"Version 2.8, Mid Year Update - Outpatient Facility",,,,,,,,,,,,
Item Code,Code Type,Description,Modifier,Service Category Code,Multiple Surgery Indicator,Primary/Pass-Through Indicator,Unit Charge,Base charge,Unit Type,Inpatient Indicator,Skilled Nursing Facility Indicator,Start Date
10021,CPT,Fna w/o image,,30,1,1,$243.49 ,$0.00,1,0,1,20061001
10022,CPT,Fna w/image,,30,1,1,$457.00 ,$0.00,1,0,1,20061001
10040,CPT,Acne surgery,,30,1,1,$195.24 ,$0.00,1,0,1,20061001
10060,CPT,Drainage of skin abscess,,30,1,1,$497.85 ,$0.00,1,0,1,20061001
10061,CPT,Drainage of skin abscess,,30,1,1,$497.85 ,$0.00,1,0,1,20061001
10080,CPT,Drainage of pilonidal cyst,,30,1,1,$497.85 ,$0.00,1,0,1,20061001
10081,CPT,Drainage of pilonidal cyst,,30,1,1,"$3,544.83 ",$0.00,1,0,1,20061001
10120,CPT,Remove foreign body,,30,1,1,$497.85 ,$0.00,1,0,1,20061001
10121,CPT,Remove foreign body,,30,1,1,"$4,293.64 ",$0.00,1,0,1,20061001
10140,CPT,Drainage of hematoma/fluid,,30,1,1,"$3,544.83 ",$0.00,1,0,1,20061001
10160,CPT,Puncture drainage of lesion,,30,1,1,$276.50 ,$0.00,1,0,1,20061001
10180,CPT,"Complex drainage, wound",,30,1,1,"$3,544.83 ",$0.00,1,0,1,20061001
11000,CPT,Debride infected skin,,30,1,1,$480.57 ,$0.00,1,0,1,20061001
11001,CPT,Debride infected skin add-on,,30,1,1,$229.31 ,$0.00,1,0,1,20061001
11010,CPT,"Debride skin, fx",,30,1,1,"$1,188.20 ",$0.00,1,0,1,20061001
11011,CPT,"Debride skin/muscle, fx",,30,1,1,"$1,188.20 ",$0.00,1,0,1,20061001
11012,CPT,"Debride skin/muscle/bone, fx",,30,1,1,"$1,188.20 ",$0.00,1,0,1,20061001
11040,CPT,"Debride skin, partial",,30,1,1,$480.57 ,$0.00,1,0,1,20061001
11041,CPT,"Debride skin, full",,30,1,1,$480.57 ,$0.00,1,0,1,20061001
11042,CPT,Debride skin/tissue,,30,1,1,$774.62 ,$0.00,1,0,1,20061001
11043,CPT,Debride tissue/muscle,,30,1,1,$774.62 ,$0.00,1,0,1,20061001
11044,CPT,Debride tissue/muscle/bone,,30,1,1,"$2,425.17 ",$0.00,1,0,1,20061001
11055,CPT,Trim skin lesion,,30,1,1,$229.31 ,$0.00,1,0,1,20061001
11056,CPT,"Trim skin lesions, 2 to 4",,30,1,1,$229.31 ,$0.00,1,0,1,20061001
11057,CPT,"Trim skin lesions, over 4",,30,1,1,$337.02 ,$0.00,1,0,1,20061001
11100,CPT,"Biopsy, skin lesion",,30,1,1,$276.50 ,$0.00,1,0,1,20061001
11101,CPT,"Biopsy, skin add-on",,30,1,1,$276.50 ,$0.00,1,0,1,20061001
11200,CPT,Removal of skin tags,,30,1,1,$337.02 ,$0.00,1,0,1,20061001
11201,CPT,Remove skin tags add-on,,30,1,1,$480.57 ,$0.00,1,0,1,20061001
11300,CPT,Shave skin lesion,,30,1,1,$229.31 ,$0.00,1,0,1,20061001
11301,CPT,Shave skin lesion,,30,1,1,$229.31 ,$0.00,1,0,1,20061001
11302,CPT,Shave skin lesion,,30,1,1,$229.31 ,$0.00,1,0,1,20061001
11303,CPT,Shave skin lesion,,30,1,1,$480.57 ,$0.00,1,0,1,20061001
11305,CPT,Shave skin lesion,,30,1,1,$337.02 ,$0.00,1,0,1,20061001
11306,CPT,Shave skin lesion,,30,1,1,$337.02 ,$0.00,1,0,1,20061001
11307,CPT,Shave skin lesion,,30,1,1,$337.02 ,$0.00,1,0,1,20061001
11308,CPT,Shave skin lesion,,30,1,1,$337.02 ,$0.00,1,0,1,20061001
11310,CPT,Shave skin lesion,,30,1,1,$337.02 ,$0.00,1,0,1,20061001
11311,CPT,Shave skin lesion,,30,1,1,$337.02 ,$0.00,1,0,1,20061001
11312,CPT,Shave skin lesion,,30,1,1,$337.02 ,$0.00,1,0,1,20061001
11313,CPT,Shave skin lesion,,30,1,1,$774.62 ,$0.00,1,0,1,20061001
11400,CPT,Removal of skin lesion,,30,1,1,"$1,188.20 ",$0.00,1,0,1,20061001
11401,CPT,Removal of skin lesion,,30,1,1,"$1,188.20 ",$0.00,1,0,1,20061001
11402,CPT,Removal of skin lesion,,30,1,1,"$1,188.20 ",$0.00,1,0,1,20061001
11403,CPT,Removal of skin lesion,,30,1,1,"$2,131.88 ",$0.00,1,0,1,20061001
11404,CPT,Removal of skin lesion,,30,1,1,"$4,293.64 ",$0.00,1,0,1,20061001
11406,CPT,Removal of skin lesion,,30,1,1,"$4,293.64 ",$0.00,1,0,1,20061001
11420,CPT,Removal of skin lesion,,30,1,1,"$2,131.88 ",$0.00,1,0,1,20061001
11421,CPT,Removal of skin lesion,,30,1,1,"$2,131.88 ",$0.00,1,0,1,20061001
11422,CPT,Removal of skin lesion,,30,1,1,"$2,131.88 ",$0.00,1,0,1,20061001
11423,CPT,Removal of skin lesion,,30,1,1,"$2,131.88 ",$0.00,1,0,1,20061001
11424,CPT,Removal of skin lesion,,30,1,1,"$4,293.64 ",$0.00,1,0,1,20061001
11426,CPT,Removal of skin lesion,,30,1,1,"$5,653.51 ",$0.00,1,0,1,20061001
11440,CPT,Removal of skin lesion,,30,1,1,"$1,188.20 ",$0.00,1,0,1,20061001
11441,CPT,Removal of skin lesion,,30,1,1,"$1,188.20 ",$0.00,1,0,1,20061001
11442,CPT,Removal of skin lesion,,30,1,1,"$2,131.88 ",$0.00,1,0,1,20061001
11443,CPT,Removal of skin lesion,,30,1,1,"$2,131.88 ",$0.00,1,0,1,20061001
11444,CPT,Removal of skin lesion,,30,1,1,"$2,131.88 ",$0.00,1,0,1,20061001
11446,CPT,Removal of skin lesion,,30,1,1,"$5,653.51 ",$0.00,1,0,1,20061001
11450,CPT,"Removal, sweat gland lesion",,30,1,1,"$5,653.51 ",$0.00,1,0,1,20061001
11451,CPT,"Removal, sweat gland lesion",,30,1,1,"$5,653.51 ",$0.00,1,0,1,20061001
11462,CPT,"Removal, sweat gland lesion",,30,1,1,"$5,653.51 ",$0.00,1,0,1,20061001
11463,CPT,"Removal, sweat gland lesion",,30,1,1,"$5,653.51 ",$0.00,1,0,1,20061001
11470,CPT,"Removal, sweat gland lesion",,30,1,1,"$5,653.51 ",$0.00,1,0,1,20061001
11471,CPT,"Removal, sweat gland lesion",,30,1,1,"$5,653.51 ",$0.00,1,0,1,20061001
11600,CPT,Removal of skin lesion,,30,1,1,"$1,188.20 ",$0.00,1,0,1,20061001
11601,CPT,Removal of skin lesion,,30,1,1,"$1,188.20 ",$0.00,1,0,1,20061001
11602,CPT,Removal of skin lesion,,30,1,1,"$1,188.20 ",$0.00,1,0,1,20061001
11603,CPT,Removal of skin lesion,,30,1,1,"$2,131.88 ",$0.00,1,0,1,20061001
11604,CPT,Removal of skin lesion,,30,1,1,"$2,131.88 ",$0.00,1,0,1,20061001
11606,CPT,Removal of skin lesion,,30,1,1,"$4,293.64 ",$0.00,1,0,1,20061001
11620,CPT,Removal of skin lesion,,30,1,1,"$2,131.88 ",$0.00,1,0,1,20061001
11621,CPT,Removal of skin lesion,,30,1,1,"$1,188.20 ",$0.00,1,0,1,20061001
11622,CPT,Removal of skin lesion,,30,1,1,"$2,131.88 ",$0.00,1,0,1,20061001
11623,CPT,Removal of skin lesion,,30,1,1,"$4,293.64 ",$0.00,1,0,1,20061001
11624,CPT,Removal of skin lesion,,30,1,1,"$4,293.64 ",$0.00,1,0,1,20061001
11626,CPT,Removal of skin lesion,,30,1,1,"$5,653.51 ",$0.00,1,0,1,20061001
11640,CPT,Removal of skin lesion,,30,1,1,"$2,131.88 ",$0.00,1,0,1,20061001
11641,CPT,Removal of skin lesion,,30,1,1,"$2,131.88 ",$0.00,1,0,1,20061001
11642,CPT,Removal of skin lesion,,30,1,1,"$2,131.88 ",$0.00,1,0,1,20061001
11643,CPT,Removal of skin lesion,,30,1,1,"$2,131.88 ",$0.00,1,0,1,20061001
11644,CPT,Removal of skin lesion,,30,1,1,"$4,293.64 ",$0.00,1,0,1,20061001
11646,CPT,Removal of skin lesion,,30,1,1,"$5,653.51 ",$0.00,1,0,1,20061001
11719,CPT,Trim nail(s),,30,1,1,$200.16 ,$0.00,1,0,1,20061001
11720,CPT,"Debride nail, 1-5",,30,1,1,$200.16 ,$0.00,1,0,1,20061001
11721,CPT,"Debride nail, 6 or more",,30,1,1,$200.16 ,$0.00,1,0,1,20061001
11730,CPT,Removal of nail plate,,30,1,1,$337.02 ,$0.00,1,0,1,20061001
11732,CPT,"Remove nail plate, add-on",,30,1,1,$229.31 ,$0.00,1,0,1,20061001
11740,CPT,Drain blood from under nail,,30,1,1,$200.16 ,$0.00,1,0,1,20061001
11750,CPT,Removal of nail bed,,30,1,1,"$1,188.20 ",$0.00,1,0,1,20061001
11752,CPT,Remove nail bed/finger tip,,30,1,1,"$5,653.51 ",$0.00,1,0,1,20061001
11755,CPT,"Biopsy, nail unit",,30,1,1,"$1,188.20 ",$0.00,1,0,1,20061001
11760,CPT,Repair of nail bed,,30,1,1,$503.73 ,$0.00,1,0,1,20061001
11762,CPT,Reconstruction of nail bed,,30,1,1,$503.73 ,$0.00,1,0,1,20061001
11765,CPT,"Excision of nail fold, toe",,30,1,1,$480.57 ,$0.00,1,0,1,20061001
11770,CPT,Removal of pilonidal lesion,,30,1,1,"$5,653.51 ",$0.00,1,0,1,20061001
11771,CPT,Removal of pilonidal lesion,,30,1,1,"$5,653.51 ",$0.00,1,0,1,20061001
11772,CPT,Removal of pilonidal lesion,,30,1,1,"$5,653.51 ",$0.00,1,0,1,20061001
11900,CPT,Injection into skin lesions,,30,1,1,$229.31 ,$0.00,1,0,1,20061001
11901,CPT,Added skin lesions injection,,30,1,1,$229.31 ,$0.00,1,0,1,20061001
11920,CPT,Correct skin color defects,,30,1,1,$503.73 ,$0.00,1,0,1,20061001
11921,CPT,Correct skin color defects,,30,1,1,$503.73 ,$0.00,1,0,1,20061001
11922,CPT,Correct skin color defects,,30,1,1,$503.73 ,$0.00,1,0,1,20061001
11950,CPT,Therapy for contour defects,,30,1,1,$503.73 ,$0.00,1,0,1,20061001
11951,CPT,Therapy for contour defects,,30,1,1,$503.73 ,$0.00,1,0,1,20061001
11952,CPT,Therapy for contour defects,,30,1,1,$503.73 ,$0.00,1,0,1,20061001
11954,CPT,Therapy for contour defects,,30,1,1,$503.73 ,$0.00,1,0,1,20061001
11960,CPT,Insert tissue expander(s),,30,1,1,"$4,779.13 ",$0.00,1,0,1,20061001
11970,CPT,Replace tissue expander,,30,1,1,"$4,779.13 ",$0.00,1,0,1,20061001
11971,CPT,Remove tissue expander(s),,30,1,1,"$5,653.51 ",$0.00,1,0,1,20061001
11976,CPT,Removal of contraceptive cap,,30,1,1,"$1,188.20 ",$0.00,1,0,1,20061001
11980,CPT,Implant hormone pellet(s),,30,0,1,$190.09 ,$0.00,1,0,1,20061001
11981,CPT,Insert drug implant device,,30,0,1,$190.09 ,$0.00,1,0,1,20061001
11982,CPT,Remove drug implant device,,30,0,1,$190.09 ,$0.00,1,0,1,20061001
11983,CPT,Remove/insert drug implant,,30,0,1,$190.09 ,$0.00,1,0,1,20061001
12001,CPT,Repair superficial wound(s),,30,1,1,$503.73 ,$0.00,1,0,1,20061001
12002,CPT,Repair superficial wound(s),,30,1,1,$503.73 ,$0.00,1,0,1,20061001
12004,CPT,Repair superficial wound(s),,30,1,1,$503.73 ,$0.00,1,0,1,20061001
12005,CPT,Repair superficial wound(s),,30,1,1,$503.73 ,$0.00,1,0,1,20061001
12006,CPT,Repair superficial wound(s),,30,1,1,$503.73 ,$0.00,1,0,1,20061001
12007,CPT,Repair superficial wound(s),,30,1,1,$503.73 ,$0.00,1,0,1,20061001
12011,CPT,Repair superficial wound(s),,30,1,1,$503.73 ,$0.00,1,0,1,20061001
12013,CPT,Repair superficial wound(s),,30,1,1,$503.73 ,$0.00,1,0,1,20061001
12014,CPT,Repair superficial wound(s),,30,1,1,$503.73 ,$0.00,1,0,1,20061001
12015,CPT,Repair superficial wound(s),,30,1,1,$503.73 ,$0.00,1,0,1,20061001
12016,CPT,Repair superficial wound(s),,30,1,1,$503.73 ,$0.00,1,0,1,20061001
12017,CPT,Repair superficial wound(s),,30,1,1,$503.73 ,$0.00,1,0,1,20061001
12018,CPT,Repair superficial wound(s),,30,1,1,$503.73 ,$0.00,1,0,1,20061001
12020,CPT,Closure of split wound,,30,1,1,$503.73 ,$0.00,1,0,1,20061001
12021,CPT,Closure of split wound,,30,1,1,$503.73 ,$0.00,1,0,1,20061001
12031,CPT,Layer closure of wound(s),,30,1,1,$503.73 ,$0.00,1,0,1,20061001
12032,CPT,Layer closure of wound(s),,30,1,1,$503.73 ,$0.00,1,0,1,20061001
12034,CPT,Layer closure of wound(s),,30,1,1,$503.73 ,$0.00,1,0,1,20061001
12035,CPT,Layer closure of wound(s),,30,1,1,$503.73 ,$0.00,1,0,1,20061001
12036,CPT,Layer closure of wound(s),,30,1,1,$503.73 ,$0.00,1,0,1,20061001
12037,CPT,Layer closure of wound(s),,30,1,1,"$1,558.31 ",$0.00,1,0,1,20061001
12041,CPT,Layer closure of wound(s),,30,1,1,$503.73 ,$0.00,1,0,1,20061001
12042,CPT,Layer closure of wound(s),,30,1,1,$503.73 ,$0.00,1,0,1,20061001
12044,CPT,Layer closure of wound(s),,30,1,1,$503.73 ,$0.00,1,0,1,20061001
12045,CPT,Layer closure of wound(s),,30,1,1,$503.73 ,$0.00,1,0,1,20061001
12046,CPT,Layer closure of wound(s),,30,1,1,$503.73 ,$0.00,1,0,1,20061001
12047,CPT,Layer closure of wound(s),,30,1,1,"$1,558.31 ",$0.00,1,0,1,20061001
12051,CPT,Layer closure of wound(s),,30,1,1,$503.73 ,$0.00,1,0,1,20061001
12052,CPT,Layer closure of wound(s),,30,1,1,$503.73 ,$0.00,1,0,1,20061001
12053,CPT,Layer closure of wound(s),,30,1,1,$503.73 ,$0.00,1,0,1,20061001
12054,CPT,Layer closure of wound(s),,30,1,1,$503.73 ,$0.00,1,0,1,20061001
12055,CPT,Layer closure of wound(s),,30,1,1,$503.73 ,$0.00,1,0,1,20061001
12056,CPT,Layer closure of wound(s),,30,1,1,$503.73 ,$0.00,1,0,1,20061001
12057,CPT,Layer closure of wound(s),,30,1,1,"$1,558.31 ",$0.00,1,0,1,20061001
13100,CPT,Repair of wound or lesion,,30,1,1,"$1,558.31 ",$0.00,1,0,1,20061001
13101,CPT,Repair of wound or lesion,,30,1,1,"$1,558.31 ",$0.00,1,0,1,20061001
13102,CPT,Repair wound/lesion add-on,,30,1,1,$503.73 ,$0.00,1,0,1,20061001
13120,CPT,Repair of wound or lesion,,30,1,1,$503.73 ,$0.00,1,0,1,20061001
13121,CPT,Repair of wound or lesion,,30,1,1,$503.73 ,$0.00,1,0,1,20061001
13122,CPT,Repair wound/lesion add-on,,30,1,1,$503.73 ,$0.00,1,0,1,20061001
13131,CPT,Repair of wound or lesion,,30,1,1,$503.73 ,$0.00,1,0,1,20061001
13132,CPT,Repair of wound or lesion,,30,1,1,$503.73 ,$0.00,1,0,1,20061001
13133,CPT,Repair wound/lesion add-on,,30,1,1,$503.73 ,$0.00,1,0,1,20061001
13150,CPT,Repair of wound or lesion,,30,1,1,"$1,558.31 ",$0.00,1,0,1,20061001
13151,CPT,Repair of wound or lesion,,30,1,1,$503.73 ,$0.00,1,0,1,20061001
13152,CPT,Repair of wound or lesion,,30,1,1,"$1,558.31 ",$0.00,1,0,1,20061001
13153,CPT,Repair wound/lesion add-on,,30,1,1,$503.73 ,$0.00,1,0,1,20061001
13160,CPT,Late closure of wound,,30,1,1,"$4,779.13 ",$0.00,1,0,1,20061001
14000,CPT,Skin tissue rearrangement,,30,1,1,"$4,779.13 ",$0.00,1,0,1,20061001
14001,CPT,Skin tissue rearrangement,,30,1,1,"$4,779.13 ",$0.00,1,0,1,20061001
14020,CPT,Skin tissue rearrangement,,30,1,1,"$4,779.13 ",$0.00,1,0,1,20061001
14021,CPT,Skin tissue rearrangement,,30,1,1,"$4,779.13 ",$0.00,1,0,1,20061001
14040,CPT,Skin tissue rearrangement,,30,1,1,"$4,779.13 ",$0.00,1,0,1,20061001
14041,CPT,Skin tissue rearrangement,,30,1,1,"$4,779.13 ",$0.00,1,0,1,20061001
14060,CPT,Skin tissue rearrangement,,30,1,1,"$4,779.13 ",$0.00,1,0,1,20061001
14061,CPT,Skin tissue rearrangement,,30,1,1,"$4,779.13 ",$0.00,1,0,1,20061001
14300,CPT,Skin tissue rearrangement,,30,1,1,"$4,779.13 ",$0.00,1,0,1,20061001
14350,CPT,Skin tissue rearrangement,,30,1,1,"$4,779.13 ",$0.00,1,0,1,20061001
15000,CPT,Skin graft,,30,1,1,"$1,558.31 ",$0.00,1,0,1,20061001
15001,CPT,Skin graft add-on,,30,1,1,"$1,558.31 ",$0.00,1,0,1,20061001
15040,CPT,Harvest cultured skin graft,,30,1,1,$98.79 ,$0.00,1,0,1,20061001
15050,CPT,Skin pinch graft,,30,1,1,"$1,558.31 ",$0.00,1,0,1,20061001
15100,CPT,Skin split graft,,30,1,1,"$4,779.13 ",$0.00,1,0,1,20061001
15101,CPT,Skin split graft add-on,,30,1,1,"$4,779.13 ",$0.00,1,0,1,20061001
15110,CPT,Epidrm autogrft trnk/arm/leg,,30,1,1,"$1,158.64 ",$0.00,1,0,1,20061001
15111,CPT,Epidrm autogrft t/a/l add-on,,30,1,1,"$1,158.64 ",$0.00,1,0,1,20061001
15115,CPT,Epidrm a-grft face/nck/hf/g,,30,1,1,"$1,158.64 ",$0.00,1,0,1,20061001
15116,CPT,Epidrm a-grft f/n/hf/g addl,,30,1,1,"$1,158.64 ",$0.00,1,0,1,20061001
15120,CPT,Skin split graft,,30,1,1,"$4,779.13 ",$0.00,1,0,1,20061001
15121,CPT,Skin split graft add-on,,30,1,1,"$4,779.13 ",$0.00,1,0,1,20061001
15130,CPT,"Derm autograft, trnk/arm/leg",,30,1,1,"$1,158.64 ",$0.00,1,0,1,20061001
15131,CPT,Derm autograft t/a/l add-on,,30,1,1,"$1,158.64 ",$0.00,1,0,1,20061001
15135,CPT,Derm autograft face/nck/hf/g,,30,1,1,"$1,158.64 ",$0.00,1,0,1,20061001
15136,CPT,"Derm autograft, f/n/hf/g add",,30,1,1,"$1,158.64 ",$0.00,1,0,1,20061001
15150,CPT,Cult epiderm grft t/arm/leg,,30,1,1,"$1,158.64 ",$0.00,1,0,1,20061001
15151,CPT,Cult epiderm grft t/a/l addl,,30,1,1,"$1,158.64 ",$0.00,1,0,1,20061001
15152,CPT,Cult epiderm graft t/a/l +%,,30,1,1,"$1,158.64 ",$0.00,1,0,1,20061001
15155,CPT,"Cult epiderm graft, f/n/hf/g",,30,1,1,"$1,158.64 ",$0.00,1,0,1,20061001
15156,CPT,Cult epidrm grft f/n/hfg add,,30,1,1,"$1,158.64 ",$0.00,1,0,1,20061001
15157,CPT,Cult epiderm grft f/n/hfg +%,,30,1,1,"$1,158.64 ",$0.00,1,0,1,20061001
15170,CPT,Cell graft trunk/arms/legs,,30,1,1,$98.79 ,$0.00,1,0,1,20061001
15171,CPT,Cell graft t/arm/leg add-on,,30,1,1,$98.79 ,$0.00,1,0,1,20061001
15175,CPT,"Acellular graft, f/n/hf/g",,30,1,1,$98.79 ,$0.00,1,0,1,20061001
15176,CPT,"Acell graft, f/n/hf/g add-on",,30,1,1,$98.79 ,$0.00,1,0,1,20061001
15200,CPT,Skin full graft,,30,1,1,"$4,779.13 ",$0.00,1,0,1,20061001
15201,CPT,Skin full graft add-on,,30,1,1,"$1,558.31 ",$0.00,1,0,1,20061001
15220,CPT,Skin full graft,,30,1,1,"$4,779.13 ",$0.00,1,0,1,20061001
15221,CPT,Skin full graft add-on,,30,1,1,"$1,558.31 ",$0.00,1,0,1,20061001
15240,CPT,Skin full graft,,30,1,1,"$4,779.13 ",$0.00,1,0,1,20061001
15241,CPT,Skin full graft add-on,,30,1,1,"$1,558.31 ",$0.00,1,0,1,20061001
15260,CPT,Skin full graft,,30,1,1,"$4,779.13 ",$0.00,1,0,1,20061001
15261,CPT,Skin full graft add-on,,30,1,1,"$1,558.31 ",$0.00,1,0,1,20061001
15300,CPT,"Apply skinallogrft, t/arm/lg",,30,1,1,"$1,158.64 ",$0.00,1,0,1,20061001
15301,CPT,Apply sknallogrft t/a/l addl,,30,1,1,$337.81 ,$0.00,1,0,1,20061001
15320,CPT,Apply skin allogrft f/n/hf/g,,30,1,1,$337.81 ,$0.00,1,0,1,20061001
15321,CPT,Aply sknallogrft f/n/hfg add,,30,1,1,$337.81 ,$0.00,1,0,1,20061001
15330,CPT,Aply acell alogrft t/arm/leg,,30,1,1,$337.81 ,$0.00,1,0,1,20061001
15331,CPT,Aply acell grft t/a/l add-on,,30,1,1,$337.81 ,$0.00,1,0,1,20061001
15335,CPT,"Apply acell graft, f/n/hf/g",,30,1,1,$337.81 ,$0.00,1,0,1,20061001
15336,CPT,Aply acell grft f/n/hf/g add,,30,1,1,$337.81 ,$0.00,1,0,1,20061001
15340,CPT,Apply cult skin substitute,,30,1,1,$98.79 ,$0.00,1,0,1,20061001
15341,CPT,Apply cult skin sub add-on,,30,1,1,$98.79 ,$0.00,1,0,1,20061001
15360,CPT,"Apply cult derm sub, t/a/l",,30,1,1,$98.79 ,$0.00,1,0,1,20061001
15361,CPT,Aply cult derm sub t/a/l add,,30,1,1,$98.79 ,$0.00,1,0,1,20061001
15365,CPT,Apply cult derm sub f/n/hf/g,,30,1,1,$98.79 ,$0.00,1,0,1,20061001
15366,CPT,Apply cult derm f/hf/g add,,30,1,1,$98.79 ,$0.00,1,0,1,20061001
15400,CPT,Skin heterograft,,30,1,1,"$1,558.31 ",$0.00,1,0,1,20061001
15401,CPT,Skin heterograft add-on,,30,1,1,"$1,558.31 ",$0.00,1,0,1,20061001
15420,CPT,"Apply skin xgraft, f/n/hf/g",,30,1,1,$337.81 ,$0.00,1,0,1,20061001
15421,CPT,Apply skn xgrft f/n/hf/g add,,30,1,1,$337.81 ,$0.00,1,0,1,20061001
15430,CPT,Apply acellular xenograft,,30,1,1,$337.81 ,$0.00,1,0,1,20061001
15431,CPT,Apply acellular xgraft add,,30,1,1,$337.81 ,$0.00,1,0,1,20061001
15570,CPT,Form skin pedicle flap,,30,1,1,"$4,779.13 ",$0.00,1,0,1,20061001
15572,CPT,Form skin pedicle flap,,30,1,1,"$4,779.13 ",$0.00,1,0,1,20061001
15574,CPT,Form skin pedicle flap,,30,1,1,"$4,779.13 ",$0.00,1,0,1,20061001
15576,CPT,Form skin pedicle flap,,30,1,1,"$4,779.13 ",$0.00,1,0,1,20061001
15600,CPT,Skin graft,,30,1,1,"$4,779.13 ",$0.00,1,0,1,20061001
15610,CPT,Skin graft,,30,1,1,"$4,779.13 ",$0.00,1,0,1,20061001
15620,CPT,Skin graft,,30,1,1,"$4,779.13 ",$0.00,1,0,1,20061001
15630,CPT,Skin graft,,30,1,1,"$4,779.13 ",$0.00,1,0,1,20061001
15650,CPT,Transfer skin pedicle flap,,30,1,1,"$4,779.13 ",$0.00,1,0,1,20061001
15732,CPT,"Muscle-skin graft, head/neck",,30,1,1,"$4,779.13 ",$0.00,1,0,1,20061001
15734,CPT,"Muscle-skin graft, trunk",,30,1,1,"$4,779.13 ",$0.00,1,0,1,20061001
15736,CPT,"Muscle-skin graft, arm",,30,1,1,"$4,779.13 ",$0.00,1,0,1,20061001
15738,CPT,"Muscle-skin graft, leg",,30,1,1,"$4,779.13 ",$0.00,1,0,1,20061001
15740,CPT,Island pedicle flap graft,,30,1,1,"$4,779.13 ",$0.00,1,0,1,20061001
15750,CPT,Neurovascular pedicle graft,,30,1,1,"$4,779.13 ",$0.00,1,0,1,20061001
15760,CPT,Composite skin graft,,30,1,1,"$4,779.13 ",$0.00,1,0,1,20061001
15770,CPT,Derma-fat-fascia graft,,30,1,1,"$4,779.13 ",$0.00,1,0,1,20061001
15775,CPT,Hair transplant punch grafts,,30,1,1,"$1,558.31 ",$0.00,1,0,1,20061001
15776,CPT,Hair transplant punch grafts,,30,1,1,"$1,558.31 ",$0.00,1,0,1,20061001
15780,CPT,Abrasion treatment of skin,,30,1,1,"$5,653.51 ",$0.00,1,0,1,20061001
15781,CPT,Abrasion treatment of skin,,30,1,1,"$1,188.20 ",$0.00,1,0,1,20061001
15782,CPT,Dressing change not for burn,,30,1,1,"$1,188.20 ",$0.00,1,0,1,20061001
15783,CPT,Abrasion treatment of skin,,30,1,1,$774.62 ,$0.00,1,0,1,20061001
15786,CPT,"Abrasion, lesion, single",,30,1,1,$229.31 ,$0.00,1,0,1,20061001
15787,CPT,"Abrasion, lesions, add-on",,30,1,1,$337.02 ,$0.00,1,0,1,20061001
15788,CPT,"Chemical peel, face, epiderm",,30,1,1,$229.31 ,$0.00,1,0,1,20061001
15789,CPT,"Chemical peel, face, dermal",,30,1,1,$480.57 ,$0.00,1,0,1,20061001
15792,CPT,"Chemical peel, nonfacial",,30,1,1,$229.31 ,$0.00,1,0,1,20061001
15793,CPT,"Chemical peel, nonfacial",,30,1,1,$229.31 ,$0.00,1,0,1,20061001
15819,CPT,"Plastic surgery, neck",,30,1,1,"$1,558.31 ",$0.00,1,0,1,20061001
15820,CPT,Revision of lower eyelid,,30,1,1,"$4,779.13 ",$0.00,1,0,1,20061001
15821,CPT,Revision of lower eyelid,,30,1,1,"$4,779.13 ",$0.00,1,0,1,20061001
15822,CPT,Revision of upper eyelid,,30,1,1,"$4,779.13 ",$0.00,1,0,1,20061001
15823,CPT,Revision of upper eyelid,,30,1,1,"$4,779.13 ",$0.00,1,0,1,20061001
15824,CPT,Removal of forehead wrinkles,,30,1,1,"$4,779.13 ",$0.00,1,0,1,20061001
15825,CPT,Removal of neck wrinkles,,30,1,1,"$4,779.13 ",$0.00,1,0,1,20061001
15826,CPT,Removal of brow wrinkles,,30,1,1,"$4,779.13 ",$0.00,1,0,1,20061001
15828,CPT,Removal of face wrinkles,,30,1,1,"$4,779.13 ",$0.00,1,0,1,20061001
15829,CPT,Removal of skin wrinkles,,30,1,1,"$4,779.13 ",$0.00,1,0,1,20061001
15831,CPT,Excise excessive skin tissue,,30,1,1,"$5,653.51 ",$0.00,1,0,1,20061001
15832,CPT,Excise excessive skin tissue,,30,1,1,"$5,653.51 ",$0.00,1,0,1,20061001
15833,CPT,Excise excessive skin tissue,,30,1,1,"$5,653.51 ",$0.00,1,0,1,20061001
15834,CPT,Excise excessive skin tissue,,30,1,1,"$5,653.51 ",$0.00,1,0,1,20061001
15835,CPT,Excise excessive skin tissue,,30,1,1,"$1,558.31 ",$0.00,1,0,1,20061001
15836,CPT,Excise excessive skin tissue,,30,1,1,"$4,293.64 ",$0.00,1,0,1,20061001
15837,CPT,Excise excessive skin tissue,,30,1,1,"$4,293.64 ",$0.00,1,0,1,20061001
15838,CPT,Excise excessive skin tissue,,30,1,1,"$4,293.64 ",$0.00,1,0,1,20061001
15839,CPT,Excise excessive skin tissue,,30,1,1,"$4,293.64 ",$0.00,1,0,1,20061001
15840,CPT,Graft for face nerve palsy,,30,1,1,"$4,779.13 ",$0.00,1,0,1,20061001
15841,CPT,Graft for face nerve palsy,,30,1,1,"$4,779.13 ",$0.00,1,0,1,20061001
15842,CPT,Flap for face nerve palsy,,30,1,1,"$4,779.13 ",$0.00,1,0,1,20061001
15845,CPT,"Skin and muscle repair, face",,30,1,1,"$4,779.13 ",$0.00,1,0,1,20061001
15850,CPT,Removal of sutures,,30,1,1,$774.62 ,$0.00,1,0,1,20061001
15851,CPT,Removal of sutures,,30,1,1,$774.62 ,$0.00,1,0,1,20061001
15852,CPT,Dressing change not for burn,,30,0,1,$190.09 ,$0.00,1,0,1,20061001
15860,CPT,Test for blood flow in graft,,30,0,1,$122.25 ,$0.00,1,0,1,20061001
15876,CPT,Suction assisted lipectomy,,30,1,1,"$4,779.13 ",$0.00,1,0,1,20061001
15877,CPT,Suction assisted lipectomy,,30,1,1,"$4,779.13 ",$0.00,1,0,1,20061001
15878,CPT,Suction assisted lipectomy,,30,1,1,"$4,779.13 ",$0.00,1,0,1,20061001
15879,CPT,Suction assisted lipectomy,,30,1,1,"$4,779.13 ",$0.00,1,0,1,20061001
15920,CPT,Removal of tail bone ulcer,,30,1,1,"$1,188.20 ",$0.00,1,0,1,20061001
15922,CPT,Removal of tail bone ulcer,,30,1,1,"$4,779.13 ",$0.00,1,0,1,20061001
15931,CPT,Remove sacrum pressure sore,,30,1,1,"$5,653.51 ",$0.00,1,0,1,20061001
15933,CPT,Remove sacrum pressure sore,,30,1,1,"$5,653.51 ",$0.00,1,0,1,20061001
15934,CPT,Remove sacrum pressure sore,,30,1,1,"$4,779.13 ",$0.00,1,0,1,20061001
15935,CPT,Remove sacrum pressure sore,,30,1,1,"$4,779.13 ",$0.00,1,0,1,20061001
15936,CPT,Remove sacrum pressure sore,,30,1,1,"$4,779.13 ",$0.00,1,0,1,20061001
15937,CPT,Remove sacrum pressure sore,,30,1,1,"$4,779.13 ",$0.00,1,0,1,20061001
15940,CPT,Remove hip pressure sore,,30,1,1,"$5,653.51 ",$0.00,1,0,1,20061001
15941,CPT,Remove hip pressure sore,,30,1,1,"$5,653.51 ",$0.00,1,0,1,20061001
15944,CPT,Remove hip pressure sore,,30,1,1,"$4,779.13 ",$0.00,1,0,1,20061001
15945,CPT,Remove hip pressure sore,,30,1,1,"$4,779.13 ",$0.00,1,0,1,20061001
15946,CPT,Remove hip pressure sore,,30,1,1,"$4,779.13 ",$0.00,1,0,1,20061001
15950,CPT,Remove thigh pressure sore,,30,1,1,"$5,653.51 ",$0.00,1,0,1,20061001
15951,CPT,Remove thigh pressure sore,,30,1,1,"$5,653.51 ",$0.00,1,0,1,20061001
15952,CPT,Remove thigh pressure sore,,30,1,1,"$4,779.13 ",$0.00,1,0,1,20061001
15953,CPT,Remove thigh pressure sore,,30,1,1,"$4,779.13 ",$0.00,1,0,1,20061001
15956,CPT,Remove thigh pressure sore,,30,1,1,"$4,779.13 ",$0.00,1,0,1,20061001
15958,CPT,Remove thigh pressure sore,,30,1,1,"$4,779.13 ",$0.00,1,0,1,20061001
15999,CPT,Removal of pressure sore,,30,1,1,"$5,653.51 ",$0.00,1,0,1,20061001
16000,CPT,Initial treatment of burn(s),,30,1,1,$229.31 ,$0.00,1,0,1,20061001
16020,CPT,Treatment of burn(s),,30,1,1,$337.02 ,$0.00,1,0,1,20061001
16025,CPT,Treatment of burn(s),,30,1,1,$229.31 ,$0.00,1,0,1,20061001
16030,CPT,Treatment of burn(s),,30,1,1,$480.57 ,$0.00,1,0,1,20061001
17000,CPT,Destroy benign/premlg lesion,,30,1,1,$195.24 ,$0.00,1,0,1,20061001
17003,CPT,"Destroy lesions, 2-14",,30,1,1,$195.24 ,$0.00,1,0,1,20061001
17004,CPT,"Destroy lesions, 15 or more",,30,1,1,$669.28 ,$0.00,1,0,1,20061001
17106,CPT,Destruction of skin lesions,,30,1,1,$669.28 ,$0.00,1,0,1,20061001
17107,CPT,Destruction of skin lesions,,30,1,1,$669.28 ,$0.00,1,0,1,20061001
17108,CPT,Destruction of skin lesions,,30,1,1,$669.28 ,$0.00,1,0,1,20061001
17110,CPT,"Destruct lesion, 1-14",,30,1,1,$195.24 ,$0.00,1,0,1,20061001
17111,CPT,"Destruct lesion, 15 or more",,30,1,1,$195.24 ,$0.00,1,0,1,20061001
17250,CPT,"Chemical cautery, tissue",,30,1,1,$337.02 ,$0.00,1,0,1,20061001
17260,CPT,Destruction of skin lesions,,30,1,1,$480.57 ,$0.00,1,0,1,20061001
17261,CPT,Destruction of skin lesions,,30,1,1,$480.57 ,$0.00,1,0,1,20061001
17262,CPT,Destruction of skin lesions,,30,1,1,$480.57 ,$0.00,1,0,1,20061001
17263,CPT,Destruction of skin lesions,,30,1,1,$480.57 ,$0.00,1,0,1,20061001
17264,CPT,Destruction of skin lesions,,30,1,1,$480.57 ,$0.00,1,0,1,20061001
17266,CPT,Destruction of skin lesions,,30,1,1,$774.62 ,$0.00,1,0,1,20061001
17270,CPT,Destruction of skin lesions,,30,1,1,$480.57 ,$0.00,1,0,1,20061001
17271,CPT,Destruction of skin lesions,,30,1,1,$337.02 ,$0.00,1,0,1,20061001
17272,CPT,Destruction of skin lesions,,30,1,1,$480.57 ,$0.00,1,0,1,20061001
17273,CPT,Destruction of skin lesions,,30,1,1,$480.57 ,$0.00,1,0,1,20061001
17274,CPT,Destruction of skin lesions,,30,1,1,$774.62 ,$0.00,1,0,1,20061001
17276,CPT,Destruction of skin lesions,,30,1,1,$774.62 ,$0.00,1,0,1,20061001
17280,CPT,Destruction of skin lesions,,30,1,1,$480.57 ,$0.00,1,0,1,20061001
17281,CPT,Destruction of skin lesions,,30,1,1,$480.57 ,$0.00,1,0,1,20061001
17282,CPT,Destruction of skin lesions,,30,1,1,$480.57 ,$0.00,1,0,1,20061001
17283,CPT,Destruction of skin lesions,,30,1,1,$480.57 ,$0.00,1,0,1,20061001
17284,CPT,Destruction of skin lesions,,30,1,1,$774.62 ,$0.00,1,0,1,20061001
17286,CPT,Destruction of skin lesions,,30,1,1,$480.57 ,$0.00,1,0,1,20061001
17304,CPT,Chemosurgery of skin lesion,,30,1,1,$896.26 ,$0.00,1,0,1,20061001
17305,CPT,"2 stage mohs, up to 5 spec",,30,1,1,$896.26 ,$0.00,1,0,1,20061001
17306,CPT,"3 stage mohs, up to 5 spec",,30,1,1,$896.26 ,$0.00,1,0,1,20061001
17307,CPT,Mohs addl stage up to 5 spec,,30,1,1,$896.26 ,$0.00,1,0,1,20061001
17310,CPT,Extensive skin chemosurgery,,30,1,1,$896.26 ,$0.00,1,0,1,20061001
17340,CPT,Cryotherapy of skin,,30,1,1,$229.31 ,$0.00,1,0,1,20061001
17360,CPT,Skin peel therapy,,30,1,1,$229.31 ,$0.00,1,0,1,20061001
17380,CPT,Hair removal by electrolysis,,30,1,1,$229.31 ,$0.00,1,0,1,20061001
17999,CPT,Skin tissue procedure,,30,1,1,$497.85 ,$0.00,1,0,1,20061001
19000,CPT,Drainage of breast lesion,,30,1,1,$478.42 ,$0.00,1,0,1,20061001
19001,CPT,Drain breast lesion add-on,,30,1,1,$478.42 ,$0.00,1,0,1,20061001
19020,CPT,Incision of breast lesion,,30,1,1,"$3,544.83 ",$0.00,1,0,1,20061001
19100,CPT,Bx breast percut w/o image,,30,1,1,$984.98 ,$0.00,1,0,1,20061001
19101,CPT,"Biopsy of breast, open",,30,1,1,"$5,292.55 ",$0.00,1,0,1,20061001
19102,CPT,Bx breast percut w/image,,30,1,1,$984.98 ,$0.00,1,0,1,20061001
19103,CPT,Bx breast percut w/device,,30,1,1,"$1,680.31 ",$0.00,1,0,1,20061001
19110,CPT,nipple exploration,,30,1,1,"$5,292.55 ",$0.00,1,0,1,20061001
19112,CPT,Excise breast duct fistula,,30,1,1,"$5,292.55 ",$0.00,1,0,1,20061001
19120,CPT,Removal of breast lesion,,30,1,1,"$5,292.55 ",$0.00,1,0,1,20061001
19125,CPT,"Excision, breast lesion",,30,1,1,"$5,292.55 ",$0.00,1,0,1,20061001
19126,CPT,"Excision, addl breast lesion",,30,1,1,"$5,292.55 ",$0.00,1,0,1,20061001
19140,CPT,Removal of breast tissue,,30,1,1,"$5,292.55 ",$0.00,1,0,1,20061001
19160,CPT,Removal of breast tissue,,30,1,1,"$5,292.55 ",$0.00,1,0,1,20061001
19162,CPT,"Remove breast tissue, nodes",,30,1,1,"$11,648.28 ",$0.00,1,0,1,20061001
19180,CPT,Removal of breast,,30,1,1,"$9,006.24 ",$0.00,1,0,1,20061001
19182,CPT,Removal of breast,,30,1,1,"$9,006.24 ",$0.00,1,0,1,20061001
19240,CPT,Removal of breast,,30,1,1,"$11,238.74 ",$0.00,1,0,1,20061001
19260,CPT,Removal of chest wall lesion,,30,1,1,"$4,293.64 ",$0.00,1,0,1,20061001
19295,CPT,"Place breast clip, percut",,30,0,1,$454.95 ,$0.00,1,0,1,20061001
19296,CPT,Place po breast cath for rad,,30,0,1,"$3,477.50 ",$0.00,1,0,1,20061001
19297,CPT,Place breast cath for rad,,30,0,1,"$2,942.50 ",$0.00,1,0,1,20061001
19298,CPT,Place breast rad tube/caths,,30,0,1,"$3,477.50 ",$0.00,1,0,1,20061001
19316,CPT,Suspension of breast,,30,1,1,"$9,006.24 ",$0.00,1,0,1,20061001
19318,CPT,Reduction of large breast,,30,1,1,"$11,648.28 ",$0.00,1,0,1,20061001
19324,CPT,Enlarge breast,,30,1,1,"$11,648.28 ",$0.00,1,0,1,20061001
19325,CPT,Enlarge breast with implant,,30,1,1,"$16,271.88 ",$0.00,1,0,1,20061001
19328,CPT,Removal of breast implant,,30,1,1,"$9,006.24 ",$0.00,1,0,1,20061001
19330,CPT,Removal of implant material,,30,1,1,"$9,006.24 ",$0.00,1,0,1,20061001
19340,CPT,Immediate breast prosthesis,,30,1,1,"$11,238.74 ",$0.00,1,0,1,20061001
19342,CPT,Delayed breast prosthesis,,30,1,1,"$16,271.88 ",$0.00,1,0,1,20061001
19350,CPT,Breast reconstruction,,30,1,1,"$5,292.55 ",$0.00,1,0,1,20061001
19355,CPT,Correct inverted nipple(s),,30,1,1,"$9,006.24 ",$0.00,1,0,1,20061001
19357,CPT,Breast reconstruction,,30,1,1,"$16,271.88 ",$0.00,1,0,1,20061001
19366,CPT,Breast reconstruction,,30,1,1,"$9,006.24 ",$0.00,1,0,1,20061001
19370,CPT,Surgery of breast capsule,,30,1,1,"$9,006.24 ",$0.00,1,0,1,20061001
19371,CPT,Removal of breast capsule,,30,1,1,"$9,006.24 ",$0.00,1,0,1,20061001
19380,CPT,Revise breast reconstruction,,30,1,1,"$11,238.74 ",$0.00,1,0,1,20061001
19396,CPT,Design custom breast implant,,30,1,1,"$9,006.24 ",$0.00,1,0,1,20061001
19499,CPT,Breast surgery procedure,,30,1,1,"$5,292.55 ",$0.00,1,0,1,20061001
20000,CPT,Incision of abscess,,30,1,1,$497.85 ,$0.00,1,0,1,20061001
20005,CPT,Incision of deep abscess,,30,1,1,"$5,897.28 ",$0.00,1,0,1,20061001
20100,CPT,"Explore wound, neck",,30,1,1,$847.72 ,$0.00,1,0,1,20061001
20101,CPT,"Explore wound, chest",,30,1,1,"$4,779.13 ",$0.00,1,0,1,20061001
20102,CPT,"Explore wound, abdomen",,30,1,1,"$4,779.13 ",$0.00,1,0,1,20061001
20103,CPT,"Explore wound, extremity",,30,1,1,$847.72 ,$0.00,1,0,1,20061001
20150,CPT,Excise epiphyseal bar,,30,1,1,"$10,324.87 ",$0.00,1,0,1,20061001
20200,CPT,Muscle biopsy,,30,1,1,"$4,293.64 ",$0.00,1,0,1,20061001
20205,CPT,Deep muscle biopsy,,30,1,1,"$4,293.64 ",$0.00,1,0,1,20061001
20206,CPT,"Needle biopsy, muscle",,30,1,1,$984.98 ,$0.00,1,0,1,20061001
20220,CPT,"Bone biopsy, trocar/needle",,30,1,1,"$1,188.20 ",$0.00,1,0,1,20061001
20225,CPT,"Bone biopsy, trocar/needle",,30,1,1,"$2,131.88 ",$0.00,1,0,1,20061001
20240,CPT,"Bone biopsy, excisional",,30,1,1,"$5,653.51 ",$0.00,1,0,1,20061001
20245,CPT,"Bone biopsy, excisional",,30,1,1,"$5,653.51 ",$0.00,1,0,1,20061001
20250,CPT,Open bone biopsy,,30,1,1,"$5,897.28 ",$0.00,1,0,1,20061001
20251,CPT,Open bone biopsy,,30,1,1,"$5,897.28 ",$0.00,1,0,1,20061001
20500,CPT,Injection of sinus tract,,30,1,1,$538.65 ,$0.00,1,0,1,20061001
20520,CPT,Removal of foreign body,,30,1,1,"$1,188.20 ",$0.00,1,0,1,20061001
20525,CPT,Removal of foreign body,,30,1,1,"$5,653.51 ",$0.00,1,0,1,20061001
20526,CPT,"Ther injection, carp tunnel",,30,1,1,$652.45 ,$0.00,1,0,1,20061001
20550,CPT,Inject tendon/ligament/cyst,,30,1,1,$652.45 ,$0.00,1,0,1,20061001
20551,CPT,Inj tendon origin/insertion,,30,1,1,$652.45 ,$0.00,1,0,1,20061001
20552,CPT,"Inj trigger point, 1/2 muscl",,30,1,1,$652.45 ,$0.00,1,0,1,20061001
20553,CPT,"Inject trigger points, > 3",,30,1,1,$652.45 ,$0.00,1,0,1,20061001
20600,CPT,"Drain/inject, joint/bursa",,30,1,1,$652.45 ,$0.00,1,0,1,20061001
20605,CPT,"Drain/inject, joint/bursa",,30,1,1,$652.45 ,$0.00,1,0,1,20061001
20610,CPT,"Drain/inject, joint/bursa",,30,1,1,$652.45 ,$0.00,1,0,1,20061001
20612,CPT,Aspirate/inj ganglion cyst,,30,1,1,$652.45 ,$0.00,1,0,1,20061001
20615,CPT,Treatment of bone cyst,,30,1,1,$478.42 ,$0.00,1,0,1,20061001
20650,CPT,Insert and remove bone pin,,30,1,1,"$5,897.28 ",$0.00,1,0,1,20061001
20665,CPT,Removal of fixation device,,30,0,1,$190.09 ,$0.00,1,0,1,20061001
20670,CPT,Removal of support implant,,30,1,1,"$4,293.64 ",$0.00,1,0,1,20061001
20680,CPT,Removal of support implant,,30,1,1,"$5,653.51 ",$0.00,1,0,1,20061001
20690,CPT,Apply bone fixation device,,30,1,1,"$7,473.47 ",$0.00,1,0,1,20061001
20692,CPT,Apply bone fixation device,,30,1,1,"$7,473.47 ",$0.00,1,0,1,20061001
20693,CPT,Adjust bone fixation device,,30,1,1,"$5,897.28 ",$0.00,1,0,1,20061001
20694,CPT,Remove bone fixation device,,30,1,1,"$5,897.28 ",$0.00,1,0,1,20061001
20900,CPT,Removal of bone for graft,,30,1,1,"$7,473.47 ",$0.00,1,0,1,20061001
20902,CPT,Removal of bone for graft,,30,1,1,"$7,473.47 ",$0.00,1,0,1,20061001
20910,CPT,Remove cartilage for graft,,30,1,1,"$4,779.13 ",$0.00,1,0,1,20061001
20912,CPT,Remove cartilage for graft,,30,1,1,"$4,779.13 ",$0.00,1,0,1,20061001
20920,CPT,Removal of fascia for graft,,30,1,1,"$4,779.13 ",$0.00,1,0,1,20061001
20922,CPT,Removal of fascia for graft,,30,1,1,"$4,779.13 ",$0.00,1,0,1,20061001
20924,CPT,Removal of tendon for graft,,30,1,1,"$7,473.47 ",$0.00,1,0,1,20061001
20926,CPT,Removal of tissue for graft,,30,1,1,"$4,779.13 ",$0.00,1,0,1,20061001
20950,CPT,"Fluid pressure, muscle",,30,1,1,$497.85 ,$0.00,1,0,1,20061001
20975,CPT,Electrical bone stimulation,,30,0,1,"$5,897.28 ",$0.00,1,0,1,20061001
20982,CPT,"Ablate, bone tumor(s) perq",,30,1,1,"$9,046.14 ",$0.00,1,0,1,20061001
20999,CPT,Musculoskeletal surgery,,30,1,1,"$5,897.28 ",$0.00,1,0,1,20061001
21010,CPT,Incision of jaw joint,,30,1,1,"$6,567.71 ",$0.00,1,0,1,20061001
21015,CPT,Resection of facial tumor,,30,1,1,"$4,583.99 ",$0.00,1,0,1,20061001
21025,CPT,"Excision of bone, lower jaw",,30,1,1,"$10,471.26 ",$0.00,1,0,1,20061001
21026,CPT,Excision of facial bone(s),,30,1,1,"$10,471.26 ",$0.00,1,0,1,20061001
21029,CPT,Contour of face bone lesion,,30,1,1,"$10,471.26 ",$0.00,1,0,1,20061001
21030,CPT,Removal of face bone lesion,,30,1,1,"$6,567.71 ",$0.00,1,0,1,20061001
21031,CPT,"Remove exostosis, mandible",,30,1,1,"$6,567.71 ",$0.00,1,0,1,20061001
21032,CPT,"Remove exostosis, maxilla",,30,1,1,"$6,567.71 ",$0.00,1,0,1,20061001
21034,CPT,Removal of face bone lesion,,30,1,1,"$10,471.26 ",$0.00,1,0,1,20061001
21040,CPT,Removal of jaw bone lesion,,30,1,1,"$6,567.71 ",$0.00,1,0,1,20061001
21044,CPT,Removal of jaw bone lesion,,30,1,1,"$10,471.26 ",$0.00,1,0,1,20061001
21046,CPT,Remove mandible cyst complex,,30,1,1,"$10,471.26 ",$0.00,1,0,1,20061001
21047,CPT,Excise lwr jaw cyst w/repair,,30,1,1,"$10,471.26 ",$0.00,1,0,1,20061001
21048,CPT,Remove maxilla cyst complex,,30,1,1,"$10,471.26 ",$0.00,1,0,1,20061001
21049,CPT,Excis uppr jaw cyst w/repair,,30,1,1,"$10,471.26 ",$0.00,1,0,1,20061001
21050,CPT,Removal of jaw joint,,30,1,1,"$10,471.26 ",$0.00,1,0,1,20061001
21060,CPT,Remove jaw joint cartilage,,30,1,1,"$10,471.26 ",$0.00,1,0,1,20061001
21070,CPT,Remove coronoid process,,30,1,1,"$10,471.26 ",$0.00,1,0,1,20061001
21076,CPT,Prepare face/oral prosthesis,,30,1,1,"$6,567.71 ",$0.00,1,0,1,20061001
21077,CPT,Prepare face/oral prosthesis,,30,1,1,"$10,471.26 ",$0.00,1,0,1,20061001
21079,CPT,Prepare face/oral prosthesis,,30,1,1,"$10,471.26 ",$0.00,1,0,1,20061001
21080,CPT,Prepare face/oral prosthesis,,30,1,1,"$10,471.26 ",$0.00,1,0,1,20061001
21081,CPT,Prepare face/oral prosthesis,,30,1,1,"$10,471.26 ",$0.00,1,0,1,20061001
21082,CPT,Prepare face/oral prosthesis,,30,1,1,"$10,471.26 ",$0.00,1,0,1,20061001
21083,CPT,Prepare face/oral prosthesis,,30,1,1,"$10,471.26 ",$0.00,1,0,1,20061001
21084,CPT,Prepare face/oral prosthesis,,30,1,1,"$10,471.26 ",$0.00,1,0,1,20061001
21085,CPT,Prepare face/oral prosthesis,,30,1,1,"$4,583.99 ",$0.00,1,0,1,20061001
21086,CPT,Prepare face/oral prosthesis,,30,1,1,"$10,471.26 ",$0.00,1,0,1,20061001
21087,CPT,Prepare face/oral prosthesis,,30,1,1,"$10,471.26 ",$0.00,1,0,1,20061001
21088,CPT,Prepare face/oral prosthesis,,30,1,1,"$10,471.26 ",$0.00,1,0,1,20061001
21089,CPT,Prepare face/oral prosthesis,,30,1,1,"$4,583.99 ",$0.00,1,0,1,20061001
21100,CPT,Maxillofacial fixation,,30,1,1,"$10,471.26 ",$0.00,1,0,1,20061001
21110,CPT,Interdental fixation,,30,1,1,"$1,939.63 ",$0.00,1,0,1,20061001
21120,CPT,Reconstruction of chin,,30,1,1,"$6,567.71 ",$0.00,1,0,1,20061001
21121,CPT,Reconstruction of chin,,30,1,1,"$6,567.71 ",$0.00,1,0,1,20061001
21122,CPT,Reconstruction of chin,,30,1,1,"$6,567.71 ",$0.00,1,0,1,20061001
21123,CPT,Reconstruction of chin,,30,1,1,"$6,567.71 ",$0.00,1,0,1,20061001
21125,CPT,"Augmentation, lower jaw bone",,30,1,1,"$6,567.71 ",$0.00,1,0,1,20061001
21127,CPT,"Augmentation, lower jaw bone",,30,1,1,"$10,471.26 ",$0.00,1,0,1,20061001
21137,CPT,Reduction of forehead,,30,1,1,"$6,567.71 ",$0.00,1,0,1,20061001
21138,CPT,Reduction of forehead,,30,1,1,"$10,471.26 ",$0.00,1,0,1,20061001
21139,CPT,Reduction of forehead,,30,1,1,"$10,471.26 ",$0.00,1,0,1,20061001
21181,CPT,Contour cranial bone lesion,,30,1,1,"$6,567.71 ",$0.00,1,0,1,20061001
21198,CPT,Reconstr lwr jaw segment,,30,1,1,"$10,471.26 ",$0.00,1,0,1,20061001
21199,CPT,Reconstr lwr jaw w/advance,,30,1,1,"$10,471.26 ",$0.00,1,0,1,20061001
21206,CPT,Reconstruct upper jaw bone,,30,1,1,"$10,471.26 ",$0.00,1,0,1,20061001
21208,CPT,Augmentation of facial bones,,30,1,1,"$10,471.26 ",$0.00,1,0,1,20061001
21209,CPT,Reduction of facial bones,,30,1,1,"$10,471.26 ",$0.00,1,0,1,20061001
21210,CPT,Face bone graft,,30,1,1,"$10,471.26 ",$0.00,1,0,1,20061001
21215,CPT,Lower jaw bone graft,,30,1,1,"$10,471.26 ",$0.00,1,0,1,20061001
21230,CPT,Rib cartilage graft,,30,1,1,"$10,471.26 ",$0.00,1,0,1,20061001
21235,CPT,Ear cartilage graft,,30,1,1,"$6,567.71 ",$0.00,1,0,1,20061001
21240,CPT,Reconstruction of jaw joint,,30,1,1,"$10,471.26 ",$0.00,1,0,1,20061001
21242,CPT,Reconstruction of jaw joint,,30,1,1,"$10,471.26 ",$0.00,1,0,1,20061001
21243,CPT,Reconstruction of jaw joint,,30,1,1,"$10,471.26 ",$0.00,1,0,1,20061001
21244,CPT,Reconstruction of lower jaw,,30,1,1,"$10,471.26 ",$0.00,1,0,1,20061001
21245,CPT,Reconstruction of jaw,,30,1,1,"$10,471.26 ",$0.00,1,0,1,20061001
21246,CPT,Reconstruction of jaw,,30,1,1,"$10,471.26 ",$0.00,1,0,1,20061001
21248,CPT,Reconstruction of jaw,,30,1,1,"$10,471.26 ",$0.00,1,0,1,20061001
21249,CPT,Reconstruction of jaw,,30,1,1,"$10,471.26 ",$0.00,1,0,1,20061001
21260,CPT,Revise eye sockets,,30,1,1,"$10,471.26 ",$0.00,1,0,1,20061001
21261,CPT,Revise eye sockets,,30,1,1,"$10,471.26 ",$0.00,1,0,1,20061001
21263,CPT,Revise eye sockets,,30,1,1,"$10,471.26 ",$0.00,1,0,1,20061001
21267,CPT,Revise eye sockets,,30,1,1,"$10,471.26 ",$0.00,1,0,1,20061001
21270,CPT,"Augmentation, cheek bone",,30,1,1,"$10,471.26 ",$0.00,1,0,1,20061001
21275,CPT,"Revision, orbitofacial bones",,30,1,1,"$10,471.26 ",$0.00,1,0,1,20061001
21280,CPT,Revision of eyelid,,30,1,1,"$10,471.26 ",$0.00,1,0,1,20061001
21282,CPT,Revision of eyelid,,30,1,1,"$4,583.99 ",$0.00,1,0,1,20061001
21295,CPT,Revision of jaw muscle/bone,,30,1,1,"$1,939.63 ",$0.00,1,0,1,20061001
21296,CPT,Revision of jaw muscle/bone,,30,1,1,"$6,567.71 ",$0.00,1,0,1,20061001
21299,CPT,Cranio/maxillofacial surgery,,30,1,1,"$4,583.99 ",$0.00,1,0,1,20061001
21300,CPT,Treatment of skull fracture,,30,1,1,"$4,583.99 ",$0.00,1,0,1,20061001
21310,CPT,Treatment of nose fracture,,30,1,1,$190.09 ,$0.00,1,0,1,20061001
21315,CPT,Treatment of nose fracture,,30,1,1,$190.09 ,$0.00,1,0,1,20061001
21320,CPT,Treatment of nose fracture,,30,1,1,$190.09 ,$0.00,1,0,1,20061001
21325,CPT,Treatment of nose fracture,,30,1,1,"$6,567.71 ",$0.00,1,0,1,20061001
21330,CPT,Treatment of nose fracture,,30,1,1,"$6,567.71 ",$0.00,1,0,1,20061001
21335,CPT,Treatment of nose fracture,,30,1,1,"$6,567.71 ",$0.00,1,0,1,20061001
21336,CPT,Treat nasal septal fracture,,30,1,1,"$9,739.06 ",$0.00,1,0,1,20061001
21337,CPT,Treat nasal septal fracture,,30,1,1,"$4,583.99 ",$0.00,1,0,1,20061001
21338,CPT,Treat nasoethmoid fracture,,30,1,1,"$6,567.71 ",$0.00,1,0,1,20061001
21339,CPT,Treat nasoethmoid fracture,,30,1,1,"$6,567.71 ",$0.00,1,0,1,20061001
21340,CPT,Treatment of nose fracture,,30,1,1,"$10,471.26 ",$0.00,1,0,1,20061001
21345,CPT,Treat nose/jaw fracture,,30,1,1,"$6,567.71 ",$0.00,1,0,1,20061001
21355,CPT,Treat cheek bone fracture,,30,1,1,"$10,471.26 ",$0.00,1,0,1,20061001
21356,CPT,Treat cheek bone fracture,,30,1,1,"$11,444.61 ",$0.00,1,0,1,20061001
21390,CPT,Treat eye socket fracture,,30,1,1,"$10,471.26 ",$0.00,1,0,1,20061001
21400,CPT,Treat eye socket fracture,,30,1,1,"$1,939.63 ",$0.00,1,0,1,20061001
21401,CPT,Treat eye socket fracture,,30,1,1,"$4,583.99 ",$0.00,1,0,1,20061001
21406,CPT,Treat eye socket fracture,,30,1,1,"$10,471.26 ",$0.00,1,0,1,20061001
21407,CPT,Treat eye socket fracture,,30,1,1,"$10,471.26 ",$0.00,1,0,1,20061001
21421,CPT,Treat mouth roof fracture,,30,1,1,"$6,567.71 ",$0.00,1,0,1,20061001
21440,CPT,Treat dental ridge fracture,,30,1,1,"$6,567.71 ",$0.00,1,0,1,20061001
21445,CPT,Treat dental ridge fracture,,30,1,1,"$6,567.71 ",$0.00,1,0,1,20061001
21450,CPT,Treat lower jaw fracture,,30,1,1,$538.65 ,$0.00,1,0,1,20061001
21451,CPT,Treat lower jaw fracture,,30,1,1,"$1,939.63 ",$0.00,1,0,1,20061001
21452,CPT,Treat lower jaw fracture,,30,1,1,"$4,583.99 ",$0.00,1,0,1,20061001
21453,CPT,Treat lower jaw fracture,,30,1,1,"$10,471.26 ",$0.00,1,0,1,20061001
21454,CPT,Treat lower jaw fracture,,30,1,1,"$6,567.71 ",$0.00,1,0,1,20061001
21461,CPT,Treat lower jaw fracture,,30,1,1,"$10,471.26 ",$0.00,1,0,1,20061001
21462,CPT,Treat lower jaw fracture,,30,1,1,"$10,471.26 ",$0.00,1,0,1,20061001
21465,CPT,Treat lower jaw fracture,,30,1,1,"$10,471.26 ",$0.00,1,0,1,20061001
21470,CPT,Treat lower jaw fracture,,30,1,1,"$10,471.26 ",$0.00,1,0,1,20061001
21480,CPT,Reset dislocated jaw,,30,1,1,$538.65 ,$0.00,1,0,1,20061001
21485,CPT,Reset dislocated jaw,,30,1,1,"$4,583.99 ",$0.00,1,0,1,20061001
21490,CPT,Repair dislocated jaw,,30,1,1,"$10,471.26 ",$0.00,1,0,1,20061001
21497,CPT,Interdental wiring,,30,1,1,"$4,583.99 ",$0.00,1,0,1,20061001
21499,CPT,Head surgery procedure,,30,1,1,"$4,583.99 ",$0.00,1,0,1,20061001
21501,CPT,Drain neck/chest lesion,,30,1,1,"$5,869.10 ",$0.00,1,0,1,20061001
21502,CPT,Drain chest lesion,,30,1,1,"$5,897.28 ",$0.00,1,0,1,20061001
21550,CPT,Biopsy of neck/chest,,30,1,1,"$4,293.64 ",$0.00,1,0,1,20061001
21555,CPT,"Remove lesion, neck/chest",,30,1,1,"$5,653.51 ",$0.00,1,0,1,20061001
21556,CPT,"Remove lesion, neck/chest",,30,1,1,"$5,653.51 ",$0.00,1,0,1,20061001
21557,CPT,"Remove tumor, neck/chest",,30,1,1,"$1,181.03 ",$0.00,1,0,1,20061001
21600,CPT,Partial removal of rib,,30,1,1,"$7,473.47 ",$0.00,1,0,1,20061001
21610,CPT,Partial removal of rib,,30,1,1,"$7,473.47 ",$0.00,1,0,1,20061001
21685,CPT,Hyoid myotomy & suspension,,30,1,1,"$1,939.63 ",$0.00,1,0,1,20061001
21700,CPT,Revision of neck muscle,,30,1,1,"$5,897.28 ",$0.00,1,0,1,20061001
21720,CPT,Revision of neck muscle,,30,1,1,"$5,897.28 ",$0.00,1,0,1,20061001
21725,CPT,Revision of neck muscle,,30,1,1,$497.85 ,$0.00,1,0,1,20061001
21742,CPT,Repair stern/nuss w/o scope,,30,1,1,"$10,324.87 ",$0.00,1,0,1,20061001
21743,CPT,Repair sternum/nuss w/scope,,30,1,1,"$10,324.87 ",$0.00,1,0,1,20061001
21800,CPT,Treatment of rib fracture,,30,1,1,$574.59 ,$0.00,1,0,1,20061001
21805,CPT,Treatment of rib fracture,,30,1,1,"$9,739.06 ",$0.00,1,0,1,20061001
21820,CPT,Treat sternum fracture,,30,1,1,$574.59 ,$0.00,1,0,1,20061001
21899,CPT,Neck/chest surgery procedure,,30,1,1,"$1,939.63 ",$0.00,1,0,1,20061001
21920,CPT,Biopsy soft tissue of back,,30,1,1,"$2,131.88 ",$0.00,1,0,1,20061001
21925,CPT,Biopsy soft tissue of back,,30,1,1,"$5,653.51 ",$0.00,1,0,1,20061001
21930,CPT,"Remove lesion, back or flank",,30,1,1,"$5,653.51 ",$0.00,1,0,1,20061001
21935,CPT,"Remove tumor, back",,30,1,1,"$5,653.51 ",$0.00,1,0,1,20061001
22100,CPT,Remove part of neck vertebra,,30,1,1,"$12,016.15 ",$0.00,1,0,1,20061001
22101,CPT,"Remove part, thorax vertebra",,30,1,1,"$12,016.15 ",$0.00,1,0,1,20061001
22102,CPT,"Remove part, lumbar vertebra",,30,1,1,"$12,016.15 ",$0.00,1,0,1,20061001
22103,CPT,Remove extra spine segment,,30,1,1,"$12,016.15 ",$0.00,1,0,1,20061001
22222,CPT,Revision of thorax spine,,30,1,1,"$2,595.58 ",$0.00,1,0,1,20061001
22305,CPT,Treat spine process fracture,,30,1,1,$574.59 ,$0.00,1,0,1,20061001
22310,CPT,Treat spine fracture,,30,1,1,$574.59 ,$0.00,1,0,1,20061001
22315,CPT,Treat spine fracture,,30,1,1,$574.59 ,$0.00,1,0,1,20061001
22505,CPT,Manipulation of spine,,30,1,1,"$4,047.77 ",$0.00,1,0,1,20061001
22520,CPT,Percut vertebroplasty thor,,30,1,1,"$7,473.47 ",$0.00,1,0,1,20061001
22521,CPT,Percut vertebroplasty lumb,,30,1,1,"$7,473.47 ",$0.00,1,0,1,20061001
22522,CPT,Percut vertebroplasty add?l,,30,1,1,"$7,473.47 ",$0.00,1,0,1,20061001
22523,CPT,"Percut kyphoplasty, thor",,30,1,1,"$2,773.48 ",$0.00,1,0,1,20061001
22524,CPT,"Percut kyphoplasty, lumbar",,30,1,1,"$2,773.48 ",$0.00,1,0,1,20061001
22525,CPT,"Percut kyphoplasty, add-on",,30,1,1,"$2,773.48 ",$0.00,1,0,1,20061001
22612,CPT,Lumbar spine fusion,,30,1,1,"$12,016.15 ",$0.00,1,0,1,20061001
22614,CPT,"Spine fusion, extra segment",,30,1,1,"$12,016.15 ",$0.00,1,0,1,20061001
22899,CPT,Spine surgery procedure,,30,1,1,$574.59 ,$0.00,1,0,1,20061001
22900,CPT,Remove abdominal wall lesion,,30,1,1,"$5,653.51 ",$0.00,1,0,1,20061001
22999,CPT,Abdomen surgery procedure,,30,1,1,"$5,653.51 ",$0.00,1,0,1,20061001
23000,CPT,Removal of calcium deposits,,30,1,1,"$4,293.64 ",$0.00,1,0,1,20061001
23020,CPT,Release shoulder joint,,30,1,1,"$10,324.87 ",$0.00,1,0,1,20061001
23030,CPT,Drain shoulder lesion,,30,1,1,"$5,869.10 ",$0.00,1,0,1,20061001
23031,CPT,Drain shoulder bursa,,30,1,1,"$5,869.10 ",$0.00,1,0,1,20061001
23035,CPT,Drain shoulder bone lesion,,30,1,1,"$5,897.28 ",$0.00,1,0,1,20061001
23040,CPT,Exploratory shoulder surgery,,30,1,1,"$7,473.47 ",$0.00,1,0,1,20061001
23044,CPT,Exploratory shoulder surgery,,30,1,1,"$7,473.47 ",$0.00,1,0,1,20061001
23065,CPT,Biopsy shoulder tissues,,30,1,1,"$4,293.64 ",$0.00,1,0,1,20061001
23066,CPT,Biopsy shoulder tissues,,30,1,1,"$5,653.51 ",$0.00,1,0,1,20061001
23075,CPT,Removal of shoulder lesion,,30,1,1,"$4,293.64 ",$0.00,1,0,1,20061001
23076,CPT,Removal of shoulder lesion,,30,1,1,"$5,653.51 ",$0.00,1,0,1,20061001
23077,CPT,Remove tumor of shoulder,,30,1,1,"$5,653.51 ",$0.00,1,0,1,20061001
23100,CPT,Biopsy of shoulder joint,,30,1,1,"$5,897.28 ",$0.00,1,0,1,20061001
23101,CPT,Shoulder joint surgery,,30,1,1,"$7,473.47 ",$0.00,1,0,1,20061001
23105,CPT,Remove shoulder joint lining,,30,1,1,"$7,473.47 ",$0.00,1,0,1,20061001
23106,CPT,Incision of collarbone joint,,30,1,1,"$7,473.47 ",$0.00,1,0,1,20061001
23107,CPT,Explore treat shoulder joint,,30,1,1,"$7,473.47 ",$0.00,1,0,1,20061001
23120,CPT,"Partial removal, collar bone",,30,1,1,"$10,324.87 ",$0.00,1,0,1,20061001
23125,CPT,Removal of collar bone,,30,1,1,"$10,324.87 ",$0.00,1,0,1,20061001
23130,CPT,"Remove shoulder bone, part",,30,1,1,"$10,324.87 ",$0.00,1,0,1,20061001
23140,CPT,Removal of bone lesion,,30,1,1,"$5,897.28 ",$0.00,1,0,1,20061001
23145,CPT,Removal of bone lesion,,30,1,1,"$7,473.47 ",$0.00,1,0,1,20061001
23146,CPT,Removal of bone lesion,,30,1,1,"$7,473.47 ",$0.00,1,0,1,20061001
23150,CPT,Removal of humerus lesion,,30,1,1,"$7,473.47 ",$0.00,1,0,1,20061001
23155,CPT,Removal of humerus lesion,,30,1,1,"$7,473.47 ",$0.00,1,0,1,20061001
23156,CPT,Removal of humerus lesion,,30,1,1,"$7,473.47 ",$0.00,1,0,1,20061001
23170,CPT,Remove collar bone lesion,,30,1,1,"$7,473.47 ",$0.00,1,0,1,20061001
23172,CPT,Remove shoulder blade lesion,,30,1,1,"$7,473.47 ",$0.00,1,0,1,20061001
23174,CPT,Remove humerus lesion,,30,1,1,"$7,473.47 ",$0.00,1,0,1,20061001
23180,CPT,Remove collar bone lesion,,30,1,1,"$7,473.47 ",$0.00,1,0,1,20061001
23182,CPT,Remove shoulder blade lesion,,30,1,1,"$7,473.47 ",$0.00,1,0,1,20061001
23184,CPT,Remove humerus lesion,,30,1,1,"$7,473.47 ",$0.00,1,0,1,20061001
23190,CPT,Partial removal of scapula,,30,1,1,"$7,473.47 ",$0.00,1,0,1,20061001
23195,CPT,Removal of head of humerus,,30,1,1,"$7,473.47 ",$0.00,1,0,1,20061001
23330,CPT,Remove shoulder foreign body,,30,1,1,"$2,131.88 ",$0.00,1,0,1,20061001
23331,CPT,Remove shoulder foreign body,,30,1,1,"$5,653.51 ",$0.00,1,0,1,20061001
23395,CPT,"Muscle transfer,shoulder/arm",,30,1,1,"$10,324.87 ",$0.00,1,0,1,20061001
23397,CPT,Muscle transfers,,30,1,1,"$12,517.27 ",$0.00,1,0,1,20061001
23400,CPT,Fixation of shoulder blade,,30,1,1,"$7,473.47 ",$0.00,1,0,1,20061001
23405,CPT,Incision of tendon & muscle,,30,1,1,"$7,473.47 ",$0.00,1,0,1,20061001
23406,CPT,Incise tendon(s) & muscle(s),,30,1,1,"$7,473.47 ",$0.00,1,0,1,20061001
23410,CPT,Repair of tendon(s),,30,1,1,"$12,517.27 ",$0.00,1,0,1,20061001
23412,CPT,"Repair rotator cuff, chronic",,30,1,1,"$12,517.27 ",$0.00,1,0,1,20061001
23415,CPT,Release of shoulder ligament,,30,1,1,"$10,324.87 ",$0.00,1,0,1,20061001
23420,CPT,Repair of shoulder,,30,1,1,"$12,517.27 ",$0.00,1,0,1,20061001
23430,CPT,Repair biceps tendon,,30,1,1,"$12,517.27 ",$0.00,1,0,1,20061001
23440,CPT,Remove/transplant tendon,,30,1,1,"$12,517.27 ",$0.00,1,0,1,20061001
23450,CPT,Repair shoulder capsule,,30,1,1,"$12,517.27 ",$0.00,1,0,1,20061001
23455,CPT,Repair shoulder capsule,,30,1,1,"$12,517.27 ",$0.00,1,0,1,20061001
23460,CPT,Repair shoulder capsule,,30,1,1,"$12,517.27 ",$0.00,1,0,1,20061001
23462,CPT,Repair shoulder capsule,,30,1,1,"$12,517.27 ",$0.00,1,0,1,20061001
23465,CPT,Repair shoulder capsule,,30,1,1,"$12,517.27 ",$0.00,1,0,1,20061001
23466,CPT,Repair shoulder capsule,,30,1,1,"$12,517.27 ",$0.00,1,0,1,20061001
23470,CPT,Reconstruct shoulder joint,,30,1,1,"$15,450.10 ",$0.00,1,0,1,20061001
23480,CPT,Revision of collar bone,,30,1,1,"$10,324.87 ",$0.00,1,0,1,20061001
23485,CPT,Revision of collar bone,,30,1,1,"$10,324.87 ",$0.00,1,0,1,20061001
23490,CPT,Reinforce clavicle,,30,1,1,"$10,324.87 ",$0.00,1,0,1,20061001
23491,CPT,Reinforce shoulder bones,,30,1,1,"$10,324.87 ",$0.00,1,0,1,20061001
23500,CPT,Treat clavicle fracture,,30,1,1,$574.59 ,$0.00,1,0,1,20061001
23505,CPT,Treat clavicle fracture,,30,1,1,$574.59 ,$0.00,1,0,1,20061001
23515,CPT,Treat clavicle fracture,,30,1,1,"$9,739.06 ",$0.00,1,0,1,20061001
23520,CPT,Treat clavicle dislocation,,30,1,1,$574.59 ,$0.00,1,0,1,20061001
23525,CPT,Treat clavicle dislocation,,30,1,1,$574.59 ,$0.00,1,0,1,20061001
23530,CPT,Treat clavicle dislocation,,30,1,1,"$9,739.06 ",$0.00,1,0,1,20061001
23532,CPT,Treat clavicle dislocation,,30,1,1,"$9,739.06 ",$0.00,1,0,1,20061001
23540,CPT,Treat clavicle dislocation,,30,1,1,$574.59 ,$0.00,1,0,1,20061001
23545,CPT,Treat clavicle dislocation,,30,1,1,$574.59 ,$0.00,1,0,1,20061001
23550,CPT,Treat clavicle dislocation,,30,1,1,"$9,739.06 ",$0.00,1,0,1,20061001
23552,CPT,Treat clavicle dislocation,,30,1,1,"$9,739.06 ",$0.00,1,0,1,20061001
23570,CPT,Treat shoulder blade fx,,30,1,1,$574.59 ,$0.00,1,0,1,20061001
23575,CPT,Treat shoulder blade fx,,30,1,1,$574.59 ,$0.00,1,0,1,20061001
23585,CPT,Treat scapula fracture,,30,1,1,"$9,739.06 ",$0.00,1,0,1,20061001
23600,CPT,Treat humerus fracture,,30,1,1,$574.59 ,$0.00,1,0,1,20061001
23605,CPT,Treat humerus fracture,,30,1,1,$574.59 ,$0.00,1,0,1,20061001
23615,CPT,Treat humerus fracture,,30,1,1,"$9,739.06 ",$0.00,1,0,1,20061001
23616,CPT,Treat humerus fracture,,30,1,1,"$9,739.06 ",$0.00,1,0,1,20061001
23620,CPT,Treat humerus fracture,,30,1,1,$574.59 ,$0.00,1,0,1,20061001
23625,CPT,Treat humerus fracture,,30,1,1,$574.59 ,$0.00,1,0,1,20061001
23630,CPT,Treat humerus fracture,,30,1,1,"$9,739.06 ",$0.00,1,0,1,20061001
23650,CPT,Treat shoulder dislocation,,30,1,1,$574.59 ,$0.00,1,0,1,20061001
23655,CPT,Treat shoulder dislocation,,30,1,1,"$4,047.77 ",$0.00,1,0,1,20061001
23660,CPT,Treat shoulder dislocation,,30,1,1,"$9,739.06 ",$0.00,1,0,1,20061001
23665,CPT,Treat dislocation/fracture,,30,1,1,$574.59 ,$0.00,1,0,1,20061001
23670,CPT,Treat dislocation/fracture,,30,1,1,"$9,739.06 ",$0.00,1,0,1,20061001
23675,CPT,Treat dislocation/fracture,,30,1,1,$574.59 ,$0.00,1,0,1,20061001
23680,CPT,Treat dislocation/fracture,,30,1,1,"$9,739.06 ",$0.00,1,0,1,20061001
23700,CPT,Fixation of shoulder,,30,1,1,"$4,047.77 ",$0.00,1,0,1,20061001
23800,CPT,Fusion of shoulder joint,,30,1,1,"$10,324.87 ",$0.00,1,0,1,20061001
23802,CPT,Fusion of shoulder joint,,30,1,1,"$10,324.87 ",$0.00,1,0,1,20061001
23921,CPT,Amputation follow-up surgery,,30,1,1,"$1,558.31 ",$0.00,1,0,1,20061001
23929,CPT,Shoulder surgery procedure,,30,1,1,$574.59 ,$0.00,1,0,1,20061001
23930,CPT,Drainage of arm lesion,,30,1,1,"$5,869.10 ",$0.00,1,0,1,20061001
23931,CPT,Drainage of arm bursa,,30,1,1,"$3,544.83 ",$0.00,1,0,1,20061001
23935,CPT,Drain arm/elbow bone lesion,,30,1,1,"$5,897.28 ",$0.00,1,0,1,20061001
24000,CPT,Exploratory elbow surgery,,30,1,1,"$7,473.47 ",$0.00,1,0,1,20061001
24006,CPT,Release elbow joint,,30,1,1,"$7,473.47 ",$0.00,1,0,1,20061001
24065,CPT,Biopsy arm/elbow soft tissue,,30,1,1,"$4,293.64 ",$0.00,1,0,1,20061001
24066,CPT,Biopsy arm/elbow soft tissue,,30,1,1,"$4,293.64 ",$0.00,1,0,1,20061001
24075,CPT,Remove arm/elbow lesion,,30,1,1,"$4,293.64 ",$0.00,1,0,1,20061001
24076,CPT,Remove arm/elbow lesion,,30,1,1,"$5,653.51 ",$0.00,1,0,1,20061001
24077,CPT,Remove tumor of arm/elbow,,30,1,1,"$5,653.51 ",$0.00,1,0,1,20061001
24100,CPT,Biopsy elbow joint lining,,30,1,1,"$5,897.28 ",$0.00,1,0,1,20061001
24101,CPT,Explore/treat elbow joint,,30,1,1,"$7,473.47 ",$0.00,1,0,1,20061001
24102,CPT,Remove elbow joint lining,,30,1,1,"$7,473.47 ",$0.00,1,0,1,20061001
24105,CPT,Removal of elbow bursa,,30,1,1,"$5,897.28 ",$0.00,1,0,1,20061001
24110,CPT,Remove humerus lesion,,30,1,1,"$5,897.28 ",$0.00,1,0,1,20061001
24115,CPT,Remove/graft bone lesion,,30,1,1,"$7,473.47 ",$0.00,1,0,1,20061001
24116,CPT,Remove/graft bone lesion,,30,1,1,"$7,473.47 ",$0.00,1,0,1,20061001
24120,CPT,Remove elbow lesion,,30,1,1,"$5,897.28 ",$0.00,1,0,1,20061001
24125,CPT,Remove/graft bone lesion,,30,1,1,"$7,473.47 ",$0.00,1,0,1,20061001
24126,CPT,Remove/graft bone lesion,,30,1,1,"$7,473.47 ",$0.00,1,0,1,20061001
24130,CPT,Removal of head of radius,,30,1,1,"$7,473.47 ",$0.00,1,0,1,20061001
24134,CPT,Removal of arm bone lesion,,30,1,1,"$7,473.47 ",$0.00,1,0,1,20061001
24136,CPT,Remove radius bone lesion,,30,1,1,"$7,473.47 ",$0.00,1,0,1,20061001
24138,CPT,Remove elbow bone lesion,,30,1,1,"$7,473.47 ",$0.00,1,0,1,20061001
24140,CPT,Partial removal of arm bone,,30,1,1,"$7,473.47 ",$0.00,1,0,1,20061001
24145,CPT,Partial removal of radius,,30,1,1,"$7,473.47 ",$0.00,1,0,1,20061001
24147,CPT,Partial removal of elbow,,30,1,1,"$7,473.47 ",$0.00,1,0,1,20061001
24149,CPT,Radical resection of elbow,,30,1,1,"$1,499.92 ",$0.00,1,0,1,20061001
24150,CPT,Extensive humerus surgery,,30,1,1,"$12,517.27 ",$0.00,1,0,1,20061001
24151,CPT,Extensive humerus surgery,,30,1,1,"$12,517.27 ",$0.00,1,0,1,20061001
24152,CPT,Extensive radius surgery,,30,1,1,"$12,517.27 ",$0.00,1,0,1,20061001
