage",,,21 ,,RBRVS,10.21 ,7.44 ,7.44 ,,,,,1,0,1,1,1,1,20060825
66985,CPT,Insert lens prosthesis,,,21 ,,RBRVS,8.38 ,7.47 ,7.47 ,,,,,1,0,1,1,1,1,20060825
66986,CPT,Exchange lens prosthesis,,,21 ,,RBRVS,12.26 ,9.20 ,9.20 ,,,,,1,0,1,1,1,1,20060825
66990,CPT,Ophthalmic endoscope add-on,,,21 ,,RBRVS,1.51 ,0.69 ,0.69 ,,,,,1,0,1,1,1,1,20060825
66999,CPT,Eye surgery procedure,,,21 ,,TotalUnits,,,,17.84 ,,,,1,0,1,1,1,1,20060825
67005,CPT,Partial removal of eye fluid,,,21 ,,RBRVS,5.69 ,4.87 ,4.87 ,,,,,1,0,1,1,1,1,20060825
67010,CPT,Partial removal of eye fluid,,,21 ,,RBRVS,6.86 ,5.43 ,5.43 ,,,,,1,0,1,1,1,1,20060825
67015,CPT,Release of eye fluid,,,21 ,,RBRVS,6.91 ,6.47 ,6.47 ,,,,,1,0,1,1,1,1,20060825
67025,CPT,Replace eye fluid,,,21 ,,RBRVS,6.83 ,6.24 ,9.25 ,,,,,1,0,1,1,1,1,20060825
67027,CPT,Implant eye drug system,,,21 ,,RBRVS,10.83 ,8.02 ,8.02 ,,,,,1,0,1,1,1,1,20060825
67028,CPT,Injection eye drug,,,21 ,,RBRVS,2.52 ,1.46 ,2.71 ,,,,,1,0,1,1,1,1,20060825
67030,CPT,Incise inner eye strands,,,21 ,,RBRVS,4.83 ,5.87 ,5.87 ,,,,,1,0,1,1,1,1,20060825
67031,CPT,"Laser surgery, eye strands",,,21 ,,RBRVS,3.66 ,3.65 ,4.61 ,,,,,1,0,1,1,1,1,20060825
67036,CPT,Removal of inner eye fluid,,,21 ,,RBRVS,11.87 ,9.15 ,9.15 ,,,,,1,0,1,1,1,1,20060825
67038,CPT,Strip retinal membrane,,,21 ,,RBRVS,21.21 ,15.53 ,15.53 ,,,,,1,0,1,1,1,1,20060825
67039,CPT,Laser treatment of retina,,,21 ,,RBRVS,14.50 ,12.22 ,12.22 ,,,,,1,0,1,1,1,1,20060825
67040,CPT,Laser treatment of retina,,,21 ,,RBRVS,17.20 ,13.72 ,13.72 ,,,,,1,0,1,1,1,1,20060825
67101,CPT,Repair detached retina,,,21 ,,RBRVS,7.52 ,6.55 ,9.15 ,,,,,1,0,1,1,1,1,20060825
67105,CPT,Repair detached retina,,,21 ,,RBRVS,7.40 ,6.17 ,8.10 ,,,,,1,0,1,1,1,1,20060825
67107,CPT,Repair detached retina,,,21 ,,RBRVS,14.82 ,11.33 ,11.33 ,,,,,1,0,1,1,1,1,20060825
67108,CPT,Repair detached retina,,,21 ,,RBRVS,20.79 ,14.46 ,14.46 ,,,,,1,0,1,1,1,1,20060825
67110,CPT,Repair detached retina,,,21 ,,RBRVS,8.80 ,7.41 ,10.26 ,,,,,1,0,1,1,1,1,20060825
67112,CPT,Rerepair detached retina,,,21 ,,RBRVS,16.83 ,11.84 ,11.84 ,,,,,1,0,1,1,1,1,20060825
67115,CPT,Release encircling material,,,21 ,,RBRVS,4.98 ,5.09 ,5.09 ,,,,,1,0,1,1,1,1,20060825
67120,CPT,Remove eye implant material,,,21 ,,RBRVS,5.97 ,5.55 ,8.60 ,,,,,1,0,1,1,1,1,20060825
67121,CPT,Remove eye implant material,,,21 ,,RBRVS,10.65 ,8.55 ,8.55 ,,,,,1,0,1,1,1,1,20060825
67141,CPT,Treatment of retina,,,21 ,,RBRVS,5.19 ,4.87 ,5.87 ,,,,,1,0,1,1,1,1,20060825
67145,CPT,Treatment of retina,,,21 ,,RBRVS,5.36 ,4.94 ,5.74 ,,,,,1,0,1,1,1,1,20060825
67208,CPT,Treatment of retinal lesion,,,21 ,,RBRVS,6.69 ,5.53 ,6.14 ,,,,,1,0,1,1,1,1,20060825
67210,CPT,Treatment of retinal lesion,,,21 ,,RBRVS,8.81 ,5.90 ,6.59 ,,,,,1,0,1,1,1,1,20060825
67218,CPT,Treatment of retinal lesion,,,21 ,,RBRVS,18.50 ,12.19 ,12.19 ,,,,,1,0,1,1,1,1,20060825
67220,CPT,Treatment of choroid lesion,,,21 ,,RBRVS,13.11 ,9.04 ,10.45 ,,,,,1,0,1,1,1,1,20060825
67221,CPT,Ocular photodynamic ther,,,21 ,,RBRVS,4.00 ,1.81 ,4.34 ,,,,,1,0,1,1,1,1,20060825
67225,CPT,Eye photodynamic ther add-on,,,21 ,,RBRVS,0.47 ,0.21 ,0.25 ,,,,,1,0,1,1,1,1,20060825
67227,CPT,Treatment of retinal lesion,,,21 ,,RBRVS,6.57 ,5.54 ,6.60 ,,,,,1,0,1,1,1,1,20060825
67228,CPT,Treatment of retinal lesion,,,21 ,,RBRVS,12.72 ,8.56 ,11.51 ,,,,,1,0,1,1,1,1,20060825
67250,CPT,Reinforce eye wall,,,21 ,,RBRVS,8.65 ,9.20 ,9.20 ,,,,,1,0,1,1,1,1,20060825
67255,CPT,Reinforce/graft eye wall,,,21 ,,RBRVS,8.89 ,9.92 ,9.92 ,,,,,1,0,1,1,1,1,20060825
67299,CPT,Eye surgery procedure,,,21 ,,TotalUnits,,,,21.22 ,,,,1,0,1,1,1,1,20060825
67311,CPT,Revise eye muscle,,,21 ,,RBRVS,6.64 ,6.04 ,6.04 ,,,,,1,0,1,1,1,1,20060825
67312,CPT,Revise two eye muscles,,,21 ,,RBRVS,8.53 ,6.77 ,6.77 ,,,,,1,0,1,1,1,1,20060825
67314,CPT,Revise eye muscle,,,21 ,,RBRVS,7.51 ,6.57 ,6.57 ,,,,,1,0,1,1,1,1,20060825
67316,CPT,Revise two eye muscles,,,21 ,,RBRVS,9.65 ,7.52 ,7.52 ,,,,,1,0,1,1,1,1,20060825
67318,CPT,Revise eye muscle(s),,,21 ,,RBRVS,7.84 ,6.95 ,6.95 ,,,,,1,0,1,1,1,1,20060825
67320,CPT,Revise eye muscle(s) add-on,,,21 ,,RBRVS,4.32 ,1.96 ,1.96 ,,,,,1,0,1,1,1,1,20060825
67331,CPT,Eye surgery follow-up add-on,,,21 ,,RBRVS,4.05 ,1.84 ,1.84 ,,,,,1,0,1,1,1,1,20060825
67332,CPT,Rerevise eye muscles add-on,,,21 ,,RBRVS,4.48 ,2.03 ,2.03 ,,,,,1,0,1,1,1,1,20060825
67334,CPT,Revise eye muscle w/suture,,,21 ,,RBRVS,3.97 ,1.80 ,1.80 ,,,,,1,0,1,1,1,1,20060825
67335,CPT,Eye suture during surgery,,,21 ,,RBRVS,2.49 ,1.12 ,1.12 ,,,,,1,0,1,1,1,1,20060825
67340,CPT,Revise eye muscle add-on,,,21 ,,RBRVS,4.92 ,2.21 ,2.21 ,,,,,1,0,1,1,1,1,20060825
67343,CPT,Release eye tissue,,,21 ,,RBRVS,7.34 ,6.53 ,6.53 ,,,,,1,0,1,1,1,1,20060825
67345,CPT,Destroy nerve of eye muscle,,,21 ,,RBRVS,2.96 ,2.02 ,2.59 ,,,,,1,0,1,1,1,1,20060825
67350,CPT,Biopsy eye muscle,,,21 ,,RBRVS,2.87 ,1.88 ,1.88 ,,,,,1,0,1,1,1,1,20060825
67399,CPT,Eye muscle surgery procedure,,,21 ,,TotalUnits,,,,13.06 ,,,,1,0,1,1,1,1,20060825
67400,CPT,Explore/biopsy eye socket,,,21 ,,RBRVS,9.75 ,11.29 ,11.29 ,,,,,1,0,1,1,1,1,20060825
67405,CPT,Explore/drain eye socket,,,21 ,,RBRVS,7.92 ,9.80 ,9.80 ,,,,,1,0,1,1,1,1,20060825
67412,CPT,Explore/treat eye socket,,,21 ,,RBRVS,9.49 ,10.96 ,10.96 ,,,,,1,0,1,1,1,1,20060825
67413,CPT,Explore/treat eye socket,,,21 ,,RBRVS,9.99 ,10.80 ,10.80 ,,,,,1,0,1,1,1,1,20060825
67414,CPT,Explr/decompress eye socket,,,21 ,,RBRVS,11.11 ,12.07 ,12.07 ,,,,,1,0,1,1,1,1,20060825
67415,CPT,"Aspiration, orbital contents",,,21 ,,RBRVS,1.76 ,0.76 ,0.76 ,,,,,1,0,1,1,1,1,20060825
67420,CPT,Explore/treat eye socket,,,21 ,,RBRVS,20.03 ,17.44 ,17.44 ,,,,,1,0,1,1,1,1,20060825
67430,CPT,Explore/treat eye socket,,,21 ,,RBRVS,13.37 ,14.93 ,14.93 ,,,,,1,0,1,1,1,1,20060825
67440,CPT,Explore/drain eye socket,,,21 ,,RBRVS,13.07 ,14.30 ,14.30 ,,,,,1,0,1,1,1,1,20060825
67445,CPT,Explr/decompress eye socket,,,21 ,,RBRVS,14.40 ,13.95 ,13.95 ,,,,,1,0,1,1,1,1,20060825
67450,CPT,Explore/biopsy eye socket,,,21 ,,RBRVS,13.49 ,14.73 ,14.73 ,,,,,1,0,1,1,1,1,20060825
67500,CPT,Inject/treat eye socket,,,21 ,,RBRVS,0.79 ,0.29 ,0.67 ,,,,,1,0,1,1,1,1,20060825
67505,CPT,Inject/treat eye socket,,,21 ,,RBRVS,0.82 ,0.31 ,0.69 ,,,,,1,0,1,1,1,1,20060825
67515,CPT,Inject/treat eye socket,,,21 ,,RBRVS,0.61 ,0.38 ,0.59 ,,,,,1,0,1,1,1,1,20060825
67550,CPT,Insert eye socket implant,,,21 ,,RBRVS,10.17 ,11.33 ,11.33 ,,,,,1,0,1,1,1,1,20060825
67560,CPT,Revise eye socket implant,,,21 ,,RBRVS,10.58 ,11.40 ,11.40 ,,,,,1,0,1,1,1,1,20060825
67570,CPT,Decompress optic nerve,,,21 ,,RBRVS,13.56 ,13.62 ,13.62 ,,,,,1,0,1,1,1,1,20060825
67599,CPT,Orbit surgery procedure,,,21 ,,TotalUnits,,,,1.38 ,,,,1,0,1,1,1,1,20060825
67700,CPT,Drainage of eyelid abscess,,,21 ,,RBRVS,1.35 ,1.27 ,6.04 ,,,,,1,0,1,1,1,1,20060825
67710,CPT,Incision of eyelid,,,21 ,,RBRVS,1.02 ,1.21 ,5.39 ,,,,,1,0,1,1,1,1,20060825
67715,CPT,Incision of eyelid fold,,,21 ,,RBRVS,1.22 ,1.29 ,5.39 ,,,,,1,0,1,1,1,1,20060825
67800,CPT,Remove eyelid lesion,,,21 ,,RBRVS,1.38 ,1.04 ,1.62 ,,,,,1,0,1,1,1,1,20060825
67801,CPT,Remove eyelid lesions,,,21 ,,RBRVS,1.88 ,1.26 ,1.97 ,,,,,1,0,1,1,1,1,20060825
67805,CPT,Remove eyelid lesions,,,21 ,,RBRVS,2.22 ,1.65 ,2.53 ,,,,,1,0,1,1,1,1,20060825
67808,CPT,Remove eyelid lesion(s),,,21 ,,RBRVS,3.79 ,3.78 ,3.78 ,,,,,1,0,1,1,1,1,20060825
67810,CPT,Biopsy of eyelid,,,21 ,,RBRVS,1.48 ,0.68 ,3.34 ,,,,,1,0,1,1,1,1,20060825
67820,CPT,Revise eyelashes,,,21 ,,RBRVS,0.89 ,0.56 ,0.60 ,,,,,1,0,1,1,1,1,20060825
67825,CPT,Revise eyelashes,,,21 ,,RBRVS,1.38 ,1.41 ,1.74 ,,,,,1,0,1,1,1,1,20060825
67830,CPT,Revise eyelashes,,,21 ,,RBRVS,1.70 ,1.50 ,5.55 ,,,,,1,0,1,1,1,1,20060825
67835,CPT,Revise eyelashes,,,21 ,,RBRVS,5.55 ,4.63 ,4.63 ,,,,,1,0,1,1,1,1,20060825
67840,CPT,Remove eyelid lesion,,,21 ,,RBRVS,2.04 ,1.65 ,5.49 ,,,,,1,0,1,1,1,1,20060825
67850,CPT,Treat eyelid lesion,,,21 ,,RBRVS,1.69 ,1.47 ,3.38 ,,,,,1,0,1,1,1,1,20060825
67875,CPT,Closure of eyelid by suture,,,21 ,,RBRVS,1.35 ,0.94 ,3.31 ,,,,,1,0,1,1,1,1,20060825
67880,CPT,Revision of eyelid,,,21 ,,RBRVS,3.79 ,3.81 ,6.63 ,,,,,1,0,1,1,1,1,20060825
67882,CPT,Revision of eyelid,,,21 ,,RBRVS,5.06 ,4.82 ,7.65 ,,,,,1,0,1,1,1,1,20060825
67900,CPT,Repair brow defect,,,21 ,,RBRVS,6.13 ,5.27 ,9.09 ,,,,,1,0,1,1,1,1,20060825
67901,CPT,Repair eyelid defect,,,21 ,,RBRVS,7.39 ,5.42 ,5.42 ,,,,,1,0,1,1,1,1,20060825
67902,CPT,Repair eyelid defect,,,21 ,,RBRVS,9.35 ,5.48 ,5.48 ,,,,,1,0,1,1,1,1,20060825
67903,CPT,Repair eyelid defect,,,21 ,,RBRVS,6.36 ,5.53 ,9.59 ,,,,,1,0,1,1,1,1,20060825
67904,CPT,Repair eyelid defect,,,21 ,,RBRVS,6.25 ,5.25 ,9.66 ,,,,,1,0,1,1,1,1,20060825
67906,CPT,Repair eyelid defect,,,21 ,,RBRVS,6.78 ,5.04 ,5.39 ,,,,,1,0,1,1,1,1,20060825
67908,CPT,Repair eyelid defect,,,21 ,,RBRVS,5.12 ,5.36 ,6.65 ,,,,,1,0,1,1,1,1,20060825
67909,CPT,Revise eyelid defect,,,21 ,,RBRVS,5.39 ,4.96 ,8.05 ,,,,,1,0,1,1,1,1,20060825
67911,CPT,Revise eyelid defect,,,21 ,,RBRVS,5.26 ,4.79 ,4.79 ,,,,,1,0,1,1,1,1,20060825
67912,CPT,Correction eyelid w/ implant,,,21 ,,RBRVS,5.67 ,5.55 ,18.98 ,,,,,1,0,1,1,1,1,20060825
67914,CPT,Repair eyelid defect,,,21 ,,RBRVS,3.67 ,3.06 ,6.36 ,,,,,1,0,1,1,1,1,20060825
67915,CPT,Repair eyelid defect,,,21 ,,RBRVS,3.18 ,2.81 ,6.00 ,,,,,1,0,1,1,1,1,20060825
67916,CPT,Repair eyelid defect,,,21 ,,RBRVS,5.30 ,4.77 ,8.07 ,,,,,1,0,1,1,1,1,20060825
67917,CPT,Repair eyelid defect,,,21 ,,RBRVS,6.01 ,5.08 ,8.48 ,,,,,1,0,1,1,1,1,20060825
67921,CPT,Repair eyelid defect,,,21 ,,RBRVS,3.39 ,2.90 ,6.21 ,,,,,1,0,1,1,1,1,20060825
67922,CPT,Repair eyelid defect,,,21 ,,RBRVS,3.06 ,2.76 ,5.93 ,,,,,1,0,1,1,1,1,20060825
67923,CPT,Repair eyelid defect,,,21 ,,RBRVS,5.87 ,4.98 ,8.14 ,,,,,1,0,1,1,1,1,20060825
67924,CPT,Repair eyelid defect,,,21 ,,RBRVS,5.78 ,4.69 ,8.95 ,,,,,1,0,1,1,1,1,20060825
67930,CPT,Repair eyelid wound,,,21 ,,RBRVS,3.60 ,2.18 ,5.73 ,,,,,1,0,1,1,1,1,20060825
67935,CPT,Repair eyelid wound,,,21 ,,RBRVS,6.21 ,4.42 ,8.54 ,,,,,1,0,1,1,1,1,20060825
67938,CPT,Remove eyelid foreign body,,,21 ,,RBRVS,1.33 ,1.26 ,5.40 ,,,,,1,0,1,1,1,1,20060825
67950,CPT,Revision of eyelid,,,21 ,,RBRVS,5.81 ,5.23 ,8.66 ,,,,,1,0,1,1,1,1,20060825
67961,CPT,Revision of eyelid,,,21 ,,RBRVS,5.68 ,5.04 ,8.71 ,,,,,1,0,1,1,1,1,20060825
67966,CPT,Revision of eyelid,,,21 ,,RBRVS,6.56 ,5.58 ,9.16 ,,,,,1,0,1,1,1,1,20060825
67971,CPT,Reconstruction of eyelid,,,21 ,,RBRVS,9.78 ,7.30 ,7.30 ,,,,,1,0,1,1,1,1,20060825
67973,CPT,Reconstruction of eyelid,,,21 ,,RBRVS,12.85 ,9.34 ,9.34 ,,,,,1,0,1,1,1,1,20060825
67974,CPT,Reconstruction of eyelid,,,21 ,,RBRVS,12.82 ,9.26 ,9.26 ,,,,,1,0,1,1,1,1,20060825
67975,CPT,Reconstruction of eyelid,,,21 ,,RBRVS,9.12 ,6.97 ,6.97 ,,,,,1,0,1,1,1,1,20060825
67999,CPT,Revision of eyelid,,,21 ,,TotalUnits,,,,4.70 ,,,,1,0,1,1,1,1,20060825
68020,CPT,Incise/drain eyelid lining,,,21 ,,RBRVS,1.37 ,1.21 ,1.41 ,,,,,1,0,1,1,1,1,20060825
68040,CPT,Treatment of eyelid lesions,,,21 ,,RBRVS,0.85 ,0.43 ,0.71 ,,,,,1,0,1,1,1,1,20060825
68100,CPT,Biopsy of eyelid lining,,,21 ,,RBRVS,1.35 ,0.95 ,3.26 ,,,,,1,0,1,1,1,1,20060825
68110,CPT,Remove eyelid lining lesion,,,21 ,,RBRVS,1.77 ,1.65 ,4.11 ,,,,,1,0,1,1,1,1,20060825
68115,CPT,Remove eyelid lining lesion,,,21 ,,RBRVS,2.36 ,1.92 ,5.98 ,,,,,1,0,1,1,1,1,20060825
68130,CPT,Remove eyelid lining lesion,,,21 ,,RBRVS,4.92 ,4.61 ,8.74 ,,,,,1,0,1,1,1,1,20060825
68135,CPT,Remove eyelid lining lesion,,,21 ,,RBRVS,1.84 ,1.65 ,1.82 ,,,,,1,0,1,1,1,1,20060825
68200,CPT,Treat eyelid by injection,,,21 ,,RBRVS,0.49 ,0.33 ,0.54 ,,,,,1,0,1,1,1,1,20060825
68320,CPT,Revise/graft eyelid lining,,,21 ,,RBRVS,5.36 ,5.54 ,11.31 ,,,,,1,0,1,1,1,1,20060825
68325,CPT,Revise/graft eyelid lining,,,21 ,,RBRVS,7.35 ,6.56 ,6.56 ,,,,,1,0,1,1,1,1,20060825
68326,CPT,Revise/graft eyelid lining,,,21 ,,RBRVS,7.14 ,6.43 ,6.43 ,,,,,1,0,1,1,1,1,20060825
68328,CPT,Revise/graft eyelid lining,,,21 ,,RBRVS,8.17 ,7.31 ,7.31 ,,,,,1,0,1,1,1,1,20060825
68330,CPT,Revise eyelid lining,,,21 ,,RBRVS,4.82 ,4.73 ,9.44 ,,,,,1,0,1,1,1,1,20060825
68335,CPT,Revise/graft eyelid lining,,,21 ,,RBRVS,7.18 ,6.40 ,6.40 ,,,,,1,0,1,1,1,1,20060825
68340,CPT,Separate eyelid adhesions,,,21 ,,RBRVS,4.16 ,4.11 ,8.90 ,,,,,1,0,1,1,1,1,20060825
68360,CPT,Revise eyelid lining,,,21 ,,RBRVS,4.36 ,4.19 ,8.06 ,,,,,1,0,1,1,1,1,20060825
68362,CPT,Revise eyelid lining,,,21 ,,RBRVS,7.33 ,6.42 ,6.42 ,,,,,1,0,1,1,1,1,20060825
68371,CPT,"Harvest eye tissue, alograft",,,21 ,,RBRVS,4.89 ,4.74 ,4.74 ,,,,,1,0,1,1,1,1,20060825
68399,CPT,Eyelid lining surgery,,,21 ,,TotalUnits,,,,4.00 ,,,,1,0,1,1,1,1,20060825
68400,CPT,Incise/drain tear gland,,,21 ,,RBRVS,1.69 ,1.83 ,5.92 ,,,,,1,0,1,1,1,1,20060825
68420,CPT,Incise/drain tear sac,,,21 ,,RBRVS,2.30 ,2.11 ,6.21 ,,,,,1,0,1,1,1,1,20060825
68440,CPT,Incise tear duct opening,,,21 ,,RBRVS,0.94 ,1.27 ,2.09 ,,,,,1,0,1,1,1,1,20060825
68500,CPT,Removal of tear gland,,,21 ,,RBRVS,11.00 ,9.76 ,9.76 ,,,,,1,0,1,1,1,1,20060825
68505,CPT,"Partial removal, tear gland",,,21 ,,RBRVS,10.92 ,10.68 ,10.68 ,,,,,1,0,1,1,1,1,20060825
68510,CPT,Biopsy of tear gland,,,21 ,,RBRVS,4.60 ,2.10 ,7.35 ,,,,,1,0,1,1,1,1,20060825
68520,CPT,Removal of tear sac,,,21 ,,RBRVS,7.50 ,7.44 ,7.44 ,,,,,1,0,1,1,1,1,20060825
68525,CPT,Biopsy of tear sac,,,21 ,,RBRVS,4.42 ,2.03 ,2.03 ,,,,,1,0,1,1,1,1,20060825
68530,CPT,Clearance of tear duct,,,21 ,,RBRVS,3.65 ,2.65 ,8.19 ,,,,,1,0,1,1,1,1,20060825
68540,CPT,Remove tear gland lesion,,,21 ,,RBRVS,10.58 ,9.42 ,9.42 ,,,,,1,0,1,1,1,1,20060825
68550,CPT,Remove tear gland lesion,,,21 ,,RBRVS,13.24 ,11.38 ,11.38 ,,,,,1,0,1,1,1,1,20060825
68700,CPT,Repair tear ducts,,,21 ,,RBRVS,6.59 ,6.00 ,6.00 ,,,,,1,0,1,1,1,1,20060825
68705,CPT,Revise tear duct opening,,,21 ,,RBRVS,2.06 ,1.80 ,4.18 ,,,,,1,0,1,1,1,1,20060825
68720,CPT,Create tear sac drain,,,21 ,,RBRVS,8.95 ,7.88 ,7.88 ,,,,,1,0,1,1,1,1,20060825
68745,CPT,Create tear duct drain,,,21 ,,RBRVS,8.62 ,7.88 ,7.88 ,,,,,1,0,1,1,1,1,20060825
68750,CPT,Create tear duct drain,,,21 ,,RBRVS,8.65 ,8.29 ,8.29 ,,,,,1,0,1,1,1,1,20060825
68760,CPT,Close tear duct opening,,,21 ,,RBRVS,1.73 ,1.63 ,3.55 ,,,,,1,0,1,1,1,1,20060825
68761,CPT,Close tear duct opening,,,21 ,,RBRVS,1.36 ,1.32 ,2.28 ,,,,,1,0,1,1,1,1,20060825
68770,CPT,Close tear system fistula,,,21 ,,RBRVS,7.01 ,3.19 ,3.19 ,,,,,1,0,1,1,1,1,20060825
68801,CPT,Dilate tear duct opening,,,21 ,,RBRVS,0.94 ,1.48 ,1.95 ,,,,,1,0,1,1,1,1,20060825
68810,CPT,Probe nasolacrimal duct,,,21 ,,RBRVS,1.90 ,2.68 ,3.67 ,,,,,1,0,1,1,1,1,20060825
68811,CPT,Probe nasolacrimal duct,,,21 ,,RBRVS,2.35 ,2.42 ,2.42 ,,,,,1,0,1,1,1,1,20060825
68815,CPT,Probe nasolacrimal duct,,,21 ,,RBRVS,3.20 ,2.82 ,8.26 ,,,,,1,0,1,1,1,1,20060825
68840,CPT,Explore/irrigate tear ducts,,,21 ,,RBRVS,1.25 ,1.12 ,1.60 ,,,,,1,0,1,1,1,1,20060825
68850,CPT,Injection for tear sac x-ray,,,21 ,,RBRVS,0.80 ,0.68 ,0.88 ,,,,,1,0,1,1,1,1,20060825
68899,CPT,Tear duct system surgery,,,21 ,,TotalUnits,,,,4.65 ,,,,1,0,1,1,1,1,20060825
69000,CPT,Drain external ear lesion,,,21 ,,RBRVS,1.45 ,1.36 ,2.89 ,,,,,1,0,1,1,1,1,20060825
69005,CPT,Drain external ear lesion,,,21 ,,RBRVS,2.11 ,1.84 ,2.94 ,,,,,1,0,1,1,1,1,20060825
69020,CPT,Drain outer ear canal lesion,,,21 ,,RBRVS,1.48 ,2.07 ,4.00 ,,,,,1,0,1,1,1,1,20060825
69090,CPT,Pierce earlobes,,,21 ,,TotalUnits,,,,0.71 ,,,,1,0,1,1,1,1,20060825
69100,CPT,Biopsy of external ear,,,21 ,,RBRVS,0.81 ,0.39 ,1.71 ,,,,,1,0,1,1,1,1,20060825
69105,CPT,Biopsy of external ear canal,,,21 ,,RBRVS,0.85 ,0.77 ,2.35 ,,,,,1,0,1,1,1,1,20060825
69110,CPT,"Remove external ear, partial",,,21 ,,RBRVS,3.43 ,4.48 ,6.76 ,,,,,1,0,1,1,1,1,20060825
69120,CPT,Removal of external ear,,,21 ,,RBRVS,4.04 ,6.20 ,6.20 ,,,,,1,0,1,1,1,1,20060825
69140,CPT,Remove ear canal lesion(s),,,21 ,,RBRVS,7.96 ,13.32 ,13.32 ,,,,,1,0,1,1,1,1,20060825
69145,CPT,Remove ear canal lesion(s),,,21 ,,RBRVS,2.62 ,3.31 ,5.80 ,,,,,1,0,1,1,1,1,20060825
69150,CPT,Extensive ear canal surgery,,,21 ,,RBRVS,13.41 ,13.44 ,13.44 ,,,,,1,0,1,1,1,1,20060825
69155,CPT,Extensive ear/neck surgery,,,21 ,,RBRVS,20.77 ,19.60 ,19.60 ,,,,,1,0,1,1,1,1,20060825
69200,CPT,Clear outer ear canal,,,21 ,,RBRVS,0.77 ,0.55 ,2.39 ,,,,,1,0,1,1,1,1,20060825
69205,CPT,Clear outer ear canal,,,21 ,,RBRVS,1.20 ,1.36 ,1.36 ,,,,,1,0,1,1,1,1,20060825
69210,CPT,Remove impacted ear wax,,,21 ,,RBRVS,0.61 ,0.23 ,0.63 ,,,,,1,0,1,1,1,1,20060825
69220,CPT,Clean out mastoid cavity,,,21 ,,RBRVS,0.83 ,0.73 ,2.37 ,,,,,1,0,1,1,1,1,20060825
69222,CPT,Clean out mastoid cavity,,,21 ,,RBRVS,1.40 ,2.07 ,3.86 ,,,,,1,0,1,1,1,1,20060825
69300,CPT,Revise external ear,,,21 ,,RBRVS,6.35 ,4.23 ,4.23 ,,,,,1,0,1,1,1,1,20060825
69310,CPT,Rebuild outer ear canal,,,21 ,,RBRVS,10.77 ,16.33 ,16.33 ,,,,,1,0,1,1,1,1,20060825
69320,CPT,Rebuild outer ear canal,,,21 ,,RBRVS,16.93 ,21.90 ,21.90 ,,,,,1,0,1,1,1,1,20060825
69399,CPT,Outer ear surgery procedure,,,21 ,,TotalUnits,,,,1.21 ,,,,1,0,1,1,1,1,20060825
69400,CPT,Inflate middle ear canal,,,21 ,,RBRVS,0.83 ,0.67 ,2.17 ,,,,,1,0,1,1,1,1,20060825
69401,CPT,Inflate middle ear canal,,,21 ,,RBRVS,0.63 ,0.65 ,1.24 ,,,,,1,0,1,1,1,1,20060825
69405,CPT,Catheterize middle ear canal,,,21 ,,RBRVS,2.63 ,2.32 ,3.51 ,,,,,1,0,1,1,1,1,20060825
69420,CPT,Incision of eardrum,,,21 ,,RBRVS,1.33 ,1.59 ,3.16 ,,,,,1,0,1,1,1,1,20060825
69421,CPT,Incision of eardrum,,,21 ,,RBRVS,1.73 ,2.17 ,2.17 ,,,,,1,0,1,1,1,1,20060825
69424,CPT,Remove ventilating tube,,,21 ,,RBRVS,0.85 ,0.68 ,2.19 ,,,,,1,0,1,1,1,1,20060825
69433,CPT,Create eardrum opening,,,21 ,,RBRVS,1.52 ,1.64 ,3.10 ,,,,,1,0,1,1,1,1,20060825
69436,CPT,Create eardrum opening,,,21 ,,RBRVS,1.96 ,2.30 ,2.30 ,,,,,1,0,1,1,1,1,20060825
69440,CPT,Exploration of middle ear,,,21 ,,RBRVS,7.56 ,8.80 ,8.80 ,,,,,1,0,1,1,1,1,20060825
69450,CPT,Eardrum revision,,,21 ,,RBRVS,5.56 ,7.05 ,7.05 ,,,,,1,0,1,1,1,1,20060825
69501,CPT,Mastoidectomy,,,21 ,,RBRVS,9.06 ,9.03 ,9.03 ,,,,,1,0,1,1,1,1,20060825
69502,CPT,Mastoidectomy,,,21 ,,RBRVS,12.36 ,11.62 ,11.62 ,,,,,1,0,1,1,1,1,20060825
69505,CPT,Remove mastoid structures,,,21 ,,RBRVS,12.97 ,17.24 ,17.24 ,,,,,1,0,1,1,1,1,20060825
69511,CPT,Extensive mastoid surgery,,,21 ,,RBRVS,13.50 ,17.52 ,17.52 ,,,,,1,0,1,1,1,1,20060825
69530,CPT,Extensive mastoid surgery,,,21 ,,RBRVS,19.16 ,21.69 ,21.69 ,,,,,1,0,1,1,1,1,20060825
69535,CPT,Remove part of temporal bone,,,21 ,,RBRVS,36.09 ,32.05 ,32.05 ,,,,,1,0,1,1,1,1,20060825
69540,CPT,Remove ear lesion,,,21 ,,RBRVS,1.20 ,1.98 ,3.75 ,,,,,1,0,1,1,1,1,20060825
69550,CPT,Remove ear lesion,,,21 ,,RBRVS,10.97 ,14.90 ,14.90 ,,,,,1,0,1,1,1,1,20060825
69552,CPT,Remove ear lesion,,,21 ,,RBRVS,19.43 ,20.73 ,20.73 ,,,,,1,0,1,1,1,1,20060825
69554,CPT,Remove ear lesion,,,21 ,,RBRVS,33.11 ,30.42 ,30.42 ,,,,,1,0,1,1,1,1,20060825
69601,CPT,Mastoid surgery revision,,,21 ,,RBRVS,13.22 ,12.71 ,12.71 ,,,,,1,0,1,1,1,1,20060825
69602,CPT,Mastoid surgery revision,,,21 ,,RBRVS,13.56 ,13.27 ,13.27 ,,,,,1,0,1,1,1,1,20060825
69603,CPT,Mastoid surgery revision,,,21 ,,RBRVS,14.00 ,18.41 ,18.41 ,,,,,1,0,1,1,1,1,20060825
69604,CPT,Mastoid surgery revision,,,21 ,,RBRVS,14.00 ,13.73 ,13.73 ,,,,,1,0,1,1,1,1,20060825
69605,CPT,Mastoid surgery revision,,,21 ,,RBRVS,18.46 ,21.01 ,21.01 ,,,,,1,0,1,1,1,1,20060825
69610,CPT,Repair of eardrum,,,21 ,,RBRVS,4.42 ,3.28 ,5.57 ,,,,,1,0,1,1,1,1,20060825
69620,CPT,Repair of eardrum,,,21 ,,RBRVS,5.88 ,6.31 ,11.15 ,,,,,1,0,1,1,1,1,20060825
69631,CPT,Repair eardrum structures,,,21 ,,RBRVS,9.85 ,11.23 ,11.23 ,,,,,1,0,1,1,1,1,20060825
69632,CPT,Rebuild eardrum structures,,,21 ,,RBRVS,12.73 ,13.51 ,13.51 ,,,,,1,0,1,1,1,1,20060825
69633,CPT,Rebuild eardrum structures,,,21 ,,RBRVS,12.08 ,13.09 ,13.09 ,,,,,1,0,1,1,1,1,20060825
69635,CPT,Repair eardrum structures,,,21 ,,RBRVS,13.31 ,16.79 ,16.79 ,,,,,1,0,1,1,1,1,20060825
69636,CPT,Rebuild eardrum structures,,,21 ,,RBRVS,15.20 ,19.36 ,19.36 ,,,,,1,0,1,1,1,1,20060825
69637,CPT,Rebuild eardrum structures,,,21 ,,RBRVS,15.09 ,19.28 ,19.28 ,,,,,1,0,1,1,1,1,20060825
69641,CPT,Revise middle ear & mastoid,,,21 ,,RBRVS,12.69 ,12.82 ,12.82 ,,,,,1,0,1,1,1,1,20060825
69642,CPT,Revise middle ear & mastoid,,,21 ,,RBRVS,16.81 ,16.33 ,16.33 ,,,,,1,0,1,1,1,1,20060825
69643,CPT,Revise middle ear & mastoid,,,21 ,,RBRVS,15.30 ,14.86 ,14.86 ,,,,,1,0,1,1,1,1,20060825
69644,CPT,Revise middle ear & mastoid,,,21 ,,RBRVS,16.94 ,20.46 ,20.46 ,,,,,1,0,1,1,1,1,20060825
69645,CPT,Revise middle ear & mastoid,,,21 ,,RBRVS,16.36 ,20.08 ,20.08 ,,,,,1,0,1,1,1,1,20060825
69646,CPT,Revise middle ear & mastoid,,,21 ,,RBRVS,17.96 ,20.82 ,20.82 ,,,,,1,0,1,1,1,1,20060825
69650,CPT,Release middle ear bone,,,21 ,,RBRVS,9.65 ,9.94 ,9.94 ,,,,,1,0,1,1,1,1,20060825
69660,CPT,Revise middle ear bone,,,21 ,,RBRVS,11.88 ,11.21 ,11.21 ,,,,,1,0,1,1,1,1,20060825
69661,CPT,Revise middle ear bone,,,21 ,,RBRVS,15.72 ,14.74 ,14.74 ,,,,,1,0,1,1,1,1,20060825
69662,CPT,Revise middle ear bone,,,21 ,,RBRVS,15.42 ,13.79 ,13.79 ,,,,,1,0,1,1,1,1,20060825
69666,CPT,Repair middle ear structures,,,21 ,,RBRVS,9.74 ,10.00 ,10.00 ,,,,,1,0,1,1,1,1,20060825
69667,CPT,Repair middle ear structures,,,21 ,,RBRVS,9.75 ,10.01 ,10.01 ,,,,,1,0,1,1,1,1,20060825
69670,CPT,Remove mastoid air cells,,,21 ,,RBRVS,11.49 ,11.74 ,11.74 ,,,,,1,0,1,1,1,1,20060825
69676,CPT,Remove middle ear nerve,,,21 ,,RBRVS,9.51 ,10.78 ,10.78 ,,,,,1,0,1,1,1,1,20060825
69700,CPT,Close mastoid fistula,,,21 ,,RBRVS,8.22 ,9.27 ,9.27 ,,,,,1,0,1,1,1,1,20060825
69710,CPT,Implant/replace hearing aid,,,21 ,,TotalUnits,,,,18.06 ,,,,1,0,1,1,1,1,20060825
69711,CPT,Remove/repair hearing aid,,,21 ,,RBRVS,10.42 ,10.82 ,10.82 ,,,,,1,0,1,1,1,1,20060825
69714,CPT,Implant temple bone w/stimul,,,21 ,,RBRVS,13.98 ,12.70 ,12.70 ,,,,,1,0,1,1,1,1,20060825
69715,CPT,Temple bne implnt w/stimulat,,,21 ,,RBRVS,18.22 ,15.07 ,15.07 ,,,,,1,0,1,1,1,1,20060825
69717,CPT,Temple bone implant revision,,,21 ,,RBRVS,14.96 ,14.51 ,14.51 ,,,,,1,0,1,1,1,1,20060825
69718,CPT,Revise temple bone implant,,,21 ,,RBRVS,18.47 ,15.34 ,15.34 ,,,,,1,0,1,1,1,1,20060825
69720,CPT,Release facial nerve,,,21 ,,RBRVS,14.36 ,14.56 ,14.56 ,,,,,1,0,1,1,1,1,20060825
69725,CPT,Release facial nerve,,,21 ,,RBRVS,25.34 ,20.19 ,20.19 ,,,,,1,0,1,1,1,1,20060825
69740,CPT,Repair facial nerve,,,21 ,,RBRVS,15.94 ,13.45 ,13.45 ,,,,,1,0,1,1,1,1,20060825
69745,CPT,Repair facial nerve,,,21 ,,RBRVS,16.66 ,15.01 ,15.01 ,,,,,1,0,1,1,1,1,20060825
69799,CPT,Middle ear surgery procedure,,,21 ,,TotalUnits,,,,4.18 ,,,,1,0,1,1,1,1,20060825
69801,CPT,Incise inner ear,,,21 ,,RBRVS,8.55 ,9.49 ,9.49 ,,,,,1,0,1,1,1,1,20060825
69802,CPT,Incise inner ear,,,21 ,,RBRVS,13.08 ,12.36 ,12.36 ,,,,,1,0,1,1,1,1,20060825
69805,CPT,Explore inner ear,,,21 ,,RBRVS,13.80 ,11.91 ,11.91 ,,,,,1,0,1,1,1,1,20060825
69806,CPT,Explore inner ear,,,21 ,,RBRVS,12.33 ,11.07 ,11.07 ,,,,,1,0,1,1,1,1,20060825
69820,CPT,Establish inner ear window,,,21 ,,RBRVS,10.32 ,11.25 ,11.25 ,,,,,1,0,1,1,1,1,20060825
69840,CPT,Revise inner ear window,,,21 ,,RBRVS,10.24 ,13.21 ,13.21 ,,,,,1,0,1,1,1,1,20060825
69905,CPT,Remove inner ear,,,21 ,,RBRVS,11.08 ,11.38 ,11.38 ,,,,,1,0,1,1,1,1,20060825
69910,CPT,Remove inner ear & mastoid,,,21 ,,RBRVS,13.61 ,11.95 ,11.95 ,,,,,1,0,1,1,1,1,20060825
69915,CPT,Incise inner ear nerve,,,21 ,,RBRVS,21.20 ,16.51 ,16.51 ,,,,,1,0,1,1,1,1,20060825
69930,CPT,Implant cochlear device,,,21 ,,RBRVS,16.78 ,14.79 ,14.79 ,,,,,1,0,1,1,1,1,20060825
69949,CPT,Inner ear surgery procedure,,,21 ,,TotalUnits,,,,21.50 ,,,,1,0,1,1,1,1,20060825
69950,CPT,Incise inner ear nerve,,,21 ,,RBRVS,25.60 ,18.95 ,18.95 ,,,,,1,0,1,1,1,1,20060825
69955,CPT,Release facial nerve,,,21 ,,RBRVS,27.00 ,21.44 ,21.44 ,,,,,1,0,1,1,1,1,20060825
69960,CPT,Release inner ear canal,,,21 ,,RBRVS,27.00 ,20.11 ,20.11 ,,,,,1,0,1,1,1,1,20060825
69970,CPT,Remove inner ear lesion,,,21 ,,RBRVS,29.99 ,23.34 ,23.34 ,,,,,1,0,1,1,1,1,20060825
69979,CPT,Temporal bone surgery,,,21 ,,TotalUnits,,,,41.64 ,,,,1,0,1,1,1,1,20060825
69990,CPT,Microsurgery add-on,,,21 ,,RBRVS,3.46 ,1.80 ,1.80 ,,,,,1,0,1,1,1,1,20060825
70010,CPT,Contrast x-ray of brain,TC,,20 ,,RBRVS,0.00 ,4.34 ,4.34 ,,,,,1,1,1,0,1,1,20060825
70010,CPT,Contrast x-ray of brain,26,,20 ,,RBRVS,1.19 ,0.39 ,0.39 ,,,,,1,0,1,1,1,1,20060825
70015,CPT,Contrast x-ray of brain,TC,,20 ,,RBRVS,0.00 ,1.35 ,1.35 ,,,,,1,1,1,0,1,1,20060825
70015,CPT,Contrast x-ray of brain,26,,20 ,,RBRVS,1.19 ,0.39 ,0.39 ,,,,,1,0,1,1,1,1,20060825
70030,CPT,X-ray eye for foreign body,TC,,20 ,,RBRVS,0.00 ,0.42 ,0.42 ,,,,,1,1,1,0,1,1,20060825
70030,CPT,X-ray eye for foreign body,26,,20 ,,RBRVS,0.17 ,0.06 ,0.06 ,,,,,1,0,1,1,1,1,20060825
70100,CPT,X-ray exam of jaw,TC,,20 ,,RBRVS,0.00 ,0.52 ,0.52 ,,,,,1,1,1,0,1,1,20060825
70100,CPT,X-ray exam of jaw,26,,20 ,,RBRVS,0.18 ,0.06 ,0.06 ,,,,,1,0,1,1,1,1,20060825
70110,CPT,X-ray exam of jaw,TC,,20 ,,RBRVS,0.00 ,0.62 ,0.62 ,,,,,1,1,1,0,1,1,20060825
70110,CPT,X-ray exam of jaw,26,,20 ,,RBRVS,0.25 ,0.08 ,0.08 ,,,,,1,0,1,1,1,1,20060825
70120,CPT,X-ray exam of mastoids,TC,,20 ,,RBRVS,0.00 ,0.62 ,0.62 ,,,,,1,1,1,0,1,1,20060825
70120,CPT,X-ray exam of mastoids,26,,20 ,,RBRVS,0.18 ,0.06 ,0.06 ,,,,,1,0,1,1,1,1,20060825
70130,CPT,X-ray exam of mastoids,TC,,20 ,,RBRVS,0.00 ,0.78 ,0.78 ,,,,,1,1,1,0,1,1,20060825
70130,CPT,X-ray exam of mastoids,26,,20 ,,RBRVS,0.34 ,0.11 ,0.11 ,,,,,1,0,1,1,1,1,20060825
70134,CPT,X-ray exam of middle ear,TC,,20 ,,RBRVS,0.00 ,0.73 ,0.73 ,,,,,1,1,1,0,1,1,20060825
70134,CPT,X-ray exam of middle ear,26,,20 ,,RBRVS,0.34 ,0.11 ,0.11 ,,,,,1,0,1,1,1,1,20060825
70140,CPT,X-ray exam of facial bones,TC,,20 ,,RBRVS,0.00 ,0.62 ,0.62 ,,,,,1,1,1,0,1,1,20060825
70140,CPT,X-ray exam of facial bones,26,,20 ,,RBRVS,0.19 ,0.06 ,0.06 ,,,,,1,0,1,1,1,1,20060825
70150,CPT,X-ray exam of facial bones,TC,,20 ,,RBRVS,0.00 ,0.78 ,0.78 ,,,,,1,1,1,0,1,1,20060825
70150,CPT,X-ray exam of facial bones,26,,20 ,,RBRVS,0.26 ,0.08 ,0.08 ,,,,,1,0,1,1,1,1,20060825
70160,CPT,X-ray exam of nasal bones,TC,,20 ,,RBRVS,0.00 ,0.52 ,0.52 ,,,,,1,1,1,0,1,1,20060825
70160,CPT,X-ray exam of nasal bones,26,,20 ,,RBRVS,0.17 ,0.06 ,0.06 ,,,,,1,0,1,1,1,1,20060825
70170,CPT,X-ray exam of tear duct,TC,,20 ,,RBRVS,0.00 ,0.95 ,0.95 ,,,,,1,1,1,0,1,1,20060825
70170,CPT,X-ray exam of tear duct,26,,20 ,,RBRVS,0.30 ,0.10 ,0.10 ,,,,,1,0,1,1,1,1,20060825
70190,CPT,X-ray exam of eye sockets,TC,,20 ,,RBRVS,0.00 ,0.62 ,0.62 ,,,,,1,1,1,0,1,1,20060825
70190,CPT,X-ray exam of eye sockets,26,,20 ,,RBRVS,0.21 ,0.07 ,0.07 ,,,,,1,0,1,1,1,1,20060825
70200,CPT,X-ray exam of eye sockets,TC,,20 ,,RBRVS,0.00 ,0.78 ,0.78 ,,,,,1,1,1,0,1,1,20060825
70200,CPT,X-ray exam of eye sockets,26,,20 ,,RBRVS,0.28 ,0.09 ,0.09 ,,,,,1,0,1,1,1,1,20060825
70210,CPT,X-ray exam of sinuses,TC,,20 ,,RBRVS,0.00 ,0.62 ,0.62 ,,,,,1,1,1,0,1,1,20060825
70210,CPT,X-ray exam of sinuses,26,,20 ,,RBRVS,0.17 ,0.06 ,0.06 ,,,,,1,0,1,1,1,1,20060825
70220,CPT,X-ray exam of sinuses,TC,,20 ,,RBRVS,0.00 ,0.78 ,0.78 ,,,,,1,1,1,0,1,1,20060825
70220,CPT,X-ray exam of sinuses,26,,20 ,,RBRVS,0.25 ,0.08 ,0.08 ,,,,,1,0,1,1,1,1,20060825
70240,CPT,"X-ray exam, pituitary saddle",TC,,20 ,,RBRVS,0.00 ,0.42 ,0.42 ,,,,,1,1,1,0,1,1,20060825
70240,CPT,"X-ray exam, pituitary saddle",26,,20 ,,RBRVS,0.19 ,0.06 ,0.06 ,,,,,1,0,1,1,1,1,20060825
70250,CPT,X-ray exam of skull,TC,,20 ,,RBRVS,0.00 ,0.62 ,0.62 ,,,,,1,1,1,0,1,1,20060825
70250,CPT,X-ray exam of skull,26,,20 ,,RBRVS,0.24 ,0.08 ,0.08 ,,,,,1,0,1,1,1,1,20060825
70260,CPT,X-ray exam of skull,TC,,20 ,,RBRVS,0.00 ,0.89 ,0.89 ,,,,,1,1,1,0,1,1,20060825
70260,CPT,X-ray exam of skull,26,,20 ,,RBRVS,0.34 ,0.11 ,0.11 ,,,,,1,0,1,1,1,1,20060825
70300,CPT,X-ray exam of teeth,TC,,20 ,,RBRVS,0.00 ,0.26 ,0.26 ,,,,,1,1,1,0,1,1,20060825
70300,CPT,X-ray exam of teeth,26,,20 ,,RBRVS,0.10 ,0.05 ,0.05 ,,,,,1,0,1,1,1,1,20060825
70310,CPT,X-ray exam of teeth,TC,,20 ,,RBRVS,0.00 ,0.42 ,0.42 ,,,,,1,1,1,0,1,1,20060825
70310,CPT,X-ray exam of teeth,26,,20 ,,RBRVS,0.16 ,0.08 ,0.08 ,,,,,1,0,1,1,1,1,20060825
70320,CPT,Full mouth x-ray of teeth,TC,,20 ,,RBRVS,0.00 ,0.78 ,0.78 ,,,,,1,1,1,0,1,1,20060825
70320,CPT,Full mouth x-ray of teeth,26,,20 ,,RBRVS,0.22 ,0.08 ,0.08 ,,,,,1,0,1,1,1,1,20060825
70328,CPT,X-ray exam of jaw joint,TC,,20 ,,RBRVS,0.00 ,0.49 ,0.49 ,,,,,1,1,1,0,1,1,20060825
70328,CPT,X-ray exam of jaw joint,26,,20 ,,RBRVS,0.18 ,0.06 ,0.06 ,,,,,1,0,1,1,1,1,20060825
70330,CPT,X-ray exam of jaw joints,TC,,20 ,,RBRVS,0.00 ,0.84 ,0.84 ,,,,,1,1,1,0,1,1,20060825
70330,CPT,X-ray exam of jaw joints,26,,20 ,,RBRVS,0.24 ,0.08 ,0.08 ,,,,,1,0,1,1,1,1,20060825
70332,CPT,X-ray exam of jaw joint,TC,,20 ,,RBRVS,0.00 ,2.11 ,2.11 ,,,,,1,1,1,0,1,1,20060825
70332,CPT,X-ray exam of jaw joint,26,,20 ,,RBRVS,0.54 ,0.20 ,0.20 ,,,,,1,0,1,1,1,1,20060825
70336,CPT,"Magnetic image, jaw joint",TC,,20 ,,RBRVS,0.00 ,11.23 ,11.23 ,,,,,1,1,1,0,1,1,20060825
70336,CPT,"Magnetic image, jaw joint",26,,20 ,,RBRVS,1.48 ,0.49 ,0.49 ,,,,,1,0,1,1,1,1,20060825
70350,CPT,X-ray head for orthodontia,TC,,20 ,,RBRVS,0.00 ,0.38 ,0.38 ,,,,,1,1,1,0,1,1,20060825
70350,CPT,X-ray head for orthodontia,26,,20 ,,RBRVS,0.17 ,0.07 ,0.07 ,,,,,1,0,1,1,1,1,20060825
70355,CPT,Panoramic x-ray of jaws,TC,,20 ,,RBRVS,0.00 ,0.57 ,0.57 ,,,,,1,1,1,0,1,1,20060825
70355,CPT,Panoramic x-ray of jaws,26,,20 ,,RBRVS,0.20 ,0.07 ,0.07 ,,,,,1,0,1,1,1,1,20060825
70360,CPT,X-ray exam of neck,TC,,20 ,,RBRVS,0.00 ,0.42 ,0.42 ,,,,,1,1,1,0,1,1,20060825
70360,CPT,X-ray exam of neck,26,,20 ,,RBRVS,0.17 ,0.06 ,0.06 ,,,,,1,0,1,1,1,1,20060825
70370,CPT,Throat x-ray & fluoroscopy,TC,,20 ,,RBRVS,0.00 ,1.31 ,1.31 ,,,,,1,1,1,0,1,1,20060825
70370,CPT,Throat x-ray & fluoroscopy,26,,20 ,,RBRVS,0.32 ,0.10 ,0.10 ,,,,,1,0,1,1,1,1,20060825
70371,CPT,"Speech evaluation, complex",TC,,20 ,,RBRVS,0.00 ,2.11 ,2.11 ,,,,,1,1,1,0,1,1,20060825
70371,CPT,"Speech evaluation, complex",26,,20 ,,RBRVS,0.84 ,0.28 ,0.28 ,,,,,1,0,1,1,1,1,20060825
70373,CPT,Contrast x-ray of larynx,TC,,20 ,,RBRVS,0.00 ,1.79 ,1.79 ,,,,,1,1,1,0,1,1,20060825
70373,CPT,Contrast x-ray of larynx,26,,20 ,,RBRVS,0.44 ,0.14 ,0.14 ,,,,,1,0,1,1,1,1,20060825
70380,CPT,X-ray exam of salivary gland,TC,,20 ,,RBRVS,0.00 ,0.67 ,0.67 ,,,,,1,1,1,0,1,1,20060825
70380,CPT,X-ray exam of salivary gland,26,,20 ,,RBRVS,0.17 ,0.06 ,0.06 ,,,,,1,0,1,1,1,1,20060825
70390,CPT,X-ray exam of salivary duct,TC,,20 ,,RBRVS,0.00 ,1.79 ,1.79 ,,,,,1,1,1,0,1,1,20060825
70390,CPT,X-ray exam of salivary duct,26,,20 ,,RBRVS,0.38 ,0.12 ,0.12 ,,,,,1,0,1,1,1,1,20060825
70450,CPT,Ct head/brain w/o dye,TC,,20 ,,RBRVS,0.00 ,4.73 ,4.73 ,,,,,1,1,1,0,1,1,20060825
70450,CPT,Ct head/brain w/o dye,26,,20 ,,RBRVS,0.85 ,0.28 ,0.28 ,,,,,1,0,1,1,1,1,20060825
70460,CPT,Ct head/brain w/dye,TC,,20 ,,RBRVS,0.00 ,5.68 ,5.68 ,,,,,1,1,1,0,1,1,20060825
70460,CPT,Ct head/brain w/dye,26,,20 ,,RBRVS,1.13 ,0.37 ,0.37 ,,,,,1,0,1,1,1,1,20060825
70470,CPT,Ct head/brain w/o&w dye,TC,,20 ,,RBRVS,0.00 ,7.09 ,7.09 ,,,,,1,1,1,0,1,1,20060825
70470,CPT,Ct head/brain w/o&w dye,26,,20 ,,RBRVS,1.27 ,0.42 ,0.42 ,,,,,1,0,1,1,1,1,20060825
70480,CPT,Ct orbit/ear/fossa w/o dye,TC,,20 ,,RBRVS,0.00 ,4.73 ,4.73 ,,,,,1,1,1,0,1,1,20060825
70480,CPT,Ct orbit/ear/fossa w/o dye,26,,20 ,,RBRVS,1.28 ,0.42 ,0.42 ,,,,,1,0,1,1,1,1,20060825
70481,CPT,Ct orbit/ear/fossa w/dye,TC,,20 ,,RBRVS,0.00 ,5.68 ,5.68 ,,,,,1,1,1,0,1,1,20060825
70481,CPT,Ct orbit/ear/fossa w/dye,26,,20 ,,RBRVS,1.38 ,0.45 ,0.45 ,,,,,1,0,1,1,1,1,20060825
70482,CPT,Ct orbit/ear/fossa w/o&w dye,TC,,20 ,,RBRVS,0.00 ,7.09 ,7.09 ,,,,,1,1,1,0,1,1,20060825
70482,CPT,Ct orbit/ear/fossa w/o&w dye,26,,20 ,,RBRVS,1.45 ,0.48 ,0.48 ,,,,,1,0,1,1,1,1,20060825
70486,CPT,Ct maxillofacial w/o dye,TC,,20 ,,RBRVS,0.00 ,4.73 ,4.73 ,,,,,1,1,1,0,1,1,20060825
70486,CPT,Ct maxillofacial w/o dye,26,,20 ,,RBRVS,1.14 ,0.37 ,0.37 ,,,,,1,0,1,1,1,1,20060825
70487,CPT,Ct maxillofacial w/dye,TC,,20 ,,RBRVS,0.00 ,5.68 ,5.68 ,,,,,1,1,1,0,1,1,20060825
70487,CPT,Ct maxillofacial w/dye,26,,20 ,,RBRVS,1.30 ,0.43 ,0.43 ,,,,,1,0,1,1,1,1,20060825
70488,CPT,Ct maxillofacial w/o&w dye,TC,,20 ,,RBRVS,0.00 ,7.09 ,7.09 ,,,,,1,1,1,0,1,1,20060825
70488,CPT,Ct maxillofacial w/o&w dye,26,,20 ,,RBRVS,1.42 ,0.46 ,0.46 ,,,,,1,0,1,1,1,1,20060825
70490,CPT,Ct soft tissue neck w/o dye,TC,,20 ,,RBRVS,0.00 ,4.73 ,4.73 ,,,,,1,1,1,0,1,1,20060825
70490,CPT,Ct soft tissue neck w/o dye,26,,20 ,,RBRVS,1.28 ,0.42 ,0.42 ,,,,,1,0,1,1,1,1,20060825
70491,CPT,Ct soft tissue neck w/dye,TC,,20 ,,RBRVS,0.00 ,5.68 ,5.68 ,,,,,1,1,1,0,1,1,20060825
70491,CPT,Ct soft tissue neck w/dye,26,,20 ,,RBRVS,1.38 ,0.45 ,0.45 ,,,,,1,0,1,1,1,1,20060825
70492,CPT,Ct sft tsue nck w/o & w/dye,TC,,20 ,,RBRVS,0.00 ,7.09 ,7.09 ,,,,,1,1,1,0,1,1,20060825
70492,CPT,Ct sft tsue nck w/o & w/dye,26,,20 ,,RBRVS,1.45 ,0.47 ,0.47 ,,,,,1,0,1,1,1,1,20060825
70496,CPT,"Ct angiography, head",TC,,20 ,,RBRVS,0.00 ,10.63 ,10.63 ,,,,,1,1,1,0,1,1,20060825
70496,CPT,"Ct angiography, head",26,,20 ,,RBRVS,1.75 ,0.57 ,0.57 ,,,,,1,0,1,1,1,1,20060825
70498,CPT,"Ct angiography, neck",TC,,20 ,,RBRVS,0.00 ,10.63 ,10.63 ,,,,,1,1,1,0,1,1,20060825
70498,CPT,"Ct angiography, neck",26,,20 ,,RBRVS,1.75 ,0.57 ,0.57 ,,,,,1,0,1,1,1,1,20060825
70540,CPT,Mri orbit/face/neck w/o dye,TC,,20 ,,RBRVS,0.00 ,11.23 ,11.23 ,,,,,1,1,1,0,1,1,20060825
70540,CPT,Mri orbit/face/neck w/o dye,26,,20 ,,RBRVS,1.35 ,0.44 ,0.44 ,,,,,1,0,1,1,1,1,20060825
70542,CPT,Mri orbit/face/neck w/dye,TC,,20 ,,RBRVS,0.00 ,13.48 ,13.48 ,,,,,1,1,1,0,1,1,20060825
70542,CPT,Mri orbit/face/neck w/dye,26,,20 ,,RBRVS,1.62 ,0.53 ,0.53 ,,,,,1,0,1,1,1,1,20060825
70543,CPT,Mri orbt/fac/nck w/o&w dye,TC,,20 ,,RBRVS,0.00 ,24.95 ,24.95 ,,,,,1,1,1,0,1,1,20060825
70543,CPT,Mri orbt/fac/nck w/o&w dye,26,,20 ,,RBRVS,2.15 ,0.71 ,0.71 ,,,,,1,0,1,1,1,1,20060825
70544,CPT,Mr angiography head w/o dye,TC,,20 ,,RBRVS,0.00 ,11.23 ,11.23 ,,,,,1,1,1,0,1,1,20060825
70544,CPT,Mr angiography head w/o dye,26,,20 ,,RBRVS,1.20 ,0.40 ,0.40 ,,,,,1,0,1,1,1,1,20060825
70545,CPT,Mr angiography head w/dye,TC,,20 ,,RBRVS,0.00 ,11.23 ,11.23 ,,,,,1,1,1,0,1,1,20060825
70545,CPT,Mr angiography head w/dye,26,,20 ,,RBRVS,1.20 ,0.39 ,0.39 ,,,,,1,0,1,1,1,1,20060825
70546,CPT,Mr angiograph head w/o&w dye,TC,,20 ,,RBRVS,0.00 ,22.47 ,22.47 ,,,,,1,1,1,0,1,1,20060825
70546,CPT,Mr angiograph head w/o&w dye,26,,20 ,,RBRVS,1.80 ,0.59 ,0.59 ,,,,,1,0,1,1,1,1,20060825
70547,CPT,Mr angiography neck w/o dye,TC,,20 ,,RBRVS,0.00 ,11.23 ,11.23 ,,,,,1,1,1,0,1,1,20060825
70547,CPT,Mr angiography neck w/o dye,26,,20 ,,RBRVS,1.20 ,0.39 ,0.39 ,,,,,1,0,1,1,1,1,20060825
70548,CPT,Mr angiography neck w/dye,TC,,20 ,,RBRVS,0.00 ,11.23 ,11.23 ,,,,,1,1,1,0,1,1,20060825
70548,CPT,Mr angiography neck w/dye,26,,20 ,,RBRVS,1.20 ,0.39 ,0.39 ,,,,,1,0,1,1,1,1,20060825
70549,CPT,Mr angiograph neck w/o&w dye,TC,,20 ,,RBRVS,0.00 ,22.47 ,22.47 ,,,,,1,1,1,0,1,1,20060825
70549,CPT,Mr angiograph neck w/o&w dye,26,,20 ,,RBRVS,1.80 ,0.59 ,0.59 ,,,,,1,0,1,1,1,1,20060825
70551,CPT,Mri brain w/o dye,TC,,20 ,,RBRVS,0.00 ,11.23 ,11.23 ,,,,,1,1,1,0,1,1,20060825
70551,CPT,Mri brain w/o dye,26,,20 ,,RBRVS,1.48 ,0.49 ,0.49 ,,,,,1,0,1,1,1,1,20060825
70552,CPT,Mri brain w/dye,TC,,20 ,,RBRVS,0.00 ,13.48 ,13.48 ,,,,,1,1,1,0,1,1,20060825
70552,CPT,Mri brain w/dye,26,,20 ,,RBRVS,1.78 ,0.59 ,0.59 ,,,,,1,0,1,1,1,1,20060825
70553,CPT,Mri brain w/o&w dye,TC,,20 ,,RBRVS,0.00 ,24.95 ,24.95 ,,,,,1,1,1,0,1,1,20060825
70553,CPT,Mri brain w/o&w dye,26,,20 ,,RBRVS,2.36 ,0.78 ,0.78 ,,,,,1,0,1,1,1,1,20060825
70557,CPT,Mri brain w/o dye,TC,,20 ,,TotalUnits,,,,15.52 ,,,,1,1,1,0,1,1,20060825
70557,CPT,Mri brain w/o dye,26,,20 ,,RBRVS,2.90 ,1.13 ,1.13 ,,,,,1,0,1,1,1,1,20060825
70558,CPT,Mri brain w/ dye,TC,,20 ,,TotalUnits,,,,17.12 ,,,,1,1,1,0,1,1,20060825
70558,CPT,Mri brain w/ dye,26,,20 ,,RBRVS,3.20 ,1.24 ,1.24 ,,,,,1,0,1,1,1,1,20060825
70559,CPT,Mri brain w/o & w/ dye,TC,,20 ,,TotalUnits,,,,17.12 ,,,,1,1,1,0,1,1,20060825
70559,CPT,Mri brain w/o & w/ dye,26,,20 ,,RBRVS,3.20 ,1.24 ,1.24 ,,,,,1,0,1,1,1,1,20060825
71010,CPT,Chest x-ray,TC,,20 ,,RBRVS,0.00 ,0.47 ,0.47 ,,,,,1,1,1,0,1,1,20060825
71010,CPT,Chest x-ray,26,,20 ,,RBRVS,0.18 ,0.06 ,0.06 ,,,,,1,0,1,1,1,1,20060825
71015,CPT,Chest x-ray,TC,,20 ,,RBRVS,0.00 ,0.52 ,0.52 ,,,,,1,1,1,0,1,1,20060825
71015,CPT,Chest x-ray,26,,20 ,,RBRVS,0.21 ,0.07 ,0.07 ,,,,,1,0,1,1,1,1,20060825
71020,CPT,Chest x-ray,TC,,20 ,,RBRVS,0.00 ,0.62 ,0.62 ,,,,,1,1,1,0,1,1,20060825
71020,CPT,Chest x-ray,26,,20 ,,RBRVS,0.22 ,0.07 ,0.07 ,,,,,1,0,1,1,1,1,20060825
71021,CPT,Chest x-ray,TC,,20 ,,RBRVS,0.00 ,0.73 ,0.73 ,,,,,1,1,1,0,1,1,20060825
71021,CPT,Chest x-ray,26,,20 ,,RBRVS,0.27 ,0.09 ,0.09 ,,,,,1,0,1,1,1,1,20060825
71022,CPT,Chest x-ray,TC,,20 ,,RBRVS,0.00 ,0.73 ,0.73 ,,,,,1,1,1,0,1,1,20060825
71022,CPT,Chest x-ray,26,,20 ,,RBRVS,0.31 ,0.10 ,0.10 ,,,,,1,0,1,1,1,1,20060825
71023,CPT,Chest x-ray and fluoroscopy,TC,,20 ,,RBRVS,0.00 ,0.78 ,0.78 ,,,,,1,1,1,0,1,1,20060825
71023,CPT,Chest x-ray and fluoroscopy,26,,20 ,,RBRVS,0.38 ,0.13 ,0.13 ,,,,,1,0,1,1,1,1,20060825
71030,CPT,Chest x-ray,TC,,20 ,,RBRVS,0.00 ,0.78 ,0.78 ,,,,,1,1,1,0,1,1,20060825
71030,CPT,Chest x-ray,26,,20 ,,RBRVS,0.31 ,0.10 ,0.10 ,,,,,1,0,1,1,1,1,20060825
71034,CPT,Chest x-ray and fluoroscopy,TC,,20 ,,RBRVS,0.00 ,1.44 ,1.44 ,,,,,1,1,1,0,1,1,20060825
71034,CPT,Chest x-ray and fluoroscopy,26,,20 ,,RBRVS,0.46 ,0.16 ,0.16 ,,,,,1,0,1,1,1,1,20060825
71035,CPT,Chest x-ray,TC,,20 ,,RBRVS,0.00 ,0.52 ,0.52 ,,,,,1,1,1,0,1,1,20060825
71035,CPT,Chest x-ray,26,,20 ,,RBRVS,0.18 ,0.06 ,0.06 ,,,,,1,0,1,1,1,1,20060825
71040,CPT,Contrast x-ray of bronchi,TC,,20 ,,RBRVS,0.00 ,1.46 ,1.46 ,,,,,1,1,1,0,1,1,20060825
71040,CPT,Contrast x-ray of bronchi,26,,20 ,,RBRVS,0.58 ,0.19 ,0.19 ,,,,,1,0,1,1,1,1,20060825
71060,CPT,Contrast x-ray of bronchi,TC,,20 ,,RBRVS,0.00 ,2.21 ,2.21 ,,,,,1,1,1,0,1,1,20060825
71060,CPT,Contrast x-ray of bronchi,26,,20 ,,RBRVS,0.74 ,0.24 ,0.24 ,,,,,1,0,1,1,1,1,20060825
71090,CPT,X-ray & pacemaker insertion,TC,,20 ,,RBRVS,0.00 ,1.68 ,1.68 ,,,,,1,1,1,0,1,1,20060825
71090,CPT,X-ray & pacemaker insertion,26,,20 ,,RBRVS,0.54 ,0.21 ,0.21 ,,,,,1,0,1,1,1,1,20060825
71100,CPT,X-ray exam of ribs,TC,,20 ,,RBRVS,0.00 ,0.57 ,0.57 ,,,,,1,1,1,0,1,1,20060825
71100,CPT,X-ray exam of ribs,26,,20 ,,RBRVS,0.22 ,0.07 ,0.07 ,,,,,1,0,1,1,1,1,20060825
71101,CPT,X-ray exam of ribs/chest,TC,,20 ,,RBRVS,0.00 ,0.67 ,0.67 ,,,,,1,1,1,0,1,1,20060825
71101,CPT,X-ray exam of ribs/chest,26,,20 ,,RBRVS,0.27 ,0.09 ,0.09 ,,,,,1,0,1,1,1,1,20060825
71110,CPT,X-ray exam of ribs,TC,,20 ,,RBRVS,0.00 ,0.78 ,0.78 ,,,,,1,1,1,0,1,1,20060825
71110,CPT,X-ray exam of ribs,26,,20 ,,RBRVS,0.27 ,0.09 ,0.09 ,,,,,1,0,1,1,1,1,20060825
71111,CPT,X-ray exam of ribs/ chest,TC,,20 ,,RBRVS,0.00 ,0.89 ,0.89 ,,,,,1,1,1,0,1,1,20060825
71111,CPT,X-ray exam of ribs/ chest,26,,20 ,,RBRVS,0.32 ,0.10 ,0.10 ,,,,,1,0,1,1,1,1,20060825
71120,CPT,X-ray exam of breastbone,TC,,20 ,,RBRVS,0.00 ,0.65 ,0.65 ,,,,,1,1,1,0,1,1,20060825
71120,CPT,X-ray exam of breastbone,26,,20 ,,RBRVS,0.20 ,0.07 ,0.07 ,,,,,1,0,1,1,1,1,20060825
71130,CPT,X-ray exam of breastbone,TC,,20 ,,RBRVS,0.00 ,0.71 ,0.71 ,,,,,1,1,1,0,1,1,20060825
71130,CPT,X-ray exam of breastbone,26,,20 ,,RBRVS,0.22 ,0.07 ,0.07 ,,,,,1,0,1,1,1,1,20060825
71250,CPT,Ct thorax w/o dye,TC,,20 ,,RBRVS,0.00 ,5.93 ,5.93 ,,,,,1,1,1,0,1,1,20060825
71250,CPT,Ct thorax w/o dye,26,,20 ,,RBRVS,1.16 ,0.38 ,0.38 ,,,,,1,0,1,1,1,1,20060825
71260,CPT,Ct thorax w/dye,TC,,20 ,,RBRVS,0.00 ,7.09 ,7.09 ,,,,,1,1,1,0,1,1,20060825
71260,CPT,Ct thorax w/dye,26,,20 ,,RBRVS,1.24 ,0.41 ,0.41 ,,,,,1,0,1,1,1,1,20060825
71270,CPT,Ct thorax w/o&w dye,TC,,20 ,,RBRVS,0.00 ,8.88 ,8.88 ,,,,,1,1,1,0,1,1,20060825
71270,CPT,Ct thorax w/o&w dye,26,,20 ,,RBRVS,1.38 ,0.45 ,0.45 ,,,,,1,0,1,1,1,1,20060825
71275,CPT,"Ct angiography, chest",TC,,20 ,,RBRVS,0.00 ,12.42 ,12.42 ,,,,,1,1,1,0,1,1,20060825
71275,CPT,"Ct angiography, chest",26,,20 ,,RBRVS,1.92 ,0.63 ,0.63 ,,,,,1,0,1,1,1,1,20060825
71550,CPT,Mri chest w/o dye,TC,,20 ,,RBRVS,0.00 ,11.23 ,11.23 ,,,,,1,1,1,0,1,1,20060825
71550,CPT,Mri chest w/o dye,26,,20 ,,RBRVS,1.46 ,0.48 ,0.48 ,,,,,1,0,1,1,1,1,20060825
71551,CPT,Mri chest w/dye,TC,,20 ,,RBRVS,0.00 ,13.48 ,13.48 ,,,,,1,1,1,0,1,1,20060825
71551,CPT,Mri chest w/dye,26,,20 ,,RBRVS,1.73 ,0.57 ,0.57 ,,,,,1,0,1,1,1,1,20060825
71552,CPT,Mri chest w/o&w/dye,TC,,20 ,,RBRVS,0.00 ,24.95 ,24.95 ,,,,,1,1,1,0,1,1,20060825
71552,CPT,Mri chest w/o&w/dye,26,,20 ,,RBRVS,2.26 ,0.74 ,0.74 ,,,,,1,0,1,1,1,1,20060825
71555,CPT,Mri angio chest w or w/o dye,TC,,20 ,,RBRVS,0.00 ,11.23 ,11.23 ,,,,,1,1,1,0,1,1,20060825
71555,CPT,Mri angio chest w or w/o dye,26,,20 ,,RBRVS,1.81 ,0.60 ,0.60 ,,,,,1,0,1,1,1,1,20060825
72010,CPT,X-ray exam of spine,TC,,20 ,,RBRVS,0.00 ,1.02 ,1.02 ,,,,,1,1,1,0,1,1,20060825
72010,CPT,X-ray exam of spine,26,,20 ,,RBRVS,0.45 ,0.15 ,0.15 ,,,,,1,0,1,1,1,1,20060825
72020,CPT,X-ray exam of spine,TC,,20 ,,RBRVS,0.00 ,0.42 ,0.42 ,,,,,1,1,1,0,1,1,20060825
72020,CPT,X-ray exam of spine,26,,20 ,,RBRVS,0.15 ,0.05 ,0.05 ,,,,,1,0,1,1,1,1,20060825
72040,CPT,X-ray exam of neck spine,TC,,20 ,,RBRVS,0.00 ,0.60 ,0.60 ,,,,,1,1,1,0,1,1,20060825
72040,CPT,X-ray exam of neck spine,26,,20 ,,RBRVS,0.22 ,0.07 ,0.07 ,,,,,1,0,1,1,1,1,20060825
72050,CPT,X-ray exam of neck spine,TC,,20 ,,RBRVS,0.00 ,0.89 ,0.89 ,,,,,1,1,1,0,1,1,20060825
72050,CPT,X-ray exam of neck spine,26,,20 ,,RBRVS,0.31 ,0.10 ,0.10 ,,,,,1,0,1,1,1,1,20060825
72052,CPT,X-ray exam of neck spine,TC,,20 ,,RBRVS,0.00 ,1.13 ,1.13 ,,,,,1,1,1,0,1,1,20060825
72052,CPT,X-ray exam of neck spine,26,,20 ,,RBRVS,0.36 ,0.12 ,0.12 ,,,,,1,0,1,1,1,1,20060825
72069,CPT,X-ray exam of trunk spine,TC,,20 ,,RBRVS,0.00 ,0.49 ,0.49 ,,,,,1,1,1,0,1,1,20060825
72069,CPT,X-ray exam of trunk spine,26,,20 ,,RBRVS,0.22 ,0.08 ,0.08 ,,,,,1,0,1,1,1,1,20060825
72070,CPT,X-ray exam of thoracic spine,TC,,20 ,,RBRVS,0.00 ,0.65 ,0.65 ,,,,,1,1,1,0,1,1,20060825
72070,CPT,X-ray exam of thoracic spine,26,,20 ,,RBRVS,0.22 ,0.07 ,0.07 ,,,,,1,0,1,1,1,1,20060825
72072,CPT,X-ray exam of thoracic spine,TC,,20 ,,RBRVS,0.00 ,0.73 ,0.73 ,,,,,1,1,1,0,1,1,20060825
72072,CPT,X-ray exam of thoracic spine,26,,20 ,,RBRVS,0.22 ,0.07 ,0.07 ,,,,,1,0,1,1,1,1,20060825
72074,CPT,X-ray exam of thoracic spine,TC,,20 ,,RBRVS,0.00 ,0.91 ,0.91 ,,,,,1,1,1,0,1,1,20060825
72074,CPT,X-ray exam of thoracic spine,26,,20 ,,RBRVS,0.22 ,0.07 ,0.07 ,,,,,1,0,1,1,1,1,20060825
72080,CPT,X-ray exam of trunk spine,TC,,20 ,,RBRVS,0.00 ,0.67 ,0.67 ,,,,,1,1,1,0,1,1,20060825
72080,CPT,X-ray exam of trunk spine,26,,20 ,,RBRVS,0.22 ,0.07 ,0.07 ,,,,,1,0,1,1,1,1,20060825
72090,CPT,X-ray exam of trunk spine,TC,,20 ,,RBRVS,0.00 ,0.67 ,0.67 ,,,,,1,1,1,0,1,1,20060825
72090,CPT,X-ray exam of trunk spine,26,,20 ,,RBRVS,0.28 ,0.09 ,0.09 ,,,,,1,0,1,1,1,1,20060825
72100,CPT,X-ray exam of lower spine,TC,,20 ,,RBRVS,0.00 ,0.67 ,0.67 ,,,,,1,1,1,0,1,1,20060825
72100,CPT,X-ray exam of lower spine,26,,20 ,,RBRVS,0.22 ,0.07 ,0.07 ,,,,,1,0,1,1,1,1,20060825
72110,CPT,X-ray exam of lower spine,TC,,20 ,,RBRVS,0.00 ,0.91 ,0.91 ,,,,,1,1,1,0,1,1,20060825
72110,CPT,X-ray exam of lower spine,26,,20 ,,RBRVS,0.31 ,0.10 ,0.10 ,,,,,1,0,1,1,1,1,20060825
72114,CPT,X-ray exam of lower spine,TC,,20 ,,RBRVS,0.00 ,1.19 ,1.19 ,,,,,1,1,1,0,1,1,20060825
72114,CPT,X-ray exam of lower spine,26,,20 ,,RBRVS,0.36 ,0.12 ,0.12 ,,,,,1,0,1,1,1,1,20060825
72120,CPT,X-ray exam of lower spine,TC,,20 ,,RBRVS,0.00 ,0.89 ,0.89 ,,,,,1,1,1,0,1,1,20060825
72120,CPT,X-ray exam of lower spine,26,,20 ,,RBRVS,0.22 ,0.07 ,0.07 ,,,,,1,0,1,1,1,1,20060825
72125,CPT,Ct neck spine w/o dye,TC,,20 ,,RBRVS,0.00 ,5.93 ,5.93 ,,,,,1,1,1,0,1,1,20060825
72125,CPT,Ct neck spine w/o dye,26,,20 ,,RBRVS,1.16 ,0.38 ,0.38 ,,,,,1,0,1,1,1,1,20060825
72126,CPT,Ct neck spine w/dye,TC,,20 ,,RBRVS,0.00 ,7.09 ,7.09 ,,,,,1,1,1,0,1,1,20060825
72126,CPT,Ct neck spine w/dye,26,,20 ,,RBRVS,1.22 ,0.40 ,0.40 ,,,,,1,0,1,1,1,1,20060825
72127,CPT,Ct neck spine w/o&w/dye,TC,,20 ,,RBRVS,0.00 ,8.88 ,8.88 ,,,,,1,1,1,0,1,1,20060825
72127,CPT,Ct neck spine w/o&w/dye,26,,20 ,,RBRVS,1.27 ,0.42 ,0.42 ,,,,,1,0,1,1,1,1,20060825
72128,CPT,Ct chest spine w/o dye,TC,,20 ,,RBRVS,0.00 ,5.93 ,5.93 ,,,,,1,1,1,0,1,1,20060825
72128,CPT,Ct chest spine w/o dye,26,,20 ,,RBRVS,1.16 ,0.38 ,0.38 ,,,,,1,0,1,1,1,1,20060825
72129,CPT,Ct chest spine w/dye,TC,,20 ,,RBRVS,0.00 ,7.09 ,7.09 ,,,,,1,1,1,0,1,1,20060825
72129,CPT,Ct chest spine w/dye,26,,20 ,,RBRVS,1.22 ,0.40 ,0.40 ,,,,,1,0,1,1,1,1,20060825
72130,CPT,Ct chest spine w/o&w/dye,TC,,20 ,,RBRVS,0.00 ,8.88 ,8.88 ,,,,,1,1,1,0,1,1,20060825
72130,CPT,Ct chest spine w/o&w/dye,26,,20 ,,RBRVS,1.27 ,0.42 ,0.42 ,,,,,1,0,1,1,1,1,20060825
72131,CPT,Ct lumbar spine w/o dye,TC,,20 ,,RBRVS,0.00 ,5.93 ,5.93 ,,,,,1,1,1,0,1,1,20060825
72131,CPT,Ct lumbar spine w/o dye,26,,20 ,,RBRVS,1.16 ,0.38 ,0.38 ,,,,,1,0,1,1,1,1,20060825
72132,CPT,Ct lumbar spine w/dye,TC,,20 ,,RBRVS,0.00 ,7.09 ,7.09 ,,,,,1,1,1,0,1,1,20060825
72132,CPT,Ct lumbar spine w/dye,26,,20 ,,RBRVS,1.22 ,0.40 ,0.40 ,,,,,1,0,1,1,1,1,20060825
72133,CPT,Ct lumbar spine w/o&w/dye,TC,,20 ,,RBRVS,0.00 ,8.88 ,8.88 ,,,,,1,1,1,0,1,1,20060825
72133,CPT,Ct lumbar spine w/o&w/dye,26,,20 ,,RBRVS,1.27 ,0.42 ,0.42 ,,,,,1,0,1,1,1,1,20060825
72141,CPT,Mri neck spine w/o dye,TC,,20 ,,RBRVS,0.00 ,11.23 ,11.23 ,,,,,1,1,1,0,1,1,20060825
72141,CPT,Mri neck spine w/o dye,26,,20 ,,RBRVS,1.60 ,0.53 ,0.53 ,,,,,1,0,1,1,1,1,20060825
72142,CPT,Mri neck spine w/dye,TC,,20 ,,RBRVS,0.00 ,13.48 ,13.48 ,,,,,1,1,1,0,1,1,20060825
72142,CPT,Mri neck spine w/dye,26,,20 ,,RBRVS,1.92 ,0.64 ,0.64 ,,,,,1,0,1,1,1,1,20060825
72146,CPT,Mri chest spine w/o dye,TC,,20 ,,RBRVS,0.00 ,12.48 ,12.48 ,,,,,1,1,1,0,1,1,20060825
72146,CPT,Mri chest spine w/o dye,26,,20 ,,RBRVS,1.60 ,0.53 ,0.53 ,,,,,1,0,1,1,1,1,20060825
72147,CPT,Mri chest spine w/dye,TC,,20 ,,RBRVS,0.00 ,13.48 ,13.48 ,,,,,1,1,1,0,1,1,20060825
72147,CPT,Mri chest spine w/dye,26,,20 ,,RBRVS,1.92 ,0.63 ,0.63 ,,,,,1,0,1,1,1,1,20060825
72148,CPT,Mri lumbar spine w/o dye,TC,,20 ,,RBRVS,0.00 ,12.48 ,12.48 ,,,,,1,1,1,0,1,1,20060825
72148,CPT,Mri lumbar spine w/o dye,26,,20 ,,RBRVS,1.48 ,0.49 ,0.49 ,,,,,1,0,1,1,1,1,20060825
72149,CPT,Mri lumbar spine w/dye,TC,,20 ,,RBRVS,0.00 ,13.48 ,13.48 ,,,,,1,1,1,0,1,1,20060825
72149,CPT,Mri lumbar spine w/dye,26,,20 ,,RBRVS,1.78 ,0.60 ,0.60 ,,,,,1,0,1,1,1,1,20060825
72156,CPT,Mri neck spine w/o&w/dye,TC,,20 ,,RBRVS,0.00 ,24.95 ,24.95 ,,,,,1,1,1,0,1,1,20060825
72156,CPT,Mri neck spine w/o&w/dye,26,,20 ,,RBRVS,2.57 ,0.85 ,0.85 ,,,,,1,0,1,1,1,1,20060825
72157,CPT,Mri chest spine w/o&w/dye,TC,,20 ,,RBRVS,0.00 ,24.95 ,24.95 ,,,,,1,1,1,0,1,1,20060825
72157,CPT,Mri chest spine w/o&w/dye,26,,20 ,,RBRVS,2.57 ,0.84 ,0.84 ,,,,,1,0,1,1,1,1,20060825
72158,CPT,Mri lumbar spine w/o&w/dye,TC,,20 ,,RBRVS,0.00 ,24.95 ,24.95 ,,,,,1,1,1,0,1,1,20060825
72158,CPT,Mri lumbar spine w/o&w/dye,26,,20 ,,RBRVS,2.36 ,0.78 ,0.78 ,,,,,1,0,1,1,1,1,20060825
72159,CPT,Mr angio spine w/o&w/dye,TC,,20 ,,RBRVS,0.00 ,12.27 ,12.27 ,,,,,1,1,1,0,1,1,20060825
72159,CPT,Mr angio spine w/o&w/dye,26,,20 ,,RBRVS,1.80 ,0.69 ,0.69 ,,,,,1,0,1,1,1,1,20060825
72170,CPT,X-ray exam of pelvis,TC,,20 ,,RBRVS,0.00 ,0.52 ,0.52 ,,,,,1,1,1,0,1,1,20060825
72170,CPT,X-ray exam of pelvis,26,,20 ,,RBRVS,0.17 ,0.06 ,0.06 ,,,,,1,0,1,1,1,1,20060825
72190,CPT,X-ray exam of pelvis,TC,,20 ,,RBRVS,0.00 ,0.67 ,0.67 ,,,,,1,1,1,0,1,1,20060825
72190,CPT,X-ray exam of pelvis,26,,20 ,,RBRVS,0.21 ,0.07 ,0.07 ,,,,,1,0,1,1,1,1,20060825
72191,CPT,Ct angiograph pelv w/o&w/dye,TC,,20 ,,RBRVS,0.00 ,12.06 ,12.06 ,,,,,1,1,1,0,1,1,20060825
72191,CPT,Ct angiograph pelv w/o&w/dye,26,,20 ,,RBRVS,1.81 ,0.60 ,0.60 ,,,,,1,0,1,1,1,1,20060825
72192,CPT,Ct pelvis w/o dye,TC,,20 ,,RBRVS,0.00 ,5.93 ,5.93 ,,,,,1,1,1,0,1,1,20060825
72192,CPT,Ct pelvis w/o dye,26,,20 ,,RBRVS,1.09 ,0.36 ,0.36 ,,,,,1,0,1,1,1,1,20060825
72193,CPT,Ct pelvis w/dye,TC,,20 ,,RBRVS,0.00 ,6.86 ,6.86 ,,,,,1,1,1,0,1,1,20060825
72193,CPT,Ct pelvis w/dye,26,,20 ,,RBRVS,1.16 ,0.38 ,0.38 ,,,,,1,0,1,1,1,1,20060825
72194,CPT,Ct pelvis w/o&w/dye,TC,,20 ,,RBRVS,0.00 ,8.51 ,8.51 ,,,,,1,1,1,0,1,1,20060825
72194,CPT,Ct pelvis w/o&w/dye,26,,20 ,,RBRVS,1.22 ,0.40 ,0.40 ,,,,,1,0,1,1,1,1,20060825
72195,CPT,Mri pelvis w/o dye,TC,,20 ,,RBRVS,0.00 ,11.23 ,11.23 ,,,,,1,1,1,0,1,1,20060825
72195,CPT,Mri pelvis w/o dye,26,,20 ,,RBRVS,1.46 ,0.48 ,0.48 ,,,,,1,0,1,1,1,1,20060825
72196,CPT,Mri pelvis w/dye,TC,,20 ,,RBRVS,0.00 ,13.48 ,13.48 ,,,,,1,1,1,0,1,1,20060825
72196,CPT,Mri pelvis w/dye,26,,20 ,,RBRVS,1.73 ,0.57 ,0.57 ,,,,,1,0,1,1,1,1,20060825
72197,CPT,Mri pelvis w/o & w/dye,TC,,20 ,,RBRVS,0.00 ,24.95 ,24.95 ,,,,,1,1,1,0,1,1,20060825
72197,CPT,Mri pelvis w/o & w/dye,26,,20 ,,RBRVS,2.26 ,0.74 ,0.74 ,,,,,1,0,1,1,1,1,20060825
72198,CPT,Mr angio pelvis w/o&w/dye,TC,,20 ,,RBRVS,0.00 ,11.23 ,11.23 ,,,,,1,1,1,0,1,1,20060825
72198,CPT,Mr angio pelvis w/o&w/dye,26,,20 ,,RBRVS,1.80 ,0.59 ,0.59 ,,,,,1,0,1,1,1,1,20060825
72200,CPT,X-ray exam sacroiliac joints,TC,,20 ,,RBRVS,0.00 ,0.52 ,0.52 ,,,,,1,1,1,0,1,1,20060825
72200,CPT,X-ray exam sacroiliac joints,26,,20 ,,RBRVS,0.17 ,0.06 ,0.06 ,,,,,1,0,1,1,1,1,20060825
72202,CPT,X-ray exam sacroiliac joints,TC,,20 ,,RBRVS,0.00 ,0.62 ,0.62 ,,,,,1,1,1,0,1,1,20060825
72202,CPT,X-ray exam sacroiliac joints,26,,20 ,,RBRVS,0.19 ,0.06 ,0.06 ,,,,,1,0,1,1,1,1,20060825
72220,CPT,X-ray exam of tailbone,TC,,20 ,,RBRVS,0.00 ,0.57 ,0.57 ,,,,,1,1,1,0,1,1,20060825
72220,CPT,X-ray exam of tailbone,26,,20 ,,RBRVS,0.17 ,0.06 ,0.06 ,,,,,1,0,1,1,1,1,20060825
72240,CPT,Contrast x-ray of neck spine,TC,,20 ,,RBRVS,0.00 ,4.76 ,4.76 ,,,,,1,1,1,0,1,1,20060825
72240,CPT,Contrast x-ray of neck spine,26,,20 ,,RBRVS,0.91 ,0.29 ,0.29 ,,,,,1,0,1,1,1,1,20060825
72255,CPT,"Contrast x-ray, thorax spine",TC,,20 ,,RBRVS,0.00 ,4.34 ,4.34 ,,,,,1,1,1,0,1,1,20060825
72255,CPT,"Contrast x-ray, thorax spine",26,,20 ,,RBRVS,0.91 ,0.27 ,0.27 ,,,,,1,0,1,1,1,1,20060825
72265,CPT,"Contrast x-ray, lower spine",TC,,20 ,,RBRVS,0.00 ,4.08 ,4.08 ,,,,,1,1,1,0,1,1,20060825
72265,CPT,"Contrast x-ray, lower spine",26,,20 ,,RBRVS,0.83 ,0.25 ,0.25 ,,,,,1,0,1,1,1,1,20060825
72270,CPT,Contrast x-ray of spine,TC,,20 ,,RBRVS,0.00 ,6.12 ,6.12 ,,,,,1,1,1,0,1,1,20060825
72270,CPT,Contrast x-ray of spine,26,,20 ,,RBRVS,1.33 ,0.42 ,0.42 ,,,,,1,0,1,1,1,1,20060825
72275,CPT,Epidurography,TC,,20 ,,RBRVS,0.00 ,2.11 ,2.11 ,,,,,1,1,1,0,1,1,20060825
72275,CPT,Epidurography,26,,20 ,,RBRVS,0.76 ,0.20 ,0.20 ,,,,,1,0,1,1,1,1,20060825
72285,CPT,X-ray c/t spine disk,TC,,20 ,,RBRVS,0.00 ,8.40 ,8.40 ,,,,,1,1,1,0,1,1,20060825
72285,CPT,X-ray c/t spine disk,26,,20 ,,RBRVS,1.16 ,0.36 ,0.36 ,,,,,1,0,1,1,1,1,20060825
72295,CPT,X-ray of lower spine disk,TC,,20 ,,RBRVS,0.00 ,7.88 ,7.88 ,,,,,1,1,1,0,1,1,20060825
72295,CPT,X-ray of lower spine disk,26,,20 ,,RBRVS,0.83 ,0.27 ,0.27 ,,,,,1,0,1,1,1,1,20060825
73000,CPT,X-ray exam of collar bone,TC,,20 ,,RBRVS,0.00 ,0.52 ,0.52 ,,,,,1,1,1,0,1,1,20060825
73000,CPT,X-ray exam of collar bone,26,,20 ,,RBRVS,0.16 ,0.05 ,0.05 ,,,,,1,0,1,1,1,1,20060825
73010,CPT,X-ray exam of shoulder blade,TC,,20 ,,RBRVS,0.00 ,0.52 ,0.52 ,,,,,1,1,1,0,1,1,20060825
73010,CPT,X-ray exam of shoulder blade,26,,20 ,,RBRVS,0.17 ,0.06 ,0.06 ,,,,,1,0,1,1,1,1,20060825
73020,CPT,X-ray exam of shoulder,TC,,20 ,,RBRVS,0.00 ,0.47 ,0.47 ,,,,,1,1,1,0,1,1,20060825
73020,CPT,X-ray exam of shoulder,26,,20 ,,RBRVS,0.15 ,0.05 ,0.05 ,,,,,1,0,1,1,1,1,20060825
73030,CPT,X-ray exam of shoulder,TC,,20 ,,RBRVS,0.00 ,0.57 ,0.57 ,,,,,1,1,1,0,1,1,20060825
73030,CPT,X-ray exam of shoulder,26,,20 ,,RBRVS,0.18 ,0.06 ,0.06 ,,,,,1,0,1,1,1,1,20060825
73040,CPT,Contrast x-ray of shoulder,TC,,20 ,,RBRVS,0.00 ,2.11 ,2.11 ,,,,,1,1,1,0,1,1,20060825
73040,CPT,Contrast x-ray of shoulder,26,,20 ,,RBRVS,0.54 ,0.18 ,0.18 ,,,,,1,0,1,1,1,1,20060825
73050,CPT,X-ray exam of shoulders,TC,,20 ,,RBRVS,0.00 ,0.67 ,0.67 ,,,,,1,1,1,0,1,1,20060825
73050,CPT,X-ray exam of shoulders,26,,20 ,,RBRVS,0.20 ,0.07 ,0.07 ,,,,,1,0,1,1,1,1,20060825
73060,CPT,X-ray exam of humerus,TC,,20 ,,RBRVS,0.00 ,0.57 ,0.57 ,,,,,1,1,1,0,1,1,20060825
73060,CPT,X-ray exam of humerus,26,,20 ,,RBRVS,0.17 ,0.06 ,0.06 ,,,,,1,0,1,1,1,1,20060825
73070,CPT,X-ray exam of elbow,TC,,20 ,,RBRVS,0.00 ,0.52 ,0.52 ,,,,,1,1,1,0,1,1,20060825
73070,CPT,X-ray exam of elbow,26,,20 ,,RBRVS,0.15 ,0.05 ,0.05 ,,,,,1,0,1,1,1,1,20060825
73080,CPT,X-ray exam of elbow,TC,,20 ,,RBRVS,0.00 ,0.57 ,0.57 ,,,,,1,1,1,0,1,1,20060825
73080,CPT,X-ray exam of elbow,26,,20 ,,RBRVS,0.17 ,0.06 ,0.06 ,,,,,1,0,1,1,1,1,20060825
73085,CPT,Contrast x-ray of elbow,TC,,20 ,,RBRVS,0.00 ,2.11 ,2.11 ,,,,,1,1,1,0,1,1,20060825
73085,CPT,Contrast x-ray of elbow,26,,20 ,,RBRVS,0.54 ,0.19 ,0.19 ,,,,,1,0,1,1,1,1,20060825
73090,CPT,X-ray exam of forearm,TC,,20 ,,RBRVS,0.00 ,0.52 ,0.52 ,,,,,1,1,1,0,1,1,20060825
73090,CPT,X-ray exam of forearm,26,,20 ,,RBRVS,0.16 ,0.05 ,0.05 ,,,,,1,0,1,1,1,1,20060825
73092,CPT,"X-ray exam of arm, infant",TC,,20 ,,RBRVS,0.00 ,0.49 ,0.49 ,,,,,1,1,1,0,1,1,20060825
73092,CPT,"X-ray exam of arm, infant",26,,20 ,,RBRVS,0.16 ,0.05 ,0.05 ,,,,,1,0,1,1,1,1,20060825
73100,CPT,X-ray exam of wrist,TC,,20 ,,RBRVS,0.00 ,0.49 ,0.49 ,,,,,1,1,1,0,1,1,20060825
73100,CPT,X-ray exam of wrist,26,,20 ,,RBRVS,0.16 ,0.05 ,0.05 ,,,,,1,0,1,1,1,1,20060825
73110,CPT,X-ray exam of wrist,TC,,20 ,,RBRVS,0.00 ,0.53 ,0.53 ,,,,,1,1,1,0,1,1,20060825
73110,CPT,X-ray exam of wrist,26,,20 ,,RBRVS,0.17 ,0.06 ,0.06 ,,,,,1,0,1,1,1,1,20060825
73115,CPT,Contrast x-ray of wrist,TC,,20 ,,RBRVS,0.00 ,1.58 ,1.58 ,,,,,1,1,1,0,1,1,20060825
73115,CPT,Contrast x-ray of wrist,26,,20 ,,RBRVS,0.54 ,0.18 ,0.18 ,,,,,1,0,1,1,1,1,20060825
73120,CPT,X-ray exam of hand,TC,,20 ,,RBRVS,0.00 ,0.49 ,0.49 ,,,,,1,1,1,0,1,1,20060825
73120,CPT,X-ray exam of hand,26,,20 ,,RBRVS,0.16 ,0.05 ,0.05 ,,,,,1,0,1,1,1,1,20060825
73130,CPT,X-ray exam of hand,TC,,20 ,,RBRVS,0.00 ,0.53 ,0.53 ,,,,,1,1,1,0,1,1,20060825
73130,CPT,X-ray exam of hand,26,,20 ,,RBRVS,0.17 ,0.06 ,0.06 ,,,,,1,0,1,1,1,1,20060825
73140,CPT,X-ray exam of finger(s),TC,,20 ,,RBRVS,0.00 ,0.42 ,0.42 ,,,,,1,1,1,0,1,1,20060825
73140,CPT,X-ray exam of finger(s),26,,20 ,,RBRVS,0.13 ,0.04 ,0.04 ,,,,,1,0,1,1,1,1,20060825
73200,CPT,Ct upper extremity w/o dye,TC,,20 ,,RBRVS,0.00 ,4.97 ,4.97 ,,,,,1,1,1,0,1,1,20060825
73200,CPT,Ct upper extremity w/o dye,26,,20 ,,RBRVS,1.09 ,0.36 ,0.36 ,,,,,1,0,1,1,1,1,20060825
73201,CPT,Ct upper extremity w/dye,TC,,20 ,,RBRVS,0.00 ,5.93 ,5.93 ,,,,,1,1,1,0,1,1,20060825
73201,CPT,Ct upper extremity w/dye,26,,20 ,,RBRVS,1.16 ,0.38 ,0.38 ,,,,,1,0,1,1,1,1,20060825
73202,CPT,Ct uppr extremity w/o&w/dye,TC,,20 ,,RBRVS,0.00 ,7.44 ,7.44 ,,,,,1,1,1,0,1,1,20060825
73202,CPT,Ct uppr extremity w/o&w/dye,26,,20 ,,RBRVS,1.22 ,0.40 ,0.40 ,,,,,1,0,1,1,1,1,20060825
73206,CPT,Ct angio upr extrm w/o&w/dye,TC,,20 ,,RBRVS,0.00 ,10.99 ,10.99 ,,,,,1,1,1,0,1,1,20060825
73206,CPT,Ct angio upr extrm w/o&w/dye,26,,20 ,,RBRVS,1.81 ,0.59 ,0.59 ,,,,,1,0,1,1,1,1,20060825
73218,CPT,Mri upper extremity w/o dye,TC,,20 ,,RBRVS,0.00 ,11.23 ,11.23 ,,,,,1,1,1,0,1,1,20060825
73218,CPT,Mri upper extremity w/o dye,26,,20 ,,RBRVS,1.35 ,0.44 ,0.44 ,,,,,1,0,1,1,1,1,20060825
73219,CPT,Mri upper extremity w/dye,TC,,20 ,,RBRVS,0.00 ,13.48 ,13.48 ,,,,,1,1,1,0,1,1,20060825
73219,CPT,Mri upper extremity w/dye,26,,20 ,,RBRVS,1.62 ,0.54 ,0.54 ,,,,,1,0,1,1,1,1,20060825
73220,CPT,Mri uppr extremity w/o&w/dye,TC,,20 ,,RBRVS,0.00 ,24.95 ,24.95 ,,,,,1,1,1,0,1,1,20060825
73220,CPT,Mri uppr extremity w/o&w/dye,26,,20 ,,RBRVS,2.15 ,0.71 ,0.71 ,,,,,1,0,1,1,1,1,20060825
73221,CPT,Mri joint upr extrem w/o dye,TC,,20 ,,RBRVS,0.00 ,11.23 ,11.23 ,,,,,1,1,1,0,1,1,20060825
73221,CPT,Mri joint upr extrem w/o dye,26,,20 ,,RBRVS,1.35 ,0.44 ,0.44 ,,,,,1,0,1,1,1,1,20060825
73222,CPT,Mri joint upr extrem w/dye,TC,,20 ,,RBRVS,0.00 ,13.48 ,13.48 ,,,,,1,1,1,0,1,1,20060825
73222,CPT,Mri joint upr extrem w/dye,26,,20 ,,RBRVS,1.62 ,0.53 ,0.53 ,,,,,1,0,1,1,1,1,20060825
73223,CPT,Mri joint upr extr w/o&w/dye,TC,,20 ,,RBRVS,0.00 ,24.95 ,24.95 ,,,,,1,1,1,0,1,1,20060825
73223,CPT,Mri joint upr extr w/o&w/dye,26,,20 ,,RBRVS,2.15 ,0.71 ,0.71 ,,,,,1,0,1,1,1,1,20060825
73225,CPT,Mr angio upr extr w/o&w/dye,TC,,20 ,,RBRVS,0.00 ,11.04 ,11.04 ,,,,,1,1,1,0,1,1,20060825
73225,CPT,Mr angio upr extr w/o&w/dye,26,,20 ,,RBRVS,1.73 ,0.67 ,0.67 ,,,,,1,0,1,1,1,1,20060825
73500,CPT,X-ray exam of hip,TC,,20 ,,RBRVS,0.00 ,0.47 ,0.47 ,,,,,1,1,1,0,1,1,20060825
73500,CPT,X-ray exam of hip,26,,20 ,,RBRVS,0.17 ,0.06 ,0.06 ,,,,,1,0,1,1,1,1,20060825
73510,CPT,X-ray exam of hip,TC,,20 ,,RBRVS,0.00 ,0.57 ,0.57 ,,,,,1,1,1,0,1,1,20060825
73510,CPT,X-ray exam of hip,26,,20 ,,RBRVS,0.21 ,0.07 ,0.07 ,,,,,1,0,1,1,1,1,20060825
73520,CPT,X-ray exam of hips,TC,,20 ,,RBRVS,0.00 ,0.67 ,0.67 ,,,,,1,1,1,0,1,1,20060825
73520,CPT,X-ray exam of hips,26,,20 ,,RBRVS,0.26 ,0.09 ,0.09 ,,,,,1,0,1,1,1,1,20060825
73525,CPT,Contrast x-ray of hip,TC,,20 ,,RBRVS,0.00 ,2.11 ,2.11 ,,,,,1,1,1,0,1,1,20060825
73525,CPT,Contrast x-ray of hip,26,,20 ,,RBRVS,0.54 ,0.18 ,0.18 ,,,,,1,0,1,1,1,1,20060825
73530,CPT,X-ray exam of hip,TC,,20 ,,RBRVS,0.00 ,0.52 ,0.52 ,,,,,1,1,1,0,1,1,20060825
73530,CPT,X-ray exam of hip,26,,20 ,,RBRVS,0.29 ,0.10 ,0.10 ,,,,,1,0,1,1,1,1,20060825
73540,CPT,X-ray exam of pelvis & hips,TC,,20 ,,RBRVS,0.00 ,0.57 ,0.57 ,,,,,1,1,1,0,1,1,20060825
73540,CPT,X-ray exam of pelvis & hips,26,,20 ,,RBRVS,0.20 ,0.07 ,0.07 ,,,,,1,0,1,1,1,1,20060825
73542,CPT,"X-ray exam, sacroiliac joint",TC,,20 ,,RBRVS,0.00 ,2.11 ,2.11 ,,,,,1,1,1,0,1,1,20060825
73542,CPT,"X-ray exam, sacroiliac joint",26,,20 ,,RBRVS,0.59 ,0.16 ,0.16 ,,,,,1,0,1,1,1,1,20060825
73550,CPT,X-ray exam of thigh,TC,,20 ,,RBRVS,0.00 ,0.57 ,0.57 ,,,,,1,1,1,0,1,1,20060825
73550,CPT,X-ray exam of thigh,26,,20 ,,RBRVS,0.17 ,0.06 ,0.06 ,,,,,1,0,1,1,1,1,20060825
73560,CPT,"X-ray exam of knee, 1 or 2",TC,,20 ,,RBRVS,0.00 ,0.52 ,0.52 ,,,,,1,1,1,0,1,1,20060825
73560,CPT,"X-ray exam of knee, 1 or 2",26,,20 ,,RBRVS,0.17 ,0.06 ,0.06 ,,,,,1,0,1,1,1,1,20060825
73562,CPT,"X-ray exam of knee, 3",TC,,20 ,,RBRVS,0.00 ,0.57 ,0.57 ,,,,,1,1,1,0,1,1,20060825
73562,CPT,"X-ray exam of knee, 3",26,,20 ,,RBRVS,0.18 ,0.06 ,0.06 ,,,,,1,0,1,1,1,1,20060825
73564,CPT,"X-ray exam, knee, 4 or more",TC,,20 ,,RBRVS,0.00 ,0.62 ,0.62 ,,,,,1,1,1,0,1,1,20060825
73564,CPT,"X-ray exam, knee, 4 or more",26,,20 ,,RBRVS,0.22 ,0.07 ,0.07 ,,,,,1,0,1,1,1,1,20060825
73565,CPT,X-ray exam of knees,TC,,20 ,,RBRVS,0.00 ,0.49 ,0.49 ,,,,,1,1,1,0,1,1,20060825
73565,CPT,X-ray exam of knees,26,,20 ,,RBRVS,0.17 ,0.06 ,0.06 ,,,,,1,0,1,1,1,1,20060825
73580,CPT,Contrast x-ray of knee joint,TC,,20 ,,RBRVS,0.00 ,2.63 ,2.63 ,,,,,1,1,1,0,1,1,20060825
73580,CPT,Contrast x-ray of knee joint,26,,20 ,,RBRVS,0.54 ,0.17 ,0.17 ,,,,,1,0,1,1,1,1,20060825
73590,CPT,X-ray exam of lower leg,TC,,20 ,,RBRVS,0.00 ,0.52 ,0.52 ,,,,,1,1,1,0,1,1,20060825
73590,CPT,X-ray exam of lower leg,26,,20 ,,RBRVS,0.17 ,0.06 ,0.06 ,,,,,1,0,1,1,1,1,20060825
73592,CPT,"X-ray exam of leg, infant",TC,,20 ,,RBRVS,0.00 ,0.49 ,0.49 ,,,,,1,1,1,0,1,1,20060825
73592,CPT,"X-ray exam of leg, infant",26,,20 ,,RBRVS,0.16 ,0.05 ,0.05 ,,,,,1,0,1,1,1,1,20060825
73600,CPT,X-ray exam of ankle,TC,,20 ,,RBRVS,0.00 ,0.49 ,0.49 ,,,,,1,1,1,0,1,1,20060825
73600,CPT,X-ray exam of ankle,26,,20 ,,RBRVS,0.16 ,0.05 ,0.05 ,,,,,1,0,1,1,1,1,20060825
73610,CPT,X-ray exam of ankle,TC,,20 ,,RBRVS,0.00 ,0.53 ,0.53 ,,,,,1,1,1,0,1,1,20060825
73610,CPT,X-ray exam of ankle,26,,20 ,,RBRVS,0.17 ,0.06 ,0.06 ,,,,,1,0,1,1,1,1,20060825
73615,CPT,Contrast x-ray of ankle,TC,,20 ,,RBRVS,0.00 ,2.11 ,2.11 ,,,,,1,1,1,0,1,1,20060825
73615,CPT,Contrast x-ray of ankle,26,,20 ,,RBRVS,0.54 ,0.18 ,0.18 ,,,,,1,0,1,1,1,1,20060825
73620,CPT,X-ray exam of foot,TC,,20 ,,RBRVS,0.00 ,0.49 ,0.49 ,,,,,1,1,1,0,1,1,20060825
73620,CPT,X-ray exam of foot,26,,20 ,,RBRVS,0.16 ,0.05 ,0.05 ,,,,,1,0,1,1,1,1,20060825
73630,CPT,X-ray exam of foot,TC,,20 ,,RBRVS,0.00 ,0.53 ,0.53 ,,,,,1,1,1,0,1,1,20060825
73630,CPT,X-ray exam of foot,26,,20 ,,RBRVS,0.17 ,0.06 ,0.06 ,,,,,1,0,1,1,1,1,20060825
73650,CPT,X-ray exam of heel,TC,,20 ,,RBRVS,0.00 ,0.47 ,0.47 ,,,,,1,1,1,0,1,1,20060825
73650,CPT,X-ray exam of heel,26,,20 ,,RBRVS,0.16 ,0.05 ,0.05 ,,,,,1,0,1,1,1,1,20060825
73660,CPT,X-ray exam of toe(s),TC,,20 ,,RBRVS,0.00 ,0.42 ,0.42 ,,,,,1,1,1,0,1,1,20060825
73660,CPT,X-ray exam of toe(s),26,,20 ,,RBRVS,0.13 ,0.04 ,0.04 ,,,,,1,0,1,1,1,1,20060825
73700,CPT,Ct lower extremity w/o dye,TC,,20 ,,RBRVS,0.00 ,4.97 ,4.97 ,,,,,1,1,1,0,1,1,20060825
73700,CPT,Ct lower extremity w/o dye,26,,20 ,,RBRVS,1.09 ,0.36 ,0.36 ,,,,,1,0,1,1,1,1,20060825
73701,CPT,Ct lower extremity w/dye,TC,,20 ,,RBRVS,0.00 ,5.93 ,5.93 ,,,,,1,1,1,0,1,1,20060825
73701,CPT,Ct lower extremity w/dye,26,,20 ,,RBRVS,1.16 ,0.38 ,0.38 ,,,,,1,0,1,1,1,1,20060825
73702,CPT,Ct lwr extremity w/o&w/dye,TC,,20 ,,RBRVS,0.00 ,7.44 ,7.44 ,,,,,1,1,1,0,1,1,20060825
73702,CPT,Ct lwr extremity w/o&w/dye,26,,20 ,,RBRVS,1.22 ,0.40 ,0.40 ,,,,,1,0,1,1,1,1,20060825
73706,CPT,Ct angio lwr extr w/o&w/dye,TC,,20 ,,RBRVS,0.00 ,10.99 ,10.99 ,,,,,1,1,1,0,1,1,20060825
73706,CPT,Ct angio lwr extr w/o&w/dye,26,,20 ,,RBRVS,1.90 ,0.62 ,0.62 ,,,,,1,0,1,1,1,1,20060825
73718,CPT,Mri lower extremity w/o dye,TC,,20 ,,RBRVS,0.00 ,11.23 ,11.23 ,,,,,1,1,1,0,1,1,20060825
73718,CPT,Mri lower extremity w/o dye,26,,20 ,,RBRVS,1.35 ,0.44 ,0.44 ,,,,,1,0,1,1,1,1,20060825
73719,CPT,Mri lower extremity w/dye,TC,,20 ,,RBRVS,0.00 ,13.48 ,13.48 ,,,,,1,1,1,0,1,1,20060825
73719,CPT,Mri lower extremity w/dye,26,,20 ,,RBRVS,1.62 ,0.53 ,0.53 ,,,,,1,0,1,1,1,1,20060825
73720,CPT,Mri lwr extremity w/o&w/dye,TC,,20 ,,RBRVS,0.00 ,24.95 ,24.95 ,,,,,1,1,1,0,1,1,20060825
73720,CPT,Mri lwr extremity w/o&w/dye,26,,20 ,,RBRVS,2.15 ,0.70 ,0.70 ,,,,,1,0,1,1,1,1,20060825
73721,CPT,Mri jnt of lwr extre w/o dye,TC,,20 ,,RBRVS,0.00 ,11.23 ,11.23 ,,,,,1,1,1,0,1,1,20060825
73721,CPT,Mri jnt of lwr extre w/o dye,26,,20 ,,RBRVS,1.35 ,0.44 ,0.44 ,,,,,1,0,1,1,1,1,20060825
73722,CPT,Mri joint of lwr extr w/dye,TC,,20 ,,RBRVS,0.00 ,13.48 ,13.48 ,,,,,1,1,1,0,1,1,20060825
73722,CPT,Mri joint of lwr extr w/dye,26,,20 ,,RBRVS,1.62 ,0.53 ,0.53 ,,,,,1,0,1,1,1,1,20060825
73723,CPT,Mri joint lwr extr w/o&w/dye,TC,,20 ,,RBRVS,0.00 ,24.95 ,24.95 ,,,,,1,1,1,0,1,1,20060825
73723,CPT,Mri joint lwr extr w/o&w/dye,26,,20 ,,RBRVS,2.15 ,0.71 ,0.71 ,,,,,1,0,1,1,1,1,20060825
73725,CPT,Mr ang lwr ext w or w/o dye,TC,,20 ,,RBRVS,0.00 ,11.23 ,11.23 ,,,,,1,1,1,0,1,1,20060825
73725,CPT,Mr ang lwr ext w or w/o dye,26,,20 ,,RBRVS,1.82 ,0.60 ,0.60 ,,,,,1,0,1,1,1,1,20060825
74000,CPT,X-ray exam of abdomen,TC,,20 ,,RBRVS,0.00 ,0.52 ,0.52 ,,,,,1,1,1,0,1,1,20060825
74000,CPT,X-ray exam of abdomen,26,,20 ,,RBRVS,0.18 ,0.06 ,0.06 ,,,,,1,0,1,1,1,1,20060825
74010,CPT,X-ray exam of abdomen,TC,,20 ,,RBRVS,0.00 ,0.57 ,0.57 ,,,,,1,1,1,0,1,1,20060825
74010,CPT,X-ray exam of abdomen,26,,20 ,,RBRVS,0.23 ,0.08 ,0.08 ,,,,,1,0,1,1,1,1,20060825
74020,CPT,X-ray exam of abdomen,TC,,20 ,,RBRVS,0.00 ,0.62 ,0.62 ,,,,,1,1,1,0,1,1,20060825
74020,CPT,X-ray exam of abdomen,26,,20 ,,RBRVS,0.27 ,0.09 ,0.09 ,,,,,1,0,1,1,1,1,20060825
74022,CPT,"X-ray exam series, abdomen",TC,,20 ,,RBRVS,0.00 ,0.73 ,0.73 ,,,,,1,1,1,0,1,1,20060825
74022,CPT,"X-ray exam series, abdomen",26,,20 ,,RBRVS,0.32 ,0.10 ,0.10 ,,,,,1,0,1,1,1,1,20060825
74150,CPT,Ct abdomen w/o dye,TC,,20 ,,RBRVS,0.00 ,5.68 ,5.68 ,,,,,1,1,1,0,1,1,20060825
74150,CPT,Ct abdomen w/o dye,26,,20 ,,RBRVS,1.19 ,0.39 ,0.39 ,,,,,1,0,1,1,1,1,20060825
74160,CPT,Ct abdomen w/dye,TC,,20 ,,RBRVS,0.00 ,6.86 ,6.86 ,,,,,1,1,1,0,1,1,20060825
74160,CPT,Ct abdomen w/dye,26,,20 ,,RBRVS,1.27 ,0.42 ,0.42 ,,,,,1,0,1,1,1,1,20060825
74170,CPT,Ct abdomen w/o&w/dye,TC,,20 ,,RBRVS,0.00 ,8.51 ,8.51 ,,,,,1,1,1,0,1,1,20060825
74170,CPT,Ct abdomen w/o&w/dye,26,,20 ,,RBRVS,1.40 ,0.46 ,0.46 ,,,,,1,0,1,1,1,1,20060825
74175,CPT,Ct angio abdom w/o&w/dye,TC,,20 ,,RBRVS,0.00 ,12.06 ,12.06 ,,,,,1,1,1,0,1,1,20060825
74175,CPT,Ct angio abdom w/o&w/dye,26,,20 ,,RBRVS,1.90 ,0.62 ,0.62 ,,,,,1,0,1,1,1,1,20060825
74181,CPT,Mri abdomen w/o dye,TC,,20 ,,RBRVS,0.00 ,11.23 ,11.23 ,,,,,1,1,1,0,1,1,20060825
74181,CPT,Mri abdomen w/o dye,26,,20 ,,RBRVS,1.46 ,0.48 ,0.48 ,,,,,1,0,1,1,1,1,20060825
74182,CPT,Mri abdomen w/dye,TC,,20 ,,RBRVS,0.00 ,13.48 ,13.48 ,,,,,1,1,1,0,1,1,20060825
74182,CPT,Mri abdomen w/dye,26,,20 ,,RBRVS,1.73 ,0.57 ,0.57 ,,,,,1,0,1,1,1,1,20060825
74183,CPT,Mri abdomen w/o&w/dye,TC,,20 ,,RBRVS,0.00 ,24.95 ,24.95 ,,,,,1,1,1,0,1,1,20060825
74183,CPT,Mri abdomen w/o&w/dye,26,,20 ,,RBRVS,2.26 ,0.74 ,0.74 ,,,,,1,0,1,1,1,1,20060825
74185,CPT,"Mri angio, abdom w or w/o dy",TC,,20 ,,RBRVS,0.00 ,11.23 ,11.23 ,,,,,1,1,1,0,1,1,20060825
74185,CPT,"Mri angio, abdom w or w/o dy",26,,20 ,,RBRVS,1.80 ,0.59 ,0.59 ,,,,,1,0,1,1,1,1,20060825
74190,CPT,X-ray exam of peritoneum,TC,,20 ,,RBRVS,0.00 ,1.31 ,1.31 ,,,,,1,1,1,0,1,1,20060825
74190,CPT,X-ray exam of peritoneum,26,,20 ,,RBRVS,0.48 ,0.16 ,0.16 ,,,,,1,0,1,1,1,1,20060825
74210,CPT,Contrst x-ray exam of throat,TC,,20 ,,RBRVS,0.00 ,1.19 ,1.19 ,,,,,1,1,1,0,1,1,20060825
74210,CPT,Contrst x-ray exam of throat,26,,20 ,,RBRVS,0.36 ,0.12 ,0.12 ,,,,,1,0,1,1,1,1,20060825
74220,CPT,"Contrast x-ray, esophagus",TC,,20 ,,RBRVS,0.00 ,1.19 ,1.19 ,,,,,1,1,1,0,1,1,20060825
74220,CPT,"Contrast x-ray, esophagus",26,,20 ,,RBRVS,0.46 ,0.15 ,0.15 ,,,,,1,0,1,1,1,1,20060825
74230,CPT,"Cine/vid x-ray, throat/esoph",TC,,20 ,,RBRVS,0.00 ,1.31 ,1.31 ,,,,,1,1,1,0,1,1,20060825
74230,CPT,"Cine/vid x-ray, throat/esoph",26,,20 ,,RBRVS,0.53 ,0.17 ,0.17 ,,,,,1,0,1,1,1,1,20060825
74235,CPT,Remove esophagus obstruction,26,,20 ,,RBRVS,1.19 ,0.39 ,0.39 ,,,,,1,0,1,1,1,1,20060825
74240,CPT,"X-ray exam, upper gi tract",TC,,20 ,,RBRVS,0.00 ,1.46 ,1.46 ,,,,,1,1,1,0,1,1,20060825
74240,CPT,"X-ray exam, upper gi tract",26,,20 ,,RBRVS,0.69 ,0.23 ,0.23 ,,,,,1,0,1,1,1,1,20060825
74241,CPT,"X-ray exam, upper gi tract",TC,,20 ,,RBRVS,0.00 ,1.49 ,1.49 ,,,,,1,1,1,0,1,1,20060825
74241,CPT,"X-ray exam, upper gi tract",26,,20 ,,RBRVS,0.69 ,0.23 ,0.23 ,,,,,1,0,1,1,1,1,20060825
74245,CPT,"X-ray exam, upper gi tract",TC,,20 ,,RBRVS,0.00 ,2.39 ,2.39 ,,,,,1,1,1,0,1,1,20060825
74245,CPT,"X-ray exam, upper gi tract",26,,20 ,,RBRVS,0.91 ,0.30 ,0.30 ,,,,,1,0,1,1,1,1,20060825
74246,CPT,Contrst x-ray uppr gi tract,TC,,20 ,,RBRVS,0.00 ,1.64 ,1.64 ,,,,,1,1,1,0,1,1,20060825
74246,CPT,Contrst x-ray uppr gi tract,26,,20 ,,RBRVS,0.69 ,0.23 ,0.23 ,,,,,1,0,1,1,1,1,20060825
74247,CPT,Contrst x-ray uppr gi tract,TC,,20 ,,RBRVS,0.00 ,1.68 ,1.68 ,,,,,1,1,1,0,1,1,20060825
74247,CPT,Contrst x-ray uppr gi tract,26,,20 ,,RBRVS,0.69 ,0.23 ,0.23 ,,,,,1,0,1,1,1,1,20060825
74249,CPT,Contrst x-ray uppr gi tract,TC,,20 ,,RBRVS,0.00 ,2.58 ,2.58 ,,,,,1,1,1,0,1,1,20060825
74249,CPT,Contrst x-ray uppr gi tract,26,,20 ,,RBRVS,0.91 ,0.30 ,0.30 ,,,,,1,0,1,1,1,1,20060825
74250,CPT,X-ray exam of small bowel,TC,,20 ,,RBRVS,0.00 ,1.31 ,1.31 ,,,,,1,1,1,0,1,1,20060825
74250,CPT,X-ray exam of small bowel,26,,20 ,,RBRVS,0.47 ,0.15 ,0.15 ,,,,,1,0,1,1,1,1,20060825
74251,CPT,X-ray exam of small bowel,TC,,20 ,,RBRVS,0.00 ,1.31 ,1.31 ,,,,,1,1,1,0,1,1,20060825
74251,CPT,X-ray exam of small bowel,26,,20 ,,RBRVS,0.69 ,0.23 ,0.23 ,,,,,1,0,1,1,1,1,20060825
74260,CPT,X-ray exam of small bowel,TC,,20 ,,RBRVS,0.00 ,1.49 ,1.49 ,,,,,1,1,1,0,1,1,20060825
74260,CPT,X-ray exam of small bowel,26,,20 ,,RBRVS,0.50 ,0.16 ,0.16 ,,,,,1,0,1,1,1,1,20060825
74270,CPT,Contrast x-ray exam of colon,TC,,20 ,,RBRVS,0.00 ,1.70 ,1.70 ,,,,,1,1,1,0,1,1,20060825
74270,CPT,Contrast x-ray exam of colon,26,,20 ,,RBRVS,0.69 ,0.23 ,0.23 ,,,,,1,0,1,1,1,1,20060825
74280,CPT,Contrast x-ray exam of colon,TC,,20 ,,RBRVS,0.00 ,2.24 ,2.24 ,,,,,1,1,1,0,1,1,20060825
74280,CPT,Contrast x-ray exam of colon,26,,20 ,,RBRVS,0.99 ,0.32 ,0.32 ,,,,,1,0,1,1,1,1,20060825
74283,CPT,Contrast x-ray exam of colon,TC,,20 ,,RBRVS,0.00 ,2.57 ,2.57 ,,,,,1,1,1,0,1,1,20060825
74283,CPT,Contrast x-ray exam of colon,26,,20 ,,RBRVS,2.02 ,0.66 ,0.66 ,,,,,1,0,1,1,1,1,20060825
74290,CPT,"Contrast x-ray, gallbladder",TC,,20 ,,RBRVS,0.00 ,0.73 ,0.73 ,,,,,1,1,1,0,1,1,20060825
74290,CPT,"Contrast x-ray, gallbladder",26,,20 ,,RBRVS,0.32 ,0.10 ,0.10 ,,,,,1,0,1,1,1,1,20060825
74291,CPT,"Contrast x-rays, gallbladder",TC,,20 ,,RBRVS,0.00 ,0.42 ,0.42 ,,,,,1,1,1,0,1,1,20060825
74291,CPT,"Contrast x-rays, gallbladder",26,,20 ,,RBRVS,0.20 ,0.07 ,0.07 ,,,,,1,0,1,1,1,1,20060825
74300,CPT,X-ray bile ducts/pancreas,TC,,20 ,,TotalUnits,,,,1.20 ,,,,1,1,1,0,1,1,20060825
74300,CPT,X-ray bile ducts/pancreas,26,,20 ,,RBRVS,0.36 ,0.12 ,0.12 ,,,,,1,0,1,1,1,1,20060825
74301,CPT,X-rays at surgery add-on,TC,,20 ,,TotalUnits,,,,0.69 ,,,,1,1,1,0,1,1,20060825
74301,CPT,X-rays at surgery add-on,26,,20 ,,RBRVS,0.21 ,0.07 ,0.07 ,,,,,1,0,1,1,1,1,20060825
74305,CPT,X-ray bile ducts/pancreas,TC,,20 ,,RBRVS,0.00 ,0.78 ,0.78 ,,,,,1,1,1,0,1,1,20060825
74305,CPT,X-ray bile ducts/pancreas,26,,20 ,,RBRVS,0.42 ,0.14 ,0.14 ,,,,,1,0,1,1,1,1,20060825
74320,CPT,Contrast x-ray of bile ducts,TC,,20 ,,RBRVS,0.00 ,3.16 ,3.16 ,,,,,1,1,1,0,1,1,20060825
74320,CPT,Contrast x-ray of bile ducts,26,,20 ,,RBRVS,0.54 ,0.18 ,0.18 ,,,,,1,0,1,1,1,1,20060825
74327,CPT,X-ray bile stone removal,TC,,20 ,,RBRVS,0.00 ,1.77 ,1.77 ,,,,,1,1,1,0,1,1,20060825
74327,CPT,X-ray bile stone removal,26,,20 ,,RBRVS,0.70 ,0.23 ,0.23 ,,,,,1,0,1,1,1,1,20060825
74328,CPT,X-ray bile duct endoscopy,TC,,20 ,2,RBRVS,0.00 ,3.16 ,3.16 ,,,,,1,1,1,0,1,1,20060825
74328,CPT,X-ray bile duct endoscopy,26,,20 ,,RBRVS,0.70 ,0.23 ,0.23 ,,,,,1,0,1,1,1,1,20060825
74329,CPT,X-ray for pancreas endoscopy,26,,20 ,,RBRVS,0.70 ,0.23 ,0.23 ,,,,,1,0,1,1,1,1,20060825
74330,CPT,X-ray bile/panc endoscopy,TC,,20 ,2,RBRVS,0.00 ,3.16 ,3.16 ,,,,,1,1,1,0,1,1,20060825
74330,CPT,X-ray bile/panc endoscopy,26,,20 ,,RBRVS,0.90 ,0.29 ,0.29 ,,,,,1,0,1,1,1,1,20060825
74340,CPT,X-ray guide for GI tube,TC,,20 ,,RBRVS,0.00 ,2.63 ,2.63 ,,,,,1,1,1,0,1,1,20060825
74340,CPT,X-ray guide for GI tube,26,,20 ,,RBRVS,0.54 ,0.18 ,0.18 ,,,,,1,0,1,1,1,1,20060825
74350,CPT,"X-ray guide, stomach tube",TC,,20 ,,RBRVS,0.00 ,3.16 ,3.16 ,,,,,1,1,1,0,1,1,20060825
74350,CPT,"X-ray guide, stomach tube",26,,20 ,,RBRVS,0.76 ,0.25 ,0.25 ,,,,,1,0,1,1,1,1,20060825
74355,CPT,"X-ray guide, intestinal tube",TC,,20 ,,RBRVS,0.00 ,2.63 ,2.63 ,,,,,1,1,1,0,1,1,20060825
74355,CPT,"X-ray guide, intestinal tube",26,,20 ,,RBRVS,0.76 ,0.25 ,0.25 ,,,,,1,0,1,1,1,1,20060825
74360,CPT,"X-ray guide, GI dilation",TC,,20 ,,RBRVS,0.00 ,3.16 ,3.16 ,,,,,1,1,1,0,1,1,20060825
74360,CPT,"X-ray guide, GI dilation",26,,20 ,,RBRVS,0.54 ,0.19 ,0.19 ,,,,,1,0,1,1,1,1,20060825
74363,CPT,"X-ray, bile duct dilation",26,,20 ,,RBRVS,0.88 ,0.29 ,0.29 ,,,,,1,0,1,1,1,1,20060825
74400,CPT,"Contrst x-ray, urinary tract",TC,,20 ,,RBRVS,0.00 ,1.68 ,1.68 ,,,,,1,1,1,0,1,1,20060825
74400,CPT,"Contrst x-ray, urinary tract",26,,20 ,,RBRVS,0.49 ,0.16 ,0.16 ,,,,,1,0,1,1,1,1,20060825
74410,CPT,"Contrst x-ray, urinary tract",TC,,20 ,,RBRVS,0.00 ,1.96 ,1.96 ,,,,,1,1,1,0,1,1,20060825
74410,CPT,"Contrst x-ray, urinary tract",26,,20 ,,RBRVS,0.49 ,0.16 ,0.16 ,,,,,1,0,1,1,1,1,20060825
74415,CPT,"Contrst x-ray, urinary tract",TC,,20 ,,RBRVS,0.00 ,2.13 ,2.13 ,,,,,1,1,1,0,1,1,20060825
74415,CPT,"Contrst x-ray, urinary tract",26,,20 ,,RBRVS,0.49 ,0.16 ,0.16 ,,,,,1,0,1,1,1,1,20060825
74420,CPT,"Contrst x-ray, urinary tract",TC,,20 ,,RBRVS,0.00 ,2.63 ,2.63 ,,,,,1,1,1,0,1,1,20060825
74420,CPT,"Contrst x-ray, urinary tract",26,,20 ,,RBRVS,0.36 ,0.12 ,0.12 ,,,,,1,0,1,1,1,1,20060825
74425,CPT,"Contrst x-ray, urinary tract",TC,,20 ,,RBRVS,0.00 ,1.31 ,1.31 ,,,,,1,1,1,0,1,1,20060825
74425,CPT,"Contrst x-ray, urinary tract",26,,20 ,,RBRVS,0.36 ,0.12 ,0.12 ,,,,,1,0,1,1,1,1,20060825
74430,CPT,"Contrast x-ray, bladder",TC,,20 ,,RBRVS,0.00 ,1.05 ,1.05 ,,,,,1,1,1,0,1,1,20060825
74430,CPT,"Contrast x-ray, bladder",26,,20 ,,RBRVS,0.32 ,0.10 ,0.10 ,,,,,1,0,1,1,1,1,20060825
74440,CPT,"X-ray, male genital tract",TC,,20 ,,RBRVS,0.00 ,1.13 ,1.13 ,,,,,1,1,1,0,1,1,20060825
74440,CPT,"X-ray, male genital tract",26,,20 ,,RBRVS,0.38 ,0.12 ,0.12 ,,,,,1,0,1,1,1,1,20060825
74445,CPT,X-ray exam of penis,TC,,20 ,,RBRVS,0.00 ,1.13 ,1.13 ,,,,,1,1,1,0,1,1,20060825
74445,CPT,X-ray exam of penis,26,,20 ,,RBRVS,1.14 ,0.37 ,0.37 ,,,,,1,0,1,1,1,1,20060825
74450,CPT,"X-ray, urethra/bladder",TC,,20 ,,RBRVS,0.00 ,1.46 ,1.46 ,,,,,1,1,1,0,1,1,20060825
74450,CPT,"X-ray, urethra/bladder",26,,20 ,,RBRVS,0.33 ,0.11 ,0.11 ,,,,,1,0,1,1,1,1,20060825
74455,CPT,"X-ray, urethra/bladder",TC,,20 ,,RBRVS,0.00 ,1.58 ,1.58 ,,,,,1,1,1,0,1,1,20060825
74455,CPT,"X-ray, urethra/bladder",26,,20 ,,RBRVS,0.33 ,0.11 ,0.11 ,,,,,1,0,1,1,1,1,20060825
74470,CPT,X-ray exam of kidney lesion,TC,,20 ,,RBRVS,0.00 ,1.25 ,1.25 ,,,,,1,1,1,0,1,1,20060825
74470,CPT,X-ray exam of kidney lesion,26,,20 ,,RBRVS,0.54 ,0.18 ,0.18 ,,,,,1,0,1,1,1,1,20060825
74475,CPT,"X-ray control, cath insert",TC,,20 ,,RBRVS,0.00 ,4.08 ,4.08 ,,,,,1,1,1,0,1,1,20060825
74475,CPT,"X-ray control, cath insert",26,,20 ,,RBRVS,0.54 ,0.18 ,0.18 ,,,,,1,0,1,1,1,1,20060825
74480,CPT,"X-ray control, cath insert",TC,,20 ,,RBRVS,0.00 ,4.08 ,4.08 ,,,,,1,1,1,0,1,1,20060825
74480,CPT,"X-ray control, cath insert",26,,20 ,,RBRVS,0.54 ,0.18 ,0.18 ,,,,,1,0,1,1,1,1,20060825
74485,CPT,"X-ray guide, GU dilation",TC,,20 ,,RBRVS,0.00 ,3.16 ,3.16 ,,,,,1,1,1,0,1,1,20060825
74485,CPT,"X-ray guide, GU dilation",26,,20 ,,RBRVS,0.54 ,0.17 ,0.17 ,,,,,1,0,1,1,1,1,20060825
74710,CPT,X-ray measurement of pelvis,TC,,20 ,,RBRVS,0.00 ,1.05 ,1.05 ,,,,,1,1,1,0,1,1,20060825
74710,CPT,X-ray measurement of pelvis,26,,20 ,,RBRVS,0.34 ,0.11 ,0.11 ,,,,,1,0,1,1,1,1,20060825
74740,CPT,"X-ray, female genital tract",TC,,20 ,,RBRVS,0.00 ,1.31 ,1.31 ,,,,,1,1,1,0,1,1,20060825
74740,CPT,"X-ray, female genital tract",26,,20 ,,RBRVS,0.38 ,0.13 ,0.13 ,,,,,1,0,1,1,1,1,20060825
74742,CPT,"X-ray, fallopian tube",26,,20 ,,RBRVS,0.61 ,0.20 ,0.20 ,,,,,1,0,1,1,1,1,20060825
74775,CPT,X-ray exam of perineum,TC,,20 ,,RBRVS,0.00 ,1.46 ,1.46 ,,,,,1,1,1,0,1,1,20060825
74775,CPT,X-ray exam of perineum,26,,20 ,,RBRVS,0.62 ,0.21 ,0.21 ,,,,,1,0,1,1,1,1,20060825
75552,CPT,Heart mri for morph w/o dye,TC,,20 ,,RBRVS,0.00 ,11.23 ,11.23 ,,,,,1,1,1,0,1,1,20060825
75552,CPT,Heart mri for morph w/o dye,26,,20 ,,RBRVS,1.60 ,0.53 ,0.53 ,,,,,1,0,1,1,1,1,20060825
75553,CPT,Heart mri for morph w/dye,TC,,20 ,,RBRVS,0.00 ,11.23 ,11.23 ,,,,,1,1,1,0,1,1,20060825
75553,CPT,Heart mri for morph w/dye,26,,20 ,,RBRVS,2.00 ,0.65 ,0.65 ,,,,,1,0,1,1,1,1,20060825
75554,CPT,Cardiac MRI/function,TC,,20 ,,RBRVS,0.00 ,11.23 ,11.23 ,,,,,1,1,1,0,1,1,20060825
75554,CPT,Cardiac MRI/function,26,,20 ,,RBRVS,1.83 ,0.64 ,0.64 ,,,,,1,0,1,1,1,1,20060825
75555,CPT,Cardiac MRI/limited study,TC,,20 ,,RBRVS,0.00 ,11.23 ,11.23 ,,,,,1,1,1,0,1,1,20060825
75555,CPT,Cardiac MRI/limited study,26,,20 ,,RBRVS,1.74 ,0.64 ,0.64 ,,,,,1,0,1,1,1,1,20060825
75556,CPT,Cardiac MRI/flow mapping,,,20 ,,TotalUnits,,,,12.37 ,,,,1,0,1,1,1,1,20060825
75600,CPT,Contrast x-ray exam of aorta,TC,,20 ,,RBRVS,0.00 ,12.64 ,12.64 ,,,,,1,1,1,0,1,1,20060825
75600,CPT,Contrast x-ray exam of aorta,26,,20 ,,RBRVS,0.49 ,0.19 ,0.19 ,,,,,1,0,1,1,1,1,20060825
75605,CPT,Contrast x-ray exam of aorta,TC,,20 ,,RBRVS,0.00 ,12.64 ,12.64 ,,,,,1,1,1,0,1,1,20060825
75605,CPT,Contrast x-ray exam of aorta,26,,20 ,,RBRVS,1.14 ,0.40 ,0.40 ,,,,,1,0,1,1,1,1,20060825
75625,CPT,Contrast x-ray exam of aorta,TC,,20 ,,RBRVS,0.00 ,12.64 ,12.64 ,,,,,1,1,1,0,1,1,20060825
75625,CPT,Contrast x-ray exam of aorta,26,,20 ,,RBRVS,1.14 ,0.38 ,0.38 ,,,,,1,0,1,1,1,1,20060825
75630,CPT,"X-ray aorta, leg arteries",TC,,20 ,,RBRVS,0.00 ,13.17 ,13.17 ,,,,,1,1,1,0,1,1,20060825
75630,CPT,"X-ray aorta, leg arteries",26,,20 ,,RBRVS,1.79 ,0.61 ,0.61 ,,,,,1,0,1,1,1,1,20060825
75635,CPT,Ct angio abdominal arteries,TC,,20 ,,RBRVS,0.00 ,15.96 ,15.96 ,,,,,1,1,1,0,1,1,20060825
75635,CPT,Ct angio abdominal arteries,26,,20 ,,RBRVS,2.40 ,0.79 ,0.79 ,,,,,1,0,1,1,1,1,20060825
75650,CPT,"Artery x-rays, head & neck",TC,,20 ,,RBRVS,0.00 ,12.64 ,12.64 ,,,,,1,1,1,0,1,1,20060825
75650,CPT,"Artery x-rays, head & neck",26,,20 ,,RBRVS,1.49 ,0.49 ,0.49 ,,,,,1,0,1,1,1,1,20060825
75658,CPT,"Artery x-rays, arm",TC,,20 ,,RBRVS,0.00 ,12.64 ,12.64 ,,,,,1,1,1,0,1,1,20060825
75658,CPT,"Artery x-rays, arm",26,,20 ,,RBRVS,1.31 ,0.47 ,0.47 ,,,,,1,0,1,1,1,1,20060825
75660,CPT,"Artery x-rays, head & neck",TC,,20 ,,RBRVS,0.00 ,12.64 ,12.64 ,,,,,1,1,1,0,1,1,20060825
75660,CPT,"Artery x-rays, head & neck",26,,20 ,,RBRVS,1.31 ,0.44 ,0.44 ,,,,,1,0,1,1,1,1,20060825
75662,CPT,"Artery x-rays, head & neck",TC,,20 ,,RBRVS,0.00 ,12.64 ,12.64 ,,,,,1,1,1,0,1,1,20060825
75662,CPT,"Artery x-rays, head & neck",26,,20 ,,RBRVS,1.66 ,0.59 ,0.59 ,,,,,1,0,1,1,1,1,20060825
75665,CPT,"Artery x-rays, head & neck",TC,,20 ,,RBRVS,0.00 ,12.64 ,12.64 ,,,,,1,1,1,0,1,1,20060825
75665,CPT,"Artery x-rays, head & neck",26,,20 ,,RBRVS,1.31 ,0.44 ,0.44 ,,,,,1,0,1,1,1,1,20060825
75671,CPT,"Artery x-rays, head & neck",TC,,20 ,,RBRVS,0.00 ,12.64 ,12.64 ,,,,,1,1,1,0,1,1,20060825
75671,CPT,"Artery x-rays, head & neck",26,,20 ,,RBRVS,1.66 ,0.55 ,0.55 ,,,,,1,0,1,1,1,1,20060825
75676,CPT,"Artery x-rays, neck",TC,,20 ,,RBRVS,0.00 ,12.64 ,12.64 ,,,,,1,1,1,0,1,1,20060825
75676,CPT,"Artery x-rays, neck",26,,20 ,,RBRVS,1.31 ,0.44 ,0.44 ,,,,,1,0,1,1,1,1,20060825
75680,CPT,"Artery x-rays, neck",TC,,20 ,,RBRVS,0.00 ,12.64 ,12.64 ,,,,,1,1,1,0,1,1,20060825
75680,CPT,"Artery x-rays, neck",26,,20 ,,RBRVS,1.66 ,0.55 ,0.55 ,,,,,1,0,1,1,1,1,20060825
75685,CPT,"Artery x-rays, spine",TC,,20 ,,RBRVS,0.00 ,12.64 ,12.64 ,,,,,1,1,1,0,1,1,20060825
75685,CPT,"Artery x-rays, spine",26,,20 ,,RBRVS,1.31 ,0.43 ,0.43 ,,,,,1,0,1,1,1,1,20060825
75705,CPT,"Artery x-rays, spine",TC,,20 ,,RBRVS,0.00 ,12.64 ,12.64 ,,,,,1,1,1,0,1,1,20060825
75705,CPT,"Artery x-rays, spine",26,,20 ,,RBRVS,2.18 ,0.73 ,0.73 ,,,,,1,0,1,1,1,1,20060825
75710,CPT,"Artery x-rays, arm/leg",TC,,20 ,,RBRVS,0.00 ,12.64 ,12.64 ,,,,,1,1,1,0,1,1,20060825
75710,CPT,"Artery x-rays, arm/leg",26,,20 ,,RBRVS,1.14 ,0.39 ,0.39 ,,,,,1,0,1,1,1,1,20060825
75716,CPT,"Artery x-rays, arms/legs",TC,,20 ,,RBRVS,0.00 ,12.64 ,12.64 ,,,,,1,1,1,0,1,1,20060825
75716,CPT,"Artery x-rays, arms/legs",26,,20 ,,RBRVS,1.31 ,0.43 ,0.43 ,,,,,1,0,1,1,1,1,20060825
75722,CPT,"Artery x-rays, kidney",TC,,20 ,,RBRVS,0.00 ,12.64 ,12.64 ,,,,,1,1,1,0,1,1,20060825
75722,CPT,"Artery x-rays, kidney",26,,20 ,,RBRVS,1.14 ,0.40 ,0.40 ,,,,,1,0,1,1,1,1,20060825
75724,CPT,"Artery x-rays, kidneys",TC,,20 ,,RBRVS,0.00 ,12.64 ,12.64 ,,,,,1,1,1,0,1,1,20060825
75724,CPT,"Artery x-rays, kidneys",26,,20 ,,RBRVS,1.49 ,0.56 ,0.56 ,,,,,1,0,1,1,1,1,20060825
75726,CPT,"Artery x-rays, abdomen",TC,,20 ,,RBRVS,0.00 ,12.64 ,12.64 ,,,,,1,1,1,0,1,1,20060825
75726,CPT,"Artery x-rays, abdomen",26,,20 ,,RBRVS,1.14 ,0.37 ,0.37 ,,,,,1,0,1,1,1,1,20060825
75731,CPT,"Artery x-rays, adrenal gland",TC,,20 ,,RBRVS,0.00 ,12.64 ,12.64 ,,,,,1,1,1,0,1,1,20060825
75731,CPT,"Artery x-rays, adrenal gland",26,,20 ,,RBRVS,1.14 ,0.37 ,0.37 ,,,,,1,0,1,1,1,1,20060825
75733,CPT,"Artery x-rays, adrenals",TC,,20 ,,RBRVS,0.00 ,12.64 ,12.64 ,,,,,1,1,1,0,1,1,20060825
75733,CPT,"Artery x-rays, adrenals",26,,20 ,,RBRVS,1.31 ,0.44 ,0.44 ,,,,,1,0,1,1,1,1,20060825
75736,CPT,"Artery x-rays, pelvis",TC,,20 ,,RBRVS,0.00 ,12.64 ,12.64 ,,,,,1,1,1,0,1,1,20060825
75736,CPT,"Artery x-rays, pelvis",26,,20 ,,RBRVS,1.14 ,0.38 ,0.38 ,,,,,1,0,1,1,1,1,20060825
75741,CPT,"Artery x-rays, lung",TC,,20 ,,RBRVS,0.00 ,12.64 ,12.64 ,,,,,1,1,1,0,1,1,20060825
75741,CPT,"Artery x-rays, lung",26,,20 ,,RBRVS,1.31 ,0.43 ,0.43 ,,,,,1,0,1,1,1,1,20060825
75743,CPT,"Artery x-rays, lungs",TC,,20 ,,RBRVS,0.00 ,12.64 ,12.64 ,,,,,1,1,1,0,1,1,20060825
75743,CPT,"Artery x-rays, lungs",26,,20 ,,RBRVS,1.66 ,0.54 ,0.54 ,,,,,1,0,1,1,1,1,20060825
75746,CPT,"Artery x-rays, lung",TC,,20 ,,RBRVS,0.00 ,12.64 ,12.64 ,,,,,1,1,1,0,1,1,20060825
75746,CPT,"Artery x-rays, lung",26,,20 ,,RBRVS,1.14 ,0.38 ,0.38 ,,,,,1,0,1,1,1,1,20060825
75756,CPT,"Artery x-rays, chest",TC,,20 ,,RBRVS,0.00 ,12.64 ,12.64 ,,,,,1,1,1,0,1,1,20060825
75756,CPT,"Artery x-rays, chest",26,,20 ,,RBRVS,1.14 ,0.45 ,0.45 ,,,,,1,0,1,1,1,1,20060825
75774,CPT,"Artery x-ray, each vessel",TC,,20 ,,RBRVS,0.00 ,12.64 ,12.64 ,,,,,1,1,1,0,1,1,20060825
75774,CPT,"Artery x-ray, each vessel",26,,20 ,,RBRVS,0.36 ,0.12 ,0.12 ,,,,,1,0,1,1,1,1,20060825
75790,CPT,Visualize A-V shunt,TC,,20 ,,RBRVS,0.00 ,1.35 ,1.35 ,,,,,1,1,1,0,1,1,20060825
75790,CPT,Visualize A-V shunt,26,,20 ,,RBRVS,1.84 ,0.60 ,0.60 ,,,,,1,0,1,1,1,1,20060825
75801,CPT,"Lymph vessel x-ray, arm/leg",TC,,20 ,,RBRVS,0.00 ,5.43 ,5.43 ,,,,,1,1,1,0,1,1,20060825
75801,CPT,"Lymph vessel x-ray, arm/leg",26,,20 ,,RBRVS,0.81 ,0.27 ,0.27 ,,,,,1,0,1,1,1,1,20060825
75803,CPT,"Lymph vessel x-ray,arms/legs",TC,,20 ,,RBRVS,0.00 ,5.43 ,5.43 ,,,,,1,1,1,0,1,1,20060825
75803,CPT,"Lymph vessel x-ray,arms/legs",26,,20 ,,RBRVS,1.17 ,0.38 ,0.38 ,,,,,1,0,1,1,1,1,20060825
75805,CPT,"Lymph vessel x-ray, trunk",TC,,20 ,,RBRVS,0.00 ,6.12 ,6.12 ,,,,,1,1,1,0,1,1,20060825
75805,CPT,"Lymph vessel x-ray, trunk",26,,20 ,,RBRVS,0.81 ,0.27 ,0.27 ,,,,,1,0,1,1,1,1,20060825
75807,CPT,"Lymph vessel x-ray, trunk",26,,20 ,,RBRVS,1.17 ,0.38 ,0.38 ,,,,,1,0,1,1,1,1,20060825
75809,CPT,"Nonvascular shunt, x-ray",TC,,20 ,,RBRVS,0.00 ,0.78 ,0.78 ,,,,,1,1,1,0,1,1,20060825
75809,CPT,"Nonvascular shunt, x-ray",26,,20 ,,RBRVS,0.47 ,0.15 ,0.15 ,,,,,1,0,1,1,1,1,20060825
75810,CPT,"Vein x-ray, spleen/liver",TC,,20 ,,RBRVS,0.00 ,12.64 ,12.64 ,,,,,1,1,1,0,1,1,20060825
75810,CPT,"Vein x-ray, spleen/liver",26,,20 ,,RBRVS,1.14 ,0.37 ,0.37 ,,,,,1,0,1,1,1,1,20060825
75820,CPT,"Vein x-ray, arm/leg",TC,,20 ,,RBRVS,0.00 ,0.95 ,0.95 ,,,,,1,1,1,0,1,1,20060825
75820,CPT,"Vein x-ray, arm/leg",26,,20 ,,RBRVS,0.70 ,0.23 ,0.23 ,,,,,1,0,1,1,1,1,20060825
75822,CPT,"Vein x-ray, arms/legs",TC,,20 ,,RBRVS,0.00 ,1.48 ,1.48 ,,,,,1,1,1,0,1,1,20060825
75822,CPT,"Vein x-ray, arms/legs",26,,20 ,,RBRVS,1.06 ,0.35 ,0.35 ,,,,,1,0,1,1,1,1,20060825
75825,CPT,"Vein x-ray, trunk",TC,,20 ,,RBRVS,0.00 ,12.64 ,12.64 ,,,,,1,1,1,0,1,1,20060825
75825,CPT,"Vein x-ray, trunk",26,,20 ,,RBRVS,1.14 ,0.37 ,0.37 ,,,,,1,0,1,1,1,1,20060825
75827,CPT,"Vein x-ray, chest",TC,,20 ,,RBRVS,0.00 ,12.64 ,12.64 ,,,,,1,1,1,0,1,1,20060825
75827,CPT,"Vein x-ray, chest",26,,20 ,,RBRVS,1.14 ,0.37 ,0.37 ,,,,,1,0,1,1,1,1,20060825
75831,CPT,"Vein x-ray, kidney",TC,,20 ,,RBRVS,0.00 ,12.64 ,12.64 ,,,,,1,1,1,0,1,1,20060825
75831,CPT,"Vein x-ray, kidney",26,,20 ,,RBRVS,1.14 ,0.37 ,0.37 ,,,,,1,0,1,1,1,1,20060825
75833,CPT,"Vein x-ray, kidneys",TC,,20 ,,RBRVS,0.00 ,12.64 ,12.64 ,,,,,1,1,1,0,1,1,20060825
75833,CPT,"Vein x-ray, kidneys",26,,20 ,,RBRVS,1.49 ,0.49 ,0.49 ,,,,,1,0,1,1,1,1,20060825
75840,CPT,"Vein x-ray, adrenal gland",TC,,20 ,,RBRVS,0.00 ,12.64 ,12.64 ,,,,,1,1,1,0,1,1,20060825
75840,CPT,"Vein x-ray, adrenal gland",26,,20 ,,RBRVS,1.14 ,0.38 ,0.38 ,,,,,1,0,1,1,1,1,20060825
75842,CPT,"Vein x-ray, adrenal glands",TC,,20 ,,RBRVS,0.00 ,12.64 ,12.64 ,,,,,1,1,1,0,1,1,20060825
75842,CPT,"Vein x-ray, adrenal glands",26,,20 ,,RBRVS,1.49 ,0.48 ,0.48 ,,,,,1,0,1,1,1,1,20060825
75860,CPT,"Vein x-ray, neck",TC,,20 ,,RBRVS,0.00 ,12.64 ,12.64 ,,,,,1,1,1,0,1,1,20060825
75860,CPT,"Vein x-ray, neck",26,,20 ,,RBRVS,1.14 ,0.39 ,0.39 ,,,,,1,0,1,1,1,1,20060825
75870,CPT,"Vein x-ray, skull",TC,,20 ,,RBRVS,0.00 ,12.64 ,12.64 ,,,,,1,1,1,0,1,1,20060825
75870,CPT,"Vein x-ray, skull",26,,20 ,,RBRVS,1.14 ,0.39 ,0.39 ,,,,,1,0,1,1,1,1,20060825
75872,CPT,"Vein x-ray, skull",TC,,20 ,,RBRVS,0.00 ,12.64 ,12.64 ,,,,,1,1,1,0,1,1,20060825
75872,CPT,"Vein x-ray, skull",26,,20 ,,RBRVS,1.14 ,0.37 ,0.37 ,,,,,1,0,1,1,1,1,20060825
75880,CPT,"Vein x-ray, eye socket",TC,,20 ,,RBRVS,0.00 ,0.95 ,0.95 ,,,,,1,1,1,0,1,1,20060825
75880,CPT,"Vein x-ray, eye socket",26,,20 ,,RBRVS,0.70 ,0.23 ,0.23 ,,,,,1,0,1,1,1,1,20060825
75885,CPT,"Vein x-ray, liver",TC,,20 ,,RBRVS,0.00 ,12.64 ,12.64 ,,,,,1,1,1,0,1,1,20060825
75885,CPT,"Vein x-ray, liver",26,,20 ,,RBRVS,1.44 ,0.47 ,0.47 ,,,,,1,0,1,1,1,1,20060825
75887,CPT,"Vein x-ray, liver",TC,,20 ,,RBRVS,0.00 ,12.64 ,12.64 ,,,,,1,1,1,0,1,1,20060825
75887,CPT,"Vein x-ray, liver",26,,20 ,,RBRVS,1.44 ,0.47 ,0.47 ,,,,,1,0,1,1,1,1,20060825
75889,CPT,"Vein x-ray, liver",TC,,20 ,,RBRVS,0.00 ,12.64 ,12.64 ,,,,,1,1,1,0,1,1,20060825
75889,CPT,"Vein x-ray, liver",26,,20 ,,RBRVS,1.14 ,0.37 ,0.37 ,,,,,1,0,1,1,1,1,20060825
75891,CPT,"Vein x-ray, liver",TC,,20 ,,RBRVS,0.00 ,12.64 ,12.64 ,,,,,1,1,1,0,1,1,20060825
75891,CPT,"Vein x-ray, liver",26,,20 ,,RBRVS,1.14 ,0.37 ,0.37 ,,,,,1,0,1,1,1,1,20060825
75893,CPT,Venous sampling by catheter,TC,,20 ,2,RBRVS,0.00 ,12.64 ,12.64 ,,,,,1,1,1,0,1,1,20060825
75893,CPT,Venous sampling by catheter,26,,20 ,,RBRVS,0.54 ,0.18 ,0.18 ,,,,,1,0,1,1,1,1,20060825
75894,CPT,"X-rays, transcath therapy",TC,,20 ,,RBRVS,0.00 ,24.20 ,24.20 ,,,,,1,1,1,0,1,1,20060825
75894,CPT,"X-rays, transcath therapy",26,,20 ,,RBRVS,1.31 ,0.43 ,0.43 ,,,,,1,0,1,1,1,1,20060825
75896,CPT,"X-rays, transcath therapy",TC,,20 ,,RBRVS,0.00 ,21.05 ,21.05 ,,,,,1,1,1,0,1,1,20060825
75896,CPT,"X-rays, transcath therapy",26,,20 ,,RBRVS,1.31 ,0.45 ,0.45 ,,,,,1,0,1,1,1,1,20060825
75898,CPT,Follow-up angiography,TC,,20 ,,RBRVS,0.00 ,1.05 ,1.05 ,,,,,1,1,1,0,1,1,20060825
75898,CPT,Follow-up angiography,26,,20 ,,RBRVS,1.65 ,0.55 ,0.55 ,,,,,1,0,1,1,1,1,20060825
75900,CPT,Arterial catheter exchange,26,,20 ,,RBRVS,0.49 ,0.16 ,0.16 ,,,,,1,0,1,1,1,1,20060825
75901,CPT,Remove cva device obstruct,TC,,20 ,,RBRVS,0.00 ,1.31 ,1.31 ,,,,,1,1,1,0,1,1,20060825
75901,CPT,Remove cva device obstruct,26,,20 ,,RBRVS,0.49 ,0.16 ,0.16 ,,,,,1,0,1,1,1,1,20060825
75902,CPT,Remove cva lumen obstruct,TC,,20 ,,RBRVS,0.00 ,1.31 ,1.31 ,,,,,1,1,1,0,1,1,20060825
75902,CPT,Remove cva lumen obstruct,26,,20 ,,RBRVS,0.39 ,0.13 ,0.13 ,,,,,1,0,1,1,1,1,20060825
75940,CPT,"X-ray placement, vein filter",TC,,20 ,,RBRVS,0.00 ,12.64 ,12.64 ,,,,,1,1,1,0,1,1,20060825
75940,CPT,"X-ray placement, vein filter",26,,20 ,,RBRVS,0.54 ,0.18 ,0.18 ,,,,,1,0,1,1,1,1,20060825
75945,CPT,Intravascular us,TC,,20 ,,RBRVS,0.00 ,4.57 ,4.57 ,,,,,1,1,1,0,1,1,20060825
75945,CPT,Intravascular us,26,,20 ,,RBRVS,0.40 ,0.14 ,0.14 ,,,,,1,0,1,1,1,1,20060825
75946,CPT,Intravascular us add-on,26,,20 ,,RBRVS,0.40 ,0.14 ,0.14 ,,,,,1,0,1,1,1,1,20060825
75952,CPT,Endovasc repair abdom aorta,TC,,20 ,,TotalUnits,,,,23.49 ,,,,1,1,1,0,1,1,20060825
75952,CPT,Endovasc repair abdom aorta,26,,20 ,,RBRVS,4.49 ,1.49 ,1.49 ,,,,,1,0,1,1,1,1,20060825
75953,CPT,Abdom aneurysm endovas rpr,TC,,20 ,1,TotalUnits,,,,21.33 ,,,,1,1,1,0,1,1,20060825
75953,CPT,Abdom aneurysm endovas rpr,26,,20 ,,RBRVS,1.36 ,0.45 ,0.45 ,,,,,1,0,1,1,1,1,20060825
75954,CPT,Iliac aneurysm endovas rpr,TC,,20 ,1,TotalUnits,,,,23.49 ,,,,1,1,1,0,1,1,20060825
75954,CPT,Iliac aneurysm endovas rpr,26,,20 ,,RBRVS,2.25 ,0.78 ,0.78 ,,,,,1,0,1,1,1,1,20060825
75956,CPT,"Xray, endovasc thor ao repr",26,,20 ,,RBRVS,7.00 ,2.71 ,2.71 ,,,,,1,0,1,1,1,1,20060825
75957,CPT,"Xray, endovasc thor ao repr",26,,20 ,,RBRVS,6.00 ,2.32 ,2.32 ,,,,,1,0,1,1,1,1,20060825
75958,CPT,"Xray, place prox ext thor ao",26,,20 ,,RBRVS,4.00 ,1.55 ,1.55 ,,,,,1,0,1,1,1,1,20060825
75959,CPT,"Xray, place dist ext thor ao",26,,20 ,,RBRVS,3.50 ,1.36 ,1.36 ,,,,,1,0,1,1,1,1,20060825
75960,CPT,"Transcatheter intro, stent",TC,,20 ,,RBRVS,0.00 ,14.94 ,14.94 ,,,,,1,1,1,0,1,1,20060825
75960,CPT,"Transcatheter intro, stent",26,,20 ,,RBRVS,0.82 ,0.28 ,0.28 ,,,,,1,0,1,1,1,1,20060825
75961,CPT,"Retrieval, broken catheter",TC,,20 ,,RBRVS,0.00 ,10.53 ,10.53 ,,,,,1,1,1,0,1,1,20060825
75961,CPT,"Retrieval, broken catheter",26,,20 ,,RBRVS,4.24 ,1.39 ,1.39 ,,,,,1,0,1,1,1,1,20060825
75962,CPT,Repair arterial blockage,TC,,20 ,,RBRVS,0.00 ,15.79 ,15.79 ,,,,,1,1,1,0,1,1,20060825
75962,CPT,Repair arterial blockage,26,,20 ,,RBRVS,0.54 ,0.18 ,0.18 ,,,,,1,0,1,1,1,1,20060825
75964,CPT,"Repair artery blockage, each",TC,,20 ,,RBRVS,0.00 ,8.41 ,8.41 ,,,,,1,1,1,0,1,1,20060825
75964,CPT,"Repair artery blockage, each",26,,20 ,,RBRVS,0.36 ,0.12 ,0.12 ,,,,,1,0,1,1,1,1,20060825
75966,CPT,Repair arterial blockage,TC,,20 ,,RBRVS,0.00 ,15.79 ,15.79 ,,,,,1,1,1,0,1,1,20060825
75966,CPT,Repair arterial blockage,26,,20 ,,RBRVS,1.31 ,0.46 ,0.46 ,,,,,1,0,1,1,1,1,20060825
75968,CPT,"Repair artery blockage, each",TC,,20 ,,RBRVS,0.00 ,8.41 ,8.41 ,,,,,1,1,1,0,1,1,20060825
75968,CPT,"Repair artery blockage, each",26,,20 ,,RBRVS,0.36 ,0.13 ,0.13 ,,,,,1,0,1,1,1,1,20060825
75970,CPT,Vascular biopsy,TC,,20 ,,RBRVS,0.00 ,11.57 ,11.57 ,,,,,1,1,1,0,1,1,20060825
75970,CPT,Vascular biopsy,26,,20 ,,RBRVS,0.83 ,0.28 ,0.28 ,,,,,1,0,1,1,1,1,20060825
75978,CPT,Repair venous blockage,TC,,20 ,,RBRVS,0.00 ,15.79 ,15.79 ,,,,,1,1,1,0,1,1,20060825
75978,CPT,Repair venous blockage,26,,20 ,,RBRVS,0.54 ,0.18 ,0.18 ,,,,,1,0,1,1,1,1,20060825
75980,CPT,Contrast xray exam bile duct,TC,,20 ,,RBRVS,0.00 ,5.43 ,5.43 ,,,,,1,1,1,0,1,1,20060825
75980,CPT,Contrast xray exam bile duct,26,,20 ,,RBRVS,1.44 ,0.47 ,0.47 ,,,,,1,0,1,1,1,1,20060825
75982,CPT,Contrast xray exam bile duct,26,,20 ,,RBRVS,1.44 ,0.47 ,0.47 ,,,,,1,0,1,1,1,1,20060825
75984,CPT,Xray control catheter change,TC,,20 ,,RBRVS,0.00 ,1.96 ,1.96 ,,,,,1,1,1,0,1,1,20060825
75984,CPT,Xray control catheter change,26,,20 ,,RBRVS,0.72 ,0.23 ,0.23 ,,,,,1,0,1,1,1,1,20060825
75989,CPT,Abscess drainage under x-ray,TC,,20 ,2,RBRVS,0.00 ,3.16 ,3.16 ,,,,,1,1,1,0,1,1,20060825
75989,CPT,Abscess drainage under x-ray,26,,20 ,,RBRVS,1.19 ,0.39 ,0.39 ,,,,,1,0,1,1,1,1,20060825
75992,CPT,"Atherectomy, x-ray exam",TC,,20 ,,RBRVS,0.00 ,15.79 ,15.79 ,,,,,1,1,1,0,1,1,20060825
75992,CPT,"Atherectomy, x-ray exam",26,,20 ,,RBRVS,0.54 ,0.19 ,0.19 ,,,,,1,0,1,1,1,1,20060825
75993,CPT,"Atherectomy, x-ray exam",26,,20 ,,RBRVS,0.36 ,0.13 ,0.13 ,,,,,1,0,1,1,1,1,20060825
75994,CPT,"Atherectomy, x-ray exam",26,,20 ,,RBRVS,1.31 ,0.46 ,0.46 ,,,,,1,0,1,1,1,1,20060825
75995,CPT,"Atherectomy, x-ray exam",26,,20 ,,RBRVS,1.31 ,0.47 ,0.47 ,,,,,1,0,1,1,1,1,20060825
75996,CPT,"Atherectomy, x-ray exam",26,,20 ,,RBRVS,0.36 ,0.12 ,0.12 ,,,,,1,0,1,1,1,1,20060825
75998,CPT,Fluoroguide for vein device,TC,,20 ,2,RBRVS,0.00 ,1.31 ,1.31 ,,,,,1,1,1,0,1,1,20060825
75998,CPT,Fluoroguide for vein device,26,,20 ,,RBRVS,0.38 ,0.13 ,0.13 ,,,,,1,0,1,1,1,1,20060825
76000,CPT,Fluoroscope examination,TC,,20 ,,RBRVS,0.00 ,1.31 ,1.31 ,,,,,1,1,1,0,1,1,20060825
76000,CPT,Fluoroscope examination,26,,20 ,,RBRVS,0.17 ,0.05 ,0.05 ,,,,,1,0,1,1,1,1,20060825
76001,CPT,"Fluoroscope exam, extensive",TC,,20 ,2,RBRVS,0.00 ,2.63 ,2.63 ,,,,,1,1,1,0,1,1,20060825
76001,CPT,"Fluoroscope exam, extensive",26,,20 ,,RBRVS,0.67 ,0.22 ,0.22 ,,,,,1,0,1,1,1,1,20060825
76003,CPT,Needle localization by x-ray,TC,,20 ,2,RBRVS,0.00 ,1.31 ,1.31 ,,,,,1,1,1,0,1,1,20060825
76003,CPT,Needle localization by x-ray,26,,20 ,,RBRVS,0.54 ,0.17 ,0.17 ,,,,,1,0,1,1,1,1,20060825
76005,CPT,Fluoroguide for spine inject,TC,,20 ,2,RBRVS,0.00 ,1.31 ,1.31 ,,,,,1,1,1,0,1,1,20060825
76005,CPT,Fluoroguide for spine inject,26,,20 ,,RBRVS,0.60 ,0.15 ,0.15 ,,,,,1,0,1,1,1,1,20060825
76006,CPT,X-ray stress view,,PC,20 ,,RBRVS,0.41 ,0.18 ,0.18 ,,,,,1,0,1,1,1,1,20060825
76010,CPT,"X-ray, nose to rectum",TC,,20 ,,RBRVS,0.00 ,0.52 ,0.52 ,,,,,1,1,1,0,1,1,20060825
76010,CPT,"X-ray, nose to rectum",26,,20 ,,RBRVS,0.18 ,0.06 ,0.06 ,,,,,1,0,1,1,1,1,20060825
76012,CPT,Percut vertebroplasty fluor,TC,,20 ,,TotalUnits,,,,5.38 ,,,,1,1,1,0,1,1,20060825
76012,CPT,Percut vertebroplasty fluor,26,,20 ,,RBRVS,1.31 ,0.47 ,0.47 ,,,,,1,0,1,1,1,1,20060825
76013,CPT,"Percut vertebroplasty, ct",TC,,20 ,,TotalUnits,,,,7.77 ,,,,1,1,1,0,1,1,20060825
76013,CPT,"Percut vertebroplasty, ct",26,,20 ,,RBRVS,1.38 ,0.48 ,0.48 ,,,,,1,0,1,1,1,1,20060825
76020,CPT,X-rays for bone age,TC,,20 ,,RBRVS,0.00 ,0.52 ,0.52 ,,,,,1,1,1,0,1,1,20060825
76020,CPT,X-rays for bone age,26,,20 ,,RBRVS,0.19 ,0.06 ,0.06 ,,,,,1,0,1,1,1,1,20060825
76040,CPT,"X-rays, bone evaluation",TC,,20 ,,RBRVS,0.00 ,0.78 ,0.78 ,,,,,1,1,1,0,1,1,20060825
76040,CPT,"X-rays, bone evaluation",26,,20 ,,RBRVS,0.27 ,0.09 ,0.09 ,,,,,1,0,1,1,1,1,20060825
76061,CPT,"X-rays, bone survey",TC,,20 ,,RBRVS,0.00 ,1.00 ,1.00 ,,,,,1,1,1,0,1,1,20060825
76061,CPT,"X-rays, bone survey",26,,20 ,,RBRVS,0.45 ,0.15 ,0.15 ,,,,,1,0,1,1,1,1,20060825
76062,CPT,"X-rays, bone survey",TC,,20 ,,RBRVS,0.00 ,1.44 ,1.44 ,,,,,1,1,1,0,1,1,20060825
76062,CPT,"X-rays, bone survey",26,,20 ,,RBRVS,0.54 ,0.18 ,0.18 ,,,,,1,0,1,1,1,1,20060825
76065,CPT,"X-rays, bone evaluation",TC,,20 ,,RBRVS,0.00 ,0.73 ,0.73 ,,,,,1,1,1,0,1,1,20060825
76065,CPT,"X-rays, bone evaluation",26,,20 ,,RBRVS,0.70 ,0.23 ,0.23 ,,,,,1,0,1,1,1,1,20060825
76066,CPT,"Joint survey, single view",TC,,20 ,,RBRVS,0.00 ,1.11 ,1.11 ,,,,,1,1,1,0,1,1,20060825
76066,CPT,"Joint survey, single view",26,,20 ,,RBRVS,0.31 ,0.10 ,0.10 ,,,,,1,0,1,1,1,1,20060825
76070,CPT,"Ct bone density, axial",TC,,20 ,,RBRVS,0.00 ,2.96 ,2.96 ,,,,,1,1,1,0,1,1,20060825
76070,CPT,"Ct bone density, axial",26,,20 ,,RBRVS,0.25 ,0.08 ,0.08 ,,,,,1,0,1,1,1,1,20060825
76071,CPT,"Ct bone density, peripheral",TC,,20 ,,RBRVS,0.00 ,2.96 ,2.96 ,,,,,1,1,1,0,1,1,20060825
76071,CPT,"Ct bone density, peripheral",26,,20 ,,RBRVS,0.22 ,0.07 ,0.07 ,,,,,1,0,1,1,1,1,20060825
76075,CPT,"Dexa, axial skeleton study",TC,,20 ,,RBRVS,0.00 ,3.10 ,3.10 ,,,,,1,1,1,0,1,1,20060825
76075,CPT,"Dexa, axial skeleton study",26,,20 ,,RBRVS,0.30 ,0.10 ,0.10 ,,,,,1,0,1,1,1,1,20060825
76076,CPT,"Dexa, peripheral study",TC,,20 ,,RBRVS,0.00 ,0.75 ,0.75 ,,,,,1,1,1,0,1,1,20060825
76076,CPT,"Dexa, peripheral study",26,,20 ,,RBRVS,0.22 ,0.08 ,0.08 ,,,,,1,0,1,1,1,1,20060825
76077,CPT,Dxa bone density/v-fracture,TC,,20 ,,RBRVS,0.00 ,0.75 ,0.75 ,,,,,1,1,1,0,1,1,20060825
76077,CPT,Dxa bone density/v-fracture,26,,20 ,,RBRVS,0.17 ,0.06 ,0.06 ,,,,,1,0,1,1,1,1,20060825
76078,CPT,Radiographic absorptiometry,TC,,20 ,,RBRVS,0.00 ,0.75 ,0.75 ,,,,,1,1,1,0,1,1,20060825
76078,CPT,Radiographic absorptiometry,26,,20 ,,RBRVS,0.20 ,0.07 ,0.07 ,,,,,1,0,1,1,1,1,20060825
76080,CPT,X-ray exam of fistula,TC,,20 ,,RBRVS,0.00 ,1.05 ,1.05 ,,,,,1,1,1,0,1,1,20060825
76080,CPT,X-ray exam of fistula,26,,20 ,,RBRVS,0.54 ,0.18 ,0.18 ,,,,,1,0,1,1,1,1,20060825
76082,CPT,Computer mammogram add-on,TC,,20 ,,RBRVS,0.00 ,0.42 ,0.42 ,,,,,1,1,1,0,1,1,20060825
76082,CPT,Computer mammogram add-on,26,,20 ,,RBRVS,0.06 ,0.02 ,0.02 ,,,,,1,0,1,1,1,1,20060825
76083,CPT,Computer mammogram add-on,TC,,20 ,,RBRVS,0.00 ,0.42 ,0.42 ,,,,,1,1,1,0,1,1,20060825
76083,CPT,Computer mammogram add-on,26,,20 ,,RBRVS,0.06 ,0.02 ,0.02 ,,,,,1,0,1,1,1,1,20060825
76086,CPT,X-ray of mammary duct,TC,,20 ,,RBRVS,0.00 ,2.63 ,2.63 ,,,,,1,1,1,0,1,1,20060825
76086,CPT,X-ray of mammary duct,26,,20 ,,RBRVS,0.36 ,0.12 ,0.12 ,,,,,1,0,1,1,1,1,20060825
76088,CPT,X-ray of mammary ducts,TC,,20 ,,RBRVS,0.00 ,3.67 ,3.67 ,,,,,1,1,1,0,1,1,20060825
76088,CPT,X-ray of mammary ducts,26,,20 ,,RBRVS,0.45 ,0.15 ,0.15 ,,,,,1,0,1,1,1,1,20060825
76090,CPT,"Mammogram, one breast",TC,,20 ,,RBRVS,0.00 ,1.05 ,1.05 ,,,,,1,1,1,0,1,1,20060825
76090,CPT,"Mammogram, one breast",26,,20 ,,RBRVS,0.70 ,0.23 ,0.23 ,,,,,1,0,1,1,1,1,20060825
76091,CPT,"Mammogram, both breasts",TC,,20 ,,RBRVS,0.00 ,1.31 ,1.31 ,,,,,1,1,1,0,1,1,20060825
76091,CPT,"Mammogram, both breasts",26,,20 ,,RBRVS,0.87 ,0.28 ,0.28 ,,,,,1,0,1,1,1,1,20060825
76092,CPT,"Mammogram, screening",TC,,20 ,,RBRVS,0.00 ,1.23 ,1.23 ,,,,,1,1,1,0,1,1,20060825
76092,CPT,"Mammogram, screening",26,,20 ,,RBRVS,0.70 ,0.23 ,0.23 ,,,,,1,0,1,1,1,1,20060825
76093,CPT,"Magnetic image, breast",TC,,20 ,,RBRVS,0.00 ,17.67 ,17.67 ,,,,,1,1,1,0,1,1,20060825
76093,CPT,"Magnetic image, breast",26,,20 ,,RBRVS,1.63 ,0.53 ,0.53 ,,,,,1,0,1,1,1,1,20060825
76094,CPT,"Magnetic image, both breasts",TC,,20 ,,RBRVS,0.00 ,23.98 ,23.98 ,,,,,1,1,1,0,1,1,20060825
76094,CPT,"Magnetic image, both breasts",26,,20 ,,RBRVS,1.63 ,0.53 ,0.53 ,,,,,1,0,1,1,1,1,20060825
76095,CPT,Stereotactic breast biopsy,TC,,20 ,,RBRVS,0.00 ,7.18 ,7.18 ,,,,,1,1,1,0,1,1,20060825
76095,CPT,Stereotactic breast biopsy,26,,20 ,,RBRVS,1.59 ,0.52 ,0.52 ,,,,,1,0,1,1,1,1,20060825
76096,CPT,"X-ray of needle wire, breast",TC,,20 ,,RBRVS,0.00 ,1.31 ,1.31 ,,,,,1,1,1,0,1,1,20060825
76096,CPT,"X-ray of needle wire, breast",26,,20 ,,RBRVS,0.56 ,0.18 ,0.18 ,,,,,1,0,1,1,1,1,20060825
76098,CPT,"X-ray exam, breast specimen",TC,,20 ,,RBRVS,0.00 ,0.42 ,0.42 ,,,,,1,1,1,0,1,1,20060825
76098,CPT,"X-ray exam, breast specimen",26,,20 ,,RBRVS,0.16 ,0.05 ,0.05 ,,,,,1,0,1,1,1,1,20060825
76100,CPT,X-ray exam of body section,TC,,20 ,,RBRVS,0.00 ,1.25 ,1.25 ,,,,,1,1,1,0,1,1,20060825
76100,CPT,X-ray exam of body section,26,,20 ,,RBRVS,0.58 ,0.19 ,0.19 ,,,,,1,0,1,1,1,1,20060825
76101,CPT,Complex body section x-ray,TC,,20 ,,RBRVS,0.00 ,1.42 ,1.42 ,,,,,1,1,1,0,1,1,20060825
76101,CPT,Complex body section x-ray,26,,20 ,,RBRVS,0.58 ,0.19 ,0.19 ,,,,,1,0,1,1,1,1,20060825
76102,CPT,Complex body section x-rays,TC,,20 ,,RBRVS,0.00 ,1.74 ,1.74 ,,,,,1,1,1,0,1,1,20060825
76102,CPT,Complex body section x-rays,26,,20 ,,RBRVS,0.58 ,0.19 ,0.19 ,,,,,1,0,1,1,1,1,20060825
76120,CPT,Cine/video x-rays,TC,,20 ,,RBRVS,0.00 ,1.05 ,1.05 ,,,,,1,1,1,0,1,1,20060825
76120,CPT,Cine/video x-rays,26,,20 ,,RBRVS,0.38 ,0.13 ,0.13 ,,,,,1,0,1,1,1,1,20060825
76125,CPT,Cine/video x-rays add-on,TC,,20 ,,RBRVS,0.00 ,0.78 ,0.78 ,,,,,1,1,1,0,1,1,20060825
76125,CPT,Cine/video x-rays add-on,26,,20 ,,RBRVS,0.27 ,0.09 ,0.09 ,,,,,1,0,1,1,1,1,20060825
76140,CPT,X-ray consultation,,,20 ,,TotalUnits,,,,0.69 ,,,,1,0,1,1,1,1,20060825
76150,CPT,"X-ray exam, dry process",,TC,20 ,,RBRVS,0.00 ,0.42 ,0.42 ,,,,,1,1,1,0,1,1,20060825
76350,CPT,Special x-ray contrast study,26,,20 ,,TotalUnits,,,,0.27 ,,,,1,0,1,1,1,1,20060825
76350,CPT,Special x-ray contrast study,TC,,20 ,2,TotalUnits,,,,1.10 ,,,,1,1,1,0,1,1,20060825
76355,CPT,CAT scan for localization,TC,,20 ,,RBRVS,0.00 ,8.28 ,8.28 ,,,,,1,1,1,0,1,1,20060825
76355,CPT,CAT scan for localization,26,,20 ,,RBRVS,1.21 ,0.40 ,0.40 ,,,,,1,0,1,1,1,1,20060825
76360,CPT,CAT scan for needle biopsy,TC,,20 ,,RBRVS,0.00 ,8.28 ,8.28 ,,,,,1,1,1,0,1,1,20060825
76360,CPT,CAT scan for needle biopsy,26,,20 ,,RBRVS,1.16 ,0.38 ,0.38 ,,,,,1,0,1,1,1,1,20060825
76362,CPT,Cat scan for tissue ablation,TC,,20 ,,RBRVS,0.00 ,8.28 ,8.28 ,,,,,1,1,1,0,1,1,20060825
76362,CPT,Cat scan for tissue ablation,26,,20 ,,RBRVS,3.99 ,1.30 ,1.30 ,,,,,1,0,1,1,1,1,20060825
76370,CPT,CAT scan for therapy guide,TC,,20 ,,RBRVS,0.00 ,2.96 ,2.96 ,,,,,1,1,1,0,1,1,20060825
76370,CPT,CAT scan for therapy guide,26,,20 ,,RBRVS,0.85 ,0.28 ,0.28 ,,,,,1,0,1,1,1,1,20060825
76376,CPT,3d render w/o postprocess,TC,,20 ,,RBRVS,0.00 ,3.43 ,3.43 ,,,,,1,1,1,0,1,1,20060825
76376,CPT,3d render w/o postprocess,26,,20 ,,RBRVS,0.20 ,0.07 ,0.07 ,,,,,1,0,1,1,1,1,20060825
76377,CPT,3d rendering w/postprocess,TC,,20 ,,RBRVS,0.00 ,3.43 ,3.43 ,,,,,1,1,1,0,1,1,20060825
76377,CPT,3d rendering w/postprocess,26,,20 ,,RBRVS,0.79 ,0.27 ,0.27 ,,,,,1,0,1,1,1,1,20060825
76380,CPT,CAT scan follow-up study,TC,,20 ,,RBRVS,0.00 ,3.51 ,3.51 ,,,,,1,1,1,0,1,1,20060825
76380,CPT,CAT scan follow-up study,26,,20 ,,RBRVS,0.98 ,0.32 ,0.32 ,,,,,1,0,1,1,1,1,20060825
76390,CPT,Mr spectroscopy,TC,,20 ,,RBRVS,0.00 ,11.04 ,11.04 ,,,,,1,1,1,0,1,1,20060825
76390,CPT,Mr spectroscopy,26,,20 ,,RBRVS,1.40 ,0.47 ,0.47 ,,,,,1,0,1,1,1,1,20060825
76393,CPT,Mr guidance for needle place,TC,,20 ,,RBRVS,0.00 ,11.23 ,11.23 ,,,,,1,1,1,0,1,1,20060825
76393,CPT,Mr guidance for needle place,26,,20 ,,RBRVS,1.50 ,0.50 ,0.50 ,,,,,1,0,1,1,1,1,20060825
76394,CPT,Mri for tissue ablation,TC,,20 ,,RBRVS,0.00 ,11.23 ,11.23 ,,,,,1,1,1,0,1,1,20060825
76394,CPT,Mri for tissue ablation,26,,20 ,,RBRVS,4.24 ,1.38 ,1.38 ,,,,,1,0,1,1,1,1,20060825
76400,CPT,"Magnetic image, bone marrow",TC,,20 ,,RBRVS,0.00 ,11.23 ,11.23 ,,,,,1,1,1,0,1,1,20060825
76400,CPT,"Magnetic image, bone marrow",26,,20 ,,RBRVS,1.60 ,0.52 ,0.52 ,,,,,1,0,1,1,1,1,20060825
76496,CPT,Fluoroscopic procedure,,,20 ,,TotalUnits,,,,1.53 ,,,,1,1,1,0,1,1,20060825
76497,CPT,Ct procedure,,,20 ,,TotalUnits,,,,7.50 ,,,,1,1,1,0,1,1,20060825
76498,CPT,Mri procedure,,,20 ,,TotalUnits,,,,13.37 ,,,,1,1,1,0,1,1,20060825
76499,CPT,Radiographic procedure,,,20 ,,TotalUnits,,,,0.91 ,,,,1,1,1,0,1,1,20060825
76506,CPT,Echo exam of head,TC,,20 ,,RBRVS,0.00 ,1.42 ,1.42 ,,,,,1,1,1,0,1,1,20060825
76506,CPT,Echo exam of head,26,,20 ,,RBRVS,0.63 ,0.24 ,0.24 ,,,,,1,0,1,1,1,1,20060825
76510,CPT,"Ophth us, b & quant a",TC,,20 ,,RBRVS,0.00 ,2.19 ,2.19 ,,,,,1,1,1,0,1,1,20060825
76510,CPT,"Ophth us, b & quant a",26,,20 ,,RBRVS,1.55 ,0.68 ,0.68 ,,,,,1,0,1,1,1,1,20060825
76511,CPT,Echo exam of eye,TC,,20 ,,RBRVS,0.00 ,2.04 ,2.04 ,,,,,1,1,1,0,1,1,20060825
76511,CPT,Echo exam of eye,26,,20 ,,RBRVS,0.94 ,0.40 ,0.40 ,,,,,1,0,1,1,1,1,20060825
76512,CPT,Echo exam of eye,TC,,20 ,,RBRVS,0.00 ,1.82 ,1.82 ,,,,,1,1,1,0,1,1,20060825
76512,CPT,Echo exam of eye,26,,20 ,,RBRVS,0.94 ,0.42 ,0.42 ,,,,,1,0,1,1,1,1,20060825
76513,CPT,"Echo exam of eye, water bath",TC,,20 ,,RBRVS,0.00 ,1.52 ,1.52 ,,,,,1,1,1,0,1,1,20060825
76513,CPT,"Echo exam of eye, water bath",26,,20 ,,RBRVS,0.66 ,0.29 ,0.29 ,,,,,1,0,1,1,1,1,20060825
76514,CPT,"Echo exam of eye, thickness",TC,,20 ,,RBRVS,0.00 ,0.05 ,0.05 ,,,,,1,1,1,0,1,1,20060825
76514,CPT,"Echo exam of eye, thickness",26,,20 ,,RBRVS,0.17 ,0.08 ,0.08 ,,,,,1,0,1,1,1,1,20060825
76516,CPT,Echo exam of eye,TC,,20 ,,RBRVS,0.00 ,1.22 ,1.22 ,,,,,1,1,1,0,1,1,20060825
76516,CPT,Echo exam of eye,26,,20 ,,RBRVS,0.54 ,0.24 ,0.24 ,,,,,1,0,1,1,1,1,20060825
76519,CPT,Echo exam of eye,TC,,20 ,,RBRVS,0.00 ,1.31 ,1.31 ,,,,,1,1,1,0,1,1,20060825
76519,CPT,Echo exam of eye,26,,20 ,,RBRVS,0.54 ,0.24 ,0.24 ,,,,,1,0,1,1,1,1,20060825
76529,CPT,Echo exam of eye,TC,,20 ,,RBRVS,0.00 ,1.13 ,1.13 ,,,,,1,1,1,0,1,1,20060825
76529,CPT,Echo exam of eye,26,,20 ,,RBRVS,0.57 ,0.24 ,0.24 ,,,,,1,0,1,1,1,1,20060825
76536,CPT,Us exam of head and neck,TC,,20 ,,RBRVS,0.00 ,1.42 ,1.42 ,,,,,1,1,1,0,1,1,20060825
76536,CPT,Us exam of head and neck,26,,20 ,,RBRVS,0.56 ,0.18 ,0.18 ,,,,,1,0,1,1,1,1,20060825
76604,CPT,"Us exam, chest, b-scan",TC,,20 ,,RBRVS,0.00 ,1.31 ,1.31 ,,,,,1,1,1,0,1,1,20060825
76604,CPT,"Us exam, chest, b-scan",26,,20 ,,RBRVS,0.55 ,0.18 ,0.18 ,,,,,1,0,1,1,1,1,20060825
76645,CPT,"Us exam, breast(s)",TC,,20 ,,RBRVS,0.00 ,1.05 ,1.05 ,,,,,1,1,1,0,1,1,20060825
76645,CPT,"Us exam, breast(s)",26,,20 ,,RBRVS,0.54 ,0.18 ,0.18 ,,,,,1,0,1,1,1,1,20060825
76700,CPT,"Us exam, abdom, complete",TC,,20 ,,RBRVS,0.00 ,1.98 ,1.98 ,,,,,1,1,1,0,1,1,20060825
76700,CPT,"Us exam, abdom, complete",26,,20 ,,RBRVS,0.81 ,0.27 ,0.27 ,,,,,1,0,1,1,1,1,20060825
76705,CPT,Echo exam of abdomen,TC,,20 ,,RBRVS,0.00 ,1.42 ,1.42 ,,,,,1,1,1,0,1,1,20060825
76705,CPT,Echo exam of abdomen,26,,20 ,,RBRVS,0.59 ,0.19 ,0.19 ,,,,,1,0,1,1,1,1,20060825
76770,CPT,"Us exam abdo back wall, comp",TC,,20 ,,RBRVS,0.00 ,1.98 ,1.98 ,,,,,1,1,1,0,1,1,20060825
76770,CPT,"Us exam abdo back wall, comp",26,,20 ,,RBRVS,0.74 ,0.24 ,0.24 ,,,,,1,0,1,1,1,1,20060825
76775,CPT,"Us eam abdo back wall, lim",TC,,20 ,,RBRVS,0.00 ,1.42 ,1.42 ,,,,,1,1,1,0,1,1,20060825
76775,CPT,"Us eam abdo back wall, lim",26,,20 ,,RBRVS,0.58 ,0.19 ,0.19 ,,,,,1,0,1,1,1,1,20060825
76778,CPT,Us exam kidney transplant,TC,,20 ,,RBRVS,0.00 ,1.98 ,1.98 ,,,,,1,1,1,0,1,1,20060825
76778,CPT,Us exam kidney transplant,26,,20 ,,RBRVS,0.74 ,0.24 ,0.24 ,,,,,1,0,1,1,1,1,20060825
76800,CPT,"Us exam, spinal canal",TC,,20 ,,RBRVS,0.00 ,1.42 ,1.42 ,,,,,1,1,1,0,1,1,20060825
76800,CPT,"Us exam, spinal canal",26,,20 ,,RBRVS,1.13 ,0.34 ,0.34 ,,,,,1,0,1,1,1,1,20060825
76801,CPT,"Ob us < 14 wks, single fetus",TC,,20 ,,RBRVS,0.00 ,2.11 ,2.11 ,,,,,1,1,1,0,1,1,20060825
76801,CPT,"Ob us < 14 wks, single fetus",26,,20 ,,RBRVS,0.99 ,0.34 ,0.34 ,,,,,1,0,1,1,1,1,20060825
76802,CPT,"Ob us < 14 wks, addl fetus",TC,,20 ,,RBRVS,0.00 ,1.05 ,1.05 ,,,,,1,1,1,0,1,1,20060825
76802,CPT,"Ob us < 14 wks, addl fetus",26,,20 ,,RBRVS,0.83 ,0.29 ,0.29 ,,,,,1,0,1,1,1,1,20060825
76805,CPT,"Ob us >/= 14 wks, sngl fetus",TC,,20 ,,RBRVS,0.00 ,2.11 ,2.11 ,,,,,1,1,1,0,1,1,20060825
76805,CPT,"Ob us >/= 14 wks, sngl fetus",26,,20 ,,RBRVS,0.99 ,0.34 ,0.34 ,,,,,1,0,1,1,1,1,20060825
76810,CPT,"Ob us >/= 14 wks, addl fetus",TC,,20 ,,RBRVS,0.00 ,1.05 ,1.05 ,,,,,1,1,1,0,1,1,20060825
76810,CPT,"Ob us >/= 14 wks, addl fetus",26,,20 ,,RBRVS,0.98 ,0.34 ,0.34 ,,,,,1,0,1,1,1,1,20060825
76811,CPT,"Ob us, detailed, sngl fetus",TC,,20 ,,RBRVS,0.00 ,3.54 ,3.54 ,,,,,1,1,1,0,1,1,20060825
76811,CPT,"Ob us, detailed, sngl fetus",26,,20 ,,RBRVS,1.90 ,0.71 ,0.71 ,,,,,1,0,1,1,1,1,20060825
76812,CPT,"Ob us, detailed, addl fetus",TC,,20 ,,RBRVS,0.00 ,1.05 ,1.05 ,,,,,1,1,1,0,1,1,20060825
76812,CPT,"Ob us, detailed, addl fetus",26,,20 ,,RBRVS,1.78 ,0.66 ,0.66 ,,,,,1,0,1,1,1,1,20060825
76815,CPT,"Ob us, limited, fetus(s)",TC,,20 ,,RBRVS,0.00 ,1.42 ,1.42 ,,,,,1,1,1,0,1,1,20060825
76815,CPT,"Ob us, limited, fetus(s)",26,,20 ,,RBRVS,0.65 ,0.23 ,0.23 ,,,,,1,0,1,1,1,1,20060825
76816,CPT,"Ob us, follow-up, per fetus",TC,,20 ,,RBRVS,0.00 ,1.11 ,1.11 ,,,,,1,1,1,0,1,1,20060825
76816,CPT,"Ob us, follow-up, per fetus",26,,20 ,,RBRVS,0.85 ,0.32 ,0.32 ,,,,,1,0,1,1,1,1,20060825
76817,CPT,"Transvaginal us, obstetric",TC,,20 ,,RBRVS,0.00 ,1.52 ,1.52 ,,,,,1,1,1,0,1,1,20060825
76817,CPT,"Transvaginal us, obstetric",26,,20 ,,RBRVS,0.75 ,0.26 ,0.26 ,,,,,1,0,1,1,1,1,20060825
76818,CPT,Fetal biophys profile w/nst,TC,,20 ,,RBRVS,0.00 ,1.61 ,1.61 ,,,,,1,1,1,0,1,1,20060825
76818,CPT,Fetal biophys profile w/nst,26,,20 ,,RBRVS,1.05 ,0.39 ,0.39 ,,,,,1,0,1,1,1,1,20060825
76819,CPT,Fetal biophys profil w/o nst,TC,,20 ,,RBRVS,0.00 ,1.61 ,1.61 ,,,,,1,1,1,0,1,1,20060825
76819,CPT,Fetal biophys profil w/o nst,26,,20 ,,RBRVS,0.77 ,0.28 ,0.28 ,,,,,1,0,1,1,1,1,20060825
76820,CPT,Umbilical artery echo,TC,,20 ,,RBRVS,0.00 ,1.61 ,1.61 ,,,,,1,1,1,0,1,1,20060825
76820,CPT,Umbilical artery echo,26,,20 ,,RBRVS,0.50 ,0.19 ,0.19 ,,,,,1,0,1,1,1,1,20060825
76821,CPT,Middle cerebral artery echo,TC,,20 ,,RBRVS,0.00 ,1.61 ,1.61 ,,,,,1,1,1,0,1,1,20060825
76821,CPT,Middle cerebral artery echo,26,,20 ,,RBRVS,0.70 ,0.27 ,0.27 ,,,,,1,0,1,1,1,1,20060825
76825,CPT,Echo exam of fetal heart,TC,,20 ,,RBRVS,0.00 ,1.98 ,1.98 ,,,,,1,1,1,0,1,1,20060825
76825,CPT,Echo exam of fetal heart,26,,20 ,,RBRVS,1.67 ,0.60 ,0.60 ,,,,,1,0,1,1,1,1,20060825
76826,CPT,Echo exam of fetal heart,TC,,20 ,,RBRVS,0.00 ,0.71 ,0.71 ,,,,,1,1,1,0,1,1,20060825
76826,CPT,Echo exam of fetal heart,26,,20 ,,RBRVS,0.83 ,0.29 ,0.29 ,,,,,1,0,1,1,1,1,20060825
76827,CPT,Echo exam of fetal heart,TC,,20 ,,RBRVS,0.00 ,1.72 ,1.72 ,,,,,1,1,1,0,1,1,20060825
76827,CPT,Echo exam of fetal heart,26,,20 ,,RBRVS,0.58 ,0.21 ,0.21 ,,,,,1,0,1,1,1,1,20060825
76828,CPT,Echo exam of fetal heart,TC,,20 ,,RBRVS,0.00 ,1.11 ,1.11 ,,,,,1,1,1,0,1,1,20060825
76828,CPT,Echo exam of fetal heart,26,,20 ,,RBRVS,0.56 ,0.22 ,0.22 ,,,,,1,0,1,1,1,1,20060825
76830,CPT,"Transvaginal us, non-ob",TC,,20 ,,RBRVS,0.00 ,1.52 ,1.52 ,,,,,1,1,1,0,1,1,20060825
76830,CPT,"Transvaginal us, non-ob",26,,20 ,,RBRVS,0.69 ,0.23 ,0.23 ,,,,,1,0,1,1,1,1,20060825
76831,CPT,"Echo exam, uterus",TC,,20 ,,RBRVS,0.00 ,1.52 ,1.52 ,,,,,1,1,1,0,1,1,20060825
76831,CPT,"Echo exam, uterus",26,,20 ,,RBRVS,0.72 ,0.25 ,0.25 ,,,,,1,0,1,1,1,1,20060825
76856,CPT,"Us exam, pelvic, complete",TC,,20 ,,RBRVS,0.00 ,1.52 ,1.52 ,,,,,1,1,1,0,1,1,20060825
76856,CPT,"Us exam, pelvic, complete",26,,20 ,,RBRVS,0.69 ,0.23 ,0.23 ,,,,,1,0,1,1,1,1,20060825
76857,CPT,"Us exam, pelvic, limited",TC,,20 ,,RBRVS,0.00 ,1.71 ,1.71 ,,,,,1,1,1,0,1,1,20060825
76857,CPT,"Us exam, pelvic, limited",26,,20 ,,RBRVS,0.38 ,0.12 ,0.12 ,,,,,1,0,1,1,1,1,20060825
76870,CPT,"Us exam, scrotum",TC,,20 ,,RBRVS,0.00 ,1.52 ,1.52 ,,,,,1,1,1,0,1,1,20060825
76870,CPT,"Us exam, scrotum",26,,20 ,,RBRVS,0.64 ,0.21 ,0.21 ,,,,,1,0,1,1,1,1,20060825
76872,CPT,"Echo exam, transrectal",TC,,20 ,,RBRVS,0.00 ,2.03 ,2.03 ,,,,,1,1,1,0,1,1,20060825
76872,CPT,"Echo exam, transrectal",26,,20 ,,RBRVS,0.69 ,0.22 ,0.22 ,,,,,1,0,1,1,1,1,20060825
76873,CPT,"Echograp trans r, pros study",TC,,20 ,,RBRVS,0.00 ,2.11 ,2.11 ,,,,,1,1,1,0,1,1,20060825
76873,CPT,"Echograp trans r, pros study",26,,20 ,,RBRVS,1.55 ,0.50 ,0.50 ,,,,,1,0,1,1,1,1,20060825
76880,CPT,"Us exam, extremity",TC,,20 ,,RBRVS,0.00 ,1.42 ,1.42 ,,,,,1,1,1,0,1,1,20060825
76880,CPT,"Us exam, extremity",26,,20 ,,RBRVS,0.59 ,0.19 ,0.19 ,,,,,1,0,1,1,1,1,20060825
76885,CPT,"Us exam infant hips, dynamic",TC,,20 ,,RBRVS,0.00 ,1.52 ,1.52 ,,,,,1,1,1,0,1,1,20060825
76885,CPT,"Us exam infant hips, dynamic",26,,20 ,,RBRVS,0.74 ,0.24 ,0.24 ,,,,,1,0,1,1,1,1,20060825
76886,CPT,"Us exam infant hips, static",TC,,20 ,,RBRVS,0.00 ,1.42 ,1.42 ,,,,,1,1,1,0,1,1,20060825
76886,CPT,"Us exam infant hips, static",26,,20 ,,RBRVS,0.62 ,0.20 ,0.20 ,,,,,1,0,1,1,1,1,20060825
76930,CPT,"Echo guide, cardiocentesis",TC,,20 ,,RBRVS,0.00 ,1.52 ,1.52 ,,,,,1,1,1,0,1,1,20060825
76930,CPT,"Echo guide, cardiocentesis",26,,20 ,,RBRVS,0.67 ,0.25 ,0.25 ,,,,,1,0,1,1,1,1,20060825
76932,CPT,Echo guide for heart biopsy,TC,,20 ,,RBRVS,0.00 ,1.52 ,1.52 ,,,,,1,1,1,0,1,1,20060825
76932,CPT,Echo guide for heart biopsy,26,,20 ,,RBRVS,0.67 ,0.25 ,0.25 ,,,,,1,0,1,1,1,1,20060825
76936,CPT,Echo guide for artery repair,TC,,20 ,,RBRVS,0.00 ,6.31 ,6.31 ,,,,,1,1,1,0,1,1,20060825
76936,CPT,Echo guide for artery repair,26,,20 ,,RBRVS,1.99 ,0.66 ,0.66 ,,,,,1,0,1,1,1,1,20060825
76937,CPT,"Us guide, vascular access",,,20 ,,RBRVS,0.30 ,0.48 ,0.48 ,,,,,1,0,1,1,1,0,20060825
76937,CPT,"Us guide, vascular access",,,20 ,2,RBRVS,0.30 ,0.48 ,0.48 ,,,,,1,1,1,0,1,0,20060825
76937,CPT,"Us guide, vascular access",,,20 ,,RBRVS,0.30 ,0.48 ,0.48 ,,,,,1,0,0,0,0,1,20060825
76940,CPT,"Us guide, tissue ablation",,,20 ,,RBRVS,2.00 ,2.17 ,2.17 ,,,,,1,0,1,1,1,0,20060825
76940,CPT,"Us guide, tissue ablation",,,20 ,,RBRVS,2.00 ,2.17 ,2.17 ,,,,,1,1,1,0,1,0,20060825
76940,CPT,"Us guide, tissue ablation",,,20 ,,RBRVS,2.00 ,2.17 ,2.17 ,,,,,1,0,0,0,0,1,20060825
76941,CPT,Echo guide for transfusion,TC,,20 ,,RBRVS,0.00 ,1.53 ,1.53 ,,,,,1,1,1,0,1,1,20060825
76941,CPT,Echo guide for transfusion,26,,20 ,,RBRVS,1.34 ,0.47 ,0.47 ,,,,,1,0,1,1,1,1,20060825
76942,CPT,Echo guide for biopsy,TC,,20 ,,RBRVS,0.00 ,2.82 ,2.82 ,,,,,1,1,1,0,1,1,20060825
76942,CPT,Echo guide for biopsy,26,,20 ,,RBRVS,0.67 ,0.22 ,0.22 ,,,,,1,0,1,1,1,1,20060825
76945,CPT,"Echo guide, villus sampling",TC,,20 ,,RBRVS,0.00 ,1.53 ,1.53 ,,,,,1,1,1,0,1,1,20060825
76945,CPT,"Echo guide, villus sampling",26,,20 ,,RBRVS,0.67 ,0.22 ,0.22 ,,,,,1,0,1,1,1,1,20060825
76946,CPT,Echo guide for amniocentesis,TC,,20 ,,RBRVS,0.00 ,1.52 ,1.52 ,,,,,1,1,1,0,1,1,20060825
76946,CPT,Echo guide for amniocentesis,26,,20 ,,RBRVS,0.38 ,0.14 ,0.14 ,,,,,1,0,1,1,1,1,20060825
76948,CPT,"Echo guide, ova aspiration",TC,,20 ,,RBRVS,0.00 ,1.52 ,1.52 ,,,,,1,1,1,0,1,1,20060825
76948,CPT,"Echo guide, ova aspiration",26,,20 ,,RBRVS,0.38 ,0.13 ,0.13 ,,,,,1,0,1,1,1,1,20060825
76950,CPT,Echo guidance radiotherapy,TC,,20 ,,RBRVS,0.00 ,1.31 ,1.31 ,,,,,1,1,1,0,1,1,20060825
76950,CPT,Echo guidance radiotherapy,26,,20 ,,RBRVS,0.58 ,0.19 ,0.19 ,,,,,1,0,1,1,1,1,20060825
76965,CPT,Echo guidance radiotherapy,TC,,20 ,,RBRVS,0.00 ,5.59 ,5.59 ,,,,,1,1,1,0,1,1,20060825
76965,CPT,Echo guidance radiotherapy,26,,20 ,,RBRVS,1.34 ,0.43 ,0.43 ,,,,,1,0,1,1,1,1,20060825
76970,CPT,Ultrasound exam follow-up,TC,,20 ,,RBRVS,0.00 ,1.05 ,1.05 ,,,,,1,1,1,0,1,1,20060825
76970,CPT,Ultrasound exam follow-up,26,,20 ,,RBRVS,0.40 ,0.13 ,0.13 ,,,,,1,0,1,1,1,1,20060825
76975,CPT,GI endoscopic ultrasound,TC,,20 ,,RBRVS,0.00 ,1.52 ,1.52 ,,,,,1,1,1,0,1,1,20060825
76975,CPT,GI endoscopic ultrasound,26,,20 ,,RBRVS,0.81 ,0.28 ,0.28 ,,,,,1,0,1,1,1,1,20060825
76977,CPT,Us bone density measure,TC,,20 ,,RBRVS,0.00 ,0.82 ,0.82 ,,,,,1,1,1,0,1,1,20060825
76977,CPT,Us bone density measure,26,,20 ,,RBRVS,0.05 ,0.02 ,0.02 ,,,,,1,0,1,1,1,1,20060825
76986,CPT,Ultrasound guide intraoper,TC,,20 ,,RBRVS,0.00 ,2.63 ,2.63 ,,,,,1,1,1,0,1,1,20060825
76986,CPT,Ultrasound guide intraoper,26,,20 ,,RBRVS,1.20 ,0.40 ,0.40 ,,,,,1,0,1,1,1,1,20060825
76999,CPT,Echo examination procedure,,,20 ,,TotalUnits,,,,2.44 ,,,,1,1,1,0,1,1,20060825
77261,CPT,Radiation therapy planning,,PC,20 ,,RBRVS,1.39 ,0.51 ,0.51 ,,,,,1,0,1,1,1,1,20060825
77262,CPT,Radiation therapy planning,,PC,20 ,,RBRVS,2.11 ,0.75 ,0.75 ,,,,,1,0,1,1,1,1,20060825
77263,CPT,Radiation therapy planning,,PC,20 ,,RBRVS,3.14 ,1.11 ,1.11 ,,,,,1,0,1,1,1,1,20060825
77280,CPT,Set radiation therapy field,TC,,20 ,,RBRVS,0.00 ,3.48 ,3.48 ,,,,,1,1,1,0,1,1,20060825
77280,CPT,Set radiation therapy field,26,,20 ,,RBRVS,0.70 ,0.22 ,0.22 ,,,,,1,0,1,1,1,1,20060825
77285,CPT,Set radiation therapy field,TC,,20 ,,RBRVS,0.00 ,5.59 ,5.59 ,,,,,1,1,1,0,1,1,20060825
77285,CPT,Set radiation therapy field,26,,20 ,,RBRVS,1.05 ,0.34 ,0.34 ,,,,,1,0,1,1,1,1,20060825
77290,CPT,Set radiation therapy field,TC,,20 ,,RBRVS,0.00 ,6.53 ,6.53 ,,,,,1,1,1,0,1,1,20060825
77290,CPT,Set radiation therapy field,26,,20 ,,RBRVS,1.56 ,0.50 ,0.50 ,,,,,1,0,1,1,1,1,20060825
77295,CPT,Set radiation therapy field,TC,,20 ,,RBRVS,0.00 ,28.01 ,28.01 ,,,,,1,1,1,0,1,1,20060825
77295,CPT,Set radiation therapy field,26,,20 ,,RBRVS,4.56 ,1.46 ,1.46 ,,,,,1,0,1,1,1,1,20060825
77299,CPT,Radiation therapy planning,,,20 ,,TotalUnits,,,,8.58 ,,,,1,1,1,0,1,1,20060825
77300,CPT,Radiation therapy dose plan,TC,,20 ,,RBRVS,0.00 ,1.34 ,1.34 ,,,,,1,1,1,0,1,1,20060825
77300,CPT,Radiation therapy dose plan,26,,20 ,,RBRVS,0.62 ,0.20 ,0.20 ,,,,,1,0,1,1,1,1,20060825
77301,CPT,"Radiotherapy dose plan, imrt",TC,,20 ,,RBRVS,0.00 ,28.01 ,28.01 ,,,,,1,1,1,0,1,1,20060825
77301,CPT,"Radiotherapy dose plan, imrt",26,,20 ,,RBRVS,7.99 ,2.57 ,2.57 ,,,,,1,0,1,1,1,1,20060825
77305,CPT,Teletx isodose plan simple,TC,,20 ,,RBRVS,0.00 ,1.87 ,1.87 ,,,,,1,1,1,0,1,1,20060825
77305,CPT,Teletx isodose plan simple,26,,20 ,,RBRVS,0.70 ,0.23 ,0.23 ,,,,,1,0,1,1,1,1,20060825
77310,CPT,Teletx isodose plan intermed,TC,,20 ,,RBRVS,0.00 ,2.34 ,2.34 ,,,,,1,1,1,0,1,1,20060825
77310,CPT,Teletx isodose plan intermed,26,,20 ,,RBRVS,1.05 ,0.34 ,0.34 ,,,,,1,0,1,1,1,1,20060825
77315,CPT,Teletx isodose plan complex,TC,,20 ,,RBRVS,0.00 ,2.67 ,2.67 ,,,,,1,1,1,0,1,1,20060825
77315,CPT,Teletx isodose plan complex,26,,20 ,,RBRVS,1.56 ,0.50 ,0.50 ,,,,,1,0,1,1,1,1,20060825
77321,CPT,Special teletx port plan,TC,,20 ,,RBRVS,0.00 ,4.05 ,4.05 ,,,,,1,1,1,0,1,1,20060825
77321,CPT,Special teletx port plan,26,,20 ,,RBRVS,0.95 ,0.30 ,0.30 ,,,,,1,0,1,1,1,1,20060825
77326,CPT,Brachytx isodose calc simp,TC,,20 ,,RBRVS,0.00 ,2.37 ,2.37 ,,,,,1,1,1,0,1,1,20060825
77326,CPT,Brachytx isodose calc simp,26,,20 ,,RBRVS,0.93 ,0.30 ,0.30 ,,,,,1,0,1,1,1,1,20060825
77327,CPT,Brachytx isodose calc interm,TC,,20 ,,RBRVS,0.00 ,3.48 ,3.48 ,,,,,1,1,1,0,1,1,20060825
77327,CPT,Brachytx isodose calc interm,26,,20 ,,RBRVS,1.39 ,0.44 ,0.44 ,,,,,1,0,1,1,1,1,20060825
77328,CPT,Brachytx isodose plan compl,TC,,20 ,,RBRVS,0.00 ,4.97 ,4.97 ,,,,,1,1,1,0,1,1,20060825
77328,CPT,Brachytx isodose plan compl,26,,20 ,,RBRVS,2.09 ,0.67 ,0.67 ,,,,,1,0,1,1,1,1,20060825
77331,CPT,Special radiation dosimetry,TC,,20 ,,RBRVS,0.00 ,0.50 ,0.50 ,,,,,1,1,1,0,1,1,20060825
77331,CPT,Special radiation dosimetry,26,,20 ,,RBRVS,0.87 ,0.28 ,0.28 ,,,,,1,0,1,1,1,1,20060825
77332,CPT,Radiation treatment aid(s),TC,,20 ,,RBRVS,0.00 ,1.34 ,1.34 ,,,,,1,1,1,0,1,1,20060825
77332,CPT,Radiation treatment aid(s),26,,20 ,,RBRVS,0.54 ,0.17 ,0.17 ,,,,,1,0,1,1,1,1,20060825
77333,CPT,Radiation treatment aid(s),TC,,20 ,,RBRVS,0.00 ,1.90 ,1.90 ,,,,,1,1,1,0,1,1,20060825
77333,CPT,Radiation treatment aid(s),26,,20 ,,RBRVS,0.84 ,0.27 ,0.27 ,,,,,1,0,1,1,1,1,20060825
77334,CPT,Radiation treatment aid(s),TC,,20 ,,RBRVS,0.00 ,3.26 ,3.26 ,,,,,1,1,1,0,1,1,20060825
77334,CPT,Radiation treatment aid(s),26,,20 ,,RBRVS,1.24 ,0.40 ,0.40 ,,,,,1,0,1,1,1,1,20060825
77336,CPT,Radiation physics consult,,TC,20 ,,RBRVS,0.00 ,2.99 ,2.99 ,,,,,1,1,1,0,1,1,20060825
77370,CPT,Radiation physics consult,,TC,20 ,,RBRVS,0.00 ,3.50 ,3.50 ,,,,,1,1,1,0,1,1,20060825
77399,CPT,External radiation dosimetry,,,20 ,,TotalUnits,,,,2.99 ,,,,1,1,1,0,1,1,20060825
77401,CPT,Radiation treatment delivery,,TC,20 ,,RBRVS,0.00 ,1.78 ,1.78 ,,,,,1,1,1,0,1,1,20060825
77402,CPT,Radiation treatment delivery,,TC,20 ,,RBRVS,0.00 ,1.78 ,1.78 ,,,,,1,1,1,0,1,1,20060825
77403,CPT,Radiation treatment delivery,,TC,20 ,,RBRVS,0.00 ,1.78 ,1.78 ,,,,,1,1,1,0,1,1,20060825
77404,CPT,Radiation treatment delivery,,TC,20 ,,RBRVS,0.00 ,1.78 ,1.78 ,,,,,1,1,1,0,1,1,20060825
77406,CPT,Radiation treatment delivery,,TC,20 ,,RBRVS,0.00 ,1.78 ,1.78 ,,,,,1,1,1,0,1,1,20060825
77407,CPT,Radiation treatment delivery,,TC,20 ,,RBRVS,0.00 ,2.10 ,2.10 ,,,,,1,1,1,0,1,1,20060825
77408,CPT,Radiation treatment delivery,,TC,20 ,,RBRVS,0.00 ,2.10 ,2.10 ,,,,,1,1,1,0,1,1,20060825
77409,CPT,Radiation treatment delivery,,TC,20 ,,RBRVS,0.00 ,2.10 ,2.10 ,,,,,1,1,1,0,1,1,20060825
77411,CPT,Radiation treatment delivery,,TC,20 ,,RBRVS,0.00 ,2.10 ,2.10 ,,,,,1,1,1,0,1,1,20060825
77412,CPT,Radiation treatment delivery,,TC,20 ,,RBRVS,0.00 ,2.34 ,2.34 ,,,,,1,1,1,0,1,1,20060825
77413,CPT,Radiation treatment delivery,,TC,20 ,,RBRVS,0.00 ,2.34 ,2.34 ,,,,,1,1,1,0,1,1,20060825
77414,CPT,Radiation treatment delivery,,TC,20 ,,RBRVS,0.00 ,2.34 ,2.34 ,,,,,1,1,1,0,1,1,20060825
77416,CPT,Radiation treatment delivery,,TC,20 ,,RBRVS,0.00 ,2.34 ,2.34 ,,,,,1,1,1,0,1,1,20060825
77417,CPT,Radiology port film(s),,TC,20 ,,RBRVS,0.00 ,0.59 ,0.59 ,,,,,1,1,1,0,1,1,20060825
77418,CPT,"Radiation tx delivery, imrt",,TC,20 ,,RBRVS,0.00 ,18.07 ,18.07 ,,,,,1,1,1,0,1,1,20060825
77421,CPT,Stereoscopic x-ray guidance,,,20 ,,RBRVS,0.00 ,3.36 ,3.36 ,,,,,1,1,1,0,1,1,20060825
77421,CPT,Stereoscopic x-ray guidance,,,20 ,,RBRVS,0.39 ,0.13 ,0.13 ,,,,,1,0,1,1,1,0,20060825
77422,CPT,"Neutron beam tx, simple",,,20 ,,RBRVS,0.00 ,1.71 ,1.71 ,,,,,1,1,1,0,1,1,20060825
77423,CPT,"Neutron beam tx, complex",,,20 ,,RBRVS,0.00 ,2.26 ,2.26 ,,,,,1,1,1,0,1,1,20060825
77427,CPT,"Radiation tx management, x5",,PC,20 ,,RBRVS,3.31 ,1.06 ,1.06 ,,,,,1,0,1,1,1,1,20060825
77431,CPT,Radiation therapy management,,PC,20 ,,RBRVS,1.81 ,0.68 ,0.68 ,,,,,1,0,1,1,1,1,20060825
77432,CPT,Stereotactic radiation trmt,,PC,20 ,,RBRVS,7.92 ,2.91 ,2.91 ,,,,,1,0,1,1,1,1,20060825
77470,CPT,Special radiation treatment,TC,,20 ,,RBRVS,0.00 ,11.18 ,11.18 ,,,,,1,1,1,0,1,1,20060825
77470,CPT,Special radiation treatment,26,,20 ,,RBRVS,2.09 ,0.67 ,0.67 ,,,,,1,0,1,1,1,1,20060825
77499,CPT,Radiation therapy management,,,20 ,,TotalUnits,,,,4.36 ,,,,1,1,1,0,1,1,20060825
77520,CPT,"Proton trmt, simple w/o comp",,TC,20 ,,TotalUnits,,,,22.19 ,,,,1,1,1,0,1,1,20060825
77522,CPT,"Proton trmt, simple w/comp",,TC,20 ,,TotalUnits,,,,23.39 ,,,,1,1,1,0,1,1,20060825
77600,CPT,Hyperthermia treatment,TC,,20 ,,RBRVS,0.00 ,3.06 ,3.06 ,,,,,1,1,1,0,1,1,20060825
77600,CPT,Hyperthermia treatment,26,,20 ,,RBRVS,1.56 ,0.50 ,0.50 ,,,,,1,0,1,1,1,1,20060825
77605,CPT,Hyperthermia treatment,TC,,20 ,,RBRVS,0.00 ,4.07 ,4.07 ,,,,,1,1,1,0,1,1,20060825
77605,CPT,Hyperthermia treatment,26,,20 ,,RBRVS,2.09 ,0.66 ,0.66 ,,,,,1,0,1,1,1,1,20060825
77610,CPT,Hyperthermia treatment,TC,,20 ,,RBRVS,0.00 ,3.06 ,3.06 ,,,,,1,1,1,0,1,1,20060825
77610,CPT,Hyperthermia treatment,26,,20 ,,RBRVS,1.56 ,0.51 ,0.51 ,,,,,1,0,1,1,1,1,20060825
77615,CPT,Hyperthermia treatment,TC,,20 ,,RBRVS,0.00 ,4.07 ,4.07 ,,,,,1,1,1,0,1,1,20060825
77615,CPT,Hyperthermia treatment,26,,20 ,,RBRVS,2.09 ,0.66 ,0.66 ,,,,,1,0,1,1,1,1,20060825
77620,CPT,Hyperthermia treatment,TC,,20 ,,RBRVS,0.00 ,3.06 ,3.06 ,,,,,1,1,1,0,1,1,20060825
77620,CPT,Hyperthermia treatment,26,,20 ,,RBRVS,1.56 ,0.52 ,0.52 ,,,,,1,0,1,1,1,1,20060825
77750,CPT,Infuse radioactive materials,TC,,20 ,,RBRVS,0.00 ,1.33 ,1.33 ,,,,,1,1,1,0,1,1,20060825
77750,CPT,Infuse radioactive materials,26,,20 ,,RBRVS,4.90 ,1.58 ,1.58 ,,,,,1,0,1,1,1,1,20060825
77761,CPT,Apply intrcav radiat simple,TC,,20 ,,RBRVS,0.00 ,2.51 ,2.51 ,,,,,1,1,1,0,1,1,20060825
77761,CPT,Apply intrcav radiat simple,26,,20 ,,RBRVS,3.80 ,1.09 ,1.09 ,,,,,1,0,1,1,1,1,20060825
77762,CPT,Apply intrcav radiat interm,TC,,20 ,,RBRVS,0.00 ,3.62 ,3.62 ,,,,,1,1,1,0,1,1,20060825
77762,CPT,Apply intrcav radiat interm,26,,20 ,,RBRVS,5.71 ,1.84 ,1.84 ,,,,,1,0,1,1,1,1,20060825
77763,CPT,Apply intrcav radiat compl,TC,,20 ,,RBRVS,0.00 ,4.50 ,4.50 ,,,,,1,1,1,0,1,1,20060825
77763,CPT,Apply intrcav radiat compl,26,,20 ,,RBRVS,8.56 ,2.75 ,2.75 ,,,,,1,0,1,1,1,1,20060825
77776,CPT,Apply interstit radiat simpl,TC,,20 ,,RBRVS,0.00 ,2.19 ,2.19 ,,,,,1,1,1,0,1,1,20060825
77776,CPT,Apply interstit radiat simpl,26,,20 ,,RBRVS,4.65 ,0.95 ,0.95 ,,,,,1,0,1,1,1,1,20060825
77777,CPT,Apply interstit radiat inter,TC,,20 ,,RBRVS,0.00 ,4.24 ,4.24 ,,,,,1,1,1,0,1,1,20060825
77777,CPT,Apply interstit radiat inter,26,,20 ,,RBRVS,7.47 ,2.38 ,2.38 ,,,,,1,0,1,1,1,1,20060825
77778,CPT,Apply interstit radiat compl,TC,,20 ,,RBRVS,0.00 ,5.14 ,5.14 ,,,,,1,1,1,0,1,1,20060825
77778,CPT,Apply interstit radiat compl,26,,20 ,,RBRVS,11.17 ,3.58 ,3.58 ,,,,,1,0,1,1,1,1,20060825
77781,CPT,High intensity brachytherapy,TC,,20 ,,RBRVS,0.00 ,20.36 ,20.36 ,,,,,1,1,1,0,1,1,20060825
77781,CPT,High intensity brachytherapy,26,,20 ,,RBRVS,1.66 ,0.53 ,0.53 ,,,,,1,0,1,1,1,1,20060825
77782,CPT,High intensity brachytherapy,TC,,20 ,,RBRVS,0.00 ,20.36 ,20.36 ,,,,,1,1,1,0,1,1,20060825
77782,CPT,High intensity brachytherapy,26,,20 ,,RBRVS,2.49 ,0.80 ,0.80 ,,,,,1,0,1,1,1,1,20060825
77783,CPT,High intensity brachytherapy,TC,,20 ,,RBRVS,0.00 ,20.36 ,20.36 ,,,,,1,1,1,0,1,1,20060825
77783,CPT,High intensity brachytherapy,26,,20 ,,RBRVS,3.72 ,1.19 ,1.19 ,,,,,1,0,1,1,1,1,20060825
77784,CPT,High intensity brachytherapy,TC,,20 ,,RBRVS,0.00 ,20.36 ,20.36 ,,,,,1,1,1,0,1,1,20060825
77784,CPT,High intensity brachytherapy,26,,20 ,,RBRVS,5.60 ,1.80 ,1.80 ,,,,,1,0,1,1,1,1,20060825
77789,CPT,Apply surface radiation,TC,,20 ,,RBRVS,0.00 ,0.45 ,0.45 ,,,,,1,1,1,0,1,1,20060825
77789,CPT,Apply surface radiation,26,,20 ,,RBRVS,1.12 ,0.37 ,0.37 ,,,,,1,0,1,1,1,1,20060825
77790,CPT,Radiation handling,TC,,20 ,2,RBRVS,0.00 ,0.50 ,0.50 ,,,,,1,1,1,0,1,1,20060825
77790,CPT,Radiation handling,26,,20 ,,RBRVS,1.05 ,0.34 ,0.34 ,,,,,1,0,1,1,1,1,20060825
77799,CPT,Radium/radioisotope therapy,,,20 ,,TotalUnits,,,,19.86 ,,,,1,1,1,0,1,1,20060825
78000,CPT,"Thyroid, single uptake",TC,,20 ,,RBRVS,0.00 ,0.97 ,0.97 ,,,,,1,1,1,0,1,1,20060825
78000,CPT,"Thyroid, single uptake",26,,20 ,,RBRVS,0.19 ,0.06 ,0.06 ,,,,,1,0,1,1,1,1,20060825
78001,CPT,"Thyroid, multiple uptakes",TC,,20 ,,RBRVS,0.00 ,1.31 ,1.31 ,,,,,1,1,1,0,1,1,20060825
78001,CPT,"Thyroid, multiple uptakes",26,,20 ,,RBRVS,0.26 ,0.09 ,0.09 ,,,,,1,0,1,1,1,1,20060825
78003,CPT,Thyroid suppress/stimul,TC,,20 ,,RBRVS,0.00 ,0.97 ,0.97 ,,,,,1,1,1,0,1,1,20060825
78003,CPT,Thyroid suppress/stimul,26,,20 ,,RBRVS,0.33 ,0.11 ,0.11 ,,,,,1,0,1,1,1,1,20060825
78006,CPT,Thyroid imaging with uptake,TC,,20 ,,RBRVS,0.00 ,2.39 ,2.39 ,,,,,1,1,1,0,1,1,20060825
78006,CPT,Thyroid imaging with uptake,26,,20 ,,RBRVS,0.49 ,0.16 ,0.16 ,,,,,1,0,1,1,1,1,20060825
78007,CPT,"Thyroid image, mult uptakes",TC,,20 ,,RBRVS,0.00 ,2.58 ,2.58 ,,,,,1,1,1,0,1,1,20060825
78007,CPT,"Thyroid image, mult uptakes",26,,20 ,,RBRVS,0.50 ,0.17 ,0.17 ,,,,,1,0,1,1,1,1,20060825
78010,CPT,Thyroid imaging,TC,,20 ,,RBRVS,0.00 ,1.83 ,1.83 ,,,,,1,1,1,0,1,1,20060825
78010,CPT,Thyroid imaging,26,,20 ,,RBRVS,0.39 ,0.13 ,0.13 ,,,,,1,0,1,1,1,1,20060825
78011,CPT,Thyroid imaging with flow,TC,,20 ,,RBRVS,0.00 ,2.42 ,2.42 ,,,,,1,1,1,0,1,1,20060825
78011,CPT,Thyroid imaging with flow,26,,20 ,,RBRVS,0.45 ,0.15 ,0.15 ,,,,,1,0,1,1,1,1,20060825
78015,CPT,Thyroid met imaging,TC,,20 ,,RBRVS,0.00 ,2.58 ,2.58 ,,,,,1,1,1,0,1,1,20060825
78015,CPT,Thyroid met imaging,26,,20 ,,RBRVS,0.67 ,0.23 ,0.23 ,,,,,1,0,1,1,1,1,20060825
78016,CPT,Thyroid met imaging/studies,TC,,20 ,,RBRVS,0.00 ,3.49 ,3.49 ,,,,,1,1,1,0,1,1,20060825
78016,CPT,Thyroid met imaging/studies,26,,20 ,,RBRVS,0.82 ,0.28 ,0.28 ,,,,,1,0,1,1,1,1,20060825
78018,CPT,"Thyroid met imaging, body",TC,,20 ,,RBRVS,0.00 ,5.44 ,5.44 ,,,,,1,1,1,0,1,1,20060825
78018,CPT,"Thyroid met imaging, body",26,,20 ,,RBRVS,0.86 ,0.30 ,0.30 ,,,,,1,0,1,1,1,1,20060825
78020,CPT,Thyroid met uptake,TC,,20 ,,RBRVS,0.00 ,1.31 ,1.31 ,,,,,1,1,1,0,1,1,20060825
78020,CPT,Thyroid met uptake,26,,20 ,,RBRVS,0.60 ,0.21 ,0.21 ,,,,,1,0,1,1,1,1,20060825
78070,CPT,Parathyroid nuclear imaging,TC,,20 ,,RBRVS,0.00 ,4.28 ,4.28 ,,,,,1,1,1,0,1,1,20060825
78070,CPT,Parathyroid nuclear imaging,26,,20 ,,RBRVS,0.82 ,0.28 ,0.28 ,,,,,1,0,1,1,1,1,20060825
78075,CPT,Adrenal nuclear imaging,TC,,20 ,,RBRVS,0.00 ,5.44 ,5.44 ,,,,,1,1,1,0,1,1,20060825
78075,CPT,Adrenal nuclear imaging,26,,20 ,,RBRVS,0.74 ,0.26 ,0.26 ,,,,,1,0,1,1,1,1,20060825
78099,CPT,Endocrine nuclear procedure,,,20 ,,TotalUnits,,,,3.05 ,,,,1,1,1,0,1,1,20060825
78102,CPT,"Bone marrow imaging, ltd",TC,,20 ,,RBRVS,0.00 ,2.05 ,2.05 ,,,,,1,1,1,0,1,1,20060825
78102,CPT,"Bone marrow imaging, ltd",26,,20 ,,RBRVS,0.55 ,0.19 ,0.19 ,,,,,1,0,1,1,1,1,20060825
78103,CPT,"Bone marrow imaging, mult",TC,,20 ,,RBRVS,0.00 ,3.18 ,3.18 ,,,,,1,1,1,0,1,1,20060825
78103,CPT,"Bone marrow imaging, mult",26,,20 ,,RBRVS,0.75 ,0.26 ,0.26 ,,,,,1,0,1,1,1,1,20060825
78104,CPT,"Bone marrow imaging, body",TC,,20 ,,RBRVS,0.00 ,4.08 ,4.08 ,,,,,1,1,1,0,1,1,20060825
78104,CPT,"Bone marrow imaging, body",26,,20 ,,RBRVS,0.80 ,0.27 ,0.27 ,,,,,1,0,1,1,1,1,20060825
78110,CPT,"Plasma volume, single",TC,,20 ,,RBRVS,0.00 ,0.95 ,0.95 ,,,,,1,1,1,0,1,1,20060825
78110,CPT,"Plasma volume, single",26,,20 ,,RBRVS,0.19 ,0.07 ,0.07 ,,,,,1,0,1,1,1,1,20060825
78111,CPT,"Plasma volume, multiple",TC,,20 ,,RBRVS,0.00 ,2.58 ,2.58 ,,,,,1,1,1,0,1,1,20060825
78111,CPT,"Plasma volume, multiple",26,,20 ,,RBRVS,0.22 ,0.08 ,0.08 ,,,,,1,0,1,1,1,1,20060825
78120,CPT,"Red cell mass, single",TC,,20 ,,RBRVS,0.00 ,1.74 ,1.74 ,,,,,1,1,1,0,1,1,20060825
78120,CPT,"Red cell mass, single",26,,20 ,,RBRVS,0.23 ,0.08 ,0.08 ,,,,,1,0,1,1,1,1,20060825
78121,CPT,"Red cell mass, multiple",TC,,20 ,,RBRVS,0.00 ,2.92 ,2.92 ,,,,,1,1,1,0,1,1,20060825
78121,CPT,"Red cell mass, multiple",26,,20 ,,RBRVS,0.32 ,0.11 ,0.11 ,,,,,1,0,1,1,1,1,20060825
78122,CPT,Blood volume,TC,,20 ,,RBRVS,0.00 ,4.61 ,4.61 ,,,,,1,1,1,0,1,1,20060825
78122,CPT,Blood volume,26,,20 ,,RBRVS,0.45 ,0.16 ,0.16 ,,,,,1,0,1,1,1,1,20060825
78130,CPT,Red cell survival study,TC,,20 ,,RBRVS,0.00 ,2.86 ,2.86 ,,,,,1,1,1,0,1,1,20060825
78130,CPT,Red cell survival study,26,,20 ,,RBRVS,0.61 ,0.21 ,0.21 ,,,,,1,0,1,1,1,1,20060825
78135,CPT,Red cell survival kinetics,TC,,20 ,,RBRVS,0.00 ,4.88 ,4.88 ,,,,,1,1,1,0,1,1,20060825
78135,CPT,Red cell survival kinetics,26,,20 ,,RBRVS,0.64 ,0.22 ,0.22 ,,,,,1,0,1,1,1,1,20060825
78140,CPT,Red cell sequestration,TC,,20 ,,RBRVS,0.00 ,3.94 ,3.94 ,,,,,1,1,1,0,1,1,20060825
78140,CPT,Red cell sequestration,26,,20 ,,RBRVS,0.61 ,0.20 ,0.20 ,,,,,1,0,1,1,1,1,20060825
78185,CPT,Spleen imaging,TC,,20 ,,RBRVS,0.00 ,2.37 ,2.37 ,,,,,1,1,1,0,1,1,20060825
78185,CPT,Spleen imaging,26,,20 ,,RBRVS,0.40 ,0.14 ,0.14 ,,,,,1,0,1,1,1,1,20060825
78190,CPT,"Platelet survival, kinetics",TC,,20 ,,RBRVS,0.00 ,5.73 ,5.73 ,,,,,1,1,1,0,1,1,20060825
78190,CPT,"Platelet survival, kinetics",26,,20 ,,RBRVS,1.09 ,0.39 ,0.39 ,,,,,1,0,1,1,1,1,20060825
78191,CPT,Platelet survival,TC,,20 ,,RBRVS,0.00 ,7.36 ,7.36 ,,,,,1,1,1,0,1,1,20060825
78191,CPT,Platelet survival,26,,20 ,,RBRVS,0.61 ,0.20 ,0.20 ,,,,,1,0,1,1,1,1,20060825
78195,CPT,Lymph system imaging,TC,,20 ,,RBRVS,0.00 ,4.08 ,4.08 ,,,,,1,1,1,0,1,1,20060825
78195,CPT,Lymph system imaging,26,,20 ,,RBRVS,1.20 ,0.41 ,0.41 ,,,,,1,0,1,1,1,1,20060825
78199,CPT,Blood/lymph nuclear exam,,,20 ,,TotalUnits,,,,5.70 ,,,,1,1,1,0,1,1,20060825
78201,CPT,Liver imaging,TC,,20 ,,RBRVS,0.00 ,2.37 ,2.37 ,,,,,1,1,1,0,1,1,20060825
78201,CPT,Liver imaging,26,,20 ,,RBRVS,0.44 ,0.15 ,0.15 ,,,,,1,0,1,1,1,1,20060825
78202,CPT,Liver imaging with flow,TC,,20 ,,RBRVS,0.00 ,2.89 ,2.89 ,,,,,1,1,1,0,1,1,20060825
78202,CPT,Liver imaging with flow,26,,20 ,,RBRVS,0.51 ,0.17 ,0.17 ,,,,,1,0,1,1,1,1,20060825
78205,CPT,Liver imaging (3D),TC,,20 ,,RBRVS,0.00 ,5.93 ,5.93 ,,,,,1,1,1,0,1,1,20060825
78205,CPT,Liver imaging (3D),26,,20 ,,RBRVS,0.71 ,0.24 ,0.24 ,,,,,1,0,1,1,1,1,20060825
78206,CPT,Liver image (3d) with flow,TC,,20 ,,RBRVS,0.00 ,5.93 ,5.93 ,,,,,1,1,1,0,1,1,20060825
78206,CPT,Liver image (3d) with flow,26,,20 ,,RBRVS,0.96 ,0.33 ,0.33 ,,,,,1,0,1,1,1,1,20060825
78215,CPT,Liver and spleen imaging,TC,,20 ,,RBRVS,0.00 ,2.95 ,2.95 ,,,,,1,1,1,0,1,1,20060825
78215,CPT,Liver and spleen imaging,26,,20 ,,RBRVS,0.49 ,0.16 ,0.16 ,,,,,1,0,1,1,1,1,20060825
78216,CPT,Liver & spleen image/flow,TC,,20 ,,RBRVS,0.00 ,3.49 ,3.49 ,,,,,1,1,1,0,1,1,20060825
78216,CPT,Liver & spleen image/flow,26,,20 ,,RBRVS,0.57 ,0.19 ,0.19 ,,,,,1,0,1,1,1,1,20060825
78220,CPT,Liver function study,TC,,20 ,,RBRVS,0.00 ,3.73 ,3.73 ,,,,,1,1,1,0,1,1,20060825
78220,CPT,Liver function study,26,,20 ,,RBRVS,0.49 ,0.16 ,0.16 ,,,,,1,0,1,1,1,1,20060825
78223,CPT,Hepatobiliary imaging,TC,,20 ,,RBRVS,0.00 ,3.67 ,3.67 ,,,,,1,1,1,0,1,1,20060825
78223,CPT,Hepatobiliary imaging,26,,20 ,,RBRVS,0.84 ,0.28 ,0.28 ,,,,,1,0,1,1,1,1,20060825
78230,CPT,Salivary gland imaging,TC,,20 ,,RBRVS,0.00 ,2.19 ,2.19 ,,,,,1,1,1,0,1,1,20060825
78230,CPT,Salivary gland imaging,26,,20 ,,RBRVS,0.45 ,0.15 ,0.15 ,,,,,1,0,1,1,1,1,20060825
78231,CPT,Serial salivary imaging,TC,,20 ,,RBRVS,0.00 ,3.18 ,3.18 ,,,,,1,1,1,0,1,1,20060825
78231,CPT,Serial salivary imaging,26,,20 ,,RBRVS,0.52 ,0.18 ,0.18 ,,,,,1,0,1,1,1,1,20060825
78232,CPT,Salivary gland function exam,TC,,20 ,,RBRVS,0.00 ,3.55 ,3.55 ,,,,,1,1,1,0,1,1,20060825
78232,CPT,Salivary gland function exam,26,,20 ,,RBRVS,0.47 ,0.16 ,0.16 ,,,,,1,0,1,1,1,1,20060825
78258,CPT,Esophageal motility study,TC,,20 ,,RBRVS,0.00 ,2.89 ,2.89 ,,,,,1,1,1,0,1,1,20060825
78258,CPT,Esophageal motility study,26,,20 ,,RBRVS,0.74 ,0.25 ,0.25 ,,,,,1,0,1,1,1,1,20060825
78261,CPT,Gastric mucosa imaging,TC,,20 ,,RBRVS,0.00 ,4.11 ,4.11 ,,,,,1,1,1,0,1,1,20060825
78261,CPT,Gastric mucosa imaging,26,,20 ,,RBRVS,0.69 ,0.24 ,0.24 ,,,,,1,0,1,1,1,1,20060825
78262,CPT,Gastroesophageal reflux exam,TC,,20 ,,RBRVS,0.00 ,4.26 ,4.26 ,,,,,1,1,1,0,1,1,20060825
78262,CPT,Gastroesophageal reflux exam,26,,20 ,,RBRVS,0.68 ,0.23 ,0.23 ,,,,,1,0,1,1,1,1,20060825
78264,CPT,Gastric emptying study,TC,,20 ,,RBRVS,0.00 ,4.14 ,4.14 ,,,,,1,1,1,0,1,1,20060825
78264,CPT,Gastric emptying study,26,,20 ,,RBRVS,0.78 ,0.26 ,0.26 ,,,,,1,0,1,1,1,1,20060825
78267,CPT,Breath tst attain/anal c-14,,,17 ,,TotalUnits,,,,0.37 ,,,,1,1,1,0,1,1,20060825
78268,CPT,"Breath test analysis, c-14",,,17 ,,TotalUnits,,,,3.14 ,,,,1,1,1,0,1,1,20060825
78270,CPT,Vit B-12 absorption exam,TC,,20 ,,RBRVS,0.00 ,1.55 ,1.55 ,,,,,1,1,1,0,1,1,20060825
78270,CPT,Vit B-12 absorption exam,26,,20 ,,RBRVS,0.20 ,0.07 ,0.07 ,,,,,1,0,1,1,1,1,20060825
78271,CPT,"Vit b-12 absrp exam, int fac",TC,,20 ,,RBRVS,0.00 ,1.64 ,1.64 ,,,,,1,1,1,0,1,1,20060825
78271,CPT,"Vit b-12 absrp exam, int fac",26,,20 ,,RBRVS,0.20 ,0.07 ,0.07 ,,,,,1,0,1,1,1,1,20060825
78272,CPT,"Vit B-12 absorp, combined",TC,,20 ,,RBRVS,0.00 ,2.33 ,2.33 ,,,,,1,1,1,0,1,1,20060825
78272,CPT,"Vit B-12 absorp, combined",26,,20 ,,RBRVS,0.27 ,0.09 ,0.09 ,,,,,1,0,1,1,1,1,20060825
78278,CPT,Acute GI blood loss imaging,TC,,20 ,,RBRVS,0.00 ,4.88 ,4.88 ,,,,,1,1,1,0,1,1,20060825
78278,CPT,Acute GI blood loss imaging,26,,20 ,,RBRVS,0.99 ,0.33 ,0.33 ,,,,,1,0,1,1,1,1,20060825
78282,CPT,GI protein loss exam,TC,,20 ,,TotalUnits,,,,2.89 ,,,,1,1,1,0,1,1,20060825
78282,CPT,GI protein loss exam,26,,20 ,,RBRVS,0.38 ,0.13 ,0.13 ,,,,,1,0,1,1,1,1,20060825
78290,CPT,Meckel?s divert exam,TC,,20 ,,RBRVS,0.00 ,3.06 ,3.06 ,,,,,1,1,1,0,1,1,20060825
78290,CPT,Meckel?s divert exam,26,,20 ,,RBRVS,0.68 ,0.23 ,0.23 ,,,,,1,0,1,1,1,1,20060825
78291,CPT,Leveen/shunt patency exam,TC,,20 ,,RBRVS,0.00 ,3.07 ,3.07 ,,,,,1,1,1,0,1,1,20060825
78291,CPT,Leveen/shunt patency exam,26,,20 ,,RBRVS,0.88 ,0.30 ,0.30 ,,,,,1,0,1,1,1,1,20060825
78299,CPT,GI nuclear procedure,,,20 ,,TotalUnits,,,,4.80 ,,,,1,1,1,0,1,1,20060825
78300,CPT,"Bone imaging, limited area",TC,,20 ,,RBRVS,0.00 ,2.49 ,2.49 ,,,,,1,1,1,0,1,1,20060825
78300,CPT,"Bone imaging, limited area",26,,20 ,,RBRVS,0.62 ,0.21 ,0.21 ,,,,,1,0,1,1,1,1,20060825
78305,CPT,"Bone imaging, multiple areas",TC,,20 ,,RBRVS,0.00 ,3.67 ,3.67 ,,,,,1,1,1,0,1,1,20060825
78305,CPT,"Bone imaging, multiple areas",26,,20 ,,RBRVS,0.83 ,0.28 ,0.28 ,,,,,1,0,1,1,1,1,20060825
78306,CPT,"Bone imaging, whole body",TC,,20 ,,RBRVS,0.00 ,4.28 ,4.28 ,,,,,1,1,1,0,1,1,20060825
78306,CPT,"Bone imaging, whole body",26,,20 ,,RBRVS,0.86 ,0.29 ,0.29 ,,,,,1,0,1,1,1,1,20060825
78315,CPT,"Bone imaging, 3 phase",TC,,20 ,,RBRVS,0.00 ,4.79 ,4.79 ,,,,,1,1,1,0,1,1,20060825
78315,CPT,"Bone imaging, 3 phase",26,,20 ,,RBRVS,1.02 ,0.34 ,0.34 ,,,,,1,0,1,1,1,1,20060825
78320,CPT,Bone imaging (3D),TC,,20 ,,RBRVS,0.00 ,5.93 ,5.93 ,,,,,1,1,1,0,1,1,20060825
78320,CPT,Bone imaging (3D),26,,20 ,,RBRVS,1.04 ,0.36 ,0.36 ,,,,,1,0,1,1,1,1,20060825
78350,CPT,"Bone mineral, single photon",TC,,20 ,,RBRVS,0.00 ,0.75 ,0.75 ,,,,,1,1,1,0,1,1,20060825
78350,CPT,"Bone mineral, single photon",26,,20 ,,RBRVS,0.22 ,0.07 ,0.07 ,,,,,1,0,1,1,1,1,20060825
78351,CPT,"Bone mineral, dual photon",26,,20 ,,TotalUnits,,,,0.58 ,,,,1,0,1,1,1,1,20060825
78351,CPT,"Bone mineral, dual photon",TC,,20 ,,TotalUnits,,,,3.44 ,,,,1,1,1,0,1,1,20060825
78399,CPT,Musculoskeletal nuclear exam,,,20 ,,TotalUnits,,,,5.44 ,,,,1,1,1,0,1,1,20060825
78414,CPT,Non-imaging heart function,TC,,20 ,,TotalUnits,,,,1.22 ,,,,1,1,1,0,1,1,20060825
78414,CPT,Non-imaging heart function,26,,20 ,,RBRVS,0.45 ,0.16 ,0.16 ,,,,,1,0,1,1,1,1,20060825
78428,CPT,Cardiac shunt imaging,TC,,20 ,,RBRVS,0.00 ,2.26 ,2.26 ,,,,,1,1,1,0,1,1,20060825
78428,CPT,Cardiac shunt imaging,26,,20 ,,RBRVS,0.78 ,0.29 ,0.29 ,,,,,1,0,1,1,1,1,20060825
78445,CPT,Vascular flow imaging,TC,,20 ,,RBRVS,0.00 ,1.87 ,1.87 ,,,,,1,1,1,0,1,1,20060825
78445,CPT,Vascular flow imaging,26,,20 ,,RBRVS,0.49 ,0.17 ,0.17 ,,,,,1,0,1,1,1,1,20060825
78456,CPT,Acute venous thrombus image,TC,,20 ,,RBRVS,0.00 ,3.99 ,3.99 ,,,,,1,1,1,0,1,1,20060825
78456,CPT,Acute venous thrombus image,26,,20 ,,RBRVS,1.00 ,0.34 ,0.34 ,,,,,1,0,1,1,1,1,20060825
78457,CPT,Venous thrombosis imaging,TC,,20 ,,RBRVS,0.00 ,2.67 ,2.67 ,,,,,1,1,1,0,1,1,20060825
78457,CPT,Venous thrombosis imaging,26,,20 ,,RBRVS,0.77 ,0.26 ,0.26 ,,,,,1,0,1,1,1,1,20060825
78458,CPT,"Ven thrombosis images, bilat",TC,,20 ,,RBRVS,0.00 ,4.03 ,4.03 ,,,,,1,1,1,0,1,1,20060825
78458,CPT,"Ven thrombosis images, bilat",26,,20 ,,RBRVS,0.90 ,0.32 ,0.32 ,,,,,1,0,1,1,1,1,20060825
78459,CPT,Heart muscle imaging (PET),TC,,20 ,,TotalUnits,,,,27.72 ,,,,1,1,1,0,1,1,20060825
78459,CPT,Heart muscle imaging (PET),26,,20 ,,RBRVS,1.50 ,0.57 ,0.57 ,,,,,1,0,1,1,1,1,20060825
78460,CPT,"Heart muscle blood, single",TC,,20 ,,RBRVS,0.00 ,2.37 ,2.37 ,,,,,1,1,1,0,1,1,20060825
78460,CPT,"Heart muscle blood, single",26,,20 ,,RBRVS,0.86 ,0.29 ,0.29 ,,,,,1,0,1,1,1,1,20060825
78461,CPT,"Heart muscle blood, multiple",TC,,20 ,,RBRVS,0.00 ,4.73 ,4.73 ,,,,,1,1,1,0,1,1,20060825
78461,CPT,"Heart muscle blood, multiple",26,,20 ,,RBRVS,1.23 ,0.43 ,0.43 ,,,,,1,0,1,1,1,1,20060825
78464,CPT,"Heart image (3d), single",TC,,20 ,,RBRVS,0.00 ,7.09 ,7.09 ,,,,,1,1,1,0,1,1,20060825
78464,CPT,"Heart image (3d), single",26,,20 ,,RBRVS,1.09 ,0.38 ,0.38 ,,,,,1,0,1,1,1,1,20060825
78465,CPT,"Heart image (3d), multiple",TC,,20 ,,RBRVS,0.00 ,11.82 ,11.82 ,,,,,1,1,1,0,1,1,20060825
78465,CPT,"Heart image (3d), multiple",26,,20 ,,RBRVS,1.46 ,0.52 ,0.52 ,,,,,1,0,1,1,1,1,20060825
78466,CPT,Heart infarct image,TC,,20 ,,RBRVS,0.00 ,2.63 ,2.63 ,,,,,1,1,1,0,1,1,20060825
78466,CPT,Heart infarct image,26,,20 ,,RBRVS,0.69 ,0.24 ,0.24 ,,,,,1,0,1,1,1,1,20060825
78468,CPT,Heart infarct image (ef),TC,,20 ,,RBRVS,0.00 ,3.67 ,3.67 ,,,,,1,1,1,0,1,1,20060825
78468,CPT,Heart infarct image (ef),26,,20 ,,RBRVS,0.80 ,0.27 ,0.27 ,,,,,1,0,1,1,1,1,20060825
78469,CPT,Heart infarct image (3D),TC,,20 ,,RBRVS,0.00 ,5.24 ,5.24 ,,,,,1,1,1,0,1,1,20060825
78469,CPT,Heart infarct image (3D),26,,20 ,,RBRVS,0.92 ,0.31 ,0.31 ,,,,,1,0,1,1,1,1,20060825
78472,CPT,"Gated heart, planar, single",TC,,20 ,,RBRVS,0.00 ,5.53 ,5.53 ,,,,,1,1,1,0,1,1,20060825
78472,CPT,"Gated heart, planar, single",26,,20 ,,RBRVS,0.98 ,0.34 ,0.34 ,,,,,1,0,1,1,1,1,20060825
78473,CPT,"Gated heart, multiple",TC,,20 ,,RBRVS,0.00 ,8.28 ,8.28 ,,,,,1,1,1,0,1,1,20060825
78473,CPT,"Gated heart, multiple",26,,20 ,,RBRVS,1.47 ,0.51 ,0.51 ,,,,,1,0,1,1,1,1,20060825
78478,CPT,Heart wall motion add-on,TC,,20 ,,RBRVS,0.00 ,1.56 ,1.56 ,,,,,1,1,1,0,1,1,20060825
78478,CPT,Heart wall motion add-on,26,,20 ,,RBRVS,0.62 ,0.23 ,0.23 ,,,,,1,0,1,1,1,1,20060825
78480,CPT,Heart function add-on,TC,,20 ,,RBRVS,0.00 ,1.56 ,1.56 ,,,,,1,1,1,0,1,1,20060825
78480,CPT,Heart function add-on,26,,20 ,,RBRVS,0.62 ,0.22 ,0.22 ,,,,,1,0,1,1,1,1,20060825
78481,CPT,"Heart first pass, single",TC,,20 ,,RBRVS,0.00 ,5.24 ,5.24 ,,,,,1,1,1,0,1,1,20060825
78481,CPT,"Heart first pass, single",26,,20 ,,RBRVS,0.98 ,0.36 ,0.36 ,,,,,1,0,1,1,1,1,20060825
78483,CPT,"Heart first pass, multiple",TC,,20 ,,RBRVS,0.00 ,7.89 ,7.89 ,,,,,1,1,1,0,1,1,20060825
78483,CPT,"Heart first pass, multiple",26,,20 ,,RBRVS,1.47 ,0.54 ,0.54 ,,,,,1,0,1,1,1,1,20060825
78491,CPT,"Heart image (pet), single",TC,,20 ,,TotalUnits,,,,16.06 ,,,,1,1,1,0,1,1,20060825
78491,CPT,"Heart image (pet), single",26,,20 ,,RBRVS,1.50 ,0.59 ,0.59 ,,,,,1,0,1,1,1,1,20060825
78492,CPT,"Heart image (pet), multiple",TC,,20 ,,TotalUnits,,,,20.04 ,,,,1,1,1,0,1,1,20060825
78492,CPT,"Heart image (pet), multiple",26,,20 ,,RBRVS,1.87 ,0.74 ,0.74 ,,,,,1,0,1,1,1,1,20060825
78494,CPT,"Heart image, spect",TC,,20 ,,RBRVS,0.00 ,7.09 ,7.09 ,,,,,1,1,1,0,1,1,20060825
78494,CPT,"Heart image, spect",26,,20 ,,RBRVS,1.19 ,0.42 ,0.42 ,,,,,1,0,1,1,1,1,20060825
78496,CPT,Heart first pass add-on,TC,,20 ,,RBRVS,0.00 ,7.09 ,7.09 ,,,,,1,1,1,0,1,1,20060825
78496,CPT,Heart first pass add-on,26,,20 ,,RBRVS,0.50 ,0.18 ,0.18 ,,,,,1,0,1,1,1,1,20060825
78499,CPT,Cardiovascular nuclear exam,,,20 ,,TotalUnits,,,,2.41 ,,,,1,1,1,0,1,1,20060825
78580,CPT,Lung perfusion imaging,TC,,20 ,,RBRVS,0.00 ,3.44 ,3.44 ,,,,,1,1,1,0,1,1,20060825
78580,CPT,Lung perfusion imaging,26,,20 ,,RBRVS,0.74 ,0.25 ,0.25 ,,,,,1,0,1,1,1,1,20060825
78584,CPT,Lung V/Q image single breath,TC,,20 ,,RBRVS,0.00 ,3.21 ,3.21 ,,,,,1,1,1,0,1,1,20060825
78584,CPT,Lung V/Q image single breath,26,,20 ,,RBRVS,0.99 ,0.33 ,0.33 ,,,,,1,0,1,1,1,1,20060825
78585,CPT,Lung V/Q imaging,TC,,20 ,,RBRVS,0.00 ,5.66 ,5.66 ,,,,,1,1,1,0,1,1,20060825
78585,CPT,Lung V/Q imaging,26,,20 ,,RBRVS,1.09 ,0.36 ,0.36 ,,,,,1,0,1,1,1,1,20060825
78586,CPT,"Aerosol lung image, single",TC,,20 ,,RBRVS,0.00 ,2.60 ,2.60 ,,,,,1,1,1,0,1,1,20060825
78586,CPT,"Aerosol lung image, single",26,,20 ,,RBRVS,0.40 ,0.13 ,0.13 ,,,,,1,0,1,1,1,1,20060825
78587,CPT,"Aerosol lung image, multiple",TC,,20 ,,RBRVS,0.00 ,2.81 ,2.81 ,,,,,1,1,1,0,1,1,20060825
78587,CPT,"Aerosol lung image, multiple",26,,20 ,,RBRVS,0.49 ,0.17 ,0.17 ,,,,,1,0,1,1,1,1,20060825
78588,CPT,Perfusion lung image,TC,,20 ,,RBRVS,0.00 ,3.21 ,3.21 ,,,,,1,1,1,0,1,1,20060825
78588,CPT,Perfusion lung image,26,,20 ,,RBRVS,1.09 ,0.36 ,0.36 ,,,,,1,0,1,1,1,1,20060825
78591,CPT,"Vent image, 1 breath, 1 proj",TC,,20 ,,RBRVS,0.00 ,2.86 ,2.86 ,,,,,1,1,1,0,1,1,20060825
78591,CPT,"Vent image, 1 breath, 1 proj",26,,20 ,,RBRVS,0.40 ,0.13 ,0.13 ,,,,,1,0,1,1,1,1,20060825
78593,CPT,"Vent image, 1 proj, gas",TC,,20 ,,RBRVS,0.00 ,3.46 ,3.46 ,,,,,1,1,1,0,1,1,20060825
78593,CPT,"Vent image, 1 proj, gas",26,,20 ,,RBRVS,0.49 ,0.16 ,0.16 ,,,,,1,0,1,1,1,1,20060825
78594,CPT,"Vent image, mult proj, gas",TC,,20 ,,RBRVS,0.00 ,4.99 ,4.99 ,,,,,1,1,1,0,1,1,20060825
78594,CPT,"Vent image, mult proj, gas",26,,20 ,,RBRVS,0.53 ,0.18 ,0.18 ,,,,,1,0,1,1,1,1,20060825
78596,CPT,Lung differential function,TC,,20 ,,RBRVS,0.00 ,7.09 ,7.09 ,,,,,1,1,1,0,1,1,20060825
78596,CPT,Lung differential function,26,,20 ,,RBRVS,1.27 ,0.42 ,0.42 ,,,,,1,0,1,1,1,1,20060825
78599,CPT,Respiratory nuclear exam,,,20 ,,TotalUnits,,,,4.67 ,,,,1,1,1,0,1,1,20060825
78600,CPT,"Brain imaging, ltd static",TC,,20 ,,RBRVS,0.00 ,2.89 ,2.89 ,,,,,1,1,1,0,1,1,20060825
78600,CPT,"Brain imaging, ltd static",26,,20 ,,RBRVS,0.44 ,0.15 ,0.15 ,,,,,1,0,1,1,1,1,20060825
78601,CPT,"Brain imaging, ltd w/ flow",TC,,20 ,,RBRVS,0.00 ,3.41 ,3.41 ,,,,,1,1,1,0,1,1,20060825
78601,CPT,"Brain imaging, ltd w/ flow",26,,20 ,,RBRVS,0.51 ,0.17 ,0.17 ,,,,,1,0,1,1,1,1,20060825
78605,CPT,"Brain imaging, complete",TC,,20 ,,RBRVS,0.00 ,3.41 ,3.41 ,,,,,1,1,1,0,1,1,20060825
78605,CPT,"Brain imaging, complete",26,,20 ,,RBRVS,0.53 ,0.18 ,0.18 ,,,,,1,0,1,1,1,1,20060825
78606,CPT,"Brain imaging, compl w/flow",TC,,20 ,,RBRVS,0.00 ,3.88 ,3.88 ,,,,,1,1,1,0,1,1,20060825
78606,CPT,"Brain imaging, compl w/flow",26,,20 ,,RBRVS,0.64 ,0.21 ,0.21 ,,,,,1,0,1,1,1,1,20060825
78607,CPT,Brain imaging (3D),TC,,20 ,,RBRVS,0.00 ,6.57 ,6.57 ,,,,,1,1,1,0,1,1,20060825
78607,CPT,Brain imaging (3D),26,,20 ,,RBRVS,1.23 ,0.43 ,0.43 ,,,,,1,0,1,1,1,1,20060825
78608,CPT,Brain imaging (PET),,,20 ,,TotalUnits,,,,49.17 ,,,,1,1,1,0,1,1,20060825
78609,CPT,Brain imaging (PET),,,20 ,,TotalUnits,,,,35.76 ,,,,1,1,1,0,1,1,20060825
78610,CPT,Brain flow imaging only,TC,,20 ,,RBRVS,0.00 ,1.58 ,1.58 ,,,,,1,1,1,0,1,1,20060825
78610,CPT,Brain flow imaging only,26,,20 ,,RBRVS,0.30 ,0.11 ,0.11 ,,,,,1,0,1,1,1,1,20060825
78615,CPT,Cerebral vascular flow image,TC,,20 ,,RBRVS,0.00 ,3.86 ,3.86 ,,,,,1,1,1,0,1,1,20060825
78615,CPT,Cerebral vascular flow image,26,,20 ,,RBRVS,0.42 ,0.15 ,0.15 ,,,,,1,0,1,1,1,1,20060825
78630,CPT,Cerebrospinal fluid scan,TC,,20 ,,RBRVS,0.00 ,5.05 ,5.05 ,,,,,1,1,1,0,1,1,20060825
78630,CPT,Cerebrospinal fluid scan,26,,20 ,,RBRVS,0.68 ,0.23 ,0.23 ,,,,,1,0,1,1,1,1,20060825
78635,CPT,CSF ventriculography,TC,,20 ,,RBRVS,0.00 ,2.55 ,2.55 ,,,,,1,1,1,0,1,1,20060825
78635,CPT,CSF ventriculography,26,,20 ,,RBRVS,0.61 ,0.23 ,0.23 ,,,,,1,0,1,1,1,1,20060825
78645,CPT,CSF shunt evaluation,TC,,20 ,,RBRVS,0.00 ,3.44 ,3.44 ,,,,,1,1,1,0,1,1,20060825
78645,CPT,CSF shunt evaluation,26,,20 ,,RBRVS,0.57 ,0.19 ,0.19 ,,,,,1,0,1,1,1,1,20060825
78647,CPT,Cerebrospinal fluid scan,TC,,20 ,,RBRVS,0.00 ,5.93 ,5.93 ,,,,,1,1,1,0,1,1,20060825
78647,CPT,Cerebrospinal fluid scan,26,,20 ,,RBRVS,0.90 ,0.31 ,0.31 ,,,,,1,0,1,1,1,1,20060825
78650,CPT,CSF leakage imaging,TC,,20 ,,RBRVS,0.00 ,4.65 ,4.65 ,,,,,1,1,1,0,1,1,20060825
78650,CPT,CSF leakage imaging,26,,20 ,,RBRVS,0.61 ,0.21 ,0.21 ,,,,,1,0,1,1,1,1,20060825
78660,CPT,Nuclear exam of tear flow,TC,,20 ,,RBRVS,0.00 ,2.13 ,2.13 ,,,,,1,1,1,0,1,1,20060825
78660,CPT,Nuclear exam of tear flow,26,,20 ,,RBRVS,0.53 ,0.18 ,0.18 ,,,,,1,0,1,1,1,1,20060825
78699,CPT,Nervous system nuclear exam,,,20 ,,TotalUnits,,,,5.96 ,,,,1,1,1,0,1,1,20060825
78700,CPT,"Kidney imaging, static",TC,,20 ,,RBRVS,0.00 ,3.06 ,3.06 ,,,,,1,1,1,0,1,1,20060825
78700,CPT,"Kidney imaging, static",26,,20 ,,RBRVS,0.45 ,0.15 ,0.15 ,,,,,1,0,1,1,1,1,20060825
78701,CPT,Kidney imaging with flow,TC,,20 ,,RBRVS,0.00 ,3.57 ,3.57 ,,,,,1,1,1,0,1,1,20060825
78701,CPT,Kidney imaging with flow,26,,20 ,,RBRVS,0.49 ,0.16 ,0.16 ,,,,,1,0,1,1,1,1,20060825
78704,CPT,Imaging renogram,TC,,20 ,,RBRVS,0.00 ,3.96 ,3.96 ,,,,,1,1,1,0,1,1,20060825
78704,CPT,Imaging renogram,26,,20 ,,RBRVS,0.74 ,0.25 ,0.25 ,,,,,1,0,1,1,1,1,20060825
78707,CPT,Kidney flow/function image,TC,,20 ,,RBRVS,0.00 ,4.48 ,4.48 ,,,,,1,1,1,0,1,1,20060825
78707,CPT,Kidney flow/function image,26,,20 ,,RBRVS,0.96 ,0.32 ,0.32 ,,,,,1,0,1,1,1,1,20060825
78708,CPT,Kidney flow/function image,TC,,20 ,,RBRVS,0.00 ,4.48 ,4.48 ,,,,,1,1,1,0,1,1,20060825
78708,CPT,Kidney flow/function image,26,,20 ,,RBRVS,1.21 ,0.41 ,0.41 ,,,,,1,0,1,1,1,1,20060825
78709,CPT,Kidney flow/function image,TC,,20 ,,RBRVS,0.00 ,4.48 ,4.48 ,,,,,1,1,1,0,1,1,20060825
78709,CPT,Kidney flow/function image,26,,20 ,,RBRVS,1.41 ,0.47 ,0.47 ,,,,,1,0,1,1,1,1,20060825
78710,CPT,Kidney imaging (3D),TC,,20 ,,RBRVS,0.00 ,5.93 ,5.93 ,,,,,1,1,1,0,1,1,20060825
78710,CPT,Kidney imaging (3D),26,,20 ,,RBRVS,0.66 ,0.22 ,0.22 ,,,,,1,0,1,1,1,1,20060825
78715,CPT,Renal vascular flow exam,TC,,20 ,,RBRVS,0.00 ,1.58 ,1.58 ,,,,,1,1,1,0,1,1,20060825
78715,CPT,Renal vascular flow exam,26,,20 ,,RBRVS,0.30 ,0.11 ,0.11 ,,,,,1,0,1,1,1,1,20060825
78725,CPT,Kidney function study,TC,,20 ,,RBRVS,0.00 ,1.79 ,1.79 ,,,,,1,1,1,0,1,1,20060825
78725,CPT,Kidney function study,26,,20 ,,RBRVS,0.38 ,0.13 ,0.13 ,,,,,1,0,1,1,1,1,20060825
78730,CPT,Urinary bladder retention,TC,,20 ,,RBRVS,0.00 ,1.46 ,1.46 ,,,,,1,1,1,0,1,1,20060825
78730,CPT,Urinary bladder retention,26,,20 ,,RBRVS,0.36 ,0.12 ,0.12 ,,,,,1,0,1,1,1,1,20060825
78740,CPT,Ureteral reflux study,TC,,20 ,,RBRVS,0.00 ,2.13 ,2.13 ,,,,,1,1,1,0,1,1,20060825
78740,CPT,Ureteral reflux study,26,,20 ,,RBRVS,0.57 ,0.19 ,0.19 ,,,,,1,0,1,1,1,1,20060825
78760,CPT,Testicular imaging,TC,,20 ,,RBRVS,0.00 ,2.69 ,2.69 ,,,,,1,1,1,0,1,1,20060825
78760,CPT,Testicular imaging,26,,20 ,,RBRVS,0.66 ,0.22 ,0.22 ,,,,,1,0,1,1,1,1,20060825
78761,CPT,Testicular imaging/flow,TC,,20 ,,RBRVS,0.00 ,3.21 ,3.21 ,,,,,1,1,1,0,1,1,20060825
78761,CPT,Testicular imaging/flow,26,,20 ,,RBRVS,0.71 ,0.24 ,0.24 ,,,,,1,0,1,1,1,1,20060825
78799,CPT,Genitourinary nuclear exam,,,20 ,,TotalUnits,,,,5.77 ,,,,1,1,1,0,1,1,20060825
78800,CPT,"Tumor imaging, limited area",TC,,20 ,,RBRVS,0.00 ,3.41 ,3.41 ,,,,,1,1,1,0,1,1,20060825
78800,CPT,"Tumor imaging, limited area",26,,20 ,,RBRVS,0.66 ,0.22 ,0.22 ,,,,,1,0,1,1,1,1,20060825
78801,CPT,"Tumor imaging, mult areas",TC,,20 ,,RBRVS,0.00 ,4.23 ,4.23 ,,,,,1,1,1,0,1,1,20060825
78801,CPT,"Tumor imaging, mult areas",26,,20 ,,RBRVS,0.79 ,0.27 ,0.27 ,,,,,1,0,1,1,1,1,20060825
78802,CPT,"Tumor imaging, whole body",TC,,20 ,,RBRVS,0.00 ,5.55 ,5.55 ,,,,,1,1,1,0,1,1,20060825
78802,CPT,"Tumor imaging, whole body",26,,20 ,,RBRVS,0.86 ,0.29 ,0.29 ,,,,,1,0,1,1,1,1,20060825
78803,CPT,Tumor imaging (3D),TC,,20 ,,RBRVS,0.00 ,6.57 ,6.57 ,,,,,1,1,1,0,1,1,20060825
78803,CPT,Tumor imaging (3D),26,,20 ,,RBRVS,1.09 ,0.38 ,0.38 ,,,,,1,0,1,1,1,1,20060825
78804,CPT,"Tumor imaging, whole body",TC,,20 ,,RBRVS,0.00 ,11.09 ,11.09 ,,,,,1,1,1,0,1,1,20060825
78804,CPT,"Tumor imaging, whole body",26,,20 ,,RBRVS,1.07 ,0.37 ,0.37 ,,,,,1,0,1,1,1,1,20060825
78805,CPT,"Abscess imaging, ltd area",TC,,20 ,,RBRVS,0.00 ,3.41 ,3.41 ,,,,,1,1,1,0,1,1,20060825
78805,CPT,"Abscess imaging, ltd area",26,,20 ,,RBRVS,0.73 ,0.25 ,0.25 ,,,,,1,0,1,1,1,1,20060825
78806,CPT,"Abscess imaging, whole body",TC,,20 ,,RBRVS,0.00 ,6.45 ,6.45 ,,,,,1,1,1,0,1,1,20060825
78806,CPT,"Abscess imaging, whole body",26,,20 ,,RBRVS,0.86 ,0.29 ,0.29 ,,,,,1,0,1,1,1,1,20060825
78807,CPT,Nuclear localization/abscess,TC,,20 ,,RBRVS,0.00 ,6.57 ,6.57 ,,,,,1,1,1,0,1,1,20060825
78807,CPT,Nuclear localization/abscess,26,,20 ,,RBRVS,1.09 ,0.39 ,0.39 ,,,,,1,0,1,1,1,1,20060825
78811,CPT,"Tumor imaging (pet), limited",26,,20 ,,RBRVS,1.54 ,0.53 ,0.53 ,,,,,1,0,1,1,1,1,20060825
78812,CPT,Tumor image (pet)/skul-thigh,26,,20 ,,RBRVS,1.93 ,0.66 ,0.66 ,,,,,1,0,1,1,1,1,20060825
78813,CPT,Tumor image (pet) full body,26,,20 ,,RBRVS,2.00 ,0.69 ,0.69 ,,,,,1,0,1,1,1,1,20060825
78814,CPT,"Tumor image pet/ct, limited",26,,20 ,,RBRVS,2.20 ,0.76 ,0.76 ,,,,,1,0,1,1,1,1,20060825
78815,CPT,Tumorimage pet/ct skul-thigh,26,,20 ,,RBRVS,2.44 ,0.84 ,0.84 ,,,,,1,0,1,1,1,1,20060825
78816,CPT,Tumor image pet/ct full body,26,,20 ,,RBRVS,2.50 ,0.86 ,0.86 ,,,,,1,0,1,1,1,1,20060825
78890,CPT,Nuclear medicine data proc,TC,,20 ,2,RBRVS,0.00 ,1.31 ,1.31 ,,,,,1,1,1,0,1,1,20060825
78890,CPT,Nuclear medicine data proc,26,,20 ,,RBRVS,0.05 ,0.02 ,0.02 ,,,,,1,0,1,1,1,1,20060825
78891,CPT,Nuclear med data proc,TC,,20 ,2,RBRVS,0.00 ,2.63 ,2.63 ,,,,,1,1,1,0,1,1,20060825
78891,CPT,Nuclear med data proc,26,,20 ,,RBRVS,0.10 ,0.04 ,0.04 ,,,,,1,0,1,1,1,1,20060825
78999,CPT,Nuclear diagnostic exam,,,20 ,,TotalUnits,,,,1.81 ,,,,1,1,1,0,1,1,20060825
79005,CPT,"Nuclear rx, oral admin",TC,,20 ,,RBRVS,0.00 ,2.63 ,2.63 ,,,,,1,1,1,0,1,1,20060825
79005,CPT,"Nuclear rx, oral admin",26,,20 ,,RBRVS,1.80 ,0.60 ,0.60 ,,,,,1,0,1,1,1,1,20060825
79101,CPT,"Nuclear rx, iv admin",TC,,20 ,,RBRVS,0.00 ,2.63 ,2.63 ,,,,,1,1,1,0,1,1,20060825
79101,CPT,"Nuclear rx, iv admin",26,,20 ,,RBRVS,1.96 ,0.67 ,0.67 ,,,,,1,0,1,1,1,1,20060825
79200,CPT,Intracavitary nuclear trmt,TC,,20 ,,RBRVS,0.00 ,2.63 ,2.63 ,,,,,1,1,1,0,1,1,20060825
79200,CPT,Intracavitary nuclear trmt,26,,20 ,,RBRVS,1.99 ,0.69 ,0.69 ,,,,,1,0,1,1,1,1,20060825
79300,CPT,Interstitial nuclear therapy,TC,,20 ,,TotalUnits,,,,1.70 ,,,,1,1,1,0,1,1,20060825
79300,CPT,Interstitial nuclear therapy,26,,20 ,,RBRVS,1.60 ,0.56 ,0.56 ,,,,,1,0,1,1,1,1,20060825
79403,CPT,Hematopoetic nuclear therapy,TC,,20 ,,RBRVS,0.00 ,4.28 ,4.28 ,,,,,1,1,1,0,1,1,20060825
79403,CPT,Hematopoetic nuclear therapy,26,,20 ,,RBRVS,2.25 ,0.89 ,0.89 ,,,,,1,0,1,1,1,1,20060825
79440,CPT,Nuclear joint therapy,TC,,20 ,,RBRVS,0.00 ,2.63 ,2.63 ,,,,,1,1,1,0,1,1,20060825
79440,CPT,Nuclear joint therapy,26,,20 ,,RBRVS,1.99 ,0.72 ,0.72 ,,,,,1,0,1,1,1,1,20060825
79445,CPT,"Nuclear rx, intra-arterial",,,20 ,,RBRVS,2.40 ,0.82 ,0.82 ,,,,,1,0,1,1,1,1,20060825
79999,CPT,Nuclear medicine therapy,,,20 ,,TotalUnits,,,,5.02 ,,,,1,1,1,0,1,1,20060825
80048,CPT,Basic metabolic panel,,,17 ,,TotalUnits,,,,0.40 ,,,,1,1,1,0,1,1,20060825
80050,CPT,General health panel,,,17 ,,TotalUnits,,,,1.42 ,,,,1,1,1,0,1,1,20060825
80051,CPT,Electrolyte panel,,,17 ,,TotalUnits,,,,0.33 ,,,,1,1,1,0,1,1,20060825
80053,CPT,Comprehen metabolic panel,,,17 ,,TotalUnits,,,,0.49 ,,,,1,1,1,0,1,1,20060825
80055,CPT,Obstetric panel,,,17 ,,TotalUnits,,,,1.29 ,,,,1,1,1,0,1,1,20060825
80061,CPT,Lipid panel,,,17 ,,TotalUnits,,,,0.63 ,,,,1,1,1,0,1,1,20060825
80069,CPT,Renal function panel,,,17 ,,TotalUnits,,,,0.41 ,,,,1,1,1,0,1,1,20060825
80074,CPT,Acute hepatitis panel,,,17 ,,TotalUnits,,,,2.22 ,,,,1,1,1,0,1,1,20060825
80076,CPT,Hepatic function panel,,,17 ,,TotalUnits,,,,0.38 ,,,,1,1,1,0,1,1,20060825
80100,CPT,"Drug screen, qualitate/multi",,,17 ,,TotalUnits,,,,0.68 ,,,,1,1,1,0,1,1,20060825
80101,CPT,"Drug screen, single",,,17 ,,TotalUnits,,,,0.64 ,,,,1,1,1,0,1,1,20060825
80102,CPT,Drug confirmation,,,17 ,,TotalUnits,,,,0.62 ,,,,1,1,1,0,1,1,20060825
80103,CPT,"Drug analysis, tissue prep",,,17 ,2,TotalUnits,,,,0.44 ,,,,1,1,1,0,1,1,20060825
80150,CPT,Assay of amikacin,,,17 ,,TotalUnits,,,,0.70 ,,,,1,1,1,0,1,1,20060825
80152,CPT,Assay of amitriptyline,,,17 ,,TotalUnits,,,,0.84 ,,,,1,1,1,0,1,1,20060825
80154,CPT,Assay of benzodiazepines,,,17 ,,TotalUnits,,,,0.86 ,,,,1,1,1,0,1,1,20060825
80156,CPT,"Assay, carbamazepine, total",,,17 ,,TotalUnits,,,,0.68 ,,,,1,1,1,0,1,1,20060825
80157,CPT,"Assay, carbamazepine, free",,,17 ,,TotalUnits,,,,0.62 ,,,,1,1,1,0,1,1,20060825
80158,CPT,Assay of cyclosporine,,,17 ,,TotalUnits,,,,0.84 ,,,,1,1,1,0,1,1,20060825
80160,CPT,Assay of desipramine,,,17 ,,TotalUnits,,,,0.80 ,,,,1,1,1,0,1,1,20060825
80162,CPT,Assay of digoxin,,,17 ,,TotalUnits,,,,0.62 ,,,,1,1,1,0,1,1,20060825
80164,CPT,"Assay, dipropylacetic acid",,,17 ,,TotalUnits,,,,0.63 ,,,,1,1,1,0,1,1,20060825
80166,CPT,Assay of doxepin,,,17 ,,TotalUnits,,,,0.72 ,,,,1,1,1,0,1,1,20060825
80168,CPT,Assay of ethosuximide,,,17 ,,TotalUnits,,,,0.76 ,,,,1,1,1,0,1,1,20060825
80170,CPT,Assay of gentamicin,,,17 ,,TotalUnits,,,,0.76 ,,,,1,1,1,0,1,1,20060825
80172,CPT,Assay of gold,,,17 ,,TotalUnits,,,,0.76 ,,,,1,1,1,0,1,1,20060825
80173,CPT,Assay of haloperidol,,,17 ,,TotalUnits,,,,0.68 ,,,,1,1,1,0,1,1,20060825
80174,CPT,Assay of imipramine,,,17 ,,TotalUnits,,,,0.80 ,,,,1,1,1,0,1,1,20060825
80176,CPT,Assay of lidocaine,,,17 ,,TotalUnits,,,,0.69 ,,,,1,1,1,0,1,1,20060825
80178,CPT,Assay of lithium,,,17 ,,TotalUnits,,,,0.31 ,,,,1,1,1,0,1,1,20060825
80182,CPT,Assay of nortriptyline,,,17 ,,TotalUnits,,,,0.63 ,,,,1,1,1,0,1,1,20060825
80184,CPT,Assay of phenobarbital,,,17 ,,TotalUnits,,,,0.53 ,,,,1,1,1,0,1,1,20060825
80185,CPT,"Assay of phenytoin, total",,,17 ,,TotalUnits,,,,0.62 ,,,,1,1,1,0,1,1,20060825
80186,CPT,"Assay of phenytoin, free",,,17 ,,TotalUnits,,,,0.64 ,,,,1,1,1,0,1,1,20060825
80188,CPT,Assay of primidone,,,17 ,,TotalUnits,,,,0.77 ,,,,1,1,1,0,1,1,20060825
80190,CPT,Assay of procainamide,,,17 ,,TotalUnits,,,,0.78 ,,,,1,1,1,0,1,1,20060825
80192,CPT,Assay of procainamide,,,17 ,,TotalUnits,,,,0.78 ,,,,1,1,1,0,1,1,20060825
80194,CPT,Assay of quinidine,,,17 ,,TotalUnits,,,,0.68 ,,,,1,1,1,0,1,1,20060825
80195,CPT,Assay of sirolimus,,,28 ,,NW,,,,,,$20.52,,1,1,1,0,1,1,20060825
80196,CPT,Assay of salicylate,,,17 ,,TotalUnits,,,,0.33 ,,,,1,1,1,0,1,1,20060825
80197,CPT,Assay of tacrolimus,,,17 ,,TotalUnits,,,,0.64 ,,,,1,1,1,0,1,1,20060825
80198,CPT,Assay of theophylline,,,17 ,,TotalUnits,,,,0.66 ,,,,1,1,1,0,1,1,20060825
80200,CPT,Assay of tobramycin,,,17 ,,TotalUnits,,,,0.75 ,,,,1,1,1,0,1,1,20060825
80201,CPT,Assay of topiramate,,,17 ,,TotalUnits,,,,0.56 ,,,,1,1,1,0,1,1,20060825
80202,CPT,Assay of vancomycin,,,17 ,,TotalUnits,,,,0.63 ,,,,1,1,1,0,1,1,20060825
80299,CPT,"Quantitative assay, drug",,,17 ,,TotalUnits,,,,0.64 ,,,,1,1,1,0,1,1,20060825
80400,CPT,Acth stimulation panel,,,17 ,,TotalUnits,,,,1.52 ,,,,1,1,1,0,1,1,20060825
80402,CPT,Acth stimulation panel,,,17 ,,TotalUnits,,,,4.06 ,,,,1,1,1,0,1,1,20060825
80406,CPT,Acth stimulation panel,,,17 ,,TotalUnits,,,,3.65 ,,,,1,1,1,0,1,1,20060825
80408,CPT,Aldosterone suppression eval,,,17 ,,TotalUnits,,,,5.86 ,,,,1,1,1,0,1,1,20060825
80410,CPT,Calcitonin stimul panel,,,17 ,,TotalUnits,,,,3.75 ,,,,1,1,1,0,1,1,20060825
80412,CPT,CRH stimulation panel,,,17 ,,TotalUnits,,,,15.38 ,,,,1,1,1,0,1,1,20060825
80414,CPT,Testosterone response,,,17 ,,TotalUnits,,,,2.41 ,,,,1,1,1,0,1,1,20060825
80415,CPT,Estradiol response panel,,,17 ,,TotalUnits,,,,2.61 ,,,,1,1,1,0,1,1,20060825
80416,CPT,Renin stimulation panel,,,17 ,,TotalUnits,,,,6.16 ,,,,1,1,1,0,1,1,20060825
80417,CPT,Renin stimulation panel,,,17 ,,TotalUnits,,,,2.05 ,,,,1,1,1,0,1,1,20060825
80418,CPT,Pituitary evaluation panel,,,17 ,,TotalUnits,,,,27.05 ,,,,1,1,1,0,1,1,20060825
80420,CPT,Dexamethasone panel,,,17 ,,TotalUnits,,,,3.36 ,,,,1,1,1,0,1,1,20060825
80422,CPT,Glucagon tolerance panel,,,17 ,,TotalUnits,,,,2.15 ,,,,1,1,1,0,1,1,20060825
80424,CPT,Glucagon tolerance panel,,,17 ,,TotalUnits,,,,2.36 ,,,,1,1,1,0,1,1,20060825
80426,CPT,Gonadotropin hormone panel,,,17 ,,TotalUnits,,,,6.93 ,,,,1,1,1,0,1,1,20060825
80428,CPT,Growth hormone panel,,,17 ,,TotalUnits,,,,3.11 ,,,,1,1,1,0,1,1,20060825
80430,CPT,Growth hormone panel,,,17 ,,TotalUnits,,,,3.66 ,,,,1,1,1,0,1,1,20060825
80432,CPT,Insulin suppression panel,,,17 ,,TotalUnits,,,,6.30 ,,,,1,1,1,0,1,1,20060825
80434,CPT,Insulin tolerance panel,,,17 ,,TotalUnits,,,,4.72 ,,,,1,1,1,0,1,1,20060825
80435,CPT,Insulin tolerance panel,,,17 ,,TotalUnits,,,,4.81 ,,,,1,1,1,0,1,1,20060825
80436,CPT,Metyrapone panel,,,17 ,,TotalUnits,,,,4.25 ,,,,1,1,1,0,1,1,20060825
80438,CPT,TRH stimulation panel,,,17 ,,TotalUnits,,,,2.35 ,,,,1,1,1,0,1,1,20060825
80439,CPT,TRH stimulation panel,,,17 ,,TotalUnits,,,,3.14 ,,,,1,1,1,0,1,1,20060825
80440,CPT,TRH stimulation panel,,,17 ,,TotalUnits,,,,2.71 ,,,,1,1,1,0,1,1,20060825
80500,CPT,Lab pathology consultation,,,17 ,,RBRVS,0.37 ,0.16 ,0.21 ,,,,,1,0,1,1,1,1,20060825
80502,CPT,Lab pathology consultation,,,17 ,,RBRVS,1.33 ,0.54 ,0.54 ,,,,,1,0,1,1,1,1,20060825
81000,CPT,"Urinalysis, nonauto w/scope",,,17 ,,TotalUnits,,,,0.15 ,,,,1,1,1,0,1,1,20060825
81001,CPT,"Urinalysis, auto w/scope",,,17 ,,TotalUnits,,,,0.15 ,,,,1,1,1,0,1,1,20060825
81002,CPT,Urinalysis nonauto w/o scope,,,17 ,,TotalUnits,,,,0.12 ,,,,1,1,1,0,1,1,20060825
81003,CPT,"Urinalysis, auto, w/o scope",,,17 ,,TotalUnits,,,,0.10 ,,,,1,1,1,0,1,1,20060825
81005,CPT,Urinalysis,,,17 ,,TotalUnits,,,,0.10 ,,,,1,1,1,0,1,1,20060825
81007,CPT,Urine screen for bacteria,,,17 ,,TotalUnits,,,,0.12 ,,,,1,1,1,0,1,1,20060825
81015,CPT,Microscopic exam of urine,,,17 ,,TotalUnits,,,,0.14 ,,,,1,1,1,0,1,1,20060825
81020,CPT,"Urinalysis, glass test",,,17 ,,TotalUnits,,,,0.17 ,,,,1,1,1,0,1,1,20060825
81025,CPT,Urine pregnancy test,,,17 ,,TotalUnits,,,,0.30 ,,,,1,1,1,0,1,1,20060825
81050,CPT,"Urinalysis, volume measure",,,17 ,,TotalUnits,,,,0.14 ,,,,1,1,1,0,1,1,20060825
81099,CPT,Urinalysis test procedure,,,17 ,,TotalUnits,,,,0.15 ,,,,1,1,1,0,1,1,20060825
82000,CPT,Assay of blood acetaldehyde,,,17 ,,TotalUnits,,,,0.58 ,,,,1,1,1,0,1,1,20060825
82003,CPT,Assay of acetaminophen,,,17 ,,TotalUnits,,,,0.94 ,,,,1,1,1,0,1,1,20060825
82009,CPT,Test for acetone/ketones,,,17 ,,TotalUnits,,,,0.21 ,,,,1,1,1,0,1,1,20060825
82010,CPT,Acetone assay,,,17 ,,TotalUnits,,,,0.38 ,,,,1,1,1,0,1,1,20060825
82013,CPT,Acetylcholinesterase assay,,,17 ,,TotalUnits,,,,0.52 ,,,,1,1,1,0,1,1,20060825
82016,CPT,"Acylcarnitines, qual",,,17 ,,TotalUnits,,,,0.65 ,,,,1,1,1,0,1,1,20060825
82017,CPT,"Acylcarnitines, quant",,,17 ,,TotalUnits,,,,0.79 ,,,,1,1,1,0,1,1,20060825
82024,CPT,Assay of acth,,,17 ,,TotalUnits,,,,1.80 ,,,,1,1,1,0,1,1,20060825
82030,CPT,Assay of adp & amp,,,17 ,,TotalUnits,,,,1.20 ,,,,1,1,1,0,1,1,20060825
82040,CPT,Assay of serum albumin,,,17 ,,TotalUnits,,,,0.23 ,,,,1,1,1,0,1,1,20060825
82042,CPT,Assay of urine albumin,,,17 ,,TotalUnits,,,,0.24 ,,,,1,1,1,0,1,1,20060825
82043,CPT,"Microalbumin, quantitative",,,17 ,,TotalUnits,,,,0.27 ,,,,1,1,1,0,1,1,20060825
82044,CPT,"Microalbumin, semiquant",,,17 ,,TotalUnits,,,,0.21 ,,,,1,1,1,0,1,1,20060825
82045,CPT,"Albumin, ischemia modified",,,17 ,,TotalUnits,,,,1.58 ,,,,1,1,1,0,1,1,20060825
82055,CPT,Assay of ethanol,,,17 ,,TotalUnits,,,,0.50 ,,,,1,1,1,0,1,1,20060825
82075,CPT,Assay of breath ethanol,,,17 ,,TotalUnits,,,,0.56 ,,,,1,1,1,0,1,1,20060825
82085,CPT,Assay of aldolase,,,17 ,,TotalUnits,,,,0.45 ,,,,1,1,1,0,1,1,20060825
82088,CPT,Assay of aldosterone,,,17 ,,TotalUnits,,,,1.90 ,,,,1,1,1,0,1,1,20060825
82101,CPT,Assay of urine alkaloids,,,17 ,,TotalUnits,,,,1.40 ,,,,1,1,1,0,1,1,20060825
82103,CPT,"Alpha-1-antitrypsin, total",,,17 ,,TotalUnits,,,,0.63 ,,,,1,1,1,0,1,1,20060825
82104,CPT,"Alpha-1-antitrypsin, pheno",,,17 ,,TotalUnits,,,,0.67 ,,,,1,1,1,0,1,1,20060825
82105,CPT,"Alpha-fetoprotein, serum",,,17 ,,TotalUnits,,,,0.78 ,,,,1,1,1,0,1,1,20060825
82106,CPT,"Alpha-fetoprotein, amniotic",,,17 ,,TotalUnits,,,,0.78 ,,,,1,1,1,0,1,1,20060825
82108,CPT,Assay of aluminum,,,17 ,,TotalUnits,,,,1.19 ,,,,1,1,1,0,1,1,20060825
82120,CPT,"Amines, vaginal fluid qual",,,17 ,,TotalUnits,,,,0.18 ,,,,1,1,1,0,1,1,20060825
82127,CPT,"Amino acid, single qual",,,17 ,,TotalUnits,,,,0.65 ,,,,1,1,1,0,1,1,20060825
82128,CPT,"Amino acids, mult qual",,,17 ,,TotalUnits,,,,0.65 ,,,,1,1,1,0,1,1,20060825
82131,CPT,"Amino acids, single quant",,,17 ,,TotalUnits,,,,0.79 ,,,,1,1,1,0,1,1,20060825
82135,CPT,"Assay, aminolevulinic acid",,,17 ,,TotalUnits,,,,0.77 ,,,,1,1,1,0,1,1,20060825
82136,CPT,"Amino acids, quant, 2-5",,,17 ,,TotalUnits,,,,0.79 ,,,,1,1,1,0,1,1,20060825
82139,CPT,"Amino acids, quan, 6 or more",,,17 ,,TotalUnits,,,,0.79 ,,,,1,1,1,0,1,1,20060825
82140,CPT,Assay of ammonia,,,17 ,,TotalUnits,,,,0.68 ,,,,1,1,1,0,1,1,20060825
82143,CPT,Amniotic fluid scan,,,17 ,,TotalUnits,,,,0.32 ,,,,1,1,1,0,1,1,20060825
82145,CPT,Assay of amphetamines,,,17 ,,TotalUnits,,,,0.73 ,,,,1,1,1,0,1,1,20060825
82150,CPT,Assay of amylase,,,17 ,,TotalUnits,,,,0.30 ,,,,1,1,1,0,1,1,20060825
82154,CPT,Androstanediol glucuronide,,,17 ,,TotalUnits,,,,1.35 ,,,,1,1,1,0,1,1,20060825
82157,CPT,Assay of androstenedione,,,17 ,,TotalUnits,,,,1.37 ,,,,1,1,1,0,1,1,20060825
82160,CPT,Assay of androsterone,,,17 ,,TotalUnits,,,,1.17 ,,,,1,1,1,0,1,1,20060825
82163,CPT,Assay of angiotensin II,,,17 ,,TotalUnits,,,,0.96 ,,,,1,1,1,0,1,1,20060825
82164,CPT,Angiotensin I enzyme test,,,17 ,,TotalUnits,,,,0.68 ,,,,1,1,1,0,1,1,20060825
82172,CPT,Assay of apolipoprotein,,,17 ,,TotalUnits,,,,0.72 ,,,,1,1,1,0,1,1,20060825
82175,CPT,Assay of arsenic,,,17 ,,TotalUnits,,,,0.89 ,,,,1,1,1,0,1,1,20060825
82180,CPT,Assay of ascorbic acid,,,17 ,,TotalUnits,,,,0.46 ,,,,1,1,1,0,1,1,20060825
82190,CPT,Atomic absorption,,,17 ,,TotalUnits,,,,0.70 ,,,,1,1,1,0,1,1,20060825
82205,CPT,Assay of barbiturates,,,17 ,,TotalUnits,,,,0.53 ,,,,1,1,1,0,1,1,20060825
82232,CPT,Assay of beta-2 protein,,,17 ,,TotalUnits,,,,0.76 ,,,,1,1,1,0,1,1,20060825
82239,CPT,"Bile acids, total",,,17 ,,TotalUnits,,,,0.80 ,,,,1,1,1,0,1,1,20060825
82240,CPT,"Bile acids, cholylglycine",,,17 ,,TotalUnits,,,,1.24 ,,,,1,1,1,0,1,1,20060825
82247,CPT,"Bilirubin, total",,,17 ,,TotalUnits,,,,0.23 ,,,,1,1,1,0,1,1,20060825
82248,CPT,"Bilirubin, direct",,,17 ,,TotalUnits,,,,0.23 ,,,,1,1,1,0,1,1,20060825
82252,CPT,Fecal bilirubin test,,,17 ,,TotalUnits,,,,0.21 ,,,,1,1,1,0,1,1,20060825
82261,CPT,Assay of biotinidase,,,17 ,,TotalUnits,,,,0.79 ,,,,1,1,1,0,1,1,20060825
82270,CPT,"Test for blood, feces",,,17 ,,TotalUnits,,,,0.15 ,,,,1,1,1,0,1,1,20060825
82271,CPT,"Occult blood, feces, single",,,28 ,,NW,,,,,,$4.86,,1,1,1,0,1,1,20060825
82272,CPT,Blood occult peroxidase,,,28 ,,NW,,,,,,$4.86,,1,1,1,0,1,1,20060825
82274,CPT,"Assay test for blood, fecal",,,17 ,,TotalUnits,,,,0.60 ,,,,1,1,1,0,1,1,20060825
82286,CPT,Assay of bradykinin,,,17 ,,TotalUnits,,,,0.32 ,,,,1,1,1,0,1,1,20060825
82300,CPT,Assay of cadmium,,,17 ,,TotalUnits,,,,1.08 ,,,,1,1,1,0,1,1,20060825
82306,CPT,Assay of vitamin D,,,17 ,,TotalUnits,,,,1.38 ,,,,1,1,1,0,1,1,20060825
82307,CPT,Assay of vitamin D,,,17 ,,TotalUnits,,,,1.50 ,,,,1,1,1,0,1,1,20060825
82308,CPT,Assay of calcitonin,,,17 ,,TotalUnits,,,,1.25 ,,,,1,1,1,0,1,1,20060825
82310,CPT,Assay of calcium,,,17 ,,TotalUnits,,,,0.24 ,,,,1,1,1,0,1,1,20060825
82330,CPT,Assay of calcium,,,17 ,,TotalUnits,,,,0.64 ,,,,1,1,1,0,1,1,20060825
82331,CPT,Calcium infusion test,,,17 ,,TotalUnits,,,,0.24 ,,,,1,1,1,0,1,1,20060825
82340,CPT,Assay of calcium in urine,,,17 ,,TotalUnits,,,,0.28 ,,,,1,1,1,0,1,1,20060825
82355,CPT,"Calculus analysis, qual",,,17 ,,TotalUnits,,,,0.54 ,,,,1,1,1,0,1,1,20060825
82360,CPT,"Calculus assay, quant",,,17 ,,TotalUnits,,,,0.60 ,,,,1,1,1,0,1,1,20060825
82365,CPT,Calculus spectroscopy,,,17 ,,TotalUnits,,,,0.60 ,,,,1,1,1,0,1,1,20060825
82370,CPT,"X-ray assay, calculus",,,17 ,,TotalUnits,,,,0.58 ,,,,1,1,1,0,1,1,20060825
82373,CPT,"Assay, c-d transfer measure",,,17 ,,TotalUnits,,,,0.84 ,,,,1,1,1,0,1,1,20060825
82374,CPT,"Assay, blood carbon dioxide",,,17 ,,TotalUnits,,,,0.23 ,,,,1,1,1,0,1,1,20060825
82375,CPT,"Assay, blood carbon monoxide",,,17 ,,TotalUnits,,,,0.58 ,,,,1,1,1,0,1,1,20060825
82376,CPT,Test for carbon monoxide,,,17 ,,TotalUnits,,,,0.28 ,,,,1,1,1,0,1,1,20060825
82378,CPT,Carcinoembryonic antigen,,,17 ,,TotalUnits,,,,0.89 ,,,,1,1,1,0,1,1,20060825
82379,CPT,Assay of carnitine,,,17 ,,TotalUnits,,,,0.79 ,,,,1,1,1,0,1,1,20060825
82380,CPT,Assay of carotene,,,17 ,,TotalUnits,,,,0.43 ,,,,1,1,1,0,1,1,20060825
82382,CPT,"Assay, urine catecholamines",,,17 ,,TotalUnits,,,,0.80 ,,,,1,1,1,0,1,1,20060825
82383,CPT,"Assay, blood catecholamines",,,17 ,,TotalUnits,,,,1.17 ,,,,1,1,1,0,1,1,20060825
82384,CPT,"Assay, three catecholamines",,,17 ,,TotalUnits,,,,1.18 ,,,,1,1,1,0,1,1,20060825
82387,CPT,Assay of cathepsin-d,,,17 ,,TotalUnits,,,,0.97 ,,,,1,1,1,0,1,1,20060825
82390,CPT,Assay of ceruloplasmin,,,17 ,,TotalUnits,,,,0.50 ,,,,1,1,1,0,1,1,20060825
82397,CPT,Chemiluminescent assay,,,17 ,,TotalUnits,,,,0.66 ,,,,1,1,1,0,1,1,20060825
82415,CPT,Assay of chloramphenicol,,,17 ,,TotalUnits,,,,0.59 ,,,,1,1,1,0,1,1,20060825
82435,CPT,Assay of blood chloride,,,17 ,,TotalUnits,,,,0.21 ,,,,1,1,1,0,1,1,20060825
82436,CPT,Assay of urine chloride,,,17 ,,TotalUnits,,,,0.23 ,,,,1,1,1,0,1,1,20060825
82438,CPT,"Assay, other fluid chlorides",,,17 ,,TotalUnits,,,,0.23 ,,,,1,1,1,0,1,1,20060825
82441,CPT,Test for chlorohydrocarbons,,,17 ,,TotalUnits,,,,0.28 ,,,,1,1,1,0,1,1,20060825
82465,CPT,"Assay, bld/serum cholesterol",,,17 ,,TotalUnits,,,,0.20 ,,,,1,1,1,0,1,1,20060825
82480,CPT,"Assay, serum cholinesterase",,,17 ,,TotalUnits,,,,0.37 ,,,,1,1,1,0,1,1,20060825
82482,CPT,"Assay, rbc cholinesterase",,,17 ,,TotalUnits,,,,0.36 ,,,,1,1,1,0,1,1,20060825
82485,CPT,"Assay, chondroitin sulfate",,,17 ,,TotalUnits,,,,0.96 ,,,,1,1,1,0,1,1,20060825
82486,CPT,Gas/liquid chromatography,,,17 ,,TotalUnits,,,,0.84 ,,,,1,1,1,0,1,1,20060825
82487,CPT,Paper chromatography,,,17 ,,TotalUnits,,,,0.74 ,,,,1,1,1,0,1,1,20060825
82488,CPT,Paper chromatography,,,17 ,,TotalUnits,,,,1.00 ,,,,1,1,1,0,1,1,20060825
82489,CPT,Thin layer chromatography,,,17 ,,TotalUnits,,,,0.86 ,,,,1,1,1,0,1,1,20060825
82491,CPT,"Chromotography, quant, sing",,,17 ,,TotalUnits,,,,0.84 ,,,,1,1,1,0,1,1,20060825
82492,CPT,"Chromotography, quant, mult",,,17 ,,TotalUnits,,,,0.84 ,,,,1,1,1,0,1,1,20060825
82495,CPT,Assay of chromium,,,17 ,,TotalUnits,,,,0.95 ,,,,1,1,1,0,1,1,20060825
82507,CPT,Assay of citrate,,,17 ,,TotalUnits,,,,1.30 ,,,,1,1,1,0,1,1,20060825
82520,CPT,Assay of cocaine,,,17 ,,TotalUnits,,,,0.71 ,,,,1,1,1,0,1,1,20060825
82523,CPT,Collagen crosslinks,,,17 ,,TotalUnits,,,,0.87 ,,,,1,1,1,0,1,1,20060825
82525,CPT,Assay of copper,,,17 ,,TotalUnits,,,,0.58 ,,,,1,1,1,0,1,1,20060825
82528,CPT,Assay of corticosterone,,,17 ,,TotalUnits,,,,1.05 ,,,,1,1,1,0,1,1,20060825
82530,CPT,"Cortisol, free",,,17 ,,TotalUnits,,,,0.78 ,,,,1,1,1,0,1,1,20060825
82533,CPT,Total cortisol,,,17 ,,TotalUnits,,,,0.76 ,,,,1,1,1,0,1,1,20060825
82540,CPT,Assay of creatine,,,17 ,,TotalUnits,,,,0.22 ,,,,1,1,1,0,1,1,20060825
82541,CPT,"Column chromotography, qual",,,17 ,,TotalUnits,,,,0.84 ,,,,1,1,1,0,1,1,20060825
82542,CPT,"Column chromotography, quant",,,17 ,,TotalUnits,,,,0.84 ,,,,1,1,1,0,1,1,20060825
82543,CPT,Column chromotograph/isotope,,,17 ,,TotalUnits,,,,0.84 ,,,,1,1,1,0,1,1,20060825
82544,CPT,Column chromotograph/isotope,,,17 ,,TotalUnits,,,,0.84 ,,,,1,1,1,0,1,1,20060825
82550,CPT,Assay of ck (cpk),,,17 ,,TotalUnits,,,,0.30 ,,,,1,1,1,0,1,1,20060825
82552,CPT,Assay of cpk in blood,,,17 ,,TotalUnits,,,,0.63 ,,,,1,1,1,0,1,1,20060825
82553,CPT,"Creatine, MB fraction",,,17 ,,TotalUnits,,,,0.54 ,,,,1,1,1,0,1,1,20060825
82554,CPT,"Creatine, isoforms",,,17 ,,TotalUnits,,,,0.55 ,,,,1,1,1,0,1,1,20060825
82565,CPT,Assay of creatinine,,,17 ,,TotalUnits,,,,0.24 ,,,,1,1,1,0,1,1,20060825
82570,CPT,Assay of urine creatinine,,,17 ,,TotalUnits,,,,0.24 ,,,,1,1,1,0,1,1,20060825
82575,CPT,Creatinine clearance test,,,17 ,,TotalUnits,,,,0.44 ,,,,1,1,1,0,1,1,20060825
82585,CPT,Assay of cryofibrinogen,,,17 ,,TotalUnits,,,,0.40 ,,,,1,1,1,0,1,1,20060825
82595,CPT,Assay of cryoglobulin,,,17 ,,TotalUnits,,,,0.30 ,,,,1,1,1,0,1,1,20060825
82600,CPT,Assay of cyanide,,,17 ,,TotalUnits,,,,0.91 ,,,,1,1,1,0,1,1,20060825
82607,CPT,Vitamin B-12,,,17 ,,TotalUnits,,,,0.70 ,,,,1,1,1,0,1,1,20060825
82608,CPT,B-12 binding capacity,,,17 ,,TotalUnits,,,,0.67 ,,,,1,1,1,0,1,1,20060825
82615,CPT,Test for urine cystines,,,17 ,,TotalUnits,,,,0.38 ,,,,1,1,1,0,1,1,20060825
82626,CPT,Dehydroepiandrosterone,,,17 ,,TotalUnits,,,,1.18 ,,,,1,1,1,0,1,1,20060825
82627,CPT,Dehydroepiandrosterone,,,17 ,,TotalUnits,,,,1.04 ,,,,1,1,1,0,1,1,20060825
82633,CPT,Desoxycorticosterone,,,17 ,,TotalUnits,,,,1.45 ,,,,1,1,1,0,1,1,20060825
82634,CPT,Deoxycortisol,,,17 ,,TotalUnits,,,,1.37 ,,,,1,1,1,0,1,1,20060825
82638,CPT,Assay of dibucaine number,,,17 ,,TotalUnits,,,,0.57 ,,,,1,1,1,0,1,1,20060825
82646,CPT,Assay of dihydrocodeinone,,,17 ,,TotalUnits,,,,0.96 ,,,,1,1,1,0,1,1,20060825
82649,CPT,Assay of dihydromorphinone,,,17 ,,TotalUnits,,,,1.20 ,,,,1,1,1,0,1,1,20060825
82651,CPT,Assay of dihydrotestosterone,,,17 ,,TotalUnits,,,,1.20 ,,,,1,1,1,0,1,1,20060825
82652,CPT,Assay of dihydroxyvitamin d,,,17 ,,TotalUnits,,,,1.80 ,,,,1,1,1,0,1,1,20060825
82654,CPT,Assay of dimethadione,,,17 ,,TotalUnits,,,,0.65 ,,,,1,1,1,0,1,1,20060825
82656,CPT,"Pancreatic elastase, fecal",,,17 ,,TotalUnits,,,,0.54 ,,,,1,1,1,0,1,1,20060825
82657,CPT,Enzyme cell activity,,,17 ,,TotalUnits,,,,0.84 ,,,,1,1,1,0,1,1,20060825
82658,CPT,"Enzyme cell activity, ra",,,17 ,,TotalUnits,,,,0.84 ,,,,1,1,1,0,1,1,20060825
82664,CPT,Electrophoretic test,,,17 ,,TotalUnits,,,,1.60 ,,,,1,1,1,0,1,1,20060825
82666,CPT,Assay of epiandrosterone,,,17 ,,TotalUnits,,,,1.00 ,,,,1,1,1,0,1,1,20060825
82668,CPT,Assay of erythropoietin,,,17 ,,TotalUnits,,,,0.88 ,,,,1,1,1,0,1,1,20060825
82670,CPT,Assay of estradiol,,,17 ,,TotalUnits,,,,1.30 ,,,,1,1,1,0,1,1,20060825
82671,CPT,Assay of estrogens,,,17 ,,TotalUnits,,,,1.51 ,,,,1,1,1,0,1,1,20060825
82672,CPT,Assay of estrogen,,,17 ,,TotalUnits,,,,1.01 ,,,,1,1,1,0,1,1,20060825
82677,CPT,Assay of estriol,,,17 ,,TotalUnits,,,,1.13 ,,,,1,1,1,0,1,1,20060825
82679,CPT,Assay of estrone,,,17 ,,TotalUnits,,,,1.17 ,,,,1,1,1,0,1,1,20060825
82690,CPT,Assay of ethchlorvynol,,,17 ,,TotalUnits,,,,0.81 ,,,,1,1,1,0,1,1,20060825
82693,CPT,Assay of ethylene glycol,,,17 ,,TotalUnits,,,,0.70 ,,,,1,1,1,0,1,1,20060825
82696,CPT,Assay of etiocholanolone,,,17 ,,TotalUnits,,,,1.10 ,,,,1,1,1,0,1,1,20060825
82705,CPT,"Fats/lipids, feces, qual",,,17 ,,TotalUnits,,,,0.24 ,,,,1,1,1,0,1,1,20060825
82710,CPT,"Fats/lipids, feces, quant",,,17 ,,TotalUnits,,,,0.78 ,,,,1,1,1,0,1,1,20060825
82715,CPT,Assay of fecal fat,,,17 ,,TotalUnits,,,,0.80 ,,,,1,1,1,0,1,1,20060825
82725,CPT,Assay of blood fatty acids,,,17 ,,TotalUnits,,,,0.62 ,,,,1,1,1,0,1,1,20060825
82726,CPT,Long chain fatty acids,,,17 ,,TotalUnits,,,,0.84 ,,,,1,1,1,0,1,1,20060825
82728,CPT,Assay of ferritin,,,17 ,,TotalUnits,,,,0.64 ,,,,1,1,1,0,1,1,20060825
82731,CPT,Assay of fetal fibronectin,,,17 ,,TotalUnits,,,,3.01 ,,,,1,1,1,0,1,1,20060825
82735,CPT,Assay of fluoride,,,17 ,,TotalUnits,,,,0.87 ,,,,1,1,1,0,1,1,20060825
82742,CPT,Assay of flurazepam,,,17 ,,TotalUnits,,,,0.92 ,,,,1,1,1,0,1,1,20060825
82746,CPT,Blood folic acid serum,,,17 ,,TotalUnits,,,,0.69 ,,,,1,1,1,0,1,1,20060825
82747,CPT,"Assay of folic acid, rbc",,,17 ,,TotalUnits,,,,0.81 ,,,,1,1,1,0,1,1,20060825
82757,CPT,Assay of semen fructose,,,17 ,,TotalUnits,,,,0.81 ,,,,1,1,1,0,1,1,20060825
82759,CPT,Assay of rbc galactokinase,,,17 ,,TotalUnits,,,,1.00 ,,,,1,1,1,0,1,1,20060825
82760,CPT,Assay of galactose,,,17 ,,TotalUnits,,,,0.52 ,,,,1,1,1,0,1,1,20060825
82775,CPT,Assay galactose transferase,,,17 ,,TotalUnits,,,,0.98 ,,,,1,1,1,0,1,1,20060825
82776,CPT,Galactose transferase test,,,17 ,,TotalUnits,,,,0.39 ,,,,1,1,1,0,1,1,20060825
82784,CPT,Assay of gammaglobulin igm,,,17 ,,TotalUnits,,,,0.43 ,,,,1,1,1,0,1,1,20060825
82785,CPT,Assay of gammaglobulin ige,,,17 ,,TotalUnits,,,,0.77 ,,,,1,1,1,0,1,1,20060825
82787,CPT,"Igg 1, 2, 3 or 4, each",,,17 ,,TotalUnits,,,,0.37 ,,,,1,1,1,0,1,1,20060825
82800,CPT,Blood pH,,,17 ,,TotalUnits,,,,0.40 ,,,,1,1,1,0,1,1,20060825
82803,CPT,"Blood gases: pH, pO2 & pCO2",,,17 ,,TotalUnits,,,,0.90 ,,,,1,1,1,0,1,1,20060825
82805,CPT,Blood gases W/02 saturation,,,17 ,,TotalUnits,,,,1.32 ,,,,1,1,1,0,1,1,20060825
82810,CPT,"Blood gases, O2 sat only",,,17 ,,TotalUnits,,,,0.41 ,,,,1,1,1,0,1,1,20060825
82820,CPT,Hemoglobin-oxygen affinity,,,17 ,,TotalUnits,,,,0.47 ,,,,1,1,1,0,1,1,20060825
82926,CPT,Assay of gastric acid,,,17 ,,TotalUnits,,,,0.25 ,,,,1,1,1,0,1,1,20060825
82928,CPT,Assay of gastric acid,,,17 ,,TotalUnits,,,,0.31 ,,,,1,1,1,0,1,1,20060825
82938,CPT,Gastrin test,,,17 ,,TotalUnits,,,,0.83 ,,,,1,1,1,0,1,1,20060825
82941,CPT,Assay of gastrin,,,17 ,,TotalUnits,,,,0.82 ,,,,1,1,1,0,1,1,20060825
82943,CPT,Assay of glucagon,,,17 ,,TotalUnits,,,,0.67 ,,,,1,1,1,0,1,1,20060825
82945,CPT,Glucose other fluid,,,17 ,,TotalUnits,,,,0.18 ,,,,1,1,1,0,1,1,20060825
82946,CPT,Glucagon tolerance test,,,17 ,,TotalUnits,,,,0.70 ,,,,1,1,1,0,1,1,20060825
82947,CPT,"Assay, glucose, blood quant",,,17 ,,TotalUnits,,,,0.18 ,,,,1,1,1,0,1,1,20060825
82948,CPT,Reagent strip/blood glucose,,,17 ,,TotalUnits,,,,0.15 ,,,,1,1,1,0,1,1,20060825
82950,CPT,Glucose test,,,17 ,,TotalUnits,,,,0.22 ,,,,1,1,1,0,1,1,20060825
82951,CPT,Glucose tolerance test (GTT),,,17 ,,TotalUnits,,,,0.60 ,,,,1,1,1,0,1,1,20060825
82952,CPT,GTT-added samples,,,17 ,,TotalUnits,,,,0.18 ,,,,1,1,1,0,1,1,20060825
82953,CPT,Glucose-tolbutamide test,,,17 ,,TotalUnits,,,,0.71 ,,,,1,1,1,0,1,1,20060825
82955,CPT,Assay of g6pd enzyme,,,17 ,,TotalUnits,,,,0.45 ,,,,1,1,1,0,1,1,20060825
82960,CPT,Test for G6PD enzyme,,,17 ,,TotalUnits,,,,0.28 ,,,,1,1,1,0,1,1,20060825
82962,CPT,Glucose blood test,,,17 ,,TotalUnits,,,,0.11 ,,,,1,1,1,0,1,1,20060825
82963,CPT,Assay of glucosidase,,,17 ,,TotalUnits,,,,1.00 ,,,,1,1,1,0,1,1,20060825
82965,CPT,Assay of gdh enzyme,,,17 ,,TotalUnits,,,,0.36 ,,,,1,1,1,0,1,1,20060825
82975,CPT,Assay of glutamine,,,17 ,,TotalUnits,,,,0.74 ,,,,1,1,1,0,1,1,20060825
82977,CPT,Assay of GGT,,,17 ,,TotalUnits,,,,0.34 ,,,,1,1,1,0,1,1,20060825
82978,CPT,Assay of glutathione,,,17 ,,TotalUnits,,,,0.67 ,,,,1,1,1,0,1,1,20060825
82979,CPT,"Assay, rbc glutathione",,,17 ,,TotalUnits,,,,0.32 ,,,,1,1,1,0,1,1,20060825
82980,CPT,Assay of glutethimide,,,17 ,,TotalUnits,,,,0.86 ,,,,1,1,1,0,1,1,20060825
82985,CPT,Glycated protein,,,17 ,,TotalUnits,,,,0.70 ,,,,1,1,1,0,1,1,20060825
83001,CPT,Gonadotropin (FSH),,,17 ,,TotalUnits,,,,0.87 ,,,,1,1,1,0,1,1,20060825
83002,CPT,Gonadotropin (LH),,,17 ,,TotalUnits,,,,0.86 ,,,,1,1,1,0,1,1,20060825
83003,CPT,"Assay, growth hormone (hgh)",,,17 ,,TotalUnits,,,,0.78 ,,,,1,1,1,0,1,1,20060825
83008,CPT,Assay of guanosine,,,17 ,,TotalUnits,,,,0.78 ,,,,1,1,1,0,1,1,20060825
83009,CPT,"H pylori (c-13), blood",,,17 ,,TotalUnits,,,,3.14 ,,,,1,1,1,0,1,1,20060825
83010,CPT,"Assay of haptoglobin, quant",,,17 ,,TotalUnits,,,,0.59 ,,,,1,1,1,0,1,1,20060825
83012,CPT,Assay of haptoglobins,,,17 ,,TotalUnits,,,,0.80 ,,,,1,1,1,0,1,1,20060825
83013,CPT,H pylori analysis,,,17 ,,TotalUnits,,,,3.14 ,,,,1,1,1,0,1,1,20060825
83014,CPT,H pylori drug admin/collect,,,17 ,,TotalUnits,,,,0.37 ,,,,1,1,1,0,1,1,20060825
83015,CPT,Heavy metal screen,,,17 ,,TotalUnits,,,,0.88 ,,,,1,1,1,0,1,1,20060825
83018,CPT,"Quantitative screen, metals",,,17 ,,TotalUnits,,,,1.02 ,,,,1,1,1,0,1,1,20060825
83020,CPT,Hemoglobin electrophoresis,TC,,17 ,,TotalUnits,,,,0.60 ,,,,1,1,1,0,1,1,20060825
83020,CPT,Hemoglobin electrophoresis,26,,17 ,,RBRVS,0.37 ,0.15 ,0.15 ,,,,,1,0,1,1,1,1,20060825
83021,CPT,Hemoglobin chromotography,,,17 ,,TotalUnits,,,,0.84 ,,,,1,1,1,0,1,1,20060825
83026,CPT,"Hemoglobin, copper sulfate",,,17 ,,TotalUnits,,,,0.11 ,,,,1,1,1,0,1,1,20060825
83030,CPT,"Fetal hemoglobin, chemical",,,17 ,,TotalUnits,,,,0.39 ,,,,1,1,1,0,1,1,20060825
83033,CPT,"Fetal hemoglobin assay, qual",,,17 ,,TotalUnits,,,,0.28 ,,,,1,1,1,0,1,1,20060825
83036,CPT,Glycated hemoglobin test,,,17 ,,TotalUnits,,,,0.45 ,,,,1,1,1,0,1,1,20060825
83037,CPT,"Glycosylated hb, home device",,,17 ,,TotalUnits,,,,0.45,,,,1,1,1,0,1,1,20060825
83045,CPT,Blood methemoglobin test,,,17 ,,TotalUnits,,,,0.23 ,,,,1,1,1,0,1,1,20060825
83050,CPT,Blood methemoglobin assay,,,17 ,,TotalUnits,,,,0.34 ,,,,1,1,1,0,1,1,20060825
83051,CPT,Assay of plasma hemoglobin,,,17 ,,TotalUnits,,,,0.34 ,,,,1,1,1,0,1,1,20060825
83055,CPT,Blood sulfhemoglobin test,,,17 ,,TotalUnits,,,,0.23 ,,,,1,1,1,0,1,1,20060825
83060,CPT,Blood sulfhemoglobin assay,,,17 ,,TotalUnits,,,,0.39 ,,,,1,1,1,0,1,1,20060825
83065,CPT,Assay of hemoglobin heat,,,17 ,,TotalUnits,,,,0.32 ,,,,1,1,1,0,1,1,20060825
83068,CPT,Hemoglobin stability screen,,,17 ,,TotalUnits,,,,0.40 ,,,,1,1,1,0,1,1,20060825
83069,CPT,Assay of urine hemoglobin,,,17 ,,TotalUnits,,,,0.18 ,,,,1,1,1,0,1,1,20060825
83070,CPT,"Assay of hemosiderin, qual",,,17 ,,TotalUnits,,,,0.22 ,,,,1,1,1,0,1,1,20060825
83071,CPT,"Assay of hemosiderin, quant",,,17 ,,TotalUnits,,,,0.32 ,,,,1,1,1,0,1,1,20060825
83080,CPT,Assay of b hexosaminidase,,,17 ,,TotalUnits,,,,0.79 ,,,,1,1,1,0,1,1,20060825
83088,CPT,Assay of histamine,,,17 ,,TotalUnits,,,,1.38 ,,,,1,1,1,0,1,1,20060825
83090,CPT,Assay of homocystine,,,17 ,,TotalUnits,,,,0.79 ,,,,1,1,1,0,1,1,20060825
83150,CPT,Assay of for hva,,,17 ,,TotalUnits,,,,0.90 ,,,,1,1,1,0,1,1,20060825
83491,CPT,Assay of corticosteroids,,,17 ,,TotalUnits,,,,0.82 ,,,,1,1,1,0,1,1,20060825
83497,CPT,Assay of 5-hiaa,,,17 ,,TotalUnits,,,,0.60 ,,,,1,1,1,0,1,1,20060825
83498,CPT,Assay of progesterone,,,17 ,,TotalUnits,,,,1.27 ,,,,1,1,1,0,1,1,20060825
83499,CPT,Assay of progesterone,,,17 ,,TotalUnits,,,,1.18 ,,,,1,1,1,0,1,1,20060825
83500,CPT,"Assay, free hydroxyproline",,,17 ,,TotalUnits,,,,1.06 ,,,,1,1,1,0,1,1,20060825
83505,CPT,"Assay, total hydroxyproline",,,17 ,,TotalUnits,,,,1.13 ,,,,1,1,1,0,1,1,20060825
83516,CPT,"Immunoassay, nonantibody",,,17 ,,TotalUnits,,,,0.54 ,,,,1,1,1,0,1,1,20060825
83518,CPT,"Immunoassay, dipstick",,,17 ,,TotalUnits,,,,0.40 ,,,,1,1,1,0,1,1,20060825
83519,CPT,"Immunoassay, nonantibody",,,17 ,,TotalUnits,,,,0.63 ,,,,1,1,1,0,1,1,20060825
83520,CPT,"Immunoassay, RIA",,,17 ,,TotalUnits,,,,0.60 ,,,,1,1,1,0,1,1,20060825
83525,CPT,Assay of insulin,,,17 ,,TotalUnits,,,,0.53 ,,,,1,1,1,0,1,1,20060825
83527,CPT,Assay of insulin,,,17 ,,TotalUnits,,,,0.60 ,,,,1,1,1,0,1,1,20060825
83528,CPT,Assay of intrinsic factor,,,17 ,,TotalUnits,,,,0.74 ,,,,1,1,1,0,1,1,20060825
83540,CPT,Assay of iron,,,17 ,,TotalUnits,,,,0.30 ,,,,1,1,1,0,1,1,20060825
83550,CPT,Iron binding test,,,17 ,,TotalUnits,,,,0.41 ,,,,1,1,1,0,1,1,20060825
83570,CPT,Assay of idh enzyme,,,17 ,,TotalUnits,,,,0.41 ,,,,1,1,1,0,1,1,20060825
83582,CPT,Assay of ketogenic steroids,,,17 ,,TotalUnits,,,,0.66 ,,,,1,1,1,0,1,1,20060825
83586,CPT,Assay 17- ketosteroids,,,17 ,,TotalUnits,,,,0.60 ,,,,1,1,1,0,1,1,20060825
83593,CPT,"Fractionation, ketosteroids",,,17 ,,TotalUnits,,,,1.23 ,,,,1,1,1,0,1,1,20060825
83605,CPT,Assay of lactic acid,,,17 ,,TotalUnits,,,,0.50 ,,,,1,1,1,0,1,1,20060825
83615,CPT,Lactate (LD) (LDH) enzyme,,,17 ,,TotalUnits,,,,0.28 ,,,,1,1,1,0,1,1,20060825
83625,CPT,Assay of ldh enzymes,,,17 ,,TotalUnits,,,,0.60 ,,,,1,1,1,0,1,1,20060825
83630,CPT,"Lactoferrin, fecal (qual)",,,17 ,,TotalUnits,,,,0.54 ,,,,1,1,1,0,1,1,20060825
83631,CPT,"Lactoferrin, fecal (quant)",,,28 ,,NW,,,,,,$29.34,,1,1,1,0,1,1,20060825
83632,CPT,Placental lactogen,,,17 ,,TotalUnits,,,,0.94 ,,,,1,1,1,0,1,1,20060825
83633,CPT,Test urine for lactose,,,17 ,,TotalUnits,,,,0.26 ,,,,1,1,1,0,1,1,20060825
83634,CPT,Assay of urine for lactose,,,17 ,,TotalUnits,,,,0.54 ,,,,1,1,1,0,1,1,20060825
83655,CPT,Assay of lead,,,17 ,,TotalUnits,,,,0.56 ,,,,1,1,1,0,1,1,20060825
83661,CPT,"L/s ratio, fetal lung",,,17 ,,TotalUnits,,,,1.03 ,,,,1,1,1,0,1,1,20060825
83662,CPT,"Foam stability, fetal lung",,,17 ,,TotalUnits,,,,0.88 ,,,,1,1,1,0,1,1,20060825
83663,CPT,"Fluoro polarize, fetal lung",,,17 ,,TotalUnits,,,,0.88 ,,,,1,1,1,0,1,1,20060825
83664,CPT,"Lamellar bdy, fetal lung",,,17 ,,TotalUnits,,,,0.88 ,,,,1,1,1,0,1,1,20060825
83670,CPT,Assay of lap enzyme,,,17 ,,TotalUnits,,,,0.43 ,,,,1,1,1,0,1,1,20060825
83690,CPT,Assay of lipase,,,17 ,,TotalUnits,,,,0.32 ,,,,1,1,1,0,1,1,20060825
83695,CPT,Assay of lipoprotein(a),,,28 ,,NW,,,,,,$19.36,,1,1,1,0,1,1,20060825
83700,CPT,"Lipopro bld, electrophoretic",,,28 ,,NW,,,,,,$16.84,,1,1,1,0,1,1,20060825
83701,CPT,"Lipoprotein bld, hr fraction",,,28 ,,NW,,,,,,$37.11,,1,1,1,0,1,1,20060825
83704,CPT,"Lipoprotein, bld, by nmr",,,28 ,,NW,,,,,,$47.17,,1,1,1,0,1,1,20060825
83718,CPT,Assay of lipoprotein,,,17 ,,TotalUnits,,,,0.38 ,,,,1,1,1,0,1,1,20060825
83719,CPT,Assay of blood lipoprotein,,,17 ,,TotalUnits,,,,0.54 ,,,,1,1,1,0,1,1,20060825
83721,CPT,Assay of blood lipoprotein,,,17 ,,TotalUnits,,,,0.45 ,,,,1,1,1,0,1,1,20060825
83727,CPT,Assay of lrh hormone,,,17 ,,TotalUnits,,,,0.80 ,,,,1,1,1,0,1,1,20060825
83735,CPT,Assay of magnesium,,,17 ,,TotalUnits,,,,0.31 ,,,,1,1,1,0,1,1,20060825
83775,CPT,Assay of md enzyme,,,17 ,,TotalUnits,,,,0.34 ,,,,1,1,1,0,1,1,20060825
83785,CPT,Assay of manganese,,,17 ,,TotalUnits,,,,1.15 ,,,,1,1,1,0,1,1,20060825
83788,CPT,Mass spectrometry qual,,,17 ,,TotalUnits,,,,0.84 ,,,,1,1,1,0,1,1,20060825
83789,CPT,Mass spectrometry quant,,,17 ,,TotalUnits,,,,0.84 ,,,,1,1,1,0,1,1,20060825
83805,CPT,Assay of meprobamate,,,17 ,,TotalUnits,,,,0.82 ,,,,1,1,1,0,1,1,20060825
83825,CPT,Assay of mercury,,,17 ,,TotalUnits,,,,0.76 ,,,,1,1,1,0,1,1,20060825
83835,CPT,Assay of metanephrines,,,17 ,,TotalUnits,,,,0.79 ,,,,1,1,1,0,1,1,20060825
83840,CPT,Assay of methadone,,,17 ,,TotalUnits,,,,0.76 ,,,,1,1,1,0,1,1,20060825
83857,CPT,Assay of methemalbumin,,,17 ,,TotalUnits,,,,0.50 ,,,,1,1,1,0,1,1,20060825
83858,CPT,Assay of methsuximide,,,17 ,,TotalUnits,,,,0.69 ,,,,1,1,1,0,1,1,20060825
83864,CPT,Mucopolysaccharides,,,17 ,,TotalUnits,,,,0.93 ,,,,1,1,1,0,1,1,20060825
83866,CPT,Mucopolysaccharides screen,,,17 ,,TotalUnits,,,,0.46 ,,,,1,1,1,0,1,1,20060825
83872,CPT,Assay synovial fluid mucin,,,17 ,,TotalUnits,,,,0.27 ,,,,1,1,1,0,1,1,20060825
83873,CPT,Assay of csf protein,,,17 ,,TotalUnits,,,,0.80 ,,,,1,1,1,0,1,1,20060825
83874,CPT,Assay of myoglobin,,,17 ,,TotalUnits,,,,0.60 ,,,,1,1,1,0,1,1,20060825
83880,CPT,Natriuretic peptide,,,17 ,,TotalUnits,,,,1.58 ,,,,1,1,1,0,1,1,20060825
83883,CPT,"Assay, nephelometry not spec",,,17 ,,TotalUnits,,,,0.63 ,,,,1,1,1,0,1,1,20060825
83885,CPT,Assay of nickel,,,17 ,,TotalUnits,,,,1.14 ,,,,1,1,1,0,1,1,20060825
83887,CPT,Assay of nicotine,,,17 ,,TotalUnits,,,,1.11 ,,,,1,1,1,0,1,1,20060825
83890,CPT,Molecule isolate,,,17 ,,TotalUnits,,,,0.19 ,,,,1,1,1,0,1,1,20060825
83891,CPT,Molecule isolate nucleic,,,17 ,,TotalUnits,,,,0.19 ,,,,1,1,1,0,1,1,20060825
83892,CPT,Molecular diagnostics,,,17 ,,TotalUnits,,,,0.19 ,,,,1,1,1,0,1,1,20060825
83893,CPT,Molecule dot/slot/blot,,,17 ,,TotalUnits,,,,0.19 ,,,,1,1,1,0,1,1,20060825
83894,CPT,Molecule gel electrophor,,,17 ,,TotalUnits,,,,0.19 ,,,,1,1,1,0,1,1,20060825
83896,CPT,Molecular diagnostics,,,17 ,,TotalUnits,,,,0.19 ,,,,1,1,1,0,1,1,20060825
83897,CPT,Molecule nucleic transfer,,,17 ,,TotalUnits,,,,0.19 ,,,,1,1,1,0,1,1,20060825
83898,CPT,Molecule nucleic ampli,,,17 ,,TotalUnits,,,,0.78 ,,,,1,1,1,0,1,1,20060825
83900,CPT,Molecule nucleic ampli 2 seq,,,28 ,,NW,,,,,,$50.12,,1,1,1,0,1,1,20060825
83901,CPT,Molecule nucleic ampli,,,17 ,,TotalUnits,,,,0.78 ,,,,1,1,1,0,1,1,20060825
83902,CPT,Molecular diagnostics,,,17 ,,TotalUnits,,,,0.66 ,,,,1,1,1,0,1,1,20060825
83903,CPT,Molecule mutation scan,,,17 ,,TotalUnits,,,,0.78 ,,,,1,1,1,0,1,1,20060825
83904,CPT,Molecule mutation identify,,,17 ,,TotalUnits,,,,0.78 ,,,,1,1,1,0,1,1,20060825
83905,CPT,Molecule mutation identify,,,17 ,,TotalUnits,,,,0.78 ,,,,1,1,1,0,1,1,20060825
83906,CPT,Molecule mutation identify,,,17 ,,TotalUnits,,,,0.78 ,,,,1,1,1,0,1,1,20060825
83907,CPT,Lyse cells for nucleic ext,,,28 ,,NW,,,,,,$19.97,,1,1,1,0,1,1,20060825
83908,CPT,"Nucleic acid, signal ampli",,,28 ,,NW,,,,,,$25.06,,1,1,1,0,1,1,20060825
83909,CPT,"Nucleic acid, high resolute",,,28 ,,NW,,,,,,$25.06,,1,1,1,0,1,1,20060825
83912,CPT,Genetic examination,TC,,17 ,,TotalUnits,,,,0.19 ,,,,1,1,1,0,1,1,20060825
83912,CPT,Genetic examination,26,,17 ,,RBRVS,0.37 ,0.12 ,0.12 ,,,,,1,0,1,1,1,1,20060825
83914,CPT,Mutation ident ola/sbce/aspe,,,28 ,,NW,,,,,,$25.06,,1,1,1,0,1,1,20060825
83915,CPT,Assay of nucleotidase,,,17 ,,TotalUnits,,,,0.52 ,,,,1,1,1,0,1,1,20060825
83916,CPT,Oligoclonal bands,,,17 ,,TotalUnits,,,,0.94 ,,,,1,1,1,0,1,1,20060825
83918,CPT,"Organic acids, total, quant",,,17 ,,TotalUnits,,,,0.77 ,,,,1,1,1,0,1,1,20060825
83919,CPT,"Organic acids, qual, each",,,17 ,,TotalUnits,,,,0.77 ,,,,1,1,1,0,1,1,20060825
83921,CPT,"Organic acid,  single, quant",,,17 ,,TotalUnits,,,,0.77 ,,,,1,1,1,0,1,1,20060825
83925,CPT,Assay of opiates,,,17 ,,TotalUnits,,,,0.91 ,,,,1,1,1,0,1,1,20060825
83930,CPT,Assay of blood osmolality,,,17 ,,TotalUnits,,,,0.31 ,,,,1,1,1,0,1,1,20060825
83935,CPT,Assay of urine osmolality,,,17 ,,TotalUnits,,,,0.32 ,,,,1,1,1,0,1,1,20060825
83937,CPT,Assay of osteocalcin,,,17 ,,TotalUnits,,,,1.39 ,,,,1,1,1,0,1,1,20060825
83945,CPT,Assay of oxalate,,,17 ,,TotalUnits,,,,0.60 ,,,,1,1,1,0,1,1,20060825
83950,CPT,"Oncoprotein, her-2/neu",,,17 ,,TotalUnits,,,,3.01 ,,,,1,1,1,0,1,1,20060825
83970,CPT,Assay of parathormone,,,17 ,,TotalUnits,,,,1.93 ,,,,1,1,1,0,1,1,20060825
83986,CPT,Assay of body fluid acidity,,,17 ,,TotalUnits,,,,0.17 ,,,,1,1,1,0,1,1,20060825
83992,CPT,Assay for phencyclidine,,,17 ,,TotalUnits,,,,0.69 ,,,,1,1,1,0,1,1,20060825
84022,CPT,Assay of phenothiazine,,,17 ,,TotalUnits,,,,0.73 ,,,,1,1,1,0,1,1,20060825
84030,CPT,Assay of blood pku,,,17 ,,TotalUnits,,,,0.26 ,,,,1,1,1,0,1,1,20060825
84035,CPT,Assay of phenylketones,,,17 ,,TotalUnits,,,,0.17 ,,,,1,1,1,0,1,1,20060825
84060,CPT,Assay acid phosphatase,,,17 ,,TotalUnits,,,,0.34 ,,,,1,1,1,0,1,1,20060825
84061,CPT,"Phosphatase, forensic exam",,,17 ,,TotalUnits,,,,0.37 ,,,,1,1,1,0,1,1,20060825
84066,CPT,Assay prostate phosphatase,,,17 ,,TotalUnits,,,,0.45 ,,,,1,1,1,0,1,1,20060825
84075,CPT,Assay alkaline phosphatase,,,17 ,,TotalUnits,,,,0.24 ,,,,1,1,1,0,1,1,20060825
84078,CPT,Assay alkaline phosphatase,,,17 ,,TotalUnits,,,,0.34 ,,,,1,1,1,0,1,1,20060825
84080,CPT,Assay alkaline phosphatases,,,17 ,,TotalUnits,,,,0.69 ,,,,1,1,1,0,1,1,20060825
84081,CPT,Amniotic fluid enzyme test,,,17 ,,TotalUnits,,,,0.77 ,,,,1,1,1,0,1,1,20060825
84085,CPT,Assay of rbc pg6d enzyme,,,17 ,,TotalUnits,,,,0.31 ,,,,1,1,1,0,1,1,20060825
84087,CPT,Assay phosphohexose enzymes,,,17 ,,TotalUnits,,,,0.48 ,,,,1,1,1,0,1,1,20060825
84100,CPT,Assay of phosphorus,,,17 ,,TotalUnits,,,,0.22 ,,,,1,1,1,0,1,1,20060825
84105,CPT,Assay of urine phosphorus,,,17 ,,TotalUnits,,,,0.24 ,,,,1,1,1,0,1,1,20060825
84106,CPT,Test for porphobilinogen,,,17 ,,TotalUnits,,,,0.20 ,,,,1,1,1,0,1,1,20060825
84110,CPT,Assay of porphobilinogen,,,17 ,,TotalUnits,,,,0.39 ,,,,1,1,1,0,1,1,20060825
84119,CPT,Test urine for porphyrins,,,17 ,,TotalUnits,,,,0.40 ,,,,1,1,1,0,1,1,20060825
84120,CPT,Assay of urine porphyrins,,,17 ,,TotalUnits,,,,0.69 ,,,,1,1,1,0,1,1,20060825
84126,CPT,Assay of feces porphyrins,,,17 ,,TotalUnits,,,,1.19 ,,,,1,1,1,0,1,1,20060825
84127,CPT,Assay of feces porphyrins,,,17 ,,TotalUnits,,,,0.54 ,,,,1,1,1,0,1,1,20060825
84132,CPT,Assay of serum potassium,,,17 ,,TotalUnits,,,,0.21 ,,,,1,1,1,0,1,1,20060825
84133,CPT,Assay of urine potassium,,,17 ,,TotalUnits,,,,0.20 ,,,,1,1,1,0,1,1,20060825
84134,CPT,Assay of prealbumin,,,17 ,,TotalUnits,,,,0.68 ,,,,1,1,1,0,1,1,20060825
84135,CPT,Assay of pregnanediol,,,17 ,,TotalUnits,,,,0.89 ,,,,1,1,1,0,1,1,20060825
84138,CPT,Assay of pregnanetriol,,,17 ,,TotalUnits,,,,0.88 ,,,,1,1,1,0,1,1,20060825
84140,CPT,Assay of pregnenolone,,,17 ,,TotalUnits,,,,0.97 ,,,,1,1,1,0,1,1,20060825
84143,CPT,Assay of 17-hydroxypregneno,,,17 ,,TotalUnits,,,,1.07 ,,,,1,1,1,0,1,1,20060825
84144,CPT,Assay of progesterone,,,17 ,,TotalUnits,,,,0.97 ,,,,1,1,1,0,1,1,20060825
84146,CPT,Assay of prolactin,,,17 ,,TotalUnits,,,,0.90 ,,,,1,1,1,0,1,1,20060825
84150,CPT,Assay of prostaglandin,,,17 ,,TotalUnits,,,,1.17 ,,,,1,1,1,0,1,1,20060825