24153,CPT,Extensive radius surgery,,30,1,1,"$12,517.27 ",$0.00,1,0,1,20061001
24155,CPT,Removal of elbow joint,,30,1,1,"$10,324.87 ",$0.00,1,0,1,20061001
24160,CPT,Remove elbow joint implant,,30,1,1,"$7,473.47 ",$0.00,1,0,1,20061001
24164,CPT,Remove radius head implant,,30,1,1,"$7,473.47 ",$0.00,1,0,1,20061001
24200,CPT,Removal of arm foreign body,,30,1,1,"$1,188.20 ",$0.00,1,0,1,20061001
24201,CPT,Removal of arm foreign body,,30,1,1,"$4,293.64 ",$0.00,1,0,1,20061001
24300,CPT,Manipulate elbow w/anesth,,30,1,1,"$4,047.77 ",$0.00,1,0,1,20061001
24301,CPT,Muscle/tendon transfer,,30,1,1,"$7,473.47 ",$0.00,1,0,1,20061001
24305,CPT,Arm tendon lengthening,,30,1,1,"$7,473.47 ",$0.00,1,0,1,20061001
24310,CPT,Revision of arm tendon,,30,1,1,"$5,897.28 ",$0.00,1,0,1,20061001
24320,CPT,Repair of arm tendon,,30,1,1,"$10,324.87 ",$0.00,1,0,1,20061001
24330,CPT,Revision of arm muscles,,30,1,1,"$10,324.87 ",$0.00,1,0,1,20061001
24331,CPT,Revision of arm muscles,,30,1,1,"$10,324.87 ",$0.00,1,0,1,20061001
24332,CPT,"Tenolysis, triceps",,30,1,1,"$5,897.28 ",$0.00,1,0,1,20061001
24340,CPT,Repair of biceps tendon,,30,1,1,"$10,324.87 ",$0.00,1,0,1,20061001
24341,CPT,Repair arm tendon/muscle,,30,1,1,"$10,324.87 ",$0.00,1,0,1,20061001
24342,CPT,Repair of ruptured tendon,,30,1,1,"$10,324.87 ",$0.00,1,0,1,20061001
24343,CPT,Repr elbow lat ligmnt w/tiss,,30,1,1,"$7,473.47 ",$0.00,1,0,1,20061001
24344,CPT,Reconstruct elbow lat ligmnt,,30,1,1,"$10,324.87 ",$0.00,1,0,1,20061001
24345,CPT,Repr elbw med ligmnt w/tissu,,30,1,1,"$7,473.47 ",$0.00,1,0,1,20061001
24346,CPT,Reconstruct elbow med ligmnt,,30,1,1,"$10,324.87 ",$0.00,1,0,1,20061001
24350,CPT,Repair of tennis elbow,,30,1,1,"$7,473.47 ",$0.00,1,0,1,20061001
24351,CPT,Repair of tennis elbow,,30,1,1,"$7,473.47 ",$0.00,1,0,1,20061001
24352,CPT,Repair of tennis elbow,,30,1,1,"$7,473.47 ",$0.00,1,0,1,20061001
24354,CPT,Repair of tennis elbow,,30,1,1,"$7,473.47 ",$0.00,1,0,1,20061001
24356,CPT,Revision of tennis elbow,,30,1,1,"$7,473.47 ",$0.00,1,0,1,20061001
24360,CPT,Reconstruct elbow joint,,30,1,1,"$9,010.40 ",$0.00,1,0,1,20061001
24361,CPT,Reconstruct elbow joint,,30,1,1,"$15,450.10 ",$0.00,1,0,1,20061001
24362,CPT,Reconstruct elbow joint,,30,1,1,"$15,450.10 ",$0.00,1,0,1,20061001
24363,CPT,Replace elbow joint,,30,1,1,"$15,450.10 ",$0.00,1,0,1,20061001
24365,CPT,Reconstruct head of radius,,30,1,1,"$9,010.40 ",$0.00,1,0,1,20061001
24366,CPT,Reconstruct head of radius,,30,1,1,"$15,450.10 ",$0.00,1,0,1,20061001
24400,CPT,Revision of humerus,,30,1,1,"$7,473.47 ",$0.00,1,0,1,20061001
24410,CPT,Revision of humerus,,30,1,1,"$7,473.47 ",$0.00,1,0,1,20061001
24420,CPT,Revision of humerus,,30,1,1,"$10,324.87 ",$0.00,1,0,1,20061001
24430,CPT,Repair of humerus,,30,1,1,"$10,324.87 ",$0.00,1,0,1,20061001
24435,CPT,Repair humerus with graft,,30,1,1,"$10,324.87 ",$0.00,1,0,1,20061001
24470,CPT,Revision of elbow joint,,30,1,1,"$10,324.87 ",$0.00,1,0,1,20061001
24495,CPT,Decompression of forearm,,30,1,1,"$7,473.47 ",$0.00,1,0,1,20061001
24498,CPT,Reinforce humerus,,30,1,1,"$10,324.87 ",$0.00,1,0,1,20061001
24500,CPT,Treat humerus fracture,,30,1,1,$574.59 ,$0.00,1,0,1,20061001
24505,CPT,Treat humerus fracture,,30,1,1,$574.59 ,$0.00,1,0,1,20061001
24515,CPT,Treat humerus fracture,,30,1,1,"$9,739.06 ",$0.00,1,0,1,20061001
24516,CPT,Treat humerus fracture,,30,1,1,"$9,739.06 ",$0.00,1,0,1,20061001
24530,CPT,Treat humerus fracture,,30,1,1,$574.59 ,$0.00,1,0,1,20061001
24535,CPT,Treat humerus fracture,,30,1,1,$574.59 ,$0.00,1,0,1,20061001
24538,CPT,Treat humerus fracture,,30,1,1,"$9,739.06 ",$0.00,1,0,1,20061001
24545,CPT,Treat humerus fracture,,30,1,1,"$9,739.06 ",$0.00,1,0,1,20061001
24546,CPT,Treat humerus fracture,,30,1,1,"$9,739.06 ",$0.00,1,0,1,20061001
24560,CPT,Treat humerus fracture,,30,1,1,$574.59 ,$0.00,1,0,1,20061001
24565,CPT,Treat humerus fracture,,30,1,1,$574.59 ,$0.00,1,0,1,20061001
24566,CPT,Treat humerus fracture,,30,1,1,"$9,739.06 ",$0.00,1,0,1,20061001
24575,CPT,Treat humerus fracture,,30,1,1,"$9,739.06 ",$0.00,1,0,1,20061001
24576,CPT,Treat humerus fracture,,30,1,1,$574.59 ,$0.00,1,0,1,20061001
24577,CPT,Treat humerus fracture,,30,1,1,$574.59 ,$0.00,1,0,1,20061001
24579,CPT,Treat humerus fracture,,30,1,1,"$9,739.06 ",$0.00,1,0,1,20061001
24582,CPT,Treat humerus fracture,,30,1,1,"$9,739.06 ",$0.00,1,0,1,20061001
24586,CPT,Treat elbow fracture,,30,1,1,"$9,739.06 ",$0.00,1,0,1,20061001
24587,CPT,Treat elbow fracture,,30,1,1,"$9,739.06 ",$0.00,1,0,1,20061001
24600,CPT,Treat elbow dislocation,,30,1,1,$574.59 ,$0.00,1,0,1,20061001
24605,CPT,Treat elbow dislocation,,30,1,1,"$4,047.77 ",$0.00,1,0,1,20061001
24615,CPT,Treat elbow dislocation,,30,1,1,"$9,739.06 ",$0.00,1,0,1,20061001
24620,CPT,Treat elbow fracture,,30,1,1,$574.59 ,$0.00,1,0,1,20061001
24635,CPT,Treat elbow fracture,,30,1,1,"$9,739.06 ",$0.00,1,0,1,20061001
24640,CPT,Treat elbow dislocation,,30,1,1,$574.59 ,$0.00,1,0,1,20061001
24650,CPT,Treat radius fracture,,30,1,1,$574.59 ,$0.00,1,0,1,20061001
24655,CPT,Treat radius fracture,,30,1,1,$574.59 ,$0.00,1,0,1,20061001
24665,CPT,Treat radius fracture,,30,1,1,"$9,739.06 ",$0.00,1,0,1,20061001
24666,CPT,Treat radius fracture,,30,1,1,"$9,739.06 ",$0.00,1,0,1,20061001
24670,CPT,Treat ulnar fracture,,30,1,1,$574.59 ,$0.00,1,0,1,20061001
24675,CPT,Treat ulnar fracture,,30,1,1,$574.59 ,$0.00,1,0,1,20061001
24685,CPT,Treat ulnar fracture,,30,1,1,"$9,739.06 ",$0.00,1,0,1,20061001
24800,CPT,Fusion of elbow joint,,30,1,1,"$10,324.87 ",$0.00,1,0,1,20061001
24802,CPT,Fusion/graft of elbow joint,,30,1,1,"$10,324.87 ",$0.00,1,0,1,20061001
24925,CPT,Amputation follow-up surgery,,30,1,1,"$5,897.28 ",$0.00,1,0,1,20061001
24935,CPT,Revision of amputation,,30,1,1,"$12,517.27 ",$0.00,1,0,1,20061001
24999,CPT,Upper arm/elbow surgery,,30,1,1,$574.59 ,$0.00,1,0,1,20061001
25000,CPT,Incision of tendon sheath,,30,1,1,"$5,897.28 ",$0.00,1,0,1,20061001
25001,CPT,Incise flexor carpi radialis,,30,1,1,"$5,897.28 ",$0.00,1,0,1,20061001
25020,CPT,Decompress forearm 1 space,,30,1,1,"$5,897.28 ",$0.00,1,0,1,20061001
25023,CPT,Decompress forearm 1 space,,30,1,1,"$7,473.47 ",$0.00,1,0,1,20061001
25024,CPT,Decompress forearm 2 spaces,,30,1,1,"$7,473.47 ",$0.00,1,0,1,20061001
25025,CPT,Decompress forearm 2 spaces,,30,1,1,"$7,473.47 ",$0.00,1,0,1,20061001
25028,CPT,Drainage of forearm lesion,,30,1,1,"$5,897.28 ",$0.00,1,0,1,20061001
25031,CPT,Drainage of forearm bursa,,30,1,1,"$5,897.28 ",$0.00,1,0,1,20061001
25035,CPT,Treat forearm bone lesion,,30,1,1,"$5,897.28 ",$0.00,1,0,1,20061001
25040,CPT,Explore/treat wrist joint,,30,1,1,"$7,473.47 ",$0.00,1,0,1,20061001
25065,CPT,Biopsy forearm soft tissues,,30,1,1,"$4,293.64 ",$0.00,1,0,1,20061001
25066,CPT,Biopsy forearm soft tissues,,30,1,1,"$5,653.51 ",$0.00,1,0,1,20061001
25075,CPT,Removel forearm lesion subcu,,30,1,1,"$4,293.64 ",$0.00,1,0,1,20061001
25076,CPT,Removel forearm lesion deep,,30,1,1,"$5,653.51 ",$0.00,1,0,1,20061001
25077,CPT,"Remove tumor, forearm/wrist",,30,1,1,"$5,653.51 ",$0.00,1,0,1,20061001
25085,CPT,Incision of wrist capsule,,30,1,1,"$5,897.28 ",$0.00,1,0,1,20061001
25100,CPT,Biopsy of wrist joint,,30,1,1,"$5,897.28 ",$0.00,1,0,1,20061001
25101,CPT,Explore/treat wrist joint,,30,1,1,"$7,473.47 ",$0.00,1,0,1,20061001
25105,CPT,Remove wrist joint lining,,30,1,1,"$7,473.47 ",$0.00,1,0,1,20061001
25107,CPT,Remove wrist joint cartilage,,30,1,1,"$7,473.47 ",$0.00,1,0,1,20061001
25110,CPT,Remove wrist tendon lesion,,30,1,1,"$5,897.28 ",$0.00,1,0,1,20061001
25111,CPT,Remove wrist tendon lesion,,30,1,1,"$4,477.45 ",$0.00,1,0,1,20061001
25112,CPT,Reremove wrist tendon lesion,,30,1,1,"$4,477.45 ",$0.00,1,0,1,20061001
25115,CPT,Remove wrist/forearm lesion,,30,1,1,"$5,897.28 ",$0.00,1,0,1,20061001
25116,CPT,Remove wrist/forearm lesion,,30,1,1,"$5,897.28 ",$0.00,1,0,1,20061001
25118,CPT,Excise wrist tendon sheath,,30,1,1,"$7,473.47 ",$0.00,1,0,1,20061001
25119,CPT,Partial removal of ulna,,30,1,1,"$7,473.47 ",$0.00,1,0,1,20061001
25120,CPT,Removal of forearm lesion,,30,1,1,"$7,473.47 ",$0.00,1,0,1,20061001
25125,CPT,Remove/graft forearm lesion,,30,1,1,"$7,473.47 ",$0.00,1,0,1,20061001
25126,CPT,Remove/graft forearm lesion,,30,1,1,"$7,473.47 ",$0.00,1,0,1,20061001
25130,CPT,Removal of wrist lesion,,30,1,1,"$7,473.47 ",$0.00,1,0,1,20061001
25135,CPT,Remove & graft wrist lesion,,30,1,1,"$7,473.47 ",$0.00,1,0,1,20061001
25136,CPT,Remove & graft wrist lesion,,30,1,1,"$7,473.47 ",$0.00,1,0,1,20061001
25145,CPT,Remove forearm bone lesion,,30,1,1,"$7,473.47 ",$0.00,1,0,1,20061001
25150,CPT,Partial removal of ulna,,30,1,1,"$7,473.47 ",$0.00,1,0,1,20061001
25151,CPT,Partial removal of radius,,30,1,1,"$7,473.47 ",$0.00,1,0,1,20061001
25170,CPT,Extensive forearm surgery,,30,1,1,"$12,517.27 ",$0.00,1,0,1,20061001
25210,CPT,Removal of wrist bone,,30,1,1,"$7,265.79 ",$0.00,1,0,1,20061001
25215,CPT,Removal of wrist bones,,30,1,1,"$7,265.79 ",$0.00,1,0,1,20061001
25230,CPT,Partial removal of radius,,30,1,1,"$7,473.47 ",$0.00,1,0,1,20061001
25240,CPT,Partial removal of ulna,,30,1,1,"$7,473.47 ",$0.00,1,0,1,20061001
25248,CPT,Remove forearm foreign body,,30,1,1,"$5,897.28 ",$0.00,1,0,1,20061001
25250,CPT,Removal of wrist prosthesis,,30,1,1,"$7,473.47 ",$0.00,1,0,1,20061001
25251,CPT,Removal of wrist prosthesis,,30,1,1,"$7,473.47 ",$0.00,1,0,1,20061001
25259,CPT,Manipulate wrist w/anesthes,,30,1,1,$574.59 ,$0.00,1,0,1,20061001
25260,CPT,Repair forearm tendon/muscle,,30,1,1,"$7,473.47 ",$0.00,1,0,1,20061001
25263,CPT,Repair forearm tendon/muscle,,30,1,1,"$7,473.47 ",$0.00,1,0,1,20061001
25265,CPT,Repair forearm tendon/muscle,,30,1,1,"$7,473.47 ",$0.00,1,0,1,20061001
25270,CPT,Repair forearm tendon/muscle,,30,1,1,"$7,473.47 ",$0.00,1,0,1,20061001
25272,CPT,Repair forearm tendon/muscle,,30,1,1,"$7,473.47 ",$0.00,1,0,1,20061001
25274,CPT,Repair forearm tendon/muscle,,30,1,1,"$7,473.47 ",$0.00,1,0,1,20061001
25275,CPT,Repair forearm tendon sheath,,30,1,1,"$7,473.47 ",$0.00,1,0,1,20061001
25280,CPT,Revise wrist/forearm tendon,,30,1,1,"$7,473.47 ",$0.00,1,0,1,20061001
25290,CPT,Incise wrist/forearm tendon,,30,1,1,"$7,473.47 ",$0.00,1,0,1,20061001
25295,CPT,Release wrist/forearm tendon,,30,1,1,"$5,897.28 ",$0.00,1,0,1,20061001
25300,CPT,Fusion of tendons at wrist,,30,1,1,"$7,473.47 ",$0.00,1,0,1,20061001
25301,CPT,Fusion of tendons at wrist,,30,1,1,"$7,473.47 ",$0.00,1,0,1,20061001
25310,CPT,Transplant forearm tendon,,30,1,1,"$10,324.87 ",$0.00,1,0,1,20061001
25312,CPT,Transplant forearm tendon,,30,1,1,"$10,324.87 ",$0.00,1,0,1,20061001
25315,CPT,Revise palsy hand tendon(s),,30,1,1,"$10,324.87 ",$0.00,1,0,1,20061001
25316,CPT,Revise palsy hand tendon(s),,30,1,1,"$10,324.87 ",$0.00,1,0,1,20061001
25320,CPT,Repair/revise wrist joint,,30,1,1,"$10,324.87 ",$0.00,1,0,1,20061001
25332,CPT,Revise wrist joint,,30,1,1,"$9,010.40 ",$0.00,1,0,1,20061001
25335,CPT,Realignment of hand,,30,1,1,"$10,324.87 ",$0.00,1,0,1,20061001
25337,CPT,Reconstruct ulna/radioulnar,,30,1,1,"$10,324.87 ",$0.00,1,0,1,20061001
25350,CPT,Revision of radius,,30,1,1,"$10,324.87 ",$0.00,1,0,1,20061001
25355,CPT,Revision of radius,,30,1,1,"$10,324.87 ",$0.00,1,0,1,20061001
25360,CPT,Revision of ulna,,30,1,1,"$7,473.47 ",$0.00,1,0,1,20061001
25365,CPT,Revise radius & ulna,,30,1,1,"$7,473.47 ",$0.00,1,0,1,20061001
25370,CPT,Revise radius or ulna,,30,1,1,"$10,324.87 ",$0.00,1,0,1,20061001
25375,CPT,Revise radius & ulna,,30,1,1,"$10,324.87 ",$0.00,1,0,1,20061001
25390,CPT,Shorten radius or ulna,,30,1,1,"$7,473.47 ",$0.00,1,0,1,20061001
25391,CPT,Lengthen radius or ulna,,30,1,1,"$10,324.87 ",$0.00,1,0,1,20061001
25392,CPT,Shorten radius & ulna,,30,1,1,"$7,473.47 ",$0.00,1,0,1,20061001
25393,CPT,Lengthen radius & ulna,,30,1,1,"$10,324.87 ",$0.00,1,0,1,20061001
25394,CPT,"Repair carpal bone, shorten",,30,1,1,"$4,477.45 ",$0.00,1,0,1,20061001
25400,CPT,Repair radius or ulna,,30,1,1,"$7,473.47 ",$0.00,1,0,1,20061001
25405,CPT,Repair/graft radius or ulna,,30,1,1,"$7,473.47 ",$0.00,1,0,1,20061001
25415,CPT,Repair radius & ulna,,30,1,1,"$7,473.47 ",$0.00,1,0,1,20061001
25420,CPT,Repair/graft radius & ulna,,30,1,1,"$10,324.87 ",$0.00,1,0,1,20061001
25425,CPT,Repair/graft radius or ulna,,30,1,1,"$10,324.87 ",$0.00,1,0,1,20061001
25426,CPT,Repair/graft radius & ulna,,30,1,1,"$10,324.87 ",$0.00,1,0,1,20061001
25430,CPT,Vasc graft into carpal bone,,30,1,1,"$7,265.79 ",$0.00,1,0,1,20061001
25431,CPT,Repair nonunion carpal bone,,30,1,1,"$7,265.79 ",$0.00,1,0,1,20061001
25440,CPT,Repair/graft wrist bone,,30,1,1,"$10,324.87 ",$0.00,1,0,1,20061001
25441,CPT,Reconstruct wrist joint,,30,1,1,"$15,450.10 ",$0.00,1,0,1,20061001
25442,CPT,Reconstruct wrist joint,,30,1,1,"$15,450.10 ",$0.00,1,0,1,20061001
25443,CPT,Reconstruct wrist joint,,30,1,1,"$15,450.10 ",$0.00,1,0,1,20061001
25444,CPT,Reconstruct wrist joint,,30,1,1,"$15,450.10 ",$0.00,1,0,1,20061001
25445,CPT,Reconstruct wrist joint,,30,1,1,"$15,450.10 ",$0.00,1,0,1,20061001
25446,CPT,Wrist replacement,,30,1,1,"$15,450.10 ",$0.00,1,0,1,20061001
25447,CPT,Repair wrist joint(s),,30,1,1,"$9,010.40 ",$0.00,1,0,1,20061001
25449,CPT,Remove wrist joint implant,,30,1,1,"$9,010.40 ",$0.00,1,0,1,20061001
25450,CPT,Revision of wrist joint,,30,1,1,"$10,324.87 ",$0.00,1,0,1,20061001
25455,CPT,Revision of wrist joint,,30,1,1,"$10,324.87 ",$0.00,1,0,1,20061001
25490,CPT,Reinforce radius,,30,1,1,"$10,324.87 ",$0.00,1,0,1,20061001
25491,CPT,Reinforce ulna,,30,1,1,"$10,324.87 ",$0.00,1,0,1,20061001
25492,CPT,Reinforce radius and ulna,,30,1,1,"$10,324.87 ",$0.00,1,0,1,20061001
25500,CPT,Treat fracture of radius,,30,1,1,$574.59 ,$0.00,1,0,1,20061001
25505,CPT,Treat fracture of radius,,30,1,1,$574.59 ,$0.00,1,0,1,20061001
25515,CPT,Treat fracture of radius,,30,1,1,"$9,739.06 ",$0.00,1,0,1,20061001
25520,CPT,Treat fracture of radius,,30,1,1,$574.59 ,$0.00,1,0,1,20061001
25525,CPT,Treat fracture of radius,,30,1,1,"$9,739.06 ",$0.00,1,0,1,20061001
25526,CPT,Treat fracture of radius,,30,1,1,"$9,739.06 ",$0.00,1,0,1,20061001
25530,CPT,Treat fracture of ulna,,30,1,1,$574.59 ,$0.00,1,0,1,20061001
25535,CPT,Treat fracture of ulna,,30,1,1,$574.59 ,$0.00,1,0,1,20061001
25545,CPT,Treat fracture of ulna,,30,1,1,"$9,739.06 ",$0.00,1,0,1,20061001
25560,CPT,Treat fracture radius & ulna,,30,1,1,$574.59 ,$0.00,1,0,1,20061001
25565,CPT,Treat fracture radius & ulna,,30,1,1,$574.59 ,$0.00,1,0,1,20061001
25574,CPT,Treat fracture radius & ulna,,30,1,1,"$9,739.06 ",$0.00,1,0,1,20061001
25575,CPT,Treat fracture radius/ulna,,30,1,1,"$9,739.06 ",$0.00,1,0,1,20061001
25600,CPT,Treat fracture radius/ulna,,30,1,1,$574.59 ,$0.00,1,0,1,20061001
25605,CPT,Treat fracture radius/ulna,,30,1,1,$574.59 ,$0.00,1,0,1,20061001
25611,CPT,Treat fracture radius/ulna,,30,1,1,"$9,739.06 ",$0.00,1,0,1,20061001
25620,CPT,Treat fracture radius/ulna,,30,1,1,"$9,739.06 ",$0.00,1,0,1,20061001
25622,CPT,Treat wrist bone fracture,,30,1,1,$574.59 ,$0.00,1,0,1,20061001
25624,CPT,Treat wrist bone fracture,,30,1,1,$574.59 ,$0.00,1,0,1,20061001
25628,CPT,Treat wrist bone fracture,,30,1,1,"$9,739.06 ",$0.00,1,0,1,20061001
25630,CPT,Treat wrist bone fracture,,30,1,1,$574.59 ,$0.00,1,0,1,20061001
25635,CPT,Treat wrist bone fracture,,30,1,1,$574.59 ,$0.00,1,0,1,20061001
25645,CPT,Treat wrist bone fracture,,30,1,1,"$9,739.06 ",$0.00,1,0,1,20061001
25650,CPT,Treat wrist bone fracture,,30,1,1,$574.59 ,$0.00,1,0,1,20061001
25651,CPT,Pin ulnar styloid fracture,,30,1,1,"$9,739.06 ",$0.00,1,0,1,20061001
25652,CPT,Treat fracture ulnar styloid,,30,1,1,"$9,739.06 ",$0.00,1,0,1,20061001
25660,CPT,Treat wrist dislocation,,30,1,1,$574.59 ,$0.00,1,0,1,20061001
25670,CPT,Treat wrist dislocation,,30,1,1,"$9,739.06 ",$0.00,1,0,1,20061001
25671,CPT,Pin radioulnar dislocation,,30,1,1,"$9,739.06 ",$0.00,1,0,1,20061001
25675,CPT,Treat wrist dislocation,,30,1,1,$574.59 ,$0.00,1,0,1,20061001
25676,CPT,Treat wrist dislocation,,30,1,1,"$9,739.06 ",$0.00,1,0,1,20061001
25680,CPT,Treat wrist fracture,,30,1,1,$574.59 ,$0.00,1,0,1,20061001
25685,CPT,Treat wrist fracture,,30,1,1,"$9,739.06 ",$0.00,1,0,1,20061001
25690,CPT,Treat wrist dislocation,,30,1,1,$574.59 ,$0.00,1,0,1,20061001
25695,CPT,Treat wrist dislocation,,30,1,1,"$9,739.06 ",$0.00,1,0,1,20061001
25800,CPT,Fusion of wrist joint,,30,1,1,"$10,324.87 ",$0.00,1,0,1,20061001
25805,CPT,Fusion/graft of wrist joint,,30,1,1,"$10,324.87 ",$0.00,1,0,1,20061001
25810,CPT,Fusion/graft of wrist joint,,30,1,1,"$10,324.87 ",$0.00,1,0,1,20061001
25820,CPT,Fusion of hand bones,,30,1,1,"$4,477.45 ",$0.00,1,0,1,20061001
25825,CPT,Fuse hand bones with graft,,30,1,1,"$7,265.79 ",$0.00,1,0,1,20061001
25830,CPT,"Fusion, radioulnar jnt/ulna",,30,1,1,"$10,324.87 ",$0.00,1,0,1,20061001
25907,CPT,Amputation follow-up surgery,,30,1,1,"$5,897.28 ",$0.00,1,0,1,20061001
25922,CPT,Amputate hand at wrist,,30,1,1,"$5,897.28 ",$0.00,1,0,1,20061001
25929,CPT,Amputation follow-up surgery,,30,1,1,"$4,779.13 ",$0.00,1,0,1,20061001
25999,CPT,Forearm or wrist surgery,,30,1,1,$574.59 ,$0.00,1,0,1,20061001
26010,CPT,Drainage of finger abscess,,30,1,1,$497.85 ,$0.00,1,0,1,20061001
26011,CPT,Drainage of finger abscess,,30,1,1,"$3,544.83 ",$0.00,1,0,1,20061001
26020,CPT,Drain hand tendon sheath,,30,1,1,"$4,477.45 ",$0.00,1,0,1,20061001
26025,CPT,Drainage of palm bursa,,30,1,1,"$4,477.45 ",$0.00,1,0,1,20061001
26030,CPT,Drainage of palm bursa(s),,30,1,1,"$4,477.45 ",$0.00,1,0,1,20061001
26034,CPT,Treat hand bone lesion,,30,1,1,"$4,477.45 ",$0.00,1,0,1,20061001
26035,CPT,Decompress fingers/hand,,30,1,1,"$4,477.45 ",$0.00,1,0,1,20061001
26037,CPT,Decompress fingers/hand,,30,1,1,"$4,477.45 ",$0.00,1,0,1,20061001
26040,CPT,Release palm contracture,,30,1,1,"$7,265.79 ",$0.00,1,0,1,20061001
26045,CPT,Release palm contracture,,30,1,1,"$7,265.79 ",$0.00,1,0,1,20061001
26055,CPT,Incise finger tendon sheath,,30,1,1,"$4,477.45 ",$0.00,1,0,1,20061001
26060,CPT,Incision of finger tendon,,30,1,1,"$4,477.45 ",$0.00,1,0,1,20061001
26070,CPT,Explore/treat hand joint,,30,1,1,"$4,477.45 ",$0.00,1,0,1,20061001
26075,CPT,Explore/treat finger joint,,30,1,1,"$4,477.45 ",$0.00,1,0,1,20061001
26080,CPT,Explore/treat finger joint,,30,1,1,"$4,477.45 ",$0.00,1,0,1,20061001
26100,CPT,Biopsy hand joint lining,,30,1,1,"$4,477.45 ",$0.00,1,0,1,20061001
26105,CPT,Biopsy finger joint lining,,30,1,1,"$4,477.45 ",$0.00,1,0,1,20061001
26110,CPT,Biopsy finger joint lining,,30,1,1,"$4,477.45 ",$0.00,1,0,1,20061001
26115,CPT,Removel hand lesion subcut,,30,1,1,"$5,653.51 ",$0.00,1,0,1,20061001
26116,CPT,"Removel hand lesion, deep",,30,1,1,"$5,653.51 ",$0.00,1,0,1,20061001
26117,CPT,"Remove tumor, hand/finger",,30,1,1,"$5,653.51 ",$0.00,1,0,1,20061001
26121,CPT,Release palm contracture,,30,1,1,"$7,265.79 ",$0.00,1,0,1,20061001
26123,CPT,Release palm contracture,,30,1,1,"$7,265.79 ",$0.00,1,0,1,20061001
26125,CPT,Release palm contracture,,30,1,1,"$7,265.79 ",$0.00,1,0,1,20061001
26130,CPT,Remove wrist joint lining,,30,1,1,"$4,477.45 ",$0.00,1,0,1,20061001
26135,CPT,"Revise finger joint, each",,30,1,1,"$7,265.79 ",$0.00,1,0,1,20061001
26140,CPT,"Revise finger joint, each",,30,1,1,"$4,477.45 ",$0.00,1,0,1,20061001
26145,CPT,"Tendon excision, palm/finger",,30,1,1,"$4,477.45 ",$0.00,1,0,1,20061001
26160,CPT,Remove tendon sheath lesion,,30,1,1,"$4,477.45 ",$0.00,1,0,1,20061001
26170,CPT,"Removal of palm tendon, each",,30,1,1,"$4,477.45 ",$0.00,1,0,1,20061001
26180,CPT,Removal of finger tendon,,30,1,1,"$4,477.45 ",$0.00,1,0,1,20061001
26185,CPT,Remove finger bone,,30,1,1,"$4,477.45 ",$0.00,1,0,1,20061001
26200,CPT,Remove hand bone lesion,,30,1,1,"$4,477.45 ",$0.00,1,0,1,20061001
26205,CPT,Remove/graft bone lesion,,30,1,1,"$7,265.79 ",$0.00,1,0,1,20061001
26210,CPT,Removal of finger lesion,,30,1,1,"$4,477.45 ",$0.00,1,0,1,20061001
26215,CPT,Remove/graft finger lesion,,30,1,1,"$4,477.45 ",$0.00,1,0,1,20061001
26230,CPT,Partial removal of hand bone,,30,1,1,"$4,477.45 ",$0.00,1,0,1,20061001
26235,CPT,"Partial removal, finger bone",,30,1,1,"$4,477.45 ",$0.00,1,0,1,20061001
26236,CPT,"Partial removal, finger bone",,30,1,1,"$4,477.45 ",$0.00,1,0,1,20061001
26250,CPT,Extensive hand surgery,,30,1,1,"$4,477.45 ",$0.00,1,0,1,20061001
26255,CPT,Extensive hand surgery,,30,1,1,"$7,265.79 ",$0.00,1,0,1,20061001
26260,CPT,Extensive finger surgery,,30,1,1,"$4,477.45 ",$0.00,1,0,1,20061001
26261,CPT,Extensive finger surgery,,30,1,1,"$4,477.45 ",$0.00,1,0,1,20061001
26262,CPT,Partial removal of finger,,30,1,1,"$4,477.45 ",$0.00,1,0,1,20061001
26320,CPT,Removal of implant from hand,,30,1,1,"$4,293.64 ",$0.00,1,0,1,20061001
26340,CPT,Manipulate finger w/anesth,,30,1,1,$574.59 ,$0.00,1,0,1,20061001
26350,CPT,Repair finger/hand tendon,,30,1,1,"$7,265.79 ",$0.00,1,0,1,20061001
26352,CPT,Repair/graft hand tendon,,30,1,1,"$7,265.79 ",$0.00,1,0,1,20061001
26356,CPT,Repair finger/hand tendon,,30,1,1,"$7,265.79 ",$0.00,1,0,1,20061001
26357,CPT,Repair finger/hand tendon,,30,1,1,"$7,265.79 ",$0.00,1,0,1,20061001
26358,CPT,Repair/graft hand tendon,,30,1,1,"$7,265.79 ",$0.00,1,0,1,20061001
26370,CPT,Repair finger/hand tendon,,30,1,1,"$7,265.79 ",$0.00,1,0,1,20061001
26372,CPT,Repair/graft hand tendon,,30,1,1,"$7,265.79 ",$0.00,1,0,1,20061001
26373,CPT,Repair finger/hand tendon,,30,1,1,"$7,265.79 ",$0.00,1,0,1,20061001
26390,CPT,Revise hand/finger tendon,,30,1,1,"$7,265.79 ",$0.00,1,0,1,20061001
26392,CPT,Repair/graft hand tendon,,30,1,1,"$7,265.79 ",$0.00,1,0,1,20061001
26410,CPT,Repair hand tendon,,30,1,1,"$4,477.45 ",$0.00,1,0,1,20061001
26412,CPT,Repair/graft hand tendon,,30,1,1,"$7,265.79 ",$0.00,1,0,1,20061001
26415,CPT,"Excision, hand/finger tendon",,30,1,1,"$7,265.79 ",$0.00,1,0,1,20061001
26416,CPT,Graft hand or finger tendon,,30,1,1,"$7,265.79 ",$0.00,1,0,1,20061001
26418,CPT,Repair finger tendon,,30,1,1,"$4,477.45 ",$0.00,1,0,1,20061001
26420,CPT,Repair/graft finger tendon,,30,1,1,"$7,265.79 ",$0.00,1,0,1,20061001
26426,CPT,Repair finger/hand tendon,,30,1,1,"$7,265.79 ",$0.00,1,0,1,20061001
26428,CPT,Repair/graft finger tendon,,30,1,1,"$7,265.79 ",$0.00,1,0,1,20061001
26432,CPT,Repair finger tendon,,30,1,1,"$4,477.45 ",$0.00,1,0,1,20061001
26433,CPT,Repair finger tendon,,30,1,1,"$4,477.45 ",$0.00,1,0,1,20061001
26434,CPT,Repair/graft finger tendon,,30,1,1,"$7,265.79 ",$0.00,1,0,1,20061001
26437,CPT,Realignment of tendons,,30,1,1,"$4,477.45 ",$0.00,1,0,1,20061001
26440,CPT,Release palm/finger tendon,,30,1,1,"$4,477.45 ",$0.00,1,0,1,20061001
26442,CPT,Release palm & finger tendon,,30,1,1,"$7,265.79 ",$0.00,1,0,1,20061001
26445,CPT,Release hand/finger tendon,,30,1,1,"$4,477.45 ",$0.00,1,0,1,20061001
26449,CPT,Release forearm/hand tendon,,30,1,1,"$7,265.79 ",$0.00,1,0,1,20061001
26450,CPT,Incision of palm tendon,,30,1,1,"$4,477.45 ",$0.00,1,0,1,20061001
26455,CPT,Incision of finger tendon,,30,1,1,"$4,477.45 ",$0.00,1,0,1,20061001
26460,CPT,Incise hand/finger tendon,,30,1,1,"$4,477.45 ",$0.00,1,0,1,20061001
26471,CPT,Fusion of finger tendons,,30,1,1,"$4,477.45 ",$0.00,1,0,1,20061001
26474,CPT,Fusion of finger tendons,,30,1,1,"$4,477.45 ",$0.00,1,0,1,20061001
26476,CPT,Tendon lengthening,,30,1,1,"$4,477.45 ",$0.00,1,0,1,20061001
26477,CPT,Tendon shortening,,30,1,1,"$4,477.45 ",$0.00,1,0,1,20061001
26478,CPT,Lengthening of hand tendon,,30,1,1,"$4,477.45 ",$0.00,1,0,1,20061001
26479,CPT,Shortening of hand tendon,,30,1,1,"$4,477.45 ",$0.00,1,0,1,20061001
26480,CPT,Transplant hand tendon,,30,1,1,"$7,265.79 ",$0.00,1,0,1,20061001
26483,CPT,Transplant/graft hand tendon,,30,1,1,"$7,265.79 ",$0.00,1,0,1,20061001
26485,CPT,Transplant palm tendon,,30,1,1,"$7,265.79 ",$0.00,1,0,1,20061001
26489,CPT,Transplant/graft palm tendon,,30,1,1,"$7,265.79 ",$0.00,1,0,1,20061001
26490,CPT,Revise thumb tendon,,30,1,1,"$7,265.79 ",$0.00,1,0,1,20061001
26492,CPT,Tendon transfer with graft,,30,1,1,"$7,265.79 ",$0.00,1,0,1,20061001
26494,CPT,Hand tendon/muscle transfer,,30,1,1,"$7,265.79 ",$0.00,1,0,1,20061001
26496,CPT,Revise thumb tendon,,30,1,1,"$7,265.79 ",$0.00,1,0,1,20061001
26497,CPT,Finger tendon transfer,,30,1,1,"$7,265.79 ",$0.00,1,0,1,20061001
26498,CPT,Finger tendon transfer,,30,1,1,"$7,265.79 ",$0.00,1,0,1,20061001
26499,CPT,Revision of finger,,30,1,1,"$7,265.79 ",$0.00,1,0,1,20061001
26500,CPT,Hand tendon reconstruction,,30,1,1,"$4,477.45 ",$0.00,1,0,1,20061001
26502,CPT,Hand tendon reconstruction,,30,1,1,"$7,265.79 ",$0.00,1,0,1,20061001
26504,CPT,Hand tendon reconstruction,,30,1,1,"$7,265.79 ",$0.00,1,0,1,20061001
26508,CPT,Release thumb contracture,,30,1,1,"$4,477.45 ",$0.00,1,0,1,20061001
26510,CPT,Thumb tendon transfer,,30,1,1,"$7,265.79 ",$0.00,1,0,1,20061001
26516,CPT,Fusion of knuckle joint,,30,1,1,"$7,265.79 ",$0.00,1,0,1,20061001
26517,CPT,Fusion of knuckle joints,,30,1,1,"$7,265.79 ",$0.00,1,0,1,20061001
26518,CPT,Fusion of knuckle joints,,30,1,1,"$7,265.79 ",$0.00,1,0,1,20061001
26520,CPT,Release knuckle contracture,,30,1,1,"$4,477.45 ",$0.00,1,0,1,20061001
26525,CPT,Release finger contracture,,30,1,1,"$4,477.45 ",$0.00,1,0,1,20061001
26530,CPT,Revise knuckle joint,,30,1,1,"$9,010.40 ",$0.00,1,0,1,20061001
26531,CPT,Revise knuckle with implant,,30,1,1,"$15,450.10 ",$0.00,1,0,1,20061001
26535,CPT,Revise finger joint,,30,1,1,"$9,010.40 ",$0.00,1,0,1,20061001
26536,CPT,Revise/implant finger joint,,30,1,1,"$15,450.10 ",$0.00,1,0,1,20061001
26540,CPT,Repair hand joint,,30,1,1,"$4,477.45 ",$0.00,1,0,1,20061001
26541,CPT,Repair hand joint with graft,,30,1,1,"$7,265.79 ",$0.00,1,0,1,20061001
26542,CPT,Repair hand joint with graft,,30,1,1,"$4,477.45 ",$0.00,1,0,1,20061001
26545,CPT,Reconstruct finger joint,,30,1,1,"$7,265.79 ",$0.00,1,0,1,20061001
26546,CPT,Repair nonunion hand,,30,1,1,"$7,265.79 ",$0.00,1,0,1,20061001
26548,CPT,Reconstruct finger joint,,30,1,1,"$7,265.79 ",$0.00,1,0,1,20061001
26550,CPT,Construct thumb replacement,,30,1,1,"$7,265.79 ",$0.00,1,0,1,20061001
26555,CPT,Positional change of finger,,30,1,1,"$7,265.79 ",$0.00,1,0,1,20061001
26560,CPT,Repair of web finger,,30,1,1,"$4,477.45 ",$0.00,1,0,1,20061001
26561,CPT,Repair of web finger,,30,1,1,"$7,265.79 ",$0.00,1,0,1,20061001
26562,CPT,Repair of web finger,,30,1,1,"$7,265.79 ",$0.00,1,0,1,20061001
26565,CPT,Correct metacarpal flaw,,30,1,1,"$7,265.79 ",$0.00,1,0,1,20061001
26567,CPT,Correct finger deformity,,30,1,1,"$7,265.79 ",$0.00,1,0,1,20061001
26568,CPT,Lengthen metacarpal/finger,,30,1,1,"$7,265.79 ",$0.00,1,0,1,20061001
26580,CPT,Repair hand deformity,,30,1,1,"$7,265.79 ",$0.00,1,0,1,20061001
26587,CPT,Reconstruct extra finger,,30,1,1,"$4,477.45 ",$0.00,1,0,1,20061001
26590,CPT,Repair finger deformity,,30,1,1,"$7,265.79 ",$0.00,1,0,1,20061001
26591,CPT,Repair muscles of hand,,30,1,1,"$7,265.79 ",$0.00,1,0,1,20061001
26593,CPT,Release muscles of hand,,30,1,1,"$4,477.45 ",$0.00,1,0,1,20061001
26596,CPT,Excision constricting tissue,,30,1,1,"$7,265.79 ",$0.00,1,0,1,20061001
26600,CPT,Treat metacarpal fracture,,30,1,1,$574.59 ,$0.00,1,0,1,20061001
26605,CPT,Treat metacarpal fracture,,30,1,1,$574.59 ,$0.00,1,0,1,20061001
26607,CPT,Treat metacarpal fracture,,30,1,1,$574.59 ,$0.00,1,0,1,20061001
26608,CPT,Treat metacarpal fracture,,30,1,1,"$9,739.06 ",$0.00,1,0,1,20061001
26615,CPT,Treat metacarpal fracture,,30,1,1,"$9,739.06 ",$0.00,1,0,1,20061001
26641,CPT,Treat thumb dislocation,,30,1,1,$574.59 ,$0.00,1,0,1,20061001
26645,CPT,Treat thumb fracture,,30,1,1,$574.59 ,$0.00,1,0,1,20061001
26650,CPT,Treat thumb fracture,,30,1,1,"$9,739.06 ",$0.00,1,0,1,20061001
26665,CPT,Treat thumb fracture,,30,1,1,"$9,739.06 ",$0.00,1,0,1,20061001
26670,CPT,Treat hand dislocation,,30,1,1,$574.59 ,$0.00,1,0,1,20061001
26675,CPT,Treat hand dislocation,,30,1,1,$574.59 ,$0.00,1,0,1,20061001
26676,CPT,Pin hand dislocation,,30,1,1,"$9,739.06 ",$0.00,1,0,1,20061001
26685,CPT,Treat hand dislocation,,30,1,1,"$9,739.06 ",$0.00,1,0,1,20061001
26686,CPT,Treat hand dislocation,,30,1,1,"$9,739.06 ",$0.00,1,0,1,20061001
26700,CPT,Treat knuckle dislocation,,30,1,1,$574.59 ,$0.00,1,0,1,20061001
26705,CPT,Treat knuckle dislocation,,30,1,1,$574.59 ,$0.00,1,0,1,20061001
26706,CPT,Pin knuckle dislocation,,30,1,1,$574.59 ,$0.00,1,0,1,20061001
26715,CPT,Treat knuckle dislocation,,30,1,1,"$9,739.06 ",$0.00,1,0,1,20061001
26720,CPT,"Treat finger fracture, each",,30,1,1,$574.59 ,$0.00,1,0,1,20061001
26725,CPT,"Treat finger fracture, each",,30,1,1,$574.59 ,$0.00,1,0,1,20061001
26727,CPT,"Treat finger fracture, each",,30,1,1,"$9,739.06 ",$0.00,1,0,1,20061001
26735,CPT,"Treat finger fracture, each",,30,1,1,"$9,739.06 ",$0.00,1,0,1,20061001
26740,CPT,"Treat finger fracture, each",,30,1,1,$574.59 ,$0.00,1,0,1,20061001
26742,CPT,"Treat finger fracture, each",,30,1,1,$574.59 ,$0.00,1,0,1,20061001
26746,CPT,"Treat finger fracture, each",,30,1,1,"$9,739.06 ",$0.00,1,0,1,20061001
26750,CPT,"Treat finger fracture, each",,30,1,1,$574.59 ,$0.00,1,0,1,20061001
26755,CPT,"Treat finger fracture, each",,30,1,1,$574.59 ,$0.00,1,0,1,20061001
26756,CPT,"Pin finger fracture, each",,30,1,1,"$9,739.06 ",$0.00,1,0,1,20061001
26765,CPT,"Treat finger fracture, each",,30,1,1,"$9,739.06 ",$0.00,1,0,1,20061001
26770,CPT,Treat finger dislocation,,30,1,1,$574.59 ,$0.00,1,0,1,20061001
26775,CPT,Treat finger dislocation,,30,1,1,"$4,047.77 ",$0.00,1,0,1,20061001
26776,CPT,Pin finger dislocation,,30,1,1,"$9,739.06 ",$0.00,1,0,1,20061001
26785,CPT,Treat finger dislocation,,30,1,1,"$9,739.06 ",$0.00,1,0,1,20061001
26820,CPT,Thumb fusion with graft,,30,1,1,"$7,265.79 ",$0.00,1,0,1,20061001
26841,CPT,Fusion of thumb,,30,1,1,"$7,265.79 ",$0.00,1,0,1,20061001
26842,CPT,Thumb fusion with graft,,30,1,1,"$7,265.79 ",$0.00,1,0,1,20061001
26843,CPT,Fusion of hand joint,,30,1,1,"$7,265.79 ",$0.00,1,0,1,20061001
26844,CPT,Fusion/graft of hand joint,,30,1,1,"$7,265.79 ",$0.00,1,0,1,20061001
26850,CPT,Fusion of knuckle,,30,1,1,"$7,265.79 ",$0.00,1,0,1,20061001
26852,CPT,Fusion of knuckle with graft,,30,1,1,"$7,265.79 ",$0.00,1,0,1,20061001
26860,CPT,Fusion of finger joint,,30,1,1,"$7,265.79 ",$0.00,1,0,1,20061001
26861,CPT,"Fusion of finger jnt, add-on",,30,1,1,"$7,265.79 ",$0.00,1,0,1,20061001
26862,CPT,Fusion/graft of finger joint,,30,1,1,"$7,265.79 ",$0.00,1,0,1,20061001
26863,CPT,Fuse/graft added joint,,30,1,1,"$7,265.79 ",$0.00,1,0,1,20061001
26910,CPT,Amputate metacarpal bone,,30,1,1,"$7,265.79 ",$0.00,1,0,1,20061001
26951,CPT,Amputation of finger/thumb,,30,1,1,"$4,477.45 ",$0.00,1,0,1,20061001
26952,CPT,Amputation of finger/thumb,,30,1,1,"$4,477.45 ",$0.00,1,0,1,20061001
26989,CPT,Hand/finger surgery,,30,1,1,$574.59 ,$0.00,1,0,1,20061001
26990,CPT,Drainage of pelvis lesion,,30,1,1,"$5,897.28 ",$0.00,1,0,1,20061001
26991,CPT,Drainage of pelvis bursa,,30,1,1,"$5,897.28 ",$0.00,1,0,1,20061001
27000,CPT,Incision of hip tendon,,30,1,1,"$5,897.28 ",$0.00,1,0,1,20061001
27001,CPT,Incision of hip tendon,,30,1,1,"$7,473.47 ",$0.00,1,0,1,20061001
27003,CPT,Incision of hip tendon,,30,1,1,"$7,473.47 ",$0.00,1,0,1,20061001
27033,CPT,Exploration of hip joint,,30,1,1,"$10,324.87 ",$0.00,1,0,1,20061001
27035,CPT,Denervation of hip joint,,30,1,1,"$12,517.27 ",$0.00,1,0,1,20061001
27040,CPT,Biopsy of soft tissues,,30,1,1,"$2,131.88 ",$0.00,1,0,1,20061001
27041,CPT,Biopsy of soft tissues,,30,1,1,"$1,188.20 ",$0.00,1,0,1,20061001
27047,CPT,Remove hip/pelvis lesion,,30,1,1,"$5,653.51 ",$0.00,1,0,1,20061001
27048,CPT,Remove hip/pelvis lesion,,30,1,1,"$5,653.51 ",$0.00,1,0,1,20061001
27049,CPT,"Remove tumor, hip/pelvis",,30,1,1,"$5,653.51 ",$0.00,1,0,1,20061001
27050,CPT,Biopsy of sacroiliac joint,,30,1,1,"$5,897.28 ",$0.00,1,0,1,20061001
27052,CPT,Biopsy of hip joint,,30,1,1,"$5,897.28 ",$0.00,1,0,1,20061001
27060,CPT,Removal of ischial bursa,,30,1,1,"$5,897.28 ",$0.00,1,0,1,20061001
27062,CPT,Remove femur lesion/bursa,,30,1,1,"$5,897.28 ",$0.00,1,0,1,20061001
27065,CPT,Removal of hip bone lesion,,30,1,1,"$5,897.28 ",$0.00,1,0,1,20061001
27066,CPT,Removal of hip bone lesion,,30,1,1,"$7,473.47 ",$0.00,1,0,1,20061001
27067,CPT,Remove/graft hip bone lesion,,30,1,1,"$7,473.47 ",$0.00,1,0,1,20061001
27080,CPT,Removal of tail bone,,30,1,1,"$7,473.47 ",$0.00,1,0,1,20061001
27086,CPT,Remove hip foreign body,,30,1,1,"$2,131.88 ",$0.00,1,0,1,20061001
27087,CPT,Remove hip foreign body,,30,1,1,"$5,897.28 ",$0.00,1,0,1,20061001
27096,CPT,Inject sacroiliac joint,,30,0,,"$1,125.41 ",$0.00,1,0,1,20061001
27097,CPT,Revision of hip tendon,,30,1,1,"$7,473.47 ",$0.00,1,0,1,20061001
27098,CPT,Transfer tendon to pelvis,,30,1,1,"$7,473.47 ",$0.00,1,0,1,20061001
27100,CPT,Transfer of abdominal muscle,,30,1,1,"$10,324.87 ",$0.00,1,0,1,20061001
27105,CPT,Transfer of spinal muscle,,30,1,1,"$10,324.87 ",$0.00,1,0,1,20061001
27110,CPT,Transfer of iliopsoas muscle,,30,1,1,"$10,324.87 ",$0.00,1,0,1,20061001
27111,CPT,Transfer of iliopsoas muscle,,30,1,1,"$10,324.87 ",$0.00,1,0,1,20061001
27193,CPT,Treat pelvic ring fracture,,30,1,1,$574.59 ,$0.00,1,0,1,20061001
27194,CPT,Treat pelvic ring fracture,,30,1,1,"$4,047.77 ",$0.00,1,0,1,20061001
27200,CPT,Treat tail bone fracture,,30,1,1,$574.59 ,$0.00,1,0,1,20061001
27202,CPT,Treat tail bone fracture,,30,1,1,"$9,739.06 ",$0.00,1,0,1,20061001
27216,CPT,Treat pelvic ring fracture,,30,1,1,"$7,473.47 ",$0.00,1,0,1,20061001
27220,CPT,Treat hip socket fracture,,30,1,1,$574.59 ,$0.00,1,0,1,20061001
27230,CPT,Treat thigh fracture,,30,1,1,$574.59 ,$0.00,1,0,1,20061001
27235,CPT,Treat thigh fracture,,30,1,1,"$7,473.47 ",$0.00,1,0,1,20061001
27238,CPT,Treat thigh fracture,,30,1,1,$574.59 ,$0.00,1,0,1,20061001
27246,CPT,Treat thigh fracture,,30,1,1,$574.59 ,$0.00,1,0,1,20061001
27250,CPT,Treat hip dislocation,,30,1,1,$574.59 ,$0.00,1,0,1,20061001
27252,CPT,Treat hip dislocation,,30,1,1,"$4,047.77 ",$0.00,1,0,1,20061001
27256,CPT,Treat hip dislocation,,30,1,1,$574.59 ,$0.00,1,0,1,20061001
27257,CPT,Treat hip dislocation,,30,1,1,"$4,047.77 ",$0.00,1,0,1,20061001
27265,CPT,Treat hip dislocation,,30,1,1,$574.59 ,$0.00,1,0,1,20061001
27266,CPT,Treat hip dislocation,,30,1,1,"$4,047.77 ",$0.00,1,0,1,20061001
27275,CPT,Manipulation of hip joint,,30,1,1,"$4,047.77 ",$0.00,1,0,1,20061001
27299,CPT,Pelvis/hip joint surgery,,30,1,1,$574.59 ,$0.00,1,0,1,20061001
27301,CPT,Drain thigh/knee lesion,,30,1,1,"$5,869.10 ",$0.00,1,0,1,20061001
27305,CPT,Incise thigh tendon & fascia,,30,1,1,"$5,897.28 ",$0.00,1,0,1,20061001
27306,CPT,Incision of thigh tendon,,30,1,1,"$5,897.28 ",$0.00,1,0,1,20061001
27307,CPT,Incision of thigh tendons,,30,1,1,"$5,897.28 ",$0.00,1,0,1,20061001
27310,CPT,Exploration of knee joint,,30,1,1,"$7,473.47 ",$0.00,1,0,1,20061001
27315,CPT,"Partial removal, thigh nerve",,30,1,1,"$4,983.21 ",$0.00,1,0,1,20061001
27320,CPT,"Partial removal, thigh nerve",,30,1,1,"$4,983.21 ",$0.00,1,0,1,20061001
27323,CPT,"Biopsy, thigh soft tissues",,30,1,1,"$4,293.64 ",$0.00,1,0,1,20061001
27324,CPT,"Biopsy, thigh soft tissues",,30,1,1,"$5,653.51 ",$0.00,1,0,1,20061001
27327,CPT,Removal of thigh lesion,,30,1,1,"$5,653.51 ",$0.00,1,0,1,20061001
27328,CPT,Removal of thigh lesion,,30,1,1,"$5,653.51 ",$0.00,1,0,1,20061001
27329,CPT,"Remove tumor, thigh/knee",,30,1,1,"$5,653.51 ",$0.00,1,0,1,20061001
27330,CPT,"Biopsy, knee joint lining",,30,1,1,"$7,473.47 ",$0.00,1,0,1,20061001
27331,CPT,Explore/treat knee joint,,30,1,1,"$7,473.47 ",$0.00,1,0,1,20061001
27332,CPT,Removal of knee cartilage,,30,1,1,"$7,473.47 ",$0.00,1,0,1,20061001
27333,CPT,Removal of knee cartilage,,30,1,1,"$7,473.47 ",$0.00,1,0,1,20061001
27334,CPT,Remove knee joint lining,,30,1,1,"$7,473.47 ",$0.00,1,0,1,20061001
27335,CPT,Remove knee joint lining,,30,1,1,"$7,473.47 ",$0.00,1,0,1,20061001
27340,CPT,Removal of kneecap bursa,,30,1,1,"$5,897.28 ",$0.00,1,0,1,20061001
27345,CPT,Removal of knee cyst,,30,1,1,"$5,897.28 ",$0.00,1,0,1,20061001
27347,CPT,Remove knee cyst,,30,1,1,"$5,897.28 ",$0.00,1,0,1,20061001
27350,CPT,Removal of kneecap,,30,1,1,"$7,473.47 ",$0.00,1,0,1,20061001
27355,CPT,Remove femur lesion,,30,1,1,"$7,473.47 ",$0.00,1,0,1,20061001
27356,CPT,Remove femur lesion/graft,,30,1,1,"$7,473.47 ",$0.00,1,0,1,20061001
27357,CPT,Remove femur lesion/graft,,30,1,1,"$7,473.47 ",$0.00,1,0,1,20061001
27358,CPT,Remove femur lesion/fixation,,30,1,1,"$7,473.47 ",$0.00,1,0,1,20061001
27360,CPT,"Partial removal, leg bone(s)",,30,1,1,"$7,473.47 ",$0.00,1,0,1,20061001
27372,CPT,Removal of foreign body,,30,1,1,"$5,653.51 ",$0.00,1,0,1,20061001
27380,CPT,Repair of kneecap tendon,,30,1,1,"$5,897.28 ",$0.00,1,0,1,20061001
27381,CPT,Repair/graft kneecap tendon,,30,1,1,"$5,897.28 ",$0.00,1,0,1,20061001
27385,CPT,Repair of thigh muscle,,30,1,1,"$5,897.28 ",$0.00,1,0,1,20061001
27386,CPT,Repair/graft of thigh muscle,,30,1,1,"$5,897.28 ",$0.00,1,0,1,20061001
27390,CPT,Incision of thigh tendon,,30,1,1,"$5,897.28 ",$0.00,1,0,1,20061001
27391,CPT,Incision of thigh tendons,,30,1,1,"$5,897.28 ",$0.00,1,0,1,20061001
27392,CPT,Incision of thigh tendons,,30,1,1,"$5,897.28 ",$0.00,1,0,1,20061001
27393,CPT,Lengthening of thigh tendon,,30,1,1,"$7,473.47 ",$0.00,1,0,1,20061001
27394,CPT,Lengthening of thigh tendons,,30,1,1,"$7,473.47 ",$0.00,1,0,1,20061001
27395,CPT,Lengthening of thigh tendons,,30,1,1,"$10,324.87 ",$0.00,1,0,1,20061001
27396,CPT,Transplant of thigh tendon,,30,1,1,"$7,473.47 ",$0.00,1,0,1,20061001
27397,CPT,Transplants of thigh tendons,,30,1,1,"$10,324.87 ",$0.00,1,0,1,20061001
27400,CPT,Revise thigh muscles/tendons,,30,1,1,"$10,324.87 ",$0.00,1,0,1,20061001
27403,CPT,Repair of knee cartilage,,30,1,1,"$7,473.47 ",$0.00,1,0,1,20061001
27405,CPT,Repair of knee ligament,,30,1,1,"$10,324.87 ",$0.00,1,0,1,20061001
27407,CPT,Repair of knee ligament,,30,1,1,"$10,324.87 ",$0.00,1,0,1,20061001
27409,CPT,Repair of knee ligaments,,30,1,1,"$10,324.87 ",$0.00,1,0,1,20061001
27412,CPT,Autochondrocyte implant knee,,30,1,1,"$2,657.17 ",$0.00,1,0,1,20061001
27415,CPT,Osteochondral knee allograft,,30,1,1,"$2,657.17 ",$0.00,1,0,1,20061001
27418,CPT,Repair degenerated kneecap,,30,1,1,"$10,324.87 ",$0.00,1,0,1,20061001
27420,CPT,Revision of unstable kneecap,,30,1,1,"$10,324.87 ",$0.00,1,0,1,20061001
27422,CPT,Revision of unstable kneecap,,30,1,1,"$10,324.87 ",$0.00,1,0,1,20061001
27424,CPT,Revision/removal of kneecap,,30,1,1,"$10,324.87 ",$0.00,1,0,1,20061001
27425,CPT,Lateral retinacular release,,30,1,1,"$7,473.47 ",$0.00,1,0,1,20061001
27427,CPT,"Reconstruction, knee",,30,1,1,"$12,517.27 ",$0.00,1,0,1,20061001
27428,CPT,"Reconstruction, knee",,30,1,1,"$12,517.27 ",$0.00,1,0,1,20061001
27429,CPT,"Reconstruction, knee",,30,1,1,"$12,517.27 ",$0.00,1,0,1,20061001
27430,CPT,Revision of thigh muscles,,30,1,1,"$10,324.87 ",$0.00,1,0,1,20061001
27435,CPT,Incision of knee joint,,30,1,1,"$10,324.87 ",$0.00,1,0,1,20061001
27437,CPT,Revise kneecap,,30,1,1,"$9,010.40 ",$0.00,1,0,1,20061001
27438,CPT,Revise kneecap with implant,,30,1,1,"$15,450.10 ",$0.00,1,0,1,20061001
27440,CPT,Revision of knee joint,,30,1,1,"$9,010.40 ",$0.00,1,0,1,20061001
27441,CPT,Revision of knee joint,,30,1,1,"$9,010.40 ",$0.00,1,0,1,20061001
27442,CPT,Revision of knee joint,,30,1,1,"$9,010.40 ",$0.00,1,0,1,20061001
27443,CPT,Revision of knee joint,,30,1,1,"$9,010.40 ",$0.00,1,0,1,20061001
27446,CPT,Revision of knee joint,,30,1,1,"$24,383.20 ",$0.00,1,0,1,20061001
27496,CPT,Decompression of thigh/knee,,30,1,1,"$5,897.28 ",$0.00,1,0,1,20061001
27497,CPT,Decompression of thigh/knee,,30,1,1,"$5,897.28 ",$0.00,1,0,1,20061001
27498,CPT,Decompression of thigh/knee,,30,1,1,"$5,897.28 ",$0.00,1,0,1,20061001
27499,CPT,Decompression of thigh/knee,,30,1,1,"$5,897.28 ",$0.00,1,0,1,20061001
27500,CPT,Treatment of thigh fracture,,30,1,1,$574.59 ,$0.00,1,0,1,20061001
27501,CPT,Treatment of thigh fracture,,30,1,1,$574.59 ,$0.00,1,0,1,20061001
27502,CPT,Treatment of thigh fracture,,30,1,1,$574.59 ,$0.00,1,0,1,20061001
27503,CPT,Treatment of thigh fracture,,30,1,1,$574.59 ,$0.00,1,0,1,20061001
27508,CPT,Treatment of thigh fracture,,30,1,1,$574.59 ,$0.00,1,0,1,20061001
27509,CPT,Treatment of thigh fracture,,30,1,1,"$9,739.06 ",$0.00,1,0,1,20061001
27510,CPT,Treatment of thigh fracture,,30,1,1,$574.59 ,$0.00,1,0,1,20061001
27516,CPT,Treat thigh fx growth plate,,30,1,1,$574.59 ,$0.00,1,0,1,20061001
27517,CPT,Treat thigh fx growth plate,,30,1,1,$574.59 ,$0.00,1,0,1,20061001
27520,CPT,Treat kneecap fracture,,30,1,1,$574.59 ,$0.00,1,0,1,20061001
27524,CPT,Treat kneecap fracture,,30,1,1,"$9,739.06 ",$0.00,1,0,1,20061001
27530,CPT,Treat knee fracture,,30,1,1,$574.59 ,$0.00,1,0,1,20061001
27532,CPT,Treat knee fracture,,30,1,1,$574.59 ,$0.00,1,0,1,20061001
27538,CPT,Treat knee fracture(s),,30,1,1,$574.59 ,$0.00,1,0,1,20061001
27550,CPT,Treat knee dislocation,,30,1,1,$574.59 ,$0.00,1,0,1,20061001
27552,CPT,Treat knee dislocation,,30,1,1,"$4,047.77 ",$0.00,1,0,1,20061001
27560,CPT,Treat kneecap dislocation,,30,1,1,$574.59 ,$0.00,1,0,1,20061001
27562,CPT,Treat kneecap dislocation,,30,1,1,"$4,047.77 ",$0.00,1,0,1,20061001
27566,CPT,Treat kneecap dislocation,,30,1,1,"$9,739.06 ",$0.00,1,0,1,20061001
27570,CPT,Fixation of knee joint,,30,1,1,"$4,047.77 ",$0.00,1,0,1,20061001
27594,CPT,Amputation follow-up surgery,,30,1,1,"$5,897.28 ",$0.00,1,0,1,20061001
27599,CPT,Leg surgery procedure,,30,1,1,$574.59 ,$0.00,1,0,1,20061001
27600,CPT,Decompression of lower leg,,30,1,1,"$5,897.28 ",$0.00,1,0,1,20061001
27601,CPT,Decompression of lower leg,,30,1,1,"$5,897.28 ",$0.00,1,0,1,20061001
27602,CPT,Decompression of lower leg,,30,1,1,"$5,897.28 ",$0.00,1,0,1,20061001
27603,CPT,Drain lower leg lesion,,30,1,1,"$3,544.83 ",$0.00,1,0,1,20061001
27604,CPT,Drain lower leg bursa,,30,1,1,"$5,897.28 ",$0.00,1,0,1,20061001
27605,CPT,Incision of achilles tendon,,30,1,1,"$5,632.15 ",$0.00,1,0,1,20061001
27606,CPT,Incision of achilles tendon,,30,1,1,"$5,897.28 ",$0.00,1,0,1,20061001
27607,CPT,Treat lower leg bone lesion,,30,1,1,"$5,897.28 ",$0.00,1,0,1,20061001
27610,CPT,Explore/treat ankle joint,,30,1,1,"$7,473.47 ",$0.00,1,0,1,20061001
27612,CPT,Exploration of ankle joint,,30,1,1,"$7,473.47 ",$0.00,1,0,1,20061001
27613,CPT,Biopsy lower leg soft tissue,,30,1,1,"$2,131.88 ",$0.00,1,0,1,20061001
27614,CPT,Biopsy lower leg soft tissue,,30,1,1,"$5,653.51 ",$0.00,1,0,1,20061001
27615,CPT,"Remove tumor, lower leg",,30,1,1,"$9,739.06 ",$0.00,1,0,1,20061001
27618,CPT,Remove lower leg lesion,,30,1,1,"$4,293.64 ",$0.00,1,0,1,20061001
27619,CPT,Remove lower leg lesion,,30,1,1,"$5,653.51 ",$0.00,1,0,1,20061001
27620,CPT,Explore/treat ankle joint,,30,1,1,"$7,473.47 ",$0.00,1,0,1,20061001
27625,CPT,Remove ankle joint lining,,30,1,1,"$7,473.47 ",$0.00,1,0,1,20061001
27626,CPT,Remove ankle joint lining,,30,1,1,"$7,473.47 ",$0.00,1,0,1,20061001
27630,CPT,Removal of tendon lesion,,30,1,1,"$5,897.28 ",$0.00,1,0,1,20061001
27635,CPT,Remove lower leg bone lesion,,30,1,1,"$7,473.47 ",$0.00,1,0,1,20061001
27637,CPT,Remove/graft leg bone lesion,,30,1,1,"$7,473.47 ",$0.00,1,0,1,20061001
27638,CPT,Remove/graft leg bone lesion,,30,1,1,"$7,473.47 ",$0.00,1,0,1,20061001
27640,CPT,Partial removal of tibia,,30,1,1,"$10,324.87 ",$0.00,1,0,1,20061001
27641,CPT,Partial removal of fibula,,30,1,1,"$7,473.47 ",$0.00,1,0,1,20061001
27647,CPT,Extensive ankle/heel surgery,,30,1,1,"$10,324.87 ",$0.00,1,0,1,20061001
27650,CPT,Repair achilles tendon,,30,1,1,"$10,324.87 ",$0.00,1,0,1,20061001
27652,CPT,Repair/graft achilles tendon,,30,1,1,"$10,324.87 ",$0.00,1,0,1,20061001
27654,CPT,Repair of achilles tendon,,30,1,1,"$10,324.87 ",$0.00,1,0,1,20061001
27656,CPT,Repair leg fascia defect,,30,1,1,"$5,897.28 ",$0.00,1,0,1,20061001
27658,CPT,"Repair of leg tendon, each",,30,1,1,"$5,897.28 ",$0.00,1,0,1,20061001
27659,CPT,"Repair of leg tendon, each",,30,1,1,"$5,897.28 ",$0.00,1,0,1,20061001
27664,CPT,"Repair of leg tendon, each",,30,1,1,"$5,897.28 ",$0.00,1,0,1,20061001
27665,CPT,"Repair of leg tendon, each",,30,1,1,"$7,473.47 ",$0.00,1,0,1,20061001
27675,CPT,Repair lower leg tendons,,30,1,1,"$5,897.28 ",$0.00,1,0,1,20061001
27676,CPT,Repair lower leg tendons,,30,1,1,"$7,473.47 ",$0.00,1,0,1,20061001
27680,CPT,Release of lower leg tendon,,30,1,1,"$7,473.47 ",$0.00,1,0,1,20061001
27681,CPT,Release of lower leg tendons,,30,1,1,"$7,473.47 ",$0.00,1,0,1,20061001
27685,CPT,Revision of lower leg tendon,,30,1,1,"$7,473.47 ",$0.00,1,0,1,20061001
27686,CPT,Revise lower leg tendons,,30,1,1,"$7,473.47 ",$0.00,1,0,1,20061001
27687,CPT,Revision of calf tendon,,30,1,1,"$7,473.47 ",$0.00,1,0,1,20061001
27690,CPT,Revise lower leg tendon,,30,1,1,"$10,324.87 ",$0.00,1,0,1,20061001
27691,CPT,Revise lower leg tendon,,30,1,1,"$10,324.87 ",$0.00,1,0,1,20061001
27692,CPT,Revise additional leg tendon,,30,1,1,"$10,324.87 ",$0.00,1,0,1,20061001
27695,CPT,Repair of ankle ligament,,30,1,1,"$7,473.47 ",$0.00,1,0,1,20061001
27696,CPT,Repair of ankle ligaments,,30,1,1,"$7,473.47 ",$0.00,1,0,1,20061001
27698,CPT,Repair of ankle ligament,,30,1,1,"$7,473.47 ",$0.00,1,0,1,20061001
27700,CPT,Revision of ankle joint,,30,1,1,"$9,010.40 ",$0.00,1,0,1,20061001
27704,CPT,Removal of ankle implant,,30,1,1,"$5,897.28 ",$0.00,1,0,1,20061001
27705,CPT,Incision of tibia,,30,1,1,"$10,324.87 ",$0.00,1,0,1,20061001
27707,CPT,Incision of fibula,,30,1,1,"$5,897.28 ",$0.00,1,0,1,20061001
27709,CPT,Incision of tibia & fibula,,30,1,1,"$7,473.47 ",$0.00,1,0,1,20061001
27730,CPT,Repair of tibia epiphysis,,30,1,1,"$7,473.47 ",$0.00,1,0,1,20061001
27732,CPT,Repair of fibula epiphysis,,30,1,1,"$7,473.47 ",$0.00,1,0,1,20061001
27734,CPT,Repair lower leg epiphyses,,30,1,1,"$7,473.47 ",$0.00,1,0,1,20061001
27740,CPT,Repair of leg epiphyses,,30,1,1,"$7,473.47 ",$0.00,1,0,1,20061001
27742,CPT,Repair of leg epiphyses,,30,1,1,"$10,324.87 ",$0.00,1,0,1,20061001
27745,CPT,Reinforce tibia,,30,1,1,"$10,324.87 ",$0.00,1,0,1,20061001
27750,CPT,Treatment of tibia fracture,,30,1,1,$574.59 ,$0.00,1,0,1,20061001
27752,CPT,Treatment of tibia fracture,,30,1,1,$574.59 ,$0.00,1,0,1,20061001
27756,CPT,Treatment of tibia fracture,,30,1,1,"$9,739.06 ",$0.00,1,0,1,20061001
27758,CPT,Treatment of tibia fracture,,30,1,1,"$9,739.06 ",$0.00,1,0,1,20061001
27759,CPT,Treatment of tibia fracture,,30,1,1,"$9,739.06 ",$0.00,1,0,1,20061001
27760,CPT,Treatment of ankle fracture,,30,1,1,$574.59 ,$0.00,1,0,1,20061001
27762,CPT,Treatment of ankle fracture,,30,1,1,$574.59 ,$0.00,1,0,1,20061001
27766,CPT,Treatment of ankle fracture,,30,1,1,"$9,739.06 ",$0.00,1,0,1,20061001
27780,CPT,Treatment of fibula fracture,,30,1,1,$574.59 ,$0.00,1,0,1,20061001
27781,CPT,Treatment of fibula fracture,,30,1,1,$574.59 ,$0.00,1,0,1,20061001
27784,CPT,Treatment of fibula fracture,,30,1,1,"$9,739.06 ",$0.00,1,0,1,20061001
27786,CPT,Treatment of ankle fracture,,30,1,1,$574.59 ,$0.00,1,0,1,20061001
27788,CPT,Treatment of ankle fracture,,30,1,1,$574.59 ,$0.00,1,0,1,20061001
27792,CPT,Treatment of ankle fracture,,30,1,1,"$9,739.06 ",$0.00,1,0,1,20061001
27808,CPT,Treatment of ankle fracture,,30,1,1,$574.59 ,$0.00,1,0,1,20061001
27810,CPT,Treatment of ankle fracture,,30,1,1,$574.59 ,$0.00,1,0,1,20061001
27814,CPT,Treatment of ankle fracture,,30,1,1,"$9,739.06 ",$0.00,1,0,1,20061001
27816,CPT,Treatment of ankle fracture,,30,1,1,$574.59 ,$0.00,1,0,1,20061001
27818,CPT,Treatment of ankle fracture,,30,1,1,$574.59 ,$0.00,1,0,1,20061001
27822,CPT,Treatment of ankle fracture,,30,1,1,"$9,739.06 ",$0.00,1,0,1,20061001
27823,CPT,Treatment of ankle fracture,,30,1,1,"$9,739.06 ",$0.00,1,0,1,20061001
27824,CPT,Treat lower leg fracture,,30,1,1,$574.59 ,$0.00,1,0,1,20061001
27825,CPT,Treat lower leg fracture,,30,1,1,$574.59 ,$0.00,1,0,1,20061001
27826,CPT,Treat lower leg fracture,,30,1,1,"$9,739.06 ",$0.00,1,0,1,20061001
27827,CPT,Treat lower leg fracture,,30,1,1,"$9,739.06 ",$0.00,1,0,1,20061001
27828,CPT,Treat lower leg fracture,,30,1,1,"$9,739.06 ",$0.00,1,0,1,20061001
27829,CPT,Treat lower leg joint,,30,1,1,"$9,739.06 ",$0.00,1,0,1,20061001
27830,CPT,Treat lower leg dislocation,,30,1,1,$574.59 ,$0.00,1,0,1,20061001
27831,CPT,Treat lower leg dislocation,,30,1,1,$574.59 ,$0.00,1,0,1,20061001
27832,CPT,Treat lower leg dislocation,,30,1,1,"$9,739.06 ",$0.00,1,0,1,20061001
27840,CPT,Treat ankle dislocation,,30,1,1,$574.59 ,$0.00,1,0,1,20061001
27842,CPT,Treat ankle dislocation,,30,1,1,"$4,047.77 ",$0.00,1,0,1,20061001
27846,CPT,Treat ankle dislocation,,30,1,1,"$9,739.06 ",$0.00,1,0,1,20061001
27848,CPT,Treat ankle dislocation,,30,1,1,"$9,739.06 ",$0.00,1,0,1,20061001
27860,CPT,Fixation of ankle joint,,30,1,1,"$4,047.77 ",$0.00,1,0,1,20061001
27870,CPT,Fusion of ankle joint,,30,1,1,"$10,324.87 ",$0.00,1,0,1,20061001
27871,CPT,Fusion of tibiofibular joint,,30,1,1,"$10,324.87 ",$0.00,1,0,1,20061001
27884,CPT,Amputation follow-up surgery,,30,1,1,"$5,897.28 ",$0.00,1,0,1,20061001
27889,CPT,Amputation of foot at ankle,,30,1,1,"$7,473.47 ",$0.00,1,0,1,20061001
27892,CPT,Decompression of leg,,30,1,1,"$5,897.28 ",$0.00,1,0,1,20061001
27893,CPT,Decompression of leg,,30,1,1,"$5,897.28 ",$0.00,1,0,1,20061001
27894,CPT,Decompression of leg,,30,1,1,"$5,897.28 ",$0.00,1,0,1,20061001
27899,CPT,Leg/ankle surgery procedure,,30,1,1,$574.59 ,$0.00,1,0,1,20061001
28001,CPT,Drainage of bursa of foot,,30,1,1,"$3,544.83 ",$0.00,1,0,1,20061001
28002,CPT,Treatment of foot infection,,30,1,1,"$5,897.28 ",$0.00,1,0,1,20061001
28003,CPT,Treatment of foot infection,,30,1,1,"$5,897.28 ",$0.00,1,0,1,20061001
28005,CPT,Treat foot bone lesion,,30,1,1,"$5,632.15 ",$0.00,1,0,1,20061001
28008,CPT,Incision of foot fascia,,30,1,1,"$5,632.15 ",$0.00,1,0,1,20061001
28010,CPT,Incision of toe tendon,,30,1,1,"$5,632.15 ",$0.00,1,0,1,20061001
28011,CPT,Incision of toe tendons,,30,1,1,"$5,632.15 ",$0.00,1,0,1,20061001
28020,CPT,Exploration of foot joint,,30,1,1,"$5,632.15 ",$0.00,1,0,1,20061001
28022,CPT,Exploration of foot joint,,30,1,1,"$5,632.15 ",$0.00,1,0,1,20061001
28024,CPT,Exploration of toe joint,,30,1,1,"$5,632.15 ",$0.00,1,0,1,20061001
28030,CPT,Removal of foot nerve,,30,1,1,"$4,983.21 ",$0.00,1,0,1,20061001
28035,CPT,Decompression of tibia nerve,,30,1,1,"$4,983.21 ",$0.00,1,0,1,20061001
28043,CPT,Excision of foot lesion,,30,1,1,"$4,293.64 ",$0.00,1,0,1,20061001
28045,CPT,Excision of foot lesion,,30,1,1,"$5,632.15 ",$0.00,1,0,1,20061001
28046,CPT,"Resection of tumor, foot",,30,1,1,"$5,632.15 ",$0.00,1,0,1,20061001
28050,CPT,Biopsy of foot joint lining,,30,1,1,"$5,632.15 ",$0.00,1,0,1,20061001
28052,CPT,Biopsy of foot joint lining,,30,1,1,"$5,632.15 ",$0.00,1,0,1,20061001
28054,CPT,Biopsy of toe joint lining,,30,1,1,"$5,632.15 ",$0.00,1,0,1,20061001
28060,CPT,"Partial removal, foot fascia",,30,1,1,"$7,606.71 ",$0.00,1,0,1,20061001
28062,CPT,Removal of foot fascia,,30,1,1,"$7,606.71 ",$0.00,1,0,1,20061001
28070,CPT,Removal of foot joint lining,,30,1,1,"$7,606.71 ",$0.00,1,0,1,20061001
28072,CPT,Removal of foot joint lining,,30,1,1,"$7,606.71 ",$0.00,1,0,1,20061001
28080,CPT,Removal of foot lesion,,30,1,1,"$5,632.15 ",$0.00,1,0,1,20061001
28086,CPT,Excise foot tendon sheath,,30,1,1,"$5,632.15 ",$0.00,1,0,1,20061001
28088,CPT,Excise foot tendon sheath,,30,1,1,"$5,632.15 ",$0.00,1,0,1,20061001
28090,CPT,Removal of foot lesion,,30,1,1,"$5,632.15 ",$0.00,1,0,1,20061001
28092,CPT,Removal of toe lesions,,30,1,1,"$5,632.15 ",$0.00,1,0,1,20061001
28100,CPT,Removal of ankle/heel lesion,,30,1,1,"$5,632.15 ",$0.00,1,0,1,20061001
28102,CPT,Remove/graft foot lesion,,30,1,1,"$7,606.71 ",$0.00,1,0,1,20061001
28103,CPT,Remove/graft foot lesion,,30,1,1,"$7,606.71 ",$0.00,1,0,1,20061001
28104,CPT,Removal of foot lesion,,30,1,1,"$5,632.15 ",$0.00,1,0,1,20061001
28106,CPT,Remove/graft foot lesion,,30,1,1,"$7,606.71 ",$0.00,1,0,1,20061001
28107,CPT,Remove/graft foot lesion,,30,1,1,"$7,606.71 ",$0.00,1,0,1,20061001
28108,CPT,Removal of toe lesions,,30,1,1,"$5,632.15 ",$0.00,1,0,1,20061001
28110,CPT,Part removal of metatarsal,,30,1,1,"$7,606.71 ",$0.00,1,0,1,20061001
28111,CPT,Part removal of metatarsal,,30,1,1,"$5,632.15 ",$0.00,1,0,1,20061001
28112,CPT,Part removal of metatarsal,,30,1,1,"$5,632.15 ",$0.00,1,0,1,20061001
28113,CPT,Part removal of metatarsal,,30,1,1,"$5,632.15 ",$0.00,1,0,1,20061001
28114,CPT,Removal of metatarsal heads,,30,1,1,"$5,632.15 ",$0.00,1,0,1,20061001
28116,CPT,Revision of foot,,30,1,1,"$5,632.15 ",$0.00,1,0,1,20061001
28118,CPT,Removal of heel bone,,30,1,1,"$5,632.15 ",$0.00,1,0,1,20061001
28119,CPT,Removal of heel spur,,30,1,1,"$5,632.15 ",$0.00,1,0,1,20061001
28120,CPT,Part removal of ankle/heel,,30,1,1,"$5,632.15 ",$0.00,1,0,1,20061001
28122,CPT,Partial removal of foot bone,,30,1,1,"$5,632.15 ",$0.00,1,0,1,20061001
28124,CPT,Partial removal of toe,,30,1,1,"$5,632.15 ",$0.00,1,0,1,20061001
28126,CPT,Partial removal of toe,,30,1,1,"$5,632.15 ",$0.00,1,0,1,20061001
28130,CPT,Removal of ankle bone,,30,1,1,"$5,632.15 ",$0.00,1,0,1,20061001
28140,CPT,Removal of metatarsal,,30,1,1,"$5,632.15 ",$0.00,1,0,1,20061001
28150,CPT,Removal of toe,,30,1,1,"$5,632.15 ",$0.00,1,0,1,20061001
28153,CPT,Partial removal of toe,,30,1,1,"$5,632.15 ",$0.00,1,0,1,20061001
28160,CPT,Partial removal of toe,,30,1,1,"$5,632.15 ",$0.00,1,0,1,20061001
28171,CPT,Extensive foot surgery,,30,1,1,"$5,632.15 ",$0.00,1,0,1,20061001
28173,CPT,Extensive foot surgery,,30,1,1,"$5,632.15 ",$0.00,1,0,1,20061001
28175,CPT,Extensive foot surgery,,30,1,1,"$5,632.15 ",$0.00,1,0,1,20061001
28190,CPT,Removal of foot foreign body,,30,1,1,"$1,188.20 ",$0.00,1,0,1,20061001
28192,CPT,Removal of foot foreign body,,30,1,1,"$4,293.64 ",$0.00,1,0,1,20061001
28193,CPT,Removal of foot foreign body,,30,1,1,"$2,131.88 ",$0.00,1,0,1,20061001
28200,CPT,Repair of foot tendon,,30,1,1,"$5,632.15 ",$0.00,1,0,1,20061001
28202,CPT,Repair/graft of foot tendon,,30,1,1,"$7,606.71 ",$0.00,1,0,1,20061001
28208,CPT,Repair of foot tendon,,30,1,1,"$5,632.15 ",$0.00,1,0,1,20061001
28210,CPT,Repair/graft of foot tendon,,30,1,1,"$7,606.71 ",$0.00,1,0,1,20061001
28220,CPT,Release of foot tendon,,30,1,1,"$5,632.15 ",$0.00,1,0,1,20061001
28222,CPT,Release of foot tendons,,30,1,1,"$5,632.15 ",$0.00,1,0,1,20061001
28225,CPT,Release of foot tendon,,30,1,1,"$5,632.15 ",$0.00,1,0,1,20061001
28226,CPT,Release of foot tendons,,30,1,1,"$5,632.15 ",$0.00,1,0,1,20061001
28230,CPT,Incision of foot tendon(s),,30,1,1,"$5,632.15 ",$0.00,1,0,1,20061001
28232,CPT,Incision of toe tendon,,30,1,1,"$5,632.15 ",$0.00,1,0,1,20061001
28234,CPT,Incision of foot tendon,,30,1,1,"$5,632.15 ",$0.00,1,0,1,20061001
28238,CPT,Revision of foot tendon,,30,1,1,"$7,606.71 ",$0.00,1,0,1,20061001
28240,CPT,Release of big toe,,30,1,1,"$5,632.15 ",$0.00,1,0,1,20061001
28250,CPT,Revision of foot fascia,,30,1,1,"$7,606.71 ",$0.00,1,0,1,20061001
28260,CPT,Release of midfoot joint,,30,1,1,"$7,606.71 ",$0.00,1,0,1,20061001
28261,CPT,Revision of foot tendon,,30,1,1,"$7,606.71 ",$0.00,1,0,1,20061001
28262,CPT,Revision of foot and ankle,,30,1,1,"$7,606.71 ",$0.00,1,0,1,20061001
28264,CPT,Release of midfoot joint,,30,1,1,"$7,606.71 ",$0.00,1,0,1,20061001
28270,CPT,Release of foot contracture,,30,1,1,"$5,632.15 ",$0.00,1,0,1,20061001
28272,CPT,"Release of toe joint, each",,30,1,1,"$5,632.15 ",$0.00,1,0,1,20061001
28280,CPT,Fusion of toes,,30,1,1,"$5,632.15 ",$0.00,1,0,1,20061001
28285,CPT,Repair of hammertoe,,30,1,1,"$5,632.15 ",$0.00,1,0,1,20061001
28286,CPT,Repair of hammertoe,,30,1,1,"$5,632.15 ",$0.00,1,0,1,20061001
28288,CPT,Partial removal of foot bone,,30,1,1,"$7,606.71 ",$0.00,1,0,1,20061001
28289,CPT,Repair hallux rigidus,,30,1,1,"$7,606.71 ",$0.00,1,0,1,20061001
28290,CPT,Correction of bunion,,30,1,1,"$7,606.71 ",$0.00,1,0,1,20061001
28292,CPT,Correction of bunion,,30,1,1,"$7,670.43 ",$0.00,1,0,1,20061001
28293,CPT,Correction of bunion,,30,1,1,"$7,670.43 ",$0.00,1,0,1,20061001
28294,CPT,Correction of bunion,,30,1,1,"$7,606.71 ",$0.00,1,0,1,20061001
28296,CPT,Correction of bunion,,30,1,1,"$7,606.71 ",$0.00,1,0,1,20061001
28297,CPT,Correction of bunion,,30,1,1,"$7,670.43 ",$0.00,1,0,1,20061001
28298,CPT,Correction of bunion,,30,1,1,"$7,606.71 ",$0.00,1,0,1,20061001
28299,CPT,Correction of bunion,,30,1,1,"$7,670.43 ",$0.00,1,0,1,20061001
28300,CPT,Incision of heel bone,,30,1,1,"$7,606.71 ",$0.00,1,0,1,20061001
28302,CPT,Incision of ankle bone,,30,1,1,"$7,606.71 ",$0.00,1,0,1,20061001
28304,CPT,Incision of midfoot bones,,30,1,1,"$7,606.71 ",$0.00,1,0,1,20061001
28305,CPT,Incise/graft midfoot bones,,30,1,1,"$7,606.71 ",$0.00,1,0,1,20061001
28306,CPT,Incision of metatarsal,,30,1,1,"$7,606.71 ",$0.00,1,0,1,20061001
28307,CPT,Incision of metatarsal,,30,1,1,"$7,606.71 ",$0.00,1,0,1,20061001
28308,CPT,Incision of metatarsal,,30,1,1,"$7,606.71 ",$0.00,1,0,1,20061001
28309,CPT,Incision of metatarsals,,30,1,1,"$7,606.71 ",$0.00,1,0,1,20061001
28310,CPT,Revision of big toe,,30,1,1,"$5,632.15 ",$0.00,1,0,1,20061001
28312,CPT,Revision of toe,,30,1,1,"$5,632.15 ",$0.00,1,0,1,20061001
28313,CPT,Repair deformity of toe,,30,1,1,"$5,632.15 ",$0.00,1,0,1,20061001
28315,CPT,Removal of sesamoid bone,,30,1,1,"$5,632.15 ",$0.00,1,0,1,20061001
28320,CPT,Repair of foot bones,,30,1,1,"$7,606.71 ",$0.00,1,0,1,20061001
28322,CPT,Repair of metatarsals,,30,1,1,"$7,606.71 ",$0.00,1,0,1,20061001
28340,CPT,Resect enlarged toe tissue,,30,1,1,"$5,632.15 ",$0.00,1,0,1,20061001
28341,CPT,Resect enlarged toe,,30,1,1,"$5,632.15 ",$0.00,1,0,1,20061001
28344,CPT,Repair extra toe(s),,30,1,1,"$7,606.71 ",$0.00,1,0,1,20061001
28345,CPT,Repair webbed toe(s),,30,1,1,"$7,606.71 ",$0.00,1,0,1,20061001
28360,CPT,Reconstruct cleft foot,,30,1,1,"$7,606.71 ",$0.00,1,0,1,20061001
28400,CPT,Treatment of heel fracture,,30,1,1,$574.59 ,$0.00,1,0,1,20061001
28405,CPT,Treatment of heel fracture,,30,1,1,$574.59 ,$0.00,1,0,1,20061001
28406,CPT,Treatment of heel fracture,,30,1,1,"$9,739.06 ",$0.00,1,0,1,20061001
28415,CPT,Treat heel fracture,,30,1,1,"$9,739.06 ",$0.00,1,0,1,20061001
28420,CPT,Treat/graft heel fracture,,30,1,1,"$9,739.06 ",$0.00,1,0,1,20061001
28430,CPT,Treatment of ankle fracture,,30,1,1,$574.59 ,$0.00,1,0,1,20061001
28435,CPT,Treatment of ankle fracture,,30,1,1,$574.59 ,$0.00,1,0,1,20061001
28436,CPT,Treatment of ankle fracture,,30,1,1,"$9,739.06 ",$0.00,1,0,1,20061001
28445,CPT,Treat ankle fracture,,30,1,1,"$9,739.06 ",$0.00,1,0,1,20061001
28450,CPT,"Treat midfoot fracture, each",,30,1,1,$574.59 ,$0.00,1,0,1,20061001
28455,CPT,"Treat midfoot fracture, each",,30,1,1,$574.59 ,$0.00,1,0,1,20061001
28456,CPT,Treat midfoot fracture,,30,1,1,"$9,739.06 ",$0.00,1,0,1,20061001
28465,CPT,"Treat midfoot fracture, each",,30,1,1,"$9,739.06 ",$0.00,1,0,1,20061001
28470,CPT,Treat metatarsal fracture,,30,1,1,$574.59 ,$0.00,1,0,1,20061001
28475,CPT,Treat metatarsal fracture,,30,1,1,$574.59 ,$0.00,1,0,1,20061001
28476,CPT,Treat metatarsal fracture,,30,1,1,"$9,739.06 ",$0.00,1,0,1,20061001
28485,CPT,Treat metatarsal fracture,,30,1,1,"$9,739.06 ",$0.00,1,0,1,20061001
28490,CPT,Treat big toe fracture,,30,1,1,$574.59 ,$0.00,1,0,1,20061001
28495,CPT,Treat big toe fracture,,30,1,1,$574.59 ,$0.00,1,0,1,20061001
28496,CPT,Treat big toe fracture,,30,1,1,"$9,739.06 ",$0.00,1,0,1,20061001
28505,CPT,Treat big toe fracture,,30,1,1,"$9,739.06 ",$0.00,1,0,1,20061001
28510,CPT,Treatment of toe fracture,,30,1,1,$574.59 ,$0.00,1,0,1,20061001
28515,CPT,Treatment of toe fracture,,30,1,1,$574.59 ,$0.00,1,0,1,20061001
28525,CPT,Treat toe fracture,,30,1,1,"$9,739.06 ",$0.00,1,0,1,20061001
28530,CPT,Treat sesamoid bone fracture,,30,1,1,$574.59 ,$0.00,1,0,1,20061001
28531,CPT,Treat sesamoid bone fracture,,30,1,1,"$9,739.06 ",$0.00,1,0,1,20061001
28540,CPT,Treat foot dislocation,,30,1,1,$574.59 ,$0.00,1,0,1,20061001
28545,CPT,Treat foot dislocation,,30,1,1,"$4,047.77 ",$0.00,1,0,1,20061001
28546,CPT,Treat foot dislocation,,30,1,1,"$9,739.06 ",$0.00,1,0,1,20061001
28555,CPT,Repair foot dislocation,,30,1,1,"$9,739.06 ",$0.00,1,0,1,20061001
28570,CPT,Treat foot dislocation,,30,1,1,$574.59 ,$0.00,1,0,1,20061001
28575,CPT,Treat foot dislocation,,30,1,1,$574.59 ,$0.00,1,0,1,20061001
28576,CPT,Treat foot dislocation,,30,1,1,"$9,739.06 ",$0.00,1,0,1,20061001
28585,CPT,Repair foot dislocation,,30,1,1,"$9,739.06 ",$0.00,1,0,1,20061001
28600,CPT,Treat foot dislocation,,30,1,1,$574.59 ,$0.00,1,0,1,20061001
28605,CPT,Treat foot dislocation,,30,1,1,$574.59 ,$0.00,1,0,1,20061001
28606,CPT,Treat foot dislocation,,30,1,1,"$9,739.06 ",$0.00,1,0,1,20061001
28615,CPT,Repair foot dislocation,,30,1,1,"$9,739.06 ",$0.00,1,0,1,20061001
28630,CPT,Treat toe dislocation,,30,1,1,$574.59 ,$0.00,1,0,1,20061001
28635,CPT,Treat toe dislocation,,30,1,1,"$4,047.77 ",$0.00,1,0,1,20061001
28636,CPT,Treat toe dislocation,,30,1,1,"$9,739.06 ",$0.00,1,0,1,20061001
28645,CPT,Repair toe dislocation,,30,1,1,"$9,739.06 ",$0.00,1,0,1,20061001
28660,CPT,Treat toe dislocation,,30,1,1,$574.59 ,$0.00,1,0,1,20061001
28665,CPT,Treat toe dislocation,,30,1,1,"$4,047.77 ",$0.00,1,0,1,20061001
28666,CPT,Treat toe dislocation,,30,1,1,"$9,739.06 ",$0.00,1,0,1,20061001
28675,CPT,Repair of toe dislocation,,30,1,1,"$9,739.06 ",$0.00,1,0,1,20061001
28705,CPT,Fusion of foot bones,,30,1,1,"$7,606.71 ",$0.00,1,0,1,20061001
28715,CPT,Fusion of foot bones,,30,1,1,"$7,606.71 ",$0.00,1,0,1,20061001
28725,CPT,Fusion of foot bones,,30,1,1,"$7,606.71 ",$0.00,1,0,1,20061001
28730,CPT,Fusion of foot bones,,30,1,1,"$7,606.71 ",$0.00,1,0,1,20061001
28735,CPT,Fusion of foot bones,,30,1,1,"$7,606.71 ",$0.00,1,0,1,20061001
28737,CPT,Revision of foot bones,,30,1,1,"$7,606.71 ",$0.00,1,0,1,20061001
28740,CPT,Fusion of foot bones,,30,1,1,"$7,606.71 ",$0.00,1,0,1,20061001
28750,CPT,Fusion of big toe joint,,30,1,1,"$7,606.71 ",$0.00,1,0,1,20061001
28755,CPT,Fusion of big toe joint,,30,1,1,"$5,632.15 ",$0.00,1,0,1,20061001
28760,CPT,Fusion of big toe joint,,30,1,1,"$7,606.71 ",$0.00,1,0,1,20061001
28810,CPT,Amputation toe & metatarsal,,30,1,1,"$5,632.15 ",$0.00,1,0,1,20061001
28820,CPT,Amputation of toe,,30,1,1,"$5,632.15 ",$0.00,1,0,1,20061001
28825,CPT,Partial amputation of toe,,30,1,1,"$5,632.15 ",$0.00,1,0,1,20061001
28890,CPT,"High energy eswt, plantar f",,30,1,1,$909.50 ,$0.00,1,0,1,20061001
28899,CPT,Foot/toes surgery procedure,,30,1,1,$574.59 ,$0.00,1,0,1,20061001
29000,CPT,Application of body cast,,30,0,1,$329.30 ,$0.00,1,0,1,20061001
29010,CPT,Application of body cast,,30,0,1,$329.30 ,$0.00,1,0,1,20061001
29015,CPT,Application of body cast,,30,0,1,$329.30 ,$0.00,1,0,1,20061001
29020,CPT,Application of body cast,,30,0,1,$329.30 ,$0.00,1,0,1,20061001
29025,CPT,Application of body cast,,30,0,1,$329.30 ,$0.00,1,0,1,20061001
29035,CPT,Application of body cast,,30,0,1,$329.30 ,$0.00,1,0,1,20061001
29040,CPT,Application of body cast,,30,0,1,$329.30 ,$0.00,1,0,1,20061001
29044,CPT,Application of body cast,,30,0,1,$329.30 ,$0.00,1,0,1,20061001
29046,CPT,Application of body cast,,30,0,1,$329.30 ,$0.00,1,0,1,20061001
29049,CPT,Application of figure eight,,30,0,1,$329.30 ,$0.00,1,0,1,20061001
29055,CPT,Application of shoulder cast,,30,0,1,$329.30 ,$0.00,1,0,1,20061001
29058,CPT,Application of shoulder cast,,30,0,1,$329.30 ,$0.00,1,0,1,20061001
29065,CPT,Application of long arm cast,,30,0,1,$329.30 ,$0.00,1,0,1,20061001
29075,CPT,Application of forearm cast,,30,0,1,$329.30 ,$0.00,1,0,1,20061001
29085,CPT,Apply hand/wrist cast,,30,0,1,$329.30 ,$0.00,1,0,1,20061001
29086,CPT,Apply finger cast,,30,0,1,$329.30 ,$0.00,1,0,1,20061001
29105,CPT,Apply long arm splint,,30,0,1,$329.30 ,$0.00,1,0,1,20061001
29125,CPT,Apply forearm splint,,30,0,1,$329.30 ,$0.00,1,0,1,20061001
29126,CPT,Apply forearm splint,,30,0,1,$329.30 ,$0.00,1,0,1,20061001
29130,CPT,Application of finger splint,,30,0,1,$329.30 ,$0.00,1,0,1,20061001
29131,CPT,Application of finger splint,,30,0,1,$329.30 ,$0.00,1,0,1,20061001
29200,CPT,Strapping of chest,,30,0,1,$329.30 ,$0.00,1,0,1,20061001
29220,CPT,Strapping of low back,,30,0,1,$329.30 ,$0.00,1,0,1,20061001
29240,CPT,Strapping of shoulder,,30,0,1,$329.30 ,$0.00,1,0,1,20061001
29260,CPT,Strapping of elbow or wrist,,30,0,1,$329.30 ,$0.00,1,0,1,20061001
29280,CPT,Strapping of hand or finger,,30,0,1,$329.30 ,$0.00,1,0,1,20061001
29305,CPT,Application of hip cast,,30,0,1,$329.30 ,$0.00,1,0,1,20061001
29325,CPT,Application of hip casts,,30,0,1,$329.30 ,$0.00,1,0,1,20061001
29345,CPT,Application of long leg cast,,30,0,1,$329.30 ,$0.00,1,0,1,20061001
29355,CPT,Application of long leg cast,,30,0,1,$329.30 ,$0.00,1,0,1,20061001
29358,CPT,Apply long leg cast brace,,30,0,1,$329.30 ,$0.00,1,0,1,20061001
29365,CPT,Application of long leg cast,,30,0,1,$329.30 ,$0.00,1,0,1,20061001
29405,CPT,Apply short leg cast,,30,0,1,$329.30 ,$0.00,1,0,1,20061001
29425,CPT,Apply short leg cast,,30,0,1,$329.30 ,$0.00,1,0,1,20061001
29435,CPT,Apply short leg cast,,30,0,1,$329.30 ,$0.00,1,0,1,20061001
29440,CPT,Addition of walker to cast,,30,0,1,$329.30 ,$0.00,1,0,1,20061001
29445,CPT,Apply rigid leg cast,,30,0,1,$329.30 ,$0.00,1,0,1,20061001
29450,CPT,Application of leg cast,,30,0,1,$329.30 ,$0.00,1,0,1,20061001
29505,CPT,"Application, long leg splint",,30,0,1,$329.30 ,$0.00,1,0,1,20061001
29515,CPT,Application lower leg splint,,30,0,1,$329.30 ,$0.00,1,0,1,20061001
29520,CPT,Strapping of hip,,30,0,1,$329.30 ,$0.00,1,0,1,20061001
29530,CPT,Strapping of knee,,30,0,1,$329.30 ,$0.00,1,0,1,20061001
29540,CPT,Strapping of ankle,,30,0,1,$329.30 ,$0.00,1,0,1,20061001
29550,CPT,Strapping of toes,,30,0,1,$329.30 ,$0.00,1,0,1,20061001
29580,CPT,Application of paste boot,,30,0,1,$329.30 ,$0.00,1,0,1,20061001
29590,CPT,Application of foot splint,,30,0,1,$329.30 ,$0.00,1,0,1,20061001
29700,CPT,Removal/revision of cast,,30,0,1,$329.30 ,$0.00,1,0,1,20061001
29705,CPT,Removal/revision of cast,,30,0,1,$329.30 ,$0.00,1,0,1,20061001
29710,CPT,Removal/revision of cast,,30,0,1,$329.30 ,$0.00,1,0,1,20061001
29715,CPT,Removal/revision of cast,,30,0,1,$329.30 ,$0.00,1,0,1,20061001
29720,CPT,Repair of body cast,,30,0,1,$329.30 ,$0.00,1,0,1,20061001
29730,CPT,Windowing of cast,,30,0,1,$329.30 ,$0.00,1,0,1,20061001
29740,CPT,Wedging of cast,,30,0,1,$329.30 ,$0.00,1,0,1,20061001
29750,CPT,Wedging of clubfoot cast,,30,0,1,$329.30 ,$0.00,1,0,1,20061001
29799,CPT,Casting/strapping procedure,,30,0,1,$329.30 ,$0.00,1,0,1,20061001
29800,CPT,Jaw arthroscopy/surgery,,30,1,1,"$8,234.70 ",$0.00,1,0,1,20061001
29804,CPT,Jaw arthroscopy/surgery,,30,1,1,"$8,234.70 ",$0.00,1,0,1,20061001
29805,CPT,"Shoulder arthroscopy, dx",,30,1,1,"$8,234.70 ",$0.00,1,0,1,20061001
29806,CPT,Shoulder arthroscopy/surgery,,30,1,1,"$8,234.70 ",$0.00,1,0,1,20061001
29807,CPT,Shoulder arthroscopy/surgery,,30,1,1,"$8,234.70 ",$0.00,1,0,1,20061001
29819,CPT,Shoulder arthroscopy/surgery,,30,1,1,"$8,234.70 ",$0.00,1,0,1,20061001
29820,CPT,Shoulder arthroscopy/surgery,,30,1,1,"$8,234.70 ",$0.00,1,0,1,20061001
29821,CPT,Shoulder arthroscopy/surgery,,30,1,1,"$8,234.70 ",$0.00,1,0,1,20061001
29822,CPT,Shoulder arthroscopy/surgery,,30,1,1,"$8,234.70 ",$0.00,1,0,1,20061001
29823,CPT,Shoulder arthroscopy/surgery,,30,1,1,"$8,234.70 ",$0.00,1,0,1,20061001
29824,CPT,Shoulder arthroscopy/surgery,,30,1,1,"$8,234.70 ",$0.00,1,0,1,20061001
29825,CPT,Shoulder arthroscopy/surgery,,30,1,1,"$8,234.70 ",$0.00,1,0,1,20061001
29826,CPT,Shoulder arthroscopy/surgery,,30,1,1,"$12,957.17 ",$0.00,1,0,1,20061001
29827,CPT,Arthroscop rotator cuff repr,,30,1,1,"$8,234.70 ",$0.00,1,0,1,20061001
29830,CPT,Elbow arthroscopy,,30,1,1,"$8,234.70 ",$0.00,1,0,1,20061001
29834,CPT,Elbow arthroscopy/surgery,,30,1,1,"$8,234.70 ",$0.00,1,0,1,20061001
29835,CPT,Elbow arthroscopy/surgery,,30,1,1,"$12,957.17 ",$0.00,1,0,1,20061001
29836,CPT,Elbow arthroscopy/surgery,,30,1,1,"$12,957.17 ",$0.00,1,0,1,20061001
29837,CPT,Elbow arthroscopy/surgery,,30,1,1,"$8,234.70 ",$0.00,1,0,1,20061001
29838,CPT,Elbow arthroscopy/surgery,,30,1,1,"$8,234.70 ",$0.00,1,0,1,20061001
29840,CPT,Wrist arthroscopy,,30,1,1,"$8,234.70 ",$0.00,1,0,1,20061001
29843,CPT,Wrist arthroscopy/surgery,,30,1,1,"$8,234.70 ",$0.00,1,0,1,20061001
29844,CPT,Wrist arthroscopy/surgery,,30,1,1,"$8,234.70 ",$0.00,1,0,1,20061001
29845,CPT,Wrist arthroscopy/surgery,,30,1,1,"$8,234.70 ",$0.00,1,0,1,20061001
29846,CPT,Wrist arthroscopy/surgery,,30,1,1,"$8,234.70 ",$0.00,1,0,1,20061001
29847,CPT,Wrist arthroscopy/surgery,,30,1,1,"$8,234.70 ",$0.00,1,0,1,20061001
29848,CPT,Wrist endoscopy/surgery,,30,1,1,"$8,234.70 ",$0.00,1,0,1,20061001
29850,CPT,Knee arthroscopy/surgery,,30,1,1,"$8,234.70 ",$0.00,1,0,1,20061001
29851,CPT,Knee arthroscopy/surgery,,30,1,1,"$8,234.70 ",$0.00,1,0,1,20061001
29855,CPT,Tibial arthroscopy/surgery,,30,1,1,"$12,957.17 ",$0.00,1,0,1,20061001
29856,CPT,Tibial arthroscopy/surgery,,30,1,1,"$8,234.70 ",$0.00,1,0,1,20061001
29860,CPT,"Hip arthroscopy, dx",,30,1,1,"$8,234.70 ",$0.00,1,0,1,20061001
29861,CPT,Hip arthroscopy/surgery,,30,1,1,"$8,234.70 ",$0.00,1,0,1,20061001
29862,CPT,Hip arthroscopy/surgery,,30,1,1,"$12,957.17 ",$0.00,1,0,1,20061001
29863,CPT,Hip arthroscopy/surgery,,30,1,1,"$12,957.17 ",$0.00,1,0,1,20061001
29866,CPT,"Autgrft implnt, knee w/scope",,30,1,1,"$2,657.17 ",$0.00,1,0,1,20061001
29867,CPT,"Allgrft implnt, knee w/scope",,30,1,1,"$2,657.17 ",$0.00,1,0,1,20061001
29868,CPT,"Meniscal trnspl, knee w/scpe",,30,1,1,"$2,657.17 ",$0.00,1,0,1,20061001
29870,CPT,"Knee arthroscopy, dx",,30,1,1,"$8,234.70 ",$0.00,1,0,1,20061001
29871,CPT,Knee arthroscopy/drainage,,30,1,1,"$8,234.70 ",$0.00,1,0,1,20061001
29873,CPT,Knee arthroscopy/surgery,,30,1,1,"$8,234.70 ",$0.00,1,0,1,20061001
29874,CPT,Knee arthroscopy/surgery,,30,1,1,"$8,234.70 ",$0.00,1,0,1,20061001
29875,CPT,Knee arthroscopy/surgery,,30,1,1,"$8,234.70 ",$0.00,1,0,1,20061001
29876,CPT,Knee arthroscopy/surgery,,30,1,1,"$8,234.70 ",$0.00,1,0,1,20061001
29877,CPT,Knee arthroscopy/surgery,,30,1,1,"$8,234.70 ",$0.00,1,0,1,20061001
29879,CPT,Knee arthroscopy/surgery,,30,1,1,"$8,234.70 ",$0.00,1,0,1,20061001
29880,CPT,Knee arthroscopy/surgery,,30,1,1,"$8,234.70 ",$0.00,1,0,1,20061001
29881,CPT,Knee arthroscopy/surgery,,30,1,1,"$8,234.70 ",$0.00,1,0,1,20061001
29882,CPT,Knee arthroscopy/surgery,,30,1,1,"$8,234.70 ",$0.00,1,0,1,20061001
29883,CPT,Knee arthroscopy/surgery,,30,1,1,"$8,234.70 ",$0.00,1,0,1,20061001
29884,CPT,Knee arthroscopy/surgery,,30,1,1,"$8,234.70 ",$0.00,1,0,1,20061001
29885,CPT,Knee arthroscopy/surgery,,30,1,1,"$8,234.70 ",$0.00,1,0,1,20061001
29886,CPT,Knee arthroscopy/surgery,,30,1,1,"$8,234.70 ",$0.00,1,0,1,20061001
29887,CPT,Knee arthroscopy/surgery,,30,1,1,"$8,234.70 ",$0.00,1,0,1,20061001
29888,CPT,Knee arthroscopy/surgery,,30,1,1,"$12,957.17 ",$0.00,1,0,1,20061001
29889,CPT,Knee arthroscopy/surgery,,30,1,1,"$12,957.17 ",$0.00,1,0,1,20061001
29891,CPT,Ankle arthroscopy/surgery,,30,1,1,"$8,234.70 ",$0.00,1,0,1,20061001
29892,CPT,Ankle arthroscopy/surgery,,30,1,1,"$8,234.70 ",$0.00,1,0,1,20061001
29893,CPT,"Scope, plantar fasciotomy",,30,1,1,"$5,632.15 ",$0.00,1,0,1,20061001
29894,CPT,Ankle arthroscopy/surgery,,30,1,1,"$8,234.70 ",$0.00,1,0,1,20061001
29895,CPT,Ankle arthroscopy/surgery,,30,1,1,"$8,234.70 ",$0.00,1,0,1,20061001
29897,CPT,Ankle arthroscopy/surgery,,30,1,1,"$8,234.70 ",$0.00,1,0,1,20061001
29898,CPT,Ankle arthroscopy/surgery,,30,1,1,"$8,234.70 ",$0.00,1,0,1,20061001
29899,CPT,Ankle arthroscopy/surgery,,30,1,1,"$8,234.70 ",$0.00,1,0,1,20061001
29900,CPT,"Mcp joint arthroscopy, dx",,30,1,1,"$4,477.45 ",$0.00,1,0,1,20061001
29901,CPT,"Mcp joint arthroscopy, surg",,30,1,1,"$4,477.45 ",$0.00,1,0,1,20061001
29902,CPT,"Mcp joint arthroscopy, surg",,30,1,1,"$4,477.45 ",$0.00,1,0,1,20061001
29999,CPT,Arthroscopy of joint,,30,1,1,"$8,234.70 ",$0.00,1,0,1,20061001
30000,CPT,Drainage of nose lesion,,30,1,1,$538.65 ,$0.00,1,0,1,20061001
30020,CPT,Drainage of nose lesion,,30,1,1,$538.65 ,$0.00,1,0,1,20061001
30100,CPT,Intranasal biopsy,,30,1,1,"$1,939.63 ",$0.00,1,0,1,20061001
30110,CPT,Removal of nose polyp(s),,30,1,1,"$4,583.99 ",$0.00,1,0,1,20061001
30115,CPT,Removal of nose polyp(s),,30,1,1,"$4,583.99 ",$0.00,1,0,1,20061001
30117,CPT,Removal of intranasal lesion,,30,1,1,"$4,583.99 ",$0.00,1,0,1,20061001
30118,CPT,Removal of intranasal lesion,,30,1,1,"$6,567.71 ",$0.00,1,0,1,20061001
30120,CPT,Revision of nose,,30,1,1,"$4,583.99 ",$0.00,1,0,1,20061001
30124,CPT,Removal of nose lesion,,30,1,1,"$1,939.63 ",$0.00,1,0,1,20061001
30125,CPT,Removal of nose lesion,,30,1,1,"$10,471.26 ",$0.00,1,0,1,20061001
30130,CPT,Removal of turbinate bones,,30,1,1,"$4,583.99 ",$0.00,1,0,1,20061001
30140,CPT,Removal of turbinate bones,,30,1,1,"$6,567.71 ",$0.00,1,0,1,20061001
30150,CPT,Partial removal of nose,,30,1,1,"$10,471.26 ",$0.00,1,0,1,20061001
30160,CPT,Removal of nose,,30,1,1,"$10,471.26 ",$0.00,1,0,1,20061001
30200,CPT,Injection treatment of nose,,30,1,1,"$4,583.99 ",$0.00,1,0,1,20061001
30210,CPT,Nasal sinus therapy,,30,1,1,"$1,939.63 ",$0.00,1,0,1,20061001
30220,CPT,Insert nasal septal button,,30,1,1,"$1,939.63 ",$0.00,1,0,1,20061001
30300,CPT,Remove nasal foreign body,,30,0,1,$190.09 ,$0.00,1,0,1,20061001
30310,CPT,Remove nasal foreign body,,30,1,1,"$4,583.99 ",$0.00,1,0,1,20061001
30320,CPT,Remove nasal foreign body,,30,1,1,"$4,583.99 ",$0.00,1,0,1,20061001
30400,CPT,Reconstruction of nose,,30,1,1,"$10,471.26 ",$0.00,1,0,1,20061001
30410,CPT,Reconstruction of nose,,30,1,1,"$10,471.26 ",$0.00,1,0,1,20061001
30420,CPT,Reconstruction of nose,,30,1,1,"$10,471.26 ",$0.00,1,0,1,20061001
30430,CPT,Revision of nose,,30,1,1,"$6,567.71 ",$0.00,1,0,1,20061001
30435,CPT,Revision of nose,,30,1,1,"$10,471.26 ",$0.00,1,0,1,20061001
30450,CPT,Revision of nose,,30,1,1,"$10,471.26 ",$0.00,1,0,1,20061001
30460,CPT,Revision of nose,,30,1,1,"$10,471.26 ",$0.00,1,0,1,20061001
30462,CPT,Revision of nose,,30,1,1,"$10,471.26 ",$0.00,1,0,1,20061001
30465,CPT,Repair nasal stenosis,,30,1,1,"$10,471.26 ",$0.00,1,0,1,20061001
30520,CPT,Repair of nasal septum,,30,1,1,"$6,567.71 ",$0.00,1,0,1,20061001
30540,CPT,Repair nasal defect,,30,1,1,"$10,471.26 ",$0.00,1,0,1,20061001
30545,CPT,Repair nasal defect,,30,1,1,"$10,471.26 ",$0.00,1,0,1,20061001
30560,CPT,Release of nasal adhesions,,30,1,1,$538.65 ,$0.00,1,0,1,20061001
30580,CPT,Repair upper jaw fistula,,30,1,1,"$10,471.26 ",$0.00,1,0,1,20061001
30600,CPT,Repair mouth/nose fistula,,30,1,1,"$10,471.26 ",$0.00,1,0,1,20061001
30620,CPT,Intranasal reconstruction,,30,1,1,"$10,471.26 ",$0.00,1,0,1,20061001
30630,CPT,Repair nasal septum defect,,30,1,1,"$6,567.71 ",$0.00,1,0,1,20061001
30801,CPT,"Cauterization, inner nose",,30,1,1,"$1,939.63 ",$0.00,1,0,1,20061001
30802,CPT,"Cauterization, inner nose",,30,1,1,"$4,583.99 ",$0.00,1,0,1,20061001
30901,CPT,Control of nosebleed,,30,1,1,$436.05 ,$0.00,1,0,1,20061001
30903,CPT,Control of nosebleed,,30,1,1,$436.05 ,$0.00,1,0,1,20061001
30905,CPT,Control of nosebleed,,30,1,1,$436.05 ,$0.00,1,0,1,20061001
30906,CPT,Repeat control of nosebleed,,30,1,1,$436.05 ,$0.00,1,0,1,20061001
30915,CPT,"Ligation, nasal sinus artery",,30,1,1,"$8,635.43 ",$0.00,1,0,1,20061001
30920,CPT,"Ligation, upper jaw artery",,30,1,1,"$7,546.46 ",$0.00,1,0,1,20061001
30930,CPT,"Therapy, fracture of nose",,30,1,1,"$4,583.99 ",$0.00,1,0,1,20061001
30999,CPT,Nasal surgery procedure,,30,1,1,$538.65 ,$0.00,1,0,1,20061001
31000,CPT,"Irrigation, maxillary sinus",,30,1,1,$538.65 ,$0.00,1,0,1,20061001
31002,CPT,"Irrigation, sphenoid sinus",,30,1,1,"$1,939.63 ",$0.00,1,0,1,20061001
31020,CPT,"Exploration, maxillary sinus",,30,1,1,"$6,567.71 ",$0.00,1,0,1,20061001
31030,CPT,"Exploration, maxillary sinus",,30,1,1,"$10,471.26 ",$0.00,1,0,1,20061001
31032,CPT,"Explore sinus, remove polyps",,30,1,1,"$10,471.26 ",$0.00,1,0,1,20061001
31040,CPT,Exploration behind upper jaw,,30,1,1,"$6,567.71 ",$0.00,1,0,1,20061001
31050,CPT,"Exploration, sphenoid sinus",,30,1,1,"$10,471.26 ",$0.00,1,0,1,20061001
31051,CPT,Sphenoid sinus surgery,,30,1,1,"$10,471.26 ",$0.00,1,0,1,20061001
31070,CPT,Exploration of frontal sinus,,30,1,1,"$6,567.71 ",$0.00,1,0,1,20061001
31075,CPT,Exploration of frontal sinus,,30,1,1,"$10,471.26 ",$0.00,1,0,1,20061001
31080,CPT,Removal of frontal sinus,,30,1,1,"$10,471.26 ",$0.00,1,0,1,20061001
31081,CPT,Removal of frontal sinus,,30,1,1,"$10,471.26 ",$0.00,1,0,1,20061001
31084,CPT,Removal of frontal sinus,,30,1,1,"$10,471.26 ",$0.00,1,0,1,20061001
31085,CPT,Removal of frontal sinus,,30,1,1,"$10,471.26 ",$0.00,1,0,1,20061001
31086,CPT,Removal of frontal sinus,,30,1,1,"$10,471.26 ",$0.00,1,0,1,20061001
31087,CPT,Removal of frontal sinus,,30,1,1,"$10,471.26 ",$0.00,1,0,1,20061001
31090,CPT,Exploration of sinuses,,30,1,1,"$10,471.26 ",$0.00,1,0,1,20061001
31200,CPT,Removal of ethmoid sinus,,30,1,1,"$10,471.26 ",$0.00,1,0,1,20061001
31201,CPT,Removal of ethmoid sinus,,30,1,1,"$10,471.26 ",$0.00,1,0,1,20061001
31205,CPT,Removal of ethmoid sinus,,30,1,1,"$10,471.26 ",$0.00,1,0,1,20061001
31231,CPT,"Nasal endoscopy, dx",,30,1,1,$256.71 ,$0.00,1,0,1,20061001
31233,CPT,"Nasal/sinus endoscopy, dx",,30,1,1,$530.60 ,$0.00,1,0,1,20061001
31235,CPT,"Nasal/sinus endoscopy, dx",,30,1,1,"$4,180.21 ",$0.00,1,0,1,20061001
31237,CPT,"Nasal/sinus endoscopy, surg",,30,1,1,"$6,139.75 ",$0.00,1,0,1,20061001
31238,CPT,"Nasal/sinus endoscopy, surg",,30,1,1,"$4,180.21 ",$0.00,1,0,1,20061001
31239,CPT,"Nasal/sinus endoscopy, surg",,30,1,1,"$6,139.75 ",$0.00,1,0,1,20061001
31240,CPT,"Nasal/sinus endoscopy, surg",,30,1,1,"$4,180.21 ",$0.00,1,0,1,20061001
31254,CPT,Revision of ethmoid sinus,,30,1,1,"$6,139.75 ",$0.00,1,0,1,20061001
31255,CPT,Removal of ethmoid sinus,,30,1,1,"$6,139.75 ",$0.00,1,0,1,20061001
31256,CPT,Exploration maxillary sinus,,30,1,1,"$6,139.75 ",$0.00,1,0,1,20061001
31267,CPT,"Endoscopy, maxillary sinus",,30,1,1,"$6,139.75 ",$0.00,1,0,1,20061001
31276,CPT,"Sinus endoscopy, surgical",,30,1,1,"$6,139.75 ",$0.00,1,0,1,20061001
31287,CPT,"Nasal/sinus endoscopy, surg",,30,1,1,"$6,139.75 ",$0.00,1,0,1,20061001
31288,CPT,"Nasal/sinus endoscopy, surg",,30,1,1,"$6,139.75 ",$0.00,1,0,1,20061001
31292,CPT,"Nasal/sinus endoscopy, surg",,30,1,1,"$1,276.53 ",$0.00,1,0,1,20061001
31299,CPT,Sinus surgery procedure,,30,1,1,"$1,939.63 ",$0.00,1,0,1,20061001
31300,CPT,Removal of larynx lesion,,30,1,1,"$6,567.71 ",$0.00,1,0,1,20061001
31320,CPT,"Diagnostic incision, larynx",,30,1,1,"$10,471.26 ",$0.00,1,0,1,20061001
31400,CPT,Revision of larynx,,30,1,1,"$10,471.26 ",$0.00,1,0,1,20061001
31420,CPT,Removal of epiglottis,,30,1,1,"$10,471.26 ",$0.00,1,0,1,20061001
31500,CPT,Insert emergency airway,,30,0,1,$914.27 ,$0.00,1,0,1,20061001
31502,CPT,Change of windpipe airway,,30,1,1,$633.48 ,$0.00,1,0,1,20061001
31505,CPT,Diagnostic laryngoscopy,,30,1,1,$256.71 ,$0.00,1,0,1,20061001
31510,CPT,Laryngoscopy with biopsy,,30,1,1,"$4,180.21 ",$0.00,1,0,1,20061001
31511,CPT,"Remove foreign body, larynx",,30,1,1,$530.60 ,$0.00,1,0,1,20061001
31512,CPT,Removal of larynx lesion,,30,1,1,"$4,180.21 ",$0.00,1,0,1,20061001
31513,CPT,Injection into vocal cord,,30,1,1,$530.60 ,$0.00,1,0,1,20061001
31515,CPT,Laryngoscopy for aspiration,,30,1,1,"$4,180.21 ",$0.00,1,0,1,20061001
31520,CPT,Diagnostic laryngoscopy,,30,1,1,$530.60 ,$0.00,1,0,1,20061001
31525,CPT,Diagnostic laryngoscopy,,30,1,1,"$4,180.21 ",$0.00,1,0,1,20061001
31526,CPT,Diagnostic laryngoscopy,,30,1,1,"$6,139.75 ",$0.00,1,0,1,20061001
31527,CPT,Laryngoscopy for treatment,,30,1,1,"$6,139.75 ",$0.00,1,0,1,20061001
31528,CPT,Laryngoscopy and dilation,,30,1,1,"$4,180.21 ",$0.00,1,0,1,20061001
31529,CPT,Laryngoscopy and dilation,,30,1,1,"$4,180.21 ",$0.00,1,0,1,20061001
31530,CPT,Operative laryngoscopy,,30,1,1,"$6,139.75 ",$0.00,1,0,1,20061001
31531,CPT,Operative laryngoscopy,,30,1,1,"$6,139.75 ",$0.00,1,0,1,20061001
31535,CPT,Operative laryngoscopy,,30,1,1,"$6,139.75 ",$0.00,1,0,1,20061001
31536,CPT,Operative laryngoscopy,,30,1,1,"$6,139.75 ",$0.00,1,0,1,20061001
31540,CPT,Operative laryngoscopy,,30,1,1,"$6,139.75 ",$0.00,1,0,1,20061001
31541,CPT,Operative laryngoscopy,,30,1,1,"$6,139.75 ",$0.00,1,0,1,20061001
31545,CPT,Remove vc lesion w/scope,,30,1,1,"$1,276.53 ",$0.00,1,0,1,20061001
31546,CPT,Remove vc lesion scope/graft,,30,1,1,"$1,276.53 ",$0.00,1,0,1,20061001
31560,CPT,Operative laryngoscopy,,30,1,1,"$6,139.75 ",$0.00,1,0,1,20061001
31561,CPT,Operative laryngoscopy,,30,1,1,"$6,139.75 ",$0.00,1,0,1,20061001
31570,CPT,Laryngoscopy with injection,,30,1,1,"$4,180.21 ",$0.00,1,0,1,20061001
31571,CPT,Laryngoscopy with injection,,30,1,1,"$6,139.75 ",$0.00,1,0,1,20061001
31575,CPT,Diagnostic laryngoscopy,,30,1,1,$530.60 ,$0.00,1,0,1,20061001
31576,CPT,Laryngoscopy with biopsy,,30,1,1,"$6,139.75 ",$0.00,1,0,1,20061001
31577,CPT,"Remove foreign body, larynx",,30,1,1,"$1,040.53 ",$0.00,1,0,1,20061001
31578,CPT,Removal of larynx lesion,,30,1,1,"$6,139.75 ",$0.00,1,0,1,20061001
31579,CPT,Diagnostic laryngoscopy,,30,1,1,"$1,040.53 ",$0.00,1,0,1,20061001
31580,CPT,Revision of larynx,,30,1,1,"$10,471.26 ",$0.00,1,0,1,20061001
31582,CPT,Revision of larynx,,30,1,1,"$10,471.26 ",$0.00,1,0,1,20061001
31588,CPT,Revision of larynx,,30,1,1,"$10,471.26 ",$0.00,1,0,1,20061001
31590,CPT,Reinnervate larynx,,30,1,1,"$10,471.26 ",$0.00,1,0,1,20061001
31595,CPT,Larynx nerve surgery,,30,1,1,"$10,471.26 ",$0.00,1,0,1,20061001
31599,CPT,Larynx surgery procedure,,30,1,1,"$6,567.71 ",$0.00,1,0,1,20061001
31600,CPT,Incision of windpipe,,30,1,1,"$6,567.71 ",$0.00,1,0,1,20061001
31601,CPT,Incision of windpipe,,30,1,1,"$6,567.71 ",$0.00,1,0,1,20061001
31603,CPT,Incision of windpipe,,30,1,1,"$1,939.63 ",$0.00,1,0,1,20061001
31605,CPT,Incision of windpipe,,30,1,1,"$4,583.99 ",$0.00,1,0,1,20061001
31610,CPT,Incision of windpipe,,30,1,1,"$6,567.71 ",$0.00,1,0,1,20061001
31611,CPT,Surgery/speech prosthesis,,30,1,1,"$6,567.71 ",$0.00,1,0,1,20061001
31612,CPT,Puncture/clear windpipe,,30,1,1,"$6,567.71 ",$0.00,1,0,1,20061001
31613,CPT,Repair windpipe opening,,30,1,1,"$6,567.71 ",$0.00,1,0,1,20061001
31614,CPT,Repair windpipe opening,,30,1,1,"$10,471.26 ",$0.00,1,0,1,20061001
31615,CPT,Visualization of windpipe,,30,1,1,"$2,779.84 ",$0.00,1,0,1,20061001
31620,CPT,Endobronchial us add-on,,30,0,1,"$1,852.43 ",$0.00,1,0,1,20061001
31622,CPT,Dx bronchoscope/wash,,30,1,1,"$2,779.84 ",$0.00,1,0,1,20061001
31623,CPT,Dx bronchoscope/brush,,30,1,1,"$2,779.84 ",$0.00,1,0,1,20061001
31624,CPT,Dx bronchoscope/lavage,,30,1,1,"$2,779.84 ",$0.00,1,0,1,20061001
31625,CPT,Bronchoscopy w/biopsy(s),,30,1,1,"$2,779.84 ",$0.00,1,0,1,20061001
31628,CPT,"Bronchoscopy/lung bx, each",,30,1,1,"$2,779.84 ",$0.00,1,0,1,20061001
31629,CPT,"Bronchoscopy/needle bx, each",,30,1,1,"$2,779.84 ",$0.00,1,0,1,20061001
31630,CPT,Bronchoscopy dilate/fx repr,,30,1,1,"$6,229.29 ",$0.00,1,0,1,20061001
31631,CPT,"Bronchoscopy, dilate w/stent",,30,1,1,"$6,229.29 ",$0.00,1,0,1,20061001
31632,CPT,"Bronchoscopy/lung bx, add?l",,30,1,1,"$2,779.84 ",$0.00,1,0,1,20061001
31633,CPT,Bronchoscopy/needle bx add?l,,30,1,1,"$2,779.84 ",$0.00,1,0,1,20061001
31635,CPT,Bronchoscopy w/fb removal,,30,1,1,"$2,779.84 ",$0.00,1,0,1,20061001
31636,CPT,"Bronchoscopy, bronch stents",,30,1,1,"$1,340.84 ",$0.00,1,0,1,20061001
31637,CPT,"Bronchoscopy, stent add-on",,30,1,1,$575.41 ,$0.00,1,0,1,20061001
31638,CPT,"Bronchoscopy, revise stent",,30,1,1,"$1,340.84 ",$0.00,1,0,1,20061001
31640,CPT,Bronchoscopy w/tumor excise,,30,1,1,"$6,229.29 ",$0.00,1,0,1,20061001
31641,CPT,"Bronchoscopy, treat blockage",,30,1,1,"$6,229.29 ",$0.00,1,0,1,20061001
31643,CPT,Diag bronchoscope/catheter,,30,1,1,"$2,779.84 ",$0.00,1,0,1,20061001
31645,CPT,"Bronchoscopy, clear airways",,30,1,1,"$2,779.84 ",$0.00,1,0,1,20061001
31646,CPT,"Bronchoscopy, reclear airway",,30,1,1,"$2,779.84 ",$0.00,1,0,1,20061001
31656,CPT,"Bronchoscopy, inj for x-ray",,30,1,1,"$2,779.84 ",$0.00,1,0,1,20061001
31700,CPT,Insertion of airway catheter,,30,1,1,$530.60 ,$0.00,1,0,1,20061001
31717,CPT,Bronchial brush biopsy,,30,1,1,"$1,040.53 ",$0.00,1,0,1,20061001
31720,CPT,Clearance of airways,,30,1,1,$256.71 ,$0.00,1,0,1,20061001
31730,CPT,"Intro, windpipe wire/tube",,30,1,1,"$1,040.53 ",$0.00,1,0,1,20061001
31750,CPT,Repair of windpipe,,30,1,1,"$10,471.26 ",$0.00,1,0,1,20061001
31755,CPT,Repair of windpipe,,30,1,1,"$10,471.26 ",$0.00,1,0,1,20061001
31785,CPT,Remove windpipe lesion,,30,1,1,"$6,567.71 ",$0.00,1,0,1,20061001
31820,CPT,Closure of windpipe lesion,,30,1,1,"$4,583.99 ",$0.00,1,0,1,20061001
31825,CPT,Repair of windpipe defect,,30,1,1,"$6,567.71 ",$0.00,1,0,1,20061001
31830,CPT,Revise windpipe scar,,30,1,1,"$6,567.71 ",$0.00,1,0,1,20061001
31899,CPT,Airways surgical procedure,,30,1,1,"$2,779.84 ",$0.00,1,0,1,20061001
32000,CPT,Drainage of chest,,30,1,1,$924.87 ,$0.00,1,0,1,20061001
32002,CPT,Treatment of collapsed lung,,30,1,1,$924.87 ,$0.00,1,0,1,20061001
32005,CPT,Treat lung lining chemically,,30,1,1,$924.87 ,$0.00,1,0,1,20061001
32019,CPT,Insert pleural catheter,,30,1,1,$202.22 ,$0.00,1,0,1,20061001
32020,CPT,Insertion of chest tube,,30,1,1,$924.87 ,$0.00,1,0,1,20061001
32201,CPT,"Drain, percut, lung lesion",,30,1,1,$924.87 ,$0.00,1,0,1,20061001
32400,CPT,Needle biopsy chest lining,,30,1,1,$984.98 ,$0.00,1,0,1,20061001
32405,CPT,"Biopsy, lung or mediastinum",,30,1,1,"$1,435.54 ",$0.00,1,0,1,20061001
32420,CPT,Puncture/clear lung,,30,1,1,$924.87 ,$0.00,1,0,1,20061001
32601,CPT,"Thoracoscopy, diagnostic",,30,1,1,"$8,717.63 ",$0.00,1,0,1,20061001
32602,CPT,"Thoracoscopy, diagnostic",,30,1,1,"$8,717.63 ",$0.00,1,0,1,20061001
32603,CPT,"Thoracoscopy, diagnostic",,30,1,1,"$8,717.63 ",$0.00,1,0,1,20061001
32604,CPT,"Thoracoscopy, diagnostic",,30,1,1,"$8,717.63 ",$0.00,1,0,1,20061001
32605,CPT,"Thoracoscopy, diagnostic",,30,1,1,"$8,717.63 ",$0.00,1,0,1,20061001
32606,CPT,"Thoracoscopy, diagnostic",,30,1,1,"$8,717.63 ",$0.00,1,0,1,20061001
32960,CPT,Therapeutic pneumothorax,,30,1,1,$924.87 ,$0.00,1,0,1,20061001
32999,CPT,Chest surgery procedure,,30,1,1,$924.87 ,$0.00,1,0,1,20061001
33010,CPT,Drainage of heart sac,,30,1,1,$924.87 ,$0.00,1,0,1,20061001
33011,CPT,Repeat drainage of heart sac,,30,1,1,$924.87 ,$0.00,1,0,1,20061001
33206,CPT,Insertion of heart pacemaker,,30,1,1,"$25,780.51 ",$0.00,1,0,1,20061001
33207,CPT,Insertion of heart pacemaker,,30,1,1,"$25,780.51 ",$0.00,1,0,1,20061001
33208,CPT,Insertion of heart pacemaker,,30,1,1,"$25,957.35 ",$0.00,1,0,1,20061001
33210,CPT,Insertion of heart electrode,,30,1,1,"$17,764.69 ",$0.00,1,0,1,20061001
33211,CPT,Insertion of heart electrode,,30,1,1,"$17,764.69 ",$0.00,1,0,1,20061001
33212,CPT,Insertion of pulse generator,,30,1,1,"$24,084.67 ",$0.00,1,0,1,20061001
33213,CPT,Insertion of pulse generator,,30,1,1,"$25,548.02 ",$0.00,1,0,1,20061001
33214,CPT,Upgrade of pacemaker system,,30,1,1,"$25,957.35 ",$0.00,1,0,1,20061001
33215,CPT,Reposition pacing-defib lead,,30,1,1,"$5,773.21 ",$0.00,1,0,1,20061001
33216,CPT,Revise eltrd pacing-defib,,30,1,1,"$17,764.69 ",$0.00,1,0,1,20061001
33217,CPT,"Insert lead pace-defib, dual",,30,1,1,"$17,764.69 ",$0.00,1,0,1,20061001
33218,CPT,"Repair lead pace-defib, one",,30,1,1,"$17,764.69 ",$0.00,1,0,1,20061001
33220,CPT,"Repair lead pace-defib, dual",,30,1,1,"$17,764.69 ",$0.00,1,0,1,20061001
33222,CPT,"Revise pocket, pacemaker",,30,1,1,"$4,779.13 ",$0.00,1,0,1,20061001
33223,CPT,"Revise pocket, pacing-defib",,30,1,1,"$4,779.13 ",$0.00,1,0,1,20061001
33224,CPT,Insert pacing lead & connect,,30,1,1,"$4,156.33 ",$0.00,1,0,1,20061001
33225,CPT,L ventric pacing lead add-on,,30,1,1,"$5,623.27 ",$0.00,1,0,1,20061001
33226,CPT,Reposition l ventric lead,,30,1,1,"$5,773.21 ",$0.00,1,0,1,20061001
33233,CPT,Removal of pacemaker system,,30,1,1,"$5,773.21 ",$0.00,1,0,1,20061001
33234,CPT,Removal of pacemaker system,,30,1,1,"$5,773.21 ",$0.00,1,0,1,20061001
33235,CPT,Removal pacemaker electrode,,30,1,1,"$5,773.21 ",$0.00,1,0,1,20061001
33241,CPT,Remove pulse generator,,30,1,1,"$5,773.21 ",$0.00,1,0,1,20061001
33244,CPT,"Remove eltrd, transven",,30,1,1,"$5,773.21 ",$0.00,1,0,1,20061001
33282,CPT,Implant pat-active ht record,,30,0,1,"$18,920.25 ",$0.00,1,0,1,20061001
33284,CPT,Remove pat-active ht record,,30,1,1,"$2,248.50 ",$0.00,1,0,1,20061001
33999,CPT,Cardiac surgery procedure,,30,1,1,$924.87 ,$0.00,1,0,1,20061001
34101,CPT,Removal of artery clot,,30,1,1,"$10,406.89 ",$0.00,1,0,1,20061001
34111,CPT,Removal of arm artery clot,,30,1,1,"$10,406.89 ",$0.00,1,0,1,20061001
34201,CPT,Removal of artery clot,,30,1,1,"$10,406.89 ",$0.00,1,0,1,20061001
34203,CPT,Removal of leg artery clot,,30,1,1,"$10,406.89 ",$0.00,1,0,1,20061001
34421,CPT,Removal of vein clot,,30,1,1,"$10,406.89 ",$0.00,1,0,1,20061001
34471,CPT,Removal of vein clot,,30,1,1,"$10,406.89 ",$0.00,1,0,1,20061001
34490,CPT,Removal of vein clot,,30,1,1,"$10,406.89 ",$0.00,1,0,1,20061001
34501,CPT,"Repair valve, femoral vein",,30,1,1,"$10,406.89 ",$0.00,1,0,1,20061001
34510,CPT,Transposition of vein valve,,30,1,1,"$10,406.89 ",$0.00,1,0,1,20061001
34520,CPT,Cross-over vein graft,,30,1,1,"$10,406.89 ",$0.00,1,0,1,20061001
34530,CPT,Leg vein fusion,,30,1,1,"$10,406.89 ",$0.00,1,0,1,20061001
35011,CPT,Repair defect of artery,,30,1,1,"$8,903.38 ",$0.00,1,0,1,20061001
35180,CPT,Repair blood vessel lesion,,30,1,1,"$6,311.41 ",$0.00,1,0,1,20061001
35184,CPT,Repair blood vessel lesion,,30,1,1,"$6,311.41 ",$0.00,1,0,1,20061001
35188,CPT,Repair blood vessel lesion,,30,1,1,"$10,406.89 ",$0.00,1,0,1,20061001
35190,CPT,Repair blood vessel lesion,,30,1,1,"$6,311.41 ",$0.00,1,0,1,20061001
35201,CPT,Repair blood vessel lesion,,30,1,1,"$6,311.41 ",$0.00,1,0,1,20061001
35206,CPT,Repair blood vessel lesion,,30,1,1,"$6,311.41 ",$0.00,1,0,1,20061001
35207,CPT,Repair blood vessel lesion,,30,1,1,"$10,406.89 ",$0.00,1,0,1,20061001
35226,CPT,Repair blood vessel lesion,,30,1,1,"$6,311.41 ",$0.00,1,0,1,20061001
35231,CPT,Repair blood vessel lesion,,30,1,1,"$6,311.41 ",$0.00,1,0,1,20061001
35236,CPT,Repair blood vessel lesion,,30,1,1,"$6,311.41 ",$0.00,1,0,1,20061001
35256,CPT,Repair blood vessel lesion,,30,1,1,"$6,311.41 ",$0.00,1,0,1,20061001
35261,CPT,Repair blood vessel lesion,,30,1,1,"$8,903.38 ",$0.00,1,0,1,20061001
35266,CPT,Repair blood vessel lesion,,30,1,1,"$8,903.38 ",$0.00,1,0,1,20061001
35286,CPT,Repair blood vessel lesion,,30,1,1,"$8,903.38 ",$0.00,1,0,1,20061001
35321,CPT,Rechanneling of artery,,30,1,1,"$6,311.41 ",$0.00,1,0,1,20061001
35458,CPT,Repair arterial blockage,,30,1,1,"$10,536.99 ",$0.00,1,0,1,20061001
35459,CPT,Repair arterial blockage,,30,1,1,"$10,536.99 ",$0.00,1,0,1,20061001
35460,CPT,Repair venous blockage,,30,1,1,"$10,536.99 ",$0.00,1,0,1,20061001
35470,CPT,Repair arterial blockage,,30,1,1,"$10,536.99 ",$0.00,1,0,1,20061001
35471,CPT,Repair arterial blockage,,30,1,1,"$10,536.99 ",$0.00,1,0,1,20061001
35472,CPT,Repair arterial blockage,,30,1,1,"$10,536.99 ",$0.00,1,0,1,20061001
35473,CPT,Repair arterial blockage,,30,1,1,"$10,536.99 ",$0.00,1,0,1,20061001
35474,CPT,Repair arterial blockage,,30,1,1,"$10,536.99 ",$0.00,1,0,1,20061001
35475,CPT,Repair arterial blockage,,30,1,1,"$10,536.99 ",$0.00,1,0,1,20061001
35476,CPT,Repair venous blockage,,30,1,1,"$10,536.99 ",$0.00,1,0,1,20061001
35484,CPT,"Atherectomy, open",,30,1,1,"$10,536.99 ",$0.00,1,0,1,20061001
35485,CPT,"Atherectomy, open",,30,1,1,"$10,536.99 ",$0.00,1,0,1,20061001
35490,CPT,"Atherectomy, percutaneous",,30,1,1,"$10,536.99 ",$0.00,1,0,1,20061001
35491,CPT,"Atherectomy, percutaneous",,30,1,1,"$10,536.99 ",$0.00,1,0,1,20061001
35492,CPT,"Atherectomy, percutaneous",,30,1,1,"$10,536.99 ",$0.00,1,0,1,20061001
35493,CPT,"Atherectomy, percutaneous",,30,1,1,"$10,536.99 ",$0.00,1,0,1,20061001
35494,CPT,"Atherectomy, percutaneous",,30,1,1,"$10,536.99 ",$0.00,1,0,1,20061001
35495,CPT,"Atherectomy, percutaneous",,30,1,1,"$10,536.99 ",$0.00,1,0,1,20061001
35500,CPT,Harvest vein for bypass,,30,1,1,"$10,536.99 ",$0.00,1,0,1,20061001
35685,CPT,Bypass graft patency/patch,,30,1,1,"$6,311.41 ",$0.00,1,0,1,20061001
35686,CPT,Bypass graft/av fist patency,,30,1,1,"$6,311.41 ",$0.00,1,0,1,20061001
35761,CPT,Exploration of artery/vein,,30,1,1,"$7,705.58 ",$0.00,1,0,1,20061001
35860,CPT,Explore limb vessels,,30,1,1,"$6,311.41 ",$0.00,1,0,1,20061001
35875,CPT,Removal of clot in graft,,30,1,1,"$10,406.89 ",$0.00,1,0,1,20061001
35876,CPT,Removal of clot in graft,,30,1,1,"$10,406.89 ",$0.00,1,0,1,20061001
35879,CPT,Revise graft w/vein,,30,1,1,"$10,406.89 ",$0.00,1,0,1,20061001
35881,CPT,Revise graft w/vein,,30,1,1,"$10,406.89 ",$0.00,1,0,1,20061001
35903,CPT,"Excision, graft, extremity",,30,1,1,"$7,705.58 ",$0.00,1,0,1,20061001
36002,CPT,Pseudoaneurysm injection trt,,30,0,1,$727.78 ,$0.00,1,0,1,20061001
36260,CPT,Insertion of infusion pump,,30,1,1,"$26,110.98 ",$0.00,1,0,1,20061001
36261,CPT,Revision of infusion pump,,30,1,1,"$6,956.10 ",$0.00,1,0,1,20061001
36262,CPT,Removal of infusion pump,,30,1,1,"$6,956.10 ",$0.00,1,0,1,20061001
36415,CPT,Drawing blood,,30,0,,$14.93 ,$0.00,1,0,1,20061001
36420,CPT,Vein access cutdown < 1 yr,,30,1,1,$44.21 ,$0.00,1,0,1,20061001
36425,CPT,Vein access cutdown > 1 yr,,30,1,1,$44.21 ,$0.00,1,0,1,20061001
36430,CPT,Blood transfusion service,,30,0,1,"$1,104.91 ",$0.00,1,0,1,20061001
36440,CPT,"Bl push transfuse, 2 yr or <",,30,0,1,"$1,104.91 ",$0.00,1,0,1,20061001
36450,CPT,"Bl exchange/transfuse, nb",,30,0,1,"$1,104.91 ",$0.00,1,0,1,20061001
36455,CPT,Bl exchange/transfuse non-nb,,30,0,1,"$1,104.91 ",$0.00,1,0,1,20061001
36460,CPT,"Transfusion service, fetal",,30,0,1,"$1,104.91 ",$0.00,1,0,1,20061001
36468,CPT,"Injection(s), spider veins",,30,1,1,$323.22 ,$0.00,1,0,1,20061001
36469,CPT,"Injection(s), spider veins",,30,1,1,$323.22 ,$0.00,1,0,1,20061001
36470,CPT,Injection therapy of vein,,30,1,1,$323.22 ,$0.00,1,0,1,20061001
36471,CPT,Injection therapy of veins,,30,1,1,$323.22 ,$0.00,1,0,1,20061001
36475,CPT,"Endovenous rf, 1st vein",,30,1,1,"$1,645.95 ",$0.00,1,0,1,20061001
36476,CPT,"Endovenous rf, vein add-on",,30,1,1,"$1,645.95 ",$0.00,1,0,1,20061001
36478,CPT,"Endovenous laser, 1st vein",,30,1,1,"$1,645.95 ",$0.00,1,0,1,20061001
36479,CPT,Endovenous laser vein addon,,30,1,1,"$1,645.95 ",$0.00,1,0,1,20061001
36511,CPT,Apheresis wbc,,30,0,1,"$3,967.90 ",$0.00,1,0,1,20061001
36512,CPT,Apheresis rbc,,30,0,1,"$3,967.90 ",$0.00,1,0,1,20061001
36513,CPT,Apheresis platelets,,30,0,1,"$3,967.90 ",$0.00,1,0,1,20061001
36514,CPT,Apheresis plasma,,30,0,1,"$3,967.90 ",$0.00,1,0,1,20061001
36515,CPT,"Apheresis, adsorp/reinfuse",,30,0,1,"$11,321.57 ",$0.00,1,0,1,20061001
36516,CPT,"Apheresis, selective",,30,0,1,"$11,321.57 ",$0.00,1,0,1,20061001
36522,CPT,Photopheresis,,30,0,1,"$11,321.57 ",$0.00,1,0,1,20061001
36550,CPT,Declot vascular device,,30,1,1,$653.86 ,$0.00,1,0,1,20061001
36555,CPT,Insert non-tunnel cv cath,,30,1,1,"$3,455.33 ",$0.00,1,0,1,20061001
36556,CPT,Insert non-tunnel cv cath,,30,1,1,"$3,455.33 ",$0.00,1,0,1,20061001
36557,CPT,Insert tunneled cv cath,,30,1,1,"$3,455.33 ",$0.00,1,0,1,20061001
36558,CPT,Insert tunneled cv cath,,30,1,1,"$3,455.33 ",$0.00,1,0,1,20061001
36560,CPT,Insert tunneled cv cath,,30,1,1,"$7,705.58 ",$0.00,1,0,1,20061001
36561,CPT,Insert tunneled cv cath,,30,1,1,"$7,705.58 ",$0.00,1,0,1,20061001
36563,CPT,Insert tunneled cv cath,,30,1,1,"$7,705.58 ",$0.00,1,0,1,20061001
36565,CPT,Insert tunneled cv cath,,30,1,1,"$7,705.58 ",$0.00,1,0,1,20061001
36566,CPT,Insert tunneled cv cath,,30,1,1,"$23,068.40 ",$0.00,1,0,1,20061001
36568,CPT,Insert tunneled cv cath,,30,1,1,"$3,455.33 ",$0.00,1,0,1,20061001
36569,CPT,Insert tunneled cv cath,,30,1,1,"$3,455.33 ",$0.00,1,0,1,20061001
36570,CPT,Insert tunneled cv cath,,30,1,1,"$3,455.33 ",$0.00,1,0,1,20061001
36571,CPT,Insert tunneled cv cath,,30,1,1,"$3,455.33 ",$0.00,1,0,1,20061001
36575,CPT,Repair tunneled cv cath,,30,1,1,"$1,436.55 ",$0.00,1,0,1,20061001
36576,CPT,Repair tunneled cv cath,,30,1,1,"$1,436.55 ",$0.00,1,0,1,20061001
36578,CPT,Replace tunneled cv cath,,30,1,1,"$1,436.55 ",$0.00,1,0,1,20061001
36580,CPT,Replace tunneled cv cath,,30,1,1,"$3,455.33 ",$0.00,1,0,1,20061001
36581,CPT,Replace tunneled cv cath,,30,1,1,"$3,455.33 ",$0.00,1,0,1,20061001
36582,CPT,Replace tunneled cv cath,,30,1,1,"$7,705.58 ",$0.00,1,0,1,20061001
36583,CPT,Replace tunneled cv cath,,30,1,1,"$7,705.58 ",$0.00,1,0,1,20061001
36584,CPT,Replace tunneled cv cath,,30,1,1,"$3,455.33 ",$0.00,1,0,1,20061001
36585,CPT,Replace tunneled cv cath,,30,1,1,"$3,455.33 ",$0.00,1,0,1,20061001
36589,CPT,Removal tunneled cv cath,,30,1,1,"$1,436.55 ",$0.00,1,0,1,20061001
36590,CPT,Removal tunneled cv cath,,30,1,1,"$2,248.50 ",$0.00,1,0,1,20061001
36595,CPT,Mech remov tunneled cv cath,,30,1,1,"$1,222.46 ",$0.00,1,0,1,20061001
36596,CPT,Mech remov tunneled cv cath,,30,1,1,"$1,222.46 ",$0.00,1,0,1,20061001
36597,CPT,Reposition venous catheter,,30,1,1,"$1,436.55 ",$0.00,1,0,1,20061001
36598,CPT,"Inj w/fluor, eval cv device",,30,0,1,$39.08 ,$0.00,1,0,1,20061001
36640,CPT,"Insertion catheter, artery",,30,1,1,"$3,455.33 ",$0.00,1,0,1,20061001
36680,CPT,"Insert needle, bone cavity",,30,1,1,$743.39 ,$0.00,1,0,1,20061001
36800,CPT,Insertion of cannula,,30,1,1,"$7,705.58 ",$0.00,1,0,1,20061001
36810,CPT,Insertion of cannula,,30,1,1,"$7,705.58 ",$0.00,1,0,1,20061001
36815,CPT,Insertion of cannula,,30,1,1,"$7,705.58 ",$0.00,1,0,1,20061001
36818,CPT,"Av fuse, uppr arm, cephalic",,30,1,1,"$2,196.70 ",$0.00,1,0,1,20061001
36819,CPT,Av fusion/uppr arm vein,,30,1,1,"$10,406.89 ",$0.00,1,0,1,20061001
36820,CPT,Av fusion/forearm vein,,30,1,1,"$10,406.89 ",$0.00,1,0,1,20061001
36821,CPT,Av fusion direct any site,,30,1,1,"$10,406.89 ",$0.00,1,0,1,20061001
36825,CPT,Artery-vein autograft,,30,1,1,"$10,406.89 ",$0.00,1,0,1,20061001
36830,CPT,Artery-vein graft,,30,1,1,"$10,406.89 ",$0.00,1,0,1,20061001
36831,CPT,Open thrombect av fistula,,30,1,1,"$10,406.89 ",$0.00,1,0,1,20061001
36832,CPT,"Av fistula revision, open",,30,1,1,"$10,406.89 ",$0.00,1,0,1,20061001
36833,CPT,Av fistula revision,,30,1,1,"$10,406.89 ",$0.00,1,0,1,20061001
36834,CPT,Repair A-V aneurysm,,30,1,1,"$10,406.89 ",$0.00,1,0,1,20061001
36835,CPT,Artery to vein shunt,,30,1,1,"$7,705.58 ",$0.00,1,0,1,20061001
36838,CPT,"Dist revas ligation, hemo",,30,1,1,"$10,406.89 ",$0.00,1,0,1,20061001
36860,CPT,External cannula declotting,,30,1,1,"$3,500.47 ",$0.00,1,0,1,20061001
36861,CPT,Cannula declotting,,30,1,1,"$7,705.58 ",$0.00,1,0,1,20061001
36870,CPT,Percut thrombect av fistula,,30,1,1,"$8,903.38 ",$0.00,1,0,1,20061001
37184,CPT,Prim art mech thrombectomy,,30,1,1,"$2,352.40 ",$0.00,1,0,1,20061001
37185,CPT,Prim art m-thrombect add-on,,30,1,1,$957.88 ,$0.00,1,0,1,20061001
37186,CPT,Sec art m-thrombect add-on,,30,1,1,$957.88 ,$0.00,1,0,1,20061001
37187,CPT,Venous mech thrombectomy,,30,1,1,"$2,352.40 ",$0.00,1,0,1,20061001
37188,CPT,Venous m-thrombectomy add-on,,30,1,1,"$2,352.40 ",$0.00,1,0,1,20061001
37195,CPT,"Thrombolytic therapy, stroke",,30,1,1,$144.82 ,$0.00,1,0,1,20061001
37200,CPT,Transcatheter biopsy,,30,1,1,"$1,435.54 ",$0.00,1,0,1,20061001
37201,CPT,Transcatheter therapy infuse,,30,1,1,$939.74 ,$0.00,1,0,1,20061001
37202,CPT,Transcatheter therapy infuse,,30,1,1,$653.86 ,$0.00,1,0,1,20061001
37203,CPT,Transcatheter retrieval,,30,1,1,"$3,500.47 ",$0.00,1,0,1,20061001
37204,CPT,Transcatheter occlusion,,30,1,1,"$7,705.58 ",$0.00,1,0,1,20061001
37205,CPT,Transcatheter stent,,30,1,1,"$18,673.70 ",$0.00,1,0,1,20061001
37206,CPT,Transcatheter stent add-on,,30,1,1,"$18,673.70 ",$0.00,1,0,1,20061001
37207,CPT,Transcatheter stent,,30,1,1,"$18,673.70 ",$0.00,1,0,1,20061001
37208,CPT,Transcatheter stent add-on,,30,1,1,"$18,673.70 ",$0.00,1,0,1,20061001
37209,CPT,Exchange arterial catheter,,30,1,1,"$3,500.47 ",$0.00,1,0,1,20061001
37250,CPT,Iv us first vessel add-on,,30,0,1,"$9,525.53 ",$0.00,1,0,1,20061001
37251,CPT,Iv us each add vessel add-on,,30,0,1,"$9,525.53 ",$0.00,1,0,1,20061001
37500,CPT,Endoscopy ligate perf veins,,30,1,1,"$7,546.46 ",$0.00,1,0,1,20061001
37501,CPT,Vascular endoscopy procedure,,30,1,1,"$7,546.46 ",$0.00,1,0,1,20061001
37565,CPT,Ligation of neck vein,,30,1,1,"$6,311.41 ",$0.00,1,0,1,20061001
37600,CPT,Ligation of neck artery,,30,1,1,"$6,311.41 ",$0.00,1,0,1,20061001
37605,CPT,Ligation of neck artery,,30,1,1,"$8,635.43 ",$0.00,1,0,1,20061001
37606,CPT,Ligation of neck artery,,30,1,1,"$8,635.43 ",$0.00,1,0,1,20061001
37607,CPT,Ligation of a-v fistula,,30,1,1,"$7,546.46 ",$0.00,1,0,1,20061001
37609,CPT,Temporal artery procedure,,30,1,1,"$4,293.64 ",$0.00,1,0,1,20061001
37615,CPT,Ligation of neck artery,,30,1,1,"$8,635.43 ",$0.00,1,0,1,20061001
37620,CPT,Revision of major vein,,30,1,1,"$8,635.43 ",$0.00,1,0,1,20061001
37650,CPT,Revision of major vein,,30,1,1,"$8,635.43 ",$0.00,1,0,1,20061001
37700,CPT,Revise leg vein,,30,1,1,"$8,635.43 ",$0.00,1,0,1,20061001
37718,CPT,Ligate/strip short leg vein,,30,1,1,"$1,688.10 ",$0.00,1,0,1,20061001
37722,CPT,Ligate/strip long leg vein,,30,1,1,"$1,688.10 ",$0.00,1,0,1,20061001
37735,CPT,Removal of leg veins/lesion,,30,1,1,"$7,546.46 ",$0.00,1,0,1,20061001
37760,CPT,Revision of leg veins,,30,1,1,"$8,635.43 ",$0.00,1,0,1,20061001
37765,CPT,Phleb veins - extrem - to 20,,30,1,1,"$8,635.43 ",$0.00,1,0,1,20061001
37766,CPT,Phleb veins - extrem 20+,,30,1,1,"$8,635.43 ",$0.00,1,0,1,20061001
37780,CPT,Revision of leg vein,,30,1,1,"$8,635.43 ",$0.00,1,0,1,20061001
37785,CPT,Ligate/divide/excise vein,,30,1,1,"$8,635.43 ",$0.00,1,0,1,20061001
37790,CPT,Penile venous occlusion,,30,1,1,"$8,863.00 ",$0.00,1,0,1,20061001
37799,CPT,Vascular surgery procedure,,30,1,1,$44.21 ,$0.00,1,0,1,20061001
38120,CPT,"Laparoscopy, splenectomy",,30,1,1,"$12,159.93 ",$0.00,1,0,1,20061001
38129,CPT,"Laparoscope proc, spleen",,30,1,1,"$9,807.60 ",$0.00,1,0,1,20061001
38204,CPT,MGMT RECIP HEM PROGNATOR CELLS DONR SEARCH&ACQN,,30,0,2,$132.94 ,$0.00,1,0,1,20061001
38205,CPT,Harvest allogenic stem cells,,30,0,1,"$3,967.90 ",$0.00,1,0,1,20061001
38206,CPT,Harvest auto stem cells,,30,0,1,"$3,967.90 ",$0.00,1,0,1,20061001
38220,CPT,Bone marrow aspiration,,30,1,1,$681.64 ,$0.00,1,0,1,20061001
38221,CPT,Bone marrow biopsy,,30,1,1,$681.64 ,$0.00,1,0,1,20061001
38230,CPT,Bone marrow collection,,30,0,1,"$3,967.90 ",$0.00,1,0,1,20061001
38240,CPT,Bone marrow/stem transplant,,30,0,1,"$1,852.57 ",$0.00,1,0,1,20061001
38241,CPT,Bone marrow/stem transplant,,30,0,1,"$1,852.57 ",$0.00,1,0,1,20061001
38242,CPT,Lymphocyte infuse transplant,,30,0,1,"$3,967.90 ",$0.00,1,0,1,20061001
38300,CPT,"Drainage, lymph node lesion",,30,1,1,"$5,869.10 ",$0.00,1,0,1,20061001
38305,CPT,"Drainage, lymph node lesion",,30,1,1,"$5,869.10 ",$0.00,1,0,1,20061001
38308,CPT,Incision of lymph channels,,30,1,1,"$5,996.11 ",$0.00,1,0,1,20061001
38500,CPT,"Biopsy/removal, lymph nodes",,30,1,1,"$5,996.11 ",$0.00,1,0,1,20061001
38505,CPT,"Needle biopsy, lymph nodes",,30,1,1,$984.98 ,$0.00,1,0,1,20061001
38510,CPT,"Biopsy/removal, lymph nodes",,30,1,1,"$5,996.11 ",$0.00,1,0,1,20061001
38520,CPT,"Biopsy/removal, lymph nodes",,30,1,1,"$5,996.11 ",$0.00,1,0,1,20061001
38525,CPT,"Biopsy/removal, lymph nodes",,30,1,1,"$5,996.11 ",$0.00,1,0,1,20061001
38530,CPT,"Biopsy/removal, lymph nodes",,30,1,1,"$5,996.11 ",$0.00,1,0,1,20061001
38542,CPT,"Explore deep node(s), neck",,30,1,1,"$11,091.92 ",$0.00,1,0,1,20061001
38550,CPT,"Removal, neck/armpit lesion",,30,1,1,"$5,996.11 ",$0.00,1,0,1,20061001
38555,CPT,"Removal, neck/armpit lesion",,30,1,1,"$5,996.11 ",$0.00,1,0,1,20061001
38570,CPT,"Laparoscopy, lymph node biop",,30,1,1,"$12,159.93 ",$0.00,1,0,1,20061001
38571,CPT,"Laparoscopy, lymphadenectomy",,30,1,1,"$16,693.95 ",$0.00,1,0,1,20061001
38572,CPT,"Laparoscopy, lymphadenectomy",,30,1,1,"$12,159.93 ",$0.00,1,0,1,20061001
38589,CPT,"Laparoscope proc, lymphatic",,30,1,1,"$9,807.60 ",$0.00,1,0,1,20061001
38700,CPT,"Removal of lymph nodes, neck",,30,1,1,"$5,996.11 ",$0.00,1,0,1,20061001
38720,CPT,"Removal of lymph nodes, neck",,30,1,1,"$5,996.11 ",$0.00,1,0,1,20061001
38740,CPT,Remove armpit lymph nodes,,30,1,1,"$11,091.92 ",$0.00,1,0,1,20061001
38745,CPT,Remove armpit lymph nodes,,30,1,1,"$11,091.92 ",$0.00,1,0,1,20061001
38760,CPT,Remove groin lymph nodes,,30,1,1,"$5,996.11 ",$0.00,1,0,1,20061001
38999,CPT,Blood/lymph system procedure,,30,0,1,"$1,104.91 ",$0.00,1,0,1,20061001
39400,CPT,Visualization of chest,,30,1,1,"$8,717.63 ",$0.00,1,0,1,20061001
40490,CPT,Biopsy of lip,,30,1,1,$538.65 ,$0.00,1,0,1,20061001
40500,CPT,Partial excision of lip,,30,1,1,"$4,583.99 ",$0.00,1,0,1,20061001
40510,CPT,Partial excision of lip,,30,1,1,"$6,567.71 ",$0.00,1,0,1,20061001
40520,CPT,Partial excision of lip,,30,1,1,"$4,583.99 ",$0.00,1,0,1,20061001
40525,CPT,Reconstruct lip with flap,,30,1,1,"$6,567.71 ",$0.00,1,0,1,20061001
40527,CPT,Reconstruct lip with flap,,30,1,1,"$6,567.71 ",$0.00,1,0,1,20061001
40530,CPT,Partial removal of lip,,30,1,1,"$6,567.71 ",$0.00,1,0,1,20061001
40650,CPT,Repair lip,,30,1,1,"$1,939.63 ",$0.00,1,0,1,20061001
40652,CPT,Repair lip,,30,1,1,"$1,939.63 ",$0.00,1,0,1,20061001
40654,CPT,Repair lip,,30,1,1,"$1,939.63 ",$0.00,1,0,1,20061001
40700,CPT,Repair cleft lip/nasal,,30,1,1,"$10,471.26 ",$0.00,1,0,1,20061001
40701,CPT,Repair cleft lip/nasal,,30,1,1,"$10,471.26 ",$0.00,1,0,1,20061001
40702,CPT,Repair cleft lip/nasal,,30,1,1,"$10,471.26 ",$0.00,1,0,1,20061001
40720,CPT,Repair cleft lip/nasal,,30,1,1,"$10,471.26 ",$0.00,1,0,1,20061001
40761,CPT,Repair cleft lip/nasal,,30,1,1,"$10,471.26 ",$0.00,1,0,1,20061001
40799,CPT,Lip surgery procedure,,30,1,1,"$4,583.99 ",$0.00,1,0,1,20061001
40800,CPT,Drainage of mouth lesion,,30,1,1,$538.65 ,$0.00,1,0,1,20061001
40801,CPT,Drainage of mouth lesion,,30,1,1,"$1,939.63 ",$0.00,1,0,1,20061001
40804,CPT,"Removal, foreign body, mouth",,30,0,1,$190.09 ,$0.00,1,0,1,20061001
40805,CPT,"Removal, foreign body, mouth",,30,1,1,"$1,939.63 ",$0.00,1,0,1,20061001
40806,CPT,Incision of lip fold,,30,1,1,$538.65 ,$0.00,1,0,1,20061001
40808,CPT,Biopsy of mouth lesion,,30,1,1,$538.65 ,$0.00,1,0,1,20061001
40810,CPT,Excision of mouth lesion,,30,1,1,"$4,583.99 ",$0.00,1,0,1,20061001
40812,CPT,Excise/repair mouth lesion,,30,1,1,"$4,583.99 ",$0.00,1,0,1,20061001
40814,CPT,Excise/repair mouth lesion,,30,1,1,"$4,583.99 ",$0.00,1,0,1,20061001
40816,CPT,Excision of mouth lesion,,30,1,1,"$6,567.71 ",$0.00,1,0,1,20061001
40818,CPT,Excise oral mucosa for graft,,30,1,1,$538.65 ,$0.00,1,0,1,20061001
40819,CPT,Excise lip or cheek fold,,30,1,1,"$1,939.63 ",$0.00,1,0,1,20061001
40820,CPT,Treatment of mouth lesion,,30,1,1,"$4,583.99 ",$0.00,1,0,1,20061001
40830,CPT,Repair mouth laceration,,30,1,1,$538.65 ,$0.00,1,0,1,20061001
40831,CPT,Repair mouth laceration,,30,1,1,"$1,939.63 ",$0.00,1,0,1,20061001
40840,CPT,Reconstruction of mouth,,30,1,1,"$6,567.71 ",$0.00,1,0,1,20061001
40842,CPT,Reconstruction of mouth,,30,1,1,"$6,567.71 ",$0.00,1,0,1,20061001
40843,CPT,Reconstruction of mouth,,30,1,1,"$6,567.71 ",$0.00,1,0,1,20061001
40844,CPT,Reconstruction of mouth,,30,1,1,"$10,471.26 ",$0.00,1,0,1,20061001
40845,CPT,Reconstruction of mouth,,30,1,1,"$10,471.26 ",$0.00,1,0,1,20061001
40899,CPT,Mouth surgery procedure,,30,1,1,"$1,939.63 ",$0.00,1,0,1,20061001
41000,CPT,Drainage of mouth lesion,,30,1,1,"$4,583.99 ",$0.00,1,0,1,20061001
41005,CPT,Drainage of mouth lesion,,30,1,1,$538.65 ,$0.00,1,0,1,20061001
41006,CPT,Drainage of mouth lesion,,30,1,1,"$6,567.71 ",$0.00,1,0,1,20061001
41007,CPT,Drainage of mouth lesion,,30,1,1,"$4,583.99 ",$0.00,1,0,1,20061001
41008,CPT,Drainage of mouth lesion,,30,1,1,"$4,583.99 ",$0.00,1,0,1,20061001
41009,CPT,Drainage of mouth lesion,,30,1,1,$538.65 ,$0.00,1,0,1,20061001
41010,CPT,Incision of tongue fold,,30,1,1,"$4,583.99 ",$0.00,1,0,1,20061001
41015,CPT,Drainage of mouth lesion,,30,1,1,$538.65 ,$0.00,1,0,1,20061001
41016,CPT,Drainage of mouth lesion,,30,1,1,"$1,939.63 ",$0.00,1,0,1,20061001
41017,CPT,Drainage of mouth lesion,,30,1,1,"$1,939.63 ",$0.00,1,0,1,20061001
41018,CPT,Drainage of mouth lesion,,30,1,1,"$1,939.63 ",$0.00,1,0,1,20061001
41100,CPT,Biopsy of tongue,,30,1,1,"$1,939.63 ",$0.00,1,0,1,20061001
41105,CPT,Biopsy of tongue,,30,1,1,"$4,583.99 ",$0.00,1,0,1,20061001
41108,CPT,Biopsy of floor of mouth,,30,1,1,"$1,939.63 ",$0.00,1,0,1,20061001
41110,CPT,Excision of tongue lesion,,30,1,1,"$4,583.99 ",$0.00,1,0,1,20061001
41112,CPT,Excision of tongue lesion,,30,1,1,"$4,583.99 ",$0.00,1,0,1,20061001
41113,CPT,Excision of tongue lesion,,30,1,1,"$4,583.99 ",$0.00,1,0,1,20061001
41114,CPT,Excision of tongue lesion,,30,1,1,"$6,567.71 ",$0.00,1,0,1,20061001
41115,CPT,Excision of tongue fold,,30,1,1,"$1,939.63 ",$0.00,1,0,1,20061001
41116,CPT,Excision of mouth lesion,,30,1,1,"$4,583.99 ",$0.00,1,0,1,20061001
41120,CPT,Partial removal of tongue,,30,1,1,"$6,567.71 ",$0.00,1,0,1,20061001
41250,CPT,Repair tongue laceration,,30,1,1,$538.65 ,$0.00,1,0,1,20061001
41251,CPT,Repair tongue laceration,,30,1,1,$538.65 ,$0.00,1,0,1,20061001
41252,CPT,Repair tongue laceration,,30,1,1,"$1,939.63 ",$0.00,1,0,1,20061001
41500,CPT,Fixation of tongue,,30,1,1,"$6,567.71 ",$0.00,1,0,1,20061001
41510,CPT,Tongue to lip surgery,,30,1,1,"$4,583.99 ",$0.00,1,0,1,20061001
41520,CPT,"Reconstruction, tongue fold",,30,1,1,"$1,939.63 ",$0.00,1,0,1,20061001
41599,CPT,Tongue and mouth surgery,,30,1,1,$538.65 ,$0.00,1,0,1,20061001
41800,CPT,Drainage of gum lesion,,30,1,1,$538.65 ,$0.00,1,0,1,20061001
41805,CPT,"Removal foreign body, gum",,30,1,1,"$6,567.71 ",$0.00,1,0,1,20061001
41806,CPT,"Removal foreign body,jawbone",,30,1,1,"$4,583.99 ",$0.00,1,0,1,20061001
41820,CPT,"Excision, gum, each quadrant",,30,1,1,"$1,939.63 ",$0.00,1,0,1,20061001
41821,CPT,Excision of gum flap,,30,1,1,"$1,939.63 ",$0.00,1,0,1,20061001
41822,CPT,Excision of gum lesion,,30,1,1,"$4,583.99 ",$0.00,1,0,1,20061001
41823,CPT,Excision of gum lesion,,30,1,1,"$6,567.71 ",$0.00,1,0,1,20061001
41825,CPT,Excision of gum lesion,,30,1,1,"$4,583.99 ",$0.00,1,0,1,20061001
41826,CPT,Excision of gum lesion,,30,1,1,"$4,583.99 ",$0.00,1,0,1,20061001
41827,CPT,Excision of gum lesion,,30,1,1,"$6,567.71 ",$0.00,1,0,1,20061001
41828,CPT,Excision of gum lesion,,30,1,1,"$4,583.99 ",$0.00,1,0,1,20061001
41830,CPT,Removal of gum tissue,,30,1,1,"$4,583.99 ",$0.00,1,0,1,20061001
41850,CPT,Treatment of gum lesion,,30,1,1,"$4,583.99 ",$0.00,1,0,1,20061001