84152,CPT,"Assay of psa, complexed",,,17 ,,TotalUnits,,,,0.86 ,,,,1,1,1,0,1,1,20060825
84153,CPT,"Assay of psa, total",,,17 ,,TotalUnits,,,,0.86 ,,,,1,1,1,0,1,1,20060825
84154,CPT,"Assay of psa, free",,,17 ,,TotalUnits,,,,0.86 ,,,,1,1,1,0,1,1,20060825
84155,CPT,Assay of protein,,,17 ,,TotalUnits,,,,0.17 ,,,,1,1,1,0,1,1,20060825
84156,CPT,"Assay of protein, urine",,,17 ,,TotalUnits,,,,0.17 ,,,,1,1,1,0,1,1,20060825
84157,CPT,"Assay of protein, other",,,17 ,,TotalUnits,,,,0.17 ,,,,1,1,1,0,1,1,20060825
84160,CPT,Assay of serum protein,,,17 ,,TotalUnits,,,,0.24 ,,,,1,1,1,0,1,1,20060825
84163,CPT,"Pappa, serum",,,17 ,,TotalUnits,,,,0.70 ,,,,1,1,1,0,1,1,20060825
84165,CPT,Assay of serum proteins,TC,,17 ,,TotalUnits,,,,0.50 ,,,,1,1,1,0,1,1,20060825
84165,CPT,Assay of serum proteins,26,,17 ,,RBRVS,0.37 ,0.14 ,0.14 ,,,,,1,0,1,1,1,1,20060825
84166,CPT,Protein e-phoresis/urine/csf,TC,,17 ,,TotalUnits,,,,0.81 ,,,,1,1,1,0,1,1,20060825
84166,CPT,Protein e-phoresis/urine/csf,26,,17 ,,RBRVS,0.37 ,0.14 ,0.14 ,,,,,1,0,1,1,1,1,20060825
84181,CPT,Western blot test,,,17 ,,TotalUnits,,,,0.80 ,,,,1,1,1,0,1,1,20060825
84181,CPT,Western blot test,26,,17 ,,RBRVS,0.37 ,0.14 ,0.14 ,,,,,1,0,1,1,1,1,20060825
84182,CPT,"Protein, western blot test",,,17 ,,TotalUnits,,,,0.84 ,,,,1,1,1,0,1,1,20060825
84182,CPT,"Protein, western blot test",26,,17 ,,RBRVS,0.37 ,0.16 ,0.16 ,,,,,1,0,1,1,1,1,20060825
84202,CPT,Assay RBC protoporphyrin,,,17 ,,TotalUnits,,,,0.67 ,,,,1,1,1,0,1,1,20060825
84203,CPT,Test RBC protoporphyrin,,,17 ,,TotalUnits,,,,0.40 ,,,,1,1,1,0,1,1,20060825
84206,CPT,Assay of proinsulin,,,17 ,,TotalUnits,,,,0.83 ,,,,1,1,1,0,1,1,20060825
84207,CPT,Assay of vitamin b-6,,,17 ,,TotalUnits,,,,1.31 ,,,,1,1,1,0,1,1,20060825
84210,CPT,Assay of pyruvate,,,17 ,,TotalUnits,,,,0.51 ,,,,1,1,1,0,1,1,20060825
84220,CPT,Assay of pyruvate kinase,,,17 ,,TotalUnits,,,,0.44 ,,,,1,1,1,0,1,1,20060825
84228,CPT,Assay of quinine,,,17 ,,TotalUnits,,,,0.54 ,,,,1,1,1,0,1,1,20060825
84233,CPT,Assay of estrogen,,,17 ,,TotalUnits,,,,3.01 ,,,,1,1,1,0,1,1,20060825
84234,CPT,Assay of progesterone,,,17 ,,TotalUnits,,,,3.03 ,,,,1,1,1,0,1,1,20060825
84235,CPT,Assay of endocrine hormone,,,17 ,,TotalUnits,,,,2.44 ,,,,1,1,1,0,1,1,20060825
84238,CPT,"Assay, nonendocrine receptor",,,17 ,,TotalUnits,,,,1.71 ,,,,1,1,1,0,1,1,20060825
84244,CPT,Assay of renin,,,17 ,,TotalUnits,,,,1.03 ,,,,1,1,1,0,1,1,20060825
84252,CPT,Assay of vitamin b-2,,,17 ,,TotalUnits,,,,0.94 ,,,,1,1,1,0,1,1,20060825
84255,CPT,Assay of selenium,,,17 ,,TotalUnits,,,,1.19 ,,,,1,1,1,0,1,1,20060825
84260,CPT,Assay of serotonin,,,17 ,,TotalUnits,,,,1.45 ,,,,1,1,1,0,1,1,20060825
84270,CPT,Assay of sex hormone globul,,,17 ,,TotalUnits,,,,1.01 ,,,,1,1,1,0,1,1,20060825
84275,CPT,Assay of sialic acid,,,17 ,,TotalUnits,,,,0.63 ,,,,1,1,1,0,1,1,20060825
84285,CPT,Assay of silica,,,17 ,,TotalUnits,,,,1.10 ,,,,1,1,1,0,1,1,20060825
84295,CPT,Assay of serum sodium,,,17 ,,TotalUnits,,,,0.22 ,,,,1,1,1,0,1,1,20060825
84300,CPT,Assay of urine sodium,,,17 ,,TotalUnits,,,,0.23 ,,,,1,1,1,0,1,1,20060825
84302,CPT,Assay of sweat sodium,,,17 ,,TotalUnits,,,,0.23 ,,,,1,1,1,0,1,1,20060825
84305,CPT,Assay of somatomedin,,,17 ,,TotalUnits,,,,0.99 ,,,,1,1,1,0,1,1,20060825
84307,CPT,Assay of somatostatin,,,17 ,,TotalUnits,,,,0.85 ,,,,1,1,1,0,1,1,20060825
84311,CPT,Spectrophotometry,,,17 ,,TotalUnits,,,,0.33 ,,,,1,1,1,0,1,1,20060825
84315,CPT,Body fluid specific gravity,,,17 ,,TotalUnits,,,,0.12 ,,,,1,1,1,0,1,1,20060825
84375,CPT,"Chromatogram assay, sugars",,,17 ,,TotalUnits,,,,0.91 ,,,,1,1,1,0,1,1,20060825
84376,CPT,"Sugars, single, qual",,,17 ,,TotalUnits,,,,0.26 ,,,,1,1,1,0,1,1,20060825
84377,CPT,"Sugars, multiple, qual",,,17 ,,TotalUnits,,,,0.26 ,,,,1,1,1,0,1,1,20060825
84378,CPT,Sugars single quant,,,17 ,,TotalUnits,,,,0.54 ,,,,1,1,1,0,1,1,20060825
84379,CPT,Sugars multiple quant,,,17 ,,TotalUnits,,,,0.54 ,,,,1,1,1,0,1,1,20060825
84392,CPT,Assay of urine sulfate,,,17 ,,TotalUnits,,,,0.22 ,,,,1,1,1,0,1,1,20060825
84402,CPT,Assay of testosterone,,,17 ,,TotalUnits,,,,1.19 ,,,,1,1,1,0,1,1,20060825
84403,CPT,Assay of total testosterone,,,17 ,,TotalUnits,,,,1.21 ,,,,1,1,1,0,1,1,20060825
84425,CPT,Assay of vitamin b-1,,,17 ,,TotalUnits,,,,0.99 ,,,,1,1,1,0,1,1,20060825
84430,CPT,Assay of thiocyanate,,,17 ,,TotalUnits,,,,0.54 ,,,,1,1,1,0,1,1,20060825
84432,CPT,Assay of thyroglobulin,,,17 ,,TotalUnits,,,,0.75 ,,,,1,1,1,0,1,1,20060825
84436,CPT,Assay of total thyroxine,,,17 ,,TotalUnits,,,,0.32 ,,,,1,1,1,0,1,1,20060825
84437,CPT,Assay of neonatal thyroxine,,,17 ,,TotalUnits,,,,0.30 ,,,,1,1,1,0,1,1,20060825
84439,CPT,Assay of free thyroxine,,,17 ,,TotalUnits,,,,0.42 ,,,,1,1,1,0,1,1,20060825
84442,CPT,Assay of thyroid activity,,,17 ,,TotalUnits,,,,0.69 ,,,,1,1,1,0,1,1,20060825
84443,CPT,Assay thyroid stim hormone,,,17 ,,TotalUnits,,,,0.78 ,,,,1,1,1,0,1,1,20060825
84445,CPT,Assay of tsi,,,17 ,,TotalUnits,,,,2.37 ,,,,1,1,1,0,1,1,20060825
84446,CPT,Assay of vitamin e,,,17 ,,TotalUnits,,,,0.66 ,,,,1,1,1,0,1,1,20060825
84449,CPT,Assay of transcortin,,,17 ,,TotalUnits,,,,0.84 ,,,,1,1,1,0,1,1,20060825
84450,CPT,Transferase (AST) (SGOT),,,17 ,,TotalUnits,,,,0.24 ,,,,1,1,1,0,1,1,20060825
84460,CPT,Alanine amino (ALT) (SGPT),,,17 ,,TotalUnits,,,,0.25 ,,,,1,1,1,0,1,1,20060825
84466,CPT,Assay of transferrin,,,17 ,,TotalUnits,,,,0.60 ,,,,1,1,1,0,1,1,20060825
84478,CPT,Assay of triglycerides,,,17 ,,TotalUnits,,,,0.27 ,,,,1,1,1,0,1,1,20060825
84479,CPT,Assay of thyroid (t3 or t4),,,17 ,,TotalUnits,,,,0.30 ,,,,1,1,1,0,1,1,20060825
84480,CPT,"Assay, triiodothyronine (t3)",,,17 ,,TotalUnits,,,,0.66 ,,,,1,1,1,0,1,1,20060825
84481,CPT,Free assay (FT-3),,,17 ,,TotalUnits,,,,0.79 ,,,,1,1,1,0,1,1,20060825
84482,CPT,T3 reverse,,,17 ,,TotalUnits,,,,0.74 ,,,,1,1,1,0,1,1,20060825
84484,CPT,"Assay of troponin, quant",,,17 ,,TotalUnits,,,,0.46 ,,,,1,1,1,0,1,1,20060825
84485,CPT,Assay duodenal fluid trypsin,,,17 ,,TotalUnits,,,,0.35 ,,,,1,1,1,0,1,1,20060825
84488,CPT,Test feces for trypsin,,,17 ,,TotalUnits,,,,0.34 ,,,,1,1,1,0,1,1,20060825
84490,CPT,Assay of feces for trypsin,,,17 ,,TotalUnits,,,,0.36 ,,,,1,1,1,0,1,1,20060825
84510,CPT,Assay of tyrosine,,,17 ,,TotalUnits,,,,0.49 ,,,,1,1,1,0,1,1,20060825
84512,CPT,"Assay of troponin, qual",,,17 ,,TotalUnits,,,,0.36 ,,,,1,1,1,0,1,1,20060825
84520,CPT,Assay of urea nitrogen,,,17 ,,TotalUnits,,,,0.18 ,,,,1,1,1,0,1,1,20060825
84525,CPT,Urea nitrogen semi-quant,,,17 ,,TotalUnits,,,,0.18 ,,,,1,1,1,0,1,1,20060825
84540,CPT,Assay of urine/urea-n,,,17 ,,TotalUnits,,,,0.22 ,,,,1,1,1,0,1,1,20060825
84545,CPT,Urea-N clearance test,,,17 ,,TotalUnits,,,,0.31 ,,,,1,1,1,0,1,1,20060825
84550,CPT,Assay of blood/uric acid,,,17 ,,TotalUnits,,,,0.21 ,,,,1,1,1,0,1,1,20060825
84560,CPT,Assay of urine/uric acid,,,17 ,,TotalUnits,,,,0.22 ,,,,1,1,1,0,1,1,20060825
84577,CPT,Assay of feces/urobilinogen,,,17 ,,TotalUnits,,,,0.58 ,,,,1,1,1,0,1,1,20060825
84578,CPT,Test urine urobilinogen,,,17 ,,TotalUnits,,,,0.15 ,,,,1,1,1,0,1,1,20060825
84580,CPT,Assay of urine urobilinogen,,,17 ,,TotalUnits,,,,0.33 ,,,,1,1,1,0,1,1,20060825
84583,CPT,Assay of urine urobilinogen,,,17 ,,TotalUnits,,,,0.23 ,,,,1,1,1,0,1,1,20060825
84585,CPT,Assay of urine vma,,,17 ,,TotalUnits,,,,0.72 ,,,,1,1,1,0,1,1,20060825
84586,CPT,Assay of vip,,,17 ,,TotalUnits,,,,1.65 ,,,,1,1,1,0,1,1,20060825
84588,CPT,Assay of vasopressin,,,17 ,,TotalUnits,,,,1.58 ,,,,1,1,1,0,1,1,20060825
84590,CPT,Assay of vitamin a,,,17 ,,TotalUnits,,,,0.54 ,,,,1,1,1,0,1,1,20060825
84591,CPT,Assay of nos vitamin,,,17 ,,TotalUnits,,,,0.54 ,,,,1,1,1,0,1,1,20060825
84597,CPT,Assay of vitamin k,,,17 ,,TotalUnits,,,,0.64 ,,,,1,1,1,0,1,1,20060825
84600,CPT,Assay of volatiles,,,17 ,,TotalUnits,,,,0.75 ,,,,1,1,1,0,1,1,20060825
84620,CPT,Xylose tolerance test,,,17 ,,TotalUnits,,,,0.55 ,,,,1,1,1,0,1,1,20060825
84630,CPT,Assay of zinc,,,17 ,,TotalUnits,,,,0.53 ,,,,1,1,1,0,1,1,20060825
84681,CPT,Assay of c-peptide,,,17 ,,TotalUnits,,,,0.97 ,,,,1,1,1,0,1,1,20060825
84702,CPT,Chorionic gonadotropin test,,,17 ,,TotalUnits,,,,0.70 ,,,,1,1,1,0,1,1,20060825
84703,CPT,Chorionic gonadotropin assay,,,17 ,,TotalUnits,,,,0.35 ,,,,1,1,1,0,1,1,20060825
84830,CPT,Ovulation tests,,,17 ,,TotalUnits,,,,0.47 ,,,,1,1,1,0,1,1,20060825
84999,CPT,Clinical chemistry test,,,17 ,,TotalUnits,,,,0.24 ,,,,1,1,1,0,1,1,20060825
85002,CPT,Bleeding time test,,,17 ,,TotalUnits,,,,0.21 ,,,,1,1,1,0,1,1,20060825
85004,CPT,Automated diff wbc count,,,17 ,,TotalUnits,,,,0.30 ,,,,1,1,1,0,1,1,20060825
85007,CPT,Bl smear w/diff wbc count,,,17 ,,TotalUnits,,,,0.16 ,,,,1,1,1,0,1,1,20060825
85008,CPT,Bl smear w/o diff wbc count,,,17 ,,TotalUnits,,,,0.16 ,,,,1,1,1,0,1,1,20060825
85009,CPT,Manual diff wbc count b-coat,,,17 ,,TotalUnits,,,,0.17 ,,,,1,1,1,0,1,1,20060825
85013,CPT,Spun microhematocrit,,,17 ,,TotalUnits,,,,0.11 ,,,,1,1,1,0,1,1,20060825
85014,CPT,Hematocrit,,,17 ,,TotalUnits,,,,0.11 ,,,,1,1,1,0,1,1,20060825
85018,CPT,Hemoglobin,,,17 ,,TotalUnits,,,,0.11 ,,,,1,1,1,0,1,1,20060825
85025,CPT,Complete cbc w/auto diff wbc,,,17 ,,TotalUnits,,,,0.36 ,,,,1,1,1,0,1,1,20060825
85027,CPT,"Complete cbc, automated",,,17 ,,TotalUnits,,,,0.30 ,,,,1,1,1,0,1,1,20060825
85032,CPT,"Manual cell count, each",,,17 ,,TotalUnits,,,,0.20 ,,,,1,1,1,0,1,1,20060825
85041,CPT,Automated rbc count,,,17 ,,TotalUnits,,,,0.14 ,,,,1,1,1,0,1,1,20060825
85044,CPT,Manual reticulocyte count,,,17 ,,TotalUnits,,,,0.20 ,,,,1,1,1,0,1,1,20060825
85045,CPT,Automated reticulocyte count,,,17 ,,TotalUnits,,,,0.19 ,,,,1,1,1,0,1,1,20060825
85046,CPT,Reticyte/hgb concentrate,,,17 ,,TotalUnits,,,,0.26 ,,,,1,1,1,0,1,1,20060825
85048,CPT,Automated leukocyte count,,,17 ,,TotalUnits,,,,0.12 ,,,,1,1,1,0,1,1,20060825
85049,CPT,Automated platelet count,,,17 ,,TotalUnits,,,,0.21 ,,,,1,1,1,0,1,1,20060825
85055,CPT,Reticulated platelet assay,,,17 ,,TotalUnits,,,,1.25 ,,,,1,1,1,0,1,1,20060825
85060,CPT,Blood smear interpretation,,,17 ,,RBRVS,0.45 ,0.18 ,0.18 ,,,,,1,0,1,1,1,1,20060825
85097,CPT,Bone marrow interpretation,,,17 ,,RBRVS,0.94 ,0.41 ,1.92 ,,,,,1,0,1,1,1,1,20060825
85130,CPT,Chromogenic substrate assay,,,17 ,,TotalUnits,,,,0.56 ,,,,1,1,1,0,1,1,20060825
85170,CPT,Blood clot retraction,,,17 ,,TotalUnits,,,,0.17 ,,,,1,1,1,0,1,1,20060825
85175,CPT,Blood clot lysis time,,,17 ,,TotalUnits,,,,0.21 ,,,,1,1,1,0,1,1,20060825
85210,CPT,Blood clot factor II test,,,17 ,,TotalUnits,,,,0.61 ,,,,1,1,1,0,1,1,20060825
85220,CPT,Blood clot factor V test,,,17 ,,TotalUnits,,,,0.82 ,,,,1,1,1,0,1,1,20060825
85230,CPT,Blood clot factor VII test,,,17 ,,TotalUnits,,,,0.84 ,,,,1,1,1,0,1,1,20060825
85240,CPT,Blood clot factor VIII test,,,17 ,,TotalUnits,,,,0.84 ,,,,1,1,1,0,1,1,20060825
85244,CPT,Blood clot factor VIII test,,,17 ,,TotalUnits,,,,0.95 ,,,,1,1,1,0,1,1,20060825
85245,CPT,Blood clot factor VIII test,,,17 ,,TotalUnits,,,,1.07 ,,,,1,1,1,0,1,1,20060825
85246,CPT,Blood clot factor VIII test,,,17 ,,TotalUnits,,,,1.07 ,,,,1,1,1,0,1,1,20060825
85247,CPT,Blood clot factor VIII test,,,17 ,,TotalUnits,,,,1.07 ,,,,1,1,1,0,1,1,20060825
85250,CPT,Blood clot factor IX test,,,17 ,,TotalUnits,,,,0.89 ,,,,1,1,1,0,1,1,20060825
85260,CPT,Blood clot factor X test,,,17 ,,TotalUnits,,,,0.84 ,,,,1,1,1,0,1,1,20060825
85270,CPT,Blood clot factor XI test,,,17 ,,TotalUnits,,,,0.84 ,,,,1,1,1,0,1,1,20060825
85280,CPT,Blood clot factor XII test,,,17 ,,TotalUnits,,,,0.90 ,,,,1,1,1,0,1,1,20060825
85290,CPT,Blood clot factor XIII test,,,17 ,,TotalUnits,,,,0.76 ,,,,1,1,1,0,1,1,20060825
85291,CPT,Blood clot factor XIII test,,,17 ,,TotalUnits,,,,0.41 ,,,,1,1,1,0,1,1,20060825
85292,CPT,Blood clot factor assay,,,17 ,,TotalUnits,,,,0.88 ,,,,1,1,1,0,1,1,20060825
85293,CPT,Blood clot factor assay,,,17 ,,TotalUnits,,,,0.88 ,,,,1,1,1,0,1,1,20060825
85300,CPT,Antithrombin III test,,,17 ,,TotalUnits,,,,0.55 ,,,,1,1,1,0,1,1,20060825
85301,CPT,Antithrombin III test,,,17 ,,TotalUnits,,,,0.50 ,,,,1,1,1,0,1,1,20060825
85302,CPT,Blood clot inhibitor antigen,,,17 ,,TotalUnits,,,,0.56 ,,,,1,1,1,0,1,1,20060825
85303,CPT,Blood clot inhibitor test,,,17 ,,TotalUnits,,,,0.65 ,,,,1,1,1,0,1,1,20060825
85305,CPT,Blood clot inhibitor assay,,,17 ,,TotalUnits,,,,0.54 ,,,,1,1,1,0,1,1,20060825
85306,CPT,Blood clot inhibitor test,,,17 ,,TotalUnits,,,,0.72 ,,,,1,1,1,0,1,1,20060825
85307,CPT,Assay activated protein c,,,17 ,,TotalUnits,,,,0.72 ,,,,1,1,1,0,1,1,20060825
85335,CPT,Factor inhibitor test,,,17 ,,TotalUnits,,,,0.60 ,,,,1,1,1,0,1,1,20060825
85337,CPT,Thrombomodulin,,,17 ,,TotalUnits,,,,0.49 ,,,,1,1,1,0,1,1,20060825
85345,CPT,Coagulation time,,,17 ,,TotalUnits,,,,0.20 ,,,,1,1,1,0,1,1,20060825
85347,CPT,Coagulation time,,,17 ,,TotalUnits,,,,0.20 ,,,,1,1,1,0,1,1,20060825
85348,CPT,Coagulation time,,,17 ,,TotalUnits,,,,0.17 ,,,,1,1,1,0,1,1,20060825
85360,CPT,Euglobulin lysis,,,17 ,,TotalUnits,,,,0.39 ,,,,1,1,1,0,1,1,20060825
85362,CPT,Fibrin degradation products,,,17 ,,TotalUnits,,,,0.32 ,,,,1,1,1,0,1,1,20060825
85366,CPT,Fibrinogen test,,,17 ,,TotalUnits,,,,0.40 ,,,,1,1,1,0,1,1,20060825
85370,CPT,Fibrinogen test,,,17 ,,TotalUnits,,,,0.53 ,,,,1,1,1,0,1,1,20060825
85378,CPT,"Fibrin degrade, semiquant",,,17 ,,TotalUnits,,,,0.33 ,,,,1,1,1,0,1,1,20060825
85379,CPT,"Fibrin degradation, quant",,,17 ,,TotalUnits,,,,0.48 ,,,,1,1,1,0,1,1,20060825
85380,CPT,"Fibrin degradation, vte",,,17 ,,TotalUnits,,,,0.48 ,,,,1,1,1,0,1,1,20060825
85384,CPT,Fibrinogen,,,17 ,,TotalUnits,,,,0.40 ,,,,1,1,1,0,1,1,20060825
85385,CPT,Fibrinogen,,,17 ,,TotalUnits,,,,0.40 ,,,,1,1,1,0,1,1,20060825
85390,CPT,Fibrinolysins screen,,,17 ,,TotalUnits,,,,0.24 ,,,,1,1,1,0,1,1,20060825
85396,CPT,"Clotting assay, whole blood",,,17 ,,RBRVS,0.37 ,0.16 ,0.16 ,,,,,1,0,1,1,1,1,20060825
85400,CPT,Fibrinolytic plasmin,,,17 ,,TotalUnits,,,,0.41 ,,,,1,1,1,0,1,1,20060825
85410,CPT,Fibrinolytic antiplasmin,,,17 ,,TotalUnits,,,,0.36 ,,,,1,1,1,0,1,1,20060825
85415,CPT,Fibrinolytic plasminogen,,,17 ,,TotalUnits,,,,0.80 ,,,,1,1,1,0,1,1,20060825
85420,CPT,Fibrinolytic plasminogen,,,17 ,,TotalUnits,,,,0.30 ,,,,1,1,1,0,1,1,20060825
85421,CPT,Fibrinolytic plasminogen,,,17 ,,TotalUnits,,,,0.48 ,,,,1,1,1,0,1,1,20060825
85441,CPT,"Heinz bodies, direct",,,17 ,,TotalUnits,,,,0.20 ,,,,1,1,1,0,1,1,20060825
85445,CPT,"Heinz bodies, induced",,,17 ,,TotalUnits,,,,0.32 ,,,,1,1,1,0,1,1,20060825
85460,CPT,"Hemoglobin, fetal",,,17 ,,TotalUnits,,,,0.36 ,,,,1,1,1,0,1,1,20060825
85461,CPT,"Hemoglobin, fetal",,,17 ,,TotalUnits,,,,0.31 ,,,,1,1,1,0,1,1,20060825
85475,CPT,Hemolysin,,,17 ,,TotalUnits,,,,0.41 ,,,,1,1,1,0,1,1,20060825
85520,CPT,Heparin assay,,,17 ,,TotalUnits,,,,0.61 ,,,,1,1,1,0,1,1,20060825
85525,CPT,Heparin neutralization,,,17 ,,TotalUnits,,,,0.55 ,,,,1,1,1,0,1,1,20060825
85530,CPT,Heparin-protamine tolerance,,,17 ,,TotalUnits,,,,0.66 ,,,,1,1,1,0,1,1,20060825
85536,CPT,Iron stain peripheral blood,,,17 ,,TotalUnits,,,,0.30 ,,,,1,1,1,0,1,1,20060825
85540,CPT,Wbc alkaline phosphatase,,,17 ,,TotalUnits,,,,0.40 ,,,,1,1,1,0,1,1,20060825
85547,CPT,RBC mechanical fragility,,,17 ,,TotalUnits,,,,0.40 ,,,,1,1,1,0,1,1,20060825
85549,CPT,Muramidase,,,17 ,,TotalUnits,,,,0.88 ,,,,1,1,1,0,1,1,20060825
85555,CPT,RBC osmotic fragility,,,17 ,,TotalUnits,,,,0.31 ,,,,1,1,1,0,1,1,20060825
85557,CPT,RBC osmotic fragility,,,17 ,,TotalUnits,,,,0.62 ,,,,1,1,1,0,1,1,20060825
85576,CPT,Blood platelet aggregation,TC,,17 ,,TotalUnits,,,,1.00 ,,,,1,1,1,0,1,1,20060825
85576,CPT,Blood platelet aggregation,26,,17 ,,RBRVS,0.37 ,0.16 ,0.16 ,,,,,1,0,1,1,1,1,20060825
85597,CPT,Platelet neutralization,,,17 ,,TotalUnits,,,,0.84 ,,,,1,1,1,0,1,1,20060825
85610,CPT,Prothrombin time,,,17 ,,TotalUnits,,,,0.18 ,,,,1,1,1,0,1,1,20060825
85611,CPT,Prothrombin test,,,17 ,,TotalUnits,,,,0.18 ,,,,1,1,1,0,1,1,20060825
85612,CPT,Viper venom prothrombin time,,,17 ,,TotalUnits,,,,0.45 ,,,,1,1,1,0,1,1,20060825
85613,CPT,"Russell viper venom, diluted",,,17 ,,TotalUnits,,,,0.45 ,,,,1,1,1,0,1,1,20060825
85635,CPT,Reptilase test,,,17 ,,TotalUnits,,,,0.46 ,,,,1,1,1,0,1,1,20060825
85651,CPT,"Rbc sed rate, nonautomated",,,17 ,,TotalUnits,,,,0.17 ,,,,1,1,1,0,1,1,20060825
85652,CPT,"Rbc sed rate, automated",,,17 ,,TotalUnits,,,,0.13 ,,,,1,1,1,0,1,1,20060825
85660,CPT,RBC sickle cell test,,,17 ,,TotalUnits,,,,0.26 ,,,,1,1,1,0,1,1,20060825
85670,CPT,"Thrombin time, plasma",,,17 ,,TotalUnits,,,,0.27 ,,,,1,1,1,0,1,1,20060825
85675,CPT,"Thrombin time, titer",,,17 ,,TotalUnits,,,,0.32 ,,,,1,1,1,0,1,1,20060825
85705,CPT,Thromboplastin inhibition,,,17 ,,TotalUnits,,,,0.45 ,,,,1,1,1,0,1,1,20060825
85730,CPT,"Thromboplastin time, partial",,,17 ,,TotalUnits,,,,0.28 ,,,,1,1,1,0,1,1,20060825
85732,CPT,"Thromboplastin time, partial",,,17 ,,TotalUnits,,,,0.30 ,,,,1,1,1,0,1,1,20060825
85810,CPT,Blood viscosity examination,,,17 ,,TotalUnits,,,,0.55 ,,,,1,1,1,0,1,1,20060825
85999,CPT,Hematology procedure,,,17 ,,TotalUnits,,,,0.30 ,,,,1,1,1,0,1,1,20060825
86000,CPT,"Agglutinins, febrile",,,17 ,,TotalUnits,,,,0.33 ,,,,1,1,1,0,1,1,20060825
86001,CPT,Allergen specific igg,,,17 ,,TotalUnits,,,,0.24 ,,,,1,1,1,0,1,1,20060825
86003,CPT,Allergen specific IgE,,,17 ,,TotalUnits,,,,0.24 ,,,,1,1,1,0,1,1,20060825
86005,CPT,Allergen specific IgE,,,17 ,,TotalUnits,,,,0.37 ,,,,1,1,1,0,1,1,20060825
86021,CPT,WBC antibody identification,,,17 ,,TotalUnits,,,,0.70 ,,,,1,1,1,0,1,1,20060825
86022,CPT,Platelet antibodies,,,17 ,,TotalUnits,,,,0.86 ,,,,1,1,1,0,1,1,20060825
86023,CPT,Immunoglobulin assay,,,17 ,,TotalUnits,,,,0.58 ,,,,1,1,1,0,1,1,20060825
86038,CPT,Antinuclear antibodies,,,17 ,,TotalUnits,,,,0.56 ,,,,1,1,1,0,1,1,20060825
86039,CPT,Antinuclear antibodies (ANA),,,17 ,,TotalUnits,,,,0.52 ,,,,1,1,1,0,1,1,20060825
86060,CPT,"Antistreptolysin o, titer",,,17 ,,TotalUnits,,,,0.34 ,,,,1,1,1,0,1,1,20060825
86063,CPT,"Antistreptolysin o, screen",,,17 ,,TotalUnits,,,,0.27 ,,,,1,1,1,0,1,1,20060825
86077,CPT,Physician blood bank service,,,17 ,,RBRVS,0.94 ,0.39 ,0.39 ,,,,,1,0,1,0,1,1,20060825
86078,CPT,Physician blood bank service,,,17 ,,RBRVS,0.94 ,0.40 ,0.46 ,,,,,1,0,1,0,1,1,20060825
86079,CPT,Physician blood bank service,,,17 ,,RBRVS,0.94 ,0.41 ,0.45 ,,,,,1,0,1,0,1,1,20060825
86140,CPT,C-reactive protein,,,17 ,,TotalUnits,,,,0.24 ,,,,1,1,1,0,1,1,20060825
86141,CPT,"C-reactive protein, hs",,,17 ,,TotalUnits,,,,0.60 ,,,,1,1,1,0,1,1,20060825
86146,CPT,Glycoprotein antibody,,,17 ,,TotalUnits,,,,1.19 ,,,,1,1,1,0,1,1,20060825
86147,CPT,Cardiolipin antibody,,,17 ,,TotalUnits,,,,1.19 ,,,,1,1,1,0,1,1,20060825
86148,CPT,Phospholipid antibody,,,17 ,,TotalUnits,,,,0.75 ,,,,1,1,1,0,1,1,20060825
86155,CPT,Chemotaxis assay,,,17 ,,TotalUnits,,,,0.75 ,,,,1,1,1,0,1,1,20060825
86156,CPT,"Cold agglutinin, screen",,,17 ,,TotalUnits,,,,0.31 ,,,,1,1,1,0,1,1,20060825
86157,CPT,"Cold agglutinin, titer",,,17 ,,TotalUnits,,,,0.38 ,,,,1,1,1,0,1,1,20060825
86160,CPT,"Complement, antigen",,,17 ,,TotalUnits,,,,0.56 ,,,,1,1,1,0,1,1,20060825
86161,CPT,Complement/function activity,,,17 ,,TotalUnits,,,,0.56 ,,,,1,1,1,0,1,1,20060825
86162,CPT,"Complement, total (CH50)",,,17 ,,TotalUnits,,,,0.95 ,,,,1,1,1,0,1,1,20060825
86171,CPT,"Complement fixation, each",,,17 ,,TotalUnits,,,,0.47 ,,,,1,1,1,0,1,1,20060825
86185,CPT,Counterimmunoelectrophoresis,,,17 ,,TotalUnits,,,,0.42 ,,,,1,1,1,0,1,1,20060825
86200,CPT,Ccp antibody,,,28 ,,NW,,,,,,$19.36,,1,1,1,0,1,1,20060825
86215,CPT,"Deoxyribonuclease, antibody",,,17 ,,TotalUnits,,,,0.62 ,,,,1,1,1,0,1,1,20060825
86225,CPT,DNA antibody,,,17 ,,TotalUnits,,,,0.64 ,,,,1,1,1,0,1,1,20060825
86226,CPT,"DNA antibody, single strand",,,17 ,,TotalUnits,,,,0.57 ,,,,1,1,1,0,1,1,20060825
86235,CPT,Nuclear antigen antibody,,,17 ,,TotalUnits,,,,0.84 ,,,,1,1,1,0,1,1,20060825
86243,CPT,Fc receptor,,,17 ,,TotalUnits,,,,0.96 ,,,,1,1,1,0,1,1,20060825
86255,CPT,"Fluorescent antibody, screen",,,17 ,,TotalUnits,,,,0.56 ,,,,1,1,1,0,1,1,20060825
86256,CPT,"Fluorescent antibody, titer",,,17 ,,TotalUnits,,,,0.56 ,,,,1,1,1,0,1,1,20060825
86277,CPT,Growth hormone antibody,,,17 ,,TotalUnits,,,,0.73 ,,,,1,1,1,0,1,1,20060825
86280,CPT,Hemagglutination inhibition,,,17 ,,TotalUnits,,,,0.38 ,,,,1,1,1,0,1,1,20060825
86294,CPT,"Immunoassay, tumor qual",,,17 ,,TotalUnits,,,,0.92 ,,,,1,1,1,0,1,1,20060825
86300,CPT,"Immunoassay, tumor ca 15-3",,,17 ,,TotalUnits,,,,0.97 ,,,,1,1,1,0,1,1,20060825
86301,CPT,"Immunoassay, tumor ca 19-9",,,17 ,,TotalUnits,,,,0.97 ,,,,1,1,1,0,1,1,20060825
86304,CPT,"Immunoassay, tumor, ca 125",,,17 ,,TotalUnits,,,,0.97 ,,,,1,1,1,0,1,1,20060825
86308,CPT,Heterophile antibodies,,,17 ,,TotalUnits,,,,0.24 ,,,,1,1,1,0,1,1,20060825
86309,CPT,Heterophile antibodies,,,17 ,,TotalUnits,,,,0.30 ,,,,1,1,1,0,1,1,20060825
86310,CPT,Heterophile antibodies,,,17 ,,TotalUnits,,,,0.34 ,,,,1,1,1,0,1,1,20060825
86316,CPT,"Immunoassay, tumor other",,,17 ,,TotalUnits,,,,0.97 ,,,,1,1,1,0,1,1,20060825
86317,CPT,"Immunoassay,infectious agent",,,17 ,,TotalUnits,,,,0.70 ,,,,1,1,1,0,1,1,20060825
86318,CPT,"Immunoassay,infectious agent",,,17 ,,TotalUnits,,,,0.60 ,,,,1,1,1,0,1,1,20060825
86320,CPT,Serum immunoelectrophoresis,TC,,17 ,,TotalUnits,,,,1.05 ,,,,1,1,1,0,1,1,20060825
86320,CPT,Serum immunoelectrophoresis,26,,17 ,,RBRVS,0.37 ,0.15 ,0.15 ,,,,,1,0,1,1,1,1,20060825
86325,CPT,Other immunoelectrophoresis,TC,,17 ,,TotalUnits,,,,1.04 ,,,,1,1,1,0,1,1,20060825
86325,CPT,Other immunoelectrophoresis,26,,17 ,,RBRVS,0.37 ,0.13 ,0.13 ,,,,,1,0,1,1,1,1,20060825
86327,CPT,Immunoelectrophoresis assay,TC,,17 ,,TotalUnits,,,,1.06 ,,,,1,1,1,0,1,1,20060825
86327,CPT,Immunoelectrophoresis assay,26,,17 ,,RBRVS,0.42 ,0.18 ,0.18 ,,,,,1,0,1,1,1,1,20060825
86329,CPT,Immunodiffusion,,,17 ,,TotalUnits,,,,0.66 ,,,,1,1,1,0,1,1,20060825
86331,CPT,Immunodiffusion ouchterlony,,,17 ,,TotalUnits,,,,0.56 ,,,,1,1,1,0,1,1,20060825
86332,CPT,Immune complex assay,,,17 ,,TotalUnits,,,,1.14 ,,,,1,1,1,0,1,1,20060825
86334,CPT,Immunofixation procedure,TC,,17 ,,TotalUnits,,,,1.04 ,,,,1,1,1,0,1,1,20060825
86334,CPT,Immunofixation procedure,26,,17 ,,RBRVS,0.37 ,0.15 ,0.15 ,,,,,1,0,1,1,1,1,20060825
86335,CPT,Immunfix e-phorsis/urine/csf,,,17 ,,TotalUnits,,,,1.35 ,,,,1,1,1,0,1,1,20060825
86335,CPT,Immunfix e-phorsis/urine/csf,26,,17 ,,TotalUnits,,,,1.35 ,,,,1,0,1,1,1,1,20060825
86336,CPT,Inhibin A,,,17 ,,TotalUnits,,,,0.73 ,,,,1,1,1,0,1,1,20060825
86337,CPT,Insulin antibodies,,,17 ,,TotalUnits,,,,1.00 ,,,,1,1,1,0,1,1,20060825
86340,CPT,Intrinsic factor antibody,,,17 ,,TotalUnits,,,,0.70 ,,,,1,1,1,0,1,1,20060825
86341,CPT,Islet cell antibody,,,17 ,,TotalUnits,,,,0.92 ,,,,1,1,1,0,1,1,20060825
86343,CPT,Leukocyte histamine release,,,17 ,,TotalUnits,,,,0.58 ,,,,1,1,1,0,1,1,20060825
86344,CPT,Leukocyte phagocytosis,,,17 ,,TotalUnits,,,,0.37 ,,,,1,1,1,0,1,1,20060825
86353,CPT,Lymphocyte transformation,,,17 ,,TotalUnits,,,,2.29 ,,,,1,1,1,0,1,1,20060825
86355,CPT,"B cells, total count",,,28 ,,NW,,,,,,$56.39,,1,1,1,0,1,1,20060825
86357,CPT,"Nk cells, total count",,,28 ,,NW,,,,,,$56.39,,1,1,1,0,1,1,20060825
86359,CPT,"T cells, total count",,,17 ,,TotalUnits,,,,1.76 ,,,,1,1,1,0,1,1,20060825
86360,CPT,"T cell, absolute count/ratio",,,17 ,,TotalUnits,,,,2.19 ,,,,1,1,1,0,1,1,20060825
86361,CPT,"T cell, absolute count",,,17 ,,TotalUnits,,,,1.25 ,,,,1,1,1,0,1,1,20060825
86367,CPT,"Stem cells, total count",,,28 ,,NW,,,,,,$56.39,,1,1,1,0,1,1,20060825
86376,CPT,Microsomal antibody,,,17 ,,TotalUnits,,,,0.68 ,,,,1,1,1,0,1,1,20060825
86378,CPT,Migration inhibitory factor,,,17 ,,TotalUnits,,,,0.92 ,,,,1,1,1,0,1,1,20060825
86382,CPT,"Neutralization test, viral",,,17 ,,TotalUnits,,,,0.79 ,,,,1,1,1,0,1,1,20060825
86384,CPT,Nitroblue tetrazolium dye,,,17 ,,TotalUnits,,,,0.53 ,,,,1,1,1,0,1,1,20060825
86403,CPT,Particle agglutination test,,,17 ,,TotalUnits,,,,0.48 ,,,,1,1,1,0,1,1,20060825
86406,CPT,Particle agglutination test,,,17 ,,TotalUnits,,,,0.50 ,,,,1,1,1,0,1,1,20060825
86430,CPT,Rheumatoid factor test,,,17 ,,TotalUnits,,,,0.26 ,,,,1,1,1,0,1,1,20060825
86431,CPT,"Rheumatoid factor, quant",,,17 ,,TotalUnits,,,,0.26 ,,,,1,1,1,0,1,1,20060825
86480,CPT,"Tb test, cell immun measure",,,28 ,,NW,,,,,,$92.66,,1,1,1,0,1,1,20060825
86485,CPT,"Skin test, candida",,TC,17 ,,TotalUnits,,,,0.28 ,,,,1,1,1,0,1,1,20060825
86490,CPT,Coccidioidomycosis skin test,,TC,17 ,,RBRVS,0.00 ,0.29 ,0.29 ,,,,,1,1,1,0,1,1,20060825
86510,CPT,Histoplasmosis skin test,,TC,17 ,,RBRVS,0.00 ,0.32 ,0.32 ,,,,,1,1,1,0,1,1,20060825
86580,CPT,TB intradermal test,,TC,17 ,,RBRVS,0.00 ,0.25 ,0.25 ,,,,,1,1,1,0,1,1,20060825
86586,CPT,"Skin test, unlisted",,TC,17 ,,TotalUnits,,,,0.26 ,,,,1,1,1,0,1,1,20060825
86590,CPT,"Streptokinase, antibody",,,17 ,,TotalUnits,,,,0.51 ,,,,1,1,1,0,1,1,20060825
86592,CPT,"Blood serology, qualitative",,,17 ,,TotalUnits,,,,0.20 ,,,,1,1,1,0,1,1,20060825
86593,CPT,"Blood serology, quantitative",,,17 ,,TotalUnits,,,,0.21 ,,,,1,1,1,0,1,1,20060825
86602,CPT,Antinomyces antibody,,,17 ,,TotalUnits,,,,0.48 ,,,,1,1,1,0,1,1,20060825
86603,CPT,Adenovirus antibody,,,17 ,,TotalUnits,,,,0.60 ,,,,1,1,1,0,1,1,20060825
86606,CPT,Aspergillus antibody,,,17 ,,TotalUnits,,,,0.70 ,,,,1,1,1,0,1,1,20060825
86609,CPT,Bacterium antibody,,,17 ,,TotalUnits,,,,0.60 ,,,,1,1,1,0,1,1,20060825
86611,CPT,Bartonella antibody,,,17 ,,TotalUnits,,,,0.48 ,,,,1,1,1,0,1,1,20060825
86612,CPT,Blastomyces antibody,,,17 ,,TotalUnits,,,,0.60 ,,,,1,1,1,0,1,1,20060825
86615,CPT,Bordetella antibody,,,17 ,,TotalUnits,,,,0.62 ,,,,1,1,1,0,1,1,20060825
86617,CPT,Lyme disease antibody,,,17 ,,TotalUnits,,,,0.72 ,,,,1,1,1,0,1,1,20060825
86618,CPT,Lyme disease antibody,,,17 ,,TotalUnits,,,,0.80 ,,,,1,1,1,0,1,1,20060825
86619,CPT,Borrelia antibody,,,17 ,,TotalUnits,,,,0.62 ,,,,1,1,1,0,1,1,20060825
86622,CPT,Brucella antibody,,,17 ,,TotalUnits,,,,0.42 ,,,,1,1,1,0,1,1,20060825
86625,CPT,Campylobacter antibody,,,17 ,,TotalUnits,,,,0.61 ,,,,1,1,1,0,1,1,20060825
86628,CPT,Candida antibody,,,17 ,,TotalUnits,,,,0.56 ,,,,1,1,1,0,1,1,20060825
86631,CPT,Chlamydia antibody,,,17 ,,TotalUnits,,,,0.55 ,,,,1,1,1,0,1,1,20060825
86632,CPT,Chlamydia igm antibody,,,17 ,,TotalUnits,,,,0.59 ,,,,1,1,1,0,1,1,20060825
86635,CPT,Coccidioides antibody,,,17 ,,TotalUnits,,,,0.54 ,,,,1,1,1,0,1,1,20060825
86638,CPT,Q fever antibody,,,17 ,,TotalUnits,,,,0.57 ,,,,1,1,1,0,1,1,20060825
86641,CPT,Cryptococcus antibody,,,17 ,,TotalUnits,,,,0.67 ,,,,1,1,1,0,1,1,20060825
86644,CPT,CMV antibody,,,17 ,,TotalUnits,,,,0.67 ,,,,1,1,1,0,1,1,20060825
86645,CPT,"CMV antibody, IgM",,,17 ,,TotalUnits,,,,0.79 ,,,,1,1,1,0,1,1,20060825
86648,CPT,Diphtheria antibody,,,17 ,,TotalUnits,,,,0.71 ,,,,1,1,1,0,1,1,20060825
86651,CPT,Encephalitis antibody,,,17 ,,TotalUnits,,,,0.62 ,,,,1,1,1,0,1,1,20060825
86652,CPT,Encephalitis antibody,,,17 ,,TotalUnits,,,,0.62 ,,,,1,1,1,0,1,1,20060825
86653,CPT,Encephalitis antibody,,,17 ,,TotalUnits,,,,0.62 ,,,,1,1,1,0,1,1,20060825
86654,CPT,Encephalitis antibody,,,17 ,,TotalUnits,,,,0.62 ,,,,1,1,1,0,1,1,20060825
86658,CPT,Enterovirus antibody,,,17 ,,TotalUnits,,,,0.61 ,,,,1,1,1,0,1,1,20060825
86663,CPT,Epstein-barr antibody,,,17 ,,TotalUnits,,,,0.61 ,,,,1,1,1,0,1,1,20060825
86664,CPT,Epstein-barr antibody,,,17 ,,TotalUnits,,,,0.71 ,,,,1,1,1,0,1,1,20060825
86665,CPT,Epstein-barr antibody,,,17 ,,TotalUnits,,,,0.85 ,,,,1,1,1,0,1,1,20060825
86666,CPT,Ehrlichia antibody,,,17 ,,TotalUnits,,,,0.48 ,,,,1,1,1,0,1,1,20060825
86668,CPT,Francisella tularensis,,,17 ,,TotalUnits,,,,0.49 ,,,,1,1,1,0,1,1,20060825
86671,CPT,Fungus antibody,,,17 ,,TotalUnits,,,,0.57 ,,,,1,1,1,0,1,1,20060825
86674,CPT,Giardia lamblia antibody,,,17 ,,TotalUnits,,,,0.69 ,,,,1,1,1,0,1,1,20060825
86677,CPT,Helicobacter pylori,,,17 ,,TotalUnits,,,,0.68 ,,,,1,1,1,0,1,1,20060825
86682,CPT,Helminth antibody,,,17 ,,TotalUnits,,,,0.61 ,,,,1,1,1,0,1,1,20060825
86684,CPT,Hemophilus influenza,,,17 ,,TotalUnits,,,,0.74 ,,,,1,1,1,0,1,1,20060825
86687,CPT,Htlv-i antibody,,,17 ,,TotalUnits,,,,0.39 ,,,,1,1,1,0,1,1,20060825
86688,CPT,Htlv-ii antibody,,,17 ,,TotalUnits,,,,0.65 ,,,,1,1,1,0,1,1,20060825
86689,CPT,HTLV/HIV confirmatory test,,,17 ,,TotalUnits,,,,0.90 ,,,,1,1,1,0,1,1,20060825
86692,CPT,"Hepatitis, delta agent",,,17 ,,TotalUnits,,,,0.80 ,,,,1,1,1,0,1,1,20060825
86694,CPT,Herpes simplex test,,,17 ,,TotalUnits,,,,0.67 ,,,,1,1,1,0,1,1,20060825
86695,CPT,Herpes simplex test,,,17 ,,TotalUnits,,,,0.62 ,,,,1,1,1,0,1,1,20060825
86696,CPT,Herpes simplex type 2,,,17 ,,TotalUnits,,,,0.90 ,,,,1,1,1,0,1,1,20060825
86698,CPT,Histoplasma,,,17 ,,TotalUnits,,,,0.58 ,,,,1,1,1,0,1,1,20060825
86701,CPT,HIV-1,,,17 ,,TotalUnits,,,,0.41 ,,,,1,1,1,0,1,1,20060825
86702,CPT,HIV-2,,,17 ,,TotalUnits,,,,0.63 ,,,,1,1,1,0,1,1,20060825
86703,CPT,"HIV-1/HIV-2, single assay",,,17 ,,TotalUnits,,,,0.64 ,,,,1,1,1,0,1,1,20060825
86704,CPT,"Hep b core antibody, total",,,17 ,,TotalUnits,,,,0.56 ,,,,1,1,1,0,1,1,20060825
86705,CPT,"Hep b core antibody, igm",,,17 ,,TotalUnits,,,,0.55 ,,,,1,1,1,0,1,1,20060825
86706,CPT,Hep b surface antibody,,,17 ,,TotalUnits,,,,0.50 ,,,,1,1,1,0,1,1,20060825
86707,CPT,Hep be antibody,,,17 ,,TotalUnits,,,,0.54 ,,,,1,1,1,0,1,1,20060825
86708,CPT,"Hep a antibody, total",,,17 ,,TotalUnits,,,,0.58 ,,,,1,1,1,0,1,1,20060825
86709,CPT,"Hep a antibody, igm",,,17 ,,TotalUnits,,,,0.53 ,,,,1,1,1,0,1,1,20060825
86710,CPT,Influenza virus antibody,,,17 ,,TotalUnits,,,,0.63 ,,,,1,1,1,0,1,1,20060825
86713,CPT,Legionella antibody,,,17 ,,TotalUnits,,,,0.71 ,,,,1,1,1,0,1,1,20060825
86717,CPT,Leishmania antibody,,,17 ,,TotalUnits,,,,0.57 ,,,,1,1,1,0,1,1,20060825
86720,CPT,Leptospira antibody,,,17 ,,TotalUnits,,,,0.62 ,,,,1,1,1,0,1,1,20060825
86723,CPT,Listeria monocytogenes ab,,,17 ,,TotalUnits,,,,0.62 ,,,,1,1,1,0,1,1,20060825
86727,CPT,Lymph choriomeningitis ab,,,17 ,,TotalUnits,,,,0.60 ,,,,1,1,1,0,1,1,20060825
86729,CPT,Lympho venereum antibody,,,17 ,,TotalUnits,,,,0.56 ,,,,1,1,1,0,1,1,20060825
86732,CPT,Mucormycosis antibody,,,17 ,,TotalUnits,,,,0.62 ,,,,1,1,1,0,1,1,20060825
86735,CPT,Mumps antibody,,,17 ,,TotalUnits,,,,0.61 ,,,,1,1,1,0,1,1,20060825
86738,CPT,Mycoplasma antibody,,,17 ,,TotalUnits,,,,0.62 ,,,,1,1,1,0,1,1,20060825
86741,CPT,Neisseria meningitidis,,,17 ,,TotalUnits,,,,0.62 ,,,,1,1,1,0,1,1,20060825
86744,CPT,Nocardia antibody,,,17 ,,TotalUnits,,,,0.62 ,,,,1,1,1,0,1,1,20060825
86747,CPT,Parvovirus antibody,,,17 ,,TotalUnits,,,,0.70 ,,,,1,1,1,0,1,1,20060825
86750,CPT,Malaria antibody,,,17 ,,TotalUnits,,,,0.62 ,,,,1,1,1,0,1,1,20060825
86753,CPT,Protozoa antibody nos,,,17 ,,TotalUnits,,,,0.58 ,,,,1,1,1,0,1,1,20060825
86756,CPT,Respiratory virus antibody,,,17 ,,TotalUnits,,,,0.60 ,,,,1,1,1,0,1,1,20060825
86757,CPT,Rickettsia antibody,,,17 ,,TotalUnits,,,,0.90 ,,,,1,1,1,0,1,1,20060825
86759,CPT,Rotavirus antibody,,,17 ,,TotalUnits,,,,0.62 ,,,,1,1,1,0,1,1,20060825
86762,CPT,Rubella antibody,,,17 ,,TotalUnits,,,,0.67 ,,,,1,1,1,0,1,1,20060825
86765,CPT,Rubeola antibody,,,17 ,,TotalUnits,,,,0.60 ,,,,1,1,1,0,1,1,20060825
86768,CPT,Salmonella antibody,,,17 ,,TotalUnits,,,,0.62 ,,,,1,1,1,0,1,1,20060825
86771,CPT,Shigella antibody,,,17 ,,TotalUnits,,,,0.62 ,,,,1,1,1,0,1,1,20060825
86774,CPT,Tetanus antibody,,,17 ,,TotalUnits,,,,0.69 ,,,,1,1,1,0,1,1,20060825
86777,CPT,Toxoplasma antibody,,,17 ,,TotalUnits,,,,0.67 ,,,,1,1,1,0,1,1,20060825
86778,CPT,"Toxoplasma antibody, igm",,,17 ,,TotalUnits,,,,0.67 ,,,,1,1,1,0,1,1,20060825
86781,CPT,"Treponema pallidum, confirm",,,17 ,,TotalUnits,,,,0.62 ,,,,1,1,1,0,1,1,20060825
86784,CPT,Trichinella antibody,,,17 ,,TotalUnits,,,,0.59 ,,,,1,1,1,0,1,1,20060825
86787,CPT,Varicella-zoster antibody,,,17 ,,TotalUnits,,,,0.60 ,,,,1,1,1,0,1,1,20060825
86790,CPT,Virus antibody nos,,,17 ,,TotalUnits,,,,0.60 ,,,,1,1,1,0,1,1,20060825
86793,CPT,Yersinia antibody,,,17 ,,TotalUnits,,,,0.62 ,,,,1,1,1,0,1,1,20060825
86800,CPT,Thyroglobulin antibody,,,17 ,,TotalUnits,,,,0.74 ,,,,1,1,1,0,1,1,20060825
86803,CPT,Hepatitis c ab test,,,17 ,,TotalUnits,,,,0.67 ,,,,1,1,1,0,1,1,20060825
86804,CPT,"Hep c ab test, confirm",,,17 ,,TotalUnits,,,,0.72 ,,,,1,1,1,0,1,1,20060825
86805,CPT,Lymphocytotoxicity assay,,,17 ,,TotalUnits,,,,2.44 ,,,,1,1,1,0,1,1,20060825
86806,CPT,Lymphocytotoxicity assay,,,17 ,,TotalUnits,,,,2.22 ,,,,1,1,1,0,1,1,20060825
86807,CPT,Cytotoxic antibody screening,,,17 ,,TotalUnits,,,,1.85 ,,,,1,1,1,0,1,1,20060825
86808,CPT,Cytotoxic antibody screening,,,17 ,,TotalUnits,,,,1.39 ,,,,1,1,1,0,1,1,20060825
86812,CPT,"HLA typing, A, B, or C",,,17 ,,TotalUnits,,,,1.20 ,,,,1,1,1,0,1,1,20060825
86813,CPT,"HLA typing, A, B, or C",,,17 ,,TotalUnits,,,,2.71 ,,,,1,1,1,0,1,1,20060825
86816,CPT,"HLA typing, DR/DQ",,,17 ,,TotalUnits,,,,1.30 ,,,,1,1,1,0,1,1,20060825
86817,CPT,"HLA typing, DR/DQ",,,17 ,,TotalUnits,,,,3.00 ,,,,1,1,1,0,1,1,20060825
86821,CPT,"Lymphocyte culture, mixed",,,17 ,,TotalUnits,,,,2.64 ,,,,1,1,1,0,1,1,20060825
86822,CPT,"Lymphocyte culture, primed",,,17 ,,TotalUnits,,,,1.71 ,,,,1,1,1,0,1,1,20060825
86849,CPT,Immunology procedure,,,17 ,,TotalUnits,,,,0.48 ,,,,1,1,1,0,1,1,20060825
86850,CPT,RBC antibody screen,,,17 ,,TotalUnits,,,,0.41 ,,,,1,1,1,0,1,1,20060825
86860,CPT,RBC antibody elution,,,17 ,,TotalUnits,,,,0.41 ,,,,1,1,1,0,1,1,20060825
86870,CPT,RBC antibody identification,,,17 ,,TotalUnits,,,,0.71 ,,,,1,1,1,0,1,1,20060825
86880,CPT,"Coombs test, direct",,,17 ,,TotalUnits,,,,0.25 ,,,,1,1,1,0,1,1,20060825
86885,CPT,"Coombs test, indirect, qual",,,17 ,,TotalUnits,,,,0.27 ,,,,1,1,1,0,1,1,20060825
86886,CPT,"Coombs test, indirect, titer",,,17 ,,TotalUnits,,,,0.24 ,,,,1,1,1,0,1,1,20060825
86890,CPT,Autologous blood process,,,17 ,,TotalUnits,,,,1.63 ,,,,1,1,1,0,1,1,20060825
86891,CPT,"Autologous blood, op salvage",,,17 ,,TotalUnits,,,,2.55 ,,,,1,1,1,0,1,1,20060825
86900,CPT,"Blood typing, ABO",,,17 ,,TotalUnits,,,,0.14 ,,,,1,1,1,0,1,1,20060825
86901,CPT,"Blood typing, Rh (D)",,,17 ,,TotalUnits,,,,0.20 ,,,,1,1,1,0,1,1,20060825
86903,CPT,"Blood typing, antigen screen",,,17 ,,TotalUnits,,,,0.44 ,,,,1,1,1,0,1,1,20060825
86904,CPT,"Blood typing, patient serum",,,17 ,,TotalUnits,,,,0.44 ,,,,1,1,1,0,1,1,20060825
86905,CPT,"Blood typing, RBC antigens",,,17 ,,TotalUnits,,,,0.18 ,,,,1,1,1,0,1,1,20060825
86906,CPT,"Blood typing, Rh phenotype",,,17 ,,TotalUnits,,,,0.36 ,,,,1,1,1,0,1,1,20060825
86910,CPT,"Blood typing, paternity test",,,17 ,,TotalUnits,,,,0.45 ,,,,1,1,1,0,1,1,20060825
86911,CPT,"Blood typing, antigen system",,,17 ,,TotalUnits,,,,0.35 ,,,,1,1,1,0,1,1,20060825
86920,CPT,Compatibility test,,,17 ,,TotalUnits,,,,0.45 ,,,,1,1,1,0,1,1,20060825
86921,CPT,Compatibility test,,,17 ,,TotalUnits,,,,0.41 ,,,,1,1,1,0,1,1,20060825
86922,CPT,Compatibility test,,,17 ,,TotalUnits,,,,0.25 ,,,,1,1,1,0,1,1,20060825
86923,CPT,"Compatibility test, electric",,,28 ,,NW,,,,,,$13.82,,1,1,1,0,1,1,20060825
86927,CPT,"Plasma, fresh frozen",,,17 ,,TotalUnits,,,,0.22 ,,,,1,1,1,0,1,1,20060825
86930,CPT,Frozen blood prep,,,17 ,,TotalUnits,,,,2.04 ,,,,1,1,1,0,1,1,20060825
86931,CPT,Frozen blood thaw,,,17 ,,TotalUnits,,,,2.25 ,,,,1,1,1,0,1,1,20060825
86932,CPT,Frozen blood freeze/thaw,,,17 ,,TotalUnits,,,,2.45 ,,,,1,1,1,0,1,1,20060825
86940,CPT,"Hemolysins/agglutinins, auto",,,17 ,,TotalUnits,,,,0.38 ,,,,1,1,1,0,1,1,20060825
86941,CPT,Hemolysins/agglutinins,,,17 ,,TotalUnits,,,,0.57 ,,,,1,1,1,0,1,1,20060825
86945,CPT,Blood product/irradiation,,,17 ,,TotalUnits,,,,0.61 ,,,,1,1,1,0,1,1,20060825
86950,CPT,Leukacyte transfusion,,,17 ,,TotalUnits,,,,1.12 ,,,,1,1,1,0,1,1,20060825
86960,CPT,Vol reduction of blood/prod,,,28 ,,NW,,,,,,$13.82,,1,1,1,0,1,1,20060825
86965,CPT,Pooling blood platelets,,,17 ,,TotalUnits,,,,0.29 ,,,,1,1,1,0,1,1,20060825
86970,CPT,RBC pretreatment,,,17 ,,TotalUnits,,,,0.33 ,,,,1,1,1,0,1,1,20060825
86971,CPT,RBC pretreatment,,,17 ,,TotalUnits,,,,0.33 ,,,,1,1,1,0,1,1,20060825
86972,CPT,RBC pretreatment,,,17 ,,TotalUnits,,,,0.31 ,,,,1,1,1,0,1,1,20060825
86975,CPT,"RBC pretreatment, serum",,,17 ,,TotalUnits,,,,0.20 ,,,,1,1,1,0,1,1,20060825
86976,CPT,"RBC pretreatment, serum",,,17 ,,TotalUnits,,,,0.16 ,,,,1,1,1,0,1,1,20060825
86977,CPT,"RBC pretreatment, serum",,,17 ,,TotalUnits,,,,0.20 ,,,,1,1,1,0,1,1,20060825
86978,CPT,"RBC pretreatment, serum",,,17 ,,TotalUnits,,,,0.45 ,,,,1,1,1,0,1,1,20060825
86985,CPT,Split blood or products,,,17 ,,TotalUnits,,,,0.43 ,,,,1,1,1,0,1,1,20060825
86999,CPT,Transfusion procedure,,,17 ,,TotalUnits,,,,0.20 ,,,,1,1,1,0,1,1,20060825
87001,CPT,Small animal inoculation,,,17 ,,TotalUnits,,,,0.62 ,,,,1,1,1,0,1,1,20060825
87003,CPT,Small animal inoculation,,,17 ,,TotalUnits,,,,0.79 ,,,,1,1,1,0,1,1,20060825
87015,CPT,Specimen concentration,,,17 ,,TotalUnits,,,,0.31 ,,,,1,1,1,0,1,1,20060825
87040,CPT,Blood culture for bacteria,,,17 ,,TotalUnits,,,,0.48 ,,,,1,1,1,0,1,1,20060825
87045,CPT,"Feces culture, bacteria",,,17 ,,TotalUnits,,,,0.44 ,,,,1,1,1,0,1,1,20060825
87046,CPT,"Stool cultr, bacteria, each",,,17 ,,TotalUnits,,,,0.44 ,,,,1,1,1,0,1,1,20060825
87070,CPT,"Culture, bacteria, other",,,17 ,,TotalUnits,,,,0.40 ,,,,1,1,1,0,1,1,20060825
87071,CPT,Culture bacteri aerobic othr,,,17 ,,TotalUnits,,,,0.44 ,,,,1,1,1,0,1,1,20060825
87073,CPT,Culture bacteria anaerobic,,,17 ,,TotalUnits,,,,0.44 ,,,,1,1,1,0,1,1,20060825
87075,CPT,Culture bacteria anaerobic,,,17 ,,TotalUnits,,,,0.44 ,,,,1,1,1,0,1,1,20060825
87076,CPT,"Culture anaerobe ident, each",,,17 ,,TotalUnits,,,,0.38 ,,,,1,1,1,0,1,1,20060825
87077,CPT,Culture aerobic identify,,,17 ,,TotalUnits,,,,0.38 ,,,,1,1,1,0,1,1,20060825
87081,CPT,Culture screen only,,,17 ,,TotalUnits,,,,0.31 ,,,,1,1,1,0,1,1,20060825
87084,CPT,Culture of specimen by kit,,,17 ,,TotalUnits,,,,0.40 ,,,,1,1,1,0,1,1,20060825
87086,CPT,Urine culture/colony count,,,17 ,,TotalUnits,,,,0.38 ,,,,1,1,1,0,1,1,20060825
87088,CPT,Urine bacteria culture,,,17 ,,TotalUnits,,,,0.38 ,,,,1,1,1,0,1,1,20060825
87101,CPT,Skin fungi culture,,,17 ,,TotalUnits,,,,0.36 ,,,,1,1,1,0,1,1,20060825
87102,CPT,Fungus isolation culture,,,17 ,,TotalUnits,,,,0.39 ,,,,1,1,1,0,1,1,20060825
87103,CPT,Blood fungus culture,,,17 ,,TotalUnits,,,,0.42 ,,,,1,1,1,0,1,1,20060825
87106,CPT,"Fungi identification, yeast",,,17 ,,TotalUnits,,,,0.48 ,,,,1,1,1,0,1,1,20060825
87107,CPT,"Fungi identification, mold",,,17 ,,TotalUnits,,,,0.48 ,,,,1,1,1,0,1,1,20060825
87109,CPT,Mycoplasma,,,17 ,,TotalUnits,,,,0.72 ,,,,1,1,1,0,1,1,20060825
87110,CPT,Chlamydia culture,,,17 ,,TotalUnits,,,,0.91 ,,,,1,1,1,0,1,1,20060825
87116,CPT,Mycobacteria culture,,,17 ,,TotalUnits,,,,0.50 ,,,,1,1,1,0,1,1,20060825
87118,CPT,Mycobacteric identification,,,17 ,,TotalUnits,,,,0.51 ,,,,1,1,1,0,1,1,20060825
87140,CPT,Culture type immunofluoresc,,,17 ,,TotalUnits,,,,0.26 ,,,,1,1,1,0,1,1,20060825
87143,CPT,"Culture typing, glc/hplc",,,17 ,,TotalUnits,,,,0.58 ,,,,1,1,1,0,1,1,20060825
87147,CPT,"Culture type, immunologic",,,17 ,,TotalUnits,,,,0.24 ,,,,1,1,1,0,1,1,20060825
87149,CPT,"Culture type, nucleic acid",,,17 ,,TotalUnits,,,,0.94 ,,,,1,1,1,0,1,1,20060825
87152,CPT,Culture type pulse field gel,,,17 ,,TotalUnits,,,,0.24 ,,,,1,1,1,0,1,1,20060825
87158,CPT,"Culture typing, added method",,,17 ,,TotalUnits,,,,0.24 ,,,,1,1,1,0,1,1,20060825
87164,CPT,Dark field examination,TC,,17 ,,TotalUnits,,,,0.50 ,,,,1,1,1,0,1,1,20060825
87164,CPT,Dark field examination,26,,17 ,,RBRVS,0.37 ,0.12 ,0.12 ,,,,,1,0,1,1,1,1,20060825
87166,CPT,Dark field examination,,,17 ,,TotalUnits,,,,0.53 ,,,,1,1,1,0,1,1,20060825
87168,CPT,Macroscopic exam arthropod,,,17 ,,TotalUnits,,,,0.20 ,,,,1,1,1,0,1,1,20060825
87169,CPT,Macroscopic exam parasite,,,17 ,,TotalUnits,,,,0.20 ,,,,1,1,1,0,1,1,20060825
87172,CPT,Pinworm exam,,,17 ,,TotalUnits,,,,0.20 ,,,,1,1,1,0,1,1,20060825
87176,CPT,"Tissue homogenization, cultr",,,17 ,,TotalUnits,,,,0.27 ,,,,1,1,1,0,1,1,20060825
87177,CPT,Ova and parasites smears,,,17 ,,TotalUnits,,,,0.42 ,,,,1,1,1,0,1,1,20060825
87181,CPT,"Microbe susceptible, diffuse",,,17 ,,TotalUnits,,,,0.22 ,,,,1,1,1,0,1,1,20060825
87184,CPT,"Microbe susceptible, disk",,,17 ,,TotalUnits,,,,0.32 ,,,,1,1,1,0,1,1,20060825
87185,CPT,"Microbe susceptible, enzyme",,,17 ,,TotalUnits,,,,0.22 ,,,,1,1,1,0,1,1,20060825
87186,CPT,"Microbe susceptible, mic",,,17 ,,TotalUnits,,,,0.40 ,,,,1,1,1,0,1,1,20060825
87187,CPT,"Microbe susceptible, mlc",,,17 ,,TotalUnits,,,,0.48 ,,,,1,1,1,0,1,1,20060825
87188,CPT,"Microbe suscept, macrobroth",,,17 ,,TotalUnits,,,,0.31 ,,,,1,1,1,0,1,1,20060825
87190,CPT,"Microbe suscept, mycobacteri",,,17 ,,TotalUnits,,,,0.26 ,,,,1,1,1,0,1,1,20060825
87197,CPT,"Bactericidal level, serum",,,17 ,,TotalUnits,,,,0.70 ,,,,1,1,1,0,1,1,20060825
87205,CPT,"Smear, gram stain",,,17 ,,TotalUnits,,,,0.20 ,,,,1,1,1,0,1,1,20060825
87206,CPT,"Smear, fluorescent/acid stai",,,17 ,,TotalUnits,,,,0.25 ,,,,1,1,1,0,1,1,20060825
87207,CPT,"Smear, special stain",,,17 ,,TotalUnits,,,,0.28 ,,,,1,1,1,0,1,1,20060825
87209,CPT,"Smear, complex stain",,,28 ,,NW,,,,,,$26.87,,1,1,1,0,1,1,20060825
87210,CPT,"Smear, wet mount, saline/ink",,,17 ,,TotalUnits,,,,0.20 ,,,,1,1,1,0,1,1,20060825
87220,CPT,Tissue exam for fungi,,,17 ,,TotalUnits,,,,0.20 ,,,,1,1,1,0,1,1,20060825
87230,CPT,"Assay, toxin or antitoxin",,,17 ,,TotalUnits,,,,0.92 ,,,,1,1,1,0,1,1,20060825
87250,CPT,"Virus inoculate, eggs/animal",,,17 ,,TotalUnits,,,,0.91 ,,,,1,1,1,0,1,1,20060825
87252,CPT,"Virus inoculation, tissue",,,17 ,,TotalUnits,,,,1.22 ,,,,1,1,1,0,1,1,20060825
87253,CPT,"Virus inoculate tissue, addl",,,17 ,,TotalUnits,,,,0.94 ,,,,1,1,1,0,1,1,20060825
87254,CPT,"Virus inoculation, shell via",,,17 ,,TotalUnits,,,,0.91 ,,,,1,1,1,0,1,1,20060825
87255,CPT,"Genet virus isolate, hsv",,,17 ,,TotalUnits,,,,1.58 ,,,,1,1,1,0,1,1,20060825
87260,CPT,"Adenovirus ag, if",,,17 ,,TotalUnits,,,,0.56 ,,,,1,1,1,0,1,1,20060825
87265,CPT,"Pertussis ag, if",,,17 ,,TotalUnits,,,,0.56 ,,,,1,1,1,0,1,1,20060825
87267,CPT,"Enterovirus antibody, dfa",,,17 ,,TotalUnits,,,,0.56 ,,,,1,1,1,0,1,1,20060825
87269,CPT,"Giardia ag, if",,,17 ,,TotalUnits,,,,0.56 ,,,,1,1,1,0,1,1,20060825
87270,CPT,"Chlamydia trachomatis ag, if",,,17 ,,TotalUnits,,,,0.56 ,,,,1,1,1,0,1,1,20060825
87271,CPT,"Cryptosporidum/gardia ag, if",,,17 ,,TotalUnits,,,,0.56 ,,,,1,1,1,0,1,1,20060825
87272,CPT,"Cryptosporidum/gardia ag, if",,,17 ,,TotalUnits,,,,0.56 ,,,,1,1,1,0,1,1,20060825
87273,CPT,"Herpes simplex 2, ag, if",,,17 ,,TotalUnits,,,,0.56 ,,,,1,1,1,0,1,1,20060825
87274,CPT,"Herpes simplex 1, ag, if",,,17 ,,TotalUnits,,,,0.56 ,,,,1,1,1,0,1,1,20060825
87275,CPT,"Influenza b, ag, if",,,17 ,,TotalUnits,,,,0.56 ,,,,1,1,1,0,1,1,20060825
87276,CPT,"Influenza a, ag, if",,,17 ,,TotalUnits,,,,0.56 ,,,,1,1,1,0,1,1,20060825
87277,CPT,"Legionella micdadei, ag, if",,,17 ,,TotalUnits,,,,0.56 ,,,,1,1,1,0,1,1,20060825
87278,CPT,"Legion pneumophilia ag, if",,,17 ,,TotalUnits,,,,0.56 ,,,,1,1,1,0,1,1,20060825
87279,CPT,"Parainfluenza, ag, if",,,17 ,,TotalUnits,,,,0.56 ,,,,1,1,1,0,1,1,20060825
87280,CPT,"Respiratory syncytial ag, if",,,17 ,,TotalUnits,,,,0.56 ,,,,1,1,1,0,1,1,20060825
87281,CPT,"Pneumocystis carinii, ag, if",,,17 ,,TotalUnits,,,,0.56 ,,,,1,1,1,0,1,1,20060825
87283,CPT,"Rubeola, ag, if",,,17 ,,TotalUnits,,,,0.56 ,,,,1,1,1,0,1,1,20060825
87285,CPT,"Treponema pallidum, ag, if",,,17 ,,TotalUnits,,,,0.56 ,,,,1,1,1,0,1,1,20060825
87290,CPT,"Varicella zoster, ag, if",,,17 ,,TotalUnits,,,,0.56 ,,,,1,1,1,0,1,1,20060825
87299,CPT,"Antibody detection, nos, if",,,17 ,,TotalUnits,,,,0.56 ,,,,1,1,1,0,1,1,20060825
87300,CPT,"Ag detection, polyval, if",,,17 ,,TotalUnits,,,,0.56 ,,,,1,1,1,0,1,1,20060825
87301,CPT,"Adenovirus ag, eia",,,17 ,,TotalUnits,,,,0.56 ,,,,1,1,1,0,1,1,20060825
87320,CPT,"Chylmd trach ag, eia",,,17 ,,TotalUnits,,,,0.56 ,,,,1,1,1,0,1,1,20060825
87324,CPT,"Clostridium ag, eia",,,17 ,,TotalUnits,,,,0.56 ,,,,1,1,1,0,1,1,20060825
87327,CPT,"Cryptococcus neoform ag, eia",,,17 ,,TotalUnits,,,,0.56 ,,,,1,1,1,0,1,1,20060825
87328,CPT,"Cryptospor ag, eia",,,17 ,,TotalUnits,,,,0.56 ,,,,1,1,1,0,1,1,20060825
87329,CPT,"Giardia ag, eia",,,17 ,,TotalUnits,,,,0.56 ,,,,1,1,1,0,1,1,20060825
87332,CPT,"Cytomegalovirus ag, eia",,,17 ,,TotalUnits,,,,0.56 ,,,,1,1,1,0,1,1,20060825
87335,CPT,"E coli 0157 ag, eia",,,17 ,,TotalUnits,,,,0.56 ,,,,1,1,1,0,1,1,20060825
87336,CPT,"Entamoeb hist dispr, ag, eia",,,17 ,,TotalUnits,,,,0.56 ,,,,1,1,1,0,1,1,20060825
87337,CPT,"Entamoeb hist group, ag, eia",,,17 ,,TotalUnits,,,,0.56 ,,,,1,1,1,0,1,1,20060825
87338,CPT,"Hpylori, stool, eia",,,17 ,,TotalUnits,,,,0.67 ,,,,1,1,1,0,1,1,20060825
87339,CPT,"H pylori ag, eia",,,17 ,,TotalUnits,,,,0.56 ,,,,1,1,1,0,1,1,20060825
87340,CPT,"Hepatitis b surface ag, eia",,,17 ,,TotalUnits,,,,0.48 ,,,,1,1,1,0,1,1,20060825
87341,CPT,"Hepatitis b surface, ag, eia",,,17 ,,TotalUnits,,,,0.48 ,,,,1,1,1,0,1,1,20060825
87350,CPT,"Hepatitis be ag, eia",,,17 ,,TotalUnits,,,,0.54 ,,,,1,1,1,0,1,1,20060825
87380,CPT,"Hepatitis delta ag, eia",,,17 ,,TotalUnits,,,,0.77 ,,,,1,1,1,0,1,1,20060825
87385,CPT,"Histoplasma capsul ag, eia",,,17 ,,TotalUnits,,,,0.56 ,,,,1,1,1,0,1,1,20060825
87390,CPT,"Hiv-1 ag, eia",,,17 ,,TotalUnits,,,,0.82 ,,,,1,1,1,0,1,1,20060825
87391,CPT,"Hiv-2 ag, eia",,,17 ,,TotalUnits,,,,0.82 ,,,,1,1,1,0,1,1,20060825
87400,CPT,"Influenza a/b, ag, eia",,,17 ,,TotalUnits,,,,0.56 ,,,,1,1,1,0,1,1,20060825
87420,CPT,"Resp syncytial ag, eia",,,17 ,,TotalUnits,,,,0.56 ,,,,1,1,1,0,1,1,20060825
87425,CPT,"Rotavirus ag, eia",,,17 ,,TotalUnits,,,,0.56 ,,,,1,1,1,0,1,1,20060825
87427,CPT,"Shiga-like toxin ag, eia",,,17 ,,TotalUnits,,,,0.56 ,,,,1,1,1,0,1,1,20060825
87430,CPT,"Strep a ag, eia",,,17 ,,TotalUnits,,,,0.56 ,,,,1,1,1,0,1,1,20060825
87449,CPT,"Ag detect nos, eia, mult",,,17 ,,TotalUnits,,,,0.56 ,,,,1,1,1,0,1,1,20060825
87450,CPT,"Ag detect nos, eia, single",,,17 ,,TotalUnits,,,,0.45 ,,,,1,1,1,0,1,1,20060825
87451,CPT,"Ag detect polyval, eia, mult",,,17 ,,TotalUnits,,,,0.45 ,,,,1,1,1,0,1,1,20060825
87470,CPT,"Bartonella, dna, dir probe",,,17 ,,TotalUnits,,,,0.94 ,,,,1,1,1,0,1,1,20060825
87471,CPT,"Bartonella, dna, amp probe",,,17 ,,TotalUnits,,,,1.64 ,,,,1,1,1,0,1,1,20060825
87472,CPT,"Bartonella, dna, quant",,,17 ,,TotalUnits,,,,2.00 ,,,,1,1,1,0,1,1,20060825
87475,CPT,"Lyme dis, dna, dir probe",,,17 ,,TotalUnits,,,,0.94 ,,,,1,1,1,0,1,1,20060825
87476,CPT,"Lyme dis, dna, amp probe",,,17 ,,TotalUnits,,,,1.64 ,,,,1,1,1,0,1,1,20060825
87477,CPT,"Lyme dis, dna, quant",,,17 ,,TotalUnits,,,,2.00 ,,,,1,1,1,0,1,1,20060825
87480,CPT,"Candida, dna, dir probe",,,17 ,,TotalUnits,,,,0.94 ,,,,1,1,1,0,1,1,20060825
87481,CPT,"Candida, dna, amp probe",,,17 ,,TotalUnits,,,,1.64 ,,,,1,1,1,0,1,1,20060825
87482,CPT,"Candida, dna, quant",,,17 ,,TotalUnits,,,,1.95 ,,,,1,1,1,0,1,1,20060825
87485,CPT,"Chylmd pneum, dna, dir probe",,,17 ,,TotalUnits,,,,0.94 ,,,,1,1,1,0,1,1,20060825
87486,CPT,"Chylmd pneum, dna, amp probe",,,17 ,,TotalUnits,,,,1.64 ,,,,1,1,1,0,1,1,20060825
87487,CPT,"Chylmd pneum, dna, quant",,,17 ,,TotalUnits,,,,2.00 ,,,,1,1,1,0,1,1,20060825
87490,CPT,"Chylmd trach, dna, dir probe",,,17 ,,TotalUnits,,,,0.94 ,,,,1,1,1,0,1,1,20060825
87491,CPT,"Chylmd trach, dna, amp probe",,,17 ,,TotalUnits,,,,1.64 ,,,,1,1,1,0,1,1,20060825
87492,CPT,"Chylmd trach, dna, quant",,,17 ,,TotalUnits,,,,1.63 ,,,,1,1,1,0,1,1,20060825
87495,CPT,"Cytomeg, dna, dir probe",,,17 ,,TotalUnits,,,,0.94 ,,,,1,1,1,0,1,1,20060825
87496,CPT,"Cytomeg, dna, amp probe",,,17 ,,TotalUnits,,,,1.64 ,,,,1,1,1,0,1,1,20060825
87497,CPT,"Cytomeg, dna, quant",,,17 ,,TotalUnits,,,,2.00 ,,,,1,1,1,0,1,1,20060825
87510,CPT,"Gardner vag, dna, dir probe",,,17 ,,TotalUnits,,,,0.94 ,,,,1,1,1,0,1,1,20060825
87511,CPT,"Gardner vag, dna, amp probe",,,17 ,,TotalUnits,,,,1.64 ,,,,1,1,1,0,1,1,20060825
87512,CPT,"Gardner vag, dna, quant",,,17 ,,TotalUnits,,,,1.95 ,,,,1,1,1,0,1,1,20060825
87515,CPT,"Hepatitis b, dna, dir probe",,,17 ,,TotalUnits,,,,0.94 ,,,,1,1,1,0,1,1,20060825
87516,CPT,"Hepatitis b, dna, amp probe",,,17 ,,TotalUnits,,,,1.64 ,,,,1,1,1,0,1,1,20060825
87517,CPT,"Hepatitis b, dna, quant",,,17 ,,TotalUnits,,,,2.00 ,,,,1,1,1,0,1,1,20060825
87520,CPT,"Hepatitis c, rna, dir probe",,,17 ,,TotalUnits,,,,0.94 ,,,,1,1,1,0,1,1,20060825
87521,CPT,"Hepatitis c, rna, amp probe",,,17 ,,TotalUnits,,,,1.64 ,,,,1,1,1,0,1,1,20060825
87522,CPT,"Hepatitis c, rna, quant",,,17 ,,TotalUnits,,,,2.00 ,,,,1,1,1,0,1,1,20060825
87525,CPT,"Hepatitis g, dna, dir probe",,,17 ,,TotalUnits,,,,0.94 ,,,,1,1,1,0,1,1,20060825
87526,CPT,"Hepatitis g, dna, amp probe",,,17 ,,TotalUnits,,,,1.64 ,,,,1,1,1,0,1,1,20060825
87527,CPT,"Hepatitis g, dna, quant",,,17 ,,TotalUnits,,,,1.95 ,,,,1,1,1,0,1,1,20060825
87528,CPT,"Hsv, dna, dir probe",,,17 ,,TotalUnits,,,,0.94 ,,,,1,1,1,0,1,1,20060825
87529,CPT,"Hsv, dna, amp probe",,,17 ,,TotalUnits,,,,1.64 ,,,,1,1,1,0,1,1,20060825
87530,CPT,"Hsv, dna, quant",,,17 ,,TotalUnits,,,,2.00 ,,,,1,1,1,0,1,1,20060825
87531,CPT,"Hhv-6, dna, dir probe",,,17 ,,TotalUnits,,,,0.94 ,,,,1,1,1,0,1,1,20060825
87532,CPT,"Hhv-6, dna, amp probe",,,17 ,,TotalUnits,,,,1.64 ,,,,1,1,1,0,1,1,20060825
87533,CPT,"Hhv-6, dna, quant",,,17 ,,TotalUnits,,,,1.95 ,,,,1,1,1,0,1,1,20060825
87534,CPT,"Hiv-1, dna, dir probe",,,17 ,,TotalUnits,,,,0.94 ,,,,1,1,1,0,1,1,20060825
87535,CPT,"Hiv-1, dna, amp probe",,,17 ,,TotalUnits,,,,1.64 ,,,,1,1,1,0,1,1,20060825
87536,CPT,"Hiv-1, dna, quant",,,17 ,,TotalUnits,,,,3.97 ,,,,1,1,1,0,1,1,20060825
87537,CPT,"Hiv-2, dna, dir probe",,,17 ,,TotalUnits,,,,0.94 ,,,,1,1,1,0,1,1,20060825
87538,CPT,"Hiv-2, dna, amp probe",,,17 ,,TotalUnits,,,,1.64 ,,,,1,1,1,0,1,1,20060825
87539,CPT,"Hiv-2, dna, quant",,,17 ,,TotalUnits,,,,2.00 ,,,,1,1,1,0,1,1,20060825
87540,CPT,"Legion pneumo, dna, dir prob",,,17 ,,TotalUnits,,,,0.94 ,,,,1,1,1,0,1,1,20060825
87541,CPT,"Legion pneumo, dna, amp prob",,,17 ,,TotalUnits,,,,1.64 ,,,,1,1,1,0,1,1,20060825
87542,CPT,"Legion pneumo, dna, quant",,,17 ,,TotalUnits,,,,1.95 ,,,,1,1,1,0,1,1,20060825
87550,CPT,"Mycobacteria, dna, dir probe",,,17 ,,TotalUnits,,,,0.94 ,,,,1,1,1,0,1,1,20060825
87551,CPT,"Mycobacteria, dna, amp probe",,,17 ,,TotalUnits,,,,1.64 ,,,,1,1,1,0,1,1,20060825
87552,CPT,"Mycobacteria, dna, quant",,,17 ,,TotalUnits,,,,2.00 ,,,,1,1,1,0,1,1,20060825
87555,CPT,"M.tuberculo, dna, dir probe",,,17 ,,TotalUnits,,,,0.94 ,,,,1,1,1,0,1,1,20060825
87556,CPT,"M.tuberculo, dna, amp probe",,,17 ,,TotalUnits,,,,1.64 ,,,,1,1,1,0,1,1,20060825
87557,CPT,"M.tuberculo, dna, quant",,,17 ,,TotalUnits,,,,2.00 ,,,,1,1,1,0,1,1,20060825
87560,CPT,"M.avium-intra, dna, dir prob",,,17 ,,TotalUnits,,,,0.94 ,,,,1,1,1,0,1,1,20060825
87561,CPT,"M.avium-intra, dna, amp prob",,,17 ,,TotalUnits,,,,1.64 ,,,,1,1,1,0,1,1,20060825
87562,CPT,"M.avium-intra, dna, quant",,,17 ,,TotalUnits,,,,2.00 ,,,,1,1,1,0,1,1,20060825
87580,CPT,"M.pneumon, dna, dir probe",,,17 ,,TotalUnits,,,,0.94 ,,,,1,1,1,0,1,1,20060825
87581,CPT,"M.pneumon, dna, amp probe",,,17 ,,TotalUnits,,,,1.64 ,,,,1,1,1,0,1,1,20060825
87582,CPT,"M.pneumon, dna, quant",,,17 ,,TotalUnits,,,,1.95 ,,,,1,1,1,0,1,1,20060825
87590,CPT,"N.gonorrhoeae, dna, dir prob",,,17 ,,TotalUnits,,,,0.94 ,,,,1,1,1,0,1,1,20060825
87591,CPT,"N.gonorrhoeae, dna, amp prob",,,17 ,,TotalUnits,,,,1.64 ,,,,1,1,1,0,1,1,20060825
87592,CPT,"N.gonorrhoeae, dna, quant",,,17 ,,TotalUnits,,,,2.00 ,,,,1,1,1,0,1,1,20060825
87620,CPT,"Hpv, dna, dir probe",,,17 ,,TotalUnits,,,,0.94 ,,,,1,1,1,0,1,1,20060825
87621,CPT,"Hpv, dna, amp probe",,,17 ,,TotalUnits,,,,1.64 ,,,,1,1,1,0,1,1,20060825
87622,CPT,"Hpv, dna, quant",,,17 ,,TotalUnits,,,,1.95 ,,,,1,1,1,0,1,1,20060825
87650,CPT,"Strep a, dna, dir probe",,,17 ,,TotalUnits,,,,0.94 ,,,,1,1,1,0,1,1,20060825
87651,CPT,"Strep a, dna, amp probe",,,17 ,,TotalUnits,,,,1.64 ,,,,1,1,1,0,1,1,20060825
87652,CPT,"Strep a, dna, quant",,,17 ,,TotalUnits,,,,1.95 ,,,,1,1,1,0,1,1,20060825
87660,CPT,"Trichomonas vagin, dir probe",,,17 ,,TotalUnits,,,,0.94 ,,,,1,1,1,0,1,1,20060825
87797,CPT,"Detect agent nos, dna, dir",,,17 ,,TotalUnits,,,,0.94 ,,,,1,1,1,0,1,1,20060825
87798,CPT,"Detect agent nos, dna, amp",,,17 ,,TotalUnits,,,,1.64 ,,,,1,1,1,0,1,1,20060825
87799,CPT,"Detect agent nos, dna, quant",,,17 ,,TotalUnits,,,,2.00 ,,,,1,1,1,0,1,1,20060825
87800,CPT,"Detect agnt mult, dna, direc",,,17 ,,TotalUnits,,,,1.87 ,,,,1,1,1,0,1,1,20060825
87801,CPT,"Detect agnt mult, dna, ampli",,,17 ,,TotalUnits,,,,3.28 ,,,,1,1,1,0,1,1,20060825
87802,CPT,Strep b assay w/optic,,,17 ,,TotalUnits,,,,0.56 ,,,,1,1,1,0,1,1,20060825
87803,CPT,Clostridium toxin a w/optic,,,17 ,,TotalUnits,,,,0.56 ,,,,1,1,1,0,1,1,20060825
87804,CPT,Influenza assay w/optic,,,17 ,,TotalUnits,,,,0.56 ,,,,1,1,1,0,1,1,20060825
87807,CPT,Rsv assay w/optic,,,17 ,,TotalUnits,,,,0.56 ,,,,1,1,1,0,1,1,20060825
87810,CPT,Chylmd trach assay w/optic,,,17 ,,TotalUnits,,,,0.56 ,,,,1,1,1,0,1,1,20060825
87850,CPT,N. gonorrhoeae assay w/optic,,,17 ,,TotalUnits,,,,0.56 ,,,,1,1,1,0,1,1,20060825
87880,CPT,Strep a assay w/optic,,,17 ,,TotalUnits,,,,0.56 ,,,,1,1,1,0,1,1,20060825
87899,CPT,Agent nos assay w/optic,,,17 ,,TotalUnits,,,,0.56 ,,,,1,1,1,0,1,1,20060825
87900,CPT,"Phenotype, infect agent drug",,,28 ,,NW,,,,,,$194.86,,1,1,1,0,1,1,20060825
87901,CPT,"Genotype, dna, hiv reverse t",,,17 ,,TotalUnits,,,,12.02 ,,,,1,1,1,0,1,1,20060825
87902,CPT,"Genotype, dna, hepatitis C",,,17 ,,TotalUnits,,,,12.02 ,,,,1,1,1,0,1,1,20060825
87903,CPT,"Phenotype, dna hiv w/culture",,,17 ,,TotalUnits,,,,22.81 ,,,,1,1,1,0,1,1,20060825
87904,CPT,"Phenotype, dna hiv w/clt add",,,17 ,,TotalUnits,,,,1.22 ,,,,1,1,1,0,1,1,20060825
87999,CPT,Microbiology procedure,,,17 ,,TotalUnits,,,,0.40 ,,,,1,1,1,0,1,1,20060825
88000,CPT,"Autopsy (necropsy), gross",,,17 ,,TotalUnits,,,,8.10 ,,,,1,0,1,0,1,1,20060825
88005,CPT,"Autopsy (necropsy), gross",,,17 ,,TotalUnits,,,,9.00 ,,,,1,0,1,0,1,1,20060825
88007,CPT,"Autopsy (necropsy), gross",,,17 ,,TotalUnits,,,,9.90 ,,,,1,0,1,0,1,1,20060825
88012,CPT,"Autopsy (necropsy), gross",,,17 ,,TotalUnits,,,,7.46 ,,,,1,0,1,0,1,1,20060825
88014,CPT,"Autopsy (necropsy), gross",,,17 ,,TotalUnits,,,,7.46 ,,,,1,0,1,0,1,1,20060825
88016,CPT,"Autopsy (necropsy), gross",,,17 ,,TotalUnits,,,,9.07 ,,,,1,0,1,0,1,1,20060825
88020,CPT,"Autopsy (necropsy), complete",,,17 ,,TotalUnits,,,,11.64 ,,,,1,0,1,0,1,1,20060825
88025,CPT,"Autopsy (necropsy), complete",,,17 ,,TotalUnits,,,,12.54 ,,,,1,0,1,0,1,1,20060825
88027,CPT,"Autopsy (necropsy), complete",,,17 ,,TotalUnits,,,,13.44 ,,,,1,0,1,0,1,1,20060825
88028,CPT,"Autopsy (necropsy), complete",,,17 ,,TotalUnits,,,,7.46 ,,,,1,0,1,0,1,1,20060825
88029,CPT,"Autopsy (necropsy), complete",,,17 ,,TotalUnits,,,,7.46 ,,,,1,0,1,0,1,1,20060825
88036,CPT,Limited autopsy,,,17 ,,TotalUnits,,,,4.82 ,,,,1,0,1,0,1,1,20060825
88037,CPT,Limited autopsy,,,17 ,,TotalUnits,,,,3.54 ,,,,1,0,1,0,1,1,20060825
88040,CPT,Forensic autopsy (necropsy),,,17 ,,TotalUnits,,,,19.29 ,,,,1,0,1,0,1,1,20060825
88045,CPT,Coroner?s autopsy (necropsy),,,17 ,,TotalUnits,,,,1.61 ,,,,1,0,1,0,1,1,20060825
88099,CPT,Necropsy (autopsy) procedure,,,17 ,,TotalUnits,,,,12.54 ,,,,1,0,1,0,1,1,20060825
88104,CPT,"Cytopathology, fluids",TC,,17 ,,RBRVS,0.00 ,0.61 ,0.61 ,,,,,1,1,1,0,1,1,20060825
88104,CPT,"Cytopathology, fluids",26,,17 ,,RBRVS,0.56 ,0.24 ,0.24 ,,,,,1,0,1,1,1,1,20060825
88106,CPT,"Cytopathology, fluids",TC,,17 ,,RBRVS,0.00 ,1.11 ,1.11 ,,,,,1,1,1,0,1,1,20060825
88106,CPT,"Cytopathology, fluids",26,,17 ,,RBRVS,0.56 ,0.24 ,0.24 ,,,,,1,0,1,1,1,1,20060825
88107,CPT,"Cytopathology, fluids",TC,,17 ,,RBRVS,0.00 ,1.21 ,1.21 ,,,,,1,1,1,0,1,1,20060825
88107,CPT,"Cytopathology, fluids",26,,17 ,,RBRVS,0.76 ,0.33 ,0.33 ,,,,,1,0,1,1,1,1,20060825
88108,CPT,"Cytopath, concentrate tech",TC,,17 ,,RBRVS,0.00 ,0.97 ,0.97 ,,,,,1,1,1,0,1,1,20060825
88108,CPT,"Cytopath, concentrate tech",26,,17 ,,RBRVS,0.56 ,0.24 ,0.24 ,,,,,1,0,1,1,1,1,20060825
88112,CPT,"Cytopath, cell enhance tech",TC,,17 ,,RBRVS,0.00 ,1.46 ,1.46 ,,,,,1,1,1,0,1,1,20060825
88112,CPT,"Cytopath, cell enhance tech",26,,17 ,,RBRVS,1.18 ,0.51 ,0.51 ,,,,,1,0,1,1,1,1,20060825
88125,CPT,Forensic cytopathology,TC,,17 ,,RBRVS,0.00 ,0.16 ,0.16 ,,,,,1,1,1,0,1,1,20060825
88125,CPT,Forensic cytopathology,26,,17 ,,RBRVS,0.26 ,0.11 ,0.11 ,,,,,1,0,1,1,1,1,20060825
88130,CPT,Sex chromatin identification,,,17 ,,TotalUnits,,,,0.70 ,,,,1,1,1,0,1,1,20060825
88140,CPT,Sex chromatin identification,,,17 ,,TotalUnits,,,,0.37 ,,,,1,1,1,0,1,1,20060825
88141,CPT,"Cytopath, c/v, interpret",,PC,17 ,,RBRVS,0.42 ,0.15 ,0.15 ,,,,,1,0,1,1,1,1,20060825
88142,CPT,"Cytopath, c/v, thin layer",,,17 ,,TotalUnits,,,,0.95 ,,,,1,1,1,0,1,1,20060825
88143,CPT,Cytopath c/v thin layer redo,,,17 ,,TotalUnits,,,,0.95 ,,,,1,1,1,0,1,1,20060825
88147,CPT,"Cytopath, c/v, automated",,,17 ,,TotalUnits,,,,0.53 ,,,,1,1,1,0,1,1,20060825
88148,CPT,"Cytopath, c/v, auto rescreen",,,17 ,,TotalUnits,,,,0.71 ,,,,1,1,1,0,1,1,20060825
88150,CPT,"Cytopath, c/v, manual",,,17 ,,TotalUnits,,,,0.49 ,,,,1,1,1,0,1,1,20060825
88152,CPT,"Cytopath, c/v, auto redo",,,17 ,,TotalUnits,,,,0.49 ,,,,1,1,1,0,1,1,20060825
88153,CPT,"Cytopath, c/v, redo",,,17 ,,TotalUnits,,,,0.49 ,,,,1,1,1,0,1,1,20060825
88154,CPT,"Cytopath, c/v, select",,,17 ,,TotalUnits,,,,0.49 ,,,,1,1,1,0,1,1,20060825
88155,CPT,"Cytopath, c/v, index add-on",,,17 ,,TotalUnits,,,,0.28 ,,,,1,1,1,0,1,1,20060825
88160,CPT,"Cytopath smear, other source",TC,,17 ,,RBRVS,0.00 ,0.62 ,0.62 ,,,,,1,1,1,0,1,1,20060825
88160,CPT,"Cytopath smear, other source",26,,17 ,,RBRVS,0.50 ,0.21 ,0.21 ,,,,,1,0,1,1,1,1,20060825
88161,CPT,"Cytopath smear, other source",TC,,17 ,,RBRVS,0.00 ,0.73 ,0.73 ,,,,,1,1,1,0,1,1,20060825
88161,CPT,"Cytopath smear, other source",26,,17 ,,RBRVS,0.50 ,0.21 ,0.21 ,,,,,1,0,1,1,1,1,20060825
88162,CPT,"Cytopath smear, other source",TC,,17 ,,RBRVS,0.00 ,0.69 ,0.69 ,,,,,1,1,1,0,1,1,20060825
88162,CPT,"Cytopath smear, other source",26,,17 ,,RBRVS,0.76 ,0.33 ,0.33 ,,,,,1,0,1,1,1,1,20060825
88164,CPT,"Cytopath tbs, c/v, manual",,,17 ,,TotalUnits,,,,0.49 ,,,,1,1,1,0,1,1,20060825
88165,CPT,"Cytopath tbs, c/v, redo",,,17 ,,TotalUnits,,,,0.49 ,,,,1,1,1,0,1,1,20060825
88166,CPT,"Cytopath tbs, c/v, auto redo",,,17 ,,TotalUnits,,,,0.49 ,,,,1,1,1,0,1,1,20060825
88167,CPT,"Cytopath tbs, c/v, select",,,17 ,,TotalUnits,,,,0.49 ,,,,1,1,1,0,1,1,20060825
88172,CPT,Cytopathology eval of fna,TC,,17 ,,RBRVS,0.00 ,0.47 ,0.47 ,,,,,1,1,1,0,1,1,20060825
88172,CPT,Cytopathology eval of fna,26,,17 ,,RBRVS,0.60 ,0.26 ,0.26 ,,,,,1,0,1,1,1,1,20060825
88173,CPT,"Cytopath eval, fna, report",TC,,17 ,,RBRVS,0.00 ,1.55 ,1.55 ,,,,,1,1,1,0,1,1,20060825
88173,CPT,"Cytopath eval, fna, report",26,,17 ,,RBRVS,1.39 ,0.59 ,0.59 ,,,,,1,0,1,1,1,1,20060825
88174,CPT,"Cytopath, c/v auto, in fluid",,,17 ,,TotalUnits,,,,1.00 ,,,,1,1,1,0,1,1,20060825
88175,CPT,Cytopath c/v auto fluid redo,,,17 ,,TotalUnits,,,,1.24 ,,,,1,1,1,0,1,1,20060825
88182,CPT,Cell marker study,TC,,17 ,,RBRVS,0.00 ,1.65 ,1.65 ,,,,,1,1,1,0,1,1,20060825
88182,CPT,Cell marker study,26,,17 ,,RBRVS,0.77 ,0.33 ,0.33 ,,,,,1,0,1,1,1,1,20060825
88184,CPT,"Flowcytometry/ tc, 1 marker",,TC,17 ,,RBRVS,0.00 ,1.32 ,1.32 ,,,,,1,1,1,0,1,1,20060825
88185,CPT,"Flowcytometry/tc, add-on",,TC,17 ,,RBRVS,0.00 ,0.64 ,0.64 ,,,,,1,1,1,0,1,1,20060825
88187,CPT,"Flowcytometry/read, 2-8",,PC,17 ,,RBRVS,1.36 ,0.45 ,0.45 ,,,,,1,0,1,1,1,1,20060825
88188,CPT,"Flowcytometry/read, 9-15",,PC,17 ,,RBRVS,1.69 ,0.57 ,0.57 ,,,,,1,0,1,1,1,1,20060825
88189,CPT,"Flowcytometry/read, 16 & >",,,17 ,,RBRVS,2.23 ,0.75 ,0.75 ,,,,,1,0,1,1,1,1,20060825
88199,CPT,Cytopathology procedure,,,17 ,,TotalUnits,,,,0.49 ,,,,1,1,1,0,1,1,20060825
88230,CPT,"Tissue culture, lymphocyte",,,17 ,,TotalUnits,,,,5.44 ,,,,1,1,1,0,1,1,20060825
88233,CPT,"Tissue culture, skin/biopsy",,,17 ,,TotalUnits,,,,6.57 ,,,,1,1,1,0,1,1,20060825
88235,CPT,"Tissue culture, placenta",,,17 ,,TotalUnits,,,,6.87 ,,,,1,1,1,0,1,1,20060825
88237,CPT,"Tissue culture, bone marrow",,,17 ,,TotalUnits,,,,5.90 ,,,,1,1,1,0,1,1,20060825
88239,CPT,"Tissue culture, tumor",,,17 ,,TotalUnits,,,,6.89 ,,,,1,1,1,0,1,1,20060825
88240,CPT,Cell cryopreserve/storage,,,17 ,,TotalUnits,,,,0.47 ,,,,1,1,1,0,1,1,20060825
88241,CPT,Frozen cell preparation,,,17 ,,TotalUnits,,,,0.47 ,,,,1,1,1,0,1,1,20060825
88245,CPT,"Chromosome analysis, 20-25",,,17 ,,TotalUnits,,,,6.95 ,,,,1,1,1,0,1,1,20060825
88248,CPT,"Chromosome analysis, 50-100",,,17 ,,TotalUnits,,,,8.08 ,,,,1,1,1,0,1,1,20060825
88249,CPT,"Chromosome analysis, 100",,,17 ,,TotalUnits,,,,8.08 ,,,,1,1,1,0,1,1,20060825
88261,CPT,"Chromosome analysis, 5",,,17 ,,TotalUnits,,,,8.25 ,,,,1,1,1,0,1,1,20060825
88262,CPT,"Chromosome analysis, 15-20",,,17 ,,TotalUnits,,,,5.82 ,,,,1,1,1,0,1,1,20060825
88263,CPT,"Chromosome analysis, 45",,,17 ,,TotalUnits,,,,7.01 ,,,,1,1,1,0,1,1,20060825
88264,CPT,"Chromosome analysis, 20-25",,,17 ,,TotalUnits,,,,5.82 ,,,,1,1,1,0,1,1,20060825
88267,CPT,"Chromosome analys, placenta",,,17 ,,TotalUnits,,,,8.39 ,,,,1,1,1,0,1,1,20060825
88269,CPT,"Chromosome analys, amniotic",,,17 ,,TotalUnits,,,,7.76 ,,,,1,1,1,0,1,1,20060825
88271,CPT,"Cytogenetics, dna probe",,,17 ,,TotalUnits,,,,1.00 ,,,,1,1,1,0,1,1,20060825
88272,CPT,"Cytogenetics, 3-5",,,17 ,,TotalUnits,,,,1.25 ,,,,1,1,1,0,1,1,20060825
88273,CPT,"Cytogenetics, 10-30",,,17 ,,TotalUnits,,,,1.50 ,,,,1,1,1,0,1,1,20060825
88274,CPT,"Cytogenetics, 25-99",,,17 ,,TotalUnits,,,,1.62 ,,,,1,1,1,0,1,1,20060825
88275,CPT,"Cytogenetics, 100-300",,,17 ,,TotalUnits,,,,1.87 ,,,,1,1,1,0,1,1,20060825
88280,CPT,Chromosome karyotype study,,,17 ,,TotalUnits,,,,1.17 ,,,,1,1,1,0,1,1,20060825
88283,CPT,Chromosome banding study,,,17 ,,TotalUnits,,,,3.20 ,,,,1,1,1,0,1,1,20060825
88285,CPT,"Chromosome count, additional",,,17 ,,TotalUnits,,,,0.89 ,,,,1,1,1,0,1,1,20060825
88289,CPT,"Chromosome study, additional",,,17 ,,TotalUnits,,,,1.61 ,,,,1,1,1,0,1,1,20060825
88291,CPT,Cyto/molecular report,,PC,17 ,,RBRVS,0.52 ,0.17 ,0.17 ,,,,,1,0,1,1,1,1,20060825
88299,CPT,Cytogenetic study,,,17 ,,TotalUnits,,,,5.82 ,,,,1,1,1,0,1,1,20060825
88300,CPT,"Surgical path, gross",TC,,17 ,,RBRVS,0.00 ,0.42 ,0.42 ,,,,,1,1,1,0,1,1,20060825
88300,CPT,"Surgical path, gross",26,,17 ,,RBRVS,0.08 ,0.03 ,0.03 ,,,,,1,0,1,1,1,1,20060825
88302,CPT,Tissue exam by pathologist,TC,,17 ,,RBRVS,0.00 ,0.97 ,0.97 ,,,,,1,1,1,0,1,1,20060825
88302,CPT,Tissue exam by pathologist,26,,17 ,,RBRVS,0.13 ,0.06 ,0.06 ,,,,,1,0,1,1,1,1,20060825
88304,CPT,Tissue exam by pathologist,TC,,17 ,,RBRVS,0.00 ,1.23 ,1.23 ,,,,,1,1,1,0,1,1,20060825
88304,CPT,Tissue exam by pathologist,26,,17 ,,RBRVS,0.22 ,0.09 ,0.09 ,,,,,1,0,1,1,1,1,20060825
88305,CPT,Tissue exam by pathologist,TC,,17 ,,RBRVS,0.00 ,1.58 ,1.58 ,,,,,1,1,1,0,1,1,20060825
88305,CPT,Tissue exam by pathologist,26,,17 ,,RBRVS,0.75 ,0.33 ,0.33 ,,,,,1,0,1,1,1,1,20060825
88307,CPT,Tissue exam by pathologist,TC,,17 ,,RBRVS,0.00 ,2.48 ,2.48 ,,,,,1,1,1,0,1,1,20060825
88307,CPT,Tissue exam by pathologist,26,,17 ,,RBRVS,1.59 ,0.68 ,0.68 ,,,,,1,0,1,1,1,1,20060825
88309,CPT,Tissue exam by pathologist,TC,,17 ,,RBRVS,0.00 ,3.43 ,3.43 ,,,,,1,1,1,0,1,1,20060825
88309,CPT,Tissue exam by pathologist,26,,17 ,,RBRVS,2.28 ,0.97 ,0.97 ,,,,,1,0,1,1,1,1,20060825
88311,CPT,Decalcify tissue,TC,,17 ,,RBRVS,0.00 ,0.13 ,0.13 ,,,,,1,1,1,0,1,1,20060825
88311,CPT,Decalcify tissue,26,,17 ,,RBRVS,0.24 ,0.10 ,0.10 ,,,,,1,0,1,1,1,1,20060825
88312,CPT,Special stains,TC,,17 ,,RBRVS,0.00 ,1.29 ,1.29 ,,,,,1,1,1,0,1,1,20060825
88312,CPT,Special stains,26,,17 ,,RBRVS,0.54 ,0.23 ,0.23 ,,,,,1,0,1,1,1,1,20060825
88313,CPT,Special stains,TC,,17 ,,RBRVS,0.00 ,1.15 ,1.15 ,,,,,1,1,1,0,1,1,20060825
88313,CPT,Special stains,26,,17 ,,RBRVS,0.24 ,0.10 ,0.10 ,,,,,1,0,1,1,1,1,20060825
88314,CPT,Histochemical stain,TC,,17 ,,RBRVS,0.00 ,1.88 ,1.88 ,,,,,1,1,1,0,1,1,20060825
88314,CPT,Histochemical stain,26,,17 ,,RBRVS,0.45 ,0.19 ,0.19 ,,,,,1,0,1,1,1,1,20060825
88318,CPT,Chemical histochemistry,TC,,17 ,,RBRVS,0.00 ,1.47 ,1.47 ,,,,,1,1,1,0,1,1,20060825
88318,CPT,Chemical histochemistry,26,,17 ,,RBRVS,0.42 ,0.18 ,0.18 ,,,,,1,0,1,1,1,1,20060825
88319,CPT,Enzyme histochemistry,TC,,17 ,,RBRVS,0.00 ,3.20 ,3.20 ,,,,,1,1,1,0,1,1,20060825
88319,CPT,Enzyme histochemistry,26,,17 ,,RBRVS,0.53 ,0.22 ,0.22 ,,,,,1,0,1,1,1,1,20060825
88321,CPT,Microslide consultation,,,17 ,,RBRVS,1.30 ,0.56 ,0.79 ,,,,,1,0,1,1,1,1,20060825
88323,CPT,Microslide consultation,TC,,17 ,,RBRVS,0.00 ,1.21 ,1.21 ,,,,,1,1,1,0,1,1,20060825
88323,CPT,Microslide consultation,26,,17 ,,RBRVS,1.35 ,0.57 ,0.57 ,,,,,1,0,1,1,1,1,20060825
88325,CPT,Comprehensive review of data,,,17 ,,RBRVS,2.22 ,0.95 ,2.94 ,,,,,1,0,1,1,1,1,20060825
88329,CPT,Path consult introp,,,17 ,,RBRVS,0.67 ,0.29 ,0.65 ,,,,,1,0,1,1,1,1,20060825
88331,CPT,"Path consult intraop, 1 bloc",TC,,17 ,,RBRVS,0.00 ,0.59 ,0.59 ,,,,,1,1,1,0,1,1,20060825
88331,CPT,"Path consult intraop, 1 bloc",26,,17 ,,RBRVS,1.19 ,0.51 ,0.51 ,,,,,1,0,1,1,1,1,20060825
88332,CPT,"Path consult intraop, addl",TC,,17 ,,RBRVS,0.00 ,0.21 ,0.21 ,,,,,1,1,1,0,1,1,20060825
88332,CPT,"Path consult intraop, addl",26,,17 ,,RBRVS,0.59 ,0.25 ,0.25 ,,,,,1,0,1,1,1,1,20060825
88333,CPT,"Intraop cyto path consult, 1",,,17 ,,RBRVS,1.20 ,1.08 ,1.08 ,,,,,1,1,1,0,1,1,20060825
88334,CPT,"Intraop cyto path consult, 2",,,17 ,,RBRVS,0.59 ,0.60 ,0.60 ,,,,,1,1,1,0,1,1,20060825
88342,CPT,Immunocytochemistry,TC,,17 ,,RBRVS,0.00 ,1.10 ,1.10 ,,,,,1,1,1,0,1,1,20060825
88342,CPT,Immunocytochemistry,26,,17 ,,RBRVS,0.85 ,0.36 ,0.36 ,,,,,1,0,1,1,1,1,20060825
88346,CPT,Immunofluorescent study,TC,,17 ,,RBRVS,0.00 ,1.21 ,1.21 ,,,,,1,1,1,0,1,1,20060825
88346,CPT,Immunofluorescent study,26,,17 ,,RBRVS,0.86 ,0.36 ,0.36 ,,,,,1,0,1,1,1,1,20060825
88347,CPT,Immunofluorescent study,TC,,17 ,,RBRVS,0.00 ,0.91 ,0.91 ,,,,,1,1,1,0,1,1,20060825
88347,CPT,Immunofluorescent study,26,,17 ,,RBRVS,0.86 ,0.35 ,0.35 ,,,,,1,0,1,1,1,1,20060825
88348,CPT,Electron microscopy,TC,,17 ,,RBRVS,0.00 ,8.74 ,8.74 ,,,,,1,1,1,0,1,1,20060825
88348,CPT,Electron microscopy,26,,17 ,,RBRVS,1.51 ,0.64 ,0.64 ,,,,,1,0,1,1,1,1,20060825
88349,CPT,Scanning electron microscopy,TC,,17 ,,RBRVS,0.00 ,3.24 ,3.24 ,,,,,1,1,1,0,1,1,20060825
88349,CPT,Scanning electron microscopy,26,,17 ,,RBRVS,0.76 ,0.33 ,0.33 ,,,,,1,0,1,1,1,1,20060825
88355,CPT,"Analysis, skeletal muscle",TC,,17 ,,RBRVS,0.00 ,8.00 ,8.00 ,,,,,1,1,1,0,1,1,20060825
88355,CPT,"Analysis, skeletal muscle",26,,17 ,,RBRVS,1.85 ,0.79 ,0.79 ,,,,,1,0,1,1,1,1,20060825
88356,CPT,"Analysis, nerve",TC,,17 ,,RBRVS,0.00 ,2.93 ,2.93 ,,,,,1,1,1,0,1,1,20060825
88356,CPT,"Analysis, nerve",26,,17 ,,RBRVS,3.02 ,1.26 ,1.26 ,,,,,1,0,1,1,1,1,20060825
88358,CPT,"Analysis, tumor",TC,,17 ,,RBRVS,0.00 ,0.44 ,0.44 ,,,,,1,1,1,0,1,1,20060825
88358,CPT,"Analysis, tumor",26,,17 ,,RBRVS,0.95 ,0.40 ,0.40 ,,,,,1,0,1,1,1,1,20060825
88360,CPT,Tumor immunohistochem/manual,TC,,17 ,,RBRVS,0.00 ,1.26 ,1.26 ,,,,,1,1,1,0,1,1,20060825
88360,CPT,Tumor immunohistochem/manual,26,,17 ,,RBRVS,1.10 ,0.47 ,0.47 ,,,,,1,0,1,1,1,1,20060825
88361,CPT,"Immunohistochemistry, tumor",TC,,17 ,,RBRVS,0.00 ,2.54 ,2.54 ,,,,,1,1,1,0,1,1,20060825
88361,CPT,"Immunohistochemistry, tumor",26,,17 ,,RBRVS,1.18 ,0.49 ,0.49 ,,,,,1,0,1,1,1,1,20060825
88362,CPT,Nerve teasing preparations,TC,,17 ,,RBRVS,0.00 ,3.78 ,3.78 ,,,,,1,1,1,0,1,1,20060825
88362,CPT,Nerve teasing preparations,26,,17 ,,RBRVS,2.17 ,0.92 ,0.92 ,,,,,1,0,1,1,1,1,20060825
88365,CPT,Tissue hybridization,TC,,17 ,,RBRVS,0.00 ,1.62 ,1.62 ,,,,,1,1,1,0,1,1,20060825
88365,CPT,Tissue hybridization,26,,17 ,,RBRVS,1.20 ,0.51 ,0.51 ,,,,,1,0,1,1,1,1,20060825
88367,CPT,"Insitu hybridization, auto",TC,,17 ,,RBRVS,0.00 ,3.50 ,3.50 ,,,,,1,1,1,0,1,1,20060825
88367,CPT,"Insitu hybridization, auto",26,,17 ,,RBRVS,1.30 ,0.54 ,0.54 ,,,,,1,0,1,1,1,1,20060825
88368,CPT,"Insitu hybridization, manual",TC,,17 ,,RBRVS,0.00 ,1.80 ,1.80 ,,,,,1,1,1,0,1,1,20060825
88368,CPT,"Insitu hybridization, manual",26,,17 ,,RBRVS,1.40 ,0.60 ,0.60 ,,,,,1,0,1,1,1,1,20060825
88371,CPT,"Protein, western blot tissue",,,17 ,,TotalUnits,,,,1.04 ,,,,1,1,1,0,1,1,20060825
88371,CPT,"Protein, western blot tissue",26,,17 ,,RBRVS,0.37 ,0.13 ,0.13 ,,,,,1,0,1,1,1,1,20060825
88372,CPT,Protein analysis w/probe,,,17 ,,TotalUnits,,,,1.06 ,,,,1,1,1,0,1,1,20060825
88372,CPT,Protein analysis w/probe,26,,17 ,,RBRVS,0.37 ,0.16 ,0.16 ,,,,,1,0,1,1,1,1,20060825
88380,CPT,Microdissection,TC,,17 ,,TotalUnits,,,,2.49,,,,1,1,1,0,1,1,20060825
88380,CPT,Microdissection,26,,17 ,,RBRVS,0.24 ,0.10 ,0.10 ,,,,,1,0,1,1,1,1,20060825
88384,CPT,"Eval molecular probes, 11-50",,,28 ,,NW,,,,,,$15.88,,1,1,1,0,1,1,20060825
88385,CPT,"Eval  molecul probes, 51-250",,,28 ,,NW,,,,,,$29.00,,1,1,1,0,1,1,20060825
88386,CPT,"Eval molecul probes, 251-500",,,28 ,,NW,,,,,,$48.29,,1,1,1,0,1,1,20060825
88399,CPT,Surgical pathology procedure,,,17 ,,TotalUnits,,,,2.49 ,,,,1,1,1,0,1,1,20060825
88400,CPT,Bilirubin total transcut,,,17 ,,TotalUnits,,,,0.23 ,,,,1,1,1,0,1,1,20060825
89049,CPT,Chct for mal hyperthermia,,,17 ,,RBRVS,1.40 ,0.27 ,3.56 ,,,,,1,1,1,0,1,1,20060825
89050,CPT,Body fluid cell count,,,17 ,,TotalUnits,,,,0.22 ,,,,1,1,1,0,1,1,20060825
89051,CPT,Body fluid cell count,,,17 ,,TotalUnits,,,,0.26 ,,,,1,1,1,0,1,1,20060825
89055,CPT,"Leukocyte count, fecal",,,17 ,,TotalUnits,,,,0.20 ,,,,1,1,1,0,1,1,20060825
89060,CPT,"Exam,synovial fluid crystals",,,17 ,,TotalUnits,,,,0.33 ,,,,1,1,1,0,1,1,20060825
89100,CPT,Sample intestinal contents,,,17 ,,RBRVS,0.60 ,0.21 ,1.84 ,,,,,1,0,1,1,1,1,20060825
89105,CPT,Sample intestinal contents,,,17 ,,RBRVS,0.50 ,0.17 ,2.23 ,,,,,1,0,1,1,1,1,20060825
89125,CPT,Specimen fat stain,,,17 ,,TotalUnits,,,,0.20 ,,,,1,1,1,0,1,1,20060825
89130,CPT,Sample stomach contents,,,17 ,,RBRVS,0.45 ,0.13 ,1.75 ,,,,,1,0,1,1,1,1,20060825
89132,CPT,Sample stomach contents,,,17 ,,RBRVS,0.19 ,0.06 ,1.55 ,,,,,1,0,1,1,1,1,20060825
89135,CPT,Sample stomach contents,,,17 ,,RBRVS,0.79 ,0.25 ,1.90 ,,,,,1,0,1,1,1,1,20060825
89136,CPT,Sample stomach contents,,,17 ,,RBRVS,0.21 ,0.09 ,1.74 ,,,,,1,0,1,1,1,1,20060825
89140,CPT,Sample stomach contents,,,17 ,,RBRVS,0.94 ,0.27 ,2.09 ,,,,,1,0,1,1,1,1,20060825
89141,CPT,Sample stomach contents,,,17 ,,RBRVS,0.85 ,0.33 ,2.80 ,,,,,1,0,1,1,1,1,20060825
89160,CPT,Exam feces for meat fibers,,,17 ,,TotalUnits,,,,0.17 ,,,,1,1,1,0,1,1,20060825
89190,CPT,Nasal smear for eosinophils,,,17 ,,TotalUnits,,,,0.22 ,,,,1,1,1,0,1,1,20060825
89220,CPT,Sputum specimen collection,,TC,17 ,,RBRVS,0.00 ,0.43 ,0.43 ,,,,,1,1,1,0,1,1,20060825
89225,CPT,"Starch granules, feces",,,17 ,,TotalUnits,,,,0.16 ,,,,1,1,1,0,1,1,20060825
89230,CPT,Collect sweat for test,,TC,17 ,,RBRVS,0.00 ,0.11 ,0.11 ,,,,,1,1,1,0,1,1,20060825
89235,CPT,Water load test,,,17 ,,TotalUnits,,,,0.26 ,,,,1,1,1,0,1,1,20060825
89240,CPT,Pathology lab procedure,,,17 ,,TotalUnits,,,,0.26 ,,,,1,1,1,0,1,1,20060825
89250,CPT,Cultr oocyte/embryo <4 days,,,17 ,,TotalUnits,,,,14.03 ,,,,1,1,1,0,1,1,20060825
89300,CPT,Semen analysis w/huhner,,,17 ,,TotalUnits,,,,0.42 ,,,,1,1,1,0,1,1,20060825
89310,CPT,Semen analysis w/count,,,17 ,,TotalUnits,,,,0.40 ,,,,1,1,1,0,1,1,20060825
89320,CPT,"Semen analysis, complete",,,17 ,,TotalUnits,,,,0.56 ,,,,1,1,1,0,1,1,20060825
89321,CPT,Semen analysis & motility,,,17 ,,TotalUnits,,,,0.56 ,,,,1,1,1,0,1,1,20060825
89325,CPT,Sperm antibody test,,,17 ,,TotalUnits,,,,0.50 ,,,,1,1,1,0,1,1,20060825
89329,CPT,Sperm evaluation test,,,17 ,,TotalUnits,,,,0.98 ,,,,1,1,1,0,1,1,20060825
89330,CPT,"Evaluation, cervical mucus",,,17 ,,TotalUnits,,,,0.46 ,,,,1,1,1,0,1,1,20060825
90281,CPT,"Human ig, im",,,22 ,,TotalUnits,,,,0.77 ,,,,1,1,1,0,1,1,20060825
90283,CPT,"Human ig, iv",,,22 ,,TotalUnits,,,,2.16 ,,,,1,1,1,0,1,1,20060825
90287,CPT,Botulinum antitoxin,,,22 ,,TotalUnits,,,,0.55 ,,,,1,1,1,0,1,1,20060825
90291,CPT,"Cmv ig, iv",,,29 ,,NW,,,,,,$462.03,,1,1,1,0,0,1,20060825
90371,CPT,"Hep b ig, im",,,22 ,,TotalUnits,,,,4.56 ,,,,1,1,1,0,1,1,20060825
90375,CPT,"Rabies ig, im/sc",,,22 ,,TotalUnits,,,,5.22 ,,,,1,1,1,0,1,1,20060825
90376,CPT,"Rabies ig, heat treated",,,22 ,,TotalUnits,,,,4.98 ,,,,1,1,1,0,1,1,20060825
90378,CPT,"Rsv ig, im, 50mg",,,22 ,,TotalUnits,,,,22.71 ,,,,1,1,1,0,1,1,20060825
90379,CPT,"Rsv ig, iv",,,22 ,,TotalUnits,,,,27.49 ,,,,1,1,1,0,1,1,20060825
90384,CPT,"Rh ig, full-dose, im",,,22 ,,TotalUnits,,,,3.10 ,,,,1,1,1,0,1,1,20060825
90385,CPT,"Rh ig, minidose, im",,,22 ,,TotalUnits,,,,1.73 ,,,,1,1,1,0,1,1,20060825
90386,CPT,"Rh ig, iv",,,22 ,,TotalUnits,,,,6.95 ,,,,1,1,1,0,1,1,20060825
90389,CPT,"Tetanus ig, im",,,22 ,2,TotalUnits,,,,3.85 ,,,,1,1,1,0,1,1,20060825
90396,CPT,"Varicella-zoster ig, im",,,22 ,,TotalUnits,,,,2.75 ,,,,1,1,1,0,1,1,20060825
90399,CPT,Immune globulin,,,22 ,,TotalUnits,,,,4.56 ,,,,1,1,1,0,1,1,20060825
90465,CPT,"Immune admin 1 inj, < 8 yrs",,,9 ,,RBRVS,0.17 ,0.31 ,0.31 ,,,,,1,1,1,0,1,1,20060825
90466,CPT,"Immune admin addl inj, < 8 y",,,9 ,,RBRVS,0.15 ,0.13 ,0.13 ,,,,,1,1,1,0,1,1,20060825
90467,CPT,"Immune admin o or n, < 8 yrs",,,9 ,,RBRVS,0.17 ,0.09 ,0.17 ,,,,,1,1,1,0,1,1,20060825
90468,CPT,"Immune admin o/n, addl < 8 y",,,9 ,,RBRVS,0.15 ,0.13 ,0.13 ,,,,,1,1,1,0,1,1,20060825
90471,CPT,Immunization admin,,,9 ,2,RBRVS,0.17 ,0.31 ,0.31 ,,,,,1,1,1,0,1,1,20060825
90472,CPT,"Immunization admin, each add",,,9 ,2,RBRVS,0.15 ,0.13 ,0.13 ,,,,,1,1,1,0,1,1,20060825
90473,CPT,Immune admin oral/nasal,,,9 ,,TotalUnits,,,,0.36 ,,,,1,1,1,0,1,1,20060825
90474,CPT,Immune admin oral/nasal addl,,,9 ,,TotalUnits,,,,0.36 ,,,,1,1,1,0,1,1,20060825
90476,CPT,"Adenovirus vaccine, type 4",,,9 ,2,TotalUnits,,,,1.05 ,,,,1,1,1,0,1,1,20060825
90477,CPT,"Adenovirus vaccine, type 7",,,9 ,2,TotalUnits,,,,0.41 ,,,,1,1,1,0,1,1,20060825
90581,CPT,"Anthrax vaccine, sc",,,9 ,2,TotalUnits,,,,2.97 ,,,,1,1,1,0,1,1,20060825
90585,CPT,"Bcg vaccine, percut",,,9 ,2,TotalUnits,,,,4.00 ,,,,1,1,1,0,1,1,20060825
90586,CPT,"Bcg vaccine, intravesical",,,9 ,,TotalUnits,,,,3.19 ,,,,1,1,1,0,1,1,20060825
90632,CPT,"Hep a vaccine, adult im",,,9 ,2,TotalUnits,,,,1.21 ,,,,1,1,1,0,1,1,20060825
90633,CPT,"Hep a vacc, ped/adol, 2 dose",,,9 ,2,TotalUnits,,,,0.96 ,,,,1,1,1,0,1,1,20060825
90634,CPT,"Hep a vacc, ped/adol, 3 dose",,,9 ,2,TotalUnits,,,,0.96 ,,,,1,1,1,0,1,1,20060825
90636,CPT,"Hep a/hep b vacc, adult im",,,9 ,,TotalUnits,,,,1.73 ,,,,1,1,1,0,1,1,20060825
90645,CPT,"Hib vaccine, hboc, im",,,9 ,2,TotalUnits,,,,0.57 ,,,,1,1,1,0,1,1,20060825
90646,CPT,"Hib vaccine, prp-d, im",,,9 ,2,TotalUnits,,,,0.61 ,,,,1,1,1,0,1,1,20060825
90647,CPT,"Hib vaccine, prp-omp, im",,,9 ,2,TotalUnits,,,,0.57 ,,,,1,1,1,0,1,1,20060825
90648,CPT,"Hib vaccine, prp-t, im",,,9 ,2,TotalUnits,,,,0.64 ,,,,1,1,1,0,1,1,20060825
90657,CPT,"Flu vaccine, 6-35 mo, im",,,9 ,,TotalUnits,,,,0.25 ,,,,1,1,1,0,1,1,20060825
90658,CPT,"Flu vaccine, 3 yrs, im",,,9 ,,TotalUnits,,,,0.25 ,,,,1,1,1,0,1,1,20060825
90660,CPT,"Flu vaccine, nasal",,,9 ,,TotalUnits,,,,0.34 ,,,,1,1,1,0,1,1,20060825
90665,CPT,"Lyme disease vaccine, im",,,9 ,2,TotalUnits,,,,1.41 ,,,,1,1,1,0,1,1,20060825
90669,CPT,"Pneumococcal vacc, ped <5",,,9 ,,TotalUnits,,,,1.27 ,,,,1,1,1,0,1,1,20060825
90675,CPT,"Rabies vaccine, im",,,9 ,,TotalUnits,,,,2.80 ,,,,1,1,1,0,1,1,20060825
90676,CPT,"Rabies vaccine, id",,,9 ,,TotalUnits,,,,2.75 ,,,,1,1,1,0,1,1,20060825
90680,CPT,"Rotovirus vaccine, oral",,,9 ,2,TotalUnits,,,,0.76 ,,,,1,1,1,0,1,1,20060825
90690,CPT,"Typhoid vaccine, oral",,,9 ,2,TotalUnits,,,,0.78 ,,,,1,1,1,0,1,1,20060825
90691,CPT,"Typhoid vaccine, im",,,9 ,2,TotalUnits,,,,0.93 ,,,,1,1,1,0,1,1,20060825
90692,CPT,"Typhoid vaccine, h-p, sc/id",,,9 ,2,TotalUnits,,,,0.85 ,,,,1,1,1,0,1,1,20060825
90693,CPT,"Typhoid vaccine, akd, sc",,,9 ,,TotalUnits,,,,0.76 ,,,,1,1,1,0,1,1,20060825
90700,CPT,"Dtap vaccine, im",,,9 ,2,TotalUnits,,,,0.61 ,,,,1,1,1,0,1,1,20060825
90701,CPT,"Dtp vaccine, im",,,9 ,2,TotalUnits,,,,0.51 ,,,,1,1,1,0,1,1,20060825
90702,CPT,"Dt vaccine < 7, im",,,9 ,2,TotalUnits,,,,0.32 ,,,,1,1,1,0,1,1,20060825
90703,CPT,"Tetanus vaccine, im",,,9 ,2,TotalUnits,,,,0.32 ,,,,1,1,1,0,1,1,20060825
90704,CPT,"Mumps vaccine, sc",,,9 ,2,TotalUnits,,,,0.57 ,,,,1,1,1,0,1,1,20060825
90705,CPT,"Measles vaccine, sc",,,9 ,2,TotalUnits,,,,0.51 ,,,,1,1,1,0,1,1,20060825
90706,CPT,"Rubella vaccine, sc",,,9 ,2,TotalUnits,,,,0.51 ,,,,1,1,1,0,1,1,20060825
90707,CPT,"Mmr vaccine, sc",,,9 ,2,TotalUnits,,,,0.83 ,,,,1,1,1,0,1,1,20060825
90708,CPT,"Measles-rubella vaccine, sc",,,9 ,2,TotalUnits,,,,0.70 ,,,,1,1,1,0,1,1,20060825
90710,CPT,"Mmrv vaccine, sc",,,9 ,2,TotalUnits,,,,0.99 ,,,,1,1,1,0,1,1,20060825
90712,CPT,Oral poliovirus vaccine,,,9 ,2,TotalUnits,,,,0.47 ,,,,1,1,1,0,1,1,20060825
90713,CPT,"Poliovirus, ipv, sc",,,9 ,2,TotalUnits,,,,0.57 ,,,,1,1,1,0,1,1,20060825
90714,CPT,Td vaccine no prsrv >/= 7 im,,,29 ,,NW,,,,,,$37.45,,1,1,1,0,1,1,20060825
90716,CPT,"Chicken pox vaccine, sc",,,9 ,,TotalUnits,,,,1.10 ,,,,1,1,1,0,1,1,20060825
90717,CPT,"Yellow fever vaccine, sc",,,9 ,2,TotalUnits,,,,1.27 ,,,,1,1,1,0,1,1,20060825
90718,CPT,"Td vaccine > 7, im",,,9 ,2,TotalUnits,,,,0.33 ,,,,1,1,1,0,1,1,20060825
90719,CPT,"Diphtheria vaccine, im",,,9 ,2,TotalUnits,,,,0.32 ,,,,1,1,1,0,1,1,20060825
90720,CPT,"Dtp/hib vaccine, im",,,9 ,2,TotalUnits,,,,0.89 ,,,,1,1,1,0,1,1,20060825
90721,CPT,"Dtap/hib vaccine, im",,,9 ,2,TotalUnits,,,,0.96 ,,,,1,1,1,0,1,1,20060825
90723,CPT,"Dtap-hep b-ipv vaccine, im",,,9 ,,TotalUnits,,,,1.47 ,,,,1,1,1,0,1,1,20060825
90725,CPT,"Cholera vaccine, injectable",,,9 ,,TotalUnits,,,,0.40 ,,,,1,1,1,0,1,1,20060825
90727,CPT,"Plague vaccine, im",,,9 ,2,TotalUnits,,,,0.38 ,,,,1,1,1,0,1,1,20060825
90732,CPT,Pneumococcal vaccine,,,9 ,,TotalUnits,,,,0.41 ,,,,1,1,1,0,1,1,20060825
90733,CPT,"Meningococcal vaccine, sc",,,9 ,2,TotalUnits,,,,1.34 ,,,,1,1,1,0,1,1,20060825
90734,CPT,MNINGOCOCCL CONJUGATE VAC SEROGRP A C Y&W-135 IM,,,29 ,,NW,,,,,,$57.47,,1,1,1,0,1,1,20060825
90735,CPT,"Encephalitis vaccine, sc",,,9 ,2,TotalUnits,,,,1.53 ,,,,1,1,1,0,1,1,20060825
90740,CPT,"Hepb vacc, ill pat 3 dose im",,,9 ,,TotalUnits,,,,5.05 ,,,,1,1,1,0,1,1,20060825
90743,CPT,"Hep b vacc, adol, 2 dose, im",,,9 ,,TotalUnits,,,,1.02 ,,,,1,1,1,0,1,1,20060825
90744,CPT,Hepb vacc ped/adol 3 dose im,,,9 ,,TotalUnits,,,,0.76 ,,,,1,1,1,0,1,1,20060825
90746,CPT,"Hep b vaccine, adult, im",,,9 ,,TotalUnits,,,,1.15 ,,,,1,1,1,0,1,1,20060825
90747,CPT,"Hepb vacc, ill pat 4 dose im",,,9 ,,TotalUnits,,,,4.31 ,,,,1,1,1,0,1,1,20060825
90748,CPT,"Hep b/hib vaccine, im",,,9 ,,TotalUnits,,,,1.07 ,,,,1,1,1,0,1,1,20060825
90749,CPT,Vaccine toxoid,,,9 ,2,TotalUnits,,,,0.61 ,,,,1,1,1,0,1,1,20060825
90760,CPT,"Hydration iv infusion, init",,,22 ,,RBRVS,0.17 ,1.43 ,1.43 ,,,,,1,1,1,0,1,1,20060825
90761,CPT,"Hydrate iv infusion, add-on",,,22 ,,RBRVS,0.09 ,0.40 ,0.40 ,,,,,1,1,1,0,1,1,20060825
90765,CPT,"Ther/proph/diag iv inf, init",,,22 ,,RBRVS,0.21 ,1.76 ,1.76 ,,,,,1,1,1,0,1,1,20060825
90766,CPT,"Ther/proph/dg iv inf, add-on",,,22 ,,RBRVS,0.18 ,0.46 ,0.46 ,,,,,1,1,1,0,1,1,20060825
90767,CPT,Tx/proph/dg addl seq iv inf,,,22 ,,RBRVS,0.19 ,0.89 ,0.89 ,,,,,1,1,1,0,1,1,20060825
90768,CPT,Ther/diag concurrent inf,,,22 ,,RBRVS,0.17 ,0.44 ,0.44 ,,,,,1,1,1,0,1,1,20060825
90772,CPT,"Ther/proph/diag inj, sc/im",,,22 ,,RBRVS,0.17 ,0.31 ,0.31 ,,,,,1,1,1,0,1,1,20060825
90773,CPT,"Ther/proph/diag inj, ia",,,22 ,,RBRVS,0.17 ,0.32 ,0.32 ,,,,,1,1,1,0,1,1,20060825
90774,CPT,"Ther/proph/diag inj, iv push",,,22 ,,RBRVS,0.18 ,1.30 ,1.30 ,,,,,1,1,1,0,1,1,20060825
90775,CPT,Ther/proph/diag inj add-on,,,22 ,,RBRVS,0.10 ,0.57 ,0.57 ,,,,,1,1,1,0,1,1,20060825
90779,CPT,Ther/prop/diag inj/inf proc,,,28 ,,NW,,,,,,$8.71,,1,1,1,0,1,1,20060825
90801,CPT,Psy dx interview,,,16 ,,RBRVS,2.80 ,0.93 ,1.17 ,,,,,1,0,1,1,1,1,20060825
90802,CPT,Intac psy dx interview,,,16 ,,RBRVS,3.01 ,0.98 ,1.20 ,,,,,1,0,1,1,1,1,20060825
90804,CPT,"Psytx, office, 20-30 min",,,16 ,,RBRVS,1.21 ,0.38 ,0.49 ,,,,,1,0,1,1,1,1,20060825
90805,CPT,"Psytx, off, 20-30 min w/e&m",,,16 ,,RBRVS,1.37 ,0.42 ,0.50 ,,,,,1,0,1,1,1,1,20060825
90806,CPT,"Psytx, off, 45-50 min",,,16 ,,RBRVS,1.86 ,0.60 ,0.70 ,,,,,1,0,1,1,1,1,20060825
90807,CPT,"Psytx, off, 45-50 min w/e&m",,,16 ,,RBRVS,2.02 ,0.63 ,0.70 ,,,,,1,0,1,1,1,1,20060825
90808,CPT,"Psytx, office, 75-80 min",,,16 ,,RBRVS,2.79 ,0.90 ,1.03 ,,,,,1,0,1,1,1,1,20060825
90809,CPT,"Psytx, off, 75-80, w/e&m",,,16 ,,RBRVS,2.95 ,0.92 ,1.00 ,,,,,1,0,1,1,1,1,20060825
90810,CPT,"Intac psytx, off, 20-30 min",,,16 ,,RBRVS,1.32 ,0.42 ,0.51 ,,,,,1,0,1,1,1,1,20060825
90811,CPT,"Intac psytx, 20-30, w/e&m",,,16 ,,RBRVS,1.48 ,0.46 ,0.57 ,,,,,1,0,1,1,1,1,20060825
90812,CPT,"Intac psytx, off, 45-50 min",,,16 ,,RBRVS,1.97 ,0.64 ,0.79 ,,,,,1,0,1,1,1,1,20060825
90813,CPT,"Intac psytx, 45-50 min w/e&m",,,16 ,,RBRVS,2.13 ,0.67 ,0.77 ,,,,,1,0,1,1,1,1,20060825
90814,CPT,"Intac psytx, off, 75-80 min",,,16 ,,RBRVS,2.90 ,0.98 ,1.10 ,,,,,1,0,1,1,1,1,20060825
90815,CPT,"Intac psytx, 75-80 w/e&m",,,16 ,,RBRVS,3.06 ,0.95 ,1.05 ,,,,,1,0,1,1,1,1,20060825
90816,CPT,"Psytx, hosp, 20-30 min",,,16 ,,RBRVS,1.25 ,0.46 ,0.46 ,,,,,1,0,1,1,1,1,20060825
90817,CPT,"Psytx, hosp, 20-30 min w/e&m",,,16 ,,RBRVS,1.41 ,0.46 ,0.46 ,,,,,1,0,1,1,1,1,20060825
90818,CPT,"Psytx, hosp, 45-50 min",,,16 ,,RBRVS,1.89 ,0.69 ,0.69 ,,,,,1,0,1,1,1,1,20060825
90819,CPT,"Psytx, hosp, 45-50 min w/e&m",,,16 ,,RBRVS,2.05 ,0.65 ,0.65 ,,,,,1,0,1,1,1,1,20060825
90821,CPT,"Psytx, hosp, 75-80 min",,,16 ,,RBRVS,2.83 ,1.01 ,1.01 ,,,,,1,0,1,1,1,1,20060825
90822,CPT,"Psytx, hosp, 75-80 min w/e&m",,,16 ,,RBRVS,2.99 ,0.95 ,0.95 ,,,,,1,0,1,1,1,1,20060825
90823,CPT,"Intac psytx, hosp, 20-30 min",,,16 ,,RBRVS,1.36 ,0.48 ,0.48 ,,,,,1,0,1,1,1,1,20060825
90824,CPT,"Intac psytx, hsp 20-30 w/e&m",,,16 ,,RBRVS,1.52 ,0.49 ,0.49 ,,,,,1,0,1,1,1,1,20060825
90826,CPT,"Intac psytx, hosp, 45-50 min",,,16 ,,RBRVS,2.01 ,0.72 ,0.72 ,,,,,1,0,1,1,1,1,20060825
90827,CPT,"Intac psytx, hsp 45-50 w/e&m",,,16 ,,RBRVS,2.16 ,0.68 ,0.68 ,,,,,1,0,1,1,1,1,20060825
90828,CPT,"Intac psytx, hosp, 75-80 min",,,16 ,,RBRVS,2.94 ,1.06 ,1.06 ,,,,,1,0,1,1,1,1,20060825
90829,CPT,"Intac psytx, hsp 75-80 w/e&m",,,16 ,,RBRVS,3.10 ,0.98 ,0.98 ,,,,,1,0,1,1,1,1,20060825
90845,CPT,Psychoanalysis,,,16 ,,RBRVS,1.79 ,0.55 ,0.58 ,,,,,1,0,1,1,1,1,20060825
90846,CPT,Family psytx w/o patient,,,16 ,,RBRVS,1.83 ,0.65 ,0.65 ,,,,,1,0,1,1,1,1,20060825
90847,CPT,Family psytx w/patient,,,16 ,,RBRVS,2.21 ,0.76 ,0.82 ,,,,,1,0,1,1,1,1,20060825
90849,CPT,Multiple family group psytx,,,16 ,,RBRVS,0.59 ,0.24 ,0.27 ,,,,,1,0,1,1,1,1,20060825
90853,CPT,Group psychotherapy,,,16 ,,RBRVS,0.59 ,0.23 ,0.25 ,,,,,1,0,1,1,1,1,20060825
90857,CPT,Intac group psytx,,,16 ,,RBRVS,0.63 ,0.25 ,0.29 ,,,,,1,0,1,1,1,1,20060825
90862,CPT,Medication management,,,16 ,,RBRVS,0.95 ,0.32 ,0.40 ,,,,,1,0,1,1,1,1,20060825
90865,CPT,Narcosynthesis,,,16 ,,RBRVS,2.84 ,0.91 ,1.36 ,,,,,1,0,1,1,1,1,20060825
90870,CPT,Electroconvulsive therapy,,,16 ,,RBRVS,1.88 ,0.59 ,1.94 ,,,,,1,0,1,1,1,1,20060825
90875,CPT,Psychophysiological therapy,,,16 ,,RBRVS,1.20 ,0.46 ,0.90 ,,,,,1,0,1,1,1,1,20060825
90876,CPT,Psychophysiological therapy,,,16 ,,RBRVS,1.90 ,0.73 ,1.16 ,,,,,1,0,1,1,1,1,20060825
90880,CPT,Hypnotherapy,,,16 ,,RBRVS,2.19 ,0.69 ,1.04 ,,,,,1,0,1,1,1,1,20060825
90882,CPT,Environmental manipulation,,,16 ,,TotalUnits,,,,3.32 ,,,,1,0,1,1,1,1,20060825
90885,CPT,Psy evaluation of records,,,16 ,,RBRVS,0.97 ,0.37 ,0.37 ,,,,,1,0,1,1,1,1,20060825
90887,CPT,Consultation with family,,,16 ,,RBRVS,1.48 ,0.56 ,0.82 ,,,,,1,0,1,1,1,1,20060825
90889,CPT,Preparation of report,,,16 ,,TotalUnits,,,,2.86 ,,,,1,0,1,1,1,1,20060825
90899,CPT,Psychiatric service/therapy,,,16 ,,TotalUnits,,,,2.56 ,,,,1,0,1,1,1,1,20060825
90901,CPT,"Biofeedback train, any meth",,,14 ,,RBRVS,0.41 ,0.14 ,0.65 ,,,,,1,1,1,0,1,1,20060825
90911,CPT,Biofeedback peri/uro/rectal,,,14 ,,RBRVS,0.89 ,0.31 ,1.56 ,,,,,1,0,1,1,1,1,20060825
90918,CPT,"ESRD related services, month",,,14 ,,RBRVS,11.16 ,6.13 ,6.13 ,,,,,1,1,1,1,1,1,20060825
90919,CPT,"ESRD related services, month",,,14 ,,RBRVS,8.53 ,4.01 ,4.01 ,,,,,1,1,1,1,1,1,20060825
90920,CPT,"ESRD related services, month",,,14 ,,RBRVS,7.26 ,3.76 ,3.76 ,,,,,1,1,1,1,1,1,20060825
90921,CPT,"ESRD related services, month",,,14 ,,RBRVS,4.46 ,2.45 ,2.45 ,,,,,1,1,1,1,1,1,20060825
90922,CPT,"ESRD related services, day",,,14 ,,RBRVS,0.37 ,0.21 ,0.21 ,,,,,1,1,1,1,1,1,20060825
90923,CPT,"Esrd related services, day",,,14 ,,RBRVS,0.28 ,0.13 ,0.13 ,,,,,1,1,1,1,1,1,20060825
90924,CPT,"Esrd related services, day",,,14 ,,RBRVS,0.24 ,0.12 ,0.12 ,,,,,1,1,1,1,1,1,20060825
90925,CPT,"Esrd related services, day",,,14 ,,RBRVS,0.15 ,0.08 ,0.08 ,,,,,1,0,1,0,1,1,20060825
90935,CPT,"Hemodialysis, one evaluation",,,14 ,,RBRVS,1.22 ,0.67 ,0.67 ,,,,,1,0,1,1,1,1,20060825
90937,CPT,"Hemodialysis, repeated eval",,,14 ,,RBRVS,2.11 ,0.97 ,0.97 ,,,,,1,0,1,1,1,1,20060825
90940,CPT,Hemodialysis access study,26,,14 ,,TotalUnits,,,,0.92 ,,,,1,0,1,1,1,1,20060825
90940,CPT,Hemodialysis access study,TC,,14 ,2,TotalUnits,,,,1.37 ,,,,1,1,1,0,1,1,20060825
90945,CPT,"Dialysis, one evaluation",,,14 ,,RBRVS,1.28 ,0.69 ,0.69 ,,,,,1,0,1,1,1,1,20060825
90947,CPT,"Dialysis, repeated eval",,,14 ,,RBRVS,2.16 ,0.99 ,0.99 ,,,,,1,0,1,1,1,1,20060825
90989,CPT,"Dialysis training, complete",,,14 ,,TotalUnits,,,,14.95 ,,,,1,0,1,1,1,1,20060825
90993,CPT,"Dialysis training, incompl",,,14 ,,TotalUnits,,,,2.52 ,,,,1,0,1,1,1,1,20060825
90997,CPT,Hemoperfusion,,,14 ,,RBRVS,1.84 ,0.66 ,0.66 ,,,,,1,0,1,1,1,1,20060825
90999,CPT,Dialysis procedure,,,14 ,,TotalUnits,,,,3.09 ,,,,1,1,1,0,1,1,20060825
91000,CPT,Esophageal intubation,TC,,14 ,,RBRVS,0.00 ,0.08 ,0.08 ,,,,,1,1,1,0,1,1,20060825
91000,CPT,Esophageal intubation,26,,14 ,,RBRVS,0.73 ,0.25 ,0.25 ,,,,,1,0,1,1,1,1,20060825
91010,CPT,Esophagus motility study,TC,,14 ,,RBRVS,0.00 ,3.98 ,3.98 ,,,,,1,1,1,0,1,1,20060825
91010,CPT,Esophagus motility study,26,,14 ,,RBRVS,1.25 ,0.44 ,0.44 ,,,,,1,0,1,1,1,1,20060825
91011,CPT,Esophagus motility study,TC,,14 ,,RBRVS,0.00 ,4.71 ,4.71 ,,,,,1,1,1,0,1,1,20060825
91011,CPT,Esophagus motility study,26,,14 ,,RBRVS,1.50 ,0.53 ,0.53 ,,,,,1,0,1,1,1,1,20060825
91012,CPT,Esophagus motility study,TC,,14 ,,RBRVS,0.00 ,5.26 ,5.26 ,,,,,1,1,1,0,1,1,20060825
91012,CPT,Esophagus motility study,26,,14 ,,RBRVS,1.46 ,0.51 ,0.51 ,,,,,1,0,1,1,1,1,20060825
91020,CPT,Gastric motility,TC,,14 ,,RBRVS,0.00 ,4.04 ,4.04 ,,,,,1,1,1,0,1,1,20060825
91020,CPT,Gastric motility,26,,14 ,,RBRVS,1.44 ,0.49 ,0.49 ,,,,,1,0,1,1,1,1,20060825
91022,CPT,Duodenal motility study,TC,,14 ,,RBRVS,0.00 ,3.90 ,3.90 ,,,,,1,1,1,0,1,1,20060825
91022,CPT,Duodenal motility study,26,,14 ,,RBRVS,1.44 ,0.51 ,0.51 ,,,,,1,0,1,1,1,1,20060825
91030,CPT,Acid perfusion of esophagus,TC,,14 ,,RBRVS,0.00 ,2.12 ,2.12 ,,,,,1,1,1,0,1,1,20060825
91030,CPT,Acid perfusion of esophagus,26,,14 ,,RBRVS,0.91 ,0.32 ,0.32 ,,,,,1,0,1,1,1,1,20060825
91034,CPT,Gastroesophageal reflux test,TC,,14 ,,RBRVS,0.00 ,4.91 ,4.91 ,,,,,1,1,1,0,1,1,20060825
91034,CPT,Gastroesophageal reflux test,26,,14 ,,RBRVS,0.97 ,0.34 ,0.34 ,,,,,1,0,1,1,1,1,20060825
91035,CPT,G-esoph reflx tst w/electrod,TC,,14 ,,RBRVS,0.00 ,10.27 ,10.27 ,,,,,1,1,1,0,1,1,20060825
91035,CPT,G-esoph reflx tst w/electrod,26,,14 ,,RBRVS,1.59 ,0.56 ,0.56 ,,,,,1,0,1,1,1,1,20060825
91037,CPT,Esoph imped function test,TC,,14 ,,RBRVS,0.00 ,2.60 ,2.60 ,,,,,1,1,1,0,1,1,20060825
91037,CPT,Esoph imped function test,26,,14 ,,RBRVS,0.97 ,0.34 ,0.34 ,,,,,1,0,1,1,1,1,20060825
91038,CPT,Esoph imped funct test > 1h,TC,,14 ,,RBRVS,0.00 ,1.84 ,1.84 ,,,,,1,1,1,0,1,1,20060825
91038,CPT,Esoph imped funct test > 1h,26,,14 ,,RBRVS,1.10 ,0.39 ,0.39 ,,,,,1,0,1,1,1,1,20060825
91040,CPT,Esoph balloon distension tst,TC,,14 ,,RBRVS,0.00 ,10.82 ,10.82 ,,,,,1,1,1,0,1,1,20060825
91040,CPT,Esoph balloon distension tst,26,,14 ,,RBRVS,0.97 ,0.34 ,0.34 ,,,,,1,0,1,1,1,1,20060825
91052,CPT,Gastric analysis test,TC,,14 ,,RBRVS,0.00 ,2.18 ,2.18 ,,,,,1,1,1,0,1,1,20060825
91052,CPT,Gastric analysis test,26,,14 ,,RBRVS,0.79 ,0.28 ,0.28 ,,,,,1,0,1,1,1,1,20060825
91055,CPT,Gastric intubation for smear,TC,,14 ,,RBRVS,0.00 ,2.68 ,2.68 ,,,,,1,1,1,0,1,1,20060825
91055,CPT,Gastric intubation for smear,26,,14 ,,RBRVS,0.94 ,0.27 ,0.27 ,,,,,1,0,1,1,1,1,20060825
91060,CPT,Gastric saline load test,TC,,14 ,,RBRVS,0.00 ,1.83 ,1.83 ,,,,,1,1,1,0,1,1,20060825
91060,CPT,Gastric saline load test,26,,14 ,,RBRVS,0.45 ,0.14 ,0.14 ,,,,,1,0,1,1,1,1,20060825
91065,CPT,Breath hydrogen test,TC,,14 ,,RBRVS,0.00 ,1.39 ,1.39 ,,,,,1,1,1,0,1,1,20060825
91065,CPT,Breath hydrogen test,26,,14 ,,RBRVS,0.20 ,0.07 ,0.07 ,,,,,1,0,1,1,1,1,20060825
91100,CPT,Pass intestine bleeding tube,,,14 ,,RBRVS,1.08 ,0.28 ,2.80 ,,,,,1,0,1,1,1,1,20060825
91105,CPT,Gastric intubation treatment,,,14 ,,RBRVS,0.37 ,0.09 ,2.11 ,,,,,1,0,1,1,1,1,20060825
91110,CPT,Gi tract capsule endoscopy,,,14 ,,RBRVS,3.64 ,22.24 ,22.24 ,,,,,1,0,1,1,1,0,20060825
91110,CPT,Gi tract capsule endoscopy,,,14 ,,RBRVS,3.64 ,22.24 ,22.24 ,,,,,1,0,0,0,0,1,20060825
91120,CPT,Rectal sensation test,,,14 ,,RBRVS,0.97 ,11.01 ,11.01 ,,,,,1,0,1,1,1,0,20060825
91120,CPT,Rectal sensation test,,,14 ,,RBRVS,0.97 ,11.01 ,11.01 ,,,,,1,1,1,0,1,0,20060825
91120,CPT,Rectal sensation test,,,14 ,,RBRVS,0.97 ,11.01 ,11.01 ,,,,,1,0,0,0,0,1,20060825
91122,CPT,Anal pressure record,TC,,14 ,,RBRVS,0.00 ,4.51 ,4.51 ,,,,,1,1,1,0,1,1,20060825
91122,CPT,Anal pressure record,26,,14 ,,RBRVS,1.77 ,0.60 ,0.60 ,,,,,1,0,1,1,1,1,20060825
91123,CPT,Irrigate fecal impaction,,,14 ,,TotalUnits,,,,2.04 ,,,,1,0,1,1,1,1,20060825
91132,CPT,Electrogastrography,26,,14 ,,RBRVS,0.52 ,0.18 ,0.18 ,,,,,1,0,1,1,1,1,20060825
91133,CPT,Electrogastrography w/test,26,,14 ,,RBRVS,0.66 ,0.23 ,0.23 ,,,,,1,0,1,1,1,1,20060825
91299,CPT,Gastroenterology procedure,,,14 ,,TotalUnits,,,,3.96 ,,,,1,1,1,0,1,1,20060825
92002,CPT,"Eye exam, new patient",,,23 ,,RBRVS,0.88 ,0.34 ,0.97 ,,,,,1,0,1,1,1,1,20060825
92004,CPT,"Eye exam, new patient",,,23 ,,RBRVS,1.67 ,0.68 ,1.70 ,,,,,1,0,1,1,1,1,20060825
92012,CPT,Eye exam established pat,,,23 ,,RBRVS,0.67 ,0.29 ,1.03 ,,,,,1,0,1,1,1,1,20060825
92014,CPT,Eye exam & treatment,,,23 ,,RBRVS,1.10 ,0.47 ,1.41 ,,,,,1,0,1,1,1,1,20060825
92015,CPT,Refraction,,,23 ,,RBRVS,0.38 ,0.15 ,1.49 ,,,,,1,0,1,1,1,1,20060825
92018,CPT,New eye exam & treatment,,,14 ,,RBRVS,2.50 ,1.07 ,1.07 ,,,,,1,0,1,1,1,1,20060825
92019,CPT,Eye exam & treatment,,,14 ,,RBRVS,1.31 ,0.56 ,0.56 ,,,,,1,0,1,1,1,1,20060825
92020,CPT,Special eye evaluation,,,14 ,,RBRVS,0.37 ,0.16 ,0.34 ,,,,,1,0,1,1,1,1,20060825
92060,CPT,Special eye evaluation,,,14 ,,RBRVS,0.69 ,0.73 ,0.73 ,,,,,1,0,1,1,1,0,20060825
92060,CPT,Special eye evaluation,,,14 ,,RBRVS,0.69 ,0.73 ,0.73 ,,,,,1,0,0,0,0,1,20060825
92065,CPT,Orthoptic/pleoptic training,,,14 ,,RBRVS,0.37 ,0.53 ,0.53 ,,,,,1,0,1,1,1,0,20060825
92065,CPT,Orthoptic/pleoptic training,,,14 ,,RBRVS,0.37 ,0.53 ,0.53 ,,,,,1,0,0,0,0,1,20060825
92070,CPT,Fitting of contact lens,,,14 ,,RBRVS,0.70 ,0.32 ,1.07 ,,,,,1,0,1,1,1,1,20060825
92081,CPT,Visual field examination(s),TC,,14 ,,RBRVS,0.00 ,0.79 ,0.79 ,,,,,1,1,1,0,1,1,20060825
92081,CPT,Visual field examination(s),26,,14 ,,RBRVS,0.36 ,0.15 ,0.15 ,,,,,1,0,1,1,1,1,20060825
92082,CPT,Visual field examination(s),TC,,14 ,,RBRVS,0.00 ,1.04 ,1.04 ,,,,,1,1,1,0,1,1,20060825
92082,CPT,Visual field examination(s),26,,14 ,,RBRVS,0.44 ,0.19 ,0.19 ,,,,,1,0,1,1,1,1,20060825
92083,CPT,Visual field examination(s),TC,,14 ,,RBRVS,0.00 ,1.21 ,1.21 ,,,,,1,1,1,0,1,1,20060825
92083,CPT,Visual field examination(s),26,,14 ,,RBRVS,0.50 ,0.22 ,0.22 ,,,,,1,0,1,1,1,1,20060825
92100,CPT,Serial tonometry exam(s),,,14 ,,RBRVS,0.92 ,0.36 ,1.35 ,,,,,1,0,1,1,1,1,20060825
92120,CPT,Tonography & eye evaluation,,,14 ,,RBRVS,0.81 ,0.32 ,1.07 ,,,,,1,0,1,1,1,1,20060825
92130,CPT,Water provocation tonography,,,14 ,,RBRVS,0.81 ,0.37 ,1.28 ,,,,,1,0,1,1,1,1,20060825
92135,CPT,Opthalmic dx imaging,TC,,14 ,,RBRVS,0.00 ,0.64 ,0.64 ,,,,,1,1,1,0,1,1,20060825
92135,CPT,Opthalmic dx imaging,26,,14 ,,RBRVS,0.35 ,0.15 ,0.15 ,,,,,1,0,1,1,1,1,20060825
92136,CPT,Ophthalmic biometry,TC,,14 ,,RBRVS,0.00 ,1.41 ,1.41 ,,,,,1,1,1,0,1,1,20060825
92136,CPT,Ophthalmic biometry,26,,14 ,,RBRVS,0.54 ,0.24 ,0.24 ,,,,,1,0,1,1,1,1,20060825
92140,CPT,Glaucoma provocative tests,,,14 ,,RBRVS,0.50 ,0.21 ,0.99 ,,,,,1,0,1,1,1,1,20060825
92225,CPT,"Special eye exam, initial",,,14 ,,RBRVS,0.38 ,0.16 ,0.22 ,,,,,1,0,1,1,1,1,20060825
92226,CPT,"Special eye exam, subsequent",,,14 ,,RBRVS,0.33 ,0.14 ,0.21 ,,,,,1,0,1,1,1,1,20060825
92230,CPT,Eye exam with photos,,,14 ,,RBRVS,0.60 ,0.20 ,1.53 ,,,,,1,0,1,1,1,1,20060825
92235,CPT,Eye exam with photos,TC,,14 ,,RBRVS,0.00 ,2.25 ,2.25 ,,,,,1,1,1,0,1,1,20060825
92235,CPT,Eye exam with photos,26,,14 ,,RBRVS,0.81 ,0.37 ,0.37 ,,,,,1,0,1,1,1,1,20060825
92240,CPT,Icg angiography,TC,,14 ,,RBRVS,0.00 ,5.62 ,5.62 ,,,,,1,1,1,0,1,1,20060825
92240,CPT,Icg angiography,26,,14 ,,RBRVS,1.10 ,0.50 ,0.50 ,,,,,1,0,1,1,1,1,20060825
92250,CPT,Eye exam with photos,TC,,14 ,,RBRVS,0.00 ,1.34 ,1.34 ,,,,,1,1,1,0,1,1,20060825
92250,CPT,Eye exam with photos,26,,14 ,,RBRVS,0.44 ,0.19 ,0.19 ,,,,,1,0,1,1,1,1,20060825
92260,CPT,Ophthalmoscopy/dynamometry,,,14 ,,RBRVS,0.20 ,0.09 ,0.26 ,,,,,1,0,1,1,1,1,20060825
92265,CPT,Eye muscle evaluation,TC,,14 ,,RBRVS,0.00 ,1.21 ,1.21 ,,,,,1,1,1,0,1,1,20060825
92265,CPT,Eye muscle evaluation,26,,14 ,,RBRVS,0.81 ,0.28 ,0.28 ,,,,,1,0,1,1,1,1,20060825
92270,CPT,Electro-oculography,TC,,14 ,,RBRVS,0.00 ,1.20 ,1.20 ,,,,,1,1,1,0,1,1,20060825
92270,CPT,Electro-oculography,26,,14 ,,RBRVS,0.81 ,0.33 ,0.33 ,,,,,1,0,1,1,1,1,20060825
92275,CPT,Electroretinography,TC,,14 ,,RBRVS,0.00 ,1.51 ,1.51 ,,,,,1,1,1,0,1,1,20060825