41870,CPT,Gum graft,,30,1,1,"$6,567.71 ",$0.00,1,0,1,20061001
41872,CPT,Repair gum,,30,1,1,"$4,583.99 ",$0.00,1,0,1,20061001
41874,CPT,Repair tooth socket,,30,1,1,"$6,567.71 ",$0.00,1,0,1,20061001
41899,CPT,Dental surgery procedure,,30,1,1,"$4,583.99 ",$0.00,1,0,1,20061001
42000,CPT,Drainage mouth roof lesion,,30,1,1,$538.65 ,$0.00,1,0,1,20061001
42100,CPT,Biopsy roof of mouth,,30,1,1,"$1,939.63 ",$0.00,1,0,1,20061001
42104,CPT,"Excision lesion, mouth roof",,30,1,1,"$4,583.99 ",$0.00,1,0,1,20061001
42106,CPT,"Excision lesion, mouth roof",,30,1,1,"$4,583.99 ",$0.00,1,0,1,20061001
42107,CPT,"Excision lesion, mouth roof",,30,1,1,"$6,567.71 ",$0.00,1,0,1,20061001
42120,CPT,Remove palate/lesion,,30,1,1,"$10,471.26 ",$0.00,1,0,1,20061001
42140,CPT,Excision of uvula,,30,1,1,"$1,939.63 ",$0.00,1,0,1,20061001
42145,CPT,"Repair palate, pharynx/uvula",,30,1,1,"$6,567.71 ",$0.00,1,0,1,20061001
42160,CPT,Treatment mouth roof lesion,,30,1,1,"$4,583.99 ",$0.00,1,0,1,20061001
42180,CPT,Repair palate,,30,1,1,$538.65 ,$0.00,1,0,1,20061001
42182,CPT,Repair palate,,30,1,1,"$10,471.26 ",$0.00,1,0,1,20061001
42200,CPT,Reconstruct cleft palate,,30,1,1,"$10,471.26 ",$0.00,1,0,1,20061001
42205,CPT,Reconstruct cleft palate,,30,1,1,"$10,471.26 ",$0.00,1,0,1,20061001
42210,CPT,Reconstruct cleft palate,,30,1,1,"$10,471.26 ",$0.00,1,0,1,20061001
42215,CPT,Reconstruct cleft palate,,30,1,1,"$10,471.26 ",$0.00,1,0,1,20061001
42220,CPT,Reconstruct cleft palate,,30,1,1,"$10,471.26 ",$0.00,1,0,1,20061001
42225,CPT,Reconstruct cleft palate,,30,1,1,"$10,471.26 ",$0.00,1,0,1,20061001
42226,CPT,Lengthening of palate,,30,1,1,"$10,471.26 ",$0.00,1,0,1,20061001
42227,CPT,Lengthening of palate,,30,1,1,"$10,471.26 ",$0.00,1,0,1,20061001
42235,CPT,Repair palate,,30,1,1,"$4,583.99 ",$0.00,1,0,1,20061001
42260,CPT,Repair nose to lip fistula,,30,1,1,"$6,567.71 ",$0.00,1,0,1,20061001
42280,CPT,"Preparation, palate mold",,30,1,1,$538.65 ,$0.00,1,0,1,20061001
42281,CPT,"Insertion, palate prosthesis",,30,1,1,"$4,583.99 ",$0.00,1,0,1,20061001
42299,CPT,Palate/uvula surgery,,30,1,1,$538.65 ,$0.00,1,0,1,20061001
42300,CPT,Drainage of salivary gland,,30,1,1,"$4,583.99 ",$0.00,1,0,1,20061001
42305,CPT,Drainage of salivary gland,,30,1,1,"$4,583.99 ",$0.00,1,0,1,20061001
42310,CPT,Drainage of salivary gland,,30,1,1,$538.65 ,$0.00,1,0,1,20061001
42320,CPT,Drainage of salivary gland,,30,1,1,$538.65 ,$0.00,1,0,1,20061001
42330,CPT,Removal of salivary stone,,30,1,1,"$4,583.99 ",$0.00,1,0,1,20061001
42335,CPT,Removal of salivary stone,,30,1,1,"$4,583.99 ",$0.00,1,0,1,20061001
42340,CPT,Removal of salivary stone,,30,1,1,"$4,583.99 ",$0.00,1,0,1,20061001
42400,CPT,Biopsy of salivary gland,,30,1,1,$984.98 ,$0.00,1,0,1,20061001
42405,CPT,Biopsy of salivary gland,,30,1,1,"$4,583.99 ",$0.00,1,0,1,20061001
42408,CPT,Excision of salivary cyst,,30,1,1,"$4,583.99 ",$0.00,1,0,1,20061001
42409,CPT,Drainage of salivary cyst,,30,1,1,"$4,583.99 ",$0.00,1,0,1,20061001
42410,CPT,Excise parotid gland/lesion,,30,1,1,"$10,471.26 ",$0.00,1,0,1,20061001
42415,CPT,Excise parotid gland/lesion,,30,1,1,"$10,471.26 ",$0.00,1,0,1,20061001
42420,CPT,Excise parotid gland/lesion,,30,1,1,"$10,471.26 ",$0.00,1,0,1,20061001
42425,CPT,Excise parotid gland/lesion,,30,1,1,"$10,471.26 ",$0.00,1,0,1,20061001
42440,CPT,Excise submaxillary gland,,30,1,1,"$10,471.26 ",$0.00,1,0,1,20061001
42450,CPT,Excise sublingual gland,,30,1,1,"$6,567.71 ",$0.00,1,0,1,20061001
42500,CPT,Repair salivary duct,,30,1,1,"$6,567.71 ",$0.00,1,0,1,20061001
42505,CPT,Repair salivary duct,,30,1,1,"$10,471.26 ",$0.00,1,0,1,20061001
42507,CPT,Parotid duct diversion,,30,1,1,"$10,471.26 ",$0.00,1,0,1,20061001
42508,CPT,Parotid duct diversion,,30,1,1,"$10,471.26 ",$0.00,1,0,1,20061001
42509,CPT,Parotid duct diversion,,30,1,1,"$10,471.26 ",$0.00,1,0,1,20061001
42510,CPT,Parotid duct diversion,,30,1,1,"$10,471.26 ",$0.00,1,0,1,20061001
42600,CPT,Closure of salivary fistula,,30,1,1,"$4,583.99 ",$0.00,1,0,1,20061001
42650,CPT,Dilation of salivary duct,,30,1,1,"$1,939.63 ",$0.00,1,0,1,20061001
42660,CPT,Dilation of salivary duct,,30,1,1,$538.65 ,$0.00,1,0,1,20061001
42665,CPT,Ligation of salivary duct,,30,1,1,"$6,567.71 ",$0.00,1,0,1,20061001
42699,CPT,Salivary surgery procedure,,30,1,1,"$4,583.99 ",$0.00,1,0,1,20061001
42700,CPT,Drainage of tonsil abscess,,30,1,1,$538.65 ,$0.00,1,0,1,20061001
42720,CPT,Drainage of throat abscess,,30,1,1,"$4,583.99 ",$0.00,1,0,1,20061001
42725,CPT,Drainage of throat abscess,,30,1,1,"$10,471.26 ",$0.00,1,0,1,20061001
42800,CPT,Biopsy of throat,,30,1,1,"$4,583.99 ",$0.00,1,0,1,20061001
42802,CPT,Biopsy of throat,,30,1,1,"$4,583.99 ",$0.00,1,0,1,20061001
42804,CPT,Biopsy of upper nose/throat,,30,1,1,"$4,583.99 ",$0.00,1,0,1,20061001
42806,CPT,Biopsy of upper nose/throat,,30,1,1,"$6,567.71 ",$0.00,1,0,1,20061001
42808,CPT,Excise pharynx lesion,,30,1,1,"$4,583.99 ",$0.00,1,0,1,20061001
42809,CPT,Remove pharynx foreign body,,30,0,1,$190.09 ,$0.00,1,0,1,20061001
42810,CPT,Excision of neck cyst,,30,1,1,"$6,567.71 ",$0.00,1,0,1,20061001
42815,CPT,Excision of neck cyst,,30,1,1,"$10,471.26 ",$0.00,1,0,1,20061001
42820,CPT,Remove tonsils and adenoids,,30,1,1,"$6,213.52 ",$0.00,1,0,1,20061001
42821,CPT,Remove tonsils and adenoids,,30,1,1,"$6,213.52 ",$0.00,1,0,1,20061001
42825,CPT,Removal of tonsils,,30,1,1,"$6,213.52 ",$0.00,1,0,1,20061001
42826,CPT,Removal of tonsils,,30,1,1,"$6,213.52 ",$0.00,1,0,1,20061001
42830,CPT,Removal of adenoids,,30,1,1,"$6,213.52 ",$0.00,1,0,1,20061001
42831,CPT,Removal of adenoids,,30,1,1,"$6,213.52 ",$0.00,1,0,1,20061001
42835,CPT,Removal of adenoids,,30,1,1,"$6,213.52 ",$0.00,1,0,1,20061001
42836,CPT,Removal of adenoids,,30,1,1,"$6,213.52 ",$0.00,1,0,1,20061001
42842,CPT,Extensive surgery of throat,,30,1,1,"$6,567.71 ",$0.00,1,0,1,20061001
42844,CPT,Extensive surgery of throat,,30,1,1,"$10,471.26 ",$0.00,1,0,1,20061001
42860,CPT,Excision of tonsil tags,,30,1,1,"$6,213.52 ",$0.00,1,0,1,20061001
42870,CPT,Excision of lingual tonsil,,30,1,1,"$6,213.52 ",$0.00,1,0,1,20061001
42890,CPT,Partial removal of pharynx,,30,1,1,"$10,471.26 ",$0.00,1,0,1,20061001
42892,CPT,Revision of pharyngeal walls,,30,1,1,"$10,471.26 ",$0.00,1,0,1,20061001
42900,CPT,Repair throat wound,,30,1,1,"$1,939.63 ",$0.00,1,0,1,20061001
42950,CPT,Reconstruction of throat,,30,1,1,"$6,567.71 ",$0.00,1,0,1,20061001
42955,CPT,Surgical opening of throat,,30,1,1,"$6,567.71 ",$0.00,1,0,1,20061001
42960,CPT,Control throat bleeding,,30,1,1,$436.05 ,$0.00,1,0,1,20061001
42962,CPT,Control throat bleeding,,30,1,1,"$10,471.26 ",$0.00,1,0,1,20061001
42970,CPT,Control nose/throat bleeding,,30,1,1,$436.05 ,$0.00,1,0,1,20061001
42972,CPT,Control nose/throat bleeding,,30,1,1,"$4,583.99 ",$0.00,1,0,1,20061001
42999,CPT,Throat surgery procedure,,30,1,1,"$1,939.63 ",$0.00,1,0,1,20061001
43020,CPT,Incision of esophagus,,30,1,1,"$1,939.63 ",$0.00,1,0,1,20061001
43030,CPT,Throat muscle surgery,,30,1,1,"$4,583.99 ",$0.00,1,0,1,20061001
43130,CPT,Removal of esophagus pouch,,30,1,1,"$6,567.71 ",$0.00,1,0,1,20061001
43200,CPT,Esophagus endoscopy,,30,1,1,"$2,461.66 ",$0.00,1,0,1,20061001
43201,CPT,Esoph scope w/submucous inj,,30,1,1,"$2,461.66 ",$0.00,1,0,1,20061001
43202,CPT,"Esophagus endoscopy, biopsy",,30,1,1,"$2,461.66 ",$0.00,1,0,1,20061001
43204,CPT,Esoph scope w/sclerosis inj,,30,1,1,"$2,461.66 ",$0.00,1,0,1,20061001
43205,CPT,Esophagus endoscopy/ligation,,30,1,1,"$2,461.66 ",$0.00,1,0,1,20061001
43215,CPT,Esophagus endoscopy,,30,1,1,"$2,461.66 ",$0.00,1,0,1,20061001
43216,CPT,Esophagus endoscopy/lesion,,30,1,1,"$2,461.66 ",$0.00,1,0,1,20061001
43217,CPT,Esophagus endoscopy,,30,1,1,"$2,461.66 ",$0.00,1,0,1,20061001
43219,CPT,Esophagus endoscopy,,30,1,1,"$10,989.53 ",$0.00,1,0,1,20061001
43220,CPT,"Esoph endoscopy, dilation",,30,1,1,"$2,461.66 ",$0.00,1,0,1,20061001
43226,CPT,"Esoph endoscopy, dilation",,30,1,1,"$2,461.66 ",$0.00,1,0,1,20061001
43227,CPT,"Esoph endoscopy, repair",,30,1,1,"$2,461.66 ",$0.00,1,0,1,20061001
43228,CPT,"Esoph endoscopy, ablation",,30,1,1,"$2,461.66 ",$0.00,1,0,1,20061001
43231,CPT,Esoph endoscopy w/us exam,,30,1,1,"$2,461.66 ",$0.00,1,0,1,20061001
43232,CPT,Esoph endoscopy w/us fn bx,,30,1,1,"$2,461.66 ",$0.00,1,0,1,20061001
43234,CPT,"Upper GI endoscopy, exam",,30,1,1,"$2,461.66 ",$0.00,1,0,1,20061001
43235,CPT,"Uppr gi endoscopy, diagnosis",,30,1,1,"$2,461.66 ",$0.00,1,0,1,20061001
43236,CPT,Uppr gi scope w/submuc inj,,30,1,1,"$2,461.66 ",$0.00,1,0,1,20061001
43237,CPT,"Endoscopic us exam, esoph",,30,1,1,"$2,461.66 ",$0.00,1,0,1,20061001
43238,CPT,Uppr gi endoscopy w/us fn bx,,30,1,1,"$2,461.66 ",$0.00,1,0,1,20061001
43239,CPT,"Upper GI endoscopy, biopsy",,30,1,1,"$2,461.66 ",$0.00,1,0,1,20061001
43240,CPT,Esoph endoscope w/drain cyst,,30,1,1,"$2,461.66 ",$0.00,1,0,1,20061001
43241,CPT,Upper GI endoscopy with tube,,30,1,1,"$2,461.66 ",$0.00,1,0,1,20061001
43242,CPT,Uppr gi endoscopy w/us fn bx,,30,1,1,"$2,461.66 ",$0.00,1,0,1,20061001
43243,CPT,Upper gi endoscopy & inject,,30,1,1,"$2,461.66 ",$0.00,1,0,1,20061001
43244,CPT,Upper GI endoscopy/ligation,,30,1,1,"$2,461.66 ",$0.00,1,0,1,20061001
43245,CPT,Uppr gi scope dilate strictr,,30,1,1,"$2,461.66 ",$0.00,1,0,1,20061001
43246,CPT,Place gastrostomy tube,,30,1,1,"$2,461.66 ",$0.00,1,0,1,20061001
43247,CPT,Operative upper GI endoscopy,,30,1,1,"$2,461.66 ",$0.00,1,0,1,20061001
43248,CPT,Uppr gi endoscopy/guide wire,,30,1,1,"$2,461.66 ",$0.00,1,0,1,20061001
43249,CPT,"Esoph endoscopy, dilation",,30,1,1,"$2,461.66 ",$0.00,1,0,1,20061001
43250,CPT,Upper GI endoscopy/tumor,,30,1,1,"$2,461.66 ",$0.00,1,0,1,20061001
43251,CPT,Operative upper GI endoscopy,,30,1,1,"$2,461.66 ",$0.00,1,0,1,20061001
43255,CPT,Operative upper GI endoscopy,,30,1,1,"$2,461.66 ",$0.00,1,0,1,20061001
43256,CPT,Uppr gi endoscopy w stent,,30,1,1,"$10,989.53 ",$0.00,1,0,1,20061001
43257,CPT,Uppr gi scope w/thrml txmnt,,30,1,1,"$1,353.33 ",$0.00,1,0,1,20061001
43258,CPT,Operative upper GI endoscopy,,30,1,1,"$2,461.66 ",$0.00,1,0,1,20061001
43259,CPT,Endoscopic ultrasound exam,,30,1,1,"$2,461.66 ",$0.00,1,0,1,20061001
43260,CPT,Endo cholangiopancreatograph,,30,1,1,"$5,377.75 ",$0.00,1,0,1,20061001
43261,CPT,Endo cholangiopancreatograph,,30,1,1,"$5,377.75 ",$0.00,1,0,1,20061001
43262,CPT,Endo cholangiopancreatograph,,30,1,1,"$5,377.75 ",$0.00,1,0,1,20061001
43263,CPT,Endo cholangiopancreatograph,,30,1,1,"$5,377.75 ",$0.00,1,0,1,20061001
43264,CPT,Endo cholangiopancreatograph,,30,1,1,"$5,377.75 ",$0.00,1,0,1,20061001
43265,CPT,Endo cholangiopancreatograph,,30,1,1,"$5,377.75 ",$0.00,1,0,1,20061001
43267,CPT,Endo cholangiopancreatograph,,30,1,1,"$5,377.75 ",$0.00,1,0,1,20061001
43268,CPT,Endo cholangiopancreatograph,,30,1,1,"$10,989.53 ",$0.00,1,0,1,20061001
43269,CPT,Endo cholangiopancreatograph,,30,1,1,"$10,989.53 ",$0.00,1,0,1,20061001
43271,CPT,Endo cholangiopancreatograph,,30,1,1,"$5,377.75 ",$0.00,1,0,1,20061001
43272,CPT,Endo cholangiopancreatograph,,30,1,1,"$5,377.75 ",$0.00,1,0,1,20061001
43280,CPT,"Laparoscopy, fundoplasty",,30,1,1,"$16,693.95 ",$0.00,1,0,1,20061001
43289,CPT,"Laparoscope proc, esoph",,30,1,1,"$9,807.60 ",$0.00,1,0,1,20061001
43450,CPT,Dilate esophagus,,30,1,1,"$1,930.96 ",$0.00,1,0,1,20061001
43453,CPT,Dilate esophagus,,30,1,1,"$1,930.96 ",$0.00,1,0,1,20061001
43456,CPT,Dilate esophagus,,30,1,1,"$1,930.96 ",$0.00,1,0,1,20061001
43458,CPT,Dilate esophagus,,30,1,1,"$1,930.96 ",$0.00,1,0,1,20061001
43499,CPT,Esophagus surgery procedure,,30,1,1,"$2,461.66 ",$0.00,1,0,1,20061001
43510,CPT,Surgical opening of stomach,,30,1,1,$492.20 ,$0.00,1,0,1,20061001
43600,CPT,Biopsy of stomach,,30,1,1,"$2,461.66 ",$0.00,1,0,1,20061001
43651,CPT,"Laparoscopy, vagus nerve",,30,1,1,"$16,693.95 ",$0.00,1,0,1,20061001
43652,CPT,"Laparoscopy, vagus nerve",,30,1,1,"$16,693.95 ",$0.00,1,0,1,20061001
43653,CPT,"Laparoscopy, gastrostomy",,30,1,1,"$12,159.93 ",$0.00,1,0,1,20061001
43659,CPT,"Laparoscope proc, stom",,30,1,1,"$9,807.60 ",$0.00,1,0,1,20061001
43750,CPT,Place gastrostomy tube,,30,1,1,"$2,461.66 ",$0.00,1,0,1,20061001
43752,CPT,Nasal/orogastric w/stent,,30,0,1,$633.48 ,$0.00,1,0,1,20061001
43760,CPT,Change gastrostomy tube,,30,1,1,$633.48 ,$0.00,1,0,1,20061001
43761,CPT,Reposition gastrostomy tube,,30,1,1,$633.48 ,$0.00,1,0,1,20061001
43830,CPT,Place gastrostomy tube,,30,1,1,"$2,461.66 ",$0.00,1,0,1,20061001
43831,CPT,Place gastrostomy tube,,30,1,1,"$2,461.66 ",$0.00,1,0,1,20061001
43870,CPT,Repair stomach opening,,30,1,1,"$2,461.66 ",$0.00,1,0,1,20061001
43886,CPT,"Revise gastric port, open",,30,1,1,$337.81 ,$0.00,1,0,1,20061001
43887,CPT,"Remove gastric port, open",,30,1,1,$337.81 ,$0.00,1,0,1,20061001
43888,CPT,"Change gastric port, open",,30,1,1,$859.47 ,$0.00,1,0,1,20061001
43999,CPT,Stomach surgery procedure,,30,1,1,"$2,461.66 ",$0.00,1,0,1,20061001
44100,CPT,Biopsy of bowel,,30,1,1,"$2,461.66 ",$0.00,1,0,1,20061001
44180,CPT,"Lap, enterolysis",,30,1,1,"$2,741.28 ",$0.00,1,0,1,20061001
44186,CPT,"Lap, jejunostomy",,30,1,1,"$2,741.28 ",$0.00,1,0,1,20061001
44206,CPT,Lap part colectomy w/stoma,,30,1,1,"$16,693.95 ",$0.00,1,0,1,20061001
44207,CPT,L colectomy/coloproctostomy,,30,1,1,"$16,693.95 ",$0.00,1,0,1,20061001
44208,CPT,L colectomy/coloproctostomy,,30,1,1,"$16,693.95 ",$0.00,1,0,1,20061001
44213,CPT,"Lap, mobil splenic fl add-on",,30,1,1,"$2,029.72 ",$0.00,1,0,1,20061001
44238,CPT,"Laparoscope proc, intestine",,30,1,1,"$9,807.60 ",$0.00,1,0,1,20061001
44312,CPT,Revision of ileostomy,,30,1,1,"$4,779.13 ",$0.00,1,0,1,20061001
44340,CPT,Revision of colostomy,,30,1,1,"$4,779.13 ",$0.00,1,0,1,20061001
44360,CPT,Small bowel endoscopy,,30,1,1,"$2,649.67 ",$0.00,1,0,1,20061001
44361,CPT,Small bowel endoscopy/biopsy,,30,1,1,"$2,649.67 ",$0.00,1,0,1,20061001
44363,CPT,Small bowel endoscopy,,30,1,1,"$2,649.67 ",$0.00,1,0,1,20061001
44364,CPT,Small bowel endoscopy,,30,1,1,"$2,649.67 ",$0.00,1,0,1,20061001
44365,CPT,Small bowel endoscopy,,30,1,1,"$2,649.67 ",$0.00,1,0,1,20061001
44366,CPT,Small bowel endoscopy,,30,1,1,"$2,649.67 ",$0.00,1,0,1,20061001
44369,CPT,Small bowel endoscopy,,30,1,1,"$2,649.67 ",$0.00,1,0,1,20061001
44370,CPT,Small bowel endoscopy/stent,,30,1,1,"$10,989.53 ",$0.00,1,0,1,20061001
44372,CPT,Small bowel endoscopy,,30,1,1,"$2,649.67 ",$0.00,1,0,1,20061001
44373,CPT,Small bowel endoscopy,,30,1,1,"$2,649.67 ",$0.00,1,0,1,20061001
44376,CPT,Small bowel endoscopy,,30,1,1,"$2,649.67 ",$0.00,1,0,1,20061001
44377,CPT,Small bowel endoscopy/biopsy,,30,1,1,"$2,649.67 ",$0.00,1,0,1,20061001
44378,CPT,Small bowel endoscopy,,30,1,1,"$2,649.67 ",$0.00,1,0,1,20061001
44379,CPT,S bowel endoscope w/stent,,30,1,1,"$10,989.53 ",$0.00,1,0,1,20061001
44380,CPT,Small bowel endoscopy,,30,1,1,"$2,649.67 ",$0.00,1,0,1,20061001
44382,CPT,Small bowel endoscopy,,30,1,1,"$2,649.67 ",$0.00,1,0,1,20061001
44383,CPT,Ileoscopy w/stent,,30,1,1,"$10,989.53 ",$0.00,1,0,1,20061001
44385,CPT,Endoscopy of bowel pouch,,30,1,1,"$2,342.98 ",$0.00,1,0,1,20061001
44386,CPT,"Endoscopy, bowel pouch/biop",,30,1,1,"$2,342.98 ",$0.00,1,0,1,20061001
44388,CPT,Colonoscopy,,30,1,1,"$2,342.98 ",$0.00,1,0,1,20061001
44389,CPT,Colonoscopy with biopsy,,30,1,1,"$2,342.98 ",$0.00,1,0,1,20061001
44390,CPT,Colonoscopy for foreign body,,30,1,1,"$2,342.98 ",$0.00,1,0,1,20061001
44391,CPT,Colonoscopy for bleeding,,30,1,1,"$2,342.98 ",$0.00,1,0,1,20061001
44392,CPT,Colonoscopy & polypectomy,,30,1,1,"$2,342.98 ",$0.00,1,0,1,20061001
44393,CPT,"Colonoscopy, lesion removal",,30,1,1,"$2,342.98 ",$0.00,1,0,1,20061001
44394,CPT,Colonoscopy w/snare,,30,1,1,"$2,342.98 ",$0.00,1,0,1,20061001
44397,CPT,Colonoscopy w/stent,,30,1,1,"$10,989.53 ",$0.00,1,0,1,20061001
44500,CPT,"Intro, gastrointestinal tube",,30,1,1,$633.48 ,$0.00,1,0,1,20061001
44799,CPT,Unlisted procedure intestine,,30,1,1,"$2,649.67 ",$0.00,1,0,1,20061001
44901,CPT,"Drain app abscess, percut",,30,1,1,$569.61 ,$0.00,1,0,1,20061001
44970,CPT,"Laparoscopy, appendectomy",,30,1,1,"$9,807.60 ",$0.00,1,0,1,20061001
44979,CPT,"Laparoscope proc, app",,30,1,1,"$9,807.60 ",$0.00,1,0,1,20061001
45000,CPT,Drainage of pelvic abscess,,30,1,1,"$1,154.37 ",$0.00,1,0,1,20061001
45005,CPT,Drainage of rectal abscess,,30,1,1,"$1,154.37 ",$0.00,1,0,1,20061001
45020,CPT,Drainage of rectal abscess,,30,1,1,"$1,154.37 ",$0.00,1,0,1,20061001
45100,CPT,Biopsy of rectum,,30,1,1,"$5,152.28 ",$0.00,1,0,1,20061001
45108,CPT,Removal of anorectal lesion,,30,1,1,"$6,571.99 ",$0.00,1,0,1,20061001
45150,CPT,Excision of rectal stricture,,30,1,1,"$5,152.28 ",$0.00,1,0,1,20061001
45160,CPT,Excision of rectal lesion,,30,1,1,"$6,571.99 ",$0.00,1,0,1,20061001
45170,CPT,Excision of rectal lesion,,30,1,1,"$6,571.99 ",$0.00,1,0,1,20061001
45190,CPT,"Destruction, rectal tumor",,30,1,1,"$6,571.99 ",$0.00,1,0,1,20061001
45300,CPT,Proctosigmoidoscopy dx,,30,1,1,"$1,192.86 ",$0.00,1,0,1,20061001
45303,CPT,Proctosigmoidoscopy dilate,,30,1,1,"$1,192.86 ",$0.00,1,0,1,20061001
45305,CPT,Proctosigmoidoscopy w/bx,,30,1,1,"$1,192.86 ",$0.00,1,0,1,20061001
45307,CPT,Proctosigmoidoscopy fb,,30,1,1,"$1,192.86 ",$0.00,1,0,1,20061001
45308,CPT,Proctosigmoidoscopy removal,,30,1,1,"$2,312.01 ",$0.00,1,0,1,20061001
45309,CPT,Proctosigmoidoscopy removal,,30,1,1,"$2,312.01 ",$0.00,1,0,1,20061001
45315,CPT,Proctosigmoidoscopy removal,,30,1,1,"$2,312.01 ",$0.00,1,0,1,20061001
45317,CPT,Proctosigmoidoscopy bleed,,30,1,1,"$2,312.01 ",$0.00,1,0,1,20061001
45320,CPT,Proctosigmoidoscopy ablate,,30,1,1,"$2,312.01 ",$0.00,1,0,1,20061001
45321,CPT,Proctosigmoidoscopy volvul,,30,1,1,"$2,312.01 ",$0.00,1,0,1,20061001
45327,CPT,Proctosigmoidoscopy w/stent,,30,1,1,"$10,989.53 ",$0.00,1,0,1,20061001
45330,CPT,Diagnostic sigmoidoscopy,,30,1,1,"$1,192.86 ",$0.00,1,0,1,20061001
45331,CPT,Sigmoidoscopy and biopsy,,30,1,1,"$1,192.86 ",$0.00,1,0,1,20061001
45332,CPT,Sigmoidoscopy w/fb removal,,30,1,1,"$1,192.86 ",$0.00,1,0,1,20061001
45333,CPT,Sigmoidoscopy & polypectomy,,30,1,1,"$2,312.01 ",$0.00,1,0,1,20061001
45334,CPT,Sigmoidoscopy for bleeding,,30,1,1,"$2,312.01 ",$0.00,1,0,1,20061001
45335,CPT,Sigmoidoscopy w/submuc inj,,30,1,1,"$2,312.01 ",$0.00,1,0,1,20061001
45337,CPT,Sigmoidoscopy & decompress,,30,1,1,"$2,312.01 ",$0.00,1,0,1,20061001
45338,CPT,Sigmoidoscopy w/tumr remove,,30,1,1,"$2,312.01 ",$0.00,1,0,1,20061001
45339,CPT,Sigmoidoscopy w/ablate tumr,,30,1,1,"$2,312.01 ",$0.00,1,0,1,20061001
45340,CPT,Sig w/balloon dilation,,30,1,1,"$2,312.01 ",$0.00,1,0,1,20061001
45341,CPT,Sigmoidoscopy w/ultrasound,,30,1,1,"$2,312.01 ",$0.00,1,0,1,20061001
45342,CPT,Sigmoidoscopy w/us guide bx,,30,1,1,"$2,312.01 ",$0.00,1,0,1,20061001
45345,CPT,Sigmoidoscopy w/stent,,30,1,1,"$10,989.53 ",$0.00,1,0,1,20061001
45355,CPT,Surgical colonoscopy,,30,1,1,"$2,342.98 ",$0.00,1,0,1,20061001
45378,CPT,Diagnostic colonoscopy,,30,1,1,"$2,342.98 ",$0.00,1,0,1,20061001
45379,CPT,Colonoscopy w/fb removal,,30,1,1,"$2,342.98 ",$0.00,1,0,1,20061001
45380,CPT,Colonoscopy and biopsy,,30,1,1,"$2,342.98 ",$0.00,1,0,1,20061001
45381,CPT,"Colonoscopy, submucous inj",,30,1,1,"$2,342.98 ",$0.00,1,0,1,20061001
45382,CPT,Colonoscopy/control bleeding,,30,1,1,"$2,342.98 ",$0.00,1,0,1,20061001
45383,CPT,Lesion removal colonoscopy,,30,1,1,"$2,342.98 ",$0.00,1,0,1,20061001
45384,CPT,Lesion remove colonoscopy,,30,1,1,"$2,342.98 ",$0.00,1,0,1,20061001
45385,CPT,Lesion removal colonoscopy,,30,1,1,"$2,342.98 ",$0.00,1,0,1,20061001
45386,CPT,Colonoscopy dilate stricture,,30,1,1,"$2,342.98 ",$0.00,1,0,1,20061001
45387,CPT,Colonoscopy w/stent,,30,1,1,"$10,989.53 ",$0.00,1,0,1,20061001
45391,CPT,Colonoscopy w/endoscope us,,30,1,1,$524.32 ,$0.00,1,0,1,20061001
45392,CPT,Colonoscopy w/endoscopic fnb,,30,1,1,$524.32 ,$0.00,1,0,1,20061001
45499,CPT,"Laparoscope proc, rectum",,30,1,1,"$2,029.72 ",$0.00,1,0,1,20061001
45500,CPT,Repair of rectum,,30,1,1,"$5,152.28 ",$0.00,1,0,1,20061001
45505,CPT,Repair of rectum,,30,1,1,"$6,571.99 ",$0.00,1,0,1,20061001
45520,CPT,Treatment of rectal prolapse,,30,1,1,$323.22 ,$0.00,1,0,1,20061001
45541,CPT,Correct rectal prolapse,,30,1,1,"$1,413.68 ",$0.00,1,0,1,20061001
45560,CPT,Repair of rectocele,,30,1,1,"$6,571.99 ",$0.00,1,0,1,20061001
45900,CPT,Reduction of rectal prolapse,,30,1,1,"$1,154.37 ",$0.00,1,0,1,20061001
45905,CPT,Dilation of anal sphincter,,30,1,1,"$5,152.28 ",$0.00,1,0,1,20061001
45910,CPT,Dilation of rectal narrowing,,30,1,1,"$5,152.28 ",$0.00,1,0,1,20061001
45915,CPT,Remove rectal obstruction,,30,1,1,"$1,154.37 ",$0.00,1,0,1,20061001
45990,CPT,"Surg dx exam, anorectal",,30,1,1,$223.17 ,$0.00,1,0,1,20061001
45999,CPT,Rectum surgery procedure,,30,1,1,"$1,154.37 ",$0.00,1,0,1,20061001
46020,CPT,Placement of seton,,30,1,1,"$1,154.37 ",$0.00,1,0,1,20061001
46030,CPT,Removal of rectal marker,,30,1,1,"$1,154.37 ",$0.00,1,0,1,20061001
46040,CPT,Incision of rectal abscess,,30,1,1,"$5,152.28 ",$0.00,1,0,1,20061001
46045,CPT,Incision of rectal abscess,,30,1,1,"$6,571.99 ",$0.00,1,0,1,20061001
46050,CPT,Incision of anal abscess,,30,1,1,"$1,154.37 ",$0.00,1,0,1,20061001
46060,CPT,Incision of rectal abscess,,30,1,1,"$6,571.99 ",$0.00,1,0,1,20061001
46070,CPT,Incision of anal septum,,30,1,1,"$3,036.76 ",$0.00,1,0,1,20061001
46080,CPT,Incision of anal sphincter,,30,1,1,"$5,152.28 ",$0.00,1,0,1,20061001
46083,CPT,Incise external hemorrhoid,,30,1,1,"$1,154.37 ",$0.00,1,0,1,20061001
46200,CPT,Removal of anal fissure,,30,1,1,"$6,571.99 ",$0.00,1,0,1,20061001
46210,CPT,Removal of anal crypt,,30,1,1,"$5,152.28 ",$0.00,1,0,1,20061001
46211,CPT,Removal of anal crypts,,30,1,1,"$6,571.99 ",$0.00,1,0,1,20061001
46220,CPT,Removal of anal tag,,30,1,1,"$5,152.28 ",$0.00,1,0,1,20061001
46221,CPT,Ligation of hemorrhoid(s),,30,1,1,"$1,154.37 ",$0.00,1,0,1,20061001
46230,CPT,Removal of anal tags,,30,1,1,"$5,152.28 ",$0.00,1,0,1,20061001
46250,CPT,Hemorrhoidectomy,,30,1,1,"$6,571.99 ",$0.00,1,0,1,20061001
46255,CPT,Hemorrhoidectomy,,30,1,1,"$6,571.99 ",$0.00,1,0,1,20061001
46257,CPT,Remove hemorrhoids & fissure,,30,1,1,"$6,571.99 ",$0.00,1,0,1,20061001
46258,CPT,Remove hemorrhoids & fistula,,30,1,1,"$6,571.99 ",$0.00,1,0,1,20061001
46260,CPT,Hemorrhoidectomy,,30,1,1,"$6,571.99 ",$0.00,1,0,1,20061001
46261,CPT,Remove hemorrhoids & fissure,,30,1,1,"$6,571.99 ",$0.00,1,0,1,20061001
46262,CPT,Remove hemorrhoids & fistula,,30,1,1,"$6,571.99 ",$0.00,1,0,1,20061001
46270,CPT,Removal of anal fistula,,30,1,1,"$6,571.99 ",$0.00,1,0,1,20061001
46275,CPT,Removal of anal fistula,,30,1,1,"$6,571.99 ",$0.00,1,0,1,20061001
46280,CPT,Removal of anal fistula,,30,1,1,"$6,571.99 ",$0.00,1,0,1,20061001
46285,CPT,Removal of anal fistula,,30,1,1,"$6,571.99 ",$0.00,1,0,1,20061001
46288,CPT,Repair anal fistula,,30,1,1,"$6,571.99 ",$0.00,1,0,1,20061001
46320,CPT,Removal of hemorrhoid clot,,30,1,1,"$1,154.37 ",$0.00,1,0,1,20061001
46500,CPT,Injection into hemorrhoid(s),,30,1,1,"$3,036.76 ",$0.00,1,0,1,20061001
46505,CPT,Chemodenervation anal musc,,30,1,1,$223.17 ,$0.00,1,0,1,20061001
46600,CPT,Diagnostic anoscopy,,30,0,1,$190.09 ,$0.00,1,0,1,20061001
46604,CPT,Anoscopy and dilation,,30,1,1,"$2,312.01 ",$0.00,1,0,1,20061001
46606,CPT,Anoscopy and biopsy,,30,1,1,"$2,312.01 ",$0.00,1,0,1,20061001
46608,CPT,"Anoscopy, remove for body",,30,1,1,"$2,312.01 ",$0.00,1,0,1,20061001
46610,CPT,"Anoscopy, remove lesion",,30,1,1,"$2,312.01 ",$0.00,1,0,1,20061001
46611,CPT,Anoscopy,,30,1,1,"$2,312.01 ",$0.00,1,0,1,20061001
46612,CPT,"Anoscopy, remove lesions",,30,1,1,"$2,312.01 ",$0.00,1,0,1,20061001
46614,CPT,"Anoscopy, control bleeding",,30,1,1,"$2,312.01 ",$0.00,1,0,1,20061001
46615,CPT,Anoscopy,,30,1,1,"$2,312.01 ",$0.00,1,0,1,20061001
46700,CPT,Repair of anal stricture,,30,1,1,"$6,571.99 ",$0.00,1,0,1,20061001
46706,CPT,Repr of anal fistula w/glue,,30,1,1,"$1,154.37 ",$0.00,1,0,1,20061001
46750,CPT,Repair of anal sphincter,,30,1,1,"$6,571.99 ",$0.00,1,0,1,20061001
46753,CPT,Reconstruction of anus,,30,1,1,"$6,571.99 ",$0.00,1,0,1,20061001
46754,CPT,Removal of suture from anus,,30,1,1,"$5,152.28 ",$0.00,1,0,1,20061001
46760,CPT,Repair of anal sphincter,,30,1,1,"$6,571.99 ",$0.00,1,0,1,20061001
46761,CPT,Repair of anal sphincter,,30,1,1,"$6,571.99 ",$0.00,1,0,1,20061001
46762,CPT,Implant artificial sphincter,,30,1,1,"$6,571.99 ",$0.00,1,0,1,20061001
46900,CPT,"Destruction, anal lesion(s)",,30,1,1,$774.62 ,$0.00,1,0,1,20061001
46910,CPT,"Destruction, anal lesion(s)",,30,1,1,"$4,931.22 ",$0.00,1,0,1,20061001
46916,CPT,"Cryosurgery, anal lesion(s)",,30,1,1,$337.02 ,$0.00,1,0,1,20061001
46917,CPT,"Laser surgery, anal lesions",,30,1,1,"$5,779.27 ",$0.00,1,0,1,20061001
46922,CPT,Excision of anal lesion(s),,30,1,1,"$5,779.27 ",$0.00,1,0,1,20061001
46924,CPT,"Destruction, anal lesion(s)",,30,1,1,"$5,779.27 ",$0.00,1,0,1,20061001
46934,CPT,Destruction of hemorrhoids,,30,1,1,"$3,036.76 ",$0.00,1,0,1,20061001
46935,CPT,Destruction of hemorrhoids,,30,1,1,"$3,036.76 ",$0.00,1,0,1,20061001
46936,CPT,Destruction of hemorrhoids,,30,1,1,"$5,152.28 ",$0.00,1,0,1,20061001
46937,CPT,Cryotherapy of rectal lesion,,30,1,1,"$5,152.28 ",$0.00,1,0,1,20061001
46938,CPT,Cryotherapy of rectal lesion,,30,1,1,"$6,571.99 ",$0.00,1,0,1,20061001
46940,CPT,Treatment of anal fissure,,30,1,1,"$5,152.28 ",$0.00,1,0,1,20061001
46942,CPT,Treatment of anal fissure,,30,1,1,"$1,154.37 ",$0.00,1,0,1,20061001
46945,CPT,Ligation of hemorrhoids,,30,1,1,"$3,036.76 ",$0.00,1,0,1,20061001
46946,CPT,Ligation of hemorrhoids,,30,1,1,"$3,036.76 ",$0.00,1,0,1,20061001
46947,CPT,Hemorrhoidopexy by stapling,,30,1,1,"$1,413.68 ",$0.00,1,0,1,20061001
46999,CPT,Anus surgery procedure,,30,1,1,"$1,154.37 ",$0.00,1,0,1,20061001
47000,CPT,Needle biopsy of liver,,30,1,1,"$1,435.54 ",$0.00,1,0,1,20061001
47011,CPT,"Percut drain, liver lesion",,30,1,1,"$2,979.88 ",$0.00,1,0,1,20061001
47370,CPT,Laparo ablate liver tumor rf,,30,1,1,"$12,159.93 ",$0.00,1,0,1,20061001
47371,CPT,Laparo ablate liver cryosurg,,30,1,1,"$12,159.93 ",$0.00,1,0,1,20061001
47379,CPT,"Laparoscope procedure, liver",,30,1,1,"$9,807.60 ",$0.00,1,0,1,20061001
47382,CPT,Percut ablate liver rf,,30,1,1,"$9,046.14 ",$0.00,1,0,1,20061001
47399,CPT,Liver surgery procedure,,30,1,1,"$2,979.88 ",$0.00,1,0,1,20061001
47490,CPT,Incision of gallbladder,,30,1,1,"$2,535.06 ",$0.00,1,0,1,20061001
47510,CPT,"Insert catheter, bile duct",,30,1,1,"$2,535.06 ",$0.00,1,0,1,20061001
47511,CPT,Insert bile duct drain,,30,1,1,"$2,535.06 ",$0.00,1,0,1,20061001
47525,CPT,Change bile duct catheter,,30,1,1,"$2,623.11 ",$0.00,1,0,1,20061001
47530,CPT,Revise/reinsert bile tube,,30,1,1,"$2,623.11 ",$0.00,1,0,1,20061001
47552,CPT,Biliary endoscopy thru skin,,30,1,1,"$2,535.06 ",$0.00,1,0,1,20061001
47553,CPT,Biliary endoscopy thru skin,,30,1,1,"$2,535.06 ",$0.00,1,0,1,20061001
47554,CPT,Biliary endoscopy thru skin,,30,1,1,"$2,535.06 ",$0.00,1,0,1,20061001
47555,CPT,Biliary endoscopy thru skin,,30,1,1,"$2,535.06 ",$0.00,1,0,1,20061001
47556,CPT,Biliary endoscopy thru skin,,30,1,1,"$2,535.06 ",$0.00,1,0,1,20061001
47560,CPT,Laparoscopy w/cholangio,,30,1,1,"$9,807.60 ",$0.00,1,0,1,20061001
47561,CPT,Laparo w/cholangio/biopsy,,30,1,1,"$9,807.60 ",$0.00,1,0,1,20061001
47562,CPT,Laparoscopic cholecystectomy,,30,1,1,"$12,159.93 ",$0.00,1,0,1,20061001
47563,CPT,Laparo cholecystectomy/graph,,30,1,1,"$12,159.93 ",$0.00,1,0,1,20061001
47564,CPT,Laparo cholecystectomy/explr,,30,1,1,"$12,159.93 ",$0.00,1,0,1,20061001
47579,CPT,"Laparoscope proc, biliary",,30,1,1,"$9,807.60 ",$0.00,1,0,1,20061001
47630,CPT,Remove bile duct stone,,30,1,1,"$2,535.06 ",$0.00,1,0,1,20061001
47999,CPT,Bile tract surgery procedure,,30,1,1,"$2,535.06 ",$0.00,1,0,1,20061001
48102,CPT,"Needle biopsy, pancreas",,30,1,1,"$1,435.54 ",$0.00,1,0,1,20061001
48511,CPT,Drain pancreatic pseudocyst,,30,1,1,"$2,979.88 ",$0.00,1,0,1,20061001
48999,CPT,Pancreas surgery procedure,,30,1,1,$984.98 ,$0.00,1,0,1,20061001
49021,CPT,Drain abdominal abscess,,30,1,1,"$7,382.82 ",$0.00,1,0,1,20061001
49041,CPT,"Drain, percut, abdom abscess",,30,1,1,$569.61 ,$0.00,1,0,1,20061001
49061,CPT,"Drain, percut, retroper absc",,30,1,1,$569.61 ,$0.00,1,0,1,20061001
49080,CPT,"Puncture, peritoneal cavity",,30,1,1,$924.87 ,$0.00,1,0,1,20061001
49081,CPT,Removal of abdominal fluid,,30,1,1,$924.87 ,$0.00,1,0,1,20061001
49085,CPT,Remove abdomen foreign body,,30,1,1,"$6,239.46 ",$0.00,1,0,1,20061001
49180,CPT,"Biopsy, abdominal mass",,30,1,1,"$1,435.54 ",$0.00,1,0,1,20061001
49200,CPT,Removal of abdominal lesion,,30,1,1,"$9,807.60 ",$0.00,1,0,1,20061001
49250,CPT,Excision of umbilicus,,30,1,1,"$6,239.46 ",$0.00,1,0,1,20061001
49320,CPT,Diag laparo separate proc,,30,1,1,"$9,807.60 ",$0.00,1,0,1,20061001
49321,CPT,"Laparoscopy, biopsy",,30,1,1,"$9,807.60 ",$0.00,1,0,1,20061001
49322,CPT,"Laparoscopy, aspiration",,30,1,1,"$9,807.60 ",$0.00,1,0,1,20061001
49323,CPT,Laparo drain lymphocele,,30,1,1,"$9,807.60 ",$0.00,1,0,1,20061001
49329,CPT,"Laparo proc, abdm/per/oment",,30,1,1,"$9,807.60 ",$0.00,1,0,1,20061001
49419,CPT,Insrt abdom cath for chemotx,,30,1,1,"$26,110.98 ",$0.00,1,0,1,20061001
49420,CPT,"Insert abdom drain, temp",,30,1,1,"$8,093.27 ",$0.00,1,0,1,20061001
49421,CPT,"Insert abdom drain, perm",,30,1,1,"$8,093.27 ",$0.00,1,0,1,20061001
49422,CPT,Remove perm cannula/catheter,,30,1,1,"$5,773.21 ",$0.00,1,0,1,20061001
49423,CPT,Exchange drainage catheter,,30,1,1,"$2,535.06 ",$0.00,1,0,1,20061001
49426,CPT,Revise abdomen-venous shunt,,30,1,1,"$6,239.46 ",$0.00,1,0,1,20061001
49429,CPT,Removal of shunt,,30,1,1,"$5,773.21 ",$0.00,1,0,1,20061001
49491,CPT,Rpr hern preemie reduc,,30,1,1,"$8,086.37 ",$0.00,1,0,1,20061001
49492,CPT,"Rpr ing hern premie, blocked",,30,1,1,"$8,086.37 ",$0.00,1,0,1,20061001
49495,CPT,"Rpr ing hernia baby, reduc",,30,1,1,"$8,086.37 ",$0.00,1,0,1,20061001
49496,CPT,"Rpr ing hernia baby, blocked",,30,1,1,"$8,086.37 ",$0.00,1,0,1,20061001
49500,CPT,"Rpr ing hernia, init, reduce",,30,1,1,"$8,086.37 ",$0.00,1,0,1,20061001
49501,CPT,"Rpr ing hernia, init blocked",,30,1,1,"$8,086.37 ",$0.00,1,0,1,20061001
49505,CPT,Prp i/hern init reduc>5 yr,,30,1,1,"$8,086.37 ",$0.00,1,0,1,20061001
49507,CPT,Prp i/hern init block>5 yr,,30,1,1,"$8,086.37 ",$0.00,1,0,1,20061001
49520,CPT,"Rerepair ing hernia, reduce",,30,1,1,"$8,086.37 ",$0.00,1,0,1,20061001
49521,CPT,"Rerepair ing hernia, blocked",,30,1,1,"$8,086.37 ",$0.00,1,0,1,20061001
49525,CPT,"Repair ing hernia, sliding",,30,1,1,"$8,086.37 ",$0.00,1,0,1,20061001
49540,CPT,Repair lumbar hernia,,30,1,1,"$8,086.37 ",$0.00,1,0,1,20061001
49550,CPT,"Rpr rem hernia, init, reduce",,30,1,1,"$8,086.37 ",$0.00,1,0,1,20061001
49553,CPT,"Rpr fem hernia, init blocked",,30,1,1,"$8,086.37 ",$0.00,1,0,1,20061001
49555,CPT,"Rerepair fem hernia, reduce",,30,1,1,"$8,086.37 ",$0.00,1,0,1,20061001
49557,CPT,"Rerepair fem hernia, blocked",,30,1,1,"$8,086.37 ",$0.00,1,0,1,20061001
49560,CPT,"Rpr ventral hern init, reduc",,30,1,1,"$8,086.37 ",$0.00,1,0,1,20061001
49561,CPT,"Rpr ventral hern init, block",,30,1,1,"$8,086.37 ",$0.00,1,0,1,20061001
49565,CPT,"Rerepair ventrl hern, reduce",,30,1,1,"$8,086.37 ",$0.00,1,0,1,20061001
49566,CPT,"Rerepair ventrl hern, block",,30,1,1,"$8,086.37 ",$0.00,1,0,1,20061001
49568,CPT,Hernia repair w/mesh,,30,1,1,"$8,086.37 ",$0.00,1,0,1,20061001
49570,CPT,"Rpr epigastric hern, reduce",,30,1,1,"$8,086.37 ",$0.00,1,0,1,20061001
49572,CPT,"Rpr epigastric hern, blocked",,30,1,1,"$8,086.37 ",$0.00,1,0,1,20061001
49580,CPT,"Rpr umbil hern, reduc < 5 yr",,30,1,1,"$8,086.37 ",$0.00,1,0,1,20061001
49582,CPT,"Rpr umbil hern, block < 5 yr",,30,1,1,"$8,086.37 ",$0.00,1,0,1,20061001
49585,CPT,"Rpr umbil hern, reduc > 5 yr",,30,1,1,"$8,086.37 ",$0.00,1,0,1,20061001
49587,CPT,"Rpr umbil hern, block > 5 yr",,30,1,1,"$8,086.37 ",$0.00,1,0,1,20061001
49590,CPT,Repair spigilian hernia,,30,1,1,"$8,086.37 ",$0.00,1,0,1,20061001
49600,CPT,Repair umbilical lesion,,30,1,1,"$8,086.37 ",$0.00,1,0,1,20061001
49650,CPT,Laparo hernia repair initial,,30,1,1,"$12,159.93 ",$0.00,1,0,1,20061001
49651,CPT,Laparo hernia repair recur,,30,1,1,"$12,159.93 ",$0.00,1,0,1,20061001
49659,CPT,"Laparo proc, hernia repair",,30,1,1,"$12,159.93 ",$0.00,1,0,1,20061001
49999,CPT,Abdomen surgery procedure,,30,1,1,"$6,239.46 ",$0.00,1,0,1,20061001
50020,CPT,"Renal abscess, open drain",,30,1,1,"$1,403.47 ",$0.00,1,0,1,20061001
50021,CPT,"Renal abscess, percut drain",,30,1,1,"$2,979.88 ",$0.00,1,0,1,20061001
50080,CPT,Removal of kidney stone,,30,1,1,"$10,025.81 ",$0.00,1,0,1,20061001
50081,CPT,Removal of kidney stone,,30,1,1,"$10,025.81 ",$0.00,1,0,1,20061001
50200,CPT,Biopsy of kidney,,30,1,1,"$1,435.54 ",$0.00,1,0,1,20061001
50382,CPT,"Change ureter stent, percut",,30,1,1,"$1,183.15 ",$0.00,1,0,1,20061001
50384,CPT,"Remove ureter stent, percut",,30,1,1,"$1,183.15 ",$0.00,1,0,1,20061001
50387,CPT,Change ext/int ureter stent,,30,1,1,$440.51 ,$0.00,1,0,1,20061001
50389,CPT,Remove renal tube w/fluoro,,30,1,1,$166.35 ,$0.00,1,0,1,20061001
50390,CPT,Drainage of kidney lesion,,30,1,1,"$1,435.54 ",$0.00,1,0,1,20061001
50391,CPT,Instll rx agnt into rnal tub,,30,1,1,$151.11 ,$0.00,1,0,1,20061001
50392,CPT,Insert kidney drain,,30,1,1,"$5,062.42 ",$0.00,1,0,1,20061001
50393,CPT,Insert ureteral tube,,30,1,1,"$5,062.42 ",$0.00,1,0,1,20061001
50395,CPT,Create passage to kidney,,30,1,1,"$5,062.42 ",$0.00,1,0,1,20061001
50396,CPT,Measure kidney pressure,,30,1,1,$345.56 ,$0.00,1,0,1,20061001
50398,CPT,Change kidney tube,,30,1,1,"$2,623.11 ",$0.00,1,0,1,20061001
50541,CPT,Laparo ablate renal cyst,,30,1,1,"$9,807.60 ",$0.00,1,0,1,20061001
50542,CPT,Laparo ablate renal mass,,30,1,1,"$12,159.93 ",$0.00,1,0,1,20061001
50543,CPT,Laparo partial nephrectomy,,30,1,1,"$12,159.93 ",$0.00,1,0,1,20061001
50544,CPT,"Laparoscopy, pyeloplasty",,30,1,1,"$9,807.60 ",$0.00,1,0,1,20061001
50549,CPT,"Laparoscope proc, renal",,30,1,1,"$9,807.60 ",$0.00,1,0,1,20061001
50551,CPT,Kidney endoscopy,,30,1,1,"$2,068.84 ",$0.00,1,0,1,20061001
50553,CPT,Kidney endoscopy,,30,1,1,"$5,062.42 ",$0.00,1,0,1,20061001
50555,CPT,Kidney endoscopy & biopsy,,30,1,1,"$2,068.84 ",$0.00,1,0,1,20061001
50557,CPT,Kidney endoscopy & treatment,,30,1,1,"$6,575.82 ",$0.00,1,0,1,20061001
50561,CPT,Kidney endoscopy & treatment,,30,1,1,"$5,062.42 ",$0.00,1,0,1,20061001
50562,CPT,Renal scope w/tumor resect,,30,1,1,"$2,068.84 ",$0.00,1,0,1,20061001
50570,CPT,Kidney endoscopy,,30,1,1,$412.63 ,$0.00,1,0,1,20061001
50572,CPT,Kidney endoscopy,,30,1,1,$412.63 ,$0.00,1,0,1,20061001
50574,CPT,Kidney endoscopy & biopsy,,30,1,1,$412.63 ,$0.00,1,0,1,20061001
50575,CPT,Kidney endoscopy,,30,1,1,"$7,538.93 ",$0.00,1,0,1,20061001
50576,CPT,Kidney endoscopy & treatment,,30,1,1,"$1,090.50 ",$0.00,1,0,1,20061001
50590,CPT,Fragmenting of kidney stone,,30,1,1,"$13,583.31 ",$0.00,1,0,1,20061001
50592,CPT,Perc rf ablate renal tumor,,30,1,1,"$2,520.85 ",$0.00,1,0,1,20061001
50686,CPT,Measure ureter pressure,,30,1,1,$345.56 ,$0.00,1,0,1,20061001
50688,CPT,Change of ureter tube,,30,1,1,"$2,623.11 ",$0.00,1,0,1,20061001
50945,CPT,Laparoscopy ureterolithotomy,,30,1,1,"$12,159.93 ",$0.00,1,0,1,20061001
50947,CPT,Laparo new ureter/bladder,,30,1,1,"$12,159.93 ",$0.00,1,0,1,20061001
50948,CPT,Laparo new ureter/bladder,,30,1,1,"$12,159.93 ",$0.00,1,0,1,20061001
50949,CPT,"Laparoscope proc, ureter",,30,1,1,"$9,807.60 ",$0.00,1,0,1,20061001
50951,CPT,Endoscopy of ureter,,30,1,1,"$2,068.84 ",$0.00,1,0,1,20061001
50953,CPT,Endoscopy of ureter,,30,1,1,"$2,068.84 ",$0.00,1,0,1,20061001
50955,CPT,Ureter endoscopy & biopsy,,30,1,1,"$5,062.42 ",$0.00,1,0,1,20061001
50957,CPT,Ureter endoscopy & treatment,,30,1,1,"$5,062.42 ",$0.00,1,0,1,20061001
50961,CPT,Ureter endoscopy & treatment,,30,1,1,"$5,062.42 ",$0.00,1,0,1,20061001
50970,CPT,Ureter endoscopy,,30,1,1,"$2,068.84 ",$0.00,1,0,1,20061001
50972,CPT,Ureter endoscopy & catheter,,30,1,1,"$2,068.84 ",$0.00,1,0,1,20061001
50974,CPT,Ureter endoscopy & biopsy,,30,1,1,"$5,062.42 ",$0.00,1,0,1,20061001
50976,CPT,Ureter endoscopy & treatment,,30,1,1,"$5,062.42 ",$0.00,1,0,1,20061001
50980,CPT,Ureter endoscopy & treatment,,30,1,1,"$5,062.42 ",$0.00,1,0,1,20061001
51000,CPT,Drainage of bladder,,30,1,1,$345.56 ,$0.00,1,0,1,20061001
51005,CPT,Drainage of bladder,,30,1,1,$345.56 ,$0.00,1,0,1,20061001
51010,CPT,Drainage of bladder,,30,1,1,"$4,423.33 ",$0.00,1,0,1,20061001
51020,CPT,Incise & treat bladder,,30,1,1,"$6,575.82 ",$0.00,1,0,1,20061001
51030,CPT,Incise & treat bladder,,30,1,1,"$6,575.82 ",$0.00,1,0,1,20061001
51040,CPT,Incise & drain bladder,,30,1,1,"$6,575.82 ",$0.00,1,0,1,20061001
51045,CPT,Incise bladder/drain ureter,,30,1,1,"$2,068.84 ",$0.00,1,0,1,20061001
51050,CPT,Removal of bladder stone,,30,1,1,"$6,575.82 ",$0.00,1,0,1,20061001
51065,CPT,Remove ureter calculus,,30,1,1,"$6,575.82 ",$0.00,1,0,1,20061001
51080,CPT,Drainage of bladder abscess,,30,1,1,"$3,544.83 ",$0.00,1,0,1,20061001
51500,CPT,Removal of bladder cyst,,30,1,1,"$8,086.37 ",$0.00,1,0,1,20061001
51520,CPT,Removal of bladder lesion,,30,1,1,"$6,575.82 ",$0.00,1,0,1,20061001
51700,CPT,Irrigation of bladder,,30,1,1,$345.56 ,$0.00,1,0,1,20061001
51705,CPT,Change of bladder tube,,30,1,1,$633.48 ,$0.00,1,0,1,20061001
51710,CPT,Change of bladder tube,,30,1,1,"$2,623.11 ",$0.00,1,0,1,20061001
51715,CPT,Endoscopic injection/implant,,30,1,1,"$9,016.93 ",$0.00,1,0,1,20061001
51720,CPT,Treatment of bladder lesion,,30,1,1,$745.48 ,$0.00,1,0,1,20061001
51725,CPT,Simple cystometrogram,,30,1,1,$745.48 ,$0.00,1,0,1,20061001
51726,CPT,Complex cystometrogram,,30,1,1,$745.48 ,$0.00,1,0,1,20061001
51736,CPT,Urine flow measurement,,30,1,1,$345.56 ,$0.00,1,0,1,20061001
51741,CPT,"Electro-uroflowmetry, first",,30,1,1,$345.56 ,$0.00,1,0,1,20061001
51772,CPT,Urethra pressure profile,,30,1,1,$345.56 ,$0.00,1,0,1,20061001
51784,CPT,Anal/urinary muscle study,,30,1,1,$345.56 ,$0.00,1,0,1,20061001
51785,CPT,Anal/urinary muscle study,,30,1,1,$345.56 ,$0.00,1,0,1,20061001
51792,CPT,Urinary reflex study,,30,1,1,$345.56 ,$0.00,1,0,1,20061001
51795,CPT,Urine voiding pressure study,,30,1,1,$345.56 ,$0.00,1,0,1,20061001
51797,CPT,Intraabdominal pressure test,,30,1,1,$345.56 ,$0.00,1,0,1,20061001
51798,CPT,Us urine capacity measure,,30,0,1,$190.09 ,$0.00,1,0,1,20061001
51880,CPT,Repair of bladder opening,,30,1,1,"$6,575.82 ",$0.00,1,0,1,20061001
51990,CPT,Laparo urethral suspension,,30,1,1,"$12,159.93 ",$0.00,1,0,1,20061001
51992,CPT,Laparo sling operation,,30,1,1,"$16,693.95 ",$0.00,1,0,1,20061001
51999,CPT,"Laparoscope proc, bladder",,30,1,1,"$2,029.72 ",$0.00,1,0,1,20061001
52000,CPT,Cystoscopy,,30,1,1,"$2,068.84 ",$0.00,1,0,1,20061001
52001,CPT,"Cystoscopy, removal of clots",,30,1,1,"$2,068.84 ",$0.00,1,0,1,20061001
52005,CPT,Cystoscopy & ureter catheter,,30,1,1,"$5,062.42 ",$0.00,1,0,1,20061001
52007,CPT,Cystoscopy and biopsy,,30,1,1,"$5,062.42 ",$0.00,1,0,1,20061001
52010,CPT,Cystoscopy & duct catheter,,30,1,1,"$2,068.84 ",$0.00,1,0,1,20061001
52204,CPT,Cystoscopy,,30,1,1,"$5,062.42 ",$0.00,1,0,1,20061001
52214,CPT,Cystoscopy and treatment,,30,1,1,"$6,575.82 ",$0.00,1,0,1,20061001
52224,CPT,Cystoscopy and treatment,,30,1,1,"$6,575.82 ",$0.00,1,0,1,20061001
52234,CPT,Cystoscopy and treatment,,30,1,1,"$6,575.82 ",$0.00,1,0,1,20061001
52235,CPT,Cystoscopy and treatment,,30,1,1,"$6,575.82 ",$0.00,1,0,1,20061001
52240,CPT,Cystoscopy and treatment,,30,1,1,"$6,575.82 ",$0.00,1,0,1,20061001
52250,CPT,Cystoscopy and radiotracer,,30,1,1,"$6,575.82 ",$0.00,1,0,1,20061001
52260,CPT,Cystoscopy and treatment,,30,1,1,"$5,062.42 ",$0.00,1,0,1,20061001
52265,CPT,Cystoscopy and treatment,,30,1,1,"$2,068.84 ",$0.00,1,0,1,20061001
52270,CPT,Cystoscopy & revise urethra,,30,1,1,"$5,062.42 ",$0.00,1,0,1,20061001
52275,CPT,Cystoscopy & revise urethra,,30,1,1,"$5,062.42 ",$0.00,1,0,1,20061001
52276,CPT,Cystoscopy and treatment,,30,1,1,"$5,062.42 ",$0.00,1,0,1,20061001
52277,CPT,Cystoscopy and treatment,,30,1,1,"$6,575.82 ",$0.00,1,0,1,20061001
52281,CPT,Cystoscopy and treatment,,30,1,1,"$5,062.42 ",$0.00,1,0,1,20061001
52282,CPT,"Cystoscopy, implant stent",,30,1,1,"$19,495.74 ",$0.00,1,0,1,20061001
52283,CPT,Cystoscopy and treatment,,30,1,1,"$5,062.42 ",$0.00,1,0,1,20061001
52285,CPT,Cystoscopy and treatment,,30,1,1,"$5,062.42 ",$0.00,1,0,1,20061001
52290,CPT,Cystoscopy and treatment,,30,1,1,"$5,062.42 ",$0.00,1,0,1,20061001
52300,CPT,Cystoscopy and treatment,,30,1,1,"$5,062.42 ",$0.00,1,0,1,20061001
52301,CPT,Cystoscopy and treatment,,30,1,1,"$5,062.42 ",$0.00,1,0,1,20061001
52305,CPT,Cystoscopy and treatment,,30,1,1,"$5,062.42 ",$0.00,1,0,1,20061001
52310,CPT,Cystoscopy and treatment,,30,1,1,"$2,068.84 ",$0.00,1,0,1,20061001
52315,CPT,Cystoscopy and treatment,,30,1,1,"$5,062.42 ",$0.00,1,0,1,20061001
52317,CPT,Remove bladder stone,,30,1,1,"$6,575.82 ",$0.00,1,0,1,20061001
52318,CPT,Remove bladder stone,,30,1,1,"$6,575.82 ",$0.00,1,0,1,20061001
52320,CPT,Cystoscopy and treatment,,30,1,1,"$6,575.82 ",$0.00,1,0,1,20061001
52325,CPT,"Cystoscopy, stone removal",,30,1,1,"$6,575.82 ",$0.00,1,0,1,20061001
52327,CPT,"Cystoscopy, inject material",,30,1,1,"$6,575.82 ",$0.00,1,0,1,20061001
52330,CPT,Cystoscopy and treatment,,30,1,1,"$6,575.82 ",$0.00,1,0,1,20061001
52332,CPT,Cystoscopy and treatment,,30,1,1,"$6,575.82 ",$0.00,1,0,1,20061001
52334,CPT,Create passage to kidney,,30,1,1,"$6,575.82 ",$0.00,1,0,1,20061001
52341,CPT,Cysto w/ureter stricture tx,,30,1,1,"$6,575.82 ",$0.00,1,0,1,20061001
52342,CPT,Cysto w/up stricture tx,,30,1,1,"$6,575.82 ",$0.00,1,0,1,20061001
52343,CPT,Cysto w/renal stricture tx,,30,1,1,"$6,575.82 ",$0.00,1,0,1,20061001
52344,CPT,"Cysto/uretero, stone remove",,30,1,1,"$6,575.82 ",$0.00,1,0,1,20061001
52345,CPT,Cysto/uretero w/up stricture,,30,1,1,"$6,575.82 ",$0.00,1,0,1,20061001
52346,CPT,Cystouretero w/renal strict,,30,1,1,"$6,575.82 ",$0.00,1,0,1,20061001
52351,CPT,Cystouretero & or pyeloscope,,30,1,1,"$5,062.42 ",$0.00,1,0,1,20061001
52352,CPT,Cystouretero w/stone remove,,30,1,1,"$6,575.82 ",$0.00,1,0,1,20061001
52353,CPT,Cystouretero w/lithotripsy,,30,1,1,"$10,025.81 ",$0.00,1,0,1,20061001
52354,CPT,Cystouretero w/biopsy,,30,1,1,"$6,575.82 ",$0.00,1,0,1,20061001
52355,CPT,Cystouretero w/excise tumor,,30,1,1,"$6,575.82 ",$0.00,1,0,1,20061001
52400,CPT,Cystouretero w/congen repr,,30,1,1,"$6,575.82 ",$0.00,1,0,1,20061001
52402,CPT,Cystourethro cut ejacul duct,,30,1,1,"$1,403.47 ",$0.00,1,0,1,20061001
52450,CPT,Incision of prostate,,30,1,1,"$6,575.82 ",$0.00,1,0,1,20061001
52500,CPT,Revision of bladder neck,,30,1,1,"$6,575.82 ",$0.00,1,0,1,20061001
52510,CPT,Dilation prostatic urethra,,30,1,1,"$5,062.42 ",$0.00,1,0,1,20061001
52601,CPT,Prostatectomy (TURP),,30,1,1,"$10,025.81 ",$0.00,1,0,1,20061001
52606,CPT,Control postop bleeding,,30,1,1,"$6,575.82 ",$0.00,1,0,1,20061001
52612,CPT,"Prostatectomy, first stage",,30,1,1,"$10,025.81 ",$0.00,1,0,1,20061001
52614,CPT,"Prostatectomy, second stage",,30,1,1,"$10,025.81 ",$0.00,1,0,1,20061001
52620,CPT,Remove residual prostate,,30,1,1,"$10,025.81 ",$0.00,1,0,1,20061001
52630,CPT,Remove prostate regrowth,,30,1,1,"$10,025.81 ",$0.00,1,0,1,20061001
52640,CPT,Relieve bladder contracture,,30,1,1,"$6,575.82 ",$0.00,1,0,1,20061001
52647,CPT,Laser surgery of prostate,,30,1,1,"$10,025.81 ",$0.00,1,0,1,20061001
52648,CPT,Laser surgery of prostate,,30,1,1,"$10,025.81 ",$0.00,1,0,1,20061001
52700,CPT,Drainage of prostate abscess,,30,1,1,"$6,575.82 ",$0.00,1,0,1,20061001
53000,CPT,Incision of urethra,,30,1,1,"$5,058.37 ",$0.00,1,0,1,20061001
53010,CPT,Incision of urethra,,30,1,1,"$5,058.37 ",$0.00,1,0,1,20061001
53020,CPT,Incision of urethra,,30,1,1,"$5,058.37 ",$0.00,1,0,1,20061001
53025,CPT,Incision of urethra,,30,1,1,"$5,058.37 ",$0.00,1,0,1,20061001
53040,CPT,Drainage of urethra abscess,,30,1,1,"$9,016.93 ",$0.00,1,0,1,20061001
53060,CPT,Drainage of urethra abscess,,30,1,1,"$5,058.37 ",$0.00,1,0,1,20061001
53080,CPT,Drainage of urinary leakage,,30,1,1,"$5,058.37 ",$0.00,1,0,1,20061001
53085,CPT,Drainage of urinary leakage,,30,1,1,"$1,083.43 ",$0.00,1,0,1,20061001
53200,CPT,Biopsy of urethra,,30,1,1,"$5,058.37 ",$0.00,1,0,1,20061001
53210,CPT,Removal of urethra,,30,1,1,"$8,628.68 ",$0.00,1,0,1,20061001
53215,CPT,Removal of urethra,,30,1,1,"$5,058.37 ",$0.00,1,0,1,20061001
53220,CPT,Treatment of urethra lesion,,30,1,1,"$8,628.68 ",$0.00,1,0,1,20061001
53230,CPT,Removal of urethra lesion,,30,1,1,"$8,628.68 ",$0.00,1,0,1,20061001
53235,CPT,Removal of urethra lesion,,30,1,1,"$5,058.37 ",$0.00,1,0,1,20061001
53240,CPT,Surgery for urethra pouch,,30,1,1,"$8,628.68 ",$0.00,1,0,1,20061001
53250,CPT,Removal of urethra gland,,30,1,1,"$5,058.37 ",$0.00,1,0,1,20061001
53260,CPT,Treatment of urethra lesion,,30,1,1,"$5,058.37 ",$0.00,1,0,1,20061001
53265,CPT,Treatment of urethra lesion,,30,1,1,"$5,058.37 ",$0.00,1,0,1,20061001
53270,CPT,Removal of urethra gland,,30,1,1,"$9,016.93 ",$0.00,1,0,1,20061001
53275,CPT,Repair of urethra defect,,30,1,1,"$5,058.37 ",$0.00,1,0,1,20061001
53400,CPT,"Revise urethra, stage 1",,30,1,1,"$8,628.68 ",$0.00,1,0,1,20061001
53405,CPT,"Revise urethra, stage 2",,30,1,1,"$8,628.68 ",$0.00,1,0,1,20061001
53410,CPT,Reconstruction of urethra,,30,1,1,"$8,628.68 ",$0.00,1,0,1,20061001
53420,CPT,"Reconstruct urethra, stage 1",,30,1,1,"$8,628.68 ",$0.00,1,0,1,20061001
53425,CPT,"Reconstruct urethra, stage 2",,30,1,1,"$8,628.68 ",$0.00,1,0,1,20061001
53430,CPT,Reconstruction of urethra,,30,1,1,"$8,628.68 ",$0.00,1,0,1,20061001
53431,CPT,Reconstruct urethra/bladder,,30,1,1,"$8,628.68 ",$0.00,1,0,1,20061001
53440,CPT,Correct bladder function,,30,0,1,"$19,495.74 ",$0.00,1,0,1,20061001
53442,CPT,Remove perineal prosthesis,,30,1,1,"$9,016.93 ",$0.00,1,0,1,20061001
53444,CPT,Insert tandem cuff,,30,0,1,"$19,495.74 ",$0.00,1,0,1,20061001
53445,CPT,Insert uro/ves nck sphincter,,30,0,1,"$25,547.47 ",$0.00,1,0,1,20061001
53446,CPT,Remove uro sphincter,,30,1,1,"$8,628.68 ",$0.00,1,0,1,20061001
53447,CPT,Remove/replace ur sphincter,,30,0,1,"$25,547.47 ",$0.00,1,0,1,20061001
53449,CPT,Repair uro sphincter,,30,1,1,"$8,628.68 ",$0.00,1,0,1,20061001
53450,CPT,Revision of urethra,,30,1,1,"$8,628.68 ",$0.00,1,0,1,20061001
53460,CPT,Revision of urethra,,30,1,1,"$5,058.37 ",$0.00,1,0,1,20061001
53500,CPT,"Urethrlys, transvag w/ scope",,30,1,1,"$8,628.68 ",$0.00,1,0,1,20061001
53502,CPT,Repair of urethra injury,,30,1,1,"$5,058.37 ",$0.00,1,0,1,20061001
53505,CPT,Repair of urethra injury,,30,1,1,"$9,016.93 ",$0.00,1,0,1,20061001
53510,CPT,Repair of urethra injury,,30,1,1,"$5,058.37 ",$0.00,1,0,1,20061001
53515,CPT,Repair of urethra injury,,30,1,1,"$8,628.68 ",$0.00,1,0,1,20061001
53520,CPT,Repair of urethra defect,,30,1,1,"$8,628.68 ",$0.00,1,0,1,20061001
53600,CPT,Dilate urethra stricture,,30,1,1,$745.48 ,$0.00,1,0,1,20061001
53601,CPT,Dilate urethra stricture,,30,1,1,$345.56 ,$0.00,1,0,1,20061001
53605,CPT,Dilate urethra stricture,,30,1,1,"$5,062.42 ",$0.00,1,0,1,20061001
53620,CPT,Dilate urethra stricture,,30,1,1,"$4,423.33 ",$0.00,1,0,1,20061001
53621,CPT,Dilate urethra stricture,,30,1,1,$345.56 ,$0.00,1,0,1,20061001
53660,CPT,Dilation of urethra,,30,1,1,$345.56 ,$0.00,1,0,1,20061001
53661,CPT,Dilation of urethra,,30,1,1,$345.56 ,$0.00,1,0,1,20061001
53665,CPT,Dilation of urethra,,30,1,1,"$5,058.37 ",$0.00,1,0,1,20061001
53850,CPT,Prostatic microwave thermotx,,30,1,1,"$14,824.38 ",$0.00,1,0,1,20061001
53852,CPT,Prostatic rf thermotx,,30,1,1,"$14,824.38 ",$0.00,1,0,1,20061001
53853,CPT,Prostatic water thermother,,30,1,1,"$5,623.27 ",$0.00,1,0,1,20061001
53899,CPT,Urology surgery procedure,,30,1,1,$345.56 ,$0.00,1,0,1,20061001
54000,CPT,Slitting of prepuce,,30,1,1,"$5,058.37 ",$0.00,1,0,1,20061001
54001,CPT,Slitting of prepuce,,30,1,1,"$5,058.37 ",$0.00,1,0,1,20061001
54015,CPT,Drain penis lesion,,30,1,1,"$3,544.83 ",$0.00,1,0,1,20061001
54050,CPT,"Destruction, penis lesion(s)",,30,1,1,$337.02 ,$0.00,1,0,1,20061001
54055,CPT,"Destruction, penis lesion(s)",,30,1,1,"$4,931.22 ",$0.00,1,0,1,20061001
54056,CPT,"Cryosurgery, penis lesion(s)",,30,1,1,$229.31 ,$0.00,1,0,1,20061001
54057,CPT,"Laser surg, penis lesion(s)",,30,1,1,"$4,931.22 ",$0.00,1,0,1,20061001
54060,CPT,Excision of penis lesion(s),,30,1,1,"$4,931.22 ",$0.00,1,0,1,20061001
54065,CPT,"Destruction, penis lesion(s)",,30,1,1,"$5,779.27 ",$0.00,1,0,1,20061001
54100,CPT,Biopsy of penis,,30,1,1,"$4,293.64 ",$0.00,1,0,1,20061001
54105,CPT,Biopsy of penis,,30,1,1,"$5,653.51 ",$0.00,1,0,1,20061001
54110,CPT,Treatment of penis lesion,,30,1,1,"$8,863.00 ",$0.00,1,0,1,20061001
54111,CPT,"Treat penis lesion, graft",,30,1,1,"$8,863.00 ",$0.00,1,0,1,20061001
54112,CPT,"Treat penis lesion, graft",,30,1,1,"$8,863.00 ",$0.00,1,0,1,20061001
54115,CPT,Treatment of penis lesion,,30,1,1,"$5,869.10 ",$0.00,1,0,1,20061001
54120,CPT,Partial removal of penis,,30,1,1,"$8,863.00 ",$0.00,1,0,1,20061001
54150,CPT,Circumcision,,30,1,1,"$5,589.54 ",$0.00,1,0,1,20061001
54152,CPT,Circumcision,,30,1,1,"$5,589.54 ",$0.00,1,0,1,20061001
54160,CPT,Circumcision,,30,1,1,"$5,589.54 ",$0.00,1,0,1,20061001
54161,CPT,Circumcision,,30,1,1,"$5,589.54 ",$0.00,1,0,1,20061001
54162,CPT,Lysis penil circumic lesion,,30,1,1,"$5,589.54 ",$0.00,1,0,1,20061001
54163,CPT,Repair of circumcision,,30,1,1,"$5,589.54 ",$0.00,1,0,1,20061001
54164,CPT,Frenulotomy of penis,,30,1,1,"$5,589.54 ",$0.00,1,0,1,20061001
54200,CPT,Treatment of penis lesion,,30,1,1,$745.48 ,$0.00,1,0,1,20061001
54205,CPT,Treatment of penis lesion,,30,1,1,"$8,863.00 ",$0.00,1,0,1,20061001
54220,CPT,Treatment of penis lesion,,30,1,1,$745.48 ,$0.00,1,0,1,20061001
54231,CPT,Dynamic cavernosometry,,30,1,1,"$4,423.33 ",$0.00,1,0,1,20061001
54235,CPT,Penile injection,,30,1,1,$345.56 ,$0.00,1,0,1,20061001
54240,CPT,Penis study,,30,1,1,$345.56 ,$0.00,1,0,1,20061001
54250,CPT,Penis study,,30,1,1,$345.56 ,$0.00,1,0,1,20061001
54300,CPT,Revision of penis,,30,1,1,"$8,863.00 ",$0.00,1,0,1,20061001
54304,CPT,Revision of penis,,30,1,1,"$8,863.00 ",$0.00,1,0,1,20061001
54308,CPT,Reconstruction of urethra,,30,1,1,"$8,863.00 ",$0.00,1,0,1,20061001
54312,CPT,Reconstruction of urethra,,30,1,1,"$8,863.00 ",$0.00,1,0,1,20061001
54316,CPT,Reconstruction of urethra,,30,1,1,"$8,863.00 ",$0.00,1,0,1,20061001
54318,CPT,Reconstruction of urethra,,30,1,1,"$8,863.00 ",$0.00,1,0,1,20061001
54322,CPT,Reconstruction of urethra,,30,1,1,"$8,863.00 ",$0.00,1,0,1,20061001
54324,CPT,Reconstruction of urethra,,30,1,1,"$8,863.00 ",$0.00,1,0,1,20061001
54326,CPT,Reconstruction of urethra,,30,1,1,"$8,863.00 ",$0.00,1,0,1,20061001
54328,CPT,Revise penis/urethra,,30,1,1,"$8,863.00 ",$0.00,1,0,1,20061001
54340,CPT,Secondary urethral surgery,,30,1,1,"$8,863.00 ",$0.00,1,0,1,20061001
54344,CPT,Secondary urethral surgery,,30,1,1,"$8,863.00 ",$0.00,1,0,1,20061001
54348,CPT,Secondary urethral surgery,,30,1,1,"$8,863.00 ",$0.00,1,0,1,20061001
54352,CPT,Reconstruct urethra/penis,,30,1,1,"$8,863.00 ",$0.00,1,0,1,20061001
54360,CPT,Penis plastic surgery,,30,1,1,"$8,863.00 ",$0.00,1,0,1,20061001
54380,CPT,Repair penis,,30,1,1,"$8,863.00 ",$0.00,1,0,1,20061001
54385,CPT,Repair penis,,30,1,1,"$8,863.00 ",$0.00,1,0,1,20061001
54400,CPT,Insert semi-rigid prosthesis,,30,0,1,"$19,495.74 ",$0.00,1,0,1,20061001
54401,CPT,Insert self-contd prosthesis,,30,0,1,"$25,547.47 ",$0.00,1,0,1,20061001
54405,CPT,Insert multi-comp penis pros,,30,0,1,"$25,547.47 ",$0.00,1,0,1,20061001
54406,CPT,Remove muti-comp penis pros,,30,1,1,"$8,863.00 ",$0.00,1,0,1,20061001
54408,CPT,Repair multi-comp penis pros,,30,1,1,"$8,863.00 ",$0.00,1,0,1,20061001
54410,CPT,Remove/replace penis prosth,,30,0,1,"$25,547.47 ",$0.00,1,0,1,20061001
54415,CPT,Remove self-contd penis pros,,30,1,1,"$8,863.00 ",$0.00,1,0,1,20061001
54416,CPT,Remv/repl penis contain pros,,30,0,1,"$19,495.74 ",$0.00,1,0,1,20061001
54420,CPT,Revision of penis,,30,1,1,"$8,863.00 ",$0.00,1,0,1,20061001
54435,CPT,Revision of penis,,30,1,1,"$8,863.00 ",$0.00,1,0,1,20061001
54440,CPT,Repair of penis,,30,1,1,"$8,863.00 ",$0.00,1,0,1,20061001
54450,CPT,Preputial stretching,,30,1,1,$745.48 ,$0.00,1,0,1,20061001
54500,CPT,Biopsy of testis,,30,1,1,"$2,979.88 ",$0.00,1,0,1,20061001
54505,CPT,Biopsy of testis,,30,1,1,"$6,501.62 ",$0.00,1,0,1,20061001
54512,CPT,Excise lesion testis,,30,1,1,"$6,501.62 ",$0.00,1,0,1,20061001
54520,CPT,Removal of testis,,30,1,1,"$6,501.62 ",$0.00,1,0,1,20061001
54522,CPT,"Orchiectomy, partial",,30,1,1,"$6,501.62 ",$0.00,1,0,1,20061001
54530,CPT,Removal of testis,,30,1,1,"$8,086.37 ",$0.00,1,0,1,20061001
54550,CPT,Exploration for testis,,30,1,1,"$8,086.37 ",$0.00,1,0,1,20061001
54600,CPT,Reduce testis torsion,,30,1,1,"$6,501.62 ",$0.00,1,0,1,20061001
54620,CPT,Suspension of testis,,30,1,1,"$6,501.62 ",$0.00,1,0,1,20061001
54640,CPT,Suspension of testis,,30,1,1,"$8,086.37 ",$0.00,1,0,1,20061001
54660,CPT,Revision of testis,,30,1,1,"$6,501.62 ",$0.00,1,0,1,20061001
54670,CPT,Repair testis injury,,30,1,1,"$6,501.62 ",$0.00,1,0,1,20061001
54680,CPT,Relocation of testis(es),,30,1,1,"$6,501.62 ",$0.00,1,0,1,20061001
54690,CPT,"Laparoscopy, orchiectomy",,30,1,1,"$12,159.93 ",$0.00,1,0,1,20061001
54692,CPT,"Laparoscopy, orchiopexy",,30,1,1,"$16,693.95 ",$0.00,1,0,1,20061001
54699,CPT,"Laparoscope proc, testis",,30,1,1,"$9,807.60 ",$0.00,1,0,1,20061001
54700,CPT,Drainage of scrotum,,30,1,1,"$6,501.62 ",$0.00,1,0,1,20061001
54800,CPT,Biopsy of epididymis,,30,1,1,$478.42 ,$0.00,1,0,1,20061001
54820,CPT,Exploration of epididymis,,30,1,1,"$6,501.62 ",$0.00,1,0,1,20061001
54830,CPT,Remove epididymis lesion,,30,1,1,"$6,501.62 ",$0.00,1,0,1,20061001
54840,CPT,Remove epididymis lesion,,30,1,1,"$6,501.62 ",$0.00,1,0,1,20061001
54860,CPT,Removal of epididymis,,30,1,1,"$6,501.62 ",$0.00,1,0,1,20061001
54861,CPT,Removal of epididymis,,30,1,1,"$6,501.62 ",$0.00,1,0,1,20061001
54900,CPT,Fusion of spermatic ducts,,30,1,1,"$6,501.62 ",$0.00,1,0,1,20061001
54901,CPT,Fusion of spermatic ducts,,30,1,1,"$6,501.62 ",$0.00,1,0,1,20061001
55000,CPT,Drainage of hydrocele,,30,1,1,$478.42 ,$0.00,1,0,1,20061001
55040,CPT,Removal of hydrocele,,30,1,1,"$8,086.37 ",$0.00,1,0,1,20061001
55041,CPT,Removal of hydroceles,,30,1,1,"$8,086.37 ",$0.00,1,0,1,20061001
55060,CPT,Repair of hydrocele,,30,1,1,"$6,501.62 ",$0.00,1,0,1,20061001
55100,CPT,Drainage of scrotum abscess,,30,1,1,"$3,544.83 ",$0.00,1,0,1,20061001
55110,CPT,Explore scrotum,,30,1,1,"$6,501.62 ",$0.00,1,0,1,20061001
55120,CPT,Removal of scrotum lesion,,30,1,1,"$6,501.62 ",$0.00,1,0,1,20061001
55150,CPT,Removal of scrotum,,30,1,1,"$6,501.62 ",$0.00,1,0,1,20061001
55175,CPT,Revision of scrotum,,30,1,1,"$6,501.62 ",$0.00,1,0,1,20061001
55180,CPT,Revision of scrotum,,30,1,1,"$6,501.62 ",$0.00,1,0,1,20061001
55200,CPT,Incision of sperm duct,,30,1,1,"$6,501.62 ",$0.00,1,0,1,20061001
55250,CPT,Removal of sperm duct(s),,30,1,1,"$6,501.62 ",$0.00,1,0,1,20061001
55300,CPT,"Prepare, sperm duct x-ray",,30,0,2,$53.13 ,$0.00,1,0,1,20061001
55400,CPT,Repair of sperm duct,,30,1,1,"$6,501.62 ",$0.00,1,0,1,20061001