92275,CPT,Electroretinography,26,,14 ,,RBRVS,1.01 ,0.43 ,0.43 ,,,,,1,0,1,1,1,1,20060825
92283,CPT,Color vision examination,,,14 ,,RBRVS,0.17 ,0.84 ,0.84 ,,,,,1,0,1,1,1,0,20060825
92283,CPT,Color vision examination,,,14 ,,RBRVS,0.17 ,0.84 ,0.84 ,,,,,1,0,0,0,0,1,20060825
92284,CPT,Dark adaptation eye exam,,,14 ,,RBRVS,0.24 ,1.89 ,1.89 ,,,,,1,0,1,1,1,0,20060825
92284,CPT,Dark adaptation eye exam,,,14 ,,RBRVS,0.24 ,1.89 ,1.89 ,,,,,1,0,0,0,0,1,20060825
92285,CPT,Eye photography,TC,,14 ,,RBRVS,0.00 ,0.90 ,0.90 ,,,,,1,1,1,0,1,1,20060825
92285,CPT,Eye photography,26,,14 ,,RBRVS,0.20 ,0.09 ,0.09 ,,,,,1,0,1,1,1,1,20060825
92286,CPT,Internal eye photography,TC,,14 ,,RBRVS,0.00 ,2.77 ,2.77 ,,,,,1,1,1,0,1,1,20060825
92286,CPT,Internal eye photography,26,,14 ,,RBRVS,0.66 ,0.29 ,0.29 ,,,,,1,0,1,1,1,1,20060825
92287,CPT,Internal eye photography,26,,14 ,,TotalUnits,,,,1.50 ,,,,1,0,1,1,1,1,20060825
92287,CPT,Internal eye photography,TC,,14 ,,TotalUnits,,,,2.00 ,,,,1,1,1,0,1,1,20060825
92310,CPT,Contact lens fitting,,,23 ,,RBRVS,1.17 ,0.45 ,1.12 ,,,,,1,0,1,1,1,1,20060825
92311,CPT,Contact lens fitting,,,14 ,,RBRVS,1.08 ,0.35 ,1.09 ,,,,,1,0,1,1,1,1,20060825
92312,CPT,Contact lens fitting,,,14 ,,RBRVS,1.26 ,0.50 ,1.08 ,,,,,1,0,1,1,1,1,20060825
92313,CPT,Contact lens fitting,,,14 ,,RBRVS,0.92 ,0.29 ,1.06 ,,,,,1,0,1,1,1,1,20060825
92314,CPT,Prescription of contact lens,,,23 ,,RBRVS,0.69 ,0.27 ,0.94 ,,,,,1,0,1,1,1,1,20060825
92315,CPT,Prescription of contact lens,,,14 ,,RBRVS,0.45 ,0.16 ,0.85 ,,,,,1,0,1,1,1,1,20060825
92316,CPT,Prescription of contact lens,,,14 ,,RBRVS,0.68 ,0.29 ,0.91 ,,,,,1,0,1,1,1,1,20060825
92317,CPT,Prescription of contact lens,,,14 ,,RBRVS,0.45 ,0.15 ,0.94 ,,,,,1,0,1,1,1,1,20060825
92325,CPT,Modification of contact lens,,,23 ,,RBRVS,0.00 ,0.40 ,0.40 ,,,,,1,1,1,0,1,1,20060825
92326,CPT,Replacement of contact lens,,,23 ,,RBRVS,0.00 ,1.63 ,1.63 ,,,,,1,1,1,0,1,1,20060825
92340,CPT,Fitting of spectacles,,,23 ,,RBRVS,0.37 ,0.14 ,0.70 ,,,,,1,0,1,1,1,1,20060825
92341,CPT,Fitting of spectacles,,,23 ,,RBRVS,0.47 ,0.18 ,0.74 ,,,,,1,0,1,1,1,1,20060825
92342,CPT,Fitting of spectacles,,,23 ,,RBRVS,0.53 ,0.21 ,0.76 ,,,,,1,0,1,1,1,1,20060825
92352,CPT,Special spectacles fitting,,,14 ,,RBRVS,0.37 ,0.14 ,0.68 ,,,,,1,0,1,1,1,1,20060825
92353,CPT,Special spectacles fitting,,,14 ,,RBRVS,0.50 ,0.19 ,0.73 ,,,,,1,0,1,1,1,1,20060825
92354,CPT,Special spectacles fitting,,,14 ,,RBRVS,0.00 ,8.89 ,8.89 ,,,,,1,1,1,0,1,1,20060825
92355,CPT,Special spectacles fitting,,,14 ,,RBRVS,0.00 ,4.34 ,4.34 ,,,,,1,1,1,0,1,1,20060825
92358,CPT,Eye prosthesis service,,,14 ,,RBRVS,0.00 ,0.97 ,0.97 ,,,,,1,1,1,0,1,1,20060825
92370,CPT,Repair & adjust spectacles,,,23 ,,RBRVS,0.32 ,0.13 ,0.55 ,,,,,1,0,1,1,1,1,20060825
92371,CPT,Repair & adjust spectacles,,,14 ,,RBRVS,0.00 ,0.62 ,0.62 ,,,,,1,1,1,0,1,1,20060825
92499,CPT,Eye service or procedure,,,14 ,,TotalUnits,,,,1.15 ,,,,1,0,1,1,1,1,20060825
92502,CPT,Ear and throat examination,,,14 ,,RBRVS,1.51 ,1.11 ,1.11 ,,,,,1,0,1,1,1,1,20060825
92504,CPT,Ear microscopy examination,,,14 ,,RBRVS,0.18 ,0.09 ,0.50 ,,,,,1,0,1,1,1,1,20060825
92506,CPT,Speech/hearing evaluation,,,8 ,,RBRVS,0.86 ,0.40 ,2.60 ,,,,,1,1,1,0,0,1,20060825
92507,CPT,Speech/hearing therapy,,,8 ,,RBRVS,0.52 ,0.23 ,1.11 ,,,,,1,1,1,0,0,1,20060825
92508,CPT,Speech/hearing therapy,,,8 ,,RBRVS,0.26 ,0.12 ,0.51 ,,,,,1,1,1,0,0,1,20060825
92511,CPT,Nasopharyngoscopy,,,14 ,,RBRVS,0.84 ,0.78 ,3.32 ,,,,,1,0,1,1,1,1,20060825
92512,CPT,Nasal function studies,,,14 ,,RBRVS,0.55 ,0.18 ,1.14 ,,,,,1,0,1,1,1,1,20060825
92516,CPT,Facial nerve function test,,,14 ,,RBRVS,0.43 ,0.22 ,1.20 ,,,,,1,0,1,1,1,1,20060825
92520,CPT,Laryngeal function studies,,,14 ,,RBRVS,0.75 ,0.39 ,0.51 ,,,,,1,0,1,1,1,1,20060825
92526,CPT,Oral function therapy,,,14 ,,RBRVS,0.55 ,0.20 ,1.64 ,,,,,1,1,1,0,1,1,20060825
92531,CPT,Spontaneous nystagmus study,,,14 ,,TotalUnits,,,,0.64 ,,,,1,0,1,1,1,1,20060825
92532,CPT,Positional nystagmus test,,,14 ,,TotalUnits,,,,0.75 ,,,,1,0,1,1,1,1,20060825
92533,CPT,Caloric vestibular test,,,14 ,,TotalUnits,,,,1.20 ,,,,1,0,1,1,1,1,20060825
92534,CPT,Optokinetic nystagmus test,,,14 ,,TotalUnits,,,,0.53 ,,,,1,0,1,1,1,1,20060825
92541,CPT,Spontaneous nystagmus test,TC,,14 ,,RBRVS,0.00 ,0.84 ,0.84 ,,,,,1,1,1,0,1,1,20060825
92541,CPT,Spontaneous nystagmus test,26,,14 ,,RBRVS,0.40 ,0.19 ,0.19 ,,,,,1,0,1,1,1,1,20060825
92542,CPT,Positional nystagmus test,TC,,14 ,,RBRVS,0.00 ,0.98 ,0.98 ,,,,,1,1,1,0,1,1,20060825
92542,CPT,Positional nystagmus test,26,,14 ,,RBRVS,0.33 ,0.16 ,0.16 ,,,,,1,0,1,1,1,1,20060825
92543,CPT,Caloric vestibular test,TC,,14 ,,RBRVS,0.00 ,0.52 ,0.52 ,,,,,1,1,1,0,1,1,20060825
92543,CPT,Caloric vestibular test,26,,14 ,,RBRVS,0.10 ,0.05 ,0.05 ,,,,,1,0,1,1,1,1,20060825
92544,CPT,Optokinetic nystagmus test,TC,,14 ,,RBRVS,0.00 ,0.78 ,0.78 ,,,,,1,1,1,0,1,1,20060825
92544,CPT,Optokinetic nystagmus test,26,,14 ,,RBRVS,0.26 ,0.12 ,0.12 ,,,,,1,0,1,1,1,1,20060825
92545,CPT,Oscillating tracking test,TC,,14 ,,RBRVS,0.00 ,0.69 ,0.69 ,,,,,1,1,1,0,1,1,20060825
92545,CPT,Oscillating tracking test,26,,14 ,,RBRVS,0.23 ,0.11 ,0.11 ,,,,,1,0,1,1,1,1,20060825
92546,CPT,Sinusoidal rotational test,TC,,14 ,,RBRVS,0.00 ,1.86 ,1.86 ,,,,,1,1,1,0,1,1,20060825
92546,CPT,Sinusoidal rotational test,26,,14 ,,RBRVS,0.29 ,0.13 ,0.13 ,,,,,1,0,1,1,1,1,20060825
92547,CPT,Supplemental electrical test,,TC,14 ,,RBRVS,0.00 ,0.08 ,0.08 ,,,,,1,1,1,0,1,1,20060825
92548,CPT,Posturography,,,14 ,,RBRVS,0.50 ,2.26 ,2.26 ,,,,,1,0,1,1,1,0,20060825
92548,CPT,Posturography,,,14 ,,RBRVS,0.50 ,2.26 ,2.26 ,,,,,1,0,0,0,0,1,20060825
92551,CPT,"Pure tone hearing test, air",,,8 ,,TotalUnits,,,,0.39 ,,,,1,1,1,0,0,1,20060825
92552,CPT,"Pure tone audiometry, air",,TC,8 ,,RBRVS,0.00 ,0.44 ,0.44 ,,,,,1,1,1,0,0,1,20060825
92553,CPT,"Audiometry, air & bone",,TC,8 ,,RBRVS,0.00 ,0.66 ,0.66 ,,,,,1,1,1,0,0,1,20060825
92555,CPT,Speech threshold audiometry,,TC,8 ,,RBRVS,0.00 ,0.38 ,0.38 ,,,,,1,1,1,0,0,1,20060825
92556,CPT,"Speech audiometry, complete",,TC,8 ,,RBRVS,0.00 ,0.57 ,0.57 ,,,,,1,1,1,0,0,1,20060825
92557,CPT,Comprehensive hearing test,,TC,8 ,,RBRVS,0.00 ,1.19 ,1.19 ,,,,,1,1,1,0,0,1,20060825
92559,CPT,Group audiometric testing,,,8 ,,TotalUnits,,,,1.26 ,,,,1,1,1,0,0,1,20060825
92560,CPT,"Bekesy audiometry, screen",,,8 ,,TotalUnits,,,,0.75 ,,,,1,1,1,0,0,1,20060825
92561,CPT,"Bekesy audiometry, diagnosis",,TC,8 ,,RBRVS,0.00 ,0.72 ,0.72 ,,,,,1,1,1,0,0,1,20060825
92562,CPT,Loudness balance test,,TC,8 ,,RBRVS,0.00 ,0.41 ,0.41 ,,,,,1,1,1,0,0,1,20060825
92563,CPT,Tone decay hearing test,,TC,8 ,,RBRVS,0.00 ,0.38 ,0.38 ,,,,,1,1,1,0,0,1,20060825
92564,CPT,Sisi hearing test,,TC,8 ,,RBRVS,0.00 ,0.47 ,0.47 ,,,,,1,1,1,0,0,1,20060825
92565,CPT,"Stenger test, pure tone",,TC,8 ,,RBRVS,0.00 ,0.40 ,0.40 ,,,,,1,1,1,0,0,1,20060825
92567,CPT,Tympanometry,,TC,8 ,,RBRVS,0.00 ,0.52 ,0.52 ,,,,,1,1,1,0,0,1,20060825
92568,CPT,Acoustic reflex testing,,TC,8 ,,RBRVS,0.00 ,0.38 ,0.38 ,,,,,1,1,1,0,0,1,20060825
92569,CPT,Acoustic reflex decay test,,TC,8 ,,RBRVS,0.00 ,0.41 ,0.41 ,,,,,1,1,1,0,0,1,20060825
92571,CPT,Filtered speech hearing test,,TC,8 ,,RBRVS,0.00 ,0.39 ,0.39 ,,,,,1,1,1,0,0,1,20060825
92572,CPT,Staggered spondaic word test,,TC,8 ,,RBRVS,0.00 ,0.09 ,0.09 ,,,,,1,1,1,0,0,1,20060825
92573,CPT,Lombard test,,TC,8 ,,RBRVS,0.00 ,0.35 ,0.35 ,,,,,1,1,1,0,0,1,20060825
92575,CPT,Sensorineural acuity test,,TC,8 ,,RBRVS,0.00 ,0.30 ,0.30 ,,,,,1,1,1,0,0,1,20060825
92576,CPT,Synthetic sentence test,,TC,8 ,,RBRVS,0.00 ,0.44 ,0.44 ,,,,,1,1,1,0,0,1,20060825
92577,CPT,"Stenger test, speech",,TC,8 ,,RBRVS,0.00 ,0.72 ,0.72 ,,,,,1,1,1,0,0,1,20060825
92579,CPT,Visual audiometry (vra),,TC,8 ,,RBRVS,0.00 ,0.73 ,0.73 ,,,,,1,1,1,0,0,1,20060825
92582,CPT,Conditioning play audiometry,,TC,8 ,,RBRVS,0.00 ,0.73 ,0.73 ,,,,,1,1,1,0,0,1,20060825
92583,CPT,Select picture audiometry,,TC,8 ,,RBRVS,0.00 ,0.89 ,0.89 ,,,,,1,1,1,0,0,1,20060825
92584,CPT,Electrocochleography,,TC,8 ,,RBRVS,0.00 ,2.48 ,2.48 ,,,,,1,1,1,0,0,1,20060825
92585,CPT,"Auditor evoke potent, compre",TC,,8 ,,RBRVS,0.00 ,1.86 ,1.86 ,,,,,1,1,1,0,1,1,20060825
92585,CPT,"Auditor evoke potent, compre",26,,8 ,,RBRVS,0.50 ,0.21 ,0.21 ,,,,,1,0,1,1,1,1,20060825
92586,CPT,"Auditor evoke potent, limit",,TC,8 ,,RBRVS,0.00 ,1.86 ,1.86 ,,,,,1,1,1,0,0,1,20060825
92587,CPT,Evoked auditory test,TC,,8 ,,RBRVS,0.00 ,1.31 ,1.31 ,,,,,1,1,1,0,1,1,20060825
92587,CPT,Evoked auditory test,26,,8 ,,RBRVS,0.13 ,0.06 ,0.06 ,,,,,1,0,1,1,1,1,20060825
92588,CPT,Evoked auditory test,TC,,8 ,,RBRVS,0.00 ,1.47 ,1.47 ,,,,,1,1,1,0,1,1,20060825
92588,CPT,Evoked auditory test,26,,8 ,,RBRVS,0.36 ,0.16 ,0.16 ,,,,,1,0,1,1,1,1,20060825
92590,CPT,"Hearing aid exam, one ear",,,8 ,,TotalUnits,,,,1.51 ,,,,1,1,1,0,0,1,20060825
92591,CPT,"Hearing aid exam, both ears",,,8 ,,TotalUnits,,,,2.26 ,,,,1,1,1,0,0,1,20060825
92592,CPT,"Hearing aid check, one ear",,,8 ,,TotalUnits,,,,0.66 ,,,,1,1,1,0,0,1,20060825
92593,CPT,"Hearing aid check, both ears",,,8 ,,TotalUnits,,,,0.99 ,,,,1,1,1,0,0,1,20060825
92594,CPT,"Electro hearng aid test, one",,,8 ,,TotalUnits,,,,0.72 ,,,,1,1,1,0,0,1,20060825
92595,CPT,"Electro hearng aid tst, both",,,8 ,,TotalUnits,,,,1.08 ,,,,1,1,1,0,0,1,20060825
92596,CPT,Ear protector evaluation,,TC,8 ,,RBRVS,0.00 ,0.59 ,0.59 ,,,,,1,1,1,0,0,1,20060825
92597,CPT,Oral speech device eval,,,8 ,,RBRVS,0.86 ,0.45 ,1.69 ,,,,,1,1,1,0,0,1,20060825
92601,CPT,Cochlear implt f/up exam < 7,,,14 ,,RBRVS,0.00 ,3.51 ,3.51 ,,,,,1,1,1,0,0,1,20060825
92602,CPT,Reprogram cochlear implt < 7,,,14 ,,RBRVS,0.00 ,2.39 ,2.39 ,,,,,1,1,1,0,0,1,20060825
92603,CPT,Cochlear implt f/up exam 7 >,,,14 ,,RBRVS,0.00 ,2.15 ,2.15 ,,,,,1,1,1,0,0,1,20060825
92604,CPT,Reprogram cochlear implt 7 >,,,14 ,,RBRVS,0.00 ,1.35 ,1.35 ,,,,,1,1,1,0,0,1,20060825
92607,CPT,"Ex for speech device rx, 1hr",,,14 ,,RBRVS,0.00 ,3.09 ,3.09 ,,,,,1,1,1,0,0,1,20060825
92608,CPT,Ex for speech device rx addl,,,14 ,,RBRVS,0.00 ,0.55 ,0.55 ,,,,,1,1,1,0,0,1,20060825
92609,CPT,Use of speech device service,,,14 ,,RBRVS,0.00 ,1.59 ,1.59 ,,,,,1,1,1,0,0,1,20060825
92610,CPT,Evaluate swallowing function,,,14 ,,RBRVS,0.00 ,3.44 ,3.44 ,,,,,1,1,1,0,0,1,20060825
92611,CPT,Motion fluoroscopy/swallow,,,14 ,,RBRVS,0.00 ,3.44 ,3.44 ,,,,,1,1,1,0,0,1,20060825
92612,CPT,Endoscopy swallow tst (fees),,,14 ,,RBRVS,1.27 ,0.66 ,2.75 ,,,,,1,1,1,0,1,1,20060825
92613,CPT,Endoscopy swallow tst (fees),,,14 ,,RBRVS,0.71 ,0.39 ,0.40 ,,,,,1,0,1,1,1,1,20060825
92614,CPT,Laryngoscopic sensory test,,,14 ,,RBRVS,1.27 ,0.66 ,2.51 ,,,,,1,1,1,0,1,1,20060825
92615,CPT,Eval laryngoscopy sense tst,,,14 ,,RBRVS,0.63 ,0.35 ,0.35 ,,,,,1,0,1,1,1,1,20060825
92616,CPT,Fees w/laryngeal sense test,,,14 ,,RBRVS,1.88 ,0.99 ,3.40 ,,,,,1,1,1,0,1,1,20060825
92617,CPT,Interprt fees/laryngeal test,,,14 ,,RBRVS,0.79 ,0.44 ,0.44 ,,,,,1,0,1,1,1,1,20060825
92620,CPT,"Auditory function, 60 min",,,8 ,,RBRVS,0.00 ,1.14 ,1.14 ,,,,,1,1,1,0,1,1,20060825
92621,CPT,"Auditory function, + 15 min",,,8 ,,RBRVS,0.00 ,0.25 ,0.25 ,,,,,1,1,1,0,1,1,20060825
92625,CPT,Tinnitus assessment,,,8 ,,RBRVS,0.00 ,1.12 ,1.12 ,,,,,1,1,1,0,1,1,20060825
92626,CPT,Eval aud rehab status,,,14 ,,RBRVS,0.00 ,0.55 ,0.55 ,,,,,1,1,1,0,1,1,20060825
92700,CPT,Ent procedure/service,,,14 ,,TotalUnits,,,,0.46 ,,,,1,0,1,1,1,1,20060825
92950,CPT,Heart/lung resuscitation cpr,,,4 ,,RBRVS,3.79 ,0.97 ,4.21 ,,,,,1,0,1,1,1,1,20060825
92953,CPT,Temporary external pacing,,,4 ,,RBRVS,0.23 ,0.07 ,0.07 ,,,,,1,0,1,1,1,1,20060825
92960,CPT,"Cardioversion electric, ext",,,4 ,,RBRVS,2.25 ,1.17 ,6.33 ,,,,,1,0,1,1,1,1,20060825
92961,CPT,"Cardioversion, electric, int",TC,,4 ,,TotalUnits,,,,3.01 ,,,,1,1,1,0,1,1,20060825
92961,CPT,"Cardioversion, electric, int",26,,4 ,,TotalUnits,,,,3.67 ,,,,1,0,1,1,1,1,20060825
92970,CPT,"Cardioassist, internal",,,4 ,,RBRVS,3.51 ,1.06 ,1.06 ,,,,,1,0,1,1,1,1,20060825
92971,CPT,"Cardioassist, external",,,4 ,,RBRVS,1.77 ,0.85 ,0.85 ,,,,,1,0,1,1,1,1,20060825
92973,CPT,Percut coronary thrombectomy,,,21 ,,RBRVS,3.28 ,1.29 ,1.29 ,,,,,1,0,1,1,1,1,20060825
92974,CPT,"Cath place, cardio brachytx",,,21 ,,RBRVS,3.00 ,1.18 ,1.18 ,,,,,1,0,1,1,1,1,20060825
92975,CPT,"Dissolve clot, heart vessel",,,4 ,,RBRVS,7.24 ,2.82 ,2.82 ,,,,,1,0,1,1,1,1,20060825
92977,CPT,"Dissolve clot, heart vessel",,,4 ,,RBRVS,0.00 ,8.07 ,8.07 ,,,,,1,0,1,1,1,1,20060825
92978,CPT,"Intravasc us, heart add-on",TC,,4 ,,RBRVS,0.00 ,4.57 ,4.57 ,,,,,1,1,1,0,1,1,20060825
92978,CPT,"Intravasc us, heart add-on",26,,4 ,,RBRVS,1.80 ,0.71 ,0.71 ,,,,,1,0,1,1,1,1,20060825
92979,CPT,"Intravasc us, heart add-on",TC,,4 ,,RBRVS,0.00 ,2.30 ,2.30 ,,,,,1,1,1,0,1,1,20060825
92979,CPT,"Intravasc us, heart add-on",26,,4 ,,RBRVS,1.44 ,0.56 ,0.56 ,,,,,1,0,1,1,1,1,20060825
92980,CPT,Insert intracoronary stent,,,21 ,,RBRVS,14.82 ,6.07 ,6.07 ,,,,,1,0,1,1,1,1,20060825
92981,CPT,Insert intracoronary stent,,,21 ,,RBRVS,4.16 ,1.63 ,1.63 ,,,,,1,0,1,1,1,1,20060825
92982,CPT,Coronary artery dilation,,,21 ,,RBRVS,10.96 ,4.54 ,4.54 ,,,,,1,0,1,1,1,1,20060825
92984,CPT,Coronary artery dilation,,,21 ,,RBRVS,2.97 ,1.16 ,1.16 ,,,,,1,0,1,1,1,1,20060825
92986,CPT,Revision of aortic valve,,,21 ,,RBRVS,21.77 ,11.86 ,11.86 ,,,,,1,0,1,1,1,1,20060825
92987,CPT,Revision of mitral valve,,,21 ,,RBRVS,22.67 ,12.25 ,12.25 ,,,,,1,0,1,1,1,1,20060825
92990,CPT,Revision of pulmonary valve,,,21 ,,RBRVS,17.31 ,9.82 ,9.82 ,,,,,1,0,1,1,1,1,20060825
92992,CPT,Revision of heart chamber,,,21 ,,TotalUnits,,,,36.93 ,,,,1,0,1,1,1,1,20060825
92993,CPT,Revision of heart chamber,,,21 ,,TotalUnits,,,,25.88 ,,,,1,0,1,1,1,1,20060825
92995,CPT,Coronary atherectomy,,,21 ,,RBRVS,12.07 ,4.97 ,4.97 ,,,,,1,0,1,1,1,1,20060825
92996,CPT,Coronary atherectomy add-on,,,21 ,,RBRVS,3.26 ,1.27 ,1.27 ,,,,,1,0,1,1,1,1,20060825
92997,CPT,"Pul art balloon repr, percut",,,21 ,,RBRVS,11.98 ,4.83 ,4.83 ,,,,,1,0,1,1,1,1,20060825
92998,CPT,"Pul art balloon repr, percut",,,21 ,,RBRVS,5.99 ,2.21 ,2.21 ,,,,,1,0,1,1,1,1,20060825
93000,CPT,"Electrocardiogram, complete",,,4 ,,RBRVS,0.17 ,0.51 ,0.51 ,,,,,1,0,0,0,0,1,20060825
93005,CPT,"Electrocardiogram, tracing",,TC,4 ,,RBRVS,0.00 ,0.45 ,0.45 ,,,,,1,1,1,0,1,1,20060825
93010,CPT,Electrocardiogram report,,PC,4 ,,RBRVS,0.17 ,0.06 ,0.06 ,,,,,1,0,1,1,1,1,20060825
93012,CPT,Transmission of ecg,,TC,4 ,2,RBRVS,0.00 ,6.03 ,6.03 ,,,,,1,1,1,0,1,1,20060825
93014,CPT,Report on transmitted ecg,,PC,4 ,,RBRVS,0.52 ,0.19 ,0.19 ,,,,,1,0,1,1,1,1,20060825
93015,CPT,Cardiovascular stress test,,,4 ,,RBRVS,0.75 ,1.96 ,1.96 ,,,,,1,0,0,0,0,1,20060825
93016,CPT,Cardiovascular stress test,,PC,4 ,,RBRVS,0.45 ,0.17 ,0.17 ,,,,,1,0,1,1,1,1,20060825
93017,CPT,Cardiovascular stress test,,TC,4 ,,RBRVS,0.00 ,1.68 ,1.68 ,,,,,1,1,1,0,1,1,20060825
93018,CPT,Cardiovascular stress test,,PC,4 ,,RBRVS,0.30 ,0.11 ,0.11 ,,,,,1,0,1,1,1,1,20060825
93024,CPT,Cardiac drug stress test,TC,,4 ,,RBRVS,0.00 ,1.12 ,1.12 ,,,,,1,1,1,0,1,1,20060825
93024,CPT,Cardiac drug stress test,26,,4 ,,RBRVS,1.17 ,0.45 ,0.45 ,,,,,1,0,1,1,1,1,20060825
93025,CPT,Microvolt t-wave assess,TC,,4 ,,RBRVS,0.00 ,7.32 ,7.32 ,,,,,1,1,1,0,1,0,20060825
93025,CPT,Microvolt t-wave assess,,,4 ,,RBRVS,0.75 ,7.61 ,7.61 ,,,,,1,0,1,1,1,1,20060825
93040,CPT,Rhythm ECG with report,,,4 ,,RBRVS,0.16 ,0.20 ,0.20 ,,,,,1,0,0,0,0,1,20060825
93041,CPT,"Rhythm ECG, tracing",,TC,4 ,,RBRVS,0.00 ,0.15 ,0.15 ,,,,,1,1,1,0,1,1,20060825
93042,CPT,"Rhythm ECG, report",,PC,4 ,,RBRVS,0.16 ,0.05 ,0.05 ,,,,,1,0,1,1,1,1,20060825
93224,CPT,"ECG monitor/report, 24 hrs",,,4 ,,RBRVS,0.52 ,3.62 ,3.62 ,,,,,1,0,0,0,0,1,20060825
93225,CPT,"ECG monitor/record, 24 hrs",,TC,4 ,,RBRVS,0.00 ,1.24 ,1.24 ,,,,,1,1,1,0,1,1,20060825
93226,CPT,"ECG monitor/report, 24 hrs",,TC,4 ,,RBRVS,0.00 ,2.19 ,2.19 ,,,,,1,1,1,0,1,1,20060825
93227,CPT,"ECG monitor/review, 24 hrs",,PC,4 ,,RBRVS,0.52 ,0.19 ,0.19 ,,,,,1,0,1,1,1,1,20060825
93230,CPT,"ECG monitor/report, 24 hrs",,,4 ,,RBRVS,0.52 ,3.90 ,3.90 ,,,,,1,0,0,0,0,1,20060825
93231,CPT,"Ecg monitor/record, 24 hrs",,TC,4 ,,RBRVS,0.00 ,1.52 ,1.52 ,,,,,1,1,1,0,1,1,20060825
93232,CPT,"ECG monitor/report, 24 hrs",,TC,4 ,1,RBRVS,0.00 ,2.19 ,2.19 ,,,,,1,1,1,0,1,1,20060825
93233,CPT,"ECG monitor/review, 24 hrs",,PC,4 ,,RBRVS,0.52 ,0.19 ,0.19 ,,,,,1,0,1,1,1,1,20060825
93235,CPT,"ECG monitor/report, 24 hrs",,,4 ,,RBRVS,0.45 ,2.79 ,2.79 ,,,,,1,0,0,0,0,1,20060825
93236,CPT,"ECG monitor/report, 24 hrs",,TC,4 ,,RBRVS,0.00 ,2.63 ,2.63 ,,,,,1,1,1,0,1,1,20060825
93237,CPT,"ECG monitor/review, 24 hrs",,PC,4 ,,RBRVS,0.45 ,0.16 ,0.16 ,,,,,1,0,1,1,1,1,20060825
93268,CPT,ECG record/review,,,4 ,,RBRVS,0.52 ,7.46 ,7.46 ,,,,,1,0,0,0,0,1,20060825
93270,CPT,ECG recording,,TC,4 ,,RBRVS,0.00 ,1.24 ,1.24 ,,,,,1,1,1,0,1,1,20060825
93271,CPT,Ecg/monitoring and analysis,,TC,4 ,,RBRVS,0.00 ,6.03 ,6.03 ,,,,,1,1,1,0,1,1,20060825
93272,CPT,"Ecg/review, interpret only",,PC,4 ,,RBRVS,0.52 ,0.19 ,0.19 ,,,,,1,0,1,1,1,1,20060825
93278,CPT,ECG/signal-averaged,TC,,4 ,,RBRVS,0.00 ,1.15 ,1.15 ,,,,,1,1,1,0,1,1,20060825
93278,CPT,ECG/signal-averaged,26,,4 ,,RBRVS,0.25 ,0.10 ,0.10 ,,,,,1,0,1,1,1,1,20060825
93303,CPT,Echo transthoracic,TC,,4 ,,RBRVS,0.00 ,3.87 ,3.87 ,,,,,1,1,1,0,1,1,20060825
93303,CPT,Echo transthoracic,26,,4 ,,RBRVS,1.30 ,0.48 ,0.48 ,,,,,1,0,1,1,1,1,20060825
93304,CPT,Echo transthoracic,TC,,4 ,,RBRVS,0.00 ,1.95 ,1.95 ,,,,,1,1,1,0,1,1,20060825
93304,CPT,Echo transthoracic,26,,4 ,,RBRVS,0.75 ,0.28 ,0.28 ,,,,,1,0,1,1,1,1,20060825
93307,CPT,Echo exam of heart,TC,,4 ,,RBRVS,0.00 ,3.87 ,3.87 ,,,,,1,1,1,0,1,1,20060825
93307,CPT,Echo exam of heart,26,,4 ,,RBRVS,0.92 ,0.35 ,0.35 ,,,,,1,0,1,1,1,1,20060825
93308,CPT,Echo exam of heart,TC,,4 ,,RBRVS,0.00 ,1.95 ,1.95 ,,,,,1,1,1,0,1,1,20060825
93308,CPT,Echo exam of heart,26,,4 ,,RBRVS,0.53 ,0.20 ,0.20 ,,,,,1,0,1,1,1,1,20060825
93312,CPT,Echo transesophageal,TC,,4 ,,RBRVS,0.00 ,3.79 ,3.79 ,,,,,1,1,1,0,1,1,20060825
93312,CPT,Echo transesophageal,26,,4 ,,RBRVS,2.20 ,0.79 ,0.79 ,,,,,1,0,1,1,1,1,20060825
93313,CPT,Echo transesophageal,,,4 ,,RBRVS,0.95 ,0.21 ,0.21 ,,,,,1,0,1,1,1,1,20060825
93314,CPT,Echo transesophageal,TC,,4 ,2,RBRVS,0.00 ,3.79 ,3.79 ,,,,,1,1,1,0,1,1,20060825
93314,CPT,Echo transesophageal,26,,4 ,,RBRVS,1.25 ,0.47 ,0.47 ,,,,,1,0,1,1,1,1,20060825
93315,CPT,Echo transesophageal,TC,,4 ,,TotalUnits,,,,4.19 ,,,,1,1,1,0,1,1,20060825
93315,CPT,Echo transesophageal,26,,4 ,,RBRVS,2.78 ,1.01 ,1.01 ,,,,,1,0,1,1,1,1,20060825
93316,CPT,Echo transesophageal,,,4 ,,RBRVS,0.95 ,0.24 ,0.24 ,,,,,1,0,1,1,1,1,20060825
93317,CPT,Echo transesophageal,TC,,4 ,2,TotalUnits,,,,3.43 ,,,,1,1,1,0,1,1,20060825
93317,CPT,Echo transesophageal,26,,4 ,,RBRVS,1.83 ,0.67 ,0.67 ,,,,,1,0,1,1,1,1,20060825
93318,CPT,Echo transesophageal intraop,TC,,4 ,,TotalUnits,,,,3.81 ,,,,1,1,1,0,1,1,20060825
93318,CPT,Echo transesophageal intraop,26,,4 ,,RBRVS,2.20 ,0.48 ,0.48 ,,,,,1,0,1,1,1,1,20060825
93320,CPT,"Doppler echo exam, heart",TC,,4 ,,RBRVS,0.00 ,1.71 ,1.71 ,,,,,1,1,1,0,1,1,20060825
93320,CPT,"Doppler echo exam, heart",26,,4 ,,RBRVS,0.38 ,0.15 ,0.15 ,,,,,1,0,1,1,1,1,20060825
93321,CPT,"Doppler echo exam, heart",TC,,4 ,,RBRVS,0.00 ,1.11 ,1.11 ,,,,,1,1,1,0,1,1,20060825
93321,CPT,"Doppler echo exam, heart",26,,4 ,,RBRVS,0.15 ,0.06 ,0.06 ,,,,,1,0,1,1,1,1,20060825
93325,CPT,Doppler color flow add-on,TC,,4 ,,RBRVS,0.00 ,2.91 ,2.91 ,,,,,1,1,1,0,1,1,20060825
93325,CPT,Doppler color flow add-on,26,,4 ,,RBRVS,0.07 ,0.03 ,0.03 ,,,,,1,0,1,1,1,1,20060825
93350,CPT,Echo transthoracic,TC,,4 ,,RBRVS,0.00 ,1.77 ,1.77 ,,,,,1,1,1,0,1,1,20060825
93350,CPT,Echo transthoracic,26,,4 ,,RBRVS,1.48 ,0.57 ,0.57 ,,,,,1,0,1,1,1,1,20060825
93501,CPT,Right heart catheterization,TC,,21 ,,RBRVS,0.00 ,16.95 ,16.95 ,,,,,1,1,1,0,1,1,20060825
93501,CPT,Right heart catheterization,26,,21 ,,RBRVS,3.02 ,1.15 ,1.15 ,,,,,1,0,1,1,1,1,20060825
93503,CPT,Insert/place heart catheter,,,21 ,,RBRVS,2.91 ,0.68 ,0.68 ,,,,,1,0,1,1,1,1,20060825
93505,CPT,Biopsy of heart lining,TC,,21 ,,RBRVS,0.00 ,1.99 ,1.99 ,,,,,1,1,1,0,1,1,20060825
93505,CPT,Biopsy of heart lining,26,,21 ,,RBRVS,4.37 ,1.68 ,1.68 ,,,,,1,0,1,1,1,1,20060825
93508,CPT,"Cath placement, angiography",TC,,21 ,,RBRVS,0.00 ,12.64 ,12.64 ,,,,,1,1,1,0,1,1,20060825
93508,CPT,"Cath placement, angiography",26,,21 ,,RBRVS,4.09 ,2.09 ,2.09 ,,,,,1,0,1,1,1,1,20060825
93510,CPT,Left heart catheterization,TC,,21 ,,RBRVS,0.00 ,37.06 ,37.06 ,,,,,1,1,1,0,1,1,20060825
93510,CPT,Left heart catheterization,26,,21 ,,RBRVS,4.32 ,2.18 ,2.18 ,,,,,1,0,1,1,1,1,20060825
93511,CPT,Left heart catheterization,TC,,21 ,,RBRVS,0.00 ,36.07 ,36.07 ,,,,,1,1,1,0,1,1,20060825
93511,CPT,Left heart catheterization,26,,21 ,,RBRVS,5.02 ,2.45 ,2.45 ,,,,,1,0,1,1,1,1,20060825
93514,CPT,Left heart catheterization,26,,21 ,,RBRVS,7.04 ,3.13 ,3.13 ,,,,,1,0,1,1,1,1,20060825
93524,CPT,Left heart catheterization,TC,,21 ,,RBRVS,0.00 ,47.14 ,47.14 ,,,,,1,1,1,0,1,1,20060825
93524,CPT,Left heart catheterization,26,,21 ,,RBRVS,6.94 ,3.18 ,3.18 ,,,,,1,0,1,1,1,1,20060825
93526,CPT,Rt & Lt heart catheters,TC,,21 ,,RBRVS,0.00 ,48.43 ,48.43 ,,,,,1,1,1,0,1,1,20060825
93526,CPT,Rt & Lt heart catheters,26,,21 ,,RBRVS,5.98 ,2.82 ,2.82 ,,,,,1,0,1,1,1,1,20060825
93527,CPT,Rt & Lt heart catheters,TC,,21 ,,RBRVS,0.00 ,47.14 ,47.14 ,,,,,1,1,1,0,1,1,20060825
93527,CPT,Rt & Lt heart catheters,26,,21 ,,RBRVS,7.27 ,3.32 ,3.32 ,,,,,1,0,1,1,1,1,20060825
93528,CPT,Rt & Lt heart catheters,TC,,21 ,,RBRVS,0.00 ,47.14 ,47.14 ,,,,,1,1,1,0,1,1,20060825
93528,CPT,Rt & Lt heart catheters,26,,21 ,,RBRVS,8.99 ,4.04 ,4.04 ,,,,,1,0,1,1,1,1,20060825
93529,CPT,"Rt, lt heart catheterization",TC,,21 ,,RBRVS,0.00 ,47.14 ,47.14 ,,,,,1,1,1,0,1,1,20060825
93529,CPT,"Rt, lt heart catheterization",26,,21 ,,RBRVS,4.79 ,2.28 ,2.28 ,,,,,1,0,1,1,1,1,20060825
93530,CPT,"Rt heart cath, congenital",TC,,21 ,,RBRVS,0.00 ,16.95 ,16.95 ,,,,,1,1,1,0,1,1,20060825
93530,CPT,"Rt heart cath, congenital",26,,21 ,,RBRVS,4.22 ,1.94 ,1.94 ,,,,,1,0,1,1,1,1,20060825
93531,CPT,"R & l heart cath, congenital",TC,,21 ,,RBRVS,0.00 ,48.43 ,48.43 ,,,,,1,1,1,0,1,1,20060825
93531,CPT,"R & l heart cath, congenital",26,,21 ,,RBRVS,8.34 ,3.59 ,3.59 ,,,,,1,0,1,1,1,1,20060825
93532,CPT,"R & l heart cath, congenital",26,,21 ,,RBRVS,9.99 ,4.26 ,4.26 ,,,,,1,0,1,1,1,1,20060825
93533,CPT,"R & l heart cath, congenital",26,,21 ,,RBRVS,6.69 ,2.80 ,2.80 ,,,,,1,0,1,1,1,1,20060825
93539,CPT,"Injection, cardiac cath",,,4 ,,RBRVS,0.40 ,0.16 ,0.16 ,,,,,1,0,1,1,1,1,20060825
93540,CPT,"Injection, cardiac cath",,,4 ,,RBRVS,0.43 ,0.17 ,0.17 ,,,,,1,0,1,1,1,1,20060825
93541,CPT,Injection for lung angiogram,,,4 ,,RBRVS,0.29 ,0.11 ,0.11 ,,,,,1,0,1,1,1,1,20060825
93542,CPT,Injection for heart x-rays,,,4 ,,RBRVS,0.29 ,0.11 ,0.11 ,,,,,1,0,1,1,1,1,20060825
93543,CPT,Injection for heart x-rays,,,4 ,,RBRVS,0.29 ,0.11 ,0.11 ,,,,,1,0,1,1,1,1,20060825
93544,CPT,Injection for aortography,,,4 ,,RBRVS,0.25 ,0.10 ,0.10 ,,,,,1,0,1,1,1,1,20060825
93545,CPT,Inject for coronary x-rays,,,4 ,,RBRVS,0.40 ,0.16 ,0.16 ,,,,,1,0,1,1,1,1,20060825
93555,CPT,"Imaging, cardiac cath",TC,,4 ,2,RBRVS,0.00 ,6.29 ,6.29 ,,,,,1,1,1,0,1,1,20060825
93555,CPT,"Imaging, cardiac cath",26,,4 ,,RBRVS,0.81 ,0.32 ,0.32 ,,,,,1,0,1,1,1,1,20060825
93556,CPT,"Imaging, cardiac cath",TC,,4 ,2,RBRVS,0.00 ,9.92 ,9.92 ,,,,,1,1,1,0,1,1,20060825
93556,CPT,"Imaging, cardiac cath",26,,4 ,,RBRVS,0.83 ,0.32 ,0.32 ,,,,,1,0,1,1,1,1,20060825
93561,CPT,Cardiac output measurement,TC,,21 ,2,RBRVS,0.00 ,0.52 ,0.52 ,,,,,1,1,1,0,1,1,20060825
93561,CPT,Cardiac output measurement,26,,21 ,,RBRVS,0.50 ,0.16 ,0.16 ,,,,,1,0,1,1,1,1,20060825
93562,CPT,Cardiac output measurement,TC,,21 ,2,RBRVS,0.00 ,0.32 ,0.32 ,,,,,1,1,1,0,1,1,20060825
93562,CPT,Cardiac output measurement,26,,21 ,,RBRVS,0.16 ,0.05 ,0.05 ,,,,,1,0,1,1,1,1,20060825
93571,CPT,Heart flow reserve measure,,,21 ,,RBRVS,1.80 ,5.25 ,5.25 ,,,,,1,0,1,1,1,0,20060825
93571,CPT,Heart flow reserve measure,,,21 ,,RBRVS,1.80 ,5.25 ,5.25 ,,,,,1,0,0,0,0,1,20060825
93572,CPT,Heart flow reserve measure,26,,21 ,,RBRVS,1.44 ,0.50 ,0.50 ,,,,,1,0,1,1,1,1,20060825
93580,CPT,Transcath closure of asd,,,21 ,,RBRVS,17.97 ,7.40 ,7.40 ,,,,,1,0,1,1,1,1,20060825
93581,CPT,Transcath closure of vsd,,,21 ,,RBRVS,24.39 ,9.42 ,9.42 ,,,,,1,0,1,1,1,1,20060825
93600,CPT,Bundle of His recording,TC,,4 ,,RBRVS,0.00 ,1.96 ,1.96 ,,,,,1,1,1,0,1,1,20060825
93600,CPT,Bundle of His recording,26,,4 ,,RBRVS,2.12 ,0.83 ,0.83 ,,,,,1,0,1,1,1,1,20060825
93602,CPT,Intra-atrial recording,TC,,4 ,,RBRVS,0.00 ,1.11 ,1.11 ,,,,,1,1,1,0,1,1,20060825
93602,CPT,Intra-atrial recording,26,,4 ,,RBRVS,2.12 ,0.82 ,0.82 ,,,,,1,0,1,1,1,1,20060825
93603,CPT,Right ventricular recording,TC,,4 ,,RBRVS,0.00 ,1.68 ,1.68 ,,,,,1,1,1,0,1,1,20060825
93603,CPT,Right ventricular recording,26,,4 ,,RBRVS,2.12 ,0.81 ,0.81 ,,,,,1,0,1,1,1,1,20060825
93609,CPT,"Map tachycardia, add-on",TC,,4 ,,RBRVS,0.00 ,2.73 ,2.73 ,,,,,1,1,1,0,1,1,20060825
93609,CPT,"Map tachycardia, add-on",26,,4 ,,RBRVS,4.99 ,1.96 ,1.96 ,,,,,1,0,1,1,1,1,20060825
93610,CPT,Intra-atrial pacing,TC,,4 ,,RBRVS,0.00 ,1.35 ,1.35 ,,,,,1,1,1,0,1,1,20060825
93610,CPT,Intra-atrial pacing,26,,4 ,,RBRVS,3.02 ,1.16 ,1.16 ,,,,,1,0,1,1,1,1,20060825
93612,CPT,Intraventricular pacing,TC,,4 ,,RBRVS,0.00 ,1.61 ,1.61 ,,,,,1,1,1,0,1,1,20060825
93612,CPT,Intraventricular pacing,26,,4 ,,RBRVS,3.02 ,1.16 ,1.16 ,,,,,1,0,1,1,1,1,20060825
93613,CPT,"Electrophys map 3d, add-on",TC,,4 ,,TotalUnits,,,,0.98 ,,,,1,1,1,0,1,1,20060825
93613,CPT,"Electrophys map 3d, add-on",26,,4 ,,TotalUnits,,,,5.36 ,,,,1,0,1,1,1,1,20060825
93615,CPT,Esophageal recording,TC,,4 ,,RBRVS,0.00 ,0.32 ,0.32 ,,,,,1,1,1,0,1,1,20060825
93615,CPT,Esophageal recording,26,,4 ,,RBRVS,0.99 ,0.27 ,0.27 ,,,,,1,0,1,1,1,1,20060825
93616,CPT,Esophageal recording,26,,4 ,,RBRVS,1.49 ,0.43 ,0.43 ,,,,,1,0,1,1,1,1,20060825
93618,CPT,Heart rhythm pacing,TC,,4 ,,RBRVS,0.00 ,3.97 ,3.97 ,,,,,1,1,1,0,1,1,20060825
93618,CPT,Heart rhythm pacing,26,,4 ,,RBRVS,4.25 ,1.67 ,1.67 ,,,,,1,0,1,1,1,1,20060825
93619,CPT,Electrophysiology evaluation,TC,,4 ,,RBRVS,0.00 ,7.72 ,7.72 ,,,,,1,1,1,0,1,1,20060825
93619,CPT,Electrophysiology evaluation,26,,4 ,,RBRVS,7.31 ,3.19 ,3.19 ,,,,,1,0,1,1,1,1,20060825
93620,CPT,Electrophysiology evaluation,TC,,4 ,,TotalUnits,,,,11.47 ,,,,1,1,1,0,1,1,20060825
93620,CPT,Electrophysiology evaluation,26,,4 ,,RBRVS,11.57 ,4.85 ,4.85 ,,,,,1,0,1,1,1,1,20060825
93621,CPT,Electrophysiology evaluation,TC,,4 ,,TotalUnits,,,,3.89 ,,,,1,1,1,0,1,1,20060825
93621,CPT,Electrophysiology evaluation,26,,4 ,,RBRVS,2.10 ,0.82 ,0.82 ,,,,,1,0,1,1,1,1,20060825
93622,CPT,Electrophysiology evaluation,TC,,4 ,,TotalUnits,,,,3.89 ,,,,1,1,1,0,1,1,20060825
93622,CPT,Electrophysiology evaluation,26,,4 ,,RBRVS,3.10 ,1.21 ,1.21 ,,,,,1,0,1,1,1,1,20060825
93623,CPT,"Stimulation, pacing heart",TC,,4 ,,TotalUnits,,,,3.53 ,,,,1,1,1,0,1,1,20060825
93623,CPT,"Stimulation, pacing heart",26,,4 ,,RBRVS,2.85 ,1.11 ,1.11 ,,,,,1,0,1,1,1,1,20060825
93624,CPT,Electrophysiologic study,TC,,4 ,,RBRVS,0.00 ,1.99 ,1.99 ,,,,,1,1,1,0,1,1,20060825
93624,CPT,Electrophysiologic study,26,,4 ,,RBRVS,4.80 ,2.20 ,2.20 ,,,,,1,0,1,1,1,1,20060825
93631,CPT,"Heart pacing, mapping",26,,4 ,,RBRVS,7.59 ,2.78 ,2.78 ,,,,,1,0,1,1,1,1,20060825
93640,CPT,Evaluation heart device,TC,,4 ,,RBRVS,0.00 ,7.19 ,7.19 ,,,,,1,1,1,0,1,1,20060825
93640,CPT,Evaluation heart device,26,,4 ,,RBRVS,3.51 ,1.36 ,1.36 ,,,,,1,0,1,1,1,1,20060825
93641,CPT,Electrophysiology evaluation,TC,,4 ,,RBRVS,0.00 ,7.19 ,7.19 ,,,,,1,1,1,0,1,1,20060825
93641,CPT,Electrophysiology evaluation,26,,4 ,,RBRVS,5.92 ,2.32 ,2.32 ,,,,,1,0,1,1,1,1,20060825
93642,CPT,Electrophysiology evaluation,TC,,4 ,,RBRVS,0.00 ,7.19 ,7.19 ,,,,,1,1,1,0,1,1,20060825
93642,CPT,Electrophysiology evaluation,26,,4 ,,RBRVS,4.88 ,2.22 ,2.22 ,,,,,1,0,1,1,1,1,20060825
93650,CPT,Ablate heart dysrhythm focus,,,4 ,,RBRVS,10.49 ,4.44 ,4.44 ,,,,,1,0,1,1,1,1,20060825
93651,CPT,Ablate heart dysrhythm focus,,,4 ,,RBRVS,16.23 ,6.34 ,6.34 ,,,,,1,0,1,1,1,1,20060825
93652,CPT,Ablate heart dysrhythm focus,,,4 ,,RBRVS,17.65 ,6.90 ,6.90 ,,,,,1,0,1,1,1,1,20060825
93660,CPT,Tilt table evaluation,TC,,4 ,,RBRVS,0.00 ,1.68 ,1.68 ,,,,,1,1,1,0,1,1,20060825
93660,CPT,Tilt table evaluation,26,,4 ,,RBRVS,1.89 ,0.74 ,0.74 ,,,,,1,0,1,1,1,1,20060825
93662,CPT,Intracardiac ecg (ice),TC,,4 ,,TotalUnits,,,,4.40 ,,,,1,1,1,0,1,1,20060825
93662,CPT,Intracardiac ecg (ice),26,,4 ,,RBRVS,2.80 ,1.11 ,1.11 ,,,,,1,0,1,1,1,1,20060825
93668,CPT,Peripheral vascular rehab,,,4 ,,TotalUnits,,,,1.83 ,,,,1,0,1,1,1,1,20060825
93701,CPT,"Bioimpedance, thoracic",,,4 ,,RBRVS,0.17 ,0.98 ,0.98 ,,,,,1,0,1,1,1,0,20060825
93701,CPT,"Bioimpedance, thoracic",,,4 ,,RBRVS,0.17 ,0.98 ,0.98 ,,,,,1,0,0,0,0,1,20060825
93720,CPT,Total body plethysmography,,,4 ,,RBRVS,0.17 ,0.76 ,0.76 ,,,,,1,0,0,0,0,1,20060825
93721,CPT,Plethysmography tracing,,TC,4 ,,RBRVS,0.00 ,0.71 ,0.71 ,,,,,1,1,1,0,1,1,20060825
93722,CPT,Plethysmography report,,PC,4 ,,RBRVS,0.17 ,0.05 ,0.05 ,,,,,1,0,1,1,1,1,20060825
93724,CPT,Analyze pacemaker system,TC,,4 ,,RBRVS,0.00 ,3.97 ,3.97 ,,,,,1,1,1,0,1,1,20060825
93724,CPT,Analyze pacemaker system,26,,4 ,,RBRVS,4.88 ,1.92 ,1.92 ,,,,,1,0,1,1,1,1,20060825
93727,CPT,Analyze ilr system,,PC,4 ,,RBRVS,0.52 ,0.20 ,0.20 ,,,,,1,0,1,1,1,1,20060825
93731,CPT,Analyze pacemaker system,TC,,4 ,,RBRVS,0.00 ,0.49 ,0.49 ,,,,,1,1,1,0,1,1,20060825
93731,CPT,Analyze pacemaker system,26,,4 ,,RBRVS,0.45 ,0.17 ,0.17 ,,,,,1,0,1,1,1,1,20060825
93732,CPT,Analyze pacemaker system,TC,,4 ,,RBRVS,0.00 ,0.51 ,0.51 ,,,,,1,1,1,0,1,1,20060825
93732,CPT,Analyze pacemaker system,26,,4 ,,RBRVS,0.92 ,0.35 ,0.35 ,,,,,1,0,1,1,1,1,20060825
93733,CPT,"Telephone analy, pacemaker",TC,,4 ,,RBRVS,0.00 ,0.73 ,0.73 ,,,,,1,1,1,0,1,1,20060825
93733,CPT,"Telephone analy, pacemaker",26,,4 ,,RBRVS,0.17 ,0.07 ,0.07 ,,,,,1,0,1,1,1,1,20060825
93734,CPT,Analyze pacemaker system,TC,,4 ,,RBRVS,0.00 ,0.35 ,0.35 ,,,,,1,1,1,0,1,1,20060825
93734,CPT,Analyze pacemaker system,26,,4 ,,RBRVS,0.38 ,0.15 ,0.15 ,,,,,1,0,1,1,1,1,20060825
93735,CPT,Analyze pacemaker system,TC,,4 ,,RBRVS,0.00 ,0.44 ,0.44 ,,,,,1,1,1,0,1,1,20060825
93735,CPT,Analyze pacemaker system,26,,4 ,,RBRVS,0.74 ,0.28 ,0.28 ,,,,,1,0,1,1,1,1,20060825
93736,CPT,"Telephone analy, pacemaker",TC,,4 ,,RBRVS,0.00 ,0.63 ,0.63 ,,,,,1,1,1,0,1,1,20060825
93736,CPT,"Telephone analy, pacemaker",26,,4 ,,RBRVS,0.15 ,0.06 ,0.06 ,,,,,1,0,1,1,1,1,20060825
93740,CPT,Temperature gradient studies,TC,,4 ,,RBRVS,0.00 ,0.15 ,0.15 ,,,,,1,1,1,0,1,1,20060825
93740,CPT,Temperature gradient studies,26,,4 ,,RBRVS,0.16 ,0.04 ,0.04 ,,,,,1,0,1,1,1,1,20060825
93741,CPT,Analyze ht pace device sngl,TC,,4 ,,RBRVS,0.00 ,0.67 ,0.67 ,,,,,1,1,1,0,1,1,20060825
93741,CPT,Analyze ht pace device sngl,26,,4 ,,RBRVS,0.80 ,0.31 ,0.31 ,,,,,1,0,1,1,1,1,20060825
93742,CPT,Analyze ht pace device sngl,TC,,4 ,,RBRVS,0.00 ,0.67 ,0.67 ,,,,,1,1,1,0,1,1,20060825
93742,CPT,Analyze ht pace device sngl,26,,4 ,,RBRVS,0.91 ,0.36 ,0.36 ,,,,,1,0,1,1,1,1,20060825
93743,CPT,Analyze ht pace device dual,TC,,4 ,,RBRVS,0.00 ,0.73 ,0.73 ,,,,,1,1,1,0,1,1,20060825
93743,CPT,Analyze ht pace device dual,26,,4 ,,RBRVS,1.03 ,0.40 ,0.40 ,,,,,1,0,1,1,1,1,20060825
93744,CPT,Analyze ht pace device dual,TC,,4 ,,RBRVS,0.00 ,0.67 ,0.67 ,,,,,1,1,1,0,1,1,20060825
93744,CPT,Analyze ht pace device dual,26,,4 ,,RBRVS,1.18 ,0.46 ,0.46 ,,,,,1,0,1,1,1,1,20060825
93760,CPT,Cephalic thermogram,26,,4 ,,TotalUnits,,,,0.44 ,,,,1,0,1,1,1,1,20060825
93760,CPT,Cephalic thermogram,TC,,4 ,,TotalUnits,,,,1.74 ,,,,1,1,1,0,1,1,20060825
93762,CPT,Peripheral thermogram,26,,4 ,,TotalUnits,,,,0.64 ,,,,1,0,1,1,1,1,20060825
93762,CPT,Peripheral thermogram,TC,,4 ,,TotalUnits,,,,2.56 ,,,,1,1,1,0,1,1,20060825
93770,CPT,Measure venous pressure,TC,,4 ,2,RBRVS,0.00 ,0.03 ,0.03 ,,,,,1,1,1,0,1,1,20060825
93770,CPT,Measure venous pressure,26,,4 ,,RBRVS,0.16 ,0.05 ,0.05 ,,,,,1,0,1,1,1,1,20060825
93784,CPT,Ambulatory BP monitoring,,,4 ,,RBRVS,0.38 ,1.55 ,1.55 ,,,,,1,0,0,0,0,1,20060825
93786,CPT,Ambulatory BP recording,,TC,4 ,,RBRVS,0.00 ,0.91 ,0.91 ,,,,,1,1,1,0,1,1,20060825
93788,CPT,Ambulatory BP analysis,,TC,4 ,,RBRVS,0.00 ,0.51 ,0.51 ,,,,,1,1,1,0,1,1,20060825
93790,CPT,Review/report BP recording,,PC,4 ,,RBRVS,0.38 ,0.13 ,0.13 ,,,,,1,0,1,1,1,1,20060825
93797,CPT,Cardiac rehab,,,4 ,,RBRVS,0.18 ,0.07 ,0.30 ,,,,,1,0,1,1,1,1,20060825
93798,CPT,Cardiac rehab/monitor,,,4 ,,RBRVS,0.28 ,0.11 ,0.46 ,,,,,1,0,1,1,1,1,20060825
93799,CPT,Cardiovascular procedure,,,4 ,,TotalUnits,,,,0.68 ,,,,1,0,1,1,1,1,20060825
93875,CPT,Extracranial study,TC,,14 ,,RBRVS,0.00 ,2.26 ,2.26 ,,,,,1,1,1,0,1,1,20060825
93875,CPT,Extracranial study,26,,14 ,,RBRVS,0.22 ,0.08 ,0.08 ,,,,,1,0,1,1,1,1,20060825
93880,CPT,Extracranial study,TC,,14 ,,RBRVS,0.00 ,5.37 ,5.37 ,,,,,1,1,1,0,1,1,20060825
93880,CPT,Extracranial study,26,,14 ,,RBRVS,0.60 ,0.20 ,0.20 ,,,,,1,0,1,1,1,1,20060825
93882,CPT,Extracranial study,TC,,14 ,,RBRVS,0.00 ,3.37 ,3.37 ,,,,,1,1,1,0,1,1,20060825
93882,CPT,Extracranial study,26,,14 ,,RBRVS,0.40 ,0.14 ,0.14 ,,,,,1,0,1,1,1,1,20060825
93886,CPT,Intracranial study,TC,,14 ,,RBRVS,0.00 ,6.39 ,6.39 ,,,,,1,1,1,0,1,1,20060825
93886,CPT,Intracranial study,26,,14 ,,RBRVS,0.94 ,0.37 ,0.37 ,,,,,1,0,1,1,1,1,20060825
93888,CPT,Intracranial study,TC,,14 ,,RBRVS,0.00 ,4.02 ,4.02 ,,,,,1,1,1,0,1,1,20060825
93888,CPT,Intracranial study,26,,14 ,,RBRVS,0.62 ,0.23 ,0.23 ,,,,,1,0,1,1,1,1,20060825
93890,CPT,"Tcd, vasoreactivity study",TC,,4 ,,RBRVS,0.00 ,4.51 ,4.51 ,,,,,1,1,1,0,1,1,20060825
93890,CPT,"Tcd, vasoreactivity study",26,,4 ,,RBRVS,1.00 ,0.40 ,0.40 ,,,,,1,0,1,1,1,1,20060825
93892,CPT,"Tcd, emboli detect w/o inj",TC,,4 ,,RBRVS,0.00 ,4.71 ,4.71 ,,,,,1,1,1,0,1,1,20060825
93892,CPT,"Tcd, emboli detect w/o inj",26,,4 ,,RBRVS,1.15 ,0.46 ,0.46 ,,,,,1,0,1,1,1,1,20060825
93893,CPT,"Tcd, emboli detect w/inj",TC,,4 ,,RBRVS,0.00 ,4.58 ,4.58 ,,,,,1,1,1,0,1,1,20060825
93893,CPT,"Tcd, emboli detect w/inj",26,,4 ,,RBRVS,1.15 ,0.46 ,0.46 ,,,,,1,0,1,1,1,1,20060825
93922,CPT,Extremity study,TC,,14 ,,RBRVS,0.00 ,2.61 ,2.61 ,,,,,1,1,1,0,1,1,20060825
93922,CPT,Extremity study,26,,14 ,,RBRVS,0.25 ,0.08 ,0.08 ,,,,,1,0,1,1,1,1,20060825
93923,CPT,Extremity study,TC,,14 ,,RBRVS,0.00 ,3.89 ,3.89 ,,,,,1,1,1,0,1,1,20060825
93923,CPT,Extremity study,26,,14 ,,RBRVS,0.45 ,0.15 ,0.15 ,,,,,1,0,1,1,1,1,20060825
93924,CPT,Extremity study,TC,,14 ,,RBRVS,0.00 ,4.63 ,4.63 ,,,,,1,1,1,0,1,1,20060825
93924,CPT,Extremity study,26,,14 ,,RBRVS,0.50 ,0.17 ,0.17 ,,,,,1,0,1,1,1,1,20060825
93925,CPT,Lower extremity study,TC,,14 ,,RBRVS,0.00 ,6.60 ,6.60 ,,,,,1,1,1,0,1,1,20060825
93925,CPT,Lower extremity study,26,,14 ,,RBRVS,0.58 ,0.20 ,0.20 ,,,,,1,0,1,1,1,1,20060825
93926,CPT,Lower extremity study,TC,,14 ,,RBRVS,0.00 ,3.93 ,3.93 ,,,,,1,1,1,0,1,1,20060825
93926,CPT,Lower extremity study,26,,14 ,,RBRVS,0.39 ,0.13 ,0.13 ,,,,,1,0,1,1,1,1,20060825
93930,CPT,Upper extremity study,TC,,14 ,,RBRVS,0.00 ,5.21 ,5.21 ,,,,,1,1,1,0,1,1,20060825
93930,CPT,Upper extremity study,26,,14 ,,RBRVS,0.46 ,0.16 ,0.16 ,,,,,1,0,1,1,1,1,20060825
93931,CPT,Upper extremity study,TC,,14 ,,RBRVS,0.00 ,3.39 ,3.39 ,,,,,1,1,1,0,1,1,20060825
93931,CPT,Upper extremity study,26,,14 ,,RBRVS,0.31 ,0.10 ,0.10 ,,,,,1,0,1,1,1,1,20060825
93965,CPT,Extremity study,TC,,14 ,,RBRVS,0.00 ,2.68 ,2.68 ,,,,,1,1,1,0,1,1,20060825
93965,CPT,Extremity study,26,,14 ,,RBRVS,0.35 ,0.12 ,0.12 ,,,,,1,0,1,1,1,1,20060825
93970,CPT,Extremity study,TC,,14 ,,RBRVS,0.00 ,5.03 ,5.03 ,,,,,1,1,1,0,1,1,20060825
93970,CPT,Extremity study,26,,14 ,,RBRVS,0.68 ,0.23 ,0.23 ,,,,,1,0,1,1,1,1,20060825
93971,CPT,Extremity study,TC,,14 ,,RBRVS,0.00 ,3.45 ,3.45 ,,,,,1,1,1,0,1,1,20060825
93971,CPT,Extremity study,26,,14 ,,RBRVS,0.45 ,0.15 ,0.15 ,,,,,1,0,1,1,1,1,20060825
93975,CPT,Vascular study,TC,,14 ,,RBRVS,0.00 ,7.05 ,7.05 ,,,,,1,1,1,0,1,1,20060825
93975,CPT,Vascular study,26,,14 ,,RBRVS,1.80 ,0.60 ,0.60 ,,,,,1,0,1,1,1,1,20060825
93976,CPT,Vascular study,TC,,14 ,,RBRVS,0.00 ,3.94 ,3.94 ,,,,,1,1,1,0,1,1,20060825
93976,CPT,Vascular study,26,,14 ,,RBRVS,1.21 ,0.40 ,0.40 ,,,,,1,0,1,1,1,1,20060825
93978,CPT,Vascular study,TC,,14 ,,RBRVS,0.00 ,4.30 ,4.30 ,,,,,1,1,1,0,1,1,20060825
93978,CPT,Vascular study,26,,14 ,,RBRVS,0.65 ,0.22 ,0.22 ,,,,,1,0,1,1,1,1,20060825
93979,CPT,Vascular study,TC,,14 ,,RBRVS,0.00 ,3.07 ,3.07 ,,,,,1,1,1,0,1,1,20060825
93979,CPT,Vascular study,26,,14 ,,RBRVS,0.44 ,0.15 ,0.15 ,,,,,1,0,1,1,1,1,20060825
93980,CPT,Penile vascular study,TC,,14 ,,RBRVS,0.00 ,2.45 ,2.45 ,,,,,1,1,1,0,1,1,20060825
93980,CPT,Penile vascular study,26,,14 ,,RBRVS,1.25 ,0.41 ,0.41 ,,,,,1,0,1,1,1,1,20060825
93981,CPT,Penile vascular study,TC,,14 ,,RBRVS,0.00 ,2.74 ,2.74 ,,,,,1,1,1,0,1,1,20060825
93981,CPT,Penile vascular study,26,,14 ,,RBRVS,0.44 ,0.14 ,0.14 ,,,,,1,0,1,1,1,1,20060825
93990,CPT,Doppler flow testing,TC,,14 ,,RBRVS,0.00 ,3.91 ,3.91 ,,,,,1,1,1,0,1,1,20060825
93990,CPT,Doppler flow testing,26,,14 ,,RBRVS,0.25 ,0.09 ,0.09 ,,,,,1,0,1,1,1,1,20060825
94010,CPT,Breathing capacity test,TC,,14 ,,RBRVS,0.00 ,0.62 ,0.62 ,,,,,1,1,1,0,1,1,20060825
94010,CPT,Breathing capacity test,26,,14 ,,RBRVS,0.17 ,0.05 ,0.05 ,,,,,1,0,1,1,1,1,20060825
94014,CPT,Patient recorded spirometry,,,14 ,,RBRVS,0.52 ,0.76 ,0.76 ,,,,,1,0,0,0,0,1,20060825
94015,CPT,Patient recorded spirometry,,TC,14 ,,RBRVS,0.00 ,0.59 ,0.59 ,,,,,1,1,1,0,1,1,20060825
94016,CPT,Review patient spirometry,,PC,14 ,,RBRVS,0.52 ,0.17 ,0.17 ,,,,,1,0,1,1,1,1,20060825
94060,CPT,Evaluation of wheezing,TC,,14 ,,RBRVS,0.00 ,0.98 ,0.98 ,,,,,1,1,1,0,1,1,20060825
94060,CPT,Evaluation of wheezing,26,,14 ,,RBRVS,0.31 ,0.09 ,0.09 ,,,,,1,0,1,1,1,1,20060825
94070,CPT,Evaluation of wheezing,TC,,14 ,,RBRVS,0.00 ,0.64 ,0.64 ,,,,,1,1,1,0,1,1,20060825
94070,CPT,Evaluation of wheezing,26,,14 ,,RBRVS,0.60 ,0.18 ,0.18 ,,,,,1,0,1,1,1,1,20060825
94150,CPT,Vital capacity test,TC,,14 ,,RBRVS,0.00 ,0.44 ,0.44 ,,,,,1,1,1,0,1,1,20060825
94150,CPT,Vital capacity test,26,,14 ,,RBRVS,0.07 ,0.03 ,0.03 ,,,,,1,0,1,1,1,1,20060825
94200,CPT,Lung function test (MBC/MVV),TC,,14 ,,RBRVS,0.00 ,0.41 ,0.41 ,,,,,1,1,1,0,1,1,20060825
94200,CPT,Lung function test (MBC/MVV),26,,14 ,,RBRVS,0.11 ,0.03 ,0.03 ,,,,,1,0,1,1,1,1,20060825
94240,CPT,Residual lung capacity,TC,,14 ,,RBRVS,0.00 ,0.58 ,0.58 ,,,,,1,1,1,0,1,1,20060825
94240,CPT,Residual lung capacity,26,,14 ,,RBRVS,0.26 ,0.08 ,0.08 ,,,,,1,0,1,1,1,1,20060825
94250,CPT,Expired gas collection,TC,,14 ,,RBRVS,0.00 ,0.61 ,0.61 ,,,,,1,1,1,0,1,1,20060825
94250,CPT,Expired gas collection,26,,14 ,,RBRVS,0.11 ,0.03 ,0.03 ,,,,,1,0,1,1,1,1,20060825
94260,CPT,Thoracic gas volume,TC,,14 ,,RBRVS,0.00 ,0.54 ,0.54 ,,,,,1,1,1,0,1,1,20060825
94260,CPT,Thoracic gas volume,26,,14 ,,RBRVS,0.13 ,0.04 ,0.04 ,,,,,1,0,1,1,1,1,20060825
94350,CPT,Lung nitrogen washout curve,TC,,14 ,,RBRVS,0.00 ,0.68 ,0.68 ,,,,,1,1,1,0,1,1,20060825
94350,CPT,Lung nitrogen washout curve,26,,14 ,,RBRVS,0.26 ,0.08 ,0.08 ,,,,,1,0,1,1,1,1,20060825
94360,CPT,Measure airflow resistance,TC,,14 ,,RBRVS,0.00 ,0.62 ,0.62 ,,,,,1,1,1,0,1,1,20060825
94360,CPT,Measure airflow resistance,26,,14 ,,RBRVS,0.26 ,0.08 ,0.08 ,,,,,1,0,1,1,1,1,20060825
94370,CPT,Breath airway closing volume,TC,,14 ,,RBRVS,0.00 ,0.64 ,0.64 ,,,,,1,1,1,0,1,1,20060825
94370,CPT,Breath airway closing volume,26,,14 ,,RBRVS,0.26 ,0.08 ,0.08 ,,,,,1,0,1,1,1,1,20060825
94375,CPT,Respiratory flow volume loop,TC,,14 ,,RBRVS,0.00 ,0.51 ,0.51 ,,,,,1,1,1,0,1,1,20060825
94375,CPT,Respiratory flow volume loop,26,,14 ,,RBRVS,0.31 ,0.09 ,0.09 ,,,,,1,0,1,1,1,1,20060825
94400,CPT,CO2 breathing response curve,TC,,14 ,,RBRVS,0.00 ,0.72 ,0.72 ,,,,,1,1,1,0,1,1,20060825
94400,CPT,CO2 breathing response curve,26,,14 ,,RBRVS,0.40 ,0.12 ,0.12 ,,,,,1,0,1,1,1,1,20060825
94450,CPT,Hypoxia response curve,TC,,14 ,,RBRVS,0.00 ,0.73 ,0.73 ,,,,,1,1,1,0,1,1,20060825
94450,CPT,Hypoxia response curve,26,,14 ,,RBRVS,0.40 ,0.12 ,0.12 ,,,,,1,0,1,1,1,1,20060825
94452,CPT,Hast w/report,TC,,14 ,,RBRVS,0.00 ,0.93 ,0.93 ,,,,,1,1,1,0,1,1,20060825
94452,CPT,Hast w/report,26,,14 ,,RBRVS,0.31 ,0.09 ,0.09 ,,,,,1,0,1,1,1,1,20060825
94453,CPT,Hast w/oxygen titrate,TC,,14 ,,RBRVS,0.00 ,1.39 ,1.39 ,,,,,1,1,1,0,1,1,20060825
94453,CPT,Hast w/oxygen titrate,26,,14 ,,RBRVS,0.40 ,0.12 ,0.12 ,,,,,1,0,1,1,1,1,20060825
94620,CPT,Pulmonary stress test/simple,TC,,14 ,,RBRVS,0.00 ,2.30 ,2.30 ,,,,,1,1,1,0,1,1,20060825
94620,CPT,Pulmonary stress test/simple,26,,14 ,,RBRVS,0.64 ,0.20 ,0.20 ,,,,,1,0,1,1,1,1,20060825
94621,CPT,Pulm stress test/complex,TC,,14 ,,RBRVS,0.00 ,1.77 ,1.77 ,,,,,1,1,1,0,1,1,20060825
94621,CPT,Pulm stress test/complex,26,,14 ,,RBRVS,1.42 ,0.44 ,0.44 ,,,,,1,0,1,1,1,1,20060825
94640,CPT,Airway inhalation treatment,,,14 ,,RBRVS,0.00 ,0.30 ,0.30 ,,,,,1,1,1,0,0,1,20060825
94642,CPT,Aerosol inhalation treatment,,,14 ,,TotalUnits,,,,2.30 ,,,,1,1,1,0,0,1,20060825
94656,CPT,Initial ventilator mgmt,,,14 ,,RBRVS,1.22 ,0.32 ,1.16 ,,,,,1,0,1,1,1,1,20060825
94657,CPT,Continued ventilator mgmt,,,14 ,,RBRVS,0.83 ,0.25 ,0.98 ,,,,,1,0,1,1,1,1,20060825
94660,CPT,"Pos airway pressure, CPAP",,,14 ,,RBRVS,0.76 ,0.23 ,0.65 ,,,,,1,0,1,1,1,1,20060825
94662,CPT,"Neg press ventilation, cnp",,,14 ,,RBRVS,0.76 ,0.23 ,0.23 ,,,,,1,0,1,1,1,1,20060825
94664,CPT,Evaluate pt use of inhaler,,,14 ,,RBRVS,0.00 ,0.31 ,0.31 ,,,,,1,1,1,0,0,1,20060825
94667,CPT,Chest wall manipulation,,,14 ,,RBRVS,0.00 ,0.52 ,0.52 ,,,,,1,1,1,0,0,1,20060825
94668,CPT,Chest wall manipulation,,,14 ,,RBRVS,0.00 ,0.45 ,0.45 ,,,,,1,1,1,0,0,1,20060825
94680,CPT,"Exhaled air analysis, o2",TC,,14 ,,RBRVS,0.00 ,1.79 ,1.79 ,,,,,1,1,1,0,1,1,20060825
94680,CPT,"Exhaled air analysis, o2",26,,14 ,,RBRVS,0.26 ,0.08 ,0.08 ,,,,,1,0,1,1,1,1,20060825
94681,CPT,"Exhaled air analysis, o2/co2",TC,,14 ,,RBRVS,0.00 ,2.47 ,2.47 ,,,,,1,1,1,0,1,1,20060825
94681,CPT,"Exhaled air analysis, o2/co2",26,,14 ,,RBRVS,0.20 ,0.06 ,0.06 ,,,,,1,0,1,1,1,1,20060825
94690,CPT,Exhaled air analysis,TC,,14 ,,RBRVS,0.00 ,1.98 ,1.98 ,,,,,1,1,1,0,1,1,20060825
94690,CPT,Exhaled air analysis,26,,14 ,,RBRVS,0.07 ,0.02 ,0.02 ,,,,,1,0,1,1,1,1,20060825
94720,CPT,Monoxide diffusing capacity,TC,,14 ,,RBRVS,0.00 ,0.92 ,0.92 ,,,,,1,1,1,0,1,1,20060825
94720,CPT,Monoxide diffusing capacity,26,,14 ,,RBRVS,0.26 ,0.08 ,0.08 ,,,,,1,0,1,1,1,1,20060825
94725,CPT,Membrane diffusion capacity,TC,,14 ,,RBRVS,0.00 ,2.84 ,2.84 ,,,,,1,1,1,0,1,1,20060825
94725,CPT,Membrane diffusion capacity,26,,14 ,,RBRVS,0.26 ,0.08 ,0.08 ,,,,,1,0,1,1,1,1,20060825
94750,CPT,Pulmonary compliance study,TC,,14 ,,RBRVS,0.00 ,1.27 ,1.27 ,,,,,1,1,1,0,1,1,20060825
94750,CPT,Pulmonary compliance study,26,,14 ,,RBRVS,0.23 ,0.07 ,0.07 ,,,,,1,0,1,1,1,1,20060825
94760,CPT,Measure blood oxygen level,,TC,14 ,2,RBRVS,0.00 ,0.04 ,0.04 ,,,,,1,1,1,0,1,1,20060825
94761,CPT,Measure blood oxygen level,,TC,14 ,2,RBRVS,0.00 ,0.07 ,0.07 ,,,,,1,1,1,0,1,1,20060825
94762,CPT,Measure blood oxygen level,,TC,14 ,2,RBRVS,0.00 ,0.47 ,0.47 ,,,,,1,1,1,0,1,1,20060825
94770,CPT,Exhaled carbon dioxide test,TC,,14 ,,RBRVS,0.00 ,0.71 ,0.71 ,,,,,1,1,1,0,1,1,20060825
94770,CPT,Exhaled carbon dioxide test,26,,14 ,,RBRVS,0.15 ,0.04 ,0.04 ,,,,,1,0,1,1,1,1,20060825
94799,CPT,Pulmonary service/procedure,,,14 ,,TotalUnits,,,,0.55 ,,,,1,0,1,1,1,1,20060825
95004,CPT,Percut allergy skin tests,,,2 ,,RBRVS,0.00 ,0.10 ,0.10 ,,,,,1,1,1,0,1,1,20060825
95010,CPT,Percut allergy titrate test,,,2 ,,RBRVS,0.15 ,0.06 ,0.32 ,,,,,1,1,1,0,1,1,20060825
95015,CPT,Id allergy titrate-drug/bug,,,2 ,,RBRVS,0.15 ,0.06 ,0.14 ,,,,,1,1,1,0,1,1,20060825
95024,CPT,"Id allergy test, drug/bug",,,2 ,,RBRVS,0.00 ,0.15 ,0.15 ,,,,,1,1,1,0,1,1,20060825
95027,CPT,Id allergy titrate-airborne,,TC,2 ,,RBRVS,0.00 ,0.15 ,0.15 ,,,,,1,1,1,0,1,1,20060825
95028,CPT,Id allergy test-delayed type,,TC,2 ,,RBRVS,0.00 ,0.23 ,0.23 ,,,,,1,1,1,0,1,1,20060825
95044,CPT,Allergy patch tests,,,2 ,,RBRVS,0.00 ,0.20 ,0.20 ,,,,,1,1,1,0,1,1,20060825
95052,CPT,Photo patch test,,,2 ,,RBRVS,0.00 ,0.25 ,0.25 ,,,,,1,1,1,0,1,1,20060825
95056,CPT,Photosensitivity tests,,,2 ,,RBRVS,0.00 ,0.17 ,0.17 ,,,,,1,1,1,0,1,1,20060825
95060,CPT,Eye allergy tests,,TC,2 ,,RBRVS,0.00 ,0.35 ,0.35 ,,,,,1,1,1,0,1,1,20060825
95065,CPT,Nose allergy test,,TC,2 ,,RBRVS,0.00 ,0.20 ,0.20 ,,,,,1,1,1,0,1,1,20060825
95070,CPT,Bronchial allergy tests,,TC,2 ,,RBRVS,0.00 ,2.29 ,2.29 ,,,,,1,1,1,0,1,1,20060825
95071,CPT,Bronchial allergy tests,,TC,2 ,,RBRVS,0.00 ,2.93 ,2.93 ,,,,,1,1,1,0,1,1,20060825
95075,CPT,Ingestion challenge test,,,2 ,,RBRVS,0.95 ,0.38 ,0.82 ,,,,,1,1,1,0,1,1,20060825
95078,CPT,Provocative testing,,TC,2 ,,RBRVS,0.00 ,0.25 ,0.25 ,,,,,1,1,1,0,1,1,20060825
95115,CPT,"Immunotherapy, one injection",,,1 ,,RBRVS,0.00 ,0.39 ,0.39 ,,,,,1,1,1,0,1,1,20060825
95117,CPT,Immunotherapy injections,,,1 ,,RBRVS,0.00 ,0.50 ,0.50 ,,,,,1,1,1,0,1,1,20060825
95120,CPT,"Immunotherapy, one injection",,,1 ,,TotalUnits,,,,0.54 ,,,,1,1,1,0,1,1,20060825
95125,CPT,"Immunotherapy, many antigens",,,1 ,,TotalUnits,,,,0.66 ,,,,1,1,1,0,1,1,20060825
95130,CPT,"Immunotherapy, insect venom",,,1 ,,TotalUnits,,,,0.93 ,,,,1,1,1,0,1,1,20060825
95131,CPT,"Immunotherapy, insect venoms",,,1 ,,TotalUnits,,,,1.18 ,,,,1,1,1,0,1,1,20060825
95132,CPT,"Immunotherapy, insect venoms",,,1 ,,TotalUnits,,,,1.43 ,,,,1,1,1,0,1,1,20060825
95133,CPT,"Immunotherapy, insect venoms",,,1 ,,TotalUnits,,,,1.72 ,,,,1,1,1,0,1,1,20060825
95134,CPT,"Immunotherapy, insect venoms",,,1 ,,TotalUnits,,,,2.07 ,,,,1,1,1,0,1,1,20060825
95144,CPT,Antigen therapy services,,,1 ,,RBRVS,0.06 ,0.02 ,0.19 ,,,,,1,1,1,0,1,1,20060825
95145,CPT,Antigen therapy services,,,1 ,,RBRVS,0.06 ,0.02 ,0.32 ,,,,,1,1,1,0,1,1,20060825
95146,CPT,Antigen therapy services,,,1 ,,RBRVS,0.06 ,0.03 ,0.44 ,,,,,1,1,1,0,1,1,20060825
95147,CPT,Antigen therapy services,,,1 ,,RBRVS,0.06 ,0.02 ,0.42 ,,,,,1,1,1,0,1,1,20060825
95148,CPT,Antigen therapy services,,,1 ,,RBRVS,0.06 ,0.03 ,0.58 ,,,,,1,1,1,0,1,1,20060825
95149,CPT,Antigen therapy services,,,1 ,,RBRVS,0.06 ,0.03 ,0.80 ,,,,,1,1,1,0,1,1,20060825
95165,CPT,Antigen therapy services,,,1 ,,RBRVS,0.06 ,0.02 ,0.19 ,,,,,1,1,1,0,1,1,20060825
95170,CPT,Antigen therapy services,,,1 ,,RBRVS,0.06 ,0.03 ,0.13 ,,,,,1,1,1,0,1,1,20060825
95180,CPT,Rapid desensitization,,,1 ,,RBRVS,2.01 ,0.93 ,2.04 ,,,,,1,1,1,0,1,1,20060825
95199,CPT,Allergy immunology services,,,1 ,,TotalUnits,,,,0.26 ,,,,1,1,1,0,1,1,20060825
95250,CPT,"Glucose monitoring, cont",,TC,14 ,,RBRVS,0.00 ,4.11 ,4.11 ,,,,,1,1,1,0,1,1,20060825
95251,CPT,"Gluc monitor, cont, phys i&r",,,14 ,,RBRVS,0.52 ,0.19 ,0.19 ,,,,,1,1,1,0,1,1,20060825
95805,CPT,Multiple sleep latency test,TC,,14 ,,RBRVS,0.00 ,16.65 ,16.65 ,,,,,1,1,1,0,1,1,20060825
95805,CPT,Multiple sleep latency test,26,,14 ,,RBRVS,1.88 ,0.66 ,0.66 ,,,,,1,0,1,1,1,1,20060825
95806,CPT,"Sleep study, unattended",TC,,14 ,,RBRVS,0.00 ,2.80 ,2.80 ,,,,,1,1,1,0,1,1,20060825
95806,CPT,"Sleep study, unattended",26,,14 ,,RBRVS,1.66 ,0.54 ,0.54 ,,,,,1,0,1,1,1,1,20060825
95807,CPT,"Sleep study, attended",TC,,14 ,,RBRVS,0.00 ,11.35 ,11.35 ,,,,,1,1,1,0,1,1,20060825
95807,CPT,"Sleep study, attended",26,,14 ,,RBRVS,1.66 ,0.53 ,0.53 ,,,,,1,0,1,1,1,1,20060825
95808,CPT,"Polysomnography, 1-3",TC,,14 ,,RBRVS,0.00 ,12.31 ,12.31 ,,,,,1,1,1,0,1,1,20060825
95808,CPT,"Polysomnography, 1-3",26,,14 ,,RBRVS,2.65 ,0.92 ,0.92 ,,,,,1,0,1,1,1,1,20060825
95810,CPT,"Polysomnography, 4 or more",TC,,14 ,,RBRVS,0.00 ,16.36 ,16.36 ,,,,,1,1,1,0,1,1,20060825
95810,CPT,"Polysomnography, 4 or more",26,,14 ,,RBRVS,3.52 ,1.18 ,1.18 ,,,,,1,0,1,1,1,1,20060825
95811,CPT,Polysomnography w/cpap,TC,,14 ,,RBRVS,0.00 ,17.97 ,17.97 ,,,,,1,1,1,0,1,1,20060825
95811,CPT,Polysomnography w/cpap,26,,14 ,,RBRVS,3.79 ,1.27 ,1.27 ,,,,,1,0,1,1,1,1,20060825
95812,CPT,"Eeg, 41-60 minutes",TC,,14 ,,RBRVS,0.00 ,3.59 ,3.59 ,,,,,1,1,1,0,1,1,20060825
95812,CPT,"Eeg, 41-60 minutes",26,,14 ,,RBRVS,1.08 ,0.45 ,0.45 ,,,,,1,0,1,1,1,1,20060825
95813,CPT,"Eeg, over 1 hour",TC,,14 ,,RBRVS,0.00 ,4.33 ,4.33 ,,,,,1,1,1,0,1,1,20060825
95813,CPT,"Eeg, over 1 hour",26,,14 ,,RBRVS,1.73 ,0.70 ,0.70 ,,,,,1,0,1,1,1,1,20060825
95816,CPT,"Eeg, awake and drowsy",TC,,14 ,,RBRVS,0.00 ,3.26 ,3.26 ,,,,,1,1,1,0,1,1,20060825
95816,CPT,"Eeg, awake and drowsy",26,,14 ,,RBRVS,1.08 ,0.46 ,0.46 ,,,,,1,0,1,1,1,1,20060825
95819,CPT,"Eeg, awake and asleep",TC,,14 ,,RBRVS,0.00 ,2.53 ,2.53 ,,,,,1,1,1,0,1,1,20060825
95819,CPT,"Eeg, awake and asleep",26,,14 ,,RBRVS,1.08 ,0.46 ,0.46 ,,,,,1,0,1,1,1,1,20060825
95822,CPT,"Eeg, coma or sleep only",TC,,14 ,,RBRVS,0.00 ,4.15 ,4.15 ,,,,,1,1,1,0,1,1,20060825
95822,CPT,"Eeg, coma or sleep only",26,,14 ,,RBRVS,1.08 ,0.46 ,0.46 ,,,,,1,0,1,1,1,1,20060825
95824,CPT,"Eeg, cerebral death only",TC,,14 ,,TotalUnits,,,,1.64 ,,,,1,1,1,0,1,1,20060825
95824,CPT,"Eeg, cerebral death only",26,,14 ,,RBRVS,0.74 ,0.31 ,0.31 ,,,,,1,0,1,1,1,1,20060825
95827,CPT,"Eeg, all night recording",TC,,14 ,,RBRVS,0.00 ,2.30 ,2.30 ,,,,,1,1,1,0,1,1,20060825
95827,CPT,"Eeg, all night recording",26,,14 ,,RBRVS,1.08 ,0.41 ,0.41 ,,,,,1,0,1,1,1,1,20060825
95829,CPT,Surgery electrocorticogram,TC,,14 ,,RBRVS,0.00 ,28.77 ,28.77 ,,,,,1,1,1,0,1,1,20060825
95829,CPT,Surgery electrocorticogram,26,,14 ,,RBRVS,6.20 ,2.32 ,2.32 ,,,,,1,0,1,1,1,1,20060825
95830,CPT,Insert electrodes for EEG,,,14 ,,RBRVS,1.70 ,0.73 ,3.30 ,,,,,1,0,1,1,1,1,20060825
95831,CPT,"Limb muscle testing, manual",,,14 ,,RBRVS,0.28 ,0.13 ,0.46 ,,,,,1,1,1,0,1,1,20060825
95832,CPT,"Hand muscle testing, manual",,,14 ,,RBRVS,0.29 ,0.12 ,0.33 ,,,,,1,1,1,0,1,1,20060825
95833,CPT,"Body muscle testing, manual",,,14 ,,RBRVS,0.47 ,0.23 ,0.58 ,,,,,1,1,1,0,1,1,20060825
95834,CPT,"Body muscle testing, manual",,,14 ,,RBRVS,0.60 ,0.28 ,0.63 ,,,,,1,1,1,0,1,1,20060825
95851,CPT,Range of motion measurements,,,14 ,,RBRVS,0.16 ,0.08 ,0.36 ,,,,,1,1,1,0,1,1,20060825
95852,CPT,Range of motion measurements,,,14 ,,RBRVS,0.11 ,0.05 ,0.26 ,,,,,1,1,1,0,1,1,20060825
95857,CPT,Tensilon test,,,14 ,,RBRVS,0.53 ,0.23 ,0.60 ,,,,,1,0,1,1,1,1,20060825
95860,CPT,"Muscle test, one limb",TC,,14 ,,RBRVS,0.00 ,1.00 ,1.00 ,,,,,1,1,1,0,1,1,20060825
95860,CPT,"Muscle test, one limb",26,,14 ,,RBRVS,0.96 ,0.42 ,0.42 ,,,,,1,0,1,1,1,1,20060825
95861,CPT,"Muscle test, 2 limbs",TC,,14 ,,RBRVS,0.00 ,0.73 ,0.73 ,,,,,1,1,1,0,1,1,20060825
95861,CPT,"Muscle test, 2 limbs",26,,14 ,,RBRVS,1.54 ,0.68 ,0.68 ,,,,,1,0,1,1,1,1,20060825
95863,CPT,"Muscle test, 3 limbs",TC,,14 ,,RBRVS,0.00 ,0.94 ,0.94 ,,,,,1,1,1,0,1,1,20060825
95863,CPT,"Muscle test, 3 limbs",26,,14 ,,RBRVS,1.87 ,0.80 ,0.80 ,,,,,1,0,1,1,1,1,20060825
95864,CPT,"Muscle test, 4 limbs",TC,,14 ,,RBRVS,0.00 ,1.79 ,1.79 ,,,,,1,1,1,0,1,1,20060825
95864,CPT,"Muscle test, 4 limbs",26,,14 ,,RBRVS,1.99 ,0.87 ,0.87 ,,,,,1,0,1,1,1,1,20060825
95865,CPT,"Muscle test, larynx",TC,,14 ,,RBRVS,0.00 ,0.68 ,0.68 ,,,,,1,1,1,0,1,1,20060825
95865,CPT,"Muscle test, larynx",26,,14 ,,RBRVS,1.57 ,0.77 ,0.77 ,,,,,1,0,1,1,1,1,20060825
95866,CPT,"Muscle test, hemidiaphragm",TC,,14 ,,RBRVS,0.00 ,0.20 ,0.20 ,,,,,1,1,1,0,1,1,20060825
95866,CPT,"Muscle test, hemidiaphragm",26,,14 ,,RBRVS,1.25 ,0.56 ,0.56 ,,,,,1,0,1,1,1,1,20060825
95867,CPT,Muscle test cran nerv unilat,TC,,14 ,,RBRVS,0.00 ,0.58 ,0.58 ,,,,,1,1,1,0,1,1,20060825
95867,CPT,Muscle test cran nerv unilat,26,,14 ,,RBRVS,0.79 ,0.35 ,0.35 ,,,,,1,0,1,1,1,1,20060825
95868,CPT,Muscle test cran nerve bilat,TC,,14 ,,RBRVS,0.00 ,0.70 ,0.70 ,,,,,1,1,1,0,1,1,20060825
95868,CPT,Muscle test cran nerve bilat,26,,14 ,,RBRVS,1.18 ,0.51 ,0.51 ,,,,,1,0,1,1,1,1,20060825
95869,CPT,"Muscle test, thor paraspinal",TC,,14 ,,RBRVS,0.00 ,0.21 ,0.21 ,,,,,1,1,1,0,1,1,20060825
95869,CPT,"Muscle test, thor paraspinal",26,,14 ,,RBRVS,0.37 ,0.16 ,0.16 ,,,,,1,0,1,1,1,1,20060825
95870,CPT,"Muscle test, nonparaspinal",TC,,14 ,,RBRVS,0.00 ,0.21 ,0.21 ,,,,,1,1,1,0,1,1,20060825
95870,CPT,"Muscle test, nonparaspinal",26,,14 ,,RBRVS,0.37 ,0.16 ,0.16 ,,,,,1,0,1,1,1,1,20060825
95872,CPT,"Muscle test, one fiber",TC,,14 ,,RBRVS,0.00 ,0.60 ,0.60 ,,,,,1,1,1,0,1,1,20060825
95872,CPT,"Muscle test, one fiber",26,,14 ,,RBRVS,1.50 ,0.63 ,0.63 ,,,,,1,0,1,1,1,1,20060825
95873,CPT,"Guide nerv destr, elec stim",TC,,14 ,,RBRVS,0.00 ,0.20 ,0.20 ,,,,,1,1,1,0,1,1,20060825
95873,CPT,"Guide nerv destr, elec stim",26,,14 ,,RBRVS,0.37 ,0.16 ,0.16 ,,,,,1,0,1,1,1,1,20060825
95874,CPT,"Guide nerv destr, needle emg",TC,,14 ,,RBRVS,0.00 ,0.20 ,0.20 ,,,,,1,1,1,0,1,1,20060825
95874,CPT,"Guide nerv destr, needle emg",26,,14 ,,RBRVS,0.37 ,0.17 ,0.17 ,,,,,1,0,1,1,1,1,20060825
95875,CPT,Limb exercise test,TC,,14 ,,RBRVS,0.00 ,0.98 ,0.98 ,,,,,1,1,1,0,1,1,20060825
95875,CPT,Limb exercise test,26,,14 ,,RBRVS,1.10 ,0.47 ,0.47 ,,,,,1,0,1,1,1,1,20060825
95900,CPT,Motor nerve conduction test,TC,,14 ,,RBRVS,0.00 ,1.08 ,1.08 ,,,,,1,1,1,0,1,1,20060825
95900,CPT,Motor nerve conduction test,26,,14 ,,RBRVS,0.42 ,0.18 ,0.18 ,,,,,1,0,1,1,1,1,20060825
95903,CPT,Motor nerve conduction test,TC,,14 ,,RBRVS,0.00 ,0.93 ,0.93 ,,,,,1,1,1,0,1,1,20060825
95903,CPT,Motor nerve conduction test,26,,14 ,,RBRVS,0.60 ,0.26 ,0.26 ,,,,,1,0,1,1,1,1,20060825
95904,CPT,Sense nerve conduction test,TC,,14 ,,RBRVS,0.00 ,0.94 ,0.94 ,,,,,1,1,1,0,1,1,20060825
95904,CPT,Sense nerve conduction test,26,,14 ,,RBRVS,0.34 ,0.15 ,0.15 ,,,,,1,0,1,1,1,1,20060825
95920,CPT,Intraop nerve test add-on,TC,,14 ,,RBRVS,0.00 ,1.31 ,1.31 ,,,,,1,1,1,0,1,1,20060825
95920,CPT,Intraop nerve test add-on,26,,14 ,,RBRVS,2.11 ,0.93 ,0.93 ,,,,,1,0,1,1,1,1,20060825
95921,CPT,Autonomic nerv function test,,,14 ,,RBRVS,0.90 ,0.71 ,0.71 ,,,,,1,0,1,1,1,0,20060825
95921,CPT,Autonomic nerv function test,,,14 ,,RBRVS,0.90 ,0.71 ,0.71 ,,,,,1,0,0,0,0,1,20060825
95922,CPT,Autonomic nerv function test,,,14 ,,RBRVS,0.96 ,0.78 ,0.78 ,,,,,1,0,1,1,1,0,20060825
95922,CPT,Autonomic nerv function test,,,14 ,,RBRVS,0.96 ,0.78 ,0.78 ,,,,,1,0,0,0,0,1,20060825
95923,CPT,Autonomic nerv function test,,,14 ,,RBRVS,0.90 ,1.94 ,1.94 ,,,,,1,0,1,1,1,0,20060825
95923,CPT,Autonomic nerv function test,,,14 ,,RBRVS,0.90 ,1.94 ,1.94 ,,,,,1,0,0,0,0,1,20060825
95925,CPT,Somatosensory testing,TC,,14 ,,RBRVS,0.00 ,0.91 ,0.91 ,,,,,1,1,1,0,1,1,20060825
95925,CPT,Somatosensory testing,26,,14 ,,RBRVS,0.54 ,0.22 ,0.22 ,,,,,1,0,1,1,1,1,20060825
95926,CPT,Somatosensory testing,TC,,14 ,,RBRVS,0.00 ,0.91 ,0.91 ,,,,,1,1,1,0,1,1,20060825
95926,CPT,Somatosensory testing,26,,14 ,,RBRVS,0.54 ,0.23 ,0.23 ,,,,,1,0,1,1,1,1,20060825
95927,CPT,Somatosensory testing,TC,,14 ,,RBRVS,0.00 ,0.91 ,0.91 ,,,,,1,1,1,0,1,1,20060825
95927,CPT,Somatosensory testing,26,,14 ,,RBRVS,0.54 ,0.25 ,0.25 ,,,,,1,0,1,1,1,1,20060825
95928,CPT,"C motor evoked, uppr limbs",TC,,14 ,,RBRVS,0.00 ,2.38 ,2.38 ,,,,,1,1,1,0,1,1,20060825
95928,CPT,"C motor evoked, uppr limbs",26,,14 ,,RBRVS,1.50 ,0.65 ,0.65 ,,,,,1,0,1,1,1,1,20060825
95929,CPT,"C motor evoked, lwr limbs",TC,,14 ,,RBRVS,0.00 ,2.57 ,2.57 ,,,,,1,1,1,0,1,1,20060825
95929,CPT,"C motor evoked, lwr limbs",26,,14 ,,RBRVS,1.50 ,0.65 ,0.65 ,,,,,1,0,1,1,1,1,20060825
95930,CPT,Visual evoked potential test,TC,,14 ,,RBRVS,0.00 ,2.10 ,2.10 ,,,,,1,1,1,0,1,1,20060825
95930,CPT,Visual evoked potential test,26,,14 ,,RBRVS,0.35 ,0.15 ,0.15 ,,,,,1,0,1,1,1,1,20060825
95933,CPT,Blink reflex test,TC,,14 ,,RBRVS,0.00 ,0.78 ,0.78 ,,,,,1,1,1,0,1,1,20060825
95933,CPT,Blink reflex test,26,,14 ,,RBRVS,0.59 ,0.24 ,0.24 ,,,,,1,0,1,1,1,1,20060825
95934,CPT,H-reflex test,TC,,14 ,,RBRVS,0.00 ,0.21 ,0.21 ,,,,,1,1,1,0,1,1,20060825
95934,CPT,H-reflex test,26,,14 ,,RBRVS,0.51 ,0.22 ,0.22 ,,,,,1,0,1,1,1,1,20060825
95936,CPT,H-reflex test,TC,,14 ,,RBRVS,0.00 ,0.21 ,0.21 ,,,,,1,1,1,0,1,1,20060825
95936,CPT,H-reflex test,26,,14 ,,RBRVS,0.55 ,0.24 ,0.24 ,,,,,1,0,1,1,1,1,20060825
95937,CPT,Neuromuscular junction test,TC,,14 ,,RBRVS,0.00 ,0.34 ,0.34 ,,,,,1,1,1,0,1,1,20060825
95937,CPT,Neuromuscular junction test,26,,14 ,,RBRVS,0.65 ,0.27 ,0.27 ,,,,,1,0,1,1,1,1,20060825
95950,CPT,Ambulatory eeg monitoring,TC,,14 ,,RBRVS,0.00 ,3.30 ,3.30 ,,,,,1,1,1,0,1,1,20060825
95950,CPT,Ambulatory eeg monitoring,26,,14 ,,RBRVS,1.51 ,0.64 ,0.64 ,,,,,1,0,1,1,1,1,20060825
95951,CPT,EEG monitoring/videorecord,TC,,14 ,,TotalUnits,,,,6.12 ,,,,1,1,1,0,1,1,20060825
95951,CPT,EEG monitoring/videorecord,26,,14 ,,RBRVS,5.99 ,2.56 ,2.56 ,,,,,1,0,1,1,1,1,20060825
95953,CPT,EEG monitoring/computer,TC,,14 ,,RBRVS,0.00 ,6.35 ,6.35 ,,,,,1,1,1,0,1,1,20060825
95953,CPT,EEG monitoring/computer,26,,14 ,,RBRVS,3.08 ,1.29 ,1.29 ,,,,,1,0,1,1,1,1,20060825
95954,CPT,EEG monitoring/giving drugs,TC,,14 ,,RBRVS,0.00 ,3.19 ,3.19 ,,,,,1,1,1,0,1,1,20060825
95954,CPT,EEG monitoring/giving drugs,26,,14 ,,RBRVS,2.45 ,1.04 ,1.04 ,,,,,1,0,1,1,1,1,20060825
95955,CPT,EEG during surgery,TC,,14 ,,RBRVS,0.00 ,1.97 ,1.97 ,,,,,1,1,1,0,1,1,20060825
95955,CPT,EEG during surgery,26,,14 ,,RBRVS,1.01 ,0.36 ,0.36 ,,,,,1,0,1,1,1,1,20060825
95956,CPT,"Eeg monitoring, cable/radio",TC,,14 ,,RBRVS,0.00 ,14.15 ,14.15 ,,,,,1,1,1,0,1,1,20060825
95956,CPT,"Eeg monitoring, cable/radio",26,,14 ,,RBRVS,3.08 ,1.30 ,1.30 ,,,,,1,0,1,1,1,1,20060825
95957,CPT,EEG digital analysis,TC,,14 ,,RBRVS,0.00 ,1.70 ,1.70 ,,,,,1,1,1,0,1,1,20060825
95957,CPT,EEG digital analysis,26,,14 ,,RBRVS,1.98 ,0.85 ,0.85 ,,,,,1,0,1,1,1,1,20060825
95958,CPT,EEG monitoring/function test,TC,,14 ,,RBRVS,0.00 ,1.75 ,1.75 ,,,,,1,1,1,0,1,1,20060825
95958,CPT,EEG monitoring/function test,26,,14 ,,RBRVS,4.24 ,1.75 ,1.75 ,,,,,1,0,1,1,1,1,20060825
95961,CPT,"Electrode stimulation, brain",TC,,14 ,,RBRVS,0.00 ,1.31 ,1.31 ,,,,,1,1,1,0,1,1,20060825
95961,CPT,"Electrode stimulation, brain",26,,14 ,,RBRVS,2.97 ,1.32 ,1.32 ,,,,,1,0,1,1,1,1,20060825
95962,CPT,"Electrode stim, brain add-on",TC,,14 ,,RBRVS,0.00 ,1.31 ,1.31 ,,,,,1,1,1,0,1,1,20060825
95962,CPT,"Electrode stim, brain add-on",26,,14 ,,RBRVS,3.21 ,1.39 ,1.39 ,,,,,1,0,1,1,1,1,20060825
95965,CPT,"Meg, spontaneous",,,14 ,,TotalUnits,,,,57.05 ,,,,1,1,1,0,1,1,20060825
95965,CPT,"Meg, spontaneous",26,,14 ,,RBRVS,7.99 ,3.43 ,3.43 ,,,,,1,0,1,1,1,1,20060825
95966,CPT,"Meg, evoked, single",,,14 ,,TotalUnits,,,,28.60 ,,,,1,1,1,0,1,1,20060825
95966,CPT,"Meg, evoked, single",26,,14 ,,RBRVS,3.99 ,1.71 ,1.71 ,,,,,1,0,1,1,1,1,20060825
95967,CPT,"Meg, evoked, each addl",,,14 ,,TotalUnits,,,,24.10 ,,,,1,1,1,0,1,1,20060825
95967,CPT,"Meg, evoked, each addl",26,,14 ,,RBRVS,3.49 ,1.18 ,1.18 ,,,,,1,0,1,1,1,1,20060825
95970,CPT,"Analyze neurostim, no prog",,,14 ,,RBRVS,0.45 ,0.14 ,0.85 ,,,,,1,0,1,1,1,1,20060825
95971,CPT,"Analyze neurostim, simple",,,14 ,,RBRVS,0.78 ,0.22 ,0.68 ,,,,,1,0,1,1,1,1,20060825
95972,CPT,"Analyze neurostim, complex",,,14 ,,RBRVS,1.50 ,0.49 ,1.21 ,,,,,1,0,1,1,1,1,20060825
95973,CPT,"Analyze neurostim, complex",,,14 ,,RBRVS,0.92 ,0.34 ,0.62 ,,,,,1,0,1,1,1,1,20060825
95974,CPT,"Cranial neurostim, complex",,,14 ,,RBRVS,3.00 ,1.30 ,1.70 ,,,,,1,0,1,1,1,1,20060825
95975,CPT,"Cranial neurostim, complex",,,14 ,,RBRVS,1.70 ,0.73 ,0.89 ,,,,,1,0,1,1,1,1,20060825
95978,CPT,Analyze neurostim brain/1h,,,14 ,,RBRVS,3.50 ,1.30 ,1.94 ,,,,,1,1,1,0,1,1,20060825
95979,CPT,Analyz neurostim brain addon,,,14 ,,RBRVS,1.64 ,0.69 ,0.87 ,,,,,1,1,1,0,1,1,20060825
95990,CPT,Spin/brain pump refil & main,,,14 ,,RBRVS,0.00 ,1.50 ,1.50 ,,,,,1,0,1,1,1,1,20060825
95991,CPT,Spin/brain pump refil & main,,,14 ,,RBRVS,0.77 ,0.17 ,1.46 ,,,,,1,0,1,1,1,1,20060825
95999,CPT,Neurological procedure,,,14 ,,TotalUnits,,,,1.81 ,,,,1,0,1,1,1,1,20060825
96000,CPT,"Motion analysis, video/3d",,,14 ,,RBRVS,1.80 ,0.53 ,0.53 ,,,,,1,0,1,1,1,1,20060825
96001,CPT,Motion test w/ft press meas,,,14 ,,RBRVS,2.15 ,0.66 ,0.66 ,,,,,1,0,1,1,1,1,20060825
96002,CPT,Dynamic surface emg,,,14 ,,RBRVS,0.41 ,0.15 ,0.15 ,,,,,1,0,1,1,1,1,20060825
96003,CPT,Dynamic fine wire emg,,,14 ,,RBRVS,0.37 ,0.12 ,0.12 ,,,,,1,0,1,1,1,1,20060825
96004,CPT,Phys review of motion tests,,PC,14 ,,RBRVS,2.14 ,0.94 ,0.94 ,,,,,1,0,1,1,1,1,20060825
96101,CPT,Psycho testing by psych/phys,,,14 ,,RBRVS,1.86 ,0.63 ,0.65 ,,,,,1,1,1,0,1,1,20060825
96102,CPT,Psycho testing by technician,,,14 ,,RBRVS,0.50 ,0.17 ,0.66 ,,,,,1,1,1,0,1,1,20060825
96103,CPT,Psycho testing admin by comp,,,14 ,,RBRVS,0.51 ,0.17 ,0.21 ,,,,,1,1,1,0,1,1,20060825
96105,CPT,Assessment of aphasia,,,14 ,,RBRVS,0.00 ,1.77 ,1.77 ,,,,,1,1,1,0,1,1,20060825
96110,CPT,"Developmental test, lim",,,14 ,,RBRVS,0.00 ,0.18 ,0.18 ,,,,,1,1,1,0,1,1,20060825
96111,CPT,"Developmental test, extend",,,14 ,,RBRVS,2.60 ,1.05 ,1.05 ,,,,,1,1,1,0,1,1,20060825
96116,CPT,Neurobehavioral status exam,,,14 ,,RBRVS,1.86 ,0.64 ,0.83 ,,,,,1,1,1,0,1,1,20060825
96118,CPT,Neuropsych tst by psych/phys,,,14 ,,RBRVS,1.86 ,0.63 ,1.39 ,,,,,1,1,1,0,1,1,20060825
96119,CPT,Neuropsych testing by tech,,,14 ,,RBRVS,0.55 ,0.19 ,1.02 ,,,,,1,1,1,0,1,1,20060825
96120,CPT,Neuropsych tst admin w/comp,,,14 ,,RBRVS,0.51 ,0.17 ,0.74 ,,,,,1,1,1,0,1,1,20060825
96150,CPT,"Assess lth/behave, init",,,14 ,,RBRVS,0.50 ,0.18 ,0.18 ,,,,,1,0,1,1,1,1,20060825
96151,CPT,"Assess hlth/behave, subseq",,,14 ,,RBRVS,0.48 ,0.17 ,0.18 ,,,,,1,0,1,1,1,1,20060825
96152,CPT,"Intervene hlth/behave, indiv",,,14 ,,RBRVS,0.46 ,0.16 ,0.17 ,,,,,1,0,1,1,1,1,20060825
96153,CPT,"Intervene hlth/behave, group",,,14 ,,RBRVS,0.10 ,0.03 ,0.04 ,,,,,1,0,1,1,1,1,20060825
96154,CPT,"Interv hlth/behav, fam w/pt",,,14 ,,RBRVS,0.45 ,0.16 ,0.17 ,,,,,1,0,1,1,1,1,20060825
96155,CPT,Interv hlth/behav fam no pt,,,14 ,,RBRVS,0.44 ,0.17 ,0.18 ,,,,,1,0,1,1,1,1,20060825
96401,CPT,"Chemo, anti-neopl, sq/im",,,14 ,,RBRVS,0.21 ,1.53 ,1.53 ,,,,,1,1,1,0,1,1,20060825
96402,CPT,Chemo hormon antineopl sq/im,,,14 ,,RBRVS,0.19 ,0.74 ,0.74 ,,,,,1,1,1,0,1,1,20060825
96405,CPT,Intralesional chemo admin,,,14 ,,RBRVS,0.52 ,0.24 ,2.78 ,,,,,1,1,1,0,1,1,20060825
96406,CPT,Intralesional chemo admin,,,14 ,,RBRVS,0.80 ,0.29 ,3.08 ,,,,,1,1,1,0,1,1,20060825
96409,CPT,"Chemo, iv push, sngl drug",,,14 ,,RBRVS,0.24 ,2.93 ,2.93 ,,,,,1,1,1,0,1,1,20060825
96411,CPT,"Chemo, iv push, addl drug",,,14 ,,RBRVS,0.20 ,1.61 ,1.61 ,,,,,1,1,1,0,1,1,20060825
96413,CPT,"Chemo, iv infusion, 1 hr",,,14 ,,RBRVS,0.28 ,4.20 ,4.20 ,,,,,1,1,1,0,1,1,20060825
96415,CPT,"Chemo, iv infusion, addl hr",,,14 ,,RBRVS,0.19 ,0.77 ,0.77 ,,,,,1,1,1,0,1,1,20060825
96416,CPT,Chemo prolong infuse w/pump,,,14 ,,RBRVS,0.21 ,4.61 ,4.61 ,,,,,1,1,1,0,1,1,20060825
96417,CPT,Chemo iv infus each addl seq,,,14 ,,RBRVS,0.21 ,1.95 ,1.95 ,,,,,1,1,1,0,1,1,20060825
96420,CPT,"Chemotherapy, push technique",,,14 ,,RBRVS,0.17 ,2.66 ,2.66 ,,,,,1,1,1,0,1,1,20060825
96422,CPT,"Chemotherapy,infusion method",,,14 ,,RBRVS,0.17 ,4.84 ,4.84 ,,,,,1,1,1,0,1,1,20060825
96423,CPT,"Chemo, infuse method add-on",,,14 ,,RBRVS,0.17 ,1.89 ,1.89 ,,,,,1,1,1,0,1,1,20060825
96425,CPT,"Chemotherapy,infusion method",,,14 ,,RBRVS,0.17 ,4.48 ,4.48 ,,,,,1,1,1,0,1,1,20060825
96440,CPT,"Chemotherapy, intracavitary",,,14 ,,RBRVS,2.37 ,1.23 ,8.04 ,,,,,1,1,1,0,1,1,20060825
96445,CPT,"Chemotherapy, intracavitary",,,14 ,,RBRVS,2.20 ,1.18 ,8.05 ,,,,,1,1,1,0,1,1,20060825
96450,CPT,"Chemotherapy, into CNS",,,14 ,,RBRVS,1.53 ,1.29 ,6.96 ,,,,,1,1,1,0,1,1,20060825
96521,CPT,"Refill/maint, portable pump",,,14 ,,RBRVS,0.21 ,3.77 ,3.77 ,,,,,1,1,1,0,1,1,20060825
96522,CPT,Refill/maint pump/resvr syst,,,14 ,,RBRVS,0.21 ,2.65 ,2.65 ,,,,,1,1,1,0,1,1,20060825
96523,CPT,Irrig drug delivery device,,,14 ,,RBRVS,0.04 ,0.69 ,0.69 ,,,,,1,1,1,0,1,1,20060825
96542,CPT,Chemotherapy injection,,,14 ,,RBRVS,0.75 ,0.66 ,4.24 ,,,,,1,1,1,0,1,1,20060825
96549,CPT,"Chemotherapy, unspecified",,,14 ,,TotalUnits,,,,3.08 ,,,,1,1,1,0,1,1,20060825
96567,CPT,"Photodynamic tx, skin",,,14 ,,RBRVS,0.00 ,1.96 ,1.96 ,,,,,1,1,1,0,1,1,20060825
96570,CPT,"Photodynamic tx, 30 min",,,14 ,,RBRVS,1.10 ,0.37 ,0.37 ,,,,,1,1,1,0,1,1,20060825
96571,CPT,"Photodynamic tx, addl 15 min",,,14 ,,RBRVS,0.55 ,0.19 ,0.19 ,,,,,1,1,1,0,1,1,20060825
96900,CPT,Ultraviolet light therapy,,,14 ,,RBRVS,0.00 ,0.44 ,0.44 ,,,,,1,1,1,0,1,1,20060825
96902,CPT,Trichogram,,,14 ,,RBRVS,0.41 ,0.16 ,0.18 ,,,,,1,1,1,0,1,1,20060825
96910,CPT,Photochemotherapy with UV-B,,,14 ,,RBRVS,0.00 ,0.99 ,0.99 ,,,,,1,1,1,0,1,1,20060825
96912,CPT,Photochemotherapy with UV-A,,,14 ,,RBRVS,0.00 ,1.26 ,1.26 ,,,,,1,1,1,0,1,1,20060825
96913,CPT,"Photochemotherapy, UV-A or B",,,14 ,,RBRVS,0.00 ,1.68 ,1.68 ,,,,,1,1,1,0,1,1,20060825
96920,CPT,"Laser tx, skin < 250 sq cm",,,14 ,,RBRVS,1.15 ,0.56 ,2.54 ,,,,,1,1,1,0,1,1,20060825
96921,CPT,"Laser tx, skin 250-500 sq cm",,,14 ,,RBRVS,1.17 ,0.57 ,2.61 ,,,,,1,1,1,0,1,1,20060825
96922,CPT,"Laser tx, skin > 500 sq cm",,,14 ,,RBRVS,2.10 ,0.62 ,3.49 ,,,,,1,1,1,0,1,1,20060825
96999,CPT,Dermatological procedure,,,14 ,,TotalUnits,,,,1.07 ,,,,1,1,1,0,1,1,20060825
97001,CPT,Pt evaluation,,,19 ,,RBRVS,1.20 ,0.45 ,0.75 ,,,,,1,1,1,0,0,1,20060825
97002,CPT,Pt re-evaluation,,,19 ,,RBRVS,0.60 ,0.23 ,0.44 ,,,,,1,1,1,0,0,1,20060825
97003,CPT,Ot evaluation,,,19 ,,RBRVS,1.20 ,0.40 ,0.88 ,,,,,1,1,1,0,0,1,20060825
97004,CPT,Ot re-evaluation,,,19 ,,RBRVS,0.60 ,0.19 ,0.67 ,,,,,1,1,1,0,0,1,20060825
97005,CPT,Athletic train eval,,,19 ,,TotalUnits,,,,1.45 ,,,,1,1,1,0,0,1,20060825
97006,CPT,Athletic train reeval,,,19 ,,TotalUnits,,,,0.72 ,,,,1,1,1,0,0,1,20060825
97010,CPT,Hot or cold packs therapy,,,19 ,,RBRVS,0.06 ,0.05 ,0.05 ,,,,,1,1,1,0,0,1,20060825
97012,CPT,Mechanical traction therapy,,,19 ,,RBRVS,0.25 ,0.13 ,0.13 ,,,,,1,1,1,0,0,1,20060825
97014,CPT,Electric stimulation therapy,,,19 ,,RBRVS,0.18 ,0.19 ,0.19 ,,,,,1,1,1,0,0,1,20060825
97016,CPT,Vasopneumatic device therapy,,,19 ,,RBRVS,0.18 ,0.18 ,0.18 ,,,,,1,1,1,0,0,1,20060825
97018,CPT,Paraffin bath therapy,,,19 ,,RBRVS,0.06 ,0.10 ,0.10 ,,,,,1,1,1,0,0,1,20060825
97022,CPT,Whirlpool therapy,,,19 ,,RBRVS,0.17 ,0.21 ,0.21 ,,,,,1,1,1,0,0,1,20060825
97024,CPT,Diathermy treatment,,,19 ,,RBRVS,0.06 ,0.07 ,0.07 ,,,,,1,1,1,0,0,1,20060825
97026,CPT,Infrared therapy,,,19 ,,RBRVS,0.06 ,0.06 ,0.06 ,,,,,1,1,1,0,0,1,20060825
97028,CPT,Ultraviolet therapy,,,19 ,,RBRVS,0.08 ,0.07 ,0.07 ,,,,,1,1,1,0,0,1,20060825
97032,CPT,Electrical stimulation,,,19 ,,RBRVS,0.25 ,0.16 ,0.16 ,,,,,1,1,1,0,0,1,20060825
97033,CPT,Electric current therapy,,,19 ,,RBRVS,0.26 ,0.27 ,0.27 ,,,,,1,1,1,0,0,1,20060825
97034,CPT,Contrast bath therapy,,,19 ,,RBRVS,0.21 ,0.15 ,0.15 ,,,,,1,1,1,0,0,1,20060825
97035,CPT,Ultrasound therapy,,,19 ,,RBRVS,0.21 ,0.10 ,0.10 ,,,,,1,1,1,0,0,1,20060825
97036,CPT,Hydrotherapy,,,19 ,,RBRVS,0.28 ,0.32 ,0.32 ,,,,,1,1,1,0,0,1,20060825
97039,CPT,Unlisted physical medicine/rehab modality,,,28 ,,NW,,,,,,$23.32,,1,1,1,0,0,1,20060825
97110,CPT,Therapeutic exercises,,,19 ,,RBRVS,0.45 ,0.27 ,0.27 ,,,,,1,1,1,0,0,1,20060825
97112,CPT,Neuromuscular reeducation,,,19 ,,RBRVS,0.45 ,0.31 ,0.31 ,,,,,1,1,1,0,0,1,20060825
97113,CPT,Aquatic therapy/exercises,,,19 ,,RBRVS,0.44 ,0.39 ,0.39 ,,,,,1,1,1,0,0,1,20060825
97116,CPT,Gait training therapy,,,19 ,,RBRVS,0.40 ,0.24 ,0.24 ,,,,,1,1,1,0,0,1,20060825
97124,CPT,Massage therapy,,,19 ,,RBRVS,0.35 ,0.23 ,0.23 ,,,,,1,1,1,0,0,1,20060825
97139,CPT,Physical medicine procedure,,,28 ,,NW,,,,,,$23.32,,1,1,1,0,0,1,20060825
97140,CPT,Manual therapy,,,19 ,,RBRVS,0.43 ,0.25 ,0.25 ,,,,,1,1,1,0,0,1,20060825
97150,CPT,Group therapeutic procedures,,,19 ,,RBRVS,0.27 ,0.18 ,0.18 ,,,,,1,1,1,0,0,1,20060825
97530,CPT,Therapeutic activities,,,19 ,,RBRVS,0.44 ,0.32 ,0.32 ,,,,,1,1,1,0,0,1,20060825
97532,CPT,Cognitive skills development,,,19 ,,RBRVS,0.44 ,0.20 ,0.20 ,,,,,1,1,1,0,0,1,20060825
97533,CPT,Sensory integration,,,19 ,,RBRVS,0.44 ,0.24 ,0.24 ,,,,,1,1,1,0,0,1,20060825
97535,CPT,Self care mngment training,,,19 ,,RBRVS,0.45 ,0.33 ,0.33 ,,,,,1,1,1,0,0,1,20060825
97537,CPT,Community/work reintegration,,,19 ,,RBRVS,0.45 ,0.26 ,0.26 ,,,,,1,1,1,0,0,1,20060825
97542,CPT,Wheelchair mngment training,,,19 ,,RBRVS,0.45 ,0.28 ,0.28 ,,,,,1,1,1,0,0,1,20060825
97545,CPT,Work hardening,,,19 ,,TotalUnits,,,,2.68 ,,,,1,1,1,0,0,1,20060825
97546,CPT,Work hardening add-on,,,19 ,,TotalUnits,,,,1.07 ,,,,1,1,1,0,0,1,20060825
97597,CPT,Active wound care/20 cm or <,,,19 ,,RBRVS,0.58 ,0.66 ,0.66 ,,,,,1,1,1,0,0,1,20060825
97598,CPT,Active wound care > 20 cm,,,19 ,,RBRVS,0.80 ,0.79 ,0.79 ,,,,,1,1,1,0,0,1,20060825
97602,CPT,Wound(s) care non-selective,,,19 ,2,TotalUnits,,,,0.39 ,,,,1,1,1,0,0,1,20060825
97605,CPT,Negative pressure wound therapy less than or equal to 50 square cm,,,28 ,,NW,,,,,,$53.99,,1,1,1,0,0,1,20060825
97606,CPT,Negative pressure wound therapy greater than 50 square cm,,,28 ,,NW,,,,,,$67.52,,1,1,1,0,0,1,20060825
97750,CPT,Physical performance test,,,19 ,,RBRVS,0.45 ,0.32 ,0.32 ,,,,,1,1,1,0,0,1,20060825
97755,CPT,Assistive technology assess,,,19 ,,RBRVS,0.62 ,0.28 ,0.28 ,,,,,1,1,1,0,0,1,20060825
97760,CPT,Orthotic mgmt and training,,,19 ,,RBRVS,0.45 ,0.20 ,0.34 ,,,,,1,1,1,0,1,1,20060825
97761,CPT,Prosthetic training,,,19 ,,RBRVS,0.45 ,0.19 ,0.28 ,,,,,1,1,1,0,1,1,20060825
97762,CPT,C/o for orthotic/prosth use,,,19 ,,RBRVS,0.25 ,0.19 ,0.42 ,,,,,1,1,1,0,1,1,20060825
97799,CPT,Physical medicine procedure,,,19 ,,TotalUnits,,,,0.76 ,,,,1,1,1,0,0,1,20060825
97802,CPT,"Medical nutrition, indiv, in",,,14 ,,RBRVS,0.00 ,0.47 ,0.47 ,,,,,1,1,1,0,1,1,20060825
97803,CPT,"Med nutrition, indiv, subseq",,,14 ,,RBRVS,0.00 ,0.47 ,0.47 ,,,,,1,1,1,0,1,1,20060825
97804,CPT,"Medical nutrition, group",,,14 ,,RBRVS,0.00 ,0.18 ,0.18 ,,,,,1,1,1,0,1,1,20060825
97810,CPT,Acupunct w/o stimul 15 min,,,19 ,,RBRVS,0.60 ,0.23 ,0.38 ,,,,,1,0,0,1,1,1,20060825
97811,CPT,Acupunct w/o stimul addl 15m,,,19 ,,RBRVS,0.50 ,0.19 ,0.25 ,,,,,1,0,0,1,1,1,20060825
97813,CPT,Acupunct w/stimul 15 min,,,19 ,,RBRVS,0.65 ,0.25 ,0.40 ,,,,,1,0,0,1,1,1,20060825
97814,CPT,Acupunct w/stimul addl 15m,,,19 ,,RBRVS,0.55 ,0.21 ,0.30 ,,,,,1,0,0,1,1,1,20060825
98925,CPT,Osteopathic manipulation,,,19 ,,RBRVS,0.45 ,0.14 ,0.32 ,,,,,1,1,1,0,1,1,20060825
98926,CPT,Osteopathic manipulation,,,19 ,,RBRVS,0.65 ,0.25 ,0.41 ,,,,,1,1,1,0,1,1,20060825
98927,CPT,Osteopathic manipulation,,,19 ,,RBRVS,0.87 ,0.29 ,0.50 ,,,,,1,1,1,0,1,1,20060825
98928,CPT,Osteopathic manipulation,,,19 ,,RBRVS,1.03 ,0.34 ,0.59 ,,,,,1,1,1,0,1,1,20060825
98929,CPT,Osteopathic manipulation,,,19 ,,RBRVS,1.19 ,0.37 ,0.67 ,,,,,1,1,1,0,1,1,20060825
98940,CPT,Chiropractic manipulation,,,5 ,,RBRVS,0.45 ,0.12 ,0.23 ,,,,,1,0,1,1,1,1,20060825
98941,CPT,Chiropractic manipulation,,,5 ,,RBRVS,0.65 ,0.17 ,0.30 ,,,,,1,0,1,1,1,1,20060825
98942,CPT,Chiropractic manipulation,,,5 ,,RBRVS,0.87 ,0.23 ,0.36 ,,,,,1,0,1,1,1,1,20060825
98943,CPT,Chiropractic manipulation,,,5 ,,RBRVS,0.40 ,0.16 ,0.24 ,,,,,1,0,1,1,1,1,20060825
98960,CPT,"Self-mgmt educ & train, 1 pt",,,14 ,,RBRVS,0.00 ,0.83 ,0.83 ,,,,,1,0,1,1,1,1,20060825
98961,CPT,"Self-mgmt educ/train, 2-4 pt",,,14 ,,RBRVS,0.00 ,0.48 ,0.48 ,,,,,1,0,1,1,1,1,20060825
98962,CPT,"Self-mgmt educ/train, 5-8 pt",,,14 ,,RBRVS,0.00 ,0.48 ,0.48 ,,,,,1,0,1,1,1,1,20060825
99000,CPT,Specimen handling,,,14 ,,TotalUnits,,,,0.22 ,,,,1,1,1,0,1,1,20060825
99001,CPT,Specimen handling,,,14 ,,TotalUnits,,,,0.25 ,,,,1,1,1,0,1,1,20060825
99002,CPT,Device handling,,,14 ,,TotalUnits,,,,0.37 ,,,,1,1,1,0,1,1,20060825
99026,CPT,In-hospital on call service,,,14 ,,TotalUnits,,,,2.10 ,,,,1,0,1,1,1,1,20060825
99027,CPT,Out-of-hosp on call service,,,14 ,,TotalUnits,,,,2.10 ,,,,1,0,1,1,1,1,20060825
99050,CPT,Medical services after hrs,,,14 ,,TotalUnits,,,,0.69 ,,,,1,0,1,1,1,1,20060825
99056,CPT,Non-office medical services,,,14 ,,TotalUnits,,,,0.90 ,,,,1,0,1,1,1,1,20060825
99058,CPT,Office emergency care,,,14 ,,TotalUnits,,,,0.93 ,,,,1,0,1,1,1,1,20060825
99075,CPT,Medical testimony,,,14 ,,TotalUnits,,,,5.27 ,,,,1,0,1,1,1,1,20060825
99078,CPT,Group health education,,,14 ,,TotalUnits,,,,0.90 ,,,,1,0,1,1,1,1,20060825
99080,CPT,Special reports or forms,,,14 ,,TotalUnits,,,,0.72 ,,,,1,0,1,1,1,1,20060825
99082,CPT,Unusual physician travel,,,14 ,,TotalUnits,,,,0.47 ,,,,1,0,1,1,1,1,20060825
99090,CPT,Computer data analysis,,,14 ,,TotalUnits,,,,1.50 ,,,,1,0,1,1,1,1,20060825
99091,CPT,Collect/review data from pt,,,14 ,,TotalUnits,,,,1.50 ,,,,1,0,1,1,1,1,20060825
99100,CPT,Special anesthesia service,,,21 ,,TotalUnits,,,,0.08 ,,,,1,0,1,1,1,1,20060825
99116,CPT,Anesthesia with hypothermia,,,21 ,,TotalUnits,,,,0.50 ,,,,1,0,1,1,1,1,20060825
99135,CPT,Special anesthesia procedure,,,21 ,,TotalUnits,,,,0.63 ,,,,1,0,1,1,1,1,20060825
99140,CPT,Emergency anesthesia,,,21 ,,TotalUnits,,,,0.39 ,,,,1,0,1,1,1,1,20060825
99170,CPT,"Anogenital exam, child",,,14 ,,RBRVS,1.75 ,0.55 ,1.77 ,,,,,1,0,1,1,1,1,20060825
99172,CPT,Ocular function screen,26,,23 ,,TotalUnits,,,,0.28 ,,,,1,0,1,1,1,1,20060825
99172,CPT,Ocular function screen,TC,,23 ,,TotalUnits,,,,1.10 ,,,,1,1,1,0,1,1,20060825
99173,CPT,Visual acuity screen,,,23 ,,TotalUnits,,,,0.69 ,,,,1,1,1,0,1,1,20060825
99175,CPT,Induction of vomiting,,,14 ,2,RBRVS,0.00 ,1.39 ,1.39 ,,,,,1,1,1,0,1,1,20060825
99183,CPT,Hyperbaric oxygen therapy,,,14 ,,RBRVS,2.34 ,0.72 ,3.25 ,,,,,1,0,1,1,1,1,20060825
99185,CPT,Regional hypothermia,26,,14 ,,TotalUnits,,,,0.25 ,,,,1,0,1,1,1,1,20060825
99185,CPT,Regional hypothermia,TC,,14 ,2,TotalUnits,,,,0.39 ,,,,1,1,1,0,1,1,20060825
99186,CPT,Total body hypothermia,26,,14 ,,TotalUnits,,,,1.19 ,,,,1,0,1,1,1,1,20060825
99186,CPT,Total body hypothermia,TC,,14 ,2,TotalUnits,,,,1.78 ,,,,1,1,1,0,1,1,20060825
99190,CPT,Special pump services,,,14 ,1,TotalUnits,,,,14.50 ,,,,1,1,1,0,1,1,20060825
99191,CPT,Special pump services,,,14 ,1,TotalUnits,,,,10.87 ,,,,1,1,1,0,1,1,20060825
99192,CPT,Special pump services,,,14 ,1,TotalUnits,,,,7.25 ,,,,1,1,1,0,1,1,20060825
99195,CPT,Phlebotomy,,,14 ,,RBRVS,0.00 ,0.44 ,0.44 ,,,,,1,1,1,0,1,1,20060825
99199,CPT,Special service/proc/report,,,14 ,,TotalUnits,,,,0.32 ,,,,1,1,1,0,1,1,20060825
99201,CPT,"Office/outpatient visit, new",,,15 ,,RBRVS,0.45 ,0.15 ,0.49 ,,,,,1,0,1,1,1,1,20060825
99202,CPT,"Office/outpatient visit, new",,,15 ,,RBRVS,0.88 ,0.31 ,0.79 ,,,,,1,0,1,1,1,1,20060825
99203,CPT,"Office/outpatient visit, new",,,15 ,,RBRVS,1.34 ,0.48 ,1.13 ,,,,,1,0,1,1,1,1,20060825
99204,CPT,"Office/outpatient visit, new",,,15 ,,RBRVS,2.00 ,0.71 ,1.50 ,,,,,1,0,1,1,1,1,20060825
99205,CPT,"Office/outpatient visit, new",,,15 ,,RBRVS,2.67 ,0.95 ,1.78 ,,,,,1,0,1,1,1,1,20060825
99211,CPT,"Office/outpatient visit, est",,,15 ,,RBRVS,0.17 ,0.06 ,0.39 ,,,,,1,0,1,1,1,1,20060825
99212,CPT,"Office/outpatient visit, est",,,15 ,,RBRVS,0.45 ,0.16 ,0.54 ,,,,,1,0,1,1,1,1,20060825
99213,CPT,"Office/outpatient visit, est",,,15 ,,RBRVS,0.67 ,0.24 ,0.69 ,,,,,1,0,1,1,1,1,20060825
99214,CPT,"Office/outpatient visit, est",,,15 ,,RBRVS,1.10 ,0.41 ,1.03 ,,,,,1,0,1,1,1,1,20060825
99215,CPT,"Office/outpatient visit, est",,,15 ,,RBRVS,1.77 ,0.65 ,1.32 ,,,,,1,0,1,1,1,1,20060825
99217,CPT,Observation care discharge,,,7 ,,RBRVS,1.28 ,0.53 ,0.53 ,,,,,1,0,1,1,1,1,20060825
99218,CPT,Observation care,,,7 ,,RBRVS,1.28 ,0.44 ,0.44 ,,,,,1,0,1,1,1,1,20060825
99219,CPT,Observation care,,,7 ,,RBRVS,2.14 ,0.72 ,0.72 ,,,,,1,0,1,1,1,1,20060825
99220,CPT,Observation care,,,7 ,,RBRVS,2.99 ,1.03 ,1.03 ,,,,,1,0,1,1,1,1,20060825
99221,CPT,Initial hospital care,,,10 ,,RBRVS,1.28 ,0.45 ,0.45 ,,,,,1,0,1,1,1,1,20060825
99222,CPT,Initial hospital care,,,10 ,,RBRVS,2.14 ,0.74 ,0.74 ,,,,,1,0,1,1,1,1,20060825
99223,CPT,Initial hospital care,,,10 ,,RBRVS,2.99 ,1.03 ,1.03 ,,,,,1,0,1,1,1,1,20060825
99231,CPT,Subsequent hospital care,,,10 ,,RBRVS,0.64 ,0.23 ,0.23 ,,,,,1,0,1,1,1,1,20060825
99232,CPT,Subsequent hospital care,,,10 ,,RBRVS,1.06 ,0.37 ,0.37 ,,,,,1,0,1,1,1,1,20060825
99233,CPT,Subsequent hospital care,,,10 ,,RBRVS,1.51 ,0.52 ,0.52 ,,,,,1,0,1,1,1,1,20060825
99234,CPT,Observ/hosp same date,,,10 ,,RBRVS,2.56 ,0.89 ,0.89 ,,,,,1,0,1,1,1,1,20060825
99235,CPT,Observ/hosp same date,,,10 ,,RBRVS,3.41 ,1.15 ,1.15 ,,,,,1,0,1,1,1,1,20060825
99236,CPT,Observ/hosp same date,,,10 ,,RBRVS,4.26 ,1.44 ,1.44 ,,,,,1,0,1,1,1,1,20060825
99238,CPT,Hospital discharge day,,,10 ,,RBRVS,1.28 ,0.54 ,0.54 ,,,,,1,0,1,1,1,1,20060825
99239,CPT,Hospital discharge day,,,10 ,,RBRVS,1.75 ,0.73 ,0.73 ,,,,,1,0,1,1,1,1,20060825
99241,CPT,Office consultation,,,6 ,,RBRVS,0.64 ,0.22 ,0.64 ,,,,,1,0,1,1,1,1,20060825
99242,CPT,Office consultation,,,6 ,,RBRVS,1.29 ,0.46 ,1.04 ,,,,,1,0,1,1,1,1,20060825
99243,CPT,Office consultation,,,6 ,,RBRVS,1.72 ,0.63 ,1.39 ,,,,,1,0,1,1,1,1,20060825
99244,CPT,Office consultation,,,6 ,,RBRVS,2.58 ,0.92 ,1.83 ,,,,,1,0,1,1,1,1,20060825
99245,CPT,Office consultation,,,6 ,,RBRVS,3.42 ,1.24 ,2.28 ,,,,,1,0,1,1,1,1,20060825
99251,CPT,Initial inpatient consult,,,6 ,,RBRVS,0.66 ,0.24 ,0.24 ,,,,,1,0,1,1,1,1,20060825
99252,CPT,Initial inpatient consult,,,6 ,,RBRVS,1.32 ,0.50 ,0.50 ,,,,,1,0,1,1,1,1,20060825
99253,CPT,Initial inpatient consult,,,6 ,,RBRVS,1.82 ,0.68 ,0.68 ,,,,,1,0,1,1,1,1,20060825
99254,CPT,Initial inpatient consult,,,6 ,,RBRVS,2.64 ,0.98 ,0.98 ,,,,,1,0,1,1,1,1,20060825
99255,CPT,Initial inpatient consult,,,6 ,,RBRVS,3.64 ,1.35 ,1.35 ,,,,,1,0,1,1,1,1,20060825
99281,CPT,Emergency dept visit,,,7 ,,RBRVS,0.33 ,0.09 ,0.09 ,,,,,1,0,1,1,1,1,20060825
99282,CPT,Emergency dept visit,,,7 ,,RBRVS,0.55 ,0.14 ,0.14 ,,,,,1,0,1,1,1,1,20060825
99283,CPT,Emergency dept visit,,,7 ,,RBRVS,1.24 ,0.31 ,0.31 ,,,,,1,0,1,1,1,1,20060825
99284,CPT,Emergency dept visit,,,7 ,,RBRVS,1.95 ,0.47 ,0.47 ,,,,,1,0,1,1,1,1,20060825
99285,CPT,Emergency dept visit,,,7 ,,RBRVS,3.06 ,0.72 ,0.72 ,,,,,1,0,1,1,1,1,20060825
99288,CPT,Direct advanced life support,,,7 ,,TotalUnits,,,,1.26 ,,,,1,0,1,1,1,1,20060825
99289,CPT,Ped crit care transport,,,10 ,,RBRVS,4.79 ,1.45 ,1.45 ,,,,,1,0,1,1,1,1,20060825
99290,CPT,Ped crit care transport addl,,,10 ,,RBRVS,2.40 ,0.81 ,0.81 ,,,,,1,0,1,1,1,1,20060825
99291,CPT,"Critical care, first hour",,,10 ,,RBRVS,3.99 ,1.28 ,2.58 ,,,,,1,0,1,1,1,1,20060825
99292,CPT,"Critical care, addl 30 min",,,10 ,,RBRVS,2.00 ,0.64 ,0.90 ,,,,,1,0,1,1,1,1,20060825
99293,CPT,"Ped critical care, initial",,,10 ,,RBRVS,15.98 ,4.76 ,4.76 ,,,,,1,0,1,1,1,1,20060825
99294,CPT,"Ped critical care, subseq",,,10 ,,RBRVS,7.99 ,2.41 ,2.41 ,,,,,1,0,1,1,1,1,20060825
99295,CPT,"Neonate crit care, initial",,,10 ,,RBRVS,18.46 ,5.39 ,5.39 ,,,,,1,0,1,1,1,1,20060825
99296,CPT,Neonate critical care subseq,,,10 ,,RBRVS,7.99 ,2.55 ,2.55 ,,,,,1,0,1,1,1,1,20060825
99298,CPT,Ic for lbw infant < 1500 gm,,,10 ,,RBRVS,2.75 ,0.93 ,0.93 ,,,,,1,0,1,1,1,1,20060825
99299,CPT,"Ic, lbw infant 1500-2500 gm",,,10 ,,RBRVS,2.50 ,0.86 ,0.86 ,,,,,1,0,1,1,1,1,20060825
99300,CPT,"Ic, infant pbw 2501-5000 gm",,,10 ,,RBRVS,2.40 ,0.84 ,0.84 ,,,,,1,0,1,0,1,1,20060825
99304,CPT,"Nursing facility care, init",,,15 ,,RBRVS,1.20 ,0.49 ,0.49 ,,,,,1,0,1,0,1,1,20060825
99305,CPT,"Nursing facility care, init",,,15 ,,RBRVS,1.61 ,0.63 ,0.63 ,,,,,1,0,1,0,1,1,20060825
99306,CPT,"Nursing facility care, init",,,15 ,,RBRVS,2.01 ,0.75 ,0.75 ,,,,,1,0,1,0,1,1,20060825
99307,CPT,"Nursing fac care, subseq",,,15 ,,RBRVS,0.60 ,0.27 ,0.27 ,,,,,1,0,1,0,1,1,20060825
99308,CPT,"Nursing fac care, subseq",,,15 ,,RBRVS,1.00 ,0.45 ,0.45 ,,,,,1,0,1,0,1,1,20060825
99309,CPT,"Nursing fac care, subseq",,,15 ,,RBRVS,1.42 ,0.62 ,0.62 ,,,,,1,0,1,0,1,1,20060825
99310,CPT,"Nursing fac care, subseq",,,15 ,,RBRVS,1.77 ,0.78 ,0.78 ,,,,,1,0,1,0,1,1,20060825
99315,CPT,Nursing fac discharge day,,,10 ,,RBRVS,1.13 ,0.45 ,0.45 ,,,,,1,0,1,1,1,1,20060825
99316,CPT,Nursing fac discharge day,,,10 ,,RBRVS,1.50 ,0.59 ,0.59 ,,,,,1,0,1,1,1,1,20060825
99318,CPT,Annual nursing fac assessmnt,,,15 ,,RBRVS,1.20 ,0.49 ,0.49 ,,,,,1,0,1,0,1,1,20060825
99324,CPT,Domicil/r-home visit new pat,,,15 ,,RBRVS,1.01 ,0.38 ,0.49 ,,,,,1,0,1,0,1,1,20060825
99325,CPT,Domicil/r-home visit new pat,,,15 ,,RBRVS,1.52 ,0.55 ,0.68 ,,,,,1,0,1,0,1,1,20060825
99326,CPT,Domicil/r-home visit new pat,,,15 ,,RBRVS,2.27 ,0.78 ,0.92 ,,,,,1,0,1,0,1,1,20060825
99327,CPT,Domicil/r-home visit new pat,,,15 ,,RBRVS,3.03 ,1.05 ,1.17 ,,,,,1,0,1,0,1,1,20060825
99328,CPT,Domicil/r-home visit new pat,,,15 ,,RBRVS,3.78 ,1.31 ,1.42 ,,,,,1,0,1,0,1,1,20060825
99334,CPT,Domicil/r-home visit est pat,,,15 ,,RBRVS,0.76 ,0.26 ,0.40 ,,,,,1,0,1,0,1,1,20060825
99335,CPT,Domicil/r-home visit est pat,,,15 ,,RBRVS,1.26 ,0.43 ,0.58 ,,,,,1,0,1,0,1,1,20060825
99336,CPT,Domicil/r-home visit est pat,,,15 ,,RBRVS,2.02 ,0.66 ,0.82 ,,,,,1,0,1,0,1,1,20060825
99337,CPT,Domicil/r-home visit est pat,,,15 ,,RBRVS,3.03 ,0.98 ,1.15 ,,,,,1,0,1,0,1,1,20060825
99341,CPT,"Home visit, new patient",,,15 ,,RBRVS,1.01 ,0.48 ,0.48 ,,,,,1,0,1,1,1,1,20060825
99342,CPT,"Home visit, new patient",,,15 ,,RBRVS,1.52 ,0.68 ,0.68 ,,,,,1,0,1,1,1,1,20060825
99343,CPT,"Home visit, new patient",,,15 ,,RBRVS,2.27 ,0.94 ,0.94 ,,,,,1,0,1,1,1,1,20060825
99344,CPT,"Home visit, new patient",,,15 ,,RBRVS,3.03 ,1.18 ,1.18 ,,,,,1,0,1,1,1,1,20060825
99345,CPT,"Home visit, new patient",,,15 ,,RBRVS,3.78 ,1.43 ,1.43 ,,,,,1,0,1,1,1,1,20060825
99347,CPT,"Home visit, est patient",,,15 ,,RBRVS,0.76 ,0.40 ,0.40 ,,,,,1,0,1,1,1,1,20060825
99348,CPT,"Home visit, est patient",,,15 ,,RBRVS,1.26 ,0.58 ,0.58 ,,,,,1,0,1,1,1,1,20060825
99349,CPT,"Home visit, est patient",,,15 ,,RBRVS,2.02 ,0.83 ,0.83 ,,,,,1,0,1,1,1,1,20060825
99350,CPT,"Home visit, est patient",,,15 ,,RBRVS,3.03 ,1.18 ,1.18 ,,,,,1,0,1,1,1,1,20060825
99354,CPT,"Prolonged service, office",,,15 ,,RBRVS,1.77 ,0.66 ,0.77 ,,,,,1,0,1,1,1,1,20060825
99355,CPT,"Prolonged service, office",,,15 ,,RBRVS,1.77 ,0.62 ,0.75 ,,,,,1,0,1,1,1,1,20060825
99356,CPT,"Prolonged service, inpatient",,,10 ,,RBRVS,1.71 ,0.62 ,0.62 ,,,,,1,0,1,1,1,1,20060825
99357,CPT,"Prolonged service, inpatient",,,10 ,,RBRVS,1.71 ,0.63 ,0.63 ,,,,,1,0,1,1,1,1,20060825
99358,CPT,"Prolonged serv, w/o contact",,,15 ,,TotalUnits,,,,4.36 ,,,,1,0,1,1,1,1,20060825
99359,CPT,"Prolonged serv, w/o contact",,,15 ,,TotalUnits,,,,2.18 ,,,,1,0,1,1,1,1,20060825
99360,CPT,Physician standby services,,,14 ,,TotalUnits,,,,2.02 ,,,,1,0,1,1,1,1,20060825
99374,CPT,Home health care supervision,,,15 ,,RBRVS,1.10 ,0.42 ,0.70 ,,,,,1,0,1,1,1,1,20060825
99375,CPT,Home health care supervision,,,15 ,,RBRVS,1.73 ,1.55 ,1.55 ,,,,,1,0,1,1,1,1,20060825
99377,CPT,Hospice care supervision,,,15 ,,RBRVS,1.10 ,0.42 ,0.70 ,,,,,1,0,1,1,1,1,20060825
99378,CPT,Hospice care supervision,,,15 ,,RBRVS,1.73 ,1.95 ,1.95 ,,,,,1,0,1,1,1,1,20060825
99379,CPT,Nursing fac care supervision,,,15 ,,RBRVS,1.10 ,0.42 ,0.70 ,,,,,1,0,1,1,1,1,20060825
99380,CPT,Nursing fac care supervision,,,15 ,,RBRVS,1.73 ,0.66 ,0.99 ,,,,,1,0,1,1,1,1,20060825
99381,CPT,"Prev visit, new, infant",,,24 ,,RBRVS,1.19 ,0.45 ,1.50 ,,,,,1,0,1,1,1,1,20060825
99382,CPT,"Prev visit, new, age 1-4",,,18 ,,RBRVS,1.36 ,0.52 ,1.54 ,,,,,1,0,1,1,1,1,20060825
99383,CPT,"Prev visit, new, age 5-11",,,18 ,,RBRVS,1.36 ,0.52 ,1.48 ,,,,,1,0,1,1,1,1,20060825
99384,CPT,"Prev visit, new, age 12-17",,,18 ,,RBRVS,1.53 ,0.59 ,1.55 ,,,,,1,0,1,1,1,1,20060825
99385,CPT,"Prev visit, new, age 18-39",,,18 ,,RBRVS,1.53 ,0.59 ,1.55 ,,,,,1,0,1,1,1,1,20060825
99386,CPT,"Prev visit, new, age 40-64",,,18 ,,RBRVS,1.88 ,0.72 ,1.75 ,,,,,1,0,1,1,1,1,20060825
99387,CPT,"Prev visit, new, 65 & over",,,18 ,,RBRVS,2.06 ,0.79 ,1.88 ,,,,,1,0,1,1,1,1,20060825
99391,CPT,"Prev visit, est, infant",,,24 ,,RBRVS,1.02 ,0.39 ,1.02 ,,,,,1,0,1,1,1,1,20060825
99392,CPT,"Prev visit, est, age 1-4",,,18 ,,RBRVS,1.19 ,0.45 ,1.09 ,,,,,1,0,1,1,1,1,20060825
99393,CPT,"Prev visit, est, age 5-11",,,18 ,,RBRVS,1.19 ,0.45 ,1.06 ,,,,,1,0,1,1,1,1,20060825
99394,CPT,"Prev visit, est, age 12-17",,,18 ,,RBRVS,1.36 ,0.52 ,1.13 ,,,,,1,0,1,1,1,1,20060825
99395,CPT,"Prev visit, est, age 18-39",,,18 ,,RBRVS,1.36 ,0.52 ,1.16 ,,,,,1,0,1,1,1,1,20060825
99396,CPT,"Prev visit, est, age 40-64",,,18 ,,RBRVS,1.53 ,0.59 ,1.25 ,,,,,1,0,1,1,1,1,20060825
99397,CPT,"Prev visit, est, 65 & over",,,18 ,,RBRVS,1.71 ,0.66 ,1.36 ,,,,,1,0,1,1,1,1,20060825
99401,CPT,"Preventive counseling, indiv",,,18 ,,RBRVS,0.48 ,0.19 ,0.62 ,,,,,1,0,1,1,1,1,20060825
99402,CPT,"Preventive counseling, indiv",,,18 ,,RBRVS,0.98 ,0.37 ,0.87 ,,,,,1,0,1,1,1,1,20060825
99403,CPT,"Preventive counseling, indiv",,,18 ,,RBRVS,1.46 ,0.56 ,1.09 ,,,,,1,0,1,1,1,1,20060825
99404,CPT,"Preventive counseling, indiv",,,18 ,,RBRVS,1.95 ,0.75 ,1.32 ,,,,,1,0,1,1,1,1,20060825
99411,CPT,"Preventive counseling, group",,,18 ,,RBRVS,0.15 ,0.06 ,0.18 ,,,,,1,0,1,1,1,1,20060825
99412,CPT,"Preventive counseling, group",,,18 ,,RBRVS,0.25 ,0.10 ,0.25 ,,,,,1,0,1,1,1,1,20060825
99420,CPT,Health risk assessment test,,,18 ,,TotalUnits,,,,1.83 ,,,,1,0,1,1,1,1,20060825
99429,CPT,Unlisted preventive service,,,18 ,,TotalUnits,,,,2.46 ,,,,1,0,1,1,1,1,20060825
99431,CPT,"Initial care, normal newborn",,,10 ,,RBRVS,1.17 ,0.38 ,0.38 ,,,,,1,0,1,1,1,1,20060825
99432,CPT,"Newborn care, not in hosp",,,24 ,,RBRVS,1.26 ,0.40 ,0.93 ,,,,,1,0,1,1,1,1,20060825
99433,CPT,Normal newborn care/hospital,,,10 ,,RBRVS,0.62 ,0.20 ,0.20 ,,,,,1,0,1,1,1,1,20060825
99435,CPT,Newborn discharge day hosp,,,10 ,,RBRVS,1.50 ,0.59 ,0.59 ,,,,,1,0,1,1,1,1,20060825
99436,CPT,"Attendance, birth",,,10 ,,RBRVS,1.50 ,0.47 ,0.47 ,,,,,1,0,1,1,1,1,20060825
99440,CPT,Newborn resuscitation,,,10 ,,RBRVS,2.93 ,0.93 ,0.93 ,,,,,1,0,1,1,1,1,20060825
99450,CPT,Life/disability evaluation,,,15 ,,TotalUnits,,,,1.68 ,,,,1,0,1,1,1,1,20060825
99455,CPT,Disability examination,,,15 ,,TotalUnits,,,,4.23 ,,,,1,0,1,1,1,1,20060825
99456,CPT,Disability examination,,,15 ,,TotalUnits,,,,11.47 ,,,,1,0,1,1,1,1,20060825
99499,CPT,Unlisted e&m service,,,15 ,,TotalUnits,,,,1.37 ,,,,1,0,1,1,1,1,20060825
99500,CPT,"Home visit, prenatal",,,15 ,,TotalUnits,,,,2.91 ,,,,1,1,1,1,1,1,20060825
99501,CPT,"Home visit, postnatal",,,15 ,,TotalUnits,,,,3.32 ,,,,1,1,1,1,1,1,20060825
99502,CPT,"Home visit, nb care",,,15 ,,TotalUnits,,,,4.85 ,,,,1,1,1,1,1,1,20060825
99503,CPT,"Home visit, resp therapy",,,15 ,,TotalUnits,,,,1.94 ,,,,1,1,1,1,1,1,20060825
99504,CPT,Home visit mech ventilator,,,15 ,,TotalUnits,,,,5.64 ,,,,1,1,1,1,1,1,20060825
99505,CPT,"Home visit, stoma care",,,15 ,,TotalUnits,,,,1.99 ,,,,1,1,1,1,1,1,20060825
99506,CPT,"Home visit, im injection",,,15 ,,TotalUnits,,,,0.79 ,,,,1,1,1,1,1,1,20060825
99507,CPT,"Home visit, cath maintain",,,15 ,,TotalUnits,,,,1.41 ,,,,1,1,1,1,1,1,20060825
99509,CPT,Home visit day life activity,,,15 ,,TotalUnits,,,,1.91 ,,,,1,1,1,1,1,1,20060825
99510,CPT,"Home visit, sing/m/fam couns",,,18 ,,RBRVS,0.48 ,0.19 ,0.62 ,,,,,1,0,1,0,0,1,20060825
99511,CPT,"Home visit, fecal/enema mgmt",,,15 ,,TotalUnits,,,,0.81 ,,,,1,1,1,1,1,1,20060825
99512,CPT,"Home visit, hemodialysis",,,15 ,,TotalUnits,,,,7.06 ,,,,1,1,1,1,1,1,20060825
99600,CPT,Home visit nos,,,15 ,,TotalUnits,,,,2.21 ,,,,1,1,1,1,1,1,20060825
99601,CPT,"Home infusion/visit, 2 hrs",,,15 ,,TotalUnits,,,,2.21 ,,,,1,1,1,1,1,1,20060825
99602,CPT,"Home infusion, each addtl hr",,,15 ,,TotalUnits,,,,2.21 ,,,,1,0,1,0,0,1,20060825
0017T,CPT,Photocoagulat macular drusen,,,21 ,,RBRVS,5.19 ,4.87 ,5.87 ,,,,,1,0,1,1,1,1,20060825
0026T,CPT,Measure remnant lipoproteins,,,17 ,,TotalUnits,,,,0.38 ,,,,1,1,1,0,1,1,20060825
0028T,CPT,Dexa body composition study,,,20 ,,RBRVS,0.30 ,0.10 ,0.10 ,,,,,1,0,1,1,1,1,20060825
0030T,CPT,Antiprothrombin antibody,,,17 ,,TotalUnits,,,,0.40 ,,,,1,1,1,0,1,1,20060825
0041T,CPT,Detect ur infect agnt w/cpas,,,17 ,,TotalUnits,,,,0.10 ,,,,1,1,1,0,1,1,20060825
0042T,CPT,"Ct perfusion w/contrast, cbf",,,20 ,,RBRVS,1.13 ,0.37 ,0.37 ,,,,,1,0,1,1,1,1,20060825
0043T,CPT,Co expired gas analysis,,,14 ,,RBRVS,0.11 ,0.64 ,0.64 ,,,,,1,1,1,0,1,1,20060825
0044T,CPT,Whole body photography,,,14 ,,TotalUnits,,,,1.07 ,,,,1,0,1,1,1,1,20060825
0045T,CPT,Whole body photography,,,14 ,,TotalUnits,,,,1.07 ,,,,1,0,1,1,1,1,20060825
0054T,CPT,CMPT-ASST MS SURG NAVIGATNL ORTHO PROC W/FLUORO,,,28 ,,NW,,,,,,$299.23,,1,0,1,1,1,1,20060825
0055T,CPT,CMPT-ASST MS SURG NAVIGATNL ORTHO PROC W/CT&MRI,,,28 ,,NW,,,,,,$299.23,,1,0,1,1,1,1,20060825
0056T,CPT,CMPT ASST MS SURG NAVIGATNL ORTHO PROC IMAG-LESS,,,28 ,,NW,,,,,,$299.23,,1,0,1,1,1,1,20060825
0064T,CPT,Spectroscop eval expired gas,,,14 ,,RBRVS,0.11 ,0.64 ,0.64 ,,,,,1,1,1,0,1,1,20060825
0066T,CPT,Ct colonography;screen,,,20 ,,RBRVS,1.19 ,6.07 ,6.07 ,,,,,1,0,1,1,1,1,20060825
0067T,CPT,Ct colonography;dx,,,20 ,,RBRVS,1.19 ,6.07 ,6.07 ,,,,,1,0,1,1,1,1,20060825
0082T,CPT,Stereotactic rad delivery,,,20 ,,RBRVS,1.54 ,0.53 ,0.53 ,,,,,1,0,1,1,1,1,20060825
0089T,CPT,ACTIGRAPHY TESTING RECORDING ANALYSIS & INTEPR,,,28 ,,NW,,,,,,$70.92,,1,0,1,1,1,1,20060825
0090T,CPT,Cervical artific disc,,,21 ,,RBRVS,19.38 ,12.12 ,12.12 ,,,,,1,0,0,1,1,1,20060825
0091T,CPT,Lumbar artific disc,,,21 ,,RBRVS,21.41 ,12.83 ,12.83 ,,,,,1,0,0,1,1,1,20060825
0092T,CPT,Artific disc addl,,,21 ,,RBRVS,4.04 ,2.06 ,2.06 ,,,,,1,0,0,1,1,1,20060825
0093T,CPT,Cervical artific diskectomy,,,21 ,,RBRVS,19.38 ,12.12 ,12.12 ,,,,,1,0,0,1,1,1,20060825
0094T,CPT,Lumbar artific diskectomy,,,21 ,,RBRVS,21.41 ,12.83 ,12.83 ,,,,,1,0,0,1,1,1,20060825
0095T,CPT,Artific diskectomy addl,,,21 ,,RBRVS,4.04 ,2.06 ,2.06 ,,,,,1,0,0,1,1,1,20060825
0096T,CPT,Rev cervical artific disc,,,21 ,,RBRVS,19.38 ,12.12 ,12.12 ,,,,,1,0,0,1,1,1,20060825
0097T,CPT,Rev lumbar artific disc,,,21 ,,RBRVS,21.41 ,12.83 ,12.83 ,,,,,1,0,0,1,1,1,20060825
0098T,CPT,Rev artific disc addl,,,21 ,,RBRVS,4.04 ,2.06 ,2.06 ,,,,,1,0,0,1,1,1,20060825
0099T,CPT,IMPLANTATION OF INTRASTROMAL CORNEAL RING SEG,,,28 ,,NW,,,,,,$933.79,,1,0,1,1,1,1,20060825
0100T,CPT,PLCMT RET PROS & IMPL IO ELECDE ARRAY W/VITRECT,,,28 ,,NW,,,,,,"$2,348.24",,1,0,1,1,1,1,20060825
0101T,CPT,ESW INVLV MUSCULOSKELETAL SYS NOS; HI ENERGY,,,28 ,,NW,,,,,,$909.50,,1,0,1,1,1,1,20060825
0102T,CPT,ESW HI ENERGY PHYS RQR ANES-NOT LOC EPICONDYLE,,,28 ,,NW,,,,,,$909.50,,1,0,1,1,1,1,20060825
0103T,CPT,Holotranscobalamin,,,17 ,,TotalUnits,,,,0.67,,,,1,1,1,0,1,1,20060825
0104T,CPT,At rest cardio gas rebreathe,,,14 ,,RBRVS,0.98 ,5.87 ,5.87 ,,,,,1,1,1,1,1,1,20060825
0105T,CPT,Exerc cardio gas rebreathe,,,14 ,,RBRVS,0.98 ,5.87 ,5.87 ,,,,,1,1,1,1,1,1,20060825
0106T,CPT,QST TST-EXT; TOUCH PRESS LG DIAM SENSATION,,,28 ,,NW,,,,,,$6.60,,1,0,1,1,1,1,20060825
0107T,CPT,QST TST-EXT; VIBRATION LG DIAM FIBER SENSATION,,,28 ,,NW,,,,,,$6.60,,1,0,1,1,1,1,20060825
0108T,CPT,QST-EXT; COOL SM NRV FIBR SENSATION&HYPERALGESIA,,,28 ,,NW,,,,,,$6.60,,1,0,1,1,1,1,20060825
0109T,CPT,QST-EXT;HEAT-PAIN SM NRV FIBR SENSATN&HYPRALGSIA,,,28 ,,NW,,,,,,$6.60,,1,0,1,1,1,1,20060825
0110T,CPT,QST TST-EXT; OTHER STIMULI ASSESS SENSATION,,,28 ,,NW,,,,,,$6.60,,1,0,1,1,1,1,20060825
0111T,CPT,Rbc membranes fatty acids,,,17 ,,TotalUnits,,,,0.84,,,,1,1,1,0,1,1,20060825
0115T,CPT,Med therapy mgmt provided by a pharmacist per 15 min; initial encounter,,,28 ,,NW,,,,,,$8.33,,1,1,1,0,0,1,20060825
0116T,CPT,Med therapy mgmt provided by a pharmacist per 15 min; subsequent encounter,,,28 ,,NW,,,,,,$8.33,,1,1,1,0,0,1,20060825
0140T,CPT,Exhaled breath condensate ph,,,17 ,,TotalUnits,,,,0.17,,,,1,1,1,0,1,1,20060825
0155T,CPT,Lap Ins Gastr Eltrd for Mo,,,28 ,,NW,,,,,,"$4,102.80",,1,0,1,1,1,1,20060825
0156T,CPT,Lap Redo Gastr Eltrd for Mo,,,28 ,,NW,,,,,,"$4,102.80",,1,0,1,1,1,1,20060825
0157T,CPT,Opn Ins Gastr Eltrd for Mo,,,28 ,,NW,,,,,,$337.81,,1,0,1,1,1,1,20060825
0158T,CPT,Opn Redo Gastr Eltrd for Mo,,,28 ,,NW,,,,,,$337.81,,1,0,1,1,1,1,20060825
0159T,CPT,Computer Breast MRI Add-On,,,28 ,,NW,,,,,,$49.42,,1,1,1,0,1,1,20060825
0160T,CPT,Transcran mag stim planning ,,,28 ,,NW,,,,,,36.52,,1,1,1,0,1,1,20060825
0161T,CPT,Transcran mag stim delivery ,,,28 ,,NW,,,,,,36.52,,1,1,1,0,1,1,20060825
A4206,HCPCS,1 CC sterile syringe&needle,,,28 ,,NW,,,,,,$0.72,,1,1,1,0,0,1,20060825
A4207,HCPCS,2 CC sterile syringe&needle,,,28 ,,NW,,,,,,$0.72,,1,1,1,0,0,1,20060825
A4208,HCPCS,3 CC sterile syringe&needle,,,28 ,,NW,,,,,,$0.72,,1,1,1,0,0,1,20060825
A4209,HCPCS,5+ CC sterile syringe&needle,,,28 ,,NW,,,,,,$0.72,,1,1,1,0,0,1,20060825
A4210,HCPCS,Nonneedle injection device,,,28 ,,NW,,,,,,"$1,794.37",,1,1,1,0,0,1,20060825
A4211,HCPCS,Supp for self-adm injections,,,28 ,,NW,,,,,,$0.93,,1,1,1,0,0,1,20060825
A4212,HCPCS,Non coring needle or stylet,,,28 ,,NW,,,,,,$17.31,,1,1,1,0,0,1,20060825
A4213,HCPCS,20+ CC syringe only,,,28 ,,NW,,,,,,$2.18,,1,1,1,0,0,1,20060825
A4215,HCPCS,Sterile needle,,,28 ,,NW,,,,,,$0.41,,1,1,1,0,0,1,20060825
A4216,HCPCS,"Sterile water/saline, 10 ml",,,28 ,,NW,,,,,,$2.18,,1,1,1,0,0,1,20060825
A4217,HCPCS,"Sterile water/saline, 500 ml",,,28 ,,NW,,,,,,$22.30,,1,1,1,0,0,1,20060825
A4220,HCPCS,Infusion pump refill kit,,,28 ,2,NW,,,,,,$32.64,,1,1,1,0,0,1,20060825
A4221,HCPCS,Maint drug infus cath per wk,,,28 ,,NW,,,,,,$38.44,,1,1,1,0,0,1,20060825
A4222,HCPCS,Drug infusion pump supplies,,,28 ,,NW,,,,,,$78.63,,1,1,1,0,0,1,20060825
A4230,HCPCS,Infus insulin pump non needl,,,28 ,,NW,,,,,,$19.59,,1,1,1,0,0,1,20060825
A4231,HCPCS,Infusion insulin pump needle,,,28 ,,NW,,,,,,$10.70,,1,1,1,0,0,1,20060825
A4232,HCPCS,Syringe w/needle insulin 3cc,,,28 ,,NW,,,,,,$6.87,,1,1,1,0,0,1,20060825
A4244,HCPCS,Alcohol or peroxide per pint,,,28 ,,NW,,,,,,$2.18,,1,1,1,0,0,1,20060825
A4245,HCPCS,Alcohol wipes per box,,,28 ,,NW,,,,,,$5.80,,1,1,1,0,0,1,20060825
A4246,HCPCS,Betadine/phisohex solution,,,28 ,,NW,,,,,,$6.53,,1,1,1,0,0,1,20060825
A4247,HCPCS,Betadine/iodine swabs/wipes,,,28 ,,NW,,,,,,$10.16,,1,1,1,0,0,1,20060825
A4250,HCPCS,Urine reagent strips/tablets,,,28 ,,NW,,,,,,$36.56,,1,1,1,0,0,1,20060825
A4253,HCPCS,Blood glucose/reagent strips,,,28 ,,NW,,,,,,$62.43,,1,1,1,0,0,1,20060825
A4255,HCPCS,Glucose monitor platforms,,,28 ,,NW,,,,,,$10.50,,1,1,1,0,0,1,20060825