55450,CPT,Ligation of sperm duct,,30,1,1,"$6,501.62 ",$0.00,1,0,1,20061001
55500,CPT,Removal of hydrocele,,30,1,1,"$6,501.62 ",$0.00,1,0,1,20061001
55520,CPT,Removal of sperm cord lesion,,30,1,1,"$6,501.62 ",$0.00,1,0,1,20061001
55530,CPT,Revise spermatic cord veins,,30,1,1,"$6,501.62 ",$0.00,1,0,1,20061001
55535,CPT,Revise spermatic cord veins,,30,1,1,"$8,086.37 ",$0.00,1,0,1,20061001
55540,CPT,Revise hernia & sperm veins,,30,1,1,"$8,086.37 ",$0.00,1,0,1,20061001
55550,CPT,Laparo ligate spermatic vein,,30,1,1,"$12,159.93 ",$0.00,1,0,1,20061001
55559,CPT,"Laparo proc, spermatic cord",,30,1,1,"$9,807.60 ",$0.00,1,0,1,20061001
55680,CPT,Remove sperm pouch lesion,,30,1,1,"$6,501.62 ",$0.00,1,0,1,20061001
55700,CPT,Biopsy of prostate,,30,1,1,"$1,170.94 ",$0.00,1,0,1,20061001
55705,CPT,Biopsy of prostate,,30,1,1,"$1,170.94 ",$0.00,1,0,1,20061001
55720,CPT,Drainage of prostate abscess,,30,1,1,"$6,575.82 ",$0.00,1,0,1,20061001
55725,CPT,Drainage of prostate abscess,,30,1,1,"$6,575.82 ",$0.00,1,0,1,20061001
55859,CPT,"Percut/needle insert, pros",,30,1,1,"$10,025.81 ",$0.00,1,0,1,20061001
55860,CPT,"Surgical exposure, prostate",,30,1,1,"$4,423.33 ",$0.00,1,0,1,20061001
55870,CPT,Electroejaculation,,30,1,1,"$1,454.39 ",$0.00,1,0,1,20061001
55873,CPT,Cryoablate prostate,,30,1,1,"$25,894.27 ",$0.00,1,0,1,20061001
55899,CPT,Genital surgery procedure,,30,1,1,$345.56 ,$0.00,1,0,1,20061001
56405,CPT,I & D of vulva/perineum,,30,1,1,$816.97 ,$0.00,1,0,1,20061001
56420,CPT,Drainage of gland abscess,,30,1,1,$816.97 ,$0.00,1,0,1,20061001
56440,CPT,Surgery for vulva lesion,,30,1,1,"$5,551.41 ",$0.00,1,0,1,20061001
56441,CPT,Lysis of labial lesion(s),,30,1,1,"$4,532.27 ",$0.00,1,0,1,20061001
56501,CPT,"Destroy, vulva lesions, sim",,30,1,1,"$4,931.22 ",$0.00,1,0,1,20061001
56515,CPT,Destroy vulva lesion/s compl,,30,1,1,"$5,779.27 ",$0.00,1,0,1,20061001
56605,CPT,Biopsy of vulva/perineum,,30,1,1,"$1,188.20 ",$0.00,1,0,1,20061001
56606,CPT,Biopsy of vulva/perineum,,30,1,1,"$1,188.20 ",$0.00,1,0,1,20061001
56620,CPT,Partial removal of vulva,,30,1,1,"$7,432.08 ",$0.00,1,0,1,20061001
56625,CPT,Complete removal of vulva,,30,1,1,"$7,432.08 ",$0.00,1,0,1,20061001
56700,CPT,Partial removal of hymen,,30,1,1,"$5,551.41 ",$0.00,1,0,1,20061001
56720,CPT,Incision of hymen,,30,1,1,"$4,532.27 ",$0.00,1,0,1,20061001
56740,CPT,Remove vagina gland lesion,,30,1,1,"$5,551.41 ",$0.00,1,0,1,20061001
56800,CPT,Repair of vagina,,30,1,1,"$5,551.41 ",$0.00,1,0,1,20061001
56805,CPT,Repair clitoris,,30,1,1,"$5,551.41 ",$0.00,1,0,1,20061001
56810,CPT,Repair of perineum,,30,1,1,"$5,551.41 ",$0.00,1,0,1,20061001
56820,CPT,Exam of vulva w/scope,,30,1,1,$342.38 ,$0.00,1,0,1,20061001
56821,CPT,Exam/biopsy of vulva w/scope,,30,1,1,$428.72 ,$0.00,1,0,1,20061001
57000,CPT,Exploration of vagina,,30,1,1,"$5,551.41 ",$0.00,1,0,1,20061001
57010,CPT,Drainage of pelvic abscess,,30,1,1,"$5,551.41 ",$0.00,1,0,1,20061001
57020,CPT,Drainage of pelvic fluid,,30,1,1,$816.97 ,$0.00,1,0,1,20061001
57022,CPT,"I & d vaginal hematoma, pp",,30,1,1,"$3,544.83 ",$0.00,1,0,1,20061001
57023,CPT,"I & d vag hematoma, non-ob",,30,1,1,"$3,544.83 ",$0.00,1,0,1,20061001
57061,CPT,"Destroy vag lesions, simple",,30,1,1,"$5,551.41 ",$0.00,1,0,1,20061001
57065,CPT,"Destroy vag lesions, complex",,30,1,1,"$5,551.41 ",$0.00,1,0,1,20061001
57100,CPT,Biopsy of vagina,,30,1,1,$816.97 ,$0.00,1,0,1,20061001
57105,CPT,Biopsy of vagina,,30,1,1,"$5,551.41 ",$0.00,1,0,1,20061001
57106,CPT,"Remove vagina wall, partial",,30,1,1,"$5,551.41 ",$0.00,1,0,1,20061001
57107,CPT,"Remove vagina tissue, part",,30,1,1,"$7,432.08 ",$0.00,1,0,1,20061001
57109,CPT,Vaginectomy partial w/nodes,,30,1,1,"$7,432.08 ",$0.00,1,0,1,20061001
57120,CPT,Closure of vagina,,30,1,1,"$7,432.08 ",$0.00,1,0,1,20061001
57130,CPT,Remove vagina lesion,,30,1,1,"$5,551.41 ",$0.00,1,0,1,20061001
57135,CPT,Remove vagina lesion,,30,1,1,"$5,551.41 ",$0.00,1,0,1,20061001
57150,CPT,Treat vagina infection,,30,1,1,$62.58 ,$0.00,1,0,1,20061001
57155,CPT,Insert uteri tandems/ovoids,,30,1,1,"$4,532.27 ",$0.00,1,0,1,20061001
57160,CPT,Insert pessary/other device,,30,1,1,$342.38 ,$0.00,1,0,1,20061001
57170,CPT,Fitting of diaphragm/cap,,30,1,1,$62.58 ,$0.00,1,0,1,20061001
57180,CPT,Treat vaginal bleeding,,30,1,1,$816.97 ,$0.00,1,0,1,20061001
57200,CPT,Repair of vagina,,30,1,1,"$5,551.41 ",$0.00,1,0,1,20061001
57210,CPT,Repair vagina/perineum,,30,1,1,"$5,551.41 ",$0.00,1,0,1,20061001
57220,CPT,Revision of urethra,,30,1,1,"$7,432.08 ",$0.00,1,0,1,20061001
57230,CPT,Repair of urethral lesion,,30,1,1,"$7,432.08 ",$0.00,1,0,1,20061001
57240,CPT,Repair bladder & vagina,,30,1,1,"$7,432.08 ",$0.00,1,0,1,20061001
57250,CPT,Repair rectum & vagina,,30,1,1,"$7,432.08 ",$0.00,1,0,1,20061001
57260,CPT,Repair of vagina,,30,1,1,"$7,432.08 ",$0.00,1,0,1,20061001
57265,CPT,Extensive repair of vagina,,30,1,1,"$7,432.08 ",$0.00,1,0,1,20061001
57267,CPT,Insert mesh/pelvic flr addon,,30,1,1,"$1,711.84 ",$0.00,1,0,1,20061001
57268,CPT,Repair of bowel bulge,,30,1,1,"$7,432.08 ",$0.00,1,0,1,20061001
57284,CPT,Repair paravaginal defect,,30,1,1,"$7,432.08 ",$0.00,1,0,1,20061001
57287,CPT,Revise/remove sling repair,,30,1,1,"$11,596.50 ",$0.00,1,0,1,20061001
57288,CPT,Repair bladder defect,,30,1,1,"$11,596.50 ",$0.00,1,0,1,20061001
57289,CPT,Repair bladder & vagina,,30,1,1,"$7,432.08 ",$0.00,1,0,1,20061001
57291,CPT,Construction of vagina,,30,1,1,"$7,432.08 ",$0.00,1,0,1,20061001
57295,CPT,Change vaginal graft,,30,1,1,"$1,315.40 ",$0.00,1,0,1,20061001
57300,CPT,Repair rectum-vagina fistula,,30,1,1,"$7,432.08 ",$0.00,1,0,1,20061001
57310,CPT,Repair urethrovaginal lesion,,30,1,1,"$7,432.08 ",$0.00,1,0,1,20061001
57320,CPT,Repair bladder-vagina lesion,,30,1,1,"$7,432.08 ",$0.00,1,0,1,20061001
57330,CPT,Repair bladder-vagina lesion,,30,1,1,"$7,432.08 ",$0.00,1,0,1,20061001
57400,CPT,Dilation of vagina,,30,1,1,"$5,551.41 ",$0.00,1,0,1,20061001
57410,CPT,Pelvic examination,,30,1,1,"$5,551.41 ",$0.00,1,0,1,20061001
57415,CPT,Remove vaginal foreign body,,30,1,1,"$5,551.41 ",$0.00,1,0,1,20061001
57420,CPT,Exam of vagina w/scope,,30,1,1,$816.97 ,$0.00,1,0,1,20061001
57421,CPT,Exam/biopsy of vag w/scope,,30,1,1,$816.97 ,$0.00,1,0,1,20061001
57425,CPT,"Laparoscopy, surg, colpopexy",,30,1,1,"$9,807.60 ",$0.00,1,0,1,20061001
57452,CPT,Examination of vagina,,30,1,1,$428.72 ,$0.00,1,0,1,20061001
57454,CPT,Vagina examination & biopsy,,30,1,1,$816.97 ,$0.00,1,0,1,20061001
57455,CPT,Biopsy of cervix w/scope,,30,1,1,$816.97 ,$0.00,1,0,1,20061001
57456,CPT,Endocerv curettage w/scope,,30,1,1,$816.97 ,$0.00,1,0,1,20061001
57460,CPT,Cervix excision,,30,1,1,"$4,532.27 ",$0.00,1,0,1,20061001
57461,CPT,"Conz of cervix w/scope, leep",,30,1,1,"$5,551.41 ",$0.00,1,0,1,20061001
57500,CPT,Biopsy of cervix,,30,1,1,$816.97 ,$0.00,1,0,1,20061001
57505,CPT,Endocervical curettage,,30,1,1,$816.97 ,$0.00,1,0,1,20061001
57510,CPT,Cauterization of cervix,,30,1,1,"$4,532.27 ",$0.00,1,0,1,20061001
57511,CPT,Cryocautery of cervix,,30,1,1,$428.72 ,$0.00,1,0,1,20061001
57513,CPT,Laser surgery of cervix,,30,1,1,"$4,532.27 ",$0.00,1,0,1,20061001
57520,CPT,Conization of cervix,,30,1,1,"$5,551.41 ",$0.00,1,0,1,20061001
57522,CPT,Conization of cervix,,30,1,1,"$7,432.08 ",$0.00,1,0,1,20061001
57530,CPT,Removal of cervix,,30,1,1,"$7,432.08 ",$0.00,1,0,1,20061001
57550,CPT,Removal of residual cervix,,30,1,1,"$7,432.08 ",$0.00,1,0,1,20061001
57555,CPT,Remove cervix/repair vagina,,30,1,1,"$7,432.08 ",$0.00,1,0,1,20061001
57556,CPT,"Remove cervix, repair bowel",,30,1,1,"$7,432.08 ",$0.00,1,0,1,20061001
57700,CPT,Revision of cervix,,30,1,1,"$5,551.41 ",$0.00,1,0,1,20061001
57720,CPT,Revision of cervix,,30,1,1,"$5,551.41 ",$0.00,1,0,1,20061001
57800,CPT,Dilation of cervical canal,,30,1,1,"$4,532.27 ",$0.00,1,0,1,20061001
57820,CPT,D & c of residual cervix,,30,1,1,"$4,856.59 ",$0.00,1,0,1,20061001
58100,CPT,Biopsy of uterus lining,,30,1,1,$342.38 ,$0.00,1,0,1,20061001
58110,CPT,Bx done w/colposcopy add-on,,30,1,1,$80.33 ,$0.00,1,0,1,20061001
58120,CPT,Dilation and curettage,,30,1,1,"$4,856.59 ",$0.00,1,0,1,20061001
58145,CPT,Myomectomy vag method,,30,1,1,"$7,432.08 ",$0.00,1,0,1,20061001
58300,CPT,Insert intrauterine device,,30,0,,$809.41 ,$0.00,1,0,1,20061001
58301,CPT,Remove intrauterine device,,30,1,1,$428.72 ,$0.00,1,0,1,20061001
58321,CPT,Artificial insemination,,30,1,1,"$1,454.39 ",$0.00,1,0,1,20061001
58322,CPT,Artificial insemination,,30,1,1,"$1,454.39 ",$0.00,1,0,1,20061001
58323,CPT,Sperm washing,,30,1,1,"$1,454.39 ",$0.00,1,0,1,20061001
58345,CPT,Reopen fallopian tube,,30,1,1,"$5,551.41 ",$0.00,1,0,1,20061001
58346,CPT,Insert heyman uteri capsule,,30,1,1,"$4,532.27 ",$0.00,1,0,1,20061001
58350,CPT,Reopen fallopian tube,,30,1,1,"$5,551.41 ",$0.00,1,0,1,20061001
58353,CPT,"Endometr ablate, thermal",,30,1,1,"$7,432.08 ",$0.00,1,0,1,20061001
58356,CPT,Endometrial cryoablation,,30,1,1,"$2,418.60 ",$0.00,1,0,1,20061001
58545,CPT,Laparoscopic myomectomy,,30,1,1,"$9,807.60 ",$0.00,1,0,1,20061001
58546,CPT,"Laparo-myomectomy, complex",,30,1,1,"$12,159.93 ",$0.00,1,0,1,20061001
58550,CPT,Laparo-asst vag hysterectomy,,30,1,1,"$16,693.95 ",$0.00,1,0,1,20061001
58552,CPT,Laparo-vag hyst incl t/o,,30,1,1,"$12,159.93 ",$0.00,1,0,1,20061001
58553,CPT,"Laparo-vag hyst, complex",,30,1,1,"$12,159.93 ",$0.00,1,0,1,20061001
58554,CPT,"Laparo-vag hyst w/t/o, compl",,30,1,1,"$12,159.93 ",$0.00,1,0,1,20061001
58555,CPT,"Hysteroscopy, dx, sep proc",,30,1,1,"$5,932.11 ",$0.00,1,0,1,20061001
58558,CPT,"Hysteroscopy, biopsy",,30,1,1,"$5,932.11 ",$0.00,1,0,1,20061001
58559,CPT,"Hysteroscopy, lysis",,30,1,1,"$5,932.11 ",$0.00,1,0,1,20061001
58560,CPT,"Hysteroscopy, resect septum",,30,1,1,"$8,479.27 ",$0.00,1,0,1,20061001
58561,CPT,"Hysteroscopy, remove myoma",,30,1,1,"$8,479.27 ",$0.00,1,0,1,20061001
58562,CPT,"Hysteroscopy, remove fb",,30,1,1,"$5,932.11 ",$0.00,1,0,1,20061001
58563,CPT,"Hysteroscopy, ablation",,30,1,1,"$8,479.27 ",$0.00,1,0,1,20061001
58565,CPT,"Hysteroscopy, sterilization",,30,1,1,"$2,418.60 ",$0.00,1,0,1,20061001
58578,CPT,"Laparo proc, uterus",,30,1,1,"$9,807.60 ",$0.00,1,0,1,20061001
58579,CPT,Hysteroscope procedure,,30,1,1,"$5,932.11 ",$0.00,1,0,1,20061001
58600,CPT,Division of fallopian tube,,30,1,1,"$7,432.08 ",$0.00,1,0,1,20061001
58615,CPT,Occlude fallopian tube(s),,30,1,1,"$5,551.41 ",$0.00,1,0,1,20061001
58660,CPT,"Laparoscopy, lysis",,30,1,1,"$12,159.93 ",$0.00,1,0,1,20061001
58661,CPT,"Laparoscopy, remove adnexa",,30,1,1,"$12,159.93 ",$0.00,1,0,1,20061001
58662,CPT,"Laparoscopy, excise lesions",,30,1,1,"$12,159.93 ",$0.00,1,0,1,20061001
58670,CPT,"Laparoscopy, tubal cautery",,30,1,1,"$12,159.93 ",$0.00,1,0,1,20061001
58671,CPT,"Laparoscopy, tubal block",,30,1,1,"$12,159.93 ",$0.00,1,0,1,20061001
58672,CPT,"Laparoscopy, fimbrioplasty",,30,1,1,"$12,159.93 ",$0.00,1,0,1,20061001
58673,CPT,"Laparoscopy, salpingostomy",,30,1,1,"$12,159.93 ",$0.00,1,0,1,20061001
58679,CPT,"Laparo proc, oviduct-ovary",,30,1,1,"$9,807.60 ",$0.00,1,0,1,20061001
58770,CPT,Create new tubal opening,,30,1,1,"$1,613.16 ",$0.00,1,0,1,20061001
58800,CPT,Drainage of ovarian cyst(s),,30,1,1,"$4,532.27 ",$0.00,1,0,1,20061001
58820,CPT,"Drain ovary abscess, open",,30,1,1,"$7,432.08 ",$0.00,1,0,1,20061001
58823,CPT,"Drain pelvic abscess, percut",,30,1,1,"$4,532.27 ",$0.00,1,0,1,20061001
58900,CPT,Biopsy of ovary(s),,30,1,1,"$4,532.27 ",$0.00,1,0,1,20061001
58920,CPT,Partial removal of ovary(s),,30,1,1,"$7,432.08 ",$0.00,1,0,1,20061001
58925,CPT,Removal of ovarian cyst(s),,30,1,1,"$7,432.08 ",$0.00,1,0,1,20061001
58970,CPT,Retrieval of oocyte,,30,1,1,"$5,551.41 ",$0.00,1,0,1,20061001
58974,CPT,Transfer of embryo,,30,1,1,"$1,454.39 ",$0.00,1,0,1,20061001
58976,CPT,Transfer of embryo,,30,1,1,"$1,454.39 ",$0.00,1,0,1,20061001
58999,CPT,Genital surgery procedure,,30,1,1,$62.58 ,$0.00,1,0,1,20061001
59000,CPT,"Amniocentesis, diagnostic",,30,1,1,$285.86 ,$0.00,1,0,1,20061001
59001,CPT,"Amniocentesis, therapeutic",,30,1,1,$285.86 ,$0.00,1,0,1,20061001
59012,CPT,"Fetal cord puncture,prenatal",,30,1,1,$285.86 ,$0.00,1,0,1,20061001
59015,CPT,Chorion biopsy,,30,1,1,$285.86 ,$0.00,1,0,1,20061001
59020,CPT,Fetal contract stress test,,30,1,1,$285.86 ,$0.00,1,0,1,20061001
59025,CPT,Fetal non-stress test,,30,1,1,$285.86 ,$0.00,1,0,1,20061001
59030,CPT,Fetal scalp blood sample,,30,1,1,$285.86 ,$0.00,1,0,1,20061001
59050,CPT,Fetal monitor w/report,,30,0,,$14.20 ,$0.00,1,0,1,20061001
59070,CPT,Transabdom amnioinfus w/ us,,30,1,1,$285.86 ,$0.00,1,0,1,20061001
59072,CPT,Umbilical cord occlud w/ us,,30,1,1,$285.86 ,$0.00,1,0,1,20061001
59074,CPT,Fetal fluid drainage w/ us,,30,1,1,$285.86 ,$0.00,1,0,1,20061001
59076,CPT,"Fetal shunt placement, w/ us",,30,1,1,$285.86 ,$0.00,1,0,1,20061001
59150,CPT,Treat ectopic pregnancy,,30,1,1,"$12,159.93 ",$0.00,1,0,1,20061001
59151,CPT,Treat ectopic pregnancy,,30,1,1,"$12,159.93 ",$0.00,1,0,1,20061001
59160,CPT,D & c after delivery,,30,1,1,"$4,856.59 ",$0.00,1,0,1,20061001
59200,CPT,Insert cervical dilator,,30,1,1,$428.72 ,$0.00,1,0,1,20061001
59300,CPT,Episiotomy or vaginal repair,,30,1,1,"$4,532.27 ",$0.00,1,0,1,20061001
59320,CPT,Revision of cervix,,30,1,1,"$5,551.41 ",$0.00,1,0,1,20061001
59409,CPT,Obstetrical care,,30,1,1,"$4,610.99 ",$0.00,1,0,1,20061001
59412,CPT,Antepartum manipulation,,30,1,1,$648.49 ,$0.00,1,0,1,20061001
59414,CPT,Deliver placenta,,30,1,1,"$4,610.99 ",$0.00,1,0,1,20061001
59612,CPT,Vbac delivery only,,30,1,1,"$4,610.99 ",$0.00,1,0,1,20061001
59812,CPT,Treatment of miscarriage,,30,1,1,"$4,499.75 ",$0.00,1,0,1,20061001
59820,CPT,Care of miscarriage,,30,1,1,"$4,499.75 ",$0.00,1,0,1,20061001
59821,CPT,Treatment of miscarriage,,30,1,1,"$4,499.75 ",$0.00,1,0,1,20061001
59840,CPT,Abortion,,30,1,1,"$4,800.13 ",$0.00,1,0,1,20061001
59841,CPT,Abortion,,30,1,1,"$4,800.13 ",$0.00,1,0,1,20061001
59866,CPT,Abortion (mpr),,30,1,1,$285.86 ,$0.00,1,0,1,20061001
59870,CPT,Evacuate mole of uterus,,30,1,1,"$4,499.75 ",$0.00,1,0,1,20061001
59871,CPT,Remove cerclage suture,,30,1,1,"$5,551.41 ",$0.00,1,0,1,20061001
59897,CPT,Fetal invas px w/ us,,30,1,1,$285.86 ,$0.00,1,0,1,20061001
59898,CPT,"Laparo proc, ob care/deliver",,30,1,1,"$9,807.60 ",$0.00,1,0,1,20061001
59899,CPT,Maternity care procedure,,30,1,1,$285.86 ,$0.00,1,0,1,20061001
60000,CPT,Drain thyroid/tongue cyst,,30,1,1,"$1,939.63 ",$0.00,1,0,1,20061001
60001,CPT,Aspirate/inject thyriod cyst,,30,1,1,$478.42 ,$0.00,1,0,1,20061001
60100,CPT,Biopsy of thyroid,,30,1,1,$478.42 ,$0.00,1,0,1,20061001
60200,CPT,Remove thyroid lesion,,30,1,1,"$11,091.92 ",$0.00,1,0,1,20061001
60210,CPT,Partial thyroid excision,,30,1,1,"$11,091.92 ",$0.00,1,0,1,20061001
60212,CPT,Partial thyroid excision,,30,1,1,"$11,091.92 ",$0.00,1,0,1,20061001
60220,CPT,Partial removal of thyroid,,30,1,1,"$11,091.92 ",$0.00,1,0,1,20061001
60225,CPT,Partial removal of thyroid,,30,1,1,"$11,091.92 ",$0.00,1,0,1,20061001
60240,CPT,Removal of thyroid,,30,1,1,"$11,091.92 ",$0.00,1,0,1,20061001
60252,CPT,Removal of thyroid,,30,1,1,"$10,471.26 ",$0.00,1,0,1,20061001
60260,CPT,Repeat thyroid surgery,,30,1,1,"$10,471.26 ",$0.00,1,0,1,20061001
60280,CPT,Remove thyroid duct lesion,,30,1,1,"$11,091.92 ",$0.00,1,0,1,20061001
60281,CPT,Remove thyroid duct lesion,,30,1,1,"$11,091.92 ",$0.00,1,0,1,20061001
60500,CPT,Explore parathyroid glands,,30,1,1,"$10,471.26 ",$0.00,1,0,1,20061001
60512,CPT,Autotransplant parathyroid,,30,1,1,"$5,653.51 ",$0.00,1,0,1,20061001
60659,CPT,"Laparo proc, endocrine",,30,1,1,"$9,807.60 ",$0.00,1,0,1,20061001
60699,CPT,Endocrine surgery procedure,,30,1,1,"$11,091.92 ",$0.00,1,0,1,20061001
61000,CPT,Remove cranial cavity fluid,,30,1,1,$895.87 ,$0.00,1,0,1,20061001
61001,CPT,Remove cranial cavity fluid,,30,1,1,$895.87 ,$0.00,1,0,1,20061001
61020,CPT,Remove brain cavity fluid,,30,1,1,$895.87 ,$0.00,1,0,1,20061001
61026,CPT,Injection into brain canal,,30,1,1,$895.87 ,$0.00,1,0,1,20061001
61050,CPT,Remove brain canal fluid,,30,1,1,$895.87 ,$0.00,1,0,1,20061001
61055,CPT,Injection into brain canal,,30,1,1,$895.87 ,$0.00,1,0,1,20061001
61070,CPT,Brain canal shunt procedure,,30,1,1,$895.87 ,$0.00,1,0,1,20061001
61215,CPT,Insert brain-fluid device,,30,1,1,"$9,309.49 ",$0.00,1,0,1,20061001
61330,CPT,Decompress eye socket,,30,1,1,"$10,471.26 ",$0.00,1,0,1,20061001
61623,CPT,Endovasc tempory vessel occl,,30,1,1,"$8,068.18 ",$0.00,1,0,1,20061001
61626,CPT,"Transcath occlusion, non-cns",,30,1,1,"$10,536.99 ",$0.00,1,0,1,20061001
61790,CPT,Treat trigeminal nerve,,30,1,1,"$4,983.21 ",$0.00,1,0,1,20061001
61791,CPT,Treat trigeminal tract,,30,1,1,$652.45 ,$0.00,1,0,1,20061001
61795,CPT,Brain surgery using computer,,30,0,1,"$1,905.92 ",$0.00,1,0,1,20061001
61880,CPT,Revise/remove neuroelectrode,,30,1,1,"$6,157.80 ",$0.00,1,0,1,20061001
61885,CPT,Implant neurostim one array,,30,0,1,"$28,531.49 ",$0.00,1,0,1,20061001
61886,CPT,Implant neurostim arrays,,30,1,1,"$28,169.47 ",$0.00,1,0,1,20061001
61888,CPT,Revise/remove neuroreceiver,,30,1,1,"$13,965.41 ",$0.00,1,0,1,20061001
62194,CPT,Replace/irrigate catheter,,30,1,1,$633.48 ,$0.00,1,0,1,20061001
62225,CPT,Replace/irrigate catheter,,30,1,1,"$2,623.11 ",$0.00,1,0,1,20061001
62230,CPT,Replace/revise brain shunt,,30,1,1,"$9,309.49 ",$0.00,1,0,1,20061001
62252,CPT,Csf shunt reprogram,,30,0,1,$845.45 ,$0.00,1,0,1,20061001
62263,CPT,Lysis epidural adhesions,,30,1,1,"$3,489.84 ",$0.00,1,0,1,20061001
62264,CPT,Epidural lysis on single day,,30,1,1,"$3,489.84 ",$0.00,1,0,1,20061001
62268,CPT,Drain spinal cord cyst,,30,1,1,$895.87 ,$0.00,1,0,1,20061001
62269,CPT,"Needle biopsy, spinal cord",,30,1,1,$984.98 ,$0.00,1,0,1,20061001
62270,CPT,"Spinal fluid tap, diagnostic",,30,1,1,"$1,548.29 ",$0.00,1,0,1,20061001
62272,CPT,Drain cerebro spinal fluid,,30,1,1,"$1,548.29 ",$0.00,1,0,1,20061001
62273,CPT,Treat epidural spine lesion,,30,1,1,"$1,548.29 ",$0.00,1,0,1,20061001
62280,CPT,Treat spinal cord lesion,,30,1,1,"$1,943.34 ",$0.00,1,0,1,20061001
62281,CPT,Treat spinal cord lesion,,30,1,1,"$1,943.34 ",$0.00,1,0,1,20061001
62282,CPT,Treat spinal canal lesion,,30,1,1,"$1,943.34 ",$0.00,1,0,1,20061001
62287,CPT,Percutaneous diskectomy,,30,1,1,"$4,983.21 ",$0.00,1,0,1,20061001
62291,CPT,Inject for spine disk x-ray,,30,0,2,$49.89 ,$0.00,1,0,1,20061001
62292,CPT,Injection into disk lesion,,30,1,1,$895.87 ,$0.00,1,0,1,20061001
62294,CPT,Injection into spinal artery,,30,1,1,$895.87 ,$0.00,1,0,1,20061001
62310,CPT,Inject spine c/t,,30,1,1,"$1,548.29 ",$0.00,1,0,1,20061001
62311,CPT,Inject spine l/s (cd),,30,1,1,"$1,548.29 ",$0.00,1,0,1,20061001
62318,CPT,"Inject spine w/cath, c/t",,30,1,1,"$1,548.29 ",$0.00,1,0,1,20061001
62319,CPT,Inject spine w/cath l/s (cd),,30,1,1,"$1,548.29 ",$0.00,1,0,1,20061001
62350,CPT,Implant spinal canal cath,,30,1,1,"$7,623.27 ",$0.00,1,0,1,20061001
62351,CPT,Implant spinal canal cath,,30,1,1,"$12,016.15 ",$0.00,1,0,1,20061001
62355,CPT,Remove spinal canal catheter,,30,1,1,"$3,489.84 ",$0.00,1,0,1,20061001
62360,CPT,Insert spine infusion device,,30,1,1,"$25,193.98 ",$0.00,1,0,1,20061001
62361,CPT,Implant spine infusion pump,,30,1,1,"$24,779.23 ",$0.00,1,0,1,20061001
62362,CPT,Implant spine infusion pump,,30,1,1,"$24,779.23 ",$0.00,1,0,1,20061001
62365,CPT,Remove spine infusion device,,30,1,1,"$3,489.84 ",$0.00,1,0,1,20061001
62367,CPT,Analyze spine infusion pump,,30,0,1,$845.45 ,$0.00,1,0,1,20061001
62368,CPT,Analyze spine infusion pump,,30,0,1,$845.45 ,$0.00,1,0,1,20061001
63001,CPT,Removal of spinal lamina,,30,1,1,"$12,016.15 ",$0.00,1,0,1,20061001
63003,CPT,Removal of spinal lamina,,30,1,1,"$12,016.15 ",$0.00,1,0,1,20061001
63005,CPT,Removal of spinal lamina,,30,1,1,"$12,016.15 ",$0.00,1,0,1,20061001
63011,CPT,Removal of spinal lamina,,30,1,1,"$12,016.15 ",$0.00,1,0,1,20061001
63012,CPT,Removal of spinal lamina,,30,1,1,"$12,016.15 ",$0.00,1,0,1,20061001
63015,CPT,Removal of spinal lamina,,30,1,1,"$12,016.15 ",$0.00,1,0,1,20061001
63016,CPT,Removal of spinal lamina,,30,1,1,"$12,016.15 ",$0.00,1,0,1,20061001
63017,CPT,Removal of spinal lamina,,30,1,1,"$12,016.15 ",$0.00,1,0,1,20061001
63020,CPT,Neck spine disk surgery,,30,1,1,"$12,016.15 ",$0.00,1,0,1,20061001
63030,CPT,Low back disk surgery,,30,1,1,"$12,016.15 ",$0.00,1,0,1,20061001
63035,CPT,Spinal disk surgery add-on,,30,1,1,"$12,016.15 ",$0.00,1,0,1,20061001
63040,CPT,"Laminotomy, single cervical",,30,1,1,"$12,016.15 ",$0.00,1,0,1,20061001
63042,CPT,"Laminotomy, single lumbar",,30,1,1,"$12,016.15 ",$0.00,1,0,1,20061001
63045,CPT,Removal of spinal lamina,,30,1,1,"$12,016.15 ",$0.00,1,0,1,20061001
63046,CPT,Removal of spinal lamina,,30,1,1,"$12,016.15 ",$0.00,1,0,1,20061001
63047,CPT,Removal of spinal lamina,,30,1,1,"$12,016.15 ",$0.00,1,0,1,20061001
63048,CPT,Remove spinal lamina add-on,,30,1,1,"$12,016.15 ",$0.00,1,0,1,20061001
63055,CPT,Decompress spinal cord,,30,1,1,"$12,016.15 ",$0.00,1,0,1,20061001
63056,CPT,Decompress spinal cord,,30,1,1,"$12,016.15 ",$0.00,1,0,1,20061001
63057,CPT,Decompress spine cord add-on,,30,1,1,"$12,016.15 ",$0.00,1,0,1,20061001
63064,CPT,Decompress spinal cord,,30,1,1,"$12,016.15 ",$0.00,1,0,1,20061001
63066,CPT,Decompress spine cord add-on,,30,1,1,"$12,016.15 ",$0.00,1,0,1,20061001
63600,CPT,Remove spinal cord lesion,,30,1,1,"$4,983.21 ",$0.00,1,0,1,20061001
63610,CPT,Stimulation of spinal cord,,30,1,1,"$4,983.21 ",$0.00,1,0,1,20061001
63615,CPT,Remove lesion of spinal cord,,30,1,1,"$4,983.21 ",$0.00,1,0,1,20061001
63650,CPT,Implant neuroelectrodes,,30,0,1,"$15,694.65 ",$0.00,1,0,1,20061001
63655,CPT,Implant neuroelectrodes,,30,0,1,"$24,991.15 ",$0.00,1,0,1,20061001
63660,CPT,Revise/remove neuroelectrode,,30,1,1,"$6,157.80 ",$0.00,1,0,1,20061001
63685,CPT,Implant neuroreceiver,,30,1,1,"$28,169.47 ",$0.00,1,0,1,20061001
63688,CPT,Revise/remove neuroreceiver,,30,1,1,"$13,965.41 ",$0.00,1,0,1,20061001
63741,CPT,Install spinal shunt,,30,1,1,"$15,751.24 ",$0.00,1,0,1,20061001
63744,CPT,Revision of spinal shunt,,30,1,1,"$15,751.24 ",$0.00,1,0,1,20061001
63746,CPT,Removal of spinal shunt,,30,1,1,"$2,248.50 ",$0.00,1,0,1,20061001
64400,CPT,"N block inj, trigeminal",,30,1,1,$652.45 ,$0.00,1,0,1,20061001
64402,CPT,"N block inj, facial",,30,1,1,$652.45 ,$0.00,1,0,1,20061001
64405,CPT,"N block inj, occipital",,30,1,1,$652.45 ,$0.00,1,0,1,20061001
64408,CPT,"N block inj, vagus",,30,1,1,$652.45 ,$0.00,1,0,1,20061001
64410,CPT,"N block inj, phrenic",,30,1,1,$652.45 ,$0.00,1,0,1,20061001
64412,CPT,"N block inj, spinal accessor",,30,1,1,$652.45 ,$0.00,1,0,1,20061001
64413,CPT,"N block inj, cervical plexus",,30,1,1,$652.45 ,$0.00,1,0,1,20061001
64415,CPT,Injection for nerve block,,30,1,1,$652.45 ,$0.00,1,0,1,20061001
64416,CPT,"N block cont infuse, b plex",,30,1,1,$652.45 ,$0.00,1,0,1,20061001
64417,CPT,"N block inj, axillary",,30,1,1,$652.45 ,$0.00,1,0,1,20061001
64418,CPT,"N block inj, suprascapular",,30,1,1,$652.45 ,$0.00,1,0,1,20061001
64420,CPT,"N block inj, intercost, sng",,30,1,1,"$1,943.34 ",$0.00,1,0,1,20061001
64421,CPT,"N block inj, intercost, mlt",,30,1,1,"$1,943.34 ",$0.00,1,0,1,20061001
64425,CPT,N block inj ilio-ing/hypogi,,30,1,1,$652.45 ,$0.00,1,0,1,20061001
64430,CPT,"N block inj, pudendal",,30,1,1,$652.45 ,$0.00,1,0,1,20061001
64435,CPT,"N block inj, paracervical",,30,1,1,$652.45 ,$0.00,1,0,1,20061001
64445,CPT,Injection for nerve block,,30,1,1,$652.45 ,$0.00,1,0,1,20061001
64446,CPT,"N blk inj, sciatic, cont inf",,30,1,1,$652.45 ,$0.00,1,0,1,20061001
64447,CPT,"N block inj fem, single",,30,1,1,$652.45 ,$0.00,1,0,1,20061001
64448,CPT,"N block inj fem, cont inf",,30,1,1,$652.45 ,$0.00,1,0,1,20061001
64449,CPT,"N block inj, lumbar plexus",,30,1,1,$652.45 ,$0.00,1,0,1,20061001
64450,CPT,"N block, other peripheral",,30,1,1,$652.45 ,$0.00,1,0,1,20061001
64470,CPT,Inj paravertebral c/t,,30,1,1,"$1,943.34 ",$0.00,1,0,1,20061001
64472,CPT,Inj paravertebral c/t add-on,,30,1,1,"$1,943.34 ",$0.00,1,0,1,20061001
64475,CPT,Inj paravertebral l/s,,30,1,1,"$1,943.34 ",$0.00,1,0,1,20061001
64476,CPT,Inj paravertebral l/s add-on,,30,1,1,"$1,943.34 ",$0.00,1,0,1,20061001
64479,CPT,Inj foramen epidural c/t,,30,1,1,"$1,943.34 ",$0.00,1,0,1,20061001
64480,CPT,Inj foramen epidural add-on,,30,1,1,"$1,943.34 ",$0.00,1,0,1,20061001
64483,CPT,Inj foramen epidural l/s,,30,1,1,"$1,943.34 ",$0.00,1,0,1,20061001
64484,CPT,Inj foramen epidural add-on,,30,1,1,"$1,943.34 ",$0.00,1,0,1,20061001
64505,CPT,"N block, spenopalatine gangl",,30,1,1,$652.45 ,$0.00,1,0,1,20061001
64508,CPT,"N block, carotid sinus s/p",,30,1,1,$652.45 ,$0.00,1,0,1,20061001
64510,CPT,"N block, stellate ganglion",,30,1,1,"$1,943.34 ",$0.00,1,0,1,20061001
64517,CPT,"N block inj, hypogas plxs",,30,1,1,$652.45 ,$0.00,1,0,1,20061001
64520,CPT,"N block, lumbar/thoracic",,30,1,1,"$1,943.34 ",$0.00,1,0,1,20061001
64530,CPT,"N block inj, celiac pelus",,30,1,1,"$1,943.34 ",$0.00,1,0,1,20061001
64550,CPT,Apply neurostimulator,,30,0,,$344.49 ,$0.00,1,0,1,20061001
64553,CPT,Implant neuroelectrodes,,30,0,1,"$24,991.15 ",$0.00,1,0,1,20061001
64555,CPT,Implant neuroelectrodes,,30,0,1,"$15,694.65 ",$0.00,1,0,1,20061001
64560,CPT,Implant neuroelectrodes,,30,0,1,"$15,694.65 ",$0.00,1,0,1,20061001
64561,CPT,Implant neuroelectrodes,,30,0,1,"$15,694.65 ",$0.00,1,0,1,20061001
64565,CPT,Implant neuroelectrodes,,30,0,1,"$15,694.65 ",$0.00,1,0,1,20061001
64573,CPT,Implant neuroelectrodes,,30,0,1,"$24,991.15 ",$0.00,1,0,1,20061001
64575,CPT,Implant neuroelectrodes,,30,0,1,"$15,694.65 ",$0.00,1,0,1,20061001
64577,CPT,Implant neuroelectrodes,,30,0,1,"$24,991.15 ",$0.00,1,0,1,20061001
64580,CPT,Implant neuroelectrodes,,30,0,1,"$24,991.15 ",$0.00,1,0,1,20061001
64581,CPT,Implant neuroelectrodes,,30,0,1,"$15,694.65 ",$0.00,1,0,1,20061001
64585,CPT,Revise/remove neuroelectrode,,30,1,1,"$6,157.80 ",$0.00,1,0,1,20061001
64590,CPT,Implant neuroreceiver,,30,1,1,"$28,169.47 ",$0.00,1,0,1,20061001
64595,CPT,Revise/remove neuroreceiver,,30,1,1,"$13,965.41 ",$0.00,1,0,1,20061001
64600,CPT,Injection treatment of nerve,,30,1,1,"$3,489.84 ",$0.00,1,0,1,20061001
64605,CPT,Injection treatment of nerve,,30,1,1,"$3,489.84 ",$0.00,1,0,1,20061001
64610,CPT,Injection treatment of nerve,,30,1,1,"$3,489.84 ",$0.00,1,0,1,20061001
64612,CPT,"Destroy nerve, face muscle",,30,1,1,$652.45 ,$0.00,1,0,1,20061001
64613,CPT,"Destroy nerve, spine muscle",,30,1,1,$652.45 ,$0.00,1,0,1,20061001
64614,CPT,"Destroy nerve, extrem musc",,30,1,1,$652.45 ,$0.00,1,0,1,20061001
64620,CPT,Injection treatment of nerve,,30,1,1,"$3,489.84 ",$0.00,1,0,1,20061001
64622,CPT,Destr paravertebrl nerve l/s,,30,1,1,"$3,489.84 ",$0.00,1,0,1,20061001
64623,CPT,Destr paravertebral n add-on,,30,1,1,"$3,489.84 ",$0.00,1,0,1,20061001
64626,CPT,Destr paravertebrl nerve c/t,,30,1,1,"$3,489.84 ",$0.00,1,0,1,20061001
64627,CPT,Destr paravertebral n add-on,,30,1,1,"$3,489.84 ",$0.00,1,0,1,20061001
64630,CPT,Injection treatment of nerve,,30,1,1,"$1,943.34 ",$0.00,1,0,1,20061001
64640,CPT,Injection treatment of nerve,,30,1,1,"$1,943.34 ",$0.00,1,0,1,20061001
64650,CPT,Chemodenerv eccrine glands,,30,1,1,$144.34 ,$0.00,1,0,1,20061001
64653,CPT,Chemodenerv eccrine glands,,30,1,1,$144.34 ,$0.00,1,0,1,20061001
64680,CPT,Injection treatment of nerve,,30,1,1,"$3,489.84 ",$0.00,1,0,1,20061001
64681,CPT,Injection treatment of nerve,,30,1,1,"$3,489.84 ",$0.00,1,0,1,20061001
64702,CPT,Revise finger/toe nerve,,30,1,1,"$4,983.21 ",$0.00,1,0,1,20061001
64704,CPT,Revise hand/foot nerve,,30,1,1,"$4,983.21 ",$0.00,1,0,1,20061001
64708,CPT,Revise arm/leg nerve,,30,1,1,"$4,983.21 ",$0.00,1,0,1,20061001
64712,CPT,Revision of sciatic nerve,,30,1,1,"$4,983.21 ",$0.00,1,0,1,20061001
64713,CPT,Revision of arm nerve(s),,30,1,1,"$4,983.21 ",$0.00,1,0,1,20061001
64714,CPT,Revise low back nerve(s),,30,1,1,"$4,983.21 ",$0.00,1,0,1,20061001
64716,CPT,Revision of cranial nerve,,30,1,1,"$4,983.21 ",$0.00,1,0,1,20061001
64718,CPT,Revise ulnar nerve at elbow,,30,1,1,"$4,983.21 ",$0.00,1,0,1,20061001
64719,CPT,Revise ulnar nerve at wrist,,30,1,1,"$4,983.21 ",$0.00,1,0,1,20061001
64721,CPT,Carpal tunnel surgery,,30,1,1,"$4,983.21 ",$0.00,1,0,1,20061001
64722,CPT,Relieve pressure on nerve(s),,30,1,1,"$4,983.21 ",$0.00,1,0,1,20061001
64726,CPT,Release foot/toe nerve,,30,1,1,"$4,983.21 ",$0.00,1,0,1,20061001
64727,CPT,Internal nerve revision,,30,1,1,"$4,983.21 ",$0.00,1,0,1,20061001
64732,CPT,Incision of brow nerve,,30,1,1,"$4,983.21 ",$0.00,1,0,1,20061001
64734,CPT,Incision of cheek nerve,,30,1,1,"$4,983.21 ",$0.00,1,0,1,20061001
64736,CPT,Incision of chin nerve,,30,1,1,"$4,983.21 ",$0.00,1,0,1,20061001
64738,CPT,Incision of jaw nerve,,30,1,1,"$4,983.21 ",$0.00,1,0,1,20061001
64740,CPT,Incision of tongue nerve,,30,1,1,"$4,983.21 ",$0.00,1,0,1,20061001
64742,CPT,Incision of facial nerve,,30,1,1,"$4,983.21 ",$0.00,1,0,1,20061001
64744,CPT,"Incise nerve, back of head",,30,1,1,"$4,983.21 ",$0.00,1,0,1,20061001
64746,CPT,Incise diaphragm nerve,,30,1,1,"$4,983.21 ",$0.00,1,0,1,20061001
64761,CPT,Incision of pelvis nerve,,30,1,1,"$4,983.21 ",$0.00,1,0,1,20061001
64771,CPT,Sever cranial nerve,,30,1,1,"$4,983.21 ",$0.00,1,0,1,20061001
64772,CPT,Incision of spinal nerve,,30,1,1,"$4,983.21 ",$0.00,1,0,1,20061001
64774,CPT,Remove skin nerve lesion,,30,1,1,"$4,983.21 ",$0.00,1,0,1,20061001
64776,CPT,Remove digit nerve lesion,,30,1,1,"$4,983.21 ",$0.00,1,0,1,20061001
64778,CPT,Digit nerve surgery add-on,,30,1,1,"$4,983.21 ",$0.00,1,0,1,20061001
64782,CPT,Remove limb nerve lesion,,30,1,1,"$4,983.21 ",$0.00,1,0,1,20061001
64783,CPT,Limb nerve surgery add-on,,30,1,1,"$4,983.21 ",$0.00,1,0,1,20061001
64784,CPT,Remove nerve lesion,,30,1,1,"$4,983.21 ",$0.00,1,0,1,20061001
64786,CPT,Remove sciatic nerve lesion,,30,1,1,"$7,497.12 ",$0.00,1,0,1,20061001
64787,CPT,Implant nerve end,,30,1,1,"$4,983.21 ",$0.00,1,0,1,20061001
64788,CPT,Remove skin nerve lesion,,30,1,1,"$4,983.21 ",$0.00,1,0,1,20061001
64790,CPT,Removal of nerve lesion,,30,1,1,"$4,983.21 ",$0.00,1,0,1,20061001
64792,CPT,Removal of nerve lesion,,30,1,1,"$7,497.12 ",$0.00,1,0,1,20061001
64795,CPT,Biopsy of nerve,,30,1,1,"$4,983.21 ",$0.00,1,0,1,20061001
64802,CPT,Remove sympathetic nerves,,30,1,1,"$4,983.21 ",$0.00,1,0,1,20061001
64820,CPT,Remove sympathetic nerves,,30,1,1,"$4,983.21 ",$0.00,1,0,1,20061001
64821,CPT,Remove sympathetic nerves,,30,1,1,"$7,265.79 ",$0.00,1,0,1,20061001
64822,CPT,Remove sympathetic nerves,,30,1,1,"$7,265.79 ",$0.00,1,0,1,20061001
64823,CPT,Remove sympathetic nerves,,30,1,1,"$7,265.79 ",$0.00,1,0,1,20061001
64831,CPT,Repair of digit nerve,,30,1,1,"$7,497.12 ",$0.00,1,0,1,20061001
64832,CPT,Repair nerve add-on,,30,1,1,"$7,497.12 ",$0.00,1,0,1,20061001
64834,CPT,Repair of hand or foot nerve,,30,1,1,"$7,497.12 ",$0.00,1,0,1,20061001
64835,CPT,Repair of hand or foot nerve,,30,1,1,"$7,497.12 ",$0.00,1,0,1,20061001
64836,CPT,Repair of hand or foot nerve,,30,1,1,"$7,497.12 ",$0.00,1,0,1,20061001
64837,CPT,Repair nerve add-on,,30,1,1,"$7,497.12 ",$0.00,1,0,1,20061001
64840,CPT,Repair of leg nerve,,30,1,1,"$7,497.12 ",$0.00,1,0,1,20061001
64856,CPT,Repair/transpose nerve,,30,1,1,"$7,497.12 ",$0.00,1,0,1,20061001
64857,CPT,Repair arm/leg nerve,,30,1,1,"$7,497.12 ",$0.00,1,0,1,20061001
64858,CPT,Repair sciatic nerve,,30,1,1,"$7,497.12 ",$0.00,1,0,1,20061001
64859,CPT,Nerve surgery,,30,1,1,"$7,497.12 ",$0.00,1,0,1,20061001
64861,CPT,Repair of arm nerves,,30,1,1,"$7,497.12 ",$0.00,1,0,1,20061001
64862,CPT,Repair of low back nerves,,30,1,1,"$7,497.12 ",$0.00,1,0,1,20061001
64864,CPT,Repair of facial nerve,,30,1,1,"$7,497.12 ",$0.00,1,0,1,20061001
64865,CPT,Repair of facial nerve,,30,1,1,"$7,497.12 ",$0.00,1,0,1,20061001
64870,CPT,Fusion of facial/other nerve,,30,1,1,"$7,497.12 ",$0.00,1,0,1,20061001
64872,CPT,Subsequent repair of nerve,,30,1,1,"$7,497.12 ",$0.00,1,0,1,20061001
64874,CPT,Repair & revise nerve add-on,,30,1,1,"$7,497.12 ",$0.00,1,0,1,20061001
64876,CPT,Repair nerve/shorten bone,,30,1,1,"$7,497.12 ",$0.00,1,0,1,20061001
64885,CPT,"Nerve graft, head or neck",,30,1,1,"$7,497.12 ",$0.00,1,0,1,20061001
64886,CPT,"Nerve graft, head or neck",,30,1,1,"$7,497.12 ",$0.00,1,0,1,20061001
64890,CPT,"Nerve graft, hand or foot",,30,1,1,"$7,497.12 ",$0.00,1,0,1,20061001
64891,CPT,"Nerve graft, hand or foot",,30,1,1,"$7,497.12 ",$0.00,1,0,1,20061001
64892,CPT,"Nerve graft, arm or leg",,30,1,1,"$7,497.12 ",$0.00,1,0,1,20061001
64893,CPT,"Nerve graft, arm or leg",,30,1,1,"$7,497.12 ",$0.00,1,0,1,20061001
64895,CPT,"Nerve graft, hand or foot",,30,1,1,"$7,497.12 ",$0.00,1,0,1,20061001
64896,CPT,"Nerve graft, hand or foot",,30,1,1,"$7,497.12 ",$0.00,1,0,1,20061001
64897,CPT,"Nerve graft, arm or leg",,30,1,1,"$7,497.12 ",$0.00,1,0,1,20061001
64898,CPT,"Nerve graft, arm or leg",,30,1,1,"$7,497.12 ",$0.00,1,0,1,20061001
64901,CPT,Nerve graft add-on,,30,1,1,"$7,497.12 ",$0.00,1,0,1,20061001
64902,CPT,Nerve graft add-on,,30,1,1,"$7,497.12 ",$0.00,1,0,1,20061001
64905,CPT,Nerve pedicle transfer,,30,1,1,"$7,497.12 ",$0.00,1,0,1,20061001
64907,CPT,Nerve pedicle transfer,,30,1,1,"$7,497.12 ",$0.00,1,0,1,20061001
64999,CPT,Nervous system surgery,,30,1,1,$652.45 ,$0.00,1,0,1,20061001
65091,CPT,Revise eye,,30,1,1,"$8,799.92 ",$0.00,1,0,1,20061001
65093,CPT,Revise eye with implant,,30,1,1,"$6,686.62 ",$0.00,1,0,1,20061001
65101,CPT,Removal of eye,,30,1,1,"$8,799.92 ",$0.00,1,0,1,20061001
65103,CPT,Remove eye/insert implant,,30,1,1,"$8,799.92 ",$0.00,1,0,1,20061001
65105,CPT,Remove eye/attach implant,,30,1,1,"$8,799.92 ",$0.00,1,0,1,20061001
65110,CPT,Removal of eye,,30,1,1,"$8,799.92 ",$0.00,1,0,1,20061001
65112,CPT,Remove eye/revise socket,,30,1,1,"$8,799.92 ",$0.00,1,0,1,20061001
65114,CPT,Remove eye/revise socket,,30,1,1,"$8,799.92 ",$0.00,1,0,1,20061001
65125,CPT,Revise ocular implant,,30,1,1,"$5,249.04 ",$0.00,1,0,1,20061001
65130,CPT,Insert ocular implant,,30,1,1,"$6,686.62 ",$0.00,1,0,1,20061001
65135,CPT,Insert ocular implant,,30,1,1,"$6,686.62 ",$0.00,1,0,1,20061001
65140,CPT,Attach ocular implant,,30,1,1,"$8,799.92 ",$0.00,1,0,1,20061001
65150,CPT,Revise ocular implant,,30,1,1,"$6,686.62 ",$0.00,1,0,1,20061001
65155,CPT,Reinsert ocular implant,,30,1,1,"$8,799.92 ",$0.00,1,0,1,20061001
65175,CPT,Removal of ocular implant,,30,1,1,"$5,249.04 ",$0.00,1,0,1,20061001
65205,CPT,Remove foreign body from eye,,30,0,1,$256.09 ,$0.00,1,0,1,20061001
65210,CPT,Remove foreign body from eye,,30,0,1,$659.23 ,$0.00,1,0,1,20061001
65220,CPT,Remove foreign body from eye,,30,0,1,$659.23 ,$0.00,1,0,1,20061001
65222,CPT,Remove foreign body from eye,,30,0,1,$659.23 ,$0.00,1,0,1,20061001
65235,CPT,Remove foreign body from eye,,30,1,1,"$4,322.28 ",$0.00,1,0,1,20061001
65260,CPT,Remove foreign body from eye,,30,1,1,"$5,605.59 ",$0.00,1,0,1,20061001
65265,CPT,Remove foreign body from eye,,30,1,1,"$5,605.59 ",$0.00,1,0,1,20061001
65270,CPT,Repair of eye wound,,30,1,1,"$5,249.04 ",$0.00,1,0,1,20061001
65272,CPT,Repair of eye wound,,30,1,1,"$4,322.28 ",$0.00,1,0,1,20061001
65275,CPT,Repair of eye wound,,30,1,1,"$4,322.28 ",$0.00,1,0,1,20061001
65280,CPT,Repair of eye wound,,30,1,1,"$6,452.59 ",$0.00,1,0,1,20061001
65285,CPT,Repair of eye wound,,30,1,1,"$6,452.59 ",$0.00,1,0,1,20061001
65286,CPT,Repair of eye wound,,30,1,1,"$4,322.28 ",$0.00,1,0,1,20061001
65290,CPT,Repair of eye socket wound,,30,1,1,"$6,546.65 ",$0.00,1,0,1,20061001
65400,CPT,Removal of eye lesion,,30,1,1,"$4,322.28 ",$0.00,1,0,1,20061001
65410,CPT,Biopsy of cornea,,30,1,1,"$4,322.28 ",$0.00,1,0,1,20061001
65420,CPT,Removal of eye lesion,,30,1,1,"$4,322.28 ",$0.00,1,0,1,20061001
65426,CPT,Removal of eye lesion,,30,1,1,"$6,452.59 ",$0.00,1,0,1,20061001
65430,CPT,Corneal smear,,30,0,1,$203.28 ,$0.00,1,0,1,20061001
65435,CPT,Curette/treat cornea,,30,1,1,"$1,847.55 ",$0.00,1,0,1,20061001
65436,CPT,Curette/treat cornea,,30,1,1,"$4,322.28 ",$0.00,1,0,1,20061001
65450,CPT,Treatment of corneal lesion,,30,0,1,$659.23 ,$0.00,1,0,1,20061001
65600,CPT,Revision of cornea,,30,1,1,"$5,249.04 ",$0.00,1,0,1,20061001
65710,CPT,Corneal transplant,,30,1,1,"$11,296.82 ",$0.00,1,0,1,20061001
65730,CPT,Corneal transplant,,30,1,1,"$11,296.82 ",$0.00,1,0,1,20061001
65750,CPT,Corneal transplant,,30,1,1,"$11,296.82 ",$0.00,1,0,1,20061001
65755,CPT,Corneal transplant,,30,1,1,"$11,296.82 ",$0.00,1,0,1,20061001
65770,CPT,Revise cornea with implant,,30,1,1,"$11,296.82 ",$0.00,1,0,1,20061001
65771,CPT,Radial keratotomy,,30,0,,"$2,607.98 ",$0.00,1,0,1,20061001
65772,CPT,Correction of astigmatism,,30,1,1,"$4,322.28 ",$0.00,1,0,1,20061001
65775,CPT,Correction of astigmatism,,30,1,1,"$4,322.28 ",$0.00,1,0,1,20061001
65780,CPT,"Ocular reconst, transplant",,30,1,1,"$11,296.82 ",$0.00,1,0,1,20061001
65781,CPT,"Ocular reconst, transplant",,30,1,1,"$11,296.82 ",$0.00,1,0,1,20061001
65782,CPT,"Ocular reconst, transplant",,30,1,1,"$11,296.82 ",$0.00,1,0,1,20061001
65800,CPT,Drainage of eye,,30,1,1,"$4,322.28 ",$0.00,1,0,1,20061001
65805,CPT,Drainage of eye,,30,1,1,"$4,322.28 ",$0.00,1,0,1,20061001
65810,CPT,Drainage of eye,,30,1,1,"$6,452.59 ",$0.00,1,0,1,20061001
65815,CPT,Drainage of eye,,30,1,1,"$6,452.59 ",$0.00,1,0,1,20061001
65820,CPT,Relieve inner eye pressure,,30,1,1,"$1,482.27 ",$0.00,1,0,1,20061001
65850,CPT,Incision of eye,,30,1,1,"$6,452.59 ",$0.00,1,0,1,20061001
65855,CPT,Laser surgery of eye,,30,1,1,"$1,490.22 ",$0.00,1,0,1,20061001
65860,CPT,Incise inner eye adhesions,,30,1,1,"$1,490.22 ",$0.00,1,0,1,20061001
65865,CPT,Incise inner eye adhesions,,30,1,1,"$4,322.28 ",$0.00,1,0,1,20061001
65870,CPT,Incise inner eye adhesions,,30,1,1,"$6,452.59 ",$0.00,1,0,1,20061001
65875,CPT,Incise inner eye adhesions,,30,1,1,"$6,452.59 ",$0.00,1,0,1,20061001
65880,CPT,Incise inner eye adhesions,,30,1,1,"$4,322.28 ",$0.00,1,0,1,20061001
65900,CPT,Remove eye lesion,,30,1,1,"$4,322.28 ",$0.00,1,0,1,20061001
65920,CPT,Remove implant of eye,,30,1,1,"$4,322.28 ",$0.00,1,0,1,20061001
65930,CPT,Remove blood clot from eye,,30,1,1,"$6,452.59 ",$0.00,1,0,1,20061001
66020,CPT,Injection treatment of eye,,30,1,1,"$4,322.28 ",$0.00,1,0,1,20061001
66030,CPT,Injection treatment of eye,,30,1,1,"$4,322.28 ",$0.00,1,0,1,20061001
66130,CPT,Remove eye lesion,,30,1,1,"$6,452.59 ",$0.00,1,0,1,20061001
66150,CPT,Glaucoma surgery,,30,1,1,"$4,322.28 ",$0.00,1,0,1,20061001
66155,CPT,Glaucoma surgery,,30,1,1,"$6,452.59 ",$0.00,1,0,1,20061001
66160,CPT,Glaucoma surgery,,30,1,1,"$6,452.59 ",$0.00,1,0,1,20061001
66165,CPT,Glaucoma surgery,,30,1,1,"$6,452.59 ",$0.00,1,0,1,20061001
66170,CPT,Glaucoma surgery,,30,1,1,"$6,452.59 ",$0.00,1,0,1,20061001
66172,CPT,Incision of eye,,30,1,1,"$8,067.12 ",$0.00,1,0,1,20061001
66180,CPT,Implant eye shunt,,30,1,1,"$8,067.12 ",$0.00,1,0,1,20061001
66185,CPT,Revise eye shunt,,30,1,1,"$8,067.12 ",$0.00,1,0,1,20061001
66220,CPT,Repair eye lesion,,30,1,1,"$5,605.59 ",$0.00,1,0,1,20061001
66225,CPT,Repair/graft eye lesion,,30,1,1,"$8,067.12 ",$0.00,1,0,1,20061001
66250,CPT,Follow-up surgery of eye,,30,1,1,"$4,322.28 ",$0.00,1,0,1,20061001
66500,CPT,Incision of iris,,30,1,1,"$1,482.27 ",$0.00,1,0,1,20061001
66505,CPT,Incision of iris,,30,1,1,"$1,482.27 ",$0.00,1,0,1,20061001
66600,CPT,Remove iris and lesion,,30,1,1,"$4,322.28 ",$0.00,1,0,1,20061001
66605,CPT,Removal of iris,,30,1,1,"$6,452.59 ",$0.00,1,0,1,20061001
66625,CPT,Removal of iris,,30,1,1,"$4,322.28 ",$0.00,1,0,1,20061001
66630,CPT,Removal of iris,,30,1,1,"$4,322.28 ",$0.00,1,0,1,20061001
66635,CPT,Removal of iris,,30,1,1,"$6,452.59 ",$0.00,1,0,1,20061001
66680,CPT,Repair iris & ciliary body,,30,1,1,"$6,452.59 ",$0.00,1,0,1,20061001
66682,CPT,Repair iris & ciliary body,,30,1,1,"$6,452.59 ",$0.00,1,0,1,20061001
66700,CPT,"Destruction, ciliary body",,30,1,1,"$4,322.28 ",$0.00,1,0,1,20061001
66710,CPT,"Destruction, ciliary body",,30,1,1,"$4,322.28 ",$0.00,1,0,1,20061001
66711,CPT,Ciliary endoscopic ablation,,30,1,1,$895.36 ,$0.00,1,0,1,20061001
66720,CPT,"Destruction, ciliary body",,30,1,1,"$4,322.28 ",$0.00,1,0,1,20061001
66740,CPT,"Destruction, ciliary body",,30,1,1,"$4,322.28 ",$0.00,1,0,1,20061001
66761,CPT,Revision of iris,,30,1,1,"$1,490.22 ",$0.00,1,0,1,20061001
66762,CPT,Revision of iris,,30,1,1,"$1,490.22 ",$0.00,1,0,1,20061001
66770,CPT,Removal of inner eye lesion,,30,1,1,"$1,490.22 ",$0.00,1,0,1,20061001
66820,CPT,"Incision, secondary cataract",,30,1,1,"$1,482.27 ",$0.00,1,0,1,20061001
66821,CPT,After cataract laser surgery,,30,1,1,"$1,490.22 ",$0.00,1,0,1,20061001
66825,CPT,Reposition intraocular lens,,30,1,1,"$6,452.59 ",$0.00,1,0,1,20061001
66830,CPT,Removal of lens lesion,,30,1,1,"$1,482.27 ",$0.00,1,0,1,20061001
66840,CPT,Removal of lens material,,30,1,1,"$3,704.43 ",$0.00,1,0,1,20061001
66850,CPT,Removal of lens material,,30,1,1,"$8,356.54 ",$0.00,1,0,1,20061001
66852,CPT,Removal of lens material,,30,1,1,"$8,356.54 ",$0.00,1,0,1,20061001
66920,CPT,Extraction of lens,,30,1,1,"$8,356.54 ",$0.00,1,0,1,20061001
66930,CPT,Extraction of lens,,30,1,1,"$8,356.54 ",$0.00,1,0,1,20061001
66940,CPT,Extraction of lens,,30,1,1,"$3,704.43 ",$0.00,1,0,1,20061001
66982,CPT,"Cataract surgery, complex",,30,1,1,"$5,946.04 ",$0.00,1,0,1,20061001
66983,CPT,"Cataract surg w/iol, 1 stage",,30,1,1,"$5,946.04 ",$0.00,1,0,1,20061001
66984,CPT,"Cataract surg w/iol, 1 stage",,30,1,1,"$5,946.04 ",$0.00,1,0,1,20061001
66985,CPT,Insert lens prosthesis,,30,1,1,"$5,946.04 ",$0.00,1,0,1,20061001
66986,CPT,Exchange lens prosthesis,,30,1,1,"$5,946.04 ",$0.00,1,0,1,20061001
66999,CPT,Eye surgery procedure,,30,1,1,"$1,482.27 ",$0.00,1,0,1,20061001
67005,CPT,Partial removal of eye fluid,,30,1,1,"$10,278.46 ",$0.00,1,0,1,20061001
67010,CPT,Partial removal of eye fluid,,30,1,1,"$10,278.46 ",$0.00,1,0,1,20061001
67015,CPT,Release of eye fluid,,30,1,1,"$10,278.46 ",$0.00,1,0,1,20061001
67025,CPT,Replace eye fluid,,30,1,1,"$5,605.59 ",$0.00,1,0,1,20061001
67027,CPT,Implant eye drug system,,30,1,1,"$10,278.46 ",$0.00,1,0,1,20061001
67028,CPT,Injection eye drug,,30,1,1,"$1,528.76 ",$0.00,1,0,1,20061001
67030,CPT,Incise inner eye strands,,30,1,1,"$5,605.59 ",$0.00,1,0,1,20061001
67031,CPT,"Laser surgery, eye strands",,30,1,1,"$1,490.22 ",$0.00,1,0,1,20061001
67036,CPT,Removal of inner eye fluid,,30,1,1,"$10,278.46 ",$0.00,1,0,1,20061001
67038,CPT,Strip retinal membrane,,30,1,1,"$10,278.46 ",$0.00,1,0,1,20061001
67039,CPT,Laser treatment of retina,,30,1,1,"$10,278.46 ",$0.00,1,0,1,20061001
67040,CPT,Laser treatment of retina,,30,1,1,"$11,710.69 ",$0.00,1,0,1,20061001
67101,CPT,Repair detached retina,,30,1,1,"$1,528.76 ",$0.00,1,0,1,20061001
67105,CPT,Repair detached retina,,30,1,1,"$1,452.68 ",$0.00,1,0,1,20061001
67107,CPT,Repair detached retina,,30,1,1,"$11,710.69 ",$0.00,1,0,1,20061001
67108,CPT,Repair detached retina,,30,1,1,"$11,710.69 ",$0.00,1,0,1,20061001
67110,CPT,Repair detached retina,,30,1,1,"$5,605.59 ",$0.00,1,0,1,20061001
67112,CPT,Rerepair detached retina,,30,1,1,"$11,710.69 ",$0.00,1,0,1,20061001
67115,CPT,Release encircling material,,30,1,1,"$5,605.59 ",$0.00,1,0,1,20061001
67120,CPT,Remove eye implant material,,30,1,1,"$5,605.59 ",$0.00,1,0,1,20061001
67121,CPT,Remove eye implant material,,30,1,1,"$10,278.46 ",$0.00,1,0,1,20061001
67141,CPT,Treatment of retina,,30,1,1,"$1,528.76 ",$0.00,1,0,1,20061001
67145,CPT,Treatment of retina,,30,1,1,"$1,452.68 ",$0.00,1,0,1,20061001
67208,CPT,Treatment of retinal lesion,,30,1,1,"$1,528.76 ",$0.00,1,0,1,20061001
67210,CPT,Treatment of retinal lesion,,30,1,1,"$1,452.68 ",$0.00,1,0,1,20061001
67218,CPT,Treatment of retinal lesion,,30,1,1,"$5,605.59 ",$0.00,1,0,1,20061001
67220,CPT,Treatment of choroid lesion,,30,1,1,"$1,528.76 ",$0.00,1,0,1,20061001
67221,CPT,Ocular photodynamic ther,,30,1,1,"$1,528.76 ",$0.00,1,0,1,20061001
67225,CPT,Eye photodynamic ther add-on,,30,1,1,"$1,528.76 ",$0.00,1,0,1,20061001
67227,CPT,Treatment of retinal lesion,,30,1,1,"$1,528.76 ",$0.00,1,0,1,20061001
67228,CPT,Treatment of retinal lesion,,30,1,1,"$1,452.68 ",$0.00,1,0,1,20061001
67250,CPT,Reinforce eye wall,,30,1,1,"$5,249.04 ",$0.00,1,0,1,20061001
67255,CPT,Reinforce/graft eye wall,,30,1,1,"$10,278.46 ",$0.00,1,0,1,20061001
67299,CPT,Eye surgery procedure,,30,1,1,"$1,528.76 ",$0.00,1,0,1,20061001
67311,CPT,Revise eye muscle,,30,1,1,"$6,546.65 ",$0.00,1,0,1,20061001
67312,CPT,Revise two eye muscles,,30,1,1,"$6,546.65 ",$0.00,1,0,1,20061001
67314,CPT,Revise eye muscle,,30,1,1,"$6,546.65 ",$0.00,1,0,1,20061001
67316,CPT,Revise two eye muscles,,30,1,1,"$6,546.65 ",$0.00,1,0,1,20061001
67318,CPT,Revise eye muscle(s),,30,1,1,"$6,546.65 ",$0.00,1,0,1,20061001
67320,CPT,Revise eye muscle(s) add-on,,30,1,1,"$6,546.65 ",$0.00,1,0,1,20061001
67331,CPT,Eye surgery follow-up add-on,,30,1,1,"$6,546.65 ",$0.00,1,0,1,20061001
67332,CPT,Rerevise eye muscles add-on,,30,1,1,"$6,546.65 ",$0.00,1,0,1,20061001
67334,CPT,Revise eye muscle w/suture,,30,1,1,"$6,546.65 ",$0.00,1,0,1,20061001
67335,CPT,Eye suture during surgery,,30,1,1,"$6,546.65 ",$0.00,1,0,1,20061001
67340,CPT,Revise eye muscle add-on,,30,1,1,"$6,546.65 ",$0.00,1,0,1,20061001
67343,CPT,Release eye tissue,,30,1,1,"$6,546.65 ",$0.00,1,0,1,20061001
67345,CPT,Destroy nerve of eye muscle,,30,1,1,$962.57 ,$0.00,1,0,1,20061001
67350,CPT,Biopsy eye muscle,,30,1,1,$671.88 ,$0.00,1,0,1,20061001
67399,CPT,Eye muscle surgery procedure,,30,1,1,"$6,546.65 ",$0.00,1,0,1,20061001
67400,CPT,Explore/biopsy eye socket,,30,1,1,"$6,686.62 ",$0.00,1,0,1,20061001
67405,CPT,Explore/drain eye socket,,30,1,1,"$6,686.62 ",$0.00,1,0,1,20061001
67412,CPT,Explore/treat eye socket,,30,1,1,"$6,686.62 ",$0.00,1,0,1,20061001
67413,CPT,Explore/treat eye socket,,30,1,1,"$6,686.62 ",$0.00,1,0,1,20061001
67414,CPT,Explr/decompress eye socket,,30,1,1,"$8,799.92 ",$0.00,1,0,1,20061001
67415,CPT,"Aspiration, orbital contents",,30,1,1,"$1,847.55 ",$0.00,1,0,1,20061001
67420,CPT,Explore/treat eye socket,,30,1,1,"$8,799.92 ",$0.00,1,0,1,20061001
67430,CPT,Explore/treat eye socket,,30,1,1,"$8,799.92 ",$0.00,1,0,1,20061001
67440,CPT,Explore/drain eye socket,,30,1,1,"$8,799.92 ",$0.00,1,0,1,20061001
67445,CPT,Explr/decompress eye socket,,30,1,1,"$8,799.92 ",$0.00,1,0,1,20061001
67450,CPT,Explore/biopsy eye socket,,30,1,1,"$8,799.92 ",$0.00,1,0,1,20061001
67500,CPT,Inject/treat eye socket,,30,0,1,$659.23 ,$0.00,1,0,1,20061001
67505,CPT,Inject/treat eye socket,,30,1,1,$962.57 ,$0.00,1,0,1,20061001
67515,CPT,Inject/treat eye socket,,30,1,1,"$1,847.55 ",$0.00,1,0,1,20061001
67550,CPT,Insert eye socket implant,,30,1,1,"$8,799.92 ",$0.00,1,0,1,20061001
67560,CPT,Revise eye socket implant,,30,1,1,"$6,686.62 ",$0.00,1,0,1,20061001
67570,CPT,Decompress optic nerve,,30,1,1,"$8,799.92 ",$0.00,1,0,1,20061001
67599,CPT,Orbit surgery procedure,,30,1,1,"$1,847.55 ",$0.00,1,0,1,20061001
67700,CPT,Drainage of eyelid abscess,,30,1,1,$962.57 ,$0.00,1,0,1,20061001
67710,CPT,Incision of eyelid,,30,1,1,"$1,847.55 ",$0.00,1,0,1,20061001
67715,CPT,Incision of eyelid fold,,30,1,1,"$5,249.04 ",$0.00,1,0,1,20061001
67800,CPT,Remove eyelid lesion,,30,1,1,$962.57 ,$0.00,1,0,1,20061001
67801,CPT,Remove eyelid lesions,,30,1,1,"$1,847.55 ",$0.00,1,0,1,20061001
67805,CPT,Remove eyelid lesions,,30,1,1,$962.57 ,$0.00,1,0,1,20061001
67808,CPT,Remove eyelid lesion(s),,30,1,1,"$5,249.04 ",$0.00,1,0,1,20061001
67810,CPT,Biopsy of eyelid,,30,1,1,$962.57 ,$0.00,1,0,1,20061001
67820,CPT,Revise eyelashes,,30,0,1,$256.09 ,$0.00,1,0,1,20061001
67825,CPT,Revise eyelashes,,30,1,1,$962.57 ,$0.00,1,0,1,20061001
67830,CPT,Revise eyelashes,,30,1,1,"$1,847.55 ",$0.00,1,0,1,20061001
67835,CPT,Revise eyelashes,,30,1,1,"$5,249.04 ",$0.00,1,0,1,20061001
67840,CPT,Remove eyelid lesion,,30,1,1,"$1,847.55 ",$0.00,1,0,1,20061001
67850,CPT,Treat eyelid lesion,,30,1,1,"$1,847.55 ",$0.00,1,0,1,20061001
67875,CPT,Closure of eyelid by suture,,30,1,1,"$1,847.55 ",$0.00,1,0,1,20061001
67880,CPT,Revision of eyelid,,30,1,1,"$4,322.28 ",$0.00,1,0,1,20061001
67882,CPT,Revision of eyelid,,30,1,1,"$5,249.04 ",$0.00,1,0,1,20061001
67900,CPT,Repair brow defect,,30,1,1,"$5,249.04 ",$0.00,1,0,1,20061001
67901,CPT,Repair eyelid defect,,30,1,1,"$5,249.04 ",$0.00,1,0,1,20061001
67902,CPT,Repair eyelid defect,,30,1,1,"$5,249.04 ",$0.00,1,0,1,20061001
67903,CPT,Repair eyelid defect,,30,1,1,"$5,249.04 ",$0.00,1,0,1,20061001
67904,CPT,Repair eyelid defect,,30,1,1,"$5,249.04 ",$0.00,1,0,1,20061001
67906,CPT,Repair eyelid defect,,30,1,1,"$5,249.04 ",$0.00,1,0,1,20061001
67908,CPT,Repair eyelid defect,,30,1,1,"$5,249.04 ",$0.00,1,0,1,20061001
67909,CPT,Revise eyelid defect,,30,1,1,"$5,249.04 ",$0.00,1,0,1,20061001
67911,CPT,Revise eyelid defect,,30,1,1,"$5,249.04 ",$0.00,1,0,1,20061001
67912,CPT,Correction eyelid w/ implant,,30,1,1,"$1,847.55 ",$0.00,1,0,1,20061001
67914,CPT,Repair eyelid defect,,30,1,1,"$5,249.04 ",$0.00,1,0,1,20061001
67915,CPT,Repair eyelid defect,,30,1,1,"$1,847.55 ",$0.00,1,0,1,20061001
67916,CPT,Repair eyelid defect,,30,1,1,"$5,249.04 ",$0.00,1,0,1,20061001
67917,CPT,Repair eyelid defect,,30,1,1,"$5,249.04 ",$0.00,1,0,1,20061001
67921,CPT,Repair eyelid defect,,30,1,1,"$5,249.04 ",$0.00,1,0,1,20061001
67922,CPT,Repair eyelid defect,,30,1,1,"$5,249.04 ",$0.00,1,0,1,20061001
67923,CPT,Repair eyelid defect,,30,1,1,"$5,249.04 ",$0.00,1,0,1,20061001
67924,CPT,Repair eyelid defect,,30,1,1,"$5,249.04 ",$0.00,1,0,1,20061001
67930,CPT,Repair eyelid wound,,30,1,1,"$5,249.04 ",$0.00,1,0,1,20061001
67935,CPT,Repair eyelid wound,,30,1,1,"$5,249.04 ",$0.00,1,0,1,20061001
67938,CPT,Remove eyelid foreign body,,30,0,1,$256.09 ,$0.00,1,0,1,20061001
67950,CPT,Revision of eyelid,,30,1,1,"$5,249.04 ",$0.00,1,0,1,20061001
67961,CPT,Revision of eyelid,,30,1,1,"$5,249.04 ",$0.00,1,0,1,20061001
67966,CPT,Revision of eyelid,,30,1,1,"$5,249.04 ",$0.00,1,0,1,20061001
67971,CPT,Reconstruction of eyelid,,30,1,1,"$6,686.62 ",$0.00,1,0,1,20061001
67973,CPT,Reconstruction of eyelid,,30,1,1,"$6,686.62 ",$0.00,1,0,1,20061001
67974,CPT,Reconstruction of eyelid,,30,1,1,"$6,686.62 ",$0.00,1,0,1,20061001
67975,CPT,Reconstruction of eyelid,,30,1,1,"$5,249.04 ",$0.00,1,0,1,20061001
67999,CPT,Revision of eyelid,,30,1,1,"$5,249.04 ",$0.00,1,0,1,20061001
68020,CPT,Incise/drain eyelid lining,,30,1,1,"$5,249.04 ",$0.00,1,0,1,20061001
68040,CPT,Treatment of eyelid lesions,,30,0,1,$256.09 ,$0.00,1,0,1,20061001
68100,CPT,Biopsy of eyelid lining,,30,1,1,"$1,482.27 ",$0.00,1,0,1,20061001
68110,CPT,Remove eyelid lining lesion,,30,1,1,$671.88 ,$0.00,1,0,1,20061001
68115,CPT,Remove eyelid lining lesion,,30,1,1,"$1,847.55 ",$0.00,1,0,1,20061001
68130,CPT,Remove eyelid lining lesion,,30,1,1,"$4,322.28 ",$0.00,1,0,1,20061001
68135,CPT,Remove eyelid lining lesion,,30,1,1,"$1,847.55 ",$0.00,1,0,1,20061001
68200,CPT,Treat eyelid by injection,,30,0,1,$256.09 ,$0.00,1,0,1,20061001
68320,CPT,Revise/graft eyelid lining,,30,1,1,"$5,249.04 ",$0.00,1,0,1,20061001
68325,CPT,Revise/graft eyelid lining,,30,1,1,"$8,799.92 ",$0.00,1,0,1,20061001
68326,CPT,Revise/graft eyelid lining,,30,1,1,"$6,686.62 ",$0.00,1,0,1,20061001
68328,CPT,Revise/graft eyelid lining,,30,1,1,"$6,686.62 ",$0.00,1,0,1,20061001
68330,CPT,Revise eyelid lining,,30,1,1,"$4,322.28 ",$0.00,1,0,1,20061001
68335,CPT,Revise/graft eyelid lining,,30,1,1,"$6,686.62 ",$0.00,1,0,1,20061001
68340,CPT,Separate eyelid adhesions,,30,1,1,"$5,249.04 ",$0.00,1,0,1,20061001
68360,CPT,Revise eyelid lining,,30,1,1,"$6,452.59 ",$0.00,1,0,1,20061001
68362,CPT,Revise eyelid lining,,30,1,1,"$6,452.59 ",$0.00,1,0,1,20061001
68371,CPT,"Harvest eye tissue, alograft",,30,1,1,"$4,322.28 ",$0.00,1,0,1,20061001
68399,CPT,Eyelid lining surgery,,30,1,1,"$1,847.55 ",$0.00,1,0,1,20061001
68400,CPT,Incise/drain tear gland,,30,1,1,$962.57 ,$0.00,1,0,1,20061001
68420,CPT,Incise/drain tear sac,,30,1,1,"$5,249.04 ",$0.00,1,0,1,20061001
68440,CPT,Incise tear duct opening,,30,1,1,$962.57 ,$0.00,1,0,1,20061001
68500,CPT,Removal of tear gland,,30,1,1,"$6,686.62 ",$0.00,1,0,1,20061001
68505,CPT,"Partial removal, tear gland",,30,1,1,"$6,686.62 ",$0.00,1,0,1,20061001
68510,CPT,Biopsy of tear gland,,30,1,1,"$5,249.04 ",$0.00,1,0,1,20061001
68520,CPT,Removal of tear sac,,30,1,1,"$6,686.62 ",$0.00,1,0,1,20061001
68525,CPT,Biopsy of tear sac,,30,1,1,"$5,249.04 ",$0.00,1,0,1,20061001
68530,CPT,Clearance of tear duct,,30,1,1,"$5,249.04 ",$0.00,1,0,1,20061001
68540,CPT,Remove tear gland lesion,,30,1,1,"$6,686.62 ",$0.00,1,0,1,20061001
68550,CPT,Remove tear gland lesion,,30,1,1,"$8,799.92 ",$0.00,1,0,1,20061001
68700,CPT,Repair tear ducts,,30,1,1,"$6,686.62 ",$0.00,1,0,1,20061001
68705,CPT,Revise tear duct opening,,30,1,1,$962.57 ,$0.00,1,0,1,20061001
68720,CPT,Create tear sac drain,,30,1,1,"$8,799.92 ",$0.00,1,0,1,20061001
68745,CPT,Create tear duct drain,,30,1,1,"$6,686.62 ",$0.00,1,0,1,20061001
68750,CPT,Create tear duct drain,,30,1,1,"$8,799.92 ",$0.00,1,0,1,20061001
68760,CPT,Close tear duct opening,,30,0,1,$256.09 ,$0.00,1,0,1,20061001
68761,CPT,Close tear duct opening,,30,0,1,$659.23 ,$0.00,1,0,1,20061001
68770,CPT,Close tear system fistula,,30,1,1,"$5,249.04 ",$0.00,1,0,1,20061001
68801,CPT,Dilate tear duct opening,,30,0,1,$659.23 ,$0.00,1,0,1,20061001
68810,CPT,Probe nasolacrimal duct,,30,0,1,$671.88 ,$0.00,1,0,1,20061001
68811,CPT,Probe nasolacrimal duct,,30,1,1,"$5,249.04 ",$0.00,1,0,1,20061001
68815,CPT,Probe nasolacrimal duct,,30,1,1,"$5,249.04 ",$0.00,1,0,1,20061001
68840,CPT,Explore/irrigate tear ducts,,30,0,1,$671.88 ,$0.00,1,0,1,20061001
68850,CPT,Injection for tear sac x-ray,,30,0,2,$27.59 ,$0.00,1,0,1,20061001
68899,CPT,Tear duct system surgery,,30,0,1,$671.88 ,$0.00,1,0,1,20061001
69000,CPT,Drain external ear lesion,,30,1,1,$497.85 ,$0.00,1,0,1,20061001
69005,CPT,Drain external ear lesion,,30,1,1,"$3,544.83 ",$0.00,1,0,1,20061001
69020,CPT,Drain outer ear canal lesion,,30,1,1,$497.85 ,$0.00,1,0,1,20061001
69100,CPT,Biopsy of external ear,,30,1,1,"$1,188.20 ",$0.00,1,0,1,20061001
69105,CPT,Biopsy of external ear canal,,30,1,1,"$4,583.99 ",$0.00,1,0,1,20061001
69110,CPT,"Remove external ear, partial",,30,1,1,"$4,293.64 ",$0.00,1,0,1,20061001
69120,CPT,Removal of external ear,,30,1,1,"$6,567.71 ",$0.00,1,0,1,20061001
69140,CPT,Remove ear canal lesion(s),,30,1,1,"$6,567.71 ",$0.00,1,0,1,20061001
69145,CPT,Remove ear canal lesion(s),,30,1,1,"$4,293.64 ",$0.00,1,0,1,20061001
69150,CPT,Extensive ear canal surgery,,30,1,1,"$1,939.63 ",$0.00,1,0,1,20061001
69200,CPT,Clear outer ear canal,,30,0,1,$190.09 ,$0.00,1,0,1,20061001
69205,CPT,Clear outer ear canal,,30,1,1,"$5,653.51 ",$0.00,1,0,1,20061001
69210,CPT,Remove impacted ear wax,,30,0,1,$190.09 ,$0.00,1,0,1,20061001
69220,CPT,Clean out mastoid cavity,,30,1,1,$229.31 ,$0.00,1,0,1,20061001
69222,CPT,Clean out mastoid cavity,,30,1,1,"$4,583.99 ",$0.00,1,0,1,20061001
69300,CPT,Revise external ear,,30,1,1,"$6,567.71 ",$0.00,1,0,1,20061001
69310,CPT,Rebuild outer ear canal,,30,1,1,"$10,471.26 ",$0.00,1,0,1,20061001
69320,CPT,Rebuild outer ear canal,,30,1,1,"$10,471.26 ",$0.00,1,0,1,20061001
69399,CPT,Outer ear surgery procedure,,30,1,1,$538.65 ,$0.00,1,0,1,20061001