A4256,HCPCS,Calibrator solution/chips,,,28 ,,NW,,,,,,$21.54,,1,1,1,0,0,1,20060825
A4257,HCPCS,Replace Lensshield Cartridge,,,28 ,,NW,,,,,,$23.52,,1,1,1,0,0,1,20060825
A4258,HCPCS,Lancet device each,,,28 ,,NW,,,,,,$31.52,,1,1,1,0,0,1,20060825
A4259,HCPCS,Lancets per box,,,28 ,,NW,,,,,,$23.51,,1,1,1,0,0,1,20060825
A4261,HCPCS,Cervical cap contraceptive,,,28 ,,NW,,,,,,$49.39,,1,1,1,0,0,1,20060825
A4262,HCPCS,Temporary tear duct plug,,,28 ,2,NW,,,,,,$0.72,,1,1,1,0,0,1,20060825
A4263,HCPCS,Permanent tear duct plug,,,28 ,2,NW,,,,,,$82.91,,1,1,1,0,0,1,20060825
A4265,HCPCS,Paraffin,,,28 ,,NW,,,,,,$5.57,,1,1,1,0,0,1,20060825
A4267,HCPCS,Male condom,,,28 ,,NW,,,,,,$0.72,,1,1,1,0,0,1,20060825
A4269,HCPCS,Spermicide,,,28 ,,NW,,,,,,$2.18,,1,1,1,0,0,1,20060825
A4270,HCPCS,Disposable endoscope sheath,,,28 ,,NW,,,,,,$35.14,,1,1,1,0,0,1,20060825
A4280,HCPCS,Brst prsths adhsv attchmnt,,,28 ,,NW,,,,,,$8.76,,1,1,1,0,0,1,20060825
A4284,HCPCS,Replcmnt breast pump shield,,,28 ,,NW,,,,,,$37.27,,1,1,1,0,0,1,20060825
A4285,HCPCS,Replcmnt breast pump bottle,,,28 ,,NW,,,,,,$7.42,,1,1,1,0,0,1,20060825
A4290,HCPCS,Sacral nerve stim test lead,,,28 ,,NW,,,,,,$226.10,,1,1,1,0,0,1,20060825
A4300,HCPCS,Cath impl vasc access portal,,,28 ,2,NW,,,,,,$17.59,,1,1,1,0,0,1,20060825
A4301,HCPCS,Implantable access syst perc,,,28 ,2,NW,,,,,,$79.29,,1,1,1,0,0,1,20060825
A4305,HCPCS,Drug delivery system >=50 ML,,,28 ,,NW,,,,,,$27.29,,1,1,1,0,0,1,20060825
A4306,HCPCS,Drug delivery system <=5 ML,,,28 ,,NW,,,,,,$37.99,,1,1,1,0,0,1,20060825
A4310,HCPCS,Insert tray w/o bag/cath,,,28 ,,NW,,,,,,$12.66,,1,1,1,0,0,1,20060825
A4311,HCPCS,Catheter w/o bag 2-way latex,,,28 ,,NW,,,,,,$24.17,,1,1,1,0,0,1,20060825
A4312,HCPCS,Cath w/o bag 2-way silicone,,,28 ,,NW,,,,,,$29.33,,1,1,1,0,0,1,20060825
A4313,HCPCS,Catheter w/bag 3-way,,,28 ,,NW,,,,,,$30.11,,1,1,1,0,0,1,20060825
A4314,HCPCS,Cath w/drainage 2-way latex,,,28 ,,NW,,,,,,$41.05,,1,1,1,0,0,1,20060825
A4315,HCPCS,Cath w/drainage 2-way silcne,,,28 ,,NW,,,,,,$42.82,,1,1,1,0,0,1,20060825
A4316,HCPCS,Cath w/drainage 3-way,,,28 ,,NW,,,,,,$46.09,,1,1,1,0,0,1,20060825
A4320,HCPCS,Irrigation tray,,,28 ,,NW,,,,,,$8.76,,1,1,1,0,0,1,20060825
A4321,HCPCS,Cath therapeutic irrig agent,,,28 ,,NW,,,,,,$2.82,,1,1,1,0,0,1,20060825
A4322,HCPCS,Irrigation syringe,,,28 ,,NW,,,,,,$4.99,,1,1,1,0,0,1,20060825
A4326,HCPCS,Male external catheter,,,28 ,,NW,,,,,,$17.63,,1,1,1,0,0,1,20060825
A4327,HCPCS,Fem urinary collect dev cup,,,28 ,,NW,,,,,,$72.29,,1,1,1,0,0,1,20060825
A4328,HCPCS,Fem urinary collect pouch,,,28 ,,NW,,,,,,$17.08,,1,1,1,0,0,1,20060825
A4330,HCPCS,Stool collection pouch,,,28 ,,NW,,,,,,$11.75,,1,1,1,0,0,1,20060825
A4331,HCPCS,Extension drainage tubing,,,28 ,,NW,,,,,,$5.23,,1,1,1,0,0,1,20060825
A4332,HCPCS,Lubricant for cath insertion,,,28 ,,NW,,,,,,$0.19,,1,1,1,0,0,1,20060825
A4333,HCPCS,Urinary cath anchor device,,,28 ,,NW,,,,,,$3.25,,1,1,1,0,0,1,20060825
A4334,HCPCS,Urinary cath leg strap,,,28 ,,NW,,,,,,$7.26,,1,1,1,0,0,1,20060825
A4335,HCPCS,Incontinence supply,,,28 ,,NW,,,,,,$1.87,,1,1,1,0,0,1,20060825
A4338,HCPCS,Indwelling catheter latex,,,28 ,,NW,,,,,,$20.00,,1,1,1,0,0,1,20060825
A4340,HCPCS,Indwelling catheter special,,,28 ,,NW,,,,,,$51.49,,1,1,1,0,0,1,20060825
A4344,HCPCS,Cath indw foley 2 way silicn,,,28 ,,NW,,,,,,$26.08,,1,1,1,0,0,1,20060825
A4346,HCPCS,Cath indw foley 3 way,,,28 ,,NW,,,,,,$31.84,,1,1,1,0,0,1,20060825
A4348,HCPCS,Male ext cath extended wear,,,28 ,,NW,,,,,,$45.15,,1,1,1,0,0,1,20060825
A4349,HCPCS,Disposable male external cat,,,28 ,,NW,,,,,,$2.17,,1,1,1,0,1,1,20060825
A4351,HCPCS,Straight tip urine catheter,,,28 ,,NW,,,,,,$2.98,,1,1,1,0,0,1,20060825
A4352,HCPCS,Coude tip urinary catheter,,,28 ,,NW,,,,,,$10.53,,1,1,1,0,0,1,20060825
A4353,HCPCS,Intermittent urinary cath,,,28 ,,NW,,,,,,$11.51,,1,1,1,0,0,1,20060825
A4354,HCPCS,Cath insertion tray w/bag,,,28 ,,NW,,,,,,$19.26,,1,1,1,0,0,1,20060825
A4355,HCPCS,Bladder irrigation tubing,,,28 ,,NW,,,,,,$14.59,,1,1,1,0,0,1,20060825
A4356,HCPCS,Ext ureth clmp or compr dvc,,,28 ,,NW,,,,,,$73.92,,1,1,1,0,0,1,20060825
A4357,HCPCS,Bedside drainage bag,,,28 ,,NW,,,,,,$15.85,,1,1,1,0,0,1,20060825
A4358,HCPCS,Urinary leg or abdomen bag,,,28 ,,NW,,,,,,$10.90,,1,1,1,0,0,1,20060825
A4359,HCPCS,Urinary suspensory w/o leg b,,,28 ,,NW,,,,,,$49.67,,1,1,1,0,0,1,20060825
A4361,HCPCS,Ostomy face plate,,,28 ,,NW,,,,,,$29.88,,1,1,1,0,0,1,20060825
A4362,HCPCS,Solid skin barrier,,,28 ,,NW,,,,,,$5.69,,1,1,1,0,0,1,20060825
A4364,HCPCS,"Adhesive, liquid or equal",,,28 ,,NW,,,,,,$4.32,,1,1,1,0,0,1,20060825
A4365,HCPCS,Adhesive remover wipes,,,28 ,,NW,,,,,,$18.49,,1,1,1,0,0,1,20060825
A4366,HCPCS,Ostomy vent,,,28 ,,NW,,,,,,$55.54,,1,1,1,0,0,1,20060825
A4367,HCPCS,Ostomy belt,,,28 ,,NW,,,,,,$12.05,,1,1,1,0,0,1,20060825
A4368,HCPCS,Ostomy filter,,,28 ,,NW,,,,,,$0.43,,1,1,1,0,0,1,20060825
A4369,HCPCS,Skin barrier liquid per oz,,,28 ,,NW,,,,,,$3.97,,1,1,1,0,0,1,20060825
A4371,HCPCS,Skin barrier powder per oz,,,28 ,,NW,,,,,,$6.01,,1,1,1,0,0,1,20060825
A4372,HCPCS,Skin barrier solid 4x4 equiv,,,28 ,,NW,,,,,,$6.87,,1,1,1,0,0,1,20060825
A4373,HCPCS,Skin barrier with flange,,,28 ,,NW,,,,,,$10.32,,1,1,1,0,0,1,20060825
A4375,HCPCS,Drainable plastic pch w fcpl,,,28 ,,NW,,,,,,$27.95,,1,1,1,0,0,1,20060825
A4376,HCPCS,Drainable rubber pch w fcplt,,,28 ,,NW,,,,,,$77.07,,1,1,1,0,0,1,20060825
A4377,HCPCS,Drainable plstic pch w/o fp,,,28 ,,NW,,,,,,$7.06,,1,1,1,0,0,1,20060825
A4378,HCPCS,Drainable rubber pch w/o fp,,,28 ,,NW,,,,,,$49.88,,1,1,1,0,0,1,20060825
A4379,HCPCS,Urinary plastic pouch w fcpl,,,28 ,,NW,,,,,,$24.47,,1,1,1,0,0,1,20060825
A4380,HCPCS,Urinary rubber pouch w fcplt,,,28 ,,NW,,,,,,$60.49,,1,1,1,0,0,1,20060825
A4381,HCPCS,Urinary plastic pouch w/o fp,,,28 ,,NW,,,,,,$7.58,,1,1,1,0,0,1,20060825
A4382,HCPCS,Urinary hvy plstc pch w/o fp,,,28 ,,NW,,,,,,$39.98,,1,1,1,0,0,1,20060825
A4383,HCPCS,Urinary rubber pouch w/o fp,,,28 ,,NW,,,,,,$45.74,,1,1,1,0,0,1,20060825
A4384,HCPCS,Ostomy faceplt/silicone ring,,,28 ,,NW,,,,,,$15.73,,1,1,1,0,0,1,20060825
A4385,HCPCS,Ost skn barrier sld ext wear,,,28 ,,NW,,,,,,$8.38,,1,1,1,0,0,1,20060825
A4387,HCPCS,Ost clsd pouch w att st barr,,,28 ,,NW,,,,,,$4.89,,1,1,1,0,0,1,20060825
A4388,HCPCS,Drainable pch w ex wear barr,,,28 ,,NW,,,,,,$7.16,,1,1,1,0,0,1,20060825
A4389,HCPCS,Drainable pch w st wear barr,,,28 ,,NW,,,,,,$10.22,,1,1,1,0,0,1,20060825
A4390,HCPCS,Drainable pch ex wear convex,,,28 ,,NW,,,,,,$15.71,,1,1,1,0,0,1,20060825
A4391,HCPCS,Urinary pouch w ex wear barr,,,28 ,,NW,,,,,,$11.61,,1,1,1,0,0,1,20060825
A4392,HCPCS,Urinary pouch w st wear barr,,,28 ,,NW,,,,,,$13.41,,1,1,1,0,0,1,20060825
A4393,HCPCS,Urine pch w ex wear bar conv,,,28 ,,NW,,,,,,$14.79,,1,1,1,0,0,1,20060825
A4394,HCPCS,Ostomy pouch liq deodorant,,,28 ,,NW,,,,,,$4.23,,1,1,1,0,0,1,20060825
A4395,HCPCS,Ostomy pouch solid deodorant,,,28 ,,NW,,,,,,$0.08,,1,1,1,0,0,1,20060825
A4396,HCPCS,Peristomal hernia supprt blt,,,28 ,,NW,,,,,,$65.60,,1,1,1,0,0,1,20060825
A4397,HCPCS,Irrigation supply sleeve,,,28 ,,NW,,,,,,$7.87,,1,1,1,0,0,1,20060825
A4398,HCPCS,Ostomy irrigation bag,,,28 ,,NW,,,,,,$22.51,,1,1,1,0,0,1,20060825
A4399,HCPCS,Ostomy irrig cone/cath w brs,,,28 ,,NW,,,,,,$20.00,,1,1,1,0,0,1,20060825
A4400,HCPCS,Ostomy irrigation set,,,28 ,,NW,,,,,,$79.15,,1,1,1,0,0,1,20060825
A4402,HCPCS,Lubricant per ounce,,,28 ,,NW,,,,,,$2.63,,1,1,1,0,0,1,20060825
A4404,HCPCS,Ostomy ring each,,,28 ,,NW,,,,,,$2.78,,1,1,1,0,0,1,20060825
A4405,HCPCS,Nonpectin based ostomy paste,,,28 ,,NW,,,,,,$5.59,,1,1,1,0,0,1,20060825
A4406,HCPCS,Pectin based ostomy paste,,,28 ,,NW,,,,,,$9.43,,1,1,1,0,0,1,20060825
A4407,HCPCS,Ext wear ost skn barr <=4sq?,,,28 ,,NW,,,,,,$14.34,,1,1,1,0,0,1,20060825
A4408,HCPCS,Ext wear ost skn barr >4sq?,,,28 ,,NW,,,,,,$16.14,,1,1,1,0,0,1,20060825
A4409,HCPCS,Ost skn barr w flng <=4 sq?,,,28 ,,NW,,,,,,$10.22,,1,1,1,0,0,1,20060825
A4410,HCPCS,Ost skn barr w flng >4sq?,,,28 ,,NW,,,,,,$14.79,,1,1,1,0,0,1,20060825
A4413,HCPCS,2 pc drainable ost pouch,,,28 ,,NW,,,,,,$9.04,,1,1,1,0,0,1,20060825
A4414,HCPCS,Ostomy sknbarr w flng <=4sq?,,,28 ,,NW,,,,,,$8.09,,1,1,1,0,0,1,20060825
A4415,HCPCS,Ostomy skn barr w flng >4sq?,,,28 ,,NW,,,,,,$9.86,,1,1,1,0,0,1,20060825
A4416,HCPCS,Ost pch clsd w barrier/filtr,,,28 ,,NW,,,,,,$4.06,,1,1,1,0,0,1,20060825
A4417,HCPCS,Ost pch w bar/bltinconv/fltr,,,28 ,,NW,,,,,,$5.49,,1,1,1,0,0,1,20060825
A4418,HCPCS,Ost pch clsd w/o bar w filtr,,,28 ,,NW,,,,,,$2.67,,1,1,1,0,0,1,20060825
A4419,HCPCS,Ost pch for bar w flange/flt,,,28 ,,NW,,,,,,$2.57,,1,1,1,0,0,1,20060825
A4420,HCPCS,Ost pch clsd for bar w lk fl,,,28 ,,NW,,,,,,$2.57,,1,1,1,0,0,1,20060825
A4421,HCPCS,Ostomy supply misc,,,28 ,,NW,,,,,,$0.63,,1,1,1,0,0,1,20060825
A4422,HCPCS,Ost pouch absorbent material,,,28 ,,NW,,,,,,$0.19,,1,1,1,0,0,1,20060825
A4423,HCPCS,Ost pch for bar w lk fl/fltr,,,28 ,,NW,,,,,,$2.57,,1,1,1,0,0,1,20060825
A4424,HCPCS,Ost pch drain w bar & filter,,,28 ,,NW,,,,,,$6.99,,1,1,1,0,0,1,20060825
A4425,HCPCS,Ost pch drain for barrier fl,,,28 ,,NW,,,,,,$5.28,,1,1,1,0,0,1,20060825
A4426,HCPCS,Ost pch drain 2 piece system,,,28 ,,NW,,,,,,$3.48,,1,1,1,0,0,1,20060825
A4427,HCPCS,Ost pch drain/barr lk flng/f,,,28 ,,NW,,,,,,$5.28,,1,1,1,0,0,1,20060825
A4428,HCPCS,Urine ost pouch w faucet/tap,,,28 ,,NW,,,,,,$9.59,,1,1,1,0,0,1,20060825
A4429,HCPCS,Urine ost pouch w bltinconv,,,28 ,,NW,,,,,,$12.14,,1,1,1,0,0,1,20060825
A4430,HCPCS,Ost urine pch w b/bltin conv,,,28 ,,NW,,,,,,$12.55,,1,1,1,0,0,1,20060825
A4431,HCPCS,Ost pch urine w barrier/tapv,,,28 ,,NW,,,,,,$9.16,,1,1,1,0,0,1,20060825
A4432,HCPCS,Os pch urine w bar/fange/tap,,,28 ,,NW,,,,,,$5.29,,1,1,1,0,0,1,20060825
A4433,HCPCS,Urine ost pch bar w lock fln,,,28 ,,NW,,,,,,$4.92,,1,1,1,0,0,1,20060825
A4434,HCPCS,Ost pch urine w lock flng/ft,,,28 ,,NW,,,,,,$5.55,,1,1,1,0,0,1,20060825
A4450,HCPCS,Non-waterproof tape,,,28 ,,NW,,,,,,$0.14,,1,1,1,0,0,1,20060825
A4452,HCPCS,Waterproof tape,,,28 ,,NW,,,,,,$0.59,,1,1,1,0,0,1,20060825
A4455,HCPCS,Adhesive remover per ounce,,,28 ,,NW,,,,,,$2.36,,1,1,1,0,0,1,20060825
A4462,HCPCS,Abdmnl drssng holder/binder,,,28 ,,NW,,,,,,$5.41,,1,1,1,0,0,1,20060825
A4465,HCPCS,Non-elastic extremity binder,,,28 ,,NW,,,,,,$19.45,,1,1,1,0,0,1,20060825
A4470,HCPCS,Gravlee jet washer,,,28 ,,NW,,,,,,$13.03,,1,1,1,0,0,1,20060825
A4480,HCPCS,Vabra aspirator,,,28 ,,NW,,,,,,$10.88,,1,1,1,0,0,1,20060825
A4481,HCPCS,Tracheostoma filter,,,28 ,,NW,,,,,,$1.70,,1,1,1,0,0,1,20060825
A4483,HCPCS,Moisture exchanger,,,28 ,,NW,,,,,,$13.58,,1,1,1,0,0,1,20060825
A4490,HCPCS,Above knee surgical stocking,,,28 ,,NW,,,,,,$14.46,,1,1,1,0,0,1,20060825
A4495,HCPCS,Thigh length surg stocking,,,28 ,,NW,,,,,,$14.46,,1,1,1,0,0,1,20060825
A4500,HCPCS,Below knee surgical stocking,,,28 ,,NW,,,,,,$10.88,,1,1,1,0,0,1,20060825
A4510,HCPCS,Full length surg stocking,,,28 ,,NW,,,,,,$25.87,,1,1,1,0,0,1,20060825
A4550,HCPCS,Surgical trays,,,28 ,,NW,,,,,,$61.52,,1,1,1,0,0,1,20060825
A4554,HCPCS,Disposable underpads,,,28 ,,NW,,,,,,$6.53,,1,1,1,0,0,1,20060825
A4556,HCPCS,"Electrodes, pair",,,28 ,,NW,,,,,,$22.59,,1,1,1,0,0,1,20060825
A4557,HCPCS,"Lead wires, pair",,,28 ,,NW,,,,,,$36.11,,1,1,1,0,0,1,20060825
A4558,HCPCS,Conductive paste or gel,,,28 ,,NW,,,,,,$12.51,,1,1,1,0,0,1,20060825
A4561,HCPCS,"Pessary rubber, any type",,,28 ,2,NW,,,,,,$36.95,,1,1,1,0,0,1,20060825
A4562,HCPCS,"Pessary, non rubber,any type",,,28 ,2,NW,,,,,,$91.64,,1,1,1,0,0,1,20060825
A4565,HCPCS,Slings,,,28 ,,NW,,,,,,$15.17,,1,1,1,0,0,1,20060825
A4570,HCPCS,Splint,,,28 ,,NW,,,,,,$35.85,,1,1,1,0,0,1,20060825
A4575,HCPCS,Hyperbaric o2 chamber disps,,,28 ,,NW,,,,,,$772.90,,1,1,1,0,0,1,20060825
A4580,HCPCS,Cast supplies (plaster),,,28 ,,NW,,,,,,$32.90,,1,1,1,0,0,1,20060825
A4590,HCPCS,Special casting material,,,28 ,,NW,,,,,,$80.77,,1,1,1,0,0,1,20060825
A4595,HCPCS,TENS suppl 2 lead per month,,,28 ,,NW,,,,,,$47.75,,1,1,1,0,0,1,20060825
A4605,HCPCS,Trach suction cath close sys,,,28 ,,NW,,,,,,$17.55,,1,1,1,0,1,1,20060825
A4608,HCPCS,Transtracheal oxygen cath,,,28 ,,NW,,,,,,$98.13,,1,1,1,0,0,1,20060825
A4611,HCPCS,Heavy duty battery,,,28 ,,NW,,,,,,$364.15,,1,1,1,0,0,1,20060825
A4612,HCPCS,Battery cables,,,28 ,,NW,,,,,,$105.74,,1,1,1,0,0,1,20060825
A4613,HCPCS,Battery charger,,,28 ,,NW,,,,,,$188.39,,1,1,1,0,0,1,20060825
A4614,HCPCS,Hand-held PEFR meter,,,28 ,,NW,,,,,,$38.61,,1,1,1,0,0,1,20060825
A4615,HCPCS,Cannula nasal,,,28 ,,NW,,,,,,$3.66,,1,1,1,0,0,1,20060825
A4616,HCPCS,Tubing (oxygen) per foot,,,28 ,,NW,,,,,,$1.58,,1,1,1,0,0,1,20060825
A4617,HCPCS,Mouth piece,,,28 ,,NW,,,,,,$24.56,,1,1,1,0,0,1,20060825
A4618,HCPCS,Breathing circuits,,,28 ,,NW,,,,,,$14.56,,1,1,1,0,0,1,20060825
A4619,HCPCS,Face tent,,,28 ,,NW,,,,,,$2.57,,1,1,1,0,0,1,20060825
A4620,HCPCS,Variable concentration mask,,,28 ,,NW,,,,,,$7.85,,1,1,1,0,0,1,20060825
A4623,HCPCS,Tracheostomy inner cannula,,,28 ,,NW,,,,,,$10.77,,1,1,1,0,0,1,20060825
A4624,HCPCS,Tracheal suction tube,,,28 ,,NW,,,,,,$8.28,,1,1,1,0,0,1,20060825
A4625,HCPCS,Trach care kit for new trach,,,28 ,,NW,,,,,,$11.39,,1,1,1,0,0,1,20060825
A4626,HCPCS,Tracheostomy cleaning brush,,,28 ,,NW,,,,,,$5.25,,1,1,1,0,0,1,20060825
A4627,HCPCS,Spacer bag/reservoir,,,28 ,,NW,,,,,,$37.53,,1,1,1,0,0,1,20060825
A4628,HCPCS,Oropharyngeal suction cath,,,28 ,,NW,,,,,,$6.15,,1,1,1,0,0,1,20060825
A4629,HCPCS,Tracheostomy care kit,,,28 ,,NW,,,,,,$7.61,,1,1,1,0,0,1,20060825
A4630,HCPCS,Repl bat t.e.n.s. own by pt,,,28 ,,NW,,,,,,$13.72,,1,1,1,0,0,1,20060825
A4632,HCPCS,Infus pump rplcemnt battery,,,28 ,,NW,,,,,,$35.31,,1,1,1,0,1,1,20060825
A4633,HCPCS,Uvl replacement bulb,,,28 ,,NW,,,,,,$67.78,,1,1,1,0,0,1,20060825
A4635,HCPCS,Underarm crutch pad,,,28 ,,NW,,,,,,$12.02,,1,1,1,0,0,1,20060825
A4636,HCPCS,Handgrip for cane etc,,,28 ,,NW,,,,,,$10.65,,1,1,1,0,0,1,20060825
A4637,HCPCS,Repl tip cane/crutch/walker,,,28 ,,NW,,,,,,$7.51,,1,1,1,0,0,1,20060825
A4639,HCPCS,Infrared ht sys replcmnt pad,,,28 ,,NW,,,,,,$537.22,,1,1,1,0,0,1,20060825
A4640,HCPCS,Alternating pressure pad,,,28 ,,NW,,,,,,$110.27,,1,1,1,0,0,1,20060825
A4641,HCPCS,Diagnostic imaging agent,,,28 ,2,NW,,,,,,$62.72,,1,1,1,0,0,1,20060825
A4642,HCPCS,Satumomab pendetide per dose,,,28 ,,NW,,,,,,$13.14,,1,1,1,0,0,1,20060825
A4649,HCPCS,Surgical supplies,,,28 ,,NW,,,,,,$2.66,,1,1,1,0,0,1,20060825
A4651,HCPCS,Calibrated microcap tube,,,28 ,,NW,,,,,,$3.27,,1,1,1,0,0,1,20060825
A4652,HCPCS,Microcapillary tube sealant,,,28 ,,NW,,,,,,$4.89,,1,1,1,0,0,1,20060825
A4657,HCPCS,Syringe w/wo needle,,,28 ,,NW,,,,,,$0.78,,1,1,1,0,0,1,20060825
A4660,HCPCS,Sphyg/bp app w cuff and stet,,,28 ,,NW,,,,,,$48.29,,1,1,1,0,0,1,20060825
A4663,HCPCS,Dialysis blood pressure cuff,,,28 ,,NW,,,,,,$54.02,,1,1,1,0,0,1,20060825
A4670,HCPCS,"Automatic bp monitor, dial",,,28 ,,NW,,,,,,$130.71,,1,1,1,0,0,1,20060825
A4680,HCPCS,"Activated carbon filter, ea",,,28 ,,NW,,,,,,$185.52,,1,1,1,0,0,1,20060825
A4690,HCPCS,"Dialyzer, each",,,28 ,,NW,,,,,,"$1,328.50",,1,1,1,0,0,1,20060825
A4706,HCPCS,Bicarbonate conc sol per gal,,,28 ,,NW,,,,,,$20.40,,1,1,1,0,0,1,20060825
A4707,HCPCS,Bicarbonate conc pow per pac,,,28 ,,NW,,,,,,$6.74,,1,1,1,0,0,1,20060825
A4708,HCPCS,Acetate conc sol per gallon,,,28 ,,NW,,,,,,$15.65,,1,1,1,0,0,1,20060825
A4709,HCPCS,Acid conc sol per gallon,,,28 ,,NW,,,,,,$15.65,,1,1,1,0,0,1,20060825
A4714,HCPCS,Treated water per gallon,,,28 ,,NW,,,,,,$21.23,,1,1,1,0,0,1,20060825
A4719,HCPCS,"""Y set"" tubing",,,28 ,,NW,,,,,,$13.94,,1,1,1,0,0,1,20060825
A4720,HCPCS,Dialysat sol fld vol > 249cc,,,28 ,,NW,,,,,,$19.37,,1,1,1,0,0,1,20060825
A4721,HCPCS,Dialysat sol fld vol > 999cc,,,28 ,,NW,,,,,,$38.75,,1,1,1,0,0,1,20060825
A4722,HCPCS,Dialys sol fld vol > 1999cc,,,28 ,,NW,,,,,,$46.95,,1,1,1,0,0,1,20060825
A4723,HCPCS,Dialys sol fld vol > 2999cc,,,28 ,,NW,,,,,,$47.56,,1,1,1,0,0,1,20060825
A4724,HCPCS,Dialys sol fld vol > 3999cc,,,28 ,,NW,,,,,,$47.64,,1,1,1,0,0,1,20060825
A4725,HCPCS,Dialys sol fld vol > 4999cc,,,28 ,,NW,,,,,,$50.43,,1,1,1,0,0,1,20060825
A4726,HCPCS,Dialys sol fld vol > 5999cc,,,28 ,,NW,,,,,,$56.04,,1,1,1,0,0,1,20060825
A4730,HCPCS,"Fistula cannulation set, ea",,,28 ,,NW,,,,,,$2.80,,1,1,1,0,0,1,20060825
A4736,HCPCS,"Topical anesthetic, per gram",,,28 ,,NW,,,,,,$9.83,,1,1,1,0,0,1,20060825
A4737,HCPCS,Inj anesthetic per 10 ml,,,28 ,,NW,,,,,,$14.12,,1,1,1,0,0,1,20060825
A4740,HCPCS,Shunt accessory,,,28 ,,NW,,,,,,$1.63,,1,1,1,0,0,1,20060825
A4750,HCPCS,Art or venous blood tubing,,,28 ,,NW,,,,,,$19.62,,1,1,1,0,0,1,20060825
A4755,HCPCS,Comb art/venous blood tubing,,,28 ,,NW,,,,,,$29.46,,1,1,1,0,0,1,20060825
A4760,HCPCS,"Dialysate sol test kit, each",,,28 ,,NW,,,,,,$40.83,,1,1,1,0,0,1,20060825
A4765,HCPCS,Dialysate conc pow per pack,,,28 ,,NW,,,,,,$13.07,,1,1,1,0,0,1,20060825
A4766,HCPCS,Dialysate conc sol add 10 ml,,,28 ,,NW,,,,,,$6.54,,1,1,1,0,0,1,20060825
A4770,HCPCS,Blood collection tube/vacuum,,,28 ,,NW,,,,,,$28.85,,1,1,1,0,0,1,20060825
A4772,HCPCS,Blood glucose test strips,,,28 ,,NW,,,,,,$45.04,,1,1,1,0,0,1,20060825
A4773,HCPCS,Occult blood test strips,,,28 ,,NW,,,,,,$30.87,,1,1,1,0,0,1,20060825
A4774,HCPCS,Ammonia test strips,,,28 ,,NW,,,,,,$16.33,,1,1,1,0,0,1,20060825
A4802,HCPCS,Protamine sulfate per 50 mg,,,28 ,,NW,,,,,,$9.68,,1,1,1,0,0,1,20060825
A4860,HCPCS,Disposable catheter tips,,,28 ,,NW,,,,,,$6.71,,1,1,1,0,0,1,20060825
A4870,HCPCS,Plumb/elec wk hm hemo equip,,,28 ,,NW,,,,,,$171.47,,1,1,1,0,0,1,20060825
A4890,HCPCS,Repair/maint cont hemo equip,,,28 ,,NW,,,,,,$171.47,,1,1,1,0,0,1,20060825
A4911,HCPCS,Drain bag/bottle,,,28 ,,NW,,,,,,$19.22,,1,1,1,0,0,1,20060825
A4913,HCPCS,Misc dialysis supplies noc,,,28 ,,NW,,,,,,$15.22,,1,1,1,0,0,1,20060825
A4918,HCPCS,Venous pressure clamp,,,28 ,,NW,,,,,,$1.63,,1,1,1,0,0,1,20060825
A4927,HCPCS,Non-sterile gloves,,,28 ,,NW,,,,,,$7.39,,1,1,1,0,0,1,20060825
A4928,HCPCS,Surgical mask,,,28 ,,NW,,,,,,$0.47,,1,1,1,0,0,1,20060825
A4929,HCPCS,"Tourniquet for dialysis, ea",,,28 ,,NW,,,,,,$0.29,,1,1,1,0,0,1,20060825
A4930,HCPCS,"Sterile, gloves per pair",,,28 ,,NW,,,,,,$1.73,,1,1,1,0,0,1,20060825
A5051,HCPCS,Pouch clsd w barr attached,,,28 ,,NW,,,,,,$3.40,,1,1,1,0,0,1,20060825
A5052,HCPCS,Clsd ostomy pouch w/o barr,,,28 ,,NW,,,,,,$2.46,,1,1,1,0,0,1,20060825
A5053,HCPCS,Clsd ostomy pouch faceplate,,,28 ,,NW,,,,,,$2.87,,1,1,1,0,0,1,20060825
A5054,HCPCS,Clsd ostomy pouch w/flange,,,28 ,,NW,,,,,,$2.95,,1,1,1,0,0,1,20060825
A5055,HCPCS,Stoma cap,,,28 ,,NW,,,,,,$2.37,,1,1,1,0,0,1,20060825
A5061,HCPCS,Pouch drainable w barrier at,,,28 ,,NW,,,,,,$5.77,,1,1,1,0,0,1,20060825
A5062,HCPCS,Drnble ostomy pouch w/o barr,,,28 ,,NW,,,,,,$3.65,,1,1,1,0,0,1,20060825
A5063,HCPCS,Drain ostomy pouch w/flange,,,28 ,,NW,,,,,,$3.66,,1,1,1,0,0,1,20060825
A5071,HCPCS,Urinary pouch w/barrier,,,28 ,,NW,,,,,,$9.88,,1,1,1,0,0,1,20060825
A5072,HCPCS,Urinary pouch w/o barrier,,,28 ,,NW,,,,,,$5.77,,1,1,1,0,0,1,20060825
A5073,HCPCS,Urinary pouch on barr w/flng,,,28 ,,NW,,,,,,$5.23,,1,1,1,0,0,1,20060825
A5081,HCPCS,Continent stoma plug,,,28 ,,NW,,,,,,$5.42,,1,1,1,0,0,1,20060825
A5082,HCPCS,Continent stoma catheter,,,28 ,,NW,,,,,,$19.40,,1,1,1,0,0,1,20060825
A5093,HCPCS,Ostomy accessory convex inse,,,28 ,,NW,,,,,,$3.20,,1,1,1,0,0,1,20060825
A5102,HCPCS,Bedside drain btl w/wo tube,,,28 ,,NW,,,,,,$36.66,,1,1,1,0,0,1,20060825
A5105,HCPCS,Urinary suspensory,,,28 ,,NW,,,,,,$66.06,,1,1,1,0,0,1,20060825
A5112,HCPCS,Urinary leg bag,,,28 ,,NW,,,,,,$56.14,,1,1,1,0,0,1,20060825
A5113,HCPCS,Latex leg strap,,,28 ,,NW,,,,,,$7.73,,1,1,1,0,0,1,20060825
A5114,HCPCS,Foam/fabric leg strap,,,28 ,,NW,,,,,,$14.64,,1,1,1,0,0,1,20060825
A5121,HCPCS,Solid skin barrier 6x6,,,28 ,,NW,,,,,,$12.26,,1,1,1,0,0,1,20060825
A5122,HCPCS,Solid skin barrier 8x8,,,28 ,,NW,,,,,,$20.96,,1,1,1,0,0,1,20060825
A5126,HCPCS,Disk/foam pad +or- adhesive,,,28 ,,NW,,,,,,$2.18,,1,1,1,0,0,1,20060825
A5131,HCPCS,Appliance cleaner,,,28 ,,NW,,,,,,$25.81,,1,1,1,0,0,1,20060825
A5200,HCPCS,Percutaneous catheter anchor,,,28 ,,NW,,,,,,$18.45,,1,1,1,0,0,1,20060825
A5500,HCPCS,Diab shoe for density insert,,,28 ,,NW,,,,,,$106.97,,1,1,1,0,0,1,20060825
A5501,HCPCS,Diabetic custom molded shoe,,,28 ,,NW,,,,,,$318.23,,1,1,1,0,0,1,20060825
A5503,HCPCS,Diabetic shoe w/roller/rockr,,,28 ,,NW,,,,,,$57.47,,1,1,1,0,0,1,20060825
A5504,HCPCS,Diabetic shoe with wedge,,,28 ,,NW,,,,,,$51.15,,1,1,1,0,0,1,20060825
A5505,HCPCS,Diab shoe w/metatarsal bar,,,28 ,,NW,,,,,,$63.09,,1,1,1,0,0,1,20060825
A5506,HCPCS,Diabetic shoe w/off set heel,,,28 ,,NW,,,,,,$51.46,,1,1,1,0,0,1,20060825
A5507,HCPCS,Modification diabetic shoe,,,28 ,,NW,,,,,,$101.97,,1,1,1,0,0,1,20060825
A5508,HCPCS,Diabetic deluxe shoe,,,28 ,,NW,,,,,,$51.19,,1,1,1,0,0,1,20060825
A5510,HCPCS,Compression form shoe insert,,,28 ,,NW,,,,,,$50.47,,1,1,1,0,0,1,20060825
A6000,HCPCS,Wound warming wound cover,,,28 ,,NW,,,,,,$36.33,,1,1,1,0,0,1,20060825
A6010,HCPCS,Collagen based wound filler,,,28 ,,NW,,,,,,$50.22,,1,1,1,0,0,1,20060825
A6011,HCPCS,Collagen gel/paste wound fil,,,28 ,,NW,,,,,,$3.75,,1,1,1,0,0,1,20060825
A6021,HCPCS,Collagen dressing <=16 sq in,,,28 ,,NW,,,,,,$34.16,,1,1,1,0,0,1,20060825
A6022,HCPCS,Collagen drsg>6<=48 sq in,,,28 ,,NW,,,,,,$34.16,,1,1,1,0,0,1,20060825
A6023,HCPCS,Collagen dressing >48 sq in,,,28 ,,NW,,,,,,$307.66,,1,1,1,0,0,1,20060825
A6024,HCPCS,Collagen dsg wound filler,,,28 ,,NW,,,,,,$10.17,,1,1,1,0,0,1,20060825
A6025,HCPCS,"Silicone gel sheet, each",,,28 ,,NW,,,,,,$50.83,,1,1,1,0,0,1,20060825
A6154,HCPCS,Wound pouch each,,,28 ,,NW,,,,,,$23.43,,1,1,1,0,0,1,20060825
A6196,HCPCS,Alginate dressing <=16 sq in,,,28 ,,NW,,,,,,$12.05,,1,1,1,0,0,1,20060825
A6197,HCPCS,Alginate drsg >16 <=48 sq in,,,28 ,,NW,,,,,,$26.75,,1,1,1,0,0,1,20060825
A6198,HCPCS,alginate dressing > 48 sq in,,,28 ,,NW,,,,,,$33.44,,1,1,1,0,0,1,20060825
A6199,HCPCS,Alginate drsg wound filler,,,28 ,,NW,,,,,,$8.69,,1,1,1,0,0,1,20060825
A6200,HCPCS,Compos drsg <=16 no border,,,28 ,,NW,,,,,,$15.54,,1,1,1,0,0,1,20060825
A6201,HCPCS,Compos drsg >16<=48 no bdr,,,28 ,,NW,,,,,,$33.81,,1,1,1,0,0,1,20060825
A6202,HCPCS,Compos drsg >48 no border,,,28 ,,NW,,,,,,$56.54,,1,1,1,0,0,1,20060825
A6203,HCPCS,Composite drsg <= 16 sq in,,,28 ,,NW,,,,,,$5.50,,1,1,1,0,0,1,20060825
A6204,HCPCS,Composite drsg >16<=48 sq in,,,28 ,,NW,,,,,,$10.23,,1,1,1,0,0,1,20060825
A6205,HCPCS,Composite drsg > 48 sq in,,,28 ,,NW,,,,,,$12.79,,1,1,1,0,0,1,20060825
A6206,HCPCS,Contact layer <= 16 sq in,,,28 ,,NW,,,,,,$9.42,,1,1,1,0,0,1,20060825
A6207,HCPCS,Contact layer >16<= 48 sq in,,,28 ,,NW,,,,,,$12.04,,1,1,1,0,0,1,20060825
A6208,HCPCS,Contact layer > 48 sq in,,,28 ,,NW,,,,,,$15.06,,1,1,1,0,0,1,20060825
A6209,HCPCS,Foam drsg <=16 sq in w/o bdr,,,28 ,,NW,,,,,,$12.29,,1,1,1,0,0,1,20060825
A6210,HCPCS,Foam drg >16<=48 sq in w/o b,,,28 ,,NW,,,,,,$32.37,,1,1,1,0,0,1,20060825
A6211,HCPCS,Foam drg > 48 sq in w/o brdr,,,28 ,,NW,,,,,,$47.65,,1,1,1,0,0,1,20060825
A6212,HCPCS,Foam drg <=16 sq in w/border,,,28 ,,NW,,,,,,$15.85,,1,1,1,0,0,1,20060825
A6213,HCPCS,Foam drg >16<=48 sq in w/bdr,,,28 ,,NW,,,,,,$16.81,,1,1,1,0,0,1,20060825
A6214,HCPCS,Foam drg > 48 sq in w/border,,,28 ,,NW,,,,,,$16.81,,1,1,1,0,0,1,20060825
A6216,HCPCS,Non-sterile gauze<=16 sq in,,,28 ,,NW,,,,,,$0.08,,1,1,1,0,0,1,20060825
A6217,HCPCS,Non-sterile gauze>16<=48 sq,,,28 ,,NW,,,,,,$0.72,,1,1,1,0,0,1,20060825
A6218,HCPCS,Non-sterile gauze > 48 sq in,,,28 ,,NW,,,,,,$0.72,,1,1,1,0,0,1,20060825
A6219,HCPCS,Gauze <= 16 sq in w/border,,,28 ,,NW,,,,,,$1.57,,1,1,1,0,0,1,20060825
A6220,HCPCS,Gauze >16 <=48 sq in w/bordr,,,28 ,,NW,,,,,,$4.23,,1,1,1,0,0,1,20060825
A6221,HCPCS,Gauze > 48 sq in w/border,,,28 ,,NW,,,,,,$5.29,,1,1,1,0,0,1,20060825
A6222,HCPCS,Gauze <=16 in no w/sal w/o b,,,28 ,,NW,,,,,,$3.49,,1,1,1,0,0,1,20060825
A6223,HCPCS,Gauze >16<=48 no w/sal w/o b,,,28 ,,NW,,,,,,$3.97,,1,1,1,0,0,1,20060825
A6224,HCPCS,Gauze > 48 in no w/sal w/o b,,,28 ,,NW,,,,,,$5.93,,1,1,1,0,0,1,20060825
A6228,HCPCS,Gauze <= 16 sq in water/sal,,,28 ,,NW,,,,,,$4.35,,1,1,1,0,0,1,20060825
A6229,HCPCS,Gauze >16<=48 sq in watr/sal,,,28 ,,NW,,,,,,$5.93,,1,1,1,0,0,1,20060825
A6230,HCPCS,Gauze > 48 sq in water/salne,,,28 ,,NW,,,,,,$6.53,,1,1,1,0,0,1,20060825
A6231,HCPCS,Hydrogel dsg<=16 sq in,,,28 ,,NW,,,,,,$7.70,,1,1,1,0,0,1,20060825
A6232,HCPCS,Hydrogel dsg>16<=48 sq in,,,28 ,,NW,,,,,,$11.29,,1,1,1,0,0,1,20060825
A6233,HCPCS,Hydrogel dressing >48 sq in,,,28 ,,NW,,,,,,$31.20,,1,1,1,0,0,1,20060825
A6234,HCPCS,Hydrocolld drg <=16 w/o bdr,,,28 ,,NW,,,,,,$10.75,,1,1,1,0,0,1,20060825
A6235,HCPCS,Hydrocolld drg >16<=48 w/o b,,,28 ,,NW,,,,,,$27.36,,1,1,1,0,0,1,20060825
A6236,HCPCS,Hydrocolld drg > 48 in w/o b,,,28 ,,NW,,,,,,$44.22,,1,1,1,0,0,1,20060825
A6237,HCPCS,Hydrocolld drg <=16 in w/bdr,,,28 ,,NW,,,,,,$12.98,,1,1,1,0,0,1,20060825
A6238,HCPCS,Hydrocolld drg >16<=48 w/bdr,,,28 ,,NW,,,,,,$37.02,,1,1,1,0,0,1,20060825
A6239,HCPCS,Hydrocolld drg > 48 in w/bdr,,,28 ,,NW,,,,,,$46.27,,1,1,1,0,0,1,20060825
A6240,HCPCS,Hydrocolld drg filler paste,,,28 ,,NW,,,,,,$19.97,,1,1,1,0,0,1,20060825
A6241,HCPCS,Hydrocolloid drg filler dry,,,28 ,,NW,,,,,,$4.22,,1,1,1,0,0,1,20060825
A6242,HCPCS,Hydrogel drg <=16 in w/o bdr,,,28 ,,NW,,,,,,$9.98,,1,1,1,0,0,1,20060825
A6243,HCPCS,Hydrogel drg >16<=48 w/o bdr,,,28 ,,NW,,,,,,$20.09,,1,1,1,0,0,1,20060825
A6244,HCPCS,Hydrogel drg >48 in w/o bdr,,,28 ,,NW,,,,,,$63.65,,1,1,1,0,0,1,20060825
A6245,HCPCS,Hydrogel drg <= 16 in w/bdr,,,28 ,,NW,,,,,,$11.94,,1,1,1,0,0,1,20060825
A6246,HCPCS,Hydrogel drg >16<=48 in w/b,,,28 ,,NW,,,,,,$16.22,,1,1,1,0,0,1,20060825
A6247,HCPCS,Hydrogel drg > 48 sq in w/b,,,28 ,,NW,,,,,,$38.61,,1,1,1,0,0,1,20060825
A6248,HCPCS,Hydrogel drsg gel filler,,,28 ,,NW,,,,,,$26.43,,1,1,1,0,0,1,20060825
A6250,HCPCS,Skin seal protect moisturizr,,,28 ,,NW,,,,,,$2.51,,1,1,1,0,0,1,20060825
A6251,HCPCS,Absorpt drg <=16 sq in w/o b,,,28 ,,NW,,,,,,$3.27,,1,1,1,0,0,1,20060825
A6252,HCPCS,Absorpt drg >16 <=48 w/o bdr,,,28 ,,NW,,,,,,$5.34,,1,1,1,0,0,1,20060825
A6253,HCPCS,Absorpt drg > 48 sq in w/o b,,,28 ,,NW,,,,,,$10.41,,1,1,1,0,0,1,20060825
A6254,HCPCS,Absorpt drg <=16 sq in w/bdr,,,28 ,,NW,,,,,,$2.00,,1,1,1,0,0,1,20060825
A6255,HCPCS,Absorpt drg >16<=48 in w/bdr,,,28 ,,NW,,,,,,$4.98,,1,1,1,0,0,1,20060825
A6256,HCPCS,Absorpt drg > 48 sq in w/bdr,,,28 ,,NW,,,,,,$6.21,,1,1,1,0,0,1,20060825
A6257,HCPCS,Transparent film <= 16 sq in,,,28 ,,NW,,,,,,$2.51,,1,1,1,0,0,1,20060825
A6258,HCPCS,Transparent film >16<=48 in,,,28 ,,NW,,,,,,$7.07,,1,1,1,0,0,1,20060825
A6259,HCPCS,Transparent film > 48 sq in,,,28 ,,NW,,,,,,$17.86,,1,1,1,0,0,1,20060825
A6260,HCPCS,Wound cleanser any type/size,,,28 ,,NW,,,,,,$2.18,,1,1,1,0,0,1,20060825
A6261,HCPCS,Wound filler gel/paste /oz,,,28 ,,NW,,,,,,$8.70,,1,1,1,0,0,1,20060825
A6262,HCPCS,Wound filler dry form / gram,,,28 ,,NW,,,,,,$2.18,,1,1,1,0,0,1,20060825
A6266,HCPCS,Impreg gauze no h20/sal/yard,,,28 ,,NW,,,,,,$3.15,,1,1,1,0,0,1,20060825
A6402,HCPCS,Sterile gauze <= 16 sq in,,,28 ,,NW,,,,,,$0.19,,1,1,1,0,0,1,20060825
A6403,HCPCS,Sterile gauze>16 <= 48 sq in,,,28 ,,NW,,,,,,$0.71,,1,1,1,0,0,1,20060825
A6404,HCPCS,Sterile gauze > 48 sq in,,,28 ,,NW,,,,,,$1.45,,1,1,1,0,0,1,20060825
A6407,HCPCS,"Packing strips, non-impreg",,,28 ,,NW,,,,,,$2.02,,1,1,1,0,1,1,20060825
A6410,HCPCS,Sterile eye pad,,,28 ,,NW,,,,,,$0.65,,1,1,1,0,0,1,20060825
A6411,HCPCS,Non-sterile eye pad,,,28 ,,NW,,,,,,$0.72,,1,1,1,0,0,1,20060825
A6412,HCPCS,Occlusive eye patch,,,28 ,,NW,,,,,,$0.72,,1,1,1,0,0,1,20060825
A6441,HCPCS,Pad band w>=3? <5?/yd,,,28 ,,NW,,,,,,$0.72,,1,1,1,0,1,1,20060825
A6442,HCPCS,Conform band n/s w<3?/yd,,,28 ,,NW,,,,,,$0.19,,1,1,1,0,1,1,20060825
A6443,HCPCS,Conform band n/s w>=3?<5?/yd,,,28 ,,NW,,,,,,$0.32,,1,1,1,0,1,1,20060825
A6444,HCPCS,Conform band n/s w>=5?/yd,,,28 ,,NW,,,,,,$0.60,,1,1,1,0,1,1,20060825
A6445,HCPCS,Conform band s w <3?/yd,,,28 ,,NW,,,,,,$0.35,,1,1,1,0,1,1,20060825
A6446,HCPCS,Conform band s w>=3? <5?/yd,,,28 ,,NW,,,,,,$0.44,,1,1,1,0,1,1,20060825
A6447,HCPCS,Conform band s w >=5?/yd,,,28 ,,NW,,,,,,$0.72,,1,1,1,0,1,1,20060825
A6448,HCPCS,Lt compres band <3?/yd,,,28 ,,NW,,,,,,$1.25,,1,1,1,0,1,1,20060825
A6449,HCPCS,Lt compres band >=3? <5?/yd,,,28 ,,NW,,,,,,$1.88,,1,1,1,0,1,1,20060825
A6452,HCPCS,High compres band w>=3?<5?yd,,,28 ,,NW,,,,,,$6.33,,1,1,1,0,1,1,20060825
A6453,HCPCS,Self-adher band w <3?/yd,,,28 ,,NW,,,,,,$0.66,,1,1,1,0,1,1,20060825
A6454,HCPCS,Self-adher band w>=3? <5?/yd,,,28 ,,NW,,,,,,$0.83,,1,1,1,0,1,1,20060825
A6455,HCPCS,Self-adher band >=5?/yd,,,28 ,,NW,,,,,,$1.49,,1,1,1,0,1,1,20060825
A6456,HCPCS,Zinc paste band w >=3?<5?/yd,,,28 ,,NW,,,,,,$1.37,,1,1,1,0,1,1,20060825
A6550,HCPCS,Neg pres wound ther drsg set,,,28 ,,NW,,,,,,$45.65,,1,1,1,0,0,1,20060825
A7000,HCPCS,Disposable canister for pump,,,28 ,,NW,,,,,,$18.69,,1,1,1,0,0,1,20060825
A7001,HCPCS,Nondisposable pump canister,,,28 ,,NW,,,,,,$54.16,,1,1,1,0,0,1,20060825
A7002,HCPCS,Tubing used w suction pump,,,28 ,,NW,,,,,,$10.07,,1,1,1,0,0,1,20060825
A7003,HCPCS,Nebulizer administration set,,,28 ,,NW,,,,,,$8.44,,1,1,1,0,0,1,20060825
A7004,HCPCS,Disposable nebulizer sml vol,,,28 ,,NW,,,,,,$7.01,,1,1,1,0,0,1,20060825
A7005,HCPCS,Nondisposable nebulizer set,,,28 ,,NW,,,,,,$50.79,,1,1,1,0,0,1,20060825
A7006,HCPCS,Filtered nebulizer admin set,,,28 ,,NW,,,,,,$18.69,,1,1,1,0,0,1,20060825
A7007,HCPCS,Lg vol nebulizer disposable,,,28 ,,NW,,,,,,$11.26,,1,1,1,0,0,1,20060825
A7008,HCPCS,Disposable nebulizer prefill,,,28 ,,NW,,,,,,$20.88,,1,1,1,0,0,1,20060825
A7009,HCPCS,Nebulizer reservoir bottle,,,28 ,,NW,,,,,,$69.68,,1,1,1,0,0,1,20060825
A7010,HCPCS,Disposable corrugated tubing,,,28 ,,NW,,,,,,$39.87,,1,1,1,0,0,1,20060825
A7011,HCPCS,Nondispos corrugated tubing,,,28 ,,NW,,,,,,$61.12,,1,1,1,0,0,1,20060825
A7012,HCPCS,Nebulizer water collec devic,,,28 ,,NW,,,,,,$10.00,,1,1,1,0,0,1,20060825
A7013,HCPCS,Disposable compressor filter,,,28 ,,NW,,,,,,$3.70,,1,1,1,0,0,1,20060825
A7014,HCPCS,Compressor nondispos filter,,,28 ,,NW,,,,,,$11.07,,1,1,1,0,0,1,20060825
A7015,HCPCS,Aerosol mask used w nebulize,,,28 ,,NW,,,,,,$7.14,,1,1,1,0,0,1,20060825
A7016,HCPCS,Nebulizer dome & mouthpiece,,,28 ,,NW,,,,,,$15.23,,1,1,1,0,0,1,20060825
A7017,HCPCS,Nebulizer not used w oxygen,,,28 ,,NW,,,,,,$181.20,,1,1,1,0,0,1,20060825
A7018,HCPCS,Water distilled w/nebulizer,,,28 ,,NW,,,,,,$1.70,,1,1,1,0,0,1,20060825
A7025,HCPCS,Replace chest compress vest,,,28 ,,NW,,,,,,$818.92,,1,1,1,0,0,1,20060825
A7026,HCPCS,Replace chst cmprss sys hose,,,28 ,,NW,,,,,,$47.64,,1,1,1,0,0,1,20060825
A7030,HCPCS,CPAP full face mask,,,28 ,,NW,,,,,,$349.24,,1,1,1,0,0,1,20060825
A7031,HCPCS,Replacement facemask interfa,,,28 ,,NW,,,,,,$122.58,,1,1,1,0,0,1,20060825
A7032,HCPCS,Replacement nasal cushion,NU,,28 ,,NW,,,,,,$66.81,,1,1,1,0,0,1,20060825
A7033,HCPCS,Replacement nasal pillows,NU,,28 ,,NW,,,,,,$47.14,,1,1,1,0,0,1,20060825
A7034,HCPCS,Nasal application device,NU,,28 ,,NW,,,,,,$213.86,,1,1,1,0,0,1,20060825
A7035,HCPCS,Pos airway press headgear,NU,,28 ,,NW,,,,,,$65.32,,1,1,1,0,0,1,20060825
A7036,HCPCS,Pos airway press chinstrap,NU,,28 ,,NW,,,,,,$31.74,,1,1,1,0,0,1,20060825
A7037,HCPCS,Pos airway pressure tubing,NU,,28 ,,NW,,,,,,$67.74,,1,1,1,0,0,1,20060825
A7038,HCPCS,Pos airway pressure filter,NU,,28 ,,NW,,,,,,$12.43,,1,1,1,0,0,1,20060825
A7039,HCPCS,"Filter, non disposable w pap",NU,,28 ,,NW,,,,,,$27.42,,1,1,1,0,0,1,20060825
A7040,HCPCS,One way chest drain valve,,,28 ,,NW,,,,,,$48.15,,1,1,1,0,1,1,20060825
A7041,HCPCS,Water seal drain container,,,28 ,,NW,,,,,,$90.47,,1,1,1,0,1,1,20060825
A7042,HCPCS,Implanted pleural catheter,,,28 ,,NW,,,,,,$329.94,,1,1,1,0,0,1,20060825
A7043,HCPCS,Vacuum drainagebottle/tubing,,,28 ,,NW,,,,,,$47.41,,1,1,1,0,0,1,20060825
A7044,HCPCS,PAP oral interface,NU,,28 ,,NW,,,,,,$220.09,,1,1,1,0,0,1,20060825
A7045,HCPCS,Repl exhalation port for PAP,,,28 ,,NW,,,,,,$2.09,,1,1,1,0,1,1,20060825
A7046,HCPCS,"Repl water chamber, PAP dev",NU,,28 ,,NW,,,,,,$20.88,,1,1,1,0,1,1,20060825
A7501,HCPCS,Tracheostoma valve w diaphra,,,28 ,,NW,,,,,,$169.90,,1,1,1,0,0,1,20060825
A7502,HCPCS,Replacement diaphragm/fplate,,,28 ,,NW,,,,,,$80.83,,1,1,1,0,0,1,20060825
A7503,HCPCS,HMES filter holder or cap,,,28 ,,NW,,,,,,$18.51,,1,1,1,0,0,1,20060825
A7504,HCPCS,Tracheostoma HMES filter,,,28 ,,NW,,,,,,$1.10,,1,1,1,0,0,1,20060825
A7505,HCPCS,HMES or trach valve housing,,,28 ,,NW,,,,,,$7.70,,1,1,1,0,0,1,20060825
A7506,HCPCS,HMES/trachvalve adhesivedisk,,,28 ,,NW,,,,,,$0.55,,1,1,1,0,0,1,20060825
A7507,HCPCS,Integrated filter & holder,,,28 ,,NW,,,,,,$4.09,,1,1,1,0,0,1,20060825
A7508,HCPCS,Housing & Integrated Adhesiv,,,28 ,,NW,,,,,,$4.71,,1,1,1,0,0,1,20060825
A7509,HCPCS,Heat & moisture exchange sys,,,28 ,,NW,,,,,,$2.32,,1,1,1,0,0,1,20060825
A7520,HCPCS,Trach/laryn tube non-cuffed,,,28 ,,NW,,,,,,$50.81,,1,1,1,0,1,1,20060825
A7521,HCPCS,Trach/laryn tube cuffed,,,28 ,,NW,,,,,,$50.35,,1,1,1,0,1,1,20060825
A7522,HCPCS,Trach/laryn tube stainless,,,28 ,,NW,,,,,,$48.33,,1,1,1,0,1,1,20060825
A7523,HCPCS,Tracheostomy shower protect,,,28 ,,NW,,,,,,$22.86,,1,1,1,0,1,1,20060825
A7524,HCPCS,Tracheostoma stent/stud/bttn,,,28 ,,NW,,,,,,$82.82,,1,1,1,0,1,1,20060825
A7525,HCPCS,Tracheostomy mask,,,28 ,,NW,,,,,,$3.04,,1,1,1,0,0,1,20060825
A7526,HCPCS,Tracheostomy tube collar,,,28 ,,NW,,,,,,$3.61,,1,1,1,0,1,1,20060825
A7527,HCPCS,Trach/laryn tube plug/stop,,,28 ,,NW,,,,,,$3.84,,1,1,1,0,1,1,20060825
A9150,HCPCS,Misc/exper non-prescript dru,,,29 ,,NW,,,,,,$10.36,,1,1,1,0,0,1,20060825
A9270,HCPCS,Non-covered item or service,,,28 ,,NW,,,,,,$45.58,,1,1,1,0,0,1,20060825
A9280,HCPCS,"Alert device, noc",,,28 ,,NW,,,,,,$303.85,,1,1,1,0,1,1,20060825
A9300,HCPCS,Exercise equipment,,,28 ,,NW,,,,,,$5.83,,1,1,1,0,0,1,20060825
A9500,HCPCS,Technetium TC 99m sestamibi,,,28 ,,NW,,,,,,$157.47,,1,1,1,0,0,1,20060825
A9502,HCPCS,Technetium TC99M tetrofosmin,,,28 ,,NW,,,,,,$176.50,,1,1,1,0,0,1,20060825
A9503,HCPCS,Technetium TC 99m medronate,,,28 ,2,NW,,,,,,$40.94,,1,1,1,0,0,1,20060825
A9504,HCPCS,Technetium tc 99m apcitide,,,28 ,2,NW,,,,,,$73.09,,1,1,1,0,0,1,20060825
A9505,HCPCS,Thallous chloride TL 201/mci,,,28 ,,NW,,,,,,$69.11,,1,1,1,0,0,1,20060825
A9507,HCPCS,Indium/111 capromab pendetid,,,28 ,,NW,,,,,,"$2,966.31",,1,1,1,0,0,1,20060825
A9508,HCPCS,Iobenguane sulfate I-131,,,28 ,,NW,,,,,,$33.83,,1,1,1,0,0,1,20060825
A9510,HCPCS,Technetium TC99m Disofenin,,,28 ,2,NW,,,,,,$117.26,,1,1,1,0,0,1,20060825
A9600,HCPCS,Strontium-89 chloride,,,28 ,,NW,,,,,,"$1,080.65",,1,1,1,0,0,1,20060825
A9605,HCPCS,Samarium sm153 lexidronamm,,,28 ,,NW,,,,,,$535.21,,1,1,1,0,0,1,20060825
A9700,HCPCS,Echocardiography Contrast,,,28 ,,NW,,,,,,$213.89,,1,1,1,0,0,1,20060825
A9900,HCPCS,Supply/accessory/service,,,28 ,,NW,,,,,,$23.47,,1,1,1,0,0,1,20060825
A9901,HCPCS,Delivery/set up/dispensing,,,28 ,,NW,,,,,,$19.45,,1,1,1,0,0,1,20060825
B4034,HCPCS,Enter feed supkit syr by day,,,28 ,,NW,,,,,,$9.85,,1,1,1,0,0,1,20060825
B4035,HCPCS,Enteral feed supp pump per d,,,28 ,,NW,,,,,,$19.10,,1,1,1,0,0,1,20060825
B4036,HCPCS,Enteral feed sup kit grav by,,,28 ,,NW,,,,,,$12.87,,1,1,1,0,0,1,20060825
B4081,HCPCS,Enteral ng tubing w/ stylet,,,28 ,,NW,,,,,,$38.23,,1,1,1,0,0,1,20060825
B4082,HCPCS,Enteral ng tubing w/o stylet,,,28 ,,NW,,,,,,$27.61,,1,1,1,0,0,1,20060825
B4083,HCPCS,Enteral stomach tube levine,,,28 ,,NW,,,,,,$3.97,,1,1,1,0,0,1,20060825
B4086,HCPCS,Gastrostomy/jejunostomy tube,,,28 ,,NW,,,,,,$65.27,,1,1,1,0,0,1,20060825
B4149,HCPCS,EF blenderized foods,,,28 ,,NW,,,,,,$1.64,,1,1,1,0,1,1,20060825
B4150,HCPCS,Enteral formulae category i,,,28 ,,NW,,,,,,$1.10,,1,1,1,0,0,1,20060825
B4152,HCPCS,Enteral formulae category ii,,,28 ,,NW,,,,,,$0.94,,1,1,1,0,0,1,20060825
B4153,HCPCS,Enteral formulae categoryIII,,,28 ,,NW,,,,,,$3.09,,1,1,1,0,0,1,20060825
B4154,HCPCS,Enteral formulae category IV,,,28 ,,NW,,,,,,$1.98,,1,1,1,0,0,1,20060825
B4155,HCPCS,Enteral formulae category v,,,28 ,,NW,,,,,,$1.56,,1,1,1,0,0,1,20060825
B4164,HCPCS,Parenteral 50% dextrose solu,,,28 ,,NW,,,,,,$28.37,,1,1,1,0,0,1,20060825
B4168,HCPCS,Parenteral sol amino acid 3.,,,28 ,,NW,,,,,,$42.80,,1,1,1,0,0,1,20060825
B4172,HCPCS,Parenteral sol amino acid 5.,,,28 ,,NW,,,,,,$64.40,,1,1,1,0,0,1,20060825
B4176,HCPCS,Parenteral sol amino acid 7-,,,28 ,,NW,,,,,,$85.98,,1,1,1,0,0,1,20060825
B4178,HCPCS,Parenteral sol amino acid >,,,28 ,,NW,,,,,,$103.89,,1,1,1,0,0,1,20060825
B4180,HCPCS,Parenteral sol carb > 50%,,,28 ,,NW,,,,,,$42.08,,1,1,1,0,0,1,20060825
B4189,HCPCS,Parenteral sol amino acid &,,,28 ,,NW,,,,,,$327.90,,1,1,1,0,0,1,20060825
B4193,HCPCS,Parenteral sol 52-73 gm prot,,,28 ,,NW,,,,,,$424.70,,1,1,1,0,0,1,20060825
B4197,HCPCS,Parenteral sol 74-100 gm pro,,,28 ,,NW,,,,,,$517.76,,1,1,1,0,0,1,20060825
B4199,HCPCS,Parenteral sol > 100gm prote,,,28 ,,NW,,,,,,$592.13,,1,1,1,0,0,1,20060825
B4216,HCPCS,Parenteral nutrition additiv,,,28 ,,NW,,,,,,$12.06,,1,1,1,0,0,1,20060825
B4220,HCPCS,Parenteral supply kit premix,,,28 ,,NW,,,,,,$12.49,,1,1,1,0,0,1,20060825
B4222,HCPCS,Parenteral supply kit homemi,,,28 ,,NW,,,,,,$15.40,,1,1,1,0,0,1,20060825
B4224,HCPCS,Parenteral administration ki,,,28 ,,NW,,,,,,$43.28,,1,1,1,0,0,1,20060825
B5000,HCPCS,Parenteral sol renal-amirosy,,,28 ,,NW,,,,,,$18.82,,1,1,1,0,0,1,20060825
B5100,HCPCS,Parenteral sol hepatic-fream,,,28 ,,NW,,,,,,$7.27,,1,1,1,0,0,1,20060825
B5200,HCPCS,Parenteral sol stres-brnch c,,,28 ,,NW,,,,,,$582.82,,1,1,1,0,0,1,20060825
B9000,HCPCS,Enter infusion pump w/o alrm,RR,,28 ,,NW,,,,,,$213.28,,1,1,1,0,0,1,20060825
B9000,HCPCS,Enter infusion pump w/o alrm,UE,,28 ,,NW,,,,,,"$1,764.57",,1,1,1,0,0,1,20060825
B9000,HCPCS,Enter infusion pump w/o alrm,NU,,28 ,,NW,,,,,,"$2,353.87",,1,1,1,0,0,1,20060825
B9002,HCPCS,Enteral infusion pump w/ ala,RR,,28 ,,NW,,,,,,$224.97,,1,1,1,0,0,1,20060825
B9002,HCPCS,Enteral infusion pump w/ ala,NU,,28 ,,NW,,,,,,"$2,353.87",,1,1,1,0,0,1,20060825
B9004,HCPCS,Parenteral infus pump portab,RR,,28 ,,NW,,,,,,$741.03,,1,1,1,0,0,1,20060825
B9004,HCPCS,Parenteral infus pump portab,UE,,28 ,,NW,,,,,,"$3,523.12",,1,1,1,0,0,1,20060825
B9004,HCPCS,Parenteral infus pump portab,NU,,28 ,,NW,,,,,,"$4,698.62",,1,1,1,0,0,1,20060825
B9006,HCPCS,Parenteral infus pump statio,RR,,28 ,,NW,,,,,,$741.03,,1,1,1,0,0,1,20060825
B9006,HCPCS,Parenteral infus pump statio,UE,,28 ,,NW,,,,,,"$3,523.12",,1,1,1,0,0,1,20060825
B9006,HCPCS,Parenteral infus pump statio,NU,,28 ,,NW,,,,,,"$4,698.62",,1,1,1,0,0,1,20060825
B9998,HCPCS,Enteral supp not otherwise c,,,28 ,,NW,,,,,,$9.67,,1,1,1,0,0,1,20060825
B9999,HCPCS,Parenteral supp not othrws c,,,28 ,,NW,,,,,,$288.42,,1,1,1,0,0,1,20060825
D0120,HCPCS,Periodic oral evaluation,,,25 ,,NW,,,,,,$42.29,,1,0,1,1,1,1,20060825
D0140,HCPCS,Limit oral eval problm focus,,,25 ,,NW,,,,,,$64.76,,1,0,1,1,1,1,20060825
D0150,HCPCS,Comprehensve oral evaluation,,,25 ,,NW,,,,,,$71.21,,1,0,1,1,1,1,20060825
D0160,HCPCS,Extensv oral eval prob focus,,,25 ,,NW,,,,,,$153.27,,1,0,1,1,1,1,20060825
D0170,HCPCS,"Re-eval,est pt,problem focus",,,25 ,,NW,,,,,,$58.18,,1,0,1,1,1,1,20060825
D0180,HCPCS,Comp periodontal evaluation,,,25 ,,NW,,,,,,$82.29,,1,0,1,1,1,1,20060825
D0210,HCPCS,Intraor complete film series,,,25 ,,NW,,,,,,$115.90,,1,0,1,1,1,1,20060825
D0220,HCPCS,Intraoral periapical first f,,,25 ,,NW,,,,,,$24.37,,1,0,1,1,1,1,20060825
D0230,HCPCS,Intraoral periapical ea add,,,25 ,,NW,,,,,,$19.63,,1,0,1,1,1,1,20060825
D0240,HCPCS,Intraoral occlusal film,,,25 ,,NW,,,,,,$35.54,,1,0,1,1,1,1,20060825
D0250,HCPCS,Extraoral first film,,,25 ,,NW,,,,,,$50.26,,1,0,1,1,1,1,20060825
D0260,HCPCS,Extraoral ea additional film,,,25 ,,NW,,,,,,$44.96,,1,0,1,1,1,1,20060825
D0270,HCPCS,Dental bitewing single film,,,25 ,,NW,,,,,,$24.39,,1,0,1,1,1,1,20060825
D0272,HCPCS,Dental bitewings two films,,,25 ,,NW,,,,,,$38.18,,1,0,1,1,1,1,20060825
D0274,HCPCS,Dental bitewings four films,,,25 ,,NW,,,,,,$55.22,,1,0,1,1,1,1,20060825
D0277,HCPCS,Vert bitewings-sev to eight,,,25 ,,NW,,,,,,$82.86,,1,0,1,1,1,1,20060825
D0290,HCPCS,Dental film skull/facial bon,,,25 ,,NW,,,,,,$125.84,,1,0,1,1,1,1,20060825
D0310,HCPCS,Dental saliography,,,25 ,,NW,,,,,,$349.00,,1,0,1,1,1,1,20060825
D0320,HCPCS,Dental tmj arthrogram incl i,,,25 ,,NW,,,,,,$563.61,,1,0,1,1,1,1,20060825
D0321,HCPCS,Dental other tmj films,,,25 ,,NW,,,,,,$192.50,,1,0,1,1,1,1,20060825
D0322,HCPCS,Dental tomographic survey,,,25 ,,NW,,,,,,$468.87,,1,0,1,1,1,1,20060825
D0330,HCPCS,Dental panoramic film,,,25 ,,NW,,,,,,$99.05,,1,0,1,1,1,1,20060825
D0340,HCPCS,Dental cephalometric film,,,25 ,,NW,,,,,,$111.69,,1,0,1,1,1,1,20060825
D0350,HCPCS,Oral/facial images,,,25 ,,NW,,,,,,$57.56,,1,0,1,1,1,1,20060825
D0415,HCPCS,Bacteriologic study,,,25 ,,NW,,,,,,$30.35,,1,0,1,1,1,1,20060825
D0416,HCPCS,Viral culture,,,25 ,,TotalUnits,,,,1.22,,,,1,1,1,0,1,1,20060825
D0425,HCPCS,Caries susceptibility test,,,25 ,,NW,,,,,,$27.74,,1,0,1,1,1,1,20060825
D0431,HCPCS,Diag tst detect mucos abnorm,,,25 ,,NW,,,,,,$27.74,,1,1,1,0,1,1,20060825
D0460,HCPCS,Pulp vitality test,,,25 ,,NW,,,,,,$47.63,,1,0,1,1,1,1,20060825
D0470,HCPCS,Diagnostic casts,,,25 ,,NW,,,,,,$97.61,,1,0,1,1,1,1,20060825
D0472,HCPCS,"Gross exam, prep & report",,,25 ,,NW,,,,,,$82.07,,1,0,1,1,1,1,20060825
D0473,HCPCS,"Micro exam, prep & report",,,25 ,,NW,,,,,,$133.63,,1,0,1,1,1,1,20060825
D0474,HCPCS,Micro w exam of surg margins,,,25 ,,NW,,,,,,$154.35,,1,0,1,1,1,1,20060825
D0475,HCPCS,Decalcification procedure,,,25 ,,RBRVS,0.24 ,0.10 ,0.10 ,,,,,1,0,1,1,1,1,20060825
D0476,HCPCS,Spec stains for microorganis,,,25 ,,RBRVS,0.54 ,0.23 ,0.23 ,,,,,1,0,1,1,1,1,20060825
D0477,HCPCS,Spec stains not for microorg,,,25 ,,RBRVS,0.24 ,0.10 ,0.10 ,,,,,1,0,1,1,1,1,20060825
D0478,HCPCS,Immunohistochemical stains,,,25 ,,RBRVS,0.85 ,0.36 ,0.36 ,,,,,1,0,1,1,1,1,20060825
D0479,HCPCS,Tissue in-situ hybridization,,,25 ,,RBRVS,1.20 ,0.51 ,0.51 ,,,,,1,0,1,1,1,1,20060825
D0480,HCPCS,Cytopath smear prep & report,,,25 ,,NW,,,,,,$126.30,,1,0,1,1,1,1,20060825
D0481,HCPCS,Electron microscopy diagnost,,,25 ,,RBRVS,1.51 ,0.64 ,0.64 ,,,,,1,0,1,1,1,1,20060825
D0482,HCPCS,Direct immunofluorescence,,,25 ,,RBRVS,0.86 ,0.36 ,0.36 ,,,,,1,0,1,1,1,1,20060825
D0483,HCPCS,Indirect immunofluorescence,,,25 ,,RBRVS,0.86 ,0.35 ,0.35 ,,,,,1,0,1,1,1,1,20060825
D0484,HCPCS,Consult slides prep elsewher,,,25 ,,RBRVS,1.30 ,0.56 ,0.79 ,,,,,1,0,1,1,1,1,20060825
D0485,HCPCS,Consult inc prep of slides,,,25 ,,RBRVS,1.35 ,0.57 ,0.57 ,,,,,1,0,1,1,1,1,20060825
D0502,HCPCS,Other oral pathology procedu,,,25 ,,NW,,,,,,$149.78,,1,0,1,1,1,1,20060825
D0999,HCPCS,Unspecified diagnostic proce,,,25 ,,NW,,,,,,"$1,255.46",,1,0,1,1,1,1,20060825
D1110,HCPCS,Dental prophylaxis adult,,,25 ,,NW,,,,,,$81.00,,1,0,1,1,1,1,20060825
D1120,HCPCS,Dental prophylaxis child,,,25 ,,NW,,,,,,$58.87,,1,0,1,1,1,1,20060825
D1201,HCPCS,Topical fluor w prophy child,,,25 ,,NW,,,,,,$84.79,,1,0,1,1,1,1,20060825
D1203,HCPCS,Topical fluor w/o prophy chi,,,25 ,,NW,,,,,,$33.55,,1,0,1,1,1,1,20060825
D1204,HCPCS,Topical fluor w/o prophy adu,,,25 ,,NW,,,,,,$32.73,,1,0,1,1,1,1,20060825
D1205,HCPCS,Topical fluoride w/ prophy a,,,25 ,,NW,,,,,,$98.98,,1,0,1,1,1,1,20060825
D1310,HCPCS,Nutri counsel-control caries,,,25 ,,NW,,,,,,$49.72,,1,0,1,1,1,1,20060825
D1320,HCPCS,Tobacco counseling,,,25 ,,NW,,,,,,$58.46,,1,0,1,1,1,1,20060825
D1330,HCPCS,Oral hygiene instruction,,,25 ,,NW,,,,,,$52.48,,1,0,1,1,1,1,20060825
D1351,HCPCS,Dental sealant per tooth,,,25 ,,NW,,,,,,$47.33,,1,0,1,1,1,1,20060825
D1510,HCPCS,Space maintainer fxd unilat,,,26 ,,NW,,,,,,$299.71,,1,0,1,1,1,1,20060825
D1515,HCPCS,Fixed bilat space maintainer,,,26 ,,NW,,,,,,$424.67,,1,0,1,1,1,1,20060825
D1520,HCPCS,Remove unilat space maintain,,,26 ,,NW,,,,,,$378.72,,1,0,1,1,1,1,20060825
D1525,HCPCS,Remove bilat space maintain,,,26 ,,NW,,,,,,$502.06,,1,0,1,1,1,1,20060825
D1550,HCPCS,Recement space maintainer,,,26 ,,NW,,,,,,$67.81,,1,0,1,1,1,1,20060825
D2140,HCPCS,Amalgam one surface permanen,,,26 ,,NW,,,,,,$115.86,,1,0,1,1,1,1,20060825
D2150,HCPCS,Amalgam two surfaces permane,,,26 ,,NW,,,,,,$145.91,,1,0,1,1,1,1,20060825
D2160,HCPCS,Amalgam three surfaces perma,,,26 ,,NW,,,,,,$176.68,,1,0,1,1,1,1,20060825
D2161,HCPCS,Amalgam 4 or > surfaces perm,,,26 ,,NW,,,,,,$213.82,,1,0,1,1,1,1,20060825
D2330,HCPCS,Resin one surface-anterior,,,26 ,,NW,,,,,,$133.75,,1,0,1,1,1,1,20060825
D2331,HCPCS,Resin two surfaces-anterior,,,26 ,,NW,,,,,,$165.94,,1,0,1,1,1,1,20060825
D2332,HCPCS,Resin three surfaces-anterio,,,26 ,,NW,,,,,,$204.00,,1,0,1,1,1,1,20060825
D2335,HCPCS,Resin 4/> surf or w incis an,,,26 ,,NW,,,,,,$244.46,,1,0,1,1,1,1,20060825
D2390,HCPCS,Ant resin-based cmpst crown,,,26 ,,NW,,,,,,$309.05,,1,0,1,1,1,1,20060825
D2391,HCPCS,Post 1 srfc resinbased cmpst,,,26 ,,NW,,,,,,$148.95,,1,0,1,1,1,1,20060825
D2392,HCPCS,Post 2 srfc resinbased cmpst,,,26 ,,NW,,,,,,$198.97,,1,0,1,1,1,1,20060825
D2393,HCPCS,Post 3 srfc resinbased cmpst,,,26 ,,NW,,,,,,$245.89,,1,0,1,1,1,1,20060825
D2394,HCPCS,Post >=4srfc resinbase cmpst,,,26 ,,NW,,,,,,$289.60,,1,0,1,1,1,1,20060825
D2410,HCPCS,Dental gold foil one surface,,,27 ,,NW,,,,,,$199.55,,1,0,1,1,1,1,20060825
D2420,HCPCS,Dental gold foil two surface,,,27 ,,NW,,,,,,$484.28,,1,0,1,1,1,1,20060825
D2430,HCPCS,Dental gold foil three surfa,,,27 ,,NW,,,,,,$876.74,,1,0,1,1,1,1,20060825
D2510,HCPCS,Dental inlay metalic 1 surf,,,27 ,,NW,,,,,,$726.71,,1,0,1,1,1,1,20060825
D2520,HCPCS,Dental inlay metallic 2 surf,,,27 ,,NW,,,,,,$818.41,,1,0,1,1,1,1,20060825
D2530,HCPCS,Dental inlay metl 3/more sur,,,27 ,,NW,,,,,,$901.44,,1,0,1,1,1,1,20060825
D2542,HCPCS,Dental onlay metallic 2 surf,,,27 ,,NW,,,,,,$896.20,,1,0,1,1,1,1,20060825
D2543,HCPCS,Dental onlay metallic 3 surf,,,27 ,,NW,,,,,,$940.71,,1,0,1,1,1,1,20060825
D2544,HCPCS,Dental onlay metl 4/more sur,,,27 ,,NW,,,,,,$975.60,,1,0,1,1,1,1,20060825
D2610,HCPCS,Inlay porcelain/ceramic 1 su,,,27 ,,NW,,,,,,$810.64,,1,0,1,1,1,1,20060825
D2620,HCPCS,Inlay porcelain/ceramic 2 su,,,27 ,,NW,,,,,,$866.95,,1,0,1,1,1,1,20060825
D2630,HCPCS,Dental onlay porc 3/more sur,,,27 ,,NW,,,,,,$911.53,,1,0,1,1,1,1,20060825
D2642,HCPCS,Dental onlay porcelin 2 surf,,,27 ,,NW,,,,,,$921.04,,1,0,1,1,1,1,20060825
D2643,HCPCS,Dental onlay porcelin 3 surf,,,27 ,,NW,,,,,,$954.94,,1,0,1,1,1,1,20060825
D2644,HCPCS,Dental onlay porc 4/more sur,,,27 ,,NW,,,,,,$998.70,,1,0,1,1,1,1,20060825
D2650,HCPCS,Inlay composite/resin one su,,,27 ,,NW,,,,,,$654.21,,1,0,1,1,1,1,20060825
D2651,HCPCS,Inlay composite/resin two su,,,27 ,,NW,,,,,,$739.77,,1,0,1,1,1,1,20060825
D2652,HCPCS,Dental inlay resin 3/mre sur,,,27 ,,NW,,,,,,$786.94,,1,0,1,1,1,1,20060825
D2662,HCPCS,Dental onlay resin 2 surface,,,27 ,,NW,,,,,,$786.93,,1,0,1,1,1,1,20060825
D2663,HCPCS,Dental onlay resin 3 surface,,,27 ,,NW,,,,,,$829.22,,1,0,1,1,1,1,20060825
D2664,HCPCS,Dental onlay resin 4/mre sur,,,27 ,,NW,,,,,,$868.71,,1,0,1,1,1,1,20060825
D2710,HCPCS,Crown resin laboratory,,,27 ,,NW,,,,,,$536.52,,1,0,1,1,1,1,20060825
D2712,HCPCS,Crown 3/4 resin-based compos,,,27 ,,NW,,,,,,$536.52,,1,0,1,1,1,1,20060825
D2720,HCPCS,Crown resin w/ high noble me,,,27 ,,NW,,,,,,$976.51,,1,0,1,1,1,1,20060825
D2721,HCPCS,Crown resin w/ base metal,,,27 ,,NW,,,,,,$852.97,,1,0,1,1,1,1,20060825
D2722,HCPCS,Crown resin w/ noble metal,,,27 ,,NW,,,,,,$898.34,,1,0,1,1,1,1,20060825
D2740,HCPCS,Crown porcelain/ceramic subs,,,27 ,,NW,,,,,,"$1,014.90",,1,0,1,1,1,1,20060825
D2750,HCPCS,Crown porcelain w/ h noble m,,,27 ,,NW,,,,,,$971.17,,1,0,1,1,1,1,20060825
D2751,HCPCS,Crown porcelain fused base m,,,27 ,,NW,,,,,,$887.57,,1,0,1,1,1,1,20060825
D2752,HCPCS,Crown porcelain w/ noble met,,,27 ,,NW,,,,,,$925.96,,1,0,1,1,1,1,20060825
D2780,HCPCS,Crown 3/4 cast hi noble met,,,27 ,,NW,,,,,,$972.38,,1,0,1,1,1,1,20060825
D2781,HCPCS,Crown 3/4 cast base metal,,,27 ,,NW,,,,,,$921.74,,1,0,1,1,1,1,20060825
D2782,HCPCS,Crown 3/4 cast noble metal,,,27 ,,NW,,,,,,$934.85,,1,0,1,1,1,1,20060825
D2783,HCPCS,Crown 3/4 porcelain/ceramic,,,27 ,,NW,,,,,,$991.22,,1,0,1,1,1,1,20060825
D2790,HCPCS,Crown full cast high noble m,,,27 ,,NW,,,,,,$952.21,,1,0,1,1,1,1,20060825
D2791,HCPCS,Crown full cast base metal,,,27 ,,NW,,,,,,$888.23,,1,0,1,1,1,1,20060825
D2792,HCPCS,Crown full cast noble metal,,,27 ,,NW,,,,,,$914.02,,1,0,1,1,1,1,20060825
D2794,HCPCS,Crown-titanium,,,27 ,,NW,,,,,,$914.00,,1,0,1,1,1,1,20060825
D2799,HCPCS,Provisional crown,,,27 ,,NW,,,,,,$367.25,,1,0,1,1,1,1,20060825
D2910,HCPCS,Dental recement inlay,,,27 ,,NW,,,,,,$91.19,,1,0,1,1,1,1,20060825
D2915,HCPCS,Recement cast or prefab post,,,27 ,,NW,,,,,,$298.64,,1,0,1,1,1,1,20060825
D2920,HCPCS,Dental recement crown,,,27 ,,NW,,,,,,$91.20,,1,0,1,1,1,1,20060825
D2930,HCPCS,Prefab stnlss steel crwn pri,,,27 ,,NW,,,,,,$236.96,,1,0,1,1,1,1,20060825
D2931,HCPCS,Prefab stnlss steel crown pe,,,27 ,,NW,,,,,,$272.56,,1,0,1,1,1,1,20060825
D2932,HCPCS,Prefabricated resin crown,,,27 ,,NW,,,,,,$297.87,,1,0,1,1,1,1,20060825
D2933,HCPCS,Prefab stainless steel crown,,,27 ,,NW,,,,,,$318.51,,1,0,1,1,1,1,20060825
D2934,HCPCS,Prefab steel crown primary,,,27 ,,NW,,,,,,$318.54,,1,0,1,1,1,1,20060825
D2940,HCPCS,Dental sedative filling,,,27 ,,NW,,,,,,$95.49,,1,0,1,1,1,1,20060825
D2950,HCPCS,Core build-up incl any pins,,,27 ,,NW,,,,,,$236.42,,1,0,1,1,1,1,20060825
D2951,HCPCS,Tooth pin retention,,,27 ,,NW,,,,,,$52.27,,1,0,1,1,1,1,20060825
D2952,HCPCS,Post and core cast + crown,,,27 ,,NW,,,,,,$372.65,,1,0,1,1,1,1,20060825
D2953,HCPCS,Each addtnl cast post,,,27 ,,NW,,,,,,$222.25,,1,0,1,1,1,1,20060825
D2954,HCPCS,Prefab post/core + crown,,,27 ,,NW,,,,,,$298.68,,1,0,1,1,1,1,20060825
D2955,HCPCS,Post removal,,,27 ,,NW,,,,,,$258.45,,1,0,1,1,1,1,20060825
D2957,HCPCS,Each addtnl prefab post,,,27 ,,NW,,,,,,$158.20,,1,0,1,1,1,1,20060825
D2960,HCPCS,Laminate labial veneer,,,27 ,,NW,,,,,,$597.75,,1,0,1,1,1,1,20060825
D2961,HCPCS,Lab labial veneer resin,,,27 ,,NW,,,,,,$864.92,,1,0,1,1,1,1,20060825
D2962,HCPCS,Lab labial veneer porcelain,,,27 ,,NW,,,,,,$950.73,,1,0,1,1,1,1,20060825
D2971,HCPCS,Add proc construct new crown,,,27 ,,NW,,,,,,$242.79,,1,0,1,1,1,1,20060825
D2975,HCPCS,Coping,,,27 ,,NW,,,,,,$635.80,,1,0,1,1,1,1,20060825
D2980,HCPCS,Crown repair,,,27 ,,NW,,,,,,$242.78,,1,0,1,1,1,1,20060825
D2999,HCPCS,Dental unspec restorative pr,,,27 ,,NW,,,,,,"$1,270.84",,1,0,1,1,1,1,20060825
D3110,HCPCS,Pulp cap direct,,,26 ,,NW,,,,,,$69.09,,1,0,1,1,1,1,20060825
D3120,HCPCS,Pulp cap indirect,,,26 ,,NW,,,,,,$61.83,,1,0,1,1,1,1,20060825
D3220,HCPCS,Therapeutic pulpotomy,,,26 ,,NW,,,,,,$158.49,,1,0,1,1,1,1,20060825
D3221,HCPCS,Gross pulpal debridement,,,26 ,,NW,,,,,,$179.76,,1,0,1,1,1,1,20060825
D3230,HCPCS,Pulpal therapy anterior prim,,,26 ,,NW,,,,,,$203.50,,1,0,1,1,1,1,20060825
D3240,HCPCS,Pulpal therapy posterior pri,,,26 ,,NW,,,,,,$229.26,,1,0,1,1,1,1,20060825
D3310,HCPCS,Anterior,,,26 ,,NW,,,,,,$653.97,,1,0,1,1,1,1,20060825
D3320,HCPCS,Root canal therapy 2 canals,,,26 ,,NW,,,,,,$779.11,,1,0,1,1,1,1,20060825
D3330,HCPCS,Root canal therapy 3 canals,,,26 ,,NW,,,,,,$979.49,,1,0,1,1,1,1,20060825
D3331,HCPCS,Non-surg tx root canal obs,,,26 ,,NW,,,,,,$311.13,,1,0,1,1,1,1,20060825
D3332,HCPCS,Incomplete endodontic tx,,,26 ,,NW,,,,,,$423.49,,1,0,1,1,1,1,20060825
D3333,HCPCS,Internal root repair,,,26 ,,NW,,,,,,$223.09,,1,0,1,1,1,1,20060825
D3346,HCPCS,Retreat root canal anterior,,,26 ,,NW,,,,,,$838.85,,1,0,1,1,1,1,20060825
D3347,HCPCS,Retreat root canal bicuspid,,,26 ,,NW,,,,,,$963.91,,1,0,1,1,1,1,20060825
D3348,HCPCS,Retreat root canal molar,,,26 ,,NW,,,,,,"$1,148.64",,1,0,1,1,1,1,20060825
D3351,HCPCS,Apexification/recalc initial,,,26 ,,NW,,,,,,$338.14,,1,0,1,1,1,1,20060825
D3352,HCPCS,Apexification/recalc interim,,,26 ,,NW,,,,,,$189.39,,1,0,1,1,1,1,20060825
D3353,HCPCS,Apexification/recalc final,,,26 ,,NW,,,,,,$550.05,,1,0,1,1,1,1,20060825
D3410,HCPCS,Apicoect/perirad surg anter,,,26 ,,NW,,,,,,$715.18,,1,0,1,1,1,1,20060825
D3421,HCPCS,Root surgery bicuspid,,,26 ,,NW,,,,,,$777.64,,1,0,1,1,1,1,20060825
D3425,HCPCS,Root surgery molar,,,26 ,,NW,,,,,,$884.70,,1,0,1,1,1,1,20060825
D3426,HCPCS,Root surgery ea add root,,,26 ,,NW,,,,,,$321.37,,1,0,1,1,1,1,20060825
D3430,HCPCS,Retrograde filling,,,26 ,,NW,,,,,,$234.63,,1,0,1,1,1,1,20060825
D3450,HCPCS,Root amputation,,,26 ,,NW,,,,,,$472.24,,1,0,1,1,1,1,20060825
D3460,HCPCS,Endodontic endosseous implan,,,26 ,,NW,,,,,,"$1,796.18",,1,0,1,1,1,1,20060825
D3470,HCPCS,Intentional replantation,,,26 ,,NW,,,,,,$837.01,,1,0,1,1,1,1,20060825
D3910,HCPCS,Isolation- tooth w rubb dam,,,26 ,,NW,,,,,,$177.05,,1,0,1,1,1,1,20060825
D3920,HCPCS,Tooth splitting,,,26 ,,NW,,,,,,$386.26,,1,0,1,1,1,1,20060825
D3950,HCPCS,Canal prep/fitting of dowel,,,26 ,,NW,,,,,,$178.45,,1,0,1,1,1,1,20060825
D3999,HCPCS,Endodontic procedure,,,26 ,,NW,,,,,,"$1,299.24",,1,0,1,1,1,1,20060825
D4210,HCPCS,Gingivectomy/plasty per quad,,,26 ,,NW,,,,,,$580.01,,1,0,1,1,1,1,20060825
D4211,HCPCS,Gingivectomy/plasty per toot,,,26 ,,NW,,,,,,$220.00,,1,0,1,1,1,1,20060825
D4240,HCPCS,Gingival flap proc w/ planin,,,26 ,,NW,,,,,,$708.22,,1,0,1,1,1,1,20060825
D4241,HCPCS,Gngvl flap w rootplan 1-3 th,,,26 ,,NW,,,,,,$470.14,,1,0,1,1,1,1,20060825
D4245,HCPCS,Apically positioned flap,,,26 ,,NW,,,,,,$628.43,,1,0,1,1,1,1,20060825
D4249,HCPCS,Crown lengthen hard tissue,,,26 ,,NW,,,,,,$783.33,,1,0,1,1,1,1,20060825
D4260,HCPCS,Osseous surgery per quadrant,,,26 ,,NW,,,,,,"$1,058.96",,1,0,1,1,1,1,20060825
D4261,HCPCS,Osseous surgl-3teethperquad,,,26 ,,NW,,,,,,$768.50,,1,0,1,1,1,1,20060825
D4263,HCPCS,Bone replce graft first site,,,26 ,,NW,,,,,,$475.95,,1,0,1,1,1,1,20060825
D4264,HCPCS,Bone replce graft each add,,,26 ,,NW,,,,,,$201.99,,1,0,1,1,1,1,20060825
D4265,HCPCS,Bio mtrls to aid soft/os reg,,,26 ,,NW,,,,,,$444.53,,1,0,1,1,1,1,20060825
D4266,HCPCS,Guided tiss regen resorble,,,26 ,,NW,,,,,,$566.02,,1,0,1,1,1,1,20060825
D4267,HCPCS,Guided tiss regen nonresorb,,,26 ,,NW,,,,,,$678.21,,1,0,1,1,1,1,20060825
D4268,HCPCS,Surgical revision procedure,,,26 ,,NW,,,,,,$667.34,,1,0,1,1,1,1,20060825
D4270,HCPCS,Pedicle soft tissue graft pr,,,26 ,,NW,,,,,,$814.34,,1,0,1,1,1,1,20060825
D4271,HCPCS,Free soft tissue graft proc,,,26 ,,NW,,,,,,$870.31,,1,0,1,1,1,1,20060825
D4273,HCPCS,Subepithelial tissue graft,,,26 ,,NW,,,,,,$974.87,,1,0,1,1,1,1,20060825
D4274,HCPCS,Distal/proximal wedge proc,,,26 ,,NW,,,,,,$441.17,,1,0,1,1,1,1,20060825
D4275,HCPCS,Soft tissue allograft,,,26 ,,NW,,,,,,$718.92,,1,0,1,1,1,1,20060825
D4276,HCPCS,Con tissue w dble ped graft,,,26 ,,NW,,,,,,"$1,003.17",,1,0,1,1,1,1,20060825
D4320,HCPCS,Provision splnt intracoronal,,,26 ,,NW,,,,,,$412.80,,1,0,1,1,1,1,20060825
D4321,HCPCS,Provisional splint extracoro,,,26 ,,NW,,,,,,$362.79,,1,0,1,1,1,1,20060825
D4341,HCPCS,Periodontal scaling & root,,,26 ,,NW,,,,,,$226.80,,1,0,1,1,1,1,20060825
D4342,HCPCS,Periodontal scaling 1-3teeth,,,26 ,,NW,,,,,,$147.08,,1,0,1,1,1,1,20060825
D4355,HCPCS,Full mouth debridement,,,26 ,,NW,,,,,,$152.99,,1,0,1,1,1,1,20060825
D4381,HCPCS,Localized chemo delivery,,,26 ,,NW,,,,,,$122.91,,1,0,1,1,1,1,20060825
D4910,HCPCS,Periodontal maint procedures,,,26 ,,NW,,,,,,$126.58,,1,0,1,1,1,1,20060825
D4920,HCPCS,Unscheduled dressing change,,,26 ,,NW,,,,,,$101.51,,1,0,1,1,1,1,20060825
D4999,HCPCS,Unspecified periodontal proc,,,26 ,,NW,,,,,,"$1,189.19",,1,0,1,1,1,1,20060825
D5110,HCPCS,Dentures complete maxillary,,,27 ,,NW,,,,,,"$1,320.07",,1,0,1,1,1,1,20060825
D5120,HCPCS,Dentures complete mandible,,,27 ,,NW,,,,,,"$1,315.58",,1,0,1,1,1,1,20060825
D5130,HCPCS,Dentures immediat maxillary,,,27 ,,NW,,,,,,"$1,444.80",,1,0,1,1,1,1,20060825
D5140,HCPCS,Dentures immediat mandible,,,27 ,,NW,,,,,,"$1,429.71",,1,0,1,1,1,1,20060825
D5211,HCPCS,Dentures maxill part resin,,,27 ,,NW,,,,,,"$1,055.56",,1,0,1,1,1,1,20060825
D5212,HCPCS,Dentures mand part resin,,,27 ,,NW,,,,,,"$1,149.73",,1,0,1,1,1,1,20060825
D5213,HCPCS,Dentures maxill part metal,,,27 ,,NW,,,,,,"$1,449.53",,1,0,1,1,1,1,20060825
D5214,HCPCS,Dentures mandibl part metal,,,27 ,,NW,,,,,,"$1,460.76",,1,0,1,1,1,1,20060825
D5225,HCPCS,Maxillary part denture flex,,,27 ,,NW,,,,,,"$1,449.53",,1,0,1,1,1,1,20060825
D5226,HCPCS,Mandibular part denture flex,,,27 ,,NW,,,,,,"$1,460.77",,1,0,1,1,1,1,20060825
D5281,HCPCS,Removable partial denture,,,27 ,,NW,,,,,,$820.48,,1,0,1,1,1,1,20060825
D5410,HCPCS,Dentures adjust cmplt maxil,,,27 ,,NW,,,,,,$75.05,,1,0,1,1,1,1,20060825
D5411,HCPCS,Dentures adjust cmplt mand,,,27 ,,NW,,,,,,$74.66,,1,0,1,1,1,1,20060825
D5421,HCPCS,Dentures adjust part maxill,,,27 ,,NW,,,,,,$75.05,,1,0,1,1,1,1,20060825
D5422,HCPCS,Dentures adjust part mandbl,,,27 ,,NW,,,,,,$75.05,,1,0,1,1,1,1,20060825
D5510,HCPCS,Dentur repr broken compl bas,,,27 ,,NW,,,,,,$163.02,,1,0,1,1,1,1,20060825
D5520,HCPCS,Replace denture teeth complt,,,27 ,,NW,,,,,,$138.85,,1,0,1,1,1,1,20060825
D5610,HCPCS,Dentures repair resin base,,,27 ,,NW,,,,,,$163.73,,1,0,1,1,1,1,20060825
D5620,HCPCS,Rep part denture cast frame,,,27 ,,NW,,,,,,$206.75,,1,0,1,1,1,1,20060825
D5630,HCPCS,Rep partial denture clasp,,,27 ,,NW,,,,,,$211.19,,1,0,1,1,1,1,20060825
D5640,HCPCS,Replace part denture teeth,,,27 ,,NW,,,,,,$146.18,,1,0,1,1,1,1,20060825
D5650,HCPCS,Add tooth to partial denture,,,27 ,,NW,,,,,,$182.50,,1,0,1,1,1,1,20060825
D5660,HCPCS,Add clasp to partial denture,,,27 ,,NW,,,,,,$219.12,,1,0,1,1,1,1,20060825
D5670,HCPCS,Replc tth&acrlc on mtl frmwk,,,27 ,,NW,,,,,,$539.16,,1,0,1,1,1,1,20060825
D5671,HCPCS,Replc tth&acrlc mandibular,,,27 ,,NW,,,,,,$566.76,,1,0,1,1,1,1,20060825
D5710,HCPCS,Dentures rebase cmplt maxil,,,27 ,,NW,,,,,,$498.91,,1,0,1,1,1,1,20060825
D5711,HCPCS,Dentures rebase cmplt mand,,,27 ,,NW,,,,,,$491.31,,1,0,1,1,1,1,20060825
D5720,HCPCS,Dentures rebase part maxill,,,27 ,,NW,,,,,,$480.99,,1,0,1,1,1,1,20060825
D5721,HCPCS,Dentures rebase part mandbl,,,27 ,,NW,,,,,,$485.37,,1,0,1,1,1,1,20060825
D5730,HCPCS,Denture reln cmplt maxil ch,,,27 ,,NW,,,,,,$307.53,,1,0,1,1,1,1,20060825
D5731,HCPCS,Denture reln cmplt mand chr,,,27 ,,NW,,,,,,$307.53,,1,0,1,1,1,1,20060825
D5740,HCPCS,Denture reln part maxil chr,,,27 ,,NW,,,,,,$292.97,,1,0,1,1,1,1,20060825
D5741,HCPCS,Denture reln part mand chr,,,27 ,,NW,,,,,,$292.94,,1,0,1,1,1,1,20060825
D5750,HCPCS,Denture reln cmplt max lab,,,27 ,,NW,,,,,,$398.73,,1,0,1,1,1,1,20060825
D5751,HCPCS,Denture reln cmplt mand lab,,,27 ,,NW,,,,,,$397.16,,1,0,1,1,1,1,20060825
D5760,HCPCS,Denture reln part maxil lab,,,27 ,,NW,,,,,,$397.22,,1,0,1,1,1,1,20060825
D5761,HCPCS,Denture reln part mand lab,,,27 ,,NW,,,,,,$397.22,,1,0,1,1,1,1,20060825
D5810,HCPCS,Denture interm cmplt maxill,,,27 ,,NW,,,,,,$647.07,,1,0,1,1,1,1,20060825
D5811,HCPCS,Denture interm cmplt mandbl,,,27 ,,NW,,,,,,$672.15,,1,0,1,1,1,1,20060825
D5820,HCPCS,Denture interm part maxill,,,27 ,,NW,,,,,,$537.49,,1,0,1,1,1,1,20060825
D5821,HCPCS,Denture interm part mandbl,,,27 ,,NW,,,,,,$552.14,,1,0,1,1,1,1,20060825
D5850,HCPCS,Denture tiss conditn maxill,,,27 ,,NW,,,,,,$145.57,,1,0,1,1,1,1,20060825
D5851,HCPCS,Denture tiss condtin mandbl,,,27 ,,NW,,,,,,$147.15,,1,0,1,1,1,1,20060825
D5860,HCPCS,Overdenture complete,,,27 ,,NW,,,,,,"$2,034.45",,1,0,1,1,1,1,20060825
D5861,HCPCS,Overdenture partial,,,27 ,,NW,,,,,,"$1,763.68",,1,0,1,1,1,1,20060825
D5862,HCPCS,Precision attachment,,,27 ,,NW,,,,,,$548.13,,1,0,1,1,1,1,20060825
D5867,HCPCS,Replacement of precision att,,,27 ,,NW,,,,,,$203.10,,1,0,1,1,1,1,20060825
D5875,HCPCS,Prosthesis modification,,,27 ,,NW,,,,,,$391.41,,1,0,1,1,1,1,20060825
D5899,HCPCS,Removable prosthodontic proc,,,27 ,,NW,,,,,,"$1,188.00",,1,0,1,1,1,1,20060825
D5911,HCPCS,Facial moulage sectional,,,27 ,,NW,,,,,,$634.44,,1,0,1,1,1,1,20060825
D5912,HCPCS,Facial moulage complete,,,27 ,,NW,,,,,,$634.44,,1,0,1,1,1,1,20060825
D5913,HCPCS,Nasal prosthesis,,,27 ,,NW,,,,,,"$3,818.56",,1,0,1,1,1,1,20060825
D5914,HCPCS,Auricular prosthesis,,,27 ,,NW,,,,,,"$3,818.56",,1,0,1,1,1,1,20060825
D5915,HCPCS,Orbital prosthesis,,,27 ,,NW,,,,,,"$4,999.47",,1,0,1,1,1,1,20060825
D5916,HCPCS,Ocular prosthesis,,,27 ,,NW,,,,,,"$1,682.29",,1,0,1,1,1,1,20060825
D5919,HCPCS,Facial prosthesis,,,27 ,,NW,,,,,,$951.35,,1,0,1,1,1,1,20060825
D5922,HCPCS,Nasal septal prosthesis,,,27 ,,NW,,,,,,$951.35,,1,0,1,1,1,1,20060825
D5923,HCPCS,Ocular prosthesis interim,,,27 ,,NW,,,,,,$951.35,,1,0,1,1,1,1,20060825
D5924,HCPCS,Cranial prosthesis,,,27 ,,NW,,,,,,"$1,106.36",,1,0,1,1,1,1,20060825
D5925,HCPCS,Facial augmentation implant,,,27 ,,NW,,,,,,$233.12,,1,0,1,1,1,1,20060825
D5926,HCPCS,Replacement nasal prosthesis,,,27 ,,NW,,,,,,$951.35,,1,0,1,1,1,1,20060825
D5927,HCPCS,Auricular replacement,,,27 ,,NW,,,,,,$951.35,,1,0,1,1,1,1,20060825
D5928,HCPCS,Orbital replacement,,,27 ,,NW,,,,,,$951.35,,1,0,1,1,1,1,20060825
D5929,HCPCS,Facial replacement,,,27 ,,NW,,,,,,$951.35,,1,0,1,1,1,1,20060825
D5931,HCPCS,Surgical obturator,,,27 ,,NW,,,,,,"$2,275.61",,1,0,1,1,1,1,20060825
D5932,HCPCS,Postsurgical obturator,,,27 ,,NW,,,,,,"$3,841.97",,1,0,1,1,1,1,20060825
D5933,HCPCS,Refitting of obturator,,,27 ,,NW,,,,,,$951.35,,1,0,1,1,1,1,20060825
D5934,HCPCS,Mandibular flange prosthesis,,,27 ,,NW,,,,,,"$3,543.89",,1,0,1,1,1,1,20060825
D5935,HCPCS,Mandibular denture prosth,,,27 ,,NW,,,,,,"$3,145.30",,1,0,1,1,1,1,20060825
D5936,HCPCS,Temp obturator prosthesis,,,27 ,,NW,,,,,,"$3,474.23",,1,0,1,1,1,1,20060825
D5937,HCPCS,Trismus appliance,,,27 ,,NW,,,,,,$629.15,,1,0,1,1,1,1,20060825
D5951,HCPCS,Feeding aid,,,27 ,,NW,,,,,,$965.63,,1,0,1,1,1,1,20060825
D5952,HCPCS,Pediatric speech aid,,,27 ,,NW,,,,,,"$2,066.60",,1,0,1,1,1,1,20060825
D5953,HCPCS,Adult speech aid,,,27 ,,NW,,,,,,"$3,497.08",,1,0,1,1,1,1,20060825
D5954,HCPCS,Superimposed prosthesis,,,27 ,,NW,,,,,,"$3,275.50",,1,0,1,1,1,1,20060825
D5955,HCPCS,Palatal lift prosthesis,,,27 ,,NW,,,,,,"$3,065.36",,1,0,1,1,1,1,20060825
D5958,HCPCS,Intraoral con def inter plt,,,27 ,,NW,,,,,,$951.35,,1,0,1,1,1,1,20060825
D5959,HCPCS,Intraoral con def mod palat,,,27 ,,NW,,,,,,$951.35,,1,0,1,1,1,1,20060825
D5960,HCPCS,Modify speech aid prosthesis,,,27 ,,NW,,,,,,$343.15,,1,0,1,1,1,1,20060825
D5982,HCPCS,Surgical stent,,,27 ,,NW,,,,,,$473.87,,1,0,1,1,1,1,20060825
D5983,HCPCS,Radiation applicator,,,27 ,,NW,,,,,,"$1,229.46",,1,0,1,1,1,1,20060825
D5984,HCPCS,Radiation shield,,,27 ,,NW,,,,,,"$1,229.46",,1,0,1,1,1,1,20060825
D5985,HCPCS,Radiation cone locator,,,27 ,,NW,,,,,,"$1,229.46",,1,0,1,1,1,1,20060825
D5986,HCPCS,Fluoride applicator,,,27 ,,NW,,,,,,$162.28,,1,0,1,1,1,1,20060825
D5987,HCPCS,Commissure splint,,,27 ,,NW,,,,,,"$1,606.92",,1,0,1,1,1,1,20060825
D5988,HCPCS,Surgical splint,,,27 ,,NW,,,,,,$626.80,,1,0,1,1,1,1,20060825
D5999,HCPCS,Maxillofacial prosthesis,,,27 ,,NW,,,,,,$951.35,,1,0,1,1,1,1,20060825
D6010,HCPCS,Odontics endosteal implant,,,27 ,,NW,,,,,,"$2,002.53",,1,0,1,1,1,1,20060825
D6040,HCPCS,Odontics eposteal implant,,,27 ,,NW,,,,,,"$8,683.95",,1,0,1,1,1,1,20060825
D6050,HCPCS,Odontics transosteal implnt,,,27 ,,NW,,,,,,"$5,623.11",,1,0,1,1,1,1,20060825
D6053,HCPCS,Implnt/abtmnt spprt remv dnt,,,27 ,,NW,,,,,,"$2,012.82",,1,0,1,1,1,1,20060825
D6054,HCPCS,Implnt/abtmnt spprt remvprtl,,,27 ,,NW,,,,,,"$1,844.52",,1,0,1,1,1,1,20060825
D6055,HCPCS,Implant connecting bar,,,27 ,,NW,,,,,,$679.68,,1,0,1,1,1,1,20060825
D6056,HCPCS,Prefabricated abutment,,,27 ,,NW,,,,,,$677.50,,1,0,1,1,1,1,20060825
D6057,HCPCS,Custom abutment,,,27 ,,NW,,,,,,$878.88,,1,0,1,1,1,1,20060825
D6058,HCPCS,Abutment supported crown,,,27 ,,NW,,,,,,"$1,307.82",,1,0,1,1,1,1,20060825
D6059,HCPCS,Abutment supported mtl crown,,,27 ,,NW,,,,,,"$1,319.61",,1,0,1,1,1,1,20060825
D6060,HCPCS,Abutment supported mtl crown,,,27 ,,NW,,,,,,"$1,161.94",,1,0,1,1,1,1,20060825
D6061,HCPCS,Abutment supported mtl crown,,,27 ,,NW,,,,,,"$1,241.63",,1,0,1,1,1,1,20060825
D6062,HCPCS,Abutment supported mtl crown,,,27 ,,NW,,,,,,"$1,267.81",,1,0,1,1,1,1,20060825
D6063,HCPCS,Abutment supported mtl crown,,,27 ,,NW,,,,,,"$1,260.29",,1,0,1,1,1,1,20060825
D6064,HCPCS,Abutment supported mtl crown,,,27 ,,NW,,,,,,"$1,276.24",,1,0,1,1,1,1,20060825
D6065,HCPCS,Implant supported crown,,,27 ,,NW,,,,,,"$1,395.07",,1,0,1,1,1,1,20060825
D6066,HCPCS,Implant supported mtl crown,,,27 ,,NW,,,,,,"$1,367.94",,1,0,1,1,1,1,20060825
D6067,HCPCS,Implant supported mtl crown,,,27 ,,NW,,,,,,"$1,317.70",,1,0,1,1,1,1,20060825
D6068,HCPCS,Abutment supported retainer,,,27 ,,NW,,,,,,"$1,264.47",,1,0,1,1,1,1,20060825
D6069,HCPCS,Abutment supported retainer,,,27 ,,NW,,,,,,"$1,282.19",,1,0,1,1,1,1,20060825
D6070,HCPCS,Abutment supported retainer,,,27 ,,NW,,,,,,"$1,024.42",,1,0,1,1,1,1,20060825
D6071,HCPCS,Abutment supported retainer,,,27 ,,NW,,,,,,"$1,290.81",,1,0,1,1,1,1,20060825
D6072,HCPCS,Abutment supported retainer,,,27 ,,NW,,,,,,"$1,321.25",,1,0,1,1,1,1,20060825
D6073,HCPCS,Abutment supported retainer,,,27 ,,NW,,,,,,"$1,159.63",,1,0,1,1,1,1,20060825
D6074,HCPCS,Abutment supported retainer,,,27 ,,NW,,,,,,"$1,193.77",,1,0,1,1,1,1,20060825
D6075,HCPCS,Implant supported retainer,,,27 ,,NW,,,,,,"$1,394.46",,1,0,1,1,1,1,20060825
D6076,HCPCS,Implant supported retainer,,,27 ,,NW,,,,,,"$1,306.05",,1,0,1,1,1,1,20060825
D6077,HCPCS,Implant supported retainer,,,27 ,,NW,,,,,,"$1,356.28",,1,0,1,1,1,1,20060825
D6078,HCPCS,Implnt/abut suprtd fixd dent,,,27 ,,NW,,,,,,"$5,007.27",,1,0,1,1,1,1,20060825
D6079,HCPCS,Implnt/abut suprtd fixd dent,,,27 ,,NW,,,,,,"$2,405.88",,1,0,1,1,1,1,20060825
D6080,HCPCS,Implant maintenance,,,27 ,,NW,,,,,,$111.64,,1,0,1,1,1,1,20060825
D6090,HCPCS,Repair implant,,,27 ,,NW,,,,,,$480.72,,1,0,1,1,1,1,20060825
D6094,HCPCS,Abut support crown titanium,,,27 ,,NW,,,,,,"$1,267.81",,1,0,1,1,1,1,20060825
D6095,HCPCS,Odontics repr abutment,,,27 ,,NW,,,,,,$533.47,,1,0,1,1,1,1,20060825
D6100,HCPCS,Removal of implant,,,27 ,,NW,,,,,,$643.55,,1,0,1,1,1,1,20060825
D6190,HCPCS,Radio/surgical implant index,,,27 ,,RBRVS,0.20 ,0.07 ,0.07 ,,,,,1,0,1,1,1,1,20060825
D6194,HCPCS,Abut support retainer titani,,,27 ,,NW,,,,,,"$1,321.25",,1,0,1,1,1,1,20060825
D6199,HCPCS,Implant procedure,,,27 ,,NW,,,,,,"$1,292.15",,1,0,1,1,1,1,20060825
D6205,HCPCS,Pontic-indirect resin based,,,27 ,,NW,,,,,,$892.28,,1,0,1,1,1,1,20060825
D6210,HCPCS,Prosthodont high noble metal,,,27 ,,NW,,,,,,$944.08,,1,0,1,1,1,1,20060825
D6211,HCPCS,Bridge base metal cast,,,27 ,,NW,,,,,,$868.30,,1,0,1,1,1,1,20060825
D6212,HCPCS,Bridge noble metal cast,,,27 ,,NW,,,,,,$900.06,,1,0,1,1,1,1,20060825
D6214,HCPCS,Pontic titanium,,,27 ,,NW,,,,,,$900.09,,1,0,1,1,1,1,20060825
D6240,HCPCS,Bridge porcelain high noble,,,27 ,,NW,,,,,,$958.48,,1,0,1,1,1,1,20060825
D6241,HCPCS,Bridge porcelain base metal,,,27 ,,NW,,,,,,$867.09,,1,0,1,1,1,1,20060825
D6242,HCPCS,Bridge porcelain nobel metal,,,27 ,,NW,,,,,,$915.85,,1,0,1,1,1,1,20060825
D6245,HCPCS,Bridge porcelain/ceramic,,,27 ,,NW,,,,,,$973.80,,1,0,1,1,1,1,20060825
D6250,HCPCS,Bridge resin w/high noble,,,27 ,,NW,,,,,,$942.41,,1,0,1,1,1,1,20060825
D6251,HCPCS,Bridge resin base metal,,,27 ,,NW,,,,,,$864.49,,1,0,1,1,1,1,20060825
D6252,HCPCS,Bridge resin w/noble metal,,,27 ,,NW,,,,,,$892.30,,1,0,1,1,1,1,20060825
D6253,HCPCS,Provisional pontic,,,27 ,,NW,,,,,,$349.61,,1,0,1,1,1,1,20060825
D6545,HCPCS,Dental retainr cast metl,,,27 ,,NW,,,,,,$514.34,,1,0,1,1,1,1,20060825
D6548,HCPCS,Porcelain/ceramic retainer,,,27 ,,NW,,,,,,$628.88,,1,0,1,1,1,1,20060825
D6600,HCPCS,Porcelain/ceramic inlay 2srf,,,27 ,,NW,,,,,,$830.58,,1,0,1,1,1,1,20060825
D6601,HCPCS,Porc/ceram inlay >= 3 surfac,,,27 ,,NW,,,,,,$902.38,,1,0,1,1,1,1,20060825
D6602,HCPCS,Cst hgh nble mtl inlay 2 srf,,,27 ,,NW,,,,,,$871.80,,1,0,1,1,1,1,20060825
D6603,HCPCS,Cst hgh nble mtl inlay >=3sr,,,27 ,,NW,,,,,,$915.10,,1,0,1,1,1,1,20060825
D6604,HCPCS,Cst bse mtl inlay 2 surfaces,,,27 ,,NW,,,,,,$854.15,,1,0,1,1,1,1,20060825
D6605,HCPCS,Cst bse mtl inlay >= 3 surfa,,,27 ,,NW,,,,,,"$1,022.65",,1,0,1,1,1,1,20060825
D6606,HCPCS,Cast noble metal inlay 2 sur,,,27 ,,NW,,,,,,$822.73,,1,0,1,1,1,1,20060825
D6607,HCPCS,Cst noble mtl inlay >=3 surf,,,27 ,,NW,,,,,,"$1,033.85",,1,0,1,1,1,1,20060825
D6608,HCPCS,Onlay porc/crmc 2 surfaces,,,27 ,,NW,,,,,,$884.87,,1,0,1,1,1,1,20060825
D6609,HCPCS,Onlay porc/crmc >=3 surfaces,,,27 ,,NW,,,,,,"$1,007.24",,1,0,1,1,1,1,20060825
D6610,HCPCS,Onlay cst hgh nbl mtl 2 srfc,,,27 ,,NW,,,,,,$935.27,,1,0,1,1,1,1,20060825
D6611,HCPCS,Onlay cst hgh nbl mtl >=3srf,,,27 ,,NW,,,,,,"$1,048.14",,1,0,1,1,1,1,20060825
D6612,HCPCS,Onlay cst base mtl 2 surface,,,27 ,,NW,,,,,,"$1,011.03",,1,0,1,1,1,1,20060825
D6613,HCPCS,Onlay cst base mtl >=3 surfa,,,27 ,,NW,,,,,,"$1,092.92",,1,0,1,1,1,1,20060825
D6614,HCPCS,Onlay cst nbl mtl 2 surfaces,,,27 ,,NW,,,,,,"$1,036.49",,1,0,1,1,1,1,20060825
D6615,HCPCS,Onlay cst nbl mtl >=3 surfac,,,27 ,,NW,,,,,,"$1,109.41",,1,0,1,1,1,1,20060825
D6624,HCPCS,Inlay titanium,,,27 ,,NW,,,,,,$871.80,,1,0,1,1,1,1,20060825
D6634,HCPCS,Onlay titanium,,,27 ,,NW,,,,,,$935.27,,1,0,1,1,1,1,20060825
D6710,HCPCS,Crown-indirect resin based,,,27 ,,NW,,,,,,$536.52,,1,0,1,1,1,1,20060825
D6720,HCPCS,Retain crown resin w hi nble,,,27 ,,NW,,,,,,$979.40,,1,0,1,1,1,1,20060825
D6721,HCPCS,Crown resin w/base metal,,,27 ,,NW,,,,,,$887.29,,1,0,1,1,1,1,20060825
D6722,HCPCS,Crown resin w/noble metal,,,27 ,,NW,,,,,,$964.78,,1,0,1,1,1,1,20060825
D6740,HCPCS,Crown porcelain/ceramic,,,27 ,,NW,,,,,,"$1,033.06",,1,0,1,1,1,1,20060825
D6750,HCPCS,Crown porcelain high noble,,,27 ,,NW,,,,,,"$1,001.39",,1,0,1,1,1,1,20060825
D6751,HCPCS,Crown porcelain base metal,,,27 ,,NW,,,,,,$908.51,,1,0,1,1,1,1,20060825
D6752,HCPCS,Crown porcelain noble metal,,,27 ,,NW,,,,,,$954.03,,1,0,1,1,1,1,20060825
D6780,HCPCS,Crown 3/4 high noble metal,,,27 ,,NW,,,,,,$971.13,,1,0,1,1,1,1,20060825
D6781,HCPCS,Crown 3/4 cast based metal,,,27 ,,NW,,,,,,$939.82,,1,0,1,1,1,1,20060825
D6782,HCPCS,Crown 3/4 cast noble metal,,,27 ,,NW,,,,,,$899.96,,1,0,1,1,1,1,20060825
D6783,HCPCS,Crown 3/4 porcelain/ceramic,,,27 ,,NW,,,,,,$990.70,,1,0,1,1,1,1,20060825
D6790,HCPCS,Crown full high noble metal,,,27 ,,NW,,,,,,$971.16,,1,0,1,1,1,1,20060825
D6791,HCPCS,Crown full base metal cast,,,27 ,,NW,,,,,,$906.04,,1,0,1,1,1,1,20060825
D6792,HCPCS,Crown full noble metal cast,,,27 ,,NW,,,,,,$941.10,,1,0,1,1,1,1,20060825
D6793,HCPCS,Provisional retainer crown,,,27 ,,NW,,,,,,$372.97,,1,0,1,1,1,1,20060825
D6794,HCPCS,Crown titanium,,,27 ,,NW,,,,,,$941.07,,1,0,1,1,1,1,20060825
D6920,HCPCS,Dental connector bar,,,27 ,,NW,,,,,,$173.87,,1,0,1,1,1,1,20060825
D6930,HCPCS,Dental recement bridge,,,27 ,,NW,,,,,,$131.57,,1,0,1,1,1,1,20060825
D6940,HCPCS,Stress breaker,,,27 ,,NW,,,,,,$315.73,,1,0,1,1,1,1,20060825
D6950,HCPCS,Precision attachment,,,27 ,,NW,,,,,,$550.24,,1,0,1,1,1,1,20060825
D6970,HCPCS,Post & core plus retainer,,,27 ,,NW,,,,,,$366.48,,1,0,1,1,1,1,20060825
D6971,HCPCS,Cast post bridge retainer,,,27 ,,NW,,,,,,$334.18,,1,0,1,1,1,1,20060825
D6972,HCPCS,Prefab post & core plus reta,,,27 ,,NW,,,,,,$285.80,,1,0,1,1,1,1,20060825
D6973,HCPCS,Core build up for retainer,,,27 ,,NW,,,,,,$230.54,,1,0,1,1,1,1,20060825
D6975,HCPCS,Coping metal,,,27 ,,NW,,,,,,$635.80,,1,0,1,1,1,1,20060825
D6976,HCPCS,Each addtnl cast post,,,27 ,,NW,,,,,,$192.29,,1,0,1,1,1,1,20060825
D6977,HCPCS,Each addtl prefab post,,,27 ,,NW,,,,,,$140.12,,1,0,1,1,1,1,20060825
D6980,HCPCS,Bridge repair,,,27 ,,NW,,,,,,$313.53,,1,0,1,1,1,1,20060825
D6985,HCPCS,Pediatric partial denture fx,,,27 ,,NW,,,,,,$663.31,,1,0,1,1,1,1,20060825
D6999,HCPCS,Fixed prosthodontic proc,,,27 ,,NW,,,,,,"$1,188.00",,1,0,1,1,1,1,20060825
D7111,HCPCS,Coronal remnants deciduous t,,,26 ,,NW,,,,,,$113.66,,1,0,1,1,1,1,20060825
D7140,HCPCS,Extraction erupted tooth/exr,,,26 ,,NW,,,,,,$134.02,,1,0,1,1,1,1,20060825
D7210,HCPCS,Rem imp tooth w mucoper flp,,,26 ,,NW,,,,,,$237.13,,1,0,1,1,1,1,20060825
D7220,HCPCS,Impact tooth remov soft tiss,,,26 ,,NW,,,,,,$285.50,,1,0,1,1,1,1,20060825
D7230,HCPCS,Impact tooth remov part bony,,,26 ,,NW,,,,,,$368.32,,1,0,1,1,1,1,20060825
D7240,HCPCS,Impact tooth remov comp bony,,,26 ,,NW,,,,,,$437.53,,1,0,1,1,1,1,20060825
D7241,HCPCS,Impact tooth rem bony w/comp,,,26 ,,NW,,,,,,$526.93,,1,0,1,1,1,1,20060825
D7250,HCPCS,Tooth root removal,,,26 ,,NW,,,,,,$260.36,,1,0,1,1,1,1,20060825
D7260,HCPCS,Oral antral fistula closure,,,26 ,,NW,,,,,,"$1,918.29",,1,0,1,1,1,1,20060825
D7261,HCPCS,Primary closure sinus perf,,,26 ,,NW,,,,,,$651.52,,1,0,1,1,1,1,20060825
D7270,HCPCS,Tooth reimplantation,,,26 ,,NW,,,,,,$468.50,,1,0,1,1,1,1,20060825
D7272,HCPCS,Tooth transplantation,,,26 ,,NW,,,,,,$625.48,,1,0,1,1,1,1,20060825
D7280,HCPCS,Exposure impact tooth orthod,,,26 ,,NW,,,,,,$515.08,,1,0,1,1,1,1,20060825
D7282,HCPCS,Mobilize erupted/malpos toot,,,26 ,,NW,,,,,,$186.11,,1,0,1,1,1,1,20060825
D7283,HCPCS,Place device impacted tooth,,,26 ,,NW,,,,,,$186.11,,1,0,1,1,1,1,20060825
D7285,HCPCS,Biopsy of oral tissue hard,,,26 ,,NW,,,,,,$618.80,,1,0,1,1,1,1,20060825
D7286,HCPCS,Biopsy of oral tissue soft,,,26 ,,NW,,,,,,$328.29,,1,0,1,1,1,1,20060825
D7287,HCPCS,Cytology sample collection,,,26 ,,NW,,,,,,$130.22,,1,0,1,1,1,1,20060825
D7288,HCPCS,Brush biopsy,,,26 ,,NW,,,,,,$132.39,,1,0,1,1,1,1,20060825
D7290,HCPCS,Repositioning of teeth,,,26 ,,NW,,,,,,$428.59,,1,0,1,1,1,1,20060825
D7291,HCPCS,Transseptal fiberotomy,,,26 ,,NW,,,,,,$191.13,,1,0,1,1,1,1,20060825
D7310,HCPCS,Alveoplasty w/ extraction,,,26 ,,NW,,,,,,$252.17,,1,0,1,1,1,1,20060825
D7311,HCPCS,Alveoloplasty w/extract 1-3,,,26 ,,NW,,,,,,"$1,484.39",,1,0,1,1,1,1,20060825
D7320,HCPCS,Alveoplasty w/o extraction,,,26 ,,NW,,,,,,$429.15,,1,0,1,1,1,1,20060825
D7321,HCPCS,Alveoloplasty not w/extracts,,,26 ,,NW,,,,,,"$1,484.39",,1,0,1,1,1,1,20060825
D7340,HCPCS,Vestibuloplasty ridge extens,,,26 ,,NW,,,,,,"$1,462.93",,1,0,1,1,1,1,20060825
D7350,HCPCS,Vestibuloplasty exten graft,,,26 ,,NW,,,,,,"$2,282.65",,1,0,1,1,1,1,20060825
D7410,HCPCS,Rad exc lesion up to 1.25 cm,,,26 ,,NW,,,,,,$548.95,,1,0,1,1,1,1,20060825
D7411,HCPCS,Excision benign lesion>1.25c,,,26 ,,NW,,,,,,$593.50,,1,0,1,1,1,1,20060825
D7412,HCPCS,Excision benign lesion compl,,,26 ,,NW,,,,,,$708.03,,1,0,1,1,1,1,20060825
D7413,HCPCS,Excision malig lesion<=1.25c,,,26 ,,NW,,,,,,$951.86,,1,0,1,1,1,1,20060825
D7414,HCPCS,Excision malig lesion>1.25cm,,,26 ,,NW,,,,,,"$1,226.20",,1,0,1,1,1,1,20060825
D7415,HCPCS,Excision malig les complicat,,,26 ,,NW,,,,,,"$1,330.33",,1,0,1,1,1,1,20060825
D7440,HCPCS,Malig tumor exc to 1.25 cm,,,26 ,,NW,,,,,,$657.71,,1,0,1,1,1,1,20060825
D7441,HCPCS,Malig tumor > 1.25 cm,,,26 ,,NW,,,,,,$969.60,,1,0,1,1,1,1,20060825
D7450,HCPCS,Rem odontogen cyst to 1.25cm,,,26 ,,NW,,,,,,$600.40,,1,0,1,1,1,1,20060825
D7451,HCPCS,Rem odontogen cyst > 1.25 cm,,,26 ,,NW,,,,,,$959.70,,1,0,1,1,1,1,20060825
D7460,HCPCS,Rem nonodonto cyst to 1.25cm,,,26 ,,NW,,,,,,$588.01,,1,0,1,1,1,1,20060825
D7461,HCPCS,Rem nonodonto cyst > 1.25 cm,,,26 ,,NW,,,,,,$976.13,,1,0,1,1,1,1,20060825
D7465,HCPCS,Lesion destruction,,,26 ,,NW,,,,,,$367.73,,1,0,1,1,1,1,20060825
D7471,HCPCS,Rem exostosis any site,,,26 ,,NW,,,,,,$687.96,,1,0,1,1,1,1,20060825
D7472,HCPCS,Removal of torus palatinus,,,26 ,,NW,,,,,,$822.49,,1,0,1,1,1,1,20060825
D7473,HCPCS,Remove torus mandibularis,,,26 ,,NW,,,,,,$773.93,,1,0,1,1,1,1,20060825
D7485,HCPCS,Surg reduct osseoustuberosit,,,26 ,,NW,,,,,,$678.91,,1,0,1,1,1,1,20060825
D7490,HCPCS,Mandible resection,,,26 ,,NW,,,,,,"$7,331.02",,1,0,1,1,1,1,20060825
D7510,HCPCS,I&d absc intraoral soft tiss,,,26 ,,NW,,,,,,$219.40,,1,0,1,1,1,1,20060825
D7511,HCPCS,Incision/drain abscess intra,,,26 ,,NW,,,,,,"$1,023.55",,1,0,1,1,1,1,20060825
D7520,HCPCS,I&d abscess extraoral,,,26 ,,NW,,,,,,$998.98,,1,0,1,1,1,1,20060825
D7521,HCPCS,Incision/drain abscess extra,,,26 ,,NW,,,,,,$132.39,,1,0,1,1,1,1,20060825
D7530,HCPCS,Removal fb skin/areolar tiss,,,26 ,,NW,,,,,,$341.59,,1,0,1,1,1,1,20060825
D7540,HCPCS,Removal of fb reaction,,,26 ,,NW,,,,,,$497.35,,1,0,1,1,1,1,20060825
D7550,HCPCS,Removal of sloughed off bone,,,26 ,,NW,,,,,,$357.00,,1,0,1,1,1,1,20060825
D7560,HCPCS,Maxillary sinusotomy,,,26 ,,NW,,,,,,"$1,697.67",,1,0,1,1,1,1,20060825
D7610,HCPCS,Maxilla open reduct simple,,,26 ,,NW,,,,,,"$3,836.27",,1,0,1,1,1,1,20060825
D7620,HCPCS,Clsd reduct simpl maxilla fx,,,26 ,,NW,,,,,,"$2,635.81",,1,0,1,1,1,1,20060825
D7630,HCPCS,Open red simpl mandible fx,,,26 ,,NW,,,,,,"$4,640.12",,1,0,1,1,1,1,20060825
D7640,HCPCS,Clsd red simpl mandible fx,,,26 ,,NW,,,,,,"$3,002.92",,1,0,1,1,1,1,20060825
D7650,HCPCS,Open red simp malar/zygom fx,,,26 ,,NW,,,,,,"$2,356.61",,1,0,1,1,1,1,20060825
D7660,HCPCS,Clsd red simp malar/zygom fx,,,26 ,,NW,,,,,,"$1,303.99",,1,0,1,1,1,1,20060825
D7670,HCPCS,Closd rductn splint alveolus,,,26 ,,NW,,,,,,"$1,207.41",,1,0,1,1,1,1,20060825
D7671,HCPCS,Alveolus open reduction,,,26 ,,NW,,,,,,$933.87,,1,0,1,1,1,1,20060825
D7680,HCPCS,Reduct simple facial bone fx,,,26 ,,NW,,,,,,"$6,472.48",,1,0,1,1,1,1,20060825
D7710,HCPCS,Maxilla open reduct compound,,,26 ,,NW,,,,,,"$4,162.38",,1,0,1,1,1,1,20060825
D7720,HCPCS,Clsd reduct compd maxilla fx,,,26 ,,NW,,,,,,"$2,421.30",,1,0,1,1,1,1,20060825
D7730,HCPCS,Open reduct compd mandble fx,,,26 ,,NW,,,,,,"$5,325.88",,1,0,1,1,1,1,20060825
D7740,HCPCS,Clsd reduct compd mandble fx,,,26 ,,NW,,,,,,"$3,147.72",,1,0,1,1,1,1,20060825
D7750,HCPCS,Open red comp malar/zygma fx,,,26 ,,NW,,,,,,"$3,838.64",,1,0,1,1,1,1,20060825
D7760,HCPCS,Clsd red comp malar/zygma fx,,,26 ,,NW,,,,,,"$1,418.22",,1,0,1,1,1,1,20060825
D7770,HCPCS,Open reduc compd alveolus fx,,,26 ,,NW,,,,,,"$2,031.90",,1,0,1,1,1,1,20060825
D7771,HCPCS,Alveolus clsd reduc stblz te,,,26 ,,NW,,,,,,"$1,438.03",,1,0,1,1,1,1,20060825
D7780,HCPCS,Reduct compnd facial bone fx,,,26 ,,NW,,,,,,"$8,846.79",,1,0,1,1,1,1,20060825
D7810,HCPCS,Tmj open reduct-dislocation,,,26 ,,NW,,,,,,"$3,954.38",,1,0,1,1,1,1,20060825
D7820,HCPCS,Closed tmp manipulation,,,26 ,,NW,,,,,,$593.97,,1,0,1,1,1,1,20060825
D7830,HCPCS,Tmj manipulation under anest,,,26 ,,NW,,,,,,$493.62,,1,0,1,1,1,1,20060825
D7840,HCPCS,Removal of tmj condyle,,,26 ,,NW,,,,,,"$5,224.30",,1,0,1,1,1,1,20060825
D7850,HCPCS,Tmj meniscectomy,,,26 ,,NW,,,,,,"$4,878.45",,1,0,1,1,1,1,20060825
D7852,HCPCS,Tmj repair of joint disc,,,26 ,,NW,,,,,,"$5,297.13",,1,0,1,1,1,1,20060825
D7854,HCPCS,Tmj excisn of joint membrane,,,26 ,,NW,,,,,,"$5,395.06",,1,0,1,1,1,1,20060825
D7856,HCPCS,Tmj cutting of a muscle,,,26 ,,NW,,,,,,"$3,598.52",,1,0,1,1,1,1,20060825
D7858,HCPCS,Tmj reconstruction,,,26 ,,NW,,,,,,"$6,427.57",,1,0,1,1,1,1,20060825
D7860,HCPCS,Tmj cutting into joint,,,26 ,,NW,,,,,,"$3,090.30",,1,0,1,1,1,1,20060825
D7865,HCPCS,Tmj reshaping components,,,26 ,,NW,,,,,,"$4,606.26",,1,0,1,1,1,1,20060825
D7870,HCPCS,Tmj aspiration joint fluid,,,26 ,,NW,,,,,,$304.24,,1,0,1,1,1,1,20060825
D7871,HCPCS,Lysis + lavage w catheters,,,26 ,,NW,,,,,,$875.21,,1,0,1,1,1,1,20060825
D7872,HCPCS,Tmj diagnostic arthroscopy,,,26 ,,NW,,,,,,"$2,020.36",,1,0,1,1,1,1,20060825
D7873,HCPCS,Tmj arthroscopy lysis adhesn,,,26 ,,NW,,,,,,"$2,307.93",,1,0,1,1,1,1,20060825
D7874,HCPCS,Tmj arthroscopy disc reposit,,,26 ,,NW,,,,,,"$3,044.96",,1,0,1,1,1,1,20060825
D7875,HCPCS,Tmj arthroscopy synovectomy,,,26 ,,NW,,,,,,"$3,277.43",,1,0,1,1,1,1,20060825
D7876,HCPCS,Tmj arthroscopy discectomy,,,26 ,,NW,,,,,,"$3,485.79",,1,0,1,1,1,1,20060825
D7877,HCPCS,Tmj arthroscopy debridement,,,26 ,,NW,,,,,,"$3,148.28",,1,0,1,1,1,1,20060825
D7880,HCPCS,Occlusal orthotic appliance,,,26 ,,NW,,,,,,$766.49,,1,0,1,1,1,1,20060825
D7899,HCPCS,Tmj unspecified therapy,,,26 ,,NW,,,,,,"$1,222.33",,1,0,1,1,1,1,20060825
D7910,HCPCS,Dent sutur recent wnd to 5cm,,,26 ,,NW,,,,,,$290.54,,1,0,1,1,1,1,20060825
D7911,HCPCS,Dental suture wound to 5 cm,,,26 ,,NW,,,,,,$632.32,,1,0,1,1,1,1,20060825
D7912,HCPCS,Suture complicate wnd > 5 cm,,,26 ,,NW,,,,,,"$1,195.72",,1,0,1,1,1,1,20060825
D7920,HCPCS,Dental skin graft,,,26 ,,NW,,,,,,"$2,466.57",,1,0,1,1,1,1,20060825
D7940,HCPCS,Reshaping bone orthognathic,,,26 ,,NW,,,,,,"$2,592.56",,1,0,1,1,1,1,20060825
D7941,HCPCS,Bone cutting ramus closed,,,26 ,,NW,,,,,,"$8,156.67",,1,0,1,1,1,1,20060825
D7943,HCPCS,Cutting ramus open w/graft,,,26 ,,NW,,,,,,"$8,455.06",,1,0,1,1,1,1,20060825
D7944,HCPCS,Bone cutting segmented,,,26 ,,NW,,,,,,"$7,002.86",,1,0,1,1,1,1,20060825
D7945,HCPCS,Bone cutting body mandible,,,26 ,,NW,,,,,,"$7,244.22",,1,0,1,1,1,1,20060825
D7946,HCPCS,Reconstruction maxilla total,,,26 ,,NW,,,,,,"$8,729.09",,1,0,1,1,1,1,20060825
D7947,HCPCS,Reconstruct maxilla segment,,,26 ,,NW,,,,,,"$8,069.57",,1,0,1,1,1,1,20060825
D7948,HCPCS,Reconstruct midface no graft,,,26 ,,NW,,,,,,"$11,603.27",,1,0,1,1,1,1,20060825
D7949,HCPCS,Reconstruct midface w/graft,,,26 ,,NW,,,,,,"$15,024.43",,1,0,1,1,1,1,20060825
D7950,HCPCS,Mandible graft,,,26 ,,NW,,,,,,"$2,286.50",,1,0,1,1,1,1,20060825
D7953,HCPCS,Bone replacement graft,,,26 ,,NW,,,,,,$475.95,,1,0,1,1,1,1,20060825
D7955,HCPCS,Repair maxillofacial defects,,,26 ,,NW,,,,,,"$2,262.94",,1,0,1,1,1,1,20060825
D7960,HCPCS,Frenulectomy/frenulotomy,,,26 ,,NW,,,,,,$468.88,,1,0,1,1,1,1,20060825
D7963,HCPCS,Frenuloplasty,,,26 ,,NW,,,,,,$516.00,,1,0,1,1,1,1,20060825
D7970,HCPCS,Excision hyperplastic tissue,,,26 ,,NW,,,,,,$488.80,,1,0,1,1,1,1,20060825
D7971,HCPCS,Excision pericoronal gingiva,,,26 ,,NW,,,,,,$193.16,,1,0,1,1,1,1,20060825
D7972,HCPCS,Surg redct fibrous tuberosit,,,26 ,,NW,,,,,,$624.06,,1,0,1,1,1,1,20060825
D7980,HCPCS,Sialolithotomy,,,26 ,,NW,,,,,,$682.92,,1,0,1,1,1,1,20060825
D7981,HCPCS,Excision of salivary gland,,,26 ,,NW,,,,,,$467.39,,1,0,1,1,1,1,20060825
D7982,HCPCS,Sialodochoplasty,,,26 ,,NW,,,,,,"$1,611.67",,1,0,1,1,1,1,20060825
D7983,HCPCS,Closure of salivary fistula,,,26 ,,NW,,,,,,"$1,485.24",,1,0,1,1,1,1,20060825
D7990,HCPCS,Emergency tracheotomy,,,26 ,,NW,,,,,,"$1,426.36",,1,0,1,1,1,1,20060825
D7991,HCPCS,Dental coronoidectomy,,,26 ,,NW,,,,,,"$4,108.31",,1,0,1,1,1,1,20060825
D7995,HCPCS,Synthetic graft facial bones,,,26 ,,NW,,,,,,$429.54,,1,0,1,1,1,1,20060825
D7996,HCPCS,Implant mandible for augment,,,26 ,,NW,,,,,,"$1,821.07",,1,0,1,1,1,1,20060825
D7997,HCPCS,Appliance removal,,,26 ,,NW,,,,,,$238.97,,1,0,1,1,1,1,20060825
D7999,HCPCS,Oral surgery procedure,,,26 ,,NW,,,,,,"$1,222.33",,1,0,1,1,1,1,20060825
D8010,HCPCS,Limited dental tx primary,,,27 ,,NW,,,,,,"$1,486.15",,1,0,1,1,1,1,20060825
D8020,HCPCS,Limited dental tx transition,,,27 ,,NW,,,,,,"$1,643.85",,1,0,1,1,1,1,20060825
D8030,HCPCS,Limited dental tx adolescent,,,27 ,,NW,,,,,,"$1,766.19",,1,0,1,1,1,1,20060825
D8040,HCPCS,Limited dental tx adult,,,27 ,,NW,,,,,,"$1,864.41",,1,0,1,1,1,1,20060825
D8050,HCPCS,Intercep dental tx primary,,,27 ,,NW,,,,,,"$1,854.30",,1,0,1,1,1,1,20060825
D8060,HCPCS,Intercep dental tx transitn,,,27 ,,NW,,,,,,"$2,020.99",,1,0,1,1,1,1,20060825
D8070,HCPCS,Compre dental tx transition,,,27 ,,NW,,,,,,"$3,179.33",,1,0,1,1,1,1,20060825
D8080,HCPCS,Compre dental tx adolescent,,,27 ,,NW,,,,,,"$3,227.04",,1,0,1,1,1,1,20060825
D8090,HCPCS,Compre dental tx adult,,,27 ,,NW,,,,,,"$3,361.73",,1,0,1,1,1,1,20060825
D8210,HCPCS,Orthodontic rem appliance tx,,,27 ,,NW,,,,,,"$1,018.66",,1,0,1,1,1,1,20060825
D8220,HCPCS,Fixed appliance therapy habt,,,27 ,,NW,,,,,,"$1,075.90",,1,0,1,1,1,1,20060825
D8660,HCPCS,Preorthodontic tx visit,,,27 ,,NW,,,,,,$164.88,,1,0,1,1,1,1,20060825
D8670,HCPCS,Periodic orthodontc tx visit,,,27 ,,NW,,,,,,$195.18,,1,0,1,1,1,1,20060825
D8680,HCPCS,Orthodontic retention,,,27 ,,NW,,,,,,$476.74,,1,0,1,1,1,1,20060825
D8690,HCPCS,Orthodontic treatment,,,27 ,,NW,,,,,,$208.17,,1,0,1,1,1,1,20060825
D8691,HCPCS,Repair ortho appliance,,,27 ,,NW,,,,,,$143.93,,1,0,1,1,1,1,20060825
D8692,HCPCS,Replacement retainer,,,27 ,,NW,,,,,,$254.74,,1,0,1,1,1,1,20060825
D8999,HCPCS,Orthodontic procedure,,,27 ,,NW,,,,,,"$1,245.99",,1,0,1,1,1,1,20060825
D9110,HCPCS,Tx dental pain minor proc,,,26 ,,NW,,,,,,$101.47,,1,0,1,1,1,1,20060825
D9210,HCPCS,Dent anesthesia w/o surgery,,,26 ,,NW,,,,,,$28.85,,1,0,1,1,1,1,20060825
D9211,HCPCS,Regional block anesthesia,,,26 ,,NW,,,,,,$32.33,,1,0,1,1,1,1,20060825
D9212,HCPCS,Trigeminal block anesthesia,,,26 ,,NW,,,,,,$69.97,,1,0,1,1,1,1,20060825
D9215,HCPCS,Local anesthesia,,,26 ,,NW,,,,,,$27.07,,1,0,1,1,1,1,20060825
D9220,HCPCS,General anesthesia,,,26 ,,NW,,,,,,$352.69,,1,0,1,1,1,1,20060825
D9221,HCPCS,General anesthesia ea ad 15m,,,26 ,,NW,,,,,,$143.94,,1,0,1,1,1,1,20060825
D9230,HCPCS,Analgesia,,,26 ,,NW,,,,,,$54.31,,1,0,1,1,1,1,20060825
D9241,HCPCS,Intravenous sedation,,,26 ,,NW,,,,,,$331.01,,1,0,1,1,1,1,20060825
D9242,HCPCS,IV sedation ea ad 30 m,,,26 ,,NW,,,,,,$126.40,,1,0,1,1,1,1,20060825
D9248,HCPCS,Sedation (non-iv),,,26 ,,NW,,,,,,$74.82,,1,0,1,1,1,1,20060825
D9310,HCPCS,Dental consultation,,,25 ,,NW,,,,,,$137.01,,1,0,1,1,1,1,20060825
D9410,HCPCS,Dental house call,,,25 ,,NW,,,,,,$229.13,,1,0,1,1,1,1,20060825
D9420,HCPCS,Hospital call,,,25 ,,NW,,,,,,$289.72,,1,0,1,1,1,1,20060825
D9430,HCPCS,Office visit during hours,,,25 ,,NW,,,,,,$66.82,,1,0,1,1,1,1,20060825
D9440,HCPCS,Office visit after hours,,,25 ,,NW,,,,,,$130.94,,1,0,1,1,1,1,20060825
D9450,HCPCS,Case presentation tx plan,,,25 ,,NW,,,,,,$58.92,,1,0,1,1,1,1,20060825
D9610,HCPCS,Dent therapeutic drug inject,,,27 ,,NW,,,,,,$74.89,,1,0,1,1,1,1,20060825
D9630,HCPCS,Other drugs/medicaments,,,27 ,,NW,,,,,,$43.01,,1,0,1,1,1,1,20060825
D9910,HCPCS,Dent appl desensitizing med,,,27 ,,NW,,,,,,$46.19,,1,0,1,1,1,1,20060825
D9911,HCPCS,Appl desensitizing resin,,,27 ,,NW,,,,,,$63.53,,1,0,1,1,1,1,20060825
D9920,HCPCS,Behavior management,,,27 ,,NW,,,,,,$124.83,,1,0,1,1,1,1,20060825
D9930,HCPCS,Treatment of complications,,,27 ,,NW,,,,,,$104.98,,1,0,1,1,1,1,20060825
D9940,HCPCS,Dental occlusal guard,,,27 ,,NW,,,,,,$557.40,,1,0,1,1,1,1,20060825
D9941,HCPCS,Fabrication athletic guard,,,27 ,,NW,,,,,,$172.90,,1,0,1,1,1,1,20060825
D9950,HCPCS,Occlusion analysis,,,27 ,,NW,,,,,,$266.83,,1,0,1,1,1,1,20060825
D9951,HCPCS,Limited occlusal adjustment,,,27 ,,NW,,,,,,$129.85,,1,0,1,1,1,1,20060825
D9952,HCPCS,Complete occlusal adjustment,,,27 ,,NW,,,,,,$630.16,,1,0,1,1,1,1,20060825
D9970,HCPCS,Enamel microabrasion,,,27 ,,NW,,,,,,$48.87,,1,0,1,1,1,1,20060825
D9971,HCPCS,Odontoplasty 1-2 teeth,,,27 ,,NW,,,,,,$64.76,,1,0,1,1,1,1,20060825
D9972,HCPCS,Extrnl bleaching per arch,,,27 ,,NW,,,,,,$303.45,,1,0,1,1,1,1,20060825
D9973,HCPCS,Extrnl bleaching per tooth,,,27 ,,NW,,,,,,$39.48,,1,0,1,1,1,1,20060825
D9974,HCPCS,Intrnl bleaching per tooth,,,27 ,,NW,,,,,,$246.06,,1,0,1,1,1,1,20060825
D9999,HCPCS,Adjunctive procedure,,,27 ,,NW,,,,,,"$1,183.29",,1,0,1,1,1,1,20060825
E0100,HCPCS,Cane adjust/fixed with tip,RR,,28 ,,NW,,,,,,$13.25,,1,1,1,1,1,1,20060825
E0100,HCPCS,Cane adjust/fixed with tip,UE,,28 ,,NW,,,,,,$29.62,,1,1,1,1,1,1,20060825
E0100,HCPCS,Cane adjust/fixed with tip,NU,,28 ,,NW,,,,,,$36.06,,1,1,1,1,1,1,20060825
E0105,HCPCS,Cane adjust/fixed quad/3 pro,RR,,28 ,,NW,,,,,,$17.67,,1,1,1,1,1,1,20060825
E0105,HCPCS,Cane adjust/fixed quad/3 pro,UE,,28 ,,NW,,,,,,$61.73,,1,1,1,1,1,1,20060825
E0105,HCPCS,Cane adjust/fixed quad/3 pro,NU,,28 ,,NW,,,,,,$83.17,,1,1,1,1,1,1,20060825
E0110,HCPCS,Crutch forearm pair,RR,,28 ,,NW,,,,,,$28.42,,1,1,1,1,1,1,20060825
E0110,HCPCS,Crutch forearm pair,UE,,28 ,,NW,,,,,,$100.47,,1,1,1,1,1,1,20060825
E0110,HCPCS,Crutch forearm pair,NU,,28 ,,NW,,,,,,$137.48,,1,1,1,1,1,1,20060825
E0111,HCPCS,Crutch forearm each,RR,,28 ,,NW,,,,,,$17.02,,1,1,1,1,1,1,20060825
E0111,HCPCS,Crutch forearm each,UE,,28 ,,NW,,,,,,$67.89,,1,1,1,1,1,1,20060825
E0111,HCPCS,Crutch forearm each,NU,,28 ,,NW,,,,,,$91.08,,1,1,1,1,1,1,20060825
E0112,HCPCS,Crutch underarm pair wood,RR,,28 ,,NW,,,,,,$19.28,,1,1,1,1,1,1,20060825
E0112,HCPCS,Crutch underarm pair wood,UE,,28 ,,NW,,,,,,$46.85,,1,1,1,1,1,1,20060825
E0112,HCPCS,Crutch underarm pair wood,NU,,28 ,,NW,,,,,,$60.07,,1,1,1,1,1,1,20060825
E0113,HCPCS,Crutch underarm each wood,RR,,28 ,,NW,,,,,,$12.07,,1,1,1,1,1,1,20060825
E0113,HCPCS,Crutch underarm each wood,UE,,28 ,,NW,,,,,,$28.21,,1,1,1,1,1,1,20060825
E0113,HCPCS,Crutch underarm each wood,NU,,28 ,,NW,,,,,,$36.15,,1,1,1,1,1,1,20060825
E0114,HCPCS,Crutch underarm pair no wood,RR,,28 ,,NW,,,,,,$17.22,,1,1,1,1,1,1,20060825
E0114,HCPCS,Crutch underarm pair no wood,UE,,28 ,,NW,,,,,,$58.08,,1,1,1,1,1,1,20060825
E0114,HCPCS,Crutch underarm pair no wood,NU,,28 ,,NW,,,,,,$79.51,,1,1,1,1,1,1,20060825
E0116,HCPCS,Crutch underarm each no wood,RR,,28 ,,NW,,,,,,$12.44,,1,1,1,1,1,1,20060825
E0116,HCPCS,Crutch underarm each no wood,UE,,28 ,,NW,,,,,,$35.79,,1,1,1,1,1,1,20060825
E0116,HCPCS,Crutch underarm each no wood,NU,,28 ,,NW,,,,,,$46.12,,1,1,1,1,1,1,20060825
E0117,HCPCS,Underarm springassist crutch,RR,,28 ,,NW,,,,,,$33.34,,1,1,1,1,1,1,20060825
E0117,HCPCS,Underarm springassist crutch,UE,,28 ,,NW,,,,,,$265.18,,1,1,1,1,1,1,20060825
E0117,HCPCS,Underarm springassist crutch,NU,,28 ,,NW,,,,,,$357.01,,1,1,1,1,1,1,20060825
E0130,HCPCS,Walker rigid adjust/fixed ht,RR,,28 ,,NW,,,,,,$29.65,,1,1,1,1,1,1,20060825
E0130,HCPCS,Walker rigid adjust/fixed ht,UE,,28 ,,NW,,,,,,$93.89,,1,1,1,1,1,1,20060825
E0130,HCPCS,Walker rigid adjust/fixed ht,NU,,28 ,,NW,,,,,,$123.43,,1,1,1,1,1,1,20060825
E0135,HCPCS,Walker folding adjust/fixed,RR,,28 ,,NW,,,,,,$30.32,,1,1,1,1,1,1,20060825
E0135,HCPCS,Walker folding adjust/fixed,UE,,28 ,,NW,,,,,,$112.17,,1,1,1,1,1,1,20060825
E0135,HCPCS,Walker folding adjust/fixed,NU,,28 ,,NW,,,,,,$149.40,,1,1,1,1,1,1,20060825
E0140,HCPCS,Walker w trunk support,NU,,28 ,,NW,,,,,,$385.96,,1,1,1,0,1,1,20060825
E0140,HCPCS,Walker w trunk support,RR,,28 ,,NW,,,,,,$385.96,,1,1,1,0,1,1,20060825
E0140,HCPCS,Walker w trunk support,UE,,28 ,,NW,,,,,,$385.96,,1,1,1,0,1,1,20060825
E0141,HCPCS,Rigid wheeled walker adj/fix,RR,,28 ,,NW,,,,,,$38.01,,1,1,1,1,1,1,20060825
E0141,HCPCS,Rigid wheeled walker adj/fix,UE,,28 ,,NW,,,,,,$154.43,,1,1,1,1,1,1,20060825
E0141,HCPCS,Rigid wheeled walker adj/fix,NU,,28 ,,NW,,,,,,$209.36,,1,1,1,1,1,1,20060825
E0143,HCPCS,Walker folding wheeled w/o s,RR,,28 ,,NW,,,,,,$36.85,,1,1,1,1,1,1,20060825
E0143,HCPCS,Walker folding wheeled w/o s,UE,,28 ,,NW,,,,,,$161.11,,1,1,1,1,1,1,20060825
E0143,HCPCS,Walker folding wheeled w/o s,NU,,28 ,,NW,,,,,,$218.79,,1,1,1,1,1,1,20060825
E0144,HCPCS,Enclosed walker w rear seat,RR,,28 ,,NW,,,,,,$52.34,,1,1,1,1,1,1,20060825
E0144,HCPCS,Enclosed walker w rear seat,UE,,28 ,,NW,,,,,,$444.96,,1,1,1,1,1,1,20060825
E0144,HCPCS,Enclosed walker w rear seat,NU,,28 ,,NW,,,,,,$596.79,,1,1,1,1,1,1,20060825
E0147,HCPCS,Walker variable wheel resist,RR,,28 ,,NW,,,,,,$99.14,,1,1,1,1,1,1,20060825
E0147,HCPCS,Walker variable wheel resist,UE,,28 ,,NW,,,,,,$811.65,,1,1,1,1,1,1,20060825
E0147,HCPCS,Walker variable wheel resist,NU,,28 ,,NW,,,,,,"$1,085.65",,1,1,1,1,1,1,20060825
E0148,HCPCS,Heavyduty walker no wheels,RR,,28 ,,NW,,,,,,$23.48,,1,1,1,1,1,1,20060825
E0148,HCPCS,Heavyduty walker no wheels,UE,,28 ,,NW,,,,,,$171.22,,1,1,1,1,1,1,20060825
E0148,HCPCS,Heavyduty walker no wheels,NU,,28 ,,NW,,,,,,$231.81,,1,1,1,1,1,1,20060825
E0149,HCPCS,Heavy duty wheeled walker,RR,,28 ,,NW,,,,,,$37.96,,1,1,1,1,1,1,20060825
E0149,HCPCS,Heavy duty wheeled walker,UE,,28 ,,NW,,,,,,$308.73,,1,1,1,1,1,1,20060825
E0149,HCPCS,Heavy duty wheeled walker,NU,,28 ,,NW,,,,,,$415.15,,1,1,1,1,1,1,20060825
E0153,HCPCS,Forearm crutch platform atta,RR,,28 ,,NW,,,,,,$16.12,,1,1,1,1,1,1,20060825
E0153,HCPCS,Forearm crutch platform atta,UE,,28 ,,NW,,,,,,$88.74,,1,1,1,1,1,1,20060825
E0153,HCPCS,Forearm crutch platform atta,NU,,28 ,,NW,,,,,,$121.82,,1,1,1,1,1,1,20060825
E0154,HCPCS,Walker platform attachment,RR,,28 ,,NW,,,,,,$17.21,,1,1,1,1,1,1,20060825
E0154,HCPCS,Walker platform attachment,UE,,28 ,,NW,,,,,,$91.66,,1,1,1,1,1,1,20060825
E0154,HCPCS,Walker platform attachment,NU,,28 ,,NW,,,,,,$123.98,,1,1,1,1,1,1,20060825
E0155,HCPCS,"Walker wheel attachment,pair",RR,,28 ,,NW,,,,,,$10.11,,1,1,1,1,1,1,20060825
E0155,HCPCS,"Walker wheel attachment,pair",UE,,28 ,,NW,,,,,,$40.57,,1,1,1,1,1,1,20060825
E0155,HCPCS,"Walker wheel attachment,pair",NU,,28 ,,NW,,,,,,$51.88,,1,1,1,1,1,1,20060825
E0156,HCPCS,Walker seat attachment,RR,,28 ,,NW,,,,,,$9.40,,1,1,1,1,1,1,20060825
E0156,HCPCS,Walker seat attachment,UE,,28 ,,NW,,,,,,$34.23,,1,1,1,1,1,1,20060825
E0156,HCPCS,Walker seat attachment,NU,,28 ,,NW,,,,,,$44.15,,1,1,1,1,1,1,20060825
E0157,HCPCS,Walker crutch attachment,RR,,28 ,,NW,,,,,,$17.85,,1,1,1,1,1,1,20060825
E0157,HCPCS,Walker crutch attachment,UE,,28 ,,NW,,,,,,$106.71,,1,1,1,1,1,1,20060825
E0157,HCPCS,Walker crutch attachment,NU,,28 ,,NW,,,,,,$145.74,,1,1,1,1,1,1,20060825
E0158,HCPCS,Walker leg extenders set of4,RR,,28 ,,NW,,,,,,$9.66,,1,1,1,1,1,1,20060825
E0158,HCPCS,Walker leg extenders set of4,UE,,28 ,,NW,,,,,,$40.92,,1,1,1,1,1,1,20060825
E0158,HCPCS,Walker leg extenders set of4,NU,,28 ,,NW,,,,,,$52.82,,1,1,1,1,1,1,20060825
E0159,HCPCS,Brake for wheeled walker,RR,,28 ,,NW,,,,,,$7.10,,1,1,1,1,1,1,20060825
E0159,HCPCS,Brake for wheeled walker,UE,,28 ,,NW,,,,,,$24.50,,1,1,1,1,1,1,20060825
E0159,HCPCS,Brake for wheeled walker,NU,,28 ,,NW,,,,,,$31.25,,1,1,1,1,1,1,20060825
E0160,HCPCS,Sitz type bath or equipment,RR,,28 ,,NW,,,,,,$10.83,,1,1,1,1,1,1,20060825
E0160,HCPCS,Sitz type bath or equipment,UE,,28 ,,NW,,,,,,$41.64,,1,1,1,1,1,1,20060825
E0160,HCPCS,Sitz type bath or equipment,NU,,28 ,,NW,,,,,,$54.14,,1,1,1,1,1,1,20060825
E0161,HCPCS,Sitz bath/equipment w/faucet,RR,,28 ,,NW,,,,,,$9.69,,1,1,1,1,1,1,20060825
E0161,HCPCS,Sitz bath/equipment w/faucet,UE,,28 ,,NW,,,,,,$33.90,,1,1,1,1,1,1,20060825
E0161,HCPCS,Sitz bath/equipment w/faucet,NU,,28 ,,NW,,,,,,$43.84,,1,1,1,1,1,1,20060825