69400,CPT,Inflate middle ear canal,,30,1,1,$538.65 ,$0.00,1,0,1,20061001
69401,CPT,Inflate middle ear canal,,30,1,1,$538.65 ,$0.00,1,0,1,20061001
69405,CPT,Catheterize middle ear canal,,30,1,1,"$1,939.63 ",$0.00,1,0,1,20061001
69420,CPT,Incision of eardrum,,30,1,1,"$1,939.63 ",$0.00,1,0,1,20061001
69421,CPT,Incision of eardrum,,30,1,1,"$4,583.99 ",$0.00,1,0,1,20061001
69424,CPT,Remove ventilating tube,,30,1,1,"$1,939.63 ",$0.00,1,0,1,20061001
69433,CPT,Create eardrum opening,,30,1,1,"$1,939.63 ",$0.00,1,0,1,20061001
69436,CPT,Create eardrum opening,,30,1,1,"$4,583.99 ",$0.00,1,0,1,20061001
69440,CPT,Exploration of middle ear,,30,1,1,"$6,567.71 ",$0.00,1,0,1,20061001
69450,CPT,Eardrum revision,,30,1,1,"$10,471.26 ",$0.00,1,0,1,20061001
69501,CPT,Mastoidectomy,,30,1,1,"$10,471.26 ",$0.00,1,0,1,20061001
69502,CPT,Mastoidectomy,,30,1,1,"$6,567.71 ",$0.00,1,0,1,20061001
69505,CPT,Remove mastoid structures,,30,1,1,"$10,471.26 ",$0.00,1,0,1,20061001
69511,CPT,Extensive mastoid surgery,,30,1,1,"$10,471.26 ",$0.00,1,0,1,20061001
69530,CPT,Extensive mastoid surgery,,30,1,1,"$10,471.26 ",$0.00,1,0,1,20061001
69540,CPT,Remove ear lesion,,30,1,1,"$4,583.99 ",$0.00,1,0,1,20061001
69550,CPT,Remove ear lesion,,30,1,1,"$10,471.26 ",$0.00,1,0,1,20061001
69552,CPT,Remove ear lesion,,30,1,1,"$10,471.26 ",$0.00,1,0,1,20061001
69601,CPT,Mastoid surgery revision,,30,1,1,"$10,471.26 ",$0.00,1,0,1,20061001
69602,CPT,Mastoid surgery revision,,30,1,1,"$10,471.26 ",$0.00,1,0,1,20061001
69603,CPT,Mastoid surgery revision,,30,1,1,"$10,471.26 ",$0.00,1,0,1,20061001
69604,CPT,Mastoid surgery revision,,30,1,1,"$10,471.26 ",$0.00,1,0,1,20061001
69605,CPT,Mastoid surgery revision,,30,1,1,"$10,471.26 ",$0.00,1,0,1,20061001
69610,CPT,Repair of eardrum,,30,1,1,"$6,567.71 ",$0.00,1,0,1,20061001
69620,CPT,Repair of eardrum,,30,1,1,"$6,567.71 ",$0.00,1,0,1,20061001
69631,CPT,Repair eardrum structures,,30,1,1,"$10,471.26 ",$0.00,1,0,1,20061001
69632,CPT,Rebuild eardrum structures,,30,1,1,"$10,471.26 ",$0.00,1,0,1,20061001
69633,CPT,Rebuild eardrum structures,,30,1,1,"$10,471.26 ",$0.00,1,0,1,20061001
69635,CPT,Repair eardrum structures,,30,1,1,"$10,471.26 ",$0.00,1,0,1,20061001
69636,CPT,Rebuild eardrum structures,,30,1,1,"$10,471.26 ",$0.00,1,0,1,20061001
69637,CPT,Rebuild eardrum structures,,30,1,1,"$10,471.26 ",$0.00,1,0,1,20061001
69641,CPT,Revise middle ear & mastoid,,30,1,1,"$10,471.26 ",$0.00,1,0,1,20061001
69642,CPT,Revise middle ear & mastoid,,30,1,1,"$10,471.26 ",$0.00,1,0,1,20061001
69643,CPT,Revise middle ear & mastoid,,30,1,1,"$10,471.26 ",$0.00,1,0,1,20061001
69644,CPT,Revise middle ear & mastoid,,30,1,1,"$10,471.26 ",$0.00,1,0,1,20061001
69645,CPT,Revise middle ear & mastoid,,30,1,1,"$10,471.26 ",$0.00,1,0,1,20061001
69646,CPT,Revise middle ear & mastoid,,30,1,1,"$10,471.26 ",$0.00,1,0,1,20061001
69650,CPT,Release middle ear bone,,30,1,1,"$6,567.71 ",$0.00,1,0,1,20061001
69660,CPT,Revise middle ear bone,,30,1,1,"$10,471.26 ",$0.00,1,0,1,20061001
69661,CPT,Revise middle ear bone,,30,1,1,"$10,471.26 ",$0.00,1,0,1,20061001
69662,CPT,Revise middle ear bone,,30,1,1,"$10,471.26 ",$0.00,1,0,1,20061001
69666,CPT,Repair middle ear structures,,30,1,1,"$10,471.26 ",$0.00,1,0,1,20061001
69667,CPT,Repair middle ear structures,,30,1,1,"$10,471.26 ",$0.00,1,0,1,20061001
69670,CPT,Remove mastoid air cells,,30,1,1,"$10,471.26 ",$0.00,1,0,1,20061001
69676,CPT,Remove middle ear nerve,,30,1,1,"$10,471.26 ",$0.00,1,0,1,20061001
69700,CPT,Close mastoid fistula,,30,1,1,"$10,471.26 ",$0.00,1,0,1,20061001
69711,CPT,Remove/repair hearing aid,,30,1,1,"$10,471.26 ",$0.00,1,0,1,20061001
69714,CPT,Implant temple bone w/stimul,,30,1,1,"$10,471.26 ",$0.00,1,0,1,20061001
69715,CPT,Temple bne implnt w/stimulat,,30,1,1,"$10,471.26 ",$0.00,1,0,1,20061001
69717,CPT,Temple bone implant revision,,30,1,1,"$10,471.26 ",$0.00,1,0,1,20061001
69718,CPT,Revise temple bone implant,,30,1,1,"$10,471.26 ",$0.00,1,0,1,20061001
69720,CPT,Release facial nerve,,30,1,1,"$10,471.26 ",$0.00,1,0,1,20061001
69725,CPT,Release facial nerve,,30,1,1,"$10,471.26 ",$0.00,1,0,1,20061001
69740,CPT,Repair facial nerve,,30,1,1,"$10,471.26 ",$0.00,1,0,1,20061001
69745,CPT,Repair facial nerve,,30,1,1,"$10,471.26 ",$0.00,1,0,1,20061001
69799,CPT,Middle ear surgery procedure,,30,1,1,"$4,583.99 ",$0.00,1,0,1,20061001
69801,CPT,Incise inner ear,,30,1,1,"$10,471.26 ",$0.00,1,0,1,20061001
69802,CPT,Incise inner ear,,30,1,1,"$10,471.26 ",$0.00,1,0,1,20061001
69805,CPT,Explore inner ear,,30,1,1,"$10,471.26 ",$0.00,1,0,1,20061001
69806,CPT,Explore inner ear,,30,1,1,"$10,471.26 ",$0.00,1,0,1,20061001
69820,CPT,Establish inner ear window,,30,1,1,"$10,471.26 ",$0.00,1,0,1,20061001
69840,CPT,Revise inner ear window,,30,1,1,"$10,471.26 ",$0.00,1,0,1,20061001
69905,CPT,Remove inner ear,,30,1,1,"$10,471.26 ",$0.00,1,0,1,20061001
69910,CPT,Remove inner ear & mastoid,,30,1,1,"$10,471.26 ",$0.00,1,0,1,20061001
69915,CPT,Incise inner ear nerve,,30,1,1,"$10,471.26 ",$0.00,1,0,1,20061001
69930,CPT,Implant cochlear device,,30,1,1,"$47,659.76 ",$0.00,1,0,1,20061001
69949,CPT,Inner ear surgery procedure,,30,1,1,"$4,583.99 ",$0.00,1,0,1,20061001
69955,CPT,Release facial nerve,,30,1,1,"$10,471.26 ",$0.00,1,0,1,20061001
69960,CPT,Release inner ear canal,,30,1,1,"$10,471.26 ",$0.00,1,0,1,20061001
69979,CPT,Temporal bone surgery,,30,1,1,$538.65 ,$0.00,1,0,1,20061001
70010,CPT,Contrast x-ray of brain,,30,0,1,"$1,157.09 ",$0.00,1,0,1,20061001
70015,CPT,Contrast x-ray of brain,,30,0,1,"$1,157.09 ",$0.00,1,0,1,20061001
70030,CPT,X-ray eye for foreign body,,30,0,1,$231.26 ,$0.00,1,0,1,20061001
70100,CPT,X-ray exam of jaw,,30,0,1,$231.26 ,$0.00,1,0,1,20061001
70110,CPT,X-ray exam of jaw,,30,0,1,$231.26 ,$0.00,1,0,1,20061001
70120,CPT,X-ray exam of mastoids,,30,0,1,$231.26 ,$0.00,1,0,1,20061001
70130,CPT,X-ray exam of mastoids,,30,0,1,$231.26 ,$0.00,1,0,1,20061001
70134,CPT,X-ray exam of middle ear,,30,0,1,$422.95 ,$0.00,1,0,1,20061001
70140,CPT,X-ray exam of facial bones,,30,0,1,$231.26 ,$0.00,1,0,1,20061001
70150,CPT,X-ray exam of facial bones,,30,0,1,$231.26 ,$0.00,1,0,1,20061001
70160,CPT,X-ray exam of nasal bones,,30,0,1,$231.26 ,$0.00,1,0,1,20061001
70170,CPT,X-ray exam of tear duct,,30,0,1,$709.32 ,$0.00,1,0,1,20061001
70190,CPT,X-ray exam of eye sockets,,30,0,1,$231.26 ,$0.00,1,0,1,20061001
70200,CPT,X-ray exam of eye sockets,,30,0,1,$231.26 ,$0.00,1,0,1,20061001
70210,CPT,X-ray exam of sinuses,,30,0,1,$231.26 ,$0.00,1,0,1,20061001
70220,CPT,X-ray exam of sinuses,,30,0,1,$231.26 ,$0.00,1,0,1,20061001
70240,CPT,"X-ray exam, pituitary saddle",,30,0,1,$231.26 ,$0.00,1,0,1,20061001
70250,CPT,X-ray exam of skull,,30,0,1,$231.26 ,$0.00,1,0,1,20061001
70260,CPT,X-ray exam of skull,,30,0,1,$422.95 ,$0.00,1,0,1,20061001
70300,CPT,X-ray exam of teeth,,30,0,1,$244.59 ,$0.00,1,0,1,20061001
70310,CPT,X-ray exam of teeth,,30,0,1,$244.59 ,$0.00,1,0,1,20061001
70320,CPT,Full mouth x-ray of teeth,,30,0,1,$244.59 ,$0.00,1,0,1,20061001
70328,CPT,X-ray exam of jaw joint,,30,0,1,$231.26 ,$0.00,1,0,1,20061001
70330,CPT,X-ray exam of jaw joints,,30,0,1,$231.26 ,$0.00,1,0,1,20061001
70332,CPT,X-ray exam of jaw joint,,30,0,1,"$1,063.09 ",$0.00,1,0,1,20061001
70336,CPT,"Magnetic image, jaw joint",,30,0,1,"$2,059.71 ",$0.00,1,0,1,20061001
70350,CPT,X-ray head for orthodontia,,30,0,1,$231.26 ,$0.00,1,0,1,20061001
70355,CPT,Panoramic x-ray of jaws,,30,0,1,$231.26 ,$0.00,1,0,1,20061001
70360,CPT,X-ray exam of neck,,30,0,1,$231.26 ,$0.00,1,0,1,20061001
70370,CPT,Throat x-ray & fluoroscopy,,30,0,1,$459.16 ,$0.00,1,0,1,20061001
70371,CPT,"Speech evaluation, complex",,30,0,1,$459.16 ,$0.00,1,0,1,20061001
70373,CPT,Contrast x-ray of larynx,,30,0,1,$709.32 ,$0.00,1,0,1,20061001
70380,CPT,X-ray exam of salivary gland,,30,0,1,$231.26 ,$0.00,1,0,1,20061001
70390,CPT,X-ray exam of salivary duct,,30,0,1,$977.14 ,$0.00,1,0,1,20061001
70450,CPT,Ct head/brain w/o dye,,30,0,1,"$1,322.55 ",$0.00,1,0,1,20061001
70460,CPT,Ct head/brain w/dye,,30,0,1,"$1,768.77 ",$0.00,1,0,1,20061001
70470,CPT,Ct head/brain w/o & w/ dye,,30,0,1,"$2,097.85 ",$0.00,1,0,1,20061001
70480,CPT,Ct orbit/ear/fossa w/o dye,,30,0,1,"$1,322.55 ",$0.00,1,0,1,20061001
70481,CPT,Ct orbit/ear/fossa w/dye,,30,0,1,"$1,768.77 ",$0.00,1,0,1,20061001
70482,CPT,Ct orbit/ear/fossa w/o&w dye,,30,0,1,"$2,097.85 ",$0.00,1,0,1,20061001
70486,CPT,Ct maxillofacial w/o dye,,30,0,1,"$1,322.55 ",$0.00,1,0,1,20061001
70487,CPT,Ct maxillofacial w/dye,,30,0,1,"$1,768.77 ",$0.00,1,0,1,20061001
70488,CPT,Ct maxillofacial w/o & w dye,,30,0,1,"$2,097.85 ",$0.00,1,0,1,20061001
70490,CPT,Ct soft tissue neck w/o dye,,30,0,1,"$1,322.55 ",$0.00,1,0,1,20061001
70491,CPT,Ct soft tissue neck w/dye,,30,0,1,"$1,768.77 ",$0.00,1,0,1,20061001
70492,CPT,Ct sft tsue nck w/o & w/dye,,30,0,1,"$2,097.85 ",$0.00,1,0,1,20061001
70496,CPT,"Ct angiography, head",,30,0,1,"$1,906.27 ",$0.00,1,0,1,20061001
70498,CPT,"Ct angiography, neck",,30,0,1,"$1,906.27 ",$0.00,1,0,1,20061001
70540,CPT,Mri orbit/face/neck w/o dye,,30,0,1,"$2,210.11 ",$0.00,1,0,1,20061001
70542,CPT,Mri orbit/face/neck w/dye,,30,0,1,"$2,308.33 ",$0.00,1,0,1,20061001
70543,CPT,Mri orbt/fac/nck w/o & w dye,,30,0,1,"$3,333.24 ",$0.00,1,0,1,20061001
70544,CPT,Mr angiography head w/o dye,,30,0,1,"$2,210.11 ",$0.00,1,0,1,20061001
70545,CPT,Mr angiography head w/dye,,30,0,1,"$2,308.33 ",$0.00,1,0,1,20061001
70546,CPT,Mr angiograph head w/o&w dye,,30,0,1,"$3,333.24 ",$0.00,1,0,1,20061001
70547,CPT,Mr angiography neck w/o dye,,30,0,1,"$2,210.11 ",$0.00,1,0,1,20061001
70548,CPT,Mr angiography neck w/dye,,30,0,1,"$2,308.33 ",$0.00,1,0,1,20061001
70549,CPT,Mr angiograph neck w/o&w dye,,30,0,1,"$3,333.24 ",$0.00,1,0,1,20061001
70551,CPT,Mri brain w/o dye,,30,0,1,"$2,210.11 ",$0.00,1,0,1,20061001
70552,CPT,Mri brain w/ dye,,30,0,1,"$2,308.33 ",$0.00,1,0,1,20061001
70553,CPT,Mri brain w/o & w/ dye,,30,0,1,"$3,333.24 ",$0.00,1,0,1,20061001
70557,CPT,Mri brain w/o dye,,30,0,1,"$2,210.11 ",$0.00,1,0,1,20061001
70558,CPT,Mri brain w/ dye,,30,0,1,"$2,308.33 ",$0.00,1,0,1,20061001
70559,CPT,Mri brain w/o & w/ dye,,30,0,1,"$3,333.24 ",$0.00,1,0,1,20061001
71010,CPT,Chest x-ray,,30,0,1,$231.26 ,$0.00,1,0,1,20061001
71015,CPT,Chest x-ray,,30,0,1,$231.26 ,$0.00,1,0,1,20061001
71020,CPT,Chest x-ray,,30,0,1,$231.26 ,$0.00,1,0,1,20061001
71021,CPT,Chest x-ray,,30,0,1,$231.26 ,$0.00,1,0,1,20061001
71022,CPT,Chest x-ray,,30,0,1,$231.26 ,$0.00,1,0,1,20061001
71023,CPT,Chest x-ray and fluoroscopy,,30,0,1,$459.16 ,$0.00,1,0,1,20061001
71030,CPT,Chest x-ray,,30,0,1,$231.26 ,$0.00,1,0,1,20061001
71034,CPT,Chest x-ray and fluoroscopy,,30,0,1,$459.16 ,$0.00,1,0,1,20061001
71035,CPT,Chest x-ray,,30,0,1,$231.26 ,$0.00,1,0,1,20061001
71040,CPT,Contrast x-ray of bronchi,,30,0,1,$709.32 ,$0.00,1,0,1,20061001
71060,CPT,Contrast x-ray of bronchi,,30,0,1,$977.14 ,$0.00,1,0,1,20061001
71090,CPT,X-ray & pacemaker insertion,,30,0,1,$459.16 ,$0.00,1,0,1,20061001
71100,CPT,X-ray exam of ribs,,30,0,1,$231.26 ,$0.00,1,0,1,20061001
71101,CPT,X-ray exam of ribs/chest,,30,0,1,$231.26 ,$0.00,1,0,1,20061001
71110,CPT,X-ray exam of ribs,,30,0,1,$231.26 ,$0.00,1,0,1,20061001
71111,CPT,X-ray exam of ribs/ chest,,30,0,1,$422.95 ,$0.00,1,0,1,20061001
71120,CPT,X-ray exam of breastbone,,30,0,1,$231.26 ,$0.00,1,0,1,20061001
71130,CPT,X-ray exam of breastbone,,30,0,1,$231.26 ,$0.00,1,0,1,20061001
71250,CPT,Ct thorax w/o dye,,30,0,1,"$1,322.55 ",$0.00,1,0,1,20061001
71260,CPT,Ct thorax w/dye,,30,0,1,"$1,768.77 ",$0.00,1,0,1,20061001
71270,CPT,Ct thorax w/o & w/ dye,,30,0,1,"$2,097.85 ",$0.00,1,0,1,20061001
71275,CPT,"Ct angiography, chest",,30,0,1,"$1,906.27 ",$0.00,1,0,1,20061001
71550,CPT,Mri chest w/o dye,,30,0,1,"$2,210.11 ",$0.00,1,0,1,20061001
71551,CPT,Mri chest w/dye,,30,0,1,"$2,308.33 ",$0.00,1,0,1,20061001
71552,CPT,Mri chest w/o & w/dye,,30,0,1,"$3,333.24 ",$0.00,1,0,1,20061001
71555,CPT,Mri angio chest w or w/o dye,,30,0,,"$3,541.18 ",$0.00,1,0,1,20061001
72010,CPT,X-ray exam of spine,,30,0,1,$422.95 ,$0.00,1,0,1,20061001
72020,CPT,X-ray exam of spine,,30,0,1,$231.26 ,$0.00,1,0,1,20061001
72040,CPT,X-ray exam of neck spine,,30,0,1,$231.26 ,$0.00,1,0,1,20061001
72050,CPT,X-ray exam of neck spine,,30,0,1,$422.95 ,$0.00,1,0,1,20061001
72052,CPT,X-ray exam of neck spine,,30,0,1,$422.95 ,$0.00,1,0,1,20061001
72069,CPT,X-ray exam of trunk spine,,30,0,1,$231.26 ,$0.00,1,0,1,20061001
72070,CPT,X-ray exam of thoracic spine,,30,0,1,$231.26 ,$0.00,1,0,1,20061001
72072,CPT,X-ray exam of thoracic spine,,30,0,1,$231.26 ,$0.00,1,0,1,20061001
72074,CPT,X-ray exam of thoracic spine,,30,0,1,$231.26 ,$0.00,1,0,1,20061001
72080,CPT,X-ray exam of trunk spine,,30,0,1,$231.26 ,$0.00,1,0,1,20061001
72090,CPT,X-ray exam of trunk spine,,30,0,1,$422.95 ,$0.00,1,0,1,20061001
72100,CPT,X-ray exam of lower spine,,30,0,1,$231.26 ,$0.00,1,0,1,20061001
72110,CPT,X-ray exam of lower spine,,30,0,1,$422.95 ,$0.00,1,0,1,20061001
72114,CPT,X-ray exam of lower spine,,30,0,1,$422.95 ,$0.00,1,0,1,20061001
72120,CPT,X-ray exam of lower spine,,30,0,1,$231.26 ,$0.00,1,0,1,20061001
72125,CPT,Ct neck spine w/o dye,,30,0,1,"$1,322.55 ",$0.00,1,0,1,20061001
72126,CPT,Ct neck spine w/dye,,30,0,1,"$1,768.77 ",$0.00,1,0,1,20061001
72127,CPT,Ct neck spine w/o & w/dye,,30,0,1,"$2,097.85 ",$0.00,1,0,1,20061001
72128,CPT,Ct chest spine w/o dye,,30,0,1,"$1,322.55 ",$0.00,1,0,1,20061001
72129,CPT,Ct chest spine w/dye,,30,0,1,"$1,768.77 ",$0.00,1,0,1,20061001
72130,CPT,Ct chest spine w/o & w/dye,,30,0,1,"$2,097.85 ",$0.00,1,0,1,20061001
72131,CPT,Ct lumbar spine w/o dye,,30,0,1,"$1,322.55 ",$0.00,1,0,1,20061001
72132,CPT,Ct lumbar spine w/dye,,30,0,1,"$1,768.77 ",$0.00,1,0,1,20061001
72133,CPT,Ct lumbar spine w/o & w/dye,,30,0,1,"$2,097.85 ",$0.00,1,0,1,20061001
72141,CPT,Mri neck spine w/o dye,,30,0,1,"$2,210.11 ",$0.00,1,0,1,20061001
72142,CPT,Mri neck spine w/dye,,30,0,1,"$2,308.33 ",$0.00,1,0,1,20061001
72146,CPT,Mri chest spine w/o dye,,30,0,1,"$2,210.11 ",$0.00,1,0,1,20061001
72147,CPT,Mri chest spine w/dye,,30,0,1,"$2,308.33 ",$0.00,1,0,1,20061001
72148,CPT,Mri lumbar spine w/o dye,,30,0,1,"$2,210.11 ",$0.00,1,0,1,20061001
72149,CPT,Mri lumbar spine w/dye,,30,0,1,"$2,308.33 ",$0.00,1,0,1,20061001
72156,CPT,Mri neck spine w/o & w/dye,,30,0,1,"$3,333.24 ",$0.00,1,0,1,20061001
72157,CPT,Mri chest spine w/o & w/dye,,30,0,1,"$3,333.24 ",$0.00,1,0,1,20061001
72158,CPT,Mri lumbar spine w/o & w/dye,,30,0,1,"$3,333.24 ",$0.00,1,0,1,20061001
72159,CPT,Mr angio spine w/o&w/dye,,30,0,,"$3,683.97 ",$0.00,1,0,1,20061001
72170,CPT,X-ray exam of pelvis,,30,0,1,$231.26 ,$0.00,1,0,1,20061001
72190,CPT,X-ray exam of pelvis,,30,0,1,$231.26 ,$0.00,1,0,1,20061001
72191,CPT,Ct angiograph pelv w/o&w/dye,,30,0,1,"$1,906.27 ",$0.00,1,0,1,20061001
72192,CPT,Ct pelvis w/o dye,,30,0,1,"$1,322.55 ",$0.00,1,0,1,20061001
72193,CPT,Ct pelvis w/dye,,30,0,1,"$1,768.77 ",$0.00,1,0,1,20061001
72194,CPT,Ct pelvis w/o & w/dye,,30,0,1,"$2,097.85 ",$0.00,1,0,1,20061001
72195,CPT,Mri pelvis w/o dye,,30,0,1,"$2,210.11 ",$0.00,1,0,1,20061001
72196,CPT,Mri pelvis w/dye,,30,0,1,"$2,308.33 ",$0.00,1,0,1,20061001
72197,CPT,Mri pelvis w/o & w/dye,,30,0,1,"$3,333.24 ",$0.00,1,0,1,20061001
72198,CPT,Mr angio pelvis w/o & w/dye,,30,0,,"$3,455.23 ",$0.00,1,0,1,20061001
72200,CPT,X-ray exam sacroiliac joints,,30,0,1,$231.26 ,$0.00,1,0,1,20061001
72202,CPT,X-ray exam sacroiliac joints,,30,0,1,$231.26 ,$0.00,1,0,1,20061001
72220,CPT,X-ray exam of tailbone,,30,0,1,$231.26 ,$0.00,1,0,1,20061001
72240,CPT,Contrast x-ray of neck spine,,30,0,1,"$1,157.09 ",$0.00,1,0,1,20061001
72255,CPT,"Contrast x-ray, thorax spine",,30,0,1,"$1,157.09 ",$0.00,1,0,1,20061001
72265,CPT,"Contrast x-ray, lower spine",,30,0,1,"$1,157.09 ",$0.00,1,0,1,20061001
72270,CPT,"Contrast x-ray, spine",,30,0,1,"$1,157.09 ",$0.00,1,0,1,20061001
72275,CPT,Epidurography,,30,0,1,"$1,157.09 ",$0.00,1,0,1,20061001
72285,CPT,X-ray c/t spine disk,,30,0,1,"$3,766.96 ",$0.00,1,0,1,20061001
72295,CPT,X-ray of lower spine disk,,30,0,1,"$3,766.96 ",$0.00,1,0,1,20061001
73000,CPT,X-ray exam of collar bone,,30,0,1,$231.26 ,$0.00,1,0,1,20061001
73010,CPT,X-ray exam of shoulder blade,,30,0,1,$231.26 ,$0.00,1,0,1,20061001
73020,CPT,X-ray exam of shoulder,,30,0,1,$231.26 ,$0.00,1,0,1,20061001
73030,CPT,X-ray exam of shoulder,,30,0,1,$231.26 ,$0.00,1,0,1,20061001
73040,CPT,Contrast x-ray of shoulder,,30,0,1,"$1,063.09 ",$0.00,1,0,1,20061001
73050,CPT,X-ray exam of shoulders,,30,0,1,$231.26 ,$0.00,1,0,1,20061001
73060,CPT,X-ray exam of humerus,,30,0,1,$231.26 ,$0.00,1,0,1,20061001
73070,CPT,X-ray exam of elbow,,30,0,1,$231.26 ,$0.00,1,0,1,20061001
73080,CPT,X-ray exam of elbow,,30,0,1,$231.26 ,$0.00,1,0,1,20061001
73085,CPT,Contrast x-ray of elbow,,30,0,1,"$1,063.09 ",$0.00,1,0,1,20061001
73090,CPT,X-ray exam of forearm,,30,0,1,$231.26 ,$0.00,1,0,1,20061001
73092,CPT,"X-ray exam of arm, infant",,30,0,1,$231.26 ,$0.00,1,0,1,20061001
73100,CPT,X-ray exam of wrist,,30,0,1,$231.26 ,$0.00,1,0,1,20061001
73110,CPT,X-ray exam of wrist,,30,0,1,$231.26 ,$0.00,1,0,1,20061001
73115,CPT,Contrast x-ray of wrist,,30,0,1,"$1,063.09 ",$0.00,1,0,1,20061001
73120,CPT,X-ray exam of hand,,30,0,1,$231.26 ,$0.00,1,0,1,20061001
73130,CPT,X-ray exam of hand,,30,0,1,$231.26 ,$0.00,1,0,1,20061001
73140,CPT,X-ray exam of finger(s),,30,0,1,$231.26 ,$0.00,1,0,1,20061001
73200,CPT,Ct upper extremity w/o dye,,30,0,1,"$1,322.55 ",$0.00,1,0,1,20061001
73201,CPT,Ct upper extremity w/dye,,30,0,1,"$1,768.77 ",$0.00,1,0,1,20061001
73202,CPT,Ct uppr extremity w/o&w/dye,,30,0,1,"$2,097.85 ",$0.00,1,0,1,20061001
73206,CPT,Ct angio upr extrm w/o&w/dye,,30,0,1,"$1,906.27 ",$0.00,1,0,1,20061001
73218,CPT,Mri upper extremity w/o dye,,30,0,1,"$2,210.11 ",$0.00,1,0,1,20061001
73219,CPT,Mri upper extremity w/dye,,30,0,1,"$2,308.33 ",$0.00,1,0,1,20061001
73220,CPT,Mri uppr extremity w/o&w/dye,,30,0,1,"$3,333.24 ",$0.00,1,0,1,20061001
73221,CPT,Mri joint upr extrem w/o dye,,30,0,1,"$2,210.11 ",$0.00,1,0,1,20061001
73222,CPT,Mri joint upr extrem w/dye,,30,0,1,"$2,308.33 ",$0.00,1,0,1,20061001
73223,CPT,Mri joint upr extr w/o&w/dye,,30,0,1,"$3,333.24 ",$0.00,1,0,1,20061001
73225,CPT,Mr angio upr extr w/o&w/dye,,30,0,,"$2,443.36 ",$0.00,1,0,1,20061001
73500,CPT,X-ray exam of hip,,30,0,1,$231.26 ,$0.00,1,0,1,20061001
73510,CPT,X-ray exam of hip,,30,0,1,$231.26 ,$0.00,1,0,1,20061001
73520,CPT,X-ray exam of hips,,30,0,1,$231.26 ,$0.00,1,0,1,20061001
73525,CPT,Contrast x-ray of hip,,30,0,1,"$1,063.09 ",$0.00,1,0,1,20061001
73530,CPT,X-ray exam of hip,,30,0,1,$422.95 ,$0.00,1,0,1,20061001
73540,CPT,X-ray exam of pelvis & hips,,30,0,1,$231.26 ,$0.00,1,0,1,20061001
73542,CPT,"X-ray exam, sacroiliac joint",,30,0,1,"$1,063.09 ",$0.00,1,0,1,20061001
73550,CPT,X-ray exam of thigh,,30,0,1,$231.26 ,$0.00,1,0,1,20061001
73560,CPT,"X-ray exam of knee, 1 or 2",,30,0,1,$231.26 ,$0.00,1,0,1,20061001
73562,CPT,"X-ray exam of knee, 3",,30,0,1,$231.26 ,$0.00,1,0,1,20061001
73564,CPT,"X-ray exam, knee, 4 or more",,30,0,1,$231.26 ,$0.00,1,0,1,20061001
73565,CPT,X-ray exam of knees,,30,0,1,$231.26 ,$0.00,1,0,1,20061001
73580,CPT,Contrast x-ray of knee joint,,30,0,1,"$1,063.09 ",$0.00,1,0,1,20061001
73590,CPT,X-ray exam of lower leg,,30,0,1,$231.26 ,$0.00,1,0,1,20061001
73592,CPT,"X-ray exam of leg, infant",,30,0,1,$231.26 ,$0.00,1,0,1,20061001
73600,CPT,X-ray exam of ankle,,30,0,1,$231.26 ,$0.00,1,0,1,20061001
73610,CPT,X-ray exam of ankle,,30,0,1,$231.26 ,$0.00,1,0,1,20061001
73615,CPT,Contrast x-ray of ankle,,30,0,1,"$1,063.09 ",$0.00,1,0,1,20061001
73620,CPT,X-ray exam of foot,,30,0,1,$231.26 ,$0.00,1,0,1,20061001
73630,CPT,X-ray exam of foot,,30,0,1,$231.26 ,$0.00,1,0,1,20061001
73650,CPT,X-ray exam of heel,,30,0,1,$231.26 ,$0.00,1,0,1,20061001
73660,CPT,X-ray exam of toe(s),,30,0,1,$231.26 ,$0.00,1,0,1,20061001
73700,CPT,Ct lower extremity w/o dye,,30,0,1,"$1,322.55 ",$0.00,1,0,1,20061001
73701,CPT,Ct lower extremity w/dye,,30,0,1,"$1,768.77 ",$0.00,1,0,1,20061001
73702,CPT,Ct lwr extremity w/o&w/dye,,30,0,1,"$2,097.85 ",$0.00,1,0,1,20061001
73706,CPT,Ct angio lwr extr w/o&w/dye,,30,0,1,"$1,906.27 ",$0.00,1,0,1,20061001
73718,CPT,Mri lower extremity w/o dye,,30,0,1,"$2,210.11 ",$0.00,1,0,1,20061001
73719,CPT,Mri lower extremity w/dye,,30,0,1,"$2,308.33 ",$0.00,1,0,1,20061001
73720,CPT,Mri lwr extremity w/o&w/dye,,30,0,1,"$3,333.24 ",$0.00,1,0,1,20061001
73721,CPT,Mri jnt of lwr extre w/o dye,,30,0,1,"$2,210.11 ",$0.00,1,0,1,20061001
73722,CPT,Mri joint of lwr extr w/dye,,30,0,1,"$2,308.33 ",$0.00,1,0,1,20061001
73723,CPT,Mri joint lwr extr w/o&w/dye,,30,0,1,"$3,333.24 ",$0.00,1,0,1,20061001
73725,CPT,Mr ang lwr ext w or w/o dye,,30,0,,"$2,426.18 ",$0.00,1,0,1,20061001
74000,CPT,X-ray exam of abdomen,,30,0,1,$231.26 ,$0.00,1,0,1,20061001
74010,CPT,X-ray exam of abdomen,,30,0,1,$231.26 ,$0.00,1,0,1,20061001
74020,CPT,X-ray exam of abdomen,,30,0,1,$231.26 ,$0.00,1,0,1,20061001
74022,CPT,"X-ray exam series, abdomen",,30,0,1,$422.95 ,$0.00,1,0,1,20061001
74150,CPT,Ct abdomen w/o dye,,30,0,1,"$1,322.55 ",$0.00,1,0,1,20061001
74160,CPT,Ct abdomen w/dye,,30,0,1,"$1,768.77 ",$0.00,1,0,1,20061001
74170,CPT,Ct abdomen w/o &w /dye,,30,0,1,"$2,097.85 ",$0.00,1,0,1,20061001
74175,CPT,Ct angio abdom w/o & w/dye,,30,0,1,"$1,906.27 ",$0.00,1,0,1,20061001
74181,CPT,Mri abdomen w/o dye,,30,0,1,"$2,210.11 ",$0.00,1,0,1,20061001
74182,CPT,Mri abdomen w/dye,,30,0,1,"$2,308.33 ",$0.00,1,0,1,20061001
74183,CPT,Mri abdomen w/o & w/dye,,30,0,1,"$3,333.24 ",$0.00,1,0,1,20061001
74185,CPT,"Mri angio, abdom w orw/o dye",,30,0,,"$4,071.44 ",$0.00,1,0,1,20061001
74190,CPT,X-ray exam of peritoneum,,30,0,1,$709.32 ,$0.00,1,0,1,20061001
74210,CPT,Contrst x-ray exam of throat,,30,0,1,$539.47 ,$0.00,1,0,1,20061001
74220,CPT,"Contrast x-ray, esophagus",,30,0,1,$539.47 ,$0.00,1,0,1,20061001
74230,CPT,"Cine/vid x-ray, throat/esoph",,30,0,1,$539.47 ,$0.00,1,0,1,20061001
74235,CPT,Remove esophagus obstruction,,30,0,1,$928.85 ,$0.00,1,0,1,20061001
74240,CPT,"X-ray exam, upper gi tract",,30,0,1,$539.47 ,$0.00,1,0,1,20061001
74241,CPT,"X-ray exam, upper gi tract",,30,0,1,$539.47 ,$0.00,1,0,1,20061001
74245,CPT,"X-ray exam, upper gi tract",,30,0,1,$792.64 ,$0.00,1,0,1,20061001
74246,CPT,Contrst x-ray uppr gi tract,,30,0,1,$539.47 ,$0.00,1,0,1,20061001
74247,CPT,Contrst x-ray uppr gi tract,,30,0,1,$539.47 ,$0.00,1,0,1,20061001
74249,CPT,Contrst x-ray uppr gi tract,,30,0,1,$792.64 ,$0.00,1,0,1,20061001
74250,CPT,X-ray exam of small bowel,,30,0,1,$539.47 ,$0.00,1,0,1,20061001
74251,CPT,X-ray exam of small bowel,,30,0,1,$792.64 ,$0.00,1,0,1,20061001
74260,CPT,X-ray exam of small bowel,,30,0,1,$792.64 ,$0.00,1,0,1,20061001
74270,CPT,Contrast x-ray exam of colon,,30,0,1,$539.47 ,$0.00,1,0,1,20061001
74280,CPT,Contrast x-ray exam of colon,,30,0,1,$792.64 ,$0.00,1,0,1,20061001
74283,CPT,Contrast x-ray exam of colon,,30,0,1,$539.47 ,$0.00,1,0,1,20061001
74290,CPT,"Contrast x-ray, gallbladder",,30,0,1,$539.47 ,$0.00,1,0,1,20061001
74291,CPT,"Contrast x-rays, gallbladder",,30,0,1,$539.47 ,$0.00,1,0,1,20061001
74300,CPT,X-ray bile ducts/pancreas,,30,0,1,$709.32 ,$0.00,1,0,1,20061001
74301,CPT,X-rays at surgery add-on,,30,0,1,$709.32 ,$0.00,1,0,1,20061001
74305,CPT,X-ray bile ducts/pancreas,,30,0,1,$709.32 ,$0.00,1,0,1,20061001
74320,CPT,Contrast x-ray of bile ducts,,30,0,1,$977.14 ,$0.00,1,0,1,20061001
74327,CPT,X-ray bile stone removal,,30,0,1,$928.85 ,$0.00,1,0,1,20061001
74329,CPT,X-ray for pancreas endoscopy,,30,0,2,$93.57 ,$0.00,1,0,1,20061001
74340,CPT,X-ray guide for GI tube,,30,0,1,$459.16 ,$0.00,1,0,1,20061001
74350,CPT,"X-ray guide, stomach tube",,30,0,1,$709.32 ,$0.00,1,0,1,20061001
74355,CPT,"X-ray guide, intestinal tube",,30,0,1,$709.32 ,$0.00,1,0,1,20061001
74360,CPT,"X-ray guide, GI dilation",,30,0,1,$928.85 ,$0.00,1,0,1,20061001
74363,CPT,"X-ray, bile duct dilation",,30,0,1,"$2,502.32 ",$0.00,1,0,1,20061001
74400,CPT,"Contrst x-ray, urinary tract",,30,0,1,$875.41 ,$0.00,1,0,1,20061001
74410,CPT,"Contrst x-ray, urinary tract",,30,0,1,$875.41 ,$0.00,1,0,1,20061001
74415,CPT,"Contrst x-ray, urinary tract",,30,0,1,$875.41 ,$0.00,1,0,1,20061001
74420,CPT,"Contrst x-ray, urinary tract",,30,0,1,$875.41 ,$0.00,1,0,1,20061001
74425,CPT,"Contrst x-ray, urinary tract",,30,0,1,$875.41 ,$0.00,1,0,1,20061001
74430,CPT,"Contrast x-ray, bladder",,30,0,1,$875.41 ,$0.00,1,0,1,20061001
74440,CPT,"X-ray, male genital tract",,30,0,1,$875.41 ,$0.00,1,0,1,20061001
74445,CPT,X-ray exam of penis,,30,0,1,$875.41 ,$0.00,1,0,1,20061001
74450,CPT,"X-ray, urethra/bladder",,30,0,1,$875.41 ,$0.00,1,0,1,20061001
74455,CPT,"X-ray, urethra/bladder",,30,0,1,$875.41 ,$0.00,1,0,1,20061001
74470,CPT,X-ray exam of kidney lesion,,30,0,1,$977.14 ,$0.00,1,0,1,20061001
74475,CPT,"X-ray control, cath insert",,30,0,1,"$2,502.32 ",$0.00,1,0,1,20061001
74480,CPT,"X-ray control, cath insert",,30,0,1,$928.85 ,$0.00,1,0,1,20061001
74485,CPT,"X-ray guide, GU dilation",,30,0,1,$928.85 ,$0.00,1,0,1,20061001
74710,CPT,X-ray measurement of pelvis,,30,0,1,$231.26 ,$0.00,1,0,1,20061001
74740,CPT,"X-ray, female genital tract",,30,0,1,$977.14 ,$0.00,1,0,1,20061001
74742,CPT,"X-ray, fallopian tube",,30,0,1,$709.32 ,$0.00,1,0,1,20061001
74775,CPT,X-ray exam of perineum,,30,0,1,$875.41 ,$0.00,1,0,1,20061001
75552,CPT,Heart mri for morph w/o dye,,30,0,1,"$2,210.11 ",$0.00,1,0,1,20061001
75553,CPT,Heart mri for morph w/dye,,30,0,1,"$2,308.33 ",$0.00,1,0,1,20061001
75554,CPT,Cardiac MRI/function,,30,0,1,"$2,059.71 ",$0.00,1,0,1,20061001
75555,CPT,Cardiac MRI/limited study,,30,0,1,"$2,059.71 ",$0.00,1,0,1,20061001
75600,CPT,Contrast x-ray exam of aorta,,30,0,1,"$6,151.17 ",$0.00,1,0,1,20061001
75605,CPT,Contrast x-ray exam of aorta,,30,0,1,"$6,151.17 ",$0.00,1,0,1,20061001
75625,CPT,Contrast x-ray exam of aorta,,30,0,1,"$6,151.17 ",$0.00,1,0,1,20061001
75630,CPT,"X-ray aorta, leg arteries",,30,0,1,"$6,151.17 ",$0.00,1,0,1,20061001
75635,CPT,Ct angio abdominal arteries,,30,0,1,"$1,906.27 ",$0.00,1,0,1,20061001
75650,CPT,"Artery x-rays, head & neck",,30,0,1,"$6,151.17 ",$0.00,1,0,1,20061001
75658,CPT,"Artery x-rays, arm",,30,0,1,"$6,151.17 ",$0.00,1,0,1,20061001
75660,CPT,"Artery x-rays, head & neck",,30,0,1,"$3,473.06 ",$0.00,1,0,1,20061001
75662,CPT,"Artery x-rays, head & neck",,30,0,1,"$3,473.06 ",$0.00,1,0,1,20061001
75665,CPT,"Artery x-rays, head & neck",,30,0,1,"$6,151.17 ",$0.00,1,0,1,20061001
75671,CPT,"Artery x-rays, head & neck",,30,0,1,"$6,151.17 ",$0.00,1,0,1,20061001
75676,CPT,"Artery x-rays, neck",,30,0,1,"$6,151.17 ",$0.00,1,0,1,20061001
75680,CPT,"Artery x-rays, neck",,30,0,1,"$6,151.17 ",$0.00,1,0,1,20061001
75685,CPT,"Artery x-rays, spine",,30,0,1,"$3,473.06 ",$0.00,1,0,1,20061001
75705,CPT,"Artery x-rays, spine",,30,0,1,"$3,473.06 ",$0.00,1,0,1,20061001
75710,CPT,"Artery x-rays, arm/leg",,30,0,1,"$6,151.17 ",$0.00,1,0,1,20061001
75716,CPT,"Artery x-rays, arms/legs",,30,0,1,"$6,151.17 ",$0.00,1,0,1,20061001
75722,CPT,"Artery x-rays, kidney",,30,0,1,"$6,151.17 ",$0.00,1,0,1,20061001
75724,CPT,"Artery x-rays, kidneys",,30,0,1,"$6,151.17 ",$0.00,1,0,1,20061001
75726,CPT,"Artery x-rays, abdomen",,30,0,1,"$6,151.17 ",$0.00,1,0,1,20061001
75731,CPT,"Artery x-rays, adrenal gland",,30,0,1,"$6,151.17 ",$0.00,1,0,1,20061001
75733,CPT,"Artery x-rays, adrenals",,30,0,1,"$6,151.17 ",$0.00,1,0,1,20061001
75736,CPT,"Artery x-rays, pelvis",,30,0,1,"$6,151.17 ",$0.00,1,0,1,20061001
75741,CPT,"Artery x-rays, lung",,30,0,1,"$3,473.06 ",$0.00,1,0,1,20061001
75743,CPT,"Artery x-rays, lungs",,30,0,1,"$6,151.17 ",$0.00,1,0,1,20061001
75746,CPT,"Artery x-rays, lung",,30,0,1,"$3,473.06 ",$0.00,1,0,1,20061001
75756,CPT,"Artery x-rays, chest",,30,0,1,"$3,473.06 ",$0.00,1,0,1,20061001
75774,CPT,"Artery x-ray, each vessel",,30,0,1,"$3,329.91 ",$0.00,1,0,1,20061001
75790,CPT,Visualize A-V shunt,,30,0,1,"$2,141.25 ",$0.00,1,0,1,20061001
75801,CPT,"Lymph vessel x-ray, arm/leg",,30,0,1,$977.14 ,$0.00,1,0,1,20061001
75803,CPT,"Lymph vessel x-ray,arms/legs",,30,0,1,$977.14 ,$0.00,1,0,1,20061001
75805,CPT,"Lymph vessel x-ray, trunk",,30,0,1,$977.14 ,$0.00,1,0,1,20061001
75807,CPT,"Lymph vessel x-ray, trunk",,30,0,1,$977.14 ,$0.00,1,0,1,20061001
75809,CPT,"Nonvascular shunt, x-ray",,30,0,1,$709.32 ,$0.00,1,0,1,20061001
75810,CPT,"Vein x-ray, spleen/liver",,30,0,1,"$3,473.06 ",$0.00,1,0,1,20061001
75820,CPT,"Vein x-ray, arm/leg",,30,0,1,"$2,141.25 ",$0.00,1,0,1,20061001
75822,CPT,"Vein x-ray, arms/legs",,30,0,1,"$2,141.25 ",$0.00,1,0,1,20061001
75825,CPT,"Vein x-ray, trunk",,30,0,1,"$3,473.06 ",$0.00,1,0,1,20061001
75827,CPT,"Vein x-ray, chest",,30,0,1,"$3,473.06 ",$0.00,1,0,1,20061001
75831,CPT,"Vein x-ray, kidney",,30,0,1,"$2,105.90 ",$0.00,1,0,1,20061001
75833,CPT,"Vein x-ray, kidneys",,30,0,1,"$3,473.06 ",$0.00,1,0,1,20061001
75840,CPT,"Vein x-ray, adrenal gland",,30,0,1,"$2,105.90 ",$0.00,1,0,1,20061001
75842,CPT,"Vein x-ray, adrenal glands",,30,0,1,"$2,105.90 ",$0.00,1,0,1,20061001
75860,CPT,"Vein x-ray, neck",,30,0,1,"$2,105.90 ",$0.00,1,0,1,20061001
75870,CPT,"Vein x-ray, skull",,30,0,1,"$2,105.90 ",$0.00,1,0,1,20061001
75872,CPT,"Vein x-ray, skull",,30,0,1,"$2,105.90 ",$0.00,1,0,1,20061001
75880,CPT,"Vein x-ray, eye socket",,30,0,1,"$2,105.90 ",$0.00,1,0,1,20061001
75885,CPT,"Vein x-ray, liver",,30,0,1,"$3,473.06 ",$0.00,1,0,1,20061001
75887,CPT,"Vein x-ray, liver",,30,0,1,"$6,151.17 ",$0.00,1,0,1,20061001
75889,CPT,"Vein x-ray, liver",,30,0,1,"$3,473.06 ",$0.00,1,0,1,20061001
75891,CPT,"Vein x-ray, liver",,30,0,1,"$3,473.06 ",$0.00,1,0,1,20061001
75894,CPT,"X-rays, transcath therapy",,30,0,1,"$2,502.32 ",$0.00,1,0,1,20061001
75896,CPT,"X-rays, transcath therapy",,30,0,1,"$2,502.32 ",$0.00,1,0,1,20061001
75898,CPT,Follow-up angiography,,30,0,1,$977.14 ,$0.00,1,0,1,20061001
75901,CPT,Remove cva device obstruct,,30,0,1,$977.14 ,$0.00,1,0,1,20061001
75902,CPT,Remove cva lumen obstruct,,30,0,1,$709.32 ,$0.00,1,0,1,20061001
75940,CPT,"X-ray placement, vein filter",,30,0,1,"$1,436.55 ",$0.00,1,0,1,20061001
75945,CPT,Intravascular us,,30,0,1,$727.78 ,$0.00,1,0,1,20061001
75946,CPT,Intravascular us add-on,,30,0,1,$727.78 ,$0.00,1,0,1,20061001
75960,CPT,"Transcatheter intro, stent",,30,0,1,"$6,151.17 ",$0.00,1,0,1,20061001
75961,CPT,"Retrieval, broken catheter",,30,0,1,"$6,151.17 ",$0.00,1,0,1,20061001
75962,CPT,Repair arterial blockage,,30,0,1,"$6,151.17 ",$0.00,1,0,1,20061001
75964,CPT,"Repair artery blockage, each",,30,0,1,"$6,151.17 ",$0.00,1,0,1,20061001
75966,CPT,Repair arterial blockage,,30,0,1,"$6,151.17 ",$0.00,1,0,1,20061001
75968,CPT,"Repair artery blockage, each",,30,0,1,"$6,151.17 ",$0.00,1,0,1,20061001
75970,CPT,Vascular biopsy,,30,0,1,"$6,151.17 ",$0.00,1,0,1,20061001
75978,CPT,Repair venous blockage,,30,0,1,"$3,329.91 ",$0.00,1,0,1,20061001
75980,CPT,Contrast xray exam bile duct,,30,0,1,$928.85 ,$0.00,1,0,1,20061001
75982,CPT,Contrast xray exam bile duct,,30,0,1,"$2,502.32 ",$0.00,1,0,1,20061001
75984,CPT,Xray control catheter change,,30,0,1,$977.14 ,$0.00,1,0,1,20061001
75992,CPT,"Atherectomy, x-ray exam",,30,0,1,"$6,151.17 ",$0.00,1,0,1,20061001
75993,CPT,"Atherectomy, x-ray exam",,30,0,1,"$6,151.17 ",$0.00,1,0,1,20061001
75994,CPT,"Atherectomy, x-ray exam",,30,0,1,"$6,151.17 ",$0.00,1,0,1,20061001
75995,CPT,"Atherectomy, x-ray exam",,30,0,1,"$6,151.17 ",$0.00,1,0,1,20061001
75996,CPT,"Atherectomy, x-ray exam",,30,0,1,"$6,151.17 ",$0.00,1,0,1,20061001
76000,CPT,Fluoroscope examination,,30,0,1,$459.16 ,$0.00,1,0,1,20061001
76006,CPT,X-ray stress view,,30,0,1,$231.26 ,$0.00,1,0,1,20061001
76010,CPT,"X-ray, nose to rectum",,30,0,1,$231.26 ,$0.00,1,0,1,20061001
76012,CPT,Percut vertebroplasty fluor,,30,0,1,"$1,157.09 ",$0.00,1,0,1,20061001
76013,CPT,"Percut vertebroplasty, ct",,30,0,1,"$1,157.09 ",$0.00,1,0,1,20061001
76020,CPT,X-rays for bone age,,30,0,1,$231.26 ,$0.00,1,0,1,20061001
76040,CPT,"X-rays, bone evaluation",,30,0,1,$231.26 ,$0.00,1,0,1,20061001
76061,CPT,"X-rays, bone survey",,30,0,1,$422.95 ,$0.00,1,0,1,20061001
76062,CPT,"X-rays, bone survey",,30,0,1,$422.95 ,$0.00,1,0,1,20061001
76065,CPT,"X-rays, bone evaluation",,30,0,1,$422.95 ,$0.00,1,0,1,20061001
76066,CPT,"Joint survey, single view",,30,0,1,$231.26 ,$0.00,1,0,1,20061001
76070,CPT,"CT scan, bone density study",,30,0,1,$377.89 ,$0.00,1,0,1,20061001
76071,CPT,"Ct bone density, peripheral",,30,0,1,$660.66 ,$0.00,1,0,1,20061001
76075,CPT,"Dexa, axial skeleton study",,30,0,1,$377.89 ,$0.00,1,0,1,20061001
76076,CPT,"Dexa, peripheral study",,30,0,1,$235.37 ,$0.00,1,0,1,20061001
76077,CPT,Dxa bone density/v-fracture,,30,0,1,$46.95 ,$0.00,1,0,1,20061001
76078,CPT,Radiographic absorptiometry,,30,0,1,$422.95 ,$0.00,1,0,1,20061001
76080,CPT,X-ray exam of fistula,,30,0,1,$709.32 ,$0.00,1,0,1,20061001
76082,CPT,Computer mammogram add-on,,30,0,,$49.42 ,$0.00,1,0,1,20061001
76086,CPT,X-ray of mammary duct,,30,0,1,$709.32 ,$0.00,1,0,1,20061001
76088,CPT,X-ray of mammary ducts,,30,0,1,$709.32 ,$0.00,1,0,1,20061001
76090,CPT,"Mammogram, one breast",,30,0,,$203.55 ,$0.00,1,0,1,20061001
76091,CPT,"Mammogram, both breasts",,30,0,,$203.55 ,$0.00,1,0,1,20061001
76093,CPT,"Magnetic image, breast",,30,0,,"$4,126.03 ",$0.00,1,0,1,20061001
76094,CPT,"Magnetic image, both breasts",,30,0,,"$5,420.08 ",$0.00,1,0,1,20061001
76095,CPT,Stereotactic breast biopsy,,30,0,1,"$1,436.55 ",$0.00,1,0,1,20061001
76096,CPT,"X-ray of needle wire, breast",,30,0,1,"$1,132.05 ",$0.00,1,0,1,20061001
76098,CPT,"X-ray exam, breast specimen",,30,0,1,$231.26 ,$0.00,1,0,1,20061001
76100,CPT,X-ray exam of body section,,30,0,1,$422.95 ,$0.00,1,0,1,20061001
76101,CPT,Complex body section x-ray,,30,0,1,$977.14 ,$0.00,1,0,1,20061001
76102,CPT,Complex body section x-rays,,30,0,1,$977.14 ,$0.00,1,0,1,20061001
76120,CPT,Cine/video x-rays,,30,0,1,$459.16 ,$0.00,1,0,1,20061001
76125,CPT,Cine/video x-rays add-on,,30,0,1,$231.26 ,$0.00,1,0,1,20061001
76150,CPT,"X-ray exam, dry process",,30,0,1,$231.26 ,$0.00,1,0,1,20061001
76355,CPT,Ct scan for localization,,30,0,1,"$1,768.77 ",$0.00,1,0,1,20061001
76360,CPT,Ct scan for needle biopsy,,30,0,1,"$1,768.77 ",$0.00,1,0,1,20061001
76362,CPT,Ct guide for tissue ablation,,30,0,1,"$1,322.55 ",$0.00,1,0,1,20061001
76370,CPT,Ct scan for therapy guide,,30,0,1,$660.66 ,$0.00,1,0,1,20061001
76376,CPT,3d render w/o postprocess,,30,0,1,$39.08 ,$0.00,1,0,1,20061001
76377,CPT,3d rendering w/postprocess,,30,0,1,$101.46 ,$0.00,1,0,1,20061001
76380,CPT,CAT scan follow-up study,,30,0,1,$660.66 ,$0.00,1,0,1,20061001
76390,CPT,Mr spectroscopy,,30,0,,"$1,674.22 ",$0.00,1,0,1,20061001
76393,CPT,Mr guidance for needle place,,30,0,1,"$2,059.71 ",$0.00,1,0,1,20061001
76394,CPT,Mri for tissue ablation,,30,0,1,"$2,059.71 ",$0.00,1,0,1,20061001
76400,CPT,"Magnetic image, bone marrow",,30,0,1,"$2,059.71 ",$0.00,1,0,1,20061001
76496,CPT,Fluoroscopic procedure,,30,0,1,$459.16 ,$0.00,1,0,1,20061001
76497,CPT,Ct procedure,,30,0,1,$660.66 ,$0.00,1,0,1,20061001
76498,CPT,Mri procedure,,30,0,1,"$2,059.71 ",$0.00,1,0,1,20061001
76499,CPT,Radiographic procedure,,30,0,1,$231.26 ,$0.00,1,0,1,20061001
76506,CPT,Echo exam of head,,30,0,1,$622.69 ,$0.00,1,0,1,20061001
76510,CPT,"Ophth us, b & quant a",,30,0,1,$99.24 ,$0.00,1,0,1,20061001
76511,CPT,Echo exam of eye,,30,0,1,$622.69 ,$0.00,1,0,1,20061001
76512,CPT,Echo exam of eye,,30,0,1,$622.69 ,$0.00,1,0,1,20061001
76513,CPT,"Echo exam of eye, water bath",,30,0,1,$404.73 ,$0.00,1,0,1,20061001
76514,CPT,"Echo exam of eye, thickness",,30,0,1,$404.73 ,$0.00,1,0,1,20061001
76516,CPT,Echo exam of eye,,30,0,1,$622.69 ,$0.00,1,0,1,20061001
76519,CPT,Echo exam of eye,,30,0,1,$622.69 ,$0.00,1,0,1,20061001
76529,CPT,Echo exam of eye,,30,0,1,$404.73 ,$0.00,1,0,1,20061001
76536,CPT,Us exam of head and neck,,30,0,1,$622.69 ,$0.00,1,0,1,20061001
76604,CPT,"Us exam, chest, b-scan",,30,0,1,$622.69 ,$0.00,1,0,1,20061001
76645,CPT,"Us exam, breast(s)",,30,0,1,$404.73 ,$0.00,1,0,1,20061001
76700,CPT,"Us exam, abdom, complete",,30,0,1,$622.69 ,$0.00,1,0,1,20061001
76705,CPT,Echo exam of abdomen,,30,0,1,$622.69 ,$0.00,1,0,1,20061001
76770,CPT,"Us exam abdo back wall, comp",,30,0,1,$622.69 ,$0.00,1,0,1,20061001
76775,CPT,"Us exam abdo back wall, lim",,30,0,1,$622.69 ,$0.00,1,0,1,20061001
76778,CPT,Us exam kidney transplant,,30,0,1,$622.69 ,$0.00,1,0,1,20061001
76800,CPT,"Us exam, spinal canal",,30,0,1,$622.69 ,$0.00,1,0,1,20061001
76801,CPT,"Ob us < 14 wks, single fetus",,30,0,1,$404.73 ,$0.00,1,0,1,20061001
76802,CPT,"Ob us < 14 wks, add?l fetus",,30,0,1,$404.73 ,$0.00,1,0,1,20061001
76805,CPT,"Us exam, pg uterus, compl",,30,0,1,$622.69 ,$0.00,1,0,1,20061001
76810,CPT,"Us exam, pg uterus, mult",,30,0,1,$404.73 ,$0.00,1,0,1,20061001
76811,CPT,"Ob us, detailed, sngl fetus",,30,0,1,$727.78 ,$0.00,1,0,1,20061001
76812,CPT,"Ob us, detailed, addl fetus",,30,0,1,$622.69 ,$0.00,1,0,1,20061001
76815,CPT,"Us exam, pg uterus limit",,30,0,1,$404.73 ,$0.00,1,0,1,20061001
76816,CPT,Us exam pg uterus repeat,,30,0,1,$404.73 ,$0.00,1,0,1,20061001
76817,CPT,"Transvaginal us, obstetric",,30,0,1,$404.73 ,$0.00,1,0,1,20061001
76818,CPT,Fetal biophys profile w/nst,,30,0,1,$622.69 ,$0.00,1,0,1,20061001
76819,CPT,Fetal biophys profil w/o nst,,30,0,1,$622.69 ,$0.00,1,0,1,20061001
76820,CPT,Umbilical artery echo,,30,0,1,$103.87 ,$0.00,1,0,1,20061001
76821,CPT,Middle cerebral artery echo,,30,0,1,$103.87 ,$0.00,1,0,1,20061001
76825,CPT,Echo exam of fetal heart,,30,0,1,$500.71 ,$0.00,1,0,1,20061001
76826,CPT,Echo exam of fetal heart,,30,0,1,$438.66 ,$0.00,1,0,1,20061001
76827,CPT,Echo exam of fetal heart,,30,0,1,$500.71 ,$0.00,1,0,1,20061001
76828,CPT,Echo exam of fetal heart,,30,0,1,$438.66 ,$0.00,1,0,1,20061001
76830,CPT,"Transvaginal us, non-ob",,30,0,1,$622.69 ,$0.00,1,0,1,20061001
76831,CPT,"Echo exam, uterus",,30,0,1,$622.69 ,$0.00,1,0,1,20061001
76856,CPT,"Us exam, pelvic, complete",,30,0,1,$622.69 ,$0.00,1,0,1,20061001
76857,CPT,"Us exam, pelvic, limited",,30,0,1,$404.73 ,$0.00,1,0,1,20061001
76870,CPT,"Us exam, scrotum",,30,0,1,$622.69 ,$0.00,1,0,1,20061001
76872,CPT,"Us, transrectal",,30,0,1,$622.69 ,$0.00,1,0,1,20061001
76873,CPT,"Echograp trans r, pros study",,30,0,1,$622.69 ,$0.00,1,0,1,20061001
76880,CPT,"Us exam, extremity",,30,0,1,$622.69 ,$0.00,1,0,1,20061001
76885,CPT,"Us exam infant hips, dynamic",,30,0,1,$622.69 ,$0.00,1,0,1,20061001
76886,CPT,"Us exam infant hips, static",,30,0,1,$622.69 ,$0.00,1,0,1,20061001
76930,CPT,"Echo guide, cardiocentesis",,30,0,1,$423.86 ,$0.00,1,0,1,20061001
76932,CPT,Echo guide for heart biopsy,,30,0,1,$423.86 ,$0.00,1,0,1,20061001
76936,CPT,Echo guide for artery repair,,30,0,1,$423.86 ,$0.00,1,0,1,20061001
76940,CPT,"Us guide, tissue ablation",,30,0,1,$423.86 ,$0.00,1,0,1,20061001
76941,CPT,Echo guide for transfusion,,30,0,1,$423.86 ,$0.00,1,0,1,20061001
76942,CPT,Echo guide for biopsy,,30,0,1,$423.86 ,$0.00,1,0,1,20061001
76945,CPT,"Echo guide, villus sampling",,30,0,1,$423.86 ,$0.00,1,0,1,20061001
76946,CPT,Echo guide for amniocentesis,,30,0,1,$423.86 ,$0.00,1,0,1,20061001
76948,CPT,"Echo guide, ova aspiration",,30,0,1,$423.86 ,$0.00,1,0,1,20061001
76950,CPT,Echo guidance radiotherapy,,30,0,1,$423.86 ,$0.00,1,0,1,20061001
76965,CPT,Echo guidance radiotherapy,,30,0,1,$423.86 ,$0.00,1,0,1,20061001
76970,CPT,Ultrasound exam follow-up,,30,0,1,$404.73 ,$0.00,1,0,1,20061001
76975,CPT,GI endoscopic ultrasound,,30,0,1,$622.69 ,$0.00,1,0,1,20061001
76977,CPT,Us bone density measure,,30,0,1,$190.09 ,$0.00,1,0,1,20061001
76986,CPT,Ultrasound guide intraoper,,30,0,1,$622.69 ,$0.00,1,0,1,20061001
76999,CPT,Echo examination procedure,,30,0,1,$404.73 ,$0.00,1,0,1,20061001
77280,CPT,Set radiation therapy field,,30,0,1,$481.27 ,$0.00,1,0,1,20061001
77285,CPT,Set radiation therapy field,,30,0,1,"$1,139.95 ",$0.00,1,0,1,20061001
77290,CPT,Set radiation therapy field,,30,0,1,"$1,139.95 ",$0.00,1,0,1,20061001
77295,CPT,Set radiation therapy field,,30,0,1,"$4,449.17 ",$0.00,1,0,1,20061001
77300,CPT,Radiation therapy dose plan,,30,0,1,$481.27 ,$0.00,1,0,1,20061001
77301,CPT,"Radiotherapy dose plan, imrt",,30,0,1,"$4,156.33 ",$0.00,1,0,1,20061001
77305,CPT,Teletx isodose plan simple,,30,0,1,$481.27 ,$0.00,1,0,1,20061001
77310,CPT,Teletx isodose plan intermed,,30,0,1,$481.27 ,$0.00,1,0,1,20061001
77315,CPT,Teletx isodose plan complex,,30,0,1,"$1,139.95 ",$0.00,1,0,1,20061001
77321,CPT,Special teletx port plan,,30,0,1,"$1,139.95 ",$0.00,1,0,1,20061001
77326,CPT,Radiation therapy dose plan,,30,0,1,"$1,139.95 ",$0.00,1,0,1,20061001
77327,CPT,Brachytx isodose calc interm,,30,0,1,"$1,139.95 ",$0.00,1,0,1,20061001
77328,CPT,Brachytx isodose plan compl,,30,0,1,"$1,139.95 ",$0.00,1,0,1,20061001
77331,CPT,Special radiation dosimetry,,30,0,1,$481.27 ,$0.00,1,0,1,20061001
77332,CPT,Radiation treatment aid(s),,30,0,1,$851.99 ,$0.00,1,0,1,20061001
77333,CPT,Radiation treatment aid(s),,30,0,1,$851.99 ,$0.00,1,0,1,20061001
77334,CPT,Radiation treatment aid(s),,30,0,1,$851.99 ,$0.00,1,0,1,20061001
77336,CPT,Radiation physics consult,,30,0,1,$481.27 ,$0.00,1,0,1,20061001
77370,CPT,Radiation physics consult,,30,0,1,"$1,139.95 ",$0.00,1,0,1,20061001
77399,CPT,External radiation dosimetry,,30,0,1,$481.27 ,$0.00,1,0,1,20061001
77401,CPT,Radiation treatment delivery,,30,0,1,$420.78 ,$0.00,1,0,1,20061001
77402,CPT,Radiation treatment delivery,,30,0,1,$420.78 ,$0.00,1,0,1,20061001
77403,CPT,Radiation treatment delivery,,30,0,1,$420.78 ,$0.00,1,0,1,20061001
77404,CPT,Radiation treatment delivery,,30,0,1,$420.78 ,$0.00,1,0,1,20061001
77406,CPT,Radiation treatment delivery,,30,0,1,$420.78 ,$0.00,1,0,1,20061001
77407,CPT,Radiation treatment delivery,,30,0,1,$420.78 ,$0.00,1,0,1,20061001
77408,CPT,Radiation treatment delivery,,30,0,1,$420.78 ,$0.00,1,0,1,20061001
77409,CPT,Radiation treatment delivery,,30,0,1,$420.78 ,$0.00,1,0,1,20061001
77411,CPT,Radiation treatment delivery,,30,0,1,$420.78 ,$0.00,1,0,1,20061001
77412,CPT,Radiation treatment delivery,,30,0,1,$615.50 ,$0.00,1,0,1,20061001
77413,CPT,Radiation treatment delivery,,30,0,1,$615.50 ,$0.00,1,0,1,20061001
77414,CPT,Radiation treatment delivery,,30,0,1,$615.50 ,$0.00,1,0,1,20061001
77416,CPT,Radiation treatment delivery,,30,0,1,$615.50 ,$0.00,1,0,1,20061001
77417,CPT,Radiology port film(s),,30,0,1,$231.26 ,$0.00,1,0,1,20061001
77418,CPT,"Radiation tx delivery, imrt",,30,0,1,"$1,748.48 ",$0.00,1,0,1,20061001
77421,CPT,Stereoscopic x-ray guidance,,30,0,1,$80.25 ,$0.00,1,0,1,20061001
77422,CPT,"Neutron beam tx, simple",,30,0,1,$140.45 ,$0.00,1,0,1,20061001
77423,CPT,"Neutron beam tx, complex",,30,0,1,$140.45 ,$0.00,1,0,1,20061001
77470,CPT,Special radiation treatment,,30,0,1,"$1,868.93 ",$0.00,1,0,1,20061001
77520,CPT,"Proton trmt, simple w/o comp",,30,0,1,"$3,155.91 ",$0.00,1,0,1,20061001
77522,CPT,"Proton trmt, simple w/comp",,30,0,1,"$3,155.91 ",$0.00,1,0,1,20061001
77523,CPT,"Proton trmt, intermediate",,30,0,1,"$4,645.31 ",$0.00,1,0,1,20061001
77525,CPT,"Proton treatment, complex",,30,0,1,"$4,645.31 ",$0.00,1,0,1,20061001
77600,CPT,Hyperthermia treatment,,30,0,1,"$1,493.38 ",$0.00,1,0,1,20061001
77605,CPT,Hyperthermia treatment,,30,0,1,"$1,493.38 ",$0.00,1,0,1,20061001
77610,CPT,Hyperthermia treatment,,30,0,1,"$1,493.38 ",$0.00,1,0,1,20061001
77615,CPT,Hyperthermia treatment,,30,0,1,"$1,493.38 ",$0.00,1,0,1,20061001
77620,CPT,Hyperthermia treatment,,30,0,1,"$1,493.38 ",$0.00,1,0,1,20061001
77750,CPT,Infuse radioactive materials,,30,0,1,$420.78 ,$0.00,1,0,1,20061001
77761,CPT,Apply intrcav radiat simple,,30,0,1,"$1,188.41 ",$0.00,1,0,1,20061001
77762,CPT,Apply intrcav radiat interm,,30,0,1,"$1,188.41 ",$0.00,1,0,1,20061001
77763,CPT,Apply intrcav radiat compl,,30,0,1,"$1,188.41 ",$0.00,1,0,1,20061001
77776,CPT,Apply interstit radiat simpl,,30,0,1,"$1,188.41 ",$0.00,1,0,1,20061001
77777,CPT,Apply interstit radiat inter,,30,0,1,"$1,188.41 ",$0.00,1,0,1,20061001
77778,CPT,Apply interstit radiat compl,,30,0,1,"$3,318.74 ",$0.00,1,0,1,20061001
77781,CPT,High intensity brachytherapy,,30,0,1,"$4,478.61 ",$0.00,1,0,1,20061001
77782,CPT,High intensity brachytherapy,,30,0,1,"$4,478.61 ",$0.00,1,0,1,20061001
77783,CPT,High intensity brachytherapy,,30,0,1,"$4,478.61 ",$0.00,1,0,1,20061001
77784,CPT,High intensity brachytherapy,,30,0,1,"$4,478.61 ",$0.00,1,0,1,20061001
77789,CPT,Apply surface radiation,,30,0,1,$420.78 ,$0.00,1,0,1,20061001
77799,CPT,Radium/radioisotope therapy,,30,0,1,"$4,478.61 ",$0.00,1,0,1,20061001
78000,CPT,"Thyroid, single uptake",,30,0,1,$529.64 ,$0.00,1,0,1,20061001
78001,CPT,"Thyroid, multiple uptakes",,30,0,1,$529.64 ,$0.00,1,0,1,20061001
78003,CPT,Thyroid suppress/stimul,,30,0,1,$529.64 ,$0.00,1,0,1,20061001
78006,CPT,Thyroid imaging with uptake,,30,0,1,$905.19 ,$0.00,1,0,1,20061001
78007,CPT,"Thyroid image, mult uptakes",,30,0,1,"$1,036.58 ",$0.00,1,0,1,20061001
78010,CPT,Thyroid imaging,,30,0,1,$905.19 ,$0.00,1,0,1,20061001
78011,CPT,Thyroid imaging with flow,,30,0,1,$905.19 ,$0.00,1,0,1,20061001
78015,CPT,Thyroid met imaging,,30,0,1,"$1,425.74 ",$0.00,1,0,1,20061001
78016,CPT,Thyroid met imaging/studies,,30,0,1,"$1,425.74 ",$0.00,1,0,1,20061001
78018,CPT,"Thyroid met imaging, body",,30,0,1,"$1,425.74 ",$0.00,1,0,1,20061001
78020,CPT,Thyroid met uptake,,30,0,1,$599.71 ,$0.00,1,0,1,20061001
78070,CPT,Parathyroid nuclear imaging,,30,0,1,"$1,036.58 ",$0.00,1,0,1,20061001
78075,CPT,Adrenal nuclear imaging,,30,0,1,"$1,036.58 ",$0.00,1,0,1,20061001
78099,CPT,Endocrine nuclear procedure,,30,0,1,$905.19 ,$0.00,1,0,1,20061001
78102,CPT,"Bone marrow imaging, ltd",,30,0,1,"$1,233.64 ",$0.00,1,0,1,20061001
78103,CPT,"Bone marrow imaging, mult",,30,0,1,"$1,233.64 ",$0.00,1,0,1,20061001
78104,CPT,"Bone marrow imaging, body",,30,0,1,"$1,233.64 ",$0.00,1,0,1,20061001
78110,CPT,"Plasma volume, single",,30,0,1,"$1,438.69 ",$0.00,1,0,1,20061001
78111,CPT,"Plasma volume, multiple",,30,0,1,"$1,438.69 ",$0.00,1,0,1,20061001
78120,CPT,"Red cell mass, single",,30,0,1,"$1,438.69 ",$0.00,1,0,1,20061001
78121,CPT,"Red cell mass, multiple",,30,0,1,"$1,438.69 ",$0.00,1,0,1,20061001
78122,CPT,Blood volume,,30,0,1,"$1,438.69 ",$0.00,1,0,1,20061001
78130,CPT,Red cell survival study,,30,0,1,"$1,438.69 ",$0.00,1,0,1,20061001
78135,CPT,Red cell survival kinetics,,30,0,1,"$1,438.69 ",$0.00,1,0,1,20061001
78140,CPT,Red cell sequestration,,30,0,1,"$1,438.69 ",$0.00,1,0,1,20061001
78185,CPT,Spleen imaging,,30,0,1,"$1,233.64 ",$0.00,1,0,1,20061001
78190,CPT,"Platelet survival, kinetics",,30,0,1,$529.64 ,$0.00,1,0,1,20061001
78191,CPT,Platelet survival,,30,0,1,$529.64 ,$0.00,1,0,1,20061001
78195,CPT,Lymph system imaging,,30,0,1,"$1,233.64 ",$0.00,1,0,1,20061001
78199,CPT,Blood/lymph nuclear exam,,30,0,1,"$1,233.64 ",$0.00,1,0,1,20061001
78201,CPT,Liver imaging,,30,0,1,"$1,417.95 ",$0.00,1,0,1,20061001
78202,CPT,Liver imaging with flow,,30,0,1,"$1,417.95 ",$0.00,1,0,1,20061001
78205,CPT,Liver imaging (3D),,30,0,1,"$1,417.95 ",$0.00,1,0,1,20061001
78206,CPT,Liver image (3d) with flow,,30,0,1,"$1,417.95 ",$0.00,1,0,1,20061001
78215,CPT,Liver and spleen imaging,,30,0,1,"$1,417.95 ",$0.00,1,0,1,20061001
78216,CPT,Liver & spleen image/flow,,30,0,1,"$1,417.95 ",$0.00,1,0,1,20061001
78220,CPT,Liver function study,,30,0,1,"$1,417.95 ",$0.00,1,0,1,20061001
78223,CPT,Hepatobiliary imaging,,30,0,1,"$1,417.95 ",$0.00,1,0,1,20061001
78230,CPT,Salivary gland imaging,,30,0,1,"$1,281.47 ",$0.00,1,0,1,20061001
78231,CPT,Serial salivary imaging,,30,0,1,"$1,281.47 ",$0.00,1,0,1,20061001
78232,CPT,Salivary gland function exam,,30,0,1,"$1,281.47 ",$0.00,1,0,1,20061001
78258,CPT,Esophageal motility study,,30,0,1,"$1,281.47 ",$0.00,1,0,1,20061001
78261,CPT,Gastric mucosa imaging,,30,0,1,"$1,281.47 ",$0.00,1,0,1,20061001
78262,CPT,Gastroesophageal reflux exam,,30,0,1,"$1,281.47 ",$0.00,1,0,1,20061001
78264,CPT,Gastric emptying study,,30,0,1,"$1,281.47 ",$0.00,1,0,1,20061001
78270,CPT,Vit B-12 absorption exam,,30,0,1,$529.64 ,$0.00,1,0,1,20061001
78271,CPT,"Vit b-12 absrp exam, int fac",,30,0,1,$529.64 ,$0.00,1,0,1,20061001
78272,CPT,"Vit B-12 absorp, combined",,30,0,1,$529.64 ,$0.00,1,0,1,20061001
78278,CPT,Acute GI blood loss imaging,,30,0,1,"$1,281.47 ",$0.00,1,0,1,20061001
78282,CPT,GI protein loss exam,,30,0,1,"$1,281.47 ",$0.00,1,0,1,20061001
78290,CPT,Meckel?s divert exam,,30,0,1,"$1,281.47 ",$0.00,1,0,1,20061001
78291,CPT,Leveen/shunt patency exam,,30,0,1,"$1,281.47 ",$0.00,1,0,1,20061001
78299,CPT,GI nuclear procedure,,30,0,1,"$1,281.47 ",$0.00,1,0,1,20061001
78300,CPT,"Bone imaging, limited area",,30,0,1,"$1,281.46 ",$0.00,1,0,1,20061001
78305,CPT,"Bone imaging, multiple areas",,30,0,1,"$1,281.46 ",$0.00,1,0,1,20061001
78306,CPT,"Bone imaging, whole body",,30,0,1,"$1,281.46 ",$0.00,1,0,1,20061001
78315,CPT,"Bone imaging, 3 phase",,30,0,1,"$1,281.46 ",$0.00,1,0,1,20061001
78320,CPT,Bone imaging (3D),,30,0,1,"$1,281.46 ",$0.00,1,0,1,20061001
78350,CPT,"Bone mineral, single photon",,30,0,1,$422.95 ,$0.00,1,0,1,20061001
78351,CPT,"Bone mineral, dual photon",,30,0,,$611.93 ,$0.00,1,0,1,20061001
78399,CPT,Musculoskeletal nuclear exam,,30,0,1,"$1,281.46 ",$0.00,1,0,1,20061001
78414,CPT,Non-imaging heart function,,30,0,1,"$1,462.59 ",$0.00,1,0,1,20061001
78428,CPT,Cardiac shunt imaging,,30,0,1,"$1,462.59 ",$0.00,1,0,1,20061001
78445,CPT,Vascular flow imaging,,30,0,1,$719.54 ,$0.00,1,0,1,20061001
78456,CPT,Acute venous thrombus image,,30,0,1,$719.54 ,$0.00,1,0,1,20061001
78457,CPT,Venous thrombosis imaging,,30,0,1,$719.54 ,$0.00,1,0,1,20061001
78458,CPT,"Ven thrombosis images, bilat",,30,0,1,$719.54 ,$0.00,1,0,1,20061001
78459,CPT,Heart muscle imaging (PET),,30,0,1,"$4,590.01 ",$0.00,1,0,1,20061001
78460,CPT,"Heart muscle blood, single",,30,0,1,"$1,462.59 ",$0.00,1,0,1,20061001
78461,CPT,"Heart muscle blood, multiple",,30,0,1,"$2,276.91 ",$0.00,1,0,1,20061001
78464,CPT,"Heart image (3d), single",,30,0,1,"$1,462.59 ",$0.00,1,0,1,20061001
78465,CPT,"Heart image (3d), multiple",,30,0,1,"$2,276.91 ",$0.00,1,0,1,20061001
78466,CPT,Heart infarct image,,30,0,1,"$1,462.59 ",$0.00,1,0,1,20061001
78468,CPT,Heart infarct image (ef),,30,0,1,"$1,462.59 ",$0.00,1,0,1,20061001
78469,CPT,Heart infarct image (3D),,30,0,1,"$1,462.59 ",$0.00,1,0,1,20061001
78472,CPT,"Gated heart, planar, single",,30,0,1,"$1,462.59 ",$0.00,1,0,1,20061001
78473,CPT,"Gated heart, multiple",,30,0,1,"$1,443.75 ",$0.00,1,0,1,20061001
78478,CPT,Heart wall motion add-on,,30,0,1,$599.71 ,$0.00,1,0,1,20061001
78480,CPT,Heart function add-on,,30,0,1,$599.71 ,$0.00,1,0,1,20061001
78481,CPT,"Heart first pass, single",,30,0,1,"$1,462.59 ",$0.00,1,0,1,20061001
78483,CPT,"Heart first pass, multiple",,30,0,1,"$1,443.75 ",$0.00,1,0,1,20061001
78491,CPT,"Heart image (pet), single",,30,0,1,$23.93 ,$0.00,1,0,1,20061001
78494,CPT,"Heart image, spect",,30,0,1,"$1,462.59 ",$0.00,1,0,1,20061001
78496,CPT,Heart first pass add-on,,30,0,1,$599.71 ,$0.00,1,0,1,20061001
78499,CPT,Cardiovascular nuclear exam,,30,0,1,"$1,500.03 ",$0.00,1,0,1,20061001
78580,CPT,Lung perfusion imaging,,30,0,1,"$1,094.29 ",$0.00,1,0,1,20061001
78584,CPT,Lung V/Q image single breath,,30,0,1,"$1,779.22 ",$0.00,1,0,1,20061001
78585,CPT,Lung V/Q imaging,,30,0,1,"$1,779.22 ",$0.00,1,0,1,20061001
78586,CPT,"Aerosol lung image, single",,30,0,1,"$1,094.29 ",$0.00,1,0,1,20061001
78587,CPT,"Aerosol lung image, multiple",,30,0,1,"$1,094.29 ",$0.00,1,0,1,20061001
78588,CPT,Perfusion lung image,,30,0,1,"$1,779.22 ",$0.00,1,0,1,20061001
78591,CPT,"Vent image, 1 breath, 1 proj",,30,0,1,"$1,094.29 ",$0.00,1,0,1,20061001
78593,CPT,"Vent image, 1 proj, gas",,30,0,1,"$1,094.29 ",$0.00,1,0,1,20061001
78594,CPT,"Vent image, mult proj, gas",,30,0,1,"$1,094.29 ",$0.00,1,0,1,20061001
78596,CPT,Lung differential function,,30,0,1,"$1,779.22 ",$0.00,1,0,1,20061001
78599,CPT,Respiratory nuclear exam,,30,0,1,"$1,094.29 ",$0.00,1,0,1,20061001
78600,CPT,"Brain imaging, ltd static",,30,0,1,"$1,753.60 ",$0.00,1,0,1,20061001
78601,CPT,"Brain imaging, ltd w/flow",,30,0,1,"$1,753.60 ",$0.00,1,0,1,20061001
78605,CPT,"Brain imaging, complete",,30,0,1,"$1,753.60 ",$0.00,1,0,1,20061001
78606,CPT,"Brain imaging, compl w/flow",,30,0,1,"$1,753.60 ",$0.00,1,0,1,20061001
78607,CPT,Brain imaging (3D),,30,0,1,"$1,753.60 ",$0.00,1,0,1,20061001
78610,CPT,Brain flow imaging only,,30,0,1,"$1,753.60 ",$0.00,1,0,1,20061001
78615,CPT,Cerebral vascular flow image,,30,0,1,"$1,753.60 ",$0.00,1,0,1,20061001
78630,CPT,Cerebrospinal fluid scan,,30,0,1,"$1,225.56 ",$0.00,1,0,1,20061001
78635,CPT,CSF ventriculography,,30,0,1,"$1,225.56 ",$0.00,1,0,1,20061001
78645,CPT,CSF shunt evaluation,,30,0,1,"$1,225.56 ",$0.00,1,0,1,20061001
78647,CPT,Cerebrospinal fluid scan,,30,0,1,"$1,225.56 ",$0.00,1,0,1,20061001
78650,CPT,CSF leakage imaging,,30,0,1,"$1,225.56 ",$0.00,1,0,1,20061001
78660,CPT,Nuclear exam of tear flow,,30,0,1,"$1,225.56 ",$0.00,1,0,1,20061001
78699,CPT,Nervous system nuclear exam,,30,0,1,"$1,753.60 ",$0.00,1,0,1,20061001
78700,CPT,"Kidney imaging, static",,30,0,1,"$1,209.99 ",$0.00,1,0,1,20061001
78701,CPT,Kidney imaging with flow,,30,0,1,"$1,209.99 ",$0.00,1,0,1,20061001
78704,CPT,Imaging renogram,,30,0,1,"$1,209.99 ",$0.00,1,0,1,20061001
78707,CPT,Kidney flow/function image,,30,0,1,"$1,209.99 ",$0.00,1,0,1,20061001
78708,CPT,Kidney flow/function image,,30,0,1,"$1,408.80 ",$0.00,1,0,1,20061001
78709,CPT,Kidney flow/function image,,30,0,1,"$1,408.80 ",$0.00,1,0,1,20061001
78710,CPT,Kidney imaging (3D),,30,0,1,"$1,209.99 ",$0.00,1,0,1,20061001
78715,CPT,Renal vascular flow exam,,30,0,1,"$1,209.99 ",$0.00,1,0,1,20061001
78725,CPT,Kidney function study,,30,0,1,$529.64 ,$0.00,1,0,1,20061001
78730,CPT,Urinary bladder retention,,30,0,1,"$1,209.99 ",$0.00,1,0,1,20061001
78740,CPT,Ureteral reflux study,,30,0,1,"$1,209.99 ",$0.00,1,0,1,20061001
78760,CPT,Testicular imaging,,30,0,1,"$1,209.99 ",$0.00,1,0,1,20061001
78761,CPT,Testicular imaging/flow,,30,0,1,"$1,209.99 ",$0.00,1,0,1,20061001
78799,CPT,Genitourinary nuclear exam,,30,0,1,"$1,209.99 ",$0.00,1,0,1,20061001
78800,CPT,"Tumor imaging, limited area",,30,0,1,"$1,425.74 ",$0.00,1,0,1,20061001
78801,CPT,"Tumor imaging, mult areas",,30,0,1,"$1,425.74 ",$0.00,1,0,1,20061001
78802,CPT,"Tumor imaging, whole body",,30,0,1,"$1,425.74 ",$0.00,1,0,1,20061001
78803,CPT,Tumor imaging (3D),,30,0,1,"$1,425.74 ",$0.00,1,0,1,20061001
78804,CPT,"Tumor imaging, whole body",,30,0,1,"$3,178.38 ",$0.00,1,0,1,20061001
78805,CPT,"Abscess imaging, ltd area",,30,0,1,"$1,425.74 ",$0.00,1,0,1,20061001
78806,CPT,"Abscess imaging, whole body",,30,0,1,"$1,425.74 ",$0.00,1,0,1,20061001
78807,CPT,Nuclear localization/abscess,,30,0,1,"$1,425.74 ",$0.00,1,0,1,20061001
78999,CPT,Nuclear diagnostic exam,,30,0,1,$529.64 ,$0.00,1,0,1,20061001
79005,CPT,"Nuclear rx, oral admin",,30,0,1,$248.99 ,$0.00,1,0,1,20061001
79101,CPT,"Nuclear rx, iv admin",,30,0,1,$248.99 ,$0.00,1,0,1,20061001
79200,CPT,Intracavitary nuclear trmt,,30,0,1,"$1,159.96 ",$0.00,1,0,1,20061001