E0162,HCPCS,Sitz bath chair,RR,,28 ,,NW,,,,,,$27.35,,1,1,1,1,1,1,20060825
E0162,HCPCS,Sitz bath chair,UE,,28 ,,NW,,,,,,$205.00,,1,1,1,1,1,1,20060825
E0162,HCPCS,Sitz bath chair,NU,,28 ,,NW,,,,,,$267.37,,1,1,1,1,1,1,20060825
E0163,HCPCS,Commode chair stationry fxd,RR,,28 ,,NW,,,,,,$41.13,,1,1,1,1,1,1,20060825
E0163,HCPCS,Commode chair stationry fxd,UE,,28 ,,NW,,,,,,$151.72,,1,1,1,1,1,1,20060825
E0163,HCPCS,Commode chair stationry fxd,NU,,28 ,,NW,,,,,,$199.84,,1,1,1,1,1,1,20060825
E0164,HCPCS,Commode chair mobile fixed a,RR,,28 ,,NW,,,,,,$44.15,,1,1,1,1,1,1,20060825
E0164,HCPCS,Commode chair mobile fixed a,UE,,28 ,,NW,,,,,,$248.97,,1,1,1,1,1,1,20060825
E0164,HCPCS,Commode chair mobile fixed a,NU,,28 ,,NW,,,,,,$335.44,,1,1,1,1,1,1,20060825
E0165,HCPCS,Commode chair stationry det,,,28,,NW,,,,,,$452.62,,1,1,1,0,0,1,20060825
E0166,HCPCS,Commode chair mobile detach,RR,,28 ,,NW,,,,,,$51.24,,1,1,1,1,1,1,20060825
E0166,HCPCS,Commode chair mobile detach,UE,,28 ,,NW,,,,,,$341.07,,1,1,1,1,1,1,20060825
E0166,HCPCS,Commode chair mobile detach,NU,,28 ,,NW,,,,,,$427.47,,1,1,1,1,1,1,20060825
E0167,HCPCS,Commode chair pail or pan,RR,,28 ,,NW,,,,,,$5.61,,1,1,1,1,1,1,20060825
E0167,HCPCS,Commode chair pail or pan,UE,,28 ,,NW,,,,,,$17.93,,1,1,1,1,1,1,20060825
E0167,HCPCS,Commode chair pail or pan,NU,,28 ,,NW,,,,,,$22.39,,1,1,1,1,1,1,20060825
E0168,HCPCS,Heavyduty/wide commode chair,RR,,28 ,,NW,,,,,,$27.17,,1,1,1,1,1,1,20060825
E0168,HCPCS,Heavyduty/wide commode chair,UE,,28 ,,NW,,,,,,$205.36,,1,1,1,1,1,1,20060825
E0168,HCPCS,Heavyduty/wide commode chair,NU,,28 ,,NW,,,,,,$277.32,,1,1,1,1,1,1,20060825
E0175,HCPCS,Commode chair foot rest,,,28 ,,NW,,,,,,$82.45,,1,1,1,1,1,1,20060825
E0180,HCPCS,Press pad alternating w pump,,,28 ,,NW,,,,,,$336.36,,1,1,1,1,1,1,20060825
E0181,HCPCS,Press pad alternating w/ pum,,,28 ,,NW,,,,,,$441.75,,1,1,1,1,1,1,20060825
E0182,HCPCS,Pressure pad alternating pum,,,28 ,,NW,,,,,,$455.01,,1,1,1,1,1,1,20060825
E0184,HCPCS,Dry pressure mattress,,,28 ,,NW,,,,,,$274.27,,1,1,1,1,1,1,20060825
E0185,HCPCS,Gel pressure mattress pad,,,28 ,,NW,,,,,,$457.65,,1,1,1,1,1,1,20060825
E0186,HCPCS,Air pressure mattress,,,28 ,,NW,,,,,,$409.18,,1,1,1,1,1,1,20060825
E0187,HCPCS,Water pressure mattress,,,28 ,,NW,,,,,,$335.61,,1,1,1,1,1,1,20060825
E0188,HCPCS,Synthetic sheepskin pad,,,28 ,,NW,,,,,,$42.90,,1,1,1,1,1,1,20060825
E0189,HCPCS,Lambswool sheepskin pad,,,28 ,,NW,,,,,,$84.14,,1,1,1,1,1,1,20060825
E0190,HCPCS,Positioning cushion,,,28 ,,NW,,,,,,$168.84,,1,1,1,0,1,1,20060825
E0191,HCPCS,Protector heel or elbow,,,28 ,,NW,,,,,,$19.36,,1,1,1,1,1,1,20060825
E0193,HCPCS,Powered air flotation bed,RR,,28 ,,NW,,,,,,"$1,387.47",,1,1,1,1,1,1,20060825
E0194,HCPCS,Air fluidized bed,RR,,28 ,,NW,,,,,,"$4,963.87",,1,1,1,1,1,1,20060825
E0194,HCPCS,Air fluidized bed,UE,,28 ,,NW,,,,,,"$36,115.71",,1,1,1,1,1,1,20060825
E0194,HCPCS,Air fluidized bed,,,28 ,,NW,,,,,,"$48,140.76",,1,1,1,1,1,1,20060825
E0196,HCPCS,Gel pressure mattress,RR,,28 ,,NW,,,,,,$56.15,,1,1,1,1,1,1,20060825
E0196,HCPCS,Gel pressure mattress,UE,,28 ,,NW,,,,,,$422.65,,1,1,1,1,1,1,20060825
E0196,HCPCS,Gel pressure mattress,,,28 ,,NW,,,,,,$563.81,,1,1,1,1,1,1,20060825
E0197,HCPCS,Air pressure pad for mattres,,,28 ,,NW,,,,,,$360.69,,1,1,1,1,1,1,20060825
E0198,HCPCS,Water pressure pad for mattr,,,28 ,,NW,,,,,,$310.16,,1,1,1,1,1,1,20060825
E0199,HCPCS,Dry pressure pad for mattres,,,28 ,,NW,,,,,,$40.54,,1,1,1,1,1,1,20060825
E0200,HCPCS,Heat lamp without stand,,,28 ,,NW,,,,,,$102.97,,1,1,1,1,1,1,20060825
E0202,HCPCS,Phototherapy light w/ photom,RR,,28 ,,NW,,,,,,$108.90,,1,1,1,1,1,1,20060825
E0203,HCPCS,Therapeutic lightbox tabletp,,,28 ,,NW,,,,,,$562.16,,1,1,1,0,1,1,20060825
E0205,HCPCS,Heat lamp with stand,,,28 ,,NW,,,,,,$267.06,,1,1,1,1,1,1,20060825
E0210,HCPCS,Electric heat pad standard,,,28 ,,NW,,,,,,$41.20,,1,1,1,1,1,1,20060825
E0215,HCPCS,Electric heat pad moist,,,28 ,,NW,,,,,,$90.87,,1,1,1,1,1,1,20060825
E0217,HCPCS,Water circ heat pad w pump,,,28 ,,NW,,,,,,$699.52,,1,1,1,1,1,1,20060825
E0218,HCPCS,Water circ cold pad w pump,,,28 ,,NW,,,,,,$687.04,,1,1,1,1,1,1,20060825
E0220,HCPCS,Hot water bottle,,,28 ,,NW,,,,,,$13.85,,1,1,1,1,1,1,20060825
E0221,HCPCS,Infrared heating pad system,,,28 ,,NW,,,,,,"$3,012.23",,1,1,1,1,1,1,20060825
E0225,HCPCS,Hydrocollator unit,,,28 ,,NW,,,,,,$545.35,,1,1,1,1,1,1,20060825
E0230,HCPCS,Ice cap or collar,,,28 ,,NW,,,,,,$13.86,,1,1,1,1,1,1,20060825
E0231,HCPCS,Wound warming device,RR,,28 ,,NW,,,,,,$17.20,,1,1,1,1,1,1,20060825
E0231,HCPCS,Wound warming device,,,28 ,,NW,,,,,,$166.76,,1,1,1,1,1,1,20060825
E0235,HCPCS,Paraffin bath unit portable,RR,,28 ,,NW,,,,,,$30.32,,1,1,1,1,1,1,20060825
E0235,HCPCS,Paraffin bath unit portable,UE,,28 ,,NW,,,,,,$228.86,,1,1,1,1,1,1,20060825
E0235,HCPCS,Paraffin bath unit portable,,,28 ,,NW,,,,,,$304.93,,1,1,1,1,1,1,20060825
E0236,HCPCS,Pump for water circulating p,RR,,28 ,,NW,,,,,,$73.90,,1,1,1,1,1,1,20060825
E0236,HCPCS,Pump for water circulating p,UE,,28 ,,NW,,,,,,$305.76,,1,1,1,1,1,1,20060825
E0236,HCPCS,Pump for water circulating p,,,28 ,,NW,,,,,,$381.91,,1,1,1,1,1,1,20060825
E0238,HCPCS,Heat pad non-electric moist,,,28 ,,NW,,,,,,$45.06,,1,1,1,1,1,1,20060825
E0239,HCPCS,Hydrocollator unit portable,,,28 ,,NW,,,,,,$632.92,,1,1,1,1,1,1,20060825
E0240,HCPCS,Bath/shower chair,,,28 ,,NW,,,,,,$106.95,,1,1,1,0,1,1,20060825
E0241,HCPCS,Bath tub wall rail,,,28 ,,NW,,,,,,$42.97,,1,1,1,1,1,1,20060825
E0242,HCPCS,Bath tub rail floor,,,28 ,,NW,,,,,,$99.34,,1,1,1,1,1,1,20060825
E0243,HCPCS,Toilet rail,,,28 ,,NW,,,,,,$77.03,,1,1,1,1,1,1,20060825
E0244,HCPCS,Toilet seat raised,,,28 ,,NW,,,,,,$56.53,,1,1,1,1,1,1,20060825
E0245,HCPCS,Tub stool or bench,,,28 ,,NW,,,,,,$98.48,,1,1,1,1,1,1,20060825
E0246,HCPCS,Transfer tub rail attachment,,,28 ,,NW,,,,,,$138.81,,1,1,1,1,1,1,20060825
E0247,HCPCS,Trans bench w/wo comm open,,,28 ,,NW,,,,,,$96.77,,1,1,1,1,1,1,20060825
E0248,HCPCS,HDtrans bench w/wo comm open,,,28 ,,NW,,,,,,$164.72,,1,1,1,0,1,1,20060825
E0249,HCPCS,Pad water circulating heat u,,,28 ,,NW,,,,,,$179.45,,1,1,1,1,1,1,20060825
E0250,HCPCS,Hosp bed fixed ht w/ mattres,RR,,28 ,,NW,,,,,,$161.76,,1,1,1,1,1,1,20060825
E0250,HCPCS,Hosp bed fixed ht w/ mattres,UE,,28 ,,NW,,,,,,"$1,396.16",,1,1,1,1,1,1,20060825
E0250,HCPCS,Hosp bed fixed ht w/ mattres,,,28 ,,NW,,,,,,"$2,155.73",,1,1,1,1,1,1,20060825
E0251,HCPCS,Hosp bed fixd ht w/o mattres,RR,,28 ,,NW,,,,,,$124.52,,1,1,1,1,1,1,20060825
E0251,HCPCS,Hosp bed fixd ht w/o mattres,UE,,28 ,,NW,,,,,,$999.28,,1,1,1,1,1,1,20060825
E0251,HCPCS,Hosp bed fixd ht w/o mattres,,,28 ,,NW,,,,,,"$1,249.09",,1,1,1,1,1,1,20060825
E0255,HCPCS,Hospital bed var ht w/ mattr,RR,,28 ,,NW,,,,,,$191.77,,1,1,1,1,1,1,20060825
E0255,HCPCS,Hospital bed var ht w/ mattr,UE,,28 ,,NW,,,,,,"$1,644.94",,1,1,1,1,1,1,20060825
E0255,HCPCS,Hospital bed var ht w/ mattr,,,28 ,,NW,,,,,,"$2,196.90",,1,1,1,1,1,1,20060825
E0256,HCPCS,Hospital bed var ht w/o matt,RR,,28 ,,NW,,,,,,$139.76,,1,1,1,1,1,1,20060825
E0256,HCPCS,Hospital bed var ht w/o matt,UE,,28 ,,NW,,,,,,"$1,116.48",,1,1,1,1,1,1,20060825
E0256,HCPCS,Hospital bed var ht w/o matt,,,28 ,,NW,,,,,,"$1,395.98",,1,1,1,1,1,1,20060825
E0260,HCPCS,Hosp bed semi-electr w/ matt,RR,,28 ,,NW,,,,,,$268.52,,1,1,1,1,1,1,20060825
E0260,HCPCS,Hosp bed semi-electr w/ matt,UE,,28 ,,NW,,,,,,"$1,683.44",,1,1,1,1,1,1,20060825
E0260,HCPCS,Hosp bed semi-electr w/ matt,,,28 ,,NW,,,,,,"$2,179.41",,1,1,1,1,1,1,20060825
E0261,HCPCS,Hosp bed semi-electr w/o mat,RR,,28 ,,NW,,,,,,$221.38,,1,1,1,1,1,1,20060825
E0261,HCPCS,Hosp bed semi-electr w/o mat,UE,,28 ,,NW,,,,,,"$1,417.95",,1,1,1,1,1,1,20060825
E0261,HCPCS,Hosp bed semi-electr w/o mat,,,28 ,,NW,,,,,,"$2,126.91",,1,1,1,1,1,1,20060825
E0265,HCPCS,Hosp bed total electr w/ mat,RR,,28 ,,NW,,,,,,$317.13,,1,1,1,1,1,1,20060825
E0265,HCPCS,Hosp bed total electr w/ mat,UE,,28 ,,NW,,,,,,"$1,705.93",,1,1,1,1,1,1,20060825
E0265,HCPCS,Hosp bed total electr w/ mat,,,28 ,,NW,,,,,,"$2,635.34",,1,1,1,1,1,1,20060825
E0266,HCPCS,Hosp bed total elec w/o matt,RR,,28 ,,NW,,,,,,$283.20,,1,1,1,1,1,1,20060825
E0266,HCPCS,Hosp bed total elec w/o matt,UE,,28 ,,NW,,,,,,"$1,945.02",,1,1,1,1,1,1,20060825
E0266,HCPCS,Hosp bed total elec w/o matt,,,28 ,,NW,,,,,,"$2,829.12",,1,1,1,1,1,1,20060825
E0270,HCPCS,Hospital bed institutional t,RR,,28 ,,NW,,,,,,$60.26,,1,1,1,1,1,1,20060825
E0270,HCPCS,Hospital bed institutional t,UE,,28 ,,NW,,,,,,$438.37,,1,1,1,1,1,1,20060825
E0270,HCPCS,Hospital bed institutional t,,,28 ,,NW,,,,,,$584.32,,1,1,1,1,1,1,20060825
E0271,HCPCS,Mattress innerspring,,,28 ,,NW,,,,,,$276.92,,1,1,1,1,1,1,20060825
E0272,HCPCS,Mattress foam rubber,,,28 ,,NW,,,,,,$242.83,,1,1,1,1,1,1,20060825
E0273,HCPCS,Bed board,RR,,28 ,,NW,,,,,,$19.79,,1,1,1,1,1,1,20060825
E0273,HCPCS,Bed board,UE,,28 ,,NW,,,,,,$36.83,,1,1,1,1,1,1,20060825
E0273,HCPCS,Bed board,,,28 ,,NW,,,,,,$46.07,,1,1,1,1,1,1,20060825
E0274,HCPCS,Over-bed table,RR,,28 ,,NW,,,,,,$33.28,,1,1,1,1,1,1,20060825
E0274,HCPCS,Over-bed table,UE,,28 ,,NW,,,,,,$59.54,,1,1,1,1,1,1,20060825
E0274,HCPCS,Over-bed table,,,28 ,,NW,,,,,,$73.03,,1,1,1,1,1,1,20060825
E0275,HCPCS,Bed pan standard,,,28 ,,NW,,,,,,$21.62,,1,1,1,1,1,1,20060825
E0276,HCPCS,Bed pan fracture,,,28 ,,NW,,,,,,$20.16,,1,1,1,1,1,1,20060825
E0277,HCPCS,Powered pres-redu air mattrs,RR,,28 ,,NW,,,,,,"$1,168.26",,1,1,1,1,1,1,20060825
E0277,HCPCS,Powered pres-redu air mattrs,UE,,28 ,,NW,,,,,,"$8,499.91",,1,1,1,1,1,1,20060825
E0277,HCPCS,Powered pres-redu air mattrs,,,28 ,,NW,,,,,,"$11,330.03",,1,1,1,1,1,1,20060825
E0280,HCPCS,Bed cradle,,,28 ,,NW,,,,,,$49.85,,1,1,1,1,1,1,20060825
E0290,HCPCS,Hosp bed fx ht w/o rails w/m,RR,,28 ,,NW,,,,,,$125.60,,1,1,1,1,1,1,20060825
E0290,HCPCS,Hosp bed fx ht w/o rails w/m,UE,,28 ,,NW,,,,,,"$1,033.90",,1,1,1,1,1,1,20060825
E0290,HCPCS,Hosp bed fx ht w/o rails w/m,,,28 ,,NW,,,,,,"$1,292.01",,1,1,1,1,1,1,20060825
E0291,HCPCS,Hosp bed fx ht w/o rail w/o,RR,,28 ,,NW,,,,,,$92.00,,1,1,1,1,1,1,20060825
E0291,HCPCS,Hosp bed fx ht w/o rail w/o,UE,,28 ,,NW,,,,,,$678.22,,1,1,1,1,1,1,20060825
E0291,HCPCS,Hosp bed fx ht w/o rail w/o,,,28 ,,NW,,,,,,$916.20,,1,1,1,1,1,1,20060825
E0292,HCPCS,Hosp bed var ht w/o rail w/o,RR,,28 ,,NW,,,,,,$140.88,,1,1,1,1,1,1,20060825
E0292,HCPCS,Hosp bed var ht w/o rail w/o,UE,,28 ,,NW,,,,,,"$1,127.81",,1,1,1,1,1,1,20060825
E0292,HCPCS,Hosp bed var ht w/o rail w/o,,,28 ,,NW,,,,,,"$1,410.34",,1,1,1,1,1,1,20060825
E0293,HCPCS,Hosp bed var ht w/o rail w/,RR,,28 ,,NW,,,,,,$120.29,,1,1,1,1,1,1,20060825
E0293,HCPCS,Hosp bed var ht w/o rail w/,UE,,28 ,,NW,,,,,,$877.26,,1,1,1,1,1,1,20060825
E0293,HCPCS,Hosp bed var ht w/o rail w/,,,28 ,,NW,,,,,,"$1,200.59",,1,1,1,1,1,1,20060825
E0294,HCPCS,Hosp bed semi-elect w/ mattr,RR,,28 ,,NW,,,,,,$211.79,,1,1,1,1,1,1,20060825
E0294,HCPCS,Hosp bed semi-elect w/ mattr,UE,,28 ,,NW,,,,,,"$1,412.91",,1,1,1,1,1,1,20060825
E0294,HCPCS,Hosp bed semi-elect w/ mattr,,,28 ,,NW,,,,,,"$2,055.59",,1,1,1,1,1,1,20060825
E0295,HCPCS,Hosp bed semi-elect w/o matt,RR,,28 ,,NW,,,,,,$206.77,,1,1,1,1,1,1,20060825
E0295,HCPCS,Hosp bed semi-elect w/o matt,UE,,28 ,,NW,,,,,,"$1,228.24",,1,1,1,1,1,1,20060825
E0295,HCPCS,Hosp bed semi-elect w/o matt,,,28 ,,NW,,,,,,"$1,892.95",,1,1,1,1,1,1,20060825
E0296,HCPCS,Hosp bed total elect w/ matt,RR,,28 ,,NW,,,,,,$262.84,,1,1,1,1,1,1,20060825
E0296,HCPCS,Hosp bed total elect w/ matt,UE,,28 ,,NW,,,,,,"$2,100.49",,1,1,1,1,1,1,20060825
E0296,HCPCS,Hosp bed total elect w/ matt,,,28 ,,NW,,,,,,"$2,626.16",,1,1,1,1,1,1,20060825
E0297,HCPCS,Hosp bed total elect w/o mat,RR,,28 ,,NW,,,,,,$227.03,,1,1,1,1,1,1,20060825
E0297,HCPCS,Hosp bed total elect w/o mat,UE,,28 ,,NW,,,,,,"$1,520.22",,1,1,1,1,1,1,20060825
E0297,HCPCS,Hosp bed total elect w/o mat,,,28 ,,NW,,,,,,"$2,271.07",,1,1,1,1,1,1,20060825
E0300,HCPCS,Enclosed ped crib hosp grade,,,28 ,,NW,,,,,,$303.74,,1,1,1,0,1,1,20060825
E0301,HCPCS,"HD hosp bed, 350-600 lbs",,,28 ,,NW,,,,,,"$3,418.16",,1,1,1,1,1,1,20060825
E0302,HCPCS,Ex hd hosp bed > 600 lbs,,,28 ,,NW,,,,,,$765.53,,1,1,1,0,1,1,20060825
E0303,HCPCS,Hosp bed hvy dty xtra wide,,,28 ,,NW,,,,,,$475.48,,1,1,1,1,1,1,20060825
E0304,HCPCS,Hosp bed xtra hvy dty x wide,,,28 ,,NW,,,,,,"$1,185.46",,1,1,1,1,1,1,20060825
E0305,HCPCS,Rails bed side half length,RR,,28 ,,NW,,,,,,$31.98,,1,1,1,1,1,1,20060825
E0305,HCPCS,Rails bed side half length,UE,,28 ,,NW,,,,,,$227.16,,1,1,1,1,1,1,20060825
E0305,HCPCS,Rails bed side half length,,,28 ,,NW,,,,,,$316.53,,1,1,1,1,1,1,20060825
E0310,HCPCS,Rails bed side full length,,,28 ,,NW,,,,,,$236.55,,1,1,1,1,1,1,20060825
E0315,HCPCS,Bed accessory brd/tbl/supprt,,,28 ,,NW,,,,,,$55.70,,1,1,1,1,1,1,20060825
E0316,HCPCS,Bed safety enclosure,,,28 ,,NW,,,,,,$334.47,,1,1,1,1,1,1,20060825
E0325,HCPCS,Urinal male jug-type,,,28 ,,NW,,,,,,$14.40,,1,1,1,1,1,1,20060825
E0326,HCPCS,Urinal female jug-type,,,28 ,,NW,,,,,,$16.17,,1,1,1,1,1,1,20060825
E0352,HCPCS,Disposable pack w/bowel syst,,,28 ,,NW,,,,,,$66.84,,1,1,1,1,1,1,20060825
E0370,HCPCS,Air elevator for heel,,,28 ,,NW,,,,,,$23.26,,1,1,1,1,1,1,20060825
E0371,HCPCS,Nonpower mattress overlay,,,28 ,,NW,,,,,,$837.11,,1,1,1,1,1,1,20060825
E0372,HCPCS,Powered air mattress overlay,,,28 ,,NW,,,,,,"$1,018.02",,1,1,1,1,1,1,20060825
E0373,HCPCS,Nonpowered pressure mattress,,,28 ,,NW,,,,,,"$1,161.28",,1,1,1,1,1,1,20060825
E0424,HCPCS,Stationary compressed gas 02,RR,,28 ,,NW,,,,,,$554.68,,1,1,1,1,1,1,20060825
E0425,HCPCS,Gas system stationary compre,NU,,28 ,,NW,,,,,,"$7,565.59",,1,1,1,1,1,1,20060825
E0430,HCPCS,Oxygen system gas portable,UE,,28 ,,NW,,,,,,"$2,572.61",,1,1,1,1,1,1,20060825
E0430,HCPCS,Oxygen system gas portable,NU,,28 ,,NW,,,,,,"$3,427.95",,1,1,1,1,1,1,20060825
E0431,HCPCS,Portable gaseous 02,RR,,28 ,,NW,,,,,,$91.07,,1,1,1,1,1,1,20060825
E0434,HCPCS,Portable liquid 02,,,28 ,,NW,,,,,,$91.07,,1,1,1,1,1,1,20060825
E0435,HCPCS,Oxygen system liquid portabl,UE,,28 ,,NW,,,,,,"$1,769.54",,1,1,1,1,1,1,20060825
E0435,HCPCS,Oxygen system liquid portabl,NU,,28 ,,NW,,,,,,"$2,358.53",,1,1,1,1,1,1,20060825
E0439,HCPCS,Stationary liquid 02,RR,,28 ,,NW,,,,,,$554.68,,1,1,1,1,1,1,20060825
E0440,HCPCS,Oxygen system liquid station,UE,,28 ,,NW,,,,,,"$3,588.77",,1,1,1,1,1,1,20060825
E0440,HCPCS,Oxygen system liquid station,NU,,28 ,,NW,,,,,,"$4,783.48",,1,1,1,1,1,1,20060825
E0441,HCPCS,"Oxygen contents, gaseous",,,28 ,,NW,,,,,,$396.44,,1,1,1,1,1,1,20060825
E0442,HCPCS,"Oxygen contents, liquid",,,28 ,,NW,,,,,,$396.44,,1,1,1,1,1,1,20060825
E0443,HCPCS,"Portable 02 contents, gas",,,28 ,,NW,,,,,,$54.01,,1,1,1,1,1,1,20060825
E0444,HCPCS,"Portable 02 contents, liquid",,,28 ,,NW,,,,,,$54.01,,1,1,1,1,1,1,20060825
E0445,HCPCS,Oximeter non-invasive,,,28 ,,NW,,,,,,$130.43,,1,1,1,1,1,1,20060825
E0450,HCPCS,Volume vent stationary/porta,RR,,28 ,,NW,,,,,,"$1,809.73",,1,1,1,1,1,1,20060825
E0450,HCPCS,Volume vent stationary/porta,UE,,28 ,,NW,,,,,,"$13,167.06",,1,1,1,1,1,1,20060825
E0450,HCPCS,Volume vent stationary/porta,NU,,28 ,,NW,,,,,,"$17,551.15",,1,1,1,1,1,1,20060825
E0457,HCPCS,Chest shell,RR,,28 ,,NW,,,,,,$106.71,,1,1,1,1,1,1,20060825
E0457,HCPCS,Chest shell,UE,,28 ,,NW,,,,,,$868.34,,1,1,1,1,1,1,20060825
E0457,HCPCS,Chest shell,NU,,28 ,,NW,,,,,,"$1,161.34",,1,1,1,1,1,1,20060825
E0459,HCPCS,Chest wrap,RR,,28 ,,NW,,,,,,$86.57,,1,1,1,1,1,1,20060825
E0459,HCPCS,Chest wrap,UE,,28 ,,NW,,,,,,$647.55,,1,1,1,1,1,1,20060825
E0459,HCPCS,Chest wrap,NU,,28 ,,NW,,,,,,$862.95,,1,1,1,1,1,1,20060825
E0460,HCPCS,Neg press vent portabl/statn,RR,,28 ,,NW,,,,,,"$1,388.39",,1,1,1,1,1,1,20060825
E0460,HCPCS,Neg press vent portabl/statn,UE,,28 ,,NW,,,,,,"$10,101.51",,1,1,1,1,1,1,20060825
E0460,HCPCS,Neg press vent portabl/statn,NU,,28 ,,NW,,,,,,"$13,464.90",,1,1,1,1,1,1,20060825
E0461,HCPCS,Vol vent noninvasive interfa,RR,,28 ,,NW,,,,,,"$1,900.37",,1,1,1,1,1,1,20060825
E0462,HCPCS,Rocking bed w/ or w/o side r,RR,,28 ,,NW,,,,,,$456.35,,1,1,1,1,1,1,20060825
E0462,HCPCS,Rocking bed w/ or w/o side r,UE,,28 ,,NW,,,,,,"$3,421.65",,1,1,1,1,1,1,20060825
E0462,HCPCS,Rocking bed w/ or w/o side r,NU,,28 ,,NW,,,,,,"$4,561.60",,1,1,1,1,1,1,20060825
E0463,HCPCS,Press supp vent invasive int,RR,,28 ,,NW,,,,,,"$1,504.83",,1,1,1,0,1,1,20060825
E0464,HCPCS,Press supp vent noninv int,RR,,28 ,,NW,,,,,,"$1,504.83",,1,1,1,0,1,1,20060825
E0470,HCPCS,RAD w/o backup non-inv intfc,RR,,28 ,,NW,,,,,,$478.84,,1,1,1,1,1,1,20060825
E0471,HCPCS,RAD w/backup non inv intrfc,RR,,28 ,,NW,,,,,,"$1,214.11",,1,1,1,1,1,1,20060825
E0472,HCPCS,RAD w backup invasive intrfc,RR,,28 ,,NW,,,,,,"$1,214.11",,1,1,1,1,1,1,20060825
E0480,HCPCS,Percussor elect/pneum home m,RR,,28 ,,NW,,,,,,$73.31,,1,1,1,1,1,1,20060825
E0480,HCPCS,Percussor elect/pneum home m,UE,,28 ,,NW,,,,,,$621.71,,1,1,1,1,1,1,20060825
E0480,HCPCS,Percussor elect/pneum home m,NU,,28 ,,NW,,,,,,$708.59,,1,1,1,1,1,1,20060825
E0481,HCPCS,Intrpulmnry percuss vent sys,,,28 ,,NW,,,,,,"$1,162.38",,1,1,1,1,1,1,20060825
E0482,HCPCS,Cough stimulating device,RR,,28 ,,NW,,,,,,$809.55,,1,1,1,1,1,1,20060825
E0483,HCPCS,Chest compression gen system,RR,,28 ,,NW,,,,,,"$2,016.86",,1,1,1,1,1,1,20060825
E0484,HCPCS,Non-elec oscillatory pep dvc,RR,,28 ,,NW,,,,,,$9.87,,1,1,1,1,1,1,20060825
E0484,HCPCS,Non-elec oscillatory pep dvc,UE,,28 ,,NW,,,,,,$46.06,,1,1,1,1,1,1,20060825
E0484,HCPCS,Non-elec oscillatory pep dvc,NU,,28 ,,NW,,,,,,$59.96,,1,1,1,1,1,1,20060825
E0500,HCPCS,Ippb all types,RR,,28 ,,NW,,,,,,$198.85,,1,1,1,1,1,1,20060825
E0500,HCPCS,Ippb all types,UE,,28 ,,NW,,,,,,"$1,441.47",,1,1,1,1,1,1,20060825
E0500,HCPCS,Ippb all types,NU,,28 ,,NW,,,,,,"$2,187.36",,1,1,1,1,1,1,20060825
E0550,HCPCS,Humidif extens supple w ippb,RR,,28 ,,NW,,,,,,$85.11,,1,1,1,1,1,1,20060825
E0550,HCPCS,Humidif extens supple w ippb,UE,,28 ,,NW,,,,,,$414.03,,1,1,1,1,1,1,20060825
E0550,HCPCS,Humidif extens supple w ippb,NU,,28 ,,NW,,,,,,$517.54,,1,1,1,1,1,1,20060825
E0555,HCPCS,Humidifier for use w/ regula,RR,,28 ,,NW,,,,,,$12.02,,1,1,1,1,1,1,20060825
E0555,HCPCS,Humidifier for use w/ regula,UE,,28 ,,NW,,,,,,$14.11,,1,1,1,1,1,1,20060825
E0555,HCPCS,Humidifier for use w/ regula,NU,,28 ,,NW,,,,,,$17.24,,1,1,1,1,1,1,20060825
E0560,HCPCS,Humidifier supplemental w/ i,RR,,28 ,,NW,,,,,,$34.61,,1,1,1,1,1,1,20060825
E0560,HCPCS,Humidifier supplemental w/ i,UE,,28 ,,NW,,,,,,$234.83,,1,1,1,1,1,1,20060825
E0560,HCPCS,Humidifier supplemental w/ i,NU,,28 ,,NW,,,,,,$316.60,,1,1,1,1,1,1,20060825
E0561,HCPCS,Humidifier nonheated w PAP,RR,,28 ,,NW,,,,,,$20.41,,1,1,1,1,1,1,20060825
E0561,HCPCS,Humidifier nonheated w PAP,UE,,28 ,,NW,,,,,,$142.54,,1,1,1,1,1,1,20060825
E0561,HCPCS,Humidifier nonheated w PAP,NU,,28 ,,NW,,,,,,$193.57,,1,1,1,1,1,1,20060825
E0562,HCPCS,Humidifier heated used w PAP,RR,,28 ,,NW,,,,,,$49.70,,1,1,1,1,1,1,20060825
E0562,HCPCS,Humidifier heated used w PAP,UE,,28 ,,NW,,,,,,$420.31,,1,1,1,1,1,1,20060825
E0562,HCPCS,Humidifier heated used w PAP,NU,,28 ,,NW,,,,,,$563.94,,1,1,1,1,1,1,20060825
E0565,HCPCS,Compressor air power source,RR,,28 ,,NW,,,,,,$105.86,,1,1,1,1,1,1,20060825
E0565,HCPCS,Compressor air power source,UE,,28 ,,NW,,,,,,$745.89,,1,1,1,1,1,1,20060825
E0565,HCPCS,Compressor air power source,NU,,28 ,,NW,,,,,,"$1,059.38",,1,1,1,1,1,1,20060825
E0570,HCPCS,Nebulizer with compression,RR,,28 ,,NW,,,,,,$34.03,,1,1,1,1,1,1,20060825
E0570,HCPCS,Nebulizer with compression,UE,,28 ,,NW,,,,,,$125.06,,1,1,1,1,1,1,20060825
E0570,HCPCS,Nebulizer with compression,NU,,28 ,,NW,,,,,,$311.86,,1,1,1,1,1,1,20060825
E0571,HCPCS,Aerosol compressor for svneb,RR,,28 ,,NW,,,,,,$49.48,,1,1,1,1,1,1,20060825
E0572,HCPCS,Aerosol compressor adjust pr,RR,,28 ,,NW,,,,,,$98.10,,1,1,1,1,1,1,20060825
E0574,HCPCS,Ultrasonic generator w svneb,RR,,28 ,,NW,,,,,,$103.43,,1,1,1,1,1,1,20060825
E0575,HCPCS,Nebulizer ultrasonic,RR,,28 ,,NW,,,,,,$185.52,,1,1,1,1,1,1,20060825
E0575,HCPCS,Nebulizer ultrasonic,UE,,28 ,,NW,,,,,,"$1,204.08",,1,1,1,1,1,1,20060825
E0575,HCPCS,Nebulizer ultrasonic,NU,,28 ,,NW,,,,,,"$1,848.01",,1,1,1,1,1,1,20060825
E0580,HCPCS,Nebulizer for use w/ regulat,RR,,28 ,,NW,,,,,,$24.50,,1,1,1,1,1,1,20060825
E0580,HCPCS,Nebulizer for use w/ regulat,UE,,28 ,,NW,,,,,,$181.20,,1,1,1,1,1,1,20060825
E0580,HCPCS,Nebulizer for use w/ regulat,NU,,28 ,,NW,,,,,,$245.12,,1,1,1,1,1,1,20060825
E0585,HCPCS,Nebulizer w/ compressor & he,RR,,28 ,,NW,,,,,,$57.18,,1,1,1,1,1,1,20060825
E0585,HCPCS,Nebulizer w/ compressor & he,UE,,28 ,,NW,,,,,,$367.41,,1,1,1,1,1,1,20060825
E0585,HCPCS,Nebulizer w/ compressor & he,NU,,28 ,,NW,,,,,,$569.42,,1,1,1,1,1,1,20060825
E0600,HCPCS,Suction pump portab hom modl,RR,,28 ,,NW,,,,,,$76.84,,1,1,1,1,1,1,20060825
E0600,HCPCS,Suction pump portab hom modl,UE,,28 ,,NW,,,,,,$417.64,,1,1,1,1,1,1,20060825
E0600,HCPCS,Suction pump portab hom modl,NU,,28 ,,NW,,,,,,$696.81,,1,1,1,1,1,1,20060825
E0601,HCPCS,Cont airway pressure device,RR,,28 ,,NW,,,,,,$202.55,,1,1,1,1,1,1,20060825
E0601,HCPCS,Cont airway pressure device,UE,,28 ,,NW,,,,,,"$1,117.59",,1,1,1,1,1,1,20060825
E0601,HCPCS,Cont airway pressure device,NU,,28 ,,NW,,,,,,"$1,866.45",,1,1,1,1,1,1,20060825
E0602,HCPCS,Manual breast pump,RR,,28 ,,NW,,,,,,$8.77,,1,1,1,1,1,1,20060825
E0602,HCPCS,Manual breast pump,UE,,28 ,,NW,,,,,,$37.67,,1,1,1,1,1,1,20060825
E0602,HCPCS,Manual breast pump,NU,,28 ,,NW,,,,,,$48.81,,1,1,1,1,1,1,20060825
E0603,HCPCS,Electric breast pump,RR,,28 ,,NW,,,,,,$44.99,,1,1,1,1,1,1,20060825
E0603,HCPCS,Electric breast pump,UE,,28 ,,NW,,,,,,$113.93,,1,1,1,1,1,1,20060825
E0603,HCPCS,Electric breast pump,NU,,28 ,,NW,,,,,,$144.81,,1,1,1,1,1,1,20060825
E0604,HCPCS,Hosp grade elec breast pump,RR,,28 ,,NW,,,,,,$161.11,,1,1,1,1,1,1,20060825
E0604,HCPCS,Hosp grade elec breast pump,UE,,28 ,,NW,,,,,,$324.12,,1,1,1,1,1,1,20060825
E0604,HCPCS,Hosp grade elec breast pump,NU,,28 ,,NW,,,,,,$436.51,,1,1,1,1,1,1,20060825
E0605,HCPCS,Vaporizer room type,RR,,28 ,,NW,,,,,,$8.93,,1,1,1,1,1,1,20060825
E0605,HCPCS,Vaporizer room type,UE,,28 ,,NW,,,,,,$37.12,,1,1,1,1,1,1,20060825
E0605,HCPCS,Vaporizer room type,NU,,28 ,,NW,,,,,,$44.15,,1,1,1,1,1,1,20060825
E0606,HCPCS,Drainage board postural,RR,,28 ,,NW,,,,,,$38.89,,1,1,1,1,1,1,20060825
E0606,HCPCS,Drainage board postural,UE,,28 ,,NW,,,,,,$291.58,,1,1,1,1,1,1,20060825
E0606,HCPCS,Drainage board postural,NU,,28 ,,NW,,,,,,$388.78,,1,1,1,1,1,1,20060825
E0607,HCPCS,Blood glucose monitor home,RR,,28 ,,NW,,,,,,$12.45,,1,1,1,1,1,1,20060825
E0607,HCPCS,Blood glucose monitor home,UE,,28 ,,NW,,,,,,$78.75,,1,1,1,1,1,1,20060825
E0607,HCPCS,Blood glucose monitor home,NU,,28 ,,NW,,,,,,$89.04,,1,1,1,1,1,1,20060825
E0610,HCPCS,Pacemaker monitr audible/vis,RR,,28 ,,NW,,,,,,$42.13,,1,1,1,1,1,1,20060825
E0610,HCPCS,Pacemaker monitr audible/vis,UE,,28 ,,NW,,,,,,$329.77,,1,1,1,1,1,1,20060825
E0610,HCPCS,Pacemaker monitr audible/vis,NU,,28 ,,NW,,,,,,$443.11,,1,1,1,1,1,1,20060825
E0615,HCPCS,Pacemaker monitr digital/vis,RR,,28 ,,NW,,,,,,$101.08,,1,1,1,1,1,1,20060825
E0615,HCPCS,Pacemaker monitr digital/vis,UE,,28 ,,NW,,,,,,$674.34,,1,1,1,1,1,1,20060825
E0615,HCPCS,Pacemaker monitr digital/vis,NU,,28 ,,NW,,,,,,$902.61,,1,1,1,1,1,1,20060825
E0616,HCPCS,Cardiac event recorder,,,28 ,,NW,,,,,,$410.22,,1,1,1,0,1,1,20060825
E0617,HCPCS,Automatic ext defibrillator,RR,,28 ,,NW,,,,,,$569.33,,1,1,1,1,1,1,20060825
E0618,HCPCS,Apnea monitor,RR,,28 ,,NW,,,,,,$524.14,,1,1,1,1,1,1,20060825
E0618,HCPCS,Apnea monitor,,,28 ,,NW,,,,,,$554.05,,1,1,1,1,1,1,20060825
E0620,HCPCS,Cap bld skin piercing laser,RR,,28 ,,NW,,,,,,$156.25,,1,1,1,1,1,1,20060825
E0620,HCPCS,Cap bld skin piercing laser,UE,,28 ,,NW,,,,,,"$1,240.08",,1,1,1,1,1,1,20060825
E0620,HCPCS,Cap bld skin piercing laser,NU,,28 ,,NW,,,,,,"$1,656.93",,1,1,1,1,1,1,20060825
E0621,HCPCS,Patient lift sling or seat,RR,,28 ,,NW,,,,,,$18.24,,1,1,1,1,1,1,20060825
E0621,HCPCS,Patient lift sling or seat,UE,,28 ,,NW,,,,,,$127.51,,1,1,1,1,1,1,20060825
E0621,HCPCS,Patient lift sling or seat,NU,,28 ,,NW,,,,,,$172.57,,1,1,1,1,1,1,20060825
E0625,HCPCS,Patient lift bathroom or toi,RR,,28 ,,NW,,,,,,$157.27,,1,1,1,1,1,1,20060825
E0625,HCPCS,Patient lift bathroom or toi,UE,,28 ,,NW,,,,,,"$1,144.25",,1,1,1,1,1,1,20060825
E0625,HCPCS,Patient lift bathroom or toi,NU,,28 ,,NW,,,,,,"$1,525.24",,1,1,1,1,1,1,20060825
E0627,HCPCS,Seat lift incorp lift-chair,RR,,28 ,,NW,,,,,,$55.16,,1,1,1,1,1,1,20060825
E0627,HCPCS,Seat lift incorp lift-chair,UE,,28 ,,NW,,,,,,$471.97,,1,1,1,1,1,1,20060825
E0627,HCPCS,Seat lift incorp lift-chair,NU,,28 ,,NW,,,,,,$632.76,,1,1,1,1,1,1,20060825
E0628,HCPCS,Seat lift for pt furn-electr,RR,,28 ,,NW,,,,,,$55.16,,1,1,1,1,1,1,20060825
E0628,HCPCS,Seat lift for pt furn-electr,UE,,28 ,,NW,,,,,,$471.97,,1,1,1,1,1,1,20060825
E0628,HCPCS,Seat lift for pt furn-electr,NU,,28 ,,NW,,,,,,$632.76,,1,1,1,1,1,1,20060825
E0629,HCPCS,Seat lift for pt furn-non-el,RR,,28 ,,NW,,,,,,$54.16,,1,1,1,1,1,1,20060825
E0629,HCPCS,Seat lift for pt furn-non-el,UE,,28 ,,NW,,,,,,$462.47,,1,1,1,1,1,1,20060825
E0629,HCPCS,Seat lift for pt furn-non-el,NU,,28 ,,NW,,,,,,$620.16,,1,1,1,1,1,1,20060825
E0630,HCPCS,Patient lift hydraulic,RR,,28 ,,NW,,,,,,$183.82,,1,1,1,1,1,1,20060825
E0630,HCPCS,Patient lift hydraulic,UE,,28 ,,NW,,,,,,"$1,402.30",,1,1,1,1,1,1,20060825
E0630,HCPCS,Patient lift hydraulic,NU,,28 ,,NW,,,,,,"$1,973.01",,1,1,1,1,1,1,20060825
E0635,HCPCS,Patient lift electric,RR,,28 ,,NW,,,,,,$222.85,,1,1,1,1,1,1,20060825
E0635,HCPCS,Patient lift electric,UE,,28 ,,NW,,,,,,"$1,519.38",,1,1,1,1,1,1,20060825
E0635,HCPCS,Patient lift electric,NU,,28 ,,NW,,,,,,"$2,226.63",,1,1,1,1,1,1,20060825
E0636,HCPCS,PT support & positioning sys,RR,,28 ,,NW,,,,,,"$2,000.51",,1,1,1,1,1,1,20060825
E0637,HCPCS,Combination sit to stand sys,,,28 ,,NW,,,,,,$84.56,,1,1,1,0,1,1,20060825
E0638,HCPCS,Standing frame sys,,,28 ,,NW,,,,,,"$1,595.80",,1,1,1,0,1,1,20060825
E0650,HCPCS,Pneuma compresor non-segment,RR,,28 ,,NW,,,,,,$159.01,,1,1,1,1,1,1,20060825
E0650,HCPCS,Pneuma compresor non-segment,UE,,28 ,,NW,,,,,,"$1,019.58",,1,1,1,1,1,1,20060825
E0650,HCPCS,Pneuma compresor non-segment,NU,,28 ,,NW,,,,,,"$1,362.94",,1,1,1,1,1,1,20060825
E0651,HCPCS,Pneum compressor segmental,RR,,28 ,,NW,,,,,,$168.43,,1,1,1,1,1,1,20060825
E0651,HCPCS,Pneum compressor segmental,UE,,28 ,,NW,,,,,,"$1,303.07",,1,1,1,1,1,1,20060825
E0651,HCPCS,Pneum compressor segmental,NU,,28 ,,NW,,,,,,"$1,740.89",,1,1,1,1,1,1,20060825
E0652,HCPCS,Pneum compres w/cal pressure,RR,,28 ,,NW,,,,,,$988.65,,1,1,1,1,1,1,20060825
E0652,HCPCS,Pneum compres w/cal pressure,UE,,28 ,,NW,,,,,,"$7,564.93",,1,1,1,1,1,1,20060825
E0652,HCPCS,Pneum compres w/cal pressure,NU,,28 ,,NW,,,,,,"$10,099.10",,1,1,1,1,1,1,20060825
E0655,HCPCS,Pneumatic appliance half arm,RR,,28 ,,NW,,,,,,$23.43,,1,1,1,1,1,1,20060825
E0655,HCPCS,Pneumatic appliance half arm,UE,,28 ,,NW,,,,,,$144.08,,1,1,1,1,1,1,20060825
E0655,HCPCS,Pneumatic appliance half arm,NU,,28 ,,NW,,,,,,$195.32,,1,1,1,1,1,1,20060825
E0660,HCPCS,Pneumatic appliance full leg,RR,,28 ,,NW,,,,,,$29.37,,1,1,1,1,1,1,20060825
E0660,HCPCS,Pneumatic appliance full leg,UE,,28 ,,NW,,,,,,$217.99,,1,1,1,1,1,1,20060825
E0660,HCPCS,Pneumatic appliance full leg,NU,,28 ,,NW,,,,,,$294.14,,1,1,1,1,1,1,20060825
E0665,HCPCS,Pneumatic appliance full arm,RR,,28 ,,NW,,,,,,$25.52,,1,1,1,1,1,1,20060825
E0665,HCPCS,Pneumatic appliance full arm,UE,,28 ,,NW,,,,,,$185.70,,1,1,1,1,1,1,20060825
E0665,HCPCS,Pneumatic appliance full arm,NU,,28 ,,NW,,,,,,$250.76,,1,1,1,1,1,1,20060825
E0666,HCPCS,Pneumatic appliance half leg,RR,,28 ,,NW,,,,,,$25.75,,1,1,1,1,1,1,20060825
E0666,HCPCS,Pneumatic appliance half leg,UE,,28 ,,NW,,,,,,$187.07,,1,1,1,1,1,1,20060825
E0666,HCPCS,Pneumatic appliance half leg,NU,,28 ,,NW,,,,,,$252.84,,1,1,1,1,1,1,20060825
E0667,HCPCS,Seg pneumatic appl full leg,RR,,28 ,,NW,,,,,,$59.41,,1,1,1,1,1,1,20060825
E0667,HCPCS,Seg pneumatic appl full leg,UE,,28 ,,NW,,,,,,$452.58,,1,1,1,1,1,1,20060825
E0667,HCPCS,Seg pneumatic appl full leg,NU,,28 ,,NW,,,,,,$606.94,,1,1,1,1,1,1,20060825
E0668,HCPCS,Seg pneumatic appl full arm,RR,,28 ,,NW,,,,,,$72.69,,1,1,1,1,1,1,20060825
E0668,HCPCS,Seg pneumatic appl full arm,UE,,28 ,,NW,,,,,,$621.53,,1,1,1,1,1,1,20060825
E0668,HCPCS,Seg pneumatic appl full arm,NU,,28 ,,NW,,,,,,$832.17,,1,1,1,1,1,1,20060825
E0669,HCPCS,Seg pneumatic appli half leg,RR,,28 ,,NW,,,,,,$31.96,,1,1,1,1,1,1,20060825
E0669,HCPCS,Seg pneumatic appli half leg,UE,,28 ,,NW,,,,,,$251.75,,1,1,1,1,1,1,20060825
E0669,HCPCS,Seg pneumatic appli half leg,NU,,28 ,,NW,,,,,,$339.09,,1,1,1,1,1,1,20060825
E0671,HCPCS,Pressure pneum appl full leg,RR,,28 ,,NW,,,,,,$68.73,,1,1,1,1,1,1,20060825
E0671,HCPCS,Pressure pneum appl full leg,UE,,28 ,,NW,,,,,,$583.54,,1,1,1,1,1,1,20060825
E0671,HCPCS,Pressure pneum appl full leg,NU,,28 ,,NW,,,,,,$781.57,,1,1,1,1,1,1,20060825
E0672,HCPCS,Pressure pneum appl full arm,RR,,28 ,,NW,,,,,,$52.97,,1,1,1,1,1,1,20060825
E0672,HCPCS,Pressure pneum appl full arm,UE,,28 ,,NW,,,,,,$451.11,,1,1,1,1,1,1,20060825
E0672,HCPCS,Pressure pneum appl full arm,NU,,28 ,,NW,,,,,,$604.95,,1,1,1,1,1,1,20060825
E0673,HCPCS,Pressure pneum appl half leg,RR,,28 ,,NW,,,,,,$44.73,,1,1,1,1,1,1,20060825
E0673,HCPCS,Pressure pneum appl half leg,UE,,28 ,,NW,,,,,,$373.09,,1,1,1,1,1,1,20060825
E0673,HCPCS,Pressure pneum appl half leg,NU,,28 ,,NW,,,,,,$500.90,,1,1,1,1,1,1,20060825
E0675,HCPCS,Pneumatic compression device,RR,,28 ,,NW,,,,,,$820.05,,1,1,1,0,1,1,20060825
E0691,HCPCS,Uvl pnl 2 sq ft or less,RR,,28 ,,NW,,,,,,$160.88,,1,1,1,1,1,1,20060825
E0691,HCPCS,Uvl pnl 2 sq ft or less,UE,,28 ,,NW,,,,,,"$1,274.69",,1,1,1,1,1,1,20060825
E0691,HCPCS,Uvl pnl 2 sq ft or less,NU,,28 ,,NW,,,,,,"$1,703.08",,1,1,1,1,1,1,20060825
E0692,HCPCS,Uvl sys panel 4 ft,RR,,28 ,,NW,,,,,,$204.67,,1,1,1,1,1,1,20060825
E0692,HCPCS,Uvl sys panel 4 ft,UE,,28 ,,NW,,,,,,"$1,603.35",,1,1,1,1,1,1,20060825
E0692,HCPCS,Uvl sys panel 4 ft,NU,,28 ,,NW,,,,,,"$2,141.27",,1,1,1,1,1,1,20060825
E0693,HCPCS,Uvl sys panel 6 ft,RR,,28 ,,NW,,,,,,$254.78,,1,1,1,1,1,1,20060825
E0693,HCPCS,Uvl sys panel 6 ft,UE,,28 ,,NW,,,,,,"$1,978.93",,1,1,1,1,1,1,20060825
E0693,HCPCS,Uvl sys panel 6 ft,NU,,28 ,,NW,,,,,,"$2,642.05",,1,1,1,1,1,1,20060825
E0694,HCPCS,Uvl md cabinet sys 6 ft,RR,,28 ,,NW,,,,,,$833.79,,1,1,1,1,1,1,20060825
E0694,HCPCS,Uvl md cabinet sys 6 ft,UE,,28 ,,NW,,,,,,"$6,321.60",,1,1,1,1,1,1,20060825
E0694,HCPCS,Uvl md cabinet sys 6 ft,NU,,28 ,,NW,,,,,,"$8,432.21",,1,1,1,1,1,1,20060825
E0700,HCPCS,Safety equipment,,,28 ,,NW,,,,,,$49.30,,1,1,1,1,1,1,20060825
E0701,HCPCS,Helmet w face guard prefab,NU,,28 ,,NW,,,,,,$281.95,,1,1,1,1,1,1,20060825
E0710,HCPCS,Restraints any type,,,28 ,,NW,,,,,,$17.45,,1,1,1,1,1,1,20060825
E0720,HCPCS,Tens two lead,RR,,28 ,,NW,,,,,,$198.95,,1,1,1,1,1,1,20060825
E0720,HCPCS,Tens two lead,UE,,28 ,,NW,,,,,,$379.71,,1,1,1,1,1,1,20060825
E0720,HCPCS,Tens two lead,NU,,28 ,,NW,,,,,,$690.48,,1,1,1,1,1,1,20060825
E0730,HCPCS,Tens four lead,RR,,28 ,,NW,,,,,,$236.72,,1,1,1,1,1,1,20060825
E0730,HCPCS,Tens four lead,UE,,28 ,,NW,,,,,,$383.08,,1,1,1,1,1,1,20060825
E0730,HCPCS,Tens four lead,NU,,28 ,,NW,,,,,,$696.16,,1,1,1,1,1,1,20060825
E0731,HCPCS,Conductive garment for tens/,RR,,28 ,,NW,,,,,,$69.06,,1,1,1,1,1,1,20060825
E0731,HCPCS,Conductive garment for tens/,NU,,28 ,,NW,,,,,,$669.71,,1,1,1,1,1,1,20060825
E0740,HCPCS,Incontinence treatment systm,RR,,28 ,,NW,,,,,,$89.24,,1,1,1,1,1,1,20060825
E0740,HCPCS,Incontinence treatment systm,NU,,28 ,,NW,,,,,,$986.60,,1,1,1,1,1,1,20060825
E0744,HCPCS,Neuromuscular stim for scoli,RR,,28 ,,NW,,,,,,$164.14,,1,1,1,1,1,1,20060825
E0744,HCPCS,Neuromuscular stim for scoli,UE,,28 ,,NW,,,,,,$994.13,,1,1,1,1,1,1,20060825
E0744,HCPCS,Neuromuscular stim for scoli,NU,,28 ,,NW,,,,,,"$1,096.18",,1,1,1,1,1,1,20060825
E0745,HCPCS,Neuromuscular stim for shock,RR,,28 ,,NW,,,,,,$160.22,,1,1,1,1,1,1,20060825
E0745,HCPCS,Neuromuscular stim for shock,UE,,28 ,,NW,,,,,,"$1,165.63",,1,1,1,1,1,1,20060825
E0745,HCPCS,Neuromuscular stim for shock,NU,,28 ,,NW,,,,,,"$1,553.73",,1,1,1,1,1,1,20060825
E0746,HCPCS,Electromyograph biofeedback,RR,,28 ,,NW,,,,,,$22.19,,1,1,1,1,1,1,20060825
E0746,HCPCS,Electromyograph biofeedback,UE,,28 ,,NW,,,,,,$161.35,,1,1,1,1,1,1,20060825
E0746,HCPCS,Electromyograph biofeedback,NU,,28 ,,NW,,,,,,$215.06,,1,1,1,1,1,1,20060825
E0747,HCPCS,Elec osteogen stim not spine,RR,,28 ,,NW,,,,,,$657.93,,1,1,1,1,1,1,20060825
E0747,HCPCS,Elec osteogen stim not spine,UE,,28 ,,NW,,,,,,"$4,986.95",,1,1,1,1,1,1,20060825
E0747,HCPCS,Elec osteogen stim not spine,NU,,28 ,,NW,,,,,,"$6,715.72",,1,1,1,1,1,1,20060825
E0748,HCPCS,Elec osteogen stim spinal,RR,,28 ,,NW,,,,,,$657.77,,1,1,1,1,1,1,20060825
E0748,HCPCS,Elec osteogen stim spinal,UE,,28 ,,NW,,,,,,"$5,001.51",,1,1,1,1,1,1,20060825
E0748,HCPCS,Elec osteogen stim spinal,NU,,28 ,,NW,,,,,,"$6,672.12",,1,1,1,1,1,1,20060825
E0749,HCPCS,Elec osteogen stim implanted,,,28 ,2,NW,,,,,,"$6,526.22",,1,1,1,1,1,1,20060825
E0760,HCPCS,Osteogen ultrasound stimltor,NU,,28 ,,NW,,,,,,"$5,542.64",,1,1,1,1,1,1,20060825
E0765,HCPCS,Nerve stimulator for tx n&v,NU,,28 ,,NW,,,,,,$149.95,,1,1,1,1,1,1,20060825
E0776,HCPCS,Iv pole,RR,,28 ,,NW,,,,,,$32.42,,1,1,1,1,1,1,20060825
E0776,HCPCS,Iv pole,UE,,28 ,,NW,,,,,,$190.38,,1,1,1,1,1,1,20060825
E0776,HCPCS,Iv pole,NU,,28 ,,NW,,,,,,$262.53,,1,1,1,1,1,1,20060825
E0779,HCPCS,Amb infusion pump mechanical,RR,,28 ,,NW,,,,,,$29.53,,1,1,1,1,1,1,20060825
E0780,HCPCS,Mech amb infusion pump <8hrs,NU,,28 ,,NW,,,,,,$19.94,,1,1,1,1,1,1,20060825
E0781,HCPCS,External ambulatory infus pu,RR,,28 ,,NW,,,,,,$494.61,,1,1,1,1,1,1,20060825
E0782,HCPCS,Non-programble infusion pump,NU,,28 ,2,NW,,,,,,"$7,363.84",,1,1,1,1,1,1,20060825
E0783,HCPCS,Programmable infusion pump,NU,,28 ,2,NW,,,,,,"$14,051.22",,1,1,1,1,1,1,20060825
E0784,HCPCS,Ext amb infusn pump insulin,RR,,28 ,,NW,,,,,,$785.81,,1,1,1,1,1,1,20060825
E0784,HCPCS,Ext amb infusn pump insulin,,,28 ,,NW,,,,,,"$5,778.96",,1,1,1,1,1,1,20060825
E0785,HCPCS,Replacement impl pump cathet,,,28 ,2,NW,,,,,,$801.08,,1,1,1,1,1,1,20060825
E0786,HCPCS,Implantable pump replacement,,,28 ,2,NW,,,,,,"$10,276.79",,1,1,1,1,1,1,20060825
E0791,HCPCS,Parenteral infusion pump sta,RR,,28 ,,NW,,,,,,$653.76,,1,1,1,1,1,1,20060825
E0791,HCPCS,Parenteral infusion pump sta,UE,,28 ,,NW,,,,,,"$4,756.55",,1,1,1,1,1,1,20060825
E0791,HCPCS,Parenteral infusion pump sta,,,28 ,,NW,,,,,,"$6,340.29",,1,1,1,1,1,1,20060825
E0830,HCPCS,Ambulatory traction device,,,28 ,2,NW,,,,,,"$2,542.70",,1,1,1,1,1,1,20060825
E0840,HCPCS,Tract frame attach headboard,,,28 ,,NW,,,,,,$93.04,,1,1,1,1,1,1,20060825
E0849,HCPCS,Cervical pneum trac equip,,,28 ,,NW,,,,,,$55.14,,1,1,1,0,1,1,20060825
E0850,HCPCS,Traction stand free standing,,,28 ,,NW,,,,,,$132.27,,1,1,1,1,1,1,20060825
E0855,HCPCS,Cervical traction equipment,,,28 ,,NW,,,,,,$708.38,,1,1,1,1,1,1,20060825
E0860,HCPCS,Tract equip cervical tract,,,28 ,,NW,,,,,,$51.26,,1,1,1,1,1,1,20060825
E0870,HCPCS,Tract frame attach footboard,,,28 ,,NW,,,,,,$146.34,,1,1,1,1,1,1,20060825
E0880,HCPCS,Trac stand free stand extrem,,,28 ,,NW,,,,,,$157.61,,1,1,1,1,1,1,20060825
E0890,HCPCS,Traction frame attach pelvic,,,28 ,,NW,,,,,,$160.60,,1,1,1,1,1,1,20060825
E0900,HCPCS,Trac stand free stand pelvic,,,28 ,,NW,,,,,,$159.27,,1,1,1,1,1,1,20060825
E0910,HCPCS,Trapeze bar attached to bed,RR,,28 ,,NW,,,,,,$35.61,,1,1,1,1,1,1,20060825
E0910,HCPCS,Trapeze bar attached to bed,UE,,28 ,,NW,,,,,,$266.51,,1,1,1,1,1,1,20060825
E0910,HCPCS,Trapeze bar attached to bed,,,28 ,,NW,,,,,,$355.56,,1,1,1,1,1,1,20060825
E0920,HCPCS,Fracture frame attached to b,RR,,28 ,,NW,,,,,,$78.60,,1,1,1,1,1,1,20060825
E0920,HCPCS,Fracture frame attached to b,UE,,28 ,,NW,,,,,,$652.45,,1,1,1,1,1,1,20060825
E0920,HCPCS,Fracture frame attached to b,,,28 ,,NW,,,,,,$785.90,,1,1,1,1,1,1,20060825
E0930,HCPCS,Fracture frame free standing,RR,,28 ,,NW,,,,,,$77.86,,1,1,1,1,1,1,20060825
E0930,HCPCS,Fracture frame free standing,UE,,28 ,,NW,,,,,,$574.24,,1,1,1,1,1,1,20060825
E0930,HCPCS,Fracture frame free standing,,,28 ,,NW,,,,,,$780.03,,1,1,1,1,1,1,20060825
E0935,HCPCS,Exercise device passive moti,RR,,28 ,,NW,,,,,,$38.57,,1,1,1,1,1,1,20060825
E0940,HCPCS,Trapeze bar free standing,RR,,28 ,,NW,,,,,,$59.90,,1,1,1,1,1,1,20060825
E0940,HCPCS,Trapeze bar free standing,UE,,28 ,,NW,,,,,,$398.61,,1,1,1,1,1,1,20060825
E0940,HCPCS,Trapeze bar free standing,,,28 ,,NW,,,,,,$563.33,,1,1,1,1,1,1,20060825
E0941,HCPCS,Gravity assisted traction de,RR,,28 ,,NW,,,,,,$74.10,,1,1,1,1,1,1,20060825
E0941,HCPCS,Gravity assisted traction de,UE,,28 ,,NW,,,,,,$559.11,,1,1,1,1,1,1,20060825
E0941,HCPCS,Gravity assisted traction de,NU,,28 ,,NW,,,,,,$739.48,,1,1,1,1,1,1,20060825
E0942,HCPCS,Cervical head harness/halter,NU,,28 ,,NW,,,,,,$35.38,,1,1,1,1,1,1,20060825
E0944,HCPCS,Pelvic belt/harness/boot,NU,,28 ,,NW,,,,,,$67.28,,1,1,1,1,1,1,20060825
E0945,HCPCS,Belt/harness extremity,NU,,28 ,,NW,,,,,,$65.11,,1,1,1,1,1,1,20060825
E0946,HCPCS,Fracture frame dual w cross,RR,,28 ,,NW,,,,,,$99.99,,1,1,1,1,1,1,20060825
E0946,HCPCS,Fracture frame dual w cross,UE,,28 ,,NW,,,,,,$752.92,,1,1,1,1,1,1,20060825
E0946,HCPCS,Fracture frame dual w cross,NU,,28 ,,NW,,,,,,"$1,003.22",,1,1,1,1,1,1,20060825
E0947,HCPCS,Fracture frame attachmnts pe,RR,,28 ,,NW,,,,,,$106.13,,1,1,1,1,1,1,20060825
E0947,HCPCS,Fracture frame attachmnts pe,UE,,28 ,,NW,,,,,,$704.99,,1,1,1,1,1,1,20060825
E0947,HCPCS,Fracture frame attachmnts pe,NU,,28 ,,NW,,,,,,$935.66,,1,1,1,1,1,1,20060825
E0948,HCPCS,Fracture frame attachmnts ce,RR,,28 ,,NW,,,,,,$99.14,,1,1,1,1,1,1,20060825
E0948,HCPCS,Fracture frame attachmnts ce,UE,,28 ,,NW,,,,,,$642.41,,1,1,1,1,1,1,20060825
E0948,HCPCS,Fracture frame attachmnts ce,NU,,28 ,,NW,,,,,,$905.42,,1,1,1,1,1,1,20060825
E0950,HCPCS,Tray,RR,,28 ,,NW,,,,,,$18.15,,1,1,1,1,1,1,20060825
E0950,HCPCS,Tray,UE,,28 ,,NW,,,,,,$113.53,,1,1,1,1,1,1,20060825
E0950,HCPCS,Tray,NU,,28 ,,NW,,,,,,$151.16,,1,1,1,1,1,1,20060825
E0951,HCPCS,Loop heel,RR,,28 ,,NW,,,,,,$4.21,,1,1,1,1,1,1,20060825
E0951,HCPCS,Loop heel,UE,,28 ,,NW,,,,,,$23.43,,1,1,1,1,1,1,20060825
E0951,HCPCS,Loop heel,NU,,28 ,,NW,,,,,,$30.03,,1,1,1,1,1,1,20060825
E0952,HCPCS,"Toe loop/holder, each",RR,,28 ,,NW,,,,,,$4.21,,1,1,1,1,1,1,20060825
E0952,HCPCS,"Toe loop/holder, each",UE,,28 ,,NW,,,,,,$23.31,,1,1,1,1,1,1,20060825
E0952,HCPCS,"Toe loop/holder, each",NU,,28 ,,NW,,,,,,$29.82,,1,1,1,1,1,1,20060825
E0955,HCPCS,Cushioned headrest,NU,,28 ,,NW,,,,,,$216.34,,1,1,1,0,1,1,20060825
E0955,HCPCS,Cushioned headrest,RR,,28 ,,NW,,,,,,$216.34,,1,1,1,0,1,1,20060825
E0955,HCPCS,Cushioned headrest,UE,,28 ,,NW,,,,,,$216.34,,1,1,1,0,1,1,20060825
E0956,HCPCS,W/c lateral trunk/hip suppor,NU,,28 ,,NW,,,,,,$105.49,,1,1,1,0,1,1,20060825
E0956,HCPCS,W/c lateral trunk/hip suppor,RR,,28 ,,NW,,,,,,$105.49,,1,1,1,0,1,1,20060825
E0956,HCPCS,W/c lateral trunk/hip suppor,UE,,28 ,,NW,,,,,,$105.49,,1,1,1,0,1,1,20060825
E0957,HCPCS,W/c medial thigh support,NU,,28 ,,NW,,,,,,$147.59,,1,1,1,0,1,1,20060825
E0957,HCPCS,W/c medial thigh support,RR,,28 ,,NW,,,,,,$147.59,,1,1,1,0,1,1,20060825
E0957,HCPCS,W/c medial thigh support,UE,,28 ,,NW,,,,,,$147.59,,1,1,1,0,1,1,20060825
E0958,HCPCS,Whlchr att- conv 1 arm drive,RR,,28 ,,NW,,,,,,$64.16,,1,1,1,1,1,1,20060825
E0958,HCPCS,Whlchr att- conv 1 arm drive,UE,,28 ,,NW,,,,,,$480.73,,1,1,1,1,1,1,20060825
E0958,HCPCS,Whlchr att- conv 1 arm drive,NU,,28 ,,NW,,,,,,$640.65,,1,1,1,1,1,1,20060825
E0959,HCPCS,Amputee adapter,RR,,28 ,,NW,,,,,,$9.54,,1,1,1,1,1,1,20060825
E0959,HCPCS,Amputee adapter,UE,,28 ,,NW,,,,,,$50.07,,1,1,1,1,1,1,20060825
E0959,HCPCS,Amputee adapter,NU,,28 ,,NW,,,,,,$64.96,,1,1,1,1,1,1,20060825
E0960,HCPCS,W/c shoulder harness/straps,NU,,28 ,,NW,,,,,,$97.35,,1,1,1,0,1,1,20060825
E0960,HCPCS,W/c shoulder harness/straps,RR,,28 ,,NW,,,,,,$97.35,,1,1,1,0,1,1,20060825
E0960,HCPCS,W/c shoulder harness/straps,UE,,28 ,,NW,,,,,,$97.35,,1,1,1,0,1,1,20060825
E0961,HCPCS,Wheelchair brake extension,RR,,28 ,,NW,,,,,,$6.67,,1,1,1,1,1,1,20060825
E0961,HCPCS,Wheelchair brake extension,UE,,28 ,,NW,,,,,,$24.32,,1,1,1,1,1,1,20060825
E0961,HCPCS,Wheelchair brake extension,NU,,28 ,,NW,,,,,,$44.91,,1,1,1,1,1,1,20060825
E0966,HCPCS,Wheelchair head rest extensi,RR,,28 ,,NW,,,,,,$13.49,,1,1,1,1,1,1,20060825
E0966,HCPCS,Wheelchair head rest extensi,UE,,28 ,,NW,,,,,,$78.10,,1,1,1,1,1,1,20060825
E0966,HCPCS,Wheelchair head rest extensi,NU,,28 ,,NW,,,,,,$103.98,,1,1,1,1,1,1,20060825
E0967,HCPCS,Wheelchair hand rims,RR,,28 ,,NW,,,,,,$12.83,,1,1,1,1,1,1,20060825
E0967,HCPCS,Wheelchair hand rims,UE,,28 ,,NW,,,,,,$71.94,,1,1,1,1,1,1,20060825
E0967,HCPCS,Wheelchair hand rims,NU,,28 ,,NW,,,,,,$95.75,,1,1,1,1,1,1,20060825
E0968,HCPCS,Wheelchair commode seat,RR,,28 ,,NW,,,,,,$28.57,,1,1,1,1,1,1,20060825
E0968,HCPCS,Wheelchair commode seat,UE,,28 ,,NW,,,,,,$183.47,,1,1,1,1,1,1,20060825
E0968,HCPCS,Wheelchair commode seat,NU,,28 ,,NW,,,,,,$288.20,,1,1,1,1,1,1,20060825
E0969,HCPCS,Wheelchair narrowing device,RR,,28 ,,NW,,,,,,$25.21,,1,1,1,1,1,1,20060825
E0969,HCPCS,Wheelchair narrowing device,UE,,28 ,,NW,,,,,,$170.77,,1,1,1,1,1,1,20060825
E0969,HCPCS,Wheelchair narrowing device,NU,,28 ,,NW,,,,,,$227.48,,1,1,1,1,1,1,20060825
E0970,HCPCS,Wheelchair no. 2 footplates,RR,,28 ,,NW,,,,,,$9.95,,1,1,1,1,1,1,20060825
E0970,HCPCS,Wheelchair no. 2 footplates,UE,,28 ,,NW,,,,,,$57.39,,1,1,1,1,1,1,20060825
E0970,HCPCS,Wheelchair no. 2 footplates,NU,,28 ,,NW,,,,,,$75.01,,1,1,1,1,1,1,20060825
E0971,HCPCS,Wheelchair anti-tipping devi,RR,,28 ,,NW,,,,,,$14.06,,1,1,1,1,1,1,20060825
E0971,HCPCS,Wheelchair anti-tipping devi,UE,,28 ,,NW,,,,,,$72.03,,1,1,1,1,1,1,20060825
E0971,HCPCS,Wheelchair anti-tipping devi,NU,,28 ,,NW,,,,,,$95.82,,1,1,1,1,1,1,20060825
E0973,HCPCS,W/Ch access det adj armrest,RR,,28 ,,NW,,,,,,$18.89,,1,1,1,1,1,1,20060825
E0973,HCPCS,W/Ch access det adj armrest,UE,,28 ,,NW,,,,,,$125.49,,1,1,1,1,1,1,20060825
E0973,HCPCS,W/Ch access det adj armrest,NU,,28 ,,NW,,,,,,$167.12,,1,1,1,1,1,1,20060825
E0974,HCPCS,W/Ch access anti-rollback,RR,,28 ,,NW,,,,,,$15.23,,1,1,1,1,1,1,20060825
E0974,HCPCS,W/Ch access anti-rollback,UE,,28 ,,NW,,,,,,$86.41,,1,1,1,1,1,1,20060825
E0974,HCPCS,W/Ch access anti-rollback,NU,,28 ,,NW,,,,,,$114.17,,1,1,1,1,1,1,20060825
E0977,HCPCS,Wheelchair wedge cushion,RR,,28 ,,NW,,,,,,$12.46,,1,1,1,1,1,1,20060825
E0977,HCPCS,Wheelchair wedge cushion,UE,,28 ,,NW,,,,,,$71.72,,1,1,1,1,1,1,20060825
E0977,HCPCS,Wheelchair wedge cushion,NU,,28 ,,NW,,,,,,$95.33,,1,1,1,1,1,1,20060825
E0978,HCPCS,"W/C acc,saf belt pelv strap",RR,,28 ,,NW,,,,,,$9.20,,1,1,1,1,1,1,20060825
E0978,HCPCS,"W/C acc,saf belt pelv strap",UE,,28 ,,NW,,,,,,$47.58,,1,1,1,1,1,1,20060825
E0978,HCPCS,"W/C acc,saf belt pelv strap",NU,,28 ,,NW,,,,,,$62.88,,1,1,1,1,1,1,20060825
E0980,HCPCS,Wheelchair safety vest,RR,,28 ,,NW,,,,,,$7.09,,1,1,1,1,1,1,20060825
E0980,HCPCS,Wheelchair safety vest,UE,,28 ,,NW,,,,,,$37.89,,1,1,1,1,1,1,20060825
E0980,HCPCS,Wheelchair safety vest,NU,,28 ,,NW,,,,,,$49.51,,1,1,1,1,1,1,20060825
E0981,HCPCS,"Seat upholstery, replacement",RR,,28 ,,NW,,,,,,$10.31,,1,1,1,1,1,1,20060825
E0981,HCPCS,"Seat upholstery, replacement",UE,,28 ,,NW,,,,,,$53.17,,1,1,1,1,1,1,20060825
E0981,HCPCS,"Seat upholstery, replacement",NU,,28 ,,NW,,,,,,$69.04,,1,1,1,1,1,1,20060825
E0982,HCPCS,"Back upholstery, replacement",RR,,28 ,,NW,,,,,,$10.87,,1,1,1,1,1,1,20060825
E0982,HCPCS,"Back upholstery, replacement",UE,,28 ,,NW,,,,,,$57.25,,1,1,1,1,1,1,20060825
E0982,HCPCS,"Back upholstery, replacement",NU,,28 ,,NW,,,,,,$75.24,,1,1,1,1,1,1,20060825
E0983,HCPCS,Add pwr joystick,RR,,28 ,,NW,,,,,,$362.63,,1,1,1,1,1,1,20060825
E0984,HCPCS,Add pwr tiller,RR,,28 ,,NW,,,,,,$257.84,,1,1,1,1,1,1,20060825
E0984,HCPCS,Add pwr tiller,UE,,28 ,,NW,,,,,,"$2,136.12",,1,1,1,1,1,1,20060825
E0984,HCPCS,Add pwr tiller,NU,,28 ,,NW,,,,,,"$2,768.13",,1,1,1,1,1,1,20060825
E0985,HCPCS,W/c seat lift mechanism,NU,,28 ,,NW,,,,,,$217.05,,1,1,1,0,1,1,20060825
E0985,HCPCS,W/c seat lift mechanism,RR,,28 ,,NW,,,,,,$217.05,,1,1,1,0,1,1,20060825
E0985,HCPCS,W/c seat lift mechanism,UE,,28 ,,NW,,,,,,$217.05,,1,1,1,0,1,1,20060825
E0986,HCPCS,Man w/c push-rim pow assist,NU,,28 ,,NW,,,,,,"$5,204.74",,1,1,1,0,1,1,20060825
E0986,HCPCS,Man w/c push-rim pow assist,RR,,28 ,,NW,,,,,,"$5,204.74",,1,1,1,0,1,1,20060825
E0986,HCPCS,Man w/c push-rim pow assist,UE,,28 ,,NW,,,,,,"$5,204.74",,1,1,1,0,1,1,20060825
E0990,HCPCS,Whellchair elevating leg res,RR,,28 ,,NW,,,,,,$22.05,,1,1,1,1,1,1,20060825
E0990,HCPCS,Whellchair elevating leg res,UE,,28 ,,NW,,,,,,$133.50,,1,1,1,1,1,1,20060825
E0990,HCPCS,Whellchair elevating leg res,NU,,28 ,,NW,,,,,,$170.69,,1,1,1,1,1,1,20060825
E0992,HCPCS,Wheelchair solid seat insert,RR,,28 ,,NW,,,,,,$16.54,,1,1,1,1,1,1,20060825
E0992,HCPCS,Wheelchair solid seat insert,UE,,28 ,,NW,,,,,,$103.98,,1,1,1,1,1,1,20060825
E0992,HCPCS,Wheelchair solid seat insert,NU,,28 ,,NW,,,,,,$138.42,,1,1,1,1,1,1,20060825
E0994,HCPCS,Wheelchair arm rest,RR,,28 ,,NW,,,,,,$3.82,,1,1,1,1,1,1,20060825
E0994,HCPCS,Wheelchair arm rest,UE,,28 ,,NW,,,,,,$22.06,,1,1,1,1,1,1,20060825
E0994,HCPCS,Wheelchair arm rest,NU,,28 ,,NW,,,,,,$28.15,,1,1,1,1,1,1,20060825
E0995,HCPCS,Wheelchair calf rest,RR,,28 ,,NW,,,,,,$6.54,,1,1,1,1,1,1,20060825
E0995,HCPCS,Wheelchair calf rest,UE,,28 ,,NW,,,,,,$35.28,,1,1,1,1,1,1,20060825
E0995,HCPCS,Wheelchair calf rest,NU,,28 ,,NW,,,,,,$45.84,,1,1,1,1,1,1,20060825
E0997,HCPCS,Wheelchair caster w/ a fork,RR,,28 ,,NW,,,,,,$13.60,,1,1,1,1,1,1,20060825
E0997,HCPCS,Wheelchair caster w/ a fork,UE,,28 ,,NW,,,,,,$72.86,,1,1,1,1,1,1,20060825
E0997,HCPCS,Wheelchair caster w/ a fork,NU,,28 ,,NW,,,,,,$96.94,,1,1,1,1,1,1,20060825
E0998,HCPCS,Wheelchair caster w/o a fork,RR,,28 ,,NW,,,,,,$8.49,,1,1,1,1,1,1,20060825
E0998,HCPCS,Wheelchair caster w/o a fork,UE,,28 ,,NW,,,,,,$43.52,,1,1,1,1,1,1,20060825
E0998,HCPCS,Wheelchair caster w/o a fork,NU,,28 ,,NW,,,,,,$56.75,,1,1,1,1,1,1,20060825
E0999,HCPCS,Wheelchr pneumatic tire w/wh,RR,,28 ,,NW,,,,,,$19.67,,1,1,1,1,1,1,20060825
E0999,HCPCS,Wheelchr pneumatic tire w/wh,UE,,28 ,,NW,,,,,,$125.49,,1,1,1,1,1,1,20060825
E0999,HCPCS,Wheelchr pneumatic tire w/wh,NU,,28 ,,NW,,,,,,$167.12,,1,1,1,1,1,1,20060825
E1002,HCPCS,Pwr seat tilt,,,28 ,,NW,,,,,,$440.13,,1,1,1,0,1,1,20060825
E1003,HCPCS,Pwr seat recline,,,28 ,,NW,,,,,,$469.88,,1,1,1,0,1,1,20060825
E1004,HCPCS,Pwr seat recline mech,,,28 ,,NW,,,,,,$520.99,,1,1,1,0,1,1,20060825
E1005,HCPCS,Pwr seat recline pwr,,,28 ,,NW,,,,,,$563.93,,1,1,1,0,1,1,20060825
E1006,HCPCS,Pwr seat combo w/o shear,,,28 ,,NW,,,,,,$690.74,,1,1,1,0,1,1,20060825
E1007,HCPCS,Pwr seat combo w/shear,,,28 ,,NW,,,,,,$935.32,,1,1,1,0,1,1,20060825
E1008,HCPCS,Pwr seat combo pwr shear,,,28 ,,NW,,,,,,$935.40,,1,1,1,0,1,1,20060825
E1009,HCPCS,Add mech leg elevation,,,28 ,,NW,,,,,,$111.35,,1,1,1,0,1,1,20060825
E1010,HCPCS,Add pwr leg elevation,,,28 ,,NW,,,,,,"$1,650.77",,1,1,1,0,1,1,20060825
E1014,HCPCS,Reclining back add ped w/c,NU,,28 ,,NW,,,,,,$529.52,,1,1,1,1,1,1,20060825
E1015,HCPCS,Shock absorber for man w/c,NU,,28 ,,NW,,,,,,$166.74,,1,1,1,1,1,1,20060825
E1016,HCPCS,Shock absorber for power w/c,NU,,28 ,,NW,,,,,,$190.81,,1,1,1,1,1,1,20060825
E1020,HCPCS,Residual limb support system,UE,,28 ,,NW,,,,,,$265.01,,1,1,1,1,1,1,20060825
E1020,HCPCS,Residual limb support system,NU,,28 ,,NW,,,,,,$353.18,,1,1,1,1,1,1,20060825
E1028,HCPCS,W/c manual swingaway,,,28 ,,NW,,,,,,$22.10,,1,1,1,0,1,1,20060825
E1029,HCPCS,W/c vent tray fixed,,,28 ,,NW,,,,,,$39.54,,1,1,1,0,1,1,20060825
E1030,HCPCS,W/c vent tray gimbaled,,,28 ,,NW,,,,,,$124.69,,1,1,1,0,1,1,20060825
E1031,HCPCS,Rollabout chair with casters,RR,,28 ,,NW,,,,,,$73.76,,1,1,1,1,1,1,20060825
E1031,HCPCS,Rollabout chair with casters,UE,,28 ,,NW,,,,,,$551.98,,1,1,1,1,1,1,20060825
E1031,HCPCS,Rollabout chair with casters,NU,,28 ,,NW,,,,,,$735.78,,1,1,1,1,1,1,20060825
E1035,HCPCS,Patient transfer system,RR,,28 ,,NW,,,,,,$888.84,,1,1,1,1,1,1,20060825
E1037,HCPCS,"Transport chair, ped size",,,28 ,,NW,,,,,,$157.74,,1,1,1,1,1,1,20060825
E1038,HCPCS,"Transport chair, adult size",,,28 ,,NW,,,,,,$59.15,,1,1,1,1,1,1,20060825
E1039,HCPCS,Transport chair pt wt >300lb,,,28 ,,NW,,,,,,$36.60,,1,1,1,0,1,1,20060825
E1050,HCPCS,Whelchr fxd full length arms,RR,,28 ,,NW,,,,,,$148.11,,1,1,1,1,1,1,20060825
E1050,HCPCS,Whelchr fxd full length arms,UE,,28 ,,NW,,,,,,"$1,246.30",,1,1,1,1,1,1,20060825
E1050,HCPCS,Whelchr fxd full length arms,NU,,28 ,,NW,,,,,,"$1,661.54",,1,1,1,1,1,1,20060825
E1060,HCPCS,Wheelchair detachable arms,RR,,28 ,,NW,,,,,,$183.21,,1,1,1,1,1,1,20060825
E1060,HCPCS,Wheelchair detachable arms,UE,,28 ,,NW,,,,,,"$1,627.55",,1,1,1,1,1,1,20060825
E1060,HCPCS,Wheelchair detachable arms,NU,,28 ,,NW,,,,,,"$2,170.50",,1,1,1,1,1,1,20060825
E1070,HCPCS,Wheelchair detachable foot r,RR,,28 ,,NW,,,,,,$159.24,,1,1,1,1,1,1,20060825
E1070,HCPCS,Wheelchair detachable foot r,UE,,28 ,,NW,,,,,,"$1,468.06",,1,1,1,1,1,1,20060825
E1070,HCPCS,Wheelchair detachable foot r,NU,,28 ,,NW,,,,,,"$1,957.79",,1,1,1,1,1,1,20060825
E1083,HCPCS,Hemi-wheelchair fixed arms,RR,,28 ,,NW,,,,,,$114.64,,1,1,1,1,1,1,20060825
E1083,HCPCS,Hemi-wheelchair fixed arms,UE,,28 ,,NW,,,,,,$835.24,,1,1,1,1,1,1,20060825
E1083,HCPCS,Hemi-wheelchair fixed arms,NU,,28 ,,NW,,,,,,"$1,144.74",,1,1,1,1,1,1,20060825
E1084,HCPCS,Hemi-wheelchair detachable a,RR,,28 ,,NW,,,,,,$142.69,,1,1,1,1,1,1,20060825
E1084,HCPCS,Hemi-wheelchair detachable a,UE,,28 ,,NW,,,,,,"$1,246.28",,1,1,1,1,1,1,20060825
E1084,HCPCS,Hemi-wheelchair detachable a,NU,,28 ,,NW,,,,,,"$1,744.65",,1,1,1,1,1,1,20060825
E1085,HCPCS,Hemi-wheelchair fixed arms,RR,,28 ,,NW,,,,,,$115.29,,1,1,1,1,1,1,20060825
E1085,HCPCS,Hemi-wheelchair fixed arms,UE,,28 ,,NW,,,,,,$824.16,,1,1,1,1,1,1,20060825
E1085,HCPCS,Hemi-wheelchair fixed arms,NU,,28 ,,NW,,,,,,"$1,147.49",,1,1,1,1,1,1,20060825
E1086,HCPCS,Hemi-wheelchair detachable a,RR,,28 ,,NW,,,,,,$127.48,,1,1,1,1,1,1,20060825
E1086,HCPCS,Hemi-wheelchair detachable a,UE,,28 ,,NW,,,,,,"$1,015.10",,1,1,1,1,1,1,20060825
E1086,HCPCS,Hemi-wheelchair detachable a,NU,,28 ,,NW,,,,,,"$1,397.62",,1,1,1,1,1,1,20060825
E1087,HCPCS,Wheelchair lightwt fixed arm,RR,,28 ,,NW,,,,,,$183.84,,1,1,1,1,1,1,20060825
E1087,HCPCS,Wheelchair lightwt fixed arm,UE,,28 ,,NW,,,,,,"$1,341.62",,1,1,1,1,1,1,20060825
E1087,HCPCS,Wheelchair lightwt fixed arm,NU,,28 ,,NW,,,,,,"$1,839.72",,1,1,1,1,1,1,20060825
E1088,HCPCS,Wheelchair lightweight det a,RR,,28 ,,NW,,,,,,$218.99,,1,1,1,1,1,1,20060825
E1088,HCPCS,Wheelchair lightweight det a,UE,,28 ,,NW,,,,,,"$1,505.96",,1,1,1,1,1,1,20060825
E1088,HCPCS,Wheelchair lightweight det a,NU,,28 ,,NW,,,,,,"$2,195.14",,1,1,1,1,1,1,20060825
E1089,HCPCS,Wheelchair lightwt fixed arm,RR,,28 ,,NW,,,,,,$186.05,,1,1,1,1,1,1,20060825
E1089,HCPCS,Wheelchair lightwt fixed arm,UE,,28 ,,NW,,,,,,"$1,390.90",,1,1,1,1,1,1,20060825
E1089,HCPCS,Wheelchair lightwt fixed arm,NU,,28 ,,NW,,,,,,"$1,854.54",,1,1,1,1,1,1,20060825
E1090,HCPCS,Wheelchair lightweight det a,RR,,28 ,,NW,,,,,,$186.05,,1,1,1,1,1,1,20060825
E1090,HCPCS,Wheelchair lightweight det a,UE,,28 ,,NW,,,,,,"$1,397.62",,1,1,1,1,1,1,20060825
E1090,HCPCS,Wheelchair lightweight det a,NU,,28 ,,NW,,,,,,"$1,911.88",,1,1,1,1,1,1,20060825
E1092,HCPCS,Wheelchair wide w/ leg rests,RR,,28 ,,NW,,,,,,$186.74,,1,1,1,1,1,1,20060825
E1092,HCPCS,Wheelchair wide w/ leg rests,UE,,28 ,,NW,,,,,,"$1,505.75",,1,1,1,1,1,1,20060825
E1092,HCPCS,Wheelchair wide w/ leg rests,NU,,28 ,,NW,,,,,,"$2,060.05",,1,1,1,1,1,1,20060825
E1093,HCPCS,Wheelchair wide w/ foot rest,RR,,28 ,,NW,,,,,,$160.69,,1,1,1,1,1,1,20060825
E1093,HCPCS,Wheelchair wide w/ foot rest,UE,,28 ,,NW,,,,,,"$1,169.00",,1,1,1,1,1,1,20060825
E1093,HCPCS,Wheelchair wide w/ foot rest,NU,,28 ,,NW,,,,,,"$1,571.00",,1,1,1,1,1,1,20060825
E1100,HCPCS,Whchr s-recl fxd arm leg res,RR,,28 ,,NW,,,,,,$150.96,,1,1,1,1,1,1,20060825
E1100,HCPCS,Whchr s-recl fxd arm leg res,UE,,28 ,,NW,,,,,,"$1,131.38",,1,1,1,1,1,1,20060825
E1100,HCPCS,Whchr s-recl fxd arm leg res,NU,,28 ,,NW,,,,,,"$1,507.97",,1,1,1,1,1,1,20060825
E1110,HCPCS,Wheelchair semi-recl detach,RR,,28 ,,NW,,,,,,$147.84,,1,1,1,1,1,1,20060825
E1110,HCPCS,Wheelchair semi-recl detach,UE,,28 ,,NW,,,,,,"$1,073.21",,1,1,1,1,1,1,20060825
E1110,HCPCS,Wheelchair semi-recl detach,NU,,28 ,,NW,,,,,,"$1,475.90",,1,1,1,1,1,1,20060825
E1130,HCPCS,Whlchr stand fxd arm ft rest,RR,,28 ,,NW,,,,,,$74.40,,1,1,1,1,1,1,20060825
E1130,HCPCS,Whlchr stand fxd arm ft rest,UE,,28 ,,NW,,,,,,$559.39,,1,1,1,1,1,1,20060825
E1130,HCPCS,Whlchr stand fxd arm ft rest,NU,,28 ,,NW,,,,,,$735.70,,1,1,1,1,1,1,20060825
E1140,HCPCS,Wheelchair standard detach a,RR,,28 ,,NW,,,,,,$106.74,,1,1,1,1,1,1,20060825
E1140,HCPCS,Wheelchair standard detach a,UE,,28 ,,NW,,,,,,$750.34,,1,1,1,1,1,1,20060825
E1140,HCPCS,Wheelchair standard detach a,NU,,28 ,,NW,,,,,,"$1,059.04",,1,1,1,1,1,1,20060825
E1150,HCPCS,Wheelchair standard w/ leg r,RR,,28 ,,NW,,,,,,$118.75,,1,1,1,1,1,1,20060825
E1150,HCPCS,Wheelchair standard w/ leg r,UE,,28 ,,NW,,,,,,$813.06,,1,1,1,1,1,1,20060825
E1150,HCPCS,Wheelchair standard w/ leg r,NU,,28 ,,NW,,,,,,"$1,228.02",,1,1,1,1,1,1,20060825
E1160,HCPCS,Wheelchair fixed arms,RR,,28 ,,NW,,,,,,$91.12,,1,1,1,1,1,1,20060825
E1160,HCPCS,Wheelchair fixed arms,UE,,28 ,,NW,,,,,,$694.85,,1,1,1,1,1,1,20060825
E1160,HCPCS,Wheelchair fixed arms,NU,,28 ,,NW,,,,,,$995.07,,1,1,1,1,1,1,20060825
E1161,HCPCS,Manual adult wc w tiltinspac,UE,,28 ,,NW,,,,,,"$2,571.15",,1,1,1,1,1,1,20060825
E1161,HCPCS,Manual adult wc w tiltinspac,NU,,28 ,,NW,,,,,,"$3,427.95",,1,1,1,1,1,1,20060825
E1170,HCPCS,Whlchr ampu fxd arm leg rest,RR,,28 ,,NW,,,,,,$129.97,,1,1,1,1,1,1,20060825
E1170,HCPCS,Whlchr ampu fxd arm leg rest,UE,,28 ,,NW,,,,,,$974.14,,1,1,1,1,1,1,20060825
E1170,HCPCS,Whlchr ampu fxd arm leg rest,NU,,28 ,,NW,,,,,,"$1,298.46",,1,1,1,1,1,1,20060825
E1171,HCPCS,Wheelchair amputee w/o leg r,RR,,28 ,,NW,,,,,,$116.69,,1,1,1,1,1,1,20060825
E1171,HCPCS,Wheelchair amputee w/o leg r,UE,,28 ,,NW,,,,,,$872.92,,1,1,1,1,1,1,20060825
E1171,HCPCS,Wheelchair amputee w/o leg r,NU,,28 ,,NW,,,,,,"$1,163.89",,1,1,1,1,1,1,20060825
E1172,HCPCS,Wheelchair amputee detach ar,RR,,28 ,,NW,,,,,,$142.48,,1,1,1,1,1,1,20060825
E1172,HCPCS,Wheelchair amputee detach ar,UE,,28 ,,NW,,,,,,"$1,066.12",,1,1,1,1,1,1,20060825
E1172,HCPCS,Wheelchair amputee detach ar,NU,,28 ,,NW,,,,,,"$1,421.33",,1,1,1,1,1,1,20060825
E1180,HCPCS,Wheelchair amputee w/ foot r,RR,,28 ,,NW,,,,,,$147.39,,1,1,1,1,1,1,20060825
E1180,HCPCS,Wheelchair amputee w/ foot r,UE,,28 ,,NW,,,,,,"$1,105.96",,1,1,1,1,1,1,20060825
E1180,HCPCS,Wheelchair amputee w/ foot r,NU,,28 ,,NW,,,,,,"$1,474.98",,1,1,1,1,1,1,20060825
E1190,HCPCS,Wheelchair amputee w/ leg re,RR,,28 ,,NW,,,,,,$170.17,,1,1,1,1,1,1,20060825
E1190,HCPCS,Wheelchair amputee w/ leg re,UE,,28 ,,NW,,,,,,"$1,243.40",,1,1,1,1,1,1,20060825
E1190,HCPCS,Wheelchair amputee w/ leg re,NU,,28 ,,NW,,,,,,"$1,702.91",,1,1,1,1,1,1,20060825
E1195,HCPCS,Wheelchair amputee heavy dut,RR,,28 ,,NW,,,,,,$182.57,,1,1,1,1,1,1,20060825
E1195,HCPCS,Wheelchair amputee heavy dut,UE,,28 ,,NW,,,,,,"$1,369.80",,1,1,1,1,1,1,20060825
E1195,HCPCS,Wheelchair amputee heavy dut,NU,,28 ,,NW,,,,,,"$1,825.68",,1,1,1,1,1,1,20060825
E1200,HCPCS,Wheelchair amputee fixed arm,RR,,28 ,,NW,,,,,,$126.63,,1,1,1,1,1,1,20060825
E1200,HCPCS,Wheelchair amputee fixed arm,UE,,28 ,,NW,,,,,,$947.93,,1,1,1,1,1,1,20060825
E1200,HCPCS,Wheelchair amputee fixed arm,NU,,28 ,,NW,,,,,,"$1,264.24",,1,1,1,1,1,1,20060825
E1220,HCPCS,Whlchr special size/constrc,,,28 ,,NW,,,,,,"$3,678.20",,1,1,1,1,1,1,20060825
E1221,HCPCS,Wheelchair spec size w foot,RR,,28 ,,NW,,,,,,$69.54,,1,1,1,1,1,1,20060825
E1221,HCPCS,Wheelchair spec size w foot,UE,,28 ,,NW,,,,,,$522.10,,1,1,1,1,1,1,20060825
E1221,HCPCS,Wheelchair spec size w foot,NU,,28 ,,NW,,,,,,$695.93,,1,1,1,1,1,1,20060825
E1222,HCPCS,Wheelchair spec size w/ leg,RR,,28 ,,NW,,,,,,$98.79,,1,1,1,1,1,1,20060825
E1222,HCPCS,Wheelchair spec size w/ leg,UE,,28 ,,NW,,,,,,$712.91,,1,1,1,1,1,1,20060825
E1222,HCPCS,Wheelchair spec size w/ leg,NU,,28 ,,NW,,,,,,$990.85,,1,1,1,1,1,1,20060825
E1223,HCPCS,Wheelchair spec size w foot,RR,,28 ,,NW,,,,,,$107.81,,1,1,1,1,1,1,20060825
E1223,HCPCS,Wheelchair spec size w foot,UE,,28 ,,NW,,,,,,$768.85,,1,1,1,1,1,1,20060825
E1223,HCPCS,Wheelchair spec size w foot,NU,,28 ,,NW,,,,,,"$1,074.91",,1,1,1,1,1,1,20060825
E1224,HCPCS,Wheelchair spec size w/ leg,RR,,28 ,,NW,,,,,,$118.13,,1,1,1,1,1,1,20060825
E1224,HCPCS,Wheelchair spec size w/ leg,UE,,28 ,,NW,,,,,,$833.19,,1,1,1,1,1,1,20060825
E1224,HCPCS,Wheelchair spec size w/ leg,NU,,28 ,,NW,,,,,,"$1,241.61",,1,1,1,1,1,1,20060825
E1225,HCPCS,Wheelchair spec sz semi-recl,RR,,28 ,,NW,,,,,,$66.34,,1,1,1,1,1,1,20060825
E1225,HCPCS,Wheelchair spec sz semi-recl,UE,,28 ,,NW,,,,,,$497.78,,1,1,1,1,1,1,20060825
E1225,HCPCS,Wheelchair spec sz semi-recl,NU,,28 ,,NW,,,,,,$663.34,,1,1,1,1,1,1,20060825
E1226,HCPCS,W/C access fully reclineback,RR,,28 ,,NW,,,,,,$81.95,,1,1,1,1,1,1,20060825
E1226,HCPCS,W/C access fully reclineback,UE,,28 ,,NW,,,,,,$593.33,,1,1,1,1,1,1,20060825
E1226,HCPCS,W/C access fully reclineback,NU,,28 ,,NW,,,,,,$790.98,,1,1,1,1,1,1,20060825
E1227,HCPCS,Wheelchair spec sz spec ht a,RR,,28 ,,NW,,,,,,$42.16,,1,1,1,1,1,1,20060825
E1227,HCPCS,Wheelchair spec sz spec ht a,UE,,28 ,,NW,,,,,,$302.11,,1,1,1,1,1,1,20060825
E1227,HCPCS,Wheelchair spec sz spec ht a,NU,,28 ,,NW,,,,,,$402.56,,1,1,1,1,1,1,20060825
E1228,HCPCS,Wheelchair spec sz spec ht b,RR,,28 ,,NW,,,,,,$42.55,,1,1,1,1,1,1,20060825
E1228,HCPCS,Wheelchair spec sz spec ht b,UE,,28 ,,NW,,,,,,$317.67,,1,1,1,1,1,1,20060825
E1228,HCPCS,Wheelchair spec sz spec ht b,NU,,28 ,,NW,,,,,,$423.74,,1,1,1,1,1,1,20060825
E1230,HCPCS,Power operated vehicle,RR,,28 ,,NW,,,,,,$322.82,,1,1,1,1,1,1,20060825
E1230,HCPCS,Power operated vehicle,UE,,28 ,,NW,,,,,,"$2,591.75",,1,1,1,1,1,1,20060825
E1230,HCPCS,Power operated vehicle,NU,,28 ,,NW,,,,,,"$3,276.88",,1,1,1,1,1,1,20060825
E1232,HCPCS,Folding ped wc tilt-in-space,UE,,28 ,,NW,,,,,,"$2,323.78",,1,1,1,1,1,1,20060825
E1232,HCPCS,Folding ped wc tilt-in-space,NU,,28 ,,NW,,,,,,"$3,098.16",,1,1,1,1,1,1,20060825
E1233,HCPCS,Rig ped wc tltnspc w/o seat,UE,,28 ,,NW,,,,,,"$2,407.75",,1,1,1,1,1,1,20060825
E1233,HCPCS,Rig ped wc tltnspc w/o seat,NU,,28 ,,NW,,,,,,"$3,210.15",,1,1,1,1,1,1,20060825
E1234,HCPCS,Fld ped wc tltnspc w/o seat,UE,,28 ,,NW,,,,,,"$2,096.18",,1,1,1,1,1,1,20060825
E1234,HCPCS,Fld ped wc tltnspc w/o seat,NU,,28 ,,NW,,,,,,"$2,794.75",,1,1,1,1,1,1,20060825
E1235,HCPCS,Rigid ped wc adjustable,UE,,28 ,,NW,,,,,,"$2,018.50",,1,1,1,1,1,1,20060825
E1235,HCPCS,Rigid ped wc adjustable,NU,,28 ,,NW,,,,,,"$2,691.15",,1,1,1,1,1,1,20060825
E1236,HCPCS,Folding ped wc adjustable,UE,,28 ,,NW,,,,,,"$1,780.91",,1,1,1,1,1,1,20060825
E1236,HCPCS,Folding ped wc adjustable,NU,,28 ,,NW,,,,,,"$2,374.35",,1,1,1,1,1,1,20060825
E1237,HCPCS,Rgd ped wc adjstabl w/o seat,UE,,28 ,,NW,,,,,,"$1,796.49",,1,1,1,1,1,1,20060825
E1237,HCPCS,Rgd ped wc adjstabl w/o seat,NU,,28 ,,NW,,,,,,"$2,395.08",,1,1,1,1,1,1,20060825
E1238,HCPCS,Fld ped wc adjstabl w/o seat,UE,,28 ,,NW,,,,,,"$1,873.03",,1,1,1,1,1,1,20060825
E1238,HCPCS,Fld ped wc adjstabl w/o seat,NU,,28 ,,NW,,,,,,"$2,497.20",,1,1,1,1,1,1,20060825
E1240,HCPCS,Whchr litwt det arm leg rest,RR,,28 ,,NW,,,,,,$149.82,,1,1,1,1,1,1,20060825
E1240,HCPCS,Whchr litwt det arm leg rest,UE,,28 ,,NW,,,,,,"$1,072.22",,1,1,1,1,1,1,20060825
E1240,HCPCS,Whchr litwt det arm leg rest,NU,,28 ,,NW,,,,,,"$1,498.10",,1,1,1,1,1,1,20060825
E1250,HCPCS,Wheelchair lightwt fixed arm,RR,,28 ,,NW,,,,,,$103.69,,1,1,1,1,1,1,20060825
E1250,HCPCS,Wheelchair lightwt fixed arm,UE,,28 ,,NW,,,,,,$897.37,,1,1,1,1,1,1,20060825
E1250,HCPCS,Wheelchair lightwt fixed arm,NU,,28 ,,NW,,,,,,"$1,132.86",,1,1,1,1,1,1,20060825
E1260,HCPCS,Wheelchair lightwt foot rest,RR,,28 ,,NW,,,,,,$132.97,,1,1,1,1,1,1,20060825
E1260,HCPCS,Wheelchair lightwt foot rest,UE,,28 ,,NW,,,,,,"$1,044.39",,1,1,1,1,1,1,20060825
E1260,HCPCS,Wheelchair lightwt foot rest,NU,,28 ,,NW,,,,,,"$1,323.80",,1,1,1,1,1,1,20060825
E1270,HCPCS,Wheelchair lightweight leg r,RR,,28 ,,NW,,,,,,$114.94,,1,1,1,1,1,1,20060825
E1270,HCPCS,Wheelchair lightweight leg r,UE,,28 ,,NW,,,,,,$845.70,,1,1,1,1,1,1,20060825
E1270,HCPCS,Wheelchair lightweight leg r,NU,,28 ,,NW,,,,,,"$1,151.79",,1,1,1,1,1,1,20060825
E1280,HCPCS,Whchr h-duty det arm leg res,RR,,28 ,,NW,,,,,,$190.73,,1,1,1,1,1,1,20060825
E1280,HCPCS,Whchr h-duty det arm leg res,UE,,28 ,,NW,,,,,,"$1,368.09",,1,1,1,1,1,1,20060825
E1280,HCPCS,Whchr h-duty det arm leg res,NU,,28 ,,NW,,,,,,"$1,908.59",,1,1,1,1,1,1,20060825
E1285,HCPCS,Wheelchair heavy duty fixed,RR,,28 ,,NW,,,,,,$171.40,,1,1,1,1,1,1,20060825
E1285,HCPCS,Wheelchair heavy duty fixed,UE,,28 ,,NW,,,,,,"$1,250.59",,1,1,1,1,1,1,20060825
E1285,HCPCS,Wheelchair heavy duty fixed,NU,,28 ,,NW,,,,,,"$1,706.30",,1,1,1,1,1,1,20060825
E1290,HCPCS,Wheelchair hvy duty detach a,RR,,28 ,,NW,,,,,,$176.90,,1,1,1,1,1,1,20060825
E1290,HCPCS,Wheelchair hvy duty detach a,UE,,28 ,,NW,,,,,,"$1,287.18",,1,1,1,1,1,1,20060825
E1290,HCPCS,Wheelchair hvy duty detach a,NU,,28 ,,NW,,,,,,"$1,764.85",,1,1,1,1,1,1,20060825
E1295,HCPCS,Wheelchair heavy duty fixed,RR,,28 ,,NW,,,,,,$176.54,,1,1,1,1,1,1,20060825
E1295,HCPCS,Wheelchair heavy duty fixed,UE,,28 ,,NW,,,,,,"$1,282.73",,1,1,1,1,1,1,20060825
E1295,HCPCS,Wheelchair heavy duty fixed,NU,,28 ,,NW,,,,,,"$1,765.38",,1,1,1,1,1,1,20060825
E1296,HCPCS,Wheelchair special seat heig,RR,,28 ,,NW,,,,,,$72.93,,1,1,1,1,1,1,20060825
E1296,HCPCS,Wheelchair special seat heig,UE,,28 ,,NW,,,,,,$534.74,,1,1,1,1,1,1,20060825
E1296,HCPCS,Wheelchair special seat heig,NU,,28 ,,NW,,,,,,$712.80,,1,1,1,1,1,1,20060825
E1297,HCPCS,Wheelchair special seat dept,RR,,28 ,,NW,,,,,,$19.82,,1,1,1,1,1,1,20060825
E1297,HCPCS,Wheelchair special seat dept,UE,,28 ,,NW,,,,,,$114.24,,1,1,1,1,1,1,20060825
E1297,HCPCS,Wheelchair special seat dept,NU,,28 ,,NW,,,,,,$152.13,,1,1,1,1,1,1,20060825
E1298,HCPCS,Wheelchair spec seat depth/w,RR,,28 ,,NW,,,,,,$63.78,,1,1,1,1,1,1,20060825
E1298,HCPCS,Wheelchair spec seat depth/w,UE,,28 ,,NW,,,,,,$460.83,,1,1,1,1,1,1,20060825
E1298,HCPCS,Wheelchair spec seat depth/w,NU,,28 ,,NW,,,,,,$614.27,,1,1,1,1,1,1,20060825
E1300,HCPCS,Whirlpool portable,RR,,28 ,,NW,,,,,,$14.54,,1,1,1,1,1,1,20060825
E1300,HCPCS,Whirlpool portable,UE,,28 ,,NW,,,,,,$105.72,,1,1,1,1,1,1,20060825
E1300,HCPCS,Whirlpool portable,NU,,28 ,,NW,,,,,,$140.92,,1,1,1,1,1,1,20060825
E1310,HCPCS,Whirlpool non-portable,RR,,28 ,,NW,,,,,,$339.77,,1,1,1,1,1,1,20060825
E1310,HCPCS,Whirlpool non-portable,UE,,28 ,,NW,,,,,,"$3,060.76",,1,1,1,1,1,1,20060825
E1310,HCPCS,Whirlpool non-portable,NU,,28 ,,NW,,,,,,"$4,084.51",,1,1,1,1,1,1,20060825
E1340,HCPCS,"Repair for DME, per 15 min",,,28 ,,NW,,,,,,$19.46,,1,1,1,1,1,1,20060825
E1353,HCPCS,Oxygen supplies regulator,RR,,28 ,,NW,,,,,,$9.93,,1,1,1,1,1,1,20060825
E1353,HCPCS,Oxygen supplies regulator,UE,,28 ,,NW,,,,,,$147.64,,1,1,1,1,1,1,20060825
E1353,HCPCS,Oxygen supplies regulator,NU,,28 ,,NW,,,,,,$183.16,,1,1,1,1,1,1,20060825
E1355,HCPCS,Oxygen supplies stand/rack,RR,,28 ,,NW,,,,,,$14.11,,1,1,1,1,1,1,20060825
E1355,HCPCS,Oxygen supplies stand/rack,UE,,28 ,,NW,,,,,,$102.26,,1,1,1,1,1,1,20060825
E1355,HCPCS,Oxygen supplies stand/rack,NU,,28 ,,NW,,,,,,$125.94,,1,1,1,1,1,1,20060825
E1372,HCPCS,Oxy suppl heater for nebuliz,RR,,28 ,,NW,,,,,,$40.02,,1,1,1,1,1,1,20060825
E1372,HCPCS,Oxy suppl heater for nebuliz,UE,,28 ,,NW,,,,,,$219.64,,1,1,1,1,1,1,20060825
E1372,HCPCS,Oxy suppl heater for nebuliz,NU,,28 ,,NW,,,,,,$300.40,,1,1,1,1,1,1,20060825
E1390,HCPCS,Oxygen concentrator,RR,,28 ,,NW,,,,,,$554.68,,1,1,1,1,1,1,20060825
E1390,HCPCS,Oxygen concentrator,NU,,28 ,,NW,,,,,,"$4,218.60",,1,1,1,1,1,1,20060825
E1391,HCPCS,"Oxygen concentrator, dual",,,28 ,,NW,,,,,,$554.68,,1,1,1,1,1,1,20060825
E1399,HCPCS,Durable medical equipment mi,,,28 ,2,NW,,,,,,$3.28,,1,1,1,1,1,1,20060825
E1405,HCPCS,O2/water vapor enrich w/heat,RR,,28 ,,NW,,,,,,$574.83,,1,1,1,1,1,1,20060825
E1405,HCPCS,O2/water vapor enrich w/heat,UE,,28 ,,NW,,,,,,"$4,182.24",,1,1,1,1,1,1,20060825
E1405,HCPCS,O2/water vapor enrich w/heat,NU,,28 ,,NW,,,,,,"$5,574.75",,1,1,1,1,1,1,20060825
E1406,HCPCS,O2/water vapor enrich w/o he,RR,,28 ,,NW,,,,,,$242.36,,1,1,1,1,1,1,20060825
E1406,HCPCS,O2/water vapor enrich w/o he,UE,,28 ,,NW,,,,,,"$1,763.27",,1,1,1,1,1,1,20060825
E1406,HCPCS,O2/water vapor enrich w/o he,NU,,28 ,,NW,,,,,,"$2,350.38",,1,1,1,1,1,1,20060825
E1510,HCPCS,Kidney dialysate delivry sys,RR,,28 ,,NW,,,,,,$743.02,,1,1,1,1,1,1,20060825
E1510,HCPCS,Kidney dialysate delivry sys,UE,,28 ,,NW,,,,,,"$5,406.03",,1,1,1,1,1,1,20060825
E1510,HCPCS,Kidney dialysate delivry sys,NU,,28 ,,NW,,,,,,"$7,206.01",,1,1,1,1,1,1,20060825
E1520,HCPCS,Heparin infusion pump,RR,,28 ,,NW,,,,,,$100.65,,1,1,1,1,1,1,20060825
E1520,HCPCS,Heparin infusion pump,UE,,28 ,,NW,,,,,,$732.31,,1,1,1,1,1,1,20060825
E1520,HCPCS,Heparin infusion pump,NU,,28 ,,NW,,,,,,$976.13,,1,1,1,1,1,1,20060825
E1530,HCPCS,Replacement air bubble detec,RR,,28 ,,NW,,,,,,$145.63,,1,1,1,1,1,1,20060825
E1530,HCPCS,Replacement air bubble detec,UE,,28 ,,NW,,,,,,"$1,059.51",,1,1,1,1,1,1,20060825
E1530,HCPCS,Replacement air bubble detec,NU,,28 ,,NW,,,,,,"$1,412.28",,1,1,1,1,1,1,20060825
E1540,HCPCS,Replacement pressure alarm,RR,,28 ,,NW,,,,,,$90.23,,1,1,1,1,1,1,20060825
E1540,HCPCS,Replacement pressure alarm,UE,,28 ,,NW,,,,,,$656.47,,1,1,1,1,1,1,20060825
E1540,HCPCS,Replacement pressure alarm,NU,,28 ,,NW,,,,,,$875.04,,1,1,1,1,1,1,20060825
E1550,HCPCS,Bath conductivity meter,RR,,28 ,,NW,,,,,,$58.79,,1,1,1,1,1,1,20060825
E1550,HCPCS,Bath conductivity meter,UE,,28 ,,NW,,,,,,$427.73,,1,1,1,1,1,1,20060825
E1550,HCPCS,Bath conductivity meter,NU,,28 ,,NW,,,,,,$570.15,,1,1,1,1,1,1,20060825
E1560,HCPCS,Replace blood leak detector,RR,,28 ,,NW,,,,,,$165.64,,1,1,1,1,1,1,20060825
E1560,HCPCS,Replace blood leak detector,UE,,28 ,,NW,,,,,,"$1,205.18",,1,1,1,1,1,1,20060825
E1560,HCPCS,Replace blood leak detector,NU,,28 ,,NW,,,,,,"$1,606.45",,1,1,1,1,1,1,20060825
E1570,HCPCS,Adjustable chair for esrd pt,RR,,28 ,,NW,,,,,,$65.33,,1,1,1,1,1,1,20060825
E1570,HCPCS,Adjustable chair for esrd pt,UE,,28 ,,NW,,,,,,$475.27,,1,1,1,1,1,1,20060825
E1570,HCPCS,Adjustable chair for esrd pt,NU,,28 ,,NW,,,,,,$633.50,,1,1,1,1,1,1,20060825
E1575,HCPCS,Transducer protect/fld bar,RR,,28 ,,NW,,,,,,$8.69,,1,1,1,1,1,1,20060825
E1575,HCPCS,Transducer protect/fld bar,UE,,28 ,,NW,,,,,,$63.22,,1,1,1,1,1,1,20060825
E1575,HCPCS,Transducer protect/fld bar,NU,,28 ,,NW,,,,,,$84.26,,1,1,1,1,1,1,20060825
E1590,HCPCS,Hemodialysis machine,RR,,28 ,,NW,,,,,,$162.89,,1,1,1,1,1,1,20060825
E1590,HCPCS,Hemodialysis machine,UE,,28 ,,NW,,,,,,"$1,185.10",,1,1,1,1,1,1,20060825
E1590,HCPCS,Hemodialysis machine,NU,,28 ,,NW,,,,,,"$1,579.69",,1,1,1,1,1,1,20060825
E1594,HCPCS,Cycler dialysis machine,RR,,28 ,,NW,,,,,,$747.69,,1,1,1,1,1,1,20060825
E1594,HCPCS,Cycler dialysis machine,UE,,28 ,,NW,,,,,,"$5,440.00",,1,1,1,1,1,1,20060825
E1594,HCPCS,Cycler dialysis machine,NU,,28 ,,NW,,,,,,"$7,251.30",,1,1,1,1,1,1,20060825
E1600,HCPCS,Deli/install chrg hemo equip,,,28 ,,NW,,,,,,$233.02,,1,1,1,0,1,1,20060825
E1610,HCPCS,Reverse osmosis h2o puri sys,RR,,28 ,,NW,,,,,,$571.57,,1,1,1,1,1,1,20060825
E1610,HCPCS,Reverse osmosis h2o puri sys,UE,,28 ,,NW,,,,,,"$4,158.49",,1,1,1,1,1,1,20060825
E1610,HCPCS,Reverse osmosis h2o puri sys,NU,,28 ,,NW,,,,,,"$5,543.08",,1,1,1,1,1,1,20060825
E1635,HCPCS,Compact travel hemodialyzer,,,28 ,,NW,,,,,,$672.90,,1,1,1,0,1,1,20060825
E1636,HCPCS,Sorbent cartridges per 10,,,28 ,,NW,,,,,,$248.69,,1,1,1,0,1,1,20060825
E1637,HCPCS,"Hemostats for dialysis, each",,,28 ,,NW,,,,,,$8.52,,1,1,1,1,1,1,20060825
E1639,HCPCS,Dialysis scale,,,28 ,,NW,,,,,,$160.67,,1,1,1,1,1,1,20060825
E1699,HCPCS,Dialysis equipment noc,,,28 ,,NW,,,,,,$87.49,,1,1,1,1,1,1,20060825
E1700,HCPCS,Jaw motion rehab system,NU,,28 ,,NW,,,,,,$647.11,,1,1,1,1,1,1,20060825
E1701,HCPCS,Repl cushions for jaw motion,,,28 ,,NW,,,,,,$20.29,,1,1,1,1,1,1,20060825
E1702,HCPCS,Repl measr scales jaw motion,,,28 ,,NW,,,,,,$38.32,,1,1,1,1,1,1,20060825
E1800,HCPCS,Adjust elbow ext/flex device,RR,,28 ,,NW,,,,,,$223.12,,1,1,1,1,1,1,20060825
E1801,HCPCS,SPS elbow device,RR,,28 ,,NW,,,,,,$235.52,,1,1,1,1,1,1,20060825
E1802,HCPCS,Adjst forearm pro/sup device,,,28 ,,NW,,,,,,$612.71,,1,1,1,1,1,1,20060825
E1805,HCPCS,Adjust wrist ext/flex device,RR,,28 ,,NW,,,,,,$230.44,,1,1,1,1,1,1,20060825
E1806,HCPCS,SPS wrist device,RR,,28 ,,NW,,,,,,$191.48,,1,1,1,1,1,1,20060825
E1810,HCPCS,Adjust knee ext/flex device,RR,,28 ,,NW,,,,,,$227.10,,1,1,1,1,1,1,20060825
E1811,HCPCS,SPS knee device,RR,,28 ,,NW,,,,,,$245.28,,1,1,1,1,1,1,20060825
E1815,HCPCS,Adjust ankle ext/flex device,RR,,28 ,,NW,,,,,,$230.44,,1,1,1,1,1,1,20060825
E1816,HCPCS,SPS ankle device,RR,,28 ,,NW,,,,,,$249.31,,1,1,1,1,1,1,20060825
E1818,HCPCS,SPS forearm device,RR,,28 ,,NW,,,,,,$254.76,,1,1,1,1,1,1,20060825
E1820,HCPCS,Soft interface material,RR,,28 ,,NW,,,,,,$16.62,,1,1,1,1,1,1,20060825
E1820,HCPCS,Soft interface material,UE,,28 ,,NW,,,,,,$106.45,,1,1,1,1,1,1,20060825
E1820,HCPCS,Soft interface material,NU,,28 ,,NW,,,,,,$145.40,,1,1,1,1,1,1,20060825
E1821,HCPCS,Replacement interface SPSD,RR,,28 ,,NW,,,,,,$20.15,,1,1,1,1,1,1,20060825
E1821,HCPCS,Replacement interface SPSD,UE,,28 ,,NW,,,,,,$140.08,,1,1,1,1,1,1,20060825
E1821,HCPCS,Replacement interface SPSD,NU,,28 ,,NW,,,,,,$190.23,,1,1,1,1,1,1,20060825
E1825,HCPCS,Adjust finger ext/flex devc,RR,,28 ,,NW,,,,,,$230.44,,1,1,1,1,1,1,20060825
E1830,HCPCS,Adjust toe ext/flex device,RR,,28 ,,NW,,,,,,$230.44,,1,1,1,1,1,1,20060825
E1840,HCPCS,Adj shoulder ext/flex device,RR,,28 ,,NW,,,,,,$719.33,,1,1,1,1,1,1,20060825
E1841,HCPCS,Static str shldr dev rom adj,,,28 ,,NW,,,,,,$484.71,,1,1,1,0,1,1,20060825
E1902,HCPCS,AAC non-electronic board,,,28 ,,NW,,,,,,$435.24,,1,1,1,0,1,1,20060825
E2000,HCPCS,Gastric suction pump hme mdl,RR,,28 ,,NW,,,,,,$88.37,,1,1,1,1,1,1,20060825
E2100,HCPCS,Bld glucose monitor w voice,,,28 ,,NW,,,,,,$909.43,,1,1,1,1,1,1,20060825
E2101,HCPCS,Bld glucose monitor w lance,,,28 ,,NW,,,,,,$259.20,,1,1,1,1,1,1,20060825
E2120,HCPCS,Pulse gen sys tx endolymp fl,,,28 ,,NW,,,,,,$303.37,,1,1,1,0,1,1,20060825
E2201,HCPCS,Man w/ch acc seat w>=20?<24?,,,28 ,,NW,,,,,,$39.93,,1,1,1,0,1,1,20060825
E2202,HCPCS,Seat width 24-27 in,,,28 ,,NW,,,,,,$50.72,,1,1,1,0,1,1,20060825
E2203,HCPCS,Frame depth less than 22 in,,,28 ,,NW,,,,,,$51.25,,1,1,1,0,1,1,20060825
E2204,HCPCS,Frame depth 22 to 25 in,,,28 ,,NW,,,,,,$87.05,,1,1,1,0,1,1,20060825
E2205,HCPCS,"Manual wc accessory, handrim",,,28 ,,NW,,,,,,$3.48,,1,1,1,0,1,1,20060825
E2206,HCPCS,Complete wheel lock assembly,,,28 ,,NW,,,,,,$4.35,,1,1,1,0,1,1,20060825
E2300,HCPCS,Pwr seat elevation sys,,,28 ,,NW,,,,,,"$11,452.40",,1,1,1,0,1,1,20060825
E2310,HCPCS,Electro connect btw control,NU,,28 ,,NW,,,,,,"$1,674.01",,1,1,1,0,1,1,20060825
E2310,HCPCS,Electro connect btw control,RR,,28 ,,NW,,,,,,"$1,674.01",,1,1,1,0,1,1,20060825
E2310,HCPCS,Electro connect btw control,UE,,28 ,,NW,,,,,,"$1,674.01",,1,1,1,0,1,1,20060825
E2311,HCPCS,Electro connect btw 2 sys,NU,,28 ,,NW,,,,,,$87.82,,1,1,1,0,1,1,20060825
E2311,HCPCS,Electro connect btw 2 sys,RR,,28 ,,NW,,,,,,$87.82,,1,1,1,0,1,1,20060825
E2311,HCPCS,Electro connect btw 2 sys,UE,,28 ,,NW,,,,,,$87.82,,1,1,1,0,1,1,20060825
E2320,HCPCS,Hand chin control,,,28 ,,NW,,,,,,$225.55,,1,1,1,0,1,1,20060825
E2321,HCPCS,Hand interface joystick,,,28 ,,NW,,,,,,$432.53,,1,1,1,0,1,1,20060825
E2322,HCPCS,Mult mech switches,,,28 ,,NW,,,,,,$196.59,,1,1,1,0,1,1,20060825
E2323,HCPCS,Special joystick handle,NU,,28 ,,NW,,,,,,$85.11,,1,1,1,0,1,1,20060825
E2323,HCPCS,Special joystick handle,RR,,28 ,,NW,,,,,,$85.11,,1,1,1,0,1,1,20060825
E2323,HCPCS,Special joystick handle,UE,,28 ,,NW,,,,,,$85.11,,1,1,1,0,1,1,20060825
E2324,HCPCS,Chin cup interface,NU,,28 ,,NW,,,,,,$46.89,,1,1,1,0,1,1,20060825
E2324,HCPCS,Chin cup interface,RR,,28 ,,NW,,,,,,$46.89,,1,1,1,0,1,1,20060825
E2324,HCPCS,Chin cup interface,UE,,28 ,,NW,,,,,,$46.89,,1,1,1,0,1,1,20060825
E2325,HCPCS,Sip and puff interface,NU,,28 ,,NW,,,,,,$429.35,,1,1,1,0,1,1,20060825
E2325,HCPCS,Sip and puff interface,RR,,28 ,,NW,,,,,,$429.35,,1,1,1,0,1,1,20060825
E2325,HCPCS,Sip and puff interface,UE,,28 ,,NW,,,,,,$429.35,,1,1,1,0,1,1,20060825
E2326,HCPCS,Breath tube kit,NU,,28 ,,NW,,,,,,$371.44,,1,1,1,0,1,1,20060825
E2326,HCPCS,Breath tube kit,RR,,28 ,,NW,,,,,,$371.44,,1,1,1,0,1,1,20060825
E2326,HCPCS,Breath tube kit,UE,,28 ,,NW,,,,,,$371.44,,1,1,1,0,1,1,20060825
E2327,HCPCS,Head control interface mech,,,28 ,,NW,,,,,,$279.53,,1,1,1,0,1,1,20060825
E2328,HCPCS,Head/extremity control inter,NU,,28 ,,NW,,,,,,"$5,302.20",,1,1,1,0,1,1,20060825
E2328,HCPCS,Head/extremity control inter,RR,,28 ,,NW,,,,,,"$5,302.20",,1,1,1,0,1,1,20060825
E2328,HCPCS,Head/extremity control inter,UE,,28 ,,NW,,,,,,"$5,302.20",,1,1,1,0,1,1,20060825
E2329,HCPCS,Head control nonproportional,NU,,28 ,,NW,,,,,,"$1,889.76",,1,1,1,0,1,1,20060825
E2329,HCPCS,Head control nonproportional,RR,,28 ,,NW,,,,,,"$1,889.76",,1,1,1,0,1,1,20060825
E2329,HCPCS,Head control nonproportional,UE,,28 ,,NW,,,,,,"$1,889.76",,1,1,1,0,1,1,20060825
E2330,HCPCS,Head control proximity switc,NU,,28 ,,NW,,,,,,"$3,661.64",,1,1,1,0,1,1,20060825
E2330,HCPCS,Head control proximity switc,RR,,28 ,,NW,,,,,,"$3,661.64",,1,1,1,0,1,1,20060825
E2330,HCPCS,Head control proximity switc,UE,,28 ,,NW,,,,,,"$3,661.64",,1,1,1,0,1,1,20060825
E2331,HCPCS,Attendant control,,,28 ,,NW,,,,,,$14.34,,1,1,1,0,1,1,20060825
E2340,HCPCS,W/c wdth 20-23 in seat frame,NU,,28 ,,NW,,,,,,$383.45,,1,1,1,0,1,1,20060825
E2340,HCPCS,W/c wdth 20-23 in seat frame,RR,,28 ,,NW,,,,,,$383.45,,1,1,1,0,1,1,20060825
E2340,HCPCS,W/c wdth 20-23 in seat frame,UE,,28 ,,NW,,,,,,$383.45,,1,1,1,0,1,1,20060825
E2341,HCPCS,W/c wdth 24-27 in seat frame,NU,,28 ,,NW,,,,,,$575.22,,1,1,1,0,1,1,20060825
E2341,HCPCS,W/c wdth 24-27 in seat frame,RR,,28 ,,NW,,,,,,$575.22,,1,1,1,0,1,1,20060825
E2341,HCPCS,W/c wdth 24-27 in seat frame,UE,,28 ,,NW,,,,,,$575.22,,1,1,1,0,1,1,20060825
E2342,HCPCS,W/c dpth 20-21 in seat frame,NU,,28 ,,NW,,,,,,$479.34,,1,1,1,0,1,1,20060825
E2342,HCPCS,W/c dpth 20-21 in seat frame,RR,,28 ,,NW,,,,,,$479.34,,1,1,1,0,1,1,20060825
E2342,HCPCS,W/c dpth 20-21 in seat frame,UE,,28 ,,NW,,,,,,$479.34,,1,1,1,0,1,1,20060825
E2343,HCPCS,W/c dpth 22-25 in seat frame,NU,,28 ,,NW,,,,,,$766.96,,1,1,1,0,1,1,20060825
E2343,HCPCS,W/c dpth 22-25 in seat frame,RR,,28 ,,NW,,,,,,$766.96,,1,1,1,0,1,1,20060825
E2343,HCPCS,W/c dpth 22-25 in seat frame,UE,,28 ,,NW,,,,,,$766.96,,1,1,1,0,1,1,20060825
E2351,HCPCS,Electronic SGD interface,NU,,28 ,,NW,,,,,,$189.17,,1,1,1,0,1,1,20060825
E2351,HCPCS,Electronic SGD interface,RR,,28 ,,NW,,,,,,$189.17,,1,1,1,0,1,1,20060825
E2351,HCPCS,Electronic SGD interface,UE,,28 ,,NW,,,,,,$189.17,,1,1,1,0,1,1,20060825
E2360,HCPCS,22nf nonsealed leadacid,,,28 ,,NW,,,,,,$163.32,,1,1,1,1,1,1,20060825
E2361,HCPCS,22nf sealed leadacid battery,,,28 ,,NW,,,,,,$202.61,,1,1,1,1,1,1,20060825
E2362,HCPCS,Gr24 nonsealed leadacid,,,28 ,,NW,,,,,,$133.82,,1,1,1,1,1,1,20060825
E2363,HCPCS,Gr24 sealed leadacid battery,,,28 ,,NW,,,,,,$270.02,,1,1,1,1,1,1,20060825
E2364,HCPCS,U1nonsealed leadacid battery,,,28 ,,NW,,,,,,$163.32,,1,1,1,1,1,1,20060825
E2365,HCPCS,U1 sealed leadacid battery,,,28 ,,NW,,,,,,$163.07,,1,1,1,1,1,1,20060825
E2366,HCPCS,"Battery charger, single mode",,,28 ,,NW,,,,,,$382.46,,1,1,1,1,1,1,20060825
E2367,HCPCS,"Battery charger, dual mode",,,28 ,,NW,,,,,,$607.64,,1,1,1,1,1,1,20060825
E2368,HCPCS,Power wc motor replacement,,,28 ,,NW,,,,,,$55.29,,1,1,1,0,1,1,20060825
E2369,HCPCS,Pwr wc gear box replacement,,,28 ,,NW,,,,,,$48.15,,1,1,1,0,1,1,20060825
E2370,HCPCS,Pwr wc motor/gear box combo,,,28 ,,NW,,,,,,$85.92,,1,1,1,0,1,1,20060825
E2402,HCPCS,Neg press wound therapy pump,,,28 ,,NW,,,,,,"$3,262.73",,1,1,1,1,1,1,20060825
E2500,HCPCS,SGD digitized pre-rec <=8min,,,28 ,,NW,,,,,,$548.81,,1,1,1,1,1,1,20060825
E2502,HCPCS,SGD prerec msg >8min <=20min,,,28 ,,NW,,,,,,"$1,699.77",,1,1,1,1,1,1,20060825
E2504,HCPCS,SGD prerec msg>20min <=40min,,,28 ,,NW,,,,,,"$2,245.52",,1,1,1,1,1,1,20060825
E2506,HCPCS,SGD prerec msg > 40 min,,,28 ,,NW,,,,,,"$3,297.49",,1,1,1,1,1,1,20060825
E2508,HCPCS,SGD spelling phys contact,,,28 ,,NW,,,,,,"$5,104.85",,1,1,1,1,1,1,20060825
E2510,HCPCS,SGD w multi methods msg/accs,,,28 ,,NW,,,,,,"$9,669.52",,1,1,1,1,1,1,20060825
E2511,HCPCS,SGD sftwre prgrm for PC/PDA,NU,,28 ,,NW,,,,,,"$3,326.87",,1,1,1,0,1,1,20060825
E2511,HCPCS,SGD sftwre prgrm for PC/PDA,RR,,28 ,,NW,,,,,,"$3,326.87",,1,1,1,0,1,1,20060825
E2511,HCPCS,SGD sftwre prgrm for PC/PDA,UE,,28 ,,NW,,,,,,"$3,326.87",,1,1,1,0,1,1,20060825
E2512,HCPCS,"SGD accessory, mounting sys",NU,,28 ,,NW,,,,,,$384.79,,1,1,1,0,1,1,20060825
E2512,HCPCS,"SGD accessory, mounting sys",RR,,28 ,,NW,,,,,,$384.79,,1,1,1,0,1,1,20060825
E2512,HCPCS,"SGD accessory, mounting sys",UE,,28 ,,NW,,,,,,$384.79,,1,1,1,0,1,1,20060825
E2599,HCPCS,SGD accessory noc,,,28 ,,NW,,,,,,$225.49,,1,1,1,0,1,1,20060825
E2601,HCPCS,Gen w/c cushion wdth < 22 in,,,28 ,,NW,,,,,,$52.53,,1,1,1,0,1,1,20060825
E2602,HCPCS,Gen w/c cushion wdth >=22 in,,,28 ,,NW,,,,,,$17.34,,1,1,1,0,1,1,20060825
E2603,HCPCS,Skin protect wc cus wd <22in,,,28 ,,NW,,,,,,$23.88,,1,1,1,0,1,1,20060825
E2604,HCPCS,Skin protect wc cus wd>=22in,,,28 ,,NW,,,,,,$33.77,,1,1,1,0,1,1,20060825
E2605,HCPCS,Position wc cush wdth <22 in,,,28 ,,NW,,,,,,$34.45,,1,1,1,0,1,1,20060825
E2606,HCPCS,Position wc cush wdth>=22 in,,,28 ,,NW,,,,,,$46.67,,1,1,1,0,1,1,20060825
E2607,HCPCS,Skin pro/pos wc cus wd <22in,,,28 ,,NW,,,,,,$31.63,,1,1,1,0,1,1,20060825
E2608,HCPCS,Skin pro/pos wc cus wd>=22in,,,28 ,,NW,,,,,,$37.90,,1,1,1,0,1,1,20060825
E2611,HCPCS,Gen use back cush wdth <22in,,,28 ,,NW,,,,,,$33.42,,1,1,1,0,1,1,20060825
E2612,HCPCS,Gen use back cush wdth>=22in,,,28 ,,NW,,,,,,$45.21,,1,1,1,0,1,1,20060825
E2613,HCPCS,Position back cush wd <22in,,,28 ,,NW,,,,,,$42.07,,1,1,1,0,1,1,20060825
E2614,HCPCS,Position back cush wd>=22in,,,28 ,,NW,,,,,,$58.21,,1,1,1,0,1,1,20060825
E2615,HCPCS,Pos back post/lat wdth <22in,,,28 ,,NW,,,,,,$48.41,,1,1,1,0,1,1,20060825
E2616,HCPCS,Pos back post/lat wdth>=22in,,,28 ,,NW,,,,,,$65.13,,1,1,1,0,1,1,20060825
E2618,HCPCS,Wc acc solid seat supp base,,,28 ,,NW,,,,,,$16.45,,1,1,1,0,1,1,20060825
E2619,HCPCS,Replace cover w/c seat cush,,,28 ,,NW,,,,,,$34.03,,1,1,1,0,1,1,20060825
E2620,HCPCS,WC planar back cush wd <22in,,,28 ,,NW,,,,,,$61.50,,1,1,1,0,1,1,20060825
E2621,HCPCS,WC planar back cush wd>=22in,,,28 ,,NW,,,,,,$58.61,,1,1,1,0,1,1,20060825
G0008,HCPCS,Admin influenza virus vac,,,9 ,,TotalUnits,,,,0.22 ,,,,1,1,1,0,1,1,20060825
G0009,HCPCS,Admin pneumococcal vaccine,,,9 ,,TotalUnits,,,,0.22 ,,,,1,1,1,0,1,1,20060825
G0010,HCPCS,Admin hepatitis b vaccine,,,9 ,,TotalUnits,,,,0.22 ,,,,1,1,1,0,1,1,20060825
G0027,HCPCS,Semen analysis,,,17 ,,TotalUnits,,,,0.30 ,,,,1,1,1,0,1,1,20060825
G0101,HCPCS,CA screen;pelvic/breast exam,,,18 ,,RBRVS,0.45 ,0.17 ,0.52 ,,,,,1,0,1,1,1,1,20060825
G0102,HCPCS,Prostate ca screening; dre,,,18 ,,RBRVS,0.17 ,0.06 ,0.39 ,,,,,1,0,1,1,1,1,20060825
G0103,HCPCS,"Psa, total screening",,,17 ,,TotalUnits,,,,0.86 ,,,,1,1,1,0,1,1,20060825
G0104,HCPCS,CA screen;flexi sigmoidscope,,,21 ,,RBRVS,0.96 ,0.50 ,2.28 ,,,,,1,0,1,1,1,1,20060825
G0105,HCPCS,Colorectal scrn; hi risk ind,,,21 ,,RBRVS,3.69 ,1.47 ,6.16 ,,,,,1,0,1,1,1,1,20060825
G0106,HCPCS,Colon CA screen;barium enema,TC,,21 ,,RBRVS,0.00 ,2.24 ,2.24 ,,,,,1,1,1,0,1,1,20060825
G0106,HCPCS,Colon CA screen;barium enema,26,,21 ,,RBRVS,0.99 ,0.32 ,0.32 ,,,,,1,0,1,1,1,1,20060825
G0107,HCPCS,CA screen; fecal blood test,,,17 ,,TotalUnits,,,,0.15 ,,,,1,1,1,0,1,1,20060825
G0108,HCPCS,Diab manage trn  per indiv,,,14 ,,RBRVS,0.00 ,0.83 ,0.83 ,,,,,1,1,1,1,1,1,20060825
G0109,HCPCS,Diab manage trn ind/group,,,14 ,,RBRVS,0.00 ,0.48 ,0.48 ,,,,,1,1,1,1,1,1,20060825
G0117,HCPCS,Glaucoma scrn hgh risk direc,,,14 ,,RBRVS,0.45 ,0.19 ,0.72 ,,,,,1,0,1,1,1,1,20060825
G0118,HCPCS,Glaucoma scrn hgh risk direc,,,14 ,,RBRVS,0.17 ,0.06 ,0.53 ,,,,,1,0,1,1,1,1,20060825
G0120,HCPCS,Colon ca scrn; barium enema,TC,,21 ,,RBRVS,0.00 ,2.24 ,2.24 ,,,,,1,1,1,0,1,1,20060825
G0120,HCPCS,Colon ca scrn; barium enema,26,,21 ,,RBRVS,0.99 ,0.32 ,0.32 ,,,,,1,0,1,1,1,1,20060825
G0121,HCPCS,Colon ca scrn not hi rsk ind,,,21 ,,RBRVS,3.69 ,1.47 ,6.16 ,,,,,1,0,1,1,1,1,20060825
G0122,HCPCS,Colon ca scrn; barium enema,TC,,20 ,,RBRVS,0.00 ,2.20 ,2.20 ,,,,,1,1,1,0,1,1,20060825
G0122,HCPCS,Colon ca scrn; barium enema,26,,20 ,,RBRVS,0.99 ,0.38 ,0.38 ,,,,,1,0,1,1,1,1,20060825
G0123,HCPCS,Screen cerv/vag thin layer,,,17 ,,TotalUnits,,,,0.95 ,,,,1,1,1,0,1,1,20060825
G0124,HCPCS,Screen c/v thin layer by MD,,,17 ,,RBRVS,0.42 ,0.15 ,0.15 ,,,,,1,1,1,0,1,1,20060825
G0127,HCPCS,Trim nail(s),,,21 ,,RBRVS,0.17 ,0.07 ,0.25 ,,,,,1,0,1,1,1,1,20060825
G0128,HCPCS,CORF skilled nursing service,,,14 ,,RBRVS,0.08 ,0.03 ,0.03 ,,,,,1,1,1,0,0,1,20060825
G0130,HCPCS,Single energy x-ray study,TC,,20 ,,RBRVS,0.00 ,0.80 ,0.80 ,,,,,1,1,1,0,1,1,20060825
G0130,HCPCS,Single energy x-ray study,26,,20 ,,RBRVS,0.22 ,0.07 ,0.07 ,,,,,1,0,1,1,1,1,20060825
G0141,HCPCS,"Scr c/v cyto,autosys and md",,,17 ,,RBRVS,0.42 ,0.15 ,0.15 ,,,,,1,0,1,1,1,1,20060825
G0143,HCPCS,"Scr c/v cyto,thinlayer,rescr",,,17 ,,TotalUnits,,,,0.95 ,,,,1,1,1,0,1,1,20060825
G0144,HCPCS,"Scr c/v cyto,thinlayer,rescr",,,17 ,,TotalUnits,,,,1.00 ,,,,1,1,1,0,1,1,20060825
G0145,HCPCS,"Scr c/v cyto,thinlayer,rescr",,,17 ,,TotalUnits,,,,1.24 ,,,,1,1,1,0,1,1,20060825
G0147,HCPCS,"Scr c/v cyto, automated sys",,,17 ,,TotalUnits,,,,0.53 ,,,,1,1,1,0,1,1,20060825
G0148,HCPCS,"Scr c/v cyto, autosys, rescr",,,17 ,,TotalUnits,,,,0.71 ,,,,1,1,1,0,1,1,20060825
G0151,HCPCS,"HHCP-serv of pt,ea 15 min",,,19 ,,RBRVS,0.45 ,0.27 ,0.27 ,,,,,1,0,1,0,0,1,20060825
G0152,HCPCS,"HHCP-serv of ot,ea 15 min",,,19 ,,RBRVS,0.45 ,0.33 ,0.33 ,,,,,1,0,1,0,0,1,20060825
G0153,HCPCS,"HHCP-svs of s/l path,ea 15mn",,,8 ,,RBRVS,0.26 ,0.12 ,0.51 ,,,,,1,0,1,0,0,1,20060825
G0154,HCPCS,"HHCP-svs of rn,ea 15 min",,,15 ,,TotalUnits,,,,1.41,,,,1,0,1,0,0,1,20060825
G0155,HCPCS,"HHCP-svs of csw,ea 15 min",,,18 ,,RBRVS,0.48 ,0.19 ,0.62 ,,,,,1,0,1,0,0,1,20060825
G0156,HCPCS,"HHCP-svs of aide,ea 15 min",,,15 ,,TotalUnits,,,,1.91,,,,1,0,1,0,0,1,20060825
G0166,HCPCS,"Extrnl counterpulse, per tx",,,14 ,,RBRVS,0.07 ,0.03 ,3.58 ,,,,,1,1,1,0,0,1,20060825
G0168,HCPCS,Wound closure by adhesive,,,21 ,,RBRVS,0.45 ,0.22 ,1.94 ,,,,,1,0,1,1,1,1,20060825
G0179,HCPCS,MD recertification HHA PT,,,15 ,,RBRVS,0.45 ,1.03 ,1.03 ,,,,,1,0,1,1,1,1,20060825
G0180,HCPCS,MD certification HHA patient,,,15 ,,RBRVS,0.67 ,1.26 ,1.26 ,,,,,1,0,1,1,1,1,20060825
G0181,HCPCS,Home health care supervision,,,15 ,,RBRVS,1.73 ,1.48 ,1.48 ,,,,,1,0,1,1,1,1,20060825
G0182,HCPCS,Hospice care supervision,,,15 ,,RBRVS,1.73 ,1.66 ,1.66 ,,,,,1,0,1,1,1,1,20060825
G0186,HCPCS,"Dstry eye lesn,fdr vssl tech",,,14 ,,TotalUnits,,,,18.47 ,,,,1,0,1,1,1,1,20060825
G0202,HCPCS,Screen mammography film digital,TC,,20 ,,RBRVS,0.00 ,2.55 ,2.55 ,,,,,1,1,1,0,1,1,20060825
G0202,HCPCS,Screen mammography film digital,26,,20 ,,RBRVS,0.70 ,0.23 ,0.23 ,,,,,1,0,1,1,1,1,20060825
G0204,HCPCS,Diagnostic mammography digital,TC,,20 ,,RBRVS,0.00 ,2.51 ,2.51 ,,,,,1,1,1,0,1,1,20060825
G0204,HCPCS,Diagnostic mammography digital,26,,20 ,,RBRVS,0.87 ,0.28 ,0.28 ,,,,,1,0,1,1,1,1,20060825
G0206,HCPCS,Diagnostic mammography digital,TC,,20 ,,RBRVS,0.00 ,2.03 ,2.03 ,,,,,1,1,1,0,1,1,20060825
G0206,HCPCS,Diagnostic mammography digital,26,,20 ,,RBRVS,0.70 ,0.23 ,0.23 ,,,,,1,0,1,1,1,1,20060825
G0219,HCPCS,PET img wholbod melano nonco,TC,,20 ,,TotalUnits,,,,29.31 ,,,,1,1,1,0,1,1,20060825
G0219,HCPCS,PET img wholbod melano nonco,26,,20 ,,RBRVS,2.00 ,0.69 ,0.69 ,,,,,1,0,1,1,1,1,20060825
G0235,HCPCS,PET not otherwise specified,,,20 ,,RBRVS,0.22 ,0.08 ,0.08 ,,,,,1,0,1,1,1,1,20060825
G0237,HCPCS,Therapeutic procd strg endur,,,14 ,,RBRVS,0.00 ,0.47 ,0.47 ,,,,,1,1,1,0,0,1,20060825
G0238,HCPCS,"Oth resp proc, indiv",,,14 ,,TotalUnits,,,,0.20 ,,,,1,1,1,0,0,1,20060825
G0239,HCPCS,"Oth resp proc, group",,,14 ,,TotalUnits,,,,0.38 ,,,,1,1,1,0,0,1,20060825
G0245,HCPCS,Initial foot exam pt lops,,,15 ,,RBRVS,0.88 ,0.31 ,0.79 ,,,,,1,0,1,1,1,1,20060825
G0246,HCPCS,Followup eval of foot pt lop,,,15 ,,RBRVS,0.45 ,0.16 ,0.54 ,,,,,1,0,1,1,1,1,20060825
G0247,HCPCS,Routine footcare pt w lops,,,15 ,,RBRVS,0.50 ,0.21 ,0.52 ,,,,,1,0,1,1,1,1,20060825
G0248,HCPCS,Demonstrate use home inr mon,,TC,4 ,,RBRVS,0.00 ,6.63 ,6.63 ,,,,,1,1,1,0,1,1,20060825
G0249,HCPCS,"Provide test material,equipm",,TC,4 ,,RBRVS,0.00 ,3.97 ,3.97 ,,,,,1,1,1,0,1,1,20060825
G0250,HCPCS,MD review interpret of test,,PC,4 ,,RBRVS,0.18 ,0.06 ,0.06 ,,,,,1,0,1,1,1,1,20060825
G0259,HCPCS,Inject for sacroiliac joint,,,21 ,,RBRVS,1.40 ,0.33 ,4.36 ,,,,,1,0,1,1,1,1,20060825
G0265,HCPCS,Cryopresevation Freeze+stora,,,17 ,,TotalUnits,,,,0.47 ,,,,1,1,1,0,1,1,20060825
G0266,HCPCS,Thawing + expansion froz cel,,,17 ,,TotalUnits,,,,0.47 ,,,,1,1,1,0,1,1,20060825
G0268,HCPCS,Removal of impacted wax md,,,21 ,,RBRVS,0.61 ,0.24 ,0.63 ,,,,,1,0,1,1,1,1,20060825
G0270,HCPCS,MNT subs tx for change dx,,,14 ,,RBRVS,0.00 ,0.47 ,0.47 ,,,,,1,1,1,0,1,1,20060825
G0271,HCPCS,Group MNT 2 or more 30 mins,,,14 ,,RBRVS,0.00 ,0.18 ,0.18 ,,,,,1,1,1,0,1,1,20060825
G0275,HCPCS,"Renal angio, cardiac cath",,,20 ,,RBRVS,0.25 ,0.10 ,0.10 ,,,,,1,0,1,1,1,1,20060825
G0278,HCPCS,"Iliac art angio,cardiac cath",,,20 ,,RBRVS,0.25 ,0.10 ,0.10 ,,,,,1,0,1,1,1,1,20060825
G0281,HCPCS,Elec stim unattend for press,,,19 ,,RBRVS,0.18 ,0.11 ,0.11 ,,,,,1,1,1,0,0,1,20060825
G0282,HCPCS,Elect stim wound care not pd,,,19 ,,RBRVS,0.18 ,0.11 ,0.11 ,,,,,1,1,1,0,0,1,20060825
G0283,HCPCS,Elec stim other than wound,,,19 ,,RBRVS,0.18 ,0.11 ,0.11 ,,,,,1,1,1,0,0,1,20060825
G0288,HCPCS,"Recon, CTA for surg plan",,TC,20 ,,RBRVS,0.00 ,10.64 ,10.64 ,,,,,1,1,1,0,1,1,20060825
G0289,HCPCS,"Arthro, loose body + chondro",,,21 ,,RBRVS,1.48 ,0.80 ,0.80 ,,,,,1,0,1,1,1,1,20060825
G0295,HCPCS,Electromagnetic therapy onc,,,19 ,,RBRVS,0.06 ,0.02 ,0.14 ,,,,,1,1,1,0,0,1,20060825
G0306,HCPCS,CBC/diffwbc w/o platelet,,,17 ,,TotalUnits,,,,0.36 ,,,,1,1,1,0,1,1,20060825
G0307,HCPCS,CBC without platelet,,,17 ,,TotalUnits,,,,0.30 ,,,,1,1,1,0,1,1,20060825
G0308,HCPCS,ESRD related svc 4+mo<2yrs,,,14 ,,RBRVS,12.74 ,8.56 ,8.56 ,,,,,1,1,1,1,1,1,20060825
G0309,HCPCS,ESRD related svc 2-3mo<2yrs,,,14 ,,RBRVS,10.61 ,7.12 ,7.12 ,,,,,1,1,1,1,1,1,20060825
G0310,HCPCS,ESRD related svc 1 visit<2yr,,,14 ,,RBRVS,8.49 ,5.70 ,5.70 ,,,,,1,1,1,1,1,1,20060825
G0311,HCPCS,ESRD related svs 4+mo 2-11yr,,,14 ,,RBRVS,9.73 ,4.73 ,4.73 ,,,,,1,1,1,1,1,1,20060825
G0312,HCPCS,ESRD relate svs 2-3 mo 2-11y,,,14 ,,RBRVS,8.11 ,3.93 ,3.93 ,,,,,1,1,1,1,1,1,20060825
G0313,HCPCS,ESRD related svs 1 mon 2-11y,,,14 ,,RBRVS,6.49 ,3.15 ,3.15 ,,,,,1,1,1,1,1,1,20060825
G0314,HCPCS,ESRD related svs 4+ mo 12-19,,,14 ,,RBRVS,8.28 ,4.43 ,4.43 ,,,,,1,1,1,1,1,1,20060825
G0315,HCPCS,ESRD related svs 2-3mo 12-19,,,14 ,,RBRVS,6.90 ,3.68 ,3.68 ,,,,,1,1,1,1,1,1,20060825
G0316,HCPCS,ESRD relate svs 1 vist 12-19,,,14 ,,RBRVS,5.52 ,2.95 ,2.95 ,,,,,1,1,1,1,1,1,20060825
G0317,HCPCS,ESRD related svs 4+mo 20+yrs,,,14 ,,RBRVS,5.09 ,2.87 ,2.87 ,,,,,1,1,1,1,1,1,20060825
G0318,HCPCS,ESRD related svs 2-3 mo 20+y,,,14 ,,RBRVS,4.24 ,2.39 ,2.39 ,,,,,1,1,1,1,1,1,20060825
G0319,HCPCS,ESRD related svs 1 visit 20+,,,14 ,,RBRVS,3.39 ,1.91 ,1.91 ,,,,,1,1,1,1,1,1,20060825
G0320,HCPCS,ESRD related svs home under2,,,14 ,,RBRVS,10.61 ,7.12 ,7.12 ,,,,,1,1,1,1,1,1,20060825
G0321,HCPCS,ESRD related svs home mo<2ys,,,14 ,,RBRVS,8.11 ,3.93 ,3.93 ,,,,,1,1,1,1,1,1,20060825
G0322,HCPCS,ESRD relate svs home mo12-19,,,14 ,,RBRVS,6.90 ,3.68 ,3.68 ,,,,,1,1,1,1,1,1,20060825
G0323,HCPCS,ESRD related svs home mo 20+,,,14 ,,RBRVS,4.24 ,2.39 ,2.39 ,,,,,1,1,1,1,1,1,20060825
G0324,HCPCS,ESRD related svs home/dy<2y,,,14 ,,RBRVS,0.35 ,0.24 ,0.24 ,,,,,1,1,1,1,1,1,20060825
G0325,HCPCS,ESRD relate home/dy 2-11 yr,,,14 ,,RBRVS,0.23 ,0.12 ,0.12 ,,,,,1,1,1,1,1,1,20060825
G0326,HCPCS,ESRD relate home/dy 12-19y,,,14 ,,RBRVS,0.27 ,0.13 ,0.13 ,,,,,1,1,1,1,1,1,20060825
G0327,HCPCS,ESRD relate home/dy 20+yrs,,,14 ,,RBRVS,0.14 ,0.08 ,0.08 ,,,,,1,1,1,1,1,1,20060825
G0328,HCPCS,Fecal blood scrn immunoassay,,,17 ,,TotalUnits,,,,0.60 ,,,,1,1,1,0,1,1,20060825
G0329,HCPCS,Electromagntic tx for ulcers,,,19 ,,RBRVS,0.06 ,0.02 ,0.14 ,,,,,1,1,1,0,0,1,20060825
G0332,HCPCS,Preadmin IV immunoglobulin,,,28 ,,NW,,,,,,$80.25,,1,1,1,0,1,1,20060825
G0337,HCPCS,Hospice evaluation preelecti,,,15 ,,RBRVS,1.34 ,0.51 ,0.51 ,,,,,1,0,1,1,1,1,20060825
G0341,HCPCS,Percutaneous islet celltrans,,,21 ,,RBRVS,6.98 ,2.60 ,5.75 ,,,,,1,0,0,1,1,1,20060825
G0342,HCPCS,Laparoscopy islet cell trans,,,21 ,,RBRVS,11.92 ,5.31 ,5.31 ,,,,,1,0,0,1,1,1,20060825
G0343,HCPCS,Laparotomy islet cell transp,,,21 ,,RBRVS,19.85 ,8.78 ,8.78 ,,,,,1,0,0,1,1,1,20060825
G0344,HCPCS,Initial preventive exam,,,15 ,,RBRVS,1.34 ,0.48 ,1.13 ,,,,,1,0,1,1,1,1,20060825
G0364,HCPCS,Bone marrow aspirate &biopsy,,,21 ,,RBRVS,0.16 ,0.06 ,0.14 ,,,,,1,0,1,1,1,1,20060825
G0365,HCPCS,Vessel mapping hemo access,,,14 ,,RBRVS,0.00 ,3.91 ,3.91 ,,,,,1,1,1,0,1,0,20060825
G0365,HCPCS,Vessel mapping hemo access,,,14 ,,RBRVS,0.25 ,0.09 ,0.09 ,,,,,1,0,1,1,1,0,20060825
G0365,HCPCS,Vessel mapping hemo access,,,14 ,,RBRVS,0.25 ,4.00 ,4.00 ,,,,,1,0,0,0,0,1,20060825
G0366,HCPCS,EKG for initial prevent exam,,PC,15 ,,RBRVS,0.17 ,0.51 ,0.51 ,,,,,1,0,0,0,0,1,20060825
G0368,HCPCS,EKG interpret & report preve,,PC,15 ,,RBRVS,0.17 ,0.06 ,0.06 ,,,,,1,0,1,1,1,1,20060825
G0375,HCPCS,Smoke/tobacco counselng 3-10,,,14 ,,RBRVS,0.24 ,0.09 ,0.09 ,,,,,1,0,1,1,1,1,20060825
G0376,HCPCS,Smoke/tobacco counseling >10,,,14 ,,RBRVS,0.48 ,0.17 ,0.18 ,,,,,1,0,1,1,1,1,20060825
G9001,HCPCS,"MCCD, initial rate",,,14 ,,TotalUnits,,,,1.79 ,,,,1,0,1,1,1,1,20060825
G9002,HCPCS,"MCCD,maintenance rate",,,14 ,,TotalUnits,,,,2.13 ,,,,1,0,1,1,1,1,20060825
G9003,HCPCS,"MCCD, risk adj hi, initial",,,14 ,,TotalUnits,,,,2.69 ,,,,1,0,1,1,1,1,20060825
G9004,HCPCS,"MCCD, risk adj lo, initial",,,14 ,,TotalUnits,,,,2.41 ,,,,1,0,1,1,1,1,20060825
G9005,HCPCS,"MCCD, risk adj, maintenance",,,14 ,,TotalUnits,,,,3.19 ,,,,1,0,1,1,1,1,20060825
G9006,HCPCS,"MCCD, Home monitoring",,,14 ,,TotalUnits,,,,0.32,,,,1,0,1,1,1,1,20060825
G9007,HCPCS,"MCCD, sch team conf",,,14 ,,TotalUnits,,,,0.32,,,,1,0,1,1,1,1,20060825
G9008,HCPCS,"Mccd,phys coor-care ovrsght",,,14 ,,TotalUnits,,,,0.32 ,,,,1,0,1,1,1,1,20060825
G9009,HCPCS,"MCCD, risk adj, level 3",,,14 ,,TotalUnits,,,,4.67 ,,,,1,0,1,1,1,1,20060825
G9010,HCPCS,"MCCD, risk adj, level 4",,,14 ,,TotalUnits,,,,4.67,,,,1,0,1,1,1,1,20060825
G9011,HCPCS,"MCCD, risk adj, level 5",,,14 ,,TotalUnits,,,,4.67,,,,1,0,1,1,1,1,20060825
G9012,HCPCS,Other Specified Case Mgmt,,,14 ,,TotalUnits,,,,4.67,,,,1,0,1,1,1,1,20060825
G9016,HCPCS,Demo-smoking cessation coun,,,14 ,,RBRVS,0.24 ,0.09 ,0.09 ,,,,,1,0,1,1,1,1,20060825
G9018,HCPCS,"Zanamivir,inhalation pwd 10m",,,29 ,,NW,,,,,,$37.07,,1,1,1,0,1,1,20060825
G9020,HCPCS,Rimantadine HCL 100mg oral,,,29 ,,NW,,,,,,$143.76,,1,1,1,0,1,1,20060825
G9033,HCPCS,"Amantadine HCL, oral, brand",,,29 ,,NW,,,,,,$46.45,,1,1,1,0,1,1,20060825
G9034,HCPCS,Zanamivir powder via inhaler,,,29 ,,NW,,,,,,$37.07,,1,1,1,0,1,1,20060825
G9036,HCPCS,Rimantadine HCL 100mg,,,29 ,,NW,,,,,,$143.76,,1,1,1,0,1,1,20060825
H0004,HCPCS,Alcohol and/or drug services,,,16 ,,TotalUnits,,,,0.51 ,,,,1,1,1,0,1,1,20060825
H0020,HCPCS,Alcohol and/or drug services,,,16 ,,TotalUnits,,,,0.41 ,,,,1,1,1,0,1,1,20060825
J0120,HCPCS,Tetracyclin injection,,,29 ,2,NW,,,,,,$137.47,,1,1,1,0,0,1,20060825
J0130,HCPCS,Abciximab injection,,,29 ,,NW,,,,,,$905.25,,1,1,1,0,0,1,20060825
J0132,HCPCS,Acetylcysteine injection,,,29 ,,NW,,,,,,$29.00,,1,1,1,0,0,1,20060825
J0133,HCPCS,Acyclovir injection,,,29 ,,NW,,,,,,$0.50,,1,1,1,0,0,1,20060825
J0150,HCPCS,Injection adenosine 6 MG,,,29 ,,NW,,,,,,$80.03,,1,1,1,0,0,1,20060825
J0170,HCPCS,Adrenalin epinephrin inject,,,29 ,2,NW,,,,,,$5.47,,1,1,1,0,0,1,20060825
J0200,HCPCS,Alatrofloxacin mesylate,,,29 ,2,NW,,,,,,$44.85,,1,1,1,0,0,1,20060825
J0205,HCPCS,Alglucerase injection,,,29 ,,NW,,,,,,$84.39,,1,1,1,0,0,1,20060825
J0207,HCPCS,Amifostine,,,29 ,,NW,,,,,,$885.83,,1,1,1,0,0,1,20060825
J0210,HCPCS,Methyldopate hcl injection,,,29 ,2,NW,,,,,,$27.13,,1,1,1,0,0,1,20060825
J0215,HCPCS,Alefacept,,,29 ,,NW,,,,,,$28.42,,1,0,1,0,0,1,20060825
J0256,HCPCS,Alpha 1 proteinase inhibitor,,,29 ,,NW,,,,,,$5.47,,1,1,1,0,0,1,20060825
J0270,HCPCS,Alprostadil for injection,,,29 ,,NW,,,,,,$0.54,,1,1,1,0,0,1,20060825
J0275,HCPCS,Alprostadil urethral suppos,,,29 ,,NW,,,,,,$47.80,,1,1,1,0,0,1,20060825
J0278,HCPCS,Amikacin sulfate injection,,,29 ,,NW,,,,,,$29.00,,1,1,1,0,0,1,20060825
J0280,HCPCS,Aminophyllin 250 MG inj,,,29 ,2,NW,,,,,,$1.52,,1,1,1,0,0,1,20060825
J0282,HCPCS,Amiodarone HCl,,,29 ,2,NW,,,,,,$14.33,,1,1,1,0,0,1,20060825
J0285,HCPCS,Amphotericin B,,,29 ,2,NW,,,,,,$24.17,,1,1,1,0,0,1,20060825
J0287,HCPCS,Amphotericin b lipid complex,,,29 ,,NW,,,,,,$50.24,,1,1,1,0,0,1,20060825