79300,CPT,Interstitial nuclear therapy,,30,0,1,"$1,159.96 ",$0.00,1,0,1,20061001
79403,CPT,Hematopoetic nuclear therapy,,30,0,1,"$2,689.40 ",$0.00,1,0,1,20061001
79440,CPT,Nuclear joint therapy,,30,0,1,"$1,159.96 ",$0.00,1,0,1,20061001
79445,CPT,"Nuclear rx, intra-arterial",,30,0,1,$248.99 ,$0.00,1,0,1,20061001
79999,CPT,Nuclear medicine therapy,,30,0,1,"$1,159.96 ",$0.00,1,0,1,20061001
80050,CPT,General health panel,,30,0,,$332.11 ,$0.00,1,0,1,20061001
80500,CPT,Lab pathology consultation,,30,0,1,$139.22 ,$0.00,1,0,1,20061001
80502,CPT,Lab pathology consultation,,30,0,1,$84.75 ,$0.00,1,0,1,20061001
85060,CPT,Blood smear interpretation,,30,0,,$84.75 ,$0.00,1,0,1,20061001
85097,CPT,Bone marrow interpretation,,30,0,1,$139.22 ,$0.00,1,0,1,20061001
86077,CPT,Physician blood bank service,,30,0,1,$26.40 ,$0.00,1,0,1,20061001
86078,CPT,Physician blood bank service,,30,0,1,$26.40 ,$0.00,1,0,1,20061001
86079,CPT,Physician blood bank service,,30,0,1,$26.40 ,$0.00,1,0,1,20061001
86485,CPT,"Skin test, candida",,30,0,1,$46.11 ,$0.00,1,0,1,20061001
86490,CPT,Coccidioidomycosis skin test,,30,0,1,$46.11 ,$0.00,1,0,1,20061001
86510,CPT,Histoplasmosis skin test,,30,0,1,$46.11 ,$0.00,1,0,1,20061001
86580,CPT,TB intradermal test,,30,0,1,$46.11 ,$0.00,1,0,1,20061001
86586,CPT,"Skin test, unlisted",,30,0,,$46.11 ,$0.00,1,0,1,20061001
86850,CPT,RBC antibody screen,,30,0,1,$88.64 ,$0.00,1,0,1,20061001
86860,CPT,RBC antibody elution,,30,0,1,$132.94 ,$0.00,1,0,1,20061001
86870,CPT,RBC antibody identification,,30,0,1,$132.94 ,$0.00,1,0,1,20061001
86880,CPT,"Coombs test, direct",,30,0,1,$54.62 ,$0.00,1,0,1,20061001
86885,CPT,"Coombs test, indirect, qual",,30,0,1,$54.62 ,$0.00,1,0,1,20061001
86886,CPT,"Coombs test, indirect, titer",,30,0,1,$54.62 ,$0.00,1,0,1,20061001
86890,CPT,Autologous blood process,,30,0,1,$324.47 ,$0.00,1,0,1,20061001
86891,CPT,"Autologous blood, op salvage",,30,0,1,$88.64 ,$0.00,1,0,1,20061001
86900,CPT,"Blood typing, ABO",,30,0,1,$54.62 ,$0.00,1,0,1,20061001
86901,CPT,"Blood typing, Rh (D)",,30,0,1,$54.62 ,$0.00,1,0,1,20061001
86903,CPT,"Blood typing, antigen screen",,30,0,1,$88.64 ,$0.00,1,0,1,20061001
86904,CPT,"Blood typing, patient serum",,30,0,1,$88.64 ,$0.00,1,0,1,20061001
86905,CPT,"Blood typing, RBC antigens",,30,0,1,$88.64 ,$0.00,1,0,1,20061001
86906,CPT,"Blood typing, Rh phenotype",,30,0,1,$88.64 ,$0.00,1,0,1,20061001
86911,CPT,"Blood typing, antigen system",,30,0,,$87.82 ,$0.00,1,0,1,20061001
86920,CPT,Compatibility test,,30,0,1,$132.94 ,$0.00,1,0,1,20061001
86921,CPT,Compatibility test,,30,0,1,$88.64 ,$0.00,1,0,1,20061001
86922,CPT,Compatibility test,,30,0,1,$132.94 ,$0.00,1,0,1,20061001
86923,CPT,"Compatibility test, electric",,30,0,1,$13.82 ,$0.00,1,0,1,20061001
86927,CPT,"Plasma, fresh frozen",,30,0,1,$132.94 ,$0.00,1,0,1,20061001
86930,CPT,Frozen blood prep,,30,0,1,$324.47 ,$0.00,1,0,1,20061001
86931,CPT,Frozen blood thaw,,30,0,1,$324.47 ,$0.00,1,0,1,20061001
86932,CPT,Frozen blood freeze/thaw,,30,0,1,$324.47 ,$0.00,1,0,1,20061001
86945,CPT,Blood product/irradiation,,30,0,1,$132.94 ,$0.00,1,0,1,20061001
86950,CPT,Leukacyte transfusion,,30,0,1,$324.47 ,$0.00,1,0,1,20061001
86960,CPT,Vol reduction of blood/prod,,30,0,1,$13.82 ,$0.00,1,0,1,20061001
86965,CPT,Pooling blood platelets,,30,0,1,$132.94 ,$0.00,1,0,1,20061001
86970,CPT,RBC pretreatment,,30,0,1,$88.64 ,$0.00,1,0,1,20061001
86971,CPT,RBC pretreatment,,30,0,1,$88.64 ,$0.00,1,0,1,20061001
86972,CPT,RBC pretreatment,,30,0,1,$88.64 ,$0.00,1,0,1,20061001
86975,CPT,"RBC pretreatment, serum",,30,0,1,$88.64 ,$0.00,1,0,1,20061001
86976,CPT,"RBC pretreatment, serum",,30,0,1,$88.64 ,$0.00,1,0,1,20061001
86977,CPT,"RBC pretreatment, serum",,30,0,1,$88.64 ,$0.00,1,0,1,20061001
86978,CPT,"RBC pretreatment, serum",,30,0,1,$88.64 ,$0.00,1,0,1,20061001
86985,CPT,Split blood or products,,30,0,1,$324.47 ,$0.00,1,0,1,20061001
86999,CPT,Transfusion procedure,,30,0,1,$88.64 ,$0.00,1,0,1,20061001
88104,CPT,"Cytopathology, fluids",,30,0,1,$139.22 ,$0.00,1,0,1,20061001
88106,CPT,"Cytopathology, fluids",,30,0,1,$139.22 ,$0.00,1,0,1,20061001
88107,CPT,"Cytopathology, fluids",,30,0,1,$139.22 ,$0.00,1,0,1,20061001
88108,CPT,"Cytopath, concentrate tech",,30,0,1,$139.22 ,$0.00,1,0,1,20061001
88112,CPT,"Cytopath, cell enhance tech",,30,0,1,$139.22 ,$0.00,1,0,1,20061001
88125,CPT,Forensic cytopathology,,30,0,1,$84.75 ,$0.00,1,0,1,20061001
88160,CPT,"Cytopath smear, other source",,30,0,1,$84.75 ,$0.00,1,0,1,20061001
88161,CPT,"Cytopath smear, other source",,30,0,1,$139.22 ,$0.00,1,0,1,20061001
88162,CPT,"Cytopath smear, other source",,30,0,1,$139.22 ,$0.00,1,0,1,20061001
88172,CPT,Cytopathology eval of fna,,30,0,1,$139.22 ,$0.00,1,0,1,20061001
88173,CPT,"Cytopath eval, fna, report",,30,0,1,$139.22 ,$0.00,1,0,1,20061001
88182,CPT,Cell marker study,,30,0,1,$212.40 ,$0.00,1,0,1,20061001
88184,CPT,"Flowcytometry/ tc, 1 marker",,30,0,1,$12.61 ,$0.00,1,0,1,20061001
88185,CPT,"Flowcytometry/tc, add-on",,30,0,1,$12.61 ,$0.00,1,0,1,20061001
88187,CPT,"Flowcytometry/read, 2-8",,30,0,1,$12.61 ,$0.00,1,0,1,20061001
88188,CPT,"Flowcytometry/read, 9-15",,30,0,1,$12.61 ,$0.00,1,0,1,20061001
88189,CPT,"Flowcytometry/read, 16 & >",,30,0,1,$37.26 ,$0.00,1,0,1,20061001
88299,CPT,Cytogenetic study,,30,0,1,$84.75 ,$0.00,1,0,1,20061001
88300,CPT,"Surgical path, gross",,30,0,1,$84.75 ,$0.00,1,0,1,20061001
88302,CPT,Tissue exam by pathologist,,30,0,1,$84.75 ,$0.00,1,0,1,20061001
88304,CPT,Tissue exam by pathologist,,30,0,1,$139.22 ,$0.00,1,0,1,20061001
88305,CPT,Tissue exam by pathologist,,30,0,1,$139.22 ,$0.00,1,0,1,20061001
88307,CPT,Tissue exam by pathologist,,30,0,1,$212.40 ,$0.00,1,0,1,20061001
88309,CPT,Tissue exam by pathologist,,30,0,1,$212.40 ,$0.00,1,0,1,20061001
88311,CPT,Decalcify tissue,,30,0,1,$84.75 ,$0.00,1,0,1,20061001
88312,CPT,Special stains,,30,0,1,$84.75 ,$0.00,1,0,1,20061001
88313,CPT,Special stains,,30,0,1,$84.75 ,$0.00,1,0,1,20061001
88314,CPT,Histochemical stain,,30,0,1,$84.75 ,$0.00,1,0,1,20061001
88318,CPT,Chemical histochemistry,,30,0,1,$84.75 ,$0.00,1,0,1,20061001
88319,CPT,Enzyme histochemistry,,30,0,1,$84.75 ,$0.00,1,0,1,20061001
88321,CPT,Microslide consultation,,30,0,1,$84.75 ,$0.00,1,0,1,20061001
88323,CPT,Microslide consultation,,30,0,1,$139.22 ,$0.00,1,0,1,20061001
88325,CPT,Comprehensive review of data,,30,0,1,$212.40 ,$0.00,1,0,1,20061001
88329,CPT,Path consult introp,,30,0,1,$84.75 ,$0.00,1,0,1,20061001
88331,CPT,"Path consult intraop, 1 bloc",,30,0,1,$139.22 ,$0.00,1,0,1,20061001
88332,CPT,"Path consult intraop, add?l",,30,0,1,$84.75 ,$0.00,1,0,1,20061001
88333,CPT,"Intraop cyto path consult, 1",,30,0,1,$29.00 ,$0.00,1,0,1,20061001
88334,CPT,"Intraop cyto path consult, 2",,30,0,1,$15.88 ,$0.00,1,0,1,20061001
88342,CPT,Immunohistochemistry,,30,0,1,$212.40 ,$0.00,1,0,1,20061001
88346,CPT,Immunofluorescent study,,30,0,1,$139.22 ,$0.00,1,0,1,20061001
88347,CPT,Immunofluorescent study,,30,0,1,$212.40 ,$0.00,1,0,1,20061001
88348,CPT,Electron microscopy,,30,0,1,"$1,099.94 ",$0.00,1,0,1,20061001
88349,CPT,Scanning electron microscopy,,30,0,1,"$1,099.94 ",$0.00,1,0,1,20061001
88355,CPT,"Analysis, skeletal muscle",,30,0,1,$212.40 ,$0.00,1,0,1,20061001
88356,CPT,"Analysis, nerve",,30,0,1,$212.40 ,$0.00,1,0,1,20061001
88358,CPT,"Analysis, tumor",,30,0,1,$212.40 ,$0.00,1,0,1,20061001
88360,CPT,Tumor immunohistochem/manual,,30,0,1,$37.26 ,$0.00,1,0,1,20061001
88361,CPT,"Immunohistochemistry, tumor",,30,0,1,$212.40 ,$0.00,1,0,1,20061001
88362,CPT,Nerve teasing preparations,,30,0,1,$212.40 ,$0.00,1,0,1,20061001
88365,CPT,Tissue hybridization,,30,0,1,$212.40 ,$0.00,1,0,1,20061001
88367,CPT,"Insitu hybridization, auto",,30,0,1,$37.26 ,$0.00,1,0,1,20061001
88368,CPT,"Insitu hybridization, manual",,30,0,1,$37.26 ,$0.00,1,0,1,20061001
88384,CPT,"Eval molecular probes, 11-50",,30,0,1,$15.88 ,$0.00,1,0,1,20061001
88385,CPT,"Eval  molecul probes, 51-250",,30,0,1,$29.00 ,$0.00,1,0,1,20061001
88386,CPT,"Eval molecul probes, 251-500",,30,0,1,$48.29 ,$0.00,1,0,1,20061001
89049,CPT,Chct for mal hyperthermia,,30,0,1,$29.00 ,$0.00,1,0,1,20061001
89100,CPT,Sample intestinal contents,,30,0,1,$461.90 ,$0.00,1,0,1,20061001
89105,CPT,Sample intestinal contents,,30,0,1,$461.90 ,$0.00,1,0,1,20061001
89130,CPT,Sample stomach contents,,30,0,1,$461.90 ,$0.00,1,0,1,20061001
89132,CPT,Sample stomach contents,,30,0,1,$461.90 ,$0.00,1,0,1,20061001
89135,CPT,Sample stomach contents,,30,0,1,$461.90 ,$0.00,1,0,1,20061001
89136,CPT,Sample stomach contents,,30,0,1,$461.90 ,$0.00,1,0,1,20061001
89140,CPT,Sample stomach contents,,30,0,1,$461.90 ,$0.00,1,0,1,20061001
89141,CPT,Sample stomach contents,,30,0,1,$461.90 ,$0.00,1,0,1,20061001
89220,CPT,Sputum specimen collection,,30,0,1,$139.22 ,$0.00,1,0,1,20061001
89230,CPT,Collect sweat for test,,30,0,1,$212.40 ,$0.00,1,0,1,20061001
89250,CPT,Cultr oocyte/embryo <4 days,,30,0,1,$276.70 ,$0.00,1,0,1,20061001
89251,CPT,Cultr oocyte/embryo <4 days,,30,0,1,$276.70 ,$0.00,1,0,1,20061001
89253,CPT,Embryo hatching,,30,0,1,$276.70 ,$0.00,1,0,1,20061001
89254,CPT,Oocyte identification,,30,0,1,$276.70 ,$0.00,1,0,1,20061001
89255,CPT,Prepare embryo for transfer,,30,0,1,$276.70 ,$0.00,1,0,1,20061001
89257,CPT,Sperm identification,,30,0,1,$276.70 ,$0.00,1,0,1,20061001
89258,CPT,Cryopreservation; embryo(s),,30,0,1,$276.70 ,$0.00,1,0,1,20061001
89259,CPT,"Cryopreservation, sperm",,30,0,1,$276.70 ,$0.00,1,0,1,20061001
89260,CPT,"Sperm isolation, simple",,30,0,1,$276.70 ,$0.00,1,0,1,20061001
89261,CPT,"Sperm isolation, complex",,30,0,1,$276.70 ,$0.00,1,0,1,20061001
89264,CPT,Identify sperm tissue,,30,0,1,$276.70 ,$0.00,1,0,1,20061001
89268,CPT,Insemination of oocytes,,30,0,1,$276.70 ,$0.00,1,0,1,20061001
89272,CPT,Extended culture of oocytes,,30,0,1,$276.70 ,$0.00,1,0,1,20061001
89280,CPT,Assist oocyte fertilization,,30,0,1,$276.70 ,$0.00,1,0,1,20061001
89281,CPT,Assist oocyte fertilization,,30,0,1,$276.70 ,$0.00,1,0,1,20061001
89290,CPT,"Biopsy, oocyte polar body",,30,0,1,$276.70 ,$0.00,1,0,1,20061001
89291,CPT,"Biopsy, oocyte polar body",,30,0,1,$276.70 ,$0.00,1,0,1,20061001
89335,CPT,Cryopreserve testicular tiss,,30,0,1,$276.70 ,$0.00,1,0,1,20061001
89342,CPT,Storage/year; embryo(s),,30,0,1,$276.70 ,$0.00,1,0,1,20061001
89343,CPT,Storage/year; sperm/semen,,30,0,1,$276.70 ,$0.00,1,0,1,20061001
89344,CPT,Storage/year; reprod tissue,,30,0,1,$276.70 ,$0.00,1,0,1,20061001
89346,CPT,Storage/year; oocyte,,30,0,1,$276.70 ,$0.00,1,0,1,20061001
89352,CPT,Thawing cryopresrved; embryo,,30,0,1,$276.70 ,$0.00,1,0,1,20061001
89353,CPT,Thawing cryopresrved; sperm,,30,0,1,$276.70 ,$0.00,1,0,1,20061001
89354,CPT,Thaw cryoprsvrd; reprod tiss,,30,0,1,$276.70 ,$0.00,1,0,1,20061001
89356,CPT,Thawing cryopresrved; oocyte,,30,0,1,$276.70 ,$0.00,1,0,1,20061001
90291,CPT,"Cmv ig, iv",,30,0,,$462.03 ,$0.00,1,0,1,20061001
90375,CPT,"Rabies ig, im/sc",,30,0,1,$221.27 ,$0.00,1,0,1,20061001
90376,CPT,"Rabies ig, heat treated",,30,0,1,$221.27 ,$0.00,1,0,1,20061001
90379,CPT,"Rsv ig, iv",,30,0,,$221.27 ,$0.00,1,0,1,20061001
90385,CPT,"Rh ig, minidose, im",,30,0,2,$221.27 ,$0.00,1,0,1,20061001
90393,CPT,"Vaccina ig, im",,30,0,2,$221.27 ,$0.00,1,0,1,20061001
90396,CPT,"Varicella-zoster ig, im",,30,0,1,$221.27 ,$0.00,1,0,1,20061001
90467,CPT,"Immune admin o or n, < 8 yrs",,30,0,,$5.35 ,$0.00,1,0,1,20061001
90468,CPT,"Immune admin o/n, addl < 8 y",,30,0,,$0.30 ,$0.00,1,0,1,20061001
90586,CPT,"Bcg vaccine, intravesical",,30,0,,$221.27 ,$0.00,1,0,1,20061001
90636,CPT,"Hep a/hep b vacc, adult im",,30,0,1,$79.25 ,$0.00,1,0,1,20061001
90655,CPT,"Flu vaccine, 6-35 mo, im",,30,0,,$20.73 ,$0.00,1,0,1,20061001
90657,CPT,"Flu vaccine, 6-35 mo, im",,30,0,,$20.73 ,$0.00,1,0,1,20061001
90658,CPT,"Flu vaccine, 3 yrs, im",,30,0,,$19.38 ,$0.00,1,0,1,20061001
90675,CPT,"Rabies vaccine, im",,30,0,1,$221.27 ,$0.00,1,0,1,20061001
90676,CPT,"Rabies vaccine, id",,30,0,1,$221.27 ,$0.00,1,0,1,20061001
90693,CPT,"Typhoid vaccine, akd, sc",,30,0,2,$221.27 ,$0.00,1,0,1,20061001
90714,CPT,Td vaccine no prsrv >/= 7 im,,30,0,1,$37.45 ,$0.00,1,0,1,20061001
90716,CPT,"Chicken pox vaccine, sc",,30,0,1,$79.25 ,$0.00,1,0,1,20061001
90723,CPT,"Dtap-hep b-ipv vaccine, im",,30,0,,$221.27 ,$0.00,1,0,1,20061001
90725,CPT,"Cholera vaccine, injectable",,30,0,2,$79.25 ,$0.00,1,0,1,20061001
90732,CPT,Pneumococcal vaccine,,30,0,,$40.40 ,$0.00,1,0,1,20061001
90734,CPT,MNINGOCOCCL CONJUGATE VAC SEROGRP A C Y&W-135 IM,,30,0,1,$57.47 ,$0.00,1,0,1,20061001
90740,CPT,"Hepb vacc, ill pat 3 dose im",,30,0,,$221.27 ,$0.00,1,0,1,20061001
90743,CPT,"Hep b vacc, adol, 2 dose, im",,30,0,,$221.27 ,$0.00,1,0,1,20061001
90744,CPT,Hepb vacc ped/adol 3 dose im,,30,0,,$221.27 ,$0.00,1,0,1,20061001
90746,CPT,"Hep b vaccine, adult, im",,30,0,,$221.27 ,$0.00,1,0,1,20061001
90747,CPT,"Hepb vacc, ill pat 4 dose im",,30,0,,$221.27 ,$0.00,1,0,1,20061001
90748,CPT,"Hep b/hib vaccine, im",,30,0,,$79.25 ,$0.00,1,0,1,20061001
90772,CPT,"Ther/proph/diag inj, sc/im",,30,0,1,$24.95 ,$0.00,1,0,1,20061001
90773,CPT,"Ther/proph/diag inj, ia",,30,0,1,$51.17 ,$0.00,1,0,1,20061001
90779,CPT,Ther/prop/diag inj/inf proc,,30,0,1,$8.71 ,$0.00,1,0,1,20061001
90801,CPT,Psy dx interview,,30,0,1,$190.03 ,$0.00,1,0,1,20061001
90802,CPT,Intac psy dx interview,,30,0,1,$190.03 ,$0.00,1,0,1,20061001
90804,CPT,"Psytx, office, 20-30 min",,30,0,1,$220.25 ,$0.00,1,0,1,20061001
90805,CPT,"Psytx, off, 20-30 min w/e&m",,30,0,1,$220.25 ,$0.00,1,0,1,20061001
90806,CPT,"Psytx, off, 45-50 min",,30,0,1,$190.03 ,$0.00,1,0,1,20061001
90807,CPT,"Psytx, off, 45-50 min w/e&m",,30,0,1,$190.03 ,$0.00,1,0,1,20061001
90808,CPT,"Psytx, office, 75-80 min",,30,0,1,$190.03 ,$0.00,1,0,1,20061001
90809,CPT,"Psytx, off, 75-80, w/e&m",,30,0,1,$190.03 ,$0.00,1,0,1,20061001
90810,CPT,"Intac psytx, off, 20-30 min",,30,0,1,$220.25 ,$0.00,1,0,1,20061001
90811,CPT,"Intac psytx, 20-30, w/e&m",,30,0,1,$220.25 ,$0.00,1,0,1,20061001
90812,CPT,"Intac psytx, off, 45-50 min",,30,0,1,$190.03 ,$0.00,1,0,1,20061001
90813,CPT,"Intac psytx, 45-50 min w/e&m",,30,0,1,$190.03 ,$0.00,1,0,1,20061001
90814,CPT,"Intac psytx, off, 75-80 min",,30,0,1,$190.03 ,$0.00,1,0,1,20061001
90815,CPT,"Intac psytx, 75-80 w/e&m",,30,0,1,$190.03 ,$0.00,1,0,1,20061001
90816,CPT,"Psytx, hosp, 20-30 min",,30,0,1,$220.25 ,$0.00,1,0,1,20061001
90817,CPT,"Psytx, hosp, 20-30 min w/e&m",,30,0,1,$220.25 ,$0.00,1,0,1,20061001
90818,CPT,"Psytx, hosp, 45-50 min",,30,0,1,$190.03 ,$0.00,1,0,1,20061001
90819,CPT,"Psytx, hosp, 45-50 min w/e&m",,30,0,1,$190.03 ,$0.00,1,0,1,20061001
90821,CPT,"Psytx, hosp, 75-80 min",,30,0,1,$190.03 ,$0.00,1,0,1,20061001
90822,CPT,"Psytx, hosp, 75-80 min w/e&m",,30,0,1,$190.03 ,$0.00,1,0,1,20061001
90823,CPT,"Intac psytx, hosp, 20-30 min",,30,0,1,$220.25 ,$0.00,1,0,1,20061001
90824,CPT,"Intac psytx, hsp 20-30 w/e&m",,30,0,1,$220.25 ,$0.00,1,0,1,20061001
90826,CPT,"Intac psytx, hosp, 45-50 min",,30,0,1,$190.03 ,$0.00,1,0,1,20061001
90827,CPT,"Intac psytx, hsp 45-50 w/e&m",,30,0,1,$190.03 ,$0.00,1,0,1,20061001
90828,CPT,"Intac psytx, hosp, 75-80 min",,30,0,1,$190.03 ,$0.00,1,0,1,20061001
90829,CPT,"Intac psytx, hsp 75-80 w/e&m",,30,0,1,$190.03 ,$0.00,1,0,1,20061001
90845,CPT,Psychoanalysis,,30,0,1,$190.03 ,$0.00,1,0,1,20061001
90846,CPT,Family psytx w/o patient,,30,0,1,$288.05 ,$0.00,1,0,1,20061001
90847,CPT,Family psytx w/patient,,30,0,1,$288.05 ,$0.00,1,0,1,20061001
90849,CPT,Multiple family group psytx,,30,0,1,$171.37 ,$0.00,1,0,1,20061001
90853,CPT,Group psychotherapy,,30,0,1,$171.37 ,$0.00,1,0,1,20061001
90857,CPT,Intac group psytx,,30,0,1,$171.37 ,$0.00,1,0,1,20061001
90862,CPT,Medication management,,30,0,1,$113.69 ,$0.00,1,0,1,20061001
90865,CPT,Narcosynthesis,,30,0,1,$190.03 ,$0.00,1,0,1,20061001
90870,CPT,Electroconvulsive therapy,,30,0,1,$625.03 ,$0.00,1,0,1,20061001
90875,CPT,Psychophysiological therapy,,30,0,,$72.35 ,$0.00,1,0,1,20061001
90880,CPT,Hypnotherapy,,30,0,1,$190.03 ,$0.00,1,0,1,20061001
90899,CPT,Psychiatric service/therapy,,30,0,1,$220.25 ,$0.00,1,0,1,20061001
90901,CPT,"Biofeedback train, any meth",,30,0,,$173.77 ,$0.00,1,0,1,20061001
90911,CPT,Biofeedback peri/uro/rectal,,30,0,1,$395.30 ,$0.00,1,0,1,20061001
90925,CPT,"Esrd related services, day",,30,0,,$803.01 ,$0.00,1,0,1,20061001
90935,CPT,"Hemodialysis, one evaluation",,30,0,1,"$1,590.82 ",$0.00,1,0,1,20061001
90937,CPT,"Hemodialysis, repeated eval",,30,0,,$452.74 ,$0.00,1,0,1,20061001
90945,CPT,"Dialysis, one evaluation",,30,0,1,"$1,590.82 ",$0.00,1,0,1,20061001
90947,CPT,"Dialysis, repeated eval",,30,0,,$103.27 ,$0.00,1,0,1,20061001
90989,CPT,"Dialysis training, complete",,30,0,,$466.24 ,$0.00,1,0,1,20061001
90993,CPT,"Dialysis training, incompl",,30,0,,$397.92 ,$0.00,1,0,1,20061001
90997,CPT,Hemoperfusion,,30,0,,$26.78 ,$0.00,1,0,1,20061001
90999,CPT,Dialysis procedure,,30,0,,$371.92 ,$0.00,1,0,1,20061001
91000,CPT,Esophageal intubation,,30,0,1,$945.61 ,$0.00,1,0,1,20061001
91010,CPT,Esophagus motility study,,30,0,1,$945.61 ,$0.00,1,0,1,20061001
91011,CPT,Esophagus motility study,,30,0,1,$945.61 ,$0.00,1,0,1,20061001
91012,CPT,Esophagus motility study,,30,0,1,$945.61 ,$0.00,1,0,1,20061001
91020,CPT,Gastric motility,,30,0,1,$945.61 ,$0.00,1,0,1,20061001
91022,CPT,Duodenal motility study,,30,0,1,$227.14 ,$0.00,1,0,1,20061001
91030,CPT,Acid perfusion of esophagus,,30,0,1,$945.61 ,$0.00,1,0,1,20061001
91034,CPT,Gastroesophageal reflux test,,30,0,1,$221.99 ,$0.00,1,0,1,20061001
91035,CPT,G-esoph reflx tst w/electrod,,30,0,1,$481.50 ,$0.00,1,0,1,20061001
91037,CPT,Esoph imped function test,,30,0,1,$221.99 ,$0.00,1,0,1,20061001
91038,CPT,Esoph imped funct test > 1h,,30,0,1,$221.99 ,$0.00,1,0,1,20061001
91040,CPT,Esoph balloon distension tst,,30,0,1,$101.94 ,$0.00,1,0,1,20061001
91052,CPT,Gastric analysis test,,30,0,1,$945.61 ,$0.00,1,0,1,20061001
91055,CPT,Gastric intubation for smear,,30,0,1,$461.90 ,$0.00,1,0,1,20061001
91060,CPT,Gastric saline load test,,30,0,1,$461.90 ,$0.00,1,0,1,20061001
91065,CPT,Breath hydrogen test,,30,0,1,$461.90 ,$0.00,1,0,1,20061001
91100,CPT,Pass intestine bleeding tube,,30,0,1,$461.90 ,$0.00,1,0,1,20061001
91105,CPT,Gastric intubation treatment,,30,0,1,$461.90 ,$0.00,1,0,1,20061001
91110,CPT,Gi tract capsule endoscopy,,30,1,1,"$3,178.38 ",$0.00,1,0,1,20061001
91120,CPT,Rectal sensation test,,30,1,1,$151.11 ,$0.00,1,0,1,20061001
91122,CPT,Anal pressure record,,30,1,1,$745.48 ,$0.00,1,0,1,20061001
91132,CPT,Electrogastrography,,30,0,1,$461.90 ,$0.00,1,0,1,20061001
91133,CPT,Electrogastrography w/test,,30,0,1,$461.90 ,$0.00,1,0,1,20061001
91299,CPT,Gastroenterology procedure,,30,0,1,$461.90 ,$0.00,1,0,1,20061001
92002,CPT,"Eye exam, new patient",,30,0,1,$98.89 ,$0.00,1,0,1,20061001
92004,CPT,"Eye exam, new patient",,30,0,1,$168.37 ,$0.00,1,0,1,20061001
92012,CPT,Eye exam established pat,,30,0,1,$103.43 ,$0.00,1,0,1,20061001
92014,CPT,Eye exam & treatment,,30,0,1,$168.37 ,$0.00,1,0,1,20061001
92015,CPT,Refraction,,30,0,,$37.60 ,$0.00,1,0,1,20061001
92018,CPT,New eye exam & treatment,,30,1,1,$671.88 ,$0.00,1,0,1,20061001
92019,CPT,Eye exam & treatment,,30,1,1,$671.88 ,$0.00,1,0,1,20061001
92020,CPT,Special eye evaluation,,30,0,1,$203.28 ,$0.00,1,0,1,20061001
92060,CPT,Special eye evaluation,,30,0,1,$203.28 ,$0.00,1,0,1,20061001
92065,CPT,Orthoptic/pleoptic training,,30,0,1,$203.28 ,$0.00,1,0,1,20061001
92081,CPT,Visual field examination(s),,30,0,1,$203.28 ,$0.00,1,0,1,20061001
92082,CPT,Visual field examination(s),,30,0,1,$256.09 ,$0.00,1,0,1,20061001
92083,CPT,Visual field examination(s),,30,0,1,$256.09 ,$0.00,1,0,1,20061001
92120,CPT,Tonography & eye evaluation,,30,0,1,$203.28 ,$0.00,1,0,1,20061001
92130,CPT,Water provocation tonography,,30,0,1,$256.09 ,$0.00,1,0,1,20061001
92135,CPT,Opthalmic dx imaging,,30,0,1,$203.28 ,$0.00,1,0,1,20061001
92136,CPT,Ophthalmic biometry,,30,0,1,$203.28 ,$0.00,1,0,1,20061001
92140,CPT,Glaucoma provocative tests,,30,0,1,$256.09 ,$0.00,1,0,1,20061001
92225,CPT,"Special eye exam, initial",,30,0,1,$256.09 ,$0.00,1,0,1,20061001
92226,CPT,"Special eye exam, subsequent",,30,0,1,$256.09 ,$0.00,1,0,1,20061001
92230,CPT,Eye exam with photos,,30,1,1,$671.88 ,$0.00,1,0,1,20061001
92235,CPT,Eye exam with photos,,30,0,1,$671.88 ,$0.00,1,0,1,20061001
92240,CPT,Icg angiography,,30,0,1,$659.23 ,$0.00,1,0,1,20061001
92250,CPT,Eye exam with photos,,30,0,1,$203.28 ,$0.00,1,0,1,20061001
92260,CPT,Ophthalmoscopy/dynamometry,,30,0,1,$203.28 ,$0.00,1,0,1,20061001
92265,CPT,Eye muscle evaluation,,30,0,1,$659.23 ,$0.00,1,0,1,20061001
92270,CPT,Electro-oculography,,30,0,1,$256.09 ,$0.00,1,0,1,20061001
92275,CPT,Electroretinography,,30,0,1,$659.23 ,$0.00,1,0,1,20061001
92283,CPT,Color vision examination,,30,0,1,$203.28 ,$0.00,1,0,1,20061001
92284,CPT,Dark adaptation eye exam,,30,0,1,$256.09 ,$0.00,1,0,1,20061001
92285,CPT,Eye photography,,30,0,1,$203.28 ,$0.00,1,0,1,20061001
92286,CPT,Internal eye photography,,30,0,1,$256.09 ,$0.00,1,0,1,20061001
92287,CPT,Internal eye photography,,30,0,1,$659.23 ,$0.00,1,0,1,20061001
92311,CPT,Contact lens fitting,,30,0,1,$719.93 ,$0.00,1,0,1,20061001
92312,CPT,Contact lens fitting,,30,0,1,$719.93 ,$0.00,1,0,1,20061001
92313,CPT,Contact lens fitting,,30,0,1,$719.93 ,$0.00,1,0,1,20061001
92315,CPT,Prescription of contact lens,,30,0,1,$719.93 ,$0.00,1,0,1,20061001
92316,CPT,Prescription of contact lens,,30,0,1,$719.93 ,$0.00,1,0,1,20061001
92317,CPT,Prescription of contact lens,,30,0,1,$719.93 ,$0.00,1,0,1,20061001
92325,CPT,Modification of contact lens,,30,0,1,$719.93 ,$0.00,1,0,1,20061001
92326,CPT,Replacement of contact lens,,30,0,1,$719.93 ,$0.00,1,0,1,20061001
92352,CPT,Special spectacles fitting,,30,0,1,$719.93 ,$0.00,1,0,1,20061001
92353,CPT,Special spectacles fitting,,30,0,1,$719.93 ,$0.00,1,0,1,20061001
92354,CPT,Special spectacles fitting,,30,0,1,$719.93 ,$0.00,1,0,1,20061001
92355,CPT,Special spectacles fitting,,30,0,1,$719.93 ,$0.00,1,0,1,20061001
92358,CPT,Eye prosthesis service,,30,0,1,$719.93 ,$0.00,1,0,1,20061001
92371,CPT,Repair & adjust spectacles,,30,0,1,$719.93 ,$0.00,1,0,1,20061001
92499,CPT,Eye service or procedure,,30,0,1,$203.28 ,$0.00,1,0,1,20061001
92502,CPT,Ear and throat examination,,30,1,1,$538.65 ,$0.00,1,0,1,20061001
92511,CPT,Nasopharyngoscopy,,30,1,1,$256.71 ,$0.00,1,0,1,20061001
92512,CPT,Nasal function studies,,30,0,1,$230.56 ,$0.00,1,0,1,20061001
92516,CPT,Facial nerve function test,,30,0,1,$462.98 ,$0.00,1,0,1,20061001
92520,CPT,Laryngeal function studies,,30,0,1,$462.98 ,$0.00,1,0,1,20061001
92541,CPT,Spontaneous nystagmus test,,30,0,1,$230.56 ,$0.00,1,0,1,20061001
92542,CPT,Positional nystagmus test,,30,0,1,$230.56 ,$0.00,1,0,1,20061001
92543,CPT,Caloric vestibular test,,30,0,1,$230.56 ,$0.00,1,0,1,20061001
92544,CPT,Optokinetic nystagmus test,,30,0,1,$230.56 ,$0.00,1,0,1,20061001
92545,CPT,Oscillating tracking test,,30,0,1,$230.56 ,$0.00,1,0,1,20061001
92546,CPT,Sinusoidal rotational test,,30,0,1,$462.98 ,$0.00,1,0,1,20061001
92547,CPT,Supplemental electrical test,,30,0,1,$230.56 ,$0.00,1,0,1,20061001
92548,CPT,Posturography,,30,0,1,$462.98 ,$0.00,1,0,1,20061001
92552,CPT,"Pure tone audiometry, air",,30,0,1,$118.98 ,$0.00,1,0,1,20061001
92553,CPT,"Audiometry, air & bone",,30,0,1,$323.67 ,$0.00,1,0,1,20061001
92555,CPT,Speech threshold audiometry,,30,0,1,$118.98 ,$0.00,1,0,1,20061001
92556,CPT,"Speech audiometry, complete",,30,0,1,$118.98 ,$0.00,1,0,1,20061001
92557,CPT,Comprehensive hearing test,,30,0,1,$323.67 ,$0.00,1,0,1,20061001
92561,CPT,"Bekesy audiometry, diagnosis",,30,0,1,$323.67 ,$0.00,1,0,1,20061001
92562,CPT,Loudness balance test,,30,0,1,$118.98 ,$0.00,1,0,1,20061001
92563,CPT,Tone decay hearing test,,30,0,1,$118.98 ,$0.00,1,0,1,20061001
92564,CPT,Sisi hearing test,,30,0,1,$118.98 ,$0.00,1,0,1,20061001
92565,CPT,"Stenger test, pure tone",,30,0,1,$118.98 ,$0.00,1,0,1,20061001
92567,CPT,Tympanometry,,30,0,1,$118.98 ,$0.00,1,0,1,20061001
92568,CPT,Acoustic reflex testing,,30,0,1,$118.98 ,$0.00,1,0,1,20061001
92569,CPT,Acoustic reflex decay test,,30,0,1,$118.98 ,$0.00,1,0,1,20061001
92571,CPT,Filtered speech hearing test,,30,0,1,$118.98 ,$0.00,1,0,1,20061001
92572,CPT,Staggered spondaic word test,,30,0,1,$118.98 ,$0.00,1,0,1,20061001
92573,CPT,Lombard test,,30,0,1,$118.98 ,$0.00,1,0,1,20061001
92575,CPT,Sensorineural acuity test,,30,0,1,$323.67 ,$0.00,1,0,1,20061001
92576,CPT,Synthetic sentence test,,30,0,1,$118.98 ,$0.00,1,0,1,20061001
92577,CPT,"Stenger test, speech",,30,0,1,$323.67 ,$0.00,1,0,1,20061001
92579,CPT,Visual audiometry (vra),,30,0,1,$323.67 ,$0.00,1,0,1,20061001
92582,CPT,Conditioning play audiometry,,30,0,1,$323.67 ,$0.00,1,0,1,20061001
92583,CPT,Select picture audiometry,,30,0,1,$118.98 ,$0.00,1,0,1,20061001
92584,CPT,Electrocochleography,,30,0,1,$462.98 ,$0.00,1,0,1,20061001
92585,CPT,"Auditor evoke potent, compre",,30,0,1,$761.30 ,$0.00,1,0,1,20061001
92586,CPT,"Auditor evoke potent, limit",,30,0,1,$304.26 ,$0.00,1,0,1,20061001
92587,CPT,Evoked auditory test,,30,0,1,$230.56 ,$0.00,1,0,1,20061001
92588,CPT,Evoked auditory test,,30,0,1,$230.56 ,$0.00,1,0,1,20061001
92590,CPT,"Hearing aid exam, one ear",,30,0,,$193.78 ,$0.00,1,0,1,20061001
92591,CPT,"Hearing aid exam, both ears",,30,0,,$229.96 ,$0.00,1,0,1,20061001
92592,CPT,"Hearing aid check, one ear",,30,0,,$108.52 ,$0.00,1,0,1,20061001
92593,CPT,"Hearing aid check, both ears",,30,0,,$114.09 ,$0.00,1,0,1,20061001
92596,CPT,Ear protector evaluation,,30,0,1,$323.67 ,$0.00,1,0,1,20061001
92601,CPT,Cochlear implt f/up exam < 7,,30,0,1,$323.67 ,$0.00,1,0,1,20061001
92602,CPT,Reprogram cochlear implt < 7,,30,0,1,$323.67 ,$0.00,1,0,1,20061001
92603,CPT,Cochlear implt f/up exam 7 >,,30,0,1,$323.67 ,$0.00,1,0,1,20061001
92604,CPT,Reprogram cochlear implt 7 >,,30,0,1,$323.67 ,$0.00,1,0,1,20061001
92620,CPT,"Auditory function, 60 min",,30,0,1,$29.07 ,$0.00,1,0,1,20061001
92625,CPT,Tinnitus assessment,,30,0,1,$29.07 ,$0.00,1,0,1,20061001
92626,CPT,Eval aud rehab status,,30,0,1,$75.95 ,$0.00,1,0,1,20061001
92700,CPT,Ent procedure/service,,30,0,1,$118.98 ,$0.00,1,0,1,20061001
92950,CPT,Heart/lung resuscitation cpr,,30,0,1,$914.27 ,$0.00,1,0,1,20061001
92953,CPT,Temporary external pacing,,30,0,1,$914.27 ,$0.00,1,0,1,20061001
92960,CPT,"Cardioversion electric, ext",,30,0,1,"$1,893.98 ",$0.00,1,0,1,20061001
92961,CPT,"Cardioversion, electric, int",,30,0,1,"$1,893.98 ",$0.00,1,0,1,20061001
92973,CPT,Percut coronary thrombectomy,,30,1,1,"$1,222.46 ",$0.00,1,0,1,20061001
92974,CPT,"Cath place, cardio brachytx",,30,1,1,"$11,002.06 ",$0.00,1,0,1,20061001
92977,CPT,"Dissolve clot, heart vessel",,30,1,1,$939.74 ,$0.00,1,0,1,20061001
92978,CPT,"Intravasc us, heart add-on",,30,0,1,"$9,525.53 ",$0.00,1,0,1,20061001
92979,CPT,"Intravasc us, heart add-on",,30,0,1,"$9,525.53 ",$0.00,1,0,1,20061001
92980,CPT,Insert intracoronary stent,,30,1,1,"$22,447.42 ",$0.00,1,0,1,20061001
92981,CPT,Insert intracoronary stent,,30,1,1,"$22,447.42 ",$0.00,1,0,1,20061001
92982,CPT,Coronary artery dilation,,30,1,1,"$17,565.11 ",$0.00,1,0,1,20061001
92984,CPT,Coronary artery dilation,,30,1,1,"$17,565.11 ",$0.00,1,0,1,20061001
92986,CPT,Revision of aortic valve,,30,1,1,"$17,565.11 ",$0.00,1,0,1,20061001
92987,CPT,Revision of mitral valve,,30,1,1,"$17,565.11 ",$0.00,1,0,1,20061001
92990,CPT,Revision of pulmonary valve,,30,1,1,"$17,565.11 ",$0.00,1,0,1,20061001
92995,CPT,Coronary atherectomy,,30,1,1,"$25,394.15 ",$0.00,1,0,1,20061001
92996,CPT,Coronary atherectomy add-on,,30,1,1,"$25,394.15 ",$0.00,1,0,1,20061001
92997,CPT,"Pul art balloon repr, percut",,30,1,1,"$10,536.99 ",$0.00,1,0,1,20061001
92998,CPT,"Pul art balloon repr, percut",,30,1,1,"$10,536.99 ",$0.00,1,0,1,20061001
93005,CPT,"Electrocardiogram, tracing",,30,0,1,$144.03 ,$0.00,1,0,1,20061001
93017,CPT,Cardiovascular stress test,,30,0,1,$622.38 ,$0.00,1,0,1,20061001
93024,CPT,Cardiac drug stress test,,30,0,1,$622.38 ,$0.00,1,0,1,20061001
93025,CPT,Microvolt t-wave assess,,30,0,1,$622.38 ,$0.00,1,0,1,20061001
93041,CPT,"Rhythm ECG, tracing",,30,0,1,$144.03 ,$0.00,1,0,1,20061001
93225,CPT,"ECG monitor/record, 24 hrs",,30,0,1,$418.27 ,$0.00,1,0,1,20061001
93226,CPT,"ECG monitor/report, 24 hrs",,30,0,1,$418.27 ,$0.00,1,0,1,20061001
93231,CPT,"Ecg monitor/record, 24 hrs",,30,0,1,$418.27 ,$0.00,1,0,1,20061001
93236,CPT,"ECG monitor/report, 24 hrs",,30,0,1,$418.27 ,$0.00,1,0,1,20061001
93270,CPT,ECG recording,,30,0,1,$418.27 ,$0.00,1,0,1,20061001
93271,CPT,Ecg/monitoring and analysis,,30,0,1,$418.27 ,$0.00,1,0,1,20061001
93278,CPT,ECG/signal-averaged,,30,0,1,$144.03 ,$0.00,1,0,1,20061001
93303,CPT,Echo transthoracic,,30,0,1,$953.48 ,$0.00,1,0,1,20061001
93304,CPT,Echo transthoracic,,30,0,1,$438.66 ,$0.00,1,0,1,20061001
93307,CPT,Echo exam of heart,,30,0,1,$953.48 ,$0.00,1,0,1,20061001
93308,CPT,Echo exam of heart,,30,0,1,$438.66 ,$0.00,1,0,1,20061001
93312,CPT,Echo transesophageal,,30,0,1,"$2,025.47 ",$0.00,1,0,1,20061001
93313,CPT,Echo transesophageal,,30,0,1,"$2,025.47 ",$0.00,1,0,1,20061001
93315,CPT,Echo transesophageal,,30,0,1,"$2,025.47 ",$0.00,1,0,1,20061001
93316,CPT,Echo transesophageal,,30,0,1,"$2,025.47 ",$0.00,1,0,1,20061001
93318,CPT,Echo transesophageal intraop,,30,0,1,"$2,025.47 ",$0.00,1,0,1,20061001
93320,CPT,"Doppler echo exam, heart",,30,0,1,$500.71 ,$0.00,1,0,1,20061001
93321,CPT,"Doppler echo exam, heart",,30,0,1,$438.66 ,$0.00,1,0,1,20061001
93325,CPT,Doppler color flow add-on,,30,0,1,$438.66 ,$0.00,1,0,1,20061001
93350,CPT,Echo transthoracic,,30,0,1,$953.48 ,$0.00,1,0,1,20061001
93501,CPT,Right heart catheterization,,30,1,1,"$10,807.90 ",$0.00,1,0,1,20061001
93503,CPT,Insert/place heart catheter,,30,1,1,"$3,500.47 ",$0.00,1,0,1,20061001
93505,CPT,Biopsy of heart lining,,30,1,1,"$3,500.47 ",$0.00,1,0,1,20061001
93508,CPT,"Cath placement, angiography",,30,1,1,"$10,807.90 ",$0.00,1,0,1,20061001
93510,CPT,Left heart catheterization,,30,1,1,"$10,807.90 ",$0.00,1,0,1,20061001
93511,CPT,Left heart catheterization,,30,1,1,"$10,807.90 ",$0.00,1,0,1,20061001
93514,CPT,Left heart catheterization,,30,1,1,"$10,807.90 ",$0.00,1,0,1,20061001
93524,CPT,Left heart catheterization,,30,1,1,"$10,807.90 ",$0.00,1,0,1,20061001
93526,CPT,Rt & Lt heart catheters,,30,1,1,"$10,807.90 ",$0.00,1,0,1,20061001
93527,CPT,Rt & Lt heart catheters,,30,1,1,"$10,807.90 ",$0.00,1,0,1,20061001
93528,CPT,Rt & Lt heart catheters,,30,1,1,"$10,807.90 ",$0.00,1,0,1,20061001
93529,CPT,"Rt, lt heart catheterization",,30,1,1,"$10,807.90 ",$0.00,1,0,1,20061001
93530,CPT,"Rt heart cath, congenital",,30,1,1,"$10,807.90 ",$0.00,1,0,1,20061001
93531,CPT,"R & l heart cath, congenital",,30,1,1,"$10,807.90 ",$0.00,1,0,1,20061001
93532,CPT,"R & l heart cath, congenital",,30,1,1,"$10,807.90 ",$0.00,1,0,1,20061001
93533,CPT,"R & l heart cath, congenital",,30,1,1,"$10,807.90 ",$0.00,1,0,1,20061001
93571,CPT,Heart flow reserve measure,,30,0,1,"$1,852.43 ",$0.00,1,0,1,20061001
93572,CPT,Heart flow reserve measure,,30,0,1,$293.78 ,$0.00,1,0,1,20061001
93580,CPT,Transcath closure of asd,,30,1,1,"$11,002.06 ",$0.00,1,0,1,20061001
93581,CPT,Transcath closure of vsd,,30,1,1,"$11,002.06 ",$0.00,1,0,1,20061001
93600,CPT,Bundle of His recording,,30,1,1,"$13,358.70 ",$0.00,1,0,1,20061001
93602,CPT,Intra-atrial recording,,30,1,1,"$13,358.70 ",$0.00,1,0,1,20061001
93603,CPT,Right ventricular recording,,30,1,1,"$13,358.70 ",$0.00,1,0,1,20061001
93609,CPT,"Map tachycardia, add-on",,30,1,1,"$13,358.70 ",$0.00,1,0,1,20061001
93610,CPT,Intra-atrial pacing,,30,1,1,"$13,358.70 ",$0.00,1,0,1,20061001
93612,CPT,Intraventricular pacing,,30,1,1,"$13,358.70 ",$0.00,1,0,1,20061001
93613,CPT,"Electrophys map 3d, add-on",,30,1,1,"$13,358.70 ",$0.00,1,0,1,20061001
93615,CPT,Esophageal recording,,30,1,1,"$13,358.70 ",$0.00,1,0,1,20061001
93616,CPT,Esophageal recording,,30,1,1,"$13,358.70 ",$0.00,1,0,1,20061001
93618,CPT,Heart rhythm pacing,,30,1,1,"$13,358.70 ",$0.00,1,0,1,20061001
93619,CPT,Electrophysiology evaluation,,30,1,1,"$12,079.76 ",$0.00,1,0,1,20061001
93620,CPT,Electrophysiology evaluation,,30,1,1,"$12,079.76 ",$0.00,1,0,1,20061001
93621,CPT,Electrophysiology evaluation,,30,1,1,"$12,079.76 ",$0.00,1,0,1,20061001
93622,CPT,Electrophysiology evaluation,,30,1,1,"$12,079.76 ",$0.00,1,0,1,20061001
93623,CPT,"Stimulation, pacing heart",,30,1,1,"$13,358.70 ",$0.00,1,0,1,20061001
93624,CPT,Electrophysiologic study,,30,1,1,"$3,649.97 ",$0.00,1,0,1,20061001
93631,CPT,"Heart pacing, mapping",,30,1,1,"$13,358.70 ",$0.00,1,0,1,20061001
93640,CPT,Evaluation heart device,,30,0,1,"$3,649.97 ",$0.00,1,0,1,20061001
93641,CPT,Electrophysiology evaluation,,30,0,1,"$3,649.97 ",$0.00,1,0,1,20061001
93642,CPT,Electrophysiology evaluation,,30,0,1,"$3,649.97 ",$0.00,1,0,1,20061001
93650,CPT,Ablate heart dysrhythm focus,,30,1,1,"$14,733.71 ",$0.00,1,0,1,20061001
93651,CPT,Ablate heart dysrhythm focus,,30,1,1,"$14,733.71 ",$0.00,1,0,1,20061001
93652,CPT,Ablate heart dysrhythm focus,,30,1,1,"$14,733.71 ",$0.00,1,0,1,20061001
93660,CPT,Tilt table evaluation,,30,0,1,"$1,528.37 ",$0.00,1,0,1,20061001
93662,CPT,Intracardiac ecg (ice),,30,0,1,"$9,525.53 ",$0.00,1,0,1,20061001
93668,CPT,Peripheral vascular rehab,,30,0,,$912.08 ,$0.00,1,0,1,20061001
93701,CPT,"Bioimpedance, thoracic",,30,0,1,$144.03 ,$0.00,1,0,1,20061001
93721,CPT,Plethysmography tracing,,30,0,1,$323.00 ,$0.00,1,0,1,20061001
93724,CPT,Analyze pacemaker system,,30,0,1,$131.11 ,$0.00,1,0,1,20061001
93727,CPT,Analyze ilr system,,30,0,1,$131.11 ,$0.00,1,0,1,20061001
93731,CPT,Analyze pacemaker system,,30,0,1,$131.11 ,$0.00,1,0,1,20061001
93732,CPT,Analyze pacemaker system,,30,0,1,$131.11 ,$0.00,1,0,1,20061001
93733,CPT,"Telephone analy, pacemaker",,30,0,1,$131.11 ,$0.00,1,0,1,20061001
93734,CPT,Analyze pacemaker system,,30,0,1,$131.11 ,$0.00,1,0,1,20061001
93735,CPT,Analyze pacemaker system,,30,0,1,$131.11 ,$0.00,1,0,1,20061001
93736,CPT,"Telephonic analy, pacemaker",,30,0,1,$131.11 ,$0.00,1,0,1,20061001
93740,CPT,Temperature gradient studies,,30,0,1,$197.42 ,$0.00,1,0,1,20061001
93741,CPT,Analyze ht pace device sngl,,30,0,1,$191.75 ,$0.00,1,0,1,20061001
93742,CPT,Analyze ht pace device sngl,,30,0,1,$191.75 ,$0.00,1,0,1,20061001
93743,CPT,Analyze ht pace device dual,,30,0,1,$191.75 ,$0.00,1,0,1,20061001
93744,CPT,Analyze ht pace device dual,,30,0,1,$191.75 ,$0.00,1,0,1,20061001
93745,CPT,Set-up cardiovert-defibrill,,30,0,1,$35.69 ,$0.00,1,0,1,20061001
93760,CPT,Cephalic thermogram,,30,0,,$869.11 ,$0.00,1,0,1,20061001
93786,CPT,Ambulatory BP recording,,30,0,1,$418.27 ,$0.00,1,0,1,20061001
93788,CPT,Ambulatory BP analysis,,30,0,1,$893.84 ,$0.00,1,0,1,20061001
93797,CPT,Cardiac rehab,,30,0,1,$146.30 ,$0.00,1,0,1,20061001
93798,CPT,Cardiac rehab/monitor,,30,0,1,$146.30 ,$0.00,1,0,1,20061001
93799,CPT,Cardiovascular procedure,,30,0,1,$527.22 ,$0.00,1,0,1,20061001
93875,CPT,Extracranial study,,30,0,1,$527.22 ,$0.00,1,0,1,20061001
93880,CPT,Extracranial study,,30,0,1,$727.78 ,$0.00,1,0,1,20061001
93882,CPT,Extracranial study,,30,0,1,$727.78 ,$0.00,1,0,1,20061001
93886,CPT,Intracranial study,,30,0,1,$727.78 ,$0.00,1,0,1,20061001
93888,CPT,Intracranial study,,30,0,1,$622.69 ,$0.00,1,0,1,20061001
93890,CPT,"Tcd, vasoreactivity study",,30,0,1,$99.24 ,$0.00,1,0,1,20061001
93892,CPT,"Tcd, emboli detect w/o inj",,30,0,1,$99.24 ,$0.00,1,0,1,20061001
93893,CPT,"Tcd, emboli detect w/inj",,30,0,1,$99.24 ,$0.00,1,0,1,20061001
93922,CPT,Extremity study,,30,0,1,$527.22 ,$0.00,1,0,1,20061001
93923,CPT,Extremity study,,30,0,1,$527.22 ,$0.00,1,0,1,20061001
93924,CPT,Extremity study,,30,0,1,$527.22 ,$0.00,1,0,1,20061001
93925,CPT,Lower extremity study,,30,0,1,$727.78 ,$0.00,1,0,1,20061001
93926,CPT,Lower extremity study,,30,0,1,$727.78 ,$0.00,1,0,1,20061001
93930,CPT,Upper extremity study,,30,0,1,$727.78 ,$0.00,1,0,1,20061001
93931,CPT,Upper extremity study,,30,0,1,$622.69 ,$0.00,1,0,1,20061001
93965,CPT,Extremity study,,30,0,1,$527.22 ,$0.00,1,0,1,20061001
93970,CPT,Extremity study,,30,0,1,$727.78 ,$0.00,1,0,1,20061001
93971,CPT,Extremity study,,30,0,1,$727.78 ,$0.00,1,0,1,20061001
93975,CPT,Vascular study,,30,0,1,$727.78 ,$0.00,1,0,1,20061001
93976,CPT,Vascular study,,30,0,1,$727.78 ,$0.00,1,0,1,20061001
93978,CPT,Vascular study,,30,0,1,$727.78 ,$0.00,1,0,1,20061001
93979,CPT,Vascular study,,30,0,1,$727.78 ,$0.00,1,0,1,20061001
93980,CPT,Penile vascular study,,30,0,1,$727.78 ,$0.00,1,0,1,20061001
93981,CPT,Penile vascular study,,30,0,1,$727.78 ,$0.00,1,0,1,20061001
93990,CPT,Doppler flow testing,,30,0,1,$727.78 ,$0.00,1,0,1,20061001
94010,CPT,Breathing capacity test,,30,0,1,$323.00 ,$0.00,1,0,1,20061001
94014,CPT,Patient recorded spirometry,,30,0,1,$197.42 ,$0.00,1,0,1,20061001
94015,CPT,Patient recorded spirometry,,30,0,1,$666.59 ,$0.00,1,0,1,20061001
94060,CPT,Evaluation of wheezing,,30,0,1,$323.00 ,$0.00,1,0,1,20061001
94070,CPT,Evaluation of wheezing,,30,0,1,$666.59 ,$0.00,1,0,1,20061001
94150,CPT,Vital capacity test,,30,0,1,$197.42 ,$0.00,1,0,1,20061001
94200,CPT,Lung function test (MBC/MVV),,30,0,1,$197.42 ,$0.00,1,0,1,20061001
94240,CPT,Residual lung capacity,,30,0,1,$323.00 ,$0.00,1,0,1,20061001
94250,CPT,Expired gas collection,,30,0,1,$197.42 ,$0.00,1,0,1,20061001
94260,CPT,Thoracic gas volume,,30,0,1,$323.00 ,$0.00,1,0,1,20061001
94350,CPT,Lung nitrogen washout curve,,30,0,1,$323.00 ,$0.00,1,0,1,20061001
94360,CPT,Measure airflow resistance,,30,0,1,$197.42 ,$0.00,1,0,1,20061001
94370,CPT,Breath airway closing volume,,30,0,1,$197.42 ,$0.00,1,0,1,20061001
94375,CPT,Respiratory flow volume loop,,30,0,1,$197.42 ,$0.00,1,0,1,20061001
94400,CPT,CO2 breathing response curve,,30,0,1,$197.42 ,$0.00,1,0,1,20061001
94450,CPT,Hypoxia response curve,,30,0,1,$197.42 ,$0.00,1,0,1,20061001
94452,CPT,Hast w/report,,30,0,1,$57.71 ,$0.00,1,0,1,20061001
94453,CPT,Hast w/oxygen titrate,,30,0,1,$57.71 ,$0.00,1,0,1,20061001
94620,CPT,Pulmonary stress test/simple,,30,0,1,$323.00 ,$0.00,1,0,1,20061001
94621,CPT,Pulm stress test/complex,,30,0,1,$666.59 ,$0.00,1,0,1,20061001
94640,CPT,Airway inhalation treatment,,30,0,1,$74.82 ,$0.00,1,0,1,20061001
94642,CPT,Aerosol inhalation treatment,,30,0,1,$211.26 ,$0.00,1,0,1,20061001
94656,CPT,Initial ventilator mgmt,,30,0,1,$573.44 ,$0.00,1,0,1,20061001
94657,CPT,Continued ventilator mgmt,,30,0,1,$573.44 ,$0.00,1,0,1,20061001
94660,CPT,"Pos airway pressure, CPAP",,30,0,1,$280.30 ,$0.00,1,0,1,20061001
94662,CPT,"Neg press ventilation, cnp",,30,0,1,$573.44 ,$0.00,1,0,1,20061001
94664,CPT,Aerosol or vapor inhalations,,30,0,1,$74.82 ,$0.00,1,0,1,20061001
94667,CPT,Chest wall manipulation,,30,0,1,$74.82 ,$0.00,1,0,1,20061001
94668,CPT,Chest wall manipulation,,30,0,1,$74.82 ,$0.00,1,0,1,20061001
94680,CPT,"Exhaled air analysis, o2",,30,0,1,$197.42 ,$0.00,1,0,1,20061001
94681,CPT,"Exhaled air analysis, o2/co2",,30,0,1,$323.00 ,$0.00,1,0,1,20061001
94690,CPT,Exhaled air analysis,,30,0,1,$197.42 ,$0.00,1,0,1,20061001
94720,CPT,Monoxide diffusing capacity,,30,0,1,$323.00 ,$0.00,1,0,1,20061001
94725,CPT,Membrane diffusion capacity,,30,0,1,$323.00 ,$0.00,1,0,1,20061001
94750,CPT,Pulmonary compliance study,,30,0,1,$197.42 ,$0.00,1,0,1,20061001
94770,CPT,Exhaled carbon dioxide test,,30,0,1,$197.42 ,$0.00,1,0,1,20061001
94772,CPT,"Breath recording, infant",,30,0,1,$666.59 ,$0.00,1,0,1,20061001
94799,CPT,Pulmonary service/procedure,,30,0,1,$197.42 ,$0.00,1,0,1,20061001
95004,CPT,Percut allergy skin tests,,30,0,1,$264.73 ,$0.00,1,0,1,20061001
95010,CPT,Percut allergy titrate test,,30,0,1,$264.73 ,$0.00,1,0,1,20061001
95015,CPT,Id allergy titrate-drug/bug,,30,0,1,$264.73 ,$0.00,1,0,1,20061001
95024,CPT,"Id allergy test, drug/bug",,30,0,1,$264.73 ,$0.00,1,0,1,20061001
95027,CPT,Skin end point titration,,30,0,1,$264.73 ,$0.00,1,0,1,20061001
95028,CPT,Id allergy test-delayed type,,30,0,1,$264.73 ,$0.00,1,0,1,20061001
95044,CPT,Allergy patch tests,,30,0,1,$264.73 ,$0.00,1,0,1,20061001
95052,CPT,Photo patch test,,30,0,1,$264.73 ,$0.00,1,0,1,20061001
95056,CPT,Photosensitivity tests,,30,0,1,$264.73 ,$0.00,1,0,1,20061001
95060,CPT,Eye allergy tests,,30,0,1,$264.73 ,$0.00,1,0,1,20061001
95065,CPT,Nose allergy test,,30,0,1,$264.73 ,$0.00,1,0,1,20061001
95070,CPT,Bronchial allergy tests,,30,0,1,$666.59 ,$0.00,1,0,1,20061001
95071,CPT,Bronchial allergy tests,,30,0,1,$666.59 ,$0.00,1,0,1,20061001
95075,CPT,Ingestion challenge test,,30,0,1,$945.61 ,$0.00,1,0,1,20061001
95078,CPT,Provocative testing,,30,0,1,$264.73 ,$0.00,1,0,1,20061001
95115,CPT,"Immunotherapy, one injection",,30,0,1,$34.15 ,$0.00,1,0,1,20061001
95117,CPT,Immunotherapy injections,,30,0,1,$95.03 ,$0.00,1,0,1,20061001
95125,CPT,"Immunotherapy, many antigens",,30,0,,$175.66 ,$0.00,1,0,1,20061001
95144,CPT,Antigen therapy services,,30,0,1,$118.35 ,$0.00,1,0,1,20061001
95145,CPT,Antigen therapy services,,30,0,1,$118.35 ,$0.00,1,0,1,20061001
95146,CPT,Antigen therapy services,,30,0,1,$118.35 ,$0.00,1,0,1,20061001
95147,CPT,Antigen therapy services,,30,0,1,$118.35 ,$0.00,1,0,1,20061001
95148,CPT,Antigen therapy services,,30,0,1,$118.35 ,$0.00,1,0,1,20061001
95149,CPT,Antigen therapy services,,30,0,1,$118.35 ,$0.00,1,0,1,20061001
95165,CPT,Antigen therapy services,,30,0,1,$118.35 ,$0.00,1,0,1,20061001
95170,CPT,Antigen therapy services,,30,0,1,$118.35 ,$0.00,1,0,1,20061001
95180,CPT,Rapid desensitization,,30,0,1,$264.73 ,$0.00,1,0,1,20061001
95199,CPT,Allergy immunology services,,30,0,1,$264.73 ,$0.00,1,0,1,20061001
95250,CPT,"Glucose monitoring, cont",,30,0,1,$733.49 ,$0.00,1,0,1,20061001
95805,CPT,Multiple sleep latency test,,30,0,1,"$3,078.90 ",$0.00,1,0,1,20061001
95806,CPT,"Sleep study, unattended",,30,0,1,$775.19 ,$0.00,1,0,1,20061001
95807,CPT,"Sleep study, attended",,30,0,1,"$3,078.90 ",$0.00,1,0,1,20061001
95808,CPT,"Polysomnography, 1-3",,30,0,1,"$3,078.90 ",$0.00,1,0,1,20061001
95810,CPT,"Polysomnography, 4 or more",,30,0,1,"$3,078.90 ",$0.00,1,0,1,20061001
95811,CPT,Polysomnography w/cpap,,30,0,1,"$3,078.90 ",$0.00,1,0,1,20061001
95812,CPT,Electroencephalogram (EEG),,30,0,1,$775.19 ,$0.00,1,0,1,20061001
95813,CPT,"Eeg, over 1 hour",,30,0,1,$775.19 ,$0.00,1,0,1,20061001
95816,CPT,Electroencephalogram (EEG),,30,0,1,$590.99 ,$0.00,1,0,1,20061001
95819,CPT,Electroencephalogram (EEG),,30,0,1,$590.99 ,$0.00,1,0,1,20061001
95822,CPT,Sleep electroencephalogram,,30,0,1,$590.99 ,$0.00,1,0,1,20061001
95824,CPT,"Eeg, cerebral death only",,30,0,1,$590.99 ,$0.00,1,0,1,20061001
95827,CPT,night electroencephalogram,,30,0,1,"$3,078.90 ",$0.00,1,0,1,20061001
95829,CPT,Surgery electrocorticogram,,30,0,1,$590.99 ,$0.00,1,0,1,20061001
95857,CPT,Tensilon test,,30,0,1,$304.26 ,$0.00,1,0,1,20061001
95860,CPT,"Muscle test, one limb",,30,0,1,$304.26 ,$0.00,1,0,1,20061001
95861,CPT,"Muscle test, 2 limbs",,30,0,1,$304.26 ,$0.00,1,0,1,20061001
95863,CPT,"Muscle test, 3 limbs",,30,0,1,$304.26 ,$0.00,1,0,1,20061001
95864,CPT,"Muscle test, 4 limbs",,30,0,1,$304.26 ,$0.00,1,0,1,20061001
95865,CPT,"Muscle test, larynx",,30,0,1,$70.92 ,$0.00,1,0,1,20061001
95866,CPT,"Muscle test, hemidiaphragm",,30,0,1,$70.92 ,$0.00,1,0,1,20061001
95867,CPT,"Muscle test, head or neck",,30,0,1,$304.26 ,$0.00,1,0,1,20061001
95868,CPT,Muscle test cran nerve bilat,,30,0,1,$304.26 ,$0.00,1,0,1,20061001
95869,CPT,"Muscle test, thor paraspinal",,30,0,1,$144.20 ,$0.00,1,0,1,20061001
95870,CPT,"Muscle test, nonparaspinal",,30,0,1,$144.20 ,$0.00,1,0,1,20061001
95872,CPT,"Muscle test, one fiber",,30,0,1,$304.26 ,$0.00,1,0,1,20061001
95873,CPT,"Guide nerv destr, elec stim",,30,0,1,$38.38 ,$0.00,1,0,1,20061001
95874,CPT,"Guide nerv destr, needle emg",,30,0,1,$38.38 ,$0.00,1,0,1,20061001
95875,CPT,Limb exercise test,,30,0,1,$144.20 ,$0.00,1,0,1,20061001
95900,CPT,Motor nerve conduction test,,30,0,1,$144.20 ,$0.00,1,0,1,20061001
95903,CPT,Motor nerve conduction test,,30,0,1,$144.20 ,$0.00,1,0,1,20061001
95904,CPT,Sense nerve conduction test,,30,0,1,$144.20 ,$0.00,1,0,1,20061001
95920,CPT,Intraop nerve test add-on,,30,0,1,$761.30 ,$0.00,1,0,1,20061001
95921,CPT,Autonomic nerv function test,,30,0,1,$304.26 ,$0.00,1,0,1,20061001
95922,CPT,Autonomic nerv function test,,30,0,1,$304.26 ,$0.00,1,0,1,20061001
95923,CPT,Autonomic nerv function test,,30,0,1,$144.20 ,$0.00,1,0,1,20061001
95925,CPT,Somatosensory testing,,30,0,1,$761.30 ,$0.00,1,0,1,20061001
95926,CPT,Somatosensory testing,,30,0,1,$761.30 ,$0.00,1,0,1,20061001
95927,CPT,Somatosensory testing,,30,0,1,$761.30 ,$0.00,1,0,1,20061001
95928,CPT,"C motor evoked, uppr limbs",,30,0,1,$69.77 ,$0.00,1,0,1,20061001
95929,CPT,"C motor evoked, lwr limbs",,30,0,1,$69.77 ,$0.00,1,0,1,20061001
95930,CPT,Visual evoked potential test,,30,0,1,$304.26 ,$0.00,1,0,1,20061001
95933,CPT,Blink reflex test,,30,0,1,$144.20 ,$0.00,1,0,1,20061001
95934,CPT,H-reflex test,,30,0,1,$144.20 ,$0.00,1,0,1,20061001
95936,CPT,H-reflex test,,30,0,1,$144.20 ,$0.00,1,0,1,20061001
95937,CPT,Neuromuscular junction test,,30,0,1,$304.26 ,$0.00,1,0,1,20061001
95950,CPT,Ambulatory eeg monitoring,,30,0,1,$775.19 ,$0.00,1,0,1,20061001
95951,CPT,EEG monitoring/videorecord,,30,0,1,"$3,078.90 ",$0.00,1,0,1,20061001
95953,CPT,EEG monitoring/computer,,30,0,1,"$3,078.90 ",$0.00,1,0,1,20061001
95954,CPT,EEG monitoring/giving drugs,,30,0,1,$590.99 ,$0.00,1,0,1,20061001
95955,CPT,EEG during surgery,,30,0,1,$775.19 ,$0.00,1,0,1,20061001
95956,CPT,"Eeg monitoring, cable/radio",,30,0,1,$590.99 ,$0.00,1,0,1,20061001
95957,CPT,EEG digital analysis,,30,0,1,$590.99 ,$0.00,1,0,1,20061001
95958,CPT,EEG monitoring/function test,,30,0,1,$775.19 ,$0.00,1,0,1,20061001
95961,CPT,"Electrode stimulation, brain",,30,0,1,$761.30 ,$0.00,1,0,1,20061001
95962,CPT,"Electrode stim, brain add-on",,30,0,1,$761.30 ,$0.00,1,0,1,20061001
95965,CPT,"Meg, spontaneous",,30,0,1,"$24,180.13 ",$0.00,1,0,1,20061001
95966,CPT,"Meg, evoked, single",,30,0,1,"$7,090.21 ",$0.00,1,0,1,20061001
95967,CPT,"Meg, evoked, each add?l",,30,0,1,"$4,645.31 ",$0.00,1,0,1,20061001
95970,CPT,"Analyze neurostim, no prog",,30,0,1,$295.00 ,$0.00,1,0,1,20061001
95971,CPT,"Analyze neurostim, simple",,30,0,1,$295.00 ,$0.00,1,0,1,20061001
95972,CPT,"Analyze neurostim, complex",,30,0,1,$295.00 ,$0.00,1,0,1,20061001
95973,CPT,"Analyze neurostim, complex",,30,0,1,$295.00 ,$0.00,1,0,1,20061001
95974,CPT,"Cranial neurostim, complex",,30,0,1,$295.00 ,$0.00,1,0,1,20061001
95975,CPT,"Cranial neurostim, complex",,30,0,1,$295.00 ,$0.00,1,0,1,20061001
95978,CPT,Analyze neurostim brain/1h,,30,0,1,$125.51 ,$0.00,1,0,1,20061001
95979,CPT,Analyz neurostim brain addon,,30,0,1,$125.51 ,$0.00,1,0,1,20061001
95990,CPT,Spin/brain pump refil & main,,30,1,1,$576.42 ,$0.00,1,0,1,20061001
95991,CPT,Spin/brain pump refil & main,,30,1,1,$576.42 ,$0.00,1,0,1,20061001
95999,CPT,Neurological procedure,,30,0,1,$144.20 ,$0.00,1,0,1,20061001
96000,CPT,"Motion analysis, video/3d",,30,0,1,$733.49 ,$0.00,1,0,1,20061001
96001,CPT,Motion test w/ft press meas,,30,0,1,$733.49 ,$0.00,1,0,1,20061001
96002,CPT,Dynamic surface emg,,30,0,1,$733.49 ,$0.00,1,0,1,20061001
96003,CPT,Dynamic fine wire emg,,30,0,1,$733.49 ,$0.00,1,0,1,20061001
96101,CPT,Psycho testing by psych/phys,,30,0,1,$79.69 ,$0.00,1,0,1,20061001
96102,CPT,Psycho testing by technician,,30,0,1,$217.31 ,$0.00,1,0,1,20061001
96103,CPT,Psycho testing admin by comp,,30,0,1,$79.69 ,$0.00,1,0,1,20061001
96105,CPT,Assessment of aphasia,,30,0,,$137.82 ,$0.00,1,0,1,20061001
96110,CPT,"Developmental test, lim",,30,0,1,$621.31 ,$0.00,1,0,1,20061001
96111,CPT,"Developmental test, extend",,30,0,1,$621.31 ,$0.00,1,0,1,20061001
96116,CPT,Neurobehavioral status exam,,30,0,1,$79.69 ,$0.00,1,0,1,20061001
96118,CPT,Neuropsych tst by psych/phys,,30,0,1,$79.69 ,$0.00,1,0,1,20061001
96119,CPT,Neuropsych testing by tech,,30,0,1,$217.31 ,$0.00,1,0,1,20061001
96120,CPT,Neuropsych tst admin w/comp,,30,0,1,$79.69 ,$0.00,1,0,1,20061001
96150,CPT,"Assess lth/behave, init",,30,0,1,$220.25 ,$0.00,1,0,1,20061001
96151,CPT,"Assess hlth/behave, subseq",,30,0,1,$220.25 ,$0.00,1,0,1,20061001
96152,CPT,"Intervene hlth/behave, indiv",,30,0,1,$220.25 ,$0.00,1,0,1,20061001
96153,CPT,"Intervene hlth/behave, group",,30,0,1,$220.25 ,$0.00,1,0,1,20061001
96154,CPT,"Interv hlth/behav, fam w/pt",,30,0,1,$220.25 ,$0.00,1,0,1,20061001
96155,CPT,Interv hlth/behav fam no pt,,30,0,,$220.25 ,$0.00,1,0,1,20061001
96401,CPT,"Chemo, anti-neopl, sq/im",,30,0,1,$73.16 ,$0.00,1,0,1,20061001
96402,CPT,Chemo hormon antineopl sq/im,,30,0,1,$73.16 ,$0.00,1,0,1,20061001
96416,CPT,Chemo prolong infuse w/pump,,30,0,1,$202.28 ,$0.00,1,0,1,20061001
96521,CPT,"Refill/maint, portable pump",,30,1,1,$121.13 ,$0.00,1,0,1,20061001
96522,CPT,Refill/maint pump/resvr syst,,30,1,1,$121.13 ,$0.00,1,0,1,20061001
96523,CPT,Irrig drug delivery device,,30,0,2,$121.13 ,$0.00,1,0,1,20061001
96567,CPT,"Photodynamic tx, skin",,30,1,1,$733.49 ,$0.00,1,0,1,20061001
96570,CPT,"Photodynamic tx, 30 min",,30,1,1,"$1,222.46 ",$0.00,1,0,1,20061001
96571,CPT,"Photodynamic tx, addl 15 min",,30,1,1,"$1,222.46 ",$0.00,1,0,1,20061001
96900,CPT,Ultraviolet light therapy,,30,0,1,$113.06 ,$0.00,1,0,1,20061001
96910,CPT,Photochemotherapy with UV-B,,30,0,1,$113.06 ,$0.00,1,0,1,20061001
96912,CPT,Photochemotherapy with UV-A,,30,0,1,$113.06 ,$0.00,1,0,1,20061001
96913,CPT,"Photochemotherapy, UV-A or B",,30,0,1,$413.25 ,$0.00,1,0,1,20061001
96920,CPT,"Laser tx, skin < 250 sq cm",,30,1,1,$229.31 ,$0.00,1,0,1,20061001
96921,CPT,"Laser tx, skin 250-500 sq cm",,30,1,1,$229.31 ,$0.00,1,0,1,20061001
96922,CPT,"Laser tx, skin > 500 sq cm",,30,1,1,$337.02 ,$0.00,1,0,1,20061001
96999,CPT,Dermatological procedure,,30,1,1,$195.24 ,$0.00,1,0,1,20061001
97014,CPT,Electric stimulation therapy,,30,0,,$65.50 ,$0.00,1,0,1,20061001
98925,CPT,Osteopathic manipulation,,30,0,1,$74.38 ,$0.00,1,0,1,20061001
98926,CPT,Osteopathic manipulation,,30,0,1,$74.38 ,$0.00,1,0,1,20061001
98927,CPT,Osteopathic manipulation,,30,0,1,$74.38 ,$0.00,1,0,1,20061001
98928,CPT,Osteopathic manipulation,,30,0,1,$74.38 ,$0.00,1,0,1,20061001
98929,CPT,Osteopathic manipulation,,30,0,1,$74.38 ,$0.00,1,0,1,20061001
98940,CPT,Chiropractic manipulation,,30,0,1,$74.38 ,$0.00,1,0,1,20061001
98941,CPT,Chiropractic manipulation,,30,0,1,$74.38 ,$0.00,1,0,1,20061001
98942,CPT,Chiropractic manipulation,,30,0,1,$74.38 ,$0.00,1,0,1,20061001
99000,CPT,Specimen handling,,30,0,,$33.71 ,$0.00,1,0,1,20061001
99001,CPT,Specimen handling,,30,0,,$29.55 ,$0.00,1,0,1,20061001
99002,CPT,Device handling,,30,0,,$151.15 ,$0.00,1,0,1,20061001
99050,CPT,Medical services after hrs,,30,0,,$193.78 ,$0.00,1,0,1,20061001
99058,CPT,Office emergency care,,30,0,,$52.12 ,$0.00,1,0,1,20061001
99170,CPT,"Anogenital exam, child",,30,1,1,$62.58 ,$0.00,1,0,1,20061001
99172,CPT,Ocular function screen,,30,0,,$212.35 ,$0.00,1,0,1,20061001
99183,CPT,Hyperbaric oxygen therapy,,30,0,,"$3,153.15 ",$0.00,1,0,1,20061001
99195,CPT,Phlebotomy,,30,0,1,$149.08 ,$0.00,1,0,1,20061001
99199,CPT,Special service/proc/report,,30,0,,$599.37 ,$0.00,1,0,1,20061001
99201,CPT,"Office/outpatient visit, new",,30,0,1,$103.43 ,$0.00,1,0,1,20061001
99202,CPT,"Office/outpatient visit, new",,30,0,1,$103.43 ,$0.00,1,0,1,20061001
99203,CPT,"Office/outpatient visit, new",,30,0,1,$98.89 ,$0.00,1,0,1,20061001
99204,CPT,"Office/outpatient visit, new",,30,0,1,$168.37 ,$0.00,1,0,1,20061001
99205,CPT,"Office/outpatient visit, new",,30,0,1,$168.37 ,$0.00,1,0,1,20061001
99211,CPT,"Office/outpatient visit, est",,30,0,1,$103.43 ,$0.00,1,0,1,20061001
99212,CPT,"Office/outpatient visit, est",,30,0,1,$103.43 ,$0.00,1,0,1,20061001
99213,CPT,"Office/outpatient visit, est",,30,0,1,$98.89 ,$0.00,1,0,1,20061001
99214,CPT,"Office/outpatient visit, est",,30,0,1,$168.37 ,$0.00,1,0,1,20061001
99215,CPT,"Office/outpatient visit, est",,30,0,1,$168.37 ,$0.00,1,0,1,20061001
99217,CPT,Observation,,30,0,,$42.70 ,$209.44,2,1,1,20061001
99218,CPT,Observation,,30,0,,$42.70 ,$209.44,2,1,1,20061001
99219,CPT,Observation,,30,0,,$42.70 ,$209.44,2,1,1,20061001
99220,CPT,Observation,,30,0,,$42.70 ,$209.44,2,1,1,20061001
99234,CPT,Observation,,30,0,,$42.70 ,$209.44,2,1,1,20061001
99235,CPT,Observation,,30,0,,$42.70 ,$209.44,2,1,1,20061001
99236,CPT,Observation,,30,0,,$42.70 ,$209.44,2,1,1,20061001
99241,CPT,Office consultation,,30,0,1,$103.43 ,$0.00,1,0,1,20061001
99242,CPT,Office consultation,,30,0,1,$103.43 ,$0.00,1,0,1,20061001
99243,CPT,Office consultation,,30,0,1,$98.89 ,$0.00,1,0,1,20061001
99244,CPT,Office consultation,,30,0,1,$168.37 ,$0.00,1,0,1,20061001
99245,CPT,Office consultation,,30,0,1,$168.37 ,$0.00,1,0,1,20061001
99281,CPT,Emergency dept visit,,30,0,1,$239.49 ,$0.00,1,1,1,20061001
99282,CPT,Emergency dept visit,,30,0,1,$239.49 ,$0.00,1,1,1,20061001
99283,CPT,Emergency dept visit,,30,0,1,$493.17 ,$0.00,1,1,1,20061001
99284,CPT,Emergency dept visit,,30,0,1,$783.76 ,$0.00,1,1,1,20061001
99285,CPT,Emergency dept visit,,30,0,1,$783.76 ,$0.00,1,1,1,20061001
99291,CPT,"Critical care, first hour",,30,0,1,"$2,396.46 ",$0.00,1,0,1,20061001
99385,CPT,"Prev visit, new, age 18-39",,30,0,,$164.51 ,$0.00,1,0,1,20061001
99386,CPT,"Prev visit, new, age 40-64",,30,0,,$94.05 ,$0.00,1,0,1,20061001
99387,CPT,"Prev visit, new, 65 & over",,30,0,,$169.76 ,$0.00,1,0,1,20061001
99391,CPT,"Prev visit, est, infant",,30,0,,$215.00 ,$0.00,1,0,1,20061001
99395,CPT,"Prev visit, est, age 18-39",,30,0,,$198.71 ,$0.00,1,0,1,20061001
99396,CPT,"Prev visit, est, age 40-64",,30,0,,$143.33 ,$0.00,1,0,1,20061001
99397,CPT,"Prev visit, est, 65 & over",,30,0,,$98.12 ,$0.00,1,0,1,20061001
99401,CPT,"Preventive counseling, indiv",,30,0,,$80.24 ,$0.00,1,0,1,20061001
99402,CPT,"Preventive counseling, indiv",,30,0,,$213.16 ,$0.00,1,0,1,20061001
99404,CPT,"Preventive counseling, indiv",,30,0,,$211.74 ,$0.00,1,0,1,20061001
99412,CPT,"Preventive counseling, group",,30,0,,$148.22 ,$0.00,1,0,1,20061001
99431,CPT,"Initial care, normal newborn",,30,0,1,$103.43 ,$0.00,1,0,1,20061001
99440,CPT,Newborn resuscitation,,30,0,1,$914.27 ,$0.00,1,0,1,20061001
99499,CPT,Unlisted e&m service,,30,0,,"$2,800.46 ",$0.00,1,0,1,20061001
0003T,CPT,Cervicography,,30,0,1,$122.25 ,$0.00,1,0,1,20061001
0008T,CPT,Upper gi endoscopy w/suture,,30,1,1,"$1,353.33 ",$0.00,1,0,1,20061001
0016T,CPT,Thermotx choroid vasc lesion,,30,1,1,"$1,528.76 ",$0.00,1,0,1,20061001
0017T,CPT,Photocoagulat macular drusen,,30,1,1,$305.18 ,$0.00,1,0,1,20061001
0027T,CPT,Endoscopic epidural lysis,,30,1,1,"$4,156.33 ",$0.00,1,0,1,20061001
0028T,CPT,Dexa body composition study,,30,0,2,$377.89 ,$0.00,1,0,1,20061001
0042T,CPT,"Ct perfusion w/contrast, cbf",,30,0,2,"$1,768.77 ",$0.00,1,0,1,20061001
0044T,CPT,Whole body photography,,30,0,2,$195.24 ,$0.00,1,0,1,20061001
0045T,CPT,Whole body photography,,30,0,2,$195.24 ,$0.00,1,0,1,20061001
0046T,CPT,"Cath lavage, mammary duct(s)",,30,1,1,$276.50 ,$0.00,1,0,1,20061001
0047T,CPT,"Cath lavage, mammary duct(s)",,30,1,1,$276.50 ,$0.00,1,0,1,20061001
0054T,CPT,CMPT-ASST MS SURG NAVIGATNL ORTHO PROC W/FLUORO,,30,0,1,$299.23 ,$0.00,1,0,1,20061001