J0288,HCPCS,Ampho b cholesteryl sulfate,,,29 ,,NW,,,,,,$35.00,,1,1,1,0,0,1,20060825
J0289,HCPCS,Amphotericin b liposome inj,,,29 ,,NW,,,,,,$74.94,,1,1,1,0,0,1,20060825
J0290,HCPCS,Ampicillin 500 MG inj,,,29 ,2,NW,,,,,,$3.50,,1,1,1,0,0,1,20060825
J0295,HCPCS,Ampicillin sodium per 1.5 gm,,,29 ,2,NW,,,,,,$17.27,,1,1,1,0,0,1,20060825
J0300,HCPCS,Amobarbital 125 MG inj,,,29 ,2,NW,,,,,,$5.47,,1,1,1,0,0,1,20060825
J0330,HCPCS,Succinycholine chloride inj,,,29 ,2,NW,,,,,,$0.54,,1,1,1,0,0,1,20060825
J0360,HCPCS,Hydralazine hcl injection,,,29 ,2,NW,,,,,,$36.97,,1,1,1,0,0,1,20060825
J0365,HCPCS,"Aprotonin, 10,000 kiu",,,29 ,,NW,,,,,,$24.95,,1,1,1,0,0,1,20060825
J0380,HCPCS,Inj metaraminol bitartrate,,,29 ,2,NW,,,,,,$2.52,,1,1,1,0,0,1,20060825
J0390,HCPCS,Chloroquine injection,,,29 ,2,NW,,,,,,$55.32,,1,1,1,0,0,1,20060825
J0456,HCPCS,Azithromycin,,,29 ,2,NW,,,,,,$56.78,,1,1,1,0,0,1,20060825
J0460,HCPCS,Atropine sulfate injection,,,29 ,2,NW,,,,,,$1.52,,1,1,1,0,0,1,20060825
J0470,HCPCS,Dimecaprol injection,,,29 ,2,NW,,,,,,$53.88,,1,1,1,0,0,1,20060825
J0475,HCPCS,Baclofen 10 MG injection,,,29 ,2,NW,,,,,,$387.30,,1,1,1,0,0,1,20060825
J0476,HCPCS,Baclofen intrathecal trial,,,29 ,,NW,,,,,,$151.22,,1,1,1,0,0,1,20060825
J0480,HCPCS,Basiliximab,,,29 ,,NW,,,,,,$22.77,,1,1,1,0,0,1,20060825
J0500,HCPCS,Dicyclomine injection,,,29 ,2,NW,,,,,,$39.93,,1,1,1,0,0,1,20060825
J0515,HCPCS,Inj benztropine mesylate,,,29 ,2,NW,,,,,,$8.42,,1,1,1,0,0,1,20060825
J0520,HCPCS,INJ BETHANCHOL CHLORID MYTONCHOL/URECHOLN UP 5MG,,,29 ,,NW,,,,,,$5.72,,1,1,1,0,0,1,20060825
J0530,HCPCS,Penicillin g benzathine inj,,,29 ,2,NW,,,,,,$28.11,,1,1,1,0,0,1,20060825
J0540,HCPCS,Penicillin g benzathine inj,,,29 ,2,NW,,,,,,$53.14,,1,1,1,0,0,1,20060825
J0550,HCPCS,Penicillin g benzathine inj,,,29 ,2,NW,,,,,,$99.64,,1,1,1,0,0,1,20060825
J0560,HCPCS,Penicillin g benzathine inj,,,29 ,2,NW,,,,,,$23.19,,1,1,1,0,0,1,20060825
J0570,HCPCS,Penicillin g benzathine inj,,,29 ,2,NW,,,,,,$45.83,,1,1,1,0,0,1,20060825
J0580,HCPCS,Penicillin g benzathine inj,,,29 ,2,NW,,,,,,$81.49,,1,1,1,0,0,1,20060825
J0585,HCPCS,Botulinum toxin a per unit,,,29 ,,NW,,,,,,$11.38,,1,1,1,0,0,1,20060825
J0587,HCPCS,Botulinum toxin type B,,,29 ,,NW,,,,,,$20.24,,1,1,1,0,0,1,20060825
J0592,HCPCS,Buprenorphine hydrochloride,,,29 ,2,NW,,,,,,$1.52,,1,1,1,0,0,1,20060825
J0600,HCPCS,Edetate calcium disodium inj,,,29 ,2,NW,,,,,,$89.47,,1,1,1,0,0,1,20060825
J0610,HCPCS,Calcium gluconate injection,,,29 ,2,NW,,,,,,$1.52,,1,1,1,0,0,1,20060825
J0620,HCPCS,Calcium glycer & lact/10 ML,,,29 ,2,NW,,,,,,$14.33,,1,1,1,0,0,1,20060825
J0630,HCPCS,Calcitonin salmon injection,,,29 ,2,NW,,,,,,$79.29,,1,1,1,0,0,1,20060825
J0636,HCPCS,Inj calcitriol per 0.1 mcg,,,29 ,2,NW,,,,,,$0.54,,1,1,1,0,0,1,20060825
J0637,HCPCS,Caspofungin acetate,,,29 ,,NW,,,,,,$69.85,,1,1,1,0,0,1,20060825
J0640,HCPCS,Leucovorin calcium injection,,,29 ,2,NW,,,,,,$7.43,,1,1,1,0,0,1,20060825
J0670,HCPCS,Inj mepivacaine HCL/10 ml,,,29 ,2,NW,,,,,,$4.49,,1,1,1,0,0,1,20060825
J0690,HCPCS,Cefazolin sodium injection,,,29 ,2,NW,,,,,,$4.49,,1,1,1,0,0,1,20060825
J0692,HCPCS,Cefepime HCl for injection,,,29 ,2,NW,,,,,,$1.52,,1,1,1,0,0,1,20060825
J0694,HCPCS,Cefoxitin sodium injection,,,29 ,2,NW,,,,,,$25.15,,1,1,1,0,0,1,20060825
J0696,HCPCS,Ceftriaxone sodium injection,,,29 ,2,NW,,,,,,$35.00,,1,1,1,0,0,1,20060825
J0697,HCPCS,Sterile cefuroxime injection,,,29 ,2,NW,,,,,,$7.43,,1,1,1,0,0,1,20060825
J0698,HCPCS,Cefotaxime sodium injection,,,29 ,2,NW,,,,,,$22.21,,1,1,1,0,0,1,20060825
J0702,HCPCS,Betamethasone acet&sod phosp,,,29 ,2,NW,,,,,,$11.38,,1,1,1,0,0,1,20060825
J0704,HCPCS,Betamethasone sod phosp/4 MG,,,29 ,2,NW,,,,,,$2.52,,1,1,1,0,0,1,20060825
J0706,HCPCS,Caffeine citrate injection,,,29 ,2,NW,,,,,,$7.43,,1,1,1,0,0,1,20060825
J0710,HCPCS,Cephapirin sodium injection,,,29 ,2,NW,,,,,,$17.23,,1,1,1,0,0,1,20060825
J0713,HCPCS,Inj ceftazidime per 500 mg,,,29 ,2,NW,,,,,,$15.31,,1,1,1,0,0,1,20060825
J0715,HCPCS,Ceftizoxime sodium / 500 MG,,,29 ,2,NW,,,,,,$11.38,,1,1,1,0,0,1,20060825
J0720,HCPCS,Chloramphenicol sodium injec,,,29 ,2,NW,,,,,,$16.29,,1,1,1,0,0,1,20060825
J0725,HCPCS,Chorionic gonadotropin/1000u,,,29 ,2,NW,,,,,,$5.47,,1,1,1,0,0,1,20060825
J0735,HCPCS,Clonidine hydrochloride,,,29 ,2,NW,,,,,,$108.35,,1,1,1,0,0,1,20060825
J0740,HCPCS,Cidofovir injection,,,29 ,2,NW,,,,,,"$1,481.30",,1,1,1,0,0,1,20060825
J0743,HCPCS,Cilastatin sodium injection,,,29 ,2,NW,,,,,,$36.97,,1,1,1,0,0,1,20060825
J0744,HCPCS,Ciprofloxacin iv,,,29 ,2,NW,,,,,,$32.05,,1,1,1,0,0,1,20060825
J0745,HCPCS,Inj codeine phosphate /30 MG,,,29 ,2,NW,,,,,,$0.54,,1,1,1,0,0,1,20060825
J0760,HCPCS,Colchicine injection,,,29 ,2,NW,,,,,,$16.29,,1,1,1,0,0,1,20060825
J0770,HCPCS,Colistimethate sodium inj,,,29 ,2,NW,,,,,,$106.90,,1,1,1,0,0,1,20060825
J0780,HCPCS,Prochlorperazine injection,,,29 ,2,NW,,,,,,$9.40,,1,1,1,0,0,1,20060825
J0795,HCPCS,Corticorelin ovine triflutal,,,29 ,,NW,,,,,,$21.74,,1,1,1,0,0,1,20060825
J0800,HCPCS,Corticotropin injection,,,29 ,2,NW,,,,,,$174.46,,1,1,1,0,0,1,20060825
J0835,HCPCS,Inj cosyntropin per 0.25 MG,,,29 ,2,NW,,,,,,$42.88,,1,1,1,0,0,1,20060825
J0850,HCPCS,Cytomegalovirus imm IV /vial,,,29 ,,NW,,,,,,"$1,251.76",,1,1,1,0,0,1,20060825
J0881,HCPCS,"Darbepoetin alfa, non-esrd",,,29 ,,NW,,,,,,$15.88,,1,1,1,0,0,1,20060825
J0882,HCPCS,"Darbepoetin alfa, esrd use",,,29 ,,NW,,,,,,$25.35,,1,1,1,0,0,1,20060825
J0885,HCPCS,"Epoetin alfa, non-esrd",,,29 ,,NW,,,,,,$15.88,,1,1,1,0,0,1,20060825
J0886,HCPCS,"Epoetin alfa, esrd",,,29 ,,NW,,,,,,$5.07,,1,1,1,0,0,1,20060825
J0895,HCPCS,Deferoxamine mesylate inj,,,29 ,2,NW,,,,,,$35.99,,1,1,1,0,0,1,20060825
J0900,HCPCS,Testosterone enanthate inj,,,29 ,2,NW,,,,,,$3.50,,1,1,1,0,0,1,20060825
J0945,HCPCS,Brompheniramine maleate inj,,,29 ,2,NW,,,,,,$1.52,,1,1,1,0,0,1,20060825
J0970,HCPCS,Estradiol valerate injection,,,29 ,2,NW,,,,,,$3.50,,1,1,1,0,0,1,20060825
J1000,HCPCS,Depo-estradiol cypionate inj,,,29 ,2,NW,,,,,,$4.49,,1,1,1,0,0,1,20060825
J1020,HCPCS,Methylprednisolone 20 MG inj,,,29 ,2,NW,,,,,,$5.47,,1,1,1,0,0,1,20060825
J1030,HCPCS,Methylprednisolone 40 MG inj,,,29 ,2,NW,,,,,,$9.40,,1,1,1,0,0,1,20060825
J1040,HCPCS,Methylprednisolone 80 MG inj,,,29 ,2,NW,,,,,,$19.25,,1,1,1,0,0,1,20060825
J1051,HCPCS,Medroxyprogesterone inj,,,29 ,2,NW,,,,,,$11.38,,1,1,1,0,0,1,20060825
J1055,HCPCS,Medrxyprogester acetate inj,,,29 ,,NW,,,,,,$130.15,,1,1,1,0,0,1,20060825
J1056,HCPCS,MA/EC contraceptiveinjection,,,29 ,,NW,,,,,,$55.32,,1,1,1,0,0,1,20060825
J1060,HCPCS,Testosterone cypionate 1 ML,,,29 ,2,NW,,,,,,$10.39,,1,1,1,0,0,1,20060825
J1070,HCPCS,Testosterone cypionat 100 MG,,,29 ,2,NW,,,,,,$11.38,,1,1,1,0,0,1,20060825
J1080,HCPCS,Testosterone cypionat 200 MG,,,29 ,2,NW,,,,,,$22.21,,1,1,1,0,0,1,20060825
J1094,HCPCS,Inj dexamethasone acetate,,,29 ,2,NW,,,,,,$1.52,,1,1,1,0,0,1,20060825
J1100,HCPCS,Dexamethasone sodium phos,,,29 ,2,NW,,,,,,$0.54,,1,1,1,0,0,1,20060825
J1110,HCPCS,Inj dihydroergotamine mesylt,,,29 ,2,NW,,,,,,$82.93,,1,1,1,0,0,1,20060825
J1120,HCPCS,Acetazolamid sodium injectio,,,29 ,2,NW,,,,,,$47.80,,1,1,1,0,0,1,20060825
J1160,HCPCS,Digoxin injection,,,29 ,2,NW,,,,,,$3.50,,1,1,1,0,0,1,20060825
J1162,HCPCS,Digoxin immune fab (ovine),,,29 ,,NW,,,,,,$13.82,,1,1,1,0,0,1,20060825
J1165,HCPCS,Phenytoin sodium injection,,,29 ,2,NW,,,,,,$1.52,,1,1,1,0,0,1,20060825
J1170,HCPCS,Hydromorphone injection,,,29 ,2,NW,,,,,,$3.50,,1,1,1,0,0,1,20060825
J1180,HCPCS,Dyphylline injection,,,29 ,2,NW,,,,,,$21.22,,1,1,1,0,0,1,20060825
J1190,HCPCS,Dexrazoxane HCl injection,,,29 ,,NW,,,,,,$419.99,,1,1,1,0,0,1,20060825
J1200,HCPCS,Diphenhydramine hcl injectio,,,29 ,2,NW,,,,,,$3.50,,1,1,1,0,0,1,20060825
J1205,HCPCS,Chlorothiazide sodium inj,,,29 ,2,NW,,,,,,$24.17,,1,1,1,0,0,1,20060825
J1212,HCPCS,Dimethyl sulfoxide 50% 50 ML,,,29 ,2,NW,,,,,,$90.20,,1,1,1,0,0,1,20060825
J1230,HCPCS,Methadone injection,,,29 ,2,NW,,,,,,$1.52,,1,1,1,0,0,1,20060825
J1240,HCPCS,Dimenhydrinate injection,,,29 ,2,NW,,,,,,$0.54,,1,1,1,0,0,1,20060825
J1245,HCPCS,Dipyridamole injection,,,29 ,,NW,,,,,,$13.35,,1,1,1,0,0,1,20060825
J1250,HCPCS,Inj dobutamine HCL/250 mg,,,29 ,2,NW,,,,,,$10.39,,1,1,1,0,0,1,20060825
J1260,HCPCS,Dolasetron mesylate,,,29 ,2,NW,,,,,,$44.32,,1,1,1,0,0,1,20060825
J1270,HCPCS,"Injection, doxercalciferol",,,29 ,2,NW,,,,,,$12.36,,1,1,1,0,0,1,20060825
J1320,HCPCS,Amitriptyline injection,,,29 ,2,NW,,,,,,$6.45,,1,1,1,0,0,1,20060825
J1325,HCPCS,Epoprostenol injection,,,29 ,2,NW,,,,,,$28.68,,1,1,1,0,0,1,20060825
J1327,HCPCS,Eptifibatide injection,,,29 ,,NW,,,,,,$30.08,,1,1,1,0,0,1,20060825
J1330,HCPCS,Ergonovine maleate injection,,,29 ,,NW,,,,,,$35.43,,1,0,1,0,0,1,20060825
J1364,HCPCS,Erythro lactobionate /500 MG,,,29 ,2,NW,,,,,,$7.43,,1,1,1,0,0,1,20060825
J1380,HCPCS,Estradiol valerate 10 MG inj,,,29 ,2,NW,,,,,,$0.54,,1,1,1,0,0,1,20060825
J1390,HCPCS,Estradiol valerate 20 MG inj,,,29 ,2,NW,,,,,,$2.52,,1,1,1,0,0,1,20060825
J1410,HCPCS,Inj estrogen conjugate 25 MG,,,29 ,2,NW,,,,,,$119.25,,1,1,1,0,0,1,20060825
J1430,HCPCS,Ethanolamine oleate 100 mg,,,29 ,,NW,,,,,,$13.82,,1,1,1,0,0,1,20060825
J1435,HCPCS,Injection estrone per 1 MG,,,29 ,2,NW,,,,,,$0.54,,1,1,1,0,0,1,20060825
J1436,HCPCS,Etidronate disodium inj,,,29 ,2,NW,,,,,,$146.13,,1,1,1,0,0,1,20060825
J1438,HCPCS,Etanercept injection,,,29 ,,NW,,,,,,$282.70,,1,1,1,0,0,1,20060825
J1440,HCPCS,Filgrastim 300 mcg injection,,,29 ,,NW,,,,,,$321.20,,1,1,1,0,0,1,20060825
J1441,HCPCS,Filgrastim 480 mcg injection,,,29 ,,NW,,,,,,$533.31,,1,1,1,0,0,1,20060825
J1450,HCPCS,Fluconazole,,,29 ,2,NW,,,,,,$179.54,,1,1,1,0,0,1,20060825
J1451,HCPCS,"Fomepizole, 15 mg",,,29 ,,NW,,,,,,$13.62,,1,1,1,0,0,1,20060825
J1452,HCPCS,Intraocular Fomivirsen na,,,29 ,2,NW,,,,,,"$1,666.55",,1,1,1,0,0,1,20060825
J1455,HCPCS,Foscarnet sodium injection,,,29 ,2,NW,,,,,,$30.08,,1,1,1,0,0,1,20060825
J1460,HCPCS,Gamma globulin 1 CC inj,,,29 ,2,NW,,,,,,$26.15,,1,1,1,0,0,1,20060825
J1470,HCPCS,Gamma globulin 2 CC inj,,,29 ,,NW,,,,,,$52.42,,1,1,1,0,0,1,20060825
J1480,HCPCS,Gamma globulin 3 CC inj,,,29 ,,NW,,,,,,$72.03,,1,1,1,0,0,1,20060825
J1490,HCPCS,Gamma globulin 4 CC inj,,,29 ,,NW,,,,,,$91.65,,1,1,1,0,0,1,20060825
J1500,HCPCS,Gamma globulin 5 CC inj,,,29 ,,NW,,,,,,$111.98,,1,1,1,0,0,1,20060825
J1510,HCPCS,Gamma globulin 6 CC inj,,,29 ,,NW,,,,,,$131.60,,1,1,1,0,0,1,20060825
J1520,HCPCS,Gamma globulin 7 CC inj,,,29 ,,NW,,,,,,$151.22,,1,1,1,0,0,1,20060825
J1530,HCPCS,Gamma globulin 8 CC inj,,,29 ,,NW,,,,,,$171.56,,1,1,1,0,0,1,20060825
J1540,HCPCS,Gamma globulin 9 CC inj,,,29 ,,NW,,,,,,$191.16,,1,1,1,0,0,1,20060825
J1550,HCPCS,Gamma globulin 10 CC inj,,,29 ,,NW,,,,,,$210.78,,1,1,1,0,0,1,20060825
J1560,HCPCS,Gamma globulin > 10 CC inj,,,29 ,,NW,,,,,,$21.29,,1,1,1,0,0,1,20060825
J1565,HCPCS,RSV-ivig,,,29 ,,NW,,,,,,$38.94,,1,1,1,0,0,1,20060825
J1566,HCPCS,"Immune globulin, powder",,,29 ,,NW,,,,,,$13.38,,1,1,1,0,0,1,20060825
J1567,HCPCS,"Immune globulin, liquid",,,29 ,,NW,,,,,,$12.72,,1,1,1,0,0,1,20060825
J1570,HCPCS,Ganciclovir sodium injection,,,29 ,,NW,,,,,,$73.48,,1,1,1,0,0,1,20060825
J1580,HCPCS,Garamycin gentamicin inj,,,29 ,2,NW,,,,,,$4.49,,1,1,1,0,0,1,20060825
J1590,HCPCS,Gatifloxacin injection,,,29 ,2,NW,,,,,,$1.52,,1,1,1,0,0,1,20060825
J1595,HCPCS,Injection glatiramer acetate,,,29 ,,NW,,,,,,$704.65,,1,0,1,0,0,1,20060825
J1600,HCPCS,Gold sodium thiomaleate inj,,,29 ,2,NW,,,,,,$31.07,,1,1,1,0,0,1,20060825
J1610,HCPCS,Glucagon hydrochloride/1 MG,,,29 ,2,NW,,,,,,$91.65,,1,1,1,0,0,1,20060825
J1620,HCPCS,Gonadorelin hydroch/ 100 mcg,,,29 ,2,NW,,,,,,$364.06,,1,1,1,0,0,1,20060825
J1626,HCPCS,Granisetron HCl injection,,,29 ,,NW,,,,,,$40.91,,1,1,1,0,0,1,20060825
J1630,HCPCS,Haloperidol injection,,,29 ,2,NW,,,,,,$15.31,,1,1,1,0,0,1,20060825
J1631,HCPCS,Haloperidol decanoate inj,,,29 ,2,NW,,,,,,$21.22,,1,1,1,0,0,1,20060825
J1640,HCPCS,"Hemin, 1 mg",,,29 ,,NW,,,,,,$12.63,,1,1,1,0,0,1,20060825
J1642,HCPCS,Inj heparin sodium per 10 u,,,29 ,2,NW,,,,,,$0.54,,1,1,1,0,0,1,20060825
J1644,HCPCS,Inj heparin sodium per 1000u,,,29 ,2,NW,,,,,,$0.54,,1,1,1,0,0,1,20060825
J1645,HCPCS,Dalteparin sodium,,,29 ,2,NW,,,,,,$36.97,,1,1,1,0,0,1,20060825
J1650,HCPCS,Inj enoxaparin sodium,,,29 ,2,NW,,,,,,$14.33,,1,1,1,0,0,1,20060825
J1652,HCPCS,Fondaparinux sodium,,,29 ,2,NW,,,,,,$19.25,,1,1,1,0,0,1,20060825
J1655,HCPCS,Tinzaparin sodium injection,,,29 ,2,NW,,,,,,$8.42,,1,1,1,0,0,1,20060825
J1670,HCPCS,Tetanus immune globulin inj,,,29 ,2,NW,,,,,,$219.50,,1,1,1,0,0,1,20060825
J1700,HCPCS,Hydrocortisone acetate inj,,,29 ,2,NW,,,,,,$0.54,,1,1,1,0,0,1,20060825
J1710,HCPCS,Hydrocortisone sodium ph inj,,,29 ,2,NW,,,,,,$16.29,,1,1,1,0,0,1,20060825
J1720,HCPCS,Hydrocortisone sodium succ i,,,29 ,2,NW,,,,,,$4.49,,1,1,1,0,0,1,20060825
J1730,HCPCS,Diazoxide injection,,,29 ,2,NW,,,,,,$226.77,,1,1,1,0,0,1,20060825
J1742,HCPCS,Ibutilide fumarate injection,,,29 ,2,NW,,,,,,$449.78,,1,1,1,0,0,1,20060825
J1745,HCPCS,Infliximab injection,,,29 ,,NW,,,,,,$126.51,,1,1,1,0,0,1,20060825
J1751,HCPCS,Iron dextran 165 injection,,,29 ,,NW,,,,,,$11.77,,1,1,1,0,0,1,20060825
J1752,HCPCS,Iron dextran 267 injection,,,29 ,,NW,,,,,,$10.92,,1,1,1,0,0,1,20060825
J1756,HCPCS,Iron sucrose injection,,,29 ,2,NW,,,,,,$1.52,,1,1,1,0,0,1,20060825
J1785,HCPCS,Injection imiglucerase /unit,,,29 ,,NW,,,,,,$9.40,,1,1,1,0,0,1,20060825
J1790,HCPCS,Droperidol injection,,,29 ,2,NW,,,,,,$6.45,,1,1,1,0,0,1,20060825
J1800,HCPCS,Propranolol injection,,,29 ,2,NW,,,,,,$27.13,,1,1,1,0,0,1,20060825
J1810,HCPCS,Droperidol/fentanyl inj,,,29 ,,NW,,,,,,$14.24,,1,1,1,0,0,1,20060825
J1815,HCPCS,Insulin injection,,,29 ,2,NW,,,,,,$0.54,,1,1,1,0,0,1,20060825
J1817,HCPCS,Insulin for insulin pump use,,,29 ,2,NW,,,,,,$6.45,,1,1,1,0,0,1,20060825
J1825,HCPCS,Interferon beta-1a,,,29 ,,NW,,,,,,$596.52,,1,1,1,0,0,1,20060825
J1830,HCPCS,Interferon beta-1b / .25 MG,,,29 ,,NW,,,,,,$129.42,,1,1,1,0,0,1,20060825
J1835,HCPCS,Itraconazole injection,,,29 ,2,NW,,,,,,$76.39,,1,1,1,0,0,1,20060825
J1840,HCPCS,Kanamycin sulfate 500 MG inj,,,29 ,2,NW,,,,,,$7.43,,1,1,1,0,0,1,20060825
J1850,HCPCS,Kanamycin sulfate 75 MG inj,,,29 ,2,NW,,,,,,$0.54,,1,1,1,0,0,1,20060825
J1885,HCPCS,Ketorolac tromethamine inj,,,29 ,2,NW,,,,,,$8.42,,1,1,1,0,0,1,20060825
J1890,HCPCS,Cephalothin sodium injection,,,29 ,2,NW,,,,,,$24.17,,1,1,1,0,0,1,20060825
J1940,HCPCS,Furosemide injection,,,29 ,2,NW,,,,,,$1.52,,1,1,1,0,0,1,20060825
J1945,HCPCS,Lepiridin,,,29 ,,NW,,,,,,$9.87,,1,1,1,0,0,1,20060825
J1950,HCPCS,Leuprolide acetate /3.75 MG,,,29 ,,NW,,,,,,$895.08,,1,1,1,0,0,1,20060825
J1955,HCPCS,Inj levocarnitine per 1 gm,,,29 ,,NW,,,,,,$72.03,,1,1,1,0,0,1,20060825
J1956,HCPCS,Levofloxacin injection,,,29 ,2,NW,,,,,,$48.79,,1,1,1,0,0,1,20060825
J1960,HCPCS,Levorphanol tartrate inj,,,29 ,2,NW,,,,,,$8.42,,1,1,1,0,0,1,20060825
J1980,HCPCS,Hyoscyamine sulfate inj,,,29 ,2,NW,,,,,,$20.24,,1,1,1,0,0,1,20060825
J1990,HCPCS,Chlordiazepoxide injection,,,29 ,2,NW,,,,,,$56.05,,1,1,1,0,0,1,20060825
J2001,HCPCS,INJECTION LIDO HCL IV INFUS 10 MG,,,29 ,,NW,,,,,,$1.05,,1,1,1,0,0,1,20060825
J2010,HCPCS,Lincomycin injection,,,29 ,2,NW,,,,,,$7.43,,1,1,1,0,0,1,20060825
J2020,HCPCS,Linezolid injection,,,29 ,,NW,,,,,,$76.39,,1,1,1,0,0,1,20060825
J2060,HCPCS,Lorazepam injection,,,29 ,2,NW,,,,,,$7.43,,1,1,1,0,0,1,20060825
J2150,HCPCS,Mannitol injection,,,29 ,2,NW,,,,,,$7.43,,1,1,1,0,0,1,20060825
J2175,HCPCS,Meperidine hydrochl /100 MG,,,29 ,2,NW,,,,,,$0.54,,1,1,1,0,0,1,20060825
J2180,HCPCS,Meperidine/promethazine inj,,,29 ,2,NW,,,,,,$10.39,,1,1,1,0,0,1,20060825
J2210,HCPCS,Methylergonovin maleate inj,,,29 ,2,NW,,,,,,$9.40,,1,1,1,0,0,1,20060825
J2250,HCPCS,Inj midazolam hydrochloride,,,29 ,2,NW,,,,,,$2.52,,1,1,1,0,0,1,20060825
J2260,HCPCS,Inj milrinone lactate / 5 MG,,,29 ,,NW,,,,,,$102.54,,1,1,1,0,0,1,20060825
J2270,HCPCS,Morphine sulfate injection,,,29 ,2,NW,,,,,,$1.52,,1,1,1,0,0,1,20060825
J2271,HCPCS,Morphine so4 injection 100mg,,,29 ,2,NW,,,,,,$10.39,,1,1,1,0,0,1,20060825
J2275,HCPCS,Morphine sulfate injection,,,29 ,2,NW,,,,,,$4.49,,1,1,1,0,0,1,20060825
J2278,HCPCS,Ziconotide injection,,,29 ,,NW,,,,,,$8.91,,1,1,1,0,0,1,20060825
J2300,HCPCS,Inj nalbuphine hydrochloride,,,29 ,2,NW,,,,,,$3.50,,1,1,1,0,0,1,20060825
J2310,HCPCS,Inj naloxone hydrochloride,,,29 ,2,NW,,,,,,$5.47,,1,1,1,0,0,1,20060825
J2320,HCPCS,Nandrolone decanoate 50 MG,,,29 ,2,NW,,,,,,$8.42,,1,1,1,0,0,1,20060825
J2321,HCPCS,Nandrolone decanoate 100 MG,,,29 ,2,NW,,,,,,$16.29,,1,1,1,0,0,1,20060825
J2322,HCPCS,Nandrolone decanoate 200 MG,,,29 ,2,NW,,,,,,$36.97,,1,1,1,0,0,1,20060825
J2325,HCPCS,Nesiritide injection,,,29 ,,NW,,,,,,$8.71,,1,1,1,0,0,1,20060825
J2355,HCPCS,Oprelvekin injection,,,29 ,,NW,,,,,,$478.83,,1,1,1,0,0,1,20060825
J2360,HCPCS,Orphenadrine injection,,,29 ,2,NW,,,,,,$12.36,,1,1,1,0,0,1,20060825
J2370,HCPCS,Phenylephrine hcl injection,,,29 ,2,NW,,,,,,$2.52,,1,1,1,0,0,1,20060825
J2400,HCPCS,Chloroprocaine hcl injection,,,29 ,2,NW,,,,,,$14.33,,1,1,1,0,0,1,20060825
J2405,HCPCS,Ondansetron hcl injection,,,29 ,2,NW,,,,,,$14.33,,1,1,1,0,0,1,20060825
J2410,HCPCS,Oxymorphone hcl injection,,,29 ,2,NW,,,,,,$6.45,,1,1,1,0,0,1,20060825
J2425,HCPCS,Palifermin injection,,,29 ,,NW,,,,,,$7.71,,1,1,1,0,0,1,20060825
J2430,HCPCS,Pamidronate disodium /30 MG,,,29 ,,NW,,,,,,$475.20,,1,1,1,0,0,1,20060825
J2440,HCPCS,Papaverin hcl injection,,,29 ,2,NW,,,,,,$7.43,,1,1,1,0,0,1,20060825
J2460,HCPCS,Oxytetracycline injection,,,29 ,2,NW,,,,,,$1.52,,1,1,1,0,0,1,20060825
J2501,HCPCS,Paricalcitol,,,29 ,2,NW,,,,,,$11.38,,1,1,1,0,0,1,20060825
J2503,HCPCS,Pegaptanib sodium injection,,,29 ,,NW,,,,,,$6.91,,1,1,1,0,0,1,20060825
J2504,HCPCS,"Pegademase bovine, 25 iu",,,29 ,,NW,,,,,,$6.84,,1,1,1,0,0,1,20060825
J2510,HCPCS,Penicillin g procaine inj,,,29 ,2,NW,,,,,,$22.21,,1,1,1,0,0,1,20060825
J2513,HCPCS,Pentastarch 10% solution,,,29 ,,NW,,,,,,$6.60,,1,1,1,0,0,1,20060825
J2515,HCPCS,Pentobarbital sodium inj,,,29 ,2,NW,,,,,,$2.52,,1,1,1,0,0,1,20060825
J2540,HCPCS,Penicillin g potassium inj,,,29 ,2,NW,,,,,,$0.54,,1,1,1,0,0,1,20060825
J2543,HCPCS,Piperacillin/tazobactam,,,29 ,2,NW,,,,,,$11.38,,1,1,1,0,0,1,20060825
J2545,HCPCS,Pentamidine isethionte/300mg,,,29 ,,NW,,,,,,$90.20,,1,1,1,0,0,1,20060825
J2550,HCPCS,Promethazine hcl injection,,,29 ,2,NW,,,,,,$6.45,,1,1,1,0,0,1,20060825
J2560,HCPCS,Phenobarbital sodium inj,,,29 ,2,NW,,,,,,$3.50,,1,1,1,0,0,1,20060825
J2590,HCPCS,Oxytocin injection,,,29 ,2,NW,,,,,,$2.52,,1,1,1,0,0,1,20060825
J2597,HCPCS,Inj desmopressin acetate,,,29 ,2,NW,,,,,,$7.43,,1,1,1,0,0,1,20060825
J2650,HCPCS,Prednisolone acetate inj,,,29 ,2,NW,,,,,,$0.54,,1,1,1,0,0,1,20060825
J2670,HCPCS,Totazoline hcl injection,,,29 ,2,NW,,,,,,$8.42,,1,1,1,0,0,1,20060825
J2675,HCPCS,Inj progesterone per 50 MG,,,29 ,2,NW,,,,,,$8.42,,1,1,1,0,0,1,20060825
J2680,HCPCS,Fluphenazine decanoate 25 MG,,,29 ,2,NW,,,,,,$20.24,,1,1,1,0,0,1,20060825
J2690,HCPCS,Procainamide hcl injection,,,29 ,2,NW,,,,,,$2.52,,1,1,1,0,0,1,20060825
J2700,HCPCS,Oxacillin sodium injeciton,,,29 ,2,NW,,,,,,$1.52,,1,1,1,0,0,1,20060825
J2710,HCPCS,Neostigmine methylslfte inj,,,29 ,2,NW,,,,,,$1.52,,1,1,1,0,0,1,20060825
J2720,HCPCS,Inj protamine sulfate/10 MG,,,29 ,2,NW,,,,,,$1.52,,1,1,1,0,0,1,20060825
J2725,HCPCS,Inj protirelin per 250 mcg,,,29 ,2,NW,,,,,,$54.60,,1,1,1,0,0,1,20060825
J2730,HCPCS,Pralidoxime chloride inj,,,29 ,2,NW,,,,,,$191.90,,1,1,1,0,0,1,20060825
J2760,HCPCS,Phentolaine mesylate inj,,,29 ,2,NW,,,,,,$67.67,,1,1,1,0,0,1,20060825
J2765,HCPCS,Metoclopramide hcl injection,,,29 ,2,NW,,,,,,$3.50,,1,1,1,0,0,1,20060825
J2770,HCPCS,Quinupristin/dalfopristin,,,29 ,2,NW,,,,,,$212.24,,1,1,1,0,0,1,20060825
J2780,HCPCS,Ranitidine hydrochloride inj,,,29 ,2,NW,,,,,,$2.52,,1,1,1,0,0,1,20060825
J2788,HCPCS,Rho d immune globulin 50 mcg,,,29 ,,NW,,,,,,$101.83,,1,1,1,0,0,1,20060825
J2790,HCPCS,Rho d immune globulin inj,,,29 ,,NW,,,,,,$186.81,,1,1,1,0,0,1,20060825
J2792,HCPCS,"Rho(D) immune globulin h, sd",,,29 ,,NW,,,,,,$47.80,,1,1,1,0,0,1,20060825
J2795,HCPCS,Ropivacaine HCl injection,,,29 ,2,NW,,,,,,$0.54,,1,1,1,0,0,1,20060825
J2800,HCPCS,Methocarbamol injection,,,29 ,2,NW,,,,,,$8.42,,1,1,1,0,0,1,20060825
J2805,HCPCS,Sincalide injection,,,29 ,,NW,,,,,,$6.60,,1,1,1,0,0,1,20060825
J2810,HCPCS,Inj theophylline per 40 MG,,,29 ,2,NW,,,,,,$1.48,,1,1,1,0,0,1,20060825
J2820,HCPCS,Sargramostim injection,,,29 ,,NW,,,,,,$60.41,,1,1,1,0,0,1,20060825
J2850,HCPCS,Inj secretin synthetic human,,,29 ,,NW,,,,,,$6.60,,1,1,1,0,0,1,20060825
J2910,HCPCS,Aurothioglucose injeciton,,,29 ,2,NW,,,,,,$39.93,,1,1,1,0,0,1,20060825
J2912,HCPCS,Sodium chloride injection,,,29 ,2,NW,,,,,,$0.54,,1,1,1,0,0,1,20060825
J2916,HCPCS,Na ferric gluconate complex,,,29 ,2,NW,,,,,,$19.25,,1,1,1,0,0,1,20060825
J2920,HCPCS,Methylprednisolone injection,,,29 ,2,NW,,,,,,$3.50,,1,1,1,0,0,1,20060825
J2930,HCPCS,Methylprednisolone injection,,,29 ,2,NW,,,,,,$4.49,,1,1,1,0,0,1,20060825
J2940,HCPCS,Somatrem injection,,,29 ,2,NW,,,,,,$91.65,,1,1,1,0,0,1,20060825
J2941,HCPCS,Somatropin injection,,,29 ,,NW,,,,,,$92.38,,1,1,1,0,0,1,20060825
J2950,HCPCS,Promazine hcl injection,,,29 ,2,NW,,,,,,$0.54,,1,1,1,0,0,1,20060825
J2993,HCPCS,Reteplase injection,,,29 ,,NW,,,,,,"$2,286.19",,1,1,1,0,0,1,20060825
J2995,HCPCS,Inj streptokinase /250000 IU,,,29 ,,NW,,,,,,$167.19,,1,1,1,0,0,1,20060825
J2997,HCPCS,Alteplase recombinant,,,29 ,,NW,,,,,,$76.39,,1,1,1,0,0,1,20060825
J3000,HCPCS,Streptomycin injection,,,29 ,2,NW,,,,,,$14.33,,1,1,1,0,0,1,20060825
J3010,HCPCS,Fentanyl citrate injeciton,,,29 ,2,NW,,,,,,$1.52,,1,1,1,0,0,1,20060825
J3030,HCPCS,Sumatriptan succinate / 6 MG,,,29 ,2,NW,,,,,,$58.95,,1,1,1,0,0,1,20060825
J3070,HCPCS,Pentazocine injection,,,29 ,2,NW,,,,,,$12.36,,1,1,1,0,0,1,20060825
J3100,HCPCS,Tenecteplase injection,,,29 ,,NW,,,,,,"$4,696.48",,1,1,1,0,0,1,20060825
J3105,HCPCS,Terbutaline sulfate inj,,,29 ,2,NW,,,,,,$63.32,,1,1,1,0,0,1,20060825
J3110,HCPCS,Teriparatide injection,,,29 ,,NW,,,,,,$368.20,,1,0,1,0,0,1,20060825
J3120,HCPCS,Testosterone enanthate inj,,,29 ,2,NW,,,,,,$21.22,,1,1,1,0,0,1,20060825
J3130,HCPCS,Testosterone enanthate inj,,,29 ,2,NW,,,,,,$41.91,,1,1,1,0,0,1,20060825
J3140,HCPCS,Testosterone suspension inj,,,29 ,2,NW,,,,,,$14.42,,1,1,1,0,0,1,20060825
J3150,HCPCS,Testosteron propionate inj,,,29 ,2,NW,,,,,,$3.50,,1,1,1,0,0,1,20060825
J3230,HCPCS,Chlorpromazine hcl injection,,,29 ,2,NW,,,,,,$10.39,,1,1,1,0,0,1,20060825
J3240,HCPCS,Thyrotropin injection,,,29 ,,NW,,,,,,"$1,087.59",,1,1,1,0,0,1,20060825
J3250,HCPCS,Trimethobenzamide hcl inj,,,29 ,2,NW,,,,,,$3.50,,1,1,1,0,0,1,20060825
J3260,HCPCS,Tobramycin sulfate injection,,,29 ,2,NW,,,,,,$10.39,,1,1,1,0,0,1,20060825
J3265,HCPCS,Injection torsemide 10 mg/ml,,,29 ,2,NW,,,,,,$3.50,,1,1,1,0,0,1,20060825
J3280,HCPCS,Thiethylperazine maleate inj,,,29 ,2,NW,,,,,,$13.35,,1,1,1,0,0,1,20060825
J3285,HCPCS,Treprostinil injection,,,29 ,,NW,,,,,,$6.60,,1,1,1,0,0,1,20060825
J3301,HCPCS,Triamcinolone acetonide inj,,,29 ,2,NW,,,,,,$3.50,,1,1,1,0,0,1,20060825
J3302,HCPCS,Triamcinolone diacetate inj,,,29 ,2,NW,,,,,,$0.54,,1,1,1,0,0,1,20060825
J3303,HCPCS,Triamcinolone hexacetonl inj,,,29 ,2,NW,,,,,,$1.52,,1,1,1,0,0,1,20060825
J3305,HCPCS,Inj trimetrexate glucoronate,,,29 ,,NW,,,,,,$260.18,,1,1,1,0,0,1,20060825
J3310,HCPCS,Perphenazine injeciton,,,29 ,2,NW,,,,,,$21.22,,1,1,1,0,0,1,20060825
J3315,HCPCS,Triptorelin pamoate,,,29 ,,NW,,,,,,$706.22,,1,1,1,0,0,1,20060825
J3320,HCPCS,Spectinomycn di-hcl inj,,,29 ,2,NW,,,,,,$61.86,,1,1,1,0,0,1,20060825
J3350,HCPCS,Urea injection,,,29 ,2,NW,,,,,,$202.79,,1,1,1,0,0,1,20060825
J3355,HCPCS,"Urofollitropin, 75 iu",,,29 ,,NW,,,,,,$6.60,,1,1,1,0,0,1,20060825
J3360,HCPCS,Diazepam injection,,,29 ,2,NW,,,,,,$1.52,,1,1,1,0,0,1,20060825
J3364,HCPCS,Urokinase 5000 IU injection,,,29 ,2,NW,,,,,,$24.17,,1,1,1,0,0,1,20060825
J3365,HCPCS,"Urokinase 250,000 IU inj",,,29 ,,NW,,,,,,$903.07,,1,1,1,0,0,1,20060825
J3370,HCPCS,Vancomycin hcl injection,,,29 ,2,NW,,,,,,$6.45,,1,1,1,0,0,1,20060825
J3400,HCPCS,Triflupromazine hcl inj,,,29 ,2,NW,,,,,,$82.10,,1,1,1,0,0,1,20060825
J3410,HCPCS,Hydroxyzine hcl injection,,,29 ,2,NW,,,,,,$2.52,,1,1,1,0,0,1,20060825
J3420,HCPCS,Vitamin b12 injection,,,29 ,2,NW,,,,,,$0.54,,1,1,1,0,0,1,20060825
J3430,HCPCS,Vitamin k phytonadione inj,,,29 ,2,NW,,,,,,$4.49,,1,1,1,0,0,1,20060825
J3470,HCPCS,Hyaluronidase injection,,,29 ,2,NW,,,,,,$59.69,,1,1,1,0,0,1,20060825
J3471,HCPCS,"Ovine, up to 999 USP units",,,29 ,,NW,,,,,,$5.35,,1,1,1,0,0,1,20060825
J3472,HCPCS,"Ovine, 1000 USP units",,,29 ,,NW,,,,,,$5.35,,1,1,1,0,0,1,20060825
J3475,HCPCS,Inj magnesium sulfate,,,29 ,2,NW,,,,,,$0.54,,1,1,1,0,0,1,20060825
J3480,HCPCS,Inj potassium chloride,,,29 ,2,NW,,,,,,$0.54,,1,1,1,0,0,1,20060825
J3485,HCPCS,Zidovudine,,,29 ,2,NW,,,,,,$1.52,,1,1,1,0,0,1,20060825
J3487,HCPCS,Zoledronic acid,,,29 ,,NW,,,,,,$390.93,,1,1,1,0,0,1,20060825
J3490,HCPCS,Drugs unclassified injection,,,29 ,2,NW,,,,,,$16.04,,1,1,1,0,0,1,20060825
J3520,HCPCS,Edetate disodium per 150 mg,,,29 ,,NW,,,,,,$0.54,,1,1,1,0,0,1,20060825
J3535,HCPCS,Metered dose inhaler drug,,,29 ,,NW,,,,,,$2.21,,1,1,1,0,0,1,20060825
J3570,HCPCS,Laetrile amygdalin vit B17,,,29 ,,NW,,,,,,$39.53,,1,1,1,0,0,1,20060825
J7030,HCPCS,Normal saline solution infus,,,29 ,2,NW,,,,,,$19.25,,1,1,1,0,0,1,20060825
J7040,HCPCS,Normal saline solution infus,,,29 ,2,NW,,,,,,$10.39,,1,1,1,0,0,1,20060825
J7042,HCPCS,5% dextrose/normal saline,,,29 ,2,NW,,,,,,$22.21,,1,1,1,0,0,1,20060825
J7050,HCPCS,Normal saline solution infus,,,29 ,2,NW,,,,,,$3.50,,1,1,1,0,0,1,20060825
J7060,HCPCS,5% dextrose/water,,,29 ,2,NW,,,,,,$20.24,,1,1,1,0,0,1,20060825
J7070,HCPCS,D5w infusion,,,29 ,2,NW,,,,,,$25.15,,1,1,1,0,0,1,20060825
J7100,HCPCS,Dextran 40 infusion,,,29 ,2,NW,,,,,,$56.05,,1,1,1,0,0,1,20060825
J7110,HCPCS,Dextran 75 infusion,,,29 ,2,NW,,,,,,$33.03,,1,1,1,0,0,1,20060825
J7120,HCPCS,Ringers lactate infusion,,,29 ,2,NW,,,,,,$27.13,,1,1,1,0,0,1,20060825
J7130,HCPCS,Hypertonic saline solution,,,29 ,2,NW,,,,,,$0.54,,1,1,1,0,0,1,20060825
J7188,HCPCS,Inj Vonwillebrand factor iu,,,29 ,,NW,,,,,,$4.33,,1,1,1,0,0,1,20060825
J7189,HCPCS,Factor viia,,,29 ,,NW,,,,,,$4.27,,1,1,1,0,0,1,20060825
J7190,HCPCS,Factor viii,,,29 ,,NW,,,,,,$1.52,,1,1,1,0,0,1,20060825
J7191,HCPCS,Factor VIII (porcine),,,29 ,,NW,,,,,,$4.49,,1,1,1,0,0,1,20060825
J7192,HCPCS,Factor viii recombinant,,,29 ,,NW,,,,,,$2.52,,1,1,1,0,0,1,20060825
J7193,HCPCS,Factor IX non-recombinant,,,29 ,,NW,,,,,,$2.52,,1,1,1,0,0,1,20060825
J7194,HCPCS,Factor ix complex,,,29 ,,NW,,,,,,$0.54,,1,1,1,0,0,1,20060825
J7195,HCPCS,Factor IX recombinant,,,29 ,,NW,,,,,,$2.52,,1,1,1,0,0,1,20060825
J7197,HCPCS,Antithrombin iii injection,,,29 ,2,NW,,,,,,$3.50,,1,1,1,0,0,1,20060825
J7198,HCPCS,Anti-inhibitor,,,29 ,,NW,,,,,,$3.50,,1,1,1,0,0,1,20060825
J7300,HCPCS,Intraut copper contraceptive,,,29 ,,NW,,,,,,$510.71,,1,1,1,1,1,1,20060825
J7302,HCPCS,Levonorgestrel iu contracept,,,29 ,,NW,,,,,,$859.48,,1,1,1,1,1,1,20060825
J7308,HCPCS,Aminolevulinic acid hcl top,,,29 ,2,NW,,,,,,$188.26,,1,1,1,0,0,1,20060825
J7310,HCPCS,Ganciclovir long act implant,,,29 ,,NW,,,,,,"$8,281.40",,1,1,1,0,0,1,20060825
J7317,HCPCS,Sodium hyaluronate injection,,,29 ,,NW,,,,,,$121.03,,1,1,1,0,0,1,20060825
J7320,HCPCS,Hylan G-F 20 injection,,,29 ,,NW,,,,,,$212.80,,1,1,1,0,0,1,20060825
J7330,HCPCS,Cultured chondrocytes implnt,,,29 ,,NW,,,,,,"$26,406.51",,1,1,1,0,0,1,20060825
J7340,HCPCS,Metabolic active D/E tissue,,,29 ,,NW,,,,,,$63.32,,1,1,1,0,0,1,20060825
J7341,HCPCS,"Non-human, metabolic tissue",,,29 ,,NW,,,,,,$3.27,,1,1,1,0,0,1,20060825
J7342,HCPCS,Metabolically active tissue,,,28 ,2,NW,,,,,,$26.57,,1,1,1,0,0,1,20060825
J7343,HCPCS,Nonmetabolic act d/e tissue,,,29 ,,NW,,,,,,$11.44,,1,0,1,0,0,1,20060825
J7344,HCPCS,Nonmetabolic active tissue,,,28 ,,NW,,,,,,$67.81,,1,0,1,0,0,1,20060825
J7500,HCPCS,Azathioprine oral 50mg,,,29 ,2,NW,,,,,,$2.52,,1,1,1,0,0,1,20060825
J7501,HCPCS,Azathioprine parenteral,,,29 ,2,NW,,,,,,$116.35,,1,1,1,0,0,1,20060825
J7502,HCPCS,Cyclosporine oral 100 mg,,,29 ,,NW,,,,,,$12.36,,1,1,1,0,0,1,20060825
J7504,HCPCS,Lymphocyte immune globulin,,,29 ,,NW,,,,,,$497.73,,1,1,1,0,0,1,20060825
J7505,HCPCS,Monoclonal antibodies,,,29 ,,NW,,,,,,"$1,787.13",,1,1,1,0,0,1,20060825
J7506,HCPCS,Prednisone oral,,,29 ,2,NW,,,,,,$0.54,,1,1,1,0,0,1,20060825
J7507,HCPCS,Tacrolimus oral per 1 MG,,,29 ,,NW,,,,,,$7.43,,1,1,1,0,0,1,20060825
J7509,HCPCS,Methylprednisolone oral,,,29 ,2,NW,,,,,,$0.54,,1,1,1,0,0,1,20060825
J7510,HCPCS,Prednisolone oral per 5 mg,,,29 ,2,NW,,,,,,$0.54,,1,1,1,0,0,1,20060825
J7511,HCPCS,Antithymocyte globuln rabbit,,,29 ,,NW,,,,,,$635.02,,1,1,1,0,0,1,20060825
J7513,HCPCS,"Daclizumab, parenteral",,,29 ,,NW,,,,,,$752.70,,1,1,1,0,0,1,20060825
J7515,HCPCS,Cyclosporine oral 25 mg,,,29 ,2,NW,,,,,,$2.52,,1,1,1,0,0,1,20060825
J7516,HCPCS,Cyclosporin parenteral 250mg,,,29 ,2,NW,,,,,,$69.85,,1,1,1,0,0,1,20060825
J7517,HCPCS,Mycophenolate mofetil oral,,,29 ,,NW,,,,,,$6.45,,1,1,1,0,0,1,20060825
J7520,HCPCS,"Sirolimus, oral",,,29 ,,NW,,,,,,$16.29,,1,1,1,0,0,1,20060825
J7525,HCPCS,Tacrolimus injection,,,29 ,,NW,,,,,,$219.50,,1,1,1,0,0,1,20060825
J7599,HCPCS,Immunosuppressive drug noc,,,29 ,2,NW,,,,,,$6.76,,1,1,1,0,0,1,20060825
J7608,HCPCS,Acetylcysteine inh sol u d,,,29 ,,NW,,,,,,$62.59,,1,1,1,0,0,1,20060825
J7611,HCPCS,ALBUTEROL INHAL CONC FORM 1 MG,,,29 ,,NW,,,,,,$0.45,,1,1,1,0,0,1,20060825
J7612,HCPCS,Levalbuterol concentrated,,,29 ,,NW,,,,,,$49.77,,1,1,1,0,0,1,20060825
J7613,HCPCS,ALBUTEROL INHAL UNIT DOSE 1 MG,,,29 ,,NW,,,,,,$0.45,,1,1,1,0,0,1,20060825
J7614,HCPCS,LEVALBUTEROL INHAL UNIT DOSE 0.5 MG,,,29 ,,NW,,,,,,$2.04,,1,1,1,0,0,1,20060825
J7620,HCPCS,Albuterol non-compounded,,,29 ,,NW,,,,,,$0.45,,1,1,1,0,0,1,20060825
J7622,HCPCS,Beclomethasone inhalatn sol,,,29 ,,NW,,,,,,$0.54,,1,1,1,0,0,1,20060825
J7624,HCPCS,Betamethasone inhalation sol,,,29 ,,NW,,,,,,$1.75,,1,1,1,0,0,1,20060825
J7626,HCPCS,Budesonide inhalation sol,,,29 ,,NW,,,,,,$10.39,,1,1,1,0,0,1,20060825
J7628,HCPCS,Bitolterol mes inhal sol con,,,29 ,,NW,,,,,,$0.61,,1,1,1,0,0,1,20060825
J7629,HCPCS,Bitolterol mes inh sol u d,,,29 ,,NW,,,,,,$1.52,,1,1,1,0,0,1,20060825
J7631,HCPCS,Cromolyn sodium inh sol u d,,,29 ,,NW,,,,,,$0.54,,1,1,1,0,0,1,20060825
J7633,HCPCS,Budesonide concentrated sol,,,29 ,2,NW,,,,,,$0.54,,1,1,1,0,0,1,20060825
J7635,HCPCS,Atropine inhal sol con,,,29 ,,NW,,,,,,$0.54,,1,1,1,0,0,1,20060825
J7636,HCPCS,Atropine inhal sol unit dose,,,29 ,,NW,,,,,,$0.54,,1,1,1,0,0,1,20060825
J7637,HCPCS,Dexamethasone inhal sol con,,,29 ,,NW,,,,,,$0.54,,1,1,1,0,0,1,20060825
J7638,HCPCS,Dexamethasone inhal sol u d,,,29 ,,NW,,,,,,$0.54,,1,1,1,0,0,1,20060825
J7639,HCPCS,Dornase alpha inhal sol u d,,,29 ,,NW,,,,,,$38.94,,1,1,1,0,0,1,20060825
J7641,HCPCS,"Flunisolide, inhalation sol",,,29 ,,NW,,,,,,$0.54,,1,1,1,0,0,1,20060825
J7642,HCPCS,Glycopyrrolate inhal sol con,,,29 ,,NW,,,,,,$0.54,,1,1,1,0,0,1,20060825
J7643,HCPCS,Glycopyrrolate inhal sol u d,,,29 ,,NW,,,,,,$0.54,,1,1,1,0,0,1,20060825
J7644,HCPCS,Ipratropium brom inh sol u d,,,29 ,,NW,,,,,,$7.43,,1,1,1,0,0,1,20060825
J7649,HCPCS,Isoetharine hcl inh sol u d,,,29 ,,NW,,,,,,$1.52,,1,1,1,0,0,1,20060825
J7658,HCPCS,Isoproterenolhcl inh sol con,,,29 ,,NW,,,,,,$8.42,,1,1,1,0,0,1,20060825
J7659,HCPCS,Isoproterenol hcl inh sol ud,,,29 ,,NW,,,,,,$8.42,,1,1,1,0,0,1,20060825
J7668,HCPCS,Metaproterenol inh sol con,,,29 ,,NW,,,,,,$0.17,,1,1,1,0,0,1,20060825
J7669,HCPCS,Metaproterenol inh sol u d,,,29 ,,NW,,,,,,$2.66,,1,1,1,0,0,1,20060825
J7680,HCPCS,Terbutaline so4 inh sol con,,,29 ,,NW,,,,,,$0.54,,1,1,1,0,0,1,20060825
J7681,HCPCS,Terbutaline so4 inh sol u d,,,29 ,,NW,,,,,,$0.54,,1,1,1,0,0,1,20060825
J7682,HCPCS,Tobramycin inhalation sol,,,29 ,,NW,,,,,,$118.53,,1,1,1,0,0,1,20060825
J7683,HCPCS,Triamcinolone inh sol con,,,29 ,,NW,,,,,,$0.54,,1,1,1,0,0,1,20060825
J7684,HCPCS,Triamcinolone inh sol u d,,,29 ,,NW,,,,,,$0.54,,1,1,1,0,0,1,20060825
J7699,HCPCS,Inhalation solution for DME,,,29 ,,NW,,,,,,$19.41,,1,1,1,0,0,1,20060825
J7799,HCPCS,Non-inhalation drug for DME,,,29 ,,NW,,,,,,$68.74,,1,1,1,0,0,1,20060825
J8499,HCPCS,Oral prescrip drug non chemo,,,29 ,,NW,,,,,,$2.47,,1,1,1,0,0,1,20060825
J8501,HCPCS,Oral aprepitant,,,29 ,,NW,,,,,,$323.00,,1,0,1,0,0,1,20060825
J8510,HCPCS,Oral busulfan,,,29 ,,NW,,,,,,$7.20,,1,1,1,0,0,1,20060825
J8520,HCPCS,"Capecitabine, oral, 150 mg",,,29 ,,NW,,,,,,$9.58,,1,1,1,0,0,1,20060825
J8521,HCPCS,"Capecitabine, oral, 500 mg",,,29 ,,NW,,,,,,$33.55,,1,1,1,0,0,1,20060825
J8530,HCPCS,Cyclophosphamide oral 25 MG,,,29 ,2,NW,,,,,,$8.39,,1,1,1,0,0,1,20060825
J8540,HCPCS,Oral dexamethasone,,,29 ,,NW,,,,,,$3.23,,1,1,1,0,0,1,20060825
J8560,HCPCS,Etoposide oral 50 MG,,,29 ,,NW,,,,,,$178.89,,1,1,1,0,0,1,20060825
J8565,HCPCS,Gefitinib oral,,,29 ,,NW,,,,,,"$1,267.70",,1,0,1,0,0,1,20060825
J8600,HCPCS,Melphalan oral 2 MG,,,29 ,2,NW,,,,,,$8.39,,1,1,1,0,0,1,20060825
J8610,HCPCS,Methotrexate oral 2.5 MG,,,29 ,2,NW,,,,,,$11.99,,1,1,1,0,0,1,20060825
J8700,HCPCS,Temozolomide,,,29 ,,NW,,,,,,$23.96,,1,1,1,0,0,1,20060825
J8999,HCPCS,Oral prescription drug chemo,,,29 ,,NW,,,,,,$19.28,,1,1,1,0,0,1,20060825
J9000,HCPCS,Doxorubic hcl 10 MG vl chemo,,,29 ,,NW,,,,,,$27.56,,1,1,1,0,0,1,20060825
J9001,HCPCS,Doxorubicin hcl liposome inj,,,29 ,,NW,,,,,,$697.50,,1,1,1,0,0,1,20060825
J9010,HCPCS,Alemtuzumab injection,,,29 ,,NW,,,,,,"$1,030.19",,1,1,1,0,0,1,20060825
J9015,HCPCS,Aldesleukin/single use vial,,,29 ,,NW,,,,,,"$1,348.52",,1,1,1,0,0,1,20060825
J9017,HCPCS,Arsenic trioxide,,,29 ,,NW,,,,,,$9.58,,1,1,1,0,0,1,20060825
J9020,HCPCS,Asparaginase injection,,,29 ,,NW,,,,,,$154.33,,1,1,1,0,0,1,20060825
J9025,HCPCS,Azacitidine injection,,,29 ,,NW,,,,,,$2.48,,1,1,1,0,0,1,20060825
J9027,HCPCS,Clofarabine injection,,,29 ,,NW,,,,,,$1.10,,1,1,1,0,0,1,20060825
J9031,HCPCS,Bcg live intravesical vac,,,29 ,,NW,,,,,,$375.28,,1,1,1,0,0,1,20060825
J9040,HCPCS,Bleomycin sulfate injection,,,29 ,,NW,,,,,,$393.23,,1,1,1,0,0,1,20060825
J9045,HCPCS,Carboplatin injection,,,29 ,,NW,,,,,,$333.74,,1,1,1,0,0,1,20060825
J9050,HCPCS,Carmus bischl nitro inj,,,29 ,2,NW,,,,,,$320.51,,1,1,1,0,0,1,20060825
J9060,HCPCS,Cisplatin 10 MG injection,,,29 ,,NW,,,,,,$43.14,,1,1,1,0,0,1,20060825
J9062,HCPCS,Cisplatin 50 MG injection,,,29 ,,NW,,,,,,$184.55,,1,1,1,0,0,1,20060825
J9065,HCPCS,Inj cladribine per 1 MG,,,29 ,,NW,,,,,,$133.56,,1,1,1,0,0,1,20060825
J9070,HCPCS,Cyclophosphamide 100 MG inj,,,29 ,,NW,,,,,,$16.77,,1,1,1,0,0,1,20060825
J9080,HCPCS,Cyclophosphamide 200 MG inj,,,29 ,,NW,,,,,,$31.15,,1,1,1,0,0,1,20060825
J9090,HCPCS,Cyclophosphamide 500 MG inj,,,29 ,,NW,,,,,,$64.62,,1,1,1,0,0,1,20060825
J9091,HCPCS,Cyclophosphamide 1.0 grm inj,,,29 ,,NW,,,,,,$116.56,,1,1,1,0,0,1,20060825
J9092,HCPCS,Cyclophosphamide 2.0 grm inj,,,29 ,,NW,,,,,,$219.48,,1,1,1,0,0,1,20060825
J9093,HCPCS,Cyclophosphamide lyophilized,,,29 ,,NW,,,,,,$16.77,,1,1,1,0,0,1,20060825
J9094,HCPCS,Cyclophosphamide lyophilized,,,29 ,,NW,,,,,,$33.55,,1,1,1,0,0,1,20060825
J9095,HCPCS,Cyclophosphamide lyophilized,,,29 ,,NW,,,,,,$64.62,,1,1,1,0,0,1,20060825
J9096,HCPCS,Cyclophosphamide lyophilized,,,29 ,,NW,,,,,,$116.56,,1,1,1,0,0,1,20060825
J9097,HCPCS,Cyclophosphamide lyophilized,,,29 ,,NW,,,,,,$225.15,,1,1,1,0,0,1,20060825
J9100,HCPCS,Cytarabine hcl 100 MG inj,,,29 ,,NW,,,,,,$23.96,,1,1,1,0,0,1,20060825
J9110,HCPCS,Cytarabine hcl 500 MG inj,,,29 ,,NW,,,,,,$23.96,,1,1,1,0,0,1,20060825
J9120,HCPCS,Dactinomycin actinomycin d,,,29 ,2,NW,,,,,,$39.54,,1,1,1,0,0,1,20060825
J9130,HCPCS,Dacarbazine 100 mg inj,,,29 ,,NW,,,,,,$32.35,,1,1,1,0,0,1,20060825
J9140,HCPCS,Dacarbazine 200 MG inj,,,29 ,,NW,,,,,,$62.74,,1,1,1,0,0,1,20060825
J9150,HCPCS,Daunorubicin,,,29 ,,NW,,,,,,$180.76,,1,1,1,0,0,1,20060825
J9151,HCPCS,Daunorubicin citrate liposom,,,29 ,,NW,,,,,,$159.05,,1,1,1,0,0,1,20060825
J9160,HCPCS,"Denileukin diftitox, 300 mcg",,,29 ,,NW,,,,,,"$2,329.05",,1,1,1,0,0,1,20060825
J9165,HCPCS,Diethylstilbestrol injection,,,29 ,2,NW,,,,,,$41.94,,1,1,1,0,0,1,20060825
J9170,HCPCS,Docetaxel,,,29 ,,NW,,,,,,$695.25,,1,1,1,0,0,1,20060825
J9181,HCPCS,Etoposide 10 MG inj,,,29 ,,NW,,,,,,$4.80,,1,1,1,0,0,1,20060825
J9182,HCPCS,Etoposide 100 MG inj,,,29 ,,NW,,,,,,$49.12,,1,1,1,0,0,1,20060825
J9185,HCPCS,Fludarabine phosphate inj,,,29 ,,NW,,,,,,$726.79,,1,1,1,0,0,1,20060825
J9190,HCPCS,Fluorouracil injection,,,29 ,2,NW,,,,,,$6.00,,1,1,1,0,0,1,20060825
J9200,HCPCS,Floxuridine injection,,,29 ,,NW,,,,,,$327.13,,1,1,1,0,0,1,20060825
J9201,HCPCS,Gemcitabine HCl,,,29 ,,NW,,,,,,$270.47,,1,1,1,0,0,1,20060825
J9202,HCPCS,Goserelin acetate implant,,,29 ,,NW,,,,,,$832.36,,1,1,1,0,0,1,20060825
J9206,HCPCS,Irinotecan injection,,,29 ,,NW,,,,,,$323.36,,1,1,1,0,0,1,20060825
J9208,HCPCS,Ifosfomide injection,,,29 ,,NW,,,,,,$352.62,,1,1,1,0,0,1,20060825
J9209,HCPCS,Mesna injection,,,29 ,,NW,,,,,,$92.01,,1,1,1,0,0,1,20060825
J9211,HCPCS,Idarubicin hcl injection,,,29 ,,NW,,,,,,$831.67,,1,1,1,0,0,1,20060825
J9212,HCPCS,Interferon alfacon-1,,,29 ,2,NW,,,,,,$9.40,,1,1,1,0,0,1,20060825
J9213,HCPCS,Interferon alfa-2a inj,,,29 ,,NW,,,,,,$92.01,,1,1,1,0,0,1,20060825
J9214,HCPCS,Interferon alfa-2b inj,,,29 ,,NW,,,,,,$43.14,,1,1,1,0,0,1,20060825
J9215,HCPCS,Interferon alfa-n3 inj,,,29 ,,NW,,,,,,$22.77,,1,1,1,0,0,1,20060825
J9216,HCPCS,Interferon gamma 1-b inj,,,29 ,,NW,,,,,,$485.50,,1,1,1,0,0,1,20060825
J9217,HCPCS,Leuprolide acetate suspnsion,,,29 ,,NW,,,,,,"$1,061.31",,1,1,1,0,0,1,20060825
J9218,HCPCS,Leuprolide acetate injeciton,,,29 ,,NW,,,,,,$71.23,,1,1,1,0,0,1,20060825
J9219,HCPCS,Leuprolide acetate implant,,,29 ,,NW,,,,,,"$9,012.15",,1,1,1,0,0,1,20060825
J9225,HCPCS,Histrelin implant,,,29 ,,NW,,,,,,$1.09,,1,1,1,0,0,1,20060825
J9230,HCPCS,Mechlorethamine hcl inj,,,29 ,2,NW,,,,,,$34.75,,1,1,1,0,0,1,20060825
J9245,HCPCS,Inj melphalan hydrochl 50 MG,,,29 ,,NW,,,,,,$832.36,,1,1,1,0,0,1,20060825
J9250,HCPCS,Methotrexate sodium inj,,,29 ,2,NW,,,,,,$1.20,,1,1,1,0,0,1,20060825
J9260,HCPCS,Methotrexate sodium inj,,,29 ,,NW,,,,,,$13.18,,1,1,1,0,0,1,20060825
J9263,HCPCS,Oxaliplatin,,,29 ,,NW,,,,,,$636.92,,1,0,1,0,0,1,20060825
J9264,HCPCS,Paclitaxel injection,,,29 ,,NW,,,,,,$0.94,,1,1,1,0,0,1,20060825
J9265,HCPCS,Paclitaxel injection,,,29 ,,NW,,,,,,$366.78,,1,1,1,0,0,1,20060825
J9266,HCPCS,Pegaspargase/singl dose vial,,,29 ,2,NW,,,,,,"$2,486.41",,1,1,1,0,0,1,20060825
J9268,HCPCS,Pentostatin injection,,,29 ,,NW,,,,,,"$3,160.91",,1,1,1,0,0,1,20060825
J9270,HCPCS,Plicamycin (mithramycin) inj,,,29 ,,NW,,,,,,$225.15,,1,1,1,0,0,1,20060825
J9280,HCPCS,Mitomycin 5 MG inj,,,29 ,,NW,,,,,,$157.17,,1,1,1,0,0,1,20060825
J9290,HCPCS,Mitomycin 20 MG inj,,,29 ,,NW,,,,,,$481.98,,1,1,1,0,0,1,20060825
J9291,HCPCS,Mitomycin 40 MG inj,,,29 ,,NW,,,,,,$610.26,,1,1,1,0,0,1,20060825
J9293,HCPCS,Mitoxantrone hydrochl / 5 MG,,,29 ,,NW,,,,,,$732.28,,1,1,1,0,0,1,20060825
J9300,HCPCS,Gemtuzumab ozogamicin,,,29 ,,NW,,,,,,"$3,729.18",,1,1,1,0,0,1,20060825
J9310,HCPCS,Rituximab cancer treatment,,,29 ,,NW,,,,,,$926.27,,1,1,1,0,0,1,20060825
J9320,HCPCS,Streptozocin injection,,,29 ,,NW,,,,,,$332.80,,1,1,1,0,0,1,20060825
J9340,HCPCS,Thiotepa injection,,,29 ,,NW,,,,,,$224.20,,1,1,1,0,0,1,20060825
J9350,HCPCS,Topotecan,,,29 ,,NW,,,,,,"$1,438.32",,1,1,1,0,0,1,20060825
J9355,HCPCS,Trastuzumab,,,29 ,,NW,,,,,,$113.44,,1,1,1,0,0,1,20060825
J9357,HCPCS,"Valrubicin, 200 mg",,,29 ,,NW,,,,,,$929.21,,1,1,1,0,0,1,20060825
J9360,HCPCS,Vinblastine sulfate inj,,,29 ,2,NW,,,,,,$9.58,,1,1,1,0,0,1,20060825
J9370,HCPCS,Vincristine sulfate 1 MG inj,,,29 ,2,NW,,,,,,$51.51,,1,1,1,0,0,1,20060825
J9375,HCPCS,Vincristine sulfate 2 MG inj,,,29 ,,NW,,,,,,$129.77,,1,1,1,0,0,1,20060825
J9380,HCPCS,Vincristine sulfate 5 MG inj,,,29 ,,NW,,,,,,$214.76,,1,1,1,0,0,1,20060825
J9390,HCPCS,Vinorelbine tartrate/10 mg,,,29 ,,NW,,,,,,$205.33,,1,1,1,0,0,1,20060825
J9600,HCPCS,Porfimer sodium,,,29 ,,NW,,,,,,"$4,418.77",,1,1,1,0,0,1,20060825
J9999,HCPCS,Chemotherapy drug,,,29 ,2,NW,,,,,,$33.25,,1,1,1,0,0,1,20060825
K0001,HCPCS,Standard wheelchair,RR,,28 ,,NW,,,,,,$79.71,,1,1,1,1,1,1,20060825
K0001,HCPCS,Standard wheelchair,UE,,28 ,,NW,,,,,,$592.70,,1,1,1,1,1,1,20060825
K0001,HCPCS,Standard wheelchair,NU,,28 ,,NW,,,,,,$790.26,,1,1,1,1,1,1,20060825
K0002,HCPCS,Stnd hemi (low seat) whlchr,RR,,28 ,,NW,,,,,,$119.13,,1,1,1,1,1,1,20060825
K0002,HCPCS,Stnd hemi (low seat) whlchr,UE,,28 ,,NW,,,,,,$740.88,,1,1,1,1,1,1,20060825
K0002,HCPCS,Stnd hemi (low seat) whlchr,NU,,28 ,,NW,,,,,,$943.68,,1,1,1,1,1,1,20060825
K0003,HCPCS,Lightweight wheelchair,RR,,28 ,,NW,,,,,,$130.36,,1,1,1,1,1,1,20060825
K0003,HCPCS,Lightweight wheelchair,UE,,28 ,,NW,,,,,,"$1,112.88",,1,1,1,1,1,1,20060825
K0003,HCPCS,Lightweight wheelchair,NU,,28 ,,NW,,,,,,"$1,482.90",,1,1,1,1,1,1,20060825
K0004,HCPCS,High strength ltwt whlchr,RR,,28 ,,NW,,,,,,$194.18,,1,1,1,1,1,1,20060825
K0004,HCPCS,High strength ltwt whlchr,UE,,28 ,,NW,,,,,,"$1,733.99",,1,1,1,1,1,1,20060825
K0004,HCPCS,High strength ltwt whlchr,NU,,28 ,,NW,,,,,,"$2,312.24",,1,1,1,1,1,1,20060825
K0005,HCPCS,Ultralightweight wheelchair,RR,,28 ,,NW,,,,,,$268.36,,1,1,1,1,1,1,20060825
K0005,HCPCS,Ultralightweight wheelchair,UE,,28 ,,NW,,,,,,"$2,009.06",,1,1,1,1,1,1,20060825
K0005,HCPCS,Ultralightweight wheelchair,NU,,28 ,,NW,,,,,,"$2,678.58",,1,1,1,1,1,1,20060825
K0006,HCPCS,Heavy duty wheelchair,RR,,28 ,,NW,,,,,,$182.25,,1,1,1,1,1,1,20060825
K0006,HCPCS,Heavy duty wheelchair,UE,,28 ,,NW,,,,,,"$1,250.97",,1,1,1,1,1,1,20060825
K0006,HCPCS,Heavy duty wheelchair,NU,,28 ,,NW,,,,,,"$1,659.72",,1,1,1,1,1,1,20060825
K0007,HCPCS,Extra heavy duty wheelchair,RR,,28 ,,NW,,,,,,$259.16,,1,1,1,1,1,1,20060825
K0007,HCPCS,Extra heavy duty wheelchair,UE,,28 ,,NW,,,,,,"$2,535.34",,1,1,1,1,1,1,20060825
K0007,HCPCS,Extra heavy duty wheelchair,NU,,28 ,,NW,,,,,,"$2,589.40",,1,1,1,1,1,1,20060825
K0009,HCPCS,Other manual wheelchair/base,,,28 ,,NW,,,,,,$606.96,,1,1,1,1,1,1,20060825
K0010,HCPCS,Stnd wt frame power whlchr,RR,,28 ,,NW,,,,,,$617.65,,1,1,1,1,1,1,20060825
K0010,HCPCS,Stnd wt frame power whlchr,UE,,28 ,,NW,,,,,,"$4,632.11",,1,1,1,1,1,1,20060825
K0010,HCPCS,Stnd wt frame power whlchr,NU,,28 ,,NW,,,,,,"$6,174.75",,1,1,1,1,1,1,20060825
K0011,HCPCS,Stnd wt pwr whlchr w control,RR,,28 ,,NW,,,,,,$767.80,,1,1,1,1,1,1,20060825
K0011,HCPCS,Stnd wt pwr whlchr w control,NU,,28 ,,NW,,,,,,"$10,404.90",,1,1,1,1,1,1,20060825
K0012,HCPCS,Ltwt portbl power whlchr,RR,,28 ,,NW,,,,,,$471.24,,1,1,1,1,1,1,20060825
K0012,HCPCS,Ltwt portbl power whlchr,,,28 ,,NW,,,,,,"$4,483.25",,1,1,1,1,1,1,20060825
K0014,HCPCS,Other power whlchr base,,,28 ,,NW,,,,,,$5.40,,1,1,1,1,1,1,20060825
K0015,HCPCS,Detach non-adjus hght armrst,RR,,28 ,,NW,,,,,,$28.92,,1,1,1,1,1,1,20060825
K0015,HCPCS,Detach non-adjus hght armrst,UE,,28 ,,NW,,,,,,$197.99,,1,1,1,1,1,1,20060825
K0015,HCPCS,Detach non-adjus hght armrst,NU,,28 ,,NW,,,,,,$263.79,,1,1,1,1,1,1,20060825
K0017,HCPCS,Detach adjust armrest base,RR,,28 ,,NW,,,,,,$10.81,,1,1,1,1,1,1,20060825
K0017,HCPCS,Detach adjust armrest base,UE,,28 ,,NW,,,,,,$56.81,,1,1,1,1,1,1,20060825
K0017,HCPCS,Detach adjust armrest base,NU,,28 ,,NW,,,,,,$74.62,,1,1,1,1,1,1,20060825
K0018,HCPCS,Detach adjust armrst upper,RR,,28 ,,NW,,,,,,$6.10,,1,1,1,1,1,1,20060825
K0018,HCPCS,Detach adjust armrst upper,UE,,28 ,,NW,,,,,,$33.41,,1,1,1,1,1,1,20060825
K0018,HCPCS,Detach adjust armrst upper,NU,,28 ,,NW,,,,,,$43.28,,1,1,1,1,1,1,20060825
K0019,HCPCS,Arm pad each,RR,,28 ,,NW,,,,,,$3.71,,1,1,1,1,1,1,20060825
K0019,HCPCS,Arm pad each,UE,,28 ,,NW,,,,,,$21.64,,1,1,1,1,1,1,20060825
K0019,HCPCS,Arm pad each,NU,,28 ,,NW,,,,,,$27.61,,1,1,1,1,1,1,20060825
K0020,HCPCS,Fixed adjust armrest pair,RR,,28 ,,NW,,,,,,$9.99,,1,1,1,1,1,1,20060825
K0020,HCPCS,Fixed adjust armrest pair,UE,,28 ,,NW,,,,,,$51.97,,1,1,1,1,1,1,20060825
K0020,HCPCS,Fixed adjust armrest pair,NU,,28 ,,NW,,,,,,$68.09,,1,1,1,1,1,1,20060825
K0037,HCPCS,High mount flip-up footrest,RR,,28 ,,NW,,,,,,$9.24,,1,1,1,1,1,1,20060825
K0037,HCPCS,High mount flip-up footrest,UE,,28 ,,NW,,,,,,$53.77,,1,1,1,1,1,1,20060825
K0037,HCPCS,High mount flip-up footrest,NU,,28 ,,NW,,,,,,$70.43,,1,1,1,1,1,1,20060825
K0038,HCPCS,Leg strap each,RR,,28 ,,NW,,,,,,$5.22,,1,1,1,1,1,1,20060825
K0038,HCPCS,Leg strap each,UE,,28 ,,NW,,,,,,$28.94,,1,1,1,1,1,1,20060825
K0038,HCPCS,Leg strap each,NU,,28 ,,NW,,,,,,$37.34,,1,1,1,1,1,1,20060825
K0039,HCPCS,Leg strap h style each,RR,,28 ,,NW,,,,,,$11.21,,1,1,1,1,1,1,20060825
K0039,HCPCS,Leg strap h style each,UE,,28 ,,NW,,,,,,$59.71,,1,1,1,1,1,1,20060825
K0039,HCPCS,Leg strap h style each,NU,,28 ,,NW,,,,,,$78.64,,1,1,1,1,1,1,20060825
K0040,HCPCS,Adjustable angle footplate,RR,,28 ,,NW,,,,,,$14.05,,1,1,1,1,1,1,20060825
K0040,HCPCS,Adjustable angle footplate,UE,,28 ,,NW,,,,,,$81.70,,1,1,1,1,1,1,20060825
K0040,HCPCS,Adjustable angle footplate,NU,,28 ,,NW,,,,,,$108.76,,1,1,1,1,1,1,20060825
K0041,HCPCS,Large size footplate each,RR,,28 ,,NW,,,,,,$11.08,,1,1,1,1,1,1,20060825
K0041,HCPCS,Large size footplate each,UE,,28 ,,NW,,,,,,$58.71,,1,1,1,1,1,1,20060825
K0041,HCPCS,Large size footplate each,NU,,28 ,,NW,,,,,,$77.24,,1,1,1,1,1,1,20060825
K0042,HCPCS,Standard size footplate each,RR,,28 ,,NW,,,,,,$7.81,,1,1,1,1,1,1,20060825
K0042,HCPCS,Standard size footplate each,UE,,28 ,,NW,,,,,,$41.56,,1,1,1,1,1,1,20060825
K0042,HCPCS,Standard size footplate each,NU,,28 ,,NW,,,,,,$54.19,,1,1,1,1,1,1,20060825
K0043,HCPCS,Ftrst lower extension tube,RR,,28 ,,NW,,,,,,$4.19,,1,1,1,1,1,1,20060825
K0043,HCPCS,Ftrst lower extension tube,UE,,28 ,,NW,,,,,,$24.04,,1,1,1,1,1,1,20060825
K0043,HCPCS,Ftrst lower extension tube,NU,,28 ,,NW,,,,,,$30.78,,1,1,1,1,1,1,20060825
K0044,HCPCS,Ftrst upper hanger bracket,RR,,28 ,,NW,,,,,,$3.60,,1,1,1,1,1,1,20060825
K0044,HCPCS,Ftrst upper hanger bracket,UE,,28 ,,NW,,,,,,$21.01,,1,1,1,1,1,1,20060825
K0044,HCPCS,Ftrst upper hanger bracket,NU,,28 ,,NW,,,,,,$26.78,,1,1,1,1,1,1,20060825
K0045,HCPCS,Footrest complete assembly,RR,,28 ,,NW,,,,,,$11.82,,1,1,1,1,1,1,20060825
K0045,HCPCS,Footrest complete assembly,UE,,28 ,,NW,,,,,,$62.55,,1,1,1,1,1,1,20060825
K0045,HCPCS,Footrest complete assembly,NU,,28 ,,NW,,,,,,$82.61,,1,1,1,1,1,1,20060825
K0046,HCPCS,Elevat legrst low extension,RR,,28 ,,NW,,,,,,$4.19,,1,1,1,1,1,1,20060825
K0046,HCPCS,Elevat legrst low extension,UE,,28 ,,NW,,,,,,$24.04,,1,1,1,1,1,1,20060825
K0046,HCPCS,Elevat legrst low extension,NU,,28 ,,NW,,,,,,$30.78,,1,1,1,1,1,1,20060825
K0047,HCPCS,Elevat legrst up hangr brack,RR,,28 ,,NW,,,,,,$14.35,,1,1,1,1,1,1,20060825
K0047,HCPCS,Elevat legrst up hangr brack,UE,,28 ,,NW,,,,,,$83.65,,1,1,1,1,1,1,20060825
K0047,HCPCS,Elevat legrst up hangr brack,NU,,28 ,,NW,,,,,,$111.38,,1,1,1,1,1,1,20060825
K0050,HCPCS,Ratchet assembly,RR,,28 ,,NW,,,,,,$6.96,,1,1,1,1,1,1,20060825
K0050,HCPCS,Ratchet assembly,UE,,28 ,,NW,,,,,,$37.51,,1,1,1,1,1,1,20060825
K0050,HCPCS,Ratchet assembly,NU,,28 ,,NW,,,,,,$48.74,,1,1,1,1,1,1,20060825
K0051,HCPCS,Cam relese assem ftrst/lgrst,RR,,28 ,,NW,,,,,,$11.06,,1,1,1,1,1,1,20060825
K0051,HCPCS,Cam relese assem ftrst/lgrst,UE,,28 ,,NW,,,,,,$58.36,,1,1,1,1,1,1,20060825
K0051,HCPCS,Cam relese assem ftrst/lgrst,NU,,28 ,,NW,,,,,,$76.80,,1,1,1,1,1,1,20060825
K0052,HCPCS,Swingaway detach footrest,RR,,28 ,,NW,,,,,,$16.53,,1,1,1,1,1,1,20060825
K0052,HCPCS,Swingaway detach footrest,UE,,28 ,,NW,,,,,,$101.01,,1,1,1,1,1,1,20060825
K0052,HCPCS,Swingaway detach footrest,NU,,28 ,,NW,,,,,,$134.49,,1,1,1,1,1,1,20060825
K0053,HCPCS,Elevate footrest articulate,RR,,28 ,,NW,,,,,,$17.84,,1,1,1,1,1,1,20060825
K0053,HCPCS,Elevate footrest articulate,UE,,28 ,,NW,,,,,,$111.42,,1,1,1,1,1,1,20060825
K0053,HCPCS,Elevate footrest articulate,NU,,28 ,,NW,,,,,,$148.35,,1,1,1,1,1,1,20060825
K0056,HCPCS,Seat ht <17 or >=21 ltwt wc,RR,,28 ,,NW,,,,,,$16.90,,1,1,1,1,1,1,20060825
K0056,HCPCS,Seat ht <17 or >=21 ltwt wc,UE,,28 ,,NW,,,,,,$103.93,,1,1,1,1,1,1,20060825
K0056,HCPCS,Seat ht <17 or >=21 ltwt wc,NU,,28 ,,NW,,,,,,$138.36,,1,1,1,1,1,1,20060825
K0065,HCPCS,Spoke protectors,RR,,28 ,,NW,,,,,,$9.54,,1,1,1,1,1,1,20060825
K0065,HCPCS,Spoke protectors,UE,,28 ,,NW,,,,,,$49.91,,1,1,1,1,1,1,20060825
K0065,HCPCS,Spoke protectors,NU,,28 ,,NW,,,,,,$65.32,,1,1,1,1,1,1,20060825
K0069,HCPCS,Rear whl complete solid tire,RR,,28 ,,NW,,,,,,$18.15,,1,1,1,1,1,1,20060825
K0069,HCPCS,Rear whl complete solid tire,UE,,28 ,,NW,,,,,,$109.14,,1,1,1,1,1,1,20060825
K0069,HCPCS,Rear whl complete solid tire,NU,,28 ,,NW,,,,,,$145.32,,1,1,1,1,1,1,20060825
K0070,HCPCS,Rear whl compl pneum tire,RR,,28 ,,NW,,,,,,$29.11,,1,1,1,1,1,1,20060825
K0070,HCPCS,Rear whl compl pneum tire,UE,,28 ,,NW,,,,,,$199.57,,1,1,1,1,1,1,20060825
K0070,HCPCS,Rear whl compl pneum tire,NU,,28 ,,NW,,,,,,$265.91,,1,1,1,1,1,1,20060825
K0071,HCPCS,Front castr compl pneum tire,RR,,28 ,,NW,,,,,,$18.87,,1,1,1,1,1,1,20060825
K0071,HCPCS,Front castr compl pneum tire,UE,,28 ,,NW,,,,,,$119.26,,1,1,1,1,1,1,20060825
K0071,HCPCS,Front castr compl pneum tire,NU,,28 ,,NW,,,,,,$158.84,,1,1,1,1,1,1,20060825
K0072,HCPCS,Frnt cstr cmpl sem-pneum tir,RR,,28 ,,NW,,,,,,$12.83,,1,1,1,1,1,1,20060825
K0072,HCPCS,Frnt cstr cmpl sem-pneum tir,UE,,28 ,,NW,,,,,,$72.05,,1,1,1,1,1,1,20060825
K0072,HCPCS,Frnt cstr cmpl sem-pneum tir,NU,,28 ,,NW,,,,,,$95.84,,1,1,1,1,1,1,20060825
K0073,HCPCS,Caster pin lock each,RR,,28 ,,NW,,,,,,$7.46,,1,1,1,1,1,1,20060825
K0073,HCPCS,Caster pin lock each,UE,,28 ,,NW,,,,,,$39.88,,1,1,1,1,1,1,20060825
K0073,HCPCS,Caster pin lock each,NU,,28 ,,NW,,,,,,$51.93,,1,1,1,1,1,1,20060825
K0077,HCPCS,Front caster assem complete,RR,,28 ,,NW,,,,,,$11.87,,1,1,1,1,1,1,20060825
K0077,HCPCS,Front caster assem complete,UE,,28 ,,NW,,,,,,$64.87,,1,1,1,1,1,1,20060825
K0077,HCPCS,Front caster assem complete,NU,,28 ,,NW,,,,,,$85.84,,1,1,1,1,1,1,20060825
K0090,HCPCS,Rear tire power wheelchair,RR,,28 ,,NW,,,,,,$14.29,,1,1,1,1,1,1,20060825
K0090,HCPCS,Rear tire power wheelchair,UE,,28 ,,NW,,,,,,$83.36,,1,1,1,1,1,1,20060825
K0090,HCPCS,Rear tire power wheelchair,NU,,28 ,,NW,,,,,,$110.94,,1,1,1,1,1,1,20060825
K0091,HCPCS,Rear tire tube power whlchr,RR,,28 ,,NW,,,,,,$4.45,,1,1,1,1,1,1,20060825
K0091,HCPCS,Rear tire tube power whlchr,UE,,28 ,,NW,,,,,,$25.31,,1,1,1,1,1,1,20060825
K0091,HCPCS,Rear tire tube power whlchr,NU,,28 ,,NW,,,,,,$32.50,,1,1,1,1,1,1,20060825
K0092,HCPCS,Rear assem cmplt powr whlchr,RR,,28 ,,NW,,,,,,$37.39,,1,1,1,1,1,1,20060825
K0092,HCPCS,Rear assem cmplt powr whlchr,UE,,28 ,,NW,,,,,,$264.73,,1,1,1,1,1,1,20060825
K0092,HCPCS,Rear assem cmplt powr whlchr,NU,,28 ,,NW,,,,,,$352.77,,1,1,1,1,1,1,20060825
K0093,HCPCS,Rear zero pressure tire tube,RR,,28 ,,NW,,,,,,$24.78,,1,1,1,1,1,1,20060825
K0093,HCPCS,Rear zero pressure tire tube,UE,,28 ,,NW,,,,,,$165.59,,1,1,1,1,1,1,20060825
K0093,HCPCS,Rear zero pressure tire tube,NU,,28 ,,NW,,,,,,$220.60,,1,1,1,1,1,1,20060825
K0094,HCPCS,Wheel tire for power base,RR,,28 ,,NW,,,,,,$10.59,,1,1,1,1,1,1,20060825
K0094,HCPCS,Wheel tire for power base,UE,,28 ,,NW,,,,,,$55.13,,1,1,1,1,1,1,20060825
K0094,HCPCS,Wheel tire for power base,NU,,28 ,,NW,,,,,,$72.29,,1,1,1,1,1,1,20060825
K0095,HCPCS,Wheel tire tube each base,RR,,28 ,,NW,,,,,,$10.59,,1,1,1,1,1,1,20060825
K0095,HCPCS,Wheel tire tube each base,UE,,28 ,,NW,,,,,,$55.13,,1,1,1,1,1,1,20060825
K0095,HCPCS,Wheel tire tube each base,NU,,28 ,,NW,,,,,,$72.29,,1,1,1,1,1,1,20060825
K0096,HCPCS,Wheel assem powr base complt,RR,,28 ,,NW,,,,,,$41.71,,1,1,1,1,1,1,20060825
K0096,HCPCS,Wheel assem powr base complt,UE,,28 ,,NW,,,,,,$298.59,,1,1,1,1,1,1,20060825
K0096,HCPCS,Wheel assem powr base complt,NU,,28 ,,NW,,,,,,$397.91,,1,1,1,1,1,1,20060825
K0097,HCPCS,Wheel zero presure tire tube,RR,,28 ,,NW,,,,,,$12.47,,1,1,1,1,1,1,20060825
K0097,HCPCS,Wheel zero presure tire tube,UE,,28 ,,NW,,,,,,$69.26,,1,1,1,1,1,1,20060825
K0097,HCPCS,Wheel zero presure tire tube,NU,,28 ,,NW,,,,,,$91.97,,1,1,1,1,1,1,20060825
K0098,HCPCS,Drive belt power wheelchair,RR,,28 ,,NW,,,,,,$5.85,,1,1,1,1,1,1,20060825
K0098,HCPCS,Drive belt power wheelchair,UE,,28 ,,NW,,,,,,$31.97,,1,1,1,1,1,1,20060825
K0098,HCPCS,Drive belt power wheelchair,NU,,28 ,,NW,,,,,,$41.42,,1,1,1,1,1,1,20060825
K0099,HCPCS,Pwr wheelchair front  caster,RR,,28 ,,NW,,,,,,$14.96,,1,1,1,1,1,1,20060825
K0099,HCPCS,Pwr wheelchair front  caster,UE,,28 ,,NW,,,,,,$88.48,,1,1,1,1,1,1,20060825
K0099,HCPCS,Pwr wheelchair front  caster,NU,,28 ,,NW,,,,,,$117.79,,1,1,1,1,1,1,20060825
K0108,HCPCS,W/c component-accessory NOS,,,28 ,,NW,,,,,,$101.43,,1,1,1,1,1,1,20060825
K0195,HCPCS,Elevating whlchair leg rests,RR,,28 ,,NW,,,,,,$32.91,,1,1,1,1,1,1,20060825
K0195,HCPCS,Elevating whlchair leg rests,,,28 ,,NW,,,,,,$162.26,,1,1,1,1,1,1,20060825
K0455,HCPCS,Pump uninterrupted infusion,RR,,28 ,,NW,,,,,,$494.61,,1,1,1,1,1,1,20060825
K0552,HCPCS,Supply/ext inf pump syr type,,,28 ,,NW,,,,,,$8.31,,1,1,1,1,1,1,20060825
K0601,HCPCS,Repl batt silver oxide 1.5 v,,,28 ,,NW,,,,,,$4.86,,1,1,1,1,1,1,20060825
K0602,HCPCS,Repl batt silver oxide 3 v,,,28 ,,NW,,,,,,$13.89,,1,1,1,1,1,1,20060825
K0603,HCPCS,Repl batt alkaline 1.5 v,,,28 ,,NW,,,,,,$2.53,,1,1,1,1,1,1,20060825
K0604,HCPCS,Repl batt lithium 3.6 v,,,28 ,,NW,,,,,,$13.49,,1,1,1,1,1,1,20060825
K0605,HCPCS,Repl batt lithium 4.5 v,,,28 ,,NW,,,,,,$26.33,,1,1,1,1,1,1,20060825
K0607,HCPCS,Repl batt for AED,,,28 ,,NW,,,,,,$359.91,,1,1,1,1,1,1,20060825
K0608,HCPCS,Repl garment for AED,,,28 ,,NW,,,,,,$220.67,,1,1,1,1,1,1,20060825
K0609,HCPCS,Repl electrode for AED,,,28 ,,NW,,,,,,"$1,526.70",,1,1,1,1,1,1,20060825
L0100,HCPCS,Cranial orthosis/helmet mold,,,28 ,,NW,,,,,,$750.71,,1,1,1,1,1,1,20060825
L0110,HCPCS,Cranial orthosis/helmet nonm,,,28 ,,NW,,,,,,$176.93,,1,1,1,1,1,1,20060825
L0112,HCPCS,Cranial cervical orthosis,,,28 ,,NW,,,,,,"$1,436.05",,1,1,1,0,1,1,20060825
L0120,HCPCS,Cerv flexible non-adjustable,,,28 ,,NW,,,,,,$34.78,,1,1,1,1,1,1,20060825
L0130,HCPCS,Flex thermoplastic collar mo,,,28 ,,NW,,,,,,$200.58,,1,1,1,1,1,1,20060825
L0140,HCPCS,Cervical semi-rigid adjustab,,,28 ,,NW,,,,,,$80.27,,1,1,1,1,1,1,20060825
L0150,HCPCS,Cerv semi-rig adj molded chn,,,28 ,,NW,,,,,,$133.72,,1,1,1,1,1,1,20060825
L0160,HCPCS,Cerv semi-rig wire occ/mand,,,28 ,,NW,,,,,,$192.66,,1,1,1,1,1,1,20060825
L0170,HCPCS,Cervical collar molded to pt,,,28 ,,NW,,,,,,$846.62,,1,1,1,1,1,1,20060825
L0172,HCPCS,Cerv col thermplas foam 2 pi,,,28 ,,NW,,,,,,$156.65,,1,1,1,1,1,1,20060825
L0174,HCPCS,Cerv col foam 2 piece w thor,,,28 ,,NW,,,,,,$335.97,,1,1,1,1,1,1,20060825
L0180,HCPCS,Cer post col occ/man sup adj,,,28 ,,NW,,,,,,$466.03,,1,1,1,1,1,1,20060825
L0190,HCPCS,Cerv collar supp adj cerv ba,,,28 ,,NW,,,,,,$639.19,,1,1,1,1,1,1,20060825
L0200,HCPCS,Cerv col supp adj bar & thor,,,28 ,,NW,,,,,,$668.37,,1,1,1,1,1,1,20060825
L0210,HCPCS,Thoracic rib belt,,,28 ,,NW,,,,,,$56.32,,1,1,1,1,1,1,20060825
L0220,HCPCS,Thor rib belt custom fabrica,,,28 ,,NW,,,,,,$151.22,,1,1,1,1,1,1,20060825
L0430,HCPCS,Dewall posture protector,,,28 ,,NW,,,,,,"$1,439.01",,1,1,1,0,1,1,20060825
L0450,HCPCS,TLSO flex prefab thoracic,,,28 ,,NW,,,,,,$213.51,,1,1,1,1,1,1,20060825
L0452,HCPCS,tlso flex custom fab thoraci,,,28 ,,NW,,,,,,$14.25,,1,1,1,0,1,1,20060825
L0454,HCPCS,TLSO flex prefab sacrococ-T9,,,28 ,,NW,,,,,,$411.69,,1,1,1,1,1,1,20060825
L0456,HCPCS,TLSO flex prefab,,,28 ,,NW,,,,,,"$1,270.12",,1,1,1,1,1,1,20060825
L0458,HCPCS,TLSO 2Mod symphis-xipho pre,,,28 ,,NW,,,,,,"$1,133.97",,1,1,1,1,1,1,20060825
L0460,HCPCS,TLSO2Mod symphysis-stern pre,,,28 ,,NW,,,,,,"$1,282.36",,1,1,1,1,1,1,20060825
L0462,HCPCS,TLSO 3Mod sacro-scap pre,,,28 ,,NW,,,,,,"$1,281.08",,1,1,1,0,1,1,20060825
L0464,HCPCS,TLSO 4Mod sacro-scap pre,,,28 ,,NW,,,,,,"$1,921.93",,1,1,1,1,1,1,20060825
L0466,HCPCS,TLSO rigid frame pre soft ap,,,28 ,,NW,,,,,,$470.31,,1,1,1,1,1,1,20060825
L0468,HCPCS,TLSO rigid frame prefab pelv,,,28 ,,NW,,,,,,$587.90,,1,1,1,1,1,1,20060825
L0470,HCPCS,TLSO rigid frame pre subclav,,,28 ,,NW,,,,,,$836.43,,1,1,1,1,1,1,20060825
L0472,HCPCS,TLSO rigid frame hyperex pre,,,28 ,,NW,,,,,,$512.94,,1,1,1,1,1,1,20060825
L0480,HCPCS,TLSO rigid plastic custom fa,,,28 ,,NW,,,,,,"$1,927.22",,1,1,1,1,1,1,20060825
L0482,HCPCS,TLSO rigid lined custom fab,,,28 ,,NW,,,,,,"$2,103.06",,1,1,1,1,1,1,20060825
L0484,HCPCS,TLSO rigid plastic cust fab,,,28 ,,NW,,,,,,"$2,417.12",,1,1,1,1,1,1,20060825
L0486,HCPCS,TLSO rigidlined cust fab two,,,28 ,,NW,,,,,,"$2,567.34",,1,1,1,1,1,1,20060825
L0488,HCPCS,TLSO rigid lined pre one pie,,,28 ,,NW,,,,,,"$1,282.36",,1,1,1,1,1,1,20060825
L0490,HCPCS,TLSO rigid plastic pre one,,,28 ,,NW,,,,,,$330.56,,1,1,1,1,1,1,20060825
L0700,HCPCS,Ctlso a-p-l control molded,,,28 ,,NW,,,,,,"$2,756.36",,1,1,1,1,1,1,20060825
L0710,HCPCS,Ctlso a-p-l control w/ inter,,,28 ,,NW,,,,,,"$2,849.03",,1,1,1,1,1,1,20060825
L0810,HCPCS,Halo cervical into jckt vest,,,28 ,,NW,,,,,,"$3,529.96",,1,1,1,1,1,1,20060825
L0820,HCPCS,Halo cervical into body jack,,,28 ,,NW,,,,,,"$2,948.29",,1,1,1,1,1,1,20060825
L0830,HCPCS,Halo cerv into milwaukee typ,,,28 ,,NW,,,,,,"$4,301.69",,1,1,1,1,1,1,20060825
L0861,HCPCS,Halo repl liner/interface,,,28 ,,NW,,,,,,$221.15,,1,1,1,0,1,1,20060825
L0960,HCPCS,Post surgical support pads,,,28 ,,NW,,,,,,$86.42,,1,1,1,1,1,1,20060825
L0970,HCPCS,Tlso corset front,,,28 ,,NW,,,,,,$141.29,,1,1,1,1,1,1,20060825
L0972,HCPCS,Lso corset front,,,28 ,,NW,,,,,,$127.47,,1,1,1,1,1,1,20060825
L0974,HCPCS,Tlso full corset,,,28 ,,NW,,,,,,$219.87,,1,1,1,1,1,1,20060825
L0976,HCPCS,Lso full corset,,,28 ,,NW,,,,,,$196.63,,1,1,1,1,1,1,20060825
L0978,HCPCS,Axillary crutch extension,,,28 ,,NW,,,,,,$236.20,,1,1,1,1,1,1,20060825
L0980,HCPCS,Peroneal straps pair,,,28 ,,NW,,,,,,$23.77,,1,1,1,1,1,1,20060825
L0982,HCPCS,Stocking supp grips set of f,,,28 ,,NW,,,,,,$22.34,,1,1,1,1,1,1,20060825
L0984,HCPCS,Protective body sock each,,,28 ,,NW,,,,,,$75.23,,1,1,1,1,1,1,20060825
L0999,HCPCS,Add to spinal orthosis NOS,,,28 ,,NW,,,,,,$307.54,,1,1,1,1,1,1,20060825
L1000,HCPCS,Ctlso milwauke initial model,,,28 ,,NW,,,,,,"$2,768.20",,1,1,1,1,1,1,20060825
L1005,HCPCS,Tension based scoliosis orth,,,28 ,,NW,,,,,,"$4,193.62",,1,1,1,1,1,1,20060825
L1010,HCPCS,Ctlso axilla sling,,,28 ,,NW,,,,,,$84.03,,1,1,1,1,1,1,20060825
L1020,HCPCS,Kyphosis pad,,,28 ,,NW,,,,,,$107.48,,1,1,1,1,1,1,20060825
L1025,HCPCS,Kyphosis pad floating,,,28 ,,NW,,,,,,$153.92,,1,1,1,1,1,1,20060825
L1030,HCPCS,Lumbar bolster pad,,,28 ,,NW,,,,,,$79.78,,1,1,1,1,1,1,20060825
L1040,HCPCS,Lumbar or lumbar rib pad,,,28 ,,NW,,,,,,$97.27,,1,1,1,1,1,1,20060825
L1050,HCPCS,Sternal pad,,,28 ,,NW,,,,,,$103.62,,1,1,1,1,1,1,20060825
L1060,HCPCS,Thoracic pad,,,28 ,,NW,,,,,,$118.64,,1,1,1,1,1,1,20060825
L1070,HCPCS,Trapezius sling,,,28 ,,NW,,,,,,$111.78,,1,1,1,1,1,1,20060825
L1080,HCPCS,Outrigger,,,28 ,,NW,,,,,,$69.74,,1,1,1,1,1,1,20060825
L1085,HCPCS,Outrigger bil w/ vert extens,,,28 ,,NW,,,,,,$189.38,,1,1,1,1,1,1,20060825
L1090,HCPCS,Lumbar sling,,,28 ,,NW,,,,,,$113.82,,1,1,1,1,1,1,20060825
L1100,HCPCS,Ring flange plastic/leather,,,28 ,,NW,,,,,,$195.57,,1,1,1,1,1,1,20060825
L1110,HCPCS,Ring flange plas/leather mol,,,28 ,,NW,,,,,,$312.53,,1,1,1,1,1,1,20060825
L1120,HCPCS,Covers for upright each,,,28 ,,NW,,,,,,$50.79,,1,1,1,1,1,1,20060825
L1200,HCPCS,Furnsh initial orthosis only,,,28 ,,NW,,,,,,"$2,125.42",,1,1,1,1,1,1,20060825
L1210,HCPCS,Lateral thoracic extension,,,28 ,,NW,,,,,,$320.13,,1,1,1,1,1,1,20060825
L1220,HCPCS,Anterior thoracic extension,,,28 ,,NW,,,,,,$271.44,,1,1,1,1,1,1,20060825
L1230,HCPCS,Milwaukee type superstructur,,,28 ,,NW,,,,,,$740.57,,1,1,1,1,1,1,20060825
L1240,HCPCS,Lumbar derotation pad,,,28 ,,NW,,,,,,$96.82,,1,1,1,1,1,1,20060825
L1250,HCPCS,Anterior asis pad,,,28 ,,NW,,,,,,$90.27,,1,1,1,1,1,1,20060825
L1260,HCPCS,Anterior thoracic derotation,,,28 ,,NW,,,,,,$94.38,,1,1,1,1,1,1,20060825
L1270,HCPCS,Abdominal pad,,,28 ,,NW,,,,,,$96.62,,1,1,1,1,1,1,20060825
L1280,HCPCS,Rib gusset (elastic) each,,,28 ,,NW,,,,,,$107.27,,1,1,1,1,1,1,20060825
L1290,HCPCS,Lateral trochanteric pad,,,28 ,,NW,,,,,,$97.96,,1,1,1,1,1,1,20060825
L1300,HCPCS,Body jacket mold to patient,,,28 ,,NW,,,,,,"$2,269.12",,1,1,1,1,1,1,20060825
L1310,HCPCS,Post-operative body jacket,,,28 ,,NW,,,,,,"$2,336.32",,1,1,1,1,1,1,20060825
L1499,HCPCS,Spinal orthosis NOS,,,28 ,,NW,,,,,,$305.54,,1,1,1,1,1,1,20060825
L1500,HCPCS,Thkao mobility frame,,,28 ,,NW,,,,,,"$2,586.80",,1,1,1,1,1,1,20060825
L1510,HCPCS,Thkao standing frame,,,28 ,,NW,,,,,,"$1,618.93",,1,1,1,1,1,1,20060825
L1520,HCPCS,Thkao swivel walker,,,28 ,,NW,,,,,,"$3,116.55",,1,1,1,1,1,1,20060825
L1600,HCPCS,Abduct hip flex frejka w cvr,,,28 ,,NW,,,,,,$158.97,,1,1,1,1,1,1,20060825
L1610,HCPCS,Abduct hip flex frejka covr,,,28 ,,NW,,,,,,$55.86,,1,1,1,1,1,1,20060825
L1620,HCPCS,Abduct hip flex pavlik harne,,,28 ,,NW,,,,,,$165.19,,1,1,1,1,1,1,20060825
L1630,HCPCS,Abduct control hip semi-flex,,,28 ,,NW,,,,,,$208.23,,1,1,1,1,1,1,20060825
L1640,HCPCS,Pelv band/spread bar thigh c,,,28 ,,NW,,,,,,$592.12,,1,1,1,1,1,1,20060825
L1650,HCPCS,HO abduction hip adjustable,,,28 ,,NW,,,,,,$283.57,,1,1,1,1,1,1,20060825
L1652,HCPCS,HO bi thighcuffs w sprdr bar,,,28 ,,NW,,,,,,$424.48,,1,1,1,1,1,1,20060825
L1660,HCPCS,HO abduction static plastic,,,28 ,,NW,,,,,,$210.27,,1,1,1,1,1,1,20060825
L1680,HCPCS,Pelvic & hip control thigh c,,,28 ,,NW,,,,,,"$1,642.16",,1,1,1,1,1,1,20060825
L1685,HCPCS,Post-op hip abduct custom fa,,,28 ,,NW,,,,,,"$1,601.99",,1,1,1,1,1,1,20060825
L1686,HCPCS,HO post-op hip abduction,,,28 ,,NW,,,,,,"$1,217.38",,1,1,1,1,1,1,20060825
L1690,HCPCS,Combination bilateral HO,,,28 ,,NW,,,,,,"$2,514.71",,1,1,1,1,1,1,20060825
L1700,HCPCS,Leg perthes orth toronto typ,,,28 ,,NW,,,,,,"$2,070.33",,1,1,1,1,1,1,20060825
L1710,HCPCS,Legg perthes orth newington,,,28 ,,NW,,,,,,"$2,431.71",,1,1,1,1,1,1,20060825
L1720,HCPCS,Legg perthes orthosis trilat,,,28 ,,NW,,,,,,"$1,779.86",,1,1,1,1,1,1,20060825
L1730,HCPCS,Legg perthes orth scottish r,,,28 ,,NW,,,,,,"$1,521.98",,1,1,1,1,1,1,20060825
L1755,HCPCS,Legg perthes patten bottom t,,,28 ,,NW,,,,,,"$2,148.18",,1,1,1,1,1,1,20060825
L1800,HCPCS,Knee orthoses elas w stays,,,28 ,,NW,,,,,,$83.32,,1,1,1,1,1,1,20060825
L1810,HCPCS,Ko elastic with joints,,,28 ,,NW,,,,,,$122.10,,1,1,1,1,1,1,20060825
L1815,HCPCS,Elastic with condylar pads,,,28 ,,NW,,,,,,$120.14,,1,1,1,1,1,1,20060825
L1820,HCPCS,Ko elas w/ condyle pads & jo,,,28 ,,NW,,,,,,$159.93,,1,1,1,1,1,1,20060825
L1825,HCPCS,Ko elastic knee cap,,,28 ,,NW,,,,,,$69.31,,1,1,1,1,1,1,20060825
L1830,HCPCS,Ko immobilizer canvas longit,,,28 ,,NW,,,,,,$108.75,,1,1,1,1,1,1,20060825
L1831,HCPCS,Knee orth pos locking joint,,,28 ,,NW,,,,,,$301.98,,1,1,1,0,1,1,20060825
L1832,HCPCS,KO adj jnt pos rigid support,,,28 ,,NW,,,,,,$795.39,,1,1,1,1,1,1,20060825
L1834,HCPCS,Ko w/0 joint rigid molded to,,,28 ,,NW,,,,,,"$1,028.82",,1,1,1,1,1,1,20060825
L1836,HCPCS,Rigid KO wo joints,,,28 ,,NW,,,,,,$157.28,,1,1,1,1,1,1,20060825
L1840,HCPCS,Ko derot ant cruciate custom,,,28 ,,NW,,,,,,"$1,227.49",,1,1,1,1,1,1,20060825
L1843,HCPCS,KO single upright custom fit,,,28 ,,NW,,,,,,"$1,141.16",,1,1,1,1,1,1,20060825
L1844,HCPCS,Ko w/adj jt rot cntrl molded,,,28 ,,NW,,,,,,"$2,157.66",,1,1,1,1,1,1,20060825
L1845,HCPCS,Ko w/ adj flex/ext rotat cus,,,28 ,,NW,,,,,,"$1,085.82",,1,1,1,1,1,1,20060825
L1846,HCPCS,Ko w adj flex/ext rotat mold,,,28 ,,NW,,,,,,"$1,424.75",,1,1,1,1,1,1,20060825
L1847,HCPCS,KO adjustable w air chambers,,,28 ,,NW,,,,,,$714.29,,1,1,1,1,1,1,20060825
L1850,HCPCS,Ko swedish type,,,28 ,,NW,,,,,,$351.91,,1,1,1,1,1,1,20060825
L1855,HCPCS,Ko plas doub upright jnt mol,,,28 ,,NW,,,,,,"$1,476.33",,1,1,1,1,1,1,20060825
L1858,HCPCS,Ko polycentric pneumatic pad,,,28 ,,NW,,,,,,"$1,614.16",,1,1,1,1,1,1,20060825
L1860,HCPCS,Ko supracondylar socket mold,,,28 ,,NW,,,,,,"$1,440.49",,1,1,1,1,1,1,20060825
L1870,HCPCS,Ko doub upright lacers molde,,,28 ,,NW,,,,,,"$1,403.70",,1,1,1,1,1,1,20060825
L1880,HCPCS,Ko doub upright cuffs/lacers,,,28 ,,NW,,,,,,$933.86,,1,1,1,1,1,1,20060825
L1900,HCPCS,Afo sprng wir drsflx calf bd,,,28 ,,NW,,,,,,$329.97,,1,1,1,1,1,1,20060825
L1901,HCPCS,Prefab ankle orthosis,,,28 ,,NW,,,,,,$23.08,,1,1,1,1,1,1,20060825
L1902,HCPCS,Afo ankle gauntlet,,,28 ,,NW,,,,,,$99.45,,1,1,1,1,1,1,20060825
L1904,HCPCS,Afo molded ankle gauntlet,,,28 ,,NW,,,,,,$604.36,,1,1,1,1,1,1,20060825
L1906,HCPCS,Afo multiligamentus ankle su,,,28 ,,NW,,,,,,$148.54,,1,1,1,1,1,1,20060825
L1907,HCPCS,AFO supramalleolar custom,,,28 ,,NW,,,,,,$577.34,,1,1,1,0,1,1,20060825
L1910,HCPCS,Afo sing bar clasp attach sh,,,28 ,,NW,,,,,,$327.13,,1,1,1,1,1,1,20060825
L1920,HCPCS,Afo sing upright w/ adjust s,,,28 ,,NW,,,,,,$437.00,,1,1,1,1,1,1,20060825
L1930,HCPCS,Afo plastic,,,28 ,,NW,,,,,,$289.68,,1,1,1,1,1,1,20060825
L1932,HCPCS,Afo rig ant tib prefab TCF/=,,,28 ,,NW,,,,,,$915.58,,1,1,1,0,1,1,20060825
L1940,HCPCS,Afo molded to patient plasti,,,28 ,,NW,,,,,,$638.07,,1,1,1,1,1,1,20060825
L1945,HCPCS,Afo molded plas rig ant tib,,,28 ,,NW,,,,,,"$1,236.10",,1,1,1,1,1,1,20060825
L1950,HCPCS,Afo spiral molded to pt plas,,,28 ,,NW,,,,,,$985.25,,1,1,1,1,1,1,20060825
L1951,HCPCS,AFO spiral prefabricated,,,28 ,,NW,,,,,,$861.70,,1,1,1,0,1,1,20060825
L1960,HCPCS,Afo pos solid ank plastic mo,,,28 ,,NW,,,,,,$720.93,,1,1,1,1,1,1,20060825
L1970,HCPCS,Afo plastic molded w/ankle j,,,28 ,,NW,,,,,,$939.09,,1,1,1,1,1,1,20060825
L1971,HCPCS,"AFO w/ankle joint, prefab",,,28 ,,NW,,,,,,$480.93,,1,1,1,0,1,1,20060825
L1980,HCPCS,Afo sing solid stirrup calf,,,28 ,,NW,,,,,,$461.14,,1,1,1,1,1,1,20060825
L1990,HCPCS,Afo doub solid stirrup calf,,,28 ,,NW,,,,,,$570.37,,1,1,1,1,1,1,20060825
L2000,HCPCS,Kafo sing fre stirr thi/calf,,,28 ,,NW,,,,,,"$1,358.98",,1,1,1,1,1,1,20060825
L2005,HCPCS,KAFO sng/dbl mechanical act,,,28 ,,NW,,,,,,"$3,693.36",,1,1,1,0,1,1,20060825
L2010,HCPCS,Kafo sng solid stirrup w/o j,,,28 ,,NW,,,,,,"$1,234.60",,1,1,1,1,1,1,20060825
L2020,HCPCS,Kafo dbl solid stirrup band/,,,28 ,,NW,,,,,,"$1,571.73",,1,1,1,1,1,1,20060825
L2030,HCPCS,Kafo dbl solid stirrup w/o j,,,28 ,,NW,,,,,,"$1,357.27",,1,1,1,1,1,1,20060825
L2035,HCPCS,KAFO plastic pediatric size,,,28 ,,NW,,,,,,$204.70,,1,1,1,1,1,1,20060825
L2036,HCPCS,Kafo plas doub free knee mol,,,28 ,,NW,,,,,,"$2,525.59",,1,1,1,1,1,1,20060825
L2037,HCPCS,Kafo plas sing free knee mol,,,28 ,,NW,,,,,,"$2,262.41",,1,1,1,1,1,1,20060825
L2038,HCPCS,Kafo w/o joint multi-axis an,,,28 ,,NW,,,,,,"$1,935.25",,1,1,1,1,1,1,20060825
L2040,HCPCS,Hkafo torsion bil rot straps,,,28 ,,NW,,,,,,$218.05,,1,1,1,1,1,1,20060825
L2050,HCPCS,Hkafo torsion cable hip pelv,,,28 ,,NW,,,,,,$612.84,,1,1,1,1,1,1,20060825
L2060,HCPCS,Hkafo torsion ball bearing j,,,28 ,,NW,,,,,,$757.42,,1,1,1,1,1,1,20060825
L2070,HCPCS,Hkafo torsion unilat rot str,,,28 ,,NW,,,,,,$165.79,,1,1,1,1,1,1,20060825
L2080,HCPCS,Hkafo unilat torsion cable,,,28 ,,NW,,,,,,$450.99,,1,1,1,1,1,1,20060825
L2090,HCPCS,Hkafo unilat torsion ball br,,,28 ,,NW,,,,,,$560.31,,1,1,1,1,1,1,20060825
L2106,HCPCS,Afo tib fx cast plaster mold,,,28 ,,NW,,,,,,$895.18,,1,1,1,1,1,1,20060825
L2108,HCPCS,Afo tib fx cast molded to pt,,,28 ,,NW,,,,,,"$1,434.13",,1,1,1,1,1,1,20060825
L2112,HCPCS,Afo tibial fracture soft,,,28 ,,NW,,,,,,$599.23,,1,1,1,1,1,1,20060825
L2114,HCPCS,Afo tib fx semi-rigid,,,28 ,,NW,,,,,,$757.20,,1,1,1,1,1,1,20060825
L2116,HCPCS,Afo tibial fracture rigid,,,28 ,,NW,,,,,,$939.55,,1,1,1,1,1,1,20060825
L2126,HCPCS,Kafo fem fx cast thermoplas,,,28 ,,NW,,,,,,"$1,613.07",,1,1,1,1,1,1,20060825
L2128,HCPCS,Kafo fem fx cast molded to p,,,28 ,,NW,,,,,,"$2,330.56",,1,1,1,1,1,1,20060825
L2132,HCPCS,Kafo femoral fx cast soft,,,28 ,,NW,,,,,,"$1,071.01",,1,1,1,1,1,1,20060825
L2134,HCPCS,Kafo fem fx cast semi-rigid,,,28 ,,NW,,,,,,"$1,293.63",,1,1,1,1,1,1,20060825
L2136,HCPCS,Kafo femoral fx cast rigid,,,28 ,,NW,,,,,,"$1,592.45",,1,1,1,1,1,1,20060825
L2180,HCPCS,Plas shoe insert w ank joint,,,28 ,,NW,,,,,,$144.69,,1,1,1,1,1,1,20060825
L2182,HCPCS,Drop lock knee,,,28 ,,NW,,,,,,$113.81,,1,1,1,1,1,1,20060825
L2184,HCPCS,Limited motion knee joint,,,28 ,,NW,,,,,,$152.92,,1,1,1,1,1,1,20060825
L2186,HCPCS,Adj motion knee jnt lerman t,,,28 ,,NW,,,,,,$185.28,,1,1,1,1,1,1,20060825
L2188,HCPCS,Quadrilateral brim,,,28 ,,NW,,,,,,$367.51,,1,1,1,1,1,1,20060825
L2190,HCPCS,Waist belt,,,28 ,,NW,,,,,,$108.57,,1,1,1,1,1,1,20060825
L2192,HCPCS,Pelvic band & belt thigh fla,,,28 ,,NW,,,,,,$446.66,,1,1,1,1,1,1,20060825
L2200,HCPCS,Limited ankle motion ea jnt,,,28 ,,NW,,,,,,$60.28,,1,1,1,1,1,1,20060825
L2210,HCPCS,Dorsiflexion assist each joi,,,28 ,,NW,,,,,,$84.16,,1,1,1,1,1,1,20060825
L2220,HCPCS,Dorsi & plantar flex ass/res,,,28 ,,NW,,,,,,$101.97,,1,1,1,1,1,1,20060825
L2230,HCPCS,Split flat caliper stirr & p,,,28 ,,NW,,,,,,$95.71,,1,1,1,1,1,1,20060825
L2240,HCPCS,Round caliper and plate atta,,,28 ,,NW,,,,,,$104.07,,1,1,1,1,1,1,20060825
L2250,HCPCS,Foot plate molded stirrup at,,,28 ,,NW,,,,,,$444.95,,1,1,1,1,1,1,20060825
L2260,HCPCS,Reinforced solid stirrup,,,28 ,,NW,,,,,,$245.86,,1,1,1,1,1,1,20060825
L2265,HCPCS,Long tongue stirrup,,,28 ,,NW,,,,,,$145.50,,1,1,1,1,1,1,20060825
L2270,HCPCS,Varus/valgus strap padded/li,,,28 ,,NW,,,,,,$67.75,,1,1,1,1,1,1,20060825
L2275,HCPCS,Plastic mod low ext pad/line,,,28 ,,NW,,,,,,$154.79,,1,1,1,1,1,1,20060825
L2280,HCPCS,Molded inner boot,,,28 ,,NW,,,,,,$580.18,,1,1,1,1,1,1,20060825
L2300,HCPCS,Abduction bar jointed adjust,,,28 ,,NW,,,,,,$329.33,,1,1,1,1,1,1,20060825
L2310,HCPCS,Abduction bar-straight,,,28 ,,NW,,,,,,$151.88,,1,1,1,1,1,1,20060825
L2320,HCPCS,Non-molded lacer,,,28 ,,NW,,,,,,$252.28,,1,1,1,1,1,1,20060825
L2330,HCPCS,Lacer molded to patient mode,,,28 ,,NW,,,,,,$496.74,,1,1,1,1,1,1,20060825
L2335,HCPCS,Anterior swing band,,,28 ,,NW,,,,,,$278.28,,1,1,1,1,1,1,20060825
L2340,HCPCS,Pre-tibial shell molded to p,,,28 ,,NW,,,,,,$572.03,,1,1,1,1,1,1,20060825
L2350,HCPCS,Prosthetic type socket molde,,,28 ,,NW,,,,,,"$1,188.06",,1,1,1,1,1,1,20060825
L2360,HCPCS,Extended steel shank,,,28 ,,NW,,,,,,$65.37,,1,1,1,1,1,1,20060825
L2370,HCPCS,Patten bottom,,,28 ,,NW,,,,,,$314.12,,1,1,1,1,1,1,20060825
L2375,HCPCS,Torsion ank & half solid sti,,,28 ,,NW,,,,,,$139.71,,1,1,1,1,1,1,20060825
L2380,HCPCS,Torsion straight knee joint,,,28 ,,NW,,,,,,$151.99,,1,1,1,1,1,1,20060825
L2385,HCPCS,Straight knee joint heavy du,,,28 ,,NW,,,,,,$165.13,,1,1,1,1,1,1,20060825
L2390,HCPCS,Offset knee joint each,,,28 ,,NW,,,,,,$135.41,,1,1,1,1,1,1,20060825
L2395,HCPCS,Offset knee joint heavy duty,,,28 ,,NW,,,,,,$192.46,,1,1,1,1,1,1,20060825
L2397,HCPCS,Suspension sleeve lower ext,,,28 ,,NW,,,,,,$138.98,,1,1,1,1,1,1,20060825
L2405,HCPCS,Knee joint drop lock ea jnt,,,28 ,,NW,,,,,,$103.67,,1,1,1,1,1,1,20060825
L2415,HCPCS,Knee joint cam lock each joi,,,28 ,,NW,,,,,,$143.42,,1,1,1,1,1,1,20060825
L2425,HCPCS,Knee disc/dial lock/adj flex,,,28 ,,NW,,,,,,$168.78,,1,1,1,1,1,1,20060825
L2430,HCPCS,Knee jnt ratchet lock ea jnt,,,28 ,,NW,,,,,,$168.78,,1,1,1,1,1,1,20060825
L2492,HCPCS,Knee lift loop drop lock rin,,,28 ,,NW,,,,,,$126.34,,1,1,1,1,1,1,20060825
L2500,HCPCS,Thi/glut/ischia wgt bearing,,,28 ,,NW,,,,,,$389.67,,1,1,1,1,1,1,20060825
L2510,HCPCS,Th/wght bear quad-lat brim m,,,28 ,,NW,,,,,,$959.63,,1,1,1,1,1,1,20060825
L2520,HCPCS,Th/wght bear quad-lat brim c,,,28 ,,NW,,,,,,$591.08,,1,1,1,1,1,1,20060825
L2525,HCPCS,Th/wght bear nar m-l brim mo,,,28 ,,NW,,,,,,"$1,642.93",,1,1,1,1,1,1,20060825
L2526,HCPCS,Th/wght bear nar m-l brim cu,,,28 ,,NW,,,,,,$902.16,,1,1,1,1,1,1,20060825
L2530,HCPCS,Thigh/wght bear lacer non-mo,,,28 ,,NW,,,,,,$287.72,,1,1,1,1,1,1,20060825
L2540,HCPCS,Thigh/wght bear lacer molded,,,28 ,,NW,,,,,,$538.51,,1,1,1,1,1,1,20060825
L2550,HCPCS,Thigh/wght bear high roll cu,,,28 ,,NW,,,,,,$351.13,,1,1,1,1,1,1,20060825
L2570,HCPCS,Hip clevis type 2 posit jnt,,,28 ,,NW,,,,,,$612.76,,1,1,1,1,1,1,20060825
L2580,HCPCS,Pelvic control pelvic sling,,,28 ,,NW,,,,,,$595.82,,1,1,1,1,1,1,20060825
L2600,HCPCS,Hip clevis/thrust bearing fr,,,28 ,,NW,,,,,,$251.83,,1,1,1,1,1,1,20060825
L2610,HCPCS,Hip clevis/thrust bearing lo,,,28 ,,NW,,,,,,$297.29,,1,1,1,1,1,1,20060825
L2620,HCPCS,Pelvic control hip heavy dut,,,28 ,,NW,,,,,,$327.06,,1,1,1,1,1,1,20060825
L2622,HCPCS,Hip joint adjustable flexion,,,28 ,,NW,,,,,,$377.45,,1,1,1,1,1,1,20060825
L2624,HCPCS,Hip adj flex ext abduct cont,,,28 ,,NW,,,,,,$411.41,,1,1,1,1,1,1,20060825
L2627,HCPCS,Plastic mold recipro hip & c,,,28 ,,NW,,,,,,"$2,329.95",,1,1,1,1,1,1,20060825
L2628,HCPCS,Metal frame recipro hip & ca,,,28 ,,NW,,,,,,"$2,276.00",,1,1,1,1,1,1,20060825
L2630,HCPCS,Pelvic control band & belt u,,,28 ,,NW,,,,,,$303.09,,1,1,1,1,1,1,20060825
L2640,HCPCS,Pelvic control band & belt b,,,28 ,,NW,,,,,,$418.23,,1,1,1,1,1,1,20060825
L2650,HCPCS,Pelv & thor control gluteal,,,28 ,,NW,,,,,,$148.22,,1,1,1,1,1,1,20060825
L2660,HCPCS,Thoracic control thoracic ba,,,28 ,,NW,,,,,,$228.77,,1,1,1,1,1,1,20060825
L2670,HCPCS,Thorac cont paraspinal uprig,,,28 ,,NW,,,,,,$209.60,,1,1,1,1,1,1,20060825
L2680,HCPCS,Thorac cont lat support upri,,,28 ,,NW,,,,,,$192.49,,1,1,1,1,1,1,20060825
L2750,HCPCS,Plating chrome/nickel pr bar,,,28 ,,NW,,,,,,$104.03,,1,1,1,1,1,1,20060825
L2755,HCPCS,Carbon graphite lamination,,,28 ,,NW,,,,,,$154.07,,1,1,1,1,1,1,20060825
L2760,HCPCS,Extension per extension per,,,28 ,,NW,,,,,,$76.32,,1,1,1,1,1,1,20060825
L2768,HCPCS,Ortho sidebar disconnect,,,28 ,,NW,,,,,,$153.66,,1,1,1,1,1,1,20060825
L2770,HCPCS,Low ext orthosis per bar/jnt,,,28 ,,NW,,,,,,$77.52,,1,1,1,1,1,1,20060825
L2780,HCPCS,Non-corrosive finish,,,28 ,,NW,,,,,,$84.72,,1,1,1,1,1,1,20060825
L2785,HCPCS,Drop lock retainer each,,,28 ,,NW,,,,,,$41.05,,1,1,1,1,1,1,20060825
L2795,HCPCS,Knee control full kneecap,,,28 ,,NW,,,,,,$105.70,,1,1,1,1,1,1,20060825
L2800,HCPCS,Knee cap medial or lateral p,,,28 ,,NW,,,,,,$132.02,,1,1,1,1,1,1,20060825
L2810,HCPCS,Knee control condylar pad,,,28 ,,NW,,,,,,$97.36,,1,1,1,1,1,1,20060825
L2820,HCPCS,Soft interface below knee se,,,28 ,,NW,,,,,,$107.98,,1,1,1,1,1,1,20060825
L2830,HCPCS,Soft interface above knee se,,,28 ,,NW,,,,,,$116.60,,1,1,1,1,1,1,20060825
L2840,HCPCS,Tibial length sock fx or equ,,,28 ,,NW,,,,,,$55.60,,1,1,1,1,1,1,20060825
L2850,HCPCS,Femoral lgth sock fx or equa,,,28 ,,NW,,,,,,$77.72,,1,1,1,1,1,1,20060825
L2860,HCPCS,Torsion mechanism knee/ankle,,,28 ,,NW,,,,,,$464.46,,1,1,1,1,1,1,20060825
L2999,HCPCS,Lower extremity orthosis NOS,,,28 ,,NW,,,,,,$62.69,,1,1,1,1,1,1,20060825
L3000,HCPCS,Ft insert ucb berkeley shell,,,28 ,,NW,,,,,,$291.70,,1,1,1,1,1,1,20060825
L3001,HCPCS,Foot insert remov molded spe,,,28 ,,NW,,,,,,$173.01,,1,1,1,1,1,1,20060825
L3002,HCPCS,Foot insert plastazote or eq,,,28 ,,NW,,,,,,$143.18,,1,1,1,1,1,1,20060825
L3003,HCPCS,Foot insert silicone gel eac,,,28 ,,NW,,,,,,$175.44,,1,1,1,1,1,1,20060825
L3010,HCPCS,Foot longitudinal arch suppo,,,28 ,,NW,,,,,,$227.18,,1,1,1,1,1,1,20060825
L3020,HCPCS,Foot longitud/metatarsal sup,,,28 ,,NW,,,,,,$287.44,,1,1,1,1,1,1,20060825
L3030,HCPCS,Foot arch support remov prem,,,28 ,,NW,,,,,,$287.44,,1,1,1,1,1,1,20060825
L3031,HCPCS,Foot lamin/prepreg composite,,,28 ,,NW,,,,,,"$1,529.37",,1,1,1,0,1,1,20060825
L3040,HCPCS,Ft arch suprt premold longit,,,28 ,,NW,,,,,,$53.10,,1,1,1,1,1,1,20060825
L3050,HCPCS,Foot arch supp premold metat,,,28 ,,NW,,,,,,$49.45,,1,1,1,1,1,1,20060825
L3060,HCPCS,Foot arch supp longitud/meta,,,28 ,,NW,,,,,,$93.27,,1,1,1,1,1,1,20060825
L3070,HCPCS,Arch suprt att to sho longit,,,28 ,,NW,,,,,,$30.59,,1,1,1,1,1,1,20060825
L3080,HCPCS,Arch supp att to shoe metata,,,28 ,,NW,,,,,,$14.09,,1,1,1,1,1,1,20060825
L3090,HCPCS,Arch supp att to shoe long/m,,,28 ,,NW,,,,,,$20.24,,1,1,1,1,1,1,20060825
L3100,HCPCS,Hallus-valgus nght dynamic s,,,28 ,,NW,,,,,,$31.79,,1,1,1,1,1,1,20060825
L3140,HCPCS,Abduction rotation bar shoe,,,28 ,,NW,,,,,,$87.80,,1,1,1,1,1,1,20060825
L3150,HCPCS,Abduct rotation bar w/o shoe,,,28 ,,NW,,,,,,$73.79,,1,1,1,1,1,1,20060825
L3160,HCPCS,Shoe styled positioning dev,,,28 ,,NW,,,,,,$24.50,,1,1,1,1,1,1,20060825
L3170,HCPCS,Foot plastic heel stabilizer,,,28 ,,NW,,,,,,$39.70,,1,1,1,1,1,1,20060825
L3201,HCPCS,Oxford w supinat/pronat inf,,,28 ,,NW,,,,,,$87.19,,1,1,1,1,1,1,20060825
L3202,HCPCS,Oxford w/ supinat/pronator c,,,28 ,,NW,,,,,,$85.36,,1,1,1,1,1,1,20060825
L3203,HCPCS,Oxford w/ supinator/pronator,,,28 ,,NW,,,,,,$83.54,,1,1,1,1,1,1,20060825
L3204,HCPCS,Hightop w/ supp/pronator inf,,,28 ,,NW,,,,,,$83.54,,1,1,1,1,1,1,20060825
L3206,HCPCS,Hightop w/ supp/pronator chi,,,28 ,,NW,,,,,,$86.57,,1,1,1,1,1,1,20060825
L3207,HCPCS,Hightop w/ supp/pronator jun,,,28 ,,NW,,,,,,$87.80,,1,1,1,1,1,1,20060825
L3208,HCPCS,Surgical boot each infant,,,28 ,,NW,,,,,,$47.63,,1,1,1,1,1,1,20060825
L3209,HCPCS,Surgical boot each child,,,28 ,,NW,,,,,,$65.88,,1,1,1,1,1,1,20060825
L3211,HCPCS,Surgical boot each junior,,,28 ,,NW,,,,,,$70.14,,1,1,1,1,1,1,20060825
L3212,HCPCS,Benesch boot pair infant,,,28 ,,NW,,,,,,$96.93,,1,1,1,1,1,1,20060825
L3213,HCPCS,Benesch boot pair child,,,28 ,,NW,,,,,,$116.40,,1,1,1,1,1,1,20060825
L3214,HCPCS,Benesch boot pair junior,,,28 ,,NW,,,,,,$123.71,,1,1,1,1,1,1,20060825
L3215,HCPCS,Orthopedic ftwear ladies oxf,,,28 ,,NW,,,,,,$156.58,,1,1,1,1,1,1,20060825
L3216,HCPCS,Orthoped ladies shoes dpth i,,,28 ,,NW,,,,,,$188.83,,1,1,1,1,1,1,20060825
L3217,HCPCS,Ladies shoes hightop depth i,,,28 ,,NW,,,,,,$204.65,,1,1,1,1,1,1,20060825
L3219,HCPCS,Orthopedic mens shoes oxford,,,28 ,,NW,,,,,,$175.44,,1,1,1,1,1,1,20060825
L3221,HCPCS,Orthopedic mens shoes dpth i,,,28 ,,NW,,,,,,$210.13,,1,1,1,1,1,1,20060825
L3222,HCPCS,Mens shoes hightop depth inl,,,28 ,,NW,,,,,,$232.05,,1,1,1,1,1,1,20060825
L3224,HCPCS,Woman's shoe oxford brace,,,28 ,,NW,,,,,,$73.94,,1,1,1,1,1,1,20060825
L3225,HCPCS,Man's shoe oxford brace,,,28 ,,NW,,,,,,$84.67,,1,1,1,1,1,1,20060825
L3230,HCPCS,Custom shoes depth inlay,,,28 ,,NW,,,,,,$272.21,,1,1,1,1,1,1,20060825
L3250,HCPCS,Custom mold shoe remov prost,,,28 ,,NW,,,,,,$552.46,,1,1,1,1,1,1,20060825
L3251,HCPCS,Shoe molded to pt silicone s,,,28 ,,NW,,,,,,$75.01,,1,1,1,1,1,1,20060825
L3252,HCPCS,Shoe molded plastazote cust,,,28 ,,NW,,,,,,$289.87,,1,1,1,1,1,1,20060825
L3253,HCPCS,Shoe molded plastazote cust,,,28 ,,NW,,,,,,$74.40,,1,1,1,1,1,1,20060825
L3254,HCPCS,Orth foot non-stndard size/w,,,28 ,,NW,,,,,,$25.34,,1,1,1,1,1,1,20060825
L3255,HCPCS,Orth foot non-standard size/,,,28 ,,NW,,,,,,$28.16,,1,1,1,1,1,1,20060825
L3257,HCPCS,Orth foot add charge split s,,,28 ,,NW,,,,,,$54.93,,1,1,1,1,1,1,20060825
L3260,HCPCS,Ambulatory surgical boot eac,,,28 ,,NW,,,,,,$31.79,,1,1,1,1,1,1,20060825
L3265,HCPCS,Plastazote sandal each,,,28 ,,NW,,,,,,$34.23,,1,1,1,1,1,1,20060825
L3300,HCPCS,Sho lift taper to metatarsal,,,28 ,,NW,,,,,,$39.10,,1,1,1,1,1,1,20060825
L3310,HCPCS,Shoe lift elev heel/sole neo,,,28 ,,NW,,,,,,$76.23,,1,1,1,1,1,1,20060825
L3320,HCPCS,Shoe lift elev heel/sole cor,,,28 ,,NW,,,,,,$196.75,,1,1,1,1,1,1,20060825
L3330,HCPCS,Lifts elevation metal extens,,,28 ,,NW,,,,,,$317.26,,1,1,1,1,1,1,20060825
L3332,HCPCS,Shoe lifts tapered to one-ha,,,28 ,,NW,,,,,,$24.50,,1,1,1,1,1,1,20060825
L3334,HCPCS,Shoe lifts elevation heel /i,,,28 ,,NW,,,,,,$24.50,,1,1,1,1,1,1,20060825
L3340,HCPCS,Shoe wedge sach,,,28 ,,NW,,,,,,$55.54,,1,1,1,1,1,1,20060825
L3350,HCPCS,Shoe heel wedge,,,28 ,,NW,,,,,,$36.05,,1,1,1,1,1,1,20060825
L3360,HCPCS,Shoe sole wedge outside sole,,,28 ,,NW,,,,,,$27.54,,1,1,1,1,1,1,20060825
L3370,HCPCS,Shoe sole wedge between sole,,,28 ,,NW,,,,,,$32.40,,1,1,1,1,1,1,20060825
L3380,HCPCS,Shoe clubfoot wedge,,,28 ,,NW,,,,,,$54.32,,1,1,1,1,1,1,20060825
L3390,HCPCS,Shoe outflare wedge,,,28 ,,NW,,,,,,$74.40,,1,1,1,1,1,1,20060825
L3400,HCPCS,Shoe metatarsal bar wedge ro,,,28 ,,NW,,,,,,$71.36,,1,1,1,1,1,1,20060825
L3410,HCPCS,Shoe metatarsal bar between,,,28 ,,NW,,,,,,$119.45,,1,1,1,1,1,1,20060825
L3420,HCPCS,Full sole/heel wedge btween,,,28 ,,NW,,,,,,$39.70,,1,1,1,1,1,1,20060825
L3430,HCPCS,Sho heel count plast reinfor,,,28 ,,NW,,,,,,$96.32,,1,1,1,1,1,1,20060825
L3440,HCPCS,Heel leather reinforced,,,28 ,,NW,,,,,,$65.88,,1,1,1,1,1,1,20060825
L3450,HCPCS,Shoe heel sach cushion type,,,28 ,,NW,,,,,,$53.71,,1,1,1,1,1,1,20060825
L3455,HCPCS,Shoe heel new leather standa,,,28 ,,NW,,,,,,$23.89,,1,1,1,1,1,1,20060825
L3460,HCPCS,Shoe heel new rubber standar,,,28 ,,NW,,,,,,$39.70,,1,1,1,1,1,1,20060825
L3465,HCPCS,Shoe heel thomas with wedge,,,28 ,,NW,,,,,,$28.76,,1,1,1,1,1,1,20060825
L3470,HCPCS,Shoe heel thomas extend to b,,,28 ,,NW,,,,,,$67.10,,1,1,1,1,1,1,20060825
L3480,HCPCS,Shoe heel pad & depress for,,,28 ,,NW,,,,,,$46.40,,1,1,1,1,1,1,20060825
L3485,HCPCS,Shoe heel pad removable for,,,28 ,,NW,,,,,,$31.79,,1,1,1,1,1,1,20060825
L3500,HCPCS,Ortho shoe add leather insol,,,28 ,,NW,,,,,,$34.84,,1,1,1,1,1,1,20060825
L3510,HCPCS,Orthopedic shoe add rub insl,,,28 ,,NW,,,,,,$32.40,,1,1,1,1,1,1,20060825
L3520,HCPCS,O shoe add felt w leath insl,,,28 ,,NW,,,,,,$51.89,,1,1,1,1,1,1,20060825
L3530,HCPCS,Ortho shoe add half sole,,,28 ,,NW,,,,,,$17.19,,1,1,1,1,1,1,20060825
L3540,HCPCS,Ortho shoe add full sole,,,28 ,,NW,,,,,,$56.75,,1,1,1,1,1,1,20060825
L3550,HCPCS,O shoe add standard toe tap,,,28 ,,NW,,,,,,$10.38,,1,1,1,1,1,1,20060825
L3560,HCPCS,O shoe add horseshoe toe tap,,,28 ,,NW,,,,,,$14.09,,1,1,1,1,1,1,20060825
L3570,HCPCS,O shoe add instep extension,,,28 ,,NW,,,,,,$51.28,,1,1,1,1,1,1,20060825
L3580,HCPCS,O shoe add instep velcro clo,,,28 ,,NW,,,,,,$74.40,,1,1,1,1,1,1,20060825
L3590,HCPCS,O shoe convert to sof counte,,,28 ,,NW,,,,,,$58.59,,1,1,1,1,1,1,20060825
L3595,HCPCS,Ortho shoe add march bar,,,28 ,,NW,,,,,,$19.02,,1,1,1,1,1,1,20060825
L3600,HCPCS,Trans shoe calip plate exist,,,28 ,,NW,,,,,,$93.27,,1,1,1,1,1,1,20060825
L3610,HCPCS,Trans shoe caliper plate new,,,28 ,,NW,,,,,,$149.27,,1,1,1,1,1,1,20060825
L3620,HCPCS,Trans shoe solid stirrup exi,,,28 ,,NW,,,,,,$93.27,,1,1,1,1,1,1,20060825
L3630,HCPCS,Trans shoe solid stirrup new,,,28 ,,NW,,,,,,$113.97,,1,1,1,1,1,1,20060825
L3640,HCPCS,Shoe dennis browne splint bo,,,28 ,,NW,,,,,,$39.10,,1,1,1,1,1,1,20060825
L3649,HCPCS,Orthopedic shoe modifica NOS,,,28 ,,NW,,,,,,$25.37,,1,1,1,1,1,1,20060825
L3650,HCPCS,Shlder fig 8 abduct restrain,,,28 ,,NW,,,,,,$73.01,,1,1,1,1,1,1,20060825
L3651,HCPCS,Prefab shoulder orthosis,,,28 ,,NW,,,,,,$72.07,,1,1,1,1,1,1,20060825
L3652,HCPCS,Prefab dbl shoulder orthosis,,,28 ,,NW,,,,,,$211.97,,1,1,1,1,1,1,20060825
L3660,HCPCS,Abduct restrainer canvas&web,,,28 ,,NW,,,,,,$124.64,,1,1,1,1,1,1,20060825
L3670,HCPCS,Acromio/clavicular canvas&we,,,28 ,,NW,,,,,,$136.88,,1,1,1,1,1,1,20060825
L3675,HCPCS,Canvas vest SO,,,28 ,,NW,,,,,,$187.76,,1,1,1,1,1,1,20060825
L3677,HCPCS,SO hard plastic stabilizer,,,28 ,,NW,,,,,,$215.00,,1,1,1,1,1,1,20060825
L3700,HCPCS,Elbow orthoses elas w stays,,,28 ,,NW,,,,,,$85.47,,1,1,1,1,1,1,20060825
L3701,HCPCS,Prefab elbow orthosis,,,28 ,,NW,,,,,,$24.07,,1,1,1,1,1,1,20060825
L3710,HCPCS,Elbow elastic with metal joi,,,28 ,,NW,,,,,,$149.39,,1,1,1,1,1,1,20060825
L3720,HCPCS,Forearm/arm cuffs free motio,,,28 ,,NW,,,,,,$839.88,,1,1,1,1,1,1,20060825
L3730,HCPCS,Forearm/arm cuffs ext/flex a,,,28 ,,NW,,,,,,"$1,175.66",,1,1,1,1,1,1,20060825
L3740,HCPCS,Cuffs adj lock w/ active con,,,28 ,,NW,,,,,,"$1,402.73",,1,1,1,1,1,1,20060825
L3760,HCPCS,"EO withjoint, Prefabricated",,,28 ,,NW,,,,,,$555.22,,1,1,1,1,1,1,20060825
L3762,HCPCS,Rigid EO wo joints,,,28 ,,NW,,,,,,$116.04,,1,1,1,1,1,1,20060825
L3800,HCPCS,Whfo short opponen no attach,,,28 ,,NW,,,,,,$240.05,,1,1,1,1,1,1,20060825
L3805,HCPCS,Whfo long opponens no attach,,,28 ,,NW,,,,,,$386.35,,1,1,1,1,1,1,20060825
L3807,HCPCS,"WHFO,no joint, prefabricated",,,28 ,,NW,,,,,,$266.42,,1,1,1,1,1,1,20060825
L3810,HCPCS,Whfo thumb abduction bar,,,28 ,,NW,,,,,,$79.55,,1,1,1,1,1,1,20060825
L3815,HCPCS,Whfo second m.p. abduction a,,,28 ,,NW,,,,,,$74.03,,1,1,1,1,1,1,20060825
L3820,HCPCS,Whfo ip ext asst w/ mp ext s,,,28 ,,NW,,,,,,$125.30,,1,1,1,1,1,1,20060825
L3825,HCPCS,Whfo m.p. extension stop,,,28 ,,NW,,,,,,$79.59,,1,1,1,1,1,1,20060825
L3830,HCPCS,Whfo m.p. extension assist,,,28 ,,NW,,,,,,$103.11,,1,1,1,1,1,1,20060825
L3835,HCPCS,Whfo m.p. spring extension a,,,28 ,,NW,,,,,,$111.56,,1,1,1,1,1,1,20060825
L3840,HCPCS,Whfo spring swivel thumb,,,28 ,,NW,,,,,,$77.23,,1,1,1,1,1,1,20060825
L3845,HCPCS,Whfo thumb ip ext ass w/ mp,,,28 ,,NW,,,,,,$98.98,,1,1,1,1,1,1,20060825
L3850,HCPCS,Action wrist w/ dorsiflex as,,,28 ,,NW,,,,,,$140.29,,1,1,1,1,1,1,20060825
L3855,HCPCS,Whfo adj m.p. flexion contro,,,28 ,,NW,,,,,,$141.39,,1,1,1,1,1,1,20060825
L3860,HCPCS,Whfo adj m.p. flex ctrl & i.,,,28 ,,NW,,,,,,$192.58,,1,1,1,1,1,1,20060825
L3890,HCPCS,Torsion mechanism wrist/elbo,,,28 ,,NW,,,,,,$340.10,,1,1,1,1,1,1,20060825
L3900,HCPCS,Hinge extension/flex wrist/f,,,28 ,,NW,,,,,,"$1,708.41",,1,1,1,1,1,1,20060825
L3901,HCPCS,Hinge ext/flex wrist finger,,,28 ,,NW,,,,,,"$2,133.36",,1,1,1,1,1,1,20060825
L3902,HCPCS,Whfo ext power compress gas,,,28 ,,NW,,,,,,"$3,424.22",,1,1,1,1,1,1,20060825
L3904,HCPCS,Whfo electric custom fitted,,,28 ,,NW,,,,,,"$3,926.97",,1,1,1,1,1,1,20060825
L3906,HCPCS,Wrist gauntlet molded to pt,,,28 ,,NW,,,,,,$488.43,,1,1,1,1,1,1,20060825
L3907,HCPCS,Whfo wrst gauntlt thmb spica,,,28 ,,NW,,,,,,$641.57,,1,1,1,1,1,1,20060825
L3908,HCPCS,Wrist cock-up non-molded,,,28 ,,NW,,,,,,$73.74,,1,1,1,1,1,1,20060825
L3909,HCPCS,Prefab wrist orthosis,,,28 ,,NW,,,,,,$17.50,,1,1,1,1,1,1,20060825
L3910,HCPCS,Whfo swanson design,,,28 ,,NW,,,,,,$461.22,,1,1,1,1,1,1,20060825
L3911,HCPCS,Prefab hand finger orthosis,,,28 ,,NW,,,,,,$23.14,,1,1,1,0,1,1,20060825
L3912,HCPCS,Flex glove w/elastic finger,,,28 ,,NW,,,,,,$115.20,,1,1,1,1,1,1,20060825
L3914,HCPCS,WHO wrist extension cock-up,,,28 ,,NW,,,,,,$104.37,,1,1,1,1,1,1,20060825
L3916,HCPCS,Whfo wrist extens w/ outrigg,,,28 ,,NW,,,,,,$153.41,,1,1,1,1,1,1,20060825
L3917,HCPCS,Prefab metacarpl fx orthosis,,,28 ,,NW,,,,,,$98.64,,1,1,1,0,1,1,20060825
L3918,HCPCS,HFO knuckle bender,,,28 ,,NW,,,,,,$95.65,,1,1,1,1,1,1,20060825
L3920,HCPCS,Knuckle bender with outrigge,,,28 ,,NW,,,,,,$118.89,,1,1,1,1,1,1,20060825
L3922,HCPCS,Knuckle bend 2 seg to flex j,,,28 ,,NW,,,,,,$118.71,,1,1,1,1,1,1,20060825
L3923,HCPCS,"HFO, no joint, prefabricated",,,28 ,,NW,,,,,,$43.64,,1,1,1,1,1,1,20060825
L3924,HCPCS,Oppenheimer,,,28 ,,NW,,,,,,$129.20,,1,1,1,1,1,1,20060825
L3926,HCPCS,Thomas suspension,,,28 ,,NW,,,,,,$112.84,,1,1,1,1,1,1,20060825
L3928,HCPCS,Finger extension w/ clock sp,,,28 ,,NW,,,,,,$71.71,,1,1,1,1,1,1,20060825
L3930,HCPCS,Finger extension with wrist,,,28 ,,NW,,,,,,$75.63,,1,1,1,1,1,1,20060825
L3932,HCPCS,Safety pin spring wire,,,28 ,,NW,,,,,,$58.39,,1,1,1,1,1,1,20060825
L3934,HCPCS,Safety pin modified,,,28 ,,NW,,,,,,$59.80,,1,1,1,1,1,1,20060825
L3936,HCPCS,Palmer,,,28 ,,NW,,,,,,$108.35,,1,1,1,1,1,1,20060825
L3938,HCPCS,Dorsal wrist,,,28 ,,NW,,,,,,$113.35,,1,1,1,1,1,1,20060825
L3940,HCPCS,Dorsal wrist w/ outrigger at,,,28 ,,NW,,,,,,$130.25,,1,1,1,1,1,1,20060825
L3942,HCPCS,Reverse knuckle bender,,,28 ,,NW,,,,,,$90.88,,1,1,1,1,1,1,20060825
L3944,HCPCS,Reverse knuckle bend w/ outr,,,28 ,,NW,,,,,,$119.20,,1,1,1,1,1,1,20060825
L3946,HCPCS,HFO composite elastic,,,28 ,,NW,,,,,,$107.83,,1,1,1,1,1,1,20060825
L3948,HCPCS,Finger knuckle bender,,,28 ,,NW,,,,,,$68.02,,1,1,1,1,1,1,20060825
L3950,HCPCS,Oppenheimer w/ knuckle bend,,,28 ,,NW,,,,,,$180.66,,1,1,1,1,1,1,20060825
L3952,HCPCS,Oppenheimer w/ rev knuckle 2,,,28 ,,NW,,,,,,$200.23,,1,1,1,1,1,1,20060825
L3954,HCPCS,Spreading hand,,,28 ,,NW,,,,,,$133.72,,1,1,1,1,1,1,20060825
L3956,HCPCS,Add joint upper ext orthosis,,,28 ,,NW,,,,,,$50.67,,1,1,1,1,1,1,20060825
L3960,HCPCS,Sewho airplan desig abdu pos,,,28 ,,NW,,,,,,$949.62,,1,1,1,1,1,1,20060825
L3962,HCPCS,Sewho erbs palsey design abd,,,28 ,,NW,,,,,,$925.96,,1,1,1,1,1,1,20060825
L3964,HCPCS,Seo mobile arm sup att to wc,,,28 ,,NW,,,,,,$595.81,,1,1,1,1,1,1,20060825
L3965,HCPCS,Arm supp att to wc rancho ty,,,28 ,,NW,,,,,,$979.38,,1,1,1,1,1,1,20060825
L3966,HCPCS,Mobile arm supports reclinin,,,28 ,,NW,,,,,,$725.99,,1,1,1,1,1,1,20060825
L3968,HCPCS,Friction dampening arm supp,,,28 ,,NW,,,,,,$931.44,,1,1,1,1,1,1,20060825
L3969,HCPCS,Monosuspension arm/hand supp,,,28 ,,NW,,,,,,$636.92,,1,1,1,1,1,1,20060825
L3970,HCPCS,Elevat proximal arm support,,,28 ,,NW,,,,,,$242.27,,1,1,1,1,1,1,20060825
L3972,HCPCS,Offset/lat rocker arm w/ ela,,,28 ,,NW,,,,,,$154.99,,1,1,1,1,1,1,20060825
L3974,HCPCS,Mobile arm support supinator,,,28 ,,NW,,,,,,$131.85,,1,1,1,1,1,1,20060825
L3980,HCPCS,Upp ext fx orthosis humeral,,,28 ,,NW,,,,,,$371.69,,1,1,1,1,1,1,20060825
L3982,HCPCS,Upper ext fx orthosis rad/ul,,,28 ,,NW,,,,,,$458.80,,1,1,1,1,1,1,20060825
L3984,HCPCS,Upper ext fx orthosis wrist,,,28 ,,NW,,,,,,$419.27,,1,1,1,1,1,1,20060825
L3985,HCPCS,Forearm hand fx orth w/ wr h,,,28 ,,NW,,,,,,$745.42,,1,1,1,1,1,1,20060825
L3986,HCPCS,Humeral rad/ulna wrist fx or,,,28 ,,NW,,,,,,$712.87,,1,1,1,1,1,1,20060825
L3995,HCPCS,Sock fracture or equal each,,,28 ,,NW,,,,,,$41.42,,1,1,1,1,1,1,20060825
L3999,HCPCS,Upper limb orthosis NOS,,,28 ,,NW,,,,,,$39.31,,1,1,1,1,1,1,20060825
L4000,HCPCS,Repl girdle milwaukee orth,,,28 ,,NW,,,,,,"$1,720.69",,1,1,1,1,1,1,20060825
L4010,HCPCS,Replace trilateral socket br,,,28 ,,NW,,,,,,$882.98,,1,1,1,1,1,1,20060825
L4020,HCPCS,Replace quadlat socket brim,,,28 ,,NW,,,,,,"$1,146.82",,1,1,1,1,1,1,20060825
L4030,HCPCS,Replace socket brim cust fit,,,28 ,,NW,,,,,,$652.39,,1,1,1,1,1,1,20060825
L4040,HCPCS,Replace molded thigh lacer,,,28 ,,NW,,,,,,$518.28,,1,1,1,1,1,1,20060825
L4045,HCPCS,Replace non-molded thigh lac,,,28 ,,NW,,,,,,$407.10,,1,1,1,1,1,1,20060825
L4050,HCPCS,Replace molded calf lacer,,,28 ,,NW,,,,,,$524.73,,1,1,1,1,1,1,20060825
L4055,HCPCS,Replace non-molded calf lace,,,28 ,,NW,,,,,,$327.02,,1,1,1,1,1,1,20060825
L4060,HCPCS,Replace high roll cuff,,,28 ,,NW,,,,,,$392.90,,1,1,1,1,1,1,20060825
L4070,HCPCS,Replace prox & dist upright,,,28 ,,NW,,,,,,$344.11,,1,1,1,1,1,1,20060825
L4080,HCPCS,Repl met band kafo-afo prox,,,28 ,,NW,,,,,,$125.33,,1,1,1,1,1,1,20060825
L4090,HCPCS,Repl met band kafo-afo calf/,,,28 ,,NW,,,,,,$112.18,,1,1,1,1,1,1,20060825
L4100,HCPCS,Repl leath cuff kafo prox th,,,28 ,,NW,,,,,,$129.16,,1,1,1,1,1,1,20060825
L4110,HCPCS,Repl leath cuff kafo-afo cal,,,28 ,,NW,,,,,,$105.50,,1,1,1,1,1,1,20060825
L4130,HCPCS,Replace pretibial shell,,,28 ,,NW,,,,,,$640.26,,1,1,1,1,1,1,20060825
L4205,HCPCS,Ortho dvc repair per 15 min,,,28 ,,NW,,,,,,$35.30,,1,1,1,1,1,1,20060825
L4210,HCPCS,Orth dev repair/repl minor p,,,28 ,,NW,,,,,,$47.12,,1,1,1,1,1,1,20060825
L4350,HCPCS,Ankle control orthosi prefab,,,28 ,,NW,,,,,,$111.06,,1,1,1,1,1,1,20060825
L4360,HCPCS,Pneumati walking boot prefab,,,28 ,,NW,,,,,,$338.61,,1,1,1,1,1,1,20060825
L4370,HCPCS,Pneumatic full leg splint,,,28 ,,NW,,,,,,$231.69,,1,1,1,1,1,1,20060825
L4380,HCPCS,Pneumatic knee splint,,,28 ,,NW,,,,,,$132.94,,1,1,1,1,1,1,20060825
L4386,HCPCS,Non-pneum walk boot prefab,,,28 ,,NW,,,,,,$186.41,,1,1,1,1,1,1,20060825
L4392,HCPCS,Replace AFO soft interface,,,28 ,,NW,,,,,,$29.82,,1,1,1,1,1,1,20060825
L4394,HCPCS,Replace foot drop spint,,,28 ,,NW,,,,,,$22.45,,1,1,1,1,1,1,20060825
L4396,HCPCS,Static AFO,,,28 ,,NW,,,,,,$196.81,,1,1,1,1,1,1,20060825
L4398,HCPCS,Foot drop splint recumbent,,,28 ,,NW,,,,,,$91.98,,1,1,1,1,1,1,20060825
L5000,HCPCS,Sho insert w arch toe filler,,,28 ,,NW,,,,,,$698.73,,1,1,1,1,1,1,20060825
L5010,HCPCS,Mold socket ank hgt w/ toe f,,,28 ,,NW,,,,,,"$1,751.17",,1,1,1,1,1,1,20060825
L5020,HCPCS,Tibial tubercle hgt w/ toe f,,,28 ,,NW,,,,,,"$2,880.66",,1,1,1,1,1,1,20060825
L5050,HCPCS,Ank symes mold sckt sach ft,,,28 ,,NW,,,,,,"$3,343.51",,1,1,1,1,1,1,20060825
L5060,HCPCS,Symes met fr leath socket ar,,,28 ,,NW,,,,,,"$4,033.70",,1,1,1,1,1,1,20060825
L5100,HCPCS,Molded socket shin sach foot,,,28 ,,NW,,,,,,"$3,386.66",,1,1,1,1,1,1,20060825
L5105,HCPCS,Plast socket jts/thgh lacer,,,28 ,,NW,,,,,,"$5,085.79",,1,1,1,1,1,1,20060825
L5150,HCPCS,Mold sckt ext knee shin sach,,,28 ,,NW,,,,,,"$5,141.55",,1,1,1,1,1,1,20060825
L5160,HCPCS,Mold socket bent knee shin s,,,28 ,,NW,,,,,,"$5,596.58",,1,1,1,1,1,1,20060825
L5200,HCPCS,Kne sing axis fric shin sach,,,28 ,,NW,,,,,,"$4,833.87",,1,1,1,1,1,1,20060825
L5210,HCPCS,No knee/ankle joints w/ ft b,,,28 ,,NW,,,,,,"$3,538.01",,1,1,1,1,1,1,20060825
L5220,HCPCS,No knee joint with artic ali,,,28 ,,NW,,,,,,"$4,028.14",,1,1,1,1,1,1,20060825
L5230,HCPCS,Fem focal defic constant fri,,,28 ,,NW,,,,,,"$5,573.78",,1,1,1,1,1,1,20060825
L5250,HCPCS,Hip canad sing axi cons fric,,,28 ,,NW,,,,,,"$7,619.58",,1,1,1,1,1,1,20060825
L5270,HCPCS,Tilt table locking hip sing,,,28 ,,NW,,,,,,"$7,552.42",,1,1,1,1,1,1,20060825
L5280,HCPCS,Hemipelvect canad sing axis,,,28 ,,NW,,,,,,"$7,476.42",,1,1,1,1,1,1,20060825
L5301,HCPCS,BK mold socket SACH ft endo,,,28 ,,NW,,,,,,"$3,345.09",,1,1,1,1,1,1,20060825
L5311,HCPCS,"Knee disart, SACH ft, endo",,,28 ,,NW,,,,,,"$4,826.51",,1,1,1,1,1,1,20060825
L5321,HCPCS,AK open end SACH,,,28 ,,NW,,,,,,"$4,809.09",,1,1,1,1,1,1,20060825
L5331,HCPCS,Hip disart canadian SACH ft,,,28 ,,NW,,,,,,"$6,824.91",,1,1,1,1,1,1,20060825
L5341,HCPCS,Hemipelvectomy canadian SACH,,,28 ,,NW,,,,,,"$7,420.68",,1,1,1,1,1,1,20060825
L5400,HCPCS,Postop dress & 1 cast chg bk,,,28 ,,NW,,,,,,"$1,730.64",,1,1,1,1,1,1,20060825
L5410,HCPCS,Postop dsg bk ea add cast ch,,,28 ,,NW,,,,,,$569.52,,1,1,1,1,1,1,20060825
L5420,HCPCS,Postop dsg & 1 cast chg ak/d,,,28 ,,NW,,,,,,"$2,198.33",,1,1,1,1,1,1,20060825
L5430,HCPCS,Postop dsg ak ea add cast ch,,,28 ,,NW,,,,,,$695.71,,1,1,1,1,1,1,20060825