0055T,CPT,CMPT-ASST MS SURG NAVIGATNL ORTHO PROC W/CT&MRI,,30,0,1,$299.23 ,$0.00,1,0,1,20061001
0056T,CPT,CMPT ASST MS SURG NAVIGATNL ORTHO PROC IMAG-LESS,,30,0,1,$299.23 ,$0.00,1,0,1,20061001
0058T,CPT,"Cryopreservation, ovary tiss",,30,0,1,$276.70 ,$0.00,1,0,1,20061001
0059T,CPT,"Cryopreservation, oocyte",,30,0,1,$276.70 ,$0.00,1,0,1,20061001
0062T,CPT,Rep intradisc annulus;1 lev,,30,1,1,$666.01 ,$0.00,1,0,1,20061001
0063T,CPT,Rep intradisc annulus;>1lev,,30,1,1,$666.01 ,$0.00,1,0,1,20061001
0064T,CPT,SPECTROSCOPY EXPIRED GAS ANALYSIS,,30,0,1,$41.64 ,$0.00,1,0,1,20061001
0066T,CPT,Ct colonography;screen,,30,0,,$206.76 ,$0.00,1,0,1,20061001
0067T,CPT,Ct colonography;dx,,30,0,1,$206.76 ,$0.00,1,0,1,20061001
0071T,CPT,U/s leiomyomata ablate <200,,30,1,1,$811.25 ,$0.00,1,0,1,20061001
0072T,CPT,U/s leiomyomata ablate >200,,30,1,1,$811.25 ,$0.00,1,0,1,20061001
0073T,CPT,"Delivery, comp imrt",,30,0,1,$330.85 ,$0.00,1,0,1,20061001
0082T,CPT,Stereotactic rad delivery,,30,0,,"$5,623.27 ",$0.00,1,0,1,20061001
0084T,CPT,Temp prostate urethral stent,,30,1,1,$76.61 ,$0.00,1,0,1,20061001
0085T,CPT,Breath test heart reject,,30,0,1,$38.59 ,$0.00,1,0,1,20061001
0087T,CPT,Sperm eval hyaluronan,,30,0,1,$46.80 ,$0.00,1,0,1,20061001
0088T,CPT,Rf tongue base vol reduxn,,30,1,1,$974.81 ,$0.00,1,0,1,20061001
0089T,CPT,"Actigraphy testing, 3-day",,30,0,1,$70.92 ,$0.00,1,0,1,20061001
0099T,CPT,Implant corneal ring,,30,1,1,$933.79 ,$0.00,1,0,1,20061001
0100T,CPT,Prosth retina receive&gen,,30,1,1,"$2,348.24 ",$0.00,1,0,1,20061001
0101T,CPT,"Extracorp shockwv tx,hi enrg",,30,1,1,$909.50 ,$0.00,1,0,1,20061001
0102T,CPT,"Extracorp shockwv tx,anesth",,30,1,1,$909.50 ,$0.00,1,0,1,20061001
0106T,CPT,Touch quant sensory test,,30,0,1,$6.60 ,$0.00,1,0,1,20061001
0107T,CPT,Vibrate quant sensory test,,30,0,1,$6.60 ,$0.00,1,0,1,20061001
0108T,CPT,Cool quant sensory test,,30,0,1,$6.60 ,$0.00,1,0,1,20061001
0109T,CPT,Heat quant sensory test,,30,0,1,$6.60 ,$0.00,1,0,1,20061001
0110T,CPT,Nos quant sensory test,,30,0,1,$6.60 ,$0.00,1,0,1,20061001
0120T,CPT,"Fibroadenoma cryoablate, ea",,30,1,1,"$2,004.71 ",$0.00,1,0,1,20061001
0123T,CPT,Scleral fistulization,,30,1,1,"$1,404.21 ",$0.00,1,0,1,20061001
0124T,CPT,Conjunctival drug placement,,30,1,1,$440.67 ,$0.00,1,0,1,20061001
0133T,CPT,Esophageal Implant Injexn,,30,1,1,"$1,872.50 ",$0.00,1,0,1,20061001
0135T,CPT,Perq cryoablate renal tumor,,30,1,1,"$2,139.31 ",$0.00,1,0,1,20061001
0137T,CPT,Prostate Saturation Sampling,,30,1,1,$282.93 ,$0.00,1,0,1,20061001
0144T,CPT,Ct Heart Wo Dye; Qual Calc,,30,0,1,$267.69 ,$0.00,1,0,1,20061001
0145T,CPT,Ct Heart W/Wo Dye Funct,,30,0,1,$320.40 ,$0.00,1,0,1,20061001
0146T,CPT,Ccta W/Wo Dye,,30,0,1,$320.40 ,$0.00,1,0,1,20061001
0147T,CPT,"Ccta W/Wo, Quan Calcium",,30,0,1,$320.40 ,$0.00,1,0,1,20061001
0148T,CPT,"Ccta W/Wo, Strxr",,30,0,1,$424.91 ,$0.00,1,0,1,20061001
0149T,CPT,"Ccta W/Wo, Strxr Quan Calc",,30,0,1,$424.91 ,$0.00,1,0,1,20061001
0150T,CPT,"Ccta W/Wo, Disease Strxr",,30,0,1,$267.69 ,$0.00,1,0,1,20061001
0151T,CPT,Ct Heart Funct Add-On,,30,0,1,$101.46 ,$0.00,1,0,1,20061001
0154T,CPT,Implant Aneur Sensor Study,,30,0,1,$65.03 ,$0.00,1,0,1,20061001
0155T,CPT,Lap ins gastr eltrd for mo ,,30,1,,"1,896.93",$0.00,1,0,1,20061001
0156T,CPT,Lap redo gastr eltrd for mo ,,30,1,,"1,896.93",$0.00,1,0,1,20061001
0159T,CPT,Computer Breast MRI Add-On,,30,0,,$49.42 ,$0.00,1,0,1,20061001
0160T,CPT,Transcran mag stim planning ,,30,0,,36.52,$0.00,1,0,1,20061001
0161T,CPT,Transcran mag stim delivery ,,30,0,,36.52,$0.00,1,0,1,20061001
97605,CPT,Negative pressure wound therapy less than or equal to 50 square cm,,30,1,1,$53.99 ,$0.00,1,0,1,20061001
97606,CPT,Negative pressure wound therapy greater than 50 square cm,,30,1,1,$67.52 ,$0.00,1,0,1,20061001
A0380,HCPCS,Basic Life Support Mileage (Per Mile),,30,0,,$11.63 ,$0.00,4,1,1,20061001
A0390,HCPCS,Advanced Life Support Mileage (Per Mile),,30,0,,$10.74 ,$0.00,4,1,1,20061001
A0425,HCPCS,"Ground Mileage, Per Statute Mile",,30,0,,$11.83 ,$0.00,4,1,1,20061001
A0426,HCPCS,"Ambulance Service, Advanced Life Support, Non-Emergency Transport, Level 1 (ALS 1)",,30,0,,$742.81 ,$0.00,1,1,1,20061001
A0427,HCPCS,"Ambulance Service, Advanced Life Support, Emergency Transport, Level 1 (ALS1-Emergency)",,30,0,,$813.86 ,$0.00,1,1,1,20061001
A0428,HCPCS,"Ambulance Service, Basic Life Support, Non-Emergency Transport, (BLS)",,30,0,,$484.44 ,$0.00,1,1,1,20061001
A0429,HCPCS,"Ambulance Service, Basic Life Support, Emergency Transport (BLS-Emergency)",,30,0,,$542.57 ,$0.00,1,1,1,20061001
A0430,HCPCS,"Ambulance Service, Conventional Air Services, Transport, One Way (Fixed Wing)",,30,0,,"$5,232.43 ",$0.00,1,1,1,20061001
A0431,HCPCS,"Ambulance Service, Conventional Air Services, Transport, One Way (Rotary Wing)",,30,0,,"$6,253.75 ",$0.00,1,1,1,20061001
A0435,HCPCS,"Fixed Wing Air Mileage, Per Statute Mile",,30,0,,$49.10 ,$0.00,4,1,1,20061001
A0436,HCPCS,"Rotary Wing Air Mileage, Per Statute Mile",,30,0,,$75.17 ,$0.00,4,1,1,20061001
A4209,HCPCS,5+ CC sterile syringe&needle,,30,0,,$4.53 ,$0.00,1,0,1,20061001
A4221,HCPCS,Maint drug infus cath per wk,,30,0,,$61.43 ,$0.00,1,0,1,20061001
A4222,HCPCS,Drug infusion pump supplies,,30,0,,$90.44 ,$0.00,1,0,1,20061001
A4232,HCPCS,Syringe w/needle insulin 3cc,,30,0,,$0.55 ,$0.00,1,0,1,20061001
A4253,HCPCS,Blood glucose/reagent strips,,30,0,,$6.47 ,$0.00,1,0,1,20061001
A4259,HCPCS,Lancets per box,,30,0,,$3.24 ,$0.00,1,0,1,20061001
A4550,HCPCS,Surgical trays,,30,0,,$138.88 ,$0.00,1,0,1,20061001
A4554,HCPCS,Disposable underpads,,30,0,,$2.92 ,$0.00,1,0,1,20061001
A4556,HCPCS,"Electrodes, pair",,30,0,,$25.85 ,$0.00,1,0,1,20061001
A4590,HCPCS,Special casting material,,30,0,,$49.10 ,$0.00,1,0,1,20061001
A4624,HCPCS,Tracheal suction tube,,30,0,,$7.22 ,$0.00,1,0,1,20061001
A4628,HCPCS,Oropharyngeal suction cath,,30,0,,$12.02 ,$0.00,1,0,1,20061001
A4642,HCPCS,Satumomab pendetide per dose,,30,0,1,"$8,762.91 ",$0.00,1,0,1,20061001
A7000,HCPCS,Disposable canister for pump,,30,0,,$53.94 ,$0.00,1,0,1,20061001
A7002,HCPCS,Tubing used w suction pump,,30,0,,$31.01 ,$0.00,1,0,1,20061001
A7015,HCPCS,Aerosol mask used w nebulize,,30,0,,$2.03 ,$0.00,1,0,1,20061001
A9270,HCPCS,Non-covered item or service,,30,0,,$96.89 ,$0.00,1,0,1,20061001
A9300,HCPCS,Exercise equipment,,30,0,,$19.38 ,$0.00,1,0,1,20061001
A9500,HCPCS,Technetium TC 99m sestamibi,,30,0,1,$421.36 ,$0.00,1,0,1,20061001
A9502,HCPCS,Technetium TC99M tetrofosmin,,30,0,1,"$3,955.09 ",$0.00,1,0,1,20061001
A9505,HCPCS,Thallous chloride TL 201/mci,,30,0,1,$132.18 ,$0.00,1,0,1,20061001
A9507,HCPCS,Indium/111 capromab pendetid,,30,0,1,"$12,071.88 ",$0.00,1,0,1,20061001
A9508,HCPCS,"Iobenguane sulfate I-131, per 0.5 mCi",,30,0,1,$985.81 ,$0.00,1,0,1,20061001
A9517,HCPCS,Th I131 so iodide cap millic,,30,0,1,$32.59 ,$0.00,1,0,1,20061001
A9521,HCPCS,Technetiumtc-99m exametazine,,30,0,1,"$4,904.62 ",$0.00,1,0,1,20061001
A9524,HCPCS,"Iodinated I-131 serumalbumin, per 5uci",,30,0,1,$288.80 ,$0.00,1,0,1,20061001
A9526,HCPCS,"Ammonia N-13, per dose",,30,0,1,$117.56 ,$0.00,1,0,1,20061001
A9528,HCPCS,Dx I131 so iodide cap millic,,30,0,1,$32.59 ,$0.00,1,0,1,20061001
A9529,HCPCS,Dx I131 so iodide sol millic,,30,0,1,$38.60 ,$0.00,1,0,1,20061001
A9530,HCPCS,Th I131 so iodide sol millic,,30,0,1,$38.60 ,$0.00,1,0,1,20061001
A9535,HCPCS,"Injection, methylene blue",,30,0,1,$3.27 ,$0.00,1,0,1,20061001
A9600,HCPCS,Strontium-89 chloride,,30,0,1,"$5,305.48 ",$0.00,1,0,1,20061001
A9605,HCPCS,Samarium sm153 lexidronamm,,30,0,1,"$2,936.19 ",$0.00,1,0,1,20061001
C1178,HCPCS,"BUSULFAN IV, 6 mg",,30,0,1,$117.95 ,$0.00,1,0,1,20061001
C1300,HCPCS,HYPERBARIC Oxygen,,30,0,1,$497.89 ,$0.00,1,0,1,20061001
C1713,HCPCS,"Anchor/screw bn/bn,tis/bn",,30,0,2,$152.64 ,$0.00,1,0,0,20061001
C1721,HCPCS,"AICD, dual chamber",,30,0,2,"$13,743.31 ",$0.00,1,0,0,20061001
C1722,HCPCS,"AICD, single chamber",,30,0,2,"$12,183.28 ",$0.00,1,0,0,20061001
C1750,HCPCS,"Cath, hemodialysis,long-term",,30,0,2,$508.60 ,$0.00,1,0,0,20061001
C1752,HCPCS,"Cath,hemodialysis,short-term",,30,0,2,$549.20 ,$0.00,1,0,0,20061001
C1753,HCPCS,"Cath, intravas ultrasound",,30,0,2,$14.34 ,$0.00,1,0,0,20061001
C1755,HCPCS,"Catheter, intraspinal",,30,0,2,$14.25 ,$0.00,1,0,0,20061001
C1756,HCPCS,"Cath, pacing, transesoph",,30,0,2,$140.80 ,$0.00,1,0,0,20061001
C1758,HCPCS,"Catheter, ureteral",,30,0,2,$127.31 ,$0.00,1,0,0,20061001
C1760,HCPCS,"Closure dev, vasc",,30,0,2,"$1,038.66 ",$0.00,1,0,0,20061001
C1763,HCPCS,"Conn tiss, non-human",,30,0,2,$856.41 ,$0.00,1,0,0,20061001
C1764,HCPCS,"Event recorder, cardiac",,30,0,2,"$3,008.45 ",$0.00,1,0,0,20061001
C1767,HCPCS,"Generator, neurostim, imp",,30,0,2,"$5,880.24 ",$0.00,1,0,0,20061001
C1768,HCPCS,"Graft, vascular",,30,0,2,"$2,771.62 ",$0.00,1,0,0,20061001
C1769,HCPCS,Guide wire,,30,0,2,$544.75 ,$0.00,1,0,0,20061001
C1772,HCPCS,"Infusion pump, programmable",,30,0,2,"$14,625.08 ",$0.00,1,0,0,20061001
C1777,HCPCS,"Lead, AICD, endo single coil",,30,0,2,"$3,708.07 ",$0.00,1,0,0,20061001
C1778,HCPCS,"Lead, neurostimulator",,30,0,2,$48.67 ,$0.00,1,0,0,20061001
C1779,HCPCS,"Lead, pmkr, transvenous VDD",,30,0,2,"$1,727.20 ",$0.00,1,0,0,20061001
C1781,HCPCS,Mesh (implantable),,30,0,2,$491.32 ,$0.00,1,0,0,20061001
C1783,HCPCS,"Ocular imp, aqueous drain de",,30,0,2,$415.03 ,$0.00,1,0,0,20061001
C1784,HCPCS,"Ocular dev, intraop, det ret",,30,0,2,$0.95 ,$0.00,1,0,0,20061001
C1785,HCPCS,"Pmkr, dual, rate-resp",,30,0,2,"$6,128.16 ",$0.00,1,0,0,20061001
C1786,HCPCS,"Pmkr, single, rate-resp",,30,0,2,"$4,594.55 ",$0.00,1,0,0,20061001
C1787,HCPCS,"Patient progr, neurostim",,30,0,2,"$31,545.40 ",$0.00,1,0,0,20061001
C1788,HCPCS,"Port, indwelling, imp",,30,0,2,$14.34 ,$0.00,1,0,0,20061001
C1789,HCPCS,"Prosthesis, breast, imp",,30,0,2,$255.46 ,$0.00,1,0,0,20061001
C1813,HCPCS,"Prosthesis, penile, inflatab",,30,0,2,"$2,073.50 ",$0.00,1,0,0,20061001
C1815,HCPCS,"Pros, urinary sph, imp",,30,0,2,"$1,187.48 ",$0.00,1,0,0,20061001
C1874,HCPCS,"Stent, coated/cov w/del sys",,30,0,2,"$1,819.69 ",$0.00,1,0,0,20061001
C1875,HCPCS,"Stent, coated/cov w/o del sy",,30,0,2,"$1,811.45 ",$0.00,1,0,0,20061001
C1876,HCPCS,"Stent, non-coa/non-cov w/del",,30,0,2,"$1,557.79 ",$0.00,1,0,0,20061001
C1877,HCPCS,"Stent, non-coat/cov w/o del",,30,0,2,$813.91 ,$0.00,1,0,0,20061001
C1878,HCPCS,Matrl for vocal cord,,30,0,2,$229.82 ,$0.00,1,0,0,20061001
C1879,HCPCS,"Tissue marker, implantable",,30,0,2,$640.13 ,$0.00,1,0,0,20061001
C1880,HCPCS,Vena cava filter,,30,0,2,"$1,308.76 ",$0.00,1,0,0,20061001
C1882,HCPCS,"AICD, other than sing/dual",,30,0,2,"$8,896.25 ",$0.00,1,0,0,20061001
C1887,HCPCS,"Catheter, guiding",,30,0,2,$33.23 ,$0.00,1,0,0,20061001
C1891,HCPCS,"Infusion pump,non-prog, perm",,30,0,2,$14.25 ,$0.00,1,0,0,20061001
C1895,HCPCS,"Lead, AICD, endo dual coil",,30,0,2,"$6,735.01 ",$0.00,1,0,0,20061001
C1896,HCPCS,"Lead, AICD, non sing/dual",,30,0,2,"$1,203.95 ",$0.00,1,0,0,20061001
C1897,HCPCS,"Lead, neurostim test kit",,30,0,2,$14.34 ,$0.00,1,0,0,20061001
C1898,HCPCS,"Lead, pmkr, other than trans",,30,0,2,"$1,065.72 ",$0.00,1,0,0,20061001
C1899,HCPCS,"Lead, pmkr/AICD combination",,30,0,2,$433.61 ,$0.00,1,0,0,20061001
C1900,HCPCS,Lead coronary venous,,30,0,2,"$1,258.97 ",$0.00,1,0,0,20061001
C2617,HCPCS,"Stent, non-cor, tem w/o del",,30,0,2,$70.77 ,$0.00,1,0,0,20061001
C2619,HCPCS,"Pmkr, dual, non rate-resp",,30,0,2,"$1,464.55 ",$0.00,1,0,0,20061001
C2620,HCPCS,"Pmkr, single, non rate-resp",,30,0,2,"$6,316.84 ",$0.00,1,0,0,20061001
C2621,HCPCS,"Pmkr, other than sing/dual",,30,0,2,"$6,924.02 ",$0.00,1,0,0,20061001
C2622,HCPCS,"Prosthesis, penile, non-inf",,30,0,2,"$1,199.36 ",$0.00,1,0,0,20061001
C2625,HCPCS,"Stent, non-cor, tem w/del sy",,30,0,2,"$1,764.26 ",$0.00,1,0,0,20061001
C2628,HCPCS,"Catheter, occlusion",,30,0,2,$18.42 ,$0.00,1,0,0,20061001
C8900,HCPCS,"MRA w/cont, abd",,30,0,1,"$2,308.33 ",$0.00,1,0,1,20061001
C8901,HCPCS,"MRA w/o cont, abd",,30,0,1,"$2,210.11 ",$0.00,1,0,1,20061001
C8902,HCPCS,"MRA w/o fol w/cont, abd",,30,0,1,"$3,333.24 ",$0.00,1,0,1,20061001
C8903,HCPCS,"MRI w/cont, breast,  uni",,30,0,1,"$2,308.33 ",$0.00,1,0,1,20061001
C8904,HCPCS,"MRI w/o cont, breast, uni",,30,0,1,"$2,210.11 ",$0.00,1,0,1,20061001
C8905,HCPCS,"MRI w/o fol w/cont, brst, un",,30,0,1,"$3,333.24 ",$0.00,1,0,1,20061001
C8906,HCPCS,"MRI w/cont, breast,  bi",,30,0,1,"$2,308.33 ",$0.00,1,0,1,20061001
C8907,HCPCS,"MRI w/o cont, breast, bi",,30,0,1,"$2,210.11 ",$0.00,1,0,1,20061001
C8908,HCPCS,"MRI w/o fol w/cont, breast,",,30,0,1,"$3,333.24 ",$0.00,1,0,1,20061001
C8909,HCPCS,"MRA w/cont, chest",,30,0,1,"$2,308.33 ",$0.00,1,0,1,20061001
C8910,HCPCS,"MRA w/o cont, chest",,30,0,1,"$2,210.11 ",$0.00,1,0,1,20061001
C8911,HCPCS,"MRA w/o fol w/cont, chest",,30,0,1,"$3,333.24 ",$0.00,1,0,1,20061001
C8912,HCPCS,"MRA w/cont, lwr ext",,30,0,1,"$2,308.33 ",$0.00,1,0,1,20061001
C8913,HCPCS,"MRA w/o cont, lwr ext",,30,0,1,"$2,210.11 ",$0.00,1,0,1,20061001
C8914,HCPCS,"MRA w/o fol w/cont, lwr ext",,30,0,1,"$3,333.24 ",$0.00,1,0,1,20061001
C8918,HCPCS,"MRA w/cont, pelvis",,30,0,1,"$2,308.33 ",$0.00,1,0,1,20061001
C8919,HCPCS,"MRA w/o cont, pelvis",,30,0,1,"$2,210.11 ",$0.00,1,0,1,20061001
C8920,HCPCS,"MRA w/o fol w/cont, pelvis",,30,0,1,"$3,333.24 ",$0.00,1,0,1,20061001
C8950,HCPCS,"IV inf, tx/dx, up to 1 hr",,30,0,1,$129.23 ,$0.00,1,0,0,20061001
C8951,HCPCS,"IV inf, tx/dx, each addl hr",,30,0,2,$70.46 ,$0.00,1,0,0,20061001
C8952,HCPCS,"Tx, prophy, dx IV push",,30,0,1,$51.17 ,$0.00,1,0,0,20061001
C8953,HCPCS,"Chemotx adm, IV push",,30,0,1,$73.16 ,$0.00,1,0,0,20061001
C8954,HCPCS,"Chemotx adm, IV inf up to 1h",,30,0,1,$202.28 ,$0.00,1,0,0,20061001
C8955,HCPCS,"Chemotx adm, IV inf, addl hr",,30,0,2,$168.92 ,$0.00,1,0,0,20061001
C8957,HCPCS,"Prolonged IV inf, req pump",,30,0,1,$129.23 ,$0.00,1,0,0,20061001
C9003,HCPCS,"Palivizumab, per 50 mg",,30,0,1,"$2,988.84 ",$0.00,1,0,1,20061001
C9113,HCPCS,"Inj pantoprazole sodium, via",,30,0,2,$98.31 ,$0.00,1,0,1,20061001
C9121,HCPCS,"Injection, argatroban",,30,0,1,$61.93 ,$0.00,1,0,1,20061001
C9220,HCPCS,Sodium hyaluronate,,30,0,1,$255.05 ,$0.00,1,0,0,20061001
C9221,HCPCS,Graftjacket Reg Matrix,,30,0,1,"$1,143.57 ",$0.00,1,0,0,20061001
C9222,HCPCS,Graftjacket SftTis,,30,0,1,$795.42 ,$0.00,1,0,0,20061001
C9224,HCPCS,"Injection, galsulfase",,30,0,1,"$1,628.71 ",$0.00,1,0,0,20061001
C9225,HCPCS,Fluocinolone acetonide,,30,0,1,"$20,699.15 ",$0.00,1,0,0,20061001
C9227,HCPCS,"Injection, micafungin sodium",,30,0,1,$2.12 ,$0.00,1,0,0,20061001
C9228,HCPCS,"Injection, tigecycline",,30,0,1,$1.03 ,$0.00,1,0,0,20061001
C9716,HCPCS,Radiofrequency energy to anu,,30,0,1,"$1,872.50 ",$0.00,1,0,0,20061001
C9723,HCPCS,Dyn IR Perf Img,,30,0,1,$80.25 ,$0.00,1,0,0,20061001
C9724,HCPCS,EPS gast cardia plic,,30,1,1,"$1,531.59 ",$0.00,1,0,0,20061001
C9725,HCPCS,Place endorectal app,,30,0,1,$588.50 ,$0.00,1,0,0,20061001
D0150,HCPCS,Comprehensve oral evaluation,,30,0,1,$153.30 ,$0.00,1,0,1,20061001
D0240,HCPCS,Intraoral occlusal film,,30,0,1,$153.30 ,$0.00,1,0,1,20061001
D0250,HCPCS,Extraoral first film,,30,0,1,$153.30 ,$0.00,1,0,1,20061001
D0260,HCPCS,Extraoral ea additional film,,30,0,1,$153.30 ,$0.00,1,0,1,20061001
D0270,HCPCS,Dental bitewing single film,,30,0,1,$153.30 ,$0.00,1,0,1,20061001
D0272,HCPCS,Dental bitewings two films,,30,0,1,$153.30 ,$0.00,1,0,1,20061001
D0274,HCPCS,Dental bitewings four films,,30,0,1,$153.30 ,$0.00,1,0,1,20061001
D0277,HCPCS,Vert bitewings-sev to eight,,30,0,1,$153.30 ,$0.00,1,0,1,20061001
D0460,HCPCS,Pulp vitality test,,30,0,1,$153.30 ,$0.00,1,0,1,20061001
D0472,HCPCS,"Gross exam, prep & report",,30,0,,$153.30 ,$0.00,1,0,1,20061001
D0473,HCPCS,"Micro exam, prep & report",,30,0,,$153.30 ,$0.00,1,0,1,20061001
D0474,HCPCS,Micro w exam of surg margins,,30,0,,$153.30 ,$0.00,1,0,1,20061001
D0475,HCPCS,Decalcification procedure,,30,0,,$9.91 ,$0.00,1,0,1,20061001
D0476,HCPCS,Spec stains for microorganis,,30,0,,$16.40 ,$0.00,1,0,1,20061001
D0477,HCPCS,Spec stains not for microorg,,30,0,,$16.40 ,$0.00,1,0,1,20061001
D0478,HCPCS,Immunohistochemical stains,,30,0,,$30.39 ,$0.00,1,0,1,20061001
D0479,HCPCS,Tissue in-situ hybridization,,30,0,,$50.78 ,$0.00,1,0,1,20061001
D0480,HCPCS,Cytopath smear prep & report,,30,0,,$153.30 ,$0.00,1,0,1,20061001
D0481,HCPCS,Electron microscopy diagnost,,30,0,,$214.47 ,$0.00,1,0,1,20061001
D0482,HCPCS,Direct immunofluorescence,,30,0,,$30.39 ,$0.00,1,0,1,20061001
D0483,HCPCS,Indirect immunofluorescence,,30,0,,$30.39 ,$0.00,1,0,1,20061001
D0484,HCPCS,Consult slides prep elsewher,,30,0,,$16.40 ,$0.00,1,0,1,20061001
D0485,HCPCS,Consult inc prep of slides,,30,0,,$30.39 ,$0.00,1,0,1,20061001
D0502,HCPCS,Other oral pathology procedu,,30,0,,$153.30 ,$0.00,1,0,1,20061001
D0999,HCPCS,Unspecified diagnostic proce,,30,0,,$153.30 ,$0.00,1,0,1,20061001
D1510,HCPCS,Space maintainer fxd unilat,,30,0,1,$153.30 ,$0.00,1,0,1,20061001
D1515,HCPCS,Fixed bilat space maintainer,,30,0,1,$153.30 ,$0.00,1,0,1,20061001
D1520,HCPCS,Remove unilat space maintain,,30,0,1,$153.30 ,$0.00,1,0,1,20061001
D1525,HCPCS,Remove bilat space maintain,,30,0,1,$153.30 ,$0.00,1,0,1,20061001
D1550,HCPCS,Recement space maintainer,,30,0,1,$153.30 ,$0.00,1,0,1,20061001
D2999,HCPCS,Dental unspec restorative pr,,30,0,1,$153.30 ,$0.00,1,0,1,20061001
D3460,HCPCS,Endodontic endosseous implan,,30,0,1,$153.30 ,$0.00,1,0,1,20061001
D3999,HCPCS,Endodontic procedure,,30,0,1,$153.30 ,$0.00,1,0,1,20061001
D4260,HCPCS,Osseous surgery per quadrant,,30,0,1,$153.30 ,$0.00,1,0,1,20061001
D4263,HCPCS,Bone replce graft first site,,30,0,1,$153.30 ,$0.00,1,0,1,20061001
D4264,HCPCS,Bone replce graft each add,,30,0,1,$153.30 ,$0.00,1,0,1,20061001
D4268,HCPCS,Surgical revision procedure,,30,0,1,$153.30 ,$0.00,1,0,1,20061001
D4270,HCPCS,Pedicle soft tissue graft pr,,30,0,1,$153.30 ,$0.00,1,0,1,20061001
D4271,HCPCS,Free soft tissue graft proc,,30,0,1,$153.30 ,$0.00,1,0,1,20061001
D4273,HCPCS,Subepithelial tissue graft,,30,0,1,$153.30 ,$0.00,1,0,1,20061001
D4355,HCPCS,Full mouth debridement,,30,0,1,$153.30 ,$0.00,1,0,1,20061001
D4381,HCPCS,Localized chemo delivery,,30,0,1,$153.30 ,$0.00,1,0,1,20061001
D5911,HCPCS,Facial moulage sectional,,30,0,1,$153.30 ,$0.00,1,0,1,20061001
D5912,HCPCS,Facial moulage complete,,30,0,1,$153.30 ,$0.00,1,0,1,20061001
D5983,HCPCS,Radiation applicator,,30,0,1,$153.30 ,$0.00,1,0,1,20061001
D5984,HCPCS,Radiation shield,,30,0,1,$153.30 ,$0.00,1,0,1,20061001
D5985,HCPCS,Radiation cone locator,,30,0,1,$153.30 ,$0.00,1,0,1,20061001
D5987,HCPCS,Commissure splint,,30,0,1,$153.30 ,$0.00,1,0,1,20061001
D6190,HCPCS,Radio/surgical implant index,,30,0,,$47.97 ,$0.00,1,0,1,20061001
D6920,HCPCS,Dental connector bar,,30,0,1,$153.30 ,$0.00,1,0,1,20061001
D7111,HCPCS,Coronal remnants deciduous t,,30,0,1,$153.30 ,$0.00,1,0,1,20061001
D7140,HCPCS,Extraction erupted tooth/exr,,30,0,1,$153.30 ,$0.00,1,0,1,20061001
D7210,HCPCS,Rem imp tooth w mucoper flp,,30,0,1,$153.30 ,$0.00,1,0,1,20061001
D7220,HCPCS,Impact tooth remov soft tiss,,30,0,1,$153.30 ,$0.00,1,0,1,20061001
D7230,HCPCS,Impact tooth remov part bony,,30,0,1,$153.30 ,$0.00,1,0,1,20061001
D7240,HCPCS,Impact tooth remov comp bony,,30,0,1,$153.30 ,$0.00,1,0,1,20061001
D7241,HCPCS,Impact tooth rem bony w/comp,,30,0,1,$153.30 ,$0.00,1,0,1,20061001
D7250,HCPCS,Tooth root removal,,30,0,1,$153.30 ,$0.00,1,0,1,20061001
D7260,HCPCS,Oral antral fistula closure,,30,0,1,$153.30 ,$0.00,1,0,1,20061001
D7261,HCPCS,Primary closure sinus perf,,30,0,1,$153.30 ,$0.00,1,0,1,20061001
D7288,HCPCS,Brush biopsy,,30,0,,$132.39 ,$0.00,1,0,1,20061001
D7291,HCPCS,Transseptal fiberotomy,,30,0,1,$153.30 ,$0.00,1,0,1,20061001
D7311,HCPCS,Alveoloplasty w/extract 1-3,,30,0,,"$1,486.09 ",$0.00,1,0,1,20061001
D7321,HCPCS,Alveoloplasty not w/extracts,,30,0,,"$1,486.09 ",$0.00,1,0,1,20061001
D7511,HCPCS,Incision/drain abscess intra,,30,0,,"$1,024.57 ",$0.00,1,0,1,20061001
D7521,HCPCS,Incision/drain abscess extra,,30,0,,$127.65 ,$0.00,1,0,1,20061001
D7940,HCPCS,Reshaping bone orthognathic,,30,0,1,$153.30 ,$0.00,1,0,1,20061001
D7953,HCPCS,Bone replacement graft,,30,0,,$475.95 ,$0.00,1,0,1,20061001
D7963,HCPCS,Frenuloplasty,,30,0,,$499.56 ,$0.00,1,0,1,20061001
D9630,HCPCS,Other drugs/medicaments,,30,0,1,$153.30 ,$0.00,1,0,1,20061001
D9930,HCPCS,Treatment of complications,,30,0,1,$153.30 ,$0.00,1,0,1,20061001
D9940,HCPCS,Dental occlusal guard,,30,0,1,$153.30 ,$0.00,1,0,1,20061001
D9950,HCPCS,Occlusion analysis,,30,0,1,$153.30 ,$0.00,1,0,1,20061001
D9951,HCPCS,Limited occlusal adjustment,,30,0,1,$153.30 ,$0.00,1,0,1,20061001
D9952,HCPCS,Complete occlusal adjustment,,30,0,1,$153.30 ,$0.00,1,0,1,20061001
G0008,HCPCS,Admin influenza virus vac,,30,0,1,$17.93 ,$0.00,1,0,1,20061001
G0009,HCPCS,Admin pneumococcal vaccine,,30,0,1,$19.38 ,$0.00,1,0,1,20061001
G0010,HCPCS,Admin hepatitis b vaccine,,30,0,,$79.25 ,$0.00,1,0,1,20061001
G0101,HCPCS,CA screen;pelvic/breast exam,,30,0,1,$103.43 ,$0.00,1,0,1,20061001
G0104,HCPCS,CA screen;flexi sigmoidscope,,30,0,1,$838.18 ,$0.00,1,0,1,20061001
G0105,HCPCS,Colorectal scrn; hi risk ind,,30,1,1,"$2,235.53 ",$0.00,1,0,1,20061001
G0106,HCPCS,Colon CA screen;barium enema,,30,0,1,$773.97 ,$0.00,1,0,1,20061001
G0117,HCPCS,Glaucoma scrn hgh risk direc,,30,0,1,$203.28 ,$0.00,1,0,1,20061001
G0118,HCPCS,Glaucoma scrn hgh risk direc,,30,0,1,$203.28 ,$0.00,1,0,1,20061001
G0120,HCPCS,Colon ca scrn; barium enema,,30,0,1,$773.97 ,$0.00,1,0,1,20061001
G0121,HCPCS,Colon ca scrn not hi rsk ind,,30,1,1,"$2,235.53 ",$0.00,1,0,1,20061001
G0127,HCPCS,Trim nail(s),,30,1,1,$200.16 ,$0.00,1,0,1,20061001
G0128,HCPCS,CORF skilled nursing service,,30,0,,$38.76 ,$0.00,1,0,1,20061001
G0130,HCPCS,Single energy x-ray study,,30,0,1,$231.26 ,$0.00,1,0,1,20061001
G0166,HCPCS,"Extrnl counterpulse, per tx",,30,1,1,$551.18 ,$0.00,1,0,1,20061001
G0168,HCPCS,Wound closure by adhesive,,30,0,,$190.09 ,$0.00,1,0,1,20061001
G0173,HCPCS,"Stereo radoisurgery,complete",,30,0,1,"$24,180.13 ",$0.00,1,0,1,20061001
G0175,HCPCS,"OPPS Service,sched team conf",,30,0,1,$168.37 ,$0.00,1,0,1,20061001
G0179,HCPCS,MD recertification HHA PT,,30,0,,$96.89 ,$0.00,1,0,1,20061001
G0186,HCPCS,"Dstry eye lesn,fdr vssl tech",,30,1,1,"$1,528.76 ",$0.00,1,0,1,20061001
G0204,HCPCS,Diagnosticmammographydigital,,30,0,,$292.21 ,$0.00,1,0,1,20061001
G0206,HCPCS,Diagnosticmammographydigital,,30,0,,$292.21 ,$0.00,1,0,1,20061001
G0219,HCPCS,PET img wholbod melano nonco,,30,0,,"$1,230.50 ",$0.00,1,0,1,20061001
G0235,HCPCS,PET not otherwise specified,,30,0,,"$1,230.50 ",$0.00,1,0,1,20061001
G0237,HCPCS,Therapeutic procd strg endur,,30,0,1,$116.53 ,$0.00,1,0,1,20061001
G0238,HCPCS,"Oth resp proc, indiv",,30,0,1,$116.53 ,$0.00,1,0,1,20061001
G0239,HCPCS,"Oth resp proc, group",,30,0,1,$116.53 ,$0.00,1,0,1,20061001
G0243,HCPCS,Multisour photon stero treat,,30,0,1,"$24,180.13 ",$0.00,1,0,1,20061001
G0245,HCPCS,Initial Foot Exam PTLOPS,,30,0,1,$103.43 ,$0.00,1,0,1,20061001
G0246,HCPCS,Followup eval of foot pt lop,,30,0,1,$103.43 ,$0.00,1,0,1,20061001
G0247,HCPCS,Routine footcare pt w lops,,30,1,1,$200.16 ,$0.00,1,0,1,20061001
G0248,HCPCS,Demonstrate use home inr mon,,30,0,1,$733.49 ,$0.00,1,0,1,20061001
G0249,HCPCS,"Provide test material,equipm",,30,0,1,$733.49 ,$0.00,1,0,1,20061001
G0251,HCPCS,Linear acc based stero radio,,30,0,1,"$5,623.27 ",$0.00,1,0,1,20061001
G0257,HCPCS,Unsched dialysis ESRD pt hos,,30,0,1,"$1,590.82 ",$0.00,1,0,1,20061001
G0259,HCPCS,Inject for sacroiliac joint,,30,0,2,$5.89 ,$0.00,1,0,1,20061001
G0260,HCPCS,Inj for sacroiliac jt anesth,,30,1,1,$652.45 ,$0.00,1,0,1,20061001
G0267,HCPCS,Bone marrow or psc harvest,,30,0,1,"$1,104.91 ",$0.00,1,0,1,20061001
G0268,HCPCS,Removal of impacted wax md,,30,0,1,$190.09 ,$0.00,1,0,1,20061001
G0288,HCPCS,"Recon, CTA for pre & post sug",,30,0,1,"$2,200.43 ",$0.00,1,0,1,20061001
G0290,HCPCS,"Drug-eluting stents, single",,30,1,1,"$24,883.56 ",$0.00,1,0,1,20061001
G0291,HCPCS,"Drug-eluting stents,each add",,30,1,1,"$24,883.56 ",$0.00,1,0,1,20061001
G0293,HCPCS,"Non-cov surg proc,clin trial",,30,0,1,"$1,711.44 ",$0.00,1,0,1,20061001
G0294,HCPCS,"Non-cov proc, clinical trial",,30,0,1,$366.75 ,$0.00,1,0,1,20061001
G0297,HCPCS,Insert single chamber/cd,,30,1,1,"$40,898.71 ",$0.00,1,0,1,20061001
G0298,HCPCS,Insert dual chamber/cd,,30,1,1,"$40,898.71 ",$0.00,1,0,1,20061001
G0299,HCPCS,Inser/repos single icd+leads,,30,1,1,"$54,918.89 ",$0.00,1,0,1,20061001
G0300,HCPCS,Insert reposit lead dual+gen,,30,1,1,"$54,918.89 ",$0.00,1,0,1,20061001
G0302,HCPCS,Pre-op service LVRS complete,,30,0,1,"$3,667.37 ",$0.00,1,0,1,20061001
G0303,HCPCS,Pre-op service LVRS 10-15dos,,30,0,1,"$2,689.40 ",$0.00,1,0,1,20061001
G0304,HCPCS,Pre-op service LVRS 1-9 dos,,30,0,1,"$1,222.46 ",$0.00,1,0,1,20061001
G0305,HCPCS,Post op service LVRS min 6,,30,0,1,"$1,222.46 ",$0.00,1,0,1,20061001
G0332,HCPCS,Preadmin IV immunoglobulin,,30,0,1,$80.25 ,$0.00,1,0,1,20061001
G0339,HCPCS,"Robot lin-radsurg com, first",,30,0,1,"$24,180.13 ",$0.00,1,0,1,20061001
G0340,HCPCS,Robt lin-radsurg fractx 2-5,,30,0,1,"$18,336.76 ",$0.00,1,0,1,20061001
G0344,HCPCS,Initial preventive exam,,30,0,1,$60.04 ,$0.00,1,0,1,20061001
G0364,HCPCS,Bone marrow aspirate &biopsy,,30,0,1,$12.61 ,$0.00,1,0,1,20061001
G0365,HCPCS,Vessel mapping hemo access,,30,0,1,$147.86 ,$0.00,1,0,1,20061001
G0367,HCPCS,EKG tracing for initial prev,,30,0,1,$23.25 ,$0.00,1,0,1,20061001
G0375,HCPCS,Smoke/tobacco counselng 3-10,,30,0,1,$5.35 ,$0.00,1,0,1,20061001
G0376,HCPCS,Smoke/tobacco counseling >10,,30,0,1,$5.35 ,$0.00,1,0,1,20061001
G0378,HCPCS,Hospital observation per hr,,30,0,1,$454.84 ,$0.00,1,0,1,20061001
G0379,HCPCS,Direct admit hospital observ,,30,0,1,$56.04 ,$0.00,1,0,1,20061001
G3001,HCPCS,"Admin + supply, tositumomab",,30,0,1,"$11,002.06 ",$0.00,1,0,1,20061001
G9016,HCPCS,Demo-smoking cessation coun,,30,0,,$26.75 ,$0.00,1,0,1,20061001
J0128,HCPCS,Abarelix injection,,30,0,1,$72.36 ,$0.00,1,0,1,20061001
J0130,HCPCS,Abciximab injection,,30,0,1,"$2,010.91 ",$0.00,1,0,0,20061001
J0133,HCPCS,Acyclovir injection,,30,0,2,$0.50 ,$0.00,1,0,1,20061001
J0135,HCPCS,Adalimumab injection,,30,0,1,$664.09 ,$0.00,1,0,1,20061001
J0150,HCPCS,Injection adenosine 6 MG,,30,0,1,$81.95 ,$0.00,1,0,0,20061001
J0152,HCPCS,Adenosine injection,,30,0,1,$239.97 ,$0.00,1,0,0,20061001
J0180,HCPCS,Agalsidase beta injection,,30,0,1,$129.62 ,$0.00,1,0,1,20061001
J0205,HCPCS,Alglucerase injection,,30,0,1,$157.13 ,$0.00,1,0,0,20061001
J0207,HCPCS,Amifostine,,30,0,1,"$1,775.52 ",$0.00,1,0,0,20061001
J0215,HCPCS,Alefacept,,30,0,1,$28.42 ,$0.00,1,0,1,20061001
J0256,HCPCS,Alpha 1 proteinase inhibitor,,30,0,1,$14.52 ,$0.00,1,0,0,20061001
J0287,HCPCS,Amphotericin b lipid complex,,30,0,1,$88.28 ,$0.00,1,0,0,20061001
J0288,HCPCS,Ampho b cholesteryl sulfate,,30,0,1,$88.28 ,$0.00,1,0,0,20061001
J0289,HCPCS,Amphotericin b liposome inj,,30,0,1,$88.28 ,$0.00,1,0,0,20061001
J0350,HCPCS,Injection anistreplase 30 u,,30,0,1,"$10,558.97 ",$0.00,1,0,0,20061001
J0395,HCPCS,Arbutamine HCl injection,,30,0,1,$72.85 ,$0.00,1,0,1,20061001
J0520,HCPCS,INJ BETHANCHOL CHLORID MYTONCHOL/URECHOLN UP 5MG,,30,0,2,$5.72 ,$0.00,1,0,1,20061001
J0583,HCPCS,Bivalirudin,,30,0,2,$6.82 ,$0.00,1,0,0,20061001
J0585,HCPCS,Botulinum toxin a per unit,,30,0,1,$9.05 ,$0.00,1,0,0,20061001
J0587,HCPCS,Botulinum toxin type B,,30,0,1,$34.45 ,$0.00,1,0,0,20061001
J0595,HCPCS,Butorphanol tartrate 1 mg,,30,0,2,$5.35 ,$0.00,1,0,1,20061001
J0637,HCPCS,Caspofungin acetate,,30,0,1,$129.15 ,$0.00,1,0,0,20061001
J0850,HCPCS,Cytomegalovirus imm IV /vial,,30,0,1,"$2,791.14 ",$0.00,1,0,0,20061001
J0878,HCPCS,Daptomycin injection,,30,0,1,$0.30 ,$0.00,1,0,1,20061001
J1190,HCPCS,Dexrazoxane HCl injection,,30,0,1,$475.97 ,$0.00,1,0,0,20061001
J1245,HCPCS,Dipyridamole injection,,30,0,2,$58.32 ,$0.00,1,0,0,20061001
J1327,HCPCS,Eptifibatide injection,,30,0,1,$50.28 ,$0.00,1,0,0,20061001
J1330,HCPCS,Ergonovine maleate injection,,30,0,1,$35.43 ,$0.00,1,0,1,20061001
J1335,HCPCS,Ertapenem injection,,30,0,2,$93.06 ,$0.00,1,0,0,20061001
J1438,HCPCS,Etanercept injection,,30,0,1,$608.20 ,$0.00,1,0,0,20061001
J1440,HCPCS,Filgrastim 300 mcg injection,,30,0,1,$728.67 ,$0.00,1,0,0,20061001
J1441,HCPCS,Filgrastim 480 mcg injection,,30,0,1,"$1,231.07 ",$0.00,1,0,0,20061001
J1457,HCPCS,Gallium nitrate injection,,30,0,1,$0.25 ,$0.00,1,0,1,20061001
J1565,HCPCS,RSV-ivig,,30,0,1,$70.04 ,$0.00,1,0,0,20061001
J1570,HCPCS,Ganciclovir sodium injection,,30,0,2,$136.64 ,$0.00,1,0,0,20061001
J1595,HCPCS,Injection glatiramer acetate,,30,0,2,$704.65 ,$0.00,1,0,1,20061001
J1626,HCPCS,Granisetron HCl injection,,30,0,1,$66.09 ,$0.00,1,0,0,20061001
J1745,HCPCS,Infliximab injection,,30,0,1,$134.18 ,$0.00,1,0,0,20061001
J1785,HCPCS,Injection imiglucerase /unit,,30,0,1,$5.25 ,$0.00,1,0,0,20061001
J1825,HCPCS,Interferon beta-1a,,30,0,,$523.74 ,$0.00,1,0,0,20061001
J1830,HCPCS,Interferon beta-1b / .25 MG,,30,0,1,$284.45 ,$0.00,1,0,0,20061001
J1931,HCPCS,Laronidase injection,,30,0,1,$24.34 ,$0.00,1,0,1,20061001
J1950,HCPCS,Leuprolide acetate /3.75 MG,,30,0,1,"$2,027.77 ",$0.00,1,0,0,20061001
J2001,HCPCS,INJECTION LIDO HCL IV INFUS 10 MG,,30,0,2,$1.05 ,$0.00,1,0,1,20061001
J2020,HCPCS,Linezolid injection,,30,0,1,$144.27 ,$0.00,1,0,0,20061001
J2185,HCPCS,Meropenem,,30,0,2,$38.80 ,$0.00,1,0,1,20061001
J2260,HCPCS,Inj milrinone lactate / 5 MG,,30,0,2,$43.37 ,$0.00,1,0,0,20061001
J2280,HCPCS,"Inj, moxifloxacin 100 mg",,30,0,2,$9.37 ,$0.00,1,0,1,20061001
J2353,HCPCS,"Octreotide injection, depot",,30,0,1,$311.54 ,$0.00,1,0,0,20061001
J2354,HCPCS,"Octreotide inj, non-depot",,30,0,2,$16.70 ,$0.00,1,0,0,20061001
J2355,HCPCS,Oprelvekin injection,,30,0,1,"$1,050.10 ",$0.00,1,0,0,20061001
J2357,HCPCS,Omalizumab injection,,30,0,1,$16.31 ,$0.00,1,0,1,20061001
J2430,HCPCS,Pamidronate disodium /30 MG,,30,0,1,$517.64 ,$0.00,1,0,0,20061001
J2469,HCPCS,Palonosetron HCl,,30,0,1,$19.53 ,$0.00,1,0,1,20061001
J2505,HCPCS,"Injection, pegfilgrastim 6mg",,30,0,1,"$10,985.03 ",$0.00,1,0,0,20061001
J2545,HCPCS,Pentamidine isethionte/300mg,,30,0,,$312.64 ,$0.00,1,0,0,20061001
J2783,HCPCS,Rasburicase,,30,0,1,$113.47 ,$0.00,1,0,1,20061001
J2788,HCPCS,Rho d immune globulin 50 mcg,,30,0,1,$136.30 ,$0.00,1,0,0,20061001
J2790,HCPCS,Rho d immune globulin inj,,30,0,1,$393.24 ,$0.00,1,0,0,20061001
J2792,HCPCS,"Rho(D) immune globulin h, sd",,30,0,1,$80.55 ,$0.00,1,0,0,20061001
J2794,HCPCS,"Risperidone, long acting",,30,0,1,$4.91 ,$0.00,1,0,1,20061001
J2820,HCPCS,Sargramostim injection,,30,0,1,$113.92 ,$0.00,1,0,0,20061001
J2941,HCPCS,Somatropin injection,,30,0,1,"$1,260.12 ",$0.00,1,0,0,20061001
J2993,HCPCS,Reteplase injection,,30,0,1,"$5,348.23 ",$0.00,1,0,0,20061001
J2995,HCPCS,Inj streptokinase /250000 IU,,30,0,1,$363.25 ,$0.00,1,0,0,20061001
J2997,HCPCS,Alteplase recombinant,,30,0,1,$61.89 ,$0.00,1,0,0,20061001
J3100,HCPCS,Tenecteplase injection,,30,0,1,"$10,547.50 ",$0.00,1,0,0,20061001
J3110,HCPCS,Teriparatide injection,,30,0,,$368.20 ,$0.00,1,0,1,20061001
J3240,HCPCS,Thyrotropin injection,,30,0,1,"$2,420.43 ",$0.00,1,0,0,20061001
J3246,HCPCS,Tirofiban HCl,,30,0,1,$8.82 ,$0.00,1,0,1,20061001
J3305,HCPCS,Inj trimetrexate glucoronate,,30,0,1,$558.57 ,$0.00,1,0,0,20061001
J3315,HCPCS,Triptorelin pamoate,,30,0,1,"$1,509.23 ",$0.00,1,0,0,20061001
J3365,HCPCS,"Urokinase 250,000 IU inj",,30,0,1,$873.98 ,$0.00,1,0,0,20061001
J3396,HCPCS,Verteporfin injection,,30,0,1,$9.09 ,$0.00,1,0,1,20061001
J3411,HCPCS,Thiamine hcl 100 mg,,30,0,2,$1.02 ,$0.00,1,0,1,20061001
J3415,HCPCS,Pyridoxine hcl 100 mg,,30,0,2,$2.83 ,$0.00,1,0,1,20061001
J3465,HCPCS,"Injection, voriconazole",,30,0,1,$4.86 ,$0.00,1,0,1,20061001
J3486,HCPCS,Ziprasidone mesylate,,30,0,2,$78.72 ,$0.00,1,0,0,20061001
J3487,HCPCS,Zoledronic acid,,30,0,1,$893.16 ,$0.00,1,0,0,20061001
J3530,HCPCS,Nasal vaccine inhalation,,30,0,2,$98.88 ,$0.00,1,0,1,20061001
J7190,HCPCS,Factor viii,,30,0,1,$0.57 ,$0.00,1,0,0,20061001
J7191,HCPCS,Factor VIII (porcine),,30,0,1,$8.02 ,$0.00,1,0,0,20061001
J7192,HCPCS,Factor viii recombinant,,30,0,1,$2.61 ,$0.00,1,0,0,20061001
J7193,HCPCS,Factor IX non-recombinant,,30,0,1,$2.17 ,$0.00,1,0,0,20061001
J7194,HCPCS,Factor ix complex,,30,0,1,$0.76 ,$0.00,1,0,0,20061001
J7195,HCPCS,Factor IX recombinant,,30,0,1,$1.18 ,$0.00,1,0,0,20061001
J7198,HCPCS,Anti-inhibitor,,30,0,1,$1.90 ,$0.00,1,0,0,20061001
J7310,HCPCS,Ganciclovir long act implant,,30,0,1,$366.20 ,$0.00,1,0,0,20061001
J7317,HCPCS,Sodium hyaluronate injection,,30,0,1,$121.03 ,$0.00,1,0,1,20061001
J7320,HCPCS,Hylan G-F 20 injection,,30,0,1,$212.80 ,$0.00,1,0,1,20061001
J7343,HCPCS,Nonmetabolic act d/e tissue,,30,0,1,$11.44 ,$0.00,1,0,1,20061001
J7344,HCPCS,Nonmetabolic active tissue,,30,0,1,$67.81 ,$0.00,1,0,1,20061001
J7350,HCPCS,Injectable human tissue,,30,0,1,$8.62 ,$0.00,1,0,1,20061001
J7502,HCPCS,Cyclosporine oral 100 mg,,30,0,1,$8.35 ,$0.00,1,0,0,20061001
J7504,HCPCS,Lymphocyte immune globulin,,30,0,1,"$1,092.44 ",$0.00,1,0,0,20061001
J7505,HCPCS,Monoclonal antibodies,,30,0,1,"$3,154.70 ",$0.00,1,0,0,20061001
J7507,HCPCS,Tacrolimus oral per 1 MG,,30,0,1,$4.71 ,$0.00,1,0,0,20061001
J7511,HCPCS,Antithymocyte globuln rabbit,,30,0,1,"$1,401.62 ",$0.00,1,0,0,20061001
J7513,HCPCS,"Daclizumab, parenteral",,30,0,1,"$1,666.29 ",$0.00,1,0,0,20061001
J7517,HCPCS,Mycophenolate mofetil oral,,30,0,1,$3.78 ,$0.00,1,0,0,20061001
J7518,HCPCS,Mycophenolic acid,,30,0,1,$2.61 ,$0.00,1,0,1,20061001
J7520,HCPCS,"Sirolimus, oral",,30,0,1,$11.09 ,$0.00,1,0,0,20061001
J7525,HCPCS,Tacrolimus injection,,30,0,1,$465.66 ,$0.00,1,0,0,20061001
J7643,HCPCS,Glycopyrrolate inhal sol u d,,30,0,,$24.55 ,$0.00,1,0,0,20061001
J7644,HCPCS,Ipratropium brom inh sol u d,,30,0,,$14.51 ,$0.00,1,0,0,20061001
J7674,HCPCS,"Methacholine chloride, neb",,30,0,2,$0.51 ,$0.00,1,0,1,20061001
J7699,HCPCS,Inhalation solution for DME,,30,0,,$91.89 ,$0.00,1,0,0,20061001
J7799,HCPCS,Non-inhalation drug for DME,,30,0,2,$48.58 ,$0.00,1,0,0,20061001
J8499,HCPCS,Oral prescrip drug non chemo,,30,0,,$6.47 ,$0.00,1,0,0,20061001
J8501,HCPCS,Oral aprepitant,,30,0,1,$4.97 ,$0.00,1,0,1,20061001
J8510,HCPCS,Oral busulfan,,30,0,1,$8.17 ,$0.00,1,0,0,20061001
J8520,HCPCS,"Capecitabine, oral, 150 mg",,30,0,1,$13.31 ,$0.00,1,0,0,20061001
J8521,HCPCS,"Capecitabine, oral, 500 mg",,30,0,,$16.52 ,$0.00,1,0,0,20061001
J8560,HCPCS,Etoposide oral 50 MG,,30,0,1,$92.74 ,$0.00,1,0,0,20061001
J8565,HCPCS,Gefitinib oral,,30,0,,"$1,267.70 ",$0.00,1,0,1,20061001
J8700,HCPCS,Temozolomide,,30,0,1,$28.84 ,$0.00,1,0,0,20061001
J9000,HCPCS,Doxorubic hcl 10 MG vl chemo,,30,0,2,$18.16 ,$0.00,1,0,0,20061001
J9001,HCPCS,Doxorubicin hcl liposome inj,,30,0,1,"$1,542.35 ",$0.00,1,0,0,20061001
J9010,HCPCS,Alemtuzumab injection,,30,0,1,"$2,291.23 ",$0.00,1,0,0,20061001
J9015,HCPCS,Aldesleukin/single use vial,,30,0,1,"$2,878.93 ",$0.00,1,0,0,20061001
J9017,HCPCS,Arsenic trioxide,,30,0,1,$145.24 ,$0.00,1,0,0,20061001
J9020,HCPCS,Asparaginase injection,,30,0,1,$153.40 ,$0.00,1,0,0,20061001
J9031,HCPCS,Bcg live intravesical vac,,30,0,1,$328.12 ,$0.00,1,0,0,20061001
J9035,HCPCS,Bevacizumab injection,,30,0,1,$61.13 ,$0.00,1,0,1,20061001
J9040,HCPCS,Bleomycin sulfate injection,,30,0,1,$328.79 ,$0.00,1,0,0,20061001
J9041,HCPCS,Bortezomib injection,,30,0,1,$29.46 ,$0.00,1,0,1,20061001
J9045,HCPCS,Carboplatin injection,,30,0,1,$583.07 ,$0.00,1,0,0,20061001
J9055,HCPCS,Cetuximab injection,,30,0,1,$53.37 ,$0.00,1,0,1,20061001
J9060,HCPCS,Cisplatin 10 MG injection,,30,0,2,$32.70 ,$0.00,1,0,0,20061001
J9065,HCPCS,Inj cladribine per 1 MG,,30,0,1,$105.12 ,$0.00,1,0,0,20061001
J9070,HCPCS,Cyclophosphamide 100 MG inj,,30,0,2,$11.75 ,$0.00,1,0,0,20061001
J9093,HCPCS,Cyclophosphamide lyophilized,,30,0,2,$9.61 ,$0.00,1,0,0,20061001
J9096,HCPCS,Cyclophosphamide lyophilized,,30,0,,$399.04 ,$0.00,1,0,0,20061001
J9098,HCPCS,Cytarabine liposome,,30,0,1,"$1,455.99 ",$0.00,1,0,0,20061001
J9100,HCPCS,Cytarabine hcl 100 MG inj,,30,0,2,$6.54 ,$0.00,1,0,0,20061001
J9130,HCPCS,Dacarbazine 100 mg inj,,30,0,1,$22.47 ,$0.00,1,0,0,20061001
J9150,HCPCS,Daunorubicin,,30,0,1,$152.11 ,$0.00,1,0,0,20061001
J9151,HCPCS,Daunorubicin citrate liposom,,30,0,1,$273.36 ,$0.00,1,0,0,20061001
J9160,HCPCS,"Denileukin diftitox, 300 mcg",,30,0,1,"$5,216.97 ",$0.00,1,0,0,20061001
J9170,HCPCS,Docetaxel,,30,0,1,"$1,402.89 ",$0.00,1,0,0,20061001
J9178,HCPCS,"Inj, epirubicin hcl, 2 mg",,30,0,1,$108.34 ,$0.00,1,0,0,20061001
J9181,HCPCS,Etoposide 10 MG inj,,30,0,2,$3.51 ,$0.00,1,0,0,20061001
J9182,HCPCS,Etoposide 100 MG inj,,30,0,,$317.81 ,$0.00,1,0,0,20061001
J9185,HCPCS,Fludarabine phosphate inj,,30,0,1,"$1,395.71 ",$0.00,1,0,0,20061001
J9200,HCPCS,Floxuridine injection,,30,0,1,$280.31 ,$0.00,1,0,0,20061001
J9201,HCPCS,Gemcitabine HCl,,30,0,1,$474.34 ,$0.00,1,0,0,20061001
J9202,HCPCS,Goserelin acetate implant,,30,0,1,"$1,750.13 ",$0.00,1,0,0,20061001
J9206,HCPCS,Irinotecan injection,,30,0,1,$571.28 ,$0.00,1,0,0,20061001
J9208,HCPCS,Ifosfomide injection,,30,0,1,$308.12 ,$0.00,1,0,0,20061001
J9209,HCPCS,Mesna injection,,30,0,1,$74.74 ,$0.00,1,0,0,20061001
J9211,HCPCS,Idarubicin hcl injection,,30,0,1,$754.11 ,$0.00,1,0,0,20061001
J9213,HCPCS,Interferon alfa-2a inj,,30,0,1,$136.74 ,$0.00,1,0,0,20061001
J9214,HCPCS,Interferon alfa-2b inj,,30,0,1,$58.32 ,$0.00,1,0,0,20061001
J9215,HCPCS,Interferon alfa-n3 inj,,30,0,1,$34.59 ,$0.00,1,0,0,20061001
J9216,HCPCS,Interferon gamma 1-b inj,,30,0,1,"$1,230.11 ",$0.00,1,0,0,20061001
J9217,HCPCS,Leuprolide acetate suspnsion,,30,0,1,"$2,439.36 ",$0.00,1,0,0,20061001
J9218,HCPCS,Leuprolide acetate injeciton,,30,0,1,$61.28 ,$0.00,1,0,0,20061001
J9219,HCPCS,Leuprolide acetate implant,,30,0,1,"$21,165.74 ",$0.00,1,0,0,20061001
J9245,HCPCS,Inj melphalan hydrochl 50 MG,,30,0,1,"$1,646.68 ",$0.00,1,0,0,20061001
J9260,HCPCS,Methotrexate sodium inj,,30,0,,$27.14 ,$0.00,1,0,0,20061001
J9263,HCPCS,Oxaliplatin,,30,0,1,$9.13 ,$0.00,1,0,1,20061001
J9265,HCPCS,Paclitaxel injection,,30,0,1,$334.47 ,$0.00,1,0,0,20061001
J9268,HCPCS,Pentostatin injection,,30,0,1,"$7,551.74 ",$0.00,1,0,0,20061001
J9270,HCPCS,Plicamycin (mithramycin) inj,,30,0,1,$367.69 ,$0.00,1,0,0,20061001
J9280,HCPCS,Mitomycin 5 MG inj,,30,0,1,$130.81 ,$0.00,1,0,0,20061001
J9293,HCPCS,Mitoxantrone hydrochl / 5 MG,,30,0,1,"$1,398.64 ",$0.00,1,0,0,20061001
J9300,HCPCS,Gemtuzumab ozogamicin,,30,0,1,"$8,559.95 ",$0.00,1,0,0,20061001
J9305,HCPCS,Pemetrexed injection,,30,0,1,$43.38 ,$0.00,1,0,1,20061001
J9310,HCPCS,Rituximab cancer treatment,,30,0,1,"$1,953.61 ",$0.00,1,0,0,20061001
J9320,HCPCS,Streptozocin injection,,30,0,1,$554.55 ,$0.00,1,0,0,20061001
J9340,HCPCS,Thiotepa injection,,30,0,1,$191.74 ,$0.00,1,0,0,20061001
J9350,HCPCS,Topotecan,,30,0,1,"$3,130.48 ",$0.00,1,0,0,20061001
J9355,HCPCS,Trastuzumab,,30,0,1,$227.87 ,$0.00,1,0,0,20061001
J9357,HCPCS,"Valrubicin, 200 mg",,30,0,1,"$2,064.45 ",$0.00,1,0,0,20061001
J9390,HCPCS,Vinorelbine tartrate/10 mg,,30,0,1,$427.27 ,$0.00,1,0,0,20061001
J9395,HCPCS,"Injection, Fulvestrant",,30,0,1,$331.60 ,$0.00,1,0,0,20061001
J9600,HCPCS,Porfimer sodium,,30,0,1,"$10,090.92 ",$0.00,1,0,0,20061001
M0064,HCPCS,Visit for drug monitoring,,30,0,1,$113.69 ,$0.00,1,0,1,20061001
P3001,HCPCS,Screening pap smear by phys,,30,0,,$245.94 ,$0.00,1,0,1,20061001
P9010,HCPCS,Whole blood for transfusion,,30,0,1,$429.97 ,$0.00,1,0,1,20061001
P9011,HCPCS,Blood split unit,,30,0,1,$202.64 ,$0.00,1,0,1,20061001
P9012,HCPCS,Cryoprecipitate each unit,,30,0,1,$143.33 ,$0.00,1,0,1,20061001
P9016,HCPCS,RBC leukocytes reduced,,30,0,1,$582.06 ,$0.00,1,0,1,20061001
P9017,HCPCS,Plasma 1 donor frz w/in 8 hr,,30,0,1,$459.84 ,$0.00,1,0,1,20061001
P9019,HCPCS,"Platelets, each unit",,30,0,1,$202.64 ,$0.00,1,0,1,20061001
P9020,HCPCS,Plaelet rich plasma unit,,30,0,1,$261.91 ,$0.00,1,0,1,20061001
P9021,HCPCS,Red blood cells unit,,30,0,1,$421.25 ,$0.00,1,0,1,20061001
P9022,HCPCS,Washed red blood cells unit,,30,0,1,$785.75 ,$0.00,1,0,1,20061001
P9023,HCPCS,"Frozen plasma, pooled, sd",,30,0,1,$607.86 ,$0.00,1,0,1,20061001
P9031,HCPCS,Platelets leukocytes reduced,,30,0,1,$221.32 ,$0.00,1,0,1,20061001
P9032,HCPCS,"Platelets, irradiated",,30,0,1,$365.71 ,$0.00,1,0,1,20061001
P9033,HCPCS,Platelets leukoreduced irrad,,30,0,1,$582.06 ,$0.00,1,0,1,20061001
P9034,HCPCS,"Platelets, pheresis",,30,0,1,"$1,989.76 ",$0.00,1,0,1,20061001
P9035,HCPCS,Platelet pheres leukoreduced,,30,0,1,"$1,989.76 ",$0.00,1,0,1,20061001
P9036,HCPCS,Platelet pheresis irradiated,,30,0,1,"$2,169.52 ",$0.00,1,0,1,20061001
P9037,HCPCS,Plate pheres leukoredu irrad,,30,0,1,"$1,986.64 ",$0.00,1,0,1,20061001
P9038,HCPCS,RBC irradiated,,30,0,1,$531.28 ,$0.00,1,0,1,20061001
P9039,HCPCS,RBC deglycerolized,,30,0,1,$897.00 ,$0.00,1,0,1,20061001
P9040,HCPCS,RBC leukoreduced irradiated,,30,0,1,$897.00 ,$0.00,1,0,1,20061001
P9041,HCPCS,"Albumin (human),5%, 50ml",,30,0,1,$74.78 ,$0.00,1,0,1,20061001
P9043,HCPCS,"Plasma protein fract,5%,50ml",,30,0,1,$454.66 ,$0.00,1,0,1,20061001
P9044,HCPCS,Cryoprecipitatereducedplasma,,30,0,1,$182.84 ,$0.00,1,0,1,20061001
P9045,HCPCS,"Albumin (human), 5%, 250 ml",,30,0,1,$290.85 ,$0.00,1,0,1,20061001
P9046,HCPCS,"Albumin (human), 25%, 20 ml",,30,0,1,$99.81 ,$0.00,1,0,1,20061001
P9047,HCPCS,"Albumin (human), 25%, 50ml",,30,0,1,$224.11 ,$0.00,1,0,1,20061001
P9048,HCPCS,"Plasmaprotein fract,5%,250ml",,30,0,1,"$2,273.27 ",$0.00,1,0,1,20061001
P9050,HCPCS,"Granulocytes, pheresis unit",,30,0,1,"$6,105.71 ",$0.00,1,0,1,20061001
P9051,HCPCS,"Blood, l/r, cmv-neg",,30,0,1,$179.47 ,$0.00,1,0,1,20061001
P9052,HCPCS,"Platelets, hla-m, l/r, unit",,30,0,1,$607.95 ,$0.00,1,0,1,20061001
P9053,HCPCS,"Plt, pher, l/r cmv-neg, irr",,30,0,1,$596.69 ,$0.00,1,0,1,20061001
P9054,HCPCS,"Blood, l/r, froz/degly/wash",,30,0,1,$287.09 ,$0.00,1,0,1,20061001
P9055,HCPCS,"Plt, aph/pher, l/r, cmv-neg",,30,0,1,$509.65 ,$0.00,1,0,1,20061001
P9056,HCPCS,"Blood, l/r, irradiated",,30,0,1,$195.50 ,$0.00,1,0,1,20061001
P9057,HCPCS,"RBC, frz/deg/wsh, l/r, irrad",,30,0,1,$340.60 ,$0.00,1,0,1,20061001
P9058,HCPCS,"RBC, l/r, cmv-neg, irrad",,30,0,1,$292.53 ,$0.00,1,0,1,20061001
P9059,HCPCS,"Plasma, frz between 8-24hour",,30,0,1,$459.84 ,$0.00,1,0,1,20061001
P9060,HCPCS,Fr frz plasma donor retested,,30,0,1,$81.69 ,$0.00,1,0,1,20061001
PHOSP,PHOSP,Partial Hospitalization Per Diem,,30,0,,$504.79 ,$0.00,1,0,0,20061001
Q0035,HCPCS,Cardiokymography,,30,0,1,$622.38 ,$0.00,1,0,1,20061001
Q0081,HCPCS,Infusion ther other than che,,30,0,,$743.39 ,$0.00,1,0,1,20061001
Q0083,HCPCS,Chemo by other than infusion,,30,0,,$184.07 ,$0.00,1,0,1,20061001
Q0084,HCPCS,Chemotherapy by infusion,,30,0,,$700.77 ,$0.00,1,0,1,20061001
Q0085,HCPCS,Chemo by both infusion and o,,30,0,,$474.92 ,$0.00,1,0,1,20061001
Q0091,HCPCS,Obtaining screen pap smear,,30,1,1,$62.58 ,$0.00,1,0,1,20061001
Q0166,HCPCS,Granisetron HCl 1 mg oral,,30,0,1,$726.88 ,$0.00,1,0,0,20061001
Q0180,HCPCS,Dolasetron mesylate oral,,30,0,1,$644.81 ,$0.00,1,0,0,20061001
Q0480,HCPCS,"Driver pneumatic vad, rep",,30,0,,"$92,612.14 ",$0.00,1,0,1,20061001
Q0481,HCPCS,"Microprcsr cu elec vad, rep",,30,0,,"$14,941.90 ",$0.00,1,0,1,20061001
Q0482,HCPCS,"Microprcsr cu combo vad, rep",,30,0,,"$4,680.08 ",$0.00,1,0,1,20061001
Q0483,HCPCS,"Monitor elec vad, rep",,30,0,,"$19,279.83 ",$0.00,1,0,1,20061001
Q0484,HCPCS,Monitor elec or comb vad rep,,30,0,,"$3,744.08 ",$0.00,1,0,1,20061001
Q0485,HCPCS,"Monitor cable elec vad, rep",,30,0,,$361.49 ,$0.00,1,0,1,20061001
Q0486,HCPCS,Mon cable elec/pneum vad rep,,30,0,,$300.87 ,$0.00,1,0,1,20061001
Q0487,HCPCS,"Leads any type vad, rep only",,30,0,,$351.01 ,$0.00,1,0,1,20061001
Q0488,HCPCS,"Pwr pack base elec vad, rep",,30,0,,"$16,714.58 ",$0.00,1,0,1,20061001
Q0489,HCPCS,"Pwr pck base combo vad, rep",,30,0,,"$16,714.58 ",$0.00,1,0,1,20061001
Q0490,HCPCS,"Emr pwr source elec vad, rep",,30,0,,$722.99 ,$0.00,1,0,1,20061001
Q0491,HCPCS,Emr pwr source combo vad rep,,30,0,,"$1,136.62 ",$0.00,1,0,1,20061001
Q0492,HCPCS,"Emr pwr cbl elec vad, rep",,30,0,,$91.59 ,$0.00,1,0,1,20061001
Q0493,HCPCS,"Emr pwr cbl combo vad, rep",,30,0,,$260.74 ,$0.00,1,0,1,20061001
Q0494,HCPCS,"Emr hd pmp elec/combo, rep",,30,0,,$220.64 ,$0.00,1,0,1,20061001
Q0495,HCPCS,"Charger elec/combo vad, rep",,30,0,,"$4,295.23 ",$0.00,1,0,1,20061001
Q0496,HCPCS,"Battery elec/combo vad, rep",,30,0,,"$1,541.63 ",$0.00,1,0,1,20061001
Q0497,HCPCS,"Bat clps elec/comb vad, rep",,30,0,,$481.39 ,$0.00,1,0,1,20061001
Q0498,HCPCS,"Holster elec/combo vad, rep",,30,0,,$528.19 ,$0.00,1,0,1,20061001
Q0499,HCPCS,Belt/vest elec/combo vad rep,,30,0,,$171.61 ,$0.00,1,0,1,20061001
Q0500,HCPCS,"Filters elec/combo vad, rep",,30,0,,$31.40 ,$0.00,1,0,1,20061001
Q0501,HCPCS,"Shwr cov elec/combo vad, rep",,30,0,,$525.15 ,$0.00,1,0,1,20061001
Q0502,HCPCS,"Mobility cart pneum vad, rep",,30,0,,$668.57 ,$0.00,1,0,1,20061001
Q0503,HCPCS,Battery pneum vad replacemnt,,30,0,,"$1,337.17 ",$0.00,1,0,1,20061001
Q0504,HCPCS,"Pwr adpt pneum vad, rep veh",,30,0,,$705.60 ,$0.00,1,0,1,20061001
Q2009,HCPCS,"Fosphenytoin, 50 mg",,30,0,1,$29.76 ,$0.00,1,0,0,20061001
Q2017,HCPCS,"Teniposide, 50 mg",,30,0,1,"$1,259.90 ",$0.00,1,0,0,20061001
Q3025,HCPCS,IM inj interferon beta 1-a,,30,0,1,$56.55 ,$0.00,1,0,0,20061001
Q3031,HCPCS,Collagen Skin Test,,30,0,2,$264.73 ,$0.00,1,0,1,20061001
Q4051,HCPCS,Splint supplies misc,,30,0,,$76.23 ,$0.00,1,0,0,20061001
Q4079,HCPCS,"Injection, Natalizumab, 1 MG",,30,0,1,$6.84 ,$0.00,1,0,1,20061001
Q9945,HCPCS,LOW OSM CONTRST MATL TO 149 MG/ML IODINE CONC ML,,30,0,1,$0.33 ,$0.00,1,0,0,20061001
Q9946,HCPCS,LW OSM CONTRST MATL 150-199 MG/ML IODINE CONC ML,,30,0,1,$2.00 ,$0.00,1,0,0,20061001
Q9947,HCPCS,LW OSM CONTRST MATL 200-249 MG/ML IODINE CONC ML,,30,0,1,$1.35 ,$0.00,1,0,0,20061001
Q9948,HCPCS,LW OSM CONTRST MATL 250-299 MG/ML IODINE CONC ML,,30,0,1,$0.35 ,$0.00,1,0,0,20061001
Q9949,HCPCS,LW OSM CONTRST MATL 300-349 MG/ML IODINE CONC ML,,30,0,1,$0.38 ,$0.00,1,0,0,20061001
Q9950,HCPCS,LW OSM CONTRST MATL 350-399 MG/ML IODINE CONC ML,,30,0,1,$0.23 ,$0.00,1,0,0,20061001
Q9951,HCPCS,LOW OSM CONTRST MATL 400/> MG/ML IODINE CONC ML,,30,0,1,$0.33 ,$0.00,1,0,0,20061001
Q9952,HCPCS,INJECTION GADOLINIUM-BASED MR CONTRAST AGENT ML,,30,0,1,$3.12 ,$0.00,1,0,0,20061001
Q9953,HCPCS,INJECTION IRONBASED MR CONTRAST AGENT PER ML,,30,0,1,$32.54 ,$0.00,1,0,0,20061001
Q9954,HCPCS,ORAL MAGNETIC RESONANCE CONTRAST AGENT PER ML,,30,0,1,$9.59 ,$0.00,1,0,0,20061001
Q9955,HCPCS,"Inj perflexane lip micros,ml",,30,0,1,$14.18 ,$0.00,1,0,0,20061001
Q9956,HCPCS,INJECTION OCTAFLUOROPROPANE MICROSPHERES PER ML,,30,0,1,$44.02 ,$0.00,1,0,0,20061001
Q9957,HCPCS,"Inj perflutren lip micros,ml",,30,0,1,$66.22 ,$0.00,1,0,0,20061001
Q9958,HCPCS,HIGH OSM CONTRAST MATL 149 MG/ML IODINE CONC ML,,30,0,1,$0.07 ,$0.00,1,0,0,20061001
Q9960,HCPCS,HI OSM CONTRST MATL 200-249 MG/ML IODINE CONC ML,,30,0,1,$0.10 ,$0.00,1,0,0,20061001
Q9961,HCPCS,HI OSM CONTRST MATL 250-299 MG/ML IODINE CONC ML,,30,0,1,$0.20 ,$0.00,1,0,0,20061001
Q9962,HCPCS,HI OSM CONTRST MATL 300-349 MG/ML IODINE CONC ML,,30,0,1,$0.15 ,$0.00,1,0,0,20061001
Q9963,HCPCS,HI OSM CONTRST MATL 350-399 MG/ML IODINE CONC ML,,30,0,1,$0.42 ,$0.00,1,0,0,20061001
Q9964,HCPCS,HIGH OSM CONTRST MATL 400/> MG/ML IODINE CONC ML,,30,0,1,$0.21 ,$0.00,1,0,0,20061001
S0034,HCPCS,INJECTION OFLOXACIN 400 MG,,30,0,,$22.28 ,$0.00,1,0,1,20061001
S0078,HCPCS,Injection Fosphenytoin Sodium 750 mg,,30,0,,$332.87 ,$0.00,1,0,1,20061001
S0109,HCPCS,METHADONE ORAL 5MG,,30,0,,$0.81 ,$0.00,1,0,1,20061001
S0132,HCPCS,Injection Ganirelix Acetate 250 mcg,,30,0,,$33.10 ,$0.00,1,0,1,20061001
S0136,HCPCS,Clozapine 25 mg,,30,0,,$31.46 ,$0.00,1,0,1,20061001
S0137,HCPCS,Didanosine 25 mg,,30,0,,$114.60 ,$0.00,1,0,1,20061001
S0145,HCPCS,INJ PEGYLATED INTERFERON ALFA2A 180 MCG PER ML,,30,0,,$37.33 ,$0.00,1,0,1,20061001
S0146,HCPCS,INJ PEGYLATED INTERFERON ALFA-2B 10 MCG 0.5 ML,,30,0,,$15.92 ,$0.00,1,0,1,20061001
S0157,HCPCS,Becaplermin Gel 0.01% 0.5 gm,,30,0,,$342.76 ,$0.00,1,0,1,20061001
S0161,HCPCS,Calcitrol 0.25 mg,,30,0,,$78.04 ,$0.00,1,0,1,20061001
S0164,HCPCS,Injection Pantoprazole Sodium 40 mg,,30,0,,$64.53 ,$0.00,1,0,1,20061001
S0167,HCPCS,Injection Apomorphine Hydrochloride 1 mg,,30,0,,$63.43 ,$0.00,1,0,1,20061001
S0195,HCPCS,Pneumcoccl Conjugat Vac Im 5-9 Yr Not Prev Recvd,,30,0,,$243.88 ,$0.00,1,0,1,20061001
S0201,HCPCS,Partial Hositalization Services < 24 Hr Per Diem,,30,0,,$504.79 ,$0.00,1,0,0,20061001
S0220,HCPCS,Med Conf Phys W/Team Hlth Prof Pt Care; 30 Min,,30,0,,$1.54 ,$0.00,1,0,1,20061001
S0221,HCPCS,Med Conf Phys W/Team Hlth Prof Pt Care; 60 Min,,30,0,,$1.54 ,$0.00,1,0,1,20061001
S0255,HCPCS,By Nurse Social Worker Or Other Designated Staff,,30,0,,$80.24 ,$0.00,1,0,1,20061001
S0257,HCPCS,Cnsl&Discuss Adv Dirctv/Eol Care Pt&/Surrogate ,,30,0,,$112.34 ,$0.00,1,0,1,20061001
S0260,HCPCS,History And Physical Related To Surgical Proc,,30,0,,$55.08 ,$0.00,1,0,1,20061001
S0265,HCPCS,Genetic Counseling Phys Supervision Ea 15 Mins,,30,0,,$55.08 ,$0.00,1,0,1,20061001
S0315,HCPCS,Disease Management Progm; Init Assess&Init Progm,,30,0,,$55.08 ,$0.00,1,0,1,20061001
S0316,HCPCS,Disease Management Program; Follow-Up/Reassess,,30,0,,$55.08 ,$0.00,1,0,1,20061001
S0346,HCPCS,Home ECG monitoring tech 24 h,,30,0,,$24.01 ,$0.00,1,0,1,20061001
S0390,HCPCS,Routine Foot Care; Per Visit,,30,0,,$47.84 ,$0.00,1,0,1,20061001
S0400,HCPCS,Global Fee Xtracorp Shock Wave Lith Kidney Stone,,30,0,,"$13,583.31 ",$0.00,1,0,1,20061001
S0592,HCPCS,Comprehensive Contact Lens Evaluation,,30,0,,$719.93 ,$0.00,1,0,1,20061001
S0601,HCPCS,Screening Proctoscopy,,30,0,,$190.09 ,$0.00,1,0,1,20061001
S0613,HCPCS,Annual Gyn Exam Clin Breast Exam W/O Pelv Exam,,30,0,,$55.08 ,$0.00,1,0,1,20061001
S0618,HCPCS,Audiometry For Hearing Aid Evaluation,,30,0,,$33.66 ,$0.00,1,0,1,20061001
S0622,HCPCS,Physical Exam College New Or Established Patient,,30,0,,$55.08 ,$0.00,1,0,1,20061001
S0625,HCPCS,Retinal Telescr Digtl Imag Mx Diff Fundus Areas ,,30,0,,$48.89 ,$0.00,1,0,1,20061001
S0810,HCPCS,Photorefractive Keratectomy,,30,0,,"$1,847.55 ",$0.00,1,0,1,20061001
S0812,HCPCS,Phototherapeutic Keratectomy,,30,0,,"$1,847.55 ",$0.00,1,0,1,20061001
S2070,HCPCS,Cysto W/Ureterscpy&/Pyelscpy;Lasr Tx Uretrl Calc,,30,0,,"$6,575.82 ",$0.00,1,0,1,20061001
S2080,HCPCS,Laser-Assisted Uvulopalatoplasty,,30,0,,"$6,567.71 ",$0.00,1,0,1,20061001
S2095,HCPCS,Trnscath Occl/Emboliz Tumr Destruc Perq Meth Usi,,30,0,,"$7,705.58 ",$0.00,1,0,1,20061001
S2120,HCPCS,Ldl Apheres Heparn-Inducd Xtracorp Ldl Precip,,30,0,,"$11,321.57 ",$0.00,1,0,1,20061001
S2135,HCPCS,Neurolysis Inj Mt Neuroma/Interdigtl Neuritis,,30,0,,$652.45 ,$0.00,1,0,1,20061001
S2140,HCPCS,Cord Blood Harvesting Transplantation Allogeneic,,30,0,,$775.93 ,$0.00,1,0,1,20061001
S2142,HCPCS,Cord Bld-Derived Stem-Cell Tplnt Allogeneic,,30,0,,"$1,852.57 ",$0.00,1,0,1,20061001
S2150,HCPCS,Bn Marrow/Bld Derivd Stem Cells Harv Tplnt&Comp;,,30,0,,$650.91 ,$0.00,1,0,1,20061001
S2202,HCPCS,Echosclerotherapy,,30,0,,$81.85 ,$0.00,1,0,1,20061001
S2225,HCPCS,Myringotomy Laser-Assisted,,30,0,,"$4,583.99 ",$0.00,1,0,1,20061001
S2230,HCPCS,Impl Magnet Cmpnt Semi-Impl Hearing Devc Mid Ear,,30,0,,"$3,031.78 ",$0.00,1,0,1,20061001
S2235,HCPCS,Implantation Of Auditory Brain Stem Implant,,30,0,,"$28,169.47 ",$0.00,1,0,1,20061001
S2250,HCPCS,Uterine Artery Embolization For Uterine Fibroids,,30,0,,"$2,502.32 ",$0.00,1,0,1,20061001
S2300,HCPCS,Arthroscope Shldr Surg; W/Therml-Inducd Cpslorr,,30,0,,"$8,234.70 ",$0.00,1,0,1,20061001
S2340,HCPCS,Chemodenervation Abductor Muscle Vocal Cord,,30,0,,"$4,180.21 ",$0.00,1,0,1,20061001
S2341,HCPCS,Chemodenervation Adductor Muscle Vocal Cord,,30,0,,"$4,180.21 ",$0.00,1,0,1,20061001
S2342,HCPCS,Nasal Endoscopic Postop Debridement Uni/Bil,,30,0,,"$6,139.75 ",$0.00,1,0,1,20061001
S2348,HCPCS,Decomp Perq Intervert Disc Rf Energy 1/Mx Lumb,,30,0,,"$4,983.21 ",$0.00,1,0,1,20061001
S2360,HCPCS,Perq Vertplsty 1 Vert Bdy Unilat/Bilat Inj; Cerv,,30,0,,"$7,473.47 ",$0.00,1,0,1,20061001
S2361,HCPCS,Each Additional Cervical Vertebral Body,,30,0,,"$1,518.10 ",$0.00,1,0,1,20061001
S3005,HCPCS,Performance Msr Eval Pt Self Assess Depression,,30,0,,$55.08 ,$0.00,1,0,1,20061001
S3708,HCPCS,Gastrointestinal Fat Absorption Study,,30,0,,$242.79 ,$0.00,1,0,1,20061001
S3900,HCPCS,Surface Electromyography,,30,0,,$733.49 ,$0.00,1,0,1,20061001
S4005,HCPCS,Interim Labor Facility Global,,30,0,,$82.33 ,$0.00,1,0,1,20061001
S4981,HCPCS,Insrtion Levonorgestrel-Releasing Intrautern Sys,,30,0,,$809.41 ,$0.00,1,0,1,20061001
S5011,HCPCS,5% DEXTROSE IN LACTATED RINGERS 1000 ML,,30,0,,$13.32 ,$0.00,1,0,1,20061001
S5012,HCPCS,5% DEXTROSE WITH POTASSIUM CHLORIDE 1000 ML,,30,0,,$10.11 ,$0.00,1,0,1,20061001
S5013,HCPCS,5% DXTROS/0.45% NORMAL SALINE 1000 ML,,30,0,,$10.11 ,$0.00,1,0,1,20061001
S5014,HCPCS,5% DEXTROSE/0.45% NL SALINE W/KCL&MGSO4 1500 ML,,30,0,,$10.11 ,$0.00,1,0,1,20061001
S5190,HCPCS,Wellness Assessment Performed By Non-Physician,,30,0,,$80.24 ,$0.00,1,0,1,20061001
S5550,HCPCS,INSULIN RAPID ONSET; 5 UNITS,,30,0,,$0.11 ,$0.00,1,0,1,20061001
S5551,HCPCS,INSULIN MOST RAPID ONSET; 5 UNITS,,30,0,,$0.11 ,$0.00,1,0,1,20061001
S5552,HCPCS,INSULIN INTERMEDIATE ACTING; 5 UNITS,,30,0,,$0.11 ,$0.00,1,0,1,20061001
S5553,HCPCS,INSULIN LONG ACTING; 5 UNITS,,30,0,,$0.11 ,$0.00,1,0,1,20061001
S8030,HCPCS,Scleral Application Tantalum Ring Proton Beam Tx,,30,0,,"$5,249.04 ",$0.00,1,0,1,20061001
S8037,HCPCS,Magnetic Resonance Cholangiopancreatography,,30,0,,"$2,059.71 ",$0.00,1,0,1,20061001
S8040,HCPCS,Topographic Brain Mapping,,30,0,,$761.30 ,$0.00,1,0,1,20061001
S8049,HCPCS,Intraoperative Radiation Therapy,,30,0,,$420.78 ,$0.00,1,0,1,20061001
S8055,HCPCS,Ultrasound Guid Multifetal Pg Rduc Tech Cmpnt,,30,0,,$622.69 ,$0.00,1,0,1,20061001
S8080,HCPCS,Scintimammography Uni Incl Supply Radiopharm,,30,0,,$529.64 ,$0.00,1,0,1,20061001
S9024,HCPCS,Paranasal Sinus Ultrasound,,30,0,,$404.73 ,$0.00,1,0,1,20061001
S9034,HCPCS,Extracorporeal Shockwave Lithotripsy Gall Stones,,30,0,,"$2,535.06 ",$0.00,1,0,1,20061001
S9083,HCPCS,Global Fee Urgent Care Centers,,30,0,,$82.59 ,$0.00,1,1,1,20061001
S9092,HCPCS,Canolith Repositioning Per Visit,,30,0,,$55.08 ,$0.00,1,0,1,20061001
S9117,HCPCS,Back School Per Visit,,30,0,,$55.08 ,$0.00,1,0,1,20061001
S9401,HCPCS,Anticoagulat Clin Incl All Serv No Lab Per Sess,,30,0,,$55.08 ,$0.00,1,0,1,20061001
S9452,HCPCS,Nutrition Classes Non-Physician Per Session,,30,0,,$86.00 ,$0.00,1,0,1,20061001
S9453,HCPCS,Smoking Cessation Classes Non-Physician Per Sess,,30,0,,$26.75 ,$0.00,1,0,1,20061001
S9474,HCPCS,Entrstml Tx Registered Nrs Cert Entrstml Tx-Diem,,30,0,,$132.41 ,$0.00,1,0,1,20061001
S9475,HCPCS,Amb Set Substance Abs Tx/Dtoxfication Srvc-Diem,,30,0,,$78.76 ,$0.00,1,0,1,20061001
S9480,HCPCS,Intensive Op Psychiatric Services Per Diem,,30,0,,$107.25 ,$0.00,1,0,1,20061001
S9484,HCPCS,Crisis Interven Mental Health Services Per Hour,,30,0,,$107.25 ,$0.00,1,0,1,20061001
S9485,HCPCS,Crisis Intervent Mental Health Serv,,30,0,,$107.25 ,$0.00,1,0,1,20061001