L5450,HCPCS,Postop app non-wgt bear dsg,,,28 ,,NW,,,,,,$554.13,,1,1,1,1,1,1,20060825
L5460,HCPCS,Postop app non-wgt bear dsg,,,28 ,,NW,,,,,,$757.89,,1,1,1,1,1,1,20060825
L5500,HCPCS,Init bk ptb plaster direct,,,28 ,,NW,,,,,,"$1,850.02",,1,1,1,1,1,1,20060825
L5505,HCPCS,Init ak ischal plstr direct,,,28 ,,NW,,,,,,"$2,522.41",,1,1,1,1,1,1,20060825
L5510,HCPCS,Prep BK ptb plaster molded,,,28 ,,NW,,,,,,"$2,103.52",,1,1,1,1,1,1,20060825
L5520,HCPCS,Perp BK ptb thermopls direct,,,28 ,,NW,,,,,,"$2,077.20",,1,1,1,1,1,1,20060825
L5530,HCPCS,Prep BK ptb thermopls molded,,,28 ,,NW,,,,,,"$2,504.54",,1,1,1,1,1,1,20060825
L5535,HCPCS,Prep BK ptb open end socket,,,28 ,,NW,,,,,,"$2,458.09",,1,1,1,1,1,1,20060825
L5540,HCPCS,Prep BK ptb laminated socket,,,28 ,,NW,,,,,,"$2,626.79",,1,1,1,1,1,1,20060825
L5560,HCPCS,Prep AK ischial plast molded,,,28 ,,NW,,,,,,"$2,824.26",,1,1,1,1,1,1,20060825
L5570,HCPCS,Prep AK ischial direct form,,,28 ,,NW,,,,,,"$2,938.14",,1,1,1,1,1,1,20060825
L5580,HCPCS,Prep AK ischial thermo mold,,,28 ,,NW,,,,,,"$3,438.09",,1,1,1,1,1,1,20060825
L5585,HCPCS,Prep AK ischial open end,,,28 ,,NW,,,,,,"$3,733.05",,1,1,1,1,1,1,20060825
L5590,HCPCS,Prep AK ischial laminated,,,28 ,,NW,,,,,,"$3,504.55",,1,1,1,1,1,1,20060825
L5595,HCPCS,Hip disartic sach thermopls,,,28 ,,NW,,,,,,"$5,902.34",,1,1,1,1,1,1,20060825
L5600,HCPCS,Hip disart sach laminat mold,,,28 ,,NW,,,,,,"$6,522.95",,1,1,1,1,1,1,20060825
L5610,HCPCS,Above knee hydracadence,,,28 ,,NW,,,,,,"$3,011.65",,1,1,1,1,1,1,20060825
L5611,HCPCS,Ak 4 bar link w/fric swing,,,28 ,,NW,,,,,,"$2,333.04",,1,1,1,1,1,1,20060825
L5613,HCPCS,Ak 4 bar ling w/hydraul swig,,,28 ,,NW,,,,,,"$3,573.66",,1,1,1,1,1,1,20060825
L5614,HCPCS,4-bar link above knee w/swng,,,28 ,,NW,,,,,,"$2,192.69",,1,1,1,1,1,1,20060825
L5616,HCPCS,Ak univ multiplex sys frict,,,28 ,,NW,,,,,,"$1,959.12",,1,1,1,1,1,1,20060825
L5617,HCPCS,AK/BK self-aligning unit ea,,,28 ,,NW,,,,,,$699.76,,1,1,1,1,1,1,20060825
L5618,HCPCS,Test socket symes,,,28 ,,NW,,,,,,$367.68,,1,1,1,1,1,1,20060825
L5620,HCPCS,Test socket below knee,,,28 ,,NW,,,,,,$362.93,,1,1,1,1,1,1,20060825
L5622,HCPCS,Test socket knee disarticula,,,28 ,,NW,,,,,,$487.81,,1,1,1,1,1,1,20060825
L5624,HCPCS,Test socket above knee,,,28 ,,NW,,,,,,$489.34,,1,1,1,1,1,1,20060825
L5626,HCPCS,Test socket hip disarticulat,,,28 ,,NW,,,,,,$656.66,,1,1,1,1,1,1,20060825
L5628,HCPCS,Test socket hemipelvectomy,,,28 ,,NW,,,,,,$665.58,,1,1,1,1,1,1,20060825
L5629,HCPCS,Below knee acrylic socket,,,28 ,,NW,,,,,,$421.72,,1,1,1,1,1,1,20060825
L5630,HCPCS,Syme typ expandabl wall sckt,,,28 ,,NW,,,,,,$615.30,,1,1,1,1,1,1,20060825
L5631,HCPCS,Ak/knee disartic acrylic soc,,,28 ,,NW,,,,,,$601.38,,1,1,1,1,1,1,20060825
L5632,HCPCS,Symes type ptb brim design s,,,28 ,,NW,,,,,,$289.66,,1,1,1,1,1,1,20060825
L5634,HCPCS,Symes type poster opening so,,,28 ,,NW,,,,,,$401.60,,1,1,1,1,1,1,20060825
L5636,HCPCS,Symes type medial opening so,,,28 ,,NW,,,,,,$332.03,,1,1,1,1,1,1,20060825
L5637,HCPCS,Below knee total contact,,,28 ,,NW,,,,,,$378.98,,1,1,1,1,1,1,20060825
L5638,HCPCS,Below knee leather socket,,,28 ,,NW,,,,,,$671.26,,1,1,1,1,1,1,20060825
L5639,HCPCS,Below knee wood socket,,,28 ,,NW,,,,,,"$1,608.93",,1,1,1,1,1,1,20060825
L5640,HCPCS,Knee disarticulat leather so,,,28 ,,NW,,,,,,$897.02,,1,1,1,1,1,1,20060825
L5642,HCPCS,Above knee leather socket,,,28 ,,NW,,,,,,$867.66,,1,1,1,1,1,1,20060825
L5643,HCPCS,Hip flex inner socket ext fr,,,28 ,,NW,,,,,,"$2,252.15",,1,1,1,1,1,1,20060825
L5644,HCPCS,Above knee wood socket,,,28 ,,NW,,,,,,$824.92,,1,1,1,1,1,1,20060825
L5645,HCPCS,Bk flex inner socket ext fra,,,28 ,,NW,,,,,,"$1,131.17",,1,1,1,1,1,1,20060825
L5646,HCPCS,Below knee cushion socket,,,28 ,,NW,,,,,,$761.77,,1,1,1,1,1,1,20060825
L5647,HCPCS,Below knee suction socket,,,28 ,,NW,,,,,,"$1,127.58",,1,1,1,1,1,1,20060825
L5648,HCPCS,Above knee cushion socket,,,28 ,,NW,,,,,,$925.01,,1,1,1,1,1,1,20060825
L5649,HCPCS,Isch containmt/narrow m-l so,,,28 ,,NW,,,,,,"$2,765.66",,1,1,1,1,1,1,20060825
L5650,HCPCS,Tot contact ak/knee disart s,,,28 ,,NW,,,,,,$673.51,,1,1,1,1,1,1,20060825
L5651,HCPCS,Ak flex inner socket ext fra,,,28 ,,NW,,,,,,"$1,726.76",,1,1,1,1,1,1,20060825
L5652,HCPCS,Suction susp ak/knee disart,,,28 ,,NW,,,,,,$596.36,,1,1,1,1,1,1,20060825
L5653,HCPCS,Knee disart expand wall sock,,,28 ,,NW,,,,,,$812.13,,1,1,1,1,1,1,20060825
L5654,HCPCS,Socket insert symes,,,28 ,,NW,,,,,,$442.16,,1,1,1,1,1,1,20060825
L5655,HCPCS,Socket insert below knee,,,28 ,,NW,,,,,,$345.52,,1,1,1,1,1,1,20060825
L5656,HCPCS,Socket insert knee articulat,,,28 ,,NW,,,,,,$500.27,,1,1,1,1,1,1,20060825
L5658,HCPCS,Socket insert above knee,,,28 ,,NW,,,,,,$489.40,,1,1,1,1,1,1,20060825
L5661,HCPCS,Multi-durometer symes,,,28 ,,NW,,,,,,$851.37,,1,1,1,1,1,1,20060825
L5665,HCPCS,Multi-durometer below knee,,,28 ,,NW,,,,,,$708.73,,1,1,1,1,1,1,20060825
L5666,HCPCS,Below knee cuff suspension,,,28 ,,NW,,,,,,$93.08,,1,1,1,1,1,1,20060825
L5668,HCPCS,Socket insert w/o lock lower,,,28 ,,NW,,,,,,$133.15,,1,1,1,1,1,1,20060825
L5670,HCPCS,Bk molded supracondylar susp,,,28 ,,NW,,,,,,$353.40,,1,1,1,1,1,1,20060825
L5671,HCPCS,BK/AK locking mechanism,,,28 ,,NW,,,,,,$687.14,,1,1,1,1,1,1,20060825
L5672,HCPCS,Bk removable medial brim sus,,,28 ,,NW,,,,,,$392.73,,1,1,1,1,1,1,20060825
L5673,HCPCS,Socket insert w lock mech,,,28 ,,NW,,,,,,$939.55,,1,1,1,1,1,1,20060825
L5676,HCPCS,Bk knee joints single axis p,,,28 ,,NW,,,,,,$487.58,,1,1,1,1,1,1,20060825
L5677,HCPCS,Bk knee joints polycentric p,,,28 ,,NW,,,,,,$680.70,,1,1,1,1,1,1,20060825
L5678,HCPCS,Bk joint covers pair,,,28 ,,NW,,,,,,$53.92,,1,1,1,1,1,1,20060825
L5679,HCPCS,Socket insert w/o lock mech,,,28 ,,NW,,,,,,$774.94,,1,1,1,1,1,1,20060825
L5680,HCPCS,Bk thigh lacer non-molded,,,28 ,,NW,,,,,,$401.89,,1,1,1,1,1,1,20060825
L5681,HCPCS,Intl custm cong/latyp insert,,,28 ,,NW,,,,,,"$1,699.10",,1,1,1,1,1,1,20060825
L5682,HCPCS,Bk thigh lacer glut/ischia m,,,28 ,,NW,,,,,,$876.26,,1,1,1,1,1,1,20060825
L5683,HCPCS,Initial custom socket insert,,,28 ,,NW,,,,,,"$1,699.10",,1,1,1,1,1,1,20060825
L5684,HCPCS,Bk fork strap,,,28 ,,NW,,,,,,$64.80,,1,1,1,1,1,1,20060825
L5685,HCPCS,Below knee sus/seal sleeve,,,28 ,,NW,,,,,,$246.51,,1,1,1,0,1,1,20060825
L5686,HCPCS,Bk back check,,,28 ,,NW,,,,,,$68.63,,1,1,1,1,1,1,20060825
L5688,HCPCS,Bk waist belt webbing,,,28 ,,NW,,,,,,$81.55,,1,1,1,1,1,1,20060825
L5690,HCPCS,Bk waist belt padded and lin,,,28 ,,NW,,,,,,$129.10,,1,1,1,1,1,1,20060825
L5692,HCPCS,Ak pelvic control belt light,,,28 ,,NW,,,,,,$174.38,,1,1,1,1,1,1,20060825
L5694,HCPCS,Ak pelvic control belt pad/l,,,28 ,,NW,,,,,,$237.14,,1,1,1,1,1,1,20060825
L5695,HCPCS,Ak sleeve susp neoprene/equa,,,28 ,,NW,,,,,,$213.44,,1,1,1,1,1,1,20060825
L5696,HCPCS,Ak/knee disartic pelvic join,,,28 ,,NW,,,,,,$241.80,,1,1,1,1,1,1,20060825
L5697,HCPCS,Ak/knee disartic pelvic band,,,28 ,,NW,,,,,,$106.36,,1,1,1,1,1,1,20060825
L5698,HCPCS,Ak/knee disartic silesian ba,,,28 ,,NW,,,,,,$137.45,,1,1,1,1,1,1,20060825
L5699,HCPCS,Shoulder harness,,,28 ,,NW,,,,,,$243.65,,1,1,1,1,1,1,20060825
L5700,HCPCS,Replace socket below knee,,,28 ,,NW,,,,,,"$3,999.03",,1,1,1,1,1,1,20060825
L5701,HCPCS,Replace socket above knee,,,28 ,,NW,,,,,,"$4,976.68",,1,1,1,1,1,1,20060825
L5702,HCPCS,Replace socket hip,,,28 ,,NW,,,,,,"$6,372.50",,1,1,1,1,1,1,20060825
L5704,HCPCS,Custom shape cover BK,,,28 ,,NW,,,,,,$730.21,,1,1,1,1,1,1,20060825
L5705,HCPCS,Custom shape cover AK,,,28 ,,NW,,,,,,"$1,324.81",,1,1,1,1,1,1,20060825
L5706,HCPCS,Custom shape cvr knee disart,,,28 ,,NW,,,,,,"$1,298.85",,1,1,1,1,1,1,20060825
L5707,HCPCS,Custom shape cvr hip disart,,,28 ,,NW,,,,,,"$1,780.15",,1,1,1,1,1,1,20060825
L5710,HCPCS,Kne-shin exo sng axi mnl loc,,,28 ,,NW,,,,,,$483.58,,1,1,1,1,1,1,20060825
L5711,HCPCS,Knee-shin exo mnl lock ultra,,,28 ,,NW,,,,,,$723.70,,1,1,1,1,1,1,20060825
L5712,HCPCS,Knee-shin exo frict swg & st,,,28 ,,NW,,,,,,$588.85,,1,1,1,1,1,1,20060825
L5714,HCPCS,Knee-shin exo variable frict,,,28 ,,NW,,,,,,$570.20,,1,1,1,1,1,1,20060825
L5716,HCPCS,Knee-shin exo mech stance ph,,,28 ,,NW,,,,,,"$1,029.14",,1,1,1,1,1,1,20060825
L5718,HCPCS,Knee-shin exo frct swg & sta,,,28 ,,NW,,,,,,"$1,298.29",,1,1,1,1,1,1,20060825
L5722,HCPCS,Knee-shin pneum swg frct exo,,,28 ,,NW,,,,,,"$1,286.33",,1,1,1,1,1,1,20060825
L5724,HCPCS,Knee-shin exo fluid swing ph,,,28 ,,NW,,,,,,"$2,182.66",,1,1,1,1,1,1,20060825
L5726,HCPCS,Knee-shin ext jnts fld swg e,,,28 ,,NW,,,,,,"$2,522.77",,1,1,1,1,1,1,20060825
L5728,HCPCS,Knee-shin fluid swg & stance,,,28 ,,NW,,,,,,"$3,468.42",,1,1,1,1,1,1,20060825
L5780,HCPCS,Knee-shin pneum/hydra pneum,,,28 ,,NW,,,,,,"$1,644.00",,1,1,1,1,1,1,20060825
L5781,HCPCS,Lower limb pros vacuum pump,,,28 ,,NW,,,,,,"$5,264.85",,1,1,1,1,1,1,20060825
L5782,HCPCS,HD low limb pros vacuum pump,,,28 ,,NW,,,,,,"$4,336.38",,1,1,1,0,1,1,20060825
L5785,HCPCS,Exoskeletal bk ultralt mater,,,28 ,,NW,,,,,,$719.87,,1,1,1,1,1,1,20060825
L5790,HCPCS,Exoskeletal ak ultra-light m,,,28 ,,NW,,,,,,"$1,014.63",,1,1,1,1,1,1,20060825
L5795,HCPCS,Exoskel hip ultra-light mate,,,28 ,,NW,,,,,,"$1,538.75",,1,1,1,1,1,1,20060825
L5810,HCPCS,Endoskel knee-shin mnl lock,,,28 ,,NW,,,,,,$671.55,,1,1,1,1,1,1,20060825
L5811,HCPCS,Endo knee-shin mnl lck ultra,,,28 ,,NW,,,,,,"$1,029.85",,1,1,1,1,1,1,20060825
L5812,HCPCS,Endo knee-shin frct swg & st,,,28 ,,NW,,,,,,$787.46,,1,1,1,1,1,1,20060825
L5814,HCPCS,Endo knee-shin hydral swg ph,,,28 ,,NW,,,,,,"$4,883.36",,1,1,1,1,1,1,20060825
L5816,HCPCS,Endo knee-shin polyc mch sta,,,28 ,,NW,,,,,,"$1,208.85",,1,1,1,1,1,1,20060825
L5818,HCPCS,Endo knee-shin frct swg & st,,,28 ,,NW,,,,,,"$1,371.22",,1,1,1,1,1,1,20060825
L5822,HCPCS,Endo knee-shin pneum swg frc,,,28 ,,NW,,,,,,"$2,468.57",,1,1,1,1,1,1,20060825
L5824,HCPCS,Endo knee-shin fluid swing p,,,28 ,,NW,,,,,,"$2,218.33",,1,1,1,1,1,1,20060825
L5826,HCPCS,Miniature knee joint,,,28 ,,NW,,,,,,"$4,124.69",,1,1,1,1,1,1,20060825
L5828,HCPCS,Endo knee-shin fluid swg/sta,,,28 ,,NW,,,,,,"$4,125.22",,1,1,1,1,1,1,20060825
L5830,HCPCS,Endo knee-shin pneum/swg pha,,,28 ,,NW,,,,,,"$2,756.20",,1,1,1,1,1,1,20060825
L5840,HCPCS,Multi-axial knee/shin system,,,28 ,,NW,,,,,,"$4,960.84",,1,1,1,1,1,1,20060825
L5845,HCPCS,Knee-shin sys stance flexion,,,28 ,,NW,,,,,,"$2,331.98",,1,1,1,1,1,1,20060825
L5848,HCPCS,Knee-shin sys hydraul stance,,,28 ,,NW,,,,,,"$1,379.89",,1,1,1,1,1,1,20060825
L5850,HCPCS,Endo ak/hip knee extens assi,,,28 ,,NW,,,,,,$167.99,,1,1,1,1,1,1,20060825
L5855,HCPCS,Mech hip extension assist,,,28 ,,NW,,,,,,$408.47,,1,1,1,1,1,1,20060825
L5856,HCPCS,Elec knee-shin swing/stance,,,28 ,,NW,,,,,,"$24,714.46",,1,1,1,0,1,1,20060825
L5857,HCPCS,Elec knee-shin swing only,,,28 ,,NW,,,,,,"$8,792.67",,1,1,1,0,1,1,20060825
L5910,HCPCS,Endo below knee alignable sy,,,28 ,,NW,,,,,,$487.29,,1,1,1,1,1,1,20060825
L5920,HCPCS,Endo ak/hip alignable system,,,28 ,,NW,,,,,,$736.15,,1,1,1,1,1,1,20060825
L5925,HCPCS,Above knee manual lock,,,28 ,,NW,,,,,,$448.61,,1,1,1,1,1,1,20060825
L5930,HCPCS,High activity knee frame,,,28 ,,NW,,,,,,"$4,449.99",,1,1,1,1,1,1,20060825
L5940,HCPCS,Endo bk ultra-light material,,,28 ,,NW,,,,,,$693.34,,1,1,1,1,1,1,20060825
L5950,HCPCS,Endo ak ultra-light material,,,28 ,,NW,,,,,,"$1,101.81",,1,1,1,1,1,1,20060825
L5960,HCPCS,Endo hip ultra-light materia,,,28 ,,NW,,,,,,"$1,376.71",,1,1,1,1,1,1,20060825
L5962,HCPCS,Below knee flex cover system,,,28 ,,NW,,,,,,$820.71,,1,1,1,1,1,1,20060825
L5964,HCPCS,Above knee flex cover system,,,28 ,,NW,,,,,,"$1,336.05",,1,1,1,1,1,1,20060825
L5966,HCPCS,Hip flexible cover system,,,28 ,,NW,,,,,,"$1,715.59",,1,1,1,1,1,1,20060825
L5968,HCPCS,Multiaxial ankle w dorsiflex,,,28 ,,NW,,,,,,"$4,777.21",,1,1,1,1,1,1,20060825
L5970,HCPCS,Foot external keel sach foot,,,28 ,,NW,,,,,,$265.17,,1,1,1,1,1,1,20060825
L5972,HCPCS,Flexible keel foot,,,28 ,,NW,,,,,,$472.88,,1,1,1,1,1,1,20060825
L5974,HCPCS,Foot single axis ankle/foot,,,28 ,,NW,,,,,,$303.87,,1,1,1,1,1,1,20060825
L5975,HCPCS,Combo ankle/foot prosthesis,,,28 ,,NW,,,,,,$567.64,,1,1,1,1,1,1,20060825
L5976,HCPCS,Energy storing foot,,,28 ,,NW,,,,,,$779.66,,1,1,1,1,1,1,20060825
L5978,HCPCS,Ft prosth multiaxial ankl/ft,,,28 ,,NW,,,,,,$383.34,,1,1,1,1,1,1,20060825
L5979,HCPCS,Multi-axial ankle/ft prosth,,,28 ,,NW,,,,,,"$3,324.00",,1,1,1,1,1,1,20060825
L5980,HCPCS,Flex foot system,,,28 ,,NW,,,,,,"$5,431.24",,1,1,1,1,1,1,20060825
L5981,HCPCS,Flex-walk sys low ext prosth,,,28 ,,NW,,,,,,"$4,208.33",,1,1,1,1,1,1,20060825
L5982,HCPCS,Exoskeletal axial rotation u,,,28 ,,NW,,,,,,$806.40,,1,1,1,1,1,1,20060825
L5984,HCPCS,Endoskeletal axial rotation,,,28 ,,NW,,,,,,$793.92,,1,1,1,1,1,1,20060825
L5985,HCPCS,Lwr ext dynamic prosth pylon,,,28 ,,NW,,,,,,$332.73,,1,1,1,1,1,1,20060825
L5986,HCPCS,Multi-axial rotation unit,,,28 ,,NW,,,,,,$888.52,,1,1,1,1,1,1,20060825
L5987,HCPCS,Shank ft w vert load pylon,,,28 ,,NW,,,,,,"$9,503.95",,1,1,1,1,1,1,20060825
L5988,HCPCS,Vertical shock reducing pylo,,,28 ,,NW,,,,,,"$2,604.62",,1,1,1,1,1,1,20060825
L5990,HCPCS,User adjustable heel height,,,28 ,,NW,,,,,,"$2,360.97",,1,1,1,1,1,1,20060825
L5995,HCPCS,Lower ext pros heavyduty fea,,,28 ,,NW,,,,,,$496.25,,1,1,1,0,1,1,20060825
L5999,HCPCS,Lowr extremity prosthes NOS,,,28 ,,NW,,,,,,$248.01,,1,1,1,1,1,1,20060825
L6000,HCPCS,Par hand robin-aids thum rem,,,28 ,,NW,,,,,,"$1,915.59",,1,1,1,1,1,1,20060825
L6010,HCPCS,Hand robin-aids little/ring,,,28 ,,NW,,,,,,"$2,137.14",,1,1,1,1,1,1,20060825
L6020,HCPCS,Part hand robin-aids no fing,,,28 ,,NW,,,,,,"$1,989.30",,1,1,1,1,1,1,20060825
L6025,HCPCS,Part hand disart myoelectric,,,28 ,,NW,,,,,,"$10,577.66",,1,1,1,1,1,1,20060825
L6050,HCPCS,Wrst MLd sck flx hng tri pad,,,28 ,,NW,,,,,,"$2,759.28",,1,1,1,1,1,1,20060825
L6055,HCPCS,Wrst mold sock w/exp interfa,,,28 ,,NW,,,,,,"$3,864.61",,1,1,1,1,1,1,20060825
L6100,HCPCS,Elb mold sock flex hinge pad,,,28 ,,NW,,,,,,"$2,796.20",,1,1,1,1,1,1,20060825
L6110,HCPCS,Elbow mold sock suspension t,,,28 ,,NW,,,,,,"$2,968.76",,1,1,1,1,1,1,20060825
L6120,HCPCS,Elbow mold doub splt soc ste,,,28 ,,NW,,,,,,"$3,467.60",,1,1,1,1,1,1,20060825
L6130,HCPCS,Elbow stump activated lock h,,,28 ,,NW,,,,,,"$3,777.62",,1,1,1,1,1,1,20060825
L6200,HCPCS,Elbow mold outsid lock hinge,,,28 ,,NW,,,,,,"$3,983.57",,1,1,1,1,1,1,20060825
L6205,HCPCS,Elbow molded w/ expand inter,,,28 ,,NW,,,,,,"$5,333.49",,1,1,1,1,1,1,20060825
L6250,HCPCS,Elbow inter loc elbow forarm,,,28 ,,NW,,,,,,"$3,920.42",,1,1,1,1,1,1,20060825
L6300,HCPCS,Shlder disart int lock elbow,,,28 ,,NW,,,,,,"$5,457.71",,1,1,1,1,1,1,20060825
L6310,HCPCS,Shoulder passive restor comp,,,28 ,,NW,,,,,,"$4,436.52",,1,1,1,1,1,1,20060825
L6320,HCPCS,Shoulder passive restor cap,,,28 ,,NW,,,,,,"$2,477.50",,1,1,1,1,1,1,20060825
L6350,HCPCS,Thoracic intern lock elbow,,,28 ,,NW,,,,,,"$5,740.41",,1,1,1,1,1,1,20060825
L6360,HCPCS,Thoracic passive restor comp,,,28 ,,NW,,,,,,"$4,659.05",,1,1,1,1,1,1,20060825
L6370,HCPCS,Thoracic passive restor cap,,,28 ,,NW,,,,,,"$2,953.55",,1,1,1,1,1,1,20060825
L6380,HCPCS,Postop dsg cast chg wrst/elb,,,28 ,,NW,,,,,,"$1,651.91",,1,1,1,1,1,1,20060825
L6382,HCPCS,Postop dsg cast chg elb dis/,,,28 ,,NW,,,,,,"$2,140.18",,1,1,1,1,1,1,20060825
L6384,HCPCS,Postop dsg cast chg shlder/t,,,28 ,,NW,,,,,,"$2,769.61",,1,1,1,1,1,1,20060825
L6386,HCPCS,Postop ea cast chg & realign,,,28 ,,NW,,,,,,$545.53,,1,1,1,1,1,1,20060825
L6388,HCPCS,Postop applicat rigid dsg on,,,28 ,,NW,,,,,,$601.74,,1,1,1,1,1,1,20060825
L6400,HCPCS,Below elbow prosth tiss shap,,,28 ,,NW,,,,,,"$3,381.09",,1,1,1,1,1,1,20060825
L6450,HCPCS,Elb disart prosth tiss shap,,,28 ,,NW,,,,,,"$4,508.18",,1,1,1,1,1,1,20060825
L6500,HCPCS,Above elbow prosth tiss shap,,,28 ,,NW,,,,,,"$4,511.91",,1,1,1,1,1,1,20060825
L6550,HCPCS,Shldr disar prosth tiss shap,,,28 ,,NW,,,,,,"$5,587.20",,1,1,1,1,1,1,20060825
L6570,HCPCS,Scap thorac prosth tiss shap,,,28 ,,NW,,,,,,"$6,420.11",,1,1,1,1,1,1,20060825
L6580,HCPCS,Wrist/elbow bowden cable mol,,,28 ,,NW,,,,,,"$2,262.07",,1,1,1,1,1,1,20060825
L6582,HCPCS,Wrist/elbow bowden cbl dir f,,,28 ,,NW,,,,,,"$1,985.95",,1,1,1,1,1,1,20060825
L6584,HCPCS,Elbow fair lead cable molded,,,28 ,,NW,,,,,,"$2,976.79",,1,1,1,1,1,1,20060825
L6586,HCPCS,Elbow fair lead cable dir fo,,,28 ,,NW,,,,,,"$2,735.35",,1,1,1,1,1,1,20060825
L6588,HCPCS,Shdr fair lead cable molded,,,28 ,,NW,,,,,,"$4,129.03",,1,1,1,1,1,1,20060825
L6590,HCPCS,Shdr fair lead cable direct,,,28 ,,NW,,,,,,"$3,839.97",,1,1,1,1,1,1,20060825
L6600,HCPCS,Polycentric hinge pair,,,28 ,,NW,,,,,,$245.10,,1,1,1,1,1,1,20060825
L6605,HCPCS,Single pivot hinge pair,,,28 ,,NW,,,,,,$242.04,,1,1,1,1,1,1,20060825
L6610,HCPCS,Flexible metal hinge pair,,,28 ,,NW,,,,,,$217.84,,1,1,1,1,1,1,20060825
L6615,HCPCS,Disconnect locking wrist uni,,,28 ,,NW,,,,,,$227.20,,1,1,1,1,1,1,20060825
L6616,HCPCS,Disconnect insert locking wr,,,28 ,,NW,,,,,,$86.44,,1,1,1,1,1,1,20060825
L6620,HCPCS,Flexion/extension wrist unit,,,28 ,,NW,,,,,,$400.15,,1,1,1,1,1,1,20060825
L6623,HCPCS,Spring-ass rot wrst w/ latch,,,28 ,,NW,,,,,,$900.02,,1,1,1,1,1,1,20060825
L6625,HCPCS,Rotation wrst w/ cable lock,,,28 ,,NW,,,,,,$738.05,,1,1,1,1,1,1,20060825
L6628,HCPCS,Quick disconn hook adapter o,,,28 ,,NW,,,,,,$660.01,,1,1,1,1,1,1,20060825
L6629,HCPCS,Lamination collar w/ couplin,,,28 ,,NW,,,,,,$191.75,,1,1,1,1,1,1,20060825
L6630,HCPCS,Stainless steel any wrist,,,28 ,,NW,,,,,,$281.23,,1,1,1,1,1,1,20060825
L6632,HCPCS,Latex suspension sleeve each,,,28 ,,NW,,,,,,$86.58,,1,1,1,1,1,1,20060825
L6635,HCPCS,Lift assist for elbow,,,28 ,,NW,,,,,,$230.31,,1,1,1,1,1,1,20060825
L6637,HCPCS,Nudge control elbow lock,,,28 ,,NW,,,,,,$494.71,,1,1,1,1,1,1,20060825
L6638,HCPCS,Elec lock on manual pw elbow,,,28 ,,NW,,,,,,"$3,272.57",,1,1,1,1,1,1,20060825
L6640,HCPCS,Shoulder abduction joint pai,,,28 ,,NW,,,,,,$366.02,,1,1,1,1,1,1,20060825
L6641,HCPCS,Excursion amplifier pulley t,,,28 ,,NW,,,,,,$210.00,,1,1,1,1,1,1,20060825
L6642,HCPCS,Excursion amplifier lever ty,,,28 ,,NW,,,,,,$283.73,,1,1,1,1,1,1,20060825
L6645,HCPCS,Shoulder flexion-abduction j,,,28 ,,NW,,,,,,$423.83,,1,1,1,1,1,1,20060825
L6646,HCPCS,Multipo locking shoulder jnt,,,28 ,,NW,,,,,,"$4,139.95",,1,1,1,1,1,1,20060825
L6647,HCPCS,Shoulder lock actuator,,,28 ,,NW,,,,,,$641.52,,1,1,1,1,1,1,20060825
L6648,HCPCS,Ext pwrd shlder lock/unlock,,,28 ,,NW,,,,,,"$4,271.27",,1,1,1,1,1,1,20060825
L6650,HCPCS,Shoulder universal joint,,,28 ,,NW,,,,,,$452.28,,1,1,1,1,1,1,20060825
L6655,HCPCS,Standard control cable extra,,,28 ,,NW,,,,,,$99.71,,1,1,1,1,1,1,20060825
L6660,HCPCS,Heavy duty control cable,,,28 ,,NW,,,,,,$121.26,,1,1,1,1,1,1,20060825
L6665,HCPCS,Teflon or equal cable lining,,,28 ,,NW,,,,,,$62.12,,1,1,1,1,1,1,20060825
L6670,HCPCS,Hook to hand cable adapter,,,28 ,,NW,,,,,,$64.58,,1,1,1,1,1,1,20060825
L6672,HCPCS,Harness chest/shlder saddle,,,28 ,,NW,,,,,,$220.59,,1,1,1,1,1,1,20060825
L6675,HCPCS,Harness figure of 8 sing con,,,28 ,,NW,,,,,,$157.85,,1,1,1,1,1,1,20060825
L6676,HCPCS,Harness figure of 8 dual con,,,28 ,,NW,,,,,,$159.38,,1,1,1,1,1,1,20060825
L6680,HCPCS,Test sock wrist disart/bel e,,,28 ,,NW,,,,,,$302.57,,1,1,1,1,1,1,20060825
L6682,HCPCS,Test sock elbw disart/above,,,28 ,,NW,,,,,,$334.23,,1,1,1,1,1,1,20060825
L6684,HCPCS,Test socket shldr disart/tho,,,28 ,,NW,,,,,,$467.19,,1,1,1,1,1,1,20060825
L6686,HCPCS,Suction socket,,,28 ,,NW,,,,,,$824.50,,1,1,1,1,1,1,20060825
L6687,HCPCS,Frame typ socket bel elbow/w,,,28 ,,NW,,,,,,$804.47,,1,1,1,1,1,1,20060825
L6688,HCPCS,Frame typ sock above elb/dis,,,28 ,,NW,,,,,,$734.91,,1,1,1,1,1,1,20060825
L6689,HCPCS,Frame typ socket shoulder di,,,28 ,,NW,,,,,,$947.81,,1,1,1,1,1,1,20060825
L6690,HCPCS,Frame typ sock interscap-tho,,,28 ,,NW,,,,,,$968.22,,1,1,1,1,1,1,20060825
L6691,HCPCS,Removable insert each,,,28 ,,NW,,,,,,$462.19,,1,1,1,1,1,1,20060825
L6692,HCPCS,Silicone gel insert or equal,,,28 ,,NW,,,,,,$778.49,,1,1,1,1,1,1,20060825
L6693,HCPCS,Lockingelbow forearm cntrbal,,,28 ,,NW,,,,,,"$3,721.72",,1,1,1,1,1,1,20060825
L6700,HCPCS,Terminal device model #3,,,28 ,,NW,,,,,,$718.65,,1,1,1,1,1,1,20060825
L6705,HCPCS,Terminal device model #5,,,28 ,,NW,,,,,,$402.12,,1,1,1,1,1,1,20060825
L6710,HCPCS,Terminal device model #5x,,,28 ,,NW,,,,,,$462.11,,1,1,1,1,1,1,20060825
L6715,HCPCS,Terminal device model #5xa,,,28 ,,NW,,,,,,$458.70,,1,1,1,1,1,1,20060825
L6720,HCPCS,Terminal device model #6,,,28 ,,NW,,,,,,"$1,212.78",,1,1,1,1,1,1,20060825
L6725,HCPCS,Terminal device model #7,,,28 ,,NW,,,,,,$562.44,,1,1,1,1,1,1,20060825
L6730,HCPCS,Terminal device model #7lo,,,28 ,,NW,,,,,,$896.40,,1,1,1,1,1,1,20060825
L6735,HCPCS,Terminal device model #8,,,28 ,,NW,,,,,,$392.41,,1,1,1,1,1,1,20060825
L6740,HCPCS,Terminal device model #8x,,,28 ,,NW,,,,,,$526.16,,1,1,1,1,1,1,20060825
L6745,HCPCS,Terminal device model #88x,,,28 ,,NW,,,,,,$477.37,,1,1,1,1,1,1,20060825
L6750,HCPCS,Terminal device model #10p,,,28 ,,NW,,,,,,$471.29,,1,1,1,1,1,1,20060825
L6755,HCPCS,Terminal device model #10x,,,28 ,,NW,,,,,,$469.81,,1,1,1,1,1,1,20060825
L6765,HCPCS,Terminal device model #12p,,,28 ,,NW,,,,,,$492.99,,1,1,1,1,1,1,20060825
L6770,HCPCS,Terminal device model #99x,,,28 ,,NW,,,,,,$473.52,,1,1,1,1,1,1,20060825
L6775,HCPCS,Terminal device model#555,,,28 ,,NW,,,,,,$569.93,,1,1,1,1,1,1,20060825
L6780,HCPCS,Terminal device model #ss555,,,28 ,,NW,,,,,,$612.51,,1,1,1,1,1,1,20060825
L6790,HCPCS,Hooks-accu hook or equal,,,28 ,,NW,,,,,,$619.82,,1,1,1,1,1,1,20060825
L6795,HCPCS,Hooks-2 load or equal,,,28 ,,NW,,,,,,"$1,780.98",,1,1,1,1,1,1,20060825
L6800,HCPCS,Hooks-aprl vc or equal,,,28 ,,NW,,,,,,"$1,449.37",,1,1,1,1,1,1,20060825
L6805,HCPCS,Modifier wrist flexion unit,,,28 ,,NW,,,,,,$454.86,,1,1,1,1,1,1,20060825
L6806,HCPCS,Trs grip vc or equal,,,28 ,,NW,,,,,,"$2,099.56",,1,1,1,1,1,1,20060825
L6807,HCPCS,Term device grip1/2 or equal,,,28 ,,NW,,,,,,"$1,899.40",,1,1,1,1,1,1,20060825
L6808,HCPCS,Term device infant or child,,,28 ,,NW,,,,,,"$1,614.89",,1,1,1,1,1,1,20060825
L6809,HCPCS,Trs super sport passive,,,28 ,,NW,,,,,,$500.40,,1,1,1,1,1,1,20060825
L6810,HCPCS,Pincher tool otto bock or eq,,,28 ,,NW,,,,,,$243.76,,1,1,1,1,1,1,20060825
L6825,HCPCS,Hands dorrance vo,,,28 ,,NW,,,,,,"$1,476.73",,1,1,1,1,1,1,20060825
L6830,HCPCS,Hand aprl vc,,,28 ,,NW,,,,,,"$1,953.27",,1,1,1,1,1,1,20060825
L6835,HCPCS,Hand sierra vo,,,28 ,,NW,,,,,,"$1,695.30",,1,1,1,1,1,1,20060825
L6840,HCPCS,Hand becker imperial,,,28 ,,NW,,,,,,"$1,163.14",,1,1,1,1,1,1,20060825
L6845,HCPCS,Hand becker lock grip,,,28 ,,NW,,,,,,"$1,076.32",,1,1,1,1,1,1,20060825
L6850,HCPCS,Term dvc-hand becker plylite,,,28 ,,NW,,,,,,$970.27,,1,1,1,1,1,1,20060825
L6855,HCPCS,Hand robin-aids vo,,,28 ,,NW,,,,,,"$1,247.11",,1,1,1,1,1,1,20060825
L6860,HCPCS,Hand robin-aids vo soft,,,28 ,,NW,,,,,,$934.25,,1,1,1,1,1,1,20060825
L6865,HCPCS,Hand passive hand,,,28 ,,NW,,,,,,$433.28,,1,1,1,1,1,1,20060825
L6867,HCPCS,Hand detroit infant hand,,,28 ,,NW,,,,,,"$1,371.80",,1,1,1,1,1,1,20060825
L6868,HCPCS,Passive inf hand steeper/hos,,,28 ,,NW,,,,,,$312.57,,1,1,1,1,1,1,20060825
L6870,HCPCS,Hand child mitt,,,28 ,,NW,,,,,,$309.90,,1,1,1,1,1,1,20060825
L6872,HCPCS,Hand nyu child hand,,,28 ,,NW,,,,,,"$1,343.86",,1,1,1,1,1,1,20060825
L6873,HCPCS,Hand mech inf steeper or equ,,,28 ,,NW,,,,,,$643.37,,1,1,1,1,1,1,20060825
L6875,HCPCS,Hand bock vc,,,28 ,,NW,,,,,,"$1,100.69",,1,1,1,1,1,1,20060825
L6880,HCPCS,Hand bock vo,,,28 ,,NW,,,,,,$697.24,,1,1,1,1,1,1,20060825
L6881,HCPCS,Autograsp feature ul term dv,,,28 ,,NW,,,,,,"$5,380.47",,1,1,1,1,1,1,20060825
L6882,HCPCS,Microprocessor control uplmb,,,28 ,,NW,,,,,,"$4,069.77",,1,1,1,1,1,1,20060825
L6890,HCPCS,Production glove,,,28 ,,NW,,,,,,$222.49,,1,1,1,1,1,1,20060825
L6895,HCPCS,Custom glove,,,28 ,,NW,,,,,,$777.25,,1,1,1,1,1,1,20060825
L6900,HCPCS,Hand restorat thumb/1 finger,,,28 ,,NW,,,,,,"$2,184.21",,1,1,1,1,1,1,20060825
L6905,HCPCS,Hand restoration multiple fi,,,28 ,,NW,,,,,,"$2,121.76",,1,1,1,1,1,1,20060825
L6910,HCPCS,Hand restoration no fingers,,,28 ,,NW,,,,,,"$2,065.79",,1,1,1,1,1,1,20060825
L6915,HCPCS,Hand restoration replacmnt g,,,28 ,,NW,,,,,,$877.20,,1,1,1,1,1,1,20060825
L6920,HCPCS,Wrist disarticul switch ctrl,,,28 ,,NW,,,,,,"$9,814.34",,1,1,1,1,1,1,20060825
L6925,HCPCS,Wrist disart myoelectronic c,,,28 ,,NW,,,,,,"$11,337.91",,1,1,1,1,1,1,20060825
L6930,HCPCS,Below elbow switch control,,,28 ,,NW,,,,,,"$9,875.50",,1,1,1,1,1,1,20060825
L6935,HCPCS,Below elbow myoelectronic ct,,,28 ,,NW,,,,,,"$11,551.06",,1,1,1,1,1,1,20060825
L6940,HCPCS,Elbow disarticulation switch,,,28 ,,NW,,,,,,"$12,917.67",,1,1,1,1,1,1,20060825
L6945,HCPCS,Elbow disart myoelectronic c,,,28 ,,NW,,,,,,"$15,036.03",,1,1,1,1,1,1,20060825
L6950,HCPCS,Above elbow switch control,,,28 ,,NW,,,,,,"$14,689.30",,1,1,1,1,1,1,20060825
L6955,HCPCS,Above elbow myoelectronic ct,,,28 ,,NW,,,,,,"$17,601.90",,1,1,1,1,1,1,20060825
L6960,HCPCS,Shldr disartic switch contro,,,28 ,,NW,,,,,,"$17,753.25",,1,1,1,1,1,1,20060825
L6965,HCPCS,Shldr disartic myoelectronic,,,28 ,,NW,,,,,,"$20,895.99",,1,1,1,1,1,1,20060825
L6970,HCPCS,Interscapular-thor switch ct,,,28 ,,NW,,,,,,"$21,505.30",,1,1,1,1,1,1,20060825
L6975,HCPCS,Interscap-thor myoelectronic,,,28 ,,NW,,,,,,"$23,567.59",,1,1,1,1,1,1,20060825
L7010,HCPCS,Hand otto back steeper/eq sw,,,28 ,,NW,,,,,,"$5,349.43",,1,1,1,1,1,1,20060825
L7015,HCPCS,Hand sys teknik village swit,,,28 ,,NW,,,,,,"$8,528.87",,1,1,1,1,1,1,20060825
L7020,HCPCS,Electronic greifer switch ct,,,28 ,,NW,,,,,,"$4,980.80",,1,1,1,1,1,1,20060825
L7025,HCPCS,Electron hand myoelectronic,,,28 ,,NW,,,,,,"$5,026.81",,1,1,1,1,1,1,20060825
L7030,HCPCS,Hand sys teknik vill myoelec,,,28 ,,NW,,,,,,"$7,712.15",,1,1,1,1,1,1,20060825
L7035,HCPCS,Electron greifer myoelectro,,,28 ,,NW,,,,,,"$5,149.19",,1,1,1,1,1,1,20060825
L7040,HCPCS,Prehensile actuator hosmer s,,,28 ,,NW,,,,,,"$4,118.19",,1,1,1,1,1,1,20060825
L7045,HCPCS,Electron hook child michigan,,,28 ,,NW,,,,,,"$2,340.64",,1,1,1,1,1,1,20060825
L7170,HCPCS,Electronic elbow hosmer swit,,,28 ,,NW,,,,,,"$8,617.01",,1,1,1,1,1,1,20060825
L7180,HCPCS,Electronic elbow utah myoele,,,28 ,,NW,,,,,,"$48,226.67",,1,1,1,1,1,1,20060825
L7185,HCPCS,Electron elbow adolescent sw,,,28 ,,NW,,,,,,"$8,726.49",,1,1,1,1,1,1,20060825
L7186,HCPCS,Electron elbow child switch,,,28 ,,NW,,,,,,"$13,023.81",,1,1,1,1,1,1,20060825
L7190,HCPCS,Elbow adolescent myoelectron,,,28 ,,NW,,,,,,"$11,115.85",,1,1,1,1,1,1,20060825
L7191,HCPCS,Elbow child myoelectronic ct,,,28 ,,NW,,,,,,"$13,611.26",,1,1,1,1,1,1,20060825
L7260,HCPCS,Electron wrist rotator otto,,,28 ,,NW,,,,,,"$2,860.36",,1,1,1,1,1,1,20060825
L7261,HCPCS,Electron wrist rotator utah,,,28 ,,NW,,,,,,"$5,246.29",,1,1,1,1,1,1,20060825
L7266,HCPCS,Servo control steeper or equ,,,28 ,,NW,,,,,,"$1,415.18",,1,1,1,1,1,1,20060825
L7272,HCPCS,Analogue control unb or equa,,,28 ,,NW,,,,,,"$2,935.34",,1,1,1,1,1,1,20060825
L7274,HCPCS,Proportional ctl 12 volt uta,,,28 ,,NW,,,,,,"$8,439.80",,1,1,1,1,1,1,20060825
L7360,HCPCS,Six volt bat otto bock/eq ea,,,28 ,,NW,,,,,,$296.59,,1,1,1,1,1,1,20060825
L7362,HCPCS,Battery chrgr six volt otto,,,28 ,,NW,,,,,,$326.53,,1,1,1,1,1,1,20060825
L7364,HCPCS,Twelve volt battery utah/equ,,,28 ,,NW,,,,,,$540.93,,1,1,1,1,1,1,20060825
L7366,HCPCS,Battery chrgr 12 volt utah/e,,,28 ,,NW,,,,,,$745.30,,1,1,1,1,1,1,20060825
L7367,HCPCS,Replacemnt lithium ionbatter,,,28 ,,NW,,,,,,$469.03,,1,1,1,1,1,1,20060825
L7368,HCPCS,Lithium ion battery charger,,,28 ,,NW,,,,,,$622.21,,1,1,1,1,1,1,20060825
L7499,HCPCS,Upper extremity prosthes NOS,,,28 ,,NW,,,,,,$157.71,,1,1,1,1,1,1,20060825
L7500,HCPCS,Prosthetic dvc repair hourly,,,28 ,,NW,,,,,,$112.59,,1,1,1,1,1,1,20060825
L7510,HCPCS,Prosthetic device repair rep,,,28 ,,NW,,,,,,$33.51,,1,1,1,1,1,1,20060825
L7520,HCPCS,Repair prosthesis per 15 min,,,28 ,,NW,,,,,,$35.99,,1,1,1,1,1,1,20060825
L7900,HCPCS,Male vacuum erection system,,,28 ,,NW,,,,,,$664.18,,1,1,1,1,1,1,20060825
L8000,HCPCS,Mastectomy bra,,,28 ,,NW,,,,,,$49.79,,1,1,1,1,1,1,20060825
L8001,HCPCS,Breast prosthesis bra & form,,,28 ,,NW,,,,,,$148.29,,1,1,1,1,1,1,20060825
L8002,HCPCS,Brst prsth bra & bilat form,,,28 ,,NW,,,,,,$194.24,,1,1,1,1,1,1,20060825
L8010,HCPCS,Mastectomy sleeve,,,28 ,,NW,,,,,,$68.31,,1,1,1,1,1,1,20060825
L8015,HCPCS,Ext breastprosthesis garment,,,28 ,,NW,,,,,,$72.37,,1,1,1,1,1,1,20060825
L8020,HCPCS,Mastectomy form,,,28 ,,NW,,,,,,$261.96,,1,1,1,1,1,1,20060825
L8030,HCPCS,Breast prosthesis silicone/e,,,28 ,,NW,,,,,,$418.29,,1,1,1,1,1,1,20060825
L8035,HCPCS,Custom breast prosthesis,,,28 ,,NW,,,,,,"$4,816.64",,1,1,1,1,1,1,20060825
L8039,HCPCS,Breast prosthesis NOS,,,28 ,,NW,,,,,,$270.80,,1,1,1,1,1,1,20060825
L8040,HCPCS,Nasal prosthesis,KN,,28 ,,NW,,,,,,"$1,267.54",,1,1,1,1,1,1,20060825
L8040,HCPCS,Nasal prosthesis,KM,,28 ,,NW,,,,,,"$3,076.29",,1,1,1,1,1,1,20060825
L8041,HCPCS,Midfacial prosthesis,KN,,28 ,,NW,,,,,,"$1,537.66",,1,1,1,1,1,1,20060825
L8041,HCPCS,Midfacial prosthesis,KM,,28 ,,NW,,,,,,"$3,717.81",,1,1,1,1,1,1,20060825
L8042,HCPCS,Orbital prosthesis,KN,,28 ,,NW,,,,,,"$1,733.61",,1,1,1,1,1,1,20060825
L8042,HCPCS,Orbital prosthesis,KM,,28 ,,NW,,,,,,"$4,183.22",,1,1,1,1,1,1,20060825
L8043,HCPCS,Upper facial prosthesis,KN,,28 ,,NW,,,,,,"$1,947.39",,1,1,1,1,1,1,20060825
L8043,HCPCS,Upper facial prosthesis,KM,,28 ,,NW,,,,,,"$4,690.97",,1,1,1,1,1,1,20060825
L8044,HCPCS,Hemi-facial prosthesis,KN,,28 ,,NW,,,,,,"$2,161.18",,1,1,1,1,1,1,20060825
L8044,HCPCS,Hemi-facial prosthesis,KM,,28 ,,NW,,,,,,"$5,198.72",,1,1,1,1,1,1,20060825
L8045,HCPCS,Auricular prosthesis,KN,,28 ,,NW,,,,,,"$1,405.69",,1,1,1,1,1,1,20060825
L8045,HCPCS,Auricular prosthesis,KM,,28 ,,NW,,,,,,"$3,404.37",,1,1,1,1,1,1,20060825
L8046,HCPCS,Partial facial prosthesis,KN,,28 ,,NW,,,,,,"$1,377.32",,1,1,1,1,1,1,20060825
L8046,HCPCS,Partial facial prosthesis,KM,,28 ,,NW,,,,,,"$3,337.01",,1,1,1,1,1,1,20060825
L8047,HCPCS,Nasal septal prosthesis,KN,,28 ,,NW,,,,,,$682.52,,1,1,1,1,1,1,20060825
L8047,HCPCS,Nasal septal prosthesis,KM,,28 ,,NW,,,,,,"$1,686.87",,1,1,1,1,1,1,20060825
L8048,HCPCS,Unspec maxillofacial prosth,,,28 ,,NW,,,,,,$32.99,,1,1,1,0,1,1,20060825
L8049,HCPCS,Repair maxillofacial prosth,,,28 ,,NW,,,,,,$42.46,,1,1,1,1,1,1,20060825
L8300,HCPCS,Truss single w/ standard pad,,,28 ,,NW,,,,,,$111.65,,1,1,1,1,1,1,20060825
L8310,HCPCS,Truss double w/ standard pad,,,28 ,,NW,,,,,,$174.78,,1,1,1,1,1,1,20060825
L8320,HCPCS,Truss addition to std pad wa,,,28 ,,NW,,,,,,$71.69,,1,1,1,1,1,1,20060825
L8330,HCPCS,Truss add to std pad scrotal,,,28 ,,NW,,,,,,$66.42,,1,1,1,1,1,1,20060825
L8400,HCPCS,Sheath below knee,,,28 ,,NW,,,,,,$22.92,,1,1,1,1,1,1,20060825
L8410,HCPCS,Sheath above knee,,,28 ,,NW,,,,,,$29.37,,1,1,1,1,1,1,20060825
L8415,HCPCS,Sheath upper limb,,,28 ,,NW,,,,,,$30.29,,1,1,1,1,1,1,20060825
L8417,HCPCS,Pros sheath/sock w gel cushn,,,28 ,,NW,,,,,,$89.92,,1,1,1,1,1,1,20060825
L8420,HCPCS,Prosthetic sock multi ply BK,,,28 ,,NW,,,,,,$27.72,,1,1,1,1,1,1,20060825
L8430,HCPCS,Prosthetic sock multi ply AK,,,28 ,,NW,,,,,,$31.20,,1,1,1,1,1,1,20060825
L8435,HCPCS,Pros sock multi ply upper lm,,,28 ,,NW,,,,,,$29.77,,1,1,1,1,1,1,20060825
L8440,HCPCS,Shrinker below knee,,,28 ,,NW,,,,,,$56.66,,1,1,1,1,1,1,20060825
L8460,HCPCS,Shrinker above knee,,,28 ,,NW,,,,,,$88.75,,1,1,1,1,1,1,20060825
L8465,HCPCS,Shrinker upper limb,,,28 ,,NW,,,,,,$65.64,,1,1,1,1,1,1,20060825
L8470,HCPCS,Pros sock single ply BK,,,28 ,,NW,,,,,,$10.51,,1,1,1,1,1,1,20060825
L8480,HCPCS,Pros sock single ply AK,,,28 ,,NW,,,,,,$14.48,,1,1,1,1,1,1,20060825
L8485,HCPCS,Pros sock single ply upper l,,,28 ,,NW,,,,,,$16.96,,1,1,1,1,1,1,20060825
L8499,HCPCS,Unlisted misc prosthetic ser,,,28 ,,NW,,,,,,$54.55,,1,1,1,1,1,1,20060825
L8500,HCPCS,Artificial larynx,,,28 ,,NW,,,,,,$927.35,,1,1,1,1,1,1,20060825
L8501,HCPCS,Tracheostomy speaking valve,,,28 ,,NW,,,,,,$158.76,,1,1,1,1,1,1,20060825
L8505,HCPCS,"Artificial larynx, accessory",,,28 ,,NW,,,,,,$31.55,,1,1,1,1,1,1,20060825
L8507,HCPCS,Trach-esoph voice pros pt in,,,28 ,,NW,,,,,,$51.24,,1,1,1,1,1,1,20060825
L8509,HCPCS,Trach-esoph voice pros md in,,,28 ,,NW,,,,,,$129.45,,1,1,1,1,1,1,20060825
L8510,HCPCS,Voice amplifier,,,28 ,,NW,,,,,,$296.14,,1,1,1,1,1,1,20060825
L8511,HCPCS,Indwelling trach insert,,,28 ,,NW,,,,,,$74.78,,1,1,1,0,1,1,20060825
L8512,HCPCS,Gel cap for trach voice pros,,,28 ,,NW,,,,,,$2.24,,1,1,1,0,1,1,20060825
L8513,HCPCS,Trach pros cleaning device,,,28 ,,NW,,,,,,$5.34,,1,1,1,0,1,1,20060825
L8514,HCPCS,Repl trach puncture dilator,,,28 ,,NW,,,,,,$96.96,,1,1,1,0,1,1,20060825
L8515,HCPCS,Gel cap app device for trach,,,28 ,,NW,,,,,,$64.90,,1,1,1,0,1,1,20060825
L8600,HCPCS,Implant breast silicone/eq,,,28 ,2,NW,,,,,,$874.88,,1,1,1,1,1,1,20060825
L8603,HCPCS,Collagen imp urinary 2.5 ml,,,28 ,2,NW,,,,,,$681.45,,1,1,1,1,1,1,20060825
L8606,HCPCS,Synthetic implnt urinary 1ml,,,28 ,2,NW,,,,,,$341.82,,1,1,1,1,1,1,20060825
L8610,HCPCS,Ocular implant,,,28 ,2,NW,,,,,,$817.04,,1,1,1,1,1,1,20060825
L8612,HCPCS,Aqueous shunt prosthesis,,,28 ,2,NW,,,,,,$850.61,,1,1,1,1,1,1,20060825
L8613,HCPCS,Ossicular implant,,,28 ,2,NW,,,,,,$335.04,,1,1,1,1,1,1,20060825
L8614,HCPCS,Cochlear device/system,,,28 ,2,NW,,,,,,"$25,634.89",,1,1,1,1,1,1,20060825
L8615,HCPCS,Coch implant headset replace,,,28 ,,NW,,,,,,$463.78,,1,1,1,0,1,1,20060825
L8616,HCPCS,Coch implant microphone repl,,,28 ,,NW,,,,,,$108.02,,1,1,1,0,1,1,20060825
L8617,HCPCS,Coch implant trans coil repl,,,28 ,,NW,,,,,,$94.35,,1,1,1,0,1,1,20060825
L8618,HCPCS,Coch implant tran cable repl,,,28 ,,NW,,,,,,$26.96,,1,1,1,0,1,1,20060825
L8619,HCPCS,Replace cochlear processor,,,28 ,,NW,,,,,,"$10,976.15",,1,1,1,1,1,1,20060825
L8621,HCPCS,Repl zinc air battery,,,28 ,,NW,,,,,,$0.65,,1,1,1,0,1,1,20060825
L8622,HCPCS,Repl alkaline battery,,,28 ,,NW,,,,,,$0.35,,1,1,1,0,1,1,20060825
L8630,HCPCS,Metacarpophalangeal implant,,,28 ,2,NW,,,,,,$449.94,,1,1,1,1,1,1,20060825
L8631,HCPCS,MCP joint repl 2 pc or more,,,28 ,,NW,,,,,,"$2,874.10",,1,1,1,1,1,1,20060825
L8641,HCPCS,Metatarsal joint implant,,,28 ,2,NW,,,,,,$469.36,,1,1,1,1,1,1,20060825
L8642,HCPCS,Hallux implant,,,28 ,2,NW,,,,,,$371.65,,1,1,1,1,1,1,20060825
L8658,HCPCS,Interphalangeal joint spacer,,,28 ,2,NW,,,,,,$403.11,,1,1,1,1,1,1,20060825
L8659,HCPCS,Interphalangeal joint repl,,,28 ,,NW,,,,,,"$2,514.95",,1,1,1,1,1,1,20060825
L8670,HCPCS,"Vascular graft, synthetic",,,28 ,2,NW,,,,,,$692.41,,1,1,1,1,1,1,20060825
L8699,HCPCS,Prosthetic implant NOS,,,28 ,2,NW,,,,,,$342.13,,1,1,1,1,1,1,20060825
L9900,HCPCS,O&P supply/accessory/service,,,28 ,,NW,,,,,,$49.04,,1,1,1,1,1,1,20060825
M0064,HCPCS,Visit for drug monitoring,,,16 ,,RBRVS,0.37 ,0.12 ,0.34 ,,,,,1,1,1,0,1,1,20060825
M0076,HCPCS,Prolotherapy,,,14 ,,TotalUnits,,,,2.08 ,,,,1,1,1,0,1,1,20060825
M0300,HCPCS,IV chelationtherapy,,,4 ,,TotalUnits,,,,0.94 ,,,,1,1,1,0,1,1,20060825
P2038,HCPCS,Blood mucoprotein,,,17 ,,TotalUnits,,,,0.23 ,,,,1,1,1,0,1,1,20060825
P3000,HCPCS,Screen pap by tech w md supv,,,17 ,,TotalUnits,,,,0.49 ,,,,1,1,1,0,1,1,20060825
P3001,HCPCS,Screening pap smear by phys,,,17 ,,RBRVS,0.42 ,0.15 ,0.15 ,,,,,1,0,1,1,1,1,20060825
P7001,HCPCS,Culture bacterial urine,,,17 ,,TotalUnits,,,,0.48 ,,,,1,1,1,0,1,1,20060825
P9010,HCPCS,Whole blood for transfusion,,,14 ,,TotalUnits,,,,1.41 ,,,,1,1,1,0,1,1,20060825
P9011,HCPCS,Blood split unit,,,14 ,,TotalUnits,,,,2.02 ,,,,1,1,1,0,1,1,20060825
P9016,HCPCS,RBC leukocytes reduced,,,14 ,,TotalUnits,,,,3.03 ,,,,1,1,1,0,1,1,20060825
P9019,HCPCS,"Platelets, each unit",,,14 ,,TotalUnits,,,,0.93 ,,,,1,1,1,0,1,1,20060825
P9020,HCPCS,Plaelet rich plasma unit,,,14 ,,TotalUnits,,,,1.35 ,,,,1,1,1,0,1,1,20060825
P9021,HCPCS,Red blood cells unit,,,14 ,,TotalUnits,,,,3.20 ,,,,1,1,1,0,1,1,20060825
P9022,HCPCS,Washed red blood cells unit,,,14 ,,TotalUnits,,,,4.36 ,,,,1,1,1,0,1,1,20060825
P9041,HCPCS,"Albumin (human),5%, 50ml",,,14 ,,TotalUnits,,,,0.77 ,,,,1,1,1,0,1,1,20060825
P9043,HCPCS,"Plasma protein fract,5%,50ml",,,14 ,,TotalUnits,,,,0.58 ,,,,1,1,1,0,1,1,20060825
P9045,HCPCS,"Albumin (human), 5%, 250 ml",,,14 ,,TotalUnits,,,,1.35 ,,,,1,1,1,0,1,1,20060825
P9046,HCPCS,"Albumin (human), 25%, 20 ml",,,14 ,,TotalUnits,,,,0.73 ,,,,1,1,1,0,1,1,20060825
P9047,HCPCS,"Albumin (human), 25%, 50ml",,,14 ,,TotalUnits,,,,1.35 ,,,,1,1,1,0,1,1,20060825
P9048,HCPCS,"Plasmaprotein fract,5%,250ml",,,14 ,,TotalUnits,,,,1.69 ,,,,1,1,1,0,1,1,20060825
P9603,HCPCS,One-way allow prorated miles,,,14 ,,TotalUnits,,,,0.01 ,,,,1,1,1,0,1,1,20060825
P9604,HCPCS,One-way allow prorated trip,,,14 ,,TotalUnits,,,,0.11 ,,,,1,1,1,0,1,1,20060825
P9612,HCPCS,Catheterize for urine spec,,,17 ,2,TotalUnits,,,,0.10 ,,,,1,1,1,0,1,1,20060825
P9615,HCPCS,Urine specimen collect mult,,,17 ,2,TotalUnits,,,,0.10 ,,,,1,1,1,0,1,1,20060825
Q0035,HCPCS,Cardiokymography,TC,,20 ,,RBRVS,0.00 ,0.39 ,0.39 ,,,,,1,1,1,0,1,1,20060825
Q0035,HCPCS,Cardiokymography,26,,20 ,,RBRVS,0.17 ,0.06 ,0.06 ,,,,,1,0,1,1,1,1,20060825
Q0081,HCPCS,Infusion ther other than che,,,28 ,,NW,,,,,,$94.31,,1,1,1,0,1,1,20060825
Q0083,HCPCS,Chemo by other than infusion,,,29 ,,NW,,,,,,$243.09,,1,1,1,0,1,1,20060825
Q0084,HCPCS,Chemotherapy by infusion,,,29 ,,NW,,,,,,$405.49,,1,1,1,0,1,1,20060825
Q0085,HCPCS,Chemo by both infusion and o,,,29 ,,NW,,,,,,$462.46,,1,1,1,0,1,1,20060825
Q0091,HCPCS,Obtaining screen pap smear,,,17 ,,RBRVS,0.37 ,0.14 ,0.67 ,,,,,1,1,1,0,1,1,20060825
Q0092,HCPCS,Set up port xray equipment,,TC,20 ,2,RBRVS,0.00 ,0.32 ,0.32 ,,,,,1,1,1,0,1,1,20060825
Q0111,HCPCS,Wet mounts/ w preparations,,,17 ,,TotalUnits,,,,0.20 ,,,,1,1,1,0,1,1,20060825
Q0112,HCPCS,Potassium hydroxide preps,,,17 ,,TotalUnits,,,,0.20 ,,,,1,1,1,0,1,1,20060825
Q0113,HCPCS,Pinworm examinations,,,17 ,,TotalUnits,,,,0.25 ,,,,1,1,1,0,1,1,20060825
Q0114,HCPCS,Fern test,,,17 ,,TotalUnits,,,,0.33 ,,,,1,1,1,0,1,1,20060825
Q0115,HCPCS,Post-coital mucous exam,,,17 ,,TotalUnits,,,,0.46 ,,,,1,1,1,0,1,1,20060825
Q0144,HCPCS,"Azithromycin dihydrate, oral",,,29 ,,NW,,,,,,$34.02,,1,1,1,0,0,1,20060825
Q0163,HCPCS,Diphenhydramine HCl 50mg,,,29 ,2,NW,,,,,,$1.20,,1,1,1,0,0,1,20060825
Q0164,HCPCS,Prochlorperazine maleate 5mg,,,29 ,2,NW,,,,,,$1.20,,1,1,1,0,0,1,20060825
Q0165,HCPCS,Prochlorperazine maleate10mg,,,29 ,,NW,,,,,,$2.40,,1,1,1,0,0,1,20060825
Q0166,HCPCS,Granisetron HCl 1 mg oral,,,29 ,,NW,,,,,,$113.74,,1,1,1,0,0,1,20060825
Q0167,HCPCS,Dronabinol 2.5mg oral,,,29 ,2,NW,,,,,,$9.58,,1,1,1,0,0,1,20060825
Q0168,HCPCS,Dronabinol 5mg oral,,,29 ,,NW,,,,,,$25.16,,1,1,1,0,0,1,20060825
Q0169,HCPCS,Promethazine HCl 12.5mg oral,,,29 ,2,NW,,,,,,$1.20,,1,1,1,0,0,1,20060825
Q0170,HCPCS,Promethazine HCl 25 mg oral,,,29 ,,NW,,,,,,$1.20,,1,1,1,0,0,1,20060825
Q0171,HCPCS,Chlorpromazine HCl 10mg oral,,,29 ,2,NW,,,,,,$1.20,,1,1,1,0,0,1,20060825
Q0172,HCPCS,Chlorpromazine HCl 25mg oral,,,29 ,,NW,,,,,,$1.20,,1,1,1,0,0,1,20060825
Q0173,HCPCS,Trimethobenzamide HCl 250mg,,,29 ,2,NW,,,,,,$1.20,,1,1,1,0,0,1,20060825
Q0174,HCPCS,Thiethylperazine maleate10mg,,,29 ,2,NW,,,,,,$2.40,,1,1,1,0,0,1,20060825
Q0175,HCPCS,Perphenazine 4mg oral,,,29 ,2,NW,,,,,,$1.20,,1,1,1,0,0,1,20060825
Q0176,HCPCS,Perphenazine 8mg oral,,,29 ,,NW,,,,,,$2.40,,1,1,1,0,0,1,20060825
Q0177,HCPCS,Hydroxyzine pamoate 25mg,,,29 ,2,NW,,,,,,$1.20,,1,1,1,0,0,1,20060825
Q0178,HCPCS,Hydroxyzine pamoate 50mg,,,29 ,,NW,,,,,,$1.20,,1,1,1,0,0,1,20060825
Q0179,HCPCS,Ondansetron HCl 8mg oral,,,29 ,2,NW,,,,,,$81.62,,1,1,1,0,0,1,20060825
Q0180,HCPCS,Dolasetron mesylate oral,,,29 ,,NW,,,,,,$176.99,,1,1,1,0,0,1,20060825
Q0181,HCPCS,Unspecified oral anti-emetic,,,29 ,,NW,,,,,,$0.90,,1,1,1,0,0,1,20060825
Q0480,HCPCS,"Driver pneumatic vad, rep",,,28 ,,NW,,,,,,"$92,612.14",,1,1,1,0,1,1,20060825
Q0481,HCPCS,"Microprcsr cu elec vad, rep",,,28 ,,NW,,,,,,"$14,941.90",,1,1,1,0,1,1,20060825
Q0482,HCPCS,"Microprcsr cu combo vad, rep",,,28 ,,NW,,,,,,"$4,680.08",,1,1,1,0,1,1,20060825
Q0483,HCPCS,"Monitor elec vad, rep",,,28 ,,NW,,,,,,"$19,279.83",,1,1,1,0,1,1,20060825
Q0484,HCPCS,Monitor elec or comb vad rep,,,28 ,,NW,,,,,,"$3,744.08",,1,1,1,0,1,1,20060825
Q0485,HCPCS,"Monitor cable elec vad, rep",,,28 ,,NW,,,,,,$361.49,,1,1,1,0,1,1,20060825
Q0486,HCPCS,Mon cable elec/pneum vad rep,,,28 ,,NW,,,,,,$300.87,,1,1,1,0,1,1,20060825
Q0487,HCPCS,"Leads any type vad, rep only",,,28 ,,NW,,,,,,$351.02,,1,1,1,0,1,1,20060825
Q0488,HCPCS,"Pwr pack base elec vad, rep",,,28 ,,NW,,,,,,"$16,714.58",,1,1,1,0,1,1,20060825
Q0489,HCPCS,"Pwr pck base combo vad, rep",,,28 ,,NW,,,,,,"$16,714.58",,1,1,1,0,1,1,20060825
Q0490,HCPCS,"Emr pwr source elec vad, rep",,,28 ,,NW,,,,,,$723.00,,1,1,1,0,1,1,20060825
Q0491,HCPCS,Emr pwr source combo vad rep,,,28 ,,NW,,,,,,"$1,136.63",,1,1,1,0,1,1,20060825
Q0492,HCPCS,"Emr pwr cbl elec vad, rep",,,28 ,,NW,,,,,,$91.59,,1,1,1,0,1,1,20060825
Q0493,HCPCS,"Emr pwr cbl combo vad, rep",,,28 ,,NW,,,,,,$260.74,,1,1,1,0,1,1,20060825
Q0494,HCPCS,"Emr hd pmp elec/combo, rep",,,28 ,,NW,,,,,,$220.64,,1,1,1,0,1,1,20060825
Q0495,HCPCS,"Charger elec/combo vad, rep",,,28 ,,NW,,,,,,"$4,295.23",,1,1,1,0,1,1,20060825
Q0496,HCPCS,"Battery elec/combo vad, rep",,,28 ,,NW,,,,,,"$1,541.64",,1,1,1,0,1,1,20060825
Q0497,HCPCS,"Bat clps elec/comb vad, rep",,,28 ,,NW,,,,,,$481.40,,1,1,1,0,1,1,20060825
Q0498,HCPCS,"Holster elec/combo vad, rep",,,28 ,,NW,,,,,,$528.20,,1,1,1,0,1,1,20060825
Q0499,HCPCS,Belt/vest elec/combo vad rep,,,28 ,,NW,,,,,,$171.62,,1,1,1,0,1,1,20060825
Q0500,HCPCS,"Filters elec/combo vad, rep",,,28 ,,NW,,,,,,$31.41,,1,1,1,0,1,1,20060825
Q0501,HCPCS,"Shwr cov elec/combo vad, rep",,,28 ,,NW,,,,,,$525.16,,1,1,1,0,1,1,20060825
Q0502,HCPCS,"Mobility cart pneum vad, rep",,,28 ,,NW,,,,,,$668.58,,1,1,1,0,1,1,20060825
Q0503,HCPCS,Battery pneum vad replacemnt,,,28 ,,NW,,,,,,"$1,337.17",,1,1,1,0,1,1,20060825
Q0504,HCPCS,"Pwr adpt pneum vad, rep veh",,,28 ,,NW,,,,,,$705.60,,1,1,1,0,1,1,20060825
Q0513,HCPCS,Disp fee inhal drugs/30 days,,,28 ,,NW,,,,,,$8.33,,1,1,1,0,0,1,20060825
Q0514,HCPCS,Disp fee inhal drugs/90 days,,,28 ,,NW,,,,,,$8.33,,1,1,1,0,0,1,20060825
Q2004,HCPCS,Bladder calculi irrig sol,,,29 ,2,NW,,,,,,$58.23,,1,1,1,0,0,1,20060825
Q2009,HCPCS,"Fosphenytoin, 50 mg",,,29 ,,NW,,,,,,$14.33,,1,1,1,0,0,1,20060825
Q2017,HCPCS,"Teniposide, 50 mg",,,29 ,,NW,,,,,,$560.90,,1,1,1,0,0,1,20060825
Q3001,HCPCS,Brachytherapy Radioelements,,,28 ,2,NW,,,,,,$77.06,,1,1,1,0,0,1,20060825
Q3014,HCPCS,Telehealth facility fee,,,28 ,,NW,,,,,,$39.85,,1,1,1,0,0,1,20060825
Q3025,HCPCS,IM inj interferon beta 1-a,,,29 ,,NW,,,,,,$160.67,,1,1,1,0,0,1,20060825
Q3026,HCPCS,INJ INTRFER BETA-1A 11 MCG SUBQ USE,,,29 ,,NW,,,,,,$91.17,,1,1,1,0,0,1,20060825
Q3031,HCPCS,Collagen skin test,,,2 ,,RBRVS,0.15 ,0.06 ,0.32 ,,,,,1,0,1,1,1,1,20060825
Q4001,HCPCS,Cast sup body cast plaster,,,28 ,,NW,,,,,,$288.28,,1,1,1,0,0,1,20060825
Q4002,HCPCS,Cast sup body cast fiberglas,,,28 ,,NW,,,,,,$613.46,,1,1,1,0,0,1,20060825
Q4003,HCPCS,Cast sup shoulder cast plstr,,,28 ,,NW,,,,,,$156.36,,1,1,1,0,0,1,20060825
Q4004,HCPCS,Cast sup shoulder cast fbrgl,,,28 ,,NW,,,,,,$332.50,,1,1,1,0,0,1,20060825
Q4005,HCPCS,Cast sup long arm adult plst,,,28 ,,NW,,,,,,$86.47,,1,1,1,0,0,1,20060825
Q4006,HCPCS,Cast sup long arm adult fbrg,,,28 ,,NW,,,,,,$183.47,,1,1,1,0,0,1,20060825
Q4007,HCPCS,Cast sup long arm ped plster,,,28 ,,NW,,,,,,$42.99,,1,1,1,0,0,1,20060825
Q4008,HCPCS,Cast sup long arm ped fbrgls,,,28 ,,NW,,,,,,$91.47,,1,1,1,0,0,1,20060825
Q4009,HCPCS,Cast sup sht arm adult plstr,,,28 ,,NW,,,,,,$66.52,,1,1,1,0,0,1,20060825
Q4010,HCPCS,Cast sup sht arm adult fbrgl,,,28 ,,NW,,,,,,$141.39,,1,1,1,0,0,1,20060825
Q4011,HCPCS,Cast sup sht arm ped plaster,,,28 ,,NW,,,,,,$32.99,,1,1,1,0,0,1,20060825
Q4012,HCPCS,Cast sup sht arm ped fbrglas,,,28 ,,NW,,,,,,$70.79,,1,1,1,0,0,1,20060825
Q4013,HCPCS,Cast sup gauntlet plaster,,,28 ,,NW,,,,,,$62.24,,1,1,1,0,0,1,20060825
Q4014,HCPCS,Cast sup gauntlet fiberglass,,,28 ,,NW,,,,,,$133.55,,1,1,1,0,0,1,20060825
Q4015,HCPCS,Cast sup gauntlet ped plster,,,28 ,,NW,,,,,,$31.57,,1,1,1,0,0,1,20060825
Q4016,HCPCS,Cast sup gauntlet ped fbrgls,,,28 ,,NW,,,,,,$66.52,,1,1,1,0,0,1,20060825
Q4017,HCPCS,Cast sup lng arm splint plst,,,28 ,,NW,,,,,,$54.39,,1,1,1,0,0,1,20060825
Q4018,HCPCS,Cast sup lng arm splint fbrg,,,28 ,,NW,,,,,,$116.43,,1,1,1,0,0,1,20060825
Q4019,HCPCS,Cast sup lng arm splnt ped p,,,28 ,,NW,,,,,,$27.29,,1,1,1,0,0,1,20060825
Q4020,HCPCS,Cast sup lng arm splnt ped f,,,28 ,,NW,,,,,,$58.67,,1,1,1,0,0,1,20060825
Q4021,HCPCS,Cast sup sht arm splint plst,,,28 ,,NW,,,,,,$54.39,,1,1,1,0,0,1,20060825
Q4022,HCPCS,Cast sup sht arm splint fbrg,,,28 ,,NW,,,,,,$116.43,,1,1,1,0,0,1,20060825
Q4023,HCPCS,Cast sup sht arm splnt ped p,,,28 ,,NW,,,,,,$27.29,,1,1,1,0,0,1,20060825
Q4024,HCPCS,Cast sup sht arm splnt ped f,,,28 ,,NW,,,,,,$58.67,,1,1,1,0,0,1,20060825
Q4025,HCPCS,Cast sup hip spica plaster,,,28 ,,NW,,,,,,$242.65,,1,1,1,0,0,1,20060825
Q4026,HCPCS,Cast sup hip spica fiberglas,,,28 ,,NW,,,,,,$515.77,,1,1,1,0,0,1,20060825
Q4027,HCPCS,Cast sup hip spica ped plstr,,,28 ,,NW,,,,,,$121.42,,1,1,1,0,0,1,20060825
Q4028,HCPCS,Cast sup hip spica ped fbrgl,,,28 ,,NW,,,,,,$258.35,,1,1,1,0,0,1,20060825
Q4029,HCPCS,Cast sup long leg plaster,,,28 ,,NW,,,,,,$119.99,,1,1,1,0,0,1,20060825
Q4030,HCPCS,Cast sup long leg fiberglass,,,28 ,,NW,,,,,,$254.06,,1,1,1,0,0,1,20060825
Q4031,HCPCS,Cast sup lng leg ped plaster,,,28 ,,NW,,,,,,$60.10,,1,1,1,0,0,1,20060825
Q4032,HCPCS,Cast sup lng leg ped fbrgls,,,28 ,,NW,,,,,,$127.12,,1,1,1,0,0,1,20060825
Q4033,HCPCS,Cast sup lng leg cylinder pl,,,28 ,,NW,,,,,,$102.16,,1,1,1,0,0,1,20060825
Q4034,HCPCS,Cast sup lng leg cylinder fb,,,28 ,,NW,,,,,,$216.26,,1,1,1,0,0,1,20060825
Q4035,HCPCS,Cast sup lngleg cylndr ped p,,,28 ,,NW,,,,,,$50.83,,1,1,1,0,0,1,20060825
Q4036,HCPCS,Cast sup lngleg cylndr ped f,,,28 ,,NW,,,,,,$107.87,,1,1,1,0,0,1,20060825
Q4037,HCPCS,Cast sup shrt leg plaster,,,28 ,,NW,,,,,,$137.11,,1,1,1,0,0,1,20060825
Q4038,HCPCS,Cast sup shrt leg fiberglass,,,28 ,,NW,,,,,,$291.14,,1,1,1,0,0,1,20060825
Q4039,HCPCS,Cast sup shrt leg ped plster,,,28 ,,NW,,,,,,$68.65,,1,1,1,0,0,1,20060825
Q4040,HCPCS,Cast sup shrt leg ped fbrgls,,,28 ,,NW,,,,,,$145.66,,1,1,1,0,0,1,20060825
Q4041,HCPCS,Cast sup lng leg splnt plstr,,,28 ,,NW,,,,,,$78.63,,1,1,1,0,0,1,20060825
Q4042,HCPCS,Cast sup lng leg splnt fbrgl,,,28 ,,NW,,,,,,$166.35,,1,1,1,0,0,1,20060825
Q4043,HCPCS,Cast sup lng leg splnt ped p,,,28 ,,NW,,,,,,$39.41,,1,1,1,0,0,1,20060825
Q4044,HCPCS,Cast sup lng leg splnt ped f,,,28 ,,NW,,,,,,$83.63,,1,1,1,0,0,1,20060825
Q4045,HCPCS,Cast sup sht leg splnt plstr,,,28 ,,NW,,,,,,$50.83,,1,1,1,0,0,1,20060825
Q4046,HCPCS,Cast sup sht leg splnt fbrgl,,,28 ,,NW,,,,,,$107.87,,1,1,1,0,0,1,20060825
Q4047,HCPCS,Cast sup sht leg splnt ped p,,,28 ,,NW,,,,,,$25.15,,1,1,1,0,0,1,20060825
Q4048,HCPCS,Cast sup sht leg splnt ped f,,,28 ,,NW,,,,,,$54.39,,1,1,1,0,0,1,20060825
Q4049,HCPCS,"Finger splint, static",,,28 ,,NW,,,,,,$66.52,,1,1,1,0,0,1,20060825
Q4050,HCPCS,Cast supplies unlisted,,,28 ,,NW,,,,,,$31.36,,1,1,1,0,0,1,20060825
Q4051,HCPCS,Splint supplies misc,,,28 ,,NW,,,,,,$28.00,,1,1,1,0,0,1,20060825
Q4079,HCPCS,"Injection, Natalizumab, 1 MG",,,29 ,,NW,,,,,,$0.24,,1,1,1,0,0,1,20060825
Q9945,HCPCS,LOW OSM CONTRST MATL TO 149 MG/ML IODINE CONC ML,,,28 ,,NW,,,,,,$0.33,,1,0,0,0,0,1,20060825
Q9946,HCPCS,LW OSM CONTRST MATL 150-199 MG/ML IODINE CONC ML,,,28 ,,NW,,,,,,$2.00,,1,0,0,0,0,1,20060825
Q9947,HCPCS,LW OSM CONTRST MATL 200-249 MG/ML IODINE CONC ML,,,28 ,,NW,,,,,,$1.35,,1,0,0,0,0,1,20060825
Q9948,HCPCS,LW OSM CONTRST MATL 250-299 MG/ML IODINE CONC ML,,,28 ,,NW,,,,,,$0.35,,1,0,0,0,0,1,20060825
Q9949,HCPCS,LW OSM CONTRST MATL 300-349 MG/ML IODINE CONC ML,,,28 ,,NW,,,,,,$0.38,,1,0,0,0,0,1,20060825
Q9950,HCPCS,LW OSM CONTRST MATL 350-399 MG/ML IODINE CONC ML,,,28 ,,NW,,,,,,$0.23,,1,0,0,0,0,1,20060825
Q9951,HCPCS,LOW OSM CONTRST MATL 400/> MG/ML IODINE CONC ML,,,28 ,,NW,,,,,,$0.33,,1,0,0,0,0,1,20060825
Q9952,HCPCS,INJECTION GADOLINIUM-BASED MR CONTRAST AGENT ML,,,28 ,,NW,,,,,,$3.12,,1,0,0,0,0,1,20060825
Q9953,HCPCS,INJECTION IRONBASED MR CONTRAST AGENT PER ML,,,28 ,,NW,,,,,,$32.54,,1,0,0,0,0,1,20060825
Q9954,HCPCS,ORAL MAGNETIC RESONANCE CONTRAST AGENT PER ML,,,28 ,,NW,,,,,,$9.59,,1,0,0,0,0,1,20060825
Q9955,HCPCS,"Inj perflexane lip micros,ml",,,28 ,,NW,,,,,,$14.18,,1,0,0,0,0,1,20060825
Q9956,HCPCS,INJECTION OCTAFLUOROPROPANE MICROSPHERES PER ML,,,28 ,,NW,,,,,,$44.02,,1,0,0,0,0,1,20060825
Q9957,HCPCS,"Inj perflutren lip micros,ml",,,28 ,,NW,,,,,,$375.32,,1,0,0,0,0,1,20060825
Q9958,HCPCS,HIGH OSM CONTRAST MATL 149 MG/ML IODINE CONC ML,,,28 ,,NW,,,,,,$0.07,,1,0,0,0,0,1,20060825
Q9960,HCPCS,HI OSM CONTRST MATL 200-249 MG/ML IODINE CONC ML,,,28 ,,NW,,,,,,$0.10,,1,0,0,0,0,1,20060825
Q9961,HCPCS,HI OSM CONTRST MATL 250-299 MG/ML IODINE CONC ML,,,28 ,,NW,,,,,,$0.20,,1,0,0,0,0,1,20060825
Q9962,HCPCS,HI OSM CONTRST MATL 300-349 MG/ML IODINE CONC ML,,,28 ,,NW,,,,,,$0.15,,1,0,0,0,0,1,20060825
Q9963,HCPCS,HI OSM CONTRST MATL 350-399 MG/ML IODINE CONC ML,,,28 ,,NW,,,,,,$0.42,,1,0,0,0,0,1,20060825
Q9964,HCPCS,HIGH OSM CONTRST MATL 400/> MG/ML IODINE CONC ML,,,28 ,,NW,,,,,,$0.21,,1,0,0,0,0,1,20060825
R0070,HCPCS,Transport portable x-ray,,TC,28 ,2,NW,,,,,,$156.31,,1,1,1,0,1,1,20060825
R0075,HCPCS,Transport port x-ray multipl,,TC,28 ,2,NW,,,,,,$81.64,,1,1,1,0,1,1,20060825
R0076,HCPCS,Transport portable EKG,,,28 ,2,NW,,,,,,$159.77,,1,1,1,0,1,1,20060825
S0012,HCPCS,"Butorphanol tartrate, nasal",,,28 ,,NW,,,,,,$174.27,,1,1,1,0,0,1,20060825
S0014,HCPCS,"Tacrine hydrochloride, 10 mg",,,28 ,,NW,,,,,,$2.47,,1,1,1,0,0,1,20060825
S0020,HCPCS,"Injection, bupivicaine hydro",,,28 ,,NW,,,,,,$4.76,,1,1,1,0,0,1,20060825
S0023,HCPCS,"Injection, cimetidine hydroc",,,28 ,,NW,,,,,,$9.84,,1,1,1,0,0,1,20060825
S0028,HCPCS,"Injection, famotidine, 20 mg",,,28 ,,NW,,,,,,$10.69,,1,1,1,0,0,1,20060825
S0030,HCPCS,"Injection, metronidazole",,,28 ,,NW,,,,,,$29.84,,1,1,1,0,0,1,20060825
S0032,HCPCS,"Injection, nafcillin sodium",,,28 ,,NW,,,,,,$11.35,,1,1,1,0,0,1,20060825
S0034,HCPCS,INJECTION OFLOXACIN 400 MG,,,29 ,,NW,,,,,,$22.28,,1,1,1,0,0,1,20060825
S0039,HCPCS,"Injection, sulfamethoxazole",,,28 ,,NW,,,,,,$21.44,,1,1,1,0,0,1,20060825
S0040,HCPCS,"Injection, ticarcillin disod",,,28 ,,NW,,,,,,$31.81,,1,1,1,0,0,1,20060825
S0073,HCPCS,"Injection, aztreonam, 500 mg",,,28 ,,NW,,,,,,$30.62,,1,1,1,0,0,1,20060825
S0074,HCPCS,"Injection, cefotetan disodiu",,,28 ,,NW,,,,,,$14.40,,1,1,1,0,0,1,20060825
S0077,HCPCS,"Injection, clindamycin phosp",,,28 ,,NW,,,,,,$21.27,,1,1,1,0,0,1,20060825
S0078,HCPCS,Inj Fosphenytoin Sodium 750 mg,,,28 ,,NW,,,,,,$332.87,,1,0,1,0,0,1,20060825
S0080,HCPCS,"Injection, pentamidine iseth",,,28 ,,NW,,,,,,$175.12,,1,1,1,0,0,1,20060825
S0081,HCPCS,"Injection, piperacillin sodi",,,28 ,,NW,,,,,,$76.82,,1,1,1,0,0,1,20060825
S0088,HCPCS,Imatinib 100 mg,,,28 ,,NW,,,,,,$25.45,,1,1,1,0,0,1,20060825
S0090,HCPCS,"Sildenafil citrate, 25 mg",,,28 ,,NW,,,,,,$17.98,,1,1,1,0,0,1,20060825
S0091,HCPCS,Granisetron 1mg,,,28 ,,NW,,,,,,$395.94,,1,1,1,0,0,1,20060825
S0092,HCPCS,Hydromorphone 250 mg,,,28 ,,NW,,,,,,$180.09,,1,1,1,0,0,1,20060825
S0093,HCPCS,Morphine 500 mg,,,28 ,,NW,,,,,,$21.45,,1,1,1,0,0,1,20060825
S0104,HCPCS,"Zidovudine, oral, 100 mg",,,28 ,,NW,,,,,,$4.62,,1,1,1,0,0,1,20060825
S0108,HCPCS,Mercaptopurine 50 mg,,,28 ,,NW,,,,,,$8.49,,1,1,1,0,0,1,20060825
S0109,HCPCS,METHADONE ORAL 5MG,,,29 ,,NW,,,,,,$0.81,,1,1,1,0,0,1,20060825
S0122,HCPCS,Inj menotropins 75 iu,,,28 ,,NW,,,,,,$155.05,,1,1,1,0,0,1,20060825
S0126,HCPCS,Inj follitropin alfa 75 iu,,,28 ,,NW,,,,,,$204.71,,1,1,1,0,0,1,20060825
S0128,HCPCS,Inj follitropin beta 75 iu,,,28 ,,NW,,,,,,$197.31,,1,1,1,0,0,1,20060825
S0132,HCPCS,Injection Ganirelix Acetate 250 mcg,,,28 ,,NW,,,,,,$33.10,,1,0,1,0,0,1,20060825
S0136,HCPCS,Clozapine 25 mg,,,28 ,,NW,,,,,,$31.46,,1,0,1,0,0,1,20060825
S0137,HCPCS,Didanosine 25 mg,,,28 ,,NW,,,,,,$114.60,,1,0,1,0,0,1,20060825
S0145,HCPCS,INJ PEGYLATED INTERFERON ALFA2A 180 MCG PER ML,,,29 ,,NW,,,,,,$37.33,,1,1,1,0,0,1,20060825
S0146,HCPCS,INJ PEGYLATED INTERFERON ALFA-2B 10 MCG 0.5 ML,,,29 ,,NW,,,,,,$15.92,,1,1,1,0,0,1,20060825
S0155,HCPCS,Epoprostenol dilutant,,,28 ,,NW,,,,,,$23.97,,1,1,1,0,0,1,20060825
S0156,HCPCS,"Exemestane, 25 mg",,,28 ,,NW,,,,,,$14.51,,1,1,1,0,0,1,20060825
S0157,HCPCS,Becaplermin Gel 0.01% 0.5 gm,,,28 ,,NW,,,,,,$342.76,,1,0,1,0,0,1,20060825
S0161,HCPCS,Calcitrol 0.25 mg,,,28 ,,NW,,,,,,$78.04,,1,0,1,0,0,1,20060825
S0164,HCPCS,Injection Pantoprazole Sodium 40 mg,,,28 ,,NW,,,,,,$64.53,,1,0,1,0,0,1,20060825
S0167,HCPCS,Injection Apomorphine Hydrochloride 1 mg,,,28 ,,NW,,,,,,$63.43,,1,0,1,0,0,1,20060825
S0170,HCPCS,Anastrozole 1 mg,,,28 ,,NW,,,,,,$13.13,,1,1,1,0,0,1,20060825
S0171,HCPCS,Bumetanide 0.5 mg,,,28 ,,NW,,,,,,$2.93,,1,1,1,0,0,1,20060825
S0172,HCPCS,Chlorambucil 2 mg,,,28 ,,NW,,,,,,$3.35,,1,1,1,0,0,1,20060825
S0174,HCPCS,Dolasetron 50 mg,,,28 ,,NW,,,,,,$130.43,,1,1,1,0,0,1,20060825
S0175,HCPCS,Flutamide 125 mg,,,28 ,,NW,,,,,,$4.01,,1,1,1,0,0,1,20060825
S0176,HCPCS,Hydroxyurea 500 mg,,,28 ,,NW,,,,,,$2.59,,1,1,1,0,0,1,20060825
S0177,HCPCS,Levamisole 50 mg,,,28 ,,NW,,,,,,$12.90,,1,1,1,0,0,1,20060825
S0178,HCPCS,Lomustine 10 mg,,,28 ,,NW,,,,,,$12.97,,1,1,1,0,0,1,20060825
S0179,HCPCS,Megestrol 20 mg,,,28 ,,NW,,,,,,$1.35,,1,1,1,0,0,1,20060825
S0181,HCPCS,Ondansetron 4 mg,,,28 ,,NW,,,,,,$33.86,,1,1,1,0,0,1,20060825
S0182,HCPCS,Procarbazine 5 mg,,,28 ,,NW,,,,,,$1.42,,1,1,1,0,0,1,20060825
S0183,HCPCS,Prochlorperazine 5 mg,,,28 ,,NW,,,,,,$1.14,,1,1,1,0,0,1,20060825
S0187,HCPCS,Tamoxifen 10 mg,,,28 ,,NW,,,,,,$4.49,,1,1,1,0,0,1,20060825
S0195,HCPCS,Pneumcoccl Conjugat Vac Im 5-9 Yr Not Prev Recvd,,,28 ,,NW,,,,,,$243.88,,1,0,1,0,0,1,20060825
S0209,HCPCS,WC van mileage per mi,,,28 ,,NW,,,,,,$1.55,,1,1,1,1,1,1,20060825
S0215,HCPCS,Nonemerg transp mileage,,,28 ,,NW,,,,,,$1.55,,1,1,1,1,1,1,20060825
S0220,HCPCS,Med Conf Md W/Team Hlth Prof;30 Min,,,15 ,,RBRVS,1.10 ,0.41 ,1.03 ,,,,,1,0,1,1,1,1,20060825
S0221,HCPCS,Med Conf Md W/Team Hlth Prof;60 Min,,,15 ,,RBRVS,1.10 ,0.41 ,1.03 ,,,,,1,0,1,1,1,1,20060825
S0255,HCPCS,By Nurse Social Worker Or Other Designated Staff,,,18 ,,RBRVS,0.48 ,0.19 ,0.62 ,,,,,1,0,1,1,1,1,20060825
S0257,HCPCS,Cnsl&Discuss Ad/Eol Pt&/Surrogate ,,,15 ,,RBRVS,1.77 ,0.66 ,0.77 ,,,,,1,0,1,1,1,1,20060825
S0260,HCPCS,Hx & Phys Related To Surgical Proc,,,15 ,,RBRVS,0.17 ,0.39 ,0.06 ,,,,,1,0,1,1,1,1,20060825
S0265,HCPCS,Genetic Counseling Phys Supervision Ea 15 Mins,,,15 ,,RBRVS,0.17 ,0.39 ,0.06 ,,,,,1,0,1,1,1,1,20060825
S0302,HCPCS,Completed EPSDT,,,28 ,,NW,,,,,,$72.21,,1,0,1,1,1,1,20060825
S0315,HCPCS,Dz Mgmt Progm; Init Assess&Init Pro,,,15 ,,RBRVS,0.17 ,0.39 ,0.06 ,,,,,1,0,1,1,1,1,20060825
S0316,HCPCS,Disease Mgmt Progm; F/U/Reassess,,,15 ,,RBRVS,0.17 ,0.39 ,0.06 ,,,,,1,0,1,1,1,1,20060825
S0345,HCPCS,Home ECG monitoring global 24 h,,,28 ,,RBRVS,0.17 ,0.51 ,0.51 ,,,,,1,0,0,0,0,1,20060825
S0346,HCPCS,Home ECG monitoring tech 24 h,,,28 ,,RBRVS,0.00 ,0.45 ,0.45 ,,,,,1,1,1,0,1,1,20060825
S0347,HCPCS,Home ECG monitoring prof 24 h,,,28 ,,RBRVS,0.17 ,0.06 ,0.06 ,,,,,1,0,1,1,1,1,20060825
S0390,HCPCS,Routine Foot Care; Per Visit,,,15 ,,RBRVS,0.50 ,0.21 ,0.52 ,,,,,1,0,1,1,1,1,20060825
S0395,HCPCS,Impression casting ft,,,28 ,,NW,,,,,,$76.82,,1,1,1,0,1,1,20060825
S0400,HCPCS,Globl Fee Xtracorp Shock Wave Lith,,,21 ,,RBRVS,9.08 ,4.12 ,12.43 ,,,,,1,0,1,1,1,1,20060825
S0500,HCPCS,Dispos cont lens,,,28 ,,NW,,,,,,$138.27,,1,1,1,1,1,1,20060825
S0504,HCPCS,Singl prscrp lens,,,28 ,,NW,,,,,,$19.40,,1,1,1,1,1,1,20060825
S0506,HCPCS,Bifoc prscp lens,,,28 ,,NW,,,,,,$33.35,,1,1,1,1,1,1,20060825
S0508,HCPCS,Trifoc prscrp lens,,,28 ,,NW,,,,,,$43.07,,1,1,1,1,1,1,20060825
S0510,HCPCS,Non-prscrp lens,,,28 ,,NW,,,,,,$27.42,,1,1,1,1,1,1,20060825
S0512,HCPCS,Daily cont lens,,,28 ,,NW,,,,,,$246.55,,1,1,1,1,1,1,20060825
S0514,HCPCS,Color cont lens,,,28 ,,NW,,,,,,$282.61,,1,1,1,1,1,1,20060825
S0515,HCPCS,Scleral Lens Lqd Bandge Device-Lens,,,28 ,,NW,,,,,,$297.46,,1,1,1,0,0,1,20060825
S0516,HCPCS,Safety frames,,,28 ,,NW,,,,,,$80.22,,1,1,1,1,1,1,20060825
S0518,HCPCS,Sunglass frames,,,28 ,,NW,,,,,,$46.39,,1,1,1,1,1,1,20060825
S0580,HCPCS,Polycarb lens,,,28 ,,NW,,,,,,$38.42,,1,1,1,1,1,1,20060825
S0581,HCPCS,Nonstandard Lens,,,28 ,,NW,,,,,,$297.46,,1,1,1,0,0,1,20060825
S0592,HCPCS,Comp Contact Lens Evaluation,,,14 ,,RBRVS,1.08 ,0.35 ,1.09 ,,,,,1,0,1,1,1,1,20060825
S0601,HCPCS,Screening Proctoscopy,,,21 ,,RBRVS,0.50 ,0.34 ,1.56 ,,,,,1,0,1,1,1,1,20060825
S0605,HCPCS,"Digital rectal examination,",,,28 ,,NW,,,,,,$23.04,,1,0,1,1,1,1,20060825
S0610,HCPCS,Annual gynecological examina,,,28 ,,NW,,,,,,$161.31,,1,0,1,1,1,1,20060825
S0612,HCPCS,Annual gynecological examina,,,28 ,,NW,,,,,,$122.91,,1,0,1,1,1,1,20060825
S0613,HCPCS,Annual Gyn Exam Clin Breast Exam W/O Pelv Exam,,,15 ,,RBRVS,0.45 ,0.17 ,0.52 ,,,,,1,0,1,1,1,1,20060825
S0618,HCPCS,Audiometry For Hearing Aid Eval,,,8 ,,TotalUnits,,,,0.39,,,,1,1,1,0,0,1,20060825
S0620,HCPCS,Routine ophthalmological exa,,,28 ,,NW,,,,,,$84.49,,1,0,1,1,1,1,20060825
S0621,HCPCS,Routine ophthalmological exa,,,28 ,,NW,,,,,,$93.72,,1,0,1,1,1,1,20060825
S0622,HCPCS,Physical Exam College New/Est Pt,,,15 ,,RBRVS,0.17 ,0.39 ,0.06 ,,,,,1,0,1,1,1,1,20060825
S0625,HCPCS,Retinal Telescr Digtl Imag Mx Diff Fundus Areas ,,,23 ,,RBRVS,0.44 ,0.19 ,0.19 ,,,,,1,0,1,1,1,1,20060825
S0630,HCPCS,Removal of sutures,,,28 ,,NW,,,,,,$58.38,,1,0,1,1,1,1,20060825
S0800,HCPCS,Laser in situ keratomileusis,,,28 ,,NW,,,,,,"$1,759.00",,1,0,1,1,1,1,20060825
S0810,HCPCS,Photorefractive Keratectomy,,,21 ,,RBRVS,0.92 ,0.71 ,1.00 ,,,,,1,0,1,1,1,1,20060825
S0812,HCPCS,Phototherapeutic Keratectomy,,,21 ,,RBRVS,0.92 ,0.71 ,1.00 ,,,,,1,0,1,1,1,1,20060825
S0820,HCPCS,Computerized corneal topogra,,,28 ,,NW,,,,,,$124.44,,1,0,1,1,1,1,20060825
S1015,HCPCS,IV tubing extension set,,,28 ,,NW,,,,,,$38.52,,1,1,1,0,0,1,20060825
S1016,HCPCS,Non-pvc intravenous administ,,,28 ,,NW,,,,,,$24.58,,1,1,1,0,0,1,20060825
S1040,HCPCS,Cranil Remold Orthos Rigd W/Sft Int,,,28 ,,NW,,,,,,$618.33,,1,1,1,0,0,1,20060825
S2053,HCPCS,Tplnt Sm Intestine&Liver Allogfts,,,21 ,,RBRVS,81.40 ,31.59 ,31.59 ,,,,,1,0,0,1,1,1,20060825
S2054,HCPCS,TRANSPLANTATION OF MULTIVISCERAL ORGANS,,,28 ,,NW,,,,,,"$15,061.51",,1,0,1,1,1,1,20060825
S2055,HCPCS,HARVEST DONOR MX-VISCERAL ORGAN; CADVER DONOR,,,28 ,,NW,,,,,,"$15,061.51",,1,0,1,1,1,1,20060825
S2060,HCPCS,Lobar Lung Transplantation,,,21 ,,RBRVS,38.57 ,27.74 ,27.74 ,,,,,1,0,0,1,1,1,20060825
S2065,HCPCS,SIMULTANEOUS PANCREAS KIDNEY TRANSPLANTATION,,,28 ,,NW,,,,,,"$15,061.51",,1,0,1,1,1,1,20060825
S2070,HCPCS,Cysto; Laser Tx Ureteral Calc,,,21 ,,RBRVS,6.87 ,2.51 ,2.51 ,,,,,1,0,1,1,1,1,20060825
S2080,HCPCS,Laser-Assisted Uvulopalatoplasty,,,21 ,,RBRVS,8.04 ,7.51 ,7.51 ,,,,,1,0,1,1,1,1,20060825
S2095,HCPCS,Trnscath Occl/Emboliz Tumr Destruc,,,21 ,,RBRVS,18.11 ,5.92 ,5.92 ,,,,,1,0,1,1,1,1,20060825
S2102,HCPCS,Islet Cell Tiss Tplnt Panc; Allogen,,,21 ,,TotalUnits,,,,56.97,,,,1,0,0,1,1,1,20060825
S2115,HCPCS,Osteot Periacetabular W/Intrl Fix,,,21 ,,RBRVS,20.55 ,13.29 ,13.29 ,,,,,1,0,0,1,1,1,20060825
S2120,HCPCS,Ldl Apheres Heparn Xtrcrp Ldl Precp,,,21 ,,RBRVS,1.22 ,0.48 ,84.29 ,,,,,1,0,1,1,1,1,20060825
S2135,HCPCS,Neurolysis Inj Mt Neuroma/Interdigt,,,21 ,,RBRVS,1.27 ,0.48 ,1.24 ,,,,,1,0,1,1,1,1,20060825
S2140,HCPCS,Cord Bld Harvest Tplnt Allogeneic,,,21 ,,RBRVS,1.50 ,0.67 ,0.67 ,,,,,1,0,1,1,1,1,20060825
S2142,HCPCS,Cord Blood Stem-Cell Tplnt Allogen,,,21 ,,RBRVS,2.24 ,1.03 ,1.03 ,,,,,1,0,1,1,1,1,20060825
S2150,HCPCS,Bn Marrw/Stem Cell Harv Tplnt&Comp;,,,21 ,,RBRVS,2.24 ,1.03 ,1.03 ,,,,,1,0,1,1,1,1,20060825
S2202,HCPCS,Echosclerotherapy,,,21 ,,RBRVS,1.09 ,0.73 ,2.69 ,,,,,1,0,1,1,1,1,20060825
S2205,HCPCS,Min Invas Dir Cab; Art Gft 1 Cag,,,21 ,,RBRVS,29.96 ,16.51 ,16.51 ,,,,,1,0,0,1,1,1,20060825
S2206,HCPCS,Min Invas Dir Cab; Art Gft 2 Cag,,,21 ,,RBRVS,32.15 ,17.76 ,17.76 ,,,,,1,0,0,1,1,1,20060825
S2207,HCPCS,Min Invas Dir Cab; Ven Only 1 Cvg,,,21 ,,RBRVS,28.96 ,16.38 ,16.38 ,,,,,1,0,0,1,1,1,20060825
S2225,HCPCS,Myringotomy Laser-Assisted,,,21 ,,RBRVS,1.33 ,1.59 ,3.16 ,,,,,1,0,1,1,1,1,20060825
S2230,HCPCS,Impl Magnt Cmpnt Semi-Impl Hear Dvc,,,21 ,,TotalUnits,,,,18.06,,,,1,0,1,1,1,1,20060825
S2235,HCPCS,Impl Auditry Brain Stem Implant,,,21 ,,RBRVS,7.99 ,6.37 ,6.37 ,,,,,1,0,1,1,1,1,20060825
S2250,HCPCS,Uterine Art Emboliz Uterine Fibrds,,,21 ,,RBRVS,18.11 ,5.92 ,5.92 ,,,,,1,0,1,1,1,1,20060825
S2260,HCPCS,Inducd Ab 17-24 Weeks Any Surg Meth,,,21 ,,RBRVS,5.90 ,3.26 ,3.26 ,,,,,1,0,0,1,1,1,20060825
S2262,HCPCS,Ab Maternal Indication 25 Weeks/>,,,21 ,,RBRVS,5.90 ,3.26 ,3.26 ,,,,,1,0,0,1,1,1,20060825
S2265,HCPCS,Ab Fetal Indication 25-28 Weeks,,,21 ,,RBRVS,5.90 ,3.26 ,3.26 ,,,,,1,0,0,1,1,1,20060825
S2266,HCPCS,Ab Fetal Indication 29-31 Weeks,,,21 ,,RBRVS,5.90 ,3.26 ,3.26 ,,,,,1,0,0,1,1,1,20060825
S2267,HCPCS,Ab Fetal Indication 32 Weeks/>,,,21 ,,RBRVS,5.90 ,3.26 ,3.26 ,,,,,1,0,0,1,1,1,20060825
S2300,HCPCS,Scope Shldr;W/Therml-Inducd Cpslorr,,,21 ,,TotalUnits,,,,14.57,,,,1,0,1,1,1,1,20060825
S2340,HCPCS,Chemodnervat Abductr Musc Vocl Cord,,,21 ,,RBRVS,3.86 ,2.39 ,5.69 ,,,,,1,0,1,1,1,1,20060825
S2341,HCPCS,Chemodenervat Adduct Musc Vocal Crd,,,21 ,,RBRVS,3.86 ,2.39 ,5.69 ,,,,,1,0,1,1,1,1,20060825
S2342,HCPCS,Nasl Endo Postop Debrid Uni/Bil,,,21 ,,RBRVS,2.98 ,1.89 ,5.21 ,,,,,1,0,1,1,1,1,20060825
S2348,HCPCS,Decomp Perq Disc Rf 1/Mx Lumb,,,21 ,,RBRVS,8.07 ,5.57 ,5.57 ,,,,,1,0,1,1,1,1,20060825
S2350,HCPCS,Diskect Ant-Osteophyt;Lumb 1 Intrsp,,,21 ,,RBRVS,21.41 ,12.83 ,12.83 ,,,,,1,0,0,1,1,1,20060825
S2351,HCPCS,Dskct Ant-Osteophyt;Lumb Add Intrsp,,,21 ,,RBRVS,3.28 ,1.64 ,1.64 ,,,,,1,0,0,1,1,1,20060825
S2360,HCPCS,Perq Vertplsty 1 Vert Uni/Bil; Cerv,,,21 ,,RBRVS,8.90 ,5.11 ,61.84 ,,,,,1,0,1,1,1,1,20060825
S2361,HCPCS,Each Add Cervical Vertebral Body,,,21 ,,RBRVS,4.30 ,1.68 ,1.68 ,,,,,1,0,1,1,1,1,20060825
S3005,HCPCS,Performance Msr Eval Pt Self Assess Depression,,,15 ,,RBRVS,0.17 ,0.39 ,0.06 ,,,,,1,0,1,1,1,1,20060825
S3620,HCPCS,Newborn metabolic screening,,,28 ,,NW,,,,,,$46.10,,1,1,1,0,1,1,20060825
S3625,HCPCS,Maternl Serum Triple Markr Scr W/Afp Estriol&Hcg,,,17 ,,TotalUnits,,,,0.78,,,,1,1,1,0,1,1,20060825
S3630,HCPCS,Eosinophil Count Blood Direct,,,17 ,,TotalUnits,,,,0.2,,,,1,1,1,0,1,1,20060825
S3645,HCPCS,Hiv-1 Antibody Testing Oral Mucosal Transudate,,,17 ,,TotalUnits,,,,0.41,,,,1,1,1,0,1,1,20060825
S3650,HCPCS,Saliva Test Hormone Level; During Menopause,,,17 ,,TotalUnits,,,,3.01,,,,1,1,1,0,1,1,20060825
S3652,HCPCS,Saliva Tst Hormone Levl; Assess Prterm Labr Risk,,,17 ,,TotalUnits,,,,2.44,,,,1,1,1,0,1,1,20060825
S3655,HCPCS,Antisperm Antibodies Test,,,17 ,,TotalUnits,,,,0.5,,,,1,1,1,0,1,1,20060825
S3708,HCPCS,Gastrointestinal Fat Absorption Study,,,20 ,,RBRVS,0.78 ,0.26 ,0.26 ,,,,,1,0,1,1,1,1,20060825
S3900,HCPCS,Surface Electromyography,,,14 ,,RBRVS,0.41 ,0.15 ,0.15 ,,,,,1,0,1,1,1,1,20060825
S4005,HCPCS,Interim Labor Facility Global,,,12 ,,RBRVS,0.53 ,0.21 ,0.21 ,,,,,1,0,1,1,1,1,20060825
S4981,HCPCS,Insrt Levonorgestrel Intrautrn Sys,,,21 ,,RBRVS,1.01 ,0.38 ,1.42 ,,,,,1,0,1,1,1,1,20060825
S4993,HCPCS,Contraceptive pills for bc,,,28 ,,NW,,,,,,$36.88,,1,1,1,0,0,1,20060825
S5000,HCPCS,"Prescription drug, generic",,,28 ,,NW,,,,,,$16.90,,1,1,1,0,0,1,20060825
S5001,HCPCS,"Prescription drug,brand name",,,28 ,,NW,,,,,,$72.21,,1,1,1,0,0,1,20060825
S5010,HCPCS,5% dextrose and 0.45% saline,,,28 ,,NW,,,,,,$12.30,,1,1,1,0,0,1,20060825
S5011,HCPCS,5% DEXTROSE IN LACTATED RINGERS 1000 ML,,,28 ,,NW,,,,,,$13.32,,1,1,1,0,0,1,20060825
S5012,HCPCS,5% DEXTROSE WITH POTASSIUM CHLORIDE 1000 ML,,,28 ,,NW,,,,,,$10.11,,1,1,1,0,0,1,20060825
S5013,HCPCS,5% DXTROS/0.45% NORMAL SALINE 1000 ML,,,28 ,,NW,,,,,,$10.11,,1,1,1,0,0,1,20060825
S5014,HCPCS,5% DEXTROSE/0.45% NL SALINE W/KCL&MGSO4 1500 ML,,,28 ,,NW,,,,,,$10.11,,1,1,1,0,0,1,20060825
S5035,HCPCS,Home Infus Tx Routine Infus Devc,,,22 ,,RBRVS,0.18 ,0.46 ,0.46 ,,,,,1,0,1,0,0,1,20060825
S5108,HCPCS,Hom Care Trn Hom Care Client 15 Min,,,19 ,,RBRVS,0.45 ,0.33 ,0.33 ,,,,,1,0,1,0,0,1,20060825
S5109,HCPCS,Home Care Trn Home Care Client Sess,,,19 ,,RBRVS,0.45 ,0.33 ,0.33 ,,,,,1,0,1,0,0,1,20060825
S5110,HCPCS,Home Care Training Fam; Per 15 Min,,,19 ,,RBRVS,0.45 ,0.33 ,0.33 ,,,,,1,0,1,0,0,1,20060825
S5111,HCPCS,Home Care Training Fam; Per Session,,,15 ,,TotalUnits,,,,2.21,,,,1,0,1,0,0,1,20060825
S5115,HCPCS,Home Care Trn Non-Fam; Per 15 Min,,,15 ,,TotalUnits,,,,2.21,,,,1,0,1,0,0,1,20060825
S5116,HCPCS,Home Care Trn Non-Fam; Per Session,,,15 ,,TotalUnits,,,,2.21,,,,1,0,1,0,0,1,20060825
S5180,HCPCS,Home Health Resp Tx Init Evaluation,,,15 ,,TotalUnits,,,,1.94,,,,1,0,1,0,0,1,20060825
S5181,HCPCS,Home Health Resp Tx Nos Per Diem,,,15 ,,TotalUnits,,,,1.94,,,,1,0,1,0,0,1,20060825
S5190,HCPCS,Wellness Assessment Performed By Non-Physician,,,18 ,,RBRVS,0.48 ,0.19 ,0.62 ,,,,,1,0,1,1,1,1,20060825
S5497,HCPCS,HIT cath care noc,,,28 ,,NW,,,,,,$22.53,,1,1,1,1,1,1,20060825
S5498,HCPCS,HIT simple cath care,,,28 ,,NW,,,,,,$23.04,,1,1,1,1,1,1,20060825
S5501,HCPCS,HIT complex cath care,,,28 ,,NW,,,,,,$30.72,,1,1,1,1,1,1,20060825
S5502,HCPCS,HIT interim cath care,,,28 ,,NW,,,,,,$13.84,,1,1,1,1,1,1,20060825
S5522,HCPCS,Hom Infus Tx Insrtion Picc Nrs Srvc Only,,,21 ,,RBRVS,1.82 ,0.57 ,7.36 ,,,,,1,0,1,0,0,1,20060825
S5523,HCPCS,Hit Insert Midline Cvc Nrs Srvc Only,,,21 ,,RBRVS,1.82 ,0.57 ,7.36 ,,,,,1,0,1,0,0,1,20060825
S5550,HCPCS,INSULIN RAPID ONSET; 5 UNITS,,,29 ,,NW,,,,,,$0.11,,1,1,1,0,0,1,20060825
S5551,HCPCS,INSULIN MOST RAPID ONSET; 5 UNITS,,,29 ,,NW,,,,,,$0.11,,1,1,1,0,0,1,20060825
S5552,HCPCS,INSULIN INTERMEDIATE ACTING; 5 UNITS,,,29 ,,NW,,,,,,$0.11,,1,1,1,0,0,1,20060825
S5553,HCPCS,INSULIN LONG ACTING; 5 UNITS,,,29 ,,NW,,,,,,$0.11,,1,1,1,0,0,1,20060825
S8030,HCPCS,Scleral Application Tantalum Ring,,,21 ,,RBRVS,8.65 ,9.20 ,9.20 ,,,,,1,0,1,1,1,1,20060825
S8037,HCPCS,Mr Cholangiopancreatography,,,20 ,,TotalUnits,,,,13.37,,,,1,0,1,1,1,1,20060825
S8040,HCPCS,Topographic Brain Mapping,,,14 ,,RBRVS,2.97 ,2.63 ,2.63 ,,,,,1,0,1,1,1,1,20060825
S8049,HCPCS,Intraoperative Radiation Therapy,,,20 ,,RBRVS,0.00 ,1.78 ,1.78 ,,,,,1,0,1,1,1,1,20060825
S8055,HCPCS,Us Guid Mxifetl Pg Rduc Tech Cmpnt,,,20 ,,RBRVS,1.20 ,0.40 ,0.40 ,,,,,1,0,1,1,1,1,20060825
S8080,HCPCS,Scintimammo Uni W/Spl Radiopharm,,,20 ,,TotalUnits,,,,1.81,,,,1,0,1,1,1,1,20060825
S8085,HCPCS,Fluorine-18 fluorodeoxygluco,,,28 ,,NW,,,,,,$789.63,,1,1,1,0,1,1,20060825
S8092,HCPCS,Electron beam computed tomog,,,28 ,,NW,,,,,,$606.81,,1,1,1,0,1,1,20060825
S8096,HCPCS,Portable peak flow meter,,,28 ,,NW,,,,,,$30.72,,1,1,1,0,0,1,20060825
S8100,HCPCS,Hold Chamb W/Inhal/Nebulizr;No Mask,,,28 ,,NW,,,,,,$182.63,,1,1,1,0,0,1,20060825
S8101,HCPCS,Hold Chamb W/Inhal/Nebulizr; W/Mask,,,28 ,,NW,,,,,,$18.39,,1,1,1,0,0,1,20060825
S8110,HCPCS,Peak expiratory flow rate (p,,,28 ,,NW,,,,,,$29.19,,1,1,1,0,0,1,20060825
S8185,HCPCS,Flutter device,,,28 ,,NW,,,,,,$56.15,,1,1,1,0,0,1,20060825
S8186,HCPCS,Swivel adaptor,,,28 ,,NW,,,,,,$52.23,,1,1,1,0,0,1,20060825
S8189,HCPCS,Trach supply noc,,,28 ,,NW,,,,,,$27.65,,1,1,1,0,0,1,20060825
S8190,HCPCS,Electronic spirometer,,,28 ,,NW,,,,,,$51.42,,1,1,1,0,0,1,20060825
S8420,HCPCS,Custom gradient sleev/glov,,,28 ,,NW,,,,,,$190.44,,1,1,1,0,0,1,20060825
S8421,HCPCS,Ready gradient sleev/glov,,,28 ,,NW,,,,,,$36.50,,1,1,1,0,0,1,20060825
S8422,HCPCS,Custom grad sleeve med,,,28 ,,NW,,,,,,$126.81,,1,1,1,0,0,1,20060825
S8423,HCPCS,Custom grad sleeve heavy,,,28 ,,NW,,,,,,$118.10,,1,1,1,0,0,1,20060825
S8424,HCPCS,Ready gradient sleeve,,,28 ,,NW,,,,,,$64.63,,1,1,1,0,0,1,20060825
S8425,HCPCS,Custom grad glove med,,,28 ,,NW,,,,,,$30.74,,1,1,1,0,0,1,20060825
S8427,HCPCS,Ready gradient glove,,,28 ,,NW,,,,,,$16.53,,1,1,1,0,0,1,20060825
S8428,HCPCS,Gradent Press Aid Gauntlet Rdy Made,,,28 ,,NW,,,,,,$49.34,,1,1,1,0,0,1,20060825
S8429,HCPCS,Gradient pressure wrap,,,28 ,,NW,,,,,,$235.02,,1,1,1,0,0,1,20060825
S8450,HCPCS,Splint digit,,,28 ,,NW,,,,,,$10.76,,1,1,1,0,0,1,20060825
S8451,HCPCS,Splint wrist or ankle,,,28 ,,NW,,,,,,$43.02,,1,1,1,0,0,1,20060825
S8452,HCPCS,Splint elbow,,,28 ,,NW,,,,,,$83.28,,1,1,1,0,0,1,20060825
S8950,HCPCS,Complex Lymphedema Tx Ea 15 Min,,,19 ,,RBRVS,0.43 ,0.25 ,0.25 ,,,,,1,1,1,0,1,0,20060825
S8950,HCPCS,Complex Lymphedema Tx Ea 15 Min,,,19 ,,RBRVS,0.43 ,0.25 ,0.25 ,,,,,1,0,1,1,1,1,20060825
S9001,HCPCS,Home uterine monitor with or,,,28 ,,NW,,,,,,$113.69,,1,1,1,0,0,1,20060825
S9015,HCPCS,Automated EEG monitoring,,,28 ,,NW,,,,,,$135.20,,1,1,1,0,0,1,20060825
S9024,HCPCS,Paranasal Sinus Ultrasound,,,20 ,,TotalUnits,,,,2.44,,,,1,0,1,1,1,1,20060825
S9034,HCPCS,Eswl For Gall Stones,,,21 ,,RBRVS,9.08 ,4.12 ,12.43 ,,,,,1,0,1,1,1,1,20060825
S9061,HCPCS,Home Admin Aerosolized Drug Tx Diem,,,14 ,,RBRVS,0.00 ,0.30 ,0.30 ,,,,,1,0,1,0,0,1,20060825
S9075,HCPCS,Smoking cessation treatment,,,28 ,,NW,,,,,,$268.85,,1,1,1,0,0,1,20060825
S9083,HCPCS,Global Fee Urgent Care Centers,,,15 ,,RBRVS,0.17 ,0.06 ,0.39 ,,,,,1,0,1,1,1,1,20060825
S9088,HCPCS,Services provided in urgent,,,28 ,,NW,,,,,,$138.27,,1,1,1,0,0,1,20060825
S9090,HCPCS,Vertebral axial decompressio,,,28 ,,NW,,,,,,$99.86,,1,1,1,0,0,1,20060825
S9092,HCPCS,Canolith Repositioning Per Visit,,,15 ,,RBRVS,0.17 ,0.06 ,0.39 ,,,,,1,0,1,1,1,1,20060825
S9097,HCPCS,Home Visit For Wound Care,,,15 ,,TotalUnits,,,,2.21,,,,1,0,1,0,0,1,20060825
S9117,HCPCS,Back School Per Visit,,,15 ,,RBRVS,0.17 ,0.39 ,0.06 ,,,,,1,0,1,1,1,1,20060825
S9122,HCPCS,Home health aide or certifie,,,28 ,,NW,,,,,,$66.17,,1,1,1,1,1,1,20060825
S9123,HCPCS,Nursing care in home RN,,,28 ,,NW,,,,,,$112.84,,1,1,1,1,1,1,20060825
S9124,HCPCS,"Nursing care, in the home; b",,,28 ,,NW,,,,,,$59.91,,1,1,1,1,1,1,20060825
S9126,HCPCS,"Hospice care, in the home, p",,,28 ,,NW,,,,,,$307.26,,1,1,1,1,1,1,20060825
S9127,HCPCS,"Social work visit, in the ho",,,28 ,,NW,,,,,,$237.20,,1,1,1,1,1,1,20060825
S9128,HCPCS,Speech Therapy In The Home Per Diem,,,28 ,,NW,,,,,,$196.67,,1,0,1,0,0,1,20060825
S9129,HCPCS,"Occupational therapy, in the",,,28 ,,NW,,,,,,$201.16,,1,1,1,1,1,1,20060825
S9131,HCPCS,PT in the home per diem,,,28 ,,NW,,,,,,$196.64,,1,1,1,1,1,1,20060825
S9140,HCPCS,"Diabetic Management Program,",,,28 ,,NW,,,,,,$97.12,,1,1,1,1,1,1,20060825
S9141,HCPCS,Diab Mgmt Progm F/U Visit Md Prov,,,14 ,,RBRVS,0.00 ,0.83 ,0.83 ,,,,,1,1,1,0,1,0,20060825
S9141,HCPCS,Diab Mgmt Progm F/U Visit Md Prov,,,14 ,,RBRVS,0.00 ,0.83 ,0.83 ,,,,,1,0,1,1,1,1,20060825
S9145,HCPCS,Insulin Pump Init Instruct Use Pump,,,14 ,,RBRVS,0.00 ,0.83 ,0.83 ,,,,,1,1,1,0,1,0,20060825
S9145,HCPCS,Insulin Pump Init Instruct Use Pump,,,14 ,,RBRVS,0.00 ,0.83 ,0.83 ,,,,,1,0,1,1,1,1,20060825
S9208,HCPCS,Home Mgmt Preterm Labor Per Diem,,,15 ,,TotalUnits,,,,2.91,,,,1,0,1,0,0,1,20060825
S9209,HCPCS,Home Mangement Pprom Diem,,,15 ,,TotalUnits,,,,2.91,,,,1,0,1,0,0,1,20060825
S9211,HCPCS,Home Mgmt Gestational Htn; Diem,,,15 ,,TotalUnits,,,,2.91,,,,1,0,1,0,0,1,20060825
S9212,HCPCS,Home Management Postpartum Htn Diem,,,15 ,,TotalUnits,,,,2.91,,,,1,0,1,0,0,1,20060825
S9213,HCPCS,Home Management Preeclampsia; Diem,,,15 ,,TotalUnits,,,,2.91,,,,1,0,1,0,0,1,20060825
S9214,HCPCS,Home Mgmt Gestational Diabetes;Diem,,,15 ,,TotalUnits,,,,2.91,,,,1,0,1,0,0,1,20060825
S9325,HCPCS,HIT pain mgmt per diem,,,28 ,,NW,,,,,,$361.02,,1,1,1,1,1,1,20060825
S9326,HCPCS,HIT cont pain per diem,,,28 ,,NW,,,,,,$145.95,,1,1,1,1,1,1,20060825
S9327,HCPCS,Hit Intermit Pain Mgmt Infus; Diem,,,28 ,,NW,,,,,,$384.06,,1,0,1,0,0,1,20060825
S9328,HCPCS,Hit Implanted Pump Pain Mgmt; Diem,,,28 ,,NW,,,,,,$335.84,,1,0,1,0,0,1,20060825
S9329,HCPCS,Hit Chemotherapy Infusion; Per Diem,,,28 ,,NW,,,,,,$335.84,,1,0,1,0,0,1,20060825
S9330,HCPCS,HIT cont chem diem,,,28 ,,NW,,,,,,$138.27,,1,1,1,1,1,1,20060825
S9331,HCPCS,HIT intermit chemo diem,,,28 ,,NW,,,,,,$384.06,,1,1,1,1,1,1,20060825
S9335,HCPCS,Hom Tx Hd; Admin Spl & Eqp Per Diem,,,15 ,,TotalUnits,,,,2.91,,,,1,0,1,0,0,1,20060825
S9336,HCPCS,Hit Cont Anticoagulnt Infus Tx Diem,,,28 ,,NW,,,,,,$145.95,,1,0,1,0,0,1,20060825
S9338,HCPCS,HIT immunotherapy diem,,,28 ,,NW,,,,,,$184.34,,1,1,1,1,1,1,20060825
S9339,HCPCS,Home Tx; Peritonl Dialysis Per Diem,,,15 ,,TotalUnits,,,,2.91,,,,1,0,1,0,0,1,20060825
S9340,HCPCS,HIT enteral per diem,,,28 ,,NW,,,,,,$192.04,,1,1,1,1,1,1,20060825
S9341,HCPCS,Ht; Enterl Nutrit Via Gravity; Diem,,,28 ,,NW,,,,,,$192.04,,1,0,1,0,0,1,20060825
S9342,HCPCS,HIT enteral pump diem,,,28 ,,NW,,,,,,$70.68,,1,1,1,1,1,1,20060825
S9343,HCPCS,Ht; Enteral Nutrit Via Bolus; Diem,,,28 ,,NW,,,,,,$192.04,,1,0,1,0,0,1,20060825
S9345,HCPCS,Hit Anti-Hemophilic Agent; Per Diem,,,28 ,,NW,,,,,,$335.84,,1,0,1,0,0,1,20060825
S9346,HCPCS,Hit Alpha-1-Protenas Inhibitr; Diem,,,28 ,,NW,,,,,,$184.34,,1,0,1,0,0,1,20060825
S9347,HCPCS,HIT longterm infusion diem,,,28 ,,NW,,,,,,$99.86,,1,1,1,1,1,1,20060825
S9348,HCPCS,HIT sympathomim diem,,,28 ,,NW,,,,,,$13.84,,1,1,1,1,1,1,20060825
S9349,HCPCS,HIT tocolysis diem,,,28 ,,NW,,,,,,$307.26,,1,1,1,1,1,1,20060825
S9351,HCPCS,Hit Cont Anti-Emetic; Per Diem,,,28 ,,NW,,,,,,$145.95,,1,0,1,0,0,1,20060825
S9353,HCPCS,Home Infus Tx Cont Insulin; Diem,,,28 ,,NW,,,,,,$145.95,,1,0,1,0,0,1,20060825
S9355,HCPCS,Home Infus Tx Chelation;  Per Diem,,,28 ,,NW,,,,,,$184.34,,1,0,1,0,0,1,20060825
S9357,HCPCS,Hit Enzyme Repl Iv Tx;  Per Diem,,,28 ,,NW,,,,,,$335.84,,1,0,1,0,0,1,20060825
S9359,HCPCS,Hit Anti-Tumr Necros Factor Iv Tx;,,,28 ,,NW,,,,,,$335.84,,1,0,1,0,0,1,20060825
S9361,HCPCS,Hit Diuretic Iv Tx;  Per Diem,,,28 ,,NW,,,,,,$335.84,,1,0,1,0,0,1,20060825
S9363,HCPCS,Hit Anti-Spasmotic Tx; Per Diem,,,28 ,,NW,,,,,,$184.34,,1,0,1,0,0,1,20060825
S9364,HCPCS,HIT tpn total diem,,,28 ,,NW,,,,,,$661.35,,1,1,1,1,1,1,20060825
S9365,HCPCS,HIT tpn 1 liter diem,,,28 ,,NW,,,,,,$661.35,,1,1,1,1,1,1,20060825
S9366,HCPCS,HIT tpn 2 liter diem,,,28 ,,NW,,,,,,$661.35,,1,1,1,1,1,1,20060825
S9367,HCPCS,HIT tpn 3 liter diem,,,28 ,,NW,,,,,,$661.35,,1,1,1,1,1,1,20060825
S9368,HCPCS,HIT tpn over 3l diem,,,28 ,,NW,,,,,,$661.35,,1,1,1,1,1,1,20060825
S9370,HCPCS,Ht Intermittent Anti-Emetic Inj Tx;,,,28 ,,NW,,,,,,$76.82,,1,0,1,0,0,1,20060825
S9372,HCPCS,Ht; Intermit Anticoagulant Inj Tx;,,,28 ,,NW,,,,,,$76.82,,1,0,1,0,0,1,20060825
S9373,HCPCS,HIT hydra total diem,,,28 ,,NW,,,,,,$335.84,,1,1,1,1,1,1,20060825
S9374,HCPCS,HIT hydra 1 liter diem,,,28 ,,NW,,,,,,$335.84,,1,1,1,1,1,1,20060825
S9375,HCPCS,HIT hydra 2 liter diem,,,28 ,,NW,,,,,,$335.84,,1,1,1,1,1,1,20060825
S9376,HCPCS,HIT hydra 3 liter diem,,,28 ,,NW,,,,,,$335.84,,1,1,1,1,1,1,20060825
S9377,HCPCS,HIT hydra over 3l diem,,,28 ,,NW,,,,,,$335.84,,1,1,1,1,1,1,20060825
S9379,HCPCS,HIT noc per diem,,,28 ,,NW,,,,,,$335.84,,1,1,1,1,1,1,20060825
S9401,HCPCS,Anticoagulat Clin No Lab Per Sess,,,15 ,,RBRVS,0.17 ,0.39 ,0.06 ,,,,,1,0,1,1,1,1,20060825
S9435,HCPCS,Medical foods for inborn err,,,28 ,,NW,,,,,,$15.37,,1,1,1,0,1,1,20060825
S9452,HCPCS,Nutrition Classes Non-Physician Per Session,,,28 ,,NW,,,,,,$86.03,,1,0,1,1,1,1,20060825
S9453,HCPCS,Smoking Cessation Classes Non-Physician Per Sess,,,14,,RBRVS,0.24 ,0.09 ,0.09 ,,,,,1,0,1,1,1,1,20060825
S9455,HCPCS,"Diabetic Management Program,",,,28 ,,NW,,,,,,$76.82,,1,1,1,1,1,1,20060825
S9460,HCPCS,"Diabetic Management Program,",,,28 ,,NW,,,,,,$107.54,,1,1,1,1,1,1,20060825
S9465,HCPCS,"Diabetic Management Program,",,,28 ,,NW,,,,,,$95.58,,1,1,1,1,1,1,20060825
S9470,HCPCS,"Nutritional counseling, diet",,,28 ,,NW,,,,,,$85.99,,1,1,1,0,1,1,20060825
S9474,HCPCS,Entrstml Tx Registered Nrs Cert Entrstml Tx-Diem,,,15 ,,TotalUnits,,,,1.99,,,,1,0,1,1,1,1,20060825
S9475,HCPCS,Amb Set Sbstnc Abs Tx/Dtox Srvc Day,,,16 ,,RBRVS,2.79 ,0.90 ,1.03 ,,,,,1,0,1,1,1,1,20060825
S9480,HCPCS,Intensive Op Psyc Services Per Diem,,,16 ,,RBRVS,2.79 ,0.90 ,1.03 ,,,,,1,0,1,1,1,1,20060825
S9484,HCPCS,Crisis Interven Mentl Hlth Srvc-Hr,,,16 ,,RBRVS,1.86 ,0.60 ,0.70 ,,,,,1,0,1,1,1,1,20060825
S9485,HCPCS,Crisis Intervent Mental Health Serv,,,16 ,,RBRVS,1.86 ,0.60 ,0.70 ,,,,,1,0,1,1,1,1,20060825
S9490,HCPCS,Hit Corticosteroid Infus; Admn Srvc,,,28 ,,NW,,,,,,$335.84,,1,0,1,0,0,1,20060825
S9494,HCPCS,HIT antibiotic total diem,,,28 ,,NW,,,,,,$4.62,,1,1,1,1,1,1,20060825
S9497,HCPCS,HIT antibiotic q3h diem,,,28 ,,NW,,,,,,$314.93,,1,1,1,1,1,1,20060825
S9500,HCPCS,HIT antibiotic q24h diem,,,28 ,,NW,,,,,,$161.31,,1,1,1,1,1,1,20060825
S9501,HCPCS,HIT antibiotic q12h diem,,,28 ,,NW,,,,,,$248.88,,1,1,1,1,1,1,20060825
S9502,HCPCS,HIT antibiotic q8h diem,,,28 ,,NW,,,,,,$268.85,,1,1,1,1,1,1,20060825
S9503,HCPCS,HIT antibiotic q6h diem,,,28 ,,NW,,,,,,$291.89,,1,1,1,1,1,1,20060825
S9504,HCPCS,HIT antibiotic q4h diem,,,28 ,,NW,,,,,,$314.93,,1,1,1,1,1,1,20060825
S9529,HCPCS,Venipuncture home/snf,,,28 ,,NW,,,,,,$184.34,,1,1,1,0,1,1,20060825
S9537,HCPCS,HT hem horm inj diem,,,28 ,,NW,,,,,,$76.82,,1,1,1,1,1,1,20060825
S9542,HCPCS,Home Injectable Therapy Noc-Diem,,,28 ,,NW,,,,,,$6.15,,1,0,1,0,0,1,20060825
S9558,HCPCS,HT inj growth horm diem,,,28 ,,NW,,,,,,$6.15,,1,1,1,1,1,1,20060825
S9559,HCPCS,Home Infus Tx Interferon Per Diem,,,28 ,,NW,,,,,,$6.15,,1,0,1,0,0,1,20060825
S9560,HCPCS,Home Inj Tx; Hormonal Therapy Diem,,,28 ,,NW,,,,,,$6.15,,1,0,1,0,0,1,20060825
S9562,HCPCS,Hom Inj Tx Palivizumab-Per Diem,,,28 ,,NW,,,,,,$6.15,,1,0,1,0,0,1,20060825
S9590,HCPCS,Hom Tx Irrig Tx; W/Admn-Per Diem,,,15 ,,TotalUnits,,,,2.21,,,,1,0,1,0,0,1,20060825
V2020,HCPCS,Vision svcs frames purchases,,,28 ,,NW,,,,,,$91.78,,1,1,1,1,1,1,20060825
V2025,HCPCS,Eyeglasses delux frames,,,28 ,,NW,,,,,,$126.50,,1,1,1,1,1,1,20060825
V2100,HCPCS,Lens spher single plano 4.00,,,28 ,,NW,,,,,,$53.87,,1,1,1,1,1,1,20060825
V2101,HCPCS,Single visn sphere 4.12-7.00,,,28 ,,NW,,,,,,$56.63,,1,1,1,1,1,1,20060825
V2102,HCPCS,Singl visn sphere 7.12-20.00,,,28 ,,NW,,,,,,$78.60,,1,1,1,1,1,1,20060825
V2103,HCPCS,Spherocylindr 4.00d/12-2.00d,,,28 ,,NW,,,,,,$47.13,,1,1,1,1,1,1,20060825
V2104,HCPCS,Spherocylindr 4.00d/2.12-4d,,,28 ,,NW,,,,,,$51.90,,1,1,1,1,1,1,20060825
V2105,HCPCS,Spherocylinder 4.00d/4.25-6d,,,28 ,,NW,,,,,,$56.28,,1,1,1,1,1,1,20060825
V2106,HCPCS,Spherocylinder 4.00d/>6.00d,,,28 ,,NW,,,,,,$62.16,,1,1,1,1,1,1,20060825
V2107,HCPCS,Spherocylinder 4.25d/12-2d,,,28 ,,NW,,,,,,$59.25,,1,1,1,1,1,1,20060825
V2108,HCPCS,Spherocylinder 4.25d/2.12-4d,,,28 ,,NW,,,,,,$61.25,,1,1,1,1,1,1,20060825
V2109,HCPCS,Spherocylinder 4.25d/4.25-6d,,,28 ,,NW,,,,,,$67.50,,1,1,1,1,1,1,20060825
V2110,HCPCS,Spherocylinder 4.25d/over 6d,,,28 ,,NW,,,,,,$66.63,,1,1,1,1,1,1,20060825
V2111,HCPCS,Spherocylindr 7.25d/.25-2.25,,,28 ,,NW,,,,,,$69.35,,1,1,1,1,1,1,20060825
V2112,HCPCS,Spherocylindr 7.25d/2.25-4d,,,28 ,,NW,,,,,,$75.47,,1,1,1,1,1,1,20060825
V2113,HCPCS,Spherocylindr 7.25d/4.25-6d,,,28 ,,NW,,,,,,$84.37,,1,1,1,1,1,1,20060825
V2114,HCPCS,Spherocylinder over 12.00d,,,28 ,,NW,,,,,,$89.87,,1,1,1,1,1,1,20060825
V2115,HCPCS,Lens lenticular bifocal,,,28 ,,NW,,,,,,$96.18,,1,1,1,1,1,1,20060825
V2118,HCPCS,Lens aniseikonic single,,,28 ,,NW,,,,,,$95.50,,1,1,1,1,1,1,20060825
V2121,HCPCS,"Lenticular lens, single",,,28 ,,NW,,,,,,$97.98,,1,1,1,1,1,1,20060825
V2199,HCPCS,Lens single vision not oth c,,,28 ,,NW,,,,,,$103.55,,1,1,1,1,1,1,20060825
V2200,HCPCS,Lens spher bifoc plano 4.00d,,,28 ,,NW,,,,,,$69.70,,1,1,1,1,1,1,20060825
V2201,HCPCS,Lens sphere bifocal 4.12-7.0,,,28 ,,NW,,,,,,$75.74,,1,1,1,1,1,1,20060825
V2202,HCPCS,Lens sphere bifocal 7.12-20.,,,28 ,,NW,,,,,,$87.54,,1,1,1,1,1,1,20060825
V2203,HCPCS,Lens sphcyl bifocal 4.00d/.1,,,28 ,,NW,,,,,,$70.29,,1,1,1,1,1,1,20060825
V2204,HCPCS,Lens sphcy bifocal 4.00d/2.1,,,28 ,,NW,,,,,,$73.37,,1,1,1,1,1,1,20060825
V2205,HCPCS,Lens sphcy bifocal 4.00d/4.2,,,28 ,,NW,,,,,,$79.13,,1,1,1,1,1,1,20060825
V2206,HCPCS,Lens sphcy bifocal 4.00d/ove,,,28 ,,NW,,,,,,$84.44,,1,1,1,1,1,1,20060825
V2207,HCPCS,Lens sphcy bifocal 4.25-7d/.,,,28 ,,NW,,,,,,$77.39,,1,1,1,1,1,1,20060825
V2208,HCPCS,Lens sphcy bifocal 4.25-7/2.,,,28 ,,NW,,,,,,$81.10,,1,1,1,1,1,1,20060825
V2209,HCPCS,Lens sphcy bifocal 4.25-7/4.,,,28 ,,NW,,,,,,$86.29,,1,1,1,1,1,1,20060825
V2210,HCPCS,Lens sphcy bifocal 4.25-7/ov,,,28 ,,NW,,,,,,$93.26,,1,1,1,1,1,1,20060825
V2211,HCPCS,Lens sphcy bifo 7.25-12/.25-,,,28 ,,NW,,,,,,$96.05,,1,1,1,1,1,1,20060825
V2212,HCPCS,Lens sphcyl bifo 7.25-12/2.2,,,28 ,,NW,,,,,,$98.55,,1,1,1,1,1,1,20060825
V2213,HCPCS,Lens sphcyl bifo 7.25-12/4.2,,,28 ,,NW,,,,,,$99.38,,1,1,1,1,1,1,20060825
V2214,HCPCS,Lens sphcyl bifocal over 12.,,,28 ,,NW,,,,,,$106.43,,1,1,1,1,1,1,20060825
V2215,HCPCS,Lens lenticular bifocal,,,28 ,,NW,,,,,,$107.74,,1,1,1,1,1,1,20060825
V2218,HCPCS,Lens aniseikonic bifocal,,,28 ,,NW,,,,,,$124.70,,1,1,1,1,1,1,20060825
V2219,HCPCS,Lens bifocal seg width over,,,28 ,,NW,,,,,,$60.88,,1,1,1,1,1,1,20060825
V2220,HCPCS,Lens bifocal add over 3.25d,,,28 ,,NW,,,,,,$49.87,,1,1,1,1,1,1,20060825
V2221,HCPCS,"Lenticular lens, bifocal",,,28 ,,NW,,,,,,$111.24,,1,1,1,1,1,1,20060825
V2299,HCPCS,Lens bifocal speciality,,,28 ,,NW,,,,,,$72.23,,1,1,1,1,1,1,20060825
V2300,HCPCS,Lens sphere trifocal 4.00d,,,28 ,,NW,,,,,,$87.02,,1,1,1,1,1,1,20060825
V2301,HCPCS,Lens sphere trifocal 4.12-7.,,,28 ,,NW,,,,,,$99.28,,1,1,1,1,1,1,20060825
V2302,HCPCS,Lens sphere trifocal 7.12-20,,,28 ,,NW,,,,,,$104.60,,1,1,1,1,1,1,20060825
V2303,HCPCS,Lens sphcy trifocal 4.0/.12-,,,28 ,,NW,,,,,,$85.93,,1,1,1,1,1,1,20060825
V2304,HCPCS,Lens sphcy trifocal 4.0/2.25,,,28 ,,NW,,,,,,$89.05,,1,1,1,1,1,1,20060825
V2305,HCPCS,Lens sphcy trifocal 4.0/4.25,,,28 ,,NW,,,,,,$100.24,,1,1,1,1,1,1,20060825
V2306,HCPCS,Lens sphcyl trifocal 4.00/>6,,,28 ,,NW,,,,,,$102.66,,1,1,1,1,1,1,20060825
V2307,HCPCS,Lens sphcy trifocal 4.25-7/.,,,28 ,,NW,,,,,,$98.20,,1,1,1,1,1,1,20060825
V2308,HCPCS,Lens sphc trifocal 4.25-7/2.,,,28 ,,NW,,,,,,$102.01,,1,1,1,1,1,1,20060825
V2309,HCPCS,Lens sphc trifocal 4.25-7/4.,,,28 ,,NW,,,,,,$109.48,,1,1,1,1,1,1,20060825
V2310,HCPCS,Lens sphc trifocal 4.25-7/>6,,,28 ,,NW,,,,,,$108.40,,1,1,1,1,1,1,20060825
V2311,HCPCS,Lens sphc trifo 7.25-12/.25-,,,28 ,,NW,,,,,,$112.04,,1,1,1,1,1,1,20060825
V2312,HCPCS,Lens sphc trifo 7.25-12/2.25,,,28 ,,NW,,,,,,$112.58,,1,1,1,1,1,1,20060825
V2313,HCPCS,Lens sphc trifo 7.25-12/4.25,,,28 ,,NW,,,,,,$123.58,,1,1,1,1,1,1,20060825
V2314,HCPCS,Lens sphcyl trifocal over 12,,,28 ,,NW,,,,,,$131.34,,1,1,1,1,1,1,20060825
V2315,HCPCS,Lens lenticular trifocal,,,28 ,,NW,,,,,,$143.77,,1,1,1,1,1,1,20060825
V2318,HCPCS,Lens aniseikonic trifocal,,,28 ,,NW,,,,,,$172.52,,1,1,1,1,1,1,20060825
V2319,HCPCS,Lens trifocal seg width > 28,,,28 ,,NW,,,,,,$67.60,,1,1,1,1,1,1,20060825
V2320,HCPCS,Lens trifocal add over 3.25d,,,28 ,,NW,,,,,,$71.18,,1,1,1,1,1,1,20060825
V2321,HCPCS,"Lenticular lens, trifocal",,,28 ,,NW,,,,,,$141.98,,1,1,1,1,1,1,20060825
V2399,HCPCS,Lens trifocal speciality,,,28 ,,NW,,,,,,$72.23,,1,1,1,1,1,1,20060825
V2410,HCPCS,Lens variab asphericity sing,,,28 ,,NW,,,,,,$112.64,,1,1,1,1,1,1,20060825
V2430,HCPCS,Lens variable asphericity bi,,,28 ,,NW,,,,,,$131.97,,1,1,1,1,1,1,20060825
V2499,HCPCS,Variable asphericity lens,,,28 ,,NW,,,,,,$44.53,,1,1,1,1,1,1,20060825
V2500,HCPCS,Contact lens pmma spherical,,,28 ,,NW,,,,,,$103.85,,1,1,1,1,1,1,20060825
V2501,HCPCS,Cntct lens pmma-toric/prism,,,28 ,,NW,,,,,,$148.49,,1,1,1,1,1,1,20060825
V2502,HCPCS,Contact lens pmma bifocal,,,28 ,,NW,,,,,,$178.63,,1,1,1,1,1,1,20060825
V2503,HCPCS,Cntct lens pmma color vision,,,28 ,,NW,,,,,,$165.98,,1,1,1,1,1,1,20060825
V2510,HCPCS,Cntct gas permeable sphericl,,,28 ,,NW,,,,,,$135.00,,1,1,1,1,1,1,20060825
V2511,HCPCS,Cntct toric prism ballast,,,28 ,,NW,,,,,,$185.87,,1,1,1,1,1,1,20060825
V2512,HCPCS,Cntct lens gas permbl bifocl,,,28 ,,NW,,,,,,$216.29,,1,1,1,1,1,1,20060825
V2513,HCPCS,Contact lens extended wear,,,28 ,,NW,,,,,,$184.56,,1,1,1,1,1,1,20060825
V2520,HCPCS,Contact lens hydrophilic,,,28 ,,NW,,,,,,$128.01,,1,1,1,1,1,1,20060825
V2521,HCPCS,Cntct lens hydrophilic toric,,,28 ,,NW,,,,,,$209.14,,1,1,1,1,1,1,20060825
V2522,HCPCS,Cntct lens hydrophil bifocl,,,28 ,,NW,,,,,,$204.01,,1,1,1,1,1,1,20060825
V2523,HCPCS,Cntct lens hydrophil extend,,,28 ,,NW,,,,,,$176.60,,1,1,1,1,1,1,20060825
V2530,HCPCS,Contact lens gas impermeable,,,28 ,,NW,,,,,,$252.66,,1,1,1,1,1,1,20060825
V2531,HCPCS,Contact lens gas permeable,,,28 ,,NW,,,,,,$532.57,,1,1,1,1,1,1,20060825
V2599,HCPCS,Contact lens/es other type,,,28 ,,NW,,,,,,$73.37,,1,1,1,1,1,1,20060825
V2600,HCPCS,Hand held low vision aids,,,28 ,,NW,,,,,,$66.84,,1,1,1,1,1,1,20060825
V2610,HCPCS,Single lens spectacle mount,,,28 ,,NW,,,,,,$339.19,,1,1,1,1,1,1,20060825
V2615,HCPCS,Telescop/othr compound lens,,,28 ,,NW,,,,,,"$1,440.00",,1,1,1,1,1,1,20060825
V2623,HCPCS,Plastic eye prosth custom,,,28 ,,NW,,,,,,"$2,388.33",,1,1,1,1,1,1,20060825
V2624,HCPCS,Polishing artifical eye,,,28 ,,NW,,,,,,$87.14,,1,1,1,1,1,1,20060825
V2625,HCPCS,Enlargemnt of eye prosthesis,,,28 ,,NW,,,,,,$893.62,,1,1,1,1,1,1,20060825
V2626,HCPCS,Reduction of eye prosthesis,,,28 ,,NW,,,,,,$440.20,,1,1,1,1,1,1,20060825
V2627,HCPCS,Scleral cover shell,,,28 ,,NW,,,,,,"$3,495.90",,1,1,1,1,1,1,20060825
V2628,HCPCS,Fabrication & fitting,,,28 ,,NW,,,,,,$706.99,,1,1,1,1,1,1,20060825
V2629,HCPCS,Prosthetic eye other type,,,28 ,,NW,,,,,,$770.89,,1,1,1,1,1,1,20060825
V2630,HCPCS,Anter chamber intraocul lens,,,28 ,2,NW,,,,,,$297.49,,1,1,1,0,1,1,20060825
V2632,HCPCS,Post chmbr intraocular lens,,,28 ,2,NW,,,,,,$403.08,,1,1,1,0,1,1,20060825
V2700,HCPCS,Balance lens,,,28 ,,NW,,,,,,$59.95,,1,1,1,1,1,1,20060825
V2702,HCPCS,Deluxe lens feature,,,28 ,,NW,,,,,,$59.95,,1,1,1,0,0,1,20060825
V2710,HCPCS,Glass/plastic slab off prism,,,28 ,,NW,,,,,,$85.82,,1,1,1,1,1,1,20060825
V2715,HCPCS,Prism lens/es,,,28 ,,NW,,,,,,$17.81,,1,1,1,1,1,1,20060825
V2718,HCPCS,Fresnell prism press-on lens,,,28 ,,NW,,,,,,$39.97,,1,1,1,1,1,1,20060825
V2730,HCPCS,Special base curve,,,28 ,,NW,,,,,,$30.20,,1,1,1,1,1,1,20060825
V2744,HCPCS,Tint photochromatic lens/es,,,28 ,,NW,,,,,,$24.07,,1,1,1,1,1,1,20060825
V2745,HCPCS,"Tint, any color/solid/grad",,,28 ,,NW,,,,,,$16.05,,1,1,1,1,1,1,20060825
V2750,HCPCS,Anti-reflective coating,,,28 ,,NW,,,,,,$27.58,,1,1,1,1,1,1,20060825
V2755,HCPCS,UV lens/es,,,28 ,,NW,,,,,,$24.35,,1,1,1,1,1,1,20060825
V2760,HCPCS,Scratch resistant coating,,,28 ,,NW,,,,,,$23.57,,1,1,1,1,1,1,20060825
V2761,HCPCS,Mirror coating,,,28 ,,NW,,,,,,$18.94,,1,1,1,0,0,1,20060825
V2762,HCPCS,"Polarization, any lens",,,28 ,,NW,,,,,,$18.89,,1,1,1,1,1,1,20060825
V2770,HCPCS,Occluder lens/es,,,28 ,,NW,,,,,,$28.15,,1,1,1,1,1,1,20060825
V2780,HCPCS,Oversize lens/es,,,28 ,,NW,,,,,,$19.01,,1,1,1,1,1,1,20060825
V2781,HCPCS,Progressive lens per lens,,,28 ,,NW,,,,,,$167.15,,1,1,1,1,1,1,20060825
V2782,HCPCS,"Lens, 1.54-1.65 p/1.60-1.79g",,,28 ,,NW,,,,,,$66.17,,1,1,1,0,1,1,20060825
V2783,HCPCS,"Lens, >= 1.66 p/>=1.80 g",,,28 ,,NW,,,,,,$74.63,,1,1,1,0,1,1,20060825
V2784,HCPCS,Lens polycarb or equal,,,28 ,,NW,,,,,,$48.53,,1,1,1,0,1,1,20060825
V2785,HCPCS,Corneal tissue processing,,,28 ,,NW,,,,,,"$3,004.79",,1,1,1,1,1,1,20060825
V2790,HCPCS,Amniotic membrane,,,28 ,2,NW,,,,,,$53.97,,1,1,1,0,1,1,20060825
V2799,HCPCS,Miscellaneous vision service,,,28 ,,NW,,,,,,$62.77,,1,1,1,0,1,1,20060825
V5008,HCPCS,Hearing screening,,,28 ,,NW,,,,,,$76.91,,1,1,1,0,0,1,20060825
V5010,HCPCS,Assessment for hearing aid,,,28 ,,NW,,,,,,$100.24,,1,1,1,0,0,1,20060825
V5011,HCPCS,Hearing aid fitting/checking,,,28 ,,NW,,,,,,$156.55,,1,1,1,1,1,1,20060825
V5014,HCPCS,Hearing aid repair/modifying,,,28 ,,NW,,,,,,$188.81,,1,1,1,1,1,1,20060825
V5020,HCPCS,Conformity evaluation,,,28 ,,NW,,,,,,$87.88,,1,1,1,1,1,1,20060825
V5030,HCPCS,Body-worn hearing aid air,,,28 ,,NW,,,,,,"$1,975.21",,1,1,1,1,1,1,20060825
V5040,HCPCS,Body-worn hearing aid bone,,,28 ,,NW,,,,,,"$1,461.27",,1,1,1,1,1,1,20060825
V5050,HCPCS,Hearing aid monaural in ear,,,28 ,,NW,,,,,,"$1,716.14",,1,1,1,1,1,1,20060825
V5060,HCPCS,Behind ear hearing aid,,,28 ,,NW,,,,,,"$1,406.28",,1,1,1,1,1,1,20060825
V5070,HCPCS,Glasses air conduction,,,28 ,,NW,,,,,,$707.30,,1,1,1,1,1,1,20060825
V5080,HCPCS,Glasses bone conduction,,,28 ,,NW,,,,,,"$2,030.20",,1,1,1,1,1,1,20060825
V5090,HCPCS,Hearing aid dispensing fee,,,28 ,,NW,,,,,,$614.24,,1,1,1,1,1,1,20060825
V5100,HCPCS,Body-worn bilat hearing aid,,,28 ,,NW,,,,,,"$3,358.40",,1,1,1,1,1,1,20060825
V5110,HCPCS,Hearing aid dispensing fee,,,28 ,,NW,,,,,,$626.92,,1,1,1,1,1,1,20060825
V5120,HCPCS,Body-worn binaur hearing aid,,,28 ,,NW,,,,,,"$2,914.26",,1,1,1,1,1,1,20060825
V5130,HCPCS,In ear binaural hearing aid,,,28 ,,NW,,,,,,"$3,110.94",,1,1,1,1,1,1,20060825
V5140,HCPCS,Behind ear binaur hearing ai,,,28 ,,NW,,,,,,"$3,242.07",,1,1,1,1,1,1,20060825
V5150,HCPCS,Glasses binaural hearing aid,,,28 ,,NW,,,,,,"$3,472.60",,1,1,1,1,1,1,20060825
V5160,HCPCS,Dispensing fee binaural,,,28 ,,NW,,,,,,$784.49,,1,1,1,1,1,1,20060825
V5170,HCPCS,Within ear cros hearing aid,,,28 ,,NW,,,,,,"$2,364.36",,1,1,1,1,1,1,20060825
V5180,HCPCS,Behind ear cros hearing aid,,,28 ,,NW,,,,,,"$1,975.21",,1,1,1,1,1,1,20060825
V5190,HCPCS,Glasses cros hearing aid,,,28 ,,NW,,,,,,"$2,336.87",,1,1,1,1,1,1,20060825
V5200,HCPCS,Cros hearing aid dispens fee,,,28 ,,NW,,,,,,$620.58,,1,1,1,1,1,1,20060825
V5210,HCPCS,In ear bicros hearing aid,,,28 ,,NW,,,,,,"$2,584.32",,1,1,1,1,1,1,20060825
V5220,HCPCS,Behind ear bicros hearing ai,,,28 ,,NW,,,,,,"$2,476.46",,1,1,1,1,1,1,20060825
V5230,HCPCS,Glasses bicros hearing aid,,,28 ,,NW,,,,,,"$2,565.29",,1,1,1,1,1,1,20060825
V5240,HCPCS,Dispensing fee bicros,,,28 ,,NW,,,,,,$648.07,,1,1,1,1,1,1,20060825
V5241,HCPCS,"Dispensing fee, monaural",,,28 ,,NW,,,,,,$124.07,,1,1,1,1,1,1,20060825
V5242,HCPCS,"Hearing aid, monaural, cic",,,28 ,,NW,,,,,,"$1,430.41",,1,1,1,1,1,1,20060825
V5243,HCPCS,"Hearing aid, monaural, itc",,,28 ,,NW,,,,,,"$1,506.63",,1,1,1,1,1,1,20060825
V5244,HCPCS,"Hearing aid, prog, mon, cic",,,28 ,,NW,,,,,,"$3,367.76",,1,1,1,1,1,1,20060825
V5245,HCPCS,"Hearing aid, prog, mon, itc",,,28 ,,NW,,,,,,"$2,658.76",,1,1,1,1,1,1,20060825
V5246,HCPCS,"Hearing aid, prog, mon, ite",,,28 ,,NW,,,,,,"$1,644.91",,1,1,1,1,1,1,20060825
V5247,HCPCS,"Hearing aid, prog, mon, bte",,,28 ,,NW,,,,,,"$2,279.50",,1,1,1,1,1,1,20060825
V5248,HCPCS,"Hearing aid, binaural, cic",,,28 ,,NW,,,,,,"$1,810.31",,1,1,1,1,1,1,20060825
V5249,HCPCS,"Hearing aid, binaural, itc",,,28 ,,NW,,,,,,"$2,300.72",,1,1,1,1,1,1,20060825
V5250,HCPCS,"Hearing aid, prog, bin, cic",,,28 ,,NW,,,,,,"$6,363.28",,1,1,1,1,1,1,20060825
V5251,HCPCS,"Hearing aid, prog, bin, itc",,,28 ,,NW,,,,,,"$6,008.77",,1,1,1,1,1,1,20060825
V5252,HCPCS,"Hearing aid, prog, bin, ite",,,28 ,,NW,,,,,,"$5,672.00",,1,1,1,1,1,1,20060825
V5253,HCPCS,"Hearing aid, prog, bin, bte",,,28 ,,NW,,,,,,"$2,570.12",,1,1,1,1,1,1,20060825
V5254,HCPCS,"Hearing id, digit, mon, cic",,,28 ,,NW,,,,,,"$3,988.13",,1,1,1,1,1,1,20060825
V5255,HCPCS,"Hearing aid, digit, mon, itc",,,28 ,,NW,,,,,,"$3,155.06",,1,1,1,1,1,1,20060825
V5256,HCPCS,"Hearing aid, digit, mon, ite",,,28 ,,NW,,,,,,"$3,766.57",,1,1,1,1,1,1,20060825
V5257,HCPCS,"Hearing aid, digit, mon, bte",,,28 ,,NW,,,,,,"$2,765.10",,1,1,1,1,1,1,20060825
V5258,HCPCS,"Hearing aid, digit, bin, cic",,,28 ,,NW,,,,,,"$6,024.74",,1,1,1,1,1,1,20060825
V5259,HCPCS,"Hearing aid, digit, bin, itc",,,28 ,,NW,,,,,,"$7,090.01",,1,1,1,1,1,1,20060825
V5260,HCPCS,"Hearing aid, digit, bin, ite",,,28 ,,NW,,,,,,"$8,153.50",,1,1,1,1,1,1,20060825
V5261,HCPCS,"Hearing aid, digit, bin, bte",,,28 ,,NW,,,,,,"$6,735.51",,1,1,1,1,1,1,20060825
V5262,HCPCS,"Hearing aid, disp, monaural",,,28 ,,NW,,,,,,$138.26,,1,1,1,1,1,1,20060825
V5263,HCPCS,"Hearing aid, disp, binaural",,,28 ,,NW,,,,,,$69.14,,1,1,1,1,1,0,20060825
V5264,HCPCS,Ear mold/insert,,,28 ,,NW,,,,,,$87.39,,1,1,1,1,1,1,20060825
V5265,HCPCS,"Ear mold/insert, disp",,,28 ,,NW,,,,,,$12.42,,1,1,1,1,1,1,20060825
V5266,HCPCS,Battery for hearing device,,,28 ,,NW,,,,,,$2.43,,1,1,1,1,1,1,20060825
V5267,HCPCS,Hearing aid supply/accessory,,,28 ,,NW,,,,,,$26.59,,1,1,1,1,1,1,20060825
V5268,HCPCS,ALD Telephone Amplifier,,,28 ,,NW,,,,,,$375.56,,1,1,1,1,1,1,20060825
V5269,HCPCS,"Alerting device, any type",,,28 ,,NW,,,,,,$549.82,,1,1,1,1,1,1,20060825
V5270,HCPCS,"ALD, TV amplifier, any type",,,28 ,,NW,,,,,,$671.03,,1,1,1,1,1,1,20060825
V5271,HCPCS,"ALD, TV caption decoder",,,28 ,,NW,,,,,,"$3,486.24",,1,1,1,1,1,1,20060825
V5272,HCPCS,Tdd,,,28 ,,NW,,,,,,$789.80,,1,1,1,1,1,1,20060825
V5273,HCPCS,ALD for cochlear implant,,,28 ,,NW,,,,,,$521.04,,1,1,1,1,1,1,20060825
V5274,HCPCS,ALD unspecified,,,28 ,,NW,,,,,,"$1,155.11",,1,1,1,1,1,1,20060825
V5275,HCPCS,Ear impression,,,28 ,,NW,,,,,,$53.17,,1,1,1,1,1,1,20060825
V5298,HCPCS,Hearing aid noc,,,28 ,,NW,,,,,,"$3,374.75",,1,1,1,1,1,1,20060825
V5299,HCPCS,Hearing service,,,28 ,,NW,,,,,,$865.68,,1,1,1,0,0,1,20060825
V5336,HCPCS,Repair communication device,,,28 ,,NW,,,,,,$308.33,,1,1,1,0,0,1,20060825
V5362,HCPCS,Speech screening,,,19 ,,RBRVS,0.86 ,0.40 ,2.60 ,,,,,1,1,1,0,1,0,20060825
V5362,HCPCS,Speech screening,,,19 ,,RBRVS,0.86 ,0.40 ,2.60 ,,,,,1,0,1,1,1,1,20060825
V5363,HCPCS,Language screening,,,19 ,,RBRVS,0.86 ,0.40 ,2.60 ,,,,,1,1,1,0,1,0,20060825
V5363,HCPCS,Language screening,,,19 ,,RBRVS,0.86 ,0.40 ,2.60 ,,,,,1,0,1,1,1,1,20060825
V5364,HCPCS,Dysphagia screening,,,14 ,,RBRVS,0.00 ,3.44 ,3.44 ,,,,,1,1,1,0,1,0,20060825
V5364,HCPCS,Dysphagia screening,,,14 ,,RBRVS,0.00 ,3.44 ,3.44 ,,,,,1,0,1,1,1,1,20060825